2077 Kings RdCITY OF EAGAN Remarks
Addition tiSF.NNA wOnDS Lot 2? Blk 2 Parcel 10 91950 240 02
Owner Straet--20.77 K1riTS Roati State F.agan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 'Imp. 1981 28 y?,4' 283.45 10
STREET RESTOR.
GRADING ?1= ' 1981 5$7, 7 58•
77 10
_
.
5AN SEW TRUNK 1973 129.78 8.65 15
? SEWER LATERAL 1
* services
WATERMAIN
* WATER LATERAL 8
* WATER AREA
* STORM SEW TRK 1981
* STORM SEW LAT 19H1 10
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE: ' f, i,' "`" -,-
! 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERIIAIT SUBTYPE: TYPE OF 1NORK:
INSPECTION .. . ..
F
L ?
Permft No. Permft Ho?der Date 7elephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Commer?ta
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector - Notify Plumber
Gonst. Meter
Engr./Plan
Bldg. Final
Deck Ftg. 1? l? 93
/
Deck Final
Well
Pr. Disp.
•
CASH RECEIPT ?
? r
CITY OF EAGA14 v
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
r?rvEO ?
Fnoia
AMOUNT $
& DOLIARS
,oo
O CASH ? CHECK
?4-
BY
Copy
C 016212 White--Payers
Yelbw-POSting Copx ?
Pink-Flle Copy
Thank You
PERMiT
' 3830 Pilot Knob Rd.
Eagan, MN 55122•-1897
r
QATE - NOV 13, 1991
.
OFFICE USE ONLY
METER# PERMITDATE 11/15/91
CHIP # PERMIT # 12382
METER SIZE B.P. RECEIPT # `?-• 0 !
ISSUE DATE B.P. RECEIPT OA7E 11 / 14/91
X PRV - BOOSTER PUMP
SITE ADDRESS 2077 KINGS RD
LOT 24 BIOCK z SEC/SUB VIENNA WOODS
APPLICANT:
' ADDRESS:_
CITY, STATE
' PHONE: ?
ZIP
PLUMBER: PLUliBING & liEATING ECONOMIZBR
ADDRESS: ROUTE Sft 9 BOX 77A
CITY, STATE PRINCETON MN Zlp 55371
PHONE: 3$9-2474
OWNER:
FINS LINE ttOHES INC
; ADDRESS: 12575 91ST PL
CITY, STATE MAPLE GROVE MN ZIP 55369
PHONE: 493"2739
PERMIT REQUESTED
X SEWER x WATER _ TAPS
- COMMIIND X RESIDENTIAL
x NEW
EXiSTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line. '
Credit WIL.L NOT be given for Deouct Meters. ?
I AGREE TO COMPLY. W1F+f CITY OF
EAGAIV ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER?PERMIT .-
CITY OF EAGAN '
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE NOV 13, 1991
.
OFFICE ONLY
?SE
PERMIT DATE 11 / 15/91
2,3BZ
CHIP # 0151(1 R 1 7/ PERMIT #1?
METER SIZE ? S?' S"B.P. RECEIPT #???1 ?
ISSUE DATE 7 39Z' B.P. RECEIPT DATE 11 14 91
x PRV - BdOSTER PUMP
SITE ADDRESS 2077 KINGS RD
LOT 24 BLOCK 2 SEC/SUB VIENNA WOODS
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: _
ZIP
PLUMBER; PLUMBING & HEATING ECONOMIZEB
ADDRESS: ROUTE 5jt 6 BOX 77A
GITY, STATE PRIAICETON MN ZIP 55371
PHONE: 389-2474
OWNER:
FINE LIPIE HOt+ES IwC
' ADDRESS: 12575 91ST PL '
PERMIT REGtUESTED
X SEWER X WATER - TAPS
_ COMM/IND _X_ RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credii WILL NOT be qiven for Deduet Meters.
I AGREE TO COMPLY/(fUsl.'TM`CITY aF
CITY, STATE MAPLE GROVE MN ZIP 55369 ?-
PHONE: 493-2739 SIGNA7URE HEN METE SSUED
?, ic?
D Y3 FOR PROC S5NG CALL 454-5220 FOR INSPECTIONS. FOR STORM
PLEASE ?t?LOW 'fW0 WRKING"
SEWER PERMI75, CONT CT ENGINEERING DEPT. ?.
CITY OF EAGAN
454-8100
DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at xv
I have this day inspected fhis structure and
these premises and have found the following
violatiQr?s of cit codes governing same:
'iJ I ?,,,.
When corrections have been made, please
call 454-8100 for inspection.
Date Inspector City of Eagan
DO NOT REMOVE THIS TAG
?•-s??',
fj
?;.
?
?
(gerttf tra#e uf (Orrupau.?y
Citp of (eagan
appmebttrd of NUQmg JW"ti.axc
This Centlj'wate issued pursuant lo the r+equinenrerrts ojSeclion 306 of the Uaijorm BuiJding
Code cerlillinS that at rhe time of issuarrce lhisslructure K+QS in conrpliaRCe wilh tlre mrioris
vrdinanc?rs of 1he City regulaling bur7diV onnstrudion ar use For the following,
? a? eu?. pam: rra -iqB?
O°°w-7TM 7cdn pwzict Type
Oweer of AM-
.._.. . .. f
POST IN A CONSPIq)pUg PUCE
.? . .,
To
. , ?•-?, , . ,
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
1
Site Adaress - 2()77 LINGS aD
Lot -24- Block -2 SeclSub. VIEliNA {iOQDs
Parcel No.
W Name FINE LIlIE R0M1!8 INC
'R: Address 12575 91S? PL
° City bl?PLE 4flDY8 Phone 493-2739
Zo Name SAME
(0 Q Address
? City Phone
? Address
i W City Phone
I hereby acknowlege that I have read this application and state that Ihe
in(ormalion is correct and agree to comply with all app{icable State of
Minnesota Statutes and City of Eagan Ordinances.
A Building
au
Building dfficial
Receipt #
OFFICE USE ONLY
Occupancy R--3 N"i FEES
Zoning PD_R-1
(ACtual) Const V-l'1 Bldg. Permit -][?!00
(Albwable) -3L---p Surcharge 36•?
#! or stories
443
00
Pl
i
R
length -
ev
an
ew
oepm sac, city 100.00
S.F. Total - SAC, MCWCC bSO,OB
S.F. Foatprints -
On 5ite Sewage _ Water Conn 6?*00
On Site well water Meter 95,00
MWCC System ? 30
00
City Water j_ Acct. pepogit *
PRV Required x Sl4Y Permit ?900
Booster Pump - SNU Surcharge • 50
Treatment PI 76
APPROYALS Road Unit 370.00
Planner
Council -
? Park Ded.
BIdg.OfL _ Copies
Variance - TOTAL 1,392.50
Permit No. Permit Holder Oate Telephone #
WATER
SE1N6,R
.
PLUMBING
i
Y19 ?
?
H.V.AC.
ELECTRIC
Inspeetion Oate Insp. Comments
Footings I Fletl ufe
Foundalion
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul. ? z.?? j'/ ?
Fireplace 11 7 ?
Final Htg.
Orstat Test s?-
Fin31 Pfbg. `.. Plbg. inspe[,iw - Notily Plumber
Const. Meter
EngrJPlan
eiag. Finai 2? ? 9z
Deck Ftg.
Dedc Final
Well
Pr. Disp.
DATE: NOV 15, 1991
RE: 2077 KINGS RD (FINE LINE HOMES
X_ Your Sewer,& Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALI? PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
_ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
_ COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL IOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
,Address: 2077 KINC;S ?AD Lot 24 Blk z Sec/Sub pIIIVNAkWDg
These items were/were not complete at the time of the fina inspection.
-Date, 2/6/92 Yas No Inspector;
FSnal grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry ?
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Easement finish ?
Deck
Please verify with the buildar the removal of roof test caps Prom the plumbing
system and the shut-off of water supply to tha outside larm faucet befora
freeze potential exists. ?
n[M?[onim
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN NO 19879
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt a C n
To be used for SF DWG/GAR Est. Value $112,000 Date NOV 13 , ?g 91
Site Address ' 2077 KINGS RD
Lot 24 Block 2 Sec/Sub. VIENNA WOODS
Parcel No.
w Name FINE LINE HOMES INC
? Address 12575 91ST PL
° City MAPLE GROVE phone 493-2739
,o Name SAME
?a Address
? City Phone
?
