2071 Pin Oak DrBUILDING PERMIT
Te be wed fee :_ J' ?
Site Addg 2r' 71
Lot y t Block 1
Parcel No.
7 ?. ..
? Name
Address
City
O Name
su Address
r- City
t
F W
Name
i? Address
V
?W
Clty
I hereby acknowledge that I hove read this
the infarmation is correct and agree to c
$tute of Minnesotc Statutes ond City of
Signoture of Pertnittee
-, T
A Building Permit Is issued to:.- 0)1 wnrk sholl be done in cordonce with
9uilding Officiol
CITY OF EAGAN • ?7?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 .L? 9 89511?
RHOiVE: 454-8100
Receipt #
$ 81,000
P I ?J
Phone
3nd stute that
oll oppliccble
Erect Occupancy R 3
Alter 0 Zoning R l
Repoir ? Fire Zone ?/A
Enlorfls Q Type of Const. '
Move 0 # Stories
Demolish p Length-T? ,
Grode ? Depth " ' Ft.
Approrals Fees
Assessment Permit ? 376. 0 0
Water & Sew. Surchorge 40• 5 0
Police Plan chetk 1 f' 8 . G 0
Fire SAC 525.00
Enp. Woter Conn. 4 7 0.(10
Planner Woter Meter 63.00
Councif Rood Unit 260.00
Bidg. Off.
APC Totol ' " ' S ?
T ('l: C,?i.
on the express condition thn'
sota Statutes ond City of Eoyon Ordinances.
Permit No. Permit Holder Misc. Permit No. Hoider
Plumbing
0
H.V.A.C. y?J o2 ? 4 c{ K-+ 5` I I, C
w.u
w?e?
Disp.
Sewer
elect?ic A A 4 Jt/ 5-17 -Sy
AoZQei 9pp 4JAtz? 5-/) fy ?U.o?
Inspection Date• Insp. Other
Footings C
Foundation
Freminq 2
Rough Plbg.
Rough HVAC
Vlle, r
Inwlation
Final Plbp. •Y? ?f
Final HVAC
Final
Weter Deacri6e Lotation:
YVeil ?
Sewer
Pr. Disp.
\
Receipt ` MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered speces S/C ?
Type or Print /egibJy
Tot. ?
1. Date 2. Installation Cost
3. Job Address LotBlk.
Tract"r?
4. Owner " ?? • '
5. Contractor Phone 'i ?
6. Address y
7. City - State Zip
8. Building Type: Residential 0 Commercial O Institutional O
9. Work Description: New El Add O Alter O Repair ?
10. Describe Fuel Type
11.
No. Eauinment STU - M. Ea.
Forced Air No. EQUipment CFM
Ai
H
dli
Mfg. an
ng:
r
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed
Rougn
for
Final
Inspections: Date Insp. Date Insp.
This is your permit wfien numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt %f PLUMBING PERMIT Permit No.
CITY OF EAGAN Fee ,
Fill in numbered spaces S/C
Type or PrinL legibly Tot. ?IJ
1. Date 2. Installation Cost
3. JohAddress`?7? -LotBlk. ? Traci?.??_ ,
4. Owner
5. Contractodo 0 Phone /c_)Z?? ? 7?= 0
6. Address / '420 (__ T
7. City ,` )• L?l State Zip
8. Building Type: Residential )E?
9. Work Description: New 10
10. Describe
11.
Commercial ? Institutional ?
Add ? Alter ? Repair ?
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
' Bath tubs Septic Tank
Lavatory Softner
? Shower Well
Kitchen Sink
Urinal/Bidet Other
? Laundry Tray •? L
Floor Drains
.'?
Drinking Ftn.
Slop Sink
? Gas Piping Outlets
; 12. I hereby certify that the ahove information is true and correct, and I agree to
comply with all ord anas an des governing this type of work.
Signed: •,/ !?'-G' ??'' ?__ L-- for
Rougti F inal
Inspections: Date Insp. Date Insp.
I This is your ?rmit v?en numbered and approved.
j Approved ??- r CITY OF EAGAN 454-8100
? CASH RECEIPT
• ???.? ??,,..?
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE .+ 19
RECEIVED
FROM i? C
.
AMOUNT $
r
DOLLARS
"o
? CASH ? CHECK
a I,
?,AR / ??? •,5 ??? lI S_.?'?. ? i? ?? ? .
FUND COOE AMOUNT
J ?
T h a Y'OU J /
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks
Addition :?TF.NNA woooS Lot 11 aik 1 Parcel 10 81950 110 01
Owne? street -2 0 71_ pin Oak Drive state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. TIlj7.Fe 7 28 4..4 283.45 LO 1,700.69
STREET RESTOR.
GRADING ,587, 73 ,5$, 77 352.65 A 014320 7/26/84
SAN SEW TRUNK 1973 129.78 8.65 15 25.98 A 014320 7 2
* SEWER LATERAL =- -• ? 1 4232.34 2,539.42 to ?T
*
WATERMAIN
* WATER LATERAL
?t WATER AREA
,r STORM SEW TRK
STORM 5EW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
260.00 1142465 4-10-84
WATER CONN. 470.00 it
BUILDING PER. $955
sac 525.00
PAR K
,-?. •• CASH RECEIPT
CITY OF EAGAN
• P. O. BOX 21-199
EAGAN, MINNESOTA 55121
:•_. < <.
DATE 19
?
Recawcn ?
PROM
AMOUNT $ j I
a DOLLARS
r ? uo
[] CASH ?-CFIECK
FOR
?
! ??_ ?? L ?/?/f . / J •
FUNO CODE AMOUNT
,
Thank You
. _t n
B Y
White-Payers Copy
Yellow-Posting Copy
Pink-File Copv
' OF EAGAN SEWER SFItVICE PERMIT
riiot Knc'5 Rosd
Bux 21199 PERMIT Np.: _ r
i, MN 551D^TE: -4 .._ `' _
0' No, of Unlts:
Stikbi t const
Site AWdress; Pin Oa Drive L B 111]7? Wo s
Plumber: A4etCheweD?nf-1- pZb
'1 - 4 4
Z465
'I •One ro aompy, wieh as ph ei EagoA
O?di
Connection Charge:
425 . 00 pd
nonoa. Atoount DePcsit:
- 15.00 Dil
-
? Permit Fee; 10.00 T>d
B Surcharpe: _ .50 Ad
,
y
Dote of I
?" Misc. Chorgex
?n Total:
sp.. Dote Pald:
CITY OF EAGAN
3830 Pil;:t Knob l?oad WATER SERVICE PERMIT
P. O. Box 2 1199 PERMtT NO
: '?
Eagan, MN 55121 .
DATE:
Zoning:
t t
I Na. of Units:
.onet
Owner:
/lddress:
'
n a r
te Address: ' ve
i lenna
oOc s
p1un?,ber '''atthew DaniEls PZbp
AMeter
No.: Connection Charge: - • ?t
? Size: Account De t:
posl 15. C)o pr1
i Reoder No.: Permit Fee: 10•TO pd
1cgree to aaapyr wft the Citp of Eagoe 5urchorge: Pd
O?dtoanea. Mlsc. CharQes: • P mater
Totol:
By
D Date Paid:
ate of Insp.:
??--- - .
ir?sp.:
1 Y OF EAGAN
1C WA
E
8
0 Pi'ot Knafi F*ad T
R SERVICE PERMIT
[1
. Bo3c 2'? 109 PER1411T NO.:
an, MN 55f 21 DATE:
ing
i
i No. of Unlts: :
L
et i 1 C
Owrxr:
ress:
? S)te Address: n.0, B V enr
Itlumber iC.
Mater Na.• d ?on Chorge:
'tAq
Size: ?unt Depas?t: _
Reader No.: Permit Fee:
1 egree to emnplg wh6 fle Cinr Surchorge:
pn? Mlsc. Chorpes: -
Totul:
BY Poid:
dote of Insp.; Insp,:
¦
mezer
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8700
BUILDING PERMIT
N° 8955
Receipl #
Te 6a utad ior SF DWG/GAR Est. Value $ 81, 000 Date ApRTi 1Q , ?q_$/}
Site Address 2071 PIN OAK DR. Eract 14 p«„p,,,cy R3
Lot 11 slock 1 SeclSub. VIENNA WOO DS qlter ? Zoninq R1
Parcel No 10-81950-110-01 Re
olr ? Fire Zone ' N/A
. p
E
l t
T
f C V
n
arge ? ons
.
ype o
rc tvame STIKBILT CONSTRUCTION C0. Move ? # Stories
Z Address 13 613 COUNTRY LN. pemotish ? Length 4 8
?
City BURNSVILLEphone 454-0975 Gmde ? Depth 45' 4Sq
Ft.
.
-
? $AME Approvala Feas
g Name
su Address
1- City Phone
Name _
Address
City _
Phane
I hereby ackrqwledge that I have read this applicotion and state that
the informotion is correcf ond agree lo comply with oll opplicoble
51ote ot Minnewta Statutea and City of Eogan Ordirwnces.
Sipnoture of PermiMee _
A Building Permif Is issued
oll work sholl 6e done in,t
Bullding Official \
STIKBILT
wifh all oo61Z
Assessment _
Woter 8 Sew.
Police -
Fire
Eng.
Plonner _
Council -
Bldg. Off. -
APC
Permit $ 376 _ 00
Surchorge 40 - 50
Plon check 18F.00
SAC 595_DO
Water Conn.47n? 00
Water Meter 6.3.._ 00
Road Unit ?60 00
Total $1,922.50
UCTION C0. on ehe express cordinon ihnt
Minnewfa Statutes ond City of Eagon Ordinances.
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
• SUILDING PERMIT APPLICATION 1 set of_ enercT calculations.
`m Be Used For S' 0 Valuation ? g'?, PIIO Date `?` `?`? ?
Site Address: OFFICE USE ONLY
I,ot Il Block t Sec./Sub. 1?(CaNfk 04f Erect Occupancy
Parcel # : Alter Zoning
r Repair
Enlarge Fire Zone n/
Type of Const.
r(KBI'S
oaner:
-r Nbve # Stories
Address: l 3(.l3 1
C1xJnl'? ?n .? &337 Deirolish _ Front y ft.
Cit
d
i ? Grade Depth ys-`/ ft.
y/Z
p Co
e: a?S?lL,?,G
-
Phone # : Lt ? 't ol ?.? APPROUALS FEF'.S
Contractor: 5/ }Mr Assessrmnts Permit 37(p ?
Address
City/Zip Cocle:
Phone #:
Arch. /Eng. :
Acldress:
City/Zip Code:
Phone #=
Water/Sewer Surcharge .? ?-
Police Plan Check /eg .^rt
Fire SAC
Eng. ' Water Conn. d
Planner ? [^7ater Meter
council Roaa unit a`o AO
Bldg. Off.
APC
TcrzL
; j-? 0 r5
Fp9 7G
This requgst void n
18 months M1om 4'?/'??.OcJ
f3//8 2 7? 9? v?.
D ??4-??_t? /. // A/
Re?uesL-Dato
Fire No. .- -
fl
u
ph
n
lnsper.tio ?
?
?
e?
?
q ?qcady Now ilt Notily Inspe?-
?
Ac..:_.'__' .
?Yes ?N
o Wh R d
??oea uecmcai t,onvactor 1 hereby reqaest insOaction ot above
Owner elec[rical work installed at:
Sireet AACress, Bo r Route No. C'iy
ciion o. Towns?ip Name or No. fi?nye No. o.",y
Occupant IPpINTI Phone No.
Power Sup0lier
1 Address
14360
EI noal ontract r? o?pmpan Nam ?I
?/!!?-?? Co vactor's Liconse No.
Mailme A^a ress ( onVactor or On Makin Inslailalion)
?
Authorized Signature (C n[ractodOw er Maki stalla 'unl Ph m Nu
`,c>Ulq sIqTE BOAPD DF ELECTIiICITY Tf1I5 INSPECTION pEpUE*T WILL NOT
Grig9s-Midwey BIdB, - Aoom N•191 BE ACCEPTED BY THE STqTE BOAPD
1827 Uniwersitv Ave.. St. Vnul, MN 55100 UNLESS PflOVEN INSPECTION FEE IS
Phone(fi72)642-0800 ENCLOSED.
; sQUESTuFOR ELEC7R ?ICAL ? INSPECT ?^ON ck D Vel oW ?ovv. " ee-ooooi-os
76 9/?.
D? O "X" Below Work Covered by lhrs Request
? _
AAJ NeP -TyOe oi Builtling ADo1iancee Wired EquiUment Wiretl
Home Range Temporery Service
Duple,x Water Hea[er LiGhtiny Fiztures
Apt. Building Dryer Electnc Heatin
Commercial Bldy. Furnace Silo Unbader
Industrial Bldy. Air Conditioner 0u1k Milk Tenk
Farm Othar uau y 01hcr ISnouivl
t .r Suecity iher Oihe,
(:ompute lnspection Fee Below
p Fee Service Entrance5ixa H Fee Fexdes?Subinxders N Fea Circults
0 to 200 qmps 0 to 30 qm s 0 tn 30 Am
Above 200 qm py 31 to 100 Antps 31 to 100 q y
$wimming Pool Above 10Amps A6ove 700_P,mps
Transiormers Irrigation Booms Partial,Other Fee
$igns Speciallnspection /
S
`
flertwrps _ /n -
Y
?j?
/ •
"?
TOTAL FEE
/ / r^_ !Y.
i r \ ( l / /
Rouph-in ?a[e. i, the EIeM eal?
Inspector, h a6y
ertify Ihat the above
iinal • i p.
spection has been
mea.
TMS raGUest voltl 18 maniha Irom
? Owner
electrical?wark instxlled atV• .-u.v ?e'
Streety A?ddress, Bux or Foute No.
oA?V'7 I /'l? 04 A/W• Ut?y ^ 1
f?19?//ytJ (?l
av
eclton o. Township Name or No. T 7777 Counry w.
V'
Yl7M1?/I T
Occupant IPflWTI Phone No.
Power $uOPlier ACtlress
D oT' [-?T ic. Soe r?rzM;A)d,rvA-)
Electrical Contracmr ICompany Nam
e
l Contrar,tor
's
L
i
cen
se No.
,? (?
?
7
I?r K- ?C:? , ./-?lJ C • ?
- ?
-
?
7
O ?.7 /'?' ??
Mailinp AAdress ICOnVactor r Owner Making InstailTN
9 C PcE S ?-
Auffioriz iBnature (Contractor/ er akinp InstallatioN Phone Number
, /-7370
b11NNESOTA STATE BOAR ELECTNICYfY
Grigga-Midwey BId9• - p m N-191
1821 Universiry Ava., St. Paul. MN 56104
PMnnw 16121 297-2111
THIS INSPECTION flEQUEST WIIL NOT
BE ACCEPTED BY THE STATE BOAHD
UNLESS PNOPEF INSPECTION FEE IS
ENCLOSED.
Thisrequestvoitl ?7?7?0 5i`7-b!
18 monNs from / ?
REQUEST FOR ELECTRICAL INSPECTION
See instructions for completin *= i^W on back of Yellow copy.
1J 9i['
r? "X" 8elow Work Covered by This Request
Ney? Add Rep. lype ol 8uilding ApDliences Wired Equipment Wired
Home Range Temporary Service •
Duplex Water Heater Lightiny Fixtyres
Apt. 8uilding Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unloeder
Industrial Bldy. Air ConAitioner Bulk Milk Tank
Farm "he" oecHv tne. Isuecirvl
c e.r Uer,ily
ther ? •
Other
Camoute lnsDection Fee Below
p Fee Service Enirance Size p Fea Feeders/Svbieaders u fee Circuits
Q C40 0 to 200 qm 5 0 to 30 Am s 0 to 30 Am s
Above 200 Amps 37 ta 100 Amps /S; 31 to 100 A s
$wimming Pool Above 100_Amps Above 700_Am s
Transiormers Irrigation Booms ` Partial%Other Fee
Signs Special Inspection $ L
SQ T
Nert
wrks jo? OTALPCE?I
?
RouBh-in ? D"tE" I. the cel
^>a 50ector, here6y
certity thet the above
Final ?? G 'nsoaction has been
?''f???Q mada.
Mia reaue9l voi018 monttu Irom
This requesl vaitl ?6_1? ] ?/ ? {
18 rtwnNs from ) ?o '
0 n9 o, ? 1 ?i , B r u, ,r,_.., c.ro-u-? ?o. o v
fiequest D
a
te Fire No. q
ghea?lnsvectio Opgatly Now ill Notity Inspec-
?
f
Q
?" O
1
1 n
No
E]
tor When Ready
8ucensed Electricdl ConVactor I hereby request iasDeclion of above
? Owner aiactrical work insUlled et
Slreet AdAress, eoz or Route No. CitY
?
?
z ply?/ 7
G l?sY 4N
ec
tion
o. Township Name ar No. Ha e No. Counly
T??a-rc oTf!-
Occupunt (PRINT) Phone No.
STf'K ic- 1-1-on4e-5 -,cAle, ?{S`f -a'i7S
Power SupOlier Address
4K 0 i A? .+-r.?ldTaJ yA.),
Elecvical ContractnrlCompany Name) Conha lor s License No.
r t? rl?.r ?i V 0-S
Mailinp Address IConuact or Owner Meking Inst ilation)
ME .A-i? sS/A
AuMoriz Signature (COnVactor er Making Installatiunl Phone Number
?? ? 3790
MINNE OTA STATE BOAaOF ELECTIIICITY THIS INSPECTION NEQUEST WIIL NOT
Grie9s•MidweV Bldy. - Room N-191 BE ACCEPTED BY THE STATE BOAPD
UNLESS PPOPEH INSPECTION FEE IS
1821 University Ave., SL Paul, MN 66104
Pnnnw IBt21 297-2711 ENCLOSEO,
REQUEST FON ELECTRICAL fl'FECTION
D ' See instrmtions for camplelitg Ihis'-Mm m back ot Yallow coCy.
"X" Below Work Covered by This Request
1 '
Addlill Hep• VPe ol Builtling Apoliancm Wired Eauiument Wired
Home Range Temporary Service !
Duplex Water Heater Lightin,y Fixtures
Apt. Building Oryer Electric HeatiR
Commercial Bld,y. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tunk
Farm ther ce.. v Other (SUedW)
t er Su??? Y Ot er Other
Comnute lnsDection Fee Below
p Fee ServlceEntranceSiza k Fee Feeders/5ubieetlers N Fee Circuits i
b to 200 qm s 0 to 30 qm s 0 io 30 Am
tl6ove 200 qmlzs 31 to 700 Amps 31 to 100 Amps
Swinmin Pool .4bove 100_Amps Above 700_Amps
• Transiormers Irrigation Boort?s ? S-O Partial•'Other Fee
Signs Special Inspection g
? TO FEE
ema rks O ?w .
?v
Roueh-in Date I. Th cei
Inspector, heraby
rtify that the abova
pection has been
Finel 1?? /? d mansAe.
mb requeat roW 18 montlre irom
RESIDENTIAL 'I S
BUILDING PERMtT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New ConsW clion Reauiremenk RemodellReoair Reauiremenrts
• 3 registared site wrveys sfwwing sq. ft. of bt, sq. k. of house; and all roofed areas • 2 copies of plan
(20% maximum lot cove2ge allowed) . 1 set of Energy Calculations tw healed additians
• 2 copies oi plan showing 6eam 6 windax s¢es; poured fouM design, efc.) . 1 site survey for extenor additions 8 deCks
• 1 set of Eriergy Calcuiadons . . Indicate it home served by sepdc system foradditions
. 3 wpies of Tree PreServatbn Plan if lot platted after 711N3
• Rim Joist Detail Options seleclion sheet (bldgs wilh 3 or less units)
DATE VALUATION ?- 5 ' • '? m ? m' ' °
SITE ADDRESS 0 x K p A MULTI-FAMILY BLDG _ Y ?<N
iYPE OF WORK FIREPLACE(5) _ 0 X1 _ 2
APPLICANT 1'22?'? .) ?Z
STREET ADDRESS 0,4 /< D 2 CITY STATEh'A/ZIP 5 D
TELEPHONE # CELL PHONE # /'J °'" w_ FAX # ??? r ?
PROPERTY OWNER
S zndTELEPHONE #
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULF;S 7670 CATEGORY I MINNI,SOTA RULE.S 7672
(d submission type) • Residential Ventilation Category 1 Worksheel Submitted ? • New Energy Code WorkSheet Sabmitted
• Energy Envelope Calculations Submitted
Piumbing Contractor:
Plumbing sysCem includes:
Mechanical Gontractor:
Mccli.uiic-,il systcm includcs;
Sewer/Water Contractor:
_ Water Softener
_ Water Heater _
No. of Saths
Air Conditioning
Heat Recovery Syslem
Phone #
I hereby acknowledge that I have read this application, state t t the information is correct, agree to comply
with all applicable State of Minnesota Statutes and City of Eagan MZ?_
SlgnafureofAppikant ?
OFFICE USE ONLY
?- ?
?
_ Pf10riC #
Iawn Sptink]e?Fee:--$90.00
?? ?
No. of R.I. IDat7??? --
iJ)
_ Phone.#
ree__$7_0.00
,?-- --
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updated 4f02
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screenad) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 72-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
? 34 Replacement "Demolition (Entire Bldg 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 W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaVC.O.
_ Foorings (deck) FinaUNo C.O.
^ Footings (addition) _ plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Poo! _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retainivg Wall
Approved ey
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
1 I
I
' Z/BQ
i CITY OF EAGAN
APPLICATION FOR PERNIIT
SEWER AND/OR WATER CONNECTIO.I
(PLEASE PRIHT)
1) PROPERTY ADDRESS: -D p-7I Ih-';iUO?FIG?
T,FGIIT DESCF2I°TIv^N: L.p) _uu? {1 S
(Lot/Block/Suhdivision or Tax Parcel I.D. Nwrber)
lr STRIICP„^;2E , DaTE 0° ORIGl I1L v.iILL`LIG PEF:-IIT ISSU.UNC:-:•
--" --• -=" ,
? P?2=M-7 -_?]I:F:/p.-wt)°OSED' u5?_: ? 1 Sy?IC?`L?; FP??SI.Y
? R-2 DUPL= (?Z:ti Wi ITS)
? R-3 'ICiLv'i?II30iJSE (THRE"' + LP.VITS) ( UI?IITS?
? R-4 FLpAF27Y'?:'.`:T/CGD7Da?LTiIIL'ii ( Wi ITS)
p CCNmmCIAL/RETAIL,/OFFIC::
? L1.'IJUS'IRIP.L
Q INSTITUTIONAL/G04ERNMENP
2) APPLICP_%`T (PLEASE PRINi)
ADDRESS: o?dSt7 t'iN ?A?•
CITY, STATE, ZZP:
PHONE:
3) PLur4BER
NAAtE:
ADDRESS:
CITY, STATE, ZIP_ y? I PLE SE PRINT)
P' 11Q?InQu'? ? t? ?
.41 FOR CITY USE ONLY
PL(1MBEFS LICENSE:
Attive
Expired
- PHOiVE: Sitn
pLUMBER LICENSE N [? Not of Recard
atr initia
(F) O=ANI`/a?? tYLLHJt-YNlryIJ
?'?.:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) INDICr'1TE WHZCH PEP,T1iT IS BEPIG REQUESTED;
CYO:2NECPION TO CITY SE.Tr7ER
CO:.'NEC,TICN 'Ib CITY WATER
? OTf'?..'2 (PLEA.,E DESC2IBE)
? Lau1L?.:: u:?t.:
? PLF1SE F?OID APP2ptJEp PERM-iT FOR PICi:-UP BY ONE OF A80VE
? PLE7kSE MAIL APPROVE:p PERMIT 'IL7 11 2,0 4 AP(7V^
Q (Circle one)
7) SIQT?7[.'RE: ?.., ? c L L Dr1TE: ?-/ 5'-RV
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F 0 R C I T Y U S E 0 N L Y ?? •
PERMIT = ISSUED
1 -1
pz'rg: $
$
?a ,SB
$
S
S --?--
$
$
$ A,L 7 a. ?-e
$
$
$
$
$ ,
S?';yE? noottT^` -.,'?. ?^
. . (-T`IC;, SU.o .C?Irt'2r,,-?
:.)
WATER PERf1IT (INCLUDE SURCHARGE)
WAT°R METER/COPPERHORN/OUTSIDE READER
WATEP. TAP (INCLUDE CORPORATION STCP)
SE:QER ':`nn
ACCOUNT DEPOSIT - SE:vER
ACCOUNT DEPOSIT - WA.ER
WAC
SAC
TRUNK ?VATE° ASSESSt4E:iT
TRliNK SEj4ER ASSESSME:IT
LATERAL BENEFIT/TRUNK SE[9ER
LATERAL BENEFIT/TRUNK WATER
OTHER
$ TOTAL
$ AMOUNT PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERZNG DZVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLO'^7ING CONDITIONS:
APPROVED BY:
TZTLE:
DATE: -4G - / or
-a sWw." w m:mum*zmw mlkmma N*m
?t.? ?a ? rE ?? w? ?ta ?t? w ?? ??? ?a a?t ? ir fr wa ?c? ?t ?s? ? ?
fndLo L o/ I N H. H E D L U N D 772s Marpan Avsnw SoutA
Rich}Iald,Minnesota 85423
Surveyor Civll Enyinear PAone : 866-2523
survellarofs catificate
xx<41or J08 N0.
SURVEY FOR? Stikbilt Homes
DESCRIBED AS: Lot 11, Block i} VIENNA WOODS, City of Eagan, Hennepin county,
Minnesota and reserving easementa of record.
. ?.?
Fast _ qt
- - 931•0 - _ 71.4
? I
? Top ef Foundaf-ton T 9 40• Z.
?V 0I I Sdsenrenf flwr= 932,1
h Qf 60rayt Floor • 939.a
a ?1? n o
Preposed E(evations O
iExis+rny Eieva4ions
?. .4
Dreinage Direcf;on -•
Denotes Lot Corner O
w/O ?
6"cnNr 3 0
M SPLIT LEVEL ?v .
SIAKES
j 4 ?-?r_ °° S-7AKES
?\ N
?- - GAR: 24 ? 24
% ?39.5 0
N l j ? I ? ,,
. "'
I ? I
937.6 i ? W
? 88?37 Z - J?
938.0
? •49 -
? 937, j
937•7
CERTIFICATE OF SURVEY
I hereby certify that on Q/ 6 / g 4 I surveyed the property described above and thot
the obove plat is a correct representotion of said survey.
Calvin H. Hedlund, Minn. Reg. No. 5942
?JH€AT.LmSS CALCULA7fONLS DEPARTMFNT OF BUILDINGS
weathcntripa A'S'H' ' Comtrvction Na Imulation
Cuide
Windows I Doora II Re(eren« II Out. Wall Int. Wall CeginQ Roof Floor Kind How Applie
Yea-No Yes-NA 19_
Width
snd Area
Ne. \VIAth
af D..e Hel{hl
of D..e No.et
11??1• Lln.dlL
of craek Ans
p.I
Coef. Btu
FIFltratioa
Glast '1
Fap. wall
net e:p. wsU 7$ `/l? 3 s?s ?
Int. wall ? i o
Ceiling
Ftoor ?.y. 3 7
Total Btu.
Ft. E.D.R. or sq. ins. W.A.
Doors-Crackaste
L.eader area
Wideh
Arca
Na WICtG
et wn9 Nelthl
o! Dine Ne. o[
11[?t. Lln.. l [t.
of eraek Ana
". fl
?
A
Coef. Btu
In6ltrotiou 5 7?
Glau
? ,. W.u L
Net e:p. wa11
Int. wall 5-
Ceiling
Floor I Total Btu.
Required sq. ft. E.D.R. or sQ. ins. W.A. Leader area I
I F1.1 /. -Z;2!-- Room 1 Lengt6 Width Height _
Windowi end Doon-Crackage and Area
N0. wmtn
of DaM x.isnt
of yoM ne. of
Ilghts Ltnw n.
e! er.tY w...
?0. tR
l6 Q i?
? 4
? I 31?
Coef. Btu
Infiltration
Gl... 2
E:p. wall 2'3?
Net e:p. w.ll T
,O
%- ?J J
Int. wdl
Cciling lq 8 2° G
floor V / L
I Total Btu.
(t. E.D.R or sq. ins. WA.
Room I Length Widt6
vrnaow,
N6 w?a?
of Done Hd?bl
of Daa, t+e. ee
ilfAU un.•? n
o/ cr?ek w...
w. fl
?G go ?
/ y SD lg
Coef. Btu
lnbltntiop ? ? I 7 4
Glsss
Fsp, wafl
Net ezp. waU
Int. wall
Ceiling 1 O '(
Floor
Total Bta 1 5744
Required p. h. E.D.R. or sq• int. W.A. Leader area ?
1 Fl.I 'r? Room f L.ength CVidt6 Heigfit
{Y.eio.V. ndd'Doors-Craclcaae and Area
Na Wldth
of Dan, NN?Gt
OI pen, Ne. e[
llfhb Llnol f4
of craet Ana
W. [t
7 ?? S C,
C«L Bcu
In6ltratioe SG ? U f ?! G
Glau
Fsp. wsll D
Net ezp. waU SO ` jv ?
Inl. wsU
Ceiling /Sd ?+.?, t
Floor _
Total Btu. 7 8 L
Required sq. k. E.D.R. or sq. ini. WA. Leader area
F7.1 Roomll.cngth Width Haght
UYitdewa an Doora-Cratka¢e and Aret
Na wmta
et vans N.ir?a
et v'e?
Ne. ef
IISAta
u...I e4
ef cr.eY
w...
W. h
?- Ya q y ?
Coef. Beu
Infiltratioo
Glau
Ezp. w.ll
Net ezp. wall
Int. wdl U
Ceiling 7140
Floor
Total Bta 1- z
Required p. k. ED.R or sq. iro. WA. Luder arca
LO.SS CALCULATIONS DEPARTMENT OF BUlLDINCS
atheretripi A•S'H'V' Construction No.
Cuide
9 I Doort I Relercnu ( Oul. Wall Int. Wall Celieg Roof Floor II Kind Ho
o Yeg-0 19.-
Room C.ength Width HeiBht II Fl.1 Room I l.ength Widt6
" W?.Zw. and Donn-CrackaQe and Area Windows and Doors-Xrackage aod Area
\Vleth
af D.ne NtqM
of D.nr No. of
Iifhb Llnul ft.
o[er.ck Ana
q-!l
L
Coef. Bm
?nR?lration
Glsss ? L CJ o G
Fsp. wall 1 1
net exp. waU 99 G O G
Int. wall
Cciling L `f
Floor
Totsl Btu.
Required aq. ft. E.D.R. or sq. ins. W.A. Leadet area
2 F7.I i Room lLcngt6 Width
Windows and Doors-?racka¢e end Area
No. wiaee
ef0an* e+.iint
olDang ++o. et
11[hls un..i n.
olvaelt wn.
q.ll
Coef. Btu
lnfiltration
Clau ? Y
f'sp. wall
Net e:p. wa0 Z 7 /i ? P?
Int. wall
ceirn8 17 G 3f-?
Floor
Tohl Btu.
Required sq. ft. E.D.R. or aq. ins. W.A. Leader arca
_Fl.1 /5r Roem I Lengeh Width
Wndows and Doors--Crackaae end Aret
'le. wwta
of paM H.iiet
of iang No. et
II[M1b un.al «,
ef eraek w.e.
M. IL
CoeE. Btu
'n6ltratioe
;lun
sp. W.II 3
v<< <=P. W.u v G ? q?
nt. wall
:eilin6 H V- ?
=1oor
I fotal Btu. Z? 4
2cquircd iq. ft. E.D.R or sq. im. Q/A. L.eader area
Na of Dang of pan• Ilihte of vaet q. tl Z 7
P
/
y / , I?
F
1 I
?
? $
Coef. Btu
lnbltration
Glass
Esp. wall
Net e:p. wall
1nL wall
Ceiling
Floor
Total Btn.
Required p. k. E.D.R. or sq. ins. WA. Leader area
Fl.l Room I Length Width
V/;nfl...n .nd Doon-Cracka¢e and Area
Na wmte
of Dae• x.ism
of Dang n, et
IIiTI. Lie..i n.
of cr. ek w.u
K. fl-
car.
in6ltratioq
Glau
EnP. wall
Ntt [2P. WiU . r
lnt. wa0
Ceiling
Floor
Tota) Bta.
Required sq. h. E.D.R. or sq. ios. QIA. Leader erels
Fl.? Room I Lengeh CVideh Height
Vf.d.? snd Doore-Crsciceae and Area
Na wwtn
ef p.n* ti.tre,
ot D.e. Ne. et
Ili?t? L?o.•? 1?-
ef er?ek wna
K. tL
C«f Btu
In6ltratioa
Clan
F_sp. waU
Net e:p. wsll
Int. weQ
Cciling
Floor
Total Bla
Required p. h. E.D.R or aQ. im. VIA. Lcader tirea
G/
Insulatiop
t?-dt'? ?? czagan
3795 PILOT KN08 ROAD, P.O. BOX 21799 BEA BLOM9WST
EAGFN. MINNESOTA 55121 Mavor
PHONE: (612) 454-8700 THOMnS EGAN
JAME5.4 SMIiH
JERRY iHOMAS
iHEODORE WACHiER
DA.'^?.'; Ap,T.'TI 16
1484 counainaembers
1 iNOMAS HECGES
City Atlmmrsfrafor
EUGENE VnN OVERBEKE
CnY Clerx
P=)zric AssESS.*Enrr sF,aFZM
PE: Vienna WoodS, I,4t 11, Block 1
20-71 Pin Oak.Drive, Eagan, NiN 55122
Parcel # 10 51950 110 01
Requested by: DAKO'TA CQUNTY ABSTR,ACT C0,
1250 Hig]iway #55
Hastings, MN.55033
I CERTIFY THAT ACCORDING ?'O THE R5'COIDS OF SAID Oz'F'ICE, '?R3E FOLI,OPSir?G ISjPR=IFT*PS
ARE CODTPEf4PLATID OR PIINDING AF`TER HAVI71'7G BEEN APPROVED, AND ARE P?OW IDT '"HE PROC'.SS
0F PLANVING OR COMPLETION.
Kinq o± Improvement Approxunate (late of Completlon Apnroximate cost
NONE.
TAE=:
Neither the City
formation which
or its enployees
for the supplying
consideration of
rising there f
COL7N'IY Tf2EASiJRER
of Eagan nor its enployees guarantees the accuracy of the ahove in-
was requested l?y the person or persons indicatecl. Nor dces the City
asstmie any liability for the correctness thereof. In consideratiun
of the indicated information in the above form, anci for all other
any nature whatscever, any claim against the City or its e?loyees
ram is hereby expressly waived. Levied assessments to be paid to the
AT HASTINTS, MDT. 55033 or CI^_'Y OF EAGAN.
Vezy truly yours,
SPECIAL ASSESSNNIEN'f DIVISION
'a4?r-' J"e?
THE LONE OAK TREE. ..THE SYMBOL OF STRENGiH AND GROWfH IN OUR COMMUNIN
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121450
Date Issued:04/02/2014
Permit Category:ePermit
Site Address: 2071 Pin Oak Dr
Lot:11 Block: 1 Addition: Vienna Woods
PID:10-81950-01-110
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
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew Sultan Jr
2071 Pin Oak Dr
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
*. EaauPrmit# IICity of r ' s3 Permit Fee: 1 t /-
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
buildinoinspections( citvofeaaan.com Staff:
Le
2017 RESIDENTIAL BUILDING PERMIT APPLICATION d
Date: 94347Site Address: �7//moi iifk &Jv 6 rp6,yA.r, /7,0,37.2.2-.43a2 17 Unit#: 7
Name: �s� E�c ii4 a Phon 437-S1/-/444-7
e -- ' Address/City/Zip: oZ1,7/ /AV CIAA.Alive 51601,y, ) &15S/.z.z.—oZ3�7
Applicant is: x Owner Contractor
� t /IL�Lt,-%ve' d F - &� JQAIL3 11-+,1114'7 +�' 4/xJo-8fl1 rag'O4)
Description of work:
sa .
I Construction Cost: SWa2,300 7043 OW Multi-Family Building:(Yes /No X )
Company:
Contact:
v: Address: City:
• State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
i s.s.. s e,s s sr,E J &B 8 s s s ® s s r s F s i- s p$ys g x 9f t J'
J
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.citvofeanan.com/subscribe.
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.
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.000herstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinan - 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 pe t the work will be in
accordance with the approved plan in the case of work which requires a review and appro I o pla r-�—
�T
x n/rTI.Ji'EGc� /t[-7 Itih Z2.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
- Y
'2P1 I Pt'vx 04 Dr ,
DO NOT WRITE BELOW THIS LINE /q5-71/
SUB TYPES
_ Foundation _ Fireplace — Porch(3-Season) __ Exterior Alteration(Single Family) -
Single Family _ Garage — Porch(4-Season) __ Exterior Alteration(Multi)
Multi f`4 Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
—
01 of_Plex _ Lower Level — Pool __ Accessory Building
WORK TYPES
New
— Interior Improvement _ Siding __ Demolish Building*
Addition _ Move Building Reroof __ Demolish Interior
_ Alteration — Fire Repair _ Windows — Demolish Foundation
Replace _ Repair _ Egress Window __ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
r
�+t
Valuation 2 71& - Occupancy -14-'6 1 MCES System
Plan Review Code Edition MA/ Z i SAC Units
(25%_100% )4 ) Zoning ? L> City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction -/ • Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) r0 Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: bVVI iIll: -!yii- , Building Inspector
RESIDENTIAL FEES
Base Fee / Ki y _2 feo. cf. l''"F .. pe-t-
Surcharge
Plan Review Avg ..A 5 IW .2. t R `1
MCES SAC ' }t. p` =
. - /L/C-71f
a-D1 1 ()k '. D<L- Di-
'fCALVIN H. HEDLUND 7726 Morgan Avenue South-4\
Richfield,Minnesota 55423
Land Surveyor Civil Engineer. phone: 866-2523
wv42(oreir Surveqor's Certificate
JOB NO.
SURVEY FOR= Stikbilt Homes
DESCRIBED AS Lot 11, Block 1> VIENNA WOODS, City of Eagan, Hennepin county,
Minnesota and reserving easements of record. •
_ _ Fest • '
931.0 7'1.4 _.— Tt.o.o F
I 1
I I
Top .f Foundation 4 9 40.2.
4f p' Basement Floor= 932.1
h p1
101 6arage Floor • 939.S
• n �
J �►+ ti Prep.sed Elevations G'>
I
�� �xi$t(r 5 E 1eval,ons _......
0. .
. . ... II. Drainage Direction ---•
1 . ! Who Denotes trot Corner 0
L.,
9 7. ,.
�.. 8 CANT .3 c,
SP Z �i new aeck%n1 IG,�.,g3)Regi, s�0.42'wAfi
-7)74 1/1,47
IOps�AKi+5 `s sc 2 ., . s
4� 12�, �o - � � e7' . 1 . •
1 . } r� sakes •
F _ ::\ome: 1 ., 2.4 (V "4 r)
N1 a I1
537,6 + -... I
~-` c 88,37
.4-4• Z. /
R=iZ 3 - 49 939.0
. J y
•
-. 937.
937. 5
--- • 937.7
CERTIFICATE OF SURVEY
I hereby certify that on 4 / (, / 8 4 I surveyed the property described above and that
the above plat is a correct representation of said survey. l�
—gc -46.1 -..J it r -+4�y�] 1._ - VA
Calvin H.Hedlund, Minn. Reg. No. 5942
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177778
Date Issued:07/18/2022
Permit Category:ePermit
Site Address: 2071 Pin Oak Dr
Lot:11 Block: 1 Addition: Vienna Woods
PID:10-81950-01-110
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew Jr & Pauline Sultan
2071 Pin Oak Dr
Saint Paul MN 55122--232
Bonfes Plumbing Heating & Air Service Inc
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature