4089 Vermont Ave
8EWER & WATER PERMIT OFFICE USE ONLY
CfTY OF EAGAN METER # PERMfT DATE 9/ 14/ 89
3830 Pibt Knob Rd.
EAg8n, N1N 55122-1897 CHIP iiF 00~ PERMIT # 10892
METER SiZE P. RECEIPT # C 3833
ISSUE DATE B.P. RECEIPT DATE 9/13 / 89
oArE 9-~-Sa
PRV _ BOOSTER PUMP
SfTEADDRESS4d8A VFRA1,11141 AVF' A,AN,, MN 5512' PERMITREQUESTED
LOl`'L LOCK_L_SEC/SUB STAFFORD PLACE
XSEWER XWATER - TAPS
Af'PUCANT:.W81',NTIFR M10WEST H0MES C.ORP
ADDRESS:I2BK r_nRPpRnTF rFtJTEg ng - COMM/IND RESIDENTIAL
CITY, STATE -EAAAN , MQL K9;1;>l ZIP 7X NEyy _ EXISTING
PFiONE: 4 5 d__DA 3 3
Lawn Sprinkler Meters are to be Installed
PLuMBER: aT~IR.Pi.llMaI.NG Ahead of Domestic Meters on Water Line.
AQDRESS:1.p1f~W0UPlL' SPR INGS TEf3R Credit WILL NOT be given for Deduct Meters.
CITY,STATE Rl nt1MiN(;T(LMN ZIP SR420
PHONE:
I A(3REE TC{ COMPL"Y WITN dff OF
OWNER: jl;WN EA(iAN ORDINANCES ADDRESS: _.~15 a 7 CN IbGO AYE SQ ~
cmr, sTA~LaO?~iNrTON.. MN ~sa2p zIP
PHONE: 881-6534 __1 I _ SKiNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCE331NG. CALL 154-5220 FOR INSPECTIONS. FOR STORM
SEWER ~ ~S/_ CONTACT ENOINEF,SINg DEPT
j .
~ ~ .
. .
~ ,
5 9 0 5 8-`~o.
Repuest Dale re N. h-in InspecLOn
" ytl? ? Raady Now AI Nality Inspeclor
Yes ? No n Feady'+
~C~(licensed contractor p owner hereby request inspechon of above electrical work at:
I .t
Job Atltlress ($Ireal, Box or Route NoJ Ciry
Llow WI i-le-I %
Sedqn N. Towns p Neme a No. Rarge No unty / /
Oaupant (P I Phone N.
~'B? g
Powa, s~vMor naaress
A ~ .?~+ts~7%~
Elednral Cqnlractor (COmpeny Nam ConVactor5 L¢anse No
~
MaArtg AOdress (COntrecmr q/ r Making Ins[allabon)
/ ~ • /Jd~~ / ~.?/~i~c%
ANhonzetlSignaWre(Con[ra r/Oxner ki nstaileLOn) Pho~NUmCerJ
MINNESOTq STATE BOARD OF ELELTRICRY THIS INSPECTION REQUEST WILL NOT
Griggs-NlEvroy 81ci8. - Room S1TJ 9E ACCEPTED BY THE STATE 90AR0
1821 Univeniry Ave., St. Peul, MN 5510C UNLESS PROPER MSPECTION FEE IS
Phono (811) 6,1241800 ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION ee_000mo7
p Sae mslruclions for wmpleUng this lorm on buck oi yellow mpy
/Y'O 7
59058 'X" 8elow Work Covered by This Request
ew Atld R TypeofBmlding ApPliancesWiretl EquipmenlWirad
Home Range Temporary Service
Duplex Water Heater Elecinc Heating
Apt. Building Dryer Other (Specify)
Comm./Induslrial Furnace
Fartn Air Conditioner
Olher(specity) Con[rectar5 Remarks
Compute lnspechon Fee Below:
# Other Fee # ServiceEntrance5ae Fe~^ Cimmis/Feetlers F~-
Swimming Pool ' 0 to 200 Amps 0 to 100 Amps
Transfortners Above 200 _ Amps Above 100 _ Amps
SignS Inspector5 Use Ony: TOTAL
Irtigation 8ooms
Special Inspecuon
Alarm/Communication
Other Fee (
I, the Electrical Inspector, hereby Rouqnin
certify that the above inspection has Faai
been made.
OFFlCE USE ONLY r
This request voitl 18 monihs Imm
CITY OF EAGAN 2 'I 7O s O
. ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121C 3
PHONE: 454-8100 Q
BUILDING PERMIT Receipt u -
Tobeusedtor fi.° DWG/GAR Est.Value $82,000 Date SEP 13 , 19$9
Site Address 4089 VERMONT AVE
Lot -20 Block 4 Sec/Sub. STAFFORD PLACE OFFICE USE oNLv
ParCel No. Occupancy R-3 M=1 FEES
Zoning R-1
w Name FRONTIER MIDWEST HOMES CORP (Actual) Const V-N 01dg.Permit 558.00
; AddrBSS 1285 CORPORATE CENTER DR (Allowable) V=N
41
° Cit EAGAN Phone 454-0433 xof stories _ Sumna~ge .00
Y Len9th 45' Plan Review 279.00
ai o Name SAME Depth 46' snc. City 100.00
AddfBSS S F. 7otal
~F - SAC,MCWCC 575.00
City PhOnB S F Foolprints -
On Sne Sewage _ water Conn 580.00
~
~!Qw Name On Sae Weil - water Meler 90.00
x? Address n+wcc sysiem xx
iw City PhOnO City Water XX Acct. Deposn 30.00
20•
PflV Required _ SlW Permit
I here0y acknowlega Ihat I have read ihis application a d state Ihat Ihe Booster Pump - SPN Surcharge 1.00
inlormation is correct and agree to comply wit p ca61e State of
Minnesoia Statutes and City ol Eag Q dinan Treatment PI 228.00
Signature of PermiteB - APPROYALS Road Unit 340. 00
A Building Permit is issuetl to: FRONTIER MIDWEST HOMES Pla^"ef - Park Detl
on the express condtlion that all work shall be tlone in accordance with all Counal
applicable State ol Minnesota S1aWtes and City of Eagan Ordinances. Bldg Otl. _ Copies
tl ,f
Bmlding Otficial Vanance - TOTAL z+s4Z.00
:(k1~ I\Alf,~, ~ ~II
.
1989 BUn.DIRG PEAIiIT ?PPLICAiION • ~
CITI OF ElGAN
rfl 0 t0
SINGLE FA!lILY DHELLINGS lIDLTIPLE DNELLINGS COK'IERCIAL
2 SETS OF PLiNS 2 3ETS OF PLAN3 2 SETS OF AACHIlECfURAl.
3REGISTEiIED SITE SIIRVEYS SEGISTSRED SIlE 30AVET5 - i 3TEDCfORAL PLINS
1 SET OF ENEAGT CALCS. (CHECH iRTH BLDG DIV.) 1 3EY OF SPECIPIClTIONS
1 SEf OF E6EA6S CILCS. 1 SEi OF EAEBGS CALC3.
MULTIPL6 DYELLINGS HENTAL DNITS FOA SALE IIBTTS ! OF Dl1ITS
lOTEt IDDRFSSES !08 COANER LOi3 -(:OFlRACPOR/90?EOWlTEA !lDSi DF.4IGAATE iiHICH IDDAFSS
IS DESIAED. BO CHANGFS WILL BE kI.LOiiED ONCE HOII.DING PERlIIT L4 ISSIIED..
SENER 8 WITER PENMIY FEES lFD ?CCOORT DEP03IT F6ffi iTII.L HS IPCLDDED YITH THE HOILDIIia
PERHIT FEE. PAOCFSSING SIlfE FOR SEHEN lAD WATEA PEHHIIS IS TiiO DdSS ONCE l PERHIT 6AS
HEEA WMPLETED INDICITIPG A LICEN3ED PLOlBEA.
PENALBY APPLIFS HFIENs PEliMIT IS NOT PAID FOR IN SAME MONTH IT ZS REQUESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
5EP 06 1989
To Be Used For:NEW CONSTRUCTION Valuation: /":~68bZ' Date: 9-6-89
Site Address 4089 VERMONT AVE. S21000 ` OFFICE DSfi ONL!
Lot 20 Block 4 Oceupancy R-3 N1-1 FEFS
- 2oning R -1
Parcel/Sub STAFFORD PLACE Aetual Const V- N Bldg. Permit SS,Oo
Allorrable v-N Surcharge
Owner JOHN PERRIER 1 of etories Plan Review 2'1q,J0
o
Length SACs City 100.0
Address 9517 CHICAGO AVE. S0. Depth uG,. SAC, MWCC SlOD
S.F. Total Water Conn O.oo
City/Zip Code BLOOMINGTON, MN 55420 Footprint S.F. Water Meter q D,oo
Acet. Deposit 30.00
Phone 881-6534 On aite aexage S/H Permit Zo,oo
On aite well S/W Sureharge I40o
Coatractor FRONTIER MIDWEST HOMES CORP. lIHCC Syatem ? Yreatment P1. 2, Do
City vater ~ Aoad Onit 340,oa
Address 1285 CORPORATE CENTER DR. PAV required _ Perk Ded.
Booster Pump
EAGAN, MN 55121 _ sP2~kL
City/Zip Code
454-0433 kpPROQaLS Penalty ~
Phone Planner _ TOtAL~
DICK WHEELER Council /
Arch./Engr. Bldg. Off. 8
Varianee V
Address 4635 NICHOLS RD.
City/Zip Code EAGAN, MN 55122
Phone # 452-0575
e~~---
~,...err
Sf~r~vc>>vr•`s G'erllf~~~rt`c
~
~
SURVEY FOR: Fronticr rl;clwcst Ilomes Corp. i
DESGRIBED AS: i,ot zo, alock n, sTnrroizn Pi.ncs, city oc Eagan, Dakota $11.3 County Dlinnesota and reserving easements of record. ~
i
m°
yr
SIGP / / \ ~ ~~F, I
I
I I r ~,s \ ~ I
.
o~ .
~ I 88a6 Q 3 33 y
c I ~ e° ~ `SA' n 8416 y \
I 90 I
W ~ o` s°",:•• ~
o ~ I 8~., ~ ~91.6 re 1S ~T~ 889.1.
i
/ r y
5 1 891,1 14.00 .00
2$ 66
o r~ b/ e ^ • N
812.8 G.,~f
~I J ¢Q
VERMONT AVENUE
~ I 23.66 0°. 8 ~ 86q.9 0872 '6 10 a
67
~ J g~?
55 U ~
~ , Y0E~
Nj 3, oo By I
nate
EAGAN EA1GIIdEE . G DEPT
PROPUSED ELEVATIONS BENCHMARN-
- ~ 16 i 19
iop of foundolion .8933 T'NN. @ Co~~~ ~F ~~t ~
Oarape Floor •892 9 61k 4. Elav• ` 89f'3~
Bosement Floor :890. I I MIN. 9ETBACK REQIREMENTS
Aoprox. Sonar Servlcs Elsr. . 001•I
Provoled Eieratlone 1 4~~ Fronf - 10 Ilou~~ Sld~ m
Exiolinp Elavallanf ~
Drainao• Ulraetlons R*ar - I5 Oorape SlM- s o
Oenoree Oflsai StoMS . 0 SCAIE: f lach e 30 Fsel %
~
~
I hueDy collfy tAal IhU wrvq, plan er nporl was OtoPared by me JOB NO.: A
'ifEDLUND er under my dhetl arponlda~ anA Ihal I am e anly n.o11r.1.e aqiZZQ4.
Lond 9urrqa un0er IAe laws d Ihe llel• sf Mlnnesele, p
lOON: v~6E~ -P
P/arurirrg 6rgineeiing Surn9ying
M~f~~~~~mml•'I~~nl~w~• F~an on.YMw~e1~1LA
Ceeccee:
~•~M*M+~~n~~ e1 34 t 8~ ~ tADO Fll[ -
DDal~t
J~ • lo im,Ueinq N0.N71e F.N.µ.C. Aity3
~U w~
W.iF• 17i~
sTT= aoD'_=s: 4U8~t UPrvYn.o-,tk Aj,,,_ S,a MovE:
CON TRACTOR: rzo•~T~C ~ C~ Dr.•7~~r~icS ?IlsN UE..~ ~40 P.,C_E2 ZX Co '
. Detersine v+orking square footage of each
1. Tc,zl exPesed wall area..... 1 9 17 5q• Tt• X = Z I %7
2. Totel roe.'/ce'7` _ 3ra=_.... Il Le O sq. x.020 = p, I
~
IC-z-1 ?xrCS?^ wali.:^22 dhCV° f:OCr= }L%`i
z. Tc;ai wall wineow arEa 11.2. o~
j
b. Tc=zi door zrez
c. -c:al slidinc ci=_ss dccr area ? z•
C. -otal 'ireplzc_ ara'1 area .
0:21 'n'djj T:'3Ti1F1C 21'ed (cV°:'2C° lvm~
IO:cl ^i.^., )G-:5' c"'o' I~{ S(
ne_ wai'i zree ebc%e zF.oor I-1 `64,1
h. -dall zrza a:,ov=_ `iocr
i. wall arca a5cv_ floor
j. 'rzme wail zr=z nT >CL.Gc710r
Totzl e:cpcsed flo::ndation arez= 7 Z
. . 3 ~
~
k. ?e:al founda:.~er, W1f1~J1Y arez 3
~ IGz2l nc= iOG:i~c"lOR ~'O-3 atJ`;c c'dC? r_cg~
J°_=':'^.,:'t °U" cIC°_ 0` 2'_Cfi "a'cl" 523!"c.^.z
(E.C. 1}'i:"iCOtv, C00^, ccCii S2Pd!"di.° `NCl l ScC=iO!1)'
z. ~itill ~S = so, N3
~
n
Li
:
z. I cpy~~ ' z r .09
x„V , oy
~ I Ll < `i C`= . ~ ~
i. A
J. I' item ,`;3 is :he
k 3 X"U" as , or 1 ess thzn i
you have met t
, 1Y ir,tznt of 53C 6006
~ . . . . .
t::
. . . . . . . . . . . . . . . . . . . . . . . . . . .
I~
Total ec?csed _co`/c^_iling arez
a. Total s}:ylight a_ea . a: Total roo_`/ccilin, fram?nq a=ea (avcrage 108)... Ilo
o. Total net iasulated roof/ceiling aree...........
Determine "U" value for each roof/ceiling segaent '
ra. X 'lUll
n. 11 lr: x..Ul.
x Zc1 ~ I -
a Total 7r tO:di Cr '4 15 t!lE 5'cIn2 25, Or less Lhan 142, VOll have L1Et tIYE intent of '
513r EOuS ic) 1..
P!teraste 3uilcing Er.ve'_ooe Des_ga .
2b :=ili_e t:-:e total er.velcpe system me=::oc, the valces estz:lishec' by tne s'--a o
_.ams r3 z_3 -4 s^all not be greater than the sum of items A1 and #2•
1- + 2.
3. + a. `4
S
• F??V -
BLOC?C: `tQ -f 1$~ ic6 }ZS''}' ~ Z, c ~ LI I
Kfti:: ~ tl -F c{C) i- Zy -4-
- ~1 3
w.e.:
F'OT.y 2-: yo-zH +1;'
FJLL 2:
_'IZ.?LP:CE: G I $
^ SQUAe'.: FEET F){°0 rS'U. WALL P.RE?
sLOcx: x.s =-7'z
Xs= 4 (o5
w.o.: X s =
FUn.L i: ,y`~ _Xa=
U 2: X a =
X
x
~ mp ~ nJ =
• ~ ~ 17
. ;
* SQU.4R= f3:POSFD CEILING I I(p O
DOORS
~
11~-Z14 3G-G~r{Z= 3~ 3- Zc ~
PATIO JOORS
e ~
z1; u 9,.e., = i. ~p- 3 Z- - = 3 Z.
-
u, f~p * BP.SII+LNT UNTIS ~
• - -z- ~5 z-i7
'
e L
-z, c=zq,jE t,u l l arez r•)r R-- VPS:JE
' fi~ar~ :tx*~er:Ce'on CONS"-RU~'IOK•- FR.4m_TNG - -
1. INI"IOR Pra rrl2". 0.68
I O 2. 17-27 GY°9D .40
3. 5 1 2" SOFT WOB 6.87
' u. 25/32 ~ S. S Gu .a ,
S. EYTERIOR AIR FIIM 0.17 *LL. R= . 8
~ U= .09
ET_G. ''s1 Tt.>N+ErJ Cf' NE,j,
pS1qr+F N,tLt r-
l.
1. WI'ERIOR AIIt FIIl! 0.68
3;:"1 2 GYPBD .45
3.
~ 4. 2 32 SFEP.TI-ING 2.06
5. SIDING .62
DMKTOR P . FILM 0.17
~ U= .04
' n
1: ~IOR AIR FILM 0.68
!
~ QI 2. 6 INSUL. 19.00
S; S~hL~SZ 3. JO
. / ° 4. 25/32 G
_O 5. SIDING .62
,i @ 6. " OR AIR FI . 7
vz,; ~ o'' o C - U= .04
~
. d
v r O
4 BIACK
WA=L 1. DMRIOR P.IR FTIM 0.68
2.
3. ill S'i'YRO . 0
. A~ .
~ 4. PROTELTNi &SP.FZTER
~
6. . P.tR °Ili"! 0-_
TOT'AL R= 7.13
U= .I4
SIAB ON (:RADE
f ~ .
fs 1.
~ ' (ll ~ , ~ <
a ~ ~ 2' = /l; /Ei f . ~ . , ~ - I 1
_
Fzja.. A4 111- S• lI1 ~
43
i
~ Y
NU*=: MI= T"L_°E, "ft" VPSSLx.'. D=,: P1M
PI~.C""''d'_' OF ?1S~n..P?TON.
~ "
T~i~~
u~ci'/e~.- • - •
• ~ f Cons ion . R-Valuc
; / .
intcriar aiz filn , .0.6I.
s:
~ s. ,M~..~~.. tt..tsuI... ~ 3a.~
O.G
4. Extcrior air fil~ (sti11)
9T,
T°~ a~
• .
. 1
. • . ' • FILAr~+rt ~ ' . -
EeaC flov ZT+~zior air f; ~ 0.61
ranccd 2. ~
• °p • 3- ~4 t 1 ~.i5t~t~
' ' • ~ • 4_ Factcrior air fil~ (st~l ~•b
' , ~ . • . , , T°ta1 33 15
. . 3SG. #S ; • . . . . . • • I ~ _ 6~
- ' . . ' . ~ w • CO.I.K~?CT/ sy~~ . .
~ i Insid'e air _°ilm 0.61
~-r . '
3_
. 4_
n S_ Outside aiz fil-m 0.17
- S . • ' ~ - • ' .
F,r.~grs E
LT . ' • I. Znside air film 0.61
2.
. . • •
Eea= tlov vp .•veated 3'
• . 4.
• • • ' • • e G*Stsic'° a:r f -m 0.17
• .
• ~ ' • ~ . . ' = Tor=,
• . FSG. $6.~. ~ . . . . _ .
. . . • '
' - 3 ~ ~ _t•v 1. Insid'e air film 0.61
• ._S ~r-'"J 2-
T_.,..I . . . ~
• • ' ..,a_. _ ~ 3.
-~=i,~'~'~~~j- • Outside a ir film 0. 17
Tbtal
~ . ' • . . . .
` ~ ` ' . - - - -
• , . . . .
_•~t : laotc: Vse adflitional sheets if morc zpac
• . aecded for details,and calculaticn
~ $eat
. • :lov cp • . • •
. . . ' • ' .
, 'oIr. 47 , r• . .
. . . 3~.00 . . . . .
. . . -
.rrc~: us~ ~c% ai oRAQuE e~ M~
- ' ~ ' FF.c+.r CJNS=KliC=':CN CONS"MUCT?CN
; I~~I I! ~ • 1. ?*~?GR P?:~ ?"TJM 0.68
2. _ E BLOCK I"D4 .1--
~ ~ 3
4.
P SPP.CE- .68
S. r
6. R AIk ?ZLM -
. 1 ~ _ . TOT1.L 2.75
BPSIC WPI.L U= .36
1. D 'T_'~IOR A..r? -rZ.M 0.68
F'IG. -s1 TOPVIEW OF 2•
r`"tt AME WALL 3.
4.
5.
6. OR AIR F -
; TOTAL
1. DT'~~-?IOR PZR FILM 0.68
."`2
FTC 2.
~ O 3.
` 4.
CL) 6. Em'ERIOR AIR FILM 0.1
T
TOTAL
E4-Et 1._~'~ ~ ~ ~ •
S
1. IINTERIOR ~.TR FZLM 0.68
2. "
U'. o . 3•
~t 1 D 4
~ 5.
6. OR PSR ?TLM 0.1
rOA1 • n.'p'
• n
' , ~D ~
r^"'w SLAB ON GRADE
,
; ~ .
i
~
~
~~r~~ ~ ~ ~~,3~ lt( /~r ~ ~f~ V v 4 v 7 , ~
-
l
: ' 1-i • , )
FIG. #4 %
FIG. 03 ~
-
~ ` ° /if
' \ It ~Ili 11~= ~
IvTOT~~ : LT`~TC~•••', i, V~ VP.LtI' ; DE---7-. PND
v ° ~ „ i j F?.AC_'v 0' :.N~[JI?_'=ION
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan ~
3830 Pilot Knob Road, Eagan MN 55122 y{
Telephone # 651-675-5675 FAX # 651-675-5694 DI a,~
New Constmdion Reauiremen(s RemodellReoair Reouirements Offce Use ONv
3 registered site surveys showing sq ft. o( lol, sq ft of house; and all roofetl areas 2 copies o( plan Cert of Survey Recd _ Y_ N
(20% maximum lol wverage allowed) 1 set of Energy Calcutabons for heated additions Tree Pres Plan Recd Y_ N
Z copies of plan showing beam & window srzes, poured (ourid design, etc. ! site survey foradditions & decks Tree Pres Required Y_ N
1 set of Energy Calculahons Adddion - ind¢afe d on-s8e sepfic system On-site Sep6c System _ Y_ N
3 copies of Tree Preservahon Plan if bt platted afler 7l1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date 1~ / (2) l 0 9 Construction Cost W SSOU a
Site Address ~7O~ ? Vero/lpliL ~A~I - Unit/Ste #
Ct
Description of Work l?-e- c-
Multi-Family Bldg _ Y)( IV Fireplace(s) _ 0 x 1 _ 2
Property Owner 'FrCL 0 C.~ S(,^ d l~Ck-LL~ Telephone #((9S() ~J UC~-- SG a 1
q5a- 5 -t 3
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(dsubmissiontype) Su6mitted Submilted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
licensed Plumber Telephone )
Mechanical Contractor AUG 1 6 2004 Telephone )
Sewer/WaterContractor BY Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
t's c 144
Applicant's Printed Name ApplicanYs Signature
OFFICE USE ONLY
,
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ect. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea ) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 OS-plex /W 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_ror_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
/0 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement `Demolition (Entire 61dg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ~ Width
REQUII2ED INSPECTIONS
Fooungs (new bldg) FinallC.O.
~C Foo[ings (deck) FinaVNo C.O.
_ Foolmgs (addilion) _ Plumbing
Foundalion HVAC
Drain Tile Othcr
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I _ AirTest _ Final _ Windows
_ [nsulalion _ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
1 rj/~/ (
Plan Review ( ?
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
-oZ~
2007 RESIDENTIAL BUILDING PERNIIT APPLICATION 9DCity Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Tetephone # 651-675-5675 FAX # 651-675-5694
New ConsWcbon Reqwremenis RemodeVReDan Reauirements Office Use Onlv
3 registered s@e surveys showing sq. ft. of lot, sq it of house, antl all roofed areas 2 copies of plan showing footings, beams, joisis CeR of Survey Recd _Y _ N
(20% maximum lot coverage allowed) 1 set o1 Energy Calculations for heated additions Soils Repod _Y _ N
1 Soils Repoh if proposed building is ro be placed on disNrbed soil 1 sde survey for addibons 8 decks Tree Pres Plan Recd ' _Y _ N
2 copies of plan showing beam 8 window s¢es; poured found design, ela Addrtion - mdicafe rl on-sde sepfic sysfem Tree Pres Required _Y _ N
7 set of Energy Calculations Oo-site Sep4c Syslem _Y _ N
3 copies of Tree Preservahon Plan if lot platled after 711193
Rim Joist Defail Oplions seledion sheet (bmldings with 3 or less units)
Minnegasco mechaniral ventilalion form
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date 07 / J v l~ Construction Cost
Site Address '41l45- UniUSte ti
Description of Work 96(C1lOF r(.1-pA)'"r SLo& OF /AUSe- C)ALy
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ~k~741~r S Telephone #(65-( ) oZo~ifo ~ o23ofo
Contractor ~1~/.flDS k6f,Fl/lla
Address (oZ3/0 C(ZDIn)W b~/GL ~ City gl/2,A~~Sl~(.u-C=State Zip ~ Telephone #(6p Op3~"-~~,31
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mimiesota Rules 7670 Cateaorv 1 _ Mmnesota Rules 7672
Enefgy CodB Category , Residential VenUlation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calwlations Submitted
In the last 12 months, has The City of Eagon issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/WaterContractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
Applicant's Pnnted Name Applic Signature
'
' ~3... - - - - - - - - - - - - - - _
4' ~ fOG!OR1Le'USE I
~:wE '~k)41 ~ / '
"~i I
„ l Citiy Of E LLRLLfl ~ Permiftl. ~ I
J
I Permil Fee:
3830 Piloi Knob Road ~ I
Eagan MN 55122 ~ Date Recerved: ~
Phor.e: (651) 675-5675 ~ I
~ 5tatf:
Fax: (651) 675-5694 L - - - - - - - 2008 RESIDENTIAL PLUMBING PERMIT APPLICATI NOV X 3 2008
ate: ASite Address:
Suite By
2nant:
cSIDENTlOWNER Name: (mCl,a Phone:
G y~-~ ~123 '
Address / City / Zip: ~J 0. LC
CONTRACTOR Name: License#:
Address: Champion ~
City: 3670 Oodd Rd. #100 State: ZiP:
agan, - S Q ( 'CYl.~
Phone: Contact Person:
TYPE OF WOR}; _ New Replace nt Repair Rebuild Modify Space _ Work in R.O.W.
Description of work:
PERMITTYPE R SIDENTIAL
Water Fleater _ Water Sokener
Lawn IrngaUOn Hdd Piumbing Fixlures
- ~ RpZ I _ pVg) ~ Main _ Lower Level)
Septic 5ystem _ Water Tumaround
New
Abandonment
ESIDENTIAL Fc'ES: i ~
i0.50 Minirnum Waler Heater, Wa[er Softener, or Wat2r Heater and Softener (includes $.50 State Surcharge) ~
10.50 Lawn Irriga[ion (inciudzs $.50 State Surcharge)
s0.50 Add Pfumbing Fixtures, Septic System Abandonmenl, Water Turnaround` pndudes $.50 5tate Surcharge)
`Water Turnaround (add $136.00 it a 5/6" meter is required) .
00.50 Septic Syslem New ($10 00 per as builq (includes County fee anc $.50 Staie Surcharge) '
10.56-Fire ReNai; (repiace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ ~U ~ I
ereby acknov?leo:7e that ihis mformahon is complete and acrairate; that Oie work will be in conformance with the ordinances and codes of ihe City of
gor.; Ihat I urdr.rswnd this is not a permit, hut only an apphcafion for a permit, and work is not to start withoul a permit; ihat the work wll be in
cDulancu wilL tne apr>roveC pmn m the case of work which requves a review and approval of plans
~'(l,~M Qi~ ~f x
iplicanf':: Prinfed Name Apuiicant'"s5ature .
77
Reviewed By '
)R OFFICE USE, . ; , r
.quiredlnspeciions.~"UnderGround.v -.Roughln HirTest 'Gas72st' al
3 5~,~
4,6°
City of Eapli
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit #: 9 5c 7/-�I
Permit Fee: qt).
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
—3/%"/® Site Address: / b69 0OA ' 4116
Tenant:
5T 672 W
Suite #:
RESIDENT /OWNER
Name: t.'(:;rte 1 Sr. 4) " oZ a(o"'&,38 D
Address / City / Zip:7d ) its vE.
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: ! , ` (' v r 13/96s- )P6 °F) v5E.
Construction Cost: 57,1, Mufti -Family Building: (Yes / No )
CONTRACTOR
�^ Pte► ,.
Name: OS. mormf6 A --oe License #:. c2O 3 YOYA
Address: Ic 3/o C'-owA) `l V City: i�-/+--CaLLLC
State: 14 -P Zip: 5----‘53? Phone: Co --e3 !
Contact: `E Email:
COMPLETE
In the last 12 months, has
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:
_Yes
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE Plans an supporting documents that you submit are cons dered to be public informatI 9ns of
the information maybe classified as non-public if yc uprovide specific reasons that woultl pec nit the City to t
a conclude: that they. are trade secrets -4
CALL BEFORE YOU DIG. CaII Gopher State One CaII at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinan s and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work ' of to start without a ; it; that the work will be in
accordance with the approved plan in the case of work which requires a review and e'ans.
Applican''s '%' ature
Appl cant's Printed Name
Page 1 of 2
1 Use BLUE or BLACK Ink
r-----------------
,r~~~1. I For Office Use I
Permit
City of Eap I Permit Fee: a I
3830 Pilot Knob Road j I I
Eagan MN 55122 I Date Received: _
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
I _
~ 2013 RESIDENTIAL BUILDING APPLICATION
Date: ( - \ -~d Site Address: Hog ,9 C +:~✓~..x Aytv, Unit M
Name: Ce~'J l yl ~ • C_),(~,C fYJ(J iA- Phone: US 22~v _ _71J9
Resident/
Owner Address/City/Zip: ~J 029 Axw,, Ltd ak-t ':;GV2_S
Applicant is: Owner _X_ Contractor
e4 noy-e 4- 421 a~ t' cr 2 _
Description of work:
Type of Work
Construction Cost: - Multi-Family Building: (Yes /No
`Company: I~ SA Contact: R c b w
Contractor Address: ~ac- . ° v City: 1a
State: % !v Zip: Phone:__] " C; I C; - 9
License EC G,'3G1 & V Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
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.go[)herstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136449
Date Issued:05/12/2016
Permit Category:ePermit
Site Address: 4089 Vermont Ave
Lot:20 Block: 4 Addition: Stafford Place
PID:10-72500-04-200
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Matthew G Specht
4089 Vermont Ave
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature