2090 Pin Oak DrDate:
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694 AUG 23 R` i,`
r
Use BLUE or BLACK Ink
Permit #: 9.69(.a
Permit Fee:
Date Receive
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION (1A R
B/23/i a Site Address: 2O 70 P►) OO fir•
Tenant: Suite #:
RESIDENT / OWNER
Name: BOB Qyc1 .,.) In L.OeA‘bn Phone:
Address / City / Zip: 2070 ?;i aak. '
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: TQC -IC.
Construction Cost: t6l btt Multi -Family Building: (Yes / Noy ( )
CONTRACTOR
Name: CMgr uC't t ve Scc1�_tst•tahs L L3gC- License #: 20 377 3
1
Address: 1' S.S. U.10UI rl �r City: raiNfAinGt'41-"
State:rl(\ Zip: SSb2..+ Phone: Cal 'Ste" Z.0Si
Contact: K1eU;in Email: COin ucilVe S4110,'iO jLLC gmcx.il •C
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public informationPortions of x�
the information may be classified as non-publicif you provide specific reasons that would permit the City; to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X KeviIn Na.
Applicant's Printed Name
-kXNN r)04Ca—
Applic is Signature
Page 1 of 2
£ 7O tO
DO NOT WRITE BELOW THIS LINE
9s6q6
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Fireplace
Garage
X Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation ?(00 3
Plan Review
(25%_ 100% K)
Census Code
#of Units
# of Buildings
Type of Construction
V
REQUIRED INSPECTIONS
Footings (New Building)
)( Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace: Rough In Air Test
Insulation
Meter Size:
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
7L-
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
j( Final / No C.O. Required
f HVAC
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
/0)720 : t2t, X1
000
Page 2 of 2
.05
woods
Date 3/t?/83
Lot 6 Block '
Vienna Woods,
Dakota County,
Minnesota
HEDLUND ENGINEERING SERVICES
7726 MORGAN AVE SOUTH
RICHFIELD. MINNESOTA 55423
CALVIN H.'HEDLUND
CIVIL ENGR:.LANDPLANNING
LAND SURVEYING
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189
(612) 681-4675
SITE ADDRESS: , „ ,
• ? ?y ???.t nl
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
t+?? ? i f? t t?c
?
11?1SYL?;''lUl?l KLC:UKl)
PERMIT TYPE:
Permit Number:
7 Date Issued:
I,1 IqAk'F'+ OFff!1(1f f)IIE TO ?;T()i? M f)A14Ait t !; ,.?7t ?_"°T?? E
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING •
ROOFING >
Gy
ROUGH
PLUMBING I
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOAAD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
?
BLDG FINAL '
DOMESTIC
METEFi
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYOROSTATIC
TEST
BSMT R.I.
BSMT FINAL .
DECK FTG
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
, ,,.
.' 1 1 IsIJn 1,1o,f!'.
PERMIT SUBTYPE:
, 1, . ,
APPLICANT:
};i I 111 i el; 1It .iitkt
( k, 1 .' I ! , ,, I , 1 4 Ij A
TYPE OF WORK:
l' 1 ION
?:11 ? 1 11 1 plli
(Y 1. J {i / : ' ! %1
! N ?.
M f- &l
( ; ••;t A';,1N 1
F F _a _ - :. :. _-, , . . ' -
_-
:? ?3a .?. ?1s
INSPECTION REC4RD
PERAAIT TYPE:
Permit Number:
Date Issued:
f+i MAI:t•`. A '•l:AAkATt :'tithtl 1 1'. IctUllli;t li 1M+ RN1' t Lt k I{, It.R1 1J1141%
Permit No. Permtt Holder Dete Telephone 1F
SNV
PLUMBING
HVAC
ELECTRIC ElU a.O ?
ELECTRIC
InBpection Dete Inep. Comments
Footings I j?`q y ?
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Flnal Htg.
Orsat Test
Fnal Plbg. Pibg. Inspector - Notify Plumber
Const. Meler
EngrJPlan
Bidg. Final
Dedc Ftg.
Deck Final
Well
Pr. Disp.
CITV OF EAGAN Remarks
Addition VIENNA WOODS Lot 6 Rik 3 Parcel 10 81950 060 03
Owner Street -.2 90 Pi2'L O k Drl. Ve State Eagan , MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. • jIRP. 1981 2834.45 283.45 10 1700.69 4 - -$
STREET RESTOR.
GRADING 1981 587. 73 _.58,.77 411.42 A012864 10-3-83
SAN SEW TRUNK / 1973 129.78 8.65 15 34.63 A012864 10•3-83
* SEWER LATERAL ? 2962.6s it ?i
*
WATERMAIN
• WATER LATERAL
* WATER AREA 1991
• STORM SEW TRK
* STQRM SEW I.AT 1981 IO
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 450.00
13UILDING PER. Q
5AC 525.00
PARK
f0 ??J? ?5 6? D(O -- 03 ' GEO. SEDGWICK HTG. & AIR COND. CO. 7 f J-7Z/
tIt1USE T{4VG TEST RECORD l
`?
?
+
J,
ADDRESS ? ?f??
? cirY rL
OCCUPAAI7 OW NE R
HEAT LOSS D ATE HTG. INST.
SOLD BY INSl"ALLED SY ?-
Electrical Work By 14, Gas Line By
TYPE OF HEAT GA^ FA HW_ STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSIOIV
MAKE 1/1/t1 1?1_NZ_- MAKE OF BURNER
Model Model, ?J
Serial j;Z E Max. BTU Rating - ??
INPUT MAKE OF FURNAC
E_.?
.
Model ?
THERMOSTAT vHeat Plug Vent Size 3'
Valve KIND OF LINER S12E NONE
Limit Draft Hood Regulator 141 Limit Setting ?'17? ? Filters Size umber
Fan Setting ? Chimney Location Inside ?-??? Ou ide
Pilot Type ?,?.?? Chimney Construction ?
Piiot Make c
Pifot Model ?f ?j li ?G / Smoke Bomb Wiring
Pilot Timing-Oraft TestTag
L.W. Cut Off Door Pressure Lighting Inst. ?
Pressure ? •,S Percent C02 g Date Tested -2 - '5?- - ? ?
Input CFH Percent O2 7 Company Testing -? ?
Stack Temp. Percent CO Name of Tester. Z.Z
Form 235
Reeeipt ? PLUMBING PERMIT Pa?mit No.
CITY OF EAGAN Fee' ;-
FiN in numbered spaces S/C
Type or Prini /egib/y
Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4 O
. wner
5. Contractor Phone
6. Address
7. eitv
8. Building Type: Residential ?
9. Work Description: New ?
10. Describe
11.
J
,
State Zip
Commercial ? Institutional O
Add O Alter Repair ?
No. Fixtures
Water C{oset No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory -?
l
Softner
Sh0wer Well
Kitchen Sink
Urinal/Bidet Other
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 codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
PII?'•?1qR3:.?!s?+^q?;v . , .,-.-?r'-??.sv--agft'77APM?'0'?R'*°C'?yr?q?"!"wn3?,?'s:w.wnv?A?'^'^ .--=a ? ^r - .ryi^R+.?w.?7. ?.,. ,,.
t ? CITY OF EAGAN ? 18309
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E : 454-8100 ,
BUILDING PER I, Receipt #_- ? if 7-1 7 '
il
To be used for HASOMM rIHISiE Est. Value 1+5w Date AUG 30 , 19 2p
Site Address 2090 pIl1 OAK DR
Lot 6 Biock 3 SeciSub. V'l gMA VOWS
Parcel No.
W Name ROGER tiA?M
3 Address 2090 PIN OAR DR
° City EAGAN Phone 452-2398
, o Name ?Y'S CONSTRUCTIWi, It?C
;Q Address 13270 JAY ST 1?I
? City ?N RAPjDS Phone 755-9438
Name _
Address
Phone
I hereby acknowlege that I have read this application and state that the
information is correct and ee to comply ith all applicable State of
Minnesota Statutes and Citl7t Eagan Ordi ce
5-
Signature of Permitee
A Building Permit is issued to: ?Y? .sTR ?IQ?'1
on the express condition that all work shall be done in accordance with all
applicable State ot Mmnesota Stalutes and City of Eagan Ordmances.
Building Offipal < < _
Occupancy
Zoning
(ACtual) Consl
(Allowable)
# or siories
Length
aea,n
S.F. Total
S.F. Footprints
On Site Sewage
On Sne Well
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Planner
Councd
Bldg. Of1.
Variance
OFFICE USE ONLY
FEFS
Bidg. Permil
Surcharge
Plan Review
sac. city
SAC,MCWCC
Water Conn
Waler Me1er
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI
Road Urrt
Park Oed.
Copies
7OTAL
35.00
1.00
.50
3b.Sa
Permit No_ Permfl Hoider Oate Telephone #
,WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspeetion Date Ins Comments
Footings I
Foundation
Framing
All
Rooling
Rough Plbg.
aouqn H19.
Isul.
Fireplace
Fnal Htg.
Fnal Plbg.
Const. Meter Plbg. Inspector - Notily Plumber
Engr./Plan
Bk1g. Final
Deck Ftg.
DeCk Final
Wett
Pr. Disp.
' cITY oF EACaN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN
PRICE PHONE 454-8100
Site Address
Lot (O/
.. ?.a??
? Add
N ^
C vity
? Address-2690 A^ ??? DJe
? City AA ? Phone
FEES
COMM./IND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE ;12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHAFiGE PER PERMIT ,50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
OF
55122 I RECEIPT
DATE:
BLDG. TYP? WORK DESCRIPTION ;
Res. ? New I
'
Mult. Add-on V
Comm. Repair
Other
RE3. PLBG. ONLY - COIiAPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
? Wa6er Closet - $3.00 $ .?. o °
Bath Tubs - $3.00
-
? Lavatory - $3.00 . 0 v
Shower - $3.00 . o 0
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
J Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUIiA -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
U. G. Sprinkler System - $12.00
PERMfT FEE: /S, o 0
STATES S/C: • 5 D
GRAND TOTAL: /?:; sa
CITY OF EAGAN
3795 Pilot Kad1 Road Eaqan, MM SS1n Lo ?
' 7 3
PHONEs 454-8100
BUILDING PERMIT Receipt # > >
TO be YNd f01 5F nWG1r?.?i EM_ Veluo ;769.Q0a dntn APTil G 1 O 83
Sits Address 2090 3'in O8k Drive
Lot 6 Block 3 Sec/Sub. Vieuna k'oode
pcrcel # 10 51950 360 03
oc Name sLlr
W
z
1361
Add
roa
Ci 13urnsvj
$` Noma Ot.-t
v? /lddress
G
W W
FW Ncme
x? Addross
NZ ?
I hereby acknowledge thot I hove read thls opplicotion ond state that
the information is oorrect and agree to comply with oll opplicoble
5tate of Minnesota Stotutes and City of Eagan Ordinonces.
Sipncture of Permiftee
uc t on
A Buiiding Permit is iuued to: t t on.sjtr
oll work sholl be done in xcordance with oll opplicabte State ef Mir
Buildirq Ofticlal
Erect
11
Occuponcy
Alter ? Zoning
Repair ? Fire Zone ?;A
Enlorye p Type of Const. V
Mova ? # Storles
Demolish p Length46
Grode p Depth 4 Sq. Ft.
Aop.ora Is Fees
Assessment -
Woter 8 Sew.
Pol ice
Fi ro
Erq.
Plonner
Courxf I
Bldy. Off. _
APC
Permit j4U . UU
Surtharye 34.41
Plan check 17 C. QO
5,•,C 525, 0 U
Water ConnlwSGttn+i
Water Meter 60 I)J
Rood Unit 250. T)
Tota1 $1829.53
Inc. '
on tha exprou cond+tion thnt
Statutes and Ciry of Eopon Ordinancet.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing s 3
H.V.A.C. ?j' 74( t 5,, i`Ct--
w.u
wet.?
.
Disp.
SavYar
el.ct?ic k) 07 ll? 3 tj&
Inspection Dste Insp. Other
Footings
5- `?7'u
Foundation
Frominy
n
Rouph Plbg.
Rough HVAC
Inwlation
Final Plbg.
.
Final HVAC v ?- 0?6 3?LLa
Final 0•'j.
Waur Dftcribe ocation;
Wyell
Sav..
Pr. D'sp. -
(ter#t#trtttt uf (Orrupttnry
Citp of eagan
igppttrfmpttt n# Building -Amprrfinn
Tbi.r Certi f1CQll 7JSm[l1 p1/fJlkiltl !0 the 1e(fflJfttltpOl.i Of Sation 306 of tlx Unifortn Building
Cods urti f ying tlxrt at the timr o f isiuance tbu strruture war in com plianca witb the vasiox.r
ordirJancrs o f the CitY -rrgulating building ronssruuion or rue. For the follouring:
SF DWG/GAR ,,..-,?_---•- 7903
O-r--y TYre-R3-'hr@co.+u.dm V_FU.zwn NA z«ft nwita Rl
? L L) v-?? By: September 8, 1983
POIPT IM w ?- KAtt
•C,
Receipt
1
PLUMBING PERMIT
CITY OF EAGAN
Fill rn numbered spaces
Type or Prini /egib/y
-? ?
Date % 2. Installation Cost
3. Job Address -' /° Id
4. Owner -?-' Y L ?-
S -'
? Tract ?cr?_-,,?,.. „?-
.T
5. Contractor Phone
2
6. Address ?--
,{
7. City State Zip ?
8. Building Type: Residential'V, Commercial O Institutional O
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower yyell
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
E
12. I hereby certify that the above information is true and correct, and I agree to
comply with all orcifnances and codes governirlg t,his type of work.
Signed `;' - `! T for
Rough Finel
Inspections: Date Insp. Date fnsp.
This is your permit when:umbered and approved.
Approved," ?? • !?"-•' -c`'= ---' GITY UF EAGAN 454-8100
Permit No. 35? a
Fee-,/',
s/c , 3C
Tot. 7 /), ?,
Receipt MECHANICAL PERMIT Permit No.
. ' CITY OF EAGA* '
Fes
• Frll in numbered spaces S/C
Type or Princ /eyfbly Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. - Tract
4. Owner
GEO. 5EpGWtClC HTG. 8 AiR COND. M.
5. Contractor Phone
6. Address
7. City State Zip
:
8. Building Type: Residential ?
9. Work Description: New O
Commercial ? institutional ?
Add ? Alter O Repair ?
10. Describe Fuel Type
11.
No. Equinment BTU - M. Ea.
Forced Air No. Equiqment CFM
Ai
H
li
Mfg. ng:
r
and
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
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CASH RECEIPT
r •
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
ATE I 9
w¢cerv?o ? ?
FROM
AMOUNT I
$ I
OOLLAR$
tOo
? CASH f-1 CHECK
White-Payers CoPY
? Yellow-Posting Copy
Pink-File Copy
Tha k You
? BY
to tamply wlth Nha Cft of Eaeoe
SEWER SERYICE PERMIT
PERMIT NO.:
DATE: No, of Units;
?•? Y
Connectton Chorge: ?--%STl re
Account Deposit:
Perm(t Fee:
5urchorge:
Misc. CFwrges:
Total: _
By
Date of Irsp.;
oF Ee?oaN WATER SERVICE PERMIT
Wlot Knob Road PERMIT NO.:
MN S5122 _ DATE:
?: • , - + No. of Units:
1lddress:
?..
No..
!o ear+Vly whh tho City of Eagon
Connecfion Charge: ` -?U ? ;J'.j • ,
Accaunt Deposit:
Permif Fee:
Surchorge: .
Mtsc. Charges:
Totol:
Dute Paid:
mi
CITY OF EAGAN ?1f 0 18309
? - 3830 Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PE MIT PHONE:454-8100 Receipt C7-72 -7
N l? 7/
BATtmm
To be used for $A$@4Nr )FjNI5f1 Est. Value 1,500 Date AUG 30 , 1990
Site Address 2090 PIN OAK DR
Lot 6 Block 3 SeGSub. VIENNA WOODS
Parcel No.
W Name ROGER ?AMi.O
o Address _ 2090 PIN OAK DR
City EAGAN Phone 452-2598
I}FlName FEY'S CONSTRUCTION. INC I
Address 13270 JAY ST NW
• Ciry COON RAPIDS Phone 755-9438
Name _
Address
Phone
I hereby acknowlage that I have reatl ihis application and slate that the
inlormation is correct and Qr e to comply with all applica6le Sta1e ol
Minnesola StatNes and oi gan Ordi 4n
Signature oi Permitee
A 8uilding Permit is issued to: '
on the axpress condition thal all work shall be done in accordance with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Builtling Official
Occupancy
zoning
(ACluary Const
(Allowa6le)
# of Stories
Lengih
Depih
S.F. Total
S.E Footprints
On Sile Sewage
On Site Well
MWCC System
City Water
PRV Required
Boasler Pump
APPROYALS
Planner
Council
Bldg. Off.
Variance
OFFICE USE ONLY
FEES
Bldg Permll
Surcharge
Plan Review
SAC, Ciry
SAC,MCWCC
Waler Conn
Water Meler
Acct. Deposit
S^N Permil
SIw Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
35.00
i_nn
.S0
?? Sn
Thf; requast void ? ^C?
18 ironffis from
W 07119z'
UcEnhawmodS 37g-7 3
c/7, oc?
Repuest Date Fire No. Boauh-in sper,tion
fleuuir . .
eatly Now ? Wili Notily Inspec-
^
?p4? ??? es ?NO _
lor When ReadY
5?dcens¢d Elecbical Con[ractor I hereby request inSDection of ebove
?Owner elacVical wnrk installad eY
Street Address, Boz or Route No. City
eclio o. Township Namc or No. Ranpe No. CountY
Occupant(PRINT) Phune No.
3q q - 56-55-
Power Sunolier Address
?
.7-0,?J M
Eleclrical Comracto ICOmoany Name.l Contracmr's .icense No.
Pc? it
ailinB Addrass ConVacmr r Owner Mak ing Inscalla[ionl
??"-( 1?
LC ./ ?
/`il A-) -5-5? 2- .
Au orized ' nature (Contractor Ow> M ine I stall2tion? P ne Number
_-73 Q
MINNESOTA STATE BOAPD OF ELECTNICITV THIS INSPECTION REQUEST WIIL NOT
Griges-Midway Bldg. - Haom N•191 BE ACCEPTEO BY THE STqTE 80ARD
UNLESS PflOPEH INSPECTION FEE IS
1821 University Ave., 51. 7aul. MN 55104
,,,,, ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION s-? Ee °0°°1"°"
? 4.
' Sea inslructions for completing lhis torm on back af vollow copy. -
?711 9?3
Below Work Covered by This Request ?j Z g? 3
k Fea Sarviee EnVanee ' H Fee feeders/Subfaeders k Fee Circults
iOQ U to 200 qm S 50 0 to 30 Am s 0 tn 30 1m s
Above 200 ?py. 31 to 100 Amps S.•CD 31 to 100 qm s
Swimming Pool Above 100-P.m s Above 100-Amps
Transiormers Irrigation &oorcis [ rSd Partial-'Other Fee
Signs Spe ction
Flem3rks 7-o ?? E
1
I the ElecVicnl
Inspec[aq M1ereby
?r certify thnt the above
1 Final nspection has heen
r ? made.
?//9/9O
? 0 7 3 4 3
?zc?? 1? W)"?
?'3O °°
Repyqst Dite/
/?
? Fire No. Raugh-in Inspeclion
Requir
0 N.
? Reatly Now '',/
fywvni notiN Inspaclor
When Reatly?
I icensed contractor ? owner hereby request inspection of above electrical work at:
Jo?tl?( 170 Lox or Route N. •
bi ? ? Ciry ?
Section No. Townghip Name or No, Fange No. Cou ?
OccupantIPRINT) Phone No.
Power Supplier Adtlress
EI ?nc Conv br ( mpa ?' ` ConVacrorS LicenN.
L
Mailin A s onl tor or Owner M ing Installa9on)
?
&
Aut oriz aNre? C?vJad/a/rlO?w
/i / vf./ in91ns1 io oneyfumb
/ ? ?
MINNESOTA STATE BOAFO OF ELECTflI V THIS INSPECTION REQUEST WILL NOT
Griggs-Mltlway BIAg. - Noom 5193 BE ACCEPTED BV THE STATE BOARO
1821 Univenlty Ave., SL Peul, MN 55104 UNLESS PFOPEfi INSPECTION FEE IS
Phone(61P) 602-0800 ENGLOSED.
q/i9/go
H 0 7 3"4'3
REQUEST FOR ELECTRICAL INSPECTION
p See instmctlens Por ;pmplefng [his lorm on back ol yellow copy
"X" Befow Work Covered by This Request
EB00001-48
98809
ew Add Rep. TypeoFBuiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Induslrial ' Furnace
Farm Air Conditioner
Olher(speciry) Connactor's Remarks.
Compute Inspection Fee Below: ? t /?" ' -} •.?
# Other Fee # ServiceENranceSize Fee # Circuits/Feeders Fee
Swimming Pool O to 200 Amps 0 to mps
Transformers Above 200 _ Amps Abo ?00 Amps
Si)fIS Inspector§ Use Onty: TOTAL
-
Irrigalion Booms is
o
Special Inspection
AlarmlCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oa J p
?
certify that the above inspection has
been made. F;?ai oa,e
a
OFFICE 115E'JNLY
Tliis requert mid 18 monihs from
0020,35?1 ?<.G',S3 111e?r,? ?ao?ls ?a.ug
Rea?^ate_
? Flre No.
? Rough-In Inspection Requiretl
(YO insped he lady)
o Ins ection Other Th?ough-In '
? Reatly Now WIII Notity Inspeclor
pate Featl
I licensed contractor ?owner hereby request inspection of above electrical work at:
,fob Atltlress (SVeat, Sox or Roule No.) ^?
? O '" /T? V I ? V ? City y/ ? /)
.L??+J/V
Section No. Township Neme or Na. Range No. Caunty
koM
Occu INT)
u sSe/l Phone 610
Power Supplier Atltlress
ElecMCel Conlrecmr (Company Name)
rs /ec1rrc C'd Contracror s L cense No.
??/ /
Malling Adtlra?ssJ Contraotor or Owner Making Inseallailon) /?f ry??/ ?l
`T /'? ? /?/?V1 J 7??
AWhonxed Si na e(ConU otl er Makin nslallatio , Phone Number
7d I -/6oG
MINNESOTA STATE BOAFO OF EIECTPIGTV THIS INSPECTION REOUEST WILL NOT
Gflggn•Mitlwty Bldg. - Foom 5-128 BE ACCEPTED BV THE STATE BOARD
1821 1lniveniry Ave., SL Paul, MN 55109 IINLE55 PROPER INSPECTIDN FEE IS
Phone(612)fi92-0800 ENCLOSED.
S(dal4 REQUEST FOR ELECTRICAL INSPECTION ?a ?'?; Ee-ooooi-os
0 0 2 0 3 51? See ins[ructlc,s iq,r compleiing this form on back ot yellow copy.
?
? "X" Be/ow Work Covered by This Request ItV
e Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du Iex Water Heater Electric Heating
Apt. Building Dryer Load Management
CommJlndustrial Fumace Other (Specity)
Fartn Air Conditioner
Otner (apeciry) Conlractors Remarks:
Compute lnspecMon Fee Belaw.• h4N ?/t?S NC'1 %AI LU/YY?yE'c??
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 ta 200 Amps 0 to 100 Am s s
Transformers Ahove 200 -'Amps Above 100 -Amps
SI fls Inspector's Use Only OTAL
Irrigation Booms ? - ?
S ecial Inspection ?-? •
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fse COMPLETEO WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
cenity that the above inspection has
been made. Rougn-in 17 / r
?
Final ( y ?,
?,j oaie
oa
OFFICE USE ONIY
This request voitl 18 mamhs irom
CITY OF EAGAN
? 3793 PIIM Knob Roed Eegan, MN 55122
? PHONE: 454-8100
BUILDING PERMIT
Receipf #
N° 7903
To M ated for SF DWG/GAR Est. Volue $69,000 Dote April 6 _ 19 83
Stte Address 2090 Pin Oak ?rive
Erect
U
Occuponcy R-3
Lor 6 Block 3 Sec/Sub. Vienna Woods qlter ? Zontr,g R-1
paroel # 10 81950 060 03 Repuir ? Fire Zone NA
V
Enlorge ? Type of Const.
Nan,e Stikbilt Construction Co., Inc.
W Move ? # Srories
z Address 13613 Country Lane peMOl;s, C] Leng[h 46 '
Burnsville 435-7986/894-5555
Ci Phone Gmde
? 46
Depth
Sq. Ft.-
? N OWller Approrala Faes
? ame_
?v
? Addrea
1- r:...
Name
I hereby ocknowledge thot I have read this opplicotion and state that
fhe in(ormation is correct and ogree fo wmply with ail opplicable
State of Minnesoto Stotutea and City of Eo9on Ordinonces.
Signature of Pertnittee
-$ti1Cb'lrt
A Building Permit Is issued to:
all work shall be done in occordonce wirh all
Buildinp Offictot
Assessment _
Water 8 Sew.
Police -
Fire
Eng.
Plonner _
Council _
Bldg. Off. _
APC
, Inc.
Permit -"*U•uu
Surcharge 34.50
Plan check 170.00
SAC 525.00
Water Conn.450.00
Woter Meter 60 • 00
Road Unit 250.00
Torol $1829.50
_ on fhe express cordiHon 1hm
ond City of Eagan Ordinances.
?
CITY OF ,
GAN
Include 2 sets of plans,
, 1 site plan w/elevations &
D? BUILDING PERMIT APPLICATION
?'? ? ?
? 1 set of energy calculations.
4sr-- o o a E
'Po Be Used For
? ip?Valuation ?
Date
"
Site Address: 020 A0 P ;n Oak 'bN-iVE-
OFE'I(E USE ONLY
Lot ?, Block ,3 Sec./Sub. UlE,?P/R ti.la?.?S Erect Y,_ Occupancy
Parcel #: c?? tR -rj pOb O O? A1ter Zoning
Repair Fire Zone A/
Owner: ????Ec ?ICS t7C .
S-T/Kl3/CT??' Enlarge _ Type of Const.
,
. Mpve # Stories
Address: 134/3 C?co Demlish Fmnt ? ft.
_
Grade Depth y? ft.
city/zip Cocle: 5v ,c4v5tl ic-k, -C S 3:3 7 ?
Phone #: V 3 J 7
J.
Contractor: O!/Ki3/CT ?b?STRUcj'ro,; (i9•??nC.
Address: /-V? 13 6an4ry
City/Zip Code: /Zc/rcLe SS33 ?
Phone #: tf ?. S 7 9 8(- 8?) `/ .S-SS-S-
Arch. /FSig. :
Address:
APPROVALS FEES
Assessments
Water/Sewer
Police
Fire
Eng•
Planner
Council
Bldg. Off. ?
APC
Penni.t ?
Surcharge ? y ?-
Plan Check
? 7
SAC
Water Conn. 41:12 °-_-"
Water Meter /Go ?-?-
RDad Unit ? 5? ?
City/Zip Codea
Phone a#: 'ICYI'AL ? r`l ? ?C?
; 1 f
y
76
??/
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan I -r/ U d ?
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conslruction Reauiremenh Remodel/Repair Reauiremenis C3ffice klse dnN
3 registered sile suroeys showing sq. N. of bt, sq. fl. of house; and all roofed areas 2 copies of plan Cerf of SuroE:y Recd _ Y? N
(20% maximum lot coverage allawed) 1 set of Energy Calculations for heated addilions Sree PY65Pab RCCd _Y ^N.
2 copies of plan showing heam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree NesReqmred f: YN
lsetofEnergyCalculations Addition - indicateifonsifesepticsystem Skt-sile:3eji1ic5ystem -YN
3 copies of Tree Preservalion Plan if bt plailed afler 7l1193
Rim Joist Delail Options selection sheet (bldgs with 3 or less unils
Date 0 / / /
SiteAddress Zo9p /)1 .v pA Construction Cost 9?svc)
A A rZ UnitlSte #
Description of Work ?MriYE '+- /&_p ticrC 5? 0? ?• ?o ( '1t
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 , 1 _ 2
Proper[y Owner 1?e jrK r dA wti
L a(s fc i,v 1
Telephone #(tr ) gg 4`7o G/
Contractar ?LLEFS?,.? ??AoS • ?X7?R,sns T.-C .
Address /OPvo /(/o'tinnA.y?
State .V-" BivO ??vy
Zip ? fy 3 ? City /31caa, t-,GTd-
Telephone #(3 j Z_) S-g J - z Z/?
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rulcs 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone #( J
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
I hereby apply for a Residential Building 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 State of MN
Statutes; I understand this is not a permit, but only an application for a permit, an d i ' out a
permit; that the work will be in accordance with the approved plan in the case of wor **ejuqe?a J.' and
approval of plans.
AUG 0 9 2004
-a;q Y %?L??rs,...? ?
Applicant's Printed Name Applicant's Signature gy
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt-Multi
? 03 01 of_plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4-sea.) ? 33 Fct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbg-Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) -Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Staries Booster Pump
# of Units Sq. Ft. PRV
# of 81dgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings(addiUOn) _ Plumbing
Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insula[ion _ Re[aining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
V/ENNA Woo
. , DS
• __
j
- _ . . . I ' • . IN OAK DRIVE
?
. . •3/ l ? ___'_"__'?_'__'__"___
. . .____._.?
I.
, . . . _ l? .? . _ . _ ? , . ?.?? • l? V.rsszJ
. . . . . . . . . . . p c,. :i
?
??? •
?
_ 51TE Pe-Ar'h`f
----------- ------
;--- -
30
,11? . - ne.e;-zszj
` HF,DLUND ENGIN@:EHING SF:HVICF:ti
' - 7726 MONGA N AVF $OUM
' RICHFIELD, MINNk50U15562:i
, CALVIN H. HEOWNb _?Y `
. CIVIL ENGfl_ IAND VLANNING
" I.ANp BUFYEViNfi
„_ .
scale / 36
Date 319Ib'3
? Lot ? Block 3
Vienna Woods,
Dakota County,
- Minnesota
?ALCli ur tnveivNe inermai iransmittance -"-\
Standard Worksheet Pa e] J
Si te Address 407- a !//W,{U Owner ?
ContractorSf/t?BujeT e.?{cDt.PS ?L Phone ZS.S?D61tDate
Building Type (check one) ( ac ) One and Two Fami1v nwPii;,,? ? % 1)",.,.
Assembly (Describe type from Table 3 or Area (A),
show calculations on Pa e 2) (S Ft) U-Value U x A
Insulated Area /S6 • O 8 ??, 6
Fr
i ,
,N
o am
ng Area
?
7
Sk
li
h .
` y
g
ts, Type
0 Other (describe)
`
M
.14 Other (describe)
?
U
1 Totals
2 Avera e U-Value UxA A from Line 1 *? ??+t :t
• ?
,t ,t *
3
Requized U-Value (from text)
* * * * ? *
.04 * *
* * * * ,t fr
Insulated Area
Framin nrea 3B?.8L . D? S .,35
Windows e 117•31 • 7S „$?? • 7?
Doors T e .83
•13
.:2 S
Rim Jo3st Area p. S6 060 ?, S7
Fireplace Wall
? ?
-4
3ro
Founda[ion Wall
(above grade)
?8, t?/
• ?6
. ?/
?
.d
m Foundation Windows, Type 3• 7r . yf dY
o Other (describe)
O
U3 ther (describe)
Other (describe)
4 Totals
5 Average ll-Value, (UxA)/(A) from Line 4
6 Re uired U-Value (from text)
, t 7
If Line 2 is greater than Line 3, or Line 5 greater than Line 6, complete the
following to determi
a ne alternate U-Value for total exterior envelope.
°
t
L 7 Area (Line 1) + Area (Line 4), +
?
8 UxA (Line 1) + UxA (Line 4), +
0 9 Area (Line 1) x U-Value (Line 3) x _ *****
oi 1 0 Area (Line 4) x U-Value (Line 6) X *****
? 'l l "Budget", Line 9 + Line 10
a 2 A1[ernative U-Value, Line 11/Line 7
; *****
If Ltne.B is greater than Line 11, alter assemblies as required so Line 8
does
not exceed Line 11.
,..? r
. Ma "` rial• (describe) Tiiickness R-Value
/.2 "
?8 G y t? 6
Inter or - a ue see a e
Ex erior f-Value see Table 2
-Total Ass mb1 Th rmal Resistance 70
Assembly U-Value (see Table 4)
Enter on Pa e 1
•40.2/8
Assembl
Material describe) Thickness R-Value
•ys
1. 06
/
Interior f-Value (see Ta ble 2)
Exterior f-Value (see Ta b1e 2)
Tota1 Assembl Thermal Resistance
Assembly U-Value (see Table 4)
Enter on Pa e 1
a6 s'
Assembl
Material (describe Thickness R-Value
• ??
,> , d 6
.IS
Interior f-Value (see Ta ble 2)
ExYerior f-Va1ve (see Ta ble 2)
Total Assembl Thermal Resistance
Assembly U-Value (see Table 4) Enter on Page i . 06 D
Assembly
Material (describe). Thickness K-Value
?. Z 8
Interior f-Value (see Ta ble 2) Q
Exterior f-Value (see Table 2) .% 7
Total Assembl Thermal Resistance
Assembly U-Value (see Tab1e 4)
Enter on Pa e 1
.- - - ,- , y
Material (describe) Thickness R-Value
Interior f-Value see Ta e
Interior f-Value see Table 2)
Total Assembl Thermal Resistance
Assembly U-Value (see Table 4)
Enter on Pa e 1
Assem62y °
Material (descri6e) Thickness R-Value
Interior f-Value (see Table 2)
Exterior f-Value (see Table 2
Total Assembly Thermal Resistance
Assembly U-Value (see Table 4
Enter on Pa e 1
Assembl
Pfaterial (descrihe) Thickness R-Value
Interior f-Value (see Table 2)
Exterior f-Value (see Table 2
Total Assembly Thermal Resistance
Assem6ly I7-Value (see Table 4
En[er on Page 1
Assembly ?-1
Material (describe) Thick4ess P.-Value!
t
?
Interior f-Value (see Table 2
Lxterior f-Value (see Ta61e 2
Total Assembl Thermal Resistance
Assembly ll-Value (see Table 4)
tineer on Page_ 1
1
r _
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
FERMIT
PERMITTYPE: suzLolNe
Permit Numbec D 3 2 7 11
Date Issued: 07j 2 g /9 g
SITE ADDRESS:
2090 PIN OAK DR
LOTa 6 BLOCK: 3
VIENNA W00[lS
P.I.N.: 10-81950-960-03
DESCRIPTION:
REROOF
nqtlPermit 7ype
n_g lJork 7ype
Code `
REMARKS:
REROOF DUE TO STORM DflMAGE.
S70RM DAMAGE
F2EPAIR
434 ALT. RE5IDENTIAI.
, - '
FEE SUMMARY:
CONTRACTOR: - Appiicar,t - sT, l]c OWNER:
RIGHT WflY ROOFING 18530049 00039999 DAMLO ROGER
1200 E. 79TN ST 2090 PIN ORK CJR
BLOOMINGTON MN 55425 EAGAN MN 55122
(612) 853-0049 (651)452-2598
thar`61o}! Acktj6efj edg? Cha-tI heve, readt(iis applicat=ion`and state' that?the<.'
` ihfbrrAaGzcsnls cor;rect and agrue to comply with a12 app-licable 'State of Mn.
?y? af Eaga,n 4rdinar?c?es,
APPLICANT/PERMITEE SIGNATUFE ??Y UED BY: SIGNATU E ,.
? Z
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Construdion Reauirements RemodeVReoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies ot plane (inGude heam 8 window saes; poured tnd. Eesign; eta) ? 2 ske surveys (exterior add'NOns 8 decks)
? t energy calculations ? t energy wlwlations ior heatad additions
? 3 copies of tree preservaGon plan if IM pWMed aRer 717I93
DA7E: _'?Q? I l? CONSTRUCTION COST; T 4. (J
V Illl..`LJi! IIVV.\VVV. W V l`/ ? W -l ?!V' \
LQT: & BLOCK: 3 SUBD./P.l.D. #: V1`e V\,V?-? WOOCQn
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
/ 1' '?) +?VV? 1 U }?
Name-l ?'V?f r 1Jl.,l? °?kJ \J? l Phone
I.ast First
Street
City ? lJ? `?V Y\ State: Y' ` 1 1 Zip:
?
Company:
Su eet Adc
City
Company:
Name:
Street
City State:
Sewer & water licensed plumber (new construction ony):
and lot change is requested once pertnit is issued.
I hereby acknowledge that I have read this appliption and state that the
State of MinnesoW Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
#: ?53 - Oc-)4-9
License#CIJLJ ,-? -I 9 -T
Zip: s
Phone #:
Registration #:
Zip:
Penalty applies when address chang
is correct and agree trD comply with a!I applrcabl
Tree Preservation Plan Received - Yes - No - Not Required
_
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 5F Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 'Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
2oning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY
? 11 Apt./Lodging ?
0 12 Multi RepaiNRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
?
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
Cdy SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscelianeous
MCNVS System
City Water
Fire Sprinkfered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
°k SAC
SAC Units
?CITY OF EAGAN
3830 Pilot Knob Road
EagA, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
023731
06(07/94
SITE ADDRESS:
P.I.N.: 10-81950-060-03
PEIZMIT
2090 PIN OAK DR
LOT: *6 BLOCK: 3
VIEM1INA WOQDS
DESCRIPTION:
r
i
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
(3-SEASON)
8uiltling-Permit Type SF PORCW
`Building l3ark Type NEW
$90.00
$3.50
$93.50
$7,000
CONTRACTOR: - Applicant - sT. l.zC. OWNER:
PATIO ENCLOSURES INC 15251494 0061676 DAMLO RUSSELL
5120 CEDAR LAKE RD 2090 PTN OflK DR
S7 LOUIS PARK MN 55416 EAGAN MN 55122
(612) 525-1494 (612)452-2598
T hereby aqknowled'ge that I have read thzs applicet;ion and state that the
infarmatian is correct and agree to comply wiCh all applicable State of Mn.
L Statutes and City of Eagan tlrdi.nances. J
?
APPLICANT/PERMITEE SIGNATURE ISSUED Y: S NATUNE k
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 66 BLOCK: 3
2990 PIN OAK DR PATIO ENCLOSURES INC
VIENNA WOODS (612) 525-1494
PERMIT SUBTYPE:
SF PORCH
TYPE OF WORK:
BUILDTNG
023731
06J07/94
NEW
DESCRIPTION (3-SEASON)
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
,e
PEw4zT ?r , CITY. OF FAGAN
1.3 19llt BUILDING PERMIT APPLICATION
91 31 im
681-4675 4U,5D
RE CLu4EV
MP;" 2 3 9QR4_
SIN6LE S MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
CDMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 5 / 19. / 94 Yaluation of work $8,843.00
Site Address: 2090 n;,, nak rn;i 7e
- STREET STE /
Tenant.Name: Russell & Penny Dam7-o
? . .
LOT BLOCK SUBD.
jeh?? GJQ??s P.I.D.
?
Descri tion af work: Bu-ld's'g a Three seasan Forch to existing structure
The appl icant is: 11 Owner 13 Contractor ? Other (Describe)
?
Name sarne c ahov Phone 452-2598
Property LAST FIR9T
Owner
Address
. STREET STE 0
City Eagan State I"II`T Zip 55122-
Company PATiO IINC[/JSt1RES INC Phane 525-1494
C011t1'BCtOf Address s12o cM?Y rake Road License # 001575 Exp. 3/31/95
City St.LOUis Park State MN Zip 55416
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
carrect and agree to comply with all applicable State of Minnesota Statutes and City af
Eagan Ordinances.
Signature of Applicant:
vrriue uat UrvLT
BUILDING PERMIT TYPE
.
Q Ol Foundation 0 05 Apt. Bldg O 09 Basement Finish O 13_Public Fac'. ?
? 02 Sf Dwg. ? 06 Garage/Accessory ? 10 Swim Pool Q 14 Agricultural
O 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 15 Miscellaneous
? 04 Multi-fam. T.H. ? 08 Deck ? 12 Comm./Ind.
woRK nrPE
? 31 New ? 34 Repair ? 37 Demolish
? 32 Addition ? 35 Tenant Finish ? 99 Undefined
? 33 Alterations ? 36 Move -
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(A1Towable) lst fl. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of 5taries Footprint Sq. ft. fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering _ Variance ,
REQUIRED INSPECTIONS
? Site ? Footing
? Wallboard ? Final
? Framing
? Draintile
? Insulation
O Fireplace
Permi t Fee ww.cson: s
Surcharge
Plan Review
License
MWCC SAC
City SAC
Yater Conn.
Yater Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other .
Total:
SAC %
SAC Units
` • CITY OF EAGAN
• ' ' 1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, i copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address:
STREET SUITE p
Tenant Name: (commercial only)
LOT BLOCK SUBD. P.I.D. #
Descri tion of work:
The applicant is: ? Owner ? Contractor ? Other (Uesoribe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE #
City State Zip
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water perm9ts is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
.
OFFICE USE ONLY 5
B UILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
p 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYRE
? 31 New ? 33 Alterations 0 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst Fl. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Boaster Pump
# of Stories Footprint 5q. ft. Fire Sprinkler
Length On-site well Census Code ?
Depth On-site sewage 3AC Code a/
APPROVALS Census undt ?
Planning
Engineering
RECIUIRED INSPECTIONS
? Site
? Wallboard
Building
Variance
Footing
Final
Assessments
M Framing 19 Insulation
? Draintile ? Fireplace
Permit Fee
Surcharge
Pian Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
I vetuac;av $ ') 1 6900
SAC %
SAC Units
I '
i
?
?
.ar uuE
LOr tiuE
Lor AlE
'?`QEET
51`E PLAK;
x.AU "aj0,
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L 6 P. CAM:O N
_ 2090 PIE OAK C.'f. ?
cAGAE. i+#:. 55I99 A
R301
1990 SUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTE&ED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET dF SPECIFICATIOh'S
_ 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MON'fH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Se Used For:
Site Address
Rzn1Obt.`z- 'BAsewsraT-"
?T/? ' -ek/aluation:
20QD ?am f?r?k 1?,n, I
Lot l? slock _,I_
Parcel/Sub iJ i.,nnj WAOdy
Owner ?7j?/(/?eY !/?'/y' <ll
Address??2 ?/? /,67 C9CL'0. Z?','
City/Zip Code
Phone
Contractor ?ei???s7? -,G?ZGf
Address /??i5?/? //?p/,r /?/'• ??-
City/Zip Code?r
. ?
Phone
Arch./Engr.
Address
City/Zip Code
? Date: Fwt- L.?l
1500
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
USE ONLY
FEES
B1dg. Permit
Surcharge
Plan Review
SAG, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBSOTAL
Penalty
TOTAL
35,00
?OD
.jb
?
Planner
Council
B1dg..Off
Variance
Phone #
SEDGWICK HEATING & AIR CONDITIONING CO. "EaTi"G JOB NO. ? 5
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDRESS
OCCUPANT
SOLD BV
MAKE
SERIALNO. SQO / 1 0 `/ ( p `
CITV ?
OWNER ?
INSTALLED BY TeYY?EI([??! ?
/
MODEL C-- ',I ' LnrC
INPUT (4 ~ ( OCO
THERMOSTAT I A (I / a
VAWE NP? -VV'CI',
LIMIT rt)(LIMITSEffING "
e
FAN SETTING ' 1-'M ? ?-ut
PILOT TYPE
IGNITIONMODEL
PILOTTIMING
PFESSURE PERCENTCOz ?
INPUT CFH PERCENT Oz ?
S7ACK TEMP. PERCENT CO `-'
FORM 235 (REV. 11I89)
VENTSIZE rv`
TYPE OF LINER
LINER SIZE
FILTERS: SIZE??r` SDQO NUMBER
WIRING 6 L?
TEST TAG
LIGHTING INST. -
DATETESTED !?
COMPANY TESTING
NAMEOFTESTER_
FOFMOISTRIBUTION: WHITECOPY-J09FlLE VELIOWCOPY - QiY
1' qd-
AhL-
City af Eaman
3830 Pilot Knob Road
Eagan MN 55122
Phone: (657) 6755875
Fax:(651)675-6694
5 EP 0 4 2008 lL)
---- ------------,
I wr.offioe use i
i Permnx:
i FermR Fee:
? Date Received: ? I
j Statf:
1 - ----------------?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Daroe: 0'16 "Un skeadaresa:
TanaM: f?a L6r) Zo 941
Sulte #:
l? LQ cw l Phone: % L9 7- N?%' I
N
RESIDENT / OWNER ame:
L
A
Address/City/Zip: ?
l
Ir
,
Applicant is: _ Owner CoMractor
???
TYPE OF WORK l Ul,.
Dexription of work:
C?5 lt}? ? ?t?1-{
! No
: (Yes
f?l
B
'
`
Gt
_
y
u
mg
rt
I
ConsVUCUOn Cost:a0 Y
#
Ci? Li
l
CONTRACTOR
cense
:
.-
Name: /
Address:
y,??? ?
:
Zi
t
l ?L?L
S
e:
ta
_
P
City:
?-
P
erson:
Phone: Contact
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672
Energy Code . Rasidential Venlilation Ca[egory i Worksheet • New Energy Code Worlcsheet
C8[6gOry Submitted Submitted
(4 submlSSlon type) • Energy Errvebpe Calculatlons Submitted
In the lest 12 moMhs, has the City of Eagan Issued a permk fw a similar plan based on a master plan7
Yes _No If yes, dffie and address of master plan:
Licensed Plumber: Phone:
AAechanlcalCoMractor. Phone:
Sewer & Water ConiraCtor: Phone:
ddcumenrs that y? sabmlt arg cons?der`?tl to be•pub7io7hfOrinaNon ? f?arteonsbf ;
aq?h
?
no permiY:the y to -
?a??y dis?Glas?h?tl as r?-pu6lioff you?prowde specnic rsesoAs,thaGwould
arefradesecr?xaI hereby ackrqwlBdpB that this informatfon is complete ard aCCUrate; that the work will be in Conformance wlth the ordinarxes and cades of the CRy of
Eagan; that 1 understarq this Is rrot a pertnR, but only an application for a permi; and vrork is not to start without a permft; ihat the work will be in
a ce with ihe approved m the case of work wldch requlres a review and approval a.
% ??
AppUca 's Prlnted.Name A cant s Slgnaty
Y Page 1 of 3
?s
.
S-I
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundatlon ? 05•plex ? 16-plez ? Accessory Bullding O Pool
? Single Famlly ? 08-plsx ? Flreplace ? Po?ch (3-season) ? ExL Alt - Multl
? 01 of _ Plex ? 07-plex ? tiarage ? Porch (4season) ? Fact. Alt. - SF
? 02-Plex ? 08-plex ? Deck ? Porch (xreeNgazeho/pergala) ? MuIU Mlsc.
? 03PIwc Cl 10.plex ? Lower Level C] Storm Damage
? 04PIex ? 72-plex ? Miscellaneous
WQRIC TYPES
? New ?
Interlor ImprovemeM
?
Slding
?
DemoNsh Bullding*
? AddNlon ? Move Bullding ? RerooT ? Demolish Interlor
? Alteratlon ? Flre Hepalr ? Windows ? Uemolish Foundatlon
? AeplacemeM 0 Egress Window ? Water Dama9e
` Demdhbn (entire buildirg) - give PCA handout to 2paicarR
DESCRIPTION:
Yaluatlon Occupancy MCES System
Plan EieWew Code Edldon SAC Unlts
(25% 100%a 2oning Gty Water
Cenaus Coda Stories Booster Pump
# of Uolts Square Feet PRV
# ot Bulldings Length Flre SpHnklers
Type of Const Wldth
REOUIQ,ED INSPECTIONS
FooUnga (new bldg)
Foodngs (deck)
FooBngs (addklon)
Foundatbn
Droln Tlle
RoW: _ICe & Water _Finaf
Framing
Flreplace:_R.I. _Air 7est _Finai
Insulation
Reviewed By:
RES/DENTfAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry saC
Udllry Connection Charye
Sheetrock
FInaVC.O.
FInaVNo C.O.
HVAC
Pool: _FOOtings _Air/Gas Tests _Final
SWing: _Stucco Lath _Stone Lath _Brick
Windows
Retalning Wall
Building Inspectos
S8W Pormlt & Surdrerge
Treatment Plent
Coples
Total
Page 2 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2090 Pin Oak Dr
Lot: 6 Block: 3 Addition: Vienna Woods
PID:10- 81950- 060 -03
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
Owner:
Robert S Logelin
2090 Pin Oak Dr
Eagan MN 55122
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA078526
06/26/2007
ePermit
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: i
07 213
p -3-Z
Permit Fee:
Date Received:
Staff:
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 101-1
Tenant:
Site Address: Z09-0 Pin Oaj : d�
Suite #:
RESIDENT 1 OWNER
CONTRACTOR
Name: N(! L.o j 1 C iri
Address / City / Zip: (..Sannej f
Name: /}`jct,n') p.OVV GL,M) lel C4'
Address: O Rrk
Phone: ( 51 194-70(0I
License #: PV000 d
State: INA l v Zip: Phone:
Contact:
Email:
City: 1— 9(„c.;tem
t'` o
TYPE OF WORK
_ New ✓ Replacement — Repair _ Rebuild
Description of work:
� wctiti IAe.ci
Modify Space _ Work in R.O.W.
PERMIT TYPE
RESIDENTIAL
VWater Heater
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures (_ Main / _ Lower Level)
Water Turnaround
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 $189.00 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 $ (90.tb
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.00pherstateonecall.orci
1 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.
T
x [.j
Applicant's Printed Name
x
Applicant's Siture
FOR OFFICE USE Reviewed By: Date:
Required Inspections: _Under Ground _Rough -In _Air Test _Gas Test ' _Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110417
Date Issued:05/10/2013
Permit Category:ePermit
Site Address: 2090 Pin Oak Dr
Lot:006 Block: 003 Addition: Vienna Woods
PID:10-81950-03-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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, call for framing
inspection. Call for final inspection after installation.
Window or Door:BACK PATIO DOOR
Perry Firkus
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Robert S Logelin
2090 Pin Oak Dr
Eagan MN 55122
(651) 994-7061
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
JdfZQl4 TUE 12: 11 FAX
City of kali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
Mar06 2074
1i:0Q02/012
Use BLUE or BLACK Ink
For Office Use
�rf5o
Permit #: .._._-
Pormllfco:09
0
Dato Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date; 5/6/14 Site Address: 2090 Pin Oak Drive, Eagan, 55122_ Unit 0:
Name: _Dawn Logelin
Address / City / Zip: 2090 Piri Oak Drive, Eagan, 55122
Applicant is: Owner X Contractor
Description of work: Kitchen remodel
Construction Cost: $21,813.65 Multi -Family Building: (Yes / No x )
Phone: 651 - 994 - 7061
Company: Crew2
Contact: Nicole Marshall
Address: 2650 Minnehaha Ave _ City: Minneapolis
State: MN Zip: 55406 Phone: 612-276-1674
License#: PC31d:t60 Lead Certificate#: NAT -26342-1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional 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: Phono:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phono:
N� mT♦ Ph°,•^L,
CALL BEFORE YOU DIG. Call Gopher State One Calf al (651).454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. w ww.gopherstaleonecalhorg
I hereby acknowledge Ilral Ibis information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Cily of
Eagan; that I understand thls Is not a permit, but only an application for a permit. and work Is not to start without a gonnit; 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 160
days of permit issuance.
x Nicole Marshall
Applicant's Printed Name
x 1.11401,19- Ma ravat
Applicant's Signature
page 1 of 3
0200 tin as /or
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%_)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season) _
Porch (Screen/Gazebo/Pergola) _
Pool
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water Final
Framing
Fireplace: _Rough In _Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings Backfill Final
Radon Control
Erosion Control
Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plat
Copies
1rW
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA122757
Date Issued:05/19/2014
Permit Category:ePermit
Site Address: 2090 Pin Oak Dr
Lot:006 Block: 003 Addition: Vienna Woods
PID:10-81950-03-060
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fixtures:kitchen sink,faucet,disposal,fridge. water line,lower waste for undermount sink.
Alex Barna
Po Box 188
Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert S Logelin
2090 Pin Oak Dr
Eagan MN 55122
(651) 994-7061
Sowada And Barna Plumbing
PO Box 188
Cedar MN 55011
(763) 444-0292
Applicant/Permitee: Signature Issued By: Signature