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4093 Vermont Ave CITY OF EAGAN Permit Na 95 101 . Date: 5-16-88 ~ 3830 Pl~o~ Knob Road Meter No: .39 74 7 gi2e; P.O. Box 21199 Reader No: A Date: `7 -lo Esgan, MN 55121 ' Owner. Prontier Midwcst ~ SiteAddress:-_4091 Vermant AvanuE T.''? ^4 Rr.,Ffn..a Plnpp ' Plumber Conn. Chg: 55n Qop'l Zoning: g1 Acct Dep: No. of Units: Permit Fee: ln Surcharge: I agree to c th t City ot Eagan Tr. Plant 204. AQP,-4, Ord nc Meter. ' Misc.: WATER SERVICE PERMIT ~ ' V OF EAG`XN Permit No:_ 1i1724 i~ ',~d . Date: 5-16-58 4830 Pfiot Knab Road B/P No: t`374I oate: 5--13--88 P.O. Box 21199 i Eagan, MN 55121 Owner. _'frontier. Fitrwt:st ~ SiteAddress: 4093 Vermont Avenve L''? E4 Staffa*-d Flace Plumber: Star PluBS61ne MWCC: Zoning. nl City Chg: l0t'.0C>pd No. of Units: Acct. Dep: ln :~CPd I agree to comply with ths Clty d Esyan , Permit Fee: A'l ~ ~ Ordinancee. , Surcharge: • 5 • Fd ~ ~ Misc.: gY ~ SEWER SERVICE PERMIT ~ I - , 0 CASH RECEIPT ~ CITY OF EAGAN _ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ~ C AMOUNT & DOLLARS ,w ? CASH CK c. , f FlJND OBJECT AMOUNT Thank You ~ BY ~dA $3?41. Y ~ . Pk*-FRe C*py ~ , . - (Itr#ifiratP nf Orrupattry titp of 4Cagan lorparfmrti# nf 1woing lwrrtinn This Ceru'ficate rssued pursuant lo the requiremenu of Secdon 306 ojtlte Unijorm Building Code certtfying that at ilre time of rssuance tJtis structure wns in compliance with the various ordinances of the City regWarfng bvilding construction or use. Far the fo!lowing: un akuir.YUan S F DWG / GAR eknnitwo. Z 500 2 OP--YTYM R-3. M-1 7,1w ~ R--1 T V-N Fronr ier Mid~rtst Ad&vw 3902 Cervale Dr. B,iWi,, 4093 Vermont Ave. L.,,;,y L22,B4,Stgfford Plece m~: .1viy 22, 1989 fj-"&40 P03T IN A CONSPICUOUS PLACE itEACTIVATED FOR DECK 5/9/89 CITY OF EAGAN - 452-i.~1~UBBELS 3030 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt it To be used for • ~ Est Velue Date SiteAddress OFFICE USE ONLII Lot ~ Block Sec/Sub. ._T~~ r~ t)~ • t F' ~ On Site Sewaqe Occupency MWCC System Zoniny Parcel No. On 3Re Well O&ual) Const s Name Cf1i P CltyWater (Allowable) W , PRV Required ~R ot Stories ~ Address 0 City Phone - ' 4 " i`' 3; Booster Pump Length yt ' Depth 471 ,o Name S.F. Total a ~ ~ Address Footprint S.F. ~ City" Phone AppROVALS FEE8 ~ CC E r /Assesa. Permit W W Name ~ ' - _ = Address Planner Surcharye i W City Phone Councll Plan Review = 1~• Bldg. Off. SAC, City r • i: I hereby acknowledge that I have read this application and.state that the Variance SAC, MVYCC • 4~ information is correct and agree to comply with all applicable State of Water Conn. ~ 7( - Minnesota Statutes and City of Eagan Ordinances. ;7,•' ~ Water Meter Signature of Permittee Road Unit 3 r - , ,,t.- .t . eJ'7~'.~• . r:) i~~i.~,_'.! A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Park$ TOTAL `~597.- Building Ofilcial - Parmit No. Permlt HoIdN Dob Tokphone s Plumbing H.VAC. EleCtriC Softener Inspectlon Dab Insp. Comments Footings I Footings II Foundation ? y ~ r-:2 ,,t Framing ..G~.- Roofing Rough Ptbg. Rough Htg. Isul. Fireplace ~ Final Htg ~ ~I . ~N ~ Final Plbg. ~ . Bidg. Final Cert occ. Temp. LP Deck Ftg. Deck Final Weil Pr. Disp. ~ _ . . . . . . . . ' , . PERMIT N i~ PLUMBING PERMIT RECEIPT # CITY OF EAGAN ' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Addr'~ss BLDG. TYPE WORK DESC IPTION lot Block SeciSub Res. ~ New Mult. Add-on ~ Name Comm. Repair y Address ~ Aw P~ Other c Ciry .E?21 ~ Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO/ FIXTURES . OTL Water Cioset - $3.00 1A. Name k6~r F/ Di7lP S ~ Bath Tubs - $3.00 • ~G 1D F c Ady ress~ yf J ZLavatory -$3.00 3t'~ O Ci Phone Shower - $3.00 =Kitchen Sink - $3.00 Ud FEES - Urinal/Bidet - $3.00 COMM/IND FEE -1% OF CONTRACT FEE ~Laundry Tray -$3.00 3.10 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 /0 TOWNHOUSE & CONDO - RES. RATE APPLIES 7-Water Heater -$1.50 . S MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE - $20.00 =Gas Piping Outlets - $1.50 , STATE SURCHARGE PER PERMIT - .50 (MINIMUM -1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 3-Rough Openings - $1.50 SIGN TURE OF PERMITTEE FEE ,1[ ) STATE S/C: , FOR CITY OF EAGAN GRAND TOTAL• - - - - _ _ J , . 4~ . . , • PERMIT# MECHANICAL PERMIT RECEIPT # _ CITY OF EAGAN ma1Q, 1988 3830 PiLOT KNOB ROAD, EAGAN, MN 55122 DATE: y CONTRACT PRICE: PHONE: 454-8100 Site Address 4093 nermant Ave. B4DG. TYPE WORK DESCRIPTION Lot22Block 4 Sec/Sub Res. Xx New xx ,~.C•[~)i y-l~•. ~ Name ,VMZEL HEATING p Mult Add-on Comm. Repair , Ta Address 1955 c City Eagam Phone 452- Other 1565 Frcratier Com anies FEES ~ Name RES, NVAC 0-100 M BTU -$24.00 c Address 3908 Sibl Memozia2 Eivy. ADDITIONAL 50 M BTU - 8.00 ~ O C~tY ~Rgn Phone 45G-0~33 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkNIIT) - 1.50 EA. ' TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air 80.00OM BTU 2.00 APT. BLDGS. - CQMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M 67U MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M B7U REMODELS - 12.00 Air Cond. M BYU 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 25.50 S/C: • 50 SIGNATURE OF PERMCTTEE TOTAL• FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT C1TY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Ad ress ~ ' ' ~ • BLOG. TYPE WORK DESCRIPTION Lot ='N _RLock -Sec/Sub Res. New MUIt. Add-On Name •'f "j, ~ { ' Comm. Repair m ~ Address Other c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N0. FIXTURES TOTAL Name Water Closet - $3.00 ~ Bath Tubs -$3.00 c Address Zn ~ ' - " 4- t 4: Lavatory - $3.00 p City Phone~'--r,;-` Shower - $300 • Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLOGS - COMM RATE APPLIES Floor Drains -$1.50 ` TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$1.50 ~ MINIMUM - RESIDENTIAL FEE - $12.00 Whiripool - $100 € MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURC1iARGE PER PEfiM1T - .50 (MINIMUM - 1 PER PERMIT} _ (AOD $.50 S/C IF PERMIT PRICE GOES X- Softener - $5.00 - • ` BEYOND $1,000.00) Well - S10.00 Private Disp. - $10.00 Rough Openings - $1.50 ~ SIGNATURE OF PERMITTEE FEE: ; STATE SJC: i• c-`. ; ~ ' FOR: CITY OF EAGAN GRAND TOTAL - _ _ _ ~~...,...,..,,r..,,~..~-T.. . CITY OF EAGAN ~ r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 } PHON E: 454-8100 ~ BUILDING PERMIT Receipt~ - ' 41 To be used tor 5F DMIGIGAK Est. Value V'g rOOO Date ~4NY 11 Site Address 4093 VF.[iMONT AVF OFFICE USE ONLY 21 6 ST1~:Oi,:) 1-'1.,'iCE OnSiteSewage Occupencv ~-1 ~I I Lot Block SeC/5ub. MWCC Syatem x Zoning R-1 Parcel No. On Sfte Well (Actual) Const V-N FRQNT1Elt MIDWES'r' HOMFS CARP CiryWater X (Allowable) V-H c Name z Address 3902 CEDAf:VALE DR PRV Required # of Storfes 0 City EA~'+AN Phone 454-9433 BoosterPump Length 401 Depth 479 , p Name sAM E S.F.7ota1 ~ ~ AddreSS Footprint S.F. City PhOne APPROVALS FEES ~ W Name Engr./Assess. Psrmit 45U. ~ ~U Address Pianner Surcharge 34. ~ Q W City Phone Council Plan Review _~QQ Bldg. Oft. _ SAC, City 100.UU I hereby acknowledge that 1 have read this application and state that the Varience _ SAC, MWCC _ 5 S(3 _ OD information is correct and agree to comply i pli ble State of Water Conn. '.S(f _Un Minnesota Statutea and City,pf/Eag~~ rd~~ Water Meter b7 /ltr7 t Signature ot Permittee f Road Umt 325•00 ' A Building Permit Is issued to: }M FRO~(7IE8 HID~i&ST l3EE}MES Treatment P1 104.00 on the express condition that all work shall be done in accordance with al I applicable State of Minneaota Statutes and City of Eagan Ordinances. Parks TOTAI 2 5W.M Building Official_ This re4uestovoid / .C:/O Q~ ld mon m ~L O V ~hs Ir E 16054 Pen D'ate r~ ~ Fire N!/ pouph-in uer.tion ( ReDRUadV Now uufv Inyoec. ' ~J i!s ?No Ior Whyn ReadY r.censed ElecVicol Contractor 1 hereby re0uast inspection ot obove ? Owner electrical work instelled et: $ireet tlAF es Bok r Rou e o. Gtv~ L ~ ecl on o. Township Name or No. Nan e No. Covmy O nnt INT) Phun~ No. _ ~ Po er SunVl r AAdress Ailk Electncai Co ctor (Comvany Numel Contrnr,tor's Licen>e No. ~ . Y t~i,~or,ae_,fS T.'AjNQ(, ' 1V L. r 14~'J40 PF' ~ Amhpr;~{~bianal~/c n tr'c fif J_` M~ I tdllatiunl Phun~nNUmbor 6~t~l~~-f. V 1 w > . TNIS INSPECTION flEQUEST WILL NOT MINNESOTA STATE BOAND OF ELECTflICITV Griggs-Midwey Bld, - Aoom N-191 BE ACCEPTED BV TNE STATE 60APD 1821 Universttv Avee Sf'Paul, MN 55104 UNLESS PFOPEH INSPECTION PEE IS 6A`nnn16191649-OB00 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION R Ee-ooooi-o/s, III, See ins4acbons be complebW tM1is form on back ol yollow coPV. E 16054 "X* BeloW Work Covered by 7his Request Home Range Temporaiy Scrvice Fomp"te TyDe ofe. ,imne AGalinncns Wved enun,anii wi.e.t Duplex Water Heater iqh[ing Fixlures Apt. 8uildmg Dryei EIeC[ric Heabn Commercial 81d<g. mace Silu Unlo.ider InAustrial Bldy. Air Condrtioner Bulk MiIk T.~nk Farm Otnr~ orr.Hv .inr, tne, oin,:e pection Fee Below p Fee ServiceEnUencaSize rc Fee Fnxders/Subfaede.s Cu0 t0 200 qm ps 0 to 30 qm s N `r 0 tn 3A6ove 200 Amps 31 to 700 qmps 31 to 1Swinming Pool Above 100_Amps Above Transrormers Irrigation Booms PartialSigns Specialinspectiun OTA Hemarks flouBh-rn D•it~' I. tne E~13~ In=aac,1Final rn" mspecUd ~ J moae. mis repuesl voiE 18 monlb Irom n BLDG. PERMIT NO. U aa 01-3 10 BI g. Permi 01-3422 Plan Check a19.5- dD 01-3445 Surch./Adm. 01-3446 SAC/Adm. ~ d 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. OQ 203868 Water Trmt. 20-3716 Water Meter /0 00 20-2252 Acct. Dep. 0 20-3713 Water Permit ~ (7 20-3743 Sewer Permit 00 79-3866 Sewer Conn. o (00 28-3855 Park Ded. TOTAL ~ ~ (O oh D , CITY OF EAGAN (v2 . 15002 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 FiUILDI'NG PERMIT PHONE: 454-8100 Receipt 2f 2 To be used for SF DWG/GAR Est. Value $69, 000 Date MAY 11 ,19 88 Site Address 4093 VERMONT AVE OFFICE USE ONLY Lot Zz Block 4 Sec/Sub. STAFFORD PLACE onSireSewage Occupancy R-3 M-1 MWCC System X Zoning R-1 ParCel No On Site Well _ (Actua1) Const V-N z Name FRONTIER MIDWEST HOMES CORP Ciry Water X (Allowable) V-N w PRV Required # of Stones z Address 3902 CEDARVALE DR - Q Booster Pump _ Len91h ~9 ~ City EAGAN Phone 454-9433 Depth 470 , p Name SAME S.F.Total oQ Addfess FootpriniS.F. ~ City Phone APPROVALS FEES W w Name _ Engc/ASSess. Permit 450.00 ri W Planner Surcharge 34_ 5(1 ~ Address aw City Phone Council PlanReview 92$-QQ Bldg OH SAC,Crty 1.00.,_0 D I hereby acknowledge that I have read this application and state that the Vanance SAC, MWCC 5 5Q-_QQ intormation is correct and agree to comply with all pii able State of WaterConn - .5-50.00 Minnesota Statutes and Qty o ~Ea n Ordi ces. WaterMeter 67.00 Signatureof Permittee _ Road Untl _3 25 QQ A Bwidmg Permit is issued to FRONTIER MIDWEST HOMES Treatment Pt 204.00 on the express condition that al I work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks r TOTAL 2,505.50 Bmlding Official~,(~.-~ - I ~ . ' 1988 HOILDING PERMIT APPLICATION - CITY OF EAGAN _ SINGLE FAMILY DWELLINGS 1500 ^ • INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDHESS ZS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PEAMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS 0 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICbTE OF SURVEY - CHECK WITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For:New Construction Valuation: 45W,399._ Date: Mav 4. 1988 Site Address 4093 Vermont Avenue q DDO _ OFFICE USE ONLY Lot Block 4 On site sewage_ Occupancy pz"3 M-I MWCC system ~C Zoning 'R- I Parcel/Sub Staffnrrl piaCe On site well Actual Const V-N City water ~L Allowable v-N Owner Steven & Cherv7 DuhhP7.c PRV required _ !I of stories Boostee^ Pump ` Length L(O , Address 953 Scheffer Avenue Depth 4?' S.F. Total City/Zip Code St. Paul. MN 55102 Footprint S.F. Phone 292-9363 APPROVALS FEES Contractor Frontier Midwest Homes Corp. Engr/Assess Permit ~~SU,O o Planner Surcharge 3 4,50 Address 3902 Cedarvale Drive Council Plan Review 2 2S, 00 Ea Minnesota 55122 Bldg. OfP. SAC, City 100•00 City/Zip Code gan, Variance SAC, MWCC SSQ' 00 Water Conn SS0,0O Phone 454-9433 Water Meter ,o 0 Aoad IInit 3Zy , Oo Arch./Engr. Phillips Plan Service Treatment P1 Zoq,o p Parks Address Apple Valley, MN 55124 Copies I , TOTAL SO 'r~e 14530 Pennnrk AvP_ 1157AFFoRD''M0DE'L Phone 4 Hed,lund Engineering Services 920IEasiBloominpronFreeway % Bbominpfon,Minnaaota 35420 ~ LanO Surveyars Clvll Enqineers Land Plonners Phone: 888-0289 AV sunrqor`s G'ert~,f "e JAVI - BOOK _ PAGE - J08 NO. 68R- 131 SURVEY FOR: Frontier P?idwest Homes Corn. OESGRIBED AS: Lot 22, Block 4, STPFFpF.n PLP.Cr, City of 4~ij Faaan, Dal~ota County, t+innesota and reserving easements tr'Oh L`of record. TOP OF FOUNDATION = 6qy•I \ GARAGE FLOOR =M3•~ BASEMENT FLOOR SEWER SERVICE ELEV. PROPOSED ELEVATIONS AP", EXISTING ELEVATIONS Sevv`e-e DRAINAGE DIRECTIONS DENOTES LOT CORNERS : o DENOTES OFFSET STAKE: ? O .y'S 3 Z l~ ~ 10' IC \ J G°` W iP W 1~~ '3~ ~ ? 0 W 1v ~ d~ / 4as ~ O ~ ~ 41.I e9z ,,0 o a~ u o~E~ ~ ~ 62 ~ ~ ~ Date~--- F~~G EAGAI: ET3G~.N j i 0~. sr \ ~ o°~ ~P ti ZERTIFICATE OF SURVEY I Aereby certify ihot this survey, plan or report was prepared by me or under my direct supervision ond thaf I am a duly ReqisTereA Lond Sutvayor under ihe laws of fAe State ot Minnesota. p D a t e: 4/ ~ J~D. Lindqren, License No. 14376 EXTERIOR ENVELOPE_AVERAGE "U" COMPIITATTON.__Z~~ - ~ OWNER : Cra..on R. (lhary7 Dnhhal c ~llTf : ~ ~ ~J SITE ADDRESS: Z,n4-1 Varmnnt Avcnno. Fagnin MN PHONE: 454-0433 ~ CONTRACTOR: Pr_~% LE~ 0 er~ym nA ti,I c~S PLAN # Determine working square footage, of each 1. Total exposed wall area..... ~"t G '-{1 97 sq. ft. x .11 = 21 ~Q r0~ 2. Total roof/ce9ling area..... ~(17 1 (0 sq. ft.. x .026 = 7(.¢, -i ~ Total exposed wall area above floor=__Lt'9_9_,!T-' a. Total wall window area b. Total door area.................................................... L4 Z c. Total sliding glass door area Z d. Total fireplace wall area e. Total wall framing area (average lOp) i 4 lf~ f. Total rim joist area g. net wall area a6ove floor ~rejLQ~-- h. wall area above floor . i. wall area a6ove floor j. frame wall area at foundatian Total exposed foundation area= k. Total foundation window area 1. Total net foundation area above grade 3 Determine "u" value of each wall segment (e.g. window, door, each separate wail section) a. 1 Z~ X " u~, e/S = Z.-5- b. y z xlull 3/ = l 3(oz= C. yZ X „u„ d. X „u„ . e. X~lull f. 130 Xllut. 9. ~ c„ars.o~X „U„ . a y 71 g~-i h. X "U" _ i. X .1 u,. _ ~ X ~~uff I f i tem #3 i s the.sa k, X"U" = as, or less than ite #1, you have met the intent of SBC 6006 ( 3 . .................................Total = Z O b. - -~-trrior Hnvelope Avera9e "U" Conputation Page 2 of 4 ~ Total exposed roof/ceiling area = ~ d ~~p m. 7bta1 skylight area ~ n. Total r.oof/ceilin, framinq area (lvcragc 10%)... I (n ~,(e o. Total net ir.sulated zoof/ceiling area........... netermine "U" value for each roof/ceiling seqment - M. X IV, n. R "U" X „U„ . 0. q 1~I,4 4 7bt-al = ZO~ ! 3 'f total cf n4 is the`same as, or less Lhan $2, you have met_the intent of SAr 6005 ic) 1, Alternate Building Enve'_ooe Desiga To •:tilize the total envelope system method, the values established by the s•.un of items ;',3 and r4 shall not be greater than the sum of itams #1 and #2. 1. ZI c0 LOft + z. Zco, N 1= ?-'yZ.,S . 3. +4. z0, -73 • PLAN # * LIAlEAL FEF.T F:XPOSED WALL BLX)CK: C.o S ~ . 4 : 1QdEE: I 3 O W.O.. - Fn,[., 1 ! l 3 ~S FIJLL 2: FIREPIACE: ~ Rat: ~ 3 b * SQUARE FEEt' EXPOSID WAL.L AREA . BLOCx: x.5 = 3 ZS KNFE: ~ '3 O X 5 = 4~0 W.O.: _ X g = FULJ.1: xe= C)~-f FULL 2: _ x 8 FIREf'IACE: X c6= ~ g RIM: x1= l30 l~~ * sQUAxE FEEr EXPosID cEZZ.arc ~ o t lo * •:rrmmws * Dooxs 4 Z ZLI 3 c. -zo 3 co ~-7 = 3 Sr' * PaTTO Doo~ts 1+ Z, Zo cp o 3 = Z5~ * sASEMEarr uxrTs . ZHLf U = 4 = Z-~ . ~Zs : Lise Isg, o+ oPn4ue wotl orea fvr R-..VALd1E-- fvame. ccxwsfruce ion CDNSIRUCTIOPL•- FRAhIIA((' - - 1. IDirERIOR AIR FIIM 0.68 ~ 2. , 3. 5 2 SOFT WOOD 6.87 4. ' .82 6"SiC 6. R 0. IdALL TOT&L = : B ; ~Q U .09 _ EIG. iEl TUAl+EfJ Cf' F9A!^8 NALt NET r- I. INTERIOR AIR £IIM 0.68 _J 2:_'" BD .4 ~ 3. . 19, 4. 25/32 SHFATh7NG' 2.06 5. SIDIM ,6 rG. #2 6. 3 TOTAL ~ U= .04 ^ --~v 17._ ~Y ~ 1. IINTERIOR AIR FIIM 0.68 nL 2. S[TI,. 19.00 s;LL ls~~~R a. o : i 4. s. SIDTM s. EXTERIOR nz _ ° , u= .04 . a . ~ . . BLOO( b WALL 1. INfERIOR AIR FIII4 ' 0.68 2. 1 ~r.• ~ ' ~ 3. 4. PROTECTIVE BARRIER } 5. 6. TOTAL R= 7.13 U= .14 SLAS ON GRADE p _ . L- .c ~ • y.;; • ~ Ili~ ' { • o ~ ~ ~ ~ , D~° , . 11 I = , ~ ' ~ D A ~ ~ ff1I(l I p: ~ _ ~ , ~ • ~ T1l( :'"r _ F~G• RA LLL }3~ . 43 , ~ - - . . , ~f~ l~~ c!r ~ ir~ = ~ F r NOT'E: INDICATE TYFE, "R" VALUE. DF.PTfi ANID PLACIIMC OF INSULATION. , rvfwL 0Ll.11V1VJ ggiCK pIRE pLAU N=: USE 10$ OF` OPAQUE WALL f1RFA £OR . " • FRAME CONSTRUCTION CpNSTRUCTION R-VALUE i ~ ~ (D '1. INTERIOR AIR FILM 0.68 f 4. AIR SPACE .68 I+ ~ S. 6. ETfEUO-R R .1 , TOTAL 2.75 . ~ BASSC WAIS, U .36 - j ' . 1. INTERIOR AIR FILM 0.68 FIG. 01 TOPVIE.W OF 2. FRAME WALL 3. 4. • 6. MMOR TOTAL 1. INT'ERIOR AIR FILM 0.68 FTG. #2 2. 3. 0 4. l% i O 6. EXTERIOR AIIR FILM 0.17 S£ALfR TOTAL 1. INTERIOR AIR FILM - 0.68 ~ 3. 4. ' 5 , d S. EXTERIOR AIR FILM 0.1 'roTAL, ~ ~ ~ • ~a ~ 0 . . . SLAB ON GRADE ~ ~ ~ . . r ~ • r , ` t ~ ~ E ~ ~ jil , V . .c ~ ~ , . . V i j~~ • . . ~ i d Y. ~i . r.~ ; ~f ` • 4,' FTG. 03 FIG. #4 _ ~1! . ` NOTE: INDIC/1TE TYPE ~rRn VAL[JE, DEPTfi AND PIACIIMNT OF INSULATION ROOF-CEILING CONSTRULTION ' R-VALUE ~ 3 4 i. ~zox .~x ~ 0.61 ~ ~ 4. ~ t VBn TOTAL . . U - .02 ~ ~ FRAME VII= fXAT FIlO~l 1. IIJTF,'RIOR AIIt FILM 0.61 u UP Z. FIG. #5 U = r.024 ' CONSTRUCTION INSIDE AIR FILM 0.61 ~r i...~, f, -+,..4 • «._.`"_~..1..1 L _ . , _ - 2. - 3. 4. 0.11 ~ 5. TOTAL 5 ' U- _ FRAME LO 2: INSIDE AIR FILM . 0.61 ~?-EAT FI.OW U? VENI'ED 3. . 4. 5. FIG. #E • TO'?PL U = 3 O ^ 1. .INSIDE AIR £ILM 0.61 , 4. i-~~J z. TOTAL ' ?J ~tS~r, ~ v.~ ~r r-~ ~ ~ U NON-VEN'TED NOTE: USE PDDTTIONAL SFFEE.TS IF' t"ARE SPACE IS TIEEDED FOR DETAILS PND C4L.CUTATIONS. HE4T FIAW u UP FIG. ~7 ' . , , ' APFLICATION FOR PERMIT :NCIM: pAYMIr OF FEE AT TIME OF ; ; nrrtiraszav DOEs rOr car ; STI'N1E APPRG"JAL OF PFMT. : ~ • SEW ER AND/OR WATER CONNECTION ; Im"Mmau oF mm nca/on wr+Tea : r : irasra.tunoKS waa. N(Yr ee crM= ; ~ . . • i f!NPIL PERFIIT HAS BFM APPROVm. : l dty oF eagqn (PLEASE PRINT 1) PROPERTY ADDRFSS: .l+093 Vermont Avenue,. Eagan, A1N T•FY:AT. DFSCE2IPTION; Lot 22, Block 4, Stafford Place Lot B oc S vision or Tax Parcel ID IF EXISTING STRC'CTURE, DATE OF ORIGINAL BUILDING PERMIT ISSLANCE: Mont Year PRESENT ZONING/PROPOSID USE: Q COAM'1HEE2CIAL/RETAIL/OFFICE ~ X1 R-1 SINGLE FAMILY Q INDT-ISTRIAL ~ R-2 DUPLEX (3Wo L'nits) Q INSTI4UTIONAL/GOVERNMENT ~ R-3 TOWNIOUSE (Three +;Units) ( Dnits) Q R-4 P,PARTMENT/COAIDOMINIUM ( Units) Z) Np,b'E; Frontier Midwest Homes Corpozation ADDRESS: 3902 Cedarvale Drive CITY, STATE, ZIP: Eagan, MN 55122 PHONE: 454-0433 For City Use 3) t1AME: Star Plumbing P1 re S License: ADDRESS: 1018 Mound Springs Terrace Active Expired CITY, STATE, ZIP: Bloomington, P1N 55420 Not recorded PHONE: 884-4149 MASTER LICENSE # 3329 Sta In~itia~ 4) " ~ NPME: Steven & Cheryl Dubbels ADDRESS: 953 Scheffer Avenue CITSt, STATE, ZIP: St. Paul, MN 55102 PHONE: 292-9363 5) + ~ • n .i a~ a CONNECTION TO CITY SEWER FX-l CONNECTION TO CITY WATER a QTfIIIt 6> ISON75-MMM ,:F**'k**************'kak*** ***klt**:F*****F*****'k'k****'k****!****~r***it**************************#*******M ~ k *'IHE GOLD COPY OF 1HE pgtMIIT WILL BE SETIr DIRFXTLY TO PUffi,IC FORKS TO FACILITATE MEi'II2 PICK-UP. * *t PLEASE ALTAW 'IWO WpRKING DAYS FOR PROCESSING. SOMEONE FROM Tfm CITY WILL CONPACf YOU IF T[iQ2E * ARE ANY PROBLEh1S. .*k ~******x**,r+*~:r:****x**r******~+,t****,t,tx*,r**~***,t**t***~****~***~********~~*~*++*+*,t*******xf ~,t*r*,ti .-FOR -CITY USE ONLY IL PERMIT # ISS[!ED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ ~C•~' $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ ASc r $ ACCOUNT DEPOSIT - SEWER $ /-5 ' $ ACCOUNT DEPOSIT - WATER $ > S ! • e u $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRC}NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 7 $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE,EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING ~ NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITZONS: APPROVED BY: TITLE: DATE : ~ r , /'I Uu ~~~'NEnLEL MECHANICAL r ot N°0j ^4Tk4a2" 3600 Kennel?ec Drive ' ~11~ iddroasc CqMT~ ~.Ic~G - Eagan. MN '55122 . HFAT LOSS GLCUlAT10NS DEPARTMENT OF INSPECTIOR ' wulber~l~ip~ l, • COAWYCINA NO. ~Y~IiO~ CiYIde ~n I Docis Rslusau Out. WaU Ict. WaU CsJiog Rouf Floor I Kind Fbw Applisd r~o I es- 0 19_ p Fl.I Room Leaph 11-0 Widt6 1 Nei ht FI. f~om La th Widt6 WeidoW. .,,d p„r~uck& a and Are~ ' o ~Sfindow~.aad Doorr-~Crulup and Aru M. ~1 L~u~l b. ~no la9~ U•w~ M Mw~ b •f tn<Y IL ~ . ` ~ Me. •f •n 11 ~t~ ef crpY . tl. / Z~ II~ f ; COoF. BlY COtF. BtY ~ ~lh•~iuo k ~ , i . 1n61truion :lus ~ ZJ ' U Gl.w i. r~ll 2'SZ 141 F.u . wall up. w~ll 44 nl. wall Nat sap. wall ~ edmY Iot. wau loor 1 9 C.ainQ 6 uul Biu. Floor Tad &u. I ;ev~irad p. It. E.D.R. or ~Q. ini. W.A. Leader aru L1.~, 4 Requicsd sy. ft. E.D.R. or sq. iaa. WA ls~dcr aru 3 J(n M. Fl.1 Room L.enath WidLh Z HeiQht Pa FI.I - Roum I Lsn iA P)w WidJ~ Fk' t Wm.bws and Doois-Crackaye and Are• 141h Nsii Window& aod Doon-Cracka`e aod Aru . o~ r..M . Llb~l ?I u.~u •r.... r .c. n. w~a~n e•i~n~ •e a. wr.. ' r No. .ot •n~ ef n~ b bl~ afo.c~ .1~. Z 12.. Z C~ac]~. 1!~. 7 1 Q$y . ~J ~ " . ,~~;L i 9 • 3 i a : v Coef. Btu iu '~IIItlNq p ~ 0";L Infiltntion ' yp a v~ 8~1 G' ap. wall ?..I (p F:p. wall say. wall - ~~--i-' lol. wsll 8~ Q 0 O Ceiliny 0 loor Floor Toul 8tu. pyired p. It. ED.R. or p. W.A. Leader ~rea at $'l Reyuired .q. Fi. EO.R. or .q. ;o.. W.A. Ls.der •rsa ,j - U Fl. Rooao I 4n`th Wid~h ~ He' t I Fl. Li V Raomllsng+A I W~ 1~( HaWa 80 Wiod -vw or~ aod Door?-Crsickase and Area Wa~ws apd DppK,-Craelt~ge aod Ars~ IUI1 N~1~\l M~. ~f L4~~1 fl. Afu ~I ~f Nu 11 N. 1~. bb ef srKY IaM N.IgRI Ma • Llwl f6 ?n~ No. of p.u. o( M~~ 11(N. af cnc4 M. 11. 1V l ~ Co~f. Bw Cosf ,Lluuw~ Jw • - 1a61tution yy• O ry a rr~4 Clu6 • p FsD. w~ll 1V ~ 1N ~ raU ' Net eap. wall mil. lw. vdl ~ • C~ " L'G Ceilina a.o ~ o ~ S fluor . or . Twal &u. _ p. ias. W.A. la~de9 ana, e~ Q _Req~ired .y. h. EO.R. or w. ie... VtA Ls.der .R• 1 - 'WEnL£L MEGiANiCAI 3600 Cenntoec Drive PM ~mamn! eq«,,~~ r? . Eagaa. MN 55122 Hfi4T LOSS CALCUlAT10NS DEPARTMENT OF INSPECTION WaLLsrwrwa AGuide Gnwucl'an No. lawlvia~ 14dows I Doon II Rslueau II Out. Wdl lat. W~U Csilio` Roof Floor I Kind Fiw Applisd i 9_ Fl. a (iuom Le061h 1 Width O Fkialu Fl.1 Room isn tL Widt4 hought Windurs and Doon--Cracka a&nd Aru Io4 Winduws aad Door?--Gatckage aod Area %V.dIh- A,*& lat• ' MNUL N~. *t iftr 11. a~r ~f pn~ 11 •M 11 M• of tI~(Y 11. N0. OI O~ a 1 9s 11 \l1 KM.cY . n. (d ,'~2 a(O ~I` . C"f. Btu C«(. &u Ztnliou ~5L 410 I a.8 0 1ti61tntioa :I... i . ~.~11 { F.aP. wall Iei op. waU 13 a. $ Nat aaP: wall • nl. rell Ipt, wall locr Floor ~WI BIY. TOUI BIY. ' . . Zrquited sq. ft. E.D.R. ut sq. iaz. W.A. Leader Wea Reyuircd w. fi. E.D.R. w w. in+. WA. L.e.dcr .re. Fl. IG m Le08th 11 Width I FkiQ6t Fl.I RoomlLsugth 1Yidt6 4t Windovs and Doorit-Cracluge and Arca l! ° Windows and Doon-Crackaoe aod Araa w~~u M.y.i w...t u...s n. wrw 1s. Muli •i[?t d swIt. •.w •f •f N~~ 11~\II ~l snt4 p. Il. ' NF of se o[ no 1\M M 14 Cwf. Bw iuLltr~~iua .'Z ~ 4 n lo 1o61uauoa . ~I.~. 1 •1~ (o B O Glu~,.~,..; up. raU Eap. waU -Wl up. w&U Nct eip. wau IAI. Wa~~ lG6 Weu . Culin~ Z.'1 CeilinQ Flmr Floor ' ~OI~I BIY. 1 TpW BIY. H.Quued sy. N. ED.R, w.q. iaia. W.A. ls.der area a.(. a. Reauuad.y. ft. EO.R. «.p. io.. W.A. ls.d.r uu Fl. Room Lsnsc6 2ta 1Yidib4 O Fk' hi Fl. Rmmllsogth Width NO& W"ws aod Doon-Crack~p aud Arsa O Windows land Doon-Cnckais sad Arca u~? wuau N. t w...~ n. wn. M• •1 •w •f 11 ~p d w~CY bl\ o1gh1 MO. lyd f4 •n, g N.It. 2~ Ma ef a, of q 11 eu of neeY 1o. eq. $.a tb Zo io.g ~,g o , C«L Bw Co.f &m i.Ak..tp. 59•a wo a~~ In6lt..doo cJu. 7 g 2~ 3 9 0 o GI... . E. .,.u Eso....u Nsl asp. rr&ll Nd e:p. waY 1N. ~.JI lot. waU C.dm~ ' feilinQ 10 ya 5 ao o Fl~. . Ta.l Btu. TwJ &u. ~ R.Q^ired oy. ft. E.D.R. or p. in.. WA. lsadsc ,ru I b (Fa Rq~i,,d w. G. C D.R. w ry wt. VN A. Ls.drr 8,11t, - 1989 BDILDING PBRMIT APPLICATZON - CITY OF EAGAN SINGLE FAMILY DWELLINGS Liff 00 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRFSSFS FOR COHNEA LOTS - CONTRACTOR/HOMEOIiNSR MOST DESIGNATE HHICH ADDRFSS IS DESIRED. NO CHANGFS WILL BE ALLOWED ONCE BDII.DING PERMIT IS ISSQED. MULTIPLE DWELLINGS RENTAL QNITS FOH SALE ONITS i OF ONITS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SURVEY - CHECK WZTH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL JO~~ ~ INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS 1 To Be Used For: ,0ec/- Valuation: Date: mAY 0 3 1989 Site Address Avc OFFICE IISE ONLY Lot 2Z Block ~ Dceupancy FEES Zoning / Parcel/Sub P/pcc Actual Const Bldg. Permit w!~- Allowable Surcharge Owner vGs7 4l of stories Plan Review Length SAC, City Address Z/093 V-o-.vr7ov71 AvG Depth SAC, MWCC S.F. Total Water Conn City/Zip Code Footprint S.F. Water Meter Acet. Deposit Phone On site-sewage_ S/W Permit On site well S/W Surcharge Contractor NIA MWCC System _ Treatment P1. City water Road Unit Address PRV required _ Park Ded. Booster Pump _ Copies City/Zip Code TOTAL 9PPROVALS Phone Planner Couneil Mch./Engr. Bldg. Off. Variance Address ' City/Zip Code Phone 0 NOTE: Sewer & Water Permit Pees and aecount deposit fees will be ineluded in the building permit fee. Processing time Por sever and rrater permits is txo days onee a licensed plumber has applied for a permit at City Hall. .edlund Engineering Services 9201Eat181oomnpronF~aeway LanO Surv~ Bbominpfan,Minnssora 55420 Yors Clvil Enpineere Lond Plonners Phone: 888-0289 JAVI surve~or"G'ert~, f ~eate BOOK _ PqGE JOB NO. A R-131 SURVEY FOR: Frontier A".idwest Hor!es Corn. DESCRiBED AS: Lot 22, Block 4, STPFFOF.D PLP.Cr, City of D~tj\Faean, '~akota County, 2Tinnesota and reservinn easements r,4;~05 L\of. record. TOP OF FOUNDATION = 894•1 3 GARAGE FLOOR = $43.7 BASEMENT FLOOR =8`ia•9 ~ ~Z SEWER SERVICE ELEV. PROPOSED ELEVATIONS EXISTING ELEVATIONS ~~•6 ~w DRAINAGE DIRECTIONS / .J~ N 9 ~oCn~iON DENOTES LOT CORNERS : o DENOTES OFFSET STAKE: o p `0 ~t.~ ~ ~ o ' E ~ ~{P~ ~ ~ Z~' W t~ v .N IF o ' J~ : i;~ °fy \ \ EriG:..: A~~ ~!n 0, ~QCERTIFIGATE OF SURVEY I Aereby certify thaf this survey, plan or reporf wos prepared by me or under my direct supervision and that I am o dulr Reqistered Land Surveyor under the laws of tAt State of Minnesota. ~ D Date: 4/ Jeifre D. Lindpren , License No. 14376 RESIDENTIAL BUILDING PERMIT APPLICATION ' 3830 PILOT KNOB RDN 55122 651-681-4675 C NewConMructlonReauirements RemodeVReoairReaulremenU • 3 registered sita surveys showirg sq. ft. of lot sq. ft. of house; and all roafeE areas . 2 copies of plan (20%maximum lat coverage allowed) . 1 set af Energy Calculations for healed addrtions • 2 copies of plan showing beam 8 window s¢es; poured found design, elc.) . 1 site survey for exlenor additions 8 decks • 1 set a( Energy CalcWatlons . IrMicate H home served by sep6c system tar additlons • 3 capies NTree Preservation Plan dlot pla@ed aNer7/1193 • Rim Joist DetaO Options selecGon sheet (bldgs wAh 3 or less unils) DATE VALUATION ~ T"~% Oa JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER IJYI~ -1-22G~ >C D ~V TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~ G GD~ , ' ~ ~A C~~J ~ PHONE# !p/~ • • SSUO ADDRESS -~0 O ~ ZIPCODEy(-)4 PAGER # CELL NE # FAX # Cv/,2 '7;51,-/• X:~,j NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Caiculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbtng Contractor: Phone m~~~~ u~ I II ~ Plumbing Systcm Includcs: _ Watcr Softencr Lawn Sprinl:lcr Water Hcater _ No. of R.I. Baths _ No. of 13aths By Mechanical Contractor: Phone # Mechanic:il Systcm Includcs: _ Air Conditioiiing P'ce: $70.00 Hcat Rccovcry Syslem Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance~ Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex O 16 fireplace ? 21 Porch (3-sea.) ? 31 EM. AIt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) 0 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Foorings(uew bldg) _ FinaVC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ PlumbinB Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply 8 Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other ToWI RESIDENTIAL BUILDING Permit Application ~ gSSQ`~ City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCiion ReouiremenLS RemodeVReoav Reuuirements Office Use OnN 3 registered sile surveys showing sq. ft of lot sq. ft of house; and all roofed areas 2 copies o( plan CeA of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calcuiations for heated additions Tree Pres PWn Recd 2 copies of plan showing beam &window s¢es; poured found desgn, etc. 1 site survey foradditlons 8 decks Tree Pres Not Reqd lsetolEneqyCalculations Addrtion - indicatei(on-sResepficsysfem _ Oo-siteSep6cSystem 3 copies of Tree Preserva6on Plan if lot platted after 7/1193 Rim Joist Detail Optbns selection sheet (bldgs with 3 or less units Date - l L~ Construction Cost /6, /i6 / Site Address UniUSte k f / I L f~ z Descriptioo of Work I/,(G/'el'1 ~ rn.`fi /,l/ lt2/'~/r?7.l~S~SSC lG7.P. 2 i / S /JeS t~/!fl %U' I S tG/i L( 9 ~ Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 _ 2 Property Owner / nhn nsT fl' Telephone #(6/;7) /n X j~ 73 T Coutractor L A tM p E'!P~ ' baS Address / U ~ifJ yy~ ~ ,~l-v Ci[y State Vk Zip S S/ U~ Telephone # (~57 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv t Minnesota Rules 7672 Enefgy CodB CBtegory . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (4 su6missiontype) Submitted Submitted . Energy Envelope Calculations Submitted Licensed Plumber 11 Telephone ) Mechanical Contractor I n~ ~ 1''"rl''. Telephone ~ iJ Sewer/WaterContractor Telephone J 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 NN 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 ofplans. Applicant's Printed Name ApplicanYs Signature . OFFICE USE ONLY Sub Types ? 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 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-pfex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ?.36 Move Bldg. ? 42 Demolish (Foundafion) ? 45 Fire Repair ? 33 Altera6on ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Boos[er Pump Nbr. of Units Sq. Ft. PRV Nbr. ot Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Foo[ings (deck) _ FinaVNo C.O. _ Footings (addirion) _ Plumbing Foundatian HVAC Drain Tile Other Roof _ Ice & Watzr _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Frartung _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , 9ui!ding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 9, 7s City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Tenant: '�v A",-) "1 r Use BLUE or BLACK Ink For Permit #: 0/ l � Permit Fee: 4R). cx r" Date Received: Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION C Date: /0 / O 7 Site Address: 7O 93 Vt'i d''`i i"T U /7- l ` Suite #: RESIDENT / OWNER TYPE OF WORK CONTRACTOR Name: o a /, 3 A,. -c A n 4.6,i)c Phone: 6 X35 - 7 /.5 Address / City / Zip: L,bg 3 1 4e ,i orrr r7' Applicant is: Owner Contractor Description of work: 4-1 n `5 ` /3 Construction Cost: /VOC Multi- Family Building: (Yes / No ) Name: License #: Address: City: State: Zip: Phone: Contact Person: 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: Phone: Sewer & Water Contractor: NOTE: Plans and supporting documents that you submit are considered to be public informati the information may be classified as non - public if you provide specific reasons that would perm that they are trade secrets. t o _ Portions o n it the C ity to' CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 0 4, rl /u 2— /t) Applicant's Printed Name V,r 0 4 2009 SUB TYPES _ Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level DESCRIPTION Valuation Plan Review (25 %_ 100% x Census Code # of Units # of Buildings Type of Construction Interior Improvement Move Building Fire Repair Repair v REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final X Framing Fireplace: _ Rough In _Air Test _Final )' Insulation Meter Size: Reviewed By: - °� RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies TOTAL 2-/) /rig= DO NOT WRITE BELOW THIS LINE Porch (3- Season) _ Porch (4- Season) _ Porch (Screen /Gazebo /Pergola) Pool Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window Occupancy Code Edition Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: _ Footings _Air /Gas Tests _Final Siding: _ Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings Backfill _ Final Radon Control Erosion Control , Building Inspector MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Page2of3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA123676 Date Issued:06/12/2014 Permit Category:ePermit Site Address: 4093 Vermont Ave Lot:22 Block: 4 Addition: Stafford Place PID:10-72500-04-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Eric Bruckmueller 3992 Pennsylvania Avenue Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jonathan R Huebner 4093 Vermont Ave Eagan MN 55123 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA132128 Date Issued:07/27/2015 Permit Category:ePermit Site Address: 4093 Vermont Ave Lot:22 Block: 4 Addition: Stafford Place PID:10-72500-04-220 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 - Jonathan R Huebner 4093 Vermont Ave Eagan MN 55123 (651) 239-7150 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA132129 Date Issued:07/27/2015 Permit Category:ePermit Site Address: 4093 Vermont Ave Lot:22 Block: 4 Addition: Stafford Place PID:10-72500-04-220 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jonathan R Huebner 4093 Vermont Ave Eagan MN 55123 (651) 239-7150 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA139096 Date Issued:10/10/2016 Permit Category:ePermit Site Address: 4093 Vermont Ave Lot:22 Block: 4 Addition: Stafford Place PID:10-72500-04-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jonathan R Huebner 4093 Vermont Ave Eagan MN 55123 Holmin Heating & Cooling Llc 3432 Denmark Avenue, #228 Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature