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4116 States Ave SEWER &.`;ATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # ~ PERMIT DATE 3830 Pilot Knob Rd. cHiP ~I'f aUt ~,E3 G PERMIT # 12, 28 Eagan, MN 55122-1897 METER SIZE ~ B.P. RECEIPT # C 15~41 , DATE AlJ;; lF, 1991 ISSUE DATE ~0 -/S- GIZ B.P. RECEIPT DATE08 21 99 ' _ PRV - BOOSTER PUMP SITE ADDRESS 411 S`fATIE S AVti PERMiT REOUESTED LOT BLOCK ~ SEC/SUB S:A",`C'i'•D Pi.:~Cn' X SEWER X WATER - TAPS APPLICANT: ADDRESS: - COMM/IND - RESIDENTIAL CITY, STATE ZIP ~ NEW - EXISTING PHON E: Lawn Sprinkler Meters are to be Installed PLUMBER: cs~~~STKUCTIGh • Ahead of Domestic Meters on Water Line. ADDRESS: 6410 131 ST ST CT Credit WILL NOT be g!ro for Deduct Meters. CITY, STATE A-PPLE VALLEY V114 Zip 551',~: PHONE: 432-0979 1 AGREE TO COMPLY WITH CITY OF OWNER: B 0 & S HOMES EAGAN ORDINANCES ADDRESS: 812 E 145TF! ST CITY, STATE BURNSV I Lt.E mN ZIP `1 ; i PHONE: 411-2'• 51 NATURE WHEN METER ISSUED , PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER &%ATER PERMIT OFFICE USE ONLY CITY tOr FAGAN METER # PERMIT DATE lr 3830 Pilat Knob Rd. Eagan, MN 55122-1897 CHIP # PERMIT # ~~22$ METER SIZE B.P. RECEIPT # C 150~ ' DATE AUG 15, 1991 ISSUE DATE B.P. RECEIPT DATE08/21 L~ _ PRV - BOOSTER PUMP SITE ADDRESS 41f) sTATEv AvF PERMIT REOUESTED LOT I? BLOCK 3_SEC/SUB S7A.F'r0 :L PLACF. ~ SEWER ~ WATER - TAPS APPLICANT: ADDRESS: - COMMlIND x RESIDENTIAL CITY, STATE ZIP Y NEW - EXISTING PHOPIE: Lawn Sprinkler Meters are to be Installed PLUMBER: C LBERG CO%c;Ti:i:CTION Ahead of Domestic Meters on Water Line. ADDRESS: 6410 131 S'P S i CT Credit WILL NOT be given for Deduct Meters. CITY, STATE AYPLE ttN ZIP 551 24 - PHONE: 432_097~1 I AGREE TO COMPLY WITH CITY OF OWNER: BD & 5 ii3t:F ::P EAGAN ORDINANCES ADDRESS: 812 E 145T1: ; T CITY, STATE 1(R13SVTi.F.F* r::n" ZIP 55337 PHONE: 43L-247_`' SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. DATE: AUG 22, 1991 RE: 4116 STATES AVE (B D & S HOMES) 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 PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN DN. Your Sewer & Water Permit for the above property cannot be campleted for the foliowing reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be Isaued or occupancy allowed until turther not{cs. COMMERdAL PRQJECTS ONLY: Please pay for meter at City Hali. Meter size must be confirmed by BIII Adams or Dirk House (Plumbing InsQectors - 454-6100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTIUTIES - TELEPHONE, ELECTRIC, GAS, ETC. - REDUIRED BY LAW. CONTACT COIIAAAUNIT1f DEYELOPMENT DEPARTMEMT FGR WATER TURN ON POUCY. Sec?etary, 6uildng Inspectbns Dept. , r . CASH RECEf PT CITY OF EAGAN 3830 PIL07 KNOB ROAD EAGAN, MINNESOTA 55122 ~ DATE - ~ ~ 19 AMDUNT Fs ,-o-1 & DOLLARS ,m O CASH ~CHECK FUND 08JECT AMOUNT Thank You BY C 15 o51 VVh,,e--Pe,om~„ ~ Yelkym-4hoafiq ~r Pink-File CoPy ~q , PC) 3, S~I~r•~. P~ nlA- Job Address 7r ~ Heating Contracto ` Name of Tester Date Q ~ Percent 02 L?~~ Percent CO 0 Stack Temp. A70 C 026 .5 CITY OF EAGAN ~ r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 w - ' BUILDING PERMIT Receipt # To be used for $p DW GAQ Est. Value 90Qpp Date_AilG 16 , 19QL_ Site Address 4116 STATBB AVE Lot _.9- BloCk 3- Sec/Sub. S?A~ld~D PIACE OFFICE USE ONLY ~ Parcel No. occupancy IG-3 ~1 FEES Zoning W Name B D i S!10l~S (n~~,ai) cor,si ~Ir~ Bldg. Permit 95- ~ Address 912 E ikSTH St (Allowable) ~d Surcharge ~s-~ City sUQtiSVI LI.E Phone 1? - 6 9 # or stories - Lenglh ~ Plan Review 3A6•00 Name --SAME Depm snC, City 100.M Address S.F. Total - SAC, MCWCC 650, ~ • City Phone S.F. Foolp(ints - On 5+te Sewage Water Conn 6~ • qQ Name on sice weu X Water Meter 95, o0 05 Address MwCCSystem <W City Phone City Water ~ Accl• oeposit 34•oo PRV Required _ S!W Permif 30•00 I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge intormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI 276. ~ Signature of Permitee APPROVALS Road Unit 370•00 A Buildmg Permit is issued to: B D b S HCM$ Planner - park Ded. on che express condition that all work shall be done in accordance with all Council _ applicable State of Minnesota Statules and City of Eagan Ordinances. gldg, pff. _ Copies ~ Building Official ' '1'.- ~ (,i Variance - TOTAL 3,237. . . . PermH No. Permit Holda Da1e Telephom # WATER S~ PLUMBING H.v.n.c. Zx- f ' 50U '9 eLEcTRIc P37/2 ov Inspeet{on Date Insp. Comments Footings I V'Z/'~/ s I Foundation ~~p Ql Framing Roo(ing Rough Plhg. Rough Htg. ~ S 3 9~70 ( GLl./~LtA /1'. L' - is~~. Fireplace ~ ~ t G 11 C e M~~C 0 i P Final Ht9• ~(`7 . Z3 ! S O or/- / ~ , Orstat Tesi ~ Final Plbg. p-,.( ( ~ Plbg. Inspectw - Notify Plumber Const. Meter 0-- /4140AA.;,t Engr./Pian aldg. Final _ 23-y oeck Ft9. 9,~ • ~ le& Dedc Fnal Well Pr. Disp. • s . f~~er#t#ir~t~ nf (~rr~~ttnr~ ~ Citp of (Cagan lormntrttt v# sunirg impfftiatc This Certiftcate issued pursuant !01he requirements of Section 306 of 1he Uniform Building Code certifyrng that at the tinre of issuance tltrs strurture mu in compliance with Fhe vanous ordinances of the City regulating building corrstruction or use. For tlre following: use a.m;ficmm aF I7WG/GAR M4. Pe m;, ro. 19558 O-UP-Cr TrM T= / A/M1 Zmieg Doold RI Tw COWL VN o,,,,,~ r %.k;~ BD & S HM ,,dd. 812 E 145TH ST, B'VIIIE naarm 4116 9@9.&V,",s,y L92 B32 SLUFM PI" ~ D,, 10/23/9I M,a;ng omc,, - POST IN A CONSPICUOUS PIACE Address: 4116 STATES AVENOE Lot q Blk 3 Sec/Sub STAFFORD vtprF'. These items were/were not complate at the time of the final inspection. 10 23 91 Yes No ~ Final grade (6" from siding) ? Permanent steps - garage ~ Permanent steps - main entry ~ Permanent driveway Permanent gas Sod/seeded grass ~ Trail/curb damage ? Porch ? Basement finish Deck Pleasa verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to tha outside lawn faucet before freeze potential exists, ~ xrmeor,uEx White - City copy Yellow - Resident copy Pink.- Contractor copy ~4 3 712 q,g,~ 94e-~ e~./Jrs-~ o s Reques Dafe Fire Rough-in Inspection ` , -~O - ry~ / pgQ HReatlY Now ? Will Nofily Inspector Yes ? No When FeatlY? Iicensed contractor ? owner hereby request inspection of above electrical work at: Job AtlEress (Streel. Box Or Route N) City ~j ~.o G5 uC GN t/~ $action No. TOwnship Neme or No. qange W. Counry ~ / (A Occu V pan PRIryT,~ / -C Phone"6- l/33 11 Pwver ppli9 r ~J Adtlress / /~O/.d //J~V ElecMCal ntraclor (CO pany Na ~ Convacfor5 License Na. ~ '/c !.c oyays-L 3 Mailing AOtlress ICOnVacbr or Owner Makin Installalion) /do &zJo.~4ti .016 AulYrorized ' Wre (ConVac~ Owner king Inst Ila~ian) Phonye mber Nu ~ MINNESOTA STATE BOARD DF ELECTRICAV TNIS INSPECTION REQUEST WILL NOT GrlpphMldwey Bltlq. - Roam S173 8E ACCEPTED BV THE STATE BOARD 1821 Unlwrolly Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 602-0800 ENCLOSEO. ~ t~+~ REUUEST FOR ELECTRICAL INSPECTION ea.ooom-oe ~ ? 5ee instructions ror canpleting this torm on back ol yellow copy. Q 5 a 4 3 712 "X" Be/ow Work Covered by This Request em•. ewrAa Rep; TypeofBuilding AppliancesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater Eleciric Heating Ap4 Building Dryer Other(Speciry) Comm./lndustrial 'Fumace Farm Air Gonditiolrer Olherospeciiy) nhaclor5 qemarks: Compule lnspection Fee 8elow: # Olher Fee # ServiceEMrance5ize # Circuits/Feedare Swimminq Pool D t0 200 Amps 110 0 to 100 Amps Transiormers Above200-P.mps Above100_Amps Signs Inspector5 Use Only: TOTAL f~ ~ Irrigation Booms ~ i J Special Inspection Alarm/Communication THI5 INSTALLATION MAY BE ORDER ISCONNECTED IF NOT O[her Fee COMPLETED WITHIN 18 MO S. I, ihe Electrical Inspector, hereby Rouyn-in certify that ihe above inspection has Firel - Da1a ~ 6een made. Ole OFFICE USE ONLY This reQUest voitl 18 months iro. CITY OF EAGAN N2 19558 + 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8700 Receipt# '~~1 I/ 0_5i( To be used tor SF DWG/GAR Est. Value $90, 000 Date AUG 16 ,1991 Site Address 4116 STATES AVE Lol 9 Block 3 Sec/Sub. STAFFORD PLACE OfFICE USE ONLY P2fCel N0. Occupancy R-3 _H-_J. FEES Zoning R-1 w Name B D& S HOMES (ncwaqconst _V-_P1 BIdg.Permit 595.00 ~ Address 812 E 145TH ST (niiowaoie) V-N ° Cjl BURNSVILLE phonC 431-2429 kotStories _ Surcharge 45.00 0 Y . Lengih 58' Plan Reviaw 386.0 ~ Name SAME oepm 471 snC, cny 1 00 _ 00 g; Address S.F.7otal - SAC, MCWCC 650.00 ~ City Phone S.F. Foolprinis - 0 On Site Sewage _ Water Conn 660.0 ~ W Name On Site Well - Water Meler 95.00 Address MWCC System X a~ City Phone ary water x AwL Deposil 30.00 PRV Required _ S/N Permit 30.00 I hereby acknowlege ihat I have reatl this applica[ion and state that the Booster Pump - SiW Surcharge - 50 inlormation is correct antl agree to comply wilh all applicable State oi MinnesotaStatutes o1 an r ances~. 7reatmentPi 276.00 Signature of Permite APPR~~A~ ROad Unit 370.00 A Builtling Permit is issued to: B D& S HOMES Planner - park Ded. on ihe express condition that all work shall be done in accordance with all Council applica6le State of Minnesota Sptatutes andyC~,,iry~ of Eagan Ordinances. Bldg. OH. _ Copies BuildingOllicial ~~iq ~,Qlf~.! IILlJ Variance - TOTAL 3,237.`n , RESIDENTIAL ' BUILDING PERMIT APPLICATION ' CITY OF EAGAN -:5 1-4~a f f, 3830 PILOT KNOB RD, EAGAN MN 55722 v ~ 651-681-4675 nn n CC~.~J NawConetructlonReaulremente HemoGeVReoairHeaWremente • 3 registeretl sNe surveys showing sq. ll. of IN, sq. fl. of frouse; and g rooted areas • 2 copies of plan (20% mazimum bt coverage allowed) . 1 set of Energy Cakulatbns for heated addttbns • 2 coples of plan showing beam 8 windorr sizes; poured found design, etc.) • 7 stte survey for eAerior atlditlons & decks • 1 set of Energy CalculalWns . IntlMate N home served by sepNC syslem for adtlilions • 3 copies of Tree Preservatan Plen tl bt platted aftar 7/1193 . Rim ,blst Detail Options selectbn aheel (blCgs wiM 3 or less unAS) DATE 3 Os,nr , n 2 VALUATION a/< 51TE ADDRESS `111(o MULTI-FAMILY BLDG _ Y ~ N TYPE OF WORK Adclii;vr, 4-Ue.c.IC FIREPLACE(S) X- 0_ 1_ 2 ,Nstr'U c- 3-i o n APPLICANT e STREET ADDRESS a pu I n s~ t4 CIiY a STATEzg. ZIP TELEPHONE # qSZ - CELL PHONE # 611- .S32 - 8940 FAX #263 ~Syy-ss» PROPERTYOWNER~a,~~ d-C,nrla., ~il.cc;~h TELEPHONE# ~aS/-~/J~ hF.3;~ COMPLETE THIS SECTION FOR ^NEWH RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOT 5 7672 e~r Efl,E3'g~ orksheet Submitted (d submiasion type) . Residential Ventllation Category 1 Worksheet Submitt • Energy Envelope Calculations Submitted D L~ U U JUN 0 5 2002 Plumbfng Contracror: Ph ne # Pltunbing system includes: _ Water Softener _ Lawn $90.00 _ Water Heater _ No. of Baths No. of Baths Mechanlcal Contractor: Phone # Mechanical system includes: _ Air Conditioning Fee-, $70.00 _ Heat Recovery System Sewer/Water Conhactor. Phone # I hereby acknowledge that I have read ihis applicatlon, state fhat me information is correct, and agree to comply with all applicable State of Minnesota Statutes and Clty of Eagan Ordinances. Slgnaiure of ApplicanP~- ~J_ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY , ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ,}5( 22 PorchfAddn. (4sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding A 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Atteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (ErHire Bldg only) - Give PCA handout to applicant Valuation Occupancy R' 3 MC/ES System Census Code 43q Zonfng City Water SAC Units ~ Stories / Booster Pump Nbr. of Units - Sq. Ft. ~ PRV Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const ~ Width o'C3 REQUIRED INSPECTIONS Footings (new bldg) FinaUC.0. ~ Footings (deck) ~ FinallNo C.O. _ Footings (addition) Plumbing _ Foundation ~ HVAC Drain Tile Other Roof -Y Ice & Water ~ Fina1 _ 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 f------------------------- Suroharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies IC~ ~ Other Total CS:dP7M FQ%q-qgAOW BJILJ.'N: ;EA-EA-F.A R.vER +F2d{IiFa1 7-21E P OZ/42 F-!BE MC}10C{C CGMPLIANCS P.F?O;t~ ~ hlianeaota nnergy Code Perm3t # NIIdchec:c S.-~ftwa:e Varclcn 3. U Chec;ce yfDate COlTNTY; Dakota 9'fATe: M1nnebo.a ZoKS: 2 COKSTRUC;ZON TYPE: Siayle Far;•Lly DATfii 5-30-2002 COMPLZA_*1CE: PASSB$ Reg1;lZed UA - 76 Youz Kome - 68 10.7? BetLer :han Code A`ea o= Cavity Cont. Glaz•_ng/poor Perim'tcr R-Vallie R-Va7ue U-Valce CEII,INGS 270 38.0 0.0 WAS~LS: [tiood Frame, 16" O.C. 368 19.0 2.0 GLAZIVO: Win(iowe or D:,cz•s, Abovr. G_ade 87 FLOCRS: Ovar Uuteide Air 270 0•35D HVAC BpUIPMENT: r~.lrr.n:A, gC,) AgtIg 30.0 G.0 CONPLiAf7C3 STATEME24T: The prnpcsFd.buildi[;g 2esign de3cS'ibed.here SS conaistent with the buzidi;: pl„na, yytcificatinns, and OC.1BT' ealc;tlations submitted wish the perrit arylicatioa. :he preposed buiiding hme beeA deaigned Co meet che reyui+_'ei;jrr.ts of the Minacaota EnarqY Code. Buildar/Derignarti.._ t~`,/ 1 ci.nn »u?. i.iu cn va-ca_wnr Mr. Mike da.,4LL ~ B.D. 6 S. Humes Inc 1:57/24 DELMAR H. SCHWANZ ur+o sUavErone. INc. ApMMM UnOM lnn p TM 71Nw M MlrmwoU 14730 80UTH N08ERT TNAIL RO$EMOUNT, MINNESOTA S60lC ee21423-17e0 SUNVEYOR'S CEHTIFICATE • l ~ IDPIk'BT m,ilhti9 9AF. 9v4.c1 ~ 36• 3 8 ~ ~03 4S q~q.3 ~ N j qab. 8 30 30.-03~~_--.e.o~ ~o ro ~ - - - 0 _ qoF'~ ~ ~ 26 9o6•S . / $ m o L aT 9 _ s .f_ BcocK3 ~ o • m i ~ ~ ~ CFk? , s..:.:.. 4 [(T/LiTV /0 q~.ba 30.0 -,e,o--- ,`E~_/Y - 9a7,g -l---- _ ; NB_;_-, 70/' 1h,g Scale: 1 inch = 30 feet - 9cP,~9 O = Iron ~bi.pe monument ? i ~^s O= Set wood hub . '732.7 = spot elevation (existing) 907,1) = Proposed garage flooz e1ev. C~ f_ Oescripton: ~09. = Proposed top of block elev. Lot 9, Block 3, STAFFORD PLACE, according to ~ 906 ~ = Proposed lowest level elev. the recorded plat thereof, Dakota County, Minnesota. Also showinq the locati.on of a proposed house as staked thereon. I MnEy prMly MN lNs turv*y. Plan, or nport wn pnprnd Dy me a unNr my Olnet wpuvlslon mnd y` oELMaa H. . ~ . Ihst 1lm 4 Ouly qpltlMA Lend Surwyor unAN SCH4VANZ Me laws of IM Slate 01 Minnqofa. ~ 8625 Glmu M. 6chwanz p„~ 08-09-91 Minnqaa Rphtntlan No. EE26 . '~~r~+., .yYy`~.•' 1991 SIII IJN MYLICATION CITY OF EAGAN SZNGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF YLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH SLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS YENALTY APPLIES iIHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOUNER MUST DESIGNATE WHICH ADDRESS I5 DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOK SEWER & WATER PERMITS IS TWO DAYS ONCE A PfiRMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. 90~ Dbo ~~36 1 ~ RECo To Be Used For: Valuation: Date: l2 9/ Site Address 4111(o 57~e'-e Qt7A OFFICE USE ONLY I.oc ~ s1ock 3 FEES Occupancy P-3 /Y./ Bldg. Permit Sg~ Zoning ~ ( Surcharge V151 Parcel/Sub Actual Const Plan Review 3e de~ SAC, City 00 Allowable V Owner 44IS ,('&`ryzrs # of stories SAC, MWCC CoSO Length Slf_ Water Conn. -~-4;0 Address 042 E• ~7~~ ~ S~• Depth y~ Water Meter ~ 0 S.F. Total Acct. Deposit 30 City/Zip Code Footprint S.F. S/w Permit 30 S/W Surcharge ,Si Phone 6~a/4) zl3/-a.vc2 f On site sewage_ Treatment Pl. 276 On site well Road Unit 390 Contiactor ~~+~5 avo.~^JzsS 6h1 W5 ~2REi) p(WCC System Park Ded. City water ? Trail Ded. Address PRV ` Copies Sooster Pump _ City/Zip Code SIISTOTAL APPROVALS Penalty Phone Planner _ Lot Change Council TOTAL Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # Sewer/Water Licensed Contr. 66W w agrees that all wnck shall be done in accardance with (Signature of Contractor) all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. f , Mr~. hlike flarLeLc ' B.D. a S. Nomes Inc 1.57/24 . DELMAR H. SCHWANZ UNO BVIIYEYORB. ING . RpI~IwW UnOD Uw 01 TM SIft ol Mlnnwm 11760 80UTH R08ER? TRAII RO$EMOUNT, MINNE80TA 660E8 E12/4411769 SUNVEYOR'S CERTIFICATE ' .l ~ ~aP Akld 9n6.i, 4 88- "1 u- y(OE : 9aN.cl i 34• 3 8 U q5 3 ~N ~ 90b,8 ~ ryo3• qoQ• Z 30 30.-03 N °e,~c ~u' 0 Q 1I ~ ~0~"~ y ~ I - 26 9o6,S 5 m . . o Lo7 9 s c.K 3 ° e Iv1\, N ~ G A ~ ~n_ j ~ H U+ (oeF.F_ n ~.€4~1EWEt . a 21 DRA~,?a6E' ~ ` 1' ue~rv o _ ` I o b 30,0 • O TE ~ Q~9a~8 9e.o ~ Scale: 1 inch = VP eA1B = ~oF,7F. 7ei'ih'g d> 9ij8 30 feet a-~y ~ • k{~J O = Iron i.pe monument D= Set wood hub By ~ 93?~ = spot elevation (existing) , ~JO?,D = Proposed garage floor elev. Descripton: EA(aAN EN(yIN E~I~ ~ 0`/' = Proposed top of block elev. ~ PT 9O6 - Proposed lowest level elev. Lot 9, Block 3, STAFFORD PLACE, according to ; the recorded plat thereof, Dakota County, Minnesota. Also showing the locati.on of a proposed house as staked thereon. , ~ „~\O%,TvE n~+r°''l ; I Mrsby prHty Ihat tMs surveY. pIsn. or npoA wu ~ • = i' ~ preporod by ms a unMr my Alrset superv{tlon vid M . • . a1 Iam a tluy ReplstanA LoM Su UELMAR H ^'eyor O"dw ~ SCHWANZ the IMM 011M Etqa OI MInMmWft. - 8625 - ~Imv H. Behwenz oaw oe-09-91 .yt~,.~ Minm~aa n.pi.tnnon No. ee26 S U fRV , ~~rnsmuinam4N~:n ; ~ , . . Job No. 739 Ea9an • i,L/!lo 5?47TS AV& , b1D1, BD & 3 Homes 812 East 145th Street Burnsville , MN, Sunday, August 4, 1991 , UnnaMed House ROOm Summary Load Report (Btuh) Required Required Max Total Total Sens. Latent Heating Cooling Required Room Name Heating Cooling Cooling Cooling CFM/GPM CFM/GPM CFM/GPM Kitchen/Dinette 8513 5381 4311 3070 129/0.3 178/0.4 178/0.4 Dininq Room 2941 1026 980 46 45/0.1 40/0.1 45/0.1 Living Room 1615 449 393 56 24/0.1 16/0.0 24/0.1 Foyer 2673 667 600 67 40/0.1 25/0.1 40/0.1 Sathrooms 1014 243 200 43 15/0.0 8/0.0 15/0.0 Master Bedroom 3230 1961 1411 550 49/0.1 58/0.1 58/0.1 Bedxoom 1 2376 1962 1442 520 36/0.1 60/0.1 60/0.1 Bedroom 2 1546 1794 1298 496 23/0.1 54/0.1 54/0.1 Basement 22660 3106 2691 415 343/0.8 111/0.2 343/0.8 ~ i ; ~ • I ; i i . Job No. 739 r Eagan - 4114 5-T47E5 AL16 , MN, BD & 8 HomeB 812 Sast 145th Street Burnsville , MN, Sunday, August 4, 1991 ;Unnaiqed House ~ ~ZOne Summary Load Report (Btuh) HEATING 20NES: Total Env Vent Req. Flow 2one Name Heatinq Load Load Tset CFM / GPM ° 2one 1 55869 47069 8800 68 847/ 1.9 Total 55869 47069 8800 847/ 1.9 COOLING ZONES: Total Env Vent 3ens Lat Req. Flow Zone Name Coolinq Load Load Load Load TSet RH CFM / GPM Zone 2 20125 16671 3454 14565 5560 78 55 602/ 1.3 Total 20125 16671 3454 14565 5560 602/ 1.3 CITY OF EAGAN FOR CITY IISE ONLY w ~ 3830 PIIAT &NOB ROAD EAGAN MN 55122 PERMIT # P80NE (612) 454 8100 RECEIPT lfECHBhTICWYERMI. DATE: - CP -rii. SILYENTTAL:; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & ~ . TOWNHOMES/CONDOS WFiEN PERMITS ARE REQIIIRED FOR EACH IINIT. WORK DESCRIPTION FEES NEW CONST ~ ADD-ON MINIMUM $15.00 ADD ON _ HVAC 0-100 M BTU 24.00 REPAIR ADDlTIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: _BDS`-}J~~,J / SUBTDTAL: $ 27,06 SITE ADDRESS: ~I W STATE SURCHARGE: .50 IAT: 9 BLOCK ~ SUBD. TOTAL: $ a], ( INSTALLER: SIGNATUR% OF Pq ITTEE ADDRESS: ~3IC~ 1 CITY: ZIP: PHONE q3+Z- pp_J(::;. O~IlSETtCTALJI2lb95TRIA'L:PLEASE COMPLETE THIS PORTION FOR ALL CO?RfERCZAL/INDUSTRIAL BUILDZNGS, APARTMENT SUSLDINGS, AND PfITLTI-FATIILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING IINIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 IAT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRE55: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN . ~ CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT DATE: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ~ ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 '°«a REPAIR WATER CLOSET 3.00 9.0Z, ~ BATH TUB 3.00 .j~t.L LAVATORY 3.00 ~ r.+i OWNER NAME• ('s KITCHEN SINK 3.00 ~ LAUNDRY TRAY 3.00 SITE ADDRESS: HOT TIJB/SPA 3.00 ~ WATER HEATER 3.00 LOT: ~ BLOCK 3 SUBD. ~ FLDOR DRAIN 3.00 r.a GAS PIPING OUT. INSTALLER: L~~"i `E ~ l ~ (MINIMiJM - 1) 3.00 ROUGH OPENINGS 1.50 ~ ADDRES S : Z~ ~ ~ ~ " ? I a y ~ OTHER _ 1 o~ WATER SOFTENER 5.00 CITY: Zjp; ~j? ~d,,4- = PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE 14.A~.1 Y: SUBTOTAL $ ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: $ eOMMERGIALj'iH17USTgIAL?` PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL Bt1ILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ° CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN ~ T 74 Xv 16 o6 RESIDENTIAL BUILDING rExNUT nrrLicnTiorr _ . City Of Eagan 3830 Pibt Knob Road, Eagan MN 55122 - Telephone # 651-675-5675 FAX # 651-675-5694 New ConsW ction Requ'vemenls RemodeVReoair ReauiremenLS pffiji'l 3 registered sile surveys shvxing sq. R of Id, sq. k of hase; and all roofed areas 2 copies of plan shovnng faoUngs, 6eams, jdsis Cert of Survey Rerd' N (20%meumum lot coverege albwed) 7 set of Enerqy Calalations for heated addAions Tree Pres Plan Recd Y._ IJ 2 copies of plnn showing beam & window sizes; poured found dasign, etc. 1 sile survey for addilions 8 decks Tfea,Pres Requhfld.' _Y 1setMEnergyCalculations Addttion-in6cateifon-sitesepticsysfem 3 copies of Tree Preservation Plan if lot platled aRer 7/1193 RimJaislDeWilOp6onsselectionsheet (buildingswith3alessunils) Minnegasco mechanical ventilation form Date Construction Cost r D`~ Site Address UniUSte # llescription of Work o Multi-Family Bldg _ Y~ N Fireplace(s) r~ 0 _ 1 _ 2 Property Owner !D4~/ o fJ 'r C%~ Telephone #(6s ()~t S 2-983 L/ ~ Qroat I.akes Window d, Siding ContraMor Br;yi Address ~ V~Yr ~35124 City ( ) ~ State Ml tle. ~ ~n~~ Zp Telephoce # n COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submissian type) Submlttetl Submitted . Energy Envelope Calwlalions Submittetl In The last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan$ _ Y _ N if yes, date ard address cf mas!er pla^: Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/WaterContractor 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 Cify of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved n in the c ork which requires a review and approval of plans. 4JTL'9rj Cl'6~ ~ IO"'~ , A~ Applicant's Printed Name pplic i nature t a~ y For Office Use P Ealan Permit r r Permit Fee: 3830 Pilot Knob Road I y Eagan MN 55122 Date Received: 72 C/ Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: ----------------I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: S jj ~e Tenant: Suite _ ell RESIDENT f OWNER Name: Phone: 11' Address / City / Zip: S `1 4S S " ` - Applicant is. Owner X Contractor TYPE OF WORK Description of work: S ' .v Construction Cost /0 0%20. Mufti-Family Building: (Yes / No CONTRACTOR Name: (r-71144!- t Ohl s License Z®d_C?_z Address: 1 tL l1 ~ 6(,k 1 2. App f L City:- (e 11.4 j((® State: Zip: f Phone: f J C- 841--34©L) Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is compl to and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but inly 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 appr f p Applicant's Printed Name Ap nt' Sig e Page 1 of 3 ðü ÿþ þýýüÿûïûù øüüýý ÿøýç éää ðé þý ýüûúøöß ù üûú ø üûúøöß ÷ößìú úê ùùîéîãúû Þÿ ô ë ú åóó ô ý ç ä ÿööúÿþä ä ÿ ý úçùä äúä ç ù ýæ ô ýûöÿäûóç ëèéÜèííçðíçîíð öø ó ÿÝèéÜèçðçð Ýéþç õó òñ úú â øöàÿ å ó îðâ îå úúÝûò÷ððî ÿò÷ððé ñðïíéî ó ýûöÿó óå óúúóóä ÿ úûöóúúý äòùûä ÿã ç úúß ÿ ûÿ PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA143095 Date Issued:06/02/2017 Permit Category:ePermit Site Address: 4116 States Ave Lot:9 Block: 3 Addition: Stafford Place PID:10-72500-03-090 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - RPZ/PVB/Lawn Irrigation $59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David B Parrish 4116 States Ave Eagan MN 55123 (612) 578-4081 Drain Pro Plumbing 8815 - 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164138 Date Issued:09/21/2020 Permit Category:ePermit Site Address: 4116 States Ave Lot:9 Block: 3 Addition: Stafford Place PID:10-72500-03-090 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David B Parrish 4116 States Ave Eagan MN 55123 (651) 452-8834 T. Dunham Construction 831 Ventnor Ave Eagan MN 55123 (612) 819-0480 Applicant/Permitee: Signature Issued By: Signature