4132 States AvePERMIT
City of Eagan Permit Type:Building
Permit Number:EA128353
Date Issued:11/06/2014
Permit Category:ePermit
Site Address: 4132 States Ave
Lot:13 Block: 3 Addition: Stafford Place
PID:10-72500-03-130
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 by law in ALL single family homes .
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 -
Robert Formanack
4132 States Ave
Eagan MN 55123
Complete Builders
1405 N Lilac Dr Suite 240
Golden Valley MN 55442
(612) 600-2063
Applicant/Permitee: Signature Issued By: Signature
CASH RECEIPT
CITY OF EAGAN '
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
1
UATE - I f ` 19 -1- L ,
r~cFavEO - - ~4'
-c
~
AMOUNT
, & DOILAFiS ~ r
,oo ,
O CASH C~ CHECK '
~
wn ~L(~t~ - l
- - ,
FUND OBJECT AMOUN7 ~
Thank Yau
BY - '
C ^ ~ " ~ 10 %ftt&--P&Y- COPY
Yelbw--Postirg Copy ~
PWc-Flle Gopy
BLDG. PERMIT NO.
1.__.c-~- rJ c c.(, L .
' 01-3210 Bldg. Permit
01-3422 Pian Check
Cc
J 01-3445 Surch./Adm.
. J •7r
~ 01-3446 SAC/Adm.
~ 01-2155 Surcharge ~ •
, 75-3860 Road Unit
~20-2275 SAC 51c'
~ 20-3865 Water Conn.
20-3868 Water Trmt
~
~ 20-3716 Water Meter ~ ? ~ ~
, K 20-2252 Acct. Dep. ~ ~l C~C•
` 20-3713 Water Permit I ~ (X)
~ 20-3743 Sewer Permit 3C"o
79-3866 Sewer Conn. I(`l-C) O
28-3855 Park Ded. ~
TOTAL
BLDG. PERMIT NO.
~
i'~ t'J 1L-le L.
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm. -7 C
~ 01-3446 SAC/Adm.
~ 01-2155 Surcharge ~ vC) r
~ 75-3860 Road Unit ' 0 C0
20-2275 SAC d5 '
~ 20-3865 Water Conn.
~ 20-3868 Water Trmt.
~ 20-3716 Water Meter C: 0
~ 20-2252 Acct. Dep.
~ 20-3713 Water Permit ~ ~ ~ CC)
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
+I
~
TOTAL '7~ ~C~
3EWER & WATER PERMIT OFFlCE USE ONLY
CITY OF EAGAN 4; 4 r
3$30 PIIOt KnOb Rd. PERMIT DATE
P.O. Box 21199 WATER PERMIT SEWER PERAAIT
'
Eagan, MN 55121 METER # ~.z B.P. RECEIPT #
# B.P. RECEIPT DATE
METER SIZE
ISSUE DATE -S L- 31-9 9 - PRV _ BOOSTER PUMP
SITE ADDRESS PERAAIT REQUESTED
LOT t~LOCK ~ SEC/SUB S; AFFG!?D PLAU
x X
APPUCANT: 'i1,~ ;+:E~1' 110.11 c S i:-n -SEWER _WATER _TAPS
ADDRESS: CE[jP.R'vALE nRIVF_
7,1aAN 1~^N COMM/IND _ RESIDENTIAL
CITY, STATE ' ZIP '
PHONE: Y'~4 3 3 x NEW _ EXISTING
PLUMBER: '}7AR P! UM81tJG
ADDRESS: i018 MrTh D ~EP M"J t' I AGREE TO COMPLY VYITH CITY OF
CITY, STATE '~TC;t, '`i•. EAGA1416RO1NANCES:
ZIP .
~ "
PHONE: `n - 4 ;
OWNER: . _ _ , ~
AODRESS: ~~~9 KF6i 4E sG. SIGN ~ ER ISSUED
CITY, STATE ~
. 1p{1Frj Ni;i ?A~ ZIP PHONE: ~ -21
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. -
SEWER & WATER PERMIT ~ OFFICE USE ONLY
CITY OF EAGAN
3830 Pilot Knob Rd. n PERMIT DATE
P.O. Box 21199 WATER PERMIT # l{~~3a44 SEWER PERMIT #
METER # B.P. RECEIPT
Eagan, MN 55121 xi READER # B.P. RECEIPT DATE
4 METER SIZE
~ ISSUE DATE - PRV - BOOSTER PUMP
SITE ADDRESS
PERMIT REQUESTED
LOT ~ BLOCK ^ SEC/SUB AFFOE;o i%! A,CE
Y. ~r.
APPI;lCANT: ~0,,;' -SEWER - WATER - TAPS
ADDRESS: 3902 CE,?F,MA!.E ~2I`!'~' _COMM/IND -RESIDENTIAL
CITY, STATE ZIP .
PHONE: NEW - EXISTING
PLUMBER: :JAR PLt~~ 1B I ;
ADDRESS: ? 01 ~ MOUrdU l r:.?I AGREE TO COMPLY WITH CITY OF
CITY, STATE .;'-U~).141NGT dPd ZIP EAGAN ORDINANCES:
r4 X. PHONE: OWNER: 4ANIEL & 3F'.' . ."(~,THTc,,
ADDRESS: KF66 RVr cn. SIGNATURE WHEN METER ISSUED
CITY, STATE i?OMi~GI[IIN, "L ZIP -~",~7
PHONE: _ : . .1z4 11 ~';ti
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERAAITS, CONTACT
ENGINEERING DEPT.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for UW; L:kl-. Est. Value ~66CCt? I Date APR 4 , 1 gAi9-
Site Address 4132 : TA`t'i•::~ t.V L
OFFICE USE ONLY
Lot I % Block 3 Sec/Sub. ST AF~'4~ p1•~CE
ParCel N0. Occupancy jR-3 FEES
Zoning R-1
W Name ~'ROw't'IFR t•:Ic~hES'i' HOl1ES (ActuaqConst Bldg. Permit 49Q•~
o Address '~~n2 rFnAQv:~~.~ DR (Albwable) V--~
Surcharge 34.00
City i?ACAI* Phone 4S4-"33 # of scories -
Le th Plan Review 2"-~
n9
=p Name SA'=E Oepth SAC. Ciry .100000
vQ
o Addf@SS S.F. Total SAC. MCWCC 575,00
~ City Phone S.F. Footprints -
On Site Sewage _ Water Conn S~-0~
~
W¢W Name On Site Well - Water Meter 40-~
AddY2SS MWCC System F
<W City Phone Ciry Water }(x Acct. Deposit 30.00
PRV Required _ S"W Permit 20_m
I hereby acknowlege that I have read this application and state that the Booster Pump - S,W Surcharge 1-~
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI 2249,00
Signature of Permitee APPROYALS Road Unit 340. CC)
A Building Permit is issued to: k7 M4T }insiF S Planner - park Ded.
on the exp?ess condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. &dg. Off. _ Copies
Building dificial Variance - TOTAL ` , 742. C(}
Permit No. Permtt Holder Date Telephone #
WATER
SEWER
PLUMBING 10 '/1,Jy~ ',07 O
'
~
H.V.A.C. ELECTRIC
inspoeNon Date ` Comments
Footings I
Foundation li Framing
Roofing
Rough PIb9.
Raugh Hlg.
Isul.
Freplace
Fnal Hlg.
Final Pibg.
Const. Meter Plbg. Inspector - Notify Plumher
ErgrJPlan
Bldg. Rnal
Dedc Ftg.
f)edc Final
weli
Pr. Disp.
i~ ~ • ~
s
" (gtrtif irafr of (Orru~anry
Citp of (fagan
lppartmnd of 'sm[bbig jwjprtim
This Certifuate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying rhat at the time of issuance ihis strucuere was in compliance wrth the varroers
ordinances of rhe City regulating building construction or use. For the following.•
umcbsuradoo SF I7WG/GAR ek%. %,m;t No. 16247
LR3/M 1 Zai~R 1 r~yx E VN
o~ B~ FR[NI~t MII~IPST~'S 3902 r'.~ARVAI IR, EAGAtV
STAFP~tD PII~
4132 ewiaing aaa,- STA'IF.S AVHNOE Lowity , .
