2043 Vienna LaneCity of Ea�ail
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
CEIVED
FEB 1 7 2011
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
66- o0
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Z-1G.zoN‘
Tenant:
eft.;
Site Address: 2,6,3
h, E. ICC-
GeI1+%.a.
Lr
Suite #:
RESIDENT / OWNER
Name: ecM-r 7hocL{w11 Phone: 457' 497 - 43Z\
/
Address / City / Zip: Z.0%-‘3 U i crwk c� (. vN
CONTRACTOR
�p
Name:AreI%caancc. 114,54c.,Qe/"s oC /An Licensee #: $T/y�m
Address: PAWS' R,d."pal`s' 6 F AA—City: Moe Fft, Lc--
State: Mot Zip: Ss'S PZ Phone: GiSZ-KG t -8 3 L( 1
r 3
Contact: naetiG Email:
TYPE OF WORK
New k" Replacement _ Repair Rebuild Modify Space Work in R.O.W.
_ _ _
Description of work:
PERMIT TYPE
RESIDENTIAL
%T Water Softener
Water Heater
Add Plumbing Fixtures ( Main / Lower Level)
Lawn Irrigation (_ RPZ / PVB)
_
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) p0
TOTAL FEES $ S-.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Grc a rhavr ties
Applicant's Printed Name
x
Applican-nature
FOR OFFICE USE
Required Inspec'
Reviewed By:
Under Ground Rough
a
Air Tes
Gas Test
RESIDENT OWNER
Name: R i f MA- Phone: 4s 1-'33
Address City Zip: )I'I2r'V`t&h4 LA)
CONTRACTOR
Name: 444 Pt-- ku(tj 01 License ,'�712b5 P
Address: 1)65 /g44u A l
City: 6 r P 4) A) State: Zip: 5.9'67
Phone: Z57— q.5-1-3434 ft Contact Person: 1 .b A.4119
TYPE OF WORK
New /Replacement Repair Rebuild ilodify Space Work in R.O.W.
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ PVB) Main Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $165.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES
C !ty of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone:1651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Name
x
App
is Signature
Use BLUE or BLACK Ink
For
Permit
Permit Fee: 6
Date Received:
Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 1) (a: Site Address: a6, 43 1I E4;'4 4.49
Tenant: Suite
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accor ce with the approved plan in the case of work which requires a review and approval of plans.
FOR OFFICE US
Required Inspections:
CITY OF EAGAN Remarks
Addition vIENNA WOODS L '9 Bik 5 Parcel 10 81950 090 45
owner street - 20 4 344S State Es1ga11, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. t, 2834.Y , 283.4
STREET RESTOR.
GRADING 1981 582.73 58.77 10
SAN 5EW TRUNK 1973 129.78 8.65 5
* SEWER LATERAL 1981 4232.34 423.23 1
* services 1981
WATERMAIN
* WATERLATERAL 19$1
* WATER AfiEA 1981 10
* STORM SEW TRK 1981 10
* STORM SEW LAT jQ$j lO
CURB & GUTTER
SiqEWALK
STREET LIGHT
WATER CONN,
BUILDING PER.
SAC
PARK
~ . INSPECTION RECORD
~ CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ss'.
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: ; } ~ r APPLICANT:
I ANF
PERMIT SUBTYPE: TYPE OF WORK:
, ~ , i ,
INSPECTION .
I ri I I .,tra
! t r`,rv i rl~. f~r~~~t 1 f~~,
I rr~.+Ei i: I ~ ~~~1 1 I kf I' 1 it~ I
tl 11 I r~
' 1'1 It~i i I I!r11
~ ~
Permit No. Permk Holder Date Telephone M
SNV
PLUMBING
HVAC
ELECTRIC,
I O ? la ~ D~
ELECTRIC
Inspection Dete Insp. CommeMs
Footings I
Foundation
Framing
Rooting
Ro,gr,Pitg. -7-/~
Rough Htg. ~
Isul. ~ IkI2
Fi?eplace
Finai f+cg.
Orsat7est L/~94/ Lll~
Final Plbg. Pibg. Inspecto?- Notify Plumber
7 tW
Const. Meter
Engr.lPlan
Bldg. Final
l
Deck Ftg.
Deck Final
weli
Pr. Disp.
- O~
INSYEC'1'IUN i2EC;UKI)
CITY OF EAGAN PERMIT TYPE: 3830 Pilvt Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: '
(651) 681-4675
, . .
SITE ADDRESS: APPLICANT:
+_,r... V47006S
PERMIT SUBTYPE: TYPE OF WORK:
, . . , INSPECTION . .A
I
~
L
SEWER! Pertnk Hotder Date Tskphone •
WATER
PLUMBING
HVAC
Inspection Dete Inop. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
J
ROUGH
PLUMBING
PlBG
AIR TEST
ROUGH
HEATING
GAS 5VC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRFIGATION
METER
FLUSH
MAINS
cANOUCnviTv
rESr
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
. INSPECTIUN RECORD . . .
~ CI'TY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ~
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: APPLICANT:
; . H i,;. i aW . . ~
PERMIT SUBTYPE: TYPE OF WORK:
F. i , • , ~ .
INSPECTION
i i
. ' .
, IiI I 11!
I t 1 I lit i
; IVl1i i'I f~~, sl
~ Mnl;M', ~ , . , F,
F
L
~
~ PermR No. Perrnit Holder Date Telephone AI
. S/VN
' PLUMBING
HVAC ~ • ~ ffdv S
EIECT
ELECTRIC
Inspection Date Insp. Comments
Footings I
7
Foundation
Framing /3
7
Roofing
Rough Plbg. ,_7-94/
Rough Htg. V.
y v
Isul. Z~
Rreplace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notiiy Plumber
Const. Meter
EngrlPlan
sidg. Final ~/Gl
t
Deck Ftg.
Deck Flnal
Well
Pr. Disp.
. d-
INSPECTION RE(;UKD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan. Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: p APPLICANT:
, , I
Woo p 5
PERMiT SUBTYPE: TYPE OF WORK:
i i•f i~,-,~~t:, . ~
INSPECTION .
~ - . _ ~
L J
Permit Molder Oats Telephone #
EWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Commenes
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIF TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIF TEST
FINAL PL8C3
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FIUSH
MAINS
CONDUCTIVITY
TEST
HYOROSTATIC
7EST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
M . •y • 1
~...T.`~
Wertificate uf cccuvanc~
Ccitv of W-agan
. Teparlmeat o f 13riLbiag axopection
This Cerlificale Fssaed pursuant to the nequirements of the Urciform Building Code
certifying that at tiie tinee of issuance this structure was in compliance with 1he various
ordinances of the City regulating building co?+struction or use. For the following:
~se ciamfia,w,,: n,MEc (i aF zMIrs) ewg. Pennit No. 22685 ,
pcwp-y Type I Zoning District PD Type Const. Vn
oweerofsuilaing aJSIX2't TESIMLfCt'ES namess 157q MIAIIARD DR,EAGAN
Buildiag Addmst 2043 y~ T11NR Lmcaliry Lq! BJ. VIENNA GDMS
/
~ Daze: ~z
, B~tildina Of~Cial / POST IN A CONSPICUOUS PiACE
- Fr . . . ~ ; .t`. . . . . . ' . . ' II ~
~
Wertificate vf ccc "'anc4
(00 of (Ragan
Teoartwcut of vftmhug 3a##ecriox
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the 1i?ne of issuance lhis structure was in compliance with the various
ordinartces of the City rpgulating building construction ar use. For the fo[lowing:
Use Classifiptioa: DM+~ ( I OF 2WM) Bldg. Permit No. 226%
Oc-Pa-Y Type R3/"I I Zooing Disain _ PD Type Const. VN
owna os eww;ag i$SICM MSIQ+i tIFS Aaam 1574 MAiLARD DF2, EA['aw
e.Ming Ademu 2045 ViP1ddA LAM Lmwity L9, B5- VIFNNA WnMS -f
.
Dae:
/ -
POST IN A CONSPICUOUS PLACE
~ • - ~ ' ' L`r~ . _ •
Address ?n4-i vrFNNn TanF. Zip 5512~
I.o4 41 Blk 5 Sub vIEtZtA [tioODs
THESE I1'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: Yes No Inspectot:
Final grade (6" from siding) ~
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas
~
Sod/Seeded grass v
TraiUwrb damage ~
Porch
Basement finish G1~~CJ
Deck
Please verify with the builder the removal of roof test caps from the plumbing sys[em and lhe shut-off of water supply [o
the outside lawn faucet before freeze potential exists.
Contact engineering division a[ 681-4645 before workiqg in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~
Address 2045 vrMtA 1AM Zip 5512 2
L.or ~ 9 Blk 5 Sub vzENNA Tanons
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" ftom siding) ~
Permanentsteps (garage)
Permanent steps (main entry) V/
Permanent driveway
Permanent gas V/
Sod/Seeded grass ?
TraiUcurb damage Vz,
Porch V/
Basement finish ~
Deck
Please verify with the builder the removal of mof test caps from the plumbing system and the shutroff of water supply to
the outside lawn faucet before freeze potential exists. .
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Conlractor Copy
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) /
CIn oF E?GAN 75
3830 PILOT KNOB RD - 55122
651-681-4675
New ConslrucMOn Reaulremenh vf5 n,~ Rertadel/Reoalr ReaulremeMs
n 3 reglstered alfe wrveya ahowing eq. H. o11M. aq. ft. of houee . 2 coples of plan
antl gfi rooled areas (2D% mmcmum lot coveraae allowedf o G 1 set of energy calculaHOns for heated addlMOns
% 2 coples of pians (show beam 8 window slzes; poured MC. tlepgn; etc.) t sNe wrvey ta entedoraddiHons 6 tlecks
? 1 set ot energy calculaHona
> 3 coples of hee preaervatlon plan II lof plaMed alter 7/1/93
DATE: $ CONSfRUCTION COSf:
DESCRIP'f10N OF WORK: ~'e"sAR If muHl-famiy bldg., how many units?
STREET ADDRESS: ZO'tJ
LOT: ~ BLOCK: ~5_ SUBD./P.I.D.#:
~N&~Q~ b~~'y P,ona w) s s 1-zq~-~~z~
Name:
PROPERTY ~ Fliat
OWNER
Sfreet Address:
Cly State: MyP;
Company: hZV e)l l-A92 w 'J• I,N(- Phone
(area code)
CONTRACTOR ' /
Sheei Address: 2-)l{~ I QX'^~ ~K'~ License U bExp• s-
Cyty P=ff 9ti State: ~ Zip: 5~~22
ARCHITECT/
ENGINEER Company:
Telephone M: ( )
Sheef Address: Regishaflon
CHy Stafe: ZiP:
Sewedwater licensed plumber (if Insfallina sewerlwater): Ptwne I~
I hereby acknowledge that I have read fhis apptleation, srote ihaHhe fnrortnaiion is correct~nd agree to co py wilh all applkxable S1afe
of Minnesota Sfalutea ond Cify o} Eagan Ordinanees. -
Signature ol AppllcanY.
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext Alt - Mutti
? 02 SF Dwelling ? 08 06-plex ? 17 Garage 0 22 PorchlAddn. (4-sea.) 0 33 Ext, Ait - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuRI
? 04 02-plex 0 10 OS-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Piog Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demofish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition pertnit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
ToWI:
SAC Units
% SAC
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 j651-681-4675
New Conshuctlon Reaulremenh zf.J ) L~ $ RemodeUReoalr ReaulremeMa
v
D 3 reglsfered sife surveys ahowing aq. H. of lof, aq. tt. ol house 2 eoples of plan
and gfi rooled areas (2076 MgImum lot covemae allowed) t sef ol energy caladaNOns tor heated addlHOns
> 2 coplea of plans (ahow baam & wintbw sizes; poured Ind. design; etc.) 1 site wrvey la exteAOr addHlona & decks
> 1 set W energy calculaHOna
n 3 coples ot tree preservallon plan if lot plaHed atter 7/1 /93 m
DAiE: I - Z, <Zs(~) CONSTRUCfION COST:
DESCRIPTION OF WORK: If mul8-tamlly bldg., how many units4 Z
STREETADDRESS:
LOT: BLOCK: ~ SUBDJP.I.D. p: }I OL 004215
Name: Phonei: 6Ji-~5`~"!-Ib /
PROPERTY Lasf FI
OWNER
SheetAddress: ~-44,
cny state: na: SS J
Company: ~eU 2~ ~~~p~ ~-Q~s~ • I Phone Xn 2
CONiRACTOR (area code)
qq~ 1
meet Addreu: ucense # g 6 Exp.
cny ~ v Q srate: ~ vp: 553~
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Skeet Address: Regisirafion M:
Cly State: 7Jp:
Sewedwater licensed plumber (if insfallina sewerlwater): Phone
I hereby acknowledge ihaf I have read this applicaNon, state that Me InfomnaNon is co ~ect, and gr to compty wNh aB applfcable State
of Mlnnesota Statufes and dfy of Eagan Ordinances.
Signature of ApplkanY.
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUIIDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex 0 73 16-plex ? 21 Porch(3-sea.) ? 31 ExtAtt - Muiti
? 02 SF Dweliing ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 03 01 of_ plex ? 09 07-piex 0 18 Deck ? 23 Porch (screened) ? 36 Mukl
? 04 02-plex O 10 OS-plex ? 19 Lower Level O 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Y or_ N? 25 Miscellaneous
? O6 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New 0 36 Move Bldg. ? 43 Reroof
? 32 Addition O 37 Demolish (Bldg)" ? 44 Siding
13 .33 Alteration ? 38 Demoiish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolitlon permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowabie) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Totai:
SAC Units
% SAC
PERMIT
' CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: Bu x Lo s N e
Eagan, Minnesota 55122-1897 Permit Number: 033799
(651) 681-4675 Date Issued: 10 /27I 9 S
SITE ADDRESS:
2043 VIENNA LANE
LOT: 091 BLOCK: 5
VIENIVA l E
P.I.N.: 10-&1950-091-05 LJsODS
DESCRIPTION:
T.O. & REROOF
Bu,i~ding`-Permit Type STORM DAMAGE
BIkildxng Wor,k Type REPAIR
;~'enBUS Code ~ - 434 ALT. RESIDENTIAL
~
\
~
. . . _
1 f - '
_ '~•xi''-3l E..:
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - 5T. Lzc. OWNER:
LEVEL EqGE CQNST INC 14454909 0006$63 hiACKEY BETTY
9190 W 123-1/2 ST 2043 VIENNA LANE
SAVAGE MN 55378 EAGAN MN 55123
(612) 445-9909 (551)297-1728
I hereby acknowJ.edge that S have read thzs appliCation and state that the
information is correct and agr2e tn comply with all appltca6le Stato of Mn.
Statutes and City of Eagan Qrd3nances_
L ~
~ ~ APPLICANT/PERMITEE SIGNATURE -~BSUED BY: SIGNATUR
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122 q
( 681-4675
New Construdion Reauirements RemodeUReoair Reauirements
? 3 regiatered ske surveys ? 2 mpies of plan
? 2 copies of ptans (inGude beam & window s¢es; poured fid. design; etc.) ? 2 site surveys (exterior adddians & tledcs)
? 1 energy ealeulations ? 1 energy calwlations for heated additions
? 3 copies of troe preservafion plan if IM platted aRer 711/93
raquired: _ Yea _ No
DATE: ID~L(0 CON TRUCTION COST:
DESCRIPTION OF WORK:
STREETADDRESS: U1 -C'MJI7Q. a .-'7 -e_ _
LOT: o G I BLOCK: t SUBD./P.I.D.
_
Name: 791
PROPERTY Lut Fimt
OWNER Street Address. ~ 3 0/ YVi? f-7,rL L-C~---a?~ 'L-
City ~ Q'5 d-vi 5tate: Zip:
Company: L~~ennC I+A~ICT II~1/~~ Phone
CONTRACTOR 9190 W. 1231I2 ST. •
Street Address: License #
612-445~909
City , State: Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration k:
Street Address:
City State: Zip.
Sewer & water licensed plumber (new conshuction ony): Penaity appiies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and sfate that the intormation is cortect and ree to camply with all applicabl
State of MinnesoW Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No OCT 2 7 ~y~~
Tree Preservatlon Plan Received _ Yes - No _ Not Requ red
OFFICE USE ONLY ~ M1
BUILDING PERMIT TYPE 5
O 01 Foundation 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dweliing ? 07 4-plex ? 12 Multi RepaidRem. ? 17 .Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex 0 15 Deck
WORK TYPE
? 31 New q 33 Alterations ? 36 Move
? 32 Addition 34 Repair ? 37 Demolition
~ oops
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MClWS 5ystem
(Ailowabie) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq, ft. Booster Pump
Length sq, ft. Census Code.
Depth Footprint sq. ft. 5AC Code
Gensus Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License MCNVS SAG
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
5AC Units
PERMIT H37r
CITY'OF EAGAN PERMITTYPE:
N G
3830 Pilot Knob Road Permit Number: 022686
Eagan, Minnesota 55123
(612) 681-4675 Date Issued: 02/14j g q
SITE ADDRESS:
2045 V7ENNA LANE
LOT: 9 EiLOCK: 5
VSENNA WCIODS
DESCRIPTION:
- (1 qF 'iWp UNITS)
6~tSlda, t#~LPerm3t l'YPe WUPLEX
!iuilding W~$*rk Type NEW
a~tiBC {3ocUpanc~ R-3 M-1
~ Coq6tructior7 yp.g V-N
Xonzrag PD
Sulkda.ng GengCh ~ 40
~ F}u3.],d'ing Width ~ 45
,
a(go; an
REMARKS:
Y'RV S & W PLBR -
FEE SUMMARY
vai_uATZON $sm2oeea
Base Fee $646.50 MI5CFLLANEOU5 $1.828L.50
Plan Review $920.23 Total Fee $3,746,23
Surcharge $51.00
SAC $800.00
SAC % 100
SAC Units 1.
5ubtoZal $1,917.73
CONTRACTOR: - R p p 1 i c a n t- S T. Lz c. OWNER:
pESSGN BLDRS 16882600 0008547 CUSTOM DESIGN BLDRS
1998 BLACKHIARWK LAIVE 1579 MA4LHRD DR
ERGAN MN 55122 EAGAN MN 55122
(612) 688-2600 (612)688-2600
I heroby acknawiedge that Z haw~e read this apAla,cataar+ and state, that the
fnfowmatioO zs correcC and agxee ta comp].y with al1 a{SpYic.66la StetO o'€ Mn.
S'Catutes nd City of Eagan ardinanees. ;
- -
~
APPLICA T RMITEE SIGNATURE " -IS~SUEL)nY. SIGNA UR' r r+~
R 3 ( P ~ r i W I N . v. re~~ir~n
~a PERMIT " ~~~D 19GO BUILDING PERMIT APPLICATION
93 ~9T 68i4675
~
q ~ .a3
; SINGLE 3 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
f~ calcs: -
COMMERCIAL 2 sets of architectural 3 structural plans, 1 set of
u specifications. 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last rrorking day of month.
. in which request 1s made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Yaluation of work
Site Address:_ L'ANC
sraIr suITE r
; Tenanf-Name: (commercial onty)
. IAT -1- BIAC& _y„~ SIIBD. P.I.D. N .
. Ure n Cr~oc~
Descri tion of work• ~
The applicant is: Owner 13 Contractor ? Other (o..«iee)
Name r~a~aw~-- ~cec~, Phone ~~Z60C7
: Property uST r T .
Owner Address
fTREEi fiE /
- City Eot-,Qc' State PYl/~Ci Zip
: Company Phone eo $--i5Gr'7
Contractor Address License d;R-5 u Z Exp. 37-5
City _~Cdt&11 • State //410 Zip.~/2
. Company 4 Q--'h ~n A Phone 072
Architect/
Engineer Name Registration #
Address 3~3 s U)0-NV'4:4 cL6-rZe
City E2,L, A i~hUV. State
Sewer 6 water licensed plumber Qrocesrs ng titae for
sewer & water.permits 3s two da once area has been pproved.
I hereby"acknowledge that I have read this application and state that the information is
, correct and agree to comply wi a11 appticable State of Minnesota Statutes and City of
- Eagan Ordinances.
Siqnature of Applicant: J41z' "
OFFIGE U5E VIVLY '
, . , t
= BUILDING PERMIT TYPE
? 01 Foundation IZ 06 Ouplex__ , O 11 Apt./Lodging _.01 ~as~mAfi~f'inish
.O OT Sf Owg. O 07 4-Plex . ~ 12 Multi. ~Misc. J-'- b17 Swim Pool
- O 03 Sf Addition ? 08 8-Plex O 13 6arage/Accessory O 18 Comm./Ind.
O 04 SF Porch O 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
` E3 05 Sf Misc. O 10 Multi. Add'1. ? 15 Deck • O 20 Public Facility
, ? 21 Miscellaneous
WORK TYPE .
Ig 31 New ? 33 Alterations 'O 35 Tenant Finish ` O 37 Demolish
O 32 Addition ? 34 Repair E3 36 Move
GENERAL INFORMATION
Const. (Actuai) Y-" Basement sq. ft. • MWCC System S
Allowable) v-nl • lst ft.: sq. ft. City Mater c
UBC ccupancy 3-rn--~ 2nd F1. sq. ft. PRV Required
Zoning ~ Sq. Ft. totat Booster Pump
i.of Stories Footpr.int Sq. ft. F1re 5prinkler
Length ~40 On-site well Census Code o 2
Depth y~. On-site sewage ' SAC Code oZ .
APPROVALS
- $ I
- Ptanning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS '
O Site ? Footing 0 framing 0 Insulation
? Wallboard O Final O Oraintile ? fireplace
Permit Fee wLu.eia,:
Surcharge CqRA* c.rco
Plan Review ~ ~
License c2o x zz= 940-
14WCC SAC gyo X~~~ ~3yY~
City SAC Lrc x ay ::960 .
Water Conn. G x~_ y{
~ Water Meter
Acct. Deposit r----'
S/W Permit ~e II7-9 X9= ZZS6 ~ 1S= 33$L/0
S/W Surcharge !s T F~c„e:.
Treatment P1.
Road Uni t gs,y~ j; z 2 sb
Park Ded.
• toaies Ded. Z X!7•
- Otg er
Tota1: :
SAC Units
C~Ti~~ SCt2ulc'ES F-0 i;X 14 t,lNi I
~ CITY'OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B u T L u,/~
Eagan, Minnesota 55123 Permit Number: m 2 2 6 8 5
(612) 681-4675 Date Issued: 0 2 J 1 q/ 9 A
SITE ADDRESS:
2043 VTENNA LflNE
LOT: 9 BLOCKa 5
VIENNA WOOOS
DESCRIPTION:
f-,-~ _ (1 nF rwo UNITS)
B,rS'~.lding-:-,P4ermit Type OUPLEX
~uilsling Wz}.rk 7ype NEW
!U6GOCCupanryR-3 M-1
~r Cuns-truct3otr TYp,q! v-N
Z o Yt iet. g P?
l/
R3U3l.t'},.fltg F.E(igth ; 40
~ S4tilding Width 46
~
~ rfy
co)~
REMARKS:
PRV S & W PLBF2
FEE SUMMARY:
vALuarznN $1e2.000
Nase,Fee $646.50 MISGELLANEOUS $1,828.5C7
Plan Review $420.23 Tota]. Fee $3,746.23
Surcharge . $51.00
SAC $800.00
SAC % 100
5AC Uni.ts 1
Subtotal $1,917.73
CONTRACTOR: - App7.icant - sT. LIc. OWNER:
LIESIGN BLDRS 16882600 0008547 CUSTOhI DESIGN BLDRS
1498 BLRCKHWAWK LANE 1579 MALLRRp DR
EAGAN MN 55122 [AGAN MN 55122
(612) 688-2600 (612)688-2600
Z hersby acCCnowledge that I have read thi.s appxi+^aC:ixsn aCrd stata that the
informaticrn Is correct and agree Co cAmply with all' appli,eaFsxe St;ate, of Mn.
Statutes and Gity o# Eaga,n Ord3,nancas,
~ . ~
I APPUCANTlPITEE SIGNATURE -IUE SATU~R ~
REAG i lYA I t r.: n L {rl I Y UI' CACIAIV
PERMIT f U~~ 1993 BUILDING PERMIT APPLICATION_tttftbd6-7
1993 681-4675 ~
3
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specific8tions, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Yaluatian of work
Site Address:~~~
STREEi SUITE Y
Tenant Name: (commercial only)
IAT ~ BLOCK ~ SIIBD.()i e n P.I.D. ak
Ce~ac~
Descri tion of wo -
The applicant is: Owner Contractor 0 Other (Deneribe)
Name & ~ ~i c Phone0600
Property LAST F sT
Owl1@C Address lc5
STREET STE Y
.S•.1~~
City L!Z-,a t-\, State 1/96t-- Z i p
Company ov-,H ,CZ. ; Irb(- Phane l ~ ~f,rXi
COnt1'BCtOY Address u license # X-5 VExp. -3J-Sy
City Co,Q+ to, State 1/blli() Zip.S~`%Z
~
Company PIQN C.5 ~ v~ Phone Y
Architect/
Englneer Name Registration
Address ~ ~J ~ cl~t~-~Zre.-
City A lMIN~ State Zip
Sewer & water licensed plumber' G/l ~~erd~cess ~g time for
sewer & water permits is two day once area has been pproved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply z all applicable State of Minnesota Statutes and City of
Ea9an Ordinances.
Signature of Applicant: r
44-e-,
OFFICE USE ONLY
BUILDlNG PERMIT TYPE
? 01 Foundation U 06 Duplex , ? 11 Apt./Lodging 16BasemEgM n i s h
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comn./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm,/Ind. Misc.
0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Fatility
O 21 Miscellaneous
WORK TYPE
;131 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) v-nj Basement sq. ft. ~ MWCC System
(Allowa6le) v - n- lst F1., sq. ft. City Water Yc~
UBC Occupancy R-3 rn-~ 2nd F1. sq. ft. PRY Required
Zoning PD Sq. Ft. total Booster PumD
of Stories Footprint Sq. ft. Fire Sprinkler
Length -q&~ 40 On-site well Census Code o 2.
Depth 96, On-site sewage SAC Code ~
t I
APPROVALS
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site ? Faoting ? Framing ? Insultation
? Wallboard ? Final ? Draintile ? fireplace
Permi t Fee Yaluetim: 0 d a
Surcharge C a RaEE ;
Plan Review `l C C'
License zz= yL4
MWCC SAC
City SAC y ;`ibc
Water Lonn. G
Water Meter
Acct. Deposit )2-c ~
S/W Permit X41r= ZZs'6 x ts - 33$`-I°
5/W Surcharge IsTFi~~~e:
Treatment P1.
Road Unit
Park Ded.
Trails Ded. 1+/~x2 X 35
Copies L4
Other 229/ x_ 5y ~
Total:
a%V
sac x ~ 0--c-
4
SAC Units = Ckm L. I T- 'S c-71Z v t N t,l N, I
. ' ; MINH~TK-STt+TE EHFR-GY coD ,.Ai 0 1,ATIOtIg • BA5Ep Otl CIII+PTER 6 OF TIIE q
• tJpn~.i_F,JlFRGY CODF, - 1993 RDITi011 I~-~`~,1 i~ , •
adoption Effective • UN~i
owner Phone Date
Slte Address L~'~ GI ~~ccK .S ~iL~:lv~c~•~Vavc~S •
„ i
Contraator GvSTUKA Phone
Bullding Claeaitlcationt Type A1 (9lnqle Family 6 Duplex) 4~
Type a3 (Reeidential, 7 etoriee or leee)_(Over 9 stories) (Other)
NoTE~ comnlete Qaae9 ~ and 4 tiret.
~;NFNAL. INFORMATION 71
1. 8uildlnq Perimeter ft. .
N
1. Wall height (ground to eava) ft. 1. X 2. (above) groes wall area I9/, v eq.ft.
4. Bullding dlmensiona (L) i- X(W} ` eq.ft.root 6 tlaor nrea
5. Sq. foot area o[ rim jolet - Floor jolet eize S2 X' ID )
M'~ • • I~ X 1 ~(Perimeter) _ IIZ eq.lt.
~s la 6. Doora - 1~rea Z~l
~
Thickness in U. factor~ ,
Type o[ Construction Perimeter tt.
. Nanutacturer
7. Total door's perimeter [t.
•e. Wlndowes Manutacturer /YV,vL LS M`T 9tate appcoved
U lactor ?
TYPB 9IZ& ARE& (Sq.Ft, ) . NUFiBER OF • TOTAL
'
h EACI! Ut1IT9 SQ FEET
9. Total sq.it. Glaee ~ Z lo. Fireplace areas Width X tleiqht eq.Ct. ,
11. Exposed toundations Ilelght X Perlmeter•~X~~ eq.tt.
CONPLETIOtI OF Tf1I9 FORl1 I9 REQUTAEp FOR ALL ttEW CoN9TRUCTIOt1, ?1AJOR
REHODELI}IG hTID BUILDItIGB BEIIia NOVED Wt1EAE E1IERGY g OTIlER TIIAtI ':11E HIt1IHAL
CODE ~XLOWAtICEj I9 U3ED. ,
. :a: . ..y~. y.,_...;... . . .
. ..t . . . ; „3 ' . . . . , . . . ..12, Fr:aminy^.area a lot oe groaa wall area.
17. aroge wall ~jA?iT 'A dr
sq.ft.
Hlndow area 1~ 7:;)~ . eq. tt. U wlndowe d ,~(o UXA e
Aim jolet area AITI% sq. [t. U rim joleE= L9 UxA n_,L_
Door•.area A eq,tt, U door area= A Uxh
•.OEher doare area A~eq.tE, U aEher doote=~_ UxA -
Expoeed fndn A !7~ eq,Lt, U foundation= 6 UxA m f~
Framing area A(1/~ eq,[t, U Preming araa=-Loq5-- uxA e18_
. Ilet 'wall area A, eq,fr, U wall- t UxA
(179) TOTAL . . . . . . • . _UxJ1 ~S7
14, c3roee Wall area x o.ll (A-1 eingle [emily i duplex) ~ ellowable Uxa/Code
(13. above ) .
x 0.23 -7 other reeidentlal) •
, x .23 ~!~other 6ulidinge)
A
x .28 (over J eEoriee
~ BT011 muet be larger than oY eame
x U Code °F. ae 138 above
15. Celling iraiaing nrea (Aj) equnle 101 0f cellinq area
15A. Groee ceiling area ~(L) x(W) ~ e L lG eq.tt.
158. Joist area (hf) A lot celling area ~ Il i eq.ft.
15C. Ilet oelling area (Ac) (15h.- 1SH) eq.ft.
U ceiling x Ac - 157; x
' U iraming x A. t x.D7i
15D. TOTAL U X A......~..:...•~~~~~~~~.~~~... LCO .
16.,Ce11ing area (15A) x 0.026 (A-1 eingle tamlly i duplex)
~ nllowable UxA/ Code
x o,0]9 I1~-9 other reeldentlal)
x O.D6 other)
~ ~ J~~/ ~Gjt B~U11 muet be larger than or eame
l~151~ji I~ U Code ° pe 150 ebove
}IOTBt Uee U aml A valuea o6Enlned from pegee 1, 3 and 4. '
CE6TIEI-CATIQtit I hereby cert!!y that I have calculated the "U^ tnctore and
"A" valuee hereln and thnt Ehe bullding here deeari6ed meats or exceede the
9rate o[ Hlnnaeota $nerqy Coneerv4tlon Aat.
Dete • Bignature
.
- . . (or
1 _ - -
v O k <4v ) ~ 3~
S~oX I(~ Z e?.,O
q, b-7 X (,qv-t--40-t_~?s s f3ss) ,y, .z _ I gcoo
_
~~=II4~
UJf ND~t~S
lil ?1~ ta L~ ~ I U. X _ ~ 2- - - - - - . -
~~aY> Z ~ x _=--~D -
x -2- __I ° _ _ - - -
z~~~ _ &,x- z
J.
---I~ ~ - .
-
_
S
__Z Z-7
9 s- .
zg
_
_
, "ii:;' _-'l.;=3 n InLuc . U YALUE
. . . ~ ..p^. ~ ~ • • . , . r, ~
. ~ •~oel¢e s~r .Eilm'• S66
..NALL'. . . 1 , 1;.: t, : r . .
Inteclor xall ~ .4r7 ~ L
i(Nall) U - .6
R
~ SECTION ~nsUlatlon• • ; ' Iq O
: .~1 .
_ , . . ~ ' Sbe~[hing. ~ ~ L.. . ' 2. .
4iding r . • ~(D~I i
dutelde qlr fllm ' ,17 ~ •
~ + ' R T01'AL
^ k. ' •
•r :
il Inslde.alr ftlm. ,68 ~ •
STUD ~ Intertoc.iwall .4-~j~
SECTION stud ~ p ~ l
. . ' 4&38 (A,,5 (Fcaming) U - a .
- I Sheething:
. g cq,5
1 ~ siain
Outalde tlr flln ' ;j7 ~
•R TOTAL ~ O
~ _ ~
i
Inte'tlor vall ' •
SECTION. . Inaulatlon all ) U . ~ ~
,
. ~ z 'a ,
Exterloc,:vall cover n '
Extertoralr ELIm' R ...11
R ?OIAL
. t'
, ~lnterlor!,alc Ellm R= .68
R1N ~ . '
. ~ Inaula[L.'oo 00
JO15T Ineh fboEt MbOd R=1;88 (Rim ~ (J
=7. ` Joist)
~ ,5heithln~ . Z.o(o • d~l
~ ~~xtcrlor•twall covertng :(p1 ~
• ixterloc'alt Ellm :R. .j]
R• TOTAL
• .
. • S~. • ' ; .
'lnterloc,.alr Ellm :R= ~;68
' :fn~ulaelon ~I~~ ,
Faundael'on (Fdn.) U a R -
~ Eaterlor:alc F.LIm Rm :17
R TOTnL `
}.xposed 8luck '
' i...
.
. . •
. . . . .
. GRILTII(UiI~'11-V E11.T.E(LE'f_TIGA QAGR-hB9Y£
' • , R V?.1.tls ' R VMi1G
, FtiAlfIlla ' cEll.Illa
' . ____Q~d 1 A I r F l 1 m ~Q 1_ .
~ . 1j(~•O Tnattilatlon 1~`, •D
1(
-l-+79 Jolet
n.96 calling nA a_
-Sl+d 1 1,1 r F I] m
_
1 /A . O
Hlndow lntlltratlon a.s aLm/llneal fout'n[ orack
Realdentlnl door lntlltrntlon 0.6 a!m/squara [oaC or docr and minlmum cada
requlremeo'
Ilan-raeldentlnldaor lnflltratlnn 11.0 atm/1lneal,toot ot creclc
11~, 11" aonarate hloak nQ lnaulatlon a.{7 R 1.1 .
Uq 124 canarata kilock lnaulntad ooraa 428 Il 1,9
lih 121, 119htHel9ht binck "•1Z 11 3.1
Ub • 12" 11ghtHe1ght bloak lnaulakad aorea ,11 R o.7 ,
u qingls g.laea ~*1,1i I. Hlth atura NlndaN p4 11 doubla glaes ~ .69
Il ticlpla glaaa • +41 ' h1i axtarlor unlla aad aslllnya uuat hevs a vnpor harrler (o.lo parm mex.I.
Vapor psrrler auet,ar on th• Joald• (I~aake~1 eldal cf uall.
yapor barr.leca ot tha polyathalena khln illm hnva no R valua. •
.
~ • •
~ •
. , ~ .
' . I
. '
. .
J
A ~
I~
h '
0
e`
aq
~ e6 4~
9g Q.
&6 F
~ qiiS}
NORTH
~ SCALE : 1' . 20'
POND
LEGAL DESCRIPTIONS:
vMCEL P
~
[ Xesf <9.50 lee[ a1 Lot 9, BIO[k 5. Vleniu YoaES, Oako[a
Ih
' v nou'ry, nInneso[a, a a Einy m tne naereeU plrt mermf, ax
mnes.rm at a n0.I anyle to tn. wee[ tinn of sa,G toa 9, ane ~tz
d ~ ^ orNeriY ea[enslon.
PAMCEL P
~~e
+n inat part o! iot 9. Alack 5, vrmna uooos, limou Counq.
nsn.esou xmret'q m ine .ecoron ola[ m..wr nc.POiny k1yl'E / meratrm [ne x..u a9.50 reei ol s.ia Loc s, em« s, v'.nm tA; w jd
~~•04 uaons, unwu to~ilr. ^<mrn,n w ue . Q n.a oI
• e i { Mfreol ns wasuron nl a riynt rngle In tx[ Mpst I" a! sai~ -
1 __V
1 /Q}.I /f1 ll I Ln[ Y. enU Ib u1l0er1v exlAns"o ~.pF
-Ij
ONI.WIWE ANO l1TILITY EJISEMENT -~=""'-'~'?~^~_F
PARCE I A PARCEL B
(,nrd, ~t.cbi u~ (uu. ~zFn cwaXJ I c7,']
Mw.fu31 x.e. fn.m
~ FBwo ~ crwo _I_ od.w D~~;r•~-- -
I j~.SO 34fo . ~ ~
. I I I (~t^9 ! DENOtES EXISTING ELEYaiq
PROPOSEU TWW HOME (143.0) OENOTE3PHOP08EDELEVAT1
g 8 I iNOICAE'a UWECTION OF SYR -
^ 943.53 = F&15HE] GAPAGE FIOOP Ei
, I`In : I 935.LL = BASENENt FLOOF EL
r---- - Ig
g e m~ i~m 8 34rLy_ = TOP CF iO11NMTION
`I OAI'l WqMiEf~
Hus.lal.a 3 8 eo.w ' ~isx~j we.m.n ~~YZs
011.b Lo.w Ofe.ii
iRINGDEPT.
]o FT- FpOM7 6ETBAGK LINE r ~ 5
9N., S I' +:~.r y w !I~'" ~i
-
~i~.t' M.se... - -s,.u.. - . ~~fP. j.• 11 0 43 kl O V 0 U LL ~ ~ ~ ~ 4' Ir7l
wnizm.e Eq eu.wcr~wa .
VIENNA LANE ,*rid.ri~ sr i9a, z.ca
wen~ ~~xx~us. n«..... ww. PRFD~NEO WR: ~
~ IJSTOM DESIGN 1
C
N61NEE81N6 ~ LOT SPL1T SURVEY ~ BIJILDERS
• y
i COMPRNV, INC. .~en
1 i~~ i . wnsYM1LL. ~M1HIT~ lfA~ M~fi']000
PERMIT
CITY-'OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: e uI L o z N G
Eagan, Minnesota 55722-1897 Permit Number: 0 3 3 S 0 3
(651) 681-4675 Date Issued: 10 / 2 7/ 9 8
SITE ADDRESS:
2045 VTENNA LAiVE
LOT: 092 BLOCK: 5
VIENNA L~A#6
P.I.N.: 10-81950-092-05 ~.1ooDS "
DESCRIPTION:
T.O. & REROOF
Bu,irLdi-ng-Permit T,ype S70RM DAMRGE
8dilding Wdr^,k Type REPASR
,E'ensus Code 434 ALT. RESIDENTIAL
/ - ~
~ lJ 4~/ 1
~~y
;
~i ~ ~ '..'s r. ~ . I .
~ .i ' ~ . l~'.
v 1'
V
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - sT. l.ZC. OWNER:
LEVE4. EDGE CONST INC 14454909 0006863 COBB JUDY
9190 W 123-1/2 ST 2045 VIENNA LANE
SAVAGE MN 55378 EAGAN MN 55122
(612) 445-9909 (651)454-9467
, 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 Mn.
Statutes and City of Eagan Ordinances.
II ~ -
1~ ~L ~J c
~
APPLICANTIPERMITEE SIGNATURE UED BY: SIGNATURL' \1
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAC~iAN
g(~3 3830 PII.OT KN~O 7 RD - 55122
d
New Construction Reauirements RemodeUReoair Requirements
? 3 registered site suneys • 2 wpies of plan
? 2 copies oi plans (inGude beam & window s¢es; poured fid. design; etc.) • 2 arte surveys (exterior aGditions 8 decks)
? 1 energy wlculationa ? 1 energy calculatlons for heated edditians
• 3 copies of tree preservation pl$n if IM plaCed after 711193
reqUired: _ YeS No
DATE: CONSTRUCTION COST;
DESCRIPTION OF WORK: ~/T t7 . ~ ~'7Gc
STREET ADDRESS: 'D U I t1'T I'7 G, n
LOT: 0 9 BLOCK: ~ SUBD./P.I.D. UAZ-e1S4
Name: CC7 tiC ~ Phone
PROPERTY 1.ut rs~
OWNER
Street Address: lf 111 !~/CL L-u-~ `e~
City State: Zip:
~l
LEVEL EDGE CONST. INC.
9190 W. 123Yz ST.
Company: AGE, MPJ 55375 Phone
~
CONTRACTOR 612-445-4909
Street Address: U , n6e63 License #
City State: Zip:
ARCHIT'ECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction oniy): . Penalty applies when address chang
and lot Change is requested once pertnit is issued.
I hereby acknowledge that i have read this application and state that the infortnation is correct an ree o Compiy with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY I ~
u~T 2 7 i998
Certifrcates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No _ Not Requir
OFFICE USE ONLY
BUILDING PERMIT TYPEol-C s
? 01 Foundation )KrO6 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaiNRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-piex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 5F Misc. ? 10 _-plex 15 Deck
WORK TYPE
PS
? 31 New P/ 33 Alterations ? 36 Move
O 32 Addition C~ 34 Repair ? 37 Demolition
c`
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Aliowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census.Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
' i ~t s y '~"'c . ~E . . 1 ~d~~'-'k%*«,`~~'•'SF~ f ~ Y ~C ~ a .,il. 3 s v< v
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
_~ZNEW CONSTRUCTION
ADD-ON AJC
ADD-ON FURNACE
FIREPLACE INSERT
DATE c~'/I ~ I7 7
FEES
HVAC: 0-100 M BTU - $ 24.00 `
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM i @ $3.00 EACH) 3. 0-0
ADD-ON/REMODEL (Exis'riNG CoNSTRUCTION) $ 20.00
STATE SURCHARGE .50
TOTAL a2 7 s~'
SITE ADDRESS:
OWNER NAME: I CL1~ -~U% IU,S TELEPHONE
INSTALLER: tin & A/C, Inc.
ADDRESS: 12481 Rho Ni 55378•1122
894-
CITY: STATE: ZIP CODE:
TELEPHONE
SI U OF PERMITTEE
k. dk
t Y i Ff yF~i Y
y¢« .
1994 MECHANICAL PERMTT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DAT'E: CONT:3ACT PR?CE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DFSCRIPTION:
FEES
1% OF PgMTM FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF M--,,AMTT FEE.
TOTAL $
SI i E AUDr`2F.S5:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLl)
INSTALLER:
ADDRESS:
CIT1': STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
~~rs~i:~~~~ ywyh
~ ~<.Tp
~E
c7N:ii~
. . . . . . . ;ss,.>.:x.z.~"Fs~t ,3xi~'~C~z r ..>.:,.~..<.....<..>..$....,..,;.< . , . ~
1994 MECHANICAL PERMIT (RESIDENTTAL)
CITY OF EAGAN
3830 PILUT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES ANTD
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE ~ 9 j~
FEES
HVAC: 0-100 M BTU $ 24.00 ~
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) L±4
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00
STATE SURCHARGE .50
TOTAL ~ ~
i
SITE ADDRESS: 02 1-~RiY12i rI4 r h
OWNER NAME: q'Yl *a-r IcIW,~S TELEPHONE a 6DD
1NSTALLER: eurnsvillr+ Hpatung A/C, InC
12481 Rhode Island Ave. So.
ADDRESS: Savage, MN 55378•1122
894-0005
CITY: STATE: ZIP CODE:
TELEPHONE
SIT51ATURf- OF PERMITTEE
C/T
i s b~~Y a YASN ~"i~'~y~ F~Ya-a.a*~~3~5 raai, ~iSSa~ a3~~FG`Y 3=€"~"k~~L`~ ~ W~ >yEx"#83' ~r
; s r z& 4x „Lr fi x ~k f e a
~+1zT T 3.; &a~ (;at ~~C i z¢v p a~ ;lK ~~"£~~~s~3~~ xy., ~Sq~` FH3 s i.~ P~ tr ~+yt& isa ~~yy~ K w ~'s T
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
- - - - -
llATE: Ct7ilTtZACI' PRYi,E: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF 99M3M FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF fpFEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMpROVEMErrIs oc.LY)
INSTALLER:
ADDRESS:
CITS': STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
cTHOMAS EGAN
Mayor
PATRICIA AWADA
SHAWN HUNTER
SANDRA A. MASIN
September 28, 1994 ~o ~D MR~cHTER
THOMAS HEDGES
CNy Atlminlafrator
MS JUDY COBB City CeAk OVERBEKE
2045 VIENNA LN
EAGAN MN 55122
Re: Retaining wall
Dear Ms. Cobb:
The Ciry of Eagan did not issue a building permit for the retaining wail on your property
nor did the City inspect the wall. At this time, we do not issue permits for retaining wall
installations.
If you have any further questions, please do not hesitate to call me at 681-4699.
Sincerely,
lbi
Dale Schoeppner
Senior Inspector
DS/mg
__j
MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY
3830 PILOT KNOB ROAD 3601 COACNMAN POINT
EAGAN, MINNESOiA 55122-1897 THE SYMBOL OF STRENGiH AND GROWTH IN OUR COMMUNITY EqGAN. MINNESOTA 55172
PHONE: (612) 681-4600 PHONE: (612) 6814300
FAX: (612) 681-E612 Equai OppOrtunHy/Affirmaflve Actlon Employer FA%: (612) 681-4360
TDD:(612) 454.8535 TDD:(612)454-8595
. ~
s.. . ww..:<P...<...~. ,
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SIlVGLE FAMILY DWELLINGS. ALSO, FOR TOWNNOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - - - - - - - -
NO. FIXTURES EACH TOTAL
_L SHO`JJER 3.00 3-
WATER CLOSET 3.00 3-
J_ BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00 3 ~
l LAUNARY TRAY 3.00
HOT TUB/SPA 3.00
t_ WATER HEATER 3.00
1 FLOOR DRAIN 3.00 3-
1 GAS PTPING OUTLET • minimum -1 3.00
3 ROUGN OPENINGS 1.50
WATER SOFI'ENER 5.00
PRIVATE DISP. • Dak.Cry. lic. ZO.OO
U.G. 3PRINKI.ER • home under mnsi. 3.00
ALTERATIONS • to aristing 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: ~toV J
OWNER NAME:
INSTALLER: V al l" C o L_ C•
ADDRESS: U(0 C e<< Ic L,
CITY: 7d rd STATE: N~ ZIP CODE:
PHONE
~ .(I
SIGNATURE-OF PERMITTEE
< . .
4"41'MRP~lu~."~
~F ' a ~t~ ~{?~F j. .
Qq,~(b.3.
~¢Y`° 2"Ye..K~ ~~y~y`•'S'¢~d ¢ l )~'s~=ySAt pJ ~ S.~ i i G S a Q i Y d.
. ~zt A sy¢~~„c~ 4 3~t y.,aat 4~ $ s«w ~ c siY 1~9td ~ tg ~,...Z i ~*`~y,x ~'y a :
pK~._=
y,p U 9 5 Q!c E TE . k d~~p$ R F 6
1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AISO FOR MULTI-
FAMILY BUII.DINGS WI-3EN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
_ NEW CONSTRUCTION
ADD ON
I2EFAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEG: I% OF CONTRACT FEE.
STATC SURCHARGE: $.50 FOR EACH $1,000 OF rm1tiTTJ' FEE.
117INI111Uhi FEE: $ 25.00 _
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
5ITE ADDRESS:
TENAN'T NANiE: SI'E. #
OWNER NAME:
INSTALLER:
ADDRESS:
CI11': STATE: ZIP CODE:
PHOrE
FOR:
CITY OF EAGAN APPLICANT
) T ~qdS '¢Y'da L :'45 R~~'~k fi ~..S3yC~ jYA~3{$~ ~~`~'~A^~ Yf4 SS_ f~ . ' :
1994 PLUMBING PERMTT (RESIDENTL4L)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH TOTAL
~ SHO4VcR 3.00 3-
~ WATER CLOSET 3.00
~ BATH T'UB 3.00
LAVATORY 3.00
~ KITCHEN SINK 3.00
~ LAUNDRY TRAY 3.00 31
HOT TUB/SPA 3.00
~ WATER HEATER 3.00
FLOOR DRAIN 3.00 ~ -
~ GAS PIPING OUTLET • minimum • 1 3.00 3-
3 ROUGH OPENINGS 1.50 U.: -
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cry. lic. 20.00
U.G. SPRINKLER • nome under const. 3.00
ALTERATIONS • io odsting 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL:
S1TE ADDRESS:_ r~i- Oy~ ~V~eNti ~q LA-{
OWNER NAME:_ C,ubi~~
INSTALLER: U a1 <<y ~15, c~ 3_. •
ADDRESS: L t ~ r Q.. cc
CITY: STATE: v6l - ZIP CODE:
PHONE ( ) ~(a~-1\a C~ ~~f
SIGNATURE OF PERMITTEE
flNIN ~y y{ ~
, 3.. at ~x l3}~yY a~'`'if Y E..wa0 ~ 3+; E 5' ax ~ fi~ . 9
c3~Lfi Y~c6tiq~~wa~ v g~~d~~ w.i t~x~. c~,33t 5Y t 2 5 E? ".S~Y f:..
~7V F. •F ia' . .p'£ q afr~
1994 PLUMBING PERMiT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AL50 FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
_ NEW CONSTRUCI'ION
ADD ON
1tt:PAi12
WORK DESCRIPTION:
CONTRACT PRICE: $ '
FrE: 1°k OF CONTRACT FEE.
STATC SURCHARGE: $.50 FOR EACH $1,000 OF FEE.
11t[NIDiUM FEE: $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TEIVAN`I` NAME: STE. #
OWN'ER NAME:
INSTALLER:
ADDRESS:
CI'I'P: STA1'E: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116758
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 2043 Vienna Lane
Lot:091 Block: 05 Addition: Vienna Woods
PID:10-81950-05-091
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Betty A Mackey
2043 Vienna Lane
Eagan MN 55122
(651) 687-9321
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
. r________________�
' � � For Office Use I ._„
` • ' �� !�'/.� d��i
Cltof �� �� ; Permit#: .� s��/t�j
Y � � Permit Fee: !� / � ��
3830 Pilot Knob Road � � �,,
Eagan MN 55122 � Date Received: �`��'�� �
Phone: (651)675-5675 I � I
Fax: (651)675-5694 I Staff: �
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2014 RESIDENTIAL BUILDING PEI�MIT APPLICATION
Date: Site Address:_���� �� ��,���l �„��� Unit#:
Name: ��.�� ���..��� Phone: �".�-� —r�'�i "'�z�
Resident/
Owner Address I City I Zip: ����� 1�����A L,�� ����� (�� „a',�` ( � �
Applicant is: Owner �„Contractor ,�
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Type of WOr'k Description of work: ��e3dE Q�JS� ��,�t_pk.(- �-�-- �� `( �,,,,.�,
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Construction Cost:� �(��9� Multi-Family Building: (Yes /No X
Company: �j►1�� ������Z`i C�t�_Contact:
a�
Contractor Address: Z.��-1('� �, ���� �"���� City: �\.Y�tU,��1 �,,.,L'�
State:�Zip:.�,��',Z Phone:�;5�-Z��3�ICEmail: �V1'���jf1��� ,��_
A /� �
License#:�� �j �(C'�p—` Lead Certificate#: NAT ^' �-1�C���"'" � �
If the project is exempt from lead certification, please explain why: (see f'age 3 for additional information) �
�
COMPLETE THIS AREA ONLY IF CONSTRUC'TING A NEW BUILDING
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 documenfs that you submif are considered to be public information. Portions of �
the information may be classified as non-public if you provide specific reasons thaf would permit the City to
conclude'that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org , il
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X �c���� ���,.� X
ApplicanYs Printed Name Ap� Ys Signature
Page 1 of 3
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DO NOT WRITE BELOW THIS ILINE 1 ��� ��J
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family)
Single Family Garage Porch (4-Season) Exterior Alteration (Multi)
_ Multi �"Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement Siding Demolish Building`
� Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration Fire Repair Windows Demolish Foundation
_ Replace _ Repair _ Egress Windc�w _ Water Damage
_ Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation �O� Occupancy �G�-� MCES System �
Plan Review Code Editivn �� SAC Units "'
(25%_ 100%� Zoning _�_ City Water ""
Census Code � Stories —'" Booster Pump —
#of Units � Square Feet � (,�a' PRV -�
#of Buildings / Length / �„ Fire Sprinklers �
Type of Construction � Width /�
REQUIRED INSPECTIONS
Footings (New Building) Meter Size�:
� Footings (Deck) Final/C.O�. Required
Footings (Addition) � Final /No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: _F�ootings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:__Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining WaIL• _ Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion C��ntrol
Braced Walls Other: -
Reviewed By: , Building Inspector
RESIDENTIAL FEES
-- r+.o�
Su charge ��f�,� ��/�G/� � l�� � �� �d '�
Plan Review ?_=�--'
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies Q' �,
TOTAL
Page 2 of 3
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154967
Date Issued:04/22/2019
Permit Category:ePermit
Site Address: 2043 Vienna Lane
Lot:091 Block: 05 Addition: Vienna Woods
PID:10-81950-05-091
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mackey Elizabeth Ann Revocable Trust
2043 Vienna Lane
Eagan MN 55122
(651) 687-9321
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature