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2077 Pin Oak Dr,,?y?,?. MECHANICAL PERMIT DATE: 6/ 10/91 ? 7`7?G? ?? l?S?S/ RECEIPT: 101730 X/$ °'6 SITE ADDRESS 2077 PIN OAK DRIVE Unit # Permit # 138 16 L 10 B I Sect./Sub. VIENNA WOODS DEPENDA.BLE INDOOR AIR UALITY-757-5040 INSPECTION INSPECTOR DATE COMMENTS ?IG 730 . . ?. .,.. :.., ,.-. CITY OF EAGAN 3g N• ? 9i?9 t 30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PH ON E : 454-8100 BUILDING PERMIT _ C_r, nwr_ /r_nv Site AdIr?as Lot ?? Parcel No. . e lock2tr--r---`.s lfisY'b Receipt ,# t t) I II " 7 7, 0 0 0„--- t-lA Y 30 .„ 84 oWc Name . ._ . ., .? ....???.,...? ? ? Address _ City Phone l/:\l/J:II?L\ JL"L111?71\/JLl\ l.V1V.= ? Name ? ? ? o? Addre? u? Citv Phone 4 4 f- 5 4 3 4 Name _ Address i hereby acknowledga that I Ir the information is torrett qn State of Minncsota StarvE "s ? Sipnature of Permittee? I e A 8uilding Pertnif Is iuued to: oll work sholl be done in otco Bufiding Officiol Alter ? Repofr ? Enlorge O Move ? Demolish ? Grode AsseSSmenr - Woter & Sew. Police Fire Erq. Plonner Council 81dfl. Off. _ APC e wlth oll ' -- `- that Feas Permit ' 07 Surchorge 3 • J'? Plan check 00 SAC - 525. Water Conn.--4,7-6' 0 0 Water Meter ?-0 0 Rood Unit a . y5U Totol on tM express condition flat tote of Mlnnesoto Stmutes and City ot Ea9on Ordlnonces. 1 Uccupancy Zoniny Fire Zone Type of Const. # Stories 50 Length A..._.? 42 n _ r.. Psrmit No. Permit Holdsr Micc. Permit No. Holder Plumbiny H.V.A.C. Whil watsr Disp. Sawer Elamie Inspection Dats Insp. Other Footinys Foundstfon Framinp Routih Plbg. S(I / d RouQh HVA Inwlation e ? Final Plby. Final HVAC ` / Final ? l Waur Wscribe loeation: ? .0, Y11ell . 5awer Pr. D'aP. Receipt MECHANICAL PERMIT Permit No!ll CITY OF EAGAN / Fee Frll in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost r?3. Job Address Lot Bik. 1 Tract ? 4. Owner 5. Contractor Phone 6. Address 7. City State Zip _ 8. Building Type: Residential O Cammerciai ? Institutional ? 9. Work Description: New ? Add ? Alter El Repair ? 10. Descri 6e 11. Type No, Equipment 8TU - M. Ea. Forced Air No. Equipment CFM dl Mfg. Air Han ing: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to cflmply wixH all ordinances and codes goyerning this tYpe of work. Signed :/'/? /_ _` - -' , far % Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee / FiU in numbered spaces S/C Type or Print legibly Tot,) ,v, 1. Date i???• '/ `? 2. Installation Cost -.- 3. Job Address --?,-? , • .- u i ot 61k , ? . Tra? 4. Owner ?rr' 5. Contractor Phone ? 6. Address' . r 7 7. City ' - y7ty ? U?tate/ r G-?. Zip •; > ?'/.` 8. Building Type: Residential E] Commercial El Institutional ? 9. Work Description: New 'O Add Cl Alter 0 Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Wel I Kitchen Sink Urinal/Bidet Other %xt ; -? Laundry Tray Floor Drains Drinking Ftn. ? Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and cod?s governing this type of work. Signed : "^ J 1 3fl for Rough ? Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CASH RECEIPT ? CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 .? (l r? ..? DATE ? 19 r • T ? -? RECEIVED • l y FROM AMOUNT $ t dc DOLLARS ?oo ? CASH CHECK ?. FUND COOE AMOUNT 3 ? ? G v Than u : U BY ? , .a. White-Payers Copy Yellow-Posting Copy Pink-File Copy INSPECTI()N RE(;()Kl) CITY OF EAGAN PERIIlIIT TYPE: +?? 1 64 1, 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: -' ? (651) 681-4675 i v i•::i ? ?. ;?-??, .tii SITEADDRESS: APPLICANT: ? • ! ?I ?1t1P Ijl i i ; . .r ?:'?.111 I `. r 1 1- rJD3A 4srrtI i;' PERMIT SUBTYPE: ? ? TYPE OF WORK: -1 I '?i #4 flitK', 4'HIMNF YJ1 f I.0 1 MU'':? iif I N '. i'1 f fFtl (-t1 f ilW ,.ItMfi f1i 1Nfi .... Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFI NG ROUGH PLUMBING PLBG AIR TEST FOUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE dh'? FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCnvirv rESr HYDROSTATIC rEsr BSMT R.I. BSMT FINAL DECK FTG DF-CK FINAL INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: ++11 ' w`, 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ? SITE ADDRESS: ; APPLICANT: ? V I H s)t?r• fei; ; i t i 10 fiil ! I I?t i; ? Jif 14Mf1 lJililil'' PERMIT SUBTYPE: ! fi 1:? 1 ti •,< q 0 TYPE OF WORK: 11F :i'Ft 11, { t siN i<F (<nUI Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOt/ND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH NEATING GAS SVC TEST INSUL GYP80ARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS . coNOUCnwTv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FtNAL CITY OF EAGAM Remarks Addition VIENNA WOODS Lot 1-0 Blk 1 Parcel 10 81950 100 01 owner Street -ZD 7? p i n Oak nri uP 5tate EaQan, MN 55122 Improvement Oate Amount Annual Years Payment Receipt Date STREET SURF, ?j ?? 4 5 ?3 45- 10 1417.25 A015023 1-2-85 STREET RESTOR. GRADIMG 58 7.73 5$,77 293.88 A015023 1-2-85 SAN SEW TRUNK 1973 129.78 8.65 15 17 . 33 A015023 1-2-85 * SEWER LATERAL 10 2116.19 1 f ? * WATERMAIN • WATER LATERAL * WATER AREA * STORM SEW TRK * STORM SEW LAT 1981 CURB & GUTTER 51DEWALK STREET LIGHT Road Unit 260.00 #43711 5-30-84 WATER CONN. 470.00 11 11 BUILDING PER. # j j9 " i' s,ac 525.00 PARK CASH RECEIPT • _? ,- CITY OF EAGAN . P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 weeErvco FROM ? AMOUNT $ I & DOLLARS ioe [:) CASH El CHECK ' - FOR . .. ) Z L . i. ; % . FVND CODE AMOUNT i.. / 1 \? ? L Thank You BY ? S White-Payers Copy Yellow-Posiing Copy Pink-File Copv r---T? ? CITY JP EAGAN 3910 Pilot Knob Road P. a. Box 21199 Eag:m, MN 55121 Zoning: P 1 Owner. OTd e@x Address: S,te Address: Plumber: SEVIIER SERVICE PERMIT PEkA+IIT NO.: - DATE: 3 No. of Units: 1 r Con91. I "rom tn eompy with !ha Cley of E?ae¦ Connsctlon (hn%e: 425.00 pd "nawees. Account Deposit: Permit Fae: Surchorpe: BY Misc. Chorpes: Dote of Insp.: Totoi: Insp.: Dote Poid: C ITY 7F EAGAN 3830 Pilot Knob Ro,ad WATER SERV{CE p??T P. ^ Box 2 1199 Eagav), AAN 55121 PERMIT NO.: Zoning: DATE: ; `13 g4 Owner: Or"se S ltttstoe ?r ConsUn'rs: Address: Sit° Add`ess: ` P 0fiL2Kjy Plurnber: je L 0 B1 Vieuna Woade Meter No.: C?vattn? Siu: ConnecFion Charge: _ 470.00 pd -?_ Reader No.: Acrnunt Depos(t: 00 d l proo M t?omytip witi? 1i? Cit Permit Fee: 10.40 pd -- e y oi Easan Adiaseas. Surdior8e: - 50 Dd Mtsc. CFaroes: 63.00 d meter BY Tocnl: .Qcte of Insp.: Date Pcid: Inap.: CITY OF EAGAN 3830 Pilot Knob Ruad WATER SERVICE pERMR P. O. 3ox 2' :99 PERMIT NO : 5642 Eagan, M411 55127 . DATE: $/13/$4 Zonirg: R1 No. of Units: Owner: _ Ordeen Snlittsrnap,- r.,,,..- ,,.. . . , , - v co,nectio, aaw: _4 7 0. 0 0 pa • sfy 'ao.._,P.? nccount DepcWt: _ is.00?na der No.: r?.? L I 7?(v 6 permit Fee: - 10 00 pd hC0011* wit6 !he Ciey of P.ayaw Surcharge: Q pd ordmil Miac. Chnrpes; _ 63.00 pd meter Totol: y Date Paid: Date of Insp.: Insp.: CITY OF EAGAN i. ? AT 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 l?l ? 9119 PHONE: 454-8100 BUILDING PERMIT Receipt # ^?-?+? 7 I I Te ba wed hr SF DWG/GAR Est. Value $ 77.000 pote MAY 30 19 84 Site Address 207:] PIN OAK DR ? Erecf R3 O[[upancy Lot 10 Blocl 1 ? 1 U Y51 VIENNA WOODS Alter _SEc7Suh. _ ? y S U 1lJ Zoning R1 Percel No. Repalr ? Flre 2one ?A E l T f C V n arge ? ype o onst. z Name STAN BERGLUND Move ? # Stories Z Address Demolish ? Length 50 9 o1...... 890-2260 p 42 F ? 0 ou u? r City . Name - Grode ? epth Sq. t.- CONST IIJDvrovals F.es Addres5 - City 1 Phone 444-5434 Neme _ Address City - Phone I hereby ucknowledge that I have reod this application ond state that the informotion is correctpr?$ agree fo w?y wiih oll applicable Stote of Minnewto StotNF?s qhd City of a n Ordinances. $ignofure of Assessment Permit S 364.00 Water & Sew. Surcharge 38 . 50 Polite Plon check 182.?0 Fire SAC 525.00 Eng. Water Cann.-A 7-Q,04 Pianner WoterMeter ---- 63--00 Councll Road Unif 260- 00 Bldg Off. . APC Total 1, 902.50 A Building Permit Is issued to: VK1JC:ziV JYLl'1"1'S'1'USL?lt C:VN57' on the express condiflon ihm oll work sholl 6e done in mr e with all a licab St te of Minnesota Statutes und Ciry of Eapon Ordiranccs. Buildirp Official ? /n/'la/9I /IJ i v. .. ' /..i i..- ? 21- 64 o / - IX soo Requesi Oa1j I Fire No. / _ /?/ ?j? ? Rovgh-in Inspeclion Requiretl? ' Ready Now ? Will Notify Inspectar WhenF ap ? ?e =Yes No y e I- icensed coniractor ? owner hereby request inspection of above electrical work at: Job ACtlress i5treet. Box ar No.l ? O-1LVh / -7 ?' Ciry /7CJ?/v Seclion No. TownsNp Name or No, Range Na County 4 401-;oe OccupanllPlilNTI ??i4N U?Y PM1O?? Gower Suppher AOeress Eietlncal Convactor (COmpany Name) ConVaporg llcense No. Mettler Electric 042252 Mailtng Atltlres5lGOnvacmr or Owner Making Inslallatmn; 1240 - 46th Ave. N.E. nutnonzad S.gnawre iCOnhactorOwner Makinq insl bn) Phone Number Michael L. Mettler ???i?.? 574-9744 MINNESOTA STATE BOAHp OF ELECTqICITY ? Griggs-Miawey Bltlg. - Paom S173 1821 University Ave.. 51. 7aul, MN 5510d Phone(612) 602-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BV THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. S/Q/ REQUEST FOR ELECTRICAL INSPECTION ? See instmtlions for comple[ing INS lorm on back ot yellow mpy. 1 7 ? n? fl "X" Be/ow Work Covered by This Request ty?•?r??'*a EB-00001-08 ? 4 /Q/ 90xF ew Adtl Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Elechic Heating ApL Building Dryer Other (Specity) Comm./Industrial Furnace Farm Air Conditioner Other(specity) onlractor's Femarks: Compute Mspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Peeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Abev 00 Amps Signs Inspecror's Use only: / OTAL ?Q ° Irrigation eooms ??• O -? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspector, hereby ROO9?-o oaie certify that the above inspection has been made. Finai o -? OFFICE USE ONLV This reque5t voi0 1B montM1S Irom inis reauesc vo+d 18 mon[hs from ?? 1 ?Q 1 f(?/ ?/. r> ? )N-(?(O G ? A nws9 ueA()( U I-2?.ro? (Co.4) O Pequest Date Fire No. PouBh-in Inspection Naquired? ? ?Reatly Nu}v,? WiII Notity, Inspec- July 19,1984 Wves ?NO torwrienHeady ? Licensed Electrical Contractor 1 heraby reQUas[ insDection ot above ? Ow --7 electrical work irutellad at: 5{ree dress, Box or Foate No. Lo.t ZO, B1IC.1,V1eS1Tlc'1, WO? S"Y 40 Pin*oak Drive Eagon ectlon o. Towns ip Nama or No. ange o. Coanty Dakota Occupam IPRINTI Phone No. Ordeen S littoser Pow¢r Suovlier . Aadress 55024 Dakota Electric 4300-220th Street West F ' ton Electrical CoriVacmr (Company Name) Convaclors License No. J.H.Electric co I c. Mailinp Address IConlractor or Owner Makino Itistallation) Route # 2 Box 345, Princeton Mn, 55371 Authorize tu on[ra Ow r nB I?+sWilatian) Phone Number 389-1534 YINNESOTq g'fpTE BOAPD OF ELECTRICITY THIS INSPECTION HEQUEST W!LI. NOT Cariggs-Midwey Bldg. - Room N•791 BE ACCEPTEO BV THE STATE BOAND 1827 University Ave., St. Peul, MN 66109 UNLESS PNOPEN INSPECTION FEE IS Ph.. (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EIB-0000+-0 `i ' See iristrvetions fw eompleti'g this fwm on beck o1 yellow eopY• A-nui' Q "7(" Below Work Coveied'by This Request. WndAddl Reo.l Tyoe of Builtlino 1 Aooliancea YIirM 1 Equipmenl Wired I q Fee ServicBEMrenceSiza p Fee Feeders/SUbieedera N Fnx Circuits Uto200Am s- 0 to30Am s 0 co30Am Above 200 qm - 37 to 100 qmps 31 to 100 A MPS Swimmin Pool Above 100_Am s Above 100_Am s Tmnsrormers Ivigation Booms -5'- Partiab?Other Fee Sigis SVecial Inspection emarks ?? TO/(IIU k (7f/ ' ? E?ectY '? I spec oq heroby c?e?/rtify thet tha abov 1e_ /r/ . p?eclion has been Da-G czTY oF EacArr •nP ,.ra . coNTQF+cro? `t? 6GeugE r BUILDING PERMLT APPLICATION . To Be Used Pbr? ' Valuation 1-7, Ob0 Sit2 AddY2ssW'? ?µ{? ?/,iPive Lot ? Block ? Sec./Sub. ?t Parcel #: f a- 4S 19 SO -! rru --a 1Alte_ owner: Ackiress: _ City/Zip Code: Pnone #: , a o- ?'S3 - yd? y Contractor Address: -?-- City/Zip Code: ?2 ?f d ? Phone #: 'f ?l Il-SK3 ?/ • Arch./ESzg.: _ Address • City/Zip Code: _ Phone #: Repair Enlarge _ Nlove Include 2 sets of plans, 1 6ertificate of Survey & 1 set cf energy calcula?.i.ons. Date --T OFFICE USE ONLY Occupancy IZ' 3 Zoning R- I Fire Zone N A Type of Const. ?L # Stories Deniolish Front 50 ft. Grade Depth 42 ft. APPRDVALS FEES Assessments Pexntit iaater/Seaer Surcharge 3t3 ? Police . Plan Check Fire SAC gg, water Conn. 420°° Platvner Water Meter ?3°O Council Road Unit 2cno•° Bldg. Off. ? APC nrrAL 1, 9 o a s a orde¢n SP I; IIS4 D.Sc c- CoNST' IA/r- tc?x32= 5ti2x48 = 2???? I$ x2o =-?(Oo x 54- _ 10I440 ?? ?2'Z - ? ?8 ? ( l = 82z8 f? x?o = Ic?o ?Il = l-7co0 34x I(?, - 544x 41 - 223a4 ??v, 3o d ? . 4 354•Gr.? l02°IJ 525•OG+ 470 6 260=Out 1 9C)%' S(''* i CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: guxLozNe Permit Number: 0 3 3 4 9 4 Date Issued: 0 9/2$/9$ SITE ADDRESS: P.I.N.: 10-81950-100-01 2077 PTN OAK DR LOT: 10 BLOCK: 1 VIENNA WOOpS DESCRIPTION: REROOF Bu,kldPermit Type B,cYIlding WUrk Type ,C?e'nsus Code? t ` ,d j 1 ` l STORM DAMAGE REPAIR 434 AL7. RESIDENTIAL ti r 3 ?_ P • REMARKS: FEE SUMMARY: (?(?? pp?p - Rpplicant - ST. LIC. I?0'Ff'ETP?R7b?'6UILDER5 18840675 20072528 9033 LYNDALE AVE BLOOMINGTON MN 55420 (612) 884-0675 OWNER: YON 2077 PZN EAGAN (651)686-9305 RICHARD OAK DR MN 55122 ; I hereby acknowledge that I have read this application end state that tNe infiprmation is correct and agree tq comRly with a11 applicable State oF Mn. 5tatute5 and City df Eagan Ordinarices. ? APPLICANTlPERMITEE SIGNATURE I ED BY: SIGNATURE I 1998 BUILDING y 9 `4 Naw Canstrudion Reauirements PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN asao rII.ar xxos an - 55122 681-4675 RemodellReoair Reauiremerrts ? 3 registefed sito surveys ? 2 copies of plane (indude beam & window saes; poured fid. design; eta) ? 5 enargY raleulatbns ? 3 mpies of tree pmserva6on plan 'rf lot platted after 711I93 required: _ Yes No DATE: ?Fs-? ? 2 copies of plan ? 2 sile surveys (exterior aatlitions 8 tlecks) ? 7 energy wlculatlons for heated add'Rions 6yo CONSTRUCTION COST; 9-S-0, DESCRIPT OF WORK: S EE'r? T AaoRESS: _ oL7-7 1?'IN J19),, LOT: I U BLOCK: \ SUBDJP.I.D. #: Wc? PROPERTY OWNER CONTRACTOR Name:A IV fz 1 A 14 c- Phone it: C? P14 -??01? l.act First Street Address: o5Q 7-7 C"/h/ U4 k, U J)2 city ZAKw?J sffite: /;/?A-j zip: js""/a a- no?e ??9?/- Q l? 7-? 3 fgq so-eet a,ddress: `/Z? 5 3 L?/?dr4/f' f///? Li«nse # al' C? 070'1 S"o?8 City 91&0/771/!16 /a? State:Zip: '---,J?-? ?-? ARCHITECT/ ENGINEER Company: Phone Name: Registration #: Street Ciry Sewer & water licensed plumber (new construction ony): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this appliqdon and state that the irHortnation is rr and a ree co I ith all applicabl STate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No State: Tree Preservation Plan Received - Yes - No - Not Required BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex El 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Afterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Pian Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? 0 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MC/WS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bidg Census Unit Building Engineering Variance Valuation: $ °k SAC SAC Units ?k??K? it?:?>;:WB<??##??k#;??#x;?kY,x?sK???Wk;???k %R:YkA:?K ?:?1"• C:[TY OF E.ArAN f:A rN:f.i R: S TI=RMItJFlL r,n. '(°-rp nArt:: i.0i27/98 riM:.w 15;08.07 0 :, NAtilEn `.37ATE':Iil:I:TiF f;AS F'rF.lil1IGE£i IP2C 3210 9001 0077 I''7:A! (1(-lY. Lqi Ei(.:).Op 2155 9001 c.'.Cl'i i' F'7:hd flAk: DI: U,`Sq TCI'i;:i. :1ii?(::@:ttJF ATIC:IL!Yl'i: : 50.50 i . Cll(C.??:?f:;f?09 tJ?Sl?f{ '.1.1 u 1'??<IIY i Y XrY(.?kik 7kYF:?r?:?F%?>'nyn?k 'M?kFY,:Y,:YF?'t??G 'M;k7k??k'M:i,:???'F?>R#Jn7n '?FXt .. , PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: e u xLDx N s Eagan, Minnesota 55122-1897 Permit Number: 033815 (651) 681-4675 Date Issued: 1 u/ 2 7/ 9 8 SITE ADDRESS: 2077 PIN OflK DR LOTc 10 SLOCK: 1 VTENNA WOODS P.S.N.: 10-81950-100-01 DESCRIPTION: '_ Bu:s?dln`g"'?Permit Typa Z ilding Wpr?k TYpe nsus Code ? i I i I l ? \?\ __S? FIftEPLACE NEW 434 ALT. RESIDENTIAL 31 {??.;`? + ??5 )?? j (? 43•rc ?i? k REMARKS: CHIMNEYJFLUF MUST BE INSPECTED BEFQRE CONCEALING. FEE SUMMARY: Base Fee $50.00 Surcharge ?e51 7ota1 Fee $50.50 CONTRACTOR: - Applicant - S1'ATEWIDE 6flS aERVICES 14477185 3342 BALSAM ST SW PRSOR LAKE MN55372 1(612) 447-7185 OWNER: YbN 2077 PIN EAGAN (651)686-9305 RSCMARD OAK DR MN 55122 ? T hereby acknowl'edge Chat T have read thxs infvrmatiort is c?nrreCt and agree tp eomplv 5tatutes and GiC?y nfi Eagan Ordinances. L li APPLICANT/PERMITEE SIGNA7URE appLication ancl stats that the with ell applzcable State ot Mn. J 'WSUED B,Y SIGNA URE? CITY OF EAGAN -??.._, 3830 PILO'f KNOB RD - 55122 1998 FIREPLACE PERMIT APPLICATION 681-4675 DATE: /'O - 1?911 PEAMIT FEE: $50.50 DESCRIPTION OF WORK: _ Conshuct new fireplace _ Alterations to exis6ng Install eas insert oolv JOB ADDRESS: Other Install eas Gne onlv LOT: 10 BIACK: SUBDMSION/P.I.D. #: U,ke ytv?1a w 0-0 ? APPLICANT (circle one only): OWNER CONTIiACTOR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all apglicable State of Minnesota Statutes and City of Eagan Ordinances. Name: /Giv /sSG.Iw- 0 Phone#: PROPERTY Last First OWNER Signature: Street Address _Okd ? -7 li?:! 0,44 ? City -5? State: /K/ Zip: Company: tsC.?Oi ifS ?G?l1Gf-S Phone FIREPLACE INSTALLER Signature: ? Street Address:?.3y? License # City iF,?f State:?y,?_ Zip: Company: C?" Phone #: GAS LINE INSTALLER Signature: Street Address: UFFICE USE ONLY BUILDING PERMIT T1`PE O 14 Faeplace WORK TYPE ? 31 New O 33 Alterations ? 32 Addition ? 34 Repair GENERAL I1VpORMATION Census Code. 434 SAC Code Ol REMARICS Chimney/flue must be inspeeted before concealing CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # /.3R/(O RECEIPT # ? DATE: ? O 9/ SiLIEN?`?$; PLEASE COMPLETE DYPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & ??"???? ?A TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ---------------°------- ------°--°------------------------------------------- WORK DESCRIPTION FEES NEW CONST _ ADD ON REPAIR X CHANGEOUT OWNER NAME: Stan SITE ADDRESS:2077 Pin 0ak Drive, Eagan iAT:/ 0 BLOCK / SUBD. INSTALLER: Dependable Indoor Air Quality ADDRESS: 2619 Coon Rapids Blvd, Coon Rapids, MN 55433 CITY: ZIP: PHONE #: 757-5040 ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIM[JM 3.00 OF 1 PER PERMIT SUBTOTAL: $ 1500 STATE SURCHARGE: .50 TOTAL• $ 15.50 I ATURE OF PE II TTEE PLEASE COMPLETE THIS PORTION FOR ALL COMMERCZAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. nn.^.^..a.oo,°.D PI°I!4G $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: $ F S NATURE) CITY OF EAGAN C A L V,I N H. H E D L U N D 7726 Morqan Avenue south Rlchfleld,Mfnnaaoto 86423 Lond ? Surveyor Clvil Enqineer' PM1One : 866-2523 surver?or`s G'ert??'?cate JOB N0. SURVEY FOR? Ordeen Splittsroser Construction Co. DESGRIBED AS: Lot 10, Block 1, VIENNA WOODS, Ci*yo uf Eagan, Dakota county, Minnesota, and reserving easements of r.ecord. 9jS.o ? i n \ . r ic?? s>4C?s I _ EqST 8 S. ?----- ? I . ? Ns ?f M \I ? ------? ? I I I ? ? 23/0 Y? Top of FouAdo?io.+: 93`).(0: .: Besen.ewr 71eor'93e0.,'5"' Garaie Floor:939.3 PrOfOsCd FICV41%ONS Q .._ Ex?s+?.+y E/evar;o?s ? - ]?rol.w9e ?irecrle..s ? Dene7es /w't CorNers O 1 O'<f) S.rGKC S 9 3¢9 L-4 . 0 M R=/z3t. 49 I v ' i 'o g¢.gg ?J ? A•Io k<itss. S y pi N OA K `-? ?- DRiv? 9== d CERTIFICATE OF SURVEY i' I hereby certify that on 5/2i 184- I surveyed The property dBscribed obove ond ihot ihe obove plat is a correct represeniation of soid survey. ? Calvin H. Hedlund, Minn. Req. No. 5942 CAUNrDGE N0ME PLM °11KG Dave Erickson Designcrs 6,819-4364 EXTERIOR EtYVLLOFE AVERAGE "U" COMPUTATIOSi DWNER lSt;"G-'f'.( 5,( --- ';I'Pr, ADDRESS CONTRACTOR ryL(? ?7..5 " DATS P riU1VE lletermine working sq.uare. footaj*e of each. ?so,. ft ' '?'? 1'' x . •u,. ^_ . l. Total exposed wall area .... ? . . a ` 2. Total roof/ceilineT area ... ? .?W sq• ft: xr?-'6= Total exposed wall as•ea above '?' ? ??`x? : a. Total wall window area . . • . { . b. Total door area . • . • • • . . -------• c. 'Potdl fiIId1T1eT Plassdooraree. ....... , .... __- d. Total fireplace wall area ............... e. Total wall framirie area (averave f. Total riet wall area above floor • • • • • • • • • •_.. . F. Total rim joist area ...... .............. Total expose:i foundation area h. Total foundation wir.dow area ............ i. Total net foundatior area above grade ... Determine "U" value of each wall sermer:i. a x•':"' • g .,C?"_ _ c ? d ? X "U .. . e ---? `! --- . ?. .._ ?s-q- k'. T._ y. o x., U.? h g ?• 13.? ? x"u"._ 3 .......... ............ _ ........... ....... ...'Co?al ......=_.J.?_?.--(LV- If item is the same as, or le:,;: than you nave met the i.ntent of SBC 6006 i02. , . • 'Potal. exposed roof/ceilinr ar?•a j. 'Potal .^.I;yl.it,ht area ..................... _ k. 'Potal rool'/ceilina• framin;r area ......... dZ.yGz-.- ? 1. Total nc;t insulated roof/ceilini!; ......... G:2. !1 _- Determins "U" value for each roof!ceilinA, seument X "U" • k. g "U" , oas = ?Y. ? __ . 4. .• ......... I ..... ............ CCtA1 ....... If total of A'4 is tha same .as or I6s`s than //?., you have met the intent of ::>kiC 60Ofi (c)i. Alternrste BuildiN* envelopc: de!:i.ra To utili2e the total envelope :>ystem method, the va].uee, established by the sum of items J/3 and //4 shall not be s?reater thari the sum of items ?1 and #2. . 1. ? + 2 ' 3. I Q I,?? ?: . 4 8 = , `- ^ ? Al:t.?, l'Jo " i i N?PIL Al:cw ? -_ .. .01 ? 7 k _ ._ ------ -?••---= ? ? AY.cn .. ?? G- I L , ?-----/ i ? --_?;RApe -- --? rJOF/ ('(? ? U alG A t't (1 IJU. `> ( L- ?" - 2 -`---- \•c u+e O ? ?r ? i _ L? ?'. : ? i • l? ?? NLFt F??1?-? uP , ]. . L q t. f' 1" i o. • 1 ^ J. "1 '. i' I.' I- O.] t"'I Ii,^u I at,9 or, !t. I?:x!,?r.ior •;h?.?;ti?., yr ir id u. ?? t r v 1 f 7' l 1; T ? L?. ql y _ .. . _ ,notal nre;+ f'In. , 2. l.e?;:; Inr-s?!.n? :<i,? ?•?,?. oi't;i,.,Id ? ? i.'o Itl??! JV]'? Aiti'R 1. 111 tPI':.UI"' fli.I' _r': ?.. TYl ;ll'. f? (;iUll , 3. i.' ? . ;,r•.?,,,:,;„d 4. Er,t:ertor ..F:r-i'.:,in; ?1. t71' ` . ' .... 1. 1!,;r?i';;1• nii• 1`::.^1 ?' . ? rl :'• i.1 ?%1 1; iO ! t , 1I . E , x "!: (. r.1 ': r Sl t C .i l 1. fP ;:1 ` ??"-•?,li.;+t lr:f.?':?:I'1'-..F.; lnl _i.?i-? . . 1!lbf?r?li1C .r:.l.i?.t?UtVl'tj •S . 5q ?_ ..a;'?.:•rnnc{ . 337. h. t t.io!; . . ., t i. . f i. 1'•i ?_.. 6 2-. ;t ? t..?.; . Ti:;fi.a'L r?? i ?'/•r:!i Ii:- .t?'':i? . Innu]nr.lan ii:: !;r?r•7r.r. _ .•i ,... u:.o33 U= _ ?, GG ? ,04 a a3.. (, ---jl_ l4, A. V V. f3? o I . vg3_ a. tY 19• 6.r y- .os, .(,,?. c" •. ?-? . .. G-1 ._. -Ls Q - 3 b-< o - 21 2/84 CITY OF EAGAN : ? ? APPLICATION FOR PERMIT - SEWER AND/OR WATER CONNECTIOrT (PLEASE PRINT) . 1) PROPERTY ADDRESS: '^ r•Frar• DESCRIPTION: (Lot/B1 /Subdivision or T Parcel .. N r) IF F"{IS':= :t; ST <L'CT'LTcE, DA'i'E O° ORIGINAL nliSi.DZ;G F!-7F:-1i'^ ISSJA ? ?•ier. s i PRESMi:-.^.:IIPr,/PPDPOSr^D U:E• 4f R-1 S_xI.E FF;,ffS,`_' ? R-2 CUPLE{ (T.•:O (JNITSi . p R-3 TC'IriNHOUSE (7HEtEE + UNITS) ( UNITS) ? R-4 APARTT=/CONIDCMMINIfM ( UNITS) ? CIXMKERCIAL/RF.TAII,/OFFICE p I12JUSTRIAL Q INSTITUTIONAL/GOVERtAEM 2) APP?MNT (PLEASE PRINT) - ADD^nESS: CITY, STATE, ZIP: ?rO( PHONE: 1? 75- a 3) pjpMgt NAME: P?S ?? FOR CITY USE ONLY ADDRESS: C v .? ? (° PLUMB RS LIE CENSE: °] CITY, STATE, ZIP: I ? ? I Active Expired . PHONE: MAbItH i. ?2 ??g 7 pLUNBER LICENSE lf Q Nt f eord a nitia 4) OCCUpAN.i./OWNER \ (PLEASE PRINT) NAME: <-717r .:_ ADnREss: CITY, STATE, ZIP: PI IONE : S) INDICATE WHICH PERMIT IS BEING RDQUESTID: ? CONNECPION 'PO CITY Sa]ER . [?]C CONNF7CPION TO CITY WATER r? s? ? OTfiIIi (PI.EASE DFSCRIBE) , 6) INDIG,TE ONE: Ill4 PLEASE HOID APPRWID PERMIT FOR PICK-UP BY ONE OF ABOVE 'H "PMAIL APPROVID PERIVLiT 'I17 1, 2' 3? (Circle 7) SI?7A ? DATE? , . ?tw?aw?wfw?:??i?yrMaa?:a?.?alYS?s?ras??i+rrs??s's:? a.,. ?a?a??aaifotiik?1?. . ... . .. .. . . . ., .?T... 1r?!'+f?=... , ,. : ?aw F 0 R C I T Y U S E 0 N L Y ' PERMIT '-! ISSUED L F°E5: $ / o . $ $ $ $ .S? i?o. •o-G' $ $ $ $ S $ . a $ TOTAL $ AMOUNT PAID/RECEIPT # J DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES ZF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISIO[V. LIST AS A CONDI- TION. SUBJECT TO TEIE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: SEWER Pz.'Ri1_TT (IPICLI.iD: SUP.CHARrE) WATER PERA'[IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TP.?' ACCOUNT DEPOSIT. - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUVK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL HENEFIT/TRUNK WATER OTAER • oF eagan 3795 PILOT KNOB ROAD. P.O. BOX 21199 EAGAN, MINNESOTA 55721 PHONE: (672) 454-8100 DA'"E : May 31, 1984 PENmzNc AsssssrERr sF.ARc-H BEA BIOMQUIST Mayor THOMASEGAN JAMES A. SMITH JERRV THOMAS THEODORE WACHTER Coun<tlMembers THOMAS HEDGES Cify AtlTiltiSlfafIX EUGENE VAN OVERBEKE Gry Cleru RE: Nkenna Woods, Lot ?0., Bloi;:k.l 20.77 Pin pak.Driye, Eagana h1N 55122 Pa,rcel # 1Q 8145Q 100 01 Requested by: DAKOTA COUNTY ABSTRACT C0. 1250 H'rghway #55 Hastings, MN 55033 I CERTIFY TAAT ACCORDING 'i'0 THE MCORDS OF SAID OF'F'ICE, ?'fIF F'OLSAjPIb?G D'II'ROVENLF:Dri'S ARE COD]TF.fTLATED OR PIIVDING AF^'IIt HAVIrTG BEEN APPROVEb, AM ARE r?anT IN '^HE nROGFSS OF PLANNING OR COHPLEPION. Kinq of 7mprovement Approximate date of Completion Approxunate cost NONE [g1IVEE2: Neither the City of Fagan nor its enployees quarantees the accuracy o£ the above in- formation which was requested by the person or persons indicatecl. Nor does the City or its enployees assisne any liability for the correctness thereof_. In consideration for the supplying of the indicated information in the above form, and for all other considexation of any nature whatscever, any claim against the City or its enployees rising there fra[t is hereby expressly waiveci. Levieci assessments to be paid to the COLNTY TREASURER AT HASTINTS, MDT. 55033 or C2"_'1' OF EAGAr?. Vexy truly yours, SPECIAL ASSES DIVISION THE LONE OAK TREE. ..THE SYMBOL OF $TRENGTH AND GROWfH IN OUR COMMUNITY OF 3830 PILOT KNOB ROAD, P.O..BOX 21199 BEA BLOM9UIST EA6AN, MINNESOTA 55727 nnava PHONE: (612) 454-8100 THOMAS EGAN JAMES A SMITH ' JERRY THOMA$ DATE: September 27, 1984 THEODORE WACHTER co`,?d Mam?'? THCMAS HEDGES City PammsVain EUGENE VA O ERBEKE SPECIAL ASSESSMENT SEARCH C Y C Requested by: UNIVERSAL TITLE INSURANCE C0. RE'2072 Pin Oak Drive 14500 Burnhaven Drive Lot 10, Block 1, Vienna Woods Suite 159 PID I{10-81950-100-01 Burnsyille, MN 55337 Enclosed herein is the search which you requested made on the above described property. Kind of Improvement Runs Beginning Original Amount Balance Due Street 10 yrs. 1981 $2834.45 $1700.69 Grading 10 yrs. 1981 587.73 352.65 San Swr Trunk 15 yrs. 1973 129.78 25.98 Utilities 10 yrs. 1981 4232.34 2539.42 I further certify that according to the records of said office, the following improve- ments are contemplated or pending after having been approved and are now in the process of planning or completion. Kind of Improvement Approximate Date of Completion Approximate Cost NONE WAIVER: Neither the City of Eagan nor its employees guarantees the accuracy of the above infor- mation which was requested by the person or persons indicated. Nor does the City or it employees assume any liability for the correctness thereof. In consideration for the supplying of the indicated information in the above form and for all other consideratio of any nature whatsoever, any claim against the City or its employees rising therefrom is herehy expressly waived. Levied assessments to he paid to the CITY OF EAGAN, 3830 Pilot Knob Road, P. 0. Bnx 21199, Eagan, MN 55121. Very truly yours, 1/ 11??(/IZ? SPECIAL ASSESSMENT DIVISION THE LONE OAK TREE...THE SYMBOL OF SiRENGTH AND GROWfH IN OUR COMMUNItt oF 3830 PILOT KNOB ROAD. P.O. BOX 21199 efn BLOMQUIST EtiGAN. nnwtdE50TA 55121 ^+kvo, PHONE (612) 454-8100 THOMAS EGAN JAMES A. SMITH VIC ELLISON THEODORE WACHiER Special Assessment Search °o°""""ef"°°'s THOMAS HEDGES Clp'/wmmishator EUGENE UAN OVERBEKE Date: September 30, 1986 ciroaefN Requested by: Re: \Vienna Woods } ; 10-81950-100-01 ? ;UnivPSSal Title_ Ins'urance Co : 14031 Burrhalyen Drive Rlrncciilla MN ?'i5717 On the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. In addition, pending assessments are included for improvement projects that have been ordered to be installed by the City Council as they may affect this parcel. The City's policy is to levy.assessments based upon the current zoning or existing use of the parcel (whichever is higher) as reflected in the above assessments. If, and when, the parcel is rezoned or developed to a higher use, a condition of development approval will require that this parcel assume any additional assessment obligations that have not been previously paid for existing public improvements. The City Engineering Division can provide further clarification of this policy if you desire. WAIVER/DISCLAIMSR: Neither the City of Eagan nor its employees guarantees the accuracy or completeness of the information provided which was requested by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration of receiving and using information on the attached form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly denied. Pending assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF EAGAN. Very truly yours, SPECIAL ASSBSSMENTS AttaChm?HEtONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN . .. ? , .,.? .D . , , ,.. , , .;r-rC:r.L A:,:;r:: iiEia;;. ',rl Ei: ? I?)ii.. ?i?:? ...;;:ilifllr?ci -.?.raeC'?i i1. 1P?1fIF?i!<`V- ? Pr':': :?y.. . _.. . ? ..?._: 1.:.. . .. . . . r?.DF Y_i ?:f?a7 ` : 43- ?'}.:ib ? "' :??'?:t. , n:_ri e . ,. . ' .. ... r f?il?.. .. ._. _ . * .... "'. - ?. , .::r , ?: _. ...._..?..... ... .. ... .,? . ...i . _;. ... .. .o-._..:..._v_.,.:?__ ..: , ?., ; ., t; 1..., / . _ _• _ _. .' . _ . _. . . _ _ - ? ? . _. .. : N? . . . _. ) '?]t ', 1 /IAI ) ?t?41?' l?i ill I1 ? YiNNuPRIN.. PAIOYF CliMM.N1- t I?. ? 1.1, . ..11. . . . . _ -..: i . ... . '?.. - .I-1IN .. .N? ... . .', . .. _? 15 . .:: i29.78 ?. .. ?1. .?(s .. ( ,l: .t? •00 IREI"I Y 100:,i.,t .: . ?... . ...? .?.c . _co ., . . ? n_ .? ?.. ,..,',.i . .:.G 527.73 .. .!;?.i .?._ . Y.r I-•;. ?-?;,:a iiri:,j.:r, _. ? ...II?!: ., il?i?l'I L .I . .. ii . 111 ?.. ? . . J ,,...!. ?. 4232.34 ...:. ?fl „00 P1CYPAY ,KO _ ; r..., ,:'.i .... , . .. „r? r?:' ;; )'L 23Z4.45 ..i;;) .00 ? i-'t?r F'AY ' .. .h' . .??I'"Ir??.??' r.l . ir.. ???r IVi:i: .!.11.? .... ..lJ ( J . .{% , U . .. . ...`.:_ . :-. : .?..t.r..iy?. ;? :i .??.,? ?"??? ?, .1 -?? i ??- i:?iL i'I (,)" !'2 SH y{er, i.il".:i,' r ''.';'' r r_:taF..i. i.76u) 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION JS S-0 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifica±:ons to axisiing residential dwzllings. Date Z- J 27 MCDOWELL,MAGNUS 2077 PIN OAK DRIVE Site Street Address EAGAN, MN 55122 ( UniY # (612) 327-7789 Property Owner ? --'?elephone # ( ) Contractor 612 827-4033 . relephone # ( ) Address 2905 G,hRF!ELD AVE..SQ. ciEy state zip MINNEAPOLIS ? The Applicant is: _ Owner ? Contrector _Other Alterations to existing dwelling s 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic Systerri Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: _ Water Softener ? Water Heater $ 15.00 X replacement _ additional _ Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 i State Surhzrye y 50 Total s 15. SQ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work i: not to start without a Nermit and work will be in accordance with the approved plan in the event a pian is required to be reviewed and approved. ApplicanYs Printed Name 'I I SVnature 2007 RESIDENTIAL MECHANICAL rExMiT arrLica.TioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits are required for each unit Date Site Address v P Uoit # Property Owner /V l Telephone #(??.? > T y 3- S- 7 y 7 r ? /c l 6w a Contractor , ve Z e- ? Street Address 7? / ,?/ 1-on a v, q"A', L°f /L < City T d'. ` ? ? Lir ?Y State _ ??? - ?Zip ? 5 3 7 ?- Telephone # Bond #: Expires: 7? O 7 The Applicant is _ Owner _',e?contrac[or _ Other Fire repair (replace burned out appliances, ductworly etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace _Additional ?Replacement _ New 7?J air exchanger air conditioner heat pump other State Surcharge $ .50 Total $ 5 D • Sl? I hereby apply for a Residemial Mechanical Perntit and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a pernvt, but only an application for a peanit, and work is not to start wi[hout a permit that the work will be in accordance with the appr9.ved,plan in the case of work which requires a review and approval of plans. /,V-/ licanYs Pnnted Name , App canYs Signature 2007 COMMERCIAL MECHANICAL rERMiT ArrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial 6uildings multi-familv buildines when seoarate oermits aze not reouired for each dwelline unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City Stafe Zip Telephone # ( ) Bond #: Expires: The Applicant is Owner Contractor Other Work Type New Construction _ Interior Improvement _ Ins[all Piping _ Processed _ Gas Under/Above ground Tank Install Remove When installinglremoving tank(s), call for inspection by Fire Mazshal and Plumbing Inspec[or Nature of Work: Permit Fees $70.50 Underground tank installalionhemoval $50.50 Minimum (includes State Sureharge) . OC Contract Value $ x ]% _ $ Permit Fee $ State Surcharge To calculate surcharge If Permit Fce is less than $1,000, surcharge is 50 cents. If Permit Fee is > $1,000, surcharge incrcases by $.50 for each $ I,000 Pertnit Fee (i.e. a S I,001-$2,000 Pemtit Fee requires a $1.00 surcharge). $ Total Fee I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is tiot a pernut, but only an application for a permit, and work is not to start without a permih, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signahue Approved By: , Inspector Requ'ued Inspections: - U.G. - R.I. - Air Test - Gas Service Test - Infloor Heat - Final