2091 Viburnum TrPERMIT
City of Eagan Permit Type:Building
Permit Number:EA127525
Date Issued:10/03/2014
Permit Category:ePermit
Site Address: 2091 Viburnum Tr
Lot:018 Block: 003 Addition: Vienna Woods
PID:10-81950-03-180
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for 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.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Molly Grossman
2091 Viburnum Tr
Eagan MN 55122
Premier Remodeling
2091 Viburnum Trail
Eagan MN 55122
(612) 245-8378
Applicant/Permitee: Signature Issued By: Signature
'CITY OF EAGAN :
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt ~t
To be used for Eat Value 'z 1n 5, C~(1J Date 19
,
Site Address ~ '•e L OFFICE USE ONLY
Lot BlOCk - SeC/Sub. `'hNA SX)OL'$ On 31te Sswape Occupancy ,
_ •
MWCC 3ystem Zoning ' I
Parcel No. On Site Wen (Actuaq Conat
City water ~ (Allowable) '
ac Name
W • PRV Required ~ of 3torlee
z Address
~ City Phone Booster Pump Lenyth `
Oepth
, a Name 3.F.Total
Address ` Footprint S.F.
City Phone APPROVALS FEE8
~ a
Name Engr./Asaess. Permit
~ W
W
~z Address Planner Surcharge
~ W City Phone Council Plan Review
Bidg. Oft. SAC, Ciry
I hereby acknowledge that I have read this application and state that the Variance SAC. MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinancea.
Weter Meter "
5ignature of Permittee - - Road Unit '
A Building Permit is issued ta ' Treatment P1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan prdinances. Parks
Building OHicial TaTAI
I _ Permit No. Prrmk Holder Datf TeNphone, i
Plumbing %"C/ & -,7/1 ,c,
H.V.A.C. Electric
5oftener
Inspection Dste Insp. Comment3
Footings I
Footings II
Foundation
Framing z
Roofing
Rough Plbg.
Rough Htg.
Isul. `
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ. / ~i ~ %~%cS ~9 ' ~b' C / c;
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
• . • .
f~e~#~#ir~tp ~rf (~rru~~tnr~
titp of eagan
i0pvwfttPltY of adiam h"PtfiDtl
Tkis Certificate issued pursunnt to the requinemenu of Section 306 of the Urriform Building
~ Code certifying tJrat at the time of issuance this structure was in compliance with the various
ordinances of the City regulating bnilding co?istreiction or use. For the followirtg:
u. 0.0.,;a, SF DWG /GAR ~ N.. 15048
0-ulm-7 Tra R-3 M-1 Zming Douiet x-1 rya coW V-N
a„na of Build* ROBERT HUSER CONST Addm, 100 E 38TH ST
&Wd;m AM" 2091 VIBURNUM TR Local;ty L18, B3, VIENNA WOODS
Doft: DECEIriBER 28, 1988
ettildiot offici.i
POST IN A CONSPICUOUS PUCE
PERMIT k
. • PWMBING PERMIT RECEIPT #
CITY OF EA(iAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 6~ i~! R s
CONTRACT PRICE ~y PHONE: 454-8100
Site Add ess 2 n91 V i bu rnum T T a i 1 BLDG. TYPE WORK DESCRIPTION
lot Block ~ SeciSub Res. ~ New c~ Mult Add-on
~ Name Thom son Plnmbin "Comm. Repair
~ 12201 Mt ka Bl.vd
Address Other
c City Mt '~a Phone 3 3- S 21 RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- NO FIXTUR ES TOTAL
Robert Huaer Coastructi -~wacerCioset-$3.oo c
~ Name 10 ~ E. 3 8 t h S t ~Bath Tubs -$3.0o
3 Address Lavatory - $3.00 ' r
0 C~H 'Ip 18 Phone $ 2 2- 9 6 2 8 Shower -$3.00
_LKi!chen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE -L_Laundry Tray -$3.00 ~
APT. BLDGS - COMM RATE APPUES p2_Floor Drains -$1.50 l
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 r
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES / Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
_4:9-Rough Openings - $1.50 • ~
SIGNATURE O PERMITTEE FEE:
G"C" e', '%~.I f. ~ ~ " STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL• "~7~
PERMIT #
` MECHANICAL PERMIT
CITY OF EI?(iAN RECEIPT # 0 '7I/
3930 PILOT KNOB ROAD, EAGAN, MN 55122 OATE
CONTRACT PRICE ~ PHONE: 454•8100
Site Address 1 r ,-;t 7= gLpG. TypE WORK DESCRIPTION
Lot Block ~ Sec/Sub ~t"~ New /Y
~ Name 4E c'ld- ~ • , c Mult Add-an
m
.2~ Address `l` l ~ ' ~ o i= ci' /q . Comm. Repair
c Cily Phone ''I-~~ ` -
FEES
Name - ' ~ : • „ , a T.,.
L RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 8.00
p City Phone - (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERiIAIn - 1.50 EA
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
FOrCed Alr ' y M BTU ~y APT. BIDGS. - COMM. RATE APPLJES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON Q
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
PERMIT PRICE GOES
Gas Piping Outlets #
~ BEYOND a1/000)
Other
FEE
S/C: SICiNATURE OF PERMITTEE
TOTAL• +~F' ~FOR CITY OF EAGAN
' _ ~T-'~4.~_. ~ . r . . .r.i v n ~v~ • !1. T~~~ . ~ . . _ . . . . -~.w~_. _ .
I
CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
w BUILDING PERMIT Receipt
To be used for SF DtiGJGAR Est Value s105.000 Date MAY 2Ua
9ite Address 2091 VIBUitMM TRAIL OFFICE USE ONLY
On Site Sewafle Occupency R~3~',~"3
Lot t_Block 3 5ec/Sub. yI~~ ~S
MWCC System x Zoniny R-1
Parcel IWo. On Site Vifgll (Actuai) Const V-11
MR i44 t~StS Rt18BRT HUSL~R citywater x (Allowable) V-~
a NBme PRV Required x ~ of Stories
z Address 100 E. 3M STRE$T
~ City r i`1N:.,P4LI5 Phone 8I2-9628 Booster Pump Len9tn 4$ •
Depth 421
, o Name RnBERY HiiBPR COliST., 1l9C. S.F. Total
o ~ Address 00 E. F'TH C TRRET Footprint S.F. _
city MIN[4°'.APG1.1S phone 822`4628 APPROVALS FEES
~ W Name Engr./Assess. Permit 5Q4.C.4
_
Address Plenner Surcharge 52.50
aZ Clty Phone Council Plan Review 295.00
t W
Bidg. Off. SAC, City oo.of1
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00_
in}ormation fs correct and agree to comply with ail applicable State of Water Conn. 530,00 Minnesota Statutes and City of Eagan Qrdinafices. 67~~
Water Meter
Signature of PermHtee Road Unit 325•00
A Building Permit is issued to: gQB°RT HvSER-90NST. Treatment P1 304.00
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
Building Official~ TOTAL x~~33 • s~
~
- - -1 - • _
CITY OF EAGAN Remarks
Additfon VIENNA WOODS Lat 18 Rlk 3 Qercel 10 81950 180 03
Owne? street 'MQ 1Vihirn im Tra i1 state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFiF. _R• IIllP. 1981 10
STREET RESTOR.
GRADING IVV7 1981 587:7 58:77 0
SAN SEW TRUNK JjPr 1973 129.78 8.65 15
* SEWER LATERAL 1 2 2
* services 1981 10
WATERMAIN
* WATER LATERAL 1981 10
i
* WATER AREA 1981 10
* STORM SEW TRK 1981 10
* STORM SEW LAT 1981 10
CURB & GUTTER
SIDEWAIK
STREET LIGHT
IPA TER CO NN.
ILDING PER.
C
RK
CITY OF EAGAN N2 1 5 O 4 8
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
~~Q I
,BUFLDING PERMIT PHONE:454-8100 Receipt # 1 ~
Tobeusedfor SF DWG/GAR Est.Value $105,000 Date MAY 20, ,1g$8-_
Site Address 2091 VIBURNUM TRAIL OFFICE USE ONLY
Lot 18 Block 3 Sec/Sub. VIENNA WOODS OnSiteSewage _ Occupancy R-3/M-1
MWCC System X Zoning R-1
Parcel No.
On Site Well _ (ACtuaq Const V-n
a Name MR & MRS ROBERT HUSER Cirywater X (Allowable) V-n
w
z Address 100 E. 38TH STREET PRVRequired X uofStories
o Booster Pump _ Lengtn 48'
City MINNEAPOLIS Phone 822-9628
oePtn 42'
.o Name ROBERT HUSER CONST., INC. S.F.TOtal
o a Address 100 E. 38TH STREET Foolprint S.F.
u~ City MINNEAPOLIS phone 822-9628
APPROYALS FEES
~ w Engr./ASSess. Permrt 590.00
ww Name
ri Planner Surcharge _52_50
Address
aw City Phone Council PlanReview 295_.0.~
Bldg. Oft SAQ City LQQ100-
-
I hereby acknowledge that 1 have read ihis application antl state that the Vanance SAC, M WCC 550.._00
intormation is correct and agree to comply with all applic/able State ot Water Conn. 550..00_
Minnesota Statutes ana City of an C}fdm ces.
water Meter 67.00
Signalure of Permittee Roatl Unit 325.00
A eudtling Permit is issued to: ROBERT HUSER_CONST.- Treatmem Pt 204.00
on the eapress condition t hat al I work shall be tlone m accordance wrth all
applicable State of Minnesota Statutes and City of Ea9an Ortlmances. Parks
BuiltlingOHicialTOTAL 2,733.50
~ ~f-
1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
/
INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SUAVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WfIICH ADDAESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS U OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECS WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONMRCIAL
INCLUDE 2 SETS OF ARCHITECTU[iAL & STAUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: 6,~E, Valuation: I bSD00 ~Date: 5 417
-ZE
Site Address nij:;- ~ ~ ~ ' , . • OFFICE USE ONLY
Lot ~ Block On site sewage_ Oceupancy
MWCC system ? Zoning R-I
Parcel/Sub On site vell _ Actual Const V-N
City water v Allowable V-N
Owner PRV required ? 1k of stories
Hooster Pump _ Length 4 S'
Address ~(x') e -wp7A Depth y z'
S.F. Total
City/Zip Code Footprint S.F.
Phone ~j~~ q(p2Qj APPROVALS FEES
Contractor QCEPjU {jJj94 6)Khj Engr/Assess Permit S I DOc~
Planner Surcharge Z.so
Address jad Council Plan Aeview o0
Hldg. Off. 19 SAC, City /po- ou
City/21p Code ?1.jpL,Gj , S54,c:~)q Variance SAC, MWCC 55000
Water Conn 'iqp.oo
Phone 62-2 Water Meter 67'aa
Road Unit 32 5. 00
Arch./Engr. Treatment P1 2-04r0
Parks
Address Copies
~ TOT6L
City/Zip Code
Phone #
GA (2AC> E VA L LA AT i ONl
M
2y sl16 X,y
~SAS~MENr
l5X y8 ; ~zo
Xiy = ~ 8z
N1AIN FLOoR,
IS X !o = JS"O
Z yX ry= yo~
Z~
~
~317 2 x y9= Gr72Z$
ZN`D F`2
ZY ~ r 3~a
3x3
bg X yq= l76Vo
~DN ~Q'
. • APFLr~ATION FOR PERMIT ~NOE: pAYPIINC OF FEE AT'lIME OF ;
; aeeLIcATION oors Nar cau- :
SfITST1E APPRWAL OF PfRPIIT. '
•
. SEW ER AND/OR W ATER CONNECTION ; IrseBmau oe mlm nrm/ox umTEx ;
r. ; irsraU.r,noKS wua, Nor ae scFncn,fn ;
~1 . . ~ I!NCIL PFIiFQT FlAS BEFS] APPkOVm. ~
\ ifiY~!llfttfffY~tflf~fl~itMA111M1Yitltt
2 .
caty oF eagcan
(PLEASE PRINT
1) PROPERTY ADDRFSS:
i•FY;AT, DESCRIPTION' . . . . . . . . . . . . .
I.ot B ock S ivision or Tax Pazcel ID
IF EXISTZNG STRL'CTURE, DATE OF ORIGINAL BUILDING PERMiT ISSLANCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
Q COMMEE2CIAL/RETAIL/OFFICE Iyj R-1 SINGLE FAMILY
Q INDDSTRIAL El R-2 DUPLEX (34.o C'nits)
Q INSTI4[)TIONAL/GOVERPIIMETPP q R-3 TOWNiO0SE (Three Units) ( Units)
Q R-4 APARTMENT/COAIDONIINIUM ( Units)
2) NP,N1E:
rDDRFSs: . THOMPSON PLUMBINS INU.
12fB1 Ir1IM7JET6NYA BLVD
CITY, STATE, ZIP: MINNETONKA, MN 55343
PHONE:
For City Use
3) ffp~ NAME: THOMP80N PLUMBING CO» INC. Plumbers License:
ADDRESS: ~~p1 MINNETO OLVU Ij Active
NNCTANKA uN 55343 Expired
CITY, STATE, ZIP: Not recorded
PHONE: CJ3,`j a~~ MASTER LZCENSE # St Initia
4) ~~l
NAME: i
P,DDRESS: C .
CITY, STATE, ZIP: "
PHONE:
5)
CONNECI'ION TO CITY SEWEE2 ~CONNECTION 'In CITY WATII2 O 0'PHEF2
6>
v
1F * * * * iie # * * # F Ir+1r * k # ir+ir * * k * * * * * * ?r k * k k * * * ir iir # i* ir * # * * * k tr # * * *+F i` 1( ir+F * * * * i( * **+k ir * * * * * * * * * t+* * # k * k * * * i rt # F+k * * * ~
*
* THE GOLD COPY OF T[IE PERMIT WILL BE SED7P DII2ECIZ,Y 1U PUBLIC WORKS TO FACILITATE ["IETEE2 PICK-PP.
PLEASE ALIAW TNU WORKING DAYS FOR PROCESSING. SONIDONE FROM 7IE CITY WILL CONfALT YOi) IF 74ERE f
* ARE ANY PROSLF2IS.
~**,+***~+~,r+~*r*****+*+**+r~*:r**~****++x,.+*~~+**~+~***~***«*****,r«~r~*+**w*~+**~***********+r«*****r;
.FOR CITY USE ONLY -
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ 16.6c) SEWER PERMIT (INCLUDE SC}RCHARGE)
$ $ /O • SC~ WATER PERMIT (INCLUDE SURCHARGE)
$ cc 7. C~t~ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP ~
$ $ ~ S• C~C~ ACCOUNT DEPOSIT - SEWER
$ S ACCOONT DEPOSIT - WATER
$ ~ 50 . $ wac
.T
$ ~7 ~ (1C~ $ SAC . 1
' - - :19d1`A
$ $ TRiiNK WATER ASSESSMENT
$ $ TR[)NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/,.TRAK SEWER
aal
1
$ $ LATERAL BENEFIT/TRUNK WATER
$ ~(5<~ 0 C% $ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
$ I'j / I• O Z,l $ 51, O C1 TOTAL
~i
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PUBLIC
~ ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
2004 RESIDENTIAL BiRLDING PERMIT APPLICATION
City Of Eagan
41 3830 Pilot Knob Road, Eagan MN 55122
L Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWClion Reouiremen4 RemodeVReoair Reouirements Office Use Onlv
3 registered sRe surveys showing sq. ft of lo[, sq. fl. of house; and all roofed areas 2 copies of plan Cert of Survey Recd-_'::- Y- _ N
(20% maximum lol coverage allowed) 1 set of Energy Calculations for heated addiEons Tree Pies Flan Recd, Y~N,
2 wpies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addiGons 8 decks Trce Pres Reqpired _ Y-_ N
lsetofEnergyCalculations Adddion - md'rcafedar-sdeseptresystem On;siteSep4cSystem;~M,`lY.-_N
3 copies o( Tree P2servation Plan d lot platted after 717/93
Rim Joist Detail Options seleclion sheet (61dgs wifh 3 or less uniLs
Date Construction Cost a'l- CT~d ~
SiteAddress ~-D°l ~ /te i,+Ll Unit/Ste #
J ~l IOVC2 6'~7 ST/ J? 4. O N L o wt-!l,
DescriptionofWork fl~~prYi2~0OZ w/TiMd-1Gt+9r'US W/ AvROZ~f'S~ PY~ ~~'"t'1F3R1~
lNiC~N. ~ft5Ta~t~j -
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 _ 1 _ 2
Property Owner t~IM Telephone ql,,n /0 7S- b s 07
Contractor e1t57Z,5:- /l-f~S/D~, A'L LQ7v5'i S~~'U/,-6~
Address G L°7} N+'?VL'N City ~/~T7Zfti f)
5!:~ Telephone b/ Z)
State Zip.2r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residendal Ventilation Category t Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone #
Mechanical Contractor Tele ~
D I
Sewer/Water Contractor Telep e #
A P 2'
I hereby apply for a Residential Building Permit and acknowledge that th formation is comple e and accurate;
that the work will be in conformance with the ordinances and codes of t e ity o aganandthe State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that t7vork will be in accordance with the approved plan in the case of work which requires a review and
approva /J
V~ ,~/}WI <-7- VG~C/~
Applicant's P~ e ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
X 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 PorchfAddn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plez ? 18 Oeck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' k 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy 9-03 MCES System
CensusCode Zoning CityWater
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs ~ Length Fire Sprinklered
Type of Const V' B Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ? FinallNo C.O.
_ Foo[ings (addirion) f Plumbing
Foundation HVAC
Drain Tile ? Other
Roof `~'Ice & Wa[er Final _ Pool _ F[gs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
Insulation _ Re[aining Wal]
Approved By:' ~/?'R~~' , 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
ffi I ~ '00"
~ 9a2 ~ 3 t w 93 37
- ~
~e, 00
Z7.~J 00 O Z.77 0 936.{0~_8 6i-
~ ~ • 6
O
85.0 8 65yoo r~,~,, q3 85. ~6 80. _
927
&
~ 939
r~ . { ~ ° ( ~ • ~ ~ , ~ ~
14
/ 3 I I~ I~
~ ~ ~ ' ~ ~ ~ ~ ~ g ~ / ~ J~ ~ _
~ -
_ -at.
5.00 .00 r 85.09 J. o Q i - - - _
65
~ ~ ~ ~ ~ ~ ~r ~ ; ~ , ?
o ~
~ 10.
Ct
4S~
~ • • • i ~t~ ~
ZI5
934
~
32.8 933.
~ -
°~t
0. /o P1 ~ , 0.6 io TR
~ ~ ~ •Q
_65_00 ~ 933.2 ~ 85. 00 ~ 9 85.0 155.00 934. y 0 ~ 9 .2 185.0 0 _
E^ ~ 37.
i
to ` ,o ~o
'N ~ ~ 35 I, rc.i ~6 T I~ 3 S ~ 937 ~
0
~ ' ~ I ~ 6 i I t i : I 4`!
~ I
~ - ~
$5. 00 ~ F-Y . 00
7 65.00
4-
`s- - _ i i ~ , i i~n - - ~ _ ~ _ ~
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/
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2091 Viburnum Tr
Lot: 18 Block: 3 Addition: Vienna Woods
PID:10- 81950- 180 -03
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Craftsmen Home Improvements
7455 France Ave #194
Edina MN 55435
(651) 430 -3706
Pictures are not acceptable in lieu of inspections.
Connie Davis
7455 France Avenue S. #194
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Nathaniel C Hirsch
2091 Viburnum Tr
Eagan MN 55122 -2354
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA078252
06/13/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
06/12/2012 12:06 5073566021
40•• City of Eagau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECE'.
PAGE 03/05
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
/47
Date Received:
Staff.
JUN 12 2012
2012 RESIDENTIAL BUILDING PERMIT APPLICATION C�
Date: Co/12/1 Z Site Address: zocl l �1:�71 tryst `Erin : I #
Unit /
RESIDENT /
OWNER
Name: P1011%., GilD5SYYtc4y- Phone: 15c.—?I Z-31-141
Address / City / Zip: 20=11 V ;burn Tra.;1
Applicant is: X Owner X Contractor
TYPE OF WORK
Description of work:l.2w,oy' G314-441)ftiStrt.5
Construction Cost .Z Zoo ,r7-ZI, Multi -Family Building: (Yes I No
CONTRACTOR
Company: ,.j r a., 1,..)(441..).4-1CS Contact: i .r4"g
Address: '2Z Alin, V its) Le.S F, City: ?i►� \A.tA
State:VY11.-) Zip: SSCI 1,D1 Phone: SCO ZI jS -17_,t'
License #: BC.-- 3 SIThQS Lead Certificate #: Y.* - I DIOLA- )
If the project is exempt from lead certification, please explain why: (seePage 3 for additional information)
/ 1/t / / / / / 6-k
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information. may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the 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.gopherssteonecall.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
Applicants Signature
Page 1 of 3
06/12/2012 12:06
5073566021
�(( i
/1-1:/0 NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace
g- Single Family Garage
Multi _ Deck
01 of _ Flex Lower Level
_ Accessory Building
WORK TYPES
New
Addition
kAlteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% ✓)
Census Code
# of Units
# of Buildings
Type of Construction
Interior Improvement
Move Building
Fire Repair
Repair
34E0
/7 ?k
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
TOTAL
,67
Siding
Reroof
Windows
Egress Window
PAGE 04/05
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
MCES System
2 col SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final I C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: Footings Air/Gas Tests _Final
Siding: Stucco Lath _Stone Lath `Brick
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Erosion control
, Building Inspector
Page 2 of 3
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