4085 Vermont Ave
~ CITY OF E/IGAN Permit Na %'784 Date: 7-19-88
363d Pilof Knob Road Meter No: '4I0 71/Oo7„ A-3 S1Ze. a~-
P.O.,Box 21199 Reader No: 0SR3 5-4 4,16 Date:
Eagan, MN 55121
Owner. ''?'nn.t iE:r Midwest ~
SiteAddress:-4c1R5 V T,,,nn A rr.*nttP Lt$ Bi Stafford PlacL-
; Plumber Conn. Chg: _ 550. 0Qpd Zoning; P-1
; Acct Dep:- i 5•00Pd No. of Units:
Permit Fee: -L • t'Lpd
Surcharge: _ -50nd I agree io comply wlih the City of Eagan
Tr. Plant_ ?~~t+ • ~~Pd
prdinanc .
Meter. F,7 cI rZ„-j
Misc.: By ~
; WATER SERVICE RMIT
~ .
CITY OF EAd'AN Permft No: U,9' 7 Date:
3830 pllot Knob Road B/P No: r%j Qate:
P.O. Box 21199
Eagan, MN 55121
Owner. rror:t#,gT~,Micixest
SiteAddress: 4!1F5-Verabont Avenue. ;.1~ r4 ft.iffarc; Plece
Plumber. Star Plwnbin&
MWCC: 550• Q0pd Zoning• ni
City Ghg: 100. op' No, of UnitS: Acct. Dep: ~
I agree lo comply wilh the CRy ol Eaysn
Permit Fee: Ordinances.
Surcharge:
F Misc.: gy ~ SEWER 3ERVICE PERMIT
I
I
i
I
" ICA9H flECEIPT ~
CITY OF EAGAN i
•3830 PILOT KNOB ROAD ;
. a
• EAGAN, MINNESOTA 55122
~
aArE
~
~ , L - t
,
AMOUrrr $ ,
~
v & DOLLARS I
tao
? CASH CHECK
FM
~
~..L ~ / ; / ~ ~ ~ r.<. . ~ ' I-' L--
RJND OBJECT AMOUNT
Thank You .
er
Whi~ ,
v~
Piik-FYa Copy .
CITY OF EAGAN ~ - . ~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100
BUILDING PERMIT Receipt~
To be used for SF DWG/GAR Est Value ~p8•00() Date JL+LY 1d ,19 ES;
Site Address 4085 V6WMOtiT /1VF. OFFICE USE ONLY
Lot lb BfoCk 4 Sec/Sub. &'rAFFURU PLACE OnSke3ewape Occupancy k3/Nil
MWCC Syatem X Zonino R1 ,
Parcel No. on Sfte Well (Actuaq Const ~n I
a Neme FROiiT1Ell !llUWEST HOME5 City water x (Allowable) VQ
z Address 3902 CEQARVALF. ak PRV Required * of Stories
~ City ~A~ Phone 454-0433 BoosterPump Length 54
Oepth 28
~ p Name SAME S.F. Total
ou Address Footprint S.F.
i~ City Phone APPROVALS FEES
Engr./Assess. Permit ~ '6~~•~
yVj W Nam~
Pianner Surcharge
= n Address U= City PhOne Council Pian Review '
~ W 6ldg. Off. SAC, City
I hereby acknowledye that I have read this application and state that the Variance SAC, MWCC
information is conect and agree to compy wlth all licable State of WaterConn.
tAinnesota Statutea and City of Eagan brdinances.
Water Meter '
Sigrt9ture of Permittee Roed Unit 32 S.W
n Buiidin9 Perma is issuedto: FKONT1ER M1UNtST Fi0lfES 7reatment Pt 204.Q0
onthe express condition that atl work shall be done in accordance with all Pa~
applicable Slate of Minnesota Statutes and City of Eagan Ordinances.
Building OHicial _ _ TOTAL
- CITY OF EAGAN 18780
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # ~_r o ' 1 _~C4~~
`J
To ee used tor 3-SRASON PORCH Est. vaiue ,000 Date HU 13 19 91
A d ess . ~S 1/ERMOi1T AVE
~ jT ~r OFFICE USE ONLY
Lot -+~-r Block Sec/Sub.
Parcel ~~xr ~ g FEES
zoning
W Name ~x WA~R (Aclual) ~~l _ Bldg. Permit
~ Address (Al10wab1e) - 5urcharge 3' 50
City Phone r of scofies ~y
length Plan Review
PAN6LCR11FT
t~ Name Depth - SAC, ciry
o i Addf@SS S.F. Total - SAC, MCWCC
~ City Phone S.F. Foolprints -
On Site Sewage _ Water Conn
N W Name on sae weu - water Mete?
Address ?~?wccSysiem - ~ t
i W Clty PhOn@ City Water -
PRV Required - SflN Permit
I hereby acknowlege that I have read this application and state that the Booster Purt+P - S/yy Surcharge
infwmation is correct and agree to comply with all applicable State of
Minnesota Statutes and Clty of Eagan Ordinances. Treatment PI
$ignature of Permitee -jd--7-7 APPROYALS qoad Unit
A Building Permil is issued to: PAMLCL44T Planner - Pa?Ic Ded.
on the express Condition that all work shall be done in accordance with all Courcil -
applicable State of Minnesota Statutes and City of Eagan Ordinances, gldg, ph, _ CoP1es
' Variance - TOTAL ~
Building Official
-
Pe?mit No. Pwmit Ho1dK QoM TNkplwrw N
WATER
SEYVER •
PUNdBIIr(i
H.VAC.
~CTRIC 9/~5 Ia/ 9 0°°
r"P.HM oaft coww.ft
FooWVs 1 13-12 yi S
~ F~ = •%i' ~JS
Aoof~g
Raugh PD9•
~ Ra+9h
FtepleDe
I Final Hug.
Fw?al Pbg.
Con3t. Meter Plbg. Inspsctor - Notiy PNxnber
ErgrlPlan
&dg. Fnal
Dedc Ftg.
Deck Fnal
VVer
Pr. Disp.
,~,.i _ s.r,s..~.~. . }lG~'a1~7.~ISCct~.. a.T'?,_T.~~•l:.c'~.,,~T.~:~.._~..~,"~T=.1fr' :,.~''.r''LP~"~.
CITY OF EAGAN f;21 17889 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 1 J
BUILDING PERMIT Receipt #
To be used for ~~m Est. Value =i , ~ Date ~Y 17 , 19 ~
Site AT6ess 40 S VB1tl40NT AVE -
Lot Block SeclSub. OFFICE USE ONLY
PBfC@I NO. Occupancy - FEES
W Name ~ 6 JMiET iiA~.71i1! ~ZoNng ~st - Bldg. Permit SS.00
~ Address (Ala'"~~) -
Surcharge
Ciry KAMM Phone +r a siories -
L~m Plan Review
p S~~ N8R1@ DePth - SAC, City
,
~ S.F. Total _
u< Address SAC, MCWCC
gx Clty PhOrl@ S.F. Footprinls _
On Site Sewage _ water Conn
~
W W Name On Sile Well - Water Meter
t= Address Mwcc system
52 City Phone citywater _ A""' O°pO81t
PRV Required _ S/W Pertnit
I hereby acknowfege that I have read this application and state that the 8ooster Pump - gMl Surcharge
intortnation is Correct and agree to compfy with all applicable State of
Minnesota Statutes and City of Eagan Ordinanoes. 7reatment PI
Signafure Of Pertnitee w A APPROVALS qoad Unil
A Building Permit is issued to: sTM-J~OHN" Planner - Park Ded•
on the express condition that all work shall be done in accordance with all Couricil -
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pry. _ Copies 36.00
Building Of(icIAI ~ Variance - TOTAL
~ wrmn No. P«mtt 1iad.. o.te T.Mpuon. A?
WATER
SEiVER '
0A
PLuMeaNG 3 0
Kva.c.
ELEcraIc 17 p a 9 0 0~0
Inapwdon naa hsp. Conwnwft
Fooags I
faun0ation
F,-4v s•z3 p ~s
fto&lg
ftLo P".
~
F" tft.
final P".
ca+st. L4eW Plbg. lrqpeom - tJotilr Plw„be.
EngrlPlan
Bldg. Final 0 - /Vo
Dedc F1g. Z '
Dsck Fnal
wen
Pr. Disp.
/
- --r• . _ ~ ~
• ` PERMIT Ik
PLUMBING PERMIT
CITY OF EAGAN RECEIPT # a
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 451-E100
Site Address & BLDG. TYPE WORK DESCRIPTION
Lot Block SeciSub Res. `New
- ` ' Mult. Add-on
~ Name -t• ' 1V • TC - Comm. Repair
~ Address r ~ ~ ~ ~ ~ < Other
c City 11- ~ PhOne f ' RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
INO FIXTURES TOTAL
Name L-~' Water Closet - $3.00 Bath Tubs - $3.00
~ AddreSS ~ ~ I ~ ?t h ^.+cw 7 -L__L_'~~_Lavatory - $3.00 p Ciry Phone ~ x Shower -$3.00 -
Kitchen Sink - $3.00
FEES UrinallBidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BIDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whfrlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping OuUets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMM
(ADD $30 S/C IF PERMIT PRICE GOES SoRener -$5.00
BEYOND $1.000.00) welt - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
. ".4•~~ri .7'. . d i. . . . . . .."^YR'~R!^Y~w.-. . _
PERMIT # 112 ' ~ ~
MECHANICAL PERMIT RECEIPT ti ~'-7 r~
CITY OF EAGAN ~ , , %
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -
' CQNTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address -~'-gLp(`,,, npE WORK DESCRIPTION
Lot, Block Sec/Sub Res. New -T
Mult Add-on
m Name - -
Address Comm. Repair
~ Other
I ~ City Phone
FEES
Name RES. HVAC 0-100 M BTU - a24.00
c Address ADDITIONAL 50 M BTU - 8.00
p City Phone ' (RES. HVAC INCWDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
' TYPE OF WORK COMMJiND FEE -19b OF CONTRAC7 FEE
Forced Air M BTU aPT. 6LDGS. - COMM. RATE APPLIES
TOV1lNHOUSE 8 CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMOOELS - 12.00 -It Air Cond. ' M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
' Ve[1t CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE
SIGNATURVOF PERMITTEE
S/C:
70TAL• FOR: CITY OF EAGAN
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 63121
PHON E: 454-8100
BUILDING PERMiT Receipt 7k
To be used for ~ Est Value Date j~~ Ly ~ ,19
Site Address OFFICE USE ONLY
Lot ~ Block Sec/Sub. ~'l FU PLACt On SRe Sewaqe Ocd,psncy
MWCC System Zoninq
Parcel No. On 8ite Well
(Actuaq Conat
City Water (Allowable)
a Name
W PRV Required ~ of Storiea
z Address '
° City Phone j ~ `)4 3 3 Booster Pump Length 54
Depth }
, p Name ' L S.F. Total
o i Address Footprint S.F.
U
~ City Phone APPROVALS FEES
v W Engr./Assess. Permit 7 h'
Name
Planner Surcharge 4"
~ o Addres8 ,
~ W City Phone Council Plen Review --T_
Bldg. Off. SAC, City
I hereb aCknowl Variance SAC, MWCC
y edge that I have read this appliCetion and state thet the
information ia correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. _
Water Meter
Signature of Permittee
RoBd Unit
ABuildin Permit is issued to:
9 Treatment P1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
Building Ofticial TOTAL
Permlt No. Permit Holder dab ToIophono ~
Plumbing
H.V.A.C. QO ^ 8
Electric ~ . ~ /'II-e b~ ~
Softener
Inspection DaN Insp. Comments
Footings I
Footings II
Foundation
Framing r
Rooffny
Rough Plbg ,~gd
Rough Htg.
[sul.
Fireplace ?%5~4D
Final Htg. e ~
Final Plbg. ~
Bidg. Final
Cert Oca 7 f•'
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
. - i
. PERMIT M
PLUMBING PERMIT RECEIPT li
CITY OF EAGAN • ~
3930 PILQT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-6100
Site Addfyss ~ C-'L BLDG. TYPE WORK DESCRIPTION
Lot 81ock~- ~-7~,. -SeciSub Res. ~ New Mult Add-on
~ Name r~~ ~'W ~~l ' Comm. Repair
Address Other
c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
FIXTURES OT
Name _7-Water Closet - $3.00
c Addre , ~ Bath Tubs - $3.00
~Lavatory - $3.00 ~ n
p City Phone , Shower - $3.00 ~ -
J
=Kitchen Sink - $3.00
FEES ,U,inal/Bldel, $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$t.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE - $20.00 r_;2___Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYONO $1,000.00) Well - $10.00
Private Disp. - $10.00
~Rough Openings - $1.50
SIGNATURE OF PERMITTEE ` FEE:
STATE S/C: J~
FOR CITY OF EAGAN GRAND TOTAL: ~
PERMIT # '
, . MECHANICAL PERMIT ~ CITY OF EAGAN RECEIPT
3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE 8/ 88
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot 18 Block -A Sec/Sub Res. xx New v_X
~T Mult Add-on
m Name Comm. Repair
~ Address 1955 Shawnee Road Other
4521565
-
c Ciy Ed~dA Phone
FEES
Name FRfl1'1T RES. HVAC 0-100 M BTU -$24.00
c Address3 ADDITIONAL 50 M BTU - 6.00
p Ciry Fg8~ Phone (RES. HVAC INCLUDES AJC ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEFiMIT) - 1.50 EA
TYPE OF WORK COMM/1ND FEE - 1% OF CONTRACT FEE
Forced Air 8O-00t) M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 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
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE
S/C: • Sd SIGNATURE OF PEAMITTEE
TOTAL• $26.00
FOR: CITY OF EAGAN
. . . ~ .
a 49145 ~ oosi~
,
,elt Q
HeQUas~ Date/ 4Z^ Fve N
Rough-m inspeclion
qa vetl'+ ? ReaOy Now 'XWill NoLty Inspector
Yes ? No ~ `N~en Reatly9
Ilicensed contractor ? owner hereby request inspecllon of above electrical work at:
JoD Rtl ss ISlreel. Box o`r /Rpute No ~ Pty
r V ~
Section No TownSNp Name or No Range No County
~
nt(PRINT) Phona No
r pa
Cz. l-eh tJa!?e-1 Q i'IeY - ,~35
Power $uOVLer Atltlress
EI Kal G nVacmr Oany Na ) ConVactor5 ¢ense a
c iI Mai n o ess IGOnh r r O.vna d' ing Inslallatmn)
/
Aulno~ e0 S~gnaiure I onlra(torlOwner Maki g InslallaLOn) / Pho 0 NIm
i-i-
MINNESOTA STATE BOA OF ELECTRICITY THI$ INSPECTION REOl1E5T WILL NOT
GriqgiFMltlway 810g - om S173 BE ACCEPTED BV THE STFTE BOARD
1821 Universlly Ave., SL Vaul, MN $5104 UNLESS PPOPEP INSPECTION FEE IS
Plwne(612) 663-0800 ENGLOSEO.
r/~
~ / REQUEST FOR ELECTRICAL INSPECTION ee-oaooi.oe
? See mslmclion£br coWielinq tM1is lorm on back ol yellow mpy
I1-tl 49 1 µjJr) "X" Below Work Covered by This Request '~•,m•~ ew AddTRep TypeofBuJding AppliancesWued EquipmeniWired
Home Range Temporary Service
Duplez Water Heater Elec[ric Heahng
Apt. Building Dryer Other (Specify)
Comm./lndustrial Fumace
Farm Au Conditioner
Otnar (speciry) Caolrecmr5 Remarks • .
Compute /nspectron Fee Below:
M Olher Fee S ServiceEnhanceSize Fee # Cucm15lFeeder5 FeB
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Translormers Above 200 _ Amps Above 100 _ Amps
SignS inspecrors use ony. OTAL
Irrigahon Booms T
~
Spemal Inspection
Alarm/CommunicaLOn THIS INSTALLATION MAY BE ORDEREO DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspeclor, hereby Rougn-m oata
certify that ihe above inspection has F,oai oa~e~
been made. ~ •.Z~V7//
OFFICE USE ONLY
Tpis reduest vaitl 18 monlhs irom
,,s/ay/0Vo IQ-;102e0 s
9 4 9 7,8 0 /g Y
RequeA Da~e Hra No Poug0-in InsGpeclion
M n~ ~ Requrtetl9 ? Ready Now b(,yVill Nolity Inspeclor
F~~~~ Yes No Whan Reatly?
I'licansed comractor O owner hereby request inspection of above electrical work at.
Jo0 Adtlreu (SVaet Bax or Roma No I Qry
o&s < v e E7 e EN
Secuon No Townsnip Name or No Fange No, Counry
fl <oTa
Occupum (PRINT) Phpna No.
N ~ ~}SZ- 08 f
Power Suppher Aaaress
Eleclncai Comractor (Comoany Name) Conhachor5 L¢ensa No
o -
Maihng qCtlress ICOnvacmr or Owner Makmg installu4on)
13a!M RTC E Z ve
Authon p g awre nha rr0 er king Installavon) Phone Number
-6392
MINNESOTA STATE BOAPO OF ELECTRIQTV THIS WSPECTION REOUEST WILL NpT
Grigge-MlOway Bltlg. - qoom S-173 BE ACCEPTED BY TME STATE BOARD
1821 Unlverslty Ave, St. Peul, MN 55100 UNLE55 PROPEP INSPEQION FEE IS
Vhone (612) 642-0800 ENCLOSED,
~~p,L~O REQUEST FOR ELECTRICAL INSPECTION ee-oooo1m I
7
/ bo See mstmmions lor completinq this lorm on ba<k ol yallow copy E~ C~ ~l
0 4 9 7~3 0 ~ o~c «.3
"X" Below Work Covered by Thrs Request
e Add Rep TypeofBuiltling ApphancesWVed EquipmentWiretl
- 0 1R2nge Temporary Service
oupiez water Heater Electric Heahng
Apt. Building Dryer Other (Specity)
Comm./Indusirial Fumace
Farm Air Conditioner
Other(specity) Contraclor5 Remarks:
Compute Inspec(ion Fee Below: JfASFIYi F iUT
d Other Fee 8 ServseEntrance Srze Fee # Circmts)Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps ve _ Amps
Si9nS InspecmrYUSeOnly '3TOTAL 5p
Irngation Booms Q
Speaal Inspecnon
Alarm/Communication THIS INSTALLATION MAV BE ORDERED D$CQNNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MOLVTaS.
I, the Elecirical Inspector, hereby Aougl i,(,~ -r~~ ,f+' z
certd Ihat ihe above ms ection has
Y P pinai y~, Dnte
been made. :2o ~
OFFICE USE ONLY
Tnis requesl vaitl 18 monlhs Irom
This request void ~j/, //bf~ C~i/7 ? ~
18 nvnths fmm 7~Y O/d'
E 28400 6~q
RequesvUa FireG Roupn- inI nsuecuon ~
RequlreA? Ready Now ~(],Will Nouly Insnec-
[DYUS ?No lor When Feady
i ~
C4-Ll'c`hnsed Eleclncal Co111raclor 1 hereby request insoecGOn oi ebove
? Owner elecirical work installed at
Svee A re , Bo or Fou No. Citv
eMiun o. Town<OiD Nume or No. Range No. Coumy
Occ_ ~ INTI ~ Phon No.
• ~p C ~S~-oQ3
Pawer Suppli ~ Acldress ,
Electncal Comractnr (COmpany Nnme) Cnn[~acto~', License No.
F
O PLE ~~C ~ailationl
Autl At~~a rr ~ ny nstallation) Phone Numbtr
MINNESOTA STqTE BOAflD OF ELECTflICITY THIS I NSPEC710N HEQUEST WILL NOT
' BE ACCEPTED BY TME STATE BOAND
Grip9s-Midwey Bldg. - Noom N-191
1821 Univarsitv Ave.. St. Vnul. MN 55104 UNLESS PROPER INSPECTION FEE IS
ow....e rw», weo.nwnn ENCLOSED.
aj/jt//gg REQUEST FOR ELECTRICAL INSPECTION 0 o~~
, See insM1OCt~ons br complebne thns iorm on bflck ot vellow copy
E 28400 "1(" 8elaw Work Covered by Ihis Request
Neo. Tvpe oi Builtlmg Aooliancee Wirod Equiunient Wire•1
Home Range Temporaiy Service
Duplex Water Heater ightiny Fiztures
Apt Bulldin<,7 Dryer Elecvic Heahn
COmmercial Bldy. umace Silo Unloader
InduStrial BIAy. Air Condrtioner Bulk Milk Tank
Farm me~ Peu v Otner ISn,ifyl
m.l uecify 1her Oih':e
ompute InspecLOn Fee Be/ow
p Fee ServiceEntmnee5ize n Fee Fextlees/5ubleaders b Fxe Grcunts
0 to 200 Amps 0 to 30 Amps tn 30 Am>s
A6ove 200 Amps 31 ta 100 qmps 1 to 100 Am s
wimminq Pool Above 100_Am s Above 100_Am>ti
Transtormers Irrigation Booms Partial.'O[her Fee
Signs SUeciallnspecUOn 5
OTAL
Aemi rks / ' ~
Roueh-in tne Electnca
~ Inspectoq heiroby
car~ify ~M1n1 the abova
final U ie mspeetmn has been
aa.
ThISrepueslvo101Bmonttulrom ,
BLDG. PERMIT NO. ro d~
7/)
'01-3 rvv Bldg. Permit 00
01-3422 Plan Check 21 g3 CD
~01-3445 Surch./Adm. f
01-3446 SAC/Adm. ~
01-2155 Surcharge ~
75-3860 Road Unit 3 A/~
20-2275 SAC /
~
20-3865 Water Conn. Q~
20-3868 Water Trmt. O/ o
20-3716 Water Meter 07
20-2252 Acct. Dep. ~ a
203713 Water Permit C)
20-3743 Sewer Permit 00
79-3866 Sewer Conn. ~0 (~o
28-3855 Park Ded.
TOTAL ~
CITY OF EAGAN N2 1 5 3 5 4
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt # ~3S -7
To be used for SF DWG/GAR Est. Value $98,000 Date JULY 18 1988
Site Address 4085 VERMONT AVE OFFICE USE ONLY
Lot 18 Block 4 Sec/Sub. STAFFORD PLACE OnSiteSewage _ Occupancy R3/M1
Parcel No. MwCCSystem X zoning R1
On 5ite Well (Actuap Const Vri
z Name FRONTIER MIDWEST HOMES Cirywater X (Allowable) Vn
i Address 3902 CEDARVALE DR PAV Requiretl u of Stories
o City EAGAN Phone 454-0433 Booster Pump _ Length 54
Depth 28
, o Name SAME S.F.Total
oa Address FootprintS.F.
u
~ City Phone APPROVALS FEES
~ a Engr./ASSess. Permit $--566._00
w w Name
t z Planner Suroharge ~9_.00
Address 283.00
a w City Phone Council Plan Review
Bldg.Off. SAQ City 100.00
I hereby acknowledge that I have reatl ihis applicahon and state 1 at the Vanance SAC, MWCC $50.00
iMormahon is correct antl agree to comply with all lica te of Water Conn. 550.00
MinnesotaStawtesandCityofEaga rdi nces 67.00
Water Meter
Signature of Permittee ~ Road Umt 325.00
A euiltling Permit is issuetl to: ERONTIER_MI?WEST HOMES Treatment P1 204.00
on the express condihon t hat al I work shal I he done in accordance with all
applica6le State of Mmnesota tatutes and Ciry agan Ordinances Parks
BuddingOffiaal 70TAL ~2_r694.00
\
CITY OF EAGAN NO ~ 8~$O
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
~y, ' < ~
BUILDING PERMIT PHONE: 454-8100 Receipt # < ~
To be used for 3-SEASON PORCH Est Value $7r 000 Date MAR 13 , 1991
Site Address 4085 VERMONT AVE OFFICE USE ONLV
Lot 18 Block 4 Sec/Sub. STAFFORD PLACE
Parcel No Occupancy R_3 FEFS
.
zonmg
w Name GALEN WAGNER (ACiuaq Const - &dg. Permlt 90.00
o Address 4085 VERMONT AVE (Allowzble) - su.cnarqe 3.50
City EAGAN Phone 452-6718 aorstodes _
Lenglh 1 4' Plan Review
. o Name PANELCRAFT oepm 1Z' snc, ciry
~a Address 3115 SNELLING AVE S S.F Toial - SnC,rnCwCC
. City MPLS Phone 721-6628 s,F. FooiPdncs
"
-
On Sile Sewage _ Water Conn
ww Name On Ste Well - Waler Meter
z MWCC S slem
'a Address Y - ncct Deposit
aw City Phone City Water -
PRV Requue0 - SNJ Permtl
I hereby acknowlege that I have read ihis applicahon and state that the Booster Pump - SMI Surcharge
information is correct and agree ro comply wdh all applicable Slate of
Minneso[a Stalutes and City ot Eagan Ordinances. Treatmem PI
SignaWre of Permitee ,/l>??~~ FPPROVALS Road Unn
A Buiiding Permit is issued to. PANELCRAFT aianner - park Oed.
on the ezpress contlition that all work shall be done in accordance wnh all CouncA
applicable State ol Mi~nne~s~o~ta1 StaNtes antl City of Eagan Ordinances. eltlg OiF. _ Copias
BuildingOflicial ~~1~.11 IIVl(.l,f r~u3 Variance _ TOTAL 93.50
~ 'l
CITY OF EAGAN Np 17889
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt # ~ 79-~q
To be used tor BASEMENT Est. Value $1, 500 Date r1AY 17 , ~ g 90
Site Address 4085 VERMONT AVE OFFICE USE ONLv
Lot 18 ' 81oCk 4 Sec/Sub. STAFFORD PLACE
PBfCBI N0. Occupancy - FEFS
Zoning
x Name GALEN & JANET WAGNER (AcNaqConst , Bldg.Permit 35.00
; Address 40$5 VERMONT AVE (nnowabie) - 1.00
~ Surcharge
City EAGAN Phone 452-6718 Mof Stories -
Length _ Plan Rewew
, o Name STEVE JOHNSON oePm - snc. ciry
o'~' Address 14750 W BORNSVILLE PKWY #18 SF.Total ,
U~ City BURNSVILLE phone 440-2653 S F. Footpnnis _ SAC, MCWCC
On Site Sewage _ Water Conn
~
W w N8m¢ On Site Well , Water Meter
~zAddfeSS MWCCSystem
c~t~ Acct Depostl
aw Cdy Phone cnywater ,
PqV Reqwretl _ S/W Permil
I hereby acknowlege that I have read this apphwtion and state that the Boosier Pump SNJ Surcharge
mformation is correct and agree to comply with ali appiicahle State of
Mmnesota Slatutes and C' ( Eagan O[ man es. 7realmenl PI
SignaWre of Permitee ) APPROVALS Roatl Unit
A Bwlding Permit is issued to: STE OHNSON Planner - park Detl.
on the ezpress condition thal all work shalt be done in accordance wtlh all CouncJ
applicable State o1 Mmneso[a StaWtes and City of Eagan Ordinances BIdg.Olt _ Copies
~ N i fl rn, ~
Building Ofliaal Variance _ TOTAL 315.00
(trr#ifiratP of (Orrupttnry
, titp of eagan
lgP}1M1'frilPlt2 of B1tTjbiYIg JtlB}1PCtiAlt
This Certificate issued pursuant to 7he requirements ojSection 306 ojlhe Unijorm Burldrng
Cade certiJying tha7 a1 the time ojrssuanre this snucture was rn comp(iance with the various
ardinances oJthe City regula[ing burlding constructian or use. For 1ke jallowing.-
UseClazsi~iuuon S' ~~-~~~~Z Bldg Rmti(NO
oa„p-yType F541 zoweo.vw. %i2] TrRCo=.
l. t. iLR....F; 3 Addr. 5.n c7i~:t L~" 1• L]n•_~
OwmrofBuldig r-
Bwldmg Addrm Iqalily
/
' Bwltling Olfidal' •
POST IN A CONSPICUOUS PLACE
i
L
~P~lund Engineering Services 9z01EastBloominqronFreaway '
Bloaminpton, Mnnesofa 55~120
LanG Surv~yors Clvll Enpinters Land Planners Phona: 886-0289
IIAW
ert~f "~cate
BOOK - PAGE _
JOB NO. '$2-3a7
SURVEY FOR: ~'rontier t'id~vest Homes Corporation
Lot 18, Bloc:c 4, STAnPCEP ?=~2CE, City of :;aga.n, Pak.ota. County,
DESCRIBED A5: ;tinnesota and reserving easenents of record.
PROPOSED ELEV4710NS
• \ ` ( ~ / ~ 70p 'Of iOYll"ti0f1 • 893.5
9-7a. z Gaaw Floor . e393. I
Bossiftnl Flow .dd=.?
40Yeoa. Serer Suvice FJov. .
Propo444 Elovaliona I
C-)
Gainope Dincfions
Wnaes Olhef StarS ~ O
. ~
BENCMNAflK;
T.N,H~Id. n C..1
u ~0 Ek.,,. = ea;.ze
78
~Jd~N`SE4CK REOIREMENTS
' c=3o s- 10
i~
^ 3 \
^ ~ ~ egt 9 \
i
hQ~
~ `i ~ 7.Sfya ~
? / ~ ~ \ ` ~2~ y< <f/ \ ~ \ / /
i
/M S~ \M / ~ \ 3 N . ~i'B / \ ' ~ % i
/
291.1 ~ 0 G o~ ~
I V
16,65
a9o.s -
P~t~ n ~.S
~ D
VE po •s~ \o ~ 43 , -r g$ `
RvE^,~0~ 3i1.3 Date~-,L
, V ° PA6~ ~T %RIIVG A~3'.
CERTIFICATE OF SURVEY
I Aereby csrtify ihat ihis survey , plon or report was prepared by me or under my direct
supervision and that I am o duly Reyistered Lond Survayor under The IoMS of the
State of Minnasota. ~
~ D a t e : ' / ° / U~F,~•,~ fl • ,
~
Jeffr . L' eqren, Licen e No. 14376
, 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMZLY DWELLINGS /53%sy
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR COHNER LOTS - CONTRACTOR/HOMEOWNER MUST DESZGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURUEY - CHECS WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONAIERCIAL
INCLUDE 2 SETS OF AACHITECTURAL & STAUCTURAL PI,ANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
6M 0
To Be Used For: A1ECv S772uCt10n) Valuation: Date:
Site Address q085 VF eMON7' PJE . p8 p p G OFFICE USE ONLY
~
Lot Block ~ On site sewage_ Occupancy 2-3 M-/
MWCC system ? 2oning ~
Parcel/Sub sTAF~OP-b PC.AC-E On site well Actual Const -71-V
~ n City water ? Allowable VA/
Owner TR ~4~08MT p I~'qMELA PRV required of stories
Booster Pump ` Length S S~
Address IDqOg _B2ur.I5l.U1CK Cl~C1E Depth zP
S.F. Total
City/Zip Code'3C00M1N6tDN~MN 5543r~ Footprint S.F.
Phone 3s5 - 7Coq-7 APPROVALS FEES
Contractor Frontier Midwest Homes Corn. Engr/Assess Permit S~ G
Planner Surcharge `f 3
Address3902 Cedarvale Drive Council Plan Aeview Z8,?
Bldg. Off. `I 7/12SAC' City /00
City/Zip Code Eaaan, Minnesota 55122 Variance SAC, MWCC SSo
Water Conn 5 SO
Phone Water Meter
Road Unit 3 z S'
Arch./Engr. Phi ins P1an S rvi Treatment P1 z D y
Parks
Address7,4530 Pennock Avenue Copies
City/Z3p Code Annla Vallay MN 55194 TOTAL
Phone 11 439-7f144
.
v ~ US * / ~ N • _ - s ,
~ar. ~~i0 ~/~z ~G/~e0 1 ' •r
eS 2 9 D,Y / 3 ; / O2D
IS~, 200 yy Y9 = 7 9396
~ 7 ~~s
: L~~o STU~DS EYT`_RIOR ENVELOPE AUERAGE_"U" C0MPUTATION__ Su.121~~
OWNER: "r`~~LF 2 , 48a 1" F}tiD YR-Me LH nnrr:
SITE ADDRESS: L4085 V~leMONI- F~?E~1UE PHONE: '0 U33 -`f",~ONTllr--<
CONTRACTOR: ~QOJ...J7-l ~i2_ ( -I2n'1~S PLAN # SU/L2EY PL~F1J H ~ ;
Determine working square footage of each
1. Total exposed wall area..... `z33sq. ft. x.11 = ZS'I.ZC-7
2. Total roof/ceiling area..... 85~ sq. ft. x .026 = ZZ• 1-I8
Total exposed wall area above.ploor= ZoZ
. . . . .
a. Total wall window area.:........... 148.~1
b. Total door area FS7. ,
c. Total sliding glass door area 40
d. Total fireplace wall area
e. Total wall framing area (average 10A) ! 1 q. 8!
f. Total rim .7oist area ? S 3
g. net wall area above floor I(alB.Z-`i
h. wall area a6ove fioor
i. wall area a6ove floor
.
a
J. frame wall area at foundation
Total exposed foundation area= (~p`Z- -
.
k. Total foundation window area.......... `1 ' •
1. Total net foundation area above grade S 3
Determine "u" value of each wall segment
(e.g. window, door, each separate wall section)
a. 148.9 Xv C0r1.983
b. X 1,u„ C. Qb X 'lull ,~-I = 19. ~
d. X liuit
~ _
e. I~q.gl X ul . 09 = r~.rez
f. 253 X liu„ , Qy.
9. /4018•7.9 x ~,ul p¢ _ ~4.q 31
n. x liuli
~ . . . - ~:~K^':
I I I I _ ' • . . . ,
' .
I\ V 11U
. j X I'U" = If item 03~is~the:
k ~ Xull , 4~ as, or less than`.i
0 1, you have mef" t
1. 53 X"U" o t b = 5• 3 - i ntent of SBG~.600§
715Z.U7l~,_-
3. ..Total
- - - -
^otal e~cgosed reof/ceilir.g area = SS3
m. Toca1 skyl;qht area
n. To`1 roof/cei'_ia, fracnir.q area (:verage 10%) ~3
.-I .
o_ Total net ir.salatc3 roof/ceiliag area........... tW7
Determii:e "U" value for each roof/ceiling segnent
M. X "U" _
n. S.3 x U,, Z.o4Z
~7x „U„ oZ = S. 3s4
4 Total = l~. 40 ~
_f to*_al cf `d is the samz as, or less than S2, you have met the inteat of
STiC 50Q5 ;r_1 1.
Alte_::=t2 Suildi.^.g Envelone Desiga
'?b ntzlize the total enveloge'system merizod, the values estzblished by the s:u-s of
ite.ms -3 and -4 sha11 not be greater tnan the sum of itesns R1 and ;:2.
i. 2517• Z9 + 2. Z2.118 46$
3. ZAZ.O-7 (a + 4. 1-7.4a~ = Zl'r1.47-7
#
S u rzQ~ R~ u A
* L,EINEAL r:--^ F^C'OS::D WP.LL
BLOCK:
KNEE:
W.O.:
rUIS. i .
FULL 2:
p_TR..PIAC:.' :
F2L`?:
* SQUARE F~.'T E)POSID WALZ ARFA
BIACK: x .5 =
KrIFr: x 5 =
W.O.: X g _
FUIL 1: x $ _
FUI.L2: x8=
FTREPLACE: x =
TOTAL
RlM; x1= * SQUARE FEET fXPOSED CEIISNG
DOORS
* PATIO DOORS
' * RASEMffN'T UNITS
~ ?.I?vc E}C'OSD 'RAI.i.
B?-Ocx: 34+iI+~+t~+13+4+iSt2~= 12~
KNEE: uA
w.0.: NA
:vr~, 34t3f it-r-~+-~-t+-la-i-4+ts+Z4=~~
FLL?. 2: 34+wS+4ot16'+/3+¢-F lStZS.S =/2'7
FIREPLACE: aFrn OP
1'7& t 12 '1 _ Z53
~ SQUaRE FEET EXPoSID waT-L aRFA
BIACx: I 24- x. 5 =6 2
KnrzJ: x5=
W.O.: x $ _
:UL.i, 1: I24o X $ = 1008
~Z
=ITLL, 2: I7 '1 x 8= IO1(o ~
FIRE..'ALACE: X =
RI?: ~S3 X 1
Ti714L
SQUP.RE FEt.Z' FxPOSED CEILING
114 t8"l+$2 =853
~ ~ . DeoRS 3°- i - zo
oo.us
c5rnT5 3-7
PATT_0 DOORS ~
2oa6- I l l , /s -40
2448 -~-H Il l' ~4 rtBp,s'-P.Farr tnNrrs
w4a- i - ~•t~ Z~l t~o- ~ i l
z4bo - ~i~ - 30 - 9 ~
Zomo-tlll - ~3.3
i~8~~
c= ~`f~n4ue t 1 area Tvr R- VALLTE
" {vame c:xutYUCe kon CONSTRUCTIOI,~•- FRAMT_NG - '
1. INTERIOR ASR FILM 0.68
O 2. 2 G-'P9D .4
3. 5 1/2 SOFf 4000D 678
4.
s. SIDING .a .
6. EXTERIOR AIR FILM 0.27
W+LL _ TOTLL R= .8
U= .09
c T_G. '.kl 'fY>PvTEyU Cf NEI
ppArle WA_L
1. INTERIOR AIR FIIM 0.68
2;_` 2 GYPBD .45
3.
~ 4. 25/32 SHEATFSMG 2.06
5. SIDING .6
FG. ~"1 3 6. R
~ U= .04
' n
G 1. INTERIOR AIR FILM 0.68
QI 2. -6'yr INSIJL. 19. 00
S~LL1S£-~~~ 3. JO
, / 4,
5. SIDING
i ~ 6. MTMOR AIR FI . 7'
o', o U= .04
. ~ ~
BIACK
WALL .1. INTERIOR AIR FILM 0.68
2.
.
~re• [ ~ 3, 5. 0
4. PROTECTIVE fl4RRTER
~ 5.
6. F
TQTAL R= 7.13
- U= .14
SLAB ON GRADE a
-
/ ~ ~ . ~ ~e 7 *t %
D, • o _ I~ f ~ - ^ , , . . \ v IN ~ I I
~
94 UL
r c;. . 43 ,rr - ir~
= -
r =
rroTEE: uIDzcATE T`_'PE, "R" VAIIJE. DaP'I':i PIM
PLP.C~?-ENT OF T-1'ISULfi_'rTON.
. .
• ~ L~~~ CONSTRUC?'ION ' R-VAIJUE
1. INTF£RIOR AIR ?ZL"? 0.68
IN
3 . LNZiULAilUll
'
4. rl~i
.
U = .oz
FRAME
FEAT FLoW z : ~rrE.~uox .a~ F?tn 0.61
u~ 3.
4. . 1
FIG. #S U = 0.024
• CONSTRUCTIOid
1. INSIDE AIlt FII24 0.61
12
• I ! / V I' . . " ' .
- - - - 3.
4.
5.
~
U -
e
z o 0 INSIDE ATR FrLM . 0.61
2:
?EAT FLpW U? VIIJTID 3.
4. '
S. riC 1~ • OMSME
1J _
1. INSIDE AIR F'ILM . 0.61
2.
3.
4.
' :•i ;
' ~r N • ~ SV i!w
U ~
- Y
~ NdN-VE2T?"~~ ~ NOTE: USE PDDTTZONP.L SHE'?'S IT MOR SpP-CE TS
plEMED FOk DEfe'SL.S PND G4LGUTATT-ONS.
:.=AT f LOW
-_c. _7
. .
• APFLICATION FOR PERMIT ~NME= PAM2r OF FFF:E AT TIME OF
. : APPLICATION DOFS NOT' CON- ~
SfI1L71E APpR(UpL OF PFItPIIT. y
e~ SEWER AND/OR WATER CONNECTION i INSPRTION OF S~,y¢~ p[y)/OR W71TIIt ;
; xtisrnc[ariotas wBa. rior se scmo[.ID *
3F ' ' ' • ~ [![TCIL PF77MT Hh5 BFIIJ ApPROVID. ~
t~ dtV oF ecigan
(PLEASE PRINT
1) PROPERTY ADDRESS: VE'MONT AVEI`IUC-
LEGAL DESQ2IPTION;. /_Or I$ SLOdc t4 sTAFFOeD pC.19GF
Lot B ock S ivision or Tax Parcel ID )
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BLILDING PERMIT ISSLiANCE:
Nbnt Year
PRESENT ZONING/PROPOSID OSE:
Q COMMERCIAL/RETAIL/OFFICE 14111 R-1 SINGLE FAMILY
Q INDUSTRIAL ~ R-2 DLPLEX (3wo C`nits)
Q INSTI7i1T20NAL/GOVERPAIENT ~ R-3 'IbWNHOUSE (Three + Units) ( Units)
Q R-4 APARTMENP/COAIDOMINIUM ( Units)
2) NAME: r2oN TI r_.2 I-L iD LUF_ST 'I-6M ES
zDDREss: 390a
czTY, STATE, zzP: _Fqfoant ~ MN v5~aa
PxorrE: y5L1 -OU 33
For City
3) •i y` tvtar~: g-t-a~R Pu.L mG Ose
Pl reums License:
ADDRESS: IG 18 MOUND SPRiM65_t7EPPRGE Active
Expired
czTY, sTATE, zzP: $f.ooNiiNGT,~)/\// NiN [aot recordec
PHONE: $$y - y 1y9 MASTEE2 LICENSE # 33ag St Ia naT
4) ~i'i, x~n •.n~:~
IyLF~oBEPT FJNC"~ 1"F~MELFI-
ADD1tESS: IpL408 -,B2unISU11Ck Ci2eL,E /
CITY, STATE, ZIP: ~~po M i n16TpN ! /Yt N 554
PHOrE: 835 -7(a,4 7
5) s ~ • ;RIM14,00"(Swis ~ ~ ~.u.~3
~ CONNECTION TO CITY SEWER 0 CONNECTION TO CITY WATER O QTfiII2
6> 0,7ZaZgTl
-
******************~********~**.**********w**,~.****~******************.**~****~
T7-IE GOLD COPY OF 1HE PERMIT WILL BE SENP DIRECTLY 1O PUffi,IC WORKS 4o FACILITATE MEl'ER PIQt-UP. "A
*k PLEASE ALS,OW TFV WORKING DAYS FOR PROCESSING. SOMEONE FROM TfIE CITY WILS, CODTI'ACP YOU ZF '141II2E
* ARE ANY PROSLETIS. *
~*~***+*~~****+*****~**+~**~*w,r+*~***+***+*~****+r+***+*,e,r****************+***++~*****~************+w
FOR CITY USE ONLY .
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ /n•~ $ SEWER PERMIT (INCLODE SC}RCHARGE)
$ $ WATER PERMIT (ZNCLUDE S[1RCHARGE)
$ !)'-O S WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ /S • $ ACCOUNT DEPOSIT - WATER
$ S~5-0 • U-O $ WAC
$ !j: ~C • Crd $ SAC
$ $ TR[}NK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRIiNK WATER
$ ~2 e)'y " U-Zl $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
,2-2 • n 0 $ TOTAL
$ /-57,
~s"7 G, a
RECEIPT RECEIPT
DOES OTILITY CONNECTZON REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
0 NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: 7 ~ 17Y,~b67
Resida.,t"
SU .~R~5- y Who% House Woiksheet
Cny Sww ~ ~ ' .
T+G TelupAons NumOar
WINTER:Inaide DraipnTempoF_OutcitlaDasi4nTem ~CJ
P~ ° . a_
SUMMER: OuUiCe Dosipn Temp F Nostlnp Tomp DiHor"cI •p
o_ Insida Desiy n •f . ..mD D :.iN . .
F F
TemD~ ~.Coolinp. T~er~nc~•~
MEATING OMMON'DATA , . . . „ _
-~.w- ; ,Y..~. C~'•. 5`•YV. . VI. q~~~:,r. . COOUNO..... .r'~,• r
` BC.R.~ ~~f.KTOP'1y~ u}IBAIH.f~IM -
, r GROSS WALL ~
L y DOOflS & WINOOWS ITubleAor~el ~ " '
!O , ~00 NETWALL /7.-37 7.Z0 - • . . . ...~c~.'sS".
s-i . , . . a.,.,
--1oy _ ..1a6 CEILING -7 F y - "~63
FLOORS . ~ .
• ^ n~:~~., 7 S4/
1 pi. D k % I.I~tlO % W1uny Vdonw ~ . .
0 y C f k ' 1.1~00 T ~T % T InfMia
31 x0.18333 X ~i16~ a1 ~
~y~= L i . o.o,aaa z zo x. y - 3 ~ 0 3
: SUB-TOTAL BTUH L SS (per 10°F)
ADJUSTMENT FACTOR (TaCIa C)
s~' o ~7- TOTAL BTUH tASS '
PEOPLF&_ x300 RTUH GAIN Msul"2wral
a ~ APPLIANCES BTUH I 800
' .
SUB•TOTAL BTUIi GAIN Iroom sensiblewnlyl 1200
.
DUCT IDSS/GAW FACTOR (Table F) . 13 oYS-
x
n` _ rc ~7F~t SUB-TOTAI BTUH ISensib;e Gxinl
MOISTURE REMOVAL (sub total x 1.31
5~ aos If Y 1.3
~ E-~- TOTALBTUHLOSS/GAIN ~ l~ 9r9
laULL q_~~EqTING-DOORS b WOOD FRAME WINDOWS
IVEH 10°Fl TABLE B- COOUNG - DOONS 6 WINDOWS ~
r uu i,cwrs tor ipa seme q•pu wlnaow Fuctois asaunw winaows hevo inaftle snading by drapvm pr woetian
NinOa and slitlinq gldys Coorc mr tmstnG 41s winpqwt. '
Nn~Jw~ b -'Fra~nns-_ srcacuw owwcw~ iu..~aur I
C~cio, 7v?ds Wo~J TIM Mnrnl xAteu . BiuhLwc 11«1 ou• .ar• ns. rlrewrr
$~r,yid Mand _
L i'.a, 9.90 10.45 11.55 o~W u• m• s• is• v n• y y. a•
anisaisl
~
Is i] i u u p u N
GoubleY 4 75
ene - 5 ~S O. 14e~w a/N
/Ogy m u~ o~ y n s n s
551 6 :09 7.25 ]f'
Wnh:,~eun 341 ~~w u u o r r s s o
Pu3 NS 4.90 Sc~Sw r u r
u b a a n a a
_ 3.J0 4.35~ 5.46 ~ s a y
s a /p 1 2 5<'O
`r•~.1ie - - IlA s•.•w,~. iw w in ui w~~s im is w -
as ie~ q]
` 5_0 ,
;..vL,in~. ~ .w.a• ..a cjp
1107 II.fi9 12.92
/P
i Irv.ro,yi~uaiunJ ~ .i
I - - TO
~
7$ TALS ~ ~
I•~•)I ~ \Y fpyryllMMfql~~r11a111pp~~
YbuuJUn:y 41iO - ~
K'..ou w,iunn 3:0 TAIiLE O- INFIL7Hq710N MULTIPLIEflS
~ ~ ~ WinturAirChanpesP.rHaur
Uiclh.uicCuitl I..p ~b FloorA~tle 9000,14SS 90U-1500 1500-2100
ovu 210p
_ Jl SI atomi - - 1.70 Bua Qa OA O.J U.7
TOTAL$ ru O.a 0 7
o. 2.~_ 1.6
1.7 1 U
~ fv~ e~c~ L~uylaco aJ~. .
' . . tlpl AvV~p~ Poy
0.1 0 2 0 6
laULtC - qDJU57MCNTFACTORS~- Summn, AirChunpissParMour
I , INCA'fINGI Flnw0.ua _',kJ w i~..
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1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED 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: ~ valuation: ~500 Date: ilflY 1 6 RECO
Site Address 1( OFFICE USE ONLY
Lot It Block ~ FEES
Occupancy
~~~ppp ' Zoning
Parcel/Sub j~.~G}~a pp,cl{w Actual Const Bldg. Permit 3 S•
' Allowable Surcharge
Owner ~ ~ ~(A r # o£ stories Plan Review
Length SAC, City
Address ~¢V~L US S(t~ Depth SAC, ML]CC
S.F. Total Water Conn
City/Zip Code Footprint S.F. Water Meter
Acct. Deposit
Phone On site sewage_ S/W Permit
( 1( On site well S/W Surcharge
Contractor STCvC' ~1G1Q'V15UA MWCC System _ Treatment Pl.
Address I~~~Dw. V,vov`\,o ~ City water _ Road Unit
~l PRV Park Ded.
(~lp~ Booster Pump Copies
City/Zip Code ~SM SUSTOTAL
APPROVALS Penalty
Phone Planner TOTAL
Council /
Arch./Engr. Bldg. Off. ~516
Variance
Address
City/Zip Code
Phone #
1991 BUILD AP LICATION
II G~TS ~
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MJLTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 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 WFiEN: 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 LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL SE ALLOWED 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: 5 56?7' ..~.,.1 Pa~.c/~ Valuation: Date: 3Az
Site Address qo85 VE.GrypiJ,- nIODo ~ OFFICE USE ONLY
!
Lot Block ~ FEES
Occupancy Iz '3 Bldg. Permit 70, e)L7
~j Zoning Surcharge
Parcel/Sub~1`Q~.~"~j`~~ I ~.ALg Actual Const Plan Review
Allowable SAC, City
Owner 6pc6.J w96~,r # of stories SAC, MWCC
Length 14 f- Water Conn.
Address y08~' YE4mo.c/7- /;~?c Depth /2' Water Meter
S.F. Total Acct. Deposit
City/Zip Code ERGAA/ Footprint S.F. S/w Permit
S/W Surcharge
Phone `/52 671X On site sewage_ Treatment P1.
On site well Road Unit
Contractor p/9.dEGC'4.6-7- MWCC System _ Park Ded.
City water _ Trail Ded.
Address 3118 SN'b'La/A'li il-+l&~ t~ PRV Copies
Booster Pump _
City/Zip Code /toGt 5'S'Y06 SUBTOTAL
APPROVALS Penalty
Phone ~ Z/ 6 E-2' Planner Lot Change
Council TOTAL ~la
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
I xBL~" agrees that all work shall be done in accordance with
(Signature o Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
?z~~y= 168 x y~=
~ ._.und Engineering Services 9201East&aaminqtonFreewoy
BWOmmptm, Minmsota 55420
Lana Surveyora Clvll Enpineers Land Plannsrs Pnona: 888-0289
~ survqor`s G'ert~frcate
I/z BOOK _ PAGE JOB NO. %82'3w~7
SURVEY FOR~ Frontier t'idwest Homes Corno^ation
Lot 18, Block 4, STA^FrF.D n:,,?CE, City of i:agaa, Pab:.ota County,
DESCRIBED AS: !tinnesota and reserving easenents of record.
PfiOPOSED ELEV4TIONS
TOp 01 fWN00fIW1 6893.5
Gwopr iloor , a93. i
Botenrnr floa .+365.3
$ i ACwW. SesM $QYiN ENv. ~ E~.•_•
P.oposea Elavationa . ~
Eaiuma Elhraiions ~
GmnaQe Directians ~
GnaSs OlfsOt Stat• , a
" l BENCNNABN~
4u dw~
Z / \ ti3, T.N.µvd. , ~ G..1-Dc-Sa~.
~-MIN-SETBACK REOiREMEN7S
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' Date
RvE0~,
ERING D
EPT.
~ERTIFICATE OF SURVEY
I hercby certify that tAis survey , plan or report was prepared by me or uoder my direct
supervision and that I om a duly Reyistersd Land Surveyor under the laws of tlf•
Stata of Minnesoto.
~ D at e : 'z / . o / 1L~-~., fl •
JeHr . L' dqren, Lican e Na. 14376
CITY USE ONLY
LOT 1 ~BL H PERMITk: ~ 9
SUBD.
RECEIPT
RECE[PT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIqT KNOB RD
EAGAN M 55122
651-681-4675
Aate: S -G - o0
Complete this section onlv if you are installing HVAC in a single family dwel(ing, townhome or condo under
construction and not ownedoccupied.
• HVAC: 0-100 M B T U $ 30.00
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 remodeline, addine to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New _ Alteration Repair _ Other
_ Fumace
Air conditioning
_ Air exchanger Other
Fee $ 30.00
State Surcharge .
Total $ 30.50
Reminder: Call jor inspections
SI't'E nDDRESS:
OWNER NAME: ~%Gct~Cay~ Ltf2n,,,, i PHONE &5 /
(AREA CODE)
INSTALLERNAME: R~~p~~~~~p~scr, PHONE#:
410N/EET W{E 6TF ° : - (AAEA CODE)
STREET ADDRESS: 1/ol[JVOLIl. MN 65tas'2ir-
~
CITY: ~ STATE: ZIP:
I~,nn SIGNATLJgE OF PIERMITTEE
r~ ~ Y
ciTr use oNLv
L BL PERMIT#:
SUBD. RECEIPT#:
APPROVED BY: , INSPECTOR RECEIPT DATE:
2000 MECHANICAL PERMIT (C0M4ERCIAL)
CITY OF EAGAN
3830 PILOT 1QiOB RD
EAGAN, M4I 55122
651-681-4675
Please complete for. all commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When insta!/ing/removing underground tank, call 651-68I-4675 jor inspec[ian by fire marshal axd
plumbing inspector.
Description of work:
Fees: 1% of con7act price OR $30.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minunum fee
Contract price: S x]%= S (Base Fee)
State surcharge calculate at f.50 for each 51,000 Base Fee
TOTAL S
SITE ADDRESS:
OWNER NAME: PHONE
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONL1):
WAS THERE A PREVIOUS TENANT [N THIS SPACE? ` Y_ N. NAME:
INSTALLER:
ADDRESS: PHOI;IE,#j. -
&('AUMDE)
CIT1': STATE: ZIP:
SIGNATURE OF PERMITTEE
I lj2(o`02_ ^
RESIDEIA~
BUILDING PERMIT APPLICATION
-5-L44L CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatruction Reauiramenb RemodellRewir Reauirements
• 3 registered site surveys showirq sq. R. of lot, sq. ft, of house; and all roofed areas • 2 copies o( plan
(20% maximum lol cove2ge allowed) . 1 sel of Energy C ations for heateC addi6ons
• 2 copies of plan shovnng beam 8 window s¢es; poured found design, etc.) . 1 sde suney for enor addi6ons 8 decks
• 1 set o( Energy CalCUlatlons , . Indicate rf ho served by sephc system (or additions
• 3 copies of Tree Preservatlon Plan if lot platted afterY/1/93
• Rim Joist Detail Options selection sheet (bldgs wiU 3 qr less units)
DATE VALUATION GO
SITE ADDRESS ~ g5 Ve-r'1'r)0~1-4(.fiY'e , MULTI-FAMILY BLDG _ Y ~ N
TYPE OF WORK ~ K-Ged W I?~ p~nlS I FIREPLACE(S) _ 0_ 1_ 2
APPLICANT Tnitpri i
.
STREET ADDRESS ~ CITY STATE ZIP
TELEPHONE# %e -9)-~ q Sa--,12-3~$-~i~`~6
PROPERTYOWNER~~~ Wh~ TELEPHONE#
COMPLETE THIS SECTION FOR/"NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINVL,SO"I':1 RUI.~~ 70 CA\ GOR1' I MIN\L;SOT:\ RUL1:S 7672
(J submission type) . Residential Ventilatlon Category 7 Worksheet Su6mitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calwlations Submitled
/
Plumbing Contractor: Phonc #
Plumbing system includes: _/,'4Vater Softener Larvn Sprinkler Fee: $90.00
~ Water Heater ~ No. of R.I. Ba@is
No. of 13aths
~
Mechanical Contractor. Phone #
Nfecliviic:tl systein includes: % AAir Conditioning Pee: $70.00
Hcat Rccovciy Systcm In
~ ll
Sewer/Water Conhactor: F ~ PhonL~Fn #
,
, A'lT-- •
I hereby acknowledge ihat I have read ihis application, state thaT the imform correct, and aqrep to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordirlanc --------J
Signa}ure of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY _
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ,
? 02 SF Dwetling O OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AIt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 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. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Atteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entlre Bldg only) - Giva PCA handout to applicant
Valuation Occupancy MCIES 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 W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings(deck) _ FinaWi o C.O.
_ Footings (addition) _ Plumbing
Founda[ion H V AC
Drain Tile Other
Roof _ Ice & Na[er _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding SNCCO Stone
_ Fireplace _ R.I. _ A'u Test _ Final _ Windows (new/replacement)
Insulatio? _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
*dtV oF eegcin
PP:CRICfA E. AWADA
Mayor
PAUL BAICKEN
rECCr cniusoN November 26, 2002
CYNDEE FIELDS
MEG TTLLEY
Council Members MS LARA HERMANN
LTNITED CONSTRUCTION INC
1725 LAKE DR W
THOMAS HEDGES CHANHASSEI3 MN 55317
CiryAdministaror
RE: REFUND OF BUILDING PERMIT #54416
Deaz Lara:
Municipal Cenrec
As requested in your letter of November 25, 2002, permit #54416 for 4085 Vermont Avenue has
3830 Piloc Knob Ruad been cancelled and a refund m the amount of $209.25 will be forthcoming under separate cover.
Eagan. MN 5 5 122-1 897 The State Surcharge of $6.00 is non-refundable.
Phone: 651.681.4600
This letter is also meant to advise you that effective January 1, 2001, the City of Eagan's Fee
F= 651.681.4612 Schedule assesses a$50.00 fee to refund permits that have been processed and receipted. As a
TDD:65t.454.8535 courtesy, we are informing contractors of this policy and issumg a full refund, mmus the state
surcharge, for a cancel(ed permit on a"one time only" basis.
Maincenance Faciliry: If you have any questions, please feel free to give me a call at 651-681-4695. On
3501 Coachman Poinc December 10, 2002, my telephone number changes to 651-675-5695.
Eagan, MN 55122
Sincerely, ~
Phone: 651681.4300
Fau: 651.681.4360
TDD.65L454.8535 an $CVeiSOri
Office Supervisor
www.ciryofeagdn.mm cc: Dale Schoeppner, Chief Building Official
THELONEOAKTREE
The sym6ol ofnrengch
and growf}i m our
mmmuniry
' RESIDENTIAL COAIW1iCIAL
LiceusedlLasured MN L'rc. #20160711
~
CONSTRUCTI4N, INC.
IZUUf''iN(i • S]ULNG • GUT'I'E32S
November 25, 2002
Jan Severson
City of Eagan
3830 Pilot Knob Road
Bagan, MN 55122
Dear Jan:
United Consrrucuon will not be doing the repairs and is rcqucsting a refur d
for the following two permits:
Site Address: 4087 Vermont Avenuc
Permit numher: EA054016
Permit amount: $157.25 ' .
Site Address: 4085 Vcrmont Avenue
Pernut number: EA054416
Permit amount: $215.25
Thank you for your prompt attention to this matter.
Sincerely,
Lara Hermann
Account Manager
1725 Lake Arive West o Chanhassen,MN 55317 9 (952) 36$-9448 • Fax (95 368-9844
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CIIECK PAYABLE TO: UYITED CONSTRUCTION
ATTN: LARA HERMANN
1725 L.4KE DR W
CHANHASSEN MN 55317
LOCATION: 4085 VERMONT AVE
RECEIPT #/DATE: 32930 8/16/02
REASON FOR REFUND: CONTRACTOR REQUEST PERMIT 54416
VALUATION: $12,000
TYPE OF REFUND:
Plumbmg Permit 9001.4087 $
Mechamcal Permit 9001.4088 $
Buildmg Permit Fee 9001.4085 $ 209.25
Plan Review Fee 9001.4222 $
SAC (MC/WS) 92202275 $
SAC (City) 9379.4681 $
SAC (Admvi) 9001.4246 $
Watec Connection 9220.3865 $
Sewer Permit 9220.4532 $
WaterPermit 9220.4507 $
Account Deposit 9220.2252 $
Water Meter 9220.4509 $
Water Treatment 9220.4685 $
Surcharge 9001.2195 $
Overpayment 90012250 $
Curb Box Deposit Refund 92202253 $
Construction Meter Dep Refund 9220.2254 , $
Other $
TOTAL $ 20925
I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
i l/26/02
SIGNATiIRE DATE
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. Smgle Family Dwelhngs
Townhomes and Condos when permits are required for each unit
Date~/~/ O~
Site Address ~ erjl~'] y~ av_e~ Unit #
.
Property Owoer Telephone #
ContractorST111ybARB H€l+TIN6 -RAIR rnAimrinnueir rn
410 WEST LAKE STREET
Street Add~fNNEAROLIS, MN 5548@-2998 Cit3'
State ~ 612-824-2656 Zip Telephone )
The Applicant is _ Owner ~ Contractor _ Other
Add-on, modification or alteration to esisting dwelling uni[ $ 30.00
X furnace replacement
_ air exchanger
_ airconditioner
other
LI~
~
State Surcharge $ .50
Total $ o , S C)
I hereby apply for a Residential Mechanical Permi[ and ac owledge that [he uiformation is complete and acc ~[hat [he work will
be in conformance with the ordmances and codes of the Crt of Eagan and with the Mechanica] Codes; tha unde stand this is not a
permit, but only an application for a t, and work is n to start without a t at the work winmn r dance with the
a r ved plan in the case o wor7 ch re ues a review an approval of pla .
pplicanYs Printed Name Ap icant's Sign ture
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 9 651-675-5674
Please complete for. commcrcial/industrial buildings
multi-family buildings when separale permits are not required (or each dwelling unit
Date
Site Address Uni[ #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone k ( )
Contractor
Street Address City
State Zip Telephone N ( )
The Applicant is _ Owner _ Contractor _ Other
R'ork Type
New construction Underground Tank _Install _Remove
Interior Improvement Call for inspection during installation/removal of tank
Processed Piping
Nature of Work:
Pe7ttti[ Fee $50.50 M1linimnm Fee (includes Smte Surchargc)
Contract Value $ x .Ol% Permit Fee
• If permi[ fee is $1,000 or less, add $.50 $ State Surcharge
If pernti[ fee is over $1,000, add $.50 per
$1,000 Permit Fee
S Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance wi[h the ordinances and codes of the City of Eagan and wi[h the Mechanical Codes; [hat I understand this is
not a permit, but only an application for a permit, and work is no[ to start without a permir, that the work will be in accordance with
[he approved plan in the case of work which requires a review and approval of plans.
ApplicanPs Printed Name Applicant's Signature
Approved By: , [nspector Date:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119702
Date Issued:12/13/2013
Permit Category:ePermit
Site Address: 4085 Vermont Ave
Lot:18 Block: 4 Addition: Stafford Place
PID:10-72500-04-180
Use:
Description:
Sub Type:Reroof & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Windows/Doors: If altering the opening size, a framing inspection is required.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Scott A Nolden
4085 Vermont Ave
Eagan MN 55123
(763) 350-3738
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature