2108 Pin Oak Dr, . CITY OF EAGAN 'i 1 i 9 8 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
eUILDING ?ERMIT aKeia #
Tr be u"d ier Est. Value Date 19 ?'
Site Address Erect ? Occupancy
Remodel ? Zoning
L?t Block ?c/Sub.
Parcel No. Repefr ? Type of Const.
Addition ? No. Stories
Move ? Length
W Name Demolish ? Depth
; Address Int Impr. ?
b ' Sq. Ft.
City Phone ? Install O
Name Apyrovols Fess
?
0? Addresa Assessment Pennit _
City Phone Woter b Sew. Surcharpe
Police Plan Review . ? .
?
?W Name Fin SAC , - U -
Z
?? Address Enp. Weter Conn .00
OCW City Phone Plonner Water Meter i).a. 00,
Council Road UNt -' ?? ?-? • '? ?
I hemby acknowfsdye thot I have read this opplication ond stote thot Bldg. Off. - '?- ` Tr. PI. `•`' tJ
the inlormotion is corcect ond cgree to comply with oll opplicable
Stafe of Minnesoto Stotutes ond Ciry of Ecgon Ordinonces. APC Pa?'ks
Var. Dete C?i?
5ipnoture ol Pem+ittee
Total
N Buildiny Permit Is isswd w: on ths express corbdition thoi
oll work shall be done in acaordonce with oll opplicoble State of Minneaoro Statutes ond City of Eapon Ordinances.
(
9uildinp Official
H.VA.C.
Ekoctric
Soitwsr
I Inspection Date I Insp. I Other I
Footlnps I
Footings 11
Htp.
Final
Wsl I
Rnaipt MECHANICAL PE
CITY OF EAGE
F/l/ in numbered e
1. Dete 2. Installation
Permit No. ' I
Fes ?
S/C
Tot
3. Job Addreu?' Lot Blk. -" Tract--7?-
4. Owner
't ,
t
5. Conuscto'r ? F `• Phone I =
6. Addrsss
7. City -State ; Zip
8. Building Type: Residential 0'- Commercial ? Institutional ?
9. Work DescxiRtion: New ? Add ? Alter ? Repair ?
10. Describe Fuet Type
11.
No• EQuipm= 9TU - M. Ea.
Forced Air No. Eau+pment CFM
Air Handlin
:
Mfg, g
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mfg. .
?'.
Air Cond. Other
Mfy.
Gas, Piping Outlets
12. I hereby certify tfiat the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: - ? for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt? PLUMBING PERMIT Permit No. - ? ?
CITY OF EAGAN
Fee
Fill in numbered spaces ?
S/C
Type or Print legib/y T
t
o
.
1. Date 2. Installation Cost .
3. -
JobAddress .)/L. -?;A/( LotBlk. f 1 I
? Tract`--'
,
4. Owner j 1 6 r 4
5. Contractor L/. C, • - • * /-/ .- ?: ?i Phone l 3
6. Address ? ?: c s ? • f ? = f f , % ..- ?
7. City State Zip
8. Building Type: Residential )RI Commercial O Institutional ?
9. Work Description: New 01 Add O Alter ? Repair ?
10. Describe
11
No.
_ Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
/ Bath tubs Septic Tank
s Lavatory Softner
f Shower Well
/ Kitchen 5ink
Urinal/Bidet Other
Laundry Tray
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition VIENNA WOODS Lot 2 Blk 3 Parcel 10 81950 020 03
oWner street 2108 Pin Oak Drive state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. IIDP:lI 1981 .2834.45 283.45 10 /13 , dIP/
STREET RESTOR.
GRADING V,73 58,77 oZ • 3'3-
SAN SEW TRUNK /ff 197; 129.78 $ A J?- -
* SEWER LATERAL ?-
i
*
WATERMAIN
* WATER LATERAL
* WATER AREA
,r STORM SEW TRK
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER,
SAC 525-00
PARK
CITY OF EAGAN
3830 Pilut Knob Rwd
P. 0. Box 2 i 199 PERMIT NO.:
Eagan, MN 55121 DATE:
2oninp: No. oi tJnits:
Ownsr.
Add?ess: -
Site Address: - t•?c?rPlumber. - • _ . '. _ . :
7100
1 ym to pwpir wilh tio Cihr of Lqpn
Oriiwmawaw
By
Dote of Insp.:
CITY OF EAGAN
3830 Pilot Knob Road
P. O..Box 21199
Eagan, MN 55
Conntdion c3,aroe:
Axount Depo:it:
Pertnit fw:
Surchcrpe:
Misc. CFwrpss:
Total:
Oots Pn1d:
WATER SERVICE PHlMIT
PERMiT NO.:
DATE: z
fng: T ? es r-o nst .„o , Na of Units:
g
ress:
to ?rc?: - ' P in Oa c Dr. _:S enna w oo s
umber. .' T'e ? _t
r No.: .?/3 0U.-
u: • j 'L• -
: ?.:4orn 9D6 FNC?;aE-??" ???t . ,.
.,fte to em.ti wkk w.
?3?p?!'?
?.Raa. Misc. G,o?ges:
,-?+ ? Y..... Totak , 3. OOpd teter
Dote Poid:
afInsp.: 3-S'(0 '^swp.:
CITY OF EAGAN
3830 Pilot Knob Rasd
P. O. Box 21 ; 09
Esgan, MN 55121
Zonirg:
Owner:
Addmst _
$Itr Addl'lSS;
Plumbar. ._
Mete? No.. _
Size:
Reoder No.: .
No, of Units:
at. r0.
GIIIfa
I"M !o eMplp rrft !w Ci1y ef F41900
Ordi"nam
WATER SERVICE PERMff
PERMIT NO.:
D/1TE:
Connection Chorpa;
Ikaoimt Deposit: .
Pertnit Fee:
Surchorye:
Misc. Chornes: .,
7
Tocol:
?y Dote Paid:
Dofe of Iriap.:
Irup.:
RESIDENTIAL
BUILDINC PERMIT APP!lCATION
` CITY OF EAGAN /
# y6106 3830 PILOT KNOB RD - 55122
651-681-4875
NewConstrudlonReauiremenls RemodeUReoairReauiremeMS - -
• 3 registered site surveys showing sq. R W bt sq. R W house; and all roofed areas • 2 eopies of plan
(20% maximum bt wveroge allowed) . , . 1 set of Energy Calalatiau for heated eddfions
• 2 copies of plan shoxing beam 8 window s¢es; poured fouM Oesign, etc.) • 7 site survey for extenor addNwis & deck5
• lsetofEneigyCala:atians
• 3 copies o(7ree Preservation Plan'rf bt platted after7li193 . Rim Joisl Detal Options selec6on sheet (bldgs with 3 a less unils)
DATE I o? VALUATION (EXCLUDING LAND) I? ` -1 i? 25 .
jJB SITE ADDRE55 2IOFS Q) n1 Dcv, 1 q 2/
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PRGPERTY 'vvdN"eR 1 )I r-J
TYPE OF WORK
APPLICANT 0?QlEM- l?PCll? InI l n1DDuJ d` SiD
ADDRESS,`tIaSD v,+1IL& 001 V P__?l
PAGER # CELL PHONE #
FIREPLACE(S) _0 1 2 3
• PHONE # qSy • F9/
ZIP CODE 5s 2
FAX# 9s2 -&9/ -y2(7)
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
ener9y Code Cate9ory _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category t Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Ptumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor.
blechanical System Includes:
Sewer/Water Conhactor:
Alt above information must be submitted prior to processing of application.
Phone #
Phone #
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is corj!ft+ ^^ y with
all applicable State of Minnesota Statutes and City of Eogan Ordinances.
Signature of AppOcant
Certificates of Survey Received _ Tree Preservation Plan Rec i d _ No uired _
_ Water Softener _
_ Water Heater _
_ No. of Baths
Phone
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
Updated 1101
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3•sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi
? 05 03-plex ? 11 10-plex ? 19 ' Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to appl icant
Valuation
CensuS Code
SAC Units
Nbr. of Units
Nbr. of Bidgs
Type of Const
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Warer Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
REQUIRED INSPECTIONS
Fmavc.o.
FinaUNo C.O.
_ Plumbing
HVAC
MC/ES System
City Watei
Booster Pump
PRV
Fire Sprinklered
Other
_ Pool _ Ftgs _ AulGas Tesu _ Fina]
_ Siding Stucco Stone
_ Windows (new/replacement)
P.pproved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge.
Treatment Plant
Piumbing Permit
Mechanical Permit
License Search
Copies
O[her
Total
Building Inspector
CITY OF EAGAN N° 1 1 19 8
?'? •R 3830 Pilot Kno6 Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100 ?!rl/D U
BUILDING PERMIT Reuia #
Ts M uwd_for_ SF DWG/GAR Eo, Volue $112,000 pate OCTOSER 31 ly85
SlteAddreu 2108 PIN OAK DR
Loe2-siock3_Sec/sub. VIENNA WOODS
Parcel No. _
? Name TILLGES CONSTRUCTION CO
; Address P.O. BOX 905
U icity LAKEVILLE pho,e 469-2144
o Name
s' SAME
?? Address
? City Phone
?Z Name
x0 I
Address
Z
i
"
tu
City Phone
ereoc o«upancY R3
Remadel ? Zoning RZ
Repair ? Type of Conat. V
Addition ? No. Stories
Move ? Lengeh 58 '
Demolish ?
? -
Depth 40
Int Impr. ? Sq. Ft.
Install ?
Apvro.els Feea
Assessment Permit $ 463, ? 0
Worer 3 Sew. Surcharge 56 _ 00
Police PlanReview 231.50
Fire SAC 525.00
Enp. WaterCOnn. 500.00
Plonner waterMeter 63.00
Council RoedUnit 280.?0
I hereby acknowledge tFwt I hove reod this aDDlication ond store rtwf BId9. Off. 1 O 23 8 Tr. PI. 132 . 00
the information is correct and q ree fo comply with all applicable APC
Stofe of Minnewro Sfatutes a d
City of Ea4an Or irpnces. parks
Var. oate Copies
Slpnmum of Perminee 52,250.50
N euildinq Permit Is iuued w: Totel
LGES CONSTRUCTION CO w the express cwditlon thoi
all work shall 6e done in occordance with oll ?avPpl?' ?a61a Stufe Minl? wto Stafutes ond City of Eaqon Ordinancea
Buildirq Officiol (,7l?t--n -!?? _ ?
L?
CASH RECEIPT
' • . CITY OF EAGAN
• + P. 0. BOX 21-199
EAGAN, M Nl NE?OTA 55121
DATE
AMOUNT
?
•
19
FUNO CODfi ' MOUNT
/J / i i ?U c?CJ
2,
lD U
Thank You
g
N_ 57282 _
White-Payers Copy
Vellow-POSting Capy
Pin4-Filn Gov
& ODLLANS
?oe
E] CASN CK
? 549 8
?? ?
Re uest Oa?e
? Fira No. Rough-in Inspec[ion
Require0? _
eatly Now O WIII Notly Inspeclor
wn
h n
a
?
? ves o e
ea
y
to'ricensed contractor p owner hereby request inspection of above electrical work at:
Jo0 Atltlress (Strcet BaK or Roma No.) Ciry
Section No. Township Name or No. Ranga Na. Counry
n
/7"
Occupent(PRINT? Phone No.
PowerSuppher qtltlress
?
Elecvicai Con[raaor ?COmpany Namei
I40 L 4%G'OG /.YG Contrector5 Licanse No.
C?d09'G'?
Maiiinq AOdress (G vacror or Owner Meking Installation)
,?.
Aut? IgnaWre I ontt nOwner Makinq Installalion)
- Ppon Namber
Go -G
MINNESOTA $TATE 9UARAF ELECTRICRY THIS WSPECTION REOUEST WILL NOT
Grlggs-Mltlwey BIAg. - Room ^s173 D 6E ACCEPTEO BV THE STATE BOARD
1821 Univeqlly Ave., SL Veul. MN 551M UNLESS PROPER INSPECTION FEE IS
Phone(81R)8C]-0800 ? ENCLOSED.
L 54968
REOUEST FOR ELECTRICAL INSPECTION
? See insVUCMions br comp'eting Ihis foim on back ol yellow cnpy.
'7(" 8elow Work Covered by This Reques(
??N
E&0000108
ew AGd? eP. ' rypeolBuilding AppliancesWiretl EquipmentWiratl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specity)
Comm./Industrial Fumace
Farm Air Conditioner
Other (syeciry) Contrector§ Remarks:
Compute Inspecfion Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/feeders Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Transiormers Abov1200 _ Amps Above 700 _ Amps
SignS Inspecmrg Use Only: TOTAL
Irrigation Booms
?
? ?
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Aouqh?in
Final r oete
oe? p G
( 6
OFfICE USE ONLY •
This requast wiC 18 months 1rom ~
//
VOI(l I1;
?m J
S
... .._. __'..
/?j( Fe?qyuire?_,
d? ..-..__.,..- olie;aAY NuwI LYwiil Notiiv Insoeo-
/ ? /D ? C/ J^ }9Ves ? No ? ?tar When Re;aAY
?Lfcensed Electrical Contractnr I hereby request inspection of ebove
? Owner xlecVical work installed at:
Street AdAress, Box or flou No. Citv?? I
ecvon o. Township Name or Nn. Fanee No. County
Occu antIPPINTI
1 ?c=. S C'cr?S?. Phone No.
U (zc--/ - ? r ? f
Power Svooher Address
EI hical Cnntraclor ICompanY Nxmel
` Conv;ar.m,"s Lie?? se: No.
M /9 Address (Cont[o?r or 7Owner Mnkilnstallati?
<G?
Au e$iBnamre IConh /Owner Mekin ? s[allatioN P Number
?C-63 ?y
MINNESOTA STATE BOARD OF ELECTPICITY THIS INSPECTION HEQUEST WILL NOT
Gri09s-Midwxy Bltle. - Aoom N-791 BE ACCEPTEO BY THE STqTE 90ARD
1821 UnivefsitV Ave., St. Paul, MN 66104 UNLESS PflOPEN INSPEC110N FEE IS
Phone (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-00007-04
See inatructions for complating this torm an baek of yellow caOV.
S4w7r , ^ y
?= n'7 ?(? n7S "X" Below Work Covered by This Request I_?i I q,V
AAd Rep. Type oi Builtling AoPliances WinO Equinment Wired
Home " Range Temporary Service
Duplex Water Heater Lightiny Fiztures
Apt. Building ?ryer Electric HeaLn
Commercial Bldy. Fumace Silo Unlonder
Industriai Bldg. Air Conditioner Buik Milk Tank
Farm oinr. oeci v <<ne, (Snoniry)
t er Snecify Oiher 01her
Compute Inspectian Fee Below
p Fee Service EnVanceSize q Fea Fexders/SUbfeeders tt Fee Circuits
= 0 to 200 Am >s - 0 to 30 Am s 0 in 30 Am s
Above 200 qm>s 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 700_Amps Above 100_Amps
Transfonners Irrigation Buoms SO Partial.Other Fee
Signs Sueciallnspection ^
$ `J
Y - ?
TOTAI
Remarks C. ? f
6
-J
/
Rough-in
1
Final
1
^%. [ the Elac[`ca/
IInspector, he?aby
cerUW [hat the abova
inspaction has been
mada.
Thle repuesl voitl 18 montlu Irom
PERMIT #: 5"' (G,3
CITY USE ONLY
RECEIPT DATE:
8008 RUIUENTIAL MEGHlkNICihI. PSRMIT APPLICATiOR
crrY oFEAs,4x
3$30 fI1.OT KA08 RU
gEkHikN b1N $5122
651-6$1-9675
Please complete inr: ? single family dwellings
townhomes end condos when permits are required for each unit
Date: 1? - ' 7 -o ;?_
SITE ADDRESS:
OW NER NAME:
INSTALLER NAME:
STREE7ADDRESS: Q J'?*
TELEPHONE #:
TELEPHONE #:
L?ILY6(9S"3,j
CITY: STATE: m.-n- ZIP
Place a check mark next to the permit work type
Add-on, modification or alteration to existina dwelling unit $ 30.00
o fumace replacement
• air exchanger
• airconditione_
. ot er OCT 0 8 ?rn7
Nature of work: I
BY - - l
State Surchar e $ .50
rotal 5.?. S?`j
I 1'URE OF PF? I TEE
? tlaz
CITY USE ONLY
PERMIT #: RECEIPT DATE:
APPROVED BY: , INSPECTOR
2002 COMMMCIAI. MECHMICAi. fERM1T lkPPLICi4TlON
CiT'Y oF EASAN
3830 PiLOr xxo$ ftn
E46M, MR 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY: STATE: ZIP:
TELEPHONE #:
WORK'I'YPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
ProcessedPiping '
Specify Nature of W ork:
When installing/removing underground tank, caU 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price D$ $50.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
Contractprice: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Basa Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated ll02
I
i
? /Z?l irA 2/84
?' 30,o a
% CITY OF EAGAN
APPLICATION FQR PERMIT ?
- SEWER AND/OR WATER CONNECTIOTT
(PIEASE PRINT)
1) PROPII7IY ADBRESS: D g '„1 O,p
r.Frar DESCRIPTIC:I: l?? 3
fLot/Block/Subctivi:sio or Tax Par ei I.D. Ntunber)
.T'r E{I=-:G ST.4L'CPi2E, DaTE OP ORIGI,'AL BIIILD2.^;G P=ST ISSJr?i?G:
(r.?oc_-, =?ar-
PRESr : :.^.,`7li:r:/F RC)POS='D JS=-: f?R-1 SIINGLE rPYSLY
CI R-2 DUPI,EX (7tiv'p UiN2TS)
? R-3 TOW[VHO[JSE (THREE + iJDIITS) ( i]DIITS)
? R-4 APARZPAa+T/CoDIDCMPitICM ( LSliITS)
? CpMME2CIAL/RETAI7/OFFICE
? L\MUSTRIAL
0 INSTITUTIONAL/GOVERIZIENT
2) ppp=mynr
NAME: (PLEASE PRINi)
ADDRESS:
CITY, STATE, ZIP: ,
PHO*i\E:
3) PLu,sER
NPME: , PLEASE PRINT)
?C GteerY KzLI FOR CITY USE ONLY
t
ADDRESS: ? p g ? p ??[y f t ?? ? PLUHBERS IICEHSE:
?? Activ
CITY. STATE, ZIP_ ?, rF ?? `t ????`t /T I4? ? j o 3?`? C] Ex red
PHONE= $
irf PLUMBER LICENSE , ot af Record
a nt ia
t}) CCCUPANr/a,ZTER ? (YL[0.St- PH1NT)
tut:M: 1.117-r's C.Ae i T
aonREss: a2es_iG ?-
CITY, STATE, ZIP: j,,kY- ?.???? t7..1 3 S n N`/
PxorrE: y c17 -a r v
5) INDICA'PL WHICH PEP.MIT IS BEStvTG REQUESTID:
X. COAINELTION TO CITY SEWER
` CO.ti',1F?PYON 2b CITY WATER
/ '
? 0'I'f.EE2 (PLEASE DESCRIBE)
b) UNE:
?
?
P=E AOID RPPRCSVED PERMIT FOR PICK-UP BY ONE OF ABWE
PLEASE MAIL APPROVID PERMIT 'IY) 1, 2, 3, 4 P,BCft7E
(Circle one)
7) SICATL'RE: r°
DATE:
,
' '6s -
!INa:aFililEJOi??I!l??.l?aflli?[1wt?f.`a-??#iaalfwfAi;s'saaill?a\1!alIR:?Ffre?
. . . . .. ... . ???' -?'.?PO
F 0 R C i T Y
PERMIT °: ISSUED
$ 0 S E O N L Y
F°E5: $ //; -C -o
$ / /G S (?
$
$
S
S
$
S
$
$
$
a
SE7"7ED DEANTT (1`_iC:.D:. JU°CH?RGc.)
WATER PERA1IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATi.R TAp ( IiICi.UDE CORPORATION STOP )
SEWER TFp
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
wAC
SAC
TRUNK WATER ASSFSSMENT
TRUNK SEWER ASSESSilENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTAER
$ TOTAL
$ AM0UNT PAID/RECEIPT #
<??--
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLZC ROADWAY" MUST BE ISSUED BY THE
NO ENGINF.ERING DIVISION. LTST AS A CONDI-
TION.
SUBJECT TO TFiE FOLLO?9IVG CONDITIONS:
APPROVED BY:
TITLE:
DATE: _ '?//t/? lki
wss? w" w =;Pm n w Ncmoe u*m
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 2760
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 R y'
? 651-681-4875
New Conefruction Reauirements
? 3 regisiered afle surveys showing sq. fl. ot loi, sq. R. of hcuse
and all roofed areas (20% moximum lot coveraae allowed)
? 2 coples of plans (show beam 8 window sizes; poured fnd. design; etc.)
> 1 set of energy calculaBons
> 3 coples W hee preservatton plan H IW platted afler 7/7/93
DATE: ci ?
DESCRIPTION Of WORK:
Remodel/Reoalr Reatiirements
2 coples oi plan
7 set of energy calculattons tor heaTed addHlons
7 sMe survey for exterior addklons 8 decks
CONSTRUCTION COST:
STREET ADDRESS: ar, k Dr. v
LOT: ? BLOCK: Sl1BD./P.I.D. #: V`?V\_ V?? w UU 19C-0
Name: /1?lSu?? ????t7 Phone#:
PROPERTY tast Flrst
OWNER ? O0.K !?l
Street Address:
City 1;0+-? State: :/"IZip: ?/21-
ComPanY: 17M-4?,4Sa fk..vsUna 60n9ic,[4+' Phone#: G/2-
(orea code)
CONTRACTOR L
StreetAddress: lZZy??40/ 1?4 Af• S License# '?0??`T193 Exp. 3Z660
City ?+tirns?,"?le State: ?'?/V Zip: 5_?3-2_
ARCHITECTJ
ENGINEER Company:
Telephone #: area code ( )
Street
City
Sewer 8 water Ilcensed plumber (reauired for new consfructlon onlv):
Name:
Registration
State: Zip:
Penalty applies when address change and lot change is requested once perm(t Is Issued.
I hereby acknowledge fhat I have read fhis applicaHon, sfafe that fhe informatfon fs cortect, and agree to comply wifh all applicable
Stcte of Minnesota Statufes and City of Eagan Ordinances.
Slgnature of Applicant: ?? ;/"? - -
OFFICE USE ONLY -
Certificates of Survey Received
Yes No
INi 1 0 _-,
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Firepiace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage 0 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 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 Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
0 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowa6le)
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 Code
No. of Units
No. of Bldgs
MC/ES 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:
SAC Units
Valuation:
% SAC
? i 5?/??r So7?
. ? •' y / / + ' ?
l ?
?
1985 BUILDING PER1iIT APPLICATION - CITY OF EAGAN
2JOTE: ALL CONTRACTORS l9UST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
7 SET OF ENERGY CALCULATIONS
1 {? o00
To Be Used For: t j/Valuation Date: r!y Z as
Site Address: 2m f7mDC{?./ O^/W
Lot: ? Block y? Sect/SUb ?
Parcel #
Owner, :h rl?..s l h5?y?,?lC?/Gy ?
Address ,40yg?
City/Zip Code
--T
Phone 04!??
Contract or e2p.
Address T-???ju rqd?-
City/Zip Code
--?
Phone Z14 9- 4/SL
Arch./Engr.
Address
City/Zip Code
Phone Ik
OFFICE USE OIdLY
Erect K Occupancy R.3
Remodel Zoning V•i
Repair Type of Const
_
Enlarge # of Stories
Move Length 516
?emolish Depth 4-0
Grade _ Sq Ft
APPROVALS
Assessments Permit 4Cv3
'Aater/Sewer Surcharge
Police Plan Review
Fire SAC 52-5•
Engr Water Conn 500.
Planner Water Meter (03.
Council $pad Unit 260.
pf-$
B1dg Off7o,
SParks
APC Treatment Pl 132.
Variance .
TOTAL
o- *
463•00+
56-00+
231 ° 50 +
525-C0+
SCO^00+
63•00+
280• 00 +
732•00+
2r250=SOm
S()
:
2£?K2c?
i - 25zx 5? = ?4?r6
4 x I c`? f
- c? G, c)
?o K22
z?, 2b ?- 784-?- 44
44?
?.
if(q2,5
l.. •
EXTuRI0i2 rNVLIA?E AVERACE "U".COMPUTATION
GWNER ?? ///.?.;????.. f /. ? -f,: ? : . r.-:.i;i.• ? -
7• '• ' ? " ,' '
ry ? ? ??p
SITG ADDRESS ???Q 1? 1 ?l [?'. iee?• ???'?C . ? ,
DATE iV,???*-' ' .. ruo,;c 4q- ? ? .
T
?.
Deeermine workinq square footage?of each.
1. Total.exposed.wall area .... •?r' sq. f't."x
. ...?; ??a
2. Total roof.ceiling,arca ...... i?'?.`:?.• . sq. ft.,x •025
Total exposed wall area above floor = L? o?-
a. Total wall window area ............:...................... p„ O
b. Total door area............................................
c. Total slidinq glass.door area .............................. ?po
d. Total'fireplace wall area ....... ......,.............. .
e. Total wall framing area (average 10'c) . . .. ..... ... ..........
f. Total ne,t wall area above floor............ . ...............
g. •^,otal rim }oist area ..............:....................... ? ?g.OL7
Total exposed £oundation area = / e)4
h. Total foundation window area ......................... .. ??c.7
i. Total net Eoundation area above gz'ade ..... ............?...
Datermine "U" value of each wall seqment.
a.__?`LG, X "U"
. . . . b• X ..U,,
c. L'p x ?,U„
a. Lc,^ X „U.,
x ,.u.,
X"U"
f
g. •??? ,,y,, x ?.u..
n. x ,lu.l
• ?..
i. ., .,p x %„
fJ???° ?O??J?r.e
,31 ? ,g8
a PS? a 7? J?
l. . . .
WA
........... .... ...................TOtal' 2 7'f, ?2
If item N3 is tiia same as, or less than item nl, you have met the intont
of SBC 6006(c)2'. '
. ? „
:otal exposed roof/ceiling area = /O 7 ?-
, - j. Totai skyliqht area ..................:.................... /ve,
', i:.Ci •
k. Total roof/ceiling frarcing area (average 10%) ............. 4
1. Total net insulated,roof/cailing area ..................... C
?
Detormino "U" value Eor eacn roqf/coiling segme,nt'.'
. . . / } . ? .
, ] • ,/?iG;"lr.`[a . X U..
k: "107,,AO x- "U" , OS 1. x dvl.
. 4............. .........................TOCdi
Tf total of #4,is the same as, or less than 42, yoU have mat the intanC o:
SBC 6006(c)1...
S ,
Alternate Suilding.Envelope Design
To ut:lize the toral envelope system method, the vaiues establishad by the
' sum of items #3 and 04 shall not be greater than the sum oF items kl and 02.
i. ?Gb,9Co o z.
??, ??? = 299 , 57 • , .
+ 4..
, ., .
;.
,: ..
. .
.
.
.
~ Y~ _ ~
. _ _ _
' ~L~ ~1"1'.a~ ~
a r~ ~
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k S
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2108 Pin Oak Dr
Lot: 2 Block: 3 Addition: Vienna Woods
PID:10- 81950- 020 -03
Use:
Description:
Sub Type: e - Furnace
Work Type: Replace
Description: Furnace
Comments:
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
PERMIT
City of Eaan
4/30/08 Notification letter sent regarding expired permit pf
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
952- 445 -2840
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
- Applicant -
Owner:
Dinh V Nguyen
2108 Pin Oak Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA080186
10/02/2007
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118225
Date Issued:10/29/2013
Permit Category:ePermit
Site Address: 2108 Pin Oak Dr
Lot:002 Block: 003 Addition: Vienna Woods
PID:10-81950-03-020
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
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dinh V Nguyen
2108 Pin Oak Dr
Eagan MN 55122
Advantage Construction Inc
18563 Vermillion St
Wyoming MN 55092
(763) 413-7245
Applicant/Permitee: Signature Issued By: Signature
JUN-28-2017 15:59 FROM:TRES ILFOUNDAT ION SYS 3205938720 TO:16516755694 P.2'5
Use BLUE or BLACK Ink
For Office Use Li3DI
City
of Eaan 2-3
3830 Pilot Knob Road Permit Fee: ,
Eagan INN 55122 RECEIVED nate Recel+red: '�l""
Phone:(661)675-6676
Fax:(651)6754694 JUN 2 9 nu Slam
2016 RESIDENTIAL BUILDING PERMIT APPLICATION IJ ,`1
Date: a-..2i1/7 Site Address: glOg /2n ()ail Dr- Unit 6: 1A1) "-‘
Resident/ Name: Phone:19".1154-9351
Owner Address/City I Tp: N4-4/724.-
Applicant
/yApplicant is: Owner Contractor
Description of works / 3/�1) 16 ILO_J/`%r '/ / �� l
' Type of Work 7�/bU
, Consbuttion Cost; JOi Multi-Family Building:(Vas I No.
Company: Jesse Trebil Contact Christine
Address; 60335 us hwy 12 Litchfield
Contractor City;
State: Mn Zip: 55 Phone: 3205938729 Email: Info@safebasements.com
`Ucenee u: BC446489 Lead Certificated: NAT11062299
If the project is exempt from lead certification, please explain why: •
COMPLETE THIS AREA ONLY IF CONSTRUCTING A MEW BUILDING
In the last 12 months,hae.the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
, Mechanical Contractor: Phone:
I
Sewer&Water Contractor: Phone:
Fire..$uppresaion Contractor. Phone:
NOTE Plans•and supporting documents:that you,submit ara considered to be public Information: 'Portions of
the Informseion may be classified as non-public if you provide specific reasons that would permit the city to
conclude.thattrhe are bade'secrets.
CALL BEFORE YQ9 DIG. Call Gophsr$tats Ono Call et(651)&58.0002 for protection spinal underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utlllties. wwwv aooherstatoonecefl.oro
I hereby acknowledge that thio Information is complete and accurate;that pie work WO be In conformance with the ordinances and Codes of the City of
Eagan; that I understand this is nut to permit,but only an appllcabon 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 ease of work which requires a review and approval of plans„
Exterior work authorized by a building permit Issued In accordance with true Minnesota Stats Building•Cede must be completed within 180
days of permit issuance.
:Christine Smith
Applicant's Printed Name s irk "'Neti" "
Applicant's Signatues
,Pa0e.1 of 3
. . 7,A tpc8/ eon o‹ K.--101.--
DO NOT WRITE BELOW THIS LINE /I/gDJ /
SUB TYPES
Foundation — Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
4 Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Flex — Lower Level — Pool — Accessory Building
WORK TYPES
New — Interior Improvement _ Siding — Demolish Building*
_ Addition _ Move Building — Reroof _ Demolish Interior
_4 Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_100% ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
—
Footings(Deck) Final I C.O. Required
Footings(Addition) X Final I No C.O.Required
—
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour )( Drain Tile itr
Fireplace:_Rough In Air Test _Final Siding: Stucco Lath Stone Lath Brick_EFIS
—
InsulationWindows
—
Sheathing Retaining WI:_Footings_Backfill_Final
—
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
—
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 11/ , Building Inspector
RESIDENTIAL FEES
Base Fee /
6 1)11 '4
Surcharge "‘ /1 ythi�
Plan Review )fV s� y4
MCES SAC $" 'I
0)6
City SAC Utility Connection Charge (.9\15(
117,',
S&W Permit&Surcharge YYY////
Treatment Plant /11 V 0
Copies 1
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154113
Date Issued:02/20/2019
Permit Category:ePermit
Site Address: 2108 Pin Oak Dr
Lot:002 Block: 003 Addition: Vienna Woods
PID:10-81950-03-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dinh V Nguyen
2108 Pin Oak Dr
Eagan MN 55122
Dean's Professional Plumbing
7400 Kirkwood Court N
Maple Grove MN 55369
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168339
Date Issued:04/19/2021
Permit Category:ePermit
Site Address: 2108 Pin Oak Dr
Lot:002 Block: 003 Addition: Vienna Woods
PID:10-81950-03-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dinh V & Kim C Nguyen
2108 Pin Oak Dr
Saint Paul MN 55122--234
(651) 456-9357
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature