2121 Pin Oak Dr4 ?
G
A r" ' ?? V Oo
3830 PIlot Knob Ro d
P.O. Ba 2
-
f 9, Eagan, M N 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be usad for SF DWG/GAR Est Value $109,000 Date SEFT?:hSBf:R 12 , 19 ??L
Site Address 1121 P I N OAK DR Erect C? Occupancy R 3
Lot-2 Block 1 5eclSub. VIE NNA WOODS Remodel ? Zoning PI)
Parcel No Repair ? Type of Const Yn
. Addition ? No. Stories
8AUF
R CONS`X' Move ? Length 60
W
; .
Name
4104-44''H AVE SO Demolish ? Dapth ?A
° Address
MPLS 724-799 1 lnt Impr. ? Sq. Ft.
City Phone Install ?
o Name SAME
=
? ¢ Address
~ City Phone
a
? W Name
? a Address
z
W City Phone
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Fees
Permit S 455.50
Surcharge 59.50
Plan Review 227.75
SAC 575.00
Water Conn. 500 . 00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 15 6. U U
I hereby acknowledge that I have read this application and state that the Bld9
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and Gity of Eagan Ordinances. APC_
Signature of
Var. Date I Copies
T„*,, ? . 2 . 2 5
A Building Permit is issued to: ISAUr;tC LkJtVti'1' on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and CiV of Eagan Ordinances.
Building Official f ? ------
? PermN No. Pwmit Holder Dab Tebphone N
Plumbiny /O
H.KA.C.
El.c,?+c
soften..
Inspectbn Dats Inap. Commenb
Fooun9. I
FooBnys 11
FoundaNon
Frsminy
Roofi^9
Rouyh Plbp.
Rouph Nty. ,11-r1p,
Insul. I CA- ? L-
Fireplace
Final Hty.
Flnal Plby. 14?
Bidg. FMaI
Cat.Oce.
Deck Ftq.
Dick Frmy.
Wsll
Pr. Disp.
PERMIT #
PLUMBING PERMIT RECEIPT # ?
CITY OF EACiAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE
?
m Name _
? Address
c City _
? Name _
; Address
O CnY -
BLDG.TYPE
WORK DESCRIPTION
Sec/Sub
Res. .
Mult
Comm. -
ione ` 55 Other _
FEES
COMMIIND FEE - 146 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)
---) D 7 D_.
SIGNATURE OF
FOR CITY OF EAGAN
New x
Add-on .
Repair _
NO. FIXTURES jOTAL
Water Closet - $3.00
Bath Tubs - $3.00 ._
?Lavatory - $3.00
Shower - $3.00
=Kitchen Sink - $3.00
Urinal/Bidet - $3.00
TLaundry Tray - $3.00
T
3, 0.
5r
?
Floor Drains - $1.50
_ •
Water Heater - $1.50
7
`C
Whiripool - $3.00
Gas Piping Outlets - $1.50
% , - ; -
Softener - $5.00
We11 - $10.00
Private Disp. - $10.00
- ?3_Rough Openings - $1.50 • - 'G'
FEE _ r ,-
-
STATE S/C: -' ?-
GRAND TOTAL•
CONTRACT PRICE:
Ske Address - •
.
Lot Bloc
Name .? , .:? "L
? Address 36 0
c City taga
r_ti-,?._?.,. ? ;•v.f•v+. ??a??::-tt a.h x _ . :c,? . TF"". . . .
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
$ i 400. pHONE: 454-8100
Name ayUyji D7111Ci
c Address 8amr as above
p City Phone
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
l
M BTU $ 24.
M BTU $?
M BTU; ?
M BTU $?
CFM $_
BLDG. TYPE WORK DESCRIPTION
Res.
Mult
Comm.
Other
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% 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)
FEE
S/C' . 5? SIGNATURE OF PERMITTEE
TOTAL• ?L6.00
FOR: CITY OF EAGAN
,%
(Irrti#iratt uf (Orruvanry
titp of (Eagan
Eruartntmt nf liutlbiiug JWrrfinn
This Certif+cate issued pursuant ta the requirements ojSection 306 of 1he Uniform Burlding
Code certifying that at the rime of issuance this structure was in rnmp/ianre witti the various
ordinances of the City regulating building construction or use. For the follo)ving:
ux Qsaifinrion -_SP aCl GAR BWg. Ftiuiii No. 1215C1f3
Occupaocy Type R3 Zoomg D'euict pp Type Coaa. vr;
l, AL ?Y? .? ?•,'P:
.^.
o?of sudan AAT1F?2 {Y7t?Sf??<,?'rTi ti; ? 4 't
s?w;,,? ,?a,? .: 1YIN flAi', -1!":' ?,o„Lty L2, B 1. V.?r'A WD(7? ?:
nau: AIMST 14. 19r''7
Bwlding Official
POST IN A CONSPICUOUS PIACE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189
(612) 681-4675
SITE ADDRESS:
t f I N IIr1) fJi
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
? Date Issued:
APPUCANT:
? ,•r??i ? i i??
. ?. i • ? s?, ? ,cc? 1 ,
PERMIT SUBTYPE: TYPE OF WORK:
1 11=RAt Tc?M
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBINCi
HVAC
Inspection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
AOUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAI HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
'
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD
CiTY OF EAGAN f PERMIT TYPE:
3830 Pilot Knob Road
Permit Number:
Ea an, Minnesota 55122-1897 ? "
9 Date Issued:
(612) 681-4675
SITE ADDRESS: ? f ` I „ r . APPLICANT:
? iL' 1 I NMA Idiliill's 1 t?i =' 1 ts tt. yr,1 I ? .
PERMIT SUBTYPE:
TYPE OF WORK:
rli 6J
INSPECTION
: . . . I? ' DA •
I . , ? , D•
?
tv
I t!'.ttf F11 1 14N 3 1 V! I' l!1'
I
fot MA}!1iS r %FF'AfZ AI t" f'! 14l91 T', iif ()U I Ff 11 f(If? k 1 F 1` i P (I" A1 b!? t> ( t) Mlt ! IV', 41??IR l
?
7
? ?
Permlt No. Permit Holder Date Telephone #
ELECTRIC
PLUMBiNG
HVAC
InapecNon Date ` Insp. Comments 44
FOOTINGS ,
FOUND
FRAMING
/
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST .
INSUL _ 7-1&
GYP BOARD
FIREPLACE
%I' `4!•
143
FIREPLACE
AIR TEST
FINAL PLBG
FlNAI HTG
ORSAT
TEST
--
-
-__ - --
BLDG FINAL
BSMT R.I.
BSMT FINAL 7 p7 1
I
? ;s=?-.?? A49r ea..siQ
t2 -sf.?, M'3 Nb?' ipjrp?y?•y??? 1?1?ec?
OECK FTG
DECK FINAL
-- -? -
V,'.
u[..
?s>
CASH RECEIPT
CITY OF EAGAN
3830 P1LOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
? ?--,--?-
RECHIVEO
PROM
AMOUNT
? CASH ? CHriCK
White-Payers Copy
Yellow-Postinp Copy
Pink-File Copy
Thank You
BY
?
BLDG. -PERMIT NO.
?4C.7
01-32110 Bldg. Permi
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road IInit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 5ewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
I
CASH RECEIPT
, CIT•Y OF EAGAN
? 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19 ? '
RECEI V!G
FROM
AMOUNT $ I
,
& DOLLANf
- ?eo
Fl CASH Q CHECK
FOR
i
? ? ? '. 1 i ! . . 1 -? I ? f ??.1 ?J i , ?1 . . ?"_
? ? ?•' ?? ! ? r. f' . ? 1.i ?! l ! ?G+.? ?fI ?'_
FUND CODE AMOUN7
Thank You
BY
-. . t _i .. •1
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks
Addition VIENNA WOODS Lot 2 Rik Percel 10 81950 020 01
Owner Street 2121 P?n Oak Driv2 State Eaqan, MN 55122
improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ??
TMD ??- np3
4? 53
STREET RESTOR.
GRADING $7.73 3H.77 1
SAN SEW TRUNK 1973. 129.78 8.65 15 y3 ?
* SEWER LATERAL
* 90
WATERMAIN
* WATER LATERAL
* WATER AREA
* STORM SEW TRK
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY C?F EAGAN SEWER SE'RVI0 PERMIT
K b Road '
3g30 Pdot no pERMiT NO.:
P. O. Box 21198 ' - .-
Eagan, MN 55121 DATE:
ZeWng: _ No. of Units:
...?r Coast.
Ownor:
Addross: -
Site /lddress:
L2 B1 i's.e:'.eita
??e
PIUfT1bM: t:zC.'a A1LC:L3L12CF L
1.p.. h.«rrh? wilr t6. Nhr of ?M• C«+?NCtlon a+oV. f?7 5- On*
Accourvt pSPCWt: 15 ????=
Odlansam
Pomnit Fw - ?
Surdunrop.
By Misc. Q+arOew
Dote of Insp.: Total:
Doft Pold:
Insp.:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P.O. Box 21199 PERMIT NO.: ? 1 pn
MN W21
Esgan DATE: 10-2:3 -E E;
f,
,
Zoning: _,-R?„ No. of Units: 1
Owner. B8 Uer (',onst
Address:
2121
Site AddeSS: Pin Oa}c Lh[iv
e L2 Pl `•'{ annu Wrto . a
Plumber. 'aenzeY "hani a1
Meter No.: Connection Charge: 520130nri
Size: Account Deposit: 1 S_ O0pd
Reader No.: Permit Fee: 10-00?d--
I agree to compiy with tha City ot Eagan Surcharge:
Ordinances. Misc.Charges: 156-An.pd TP
ey
Date of Insp.:
_c
Total: f,z cn-' - -
Dete Paid:
WATER SERVICE PERMIT
PERMIT NO.: C? 109
DATE 10-23-86
No. ot Units: I
Address:
Site Addeas: 2121
Ptumber: tJenzpl U '
Meter No.: A L??a9e: qnl$d
Slze: „ e •?jipg.?i4 ?! Q+??1C,-15-n'=^-rA----
Reader No.: 11-nn,
1 agrse to comply wilh ths Olf¢bf Eayen G r e
Ordinancas. c ` sc. C arges: 156. OOpd ?
Total: , ez
gy Date Paid:
Date of Insp.: Insp.•
OFFlCE IISE ONLY This request void 78 monllis Irom wlidalion dale prinled in ihis box.
?'n I IIII I II II III I I I II I I II ?II ??I I ? I II I II '??? Da2,
* 0 4 2 3 0 5 1 2 * ?„wx.wa- ?/ov?l .? ..
PLEASE PRINT OR TYPE
Re9Q ??
96
/ - 3
0
Rw?gh:n inzpecfim raqoiredE ?Yes
mu,«o?l the ;mpacto, when ,???
na
? No
Impecnon Oiher Than RoogMn: ? Reody N. ? W II Call
Dole, Road.
I, t&licensed coMractor ? owner hereby request inspeclion of the above elechical work al:
?
Job Pddress ISked, Box, Roote Not ')?-l K;'h
Iq Ciy
Ea 6+? Zip Code
?S(z2
Secnon No. Townzhip Name a No. Roige No. Fire No. Couny
' /4??h•
Occvpont
J4pve 1 ahd Phore No.
Power $upplier Address
Eletlri I Cwilrodor (ComPa^Y Nama) j
I
? n2Csor LI2?TiLT<
/`
Canhame fiarue No.
1S`?
Mosler lic. No. I%ont Ekd. OnFyl
Nailirg reu (Convacbr or Ownar PeAormiig liumllofim)
"L ci 4 l- () n/+ ve S•
Aullwrrsed 5' nmare ( a P irg Inwllotion)
%wn
423-flTf
ii ??y'G
? REQUEST FOR ELECTRICAL INSPECTIONIf 01& ?
Minnesota Shate 8oard of Electricity
1827 Universiry Ave., Rm. S-128, Si. Paul, MN 55104
Phone (612) 642-OS00
Home Du lex Apf. Bldg. Olher: New ddn
Commerciol Indushial Farm Remod Re air
Air Cond. Ht . Equi . Water Hh. Laad mt. pther_
Dryer Ran e Elx. Heal Tem . Service
"X" above the work covesre,d by this request. Enter remaiks in Ihis space and on the bock of the white copy only.
Wi+'C .G s+ory ApW4?+o?
Calculafe lnspection Fee - This Inspaction Requesf will not be accep/ed wifhout the mrrecf fee:
Other Fee A Service Entrance Size Fee # Circuifs/feeders Fee
Mo6ile Home Park Stall 0 ro 200 Amps 0 to 100 Amps
Sfreet Ltg./iraffic Sig. Above 200_Am s 100_Amps
Tmnskrmer/Generator NsaECion's use oN . TOTAL S?
Sign/Oudine Llg. Xfmr. D?
Alorm/Remole Conhol ,
Swimming Pool
.
I hereb cMi dwi I' 'c Ilonon desvi rein on ihe dares s red
Irrigalion Boom Ro„y?,?„ p?
Speciallnspection
Invesfi afive Fee G
Fiml po ? _I , '
CITY OF EAGAN p
3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 12608
PHONE:454-B'100
BUILDING PERMIT Receiptu a4)
To be used 1or SF DWG/GAR Est. value $109,000 Date SEPTEMBER 12 ,198 6
SiteAddress 2121 PIN OAK DR Erect ? Occupancy R3
Lot?elock 1 SeciSub. VIENNA WOODS Remodel ? zoning PD
Parcel No. Repair ? Type of Const 17ii
Addition ? No. Stories
$ Name BAUER CONST Move ? Length 60
04-44TH AVE SO oemolish ? oepth SA
; Address 41 Int Impr. El S Ft.
° city MPLS Phone 724-7991 Install ? 4
o Name SAME
I
Address
City Phone
F W Name
? ig Address
i ?
Ciy Phone
I hereby ackn$ W ledge that I have read this application and state that the
information is correct andnree to comply with all applicable State of
Minnesota Statutes 1nd 95iy ol'4gpan Ord nf''dhees.
Signature of
A Building Permit is issued to: tsHUr:ic
all work shall be done in accordance with all
Building Official
Assessment_
water & Sew.
Police -
Fire
Eng.
Planner-
Council
Bidg. Off. 9/11/86
APC
var. Date
Faes
Permit $ 455_50
Surcharge 54 _ 50
Plan Review 2 Z 7- 75
SAC 575.00
Water Conn. 5 0 0. 0 0
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies
I Total $2.322.25
- on the ezpress condition that
of Eagan Ordinances.
?nis.equesl voide,//,Y&
18 rtqnths from
[ 67421
c? 9 4/c 7
'eJ-.3' rc
NeqLest Uate ?
?J Fira No. Rouph-in Insoection
Requ?retl?
aReatly Nuw QWill NoGfy Insp¢c'
- Cgyes ?NO ta, When ReadY
?Licensed Electrical Contraclor 1 hereby request inspection of ebova
? Owner eleGtrical work instelled et
Street Adtlress, BoK or Route No.
-VIgI dx?71y7 City
ecb n o. TownshiD Name or No. Range o. County
G?
Occupant (P
pINT) Phona No.
/
Ob ?7 R U e Y
Power SuoViier Aadress
Electrical /ConVactor (ComDany Name) CnnUactor's License No.
/S /9'l7 ?H//I W G'lC G.. O O ?J
Mailin0 O.ddr s IContra or Ownar MakinB lnstailationl
./ / -C,p-
AWhorized ' natur ontractor/Owner Makin Installationl Phone Nryumbard p?r
THIS INSPECTION flEQUEST WIIL NOT
TR1C1iV ?? O/ BE ACESS CEPTED PER BY ITHE STATE BOAXD
Grlppns-M?Owey BItl9BOAp om N 791
ENCLOSE?. NSqEnT`OpI ? fEE IS
1821 Univsrsitv Ave.. St. Peul. MN 66104 ' ??- ?F/?O
P?ane 16721 842-0800
REQUEST FOH ELECTRICAL INSPECTION ? -00001-0s
See inatruetiens for com lati this form on back of y
- ?- ? D ?B Yallow copY.
lr`. C-a'A 7'1 "N" 8e/ow Work Covered by 7his Request
K+..aAaal Rao-I Tv" oi euiiaine I AOUlinncea Wired I eauion,a.t wi.ea ?
Bulk
N Fee ServiceEntrenee5ize k Fee Feeders/5ubteetlem M Fee Circuits
„o?.0 0 to 200 qm s 0 to 30 Am s
Above 200 Amps ps 31 to 100 Affos
Swimmin Pool Am S
I
T Above 100_Am s
Transtormers Partial.'Other Fee
Signs Specialinspection 5. .
.°_•. ... ? ---?? I. the ElectPmal I
? inapecto ha,eby
eertify q that the nbove
Final Dnte insDeetion has been
2 a47 mee.
?4sLn- ZS
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
' 3830 PILOT KNOB RD, EACAN MN 55122
• 651-681-4675
New Conatruction Reauiremanh
• 3 reg'stered sAe surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan shovnng beam & wiMow sizes; poured found design, etcJ
. 1 set of Energy Calculations
• 3 copies ot Tree Preurvation Plan if lol platted aNer 7/1/93
• Rim Joist Detail OpGons selection sheel (bldgs wifh 3 or less units)
RemodaVReuair Reauirements
• 2 copies of plan
• 1 set of Energy Calculations for heated addidow
• 7 site survey for extenor add'Nons & decks
. Indicate if home sened hy septic syslem for additions
DATE ? , / ? I 2
VALUATION ')-OC-)
SITEADDRESS 2t2? MULTI-FAMILYBLDG _Y _N
TYPE OP iNORK T i i),-N FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
r •
STREET ADDRESS ?gffi OWNge 8U, CITY STATE_ZIP
TELEPHONE # LIIIIC CAR8d8, "WHONE # FAX #
PROPERTY OWNER Hk v-? e_ TELEPHONE # t oSt? -cALOGc-)
-------------------------------------°----------'---------------------------------°°--------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNISOTA RULES 7670 CA'CF,GORY 1 MINNESOT'A RULES 7672
(J submission type) • ResidenGal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculalions Submitted
Plumbing Conhactor: Phone # ^
Plumbing system includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of ]3aths - r
Mechanical Contractor: Phone #
Mech:uiical system includes: Air Conditioning I'ee: $70.00
Hcat Recovcry Systcm
Sewer/Water Contractor: Phone #
°°------------°----------°-------------------°---°------°----°-------------------------°-----..._..--------------
I hereby acknowledg@ that I have read this application, state that the information is correct, and agree to comply
with ail applicable State of Minnesota Statutes and City of Eagan Ordinances.
+ • ? S(gnature of Applica
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4f02
OFFICE USE ONLY
? 01 Foundalion ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessosy Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi `
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Additlon ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demoiish (Bldg)' ? 43 Reraaf ? 46 WindowslDoors
? 34 Replacement •Damolitlon (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy MC/ES Sys!em
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV % •
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Foorings(deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVpC
Urain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Smceo Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retauvng Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
?ie**:F•k*ic***?***ic***t#3Y* ? ' }t##
% . , ,,vy:o-?.ar?•..,..., .
C( T Y O F E A G A N ?*OTF' °A"??.Ni" OF F'EE AT-TIME pE
. . ?. APPLICATION DbFS NC7P CO[ZSTIZVTE
APPROVAL (Dr^ PEk2hffT. . ..
APPLICATION FOR PERMIT *
SNSPA TION OF SO? AM/C&2 WA=
. . . ' * IIIST.AI.TA2'IOI1S F7SI.L NC7r 13'r-JaM4-
SEWER AND/OR WATER CONNECTION ?1),? L1NPII. PFT2NtIT HA5 $EES7
* APPROVID. .
?
*
*
trlease YZ'lII
1) PROPERTY A.DDRESS : (Pl I d I P//I/ 0,4 K /S D
LEGAL DESCRIPTION:
_ Lot Block Sub zvision or?Tax ParceiyS? =)
IF :.'?TSTIt`G STR[:CItIRE. DATE OF ORIGINP.L EL'ILDINv PERMIT ISSL'r?=n: .. . . . •
ZCVI"?3/pRpIPOSED L`SE: . 2) N.?1t? :
ADD.RESS :
CT"I'`-', STATE, ZIP:
PHO'L?E:
f-7 CO:•2JE,RCLAL/Rt.'I'ASL/OFFICE
F7 I:v'7[,'Sii.La.L
(-I INSTI?'CTIONAL/GOVERM?ENr
? R-1 SINGLE FAMIL1' ? R-2 DLPLEX (Two Units) R-3 MWDIHOUSE (Three + L'nits) ( Lvrd{s)
? R-4 APARZmENT/CO\coMiNIL'M ( Units)
3) • c i: ?-
VVEni7F1 MECHANICAL
- PDDRESS: 3600 KEIyNEuEC DSU4E, EAGAiV, 411NN.551Y2
CT_T'Y, STATE, ZIP: " . •
PHOLNE: MASTER LICETISE# 001445M2
4)
ACt1VE'`." .- . .
ECpized.
13ot -recordec
Staz?tial
5) c'? V• Y' i:? w• x. : a • oa :. a,? CONNECTION T6 CITY SEWER My CpNNIDCTION TO CITY WATER
6) ? • r
Zaru?i,y-
NAbE:
ADDRESS:
C?'1'Y. STATE. ZIP:
PHON :
ti[r ,. u• -
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[J PLEASE HOLp APPROVFD PII2MIT FY)R PICK-CTP BY 0NE OF r3CtTE
? PLEASE MAIL APPROVED PERMIT TC) 1, 2, (D4, p,BO?,-r_
, (Circle one)
F4R CITY USE ONLY
rF:ES:
SLS9EF PERMIT (IVCL'::D°_
_ /n WATBR PERMIT iID;C_,UD? S::?.vr=.?.M
., WATER METER/CCnprE`C=>i/w^_S_z_ -'=.-In_
$ WATER TAP (I\CLT?= COR=C=,--=•' 17..._ .
.. . S SEw'ER T:AP
ACCOUiIl DE?CS_- - .._.W__.
ACCOC'NT DEP05=T -
.
? 'OCG $ WAC .
< .5 7.S C?J S SAC . '
; $ TRUN?< :4ATER ASS=55"=•.,-.
;. $ TRUh'K SEWrR
? $ LATERF;L BENEF= T/='_.U.;., .._..,E_.
S S .. LATPRAL BENEFITI"'RU=;?. L.---ER .
= ISl ^%i o , S WATER TREATM°V'T -L_-'=' SC?.Z-:.-_-
? $ OTHER: s TOTAL
:ZES ---L--- ':.CNNEC,:'-=0y REQUIF.E EXCAVATIObS IN POBLIC
?`_'=S 7F YES, THSN A"PERMIT FOR WORK LtiI'='i:=?:
- ;:OADWAv" MQST BE ISSOED BY THE ED!GI[:°=R--:'-
I\.? DT`;ISION. LIST AS A CONDITIOV.
`?
_ __.-_.,^ __ _..E :O!-_OSiI:iG CONDITIONS:
?
1986 BIIILDIAG PEI?II? APPLICATION - CITY OF EAG9P
90YS: ALL COHiRACTOHS MUST BS LICENSM tiITH THB CITY.OF EAGAN
SffiGLE F9FIILY DiIELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SDRVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DWELLIlYGS - RESIDENTIAL
INCLUDE 2 SETS OF PLANS, CEH
1 SET OF ENERGY CALCOLATIONS
COMMESCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS, ?
$2, 000 LANDSCAPE BO t? ?•? ? l" ?? ??? l?? dG
To Be Used For: "SVO E Valuation:
Site Address ::2 f ? • ?V 6
7? T
Lot ?- Block
Pareel/Sub \RC "ON
Owner ?v Ee ?d ?"?'?? o Li
9ddress `"1? C) Ct `W 1C?c 'SO .
City/Zip Code S5q06
Phone
Contraetor 'SA D-'1 E
«
Address r<
City/Zip Code
?? 1\
Phone
Arch./Engr.
Address
City/Zip Code
Phone 11
HENT9L i1N iTS FOR SALS QNIT3
OF SIIRYSY - CHECH iiITH BLDG. DEPT.0
Date: q R p(-
Ereet ?S Oceupaney k7s
$emodel Zoning
?
Repair _ Type of Const
Addition _ # of Stories ?
Move Length GD
_
Demolish _ Depth JP-,
Int.Impr. _ Sq Ft
Install
APPBOVAIS FEES
Assessments Permit If/f
Water/Sewer Surcharge 12-
Police Plan Review 2Z
Fire SAC {
Engr Water Conn ?
Planner Water Meter
Council Road Unit ?
Bldg Off ? Treatment P1 )
APC Parks _
Variance Copies _
TOT9L _
;p).)?
NOTE: ADDESSS6S EOR CORNEH LOTS - CONTRACTOR/HOliBOiiNEa MIIST DfiSIGNATfi i1HICH ADDRHSS
IS DfiSIHED. NO CHANGFS WILL HE ALLOiiSD ONCE BOILDING YElaIIY IS ISSIIED.
55 ? ?39z? ?3-e?
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le?32 0 ?5o
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81QMA
BURV
SE
3908 Sible
Eagan,
Phone
wy
EYI NO
AVICES
y Memorial Highway
Minnesota 55122
: (612) 652•3077
i
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.,
House Certificote For :
BAUER
:` -- EAST 98.00 --
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110 I .198.00 "
WESTti:c. o?
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? PIN OAK DRlVE _ Y. _
- N -
?NM ESp
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? c *r'' WAYNE D..'':
I30 CORDES ?E -
? S 14f>75
LEGEND
O Gvotes Iron Mau'renf
a 0.wiotes Wad Hub Set
x9t0,0 penotes Existirg Spot Elevation
NoT Aerates Pro?sed Spot Elevation
?ASNV?
?,?--Llenotes. Dra inage Directic»
_PibPER1Y OESL^RIPfICN-
!Al? ,&GYK ?
V lFN N Fk ?
accardiro to 1ha retcrdea
Minnesota
.,"_
PROPOSED GARA6E FLOOR ELEVATION= 9Z43
p?dpPOSEO Top of 8fatk ELEVATION= 97'y,(,
PROPOSED BASEAIENT FLOOR ELEVATION= q1L-$
? Verify all floar heights with Final House Pfaru.
_WRIM rERnFicarrar+?-
1 heraby certify that thrs survey, plan or repo+'t
wss prepered 6y me or urder +py dirert supervision
ard thet 1 am a duly Registered LaM Surveyor
urder thB Isws of the State ot Yinnesota.
[A)212-?-- Q'°-- Date: 9rq ?86
Wayne D. Cordes, Mrnn. Reg. No. 14575
i .
? PART
DE3CRIPTYON
?
PEAK HOURLY HEAT LOSS IPJ PiINA'ESOTA ZONE I
(Roger A. Peterson Method)
FT2 X U-VALUE = x PEAK TEMP. PEAK HOLRLY
DIFFERENTIAL = HEAT LCSS
* taJINDOW5 191.5ft2 x ,521 = 100 x 80 = E000
+ DOOR5 98ft2 x ,333 = 26 x F0 = 26,10
(protecteU) 21ft2 x ,5 = 10.5x 60 = 630
* STUDWALLS 774ft2 x .059 = 45.7x 80 = 3656
(protected)133ft2 x .059 = 7,9x 60 - 474
RIM JOIST 150ft2 x .037 = 5.5x 80 = 448
(protected) 22ft2 x .037 =.81 x 60 - 49
CEILING 1488ft2 x ,024 = 36 x 80 = 2880
FOUNDATION 136ft2 x .154 = 20,9x 80 = 1672
(above grade)
FOUNDATZON 22ft2 x .154 = 3.,1x 60 = 204
(above grade prote cted)
BELOW GRADE HEAT LOSS
FOUNDATION 0-2ft 293ft2 x .154 = 45,1 x 41 =.I£350
(protected) 0-2ft 44ft2 x .154 = 6.8 x 31 = 211
2-4ft 344ft2 x .154 = 53 x 37 = 196I
(protected) 2-4ft 44ft2 x .154 = 6,8 x 29 = 190
4-6ft 344ft2 x ,154 = 53 x 32 = 1696
(protected) 4-6ft 44ft2 x .154 = 6.8 x 23 - 156
SLAB 6-8ft 320ft2 x .7 - 224 x 29 = 6496
8-I0ft 296ft2 x .7 = 207 x 27 = 5589
10-12ft 264ft2 x .7 = 135 x 24 - 4440
22-14ft 208ft2 x ,7 = 146 x 18 = 2628
14-20ft 400ft2 x .7 = 280 x 10 = 2800
AIR CHANGE RATE
9523ft3/hr x,018btu/ft3f = 171 x 80 = 13680
TOTAL HOUSE HEAT LOSS = 620350 HTUjHR
?
* F12NDOWS- Assut?e 3'x1,5' basement? wou?nle dows
All house vindows are glazed R-1.92
* DOORS - Assume sliding glass doors are double glazed wA"
air space R-3
14" solid wood front entry door w/metal storm R-3
1%" solid wood garage entry door R-2
* STUDWALLS- Used total studwall U average taking into account
20% for framing (16" o.c.) R average- 17
R actual - 23
0
C:CTY OF FAGAN
CA4:iH:I:FR;; S TFIiMINAL N0. 74
DA'Y'4_P 07/09/37 1'TMI=2 009:27
IDc
NAMF': I=IAI._1'E;:F: CC)N'T'FiACT:f.NG
300 900:1 2t21. f'IN f]AY, DR 50.00
c!:I.i`; 9001 201 F'TA! DFdl: DP? (:).50
?
T'ota:l. FiE=ceipi; Ftinount N 50.50
CR078360
U51a:1; If?r NANGY
:?k>%Y,c??Y,cY,tX,??F?kY?Y??k?Y?Y,«: %k ?r?k?k?k??kMkcXt?C??t7'(M7:iikit>'F?n 7X7,:>X
PERMIT ? CITX OF EAGAN
"3830?i1ot Knob Road PERMIT TYPE: 5?6SBJN O
Eagan, Minnesota 55122-1897 Permit Number:
(612) 681-4675 Date Issued: 0 7/ 0 8/ 9 7
SITE ADDRESS:
P.I.N.: 10-81950-020-01
2121 PIN OAK DR
LOT: 2 BLOCK: 1
VIENNA W0005
DESCRIPTION:
?.. GAS LOG
B,tkj Jdffi'gl, PermiC Type
Building' Work Type
.,,
?
:'Census Code-
Z
i .
;
i
..- •*,,.. , : .; "-
^'f...t
FIREPLACE
ALTERATION
434 ALT. RESIDENTIAL
.r---i_... _ . `?...? _.. ?:..
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - OWNER:
WAL7ER CONTRACTING 18618013 BAYERS MICHAEL
420 COLUP1BUS AVE S 2121 PSN OAK DR
CHFIELD MN 55423 EAGAN MN
12) 861-8013 (612)688-8690
I hsreby acknowledge tMat I have redtl this applieation antl stats that the
information is carrect and agree to comply with all applicable State of Mn.
Statutes and City ofi Eagan Ordinances.
? . ?
APPLICA /PERMITEE SIGNATURE ISSUED : SIGNATURE
J
CITY OF EAGAN y?
3830 PILOT KNOB RD - 55122 "/ S? • S?
1997 FIREPLACE PERNIIT APPLICATION
• ` 681-4675
DATE: 8 7 PERMIT FEE: $50.50
DESCRIPTTON OF WORK: _ CONSTRUCT NEW FIREPLACE ALTERATIONS TO EXISTING
INSTALL GAS INSERT ONLY
_ II3STALL GAS LINE ONLY
OTFER: ?
STREET ADDRESS: f_4c^/,I
LOT `? BLOCK ? SUBD./P.I.D.
APPLICANT: (circle one only) OWNER CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with
al] applicable State of Minnesota Statutes and City of Eagan Ordinances.
X
PROPERTY Name:
? 2? ,?? Phone #:
OWNER
Signature:
SVeet Address:
City:
FtREPLACE Company:
INSTALLER
Signature:
State:
Street Address: 7y'o20 6x??.ESC+'J y4(?5,
City: C e l?_ State:
GAS LINE Company:
INSTALLER
Name:
Signatu.... _
Street Address:
City:
Zip:
Phone #: ??l- c6w-!?
License #:
zip: a
Phone #:
State:
Zip;
OFFICE USE UNLY
BNLDING PERhIIT TYPE
? 14 Fireplace
WORK TYPE
0 31 New ? 33 Alterations
? 32 Addition ? 34 Repa'v
GENERAL WFORMATION
Census Code. 434
SAC Code Ol
REIISARKS
Chimney/flue must be inspected before concea(ing.