_ ow: June 19 1 1989
euddrns OffidW
POST IN A CONSPICUOUS P1,4CE
• ' PERMIT # -
PWM8IHG PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB RQAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100 '
Site Address v BLDG. TYPE WORK DESCRIPTION
Lot ~ Block ? Sec/Sub Res. ~ New L'
M ult. Add-on
T Name ~v F ' j 0 - Comm. Repair
.
.q Address ~ Other
c Ciry - Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name Water Closet - $3 00
` Bath Tubs - $3.00
3
c Address 41itchen avatory - $3.00 ~
p Ciry C/d~l fJ Phone hower -$3.00 )
Sink - $3.00 ;3100
FEES U rinal / Bidet - $3,00
~
COMM/IND FEE - 1% OF CONTRACT FEE -7-Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES -7--Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES -/-Water Heater -$1.50 `V
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 0 -Gas Piping Outlets -$1.50 nr
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1. PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
• ti; ; ~ , ,fi . , ~ , Rough Openings - $1.50
SIGNATUFiE OF PERMITTf FEE:
t~-r
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL• -~O SE%
. _ • PERMIT #
MECHANICAL PERMIT j Ji
~ CITY OF EAGAN RECEIPT~/~/89
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE: i PHONE: 454-8100
Site Address 41JZ a e .
BLDG. TYPE WORK DESCRIPTION
Lot 13 Block 3 Sec/Su~ta ar R~ xx New X~K
_,-Name WENZn A:iATIPdG & r C Mult Add-on
1955 Shawnee Roac? Comm. Repair
~ Address Other
c City Egggn Phone 452-2665
Name kRONTIER COMPiNAI1:5 RES. HVAC 0-100 M BTUEES $2400
~
(D
Address 3908 Sible Merwrial $ . ADDITIONAL 50 M BTU - 6.00
p City EBgan Phone 454-0433 CONSTRUCTIONUDES A/C ON NEW
GAS OUTLETS (MINIMUM - 1 PER PEkMIl) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air F0,00 0 M BTU $24.00 APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent: - CFM ' (ADD $.50 SiC IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
•
FEE: 25.50
~v~~ - ~..~'t•,• ~
S/C: .50 SIGNATURE OF PERMITTEE
TOTAL: ' ~26' QO
`p FOR: CITY OF EAGAN
0/99175zg ~ 3
Repuest Date Flre No. Fough-In Inapectian I ?
Hequired? Reatly Now Will Notlty Inspeclor
Yes ? No n ReadY?
Ilicensed contractor ? owner here6y request inspecGon of above electrical work at:
Ja0 AtlArew (Street, Box a Roule No.) Clry
P
Sedion No. TownsMp Name or No. Ranpe No. Coun y
Ocwpa (PRI Ph one No.
PowerSUpp'~ / Pdtl/ress
A
ElecMC ontra7(COmpany ame Contractor5 Licensa No.
l
~ e~i
Meil Ajf6 (Cont2 r r rer Maki Inslalla4on)
~~~~s
Authoriz ignetu ( riVaclor/Pxner Meking Iretallation) PMne NumDer
MINNESOTA STATE BOARD OF ELECTFICITY THIS INSPEGTION REOUEST WILL NO?
Grlggs-Mitlway Bltl¢ - Room S03 BE ACCEPTED 8V THE STATE BOARO
1821 University Ave., SL Vaul, MN 55100 UNLESS PROPER MSPECTION FEE IS
Phone (612) 662-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION N. ea ooom m~
? See ipxinctia§sM: completing fiis farm on beck oi yellow copy.
E' 99 175 "X" 8elow Work Covered by 7his Request
ew Adtl Fep. Type of Building AppliancesWiretl EquipmentWired
Home Fange Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm ' Air Conditioner
DNer (specity) Contrador5 flemarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEnlranceSize F # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps to 100 Amps
Transfwmers AUOVe 200 _ Amps 1 1- Above i00 _ Amps
Signs Inspector§ Use Only: . TpTAL
Irrigation Booms ~ ,l~OU l
Special Inspection
Alarm/Communication
Other Fee f
I, the Elechical Inspector, fiereby Rouyn-in o y
certify that the above inspection has Final f Daie
been made. d<<+
OFFlCE USE ONLY
This request vaiG 18 monlhs bom
I CITY OF EAGAN N? 16247
3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 f1` I '
BUILDING PERMIT Receipt # ~ ~-r
Toheusedfor SF DWG/GAR Est.Value $68,000 Date APR 4 , 7989
Site Address 4132 STATES AVE
Lot 13 Block 3 Sec/Sub. STAFFORD PLACE OFFlCE USE oNLY
ParCel No. occupancy R-3 M-1 FEES
2oning R-1
w Name FRONTIER MIDWEST HOMES (Aauaq Const V-N Bldg. Permit 496.00
o Address 3902 CEDARVALE DR (Allowabie) V-N Surchar9a 34.00
City F.apAN Phone 454-0433 xmstories -
Lergth 4$_1 Plan Review 248.00
ziF Name SAME oepm 3 1 snc, cry 100.00
ga Address S.F.7otal - SAC,MCWCC 575.00
1~ Clty PhOfle S.F. FootOrints -
Water Conn 580.00
On Site Sewage _
~w NBme OnSitewell - WalerMeter 90-00
?z AddfBSS MWCCSystem ~
o~ AccL De osit 30.00
~dw Clty PhOne CiryWater ~ P
PRVfiequired _ S/WPermit ?n.nn
I hereby acknowlege that I have read Ihis application and state that ihe Boosler Pump - S/VJ Surcharge 1. 00
information is correct and agree to wmply with all a plicable State of
Minnesota Statules and Cily of EagaOrdin ces. 7reatment PI 228.00
Signature of Permitee ~ -W APPROVALS Road Unit 340. nn
A Building Permit is is5ued to: FR(1NTTFR MTTI4TFCT LIl1MFC PlanOef - Park Ded.
on the express condition that all work shall be done in accordance with all Council -
applicahle State of Minnesota Statutes and City of Eagan Ordinancas. BIdg.ON. _ Copies
I Variance - TOTAL 2~~4z.C0
BuildingOtficial 6 rulq A IlIA.1 'rn ..:l
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN ~ TZ0
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date
SiteS4reetAddress 7Les' unit#
PropertyOwner 7elephone#
Contractor LL7 A2 „ Telephone#
Address City A~daz& d/2z~_ State~ zjp v~~~. "
The Applicant is: _ Owner ~ Contractor _Other
Afterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 518" meter is required)
Other:
~ Water Softener _X Water Heater $ 15.00
_ new ~ replacement
Lawn Irrigatiun _RPZ _PVB _new „repair _rebuitd $ 30.06
State Surcharge $ .50
8 2065
Total JAN 1
$
B
I hereby apply for a Residential Plumbing Permit and acknoWyle ge at 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.
~.1~ ,e('~ P'yeoc t-14-
ApplicanYs Printed Na e Appl' ant's Signature
~ 1989 BQILDIHG PEHFIIT 9PPLIC9TION - CITY OF E6GAN
SIAGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSFS FOR CORNER LOTS - CONTRACTOR/HOMEOWNSR MIJ3T DESIGNATE WHICH ADDRBSS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE B[JZLDING PERMIT I3 I330ED.
MOLTIPLE DWELLINGS RSNT9L ONITS F08 SALE UAIYS # OF Q8IT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECB WITH BLDG. DEPT.9 1 SET OF ENERGY
CALCULATIONS COMAIERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- - YAR 2 9 1989
To Be Used For: NEW CONSTRUCTION Valuation: '$57';350Date: 03/28/89
Site Address 4132 STATES AVE Gg 0 00 _ OFFICE USfi ONLY
Lot 13 Bloek 3 Occupancy R 3 M-) 1~~
Zoning R-1
Parcel/Sub STAFfORD PLACE Actual Const V- N Bldg. Permit 406.00
Allowable V- N Sureharge 344, 00
Owner SCHELLER, DANIEL & BELL, CYNTHIA # of stories Plan Review Z. ,00
Length ~ B SAC, City 100.00
Address 9919 KELL AVE S0. Depth 37 SAC, MWCC ltgn5- pD
S.F. Total Water Conn SSio,oO
cn
City/Zip Code BLOOMINGTON, 55437 Footprint S.F. Water Meter 90 1
Acet. Deposit 3040
Phone 934-1156 On site sewage_ S/W Permit 20,00
On site well S/W Surcharge 1,00
Contractor FRONTIER MIDWEST HOMES CORP. MWCC System v Treatment P1. 2 00
d0
City water V Road Unit 35~01
Address 3902 CEDARVALE DRIVE PRV required _ Park Ded.
Hooater Pump _ Copies
City/Zip Code EA6AN, MN. 55122 TOTAL a~0
APPAOVALS
Phone 454<0433 Planner
Couneil
Areh./Engr. DICK CHARLIER Bldg. Off. ~~30
Variance
Address 14103 GARDENVIEW DRIVE Couneil
on2
City/Zip Code APPLE UALLEY, 55124 C`iX~c)2D L 111
Phone # 432-5492
NOTE: Sewer & Water Permit Pees and aceount deposit fees vill be included in the building
permit fee. Processing time for serrer and vater permits is txo days oncse a licenaed
plumber has applied for a permit at CiLy Hall.
Hedlund Engineering Services 9201 Eaat&aaminqtonFreeway
Bbominqton, Mnrawta 55420
Land Surwyon Civtl Enqineers Land Plonnera Phone: 888-0289
~ ~i~rve~o~`s eeeilixte
JAVI BOOK _ PAGE Joe No. Bq R-o9 I
SURVEY FOR: Frontier Piidwest Homes Cornoration
DESCRIBED A5! Lot 13, Block 3, STA^"ORD PLl?.CF, Citg of Eagan, nakota County,
~ iliinnesota and reserving easements of record.
W
~ TOP OF FOUNDATION = 9~9.7
M GARAGE FLOOR = 4183
. BASEMENT FLOOR = 9 1S. Sd
Z SEWER SERVICE ELEV. = N/R
u 30 PROPOSED ELEVATIONS
ti EXISTING ELEVATIONS :
DRAINAGE DIRECTIONS
a6 DENOTES LOT CORNERS : o
~ /'~4 l DENOTES OFFSET STAKE: o
O -y 37 B.M. TW • HYO. IH+crsa.i cor a f
ti' ~3y~_ ~S 33 STATES ~PENN. EL-= 920,64
~ m 10 ~
Q' zy 98 Q'.
rn~ c'M;
/ '0 ~29,
O
o " ARaPo'as~ i ~O ~ ~ 9ly,o 1
SPf,. Sqo< ~
b ~ ~c
sx F^
C9 ~
~ f
, oR~u hi
30 0` ~ ~ 6RR Q' f
916.4 REV~ ~WED !
4/t By GF5 f
Av, ~ i Date - 3-30- 8 9' j
EFiGAIV ENGINEEREIVG DEPT ~ 4u
i~ ~ y` 1 p0, ro
~
~ ~ a a
N 76 , f3; 039
s ~
CERTIFIGATE OF SURVEY W y
I henby csrtify fhaf this survey,plan or raport waa prepared by me ar under my direct~ ~Zd•o ;
supervision and thaf I am o duly Reqistered Land Surveyor under fhe laas of ihs
Sfate of htinnesota.
oate: 3 123 i89
Jeffy ' dqren, Licens No.14376
,
EXTERIOR EN4ELOPE FlVERAGE "U"COMPUTATION
- -
' ` . ' ' ~ ~ .'2, . .
'OWNER; SCHELLER, DANIEL & BELL, CYNTHIA nnrr:
SITE ADDRESS: 4132 STATES AVE Pr;ONE: Qr,Q 0q3q'FR(1NTTFR
COHTRACTOR:PLAN #
Determine working square foota9e of each ~
1. Total exposed wall area.:... ~F513 sq. ft. x.11 =
,
-
2. Total roof/ceiling area..... sq. ft, x.026 =
Tctal exposed wall area above.floor=_ I(r I~
, .
a. Total wall window area
b. Total door area . .
c. Total sliding glass door area 'i Zuy-
d. Total fireplace wall area -
) • • • •
e. Total wal l framing area (avei,a9e 10% ~ '
f. Total rim joist area L. . _
9 •
14
net wall area a6ove floor . . . . >'4ss `
h. wall area a6ove floor . .
~
i. wall area a6ove floor
frame wall.area at =o~:ndation
J•
~ Total exposed foundation area= Le S
.
~
k. Total foundation window area
l. Total net foundation area above grade Lo
. . ~ - . Determine "u" value of each wall.segment
(e.g. window, door, each separate wail section)
a. I v`l •~S K 1. u~~
b. 3 X „u„ ,3i = II~`1g
C. 3Z~y 'x „ul, ,y~ = i~'•Z3 ;
; .
' d• L 1"'F 1 7 .
4 - .
e._~ (a l (P X iluil = I~ ° ~;:~;s;a~ :
f. t 3~ X llu„ ,ay = 7
FS
s t uS4 ,4 x 1,u„
h. X ltuil
. . . e.:~:, . . . .
~ .
,.r•
' X uUu _ . ' , ~ . .
7.
j.
XliuiI = If item 83 is the s
k X„u„ = as; or.less than it
#l, you have_`met tfi
intent of SBC 6006.
1. x „u,l
ca~ ~!y - . -
3 . .................................Total
• . ?otal exposed roof/ceilinq area
. rotal skyli.ght area ^ , •
Sotzl roo`/ceil±r.g traming arca (:ivcrafe 102), ~SiZ..
e.^otal net i:sulztcd roof/ceiling dxrea..._ • $ $'C.'~__ . Determine "U" value Lor each r.oof/ceiling segrnent
Y' nUn
~
~5~~- x ~'U"
, ,
x "U„ ozS~ = zl~`4 Z-
,
: . . . . . . . . . . . . . . . . . . . . . . . . . 2u tzi
to:a' c` =;4 is the same as, or less tchan 42, you have met the intent of
5`sC 50•:5 i~! ~ • , . . , . . . .
Alternate Building Envelope Design
^o thz total envelope systen method, the values estzblished by the s.u1 oE.'
ite.*ns a3 and -4 shallnot be greater than the sum of items flJ. and,~2:;;"..,
.
, + z. zy;7f = ~ . .
l'9
3. I g ! ~ ~ + 4.
. . ' . , '4:` . .
' :.m:~.:~ .
I ' . . _ . _ ~ . . . _
, o-ame ccz~E YuCc iot~ CONb'I'Rl7CTIO13 FRAMING
(D 1. INPERIOR AIR FIIM ~ D 68,
2. 2 G BD -45
4 3. 5 1 2 SOFT W00D 6.87 _
1 4. Tt-1ERMfl ~Y_s~tExr~l t '.~2
e.. 5. $nUiNG
6. EXTt~KIOR AIR FILM
TCrM- , R ;
x U-
°
. rrG- ~1 'fbN+EyJ Cf
. NET . .
P"Zr 4!'1E NrtLC , `
< F
1. IN`PERIOR AIR FT1Si :68
T:'•" 2 GYPBD
A/1
3. L. ' <>r~ , '
4 71F~~o Y sE4
5. IDING
T2S. z ~ 6. OR A R FIIM
- Zt ry2-.
~ U_ s o5
1. INTbRSOR AIR FILM , :er : . - ~ 0 58 -.x
--~J 2. . 6' INSUL. . 1 00
3. x JO
4 7}FEKMO R-Y SNEA'TH
i ~ Qb) S. S G
6. OR AIR FI ,
,U o II [ 09
iz . „225L
P
~ ,
i BLOCK A
Wh! L ~ b~ .•Q~ E--~~ 1. INTERI01? AIR FII1d 0..68.:
2. 1 •'s " a . s
3. 5 O
4. PROTECfIx/E
5.
6. SZTRA R F
, TO'PAL R= ~.~3
e
U= Z~i
~ SLAB ON GRADE o ;r ~ * . , S• i
I I!
~
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, f f I(~ r~ ` ,
. 43
o- + r„ ~ w , NOTE : INDICATE TYPE, „Ft~~ VAI3JE I1E~Z'H P.Tm
PLACII-fENT OF INS[7LATIC}ti -
y , ~ ( ~ ~ _ ~.ti..
,-7
. .
ROo,r• jr.EuxNc
Const~ °II . R-Valucs
• ~ ~ ~ ~i , 1, Interior air Pilm , . 0.61 '
2. 2
e6u1...
~torior air tilm (sCill 0-
Total
. 31. a~ .
,?EIT
. . ` -
. • . ' ' FM4-+rt a' •
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ltaLtd 2. ~
. up 3. 7--i_.4t 1 N~sNis
' • . 4. Exterior aii filn sti
' , • . • . . . Total
. ' • . . ' `~f r
- _ . " • C0A.7T&_?C7/ mlr..r_ .
Inside air filrn 0.61
_
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3.
' r 4.
' • 11~ S. Outside air. film 0.17
Lt Total. .
• l.{ j)~ 3 4' • • 1. Ynsid'e air film . 0.61 ' s
• 2.
. . • . vented ~ 3'
Ee~t flov nP • 4.
• 5. Outside air film 0.17
• ~ ' • • ' . ' • Total
• , ~SG. f6.:.. _ _ . _ . . . _ . _ .
. - . .
- ~3 4 5 •v g. ynsid'e aiz f31m 0.61
• ' ..r ~1'.t-S.~c°~ 2- . ' •
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, ~ Rdt ' . ~
r•..y a, ` 0.17
n~~^~:;::;.:,•, 5_ Outside air film
, xocal
~ • • ~
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•~j • : raotc: Ose ad8ltional sheets if more Spaen
. • . .peeded for aetails and calculations.
.
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arACK: z.yt "3? t zy+- ~s- t y ttot yt~z= Jsb" '
,
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BIACK: l 3 O x. 5= ~o~
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~ W l N 061YS- DOORS y . .
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-
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twin citti+ testinq
, COfPO/aGOf1 &WTE 220
~ ~ - 1355 MENDpTA IIFJGHB ROAp
MErmorA rMMS, MN 55120
w~r
~ REPORT OF; DENSITY TE5T5 OF COMPACTED FILL
PROIE[T: STAFFORD PLACE oATE: April 7, 1989 5C~4PW%/J
NEAR DIFFLEY RD & BRADDOCK TRAIL
EAGAN, MINNESOTA COPIES 70:
REPORTED TO:
3_ Frontier Companies
3902 Cedarvale Drive
Eagan, MN 55122
LABORATORY No. 4112 89-081
TEST NUMBER: 5 6
DATE TAKEN: 4-5-89 4-5-89
UNIFIEDSOILCLASSIFICA710N: Sand with silt Sand with silt
(Moisture•DensitySampleNumber) and a little gravel, and a little gravel,
, fine grained, fine grained,
brown, brown,
(SP-SM)-3 (SP-SM)-3
LUCA710N: 4132 States Avenue 4132 States Avenue
Lot 13, Block 3 Lot 13, Block 3
- SW corner of-- -.ME ccrrer-" of
building area building area
DEPTH BELOW FOOTING GRADE: 1'
DEPTH BELOW EXISTING GRADE: 1'
FIELD DENSITY DETERMINATION:
Method Density in Place ln Nuclear Density Method "B", ASTM:D2922-81 04 Basis)
Dry Density (pc0 114.7 113.5
Moisture Content 1°~) 12.6 8.3
Plus #4 Material 4 3
LABORATORY MOISTURE•DENSITY RELATION OF SOIL:
Method ASTM: , et o (44 Basis)
Mazimum Dry Density fpcA 122.0 122.0
Optimum Moisture 9.7 9.7
COMPACTION TEST RESULTS:
Compaction f°b) gq 93
Specified Compaction (°b) 90 90
ATTENTION: Oensity tests are valid at the location and elevation of the test only. No representation is made as to
the adequacy of fill and compactian at locatlons and elevationt other than those tested.
These tests were performed b,y J. Becker.
J18 A MUTUAL FROTECTION TO CUENTS, TNE VUBLIQ ANO OURSELVES, 11LL REPOXTB 11R! SUBMITTFD A6 TNE'CONFIDENTML PROPERTV OF CLI[NTB AND AUTMORb
IATION FOR iUBLICATION OF 6TATEMENTS, CONClUS10N5 ON E%TRACT$ FROM OR REOARDIN6 OUfl REPORTB 18 RESERVEO PENDIHO WR WRITTEN 11iVFOYAL.
.Tsstiny o ~tlon
Twln Clty
sc.sss (ares) By
! ~ twin cit4+ testinq
corporaaon surre zzo
r•~°~ ~•a;~~ 1355 MENDOTA HEIGHTS ROPD
MENDOU HEIGHB, MN 65120
d q1 • ti
MOISTURE-DENSITY CURVE sAMnera. 3
vRaKr: ST,QfFORD PLACE oaTe: 4-5-89
RIPoRtED ro: Frontier Companies corIesro:
LABORATORY NO. 4112 89-081
METFIOD OF TEST: ASTM: D1557-?8, Method "A"
TYPE OP MATERIAI: Sand with silt, fine grained, brown (SP-SM)
MAXIMUM DENSITY: 122.0 ]b./cu. fc. OPTIMUM MOISTURE 9.7 96
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MOISTURE CONTENT %
Twin City Testing C r ora ion
ey
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Use BLUE or BLACK Ink
r----------------�
I For Office Use �
� � Permit#: I �� � �� �
Clty of E���r� ; . . _ ���� �
Permit Fee.
3830 Pilot Knob Road � I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � �
Fax: (651)675-5694 � Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name:_. �O!> / D /- � q ✓� c.. B `� Phone:
Residentl. °
Owner ' Address I City/Zip: ���Z ��w�S �1•.�
Applicant is: Owner �ontractor
Type of Wor'k Description of work: �� ' �cti o -�
Construction Cost: ! U b Multi-Family Building: (Yes /No �)
Company: �-O w�...,p fG. �-G �✓ c /,��y��Contact: /''�� '�c�
Contractor Address: l7OS �U G i r�� �� �� • Z �(,�City: Cp� ���^ �� �
3 . �
State: /1l�J Zip:.S� z 2 Phone: ��Z',��a `Zl��mail:
' License#: �G(o� �� Z Lead Certificate#:
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:P/ans and supporting documents'that you submit are considered to be pub(ic information. Portions of
the information may be classified as non-public if you provide specific reasons thaf woultl permif the City to
' conclude that the are trade secrets.
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.qopherstateonecall.orq
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 plans.
Exterior work aut ri d by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit' .
x X
Applica t's Printed Name ApplicanYs Signature
Page 1 of 3
4,11/k
C!tyofEaaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #: l ✓ -71;32"--1
Permit Fee:
Date Received:
Staff:
L
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 6/2 0/-/‘ Site Address: 4/%1,2 /, ,49,P
Tenant:
Suite #:
"4G'lGC License #:
,4 Cg4/1S''-d
Address: G /9 a /� ' ?. �i/?M/ City:
State: /1/047 Zip: 5:5C767
Contact: (of
_ New Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
RESIDENTIAL
>Water Heater
_ Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Tumaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $
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 permit, but only an application for a permit, and work is not to start without a permit; thay- work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152428
Date Issued:10/15/2018
Permit Category:ePermit
Site Address: 4132 States Ave
Lot:13 Block: 3 Addition: Stafford Place
PID:10-72500-03-130
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 -
Robert Formanack
4132 States Ave
Eagan MN 55123
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
I-
For Office Use
i ::::ee:
„ ,,, EAGAN
”
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections aC�.citvofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: r'0/31/i Site Address: t1 2 _ . , r N 5572/Unit#:
Name: SD l► For n'a.,i c k Phone:
Resident/ Ave, /"l/V 5 i
Owner Address/City/Zip: Li I.3a 5rettes AveFa y,n 1
Applicant is: Owner X Contractor
Type of Work Description of work: Ai ill 61o//Gi b W R e em`L - W r/ d P-Cr
Construction Cost:? � 9 ~ Multi-Family Bu' 'ng: (Y s,L.No)c ) f
//! �4� 1"'0,0441
Company: Cc f /71,1'e �4,i���(^� Contact: 672- 60 - Z0 6 3
Address: I I6 S A, 4::.146. by: Ste,210 City: GOLie42. V e( 2y'
Contractor /,,`/ 21 J 64.31:149,011111,c,,,,�/
State: / is Zip: .9''22- Phone: qs °��3 7 mail: t e'l-G4 A C of de-t a 64.31: 49,01 1 h,C,,
License#: t1..4.‘" 2. Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as nonpublic if you provide specific reasons that would permit the City to conclude that they are 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 www.citvofeaaan.com/subscribe.
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)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.ciopherstateonecall.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 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 plans.
x JO5L G5i7cel x
lican
A t�
Applicant's Printed Name pp Signature