2066 Kings Rd•:.. - •....
BUILDING PERMIT
cinr oF EAGAN
3795 Pllet Kwob Road Eoyan, MN 55122 +rK ? 7830
PHONEs 454-8100
Receipt #
Te be wed fer 1/2 DUPLEX & GAF. Est. Value $56, 000 Date rI arth 11 , 19-?u
Site Addrcss 2055 Vienna Lane Erect
?
?`u??Y Z-3
7 5 Vienna Woode
Lot Block Sec/Sub. Alter ? Zoning PD R-
10 "1950 070 OS
l
P Repoir ? Fire Zone N
orce
# V
E
l T
f
n
orye ? ype o
Co?st.
99 Nome Co»ntryslde Builders, Zac.
Move
?
# Storie
W ?
I
l Addrom 1500 E. 79th St. Demoiish p Length D44
r,, Rloom. 55420 854-4721 Grade 11 Depth 30 Sa. Ft.
9 Nome vwner
z
u? llddress
CI Phone
Ncros
WW
FW
?? Address
<'Z" Citv Phone
I hereby acknowledge fhat I hcva read fhis opplication and stote that
the intormation is corred and ogree to comply with all applicable
Stofe of Minnewta Stotutes ond City of Eagan Ordinonces.
5fpnature of Pertnittee
A 8uilding Pennif Is issued to: Colintr
oll work sholl be done in occordance wlth all
Bu(Idinp Officiol
Assessment
Water & Sew.
Police
Fire
Erg.
Plonner
Council
Bldg. Off.
Avc
Feas
Permit -0 Wl • vv
Surchorye 23.00
Plan check 150.50
SAC 525.00
Woter Conn450. 00
Water Meter
Rood Unit
Totai U764.50
on the axprest conditian that
and City of Eagon Ordinonces.
??
Psrmit No. Permit Holdar Misc. Permit No. Holdar
Plumbinp
H.v.a.c. 3-8-3
w.u
Water
Disp.
S?wer
Eiec.ic w4a;j4o u 9?n _z?-g3
wqoay4 rc r i
Inspection Date Insp. Other
Footin{p
Foundation 1
Frtminp 8,43
Rouph Plbq.
i ? 9- u,
Rough HVA ?„J g
Inwlstion 1s J ,JCr
Final Pib? T? ??
Finsl HVAC .?
.?_"/c??
Final
Watar pose?ibe Locstion:
VYell "
Sevwr
Pr. Disp. `
Receipt -- MECHANICAL PERMIT Permit No.
CITY OF EAGAN Fee 2?,1. ryn
Fill in numhered spaces S!C
Type or Print /egiWy Tot. ` j. ' • J
---t-
1. Date '-t3 2. Installation Cost
3. Job Address-'i ' ? Vis:`i=`i La. Lot 7 Blk. ? Tract W°O" -'?
4. Owner Cottr;tryriide Builders, Inc.
5. Contractor Swanson Plbg. & HtFr. . Phone 417-72 1:
6. Address 10229 Levi Ave. East
7. City KastinFs
State Zip --'`)33
8. Building Type: Residential C] Commercial O Institutional ?
9. Work Description: New El Add ? Alier ? Repair 0
I 10. Describe
I 11.
Type
No.
!- Equioment STU - M. Ea.
Forced Air J No. Equiament CFM
Ai
dli
H
Mfg. r
an
ng:
Boilers
Mfg. Mech, Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mtg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
?
Reoeipt PLUMBING PERMIT Permit No. -- ? V
CITY OF EAGAN `-"
Fee
FiII in numbered spaces S/C
Type or Print /egibly Tot. , , > -- ---?-?--
1. Date 2. Installation Cost '
? i
., ; ?-?7 ?._
3. Job Address Lot / Blk. Tract
4. Owner
5. Contractor Phone '
6. Address '
7. City State Zip _
8. Building Type: Residential Commercial D Institutional O
9. Work Description: New O Add ? Alter ? Repair O
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets ,
12. t hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work,
5igned' for
Rough Final
Inspections: Date Insp. Date Insp.
This is your parmit when numbered and approved.
Approved CITY OF EAGAN 454,8100
CITY OF EAGAN Remarks
II Addition VIENNA IVOODS Lot Pt of 7 B1k S
OwnekuEti?]t?V.t C? street 2055 VIENNA LANE
hpt.-
EAGAN irL'V 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING 4,1 1981 iMl el
SAN SEW TRUNK 9 1973 p d 13Iid ori inal e2
* SEWER LATERAL 1981
n
??
*
WATERMAIN
* WATER LATERAL 1981
ir WATER AREA 1981
w STORM SEW TRK 1$1
# STORM SEW LAT 1951
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 450,00 of
6UILDING PER. 78,40
SAC To
PARK
..i i Y OF EAGAN Remarks ?? j 15:;t t 7 r?k
Addition vIEAJNA WOODS Lot Pt of 7 Blk
owne?j wr'/.?'. I,. 'LLi?lrStreet 2066 KINGS ROAD
?
1 rrY ?tl ?Sf/Lt1[t K k_ G. JV I,
state EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Daxe
STREET SURF. 81 id r origina"l
STREET RESTOR.
GRADING y 19$1 ??ALd tind w origitj81
SAN SEW TRUNK 1 17 1973 ; 8id 1nd OrigiI!$1 nel
* SEWER LATERAL t? 19H1 +? rt
*
Serviees
1981
WATERMAIN
?? WATER LATERAL 1981
* WATER AREA 1951
+t STORM SEW TRK 1981
* STORM SEW LAT 1981
CURB & GUTTER '
SIDEWALK
STREET LIGHT
RO I 250.00 34758 33-11-83
CONN. 4SO.00 tt i?
BUILDING PER. 7829
SAC
PARK
OF EAGAN
Owner
Street
7 Rlk
MN 5512
? 7- ? vienna Lane
Improvement Date Amount Annual Years Payment Recei Date
STREET SURF, l m 1981 2814.45 . 283.45 1o 1984.13 AO 2 - o-8
STREET RESTOR.
GRADING 19 587,.73 -S$.77 411.1+2 A011992 3-10-83
SAN SEW TRUNK ? .63 A0112 3-10-83
,t SEWER LATERAL y? 2 62.6
*
WATERMAIN
* WATER LATERAL
* WATER AREA
STORM SEW TRK lggi
STORM 5EW I.AT 9
CURB & GUTTER }?d C' ? I # tJ' i
SIDEWALK
STREET LIGHT
RO
WATER CONN
BUILOIN R. 7829 4 7830
SAC
RK
CASH RECEIPT ?
?
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RECEIVED
19
AMOUNT $ I
? CASH [] CHECK
FOR ?
,.
White-Payers Copy
Yetlow-Posting Copy
Pink-File Copy
Thank You
? ? BY '
?
3793
BUILDIK^. PERMlT
T. L. w?d i.. 1/ 2 DLTPLl:X & G_A1Z
Sitt AddrE55 GVoD 1S1A ;5 1tO8Q
Lot 7 Biock 5 5ec/5„b. v
Pa,ce, # io Z195C 070 os
W I Name
; Addre:
b R
?
? Z?
oU
u?
?
:irr oF EAGAN
;nob Reed Eaysn, MN 551"
PHONE: 454-8100
$54
Ncme uwner
Address
Ncme
I hereby acknowledge thot I heve reod this upplication and stote that
the intormufion is correct and agree fo comply with all applicable
Stote of Minnesota $totutes and City of Eagon Ordinonces.
Siqnoture of Permittee
Countryside Builders,
A Building Permit Is issued to:
ull work sholl be done in aCCOrdarKe with c)II opplitoble State DE-Nir
BuildinQ Offkial , -
A'° 7$??+
Receipt # ? !
n,..e March 11 , o 83
Erett 4 Ottupo^cy R-3
Alter ? Zoninq (PD) R-2
Repalr ? Flre Zone NA
Enlorfle ? Type of Const. v
Move ? # Stories
Demolish p Length_51
Grode ? Depth --3-6--_Sq. Ft.
Approralf Fees
Assessment
Water & Sew.
Polite
Fire
Enp.
Plonner
Council
Bldp. Off.
APC
Inc.
Permit A.» • uv
Surtho?ye 27 • 00
Plan check 1 a 7 . 50
s^c 525. V
Water Conn45 0•0U
Water AAeter 60.00
Rood Unit 250 • 00
Torol $1754.50
on the express Conditlon thoo
Statutes ond City of Eogan Ordinonces.
Permit No. Permit Holdsr Misc. Permit No. Holder
Plumbing '3,3L &KZ- /1 q-iq-9-3
H.v.ac. 523 ?-1343
w.ii
Wetar
Disp.
Sewer
Electric wqotq
Impection Date Insp. Other
Footings
Foundation
Framinp ?j
Rouyh Plbp. ?7 cr
Rouyh HVAC A) u
Inwlation 3 . '
Final Plbq. •?S. 4f ?j
Fioal HVAC
v ??i ? i_ I' ;.• N;,
Finat 3? 1010
1G?i
i ?
Watsr Desaibs Location:
l .
YYell
Sewer
Pr. DisP.
.
Receipt
?
i,
Fill in nc
TYPe vr
1. Date - ? 2. Instal
3. Job Address
4. Qwner
5. Contractor ~-
:RMIT Permit No.
GAN ?
Fee
d spaces S/C
eawy TOt.
Cost '
7 Blk. ?L Tract ?
c
Phone -
8. Address 7 1`-I'=? --jO c_ ?-M \ r% r .-;C - 1-< .
??
r:
7. City r. State Zip ?
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New q Add ? Alter ? Repair ?
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby Certify that the abave information is true and correct, and I agree to
comply with all ordpances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp, Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt ? = ff(.: MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
FiII in numbered specea S/C •?% ?
Type or Prinr /egibty
Tot. - • -
1. Date 2. Installation Cost Vienna
3. Job Addresf'-KiztKS Lot ` Bik. ' Tract Woc#d5
4. Owner i1n`r='Ride $uilleYs, Inc.
`?c3
5. Contractor swarsnu Plbg. & fitg.
6. Address 162.29 Levi live. hast
7. City _
Y.astinge
State Ri
8. Building Type: Residential in Commercial ? Institutional El
9. Work Description: New E] Add ? Alter ? Repair ?
I 10. Describe
1 11•
Phone `37-9215
Type
55?33,
No.
1 Enuioment STU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt ? PLUMBING PERMIT Permit No,
- CITY OF EAGAN
? Fee
Fill in numbered spaces 5/C
Type or Prini legihly ,
Tot.
1. Date 2. Installation Cost
iCnna
3. Job Addres5-t„?,?' V!C-kaA Lot ? Blk. '5 Tract L?...?oUa?S
_ /O `Fl/ 9s'a- v 7D'O .f
4. Owner ?(A ?-??? I ?'? • / f A; e- ?
f
5. Contractor c?j r- Cc• Phone
c
6. Address % '
7. City ` jJA u' State 1} ` N' Zip
8. Building Type: Residential !F7! Commercial ? Institutional O
9. Work Description: New O Add O Alter 0" Repair ?
10. Descri he i s ? nJ ? ?- ? ? ..? •.?=.? F? ? ? '`_ ?=' f
11.
No. Fixtures
Water Closet Np, Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory / Softner
Shower ?-
Wel I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas PiPing Outlets
12. I hereby certify that the above information is true and carrect, and I agree to
comply with all ordinances and codes governing this type of work.
Signed
Rough
for
Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved - GITY OF EAGAN 454,8700
CITY OF EAGAN
3793 Pilot Kno6 Reod
Eogon, MN 33122
Zoning: rT T
OMNn@r: r"nlf
SEWER SERVICE PERMIT
PERMIT NO,:
DATE:
. No. of Units:
5ite Auuress: _ 91i? iTienr? I,3i1e f' ;•oo?-
Plumber: _ ? • `,c?il ="r'..
, . . i
1 eyr" to aomply wilfi Ihe Ciryr of Eagan Cannection Chorge: .'
Ordinanem. A r%-
By
Dote of Irisp.:
I nsp..
aount posit.
Permit Fee:
Surcharge:
Misc. Chorges:
Totcl:
Dote Poid
CITY OF EAGAN WATER SERVICE PERMIT
379N Pllot Keob Rood PERMIT NO.:
Eaqwe, MN 55122 DATE:
Zoning: No, of Units:
Owner. ' I
w A?-----
A-lrfress: )')` Vienna ieae ; 7 £5 Vierna
,-. .rson ^r,c.
No..
eader No.:
agree to eanply wkh lhe Cihr of Eagan
Connection Charge: '
Accourn Deposit:
Pertnit Fee:
Su?charge:
Misc. Charges;
Totof :
Date Pcid:
WATER SERVICE PERMIT ?i
CITY OF EAGAN
3795 Wlot Kr:ob Roed PERMIT NO.:
DATE ?
Eogon, MN 55122 :
Zoning: ' No. of Units: '
'
' ..._
Owner. _ . .
Address:
Site Address:
c
l
umber.
P ,
=
Meter No.: - Connection Charge:
Size: ACCOU?It DepOSIf. Yi
.
?
Reader No.: Permit Fee: ,
.- ,
1 agros to ewmplr with tM City of Eegan Surcharge:
• •. ; ]-
Misc. Charges:
Ordinances.
Totol:
BY Date Paid:
Date of Insp.: I^sp"
CITY OF EAGAN
8796 W".ot Xn*b Road
Eogae, MN 55122
Zoning: -
Owner: ;? ?:,u
Address:
Site Address: - - -
Plumber.
,,--
.,
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
100.00 pa
I agree M eompir wi1h the City of Eagen Connection Cfior+ge:
Ordinanees. Account Deposit: _
Permlt Fee:
Surcharge:
gy Mix. Ctwrges: -
Date of Insp.: Total:
Insp.: Date Pold:
(Lrr#ifirtt#e n# (Orrupttrcry
Citp flf Cagan
igrpttrtmcnf a# 'Sixilaircg Ansprdiun
Tbir Certificatt ittucd purtuant ta the nquinmtntt of Scctioa 306 of the Uniform Bailding
Cadt cdti f ying tEat at tlx time af iatxarue tbis rtrurtare war in tomplianct wrtb the variour
mdinaruu of the City rrgulating buildisg rosn+uaion or ure. For the f ollowing:
U„c,,;ffi?n? 1/2 DUPLEX & GAR Bldg.p„m;,Na, 7830
Ocayocy7Ype R3 'rywcm?non V Firczou NA Zooi,Duena (PD) RZ
?,9,4?„Countryside B?d„s1500 E. 79th St., BloomiT
Elt57/`? h:
AP__ Diu June 30, 1983
' (grrtifirtt#r af (Orrupttnry
Citp of (eagan
Drpttrfinmi af luilhing Amprrtimt
Tbit Cr+tificatt rccuul purftrant to tbt rrquirrrrsantr o f Settion 306 o f the Unijorm &eilding
Cadr ard f yirsg t/wt at dx tims of lttuarra tbiJ ttruttttrc wut in complianct with the varroru
erdinancrJ a f thr City regulating buildixg roen+uaion or un. For tlx following:
Ll. Cl..fi? 1/2 DUPLEX & GAR BWsn,,,,,t N, 7829
O.e..vbw R3 7YV. Coo+tNetwi V Pln2on. NA zw?wvm?(PD) R2
?m a??Countryside Builder s ?? 1500 E. 79th St. , Blooming
?,? 2066 Kings Road .?rLot 7,Block S,Vienna Woods
I-oo - O.a ra-v? BY.
?
, ft? ?- aco June 30, 1983
st Vold ?-a(o
from
240
L-] i!a5 ? U i'F-N ^a..
Woo d.?
??q -1 2?
lc , «?,
ques? tiace r?re rvo. nouP"-?n ?nspect?on
Apri 1 rJ ? 1983 RpUVes('' ?ry? ?Ready Nuw ? Will NoLty Inspec-
ior When ReatlY
Qo 4wensed Electncal Conhactor I herab ro
y quest msOecUOn of xbove
? Owner electricel work installed at:
Sveet Address, Box or Roure No.
ROZZ 55 Gry
ecuon o. Townshiu Name or No. Range No Covnty
naknta
Oceupant (PpINT)
Coun t Phone Ne.
Power Supplier Adtlress
Electncal Convactor (Company Name) Con« actor's Lmense No.
MailinB AtlJrass (Con rector or Owner a inB ??stailauon)
Box 49,, C nhassen, Minnesota 55317
AuMora at e Contracmr Owner Making Installa[ion;
.. Phone Number
934-5432
MINNESOTA STATE BDAHO OF ELECTflICITV THIS INSPECTION REQUEST WILL NOT
Griges-blitlway Bldg. - Room N•191 BE ACCEPTEO BY THE STATE BOAFD
1827 Univeraity Ava., St. Paul, MN 55704 UNLESS PPOPEP INSPECTION FEE IS
_ 1-1 ?? ...,.
ENCLOSED.
.,
L fl 0 ;EQUEST FOR ELECTRICAL INSPECTION
??i Saa inatructions for comple4ng this form on beck of Vellow copy.
elow Work Covered by This Request
? EB-OWOi-03
u:
Atltl Pep. TVPe ot Builtling Appliences WiteE Equipment Wired
Home Range Temporery Service
Duplex Water Heater Lightin Fixtures
Apt. 8wlding Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
. Industnal BIAg. Air Conditioner Bulk Milk Tank
Farm ener peci v otner ISOecfyl
t e. ueu y Ot er Other
L'ampute lnspection Fee Below
k Fee ServiceEniranceSize N Fee Feedars/Sobteedxrs H Fee Circvita
0 to 100 qm s 0 to 30 Am s 0 tn 30 Am
101 to 200 Amps 31 to 100 qmps 31 to 100 A s
Above 200 Amls
L Above 700-Am s Above 100_Am s
Transiormers Remote Control Cira Partial%Other Fee
Signs
Speciallnspection
S
?
5
t0T FEE
Pema rks 0.
0 ?
Tem orar Service
qovgh-in Datc
' I, the E ectncel
Inspector, hereby
cartify that the nbove
Final DmP inspectwn has bean
mede.
This requcst void
18 months irom
This re4utnt void q-?-?
79 rtqnths from '
M 40244
'j ucen seu ciecu?cei ?onuncwr I hereby request inspecbon ol ebove
? Owner electrical work inslallad at'
SVeet AdOress, Box or Roure No. Ki ngs ROAD CitY
9055 Vienna Lane 2066 HAM
Eagan
ectmn o. Township Name or No. RanOe o. CountY
Dakota
:Occapant(PfllNT) " Phone No.
Countr Sid 854-4721
Power SuOPher Atldress
Dakota Power Farmin ton
Electricel Contractor (Company Name) Contracmr's Lmense No.
Chanhassen Electric, Inc.
Matline Address IContrector or Owner Making Installationl
P 0 Box 4, Chenhassen Minne
Aucho e Si atu e IContra r Owner MakinB lnstallavoN Phone Number
ENCLOSED. L71 L'USI VCLnnA_c,c9bod-5 3'i; q Z8'
MINNESOTA STATE BOARD OF ELECTNICITY THIS INSPECTION REQUEST WILL NOT
Gri09e•Mitlway Bldp. - Noom N•191 8E ACCEPTEO BV THE STATE BOAHD
1821 Univeraity Ave., St. Peul. MN 66104 UNLESS PflOPEP INSPECTION FEE IS
pF ah?»S 7e7?11 1
Cn??. 0? 4 4 ?EQUEST FOR ELECTRICAL INSPECTION «
w:
See instructions lor complating this form on back of yellow copy.
"X" Below_Work Covered by This Request
E8-000ot-03
3'2?,q 7fS
e Atld Rap. Typp ot Builtling APpliances Mred Equipment Wiretl
Home Range Temporary Service
Duplex Water HeaTer Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
industrial Bldg. Air Conditioner Bulk Milk Tank
F2Ym Other Pec,y Other(SUecifyl
t er pec7 y t er Oth<er
Compute /nspection fee Below
d Fae ServlcaEntr8nm5iza N Fee Faeders/Subfeetlars il Fee Circwts
0 to 100 Am ps 0 to 30 qm s 0 to 30 Am s
a i 10 to 200.Amps, 31 to 100 Amps ? 37 to 100 Am s
??.ih s Above 700_Am u
L Above 100_Am s
r to?mers\ ) Remote Control F.
. O Partiaf%Other Fee
igns Speci ion s
AL
R¢me rks . EE
'
siF
lo
I?oo
Houph-m
in31
.
?
?[?
???a r/
??.d
:? ricelV
?,
, hereb
cartify that the abave
inspection hes been
mede.
This teqOBSt vOrd
18 months irom
CITY OF EAGAN S79S Pilof Kaob Rood Eogon, MN 551=2 N? 7830
PHONE: 450.8100
BUILDING PERMIT Receipt # 7 '?
Te 6a used fer 1/2 DUPLEX & GAR Est. Value $56,000 oeorP March 11 io 83
Site Address 2055 Vienna Lane
Lot 7 Block 5 Sec/Sub. Vienna Woods
Parcel # 10 81950 070 OS
rc Nome Countryside Builders, Inc.
9 z Addreu 1500 E. 79th St.
r;,,, Bloom. 55420 0,,,„. 854-4721
rc
0
o?
V?
?
Nama _
Addreu
Nnme _
Addreu
1 hereby ackrwwledge ttwt I hove reod this application ond state that
the information is [orrect and agree to comply with ofl applicoble
State of Minnewta $tatutea and City of Eogan Ordirwnces.
$iBnoture of PertniMee
A Building Permif Is issued to: COllRtT
all work shall be done in accordonce with oll
Building Of4iciol
e
Erect ?j Occupuncy R-3
Alter ? Zoning PD R-2
Repotr ? Fire Zone NA
Enlarge ? Type of Const. V
Move ? # Storiet? ?_
Demolish ? Length ?
-
6rode ? Depth ? Sq. Ft.-
Approvali Fees
Assessment _
Wofer 8 Sew.
Police _
Fire
Eng.
Plonner -
Council _
Bldg. Off. ?
APC
Permit 3V1.VV
SurcFwrge 28.00
Plan check 150.50
SAC 525.00
Woter Conn.450.00
Water Meter 6D.00
Rood Unit 250.00
Total $1764.50
_ on the expresa condition thni
City of Eagon Ordinancea.
??`?`i CITY OF EF?GAN Include 2 sets of plans,
?--J 1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
7.b Be Used For V- vaiuation 00 o nate -3--7- S 3
site Adaress: 2 o S S U?E- nn0. l rtVl e- OFFICE USE ONLY
Lot 9 7Block ?S Sec./Sub. U«ncea cioo?S Erect ? Occupancy J?' 3
Parcel #: 16 ?7 (q SO p'7Q Q cj Alter Zonin4 Z
Repair Fire Zone /Vi4
aaner: E'large _ Type of const. 'V
Move # Stories
Address: jSc? p 0,-7 ?(''?? Demlish Front ft.
City/Zip Code: $(oprtii' ?,r? ,SS?(Z(? Grade Depth 30 ft.
Phone #: ?- S(( -4 -7 a
Contractor: _ (j W Yl ? (-
Address:
Gity/Zip Code:
Phone #:
Arch./En4•= bu?nL'S 'CA-d.EO
Ac3dress: 7ql (P P ik,?o T' A-UE , /i.)o ?
City/zip Cocle: &bor-(t/A C£q41' 5"5q2 t
Phone #:
APPIZOVALS FEES
Assessments
Water/Sewer
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Pexmit .20? to b
Surcharge zff k o O
Plan Check lSo, sL>
SAC SZ S o eD
Water Conn. Sot o b
Water Meter (00,0O
Road Unit ZSO t c) b
WPAL
CITY OF EAGAN
9795 Pilot Kno6 Raod Eagan, MN SS122 ??{
jr ? 7829
` Pl10NEi 434-8100
BUILDING PERMIT Receipt # ?JS
T. 6s wed Mr 1/2 DUPLEX & GAR Est. Value $54,000 Date March 11 ly 83
Site Address 2066 Kings Road Er"t R-3
7 5 Vienna Woods ? ??uP??`}'
Lot Blvck Sec/Sub. Alter ? Zoning `PD) R-2
Parcel # 10 81950 070 OS Repair ? FIre Zone NA
Enlorfle ? Type of Consf. V
a Noma Countryside Builders, Inc. Move O # Srories
w
z Address 1500 E. 79th Street
Demolish ? Length 51
ci Bloom. 55420 PhoM 854-4721 Grade p Depth 36 Sq. Ft.-
$` Name _ Owner Acormek Fees
f
Address
Name _
Address
I hereby acknowledge Phat I hove read this applicction and state that
the inlormotion is correct nnd ogree to comply with all applicable
Stote of Minnesota Statutes and Ciry of Eogan Ordirwnces.
Sipnature of Permittee
A Butlding Pem,ir is issued ro: Countryside Builders,
all work sholi be done in accordonce wilh aN ocoliw atea?ir
Assessment _
Water & Sew.
Police _
Fire
Enp.
Plcnner _
Council _
Bldg. Off. _
APC
Inc
Permit 47J.VV
Surcharge 27•00
Plan check 147.50
SAC 525.00
Woter Conn.450.00
Water Meter 60.00
Road Unit 250.00
Totol $1754.50
on the express mnditlon 1hm
Statutea and Ciry of Eogon Ordinances.
Buildfnq OfFiciol
. a #? ry? ?q CI7.R OF EAGAN
BUILDING PERNIIT APPLICATION
Zb Be Used For d?aT' Valuation 4 5q 0 C9 U
Site Address v'1'0(0 C0 ?c'??? P?0_
OFFICE USE ONLY
Lot slock S sec./Sub. Ui'tnna-LelocJ_5Fxect Occupancy ?-'-?
Parcel #: ? d s O 070 0 SAlter Zoning D P_ - Z _
Repair Fire Zone AJj+
Owner: (o?1????Lp_ Enlarge _ Zype of Const.
Address: ?SpO $ . e # Stories
D-[blish Front ft.
City/Zip Code: ! o ?yv?r ??-p r` SS ? 2C3 Grade Depth 3 ft.
Prone #: `65 q - 4-1 __;)1' .,,.,..,...,?.,. ??
Contractor:
Pridress:
City/Zip Code:
Phone #:
Arch./Fng. : e 9_A'tii `3 kt?AO(
Pddress- 'jq I (Q VUTA.S o c- AUC'• Alo ,
City/Zip Code: 6 rooA C?_rv?6 C- SSLP- °y
Phone #:
Taater/Seaer Surcharge ;L '7 k o b
Police Plan Check I c{ -1 t 5 C)
Fire SAC 5Z5( o O
glq, Water Conn. (FSO (o D
Planner Water Meter (001 oD
Council Road Uni.t 250 L O 8
Bldg. Off.
APC .
717I'AL * 1-I S 1 S0
Include 2 sets of plans,
1 si£e plan w/elevations &
1 set of energy calculations.
Date 3-7 -8- 3
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722
651-681-4675
New Constructlon Peaulrementa
• 3 replstered stta surveys showing sq. it ol iol, sq. fl. of house; antl ag rooled areas
(20% ma)dmum bt coverage albwed)
. 2 copies ot plan showing 6eam & wlMOw sizes, poured tound design, eic.)
• 1 sat of Energy Calculatbns
• 3 copies W Tree Presenation Plan II bt plelled atter 711/93
• Rim ,bist DaNall Optbns seWOn sheet (Eldgs wNh 3 or less unils)
DATE ID / 4 IO y
pemotlaMeoeh Repulremenis ?
• 2copiesafplan ??? ?
• isetofEnergyCa?ulatbnsforheat?atldAbns
• i5aesurveyfare#erioradditbns&decks
• IndMata If trome seNed by septic system ior addNions
VALUATION `P ao
7ULTI-FAMILY BLDG ' Y N
FIREPLACE(S) _ 0 _ 1 -1
APPLICANT
STREETADDRESS f fvcaf?e?t" VW,e Is CITY iJWLftSUVE
TELEPHONE #C°1 S1-) CELL PHONE # ?9s`? ? 9.4.2 - S473 FAX #
PROPERTYOWNER_,?d?n TELEPHONE# LSj- 330'3311
COMPLETE THIS SECTION FOR %%NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submfssion type) . ResidenNal Ventilation Category 1 Worksheat Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submittad
Plumbinq Conhactor:
P1wnUing system includes:
Sewer/Water
'11l ??
4o,? ,? 2pa?C
I. includes:
?,..?
Phone #
Phone #
Fee: $90.00
Fee: $70.00
I hereby acknowledge ihat I have read this application, state that the Informatlon is correct, and agree to comply
wRh ali appllcable State of Minnesota Statutes and Cffy of Eagan Ordlna
Signalure of Applicant ?
................. . OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
Water Softener _
Water Heater _
No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
? Air Conditioning
% Heat Recovery System
OFFICE USE ONLY
O 01 Foundation ? 07 05-plex ? 13 1Eplex ? 20 Pool ? 30 Accessory eldg
13 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 EM. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
O OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int ImprovemeM ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition 0 36 Move Bldg. O 42 Demolish (FOUndation) ? 45 Fire Repair
13 33 Akerdtion ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement •Demolitlon (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Boaster 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) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundauon 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
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Suppiy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Searoh
Copies
Other
Total
Buikling Inspector
? ?. ? I RESIDENTIAL
? I ? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 85122
651-681•4675
Naw ConsWetbn ReauiremeMs
• 3 regislered rAe surveys showing sq. fl. of bt, sq. tt. of house; and ?II roofed areas
(20% mazMUm bt coverage albwed)
. 2 mpies of plan shawing beam & window sizes; poured found design, etc.)
• 1 set of Energy Cakulatbns
• 3 copies W Tr6e Preservafron Plan N lot platled atter 7l7193
• Rim Joist Detail Optbns seledbn sheet (b1Ugs wM 3 or less units)
DATE I9 /4 I° ?L-
SITE
NPI
_ Water Softener
_ Water Heater
_ No. of Baths
APPLICANT f?it?f.f??n CJ?, Id??^a C.ex4fz.ci4or-s L+-O-
STREET ADDRESS Iggq7 I"tco ll4#" Aty_ S y CITY l
TELEPHONE #(?S)-) 70'7 -405 91 GEIL PHONE #(?5,?? °!9' SZ7
AULTI-FAMILY BLDG ie( N
FIREPLACE(S) _ 0 _ 1 -,--2'
rkr-j ZIP 3 -7
FAX #
PROPERNOWNER Pe-0I ?.}Dry',er TELEPHONE# &SI - q 0 "Io$S 1
COMPLETE THIS SECTION FOR ^NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLJI,ES 7670 CAT'EGORY 1 MINNESOTA RULES 7672
(J submiseion rype) • Residential Ventila6on Category 1 Worksheet Submitted • New Energy Coda Worksheet Su6mittad
• Energy Envelopa Calculatians Submitted
Plumbing Conlractor:
Plumbing system includes:
Mechanlcal Contractor:
Mechanical system includes:
Sewer/Water Contractor.
HemoEeUNeoelrAeaulrementa /? ? ? ?
. 2 coPias af plan
• 1 sat of Energy CaLulaaons for heated addttwns
• isi[esurveyforexlerbradtlAbnsBdecks
. IndMZte tl home servetl by sepflc System tor addBans
VALUATION
Phone #
Lawn Sprinkler
No. of
_ Air Conditioning
_ Heat Recovery System
Phone N
I hereby acknowledge that I have read this application, state that the information is correat, and agree to comply
with all appllcable State of Minnesota StatuTes and City of Eagan OjOap(iceq? //
OFFICE USE ONLY
Certificates of Survey Recelved _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
,OFFICE USE ONLY
? Ot Foundation 0 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) O 31 Ext. Alt - Multi
? 03 07 of _ plex 0 09 07-plex ? 17 Garage O 22 PorchlAddn. (4sea.) [3 33 Ext. Alt - SF
? 04 02-plex ? 10 U&plex ? 18 Deck O 23 Poroh (screened) ? 36 Mutti
? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 3iding
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOre
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to appllcaM
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 Sprinkiered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bidg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Piumbing
Foundation HVAC
Drain Tile Other
Roaf _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framnig _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Tesi _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Suroharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Suroharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Searoh
Copies
Other
Total
Building Inspector
ROBE CONSULTINO ENOINEEIIS q%L
100,
NGINEEAING PI.RNNEIIf,ond LAND 3UIIVEY011S
lqw?L
COMPANY, INC.
?1000 EAST 1461h STHEET, OININSVILLE, MINNESOTA 58337 PM 4]2-]000
Cer1?i? ?c? uirtrYe y
71 BLce.K- S I J? EN•1A wmn5 , DNrdte.
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I honby certify that thia is a true and carrect repreeentation of a traet ot
land •s thown'and described hereon.. Ae preparad by Ma on thi• Lr a dar ot
fE$?RPI ? 19 S3.
1 10 ? _ - ?
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1."?\J &at;?I ?tinn. 1lea. No.13600
? .?
? R-7 '7- z ?
kEAT COSS CALCULATIONS
Weatheratrips '4
Guide
Windows Doors Referente Out. Wall
Y«-No I Y?s-No I 19_ I
I F7.1 Room L.ength Widt6
Windows an oors-Crackaae and Area
DEPARl'MFNf OF BU?ILDI GS
ConsWetion Pfo.
Int. WaII Ceilie: Roof Floor I Kiod
R.I /? ',-A Room
Q/indown and Doore--(
Ne. \YIOth
of oan, Helfht
of wne No. o[
Ilgpb Llneal [.
o[ erack Am
M. tl.
1- 0 q P z
i 0
Coef. Btu
in6ltratioo u 2/ y30U
Glsu 2- `7 7s 7- s
Fsp. wall 3 !'"Lj
Net exp. wan 2$6 ? !'1
Int. wsll
Ceiling 3 -/6 '`
Floor
ToWI Btu.
Requircd eq. ft. E.D.R. or sq. ins. W.A. Leader srca
/ F7.1 Room I Lengc6 Width Height
Windows an rs--Crackage and Area
Na wiale
o[ oane Helffnl
o( wne No. of
Ilfhu Lln•tl [t.
of eneY wna
q. f?.
J 2-p rb t
CoeE Btu
In6ltration
Glau '/ 3 + > o
Exp. wall 3S
Net e:p, waU &U
Int. wall
Ceiling ? 6 ??
Floor
'fotal Btu. 5 3'7
Required sq. ft. E.D.R. or sq. im. W.A. L.eader sroa
I Fl.1 Room IL.engeh Width Height
Windowt and Doort-Crackatce and Area
No. wwm
of Dan* xaiint
or paM Ho. of
Ilghls un•.t tL
o[ cratY wn.
M. IL
Coef. Btu
lnfiltratioa
GIus 7 1 l y S
ESp. waH (? t
Net esp. w.ll y-
Int. wall
Ceiling V? L
tloor
Toul Btu. ; / Z ,
p_j '_ a. cno mA 1"J""" `
QZD
Inaulatun
How Applie
wiath Heighe
and Area
N> wwm
of "e6 Ha1?Et
et D?eo Na ef
11x4U Lle??l fL
e[ cr?et Aw
p. tL
z- z v 3
Coef. Bm
In6ltra[ion
Gl.u / 3 9 -7 .
Esp. wa11 ! L ?
Net e:p. wall G i ti a
Int. wall
Ceiling %eU cJ •' l
f7oor
Total Bta ? i3 J S
Required W. k. E.D.R. or sq. ina. W.A. Lesder area T
2 Fl.I /' Room I LenBth. Width Height
Windows nnd Doon-Creekaee and Ana
N. wIGIG
of D... Hdff4t
ef D... No. a!
11 [hts Llnea l [t.
et crae4 Ana
p. f4
Coef. Btu
In6ltration
Claa
Exp..,,.u
Net e:p. wall
Iat. wsll
Ceiling `F ? oa
Floor
'fotal Bta
Required p. h. E.D.R. or aq. ina. WA. Leader area
L- F1.1 (` Roomll.eneth Width
Windows nnd Doon--Cncka¢e and Ares
Np wmtn
of pan* x.isei
of 0.e0 r+o. of
11{hte ain..i n.
of craek wr..
tl
1
2
Coef. Bm
Infiltratioo
Glan
Fsp. wall
Net e:p. wsll r ? 7 L
Int. wsll
Ceiling r2-
Floor
I Toe,l Bm. S
C. W A
rr ?
- ? ` lg?U-...,,, /4' -7 7 - 9 a z 4
HEATA LOSS CALCULATIONS DFPAR7MFM OF BUILDINCS •
Weatherlirijs A'S. .en Constroctioa No. lasulatioe
Cuide
Windows. I Doors I Referte I Out. Wall Int. Wall Ce7ing Roof Floor II Kind How Appli
Yes-No Yea-No 19_ ?- 1
Ares
No. Wlatn
af pene Xd,ht
of mne No.et
Ilghl. L1nealft
of enek Ans,
M. !t
7- -a- $ 3 G
y yp Coef. Bm
In6ltration ? -J,/ c 7 ?
CJau G' 7 51 7- 0
F.xp. wsll /LQ
A'et exp. wall
Int. wall w 3 3 //
Ceiling
Floor
Total Btu. / 7 D
Required sq. ft. E.D.R. or sq. ine. W.A. L.eadet area
Fl.1 Room I Lenath Width Heicht
F7.1 Room
Windows and Doors-(
Na Wipth
el "ns XLLg4t
of Da4* No. et
liih4 Lleol tL
of eraet Aru
M. fl.
Coe(. Btu
Infiltutioo
GIw
Fap. wall
Net e:p. wall
Int. wall
Ceiling
Floor
Total Btw I
Required sq. h. E.D.R. or p. ins. W.A. Leader snt j
E7.1 Room 1 Leneth F/idth Height
Windows and Doon--Crackage and Aren jS y? 3
Na wiete
ot yenn x.igna
of "no No. ot
Ilfhtt Llnaal [t.
o[ efaClt Ana.
p. t4
/(
-
?
7 5
yy,
Coef. Bm
In6ltration
G1aa
Exp. wall
Net exp. waU
Int. wsll
Ceiling
Floor
Total Btu.
ReQuired sq. ft. E.D.R. o? eq. ins. W.A. Leader area
Fl.1 Room I L.ength Width
Windows and Door}-Crackaae end Area
Na wiatn
of wa• x.iget
ot wn• N. of
ureU Llnanl tl.
of er.cY Are4
M. tt
CoeE. Bm
Infiltration
Glau
Fsp. wall
Net e:p. w¦ll
Int. wall
Ceiling
Flwr
Tolal B[u. ? I
n . . . .? .. .. . ... . . .
wmdowa ana uoon-f-racra ge ana Hrc a
Na WIAtC
o! Dsnt Re1ffG!
et yann No. at
Ilihb Llnad tt.
a! crac4 Ana
p. tL
Coef. Hcu
In6ltration
Gl?u
Fsp. wall
Net e:p. wall
"
Int. well
Ceiling
Floor
Total $tu.
Required sq. k. E.D.R. or sq. ins. W.A. Leader area
Fl.1 Room 1 [.ength Width
Windows snd Doort--Crackage and Atta
,Na wmin
o! pana, x.trec
o! D4e9 N. ee
11{SU Lin••i te.
of craeY wr•.
p. tt
Coef. Btu
Infiltration
Glsss
E7tp. wsU
Net exp. wall
Int. wsll
Ceiling
Floor
Total Btu.
Council Minutes 0 C ir,
May 17, 1983
1. No more than one pylon sign wll be allowed for Yankee Square Inn.
2. The sign shall be no more than 27 feet in h_ight.
3• The sign shall not exc=ed 125 feet in area per side.
All voted 3n favor.
LCAUNTRYSIDE BIIII,DERS - plENgp pppDS - WAIVER OF PLAT'
The application of Countryside Builders, Znc. for Haiver of plat to
subdivide two duplex lots for owner oceupaney on/Lot 7, Block 5, and Lot 3,
Block 6,?enna Woods, was next presented to the Council. The Planning Com-
mission recommended approval at its April 26, 1983 meeting, subject to certain
conditions. Jerry Lagro of Countryside Builders, Inc. was present and stated
the reason for the was to acquire separate mortgages for each of the separate
uaits in each duplex. A neighboring owner, Robert Newton, was present and was
concerned about the minimum floor space requirements under the private cove-
nants and requested the City Council impress on B& K Properties, the
developer, that minimum covenants should be adhered to. Egan moved, Thomas
seconded the motion to approve the application, subject to the following:
1. AlI necessary easements shall be dedicated to the City as recom-
mended by the City staff.
2. That notice be given to the developer that there is a minimum square
Poot requirement under the covenants, although the City will not be directly
involved in policing the covenants.
All voted yes.
x 83-30
OA%HOOD 9EIGATS 2ND ADDITZON - PRII.IHINARY PLAT
The application oF Countryside Builders, Inc. for preliminary plat
approval of Oakwood Heights 2nd Addition consisting of approximately 21.5
acres and containing 46 duplex lots uith 92 units, was brought before the
Council. Ralph Wagner of Probe Engineering and Jerry Lagro were present.
The Planning Commission recommended approval at its April 26, 1983 meeting,
su6,ject to numerous conditions. Mr. Wagner indicated the average lot size is
16,400 square feet and the request for zero 1ot lines with option to split the
lots at a later time sras proposed. He also indicated there is a request for a
slight reduction in the park dedicatlon with the balance to be msde up at a
later time in the Lexington South Planned Development. He also stated that
- lot sizes in Phase One have noW been adjusted as recommended by the Planning
Commission and IL will be retur-ied to the Planning Commission for reviecr. The
amallest lot size is nou 13,500 square feet in Phase One with an increase of
minimum lot widL'n to 87 feet xith the ordinance minimum for duplex lots of 100
7
2006 RESIDENT'IAL BUII,DINGPERMIT APPLICATI N Ck'
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ?? sa
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys shmving sq. it, of lol sq. %. af house; and II roofed areas
(20% maximum lot coverage allowed)
i Soils Repod d proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 setof Energy Calculations
3 copies of Tree Preservation Plan if lot platted aNer711193
Rim Joist Oetail6ptions seledion sheet (buiidings wfth 3 or less units)
Minnegasco mechanical ventilation form
0IS7 . ZS
-grKa.,--o
z5
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kf
i r?'µ aFN Wi-
Tre u
ysf,s
EI[.i Oin !if' D o Qo,? Lx.,tD'?? vi,
1 CanstructionCost '?J i??v
Date ( 0 IX( l0 ??
Site Address C? i? / 7?? ?
U ,+ a0 S S V' °? ? a C.t Unit/Ste I!
1_-? 9
-, + I '„.?
/
?,,?
?1 I
"
Description of Work t l ( Q 7
W
' `
?
? r
Y"
?
Multi-Family Bldg
f Fireplace(s) _ D _ 1 _ 2
ert
Owner
Pro Tele
hone#?J/)
y
p p
J- 2055 -Z67?- 0
'?
Q
s
?
j
.G
(?
Contracior ( N
r
Of.,+.
, ?!
Address LQ W 1,???1 KCX . E City
State /1l? Zip 67.2- Telephone #(??j `O/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Venti7aGon Category 1 Worksheet • New Energy Code Worksheet
(J submisslon type) Su6mitted Submitted
. Energy Envelope Calculations Submitted
_
?rL,v
in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? ?
_ Y _ N If yes, date and address of master plan: ?,
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
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Telephone #( )
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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 ofplans.
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Applicant's Printed Name
RemodelhZeaair Reauirements
2 copies of plan showing foolings, heams, joisis
1 set of Energy Calculations tor heated additions
1 she survey lor addilions & decks
Addition - indicefe if on-stte septic sysfem
Applicant's Signat e
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ?
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ?
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ?
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(scraen/gazebolperola) 0
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
30 Accessory E31dg
31 Ext. Alt • Multi
33 Ext. Ait - SF
36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
6 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
Description: WaterDamage` Yes
Valuation Occupancy MCES SysCem
Plan Review 100% or 25%
Census Code Zoning City Waker
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ FinaUC.O.
_ Footings (addition) _ FinaUNo C.O.
Foundation
? HVAC
Drain Tile Other
Roof _ Ice & Water _ Final Y Pool Ftgs AulGas Tests Final
_ Framing ? Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation ? Retaining Wall
Approved By: , Building 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