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4087 Vermont Ave ~ CA9H.FiECEIPT w CITY OF EAGAN 3830 PILOT ICNOB ROAD EAGAN, MINNESOTA 55122 OATE 19 alw AMOUNT S & DOLLARS ioo 0 CASH CY CHECK ` FlJND OBJECT AMOUNT 1 Thank You BY < < C WhMe--PaYsrs CaPY Yeltor~ Copy Pink-Flb Copy 01 + ~ A , (Urfifiratt of (Orru~aurg titp of (tagan 1Brvwrtatrn1 of lutlbmg jwprttm ' This Certificate issleed pursuant m rhe requirenienls ojSection 306 of rhe Unifonn Building Code certifying ihar a1 the lime of issuance lhis structure was in cwnpliance wilh the various ordinances ojthe City regulating building construction or use. Fos the following.. u,e a.wfic.tion SF MM awg. Rnnit No. 16654 0--pancyTYx R/M1 ZonineDkuict RI Tya~~ VN own, of s~aa;n IW= MfffWSSf HM Ad&= 3902 ~',.DaARVAIE Qt, F.AG1N , B,;,d;q AJd,=4087 AVENlE L-d;n, L 19, B4, SfAFFCFM PL" -MOM ` ~ n.k: Atl(ZIST 28, 1989 ~ ~ POST IN A CONSPICUOUS PLACE CITY OF EAGAN 16654 ~ - . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # ' To be used for sIF DWG/CAR Est. Value $87sum Date Jmm lb , 19g~ Site Address 4087 YEbtIrN? AVE Lot 3" Block 4 Sec/Sub. STAYFORLI PLACE OFFICE USE ONLY Parcel No. occupancy R--3 16--1 FEES Zoning Jkr--1 ' ~ Name PRONTi Er- IC'r1T33T BQ14Ev (Accuaq Const K Bldg. Permit 582.00 ~ Address 3902 CEpARYA.4.H QR (Allowable) v-N qg~jp Surcharge Ci F-%~?N Phone 4~-4433 # of stones ty Plan Review 291.00 Length o Name S~E DePth ~ SAC, City 100•00 Address S.F.Total SnC,MCwcc ~~s•~ ~ city Phone S.F. Footpnnts - On Site Sewage _ Water Conn SNQ2_00 ~ ~ W Name on site weu Water Meter 90•oo ~a Address Mwccsystem ~ A~ ~it 30,~ Phone Gty wacer ~ ~ W city PRV Required _ S/W Permit 20.00 I hereby acknowlege that I have read this application and state that the Bovster Pump - S~ ~rchar9e 1.00 infortnaUOn is correct and agree to comply with all applicable State ot ZZ~ ~0 Minnesota Statutes and City of Eagan On,dinances. Treatment PI • Siynature Of Permitee t APPROVALS Road Unil 340.00 A Building Pertnit is issued to: K 1"lYr}Ye$T };O4l.'g Planner - Park Ded. on the express condition that all work shall be done in accordance with all Cou"cil applicable State of Minnesota Statutes and City ot Eagan Ordinances. gldg, pry. _ Copies 8uilding OHicial Varance - TOTAL 2,$$O. 50 PermN No. PamN HWMr Doe TsNplwne # WATER SEWER PLUMBING H.V.A.C. ELECTRIC b 9' Pv Impscdon oate aap. Comments FooWigs I 6l L~18 Foundation /SSrr T 4. Framing • ~ p , r,J Y~ f-.o r ll> t RooSrg Ragh Plbg. - 0- R-0 Htg ! Isul. Fireplace ~ Final Hig. Final Pbg. I Consl. Meter Plbg. Inspector - Notify Plumber Engr.IPlan Bldg. Final Oedc Fig. i Deck Final We1 Pr. Disp. I ~ ~_w~ r r. ~ . . . . . .:,r:_ . PERMIT 11 -2 ' • PLUM9IN(i PERMIT RECEIPT # CITY OF EAGAN / 3830 PILOT KNOB ROAO, EAGAN, MN 55122 OATE: CONTRACT PRICE PHONE: 454-8100 / Site Address BIDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. V~_ New y M ult. Add-on ~ Name LI Comm. Repair y Address Other c Ciy Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES OT/~ Name ~ ~~Nater Closet - $3.00 • U Bath Tubs - $3.00 00 c Address ! ' .-Lavatory - $3.00 O City Phone Shower - $3.00 • ~Kitchen Sink - $3.00 3,00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE Laundry Tray -$3.00 00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES_ RATE APPLIES tWater Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 ZALGas Piping Outlets -$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 Private Disp. - $10.00 a:Rough Openings - $1.50 ~ SiciNATURE OF PERMITTEE FEE: SC STATE S/C: SC FOR: CITY OF EAGAN GRAND TOTAL• 3a• ~'C . . .~-..rs:.:.ti,...- _ rr.~-- ..,-.`.r:..... . . . a , . . y PERMIT # 'MECHANICAL PERMIT 9_; CITY OF EAGAN RECEIPT # .3830 PILOT KNOB ROAD, EA(iAN, MN 55122 DATE: CONTRACT PRIC,f: $2385.00 PHONE: 454-8100 Site Address BLpG,'rypE WORK DESCRIPTION ~ Lot 19 Block 4 Sec/Su Res X}C New >DC I.U~ y C Mult Add-on m Name Comm. Repair Address 1955 Shawnee Road c' Ciy EacTan Phone 452-2665 Other Name FTCI=,R 04~TAN= FEES RES. HVAC 0-100 M BTU - a24.00 c Address 3908 5i.blev P7ESmr1a1 Hwy. ADDITIONAL 50 M BTU - 6.00 p City =~~1 Phone 4~--0433 (RES. HVAC INCLUDES A/C ON NEW 1' CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEFiilAln - 1.50 EA. TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE Forced Air SO ~NO M BTU 24.00 APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE 8 CONDOS - RES. RATE APPUES 8oiler M BTU I-t MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMaDELS - 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 OuUeb # 1. S0 BEYOND $1.000) Other FEE 2~.50 ij'' . ~ ?.J, a t'? ~.k~/ rc.~ S/C: •50 SIGNATURE OF PERMITTEE TOTAL• $26•00 FOR: CITY OF EAGAN •r . . _ . : s . . • - CITY OF EAGAN ; ~8~~J3 ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 sF . BUILQjNG"PERMIT PHONE: 454-8100 Receipt # 7 a `To be us for DWK Est. Value =i ,000 Date jWx 4 , 19 91 Site Addr ss ~87 ~~M w~ LOt i BIOCk SeGSub. STArTM FLAGS OFFICE USE ONLY PBfCAI N0. OccuParicY - FEES ZoNng W Name ROEI~1 8!lJ1tY OLSON ~~)~yt _ BIdg,Permit 25•~ ~ Address E~ A~ (abwwie) - .30 Surcharge City ZAGAN Phone 454-0917 ~ I of stories Lerqth Plan Review Name 8ME Deat+ ~ sac, ciry Address S.F. Total sac, Mcwcc ~ Cit)I PhOn@ S.F. Footprinta _ pn Site Sewage _ Water Conn ~ ~QW Name on site weli - wacer Meier a= Address MwCC System _ ~ DePOSFt g9 Q1 City Phone ciywat.r - PHV Required _ SIW Permil I hereby acknowlege that I have read this application and slate that the Booste? PumP - SNV Surcharge iniortnation is coRect and agree lo comply with all applicable $tate of Minnesota St2tutes and City of F,agAn 9jtlinances; Treatment PI Signature of PermNee n APPfiOVAL8 Fbad Unil ROSI11 OB !lARY OI.SON ~,,,,e, a~,i~ding Pertnit is iss~ed ~o: - Park oeo. on the express Condition that all work shall be done in accordance with all Council _ applicabte State of Minnesota Statutes and City of Eagan Ordinances. gldg, pry. _ CoP1es 25.30 Variance - TOTAL Building Oflicial PermR No. ParmN Nolder WU TeNphoew # WATER SEVVER PLUASiWG H.VAC. ftECI'RIC rupocUon DMe Insp. Canmwls FooUrgs I FouRndation framig Roofi^9 Fiagh PIb9. Ragh H09• Ia~1. F'*eplace Fnal H1g. Fnel Pbg. Corat. Mew PIb9. In5p8Cfa - Notify Plumber Engr./Plen BWg. Final o.a Ffig. y /~9 Dedk Final WeR Pr. Diep. I - - - SEWER dc WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE b l 191 b9 3830 PIIOt KnOb Rd. WATER PERMIT # 10533 SEWEFi PERMIT # P.O. Box 21199 i Ea 8J1, MN 55121 . M~ER ?AS3 B.P. RECEIPT U2557 ' ~ R# o~rz~Q25 B.P. RECElAT DATE 6/19 / 89 I METER SIZE ~ ISSUE DATE - _ PRV _ BOQSTER PUMP 40B7 '1 ~=t:''~R_~yF A~IE, IAGAIJ ; M;N 551''. 3 SITE AD~RESS PER~AIT RE~1):tESTED LOT ~ BLOCK SEC/SUB 1`10RU PLAG APPLICANT: Fron-tier ~i~ :r=-5t Hom.=~S Corp. 'J SEWER WATER ; __,_TAPS ApDRESS: 2('- ~ CPdt~1"G~- 1;:` ~11". f ' _ CITY, STATE Fagin' MN ~122 ZfP COMM/IND RESIDENTIAL p~E: 454-0433 ~ NEW _ EXISTING PLUMBER: S+ d r P 1uiAb 1 ro ' ADDRESS: 1018 MnLmd S r i nq Terr. I AGREE TO COMPLY WITN CITY OF CITY, STATE sloom i ngton , MN Zip ..542 EAGAH ORDtNANCES: PHOwE: c84-4149 , OWNER:'.! S(~N. R{]S I"j AND M''~RY ADDRESS: 797 Li riw0oi Av2, gIG R lSSUED ' CITY, STATE St- PauA, MN ZIp 55105 7 PH4NE:~"~~-6931 _ I PLEASE A!.l.OW TWO WORKING DAYS FOR PROCE5SING. FOR STORM SEINER PERMITS, CONTACT ENGINEERING DEPT. g/7/'52 ~ 203,ciy fleQuasl Data Frte N / RougRin Inspeclion R iretl'+ ? Reatly Now ill Natily Inspector ~ es ? No ~^/M1en Ready? I licensed contractor O owner hereby re uest inspection of above electrical work at: Job Atltlress Veet, Boz or 11u1e Na ) Qry UP il Socbon N. Township Nama or No Ronge No. Caunty OccupantJPRl TJ Phone No. me S oS~3 Power SuppLer ppaI Ee. , >GV.a.I~ d Eledncal ConVacto Cqmpeny e) Conhaclor5 Lmense No. A O~ Meibrg AECress (C Va r or Owner Makug Installetlon) 5 Amnorizetl SigneWre ( ra br/Owr g Installaliw) Pho"na ~Nu~mEer/ Lv 1[ MINNESOTA STATE BOAflO OF ELECTRICRY THIS INSPECTION REOUEST WILL NOT GriggsMiGway Bltlg. - Poom S173 BE ACCEPTED BYTHE STATE BOARD 1821 UnlveraHy Ave., SL Peu4 MN 55100 UNLESS PROPER INSPECTION FEE IS Vhone(61P)6a2-0B00 ENCLOSED. Q/~~~9 REQUEST FOR ELECTRICAL INSPECTION ~ ee-ooooi-o7 Sae inslmcbons for mmpleling this form on back of yellow copy " ? n 9.s~GG ~ 252e3 • "X" Be/ow Work Covered by This Request Add Rep. TypeoiBuilding AppliancesWVed EquipmentWVed Homa Range Temporary Service Duplex Water Heater Electnc HeaUng Apt. Building Dryer 01her (Specify) Comm./Industrial Furnace Farm Air Condrtioner Othor(speuty) Contrector5 Remerks: Compute Inspection Fee BeJow: # Other Fee # Serv iceEmranceSrze Fee # Cimuits/Feeders Fe Swimming Pool 0 to 200 Amps D to 700 Amps Transformers Above 200 _ Amps AbeV6 10 1 Amps Signs inspectorS use only ( TAL Irngatwn Booms Special Inspection Alarm/Communication Other Fee ~ I, the Electncal Inspectoi, hereby RWgh-in [ d~/ certify that the above inspection has oaie been made 112 OFFICE USE ONLV l This reQuest void 18 months imm BLDG. PERMIT NO. LO S 40t i9 S~a~ n ° 01-3210 Bldg. Permit ~ 01-3422 Plan Check Do 01-3445 Surch./Adm. C--) I ~ 01-3446 SAC/Adm. 5 ~15 3 01-2155 Surcharge -ZA 3 75-3860 Road Unit 0-~ G oo ~ 20-2275 SAC 5 cO g Q5 > 20-3865 Water Conn. 5 O Da 203868 Water Trmt. ~ a g Oo ~ 20-3716 Water Meter ~i o Go O 20-2252 Acct. Dep. ~ C' Cxj ~ 20-3713 Water Permit ~ 0 U° ~ 20-3743 Sewer Permit ~ 0 C'o 79-3866 Sewer Conn. ~ ~-^O co 28-3855 Park Ded. TOTAL O ~ 115D CITY OF EAGAN NQ 16654 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 S ' PHONE: 454-8100 ~ ~ BUILDING PERMIT Receipt u J Tobeusedtor SF DWG/GAR Est Value $87>000 Date JUNE 16 , 1989 Site Address 4087 VERMONT AVE LOt 19 BIOCk 4 S2GSUb. STAFFORD .A . OFFICE USE ONLY P8fC81 NO Occupancy R-3 -H_I FEES Zoning R-1 w Name FRONTIER MIDWEST HOMES (ACtual) Const V=N BIdg.Permn 582.00 ; Address 3902 CEDARVALE DR (Allowable) V-N 43.50 0 City EAGAN Surcharge PhOn2 454-0433 # ol Stones Length 46, Plan Review 291 .00 Zo Name SAME Depih 30' snc,city 100.00 0,¢ Address S.F.TOtal - SAC.MCWCC 575.00 ~ City Phone s F. Footprirns _ On Sne Sewage _ water Conn 580. 00 F¢ Name on sne weu rw - waterMeter 90.00 s~ Address MwcCSystem XX ~z Aat Deposn 30.00 aw City PhOne Cirywater PRV Reqmrad - SiW Permit 20.00 I hereby acknowlege Ihat I have reatl this applicahon and state that ihe Booster Pump - Siw Surcharge 1.00 mformation is correct antl agree to comply with all applicable State of Minnesota Statutes and Ciry 9f~an Or 'nanc Treatment PI 228 - 00 Signature of Permitee APPROVALS Road Unn 'tan _ no ABmldingPermnisissuedto: FRONT7FR MTOWFST HOMFS Planner - parkDed on the express condition Ihat all work shall be done m acwrdance with all Council _ applica6le State of Minnesota StaWtes and Ciry of Eagan Ordinances. glp9, pry, _ Copies Building Official Vanance - TOTAL "1, 880. 50 CITYOFEAGAN NO ~gg53 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 ,a7 7q • Receipt # _ l Tobeusedfor DECK EsLValue $1,000 Date APR -'4 , 19_91- Site Address 4087 VERMONT AVE Lot 19 Block 4 SeGSub. STAFFORD PLACE OFFICE uSe ONLV P0fC81 N0. OccuOancy - FEFS Zomng _ w NBme ROBIN & MARY OLSON (ACWaI)Const - BIdg.Permil 25-00 ~ Address 4087 VERMONT AVE (Allowable) ° Cit EAGAN PhonB 454-0917 x of Stories _ Surcnarge . 50 Y Lenglh 18' Plan Review ip Name SAME Deplh 13 ' SAQ Cny ~Q AddfBSS S.F. Total - SAC, MCWCC ~ Clty PhOne S.F. Footprints - On Sne Sewage _ Water Conn r ww Name OnSneWall - WatarMeler AddreSS MWCCSystem iw CIfY Phone City Water _ Acn. Deposn PRV Reqmred _ SM/ Permil I hereby acknOwlege that I have reatl ihis apphcation and slate Ihat the Booster Pump - SiW Surcharge inlormation is correct antl agree to compry with all applicable S ate ol Minnesota Statutes antl City of inance~_ ~ Treatment PI APPROVALS Signature ol Permrtee Road Umt ROBIN OR MARY OLSON Planner - ParkDed A Building Permit is issued to: on the express condihon that all work shall be tlone in accordance with all Councu applica0le State of Mmnesota Statutes antl City ol Eagan Ordinances. Bldg. Otf. _ Copies BuiltlingOfficial Mq .e:cL) rnB Variance - TOTAL 25.50 , . 