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2116 Pin Oak DrDate: y of Foul 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit*: � Permit Fee: ic::'Iy-C) i Staff: 2010 RESIDENTIAL BUILDING PERMIT -APPLICATION /11/ 6 id - Site Address: 9-1/ to it/n Tenant: Suite #: • RESIDENT /OWNER Name` /Y (4 & PhoneL Cl i#143 --i337 Address / City / Zip: ?// Le yr vi ditie- Die... Applicant is: Owner >e Contractor TYPE OF WORK LY — )`� k01' Description of work:(- (,OJ _,/ Construction Cost /? 4-:- < Multi -Family Building: (Yes CONTRACTOR Name: Budget Exteriors _ License #: i1��e#4/' r _ Address: =t 8017 Nicollet Ave S. _City. Blootmzlgtoiii, MN 55420 State: " PH: (952)887-1613 F: (952) 887-1659 Contact COMPLETE In the last 12 months, has If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes _No Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the infonnatfen may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DiG. Call Gopher State One Cali 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.ctopherstateonecaii.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 win be in accordance with the approved plan in the case of work which requires a review and appr. • plans. o x (�� t1Gd��1�, Applicant's rinted Name City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 EVE D JUN.1 4 2010 113S`0`= Use BLUE or BLACK Ink For Office. Use Permit*: iiY %5`Y? / Permit Fee: 90. Date Received: In -/4L /' Staff: /L 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (e iQ --to - Site Address: ?III Le Pio Da- IZ-' 012-. Tenant: Suite #: J RESIDENT / OWNER Name:—III(11Y1ILA MOPhone: 161 ' 695-939 Address / City I Zip: 7--.I 1 Li Pi V) 6(04- D le --- Applicant is: Owner >` Contractor TYPE OF WORK Description of work: Res i at Construction Cost: (Or q 1 LI 4i- Multi -Family Building: (Yes / No ) CONTRACTOR Name: License #: 62 6e-04/ -f,8ut4jet Exteriors _ Address 8017 Nicollet Ave S. City: Bloomington, MN 55420 _ State:.,,,, 1-877-310-1741" F: 952.8874659 Contact: COMPLETE In the fast 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would penult the City to conclude that they are trade secrets CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. copherstatoonecalt-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 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 approv of plans. (j);tkahf h/A Applicant's Printed Name x Applicants S gnature Page 1 of 2 - CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGA(V, MINNESOTA 55122 bATE ? 19 ? ~ REC EI V ED PROM . . . j j ,' . . r AMQUNT $ Jb? 0/40? & DOLLARS 100 ? CASH ? CHECK FUND GODE AMOUNT ? ? ?. Thank You BY_ ??. 14C • L ? . White-Payers Copy Yellow-Posting Copy Pink-File Copy ?---?-- . BUILDING PERMIT Ts Ir udd fn? , . Site Address Lot Parcel .# - & Nome W 3 Add? b i-- , o Name _ ? ?u Address Name I hereby acknowledge that I have read this the informafion is correct ond ogree to c 5tate of Minnesotu 5tatute5 ond City of I Signature of Pertnittee A Building Permit is issued to: - all work shall be done in accordance with 1 Building Official Erect ? Alter ? Repoir ? Enlorpe ? Move ? Demolish ? CITY OF EAGAN 3745 Pilot Keeb Rood Eegan, MN 55122 PHONE: 454-8100 Receipt # & (Aan.!'r? Frt v.,6 .s ''% 7, 0n C Grade ? ? Approvals Assessment - Water & Sew. Palite F ire Eng. Planner Council plication and state that iply with all applicable gon Ordinances. Bldg. Off. - APC Permit Surchorge ' ri ri, Plan check SAC Woter Conn. Wafer Meter -, • .. , Total on the express oondition thot State of Minnesota Stututes and City of Eagan Ordinances. N° 5249 Occupancy Zoninp Fi re Zone Type of Const. # 5torles Front { ft. Depth ft. Fees or Poemk # Oaft hwd PwmktM Plumbing /,389 1 -/Q-7C) C MC Mechonical j / 301- L 7, o 8 7-: o-? 9 6 ?2? INSPECTIONS DATE INSP. Rouph-I n Flnol FooYings ??? 79 ?Qq1 Dote Irnp. Data Insp. Foundation Plumbing Frame/ins. -16?-J Mechanical Finol Remorks: . CITY OF EAGAN ~ 3795 Pilot Knob Rood Eogan, Minnesota 55122 . Phone: 454-8100 P?04BW oore: 7-10-79 Site Address: 2116 pil1 Cak Dri Lot 1 Block 3 Sub/Sec STJ.Pmn wDOft Name Cmt=y 21 Tfllciee Amlty IM. ? Address 20935 HolyOke Ave. ? City L*Q'fTku,E Name ?m Msc3` Inc• . ? Address 17405 .,Tersey Way W. ? Phone: Receipt No.: No. 1389 14962 _ Multi Res., Comm./Ind. - New/Alter.lRepair - Cost of Installation 4 Permit Fee 24•00 - Surcharge ? 50 Phone: 4 35--663' Tota I : i . 50 on that oll work shall be done in occardance with all applicable State of , _.. , This Permit is issued on the express cor Minnesota Stntutes ond City of Eogan On Building Official .. CITY OF EAGAN ?USTION A!! REQQIRED ' 3795 Pilot Keob Road 6egen, Minnesota 55122 Phone: 454-8100 Dote: 11/LO/ /y Site Address; 2116 PiA 02t Lot 1 Block ? subisec. Vienna WOOdB Nome Tillqe. Constr. Co. e Addreu 20936 HOlyOke 3 O cirY Lakeville -MN Nome The Hardware ¦ ? ? Address e ? City rar-lnc7tCIi 55 This Permit is issued on the express Minnesota Stotutes and City of Eagan Phone: No. - Recetpt No.: 16804 Single New/Alter./Repoir. Cosc of Instailation Permit fee Surchorge I Xz. I i+pw ?0.50 Phone: I Total ion that all work shall be done in accordance with all applicable 5tote of 1632 Building Officiol CITY OF EAGAN Street Lot 1- Blk stete Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. IIlp.?f 1981 2 7 ,4 270.14 10 2431.26 A010196 5-21-81 STREET RESTOR. GRADING 2i; 1991 87.73 8.77 528.96 A010196 5-21-81 SANSEW TRUNK 111 1973 129.78 8.65 15 69.23 C006581 7-10-79 * SEWER LATERAL y 3809.11 A010196 5-21-81 * WATERMAIN * WATER LATERAL * WATER AREA * STORM SEW TRK * STORM 5EW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 270.00 14542 - 6-4-79 BUILDING PER. #5249 SAC PAR K INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS• APPLICANT• • uc:?• 1V OAk OR VtF NMA NUtil)S (617) Alb7--5L?98 PERMIT SUBTYPE: ,:I i , fta,I 1 1,1 nfi 0 sA},r.>i Hfl/04 {q7 TYPE OF WORK: tIt1;1.: Ft I b1 f f r?N I r.ti-at f N ti FK <. .. . . .: _ .? ' . : ?. . :, . .. .. ,. > ?. ? Htl'A(I+ ( ftftftf 1 Nt? ) -1 Pertnit No. Permit Holder date Telephone J1 ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFINC3 ROUGH PLUMBING PLBG AIA TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG dRSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL - I r_ i i 1 iTY OF EAGAN 795 Oilot Knob Rood ;?a MN 55122 oning: ner: Address Site Address: Plumber: SEWER SERVICE PM PERMIT NO.: ?,' i:' DATE; No. of Units: i ? i .no.o0 pa agree to wmply with the GSfiy of Eugoe Connection Chorge: rdinaneea. Account Deposit: i Permit Fee: i i t ••' Surchorge; BY Misc. Chorges: Date of Insp.: Total: Insp.: Dote Paid: A WATER SERVICE PERM)T PERMIT NO.: DATE; - No. of Units: Size• Connection Charge: Reoder No.: ACCount Deposit: PermiY Fee: ( ogree to eompir wi}h the City of Eagan Surcharge: Ordinonces. Misc. Chorges: BY Totol: CITY nF EAGAN 3795 Pilot Keob Roud Er4on, MN 55122 Zonin9: - Owner; ? ' . Address: $ite Address: • ? I i Plumber: • ' ?', c MeYer No.: DoYe of Ins Date Poid p?? Insp.:_ rid oocLTPANCY vNru, cirr oF Er+c,AN _ 5249 UrILI,i,IES CCMPT,, 3795 Pilot Kne6 Raod Ea9an, MN 55122 No PHONEo 4548100 BUILDING PERMIT APPLICATION Receipt ro be U1041 for SF DWlg & Garage Esr. voi„e 90,000. Date 6-4 ,1 q 79 Site Mdress 2116 P711 Q91C DY1V2 Erect [$ Occupancy R.3 Lot 1 Blxk.3_ Sec/Sub. ViET1i1H V700C35 Alter ? Zoning R1 parcel # 10 81950 010 03 Repair ? Fire Zone 3 Enlarge ? Type of Const. V a Name CentuYY 21 T'lllges REalty InC. Move p # Stories • ? Address 20936 Holyoke Ave. Demolish ? F'ont 60 ff. CItjq@dxApdjW qhv'ale 469-2144 Gmde ? Depth 46 f t. w Name SdS[l0 APVrmab -_-Fees 0 Address 06,...e Nama I hereby ackrrowledge that I hwe reod this application and state that the information is correct and agree to mmply with all appliwble State of Minnesota Statutes and City of Ea9on Ordinances. Signature of Permittee A Building Permit is issued to: all work shull be done in accord A with a , ble State ot Buildirg Officiol Assessment _ Water 8 Sew. Police - Fire Eng. Plonner - Council _ Bldg. Off. _ APC Permit GVV.;JV Surcharge 45.00 Ploncheck 100•25 SAC 525.00 Water Conn. 270•00 Water Meter 60.00 Road Unit 75.00 Tocol 1,275.75 on the express condition thot Stotutes ond City of Eagon Ordirances. S 44 • 5 134497 This req t void 18 months from ' ` R 79108 Date of this Request 7-11-1979 I, uk3 Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri- cal wiring installed at: L t a3 Vto Q-,-? Street Address or Route No. 2116 Pin Oe1c Citp_ Section Township Range County Dakota Which is occupied by rPy],I geg ['nna+rnr' n (Name +ofnOccupanq Is a roughin inspection required on this job? No ? Yes"a Ready Now ? Will CallX3 Power Supglier Da_kota Cty. Address Farmington Electrical Contractor 0$ Thomgaon Fl ectric Co. Contractor's License NoA?U8 S ,ry: m`)IultkB 55343 12201 NItka,""My Mailing Address Authorized Signature 41????w??" Phone No933-2521 (Elactrical Contractor or Ownar Making This Installatlon) SUATE BOARD COP$?? Thisimpectionrequestwillnot6eacceptedbythe }f State Boerd unlas proper inspectian fee is enclosad. _..,mesota State Board of Elec[ricity iniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 . ANEQUEST FOR ELECTRICAL INSPECTION CHECK BE1AW WORK COVERED BY THIS REOUEST /S? Z5 zz R 79108 Type of Building New Add. Rep. Chftk ppP??es W ired Foi Check Equipment Wired For Home $$ ? ? Range • Temporaiy W'ving ? Duplex ? ? ? Water Heater ? Lighting Fixtures oC Apt. Bidg. ? ? ? Dryer 0 Electric Heating ? CommercialBldg. ? ? ? Fumace 102•00 SiloUnloader ? Industrial Bldg. ? ? ? A'v Condifioner El Bulk Milk Tank ? List List Other ? ? ? p ?V1SP-I )1Sf1-XX4-00 19 .7IX . p HeieTS? COMPUTEINSPECTION FEE BELOW Service Entmnce Size: # Fce Fceders@Subfeeders: # Fce Crtcuits: # Fee 0 to 100 Am s. 0 to 30 Am tes 0 to 30 Am eces 2 • 101 [0 200 AmpQO 00 1 m s 31 to 100 Am eres Above 200_Amps. _ b_ e Above 100 Amps. Transformers 7 11 emo o i. Partiatorotherfee Signs s 5pecidMn- Minimu m feelSpOo- Remazks Jeff D.,,,-? TOTAL E 0C)1 44,5 (Fina1) - This request momns uom jeel 9d- hd Date ?•;!o`zf° V ' CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILOING 030558 08J04/97 SITE ADDRESS: 2116 PIN OAK DR LOT: 1 BLOCK: 3 VIENNA WOOD5 P.I.N.: 10-81950-910-03 DESCRIPTION: (aoaFxNG) rmit Type 5F (MISC.) Type REPAIR i`:%? 434 ALT. RESIpENTTAL Ya g c? ?. .? a??xa . ? REMARKS: FEE SUMMARY: VALUATION $5,000 Base Fee $99.75 Surcharqe $2.50 Total Fee $102.25 r i CONTRACTOR: _ Applicant - ST. LIC OWNER: BJORKSTRANp COMPANIES TNC 14525598 0008676 COX THOMAS 4116 pIAMOND DR 2116 PIN OAK DR ERGAN MN 55122 EAGAN MN 55123 (612) 452-5598 (612)683-9329 a d4 `Jn L t#'ltfi?=#?st8`??a? # , arcr????,r??, ?ip?4-,rk??'?t?i 34Yi;d`'?..t ?r..?'? £`.agehr:,,l?k`??.FFEtn??'$? fl= e, APPLICANTlPERMITEE SIGNATURE ..?ra??r? R.??,rl ( m 1? ISSUED B)t SIG TURE aYivi%;Xx(Xt$:;r;k: MMM:a:YF:k** CS1Y L'F Ii-P.OAN r.:rj::,t;Ii=:r,. s -rERNTKIAL. Ni]- 40 5171-::; 08/04l537 1lr.rl;: 090;.1a05 `ri 'u ti?iiaE,: rsnr:f: r;JGr:i;Sn;:F,NY..i .r„Oihl'-'ANIE:S 7:NC 320 9001 'r?:I.:L;> I 1:N L;qF. T..y? 99..0.5 l'll'iS 9001 2116 i''.i.l`! ilf-tii [If-; 2,50 3430 9001 t?:I.:LL- I'l:t! f)AK C!R 0„r5 Tni;a.'. li.r.+ri.,i.p",: AI5ir1unt ^, 02,.50 CRD? J4E34 t.iSlii:l;: :!:)?a ;d.t1NCY ;???;6??,:•,?;g,6v,<ri?F:?;k%'?Pi?;;;?„X: ?#?X?rt?:1e?Y ?;:k:::?mk?.?%.>u>k x?; * 97 BUILDING PERMIT APPLICATION (RESIDENTIAL) flbZ. 29 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 nstrudion Reauiremerrts BemodeVRecair ? 3 regiatered ske surveys ? 2 copies of plan • 2 eopies of plane (inGUde beam & window sizes; poured fid. tlesign; ete.) ? 2 aRe surveys (exterior addkions & dedcs) ? 1 energy calwletlons ? 1 energy celalations for heated addkions ? 3 eopies M hea preservation plan 'rf lot platted after 7/1l93 required: _ Yes _ No , DATE: 7?2??CI7 CONSTRUC710N COST: ( 2oc)` `o - -?-- DESCRIPTION OF WORK: ot-t,' edoe ell. h- STREETADDRESS: zJl ? 0%ti DaK Dv'l? P LOT BLOCK SUBD./P.I.D.#: ll u?pju. 0Uix,te' PROPERTY N8rt12: _-4Lq• q.5 ?oit Phone #: l? 3? 3Z q own?eR ,,,.. ?r Street Address: Z 1A, b li k b2.vP Ciry: __?? ?? State: Rlu Zip: S?/Z 3 ^ coN7tz4croR Company: (b;u?Otit,/es ZALPhone#: 5°S2 Street Address: License #: F(9 City: State: `A?U Zip: .?-r/ 2 Z ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): and lot change are requested once permit is issued. Penalty applies when address change i hereby acknowledge that I have read this application and state that the information is cortect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: ? s OFFICE USE ONLY I Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 02 SF Dwelling o 07 4-plex ? 03 SF Addition o 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE 0 31 New o 33 Aiterations 0 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. o ? 13 Garage/Accessory ? 0 14 Fireplace o 0 15 Deck 0 36 Move ? 37 Demolftion Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. APPROVAL5 Pianning Building Engineering Variance PermR Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: /02. ZS OFFICE USE ONLY Valuation: $ • a 16 Basement Finish 17 Swim Pool 20 Public Faciliry 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit % SAC SAC Units CITY OF.EAGAN EARLY UTILITY CONNECTION PERMIT 2116 PIN OAK DRIVE L1 B3 VIENNA WOqDS Address Subdivision/Parcel I hereby request pexmission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. I understand that the City has not yet completed, inspected and/or accepted the sewer and/or water lateral. I agree not to use, test, or connect these individual services to any interior plumbing and understand the require- ment to cz.p the sewer service to prevent any unauthorized use. In accepting this permit, it is agreed that I will hold the City and its agents haxmless from any damage that may occur due to this early connection. It is understood that no Occupancy Permit will be issued or water allowed to be turned on until the City utility system has been declared operational by the City Engineer. Signed by - Plumber: Owner: 424a1 Develaper• ?44? Builder• ?j-A r ?e Dated: November 13, 1979 -ie V-% City of Eagan 3795 Pilot Knob Road Eagan, W 55122 Date: January 25, 1980 LeVander, Gillen, Miller 4 SPECIAL ASSESS?,tE:1T SEARCH Magnuson RE: Lot 1, Block 3, Vienna Woods 402 Drovers Bank Building 2116 Pi n Oak Circle, Eagan, MN 55122 Sb. St.Paul, MN 55075 Parcel # 10 81950 010 03 Enclosed herein is the search which you requested made on the above described property: Kin o rprovement Runs Beginning Original ,L^ount Balance Due NONE I further certify that according to the records of said office, the following improvements are contemplated or pending after having been approved, and are now in the process of planning or completion. Kin o Improvement Approximate date o Completion Anproximace Cost Utilities Suimner of 1980 $4020.00 Street Summer of 1980 $1900.00 WAIVER: Nei:her the City of Eagan nor its employees guarantees the accuracy of the above information which was requested by the person or persons indicated. Nor does the City of its employees assume any liability for the correctness thereof. In consideration for the supplying of the indicated information in tha above form, and for all other consideration of any nature whatsoever, any claia against the City of its employees rising there from is hereby expressly waived. Levied assessments to be paid to the County Auditor at Hastings, l4inr.esota 55033 Very tnily yours, SPECIAL ASSESSIENT DEPAR2MENf ^ "VA LAW OFFICES LeVander, GiIlen, Miller & Magnuson 402 DROVERS BANK ;611tLDING. • 833. SOUTH CONCORO STREET SOUTH 5T. PAUL, MINN:ESQTA5S075 • TEIEPHONE (612) 451-I831 January 15, 1980 City of Eagan Assessor's Office 3795 Pilot Rnob Road Eagan, Minnesota 55122 HAROLD L[VANOER ARTHUR GILLEN ROGER C. MILLER PAUL A. MAGNUSON NAROLD L[VANDER,Jn. PAUI H. ANDERSON TIMOTNY J. KIJNT$ DANIEL J. BEESON Re: Lot One (1), Block Three (3), Vienna Woods Parcel No. 10-81950-DK-03 Dear Sir or Madam: 010 Please send to me a written pending and existing assess- ment search for the above-described property. Enclosed herewith please find our check in the amount of $5.00 to pay for the cost of said searches. Thank you for your assistance. Very,.trttily y ? / ? ..._ P? H. An erson Enclosure PHA:1C ?.. DAKOTA COUNTY ABSTRACT CO. 1250 Highway 55 HASTINGS, MINNESOTA 55033 437-5600 Please send me a Pending Assessment Search on the following described lands: r , Lot 1, Block 3, Vienna Woods ) 2116 Pin 0ak Drive, Eagan -' Enclosed please find a check for $5.00 to cover costs, Thank You Mary ..,. ? I ? c; t.• o.` E?;:a 5-tls riiot ;:,os [ig», !.: SS.:. D..:e: Sq;?U-bk.. 2'C'IqEI CO - 5_:" A+ 211(r V ?,y? D? dl w?- Cr.:o, c?.,; i= tLc scjr:h 6h::h ycu re;.:rs:c3 -..le an :ho a???e d:i:r..•?d Fr;; ?-:;-: • I:ir_ F::ns 8c;:cn:^; Jr:imil .L%:,n. ??w iv d. 0" I?•?':` ".^'-. 29at ac:or,:C-g to t.`.e rr: r_'? of said orPi.c. the •C_r,:2'.i.:,l.Cd Ot-pC.^.3:'; j[:C: h]:1.^.aj hC<:1 :.y^y^.'J\•.?? a?l 1.'1 L'.t ?"?a•ii O: ?:a'.lln., O[ Co'.pIc'01. ,•?•••C•• .'c C:'Y C: [];.lft COr 2f5 C^pin-CCS v7j7afl:CCS :h@ 1C:7.`1G}' 0= 'he ]"?:C ?...Z' ?.1i .'c'y7C<:f-I t'1' the i.d.'4:1 OC 'r1C750(:G 1f,.::C1:t'J. NQ.' d.lci L'C [[:%:f ]ii::-C ].^.%].1?1?::}• (CC L*C i0C'...'C5: :h•.'tC'. ear the s;:;7i%ir; of t`e i°£r.-ac c .zn in t;. it•.e w%jLiJCLC1', 3r.y c::ii- `??.^:. it; e_pIx.ccs T:Si^.; :.`>Cr fCOm i5 hrrr=}• r•?re>,.:%- J_;CS_'c':i L7 5C -1.1 [O LhC ?:_•'. .5:...?1:JC a: N]ii1r&I5, }L. 5 Lery :r:,?? v:;:rs, v ?U6vy P., #?1 BEA BLOMOUIST MAYON THOMASEGAN MARK PARRANTO JAMES A. SMITH THEODORE WACHTER fAUNCLL MEMBENS DATE: December 20, 1982 Dakota County Abstract Co. 1250 Highway #55 Hastings, MN 55033 Attention: Mary CITY OF EAGAN _,. 3798 PILOT KN06 ROAD EAGAN. MINNESOTA ' - 35122 PNONE 431-8100 .? SPECIAL ASSESSNIENT SEARCH THOMASHEOGES CITY AOMINISIPAiOH EUGENEVqNOVERBEKE CITY CLEPK RE: Vienna Woods, Lot 1, Block 3 2116 Pin Oak Drive, Eagan, FIN 55122 Parcel # 10 81950 010 03 Enclosed herein is the search which you requested made on the above described property. Kind of Im rovement Runs Beginning Originai Amount Balance Due NONE I further certify that according to the records of said office, the following improve- ments are contemplated or pending after having been approved, and are now in the process of planning or completion. Kind of Improvement Approximate date o Completiori Approximate cost NONE WAIVER: Neitlter the City of Eagan nor its employees guarantees tlte accuracy of the aUove in- formation 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 for the supplying of the indicated information in the above form, and for all other considerstion of any nature whatsoever, any claim against the City or its employees rising there from is hereby expressly waived. Levied assessments to be paid to the County Treasurer at Hastings, M. 55033 Very truly yo rs, 152 , ?-- THE LONE OAK TREE ... THE SYMBOL OF STRENGTM AND GROWTH IN OUR COMMUNITY. 1 . _ f BUILI7ING PERMI'T APPLICATION Parcel Number /1J 7/9?[? D/0 D3 Include 2 sets of plans; 1 site plan w/elevations and 1 set of energy calculations. 1b be used for Valuation 7 Dao O ? Site Address: 07//6 p?, ?a'6 Dn^","a ,do o«ilhOLn e5 61?, r, i Jrj/i tje s Lot Block ?Sec.. Sub. Owner Address ? . contractor Addzess Arch. /En4 • T??os,o ?iau Ot Address ? .Sn?... ? Telephone (??,t/ Telephone D!\TE i# Telephone t' OFFICE USE Erect Alter Repair Enlarge Move Deemolish crade OFFICE USE llate of Approval 5 Initial Assessment &Z7'9 water/Sewer Police Fire Eng. Planner Gvuncil Rldg. Off. 1-J0.q9 ?. A.P.C. I I Occupancy J51.7 Zoning Fire Zone Type of Const. 1i of Stories Front /O Depth y FEES ? Permit ?0a Surcharqe Plan Gheck 1 o-o •?J SAC So`t.5 `s' Ftater Conn. ,? ?G Water Meter ( 6 °= TOTAL - .j a ?,5.?? Ci?,y of ha7soville TXTERIOR ENVT:].OPE AVERA!;E "U" COMPUTATION ner Gor.l47eVa710n4 Address'T.3G .4foLMD46' AU&. ???'"?? I?UfIGG Phone F" ga1 Description of Property: Lot_L_Block 3 AdditionvieNrln\qCYy-iei Date_C?29 te Address ' j?7,414 WAY AVERAGE LINEAL FEET OF EXPOSED WALL AREA ABOVE GRADE in 1eve1 Lineal ft, of.framed wall abdve gradeLx. height o£ wall g=4" = I ?17- m joist area 2g vpt,Ft - 17 7? , Lineal ft. of rim j? ?6b? x heighC of rim waF-IeA44 2Nfl FL(:. - Lineal ft.•of framed wall above grade 14o x height of wa21 11'L0 Ltneal ft. of masonry wall above grade IL ,Q x height above gradeJ%p' = I64 TOTAL wall area above grade in NDOk'S: Area x "U" value ke & type Arimr•:e7Gn1 - Yts'?MA?ikl£t,Ga sq. G?rams,qrh -la?Axcv Sq• S (1. p?•GXIZA T L IA-,Co S4• 2•G7.171 i? I :.n sq. n n '.C{r%,-,,5' sq. ' sq. >>-?zsr `? 1,s.z Sq. 1-C2';S7 sq. 2-Z?2¢.7' C`t 19.0 sq. ?, .. I •GIG',T sq. GZl?'2T sq. Sq ?}-'d(Z 17 P& e, C- t,4 E4•?7" UN%TS @ zsq. sq. Sq s4. 11 Sq )ORS: Area x "U" value ?j ? ake & type I - 'r(?9,- XD 4A/(» 9A? f A` T'(Ot."?"eaQ- ?-?m fl ?`T?t;L a: , td '37." cte t-iT: . sq. sq. 'AOUE WALL CONSTRUCTION; Area x"U" value PPAM10 N[cA;lF.'?S ttJ _!t11_,_yX, s4• F??AN`r17 %v'4 4' sq. =_tail refer ice from Pm ":V`'ae.;"[ 54• sq. ttached Sq' heets sq. Sq- cluding windows and doors ? 221.?to % ? ft. X itU" ? (U) (A) „ ?? ft. X U _ (U) (A) ft. x "U" _ (P) (A) ft. '?-r'3,'r', g nU.? SS (u) (A) ft. Z„n,c? x "U" SS = I : ? L (P) (A) ft. 14 X 'lLll 1?G (1-T) (A) ft. q,S X .1U° ,5.5 (U) 5 = ( A) ft. / X 'lUrr ?J n r 4 - ?J i(U) / 1?1) ft. L,e> x „Ull .?f = 5?S (u) (A) ft. I.,.e) X „Ull ,:?5 = (?1) ft. X "Ull 55 = S , IZ (u) (A) fc. iF.?, X 'PU„ s = 10,23 (u) (A) ft. x nU° ° (lI) CA) ft. o,x "U" ,02 = IO.Gf (i') (A) ft. X 'l0^ - (V) (A) ft. x 'lLll - (7; (A) ft. . . . x ?lU,l (i') (A) ft. X 1IU?? _ (L) CA) tt. 3I ,q X "U„? lg,Sz> (u)(n) ft. 3'7.'7y x °Ull ?_. 3? (tt)(A) £t. I:1,'1S? x U f!.---(U)(A) ft. x ??Ul? - (U) (A) ft. 2f19,.3r? R "u" (11) (a) fc. X „L"?=?x 6,4 Cv) Cn) ft. X "U° ?nG = 7, ZG (U) (A) ft. X U?? , og,7 = '7 . c+ (U) (A) ft. X "y., _ (?`) (A) tt. X .,U,l _ (n) (n) ft. . . . . . . . . . . x "Ult _ (D) (A) ?772, C,j? 2s? 7 ??..a..m..? . TOTAL Wall Area Including Windows & Doors TOTAL (U) (A) OTAL (U) (A) VALUF.S 2, ? ?•'' r? ? = AVG.. TTU" IVIDED BY 1'OTAL WALL AREA VE?2AC>E "U" Minimum .17 or less for 1 6 2 family dwe113ngs . Minimum .22 or less for all other buildings OTF,: 7f average "U" values as calculated above do not meet the Enexgv Code requirements, the "Alernate,Envelope Design" as indicated on Page 5 may be used. . lw. Top View Fi2AMING MEMBERS IN WALLS _Exterior air film Siding T? T --?T- Sheathing 3;?" soft wood Y":,.dxy wall • Interior air film K-Vaiue 2 , D(o 4.38 .45 .68 TOTAL R = $•41 U = 1/R U = ' I2 _FRA.`fED WALL Exterior air film .lj Siding Sheathing 2 OfO 3V" batt insulation ?/ a0 '-g" dry wall .45 Interior air film '68 TOTAL R = IS?D? __, R: U - 1/R _ II = ___TtIM_.JOIST ARE[- $xterior air film Siding 2'd? 54eathing ---- 1.88 11f soft wood -- -- ? ? Irt?,•?arinn ? --- - --- - ,68 Interior air fi m --_- TOTAL R U = 1/R u= MASOb'RY.. WALL_ Exterior air film 12" concrete block" Insulation Interior air film i0(9 .17 ? /,28 _-- .68 TOTAL R ? _?..._...._.-----• - -• u a s ,47 ? Roor crzzzNc Outside air film __ .61_ Insulation Y" Arywall Inter3.or air film 3o,co .45 .62 TOTAL R_= ???, CoZ__ U=I/R U. ,03 Outside air f37.m; : ; .61 Znsulation Y" Drywall ?,.. Znterior air film ?jO,oo .45 .61 TOTAL R = 3J,?p7 U ° 1/R . U = iCJ? . Outs-,Le ai!-.film •17 Znsulation ?ry , .. -- -•- --" .. ! ' ? Wood decking ; _ __._.._ . .. , ? Interior air f31m ,(I TOTAL R?-- -' " '. •--- --- V= 1/R U= >F/Cr-ILING: CAL AREA: • sq. ft. :ail reference R,praZl,q,¢GA • "U" , p? xsq. ft. (II)(A) )m above. lfRUl.-reriD /-M',.C--,G •U,l , n;; x sq. ft. '2%S (L') (A) ;cribe openings "U" x sq. ft. _ (U) (A) roof ,U,, x sq. £t. _ (L') (A) "U" x sq. £t. _ (")(A) _ "U" ' x sq. £t. _ (LI) (A) "U" x sq, ft. _ (L') (n) TOTALS- sa, ft. }j/ S/ (Li) (p) 'AL (U) (A) VALUF.S ' lIDF.D BY TOTAL RUOF/ AVG. "li° ?• '..'.NG ARF.A :'?A(_E "L'" .05 for ventilated roofs .10 for all other construction 'P.: Tf avernge "L:" val.ues as calca?ated above do aot meet the EngerFy Code requiremen*_s, tMe "Altcrnate F.nvel, „, DesiGn" as indicated on !'+ge 5 mav be :jsed ? . f?. ? ? i?? ' / ---------- I ? Permit#: ? I Permit Fee: ? ? Date Received: ? I ? j Staff: - ? I ? J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION oate:/J•ai;?•Og site Suite #: RESIDENT/OWNER Name: Phoned?( 1r83 -933 q Address / City/ Zip: O? 14o A? Applicant is: _ Owner P Contractor / TYPE OF WORK Description of work: I1-i?e.u.tGcLt? ConsVUCtion. Cost: 6 i ? on Multi-Family Building: (Yes _/ No Y) CONTRACTOR Name: Q . License #: /7 46 Address: Lk-? City: IiK21 State: m? Zip: Q/ . Phone(691)7 8' 4-a r,L-9, Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A EW BUILDING _ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residernlal Ventila6on Category 1 Worksheet Category submined • New Energy Code Worksheet submitted (4 Submisslon type) • Energy Envelope Calculations Submiried in the last 12 manths, has the City of Eagan issued a permit for a similar plan based an a master plan7 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: '°` OTE Fl?ls•? dsup?tlrt9?ocume` t?tUbmit?a:i?;'?ons?do l?d3o 4 ubl ? oatror ? on ??e laf?p?ir x s? r? o?l ' 951 p?BC e,?sa?rt? li ?'??.?X?. -???.? !M?,,,. I hereby acknowledge that ihis iMOrmation is compiete and accurate; [hat the work will be in contormance with the ordinances and codes ot the City of Eagan; that i understand this is not a permi4 but only an application for a permit, and work is not to start v.tithout a ermit; that thework will be in accordance with the approv plan in the case of work which requires a review and appro f plans. x V x Applicant's Print d 14ame Applica 's ignatur Page 1 of 3 s i r? ? •? .n, - _.. ?___...._-?.?.,._?....._.._.....___. ..... _.... .? ; ;. 4vd ; ? r. ?, - 9 ??, ?'? a ?:?:? :?aa ? :r : ,- Ti.$',?,??' Y? ?x..?i.?x?..c.? u. *,: < CuNS"`. C .1 :."3'.i;`d 1Z, L,.`US.EtTILLE si?Ei-.G _------- DRV,71-1. ZiS. -?- - 3JAAi+.: i?L+'V£`aLI3 NUlEV. ? PERMIT City of Eagan Permit Type:Building Permit Number:EA118623 Date Issued:11/05/2013 Permit Category:ePermit Site Address: 2116 Pin Oak Dr Lot:001 Block: 003 Addition: Vienna Woods PID:10-81950-03-010 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 . Jackie Terrell 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 - Thomas A Cox 2116 Pin Oak Dr Eagan MN 55122 Walker Roofing Company 2274 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature OCT-12-2015 11:51 FROM:TREBILFOUNDATION SYS 320593872� T0:16516755694 P.2�5 Use BI.UE or BLACK Ink � Fo�OfFlce Use---------� RECEIVEp ; pe�,�«: l�.�� ; C�ty of�� .�� -� � ; � ocr � 1 � Permlt Fv�e. . � 3830 Pllot Knob Road ?� Eegen MN 55122 � Dete Recaived: �( �� j Phone:(651a 675v675 I I Fax:(6S1)G!5-5894 I Statf � � I . r��r�.�rr.��rs�.rYJ 20�3 RESIDENTIA� BUILDING PERnn�T APPucATior� D8t9: /D �Z �� Site Address: oG� � Unit#: Name: ��/ L.��X Phone„_�J��3"`��9 ResidenU / �y/Zip:rr.�� ,��„� �,r. Ownei� Address Ci Appliqnt ig�, puvner Contractor � � � T.ypo 01°1N0►k Descrlption of work: � , /� ' � � � Conctruction CosC: ,.�.7 a- Mulki-Family 6uilding:(Yes I No . . . Company � Contact: ��1�� /� / . �Contraeto� Address: D .' GL.S ��Jp� City: _�"�.� . . State:��Trp:i��!_� Phone:✓��7/� �ia�9 License�: l�ead CeRiBcate#: /V�// �G�00�,�7�"� If the project is exempC from lead certification,please explain why: (see Page 3 for edditional inforr�nation) �� - COMPLE?E TMI3 AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING In the last 1Z month9,h�s the City of Eagan lasued a pertnit for a almllar pisn basea on a master plan? „_„Yas �No �f yas,dete and address af master plen: l9cansed Plumber, Phone• Meehanl'cal ConrrrtAor; Phone: Sewe�&Water Contrador Phone: NOTE:Plans antl suppo'rting blocuinents thet you sabmit ere consiclened fo be pabilc Infornradon. Portlons af' thc�nfon►aallon may�bo cJasalFled as non�u611c f/you�ir.'rovlde spaclf7c reasons,chec would per.mh ohe Ctty to coriclude thet the e�trade�ecrets. . CALI.BEFORE YOU DIG, Call Gophor S�One Cell et(661)s5r'.00D2 for proloction against unde'rground utilily damego. Ca1148 hou�e before you lntond Io tlip to receive Iocates of untlergrou�d�nllitles. �w.00nherstat�yner,all.oro I hereby acknow�o�go Ihst�hie infonns�tlon lo oomploin enq eccumle;that lhe woilc will bo In wMormd��NilFi lhe wcJlnancos enp evoea pf the Clty W' Eapnn;thet 1 underatand t�Ca ie not e Derm11. Oul only sn applicetion for�partnit,nnr!work ic not lo a�on without a permit;ihat 11w wark w;li be In BCCOtd8flCe with lh0 app�0V6d plen 1111h6 Cd6A O(wOAc wh1Ch fgQUlteB 8 IOviOw end eppnDVD10P p1911g. ExEertor�rork aulhorizod by a Dutlding poimlC Issusd In eac�nla�e��rltA tAe Mlnnoso�e 3oale Bulldl�g Cpde must bo oomphts0 WItl11n 1B0 days of pormlt Issusnte. ' • . �J,�� /�jy� �.�L.� x �,��/ !/ 1 IC�Il V�'�Ifl�'f�J{r�./ �71"✓7/"�/G�/f. ApplicanYs PMnted Nama AppllcanCs 8lgnature Pngo 1 or� OCT-12-2015 11:52 FROM:TREBILFOUNDATION SY5 3205938720 T0:16516755694 P.4�5 . .,.._.... _ ..�.��...,� . � ��,� �� a�K �� DO NO � � .�� T WRITE BEI.OW THI3 LINE ue PEs _ FoundeUon Firoplaca poreh(3�Sesson) 8torm Damai e ,,, Singla Famity Gara s � — 9 _ 0 Po.eh(a.Soaoon) � ExtsHOr Alterstlon(Single Famlly) _ Multl _ p��k porch{Scr�eNGazebolPergola) � Exterior Alte�adon(.Multi) � 01 oi_piex � Lowe�t.evel pppi �,Mlsoellanaous , Acceeeory Bullding — woRK nrpEs �� ..� ` New _ Int�rior Improvement Sldlnp Gamollah Bultding' _ Additlon _ Move Buflding � Rerool � Demolleh Intorlor � A��on , Flre Rep81r ` Wlndows Demolish FounQation , Roplaee _ Ropalr ^ EArese wlndow Water Damago `— R��e Wa�� 'Oamolldon ofentlro bulld'ing..glvo pCA Aondout ko applic.nt OE�RIPTION Valuatlon �� OccupBncy ,�, MCES Sy�tem Pian Reviow � Code Edition (25%,�_10�% ' —�_ •;AC Units —.� __.__.,,` Zoning �_ Ciqr Weter Census Code Storles 800ster Pump �of Unit� Square Feet DRV � #of�ulldings Lenglh Fire Sprinklars Type of Constructlon �� Width ----.--- IRE NSPFCTiONS Footings(New Bullding) Meter Slze: Footines(Deok) Fina)/C.O.Requir�ed Footings(Addition) FPnal/No C.O.Required Foundat(On HVAC_Goe Sorvice Test Gas Line Alr 7est �„ Draln Tile i�.� � �«��tf Other� Root:_Ice 8�Wat�r _,Finai '� "�"` Pool:_,Footinps �Air/G�s Tests ,�,.Final ��m��9 Sldin�:�,Stucco Laih Stone Lath $r.'ick Ficeplace:`Rough In Air Tast „r,,,Final Wlndows � ____ Insulation Retafning Wall:�Footings,,,,,_8acktill„_Final SheSthing � Radon Cont�ol_ SAeetrock Eroslon Controt Reviowod Br: � ,Building Inspector ... �.�_.. aESIDENTIAL FEES Base Fee � � Surcharge � ,. �``,��;��"� Plan Raview � ,.� ��. �� f ` a a` � � MCES SAC � �f.��,.- Clty SAC °'�� ` � � Utility ConneCtloo C�a►ge '� � S8W Po�mk 8 Surcherge �� Troatment Plont � e� � �� Copie9 � / � ",�' � ,,f TOTA� Pape 2 of 3