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4123 States Ave 'I ....~F~'-I" ~o~a`+,~•.i,~g- . ..._T. ..-.r.,,•Trr~r.~--......r~,~,~,. ,,,,~j . . -~a,.,,.r ~_,..,•T.:.~. ~y.-.~. i,v_.,.: . ~ ' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ^ PHONE: 681-4675 BUILDING PERMIT Receipt # To be used for SF ~/GAR Est. Value $91+000 Date AEC 13 ,~g91 Site Address 4123 8TATE3 AVE Lot I BloCk 2 SBC/SUb. ST~~~ r~g OFFICE USE ONLY FEES Parcel No. Occupancy R-3 3~100 _ Zorting R-i Bldg. Pemt Name !lITTS1.8?ALDrI' EROTItERB (nctual)Const Y1 Surcharga 45, 30 w pMrm 783 8UNS8T DR (aiowable) V-N pW Paview 389.00 k o1 Stories ~ Cj~ EAGAl~ MN ~jp 53123 Length " Phone 456-9125 oepw ~ snc.ciry 100•00 cc N2fTle SAHE S.F.Total - SAC, MCWCC 10 S.F. Footprints - 660~ w ~+~d~ On Site Sewage _ Water Conn • ~C4 ZP On Site Well ~ Water Meter gs•~ Phone MWCC Syslem R q~t. Deposit ~ Q City water - 30.00 V PRV Required _ S/W Permit I hereby acknowlege that I have read Ihis application and state that Ihe Booster Pump - SNV Surcharge •50 information is correct and agree to comply with all applicable Stale of 276~~ Minnesota Statules and City ol Eagan Ordinances. Treatment PI Signature of Permite& APPROVALS Road Unit 370 • 00 A Building Permit is issued to: HITTEL$?AEIDT aRUTUR$ Plan^er - Park Ded. on Ihe express condition thal all work shall be done in accordance with all Cauncil applicable State ot Minnesota Statutes and City ot Eagan Ordinances. gldg, pff, _ CoWes Variance - TOTAL 3,245•00 Building OftiCiel Rermit No. Permit Holder Date Telephone # .~N ~ PWnnsiNc HvAC ' • ~ ,f~I 9~ 89 ~s ELECTI'll B-ECTRIC Mspection Date Insp. Comments Footings 1 % Foundation z(~- Framing Z Roof ing Rough Plbg. Rough Htg. 4t7' l5ul. Fireplace Final Htg. ~ . Orsat Test - x( Final Plbg. Plbg. Inspeclor- Notify Plumber Const. AAeter EngrJRlan Bldg. Final Dedc Ftg. Deck Fnai Well Pr. Disp. s - r s ~ . • 4 ~~ex#t#tr~#~e nf (~rr~~~nr~ ~itp of (eagart ~r~~ri~rrct ~ ~uritding ~n~Pr~iutc T his Cuslf~aate trsued pursuanl to [!re reqrdremenlr oJSecAion 306 ojlhe UniJorm Buildirtg Cade wtijying lhat a11he furre ojissuartm this souctrtre K+crs in conipliance witlr 1he vruious ondinanors of the CftY +'e8ulad?t8 buildin8 oonsmtcuioR or use, For tlte following. cxe awssiscw. sF nvr. jr.eR awc.Ft3 rb. t o4fi7 p=Wa-J'h,Pe R_'A FA- 1 Zoming Disoticl A- 1 Type Co•••, V•-g Owwa(SMI&M trIITTE STAEDT BROS A&I,,, 785 SIINSET DR &a,ji.c Ad&= 4123 STA,TFS AVF L=aq 1.1 - A?,y SToFRARiI Pj,ACF p,, FEBRIfARY 5- 1992 POST W A CANSPICUOUS PIACE SEWER & WATER PERMIT OFF{CE USE ONLY CITY OF EAGAN METER ) 37 PERMIT DATE 12/ 18/91 3830'Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # 01 6v2 / 7y PERMIT # 12449 METER SIZE :&I' Sr ti1114 B.P. RECEIPT # I &`71 g ISSUE DATE ~ Z 3- y Z B.P. RECEIPT DATE 12/16/91 DATE DEC 13. 1941 _ PRV - BOOSTER PUMP SITE AODRESS 4123 STATES AVE PERMIT REt'2UESTED LOT 1 BLOCK 2 SEC/SUB STAFFORD PLACE X SEWER X WATER - TAPS APPLICANT: ADDRESS: - COMM/IND _XL. RESIDENTIAL CITY, STATE ZIP - X NEW - EXISTING PHONE: Lawn Sprinkler Meters are io be Installed PLUMBER: MCDONALD PLUMBING SYS'I"MS INC Ahead of Domestic Meters on Water Line. ADDRESS: 18271 KENWQOD TR Credit WILL NOT be given for Oeduct Meters. CITY, STATE LAKEVILLE AIIV Zlp 55044 PHONE: 43 5-33 34 _ ~_~;~~r.~-~-~•~~:.~,1~~-~'~ I AGREE TO COMPLY WITH CITY F OWNER: MITTELSTAEDT BROTHERS EAGAN ORDINANC ADDRESS: 785 SUNSET DR CITY, STATE EAGAN MN Zlp 55123 ` PHONE: 456-9125 S NATURE W ETERISS d c PLEASE /ALLOWr.~~O W~HKING DAYS FOR'PROCESSING. CALL 4545220 FOR INSPECTIONS. FOH STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. if-', CASH RECEIPT I •~A~ ~ CITY OF EAGAN 3830 PILOT KNOB ROAO EAGAN, MINNESOTA 55122 OATE 19 acurveo ~ ' , FROM AMOUNT $ a oa.LAAs O CASH CHECK i~ FM _ ,ri rf r FUND 08.lECT AMOUNT Thank You ; BY r _..t l C 016518 Whde-PeyWa Copy Yelkr~ Copy ~ . pink-Fue caay . . . . , . _ . . . . . _ - . . . . ~ _ . . -~r . q r ; _ _ . . SEWER &)IVATER PERMIT OFFICE USE ONLY CITYFOF'EA£AN METER # PERMIT DATE 12 b/ 91 3830 Pilot Knob Rd. 12449 Eagan, MN 55122-1897 CHIP PERMIT # METER SIZE B.P. RECEIPT # DATE DEC 13 , 1991 ISSUE DATE B.P. RECEIPT DATE 12 / 15 f 91 - PRV _ BOOSTER PUMP SITE ADDRESS 4123 STATES AVE PERMIT REOUESTED LOT 1 BLOCK 2 SEC/SUB STAFFORD PLACE X SEWER X WATER - TAPS APPLICANT: ADDRESS: - COMM/IND X RESIDENTIAL CITY, STATE 21P X NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: MCDONALD PLUMBING SYSTMS INC Ahead of Domestic Meters on Water Line. ADDRESS: 18271 KENWOOD TR Credit WILL NOT be given for Deduct Meters. CITY, STATE 1.AKEVILLE MN Zip 55044 PHONE: 435-3334 I AGREE TO COMPLY WITH CITY OF OWNER: MI'1'TELSTAEDT BROTHERS EAGAN ORDINANCES ADDRESS: 785 SUNSET DR CITY, STATE EAGAN MN Zlp 55123 PHONE: 456--4125 SIGNATURt-HEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. INSPECTION RECQRD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i + E4Vi M 1 ~ }IAf I PERMIT SUBTYPE: v.. _ . TYPE OF WORK: , , . il! 1) INSPECTION DA • DA F • ~ L J Permit No. Permit Holder Dete Telephone # SNV PLUMBING HVAC ELECTRIC ELECTRIC InspecUOn Dete Insp. CommeMs Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg- Orsal TeSi Flnal Plbg. Plbg. Inspector - Noti(y Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. A~ ti ~ /Vd O,e- VVr i~-V2 . 66,,~ . lAI-i°. A6. DATE: DEC 18, 1991 . RE: 4123 STATES AVE (MITTELSTAEDT BROTHERS) X Your Sewer & Water Permit for Ihe 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 ON. Your Sewer & Water Permit tor the above property cannot be completed (or the follo,wing reasons: Your Sewer & Water Permit for the above property has been completed, but 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 IOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - RECIUIRED BY LAW. CONTACT COMMUNITY DEVELOPMEMT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. f 6 75~ - : ~ °D Request Date Fir Rougn-in Inspedion / ' w Re uiretl? G ReaOy Now ~dv,el~~•~ill Nolity Inspector ~ Ves C No / When ReadyT IXlicensed contractor ? owner hereby request inspection of above electrical work at: ob Atltlress (SVeet Boe or Route No.) City l/ ,L~i9 .t? Section No. Township ame or No, Range No. Counly Occupant(PRIM) Phone No. ~ ~ Power Supplier ~I c Adtlress Elechical Conlratlor (Company Neme) ConVactor5 License No. c. O Maipng Adtlress (ConVacfor o OwnerMaking Inslallatlon) / P~7 AV& n AuthontEtl SiSnature f onVado~'Owner Making Inslallation) M1one Nombe, p DO MINNESOTA STATE 90ARp OF ELECTHIGITY THIS INSPECTION REOUEST WILL NOT Criggs-MlAwey Bltlg. - Hovm 6173 BE ACCEPtED 8V THE STATE BOARO 1821 Univereity Ave., SL Peul. MN 55109 UNLESS PPOPE0. INSPECTION FEE I$ Phone (612) 642-0800 ENGLOSED. REQUEST FOR ELECTRICAL INSPECTION `~'a$, EB-0OOOb08 m/ ? SeejnsVyqions for campleling Mis lorm on back of yellow copy J 06378 ~ "X" Be/ow Work Covered by This Request e Atlil Rep. " TypeoBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplez Wa1er Heater Electric Heating Apt Building Dryer Other (Specity) Comm./lndusirial Furnace Farm Air Conditioner Oiher (syecity) Comrador5 Remarks'. Compute Inspection Fee Below: # Other Fee # ServiceEnlrance5ize Fee # Circuiis/Feaders Fce Swimming Po01 0 t0 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps ve i00 - Amps SignS Inspecmr§ Use Only: TOTAL Irriqation Booms .4 tF- Special Inspection Alarm/Communication THIS INSTAILATION MAY BE D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 ONTNS. I, the Electrical Inspedor, hereby Rough-in oare certify that the above inspedion has Final Da~ ~ been made. OFFICE USE'JNLY This request voitl 18 months Irom Address: 4123 STATES AVE Lotl Blk p Sec/Sub STAFFORD PLACE These'items were/were not complete at the time of the final inspection. Date: 7- Z Yes No Fina1 grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seedad gYass Trail/curb damage ~ h OM. • Porch Basement finish Deck Pleasa verify vith the buildar the removal of roof test caps from the plumbing system and tha shut-off of water supply to the outside lavn faucet befora freeze potential exists. ~ acrneowen White - City copy Yellow - Resident copy Pink - Contractor copy CITY OF EAGAN yp 19 9 6 7 3830 Pilot Knob Road, P.O. Box 27-799, Eagan, MN 55121 BUILDING PERMIT PHONE: 681-4675 Receipt # c , To6eusedfor SF DWG/GAR Est.Value $91,000 Date DEC 13 ,~g91 SiteAddress 4123 STATES AVE Lot I- Block 2_ SeGSub. STAFFORD PLACE OFFICE uSE ONLY FEES ParCel N0. Occupancy R-3 M-1 Zoning JL-1 Bl19. Pertnrt 599.00 Name MITTELSTAEDT BROTHERS (Actual) Consl 36N Surcrrarge 45.50 W AddrESS 785 SUNSET DR (Allowable) V-T1 Pyn Ryview 389.00 ~ Cily EAGAN MN jjP 55123 Length,ories - ~ Licerse Phone 456-9125 Oepih -46-' SAC, City 100. 00 ¢ Name SAMF S.F. Total o ~ - SAC,MCWGC 650.0 S.F. Footprints 0 AddrPSS water Conn 660.00 On Site Sewage _ ~ Q4 Zjp OnSiteWell - WaterMeler 9$•00 Q Phone MWCC System ~ qcct. DepoSit 30.00 ~.IC2fIS8# Ciywater PRV Required - S/W Parmil 30.00 I hereby acknowlege Ihat I have read this applicaiion and state that the Booster Pump - SiW Surcharge .5 0 information is correct and agree to comply with all applicable State ol 0 Minnesota Statutes antl ~Ciry- ~oJf Eagan Ordinan s. Treatmem PI 276.0 Signature of Pertni(ffi•-~~-~'~""`~~ APPpOVALs Roatl Unit 370.00 A 8uilding Permit is issued to: MITTELSTAEDT BROTHERS Planner - park Dea. on the express condition that all work shall be done in eccordance with all Council applicable State of Minnesota StaWtes and Cily of Eagan Ordinances. gWy. pff, _ Copies 0 8uilding Oflicial _~[MI ~$dI1A. 1~yy Variance - TOTAL 3,245.0 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN ~l) 36 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ? l aO / C) q Site Street Address LI la 3 S-t~n ~l v-p Unit # Property Owner VYaj r„ ~-I~JX'e-~ Telephone ~5 I)Gg(D Contractor W?~$t Telephone# {bI a) SD1 Sa~Od Address la t`I 3 V\v~ S city N:k~-Fc.~"V~50_''\ scate M1NS zip`J53-,L The Applicant is: _ Owner V Contractor _Other ' Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _WaterTurnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ replacement _ additional Lawn Irrigation System RPZ_ new' repair _rebuild $ 30.00 State Surcharge $ 50 Total $3U+ 50 I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ~ DEtitvVs W U6E Applicant's Printed Name ApplicanYs Signa PMAI 2 5 2004 ~ By ~ RESIDENTIAL ~ BUILDING PERMIT APPLICATION CITY OF EAGAN ~ 3830 PILOT KNOB RD, EAGAN MN 55122 J ~ 651-687-4675 ef~- New Conatructlon ReautremeMa 9emodaUHeoair fieauiremenffi • 3 registared sde surveys ahowing sq. fl. of bt, sq. it. ol house; and ~II roofed areas • 2 capies of plan (2046 max6num bt coverage altowed) . 1 set af Energy Calculatbns for heated additans . 2 copies of Dlan showing beem & winAOw Sfzes; poured fountl tlesign, etc.) • 1 si[e survey Por exlerbr atltlBbns 8 decl¢ • 1 set ot Energy CaNwlatbns • Indicata il home served by septic system lor aUd'Abns • 3 copies of Tree Preserretlon Plen 81ot platted after 711193 . Rlm Joist Deteil Optbns selectbn Sheet (bklps wAh 3 or less unks) DATE l0' C+~" l--X;;,N VALUATION ~ W_ S I SITE ADDRESS I MULTI-FAMILY BLDG Y N TYPE OF WO FIREPLACE(S) _ 0_ 1_ 2 APPLICANT CBW Val" E7wWS' InC. 9920 Zilla StMal STREET ADDRESS rppr+ pnnids. MN 55433 CIN STATE _ ZIP TELEPHONE #_X615 •aM CELL PHONE # FAX #1 neb- _F05-L?~ C~ PROPERTIf OWNER CM(.0 0 L TELEPHONE #61" _6010 I COMPLETE THIS SECTION FOR ^NEWm RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 76 2 (+1 submission type) • Residential Vendlation Category 1 Worksheet Submitted rgg;C¢Me(~Qo I ubmitted • Energy Envelope Calculations Submitted l~ 1~~ JuN i s zouz Plumbing Conhactor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkl gy _ Water Heater _ No. of R.I. Bath _ No. of Baths Mechanical Conhactor. Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Confractor. Phone # I hereby acknowledge that I have read this applicatlon, state that th 'nformationI co ct and agree to comply with all applicable State of Minnesota Statutes and CiTy of Eagan O i ances. Signafure of Applicant OFFICE USE ONLY Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation 0 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (35ea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Poroh/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl ? OS 03-plex ? 11 10-ptex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition 0 36 Move Bldg. ? 42 Demolish (FOUndation) O 45 Fire Repair ? 33 AReration ? 37 Demolish (Bldg)' 0 43 Raroof ? 46 Windows/Doors ? 34 Replacement *Demolitfon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wal] Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Searoh Copies Other Total , r 1941 BIIIIN P ILICATION CITY OF EACAN INfC 1 Q SINGLE FAMILY DWELLINGS MDLTIPLE DWELLINGS COl1MERCIAL 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1,SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES iJHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERHIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICN ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMST IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS I5 TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: !;(,oZ P't1401" Valuation: a*,22=LF8' Date: Ap Site Address q/23 CnTlFre-S R17G• cI l, OFFICE IISE ONLY D Gb ~ Lot ~ Block 2- ES Occupancy R-3 M-I Bldg. Permit 599,00 Zoning R_ 1 Surcharge `/S",~ Parcel/Sub SrRFFo~A 10, RGE Actual Const V-N Plan Review 399,0 o Allowable V_N SAC, City 100,00 Owner # of stozies SAC, MWCC 50,00 J Length ~ Water Conn. G60,0 Address Depth ' Water Meter 5.00 S.F. Total Acct. Deposit 30,00 City/Zip Code Footprint S.F. S/w Permit 30,oo S/W Surcharge , S'o Phone On site sewage_ Treatment P1. p0 n On site well Road Unit zr)0.6 Contractor rI, rrELS r.P-EAf I~O.lY~ MWCC System ? Park Ded. City water ~ Trail Ded. Address 78_fj Go^JScT b/L, PRV _ Copies Booster Pump _ . City/Zip Code ~Ali~~? ~ir/. ~5~23 SIISTOTAL APPROVALS Penalty Phone q!~& Planner Lot Change Council TOTAL Arch./Engr. Bldg. Off.12'//-P/ s Variance Address City/2ip Code Phone # Sewe ater Licensed Contr. Ayy~gtA AM/y A&wqre~ agrees that all wock shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. V~Lu oi~~~~ GA~2A6~' .20z~K = q40 -A rs= 6609 RsnAT. Y6x = 1104 NX Iq = 76 )f $ox ly= 165zo I sr Fi.oaR ~3Sm'f ZX/o = Z3KI Y-L = 35 atx$= 1~ 1 ~~2X13 = f 120 0 ~c53= G'73/ o 90~0 0,~ 9 oo~ SURVEYOR'S CERTIFICATE MRTELSrAeor BROS. CpNST. - STAT S ~ o M O 4 4 - 70.5p ~ Q'~'y'P`Z,\~ ' S4030' ~ Z 2S i ro to.oo { s~o° w i ~z.oo a1 o M ~ i(q10,o) m GAR.ti I`p~ ~y 10 O ~ N 2.0 .r. a~toaoseo ' a 30 p HOUSE nIN i ~ +32o ~ 46,0 ~ p f J i°rrv,o~._ l%-I` C~ w ° ~ Lor I ~ o~ t ~ . SF?~~.fl, ~AT `"0'd~1) 9,2,21 ~ip e. r. ~/`~~q c~i°F ER NT G DEPT NOTE: NO b4tFIC 501L8 IMVF•lTOR710N HA! p(MH ~~M~lTED' NOTE: pl/ILpING py/(ry~b~ S~ yw~~E , - ON 1MIS LOT BY T?I[ 3UIIKY011, 71E SU7A~IQITY oK FpR NOINZpR TC~Ly~ Sql! TO 3UMPf1RY TM( l1~f/1~ NOU~[ NppOlCD IS ATION OR lpK,y, ~o NOT TME q[S/'ONt1/ILiTY 0? TH[ tUM[1'OR ARd1iT[Cft1~1L ~pt ~~p DENOTES PRpPpSED SURFACE DRAINAGE a f'aMAT10N pommpn, O DENQTES IRON MONUMENT SET SCALE: t INCH - 30 FEET • DENQTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - q lo, 3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - Ro7.5 FEET (000,0) DENpTES PROPOSEO ELEVATION PROPOSED TOP OF BLOCK- 41 lo,'1 FEET WE HEREBY CERTIFY TO Y IT7f LSTAEDT BR~.15. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUMDARIES OF: L07 I, 9LOCK 2j STAFFORD PLACE,ACCORDING 1D THE RECORDED PLAT TWEREOF,DAKOTA COUNTYo MINNESU7A. 1 vn" i v onvvv uv rnvvtmtrvID vFi tNCHUACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY pIRECT SUPERVISION THIS 6TN DAY OF DEC. PIi0K15E0 6RApE5 SHONM WERg TAI(EN SIGNED JAM R. HILL, fNC. /1104 TK GRAON6, d1AMJA0E O E110SION ~ COMT11)L PLAN FM STA/FOIIO PLACE, ie~ PREPMEO Bv r1E0LVND ENa14ERlNO, BY: 4A5T OATE6 8-31•97 JaHN C. LAR54N. LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 o ~ o m- ~ ~o ~ ~ James R Hill inc. _ r~ Z - m ~c 5 o ~n > . / o o ~ Z 0 n Z „ . _ ~ ~ ° ~ m ~ Z PLAf~1NERS / ENGINEERS / SURVEYORS - p m < 2500 W. CTY. RD. 42 ~ BURNSVILLE, MIY. 55337 ~ 612-880-8044 :R S , . DATE / ;)/Jp 41 ERTERIOR ENVELOPE AVERAGE "U" COMPUTATION ~ OWNER SITE ADDRESS y/2 CONTRACTOR //1 I = gLS7AF6j- alj~ ADDAESS_ZgS Ci(tT ~A.FAbAff) PAONE DETERMINE WORRIrG SQUARE FUOTAGE OF EACH. 1. To[al exposed wall area a a(010 sq: ft. x.11 v~ 2. Total roof/ceiling area /~k rj 2 sq. ft. x•026 s 2,~ Total exposed wall area above floor ~ 2/9 Z a. Total wall caindow area 2$$ b. Total door area ; q c. Total sliding glass door area 3(0 d. Total fireplace wall area e. Total wall framing azea (average lOZ) 21 9 f. Total net wall area above floor / y y Z g. Total rim joist area 2.01 Total exposed foundation area ~ 'JL/ h, Total foundation window area p i. Total net foundation area above grade 7 y Determine "U" value af each wall segment. a. 2.55 x froit , q5 b. 3 4 X flUff .07 - 2 .'7 c. 3G x"U" d. D R"U" o ~ o e. 12 I q x "u" . ! 1 f. I yqZ xloU,t oti3y - 62. b 8• 201 R"U" , OYy h. d R"U" D ~ O t. 7y Xttvll O 82 3 . ...............................xocal - 2 4V. If item 03 is the same as, ar less than item A1, qou have met the ineent of SBC 6006 (c)2. -1- Page Z of 2 Total exposed roof/ceiling area ~ I 2. 5 Z J. Total skylight area n k. Total roof/ceiling framing area (average lOX).. 17$ 1. Total net insula[ed roof/ceiling area W7 y Determine "U" value for each roof/ceiling segment. J. O X u0n p ~ - k. 98 x "U" i. Ir7y x "U,t 021 g s 4 ..........................................Tota1 . If total of 04 is the same as, or less than if2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items A3 and #4 shall not be greater than the sum of items B1 and #2. . , s 1. + 2. 3• + 4.. . ~ -2- ~ CITY OF EAGAN PERMIT 5 3830 Pilot K n o b Road PERMIT TYPE: B U I L 6 Z N Eagan, Minnesota 55123 Permit Number: 023751 (612) 681-4675 Date Issued: 0 6/@ 2/ 9 4 SITE ADDRESS: 4123 STATES AVE LOT: 1 BLOCK: 2 STAFFORD PLACE P.I.N.: 10-72500-010-02 DESCRIPTION: Building-.Permit Type pECK Building Wo.rk Type NEW \ ~ ?n r ~C~T~ REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - HAMIL70N MTCHAEL 4123 STATES AVE EAGAN MN 55123 (612)437-8037 I hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. ~ J ~ ~ ~ ~ * , ~ ~fNln ~cDifA.~ If1JJ APPLICAN7/PERMITEE SKNATURE ISSUED B~': S-NATUR INSPECTION RECORD CITYOFEAGAN PERMITTYPE: euxLozNG 3830 Pilot Knob Road Permit Number: 023751 Eagan, Minnesota 55123 Date Issued: 0 6/ 0 2/ 9 4 (612) 681-4675 SITE ADDRESS: LoT : 1 a Lo C K: 2 APPLICANT: 4123 STATE5 AVE HAMILTON MICHAEL STAFFORD PLACE (612) 437-8037 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION „ . FOOTINGS FINAL ~ F ~ J ~ , ~ ` CITY OF EAGAN ~ 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of Lffe;-L registere site surveys, 1 copy of energy calcs. 5 1994 COMMERCIAL 2 sets of st uctural plans, 1 set of specifications, 1 copy o en rgy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date S /25-/ 9y Valuation of work 5ite Address:_ `l1A3 STREET SU1TE R Tenant Name: (commercial only) LOT _z BLOC~ SUBD. a+ T Descri tion of work: O..c1t The applicant is: 0 Owner ? Contractor ? Other (Describe) Name H-~•":tf-.,i M.~1,~~ ( Phone vfx>-0~,Y7 (H) Property LAST FIRST 437-su3~ G-.-) Owner pddress lctx3 s.i..-. STREET STE q City ~a~~•~ State m~ Zip 5-5-ia3 Company Phone Contractor Address License # Exp. c;ty state z;P Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of M' esota Statutes and City of Eagan Ordinances. _ Signature of Applicant: ~ ~ OFFICE USE ONLY ~ ~ ~ •~f°~. M ' ^ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex 0 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. O 10 Multi. Add'1. 0 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE Cl 31 New ? 33 Alterations 11 35 Tenant Finish ? 37 Demolish O 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint 5q. ft. Fire Sprinkler Length On-site well Census Code y 3211 Depth On-site sewage SAC Code e/ Census Bldg -T APPROVALS Census Unit _77- Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? Site U Footing ? Framing 0 Insulation ? Wallboard U Final ? Draintile ? Fireplace Permit Fee veiuac;on: g Surcharge Plan Review license MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W 5urcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units -70m ~ . ' ~ . pVEYOR'S CERTIFICATE Mm"ELsraEOT eROS. coNSr. ~ o M O . ~ - ro.so ~ pt ~4'2 0 34030' - ~ *b ` ~ ta° tv~ Z Zs i ~a ~o.oo ~ om s o° W (q,o,oa ; r 3 ~ 0 W a . . ~O M I i i9/O,O) m Gpq, 0 ~ ~ m e 1 c ~ 30 PROPqSED i f6 P ~r NoUSE ~ n 320Q 46.Q _ A r ~ ~ ~O~'y lUoJ~~ W 7 ~ m Li` C ~ Q (D LoT --ZS ~Fa ~?r v • ~ a _~vr'~nUry za Z T I L_ NOM NO 94XrC SOILS IIMlT4ATip?1 HA! lQII CQW~ETEC' NOTE: pUM,DIHG pWQp~6Mf ;lpWN ,~RE OH TFII9 L6T Br TIiC ~UIIKYCII. 71E tNITA~IQ11'Y OF WR MOIM2pRy~~ TC~L SdLE TO lUM~RT TNE f1~p/1~ Hpl)X ?IlplqWp IS ATIOM pF lTINtfl,~pl~,y, ~ NOT THE A[S/OMPIMI{TY OF TMt fUMtYOR A" ~7~ ^~V; + DENOTES PRpPOSEp SURFACE DRAINAGE s~~~ON OMIOIMONl. O DFNOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET 0 DEMOTES IRON MONUMENT FOUND PROPOSEO GARAGE FLQQR - q10, 3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - Ro"!.S FEET (000.6) DENOTES PROPOSED ELEVATION PROP05ED TOP QF BLOCK= qto,'1 FEE7 WE HEREBY CERTIFY TO f~iITTELSTAEDT BFiCS CONST. THAT TfiIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE 80UNpARIES OF: L07 I, BLdCK 2, S"fAFFORD PLACE,ACCARDING Tl):THE RECORDED PI.AT TNEREOF, DAKO'fA COUN?'Y, MINNESOTA. IT OpES NOT PURPORT TO SHOW IMPRQVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWIV. AS SURVEYED BY ME OR UNDER MY pIRECT SUPERVISION THIS 6TN pAY pF DEC. , 1991. MDPOSED 6RAOES SHONRI WER( TAKHN SIGNED JAM R. HILL. INC. moM tM aMwa, auwnae a arasroN CONTII0. M,AN iO11 STA/M0 PI.ACl, PIIEPAR[0 BY IfEOLUND EH614ERINO, BY: 4A5T OAlE6 8-31-617 JOHN C. LARSON, LAND SURVEYOR - MINNESOTA LICENSE NUMBER 19828 O 0 j r~ ~ O , inc. F42 JR. Hill o~ Z ~ / E NGINEERS / SURVEYOI~S O m 42 0 BURNSVILLE, MN. 55337 t 672$90-BO44 I CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # ~ /61 0 goo:~'~ DATE: P. PLEASH COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLDWING; N0. FIXTURES EA. TOTAL NEW CONST~ ADD-QN MINIMUM 15.00 ADD ON _ I SHOWER 3.00 3-_ REPAIR WATER CLOSET 3.00 ,C - / SATH TUB 3.00 ~ LAVATORY 3.00 OWNER NAME: KITCHENSINK 3.00 ~7~ ~ LAUNDRY TRAY 3.00 SITE ADDRESS: /2 W HOT TUB/SPA 3.00 L WATER HEATER 3.00 ~ LDT:BIACK ~Z SUBD. L FLOOR DRAIN 3.00 -3 GAS PIPING OUT. INSTALLER: ~ (MINIMUM - 1) 3.00 3 ~ ~_,Q/~/'7M9/`~!J L,/ 1? ~ ROUGH OPENINGS 1.50 ADDRE55: ~ 5.00 WATER RIVATE DISPER 15.00 CITY: L,( ZIP: P U.C. SPRINKLER 3.00 PHONE S ` I SUBTOTAL S -37547 ST. SURCHARGE .SD SIGNATURE F PmRMITTEE pTDTAL: $ ~CJGYJ gb~ItGT24~,~"XW 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. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE ( S I GNATiIRE ) FOR: CITY OF EAGAN IL'ITY 'OF EAGAN40 FOR CITY OSE ONLY 9830 PIIAT RNOB ROAD EAGAN M51 55122 PERMIT # PHONE (612) 454-8100 RECEIYT # /4 ~GHaNSCA7.;~~'ER~f.'LT; DATE: STD$NTIA~:~ PLEASE COHPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 ~ , TOWNHOMES/CONDOS iTHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST Vf ADD-DN MINIMUM $15.00 ADD ON HVAC 0-106 M BTU <1n5b> REPAIR ADDITIONAL 50 M BTU 6.00 GAS DUTLETS - MINIMUM 3X 3•00 OWNER NAME: I2I/ IC OF 1 PER YERMIT SUBTOTAL: $ 35`cv ' SITE ADDRESS:,~.~ ~~~5 f71~~ STATE SURCHARGE: .50 IAT:~ BIACK SUBD. .SfU-YtDY-cI 10IQCe TOTAL: $ ~:5,6U INSTaLLEx: Burnsville Neating & A/C, Inc. s an ve. So. • ~~r.~ri ~ Z.`. ADDRESS: S8V2gE, M N 55378•1122 SIGNATURE OF PERMITT E CITY: ZIP: PHONE ~'b~i?i~i~CTAY.JifIbIISTRTAL: PLEASE COMPLETE THIS PORTION FOR ALL COMt2ERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND ?fULTI-FAHILY BUILDINGS WIiEN SEPARATE PERMITS ARE NOT REQUZRED FOR EACH DWELLING IINIT. CDNTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. _ PROCESSED PIPING - $25.00 IAT: BIACK _ SUBD. $25.00 MINIMUH FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: 2IP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN PERMIT# 1~? IO._s) RECEIPT DATE: PXSIDDTIBcL PLUM$INfi P$iiMiT APPLICATION CrrY og EAsnx 8$30 PILOT I{AOB itD $!i&AN, MN 55122 e51-681-4e75 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRE55: ~ v~~ ~1? ~ OWNERNAME:: TELEPHONE#:UCutL'„'1LN AREA CODE) INSTALLER NAME: C TELEPHONE (AR cooe) STREETADDRESS: ~l J~ f CtTY: I I WA.w IlX/ STATE: A/lA 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, modiflcation or aReration to xi tin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repafdrebuild of RPZ • lawn irrigation system • watertumaround Nature of work: Septic System, new/refurbished - $ 225.00 • includes County & Consufting Inspector fees • requires MPC license Water turnaround - existing dwelling unit, including: $ 50.00 • 5/8" meter 115.00 $ 165.00 State Surcharge $ .50 Total $ 50- 5 O Reminder: 5chedule inspectlons of alterations, i.e. water heaters, water softeners, water turnaround, etc. t herebyacknowledge lhat I have read this applicatlon, state that the infortnation is correct, and a ,Lae to comply with ali app le Cily ot Eagan ordinances. It is the applfcanCs responsibility to notify the property owner Mat fhe City of Eagan assumes no b' ity for any damage a ed byMe City during its normal operational and maintenanca eclivities to the facilities constructed under this permit withi ro /righ •of-w e ment. IGNATURE OF PERMITTE updatea sJoi PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA155307 Date Issued:05/08/2019 Permit Category:ePermit Site Address: 4123 States Ave Lot:1 Block: 2 Addition: Stafford Place PID:10-72500-02-010 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Bradner J Ameluxen 4123 States Ave Eagan MN 55123 (952) 250-6526 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature For Office Use O 44. ; Permit# 1 Permit Fee /c Date Received 3830 PILOT KNOB ROAD I EAGAN.MN 55122-1810 (651)675-5675 I TOD'(651)454-8535 I FAX:(651)675-5694 Staff hinidTiginspectious4lcitloterigapccr'r I- 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3/10/20 Site Address:4123 States Ave Eagan, MN 55123 Unity: Brad and Cheryl Ameluxen Name` Phone: 952-250-6526 - Resident/ 1 AddressCityZip 4123 States Ave Eagan, MN 55123 Owner Applicant is Owner Contractor f /c- a 1064 Ce(--- Replacement of 14 VVdws, 1 patio door, and 3 entry doors Type of Work Description of work Construction Cost $55k Mutt-Family Building (Yes /No Company' LBC Construction Contact Lee Brandel Contractor Address: City.8830 Greenfield Road Loretto i 5 state MN zp 55357 Phone 763-354-9654 Email Lee@ListenBalanceCreate.com License C:BC510568 Lead Certificate it: If the project is exempt from lead certification,please explain why: Built in 1992 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Fire Suppression Contractor: *Phone: I NOTE:Pians and supporting documents that you submit are considered to be public information. Portions of the.Infomlation may be Lciessitted as non.pdplic If you specific reasons that would permit the City to conclude that theyere trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at ww-w.cityoleanan corMsubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage Call 48 hours before you intend to dig to receive locates of underground Writhes. I hereby acknowledge that this information Is complete 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 only an application for a permit,and work is not to start without a permit.that the work will be in accordance with the approved plan in the case of work which requires a review and approval of• • 11010 x Lee Brandel, President —26 x Applicant's Printed Name Appis ,nt's PERMIT City of Eagan Permit Type:Building Permit Number:EA165506 Date Issued:11/04/2020 Permit Category:ePermit Site Address: 4123 States Ave Lot:1 Block: 2 Addition: Stafford Place PID:10-72500-02-010 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 - Bradner J & Cheryl E Ameluxen 4123 States Ave Saint Paul MN 55123--159 (651) 686-9189 T. Dunham Construction 831 Ventnor Ave Eagan MN 55123 (612) 819-0480 Applicant/Permitee: Signature Issued By: Signature