2098 Pin Oak DrCASH RECEIPT
CITY OF EAGAN ?r
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 J
wecErvsc
FROM - '
_ nMouNr $ . - I
El CASH
?
-? & DOLLARf
?ee
Q CHECK
White-Peyero Copy
Yellow-Postiny Copy
Pink-File Copy
Thank You
---
sY
_,BLDG. PER 3T ?i0.?v?,3?
?
? ?.' 1 ?. • ,c.' l' - c'u: /?*?.
01-3210 Bldg. Permit
01-3422 Plan Check Z Z?;?, 2 S
01-3445 • Surch./ndm. j(l
J ?
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road U nit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Metei
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
? ?J }Z ?
CASH RECEIPT
?
' CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, M SOTA 55122 ?
DA7E 19 ?
ava?G / /] !v' - _
T I$ 57
ooLLwRs
1 oe
? CASH ? CMECK
FOR
PVND CODE AMOUNT
d ov
?o v r?
e-*'U
?
Thank You
BY ?
IV_ 69841 ?
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks
Addition SLIENNA [dOODS Lot 4 Blk 3 Parcel 10 81950 040 03
Owner Street _209S Pin Oak Drive State EacZan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.Jt"L+ Imp. 1981 2834.45 2$3.45 10
STREET RESTOR.
GRADWG ? 1981 $57
73 8
77
,,. .,
SAN SEW TRUNK 1973 129.78 8.65 15
* SEWER LATERAL 423.23 IO
* services 1981 10
WATERMAIN
* WATERLATERAL jJ$j jO
* WATER AREA 1951 O
* STORM SEW TRK 1981 10
* STORM SEW LAT 1981 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
OUILDING PER.
SAC
PARK
rr.i . .. ._r
,
BUILDING PERMiT
Receipt #
N2
74
12738
To bs used tor V' dWC/GAR Est Value $10 7, 0 li 0 Date JC'I.'OH ,_: ,-: 7 ,19 86
Site Address PIN OAK DR Erect L' Occupancy R3
Lot 4 Block 3 Sec/Sub. VIENNA W OUDS Remodel ? Zoning •R
Parcel No Repair ? Type of Const v
. Addition ? No. Stories
c
Na
e .1L• iPF SEIPL:L Move ? Length Sf?
= m
8133 E BLMGT
N FRWAY Demolish
# 2 i 7 ? Depth
3
o Address
.,r......... dan
-»-?n Int lmpr. ?
_ Sq. Ft
Z o Name SAME
? a Address
~ Ciry Phone
Assessment _
Water & Sew.
ole _
F W Name ARROW BLDG CTR Fice
_ ? Address Eng. -
? W city STILLjvxav -
Planner
Council
I hereby acknowledge that I have read this application and state that ihe gldg. Qff. 1 O 7 8 6
information is correct and agree to comply with all applicable 5tate of
Minnesota Statutes and Ciry of Eagan Ordinances. APC
Permit 450.5C
Surcharge 53. S(
Plan Review 2 2 5• 2 !
sAC 575.Oi
Water Conn. 500 . 0(
Water Meter 63.5(
Road Unit 290.0(
Tr. PI. ]_ 5 6. 0!
Parks
Signature of Permittee - 1•.?,... 1:7,- Var. Date Coples , •7'
Total ?
A Building Permit is issued to: AF c ''G
' IPEL on the express condition that
all work shall be done in accordance with all applicable StaYe of Minnesota Statutes and City of Eagan Ordinances
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Building
PermM No. PormH HoldOr Date TelephoeN M
pluqWnQ 3
H.V.A.C.
?
Electric
i L ! ?-f,li
318 ? c.
Inepectlon Dete Inep. Commenh
Footlnys I &)x
Footinqs II
Foundadon d?o? -?` ? • O ?
Framinp e
' ?
RooflnQ Gt.? - !?O •
Rouyh Plbp. /,r'-2? ? r • jV
Rouph Htp.
Iruul. ?
Finplsce
Finsl Nty.
Flnal Plby.
Bldy. Flnsl 6e s u" A 1 r -?r ?•n % r N s s /°'f? ?. ?
Cofl. OCC. ?'? d^C C, C?G C?o r G
'. l
Deek Fty.
Dock Frmq.
Weli
Pr. Dbp.
' ? • PLUMBING PERMIT
CITY OF EAGAN
a..v 3830 PILOT KNOB ROAD, EAGAN, MN 55122
GONTRACT PRICE: PHONE: 454-8100
Site Address d I't 'de e4,e ive
..._,c_ Sec/Sub
Lot ? Block - `/
?
m Name
(a Address 91,00 kf
c City Njfk GAbr e Phone
? Name e-
3 Address ? v t
o Ciry'?? we• -j Phone yw-
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDD - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG.TYPE
Res.
Mult.
Comm. -
Other
PERMIT #
RECEIPT it
DATE: 7 /S 7
WORK D?SCRIPTION
New
Add-on
Repair
RES. PLBG. ONLY - COMPLETE THE FOLIOWING:
FIXTURES TO A?
ff---Water Closet - $3.00
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Ki?chen Sink - $3.00 3
,Urinal/B,det - $3.00
Laundry Tray - $3.00
Floor Orains - $1.50
Water Heater - S1.50
Whirlpool - $3.00 "
?VGas Piping Outiets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL: ? '
.._ ;.??, .? .,.
'
PERMIT # /? .. '
-
' , • • -
MECHANICAL PERMI7 RECEIPT # `-
CITY OF EAGAN
3830 P ?
ILO T KN08 ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address "u BLDG. TYPE WORK DESCRIPTION
LotBlock 3 Sec/Sub Res ? New x
Z5 Name ChLv. r K Mult Add-on
Address Comm. Repair
? citY F?r?G ??A Tr Phone Other
Name FEES
RES
HVA
0
0
y .
-1
C
0 M BTU -$24.00
? Address ADDITIONAL 50 M BTU - 6
00
O GitY --1?. C Phone (RES. HVAC INCLUDES A/C ON NEW .
CONSTRUCTION)
GA
S OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air ? M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler
M BTU $ TOWNHOUSE & CONDOS -- RES. RATE APPUES
M1NIMUM AESiDENT1AL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent. CF? ? STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Qutlets # X_ BEYOND $1,000)
Other
FEE: - s `
S/C: SIGNATURE Olk
TOTAL:
FOR: CITY OF EAGAN
b a f „0
(Itrti#iratt uf (IDrrupttnry
titp of (Eagan
EPpa1'bptPli# Af Slt?htug 3ti.WPrftOn
This Certi)lcate issued pursuant to the requirements of Seclion 306 of the Uniforrtt Building
Code certifying thal at 1he time of issuance t/ris struc[ure was in co?npliance with the various
ordinances of the City regularing building consimction or use. For the foTlowing.•
uu Qaniiinuon =;:r LW/CAR Bldlg. Pormit No. 12738
0-+veaY T'De R3 Zooing Disvia 'j Type Cooac v
owner oi Bwflding 57F ERMY' Add" F' 133 E&MiT4 RII°C`M
Bmldin Addrcss , ?={g r?h (?y;` r. ._ I.ocalit ?{s ?a v???1E1
e Y
n.oe: '`. -ft I9; -
POST IN A CONSPICUOUS PIACE
,
?
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pliot Knob Road o 5C, ;
P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: - ?
Zoning: ' No. of Units:
Ownec _.-
Address:
Site Address: `"' •- - - -_ - - -. __ - - -- - -
Plumber: Iake - de „ewer `, a er - __;?
10-7--u 7 6775b .
I agree to comply wlth the City of Eagan Connection Charge: 47 5. O0pd
Ordlnances. Account Deposit: . p
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total: ?
Insp.: Date Paid:
?-
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road ,._ 7
P.O. Box. 21199" PERMIT NO.:
T
Eagan, MH 55121 DATE: -13-
Zoning: T1 _ _ _ _ _ . No. of Units:
Owner:
Address:
P ? ?- - 1098
SiteAddess: ` ive B. Vienna r?oads
Plumber:_ ?&e Si e Sewer & T?ieter
Meter No.: _
Sixe:
Reader No.:
? I agree to comply wilh the City c1 Eagan
OrdFnances.
Connection Charge;
Account aeposit: -
Permit Fee:
Surcharge:
Misc. Charges: -
Total:
Date Paid:
? EAGAN • f ? - - WATER SERVIC???RMIT
,,,`?(nob Road
c21199 FEpMIT NO.:
-- - =
MN 5,5121 DATE:
No, of Units:
y ? pe
Address: a Y o s
Site Addess: y ,
Plumber: - • P`--
Meter No.: 5 3 ? on Charge: , p
Size: '---a ?c ? _ . ri.. • .
I agree to comply with the M401 e"xn s f??h
.?
Onilnances. V EQU,R
Total: -
BY Date Pai
Date of Insp.: insp.:-
S- Zo - ?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
1:? q6770 3830 PILOT KNOB RD - 55122 ?? 651-681-4675 ,
NewConstructionReauiremaMS RemodellRecairReaulrements
• 3 registered site surveys shaxing sq. ft of bt, sq. ft M haise; anp moted areas • 2 copies of plan
(20% maximum lot tovemqe albwed) . 7 set ol Eneryy Calalatiore for heated additions ?
. 2 copies ot pWn showing 6eam 8 window siza; powed found design, etc) . 1 site survay for ezteAOr edd'roons & deckt
• 1 set af Energy Calalafbns . IMiate if home saned by xptlc syslem for add'Nons
• 3 copies of 7ree Preservatlon Plan'rf lot plafled eher 717193
. Rim Jofst Detail Op6ons selection sheet (Wdgs with 3 or less unBS)
DATE
JOB SITE
?Lo 1
? Z048 F?N OPrK__ Dp-
VALUXION Z L^)i 000
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Gf-ofrr-i s LC5?' Tt+
TYPE OF WORK NRr1zoft- I55wT hNiSh /S/Rdck`.,Ti+saL 19A+`/jj/' FIREPLACE(S) _ 0_ 1_ 2
APPLICANT PHONE#6SI-LISq-0330
ADDRESS 1 30 T=AGflnJ ZIPCODE 551L2-
PAGER # CELL PHONE # FAX # 45 1 ' 45y-09$4
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category MINNFSOTA RULES 7670 CATEG ???
(check one) - Residential VenGlatlon Category 1 Works ? Submitted
- Energy Envelope Calculations Submitted
llll
_ MINNESOTA RULES 7672 By? ?
- New Energy Code Woricsheet Submitte
Plumbing Contractor: Phone #:
Plumbing System Includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhaetor:
Mechanical System Includes:
1"5ewer/Water Conhactor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Fee: $70.00
Phone M
All above infortnation must be submitted prior to processing of application.
I hereby acknowledge ihat I have read this application, state ihat the information is correct, and agree to comply
wiih all applicable State of Minnesota Statutes and Ciiy of Eagan Ordina ces. n \
Signature of Applicant C zW?U ?/?J
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ _ '•'•. Updated 7107
,?
OFFICE USE ONLY
0 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi
? 03 01 of _ plex 0 09 07-plex O 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 78 Deck O 23 Porch (screened) 0 36 MuIG
O 05 03-plex O 11 10-plex A 19 Lower Level O 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg Y or_ N 19r 25 Misceilaneous
l.f & ? 6
? 31 New O 35 Int Improvement ? 38 D m? (Interfor) ? 44 Siding
? 32 Addi6on ? 36 , Move Bldg. O 42 Demolish (Foundation) O 45 Fire Repair
?( 33 Alteration 0 37 Dertrolish (Bldg)' O 43 Reroof O 46 Windows/Doors
? 34 Replacement •Demolitton (Enttre Bidg only) - Give PCA handout to applicant
Valuation Oxupancy 12 :3 _ MC/ES System
Census Code Zoning City Water
SAC Units OL.- Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const _ ?? Width
REQUIRED INSPECTIONS
_ Foorings (new bldg)
_ Footings(deck) FinaUNo C.O.
_ Footings (addirion) Plumbing
_ Foundation HVAC
Drain Tile
Roof Ice & Watet Final Other
? Framing
_ F'ueplace _ R.I. _ Air Test _ Final
Insulation
FinallC.O.
?
Approved By T? , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciiy SAC
Water Supply & Storege
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Smcco Stone
_ Windows (new/replacement)
Lli lal?l. El $ 2 C7,. raD
,.. ,
This e4 B,vo;d 7--,? 76- ,
( 5h
A46 /-15?
Request Date Fire No. &oueA-in lnspemion
Quire07 ?fleady Nuw ill Nolify Inspec-
Yes ?No ?or When Ready
icensed Elec[rical Convactor I hereby mquest inapectioo ot eEOVe
Owner elactrical work inatelled et:
Street Atldress, Box or Route No. Gtv
??
ec on 1,1o. Town iD ame or No. an
Be o. CoUnty
Occupa (PRINT) P one o.
s ea--
?
Po SuppliBr
tiall
' Atltlress
E ectrical Co vac[or (ComOany N
ame) Co?tr ctor'S License No.
/
a ^C- V'? ?-
Maili
A dress ICon ractor ar Owner Making nsta ationl
ng
/
y
l +?
jj s
Autho a d SiBneture ( o tracto wnar MakinO Ins[allation Phona Number
?
MINNESOTA yTpTE BOARO OF ELECTRICITY THIS INSPECTION FEUUEST WILL NOT
Gripps•Midway BIAg. - fbom N•791 BE ACCEPTED BY THE STATE BOAPO
UNLESS PROPER INSPECTION FEE IS
1821 Univernitv Ave., St. Peul. MN 66109
Phone (672) 64I-0800 ENCLOSED.
7 REQUEST FOfl ELECTRICAL INSPECTION ee.-?jooooi os
, Sea inatraetions br comoletin0 this larm on beck of vellow eaoV.
e'Md A "X" Below Work Covered by This Requesi
M'!ay{AAtlI Rep.I TyDe ol BuilEinp I ' ADPliancea 1'IireO I Equipment Wired I
N Fee ServiceEntmnce ix p Fee Feede,s/Subleedars N Fee Gircuits
ll to 200 qm 0 co 30 Am s 0 to 30 Am
Above 200 qmps 31 to 100 Amps 31 to 100 A y
Swimming Pool Above 100_Am s Above 100_Am s
Transiormers Imgation Booms Partiaf."Other Fee
iSigns I I ISUecial Inspection _
TOTAL FE,K
amarks
iirAr ?
3y? i rne ei ?,.?cs
Inspectaq eby
cerlily lhet the abov
y inapection hes bea.
CITY OF EAGAN 'Y A' p
12738
3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receiptu
Tobeusedfor SF DWG/GAR Estvalue $107,000 Date OCTOBER 7 iy 86
SiteAddress 2098 PIN OAK DR Erect yo Occupancy R3
Lot 4 Block 3 Sec/Sub. VIENNA WOODS Remodel ? Zoning Rl
Parcel No Repair ? Type of Const. V
. Addition ? No.Stories
JEFF SEIPEL Move ? Length S6
w Name
z 8133 E BLMGTN FRWAY #217 Demolish ? Depth39
a Address Int. Impr. ? Sq. Ft
ciry BLMGTNphone 888-7370 instali ?
¢
o Sp?LyE
Name APProvala Fees
v¢ Address ASSCSSfIIBnt PBflTllt 45?.'S?
? Ciry phone Water & Sew. Surcharge 53 . SC
U Police PlanReview 225.2`
Ww Name ARROW BLDG CTR Fire SAC 575 0(
?? Address Eng. Water Conn. $ 0 0. 0 L
a W ciry STILLWf?W 439-3138 planner Water Meter 63. SC
Council Road Unit 290.OC
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off.10/7/86 Tr, p?,_ 156.OC
information is correct and agree to comply with all applicabla State of
-Minnesota Statutes and City of Eagan Ordinances. APC Pafks
1
??
S+
? Var. Date Copies
?-t
ti«.
Signature of Permittee ? Tots? $2,313.7`
A Building Permit is Issued to: FF $EIP L on the express condition that
all work shall be done in accordance with all applicable `
te 'Minnesota StatUtes aCity of Eagan Ordinances
Building OHicial
PERMIT # -A b I U LJ RECEIPT DATE: O" -(D /
USIDENTIAL f'L[JM$INfi PERMTf A"LICATION
C1TY OF E4fiAF
S$SO PILOT HNOB RD
EAHA1V, dilY 55122
651-6$I-46T5
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS: (.?o
OW NER NAME: :
INSTALLER NAME:
STREET ADDRESS:
CiTY:
Place a check mark next to the ermit work t e
TELEPHONE #:
(arxea, cooEj
TELEPHONE #: 6s/- ?z ~ 6 Cli e
(AREA COD )
STATE:
ZIP:
New residential dwelling unit under construction and not ownedoccupied $ 90.00
Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
. new installation/repaidrebuild of RPZ
• lawn irrigation system
• water turnaround )
,L "
4&t K
yL
r
I
Ct)
Nature of work:
1
1
Septic System, new/refurbished - $ 225.00
. includes County & Consulting {nspector fees
. requires MPC license
State Surcharge T r, j i rt ,?? ?1 $ .50
?
FI
Total
$ `?"7a ,
i
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, watersnfteners, etc.
i here6y acknowledge that I have read this appliwlion, sWte that the informatlon is correct, and agree W comply " all ap 3lic2ble City of Ea an ordinances. It
is lhe appiicanfs responsibiliry lo notify the property owner Ihat the Ciry of Eagan assumes no liability for ny - ma ra sed 6y th ' during its normal
operational and maintenance activilies to the facililies consWCted under this permit wi ' Cityp oZ ' t men[.
SIGNATURE OF PERMITTEE
Updated 1101
?&<>k KY«;??? ?Ck:?#?Y?ri•?kYFk:X??,YX<$<'M'k,i*0;;t?t7k:
C:CTY QF FAGFlN
(::15H:Lk::R? _is iEfiP1IR+A1._ NCi: 687
T!HI'Er. 08/26i99 lIM,:_: 103000
IU:
NAME; I._TSA J(] f:[::LI_EPt
3ci.0 ?'1C101 20753 C':I:N (:1(-tF: Dlt 35.20
205 ^Ofl'j 2038 F'ZN l7Ai' Tili 0.50
i
?
?
Tota:t Ptece:ipt Amoatnt; ; 35ei'Q
Cfi:Lifi,Cl/ i
JSI: R TD: ,7flN
O
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN ?
3830 PILOT KNOB RD • 55122 ?
651-681-4675
New Conslnicfbn Reauiremenk
> 3 regbtered sMe surveys showing sq. R. W lot, sq. H. of houae
and gll roofed areas [20% maximvm lot coveraoe allowed)
D 2 copies of pians (show beam i window sius; poured ind. des(gn; Mc.)
D 1 set o1 energy calculaNom
D 3 copies of hse preservatinn pian C bT platted attew 7!11/43
DATE: S° ZZ5" (99
DESCRIPTION OF 1
STREET ADDRESS:
Remodel/Reoair Reautremenh g 9
4 eopies of plan
1 set of energy calculaNoru tor healed atldlNons
1 aXe suney ior exteriw addifion: 3 dec W
CONSTRUCTION COST: ?Soo
LOT: ? BLOCK: ? SUBM/P.I.D. #: V?.lA ?2 0 WOU dL
Name: Gi. Phone #• I -2-) Oto
PROPERTY Lan Ftr'F
OWNER Sfreet Address--??X- ? `J
Ci1y \ G?i\'t t?`G` State: ? Zip: ??4 L3
Company: ??v?- Phone #:
(areo code)
CONTRACTOR
Sfreet Addreu: Ucense # Exp.
City
State:
ARCHRECT/
ENGINEER Company: Name:
L
Telephone #: area code (
Stree4
City
Sewer 3 water Iicensed plum6er (reauired tor new conshucHon onlvl:
Zip:
Regisfration #: _
Sfate: Zip:
PenaNy applies when address change and lot ehange Is reqvesied once permN h issued.
I hereby ocknowledge thal I hwe read lhis application, sfate 1ha1 the IMo on Is co t and agree to compty wifh all appltcabl
Skte of Mlnnesota Statufes and CiFy of Eagan Ordlnances.
? Slgnalure of Applicard: -
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No RECEIVED
Tree Preservation Plan Received _ Yes _ No _ Not Required AUG 2 5 1999
BY:__
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireptace ? 21 Parch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-piex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
D 04 2-plex O 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ?IK 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 (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) 5• Main level sq. ft. SAC Code b L
UBC Occupancy ? sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs r?
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
?
Planning Building Engineering Variance
?
Permit Fee ?s
Surcharge se
Plan Review
License
MC/ES SAC ;
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
5/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
?
Total:
Valuation: $
SAC Units
96 SAC
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
? 651-681-4675
New Constructlon Reastimmenfs
? 3 regisTered sRe suneys showing sq. k. of Iot, sq. tt. oi house
and go rooted areaa (20%> maximum lot eoveraae allowed)
? 2 cop(es of plans (ahow beam 3 window sBes; poured fnd. design; ete.)
? 1 seT ot energy calculaHons
? 3 copies of hee preservalion plan il lot plalted afFer 7/1/93
DATE: 5-a1 `91?
DESCRIPTION OF WORK: ?e r'a cT
Bemodel/Recair ReaulremeMs
2 coples W plan
1 sef M energy calculaHons for heated addHions
7 sNe survey for exferlor addNfons a decW
CONSTRUCTION COST:
vQr-4wZ? e¢' ha"
?ro 9ao, g`?
a-?l
STREET ADDRESS: 02 d2 g PI P-7 0?6 /C-
LOT: I/ BLOCK: 3 SUBD./PJ.D. #: Vi e n h w- k/d?d5
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: Se 1-::!-e-F'fr4r Phone#:
tasf _ First
Street Address: 1;2 O or%•
City (_ A q q n State: N?I e7 • Zip: cS5 ? Z' ?-
Company: 5a v`'` c q 5 Qb v J e- Phone #:
(area code)
Sheet Address: License #
City
Company:
Telephone #: area code ( )
Name:
Street Address: Regishation #:
City State:
Sewer 8 wafer Ilcertsed plumber (reaulred for new conshuctton onlv):
Penaliy applles when address change and lof change is requesled once permff (s tssued.
Zip:
Zip:
I herehy acknowledge that 1 have read this applicatlon, siate fhat the Informatton is cortetf, and agree to comply
State of Minnesota Statutes and CiFy of Eagan Ordinances. _
Signature oi Appllcant:
OFFICE USE ONLK/
Certificates of Survey Received = Yes = No
Tree Preservation Plan Received Yes No , Not Required i„-- _
Stnte:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 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 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-piex ? 10 8-plex ? 15 Lodging ? 20 Pool ?' 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Oniy ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Inferior) 0 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main levei sq, ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinkiered
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
ARC/E5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
SAC Units
°k SAC
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*X)T?': P.A)WNS OF PEE AT TSM pF
APPLICATION DOES NOr CONMTM
APPROVAL OF PIIiNIIT.
nuSrFx.'riOv oF sUM r,ND/oR MM
TNsTAT.T.ATTONS WILL A70T EE SCF1ID-
ULID S1NT'II. PII2I+SIT HAS BEESI
APPROVID.
-----------------
P ease Print
1) PROPERTY ADDRESS: ;t,p98 ??.?Y1 ?a at -
LEGAL DESCRIPTION: cj '
oc
or •rax Yarce
IF EXISTING STRUCIL7RE, DATE OF ORIGINAL BL'ILDING PERMIT ISSL'ANCE:
(Mon Year)
PRFSENT ZONING/pROPOSID I;SE:
M CU&ERCIAL/RE'CAII:/OFFIC!-F
Q IPIDC'STF2IAL
f-I INSTI2UTIONAL/GOVERNMENP
2) ?
R-1 SSNG'..E °RNiILY
? R-2 DOPLEX ('Lwo C?nits )
R-3 'NWNHOIISE (Three + Units) ( tfiits)
R-4 arAuTKarr/cormorurrl[,M ( vnits )
t`?: ?•4- `? S i ?J22_ ?54.?<..._. L-?fr ??r
,1wDRFSS: /42 22n1-...,
CITY. STATE. ZIP:,?y4is.rarr . t-i-,s/ ..rs•3"7?
PHorE: P?rti 7? a o
3) • ?: ?• NAME:
ADDRFSS:
CI7"1, STATE, 2IP:
PHONE= MASTER LIG'ENSE#
Active
ExPired
Not recorded
St?tial
4) Kr*-042:• ia•
i3A[?z:
ADDRESS:
CITY. STATE. ZIP:
PfiONE:
'S) ? a ?• : a • a a•
L-? CdN[?X.TION Tl? CITY SES?II2 ?'Q ?ObIlVf?JCTION M CITY WATER OTHER
-?y??c? .
. . i ?
- , ((qircle one) '
6) ?? • •' 0 PLEASE HOLD APPROVID PF12MT FYY2 PICK-C'P BY ONE OF ABOVE ---
r-?V PLEASE MAIL APPROVID PERMZT 7l? 1 2 3 y?
: FOR -CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ /O , S U SEWER PERMIT (INCLCjDE SLRCHARGE)
$ $ /0j? WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCVUNT DEYOSIT - SEWER
$ $ /j OD ACCOC'NT DEPOSIT - WATER
$ ,4? 6 ("i cO U' $ WAC
$ S 75 QC7 $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ I`J-Z'U o $ WATER TREATMENT PLANT SLRCHARGP
$ $ OTHER:
S 12- 9 s/° S 2) $ 6_b a e TOTAL
_. 67 S?
RECEiPi r AECEIPT p
DOES LTILITY CONNEC TION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
ED YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLTC
ROADWAY" MLST BE ISSUED BY THE ENGINEERING
Q
NO
DIVISION. LIST AS
A CONDITION.
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
li??ft
STRUC7'IJRAL WOOD
CORPORATION
JIM SCHUMACHER
1175 E. Hwy 36 St. Peul, MN 55109 Phona (672) 484-0281
e
?
STRUCTURAL WOOD CORPORATION
1175 EAST HIGHWAY 36 ¦ ST. PAUL, MINNESOTA 55109 ¦ PHONE (612) 484-0281
L oA,.tB L. L-
L P.MPE (L."7S
300 W. 78T" sT.
'Rtc.H F IEL.D ? (Ao
5-ZO-$-7
:-j'iyi Zw--6• JST v?,t i....
SEIFAt- RESwEr-ICE
/Q-[TAcHFV 1 s Cop1f OF OuT AAL- FotZ Flx 1klE,
FSfr.,G . 1?ScSZm5sc Dver- ft{crlE. _' (-lcpE
Tltt-5 usLPs '(cu RErScWE 'PR.pgx.EM.
If %Iou vlowF ?y OTv{e'iZ C?2 u E?-?orl S pt.EOE.,c
f7v-?? T79-?e ?t? e?oe4--Pre-jr ?Av-rm
?-?,•? tLS
?
?
STRUCTURAL V!/OOD CORPORATION
1175 EAST HIGHWAY 36 ¦ ST. PAUL, MINNESOTA 55109 ¦ PHONE (612) 484 0281
5ho/87
LhTtt+-AL - .151Z4"G
(,EF+l'C W, 61t6. ?
_?eP.RIaU D?.?
_ e f't d-A. P1 1.-I l -
?4, d a",L.-. (m A)
5rA4a.E2Cp
RroaE
B?sRrM
yc?•1L,. Se-IPP"L RE6tPE1.1G-E
DT--,-?,? ? To ExTEE??Q ?R-cq F2,17-'
? x-t-c rz-, o rt- 1-4 AN-CL-L-
OF
3830 PILOT KNOB ROAD, P.O. BOX 21199
EAGAN. MiNNESOTA 55121
PHONE: (612) 454-9100
January 26. 1987
MR JEFF SEIPEL
8133 E BLOOMINGTON FRWY
#z17
BLOOMINGTON, MN 55420
RE: ELECTRICAL PERMIT FOR 2098 PIN OAK_DRIR'E'
` ---- --- -
Dear Mr. Seipel:
BFA BLOM6IUIST
Maya .
THOM0.S EGAN
.AWViES 0. SMItH
VIC ELLISON
THEODORE WACHIER
Council Membars
n+onnas HEDGes
City Pdminiihulw
RIGENE VAN OVERBEKE
Ciry dek
We are in receipt of an electrical permit for the above
referenced address. Eagan City Code states that a li-
censed electrical contractor is required for wiring of .
new construction within the City of Eagan.
Therefore, please obtain a licensed electrical contrac-
tor to complete the necessary work. A refund of $20.00
will be forthcoming.
Sincerely.
Doug Reid
Building Inspections Dept
DR/js
o?
THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN
/ 27 . .
. • 1986 BOILDING PERlIIT APPLICATION - CITY OF EAG66 A?
HOTE: ALL CANTBACfOES !lOST BS LICEASED WITH ?HE CIRY OF SAGAN ?
7,.
3INGLE FAAffLY DiIE[.LINGS ?
INCLUDE 2 SETS QE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLS DiiELLINGS - RffiIDENTIAL BE.'NRAL DNITS FOR SAGS UNZTS
INCLUDE 2 SETS OF PI.ANS, CSHTIFICATE OF 3QIt9EY - CHECg fiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMAIERCIAL
INCLIIDE 2 SETS OF ARCHITECTURAL & STRIICTURAL PLANS,
1 SES OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: 101,000. Date:
p?r (??K T-?NL \r\
Site Address ??
Lot -?L Block ?
Parcel/Sub y'i Ln1^ N l.)oo d 5
Owner
Addre:
City/e
Phone
Contraetor
Address
City/21p Code
Phone I-lnla. ?Y,SZSS-
Arch./Engr. ?rrrx.??l??vtcD cf'-Vt-cr
Address
City/Zip Code
Phone at
Erect ?
Remodel
Repair _
Addition _
Move ?
Demolish ?
Int.Impr. _
Install ?
9PPAOVALS
Oceupaney K3
Zoning .1
Type of Const
# of Stories
Length S(o
Depth
Sq Ft
FSES
Assessments Permit q-,r-?O
Water/Sewer Surcharge S?
Police Plan Review 2
Fire SAC 5-7S ,
Engr Water Conn Soo.
Planner Water Meter 63.s°
Council Road Unit 29 0.
Bldg Off f? Treatment Pl !cz5?.
APC r-7? Parks
Varianee Copies
TOTAL 23?3.?s
NOTE: ADDBSSSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNfiR MQST DESIGNATfi iiHICH ADDRESS
IS DSSIRED. NO CB6NGE5 iIILL BE ALLOWED OHCE BOILDIHG YERMIT 13 ISSIISD.
Z(ax24` (o2q-sC ?2-° ?4,5' '
2s,'?C 36 ?? co 0 K4408a ?
40 r, I 9 7 zo
2Zx 30 ? Sfa K + 4 -3S(i::9t?
?
I coco R 28
?4)aR
2004 RESIDENTIAL PLUMBING PERMIT APPLICATiON
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date / 2-q !oq
Site Street Address ,,Y PI na4- ?L?Y 5 5)ZZ-- Unit #
PropertyOwner LI'?Ja :vh2nQGho Telephone# (61
Contractor QL\Ln V ?Y'G d' lkol ?no CO, Telephone #(Ua) Z?40 J
Address StateJZio
The Applicant is: _ Owner )L Contractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5!8" meter is required)
Other: $ 50.00
Water Softener ? Water Heater
,gL_ replacement _ additional $ 15.00
Lawn Urigation System RP2_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Total : $ 15-50
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
?M\nis? CIQaICtr'd kffvr?a w uLbrk
App`licant's Printed Name icanYs Signature
??m C? r fl LL?f`oll
DEC p 1 2004
Py
411? City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
7F, ---------?
: ?
i ?
? Date Received: ?
I ?
? StaB: ?
I
2008 MECHANICAL PERMIT APPLICATION
Date: 2-1 O96 Site Address: 1-00k$ 3? -, C\ (.ftllL- Dc
Tenant:
Suite 7i:
RESIDENT/OWNER Name: L?50. (xrd G-P)3fk)IC :%A,?GIAD Phone: ?GV4*?
Address / Ciry / Zip: 2?? ? ?,-f-\ f.LLk(- i:v
N
??S %N?QVI
Li
#
$
Rla
R
-,
CONTRACTOR ame:
`A
cense
: ?r
- wnn
,
L
,N
Address: 1?-Dg gLWdm 02?, ?
Ciry: eyf'[iw? 5tate: bnL Zip: ? ?ln--
-0tGr) (
1
5Z-V
Phone:
Q
iJ
Contact Person:
TYPEOFWORK -New \4 Replacement _Additional _Alteration Demolition
/j QxrCkCp
k S1?5fGt? YkS
C
?'
Description of work:
.
-
.
NOTE. Soth;root mo.unfed and ground mourtted mechanical equtpment is requlred to
be screened by City Code. Please contact the Mechanlca! Mspector or one oi fhe _
Planners for informetron on ermitted screen/n methods.
RESIDENTlAL COMMERC/AL
PERMIT TYPE 4- Fumace _ New Construction _ Interior Improvement
Air Conditioner _ Install Piping _ Processed
Air Exchanger _ Gas _ Exterior HVAC Unit
'
_ HVAC units must be screened
_ Heat Pump Under / Above ground Tank (_ Install /_ Remove)
Other " When installing/removing tank(s), call for inspeclion by Flre
Marehal and Plumbin Ins ector
RESIDENTlAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, duciwork, etc.) (includes $.50 State Surcharge)
$ SO. 50 TOTAL FEE
COMMERClAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $
$50.50 Minimum (includes State Surcharge)
_$
!
• If Permit Fee is less [han $1,000, surcharge Is $.50.
- If Parmit Fee is >$1,000, surcharge increases by $.50 for each =$ elSg
a
$1,000 Permit Fee (i.e. a$1,001-$2,000 Pertnit Fee requires a$1.00 surcharge).
f
TOTAL F
$
I hereby acknowledge that this informafion is complete and awura[e; that the work will be in confortnance with Ihe ordinances
I understand this is not a permit, but only an application far a permit, and work Is not to start without a permit; ihat the xark will
plan in [he case ol xnrk which requires a review and approval ol plans.
xyrm1-e, GLQ.6? x?
Appllcant's Printed Name App canYs Signature
FOR OFPIGE USE »,:,. ?., ., . . ..:? ? .. . . . .. ... . . . .. .._... ? ? Revlewed'By: ? . . , .P. ?. . -. - ' ° Date: ? . , ?. ? .
.
ReqWredlnspecNons: .Un .der . _ Ground .,
.R..ough In ,,, . ? A i r TeSt Gas ,. Service , Test .. ?. In-floo :r-Heat : ,d,.
Final
411? City of Eakan
3830 Pilot Knab Road
Eagan MN 55122
Phone: (651) 675-5675
PaX: (651) 675-5694
; F07?-?ge gN g 77 ;
j Pertnit #: ? I
? PertnitFee:
j Date Received:
i
G i
? Staif:
L ----------------
2008 MECHANICAL PERMIT APPLICATI0IV
Date: Sita Address: Tenant:
Suite #:
nz lYwING/l/o Phone: 65?"CPy -CJ27-ff
U5G GvA C7f
RESIDENT / OWNER .
Name:
Address / City / Zip: 2??- -PI`n caq- ?
.? .r ?
Oicen e#:
CONTRACTOR Name:
Address: YTv?-
? State:T\I'Y\ Zip: '66lloZ
City:
Phone: ContactPerson:
TYPE OF WORK - New ? Feplacement _ Additional Alteration _ Demolition
Description of work:
NOTE: Bofh roof mounted and ground mounted mechanlcal'equlpment 7s requ/red [o
be screened by City Code. Please contact !he Mechanica! lnspector or one ot fhe
Planners forlntormation on ermlffed screenfn methods.
RESIDEIVTIAL COMMEACIAL
PERMIT TYPE New Construction •_ Interior Improvement
-
- Fumace -
_ Install Piping _ Processed,
. ? Air Conditioner Gas _ 6cterior HVAC Unit '
Air Ezchan er
g -
' HVAC unlts must be screened
_ Heat Pump Under / Above ground Tank ? Install,! _ Remove) .
Other " When installing/removing tank(s), call for inspection by Fre
- Marshal and Plumbin Ins tor
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 5tate Surcharge)
$90.50 FIfB 1'Bp31r (replace 6umed out eppliances, ductwork, etc.) (inCludes $.50 State SufCharge)
TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installatioNremoval OR Contrect Value $ x1%
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- If Pertnit Fee is less than $1,000, suroharqe is $.50.
$ State Surcharge
- If Permit Fee is >$1,000, sureharge increases by $.50 for each =
$7,000 Permit Fee (i.e. a$1,D01-$2,000 Permit Fee requires a$1.00 surcharge). $ TOTALFEE
I here6y aCknowledBe thal Mis information 6 complete antl accurate; ih0t the wofk vnll Ge in ConrormanCe wim the ommances aim wuca v. um Uny .1 Lsyo, -
I urWersland Ihs is not a pertnit, but oaty an application for a pertnit, antl work is not to start vnMOUt a permit; that the work will be in accordance vnth the approved
plan in Ihe case of wark which requires a review and approval ot plans. ^
? ?r'
x??pxl1L bw,W." x 1 ` M ii
ApplicanYs Printed Nama ApplicanYs Signature
V
FOR OFFICE USE
? Reviawed By: Date:
I Required Inspectlons: Under Ground Rough In _Air Test Gas Service Test _In-floor Heat Final
? CITY OF EAGAN
# E%TERIOR ENVVELOPE gYEI{AGE • U' COMPt1YA?ION
OWNER : ? E -15 F- I r F- t..j
3ITE ADDRESS:
CONTRACTOR: DAlE: PHONE:
Determine working square footage of each:
1. Total exposed wall area sq. ft. x.11 = Z.U
2. Total roof/ceiling area sq. ft. x.026
?E
Total exposed wall area above flaor ? 7,741
?-
a. Total wall window area ............................ Z!
b. Total door area ...................................
c. Total sliding glass area ..........................
d. Total fireplace wall area ......................... ----?
e. Total waZl framing area (average 10%) .............
?
f. Total net wall area above f2aar ...................
g. Total rim joist area .............................. 1?
, Total ezposed foundation area = Z-? ?? Z Z? Z r
h. Total foundation window area ....................... it.?<
i. Total net foundation area above grade .............. Z3&•4--
' I3etermine '0' value of eaeh wall segment:
a• xgU+ ??,• - G-(
. b. x ' U' -`'
c. LI-P) x IUI
d. ----- x ' U' --- - -
e. C4C,c x 'U' C??
x' Ut t G?;? = 7z
9. X 'U' Ca ,
tl . .? v, X t ur 1 '7 i. 21G.4 X'Ut A/'35 E+,2 r
' 3. ................................................... Total = Z 2:3t Q
If item #3 is the same as ar less than item #1, you have met the intent af SBC
6ao6(c)2.
Tota1 ezposed roof/'ceiling area
J. Total skylight area ............................... -
k. Tata1 rea?€/ceiling framing area (average 10;4) .....? E9 f.?'z- =9
1. Total net insulated roof/ceiling area ..............
?
(OVER)
Determine 'U• value for each roaflceiling segment:
>
J• X 'Ut =
q' 1 0Z.? b
k.
?p
? =`?
x ' U' :;
f ,?
= /
,e.
,
?? ? ?I? ES? ???
1. 1-7 D x' U'
4 . ................... Total
...
. ...... ...... .............
. .
....
If total of #4 is the same as or less than #2, you have met the intent of SBC
6006(c)1.
Alternate Building Envelope Design
Ta utiliz e the total envelope system method, the vaZues estabZi'shed by the sum
of Items #3 and #4 shall not be greater than the sum of Items #1 and #2.
1. + 2. =
3. + 4• _
?O
SINGLE & DOUBLE FAMILY HOMES
1984 ENERGY CODE REQUIREMENTS
On or about March 1, 1984, the following energy code requirements
should be caleulated and included with a building permit appiication.
1. Roof - ceiling assemblies - R-38 U= 0.025 Average
2. Exterior walls & rim joists - R-20 U= 0.11 Average
3. Floors over unheated spaces - R-20 U= 0.05 Average
4. Exterior overhangs will be considered as exteriar wa1T.
5. Foundations (all exterior walls) - Minimum of R-5 insulation.
6. A12 insulated areas must be separated from the heated space
by a well-lapped or sealed vapor barrier with a mini2izum germ
rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets
this requirement.
A Kraft face R-19 type insulation will be accepted in the rim joist
areas. Air chute baffles are to be placed in every rafter sgace.
? s
6UlCELIIIE TO (R) Fncroas rr.ori l.SliRid MlJ1U/1l
_ OF TT PICl.ILY USED PROGUCTS
(R) (p)
inierior Air Film (Nails) 0.6$ Gypsum or ptaster Eoard 3/6^ 0.32
[xterior Air Film (uatls) 0.17 Gypsum or plaster board I/2" 0.45
lntcrior l,ir Film (Vrnted Ceilinq) 0.61 Gypsum or plaster board 5/8" 0.56
fxteric.r Air Film (Ventcd Cciling) 0.61 PlyuooA j/B^ 0,47
- Intcr{or A(r Film (Ncn Vented) 0.61 Plyr+ood 1/2" 0.62
Excrrior Air Film (t7olt Yented) 0.17 plywcwd 3/4" 0_43
Sheatbinq, rc9. denslty 1/2° 1.32
Alumintun SidinO 0.61 Sheathinn, re0. denSity 25/32° 2.06
Aluminum w;ch Backer 1.62 Naii-hast Sheathing 1/2° 1.14
Aluminum with Backcr L Foiled 2.96
1/2 x 8 lcp sidino (uooe) 0.81 Built-up Roofs. 0.33
7/16 x 12 Hardboard SidinA 0.67 As6estos-cement sAinqlis 0.21
tisbestos Sirlinns 1/4 Lapocd 0.21 Asphalt roft roo(ing 0.15
Stucco (Orc,..n and FinisA Coat) --• Aspahlt Shingles 0.44
3:4" Wood Subfloor or Sheathing 0.94 Insulation: 2-2 3/4" Fiberqlass 7.00
1/2" Plywood -hcathinq 0.62 Insulation: ; 1/2" Fiberg{oss 1l?.00
' 1/2" Particfc Bo..rd
i 0.66 Insulation: 6^ Fibergiass 19.00
VOODS: .
dtOWlfiG U00L5
FIr, pinc t similar zoft lloods 1 1/2° 1.64 Approx. ;^ . 9.00
2 1!2" 3.12 Approx. 4 1/2" 13.00
3 1/2" 4.35 APDrox. 6 1/4° 19.00
5 1/2" 6.87 Approx. 7 1/4" 24.00
Approx. 14" • 30.00 ...
ApProx. 18" 40.U0 .
All other insulation materialS must be
F11led verified (R Factor)
(R) VermicuEit c
[oncrete Block (5 t G Reg.) 1.11 i.g; •
12" Concrete Bloek (S b G Req.) 1.28 3.15
8" Liqht Ueight 2.18 5.4;
12^ Light t:eight 2.48 5-$2
NOTE: (U) x krea Square fect
(,L
A11 llindores
(w/storns f^ to L" Spacc) .56
Removat Oouble Glazfng (ROG) .55
Thermo or welded 3/16" air space .69
1/4" air sDate .65
1/2" air spacr .56 ,
, (Other windows Specificatly teste d can use bttter ratings)
,
I 3/4 Solid core door .46
wlstorm, wood .31
w/storm, metai .26
, Pease Stcelpoor Insl/N/GL 7.458 .i; .
Slfdlnq Giass Door, Vood .65
Mctal .71$
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City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2012 MECHANICAL PERMIT APPLICATION
Use BLUE or BLACK Ink
1
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
Date t 1 l (s ' 12 Site Address: 2-o9 S tP..„ OA IL 4.v6 EAVh✓1
Tenant: ' Suite #:
RESIDENT / OWNER
CONTRACTOR
TYPE OF WORK
J
RESIDENTIAL FEES:
1 $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR
$60.00 Minimum (includes State Surcharge)
- If the Permit Fee is Tess than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
Name:
Address:
State: YVtN Zi
Phone:
Contact: _ ail:
New Replacement ! Additional Alteration
Description of work: Mew Vslvtet if A/C
Demolition
NOTE: Roof mounted and ground mounted mechanical equipment is r equire+d M be screened by City
Code. Please contact the Mechanical Inspector for information on ,permitted screening methods.
COMMERCIAL
_ New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
_ Under / Above ground Tank ( Install / _ Remove)
RESIDENTIAL
yFumace
)c Air Conditioner
Air Exchanger
T Heat Pump
Other
Contract Value $ x 1%
$
_$
=$
Permit Fee
Surcharge
TOTAL FEE
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.aopherstateonecall.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 plan in the case of work which requires a review and approval of plans.
x i11/4¢.fJ Lir
Applicant's Printed Name
x•�
Applicant's Signature
FOR OFFICE USE
Required Inspections:
Underground
Air Tes
Gas Service Test In -II
Heat Final
HVAC Screenin
C!tyofEaail
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use 1
Permit #: / 0 (/ b I
Permit Fee: u2 )
Date Received: /- 7 3
Staff:
2012 RESIDENTIAL PLUMBING PERMIT
r%E�P 7RMIT APPLICATION
Date: J :� �/" `' 2- Site Address: 0° 1T N r /'1 0 4 IL 4
Suite #:
J
RESIDENT / OWNER
Name: C /7 0 t"' Phone: f. 2 i%' 0
Address / City / Zip: / ?.6 L/ 3 IX TA L . 4 ..4m,stiii., S S o efy
CONTRACTOR
Name: 4/0k 0k A '‘s- e �Q) ,C/t Ai 6"> 4 L License#: PC 64/ 3 7� ill
Address: /l ? �%7 84412- Si City: fr>� 4+5 ° ¢ �1
State: Zip: 5C7 7 Phone: S-& 7— 6* 4°S- 7 6'4/
Contact .J Email: f/L r , -4 - 3 /-•"--• /r S 4%. 4' /''-•
TYPE OF WORK
New x Replacement Repair Rebuild Modify Space _T Work in R.O.W.
— _ _ _
Description of work: R f f' l /i C. e. / JR, .' 4.., 0v f /z 1 K,`./- 5/ h , 3 ,e..554-4- 5 •` )-
PERMIT TYPE
RESIDENTIAL i— 1-- A '-% , 3 -
Water Heater
1 + / -e
Water Softener
Lawn Irrigation ( RPZ / PVB)
Add Plumbing Fixtures ( Main / Lower Level)
_
Septic System
_
Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water
Heater, Water Softener, or Water Heater
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water
and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation
$60.00 Add Plumbing
`Water Tumaround
$105.00 Septic System
Tumaround* (includes $5.00 State Surcharge)
and $5.00 State Surcharge)
TOTAL FEES $
(add $189.00 if a 5/8" meter is required)
New ($10.00 per as built) (indudes County fee
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.orq
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 1 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.
Applicant's Printed Name
FOR OFFICE USE
Reviewed By:
Required Inspections:: 'Under Ground Rough -In''
Final
City atEaQall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAR 272012
2011 RESIDEN L PLUMBING PERMIT APPLICATION
Date: 3-I t -- I c otI `
Address: f 1+rh! <� �I Ockr, ��. Y�
Tenant Slte AdG 144
aZ
Suite *:
Use BLUE or BLACK Ink
Pe k e3g77
Penult Fee:
Date Received:
Staff:
RESIDENT/ OWNER
•
Name:
66- 1. lcOiefr\c&I� Phone: "`520--145.57
i u L5551
Address / City /Zip:
CONTRACTOR
Nance: MILBERT COMPANY INC.dba CULLIG. WA_ TER
Address: 1801 50TH ST EAST
TYPE OF WORK
State: ' MN Zip: 55077. Phone:
Contact BILL.MILBErifi . Email:
City: INVER GROVE IIGTS,
65.1 ;:45L-2241
• New t eplacement _ Repair _ Rebuild Modify Space .. Work In,R.O.W.
Description ot(work:,
PERMIT TYPE
RESIDENTIAL
• . Water Heater
' Lawn trrigatlgn (_ RPZ / PVR)
Septic System
_New
_Abandonment
Water Softener
Add Plumbing Fixtures L_ Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater 4 Softener (includes $5.00 State Surcharge) •
$35.00 Lawn Irrigation (nclddes $5.00 State Surcharge)
$55.00 Add Plumbing Flxtutes, Septic System Abandonment, Water Turnaround* (Includes $5.00 State Surcharge)
`Water Turnaround (add 5166.00 it a 5/8' meter is required) •
$105.00 Septic System N ($10.00 per as built) (Includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, eta) (includes $5.00 State Surcharge) /j
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities.• www.000herstateonecall.org '
I hereby acknowledge that this Inf}xmatlon Is complete and accurate; that the work will be In conformance With the ordinances and codes of the City or
Eagan; that I understand this Is not a permit. but only' an application fora permit, and Is not to start without a permit: that the work will be In
accordance withapproved plan In the es of work which requires a.review and I of . •
x V/ • i /POI Mi17
r/,,i i , / "A. .
Applicant's Printed Name p • "" ` -s• Ignature Y
Use (SLUE or BLACK Ink
For OfficeU;~o-_---1_r- I
c~~D
ow I
AAA /TL.( 1 I
City of Walt WA PkJ HM4 I Permit
I Permit Fee-
3330 I
3330 Pilot Knob Road I
Eagan MN 55122 1 1 t
Phone: (661) 675-5675 RECEIVED Date Received:
Fax: (651) 675-6694
~ M ~ i Staff:
J~ -
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: ----p~..
~Y'497 0777 %l~J Phone:ly/o?-,i.3 e's
RIWdon'tJ
O'Wnor Address / City / Zip: O /<Dr 5S )2-2.
Applicant Is: Owner Contractor
. Description of work: S r O~IG/!~C
Type of fork ~o/aGwe
Construction Cost: Multi-Family Building: (Yes No
Company: a) L410 Ill Contact;
COt7~rsi:Et)`f, Address; ttQ ,s►"~°fi1 - _ City: 1
State
, -OW zip: S610
P
Phone:
loll
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional informaltion
TD
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:
Na7'E:` Plains an'd,support~ng documents
'lhat you tubi"it,'a~r~e•.Cbnsidored-to be pub9c4 forrr►at pn~ ;Port ~~s of`
the ~nforma~'ion mray be classified as nah-►public if YOU protrlde spii'cilfic reasons their world 06irrrii it 6i 611* to
conclude that the ` are_t}'ade iecrets: .
CALL BEFORE YOU DIG, Call Gopher State One Call at (651) 454.0002 for protection against underground uglily damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www.gooblEs-tateonecall.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.
Exterior work authorized by a building permit issued In accordance with the Minnesota Sta 9ulyding Code must be completed within 180
days of permit Issuance.
x
A
ppZA nt ed Nam
ignatu
Page 1 of 3
. } Qj6)- ~ Pin eeIL Vv- D(/-?DO NOT WRITE BELOW THIS LINE /
SUB TYPES
_ Foundation _ Fireplace - Porch (3-Season) Exterior Alteration (Single Family)
Single Family ^ Garage Porch (4-Season) Exterior Alteration (Multi)
Multi , Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of ^ Plex - Lower Level Pool _ Accessory Building
wo_RK TYPES
_ New Interior Improvement _ Siding Demolish Building'
_ Addition _ Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace _ Repair Egress Window _ Water Damage
Retaining Wall 'DemollYlon of entire bullding - give VCA handout to applicant
DESCRIPTION
m
Valuation 3~D Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%-E Zoning City Water
Census Code .~4 Stories Booster Pump
# of Units ! Square Feet PRV
# of Buildings / Length Fire Sprinklers _
Type of Construction Width
FQQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Roof: _,._,Ice & Water Final Pool: Footings Air/Gas Tests Final
Framing Drain Tile
Fireplace: „Rough In Air Test Final Siding: ,Stucco Lath Stone Lath Brick
Y Insulation *of Windows
Sheathing Retaining Wall: _ Footings _ Backfill Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee J/ $
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL ts ,ZS
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123115
Date Issued:05/29/2014
Permit Category:ePermit
Site Address: 2098 Pin Oak Dr
Lot:004 Block: 003 Addition: Vienna Woods
PID:10-81950-03-040
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 .
Chris Amiot
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 -
Sharon J Bennett
2098 Pin Oak Dr
Eagan MN 55122
Advantage Construction Inc
18563 Vermillion St
Wyoming MN 55092
(763) 413-7245
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129565
Date Issued:02/24/2015
Permit Category:ePermit
Site Address: 2098 Pin Oak Dr
Lot:004 Block: 003 Addition: Vienna Woods
PID:10-81950-03-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Sharon J Bennett
2098 Pin Oak Dr
Eagan MN 55122
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan , , , Permit Type: Building
3830 Pilot Knob Rd ',�r Permit Number: EA156888
EaganMN 55122 :+ .� E IN Date Issued: 07/24/2019
, •._- -,_
(651)675-5675 -w Permit Category:ePermit
www.ci.eagan.mn.us
Site Address: 2098 Pin Oak Dr
Lot: 004 Block: 003 Addition: Vienna Woods
PID: 10-81950-03-040
Use:
Description:
Sub Type: Windows/Doors Construction Type:
Work Type: Replace
Description: One Window/Door
Census Code: 434- Residential Additions, Alterations Occupancy:
Zoning:
Square Feet: 0
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
Fee Summary: BL-Base Fee$1500 $62.50 0801.4085
Valuation: 1,500.00 Surcharge-Based on Valuation$1500 $0.75 9001.2195
Total: $63.25
Contractor: - Applicant - Owner:
Home Depot USA dba The Home Depot Brian Busanich
2455 Paces Ferry Rd 2098 Pin Oak Dr
Atlanta GA 30339 Eagan MN 55122
(763)852-1044
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.
Applicant/Permitee: Signature Issued By: Signature