4701 Oak WayCITY OF EAGAN Remarks
Addition 17T$NNA [annDS Lot 1 Blk 2 Parcel 10 81950 010 OZ
Owner Street 4 7 01 Oak Way State Eagan. MN 55122
2126 Pin Oak Drive
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. IDIp. 1981 .2834., 45 293.45 10
STREET RESTOR.
GRADING ? ?% 587.73 _58. 77 10
SAN SEW TRUNK 1973 129.78 $ S 15
SEWEfi LATERAL ' S(
*
WATERMAIN
* WATER LATERAL
* WATER AREA 1981 ZO
* STORM SEW TRK 1981 lO
* STORM SEW LAT 1981 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
---?-?'? CITY OF EAGAN
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Fieceipt?t
To be used for Est. Value Date
Sfte Address
Lot Block Sec/Sub.
Parcel No.
s Name
; Address
° Ciry Phone
¢
.o
Name
? ` Address
? City Phone
a
W Name
W
= Addre4
n
W CitY-
I have read this application and state
t and agree to comply with all appNcable
s and City of Eagan Ordinances.
Signature of Permi
A Building Permit is is
all work shall be done
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ 2oning
On Site Well _ Type of Const
City Water _ (Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
13-5t0
Water/Sewer _ Surcherge '
Police _ Plan Review '
Fire _ SAC, CftY
Engc _ SAC, MWCC
Planner _ Water Conn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatment P1
Variance _ Parks
Copfes
TOTAL
on the express condition that
nnesota Statutes and Ciry of Eagan Ordinances.
' Parmit No. Permit Holder Date Tslsphone it
Plumbing , - ?
H_V.AC. X-,
Electric e, °
6efterter 7IS
Inspection Date Insp. Commants
Footings i ?
1
Footings II
Foundation
Framing ? 7 ?.?9. ser- c.??«fi•?nr c?
Roofing
Rough Pib
Rough Ht
Isul. t
Fireplace
Final Htg. 74
Final Plbg.
81dg. Final
cert occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
I:'. M1 PERMIT # .q
• . MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN ` `3830 PILOT KNOB ROAD, EACAN, MN 55122 DATE: 7?? 7
ITRACT PRICE: PHONE: 454-8100
Site Address -70 BLDG. TYPE WORK DESCRIPTION
Lot ?' - Block -?- Sec/Sub Res. ? New ?
-.,, .
Mu
Name E%V `S ?!/T6. l?? lt. Add-on
Comm. Re air
?u Addre, P / E, cCi?r ?Pv- P
c City ?R?v1 Other
Phone ? -09%
FEES
Name ,U 5 .641o,fS, RES
HVAC 0-100 M BTU $24
00
c Address .
ADDITIONAL 50 M BTU -
.
- 6.00
3
p
City F?L- ? 4 {?7
« Phone Z . zIZ z (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION
)
GAS OUTLETS (MINIMUM
1 PER PERMi 1
5
EA
-
n -
.
.
0
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air CQ M BTU APT. BLDGS. - COMM. R,4TE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # 1 ? BEYOND $1,000)
Other
FEE: :7 n?? ?
/
L1
ri
?
_ .
_
? ?
.
S
G
S/C: I
NATURE OF PERMITTEE
TOTAL• ? 6•Od
FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Site Address
Lot ?
? Name /
? Address
c City F4.0 r L y Phone
? Name 3 Address
O City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1.000.00) FOR: CITY OF EAGAN
PERMIT #
RECEIPT #
DATE: o ?
BLDG. TYPE WORK DESCRIPTION
Res. 14_ New ?
Mult. Add-on
Comm. Repair
Othe
r
RES. PLBG. ONLY - GOMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
?Water Closet - $3.00
,v.i.r8ath Tubs - $3.00
---? -Lavatory - $3.00
-,/_Shower - $3.00
-?_Kitchen Sink - $3.00 -
Urinal/Bidet - $3.00
_-J--Laundry Tray - $3.00
-.;L,_Floor Drains - $1.50 -
_?_-Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outiets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough apenings - $1.50
3 7,
FEE:
STATE S/C:
GRAND TOTAL:
' " ?
f
(ger#ifiratip of (IDrrupttnry
Citp of (Eagan
Erparbttrnt uf liullbing Jnsppriinn
This Certrficale issued pursuant to the requirernenu of Section 306 of the Uniform Building
Code certifying that at the time ojissuance this structure was in compJiance with the various
ordinances of rhe City regulaling building construction or use. For the following.•
lke (.'lu. ifinu. MICiE'R Blda. Flimit No. ' ;510
'
I
x S
Occuper.7'
fy'pe - Zoning Dislrict Type Canst.
''i '
?iT??}1?Z ?:' k,77.
'
:=' tx: v.. A.V.
OwnttofBwlding .. .
.
Addrm
Buiiding p,ddress Laaliry T 1
•;Y,- _7, '?'?l
Dau:
Buildin; Officirl
POST IN A CONSPICUOUS PLACE
CASH RECEIPT
. CITY OF EAGAN
' 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
? DATE 19 _
eacervee
FROM
AMOUNT $ ( -V
& DOLLAR:
?oo
? CASH [DCHECK
FOR ? . '
H -1 i..: ? C_?"-? L.l)cL
BY `
? White-Payers Copy
Yellow-Postiny Copy
Pink-File Copy
Thank You
BLDG. PERMIT N0.
.
I i „? (yt .
C. yr'?-aV I ?.•
01-3210 ?j j : %t;
Bldg?. P?e'rml
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
CASH RECEIPT
?
"CITY OF EAGAN "
. ' 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
OATE
'
RECEIVED ' 9
RROM
AMOUNT $ I
? CASH
ROR
?-1 <-) s r? a tt 1_k zat
Q DOLLARS
?oo
CHECK
?
AUND CODE AMOUNT
, I
•I
1
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
GOLD COPY PERMIT RELEASE FORM
PERMIT # _ggm ?
ADDRESS /-'t -7 c,{? [A-,
PICKED UP BY
?
ia?
CITY OF EAGAN
3830 Pqot Knob Road
P.O. Box 21199
Eagan, MN 55121
Ownqr. - - .~
Address:
Site Addr
agree to CvmpIy wRn pM CNy ol Eagan
of Insp.:
CITY pF EAGAN
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 55121
Site
SEWER SERVICE PERMIT !
PERMIT NO.: ? '' `'• 1 `' .
?
DATE:
No. of Units: ,
Connecdon Charge: 52 5, 00pd
Account Deposit: - I 5• 0nnd ,
Permlt Fee: 1(1. QOnd
Surcharge:
Misc. Charges: ?RjnA7 ry 1 r nn 1
Permit No:_
Meter No: _
Reader No:
Plumber. icritaste Plualbins.
Conn. Chg: 52 5, t?ppr]
Acct Dep: - •o P!'
Permii Fee: 10• oaP4
Surcharge: • 50 d
Tr. Plant 1 ? ? • ??-?Pd
Meter. b -17
Misc.:- !?.l)up„ Penalty
Zoning: _
No. of Units:
- • --;.,..- -,- " -A
oate: 7__ 14 _,;' 7
Size:
Date:
I2I
I agree to comply with the City af Eagan
Ordinances.
WATER SERVICE PERMIT
CI?Y OF EAGAN Permit No: Date: 14-8'
3830 Pllot Knob Road Meter No: Size: gi+
P.O. Box 21199 Reader No: e) Ve 77 Dat? ,7?1 -8?
Eagan, MN 55121
Owner. :??: i_:, : 1- ',i. :,•?; .
SiteAddress: Qak 1•:av ;.J-
- =F . ?,? ?a ?r MI(
Conn, Chg:
Acct. Dep: •'Ntoie diggingcaff 10mIdtbifitied Permit Fee: - ? • VF1i Eb hArur F?'fRlC - M EtC.
Surcharge: •-' '"i ?Aaiee ta,cpp?ply with Ihe Cfty of Eagan
Tr. Plant Ly
Meter.
_ x.
Misc.: / • ??+?D?? L enalty By
WATER SERVICE PERMIT
REQUEST FOR ELEC7RICAL INSPECTION -T ?
' Sea instructions for completing this form on Oack ol vellow ropy.
?41949 "X" BeloW Wa,k Covered by This Request Nlev4Addj neo. Tvna oi auiidine AOPlia..ee wiree EpuipmeN Wired
Ilk- Home Range Temporary Service
Ouplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electrie HeaLn
Commercial Bldy. e( Fumace Silo Unloader
Industrial Bldg. Y, Air CorMitioner Bulk Milk Tank
Farm th«r oeci v Olhor ISner.ifyl
t er ucci Y ther Othor '
COTn!/1P. IIISOPCtl011 FAA BPIOW
# Fee Servfce EntranCeSixe fl Fee Feeders,5ubienders b Fee Circui?s
0 to200Ams 0 to30Ams atn30Am
Above 200 Amps 31 to 100 Ainps 31 to 100 A s
Swinttning Pool Above 100-Amps Above 100_AmUy
Transformers rngationl3ooms Pertial.OtherFee
Signs Special Inspection $ TOT FEE
Hem?.ks ?j ?4Q
flou6n-in
InsOec?oq herah
cartily that the ahove
Finai ?? ?` 3?7 Insaeetion nas eeen
mede.
Thle request void 18 montlre irom
This request void (?:/?7/,?7
18 months 6om .
419 4 9 I L
75Z7fLe?
;31 ?3j "?_,?,
Reqoest Data
6 -13--87 Fire No, qouph-in Insoection
Requrted?
fleady NuwBWill NplitY. Inspec-
CI
to
Wh
R
?Ves ?No r
en
eatly
g Licensed ElecVical Convactor I hereby raquestinspaciion otebove
? Own¢r eleelrical work installed al:
Street AdAress, Box or Route No. City
q 701 Dgk uiny FA69N
ecUOn o. Township Nama or No. Range No. County
Qyhor?
OccupantlPRINTI Phone No.
Naamsr'st y3,? - r z r z
Power Supplier Address
4?k??' E?f ?rR.c- F?mi.vcre•,?
EleCVical ConVaclor (COmpany Name) Conrcactor's License No.
6 9 sTE2 SLFcT/t/c Lo
Mailinp Address IComractor or Owner Making Instauationl
143,50 GHrPPRivD.9i-E I¢vf' ?'••-
Auth ized Signature ICOntractor Owner MakinB Installationl Phone Number
?
MINNESOTA STATE BOARD OF ELECTqICITV TMIS INSPECTION NEQUEST WILL NOT
Grip9B•Midwey Blde. - Moom N•181 BE ACCEPTED BY THE STA7E BOAFD
1821 UniversilY Ave., SL Paul, MN 56704 UNLE55 GFOPEN INSPECTION FEE IS
Phmw 18121297.2111 ENCLOSED.
g?/aREQUEST FOR ELECTRICAL INSPECTION .yEB-000,O/1-04
I0 Sea inatruetions for com0lating this lorm on back o7 vellow copy.
C_ 41945 "X" Below Work Covered by lhis Request
Add BeO• ' TvPe of Builtline AoDlioncee Wired ' mem Wired
Home Range Temporar Servro
Duplax Water Heater Lfghtin, fixtures
Apt. Buflding Dryer Electric Heatin
Cortxnercial Bldy. Fumace Silo Unloader
Industrial BIAg. Air Conditioner BWk Milk Tank
Farm 1he. aeu v ther ISPer.ityl
t .r SyeutV Other Other
Comuute Inspectinn Fee Below p Fee ServicaEntrance5ize p Fee Fexders/Subleeders k Fee Circuits
0 to200Am s Oro30Am s 0 to30Am
A6ove 200 Am ?s 31 to 100 Amps 31 to 100 qm s
Swimming Pool Above 100_Am 5 Above 100_AmUs
Transiormers Irngation [3ooms PartfaL'Other Fee
Signs Special Inspection pj
p
?
S TOTAL
-fe___?
emarks ,
?vl ?
NouBh-in Dfl1e I, tha E
Inspecto?, heraby
cer?ily tMt the above
Final D?fC?A?C ?spaction hes been
n . .?Aw ? .J e? ? mede.
TMa reauest volC 18 montha imm
This request wid
18 rtqnths fmm .
41945
Raquasl'Uaxe ire No. Rouph-in InsVection
?J > {fleqwred? Reatly Now Q W,II Notify. Insper
`,? / ///?2 . ?Yes 04 NO for When Ready
? Licensed Elec[rical Contrectar 1 hereby request inspection oi ebave
? Owner elactrical work installed et:
Street Address, eox or Route No. '
y 76! 6 ?k C ity
?-`?
ecLO? o. Township-Name or No. Hange o. County
Occupant(PRINT)
N'o-R-11iS,-.? Phone No.
Power Supplier - Addrass
?
Q?hG"7P- /?iF??.eec
Electn?pal ConVacior (Company Name) Contracmr's License No.
f
•U.? ,?.?'srz,_ a F?Ecr-e« C? f ?GG
MailinB Address (Conlrac[or or Owner Meking Installation)
17sj-il-- C1'111e10'00ft-46!4?
AutitoVgnature IContractor/Ownei Makine InsWllatiunl Phone Number
MINNESOTA STATE BOARO OF ELECTNICITY TMIS INSPECTIDN flEpUEST WILL PoOT
Grie9s-Mltlwey Bldg. - Roam N•191 . BE ACCEPTED BY THE STATE BOARD
1821 UniversitY Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE I5
on....e (6121 997_9111 ENCLOSED.
CITY OF EAGAN N° 13 610
? • 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55127
PHONE: 454•8100
? i c?
-] 3?7
BUILDING PERMIT Receipt#
Tobeusedfor SF DWG/GAR Est.Value $86,000 Date MAY 12
Site Address 4701 OAK WAY OFFICE USE ONLY
Lot 1 Block Z Sec/Sub. VIENNA WOODS onSaeSewage Occupancy
X R3
MWCC System Zoning jt1
Parcel No. On Site well Type of Const y
Ciry Water X (ACtuaq
rc Name NORTHSTAR BLDRS (A1lowable) V
w
z
Address 14772 PENNOCK AVE # of Staries
lenglh
--5$-'--
?
City A.V. Phone 432-2222 oeptn 50
F
Total
S
, p Nartle SAME .
.
Footprint S.F.
?? Address APPROVALS FEES
P City Phone qasessmems _ Permit zl? 454.50
_
___
_
-
_
4
3
00
Water/Sewer Surcherge .
W W Name Police _ Plan Review 227.25
?i
i- Address Fire - SAGCity 100.00
525
En9c _ SAC,MWCC .00
aw CityPhOne Planner _ WaterConn. 525.00
Council WalerMeter _67_n0
I hereby acknowledge that I have read this apDlication and state Bidg. Off. _ Road Unit 305 00
--TBD-
bO
thattheinformatiOniswnectandagreetacomplywithallapplicabe AaC - TreatmentPt .
State of Mionesota Statutes and City of Eaga Ordinan
7 Variance _ Parks
g /J
J
? ?
?"f Copies 5
??
Signature of Permittee
1--
/ TOTAL
A Building Permit is issued to: NORTHSTAR BLDRS on the ezpress condition that
all work shall be done in accordance with plicable S?tJatA?onf Minnesota Statutes and City of Eagan Ordinances
Building Official
454•5Ur
43°00+
? 227-r?+
fi25•OU+
5`l_7•OU+
(7•OU+
305•U0t
180•UOr
' 27 q16•`/5
?
,. .
SINGLE FAMILY DWELLINGS
/4:p (o io
INCLIIDE 2 SETS OF PL9PS, 3 CERTIFICATBS OF SQRVfiY9 1 SET OF ENERGY CALCOLATIONS
A10TE: ADDRESSES FOR CORNEE LOTS - CONTR9CTOR/HOMEOANER MIIST DESIGAA?6 WHICH ADDRESS
IS DESIRED. NO CH9NGES WILL BE ALLOWED ONCE BQILDING PBRMIT IS ISSOED.
MOLTIPLE DiIELLINGS - RESIDENTI9L RENTAL QIaITS FOR SALE LIDiITS
INCLUDE 2 SETS OF PLANS, CSRTIFICATE OF SURVSY - CHECK iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND (5
?r
To Be Used Valuation: 1
:S?'C Date:
Site Address 4J a? OFFICE DSE ONLY
Lot J- Block Z- On Site Sewage Oceupancy
(
J _
MWCC System ? Zoning
Parcel/Sub
ooPS
- On Site Well Type of Const
g$
O
??'/
°
? ?
° City Water ? (Actual)
wner
?,
?
/"rEGEi (Allowable) ?
# of Stories
Address ti) '-?c.9ke-, Length ?
City/Zip Code ?.?GA?? S-? %L { Depth
S.F. Total 5j
Phone / v.2 - Z 2 zo .,r,f _)
6pPR0VALS Footprint S.F.
FEgS
Contractor Assessments Permit 45zT'. -
Water/Sewer Surcharge 43.
Address j'7' ? 7 Police Plan Review 227. Zs
Fire SAC, City Op.
City/Zip Code Engr SAC, MWCC 525.
Planner Water Conn SZ 9
Phone Council Water Meter 67.
Bldg Off Road Unit -e>OS
Areh./Engr. APC Treatment P1 IBD.
Variance Parks
Address Copies
TOTAL
City/Zip Code
Phone #
`
2? X 52 ?
2A x2_4- _
(3SZx 5 E) --
,S?)(2? k (2 -
?b4
oS32?
;
,
,
?
?? ? ? ?1??
.,
o ,
OPst
?
a
0 ?°''s^k q
m m '
s ?
s F_ - - - -1- m
Za' V??yyb5? /
\ I ?
Z Ea 9io,S 2SS ?9 113
4
:z
N N ( dto ?, a ? Qy?? N pI
? N I w w !P
`)
a?..? 'M I ?
? ??
S? 9ts?'h ? i0 O
/ a
. u1 - f - - _ ?- - -Ul
?Sx 91A-7.12 EA-tlT ytin.4 1 30
v?
` J
_D?SC?IPT lo t?l
1I?SoZTF? ?OT I ? ?l.-oGIL Z,
Sc-ALE 1"= 30' VIENNA WooDS?
ALL gEA2?N4?j AS`?UMED DAI?-OTA COUh17-yj
oDENoTE?j lRot.l MONUMENT - 1?/?ItiN?SnTA.
I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the laws of the State of Minnesota.
Date: /YJ9 f?i ?S G7 .oz cf41 ??
Le oy H.'-Bohlen
Registered Land Surveyor No. 10795
-•?--.--? .
'l' _Q, T?:?m.:`-.., !.?1: ?.?T rr-u „?••-l;?' :(l:
MIELR $RIAN & SUZANNE GRIEGER
SIis ADDP.ESS • 4701 OAK WAY EAGAN . MN
CO1,T:ACTM North Star Suildere. Inc. AjTE 4/30/87 ^=;oIT (612) 432-22z2
Deterr.;ine r:or):ing equcre iootzt'e oi' ench. Z1 ?, 69
1. T0 t?l esposen KGll FiS@Cste.. • 2498.66 EO• ft•
2. 1bta1 rooi/ceiliiic rsea...... 1310.78 aq. ft.
34 •o?
Tbtal e::rioeed r.oll orea nbwe Sloor 1404.00
...
............... .
d
i
l
i 91.32
a. ibtal .
arec ....................
n
o:
m
i n 37 82
b. 'ibtr:l noor c.ree ...............................................
.................
d
' 40,02
c. 9bi;..1 ea ....... ..............
oor es
s2idine.
.................
ll -0-
n. Tote.l crez. .....................
firerilace rr.
...............
10;;)
( 140.04
_
e. 7btp- 1 ..........
evera{e
e.all Srsmine- crea .
...............
r
Sl
b
• 1094.80
f.. 7btn1 ...............
oo
otie
cc c
net rrall ai
.....:......... 211.50
C. 'lbtal rira joist erea...........................
1bia 1 exnosea fcundation ex'e4 883 16
h. ?ot?11 i',rand .t_o:: coor sLrea ... ................ ..... ........
• 02
doo"s?.......
slidir
n
c
l
i
' •
J. :vtti.l ::
.
nc
u
es
cundc.tion r:indoc. sea (
i ?
;, 5btc1 net Svannation r.rec above Crade.......................
75. -??
i:. 'tb ta] r.all Treniru- nren (nverp?ge .1d;7) . . . . . . ... . . . . . .. . . . .. . . . . 3
tvu
1. lotal net e.all Sre!^inE :.rea................................... .
-
Determine "J" vulue of ench call sefine:1t
e.,?] 32 X"U" 510 °- ?? a7
b. 37 62 °•"d" 10 - a_7R
c.,L0.02 7{,q;" _/.7 = 1R 8t
d. -0- X"p,N/A - -?-
e.140.04 g'v „ 09 --
f.19-24.60 X"U" .043 = 17.09
F,211.50 X'v: " .0 9 ?? _
h. -0_ X ?v , N A = -0-
1 e •p .v,? .510 = 36.73
i.127:1b--k`1 .53!
k.'?. SbJ Y'v .09 = 6.80
2 .16
224.58
=J.??rn.?•..?...?.............. l]ti3l `
If iten #j is the eame as, or less thFin item f1, yrrs he.ve met the intent o!' Sr'.
60G6 (c)2,
4ntssl exxosen roof/ceilint are:^ = 1310.775 M. 4ote1 E?:Ylit3it uec ................................... -0-
n, ;btal rooS/ceilin?; iramin€ ere (pvercge 7?,,N ,.,,,,,,... 91.75
o. Ybial net iiiailet.ed rooS/ceilinE orea ................ 1219.025
Determine "U" vnlue for each root'/ceilin( setment.
"0 "--N/n ? N/e
n. 91.75 Y."U" _03_ - 2,,75 ?
o. 1219.025 Y."U" .OZS - 30.48
4 ....................................Zb te1 33.23
If totcl 01' P/ ie the s;,.me or, less tlian 412, yo:z heve ret t?:c irient or E-7?':: Gx-6(c)1.
Flfsrnnte illilding En1•elupe T.esij:n
:a uizlize.the :otsl envelone systen method, tne vr.lues estzblie.!zefi L,c i?e sx?
o` itcris't? uid =4 shr.l] noi_ i;e Cre?. ter ?1:,.z the sz?a of ite.^..e ;!tl c.nd #?2.
1. 462.25 n]uc 2. 58.98
3, 224.58 r]ns 4. 33.23 = 257.82 _
Caili.-.F Fr;+r:e
1-Inte3•ior Air.:ilm
2-1" Sneetrock
3-j?," Soft S'hbod dc F: 't Ir.all
q-FS:terior Air Filn
2b tyl R _
' lb tal' U
R 12" In?l<tior.
.El 1-Inte=ior l.ir fYl;, .61
•45 ?-it" 5neet*•ocl: .45
31.30 3-12" Inaulation 36.00
.6i G-P-_terior Air FYlr .E1
32.97 Total F'. 39•67
.03 Total v .02.5X
lr?n? !'al? R
I
1-Inte_ior Air Filtn .68
: 2 t„ SZ,eetrocY .45
2 3-W, soi't c'ood t.. ^5
4-374" Foan: Insul:.tion 6.60
5-7/16" ].:ed. liense Hdbd. .67
6-E;:;.erior Air Tilr. .17
Tbt::1 P. 12. ' 2
3 7btc1 v .c.&
;
4
Ircal:.te8 ?;?11 R
1-Intc^_•ior Air FiZn .68
2419 Shc:etrock .45
?-3?;inaxlation 13.00
4-3/4" Foan Insil-.tien 6.00
5-7/16" :.:ed. Dense Hdb^:. .67
6-Exterior Air Filr.! •17
Tot-ul P, 20 • 77
;btal U .CdB
liin Joisi R
1-:'-t -,3or 'ir liln .68
2-3-,'r" Ineslation 173 ,00
3-iP" 56f.tjtFo6d 1.83
3 -' 4-:14" Foen Insilation 6.00
p 5-7/1611 1:ed. Dense Hdbd. .67
4
5 b-Extcrior Air Film •17
Zvtal R 22.4
'!b tal U .045
A
1 .S Conc. Bl};, Uninaxlated
9'o tal R 2.12
-1-B To ta.l U .47
1-i: Conc Elk. Stripping & 3?4" Foam InEfal. L• Z" Sr:"ta
^o t31 R 7.91
7b tal U .13
CITY USE ONLY
L -/- a RECEIPT #: /0/9
SUBD. (/.,(1iu.H,a? ?Vp'wi RECEIPTDATE:?
1999 PLUMBuve PEi14IIT (fEsIDEN17AL)
crrY og EAsAx
3830 Paor Kuos sn
iiA6AN, MN 55122
(651) 6$1-4675
Please wmplete for: ? single fam(ly dwellings
? townhomes and condos when permits are requlred for each unil
? backflow preventer for underground sprinkler sysEem
- ------ ----------------- -------------------------- ..--------
FIXTURES -------- --------- - ----- ..- ---- °------------------ -'---------°°--
EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drairt 3.00 x =
Gas Piping Outlet ' minimum • 1 3.00 x =
Rough Openin8s 1.50 x =
Water Softener ' for dwellings under construcllon 5.00 X =
Water Softener ' tor ezistlng dwelling 30.00 x =
U.G. Sprlnkler ' for dwellinp under const. 3.00 =
U.G. SpNnklCr • (or ezisting dwelling 30.00 =
Alteratlons " to exlattne rasiaence 30.00 -
Water Turn Around 30.00 =
Private Disposal System " MPC tic. 75.00 =
(new and-refurblshed syslems)
Private Disposal Systems ' nbandonment 30.00 =
RPZ (new installationlrepalr) 30.00 =
Reminder: Cail 881 -4875 for inspecdons ot watar healers, STATE SURCHARGE .50
water sokenera, alteraqons, etc.
• TOTAL 30 • ?a
IltlslheapplcanYSresE -..`--_-°•-.-°-•-°°----°--......-•,..--^
Y A
GRIEGER, SUSANNE --. 'n. (s -..---°......°-°.....--•..-----•..-..--?•--------------°?----°
-wveet, and ag?ee to complywNh all appliqble Cityof Eagan ordfnances.
operatlonal and malnte 4701 OAK WAY pan assumes na Ilability tor any damages caused by Ihe Cfry dudng Ifs normal
permit within Clty propertylrlght•of-way/easement.
EAGAN, MN 55122 .
SITE ADDRESS: (651) 452-4122
OWNER NAME:
INSTALLER NAME: RI3 e)Wl P4.v/(/J 5//i(,? TELEPHONE #: ?? - 'fD,3. 23_
STREETADDRESS:
CIN' STATE: ? ZIp; S 08
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
PT01¢': PAYMF?lS OF FEE AT TIME pF
A'PPT.TcAMoN noEs Nar oK*SrrnnE
APPROVAi. OF PERNIIT.
IrSencrzav oF sEM Arro/Cx M,zM
7TLSI'AT.TATTQN$ WUy Nj'j' $1, $('HEI>-
pLID [7L1FII. PERMIT HAS BkEN
APPROVID.
-- °-- ---- _ __
P ease Print
1) PROPERTY ADDRESS : ,I'7Q/ 0a .-
S,EGAL DESCRIPTION: °
. Lot Block Subdivision or Tax Parce ID
i.
IF E7QSTING STRC'C'iL'RE, 1)ATE OF ORIGINAL B[JILDING PEtMIT ISS[]ANC.E: '
{Mon ear
P12ESEUr 7ANING/PROPOSID LSE:
Q COhP432CIAF,/REPAIL/OFFICE
r7 ITII)[7STRIAL
[] INSTI2L]TIONAL/GOVERIaEN'p
? R-1 SINGLE FAMILY
Q R-2 DIIPLEX (TWn Units)
? R-3 TUWNEiIX)SE (Three + Units) ( t?nits)
R-4 APAR4TENP/CONIDOMINI[]M ( Units)
2) NAN1E:
ADDRESS:
CZTY, STATE, ZIP:
PHONE:
3) NAAE:
ADDRESS:
CITY, STATE, zIP: ?On'oriqd'r ,?i?'¦., J ??'?F7 PHONE: MASTER LICQ9SE# ??//
Plumbers License:
Active
Fxpired
Not recorded
St.aff initial
.
41)
tl4R,IVAW AFI01•
NAME:
ADDRES$:
CITY, STATE, ZIP:
PHONE:
-
'S? ?? w • ?• : a • 04 • MIII
CONNE.TION T0 CITY SEWEEt fZl, CONDIDCPION RU CITY WATER ? OTHER
r°d'
{Circle one)
'
.
6) ?? • • i ? PI,EASE HOLD APPROVID PIItNIIT FC1F2 PICK-UP BY ONE OF ABOVE -----,_ -
? PLEASE MAIL APPROVID PERMIT 70 1, 2. 3. 4. ABOVE
: FOR -CITY USE ONLY
PERMIT # ISSUED
?Pd w/Bldg. Permit
A
$
$ bi?•?Z?
$
$
$
s
8 g7_
$ lrJ?-?•U-?
$
$
$
$
s
$ ..??5 7 1U?
RECEIPT
FEES:
$ f0' Sv
$
$
$
$ ? ? • rJ-?
S
$
$
$
$
$
s
$ 2? - (rt)
$ 7/ n
-7 SS"3 n
RECEIPT
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOLNT DEPOSIT - SEWER
ACCOONT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSME[VT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRL[VK SEWER
LATERAL BENEFIT/TRLNK WATER
WATER TREATMENT PLANT SLRCHARGE
OTHER: ??
TOTAL
,
DOES UTILITY CONNEC<ION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
O YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MDST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWIIVG CONDITIONS:
APPROVED BY:
TITLE:
DATE :
^?-
6 S'aa 1
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
` # 27U4 7/Z
New ConsWdion Reauiremenffi RemodeVReoair Reauiremenis
3 registered site surveys sfwwing sq. fL o( lot, sq. ft of house; znd alf roofed a2as 2 mpies ot plan
(20% maximum lot coveisge allowed) ' ' ns
2 copies of plan slawing beam & window sizes; poured fomW design, etc. 1 stte survey for additions R decks
1setafEnergyCalculatbns 'system ME
3 copies of Tree Preservation Plan'rf lot platled areer 711f93
Rim Joisl Defail Optlons selectlon sheet (bldgs wBh 3 or less units
Date 'J,, !A Y l 0?1 Construcfion Cost
SiteAddress `r70 1 0M 4?V Unit/Ste #
? ?f ? ?N 3-/r7?
Description of R'ork 7?EG k
?
Multi-Family Bldg _ YN Fireplace(s) 2
Property Owner TelephoNa (6ri ) Us? -yi;g
?^' l 6 - 16 '
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category t Worksheet • New Energy Code Workshaet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Pernut and acknowledge that the informatiqt?? te;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the 3tate of MN
Statutes; I understand this is not a permit, but onIy an application for a permit, and work is not to start without a
permit; that the wark will be in accordance with the appro p m the case of work which requires a review and
approval of plans. n
Applicant's Printed
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
O 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New
? 32 AddiGon
? 33 Alteration
? 34 Repiacement
Valuation (9 "
Census Code LL?Lq_
SAC Units
# of Units
# of Bldgs
Type of Const
Footings (new bldg)
X Footings (deck)
T` Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Occupancy U-3 '
Zoning
Stories
Sq. Ft.
Length
Width
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
FinaVC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs _ Air/Gas Tests
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ 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
? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
`Demolition (Entire Bldg) - Give PCA handout ta applicant
-3 • a.S
j0',L
;_i v r-> a
??v _'
.
,
'
? . ? .??
.
?c?` ?Q.a ??? ` J „?•?
imii
/CV/
op ` I
e 4 r.
Fk
??ti9?1?o ?TD•?'!? ???lT Y973,y
S a ?'I\1\\V????\ ?
3.
10
v Y \ v Di /
Z ZS,S ?9 ? ?o
w Ex Zo, - IL
N" I <?
0 , ?-?-
? w w `\ ?b ' z3?s 3r
II -?', ?
?N pP
0 ; ..I N
4? o°
el ? \ d-
2 I ,o ?
L 2b N F? ?.i 9 ? i0
7-
Jl ?
LI1
? L x 9? 8.1 3 q-?. I?. ? Qa <7T roA,' q
x
1,-S o tz-c' H
Sc.ALE t" = 30'
ALL. 6EAfLiN4?j AS`?UMED
oDeNO-TEg 120Q MONUMEI.IT
i I
?
d
?
I vI
?aQ
II
D?Sc??pTiotJ
LoT I ? F5?-ocic.. Z,
YI?NNA WooDS?
DP.V-c::)TA? coUNTYj
MItiK1u- SoTn,,
I hereby certify that this survey was prepared by me or
under my direct supervision and that 2 am a duly Registered
Land Surveyor under the laws of the State of Minnesota.
Date s_/YrA ?? e f G i _ 42""7? e e5:1,
Le o? y H.--Bohlen
Registered Land Surveyor No. 10795
Use BLUE or BLACK Ink
I For Office Use I
I I
Permit ~ q
City of Eap
I Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 ; Date Received: j
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 1 Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
6 Name: Z c, . J ~ J C _ c Phone: 6,5 - ~S~ - 0,3 J,.5
Resident/
Owner Address 1 City / Zip: 7 Q O Ce
Applicant is: Owner Contractor
Description of work: / L C_ /L v a
Type of Work
Construction Cost: D d Multi-Family Building: (Yes / No
Company: L 0 c.e 4, c ,S ~n3 e- Contact: 6
Address: City: U
Contractor
¢ State: Zip: Phone:
License ~3C QQ 3 6 j2 S~ Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they . a are trade secrets.
- m ,
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.ciopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
17
x X A-
Applicant's Printed Name ,applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
�-----------------,
� For Office Use �
� /�gd�2 �
�4� 0�L���n .5�,�,��.a3 +�+r �';;,�,. F � Permit#: I
ll �
E830 Pilot Knob Road O�`� � � 20��{ � � Permit Fee: ��'� i
agan MN 55122 �. � !�_a�� /�
Phone:(651)675-5675 , /��_ Q ' ` I Date Received: �
:., ���,.q. � � I
Fax:(651)675-5694 �
� Staff: �
-----------------�
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2)sets of plans with all commercial applications.
Date: 10/21/14 Site Address: 4701 Oak Way
Tenan#: Suite#:
����� � � Name: Susan Griener
� "���id���� _ �,`u_ . � Phone: 651-452-4122
t Address/City/Zip: same
� � Name: K&S Heating, Air Conditioning & Plbg LLC�icense#: MB5216
�
,4ddress: 4205 Hwy 14 W c�ty: Rochester
� C�011�� � � ,r
� state: MN zip: 55901 Phone: 507-282-4328
� �� contact: Heidi Brown Emaii: hbrown@ksheating.com
� �_
� New Replacement Additional Alteration Demolition
� �Type �� ' �� ��,�'� � Descri�tion of work
� �� ' J � �l� 7ttt@C� �r� �i ;i r � r3�d9a9 ��'"��'8�6��e �j�'�7x1iG'Ylt� � ; �Ll�?e SCI'@@Il@C� b�/',�'1�1f �
� � ��' � � il ��.�Dtlt2'� r i 'I� i� F°° + � ,'���`�¢"� �r'b J41� h P'q��tlOf1�7t I [ i i��� SCPQ811{Ilg l71L#�10C��
- � � 3�
a�� „w��, .��� .�� ��..� ,�. �
, �����,�.�� �tt �.. �a� �� �.�� ���� �. ��.�.r��,�w:�� �
� � RESIDENTIAL COMMERCIAL �
� xx Furnace _New Construction _Interior Improvement
�` ��r������� � XX Air Conditioner _Install Piping _Processed
� _Air Exchanger _Gas _Exterior HVAC Unit
� _Heat Pump Under/Above ground Tank �Install l_Remove)
P —
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ 60.00 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 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.
X Rick Keehn X �,�jf���—
ApplicanYs Printed Name ApplicanYs Signature
� - .�,,�. � ..
FOR OFFIGE�!�^�
Required Inspe�����s: ��v,;��+.��';��;°o� �;-.r����
Under� � '��uah , ;�� � .�' Ga�� ��`E" �°1��.�� Final f 1 �i,�.
. .�. � , �.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177173
Date Issued:06/20/2022
Permit Category:ePermit
Site Address: 4701 Oak Way
Lot:001 Block: 002 Addition: Vienna Woods
PID:10-81950-02-010
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Suzanne Kay Grieger
4701 Oak Way
Saint Paul MN 55122--233
Tony's Appliance Inc.
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature