2093 Vienna Lane
3830 Pilot Knob Ro di P.O. BoE 2G-A1 9, Easatt, MN 55121 12787
PHONE: 454-8100 l
BUILDING PERMIT Receipt # '
Tobeusediw SF DWG/GAt-Z Estvalue +y'81.00V Date OCTOBER 20 19 fi6
SiteAddress 2093 VILtJh3A LiV Erect "n Occupancy k3
Lot 15 Block 4 SeciSub. vlEyNA WOC)D$ Remodel ? Zonina
Parcel No. Repair ? Type of Const
Addition ? No. Stories
W Name RATZLAFF CONSTRUCTION Move ? Length 56
16107 DODD Ltd Demolish ? Depth 49
o Address Int Impr. ? Sq. F?
City FUSEr9NUe 432-0353 Install ?
ac Approvals Feos
o ?vame 431-5333 (COF,t,LN)
o i Address ~-~-'~w Assessment Permit ~ '
gc Ciry Pnone Water & Sew. Surcharge 0. 50 00
~ W Police Plan Review~ 00
~ Z Name Fire SAC
' 00
~ a ,4ddress Eng. Water Conn. 500
i W City Phone Planner Water Meter~ 50
Council Road Unit ~ 00
I hereby acknowledge that I have read this application and state that the gldg. Off. 10/2 0/8 Tr. Pi. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
Signature ot Permittee Var. Date Copie ~ - Total $2,189.00
PATZLAP'F CdNS`i'RUCTION
A Buflding Permit is issued.to: on the express condition that
all work shall be done in accordance with all applicable S01e of Minnesota Statutes and City of Eagan Ordinances.
Building Official
PwmM No. P~ Ho1dK Date TNaphon* #
PlumWnp 2/Q J-1 ry l Z1171
H.V.A.C. ~I 3 rI Co T !C Ia S6
EbcMe
I C , ~ ~r,• ~ r ,:~/iU/ (r '~J~" ~ "
SoRsnK
Impection Dab Insp. Commenb
Footlnps I
Footlnqs II 7Z)
Foundsdon S'n?oi'sE ptT.
Fnminy
RooNnq
Rouyh Plbp.
Rouyh Ht0•
imui. p
Finptac*
Final Hty. O & v
FInN Plby. ~ . j.~
&dp. FMaI
Carf.Oce.
Dock Fty.
Deck F?mp. LO(ili Zy~ - pQ
WNI
Vr. Dkp.
' • PERMIT #
.t MECH/ENICAL PERMR RECEIPT #
CITY OF EAGAN ,
383a PIL07 KNOB RQAD, EAGAN, MN 55121 DATE: ~
CONTRACT PRICE PHONE: 454-9100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block ` Sec/Sub
- Res. New
~ Name Mult Add-on
Address ~ Comm. Repair
c City Phone ' - Other
L Name FEES '
3 Address ' RES. HVAC 0-100 M BTU -$24.00
p Ciry L`~; A/~ Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 gTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% fJF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT " - .50
(AQO $.50 S/C IF PERMIT PRICE COES
Vent , CFM BEYOND $1,000.00)
Gas Piping Outlets #
Other
FEE
s/C. SIGNATURE OF PERMITTEE
. TOTAL•
~ FOR: CITY OF EAGAN
~'-t r~ .+`t.'. ' y . +f , i _ • : r , ..4 _ j,~ .r . , p 1
• -y.' PERMIT#
PLUMBING PERMIT RECEIPT~f'u1 C` v
qTY OF EA(iAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 454-9100
Slte Address BLDG. TYPE WORK DESCRiPT10N
Lot ~ x Block Sec/Sub~ •Res. NBw
~ Name t' I Mult Add-on
s Address • ry' Comm. Repair
c City. Phone - 7" Other
NO. FIXTURES TOTAL
Name ' Water Closet - $3.00 $ ' -
c Address Bath Tubs - $3.00
p City , . ~Phone Lavatory - $3•00
=Shower - $3.00
I Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMMIIND FEE - 196 OF CONTRACT FEE I_Laundry Tray -$3.00
MINIMUM - RESIDENTIAL FEE -$10.00 1 Floor Drains -$1.50
MINIMUM - COMM/IND FEE - 20•00 1_Water Heater - $1.50
STATE SURCHARGE PER PERMIT - •50 Whiripool -$3.00
(ADD $50 S/C IF PERMIT PRICE GOES I Gas Piping Outlets -$1.50
BEYOND $1,000.00) Sottener - $5.00
Well - $10.00
Private Disp. - $10.00
- =Rough Openings - $1.50 - ~
3tGNATURE OF PERMITTEE FEE
STATE S/C: r'
FOFk CITY OF EAGAN GRAND TOTAL: J•~-
CITY OF EAGAN Remarks
Addition VIENNA WOODS Lot ~-6 Blk 4 Parcel 10 81950 160 04
Owner Street "9 3 Vienna Lane State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
~
STREET SUR F. IDp .
2834-458,1.45
STREET RESTOR.
GRADING j 587,73_ 58,77.
SAN SEW TRUNK
~ SEWER LATERAL
*
WATERMAI N
* WATER LATERAL iggi
~r WATER AREA
~ STaRM SEW TRK
y~ STORM SEW LAT
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
EAGAN WATER SERVICE PERMIT
. .ot Knob Rqad ~
F,Q, gox 21 log PERMIT NO.: 2 } 97
Eagan, MN 55121 DATE: 11 _1(1_~ F, i
Zoning: n' No. of Units: 1 "Owner. ~
Address:
Site Addeas: ' I
Plumber. N`
MeterNo.: M,f 5-3 L_ 3 . ~~bl1Ma?ge: snn p~,~
Size: c" 1i1~, C8. ~u~~: - 15 (clr i
R~ r No.:1~~' o~ ~u nt~ - Et trmit Fee-I agree tq vo t Ifh the C t p S TotaL•
' OrdMances~ G Misa Charges: 15~ npd
;
/ Sn..a .~e.~..
g~, i Date Pald:
Date of I p.: Inep.'
1~!(0' ~7 - •
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pllot Knrb Road
P.O. Box 21199 PERMIT NO :
Esyan, MN 55121 DATE:
Zoning: ^I - No. of Units: J
Owner. _ F r
Address:
Site Addess: Jnnna 1
Plumber.
Sr~n ~ ~ ~
Meter No.: Connection Charge: -
Size: Account Deposit: 1 r 1-1`)T.''; -
Permit Fee:
Reader No:
I agne to complr wlth Ihe City of Esgan Surcharge:
Ordlnances. Misc. Charges: t 5 f, ~n{ a~
Total:
BY Date Paid:
Date of Insp.: ~nsp•:
CITY OF EAGAPI SEVVER SERVlCE PERMII'
3830 Pilot Knob Road pERMIT NO.:
P. O. Box 21599
Eagan, MN 55121 DATE'
ZorinO: No. of Units:
Owner. "
, /1cldross: . , ; ~ • ~ • ~
5ite Mdross: - - -
Plumber. pc.
S C}iln•~_
1 yew te eem* wMli tM C&1r of 69es Conrwctian Qharge' .
Oalwoow. Aoooun! DepWt:
pwmit FM:
Sufcharge:
By Misc. Cha?Oos:
Dote of Irnp.: Totol:
Insp.: Dote Pdd:
• ` CITY OF EAGAN t~1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 127o7
o`
BUILDING PERMIT PHONE: 454-8100 Receiptu 6760'<
7o6eusedror SF DWG/GAR EstValue $81,000 Date OCTOBER 20 ,19 $6
SiteAddress 2093 VIENNA LN Erect A40 Occupancy R3
Lot 16 Block 4 Sec/Su6. VIENNA WOODS Hemodel ? Zoning R1
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories
W Name AATZLAFF CONSTRUCTION Move ? Length SF
z 16107 DODD LN Demolish ? Depth~_
e Address Int. Impr. ? Sq. Ft
City ROSEMOLj*''e 432-0353 Instau ?
¢ Approvals Feea
o Name 431-5333 (COLEENI
nddress Assessment Permit $ 376.00
~ Ciry Phone Water 8 Sew. Surcharge 40.510
Poiice Plan Review 188.00
FW Name Fire SAC $75.04
~~~-y Address Eng. WaterConn. 500.00
cw ciry Pnone Planner WaterMeter 63.50
Council RoadUnit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.Off.lO/ZO/SE rr.pi. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes an ity of Eagan Ordinance L APC Parks
Pie
Signature of Permittee Var. Date Co ~
Total ' ~ ~
PATZLA • • CO1~5 R' ON
A Building Permit is issued to: on the express condition that
all work shall be done in accortlance with all applica S of Minnesota tatu s a d City of Eagan Ordinances.
Building Ofliciai m~
This re9u6@t void y~ °t'
18 slqnths Trom
C 6 9 6 6 2~ i6 ~ll
Nequest Date Fire No. Rough-in Inspection
Reqmretl7 []ReaAy NuwVWill Notify IqsOec-
ayes ?No tor When peadv
~Licensetl Electrical Connnctor 1 haraby repueat insoection of above
Owner elee[rieal wark inslelled et:
Sueet Address, eox or Route No. Citv ~
a013 i~~~ L•rl !
ecLOn o. Townshio Name or No. PanBe o. County y~~
"C-!T A..-C1.
OccupuntlPPINTI Phone Np,
IsrFf Cy-1-S r`rc -j t-Ilb"
Poiyer Supplier . Adtlress
Electrical Contractor ICompeny Namel Comractor's License No.
~ B.P.~ ~~c./ ~'~-z- ~9 C9 Yll f Z
0ail~n Address IContractor o~ Owner Making Instailatian)
r,,,,4-Y
Authorized Signature (Conttector wn Making Installation) Phona Number
t Z--
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION NEUUEST WILL NOT
GrigOS•Midway Bldq. - Room N•181 BE ACCEPTED eY THE STqTE BOARD
UNLESS PROPER INSPECTION FEE IS
1827 UniversitvAre.. 6t. Peul, MN 66700
Phene16121647•0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ~-O5°~~°5
~ Sao inslructions for completin0 Ahis torm on Eeck o1 yellow copy.
"'X" Be/ow Work Covered by This Request
FAd fle0. TVPe o1 Builtling Aoclinncea Wired Equiumen[ Wired
Home Range Temporary Service
Duplex Water Heater Li htin, Fixtures
Apt. Buiiding Dryer Electric Hentin
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tenk
Farm Other Peu y t er ISOer.ilyl
~<,r yeo y ther Other ompute lnspecfion Fee Below
p Fee - Service Entrenee5iza p Fee FenEers/3ubleedere p Fee Circuila
U to 200 Am 5 0 to 30 Am s 0 to 30 Am
Above 200 qm ~s~ 31 to 100 qmps 31 to 700 A y
Swimmin Pool Above 100_Am s A6ove 100_Am s
Transrormers Irri ation Boorc~s --a Partial.'Other Fee
Signs Special Inspection
$ ama,ks TOTAL EE
~ ,S5,o
flouph-in - Dat
I, the EI cV' 1
InaDector, heraEV
cartity thet the nbove
Final . Dj* 'nypeCtion hae been -kl mede.
TMrepuestvoltll8montlnirom
. ~ :2
1986 BOILDIBG PERMIT APPLICATIOH - CITY OF E9GAN
AOTE: ALL CONTEACTORS MOS2 HS LICENSED iiITH THE CITY OF EAG9d
SIIYGLE FAMffI.Y Dii6[.LI9G3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DWSLLINGS - ESSIDBNTIAL BENTAL DBITS FOH S9LS ONITS
INCLUDE 2 SETS OF PLANS, CERTIE'ICATE OF SQRVEY - CHECB BITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMAIERCIAI:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SE'f OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
00 To He Used For: 'i Valuation: _e&6~0 Date:
Site Address wq,? j1ks.nu_, OFFICE OSE OHL.Y
Lot Block ~ Erect ? Occupancy (Z3
p Remodel Zoning ~Z•I
Parcel/Sub Repair _ Type of Const S~
Addition S of Stories
Owner Move _ Length G60
Demolish Depth 4-8
9ddress ~ Int.Impr. _ Sq Ft
Install
City/Zip Code
Phone gppROVAIS FEES
Contractor 9ssessments Permit 6.
Water/Sewer Surcharge
Address Police Plan Review I e b.
~ Fire SAC S ~ S•
City/Zip Code ~TrizLe.ni' /'J Engr Water Conn 500•
Lf ('p((y9r Planner Water Meter b3. S°
Phone Council Road Unit 290
Bldg Off Treatment P1 15~,
Areh./Engr. ~Ki~ ~1.~2~?) 9PC Parks
Pariance Copies
Address lQiIrIQ ~ 04V&J-v'_. n1TAL ~
City/Zip Code Phone U
POTE: ADDRES36S FOR CORNEB LOTS - CONTR9CYOR/HOMEOi1NEB MDST DESZGNAiE i1HZCH ADDRfiSS
IS DSSIRSD. NO CHANGSS WILL HE ALLOiiED OHCE BIIILDING PE[tHII2 IS ISSOSD.
Certificate For:
Ratzlaff'COnstruction - -
16107 Dodd Lane
Rosemount, MN 55068 ~j
DELMAR H. SCHWANZ
IP.Np $UfiVEVORS INf
AaanV.M UnaPr LdwS OI Tne $Id~a nl MinnPSOla
14750 SOUTM ROBERT TRAII R08EMOUNT. MINNESOTA 55068 PMONE 812 4231789
SURVEYOR'S CERTIFICATE
--~5-- \
~I LaT 16
~
~b qk~ ~ ~ ~ l
r ~
s
Scale: 1 inch = 30 feet
~ R~~ l'R~ 940•~ 9,Fp = Proposed elevation
a~ 1, a y 14 o{; ~qyNHB from Development Plan
'C \ ~1
i yao Direction of Drainage
rj = Set wood hub
~C 93s•mti ! ~o
O = Iron pipe
93~9 = Existinq elevation
'h
P 700
^
q3
• j 2
. / 6
'j ~
3¢ ~ ~ 4
I hereby certify that this is a true and correct
representation of the following described tract
.'SC of land:
933• 33
I*VF caAro Lot 16, Block 4, VIENNA WOODS, according to the
Also showing the location of a proposed recorded plat th~ereof,,ja ta Coynty, Minnesota.
' house nofstaked thereon as of August 19, ~ v,.H
1986. JD;V/T'1
• Hp7lBe 6t8k2d 10-15-86 ~ MINNESOii4 REGISTRATION NO. 8825~'
G
DA'i'E AUGUST 7.8, 1986
` E`:TERIOR EZ~VELOPE AVERAGE "II" CO*L°UTA?ION
~
• ~ : -'R .
.0 pWN-Eg TH011A5 AND JOAN LARSON
SITE ADDRE55 LOT 16 BLOCK 4 VIENNA WOODS
CONTfL4CT0R RATZLAFF CONSTRUCTION, INC.
ADDRESS 16107 DODD LANE pxONE 432-0353
ROSEMDUNT, MN 55068
DETERMINE WORKIDT.G SOUARE FOOTAGE OF EACA.
1. Total e:cposed wall area 2050 sq. ft, x,~~ = 225.5
2. Total roof/ceiling area 1246 sq. ft. x~= 32.39
Total exposed wall area above Floor = 1916_
a. Tota1 wall window area 165.49
b. Total door area 41_08
c. Total sliding glass door a^ea 84.38
d. Total fireplace wall area 57
e. Total wall framing area (average l0i) 171.78
f. Total net wa11 area above =1oor $45.17
g. Total rim joist area -~r~-
Total exposed :oundatiott srea = 50.16
h. Total foundation window area -
i.. Total net foundation area above grade 50.16
?etermine "L".' value of each wa11 segment.
~ 165.40 X PlUt, .58 95.93
b. 41.08 x „U„ .47 19.30
c. 84.38 X „U„ .58 ~ 48.94
d. 57 X lU„ .04 = 2.28
e 137•71 X „U„ .09 ~ 15.46
f 865.17 X „U„ .04 _ 34.60
114 X 'lUll ,04 4,56
K -
h. X "U" _
i. 50.16 R lUll .03 = 4.02
3 . T_otal = 225.09 ~
If item :"3 is the same as, or less than item ,:fl, pou have met the intent
af SSC 6006 (c)2.
. Total exposed roof/ceiling area = 12.46
' J. Total skylight area
k. Total rooi/ceiling fraaing area (average 10?:).. 124_6
1. Total net insulated roof/ceiling arez 1121.4
Determine "U" value for each roof/ceiling segment.
J. k. 124.6 g ItUtt .02 2.49
1. 1121.4 g f,Uff .02 22.42
4 ..........................................Tota1
If total of Ik4 is the same as, or less than you have met the •_ntent_
of SBC 6006(c)1.
Alternate Building Envelope Design
To utilize the to[al envelope svstem method, the values established by
the sum of items i?3 and fk4 shall not be greater than the sun of items
#1 and l'2.
1. 995 S 'f' 2•39 '39 = 257_44
3.. 225.09 + 4.24.91 ° 250.00
-2-
. „ .
):.~FM..4Y:~I~~Y~.:. Y;{:'.n•`.'M);:'.i~i: ;t~f . X6 " utYE: x•~~ ~;+;.9::YQc::. ~:X'•r
. '.;z?v r= :=.Arrri . . . .
~S 'kkNi:?I(al,i;0; Y.3
L~+•r
. • ~ .
~r_ ~rrm i:.'.~i : a 4
, ~ . • .
k'•i~C; GAS ! IN^.. FLF,'9 Yi•:C: ~
;22a.0 3('1 76.2 EI fo:'Ak.'1 . . 5+0
'C` '?QC'•.~ 7ni' EI_r(P!- 'I:l : ,5)
C'' .
-
i.rrVEi7Y?N ^
a_°~:~
::^:.~~'~'f.r,~:. _:r'•:fi.'_a3~ . ~f'7 70
L'~5y.:9r:'3i :=.,an vv,'=~l:tr . c•.stz.
2:!:i,: '':::)fli A .5c~~. L.i+I:Z;':;•.r.
't[kGt::=S?i-~i; c'4L.'.M' rl
./.Y.tyiw.~.. ..~.1:;l:'.w:.t'~:~.. . ..5~~.'F.',• 7i~wyf.lw
. ~
.
lggiw
`3 1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: I I - 15,11
Description of Work: Construct new fireplace _Gas _Masonry Alteratians to existing
~ Install eas insert anlv • Install gas line onlv
_ Other ~
Job address: \ LL 'LQ
Lot: Block: Subdivision/P.I.D.
Applicant (circle one only): Owner onhacmr Permit Fee 560.50
Name: ~Q rS 6f-N T1 a rh a 5 Phone b5 t-`75q
PROPERTY Last First
OWNER
Street Address:
City State: Zip:
Company: Phone#: 19 1
(azea code)
FixEri.ncE Gas Line Plne, Inc.
INSTALLER street nddres5: 4806 Rutledge Btxeet
Prior Lake, MN 68372
City State: Zip: _
Company: Phone
(area code)
GAS LINE
' INSTALLER Street Address:
~ City State: Zip:
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 Eag rdinances.
~ an 4_0
ignature
OFFICE USE ONLY
BUII,DING PERMIT TYPE
0 16 Fireplace
WORK TYPE
? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
? 32 Addition ? 34 Repair ? 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
i
. , .
CITY [lF rr~caN., • .
; CA:ihI,LF:fi: .-.7S TFkM:itdAi.. Nl): 733
DAih: ' 1G11.1:99 "i'hira 13:58;4:3.
IU:.. . . . ' •
NAMEe fTOUR SEA-^.ONFi kOOr'IkG I REiinDEL .
~ 3?10 9001 2633 QIENNA I..P! 1.39.25,.
M5 `al')l'ii 2 03::1 'JJ:EPiNF§ LN . . 3.50
, . . . .
. , .
i , .
. . • . . .
To1;a;1. 4er_tin'.,.Am!7ttn•I::
lCkJ.18il2P ' .
J.?SL.i EU: JAN
sk k*;t~K**W~tY,tXi~~*#*~%** i~l~**k~?XSX~k~X~~kk:~k:%*##**Mc
, . ' . • ' ,'.5.
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)V iL~ a1y
CITY OF EAGAN I ~
3830 PILOT KNOB RD - 55122
651-881•4675 "
New ConshucNon ReauiremeMs R mogel/Reoalr Reaulrements
? 3 regisiered sMe surveys showing sq. M, of lot sq. R. ot house 2 copies of plan
and gg roofed areas f20% maximum b1 eoveraae allowed) 1 set of energy calculaNoro fw heated addNfona
? 2 copies of plans (show beam 3 wlndow sizes; poured Md. design; etc.) 1 sRe survey lor exferior addiliom 3 decW
? 1 set of energy cakutaHOns
? 3 copies of hee presenaHon plan H lot plaHed affer 7/1/93
1 ~
DATE: io-j`'rn 7 CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: '~`~~J
LOT: ~ BLOCK: ~ SUBD./P.I.D. ( P WV4 v V 0. S
Name: L%~~ 3'A 1 Phone
PROPERTY Las? Ftr't
OWNER ~l )"J
Street Address:
City StaFe: ZiP:
I'~ {
Company: ~ Phone
(area code)
CONTRACTOR
SheetAddress: ml ~ 1'TI l~"~ rr`~ Llcense# ExP•
City 1 J1}NJ I~+~~I~i State: r11~ Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Streei Address: Regishation
City State: Zip:
Se,wer 8 water tlcensed plumber (reaulred for new conshucNon onlvl:
PenalFy applles when address change and lot change is requested once permR Is Issued.
I
I hereby acknowledge fhat I have read thls applicaflon, state that the IMo flon is coaect, nd@g ree to comply wkh all applicabl
Stafe of Minnesota Statutes and City of Eagan Ordinances. v\ ,
Signature of Appiicant: ~
OFFICE USE ONLY
Certificates of Survey Received Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required O y~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex 0 17 Garage ? 22 Porch/Addn. (4sea.
? 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 S-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 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 Demolish (Interior) ? 42 Reroof
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Adual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
. Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI: '
Park Ded. '
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
**********#******#**~*~**#*#*****t**
rt .
- CITY OF EAGAN * ~ ~ ~~~F :
* APPROVAL OF PFTtPffT. :
C APPLICATION FOR PERMIT ~
~ . . * INSPFX.'rION OF ShM APID/OR N1OIIt ;
w*. IT1,S~LAr.raTTONS WII.L NOT BE SQII~D- ~
SEWER AND/OR WATER CONNECTION ~ uLm twm PEPDUT HAs BEm ,
. * ArPxavm.
+*~**,.,~x***.***~******:.*********#**
P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: ~IIt~ky~ ~~ol~•
-TLot B ock Subdivision or Tax Parcel ID
IF' E7ff5TING STRCCiSIRE, DATE OF ORIGINAL HL'ILDING PII2MIT ISSL'P.I9CE: ~
i
" Year1
PRFSENP ZONING/PROPOSID C'SE: - Nbn
Q CO.+YERCIAL/REPAIL/OFFICE ~ R-1 SINGLE FAMILY
[I IAIDL'STRIAL Q R-2 DUPLEX (1kv C~nits)
~ INSTI'IL'TZONAL/GOVII2N61ENT ~ R-3 1t7WNEi0[7SE (Three + Units) ( Units)
. ~ R-4 APARTMFNf/CODIDOMINIUM ( •Units)
2)
. NAME=- K~T2~c~FP ( n ,~r
AooREss:_ I G~ 1 n7 no~~ L~ '
CZTY. STATE, ZIP: ~IvhLa-w..~.~~~'
PHONE: oJk~~~a
• 3) • u a• For City Use .
~ME. NA-iTNEU7 IJHn1rG~S Ti.JV Plu[nbers License:
ADDRESS: { _6HZcxSP.l k)A.tl Active
Expii'Ed
i CITY. STATE, ZIP: gmPwwwn,f ~ r1n1. Not recorded
PxorE:_ *3-3"73o MasTER r,zccENss# _3z,9~ M st~'r`init~ai
4) ..r • . i~-
rAME:
ADDRESS: • -
CITY. STATE, ZIP:
PAONE: .
5) r v i a• : o - a~ - o-~
CONNECPION TO' CITY SEWr3i ~ CpNNF7C.`rION TO CITY WATER Q pi],'HER ' .
T
6) " ' C] PLEASE HOLD APPROVfD PERMIT FC)R PICR-UP BY ONE OF ABUVE
~ E MAIL APPROVID PERMIT TO 1, 2,30 4. ABOVE . .
(Circle one)
7) r~ u• - 2~ ~ ~
_ 1 /.Z ~
Y: ~ G' 'I: M i 1~ ~ I' ~ P I} ~ / Y01 JI Y } • P~ 1
~ •~I 1 f . r r./,(~>~ 1 1 1 - ' :A' • :A• • 1: 1 :F . /
. F'OR CITY USE ONLY PERMIT # ISSCED
Pd w/Bldg. Permit FEES:
$ S 16•SZ7 SEWER PERMIT (INCLLDE SURCHARGE)
$ $ ~O • S b WATER PERMIT ( INCLL'DE SL'RCHARGE)
$ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ O ACCOUNT DEPOSIT - SEWER
$ S 45-'o o ACCOCNT DEPOSIT - WATER
$ ~c $ WAC
$ sAc
$ $ TRL'NK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRC'NK WATER
$ 'C) C-) $ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
$ TOTAL
G 6 57
lo~~e~ ~
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSC~ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE:
• ~ CASH RECEIPT
CITY OF EAGAN
' 3830 PILor KNoa Roaa
,
EAGAN, MINNESOTA 55122
aATE - 19
RECEIYED !
FROM ~ y
AMOUN T . $ .i I
COLLAR6
100
? GASH ? CHECK
POR
~
FUND CODE AMOUNT Thank You
BY
„
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
BLDG. PERMIT ti0.
01-3210 "aldg: Permit
01-3422 Plan Check -a J.o L
01-3445 Surch./tidm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Uni t 2y~ I~ -
;
20-2275 SAC l-: 7
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter ~ -
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. 41
11-3855 Park Ded. i
TOTAL
?
~ ~ . • • CASH RECEIPT ~
CITY OF EAGAN
~ 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 .
RECEIVED ,
FROM '
AMOUNT $ I,
' Q DOLLARf
1 oo
C]CASH ~ CHECK
FOR . ' ' , 1 . nf . .
FUND CODff pMOUNT
- -
1
Thank You
B Y
White-PaYers Copy
Yellow-Posting Copy
Pink-File Copv
÷ê÷
ú
ÿ
ÿþþ ýùý
ûþþ ïèì
ò æ÷
å áò
ÿþ÷
þýüûúù ïý
÷ ûúù ßö
ïý
Ûý ùë ðýë í ýü à ÿþ ù ÿ
þ
áâòòâåò
þ
åùù ò íþ ÷Ü â
àë ïéÞùë çäèå èòåå
öû
þýí ïêäèá èâ á
õüô
÷ òñ
ùù
ô øûí ë
åùù ò íþ ÷âáæ
þý â àß ââ
ùùæúàß âò
éáâçò å
íüú ö í íì íùù í í
ë ëùúö íùùüþ
à þ ý
ú
îè
ùù õë þ ý ýú þ ý
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176014
Date Issued:04/27/2022
Permit Category:ePermit
Site Address: 2093 Vienna Lane
Lot:016 Block: 004 Addition: Vienna Woods
PID:10-81950-04-160
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 H Larson
2093 Vienna Ln
Eagan MN 55122
Spotless & Seamless Exteriors
8715 Jefferson Highway North
Osseo MN 55369
(763) 428-1111
Applicant/Permitee: Signature Issued By: Signature