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City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
:.,J
JUL 1 2012
r
Use BLUE or BLACK Ink
For Office Use 16')
Permit#: &?-Permit Fee: / [ /• 53
Date Received:
Staff:
J 2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7 "/ b J /.2- Site Address: O)7 (/i<V) 401/4. L J Unit #:
RESIDENT /
OWNER
Name: V Lt' ,r 17/Anson Phone: 411 aC 7' s 82
� ��
Address / City / Zip: .), 0 .2 -7 Vi Q Y) P1 lit 4 h r /
Applicant is: Owner
PP X Contractor 8r0.djp c h IQ 0 0, f 4
TYPE OF WORK
Description of work: 8 c t, ,` l , D4: C. �.
V
�j Q ,. AA" ��e y
Construction Cost: '`, U ®Q,i C>1) Multi -Family Building: (Yes n / No )
CONTRACTOR
Company: 8 retell, cA ,J 604)/".3 Contact: Ra 9 Arc=Ftolti,e- I►
Address: /g2 67 V a l y G( at , City: /-- a A t oi// `e_
State: /n r ,. Zip: 5:5-01/y Phone: /S-2 "2-20 ` 7 /1 2
License #: 2.0 6 3 y b ! Lead Certificate #: ---
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
6-(-071 /27 D
In the last 12 months,
_Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may 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.gopherstateonecall.orq
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 cpleted within 180
days of permit issuance.
Applicant's Printed Name
x
pplicant's ignature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace
Single Family Garage
Multi Deck
01 of ,a, Plex Lower Level
Accessory Building
WORK TYPES
New Interior Improvement
Aft Addition Move Building
Alteration Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation 436:490
Plan Review
(25%_ 100%
Census Code 434'
# of Units /
# of Buildings
Type of Construction
Porch (3 -Season) Storm Damage
Porch (4 -Season) Exterior Alteration (Single Family)
Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
Pool Miscellaneous
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace: _Rough In _Air Test Final
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Siding
Reroof
Windows
Egress Window
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
2a®?
PD
1a�
/G
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests
Siding: _Stucco Lath _Stone Lath _
Windows
Retaining Wall: _ Footings _ Backfill
Radon Control
Erosion Control
, Building Inspector
/?3-C '137 /0"4
Final
Brick
Final
Page 2 of 3
''Hed,lund. Engineering Services
Land •Surveyors Civil Engineers Land Planners
IMF
Surt'cqor's Ccrt(fieate
SURVEY FOR:
DESCRIBED AS:
925.0
JUL 152012
920E East Bloomington Freeway --4\
Bloomington, Minnesota 55420
Phone: 888-0289
RFCE V
JUL 2 6 2C12
BOOK PAGE
JOB NO. 86-37-9
Calvin Hedlund
/got 6, Block 3, RRAHN RIDGE, City of Eagan, Dakota County, Minnesota
and reserving easements of record.
/
4 _
/d3.04
ReTAI JIi.tC �} `'
WALL �/
30
w
z
935, O
MAI
rr.r A
101n ti9,.0
f TOP OF' FO AT I ON = 941.0
141 OC' A GARAGE OOR =940,5
V194;1.
944,0 V ! E NIN R EASEMENT FLOOR = 931.51'R�931
DYER SERVICE ELEV.
944.6 942.4 PROPOSED ELEVATIONS :
~"— EXISTING ELEVATIONS :
DRAINAGE DIRECTIONS : ---a--
cERTIFICATE OF SURVEY DENOTES LOT CORNERS : 0
I hereby certify that on 7 /29 /8%. I surveyed the properirigiw ilSY E4T that
the above plat is a correct representation of sold survey.
9154`a")4r"----
Jeffrindgren, Lice37fi
30
9.34,0
936'9
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132909
Date Issued:09/10/2015
Permit Category:ePermit
Site Address: 2027 Vienna Lane
Lot:061 Block: 03 Addition: Rahn Ridge
PID:10-62750-03-061
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Minh Phung
2027 Vienna Lane
Eagan MN 55122
(612) 220-5899
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature