2088 Vienna Lane
CITY OF EAGAN NO
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . 8895
~ • " PHONE:454-8100
BUILDING PERMIT Reuipt
To M wW for SF Di,~~~;~•,r2 Est. Volue Dote "'ARCIi 19 a
5 ite Addreu ?r)P R V T R NT! n?.A *•1 P Eroct [y Occuponcy Pl
Lot I Block 2 Sec/Sub. VjFNNA T..lnflnS Alter ? Zoninq R 1
PercelNo, 10-8I950-180-02 Repotr ? FireZone N/
Enlarge ? TYpe of Const. v
W Name T,'I LL? a`• r' . STEFFES Move
~ Address 10201 C'~')A'? LAFE RD. , APT. 312 ~ # Stories
Demolish p Length 64
City rt"K.4• Phone Grode ? Depth Lh Sq. Ft.
TTLLGF:S CONST. C0. Approrals Fees
~ Name
1t~ ?f1~36 ?~LYO1:P 4\lI?. /lssessment Permit ~~7!)
Address
~ City Phone "6 n-1144 Water 8 Sew. Surcharpe 57. 50
Police Plan check 2 3 5. 2 5
GW Name Firo SAC 525.00
r~~ Address Enp. Water Conn. 450. 00
4% W City Phone Plonner WoterMeter 63.00
Council Road Unit 260.00
I hereby ocknowledge thot I hove recd this application and stote that gldp. Off.
the inlormofion is Corrett ond ogree to comply wlth oli opplicCble ~
Stafe of Minnesota Statutes and Ciry of Eogan Ordinonces. ^PC Totol ' 1•~-'
Sipnature of Pertnittes
/1 Building Pe?mit is fssued to: on the exprcss condition thrn
oll work sholl be done in ocwrdance with all opplicable StoM of Minnesoto Stotutes and Cify of Eopon Ordirwnces.
BuildinQ Officiol
_
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing ~C~r ~
H.V.A.C. J~
Well
Water
Disp.
Sawar
eleccrie L a 2.
Inapection Date Inap. Other
Footingt
Foundation
Framinp ~Q3
Rouph Pibp. u/
Rouph HVAC
Inwlation f~_,^rLby ~'~7~
Finsl Plbg
Final HVAC
Final
Water DewibB locatlon:
VYell
Sawer
Pr. Disp.
CITY OF EAGAN Remarks
Addition VIENNA WOODS Lot 1$ Blk 2 Parcel 10 81950 180 02
pwner screet 2 0S 8 Vi enn a Lane 5tate Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 5t mp. 1981 2834.45 283,4 10 1700.69 A 013757 4-16-84
STREET RESTOR.
GRADING 1981 587.73 58. 77 10 352.65
SAN SEW TRUNK AP? 1973 129.78 8.65 1$ 25.98 rT
SEWER LATERAL 1981 q. 2539.42
* services 1981
WATERMAIN
* WATER LATERAL 198
* WATER AREA
* STORM SEW TRK 1981
* STORM SEW LAT 1981 O
CURB & GUTTER
SIOEWALK
STREET LIGHT
RO 260.00 #42057' 3-19-84
WATER C4NN. 450.00 BUILOING PER.
sac 525.00
PARK
Receipt PLUMBING PERMIT Permit Na~
CITY OF EAGAN Fee
Fill in numbered spaces S/C ~
Type or Prin[ legib/y Tot.
1. Date 2. Installation Cost
.
3. Job Address . • ` ' l` ~.•~a Lot 81k. ~ Tract
4. Owner
5. Contractor Phone
6. Address ~
7. City State Zip '
8. Building Type: Residential C~ Commercial ? Institutional O
9. Work Description: New El Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
2 Water Closet Cesspool/Orainfield
~ Bath tubs Septic Tank
Lavatory Softner
i Shower Well
~ Kitchen Sink
Urinal/Bidet Other
~ Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping 4utlets 11
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Raugh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved. ,
Approved CITY OF EAGAN 454-8100
f 1J
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C •
Type or Print legibly Tot. ~
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: RQSidential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
11. No. €quioment 9TU - M. Ea. No. Equiament CFM
Farced Air Air Handling:
Mfg.
Boilers
Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of vyork.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
rnis euuas ma 141g'1
18 months trom 5 L4 '2 JD'(/
D~
A 47253, L18 Utcnna Woa45 4q5D
Rough-in InsPec[ion
Request Date fire No.
Reqwred~ Reatly Nnw Will NotitY Inspec-
Ves ?No or When Ready
ticenseA Electrical ConVactor I hereby request inspection of ebove
Owner electrical wark inslalletl eL
Streec Ad ress, 6ox or Houle No. City~
ZEi c~ ~IelJ•tJ ~ r
ecLOn o. TownshiD Name or No. FanBe No. County
OccuO' PR/NT) Phone No.
W F?
Power 5 POIiAtldress
Elec[ri a Contractor (COmDan ame) Contracme's License No.
rC, ' Q ~/9 3S=b/
ailing Address (COntra tor or Ow er Making Instailulion)
b Z ` +vJ
Authorizetl Signat ICon ract /Owner Makine Installationl Phone Number
._..e 6-` ?
MINNESOTA STqTE BOAflD OF ELECTRICITY THIS INSPECTION REnUEST WILL NOT
Griggs-Midwey Bldg. - Noom N491 , BE ACCEPTED BY THE STATE BOAflD
UNLE55 PPOPEN INSPECTION FEE IS
1827 University Ave.. St. Paul, MN 55104
Phone 16721 297-2171 ENCLOSED.
REQUEST FOfl ELECTRICAL INSPECTION Es•oooor-^oa^
. ' See instructions for coVxting th!s torm an back of yellow copY.
A-Q7 . "X'" Below Work Covered by This Request
Fdd peP. .LVpe of BuilOinq Appliancee Wirea EquiVment WireJ
Home Range Temporary Service
Duplex Wacer Heater Lightlny Fixtures
Apt. Building Dryer Edectric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Ferm Othar Specifv -~her (Snncify)
t er Suecify O[hor Other
Compute lnspection Fee Belaw
N Fee ServiceEn[rancaSize Y. Pee Feeders/5vbfaeders !i Fee Circui[s
.C7V
0 to 200 Am s „jL 0 to 30 Am ps 0 ta 30 Am s
Above 200 Amps. 31 to 100 Amps 31 to 100 qm s
Swinxning Pool Above 100_Amps A6ove 10D_Amps
Transiormers Irrigation Booms S'a Pdrtiab~Other Fee
Signs Speciallnspection S CIO
TOTA f~^• J,b
Remarks Y~f
(
Rough-in Le e Elect.icfll
spector, hereby
' certify that the above
Final ~%~tep inspection has been
? made.
Thla reQuest voitl 18 months Irom
CITYOFEAGAN N? 8895
3830 Pilot Knob Road, P.O. Box 27•199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receivt # v G
To be uwd fer SF DWG/GAR Est. Value $98,000. _ Dare MARCH 19, 19 84
Site Address 2088 VIENNA i ANF Ered [K Occupancy R3Lot18- 8lock___2- sec(Sub. VTFNNA W(1(1T14 qlter ? Zoning R1
Parcel No. 10-81950-180-02 Repair ? Fire Zone N/A
Enlorge ? Type of Const. V
a Name WILLIAM R. STEFFES Move p # Stories
Z qddress 10201 CEDAR LAKE RD., APT. 312 Demolish ? Length 64'
~ City MTKA• Phone Grode ? Depth 36 Sq. Ft-
c TILLGES CONST. C0. ApDrovnb Fees
Zo Name
O` Address 20936 HOLYOKE AVE. Assessment Permit $ L7(1_ Sp
v~ City LAKEVILLE phone 469-1144 Wo1er 8 Sew. Surchqrge 57.50
Police Plan check 235.25
Gw nlame Flre SAC 525.00
j!9 Address Eng. Water Conn. 450. 00
<W City Phone pionner Woter Meter 63.00
Council Rood Unit 260.00
I hereby acknowledge that I hcve read Ihis applicotion ond state that Bldg. Off.
the information is rnrrect nnd o9ree to comDlY with all applicuble
$tate of Minnesoto Stotutes and City of Eagon Ordirwnces. APC Total $2.061.25.
Signoture of Permittee
A Building Vermit Is issued to: on the express condition thm
all work sholl be done in accordonce wif cll liw le(tu!~e~o f Minnewfo Statutes and City of Eagan Ordinances.
8uilding OfHcial t~r~/~ - J
~
,
~.P Yg`3s
. CiTY GF EF;G~V Include 2 sets of plans,
1 site plan w/elevatiors &
BUILDING PERMZT APPLICFITTON l set of energy calculations. '
/ ~ -
To Be Usecl For Valuation E~v cc Date
site Aaaress: 2p8~3 V/F-7~/NR GA~/Lt O'r'FICE USE ONLY
Lot ~ Block Z Sec:/Sub. ~EGLU.4)VW"Erect Occupancy
Parcel 0 Z~ter Zoning ;
Repair Fire Zone
Gtaner: GU/GL/f{iI~/ /r S7ZFImtlllr&5 Enlarge _Type of Const.
Nbve # stories
Address: JOZO/ tAg¢~e Lda0iQO ;Q~ 3/Z Demolish rront / ft.
City/Zip Code: Grade Degth 36 ft. Phone APPROUALS FEFS
Contractor: TL(G~r ~0~1'/~31R'GC7TGYt/ lp Assessrents Pernu.t ~ i
Address: Wa~r/S2wer' '
~Q!/~. Surchar5e S7
Police Plan Check. ~
City/Zip Code: ~¢~/144g* ~J~(J SSG+~¢ Fire SAC ,SaS- B f
Phone ~5- water Conn. ~ysa ,
Planner Water Meter
Arch./Eng.: Council Road Unit o°~lop ~ '
Bldq. Off.
Address: APC i
City/ZiP Cocle: . ~
Phone z'oTAL
a~ 0~O a 5 ~
.
~
a RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN ~
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New ConsW ctlon Reauirements RemodallReoair ReauiremeMs
. 3 regislered site surveys showing sq. 9. of lot, sq. tt of hauu; and all roofed areas • 2 cropies of plan
(20%maximum lot coverege allowed) . 1 set of Energy Calculations forheated addNons
• 2 wpies of plan showing beam & window sizes; poured found design, e1c.) . 1 site survey for exterior addilions 8 decks
• 7 ut W Energy Calculations • Indicate'rf home served by septic syslem for additions
• 3 copies of Tree Preservalion Plan if lot platted after 711193
• Rim Joist Delall Options selection sheet (Wdgs with 3 or less unBs)
DATE tl - ~ r-v 2 VALUATION L(;vvv
SITE ADDRESS ~O ob V I251JAJ ,GV MULTI-FAMILY BLDG _Y AN
TYPE OF WORK T~C DF/' 1LLK497~_ FIREPLACE(S) ~S 0_ 1_ 2
APPLICANT 30,'j A-V7 Zl C'I
STREET ADDRE~SS7S~~Ll 3D S~ Cf'~i~~jL/~ ~5rT CITY S•G~ STATE ZIP 1 /
TELEPHONE # 7QZS`,EI Sl CELL PHONE #(D~z'~ FAX #~.SZ Z~'62eU
PROPERTYOWNER ST2521:Z ) TELEPHONE# (~~Q - q'y~s"aZ
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CA'I'EGORY l MINNFSOTA Ri1LES 7672
(4 submission rype) • ResidanGal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submittad
• Energy Envelope Calculations Submitted
Plumbing Contractor: Ej(
ater Softcner Le: $90.00
Plumbing system includes: W
WaCer Heatcr N No. of Baths
Mechanical Contractor: Mcchanical system aicludes: _ Air Conditioning Fce: $70.00
_ Hcat Recovery System
Sewer/Water Contractor: Pho #
I hereby acknowledge that I have read this application, state that the inf m ti is rr ct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi
Signature of Applicant
OFFICE USE ONL
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 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 08-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulafion _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
EXTERIOR ENVELOPE AVERRGE "U" COMPU7ATI0N
0411ER U!U_,ttM1r'v! ST~=~r_,._
r_'~"
51TE f;ODP.E55 ~.f~.r.~°~`~ U1~-~'•.'ftJ~r LeQhJC'.
; -
~ ~,C'~r° • ~'I . d
E
CO;;7RAC70R PHOA
Determine wor4:ing square footage of each.
1. Total exposed wall area sq. ft. x .17 =
2. Total roof/ceiling area sq. ft. x .OS =
Total exposed wall area above floor = o; 4¢
a. Total wall window area
6. Totai door area _1,01
• c. Tozal sliding glass door area
d. Total fireplace wall area - i
e. Total wall framing area (avet•age lOk)...'.........
f. Total net ~+all area above floor ~
g. Total rim joist area
Total exposed foundation ar2a
h. Total foundation window area
i. 7oa1 net r'oundation area above grade
Determine "U" value of each wall segment:
a._~-1 z 1.U11 ,Zq = 34.
17, x u„ 4- _ g8
c. x lluil _ ._..v.
d . X liutl _
X "U" Il = 21 ~f''~r~ T. f7r~-~~6-7 x „u11
g X"U„
X %11 2-
X ilUii ~12.
3 . ..................................:Total
If item -3 is the sam2 as, or less tnan item ?"1, you have met the in.ent
of SBC 6006(c)2. .
,
Total er,posed roof/ceiling area = [f 4e)
.
j. Tofal s4:ylignt ar2a.............................
k. Tatal roof/ceiling framing area (avera4e lON)... 11 4
Tota1 net insulated roof/ceiling area....:.,..... ilJ 7Cv
De.terrtine "U" value for each roof/ceilinq seament.
J X „U.l , _ .
k. l l d x„u„ . i i.
,-u„ ,~Z_ = Zp~S`~ •
4 ......Total - I
If total of ;4 is the sane as, or less than r2, you have met the inLent of
53C 6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope syst°m method, the values estabiished by the
sum o` ifems r3.and =4 s,hall not be greater th3n the sum of items rl.and `2.
1. AJ L- + 2.~Sl, 6~ ° jf~
3. T 4•.
5
~ •
t~ ~ I
' 2/84
I
CITY OF EAGAN ~ f
APPLICATION FOR PERMIT
x SE[4ER AND/OR WATER CONNECTIODI
(PLEASE P9IHT)
1) PROPEE7I1' ADDRESS: ZOSS lliWkIf} L,4A,15-e.4;44I
t•Frar• oESCuTITzo.r: Ll~7" /B ~ 2 lf/F-~!'/•t/.4 /.~/~s
(Ipt/Block/Su~bdlvision or Tax Parcel I.D. vunber)
u.~"..{IS='_^_:G STRL'CPTRE, DATE Oz' ORZGiiAL `-,liILD= P~:IIT ISSJTkINC°:
~ PR,ESy~- :r0•Ti F:/F.-.~()PQS=' liSE: ~ R-1 SudGLE FP24ILY ` - - - /
? R-2 DUPLE{ (M-0 Wi ITS)
G R-:i TC4vTII-IO(JSE (THRE;" + UN-ITS) ( UNITS)
? R-4 APAR'IP^G'^:T/COiIDQM~N I[M ( Wi ITS)
Q CONIv'fEEtCIAL/REi'AII?OFFICE
? LMUSTRTA7•
? INSTITUTIOA!P.L/G04EIRIZ=
Z) APpLIGAN'P (PLEASE PRINi)
r~,n~ : -r[LL~ f1.~J~7TDN ~GX~~~/~/ •
aDDREss: 2G~?3lo 6~x. fm.N~
CITY, STATE, ZIP:
PHONE: 41q ZI~
3) PLumBER VLEASE PRINT) FOR CITY USE OHLY
nkME: /Yl (%G!/ogg
ADDRESS: PLUMBERS UCENSE:
Q Attive
CITY, STATE, ZIP: GQ~~~, ~~(f, Q Expired
PHONE: Not of Record
PLUMBER LICENSE il p?7rj"'~-/" ~
a nitla
4) OCC[JPANT/(7vi~~2 (PLEASEPNINT)
NFINLE:: -~~']~7GiC's
ADDRESS:
CITY, STATE, ZIP:
PHODIE :
5) INDICATE WHICII PEP,MIT IS BEIIv'G RF~F.~IUESTID:
~ Cb:vT]ELTION 'I17 CITY SEY7ER
~ CO*]ti'ECTIGN 'Ih CZTY WATER
? dPHfft (PLEASE DE.SCRIBE)
6) LNDIG~':E 0:E:
X P=SE f?OID APPRC7VID PERMLIT FOR PICFC-UP SY ONE OF ABOVE
?°I.&15E h*r1iL APPRO\lID PER:`•lIT 'Il7 1, 2, 3, 4 AHWE
(Circle one)
7e~ TIB~CJ
7) SZ~A'IL::E: ~Z,p:sl~[sf4.~3 ~'~Ld J DATE: 3-d ' ~t
C~¢
MR I! i14W14W#:ft:M ?Ri!!~.!~ft ! IIR!!!ot'~# i loi M t,ss>a~:1~ !qt art!l:r~~-JliO! fA ~:.7t~t~~gt s
F 0 R C I T Y U S E O N L Y
PERMIT ° ISSUED
FEES: $ ia Sa CP:•i£B ?nEoMrT (Z'.ICL;;DE Sli°CH?RGE)
$ WATER PERPIIT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TA? (INCi,UDE CORPORATION STCP)
$ SEi4ER ':'an
$ ACCOUNT DEPOSIT - SE;4ER
$ ACCOUNT DEPOSIT - WATER
$ wac
$ SAC
$ TRUNK T.4ATER ASSESSME:IT
$ TRUNK SELQER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ ' OTHER
$ TOTAL
$ AMOUNT PAID/RECEIPT #~aSaS
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
YZ.ItiLll: kUAUWHY" MU.S1' tfE 15JlJY:Li k5Y `1HE F771 NO ENGINEERZNG DIVISION. LIST AS A CONDI-
TION.
SUIIJECT TO THE FOLLO?9ING CONDITIONS:
APPROVED BY:
TZTLE:
DATE:
t s~ MM "MMw BcM ia w-PW Ma wWw fw w"" wi6MMwW~pq Miw w.a w~ ~ se ohw WEe+ wM ia w w~~
~ C..
~ •
caty oF cs9gtln
3795 PILOT KNOB ROAD. P.O. BOX 27199 eEA BLOM9Ui5i
EAGAN, MINNESOTA 55121 ^^OyO`
PHONE: (612) 4$4-8100 THOMAS EGAN
JAMES A. SMIiH
JERRY THOMAS
THEODORE WACHTER
DA`"E: May 1, 1984 counai nnemoers
THOMAS HEDGES
City Atlmir»simfor
EUGENE VAN OVERBEKE
Cnv Clerk
PEnmzrTC r.ssESSrENrr sF.AtcH
RE: Vienna Woods, Lot 18, Boock 2
2088 Vienna Lane, Eagan, MN 55122
Parcel # 10 81950 180 02
Requested by: DAKOTA COUNTY ABSTRACT C0.
1250 Highway #SS
Hastings, htN 55033
I Ci THAT ACCORDING 'PO TFIE R°CORDS OF SAID OF'F'ICE, 'CHF: P'OLL,OL'T1T?G IA'PROVFS'fET?fS
ARE COr=,IPLATED OR PENIDING AF1ER HAVl?TG BEEN APPROVED, PSIF) ARE r?OW IN '^fE nR(CF:SS
OP' PLANNING OR COMPLES'ION.
xing of Improvement Approximate date of Completion 1~pproximate cost
NONE
SZ1IVII2•
Neither the City of Eagar nor its employees cr.i-lrantees the accuracy oP the above i.n-
foxmation which caas requested by the pesson or persons indicated. Nor does the City
or its enployees assune any liability for the correctness theseof_. In consideration
for the supplying of the indicated information in the above f_orm, and for all other
consideration of any nature whatsoever, any claim against the City or its employees
rising there fran is hereby expressly waivec3. Levied assessments to be paid to the
COUN'i'Y TRFASURER AT HASTINTS, N1N. 55033 or CI'"Y Q?' EAGAN.
Very truly yours,
SPECIAL ASSES DIVISION
~
THE LONE OAIC TREE...THE SYMBOL OF STRENGTH AND GROVJfH IN OUR COMMUNIiY '
~
l~ I 200 MSIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone.# 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits aze required for each unit
Date 2. 5
Site Address ZO B~ v~`r` _ Unit #
Property Owner A c A%. .c r`t Telephone # ( )
Contractor m. ~ n
-
~VilYLLP ~iY4 11-eftfing
Street Address Air Conditi+onatag, inc. City
1815 East 41 st SVeet
State Minneapolis, MN 5540~ip Telephone )
(812) 7241899
, Bond G q~J $''l `-34 S Eapires: ~1 ~ 1\~ O 7
The Applicant is _ Owner ~ Conhactoi _ Other
Add-on or alteration to existiug dwelling unit $ 30'00
~ fumace _Additional ~C Replacement
air exchanger
_ airconditioner _New _Replacement 9~ '
other
$ 50
State Surcharge
~
$ 5 50
Total
\
I hereby apply for a Residenrial Mechanical Pernut and aclcnowledge that the info tion is complete and accurate; that the work will
be in conformance with the ordinances and 'codes`of the City of Eagan and with the echanical Cod s; I understand this is not a
permit, but only an applicafion for a pernrit, and' workis not.to start withouba per 't; that the 1 e in accordance with the
approved plan in the case of work wluch requues a review and approval of plans.
l F
ApplicanYs Printed Name Appl canYs Si ature
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Rt6 lµ. o 58�i'
PERMIT 14P.: • ... ' .
� 1 ,55`t 21 DA TE: +� Y 2
w Zoni $1
fib. of Units:
Willi S t f ell —�
Addres . 2088 Vienna Lane 148 B2 Vienna Wcudat ' -, , .
„ Plum ber: McGuire Mec apical
I airs.-- to wttl� t he Ea Connection Charge: 425 ., C�{!� '
Owd n.nces. A ccount Deposit: 15.00 kL .
Pe it Fee: t • t , .
Surchd
} ! ' '
B r Misc. Charges:
[dote o f ? Total:
Pete
- / , ` Dote Paid: .) tom`' i
CityofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 12J1c/
Permit Fee: ! a
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
p
Date: � - S ^ /y Site Address:
20 UIQ=IJnriq
Name: 2 ./
Address / City / Zip: 2e, 86 LirCKid ,4 t- /
Applicant is:
Owner Contractor
Unit #:
Description of work:/LQy.t-
Construction Cost: '"/ Q Multi -Family Building: (Yes / N )< )
Company: (-.rte I,J(D Gp)ti Contact: [ Lk,
Address: 70 3 5/2.6-7-0:L is/,„.6 / City: e-fbA&J
State: iV\U Zip: S'/23 Phone: /0/Z 3d75 /`IZZ.
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:
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 they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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
ac
days of permit issuance.
x , (�/c c �i✓j
Applicant's Printed Name
Applicant's Signature
ust be completed within 180
Page 1 of 3