2029 Pin Oak DrCASH RECEIPT
CITY OF EAGAN .
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 _
VED .
? I
? AMOUNT $
c
A
1k DOLLARf
oo
7
? CASH Q CHECK
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank Yau
-- ? CASH RECEIPT -?-
r
CITY OF EAGAN - '
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
necEIven
FROM
/ I
AMOUNT ? -?- -' '
. •i i
& DOLLARt
7oo
E] CASH ? CHECK
BY
..t ., -
' White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You .
BLDG. PERMIT NO.
..
01-3Y1(( ?Bldg. Permit
.
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 Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
v
U
TOTAL 5fYs7 Io v
CASH RECEIPT
C1TY OF EAGAN ?
3830 PILOT KNQB ROAD
EAGAN, MINNE50TA 55122
?. , . DATE 19
R¢GEIYEG
FROM AMOUNT $ I
[3 CASH
& DOLLARS
1 oo
Fl CHECK
`-
FYND COOE pMOUNT
Thank You
BY
, 14e. _, .
White-Payers Copy
Yellow-POSting Copy
Pink-File Copy
' CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121
PHO N E: 454-8100
BUILDING PERMIT
To be used for 'Est Value
Site Address _
Lot Block
Parcel No.
l1AK
Receipt
547
Date -----------,19----
Sec/Sub. 1i'?` M i DGE
c Name • • GRACF Coi ?
= Address ° City " Phone 9030
.o Name .' F. 541-31'3 ! ti'rcL,F.R;
0 H
Address
? City Phone
Va
y? W Name
i ? Address
g W Ciry Phone
I hereby ecknowledge that i have read this application and si
that the information is correct and agree to comply with all applicA
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee I
A Building Permit is issued to: s'A' C111= cm
all work shall be done in accordance with ail applicable State
OFFICE U8E ONLY
On Site Sewege OcCUpenCy
MWCC System _ Zoning
On Site Well Type af Conat
Ciry Water _ (Actual)
(Allowable)
* of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit
WafedSewer _ Surcharge
Police Plan Revlew _
Fire
_ SAC, C? ????
- S25
OG
Engc SAC, MWCC .
_
Planner
Water Conn. ????
!
Council
_ Water Meter ?
?
Bidg. Of}. Road Unit •W
APC _ Treatment P7 to-v-xU
Variance _ Parka
Copies
Fz
-z"--30
TOTAL 1
on the express condit(on that
nnesota Statutes and City of Eagan Ordinances.
Permft No. Permit Nolder Oata Telephons X
Plumbing
- ;
H.V.A.C. X70
Electric `??g??7
Softener
lnspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. ,.
Rough Htg.
isui.
Fireplace
Final Htg.
Final Plbg. F
Bldg. Final
C81't. OCC. /.' - H • 6 4?i ?' .?1 ??CIi1 C n?
Temp. LP
Deck Ftg. ? e _zy, _p
Deck Frmg.
Well
Pr. Disp.
_.. . . .. , .. . . _ _ -r . .,
PERMIT # ACo D
" PLUMBING PERMIT
L' ?
CITY DF EAGAN RECEIPT # ..
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address n IZ ?%' BLDG. TYPE WORK DESCRIPTION
Lot ?.T Biock ? Sec/Sub Res. ? New ?-"
? Mult. Add-on
Vf,
? Name Comm. Repair
.T Address Other
c Ciry ZZ,Art'd
.,,'ae Phone ? RES
PLBG
ONLY - COMPLETE THE FOLLOWING:
. .
.
NO. FIXTURES TOTAL
-I-Water Closet - $100 ? ? -
Name '
' ?
_JL-Bath Tubs - $3.00
• ?
3 Address L
t
$3
00
ava
ory -
.
p City Phone Shower - $3.00
I Ki?chen Sink - $3.00
FEES Urinal/8idet - $3.00
COMM/IND FEE - 1°Yo OF CONTRACT FEE L Laundry Tray -$3.00 -'• ?'
APT. BLDGS - COMM RATE APPLIES °_Floor Drains -$1 50 ='^
TOWNHOUSE 8 CONDO - RES. RATE APPLIES f-Water Heater -$1 SO 1• 77
MINIMUM - RESIDENTIAL FEE - $12.00 Whiripool - $3.00
MINIMUM - COMM/IND FEE - $20.00 ?Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) ? Well - $10.00
Private Disp. - $10.00
50 4' ~
Rough Openings - $1
3
._
.
SIGNATURE OF PE MITTEE ? FEE: `% SU
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: ?? `J
;.. _ . '
PERMIT # ZS?[S
• • . . . MECHANICAL PERMIT
?y-
,
?G
'
? ?
CITY OF EAGAN RECEIPT # Z
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE ? ?'?'"fl ?
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot ? lo Sec/Sub
Res. New
Mult. Add-an
y Name
Comm. Repair
co Address
? CitY ?k4 Phone Other
FEES
Name RES. HVAC 0-100 M BTU -$24.00
3 Address ' z, ADDITIONAL 50 M BTU - 6.00
p City f04WIk Phone gdT? INCLUDES A/C ON NEW
CONSTRUCT ON}
GA5 OUTLETS
MINIMUM
1 PE
P
I
(
-
R
ERM
n - 1.50 EA.
TYPE OF WORK COMMIIND FEE - 796 OF CONTRACT FEE
Forced Air M BTU ? APT. BLDGS. - COMM. RATE APPLIES
il
r
B
M TOWNHOUSE & CONDOS - RES. RATE APPUES
o
e BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unft Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ N?INIMUM COMMERCIAL FEE - 20,00
Vent
CFM STATE SURCHARGE PER PERMIT - .50
. (ADO $.50 S/C IF PERMIT PRICE GOES
Gas Piping OuUets # BEYOND $1,000)
Other
FEE: J.34??
S/C: ' SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
• 5 • 4L
(gtrtrf ir?tit uf (Orrupttnry
titp of eagan
Erpttrtnpnt o# ]Wbing JWpriian
Thts Cerlifrcate r'ssued pursuant to the requireneents of Section 306 of 1he Uniform Building
Code certijying that at the time of issuance tius structure was in compliance with the various
orrlinances of [lie City regulating building constrrrction or use. For the following.•
lbe C4asiGcation --? DUP ac GAR Bldg. lbrmit No: 13547
0-+W-Y TYPe R3 ZooinQ Distria gi lype Caost v
o?or %w;g g.H. CINCE ? Ad6r.. 2004 VM'NA I1*Z, LSCh'v
B„M;,,e Ad&-= 2029 PLN OAK IIRNE Loa;ty I.S9 B It WH+I RIDM
Da,e: ,]UI.Y 24, 1987
eum,g arcud
POST IN A CONSPICUOUS PLACE
?
` - y CITY OF EAGAN
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt ?
To be used for ti' Est. Value `J)' w)' Date
13598
i
19
Site Address OFFICE USE ONLY
Lot BloCk SeC/Sub. `??' "' ' 1 ?K,r: 1•' •' On Site Sewage _ Occupancy 1: ._
MWCC System _ Zoning
Parcel N o. On Site Well Type of Const y
a Name
W
z Address
g Citv
City Water _ (ActueQ
(Allowable) ?
* of Stories
Length
?
Depth
S.F. Tota!
.8 Name Footprint S.F.
? ? Address APPROVALS FEES
a
?
City
Phone
Assessments
_ Permit
F Water/Sewer _ Surcharge
Q
F W Name Police _ Plan Review
_ Z Address Fire _ SAC, City
,
uZ Engc _ SAC,MWCC
c W City
Phone
Planner
Water Conn
1 hereby acknowledge that 1 have read this a
that the information is correct and agree to com
State of Minnesota Statutes and City of Eaga
Slgnature of Permittee
A Building Permit is issued to:
all work shall be done in accordance with all e
Building Officiai
Council _ Water Meter
lication and state Bldg. Off. _ Road Unit
with allapplicable APC _ Treatment P1
rdinances. Variance _ Parks
Coples
TOTAL
on the express condition that
)
?Iicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Permit No. Permit Holde. Deta Telephons x
Plurubing
4
H.v.ac.
Electric
Softener
Inspactlon Dsts Insp. Comments
Footings I
Footings II
Foundation
Framing 1 C•?.
Roofing
Rough Plbg.
Rough Htg. ,. /7 L•? Ncc?G . Gr.r.•' P D,?t ?J?
Isul. u. ? .
Fireplace
Final Htg.
Flnal Plbg.
Bldg. Final ?.?•s ,?- ? , .
Cert.Occ. 7.fy,? :,-
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
CONTRACT PRICE:
Site Address --r- - ?
Lot? `r?- Block?-?
/,-
? Name
m
?a Address
c Ciry S...t__ Phone ?a •??`
Name
3 Address -
p City ` Phone `+ 5 E `.
FEES
COMM/IND FEE - 146 OF GONTRf1ETfEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMMIIND FEE - $20.00
STATE SURCHARGE PER PERMIT - 50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
-
SIGNATURE OF RMITTEE
FOR: CITY OF EAGAN
?,?..
PERMIT ti
PWMBING PERMIT RECEIPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100 -
' . :.- ?• BLDG. TYPE WORK QE,SCRIPTION
Sec/Sub Res. ?- New ?_-
Mult. Add-on
Cornm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NQ, FIXTURES TOTAL_
?_Water Closet - $3.00 $ L
Bath Tubs - $3.00
? ?
Lavatory - $3.00
Shower - $3.00 _J
-)_Ki?chen Sink - $3.00 ?
Uhnal Bidet - 1300
Laur+dry Tray - $3.00
'
.
Floor Drains - $1.50 ?
Water Heater - $1.50 11;
Whirlpool - $3.00
A: ,
?
Gas Piping Outlets - $1.50
-
(MINIMUM - 1 PER PERMIT)
So(tener - $5.00
Well - $10.00 '
Private Disp. - $10.00
"
"
?..?Rough Openings - $1.50 '
•
FEE:
STATE S/C:
GRAND TOTAL•
?R;, . . r . ... . _ . PERMIT #
' ' • MECHANICAL PERMIT ?
RECEIPT #
' CITY OF EAGAN
3830 PILOT KNOB FiOAD, EAGAN, MN 55122 DATE
RACT PRICE:,, z PHONE: 454-8100
A. ? T
Site Address
Lot ?" Block
? Name
? Addr?
c City _
? Name
c Addre;
O Ciry ?
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
Phone
7r M BTU
M BTU
M BTU
M BTU
?- CFM
FEE
S/C:
TOTAL•
BLDG. ?1fpE
Res. ??
Mult
Comm.
Other
WORK DESCRIPTION
New x
Add-on
Repalr
FEES
RES. HVAC 0-100 M BTU -$24.00
' ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 1°r6 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PEfiMIT PRICE GOES
BEYOND $1,000)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
(grr#ifiratir uf (Orrupanry
titp of (Eagan
Etpaftn1 nf vuflbircg jrcwPriinn
This Certificate issued pursuant to the requirements of Section 306 of the Unijorm Building
Code cenifying that at rhe time ojrssuance thrs structure was in compliance with the various
ordinances of ihe City regulating building corrstruction or use. For the foUowing:
uec aasritkadon j i' DuY & Blk PErmit tvu. r' 59?z
Occupaocy Type R3 1 7oning Distria "• 7ype Com, -?-- - - - --
owworeowm Ad&,m .°;'i.: ?_A r_?i???, '•i.
,? 2(?31 PZN nF' ? ':"`- ? t'?f?
a?ai? aae ty .
.. Datc ;Uy '
POST IN A CONSPICUOUS PLACE
PERMIT #
PLUMBING PEliM1T
R
PT
C
16' 9CL
E
EI
#
CITY OF EAGAN
3830 PILOT KNOB ROAD, EA(iAN, MN 55122 DATE: 2
CONTRACT PRICE .? ' PHONE: 454-8100
Site Address 3 j ? - BLDG. TYPE WORK DESCRIPTIQN
Lot Bock Sec/Sub Res. New
Mult, Add-on
? Name Comm. Repair
m
'@ Address ? -' o ' Other
c Cit? Phone - RES
ONLY - COMPLETE THE FOLLOWING:
PLBG
' .
.
NO. FIXTURES TOTAL
Water Closet - $3.00 f
Name
Bath Tubs - $3.00
3 Address f-
41 t
- $3
L
00
ava
ory
.
p Ciry Phone.4,_X.?f7 Shower - $3.00
? Kitchen Sink - $3.00
FEES Urinal/Bidet - 53.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$t 50
MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - S300
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES -1-Softener -$5.00
BEYOND $1,000.00) _ Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STATE S/C: `- '
FOR: CITY OF EAGAN GRANQ TOTAL: ?
Control
INSPECTIUN RECURD No. _
CITY OF EAGAN PERMIT TYPE:
AlA98b
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date tssued:
(612) 681-4675
SITE ADDRESS: t aT t •61 totvc t: : i APPLICANT:
20_4i #'IN AAK QR EMMERT JAY
RANN R1DH€ (612) 727-1625
PERY?r§UBTYPE:
TYPE OF WORK: Ntru
REMARK9: IiECEipT •
PMmlt No. Pennfl Holdx Dab TeisphorN #
$/VII
PLUMB1tVG
HVAC
ELECTRIC
EIECTRIC
Inspwtton Date hmp. CammaMs
Faart"ngs I
Foundation
Framing
Roo(Inp
Rough Rlbg.
Rmo M9•
Isul.
Firepfacs
Flnal HIg.
Oreat Test
Finel Plbg: Plbg. inspector - Notiq+ Plumber
Corret. Mater
EngrJPten
BIdQ. Final
??. y
Deck FkW ?9
weli
Pr. Disp.
r.v. ovw ? ?nv..
u
Eagan, MN 55DATE:.n
Zoning: ? "No. of Units: Dup ex
B. fi, Grace Company
Owner.
I Addr°°°:
? Site
? Plun
1
I agree to comply wRh tbe City of Eagan
I Ordinances.
BY
Date of Insp.:
Owder. B H e
AcLdrbss: -
SiteAddress: ?031 Pin Oak D-ive LS B1 F,ahn Pidge
Pluinber. 11 1 It 100.00pd
5-11--87 73 '
I agree io comPlY with th n ti #jhrge: -??..?^9gd
??$?lfl? -ca5??
ordinancea. ~ TELEPHONE • ELE c: 3 S eePd
REQUiRED a, _
By sc c rges.
Date of Ins ' TotEtl . :
Insp.: Date Peid:
CI1'Y OF EAQAN SEWER SERVICE PERMIT
3630 PNot.KNob Road c?g 5?,
pj?. P,of 21199 1 PERMIT NO?
Eagan, MN 55121 DATE: 6-4--87
-R? No. af UMta: iQlex
Zoni.7g: _
? / %?
. 7
CITY OF EAGAN Permit Na Datec "- , ?i?5 U ?.5( `?2OG
3830 Pilot Knob Road Meter No: Size: L. g? g 3D Dat? G .s??8,7
P.Q. BoX 2' 7 Reader Na Q3
Eagan, MN 55121 .
_.
. . "r ('o.
Owner.
Site Address: 2029 P?1 Oak ''rJ4" T% Bl r,a'_jr? i?jdE=e
Ptumber '?ZIE
Conn. Chg: `-
Ac"ct dep:- 1 ?s
Permit Fee: ?
Surcharge:
Connection Charge: 525.OORd
Account Deposit: 15.OQpd
Permit Fee: 10. 00pd
Surcharge: - 50Re
Misc. Charges:
Total:
T!u 1 ex ?
wfth the Ctty o1 Eaqan
Tr. Plant tiranances.
Meter. 67,
?
Misc.:
WATER SERVICE PER
d'rY oF EaOAH SEWER SERVICE PERMIT ?
343.0 Rhoi" knob Road ? q? E,
P.O. Box 21199 PERMIT NO.; ?,1
Eagaa, MM 55121 DATE: 6-} 7
Zoning: No. af Units:
Owner. r • H. CraCe C?+?8n9 - ?
Address:
Site Address; =_2`32 ?`?' ??k ? ive L 5 B1 P,ehn r id e
Plumber. ? Va 1 Pluuabin 7
s.ll a7 73342,
! agree to comply wNh ihe Gty oi Eagan
Ordinances.
t gy
Date of insp.:
Inap.:
Box 21199
in, MN 55121
Date
Size:
Date:
Owner. B• ={• ?'race Company
Site Address: "in t;ak ^r i ve T. P 1
Plumber. Pz1I7'.2Ii
Conn. Chg: _ - , !; . 2oning:
Acct. Dep: ? 5 No. of Units: -? --
., ?
Perrnit Fee: 7
Surcharge: _•;i :,,:' t agree to comply with the City of Eagan
Tr. Plant 1;?, i- `1?}t d Ordinances.
:. i
.
8V
Penaltv gy
WATER SERVICE PERMIT
_-?----- '
Ct'TY OF EAGAN Permft No: ?r ^?
Date:
3830 Pilo1 iCnob Raad Meter No, - 7b'15'3 yoZ a? giZe; - c c
P.O. box 21199 Reader No: Q 3T Date:
Eagan, MN 55121
Owner. ? • -`?. rr:3c:` ' ur;*;a_,,.
Slte Address: 20 ,_ I !, ,,.n r.• 1 ,e
0811. Chg:
, 5•? I I /$e?a V ?• • -
i
.
cct Dep: (?j
s agop, 1'?lg C8 I
?
i
'
? -?i?
?
'
-
Permit Fee: ± - ELE
Surcharge:
T
Pl ? r??iply with the City of Eagan
r.
ant I ? .l{? rdlnances.
Meter. 1
Misc.: ?
?
lenaltv g
WATER SERVICE PE T
I Permit No:_
Road Meter No: _
Reader No:
343 I"J0. UOrII:
Connectlon Charge: -; 7 S
Account Deposit: IS QQPJ-
Permit Fee: ??-"'
Surcharge: SAr^2-
_ Misc. Charges: P?nA ? r1.9-La-aQpd-
_ Total:
_ Date Paid:
W.arcwrm
88u2
. _ . .. ,'. _" ' , . - . . . ^. . r. . . - . .fw...--.r.?•„YR"-..-r .
CITY OF EAGAN Permit No: Date: 5°4`-87 3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader Na: Date:
Eagan, MN 55121
Owner.
Site Ad
17
Conn. Ghg: _ =595: `?!'.)P-d Zoning: R2
Acct. Dep: 15 •00gs' No. of Units: 'uple.x
Permit Fee: 10 •0Qpd
Sureharge: •50pd I agree to comply with the Cily of Esgaa
Tr. Plant 1:.' O. 0{}Fd Ordinances.
Meter r7. g4??
AAi- ?
SERVICE PERMIT
OF EAGAN SEWER SERVICE PERMIT
PNot IGnob Road 79955
iox, 21190 PERMiT N?E3:
i1;-MF13'?121 DATE -- +--
, - T2? ' -.eplex
9: '_' •'i . Grace Company ' oi Units:
?
tocom I wlth ar e: 52S.OCIgd
?cea. p y ""e?fE?'E°b?lmt caii IF ? ?t g i 5. ooFa
SELEPHOfVE'c. in n d
. :; . Cratce Co.
REQUIRED 111AW -50pd
r isc. che?geg:
Total:
Date Paid:
af Insp.:
RESlDENTIAL
?7 90 7 BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KN06 RD • 55122
651-881-4875
NewConstrudlon Reauirements RemodeVReoairReauirements
• 3 regislered site surveys showing sq, ft. of ht sq. ft ot house; an?ll roofed areas • 2 copies of plan
(20%mazimum lot cuverage albwed) • t setof Energy Calalations for heated addNOns
• 2 copies of plan showing 6eam 8 window sizes; poured found design, etc.) • 1 site survey forexlenoradditions & decks
• 7 set of Energy Calculations • Indicate if home served by sepfic system for additions
* 3 copies of Tree PreservaGon Plan if lot platted after711193
• RimJoisfOetailOptlonsselecfionsheet(bldgswith3orlessuniLS)
DATE /O - l9-Q f VALUAfION '?"V 0C9C`J o
JOB SITE ADDRESS a0 a- q N" vU A-V_ ? r' ??? o OVt1 `My19 S S I a a-
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Y? ?? c?1cP jn.rI s?u
TYPE OF WORK tn9 6 r2-P Yoeu3E- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT J o ?PHONE# 5 07 ? 37 ?-C/a-J
ADDRESS '1 t`I yV1A-rs G?- 0- ? I ?1?-- T? I IQ3Yf"' >>!)1.) ZIP CODE b68907
PAGER # CELL PHONE # 5?07 -? Ci 1- 1?ad PAX #'a?? 7- 3D 3- U 3 l]
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submiked
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Contractor:
_ Water Softener _
_ Water HeaCer _
No. of Baths
Air Concliiioning
Heat Recovery System
Phone #
Phone #
Pee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or inances. 4,tt-
Certificates Signature of Applicant
of Survey Received _ Tree Preservation Plan R ived _ No Required _
Updated 1101
Phone #:
Lawn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt - Multi
D 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement 'Demolftion (Entire 81dg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings(addirion)
Foundarion
Drain Tile
Roof Ice & Water Final Other
Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insulation _ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Fina]/C.O.
FinaUNo C.O.
_ Plumbing
HVAC
Building Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4675 ?n
New Conswction Reauirements RemodellReoair Reauirements
• 3 regislered site surveys showing sq. ft. of lot, sq. ft. W house; and all roo(ed areas • 2 capies of Dlan R? b-0 I
(20°k macimum bt coverage allowed) • 1 set of Energy Calcula6ore for healed addNOns
. 2 coples of plan showing beam 8 windax s¢es: poured found design, elc.) • t sile survey for exierior addNOns & decks ?
• t set of Energy Calculalions • Indicate N home served by seplic system for additions
• 3 copies ol Tree Presenal'wn Plan'rf Wt platted afler 711A3
. Rim Joist DetalOptions selection sheet (ddgs with 3 w less unAS)
DATE 914 In 1 VALUATION
JOB SITE ADDRESS o1l!)Qq 3)tO i B2_ tL1QO..0 rf,rl 551aa
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER 79
TYPE OF WORK P?- E'tmtv-s , FIREPLACE(5) X 0_ 1_ 2
APPLICANT PHONE# IC5I "qZ-DS6Io
ADDRESS L4 tn (''CL.- 1 ZIP CODE 550c7.
PAGER # rU`tI& eELL PwoNe # qt;) -453- io84\ FAX #
w3s? "Z"70
NEW RESIDENTIAI BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RUI.FS 7670 CA'TEGORY 1
(check one) - Residential Ventilation Category 7 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULFS 7672
New Energy Code Worksheet Submitted
Piumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Hea[ Recovery System
All above information must be submttted prior to processing of application.
Fee: $90.00
Phone #
Fee: $70.00
n? ? 11 ????
Phone I °1
Ly =-- _-_?
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
. Updated 1101
Phone #:
Lawn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY
0 Ot Foundation ? 07 05-plex
? 02 SF Dwelling ? OB 06-plex
? 03 Ot of _ plex ? 09 07-plex
? 04 02-plex ? 10 OB-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex 0 12 12-plex
Zb 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
? 13 76-plez
? 16 Fireplace
? 17 Garage
? 18 Deck
tV 19 Lower Level
Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
O 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
Int Improvement ? 38 Demolish (Interior) ? 44 Siding
Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
•Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Od0 -10 Occupancy MC/ES System
Census Code Zoning ' • ?J-? ' ' City Water.
SAC Units _e)/ ' Stories' '. _ Booster Pump.
NbCof Uriits ? Sq. Ft. PRV
Nbr. of.Bldgs ? Length , Fire Sprinklered
Type of Gonst• Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck) FinaUNo C.O.
Footings (addition) _ Plumbing
Foundatioa HVAC
Drain Tile
Roof Ice & Water Final Other
Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
FinaUC.O.
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Suppiy 8 Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies Other
Total
_ Pool _ Ftgs _ A'v/Gas Tesu _ Final
_ Siding Stucco Stone
W indows (new/replacement)
Approved By , Building Inspector
This reqoest vold aj/?/87
c ?9?7f?2 87 /-5 ./j/
P??6 S2
Nequest Daia ?
p
? Fire No. Roup -in Inspection
Aeqwred?
Yes ?NO
Reatly Now Will Noiify_ InsPec-
lsl r When Ready
Licensed Electrical'Coniractor - I hereby requeet insooetion ot ebove
Own¢r eleetrical work installed at:
I $treet Address. Boa or flaute No. City
oZOo2 g lpi1s' (94-1?'
30
or
MINWSOTA STATE BOAqO OF ELECTXICITY
Gripps-MiEwey BItl9• - doom N-097
7827 Univareitv Ave.. St. Peul, MN 65104
Phenef61216d2-OBO0
d
THIS INSPECTION REQUEST WILI NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PNOPEA INSPECTION FEE IS
ENCLOSED.
.2"/9 87 REQUEST FOR ELECTNICAL INSPECTION ?e/ep-o?aoopi-os
, See instructions lor completi" Mis inm on back oi yellow copy.
/ w.
7 R" 8elow Work Covered by This Request .
Adtl Xeo. Tvue ol BuilJino Aooliantee Wired Equiumenl WIre9 1
1 Furnace 1 1 Silo Unloader ?
[+? 1 CommerCial Bldg. 1
Industrial Blda. Air Conditioner Bulk Milk Tank
k Fea ServiceEntranceS eda?s/Subfaeders N Fea Circuita
U to 200 qm s 0 30 Am s z- 0 tn 30 Am
Above 200 q
I M to 100 Amps / Ot! 31 to 700 q
Swimmin Pool 100Am s
e
A8bo
ormer5 ;
tion Booms ?j Partial-'Other Fee
Signs Special lnspection ??sr
y? TOTAL FqE ? ? „a
?
e?rerks
r ?r-.•i
ffi
? e Elaetricel
nspector, hereby
certify Ihet tha nbova
?nspection hes bean
reQUeat
This rxquest void ,$'/?5/8-J
months from ^ `
?
9' 6 ;?
7 ??c cY?2
X?,/V °=
Hequest Da1e Fire No. q
ugh-
InSDection
??? e,
? ?peatly Nuw1C 1 Will Notifv. MsPec-
?T ?or Wh
fl
;.,5• Yes ?NO en
eatlv
'aLicensed Electrical Coniractor I hereby repuesi inapection ot ebove
Owner electricel wark insfelled aC
Sveet Address. Box or Poute No.
.?a3l P.,v `&.*K Citv
ecLOn o. TownshiD Name or No. Range o. Counly
Occupant (P,RIC?C ? Oa
r /? Ph??( 96 ?O
Po S?pplier Atltlress
/
K U
El cal Conhacmr ICampany Namal Cunvactor's license N. .
.
o F ?leU?riG
T 4 Ogloo
Mailine Address (ConVaclor or Owner Making Instailation)
?
.<., 4
le E ?e&I//?
orized SiBnature clor/Owner MakinB nstallatinnl Phone Num?er
?3S%?
MIAESpTq STATE BW1R0 OF ELECTPICITY 7MI5 INSPECTION REUUEST WILI NOT
Gripps-Midwey Bldy. - Noom N•191 BE ACCEPTED BY TME STATE BOARO
UNLE55 PqOPEH INSPECTION FEE IS
1821 Univeralty Ave.. St. Peul, MN 56106
Phone(613) 642-OB00 ENCLOSED.
q?$2 REQUEST FOR ELECTRICAL INSPECTION kVk Ee-oooai oe
If Sea insiructions for tomolatinB lhis lorm on Eeck ot Yellow capy.
6`743 C "X" 8elow Work Covered by 7his Requesl
NexAAAdl peo.l Tvoe of Builtlina 1 Aooliencea WiraE 1 Equipma., WireE 1
I I I I Industrial BIAa. I I Air CorMitioner I I 8ulk Milk Tenk I
p Fee ServiceEntranceSize N Fee Fawdars/SUbfeeders b Fae Circuits
??AO U to 200 Am s 0 to 30 qm s o27 0to 30 An:
Ahove 200 qm )s 31 to 100 Amps 31 to 100 AMps
Swinxning Pool Above 100_Am s Above 100_Am s
TranSformer5 Irri tion Booms Partiab"Other Fee
5'gns ? I ISpeciallnspection TOTA E 1
emarks , 7 ?? ?
n..uV^-•?? ) ` I. LM1B 'IFIle
I
C'? .. SpBCbq e/eCV
cerli/y lhef the above
Final U'??e ? 'nsoection has been
. ?- a j mada.
mbreque,t+oie
, CITY OF EAGAN N2 13 5 9 7
' 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121
PHONE: 454-8
B
IL 100 ? 3 3? J ?
3
U
DING PERMIT #
Receipt Y
Tobeusedfor 1/2 DUP & GAR Est.Value $55,000 Date MAY 11 19 87
Site Address 2029 PIN OAK DR OFFICE USE ONLY
R3
Lot 5 Block i Sec/Sub. RAHN RIDGE On Site Sewage Occupancy
?
?-
MWCC System 2oning
Parcel No. On Site Well Type of Const y
Ciry Water X (ACtual)
a Name B.H. GRACE CORP (Allowable)
; Addrass 2004 VIENNA LN #ofStories
Lengtn ?_
a EAGAN 456-9030:'.
City Phone Deoth 46
S
F
Total
,a Name SAME 541-3131 (PAGER) .
.
FootorintS.F.
? Address APPROVALS FEES
9
P City phone pssessments _ Permit $ 346.00
27
5
Wetery58Wer _ SurCherge .
0
° W Nerlie Police _ Plan Review _-L73..00
?i
x-
Address Fire - SAC,Ciry 100.00
p? Engr. _ SAC,MWCC 595- 0
aw Clty PhOne Pianner _ WaterConn. 575.00
Council _ WaterMeter 67.00
I hereby acknawledge that I have read this applicatlon and tate Bltlg. Off. _ Roed Unit 305. 00
thattheinformationiscorrectendagreetocomplywithallappl' eble APC _ TrealmentPt 18(1_[l0
State of Minneaota Statutes a ty ot agan O'nances Variance _ Parks
COpies
Signatureof Permitte roraL 248.50
A Building Permit is issued to: B. N. CE C RP on the express condition that
all work shall be done in accordance with all p ble State o M innesota Statutes and City of Eagan Ordinancea
Building Official
?
2
bI RESIDENTIAL BUII.DING
l ? ?,3 Pertttit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
kokls
New ConsWcUon Reaviremenls RemodeVRenair Reaui2ments Oflice Use OnN
3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas 2 copies of plan Cert af Survey Reoi _ Y_ N
(20°/a maximum lot coverage allowed) t set of Energy Calahtbns for heated additbns Tree Pres Plan Read _ Y_ N
2 copies o( plan showing beam & window sizes; pourad found design, etc. 1 site survey for additlons 8 dedks Tree Pres Reqd _ Y_ N
1 set of Eneyy Cakulations Add'Alon • indirafe ilon-site seph'c system On-site Sepuc 5ystem _ Y_ N
3 copies of Tree Preserva8on Plan if bt platted after 7/1193
Rim Joisl Demil Options selectian shcet (bldgs with 3 or less units
0 a
Date 3 Construction Cost
$iteAddress -L-0-3) ?( 1 W OiF{?'-ZfLl UniUSte #
- i-1 'L2._
Description of Work 7-fs? 0f-F a" "'/TY VV 14-
Multi-Family Bldg _ Y_ N Fyreplace(s) _ 0_ 1 _ 2
PropertyOwner ?G(<< VVI l iZa Telephone#(??^'?
/
5
er7? LI L t?
'
I r" '- -t-
`•"S5 17-
1
Contractor 2-O D O -
j1 S7
Address ce,?cS' &? szi, City vul? 15
State (/ v ?yJ Zip J??{ D`i Telephone #((y 1-4 E27-34 ?[.?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Suhmitted Submitted
• Energy Envelope CalculaUons Su6mittad
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 Perxnit 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
nd
a
permit; that the work will be in accordance with the approved plan in e e Nz:
approval of plans. ?j LL l/?1,^.t ?? ?-??
ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchfAddn.(4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck 0 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-pleX PI6g_Y or _ N ? 25 MiSCellaneOUS
Work Types
? 30 Accessory Bldg
? 31 Ext. Alt - Mutti
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Mqve Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Afteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to appliwnt
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Fina]
_ Fiaaung _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Hedlund
LMd irrreyon
Engineering Services
Clrll Enqlnoors Land Plonnen
SAWROKS ti wte
P P?oposed P
`? f/045G N
/7.67
JOB N0. -5111-264
SURVEY FOR: B.H. Grace
DEiCRIsED AS: Lot 5, Block 1, RAHN RIDGF, City of L,agan, Dakota County,
hiinn esota, and reserving easements of record.
TOP OF FOUNDATION = 933-4 -
GARAGE FLOOR = 933. 0 930, 5 /00
00 934.0
8A3EYENT FLOOR = 930.2 . -
SENEB SERVICE ELEV.
PROPOSED ELEVATIONS = 9zz.o e/9zI
: C:? .7 W
'
?
EXISTING ELEVATIONS : --
DRAINAGE DIRECTIONS
: ---+
I I
DEDIOTES LOT CORNSRS : o E ? -
DEliOTES OFFSET STAKE: o ?
?
Q?
?
Q
m
4
U
C
ti
,--Se -- -
l
?? .
1 I
J
? I
J
931.2
930.9 ? k I 1 X ?
,? 930.6 930.5 „°,?
P//V DAK OR/ VE
1
?? .
?
i?
I
?J
930.6
CERTIFICATE Of SURVEY
I ItrN" arfify thaf on 5/ I/87 I wrreyeA fhe propenr descri0sd obore and fAot
fM obove plot Is o cornct represenfaflon of sofd wrvhr.
8201 Ewt Bba?Niron prnwp
BbaeNOron,llYrwola 5"20
Pnonr. 68e-02"
600K _ PAGE
34 7- J.
Pio,onsed N h 0
House ? ?
/O
_L?.67
I GRR. ry I
ti GAR.
N 2 22.33 I
l 27.6 20•33 k+1 ? 32.7 SZ _
I '932.7
931. S
i- °° - - - -1
ren, Llcsnsi No. 14376
PERMIT# jV b
RECEIPT DATE:
8008 MIDEPTL4L PLUM$IN6 ?ERMiT APPIICATION
crrY og EAsAx
3930 Pu oT xxoa itn
£AHAN, MN 55122
e51-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: q?Ua.G 1Ut1 p(cl?` O
OWNERNAME:: MkCLL&A C?1'R-1S?0 e? c? TELEPHONE#: L05\- QC3S-caaL(j
(AREA CODE)
WSTALLER NAME: SG-I`(\j TELEPHONE #: 051- 40?'1--???R (D _
(AREA CODE)
STREET ADDRESS:
CITY: L9+rl STATE: (Y1? ZIP: S'51 a a
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
+ 5/8"
eter if needed -$118)
_ Water tumaround - existing dwelling unit (
m
2
p
?
Other: ---3E)Qfl a IJG,?tf?lVC) W\
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenVadditional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
Total j?G
1 hereby acknowledge that I have read this application, state thal the informatlon is covect, and agree to complywith-all.appliqbl?Eity orfEagan ordinances. It
is the appliranPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages aausedby_the. City during its normal
operelional and maintenance aGivities to t he faci li ties cons tmc[e d un der t his permi t wi t hin C iry prope /rig h t- o f- w ay e a s m e n t.
ct??c u u..t ka.woml)
SIGNATURE PERMITfEE 1102
NOTE: ALL CONTRACTOR4 MOST BS LICSNSSD IiITH THB CITY OF E9GAN
3INGLE F91+IILY DWELLINGS
ZNCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DWELLIHGS - ESSIDSBTIAL
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
RENTAL DNITS FOR SALS DNITS
OF SUR9EY - CHECg i1ITH HLDG. DEPT.,
INCLQDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND ? D L D
'/Z Cu K.EX
To Be Used For.--:? Valuation:
Site Address Lo Z q /` i 1
Lot ? Bloek ?
Parcel/Sub /?L ?q •?
Owner 0 p.?ni r f Lr ?n 6 2 ve j-
Address
City/Zip Code
Phone
Contractor CoPP.
Address 2 00 ? I/ 1 4E'6lA1s9- z'4
City/Zip Code f-'4G '4ikj
Phone 46---G - ?rD .? ?
Areh./Engr. Syl
Address
City/Zip Code
Phone lf
e-t 7U l?
?d ° ? Date: S 17
Erect ? Oecupancy -k? 3
Remodel Zoning K-I
Repair _ Type of Const 1.
Addition # of Stories
Move _ Length qo
Demolish Depth ?
_
Int.Impr. Sq Ft
Install
APP80VAIS EBES
Assessments Permit
Water/Sewer Surcharge 21.50
Police Plan Revierr 1-13.
Fire SAC 25.
z-Engr Water Conn S 2 S
Planner Water Meter (0'7.
Council Etoad Unit 305
Bldg Off Treatment P1 l$p.
APC Parks
Variance Copies
TOTAL
?
NOTE: ADDEESSS3 FOR CORNER LOTS - CONTRAC?OR/HOMEOiiNEE MUST DE3IGNATS HHICH 9DDRESS
IS DESIRED. NO CH9NGFS WILL BE 9LLOiiSD ONCE BDILDING PEIaffT IS ISSOED.
'dVeet6erurips AS.H.V.E
Guide
Windowa Doors Refereoce
Yt-s---90- I Ycs-Wo 19_
h;y) Room I Length ?-? Width
and Doora-Cracks¢e snd Arca
Comtruction No.
Wsll C_ .eilinz I
Ne. Width
of Dane Helsht
of Da
ne Ne, o[
IIffM, Llneal f.
ef crack An*
sp. tl.
?v 4
U ? ? t eis, .
Coef. Btu
In6ltration
Glass
Fzp.wall ? la , ? 00
Net exp. wall
`
lot. wall p
Ceiling ?o -? /56 7?`? 0
Floor.
7otal Blu.
Required aq. ft. E.D.R. or eq. ins. W.A. Leader area I
15•1 ('a,??i'FAt,rRoom Leneth lL-C- Width r ?_ Heiahe S?
Windows and Doors-Crnckage end Aree
Ne. Width
et p.ne Xalth,
ot wa. Ne. e[
1isMs Llnaal tt.
a[ cra
ak wna
M. ft.
/
Coef. Bro
Infileration
Glsu JfLfr {.U a
E7[p; Wall
Net acp. wall ?1J ..? e..
Int. wall 4
Ceiling
Floor -
lotal Stu.
quired aq. It. ED.R. or oq. ins. W.A. Lesder arcs
•l.1 ? , vr+•f , Room ILength ;) -r
? Widt6 !
Windows snd Doon-Crackaae and Area
Nod wlatn
af Dans xaitnt
e! p?ne Ne. ot
II{Als Llnul [L
et <rl<4 An?
p. fl.
. r', I , e+ r/? s4
)?
<.iL -z2
Coef. Btu
lnfiftrstion j0 '+t
(
P ;
Clau 'J? ? 'y ii ?`? r??
Exp. wall ?7 r i 7? ?•) x?a
Net e:p. wsll
Int..wall ,?„? .,•• -? ? ?.??"
Ceiling
?.y
Floor
lotsl tltu.
INSULATION pbomcvgtai
Kiod How Applied
Room I Leagth r</ Widt61?:± Height ?,
wmaowt ano uaorr-a.rneu ge aoa iarea
Ne, Width
a[ wao NeIffet
o[ Wae Na et
4tets Llned f6
ot mak Aw
M. ft '
q
6 t c? ? 3" 33,L
Coef. Btu
1a61tratioe $ , ,?st? c? I
Glan
_
E u p . wall I I I q !r? X ,:+G ;!
Net llp..Wan /-:,i.? f' -•,?L,
lat. well ,, i, , P 1e ;
?
Ceiling lc") Y 1 C/ /%.v ?..
, ??.?, ?•
-Floor-
Totsl &u. C 4 !
Requircd p. ft. E.D.R. or p. ine. Q/.A. l.eader area
f S'Fl.I E'"'c t/a q Room I Length !P- Width ? fr - fa Heieht ^
?
wmaows aea uoon-ii.raeea ge ana nres
Na WIAts
et 2!e6 BUffAe
et am a ot
Ilgpb Llno t6
et cr"k Ant
M. R
? • . < I 1 ???? !'?. e_> .
Coef. u
Infilerstion
Glau P:1 1 !s' ?'
Fsp. wall j p• y f;,
Net exp. wall
.InGwsll /{jn
Ceilin6 o. G, K Q7. ei •'" :.' !''
MFlaor_._ ,.
Totel &u. < < 11
Required .q. h. E.D.R or .y. ies. WA. Lender area
Fl. 1??ttn-re!!' Room I Length' i?9 Width,_),g` Height ;
Windom sod Doors-Crsckaae snd Ans
Na Width
ot yane dgkl
o[ pws e. ot
Ilepte InMt f4
et «aek Aran.
p. ft
r
? .y L` 4
C«f. Btu
InfilMstion -''
.:
2)
Mu <<-.
Exp. well
Net e:p. well ?.?': S r.j,r?, •
Ant.wsll.,
. Ceiling -•
Floor
I lotd tltu. ? 1; •? r_.
Required p. k. E.D.R or p. ias. W.A. leader area
-?Tj ? 4IV817 - .70 = 9VQdl`l
CI7Y OF EAGAN
3830 Pilot Knob Road, P.O. Box 27 •199, Eagan,
PHON E: 454-8100
BUILDING PERMIT
7o be used for 1/2 DUP & GAR Est. Value $55,000
Site Addresa 2031 PIN OAK DR
Lot 5 Block 1 Sec/Sub. RAHN RIDGE ADD
Parcel Na
a Name B.H. GRACE CORP
= Address 2004 VIENNA LN
a pity EAGAN Phone 456-9030
,o Name 541-3131 (paQer)
?? Address
P Ciry Phone
W W Name
z? Address
gw City Phone
MN 55121
N_ 13598
Receipt# ? 33"4O`
Date MAY 11 ,19 87
OFFICE USE ONLY
R3
On Site Sewage Occupancy
3C7C --R-1-
MWCCSystem Zoning
On Site Well Type of Const .11
ciTywater X% lqctueq
(Allowable) V
# of Staries
Length 40
Depih 46
S.F. Total
Footprint S.F.
APPROVALS FEES
? 346.00
Assessments _ Permit
WateUSewer _ Surcharge 27.50
Police _ Plan Review 1 73 -(10
Fire _ SAqCity 100.00
Engc _ SAC,MWCC 575.00
Planner _ WeterConn. 525.00
Council _ WaterMeter 67.00
I hereby acknowledge that I have read this appllcatlon and sta Bldg. Off. _ Road Unit 305-90
thatthetnformationiscorrectandagreetocomplywithellapplic le APC _ TreatmentPl i8e.90
State of Minnesota Statute iry Eagan inancea Variance _ Parks
Coples
Signature of Per te ? TOTAL t9,749-0
A Building Permit is issued to: H. GRA CORP on the express condition that
all work shall be done in accordance with allfiRplJoble State of MiRnesota Statutes and City of Eagan Ordinances
Building Official L zs??' /C-Q-c
?
?
? 1986 BOILDING PEEtlIIT APPLICATIOH - CITY OF E9GAN
HOTS: 9LL C06THAC?ORS MOST BE LICfiHSED IIITH THB CZTY OF EAGAN
SIAGLS FAlIILY DNEI.LIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY9 1 SET OF ENERGY CALCULATIONS
MULTIPLE DTiiiE[.LINGS - R&SIDENTIAL
INCLODE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COI+aMERCI9L
9EN'fAL QeiITS FOE SALS QNITS
OF SIIRYSY - CH6fK WITH BI.DG. DEPT..
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ?
ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ? (\ 1_
L? ?
?Z ?P? U
To He Used For:
/Date: ?
] c? b b
valuation: S<3
Site Address Z 0.3 1
Lot 5 Block ?
Parcel/Sub ?d H y ?W ? P
Owner Sie.se u le hol*s
Address
City/Zip Code \
Phone
Contractor ?-A-)
9ddress c?
City/Zip Code L. >c clv, ? S/ z Z
Phone 70 3U
&reh./Engr.
Address
City/Zip Code
Phone fl
Erect ? Occupaney R 3
Remodel Zoning {Z•I_
Repair Type of Const ?
Addition # of Stories
_
Move _ Length ?-o
Demolish _ Depth ?
Int.Impr. Sq Ft
Install
APPHOVAIS FS&4
Assessments Permit 34-(O.
Water/Sewer Surcharge ` 2-
Police Plan Review 173,
Fire SAC Co25•
Engr Water Conn S25
Planner Water Meter lo-7.
Council Road Unit 3as.
Bldg OfF Treatment P1 1 &O.
APC Parks
4arianee Copies
lY)'LAL
Sp
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MQST DBSIGNATS WHICH 6DDRESS
IS DESIRED. NO CHANGES iiILL SE 9LLOWED ONCB BDILDING PSAMIT IS ISSQED.
? CiTY dF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55723
(612) 681-4675
PERMIT ?
PERMIT TYPE:
Permit Number:
Date Issued:
euzLoiac
800985
07/07/92
SITE ADDRESS:
2031 PIN OAK OR
LOT: 051 BLOCK: 1
RAHM RIDGE
DESCRIPTION:
,guiidi,ng Parm3t Type DECK
8uilding'?WOrk Type NEW
?f
i
.
,-
,.
?.
`:?z"'` ._`t"•_'
r.
{•. .-? ?i ?^ ?
r ? ?S 7 i ? ?.?.? 1 4,f ?.:?'.i?;? `?-^...• \'a `?. ,,, ?., 7 i ._.
REMARKS:
RECEIPT # C?0 i ? -? x ?
FEE SUMMARY:
Base Fes $25.00 COPIES $1.50
Surcharge $.50 Total Fee $27.00
Subtotal $25.50
CONTRACTOR:
OWNER: - Appzicant -
EMMERT JAY
2031 PIN OAK DR
EA6AN MN
(612)727-1025
I ?
I hereby acknowledge that I have read this application and state thet the
infarmation is carrect and agres to coinply with all applioable State of Mq.
Statutes and City of Eagan Ordinance-s,
'APPTICANT/P AMITEE SIGNATURE ISSUED BY: SIGNA ? R?E??
Control No. 0765
INSPECTION RECORD I ControlNo. O76CJ
CITY OF EAGAN PERMITTYPE: euiLoiNG
3830 Pilot Knob Road Permit Number: 000965
Eagan, Minnesota 55123 Date Issued: 0 7/ 0 T/ 92
(612) 681-4675
SITEADDRESS: LoT: esi BLOCK: 1 APPLICANT:
2031 PIN OAK OR EMMERT JAY
RAHN RIDGE (612) 727-1025
PERMIT SUBTYPE:
DECK
REPIARKS: RECEIPT q
?
TYPE OF WORK:
NEW
?
PERMIT #
REALTIHATE ?
CITY OF EAGAN
/ S 1992 BUILDING PERMIT
681-4675
APPLICATIO #Na 2' ov
?REC&
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but nat picked up by last working day
of montfi in which re uest is made or lot chan e is re uested once ermit is issued.
Date -30 Yaluation of work 5?95' ar
Site Address:_
STRFET SUITE N
Tenant Name: (commercial only)
IAT 0L BIACK L SUBD.
/
? P.I.D. N
?/Jh
Descri tion of work:
The applicant is: Owner ? Contractor O Other (Deacribe)
Name ?74 I(% Phone
Property LA5r F,RS? Z27-
Owner qddress o?C?31 ?V/%?
STREET S7E N
City State Zi p 55-122
Company Phone
C011tf8CtOC Address License N Exp.
City 5tate Zip
Company Phone
ArchitecU
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed pTumber Processing time for
sewer 5 water permits is two days once area as been approve .
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.
Signature of Applicant:
OFFICE USE ONLY
BU{LDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
O 03 5F Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
93 31 New
? 32 Addition
? 06 Duplex
? 01 4-Plex
? OS 8-Plex
? 09 12-Plex
? 10 Multi. Add'7.
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessary
? 14 Fireplace
10 15 Deck
? 35 Tenant finish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Oepth
APPROVALS
Planning
Ertgineering
REQUIRED INSPECTIONS
? Site
[I Wallboard
Basement sq. ft.
lst Fl. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
Qn-site well.
On-site sewage
Building
Yariance
El Footing
13 Final
? Framing
? Draintile
v3Y_
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City 5AC
Ilater Conn.
Yater Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
v.luscta,:
r .`. :y -
? 16 Basement Finish
? 17 5wim Pool
O 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 31 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units
•,a dlund Engineering Services mowmw^
iod uuw"?s Grll Eny1pNn Lond ilannen Plrone: s90-OZM
eoac _ PaGE_
. ? ?toe Mo. S'.
SIMNEY PORs B.H. Grace
DEiC?I= AS? Lot 5, Block 1, RAHN RIDGB, City of Eagan, Pakota County,
Minn esota, and reserving easements of record. `
TOP OF FOUNDATION a 93$.4 -
GARAGE FLOOR m 933. 0
" 15 ? 0O 934.0
BA3EMENT FLOOR = 93012 ?
3BMER SERYICE ELEV,
pROPOSED ELEVATIONS a 922.0 Ej921•7 W
: Q '
? - - - - -
TsXISTIHG ELEVATIONS : -
DFtAINAGE DIAECTIONS
: --+
?
. / I
DENOTES LOT CORNERS : o <<--?
DENOTES OFF3ET STAk'E: O
I -• ? I
y?o '
47 -,: Se - - - 34
?h 39
.,, ProPose! a
~
t? ro P Proposed p N HO!/tC
?o
4 ? N Xoysc N a i7??
?? ?? I /Z 61 s
GAR. ?
? N
Y 22.33 (
J
J A 32. si
27,6 10•33
I 931.5
L ^° - J
93l•2
/OD.DO ,
K
V ?
h?
?
1
.
1?
?
1 ?
f
?J
93ab
P/N DRK ORI 1/E
, - - -
?IFIC?TE OF SURVEY
I Mrs" eKlify fhat a? 5/ 1/87 I wrveyed the Otopffly deacriMd obovf and MOf
tAt abon Olot b o cornct rpwesentafion W w1A wrvyr.
Jef LI dpron, Lleensi Na 143T6
oF
3830 PILOT KNOB ROAD. P.O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8100
July 8, 1987
Mr. Ron Ebb
B. H. Grace
2004 Vienna
Eagan, MN
Corporation
Lane
55122
BE4 BLOM9UIST
M?r
iHON1AS EGAN
JPMES A. SMRH
VIC ELLISON
THEODJRE WACHTER
Councll MemDars
TNOMAS HED6ES
Ciry Arlminishoror
EUGENE UHN OVERBEKE
ary aek
Re: Waiver #31-W-16-6-87 for duplex lot spit for L 4 Bl 2 and L 5
Sl 1, Rahn Ridge
In official action taken by the Eagan City Council at their regular
meeting held on July 7, 1987 , the City Council formally
approved your application subject to the conditions reflected
in the Staff Report. The minutes of the meeting will be ratified
at the next City Council meeting.
If you have any questions or concerns regarding your approval
or would like a copy o£ the minutes, please feel free to contact
the Planning Department.
Sincerely, /
Mar'lyn ucherpfenni
Planning Aide
/mlw
THE LONE OAK TREE. ..THE SYMBOL OF STRENGiH AND GROWfH IN OUR COMMUNIIY
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECT{ON
*AT?': PAYMFTTr OF FEE AT TIME pF *
?CATION DOEs NOT coNSTITUTE *
APPROVAL OF PIItUffT. *
INSPDCfION OF SEWEIt AbID/O2 F4YIER *
ruvrnr.ramrolNS WII,L NC7r gE 5(HED-. ?
ULID i]NTIL PEEiMIT F3AS BFESI *
APPROVID. *
*
r
r
--:xx::x.xxxxxxxxxxWxxx---x-txx..-- xxx
, P ease Print)
l) PROPERTY ADDRESS: ? a0,4 ct ?'? ?)?? ?f ??, ' •^
LEGAL DESCRIPTION: "-
_ Lot Block Subdivision or Tax Parcel ID
IE' E}QSTING STRCtZLTRE, DATE OF ORZGINAL HI!ILDING PERMIT ISSL'ANCE: . . ?
(Mon Year
PRESEPTTf ZONING/PROPOSID LSE:
[:] CONMRCIAL/Rb'PAIL/OFFICE
Fl IpIDC'STRIAT,
n INSTI'IL'T'IONAL/GOVII2DIINENT
2)
? R-1 SINGLE FANiILY "
? R-2 DC'PI,EX (7two C?nits)
R-3 10WNHOL'SE (Three + Units) ( Onits)
R-4 APARTT'a]T/CODIDOMIIVIUM ( Units)
ADDRESS:
CITY. STATE, ZIP:_ S?,a a
PHONE: Liq2- atat
3) u ma•
NAME:
ADDRESS :
CITY. STATE, ZIP:
PHONE:
MASTER LICIIVSE#
4) •.. • . ,?-
NAME°_ _ ?. N- GR4ce Caa? ?
ADDRFSS: 33n'+ 1/ e.. y CITY, STATE, ZIP:
PHONE: 4yavJ '
Active
FScpired
Not recorded
St?a f Initiai
SJ 'J Y• 1 Y: ' SI' • pi? ' 30 ?I0.yYJi _ _ _
? wNNEcrioN TO crrr sEMa ? mrNECTZON To ciTc waTEa p rnMa .
PI,EASE HOLD APPRpVED PF.RMIT FY)R PICK-UP BY ONE OF APfJVE
PLEASE MAIL APPROVID pERMIT M 1,?, 3, 4, ABOVE
(Circle one)
i• •.?
6)
. ?
FOR CITY USE ONLY
PERMIT # ISSL'ED
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SL'RCHARGE)
$ $ WATER PERMIT (INCLLDE SL'RCHARGE) ..
$ [D 7•0'Z7 _ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
' $ $ SEWER TAP
$ $ lJZ) ACCODNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRDNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRC'NK WATER
$ IO v'6n) $ WATER TREATMENT PLANT SURCHARGE
$ $ ' OTHER:
$ $ TOTAL
233(1Z-? 7330 7zl- z6- /
RECEIPT # R ECEIPT
DOES LTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK S9ITHIN PL'BLIC
Q
NO ROADWAY" MUST BE
DIVISION
LIST ISSLED BY THE ENGINEERING
AS A CONDITION
. .
SUBJECT TO THE FOLLOWIN G CbND2TIONS:
APPROVED BY:
TITLE:
DATE : !p /4z
?- ?
! ?
IF EXISTING STR[,'C'I[JRE, DATE OF ORIGINAL BL'ILDIM PERMIT ISSL'ANCE: .
Nbn Year .
*IOTF: PA)M?W OF F.EE AT TIN1E pF
ArPLIcATzoN DoFS rOr oONSTzzTvrE
aPrxovp,L oF PERrsr.
--
P ease Print
1) PROPERTY ADDRESS: -
LEGAL DESCRIPTION: "
Lot Block Subdivision or Tax Parce ID )
PF2ESEPfl' ZONING/PROPOSID OSE:
q cordERcxAIVRErriL/oFF icE
Q IPID[7STRIAL
? INSTI2LTMfI0NAL/GOVERIZ1ENT
2)
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER COIVNECTION
NAME:
ADDRESS:
? R-1 SINGLE FAhIILY
? R-2 DUPLEX (Two Onits)
? R-3 MWNiOL?SE (Three + Units) ( Units)
? R-4 APARTMEBPr/COAIDONIINLONI ( Units )
CITY. STATE. ZIP:.c
PHONE:
3) NAME:
ADDRESS:?? ,
CITSC. ,STATE, 2IP:?
PxorE:
LICETISE# OD,W
rlu?cwers t,icense:
ACtive
Expired
Not recorded
St?In?,tial
4)
t??
NAME:
P.ODRFSS:
CITY, STATE, ZIP:
PHONE:
.g) i? a. .?• : ? • ?- a?
?COrNEcTzorr zv cxTY sEWEa ? wrsm?.-riorr zo cixY waxER ? arfM . ,
6) '? • •' ? PLEFISE EIOID APPROVFD PERMIT FOR PICK-OP BY ONE OF ABOVE ---
? PLEASE MAIL APPROVID PERMIT 7G 1, 3. 4. ABOVE
(Ci cle one)
7) a r •
C?rst-?eR--?rst,
irtspncTzox oF sEWmt AnD/Cx WAzER
TTISTAT.TATTQj1$ wnj. NO'j' $F,, $' ]ID.-
= vM'u. PEMT FIAs BEEN
ArPxovED.
FOR :CITY USE ONLY
PERMIT # ISSUED
. ? Gr Z-
Pd w/Bldg. Permit FEES:
$ $
$ $ ??•S?
$
$ $
$ $
$ $ ? ? • !r!?
$
$ `? ?-S? (JZ7 $
$
$ $
$ $
$ $
$ $
$ $
$ $
$ $
733 3,?- 733V2- 7y2-RECEIPT RECEIPT
' e
SEWER PERMIT (INCLLDE SURCHARGE)
WATER PERMIT (INCLUDE SLRCHARGE)
WATER METER/COPPERHORN/OLiTSIDE READER
WATER TAP (INCLODE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCODNT DEPOSIT - WATER
WAC
SAC
TRDNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SLRCHARGE
OTHER : ?,?t_epy?{.y? •?Gr %{'?E,??,?.
-v ' v
TOTAL " ( ? - j
?
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOft WORK WITHIN PUBLIC
Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SLBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : L / `?" Iy
Weatheiatrips A,S.H.V.t, Guide 11
Windowe I Daors Refereau 11 Out. C
Yce-F- Yes-T 19_
!-`,"`F1.1 ij,; ? Room Len th Wi
,?,E'CCri'r 6 /7
Windows and Duuu-Crscka4e snd Area
Comtruction No.
Ne. Width
of Dare Helght
of pene No. of
Ilghq Llneal f4
ef crack Area
Coef. Btu
In6ltration
Glau
F.xP. Wan
A'et exp. wall
.
Int. wall
Y .r 0
Ceiling 1'? ••s f57n ,? r- ,.J
Floor
7 otal Hlu. -? ! S
Required aq. ft. E.D.R. ot sq. ina. W.A.1.eader ares
1 441.1 i' ..-'.J:'C: Am Room Length /( • C„ Width ![:. Heittht St'
Windmm and Doore-Cncksge aod Aree
No. Width
of oane Ha1tAt
ef p?na No. ot
AabU Llnaal [t.
of crw
k wru
p.
n.
IP t )
Ceef. . Bar
In6ltntioo
Glau fllrCr rC7 " ?,
Exp: wall / ? r: ?!„ `• ?:? -,1:?,?
Net exp. wall
Int. wall (%:sr t
Ceiling ? JI . ? a? •i F t
•Floor °
Iotal tltu.
Requircd sq. ft. E.D.R. or p. inw WA Leader area
fl.1 ?. ,:,..,... Roam I Lenath ') •; Widt6 1: 14Ae6t :I
A...
Ra Width
ot Dane Height
e[ pana No.a[
IIiDb Llnul l.
a/ eract Ares,
p. f4
Coef. Beu
Infiltration f?" •,r?
? ?.-?
GIOff . ^y
? f I.:{ 4\ -,a .. n
U+
Exp. wdl ;7 ??I f a Y'A
Net e:p. wsll
InA..wel) Q;>,..,, .,i s.: . •? r?.? r
CC1l1Og
? (3? J
L
r'oor
I o[al tltu.
Required sq. f6 E.D.R. ar aq. im. W,p.l,eeder sroa J
4141,017 ? .70 6yo?j?o
`
INSULATION !
Floor I Kiad How
{je,j,Fr.l Room lLengt6 : d1 Width :
i
wmwws ano uoon--a.racca ge aaa nrea
Nee Width
eT pae* HNeEI
of iana Ne.ot
llfbb Llnnllt.
et eruk Arq
p. ft.
q t !
43
.??
Coef. Btu
1n61tntioa
Glsu
_
Exp. wall 1: tq lpXe ???t
Net up. well t'=< i -'1 c^
ant. wall ' P;;e + 0 . 141 '51:' (r,
Ceiling I I 'r`-! ?i :'C'•
?Floor^?
Total Btu. g., C.
Required rq. h. E.D.R or rq. ins. W.A. Leader area
! S'?Fl.I p-i±Ve" q Room I Length Ip Width .?P-(r,, Height ..
?
wmaows ano uoora-%.raees ge ana nrca
Np W WtA
Of µ" Ng t
O( ftM 140. et
14Dts LInNI tt.
e( cnek Aru
q. ft.
tt •
- 017
1
Coef. tu
1o61lratioe
Glaa / s•' ?
Fsp. wall 00-!?.
Net exp. wall G? °7
-Int.well-1,7?,??.
.
.
Ceilieg
fJ (,. %
1 5 :! r r.
-Flaor..,...
Total Bta. 3t i I', .
Required w. (e. E.D.R. m w. ie.. W.A. Leader arcs
F1. ?
,£_? lLengt, ? wiath."? s Heisht:
Windoa aod Doon-.Cmcksae snd Area
No. Width
et yae. N
ofWa? N?Et
No. o!
11[hb
LImiI fL
oteraek
Ae??
q.le
C "C [) Ij 7'
.. :
,)>. ,
Coef. Bcu
Infiltratioo tr ? ?,? • +
Gless 1157 r '-y !y' •j:;
Etp. N7ll ?F 4 c 5 +?; f?..) J K i? ),+tyw•
Net exp. wap
Aet wall . '
- Ceiling °
Floor
lohlfHY.
Requircd sq. h. E.D.R. or tq. im. WA Leader aeea
57 ? 2004 RESlDFNTIAL PLUMSING PERMIT APPLICATION ?
CiTY OF EAGAN
3830 PELCI'i i{NOB ROAD, EAGAN MN 55122
659-675-5675
Please complete for rnodifications to existing residential dwellings.
Q?-?
?at@ _? J ? I HANSON, MATTHEW
?
_
SEf@ Stf@@t ACIC1fB55
-
2031 PIN OAK DRIVE
EAGAN
, MN 55122 ?
lJf1fY #
-'- (651) 905-1179 i
Property Owner -- }Telephane # ( )
I
l
Contractor 62) 827'403ry Telephone # ( )
RF!EL.?
2=Q
rA
;daress _
0-F 6?./E.vO. Ciiy -
State Zip
_
.{
?
,(?
-
?_?1"?pI}-pjIYlWCe/'l?'bfi.a
CY9
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The Applican4 is: Owaier Cosrtractor _Other
F
AIterationsxis?ir??g c??xellin5 $ 50.00
es tr r??o^i4, excluding water softener and water heater
S?
stem Auantionment
_Water Turnareur:d (add $121.00 if a 5/8" meter is required)
Other:
Water Softener X Water Heater $ 15.00 ?
-)?- rerla•,ement additional
Lawn Irricatinn Systea? RP7___,_ new _ repair _rebuild $ 30.00 '
Sta4e Surci?z,? - - ? $ 50
Total
_ ?
- ?
g l S. S?
I hereby apply for aResidar.tial P!umoing Permit and acknowledge that the information is complete
and accurate; thai ?he work will be in conformance with the ordinances and codes of the City of
Eagan and ?iia pior.iu;r.g ,:;odec;; that I understand this is not a permit, but only an application for a
permit, work is not to s:art Withou: a permit and work will be in accordance with the approved plan in
the event a plan is rsqmirej to be reviewed and approved.
;,_?:_?i •;??:.v_L
Jt?4- ° `` ` ----- -----
ApplicanYs Pdr'. c? Pae?.r.
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use %�
Permit #: j t)7 7 l
Permit Fee: /09
Date Received: __16 -2 -
Staff: Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Unit #:
Name: ---MOH Mil « A UIL
Phone: 1--02 gy /S 5
Address / City / Zip: _2S? ?/ 64k D/L.
Applicant is: _ Owner —V Contractor
Description of work: � -- 6/ 4=-- tE J vke s 5 �� /
0-) 4Construction Cost: 6 CMulti-Family Building: (Yes / No __
Company: f76i1 W (0C (BUS 77tGerif4
Contact: 11)4..(4,./ 1�0►« c
Address: City:
State: ____Zip:y2 0
License #:
Phone: 3 t' !� S 6/7/
,UA fi - le -/7f0 -/
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
e-
1063( 6,,«(. be-l� --
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 onths, has the City of Eagan issued a permit for a similar plan based on a master plan?
___Yes ___No If yes, date a . address of master plan: _
Licensed Plumber:
Mechanical Contractor:
Phone:
Phone:
Sewer & Water Contractor: Phone:
OTE: Plans an+
Phe information
fpporting docur
y be classified.
you submit are conside
non-public if you provide sped_ s.
conclude that they are tradesecrets
d to be public r
reasons that t�
arrmation. Portions of
uld permit the City to
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Min ot. tate Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name
1
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126329
Date Issued:08/21/2014
Permit Category:ePermit
Site Address: 2029 Pin Oak Dr
Lot:052 Block: 01 Addition: Rahn Ridge
PID:10-62750-01-052
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mohamed Nur
2029 Pin Oak Dr
Eagan MN 55122
(952) 594-1595
Home Depot At Home Services
656 Mendelssohn Ave N
Golden Valley MN 55427
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA126539
Date Issued:08/28/2014
Permit Category:ePermit
Site Address: 2029 Pin Oak Dr
Lot:052 Block: 01 Addition: Rahn Ridge
PID:10-62750-01-052
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Troy Good
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mohamed Nur
2029 Pin Oak Dr
Eagan MN 55122
(952) 594-1595
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature