4127 States Ave
SEWER & WATE*R PERMIT OFFICE USE pNLY
CITY OF tAGAN METER 7 Ic~ 7 tZ 5-6 PERMIT QATE 09/ 2 7/ 91
3830 Pilot Knob Rd.
_
~a d V PERMIT # 12317
Eagan, MN 55122-1897 CHIP # Q ~UZ
METER SIZE ~ e s B.P. RECEtPT # • ~ ~ 1 -7
ISSUE DATE - 7-9 f B.P. RECEIPT DATE 091261S~ 1
DATE SrP tti, 1991
_ PRV - BOOSTER PUMP
SITE ADDRESS 41 217 STATES AVE PERMIT REGIUESTED
LOT 23 BLOCK 2 SEC/SUB STAFFORD PI.ACE
_X_ SEWER -.X-- WATER - TAPS
APPLICANT:
ADDRESS: - COMMrIND x RESIDEIVTIAL
CITY, STATE ZIP X NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: MCL1pNALD I'LIkBING Ahead of Domestic Meters on Water Line.
ADDRESS: 18271 KENWOOD TR Credit WILL NOT be given for Deduct Meters.
CITY, STATE LAKEVILLE '~4l ZIP 55044
435-3334 t~/ ~
PHONE: ~
I AGREE TO COMPLY WITH CITY OF
OWNER: FIITTELSTAEDT BROTFERS E#GAN ORDINA)1,CES
ADDRESS: 785 SUNSET DY, ~ , ;
~
CITY, STATE EAGAN 14N Zlp 55123 - 127
PHONE: 456-q125 IGNATURE EN METER ISSUED
, : , , ; . ,,DAYS_
PLEASE ALLOW TWO WORKING FUR PR~CESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. .
t,
SEWER &~TF.~A PERMIT OFFICE USE ONLY
CIfY OF GAN METER # PERMIT DATE 09/27I91
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # PERMIT ~ 12317
METER SIZE B.P. RECEIPT # - DATE 5EP 26,, 1991 ISSUE DATE B.P. RECEIPT DATE 041261 91
_ PRV - BOOSTER PUMP
SITE ADDRESS 4127 STATES AVE PERMIT REOUESTED
LOT 23 BLOCK 1 SEC/SUB STAFFORA PLACE
--X-SEWER _X_-WATER - TAPS
APPLICANT:
ADDRESS: - COMM/IND X RESIDENTIAL
CITY, STATE ZIP X NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: MCDON~ pLU"i?'G Ahead of Domestic Meters on Water Line.
ADDRESS: 18271 KENWMD TR Credit WILL NOT be given for Deduct Meters.
CITY, STATE I.AKEYILLE MN Zip 55044
PHONE: 43 5-3334
I AGREE TO COMPLY WITH CfTY OF
OWNER: t?ITTBL.STABDT BROTBERS EAGAN ORDINANCES
ADDRESS: 785 SUNSET DR
CITY, STATE F-AGAN MN Zlp 55123
PHONE: 456-912 S SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMfTS, CONTACT ENGINEERING DEPT.
DATE: s~p 27, 1991
RE: 4127 STATES AVE (MITTELSTAEDT BROTHERS)
R Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN 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 allowed untit 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 DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
t CASH RECEIPT
CITY OF EAGAN ~
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 ~
DATE ~ 79
FRp1
AMOUNT
8 DOILAFiS
Iao
? CASH C,'J CHECK
FUND OBJECT AMOUNT
Thank You ,
BY
C 15579 Whd&--Pe,sm Cop,, ~
Yelbw--Posdn9 C.cVY
Pink-File CoPY
-.s...~i?"~^..r"r""r~'r~wwwm'Y'W"N m n.~}
, • CITY OF EAGAN 19747
' . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt # ~ t
7o be used lor sIF DWGf GAR Est. value $41 r000 Date SEP 26 g 91
Site Address 4127 8TATE8 AVE
23 Z g~paRp pJ~E OFFICE USE ONLY
Lot Block SeGSub. ~3
ParCel NO. Occupancy FEES
MITfELST/1ED^f dROTHERB zoning Y-!1
¢ Name
(Actuaq Const Bldg. Permit s •
W ~
o Address 785 5l1NSET DR (Allowable) VN surcnar9e ~5•~
City EAGAN Phone 4%"9125 +r of 5torres
Pian Review 389.00
Length
Zo Name S~ aePln sAC, ciiy 1~•~
ou ` Address S.F. Total - SAC, Mcwcc 650•00
~ City Phone S.F. Footprints - 660.00
" On Site Sewage _ Water Conn
~
~ W Name or+ siie weu X Water Meter 95.00
Address MWCC System q~t. Deposit
<W City Phone citywater ~
PRV Required _ S1W Permil 30'00
I hereby acknowlege that I have read this application and state that the Booster Pump - ~yy Surcharge .
~
information is correct and agree to comply with all applicabie State of 276.00
Minnesota Statutes and City oi Eagan Ordinances. ~ Treatment PI Signatureof Permitee '''4 ':-e ~ ` APPROVALS 370•00
Road Unit
A Building Permit is issued to: biTTU?~~ UOTKM Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council ~
applicable 31ate of Minnesota Statutes and City ol Eagan Ordinances. Bidg, Oft. _ COpieS
Variante - TOTAL ~~~b~~~
Building Official
~
l Permit No. Pertnit Holder Date Telsphone Af
WATER
SEVYEFi
PLUMBING
H.V.A.C.
' /~l ~f~•GGbJ
ELECTRIC
Inspection Date Insp. CommanLs
Footings I lL'/z ~
/
Foundation
Framing
Raofing
Rough Plbg.
Rough Htg.
Q
lsul. ie)- Z- y a s
Firepiace
Final Htg.
Orstat Test f "
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr.lPlan
Bldg. Final 2 _ ~
Dedt Ftg.
Dedc Fnal
Well
Pr. Disp.
23 .~S I •
~ ` •
Citp of Cagan
30P#tNrb2tPtiY 11f l1illai"o itlwlltm
T1ris C,emfu.a' te issuedpursuan! to the requirements of Secfton 306 of the Urufonri Buildritg
Code cerlifying thal at lhrlinie of issuance lhrs=cture w+as in rampliarrce wrih the vnrious
ordinanoes ol the City negukin8 building conshuction or use. lKor [he jollowing:
uwammmfi, SF DWG/GAR 8W& Pcmk K,, 19747
pa,w.ftTryN R- 3 M-1 zoa6g pkaict R-1 ryp, cnmr V_N
O,..fa.j&4g MITTELSTAEDT BROS A&i,,,785 S rNSET Dtt _
g,m;,gA&b,, 412 7 STATES AVE L,.rj 1R?,yTAFFnRll Pi.A CR
n„c Nav 27, 1991 _
BumiAg O&W
POST IN A CONSPIq10US PLACE
/
. _
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: ~ . ~
(612) 681-4675
SITE ADDRESS: APPLICANT:
a?'Jt r.I A r+
• I r, f : ~ ~ ~ ~ , 1 1 t ~ i r ~ ~ . . ~ ~
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
~ ~
Permlt No. Permft Holder Date Tebphorke t
SNY
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Data Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isui.
Rreplace
Fnal Htg-
Orset Test
Flnal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Dedc Ftg.
Deck Fnal ~
weli
Pr. Disp.
A %7/9~ 10 3 ss 3
0 4 0 8 8 6L 'A3 58`l s
Pequest Dale Flre No. ough~ln Inspection
Fequiretl? ? Reatly Now~Wili Novly Inspecmr
C' ~ ~ I~!h'es G No When Reatly?
Ixlicensed contractor J owner hereby request inspection of above electrical work ai:
Jab AtlCress (SVeeL 8ox or Rame No.) Ciry
Seclion No. Township Name o. No. Range No. Counry
I
_
O[<upantlPRINTI /.z PM1o`ne No.-
L.G-G~.S / /Y/`~~(~L_
Power Supplier Atltlre55
Electncal Contmcior IGompany Namel Gonhactor's License No.
MnM1ng AtlOrB56 IGOnVacf, 0r Owner Mdking In51dll8tqnl
In TPh/one/ lNu/mber
nzed Si Wre ICOnIr Io~~Owner Me'eing stallalron)
iAW~o P'
MINNESOTA STATE BOARD OF ELECTNICITY THIS INSPECTiON REOUESi WILL NOT
GrIB95-Mitlway Bltlg. - Room 5-173 . BE r1CCEPTED BY THE STATE BOARD .
1821 University Ave., SL Paul. MN 55106 ' UNLESS PFOPER INSPECTION FEE IS
Plwne (612) 662-0800 ENGLOSED.
7RqpType EST FOR ELECTRICAL INSPECTION 4 ee-ooom-oe ee msimctions for o omplettng ihis lorm on baok ol yellaw copy, r"X" Below Work Covered by This Request ewiAdd fBuiltling ApplianceSWired EquipmentWrted
i Range Temporary Service
Water Heater Elechic Heating
g Dryer Other (Specify)
usirial Furnace i
Air Conditioner
~ Comrector's Remarks:
Compute Inspecfion Fee Below: -
rr Other I Fee # Service Enirance Size Pee # Circuits/Feetlers Fee
Swimool O to 200 Amps SY+ 0 to 700 Amps
Transtormers Above 200 _ Amps yea Amps
ISignS Nspector's Use Only: ~ co OTAL
ilrrigation Booms
Speciallnspection
A1arm/Communication THIS INSTALLATION MAY DE SCbNNECTED IF NOT
Other Fee COMPLETED WITHIN 18 S.
I, the Electrical Inspector, hereby Rough-in a~e ~y
!
certity that the above inspection has F,,,ai r Data / r-
been made.
OFFICE USE ONLV ~
This requesl voitl I8 moNhs lwm
~ CITY OF EAGAN N2 19747
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
/~i ~
BUILDING PERMIT PHONE:454-8100 ReceiPt p l' ;
ToEeusedfor SF DWG/GAR Est.Value $91,000 Date SEP 26
SiteAddress 4127 STATES AVE
Lot 23 Block Z Sec/Sub. STAFFORD PLACE OFFICE USE ONLY
Parcel No. occuPancy R-3 M-1 FEES
Zonin9
MITTELSTAEDT BROTHERS
w Name (ncmaq Consl V- N eldg. Permit 599 _ no
~ Address 785 SITNSET DR (Allowable) V-N Surcnarge 45.50
City EAGAN Phone 456-9125 x of stories -
0
Lenglh 46' Plan Review 389.0
fo Name SAME Depih 46.' snc, aty 100.00
0,¢ Address S.F. Total - SAC, MCWCC 650.00
' City Phone S.F, Footprints -
On Site Sewage - Water Conn 660.00
~
~w Name onsnewen 95.00
~w WalerMater
~ AddfeSS MWCC
sSystam
a~ Cify Phone cirywater ~ Aat.Deposit 30.00
~
PRV Require0 _ S/W Permil 30.0
I hereby acknowlege ihat I have read ihis applicalion and state that the Booster Pump - S/y./ Surcharge • 50
information is correct and agree lo comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances~. Treatment PI 276.0
0
SignaWre of Permitw4o APPROVALS Road Unit 370.00
A Building Permlt is issued to: MITTELSTAEDT BROTHERS Planner - perk Ded.
on ihe express condition that all work shall 6e done in accortlance with all Coundl _
applicabla State of M/in~nesola StatuteIs and Cei/ly of Eagan Ortlinances. gNd9, pff, CoOies
0
7 1_,~~pl.(1l, + rn ll Variance - TOTAL 3,245.0
Builtling Otlicial ~
Address: 4177 STATES AVE Lot 23 Blk 2 Sec/Sub STAFFORD PLACE
These items were/were not complete at the time of the final inspection.
Yes No . Z 'G'
Final grade (6" from siding)
Permanent steps - garage ~
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch ~
Basement finish
Deck
Please verify with the builder tha removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lacan faucet befora
freeze potential exists. . ~
~EnaeonR~
White - City copy Yellow - Resident copy Pink - Contractor copy
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OP EACAN
v 3830 PILOT KNOB RD, EAGAN MN 55122 ~
651-681-4875 ~
NewConsWetlonReuuiremend RemodellReoairReauiremeMS
• 3 registered site surveys showirg sq. fl. oF lot, sq, ft. ot house; and all roofed areas • 2 coPies of plan
(20% macimum lotcoverage allowed) . 1 set of Energy Calculations for heated addNons
• 2 topies of plan shovdnq beam 6 window sizes: poured found desgn, eta) • 1 sile survey for ezlenor additions & decks
• 1 set of Eneryy CalculaEons . Indicate if home served 6y septlc system for addilions
• 3 wpies of Tree Preservatlon Plan it lot platted ader 711/93
• Rim Joist Delail Oplions seleclion sheet (bldgs with 3 or less unas)
DATE _6Q IaSl6Z VALUATION ~ ~SCJU. e=
SITEADORESS 41Z-7 STA'(ES AvE MULTI-FAMILYBLDG _Y ~N
TYPE Of WORK 1'J£lIJ izooli7 FIREPLACE(S) 1 0_ 1_ 2
APPIICANT I1k`/ LOZ '(31206K CO'RP.
STREET ADDRESS 35771 ndA I2 AvP S• SuIT~ IOZ CITY mNAS STATE!t~ ZIP SS409)
TELEPHONE # CELL PHONE # Fax #k6l-5a13
PROPERTYOWNER Du~ig-L 5' &Th -A2ini TELEPHONE#(~~i_
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNGSO'C:\ RULES 7670 CATEGORY l MIN~ESO
(J submission type) • Residential Ventilation Category t Worksheet Submitted • N rke ted
• Energy Envelope Calculations Su6mitted D ~UN 2 8 2002
Plumbing Contractor. Phone #
Plumbing system includes: _ ~Vater Softener _ Lawn Spdnkler BY .00
Water Heater No. of R.I. Baths
No. of Baths
Mechanieal Contractor. Phone #
Mech:utical sysfem includes: Air Conditioning Fer. $70.00
_ Hea[ Recovery System
Sewer/Water Contraetor: Phone #
I hereby acknowledge that I have read this application, state that the informatio is corre , and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan inances.
Signafure of Applica
----__..r_-------------.- _.._.__--__~___..r--- -
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Upda[ed 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 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 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck 0 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Altera6on ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement *Demolition (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 Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Founda[ion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Au Test Final _ Windows (new/replacement)
_ Insutation _ Retaining Wall
Approved By , euilding Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Piumbing Peimit
Mechanical Permit
License Search
Copies
Other
Total
' - 1991 BIII IN P IT PPL CATION 2j
CITY OF EAGAN ~7
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COhII4ERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (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.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: GcrL- `-jvi,LY Valuation: ~ Date: c{LZ(i!~!
Site Address N"1' ey~ AVE OFFICE USE ONLY
Lot ~ Block ~2_ FEES
Occupancy R-3 M-I Bldg. Permit 599.ao
Zoning Surcharge
Parcel/Sub ~yy~-i~/C,~ pth Actual Const V-N Plan Review 3 9Uo
D
Allowable V- N SAC, City 010
Owner # of stories SAC, MWCC (D pV
Length y6, Water Conn. &A0,J0
Address Depth Water Meter 96,0
J
S.F. Total Acct. Deposit 3 O.0o
City/Zip Code Footprint S.F. S/w Permit 30,00
S/W Surcharge • S0
Phone On site sewage_ Treatment P1. Z']b.ou
On site well Road Unit 370,00
Contractor N,7rfp-~j%ge~, MWCC System ? Park Ded.
^ City water ? Trail Ded.
Address PRV _ Copies
Booster Pwnp
City/Zip Code ~ 3`~/ x. 7 SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change n --I
Council TOTAL `J °c. l.f S
Arch./Engr. Bldg. Off. p$-9/
Variance n n Q
Address \ e ~~y.w-~-~ (
City/Zip Code
Phone #
16 agrees that all work shall be done in accordance with
-T(Signatur of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
vA~,,-~ ~ . .
GiAraa.vE
ZOX2"2,P 4yo xIS= 6G00
T3SMT
y~+4b~ Ilo4
II'dy x +4= 16s~G
~
'~Sm7 ; i t hS~{
~'1z x ~ 3 = ~
.
_9---~---
1z12 xs3 = G7,
$92 ° n `~fl~ Ot~O'
°?o1
SURVreYOR'S CERTIFICATE MITTELSTAEDT BROS. CONST.
STATE AVENUE
910.3
T 91f.7
O ~
M M
910A 911.1 - 912.5
9oa.e s o.oo s a° ao' w-_
(CIlo-3) o (91Z.7)
/ o
BFNCH MARK
TOP oF PIY4 PHOPD$D
~ ORNEW4Y
Et[v.•Y10.~~_ . .
/y ¢.7 iIY.B J 0[MCH MAIIN
21.00'• ¦ ..19_ loP 0F NR.
0 91Y.0 20.0 w El.lK•YIE.ES
OAR.~
Cp M s ro.e , ~
N n . 1 . 7
~o .011? /s
r- PROhdSEU I
HuSE N
p o
~
.,2i~oo 46.0 14 0- ¦ais.e
911.8 ¦ i ~
9,=.,
s,Z.. rv14 7
$ I (9i9 zJ~ I
~ LOT 23
' y~L VEaA'N4GE
~ ( SEMENT 5 Ut1UTY
pIAT` ~ 7, ;
slo.4 A
~1i3.o) -•~+1 n i~.+.-<<~ ~
. l~ C. ¦u.e^_
Z (ql9b)
N07ENO 8PE1CpIC SOILB iNVESTI6ATION HA9 BEEN COMPLETED NOTBr BV40t?q dMFN9ION9 fNl7WN A11E
ON 'TH19 WY BY THE 4URVEYOR. THE 9UIYAlIIITY OF ~~Ly~! ~A~. yp~
90115 TO SUPPORT THE lrt1CIFIC MoUBE PROPOSEO ~9 ~ ON Of f?1KICT~{IR Ol~.f. KE
NpT TNE pElYONSIBII.IYY Of THE aurrvEroR AIlGNfTFjCf1Ml /4~1O 'a w+KOUo
DENOTES PROPOSED SURFACE DRAINAGE a faxa~T~ o~o~" •
O DENOTES IRON MONUMENT 5ET SCALE: 1 INCH - 30 FEET '
* DENOTES IRON MONUMENT FdUND PROPOSED OARAGE FLOOR - 91f O FEET
X000.0 DENOTE3 EXISTING ELEVATION PROPOSED LOWEST FLOOR - 911 •Z FEET
(Ol;.?.Q) DENOTES PROPOSEO ELEVATION PROPOSED TOP OF BLOCK- 41f.9' FEET
WE HEREBY CERTIFY TO MITTELSTAEDT BROS. CONST. THAT THIS IS A TRUE AND CORRECT
REPRESENTA710N OF A SURVEY OF THE BOUNDARIES OF;
LU7 23, BI.OCK 2g STAFFaRD PLACEI ACCORDIN(3 1U THE
RE7CORDED PLAT TH6RF-OF9 DAKOTA COUNTYt MINNESOTA.
IT DOES NOT PURPORT 70 SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME Op UNDER MY DIRECT SUPERVISION THIS 23RD OAY OF SEPT. , 1991.
M R. HILL, INQ
~RAOES SHOMM WEAE TAKEN ~
PROPOSED SIGN;y:
FIIOM THE GRAON6, ORAINAOE A ENO910N a~
~ CONTROL PI..AN FOR STAF!'OIID RACE, PREPARED BY HEDLUNO ENOItEEpING, HN C. LA
RSON, LAND SURVEYOR
LAST DA1ED e-ai •et MINNESOTA LICENSE NUMBER 18828
~ a~~ ow o Ja mes R. Hill, inc.
o~ o o`~'' s Z~ m~~ PLANNERS / ENGINEERS / SURVEY~RS
~ • ~ m rn tD <
2500 W. CTY. RD. 42 0 BURNSVILLE, MN. 66887 o 812-890-604d
~ Y
'91-09-25 13:42 PAGE = 01
, DATE
. _ ' ERTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER
~7
SITE ADDRESS hJ/4
CONTRACTOR__ ~ ~ T7 ~`L 57A E Ar Q/Lns ~n,~i•yT '
ADDRESS q$~~ Citt,clS.Cr /1. ERL16)PHONE yS6a 4'/ 2S
DETERMINE WORRIRG SQ'JAFE FUOTAGE OF EACH.
1. Total exposed wall area a a(010 aq: ft. x.11 v~
2. Total roof/ceiling area J~k rp Z sq. ft. x•026 s z,~
Total exposed wall area abova floor - 2l9 2
a. Total wall window area 2$,rj
b. Total door area _3 9
c. Total sliding glass door area 3~0
d. Tatal fireplace wall area ~
e. Total wall framing area (average lOx) 21 q
f. Total net wall area above floor I y y 2..
g. Total rim joiat area 2 0/
Total exposed foundation area ~ 'J y
h. Total foundation window area p
i. Total net foundation area above grade 17 N
Determine "U" value of aach wall segment.
a. 255 x "u" , 45 - ~/Y.St
b. 39 R "U" .07 ~ 2.7
c. 36, x"U" .412, - l ri. 1
d. p R"U" o ~ o
e. ',t 19 x "u" 2 q, /
f. lyy2. x ,oUts nti3y
s. 201 x"u„ , Dyy
h. Q X"U" O ~ D
t. 7y x ItU,o , o$~
3 . ...............................Total
If item 93 is tne ee.:.a a_, or less t.*.an item 41, you have met the lntent
of SBC 6006 (c)2.
-1-
Page 2 of 2
Total exposed roof/ceiling azea ~ I Z.. S Z
J. Total skylight area ~
k. Tntal roof/ceiling framing area (ayerage 107.).. rj $
1. Total net insulated roof%ceiling area 1117 y
Determine "U" value fot each roof/ceiling segment. ,
j • O 7C ItUto ~ ~ -
k. 98 x "u" .0258 ^ '~.o
i. 11 7H R flU„ .o*2 Ig ~
,
4 ..........................................Tota1 . /
If total of $4 is the same as, or less than #2, you have met the intent
of SBC 6006(c)1.
Alternate Suilding Envelope Design
To utilize the total envelopa aystem method, the values established by
the sum of items 03 and I{4 shall not Be greater than the sum of items
, #l and 02. ,
1. + 2. . * v
3• + 4.. . s
i
-2-
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I C D I N G
Eagan, Minnesota 55123 PertnitNumber: 023709
(612) 681-4675 Date Issued: 0 5/ 2 5/ 9 4
SITE ADDRESS:
4127 STATES AVE
LOT: 23 BLOCK: 2
STAFFORD PLACE -
P.I.N.: 10-72500-230-02
DESCRIPTION:
Building--Permit Type DECK
8uilding Wask Type NEW
~
~
~
.
REMARKS:
FEE SUMMARY:
,
. .
Base Fee $30.00
Surcharge $.50
Total Fee $30.50 i:
. .
CONTRACTOR: - Applicant - ST. LZC. OWNER:
CUSTOM HANDYMAN 15521599 0007765 PARRR DANIEL
1317 SOUTHVIEW BLVD 4127 STATES AVE
S ST PAUL MN 55075 EAGAN MN
(612) 552-1599 (612)686-8581
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City ofi Eagan Ordinances.
L -1
I r~
-tauo
P IICANTIPERMITEE ISSIED el'I SIGNATURR
~
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BurLoiNG
3830 Pi lot Knob Road Permit Number: 0 2 3 7 0 9
Eagan, Minnesota 55123 Date Issued: 0 5 J 2 5/ 9 4
(612) 681-4675
SITE ADDRESS: Lo T: 23 B L 0 C K: z APPLICANT:
4127 STA7ES AVE CUSTOM HANDYMAN
STAFFORO PLACE (612) 552-1599
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION .
FOtlTING5 FINAL
F ~
L ~
CITY OF EAGAN RECEEMED
~ 9 1994 BUILDING PERMIT APPLICATION MAY 2 0 1994
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Z~ Valuation of work c3C~
T~7
Site Address:_-4127
STREET SUITE #
Tenant Name: (commercial only)
LOT ~ BLOCK 1__ ISUBD. p.i.D. #
A
Descri tion of work:
The applicant is: ? Owner Contractor ? Other (Describe)
Name k?2A Phone 68'id -8'Sfl
Property LAST F,RST
OWnet' qddress 41`L'7
STREET STE #
City State AtJ Zip
Company Cu$~m ~004 4-"J Phone 5152 - /59
Contractor Address 139 S. 6~«,raC Zxc-4-u-$License #dD0776 S Exp.
City -Sav-N`• Sd-, State µJ Zip S509S
Architect/ Company PR.o,tc~5ic,~?,ei_ 1~i6&1 Phone 77 1~ /3'6 D
r.-
Engineer Name Registration #
Address (Z1)
City State M~ Zi p 55'10 f
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 'th all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: a'L.-~
OFFICE USE ONLY
~ .
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Ouplex ? 11 Apt./Lodging ? lb Basement Finish
? 02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
D 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ED 15 Deck 0 20 Public Facility
? 21 Miscellaneous
WORK TYPE
JR 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Canst. (Actual) Basement sq. ft. MWCC System
(A1lowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. tatal Booster Pump
# of Stories Footprint Sq. ft. fire Sprinkler
Length On-site well Census Code ~ sDepth On-site sewage SAC Code m i
Census Bldg T
APPROVALS Census Unit
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? .Site I,gf'Footing ? Framing ? Insulation
? Wallboard JB Final 0 Draintile ? Fireplace
Permit Fee vew.t;«n: $
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
' S C E RT i F I C AT E MI TTELSTAEUT BROS. CONST.
STATE AVENl1E
910.! T YIt.T
M O
M010.0 OIAT •Il.O
ooDB - 90.00 S4°30'W
o,3) o o9ia.i i ~ (91Z,~1
OFNCN MAqK f'fi~P(7[~I1 1 ~y ti , •
TOP Of PIPE { DqNEW4Y
EL[ V. • 910.7H~_ ~ /
21.0~ " I`y i 4, 7, PIQ.6 ~ B[NCH MARK ,
~ 1 . •c'~9_ _ 1D/O~HR.'.
`j'- 200 ~ FLfK91l.00
i 1
~ j . .
~ ~(Y197~ 9i OAq.~ I I ti
(O M 91D.6~~ 19.17 IDIP3 ~ N
~ _ _4
; 1° ',6
L.kT. PHOUSE / e 1 ~ i_\ii
1
t N ~ N
46.0 14 O- . B~~.s
911.6 I
iz.s !4 '7,) 9is.r
~ I ~ ( 9i9 z~~ I
~ oos
I LOT 23 I ~
5[n E= ENT PE~ PIAT
f10.1a 19 , _
~ .
Niwn i. . .
T7 ' . ¦I6.!
~ i C.
`r (ql9b)
NO7E& NO 8PE1CPiC SOilB INVESTGATION 14A4 BEEN COMPLETEU NOTEi @u1LpIN0 qMEHS~OH9 ~HOMM ME
. ON ?NI9 LOT 6Y 7NE 9UpvEYdi. 7tE 9UITAsiLITY OF ~~zQ~T ~ SV~1tT ~QC
901LS TO SUPPO(IT TNE lrEGIFIC HOUS! PROPOSED IS RtION Of'll~ ~ ~[F
NOT THE RESroNlIOII.ITY OF THE SURYEYOR A~f~~ ~~1~u~ Riop
+ DENOTES PROPOSED SURFACE DRAINAGE s oOUNOATWN OM~NIwMt
O DENOTES IHUN MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENi FdUND PRUPUSED QARAGE FLOOR - 9/f O FEET
X000.0 DENOTES EXISIING ELEVAt1UN PROPOSED LOWEST FLOOH - 411•Z FEET
(000.0) UENOTES PROPOSED ELEVATIUN PROPOSEG 1 UP OF BLOCK - 9l f- 9' FEET
WE NEREBY CERTIFY TO MITTELSTAEUT BROS. CoNST. 111AT TFIIS IS A TRUE AND CORRECT
REPRESENTA710N OF A SURVEY OF iHE BOUNDARIES OF:
LOT 23, BLQCK 2, STAFFURU PLACE,ACCOhDIN(i TO TNE
FiOCORDED PLAT THEREOF, DAKOTA COIxNTYl MINNESOYA.
IT DOES NOT PUAPpRT 7p SFIOW IMPROVEMENTS OR ENCROACtIMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY UIRECT Sl1PEHVISIUN THIS 23RD DAY OF SEPT. , 1g91.
CITY OF EAGAN FOR CITY USE ONLY 3G(CI~
~ 3830 PILOT KNOB ROAD
. " EAGAN, MN 55122 PERMIT #
PHONE: (612) 454 8100 RECEIPT #/O 335 P
DATE: /0 9 9/
~STD~t~TTSAXc: PLEASE COMYLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLZNGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ADD-ON MINIMUM $15.00
ADD ON _ HVAC 0-100 M BTU 4.
REPAIR _ ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM Kz~
OWNER NAME: s Ti~cvT Tf2 OF 1 PER PERMIT o
SITE ADDRESS: STATETSURCHARGE: $ 2 750
Z 3 ~ s Ts~ r~-a2v a>c .9- cti
IAT: BLOCK _ SUBD. TOTAL: $
INSTALLER: -
ADDRESS: BUrnSVIIIB H88t111g 8~ A/C II1C. SIGNATURE OF PE EE
12481 o e Is an Ave. So.
ciTY: Savage, MN 552M•1122
894•0005
PHONE
CO~f~RGIALj~I!IbU~TiZ~b~; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT SUILDINGS, AND MULTI-FAMILY BIIILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-
CONTRACT PRICE: FEES
OWNER NAME: 1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING'- $25.00
IAT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: 2IP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
I ~ry;_dffce"~;Ise ~
Pe
Clty of Ea~~Il 401~ ~ rmit#.
I I
I Permit Fee:
3830 Pilot Knob Road ~ b~ ~`S I
Eagan MN 55122 I - ~
~ Date Received:
Phone: (657) 675-5675 r ~
Fax: (651) 675-5694 I Staff: Z'p , I
L - - - - - - - - - - - - - - - - - I
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: U'" OP) SiteAddress: `T (~1 aC4,~'j m
Tenant: Suite
RESIDENTI OWNER Name: 1>C,(hi,q o PC(;(m Phone: (:~61 - Olrs
Address / City / Zip: .
CONTRACTOR Name: License
Address: Ct18rop10I1 -
851,385-1340
City: aN7p dadd Rd #100 State: Zip:
E'9ge1P~~~2~3=Y33g' ~f ~ S (il'1
Phone: Contact Person:
TYPE OF WORK _ New zReplacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: C r
PERMITTYPE RESIDENTIAL
? Water Heater Water Softener Lawn Irrigation Add Piumbing Fixtures
RPZ PVB) ~ Main _ Lower Level)
Septic System Water Tumaround
New
Abandonment
RES/DENTfAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (Includes $.SD State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
`UVater Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace bumed out appliances, duciwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ 50°c o
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance vrith the ordinances and codes of the Ciry of
Eagan: that I understand this is not a permit, but only an application for a pertnit, and work is not to start without a permit; that the wwk will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X, 1c~,rnP~ X
ApplicanYs Printed Nam~ ApplicanYS nature-
FOR;OFFICE USE : Reviewed
y . Date Requifed inspections. _Under!Groundrr. ~ h In rfiirTesf~ ~'~'~GasTest , ` Final ` ~
,a
x .
~ 930 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA135932
Date Issued:04/13/2016
Permit Category:ePermit
Site Address: 4127 States Ave
Lot:23 Block: 2 Addition: Stafford Place
PID:10-72500-02-230
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel J Parra
4127 States Ave
Eagan MN 55123
(651) 260-2647
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170420
Date Issued:07/01/2021
Permit Category:ePermit
Site Address: 4127 States Ave
Lot:23 Block: 2 Addition: Stafford Place
PID:10-72500-02-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Daniel J & Beth A Parra
4127 States Ave
Saint Paul MN 55123--159
(651) 260-2647
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178130
Date Issued:08/02/2022
Permit Category:ePermit
Site Address: 4127 States Ave
Lot:23 Block: 2 Addition: Stafford Place
PID:10-72500-02-230
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel J & Beth A Parra
4127 States Ave
Saint Paul MN 55123--159
One Hour Heating & Air
15191 Boulder Ct
Rosemount MN 55068
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature