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850 Ventnor AveCity of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Cl/ 9? CS— Vac O L.VG VI OL.MV►� IIIK For'Office'Use Permit #: _ Permit Fee: Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 850 )0/1C,., Tenant: Suite #: RESIDENT / OWNER Name: 01()d l fin A ( Phone: Address/City/Zip: 83 V :r14/?()1,e /� F: i\ui /') A�( / j Applicant is: Owner X, Contractor TYPE OF WORK( �f S Description of work: 3t lb4%,I' Y71u7td _ �j (¢ ° Olr 0 Construction Cost: 4/C{� , C. - i ..j -Multi-Family Building: (Yes / No ) CONTRACTOR Name: �.%�..,-�; �� ii /,(�,, ;(;d.,�f.t?4J ��ic, License#: %l'�%� Address: '4l 7�% C ('(1i) 431\ City: l-e/)C_i ,,,e;::-14.-2-) /�,iIr State: 1 I fi Zip: ,67!--_-)'-6 i'V Phone: 66/ - /icf 7 - O /07 Contact: ,.._./M-11/ ()-(1,1-01-; /",s l J 70 0 el - COMPLETE In the last 12 months, has Yes _No If yes, THIS AREA ONLY IF CONSTRUCTING 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be'4public information. ;Portions of the information may be classified las 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 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. a Y X i;" Cifi W X f j f 'f :� 6i /r .1 Applicant's Printed Name Ap Iicant's Signature Page 1 of 2 CITY OFEAGAN, Permit No: 9732 - 3830•P4ot Knob Road Meter No: _~/a d bate: 6--29-88 ~ P.O. 8ox 21199 uO si28: Ro~K Eagan, MN 55121 Reader No: O ~ Date: - - ~ Owner. Frantier Miciwest ~ Site Address: 850 Ventnor Avenue LS ~ ~ Plumber Star P1 B~ 5tatgard umbin ~ Conn. Chg. ~ ~ Acct Dep;_ Zoning: ~ Permit Fee: No. of Units: Surcharge: Tr. Plant ~ a9ree to comply he Ity of Eaqan Meter. ' Ordinances. ~ Misc_; By ~ ' WATER SERVICE PERMIT C1TY OF.EAGAN Permit No: 103 Tu 3830 plW Kno6 Road g/p No: j, Date: 6--2g-$~ P.O. BOX 21199 ~ r` r ^ Date: C-28_Qg Eagln, MN 55121 ` Owner: 17'ro4tier p(idwegt Site Address: 8 Plumber. Star PI~ jn 11 MWCC: 550 , City Chg: 100.0(f a Zoning• ,i Acct. pep; IS.Oppj No. of Units: 1 , Permii Fee: 10• ~O S pd f agree to com I ~ ' urcharge: p Ordinances, p y W~th the Chy of Eagan ~ ' Misc.: • By ~ ` SEWER SERVICE PERMIT yI af1 CITY OF EAGAN n rs : a 3830 Pilot Knob Road, P.O. Box 21-199, Eagen, MN 55121 BUtLDING PERMfT PHONE:454-8100 Receipt # M ~ To be used for 5F fI7i1G J(rAR Est. Value $7 S00,0t? Date .1l'NF 24 y 9 f' Site Address AVE OFFICE USE ONLY K3i ~~~1 Lot ' Block 1 SeC/Sub. FI.ACj- OnSiteSewage Occupancy MWCC System ~ Zoning Fj PBrcel No. On Site Well (Actual) Const Vn a Name FRt3HTIO ;;ID4fEST HG*;Eti Citywater x (Allowable) Vn z Address 3902 CEUAtiVALE DR PRV Required # of Stories i~ City t:ACAN Phone 454"'("Z`33 BoosterPump Length 4t' Depth 4.18 ,o Name 5AME S.F.7otal ~ Address Footprint S.F. ~ City Phone APPROVALS FEES u- a Engr./Assess. Permit ~ -66. (}t', WW ~ W ame p?anner Surcharge 36.4 Address _ ~ W Ci~y PhOn2 Council Plan Review Bldg. Off. SAC, City 1 qereby acknorledge that I have read this application and state that the Variance SAC, MWCC 550• C) ' informalion is correci and agree to comply with all applicable State of Water Conn. 550•L" MiAnesota Statutes and City of Eagao Ordinances. , Water Meter Signature of Permittee ~ Road Unit 3 15 . ? A Building Permit is issued to: F~~ON1 L' •doitif.Sl 'iVt'IE$ Treatment P1 on the express condition thet all work shall be done in accordance with all applicablaState of Minnesota Statutes and Cfty of Eagan Ordinances. Parks ~ S~ 1. SO Building Offlcial '4 f TOTAL ' - IT- ? ~ ~ . Trr#ifira#e nf (Orrupanry tf tp of (Eagan lgPp1'bnPttY of gItlbhv JwPtt~tt This Certifecate issued pursuant w the reqairements of Section 306 of the Uniform Building Code cerlijying tleat at the time of issuanre tlu's structure wrrs in compliance with the various ordinances of the City regulating building corutrucNon or use. For the jollowing.• u. a.da.uos SF ixx;IC'~i.'+ mde. Pamu rb. 15256 O-UPM-r TYx R3/M I Z,,igDW,,l R I T"c CorzL Vnl o~ ~~'ztC!3TIF.R ,~9l,^2 aMARVALC C1R, FIIGAN BWd4 Addrm S50 VH31NOt AVUNTE B2. :sLA"ORD Pi~ ~ SEFDa-M 15. 1988 Ihading Officol POST IN A CONSPICVOUS PLACE ~ I w ..r~ . . . ; CITY OF EAGAN g r~~, 3830 Pilot Knob Road, P.O. Box 21-199, Eag~n, MN~38121 PHON E: 454-8100 BUILDING PERMIT Receipt~ ~ To be used for ~ ~ f'~} Est. Value ~ ~ ~f ~ Date 2~` ,19 ' ~ ' OFFICE USE ONLY Site Address ' t Lot ` Blxk ~ Sec/Sub. i~~' r Ci' PI.<;C' On SRa Sewaqe Occupancy ~ MWCC System Zoninp y~ 1 Parcel No. On 3ite Well (Actual) Const ~'n ~ a Name t~~~ r~ Ciry Water (Allowable) dr' I W . 1_ PRV Required # of Storiea ; Address ~ ~ Cit r 5,~,~', PhOne 4 -(lV 3 Booster Pump Lenyth ~t Y Depth , p Name S.F. Total ~ ~ Address Footp~int S.F. ~ City Phone APPROVALS FEES Engr./Assess. Permit '9 ~ • f k s ~ ~ = Name ptanner Surcha?ge ~ Address u= Council Plen Review i W City Phone . c~. I ~Idg: OQ,.~ SAC, City Varfa ce'J•y4t^i WSC.MWCC I I hereby acknowledge that I have read this application and state that the -T- information is correct and agree to comply with all applicable State of Water Conn. ~ Minnesota Statutes and City of Eagan Ordinances. ~l~ I Water Meter I Signature of Permittee i Road Unit S•' I A Building Permit is iasued to: l`!• , ~ 1r~ Ft' ' Treatment P7 Zd"+•t~t~ I on the express condition that all work shall be done in accordance with all ~ applicable State of Minnesota Statutes and City of Eagan Ordinances. Parka BuiFding Oflicial _ ~ _ TOTAt ~ ~ ,'~il ~ ~ Permit No. Permit Holder Date TeMphoM s Plumbinfl H.V.A.C. 4 Q oZ- `J 4 Electric (j, , ~aa S SoRener Inspection Date Insa• Commenb Footings I ~ Footings II Foundation Framing i Rooffng Rough Plbg. ~ Rough Htg. Yr Z s Isul. ~ Fireplace Final Htg. Final Plbg. ~ Bldg. Final Cert Oca ~ Temp. LP Deck Ftg. D'eck Final Well Pr. Disp. , ,-~.~t-,.~~•-~---~.~--4 -.:,r-------- . . . PERMIT # PLUMBING PERMIT ~ CITY OF EAGAN RECEIPT p_,~ 3830 PILOT KNOB ROAD, EAGAN, MN 55722 DATE CONTRACT PRICE: r- PHONE: 454-8100 Site Address BLDG. TYPE WORK OESCRIPTION Lot 1 ~ Block ~ Sec/Sub Res. New Mult. Add-on m Name i ne:F.~~ i?+ac;ha[11c:F~1 Comm. Repair ~ Address iy 5 y :i haGn+ce xci•' q Other c City f=~ •i~u« Phone 45-L-1565 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES OTAL Name ^ ' ~ JtWater Closet - $3.00 ` Bath Tubs - $3.00 ; Address ~ Lavatory - $3.00 ~ p City W1Zan Phone Shower - $3.00 ~Q T_Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE ~-Laundry Tray -$3.00 L~? APT. BLDGS - COMM RATE APPLIES ____Floor Drains -$L50 TOWNHOUSE & CONDO - RES, RATE APPLIES ~ Water Heater -$t.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMMIIND FEE - $20.00 ~-Gas Piping OuNets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 ~,.,r_Private Disp. - $10.00 Rough Openings - $1.50 ~ . . ~t~ ( f _ - '•I SIGNATURE OF PERMITTEE FEE: STATE SlC: ..J~~ FOR: CITY OF EAGAN GRAND TOTAL: . PERMIT # MECHANICAL PERMIT RECEIPT # Y:24q9 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 85122 DATE CONTRACT PRICE ~ PHONE: 454-8100 -74 Site Address 2 U ` K V, ' ' V9 BLDG. TYPE, WORK D IPTION Lot Block Sec/Sub Res. ~ New r~`~'~ Mult Add-on Name, . _ _ Comm. Repair r i -A ~ City t.+l Phone 15t- 1 Other FEES Name ~ ~ oy, i . , t.~. ~ ' • RES. HVAC 0-100 M BTU - $24.00 c Address 51-1 f" ~~f-L 11 wV• ADDITIONAL 50 M BTU - 6.00 p Ciry Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERNIII) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE FOrCed Air 1?' i-'~U M BTU APT BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8~ CONDOS - RES. RATE APPUES !lZ Boiler M BTU MINIMUM RESIDENTIAL FEE - AlL ADD-ON 8 Unft Heater M BTU REMODELS - 72.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STRTE SURCHARGE PER PERMIT - .50 Gas Piping Outlets # 50 BEYOND $1/pOp) PERMIT PRICE GOES Other FEE ~ -5 ~ • , . ` S/C: • 5~ SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN PERMIT M. PLUMBING PERMIT CITY OF EAGAN RECEIPT 1! - 3830 PILOT KN08 ROAD, EAaAN, MN SS122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address E Q'pq '~'K BLDG. TYPE WORK DESCRIPTION Lot 81ock __7SeciSub Res. ~ New .2 % ' • Mult Add-On m Name 't~ r Comm. Repair Address./'G~ Other ~ c City. ~ R" Phone RE3. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name Water Closet - $3.00 $ Bath Tubs - $3.00 3 Address R ~ Lavatory - $3.00 0 C;H /F 1Qr> A~ Phone ~"V ' Shower -$3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$i.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 ~ (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES 1~-Softener -$5.00 BEY D $1,000.00) Well - $10.00 Private Disp. - $10.00 - s„G„~~ r• 1,~,,' d~~~~~, Rough Openings -$1.50 ,gIGNATURE OF PERMITTEE FEE STATE S/C: FOR: CIN OF EAGAN GRAND TOTAL• INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: 3$30 Pilot Knob Road Permit Number: ; i~ Eagan, Minnesota 55122-1897 Date Issued: I (61 681-4675 I SITE ADDRESS• • ' r'i L„ ; APPLICANT: . f'Nl'Mf1R AVP_ . . ! . i , . . ~ PERMIT SUBTYPE: TYPE OF WORK: ~ INSPECTION . . , , t~ E..•;. .~~is~ a ra ~s~ z is aw~. ~ i ~SUl ' z~ , ` .s ` P fS" ¢P Rf i d L J ~ 3 ~ ~ `~~~`~eg~o^o~~ e,~;p ~.Lt~a ~ ~ ~ ~ . . . . . . . . . . - Permit No. PermN Holder Date Telephone M ELECTRIC PLUMBING HVAC InspecUon Dsb Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEAT1Nfi GA5 SVC TEST INSUL GYP BOARD FIREPLACE ~ FIREPIACE AIR TEST FINAL PLBG ~ FINAL HTG I ORSAT I TEST I BLDG FINAL II BSMT R.I. I BSMT FINAL DECIC FTG DECK FINAL Rr::' "ly , . . . .#;io-., '.rM . 3•.t~_a. f-`y1" . -Aa CITfY OF EAGJ4N . . 681-4675 ' DEPT. OF BUILDING INSPECTIQNS Correction Notice I have inspected this structure and these , premises and have found the following violations of city codes: ~ A-Dv A C-z4iPPt~~~ j?}ij- To D~v~ ~ ~vF ~~f= STA i~ When corrections hawe been made, please call 681-4675 for inspection. Date ~0 nspector Ciry an DO NOT REMOVE THIS TAG INSPECTION RECORD~~~ i! ""ITY OF EAGAN PERMIT TYPE: ' 3830 Pilot Knob Road Permit Number: ~ Eagan, Minnesota 55122-1897 Date Issued: ~ f:~"• (612) 681-4675 SITE ADDRESS: + ~ N` 1 0 :,"'00 0"10 i) APPLICANT: ful - r, Vt N1Nnre rtivf ~ ~ , ~ iri~.1 ? ii,~I 1 ~•.i.~, ,1 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D. . ri:, ~ F ~ L Pertnit No. Partnk Holder Date Telephone 11 :LECTRIC PLUMBINO HVAC Inspwtlon Dsq insp. Gomments FOOTINGS FOUND FRAMIN(3 ROOFING ROUGH PLUMBIN(3 PLBG AIR TEST AOUGH HEATINCi GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST ~FINAL PLBC3 FINAL HTG OfiSAT TEST BLDO FlNAL BSMT R.I. i BSMT FINAL DECK FTG ! ri ~ DECK FlNAI 0%7. I I - - - _ ~ ~ ~ 1 - CITY OF EAGAN PERMIT TYPE: ' ' - 1 ! 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 , ~ . ' SITE ADDRESS: APPLICANT: ~ E ri; rilli; AVE j nr r . . , ~ i,I" , PERMIT SUBTYPE: TYPE OF WORK: it, sh 11AMn10 INSPECTION .A • .A F I I L 1 J 1 Pormk Holder Date Telaphone 11 i PLUMBING I HVAC ~ Inapecdon Dete insp. Commenta ~ FOOTINGS I ~ FOUND I ~ FRAMING I ROOFING C I ROUGH I PLUMBING PLBG I AIR TEST I ROUGH I HEATING I GAS SVC TEST INSUL 1 I GYP BOARD - --J II FIREPLACE I I FIREPLACE I AIR TEST _ I FINAL PLBG I FINAL HTG i ORSAT I TEST BLDG FINAL I DOMESTIC I METER I IARIGATION i METER FLUSH II MAINS CONDUCTIVITY I TEST I HYDROSTATIC I TEST I BSMT R.I. I BSMT FlNAL I DECK EFTG: DECK FINAL I I ~ - - - - - - - - _ PERMIT# / V RECEIPTDATE 8008 RES1DENTIAL PLUM$INfi PEgMIT APf'LICATION crrY oF EnsAv ssso PaoT xNo$ Rn EAHAN, MN 55122 651-681-4675 D ~ ~ Please complete fnr, sinale family dwellings, townhomes and condos when permits are required f ~tA~R~R, 2 6 2002 I~ WALEN,GERRY ~ J 850 VENTNOR AVENUE I SITE ADDRESE E'4GAN, MN 55123 By S (651) 687-0409 I - OWNER NAME\ TELEPHONE - - - - - (AREA CODE) INSTALLERNAME: _ KjOrbloYYl F`L,l,Wtbivl~ TELEPHONE#: (pIZ'9 27- 1-Id$3 STREETADDRESS: 20(05 CZGt1^~iGIG~ A~y~l,~,e, TSOI0'l1 (AREA CODE) GTY: STATE: MtJ Zip: 55L40$ _ SEPTIC SYSTEM, new/refurbished (requires iwo sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note, Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDINGJ _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit 5/8" meter if needed -$118) _ Other. _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenVadditional: _ watersoftener X waterheater $ 15.00 State Surcharge S 50 Total $ I S .50 I hereby acknowledge that I have read this application, state that the information is wrrect, and agree tn comply with all applica6le City of Eagan ordinances. It is the applicanPs responsibility to notify the properry owner that the City of Eagan assumes no liability for any damages caused by ihe City during its normal operefional and mainlenance aclivities to the facilities conslrucled under this permit within City property/right-o6way/easement. SIGN T E OF PERMITTEE 1l02 Thin request void 18 ximhs Irom 0 0 E 45206 Req .I Uate Fire No / FouGh-in Insueuion ' _ Neqv (:)HCady Nuw U;JNrfT'No1rty InsVec- [IX!r- ?NO Io, When Ready icensed Elecvncai ConVnctw I hereby repuest insOection at above ? Owner eleclncel wark insiallad et' Sv DArgss, Bok P me No. City- ^ ~ C 6' v ecuon o. Township Numc or No. PanPe No. Counry' ~ ? Vam qINT) . ~ Phone No. ~C~ 0 k)lr=S O 53 Pow upplier Address Elec ncal Cnntractor (COmVany Name) ar, s License No. uFNnRrrx Fr.FCTRIr MaJinp Address (Con[rac[or or Ow er Ma ine Ins~»ila~ionl 14540 PENNOCK LANE Au~hoyu~~tl ~~w (Co`V~a~o/~0 Ma p In ation) Phone Numbcr a~ . vi MINNESOTA STATE 90AF0 OF ELECTqICITY THIS INSPECTION HEQUEST WILI NOT BE ACCEPTED 9Y THE STATE BOAflD Griggs-Midwey Bldg. - floom N-191 UNLESS PPOPEfl INSPECTION FEE IS 1611 Univarsitv Ave.. St. Pxul. MN 55104 Phonn I6121 642-0E300 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ~E"ye-00001-oe ~ See inshuctians lor comPlevng tM1is torm on back oi Yellow wpY. E 45206 ."J(" Below Wark Covered by 7his Request t,nd nao. Tvoe oi B~~e-- Aooiioncea Wned ewimpaen,i wned Home Fanye Temporary Service Duplex Water Heater ghLnp Fix[wes ApLBwldinc~ Dryer Heatmici Commercial Bldy umace Silo Unloader InAustnal Bldg. Air CondiLOner Bulk Milk Tenk Fdfm Oihri pP~:~ v ~he1 ISnrr.rlyl t er SueulY O~her Ot hiu ompute lnspectron Fee Below p Fee ServicaEntrenceSixe n Fee Fenders/SUbfeaAers b Fee Gr wts U to 200 qm s 0 to 30 qm )s 0 to 30 Am ps Above 200 qmps, 31 to 100 Ainps 1 to 100 Am s $wimming Pool Above 100_Amps Above 100_Amps Trangiormers Irngation BooRis artial.'0 r Fee Signs Special Inspection g TO AL F~ Remarks .G flouBh-tn che ElecVical 71 Inspecloq he~aby celU"y Ihal the above Final ~~r spection hes bean made. Rim repuesl voiU t8 monOn tmm . BLDG. PERMIT NO. ';(:4 0rz:i 01-3210 Bldg. Permit { OU ~ 013422 Plan Check ~ 01•3445 SurchJAdm. ~J 0 1 -3446 SAC/Adm. ~ 01-2155 Surcharge 3~ ~S 75-3860 Road Unit ~ 20-2275 SAC ~ SV ~ 20-3865 Water Conn. 20-3868 Water Trmt. Q ~ 20-3716 Water Meter -7 U~J ~ 20-2252 Acct. Dep. ) 00 20-3713 Water Permit D 00 20-3743 Sewer Permit 79-3866 Sewer Conn. ~ 28-3855 Park Ded. TOTAL CAG:i RFCEIP't , • CITY OF LAGAN : 3630 PILOT KNOB ROAD ' EAGAN, MINNESOTA 55122 • ~ . ~ . ' ' ~ ~ OATE 19 AMOUNT $ I.~ 1~ ~ J I. UC~ ' ~ ~ & DOLLARS. , ~m ' ? CASH CYCHECK ~ I L`u r~ cl ~ I 1 1( - lI(J.J 1 ~~.:.;U\ =`-`\V~~~ur~'.-1...,>(:ICc:.U V.) ~ FUNO OBJECT AMOUNT ~ ~ Z S ~ aT a-. ~ Al\J ,j_~~ii L'4 LUr''-CC C Thank You ' eV ' ' . , . . . . . . ' NTile-PayarsCOpY . I~I' Yellow=POSlin9 Copy . . I O VV=.~iV " Pmk-FidOCo7Y~. . ~ ~ CITY OF EAGAN ~ N2 1 5 2 5 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt x% -j I ->,:>O 7o be used for SF DWG/GAR Esc Value $73 , 000 Date JUNE 24 ,1988 Site Address 850 VENTNOR AVE OFFICE USE ONLY R3/Ml 5 2 STAFFORD PLACE OnSiteSewage _ occupancy Lot Block Sec/Sub. MWCC System X Zoning Rl ParCel NO. On Site Well (ACtuap Const Vn FRONTIER MIDWEST HOMES Ciry Water X (Allowable) Vn ~ Name z Address 3902 CEDARVALE DR PRV Required _ n of Stories 3 Booster Pump Length 40 ° City EAGAN phpne 454-0433 - Depth p NamB SAME S.F.TOtal ~ a Address Footpnnt S F . City Phone qpPROVALS FEES ~c Engr./ASSess. Permit $ 466.00 "w Name 36.50 ~ i Planner Surcharge x- Address 233.00 a w City Phone Council Plan Review Bltlg. OH. SA0. Ciry 100.00 I hereby acknowledge that I have reatl this application antl state that the Variance SAC, MWCC $50.00 information is correct antl agree to co ply with applicable State of WaterConn. 550.00 rviinnesmaStatutesandCiryo rdinan 67.00 Water Meter Signawre oi Permiuee At ga_ Road Unit 325.00 A Bmlding Permrt is issued to:_ERONTIER_MIDWESZHOMES- Treatment P1 _204...D0 on the express condition that al I work shal I be done in accordance with al I app6cable State of Minnesota tutes and Ciry Eagan Ordinances. Parks Building OffiCialTOTAL $2,531_50 S r 7988 BUILDING PERMIT APPLICATION - CITY OF EAGAN I ~ SINGLE FAMILY DWELLINGS ~ INCLUDE 2 SETS OF PLANS, 3 CEHTIFICATES OF SUAVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICA ADDNESS IS DESIHED. NO CHANGES WILL HE ALLOWED ONCE HIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL IINITS FOR SALE QNITS 0 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COtRdERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, ~ JUN „ 0 Y:',''' 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS 6,6, To Be Used For: New Construction Valuation: Q, Date: ~R Site Address RSn OFFICE USE ONLY ~ 3l 000 - t~ Lot Block ~ On site sewage_ Occupancy MWCC system v Zoning R-1 Parcel/Sub Staffora rianP On site well _ Actual Const V-N City water ~ Allowable V-N Owner M;rhaol P r;.,d., r,.,, TiTlQZ. PRV required _ Il of stories Booster Pump _ Length TIpT- Address 898 Wescott Trail 6201 Depth uQS.F. Total City/Zip Code Eaean. Mlv 55179 Footprint S.F. Phone 452-0937 APPROVALS FEES Contractor Frontier Midwest Homes Corp. Engr/Assess Permit `166•00 Planner Surcharge , O Address 3902 Cedarvale Drive Council Plan Review 23,3,0 ~ Bldg. Off. -/1~c7 fo/L3 SAC, City f o0,DO City/Zip Code Eagan, Minnesota 55122 Variance SAC, MWCC 50,00 Water Conn ,5 0, Oo Phone 454-9433 Water Meter (,r)•co Road IInit o0 Arch./Engr. Phillips Plan Service Treatment P1 u ao Parks Address APPle Valley, hin 55124 Copies TOTAL . Q ett7f4+p-4G~ 14530 Pennock Ave. CAMSRiDGE A1oDEL Phone I! 432-2044 . J~ /Z Hedlund Engineering Services 9201EattBloominptonFreeway Bloammpron, Minneaota 55420 LanG Surveyora Cfvll Enpineers Land Plonners Phane: 888-0289 AWsurvqor`s G'ert~,f "~cate IAVI - BOOK _ PAGE JOB NO. asL 32Z SURVEY FOR: Frontier ;?idivest Homes Corp. DESGRIBED A5: Lot 5, Elock 2, STAFFnRr nLP_CL, City of Eagan, P.akoa C'ount~7, Yinnesota and reserving easements of record. 7,5 ~ T.N. HYB. C~ Let Lne 30 Z 31 \ a9q.7m U BIK. 4 0.+ Veh+novRue. ~ ~j ~ Elw. - 901. 41 400.Y m 4~'~ s o ;D e ~ t, 1 y 90 z.s ` ~ / L"' ' ` \ O~ ~ f > ~?nz 6 , 51 $ e^ ` ; ~O~ ~ 1V \O / / ~ * - b > 2 p~ ^ 4o"L-_, . ow 1 0 o~ 1\ 1r- ~ V ie4s5 B y\ 0 ED~ / TOP OF FOiJNDATION = 9c4. ~ Y GARAGE FLOOR =ao9.3 ~te~ - BASEMENT FLOOR = SEWER SERVICE ELEV. ryS~,~ ~T EIVGINEERTl t ` PROPOSED ELEVATIONS : EXISTING ELEVATIONS : U~'' ~ DRAINAGE DIRECTIONS ~ c~/S ~ DENOTES LOT CORNERS : o CERTIFICATE OF SURVEY, qag;~ DENOTES OFFSET STAKE: ? I henby csrtify that ihis survey,plon or report wos prepared by me or under my diract suparvision and thot I am a duly Regisfered Land Surveyor under ihe laws of the Stafe of Minnesofa. Date: ~ Jeffre~ . L dqren , License Na. 14376 - .r - Lf'1r~t1xl~k'7~ . EvT'R.TGR EVVELO?E RYERAGE "U" CDMPU7ATION {Ct3f?°Wa~1 ZXCo ~ 041P1ER Mi haPl F, r;.,rjy To i Taglnr . ~ SITE ADDRESS aso CONTRACTOR ~(tn~,~-i1R DI~iC ~~-9-44--vo,~ PF:OVE 454-0433 De*.ernine vrorking square footage of each. 7. Total exposed wall area ZS,Io sq. ft. x .Il On 2. Total roof/ceiling area 10 S R sq. ft. x Total expased wa11 area above floor a. Total wa11 window area 1 a5.~ b. Total door area c. Total slidina giass dcor area . ya d. Total fireplzce wall area........................ y g e. Total wall framing area (average 101<)...:........ 1228,91e f. Total ne_.-da:7 area above fiaor - 1 ceSG.88 g. Total r;m joist area 14{8 Total ezposed foundation area = -15,33 ~ . h. Total foundation window area..................... i. Toal net foundation area above araCe Oeter-nine "U" value of each wal] seymsent. ~ a. I rot`J,~ x3lUll .~S = y~.85 b. 3q.('a X„U„ ..y5 = i ~.83 c. ya z"u" d. y8 X „U„ .3~ _ e. e-~ a.$.SC~l X IOU., o-t .b2 Lf. ico sG.$lz x°u~" 03 . g. I y~ X°U" e03(6 = S h. ,Y ^U° , ~ s.33 X „U" .114 = b.S 3 Tatai If item 03 is the same as, ar less than itsn al, you have met the intent of SBC 6006(c)2. Total exposed roor/ceilina araa = I p$~ . Tatal gross rcof/ceilinq are3 = . j. Total skJliqht area ~ k. 7ota1 roaf/ceiling framing area 10,70„ 1. TotaT net insutated roof/cei7ing area....... q"l q ,Z_ Deternine °U" value far e=ch rnof/c_iTing secmeat. X loug j. k. (t7S.~S X "U" ,oZ1 = 2.Z~b X"U" . O 1ci = 1 8. 6 4 . ............................Total = 2 . 8 If totaT cf 14 is the same as, or less t5an 02, you have met the intent af SBC 6006(c)i. To utiT4zed the totat envelope syste:n rt:ethod, the values.estabtished 6y the sum of itzms a3 and 744 shall not be graatzr than the sun af items #i and s2. l. A S 1,7.t + 2. 2$.ZR = 2<30.al . 3 . \a\.o5 + a. ZO~~~C = ~.11.93 MAT°..3IALS T.4erm. 3asistance "R'• EY: a_? zr A:: S idir_g Mat er_a1 .42 Sheathing 3#4" Thau'** Insula:iaa SO Sheetroek , SS Interiar .lir .(e~ . 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' - : : 1'-ov cri , . . . • . . • ' : • ' ?Ir;. 47 ' • ' • w-- I - '~Swes I ot 'HEnLEL MECHANICAL Nm0j Wx 3600 Kennebec Drive ~e•~: C.AM7~~ :1 D G~- .55122 ~ ~ HE~1T LOSS CALCUL~ITIONS DEPAR'I'MENT OF I SPECTIO ~(,5,~,7„~ Eagan. NN Ws~tAcnuip~ A uid . ConWUCtioa No. ~ laulatioe Ge Doon Re(ccence I Out. WaU int. Wall C.tilin` Roof Floor I Kind How Applied . <.~-P o I c.~- o 19 _ F1.1 Room L.ength Width I Hei ht 6tt m ~pgty ~~y Ra Windows and Doon---Cr~cka`c and Are• G ~ Windows and Doorr-Crackase and Area :ria~n M.qM Xe N Unul r~. n~ • r p~n• •t wn~ II nu o1 ouY : a. !1. wlalp M~1/\l Ne. ~t .rl It. ?IM ` Q No. ~t •w~ •1 n~ 11 ~t~ of cnoY . It. 2 ' 2~ . COCf. BIY C~f. B/Y 1SIu~~~ou 1. O e2, Infiluuion Gl ip. wall 2.~ Z ~u Eap. wall I4t eap. wall . , Net e:p. wall nt. wall Int. wall EEEEE 1! q 0 Ceilino h 3 3 oul Biu. Floor . Toul Btu. ;Cvuircd sq. (i. E.D.R. or sq. ini. W.A. Leader area LI-a 4 a- ReQuired sq. ft. E.D.R. or sq. inu. WA. Luder •rca 'J J(o Fl.I Room LenQ~h /,j Widih 1Z Heiaht ~ FI.IF=U - Roomll.enQth P)w Width Fkisht Wmdows and Dooro-~Cnckaoe and Area W Ji Ne Windows and Doors-Crackaga and Arc& . el L~n ul f~. wro L ~ uth.• WIGlh H~I~Wht N. ef .ul (t. wn. ' No. af Dcn. af na 11:Dt4 of araak N. fL. 'Z L It-.7 17,8 8 r ~z. s 'l:" , ~,~;t ~9•3 ta v . Coef. Btu ' tu i6ltution a Q 1 G~ In6ltwtion D d... 1-t 15 GI.,s 3-). Z7 t 8'zi O sg~ ap. wall Z./ (p Eap. well I~Co el a~y, wall fl Im. wdl 'tilin` ' ~80 q 0 O CeilinQ . D- 4 0 Floor Tot,l Btu. epuited sq. ft. E.D.R. or sq. ins. W.A. Lcader &rea Repuired sq. it. ED.R. or sq. ios. WA. lsader aru Fl. Room I Lcnoth Width ~j HeiQht ~ I Fl. 1 V Room I Lertpth I Width 14 Hsigha 3< 1lfindows and Door?-Cr~ckage and Area Windows and Doon-Craeluge aod Aica M-I~sI No. e( Llnul it. ?ro . ~ ol ~u~ of o~b Uihb af rrae\ a. a. wmin NaIfpl Ne. of 14~~1 fl. •n1 No, al p~u• el p~n~ Ilf~t~ at w~cY N. it. J1 / 1:l ~ r'~ ~ ~0•(j io Z~~ 3 Cocf. Btu JJ~~atwn 1n61toiion y'1• 0 1 '1 Jo, Cl.w ap. rAU , 1 a. 0 Eap. wall 2fo !N sip. wall Net c:p. wall ~ ql. V.II Z~ ~ 1 J:.~ Int. wall ~ 26 CJ Ceiliny Lo i O I S Iw~ Flonr Toul Bw. I-quucd .q. 1~. E.D.R. or q. io.. W,q. ~adsr arc& C. n Rcquired sq. (t. E.D.R. or sQ. in~. W.A. L<ad~r ~~ea - - _ 'I'!'~ " d 'NENLEL MECHANlCAL .9"'t 2°1 3600 Kennsbec Drive ar Addirossi Eagan. MM '$5122 HEAT LOSS CALCULATIONS DEPaRTMENT OF INSPECTION wsitifMfipl _IIA . . . •II COplltYCl10A NO. I ~wn CiWd! 4indow~ Doon Rcleuna Out. Wall Int. Wall C.eiling RooF floor Kind Hor APPiwd e~ s~' ~ No 19_ Fl.I r:il^,7 Room Lsnelh ~j 10 Width G Heiaht Fl.l Roum L.engL6 WidtL Ke+s6t Wmdo..s and Doon--Crackyc and Arca IoY Windowa aod Dootso-CracluQe aad Arca Ne. ol l.~nul lt. Aru Wla~p ' N~I(Oa N~. of bwl It. ~tw o! o~n~ N p~n~ IqMU o( truY ~p. p. No6 ol p&M 11 y~A. 11 Cb et craeY N. t1. ~ 32 wo i~L Coef. Bw Coef. Btu In61tr~~ion ' 3L S(O I a.8 0 In6ltr~lion CJu~ N~ a.0 o n Claw . Eap. wall l7 fip. wall Net sxp. wall Net esp. wall ~ Im. ...II Int. waU Ceihng J (o a a Ceilina Floot Floor Total Biu. Toc•1 Btu. Requirad sQ. ft. E.D.R. or sq. ins. W.A. L.cadcr mu Requircd.q. fi. E.D.R. or sv. in+. WA. l.eader.re. Fl.I L~ irLki 04Room L.engih 1 I Width ~ Heiaht Fl.I Room I L.enith Width Fiei ht Wmdow& and Doorm--Crackave and Aru ° ' W'undows and Doon-Cnckave and Area WiCU Nu~M M. N Unul lI. •lu ql~~G N~I~~L o.o! u. 111. ?r w N~. o! 'u. ot Nn. IIfhU a( sraaY q. ft. No. ~ ef ~e~ Ot 11 IIU d efK! . fl. is, 20 ! o (u Y~ ~ Coef. Btu o IaiItruwu .2 , 11 U $ (o Infiltr~tion Glau I• fi Co '9 ~ Glau Fip. w¦11 Exp. wall Net sap. wall Net tap. wall Int. wall Inl. wall Cadmll Ceilin4 Floor Floor Taal &u. i Toul Bw. ReQuirad s0. (1. ED.R. or p. ins. W.A. Lcader arca Required w. fi. E.D.R. or .q. in.. V.A. ls.d.r •n. ~ Fl. Room I Lenoth 2(0 1YidM4 O Fkiaht Fl. Roomllsaath Wi" FMisht Windows and Door.--Cr.ckaie .nd Areo O Windows and Doon-Cracluge and Arc~ M~a~• N~~~M No ~t Lbul tt. ?ru • la~n ~I~~t Me. N L1uol ll. •n. Mo. •1 p~• •f W 11l U •f wacY p. It. . No. of ~u~ of y~~tl 11 ?R ef <fac4 p. N. f 1 26 70 ~ ~/0. 8 G. c4 o Coef. Btu Coef. &u Inilu59•1-Wo a3 (o % 1n61tration CJus 7Q~ 17 $ 9 O O Clau fsp. wa4 , 0,$1o, Ecp. wall Net sap. wall (o Net up. wall Is1. v&ll lot. wall ' CeJm` - CeJia4 f iw. 110 No 5 a o o Floof . T«.1 Btu. Ta•I Bw. ~ ReQuusd bq. ft. E.D.R. or 'p. ins. WA. lsader area Fl j(o Required p. (t. ED.R. or p. w+. WA. Lsadsr ue• . • APFLICATION FOR PERMIT iNOT%: PAYMEZU OF FEE AT TIME OF ; . ~ APPLICATION DOFS NOT CON- t SfI1[TfE APPRCVN. OF PII2DIIT. ~ ~ SEW ER AND/OR WAT[R C(~NNECTION : IrsP~ccza~ oe ~ Ara~oa rm.c ; ~ j It15TAL[ATIOKS WIIL N7f BE S'c7xnsn ~ ~ . . . + lRdl'IL PF7ZZPIIT Hk5 BFIIi APPROVm. ~ ` F ~ i~a+~ex++•.e~»~~»*~:a~a»~~e~:.~+a~• . city oF eagcan (PLEASE PRINT 1) PROPERTY ADDRFSS: 850 Ventnor Avenue Eaean MN LEGAL DESCRIPTION; Lot 5 Block 2 Staffo d Lot B oc S ivision or Taac Parcel ID IF EXISTING STRC'CTURE, DATE OF ORIGINAL BUILDING PERNLiT ISSUANCE: MDnt Year PRESENP ZONING/PROPOSID USE: Q COPM9ERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL . ~ R-2 DUPLEX (Two Units) Q INSTIIT)TIONAti/GOVEE2m&NP Q R-3 'IC)WNHOOSE (Three + Uqits) ( Lfiits) Q R-4 APARTMENT/COAIDOMINILM ( Onits) z) ~NAME= Frontier Midwest Homes Corooration ADDRFSS: 3902 Cedarvale Drive CITY, STATE, ZIP: Eagan, MN 55122 PHONE: 454-0433 For City Use 3) NA`'E: Star Plumbine P1 retmLicense: Active ADDRESS: 1018 Mound SorinR Terrace Expired CITY, STATE, ZIP: Bloomington, MN 55420 I Not recorded PHONE: 884-4149 MASTER LICENSE # 3329 Sta Initia 4) e "'E ~ Michael & Cindy Lou Taylor NF1P7E: ADDRESS: 898 Wescott Trail, #201 CITY, STATE, ZZP: Eagan, MN 55123 PHONE: 452-0932 5) ~ ~ , a ~~•au a.i a CONNECPION TO CITY SEWER f--Xl CONNECTION TO CITY WATER O OTf-IER 6) Ulv, **************.****~,,*,,*.*.**~*~~****~~*****~*********~*****,*****~**.**,,,t'*~ * * THE GOLD COPY OF THE PERMIT WILL BE SENf DIRF7CPLY ZU PUSLIC WORKS 70 FACILITATE NIEI'ER PICK-LP. * *t PLEASE ALTAW ZWO WORKING DAYS FOR PROCFSSING. SOMEONE FROM TEiE CITY WILL CONPACP YOU IF 1HEItE * * ARE ANY PROBLFTIS. ~ ~,t,t**,t**~~*t**:t**~+*****.+*,t*****t+*+*t**:r*,t*,t*+,t****~r*+~*t++t*+,t+*****~**~****+*,t***,t***~*r+***r*3 .-FOR CITY.USE ONLY . PERMIT # ISSUED 9 7Z z i Pd w/Bldg. Permit FEES: $ /D - ,5~-, $ SEWER PERMZT (INCLODE SURCHARGE) $ $ WATER PERMIT (INCLUDE SORCHARGE) $ ~ 7'$ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSZT - WATER $ .S .~O • O~ $ WAC S ~ S C~ • c}-n $ sAc $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ -~n~~' U t~ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 2 7 - C) G $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE, EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK L9ITHIN PUBLIC Q . ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: / C APPROVED BY: TITLE: DATE: 4 , i`ii'If_; T'le hIli fll E=r,l;otl :'I lili' I11[fhiLl C111L!, 1hSI (7fi r:;lr':f F"f~f l'~ I I_~•,~.:~: } f-.rit ti `il I. I Pd f?F.:: Uf" i,UI~Ii .E=f~;Plti ot:,iLll lnlf: 1;'u7! I?EI~:, I ff_fQ tll(oJESI HUIIE.i', ll~ _ -i'.I, d K I]^li f'I'if"•r_~~i_v r)•. Hi_il"I;h Hql:ti: ~..=ilh~::.'_i~.•li'i~-). Ili~-. i 1l1l~-11 ri'I~.I,' - { nii1 _.-P r llii:.: iie;u1 iini::tiod •.{ind:liiQ Qiii• li3i•_4 ,npd, b.lE, do liol; Fnou liow ia.r Lml pinr•r-.i*F- .Y",c du„e rn Iho f,;.~~i~ h,lir.r~_ i~~. ~rir,~~n~i or r_lirt~ :I,i17 :.il:hina- .iif ti:.=l' 2Y•{,~ 1'~iiv, '~-_:-ri_icv 1~iJ-, if~i=;'.ili~~ ~~I i_171 t, 4;-I ~i~~_r f'rtoi_ fi:.~li :~'~l~' I,~i _-_i r 'ut -.?"d I.hr,r 1'ep13i11(jml iif i'lul p .w.:t•F:v. lhJJSL.In W,r Iurif, iidJch o; C;4' dli_4.51r. Lop:n„) ili,ie lo opr:,-ii,n. I'Ir. I,, _ I:c_.YI I YiqnIlny "'I"?.I itnicjr Yc`ql_Ir>StIlig W?I" {.;hr_ dllh it- ! f~..~-i~~ ].(l r)~_)1 ~~i_iiL~:` '{nl 1._ I]ilin„=•d hiu!, hv. _ ~i~lr~ Ili. I'..~-i~lt.,.. I,d~_ ~lfit';i-, iir?~li~t~; ai~rj i~-r-:l ,V.r•', hivr': ,Il,nli h'heiL .am1•iS• ti.iTo tn {llilsh ui_im Jut.. H:. 11_~..! Ft,r,nl_i..i i-.i!I_ 4nni i",is in joi a ripepiacr-, =,iirl F,hw,_ ;il It.d Ihr. ,,i,w:. ii~ •ntl, d irl ~11.i 110"i Flir_. -o r.,1 h4.= =v"!.°.n.. f'i1=o ur., .:,r,o ;:=r.,.inci :,om" 1'_~d i iH +.Io. I,.,_o".iii- Pi_ I-lie ::p"i_ i.lie ;"Di i"l:; ai n pl.,curi,. Wo .i,=pl khr•, di''1 noi F,iol•r..i t; _-r-n"-sl:i-ucl, =.nd 1311iSli Lli- Wni;ing=,. I; tl~co eni on • quK_-.I..i On_; o-i-r_• re" I,e r n" I:ac t-e.j atr Hi?iiiL a <1`.-i? _ , Hi i r• Ix(-q I ior 1 AF', ~,111''I~:~'. Will I . 1'51 os a- RECORD OF COFSPL6IN1' DATE: l' COMPLAINT TAKEN BY: NAME: <<L 6DDRESS: PHONE NO.: ~~i.~, ~/j,~-~ l•~,~ l~z~~~ .41~~--_ • ~~5 ~r-~~ COMPLAINT: ~ . '///'Zf.L•i~..i;,:-,-.. f~_t-~x.c-~'jf) L`)~t~ici', i a C= /-•,a. ACTION TAKEN: ~ ' ~ %i ^ > , ~ ~ ~ ~ ,cS~'~<+~~- .%-i ,%!'_«?,-,,:..:~«t:. ~,~Zi :Tu, ,r~^«~ i/-`%- /C_'r - L~? 1\ ~ ' . . ~~~~,(^_~,~~~7~'c~•~>:z f:,~r~ ,~„G--- . 7~~~L~_f,`-~"C.. ~..LC`~"CL•'-.t .~CKL'-E-~`~"C~C`" P:L.I e ~ -E_ COIAfENTS: ~ ~ i • ' . . /i~C u t~9 ...17~-F-~~w_ .)z•c ~:~~y~~-~ c~.d<:~~.~?'c-e~ ~ c TYPE OF BUILDING: ' LEGgi. DESCRIPTION: , SIGNED: • , . , PERMIT - CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 028182 (612) 681-4675 Date Issued: 0 7/ 11 / 9 6 SITE ADDRESS: 850 VENTNOR AVE LOT: 5 BLOCK: 2 STAFFORD PLACE P.I.N.: 10-72500-050-02 DESCRIPTION: Building-Permit Type DECK ;Building Wo_rk 7ype NEW ! Census Code 434 ALT. RESIDENTIAL /,.;;iF REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 CONTRACTOR: OWNER: - Applicant - PEPLINSKI DON 850 VENTNOR AVE E A G A N MN (612)405-0208 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 9tate of Mn. Statutes and City ot Eagan tlrdinances. ~ J l~ cl-- L'Lit- T. P A(fu~ V, A~~-_ APPLICANT/P MITEE SIGNATURE ISSUEO BV~G A t , /F~ CITY OF EAGAN C 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New ConsWelion Reauirements RemodeltRepair R 'r m n ~ ? 3 regislered site surveys ? 2 copies af plan ? 2 copies of plans (include beam 8 window sizes; poured 1nd. design; etc ) ? 2 site surveys (exterior additions & decks) ? 1 energy calculafions ? t energy cakulations tor heated additions ? 3 wpies of trae preservation plan H lol platted after 711l93 required: _ Yes _ No DATE: ~-1 I 1Iq(n CONSTRUCTION COST: 4-- DESCRIPTION OF WORK: P~~-hLc)n o~ -heck STREETADDRESS: R50 ver1+71n(' v~Q il LOT `S BLOCK Z- SUBD./P.I.D. 2unZk PRQPERTY Name: PPP1k Y1SV-"( Dc~Ci Phone y65"02-OB OWNER ""°T Street Address, (950 VCY1~Yl3R Alg City: state: M IV zip: ~51 Z2 CON7RAC70R Company: Phone Street Address: License City: State: Zip: ARCHITECT! Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that th ortnation is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of ApplicanY OFFICE USE ONLY RECEOMLDD Certificates of Survey Received _ Yes _ No J~-- 0 21996 Tree Preservation Plan Received Yes No OFFICE USE ONLY ) . . BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. a 17 Swim Pool 0 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move X.32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION , Const. (Actual) Basement sq. ft. MC/WS System (Aliowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq.ft. Census Code. Depth Footprint sq. ft. SAC Code ~ Census Bldg / Census Unit O APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC . City 5AC VVa,e. Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units , ~ I 1 ~ , • ~ ~ ~ Garage , , ~ 48 a ~ % House I 1 ~ ~ ~ ao tt. ~ . , za n. ~ ~ zo e.~ za e , 1 1 j 16 a. Deck Stairs , ;l 1 ~23 ft. 2 in.-sl i , i ~ i ~ i ~ i ~ i i ~ r ~ i ~ ~ i / 90ft i ~ i ~ i i ~ ~ i i ~ i i i i i ~ i ~ i i i i i i ~ i i i i i t ~ ~ ~ Property Lines PERMIT CITYOFEAGAN ' 3830 Pilot Knob Road PERMITTYPE: euzLozNe Eagan, Mirlnesota 55122-1897 Permit Number: 033160 (612) 681-4675 Date Issued: 0 9/ 0 4/ 9 8 SITE ADDRESS: 850 VENTNOR AVE LOT: 5 BLOCK: 2 STAFFORD PLACE P.I.N.: 10-72500-050-02 DESCRIPTION: , REROOF/STORM DAMflGE Building Permit Type STORM DAMAGE Building Work Type REPAIR ,Census Code 434 qLT. RESIDENTIAL , REMARKS: FEE SUMMARY: CONTRACTOR: OWNER: - Applicant - PEPLINSKI DON 850 VENTNOR AVE EAGAN MN 55123 (651)405-0208 . I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable StaL'e of Mn. Statutes and City of Eagan Ordinances. ~ L APPLICANT/PERMITEE SIGNATURE ISSUED BY. SIGNATURE ' 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN n i ~ 3830 PII.OT KNOB RD - 65122 N - ~ - 9 y ~U 681-4675 New ConstrucYion Reauirements RemodeVReoair Reouirements ? 3 registered site surveys • 2 copies of plan • 2 copies of plans (inGude beam & window s¢es; pouretl fnd. design; etc.) ? 2 site surveys (exterior addilions 8 decks) ? 7 energy qlculations ? 1 energy calwlations tor heated aCdRions ? 3 copies of tree Dreservation plan A lot platted after 711193 required: _ Yas _ No DATE: =1 It-I l GR CONSTRUCTION COST; 'clUO 0 DESCRIPTION OF WORK: -I?00fi/19 ALLV~~ ~c,~n N~Sl S7EET ADDRESS: S5 ~ U21'\~Ylo r /Yl LOT: BLOCK: SUBD./P.I.D. S"~C ~U J Cg ~ La- L-k-- Name: /'P e'J ~cn5 K( ~~On Phone ~oSI ~ YQS -O ZC'~ PROPERTY t First OWNER ~ / ( ~ Street Address: 65 0 V e V~T?I,C')r City State: Zip: 2 Company: <51-7 L F Phone CONTRACTOR Street Address: License H City State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water iicensed plumber (new construction onN): Penalty applies when address chang and lot change is requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the iniartnation is correct and agree to comply with all applipbl State of Minnesota Statutes and City o( Eagan Ordinances. Signature of Applicant: -=L ~ ~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No - Not Requir OFFICE USE ONLY ' BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool O 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex O 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New O 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units PERMIT ~ CITY OF EAGAN .3830 Pilot Knob Road PERMIT TYPE: N G Eagan, Minnesota 55122-1897 Permit Number: 0 31895 (612) 681-4675 Date Issued: 0 5/ 01 J 9 8 SITE ADDRESS: 850 VENTNOR AVE LOT: 5 BLOCK: 2 STAFFORD PLACE P.I.N.: 10-72500-050-02 DESCRIPTION: ` - (SHED) ~Building~Permit Type GARAGE/ACCESSORY 'Building Wo.r.k Type NEW ~ Census Code 328 OTHER NONRES. / j , , j aJ REMARKS: PLAN REVIEWED BY MZKE BARCK FEE SUMMARY: VALUATION $1,200 Base Fee $40.25 Surcharge $.60 Total Fee $40.85 CONTRACTOR: OWNER: - qpplicant - i ' PEPLINSKI DON 850 VENTNOR AVE EAGRN MN 55123 ' (612)683-8683 I hereby acknowledge that I have read thi,s applicat.ion and state that the inFormation is correot and agree to comply with all applicable State of Mn. L 5tatutes and City of Eagan Ordinances. ~ Oal APPLICANL RMITEE SIG F7E ISSUED BV: SIG URE 1 %is998 BUILDING PERMIT APPLICATION (RESIDENTIAL) 5 CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4675 Naw Construction Reauirements RemodeVReoair Requirements ? 3 registered site suneys ? 2 copies of plan ? 2 copies of plans (include beam 8 window s¢es; poured fnd. design; etc ) ? 2 site surveys (exterior adCitions 8 decks) • 1 energy calculations ? 1 energy calculations for heatetl additions • 3 wpies of tree preservahon plart d bt platled aftar 711193 required: _ Yes _ No DATE: ~I JZ 96 CONSTRUCTION COST; 'r/a00 ~ DESCRIPTION OF WORK: ~x /(o~ ap/~orYlart ~~~a.p~ _A0d STREET ADDRESS: 8 J~o yea-lilpf A-VE LOT: ~ BLOCK: SUBDJP.I.D. 1~4IYUI ~ a _ uU Name: PpP1l/1Skr Phone yDS-O Z08 PROPERTY Las[ First OWNER t / SheetAddress: A~JO ,Ip(1,TT1p/' 71ve CitY &c?x r'1 State: IklIv Zip: Company: Phone CONTRACTOR Street Address: License # CitY State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Stree[ Address: City S[aie: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowiedge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl State nf Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: E~~ -c Q~c~~od~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No 2 ~L Tree Preservation Plan Received _ Yes _ No _ Not Required III TA16 OFFICE USE ONLY ~ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish D 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory 0 20 Public Facility ? 04 SF Qorch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous a 05 SF Misc. ? 10 _-plex ? 15 Deck WORKTYPE 10 x IL. S~ 0 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System ~ (Allowable) Main level sq. ft. City Water ~ UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 3 Za Depth Footprint sq. ft. SAC Code of Census Bldg r Census Unit v APPROVALS Planning Building ~ me> Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SN1! Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ' O! % SAC SAC Units - ..-...r,~.._._......._... ~ fu n d E n g i n e e r i n g S e r v i c e s 9201 Eosi Bloominaron Freaway - Bbominaton,Minneaofa 55420 ' Surveyors Clrll EnQineers LanA Plonners Phona: B86-0289 Aw surve~or~s G'ert~f~cate _ - BOOK _ PqGE - - JOB NO. SURVEY FOR: Frontier P?idwest Homes Corp. 1 OESCRIBED QS: Lot 5, Elock 2, STAFFnRD ?'LACL, City of Eaean \ Da.koa Countv, ?'innesota and reserving easements o.f record. Z5 \ Snn~l....a.KG ~ r.ti. N`f0. e~t lne 30 Z, 31 \ El". = 90L 4l ?m. D ` `O , 4,1 0 4~ / ' u % ~`d N 25 . 6PJ / ~ A N O \O ~ / ; lJ v 3~ - ~ 0 Z ? M--1 o w NlP } 4'A pJ I 0 6 f~ l ~ 164.5 " \ • - t~,~ / `•l ;"J/ TOP OF FOUNDATION = - _ _ ~ / GARAGE FLOOR = BASEMENT FLOOR = - _ SEWER SERVICE ELEV. _ ~s~ =Q • °~`~D O-- PROPOSED ELEVATIONS EXISTING ELEVATIONS : DRAINAGE DIRECTIONS L DENOTES LOT CORNERS : o GERTIFICATE OF SURVEY DENOTES OFFSET STAKL: ? I heroby csrtity Thot fAis surv y,plon or report was prspared by me or under my diract supervision and that I am a duly Reqisterad Land Survayor under the laws of ihe Stota of Minntsofo. ~ Date: Jeffre~ 'fl. L dqren, License No. 14376 CITY USE O\LY LOT ~ BL ~ RECEIPT I I'"s ~~I 0 SUBD. RECEIPT DATE: MECHANICAL PERMIT # J 1999 MEcxAvicAL PERMrr (REsinENrIAW Cf!'Y OF EFkfiAN S$SO P1LOT KNOB !iD EA6AN MN 55122 Date: ~1-Cj -rj (651) 681-4675 Complete this section oi:lv if you are installing AVAC in a single family dwelling, townhome or condo under consh-uction and not owner /occu ied. . uvAC: p_i,nn M B T U W ?O.C^ ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge .50 Total $ Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New Alteration Repair _ Other Reminder: Ca1l 681-4675 for inspections. _ Fumace ? Air conditioning _ Air exchanger _ Other $ 30.00 Stafe Surchazge .50 Minimum Total Due $ 30.50 SITE ADDRESS: kSp OWNER NAME: _ C(//TYI PHONE (AREA CODE) INSTALLER NAME: + • ~ ~ PHONE 4 1 eL - DD (AREACODE) STREET ADDRESS: CITY: STATE: ZIP: SIGNAT[TRE OF PERMITTE CITY USE ONLY L BL RECEIPT SUBD. RECEIPT DATE: APPROVED BY: , INSPECTOR MECHANICAL PERMIT tt: 1999 MEct"icA?. PERMrr (coMMERcIAL) crrY oe ~GAx 3$80 f'1LOT KNOB RD £A61kN, MN 55122 (651)6$1-4675 Please complete for: all commercial/industrial buildings multi-family bi -ildings wt-en sepzrate p2rmits ere not requirad for each d+•:e!ling unit 1JA"f E,: i.Uiv i nni.T PicICc: WORK TYPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank (Minimum Fee) _ Processed Piping (Minimum Fee) '•NOTE: When installing/removing underground tank, ca11651-681-4675 for inspeceon by fire marshal and plumbing inspector. DESCRIPTION OF WORK: FEES: 1% of conttact price OR $30.00 minimum fee, whichever is greater. CONTRACT PRICE x 1 % PERMIT FEE STATE SURCHARGE ($.50 per S 1,000 of,pemtit fee due on all permits.) TOTAL • SI"TE ADDRESS: OWNER NAME: PHONE #l: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLl): INSTALLER: ADDRESS: PHONE - . (AREA CODE) CITY: STATE: ZIP: SIGNANRE OF PERMITTEE 541~ 1 RESIDENTIAL ,-~1 BUILDING PERMIT APPLICATION ~'">'t~ S CITY OF EAGAN I~ I S 3830 PILOT KNOB RD, EAGAN MN 55122 ~ 7651-681-4675 New Construction Reauirements RemodellReoair Reauirements • 3 registered sne surveys showing sq k. of lol. sq fl of house: and all roofed areas . 2 copies of plan (20 % maximum lot coverage allowed) . 1 sel of Energy Calculations lor healed adtlinons • 2 copies of plan showing heam & vnnUOw sizes, poured found tlesgn, etc J . 1 siie survey for ertenor additions 8 decks • 1 set of Energy Calculalions . Indicate if home served 6y septic syslem for additions • 3 copies of Tree Preservalion Plan if lot platled after 711193 . Rim Joist Detail Ophons selechon sheet (bldgs with 3 or less units) DATE VALUATION* SITE ADDRESS MULTI-FAMILY BLDG Y `-R TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT A Q ~ VIC ' STREEi D ESS _ I~,Z ~17 CITY ~ ZIP .5Y33 ~ TELEPH~N~ ~707 "~9S y CELL PHONE # FAX # g S 2'~~~~-p PROPERTY OWNER TELEPHONE # G SI S' 7- O~Z~ y COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ >IIV\E5(>"f.A RI;LF:S 7670 CA"fGCORI' I >IIA'vLS~' RI:1.l:S I(i7? pe) . Residential Ventilation Category 1 Worksheet Submit[ed . New En y~ode (d submission ry Wo(ksheet Submitl i I l • Energy Envelope CalculaGons Submitted ~ AUG 2 3 2002 LI L f Plumbing Contractor. Phonc ?t - Plumbing sYslcm iucludcs: W'atcr SoClcncr _ L.nm Sprinl:lcr BY . y- Walcr Hcalcr No. of R.L 13aths \o. of l3alhs Mechanical Contractor: Phone # N(cch>mic:d s~~stcui indudc;: _ :Air Conditioning l-cr. 570.00 - I-Icat Rccovcn Sy'slcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabie State of Minnesota Statutes and Gty of Eagan Ordinances Signature of Applicant ~ ku/`-`~! OFFICE US[; O\'LY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Uptlated 4 .0? OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plez ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MWti O 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF 0 04 02-plex ? 70 08-plex ? 18 Deck ? 23 Porch(screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 72 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 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 (Bldg)' ? 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 Lenglh Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaUC.O. _ Footings(deck) _ FinaWo C.O. _ Footings (addition) _ Plumbing Foimdat io? H V AC Drain Tile Other Roof _ Ice fiWater _ Final _ Pool _ Ftgs _ Air/Gas Tes[s _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows(new/replacement) [nsulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ' RESIDENTIAL ~ C6qCb 3 BUILDING PERMIT APPLICATION ~q3I , ciTV oF encnH 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConetructbnHequlrements pemoAeVHeoairNeaulremeMS • 3 registered sNe surveys showing sq. R ol lot, sq. fl. of house; and ~II rooled areas • 2 coples ot plan (20%maximumlotcoveragealbweC) • lsetolEnergyCalculationsloiheatedatlCAbns • 2 copies of plan slwwing beam 8 wintlow sizes: poure0 lound desgn, etc.) • 1 sne survey for exierior ad0abns & Gecks • 1 set of EnergyCalculatrons . InOipte il home served by septic system toratlOAbns • 3 copies of Trae Preservation Plan A bt plaped atter 7/7/93 • Rim Joist 0eteil ODtbns selectbn sheet (bldgs wMh 3 or less unBs) DATE k L VALUATION T> 5~?U~ I C91 SITE ADDRESS S SO 0.471-1 ?t-~ (IAJ-4L- MULTI-FAMILY BLDG Y1--fi( NPE OF WORK_ FIREPLACE(S) 1_ 2 APPLICANT 14 6 C- ~rt _~53.~ 2 STREET AQDSS / 2z y -7 CITY STATE k71k1ZIP ~ TELEPHONE #C CELL PHONE # PROPERTY OWNER 01~~ TELEPHONE q~ S I-~ S~' d y~/~ COMPLETE THIS SECTION FOR •%NEW• RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 9670 CATEGORY I MINNESOTA RULES 7672 (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Coniracfor: Phone # r, Plumbing system includes: _ Water Softener Lawn Sprinkler D~ l~' 2 Fee:~ I$9Q~0 - Water Heater No. of R.I. Bath AUG 1 2 2002 I' II No. of Baths I Mechanlcal Conhactor: Phone q B _ Mechanical system includes: _ Air Conditioning e'e: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone # I hereby acknowledge that I have read This application, state that the Information is correct, and agree to comply wifh all applicable State of Minnesota Statutes and City of Eagan Ordlnances Signature ol Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4I02 OFFICE USE ONLY ' ? 01 Foundation O 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O OB 06plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex O 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 ldplex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundalion) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'DemoliHon (ErHire Bldg only) - Give PCA handaut to applicaM Valuatfon Occupancy MC/ES System Census Code 2oning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (ncw bldg) _ FinaUC.O. _ Footings (deck) _ FinalMo C.O. _ Footings (addition) _ Plumbing Foundation _ HVAC Drain Tilc Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MClES SAC ~ City SAC Water Suppy & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 850 Ventnor Ave Lot: 5 Block: 2 Addition: Stafford Place PID:10- 72500- 050 -02 Use: Description: Sub Type: e - Furnace Work Type: Replacement Description: Furnace PERMIT City of Eaan Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector, 952- 445- 2840Ashley Orman 410 W Lak e St Minneapolis, MN 55408 612 - 824 -2656 ashley @standardheating.com Fee Summary: Contractor: Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824 -2656 Surcharge -Fixed ME - Permit Fee (Replacements) Total: Applicant/Permitee: Signature - Applicant - $0.50 $30.00 $30.50 Owner: Gerald A Walen 850 Ventnor Ave Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 9001 0801 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA076111 12/07/2006 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA132465 Date Issued:08/17/2015 Permit Category:ePermit Site Address: 850 Ventnor Ave Lot:5 Block: 2 Addition: Stafford Place PID:10-72500-02-050 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Gerald A Walen 850 Ventnor Ave Eagan MN 55123 (651) 687-0409 Custom Remodelers 474 Apollo Dr Lino Lakes MN 55014 (651) 784-2646 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161318 Date Issued:05/18/2020 Permit Category:ePermit Site Address: 850 Ventnor Ave Lot:5 Block: 2 Addition: Stafford Place PID:10-72500-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Gerald A Walen 850 Ventnor Ave Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature