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
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BY ?
nATE _
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8/oe/t/ (f/eA/??/1
PLOT PLAN
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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
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PLOT PLAN
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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
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361•00+
38 •OU+
180•50+
57 5•UUt
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are to be staked before appraisalis requested.)
?3Jr?...r ? . .. ? • ? 7 ... .?.r? `Y .v?' . S ? . _ .
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r . OUNER, .. . . • ?-?-.,a . •;; , ? .
u ...
SITE ADDRESS
. . . ? c-: .{
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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. -
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? 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
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fsamc oa?stiuction Const? iQn Z-va,ioc
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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
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5.
,pc:i?,ie.a2 ? ?. • ' ---0 6.
- -----Q :oto? ?y yG
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:?? ? ? 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
. .
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n o ?' • v' ?
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NOTE: Indicate tyoe, "-^•" value, depth and:: :
placenent of insulatien. •a ?'
.. . . .c?S.i.?. ,.5?.?. ? . . . ?, il
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? 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 •
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.#7 ,
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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 ? .
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?. ?:?.. ........_
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
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---.. ****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
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651 437 9745
01/23/2007 11:39 FAH 651 437 9745 HALEY COMFORT SYSTEMS
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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