2099 Viburnum Tr
CITY QF EAGAN ~ ? ~ 3 ~ ~ ~
3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for S? DWC/GAR Est. Value =13$+000 Date JUNE xs 1y 91
Site Address 2099 VIHURNUM TRJIIL
Lot 12 Block _3_ SeC/Sub. V1E11lIA NOODS OFFICE USE ONLY
Parcel No. ' occupancy $-3. M-i FEEg
PIETSCN BI11LDERS Zoning ~ ; 773.00
W Name (nauai) const YX_ Bidg. Permit
f Address 4543 a2ir11 LAHL (lulowaale) 1~- 69.00
0 Clty LAKRVti.l.lE Phone +61-3381 # 01 Stories _ urchar9e ~2
Plan Review
Name SwME DePih SQ- SAC, City 100000
Address S.F. Total
- sac, n~cwcc -4~..00
City ' PhOne S.F. Foatprints _
On Site Sewage Water Conn _10Ws00
12 ¢ Name
t W On Sile Well - Water Meler
6~ AddreSS ' MwccSygtem X~
<W City Phone cirywater zX_ A`.ct. oep°s'i 'C-OD
PRV Required S/W Permit 10-00
I hereby acknowlege Ihat I have read this application and state that the Booster Pump - gryy Surcharge .
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City ol Eagan Ordinances. Treatmant PI 27600
4' ,
Signature of Permitee~y ~ ~j 'ej~~- - APPAOVALS qoad Unit a7j1-00
A Building Permit is issued to: ~ tjMCH BU1~~ ~nner - park Ded.
on the express condition that all work shall bs done in accordance with all Council ~
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances; Bldg. Ofl. Copies
Building Official ~J Variance - TOTAL =3,33s. 5O
- - - - - ~ a.
' PermN No. PermN Hoider Da1a TsNphotk #
wareR 1,210' G 7
SEWER
PLuMexuc 4143 3'1j4
H.vAc. , ~ ~ 9l ~S'~ -~?773
ELEcTRIc
1,up.elfon a.ee lnsP. coimn.Ms
Footings I
Foundatian
Frarning
Roofing
Raigh Pbg,
ag"
Ro+sh Htg-
Isul. . / -2 9 C . ^
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspecta - NoG1Y Plumber
Const. Meter
EnprJPlan
Bldg. Final
Dedc Ftg.
Deck Final
Well
Pr. Disp.
. . I , .
? T ~ iM .
r-'
(ger#ifira#e of (Orr~panry
Citp of Cagan
locpawceYCt af luiidittg jttwrrti.un
~
m CeKi'f+c~¢1e tssued pursuant m tlre nVuirrnrents of SatioR 306 ojlhe rJnijornr Building
C'ade cutifying diat at llre dine of issuana lhisstrucMrt was in wmpliatce widt the various
ord„a„ces ofche cSry regulaMT buMing rnnmucdon or,rse For rhe fottowb;r. '
Vie ClnsiGadi„ SF DWG/GAR VAg,Yo N,, Iq'A 17 •
powPecY iype 7aoiat n'rt~ia pp Zype ca" vN
o,,.a.(&Aft YIL~T" DFRg „d, q543 BLR4I LAW, raMrr7F
pulftAd&= 2(19'9 VTHIIRNIM 'iRATi. 1,xwq T.Iq. R'i- VTFNM TdYI1S
~
q/12/41
. bildi OScW;%?'-
Posr w A coNsPcuous auce
r
SEWER & WATER PERMIT~ OFFICE USE ONLY
' C17Y OF EAGAN ~ METER PERMIT DATE 06 /2 7/91
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHiP # Y-r3 3 PERMIT # 12105
METER SIZE3 S B.P. RECEIPT # C 14179
.:ilCiE 25. tcQl ISSUEDATEB.P.RECEIPTDATEC6/26/:l
DATE
Xk PRV _ 800STER Pt}MP
SITEADDFiESS 7"'°9 "13U iiJ31M TKAIL
PERMIT REQUESTED
LOT 19 RLOCK 3 SEC/SUB VIENNA WOOT3S
x SEWER ~ WATER - TAP5 ~
t PIETS::}i BUILDE1tS :
APPUCANT: 9543 133itL'b LN e , COMM/IND REStDENTIAL.
ADDRESS:
CITY, STATE - LL~' Zip 55044 X NEW _ EXISTING
PHONE: 461-3381
Lawn Sprinkler Meters are to be Instailed
PLUMBEA: FATTLiE41_DAtilELS Ahead of Domestic Meters on Water Line.
ADDRESS: 151$5 AROiISEL ?,)AY Credit WILL NOT be given for Deduct Meters. ~
CITY, STATE ROSEw10UNT ZIP 55068 PHONE: 423-3730
I AG L TO COMPj~Y WITH CITY OF
I OWNER: AS hFP?.1::f.r~T E1i6~1ORDINANCES
ADDRESS: ~ ~
CIN, STATE Zlp "l fx~-
, PHONE: SIGNATURE WHEN METER ISSUED
{ L F~. Z',' r'/` /
PL~?SE,,?LLOW TWO W0~1~I1~G DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
~ SEWER PERMITS, CONTACT ENGINEERING DEPT.
r~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
l u t>:~ u? t._ .
PERMIT SUBTYPE: TYPE OF WORK:
ItASPECTION .
~ ~
PMmft No. PNtnk HoIdN Da% • TaloplwrN #
ELECTRIC
PLUMBING
HVAC
Insp"llon Do Insp. Comnwtts
FOOTIN(3S
FOIIND
FAAMINQ
ROOFlPiO
ROIIGH
PLIAABINCi
PLBG
AIR TEST
ROUGH
HEATING
GAS SVOC
TEST
INSUL
GYPBOARD
FIREPLACE
FlREPLACE
AIR TEST
FIN/1L PLBG
FINAL HTG
ORSAT
TEST
BLOG FlNAL
BSMT R.I.
BSMT FlNAL
OECK FfQ
DECK FlNAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
EagBn, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ' ~ N i`' ri 1•~ ~ c~ APPLICANT:
1 t1 f: 1. 1.) fs l~~lr~ f Itt11zN1Ip~ I'#t
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .A •
:•,M i rai , i r4',M - I
rih 1
F
L ~
Partnft No. Psrtnit Holder Date TNephona it
ELECTRIC j
PLUMBING ~
HVAC
Inspeellon O+a kap. CoeM»M?ts
FOOTIN<i3
FOUND
FRAMINf3
h
ROOFlNCi
R°"GH
PLUMBlNQ
PLBG
AlR TEST
ROUGH
HEATINC3
GAS SVC
TEST
INSUL
GYPBOARD
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL FITG
ORSAT
TEST
BIDG FlN/1l
BSAAT R.I.
BSMT FINAL
!
DEqC Ff(3
DECK FlNAL
CITY OF EAGAN Remarks
Addition VIENNA WOODS Lot 19 gik 3 Percel 10 81950 190 03
Owner streec 2 09.nYV]~'lllY'I111IR Tra i 1 State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, b'' jIDp 1981 10
STREET RESTOR.
GRADING < 9191
58?.:73 58.77
SAN SEW TRUNK
* SEWER LATERAL WZ'' 4232.34 423.23 10
* services 1981 10
WATERMAIN
* WATER LATERAL 198I IO
* WATER AREA 1981 IO
* STORM SEW TRK 19$1 10
STORM SEW LAT 19$1 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAR K
RESIDENTIAL
• BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PIL 51 681o-46R5 - 55122 iI?~I 7~
I I
NewConatrucUonReaulrementc RemodellReoairReauiromenU
• 3 registudl site smveys slawing sq. ft. d Id, sq. ft, of Muse; and II roofed areas , • 2 copias oF plan
(20%meximum btcoverage allowed) . 1 set of Energy CalcWalions for heeted addiFbns ~
• 2 copies W pian slqwirg beam & wiMaw sizes; poured fouM design, etc.) • 1 sde survey lore~cteAor addiliais & decks
• lsetofEneryyCalculafions • Indirateiihomeservedbysepticsystem(oradditions
. 3 copbs of 7ree Preservatlon Poan H bt platted aRer 711193
• Rin Joisi Delai Opfbre selection sFieet (bldgs vnth 3 or less uniGs)
DATE VALUATION (EXCWDING LAND)
JOB SITE ADDRESS .,;,(O /01k
IP MULTI-FAMILY BUILDING, HOW MANY UNiTS?
i
PROPERTY OWNER C
T'PE OF WORK (.Q .(I FiREPLACE(S) XO _1 _2 _3
APPUCANT 01'O ~ PHONE # Gri-ys~ ~ro3y
ADDRE55 tZ~ IPCODE ~J'~5/
PAGER # CELL PHONE # "l)R`7Q FAX # 5t;2 -l`3'T-1o737
C, lrj ~~S II ~l-' r~
NEW RESIDENTIAL BUILDING ONLY - flll OUT COMPLET
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitl
- Energy Envetope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Confractor: Phone
Plumbing System Includes: Water Softener _ Lawn Sprinkler Pee: $90.00
Water Heater No. of R.I. Baths
No. of Baths I
Mechanical Confractor: Phone #
Mechanical System Includes: _ Air Conditioning P'ee: $70.00
Heat Recovery System
Sewer/Water Contractor. Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge ihat I have read this application, state ihat the information is correct, and agree t piy with
all applicable State of Minnesota Statutes and City of Eagan Or ' nce
Signature of Appli nt
Certificates of Survey Received _ Tree Preservation ceived Not ReqLired _
updated Vot
OFFICE USE ONLY ` . ~
O 01 Foundation ? 07 OS-plex ? 13 16-plex O 20 Pool Zb 30 Accoasory Bldg
? 02 SF Dwelling ? OB 06-plex O 16 Fireplace 0 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
O 03 01 of _ plex ? 09 07-plex O 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex O 18 Deck O 23 Porch (screened) 0 38 Multl
? OS 03-plex ? 11 10-plex 13 19 Lower Level ? 24 SWrm Damage
O 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
to 31 New O 35 Int Improvement O 38 Demolish (Interior) O 44 Sidinp
? 32 Addi6on ? 36 Move Bldg. O 42 Demolish (Foundation) O 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Damolition (Entln Bldg only) - Give PCA handout W appllcant
Valuation ad ~O Occupancy MC/ES System
CensusCode y38 Zoning CdyWater
SAC Units - 1)L Stories Booster Pump
Nbr. of Units ~ Sq. Ft. 02 8o PRV
Nbr. of Bldgs Length a v Fire Sprinklered
Type of Const W idth ct'
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaVC.O.