?w Name
? W I A
Address
a W City Phone
I hereby acknowlege that I have read this application,?an st te thal Ihe
information is correct and agree to comply wdh IYappli le St oi
Minnemta Statutes and C' o agan 9i
SignaNre of Permitee
A ewiding Permil is issued to: FINE LIN OMES INC
on the ezprass condition that all work shall be done in accordance with all
applicaGle State of Minnesota Sptatutes and Cny oi Eagan Ordinances.
BuildingONicial fiM1.q--I1*A' I 1?z
OFFICE USE ONLY
OccuPancy R-3 M-1
Zonmg PD R-1
(ACiuap Const V-N Bldg. Permit
(Allowa6le) V-N Surcharge
8 ofstories
Lenglh 54'
Deplh 48'
S.F. Total -
S F Footprints -
On Site Sewage -
On Site Well _
MWCC System X
Ciry Water --X_
PRV RBqmred X
Boosler Pump -
APPROVALS
Planner _
Council _.
BIdg.On. -
vanance -
FEES
682.00
56_00
443.00
Plan Review
SAQ Cny 100,C)
n
snc,MCwcc
n
650_0
WaterConn 660.00
water Meter 95.00
ncct. Deposic
0
30.0
S/W Permil 30.00
5/W Surcharge .50
Trealment PI 276.0
n
Road Unil 3 70 - 00
Park Ded.
Copies
TOTAL 3,392.5^
/d?U/9/ REQUEST FOR ELECTRICAL INSPECTION ?y""??q esoooo,.oe
? See inslrudrons lor comole0na this form on back o! vellow copv 24l,31 /A
?.ey ; iv7i?cv
? "X" Be/ow Work Covered by This Request ?•?:.•
e TypeoBwlding ApphancesWired
14 EquipmeniWietl
Home ange Temporary Service
ater Heater Electric Heanng
Apt Butltlinq ryer Other (Specity)
Commllndustrial urnace
Farm Air Condi6oner
Olher (syxdy) ConVactor's Remarks.
Compute Inspection Fee Be/ow:
Olher Fee # ServiceEnlrenceSize Fee # Cirouits/Feeders Fee
Swimming Pool to 200 Amps ? 0 to 100 Amps
Transformers Above 200 _ Amps Ahove 100 _ Amps
SigflS Inspector's Use Onty 7QTpL e-u
Irrigation Booms o ?
Special Inspection
Alarm/Communication TMIS INSTALLATION MAY BE OR ERED NNECTED IF NOT
Other Fee COMPLETED WITHIN NT (
I, Ihe Electncal Inspector, hereby Rough-in oete
ceAify that the a6ove inspection has
been made. F,nei
are-
,
OFFICE lISE'JNLY
This request vaitl 18 monlhs irom
Fequest Date
?/ Fre No Roughin InspecLOn
Repuiretl, ???......,,,III''''''
? PeaaY Now ill NoUfy In9pactor
YJh
R
P
tl
_ ? s G No en
ea
y
I4-hcensed contractor O owner hereby request inspection of above electrical work at:
Job Atltlress (StreeL Box or RootB No.)
fa lft//vG S A4 D Ciry
Section N. TownsM1ip Neme or N. Ranqe No, County
Occupant (PRINT) ? PbonB No
:z
Po er Supplrer Mtlress
T/1 CCT??C
Elecmcel C nvattor (COmpany Name) Gonhactor§ Ucanse No
av6e E 'P cye/ 5'9
Mahng Atltlress (GOnVanor or Owner Making Instaliatson)
/cJ T 5n 9 7 Sri9?J' w 6''?'a ? 9
Aulthonxea Xe (C ireclor/Owner Makmg Ins[allation) Phone N be ??_
'2 3;
MINNESOTA STATE BOl RO OF ELECTRICRY THIS INSPECTION FEOUEST WILL NOT
Griggs'MiOway Bldg - Room S-179 BE ACCEPTED BV THE STATE BDARD
1821 Universlry Ave., St. Paul, MN 55106 l1NLESS PROPER INSPECTION PEE IS
Phone1612) 692A800 ENGlOSEO
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(672) 681-4675
SITE ADDRESS: Lo r:
2077 KINGS RD
VSENNA WOODS
PERMIT SUBTYPE:
DECK
BUILOING
022497
11/17J93
24 B L 0 C K: Z APPLICANT:
HANSON CONST, RALPH
(612) 423-2099
TYPE OF WORK:
NEW
INSPECTION D. . ..
FOOTINGS FINAL
? . _ . . - - ?. ?. _ . _ _ . . . . . ., ?
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
3( CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 687-4675
SITE ADDRESS:
P.I.N.: 10-81950-240-02
PERMIT
PERMITTYPE: eusLozNG
Permit Number: 0 2 2 4 9 7
Date Issued: 11 / 17 J 9 3
2077 KSNGS RD
LOT: 24 BIOCK: 2
VIENNA WOODS
10\ r?
?41
\
DESCRIPTION:
r?
Bud3diriiq,.xPermit Type DECK
?4ild3ng ?iJ4" Type NEW
,-IlBC Occupancy,. R-3
` Eluilding L,etrgtfw, s
'Building Wld?Fi 8
??P
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search
Subtotal
$25.00
$.5@
Fee $5.00
$30.50
COPIES $1.50
Total Fee $32.00
CONTRACTOR: - app1icant - sr. LIc. OyyNER:
HANSON CONST, RALPH 14232009 0003720 CIRKSENA RANDY
2195 128TN 5T W 2077 KINGS RD
ROSEMOUNT MN 55068 EAGAN MN 55122
(612) 423-2009 (612)454-2188
I I hereGy ack.nawledge that I'have read tCtis aPPlicat.ion and stato tMat the I
informetion is carreot and ?gree ta aamply wi.'Ch aLl appl.#cable S?ta'ta of Mna
5tatu^tes and C.ity of Eagan Ordtriances.
L
? c
A ICANT/PEFMITEE SIGNATURE ISSUE Y SIGI A RE
REACTIVATE`- V?ECEO?ED CITY OF EAGAN
'PERMIT:# 993 BUILDING PERM(T APPLICATION
0 7 1993 681-4675
?? ??-
-------- rn ?At,:f? t?-
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site s eys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but nat picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ? Yaluation of work / d ? Uo -L
5ite Address:A'L'4r
STR T SUITE /
Tenant Name: (commercial only)
IAT ? BLOCK ? SUBD. P.I.D. M
U
Descri tion of work: 7.0 c
The applicant is: ? Owner Contractor ? Other (oes«ibe)
Name C 1r?r r ek, a l?a ?t., . Phone 88
Property LAST FIR
Owner Address ,-.?o 77 r /2C1.
STKEET STE N
City 4L pa u State 2ip
Company r?fo Phone
CORtI'aCtOr Address :?5- License # 37,LO Exp.
City,_li+ac4 i2i State /Arfe. Zip S,S--ZJ
Company Phone
Architect/
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber . Pracessing tlme for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this aPplication and state that the information is
correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of
Eagan Ordinances.
5ignature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
u 03 ddition
'?4f ?P?'hh?-
O 05 SF Misc.
? 06 Duplex
? Oj-,4-Plex
W08 S-Plex
? 09 12-Plex
? 10 Multi. Add'1
WORK TYPE
"?f 31 New
?V?Ad2,i tii?
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
..,
? 11 Apt./Lodging .,
? 12 Nulti. Misc.
? 13 Garage/Accessory
r,tpl ace
(?'IS-Dec
? 35 Tenant Finish
? 36 Move
? .,
.a; k4T .,r w_tl +s$
.., _
b 16 Basement'?Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Pub11c Facility
13 21 Miscellaneous
? 37 Demolish
Const. (Actual) Basement sq. ft. MWCC 5ystem
(Allowable) lst F1. sq. ft. City Mater
UBC Occupancy ? 2nd F1. sq. ft. PRY Required
Ioning Sq. ft. total Booster Pump
f of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code . q c
Depth ? On-site sewage SAC Code
l
APPROVALS
?
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS?
? Site F ooting ?itgi( A&-gWu$'a??ion
0 Waliboard Final ? Draintile ? Fireplace
;
4
Permit Fee 2S, c?J
Surcharge , ?z>
Plan Review
License
MWCC SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Lopies /.5o
Other
Total:
SAC %
SAC Units
valuasian: $
LAT SURVEYS CQMPANY, INC.
LAND BURVEYORS
AEGISTERED UNDER LAWS OF STATE OF MINNESOTA
7601-73rd Avenue Nocth 660•8083
Minneapolia, Minneaota 68428
lurvtgvrio (geMifUW
FItlII.INH ElObff?S
Property located in Section 31,
7'ownsliip 27, Range 23, Dalcota
Coimty, Minnesota
INVOICE NO. 3U6? 8?
F. B. NO.
SCALE I" _ zo,
o Denotes Iron Monument
o Oe.notes Wood Hub 5et
For Excavation Only
x000.0 Denotea Existing Elevation
°Op•° Denotes Proposed Elevqfion
E- Denotes Surface Drainqge
53.4- Proposed Top of Block
95O•7 Proposed Garage Floor
Proposed Lowesf Floor
Type oi Building -
i" L
?-?TOv) I Pa Cir/Cn7
?y0, _.-
aaa?? - ?
F3tacK`
? _-ZOqo_-
? ?- _
? r, 3
I
I ?
C(1
?- z
:G
?l G
.V
132
r- I
,t ?, ?? --- ? ? ? i?Y ?-•---?-----??r.... ?I
LtnLIT'( ? v/
1=T2 41 NAG?- ? I
I?
?4 `f51
I
_; ? ¢ I N I
?
I
(1
3b'?- 9?g ? lo
? ?Oq
C? -
?
0
2'd'
?aa.3
-1-
- ---
---
---
l`-??,.I ---- --- ----
'
i ? - ---
?.e =-
9c?'. o "
CI-7 Ftn-r
1 i0. 4f; rje,?C, ? - -
A/ % .
-4
?.33- - ?? ---- /
?--??,?$
? ilorJ $ ro
?
q
?
?
?r
i
J
?
-- ?; ?
?--- --
C.:R.Va REQL??nIF-.0
Lot 249 IIlock 2, VIffMA {YOODS
?
$y
E.P,GAN
The oniy easements shown ere irom plats of racorcl or information provfded by
ctlenl.
1h§ heraby certlfy that ihis Is a true and correct rapresentaiion of a survey of the
boundarles of the aWve described land and the location of all buildinps and vit9-
Ible encroechmenta. If eny, trom or on sald land.
Surveyea by ua thle 30tl1 day ot October 19 91
_
Signed
1
DEPT
A. Prasch, Minn. Reg. No. 6743,
:
r ` . CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
t??ncnm
FOR CITY USE ONLY
PERMIT # J
RECEIPT # C7 ?
DATE: / 9 !
Mumm PLEASE CD2iPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR _
OWNER NAME: fflA)F
SITE ADDRESS: ??6?
LOT:2? Y BLOCK ';?- SUBD. ?•
INSTALLER: 4c !p?B7"'G
ADDRES S : E*'5__ //??F ?7 1
-?^-?
CITY:
PHONE #:,
ZIP:
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
.3 WATER CLOSET 3.00 ?n V
o? BATH TUB 3.00
LAVATORY 3.00 S?oo
/ KITCHEN SINK 3.00 a?
? LAUNDRY TRAY 3.00 3 cl'O
HOT TITB/SPA 3.00
U
? WATER HEATER 3.00 3,0
? FLOOR DRAIN 3.00 -3.00
GAS PIPING OUT.
? (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S 3 ?l
ST. SURCHARGE .50
TOTAL: S 35, 50
?dMMHI?GIl??iT?IItfS1&??kl;y PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRZAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQIIIRED FOR EACH
DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN
? _• 3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-5100
1?I?C1?11A'i?7ICPrl1: -]'EI?3?'C
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: ? 7 9
1tES007x$` PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNNOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACA UNIT.
WORK DESCRIPTION
NEW CONST X
ADD ON _
REPAIR
OWNER NAME: -`Fi-?2 LIH2 40
w°S
SITE ADDRESS: 2_0_7_? Xf"S +2?
LOT:ow BIACK ?g SUBD.?i,,ra?
INSTnLLER: i-Fcf Y Y`ec1\C'wk`cc,l' ??-
ADDRESS: ?J I S ?? ??? ?S?^e N V
CITY: ZIP: S? 3 U?
PHONE
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTiT ---?i?-89--
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL : $ `I 2 ?
STATE SURCHARGE: .50
TOTAL:
z j $ Z"s?
?/ti
SIGNATURE OF PERMITTEE
Cf7MMERC2AT.%1ND?lST1tIf?S::; PLEASE COMPLETE THIS PORTZON FOR ALL COMMERCIAL/ZNDUSTRIAL BUILDINGS,
: .: . .
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDZNGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
------------
CONTRACT PRICE
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SIIRCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING e $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
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1991 BIIIIG 119LICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DAELLINGS
F .
COMMERCIAL
2 SETS OF PIANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & SIRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH SLDG. DEPT,) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1,SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WIiEN: TYPING DF PERMIT IS REQUESTED, BUT NOT PICKED UP SY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER M[IST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR 5EWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMSER.
To Be Used For: S 1'` :b
Site Address I 1 N(
Lot ?- siock ?
?l lm n
Parcel/Suh
Owner ?pJ? A?k gM?
Address
City/Zip Code Je
Phone -
Contractor CI k-
Address
City/Zip Code
Phone
Arch./Engr. ?K= ,I Q,
Address
City/Zip Code
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.
K-3 M_ I
V- N
N/_/J
s(41
NS'
F.
On site sewage_
On site well
MWCC System :211
City water ? _L?t-
PRV -Z
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
&)
682
Bldg. Permit .
Surcharge
Plan Review !/[Z3, da
SAC, City /DO,00
sac , Mwcc 600.00
Water Conn. (o O.OU
Water Meter ,00
Acct. Deposi t 30,00
S/w Permit 30.0D
S/W Surcharge .bti
Treatment P1 . o?r16.00
Road Unit 3,70.010
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
:cordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Valuation: Date: 1D ? I ?
d //z,o00- OFFICE USE ONLY
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LAT SURYEYS COMPAWY, INC. INVOICE NO. 306,9
f BNO
LAND SURVEYOR3
REGISTERED UNDEA LAW3 OF STATE OF MINNESOTA
7601 • 73xd Avenue North 660-8093
Minneapolis, Minneeota 65428
O:arntgon der#ifttote
PIrII.'LINE FIOMLS
Property located in Section 31,
Township 27, Range 23, Dakota
County, Minnesota
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?.?3C???0HRED
Lot 24, Blcek 2, VIIIJNA WOODS
?
By Z=;L
E,AGA1V
The onty easements shown are trom plats of recorcf or infortnatfon provided by
c0ent.
Nk hereby certlfy that this is a true and correct representation o} a aurvey of the
boundaries ot the above described land and the location of all buildfnps and vis-
Ible encroachmenta, il any, from or on sald land.
Surveyed by us this.30th-daY ot October 19 91
Signed
DEPT
SCALE I " _ zu,
o Denotes Iron Monument
O Denotes Wood Hub Set
For Excavafion Only
x000.0 Denotes Existing Elevotion
E° Denotes Proposed Elevation
-4*? Denotes Surface Draindqe
53.4 Proposed Top of Block
950•9 Proposed Garoge Floor
94? • ? Proposed Lowest Floor
` Type of Buildinq - L
\ t-u I I B g SC rrJ Cn T
?N t1 ?12G'47
EXTERIOR ENVELOPE ENERGY CODE COMPUTATION WORKSHEET
2b Determine Cro[mliance with the Minnesota Energy Code
(Section 502,of the Stabe Amended 1983 Model Energy Code)
??.
Project Title
Site Address _-
I. EXPOSED WALL CALCULATIONS
A. Opaque Wall
1. Masonry/Concrete
b.
c.
2. Foundatirn Wall (Above Gra e)
a.
b.
3. Wood Frame Wall
a. Insulated Area
b. Framipg Area (Ave. 158 at 16" oc)
c. Framing Area (Ave. 108 at 24" oc)
4. Peripheral Floor Edge/Rim Joist
b.
B. Glazing
1. Windaas
a.
b.
2. Doors
C. Doors -
1. FTOOd
a. Solid
b. With storm door
2. Metal
3. Overhead
4. Other
ARE7a "Q° VAI+LIE AREA X °IT°
c? x
(5 x
?x
X
U x = ef
x '7
2"7-I x rJ'?? = 24?z::1
G x = n
"? i x Que)
? x = c'?
x •4'6- = 63,?5
l x = C`%
I f x
? x = G
? x = r
? lr- x
o x = Ci
G X = G
D. TOTAL WAIL AREA, sq. ft ..................... 2 5=/ /
? s
E. ZOTAL of AREA x"U....................................................
IL ROOF/CIILING CALCIILATIONS
A. Rcof/Ceiling Insulated Area !/_ 7 x
B. Roof/Ceiling Framing (Ave. 15$ at 16" oc) G x = c
C. Rmf/Ceiling Framing (Ave. 10$ at 24" oc) S x X%
D. Skylight <::?- x
E. 'IC)TAL Fd^OF/CEILIIT ARFA sq. ft .............. I i?L
F. TO'?L f&' ARFA x"IT" ........................•-••..................... ! J(-7
- ----- --- --- -, - • --- - -- - - - - - - ,-- --- - -
V: •
.II. BUILDING ENVELOPE REQUIREMENTS
2i0M ARFA Rp?UII{ID "p" ALLOWABLE
! (Fmn I.D & II.E) (From V.) (Ares x "U")
A. F?cposed Wall: x
B. Raof/Ceilirg: /2S2 x
C. TomL ALS.OWABLE BUILDIIQG RMLAPE (Total of A& B above) ... 2 2 '7. 7 f.--v
IV. ACTUAL BIIII.DING ENVELOPE
ACTUAL
(Area x "[i")
A. Exposed Wall (Fran I.E) 20S•s0
B. Roof/Ceiling (Fran II.F) 27. t,7
.- 1
c. mM rCvAt,svuDnW. nfiaor-E (rotal of A& a) ............ 2 37. l 7
'(Meets code requirements if less than III.C)
V. REG?IIIRED ^II" VALUES
4?.LL5 E370F/c'F'TT.rtac;
Detached one arrl two family dwellings .026
* Multi-Family Residential Buildings .238 .033
(3 stories or less in height)
* All Other Oonstruction 'Iypes (3 stories or less) ,238 .06
* All Other Constructiai Types (More than 3 storie^,) ,28 .06
' Based on 8007 heating degree days (Xpls/St. Paul)
Adjust 'U° values accordingly for other lacations
CERTIFICATION
I hereby certify that 2 have cam- leted the above inforntition and that it comlies with the
Minnesota State Energy Code.
Signature
BCS'D 3-89
CC/S111/6574
?^?----.
Use BLUE or BLACK fnk
. . . � r_______________��
I For Office Use
C�� O{'�Q �n � Permit#: / ���—! l j
1 ll , ���
3830 Pilot Knob�ad I Permit Fee: �4 �
Eagan MN 55122 � I
Phone: (651)675-5675 � Date Received: �
Fax: (651)675-5694 I �
I Staff: �
�-----------------�
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: ���,��7 Site Address: � � � . ,�S �/3'
Tenant: Suite#:
� �� � " /
� � ' � Name: ��' ' �/l�� Phone: L��� ��� �����
��SlL��C�'� t1f�# )
��„�\,-, �� ����.. ' Address/City/Zip: d ��i .� �
„�e��. .
� �� � ��
g� �� � �� ° Name: License#:
fi� �
� ' �
� Address:
\ �M��G�f�. City:
���0 �
� A ' � h State: Zip: Phone:
���
���.����` �'' c� ����
�,�� .� ,� ,�� :�� , Contact: EmaiL•
�� �.,
����� ���� \� �
,z��� ' `�� �� E �New Replacement Additional Alteration Demolition
��� e \
��
�� ����� � Description of work
'����
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�t m�u�n#+�ci r� �� �����pr��n�� d�r M�e�rr�n�ad .
���.. , ����e � , �,
�� � .... � . .::. � �f��ase�.. � . £hani�l Ins ec�t�fr��tt�f�rimatNorr c� � d��'��r��n m., ���:
. ��: ,�.�.. . � ,�..�,... ��, �. ��. �
,v ��� ��� \a��
...., ,,,,,,�. � � .... , „
���� r �£ RES►DENTIAL COMMERC/AL
��> ��
��i`� � ��� Furnace New Construction Interior Improvement
����
���,��� � � Air Conditioner Install Piping Processed
��
,z � `` \\ _Air Exchanger Gas Exterior HVAC Unit
�� ': � ,� _Heat Pump _Under/Above ground Tank �Install/_Remove)
"Z� `
��, Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
"If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge"
""If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
"**If the project valuation is over$1 million, please call for Surcharge =� TOTAL FEE
I hereby acknowledge that this information is comptete 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.
X �� X / ��� v ��i�' S�" /�
App' anYs Printed Name App icanYs Signature
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