2047 Pin Oak Dr`• 6ITY UF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189
(612) 681-4675
SiTE ADDRESS: ;
PERMIT SUBTYPE:
INSPECTION REC4RD
PERMIT TYPE:
Permit Number:
7 Date Issued:
r ''" APPLICANT:
! ?: It1 ??? t
t r? 1.' ? ?? i•? ?. I?I ? ?'..
TYPE OF WORK:
??.-?,tt •??
INSPECTION .. . ..
,.;., ? . ?? ? ?,??, ? ??,. .,
rr ?aA P F I , . rFv -1 -b 11 i•i i
?
?
Permit No. PermN Holder Date Telephone i
ELECTRIC
PLUMBING 614-vlxd llr,?/ .?M?_?
?
HVAC
?J
T
'
& 9 5
aof J?' ?O??o
Inspactlon e Inap. Comments
FOOTINGS ? ?
FOUND
l 7
FRAMING
ROOFING
ROUGH
PLUMBING
AW-
PLBG
AIR TEST
.
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
<? <
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT H.I.
BSMT FINAL
DECK FTO
DECK FINAL
7 7
r
a??
r'?""...
4k.
r ?
Wastificate of ccc"anc?
Wtv of"au
pact?eNt of sxoisg aKocctian
Thrs Certificate ?sued parsuant to thw nqairenttnts of the Uniform Building Code
certifying that at llu tune of rssuance this structur+c was in compliance with the various
ordirwnees of tlu City rrgrelating buildeng constnrctiort or use. For rhe following:
u- ?r?: SF DWG Bmg. pemfic rb. 25839
omqwMy'[ype R3/[11 z,aoing Uis? PnA I rype Comt. w
O,mer d Bui1?OORIE LARIN Adiess 1345 Hi(R-Si'IR i'_EACAN
ei,;ich,,? Addnw 2047 PTI+1 QAK DRIVE Lmw;R,, L 15. B 1, VmddA WOCOS
i4?
eWdingaftW / .
POST IN A CONSPICIIOUS PLACE ?•'
?
CITY OF EAGAN Remarks
Addition VTF.NM,A [innn$i Lot 1 5 Blk 1 Parcel 10 81950 150 01
Owner screet_ 2047-Pin-Qa-k- grive State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ? 1981 $34. 4 2a3
STREET RESTOR. _
GRADING $8
. 717
_
,
SAN SEW TRUNK ZIPI 1973 129.78 8.65 15
? SEWER LATERAL J 198 1 49-49 34 47323 10
*
WATERMAIN
* WATER LATERAL
* WATER AREA
* STORM SEW TRK
* STORM SEW LAT
CUFB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
o- ?
S 4s ?
°°
?
?
?
95
Reqv st Date Fire No. 8oug -In Inspeclion Requiretl Inspection Other Tha Rough-In
(VOU m s 11 inspec[or w?en reaEy) ? Reatly Now ,?'?Nill NotTy Inspecbr
Ves ? No Date Reetl
I icensed contrector ?owner hereby request inspection of above electrical work at
Jo0 Adtlress (Street, Box or Raule No.)
,2 o v7 P, n 4/}k DR Clty
EQ ?'q
Seclion No. Township Name or No. Range No. Counry
got I<oTa
Occupant(PRINT) C
oR G/uaih Phone No.
PowerSUp ier ?
pQ ,r 45?ecrRic Atldress
i/3oa ZZo' sr,sdesT?,??1H ow?1p,
Electncal Co traqor (COmpany Name)
Se ? ccTitic.?K4 Conuacto/s License No.
C/,?'oo/ z
Mailing Adtlress ( nVactor or Owner M king Installation)
so ?? /?? ? N.? rU k,, ls'?'G 47a? 11 ss?iz
Au?hor e ' n re(COnVacrodOwner Makin Inslallafion
? P one Number ?
/;,
MINNE50 STBdg. 8 Noom S128 E?p'CITM I BTHIS E ACCEPTE? I BV iHE STATE BORD
T
1831 Univmiry Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Griggs- ? I. I?I i II I I I7I I I 11111
Pnone(612)642-0800 ENCLOSED.
0 r/7Cj _j Z?, REQUEST FOR ELECTRICAL INSPECTION ?rt , e6-00001-0
See insmiclions lor completing Ihis lorm on back of yHlow copy. -?-:
?
"X" Below Work Covered by This Request
Ne Add ep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Building Dryer Load Managament
CommJlndustrial Furnace O[her (Specity)
Farm Air Conditioner
OMer(speclfy) (;ontiactor'sPemarks: CVA?ew A00Q/NtsS?/l(/C.C
(
Compute Inspection Fee 8elow:
# Other Fee # Service Entrance Size Fee N Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps O 0 to 100 Am s 76. 00
Transformers Above 200_Amps Above 1. 0_Am s
SignS Inspeclors Use Only:
`
-? T
j)Tq?
Irrigalion Booms /
y'
7 1? y?
?
7r?7 S
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE O ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO 5.
I, the Electrical Inspector, hereby
cerlify that the above inspection has
been made. aou9n-in
Finai Dat ?j
[
-
Dat ?
OFFICE USE ONIY
This requesl void 18 monlhs Irom
Address 2047 rrni oaK ntuvE Zip 5512 2
?
I.bt °•I5 Blk 1 Sub vIErurn WOODs
THESE ITEMS WERE ! WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: fL ,)/ 5 rj'5
Yes
No
Inspedot:
Final grade (6" from siding)
Permanent steps (gatage)
Permanent steps (main entry) ?
Permanent driveway ?
Permanent gas r/
Sod/Seeded grass ?
Trail/curb damage ?
Porch ?
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing sysrem and the shutoff of water supply to
the ouiside lawn faucet before freeze potential exists.
ContaM engineering division a[ 6814645 before working in right-of-way or installing underground sprinkler system. ?
Whice - City Copy Yellow - Resident Copy Pink - Conhacror Copy
CIT.Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-81950-150-01
DESCRIPTION:
PERMIT
2047 PIN OAK DR
LOT: 15 BLOCK: 1
VIENNA WOOOS
Building'Permit Type
,iluilding Work Type
? UBC Occupancy'
Construction Type
2oning
Building Length
Building Width Building stories
Squa,re Feet
PERMIT TYPE:
Permit Number:
Date Issued:
SF DWG
NEW
R-3 U-1
V-N
p0 R-1
43
44
4
1,669
?"_ _ .. . r _ .. .
REMARKS:
PRV S & W PLBR -
Np*'s 1?53
ce/a1/9s
BUILDING
025839
06/16/95
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$856.00
$299.60
$47.50
$850.00
100
$2.053.1@
$95,000
MISCELLANEOUS $1.892.50
Total Fee $3,945.60
CONTRACTOR:
OWNER: - Applicant -
CLARIN CQRY
1345 HIGH SITE DR
EAGAN MN 55121
(612)939-6147
T hereby acknowledge that 2 have read this application and state that the
information is correct and agres to comply with all applicabls-Stata af Mn_
Statutes and City of Eagan Ordinences.
?
CY2C-??
APPL ANT/PERMI7EE SIGNATURE
??? 1?
ISSUED B : SI TU(i
I
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: suzLosNG
3830 Pilot Knob ROad Permit Number. 025839
Eagan, Minnesota 55122-1897 Date Issued: 06 / 16 / 95
(612) 681-4675
SITEADDRESS: P•=•N.: is-sisse-sse-ei APPLICANT:
LOT: 15 BLOCK: 1
2047 PIN OAK DR CLARIN CORY
VIENNA WOODS (612) 939-6147
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
INSPECTION
FOOTINGS D. .
FOUNDATION .•
FRAMING ROOFING
INSULATION FIREPLACE
RtlUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: PRV
?
?
S & W PLBR -
?
J
F ? Lp ! 1 U -1s CITY OF EAGAN 4-11`I K tn O
i ' 3830 PILOT KNOB RD - 55122 r
995 BUILDING PERMIT APPLICATION (RE5IDENTIAL) (,(?Q (.-I ?o
°c k 681-4675
New Conshuetion ReauiremeMS RemaleVReoair ReoWrements
? 3 registered ske wrveya ? 2 eopies of plen
? 2 wpias of plana (include beam & window saes; poured fid. design; etc.) ? 2 aite surveys (euterior additiona 8 dedcs)
? 1 energy ealalations ? 7 energy celculations tor heated etlditions
? 3 copies oi tree prcsorvation plan if lot plaped after 711193 ?
required: _ Yes -XI, No
DATE: CO - 9 - I.S CONSTRUCTION COST:
DESCRIPTION OF WORf
STREET ADDRESS:
LOT 15- BLOCK _L SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
Name:
Street
Ciry: ??_ State: / Zip: ?s121
Company: -<?-,,? Phone #:
Street Address: License #•
City: 5tate: - Zip.
(n33- 9 (a $O
ARCHITECTi Company: DP PI0..AN;2a +- Desic?Avic•Phone#-
ENGINEER
Name: Registration #•
StreetAddress--NeLq? lL`'`KL?
City: Arde*-. ?I-i I I 5 State: M Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wdh all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY , u
Certificates of Survey Received ZYes No p g lggg
Tree Preservation Plan Received Yes 7No ----------.W..,
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex
cpa'-02 SF Dwelling ? 07 4-plex
a 03 SF Addition o 08 8-plex
a 04 SF Porch ? 09 12-plex
0 05 SF Misc. 0 10 = plex
WORK TYPE
col"31 New o 33 Alterations
n 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual) -?
(Allowable) -N
UBC Occupancy -? u-i
Zoning Pa/e-i
# of Stories ?/?tvu. SPVr
Length 5'3
Depth YY
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCM/S SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
C?' /Z-4---
Z2r, Z? ' ?f(o2
,33 F 3
. 33 n fs = 3
j??77_, ?q?,
OFFICE USE ONLY
? 11 Apt./Lodging ?
0 12 Multi RepaidRem. ?
? 13 Garage/Accessory o
? 14 Fireplace ?
0 15 Deck
? 36 Move
0 37 Demolition
Basement sq. ft. 52?
Main levelssq. ft.i'-`412 4,10Z
sq. ft. s72-
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft. ? /G 9
y
3r"?f? `?l
?
. ?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Valuation: g ?Ooo
{y1a?N F?o_.?
?Z.?s ?cvr?r
y x Z6 : /oY
/$ x y° = 7zo
Cs,... I vr 60 -
IY x Z Z-
2 F /N•f
, 300
_ Zf
= iY
r, iz- x sY ?
X, ?
Y£s
!o/
?
?
? )? D
G?
2 2 K 2Co = S72 ?, zs ?
?
- !, i Bz
? Z 2 F w? " < s72..?
?7)
SY? S x /S=
$, r!5 3s
= ?'y 11<9
Building Permit Survey for:
CORY CLARIN
at 2047 Pin Oak Drive, Eogan, Wppe
DAot? ? ??? elevations and lot gmdes are
verbal instructions or from house plans prepared by otl
Qamer and the Owrers bui!der are esw to review ft
--------- S 90970'00` E 85.00 -•-•....._. 91 k 41 and I ca' to dQrmina i? they fit teequrterrrerts of tlt
? _ ?, ? ?_ _ ? • houseandhowffieyWliatfectUiefuluradrainagepam,o1
5The Surveyor stwsdd be notified rf arry Qhanges
, toth2bcatim pradesorelevatlonsrmd tob8
nllac?.
v
I I J
u
I ? a
g I ?,
? a
^ I I ?
?
W ? I m
14
m9?
111 ?7J? ? i? ? ?, ,....
? 19 83_
I
$? 7 'I
0
936.5
f
m?
?
l 'a
and
ga'^Easeme t
D
?tty
1
Proposed
Houae
-?-'-i X
?lanhol 938 74
nveh ?24•32PIN
? i
I I
i I so
?C?
?° I
?ct
g36 1
T-so Wotermain ------!?n???-. •
m 0
8" Sanitary Sewer v g31 ,-, ?- j-
/?(? Manhole 934 60
; 0/-l!\ DRIVE Invert 924.8?
F. "No " E7- `a
gVIF - _--?Q
LEGAL DESCRIPTION
Lot 15, Block 1, VIENNA WOODS, according
to the recorded plat thereof, Dakota County,
Minnesota.
Garoge Floor Elevotion = 938.00
Frst Floor flevation = 939.33
Walkout Floor Elevation = 930.20
Area = 13,600 square leet (0.31 acre).
I
?S1y ?? I
I
\ I
REHDER&AS=TMNkft
/
g (612) d52-M _ ' •"4? ;
?
16 N
.,
,............
Scole: 1 inch = 30 feet
J ? ?&
o Denotes Iron Monument Set
?
? • Denotes Iron Monument Found
sen.i• Denotes Existing Elevation
x Denotes Proposed Elevation
1185 ?-Denotes Prop. Surface Drainage
? m D
t H
b
eno
es u
EAGAN
It E VIEND
.< k
??
DEPT.
I hereby certify that this is a true and correct
representation of a survey of the boundaries of
the lond above described ond of the location of
a proposed house.
Dated this 9th day of June , 1995
REHDER dc ASSDCIATES, INC.
Alvin R. Rehder, Land Surveyor
Minnesoto Registration No. 13295
Rehder and Associates, Inc.
CML ENf;INEERS AND W/D SURVEYORS
JNO feAnal orM • SuWs 110 • EWm. MYwmfa • Wwne (!IY) I31-SOSt
B. The
eraft
u
JOB: 954 -1329. 010
SAT 8?R9Ey CPECItLI6T ?OR ^Lr-SSDEN'"3?!.!.
BUza.aaxO PE?uX=T Aprs.acAmaou
` .? /
??4 2
bute ot SurVey:
?
? ? ?1ACLJaSF.2d'!' RT t?q
. ANDAR._._
2-1 !'J • ,
Rsgistesed T
a
nd S
u
veyor mignature an8 company
r
? ?
• y
y
?
*
?
Y
?JL.{.u??Y??: DQL4liy L dMPLl±.-li.Yl` lu
? t'? • 7acLi1 ceucription
? • a adS351:
?/
r3
, 0 " NhI'i:;:l b"iIrQW a!]d b8!' SCc'4? e
L CJ > Youzse type (ra!n-?3-ler, Walkout, EDlit w/o, split entry,
ll? ::cokout, e~c. )
Er
n ? • ?i?arW?.?n?,y dratnace arrows with slcape/gradient ?.
??1 ?] ? • Yronoua:a/exir:ting aewWr a^nd water se wvices
L??--est nam.3
? ? - D:-:.v.:Way
q+,T.7,'VA!?'?Q0.fi
F ?: .
r..._
6
19?D D • Sewer service
Lot co:-;:ers
? Ton of c,arb at the driveway
Ll L'7 • E1csva:ions o¢ any existina adj acent homes
or. QjaQ4Ed
?
? D • Ga-mge Ploor
,
?
1LI? L.l d • FlISC 47 OOr
?? f,] • Zorrest exposed elevatzon (walkout/yindow)
D • PsopNrty coxners
r ri • Front mnd rear of home at the foundstion
f] G]?0 • Easement i.ine
n ?'.?/,D • aawx,
D D?,1J • I3wL
n r/? • Pond p designation
L7 3 C1 • '.?mergency overilew Elevation
D„?T?;F'p$DQN-8
l?n n .
Te7r?? ? •
IY I7 !? -
? 0 •
9? ? ? •
iJ LY [i •
Lot lines
P±f-!ht-ef-way and street width (to back of curb)
Propos4d home d:ix:iensions inc3.iading any prQpoaeLA. deeks,
ovcrhanr,s greater 21, porcnes, ctc. (i,e, all
structures requirinq 75eraarent ?`--otings)
^how all casements r_* reoord cad any City u±iS3t3es wlthin
those eas ?mQnt;s
5e*_backs aE proAOSed stncture and se4back of adjacent
existing hames
Ret
.. ? ;•'!?t3ed
^ctober 1992
_____-----
"
+ 4 13 ?4+ 0
+86 9 ??±? IIO I?= \ -
7+16 8 8 15 16 `
0±? -- -
uz' 9 10 0 12 13 14 H'Y6?"TE
A 8 O 43.6 26.7 "• E 3?.z
6x6 T
? 5`/ 3 r u 112.3 \
? ?i ?6 x 6 T E, L10.6 ' wz. s „?1 TE
YD. , 5? HY, E BO v&1? ? "??? B'? V. `6•pLUG
n ?284.1NS
- ,
,1 ,
133' MH
c. ?MH-5 1 260'-;8'.. p?, - 15
.\
25 -& . v ? 1 i. ?C. 10, ?MH-6 ----'-31
6$.9' ? V bz.N? ?, V ?
43.5' ?13.3'6 SZ.S 7 H1.3? 55.2? 8 y (61 9 U?l4/3,3.z I O CI)
5 ? - Q
7+06 8 8+96
6=20
9+84 10+74 30
? 3
M Scale: ?"=100'Horz.
3 See e?
H- I 4 ?"=10_ Vert'
B.M. 940.04 939.? -- -----
p R I V E TOP HYD. 937.7 MH- 15
934.8
?--.
?
MH-5
936.4 930
?gPVG
0.87% 258'-8"PVC. G?' 1.23% 13Ga OAQ%
? - 260 - 8 P.V.C.
920
,? . .
. ?3. , ?Q , -
p pJ?+' _...ae•-•p.n-r^./?( p?f+uT /'? lii'.?Pti??:? ?
0r .6? ? . (9- t? ... ? .
OF . U'iILIiY M Q
,LgO • 1. ?: . (.?.,?., ,., , o co ?
"il-113 i:; 1'U:? a ic m, ri a
^ C. + ,5i.'7 ? 9??
PUR?0: L.:
? ?n + o . ,
S? ?0'._u . _-? ?-• --? ?c + ? • z_
FJ'IMG IT a
:OR . 'i . - N?' -w
f/?9? 01V ?? TIl i r'_ 4.t""' ? ..
, 14?4?U:? IVItl ua. ??_M.
. ?, , 900
DFP Planning & Design, Inc.
4797 HWY 10 NE
Arden Hills, MN 55112
612-636-6889
COMM. N0.
Minnesota 5tate Energy Code Calculations
Based on Chapter 5 of the Model Energy Code
1992 Edition -- Adopted 1/1/95
Owner=
Site Address:
Contractor=
Bidg. Class=
GENERAL INFORMATION
JEB CLARIN COMM. N0: 870715
Phone:
A1 A1 for Single Family/Duplex
A2, residential ( 3 stories
Over 3 stories
Other
Note: The section designations ("Section A", "Section B" etc.) are for
convenience in calculations only, and are not related from one set of
calculations below to the next.
1. Bldg. Walls Perimeter x Wall heights, = Area
ground to eave
Section A: 71 14.58 = 1035.18
Section B: 87.16 9.67 = 842.8372
Section C: 0 0 = 0
Section D: 0 0 = 0
Gross Wall Area = 1878.017
2. Building dimensions Floor or
Ceiling
Length x Width = Area
Section A= 22 26 = 572
Section B: 14 34 = 476
Section C: 7 14 = 98
Section D: 9 1.5 = 13.5
Total floor or ceiling area = 1159.5
3. Rim Joist Perimeter = 158.16
Floor joist 2 by (8", 10", 12" or 16")): 10
Rim Joist Area = 131.8
4. Doors
Area: 40 Thickness (inches): 0
Perimeter (feet): 0
Type of construction:
5. Total door's perimeter= 0
6. Windows
Y
Manufacturer:
State approved:
Type
BASEMENT
CASEMENT
CASEMENT
CASEMENT
CRSEMENT
Type
8. Patio Door:
9. Atrium:
10. Fireplace area
Width:
Total Sq Ft =
11. Exposed Foundation
Height area A:
Sq Ft area A =
Exposed Foundation
Height area B:
Sq Ft area B =
12
Gross wall area
minus
Window area
Patio door area
Atrium area
Rim joist area
Door area
Fireplace area
Exposed Found.
* Framing area
equals
Totals for net wall:
U factor= 0.52
YES
Height x Length x Number = Total
(inches) (Inches ) of glass SqFt
units
14 27 2 5.25
36 20 4 20
36 24 2 12
60 24 5 50
48 24 7 56
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
7. Window glass area (SqFt) = 143.25
Height x Length x Number - Total
(feet) (feet) units SqFt
0 0 0 0
0 0 0 0
0 Height: 0
0
0.67 Perimeter area A: 158.16
105.9672
0 Perimeter area B: 0
0
SqFt U factor U x A
1878.0172
143.25 0.52 74.49
0 0 0
0 0 0
131,8 0.041 5.4
40 0.14 5.6
0 0 0
105.9672 0.08 8.48
187.80172 0.095 17.84
1269.19825
0.043 54.58
3
Totals for gross wall area: 166.39
* Framing area is 10e of gross wall area
13. Gross wall area x factor below = U x A per code
Factor is .11 for A-I single family & duplex
.23 for A-2 and other residential
.23 for other buildings
.28 for over 3 stories
Factor is: 0.11
BTUH = 206.581892 MUST BE > OR = 166.39
(calculated above)
14. Gross ceiling area = 1159.5
15. Ceiling framing ar ea (10% of ceiling area) = 115.95
16, Joist Area (10e of ceiling area) = 115.95
17. Net ceiling area ( Gross ceil. area - Joist area) = 1043.55
18. U ceiling: 0.021 x Net ceil, area =21.91455
19. U framing: 0.024 x Joist area = 2.7828
20• Total of item 18 x item 19 = 24.69735
21. Gross ceiling area x factor below = U x A per code
Factor is .026 for A-1 single family & duplex
.033 for A-2 and other residential
.06 for other buildings
FacCor is: 0.026
BTUH = 30.147 MUST BE ) OR = 24.69735
(calculated above)
CITY USE ONLY ,/?
L BL / RECEIPT #: `?`
SUBD.(J??_ DATE:
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date: (/??
?-
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00 ?
Additional 50 M BTU 6.00
q?-
!•
? Gas Outlets (minimum of 1 re uired @$3.00 each) 3
q('1?IGv?l?nyc?,? ?9rrNN?G.
? State Surcharge .50
TOTAL
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 6$1-4675
W=1*1
SITE ADDRESS:
OWNER NAME:
a
PHONE #:
INSTALLER
STREET ADDRESS: L?flf vii OV ii"v,
CITY: STATE: i1/ ZIP:
PHONE #:
Y?
?
?TGT?AT ?
?
CITY U5E ONLY
L BL RECEIPT #:
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? all commerciaUindustrial buildings.
? multi-family buildings when separate permits are nQt required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: o $25.00 minimum fee Ql 1% of contract price, whichever is greater.
. Processed piping - $25.00
1 State surcharge of $.50 per $1,000 of pgrmit fee due on all permits.
CONTRACT PRiCE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONL1)
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
SIGNATURE
TELEPHONE #:
STATE: ZIP:
SIGNATURE OF PERMITTEE
CITY INSPECTOR
CITY USE ONLY
L ,J.S? BL I RECEIPT #: 113
SUBD. DATE:
7995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dweilings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x 3.00
Water Closet 3.00 x -77 oo
Bath Tub 3.00 x 3.04
Lavatory 3.00 x = ? 6n
Kitchen Sink 3.00 x = ?• ?Q
Laundry Tray 3.00 x = 3, U?
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x -T = 3: aD
Floor Drain 3.00 x ? _ 00
Gas Piping Outlet * minimum -1 3.00 x ? - i0lS
Rough Openings 1.50 x
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations ' to exisfiny 20.00 =
Water Turn Around 20.00
3 7?50
STATE SURCHARGE .50
TOTAL 3f? ? 00
?
' ?f ? 6?t?
?
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY: GLaM STATE:? ZIP:
PHONE #:
%51(3N ?2e1? ?• ?.?I r?r'?.??a
CITY USE ONLY
L _ BL _ RECEIPT #:
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
eATE:
CON"I"FtAG t PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 af pgmId fee due on all permits.
CONTRACT PRICE x 1 %
STATE SURCHARGE
TOTAL
ADD ON REPAIR
SITE ADDRESS: -
TFNqNT N.qME:
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STE. #
SIGNATURE:
APPLICANT
STATE: ZIP:.
CITY OF EAGAN
?-----------------
1 For'Office'Use
I ? O
? Permit #:
i Permit Fee: J-Z!5• 7_5 I
? Date Received: ?
I ?
? Staff: I
I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ? V9-e) ? Site Address:
Tenant:
Suite #:
RESIDENT / OWNER Name: Phone: 6_5?-- z,;-
Address / City / Zip:
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description of work:
Construction Cost: `'?j,?(700 . G? Multi-Family Building: (Yes _/ No X_)
CONTRACTOR Name: 5???/Il S' License #: 2a-5/ 79 75-
Address: UcO -I f?O ,i nj2 r.
City: State: &ALZip:
Phone: Contact Person: ?A
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 CateqoN 1 Minnesota Rules 7672
Energy Code . Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet
CatOgOry Submitted Submitted
(4 submis5ion type) • Energy Envelope Calculations Submitted
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 Plum6er: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting,documents fhat you submit are considered to be pubfic information. Portions: of
°the information may be.classified:as non-public,if you proVide specifi'c reasons that wou/d permit the City to' :
-i concludethafthe aretradesecrets.
I hereby acknovAedge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Cdy of
Eagan; that I understand this is not a permft, but only an application for a permit, and work is not to start without a permit, that the wbrk will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x :ypre rY1)a A ? jSr-N-I
ApplicanYs Printed Name°
Applic?rSt'S Signatur? e-?
Page 1 of 3
- - - - - - - - - - - - - - - - -
I For Office Use
Permit
City of Ea al Permit Fee: 75
~
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: ;
Phone: (651) 675-5675 , I I
Fax: (651) 675-5694 Staff:
- - - - - - - - - - - - - - - - - -
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: x,26 /'7_ 9rT
Tenant: Suite
RESIDENT/OWNER Name: YG S' &2 7 J" (C./ / Phone: ~ 2 -
Address/ City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: /ea y-, -r')e-y -k
n
Construction Cost: 4' 6co GC's Multi-Family Building: (Yes / No X-i
CONTRACTOR Name: License ; ~ 79 ?J
Address: 95n b,t i') n ipr
City: _ _ _ _ /C State: Zip: 5 0/
JdYJ~/ l_
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) . Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that a y you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x r ~.rt' l G'I 6_r- X ZJ-~
Applicant's Printed Name Applic is Signature
Page 1 of 3
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
(00
Date Received: .';,3 .. 1
Staff:
L
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: -)) A2- -�
C'J\.a.� ,..
Tenant:
Resident/Owner
Contractor
Type of Work
Suite #:
Name: ':` ��,r� �,,� Phon4(1`)
Address / City /
Name:jl C ' INN 1) 1 iv( F ,(�1 Q.� 1�- License #). LO
l
�j
Address:LXlk� l lC
State:U1) 1 Zip:n-11 f t D Phone: f 0 (01
City: A.
Contact:
Email:
New Replacement
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation (RPZ / _ PVB)
Septic System
New
_ Repair Rebuild _ Modify Space Work in R.O.W.
l Water Softener
_ Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
'Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) (?
TOTAL FEES $
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.gopherstateonecail.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 l 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)
App ant's Signature
FOR OFFICE USE
Required Inspections: _Under Ground
Reviewed By:
Date:
Rough -In Air Test _Gas Test _Final
Use BLUE or BLACK Ink
r-----------------�
I For Office Use �
' � Permit#: Q ��� j
City of ����� � ���a �
� Permit Fee: �
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 i Staff: i
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
�� � ���� � .�
� . ������ ���'� Name: f'-��`/ZC)S �(1'�-/�"1/ Phone: ���—a2��"y7�.6
��. ;
Resident! ��
�° � Address/Cit /Zi
_ �OWC1@C Y P� r�U y 7 �//J �7F�lG �-f
;� �;'
�
������t'y:���,� :� . Applicantis: Owner �Contractor
� ' ��:
-� �" CE1Y1�'�'�
����� �>���' ��:` Description of work: �I4t�/}C, � ,QOQ]L �17�-l�- �
_?ype of Work�. —��,— �
�;: ���� : �� ��� Construction Cost�J � Multi-Family Building:(Yes /No )
� � � � �„�,
, ���" /�
� 4 Company: � � /(,. Contact: ���r�1'/
��� ��� �� �/ � ,�^
���� � � �
` � ��,��`���� ��°���� Address:�fLic.�� ��1.1���i���i�� L�'— � City: l�f}� -�, /9/✓
��Contractora�, 4
�� �. �
�` State:�Zip: 5� Phone: � Srly3�1��7Email: ��+ • �0�(-� ri(}�Y/� , ..�fJ,E
�
� � = License#: � t� �O���� 3 Lead Certificate#: �
If the project is exempt from lead certification, please explain why: (see Page 3 for additionaf information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE•P/ans antl su ortin� alocumer%ts that ou subm�t are�ic�nsrder�al to�e ubl�c f "`� ati�iri= �P` o s�of���`
��#he�nfosmat�on r►ia Pb�c%assi�e�€. s;�on ubtrc if'�``ou ovide�s eci ac eason�`hat�uau c1 erri iit the�� o; �
�`,#N..: � ... �'�� ��.�..',,y��� .; . ��$ GOnc it�ale�that#heyare#ra�sec�ef�� �,� �'� ���..,. , ��
,; M�
, . .
.�, .�. ��:
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 Minnesota State Building Code must be completed within 180
days of permit issuance. �
� �
x j jYl D Ul x ' ,�
App�nt's Printed Name Appli 's Sig tu
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173429
Date Issued:11/10/2021
Permit Category:ePermit
Site Address: 2047 Pin Oak Dr
Lot:015 Block: 001 Addition: Vienna Woods
PID:10-81950-01-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Meseret Mekonen Jota
2047 Pin Oak Dr
Eagan MN 55122
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature