2094 Pin Oak Dr.. .: ;. .t ?.?,??„ ..,-,.°,,,. .,. '"4iR'- • . .;iR..,,. ? ..y.-.. > .._,z?iR".? ... . ? ? .
`7
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERIV?IT PHONE: 454-8100 Receipt # r! ?` f L
DE K 8
To be used for SCRLENBD A'ORCB Est. vaiue Z8 •OOD
Site Address 2094 PIK OAIC aR
Lot S Block 3 Sec/Sub. VIZNNA flOODS
Parcel No.
W Na?118 aacwana a aw?wliA
? Address 2094 PIN 0AiC DR
0 CitY EAG?K Phone 676-2828 W
VLIIL.
o Name sAM
W W Name
Q ; Address ?
i ? CitV
W
I hereby acknowlege
information is correct
5ignature of Permitee?
A Buiiding Permit is issued i
on the express condition ft
applicable State of Minneso
Buikiing Official ? .
Phone
this aon
and
?
occupancy
Zoning
(Adual) Const
(Allowable)
# ot Stories
Length
oe,tn
S.F. Total
S.F. Fooiprints
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
Baoster Purtp
OFFICE USE ONLY
rw?nioi -
[h all Council ?
BIdg.Otf. ,
Variance _
FEES
??00
4•00
Bldg. Permit
SurCharge
Plan Review
SAC, City
SAC,MCWCC
Water Conn
Water Meler
AccL Deposit
S/W Permit
S/W Surcharge
Treatment PI
Road Uni1
Park Oed.
Copies
TOTAL
• sQ
iQ?. so
?
Permit No. Permit Holder Date Tetephone #
WATER
SEWER
PLUMBING
H.VA.C.
ELECTRIC
Inspection Date Insp. Comments
Footings i
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul,
Firepiace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector- Notify Plumber
Const. Meler
EngrJPlan
. Final ?
Dedc Ftg. ? 00
DeCk Final 7-11 9 o?--
Well
Pr. Disp.
CITY OF EAGAN
''?"' • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for ,?.R Est. Value $I05.000
Receipt 4
Date _
1
Site Address '
Lot Block Sec/Sub. tL'4`'A WOOL&
Parcel No.
a Name , t L.?A . I % .,:., .:kt .,,,vir
= Address ' " ?
3 3 ,
o r`;h, , t cti,..... 459-4144
? .? _
,o¢ Name
? Q Address
? City Phone
Address
City Phone
I hereby acknowledge that I have read this application and state
that the information is correct and agree to comply with all applicable
State of Minnesote Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: all work shall be done in accordance with all applicable State of I
OFFICE USE ONLY
r S
On Site Sewage T_ Occupancy _
MWCC System _ Zoning
On Site Well Type of Const
City Waler ` (ACtuan
(Allowable) _
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APNROVALS FEES . ;f,e501
4ssessments Permit XU
Water/Sewer Surcharge ` 5
Police _ Plan Review "
Fire SAC, City
Enqr. _ SAC, MWCC '
Planner _ WaterConn.
Council _ Water Meter • .)V
Bldg. Off. _ Road Unit ?
APC _ Treatment P1
Variance _ Parks
Copies
TOTAL
3325'
4
Building Officisl
Vrrmit No. Ponnit Molder Dow TNwphom s
Plumbing 7777-
H_V.AC.
Electric r ;.??'. 'i'_Cz: <<?•. ?"'/E3' ) ?:? ` ?
Softener
Inspection Dne N"sp- Comwana
Footings 1 ?o W
Footings II
Foundation 7•T f7 C A.
Framing 9.a1•F7 97. ?f .
Roofing ?q 1
Ragh Plbg
Rough Htg
tsul
F'KeplaCs
Final Ht¢ y
Final Pbg. O 1G
Bldg. Final ? .
Cert Occ. ? 7 L • A
Temp LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
1CT PRICF• ounue. Aew_e4nn
Site Address
? Name _
? Address
c City
?
? Name _
; Address
O City
COMM/INO FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CON00 - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - ,50
(ADD $.50 S1C IF PERMIT PRICE GOES
BEYOND $1,000.00)
r
SIGNATURE OF
FOR: CITY OF EAGAN
„
PERMIT # t?la? -Sr .
RECEIPT #i
OATE: t?? 9/g7
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE TWE FOLLOWING:
NO. FIXTURES TOTAL
-Water Closet - $3.00
-'__Bath Tubs - $3.00 '
` Lavatory - $3.00 (
=Shower - $3.00 -LKi!chen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
L Floor Drains - $1.50 '
Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50 ? •_?
(MINIMUM - 1 PER PERMin
So(tener - $5.00
Wetl - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 ` ? `
FEE:
STATE S/C:
GRAND TOTAL• ?'? ??
a•'-u..Z,_...,n;: a:k,t:?..??r,-Z :f '3+ . ri:s .. - . ° . . 'F e.-,o--^ C^'.- . . . _ ` o - .•., . ..
PERMIT#
, , . MECHANICAL PERMIT
CITY OF EAGAN RECEIPT # ?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE ' WORK DESCRIPTION
Lot ? Block g/Sub v
? ... Res. New
- Mult Add-on
? Name Comm. Repair
Address Other
City ,- ? Phone '
? Name
Addre
? City
-
H
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
? CFM
FEE:
S/C:
TOTAL• . rT
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCIUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 196 OF CONTRACT FEE
APT.$LDGS._- COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
- STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
--- -??
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
A 4 .
fgex#i#ira#e uf (IDrrupanry
Citp of (Eagart
Eppartmrnt a# suilbing 3wrrtiun
This Certiftcate issued pursaant to the requirements of Secdon 306 of t/ie Uniform Building
Code certifying that a1 the arae of rssuance this structure was in compliance with the various
ordinances of the City regulatmg building constructiore or use. For the follawing.•
llae Cltssifiation •`"'' 1?! i+; Bldg. PErmit No.
0-upa-r rrx
Type
OrvnerafBwldina rII.Ias CCNffr:_ . ?..' _ Mdrcu 16 FCI.YCITI AQE.. T.MR.T.E•
euaa;ngnaa.em 2G94 nN OAK DTLoc,li,y Ii3 , V7IM SJCXlDS
&umng OfFidal '
Date: 1 / .
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Remarks
Addition VIENNA WOODS Lot 5 Blk 3 parcel 10 81950 050 03
Owner Street- 2094Pin Oa.k Dr1Ve stace Eactan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. jmp, 19$1 2834.45 283.45 jQ
STREET RESTOR.
GRADING 5$]
73 58
77
.. ..
SAN SEW TRUNK
* SEWER LATERAL
*
WATERMAIN
* WATER LATERAL 1981
* WATER AREA
* STORM SEW TRK 1981
,t STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDING PER.
SAC
PARK
IN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: N OAK. dlt.
V 1t. N N R W+1111) ; "
PERMIT SUBTYPE:
C+f M llRKSa {tF Mt)VF 3' nr I.JAL I
aDn p(I.r.Kf T f+{li+F
.., ..
+ r i ?I
? ? f _ _ - - - - --?
SPECTIUN RECORD
PERMIT TYPE:
Permit Number: •• ? 1 :'t?H
Date Issued: ••' ! I j} g r
? e tl ac K? APPLICANT:
TYPE OF WORK:
;,i Tf'KATir?N
Perrnk No. Pem?it Holder Date Telephone
ELECTRIC
PLUMBING
HVAC
inspection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPIACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
o?v
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
111?1,
-?, CASH RECEIPT
CITY OF EAGAN ?-
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
, i
DATE ? - 19 ?
eeeE?veo . '
FRqM
AMOUNT $ I
.. •
? OOLLARS
?oo
E)CASH Q CHECK
FOR ' . -•._ .
BY
?
? White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BLDG: PERMIT N0. ;?? J f
0I-3210 Bldg. Permi
01-3422 Plan Check
01-3445 Surch./Adm,
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
CITY Of ItAGAN
3830'Pilot Knob Road
P.O. Bnx 21'?99
EagBin, MN 55121
Zoning: r i
Owner. Ti11;
Address:
2094-
Site
Plumber
1 ayres to comply with the CFty of Eagan Cannection Charge: 52 5. OOpd
prdinances. Account Deposit: 15. OOpd
Permit Fee: 10. OQpd
Surcharge: . SOpd
gy Misa Charges:
Date of Insp.: Total:
Insp.: Date Paid:
Conn. Ghg: 525•00pd Zoning: F'1
Acct Dep: 15. p No. of Units: t
Permit Fee: 10. 0 d
Surcharge: ''f)pd I agree to comply with the City ot Eayan
Tr. Plant ' O'' Jpe Ordinances.
Meter. 67• L 0;?t'
L_ . _
CITY OF EAQAN
3830 Pilo! Knob Road
P.O. Bark 211-49
Eagsn, MN 55121
Owner. i ill
is;ite Address: 2094
Conn. Chg: 525.
Aect Dep: 15.
Permit Fee: 10'
Surcharge: '
Tr. Plant
? `. O .
Meter. 67,
BY
WATER SERVICE PERMIT
Permit No:
Meter No:
Reader No;
t
SEWER SERVICE PERMIT j
PERMIT NO.: ? ? ?
DATE: ,-,_ 7:?_.tc 7 ?
i ?
No. of Unifs: ,
Date: r-, 30- 8 7
Size: j " Aac K
Date:
K1
medqwlft '" tc. I a?re ? e to Cqr4Pl5?? tbapty ot Eagan
WATER SERVICE PERMIT
CITY OF BAGAN Permit No: bate: (' 7
3830 Pilot Knob Road Meter No: Size:
P.O. BtAx 211ii9 Reader No: bate:
Eagan, MN 55121
N
BUlLDIt PERMIT
To be used for SF DWG/GAR
Receipt
Est. Value
$105,000 Date
Site Address?094 PIN OAK DR
Lot 5 Block
Parcel
CITY OF EAGAN ?o
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PNON E: 454-8100 0
3 Sec/Sub. VIENNA WOODS
a Name TILLGES CONSTRUCTION
W
z
Address
20936 HOLYOKE AVE
o City LAKEVILLE phone 469-2144
,p Name SAME
?? Address
c
City
Phone
Ua
WW
f 2
uo
?z
aW
Name
City
I hereby acknowledge that 1 have read this appllcation and state
that the information is cortect and agree to comply with all epplicable
State ot Minneaota,5letutes a 'qglty of Eag rdinances.
Signature of Permittee
A Building Permit is issued to: TILLG 5 CONST
all work shall be done in accordance with al pplicable State oDl
f'
Building Official
I S ?+
JUNE 26
13825
19 87
OFFICE USE ONLY
On Site Sewage Occupancy R3
MWCC System X Zonin9 Pll
On Site Well Type of Const d
City Water X (qctual)
(Allowable)
a ofStories
-
Length
??
Depth %,_.??/.
S.F. Total
Footprint S.F.
APPROVAL5 FEES
$ 518.50
Assesaments Permit
Water/Sewer Surcharge 57750
Police _ PlenReview $
Fire _ SAC, City 100, 00
Engc _ SAG, MWCC 59 5_ Op
Planner _ WfltarConn. ---59??c n0
Council _ Wa[er Meter 67. 0
BItlg.Olf. _ RoedUnit ?305 .?0
APC _ Treatment Pt i8e.v0
Varlance _ Parks
covies
TOTAL $2.?,532 ? 5
on the express condition that
Statutes and City of Eagan Ordinances.
GOLD COPY-PERPfET RELEASE FORM
PERMIT # S-3
?? 4'L
ADDRESS c;2-0 p
PICKED UP BY
?
- `-?? -
7)?.?, C?J-tr4
CITY OF EAGAN ?1J0 1 g310
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 C
I?
Receipt # I y
DECK &
To be used for SCREENED PORCH Est. Value $8, 000 Date .TUN 24 , ?g 91
Sile Address 2094 PIN OAK DR
Lot 5 Block 3 Sec/Sub. VIENNA WOODS OFFICE USE ONLV
Parcel No. occupancy _ Fees
Zoning _
z Name TIMOTHY R BOONSTRA (Adual) Cqnst _ Bidg. Permit 99.00
a Address 2094 PIN OAK DR (Niowame) _ 4
00
City EAGAN Phone 626-2828 W aolStories _ Surcharge .
bus Pl
R
i
Length an
ev
ew
_
p
? Nem@ SAMR Deplh SAQ City
0 Addfess S.P.rotal -
1-
(?.Ity Phone
S.F. Foolprints SAC,MCWCC
_
? On Sile Sewage Waler Conn
W
?w Name onsaeweii
- Waler Meler
1,03 AddfBSS MWCCSystem _
a W City Phone City Water _ Aect. Deposit
PRV Fequired - SM Permil
I hereby ackrrowlege Ihat I have read this application and state that he Booster Pump - SM/ Surcharga
informalion is correct and a o comply with all pplica6le Sta of
Minnesota Statutes and CiW, f?an Ordin TreacmentPl
SignaWre of Permitee APPROVALS Road Unit
A Building Permil is issued to: OTHY BOONSTRA Planner - park Ded.
on ihe express condilion that all work shall be done in accordance with all Coumil
applicable State of Minneso
ta
pStatutes and City of Eagan Ordinancas.
Bldg. OIf.
Copies 50
.
,
.
BuildingONicial T?M1.11 I?11A J?
T Vanance - 70TAL 103.50 ?
?7
3
3
5 ,6_
fiequest ?ate
??
G/C Fire M. Rou9n-in Inspeclia+
Re reOT
? Reatly Nawpp.?pill Nolily Inepeqo/
/
/
? Yes G No WnM Rea0Y7
1 O licensed contractor ?Gwner hareby request inspection of above electrical work at:
.kE neeresa Islreet. H .1
/?k Ciry
F.
D 9 /,1 6
$ectbn No. Tawnship Name a No. Range M. Couny
(VJypaN{PRIM)
1 ; mv ? on s -f-ra PMne No.
Power Supplier AOtlress
Elect - a CoMrena (Lpnpany Name) CoMracla5 License Na.
rnFOwncK
Mailing Atlareu (C0ft0eclor or O.mer Meking Installalian) .
?Gr
!wt ri ignature ?COMra tor ne aking Ins?allaf Phonev Nur??= ^?
i_ ?i?
c??o 0
11111449SOTA ST!I'k B ARD 4 RICITV. ' THI$ INSPECTION REOUEST WILL NOT
6rlqgf-MWwey 61dg. - Noom &173 BE ACCEPTED BV THE STATE 8Q4RD
1l21 Unlrarelty Ave:, St. Peul. MN 55101 UNLESS PROPER INSPECTION FEE IS
Plqm (817) 642-0800 ENCLOSED. .
?4/S, REQUEST FOR ELECTRICAL INSPECTION EB-00001-08
?/' ? See inshuc[ions for completin Inis lortn on back ol yellow m .
H X Q-'17 S 'X., Ftelow Work?Covered by This Request
ew Atld Rep. • TypeofBUilding AppliencesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Hearer Elechic Heating
Apt. Building Dryer O[her (Specity)
Comm./lndustrial ' Fumace
Farm Air Conditioner
Other (spedy) Comractor4 Remarks:
Compute Inspection Fee Below:
# Other Fce # ServiceEnirence5ize Fee # Circuils/Faeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above t00 _ Amps
Signs Inspectors Use Onry: O
T
Irrigation eooms S(?fE/7Elf o ? ?Q
Speciel Inspection >Q
Alarm/COmmunication THIS INSTALLATION MAY BE O DER SCONNECTED IF NOT
Other Fee COMPLETED WRHIN 18 MO {i .
I, the Eledrical Inspector, hereby Rov9hlp
certifythattheaboveinspectionhas
been made. Final " Dete
-Y/
OFFICE USE ONLV ?
Tnis request voitl 18 montlis irom
This re0uesl void
18 nwnths fmm
D 1225b ?j7 - - H quireA? ?-?Reatly Now n?y'•'•'ill Nolily, InsVec-
? ?Ves ?No ?'I?rWh¢nReady
lcensetl ElecVical ConVactor I hereby request insPection ai ebove
Owner elactrical work inslalled ac
Street Atldress, Box or floute No. City
i.,ti r< ? 2. e Gz)cv
ecuon o. Township Name or No. enge No. Coonry
Occupnnt IPpINTI
'
/ Phone /No/.)
fa.!?
Power Supplier
(;?wl<d r/q . Address
s?
Ele?trical Convactor ICOmVany Namel
s,D6'4J E?E c? 7-ie ? c
? ? Cnntrur,mr's License No.
?V ? 9 S-S- 3
Mailing AtlJress (ConVflc[or or Owner Making Instailation)
2 ((J. /#/wV /3 - -S4LA(f-,,c- l1-)f .
Au?hor' etl Siena[ure (ConhactodOwner Makine Installation) Phone Nmnber
MINNESOTp STATE BOARD'OF ELECTRICITV THIS INSPEGTION REQUEST WILL NpT
Grig9s-Midwey Blde. - Aoom N-1e1 BE ACCEPTED BV THE STqTE BOAPD
1821 Universitv Ave.. St. Paul. MN 55704 UNLESS PHOPEH INSPECTION FEE IS
Phone16721642-0800 ENCLOSED.
?/v 87 REQUEST FOR ELECTRICAL INSPECTION est-o?o,o/oi-os ?
' See instrvctions lor completing Ihis form on back of yellow copy. 7y^? d2-?
D fC? R ., '"X.;; Below Work Cavered by lhis Request
qtlU rceD1VOe ol Builtling Applinncea Wired Equipment WireA
Home Range Temporary Service
Duolex Water Heater Liohtinu Fixturec
I 1 I I InAustrial Bido. 1 I Air Conditioner I I Buik Milk T;,nk I
Farm
N fee Service EntrancaSiza tt Fee Faxders/Subfeederx d Fen Circults
2. 0 to 200 qm )s 0 to 30 qm s 3[,,.cqj 0 to 30 Am s
A6ove 200 qm )s 31 to 100 Amps 31 to 100 Am s
Swinvning Pool Above 100 _Amps Above 100_Am s
Transrormers Irrigation Booms .S7b Partial.bther Fee
JiBns JUecial Inspection
emnrks TOTAL FEE?J, q-
I, tha Elactr?
?nspectoq hereby
certity thai ihe above
inspeccion hes been
mede.
Tnis repuesl vola te
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
r
? 3830 PILOT KNOB RD - 55122 Zo
651-681-4675
New ConshmcTion ReauhemeMS Remodel/Reoair Reauiremenfs
lo• ?- `Z - ?
? 3 regtsfered sHe suneys ahowing sq. @. of lot, sq. M. ol house 2 copies ot plan
and py roofed areas (207, maximum lot eoreraae albwed) 1 sM of energy calcutaflons for heafed addHions
? 2 coples of plans (show beam R window sizes; poured fnd. design; efc.) 1 ske survey for exlerior addNions 3 decks
D 1 saf oF energy cakulotlons
? 3 copies of hee presenafion plan tl IW plaHed atter 7/1 J93 ?
DATE: CONSTRUCTION COST: ?? J u
DESCRIPTION OF WORK:
?
STREET ADDRESS:
C)Gk OA'
LOT: ? BLOCK: ?f) SUBD./P.I.D. #: v`? 0-?-?-
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: 80 in, r5??'? ? 0'V' Phone #:
Last Firat
Street Address: P-0 4q Cl'n Oqk h i
je.-''i stote: zip: S?5-7?2
city Ea
Company: /'t-` C-O U? Y0?? D `?c"- c? Phone #: <n r? `7p6r?t ?
(area code)
Sfreet Address: -3j--)qn e c ucense # 'Vo1?'Exp. -?a-'v
City ? 4 State: Pi ? Zip: 3-s-"L?
Company: Name:
Telephone #: area code (
Street Address: Regishation #:
City
State:
Zip:
Sewer & water Iicensed plumber (reauired for new conshuction onlvl:
Penalty applles when address change and lot change is requested once permM Is Issued.
I hereby acknowledge fhat I have read this application, stafe fhat the infamaHon Is cortect, and agree to compty wilh all applicabl
S1aM of Minnesota STafufes and CNy of Eagan Ordtnances.
Signalure of Applleard:
' A
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
Er 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 ApaRments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex O 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only , ? 43 Siding/Soffts/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) El;' 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INPORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Cade
No. of Units
No. of Bldgs
MC/E5 System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Vaiuation: $
SAC Units
% SAC
CITY QF EAGAN
CFlSH7FR- S TEfiMINAL. N0; E,?i
DA7Er ir/t.c^./9i' TSME: 35s37e45
ID:
NFlMF: NOt1E GAL.LEf:Y TNC
3210 9001 2094 F'TN QAK I.ili 21.00
205 9001 2094 F'IN OAF: Dft 0.50
Tata7. Rece9.pt Amalnt: i?9..50
CRO84;3£33
USER ILiu NfaNCY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex
0 02 SF Dwelling o 07 4-plex
? 03 SF Addition o 08 8-plex
? 04 SF Porch ? 09 12-plex
?05 SF Misc. 0 10 _-plex
WORK TYPE
? 31 New
? 32 Addition
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
16 Basement Finish
17 Swim Pool
20 Pubiic Facility
21 Miscellaneous
Mi Sc
zr 33 Alterations ? 36 Move
? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Ailowabie)
UBC Occupancy
2oning
# of Stories
Length
Depth
APPROVALS
Basement sq. ft.
Main levei sq. ft.
sq.ft.
sq. ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Planning Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
SABILniJ ?
?t
..it? F
MGWS System ?
City Water ?
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code ?L
Census Bldg
Census Unft O
Engineering
Variance
Valuation: $
YV1?n ?,n,0.1 =w
97 BUILDING PERMITAPPLICATION (RESIDENTIAL) ?zj,jO
CITY OF EAGAN
'451150, 3830 PILOT KNOB RD - 55122
681.1675
Naw Construction Reauirements RemodeVRwair Reaviremen
? 3 registered site surveys ? 2 copies of plan
• 2 copies of plans (inGude beam 8 window sizes; poured hfd. Cesign; etc.) ? 2 site surveys (axterior addkions 8 dadcs)
? 1 energy plculations • 1 energy raiculatians for heated atldRions
? 3 copies of tree presarvation pWn i/ lot platted after 7l7l93
required: _Yes _ No DATE: I Z- II' ?7 CONSTRUCTION COST: rO???v
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT -11_ BLOCK
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: _jiM& Phone#: _
? .?...
Street Address: Z ?21Y ?
City: L?oi(il State: ?.? Zip;
Company: dam. Phone
Street Address: 3D?I A47-?ne?l,-7 License #:Z 90U? 7_1 Y
City:_ Z?? State: Zip:
Company:
Name:
Phone #:
Registration #:
Street Address:
Ciry:
Sewer & water licer•red plumber (new construcGon only):
and lot change arc, equested once permit is issued.
State:
Zip:
Penalty applies when address change
I hereby acknowledge that I have read this application and state that the infortriation is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Pian Received
Signature of Applicant: ?
_ Yes _ No
_ Yes _ No _
3- SUBD./P.I.D.#: l?iomYiLt, f,Vi*/f/.Ii)
PERMIT
C?1TYyOF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: gur?oiNs
Permit Number: 031258
Date Issued: 12 / 12 / 9 7
SITE ADDRESS:
2094 PIN OAK OR
LOT: 5 BLOCK: 3
VIENNA WOODS
P.I.N.: 10-81950-050-03
DESCRIPTION:
&uilding-Permit Type
Ouxldimg 41ork 7ype
`Gensus Code
t,., .. . ...: ??..Pr
SF (MISC.)
ALTERA7ION
434 A'LT. RESIDENTIAL
'"-°tii????' ??s,} ?s b`if tqr,? x {P, ?}'?^"?r-•.
Q.?..a
REMARKS:
REMOVE 3' OF WAIL
ADD POCKE7 DQOR
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$21.00
$.50
$21.50
$500
CONTRACTOR: - Applicant - sT. LIC OWNER:
HOME GALLERY 18230294 2000873 BOONSTRA TIMOTHY
30.01 HENNEPIN AVE 5 2094 PIN OAK DR
MINNEAPOLIS MN 55408 EA6AN - MN
(612) 823-0294
I he.rehy acknowledge that I-have read' this appl3catiQn and staC'e that t?te
` infor'mation i:s correct and agree to oamply w3;th e11 applicable State of Mn.'
Stetu-tes andCity of Eagan0rdinances.
.
APPLICANTlPERMITEE SIGNA7URE
? I(tl (C 01
I D Or. SI ATURIE
P.
1 ? 1991 BUILD N P IT AP ICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
;• 4;
COMII4ERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - 6 STRUCTURAL PIANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET DF 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 MONTH IN WHICH REQUEST IS MADE.
IAT CNANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS I5 TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED P UMBER.
n _ ?pao
To Se Used For: ScN'Qp t? r0+''C,?1 pal?uation: ? Date:
Site Address '?-Oqy Pf`r, OafC pr -
Lot ? Block J ?} Plj?k
- wcee(S
Parcel/Sub
4/
Owner 1!',., u t h" R - B v e^ n 9*q
Address dle OIL( 'P''6-- PI y) 0 ol K pr-
City/Zip Code s-s 1 a-eL
?
Phone -9-14U L{ V? 0L - a-W
Contractor s'Pl f
Address SCW"F 05 cy6pv'e
City/Zip Code
Phone
Arch./Engr, nThn? S S,Q aS
Address 4? 7CffpN5o't Dr
City/Zip Code nIC b5o57
Phone #_ ?5G7? (!?S -?P7gV ,/
, <-
(Signa??re of Contractor)
OFFICE USE ONLY
FEES
Occupancy Bldg. Permit
Zoning Surcharge S! /
Actual Const Plan Review
Allowable SAC, City
# of stories SAC, MWCC
Length Water Conn.
Depth Water Meter
S.F. Total Acct. Deposit
Footprint S.F. 5/w Permit
S/W Surcharge
On site sewage_ Treatment P1.
On site well Road Unit
MWCC System _ Park Ded.
City water _ Trail Ded,
PRV _ Copies -So
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner I.ot Change
Council TOTAL
Bldg. Off.
Variance
agrees that all work shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
? Zk?? ,? 3S =? 7 Z° ?` I."? ? s?
?.
)' 2O ay
epao
r
i o•* I
? ??? • o o+ ??I
I 4•00+ I
I ? D•50t
j 103•50* I
I ?
?
^. k
{
?
d6 PP7IN v^V'i pjr?IUE
! -7r or u0fa
1Lr?.g rON
W
:
?
?
4
?
B
0
?
y, - --?4
M
,. ?
1
Un
C.aFwr? ? - . ??•oo ? -- cilic-
"-
?
?,y?o3a
T?
t ?c
I
? 'a-
ip%t
?
?
1
?
104
0
5'
OE{?+4 314."
?
?
ro
7aroF Glki?
?.
I ?
? 5crce•' ?i Id
fIIO
? I
t
?
?-?-?- - ---
N
FLoT" 'rLAN
?r? LrE ; 111 - 20
1....aT 5 I az:c1', 3
v l e-NNA VLIZ?
?l°I<} f'1l.1 &?," -r;C1vE
:
CITYOF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*XYL': PAYMETTP OF FEE AT T7ME pF
APPLICATION MES NOr CONMTM
APPROVAL OF PII2NIIT.
nusrncriorr oF sEMa ANro/OR WATER
INSrar.ramrpNS Wn1, NOT gg SCHEI>--
ULM UN17I, PII2NffT AAS BF.?Si
APPROVF9.
. _____..__.._.,......_____..____________..__
P ease Print
? 1) PROPERTY ADDRESS: .-
-LEGAL DESCRIPTION: '-
Lot Bloc Subdivision or Tax Parce ID )
? .
IF EXISTING S2RL'ClS.R2E, DATE OF ORIGINAL BDILDID]G pERh1iT ISSL'ANCE: -
?
Mon ear .
PRESENT ZONING/PROPOSID LTSE:
Q COMMERCIAL/REPAIL/OFFICE
f-7 IDID[.'STRIAL
n INSTIZLPfIONAL/GOVIItNMg3N'P
R-1 SINGLE FAMILY
T
? R-2 DCPLEX (1Mo L?nits)
? R-3 TOWMOOSE (Three + Units) ( IInits)
R-4 APARTP7W/CAbIDOMINIUM ( Units)
2) ?
ADDRESS:
CZTY, STATE, 2IP:
PHONE:_ C{(,al -)A I I
?
3) WANIE:
ADDRESS;
CITY, STATE, 2IP:
PHONE:
Active
FScpired
Not recorded
St 7nit1al
4) •• ?
NAME: ,
ADDRESS: ,
CITY, STATE, ZIP:
PHONE: •
'
-5) ',? ? • ?• : a a ??
n CONNEC,TION 7O CITY SEWER CONNECPION TO CITY WATER Q O1'HER '.
^--r.--n•--?- -- ? MASTII2 LICENSE#
6) 5 •' • i_ fjn PI.EASE HOLD APPROVID PERMLT F'OR PICK-DP BY ONE OF AHOVE
pT.FnGF, MnTr. APPRC7VID pII2MIT Z+D 1, 2, 3, 4, ABOVE
?
(Circle one)
7) R?-
TOR -CITY USE ONLY
PERMIT # TSSUED
Pd w/Bldg. Permit FEES:
$ $ /?' - S?
$ $ /6 - S-L'
SEWER PERMIT (INCLuDE SIIRCAARGE)
WATER PERMIT (INCLUDE SDRCAARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ S ?? -[YZ? ACCOUNT DEPOSIT - SEWER
$ ACCOLNT DEPOSIT - WATER
$ ? Z WAC
$ r ? S ' Cr?D $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRDNK WATER
$ ( Y C7 (YO $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S ?? I 7' L7 Li $ c-J I 0'? TOTAL
7s ? q'7
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, TAEN A"PERMIT FOR WORK WITHIN PUBLIC
, ROADWAY" MUST BE ISSUED BY THE ENGINEEI22NG
Q
NO ' DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
i
DATE : P7
r ?
20
228
?c?3 = .,,
J
132Z4-
z3,z3z
f?- x c"-?T - 2(O b x d c = r i??CD 4--
?oq( 5w
:
s18•so+
52•SU+
? 259•zy+
? 625•p0-r
? 525•00+
6`t•OU+
3o5•ou?
18o•out
5j2 .25-k
1987 BOILDING PERMIT 9pPLICATIOH - CITY OF SAGAN
SINGLE FAMILY DWELLINGS
IliCLDDE 2 SSTS OF PLANS, 3
..
OF S08VEY, 1 SET OF ENERGY CALCOC.ATI0N3
H01Ts: 9DDRESSES FOB C08NER LOTS - CONTRACTOR/HOMEOTiiNER MDST DESIGAAYS AHICH ADDRESS
IS DESIRED. NO CHANGFS iT2LL BS ALLOiiSD ONCfi BDILDING PERMIT IS ISSQ6D.
MOLTIPLE DiiSLLINGS - R&SIDENTI9L
INCLUDE 2 SETS OF PLANS, CfiR
7 SET OF ENERGY CALCULATIONS
COMMERCIAL
REHT6L 0$ITS FOR S9LE II9IT3
OF SQRFEY - CHECB WITH HLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET DF SPECIFICATIONS AND 7 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
f O?1 006
To Be Used For: T L[U- Valuationc?Date:
i-r-
Site Address 20?4 ?'mOaIL`1?ive
Lot S Block ?
Parcel/Sub V
lL°(+im viQQ/s
? ???"
. Owner , j1M flOVI.STVQ
Address ?QQ-7
. .. • . ??
City/21p Code
Phone
Contractor?
Address
City/Zip Code I,/jP-e6???,
Phone
Arch./Engr. _
Address
City/Zip Code
Phone lk
On Site Sewage Occupancy Fl 3
MWCC System ?' Zoning P p
On Site Well Type of Const
City Water ? (Actual) ?
(Allowable) SZ
# of Stories
Length ?
Depth
S.F. Total
Footprint S.F.
dPPR09ALS FSFS
Asaessments Permit I 8."-
Water/Sewer Sureharge 52•?
Poliee Plan Review Z Sq_zs
Fire SAC, City I oo.
Engr SAC, MWCC S 2S
Planner Water Conn
Council Water Meter
Bldg Off Road Unit
APC Treatment P1 1 80.
Varianee Parks
Copies
TOTAL J` 3
q ??
-a,nt? LAW?
? drlN?3 i11
1.::.7'1
147Z=0 1 : a'1`*?
vld .lo"l6?
:
_---? -----?
?u ?T ¢ol
D ?
?I
r
It?¢
t
?
•?+u?;i? ? -
?
igol.'?9 ?
? y
0 ` 'y
?
?
Q
?
a
t-
Ix
L- Va rl I ? -?- I
?
x1vh ?&
rNV/taA*
? - -
y
.
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
GbJNER ::ZM
$i7E ADDRESS
CONTRACTOR= S??iYtS DATE 4' 23 g PHONE
?
Determine working square footage of each.
1. Total exposed wall area ...... 24i/q sq. ft. x.„
2. Tota7 roof/ceiling area ...... sq. ft. x_,Z'26-
Total exposed wall area above floor = Z-?I
a. Total wall window area ........................... ?
b. Total door area .... ...........................: --???
c. Total sliding glass door area ..................
d. Total fireplace wa11 area ....... ... .. .........
e. Total wall framing area (average 10%)...:........ I?
f. Total net wa11 area above floor .................
g. Total rim joist area ............................ 7- a,c.?,oo
7ota1 ezposed foundation area
h. Tota] fourdation window area..................... ?, 20
i. 7oa1 net foundation area above grade ............
Determine "U" value of each wall segment.
a. I 7 9. 7f3 x°uil ,? ?= 57,53
b., 32 X liult 4,93
?g iluli , S 3 = Z 3,13
d. x
e. x
f. 2A X
g. ZS4.OD X
h. 5,20 X
t. 15-2.,So x
„ui,
liuli
3 .....................................Tota1
Tf item #3 is the same as, or less than item #1, you have met the intent
of S8C 6006(c)2.
.
7ota1 er,posed roof/ceilina area
j. Tota1 sY.ylignt area ............. ..............
k, Total roof/ceiling `raming area (avera??? :::
1. 7ota1 net insuloted roof/ceiling a;ea.P a?..
Determine "U" value for each roof/ceiling s:oment.
j _ ..._.?- x ??U" ?,.r• ?
X ,,u„ I 01? _ _
J 'a73?lo0 ,0 $,2? a??up, 3
o? ? 31 ?
?
4 ..................................7otal
If total of s4 is the san: as, or less than r2, you have m:t the intent of
53C 6006(c)1.
Rlternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum of i'tems 0 and #4 s.hall not be greater than the sum o` items #l and #2..
1. 288. c_ + z. 3B ?38 = Z(v.
3. 4..
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115443
Date Issued:09/26/2013
Permit Category:ePermit
Site Address: 2094 Pin Oak Dr
Lot:005 Block: 003 Addition: Vienna Woods
PID:10-81950-03-050
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Nissa Prochaska
2094 Pin Oak Dr
Eagan MN 55122
Aspen Contracting/asi
4651 Nicols Rd
Eagan MN 55122
(952) 583-2641
Applicant/Permitee: Signature Issued By: Signature
r For Office Use /,, // , 'GIS(
* EAGAN*/ Permit#: /�(!//l
fa•.. s„�t / lit/LLYY/I �5
Permit Fee: /
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buiidinginspectionsacityofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: X19 Site Address: 09'7'P' Oak- � t, e'4, / 55".qa.. Unit#: Iy
Name: Ei ra_. t,�v iJ/f t,✓I?�S' Phone: Sts ; - 931 ` 33 (
Resident/ ^a
Owner Address/City/Zip: ca�07 4' ��n, oak 01, E.r.e3 ca In . /Ki.i C,c/mac,.
Applicant is: Owner Contractor 1
j
Type of Work Description of work: R c3 /`r1 J' ;.{ •d1/J
/
Construction Cost: f Ir E C-)` Multi-Family Building:(Yes /No ) )
Company: '�<, C f /e j 016 ra T iCI Contact: ///4414--
- C r ...-r7/47/7 ec'/
6360Address: 360 _cid4�iSit Lc rte. t City: f'SC' a '
Contractors
State: PA/Zip: 55303 Phone: "(
63 Email: /jail/107o14.19 ': i`c."-.woce.c gib+
License#: BC'ObC3-703 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
#lci ,.. tuas i j.r;# 4% / 9f 7-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan Issued a permit for a similar plan based on a master plan?
Yes No if yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.nopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the
approved plant in the case of work which requires a review and approval of plans.
x G� / t`t' x ?let
Applicant's Printed Nam Applicant's Signature
c.r'"