1989 HOB.DIHG PSH!!IT APPLICATION - CTlY O[+ SAGAN SIAGL6 FAlIILY DiTELLII7GS i(o INCLODE 2 SETS OF PLANS, 3 CERTIEICATES OF SQHVEYo 1 SET OF ENEBGY CALCUL9TIONS HOlEs IDDEESSES FOE CORNER LOTS - COATBACPOR/HOlEOWNSR lWST DffiIGBATfi WffiCH ADDRESS I3 D&SIRED. 90 CHANGFS llILL BE ALLOfiED ONCE HIIII.DING PSffi9IT I3 I3SOED. lIOLTIPLS DHEI.LINGS BSRfAL QHITS POH SALS OBI?3 • OF 09Ti3 INCLIIDE 2 SETS OF PLANS, CERTIFICATE OF SOR9EY - CHSCg YITH BLDG. DEP?., 1 SEP OF ENERGY CALCIILATIONS C014MRCIAL INCLODE 2 SETS OF 6ACHITECTURAL 6 STROCfURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENEHGY CALCULATIONS Ooo To Be Used For: new construction Valuation: 6,6-8_ Date: 6-s--67 Site Address 4087 Vermont Ave. Eaqan, MN 55123 OFFICE ASE OHLY Lot 19 Block 4 Occupancy Q-3 ,A2--/ F6E3 Zoning ' Parcel/Sub Stafford Place Actual Const l/41 Hldg. Permit Allotirable 1//Y Sureharge V3.3-0 Owner Olson, Robin and Mary 0 of stories Plan Review z 9/ Length SAC, City Address 797 Linwaod Ave Depth 30. ? 3 SAC, MWCC S.F. Total Hater Conn co City/2ip Code St. Paul, MN 55105 Footprint S.F. Aater Meter 0 Aect. Deposit 30 Phone 224-6931 On site serrage S/W Permit zo On site well S/W Surcharge / Contractor Frontier Midwest Homes Corp. MWCC System Treatment P1. "2 2 City water ? Road Unit 3 yp Address3902 Cedarvale Dr. PRV required _ Park Ded. Hooster Pump _ Copies City/Zip Code Eaqan, MN 55122 20TAL ~q .S p lPP@OQAi.S Phone 454-0433 Planner ~ councii - S ~F w Arch./Engr. Dick Charlier Hldg. off. Oarianee Addreas 14103 Gardenview DR. Couneil City/Zip Code Apple Valley, MN 55124 Ccvi.v& rcN MvDE2 Phone t 432-5492 H07E: Sewer & iiater Permit fees and account depoaiL fees vill be included in the building permit fee. Processing time for aewer and vater permita is two daya onoe e lioeoaed plumber hae applied for a permit at City Hall. '773 . , . J . , ~ ~ D k S~ = 3~oop C o o-e~- Z~~ 2y = ~ZH ly'~Z G~~y-_ 3iz8 6~199 ~ ~ ,...~.w-....~,,__......._,~._.~.:...,.m.a~...,.,M,., . ,,...~.....,~...~..,........,:..._,...,.._,,.,.,,x.~..,..,....~....~~„r.m, 0/`c Medlu d Engineering Services 9201 EastBloominqlonFreeway Bbominqlon,Minrrgola 66420 Lana Surreyals Clrll Enplnens Lond Planners PAane: 086-0268 ~ Surveowr`~ G'ert~f~cate zw BOOK - PAGE J08 N0. 89R'~~$ SURVEY FOfi= Frontier 1-4ldwest Homes Corporation OESCRIBEO A5: Lot'19, Rlock 4, STAFTnRD PLACE, City of Fagan, nalcota County Piinnesota and reserving easements of record. ~ 6:~~~ G A ~ N Vt E V I E W E D 8~4t . ~ S3Y ~S - . DATE_ ` m 9~~.w , ~ ~ / 'f~~ ~ n( \ ) ~ U \ n \ ~ ~ ~ \ vJ 0 Y °',ya ~ ~ ~ ~9P \ Bv EAGAIV E INEER ~ N5 I ~PT 0 u ~ .hu B8~t ge0~, t%' I I BENCNMARK~ ~ T.N.N l.+ L,..a n ~ ~ Ele.i..895.I8 ~ 8651~1 C 89 • y~}~ ~9• MIM. SETBACK REOIREMENTS 0- .:1•^.b~d Ge+'• w , Front - 'O Houu Slde - 10 Rear -i5 6ora9e SIOe-5 .,.i,~, ~ p,Lti ? t-- c-~ r.t. e~s• ~ ~ PROPOSED ELEVA710NS °"je Te0 el Foundaflen . 893.7 OarapsFloar . f93.5 p\ Bapimnt floer . ge5.t ' ? I 91.0 AvMm, 4ewer 9orrles ENv. ¦ e-19.5! ''s 0 ~ Mepeud EH~atlons ,s' S• 2~ S Earslln0 EHvellent ' DrMnop• Dlnefbns a9o ~ wror.s on..? stak. O GERTIFICATE OF SURVEY I henbr eertify fhaf fhis survey, plan or nport wos pnparW by me or unMr my;4lrecl supervislon and lhaf I am a duly Reyisttred Land Surveyor under fhe lars of the State of Minnerofo. t) Oal~: i9 / 89 r~lv 1-~• ' _ U° JeMr . i pren, License Na.14376 ~ EXTERIOR ENVELOPE_AVERAGE :'U"COt1PIITf1TI0N 04lNER:G `C4l`1 ~ ~a?c 0nTf 0~/27/89 SITE ADDRESS:4V' V~?~'l~~ 6`Oh PF;ONE: 454-0433 FRONTIFR CONTRAC?OR. FRONTIER MIDWElST unrnFC rnov PLA+V # COVINGTON - Determine working square footage o` each 1. Total exposed wall area.:... Z1 Z(, sq. ft. x.11 = Z 3 3 -Ss'L 2_ Total roof/ceiling area..... ""7~Co sq. ft, x.026 = /k 6 Z' Total exposed wall area a6ove,floor= ~B S$ Z a. Total wall window area b. Total door area z• c. Total sliding giass door area.................................... :3 d. Total fireplace wall area 185~55 e. Total wall framing area (average 10%) . f. Total rim .7oist area . y1 (e g. net wall area a6ove floor ~co'IZsZ. . . . : h. wall area above fioor............................... _ i. wall area a6ove floor , ~ . rrame wall area at rouneat=on . . . . . . . . . . . . . . . . . j _ Total exposed foundation area= SL- k_ Total foundaiion windoiv area 3.3 . _ 1. Total net ioundation area above grade y k, 7 ~ Determine "u" value of each wall segment " (e.g. wi'ndow, door, each separate taall section) ~ a. I 4Z X,~~~~ , Ys = (o3 •9 b. $ X lidil c. 31, X 'lull ,1F7 = IS'~ Z 3 . - ~ - • d X e. I 8S X liuit . 1l = Za i. zl X ,lUlt ca g. I[n-7z•Z X 'lull ,oS = 83~(0l h. X ~~UP ~ i. X 'lull - If item 43 is the s k ~.3 X„u„ ~.Y3 as, or less than it nl, you have'met th X"U" aZ intent of SBC 6006 3 . .................................Total = Zf 3~ 6S • • - Total exnosed roof/ceilin9 area = . -7 I (0 . 7nza1 skyli.slit zrea a. Tctzl roo`/ceilz.^.,.f.•-arning zrca (avcragc 102):. 1(o . o. ^_otel nct _.^.su'_etcd rooi/ce_ling ar~a.. . . . Deternine "U" value for each roof/ceiling segnent M. a ~lull 71 - Co a 'lUll Z ,Z3 [.yy,y X ,.u„ z3 = ~y.sz_ - . . . . . . . . . . . . . . . . . . . . . . . . Total = i z, ~s= =o=a: c= is the same as, or less t:nan !:2, you have met the intent o= . S:~r <p;:5 ;c) ~ . • . Alte-n=`e Buildir.g Envel.ope Desiqn ~o •~i~zz t,e totel envzlooe'systzm method, tne values established by.the s'_a o£ ' _te-s 4*3 z.d ' shall , ot be greater than t:ne sum of items ,l and „2. . _ Z"33.S5Co + z. z52.,4($ s. ZI 3~S5- + 4. Z3o,4j.`': - _ • ' ,i`~(`L CYl`-~tY~AGt1U[, CCNS?'RUCTIOI,F,- FRAMING ~ . . . . 1. Ilv'TERIOR AIR FIIl? 0.68 } O 2,- 2 GYPBD .4 ~I I 3. 5 1 2 SOFT Sv00D 6_87 i ' 4.. =TNEKMO F~-Y st+F~cr+i .2 . 5 . ~ ~PJi&G . b 6. _ IOP, ASR FIL't 0.I7 ti,t,: L T R= 8.99 u= :~i , . cF N-E.I, 1. NI'ERIOR P.:R F'IT1-f 0.68 I p Y;:.` 2 Gl'pBD -.45 • 3. L. ~ 4 7N-E2MO r2Y srlEA7}+ ~ -2 5. SIilING .61.: 6. ~ OR AIR FI I1 i _ 2j=12 U=" . . os_ _ . - o----- - ~ ~ ~ l. I?JT~.'RIOR AIR FIiM . 0.68 - ~ --~I 2. . T INSUL. , 19.00 3. x Ri.JO 4 T}4E7zN}0 "P1-}' SNF1ciH . .2 S. SIDI G .6~ 6. ' TOR AIR FI 0•17- I U- ."Q4 . I , e BLOCK 4k4! ! i b~ .'p- <--40 1. IP1TEti0A AIR FIi1d 0_68 e p ~ , r G i(,a ~ 2. 1 . . , ; : . 3. S`?'YRO 4. PROTECTS-vE SP_RRIER - - - - A,-f- 5 . ' - 6. `?bTAI,. - R= 7.13 U SLAB ON GRADE o. _ ~ 'r • . . 1L 5 . f ~ ~ . ~x 1 f~ • } ~r~-- ` f"D~ • //i = • _ ..i " Ili ~ . ~ LL- . w3 ? OF LNSCA?.TIO?l. L~--- ' • PIAN # • . L~G V ~NG"TDh~ . * LINE4L FEET fJCPOSID WAI.L BLOCK: ZC, t ZCc = I U`1 KNFE : W.O.: rvr~.i: z~,t zrz~ ~-l`/ f-zt- IZ tzy= ,c~g FULL z: z c- -r zFs t/ FIREPtacE: x12-t: ° SQUAR FEET FXPOSID WALL AREA ~ BL.OCK: ~ o y x .5 = 5-2- . hTIEE: '~co x 5= / 3 0 w.o.: x a = FuL.t, i: + d~. X a= ?4q _ rULJ, z: ~ o g x e= & cp ~l FIREPracE: xTM: Ztv x1= Z..fCo:. - 'FCT-AL * SQUARE FfET EXPOSED CEILING 7 ~v i u oa~YS DOORS 11 _zq 3~ 6- c. _ 12.- =.z4 III zN4~ = r(.,- 3 PATIO.DOORS '-tt++_ z 4C~o ~S.,.a- ~o = coo ~ 3Z•.`f 7p3cfl L- = r o rt&SSII~I?' IJKITS - } t ~t33 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMZLY DWELL2NGS ?NLTIPLE DWELLINGS CONRSERCIAL 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 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 KEQUEST 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 BE ALLAWED 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 Se Used For: ()tGk _ Valuation: 4 0-9';M Date: / ( Site Address qU7)~ ttLf- OFFICE USE ONLY Lot ~ Block y s-rc'++p;Cl pl4q-- FEES iU 125W 150 pLI Occupancy Bldg. Permit Zoning Surcharge Parcel/Sub Actual Const Plan Review n`,~/~ Allowable SAC, City Owner / iuq Ol`xJJ) tt of stories SAC, MWCC Length Water Conn. Address uC'^v~tTn'} I' N *-e Depth Water Meter S.F. Total Acct. Deposit City/Zip Code tCiclccn AP 55123 Footprint S.F. S/w Permit / S/W Surcharge Phone (&12) CISLi-09!1 On site sewage_ Treatment Pl. ) On site well Road Unit Contractor SG.1.p~ `/f5G<1 MWCC System ~ Park Ded. City water Trail Ded. Address I-{oc"'-~ ue4-ve PRV _ Copies SIZj B°oster Pump City/Zip Code ~C<E:~-t•~ SUBTOTAL APPROVALS Penalty Phone Q54'01-7 Planner Lot Change ` Council TOTAL 7.5 Arch./Engr. ~~Cw~MP 1 Bldg. Off. Variance P.ddress City/Zip Code Phone # I -033 {Je~ ~1ttw4f1` agrees that all work sha1l be done in accordance with ~~~1 QJ l///i(M/ 1 (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. S}'qyE.y Tpp: rrontier 141dwest Homes Corporation 3ESG111BEDA5: Lot 19, Rloclc 4, RTArr^RP. PLACE, Cit,y of T'af;an, naltota County Plinnesol;a and reservint; easements of record. W ~ UkJ 8~ 4 t C ~ ~.I 3g . \ • . , hN . \ ~I 1 \ `,J r ~ rr~~ Q'• \ ~ (X~ \ \ ~ i . ~ dlt, . ~ dpya ~ i ~ ; 10 . , \ J \ \v / BENCHMARK, cN. ny. o L.a ~ f~ ~si ~9, n..a. 4 E~w,.• 89s,tB U~ f 8 0 • 4y5~ ~'1,~ MIM. SETBACK REOIREMENTS 0 cr WS L ,,.+,A~aa f , IN,r Frenl Hauss 91do -t° k • 1,-y t~•!~ to ~ Roer - ts Ooraqe 9lde -5 ti~ •„~'L~ ~ ~ ~I. ~4 r PROP03ED ELEVATIONS To0 of Faundoflon . 693.1 L • Pff.e Oaro" Flear ¦ 1q3.5 SeseemnT floor : eOS.G ? o ; 41.0 Appsn. 9wrer 9vvIN ENr. a 8l9 , 51 WneuA Elosollsns ~ O . ~ G) 2~~ 'ss EstoNna ElwaNens ~ _ ~y ",2 ' • Op aanoo• Olnefbns ~6o~ ~ 2 0~ Oenetes ofhef 9taRe Q GER7IFIGATE OF SURVEY I heney certify Ihaf fAia survey. Dlan o1 repo?t wo• prepared by me or under my4lnct supKVfslon and fhot I om a duly Reqbtered Land Surveyor undst iht fows of Ihe • ; n AddOA 8~~ ~ V r.m G WhWA NOIR461Norkshee! CYno~.rsMw ~r0^~i e.t " ~ ZIO ~MO1oir Nur~ev . 1MIrtl11:1~1ib0Al~nly~y M_ •YYMtR: OrMA DoMw lmy TMM ~ I NaIIy Un, pMOwM f~MMd~00pP 7ymp • NO .J . I CWfte 1MrOM1wom , ' COMMON DATA SECTION ftUM~ON M~nMO , .wc+oe r . . . . SUBJECT•. ' , oo«.w rGROSS WALL m~a~w O JO OOORS6N11NDCW$mpyAaCl • NET WALL 70`l, 7 S~o ~ o ,7Y -19 7~ a~ CEILING ~6 y . ~ . ° 7Y RS Nv G . , ¦10w ~.~e Nr. ZL~J . 7tO.iH133 K ¦ . ' ~ GT¦ ?'r`~ • , 0 133 ( 2 Z'f J' / r> [7 k, 0.018M33 M e y- SU8-70TAL BTUR l8S8 !Pw 10'FI S Z/ 3/ • ~ ADJUSTMENTFAC7pqITihNG 8 5 9 G 70TA16TYM lDSS . c'•'~.' ~ PWK s 300 BTUN OrUN • . ; • •APPLIANCES BTUH / Soo 1200 St18.70fA1 BTUN pA1N Iroorn ~wlpy qMy) I ' OZICT laS31(iAfN fAC70R (7i6N FI ' f O _ SU&70fAl8TUM (SwwhM fidn) s M~DISTUREREM01NllwbtoW s 1.31 8 y Y6 TOTAL BTUM L08S/OAtN ¦ 1.3 . 7r?R'E MG-DWRi i NW000 iNAMI[VY1MOpM . dl a~ O S e"~ IpE111M/1 COOI~NO ~ qOORi i WI ~~9a1O~~.OI~1AC1ors10rA1~~(YA~rYdO~~: ~ ' FwwmaMMrr~KMar~Iw~~Wd~~iq~ t~~Mi1 aorrmrnlon. 61M~0$ ~n0 mIOInO Yr~ a00n w yyd y n~ . • ~~r ~iw ~yw , . RAw~ .{p*Iw ~ww ~rww GOwwa XrW ..ti...O, Cwr . R~0 M.~6 ll.i obon ~ s s : s i? s Wllh $IO,111 • ¦ ia Y•~ N tl 9 Cww 661 a.AW~Q q. r~r a«• w• a¦~ s WM%SKnn ~r/~. !J3 ~~M ¦ • • r ~ ~ s a e row • • ¦ ~ ~ ~ • • • t Cww . ' 3.10 ~31 .RM ~ s•¦ a¦ w w ~ w 8 5i'a~ •W;: ~11A, . Iwr r+~ m w~ r r o ~ r b~~ - 6.0 "*"m u u s~ u va u w Z Z9 ~O u u u u u N u u u S~^7M 11.01 11.A 12.12 . (D Da'EI~ r+lmomr.waw+rww Dol ~u/~ y M ~ ~~*w1Yr~ ' i.. -WV M~I a?,n +~e.,.~, a.~o _ 9 7 ec _ mwuwn+aw rKnn.,,,Ss w, wrM.. Air pr,w.. rrr N.w At1~MM 7i O ' AORA~ ondlgin Sao 1lW itoo""O Mtlm IR.SIvr/Ma~n ).70 . Boo 0.~ 0.4 0.7 03 1.0 1QrAL/ ~9s ~0 70. ~ 0.~ 0.) ~ ' I.t 10 . ' . , , Sam Akmew 1es 0.1 02 4e " ?wBl[ C - Ap.IYtTME1R . ~~rewoAY po4"" - lNH{i1/101 NvAw~ ' ~A?Ibr ~F•~4wriwDM1.. 70 r0 6C EO A p yp M . ~u0ar~ ~tmo t~e.t~py w~noo u at ~4u~n~wR hc1oF 7 ? 6 Of r. AT~r:r~n 9 oi 0.7 N. ~ I1 I2 (f( 0 a-- 'WfrAA-V'-U "-~J.~6.~ aJ RESIDEN IAL ~ ILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651•681-4675 . New Conatructlon Reouiremenb ~A RemodellReoair Reauiremente • 3 registered site surveys showirg sq. h. of lot, sq. ft. of house; and all mofed areas • 2 copies of plan (20%maximum bt cove2ge ailowed) . 1 set of Eneryy Calcula(rons for heated addi6ons • 2 copies of plan shaxirg beam 8 window sizes; poured found design, etc.) . 1 sAe survey for extenor addi6ons & decks • 1 set of Ener9y Calculations . Indicate if home rved by septic system for additions • 3 copies of T2e Pr albn Plan i( lot platteA after 7/1193 . Rim Joist Delail Optiore election sheet (Ndgs wdh 3 or less units) DATE VALUAT ON 66 ~m~-,-~-- SITE ADDRESS U' MULTI-FAMILY BLDG Y xN TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPIICANT STREETADDRESS ~ ~ ! f• Vj • CITY(hhn~^`,Ia',STATE r)`4ZI653~~J TELEPHONE # CELI PHONE # 9(~Q-21) ' 1113 FAX # 9 a 4-s- Z; yL) , PROPERTYOWNER IGvI TELEPHONE# L51'- L ~~nl LJ i COMPLETE THIS - N- --R- "-----NEW--"----------RESIDENTIAL------------ BUILDINGS----ONLY------------------- SECTIO 0- ~ - Energy Code Category _ MINNLS(~1TA RliLPS 7670 CA'l'EGORY l MINNGSO"I':1 RUI.LS 7672 i (d submission rype) • Residential Ventilation Category 1 Worksheel Submilted . New Energy Code Worksheel Submitted • Energy Envelope Calculations,Submitted i ~ Plumbing Contractor. Phonc # _ PlumUing sys[cin includes: i _ Water Softener IaNvii Sprinkler Fee: $90.00 ~ ' Water Heater No. of R.I. Badis No. of Baths ~ Mechanical Contractor. Phone # Mechanic.il systcm includcs: _ Air Conditioning \ Pcc: S70.00 Elca[ Rccovcry Systcm ~ Sewer/Water Contractor: Phone # °---°p--------------------°--------------------------° --e • I hereby acknov~fedge that I have read this application, state that the information is correct, and agree to comply with all applicqble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant G" OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY • ? 01 Foundatlon ? 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Btdg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demalition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaWi o C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice &Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stuceo Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspectar - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total *dtV oF eagen PAfRICW E AWADA Mayor PAULBAKKEN PEGGYCARISON November 26, 2002 CYNDEE FIELDS ' MEG TILI.EY Council Members MS LARA HERMANN iJNITED CONSTRUCTION INC 1725 LAKE DRNE W THOMAS HEDGFS CHANHASSEN MN 55317 Ciry Adminisvaror RE: REFUND OF BUILDING PERMITS #54016 TO WHOM IT MAY CONCERN: Municipal Ccnter. As requested in your letter of November 25, 2002, permit #54016 for 4087 Vermon[ Avenue has 3s3o ~~loc [c~ob Road been cancelled and a refund in the amount of $103.25 will be forthcoming under separate cover. eal;~, MN 55122-1897 The State Surcharge of $4.00 is non-refundable. Phone: 651.681.4600 Fax: 651.68I.4612 If you have any questions, please feel free to give me a call at 651-681-4695. TDD: 651.454.8535 $inGClely, Maintenance Facility: 9Jan Severson 3501 Coachman Point Office Supervisor Eagan, MN 55122 Phone: 651.681.4300 ec: Dale Schoeppner, Chief Building Official Farz: 651.681.4360 TDD: 651.454.8535 www.ciryofeagan.com THE LONE OAKTREE The rymbol of s[reng[h and growth in our wmmuniry RESIDENTIAL CONMRCIAL Licensed/Losured MN Lfc.#20160771 s ~ CONSTRUCTION, INC. KUOFING • S]DING • GUT'f'ERS November 25, 2002 1an Severson Ciry of Eagan 3830 Pilot Knob Road Eagan, MN 55 ] 22 Dcaz Jan: United Construction will not be doing the repairs and is requcsting a refur d for the following two permits: Site Address: 4087 Vermont Avenuc Permit number: EA054016 Permit amount: $157.25 Site Address: 4085 Vcmlont Avenue Permit number: EA054416 Permit amount: $215.25 Thank you for your prompt attention to this matter. Sincerely, Laza Hermann Account Manager 1725 Lake Arive West o Chanhassen, MN 55317 9 (952) 368-9448 o Pax (95 368-9844 , CLAID4 VOUCHER - REFUND REQUEST • ' CITY OF EAGAN MAKE CHECK PAYABLE TO: UNITED CONSTRUCTION A'CTN: LARA HERMAIYN 1725 LAKE DR W CHANHASSEN MN 55317 LOCATIOn: 4087 VERl110nT AVE RECEIPT #/DATE: 32315 8!6/02 REASON FOR REFUDID: COYTRACTOR REQUEST PERNtIT 54016 VALUATION: $8,000 TYPE OF REFUND: Plumbing Permit 9001.4087 ' $ Mechanical Permit 9001.4088 $ Building Permit Fee 9001.4085 $ 103.25 Plan Review Fee 9001.4222 S sac (MCiws) 9220.2275 $ SAC (City) 9379.4681 $ SAC (Admin) 9001.4246 S WaterConnection 92203865 $ Sewer Permit 9220.4532 $ Water Permit 9220.4507 $ Account Deposit 92202252 $ Water Meter 9220.4509 $ WaterTreatment 9220.4685 $ Surcharge 90012195 $ Overpayment 9001.2250 $ Curb Box Deposit Refund 9220.2253 $ Cons[ruchon Meter Dep Refimd 9220.2254 S Other $ TOTAL . $ 103.25 I declare under [he penalties of law that this accoun[, claim, or demand ts just and that no part of it has been paid. 11/26/02 SIGYATURE DATE RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ~ i 3830 PILOT KNOB RD, EAGAN MN 55122 ~ U U651-681-4675 a~- NewConsiruction Reauiremenb RemodallReoair Reuuirementa • 3 registered site surveys showing sq. ft. of lol, sq fl. of house; and all roofed areas • 2 copies of plan (20%maximum lol wverage allowed) . 1 set ol Energy Calculahons for heated additions • 2 copies o( plan showing beam &window sizes; poured found design, etc.) • 1 site survey for extenor addifions & decks • 1 set of Energy Calculations . IMicate il home served by septic system for additions . 3 copies of Tree Preservation Plan'rf lot plattetl after 711/33 • Rim Joist Detail Options seledion sheet (bldgs wiN 3 or less unAs) DATE `5)~- ~d - OZ VALUATION •~Et) SITE ADDRESS MULTI-FAMILY BLDG Y N TYPE OF WORK ''Vt-~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~a`tidS'~v-ny7~~ ~oS-1~~a~~~~~ SJCS• STREET ADDRESS 2~A~9 ~Q~ CITY RnS~v\~\!Q STATE V~ N-IZIP l1 TELEPHONE # l~1-U~ UZ\ 9 CELL PHONE # FAx #~5~-~1Ps3-6ZIg PROPERTYOWNER_(~o~\~C~-~~ TELEPHONE#1o~1'~l1~r59U \~-A COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNI'SO"fA RULL:S 7G70 CA"I'EGORY 1 NffNNliSOTA RULLS 7672 (V submission type) . Residential Ventllation Category 1 Worksheet Submitted • New Energy Cotle Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor. Phonc # Plumbing systcm includcs: Watcr Softcncr I lnvn Sprinkler Fcc: $90.00 Watcr Hcater No. of R.I. 13aths No. of 13aths Mechanical Contractor: Phone # Mccltanical syslcm includcs: Air Condilioning Pce: izwA Hcat Rccovci7' Systein L~ Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is ect arL~.na~AA-+Tl`o ply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SlgnatureotAppllcanT~_-~----.` ~J 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 Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 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 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) _ FinaVC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addi[ion) _ Plumbing Founda[ion H V AC Drain Tile Other Roof _ Ice & Wacer _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco S[one _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (new/replacemen[) _ Insulation _ Re[aining N'all Approved By , Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Water Supply & Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Use BLUE or BLACK Ink I For Office Use Ila Permit City of Ea I Permit Fee: 0 3830 Pilot Knob Road 2 ' Eagan MN 55122 I Date Received: 3 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I q 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L-3 3 Site Address: Unit Name: Y i ~Y► >~-uGi., n Phone: Resident/ Owner Address/ City/ Zip: * Applicant is: Owner _X Contractor Type of Work Description of work: O Construction Cost: to 0" Multi-Family Building: (Yes / No CompanY Contact: ' / Contractor Address: a3 3 S City: 'nG'rl cy4. 6x- State: AJAI Zip: 6 S 302- Phone: (O/z - 3c? G - ii z Z License G i(p 3 ~J3 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of I the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code mus a completed within 180 days of permit issuance. x 1, S ro :1 "J, &G" x / Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA119335 Date Issued:11/25/2013 Permit Category:ePermit Site Address: 4087 Vermont Ave Lot:19 Block: 4 Addition: Stafford Place PID:10-72500-04-190 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Brian N Avakian 4087 Vermont Ave Eagan MN 55123 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature