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4124 States Ave
I , SEWER & WATER PERMIT OFFICE USE ONI.Y CITY.OF EAGAN ` 6I 14 / A 9 3630 PIIOt KnOb Rd. PERMIT DATE P.O. BOX 21199 ~NATER PERMfT # i•~ 16 SEWER PERMIT # Eagan, MN 55121 METER # a B.P. RECEIPT #26~11 Ili # B.P. RECEIPT DATE 6 13 $9 ETER SIZE ISSUE DATE PRV _ BOOSTER PUMP 4124 ST~~?`=S AVE, EAGA14, ~•1N 5~1':' SfTE ADDRESS ` PERUIT REOUESTED LOTI!_BLOCK ? SEC/SUB SIAFFQRO PLAQE ~ i APPLlCANT: Frontier Midwest c' -S~WER ~WATER _TAPS ADDRfSS: 3902 r mr. , R~ _ COMMIIND _ZRESIDENTIAI CITY, STATE ' ZIP ~ / pHpN€; ~ 54-04~3 NEW _ EXISTING PLUMBER: _~..I a r Q 1lim n i nrj . ADDRESS: lU? 8 MOund Sf~ring Terr. I AGREE TO COMPLY WITN CITY OF CITY, STATE B1 oomington .MN Zip 55420 EAGAN ORDINANCES: PHONE: II84-4149 f ' OWNER: 3arthplF~?+y, .lnhn Anri Amy ADDRESS: 11 D5 DUckwnnci Tta i 1 #30 1, SIGNq;~R HEN,,M~R ISSUED CIIY, STATE Fagr~n, h~i`+ ZIP '5 PHONE: DR?-883F 1~L~'G ~ v - PLEASE ALLOW TWO WORKING DAYS FaR PROCESSING. FOR STORM SEWER PERIIAfTS, CONTACT ENGINEERING DEPT. , , , SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN 3830 Pilot Knob Rd. PERMIT DATE P.O. BdX 21199 WATER PERMIT SEWER PERMIT # Eagan, MN 55121 METER # B.P. RECEIPT 7461 READER # B.P. RECEIPT DATE 6 i3 g~ METER SIZE ISSUE DATE - PRV - BOOSTER PUMP '~I?~F j ; ' . ~ SITE ADDRESS PERMIT REOUESTED LOT_~__BLOCK3 SEGSUB S(AFFQRfI PLAOF 1."....L15i. Hn-nPS COrD ? SEWER ~ WATER -TAPS APPUCANT: _ ~ . ADDRFsSS: COMM/IND -L,--'RESIDENTIAL litil CITY, BTATE ZIP i~ PHOI,r=: „4'0433 L! NEW _ EXISTING . PLUMBER: r P l umb i nc AODR[fSS: 101$ +4ound +T'"- I AGREE TO COMPLY WITH CITY OF CITY, STATE =-loQm i ngton ,~Ri ~ ZIp r r~') EAGAN ORDINANCES: PHONE: 684-4149 OWNER: `1ar^thBiamy, Jnhn An~ ADDRESS: ~ 1 IS Dur?~ :~~i Tra i] 4301 SIGNATURE WHEN METER ISSUED CITY, STATE `=4an - Zlp 551'3 PHONE: PLEASE ALLOW TWO WORKIPIG DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ~ : :''CASH RE+EEIPT,,,. C71 CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINIVESOTA 55122 DATE 19 PECENEo ~ 7-- FF40M : c L AMOUNT ? & loo DOLLARS O CASH [I CHECK ~ Aon' r ~ FUN OBJEC-i ~ AMOUNT Thank You ev ~ WF+i1-Fayera copy Yetlo'r'-41ostkn9 CoPy Puik-Flle Copy BLDG. PERMIT NO..~~~2~ i 01-3210 Bldg. Permit ~ 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. '01-2155 Surcharge ~•75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. ~ 20-3716 Water Meter ~ 20-2252 Acct. Dep. ' , 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 5ewer Conn. 28-3855 Park Ded. TOTAL ~ ~ DATE: 6/14/89 RE: 4124 STATBS AVENUE, L11, B3, STAFFORD PI.ACE XX Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Worics Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBUC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. q~ Your Sewer & Water Permit for the above property cannot be completed for the following i reasons: s ~ ,gi,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 tor meter at City Hall. Meter §ize 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 DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. s ' tecretary, Building Inspections Dept. ~ DATE: 6/14/89 RE: 4124 STATES AVEMIE. L11. B3, STAFFORD PLACB xX Your Sewer 8 Water Permit for the above property has been completed. It wiil 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. Yaur Sewer & Water Permit for the above property cannot be completed for the following reasons: i ` ~ Your Sewer & Water Permit for the above property has been completed, but the meter cennot be issued or occupancy allawed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspecto?s - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTHIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POUCY. Oecrelary, Building Inspections Dept. - . • R.~I vB~tIl~ ~1~15~/~ CITY OF EAGAN 16626 t•• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 - BUILDING PERMIT Receipt # To be used for St' U4iG/GAR Est. Value $b69400 Date JIlME 13 119- Site Address 4124 STA'1'I.`+ AV',' OFFICE USE ONLY Lot 1; Block 3 SeGSub. S"'A"ORI? P1.ACE Occupancy R"3 11-1 FEES Parcel No. Zoning R-1 W Name ~'~~-F"f'iER 1~I[ri~i6Si NOUS (Actual)Const BIdg.Permit ~6•~ o Address 3902 Ul1R`,'A1-:: 01' (Allowable) Y=N Surcharge 33.OD Clty i~AGAI+ Phone 454-41433 # 01 Stories 9~ plan Review Length , o Name 5~'E Depih 4'' SAC, City 1~•~ ~a Addf@SS S.F. Total - SAC. MCWCC 575. ~ City Phone S.F. Footprints - _ Water Conn 5$0•0T On Site Sewage W u, Name On Site Weu - Water Meter 90• 00 z MWCCSYstem ~ 30.~ ~a Address ~ Acct. Deposit < W City Phone Ciry Water ~O' ~ PRV Required _ S1N Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge 1•00 iniormation is correct and agree to comply with all applicable State of 228~~ Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee ' APPFiOVALS Aoad Unit :5 40• C-0 A Building Permit is issued to: r' ~ON11 17.R I UWE:iT nOMiS Planner - 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. gidy. pff. _ Copies Building Official Varfance - TOTAL 2, 7 26' 00 r Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC ~J InapecNon Date Msp. Commants Footings I Foundation / Framing . ~ Roofing Rou9h Pib9. ;7-,~ - < Rough Htg. Isul. Firepiace Final Htg. 71-3 ~ Fnal Plbg. ?3 ~ y Const. Meter Plbg. Inspector - Notify Plumber Engr.IPlan Bldg. Final Deck Rg. peck Final Well Pr. Disp. . _ . . . . . . . 4W i. . . J.. . _ • 3'~ w , . " s i Ttr#if irafe of (Orr~~aur~ titp of (tagan EP}tal'tmPrid pf g1tiIbbJ JWPtflDtt This Certifcate issued pursuant to tJre requiremenu of Section 306 of the Uniform Building Code certifying that at the lime of issuance this structure wos in compliance witk the various ordinances of the City regulating buiJding construction or use. For tlre fo!lowing: ~ Ibc ClaaiCnluon SF DWC'ICAR md` tErrnit wo. 16626 o-P--Y rym R3/M1 Zoning osux, R) TYoe com. VN Owner of Ba7dingFRONrIEP, KMWEST HM Addras 3902 WAN , eW7aing nanren t..I,ry L 11. B3, STAFM Pi.A[E , ; • , a,~: AtMsT 10, 1989 BU&ing offio, POST IN A CONSPICUOUS PLACE i . . . , .1~ . . . PERMIT # • : PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~ 7T CONTRACT PRICE: PHONE: 454-8100 / Site Address BLDG. TYPE WORK DESCRIPTION l.ot Z'~ T_ Block _ Sec/Sub Res. ~z New ? Mult. Add-on ~ Name".' I Lf Comm. Repair ~v Address ~ Other c Ciry Phone ' RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N . FIXTURES TOTAL Name Water Closet - $3.00 Bath Tubs - $3.00 3. OD 3 Address Lavatory - $3.00 ~ . DD p City -AEA 4 4 Phone Shower - $3.00 ~EKitchen Sink - $3.00 ~ FEES ,Urinal,Bidot - 53.00 COMM/IND FEE - 1°No 4F CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES_ RATE APPLIES Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 2--Gas Piping Outlets -$1.50 , l7 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI'n (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) well - $10.00 Private Disp. - $10.00 {f6dj~4g'~ ~_Rough Openings - $1.50 ~ • S SICa1VATURE O PERMIT FEE: / C~ STATE S/C: `~L~ FOR: CITY OF EAGAN GRAND TOTAL: x PERMIT # MECHANICAL PERMIT RECEIPT # . , • CITY OF EAGAN 61 14-v" 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: $1700.00 PHONE: 454-8100 Site Addres~ BLDG. TYPE WORK DESCRIPTION Lot 11 Block 3 Sec/SuO Res. XX N e w 7L~= m- Name ~ H~ C Mult Add-on Address 1955 Shawnee Fcad Comm. Repair c City FWlan Phone 452-2665 Other Name FRCVT= CX'¢'ANIES FEES ~ RES. HVAC 0-100 M BTU -$24.00 c Address 3908 SiU y Mem=W BtJY. ADDITIONAL 50 M BTU - 6.00 p City Phone~5d-0433 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMM - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air 80400 M BTU 24.00 APT. BLDGS. - COMM. RATE APPLIE5 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 R (ADD $.50 S1C IF PERMIT PRICE GOES Gas Piping Outlets # g 1•50 BEYOND $1,000) Other - ? - ~f • 25.50 , FEE: ' • ~ • 5O S/C: SIGNATURE OF PERMITTEE TOTAL• a6.oo FOR: CITY OF EAGAN . _ . . _ _ _ ..~4;~R.k.wr-~ ..-y~ .-•..r. . . . , . : ~;:Y, . . . . . , , ' PLUMBING PERMIT For Office Use ly CITY OF EAGAN PERMIT# CONTRACT 3830 PILOT KNOB ROAD, EAGANy MN 55122 RECEIPT # CL(L~r~ PRICE PHONE 4548100 DATE: ~'Th !`~~l Site Address BLDG. T y WQRK DESCRIPTION Lot lock / SecJSub Res. ~ New X Mult. Add-on ~ Name Comm. Repair ~ Other ~ Address ~ c City ' Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ ~ Name Bath Tubs - S3.00 - $3.00 ~ Address Lavatory ~ City ~j~' Phone Shower - $3.00 Kitchen Sink - $3.00 UrinaUB'idet - $3.00 FEES Laundry Tray - $3.00 COMMJIND. FEE -1% OF CONTRACT FEE Floor Drains -$1.50 APT. BLOGS. - COMM. RATE APPLIES Water Heater - $1.50 TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpoal -$3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets -$1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) - - ' STATE SURCHARGE PER PERMIT .50 ~ Softener -$5.00 (ADD $.50 SiC PER EACH $1,000 OF f ERMIT FEE) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OR- ' PtPMFr7Ff PERMIT FEE: STATES S/C: FOR: CITY OF EAGAN GRAND TOTAL: JU C~~ 25241-/-i , , ~ C) Request Date Fra No. Rough-in Inspeclion 'L~ uiretl? ? Reatly Now [~wlll Noefy Inspec1or Yes ? No - WOhen Heatly? I,('~licensed contractor ? owner hereby request inspection oi above electrical work at: Job Adtlress (Slreet, x or Rw No Ciry 4 Seclion No. Township Name or No. Range No. Cou Oxupant~~ S PnNo. 1 Paver Supplia ~ Pdtlress ~ / % EIB ~ I on (CO ~y me) ConVac[or5 License N0. ~ Maling dress (Conhaclor or Owne Making Inslell n) ;~s?. .4~ Authonzed S' ature(CO or/Owner Making Installation) Plrone Number - A,a MY3 MINNESOTA STp7E BOAqD OF ELECTpICfiY THIS INSPECTION REQUEST WILL NOT GNggs-Mitlway Bleg. - Poom S773 BE ACCEPTED BY THE STATE BOARD 1827 Univeroity Ave., St. Paul, MN 55100 UNLESS PHOPER INSPECTION FEE IS Phone (612) 602-01100 ENCLOSEO. 9 REQUEST FOR ELECTRICAL INSPECTION eeaoom o~ ?i iirsiruCions 1or compleling ihis form on back oi yellow copy. 25241 93aav ~ "X" Below Work Covered by This Request w Adtl Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other(speciy) ConVactor5 Femarks: Compute lnspection Fee Be7ow: # Oiher Fee # ServiceEniranceSize F # Circuits/Feeders Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200 _ Amps 708;_ Amps Signs Inspecmrg use Only: ~ .1 7pTAL Irrigation Booms Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby 8p1k"-'" ~ oat.65- a6 . certify that the above inspection has Final been made. 7- ~J OFFICE USE ONLV • + This requasi wW 18 monihs fmm CITY OF EAGAN N9 16626 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 qeceipt # Lv Tobeusedfor SF DWG/GAR Est.value $66,000 Date .7UNE 13 , lg$- Site Address 4124 STATES AVE Lpl 11 Block 3 Sec/Sub. STAFFORD PLACE OFFICE USE ONLv Parcel No. occupancy R-3 M=1 FEES Zoning R=1 a Name FRONTIER MIDWEST HOMES (ACmaq Const Bldg. Permit 486.00 w ; Address 3902 GEDARVAi.E DR o (Allowable) V= Surcharge 33-n0 City EAGAN Phone 454-0433 aofsrories - Length -a2' Plan Review 243.00 iF Name SAME Depth 461 SAQ Ciry 100.00 oa Address S.F. Total - snc, Mcwcc 575, 00 U ~ City Phone S.F. Footprinis - On Site Sewage - Water Conn $80.00 to w Name On Sile Well - Wa[er Meter 90.00 AddfB55 MWCCSyslem Acct Deposit 30.00 aw City Phone arywater xx PRVRequirea _ S/WPermit 20.00 I hereby acknowlege that I have read this application and state that the Booster Pump - S!W Surcharge 1.00 information is correct and agree to comply with all appfca le State of Minnesota Stawtes and Ciry of Eagan Qrdinance 7reatment Pi 228.00 ~ Signalure of Permitee Am_ APPnovnLS Road Unit 340.00 A Building Permit is issuetl to: F'RONTTF.R MTD .ST HO .S Planner - park Ded. on the express contlition that all work shall 6e done in accordance wilh all Council applicable State of~Minnesota StaWtes antl City of Eagan Ordinances. Bldg. Olf. _ ~Pies 8uilding 'lI/I~iy A 134A I Variance - TOTAI 2,-7Z6.'r~i OHicial n u~.--~ 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN y SzF ~ 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please compiete for modifications to existing residential dwellings. Date C) I OL ! N 1 Site Street Address `l ri~.!a Unit # Property Owner Q,~C4 r U.jCJy~ Telephone #(~uFJI)g5q Contractor Teiephone# (lota') ~D~ Sa~Ob Address 3 Avt S ciry HU~'kO"&J_V\ State Mt3 The Appiicant is: _ Owner V Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 518" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ replacement _ additiona! JLawn Irrigation System RPZ_ new repair _rebuild $ 30.00 State Surcharge $ 50 T$~~ 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 wiil be in accordance w+th the approved plan in the event a plan is required to be reviewed and approved. pEtit~ts U~IEt~~~ ~ ` ApplicanYs Prirtted Name ApplicanYs Signature . 1989 HIIII.DIBG PSHlIIT EPPLIClTION - CITS 0F EAGAN 3INGLB FA!lILY DiiSLLIACaS INCLDDE 2 SETS OF PLANS, 3 CERTIFIC9TE5 OF SDRVEY, / SET OF ENEAGY CALCULATIONS 601Bt ADDEES3E4 FOS CARN6R LOSS - CO9T9AClOR/HOlSOWNSR I+IOST D&SSIG6Alfi iiHICH ADDESBS I3 D&4ISED. 80 CHANGES fiII.L HE ALLOWBD ONCE HQILDING PSBMIT IS I83DED. !lQI.TIPLE DTiEI.LING3 BENl6L 09ITS F08 SAi.S UBIl3 f OF 09I?3 IIdCLODE 2 SETS OF PLANS, CEBTIFICASE OF 3DBYSY - CHSCB fiITH BLDG'. DBPT.t 1 SEf OF ENERGY CALCOLATIONS caMecr.aL JUH 0 L~ 1989 INCLIIDE 2 SETS OF ARCHITECTUAAL 6 STRDCTURAL PLANS, : 1 SEP OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS `'-t~? 93W To Be Used For: new Constt^uCtion 9aluation: $59~ Diate: Site Address 4124 States Ave (0~, 000 - OFFICE USB OHL.Y Lot 11 Bloek 3 Oecupancy P.'3 M' 1 Ffi6S Zoning R_I Parcel/Sub Stafford Place Aetual Const ~t_•L_ Hldg. Permit y86-00 Allowable V-N 3ureharge 33,00 Owner Barthelemv, John/Amv # of storiea Plan Reviex Z 4/3,00 Length 3 T SAC, Citq ~DD,AO Address 1105 Duckwood Trail #301 Depth ~ SAC, MWCC r)5,00 S.F. Total iiater Conn 85 p,~ City/Zip Code Eaqan. MN 55123 Footprint S.F. Water Meter O,ov 9cct. Deposit 38.Do Phone 688-8835 On site sewage S/N Permit 20,00 On site irell S/Fi Sureharge I.od Contractor Frontier Midwest Homes Corp. MWCC System ? Treatment P1. ZZ & a0 City water Road Dnit 3yO,00 9ddress 3902 Cedarvale DR. PRV required _ Park Ded. Booster Pump _ Copies City/Zip Code Eaqan. MN 55122 ?OTAL LPPBOPAI.S Phone 454-0433 er ~ Arch./Engr. -Dick Charlier Bldg. Off. t~I(o~ Variance Addresa 14103 Gardenview Dr. Couneil City/Zip Code Apple Vallev, MN 55124 ~aXFORIE~' MOOEL Phone # 432-5492 HOTSz Sexer 8 Tiater Permit feea end acoount depoait feea vill be included ia t6e building permit fee. Procesaing time for aerer and rater permita is tvo days once a liosneed plumber haa applied for a permit at City Hall. bAIJP(EL-t4 H e d 1 ei n JA n g i ne e r i n g S e r v i c e s ~1 East &oaninOton F~~away Bloominpton, Wnnuma 33420 Land SurveY Clvll En9ineers Lond Planners PAona: 888-0289 eel'fl,~lale - BOOK- PAGE JOB N0. 22Q- 139 SURVEY FOR: Frontier hTidwest Homes Corporation DESGRIBEO AS: Lot 11, Block 3, STAFFOFD PLACE, City of Eagan, Dakota County, ttinnesota and reserving easements of record. k W (Z) ~9q.1 I 4~L9 lr~~. S o I- ° ] N 2 N 85 30' W ~Z l'Z. Iof u 41 ~j 4 p ~ IS N - ~ ~ ~T Q C) I ~ ~ ( 915.1 23.3 3 4S.1 I ~1 I 911.3 Cn.~ N 4i5.2 '(A co 30 . 515.7 v ~ s Spi.+ n IP a/ t 91'L.5 915.9 E}!,~ M ~ r' o...vlg N G8rq{~„d 96.4 ~ I 0 ~ I 9S.1 ~Q ~2 _ 24 ' 915.~ I z. . , V) 10 953. ~ ~ J Jr I 30 9tis.4 157.16 I M~ _-4 L3at~ - ' Lz." Z3.3a E~'iC1~4~~ E GI EER I+1G I3EiP'I' a~ TOP OF FOUNDATION = GARAGE FLOOR = g~•~ BASEMENT FLOOR = 913•2. SEPIER SERVICE ELEV. = 902•5 T p Le+ L.~c f~ PROPOSID ELEVATIONS : Q ,o , s". 3 stc+~ z A~ EXISTING ELEVATIONS : El-EV.•9,o.no 6 DRAINAGE DIRECTIONS DENOTES LOT CORNERS : o GERTIFIGATE OF SURVEY DENOTES OFFSET STAKE: o I hembY certify fhot this survey, plan or rsport wcs pnpared by me ar under my direct supervision and thaf I am a duly Reyistered Land Surveyor under the lars ot ihe Stafe of Minnesota. bDate: 4 /,28/ 84 Jt r y . L aren, License No. 14376 E:. 77-?un ~?V`!c_GPE RVE;:,G"c "U" LDMFUiATiM ZzCo - ~ SIT'e ADORESS Eua,av, vLl N 55 l 2-3 (rft CDi'rfR.ACTOR ~({p1J~~fR OAic S S• PY.DNE , . ~ Cetenine woricing squars faotage of eaca. 3. Tatal exposzd wall area l85"7,Z.S sq. ft. x .I l a 2~cx~, Z,,. ~ 2. Tctal raof/ceflirg area V30 sq. ft. x Totz1 exposzd wa11 area abave floor a. 7o~i wa11 windaw area tl?~ b. 7ot21 doar area 34.C~ L c. Totzl slidina giass dcor 2t2_ . y;_? ' d: Tatal f9nplzce wzll area Lqg ' e. Total wal] framing area (averagelOA}...:........ g f. Totz; n=:.wai1 area zbove Taor 2$~0....... _ " . g. Tata7 r?n icist zr=a t Z8.5 - Tatal exposzd fcandzticn zrea = (o~-I.ZS h. Tatai foundation wiadvd area i. Taat ne: `oundaticn area abcve arade Deter-nine "U" value of each wal7 seg,-:ent. • a. 115 AV UU'l .32 = ~(e b. X ilUts „445 C. ya X „u„ ti~ _ ~ . a. X „U„ zs e. ~ SS.-7~ "U° ° ~3co.y X uui, .D34 = 9.~1z g. 1 Z~.S X"U.1 11. x °u., ~ . 1. X uU° a.25 0 3 ........:..................:..---.....TotaT Ff item €3 ts the same as, or less than it=m fl, yau have met the intent of SBC 6006(c)2. . Total ezposz3 rcor/c2iiina are=_ • . Total aross roof/ceiling are3 = . . j. Total skyIignt area . k. Tota1 rnof/ceiling framinq area 1. TotaI net insulated raof/c9iling area......: -7q z . Dete:-aine °J° YdlU° TCr each rcOt/C°lllng 52gm8Dt- i- • X Ud _ • k. $g X HJM i . ? `12.. X "U" I~ ' ~ l 1 ...........TotaZ = . 4 jt t0t31 C7 aA 15 t::P SdAIE d5, OT' 1255 t1271 sZ, you hava met the 1Rt°.'Jt Of ssc caoa(c);. To utiliz=_d the to'-~i envelop° systen method, the values.estabiishe3 6y the svm of it`.ms as' and 14 shzll not be gre=_ter than the sum ar items A and 12. 1. -2:0Ll .2°1 + 2. Z.2. 8`d = o~cZ 7, l 7- , . 1 3. ~ k (c.Z-1 (0 - a. 1 Q M:L:WIdLS Ther~. ~asis:~.zce "i2" Sidi:ss .~ta~er:a1 .~Z Sfieathiag'-~!° 7lb4-xx Iasulat an tg,/ so ' Sheetrock u7~ ~~•`~S Interior 3ir . 3tnds ~.87 Rim t ,g9 _ ' Conc. B7ks. t1 ~ . . • ;a ~ ~ ~ . . 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Ttitrrinr air t11M ~ 2. • . • ~ ~ , . , a . = ~ . ~ _ • 6. aic Extrt'iar Cilix 9'oLal-_~~ . rzc. , . ,v ~ • ~ '--~--Q • - 1. Tntcrio[ air_film ~<«c~ -_.~-p 5• 17 : yR;al '--Q E. k_xtcrin,r aic _f i 1M ~~~s .__fs~ ~ • ,•o~~t.~ L . k~ ` '~:-~~.1. • . tntc~i~,c _AIr 1 • ~ ~ ' -----l- L . ~ .ti2ICt1 ; •--%~y ~J- • 7. _ z ' • ,i~~ ~a ~ ~•___-____.-0 • n . _ - JC cr n' ~ ~_'~~1 • G. 1:'tf~_t:i_ C ~~~Y :'i1n__ U-l.l cui Gaur: ; - . - 'i ' • ~ • • ' ` . ~ ~ . ta. t,F `/i i ~ . • ~ . _ . I - : ' 1 :4 !!l_:- _ - . • • r l ~ . -`~;=rl`. u t(1 rR;j,~ T /!f / ni • , • i~r - ~ ~ ~ } ' • . ` /'1 ~ 1!( ~ 1 4 ~ _ c. 13 ' . ' ) _r._'"Y _ j s !1~ -i:i:~ L' • • ~ ~ ~In'Cl_: If.tIlC6T~: L'r'n!, 'tr^ •td~tic, i~~.UC~t nnd ' . I • ~ ° ~ ` , ~ ~ n. . I . . ~~I.r:rn.rtC qf irr:ul.iCinn. S~ - - - - PLAQ : EXposED W,4LL - - 7Z + a~.s t- ro~ r z8.5 . . 7z4 4(s•5 cra•s . ~ ;:ULL ; -7 Z+ 98 + s = +za ~ ~ T~~.E~LA~C. E; v P v c. c*j. G~ TZ I M:~:~ ~ Z a, S : wA LL Aliz.F-A - t~L~GfC`~ E Z~~S Y, , S = 64, Z5 x 5 ~ . ~uC..L; 1 ; ? zS. ~ = rvZ~ _ ~ ' - ~'i orAL 57. Zs . - . . ~ ~xpos;-F) cE, UU4 Seo ii ~ W DW5 ilI Doo~S 1~2 3`7-~ ~ 2o(3b:. t : ds "7 2q 48~43Z ~ _ ?ATIO : ~2 1 i i~,• . ~ . Z4( 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE EAMILY DWELLINGS MULTIPLE DWELLINGS • COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTORAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NDTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE SUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN GOMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: 8-~-9~ Dfo~ Valuation: Date: Site Address ~12q 57RiCS /lLIc, LFlEn~.~ OFFICE USE ONLY Lot ~L B1ock 3 FEES Dccupancy Parcel/Sub S7f1G*4p A4@c Zoning Actual Const Bldg. Permit Allowable Surcharge Owner J~~tR.~~ ~ARYf/FL~7aa/ # of stories Plan Review Length SAC, City Address Depth FZX20 SAC, MWCC S.F. Total Water Conn City/Zip Code 604~A~J, ~1'l~ Footprint S.F. Water Meter ~ Acct. Deposit Phone (~?Z ~~Fk 0 wiF2 On site sewage_ S/W Permit ~!2 Z2~- I IJr7 ~4s6ev~ On site well _ 5/W Surcharge Contractor ~q MWCC System _ Treatment P1. City water _ Road Unit Address PRV Park Ded. Booster Pump _ Copies City/Zip Code SUSTOTAL APPROVALS Penalty Phone Planner _ TOTAL Cauncil Arch./Engr. 4p Bldg. Off. Variance Address City/Zip Code Phone # 1-0,f dn ng I ne e rI II g S E r VI C e S 9201 Eost &oominpronFnaway Bbominqton, Mhrrwtc 55420 ,4 gurveY / a Clvll EnOineers lond Ploansra Phone: 888-0289 ~ Sumitworts ert~f "~cate BOOK PAGE _ JOB NO, g94-t39 SURVEY FOR: Frontier P4idivest Homes Corporation DESCRIBED AS: Lot 11, Block 3, STAFFORD PLACE, City of Eagan, Dakota County, b!innesota and reserving easements of record. k W Lk. ri t_ Do O "`4~1.1 I 9~1~q ,n ISQ S2, N 8Se 3oi I yy x1 W io~'- 4t0.1 I E-- N tn ~ I ~ T> w o-I Q Y - iZ ~ ~ y o N ' . ~I M~ I 915.7 z3.3 3 . 4M I 111.? Ce:i VI . ' (V Q'_. I ~ IA 30 915.1 n ~r.' 1~ ~ F- W I r.L1 Sr°p°s U- 1/~ ~914.5 9t5.9 I z2 24 µ - I Z ^ ~ . n 10 qta.a 7~3.1 5 ~ 3o I9~3.4 l57.16 y ~ L)?tf'3 _1=.y • 1z." Z3.aa rr.-.Ara Ez (ai EJ:It. w~ r) r~l TOP OF FOUNDATION = GARAGE FLOOR = 911.0 BASEMENT FLOOR = 1113•z SEWER SERVICE ELEV. =9°2_5 1 Tep u~.l. @ ~ PROPOSED ELEV'ATIONS : C~ 9 i~o , a". $ s t=.4<5 Y~ ~ EXISTING ELEVATIONS : e~e~.• go.ao 6DRAINAGE DIRECTIONS DENOTES LOT CORNERS : o CERTIFICATE OF S RYEY DENOTES OFFSET STAKE: o 3 henby certify thaf this survay , plan or reporf was pnparsd by me or unCer my diract supervlsion and that I am a duly ReyisTareA Land Surveyor under the laxs oi this Stafe oi Minnesofo. ,Q bDate: aq 1.~. V- J• r y . L yren , License No. 14376 I ~ .rAKAW Residentia/ Whae House Worksheet Cue~~uner's Nnmu 120-J t i Lk. (/Y1 ( OW E.S % qddrw ' Cilv 'c Sute ~ Tip Tdsphone Number p` WINTER:In:ideDasfpn7emp~°F-OWIdeDesipnTemp ~U_ °F. HaaelnpTomp0lffennet~°F SUMMBR: Outside Design TemD ~°F-Inalds Oesign Tsmp 7~ °F ~ Coolinp Tamp Dtffarsnce Jv eF . HEATINO BTUHtD35 • FAOTOR. ~ GROSSWALL DOORS&WINDOWS(TeblsAore) .3d NET WALL Xtio O - ~CEIUNG S ~ D ,3 FLOORS O v - O- IMil~xan Hualinp Vdum~ WIIMM - Nfll~llql e~~~m ~ T o x tOx 1•1/m x x '•'/w x AT x ~ .~S .0 . 0.1e333 ¦ & 6& o x 0.01833 xdo x, m o~ n SUB-TOTAL BTUH LA S Iper 100FI : ADJUSTMENT FAClUR (Table C) TOTAI BTUH LASS PEOPL x 300 BTUH GAIN APPLIANCES BTUH 1200 ,i . SUB-TOTAL BTUH GAIN (room sensible only) x DUCT LASS/GAIN FACTOR (Table f) x SU8-TOTAL BTUH ISensible Gain) ' MOISTUREREMOVAL(subtoWl x 1.3) -Ga-1.8-- ,3 ~ TOTAL BTUH LOSS/GAIN TABLE A-MEA7ING-CDORS & WOODFRAME WINDOWS TABLE B -COOLING - DOORS B WINDOWS . . IPE R 10°F1 - Facton aeaume windows have inside ahaEing by Napsries w wrodan For si'ding plusa doors - us,7 fsccors for the same type window blinds and slWing glam doon are treated aa windows. C:r.i:ruc[ion. ' rypVyyy pqyVpyyi nyyyyd . indow 6 Fnmss DOOIT B~ M xArsa - BLYIIL088 ' RYR0111{ 1tMtOIR. 1WP.WN. 1I4M ~aNMWN mgla Pane s~ iv s! a• ig, r p~ Clear 9.90 10.46 ~1. . ¦ i" a.,.. uP, q Y,g . Wiih Storm Doubk P!M . MuNY/ a 6 Cl88f ~ 8.~ ".fA~ ~O G6W Y teR' Wich Storm uraw ~ a~. . s•~; n s{' iple M. t . a ;_i m~O: Q Claar 3.90 4.38 a usie e. a~v*a~ .e uv w i ~a . Sinqla - 11~ w.r(D mi ^ to au IatkY ingkw storm ~:6:Q:i wrm u ffiu' kyliphb Sinple 11.07 11.89 Q Pwwmeeoa,anu TpTpl,$ po~ynynir wn nrW eoon . Doubla 6.657.3 ~BJSO P«m.uir+m+mnraan . Wood Only 4• - TABLE D- INFILTRATION MULTIPLIENS ' Woodw/etorm 3.20 - - WinterAlrChenpasPorHour Ur th neCore - .1. ~ FborArN. 900mlps 800-1600 1500-2100 ow2700 Urethene oro Ban 0.4 0.4 , 0.3 0.3 lR-51w/uorm qvonp 1.2 1.0 0.8 0.7 TOTALS di? ~ 2.2 LE 1.1 tA ForMChPop4GWtl: "a µWW yoy 0.1 0.2 o.s Summer Air Chsnpas Per Hour TABLE C- ADJUSTMENT FACTORS -(HEA7ING) flaorAna 800orkr 80016011 15004100 o.ar2100 •F. Temperature DiH. ~ 1 40 50 60 70 gp 90 eqt 0.2 0.2 0.3 03 Adjustmsnt Factor 3~ 4 5 6 7 g g '~°f°Q° 0.8 0.5 0.4 0.4 ~ Poor 0.8 0.7 0.6 0.5 fAmerican Standard. Inc. 1986 Pub. No.22-8018-4 P.I. (L) RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWCtlonReaui2menis RertwdeVFieoairReouirements Olfice UseOnN 3 registe2d site surveys shawiig sq. ft. of bt sq. ft of trouu; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum lot wve2ge allowed) 1 set of Eneigy Calculations for heated addi6ons Tree Pres Plan Recd 2 copies a( plan shaxing beam & window sizes; poured found design, etc. 1 site survey far additians & decks Tree Pres Not Reqd 1 set of Eneigy Calalations Addifion • indicate ilansite sep6'c system On-site Septlc System 3 copies of Tree Preservation Plan'rf lof plaped afler 711193 Rim Joist Detail Optmns selecllon sheet (bid3s wAh 3 or less units Date 0 Constructioo Cost Site Address 71 a 44 es {q J e Unit/Ste # Description of Work rer~ Multi-Family Bldg _ Y X N Fireplace(s) x 0_ 1 _ 2 Property Owner 1,31vi~ Fwl46h Telephune#(45I ) I~'T`~- 3990 Contractor ~~?K H.1I04fI4 Address 6 D TCrn City State 1&rn SV:l le MN Zip 5 5 3 3 7 Telephone #(*J*) -758Q COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 su6missiontype) Su6mitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone Sewer/Water Contractor Telephone L) i, ~ By I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand tkus is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. AAA #4094 Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (81dg)• ? 43 Reroof ? 46 Windows/Doors O 34 Replacement •Demolition (EnBre Bldg) • 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 Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ F'ueplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 77456-- ~-o RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 • New ConstmcGon Reauiremenfs RemodeVReoairReauirements ' Office Use OnN 3 registered site surveys shaxirn,7 sq. ft. of lot, sq. ft. o( house; and ag roofed areas 2 copies of pian Cert of Survey Recd (20% maximum lot caveraga allaaed) '1 set of Energy Calculatbns br heated additions Tree Pres Plan Recd 2 copies of plan showing beam 8 wiridavsizes; poured found design, etc. i site survey for atldNOns & decks Tree Pres Not Reqd lsetofEneryyCalculations Addrfron-irMicateAon3rtesepticsysfem _On-siteSeptlcSystem 3 capies of Tree Preservation Plan if lot plaUed aRer 711193 Rlm Joist Depil Options selection sheet (bldgs with 3 or less unBs Date / /o/ Construction Cost UniUSte # Site Address DescriptionoFWork Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner 4 ~ Telephone # wo Contractor ~ Address, City State Zip Telephone ~Q ~ J! U~COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesob Rules 7672 Energy Code Category , ResidenUal Ventilation Category 1 Workshaet • New Energy Code Worksheet (J submission type) Submitted Submitted . • Energy Envelope Calculalions Submitted Licensed Plumber Telephone ) Mechanical Contractor ID RD Telephone ) Sewer/Water Contractor APR 262007 Telephone ) I hereby apply for a Residential Building Pernrit and acknowledge that the information is complete and accurate; that"the work will be in conformance witli the ordinances and codes of the City of Eagan arid 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 plan in the case of work which requires a review and approval ofplans. Applicant's Printed Name , pp icant's Si ptt~pl I OFFICE USE ONLY Sub Types ? 01 Foundalion ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory81dg x 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multl ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazeho) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-pleX Plbg_Y or_ N? 25 MiSCellaneoUS Work Types 0 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof 46 Windows/Doors El 34 Roplacerr.ea2 •Do:nc:ilion (Er.tire -BICg) • Give PCfi hanCoui ;o zpRltcant 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) FinaVC.O. _ Footings (deck) Final/No C.O. _ Footings (addirion) _ Plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows (new/replacemen[) _ Insularion _ Retaining Wall Approvea By , Suilding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Perrnit & Surcharge _ Treatment Plant • License Search Copies Other T I Total 6/0, L71 J PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA112048 Date Issued:07/25/2013 Permit Category:ePermit Site Address: 4124 States Ave Lot:11 Block: 3 Addition: Stafford Place PID:10-72500-03-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Crystal Cochran 7588 Washington Ave S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Richard J Fulton 4124 States Ave Eagan MN 55123 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA112049 Date Issued:07/25/2013 Permit Category:ePermit Site Address: 4124 States Ave Lot:11 Block: 3 Addition: Stafford Place PID:10-72500-03-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Crystal Cochran 7588 Washington Ave S Eden Prairie, MN 55344 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Richard J Fulton 4124 States Ave Eagan MN 55123 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature RESIDENT OWNER Name: C7 c k t YCz 1' rv Phone: 6s 1 q ci 9 go Address City Zip: 54,-, CI k Applicant is: Owner YContractor TYPE OF WORK Description of work: I P*- pYtct 4" y b O ©A- Construction Cost Z Ov Mufti-Family Building: (Yes No CONTRACTOR Name: rZe -A -F L 1-ks £u». -dc t Si L 26 Cie 2' Address: l ti o 6 1 6 6 1 4 'it City: P-p®ie 14 ll r y State: f 9 "'v Zip: -5-5.- Z t Phone: /r) -3 e)4 Contact Person: t /C__ COMPLETE In the last 12 months, has _Yes If yes, THIS AREA ONLY IF CONSTRUC11NG A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _No 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. 10- CityofEaftafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6V Site Address: 1j 2C s474--S Tenant: Applicant's Printed Name r For Office Use Permit Permit Fee: Date Received: Use BLUE or BLACK Ink Staff: Suite*: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. gopherstateonecall.org 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 pennti, 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 wt>ich requires a review and apps .:4 pia x Page 1 of 3 Use BLUE or BLACK Ink r----------------- I I For Office Use rmit#: yn Pe I I City 4'r of Eap I Permit Fee: I ' lo~• aS 3830 Pilot Knob Road Eagan MN 55122 Date Received: Z k3l Phone: (651) 675-5675 Fax: (651) 675-5694 j Staff: t7 I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ' 1 Site Address: LI 12-L1 &O l t ~ V'V Unit Name: I2 c, o IY1 I - l VA Phone: (661 ' 514-1 Resident/ Owner Address/ City/ Zip: Z L'~ r r'* 1+ C_ )-7Ct9 t11 C~ 1 Z= Applicant is: Owner Contractor Type of Work Description of work: _ y ~~12 CaVl ~ ►C1 C~1 Construction Cost: I Z , 6c). t~ Multi-Family Building: (Yes / No ) Company: y'n ~ t' nk•c'2, \N d)dCl l 5 (ni rt Contact::~ei")V)o N~1c.~"tt 1 5~'►l) Address: C~ b;)~r- A-ye . city: 6-1A?) c V:ah ~z Contractor State: HN Zip: Phone: 612 - bol I " CND i License (ice ; 0 2:Z Lead Certificate m 2-3 2-cl -7 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: 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. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hoursM before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.ora 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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. x 3'cnn I r Cd'1 ur l x Applicant's Printed Name p cant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA116116 Date Issued:10/03/2013 Permit Category:ePermit Site Address: 4124 States Ave Lot:11 Block: 3 Addition: Stafford Place PID:10-72500-03-110 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Audrey Flattum Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Richard J Fulton 4124 States Ave Eagan MN 55123 (651) 994-3990 Storm Guard Restoration 1355 Geneva Avenue North, Suite 201 Oakdale MN 55128 (651) 738-1698 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168262 Date Issued:04/14/2021 Permit Category:ePermit Site Address: 4124 States Ave Lot:11 Block: 3 Addition: Stafford Place PID:10-72500-03-110 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - Richard J & Robin P Fulton 4124 States Ave Saint Paul MN 55123--159 T. Dunham Construction Inc 831 Ventnor Ave Eagan MN 55123 (612) 819-0480 Applicant/Permitee: Signature Issued By: Signature