Footings (deck) ~ FinaUNo C.O.
~G Foo[ings (addiuon) $ L N-e _ Plumbing
Foundadon HVAC
Drain Tile
~ Roof _ Ice & Water _ Final = Other - -
Framing Pool Ftgs - Air/Gas Tests Final
_ Fireplace _ R.I. _ A'v Test _ Final _ Siding Swcco Stone
_ Insulation _ Windows (new/replacement)
Approved Ry ~7 ; Building Insper,tor
Base Fee G E sSG y" lS~ L6
Surcharge
Plan Review d- FO !c t 6'" z ~fdQ~ _'k ~
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Olher
Total
0°"J~'~073 ~ . ,5savr~ ~su~n-0
~
Request Date Fire No, R ughdn Inspeclmn Pequrted Inspecuon OtherThan ugM1-In
~ ryou mu call inspeclor when raotly) 0 Reatly Now WII Notdy Inspecbr
~ Ves ? No Oalo Reatl
I I'censed contractor ?owner hereby request inspection of above electncal wak at.
J Aaaress (SVeat. Box or aoute No.) C~y
a.oCI VICSuJCNUfn T{e.Il'aGC. C. f4PAt
Saction No. Township Name or No. Fange No, County
1")/Va "
OcGUpanl(PRINT) Pbone No
To in PrbA)C~-
Powar Supptier Atltlress
Elecincel ConVactor (COmpflny Nama) Conveclor's L¢anse N.
GAcA,~<4(c ~cE~lvco< 1uc, Caoo !s-
Meilmg Atltlress (Canlrector o~ Owner Mpking Inst lalion)
K 33 PincA W0119 TKwII'L rA~410f"9AJ ss ia ~
Aulhorize ign re ~ont clor/ w rl K g Ins~alWUOn) PhwB Numbe~
~ VYIpk.-373 J
MINNESOTA STATE B ARD OF EL CTHICITY t THIS INSPECTION flE0UE5T WILL NOT
Grlggs-Mltlway Bidg. - Room S-128 II II I I I I I I II II II I I II BE ACCEPTED 8Y THE STATE BOARD
1821 UnlveraHy Av¢., 51. Peul, MN SSiOd I UNLE55 PROPER INSPECTION FEE IS
Phonaf61R164P-0900 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION es.oaooi-os
r
See Inslroclions tar completing tb5 brm on pack ol yelbw copy. _ s ~ g S~O ~
"X" Below Work Covered by This Request O
Ne Add Rep. Type of Building Appiiancii;~rSVired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. 8uilding Dryer Load Management
Comm./Industrial Furnace Other Specif )
Farm Air Conditioner
Other(speafy) Comractor'sRemaMS:~^S~~III~V'~'
!T
Compute Inspecfion Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transiormers Above 200_Amps Above 100-Am s
Si n5 inspecmr's Use Oniy: 47 TO, ~TAL~.~
Irrigation Booms L~ 170~ 7 u'~U
S eaal Ins ection
Alarm/Communication THIS INSTALLATION MAY RDE ISQONNECTED IF NOT
Other Fee COMPLETED W D
ITHIN 1 HS. i
I, ihe Electrical Inspector, hereby Rough-in
certity ihat Ihe above inspechon has
Fina$
been mada. 7/7
OFFICE USE ONLY
This reQUesl voiE 18 monihs Irom
,Address: 2099 VIBU-2NLM 1RAIL Lot 19 Blk 3 Sec/Sub VIIIaIA kC)pDS
These items were/were not complete at the time of the final inspection.
q 1Z q1 Yes Na
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry ~
Permanent driveway
Permanent gas ~
Sod/seeded grass
Trail/curb damage ?
Porch
Basement finish
Deck
Please verSfy vith the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside Lawn faucet before
freeze potential exists. r~
.icK~eonrca
White - City copy Yellow - Resident copy Pink - Contractor copy
i
CITY OF EAGAN N2 19317
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # 1~q
n t ~'1' 4
To be used for SF DWG/GAR Est. Value $138, 000 Date JUNE 25 91
Site Address 2099 VIBURNUM TRA1L
Lol 19 Block 3 Sec/Sub. VIENNA WOODS OFFICE USE ONLY
Parcel No. acuPancy R-3, M-1 FEFS
~ Name PIETSCH BUILDERS Zoninq PD $ 773
w (ACluap Const VN Bltl Permn •00
~ Address 9543 B1RCH LANE 9
0 (AlIOwaDle) VIL-- Sumhar e ~79.00
City LAKEVILLE phone 461-3381 ;rof Stones _ 9
Lengih 58_ Plan Review 502.00
Name SAME Depih SD-. snc, cny 100.00
~ o
¢ AddfeSS S.F.7otal _
~ C~~'/ Phone $.F. Foolprin~s _ SAC. MCWCC 650.00
~ On Sne Sewage _ Water Conn 660.00
` Name
~i On Site well - Waler Meter C1 S_()Q
Address Mwcc sysiam XX
a W Accl. Deposit
a City Phone ciiywacer X7L
PRV Reqmred x.}SNJ Permit 1O _ 00
I hereby acknowlege thai I have read this application and state that Ihe Boosier Pump - SiW Sumharge 50
information is correct and agree lo comply with all applicable State of
Minnasota SlaWtes and City ol EagaryOrdinances. Treatment PI 276.00
SignaWre ot Permitde~(/~ eezAPPROVALS Roatl Unil 77l1 QQ
A Bwldmg Permn is issued to: , PIETSCH BUILDERS Planner - Park Ded.
on the e:press condition that all work shall be tlone in accordance with all Counc,i
apphcable State of Minnesota S~utes and City ol an Ordmances. eldg Ofl. _ GoPias
$3 ,555 $0
Bwlding Official Vanance _ - 7p7qL
E A o~lln3v
/ ~~i HOUSE H~E-ATING TEST RECDRD
ADORESS AP7.-F100R_C17Y SUBURB
. '
OCCIJPANT OwNER
HEAT LO55 DA3 E HTG. I ST.
SCLO BY INSTALLED BY
r -r •
E:.enicol Work By Gaa Lme B
TYPE OF MEAT GA ~ FA -X-HW -STEAM -SPAC°_ HTR. _UNIT HTR TXER
Q GAS DESiGN CDNVERSION
MnKE '~fC MAKE OF BURNER
Mod.l I.lod.l
$erial SG 6"70 Ma+. BTU Rotinq eee~
iNPUT bL~ MAKE OF FURNACE
Mod.l
~9 CONTROLS
TfiER1105TAT ~ riw PIry 1CIND 0
LSNEF
Valw
L:m1t `i'tAv! 4tjt2 :<t. Gpjt lippd. 2L2=
L:mit Sn ~F ~ FtLrs SW~ W~L~r
Ortaid~
Fm Stlto Wa
i
e.''tiW T7i- ~
PlIw Yaim s~ tYlrtop /
Pltat 11a" ~b
4ati iwt Tcp
Plbt T1aWa
• ~v : Oaci Pn"wolag&
L.1Y. Go OEi ~ /
;3•S~',r.cP.K.otc~Z aaaZ..sea
tWO,r cFH p.rc.m' oz uif-
Smdc Tiop. Pmmt p Ham aF T"rr
Fora r"'SS
~i
;
I For-Offic'e'Use
I
Permit
Clty of Eap 1 3 oz)~ ;
I Permit Fee
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received
Phone:(651) 675-5675
Fax: (651) 675-5694 I Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9'I S-08 Site Address: 0022- Y I")t,i.rnlA•ft1 ~ c. i '
Tenant: Suite
RESIDENT ! OWNER Name6,f iA"?, P6'UAt Phone: 69'" yJ 7"3 70o
~l q
Address / City / Zip: r LL~~n Mr~ 5-S7
Applicant is. _ Owner ~ Contractor
TYPEOFWORK Description of work (y^~-i~"~-
Construction Cost' Multi-Family Building(Yes Nok--)
CONTRACTOR Name:. License Joolbf&l 7
Address: /y~j !?XAn ~IJIA~
City. (.(,MJ/0-- ^ State: Zip:
Phone: jSd -,70 7' Jo7~~ Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered,to be public information. Porfions of'
the information may be classified as non-public if you provide specific, reasons that would permit fhe City to •
' conclude fbaf the are trade secrets `
I hereby acknowledge that this information is complete and accurate, that the work wili be in conformance with the ordinances and codes of the Cdy of
Eagan; that I understand this is not a permit, but only an applicahon for a permit, and work is not to start without a permrt; t e work will be m
accordance with the approved plan in the case of work which reqwres a review and approval o lans
X ! ~ X ~..w~
Applican' Printed Name Appli nYs ignature
Page 1 of 3
I
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc single family dwellings & townhomes/condos when permiu are required for each unit
Date J/ / /9 / V y~ ,
~~`v> v. r VI u "
Site Address ~ o / a- d-7~7,bvrrt~ad I/~-~ Unit #
Property Owner W Kt Telephone #((p S I) ~S y32f) v
Contractor S 0 G(i! /t $ / je A~ J-Y~-
Street Address ~~~1~ ~ /~/~?Lrv~a.wc~cLXZ~ City 'b-/`~
State ,~r- ziP SY/~. ~ Telephooe #(~S~) V5 .3
Bond fi 'L I a~~ 3'k Cc7 d Expires:
The Applicant is _ Owner _X Contractor _ Other
Add-on or alteratian [o existing dwelling unit $ 30.00
Y furnace _Additional XReplacement
air exchanger
airconditioner _New _Replacement
other
State Surcharge $ .50
Total $ J U -
I hereby apply for a Residen[ial Mechanical Permit and acknowledge that the information is comple[e and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but onty 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. /
r~ '~'1- /c. I
6 db~ r~ / " e. f e /l/D~'G~
Applicant's Printed Name ApplicanYs Signature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commercial/industrial buildings
multi-(amily buildings when separate pertnits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (it applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
"When installing/removing underground tank, call for inspecfion by Fire Marshal and Plumbing Inspector
Permlt FeeS: 570.50 Underground 1anA installation/removal
550.50 Minimum (includa SIeIC Surcharge)
or
Contract Value $ x I% _ $ Permi[ Fee
• If ep rmit fee is $1,000 or less, add $.50 $ State Surcharge
If eP rmit fee is over $1,000, add $.50 for
every $1,000 ermit fee $ Total Fee
1 hereby appty for a Commercial Mechanical Permit and acknowledge that the information is complere and accurate; [hat the work
will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to s[art wi[hout a permit; that the work will be in accordance with
the approved plan in Ihe case of work which requires a review and approval of plans.
Applicant's Printed Name ApplicanYs Signature
Approved By: , Inspecror Date:
F
OiErSCN Buic~z5
fl 0 Be N # 36 /5• o/ •
~ p~p~~~pS o doLRNps 9URVEYURS BK /5B
ENGINCEflIIVG ~6
. . COMPANI~, ,INC. lflUq LABi 1461h BTRBBT, tlUflNBVILI.E:, MINNEBOiA 0633i PH 4D2''
Certificate ofi Survey Legal Descrl t~lon : Lor-19, BL4CK 3, v1E1v1\1,4 w"<, ~
DAK07-A CDUMTY, M/NNESOTA. ,
, . (DT.o ) pENOTES EXISTING ELF-VATION ' -
C 937-a ~ DENOTES PROPOSED ELEVATION
INDICATES DIR[CTION OF SUFiFACE DRAINA(lE`
, 937• 33. e FINISHED GARAGE FLOOR HLHVATtON
• 9.24,96 a BASEMENT FLOOR ELEVATION
939•67 ~ TOP OF BLOCK ELEVATION
eca.e t r - ao• (744: 3) EA67'
34k.i,
85.00
N
DRA/N46E AND
l/TIUTy EA9E44EN7 15
C,; F;-
cs':-
1( I 44 0o q ~94g 5' O~
o~ PRoR~SEV
HOU,rE`N'
•r.'.'(-. , _ ` ~ I = °o ~94Z~, F
Z2,o o o: T
937.
m-
~ m 6qRA6E 8
N I I
3_S.t~37•33 r23~~%
3o'FROit/T 901,0 /N6 5 937•0 ;
.~TBACK LiA/E
~933.8~ 0` f (934, 5~ ;
933_4~ o ~ ° MKIL i
85. oo ~ .
° - -r c,.- - ~5 T
E„
1991~BUZNG *PiI! A2CATION ~
CITY OF EAGAN ~
SINGLE FAMILY DWELLINGS MfILTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
it OF FOR SALE UNITS
PENALTY APPLIES WNEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
~ PERMIT MUST SHOW A LICENSED PLUMBER.
r ~
To Be Used For: 5//~~~/J,G~/R,•~U Valuation: Date: Vz)xj'F'
Site Address OFFICE USE ONLY
?
Lot IL- Block 138, 000- J FEES 73 ~
Occupancy R'3 /1'~-~ Bldg. Permit
Zoning Surcharge 69,C~0
Parcel/Sub /f//;;/JNN 6000/'S Actual Const V-N Plan Review OZ,00
Allowable SAC, City /QO, 00
Owner # of stories SAC, MWCC (260,00
Length ,158~ Water Conn. O,Ot7
Address Depth ,50 " Water Meter 9910
G7
S.F. Total Acct. Deposit 30,00
City/Zip Code Footprint S.F. S/w Pexmit 0100
S/W Surcharge ' SD
Phone On site sewage_ Treatment P1. ,040
On site well Road Unit 3 .OJ
C o n t r a c t o r ~/sCilj 9L>J&2& 's! C- MWCC System ? Park Ded.
J~ City water ? Trail Ded.
Address 3 8/,2~~~'j~ /'qN~, PRV ? Copies
Booster Pump
City/Zip Code/~n~U/,~ S~y SUBTOTAL
` APPROVALS Penalty
Phone Planner _ Lot Change C2 ~
Council TOTAL
Arch./Engr. Bldg. Off. llS~-Z59~
Variance
Address
City/2ip Code
Phone #
agrees that all work sha11 be done in accordance with
(Signatu of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
h
VA ~~,1,~'"Cbl~ , • •
7yX22'p-
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NGI(V~EflING
COMPANY, ,tNC.
L IOU~ LABi 1~16fi BTfl68T~ BURNBYILLE, MINNE801A 663li PH 4D2-DUUO
Certificate ofi Survey
Lega1 Descrl tR lon :i-or i9, 6WCK 3, vIENNa wooos,
DAKOTA C041N7Y, M/NNESOrA.
. (DQTj ) DENOTES EXISTING ELF-VATION '
C 937-0 ~ DENOTES PROPOSED ELEVATION
INDICATES DIRGCTION OF SURFACE DRAINAQE
937.33 a FINISHED GARAGE FLOOR ELEVATIQN
P30•96 n BASEMENT FLOOR ELEVATiON
939•67 - TOP OF BLOCK ELEVATION
Gf'
scnU ~ r• ao' EAST
N ~ --1
DRAlN46E A,vD
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~ I h g ~ (p38. 3~
64 RA6E N I
~c 24,ao
~37.33~
30' FROit/T Bv11-O/N6 5 937.0 0° m~2 T7,0 l 15
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~933.8~ o• ~934, 5~
51
~
85.00
!~33•3Z% ~
u
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r
l B ^
EXGN EAT IIVEERIRIG DEPT
V ~p n p p ~ P~
aVo
I llereby oerU{y Illol thls le a lrue snd aorteal repi esenlellon ol o trocl ot ImiJ as ahnwn
and dssarlbad horson. As piepeteJ by ms on 11de;L .eY JumE
Minn, ney. No. I bo85
• ' 13H'I'L•'R1-OR 13IJVELU'I'G'A-V-G-ItAGIi -"-U-"-COhII'U'I'A'I'1f)Pl
- - - - - -
OWNrR~. L -L.-~.~~~J~,,ai.`c..
SiTr ni,uar•:s.;:
corv'rancToa:_~C~~~C~ UICj)(Y~-, nnI rr•.: ----rnuNr:-- -
},r•:_rEiiriJNr w01t1',IJNC ;;.uunur; ruuTnci: ni r:ncn:
1. 'f0'CAL EXF'USEll {JA1,1, ARGA _
- ~<<- t, . I- . x , z
7. '.CO'l'AL ROOF/CB11,11NIG AREA "I,'~_~~ SV. r x=Zk
- ,
3. '.C(7'CA1, EXPO;iEU WAI,I, ARGA CALCUI,A'I'i(L 'foCa.t exE,osed wa.t 1 ' .
al:ea ahove (loo[
n) 'I'nta] wall i:ind"w arpi
--7 U.IT'I'. x
I,) 'I'"lal r'„„r arna A/'j_ f:.1 X"n" cit~'
r) ~
~ rI) TQt,al slidinq qiass rl„,,r 11'r1a 4~.Fl'.I''f. X"ii"
rl) 'f"l,al firoplace wnll ai", ---C~ - `'l' .F'I'. X "li° =_u
. e) 'fril,;il wnl) framinu ar"ri
(.lVnl'Rqr 10a)
f) I "t:a I np l, wa 1 1 ai ra ahr,vp %'!~'1 • - r
. '''~I.I'''. °ll" r
.
'Iooi: (inciilai.pd)
•7 / f - 1.f .7
q) '•:L;,1 i im cl a roa SQ .l°'I'. X"I.~"-<<~- -
'lulwl fr!nnd:+Lioii arri ----~j~1~~- ',U.F'I'.
(Qxp"snd)
~
h) 'fnLa.l founda t i on wi nd"i; a rpa C' Wl''I'. X"ll" = O
] ) Tot.al net fnunrlation aroi f;I,i.F'I'. X "U~~ •~7 =
ahove qridr_ -
I f i tem i s the same ac, oi 1 esc I.hnn i lPm fl I, y'uu liacp met ~
i.he i nCenl of 7 PIC'nP 1.16008 A aiid O.
rn"r i
, „ . .
4. 'CO'CAL EXPOSED ROUF/(:EI1,1NG CALCUI,A'1'IQNS:
'i'otal exposed roof/ c SO•F'f.
ceiling area
J) 'I'nf:a] skylight area X°w'---,---- -------C-~--
~1
k) 'Cotal rooE/cei.ling SQ.F'('. X "U" 10C1~
fcaminy area
(aver.aqe 10%)
i) 'rotai net insulated (~ILZ so.eT. x"o-I rOZ7_ _ 2b 19
roof/ceilinq area
9. 'fO'fAl~ j ) through 1 / )L~
lf total of #4 is the same as, oc less tlian #2, you have met
the i.ntent of 2 MCAR'1.16008 A and O.
>>Z - 7 1>7,1 be)
AI.lCfiRNA'CE BUIJ,,UING ENVELOI'E DE;IGN
'Co utilize the total envelepe system met.hod, the value=
established by the sum of #3 and #4 sha]1 not be yceater
than the sum oL items #1 and #2.
1. +2. _
3.
CER'fl F1C;A'l'ION
I heeeby certify that I liave calculated the "U" factocs and
"R" values herein and that the buildinq here described meets
or exceed= the State of Minnesota Energy Conservation Act.
(Signature) ,
(Date)
PAGE 2
w
~ CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMITTYPE: suiLoiNG
Eagan, M innesota 55122-1897 Permit Number: 0 2 6 9 9 2
(612) 681-4675 Date Issued: 01 /30 /96
SITE ADDRESS:
2099 VIBURNUM TR
LOT: 19 BLOCK: 3
VIENNA WOODS
P.I.N.: 10-81950-190-03
DESCRIPTION:
Building Permit Type BASEMENT FINISH
Building Work Type ALTERATION
Census Code 434 ALT. RESIDENTIAL
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - sT. Lrc OWNER:
R 0 CONST 14523575 0004988 REDDICK THOMAS
960 STONY POINT RD 2099 VIBURNUM TR
EAGAN MN 55123 EAGAN MN 55122
(612) 452-3575 (612)456-9539
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L J
/ APPLICANT/P ITEE SIGNATURE ISSUD~BY:516DlVATUR
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 6 9 9 2
Eagan, Minnesota 55122-1897 Date Issued: 01 / 3 0/ 9 6
(612) 681-4675
SITEADDRESS: P•I•N.: 1e-8195e-19e-e3 APPLICANT:
LOT: 19 BLOCK: 3
2099 VIBURNUM TR R 0 CONST
VIENNA WOODS (612) 452-3575
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH ALTERATION
INSPECTION r A . DA
FRAMING INSULATION
ROUGH IN PLBG FINAL
F
L
~
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 4~0,50
1996 BUILDING PERMI S;~~15 ATION (RESIDENTIAL)
lLqql Cr 0~~ z4
New ConeWction Reauirements RemodeVReoair Reauirements
? 3 registered site surveys ? 2 eopies ol plan
? 2 copies of plans (includa beam 8 window sizes; poured fnd. dasign; ete.) ? 2 site surveys (exterior addRions 8 decks)
? 1 enargy calculalione ? 1 energy wlculations for heated eddilions
? 3 coDies ot tree preserva[ion plen H lol platled after 711193
required: _ Yes _ No
DATE: (cr 9 6 CONSTRUCTION COST: !0i °mc) ^
DESCRIPTION OF WORK: Wa g~-~eL-t
STREET ADDRESS: 2cp 9 g OL j"•
LOT BLOCK ~ SUBDJP.I.D.
9
PROPERTY Name: DC e ca -k s Phone y5-6 -9 57;
OWNER . ~.e~ r..,
Street Address: 2d 9 4 Ji ~,u ~u u~^ 7'•
City: Fd s z~ State: ZiP' N 572 ' 3 5-7 5
coN7w?cTOR Company: Q- ~ Co s~'. Phone 0-91-~
Street Address: 9cF,5 License y 9 gW-
City: L~S b~ State: u~-~- Zip: L 3
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address•
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the information is correct and agree to compiy with atl
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY ~~~EMED
Certificates of Survey Received _ Yes No JAN 9 91996
Tree Preservation Plan Received Yes No
OFFICE USE ONLY ' . «
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ~ 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
? 31 New d-33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCIWS System
(Allowable) 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 o~
Census Bldg i
Census Unit iL
APPROVALS
Planning Buiiding Engineering Variance
Permit Fee Valuation: $ ~TOv ~
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SMJ Surcharge
Treatment PI.
Road Unit
Park Ded. , Trails Ded.
Other Copies
Total:
% SAC ~
SAC Units ,
PERMIT
~ CITY OF EAGAN c~ ~Oz'~~
3830 Pilot Knob Road PERMIT TYPE: gpN G
Eagan, Minnesota 55122-1897 Permit Number: 025498
(612) 681-4675 Date Issued: 0 5/ 0 2/ 9 5
SITE ADDRESS:
2099 VIBURNUM TR
LOT: 19 BLOCK: 3
VIENNA WOODS
P.I.N.: 10-81950-190-03
DESCRIPTION:
Building Permit Type DECK
Building Work Type NEW
.
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Lic. Search Fee $5.00
Total Fee $35.50
CONTRACTOR: - qpplicant - sT. Lzc. OWNER:
ARCHADECK 17227290 0008594 REDDICK THOMAS
2236 43RD ST E 2099 VIBURNUM TR
MINNEAPOLIS MN 55407 EAGAN MN 55122
(612) 722-7290 (612)456-9539
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.
L Statutes and City of Eagan Ordinances. J
jml ~ &,LCl
APPLICANT/PERMITEE SIGNATURE ISSUED 3Y~. S7GNA~
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: surLoiNc
3830 Pilot Knob Road Permit Number:
025998
Eagan, Minnesota 55122-1897 Date Issued: 0 5/ 0 2/ 9 5
(612) 681-4675
SITEADDRESS:P'I•N.: 10-81950-190-03 APPLICANT:
LOT: 19 BLOCK: 3
2099 VIBURNUM TR ARCHADECK
VIENNR WOODS (612) 722-7290
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION .
FOOTINGS FZNAL
~ ~
L
J
CITY OF EAGAN 16494 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Naw Gonstruction Reauirements RemodeLRteoair Reauiremente
? 3 registered site surveys ? 2 copies of plan
? 2 copiea ot plans (inGude beam 8 window saes; pou2d fid. design; etc.) ? 2 ska aurveys (eMerior aCdRions 8 dedcs)
? 1 energy wlwlations ? t energy calculations for heated additions
? 3 copies of trae preservation plan if IM platted after 7/1l93
requfred: _ Yes No
DATE: Z- CONSTRUCTION COST: ~ ~ 6cz
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT ~ BLOCK
PROPERTY Name:_-laZk ZtbOtck- ("19 Phone yh~'-~53~
owNeR w. F•,. ~
StreetAddress• ~ 15 l~City: ~~~-V• State: Zip:
CONTRACTOR Company: Phone 7
Street Address: ZZ3 L-ti(3 " Si - License
City: State: Zip.
ARCHITECTI Company: Phone
ENGINEER
~ Name: Registration
Street Address•
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested ance permit is issued.
I hereby acknowledge that I have read this application and state that the informab correct nd agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applipnt:
OFFICE USE ONLY
Certifiqtes af Survey Received _ Yes _ No APR 2 4 1995
Tree Preservation Plan Received _ Yes _ No 1-
.
OFFICE USE ONLY . •
~BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 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
o OS SF Misc. ? 10 = plex cm,-15 Deck
WORK TYPE
~31 New ? 33 Aiterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Adual) Basement sq. ft. MC/WS System
(Allowable) 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 o/
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ /zQO
Surcharge
Plan Review
License
MCNIIS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% 5AC
SAC Units
. ...~....~.....~....,.Y..t~.,._. . _
~ ~ • _
~
-,.~.~..~r...~..
' OiErseN Bu~cnE~eS
ROeG #36/5,0/ .
~ ~NGIN6@fliNG C PlRNN6flf ailJatAnG SiURY6YORS BK iS8
O5 77
CamPANY, ,?NC. .
~ ..IOU~ LABi I4 6111 BTR4ST, BURNeVILL6g MINN680TA 6635f PH 4DZ-JUtlO
I •
Certificate ofi Survey Legal Descrl t3on : cor i9, acock a, wENNA wooos,
DAK07A COl/NTyi 4,71NNES07'A.
. • CREZY DENOTES EXISTING ELEYATION '
(997,0 ) DENOTES PROPOSED ELEVATION
INDICATES DIRGCTION OF SURFACE DRAINAQE
. 937.33 e FINISHED QAFiAGE FLOOR ELEVATION 93d.96 a BASEMENT FLOOR ELEVATION
939•67. TOP OR BLOCK ELEVATION
acaLe ~ r • ao~ i..OJ 4
~944:9~ EA67 0461 2)
DRA/N46E AA/D -
U7*11-17y EASEMENT 5 ~'_o~`,~~ ~ ly
~ IZ-OT /./9
~37.0) • •3 ~
!Y E V I E Vl E D • l~v I~2~°,~' ~/9 ,~2% ~939.0) I` O
D1n n---- ~ $ ~ oo
~ I=`- p~ ~ d; PRoft7SEV ~r. oo I~ N~ ~
.A,-E Nov.~ /2.~ g ic.~o ~ ~ i •
oo
64R46E
N ~
I/.~ Z4OO N
3_5,z(p37,33 =
3o'FRONT BU/c0/N6 5 a~•a M m~9».o~
SETBACK LiNE ~
~933.8 ~ (934, 5~
85 • o0
- - - . - - -r c FA5 T
- ~
• ~ ' !Q.a 3.-3~: ~
02 l r
l . ~
-
, ~.,:.y
, ~r~?AGAN EN 'INEhAINC-. I:E"'1
R: F~:~/. F~ EC~ ~J I
I heroby oertlly lhat 4hla le a true and oatreot repiasentallon o( o trool of IanJ ae shnwn
avid dssarlbed h.non. As plepetaJ hy*ms on tlils'jej Jay ol ~/vuE ,~pg!
A&'~_ 1 Mim,, ney. rio. I6o85
CITY USE ONLY
L RECEIPT 30
SUBD. ~ DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when peRnits are required for each unit
FIXTURES EACH ~Q TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 _
Lavatory 3.00 ;c
Kitchen Sink 3.00 ;c =
Laundry Tray 3.00 ;c =
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 _
Floor Drain 3.00 _
Gas Piping Outlet " minimum - 7 3.00 :c =
Rough Openings 1.50 _
Water Softener 5.00 r =
Private Disposal ' Dakota Cty. Iicense 65.00 =
(new and refurbished systems)
U.G. Sprinkler • home under const. 3. 0 -
Alterations ' to exisdng 20 = ~
Water Turn Around 2.0 00
STATE SURCHARGE .50
TOTAL S o
SITE ADDRESS: a 0 2 '7
OWNER NAME: To (~e ~ ~ c-
INSTALLER NAME: oe s J'' °1,~2)h J f e.)crl
STREET ADDRESS: 2 P ~ ~,`r J 1, 4'` : I
CITY: Z< r o-. STATE: ZIP:
PHONE ' z ) f 8/ - ?a s z
OFFICE USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for w all commerciaUndustrial buildings.
w multi-tamily buildings when separate permits are pM required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR
OESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINf(LER PERMIT.
FEE: $25.00 minimum tee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$7,000 of Q@m]s fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: _ STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP: PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
PERMIT # I rI ZC7 RECEIPT DATE: ~15•5D
EOOE RESIDENI7AL PLUM$IftG P£RM1T APPLICATION
CITY OF £ABRN
3830 PILOT KNOB RD
EABAN, b1N 581 EE
651-681-4675
Ptease complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: L0I I Vi burnurn Tra-,'
OWNERNAME:: _RQ_Burres TELEPHONE#: (Or'J 1 _`15q- 3039
(AREA CODE)
INSTALLER NAME: Y,AI Y~ TELEPHONE ~ ~`i l(1~ -~"1 7!
STREETADDRESS: ZqIA-7 IIIQ~IUIP-W /Zk. (AREACODE)
CITY: NAI,V(h STATE: IIIIV ZIP: , O
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heafers. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5/8" meter if needed -$118)
Other:
n R M~'I ~
_ RPZ: new installatioNrepaidrebuild $ 30.00
_ lawn irri9ation system ~ JAN 1 6 2003 G I
I
11 ReplacemenUadditional: _ water sokener water heater $ 15.00 State Surcharge $ 50
Total S 155(~
I hereby acknowledge that I have read this applicalion, state that [he information is corcect, and agree to comply with all applicable Ciry of Eagan ordinances. It
is the applicanPs responsibility to noG(y the property owner that the City o( Eagan assumes no liabilily for any dama es usetl by Ihe City rin ils normal
operational antl maintenance activdies to the facilities constmcted under Ihis permi wiry r 1 -w ea ment. "
SIGNAT RE OF PERMITT 1/02
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108715
Date Issued:01/04/2013
Permit Category:ePermit
Site Address: 2099 Viburnum Tr
Lot:019 Block: 003 Addition: Vienna Woods
PID:10-81950-03-190
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Christian B Prouty
2099 Viburnum Tr
Eagan MN 55122--235
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150357
Date Issued:07/03/2018
Permit Category:ePermit
Site Address: 2099 Viburnum Tr
Lot:019 Block: 003 Addition: Vienna Woods
PID:10-81950-03-190
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.
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 -
Adam J Bakken
2099 Viburnum Tr
Eagan MN 55122
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature