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CITYOFEAGAN ; 402
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt #
To be used'for Est. Value A 5~, JL'.~ Date ' t, ,19
Site Add:ess OFFICE USE ONLY
Lot Block Sec/Sub. R I DG .F. On Site Sewage ~ Occupancy
MWCG System _ Zoning
Parcel No. On Site weii _ rype of Const -v_
Ciry Water _ (Actuap
a Name ' (Allowable) V
u+ # of Stories
3 Address Length
° City Phone 4'o-yU U Depth
S.F. Total
, p Neme Footprint S.F.
0 ` Address APPROVALS FEES
t- City Phone Assessments _ Permit '
U ¢ Water/Sewer _ 5urcharge
yJ W Name Police _ Plan Review I '.1U
_ ~ Address Fire _ SAC, City • +?O
L) Z Engc _ SAC. MWCC .'.3U
6W City Phone Planner _ WaterConn.
Council _ Water Meter 10
I hereby acknowledge that I have read this application and state Bldg. Off. _ Roed Unit .U
thatthe information is correct and agree to comply with all applicable APC _ TreatmentPt ;u
5t8te of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Copies
Signature of Permittee TOTAL
A Building Permit is issued to: • A` on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea
Building Official
Permit No. Permit Holder Dats Telsphono ~
Plumbing
H.V.A.C. `'i 8
Electric
Softener
Inspectfon Dato Insp. Commantt
FootingS I y r,~r • Q. 1- ~ro ~ Ga~4,
Footings II ~ 7 --,Jo ~ /O
Foundation
Framing ,~'s, Y7 L• ff . s<~ Korl't~t-.••. S'-/9-d 7
Roofing
Rough Plbg ~Rough Htg.
L .
Isul. 1-.,-47
Fireplace
Final Htg. ~
Final Plbg. ~~v
Bldg. Final
Cert.Occ.... ~ oK t. e~2 -A/ -~7 e:-_~
Temp. LP
Deck Ftg.
Deck Frmg.
rPr.Well
Disp.
PERMIT #
• " ' MECHANICAL PERMIT RECEIPT # -7
' CITY OF EAGAN ~
3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot _~2- _ I k SeclSub
,'a-1 Res. New ~
'
~ Name . Mult Add-on
~ Addres Comm. Repair
cn City Phone aher
FEES
~ Name RES. HVAC 0-100 M BTU -$24.00
c Address dbav a +r ADDITIONAL 50 M BTU - 6.00
O City ~~?,waw. Phone - 0 (RES. HVAC INCLUDES A/C ON NEW
--u' CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI'T) - 1.50 EA.
TYPE OF WORK ~ COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unft Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent. CFM STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # h ~ BEYOND $1,000)
Other R
FEE: S~
S/C: }a SIGNATURE OF PERMITTEE
TOTAL• d ~
FOR: CITY OF EAGAN
, . • . PERMIT #
• ' PLUMBING PERMIT REGEIPT ii
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address f- BIDG. TYPE WORK DESCRIPTION
Lot Block 7~_ S/5 g Res. ~ New
L_e1 z Mult. Add-on
~ Name T Comm. Repair
~ Address ~ Other
c City- Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- NO./~ FIXTURES TOTAL.
Name- 'water Closet - $100 $
~
ZBath Tubs - $3.00
c 3 Address _LLavatory - $3.00
O City Phone~~~Shower - $3.00 - " -
-1Kitchen Sink - $3.04
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE __~Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES /Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 -Z Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - ,50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
-Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMIfTEE FEE: - -
STATE S/C: - ~
FOR: CITY OF EAGAN GRAND TOTAL• y 5!•
PERMIT #
PIUMBING PERMIT RECEIPT p 7,/, ~v
CITY OF EAGAN
3830 PILaT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE f PHONE: 451-8100
Site Address • BLDG. TYPE WORK DESCRIPTION
Lot ~Block Sec/Sub Res. New
~ Mult. Add-on ,
y Name ~ Comm. Repair
~ Address Other
c City; Ph6rne RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name 44 Water Closet - $3.00 $
c Address ~ . ~ Bath Tubs - $3.00
3 Lavatory
- ~3.00
p City Phone Shower - $3.00
Ki!chen Sink - $3.00
FEES Unnal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$1 50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF P,ERMIT PRICE GOES Softener -$5.00 `
BEYOND $1,000.90) Well - $10.00
' Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE pf F'ERMitTEE FEE: - - v
STATE S/C: •
FOR: CITY OF EAGAN GRAND TOTAL• :L
~
PERMIT # ~D 9
~ MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
COHTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address BLDG. TYPE WORK DESCRIPT'ION
Lot Block ~ Sec/Sub
Res. New
Mult Add-on
m Name
Comm. Repair
Address
Other
c City Phone '
- FEES
Name ~ 1, . ~ ~ - „ ;
RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone -{RES. HVAC INCLUDES A/C ON NEW
tONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA
TYPE OF WORK COMM/IND FEE - 1% OF CaNTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS •#200
Air Cond. M BTU MIMIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - ,.50
(ADD $.50 SIC IF PERMIT PRICE GOES
Gas Piping OuUets # BEYOND $1,000)
Other $ ^
FEE:
SI~~f~fdJriPE ITTEE ~
S/C: % Gl~
x`' - TOTAL• FOR: CITY OF EAGAN
u~
4~Y:, . . . . _
. I.,.!o*.~.._~.w~.-nw~~,.~,-,F+*v~~i "~:l4lRY-'~F7~Iryr1g•r+~ e.F ,n,...~~, ,
CITY OF EAGAN 17225
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING,PERMIT Receipt #
To be used faP ~ECK Est. Value :i ,000 Date OCT 24 , ig a9
Site /Y6dress ZOl l YIEIIlIA I.ti
Lot - 022 Block j SeclSub. LAM RIDGR OFFICE USE ONLY
P3fC@I NO. Occupancy - FEFS
Zoning
W Name S~IK tActuaq Const - 81dg. Permft 26•00
3 Address 2011 VISNNA Lll (AUoWa,ie) -
° Cit Phone ~"~34 +v or stones Surchar9e
y Length l liiZ Plan Review
Zo Name VISIOI( LARp8C/?tE oeprn 12x12
o-8232 EEARD 1tD S.F. Total sac, City
U~ Address - sac, Mcwcc
City B1OMINGToN Phone 831-1391 S.F. Footprints -
F On Si1e Sewage _ Water Conn
~ W Name on siie wen
w W - Waler Meter
~v Address MWCCSystem
<W City Phone ciiywater Acct. Deposit
PRV Required - S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - 5rW Surcharge
intormation is correct and agree to comply with all appiicable 51a1e ol
Minnesota Statutes and City of Eagan grdinances. Treatment PI
Signature of Permitee 'r APPROVALS Road Unit
A Building Permit is issued to: WSi~ IANDWAn Planner - park Ded.
on the express condition that all work shall be done in accordance with all Councit
applicable State of Mmnesota Statutes and City of Eagan Ordmances. g~. pff. _ Copies
Variance - TOTAI 28.50
Building Offiaal - ~ ~ -
Permit No. Permit Holder Oate Telephone #
WATER
SEWEFi
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footirgs I
Foundation
framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Final Hig.
Fnal Plbg.
Const. Meter Plbg. Inspector- Notily Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PH ON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date ,19
Site Aodress OFFICE USE ONLY
Lot BloCk Sec/Sub. On 5ite 5ewage _ Occupancy
MWCC System Zoning
Parcel No, On 5ite well _ Type of Const
Ciry Water _ (ACtual)
a Name - ' • {Allowable}
w # of Stories
3 Address Length
° City Phone '4'' ~ `4' 3'-' Depth ~
S.F. Total
, p Name Footprint S.F.
~ ~ Address APPROVALS FEES
a City PhOne Assessments _ Permit
~ Water/Sewer _ Surcharge
yVj W Name Police _ Plan Review
~ i Fire SAC, City
v. Address Engr. _ SAC, MWCC
Q W City Phone Planner _ Water Conn. -
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
thattheinformationiscorrectandagreetocomplywithallap'pliCable APC _ TreatmentPt
State of Minnesota Statutes and C+ty of Eagan Ordinances. Variance _ Parks
Copies
Signature of Permittee ToTAI
A Building permit is issued to: on the express condition that
all worlc shall be done in accordance with all applicable State of Minnesota Statutes and City af Eagan Ordinances.
Building Official
Permit No. Permit Holder Date Talephone ik
Piumbing 9,4:,
H.V.AC. 7
E12CtfiC Softener
Inspection Date Inap. Comments
FFra tingsl y~A tings II ndation ming C• ~ S~c C~srKct s s=~~-~7 .
Roofing ,4c7`~GI-~~o..~ '~rull' .r. d•. -T•
Rough Pibg. _,y_ x~• 87 G
Rough Htg.
Isul.
Fireplace
Final Htg. _P 7 G,
Finai Pibg.
Bld Final ~
9• 7. a47 ,dc
Cert. Occ. 7• ~ - r ~J • X1. ~s ~ . ~ S -:s./- P~
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Oisp.
_ _ . , . . , . ;
• ' : PERMIT # .T
' - , PtUMBJNG PEAMIT RECEIPT # 2'
--;5,1
CITY OF EAGAN /`8 7
3630 PILOT KNOB RBAD, EAGAN, MN 55122 DATE: `
CONTRACT PRICE: PHQNE: 454-8100
Site Address _ '-V BLDG. TYPE WQRK DESCRIPTION
Lot Slock Seq/Su Res. New ~
~
' Mult. Add-on
~ Name Comm. Repair
~c Address , Other ~
c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ;
; ? NO. FIXTURES TOTU
ater Closet - $3.00 Name ~ Bath Tubs - $3.00 ~
~ Address Lavatory - $3.00 ~
O `Ciry Phnne~~~` Shawer - $3.00
_~7Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CoNTRACT FEE ~Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUS~ & CONDO - RES. RATE APPLIES Water Heater -$i.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whiripool - $3.00
MINIMUM - COMM/IND FEE - $20.00 ~ Gas Piping Outiets - $1.50
~
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PFICE GOES Softener -$5.00 .
BEYOND $1,000.00) Well - $10.00
~ Private Qisp. - $10.00
Rough Openings - $1.50 ' I
o,
SIGNATURE OF PE14MITTEE ~ FEE: ,
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
. y ~ . . . , . _ . : . . . . . • . _ -r ' . . -r s :--~.-,.r -
PERMIT # ?S ,7.Y i 19, MECHANICAL PERMIT RECEIPT # ZV 9f1,0
' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: G I/ Ilbi
CONTRACT PRICE ) PHONE: 454-8100
Site Address - BLDG. TYPE WORK DESCRIPTION
Lot Rlock Sec/Sub Res. ~14 New
Name M ult Add-an
Comm. Repair ~ Address
c Ciry It"e r L,N 44- Phone Other
FEES
~ Name RES. HVAC 0-100 M BTU -$24,00
c Address ADDITIONAL 50 M BTU - 6.00
p City A-,tot L Ic` Phone Or&-9030 CONSTRUCTIONUDES A/C ON NEW
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 7.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU y' APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTti MINIMUM RESIDENTIAL FEE - ALL ADQ-ON &
Unit Heater M BTU REMO[fELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
I' ~ BEYOND $1,ppp PERMIT PRICE GOES
Gas Piping Outlets # _L )
Other R
FEE: ' -ib
S/C: SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
~
.
(gtrfifirafe n# (Orrupanry
Y
titp of (tagan
mepwrbtpttl nf lwbiing jwrttinn
This Certificale issued pursuant to the requirernentr of Section 306 of the Unifonn Building
Code certtfying that at the time ojissuance thrs strueture was in compliance wuh the varrous
or&nances of the City regulating buiJding corrstruction or use. For the follawing:
Ubt ClLVStfpliOn Pwmit No.
Obcupancy Tyye Zoning D'esuip Type Conu
Owner d Buildwl : " Addrtsy
&u7d% Addcros t ~ ~~".~i 1N L.oaliq, u:. ~i •~.{t"~.~`I T.~~- 7'
Dak: itm 19, 198
Bw7ding Officid
POST W A CONSPICUOUS PLACE
~ (gtr#t#ira#.e uf (Orrupanry
Citp of eagan
Erpttrtmenf uf Iiuilbmg Jnsperiinn
This Certificate issued pursuant to the requiremenls of Section 306 of rhe Uniform Building
Code ceMifying thul at the rime of issuance this slructure wrts in compliance wilk the various
ordinances oj the City regularing building construction or use. For the jollowing:
uic a.sdfi.uoo 2 DL' P& GAR Bld6. Rrmic No.
paup.ay'fype R3 zon;os Disuict 7ype ramc B
OwnerafBwlding QRACE OJU qdd= 7004 VIENNA 1.~Ms F•AM
guamn paerm 21.09 VlENM IA117E i.oasty L2. B3. RAHN RIDCiE
n.w
Bw7ding OflScel
POST IN A CONSPICUOUS PIACE
~
~
CITY OF EAGAN NO 17225
, 3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55727
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used foP DECK EsL Value $1,000 Date OCT 24 ,19$9
Site Address 2011 VIENNA LN
Lot 022 Block 3 SeGSub. RAHN RIDGE OFFICE USE ONLY
Parcel No. occuPaocy - FEeS
zoning -
m Name MIKE SABIN (ACtua1) Const - 81dg.Permit 26.00
~ Addres5 2011 VIENNA LN (Allowable) -
° Cit EAGAN Phone 688-8034 p of stories _ Surcnarge . 50
y Langih ILXIZ PlanReview
o Name VISION LANDSCAPE oepm 12x12 snc, City
Address 8232 BEARD RD S.F.Total - SAC,MCWCC
~ City BLOOMINGTON Phone 831-1391 S.F. Footprints _
On Site Sewage _ Water Conn
r
ww Ndme On Site well - Water Meter
~v AddfBSS MWCC System - qmt Deposit
a W City Phone ciry water _
PRV Required - S/W Permit
I hereby acknowlege that I have read this appl'`cation and state that ihe Boostar Pump - SM/ Surcharge
information is corcect and agree to complv.v~fh all applica6le Stare ol
Minnesota SlaWtes and City of Ea Or es. Treaiment PI
Signature of Permitee APPROVALS Roatl Unit
A Builtling Permit is issued to: Planner - park Ded.
on the express condition ihat all w rk shall be done in accordance with all Council
applicable State ol M~inneso.t.aSt.Qatu'tes and City of agan Ordinances. gld9. pff, _ Copies 2.00
BUildirg Oflicial ~y Variance - TOTAL 28. 50
, CITY OF EAGAN N 0- 13 4 0 2
• 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
1
BUiLD64113 PERMIT PHONE: 454-8100 Receipt#
7obeused`for 1/2 DUP & GAR Est.Value $59,000 Date M1RCH 31 1 g 87
Site Address ZOll VIENNA LN OFFICE USE ONLY
Lot Z Block 3 Sec/Sub. RAHN RIDGE OnSiteSewage Occupency R3
MWCC System ~ Zoning PD
Parcel Na On Site Weli Type of Const
City Weter X_ (Actual) V
a Name B•H. GRACE CORP (nllowable) v
w # ot S[ories
~ Address 2004 VIENNA LN Len9th ~
o City EAGAN Phone 456-9030 oevth 37
S.F. Totel
, p Name SAME Footprint S.F.
~Q Address APPROVALS FEES
1- City Phone Assessments Permit 360.00
Water/Sewer Surcharge 0
W w Name Police _ Plan Review t~"n n0
~ i Fire SAQ Ciry 1 flll flp
x- Address -
~u Engc _ SAC,MWCC 595 n0
aW City Phone pianner _ WaterCOnn. 525-v0
Council _ WaterMeter 67 n0
I M1ereby acknowledge that I have read this application and state eldg. Off. _ Road Unit z~T,v n0
lhattheiMormatianisconectandagreetocomplywithallapplicable APC _ TreatmentPl i8ev0
State of Minnesota St utes d City of Eagan Ordi n es. Variance _ Parka
CopieS
SignatureofPermittee TOTaL $9,977.50
A Building Permit is iss d to: B. H. GRACE CORP on the express condition that
all work shall be done n accordance with all applica e State of M r~9
in so ta,StBtutes and City of Eagan Ordinances.
BuildingOfficial
CITYOFEAGAN No- 13401
3830 Pilot Knob Road, P.O. Box 21 •7 99, Eagan, MN 55121
BUILDING PERMIT PHONE:454•8100 ReceiPt # G G
TobeuseGfor 1/2 DliP/GAR EstValue $59,000 Date MARCH 31 _ 1987
Slte Address 2009 VIENNA LN OFFICE USE ONLY
Lot 2 Block 3 Sec/Sub. RAHN RIDGE On Site Sewage Occupancy R3
MWCCSystem X Zoning Pn
P8(CBI NO. On Site Well Type of Const
City Water (ACtuaq V
a Name B•H. GRACE CORP (Allowable) V
z Address 2004 VIENNA LN u of stories
3 Length 45
o City EAG9N Phone 456-9030 oeptn 37
S.F. Total
p Name SAME FootOrinIS.F.
Address APPROVALS FEES
? City Phone qssassments _ Permit 360.00
Water/Sewer Surcharge 29.50
w W Name Police _ Plan Review _ 7 RO _ 00
~Z Fire _ SAC,CiIy 1nn_np
i- Address
pV Engc _ SAC,MWCC . 595_00
a W CityPhone planner _ WaterConn. 59 S_ f)p
Council _ Water Meter 67 . flp
I hereby acknowledge that I have read this application and atate Bldg. OfL _ Road Unit 305 _ 00
thattbeinFOrmationisCOrteCtandagreetocomplywithallapplicable APC _ TreatmentPl 1Rf]_flp
State of Minnesot Statutes and CiTy of Eagan O ances. Variance _ Perks
COPies
Signature of Permi Q,..-.,/ 707aL
~ 271. 50
e !//D
A Building Permit i ssued to: g• H. GRACE CORP on the express condition that
all.work shall be ne in accordance with all applica6le S te of Minne ta Statutes and City of Eagan Ordinances
Building Officiaf
~
.
. ~ -
~ 1986 BDILDING PEIilIIY APPLICAITOH - CITY OF EAG99
NOTE: ALL CANTRACTORS MOST BE LICffiiSED WIT$ THE CITY OF EAGAN
SIBGLE FAlIILY Di1ELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
tiOLTIPLS DiiELLIHGS - RfiSIDENTIAL RSNTAL DBITS FOE 3ALS QNITS,C S d L W
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECB [iITS HLDG. DSPT.,
1 SET OF SNERGY CALCULATIONS
COrMCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE HOND
T'G•1(h( 59,~~
To Be Used For: ~ Valuation: `V ,0~ Date: /
Site Address 'zooO+ Via ld.-e OFFICE DSE ONLY
Lot 2 Block 3 Erect -Z Oceupaney IE! 3
u~ Remodel Zoning P D
Parcel/Sub R.)h' rc•d= e~ Repair _ Type of Const _:z_
Addition # of Stories
Owner J o.- dl a.~ Move _ Length 4S7
Demolish _ Depth 37
Address Int.Impr. _ Sq Ft
Install _
City/Zip Code
Phone APPHOVAIS FEFS
- ,
~ Contraetor IJ R, Gracc C a r~- Assessments Permit ? •
Water/Sewer Surcharge ZS-s-°
Address Police Plan Review ~ SD.
Fire SAC ~25.
City/Zip Code SS l Z-? Engr Water Conn 52s
Planner Water Meter 6,7.
Phone ti~~ --9d3o councii Road Unit "562 .
Bldg OfF Treatment P1 jgo.
Arch./Engr. APC Parks
Varianee Copies
Address TOTAL
City/Zip Code
Phone #
\
NOTE: ADDRESSfiS FOR CORNER LOTS - CONTAACTOR/HOMEOiiNER MIIST DBSIGNATE iiHICH ADDRESS
IS DESIRED. NO CHANG&4 iiILL BE ALLOWBD ONCE BOILDING PERMIT IS ISSIISD.
r %6 Z . p /~~~s' e ~ ~~7 o d el a k^
~
J0~
1987 BDILDING PERMIR APPLIC9TION - CITY OF SAGAN
SINGLE FAMILY DWELLINGS / 3 1/ Z) ~
INCLi1DB 2 SEfS OF PLANS, 3 CERTIFIC9YES OF SDRYEY, 1 SBT OF EATERGY CAI.COLATIOHS
NOTE: ADDEESSES FOR CORNfia LOTS - COHTR6CTOR/HOMEOfiNER MOST DESIGP9TS AHICH ADDBESS
IS DFSIRSD. NO CHANGES WILL HE 9LLOWED ONCE BQILDING PERMIT IS ISSIIfiD.
MULTIPLE DiiTE[.LINCS - RFSIDENTZAL RSNTAL QAITS FOfl S9LE ONTTS7V SvI~A
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SOEVEY - CHSCg iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND r '1
%Z TY~I! r.t 6`~ cx~c~
--c~~ /
To Be Used For:-~` Valuation: ~ Date: 2Z` g~
Site Address Z o 11 Vleh"a L.~ OFFICE QSE ONLY
Lot Z Block 3 On 53te Sewage Occupancy (2'3
n n MWCC System ? Zoning PD
Parcel/Sub lC a~h t~` c~ c~ ~ On Site Well Type of Const
City Water ? (Actual) ~
Owner (Allowable ) i7-
# of Stories
Address Length 45
Depth 3?
City/Zip Code S.F. Total
Footprint S.F.
Phone APPROYALS FEES
Contractor v~` l` ~Ca e e C°'~ ' Assessments Permit 3~aO.
. Water/Sewer Surcharge 2-9. ~F
Address Police Plan Review le)0
Fire SAC, City IDO.
City/Zip Code E_~ q r1ti- ~S 1~2-Z Engr SAC, MWCC S25
Planner Water Conn ~:;Z5
Phone 4 03 O Council Water Meter (o'7.
Bldg Off Road Unit 305
Arch./Engr. APC Treatment P1 FF-F)o-
Variance Parks
Address Copies
- TOTAL
City/Zip Code
Phone 6 \
,
~
'zo S~ (2 0
~'7 Z
a
k4gg
t~lsuLnxrorr moae,+Y,geor,
Wind6ws Dbon Y`Rek~a but. ~Vall leG WaII Caliat 11ooF `F1ow Klnd Howm~ Applied
19~ - -
'FL 'Room Leeg~h Width. . • t Fl, W Room leMh ? Wid~h Heiaht
•
Wwdows aod Dooir--Cn and Ata o Wiedow~ and Doen.-Gaek~e ~nd pra
wwle x
, . sei. Na e. w~ wm Nw ef paeA. of pae~ 1 Ms at n'e[ t . -N . yf' a Kpa ~u af dwt ~f1. ,
• Y
. 3 ~
1.
CoaE . Bw CeeE &t. In6lentien ' ~q~o a~ 1 S
Glau _ : J . Sd O t
.t. ap' w°U ~ ~'EtF waQ J y*
' Nd etp: wall / Net asR wa0 ' ` J .S" D
Ioa.waY • ~1.~.w..8~ ..t~~ g Gr
' CeJ~' I i. ilie6 r11J G
' Total &w. . ' 44"' _
ReWired sq, h. E:D.R. ar ~q. W.A. tRader &re&
Roip*W p. R EDR ot sq, m" W.A. I.rader uea
~I ' o m "Leeat6 1Y"~dt6 / . .t . Magani ~ILength Wieh6 i0•(aHdAe.
Wiedowe and Doo~ekqc md Arca Wodoopi ia
at : ~ > a. i Dnot~-~Ctaek- e and Area
ka o( u~ ' ef yae~ ~ ef ane ft K : . wum . s A~ .
mas ' a d et . etmael ~a.
- • ~7 ia,
1a61a Coef.
'
' leE hation K~ ~ ~
~ .p Q / 9
^ Esp wall.
Nseap,++dl' ~ ~StRW4 .y¢,-1s 1[$
Net 41*6 v1111. . , y
, .lot.~B ~ -L4-waB+ a i
Ceding.. If, „
C°''Im8 t0.-L X !a
.9'oql &w 1 , ~wFlee~~'
" Ta.l &a. V
Rcquired . fa E~DR a.q. iw. W.A. leadv ar~ 11-
R"oimd, h. F.D:R at q. ms WJ1. I.nder ua
Racia V'A6 F7, ' :Roemllewd6 Wi~h HeWit•
'Wmdows ~ed DoowrCraeka4s ~ed Aen
Q/'mdo+N ~nd Doerr-.Ct~eka~e ~ed Aiea
Na e6 M et 11 AIY et inat A~a
L ^ p•IL . NA. . -.et OE fM 1 ~ OtaMl~ fL .
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a
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cftr. WA c.«d
to6lu.t~ . o te6la.ae~. s,s ~
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wall 8~ St
-Nd 43[p..wd_ Nat esp, wvl
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Ceilinq Qrje 1
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Glee.-~.. . _ ' F7eor :~+Sx3$
Teul Btu:
' roW ew. '
' k. EDR or . M*. W.A. Leader aa , Required s4 h. ED.R. a sq. iea WA lsader uea
~ o V,'e.v,~•a
Wathe~,: COaitiueHon 1I6 : ItiBIILAfiYON
WWdo~i~ " Uoen ~ R!(era0ea Ontt/db.1e4 Wdl : Glma 111toof-I pqor ~ AV"
. ~
a e u" e~, o` 19~.r.~.
F7. . Raom Geegt6 Widt6 / F1eigAe' Fl . Room Leogth 1 Widt6 , Heieht •
Wmdmw end Dooet-Cneka
ge:rod Aeer Wiodevn aud Doon--G~ekm aod Acea
. Wmm .,xugeil •Na. ea .w»~ ~ . . . . .
,Na'otoaei~ ~ atwn~ ...q na manct.. n. ` H . e~etww pt~i ' aenet ~ .
. . . . . - . . .
CL
.7 4
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C06f. . Bt11 . . i : . . . . . . , COlF BU
lobitrqtion . 'IhfilMtiea ~ oZ '~1$
, : ' cia+ SO a AZT-,
~Fap: wall G . ~
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. ceain
ra.C&u. . . < , _
' Requircd aq: hi ED.R. or ' TetB BW. p
q.' uu. WA. Um-
RewlrQ m k. • E_DJt
m im. WA Leadet uea
o:, s«FI.( Roem I. Wi~6 0
t-fa keiiht .
AI'wde+w and Doon~C.nek~ '~1nd Aroa ~
^ aRodows ~nd Dowy~-tiaekaQe.and Aiea
Qid. et Wifith
etwer au, MOnaY .,~ft". '
kfta~ei ' K.
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t
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.
Yotal Btn.'
'Required : k. EDR.ot q:`ie~, WA. t+e.d6r uea ~~a (L ED:E4 or sq. imL W.A. Leader aeea
Lans& W'dt6 ° Reem16oath Wdth Hagl,t•
•WinJo~w aed`Doon.•:Cn ' ~ed Area - '
L ~ , Windaws fiad Doon--Craek~e "d Aiea
~ Hd ef Wid N t ~ t~t 4 ORetaey. ' . p.IL . . ..110 e s -ef mYl[.~O.
~ .
. . ~ •7 ,
. . . 4 . . . . . ~F. , ,~y. } ~ . .
,IO~I~MI~ . ' Q COlF•' &1'
> ~ CIW 0
~
~ 1VN ao.4n0 , Plat esp. w.tl Y
;yw-t~ll -
kCeiling, ~ ~ , . . _
- Flooe. A g
~Tou1 Btw ' ,~.Stt$Y
Taal &a.
, Required p: h. E.D.R. a m~. W,A: Leader ~ •
- ' h. E.D.R. ot tq. ma WA l.nder ~rea
EX7ERIUk ENVELUFE AVERHGE "U" Cb19PU"1'Af1GN
OWNEk------------
• SITE ADDkESS_,_ •
.
CONTkACTOk________b.H.GRACE --------------llATE-_-_.-_-_- _3/11/£i7 f'HOiVE_____________
DETERMIME WORKING SQUAFtE FUOTNGE
1557.502
1. Total exposed wall.ereal6'?0.368 sq.ft. .11 178.2405
2. Total roof/ceiling area 960.805 sq.ft x.U26 24.98693
3. Total floor cant. area u sq:ft. x 0.026 u
(over'unheated:enclosed areas) 4. Total floor cant. area u sq.ft. 0.08
u
(over unheated exposed areas)
5. Total er.po6ed wall area above the {loor.___ . 1417.SU2
a. Total wall window area..................... 1%10.941`;
b. Total door area :7.E+169
c. Tatal sliding glass door area..........,... 84.4422
d. Total fireplace area... .
e. Total wall framing area~(ave.~10%)........141.7502
f. Tatal net wall area above the floor....... li112.549
g. Tatal rim joist area 144
• TOTAL EXPOSED FOUNDATION AREA 62.0661
h. Total foundation window area C)
i. Total net foundation area......... 62.8661
Determine "U" value of each wall segment.
a. 140.9415 x"U"' 0.39 = 54.96718
b. 37.8189 x"U" 0.06 = 21.269134
c. 84.4422 "U" - 0.39 = 3...93245
d. O U.. C.) = U
e. 141.7507 x"U" 0.096334 = 12.84490
f. 1012.549 Y. "U" 0.043215 - 43.75I55
9. 140 x"U,l 0.040603 = 5.695687
h. G 1.V11 0.39 = G
i. 62.8661 x"U" 0.076161 = 4.787974
6 .........................Total 1ta7.21149
If item #6 i8 the same as or less than itein #1 you have met the current .
energy cades. 2 MCAR 1.16008 A AND O. -
70TAL EXFOSED k00F/CEILING FaFcEH 960.805
j. 7ota1 skylight area 0
k. Total flat roof/ceiling framing area...... 96.0805
1. Total net +lat roof/ceiling area.......... 864.'7245
Determine "U" value +or each roo4/clg. segment
O lUll O = ii
k. 96. 08V5 "U" 0.025549 = 2.454790
1. 864.724:; x"U" 0.021800 - 18.EI51EI3
7 ...................................Tota1 21.:~,064'
If item #7 is the same as or less than item #2 you have met the
energy code. 2 MCAR 1.16008 A AND 0.
TOTqL FLOOR CANT. AkEA (enclosed). 0
o. Total floor cant. framing area (ave. 10%). l~
p. Total net insulated floor/cant. area...... 6
Determine "U" value for each 41oor/cant. segment.
O• U T .1Vl. 0.534759 = cl
p. U "U" 0.534759 = il
8 ...................................Tota1 . ii
If item p8 is the same as or less than item #3 you have met the
energy code. 2 MCAR 1.16008 A AND 0.
T07AL FLOOfi/CANT. AFiEA (exposed) V
q. Total floor/cant. framing area (ave, lu%). U
r. Total net insulated floor/cant. area...... O
Determine "U" value for each floor/cant. segment.
q. i) "Uli 0.057438 = i~
r. 0 x"U" 0.027894 = C)
9 ...................................Tota1 i)
If item #9 is the same as or less than item #4 you have met the
energy code. 2 MCAR 1.16008 A AND 0.
I HEREBY CERTIFY THAT I HAVE CALCULATED THE "U" FAC1'OkS raND "R"
VALUES HEkEIN AND THAT THE BUILDING HEFjcE DESCRIEED ME' S Dk EXCEEDS
THE STATE OF MINNESOTA ENERGY CONSERVATIO ACT.
- - - -
(signature
--J----------------
(date)
' DETERMINE "U" VALLJES"
THRU STUD WITH SIDIN6 & S.R.
Interior Air...... 0.68
Sheet Rock........ 0.45
Therma-break...... U
Stud 6.93
Sheathing......... 2.46
Siding............ 0.78 Exteriar Air...... 0.17
Total "R" Value............ I1.07
1/R = "U" Va1ue............ 0.09u334
THRU INSULATION WITH SIUING & S.F.
Interior Air...... 0.68
Sheet kock........ 0.45
Thermo-6reak...... U
Insulation........ 19
Sheathing......... 2.96
Siding............ 0.78
Exteriar Air...... 0.17
, Total "R" Value............ 23.14
1/R = "U" Value............ U.U43215
THkU CEILING MEMbER
Interior Air...... 0.68
Sheet Rock........ 0.58
Ceiling Member.... 4.35
Insulation........ 32.92
Still Air......... 0.61
Total "k" Value............ 39.14
1/k = "U" Value..... u.U25549
THRU CEILING INSULATIOtV
Interior Air...... 0.68
5heet kock........ 0.58
Insulation........ 44
Still Air......... 0.61
Total "k" Value............ 45.87
1/R = "U" Value.......... ..U.0218vu
• THkU CONCftETE BLOCK
Interior Air...... 0.68
~ conc. blk......... 1.28
Insulation........ li
Sheet R4:. (opt. ) . O
E>:terior Air...... 0.17
Total "R" Value............ 13.11
1/k = ''V.................... u.Ci76161
l'HRU RIM JOIST
Interior Air...... 0.68
Insulation........ 19
kim Joist......... 1.89
Sheathing......... 2.06
Siding............ 0.78
Exterior Air...... 0.17
Total "k" Value............ 24.58
1/k = "U................. 0.040683
U" value for window........ 0.39
U" value for doars......... 0.06
'
U" value for Patio Drs..... 0.39
THRU CANI'. C MEMBEk (enclosed)
Interior air...... 0.68
Finish Flooring... 0
Underlayment...... U
Plywood........... O
Joist O
Sheet Rock........ 0.58
Still Air......... 0.61
Total "R" Value............ 1.87
1/R = "V................... U.JJR7J9
THRU CANI'. C5 INSULATIOIV (enclosed)
Interior Air...... 0.60
Finish Floaring... U
Underlayment...... ti
Plywoad........... O
Insulation......., u
Sheet Rack........ 0.58
Still Air......... 0.61
Total "k" Value............ 1.87
1/k = "V................... 0.°i347`i9
. THRU CANT. @ MEM6ER (enclosed)
. Interior Air...... 0.68
F•inish Flooring... 1,23
~ Underlayment....., p
Plywood........... 0.93
Joist 11.56
Sheathing......... 2.06
Soffit............ 0.78
Exterior Air...... 0.17
Total "k" Value............ 17.41
1/R = „U.................... G.057438
THRU CANT. C INSULATION (exterior)
Interior Air....., 0.66
Finish Flaoring... 1.23
Underlayment....., p
Plywood........... 0.93
Insulation........ 34
Sheathing......... ~
Soffit... ~.06
Exterior ~~.78
Air...... 0,17
Total "R- Value............
1/k = V"..................0 35.85
.027894
liedlund Engineering Setvices ~E«?~~,~,~,
LNM MM„n CI~II LnO1nNn Lantl Plonnen
• s: i"-OZYY
~ LA~1G~J01"8 CG~I lC~~C _ BOOK _ PAGE
. . JOY N0. 8711-6~
RMO~ pa: B.H. C.race
Ags Lot 3, Llock 3, RAHN RIDGE, City of P:agan, Dakota County,
"iinnesota and reserving ea;,ernents of record.
TOP OP' FOUNDAT I ON = q a i. 3 GARM$ pL00$ a q30.q
BA881MNT F1+OOR • 92~b.9
s$EM BERVICE ELEV, e NIa.
PRCPOBED ELEVATIONS
E$IBTING ELEVATIONS :
DRAINI?GE DIRECTION3 :
DENOT89•LOT CORNERS : O
DENOT83 OFF3ET STAI{E: O
o VIENNA LANE
~
9Z0.9 42B.4 9LB•2 97.71.6
Oq
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91.5 ~ 97b.2
O O I
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90
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929.M 11001 Q23.6
$ O°qo 33 E
~~II~TR ~F SURVEIf
A I MfMy swfify that aa 3/„/ ei = wrwyeA tM poOehy descrletd o00ve and Mof
1hi Mwe plot Is a•correct npresentaHOn of salA wrv".
' LJ.
Jo alL dqnn, Llans Na 14376
/
• ~
' ' 1 ' ' & Components
Division of C.C.M. Inc.
Office: (507) 872-5195
Box 383 Minneota, Mn. 56264
ray is, 1987 oZ p a j n rt P~
B. H.crace
2004
Vienna Iane
Fagan, hIIV 55122 - 1
RE: REPAIR ON 22' & 24' RQOF TRUSSFS
4b Whom It May Concern:
7.b re?air the 22' truss you must nail 3/4" plyt,ood on both sides
of truss, starting from the point where you cut, back 24". Nail
every 4" O.C. using lOd nails. You must also add a 2 X 4 block on
the end. C1at 2 X 4 tp fit.
'!b repair the 24' truss you must nail'2 X 6 boards on both sides
of tsuss flush with the bottan cord. Starting from end of bottan
cord to at least 1' past the joint. Nail every 4" O.C. with lOd
nails.
Enclosed are drawings of both repairs.
if repairs are made according to.directions above we foresee
no problems with the trusses naa or in the future.
Sincerely yours. .
l~,n
Torn Nome1mQA'
General Manager
SUPIItiOR TRUSS & COMPONFNIS
Ehclosure
DESIGN LOAD ~p ~gi F -~2944 5~- 6 ~7.fi FORCE ~ ~ FORCE 3~- 6 f~762 LUMBER SOLUTION
TOP LL= 40. PSF 2- 3 5.09 -2551 6- 7 6.79 1895 3- 7 762 4- 6-555
TOP OL= 10. PSF 3- 4 5.09 -2551 7- 1 7.60 2793 TOP 2X4 MSR SPF,
BOT LL= 0. PSF 4- 5 5.91 -2944
BOT OL= 10. PSF Fb 1650 E 1.5
OUR OF LOAD INC 1.15 BOT 2X4 #1 SPF,
SPACING 24.0 IN 0/C WEB 2X4 #3 SPF,
ADQITIONAL LOAD
JT L85 MBR PLF
NDNE NONE
JT REACT MIN BRG REC CMB =.e7• ar s
1 1285. 3.50" 5 1285. 3.50
DATE 5/15G87 G~ 3 ~r~
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Itf . d ~I I Ily lf dqfnApyl, I.Op IY 1 1 011 . III q IIVY Ind It lU~ 9 II I. iG f t Y!U I'.e1 I 11 .1 I Xrln , -y. 1 A P J' npl.t.)
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o e' , I Ovtkl.nq la ure praue5 snu In fn r111ed 1 I 55 neoets Afi In IHi p "eyln II an 0 I d I 9,s sl'i ul I,[ IInJ I lt ai ~ < i a, 0 lervaif 1111i144 U, ine b0ci np desipre, Prav10e minlrnum ol 7; ary Nnv tlnlrv m >if f.9J c 1:1 iec niln „,e..n n CI y ind ~
.'.5 OI.:t xiI! OCIl: ?'^.Aql dSSVm15 IIIdI 2E,W1! Elnlfldfj! 10 p10atn1 ~nCipg p~~[~Icn C: ~1uesn I ~
3oz 353, Minneota. MN 56264
-----_~____.1---------
& Components
~ Division of C.C.M. Inc.
Office: (507) 872-5195
Box 383 Minneota, Mn. 56264
May 15, 1987
B. H. Grace
2004 Vienna Lane
Eagan, MN 55122
RE: REPAIR ON 22' & 24' ROOF TRUSSES
Zb Whan It May Concern:
7b repair the 22' truss you must nail 3/4" plywood on both sides
of truss, starting from the point where you cut, back 24". Nail
every 4" O.C. using lOd nails. You must also add a 2 X 4 block on
the end. CUt 2 X 4 to fit.
'ib repair the 24' truss you must nail 2 X 6 boards on both sides
of truss flush with the bottom cord. Starting from end of bottom
cord to at least 1' past the joint. Nail every 4" O.C. with lOd
nails.
Ehclosed are drawings of both repairs.
If repairs are made according to directions above we foresee
no problems with the trusses now or in the future.
Sincerely yours,
Tom Nomela6vyuL
General Manager
SUPERIOR TRUSS & CONIPONENTS
Ehclosure
NBR LEN FORCE IM LEN FORCE IOR FOiCE IIBR FOiCE
DESIGN LOAD s- z 6.01 -3295 s- s 8.01 3126 z- 7 -sze a- s eas LUMBER SOLUTION
TOP LL= 40. PSF 2- 3 5.99 -2815 6- 7 7.99 2066 3- 7 845 4- 6-628
TOP pL= 10. PSF 3- 4 5.99 -2815 7- 1 8.01 3126 TOP 2X4 MSR SPF,
BOT DL= 10. PSF 4- 5 6.01 -3295 Fb 2100 E 1.8
OUR OF LOAD INC 1.15 BOT 2X4 MSR SPF,
SPACING 24.0 IN 0/C Fb 1650 E 1.5
ADDITIONAL LOAD WEEi 2X4 #3 SPF,
JT LBS M8R PLF
NDNE NONE
JT REACT MIN BRG
1 1405. 3.50" I N~~ AEC CMB =.29' AT 7
5 1405. 3.50"
~OBEID5gH5GRACE ~
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i~~ . nwiaarep=in. . 6ox 383, Minneota, MN 56264 MN Watts. 800-358-3301
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, M IhB Infomulbn n tl rrar relab ro a speciflc Dro}ect or lallure ol nuierlab apeclBeE hereln lo mevl wllh De Eeiipne0 and Inslailea rvy offer5. Camlul Ranulinq Is eisenlial. GuilElnq Oeslpnet BraunQ tno-xn it 1o reeuu dxklinq
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~A beatlnp at suOPols, unlezs olheiwlse rroled. Desiqn assumn Ilut aEequate Eralnaqa lo prevenl ponGlnq aneiters ol tmfses. '
)roviasa eY emars. Box 383, Minneota,",~
~ i
•s
!
1999 BUILDING PERMIT APPLICATION (RE51DENTIAL) ~
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4675
onafruction Reauirements Remodel/Reoair Reauiremenfs
D 3 reglstered sfle surveys showing sq. tt. of lot, sq. fl. of house 2 coples of plan
and all rooted areas (20% maximum lof coveraae allowedJ t sef of energy calcutatlons for heatetl addHlons
> 2 copies of plans (show beam R window sixes; poured fnd. design; etc.) t sXe survey for exteriw addNions 8 decks
9 1 sH of energy calculations
> 3 capies of tree preservatfon plan R IM plaMed affer 7/1/93
DATE: ~~Ap y CONSTRUCTION COST: 7SDO~
DESCRIPTION OF WORK: Vfl&l'Vy //ldOFlilJC7 ~~U7`~
STREETADDRESS; 4;7le09 !/leiZ/ZA) ~
f.OT: a aj BI.ACK: ~ SIlBn./p,l.D.
Name: v~W471A) Phone
PROPERTY Last First
OWNER a~D a
Street Address: 7 Y~c~
City State: Zlp:
• Company: C-1 Phone
(area eode)
CONTRACTOR ,-~~/~_~l2 ~
Street Address: ~~/p 0 /~Gl/7 % K1rLCP V License #11?17 9 Exp.
Ci1y State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration
City State: Zip:
Sewer 8 water Ilcensed plumber (reaufred for new canstrucfion onlv):
PenaHy applles when address change and lot change is requested once permit is issued.
I' hereby acknowledge that I have read fhis appllcation, sfafe that the Information is cortect, and agree to comply wHh all appllcable
ciate of Mlnnesofa StatuTes and Ciiy of Eagan Ordinances.
Signature of Applicanf: 44
~ OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY ' .
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea-0
02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only J~ 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demelish (InYerior) 42 Rercof
* iive -CA handou to apolicant'or deme!i±ion permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Gode
(Allowable) Maln level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories • sq. ft. MGES System
Length sq. ft. City Water
Width Footprint sq.ft. BoosterPump
PRV
Fire Sprinklered •
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ 7.~00 "
5urcharge
Plan Review
License
MClES SAG
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other ~
Copies rotal: /577 2s,- •
SAC Units •
°l0 5AC
t
- ' , 1989 BOILDIBG PERMST 9PPLICATION
, CITY OF EAGAN
SINGLfi F9MILY DWELLINGS MCTLTIPLE DNELLINGS CONII7ERCIAL
2 SETS OF PLANS 2 SSTS OF PLANS 2 SETS OF ARCBIZECTIIRAL
3REGISTERED STTE 3IIR9EYS REGI3TEEED SITE SQRVEY3 - & STHUCTIIR9L PLANS
1 SET OF ENEHGY CALCS. (CHECg iIITH BLDG DI9.) 1 SET OF SPECIFICATIONS
1 SET OF EBERGY CALCS. 1 SET OF ENERGY CALC3.
MULTIPLE DWELLINGS RENTAL DNITS FOR 39LE DNITS # OF DNTTS
DiOTEs ADDRESS&S FOH CORNER LOTS - CONTR9CTOd/HOMEOWHER MOST DESIGNAiE flHICH ADDRFSS
IS DFSIRED. NO CHANGFS WILL Bfi ALLOHED ONCE SIIILDIN(3 PERMIT IS ISSDED..
3EFTER 6 i1ATER PERMIT FEES AND ACCOIINT DEPOSIT FE&4 iiILL BE INCLIIDED WITH THE SOILDING
PERMTT FEE. PROCESSIIQG TIME FOA SEWER 9ND iiATER PERMITS IS TWO D9YS ONCE A PERMIT H9S
BEEli CAMPLETED IHDICATING A LICENSED PLtMER.
PENALTY APPLIFS iiHENs PERMIT IS NOT PAID FOR IN S6ME MONTH IT I3 AEQIIESTED.
LOT CHAAiGE SS AEGIIESTED ONCE PERMIT IS ISSIIED. ;
OCT 10 1282
To Be Used For: Off C.K Valuation: 1000 ~ Date:
Site Address P0 l1 uiENN I`t i-N. OFFICE SISE ONLY
Lot d~ Bloek 3 Occupaney FEES
Zoning
Parcel/Sub Actual Const Bldg. Permit
Allowable Surcharge ,Sb
Owner 5 R~17\j 0 of stories Plan Review
Length 1 i xr z SAC, City
Address o-~o I l Qf f NNp LN • Depth 12 f 12- SAC, MWCC
S.F. Total Water Conn
City/Zip Code JE H a a-rJ Footprint S.F. Water Meter
Aeet. Deposit
Phone 6$S- '303q On site sewage S/W Permit
On site well 3/W Sureharge
Contraetor l>tStU N LAl"'nSc-R-PF MWCC System _ Treatment P1.
City water Road Unit
Address BE~fvan RO PRV required _ Park Ded.
' ~5-1 3 Booster Pump _ Copies ~
Ci~(,( Citq/Zip Code B~6o"i,NG~ ( SIIBTOT9L
APPROVALS Penalty
Phone ~ 3 Planner _ TOTAL
Couneil
Arch./Engr. T!~"I J~Rv~S Bldg. Off. ~tD~io
Variance
Address
City/2ip Code
Phone #
~nd Engineering services 9M ta•l BWwrJngton f.«,"
~r~r~r~ Clvll En Inun B~~t~' bv0
• Land Planner• Phone: "a'0209
~ ~ur~vc~or~~8 G'crt~,~'"~cate
~ ~ BOON _ PAGE _
Jpo Np. 8711-160
PYMAT MR: B.H. Grace
pRMMM A,g: Lot 3, P,lock 3, RAfiN RIDGE, C,ity of i:aran, Dakota County,
?!innesota and reserving eatieinents of record.
rOA bF FOUNDAT I ON = q a i.3
iARA(iE Fd;00R a q3o,4
IABHMENT FLOOR s 9 z 3. 9
~fiWZA BERVICE ELEV, = Niq
'ROP03ID ELEVATIONS
'%IBTdNG RLEVATIONS
RAIlIAGE DIRECTIONS :
ENOTE3 LOT CORNERS : O
EIiOTB3 OFFSET STAKE: O
o VIENNA LANE
~
9L0.9 y-- 9't B. 9 Z B.2 9Z'1.8
I10.00
919.5 1
o 9Z8.2
~
, r- - ---1 -1r0
nl f 30 10
I 9tll~s3 ~ v7ae 1m ~ys S5~ 1V
'Sf 9~k a6o 2t ^ , 9eo 6 ' I' '
67'R. ~ Q;,AR
r ~ I
I , -
i ii c I N2'
y Z t m PROPOSED 1a I ~
10 NWSE R
A N~ ~ LcoC-Okyr ypNOU a No7c~ ~ •
rv
.l. ~'p I 3 2 w,o I Q V
~ E1 0
~.1 I t3.6 ~
i 42e.6 ' ^ DECY~ ~ iS.3 I
I
~l INt1~ n 30 f.at
t ~
I ~
~ I
I i
~
5 - - a
929.b I10.01
S 0°qo'3'J "E Q2~.5
RL~ICAYE QF ~iiSYEY
NvMW eatily fhot on wrveyed ihe property deserfbe0 ebOYi and Ihol
Nwt plol i• a correct represenfalien of wld wrvey.
LJ• -o--Ww-.-.~
Jee . L dpren, Licanoi Ha 1~3T6
******#**t**#**~******k*****#***#4*f~
*
C I TY O F E A A fV *'-~OT~ ° PAYMFBT~ OF k~ AT T~IC? pF ~
• * APPLICA'PION DOFS NC7P C01VS1.'IRSTIE
* APPROVAL OF PERNIIT. *
F"; APPLlCATION FOR PEf3MiT *
* INSPFXTION oF SESM ADID/GR M7Et *
I21SI'A77.ATTONS WZIL NnP BE SQ3@- *
SEWER ANO/OR WATER CONNECTION ~~m unm PmMIT HAS Bm ~
* APP1tOVID. *
* *
* •
. . ***,tf *t*+r:****k*,r*r*,e,e,e*,t*,t~*+**~x**
P ease,Print)
~ 1) PROPERTY ADDRESS:
LEGAL DESCKIPTION: _ , ~ -
_ Lot ock Subdivision or Tax Parc ID
IF EXISTING SIRL'CIL,~RE, DATE OF ORIGINAL BUILpIhG PERMIT ISSL'ANCE:
;
.
PRESENt 7ANING/PROPOSID LTSE: (I•bn Year)
? CONPE3tCIAi'/VE,TAIL/OFFICE R-1 SINGLE FAMILY
Q IDIDCTSTRIAL ~ R-2 DOPLF.X (1t.p L~riits)
n INSTI2L`TIONAL/GpVEEtNA7EW ~ R-3 7OWNiOL~SE (Three + Units) ( Units)
q R-4 APAR7MENT/CODIDOMINIOh1 ( Units)
2) NAME: ~ . ~
ADDRESS: `
CITY, STATE, ZIP: ~
~PHONE: - ,3 ~
3) • NAME, For City Use
- Plimibers License:
ADDRESS; ~ Active
c
CITY, STATE, ZIP: Eycpired
rrot recordea
PxorE: ,2- LIcErrsE# J7oZ6 btatt mltlat
4) • . i~•
NAnE: ;
_ ADDRESS:
CITY, STATE, ZIP:
PHONE: .
•5) ~ we. i r: • , : a • oO • Do
CONNEC.TION 1C) CITY SEMM CONDIDCPION TD CITY WATIIt 0 pTHER .
6) 'w ' q r ~ P $OLD APPROVE9 PERHIIT EC)R PICK-C~P BY ONE OF ABJVE
PLEASE MAIL APPROVID PERMIT TO 1, 2,( 3/~, ,n~gp~
(Circe one) '
» r u• - ' r~ ep 7
. • '1' • Y' 1'I: YY 1¦ ~
• 1 ~ / Y01 p11 i pl ~ 7~
• r, U1JIa 11 1 ~ 1/1 "
~ • ~ ~ •
_ FOR CtTY USE ONL1( PERMIT # ISSOED
Pd w/Bldg. Permit FEES:
$ $ ~ri - SQ) SEWER PERMIT (INCLUDE SURCHARGE )
$ $ • ~ WATER PERMIT (INCLODE SORCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ f~J' ,ll2l ACCOUNT DEPOSIT - WATER
$ a a ~ ' ~~'t? $ WAC
$ ~ Z S' Z0 $ SAC
$ $ TRONK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ / :~5 $ TOTAL
T
-~7zc~ ,
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE: ,
DATE:
«
. ~********+#***********~*****t******q.
C I T Y O F E G A N PAYSNF'NT OF FEE AT TIl'9G pg ~
APPLICA7ZON DOFS NOT CONb't'I7ST1E *
x*. APPROVAL OF PERNSIT. ~
APPLICATION FOR PERMIT
, iNSpDCrzorr oF sEWM Arm/oEZ WA.nt *
. * INSLAr.raTIONffi WILi. NOT BE 9CHED- *
SEWER AND/OR WATER CONNECTION ~ULED UNII. PERMT HAs
: r,PnxavID. •
rt rt
~
. ~**,r *,t~,t*a **,r* ~*f ***t«+r*:****t,r*,r*
P ease Print
~ 1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: ~ -
Lot ck Sub ivision or ax Parcel ID
IF EXISTING STRL'CIL.RtE, DATE OF pRIGINAL BL'ILDIM PERNILT ISSL'ANCE:
i
PRESENP ZONING/PROPOSID LSE: Mon Year)
-
? COf4NERCIAL/Rh`1AIL/0FFICE R-1 SINGLE FAMILY
0 IIIDC*SPRIAL Q R-2 DL'PLEX (1twv Pnits)
~ INSTI'iL'TIONAL/GOVERt,'NT ~ g_3 TpWNHppSE (T}xree + Units) ( tfiits)
. q R-4 APARTMF3aP/00DIDOMINIC,T7 ( Units )
NAh1E: G
ADDRESS: ^
CITY. STATE, ZIP:
PHONE: 3
3) u a• r' For City Use .
Plumbers License:
ADDRFSS: Active
CITY. STATE, ZIP: Expired
Not recorded
~ONE: LICENSE# J /J7
- St~initial
4) •;,i ~.,iu~;ls
. NANIE: ~
ADDRESS:
CITY. STATE, ZIP:
PHONE: .
5) ~ v ~ a• • ~ • oa -
CONNECTION TO CITY SEWER NNDCfION ZU CITY TATER OTSER .
6) ' ~ PLEASE IIOLD APPRpVEp PERMIT E'OR PICK-C~P BY ONE OF AHOVE
~I.EASE MAIL ApPROVID PEEtMIT 10 1, 2, ~4. AHOVE .
(Circle one) /e .
r r u• - ` [~~7 7 02/- O"/
~
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4~:2 •~IJI?~ 11 1 ' .5a~ u~l/~ fJn u ~~v ~VY~tI .
. FOR CITY USE ONLY ~
PERMIT # ISSLiED
Z
Pd w/Bldg. Permit FEES:
$ $ /O - 5~ SEWER PERMIT (INCLUDE SLRCHARGE)
$ $ /G' WATER PERMIT ( INCLUDE SDRCHARGE )
$ (D r-v $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLCDE CQRPORA`PION STOP)
$ $ SEWER TAP
$ $ /,~j^. O C7 ACCOUNT DEPOSIT - SEWER
$ $ A-5! (1 6 ACCOLNT DEPOSIT - WATER
$ 5~.5 C9 $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT -
$ $ TRC'NK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ S LATERAL BENEFIT/TRC'NK WATER
" $ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ ~ ~ I ] • c9 C7 $ ~7 O rJ TOTAL
Z? 7G'
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
Q ROADWAY" MUST BE ISSUED BY THE EIVGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDIT20N5:
APPROVED BY: ' b
TITLE:
DATE : ~~~Z Z-/ P 7
qq . 25
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Kno6 Road, Eagan MN 55122
Telep6one # 651-675-5675 FAX # 651-675-5694
NewConsWctionReauiremenLS RemodeVRenairReouiremenLs - 3 registered site surveys showing sq. R, of IoC sq. ft of house; and all roofed areas 2 copies of plan showing foolings, 6eams, joists
(20% macimum lot coverege. allowed) i set oF Energy Calculatlons for heated additions
2 copies of plan showing beam 8 window sizes; poured found desgn, ek. 1 site survey for addifions & decks
1 set oF Energy Calculatlons Add'N'on - indicafe if or-site sepfre sysfem
3copiesofTreePreservaDOnPlaniflMplattedafter7/1193 -RimJoistDetailOptionsselecfionsheet (buildingswith3orlessunils) .
Minnegasco mechanical ventilation fonn
ConstruchonCost TE ~J( C.
Site Address Unit/Ste #
!+0 V 1
Description of Work
Mulri-FamilyBldg x, Y_ N Fireptace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( )
THD At-Home Services, Inc.
cootraMor Dba The Home Depot At-Home Services 1WN5 V Dy7
3200 Cobb Galleria, Suite 200
Address Atlanta, GA 30339 City
State License #20268257 - 763-542-8826 Telephone # ( )
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(4 submissiontype) Submitted . Submitted
• Energy Ernelope Calwlations Submitted
In ihe last 72 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan~
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( J
Sewer/WaterContractor i' yj-( 7 7 Telephone#( J
I hereby apply for a Resid` ntial,Building-Reamit-and 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 and the State of MN
Statutes; I understand this is not a permit, but only an applicarion for a permit, and work is not to start without a
permit that the work will be in accordance with the approved p~an in the case of work which requires a review and
app al ofplans.
(Tyi 1
A p icant's Printed Name A plicanYs 5ignature
S
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 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 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New - ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42. Demolish Foundation ? 45 Fire Repair , ? 33 Alteration _ ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Oemolition (Entire Bldg) - GWe PCA handautto appliwnt
DBSCFipt1011: WaterDamage_Yes ,
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units T_ Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Sheetrock
_ Footings (deck), , . FinaUC.O. .
_ Footings (addition)' FinaUNo C.O. Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wa11 ,
Approved By: , 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
, Installed
- ~senSiding and Windows
, ~,~lom
LIMITED I'OWER.OF ATTORNEY
, -
m
COLFNTY OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Serviccs, Inc., DBA Home
Depot Installed Sales located at 650 Mendelssohn Aver_ue North, Golden Vzlley, MN
55427, having a license number of BC- 20268257, do hereby appoint, name and
constitute Elder-Jones BuildingPemut Service, Inc. ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary arid appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this'Limited Power'af Attorriey are
limited solely to the express powers delineated herein and applysoIely to the Work.
This Limi*ed Power of Attomey shall expire arid automatically be revoked on the 21st
day of May, 2004, which date is one year From the execution hereof. Further, the
powers conveyed by this Limited Power of Attomey may be revoked by Principal at
any time by express revocation and shall also he revoked by the Principal's death,
disability, incapacity or incompetence.
IN WiT'rTESS WHFREOF this Limited Power o£A??erney is e~ectrted this
21st day ofMay, 2003
David . Katz
SWORN TO AND SUBSCRIBED BEFORE ME by David N. ICatz on this
21 st day of May, 2003.
1Votary Pfaic in for the State o eorgia
b4y Commission Expires: January 21, 2006
396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
~
; ~ef~ ~ ;
~ Pem1~,~.-- ~Z~
~~y tlf ~ig~q~ MAY 0 5 2009 i
i
U U Q i ~~j~~
3830 Pilot Knob Rosd i Pe""'t Fee:--~-~ I
I
Eagan MN 55122 j Dete Receivetlr_ 211)_ ~
Phone:(657)675-5675 , 1
Fax: (651) 675-5694 I Stair j
2009 F2ESIDENTIAL BUILDING PERMIT APALICATION
~
oats: ~ 0' s;x Aaa.e.8: ' f-, n t] 12- 1 V), VaI7 Fl, JI1
TenerH: ui067i:
RESIDENT I DWNER Nome: -T( A/(lsj Phone: (61-35 7-
1&p /
Address ! City I Zip: 2011 V! -e
Applicant is: i Owner ~ Contrador ~
TYPE QF WORK Oescrlption ot work- ~~-i lT7, Q Q/)
Gonstruction CosY Mul6-Family Buiiding; (Yes No GONTRACTOR Name: ~ 1 Q ~ 0'k~enselk ZC~~Z~74 S'
Adaresg: 3°
City. State: MA/Zip: aISQ3-7
~T 1
Phone: " J ontact Person: aY'.~V j[t1 ~ 1 Cjl7 flSQ o
CpMPLE7E THIS AREA QNLY IF COMSTRUCTING A NEW SUILDING
Minnesota Ruies 7670 CatEnorv 1 Minnesota Rule 72
Energy Code ctesiaenNai ven6iaNOn Category 1 woACSheet ryaw Enegy coae worksheet
CBtQgprj/ Submi{{ed Submitped
N 9Ubmi53iOn type) . Enefgy ErnelopE Caiculations Submitlad
In tlie last 12 mvnths, has the Clty of Eagan issued a pemfit for a similar plan bssed on a mastef plan?
_Yes _NO If yes, date and address of master pian;
Lieensed Plum6er: phQrie;
Mechanical Contractor. Phone:
Sewer 8 Watar Contrector: Phone:
NOTE: Olans 8rtd SappoRrng docamenis fhef you submrf ere consideli+d to be puDlk fnforntaaon. PorSons af
!he lnfarmatiart may be elassirmd as non-publfc if yoa provlde specJfiC re8sons fhat wouJd permii fhe Clty to
conclude mat the are rrade secrets.
I nereby acknowledge thnt lhis infofmalfon Is camplate a»tl eccurafe; that the vrark witl ee in 0prrFOrmance wlth !ha artlin9no2s flnd codas o th2 City W
Ea98n: lhal 1 und}IStaAtl tAiS i5 nOt d p0rthit, but onl an appllm[ion fOr d pBrtnit. end work s np1 to start wi[hout e permR; th~t thC . will De In
BGGOfCdf1 , WII BppfOVEd IdA iA tM8 GB9P M WH fGhlch rCQUIfCS 8 f0Vi9W 9n6 ePp~VVal 0 plens. .
X
x ~-r--
Appll ^~'yPNntedName qpp anCx Signa
.Y L.. t/ .YL.uC'i 1 Page 7 of3
0/-)N ~ i ~l l4 ~Yl ~
DO NOT WRlTE BELOW THIS LINE ~6
SUB TYPES
Foundation _ Fireplace ~ Porch (3-Season) Storm Damage
Y 3ingle Family _ Garage _ Pvreh (4Sepaon) ` ExtehOr Alteradon (Single Family)
_ MWti _ Oeck _ porch (ScreeNGaze6o/Pergola) EzlerlorAlteretlon (NIUl4)
~ 01 af _ Plex ~ Lower Level ` pppl ~ Apigcgllaneoue
_ Accessory 6uFlding
WORK TYPES
~ New _T Inlerivr Improvemeot _ 51d3ng ~ DEr1loBsh 8ullding"
_ Additlon _ Move Building _ Reroaf _ pemo0sh hlterior
T AHeretion _ Fire Repair _ 1Mndows _ pemolish Foundation
, Replace _ Repsir ~ Egress Window Wamr Damage
~ RetainingWall •oemolldonofantlre bulldln
g- give PCA h8ndout to appncerrt
DESCRIPT ION
Valuatlon Occupancy ApCES Systpm
Plan Review _ Code Edition SAC Uniffi
(25%_„ 100%-r-) _ Zoning City WaLer
Certisus Cade Stories Booster Pump
# of Units Square Feet pRV
# of Buildings Length Fire Spirlnklets
Type of Construction yyidth
REQLII_RMIN$PEGTIONS
Foa6ngs (New Building) Sheetrock
Footings (Deck) ~ Fina) f C.O. Raquired
Footings (AddfUan) ~ Pinal / No C.O. Raquired
~ Foundation HVAC
Drain Tile Other:
~ ROOf: -ice & Water _Findl Pooi: _Footings _Air/Gas TeStB _Final
~ Framin9 Siding: _Stucco L.ath ^Stone Lath _Bnck
Fireplace: _Rough In _Air Test _Final ~ WindowS 1 6-~tjf,ag 5
~ Insulation RetalnFng Wall
_ Meter Size: Eroston Control
Reviewed By: _ Building Inspeetor
RESIDEN7tAL FEE5
Base Fee
Surcharge 41
Pfan Review
nncES sac
city sac
Utflity Connec6on Charge
58W Psrmit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
- - -
i . .
n I ~ ~~,~3 ;
. ~~t~ Of nN, La~~ll I Permit#:~ I
I Pertnit Fee:
3830 Pilot Knob Road ~ I
Eagan MN 55122 1 Date Received: JULOUQO9
Phone: (651) 675-5675 I
Fax: (651) 675-5694 1 staff: j
I
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: G -01&- 0
1_ Site Address: ko ucm Lf~
Tenant: _ T=~mSuke
RESIDENT / OWNER Name: Ioco Ne~:S Phone: (61 -7 40CJ
Address / City/ Zip:
CONTRACTOR Name: License (,n 1710 Prn
Address: 0 ~
city: 31179000R¢'rt00 state: zip:
Phone: _ Contact Person:
TYPE OF WORK _ New / Replacement _ Repair Rebuild Modify Space _ Work in R.O.W.
Descri Tion of work:
PERMIT TYPE ~IDENTIAL -
Water Heater Water Softener
Lawn Irrigation Add Plumbing FiMures
C__RPZ PVB) Main _ Lower Level)
Septic System _ Water Turnaround
New
A6andonment .
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System.Abandonment, Water Turnaround` (includes $.50 State Surcharge)
"Water Turnaround (add $765.00 if a 5/8" meter is required)
$100.50 SeptiC System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace 6urned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES
I herehy acknowledge that Ihis iniormation is complete and eccurate; that the work will be in confortnance with ihe ordinances and codes of the CiTy of
Eagan; that I understand ihis is not a permit, but only an application for a permit, and work is not to start without a permR; that the work will be In
accordance with the approved plan in the case of wor9c which requiras a review and approval of plans. '
X C X.A",S X
ApplicanYs Printed Name Applicanl's nature
{Re4ut~~d~~~P~iP~+~ ~ ECr~S~~(~tcrur~~~ Fn ~A~u~
3 riacmtnlti~ ~~H.:.h~a..,, _.,it.:,.':5~, .,w .tt. a=°`a.'w:~i f ,t " • . ~ .se'~""'~+-r».s.'~:s: :N,,.<d r a!a~.~3 ,r~u
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��pp � ::.,q,'::,;.-1.'-",,:,_, � '� $�da. r F • � ,
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4111
City of Ea�all
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Inks-:
For Office Use
Permit #:
470
Permit Fee: 3 d' Div /to 14
Date Received: 2 -1 /I
4E)
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: AOC? litCaVVIS /0-41'`'
o
Unit #:
Name:
art,{r_ iju/Svc Phone: 6/)- 23' 5 -VP
Address / City / Zip: (e&f-e
Applicant is:
Owner X Contractor
Description of work: %/(c:�;n
Construction Cost: 1?
f { I 1 A 4_l+c-. /�'`m PlG��6^. iS..G/�N✓ Gh { 'L`. Z�v L �`^""' .
Multi -Family Building: (Yes / Nor)
Company: JCc * (
Contact: 4-7
Address: //by AV S City: S.O.,`°q1, s t '4L( -
State: AIN Zip: 5:2)
Phone:
asp ly („8,p_3
License #: i C_ 6.7-6 5-37Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING 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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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.00pherstateonecall.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.
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.
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
Z1 Vi
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace
�Single Family Garage
Multi Deck
/ 01 of Piex Lower Level
Accessory Building
WORK TYPES
New
Addition
It Alteration
Replace
Retaining Wall
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation O aw.
Plan Review
(25%_ 100% //'
Census Code h(f
# of Units
# of Buildings
Type of Construction
1
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace: Rough In _Air Test Final
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Z 4 G 4
Ate?
FED
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _
Siding: _Stucco Lath Stone Lath
Windows
Retaining Wall: _ Footings
Radon Control
Erosion Control
, Building Inspector
/
TOTAL
Final
Brick
Backfill Final
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115314
Date Issued:09/25/2013
Permit Category:ePermit
Site Address: 2009 Vienna Lane
Lot:021 Block: 03 Addition: Rahn Ridge
PID:10-62750-03-021
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Audrey Flattum
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas E Jordan
2009 Vienna Lane
Eagan MN 55122
(651) 681-0224
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153853
Date Issued:01/29/2019
Permit Category:ePermit
Site Address: 2009 Vienna Lane
Lot:021 Block: 03 Addition: Rahn Ridge
PID:10-62750-03-021
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas Tste E Jordan
2009 Vienna Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174211
Date Issued:01/07/2022
Permit Category:ePermit
Site Address: 2009 Vienna Lane
Lot:021 Block: 03 Addition: Rahn Ridge
PID:10-62750-03-021
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas Edward Tste Jordan
2009 Vienna Ln
Eagan MN 55122
(612) 839-5480
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172106
Date Issued:09/15/2021
Permit Category:ePermit
Site Address: 2009 Vienna Lane
Lot:021 Block: 03 Addition: Rahn Ridge
PID:10-62750-03-021
Use:
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas Edward Tste Jordan
2009 Vienna Ln
Eagan MN 55122
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature