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2117 Pin Oak DrCITY OF EAGAN Remarks Additian `JTF.NNA 61TOnDS Lot 3 Blk 1 Parcel 10 81950 030 01 ownar street 2117 Pin Oak Drive State Eaqan, P+-N 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. Jt; 634?4 28 STREET RESTOR. _- GRADING ] 5$7 S8 77 . .• - SAN SEW TRUNK 122 1973 129 - 78 8,65 * SEWER LATERAL * WATERMAIN * WATER LATERAL * WATER AREA * STORM SEW TRK * STORM SEW LAT 1981 lO CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOING PER. SAC PARK ? N2 12754 ! x 2G A 3830 Pilot Knob Ro d P.O. Bo - 1 9, Eagan, MN 55121 PHONE: 454-8100 - BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est Value $76,000 Date OCTOBF.R 9 19 $ 6 Site Address 2117 P IN OA?{ DR Erect INX Occupancy R3 Lot3_Block 1 Sec/Sub. VIENNA WOODS Remodel 13 Zoning Rl Parcel No Repair ? Type of Const yn . Addition ? No. Stories W Name BLILIE CONSTRUCTIOfI CO Move O Length 49 Demolish O Depth a S ; Address 644 SU P ER I OR CT o Int. Impr. ? 5q. F? ciry f:AGAN pnone 454-1438 Install ? a Name Approvals Fees = ?a Address Assessment Permit $ 361:00 Ciry Phone Water 8? Sew. Surcharge 38 • 00 P li L80. 50 Pl R i ? ? W Name o ce Fire ev ew an SAC 575.00 = ? Z Address Eng. Water Conn. 500. 0 0 < W city Pr,one Planner Water Meter 63 . SO 290 00 I hereby acknowledge that I have read this application and state thatthe Council gldg. Off. 10/9/86 . Road Unit Tr. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. , APC Parks Signature of Permittee Var. Date Copie lb2f. 00 TOtal ? , A Building Permit is issued to: BL I L I E CONSTRUCT I OFf CO on the express conditian that all work shall be done in accordance with all applicable State of Minnesot a Statutes and City of Eagan Ordinances. Building Official ` ? ? ^ ' Prrmh No. Permtt Holde? Dab Twsphona k PlurfibMp ?/ 4' ioJl y/ M.V.A C. i " 42ZI?I eWct"c sonw,.. Impectlon Date Insp. Commenfs Footinqs t Foodnga11 FoundaUon Framing Rooliny Rouyh Plby. Rouyh Ht9. Inwl. Finplace Flnal Hig. Final Plbg. -S Bldq. Final f 7 G?t. Occ. Wck Ftp. Deck Frmy. WNI Pr. Dlap. . . Site Address - Lot m Name .q Address c City Phone ? Name ? c Address p Ciry Phone f FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SICaNATURE OF PERMITTEE FOR CITY OF EAGAN PERMIT # -7 ? RECEIPT # DATE: PLUMBING PERMR GTY OF EAGAN 3630 PILOT KNOB ROAD, EAGAN, MN 55121 PHONE: 454-8100 ;V 11 BLDG. TYPE WORK DESCii1PTION Res. New Mult Add-on Comm. Repair omer NO. FIXTURES TOTAL Water Closet - $3.00 $ ? Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping OuUets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL: . , PERMIT # MECHANICAL PERMR RECEIPT # 1-'',? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 451-8100 Site Address : BLDG. TYPE WORK DESCRIPTION Lot=T Btock ' Sec/Sub ' 4- " R , m Name ? 1 ? ' , , `` , • es. New Add M -on ult ig Address _-+' J' I•) i ?C ir C R c Ci1y,' - r ? Phone i ' omm. epa ' CM c ? er -?- Name ' ' FEES c Addre$s , ^ -- ' ' RES. HVAC 0-100 M BTU - $24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK " ` 'r e GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINiMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping OuUets # ? ` • Other FEE S/C: ' SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT To be used for POOL Est. Value 410.000 Site Address •= ? si . IN''Ar: i'n Lot I Block 1 Sec/5ub. W I}NNA WpOpS Parcel , Name nRY & CE'-'B8A JSNSF: % 3 Address ' 117 PY,Y OAit OR ° City Phone L ' ° .`: , o Name ?'mLLFY F-U{}4S. 1tiC o< Address UI= City -,?1.i.L; Phone ''?Y,_?[.r( ¢ yVj WW Name Address ? W City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee . ? A Building Permit is issued to: 4(' on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Receipt OFFICE USE ONLY On Ske Sewaye Occupancy MWCC System Zoning On Site Well (Actuaq Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Tofal Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL 'i5354 19 1 t}G . UO 5. uo -T ?_ Permit No. Permit Holder Date Tslephone # Plumbing H.V.AC. Electric ?AV)3 -?'j&y, 7 Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Pibg. Rough Htg. ISUI. ', Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ' CASH RECEIPT ?r CITY OF EAGAN ? 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 J ` DATE 19 REGEIV<D ' / / -' ?/? ? . ' y PROM 4( ' ?/C_ ?'?li•:%L?C-!I-t•??t? - I AMOUNT $ , tr DOLLARt +oo Ej CASH Q CFiECK FOR ? ,? c'? % !? -?' i'?.. . t. i?-? f ..-,?' ? -t? RUND CODE AMOUNT ? i ?- > - ? - Thank You . ?. B Y ?6_' ? - . J ? ? 7 YVhite-Peyers Copy Yellaw-Postinp Copy Pink-File Copy CASH RECEIPT ' , ? . CITY OF EAGAN ? 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 _ r anrE _ .? 1g wecavso FROM AMOtiJNT $ I at DOLLARf ?eo ? CASH 'Q CHECK POR ? ,' ?` / - _ ' . . White-Payers Copy Yellow-Postinp Copy Pink-File Copy Thank You BY BLDG'. PERMIT N0. 01-3210 ? Bldg. Permi*_ -3?i c.1 v 01-3422 Plan Check •'-'' ; % ,Sc'7 01-3445 • Surc h. /tidrr.. v _ --?- 01-3446 SAC/Adm. Z/ if 01-2155 Surcharge 17-3860 Road Uni t ?-20-2275 SAC --- 20-3865 Water Conn, 20-3868 Water Trmt. 20-3716 Water Metez 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CITY OF EAGAN SEm SERVICE PEMIT 3830 Pilot Knob Road P?IT NO.: ': s 14 P. O. Box 2119S Eagan, MN 55721 DATE' 1 Zoninp: F.L NO. of Un1ts: Owner, F:li I ze C:or?st Addrm: 644 Sesperior Ct .- Stee Mdror?: 2117 Pin Oak Drive D1 1'i enna ?oa:is Plun,ber. fi?chr+ueller Plb? I(?-?)?;-h6 6734-1 1 S!? to wMb wo do CR1? oi lw. Conrnctior+ Claro?: OnOwasom Aaoount Depoft - Prnmit FN: Suidwr0e: By Misc. Choross: - Date of Insp.: Totol: Insp.: Dotr Paid: E PERMIT I CITY OF EAGAN C WATBt SERV 3830 Pilot Krab Road P. O. Box ?1 t• pE?IT NO.: Eagan, NMA 55121 D/?TE: Zoninp: _ No. of Units: Owrwr: Addross: , . , . Site Add?em unbr. r No.: Connectian Q w?ge: Acoount Deposit: ze: ?.: Pertnft Fee: Nw? fe aowopl?? wM? !IN Ciry of leY?w Surdharpe: Mlsc. CF+orpes: Totai: ?IB Dote Paid: Y ?Date of Insp.: Insp.: 1!*1 E WATER SERVICE PERM14 AG CITY C1F 3830 Pilot Knob Rosd pE?IT NO.: P. O. Box 211 9 Esgan, MN 55121 DAjF: Zonirg: No. of Unlts: OwMr: I Addrrss: e' .7?h A??: L ?, Pl w nbe r. Mehr No.: ??? SiZQ: „ ? i ry? ? I? i A ff -1 / 7[' Ll .. r• A?C ` ?.....eee.n.b E ?f?e .?•,? t? oalA..e.? `??' A?? V r '•? r BY Datf Pold: Dote of Insp.: Insp.: CITY OF EAGAN 3830 Pilot Knob Road P.O Box 21-199 Eagan MN 55721 N° 12754 , . , PHONE: 454-8100 BUILDING PERMIT Receipt# (0 7obeusedfor SF DWG/GAR Est.Value $76r000 Date OCTOBER 9 19 86 SiteAddress 2117 PIN OAK DR Erect MX Occupancy R3 Lot 3 Block 1 Sec/Sub. VIENNA WOODS Remodel ? Zoning Rl Repair 11 Type of Const IT+'+ Parcel No. Addition ? No.Stories a SLILIE CONSTRUCTION Name CO Move ? Length 49 W Demolish 0 Depth d S o Address 644 SUPERIOR CT Int.lmpr. ? Sq. Ft City EAGAN phone 454-1438 Install ? o Name SAMF. = $ ¢ Address Assessment city Pnone Water & Sew. Potice F w Name Fire ' ? o Adtlress Eng. W a Ciry Phone Planner Council Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe B1d9 oH 10/9/86 inTOrmation is correct and agree to comply with all applicable State of Minnesota Statutes and C' Eagan Ordina ces APC Var. Date Signature of Permitlee APProvala Fees Permit +' ?v'-. "" Surcharge 38.00 Plan Review 180.50 SAC 575.00 Water Conn. 500.00 Water Meter 63 . 50 Road Unit 290.00 rr. PI. 156 . 00 Parks Copies?-6-,- Total--0 c A Builtling Permit is issued to: n 1Lll. on the express condition that all work shall be done in accord 4 e with all appli abl tate ot Minn ?sota Stat tes and City of Eagan Ordinances. Building Official ? ?` e z 0-- " CITY OF EAGAN N2 15 3 6 4 , 1 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 BUILDING PERMIT PH ONE: 454-8100 Receipt g Ol # To be used for POOL Est. Value $10,000 Date JULY 20 ,1988 Site Address 2117 PIN OAK DR Lot 3 Block 1 Sec/Sub. VIENNA WOODS Parcel No olName GARY & DEEBRA JENSEN I Address 2117 PIN OAK DR City EAGAN Phone 452-4863 ¢ Name VALLEY POOLS INC O 0Q Address 651 CLIFF RD ? City BIIRNSVILLE Phone 894-1480 Name City 1 hereby acknowledge t t I h ve read this application and state ihat the information is correct an a ee to comply with all applica6l? State of Minnesota Statutes ahc? ?t of Eagan Oltlknances. . II Signature of Permittee - -&.` A Building Permit is issuqd to: VALLEY P00LS_, INC on the express condition ihaf all work shall be done in accordance wiih al I applicable Slate of Minnesota Statutes antl City of Eagan Ordinances. BuiltlingOfficial?•fH?(? OFFICE USE ONLY On Site Sewage _ Occupancy MWCCSystem _ Zoning OnSiteWell _ (ActuapConst Ciry Water _ (Allowable) PRV Required _ # of Stories Booster Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./ASSess. Permit 106.00 Planner Surcharge 5.00 Council Plan Review Bltlg. OH. SAC, City Variance SAC,MWCC Water Conn. Water Meter Roatl Unit Treatment Pt Parks SL1.OO TOTAL ThisreQUestwia /0/ah1/bJ-? ( 7t}2 J ?? 18 months t•'? . v O • 4104 81 ev\? Request.Dat " ?' ? Fire No. RouAh-inInsPection Requi ed? ?Reatlv Now??lt Nolify Inspec- i es ?ry? or When Ready "ica.sed Elecuical Contractor I heraby raquest insoaction ot above ? Owner electricel work inatalled at: THIS INSPECTION REQUEST WIIL NOT BE ACCEPTED BY THE STqTE BOANO UNIESS PXOPEN INSPECTION FEE IS ENCLOSED. Grigps-Midway Bldg. - Roam N•181 1821 University Ave.. St Paul. MN 65104 Phone 1812i 297.2111 _/G?a,7I5-6 flEQUEST POR ELECTRICAL INSPECTION Ee.00001-04 L: f ? See instructions for completin0 this form on be<k o/ yellow copv. .3'? "X" Below Wark Covered by This Request 7 C_ 4 ._481 AAd ReD. Type oi Buiiding Appliancea Wired Equiument Wired Home nge Temporary Service DuplexT Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heahn Commercial Bldy. umace Silo Unloeder Industrial Bldg. Air Conditioner Bulk Milk Tenk Farm otnnw oeu v 1ncr lsnr,r,ltyl t r Suec?fy ther 01her Compuie Inspection Fee Below N ServiceEnhanceSize d iee Feetlers/Subleeders !I Fea Gircuits C?"r U to 200 qm s 0 to 30 Am s 0 m 30 An! s Above 200 qmps 31 to 100 Ainps C-'e= 31 to 100 A s Swimmin Pool Above 100_Amps Ahove 100_Am s Transrormers rri9ation Hooms Partial.bther.F.ee.. Signs SUecial Inspection TOTA RerrN.ks L/FEE-.C/ ,,,(., ? ? flaueh-in ?' j /,/?tne ElecNical ? ? bTSOecbq he?eby ' ? certHy thet fhe abave final inspection hes bean matle. Thie repueat vo1E 18 montlo trom This reouest voitl ? 18 nnnths from E 1=3 9' *8 Renuest oaie I Fire No. 1 RouPh-in InsVeclion Requiretl? E]ReaAy Nuw Q Will Nolify Insoec- ?Yes ?Nn [nr When fleaAY 0 Licensetl ElecVical Contractur 1 hereby requast ins0aclion of ebova R Ownpr eleclrical work inste I led a1: Slreet Address, Bon or Route No. City a 1/7 ?, N ? ?ie ?57)v?AJ ectron o. Townshio Name or No. flange No. County 1 x 6 7* OccuVanc IPHINTI Phune No. G ,e ?7"?nisEn/ ?sa-?l8?3 Power SupD??er Address /F1LOrJ'} ? ?PG? 1 G. Elec[rical Conhacmr lCOmoany Namel Contrar.mr's I.icense No. 5e/-F Mailine Atldtess IConUactnr or Owner Making Instailationl AuthoFi Sig a?ure onvactor Owner Making Installation) Phune Number ?4sz -q-84 3 MI?ESOTA 80 XD OF ELECTqICITY TMIS INSPECTION NEQU[ST WILL NOT Grigga-Midw y de. Boam N-791 BE ACCEPTED 6Y THE STATE BOABD UNLESS PflOPEP INSPECTION FEE IS 1821 Univeos v v.. St. Vaul. MN 55106 Phone (612) 642- UO ENCLOSEO. REQUEST fOR EIECTRfCAL INSPECTION ea-ooooi-o/s ? See inxlructions for com0leting this form on Cack of Vellow copy. "In. 96$ ."X " Be/ow Work CoJered by lhis Request AddlrvevA?e oi Buil Aoolioncea Wiretl Enainmenc Wired lo Unloader ? Commercial Bldy. 1 ? Fumace ? ? Si& Industrial Blda. Air Conditioner dk Milk Tank a ree sa??ic,e entrem?esi:e n Faa fexders/SUbfexNers a Fo« ci«??a: 0 to200qm s 0 to30qm s 0 tn30Am s A6ove 200 Amps. 31 to 100 Amps 31 to 700 Am s Swimming Pool Above 100-Am s Above 100_Amps Transiormers Irngation &ooms PartiaLOther Pee Signs ISVecial Inspection ? !7 emarks C T AL?E Final ector, heraby ily thqt tM1e abova ectian has been Thia repuesl void ?JG? ( zeod ??????NT?AL ?LUMIBIN:? ?ER?IT ??PLIcAT;oN ? ( I :.'sTY UF EAGAIti /?, U1 383!? Pi?.C3'f ?:?ltJ?3 FZC3AD, EAtUAN1tliV 55122 uJ I 551.67 5_5;75 F'iE?3c? CO'l?,^vl?!2 'CY i"!1Q^li'lC2t1C1':S t:' -CX;Si:Yly^ f'C51CBflilc'3i d?A'8ill!1C5. k Siti? vtrea# Addrsss r?. L7 Pir, Qo?k Of, Ur.it # . ?. Froperfi; Gwn=: _.._? ? A hK?l ?A N _ CcntracYar Atdd; ess rp D ? ald?'4 Sf?? 'r?e A;>p4'sca-t'ss: _ Cdvrer N:',t' _4ther Irc!?u"es ?a: :?r=ee ,;;u-r.isted S, - b,?.::2sets 7eiephone # (65-1 ) uQS` I I pk i eispharia R(6si) yF3 - 70 I ? sta?e /Vl 4/ zip S o? y wnd fl4?C: !!Cent? Per as-bul;t r cirs Reual; {rep!2ae burn,ed o!.:* f1xWres, etr ) ,9O.O01 .t`i±eratlnns to exisrfng dwe!ling _ HCG H{Urfi1Ji^.g fix!ures. Ttiis iee if?CiLidfia^ tnSi2NatIWl vT a V:Bici 501:8nci uliC'Gf V+2ici ' 3! ?,^,e ;2(tie .;(n0. I/ vO4F 3!'E 1Y15fdl)It?g bnl 2 N3f8t' SOffBf79Y anCilOf 4Y3[B£ ! ?no e *I-.r; ur.? c?,p?n4 t '. .Y nr! ec!in?.7: ..i „_ 10 ex ,'-,a1e?. .r .,? ca, . ., s..,,., . . . . se.,:,.. ? no 2?iy'?.i"!.°.c°!S1!''^'J cp'?'it5l8NJ'?G. ^ 1 S°oiic Svsiem Aoandoamer: '?J b3S2f i Urf7ei0i1fIL?- ?ovCt '13D.rJJ li a?/g.° i!±BEBf IS `OC?L'i;'8C) vVater woaiener ? 1Vater itia? #er ' _ re:: 1?_ rec'ncer-em _ Lawr irr;gaiibr, _RP,Z _?VB _naw State 5urcharye Ta'ai S 50 S_Is•sb - FSB f??!@;.?1T.? ,._. . i ?' ? n- I?.; ;C? a?asidiertiai Pilimb? If!C Pt'i;it!t oil^ 2Gkfi^uVlledgB iRZi tI'8 iifO7R':8iiun ;S COmplete and BCGu'8i'; t!'2: :`:":6 : yY.^..'K ".t::! C.^,t"fC.•'ri-:%^.° ':Yi?Ft `(iB Of'?i'ta,ryC2S 8;'tC! C0?25 Gf iF1° 4.-?!f./ t7; t.t"1<]ali 9fi-^ ir!° p!U!t??01.+'rg COG{BS:. ifiai I UruBr9iSnG' :hi5'3 nO` a NPi mIt wLi oIliy 2^. 2;'Q'iC8.-.0^ iGr a pe:.mi•i. ',vGfk S fi.^.i ID SiB?i Ni?hOUL 2P8ff^I', a-id `;YO k;!.`4! b0 i:l c:CC0;dl2'1C2 N(:tl IIlB 2'^.pfOJ@CJ oId:.4 . Nd 8v2R( a C'a(: iJ iBOu'?'A `L' J.',.'2V'@s` ?? `c2?u. /MAf? IL? f? ? J?t?v'1IiL[1. nl'G Or'n'e?? ?'?a?e :'11-'lli;Car! S Ji'.?]Pa'.lire Ciiy S 50.00 „ 5 `5.^0 a reua±r e?bui7d 5 :3Li.OG l 3 ? el ? CITY OF EAGAN f ` PLUMBING PERMIT (612) 681-4675 &ESIDBNPIAL PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. CITY USE ONLY REcEirT # C o/?9 6 3 DATE 1=2Z-9Z AL50, FOR TOWNHOMES AND CONDOS WORK DESCRIPTION NEW CONST ? ADD ON REPAIR _ OWNER NAME: SITE ADDRES5: INSTALLER: ff _ ADDRESS: nZ S/? ??? _ CITY: E !'G ZIP: ]k j - PHONE #: COMMEkZCIAL WORK DESCRIPTION: OWNER NAME: SITE AD?RESS: TENANT NAME: _ SUITE #: _ INSTALLER: ADDRESS: CITY: PHONE FOR: _ CITY OF EAGAN 7 ZIP: STATE SURCHARGE CONTRACT PRICE: 1% OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: TOTAL ( S IGNAT[JRE) COMPLETE THE FOLIAWING: N0. , FIXTURES EA. REPAIR/ADD ON 15.00 _ SHOWER 3.00 _ WATER CIASET 3.00 BATH TRB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 _ HOT TUB/SPA 3.00 _ WATER HEATER 3.00 FLOOR DRAIN 3.00 ?4_-GAS PIPING OUT. _ (MINIMUM - 1) 3.00 _ ROUGH QPENINGS 1.50 _ OTHER _ WATER SOFfENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 W. TURNAROi1ND 15.00 PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIA'L/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. iv. RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Revui2ments RemodeliReaair Reauirements 3 regislered site wrveys showing sq. R of bt, sq. ft. of house; and all roo(ed areas 2 copies of plan (20% maximum bt coverege allowed) 1 set of Energy CalcuWdons for heated addiUons 2 copies af plan showing 6eam & window sizes; poured found desgn, etc. 1 sRe survey far additlons & decks 1 set af Energy Calculations Addition -indicate ifon-sde septic system 3 copies o( Tree P2servation Plan if lot platted after 711/93 Rim Joist Detail Options seleclion sheet (bldgs wiU 3 or less uni5 $ s??,. T?o Otfice Use OnN _ Cert of Survey Recd Tree Pres Plan Reod Tree Pres Not Reqd _ Oo-site Septlc System '-k-I S cCIN4 ` I 0 A> tD C) J Date T / / 3 ConstrucdonCost °U Site Address 2t 1"1 00,V 6 ?, -c UniUSte # De scription of Work ? ?e+q?o.-i ?p?cH Multi-FamilyBldg _ Y xN Fireplace(s) _ 0)? 1 _ 2 Property Owner Telephone #( eS Contractor VA,L,,,„.,,? Address 20 56 `A -3 F?.,.,.. , pCity State IJJ?.n Zip SSoQ-' Telephone#(tiSz ? 2J0 -- Z'JOJ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate? 1 Minnesota Rules 7672 Energy Code CatBgOry (Jsubmissiontype) . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculatlons Submitted Licensed Plumber Telephone #( J Mechanical Contractor Telephone #( ) Sewer/WaterContractor Telephone R it ? I hereby apply for a Residential Building Permit and acknowledge that the inforrjocn i?s-com -- curate; that the work will be in conformance with the ordinances and codes of the City `of`Eagan and the State of MN Statutes; I understand ttas is not a permit, but only an application for a pemut, and work is not to start without a permit; that the work will be in accordance with the approved pian in the case of work which requires a review and approval of plans. L Rcaf WanG ,t; ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_plex ? 09 07-plex ? 17 Garage A 22 PorchlAddn. (4-sea.) ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscelianeous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 X 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 ? 34 Replacement •Demolilion (EnUre Bldg) - Give PCA handout to applicant ti V l 00 0 O 2 3"14 MC/ES S stem a ua on ccupancy y _ Census Code T ? Zoning City Water _ SAC Units Stories ? Booster Pump _ Nbr. of Units Sq. Ft. PRV _ Nbr. of Bldgs Length Fire Sprinklered _ Type of Const Width ? _ Footings (new bldg) Footings (deck) ? Footings (addirion) Foundation Drain Tile Roof Ice & Water Final ? Framing Fireplace y- RI. -KAir Test ?[ Final Insulation A. ? ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows7Doors REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ F[gs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved Byr_z- , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total R4 (J r7"l:;? 3319 F 4 s' Perniit Number REScheck Compliance Certificate 2000 Minnesota Energy Code REScheckSoftware Version 3.5 Release lc Data filename: C:\My Documents\WorklAndersen Whole house.rck TITLE: 4 Season Porch COLJNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 04/09/03 DATE OF PLANS: 4/8/03 PROJECT INFORMATION: Ron Anderson Addition 2117 Pin Oak Drive Eagan, KN 5122 COMPANY INFORMATION: Millennium Construction 20589 Jasmine Path Lakeville, MN 55044 License # 20217665 NOTES: Area Calc taken from whole house. No door behveen new space and existing. New space to have supplimental heat source (fireplace) COMPLIANCE: Passes Manimum t1A= 331 Yow Home UA = 301 9.1% Better Than Code (UA) Ceiling 1: Raised or Energy Truss Ceiling 2: Raised or Energy Truss Wall 1: Wood Frame, 16" o.c. Window: Polygon: Abova,Grade:Vinyl Frame:Double Pane with Low-E Wall 2: Wood Frame, t6" o.c. Window 7: Above-Grade:Vinyl Frame:Double Pane with Low-E Wall 3: Masonry Block with EmpTy Cells: Interior Insulation Wa114: Checked By/Date Gross Glazing Area or Caviry Con[. or poor Perimeter R-Value R-Value U-Factor UA 1368 40.0 0.0 33 364 40.0 0.0 9 1282 19.0 0.0 74 22 232 124 263 0310 7 t4.tY Q:fF 6 0310 38 13.0 0.0 ZZ ? Masonry Blcek with Empty Celis: Interior Insulation Window: Front Casements: Above-Grade:Meta[ Frame, Double Pane with Low-E Window: Small Casement: Above-Grade:Metal Frame, Double Pane with Low-E Window: Rear Casement: Above-Grade:Metal Frame, Double Pane with L.ow-E Window: Bed Casement: Above-Grade:MetalFrame, Doubie Fane witli Low-E Window: LL Casement: Above-Grade:Metal Frame, Double Pane with Low-E Door: Front: Solid Door: Gazage: Solid Door: Side: Solid Door: New French: Gtass Floor L All-Wood JoisUTruss, Over Outside Air Floor 2: All-Wood JaisUTmss, Over Outside Air Floor 3: All-Wood Joist/Truss, Over Outside Air Propased and 11?Ipgum II-Factor Averages 720 13.0 0.0 45 17 0310 5 0310 19 0320 6 32 0320 10 25 0320 8 20 0310 6 18 0300 5 17 0.315 5 T8 0325 6 364 30.0 0.0 12 20 30.0 0.0 1 13 30.0 0.0 0 Proposed Average U-Factor Above-GradeVindd,vs and Glass Doors Includes Foundation Windows> 5.6 ft2 0314 Maximum AI[owed U-Factor 0370 COMPLIpNCE STATEMENT: The proposed building desigo described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requiremen in RESc kVersion 3.5 Release lc (formertyNfECcPrec4 and to compiy with [he mancta[ory requirements listed in th Sche In pection Checklist, Builder/Designer Date `? /? v3 o,.') S ?a?i• . io3 ?n! s BY ? nATE _ EUILOI 8/oe/t/ (f/eA/??/1 PLOT PLAN =7 Scale -1 inch -20 tee4 I:: _ fti_ _ - IT- ? _ ' - - - - - - ?._. - - - - - ? -ttr = ? - . •,». J.-. _ . ? _ ? ? . - - _ ... *-?- .. •: : ..? .. ?. _ ? •? l ?. l y -' ' ?` -- ,. •. : :.t r' -' a zp: ? Int i• - y - ?? _ ? :.j„_ w = rr "" - - .T 47 r- - ? ?. . .y- - ? - ? ?G7 tm: - '?? - - - -•- _ -- - - - - _ { _ 2 i -- __ - - - - ?- Must shaw location of streete, lot and proposed buildings, give lot dimensions. (Lot corners and buiiding site are to be staked before appraisal is requested.) 1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN fly t ? ?g 4,? SINGLE FAMILY DWELLINGS t INCLUDE 2 SETS OF PLANS, 3 CEEiTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOA CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfIICH ADDRESS IS DESIAED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED. M[JLTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS 4 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.t 7 SET OF ENERGY CALCULATIONS COI+A7ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS i To Be Used For: ' yvM, ?(- Valuation: Site Address JIl I t/iu OAtC 02Ave / 41s ° OFFII Lot .3 Hlock I Parcel/Sub jA,?tjq) p (j jpTR Owner(C) At2... x1 ?2A .?R.+sPhi Address 2- 113 p, t) Qpk, &-L, P City/Zip Code EgQUI ypA) SS'12_2 Phone ys7. -. L,";? Contractor 1?40 1 `,Fu Yrnl/.c <LU?, Address Z?'?T! (I/_1 4 (7r{ City/Zip Code Phone C,9y- )qk?5 Arch./Engr. Address City/Zip Code Phone # On site sewage_ MWCC system _ On site well _ City water _ PRV required _ Booster Pump _ APPROVALS Engr/Assess Planner Council Bldg. Off. Variance ? I I•pa Date: r/ Jld w Occupancy Zoning Aetual Const Allowable II of stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review ±zt7IR SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment Pl Parks Copies TOTAL O,? .. ?E?JC?tJ 2 i 1 C1E1? C?l? ? - FA?A ? mN ? ? a a ? Sc S11.fmv?1E4 i'n = v?va ? U DQ A i ?? 3 - .? n, i_c'ts L ? La o ?r?x ti •?.? E?evnr?•,.?s 3 / o•a / ? 14151 . ,GoT PLOT PLAN J= Scale - 1 inch - 20 feet 4 - M 1 " - * _ - R ? " - - ? - ? - - ?- ? _ m _ ? I V .? ?.x • T?t : =7 , r _ _:? :_r ? _c ? - ' r " ' - ?-- - .?? ? • r - ;: 1 '" . 7 ? - " _ 71 • _ ? ? e _'•'_ _ ?.. ? - ... _ ?• + f.«, ? .? ? y :rM -a. i? ? 'e?. • ? .l •.i _ - _ - ..- _ - - - `- ? T. Must show location of streets, lot and proposed buildings, give lot dimensions. (Lot corners and buitding site are to 6e staked befora appraisalis raquested.) /,P? 7 .0" . 1986 BIIILDING PERLIIT gPPLICATIOH - CITY OF EAGAN HOYS: ALL CONTRACTOBS MQST BE LICE9SSD 41ITH THE CITY OF EAG9N SI6GLE F6NIILY DiiELLINGS INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SURVEY, 1 SET OF ENERGY CALCIILATIONS riOLTIPLS DW6LLINGS - HESIDENTIAL RENTAL IINITS FOR SALS IIDiITS INCLUDE 2 SETS OF PLANS, CERTIFICATfi OF SQIt9fiY - CHBCB iilT$ HLDG. DEPT., 1 SET OE ENERGY CALCULATIONS INCLUDE 2 SETS OF 9RCHITECTURAL & STRUCTURAL PLANS, t SET OF SPECIFICATIONS AND t SET OF ENERGY CALCOLATIONS, $2,000 LANDSCAPE BOND rl To Be Used For: 'l\tS,r??...??C Valuation: 1(caGX'DO Date: fe- /4rgG Site Address Oti (( 9J? Lot ? Block ? Parcel/Sub _ 11e/?N1v4 ZL2?'jds Owner Address City/Zip Code Phone Contraetor Address City/Zip Code Phone az?ZJ Arch./Engr. Address City/Zip Code Phone # Erect ? Occupancy g•3 Remodel Zoning 2 •f Repair _ Type of Const y Addition # of Stories Move , Length 49 Demolish _ Depth 45 Int.Impr. _ Sq Ft Install APPROVALS FEES Assessments Permit 3?1 Water/Sewer Surcharge 3 b. Police Plan Review ? P?o , $O Fire SAC 5'7 5 . Engr Water Conn Sc?c7. Planner Water Meter Co3.?" Council Road Unit 1-9 D• Bldg Off Treatment P1 I S(6. APC Parks Variance Copies 20T9L ? ? NOTE: ADDHESSES FOR CORNER LOTS - CONTAACTOR/HOMEOi1HER MIIST DBSIGNATS WHICH ADDRESS IS DESIRED. NO CHANGFS i1ILL BE ALLOTiiED ONCS BUILDING PERMIT IS ISSUED. 2? x 38 ?{vZco X 58 ° S'? 5n8 ? r . F. 10 ?1-4cD ?522P-S o•* 361•00+ 38 •OU+ 180•50+ 57 5•UUt 500•U0' G3•50 + 29D•O0t }jy•OOr i 2 9 164 '00* . ? E1pvq7iaJ 3 p E F G OTI GJ00=6 PLOT PLAN MP scal. - t incn - 20 reei ? ' ri _ -' - - - . . . ? _ ? _ ?.? ` Y . ? y » • ? ?. +? ? H?? .i} rT?, ? 1 -.. _ •L r.__ ._ Y.`` :t ,?; - ?y _ ?? r - • 1? .? . . #rt .? . = » ?• i? ? ?: ~ - ? i. ? ..r:C u . ? .++ i.. _ • -r. - +,+ ti " .:i? • P_^ ?. ' • ?r? + yt ?1 ? a??? ,. ? ? h• i.. ' ,F ?? ~ J ? . . ? + ? - ? ' ' RE ± LIT ? _ 'Y - rtT '.. 1.. ' :.., ' ..+ ..-. Must shaw location of straets, lot and proposed 6uildings, give lot dimensions. (Lot corners and building site are to be staked before appraisalis requested.) ?3Jr?...r ? . .. ? • ? 7 ... .?.r? `Y .v?' . S ? . _ . ?t, Y, " .M . . . „ ?? , ? ' ' --? ?' -o•? . . . '':? . . . . . li.:' . . ... '« fYT£QTQ2 f17VELOFE AVEP.AGE "kt? COt?PUtATiOlf r . OUNER, .. . . • ?-?-.,a . •;; , ? . u ... SITE ADDRESS . . . ? c-: .{ r b! 2 CON7RAC70R _ DATE 6 -.P-/;fY PHONE. . Determi'qe rrorhing.sqvare footage of each. .. ?r - . N .. t. Total expas dV;a1T arga . . ?.25.Z.33 sq. ft. x•?kn _ . 2. Tatal roaf/ OZL cei}inq area/jDf sq. ft. x.96•, _ ., ? TQtal exposed wal ) aria aboye fToor =',??+f3z a. Total xall wipdow area...... .....:.............. b. Total door area . ..................:.............. c. Total slidiag g?ass. door 'area ..... .............,. -?p - d. Total fireplace:wal.l.area:.......... ...._ .:.... ' 2p • e. Total w4ll framing 4rex- (averagel0%).:.:........ 303,z . f, Total net,`wall area abovg floor ................ /?', g. 7ofia? r.1?s joist area . . .................... ? Q , ? Total ekposed foundat;cn area = Q,33 h. Total foundation window area................... ". i. ToaT net 3oundation area abeve grade ............ ? Detenine "U" value of each wall segment. a• -'?.24 X . v. .'7?/ _ 9 3, SC; ` b. ' 37, 7 7 x U. , 423 = 4! GS" c:_ 'x vuii d. a,g x k.Ull ?/ap e. X liu„ ?O 9 = !?-?9 f. iSOS.a3 x ^U„ G0,19 s. /30 x I.Ull •04/ = s.2P h. - X ,.ul; ;. 90,33 x .-u,- . i = i-?-6 s 3, ..... . .g.._r'.... ...............Total = <?27 3 , If itcm 03 is?.the same as, or less than item F1, you have rret the intent of StiC 6p08(c)2. - , ? .f .. ? 9 : i r ? .? .; t ?. .. "- . . . . . . . .. .. , . . .,.y . . ?? ' . . . . .. . - . ) .. . iy.., .:: .. ? , . R * ? Total exposed roof/ceiling area = /?p? • . 3. Total sky]ight area.................... k, Total roof/ceiling framing area (average 1. Total net insulated roof/ceiling area........... 117 3,(. . Determine "U" value for each roof/ceiling segment. ? . - X ilull ? tc. ?3o,,y x°u" , 02G = 3 39 1: x "u" , a2S 4......... ......................Total = ,?• ? 3 If total of n4 is the same as, or less than_;2, you have met the iintent of S6C 6006(c)1. Alternate Building Emelope Design ic utilize the total envelooe systen rethod, the values=PStabiished by the sum of 4t2ms '?3 and ;;3 shall not Ce greater than the sum of items 741 and ;Z. i. .-?u71 76 + z. 33- PO s. ?27, 3S + a. 3-?1 7-3 - , r ? ' r. %l,• ? f/,' ' : ?Oii r`A'?,r? ?IllO ? Sv ? : . _ :: . ?'?: V?C i5a of N"quc vail fsamc oa?stiuction Const? iQn Z-va,ioc ? ,?!' -------? , } ' c. ? _• ?? '2??--------- '-? • 4. s?4G_?. ----'7.oG ' S . _by???prrp%?G -=? Z 6. Extori:•? .i:r filn = ?•1' ? BASIC WdLL FIG. N1 TQPVIF.IV QE' pME WqLL i. Zntcrior air filrc. 0.68 • ? ? . ? " •. 2 1 ?tf.fifl ? ?. GL ioplY 6. Sxterior ir filra 0•1, 7 ?s.. FIG. N2 Total 23.03 - '-r--p ?,- • rG= . oy . ----?--? . ; 5. ,pc:i?,ie.a2 ? ?. • ' ---0 6. - -----Q :oto? ?y yG ?- '. ? L?.,? .'Q • :?? ? ? A• V 1. Intcrior air fil.m 0.68 ` :; , ;, ? • 2. S. G ??ca:,-?a2'ZCN . p a. a. iz• .?.?..? ? B?P,;.? _ i, z? 4 u SJ' 'r;?? r _.?-?'?'?, • 6. 8xterior air film 0.17 •. Total 7 39 ?._? . • • • a- .!y SLAB ON GRi%DE . . u jj ?? 1 %',.-? •.:rr-; n o ?' • v' ? ' • , Y ?' ( rI ' r ?I?. ?3 ?y.. „ . ?. 4 ?? ? ? ' i ? ?, • '? , • .? ' ?' `??b ? n. . `. ? • ? l `? tic. ?a ri • Kt?!! G Nf c N? ? NOTE: Indicate tyoe, "-^•" value, depth and:: : placenent of insulatien. •a ?' .. . . .c?S.i.?. ,.5?.?. ? . . . ?, il I ? : . .. i ? ,- :? ? T- ? v ?. a E ! Ycnted ; v ' 3 ? '- ' i: ? a r ,4. i f ? ? ? ? ?. ? + t.`. {; . `. ?. ? Raor/csiizNc FSC. NS .. , . ? Consiruction .. ? R-V:+luc ? ]. Intcri r aii film 0.61 2 . b gla?l • 58 } r 3. /O t FGGl/Lltf .?b• AD ? 4. Extr.iior air film (ntill) Totai 39. B l ._ !G 7 Heac flou up - ? •.. : . n?a-.u..r.v -? ?+ . jO ' I ? ' . liuac V ' ilov uo • ; ';• • • . .#7 , ? 1. Interior ai film 0.61 2. 3. , 4. Er.terior air lm sei ? Tutal 1. Insidc air tilm 2. 3. A. S. Outsid . ir._ fil, O.G1 ? Nolc:' VsQ ndditional shects if more spacc is • `-' ngoaoa for.datailc mid calculations. rz ? . ?? . . _ . ? a : s?:' ... ? Y.'1'- . .. .. . ? . . . ?. ?:?.. ........_ rp.eat floti) up , :vtn[ed FIG. M6 ??***xw * C I TY O F E A G A N *APPLILl,,.?-im * APPR0VAL OF PERMrT. APPLlCATION FOR PERMIT ? . * INsencriaa oF sEWM Arro/ox %+TEt .. ,*E rnSrar.r.a,mrONS WIIS. NCYP BE SCHED- SEWER AND/OR WATER CONNECTION ? UI UMrIL PMMT HAS EEEN * APPR(3VID. * rt w ---.. ****t*t*e:**?,e+rtx*?*?*t*:****a*w** 1) PROPERTY ADDRESS : LEGAL DESCRIPTION: G- 3- ?' ? ?Pl9avra l.??o?f Lot Block Subdivision or Tax Parcel ID IF E7QSTING STRL'CiSJRE, Dp,TE OF ORIGINAL BUILUING FERMIT ISSL'ANCE: ' ? ' _ bnth/ ear YRESENr ZONING/PROPOSID C'SE: [] CONPfERCIAL/REPAII,/OFFICE 0 IPIDCT5242IAL r7 INSTIZL7TIONAL/GOVERDIINENT []3?R-1 SINGLE FAhffLY 0 R-2 DT-IPLEX (7two [Inits) ? R-3 TOWNiOLTSE (Three + Units) ( Cinits) ? R-4 APARTMEN'P/COAIDOMINI[]M ( Units) 2) • •?_? . ? o-z NAME: / ? . ADDRESS: CITY, STATE, ZIP: PHONE: • 3) • u?: ?• NAME_ For City Use _ /- ?1 - Plumbers License: ADDxFSS: 67 ?' .3•?? /?c' . Active Expired i CITY. STATE. ZIP: Not rernrded PHONE: C/5 71S^X 7 MASTER LICENSE# ?2 3 GSt?f Initial 4) ?• • i?• - NAME: ADDRESS: CITY. STATE, 2IP: PHONE: 5) n v ? r: •?• : a • oa - a, D?KPCONNECTION 7O CITY SEG7EE2 ;p{ CONA]E7CpION 1U CITY WATER ? pTI]ER ' 6) '? "• '??• [? PLEASE HOLD APPROVID PERMIT FOR PICK-DP BY ONE OF AHOVE ? PLEASE MAIL APPROVID PERMiT 'PO 1, 2,?3q, ABpVE (Circ?e one) 7) r ?• u•• FOR CITY USE ONLY PERMIT # ISSUED ? -?2- Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLODE SURCHARGE) $ $ ID• j D WATER PERMIT (INCLUDE SIIRCHARGE) .. $_ CD ?5? $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ )SACCOUNT DEPOSIT - SEWER $ $ 1J. oU ACCO[JNT DEPOSIT - WATER S,5?0 $ wac $ ct) $ SAC $ $ TRONK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ " LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRIINK WATER $_ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL - 73?/ 7?? g RECEIPT R CEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbLVDITI0N5: APPROVED BY: TITLE: DATE : RESIDENTIAL BUILDING Permit Application ` City Of Eagan 1, T-1 Q C) U q 3830 Pilot Knob Road, Eagan Mp 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWctionReauiremenls RemodeVReoairReauirements OKce UseOnN 3 registered site surveys showing sq. R o( lot, sq. ft of house; and all roo(ed areas 2 mpies of plan Cert of Survey Recd (20% maximum bt cave2gp allowed) 7 set of Eneryy Calalatioas for heated additions Tree Prea Plan Reai 2 copies of plan showing beam & window sizes: poured Iound desgn, ela 1 sile survey for addifions 8 decks Tree Pms Not Reqd 1 sel of Energy Calculatbns Addhion - iiMicate iJon-sife sepfk syslem _ On-sfte Septlc Syslem 3 coDies of Tree Preservation Plan'rf lot plattad after 111193 Rim Jaist Dehail Options selection sheet (hldgs with 3 or less units Dateq / .z3 / 03 ConstructionCost 15?ccy Site Address 211 7 Pi L O+'? k 0"At VCs UniUSte # DescripHon of Work aMa:q, Multi-Family Bldg _ Ytk N Fireplace(s) ?, 0 , 1 _ 2 ProperTyOwner Kpw+ 14Med eKSrr- Telephone # (1651 tQb i Contractor Ekte otNm g ttii wt+?s s.t'0.V?!3 I Aadress 21( y y y11,4I; I.? 9? city P,tlo4 C.MkE ? State ItiiW Zip !F;r3 7 Z i Telephone #1SZ ) y?'7 2' 7?7Z COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateeorv 1 . Residential VenUlaUon Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculadons Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Su6mitted Telephone #( Telephone #( Tele rione # ( - I hereby apply for a Residential Building Permit and acknowledge that thi;4f0rmah '.colap? and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NL?1 Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. G ??a, I? W ? Il ? ? g ? ' 1I -z3--a 3 Applica t's Printed Name ApplicanYs Signature OFF[CE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex 0 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 Ot of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Oeck ? 23 Porch (screenlgazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44, . Siding . ? 32 AddiUon ? 36 Move Bldg. ? 42,.Demolish.(Foundation) ? 45 FireRepair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code y 9? Zoning City Water SAC Units Stories Booster Pump Nbr. of lJnits Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width , REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) ? FinaUNo C.O. _ Footings (addifion) _ Plumbing _ Foundation ? HVAC Drain Tile Other Roof Ice & Wa[er Final Air/Gas Tes[s Pool F[gs _ Final . ? _ _ Framing - _ _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) ? Insulation _ Retaining Wall Approved By TZ , Building Inspector Base Fee Surcharge Plan Review ' MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total a! f / 0r, ? 2006 RESIDENTIAL BUILDING PERMIT APPLICATION "•1?32'? City Of Eagan 3830 Pilot Knob Road, Eagaa MN 55122 • ' Telephone 111651-675-5675 FAX # 651-675-5694 ? New Constnxtion Reawremems RertwdellRemir Reauirements Office Use OnN 3 regialemd sibe swveys shox'vig sq. R. M l04 sq. fl of house; aM all rooted areas 2 mpies d pan shvning footlngs, beans, jdsls ? Cert of Survey Reoi (20%mmdmum lot covemge allawed) 1 set of Enerpy CakWatiom tor 1eated addNOmN A Tree Pres Plmi Recd 2 capies af pWn showing beam & windav sizes: poured fourM design, etc. 1 site wrvey fur additns 8 Eecks ? Tree Pres ReqLered 1 set of Endgy Catculatlms Adddron - indcsta if on-sife sepbc sysfem Omite Septic System 3 coples af Tree Preservatim Plan "rf id PWbd aAer 711193 Flim Joist DeW Optiaa selectian street (6wltlinps wdth 3 or less unifs) Minnegasco roechamcal veMilaation tam -14 ID- 2 1 1? PO wo+ CtrtiCW I Y _ N _Y ?N, _ Y .iiJ _Y yiC J? Date Construcdon ost Site Address Unit/Ste # Description ot Work Muki-Family Bldg _ Y l N C Fireplace(s) _ 0_ 1 _ 2 Property Owoer Telephone # Coolractor / , r{ & Address /1) City ? ? - State ?A 1 e? ? Zip Telephone # t7'L COMPLETE TNIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDIN6 - Minnesota Rules 7670 Cateeory 1 _ Minnesota Rules 9672 Energy COdE Category , Residentlal Ventllation Category 1 Worksheet • New Energy Cotle Worksheet (Jsubmissiontype) Submittetl Submitted • Energy Envelope CakulaUons SubmitteC In The last 12 monThs, has ihe City of Eagan issued a permiT for a similar plan based on a master plan2 _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewedwater Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit aod 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 ar?d the 5tate of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will 6e in accordance with the approved p in the case of work which require s. a review and approval of pl apk ??? fl ? \n\ ? ? \a \ J pp ic t's int e Ap t s S gn re SE ? ? , . no NoT wluTE sELaw THIs LnvE . ub T es K3 01 Foundation ? 02 'SF Dwelling ? 03 Ot af _ plrac ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Tboes A 31 New ? 32 Atldifion ? 33 Alteration ? 34 Replacement ? 13 16-plex ? 16 Fireplace ?? 17 Garege ? BC 18 ? ? DeGc ? 19 Lower Level ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4sea.) ? 23 Porch (saeen/gazebo) ? 24 Storm Damage ? 25 Misceltaneous ? 30 Accessory Bldg ? 37 EM. Alt - Multi ? 33 EM. Alt - SF ? 38 Multi Misc. ? 35 Int Improvement O 38 Demolish Interior O-44 Siding ? 36 Move Building ? 42 Demolish Foundation ?45 Fire Repair ? 37 Demolish Building` ? 43 Reroof Q 46 Windows/Doors 'Uamolitbn (Entire Bltlg) • Olve PCA hendout to applicaM Descriution: waceroemaga_ves Valuation 2/ iDbfl - Occupancy R -3 Plan Review 100% or 25°!0 Census Code y3Y Zoning SAC Units Stories # of Units Sq. Ft. # of Bldgs Length 1(0 Type of Const 13 Widtti zlc? _ Footings (new bldg) Zo Footings(deck) _ Footings(addition) Foundation Drain Tile ? Roof _ Ice& Water ? Final Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation ? Approved By: MCES System City Wffier Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS _ Sheetrock FinaVC.O. ? FinaUNo C.O. HVAC Other _ Poo? Ftgs AidGas Tests Final _ Siding _ SWcco Lath _ Stone Lath _Brick _ Windows _ Retaining Watl Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connedion Charge S&W PermR & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-pleu ? OS 06-plex ? 09 07-p1ex ? 10 08-plex ? 11 10-plex ? 12 12-plex 0 , , ?y ]7 ?{ 'y?'? /?--c? ?tl'46,"r1 P ' -- EAGAN REVfEWED BY:._!:?/ m DATE". 16!Z,.lgl (a ? BUILDING INSPECTIONS DtVtS10N ;_.S?t1?s?__ .s` . ?c- F. ? Ii1? Y?`??1A1 l??blA.? ?..._ ?. ? ?.. ?..r_....?, ? ' _.??. 1 T '$' l ? ? T . \ ?r 10' . ' `? ) 1 ? -? 1 y Z ?- ---- a ? _ A ry zd wdrE,:ee 9e0E 00 •a>S zazhLerzsE: •011 xe-A aF,sq:Y,;: woaj r? . ???? 651 437 9745 01/23/2007 11:39 FAH 651 437 9745 HALEY COMFORT SYSTEMS 0-- IF1?n 1cQI'r? 5? TNs?Po Aor \ \ ? l - \ i C_ / J CKFHE RNqLYSER . KFiNE RNfiLVSER . DIME 86'14C24 -- ? .................... 16001l002 FuEI nR7uGfiS • 02 ? 12.0 C02 :p COa ?Pm ?i FLUE aF :02 RMBIEhfT DF 63 ? N'cTT F 41 EFF L055EG) 88•5 XFIR 1? L34.8 cciCC2 0.e403 ? P. z 0.03 a2 ReF i ---- ` Sh!6KE .............. Aug-17. 2009 11:45AM Cornerstone No-3202 P. 2 use c-- City V ~ tl Permit KU11 Permit 3830 Pilot Knob Road Fee, CL ` y( I Eagan MN 55122 Date Received Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: L 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C~ r'7 Site Address: /1 A7, O1 k ~1N 5 / 2 Tenant. suite RESIDENT /OWNER Name: T to ?L_ Phone:L Address I City / Zip: - C7 P,.. 0. k Applicant is: Owner _Contractor TYPE OF WORK Description of work: e-- Z~f Construction Cost: 1 ~Ud Multi-Family Building: (Yes / No CONTRACTOR Name: r' ~I Ur a6i ('1 License Address: J ole3-- ?f ed.(1 n• N City: mae7lto- Err-alt State: r V Zip: 55? Phone: f 7,3 yf 7C p Q _ Contact Person:. 'Joe, v r y t G COMPLETE THIS AREA ONLY IE CONSTRUCTING A NEW BUILDING Minnesota RulES 7670 Cate o 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category I Worksheet , New Energy Code Worksheet Category Submitted Submitted ('f submission type) • Energy Envelope Calculations Submitted 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: NOTE: Plans and supporting documents that you submit are considered to be public Inform ation. Portions of >the information maybe classified as non-publiclfyou pro vi do, specific reasons that would permit the City.to conclude that the are trade secrets. t 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 permit; that the work will be in accordance with thee approved plan in the case of work which requires a review and approval n x x U-_ Applicant's Printed Name A nt's Signature Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 2117 Pin Oak Dr Lot: 003 Block: 001 Addition: Vienna Woods PID:10- 81950- 030 -01 Use: Description: Sub Type: e - Furnace Work Type: Replacement Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector, 952- 445- 2840Brian Welke 122 W 3rd St hastings, mn 55033 651- 437 -0338 bwelke@haleycomfort.com Fee Summary: Contractor: Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437 -0338 Surcharge -Fixed ME - Permit Fee (Replacements) Total: 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 Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $0.50 $50.00 $50.50 Owner: Ronald G Andersen 2117 Pin Oak Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 9001 0801 Issued By: Signature Mechanical EA076387 01/11/2007 ePermit PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159195 Date Issued:11/27/2019 Permit Category:ePermit Site Address: 2117 Pin Oak Dr Lot:3 Block: 1 Addition: Vienna Woods PID:10-81950-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Ronald G Andersen 2117 Pin Oak Dr Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature