2033 Pin Oak DrCASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 /
RtCE1VED
FROM • . • .?C? . - .
AMOUNT $ ?
OOLLARS
foo
0 CASH ? GHECK
c i.
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BY
BLDG._, PERMIT
--I%,
01-3210
01-3422
01-3445
01-3446
01-2155
17-3860
20-2275
2Q-3865
20-3868
'LO-3716
20-2252
20-3713
24-3743
79-3866
11-3855
1$ dg. Permit
Plan Check
Surch./Adm.
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
?
I
I
I
TOTAL
T--
/3a;?-
2
"u , f J
/j?, p ?
5ewer Conn.
Park Ded. ?
3830 PilOt Kr10b Ro d! P.O. BOx 2G-A1 9, E8g8r1, MN 55121 'v 2 13293
PHONE• 454-8100
BUILDING PERMIT Receipt #
Tobeusedfor 112 DUP i GAREgtValue $55,000 Date vAR Cil 3 19 87
SiteAddress 2033 PIN OAK DR Erect L* Occupancy R3
Lot_6 Block 1 Sec/Sub. RAHN R7 DGE Remodel ? Zoning R1
Parcel No. Repair ? Type of Const y
Add'+tion ? No. Stories
W
E3 , H. GRACE CORP
Name
Move ?
Length 40
Demolish ? Depth d b
;
p Address 2004 V T:NNA LW
Ciry EAGA.'. phone "45 6- y G 3 J Int. Impr. ?
t
I
ll ? Sq. Ft
ns
a
cc
= o Name-
0 ¢ Address
H r;a.,
?Q
F W Name-
? z
Address
z
< W CiN _
I hereby acknowledgethat I have read this application and statethatthe
information is correct and agree to comply with all applicable S30te oi
Minnesota Statutes and City of Eagan Ordinances. ; f'
Signature of Permittee y A euilding Permit is issued to: B- H. GRAC CO
all work shall be done in accordance with all applicable State of
Building O}ficial
Assessment
Water & Sew.
Police
Fire
Planner
Council
Bldg. Off.
Var. Date
Surcharge z I • D v
Plan Review IL73. 00
SAC 625.00
Water Conn. 525.00
Water Meter 67.00
Road Unit 305. 00
Tr. PI. 180.00
Parks
Copie
T..+el I 248 • O
on the express condition that
Statutes and City of Eegan Ordinances.
PKmlt Na PermH Halder D1Hs Tdophono N
Plumbiny r--
H.V.A.C.
ei.cntc ?? p `? ? ; , ? 3?? 5 ? `? ? ?- CC'.
soner..
Impectlon Dett Inap. Commenh
FooNngs 1
Footlnysll
Foundatbn
Framiny
Rooflny
Rouyh Pibp.
Rouyh Hty. , Yl7h sit GaGLsCZ;Plr A/
Irtwl.
Firoplace
l Nty
Fina P
Final Plbp.
&dg. Final s;;V-J7
Cert. Oee. 7
Deck Ftp.
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P
PLUMBING PERMIT
CITY QF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
, PHONE:454-8100
Site Addres9 a! !)
Lot Block
m Name
? Addre
c City
Name ?LS, 11. t ?
3 Address
O CitY Phone
FEES
COMM/IND FEE - 146 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) ,
OF
FOR: CITY OF EAGAN
PERMIT # ? ?111V ?
RECEIPT # L? ?
DATE:
BLDG. fiYPEV? - WORK DESCR. IPJON
G?
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FtXTURES
? TOTAL
;
Water Closet - $3.00 -
=8ath Tubs - $3.00
_Z Lavatory - $3.00 A.
-Shower - $3.00
7
Kitchen Sink - $3.00 ?.
"
Urinal/Bidet - S3.00
T
d
_LLaundry
r
y - $3.00 . -?
?Floor Drains - $1.50 f S ?'
Water Heater - $1.50 ? S a
Whirlpool - $3.00
=Gas Piping Outlets -$1.5U
j S v
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Oisp. - $10.00
-= Rough Openings - $1.50
FEE:
STATE S/C: S-V
GRAND TOTAL: N?j; S U
. . . ,:. ?
. . . PERMIT #
MECHANICAL PERIIAIT RECEIPT #
CITY OF EAGAN 7
" 3830 PILOT KNOB ROAD, EAGAN, MH 55121 DATE: ?
CONTRACT PRICE e?I(f 0 PHONE 454-8100
Site Address ?j ° TYPE
BLDG WORK DESCRIPTION
Lot Block Sec/Sub .
R ?
N
m Name ' 2 es.
M
l ew
Add
1?401 NofNnqU
4 t u
t -on
? Addr?s Comm. Re ir
?
c City N? C 1- l.a (. 4- Ph one `/'-
Oth
er :
L Name K h l G r a u
c Address ?vy V
3 ? z aN
O CitY ?
TYPE OF WORK
Forced Air
Boiler
Unft Heater
Alr Cond.
Vent
Gas Piping Outlets #
Other
60 M BTU
M BTU
M BTU
M BTU
CFM
i
FEE
S/C:
TOTAL•
a y '°
.L = II
FEES
RES. H1/AC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/1ND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOft CITY OF EAGAN
y % ('`V
fEtrfifiratt uf (Orruparcry
titp of (Eagan
mppu-tnceni o# suddiag jnapirrfinn
This Certificate issued pursuant to the requirements of Section 306 of rhe Unijorm Building
Code cenifying that at tire tinte of issuance lhis structure woas in concpliance with 1he various
ordinances of the City regulating building carastruction or use. For the following.•
uM classi6adon I / 2 D U P k e?as. Rrniu No. 13293
R3 Ft i t,
0-um-Y Tyr 7hninj DWzia r? Com
owoer or ei,a&ft. ? • F1. GLA(E Ckfd' . ,ydd= 2004 VIDINA I,AW, EAG11N
e-am,g nae,,. 2033 ?'Ta CAK T,-,f ';:; L-a,;t,, T.G, B! S,RAM P,MAZ
Aw MAY 21. 1987
?
B? ?
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN i?t 0
9830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 iV
PHONE: 454-8100
BUILDING PERMIT
Receipt
13?94
To be usedfor 1/2 DUP dr GAFFgt value $62,000 Date MARCH 3 19 87
SiteAddress 2035 PIN OAX DR Erect IN Occupancy 23
RAHN R I UGE
1
Lot6 &ock
Sec/Sub Remodel ? Zoning R 1
-
_
.
Parcel No. Repair ? Type o} Const K
Addition ? No. Stories
¢ B Move ? Length 4 0
_ H_ GRACE CORP
Name
Demolish ? Depth d R
3 Address 2 0 (14 V I EYNA LN t I ? f
a In
mpr. Sq. F
City F.AGAN phone 4 5 6-9 0 3 0 Install O
= o Name SAME ???
?°, Q Address Assessment _
City Phone Water & Sew.
r ,. ' Police
Address
City Phone
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 Permittee
H H G ACE CORP
Fire
Eng. _
Planner
Council
Bldg. Of
Var. Date
Permit S 370 . 51
Surcharge 31.01
Plan Review18 5• 2 5
S,4C 525.01
Water Conn. 525 . 01
Water Meter 67 . 01
Road Unit 305.01
Tr. PI. 180.01
Parks
Copies
Total $2,288•7!
A Building Permit is issued to: • • on the express conditlon that
all work shall be done in accordance with all appticable State of Minnesota Statutes and Ciry ot Eagan Ordinances.
Building Official , ,
PamN No. Pwmlt NotdN DNe TNepha+e N
PlumWny 3/ ? -1. . ;? ? ?ca?
H.V.A.C. '?
ENeMc '? . C) ?
Soilena
InspecUon DaN losp. Commenh
FooUnys I 3 87 !(J
Footinps II '
Foundatbn
Framfnq LGCr rGC. ? C,GI {?o? %rt rb /??
ROOII119 O?I 7?M? 7,NSS ?/ZIrFJ
Rouyh Plbp.
Rouyh Nfy. ACZ
Insul. va"
Firoplaee
Flnal Htp. ?/ -A3 117 L • A
Fieal Plby. O /f
Na9. Fx,al 'e'. A.
Cert. Occ. ?-
Deck Fty.
Deck Frmp.
Well
Pr. Disp.
. . ,
PERMIT #
• '' ' PLUMBING PERMIT RECEIPT q
CITY OF EAGAN
/ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
Site Address % Z '' A BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Rea ? New
n 'i ^ ' - Mult. Add-on '
? Name ?'' •" " - ' Comm. Repair
2 Address Other
c Ciry Phone `' RES
PLBG. ONLY - COMPLETE THE FOLLOWING:
.
NO. ; FIXTURES TOTAI.
Name /Water Closet -$3 00 $
"
=
Bath Tubs - $3.00
c Address to
- $3
00
L
ava
.
ry
p City Phone Shower -$3.00
-
?Ki!chen Sink - $3.00
FEES UrinallBidet - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE ! Laundry Tray -$3.00 '
APL BLDGS - COMM RATE APPLIES % Floor Drains -$1.50
-
TOWNHOUSE & CONDO - RES. RATE APPLIES 7Water Heater -$1 .50
MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE - $20A0 -LGas 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 Oisp. - $10.00
'
-Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STATE S/C: 5
FOR CITY OF EAGAN GRAND TOTAL: '%• ''
.a
. ?.
Lot
m Name
? Addre
c City -
, - <, •.??:( ? .,?,1?:
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
PHONE: 454-8100
? 4 TYPE
BLDG WORK DESCRIPTION
Sec/Sub .
.
I>e
R N
x
es. ew
lt
M Add
u -on
J C i
R
y?i omm. epa
r
one Other
Name
c Address
O CitY
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
60 M BTU 2 y
M BTU
M BTU
M BTU
CFM
? ?.
FEE
S/C:
TOTAL•
FEES
RES. HVAC 0-100 M B7U -$24.00
? ADDITIONAL 50 M BTU - 6.00
ADD-ON AtR COND. 0-24 BTU - 12.04
dt ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/INp FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 5/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Sa II SIGNATURE DF PERMITTEE
FOR: CITY OF EAGAN
(Ctrfifira#p uf (Orrupanry
titp of Qlagan
loPp1'fmPttY pf lwtbwg 3wPttiDtt
This Certificale issued Pursuant to 1he requirements of Section 306 of the Uniform BuiJding
Code certifying tiiat at the time of issuance this siructure was in compliance with the varrous
ordinances of the City regulating building coristructeon or use. For the following:
u: a6111ificedOn 1/2 CXTP'LER b G?'-?:,-:.L eW ftra?t No. 13294
OMAaUCY Tya R3 Zoniae Diuicc Type Cant V
OwnaofBuiWing .Fl. f"??"-'?: Address Lt?± V`'tA F,E1GNN
;b
Bf
RW; - -
emid;ngraa= Lncl6ry
,
,
papc
Build m8 Official
POST IN A CONSPICUOUS PLACE
cinr oF En"w SEWER SERVICE PERMIT
3834 Pilot Knob Road
P.O. Sox 21199 PERMIT NQ•: -- 9723
Eag% MF} 5i121 DATE: 3-2 5-:5,7 r
Zoning: r. ? rr No, of Units: nup ex
f0 CQfliplj/ Wnh fhe (,Ml Q} ?
'C"• Before digging
TELEPNOK'E - E
of Insp.:
Date
('ITY OF EAGAN Permit No: -- Date: -'5 `'7
3830 Pllol Knob Road Meter No: 395 Size: -679
P.O. Bvx 21198 Reader No: 4 pate: ? -?
EagaR,, NiN 55127
dwner, - • ?7 • Grace Comp.yny
Site Address: ,33 'Pin Oak Drive L6 B1 Fahn ?idge
> onn. Chg: 525 . t10nu
cct Dep: 5. O0p(1 loiR6A?. _ Ln1ple::
Permit Fee: 1 `). ??opd F ?E?j R1C ?? '
Surcharge: •50pd re? c""th the City of Eagan
tr. Plant ' ??. D':?z?dncn? 11R?ln?i .
Meter. 6 ? . i) n.,,i
M isc.: gy
WATER SERVICE PERMIT
MN
l
SEWER SERVICE PERMIT I
PERMIT NO.: 9724 ,
No. af Units:
Grace Gomnanv
to comply with the City of Eagan
oi Insp.:
_.......?t,,,
Connection Charge: 525,009d
Account Deposit: 15. OORd_
Permit Fee: - 10 OQpd
Surcharge:
Misc. Charges:
Total: ?
Date Paid:
?
F ?GaN _ SEWER SERVICE PERMIT
CITY ? ,,.? ?c ?..b Ro,ad , • ? ; 37 24
3830 P6......•• PERMIT;NO.: 3-2r,/_87
P.O. Bwx 21199 Dp?TE: ?plaa '
Eagan, MN ?tt1' No. of Units:
Zoning` g , )? . Grace Com an
pwner.
Address: o4ri nak Urive L6 5 l ?`'P ni?tre
roe ta comph?'"Kh ge??d g?it?
lnances- °re
(EI.Epl?O? ?
c??C?VI
te oi Insp.:
Insp.:
Date: 3 -- 2 t Permit No: +?
n? r EAGAN No: D -3 Size:
30 P'• f Knob ao? Meter Date:
`,p, gax 21199 Reader No:
gan, MN Wt zi
Crace Com 1M1.*
` wner. in'i5•?in Oak Drjve L6 71 ??.alu? ?.i?t;?e
Plumber ?,n? ?
525. Q4)pd IAl?i
Conn. Chg: P?
e:..
t De
:
p
Acc
Permit Fee: 9
c?
ree to with the Ci1y of Eagaa
?
,
;
Surcharge:
"
?
?
1 n ?? . 0 ?
G ?r?
e
Tr. Plant
Meter.
' By
Misc.:
WATER SERYICE PERMIT
195..57
? iAN Permit Date:
I CITY Size:
? 3g30 Pifot Knob Road Meter No: Date:
• P.O. Box 21199 Reader No:
: Eagan, MN 55121
-rF_C£ CAlllpAIlC
SiteAddresa: - iJ?:essiL., Flutl?t'-;
::a
plumber
Zoning: '
,. ?',• ''t;n
Conn. Chg: No. of U?its:
Acct. Dep:
Permit Fee: agree to compiy with the CnY of Eagan
Surcharge: 1 ?.Ordinances.
Tr. PVant
?
Meter. BY
Misc : ?
VYATER SERVICE PERMIT
OF EAGAN
lPllot Knob Road
Box 21199
m, MN 55121
--- - P 2
agree to comply wN111lre Cfty of Eagan
of Insp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. ot Un{ts: .
1 V V . V «F+a
Connection Charge: 525.00 d
Account Deposit: IS. Oopd
Permit Fee: 10. oo a
Surcharge: • 5n°d
Misc. Charges:
Total:
Date Paid:
' _ ?----- ?? ?
CI?Y OF EAGAN Permit No: Date. 3-25"'$7 +
3830 Ffilot Knob Road Nieter No: 5ize: ,
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
Owner. ' • 't• "race ro-,.pany
Pin _Oak_T'ri1'e: L5 Bl 12ahn Ridge
Site Address: 2033
?
Conn. Chg: 525.00pd Zoning:
Acct Dep: 15. 0 No. of Units: DupE?`
i ,.;lnd
Permit Fee:
Surcharge: 1 agree to comply with the City of Eagan
Tr.Plant I3 o'00 pd Ordinances.
Meter. 67, 0OUd
WATER SERVICE PERMIT
This request void
18 nnnthslfmm
C= 2 014 92/, 91,,,2v1??_
7/ Z5 S./
s?V4.co
Hequest Daie Pire o. Rouph =in Insoecuon
Re iretl?
?eady NuwPY.?lill Notily Inspec-
3Z3 8?
,IZ es o No 7- ?or When Roadv
0 Licensed Elec[nWl Contrflctor I hereby reQUast inspection of above
? Owne7! ` elecbical work installad et
Slreet Atldress, 8oz ot Route No. City
?10
ecuon o. Townsbip Nama or No. ftange No. County
OccupantlPHINTI Phon¢ No.
/3 . i?, Gra < <
Po erA? Supplier ?^ /
f?U'C A eleGf?' e.
? Address
/
E trical ConVa [or (Compeny Namel CoMractor's License No.
?oa? ?ec fr« o aP?az_
Mailine Address ICOn ctor or Ownar MakinP lnstailationl
97?'? E o?O??/
A.u h d Signa re I ontraclor Owner Makina Installationl Phone Nomber
5l3-s?, 6 ?3°
MINNESOTA STATE BDAflO OF ELECTRICITY THIS INSPECTION PEDUEST WILI NOT
Orig9s-Midway Bldg. - Room N•191 BE ACCEPTED 6Y THE STATE BOARD
UNLESS PPOPER INSPECTION PEE IS
1821 Univeraity Ava., S[. Peul. MN 66704
P6....e I6121 797J111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-O1X101-)Oq
- , See inslructions for eompletin9lhis torm on beck of Vellow co0v-
1 Q.q "X" Be/ow Wnrk Covered by lhis Request
PhIawfAddj Rep•I Tyoe ol Builtlin9 1 Aaolinncea Wired I Equlument Wired I
k Fee Sarvice Entrence5ize tl Fea Fexders/Subieetlers N Fea Circuits
2 U to 200 qm s 0 ro 30 Am s O 30 0 ta 30 Am s
Above 200 qmp y 31 to 100 Amps 37 to 100 Am s
Swimming Pool Above 100-Am s A6ove 100-Am s
Transrormers Irtigation Boortis Partiab'Other FQ
Signs Special Inspection
pemarks - S TOTAI
;/? ?I,the Eleclrical
?Insoectoq ne.oey
??C? certify [het the apove
7 Insoeccion hea eean
mede.
1ay9G
Re est Date ira o. Rough-in Inspec[ion
Requiretl? ? y NOw p Wiil NMIty Nspector
? Wh
R
d
7
- yey en
ea
y
I_licensed contrector ;] owner hereby request in5pection of above eleCtrical work at
Job ACtlress (SVeeL Box or Route N. ify
Section No. Townsni0 Name or o.
? Range No. Counry
Occupa T? Pnone No.
Power SupPlier AOtlress
Eiecv C vacror oa Namel Convacfo 5 ense No.
Mailmg Aodress fCOntrect? ner Making Inst ati
? ?
A orrzeo ign iGCmracmriOwnar Making Installation) Phone Number
? /3 z
MINNKOTA STATE BOARO OF ELECTRICITY THIS INSPECTION REOUEBIWILL NOT
Grlgqs-Mitlway Bldg. - floam 5473 BE ACCEPTED BV THE STATE BOARO
1821 llniverolty Ave.. SL Paul. MN 55104 (7 U UNLESS PROPER INSPECTION FEE IS
Phone (614) 662-0800 ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION jEB? ??
?r Q O
? 7 ? See iY?mctions ?mr completing this form on Dack oi yellow copy P
L 3.i 490 "X" Be/ow Work Covered by This Request ???
ew Adtl LPcep. TypeofBuiltling AppliancesWired EquipmenlWired
t'll ome Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other(Specify)
Comm./Indusirial F ace
Farm ir Condltioner
Otnarlsyeciyl Cantrecmr's Remarks?
Compufe /nspection Fee Below:
# Other Fee # ServiceEntrancreSize Fee # Circuits/Feeders Fee
Swimming Pool 0[0 200 AmpS 0 ro 100 Amps -
Transformers Above 200 _ Amps Aboxe 100 _ Amps
SIgnS Inspacmr§ Use Only: ? TOTAL
Irrigation Booms
SpeCiallnspec[ion
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MONTHS.
I, the Electrical Inspector, hereby
if
h
h Rough•in r oata
cert
y t
at t
e above inspection has
been made. p;nai
?
OFFICE USE ONLY
This request voitl 18 month5 fmm
-vfi?s est voie
' C?0150
-//6fj'/
RepuesI Dale ire No. FouPh-in InsVec.t/on ?[
[?
3?23/O fte Yesa' ?NO OqeadyNUw?CIW?iIIWhenl'ReadyeL-
/Z
Licen sed Elecvical Conhacmr 1 hereby request inspectian of abova
Owner elechicel work insfalletl ec
Sveet Address, Box or Home No. City
2-03s f iw ,a. ? .? .td
ection o. Township Name or No. Range No. Counly
OccupantlPRINT) Phone Nq.
.,/f. 6?ra c e 5?s-6 90 3 0'
Pow
,g
r Suppliw Address
y
?
/?-
Ele?3ncal Convactor (Company Namal Contractor's License No.
C°rroE 0 0J'6 ui
Mailing AtlJress (Contractor or OwneF MakinB lnstailation)
97b6
Etc?u?.c /67zX S?
Authorized SiB?at e IC n[ractor/Owner Making Installatinn) Phone Number
"7
MIXESOTA STATE B6AND OF ELECTqICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Ronm N•191 eE ACCEPTED BY THE STqTE BDAPD
IINLESS PP07Efl INSPECTION FEE IS
7821 Universi[y Ave.. St. Paul, MN 55104
on.....e IRt41 29'1J1t1 ENCLOSED.
flEQUEST FON ELECTRICAL INSPECTION EB-00Q00pI-04
-? ? See inshuctions lor com0leting tAis fwm on bnck of Yellow copy.
c'2 U 1 5 0 "R" Belnw Work Covered by 7his Hequest
Newr AAtl -NeD• Tvpe ol Buildin0 AOVliancea Wired Equiumenl Wired
Home Range Temporary Service
Duplex Water Heater Ligh[iny Fixtures
Apt. BuilAing Dryer Electric Heaun
Cortxnercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk T&nk
Farm ohne, ooci v Uiner IS113dfyl
t ar ucci y Other Other
Compute lnspection Fee 8elow
N Fee ServiceEntrpnceSize N Fea Feade,s/5ubfeadere N Fee Gircuits
/2-Op U to 200 Am s I AP I 0 ta 30 Am s 30-eZ) 0 to 30 Am s
Above 200 qm u 31 to 100 q?nps 31 to 100 q 5
Swimming Pool
] Above 700-Amps Above 100_Amps
Transiormers Irrigation Boorcis Partial.'Other f e
Signs Speciallnspection
5'
J"7
TO A
F
em?.ks j. L
EE
?l111(?
Nough-in t D,te
` • r
8
th IGAI
' ?^soector, heraby
- certifY thql the abova
Final ?f ?te
[? inapection has bean
/
?
/
`S ( 4 mede.
TMarequestvoldl8montnetrom (/?? " ?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
Receipt #
7obeusedfor 1/2 DUP & GAREst.Value $62,000 Date MARCH 3 19 87
SiteAddress 2035 PIN OAK DR Erect IN Occupancy R3
Lot 6 Block 1 Sec/Sub. RAHN RIDGE Remodel ? Zoning R1
Parcel No Repair ? 7ype of Const V
. Addition ? No. Stories '
a Name B.H. GRACE CORP Move ? Length 40
3 Address 2004 VIENNA LN Demollsh
I ?
? Depth da
Ft
S
? nt
Pr. q.
Ciry EAGAN phQne 456-9030 Install ?
=F Name SAMR
$ ¢ Address
? Ciry Phone
F W Name
? z
a Addre55
46 Ciry Phone
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree to comply with all applic le State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of PermiHec,??! ' < a,??- r
A Building Permit is issued to: B• H. G ACE CORP
all work shall be done in accordance with all applicable
of Minnesota
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Var. Date
N2 13294
9//6
Permit $ 370 . 51
Surcharge 31.01
PlanReview 185.25
SAC 625.01
Water Conn. 52 5. 01
Water Meter 67 . 01
Road Unit 305.01
Tr.PI. 180.01
Copies-
Total $2,288.7;
on the express condition that
and City of Eagan Ordinances.
Building Oflicial
i
. o
CITY OF EAGAN ?J
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 ?V ? 13293
PHONE. 454-8100 6 ?
BUILDING PERMIT aeceiptp 7?l
Tobeusedror 1/2 DUP & GAREst.value $55,000 oate MARCI-I 3 19 87
SiteAddreSS 2033 PIN OAK DR Erect LN OccupancY R3
Lot 6 elock 1 Se11Sub. RAHN RIDGE
Parcel No.
w Name B. H. GRACE CORP
3 Address 2004 VIENNA LN
° pity EAGAN phone 456-9030
o Name SAME
$ a Address
x
" City Phone
a
F w Name
_z
? ?y Address
z
a W Ciry Phone
I hereby acknowledge that I have read ihis application and state that the
information is correct and agree to comply with all applicable $pte of
Minnesota Statutes and Ciry of a an Ordinance. / ?
Signature af Permine , ?D -` ?
7-
A Building Permit is issued to: B• H. GRAC ? CORP
all work shall be done in accordance with all appli ble State of Minne$qBuilding OBiclal 7 ?-?f t?' ?C
Remodel ? Zaning RI-
Repair ? Type of Const.
Addition ? Na. Stories
Move ? Length 40
Demolish ? DepM 46
Int. Impr. ? Sq. FL
Insiall ?
Aoorovals Feea
Assessment Permit '?
Water & Sew. Surcharge _
Police
Fire -
Eng.
Planner
Council
aldg. Off.
APC
Var. Date
Plan Review
SAC 625.00
Water Conn. 525.00
water Meter 67. 00
Road Unit 305.00
Tr. PI. 180.00
Parks
Copies
r,,.e, 2,248.50
on the express condition that
and Ciry of Eagan Ordinances.
RESiDENTiAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681•4675
New Construction Reouiremen(s
• 3 r?giste20 site surveys showing sq. %, of :oL sq. ft, oi house; and all roofed areas
(20°ia maximum lot coverage allowed)
• 2 copies of plan showing heam 3 windcw;aes; poured found design, etc.)
• 1 set of =_rergy Calculations
• J copies oFTree Preservaticn Plan if lot clatted after 711193
. Rim Joist DeWil Options selecGon sheet;bidgs with 3 or less units)
DATE ?I,sl ov
SITE ADDRESS
TYPE OF
APPLICANT
I Vill. 0
STREETADDRESS I `T'105U C? " N
TELEPHONE #1G?- SMI' 3'f0VCELL PHONE #
ATl?!J ZIP ?u- ?J? ?
PROPERTYOWNER ?vIGLYL.P ? v5?- . TELEPHONE# (pSl - UJ? - /-?P{o
--------------------------------------- -------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9orY _ 4(I\ VESO'C:A R(iI.ES 7670 C\11GORY l N[INNGSO"I':A R['LI:S 7672
(q submission rype) . Residential Ventiiation Category 1 Worksheet Submitted . New Energy CoCe Worksheet Submined
. Energy Envelope CalculaUons Submitted
Plumbing Controctor:
Plumbiiig system include5:
Mechanical Conhactor:
Mcchanic>il svstcm indudrs:
Sewer/Water Conhactor:
Phone #
Phone #
---------°----._... °---•----°------°-------------°----°---•------------^--°-----... _...----• °---°-----------•-°-
I hereby acknowledge that I have read this application, state thaf the information is correct, and agree to comply
with qll applicable State of Minnesota Statutes and City of Eagan Ordin ces.
Signafure of Applican} s IL< -
OFFICE USE ONLY
_ 4Vater Softcncr
Water Heater
No. of Baths
RemodellReoair Renuirements
. 2 copies of plan • 7 set of Energy Calculatiens for hea[ed atlCltions
. I sde survey (or extenor addilions 8 decks
. Indiwle -.f home served oy se0tic system `or addilions
VALUATION ?'a.l?,O?D
b2' MULTI-FAMILY BLDG Y ?N
Phone 4
[awn Sprinkler
No. of R.I. Baths
-- Air Condiuonin,
- f-[eat Recover}' Systcm
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Update0 4l02
)RK r)[?'/!&L?e j&Z&2 0 cLt^-J 5 L`T f FIREPLACE(S) _ 0_ 1_ 2
OFFICE USE ONLY
? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling p OS 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Oeck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12.plez Plbg_Y or _ N ? 25 Miscellaneous
O 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof fl 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Gensus Code Z.oning 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 bidg) _ FinaL'C.O.
_ Fou[ings (deck) _ FinaUNo C.O.
_ Foorings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AicGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new:heplacement)
_ Insulation _ Retaining Wall
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
Building Inspector
Total
li'edlund Engineering Services 9201 E°.'O°p^"pm f,«wap
91001"Ington, mkwftm 5wo
LaM lurveron CIvII Enalnens Lond Plannen Phone: 888-0289
im
le?y
? SA(
or?s G'ertI wte
BOOK _ PAGE _
_ JOB N0. 87K-0100
SUlyEr FOR: B.H. C,race
OESCIlIOED AS: Lot 6, Block 1,
D4innesota, and
TOP OF FOUNDATION =g33•9
GARAGE FLOOR ? 933.5
BASEllENT FLOOR = 9?iO•?
SEWER SERVICE ELEV. = N/n
PROPaSED ELEVATIONS : Q
EXISTING ELEVATIONS :
DRAINAGE DIRECTIONS
DENOTES LAT COIiNERS : o
DENOTES OFF3ET STAI{E: o
QI
?
Q
V
.
.
W /(?
PROPOSep +
OPI.IT I.EVEL
5C
a 9co4
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931.2
cEtrIFicATE oF suRVEr
F I Mre" urtify fAat on 2/ 17 /$7 2 wrveyeA fhe propeny dacrlbed above ond fhot
the above plut fs o wrrect representoflon of wld wrvnr. „
PAIIN RIDGE, City of Eagan, Pakota County,
reserving easements of record.
Fasr
/O/. 77
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Llcen"ss No. 14376
Ay /3Z93
1987 BQII.DING PERMIY APPLICATION - CITY OF SAGAN
4.
SINGLE FAMILY DWELLINGS
INCLDDE 2 SE?S OF PLANS, 3
OF SORV6Y, 1 SET OF RNfiRGY CALCOLATIOHS
.,
SOTE: 9DDEESSES FOF COEHER LOTS - C08YBACTOR/HOHEOWNEE HQST DESIGHAiE WHICH 9DDFESS
IS DFSIRED. NO CH9NGfiS iiILL BE ALLOiIED ONCS HOILDING PSRMI2 IS ISSDfiD.
MOLYIPLE DWELLINGS - R&SIDENTIAL
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
REBTAL OHI?S FOH SALfi OHZYS
OF SDRYEY - CHECB iiITH BLDG. DEPT.9
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2 , E B
Mo??? ?Z9
To Be Used For• ,S - ? Valuation:
Site Address Z o 33
Lot Lp Block t
Parcel/Sub lC a N K ?? G 4 p
Owner ?le p K f- r
Address
City/Zip Code
Phone
Contractor ? , H. C]rd)CP Coe tj '
T
Address ZO b 14 virhN& Cd..'-
City/23p Code ^c?5d1h f11vJ $5/7-Z
Phone Y?b -- 9 03 0
Arch./Engr.
Address
City/Zip Code
S?,ooc?
Date: z- z S-? 7
On Site Sewage Occupaney K•3
_
MWCC System ? Zoning
On Site Well Type of Const
City Water v**? (Actual) Q
(Allowable) ?
U of Stories
Length 4:0
Depth 4(0
S.F. Total
Footprint S.F.
APPROVALS FSFS
Assessments Perm3t
Water/Sewer Surcharge
Police Plan Review (-13,
Fire SAC, City ? CJD.
Engr SAC, MWCC 525,
Planner Water Conn 5 Z5.
Council Water Meter (07,
Bldg Off Road Unit 051
APC Treatment P1 1070.
Varianee Parks
Copies
TOTAL
Phone #
- r
U
" -K- ?0 3 ? .'r? c
? ROAD?-BLOOMINOTON, IN
!a{hlrllltPf Cp0{tNCtqO NO.
Windowe I Doort II Referenu II put. Wall Int. Wall Ceiling
Ya- o ? 19_
`'{ ?1•? ?4{ 'c y Room Length Width Height
Windows and Doora---Crsekage and Arca .. II '
?
InGltration
?
Glaae
Exp. wa
Net esp.
Int, wall
Tota1 Btu.
Required aq, ft. E.D.R, or eq. ins. W,p Leader arca r
f- r?.??C,.?°O°' ??°e??' 1L`4, Width I L Heiaht 51
Clsu
Exp.:wall / 1m to -
Net up. well
Int, wall tJ,.,, ? 1,.
Total Bta
Required aq, ft. ED.R. or ?q. inw Q7,p. L,esder arca
:?' Fl. r?,r::.•. . Room ? L.ensth Wideh I
CVindowa and Docrs-Creeksge nnd Arca
wm?n x.trni He, ot LInea1 tL wre•
Ne. at pana ef pan? 11g04 of eraet M. ft.
c?• e 2 t ?j, ;
C
fnfiltratioa ?p
Glsaa 79,5! <
' _'F. nai
Vet exp.
Int..wall
'loor .
f otal Bti
431?881-5611 .
INSULATION ?
Floor. . Kind Now ppp?ied
7 ' _
Kl }CbOtV Room iUcgtb J 0 wkkh /"f HeioAt i."
Windmw and Deon-Craclu ge aed Aree
No. wiatn
a[ p?M x.i?ee
at yw.
Naof
11/ht?
11
ie.. e?
ot eraet
wr..
p. tc
L J 4
L i. 3 a L
Coef. Btu
1a61trstion ? acj 7157
Glau Sn 5 0 4-h r.
FsP• wall 1I( -/ lol X ,a C<
Net up. wsll '
. . I 5'< S"
IAG•wlU"' lfi
?? i r 6r ???^
CCIlIOg 7 1: lit? -?rJ^ ?C,AC
-Fl001-
IcMartea p. fA t.U.K. or p. ins. W.A. Isader srca ? --
?SkFl.I ?eVa?ILeagth /oZ Widt6 i0-K+Height??
Wr_,
. .....?• . w wor. -a.racee ge sna nr ea
Na taie
e[ pae, A?4st
of puu e. et
11 Sb LIqHI fl.
ef en<k AfN
q, ry,
tu
1o61tretion
Glsu
Esp. wall I v• t, v !s
Net e:p. wall
-lnb wa11- ?C!
Ceiling U• G X/
f C;: :
7. i.
t
>
!,,. L J
7!
-Floor--.,
?
? vaa? U. (1 t C
Rawired p. k. ED.Jt or p. ina. WA Leader arca '
F]. .?r,,ro; t?' ltaom I Leagth ? Widt6 '? „T- Height S?
aiodowll end Doon-Craelcsge and Area
ietn . re? n e ?reai e. wn• '
Na et yaae e[ pa? Il?hls et enek p. [t
.q l I . 1 Un. O
Fsp. w.u 3 E i r*;1 54
Net uo. well
• ? ? TOtv 6[Y.
p. ft. E.D.R. or p. io?. W.A. Leader m? 11 Repuired W. h. E.D.R or sp. iew WA.
,tv Ya-f' 4/Y8r7 = .70 = 6vo?Y 671? ALS U/ '
1987 BQILDING PERMIT 9PPLICATION - CITY OF SAG6N
SINGLE FAMILY DWELLINGS
IACLDDE 2 SETS OF PLANS, 3 CERTIFICAi6S OF SORVEY, 1 SBT OF ENERGY C9LCOLATIOHS
NOTE: ADDRESSBS FO& CORNER LOTS - CONYRACTOR/HOMEOWNER MIIST DESIGBAYS WHICH ADDRESS
IS DFSIRED. NO CHANGfiS WILL BB ALLOW6D ONCS BOILDING PSRMIT IS ISSQSD.
MOLTIPLE Di1ELLINGS - RffiIDENTIAL RENTAL OHITS FOR SALE OHI2S
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQEPSY - CHSCK iIITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMIl9ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CA LATIONS,
1-, 0 LANDSCAPE
/V1 oc? LUsed Q ?2 To Be F S? D Valuation:
T
?
Site Address Zb 0.4 < OFFI?
Date: Z-ZS- $7
12• 3
Lot Block ? On Site Sewage Occupancy
1
I
P P1WCC System ? Zoning
Parcel/Sub el h? ?
C? e On Site Well Type of Const
. City Water ? (Actual)
Owner ? i l ( l ?«vnberS (Allowable)
# of Stories
Address Length
Depth
City/Zip Code S.F. Total
Footprint S.F.
Phone APP&OV9I.S FSBS
Contraetor ?, P, ?j-?-?,Ct-- (7a,12 Assessments
,/ T Water/Sewer
Address '2. DC Vt'- Kw.d1 L,1..-e Police _
Fire
City/Zip Code a) v\ , (V? qJ SS/ ngr
Planner
Phone ? ,3 d Council
Bldg Off
Mch./Engr. APC
Variance
Address
City/Zip Code
?
40
--- 276-
Permit 7j D.50
Sureharge I•
Plan Review 15 TIT
SAC, City I b01
SAC, MF1CC 5z5•
Water Conn 57?,
Water Meter 607.
Road Unit ")jps,
Treatment P1 00,
Parks
Copies
TOTAL
Phone !k
CaYIdC
Windowe I Doors Refermce Out.1
Yes-No Ya-No 19_ -
I' FI4 &JC'cn 21 Room Length
Windowa and Doors-Craekase wnd A...
Ne. \YIAth
o( oana H<16hl
of oane No. o!
Iljbp Lln?al fA
o( qroct A?e?
p, (p '
.
?
Coef. Btu
In6ltration ? ?
Glsa? ?y ?
exP. Wan -? t? , t
- •}r.o
Net eav. wall
InE.wall (> + -•? i
O
Ceiling -?
Floor . .
? o1 nEu.
Remquired sq, ft. E.D.R. ot aq. ing. W,p. Lesder area
(?.r?!?cAf)JReom L.ength &-(n Width /
Windows and Deers-('..A.e. ....! e...
N. mtp
of mns xaisne
of Wn, ero. ee
ll??p 1?1 «.
pf Crae4 wr.a-
p.
(?
, -
2 1
/
Coef. Btn
In6ltratioo
Glau l?U ?
Exp.'wall
Net e:p. wall r?? M ,-•
lnt. well ct,r t r' f . l 7•
i.
,
Ceiling
Floor
lotal Htu. ? -
Required sq.`ft. E.D.R. or sq. ias. WA Lea?r arca
•' Fl.? ! ?,?;+•r Roem I l.ens? ?,? Width !Z Height
WuflSows ant? Uoora?Cnek?e. ....1 A...
Ho. Width
00? a of ? paaa Ilghls ot enek p [A . .
14
r e .
;. G. ? o ' C.? ;• a t-
Coef. Beu
Infiltrstion
Gls?s
Exp. wall
,7 ? f?' X A
)?•
?Rc
. C?
?.r,`T
'
t'?
Net acp. wa0 •,?,i? ?? r.- ?
1
Int.wall
CeilinB "?j
,',
Floor
•°•" °•". - ! ?I Tmal &u.
Reqnired W. h. E.D.R or ?q. ine. W.A. Leader arc? Required p, k. E.D.R. or sp• ins• W.p, der arca
'.,[,1'?`"°_'f? s.fS°flf7 J?a.,
x
?LOOMI T N; I E50 i
Coodruetioe No.
INSULATION ?
Floor . Kiod-How
77? wid?h
. ..w... a .w racw ge ana nrc a
No. p IAIh
ef p?ns HeIgSt
oI pap* Na e[
IIgeU Lis?t? [G
et craclt AeY
p, f? '
4 ! y ?,4
t 7 L 3'•C.
J.
C
oef.
Btu
In6ltrstion $ , „)t1 ? J ?r ?••
cl... so sa a?-?:?,
Fap. wall 111 .})a Xe r
Net eap. wall
15' ?
?_.
- •1 c'?
?In4?we11^ G ? / ? ?i-
Ceilinq ! t !&'d ?>, 5' Na'c?
.Floor
Iotsl tlt11. I
Required p. k. E.D.R. or aq. im. W.A. Leader ens-1 --
154"FI.I ?"ai1er RaomlL,eegth la.. Wideh aP-G,Heiaht??
wuloom.a aop ucor4-y,raC[e ge aIId APo a
-
N0. W Wlp
0[ pse? Ha Et
o( ? f O. o
llffsb LIqMI h.
ef araC4 ArH
q, fL
,
oe '-0 4 8 + t9, ? n
1 I'?',? r7; sr^
Coe[
ie6ltralan t?`J 1 :
GIaN 2 n / A("
Fsp. wa11 / 0. 6
Net e:p. wall d
_tar.-well • /.?, n ; ti,?, ,• t,, <I
Ceiling
+Floor^--?
,otm nca 1-10
Required w. k. E.D.R. m p. iew W.A. Leader ana
Fl• PkFrn4r+ Rnomll.ensth'3R V/idt6 7 S" i-kiQht<:'
Winduwi eml Doon-Craekage and Ares
Na 1 t
e[ "M Ho [ t
M Mee Na o[
Iliht? WaW [t.
ot Cr?ek Aru
p. M '
[. ii -a c yp •,r. tw .
!.
4LLQ ? o Q -vi CoeE Btu
Infiltret'wn t ? ? `z'7
Clau tn
Exp.wsll 4<'+,?ti'•:8'+:7'i K 5a l,r,a;5.
Net ezp. wall $y S '-t'SC^ ?
e Int. wall .
. Ceiling-.
Floor ..?.. 5'i? P.(„-}L?
CITY OF EAGAfV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
^AT6: PA7Q4EN1' OF F6E AT TIME pF
APPLICA7ZON DOFS NOT COiaTI7iTtE
APPROVAL OF PEEU+IIT.
INSPEMorr oF sEWER r,rm/bR Fm.M
INcmnT.ramrONS WIIS, NOT BE SC'FED-
iII,ID U[1EII, PERNIIT HAS BEM
APPRCSVID.
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISTING STRCY.'IT.R2E, DATE OF ORIGINAL BC'ILDING PERMIT ISSL'ANCE: "
i
' Mon Year)
PRESEDTf ZONING/PROPOSID OSE:
COMMERCIAL/REPAIL/OFFICE R-1 SINGLE F3fMILY
0 IAIDPSTRIAL Q R-2 DL'PLEX (7two Units)
INSTI7L;TIONAL/GOVERNIIyEtNT ? R-3 7OWNH00SE (Three + Units) ( Onits)
. [? R-4 APARTMM'P/CODIDOMIbIILIM ( Units )
2)
ADDRESS:
CITY, STATE, ZSP:
PHONE:? ?O .Sl_1
3) u r. ?•
NAME:
ADDRFSS:
? CITY, STATE, ZIP:
PHONE:
LICQISE#
r
Active
Ekpired
Not recorded
ta Initlal
q)
NAM:
ADORFSS: '
CITY. STATE. ZIP:
PHONE: •
5) ? r.. ? ? a: • a• : o • a. - ?s
6NNECTZON 'lO CITY SEME2 CONNFX,ZION Z+D CITY WATEF2 ? pTfIER '. .
6) ? v -• r ? PLEASE HOLD APPROVID PII2MT FOR PICK-UP BY ONE OF ABOVE
f? PLEASE MAIL APPROVFD PFZiMIT TO 1, 2 4, ABOVE
jj , ? (Circ e one)
7) le?i11101 _ H-03tmlrw 21
. F4R CITY USE ONLY
PERMIT # ISSOED
lf6 7 ?
Pd w/Bldg. Permit FEES:
$ $__ SEWER PERMIT (INCLUDE SLTRCHARGE)
$ $ ?D S ?J WATER PERMIT (INCLL'DE SL'RCHARGE )
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ U D ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ ? Z S n? $ WAC
-
$ 4
2 5 O ll $ SAC
$ $ TRONK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ / J G0 U $
WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ S
TOTAL
-21167
RECEIPT 74 3)?.
RE
CEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHILV PLBLIC
Q
NO ROADWAY" ML?ST BE ISSUED BY THE ENGZNEERING
DIVISION
LIS
.
T AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: x„ ) X/.a-,. ?
TITLE:
DATE : -??? /-)
- ?
?
CITY OF EAGAiV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
^ Jtl?l?]?Sf1'R;1[ltRI?FF?fl?zlfi9[il[iiSl?'RRiRI?][?]t
? P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
I£ E7QSTING STRCCiS,`RE, DATE OF ORIGINAL BL'ILDING PERMiT ISSt'ANCE: - ?
?
(MOn Year ..
PRFSENP ZANING/PROPOSID LTSE:
M COI4l]ERCIAL/RErAII./0E'FICE
Q IAIDL'S2RIAL
Q INSTITS,'TIONALfGOVFStDAg.,'NT
2) DI71ME:
ADDRESS:
CITY, STATE, 2IP:
• PHONE:
R-1 SINGLE FP.hIILY
? R-2 DT;PLEX (7wo Onits)
? R-3 ZOWDII30USE (Three + Units) ( Units)
q R-4 APARTMENi'/CONIDOMINILTI ( Units )
3) ' i: ?• NAME:
ADDRFSS:
? aTY. STATE, ZIP:
PHONE:
LICENSE#
4)
?a• ? ?
NAME:
ADDRESS:
CITY, STATE, ZIP:
PAONE:
Plwnbers License:
Active
EScPired
Not recox'ded
St In1t1a1
5) ? ?. .. ? i r. • ?• ; o • ? . ??
NNECTION T0 CITY SEWII2 CONNfX.fiION TO CITY WATER ? OTftER . .
g) u • •?• ? PLEASE HOLD APPROVID PERMIT E'OR PICK-OP BY ONE OF ABOVE .--- ,---..._
1i.SE MAIL APPROVfa PFRMIT TO 1, 4. ABOVE
:*TdPF': PAYMEN'C OF £EE AT TIlM OF
: r.ePLscATzoN noEs Nrr ooCMlcrM
: APPROVAL OF PE10IIT.
: INsnncrioN oF sF.WER r,rro/OR ?.mt
; rnR+rar.raTTONS WIIS, NOT HE SCHED-
: vrEn Ucaru, PERMIT xAS BEEN
: rPraovID.
(Circ e one)
7) r ?? u• ,.,vya.L?? [r? .3"'0?,? S_;?
? ,• ...? ..., .... .
. FOR CITY USE ONLY
PERMIT # ISSOED -
d-5? '
Pd w/Bldg. Permit FEES:
$ $ lb - ? SEWER PERMIT (INCLLDE SPRCHARGE)
$ $ WATER PERMIT (INCLODE SURCHARGE)
$ $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (ZNCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ d ACCOUNT DEPOSIT - SEWER
$ $ ?,5C1 Z? ACCODNT DEPOSIT - WATER
$ WAC
$ SAC
$ $ TRC?NK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRCNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ ? .? ?7 ? U Z) $ .? I' ? TOTAL
7
RECEIPT #-
REC
EIPT
DOES QTILITY COBINECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY: ,?J crd'?-o
TITLE:
DATE:
r
PLEASE COMPLE'I'E FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS VHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
------------------- - ------- - -- - ------ -- - - - ------
NEW CONSTRUCTION
? ADD-ON A!C
ADD-ON F'URNACE
FIREPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU
ADDTTIONAL 50 M BTU
GAS OUTLET'S (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTarG CONSTRUCi'ioN)
STATE SURCHARGE
TOTAL
STI'E ADDRE
OWNER NA11
INSTALLER:_
ADDRFSS: i
CITY: K,I N
TELEPHONE
CP
$ 24.00
6.00
$ 20.00
.50
aa d
TELEPHONE #: 45?v _a2ic%(?
t/` 1/. _Ll f7 L'
STATB: ZIP CODE:
SIGNATU OF PERMITT/q
1994 MECHANICAL PERMIT (RESIDENTIAL)
CiTY OF EAGAN
3830 PII.OT KNOB RD
, EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMIIERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
NEW BUII.,DING
INTERIOR IIvIPROVEMENT
WORK DESCRIPTION:
CONTRACT PRICE:
FEES
1% OF PFEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
?....
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPxovaMEM orvi,Y)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TF.T .F.PHONE #:
SIGNATURE OF PERMITTEE CTTY INSPECTOR
1994 MECHAHICAL PERMIT (COMMERCIAL)
C1TY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
--------- - --------- - ----------- - - -- - --
?yNEW CONSTRUCTION
y A
ruv? TTl-va /'11`T Au/C
?LL
ADD-ON FURNACE
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OLTI'LETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExISTING CONSTRUGTION) $ 15.00_j
-_-
- --- _ __ ------- ?_- -- -
STATE SURCHARGE SO ?
TOTAL - - '- - /SS
SITE
? 3s
OWNER NAME: /e'd'rEr.EpHO1vE #:
WSTALLER:
ADDRESS: ?/y UJP4f 771V2--dLW- -
CTI'Y: lv?llt_l STATE: #G? ZIP CODE: .537/-Z3
q ?
TELEPHONE #: /?3
/
SIGNATURE ERMITTEE
1993 MECHAATICAL PERMIT (RESIDENTiAL)
CITY OF EAGAN '
3830 PIIAT KNOB RD
EAGAN RN 55122
(612) 6814675
1993 MECHANICAL PIItMIT (COMMERCIAL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681.4675
PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUII.DINGS. ALSO COMPi .F't'E
FOR APARTMENT BUILDINGS OR OTHER MULTT-FAMII.Y BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
F'EES
1% OF
FEE
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
CONTRACT PRICE: $
STATE SURCHARGE $.SO FOR EACH $1,000 OF tgpg FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENT'S ONL1)
INSTALLER:
ADDRESS:
CITY
STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
oF
3830 PILOT KNOB ROAD THON?5 EGAN
EAGAN, MINNESOTA 55142-1897 Mayu
PHONE (612) 454-8100 DAVID K. Gu5TAF5oN
FAX: (672) 454-6363 vPrnE.n nncaaEV.
TIM PAWLEN7Y
THEODORE WACFitER
Couruil hlembzrs
7HOMA5 HEWES
Crty Administra[p
June 3, 1991 EUGENECVANO VERBEKE
M
JAMES & PAMELA HOLZSCHLTLT
2035 PIN OAK DRIVE
EAGAN MN 55122
RE: P.I.D. #10-62750-061•01
Dear Mr. & Mrs. Holzschult:
The Eagan City Code requires weekly garbage pick up. The garbage in front of your house
has been at the curb for over a week.
Please see to the prompt removal of garbage within a week from the date of this letter. If
the garbage is not removed, the City will be forced to hire a hauler to remove the garbage
and assess the cost against your property.
If you have any questions, please feel free to call me.
Sincerely,
Michael J. Ridley
Projeci Planner
MJR/js
THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfN IN OUR COMMUNIN
Equal Opportunity/Aifirmafive Acfion Employer
& Components
Division of C.C.M. Inc.
Office: (507) 872-5195
Box 383 Minneota, Mn. 56264
April 16, 1987
B. H. Grace
2004 Vienna Lane
Eagan, MN 55122
?
-2 0 3 s ,7 D R 4, ?r.
,/?4c<_
RE: F'LOOR TRUS5 REPAIR FY)R B H. GRACE
7b Whan It May Concern:
The repair on the floor truss in question should be as follows:
Use a minimum of 1/2" plywood nailed to Loth sides of truss for
a length of a least one (1) bottom chord panel. (SEE DRAwING)
Plywoocl should be secured to truss using lOd nails securely
fastened into chords and webs every 6" o.c.
If repairs are made according to diYections zbove we foresee
no problems with the truss now or in the future.
Sincerely yours,
•_---?^
Zb?m No?meland
General Manager
SUPERIOR TRUSS & CCNSPONIIV'I'S
OESIGN LOAO
TOP LL- 40. P9F
TOP OL- 10. PSF
BOT LL- 0. PSF
BOT OL- 5. PSF
DUq aF LOAU INC 1.00
SPACING 24.0 IN 0/C
ADDITIONAL LOAD
JT LBS NBR PLF
1 400. NONE
JT AEACT MIN BRG
15 1430. 3.50'
!U 840. 3.50'
DATE 3 10 87
JDB ID 18 6D,
SHEET OF
1 ?._..._ 10 6
?
LUMBER SOLUTION
TOP 4X2 #1 SPF,
BOT 4X2 #1 SPF,
WEB 4X2 #3 SPF,
E1?16TF4X28#3 SPF,
2-15 2-42 #3 SPF,
9-10 2-4X2 #3 SPF,
qEC CMB - .20' AT 12
O,, (C
t4AT
! 2 3 4 5 6 7 B c
:.
?
Co Ramv e+Aws _ f L y u, oot,
S0w StDEs
U01? 50-Aj NAIGlN3 - to O, y! ` o. c.
n
s"9 9fwp-ta -'I-h?^a,5 k " si o? g
INlo eW*D SI h1C g.5
3x3 3%5 4x12 3.5x7 3.5z5 44
3x6 12 11 10
14 0/A SPAN 17- 03 0 (FT, INCHES, 16'S) SCALE° .500/1.0
.*°
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAR 02 2016
Use BLUE or BLACK In
For Office Use
/-3'3
Permit #:
Permit Fee: c:77 / c 7/
Date Received: -2 I
46)
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2/12/2016site Address: 2033 PIN OAK DRIVE
Unit #:
J
Resident/
Owner
Type of Work'
Name: Jeff Joffer
Phone: 6513872131
Address / City / Zip: 2033 PIN OAK DR
Applicant is: 1 Owner
Contractor
Description of work: Build bathroom and
Construction Cost: 1860e f Lit 6
co
bedroom in basement ificviAlL? r °
Multi -Family Building: (Yes _ / No ✓ )
Company: Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
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:
Phone:
Phone:
Fire Suppression Contractor: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 ode must be completed within 180
days of permit issuance.
x Jeff Joffer
Applicant's Printed Name
Applic ntII1JJi ` • ig 'at rf
Page 1 of 3
,9O ,
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
-.)‹. Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review f
(25% 100% X, )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)— _
_ Porch (Screen/Gazebo/Pergola) _
Pool
_ Interior Improvement
_ Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Siding
Reroof
Windows
_ Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
_ Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
!% Occupancy :r r
Code Edition 4s�,fJ
Zoning
Stories
Square Feet
Length
Width
Air Test _Final
Z
ro
MCES System
'" SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC T Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests Final
Drain Tile
Siding: _Stucco Lath Stone Lath __Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
3�rcXo0 = ?/O�
Page 2 of 3