2097 Pin Oak Dr? CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAFAN, MINNESOTA 55122
-7
DATE 19 ?
RtCE1VCD c
FROM ?
AMOUNT $ I
8y DOLLARS
,oo
? CASH aG+TlECK
FOR
UVhite-Payers Copy
Yellow-Posting Copy
Pink-File Conv
Thank You
BY
BLDG. PERMIT N0. ? ` ?
01-3210 Bldgs 'Perinit ?
01-3422
01-3445
01-3446
01-2155
17-3860
20-2275
20-3865
20-3868
20-3716
20-2252
20-3713
20-3743
79-3866
11-3855
Plan Check
Surch./Adm.
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
TOTAL
?
RECEIV ED
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
, EAGAN, MINNESOTA 55122
DATE
AMOUNT
¦
19 r
$ ? I
a ooLLwws
7oo
?J CASH ? CHECFC
-, r
r ?
'I I
FUND COOG AMOUNT
? ? .
i
Thank You %
ev
White-Payars Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN NO 13286
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt#
To be used for S r' DWG/GAR Est. Value $ 8$,U0d Date i'•-4xC ti L 19 87
Site Address 2097 P 2 N OAK DR Erect 0( Occupancy `Z 3
Lot f? Block 1 sec/sub. VIENNA WCOUS Remodel ? Zoning Rl
Par -el No Repair ? Type of Const u
. Addition ? No. Stories
'1AUEi2A HOMES Move ? Length 73
W Name
= 1112 31'4Y 5 5 Demolish ? Depth 3-7
o Address ,?nt Impr. ? 5q. Ft
Ciry A1ASTIfJGl1*one ?
Install 11
o Name SAMF
=
0 a Address
~ Ciry Phone
F W Name
? ? Address
z
g W
City Phone
Assessment
Water 8 Sew.
Police
Fire
Planner
Permit S 461.50
Surcharge 44.00
Plan Review 230, 7 5
sAC 625.00
Water Conn. 52 00
Water Meter 6 7. 0 0
Council Road Unit 305. 00
I hereby acknowledge that I have read this application and state that the gldg. Off. Tr. PI. 18 0. Q 0
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC ParkS
Signature of Permittee Var. Date Copie `- To?l $2,438. 2?j
A Building Permit is issued?o: i4ADERA HO.'!ES on the express condition that
all work shall be done in accordance with all applicable State oi Minnesota Statutes and City of Eagan Ordinances.
Building Official
- PwmN No. PsrmH Holde? Dats TNephone 1t
PlumWny
7? t ?
N.V.A.G.
Eleetrlc ?
SoRena
InspacHon Date Insp. CommsMs
Foodnys l
FooUnys 11
Foundarion ?
Framinq 7 D ?1/ZE STG? /C? T$'Ur?/1 ""
Rooffny &-Tm z- O o-r'T! G
Rouyh Plby.
Rouqh Htp.
1nsul.
Ffnplacv `; !
Final Hly. O . N
Finai Plbq.
Bldy. FkaI
cod.occ. 662.eeGrk"V - sN"Y c.Y .t. g
Doelc Ftp.
Dock Frmp.
Wdl
Pr. Obp.
PERMIT #
MECHANICAL PERMIT RECEIPT # 7 1c10 Lf
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
PHONE: 454-8100
?
Site Address re ' BLDG. TYPE WORK DESCRIPTION
Lot ' Block Sec/Sub
Res. ? New
Mutt Add-on
?, Name ? P .
P
? ? 3d Comm. Repair
? Address
•
_ Other
c City B U faJC\11LLL
Phone a -0?
' FEES
y Name NAoeeA IlUU r 0
BTU
$2
c F'' fr C7
Address ADDITONAL 0 M BU
-
6.00
; r;,.. I_I A.?Ti? _Q r,?___ ?I ?7 - 1 1 tC? (R'ES. HVAC INCLUDES A/C ON NEW
GAS OUTLETS (MINIMUM - 1 PER PERMI7) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU 2A' APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond.
Vent. M BTU
CFM MINIMUM COMMERCIAL FEE -
STATE SURCHARGE PER PERMIT -
PERMIT PRICE GOES
1
C
l 20.00
.50
Gas Piping OuNets # BEYONp $
/p
p
p)
Other
FEE:
? S/C: ? SIGNATURE OF PERMITTEE
M TOTAL•
FOR: CITY OF EAGAN
PltlMBING PERMIT
GTY OF EAGAN
? 3830 PILOT KNOB ROAD, EAGAN, MN 55121
CONTRACT PRICE• 15 J a 5 F-
Site Address 7 ???•' ??? L
Lot Block Sec/Sub
m Name L.
? Address < < ° f ? •
c Ciry Phone
Name i?
c Address %? r '? ? - • ?
p City Phone
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
i
PERMIT7EE
FOR: GITY OF EAGAN
PERMIT #
RECEIPT #
DATE: -
BLDG. TYPE WORK DESCRIPTION
Res. ? iVew _
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
Water Closet - $3.00 $
' Bath Tubs - $3.00
' Lavatory - $3.00
?Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
' Laundry Tray - $3.00
Floos Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
SoRener - $5.00
weu - $10.00
Private Disp. - $10.00
' Rough Openings - $1.50
FEE
STATE S/C:
GRAND TaTAL- '
i?.,
(gextifirafit uf (Orrupanry
titp of (Eagari
EPp1'bltPit# Df V1tiw" jwPt11Att
This Certiftcate issued pursuant io tlte requiremenu of Section 306 of the Uniform Building
Code certifying that at the time of issuvnce thrs strucuere was in complrance wilh the mrious
ordinances of tJte Crty regulanng building construcdon or use. For the following:
ttPC chnscadw SF DdG/?,A. ewg. Panw No. 13286
oocup.ncy rype P' 7oaiog Dotra,K '•: i 7yPe cooa V
Owoer of Bwldi ]?). u;? c-; .
?
b,Y.:'
NA Buildi? Addrett LonGty
,
DaW MAY 21, 19',;.
POST IN A CONSPICUOUS PIACE
CITY OF EAGAN Remarks
Addition VTF.tyjjqA WnnnS Lat 6 eik 1 Parcel 10 81950 060 01
Owner ? Street 2097 PlII Odk Dr1Ve State Eagan, MN 55122
(mprovement Date Amount Annual Years Payment Receipt Date
STREETSURF, II11p, 198 -2834,45 -28-1-45 10
STREET RESTOR.
GRADING y-5 87 . 7 5$. 77
5AN 5EW TRUNK
* SEWER LATERAL
*
WATERMAIN
* WATER LATERAL IQRI
WRTER AREA
* STORM SEW TRK 1991
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAR K
F EAGAN
lot K?ob Road - -
SEWER SERVICE P
F
RMIT
IF 21198
MN 55121 ?
PERMIT NO.: 9 'rt ?
a Z DATE:
_ "auera ?ioi,:
No. of Uni4s:
1 a9ree to comply wnh the Cffy of EaQan
Ordinances.
By
Date of Insp :
Insp.:
Connectlon Charge: - - r ?
Account Deposit: - 1 5 nn a
Permit Fee:
Surcharge: 5 nr?t
Misc. Charges:
Total: ?
Date Paid: #
?CITYOFEAGAN Perm?- ' 547
?t N
o.
3830 Pilot Kqob Road
Meter No: pate: 3- 13-87
, P.O. Boz 211gg
Reader No:
' E Size:
agan, MN 55121 Date:
Owner. 1?aaer8 ro;aes
Site AddrPCC• f?.? .
Cann. Chg: 525, a0pd
Acct Dep: • oOpd
Permit Fee: 10 • ?4pd
Surcharge: . SOpd
Tr. Plant 180.00 t?d
Meter. 67 O?y?,ri
hA:__"
Zaning: Rl
No. of Units: 1
I agree fo comply with the Clty cl Eagan
Ordinances.
mw WATER SERVICE PERMIT ?
CITY OF EAGAN permft No:
3830 Plbt;;nob Road Meter No: $ 5 S Qate: -? 3-?'7
P.O: Box 21189 Reader No: 3? 9 Sjze:
Eagan, MN 55121 Date: 9 ,p
SiteAddress; 2047 Pin Oak D ve L5 B1 w?S 4,512, Plumber. p. Fi. McDermott 1' £. ?i
Conn. Chg: ' p(+? N??? a`
Acct Den:_ nn..a?i'?$?? r1
Permit Fee:
Surcharge; ,
Tr, Plant_.
Meter. _
W EtC•
of
WA
`? lF /,? / U„a,uUL)
wL-. edS
GOLD COPY-PERMET RELEASE FORM
PERMIT # ?e 0
?
annxESS a q 7 ? ?/ ?? /C
PICKED UP BY/?? ?
I
3830 Pllot Knob Ro d! P.O. B x 2G-n1 9, Eagan, MN 55721 N2 13286
w PHONE: 454-8100
i9UILDING PERMIT Receipt#
SF DWG/GAR
$$$'400 - 87
ikRCH 2
Tobeusedtor
EstValue Date 19
SiteAddress 2097 PIN OAK DR Erect C? Occupancy - `t3
Lot 5 Block 1 Sec/SUb. VIENNA W Remodel ? Zoning Rl
Parcel No Repair ? Type of Const y
. Adtlition ? No. Stories
s 1411DERA HOMES Move ? Length 73
Name
1112 HWY 5 S Demolish ? Depth
3 Address tl
?
I Ft
S
° HASTINGs 437-1110
Cit
rnone mpr.
n
Install ? q.
y
o Name SAME
i
? a Address
:
City Phone
a
?
W Name
x
0
Address
'
i W Ciry Phone
Iherebyacknowledgeth tlhavereadthisapplicationandstatethatthe
in(ormation is correct a d agree to comply with all applicable State ot
Minnesota Statutes tl Ciry o ag?nances
Signature of Permittee
A euildin9 Permit is issued o: MADERA AOMES
all work shall be done in accordance with all applicable S",pf)Minnesc
,ASSessment
water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Var.
Ciry
Feea
Permit $ 461.50
Surcharge 44.00
Plan Review 230.75
SAC 625.00
Water Conn.--5-2-5?00
Water Meter---6-7?O 0
RoadUnit 305_00
Tr.PI. 180_00
Parks
- Copies
Total $2.438.25
- on the ezpress condition that
Eagan Ordinances.
Building Official V LX?SC ?
0?
t Ak? 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
b on ° City Of Eagan
3830 Pflot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
76-'-?
New Canstruction Reauiremenis RemodeVReoair Reouirements O(fxeUse CJr?v
3 registered site surveys showing sq. ft. of lot, sq, ft. of house; and all roofed areas 2 copies of plan W bf WueY R¢?'d
(20%maximumlotcoverageallowo isetofEnergyCalculationsfwheatedadditions T"PCCSPlan;k?
2 copies oF plan showing beam & window sizes; poured found design, etc. . 1 sife surve/ for additions & decks IEe? Aro8 Reqtiited
7setofEnergyCalculatiore AddRion - indicateifon-sitesepticsyafem C3"teSepto:Sy5t9M _Y _N:
3 copies o( Tree Preservation Plan if lot platted after 7!1193
Rim Joist Defail Options selectron sheet (bldgs w8h 3 or less unils
Date?J 01 /C)?_
? ?/?l dl?77y ? an
Site Address ZG -/ 00
?Constructio,nCost Ap?? Q??•
!J l l7A/1? ?1//" SS?? UniUSte #
Description of Vi(ork !Yl Ul-TI - LEVFL- QK.k kd/V4 ?"?1?RE 3 rPSqN PQRC9 CUNSJ?'JgpAvoAV
Multi-Family Bldg _ I' x N Fireplace(s) /X 0_ 1 _ 2
PropertyOwner Ga)Zy *PA1nJ'--4-rj 6 usrA ?,S? Telephone#(65l ) yTf-f -0573
65)- -
Contractor 525?F
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mimiesota Rules 7670 Categorv 1 Minnesota Rules 7672
Enefgy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worfcsheet
(,Isubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Confractor
Telephone # (
Telephone # (
Telephone # (
N If so, 2557o plan review
I hereby apply for a Residential Building Permit and acknowledge that the informati4flyis nnm»leffe-?tate;
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, 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.
Cn Af-Y GuSTfiF2W
Applicant's Printed Name Applic s Signatu
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? '10 08-pleu 9L 18 Deck ? 23 Porch (screenlgazebo)
? 05 03-plex ? '11 10-piex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
?,P 31 New
? 32 AddRion
? 33 Alteratian
? 34 Replacement
Valuation 2 i a o °
Census Code
SAC Units
# af Units
# of Bidgs
Type of Const
? Footings (new bldg)
,!?:-Footings(deck)
= Footings(addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ AirTest _ Final
_ Insulation
Approved By: (1 m m,
Occupancy Iz 3 MCES System
Zoning IJ City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUII2ED INSPECTIONS
FinallC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ SNCCO _ Stone _ Brick
_ Windows
_ Retaining Wall
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
?. ?
? 30 Accessory Bldg
? 31 Ext. Alt - Mutti
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
`Demolition (Entire Bldg) - Give PCA handout to appiicaM
? : .
SURVEY FOR: MEDGl7A HOMES On
?F-
? NORTH 122.46 a ? ?
d i3.0?
4T n SDO 5.00 31.30 B.C.
33
10 W
8 ? w m >
? m
? cn
I
//??
y
I • ?
0
; y) y
ry
S I
0 17 O
CPNT
I
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5 i a
.
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a .
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CANZ
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, ?, I 4ro 10 33.33 10 I F
I A ?
? I W Z
W
6
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r?
a ?
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13.0
a
NORTH 122.46 B.C.
VP??T lronyormer g
?
SW.COR. LOT I.BLK.I
?
1? Proposqd Basement Floor Elev.=
I hereby certify that this is a true and corr ect Proposed Garage Floor Elev.=
representation of a survey of the boundaries of; Proposed First Floor Elev.= 9:l1.z
Proposed Elev.(iii;Z!
Lot 6, Block 1, VIENNA WOODS according to Existing Elev. A2?p,o
the recorded plat thereof Dakota County,
Minnesota. • Denotes Iron Monument Found
kDenotes Spike Set
and of a proposed building. As surveyed by me -*- Denotes Surface Drainage
or und?e?r m' direct supervision BEARINGS SHOWN ARE THE SAME AS
this?day of ,1987 SHOWN ON THE RECORDED PLAT
-.r ` G v ?
2 -K
mwoO? NORTH
Leland C.N. Smith Land Surveyor
Minnesota Registration No. 14942 O 15 30 60
Copyright: Q
8eproduction of this drawing prohi6ited SCALE IN FEET
without written approval by the above signed.
ISRAELSON, REESE, ELLIIYGSON & Assoc., IIYC.
11000 W 78'Cti ST., SUITE 220 EDEN PRfURlE, MN 55344 (612) 944-0672
ARCNI'IECTS FTlGWEEKS SURVEYORS DESIGNERS
JOB: V589
BY? M.CYERT -
cirv erF FacAN
r.,a<:>HIER. Js rERMznaL NO: 768
AA'fE ^ 07/2:3/93 TSMf-': 14.QL• aCl3
ID:
NAME;; ALCOVE ROUI=:LPlG L• SIDING
3210 9001 209'i' F'TN C]Flt; liR 139.25
21.55 900J. 2097 F'T.N OAh: CIR 3.50
2250 5)001 'r.'.U
3
7 F'7i? OAt; L?R L4..`0
3L.I.O ?'3nQj. f
?
1.9til1. r.'GOLLI Tfl 125e25
F.'.i:';E 9001 1`30i. GOLD TR 3.00
?
1o4a:1 IiecPip+, Amorlrit„ 2l3Fj.50
CF'1141i.6
USER SD: lAN
7$'M%k 'M>X?k( 'M 'MXU'F7?kX?>k?%7k?1C%K 'M 'M?%>X?kkk?W?k:{C?XC7?(9f Yk?i >kYFm YF>X?k
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) 5r?
CITY OF EAGAN /
38 1
2? ?? 30 PILOT KNOB RD - 55 2Z
J ? 651•687-4675
New ConafrucFlOn Reaulremenfs 2 ?? rj 3?f Remodel/Reoair Reauiremen a3
fs ?
D 3 regtatered aRe surveys showing sq. k. of lot, sq. R. of house 2 coples of plan
and all rooled areas (207. maxfmum lot coveroae allowed) 7 sef of energy calculaftons fa healed addNlons
? 2 copies of plans (show beam a window sizes; powed fnd. design; efc.) 1 sBe suney lor exterior atldiHons a decks
? 1 set of energy caleulaNons
D 3 coples ot hee preservaNOn pian if lot plaffed atter 7/1 /93
DATE: 7-Z1"?19
CONSTRUCTION COST: J9170M
DESCRIPTION OF WORK:
STREET ADDRESS: ?7 P//Ls O.
LOT: ?v BLACK: SUBD./P.I.D. #:
Name: ? U'?J?/5?%/V y Phone #: &C51 I.?'? aST3
PROPERTY tasl First
OWNER Street Address: ?7 ? ??? ??? ?? •
CONTRACTOR
ARCHITECT/
ENGINEER
city state: /j!/1i'. zip: 5.512't'_
Company: 446,_N?125_ &22 Phone #: 651 "r?? q4n!?)
(area code)
SheetAddress: ?5_'90 ik;!5/1A+'G?1j4:6 .?R• ucense#'/5&/9 Ecp. 3-207z?>
ciy 4?19/?-N State: . Zip: 5 S/Z-t.
Company: Name:
Telephone #: area code (
Street Address: Registration #:
City State:
Sewer 8 water Ilcensed plumber (reauired for new constructlon onivl:
PenaHy applies when address change and lof change is requested once permB is issued.
Zip:
I hereby acknowledge that I have read lhis appltcaffon, stale fhat Ihe Information Is conect, and agree fo comply wRh all applieabl
State' of Minnesota Sfatutes and Cffy of Eagcn Ordinances. )
Signature ot Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes
_ No
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
D 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.
? 03 1 of _ plex ? 08 6-plex 0 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/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 (Ii:terior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
sq. ft.
5q. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES 5ystem
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.
Traiis Ded.
Other
Copies
Total:
Valuation: $
,
SAC Units
% SAC
CLAIM VOUCHER- REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: Alcove Rooting
ADDRESS: 3580 Kennebec Drive
Eagan, MN 55122
LOCATION: 2097 Pin Oak Dr P.I.D./LEGAL: Lt 6 BI 1 Vienna Woods
RECEIPT #/DATE: 11411617-23-99 VALUATION: $7,000.00
REASON FOR REFUND: Over payment PERMIT #: 36912
TYPE OF REFUND: Electrical Permit 3211-9001 s
Pltunbing Permit 3212-9001 $
Mechanical Permit 3213-9001 $
Building Permit Fee 3210-9001 $
Plan Review Fee 3422-9001 $
SAC (MC/WS) 2275-9220 $
SAC (City) 3866-9379 $
SAC (Admin) 3446-9001 $
Water Connection 3865-9220 $
Sewer Permit 3743-9220 $
Water Permit 3713-9220 $
Account Deposit 2252-9220 $
Water Meter 3716-9220 $
WaterTreatment 3868-9220 $
Surcharge 2155-9001 $
Utility Acct Overpayment 2250-4220 S
Curb 8ox Deposit Refund 2253-9220 $
Construction Metec Dep Refund 22549220 $
Water Usage Chazge 3711-9220 S
pthar 2250-9001 $ 14.50
TOTAL $ 14.50
I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
Q 19 9 5
SIGNATURE DATE
?????
. / ?
1987 BIIILDING PERMIT APPLICATION - CITY OF SAG9N
SINGLE FAMILY DWELLINGS
IPCLQDE 2 SSTS OF PLANS, 3 CERTIFICATSS OF SDRVEY, 1 SBT OF ENERGY CALCQLATIONS
1%
HOTE: ADDRESSES FOR CORNfiE LOYS - C08TRACTOR/HOMEOWNER HDST DESIGAAYS AHICH ADDRESS
IS DESIRED. NO CHANGBS WILL BE ALLOWSD ONCE BIIILDING PERMIT IS ISSOED.
MOLTIPLE DWELLINGS - RESIDENTZAL
INCLUDE 2 SETS OF PLANS, CEA
1 SET OF ENERGY CALGULATIONS
COM476RCIAL
RENTAL OHITS FOR SALE OHITS
OF SQRVEY - CHECB WITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND t SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
86(ODO
/?
To Be Used For: ?i?'r)i,,q Valuation: ?- Date: Z- i-(4,--??
Site Address ? bl ??i^?p/?+'K [?i/?t?'? ? OFFICS QSE ONLY
Lot (o Block I
Parcel/Sub f/!c-'?N.v G(fovn5
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City/Zip Code
Phone
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City/Zip Code H'q 5* i"G -s f SS?a 3 i
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Arch./Engr.
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City/Zip Code
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MWCC System _
On Site Well _
City Water _
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Varianee
Occupancy P-13
Zoning
Type of Const
(Actual) ?
(Allowable) 271
# of Stories ,
Length
Depth _ 3?
S.F. Total
Footprint S.F.
FSES
Permit
Surcharge y?l • `
?
Plan Review ZW. 15
SAC, City _ lp0
SAC, MWCC ?sl
Water Conn S2S.
Water Meter lp?,
Road Unit "?OS•
Treatment P1 Tgo_
Parks.
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Copies ?
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SURVEY FoR: MEDERA
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I hereby certify that this is a true and correct
representation of a survey of the boundaries of:
Lot 6, Block 1, VIENNA WOpDS according to
the recorded plat thereof Dakota County,
Minnesota.
and of a proposed building. As surveyed by me
or und?e?r m' direct supervision
this_3 'day of ?y,1987
Leland C.N. Smith Land Surveyor
Minnesota Regis[ration No. 14942
0 15 30 60
Gopyright:?
Reproduction of this drawiqg prohitiited SCALE IN FEET
w3thout written approval by the above signed.
ISRAELSOIY, REESE, ELLINGSOIY & ASSoC., Inc.
iiooo w 78TH sT., surre 220 enEN PwuFUe, MN 55344 (612) 944-0e72
ARCFU'[ECTS ENGRaERS SURVEYORS DFS[GNERS
13.0
B.C.
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ProposQd Basement Floor EleO,e
Proposed Garage Floor Elev.=
Proposed First Floor Elev.= qRi.
Proposed Elev.4izz? I
Existing Elev..?=,o
0 Denotes Iron Monument Found
kDenotes Spike Set
-*- Denotew Surface Drainage
BEARINGS SHOWN ARE THE SAME AS
SHOWN ON THE RECOR?ED PLAT
?-04 NORTH
C.?
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Z_
J08:L7589
BY! M.C'fERT
? „.
Energy Conservation Supplement To Building Permit Application
BUILDING AND SAFETY DEPARTMENT
CITY OF
DATE: Z "Z(` g7
This supplement is provided to assist the applicant In computing the EXTERIOR ENVELOPE
AVEFAGE "U" FACTOR INFORMATION. This Information is required so the BUILDING
OFFICIAL can determine that the submitted plans comply with ihe ENERGY CONSERVATION
DESIGN CRITERIA ot the STATE BUILDING CODE (Section 6007). It is the APPLICANT'S
responsibility to accurately and completely compute the data; reilect the proper DESIGN
CRITERIA In the plans; submit product specification, as needed to support the "R" and "ll"
faclors used; and to assure that construction fs accomplished per the approved pians.
JOB LOCATION
OWNER(S) 6.0-2v A- ? YqmEc?+ /?. GciSrA-F so? pHONE 78a-ZGSz
CON7RACTOR ? ?1100E2A ?o?r? E5 PHONE 41?37- 11 ao
A. Determine the Total Exposed Wail Area as follows:
1. Total wall.w.Wow area
2. Total door area
3. Total sliding glass door area
4. 7otal fireplace wall area S. Total wall framing area (average 10%)
fi. Tolal net wall area above floor
7. Total rim joist area
rYz s
38, 't?
2 3, 8?-
/(,7,7
1299, iq
Subtotal: Total exposed wall area above floor
8. Total foundation window area
8. Total net ioundation area above grade
Subtotal: Total exposed Toundation area:
GRAND TOTAL EXPOSED N'ALL AREA
,
B. Multiply the GRAND TOTAL EXPOSEO WALL AREA X,11
C. Determine the Total Exposed Roof/Ceiitng.Area as foilows:
10. Total skylight area
11, 4OI9I F68(IC@IIIflg IPAfiIIR9 oFe9
12. Total net insulated roo!/ceiling area
3s.9y'
I 1 9 3 g.33
/'L a ,
_ /13,9,5
GRAND TOTAL EXPOSED ROOF/CEILING AREA
/2 S8, ?
?---
0. Multiply the GRAND TOTAL EXPOSED ROOFiCEIUNG AREA X.G26 =
1799, 39
38,l9 -t
Item I 2a2,22
Item II 32,7Z
.?.
Determine the "U" value of each segment (1-9) and mult(ply by the erea as follows:
1. /q7, 9 X 99,77,-
2. 3fi, ?Y8 x ..?.. 17
31
,
a. 23. Sz- x „u.. , S£s _ 13
Sz
.
a. - X ..?.,
_
s. _ 7 X I1,27
6. IZ99? ?9 X ..U,? 5-1,74.
7.
x
..?.? -
a. - X
? 3s.5-?
X
.??..
.O5F7 =
l, s3
AnD 1 -9 FOR TOTALiNALL SEGMENTS =
Item III 19g 4e.
F. Determine the "U" value o( each segment (10-12) and multiply by the area as follows:
10. ? x •U _ ?
11. x
V.4'N[.TEI7 ?
12. _ ?s? X .?.. .[77io
1q - _
ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = Item IV
G. !1 item No. !!l is the same as, or less than lfem No. !, you hava met fhe infent of Sfafe BuiJding Code 6006 (c) 2.
H. !I item No. IV is the.,ssme as, or less fhan'Item No. !!, you have met the Intent ol State Buildin9 Code 6006(c) 7.
1. Add Item No. I Zoz• 2,I' + Item No. II 32-, 112- - 23'f?• R?
J. Add Item No, 111 ?gg?6 + Item No. IV - Z7• 3
K. !f the sum of 1lems !!f and !V are less fhan'lfems ! anrl fl, you have mel the intenl ol the code lor total envolope
system.
I
In addiFion to the above items you may have to add'tor such items as tloors over unheated spaces, such
as cantileverd areas, etc.
To arrtve at "U" value divlde the total ot the R values tor e4ch segment (as above) inta 1,000. Answer
you have is the "U" value for that segment. .
Example: q totai "R" of 35.08 divided Into 1,000 =.028 "U" The undersigned, as appifcant for a Buitding Permit, hereby
affirms the above tnformation has been prepared and submit-
ted by himselfor under his directian; hereby acknowledges
the Information to be correct and accurate; and hereby pre-
sents the information with required plans in support of the
Building Formit Applloation .
Signature
Date 2- 7 y9' F7
CITY OF EAGAiV
APPLICATION FOR PERMIT
*XYl'F': PAYMF!Tt' OF EEE AT TSME OF
APPI,ICATION DOFS DIOrT aDTLSIZ1Sl1E
APPROVAL OF PERhIIT.
aasenG'rzorr oF. sES+M r,rm/ox kV=
TNCTATTATTOjQ$ j+]ILL [x,Yj' $E $QHED-
UI.ID UNi'II, PERNIIT HAS BEM
APPR017F9.
SEWER AND/OR WATER CONNECTION
-- ------ -
P ease Print)
? 1) PROPERTY ADDRESS: ?, {"j 7
LEGAL DESCRIPTION: L)L'?a? L4a
l++uL/tylocx/JUDa1viS10I1 Or Tax PaICEl ID #)
IF EXISTING STRL'CtLTRE, DATE OF pgIGINAL HL'ILDING PERMIT ISSL'ANCE:
' bn )
PRFSII?lr ZONING/PROPOSID OSE: I•
Q CAMA7ERCIAL/RETAIL/OFFICE
[7 INIDC'STRIAL
[7 INSTITUTIONAL/GOVER11Z1ENp
[4 R-1 SINGLE FAMiLY
? R-2 DL'PLEX (4R.,o Units)
? R-3 M4+1NIIHODSE (Three + Units) ( Onitsj
? R-4 APARTMEDPP/CODIDOMINIUM ( Units )
2)
cvArE:Zs ?c Cr?h f?F,- G- L C hsf
a,DnRESS:_ 9"1' cl c*/ S ih 5 7? .
CITY. STATE, ZIP:_ "-?'lSc:« c d, .r f G 3?
PxorE: 4? 7-S-5-42
• 3) • u ?:?• For Ctity Use ..
- NANIE: 7> . , sv7 r qe,rt Alt , 7-/ - R Plumbers License:
ADDRESS:12 ,0 .4 -c s ..¢ -.,i Active
CZTY, STATE, 2IP: ExPired
?'3 ? 7 ? NOt Z'ECOIded
PxorE: rA= iscErrss# ?9 Sta Inltlal
4) ..« • . E•
rAME:
ADDRE;,S:
CITY. STATE, ZIP:
PAONE:
?
5) ? r• ? a: ?• : a • ? - ?,
CONNECTION T0 CITY SE,WEFt ? CpAIIVECpION TO CITSC WATER OTI-IER '. .
63 ` f 2 ? PLF,ASE HOLD APPROVED PEE2MIIT fC)R PICK-DP BY ONE OF ABOVE -- --- -- --
?,???'? PLF,7ISE MAIL APPROVFD PEE2bSIT TO 1, 2, 3. 4, AHOVE .
jj? ? - (Circle one) .
7) r r. p•. ? ? _ ? ?'?' ? _/ ? ` ?%
v
. FOR CITY USE ONLY
PERMIT # ISSUED
5--v 7
Pd w/Bldg. Permit FEES:
$ Sb
$ $ 5-b
$_ a-D $
$ $
S $
$ $
$ $
$ .? Z S? ' 0-77 $
$ ?a `L?•?•D _ $
$ $
$ $
$ $ _
$ $
$
$_ $
$_ / ?5 ? 7, /n 0 s zT- o
`7/ ,-? y % 71 R CEIPT RECEIPT
SEWER PERMIT (INCLDDE SL'RCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOONT DEPOSIT - SEWER
ACCOONT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRLNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRL'NK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY: ?
TITLE:
DATE:
- ?
Q:
3830 PIIOT KNOB ROAD. P.O. 80X 21199
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8100
Special Assessment Search
Date:?y 18, 1987
Re uested by: .
MF-W P RACE SUTIE 105
405 SIBIEY SiRFEi'
ST PA[II. MV 55101
Re - Vienna hbais
? 10-81950-060-01
BFH &OM9UIST
?vor
THOMASEGAN
AAMES A SMIIH
NC ELLISON
7HEDDO2E WACHTERCouncilMemben
iHOMlS HEDGES
cIry rammisrtoror
EUGENE UAN OVERBEKE
c#y c?? _
On the aEtach-e3-torm is z«iCity'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, pendiq9 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 ASSESSMENTS
Attachment
THE LONE OAK TREE. .. THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNItt
TRANSflCTION ID: R763 SPECIAL A55ESSMENTS
- SFEC.IAt flSSESSMENTS SEARCH SU MMArY
PROFERTY I.D. TODAYS DATE: 05118/87 ---SFECIAL FLAGS----
1-2-3-4-5- 6-7-b'-9-IU
10-81950-060-01 ., l
G?/?------- ---r
S.A.#
--=----=
AS'SESSMENT
----------------------------------
DESC•R. YP YP5 RAT£ TOTAL ---------
---
ANN.F'RZN. --------
PAYOFF -------
COMMENT
100199 SAN SW TRk: 72 15 3.ui?% 129.78 3.65 .00 PREF'AY
100447 STREETS so Yc] 3.U0"l. 537.73 . .00 .00 PREFAY
100448 5/kt L 57MT SO Ici S. 00I. 4+_JL. 34 • 00 .60 PREPAY
100507 STRE£TS lqt7 iU b. 00"/. 2834.45 .00 . Ol> PRfPAY
SUMMARY OF AfTIVE .06 .00 .GU
**ar:?rar+r 7HIS YEAR'S TOT P&I 1019.74
,. .... ..' ' .. . . . .. . .. ..,
Fress FI or F2 iHeader FormJ or F7 (Restart R768?
- .
' . . . . '. .. .. ' . .. . . . ... . .Y . i.4 . _ ._ _.s 4 . rn..`
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2097 Pin Oak Dr
Lot: 006 Block: 001 Addition: Vienna Woods
PID:10- 81950- 060 -01
Use:
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector,
952- 445- 2840Nancy Kadrlik 5708 Upp er 147th St W #102 Apple Valley, MN 55124 952- 431 -5811 lofgrenhtg @frontie met
Fee Summary:
Contractor:
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$0.50
$50.00
$50.50
Owner:
Gary Gustafson
2097 Pin Oak Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
Mechanical
EA076648
02/08/2007
ePermit
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116494
Date Issued:10/08/2013
Permit Category:ePermit
Site Address: 2097 Pin Oak Dr
Lot:6 Block: 1 Addition: Vienna Woods
PID:10-81950-01-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Lisa Nyberg
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gary Gustafson
2097 Pin Oak Dr
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175457
Date Issued:04/05/2022
Permit Category:ePermit
Site Address: 2097 Pin Oak Dr
Lot:6 Block: 1 Addition: Vienna Woods
PID:10-81950-01-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Gary & Pamela Gustafson
2097 Pin Oak Dr
Saint Paul MN 55122--232
(651) 795-8540
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature