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4120 States Ave SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE 3830 Pilot Knob Rd. WATER PERMIT # 1' 1" 71 SEWER PERMIT # P.O. BOX 21199 METER # a'~DD y B.P. RECEIPT # ^ 9 Eagan, MN 55121 # ~f 51 B.P. RECEIPT DATE 5! 31 89 METER SIZE ISSUE DATE PFiV _ BOOSTER PUMP SfTE ADDRESS ~=u St.~ ~PS Av? r. a1,in pERMR REQUESTED LOT-L-BLOCK ~ SEC/SUB 5tdffGrd P;dCe ~ 1 SEWER WATER - TAPS APPU( ;ANT: ADDRESS: -1902 r:pni rva 1 Q fir Fa~r.ir~, MN - ~ - COMM/IND RESIDENTIAL CITY,STATE E a ga rl' Mt1 ZIP 2;, PHONE: 4~i4-0433 NEW - EXISTING PLUMBER: St3r P i u ~h il<< ADORESS: L"1118 Nii)u "id :iDr i rt,}S TQr= 1 AGREE TO COMPLY WITH CIIY OF CITY, STATE R i nnmi nntnn mPE ZIp EAGAN ORDINANCES: PHONE: :4-41 i _T- , , OWNER: -41d,.A,+3a~=~ ADDRESS: 2,..1Q~~...;.I lw,g#,ar W 4106 SIaNATURE WHEN METER ISSUED CITY, STATE ZIP ^ / rr PHONE: v~ PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORIiI SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE 3830 PIIOt KI10b Rd. WATER PERMIT # 1047~- SEWER PERMIT # P.O. Box 21199 METER # B_P. RECEIPT Eagan, MN 55121 READER # B.P. RECEIPT DATE METER SIZE ISSUE DATE - PRV _ BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT 7LOCK , SEC/SUB af f 0 rd P APPU~iANT: ; ,_;t'' _ ~•r ~ !I~,,,rrnc r,~r. -SEWER WATER -TAPS ADDRESS: COMM/IND vRESIDENTIAL CITY, STATE - L. y' :1 . ZIP " - / PHONEy 'f~",4-u433 .~NEW - EXISTING PLUMBER: ` 3 r P 1 U~i~t l r'1 ADDRE$S: MoUnd- SpC' i n; I AGREE TO COMPLY WITH CITY OF CITY, STATE , i nnm ; in - ZIP 5,542G EAGAN ORDINANCES: , PHONE: 1,149 OWNER: ~ . n . ~ !~:---r; _aa1^: +1 . ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: - PLEASE ALLOW TWO WORKiNG DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CASH RECOP7 CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ~ DATE 19 ~ a ' i FIECEMD FnOM % AMOUNT & DOlLARS loo O CASH (-A CHECK FOR ~ FUND 08JECT ' AMOUNT ( Thank You ev wnn~er- covr Yelbw--PosHrg Copy Phik-File Copy ~ DATE: bf1/89 RE;4120 STATES AVENUE. L10, B3. STAFFORD PLACE xx Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Goachman Road) until the meter is picked up. BE SURE TQ CALL PUBLIC WORK5 (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 aflowed until further notice. ; COMMERCIAL PRfJJECTS ONLY: Please pay for meter at City Hall. 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 DEVELQPMENT DEPARTMENT FOR WATER TURN ON POUCY. Secretary, Building Inspections Dept. DATE: 6/1/89 RE• 4120 STATBS AVENUE. L10, B3. STAFFORD PIaCE XX Your 5ewer & Water Permit for the above property has been completed. It will be held at the Pubiic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TUFiN ON. 1 Your Sewer & Water Permit for the above property cannot be completed fw the following ~ reasons: ~ -i Your Sewer & Water Permit for the above property has been completed, bui the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. 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 DEYELOPIIAENT DEPARTMENT FOR WATER TURN ON POIICY. Secretary, Building Inspections Dept. . . . . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 , ` PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for `;LIN'`GAIK Est. Value $76 *0 K''fl Date ~'~Y 31 19'9 Site Address 4120 :;TATES :C'd~. Lot ic Block 3 Sec/Sub:~TAFFGkff P:.,.4Cw. OFFICE USE ONLY . ParCel N0. Occupancy b'"a 4'1"'1 FEES Zoning 'R--i W Name (Actual) Const ~ Bldg. Permit S-~Z • (Allowahle) V--N 38.fh; o Address 3902 CEUARV^LE uA~ Surcharge City j'-ALAN Phone 454-c,433 #of stories ~ 2 6 b. 5ALengM ~ Plan Rev~ew 1~ Q ' , o Name 16 Depth s,ac, city ~ Q Address S.F. 7otal - 575.00 SAC, MCWCC lr City Phone S.F. Footprinis - 500.00 On Site Sewage _ Water Conn ~ 90.Oc1 W W Name On Site well Water Meter F, W Address Mwcc system xx 11jpr, 0 Z ~ Acct. Deposit t a W City Phone City water - PRV Required - S/W Permit ~ I hereby acknowlege lhat I have read this application and state that the Booster Pump - S.+W Surcharge 1.00 information is correct and agree to oomply with all applicable State of ~~~y Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of PeRnitee APPROYALS Road Unit 34n•00 A Building Permit is issued to: Fa<f3t~TI 1:? iaZ;JiJC;:~~ 1i(}' ir. ~ Plannef - Park Ded. on the express condition that all work shall be done in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. gldy. pff, _ Copies Variance - TOTAL Building Official PermR No. Permit Holder Date Telephone # WATER 4 SEWER PLUMBING C~ `J > , H.V.A.C. ,Ad 4aa ELECTRIC ~j~ L L ^ ~ ^ • S Inepection Date Insp. Comments Footings I Z Q Foundation C ~ p p Framing ~ Rvofing Rough Plbg. ~ Rough ?it9. L 2 7 e'F ` Isul. 7 6 2 Z ~Q Freplace Fnal Htg. Final Plbg. - Al ] i Const. Meter Pibg, Inspector - Notily Plumber Engr.lPfan Bldg. Final 7 $ ~ Deck Ftg. peck Final Well Pr. Oisp. , _ . • . . . . . . (ger#i#irafit of (Orrupanry titp of eagatt DPpa1'tmPltf of l1Ttlbtrig JItBWPtfioi! This Cerrificate rssued pursuant to 1he requiremenu of Secrion 306 of the Unijorm Building Code certifying t&at at the time of issuanee tlris stnrcture was rn compltance with the various ordinances of the City regulaling buildtng coirstructian or use. For the foTlowing.• 16543 Use Clsssification SF D'X'IDR Bldg. Rrmit No. O-uP-y Tya R31M1 zonine na.uuu RI r c«~. ~ o~ or euimi~ ~NTI~.'~t A'IIDW~ST }~S ~ 3902 i~AF~V~E DR, EAC'~N ' B„ild;ng 4m. 4120 SIAMS AVMZ ,,~,;ryL10, B3, STAFFM PLACE ~ p.: .][]LY 28, 1989 Bwlding Iriciil POST IN A CONSPICUOUS PLACE ` . ' PERMIT # ~ PLUMBING PERMIT RECEIPT # . ' CITY OF EAGAN , 3830 PILaT KNOB ROAD, EAGAN, MN 55122 DATE: CaNTRACT PRICE ` PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New t' ~ Mult. Add-on ~ Name, i-,. Comm. Repair ~i Addre~ls . Other c City ~ Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - - ` -NO. ' FIXTURES OTAL Name :73~:Water Closet - $3.00 ` Bath Tubs - $3.00 ~ ~ Address _z2w__Lavatory - $3.00 ~ 3 p Ciry P: h 4+l N Phone _/_Shower -$3.00 _/-Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE ~Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES ~Water Heater -$1.50 0 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE - $20.00 =Gas Piping Outlets - $1.50 ~ - ~ STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES . Sottener -$5A0. BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 zl • ~Ll~t?L~ ~Rough Openings - $1.50 ` • J 2.1 SIGNATU.hE OF PERMITTEE ~ FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• ~D 6f~~ PERMIT # ' ~i~, , , • MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: f)I2G/89 CONTRACT PRICE: 51,960.00 PHONE: 454-8100 Site Address 41 20 States ve• gLDG. WORK DE CRIPTION Lot 10 Block -3 Sec/Subs~ Res. ~ New -~i 2' t-.- ~TIN & C Mult Add-on ~ Name Comm. Repair Address 1'355 , `~aMrnee ~ c City !~P---Can Phone 452-2665 Other FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address 3905 S]b1En1 Ai'mZ'ial . ADDITIONAL 50 M BTU - 6.00 p Ciry =agar, Phone 454"'0433 (RES. HVAC INCI.UDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE ForCed Air 80,000 M BTU 24.00 APT. BLDGS. - CaMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM $ (AOD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # 1• 50 BEYOND $1,000) Other 25.50 FE~: S/C: .50 SIGNATURE OF PERMITTEE TOTAL• '~6•00 FOR: CITY OF EAGAN C°"tr°' INSPECTION RECORD I CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: 10'r: It APPLICANT: 4120 StTATES AVE MCCULLEN-AILEM COftfEM 5'fAffaftD RI.ACE (612) 883-0844 PER~ff ~UBTYPE: TYPE OF WORK: . F'OO 1 1 Nl, F fiNAl. ~ - "CMARK%: 12' X 14' 12' nCl'atiOM F,~i'~F~+,• - - - _ - - _ - - _ ° ti ~ ~ • ~rL • ~"M ~1 i ~ t~':i _ . _ ,r r"~ ,¢~!~1~';' i }L Permtt No. PermR Holder Date Telephone #i S/W PLUMBIhJG HVAC ELECTRIC ELECTRIC Ittspeetlon Date Insp. CammeMa Footings I Foundation Framing Roofing Rough Pibg. Raugh hltg. isul. Flreplace Final Htg. Orsat Test F7nal Plbg. Plbg. Inspector - NotHy Plumber Const. Meter EngrJPlan Bidg. Finel Declc Flg. ~ Deck Final Y0743 well Pr. Disp. ~ av ~v ~a ~i Reques[ Date i No. ough-in Inspeclion ~ / uiretl? ? Ready Now 6l*!dl Pbfity Inspector Ves ? No 'l.yyryen Reatly? I licensed contractor ? owner hereby request inspection of above electrical work at ,bb AEtlress (Sireet, Box ar RoNe N) City ~J Seciion No. ownship Name or No. Range No. CouMy OccupaM ~PRI T) ~ Phone,N~o./ ~jrsL Power Supplier Mtlress Elecirical Contract~ompan' am Contractor9~ nae No. Mailmg Atltlr ss (Contractor or Owner Making Installation) 1AIF LIi~'s~~ T ANMrized SignaWre o rador n Making Inslallation) Phone Number 4"'GIA3 MINNESOTA STATE BOARO OF ELE ICffY THIS INSPECTION REQUEST WILL NOT Geiggs-Mitlway Bltlg. - Noom &1]3 BE ACCEPiEO BYTHE STATE 80ARD 1827 UNVersVty Ave., St Paul, MN 55104 l1NLES5 PROPER INSPECTION FEE IS Phom (612)862-0800 ENCLOSED. REQUEST f-OR ELECTRICAL INSPECTION ~ EB-00001-07 /O ll~ See insVUUWns for mwpleting Viis fortn on back of yeilow capy. C7~ C 1J~ 7 / P 2 5 2 3 4 "X" Belcw Work Covered by This Request Ad'd Rep. V Type of Building AppllancesWired EquipmeniWired Home Range Temporary Senice Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm.Andustrial Furnace Fartn Air Conditioner ONer (speciy) ConVactor5 Remarks: Compufe fnspection Fee 6efow: # O[her Fee # ServiceEniranceSize F # Circuits/Feeders Ip~ Swimming Pool 0 to 200 Amps 0 to 100 Amps Transfortners A6ove 200 _ Amps Ab _ Amps Signs Inspector5 Use Only: ' G'` TOTAL Irrigation Booms 1^ ~ S Special Inspection ~ J • Alarm/Communication Other Fee I, the Electrical Inspec[or, hereby R°"9n-in ~ DaW cenifythattheaboveinspectionhas F,,,ai been made. OFFICE USE ONLV This raquast valC 18 montha tm. BLDG. PERMIT NO. I ~ S 4 3 ~pr- L I 20 5-f-c: ~eo C'.~-~rF V 01-3210 Bldg. Permit 3a GY7 ' 01-3422 Plan Check 01-3445 Surch./Adm. ~ ~ 01-3446 SAC/Adm. 5 ~Jr 0 01-2155 Surchazge 3$ aa ~ 75-3860 Road Unit ~40 ' ~ 20-2275 SAC 5(c)c) a q-~ 20-3865 Water Conn. CX) ~ 20-3868 Water Trmt. 20-3716 Water Meter ~ a a% ` ~ 20-2252 Acct. Dep. 0 20-3713 Water Permit I O Go ~ 20-3743 Sewer Permit ~ D 00 ~ 79-3866 Sewer Conn. I D d 00 ~ 28-3855 Park Ded. TOTAL ~ (,)D CO ~ CITY OF EAGAN NQ 16543 • 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 ' BUILDING PERMIT PHONE: 454-8100 C a~ I~ Receipt d 7obeused(or SF DWG/GAR Est.Vaiue $76,000 Date MAY 31 , t9~L Site Address 4120 STATES AVE Lot 10 Block 3 Sec/Sub. STAFFORD PLACE oFFiCe uSE oNLY PafC21 N0. Occupancy R-3 M=1 FEES Zoning R=1 W Name FRONTIER MIDWEST HOMES (qctuap Const V-N Bldg. Permit 532.00 o Address 3902 CEDARVALE DR (niiowaeie) V-N rcharge 38.00 EAGAN - Su City Phone 454-0433 roistodes Length 40' Plan Review 266. 00 . o Name SAME Depth 48' snc. cay 100.00 ga Address S.F.TOtal - SAC,MCWCC 575.00 ~ Cit Phone S.F. Faotprints - Y On Site sewage _ Water Conn 580. 00 ~ W w Name On Sile Well _ yyater Myter 90.00 ~T'73 Address MwcCSystem XX- ,ycccoeposn 30.00 a W City Phone ciry water xx PRV Required _ SnN Permit 20.00 I hereby acknowlege that I have read this application and state that the BoosterPUmp - S/W Surcharge 1.00 intormation is correct and agree to comply with all ap licable State of Minnesota StaNtes and City of Ea n rdinanp~s. , Trealment PI 228 • n0 SignalureofPermitee y ~ a~~~. •'Sl2a.c~ APPROVALS RoadUnit 340-00 A Building Permit is issued to: FRONTIER MIDWEST HOMES Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of M~/in~nesota Statutes and CWiry~ ot ~E{agan Ordinances. Bmg. Off. _ Copies ~ I/4]lll Il.~ , 1 ~ i I./~ Variance - TOTAL z, 5~~. ~0 8uilding Otficial RESIDENTIAL - ' BUILDING PERMIT APPLICATION CITY OF EAGAN 5~~ IC) 3830 PII.OT KNOB RD, EACAN MN 55122 ~ 651-681-4675 New ConaWction Reauiremenp RamadeVRenair ReouiremeMs • 3 registered site surveys showing sq. ft of bf, sq. R. of fause; and ap raafed areas • 2 capies of plan (20% maximum bt coverage allowed) • 1 sef of Enreyy CakWaUOns for heated addNOns • 2 copies of plan showing beam g wiiMow s¢as; paured found design, elc.) • 1 sile survey for extenar addiGons 8 decks • t set of Eneyy Calculations Indicate if home serveO by sepfic system far additiom • 9 mpies of Tree Preservatbn Plan'rf IM platled after 711193 • Rim Joisl Detad Options seledion sheet (Wdgs with 3 w less unds) DATE VALUATION' (O1aooOO SITE ADDRESS 1l L-V JfL~I.~S T~3V~ • MULTI•FAMILY BLDG Y N TYPE OF WORKQPfIREPLACE(S) _ 0_ 1_ 2 ~ - APPLICANT '~~~~pQ~p~ ~',~m~~~ ~t ~ll~?Ilp~, Qpp~. STREET ADDRESS _ 49 SOllld OW85S0 BIYd. CITy_ STATE_ZIP TELEPHONE # ~ Little Canada, MN 55117 FAX gr~ . L!i y ~ to PROPERTYOWNER ~VIA~LX.C~1dA.JL TELEPHONE# '1OS- 2Zq COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY _---,.T.t Energy Code Category _ MINNESOTd RLJLFS 7670 CATEGORY 1 MIVNFS r7No (J submission type) • ResidenUal Ventilation Category 1 Worksheet Submilted • New Eh t~i6''rlt • Energy Envelope Calculatlons Submitted 21200 2 1'' Plumbing Conhacior: Phone # ( Plumbing system includes: _ Water Softener _ Lawn Sprinkler eei" .~6 _ VJate* Heater _ No. of R.I. Baths _ No. of Barhs Mechanical Conhaetor: Phone # vlechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor. Phone # I hereby acknowledge that I have read ihis application, state that ihe information is correct, and gree to co ply . with all applicable State of Minnesota Statutes and City of Eaga Or=I~e Aq~ Slgnature af Appllcanf /lw USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4102 OFFICE USE ONLY ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg , ~ 02 SF Dwelling ? OS 06-plex a 16 Fireplace ? 21 Porch (3-sea.) ?G1 Ext. Alt - Multi ? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ~ ? 35 , Int Improvement ? 38 Demolish (Interior) 44 . Siding ? 32 AddiGOn ? 36 Move Bldg. ? 42 Demolish (FoundaHon) ?•45 . Fire'Repair ? 33 Alteration • ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCAhandout.to applicant ' ^ . . . Valuation Occupancy MG/ES System b 1 ; ' Census Code Zuning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr: of Bldgs Length Fire Sprinklered . . Type of Const , W idth , • - ~ ~ 7;~ _ REQUIRED INSREqTIONS ~ ~ ; _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucca Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Buiiding Inspector - Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit ^ • , . . , License Sea'rch Copies Other Total - ' ' RESIDENTIAL BUILDING PERMIT APPLICATION ~ ~/60-~' ~S.6 ~ 7,J ~7 CITY OF EAGAN S-I 3830 PILOT KNOB RD - 55122 ~ ~ 651-681-4675 New Conetrueflon Reaulrements RemodellRanair Reouiremants . 3 regisfered site surveys showing sq. ft. of l04 sq. R. af house; aiM all mofed areas • 2 copies of plan (20No mazimum lol coverage allawed) • 1 set of Energy Calculafions forheated additiore . 2 cropies of plan shawirg beam 8 window sizes; Doured found design, etc.) . 1 site survey for e#erior additions & decks • 1 set o( Energy Calculallans . Indiwte if home served by septic syslem fa additions • 3 copies of Tree PreservaGon Plan "rf lot platted after 711193 . R"un Joist Detail Optlore selection sheet (bldgs wiN 3 or less units) DATE VALUATION JOB SITE ADDRESS y, I aa S40*e SA'lJ?_ IP MULTI-FAAAILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ~;B v?~ TYPE OF WORK 1p GJ l i FIREPLACE(S) _ 02 PHONE#6SI-qOS-q 27-9 APPLICANT Oe vv~2 r ADDRESS ~ a O S(-~ S Ad1-0- - LCkxt Ct, v-, ZIP CODE,5517i 3 PSEf~# ~sa-qa6~~.1 CELLPHONE# aca-3aS-G7B~ F,vc#`l5d-qa~~~3(~3 Lour NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitte - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbtng Conhactor: Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Condidoning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan rdinances. S(gnaFure of Applicant Q_~ Certificates of Survey Received _ Tree Preservation Plan Re ived _ Not Required _ Updated 1101 OFFICE USE ONLY , _ ; • ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldy ? 02 SF Dwelling ? OS 06-plex ? 16 Firaplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi O 03 Ot of _ plex ? 09 07-plex 917 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 38 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex 0 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding f~ 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair 0 33 Alteration ? 37 Demolish {Bldg)' ? 43 Reroof 0 46 Windows/Doors ? 34 Replacement "Damolition (Entlra 81dg only) - Give PCA handout to appiicant . , Occupancy ~-3 MGES System Valuation Census Code ~ Zoning City Water SAC Units ~ l Stories Booster Pump Nbr. of Units l Sq. Ft. PRV Nbr. af Bidgs Length Fire Sprinkiered Type of Const 7- Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Fina]/[Jo C.O. _ Footings (addition) _ Plum6ing Foundation HVAC Drain Tile Roof Ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insularion _ Windows (new/replacement) Approved By , Building Inspector - ease Fee ~ 44), 6,c Surcharge - D ~ Plan Review 3 / MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies r~ ?5 Other Total • / He~dlu~d ~ngineering Services ~°1 E°,rel~,a""F`«"°' _ Bloomin9tor+. Mhnftal0 55420 Land Surve7rars Clvll EnQinsen Land Plannsra PAana: 888-0289 . SinqOr`S G'ertlfl~cate _ - ~ BOOK _ PAGE _ ~ JOB N0. ~'9ri-~ao SURVEY FOR: Frontier 7•!idwest Eomes Corporation QESCRIBED A5: Lot 10 oc 3, STAFFORP DLP.CE, City of Eagan, Dakota County, ;xinn~~, B ~ A ~ reserving easements of record. REVIEWED ~ ~EW ~ eY -f"° B ao Data a~•~ EAGAN ENG NEERING DEpT Waat.1 1t 9eg.L_ ~ ' . •~f N 143. 83 N 85° 30' YV ~ iz~. l~~~ ~o mIr - - _ _ _ _ ln 4~4.5 ~ -15 k - 4 y I (lf ' I al 1 ~ ~ O I 1 tti.3 ~ zs.a3 . _ ( V ' vui 3p ~4 P r e peY a pp L O I N ~ ~y o u^ v3.5 a G4..,, e..+.~ S ul O . 1~1.4 I ~.Q 2 ~ itj.~ zl I 2433 10 OI ~I ~ \ I vl Ln 'a''~"'- f5o.52 N SS ° 30' vV 9~9.e 3o I ' i ' L_ ~ 1 r I ~ . . 23 ~ , 5•33 TOP OF FO[TNDATION = 9i4o •a• 3~ GARAGE FLOOR = 913.v 8ehc1,..,a~K ; BASEMENT FLOOR = 910.8 SfiVPER 3ERVICE ELEV. = too.a L Tep r-~,~+ Nyd. as 1~~aF~a pROPOSED ELEVATIONS : Q Aba„~ E~w: ~ q~c, 4o E,yISTING ELEVATIONS : ~ DRAINAGE DIRECTIONS DENOTES LOT CORNERS : o rERTIFiGATE OF SURVEY DENOTES OFFSET STAKE: o I hereby certify that ihis survey, plan or report rras prepared hy ma o? undar my direct supervision and thot I am a duly Rayisterad Land Survayot under tha lars of ihs Stat• of Minnesota. o D at e: 99 l._I ZJ ~ - JeNre . i qren, License No.143T6 PERMIT # b RECEIPT DATE: 31 ~o/D! WKSIDENTIAI. PL1JM$llV6 PF.RMiT APPLICihTION crrY oF E,tem SSSO PII.OT KROB iiD gAlfiAN, MA 55122 651-6$1-4675 Please complete for: > single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system _ BOEMER. JOIiN SITE ADDRESS: 4120 sTnres aveNUe EAGAN, MN 55123 OWNER NAME: : (651) aos-szzs TELEPHONE _ _ (AREA CODE) INSTALLER NAME: ~ NARBLflM RLIJIhIB1N0 CO TELEPHONE D° VQj~/~P(JAN •GE lN$TALLERS (AREA CODE) STREET ADDRESS: F~FI '!D CITY: MINNEAPOLIB, MN 65408 STATE: ZIP: Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: O~itc¢ he-m_Ze.,r` ! Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ 50 Total $ 5-0'~ Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge ihat I have read lhis application, state thal ihe information is correct, and agree to compty with all applicable Ciry of Eagan ordinances. It is Ihe applicant's responsibility to noti(y the property owner that the City of Eagan assumes no liability for any damages caused by the City during ils normal operaGOnal and maintenance activilies to the facilities constructed under this permit within Ciry property/right-of-wayleasement. GI' A URE OF PERMITTEE Updated 1/01 CITY OF EAGAN CASHIER: JS TERMINAL NO: 776 DATE: 09/13/00 TIME: 11:54:10 ID: NAME: RON HOUSTON CONSTRUCTION INC 3210 9001 4120 STATES AVE 265.25 3422 9001 4120 STATES AVE 172.41 2155 9001 4120 STATES AVE 8.00 Total Receipt Amount: 445.66 CR137267 USER ID: JAN . 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) a ' l~ 5•r rw , ~ • nr oF EacnN IQ~(! 3830 PILOT KNOB RD - 55122 I 651-681-4675 d§W ConshucMon Reauirremanh RemodeVReoalr ReaWreMBMt ? 3 replcAored alte wneYs ahowlny p. tt. of bl, sq. ft. W Fauw 2 Copies d plan and gj( rooletl arect (2096 mmdmum bt coveraae Wbwedf 1 fef d energy cdcWaliuis for heafeC addNions ? 2 coples ot Ola+a (alww beam A s+trxlow aizea: courea ma. aeapn; efc.) 1 tlle wrvey lor exledor addHfont A decka a 1 sel of enerpy calculadons D 3 eapies ollrae prelervWlon plmn N IW plaMetl aRer 7/1/93 DATE: CONS7RUCfIO1~COST: / , DESCRIPTION OF WORK: po/ZC/~ ~/~/770/~/ ~ R'4H'1ir10 bFl6 - homeowner ~yy ?nSyl~ iion STREET ADDRESS: L/" a v S l~T~ ~ oi'~ LOT: 1LL BLOCK: SUBD./P.I.D.O: Wor~• Name: SD E YK e-IZ -]C)H 1? Phone PROPERTY Wat Flrst OWNER Sheet Address: 14V city state: A/ zip: - ComPany:0a k) 146uSTOaJ Con~si , J NC, Phone t: SZ 2/ z/ (area code) CONTRACTOR Sheet Address: 0 U av2 p~' %Er License #4~-~ 1 2- ExP. 3 3/ o/ CItY .~f~/Cg7//~ C Ls Siate: dlil7L/ Zip: .5---5-0 S' ~ ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Sheet Address: Regisiration f: City State: Zip: Sewedwater Iicensed plumber ( ff instatlina sewerMraterl: Phone I hereby ocknowledge Hwt I have read Ihis apPlicaBon, slafe that Me iMortnalion Ia ect, and agree , comply wHh a0 app6cable State ol Minnesota Sfalutes and Ci1y of Eagan Ordinances. -fl Signafure of AppUcanh OFFICE USE ONLY ESEP ~ Certificates of Survey Received _ Yes _ No " 2~0~ Tree PreservaUon Plan Recetved Yes No Not Required ~ OFFICE USE ONLY . ,t BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 76-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 02 5F Dwelting ? 08 06-plex ? 17 Garage & 22 Poroh/Addn. (4-sea.) O 33 Ext. AR - SF O 03 01 of _ plex ? 09 07-plex ? 18 DeCk ? 23 Porch (screened) ? 36 Multi ? 04 02-plex ? 10 OB-plex 0 19 Lower Level ? 24 Storm Damage ? 05 03-piex 0 17 10-plex Plb9 Yor_N 0 25 Miscellaneous ? 06 04-piex ? 12 12-plex O 20 Pool 0 30 Accessory Bidg. WORK TYPE J'j 31 New ? 36 Move Bldg. ? 43 Reroof O 32 Addition ? 37 Demolish (Bldg)` ? 44 Siding ? 33 Alteration O 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demoiish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION 5AC Code ~L # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) ~ Basement sq. ft. Census Code y3 s~ (Allowable) ~ Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS O Stucco/Stone APPROVALS Planning Building ~ Engineering Variance PermitFee Valuation: $ OBO Surcharge Plan Review License av MC/ESSAC aV City SAC Water Conn. ' Water Meter Acct. Deposit S/W Permit ~ S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units °k 5AC i . MNcheck COMPLIANCE REPJRT I Minnesota Enerav Code I Permit # MNcheck Software Version 3,0 I I I Checked bv/DatE CC7UNTY ; Dakota I STATE; Minnesota ZDNE: 2 CDNSTRUCI'ION TYPE; Single Family DATE; 9-7-2000 COMPLIANCE: PASSES Reauired UA = 67 Your Home = 57 15,296 Better Than Code Area or Cavitv Cont. Glazina/Door Perimeter R-Value R-Value U-Value CEILINGS; Raised Truss 336 38,0 0.0 WALLS; wood Frame. 16" D.C. 384 19.0 2,0 GLAZING; Windows or poors. Above Grade 44 0,330 DCJC7RS 20 0, 3 2 0 FLOORS; Dver Unconditioned Soace 280 38,0 5,0 COMPLIANCE STATEMENT: The prooosed buildina desian described here is consistent with the buildina plans. snecifications, and other calculationE submitted with the oermit aDnlication. The pronosed buildina has been designed to meet the requirements of the Minnesota Energy Code, ~ Builder/Designer lXn.i/ -ovs;~dnJ 09n ,Uc; . :,vC' Date % H.e d 'o'`u r.d En g i n e e r i n g S e r v i c e s 9201 East &oominaton Frnwq - Bbaminptan, Minrwsma 55420 Lond 3urveyora Clvll EnQineers Land Plannen Phona: 888-0289 . s ~i~rve~or~s G'ert~, f "~cate _ - ~ BOOK- PAGE _ ~ JOB N0. Si1RYEY FOR: Frontier t?idwest Komes Corporation DESCRIBEO AS: Lot 10, B c 3, STAFFORP DLP.CE, City of Eagan, Pakota County, ~reserving easements of record. REVIEWED ~ ~EW ~ BY B Y . ~a 7E Date 04•T EAGAN EN NEERING DEpT 9eB.i_ _ . A SO N 143. g3 N 85° 30' bV ~ D 10 _ _ ~1 g~4.5 l~~ I ~ ~ O ~ Lu 95.3 Q fi; , is.a3 I I O I ~ 111.3 Y• ~,-a 1 912.2 u : -z l v N ~ aJ..~- o I • OL ? p^ 113. p~^q E-.+.J ~ 0 . u.t L ~ ~C Sc 112.4 I ~ Z LQ '0 oi .6 _ 9u~1 1j=,+ ?o ~i5 150.52 N 8S ° 3c), YV 3o I ' i 1-~ ~f I_- ~ . . 23 5•33 , TOP OF FOUNDATION = g14O 3% GARAGE FLOOR = 91~•~ Be~c.l,.«a-K ; BASEMENT FZ.OOR = 910.8 = N SEWER $ERVICE ELEV. = 100.0 Top w~,~+ yd, a; ~~aE~d pROPOSID ELEVATIONS : Q Aba.e. EIw, =gjo,q.o EXISTING ELEVATIONS : ~ DRAINAGE DIRECTIONS DENOTES LOT CORNERS : o LERTIFIGATE OF SURVEY_ DENOTES OFFSET STAKE: o I herebr certity fhat ihis survey, plan or report was prepared by ma or under my dincf suparvisioo and that I am a duly Raqisterad Lond Survayor under the IaMS of fhe State of Minnesoto. O Oate: Jeffre . i pren , Licease No. 14376 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~TY oF~GAN 3830 PILOT KNOB RD - 55122 851-681-4675 NewCmchucMOnReaulremenh RemodeUReoalrReaulremenh calItj I~/n^ii-v ? 3 rey4leretl tlte wneys showlnp sq. R of bl, sq. H. of haiee 2 copfes of ptan and gl rooled areaa (40X mmdmum b1 coveraae allowed) i se+ of eneror caacwanons ror neaiaa oddinona ~ > 2 copies of plmn (show beam t~ window sizes: poured Ind. desipn; elc.) 1 site wrveY ?a oxlaAOr additlons A decka D 1 t6t d 6neryy cdculaHan > 3 coples of hee preservatlon plan M id plaMetl afler 7/1/93 DATE: ( O-6' O D CONSTRUCTION COST: I/ o O.O O DESCRIPTIONOFWORK: 1)01"ch ALIl1 ( ih.IUlalion heah'nc~ -dnne v hume0wne~') STREETADDRESS: '7I~U ~~~ztfe,f 11v(/ C'ohtracfvr aS Se/arafe_permj'f {Ur -rum1,r10) Lor: ~ b KocK: ~ SUBD./P.I.D. 0: qficfn rrI P Iacv Nam 1`Q,Y Phone Y: PROPERTY Laat First OWNER Sheet Addresa: Ciy Sfafe: Zip: . Company: l2 ~ ~ Phone (area code) CONTRACTOR Sheet Address: License # Exp• City State: Zip: ARCHITECT/ Name: ENGINEER Company: Telephone ( ) Sfreet Address: Reglstratlon A: Cryy Siate: vP: Sewer/water licensed plumber (if installina sawerfwaterPhone I hereby acknowledpe Ihat I have read this application, atate that the InfortnaHon i wrteci, and agree to comply wHh aU applicahle State of Minnesota Statutes and CNy of Eagan Ordinanees. Signature of Applican jv~ - OFPICE USE ONLY = - - , Certificates of Survey Received _ Yes _ No I OCT 0 6 260{} I 11 _ i Tree Preservation Plan Received Yes No _ Not Required Y. _ v~ - - ' ~ OFFICE USE ONLY , . BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex O 21 Porch (3-sea.) O 31 Ext. Ait - Muw ? 02 SF Dwelling ? OS 06-plex 0 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Ak - SF O 03 01 of _ plex O 09 07-plex ? 18 Deck ? 23 Porch (screened) O 36 Mufti ? 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 Storm Damage ? OS 03-plex ? 11 10-plex Plbg _Yor _N O 25 Miscellaneous ? 06 04-plex ? 12 12-piex ? 20 Pool O 30 Accessory Bldg. woRK nrPe ? 31 New ? 36 Move Bldg. ? 43 Reroof O 32 Addition ? 37 Demolish (Bldg)• ? 44 Siding O 33 Alteration ? 38 Demoiish (interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) 0 46 Windows/Doors * Give PCA handout to applicant for demolitlon permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS 0 StuccolStone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC CITY OF EAGAN CASHIER: JS TERMINAL NO: 667 DATE: 09/18/00 TIME: 13:04:13 ID: ' NAME: CHERYL A PHILLIPPI 3210 9001 4120 STATES AVE 60.00 2155 9001 4120 STATES AVE 0.50 Total Receipt Amount: 60.50 CR137356 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cirv oF eacari - ~ ~za31 P 651-681-4675 55122 New Conshucflon ReaulremeMS Rertwdel/Reoalr Reauiremenh CAItc~ l, 1~~l~~fp~ V1/ D 3 repisfered We wrveri sWyAnp p. fL W bt. aq. fl. of lwuse 2 copiet of plan antl goroolatl areas @076 mmAmum lot coveraae allowedl 1 fet ol eneryy oalcWallons 1a heated addiMOna,1 _ D 2 coples ol plpns (slww beam A wlntbw pzes: poured hfd. desipn; ete.) 1 site survey lor exf6dor addiHOnf A decb ? 1 sel of enerpy ealculatlona ~ D 3 coples 1 hee presenaMOn plan H bl plaAletl adFer 7/1/93 DATE: 6[ CONSiRUCTION C05f: DESCRIPTION OF WORK: a- STREET ADDRESS: RT LOT: BLOCK: C) SUBD./P.I.D. Name: '~OP,IMcv- 1000 Pr?onen: go 5 -CIZZc) PROPERTI( last Flrst OWNER Sheet Address: q'Zd S'bL~~ p,S 7kyei ' City State: ~ N LP: 951 Z3 . Company: Phone (area code) CONiRACTOR Sheet Address: License # Exp. ay Srate: zip: ARCHITECT/ Name: ENGINEER Comparry: Telephone Jf: ( ) Sheef Addresa: Regishaflon Y: Cly State: 2ip: Sewedwater licensed plumber (ff installina sewer/watarl: Phone 1 hereby acknowledpe lhaf I hwe read Mis applicatbn, slate thaf 1tre infortnation b cortecl, and agree to compy wilh a0 appACable State of Minnesota Stalutes and CNy of Eagan Ordinances. n SignatureolAppOcanY. C~,k~ J~~ OFPICE USE ONLY 7BY- Certificates of Survey Received _ Yes _ No P 1 3 Z00~ Tree Preservation Plan Received _ Yes _ No Not Required OFFICE USE ONLY . BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex O 21 Poroh (3-sea.) O 31 Ext. Att - Muffl O 02 SF Dwelling O OB 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 03 01 of _ plex O 09 07-plex ~18 Deck ? 23 Porch (screened) ? 36 Mufti ? 04 02-plex ? 10 08-plex O 19 Lower Levei O 24 Storm Damage ? OS 03-plex ? 11 10-piex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex O 12 12-plex O 20 Pool ? 30 ' Accessory Bldg. WORK TYPE .~31 New ? 36 Move Bldg. O 43 Reroof O 32 Addition O 37 Demolish (Bldg)' O 44 Siding O 33 Alteration 0 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair 0 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demoliHon permit GENERALINFORMATION SAC Code '01 # of Stories sq. ft. No. of Units U Length 12 sq. ft. No. of Buildings Width 16 Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code Lt 714 (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee D.S 0 Valuation: $ I 2_ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. , Water Meter Acct. Deposit S/W Permit ~ S/W Surcharge Treatment PI. Park Ded. Treils Ded. Other Copies Total: ~6 U . S D SAC Units % SAC . i - • 9201 Ea.r &oominplanFr«rq - r.d En gin e e rin g 5 e r v ic e s Blaomingtan, M(nrrgma 53420 - -,troror! Clrll En9ineen land Plonnen PAonc 688-0289 . ~ Surve#or s G'erMfcute BOQK _ PAGE ~ JOB N0. SURVEY FOR: Frontier t!idwest N.omes Corporation DESGRIBED A5: Lot 10, oc1~,3, STAFFORP DLP.CE, City of Eagan, Pakota County, ;+inn~~tB ~A~~reserving easements of record. REVIEWED R 'lEW . ~ BY - $ r y . -bo u~ ~ pp?E Date EAGAN ENG NEERING DEpT 9og, L ~ -N 3° - 143. 83 N 85° 30' YV N ~ 10 mr ~z~ -~S 43 a4 id f 9f.3 , u.a3 M ~S I 1 tu.; ~ . _ ~I O ~ , ttz.x ~ rn ta. ~ _7_j Cc..,l.'dre) I ~j '4 `~~emd" t~6i - Oi 2. p14CD N z p^ t~3. v Ga.. ~ E-.~..~ . I N O . W 'v SC t12.4 I ~ 2 Q 13. s I 2L33 915.'~ ~11i~ 10 Ilew -I N SS ° 30- W ~ 914.G 30 I 1 i ~ 5•33 TOP OF FOUNDATION = +e.ss GARAGE FLOOR = g13•~ BASEMFNT FLOOR = 910,8 SEWER 3ERVICE ELEV. _ PROPOSID ELEVATIONS : Q Aba.~ E~w, ~ atic, 4o ERISTING ELEVATIONS : ~ DRAINAGB DIRECTIONS :N-- DENOTES LOT CORNERS : o CFRTIFIGATE OF SURVEY DENOTES OFFSET STAKE: o I heroEr certify that this iurvey,plan or reporf was prepared by ma wundar my dinct supsrvision and that I am a duly Reyistered Lond Surveyor under tha lars of the Stat• of Minnesota. 0 oate: a/ 59 " . ~ J~f}re . i Q~en, License No. 14376 1989 BDII.DIH(i PSRQT APPLICATION - CIST or EAGAN 3INGLS FAMILY DWELLING3 I (0 *5 it 5 INCLODE 2 SETS OF PLANS, I CERTIFICATFS OF SiTRVBYO 1 SET OF ENERGY CALCULATIONS HOTSs ?DDHffiSFS FOH COHNSB LO'PS - CONTBACiOR/SOlEOiiNSS MOST DgSIG6ATE iiHICH ADDHS83 IS DESIRED. NO CH9NGFS iiII.L B& ALLOUSD ONCE BIIII.DIl16 PSAMIT I3 I330ED. !lQI.TIPLS DWSLLINGS 'BSNiAL 09IT3 POH SAL6 UBS23 i OF OBIT3 INCL[JDE 2 SETS OF PLANS, CSATIFICATE OF SIIR9EY - CHBCH iiITH BLDG. DEP'P., 1 SET OF ENERGY CAI.COLATIONS COMMERCI9L INCLUDE 2 SETS OF AACHITECTURAL & STROCTURAL PLANSt 1 SET OF SPECIFICATIONS AND 1 SET OE' ENERGY CALCIJI.9TIONS APR 2 S ~ggg To Be Dsed Fors new construction Valuation: Dates 7" a~~ V 1 Site Address4120 States Ave. Eagan, MN 55123 OFFICE 058 OIiLY Lot 10 Bloek 3 Oecupaney R-3 M-1 F6B3 Zoning R-I Pareel/Sub Stafford Place Aetual Const V- N Bldg. Permit 532.00 Allowable V-N Surcharge 38.00 OFmer Alden, David and Deborah A. o of atoriea Pian Aeview Zoo 00 Length 4n, SAC, City 100, ~ Addreas2340 Stillwater Rd.#106 Depth A, SAC, MWCC s176, S.F. Total Water Conn 580,00 City/2ip Code Footprint S.F. Water Meter 90,Do Acet. Deposit .30.Oo Phone 17ZMZ7j 454-0433 On site sewage S/W Permit 2 0.00 Oa site well S/N Surcharge l,bo ContraetorFrontier Midwest Homes Corp. MfiCC System ~ Treatment P1. Z28,00 City water Road Dnit Ol Addresa 3902 Cedarvale DR. PRV required _ Park Ded. Hooater Pump _ Copies City/Zip Code Eagan, MN 55122 SOTiL QIQ,Q:00 APPHOVII.S Phone 454-0433 Plamer Counail Arch./Engr. Dick Charlier Hidg. OPf. r-~4/27 Variance Address 14103 Gardenview Dr. Council City/Zip Code Apple Valley, MN 55124 `GAM4av9GC MeotL- Phoae # 432-5492 BOTSs Serer 6 Aater Permit fees and acoount depoait feea vill be included ia the buildiag permit Pee. Processing time Par aever and Yater permits is Lvo days onoe a liosneed plumber haa applied Yor a permit at City Hall. ~ Hedlund Engineering Services 9201Eaat&oanlnptonFrnwq Bbominqron, Minn~sota 53420 LanA Survoyors Clvil Engineon Lond Plannere Phone: 888-0289 . w Sme#or's G'ertlf iate - 1AVIA: BOOK _ PAGE J08 N0. S9rL-'-40 SURVEY FOR: Frontier i•?idwest Homes Corporation QESCRIBED A5: Lot 10, Block 3, STAFFOF.D DLB.CE, City of Eagan, Pakota County, ;4innerSQ~r, h"~d~reserving easements of record. REVfEWED BY 1 J lr li_, S` By 3o TE UFit u~19oe.2 E.4GAN ENG NEERIhTG DEPT N 30 - 143. g3 85° 30' YV N ose tn 9th.5 N ;f 9~3.3 , ts.aa ~ J O I 1 lll.3 ~ 9ii.; I ~ I 4~L.x ~ M I ~ . CD I ° ;s ~4 PrOP°~d a o N~ u N 9p I rf , Q I ~ ~ V~ y p^ 9i3.5 o Gc... O t ~ °OV~• SC 112,4 I ~ 2 . 1 ~ Q 9i3.~ ~s I 2433 9'i.3 L 10 I ~9'~ ^ 0~ / ~ I i^ 9n~1 911. ¢ 3a 150.52 N SS ° ~ ~ 30' 1N 5~4.6 L_ . 2] 25.33 TOP OF FOUNDATION = 9l40 `e.33 GARAGE FLOOR = 904.(. BASEMENT FLOOR = 910.8 ! SEWER SERVICE ELEV. _ 100.0 op N~+ N~d, a~ 1~~bF~a pROPOSID ELEVATIONS : Q EXISTING ELEVATIONS : ~yg DRAINAGE DIRECTIONS DENOTES LOT CORNERS : o SERTIFICATE OF SURVEY ~DENOTES OFFSET STAKE: o I hercby cartify thot this survey,plan o? report Mas prapared by me or under my direct superviaion and that I am a duly Reqiatered Land Surveyor under the laas of th• Stot• of Minnesota. D Da t e: 4/"'I / eR (3 Z) lT'~ Jeffr4 . i qren , License No. 14376 E~TE3FOR ENVEiO?c RVER.~GE "U" CDMPUT:~TiON {CNePWA1l ZX ~a j ' OYIPIER rT ~ 0.-,-N I~ V ia . ~ SITE ADORESS q hZ0 S-I74-PS Ai~~ Ear-ntcrt MN S-S-t23 1~l ~QNTRACTOR FRONTIER MIDWEST HOMES CORP. DATE "A "V1 PHOYE D"~~rer' ~ - - - - q5q`003 ; ~ Deternine working square footage of each. 1. Total expose3 wal] ares Z~ 88_!o!c sq. ft. x .ll 2. Total roaTlcailinq area I US 13 sq, ft. x Total exposzd wa1T area a6ove flaor a. Total wall window area 1215 •3 b. Total door area z 9, a a c. Total siiding giass door area . Ya d: Total fireptace wa71 area........................ 149 e. Total wall framinq araa (average tQa)...:........ a a S.RIo f. Total n=__Na?7 area ahove floor • t(~SG.88 ` g. Total r:m ioist area I,{8 . Total exposed foundatian area _ `1S.3 3 . h. Total foundation wiadow area..................... i. 7aa1 net foundation area above arade ~5.33 Qet=r^rnine "U" vaiue of each wal] segnsent. • a. 1'd5.-s X stU„ n. 39.(Ca X"U" .:y5 = ~ ~.83 C. 9;a X „U„ d. yg X „U„ .3fc = l-l.',~8 - e. X IOU., L`• tto SCo.B~C g°~~~ 03 = Col.'~ . e i ~l $ x11u." e03(0 = S3~S h. X "u., _ . Z 5,33 x "u" .114 = b.5 3 Tota1 If item #3 is the same as, or less than item fl, you have met the intent of SBC 6006(c)2. ' Total exposed roof/ceitinu area = . Total qrass rcof/ceilzng area = . . s. Total skylight area . k. Tatal roaflceilinq framing area ....1079, 1. Tnta1 net insniated roof/ceiiing area....... q -I q, Z_ . Oeternine °U" value far each rnof/ceiling segment. . j. X ,iuu = k. IhS . S5 X°ull .O Z 1 = 2. Z~ I, x„u° ,0~9 = I S. b 4 ..................................Totat If totaT of 714 is the same as, or less t5zn 02, yau have met the intent af SHC 6006(c)i. To utiTized the total envelape syst-a:n methad, the values.established 6y the sum of itz.ms 03 and 14 sha11 not be greatzr than the sum of items #1 and #2. } 2. 2$,ZR = 2~0,~~ 3. 1a\.o5 + 4. 2- It.93 MAT°...?IALS 'L"sera. 3asistance "R^ Ezte:iar 93z Sidi^g.Material . 2 Sheathing 3/4" Tkaa^M I In sulatioa Sheetroek / Interior Ai.r 0 (e4 . Studs 2ar. .L ,g 7 Rim l.a q Conc. Blks. I_ I'£ Gr~."-.-~~ . . ' '1~~~'~ • I ' +~.e ~ a:~ r: t~ f7.6^ . 4y vn D Z '~5 5c" ar.cc'--- sl„'-- Tµk MIR X - . • . . • ~I a7 g, SIOIN G •GZ . . •t: 'r'~ 1 ~ S~S~C',: • 6. Xe=:c= a_ =~.Z- ' = O.I7 • ! , , . ~ • ' • . , . V . . . :`.7sv=.'i C.° 0.58 2. ' . . 3. ~<o" 2 t~7~4.s,~,l t l Q. o . 4 ~ITt4fR+~?~~xc_.. _ s. y 6. Exrerl or a:- =:1~ 0.17 ~ ~ ?ZG. #2 •~f'~~ ~L : ' • ' U Cj37 . ~ ~ . . . ~ . 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' . t• , : • ' ?2~_ t~ • ' . . , • PERMIT Control No. 0468 1( CITY QF B'4GAN P 3830 Pilot Knob Road ERnMITTYPE: suiLoiws Eagan, Minnesota 55123 Permit Number: 000569 (612) 681-4675 Date Issued: 0 5/ 19 / 92 SITE ADDRESS: 4120 STATES AVE 10T: 10 BLQCK: 3 . 3TAFFORD PLACE DESCRIPTION: ~8uildfng Permit Type DECK ' Building-,Work Type NEW r ~ . ~ . . . ~ ~ ~ \ t / ti:; L.~ ~ ~ i.. :..\"ilij \~:D REMARKS: 12' X 19' 12' OCTOGON FEE SUMMARY: Base Fes $25.80 COPY $.60 Surcharge £.50 Total Fee $26.00 Subtotal $25.58 CONTRACTOR: OWNER: - APPlicant - MCCULLEN-ALLEN COREEN 4120 STATES AVE EAGAN PIN 55123 (612)683-0844 I hereby aeknowledge that I have read this applicatian and state that the informatian is correct and agree to camply v3th all epplicable State of Pta. SLatutes and City of fagan Ordinartces. ~ - APPLICANT/PEFiMITEE SIGNATURE I SUED B: SI NATUFi PEwMIT # CITY OF EAGAN • s, 1992 BUILDING PERMIT APPLICATION 544 681-4675 YAY 1 '5 OECD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural_& structural plans, 1 set of specifications, 1 copy of energy calcs. Penatty applies when typing of permit is requested, but not picked up by last warking day of month in which re uest is made or lot chan e 1s re uested once ermit is issued. Date `l, a Yal uation of work 1~.~ 1C Site Address: y )-aa 7~5te'A-c p- STREET STE f - Tenant Name: (corarnercial only) lOT 10 BLOCK Sl1BD. J~,A Descri tion of work: The applicant is: Owner ? Contractor ? Other <oes«;ne> Name (71c, G~~tc'r, - fakn S c,.~ a- CC)reefl Phone (_0 F 3- 0 '~6 Property LA5? FIRST Owner Address ~-1 I a 0 Q4 e S (a~ STREET STE M City Cs(~ State ri~.N Zip rJ~~a3 Company Phone Contractor Address License # Exp. City State ZiP Company Phone Architect/ Engineer Name Registration # Address City State ZiP Sewer & water licensed plumber . Processing time for sewer 8 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: ~ ('~~`rC+ . OFFICE USE ONLY ~ • ~ L. , ~ BUILD{NG PERM{T TYPE O 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish ? 13-pColf/I"w ~ 10 02 SF Dwg. ? 06 Garage/Accessory ? 30 Swim Pool ? 14 Comm/Ind Add E3 03 Two family O 07 Fireplace ? 11 Res. Add. ? 15 Comm/Ind Rem E3 04 Multi-fam. T.H. 08 Ueck ? 12 Res. Porch O 16 Public Fac. _ ? 17 Agricultural WORK TYPE ~ 31 New ? 33 Alterations ? 35 Move 32 Addition O 34 Tenant finish ? 36 Demolish GENERAL INFORMATION Lonst. Actual) 8asement sq. ft. MWCC System (Al~owable) lst fl. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. ' Fire Sprinkler Length 12 i On-site we11 Census Code ~L Depth 21 , oc-r„Eao,j On-site sewage SAC Code APPROVALS Planning Building ~S 5I5-Sa Assessments Engineering Yariance REClUIRED INSPECTIONS ? 5ite K Footing O Framing ? Insulation ? Wallboard MFinal ? Draintlle ? Fireplace Permit Fee e2~, oa v.imc;on: s r------, Surcharge ti-o Plan Review License MWCC SAC City SAC Water Conn. Mater Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment R. Road Unit Park Ded. 7rails Ded. Copies - Other , Total: SAC % SAL Units Had-1 u nd En g i n e e r i n g S e r v i c e s 9201 East &oominaton FrNway Bbominatan, Minmsma 85420 Land Surre7rors :-Clvll EnQineen Lond Plannere Phone: 888-0289 . AW Smxqors G'ert~f "~cate _ ~ Z 800K - PAGE J06 N0. ~`+rL-~ao SURVEY FOR: Frontier ;•tidwest Eomes Corporation DESCRIBED A5: Lot 10, B oc 3, STAFFORP DLP.CE, City of Eagan, Pakota County, ;±inn reserving easements of record. REVIEWED R IEW ~ $ ~o TE I _y` i y . DCifB ' u~• I 9a8 L_ EAGAN ENG 1+TEERING DEpT JLf, ~ N 143. 83 N 85° 30' yv 10 °f r- I _ _ . - 914. 5 I ~ F`' Ln Id 1~ y " ^ '4 ~ 9y.j • i~ I O`, 25.3'3 fl) c~ - O I 1 1u3 . I • ~ I y_ 4iL.2 2 L0 e ~p ~4 P~°Pesu.d p ; a N F-. Z Ln 0 1, ~ 5c T12.4 I OD 2 . r•- 9i3.~ ~ 2433 915.3 ~T23 L . 10 01 -a-E_ 9q.1 111.¢ 30 I$. - r5o.s2 N as ~ ~ ~ ~ 30 W g~v.a ~ _ . , 23 25.33 . TOP OF FOUNDATION = 9~4° 46.33 GARAGE FLOOR = 913•~^ BASEMENT FLOOR = 910.8 SEWER SERVICE ELEV. = 100•0 = Top N,i+ Hyd. as ~<a.F~d pROPOSED ELEVATIONS aba~ a1O 4O ERISTING ELEVATIONS : ~j DRAINAGE DIRECTIONS DENOTES LOT CORNERS : o CERTIFIGA E OF SURVEY ~DENOTES OFFSET STAKE: o I hetehY certify lhot ihis survey, pian or report was preparad by me or under my direct supervision_ and ihot I am a duly Reqistered Land Surveyor undar fhe lars of fhe State of til{nneaota. O Oa1e: L-1;~~~---~+lJ lT J~Nroy~ p."Likdqren, License No. 14376 PERMIT City of Eagan Permit Type:Building Permit Number:EA163818 Date Issued:09/14/2020 Permit Category:ePermit Site Address: 4120 States Ave Lot:10 Block: 3 Addition: Stafford Place PID:10-72500-03-100 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). 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 - John C Boemer 4120 States Ave Eagan MN 55123 (651) 210-5822 T. Dunham Construction 831 Ventnor Ave Eagan MN 55123 (612) 819-0480 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169116 Date Issued:05/14/2021 Permit Category:ePermit Site Address: 4120 States Ave Lot:10 Block: 3 Addition: Stafford Place PID:10-72500-03-100 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or 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 - John C Boemer 4120 States Ave Eagan MN 55123 (651) 263-5607 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169201 Date Issued:05/18/2021 Permit Category:ePermit Site Address: 4120 States Ave Lot:10 Block: 3 Addition: Stafford Place PID:10-72500-03-100 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 - John C Boemer 4120 States Ave Eagan MN 55123 T. Dunham Construction Inc 831 Ventnor Ave Eagan MN 55123 (612) 819-0480 Applicant/Permitee: Signature Issued By: Signature