2116 Vienna LanePERMIT
City of Eagan Permit Type:Building
Permit Number:EA128519
Date Issued:11/18/2014
Permit Category:ePermit
Site Address: 2116 Vienna Lane
Lot:014 Block: 002 Addition: Vienna Woods
PID:10-81950-02-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Description:Re-roof
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 -
Blair S Dack
2116 Vienna Lane
Eagan MN 55122
Presidential Construction
4824 Xenia Ave N
Crystal MN 55429
(763) 238-4709
Applicant/Permitee: Signature Issued By: Signature
1 . . .
CITY OF EAGAN 1?.t~y
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 iv~ 12775
PHONE: 454-8100
BUILDING PERMIT Rece;pt #
To be used for ``Uti4,G/t't''H Est value $77' UU0 Date OCTOBER 15 19 86
Site Address 2116 VI E:vNA Li•i Erect Occupancy
Lot 14 &ock 2 Sec/Sub. VI f„ a`i" «UOUS Remodel ? Zoning ~
Parcel No. Repair ? Type of Const v
Addition ? No. Stories
°C Name ROSEKT $ HUS::iZ Move ? Length 62
; Address 100 E S 1 Demolish ? Depth 32
_ Int Impr. ? Sq. Ft
82296213
Ciiy Phone Install ?
o Name 831-1 ti 4 4 (W) Approvsls Fees
0 i Address Assessment Permit Y 364.00
~ Ciry Phone Water & Sew. Surcharge 38.50
r Police Plan Review 182.00
~ W Name Fire ~
SAC 7 S•0 0
= a Address End. Water Conn. 500.00
i W city Pnone Planner Water Meter 63.50
'
Council Road Unit 290.00
I hereby acknowledge that I have read this application and state that the Bldg. Off. 10 S Tr. PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eag~n Ordinar)Ces. APC Parks
Signature of Permittee ~1 'r " f Var. Date Copies Y~ . 0 0
Total
A Building Permit is issued to: RUBERT II Ii:TSEf: on the express condi6on that
0 work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official ~ ~ c ''"J • <
Permit Na Permil Holdor Date TNephooe N
Plumbiily
N.Y.A.C.
Eloctrlc
c' 9 9/97 7
soften.r
ln.pscua, oaa In.p. commena
FooNngs 1
Footlnyt 11
Foundatbn
Framiny
RooNny %JG !7 Gv.p
Rouyh Plbp. sl)
puyh Htp.
Inwl.
Firsplace
Final Mty.
FInN Pibp. E' i tL'I"eV" l,'- 4'. %~S 9i"
Bldq. Final
c.t ou. aS
Dock Fty.
D*clc Fmp.
WoII
Pr. Dbp. ~ ~
PERMIT # `
~ PLUMBING PERMIT RECEIPT #
CITY OF EAGAN . ~
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE '
CONTRACT PRICE PHONE: 454-8100
Slte Address + i U'"' ric% • r, BLDG. TYPE WORK DESCRIPTION _AL Lot Block I Sec/Sub
Res. New
~ Name f
Mult Add-on
~ Address ~ • ~T Comm. Repair
c City = j~ Phone Other
NO. FIXTURES TOTAL
Name Water Closet - $3.00
3 Address ~Bath Tubs - $3.00 Lw
p City Phone ~ C =Lavatory - $3.00 /
% Shower - $3.00 .2
FEES / Kitchen Sink - $3.00
COMMlIND FEE - 196 OF CONTRACT FEE Urinal/Bidet -$3.00
MiNIMiJM - RESIDENTIAL FEE _ $1p,pp ~ Laundry Tray - $3.00 , h
~ Floor Drains - $1.50
MINIMUM - COMM/IND FEE - 20•00 i Water Heater -$1.50 •
STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES _Z Gas Piping Outlets - $1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
- Private Disp. - $10.00
Rough Openings -$1.50
SIGNATURE OF PERMITTEE FEE ~r~
STATE 3/C:
FOR: CITY OF EAGAN GRAND TOTAL• v
. . , PERMIT # 'R`f' S . -
. - MECHANICAL PERMIT RECEIPT # '"(0
CiTY OF EIIGAN ,
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: `
CONTRACT PRICE: PHONE: 454-8100 44/! 7 Site Address BLDG. TYPE WORK DESCRIPTION
LotT. Block ` Sec/Sub Res New
Name ' Mult Add-on
Comm. Repair
~s Address ! ~ ~
c City Phone Oth6r
FEES
~ Name 4. RES. HVAC 0-100 M BTU -$24,00
c Address ADDITIONAL 50 M 8TU - 6.00
Q City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air ~I BTU ~NAPT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. ~"M BTU `~~w} MINIMUM COMMERCIAL FEE - 20A0
Vent CFM ~ STATE SURCHARGE PER PERMIT - .50
i S BEYOND $1 ppp) PERMIT PRICE GOES
Gas Piping Outlets #
Other FEE: -~`•U~-:`sL's-`~ r-'-
S/C: SIGNATURE OF PERMITTEE ~
.
TOTAL:
FOR: CITY OF EAGAN
CITY OF EAGAN Remarks
Addition Vj$NNA wonng Lot 14 Blk 2 Parcel l0 81950 140 02
Owner s stete EaQan. MN 55122
" Vienna Lan
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 6-1,• Imp. 1981 - 2$34.45 . 2$3+45 10
STREET RESTOR.
GRADING y/~^ 1991 73_ 58. 77
SAN SEW TRUNK 1973 129.78 8.65 15
* SEWER LATERAL 3981 4232.34 423-2-1 1
*
WATERMAIN
* WATER LATERAL
* WATER AREA
* STORM SEW TRK
~t STORM SEW LAT 98 o
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
'*ww
~ ~ , . _ •
JE 001: , _ Ilqvm
',)'4w ai$ 1#1.I ZA.T AifM t?[ I S
. CITY OF EAGAN p
` 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121'r 12775
PHONE: 454-8100
BUILDING PERMIT Receipt#
To be used ior SF DWG/GAR Est. value $77• 0 0 0 Date OCTOBER 15 86
SiteAddress 2116 VIENNA LN Erect It Occupancy R3
Lot 14 Block Z Sec/Sub. VIENNA WOODS Remodel ? Zoning Rl
Repair ? Type of Const. V
Parcel No. AddAion ? No. Stories
a ROBERT B HUSER Move ? length 62
w Name Demolish ? Depth 32
3 Address 100 E 38TH ST
° MPLS gZZ-9(Zg Int.lmpr. ? Sq.Ft
City Phone Install ?
io Name SAME 831-1844 (W) Approvals Fees
$U nddress Assessment Permit $ 364.00
~ Ciry Phone Water&Sew. Surcharge 38.50
~a Police PlanReview 182.00
~W Name Fire SAC $75•~C
= AdCress
~ o Eng. Water Conn. 50 0. 0 C
a :
W City Phone Planner Water Meter---- 63a5C
Council Road Unit 290.OC
Iherebyacknowledgethetlhavereadthisapplicationandstatethatthe gldg.Off. 10/15/8 Tr.PI. 156.OC
in(ormation is correct and agree to comply with all applicable State of
Minnesota Statutes and Ci f Ea n Ordina ces. APC Parks
Signature of Permittee Var. Date Copies Z
Total .16 .OC
A Building Permit is issued to: ROBERT B HUSER on the express condition that
all. work shall be done in accordance with all applicable Sta of Minne ota tutes and Ciry of Eagan Ordinances.
Building Otticial E •~-r~ ~
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CITY oUSE '~ONLY
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i"`Pd~w/Bldg~`~Eermit~ F'.FEES
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e ~ ~~a~~if~1iJy (.hy,$1~.us "siTy 'j~'•1 'Y'~ 4 M i . y ;1 ,?i. y ir,,,.; y t~~i, +
SEWER PERMIT (INCLUDE SURCHARGE)
N~e{.,t ti cL +s ~ R +a 1'~V0 x~.c,~. p! R u ~
WA~TyE,R PdERMI~T INCLUDE SORCHARGE)
4S€~n~'Pr.~~~' 1~K~,r~uu a ~F* ~WA?~TER MET~yE~R/COPPERHORNOCTSIDE READER .
w~ v R ' 3 .~y~s6 u Nai ~p t > ~ T F r fiF 9 r ~ h ~ i h ° ~ f a ~ m `~,t~.~'s"~' C, WATER TAP ~ (INCLC'DE CORPORATION STOP)
r!$`".~U,G``N'~~"'gt~i~~ M1i;~EWER 6TAP~,g.~:
~ ~.L r u-nf ' Y C ` e ys try ~Y~ 1 S' a . . ~'L ~d¢3i6~~~~tt
DEPOSIT
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f x$ ` ~CCOLNT UEPOSIT ~FIATER
t WATERASS4ESSyM,E~NT,9~
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SEWER SSESSMENT
{ ~ J Naa w+N :~tf~r^ c a
BENEFIT/TRUNK SEWER : ~.-x
yt~~~F,`$f,d iw~,r~ttu 42 {Ss„'~is
.............~~~`y.;~~;,~~'~'e~ }*~s~~'LATERAL BENEFIT~TRUNK WATER ~ F ~ ~ ~
TREATMENT „,PLANT SURCHARGjr:'T'
$ ~'~~w~FP „ ,'~r~ hi. s ~ ~•~"*a„~~~~~"S~1`.,~ a, OTHEgR{ " u~ i., ~ , .g~ +
T RECEIPT. y~J~r~y}~,~y,~+%•-~ry REC}EIPQT~
,~~`4 hi~%''~'fW ~k ~ ~i ~r;~i ~ ! ~J^.i '
'^W„DOES UTILITY CONNEC T I O N RE QU~I.kR E E X C A V A T I O N I N P[ J B L I C R I G H T O F'~ W A Y~ j, i"
YES y.' ,IF;YES, THEN A. P ER M~I T F O R W O R K W I T H I N P L B L I C ~
~y
MUST BE ISSUED BY:THE ENGINEERING r i
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y SUBJECT TO THE FOLLOWI.~NG CONDITIONS ~~~~•~7"~''~m ~°r~s `v ~
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4y1sAPPROVED BY t~F^~se %940
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~ . C I TY O F E A G A 10'PF: PAYME~7T OF r~>A`~`~T72~
* APPLICATION DOFS Nf7r C~STIR[7 ,S~-',
: . * ApPROVAL OF PERtff'S. _
APPLICATION FOR PERMIT I ~nqsTE=pN oF s~-v~r~ p,r~jcit~
' . ' * n,c+•nrr *mrON$ WII.S. NOl'..~
.
SEWER AND/OR WATER CONNECTION *ULEDUNM p~T HAS
• . , . • * APPRf7VFD.
. . . . * • .
' . ********x***r:x*x:.::*:**r-~++.
, P ease Print _
1) PROPERTY ADDRESS :
LEGAI, DESCRIPTION:
- Lot' B ock Sub ivision or Tax Parce ID ,r
IF `E:CISTING STRL'C1VRE. DATE OF ORIGINAL BUILDING PERMIT ISSL'PS7CE: . •
. (NDn Ye2r
P2SENFf ZONI?JG/PROPOSID USE: C6}2-ERCTAL/l:EPAIL/OFFICE . ~ R-1 SINGLE' FAMSI,Y ' .
C INUL~STRIAL ~ R-2 DUPLEX (Two Units)
. ..-•~'a:. .
~ INSTI?S!TIONAL/GOVERDP~,'NT R-3 TOWMOUSE (Three + Units) ( Dnits)`
. p R-4 APAR2MENT/CONIDOMINILZd ( - Units)
2)
NAME:
xDOxess: /o o ~ 8 v_f.Tza'.i'
CITY. STATE, ZIP:_ /v S Se~G /9 _
PHONE:
' . . . 3..
,
3) 4i: For NAVE= ~ igcnmFt MECHANIGAL PltmFers. . cen
. ActZxe`!:`.'
71
ADDRESS: 3fi00 K_IJNEuEC DAIVE. EAGAN, h11NN.551
452 ~-666 . F.xQire3`: ~ .
CITY. STATE, ZIP: • ' ' Not "
PHONE: MASTEx LICENSE# 001445M2 Sr ' "tial
Q) ~~~4• • i 101' ~'~lJ~/LN " . 1nl~~Ni(LC/T/ . ' . , • ':".'=~~7~`
NA`E: . . . , . ADDRESS: •
CITY. STAT'E, ZIP: ~ •
PHONE: . . .
-5) t v v: r~ r: • • o~ a~ ;::~-~;?s.,: ,
L= CONNECPION TO' CITY SE47gt CONNFxTTON TO CITY WATER OTi~t
6) r,~ t ~ PLEP.SE HOLD APPROVID PERNIIT FOR PICK-IJP BY OIt OF ABWE
PLEASE MAIL APPROVID PII2MIT 'IC) 1, 2. 0 4, ABC7VE
(Circle one) ' 7)
ti r. u • - 15 C(/)O~I ~ ~ • • ~ ~//,OLI'17 ~ ~~/7 f~~ -
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MU.+: •~1a10. !1 1 ::i MJ. •,~y?1 1 1 I 7f' • :C • 1• Y" N
EXTERIOR ENYELOPE AYERABE 'U'COMPUTATION
Paoe 1 of6
PRWECT NAME: Huser Residence
PROJECT LOCATION: Lot 14, Block 2; Veina Woods, Eagen, MN.
DI1TE: October 11, 1986
BY: Robert B. Huser
TABLE OF CONTENTS
Page t Tab1e of Contents, Well Computations.
Page 2 CeilingComputations, Wali type 1.
Page 3 Sairces - Wall type 2, Olass areas and Swinging drors, Ceiling type i.
Page 4 Sources - Ceiling types 2 and 3.
Page 5 Sources - Ceiling type 4, Fioor Oomputations.
Page 6 Sources - Flaor types 1 and 2.
WALLS:
LINE 1.
Tatal exposed wall area: 2546sq. fi. X.11( required everage "U") = 280
LINE 2.
"U" value of each wall segment:
2a_ Type 1 wall: 1961 sq.ft. X .OS = 98
2b. Type 2 weil: 218 sq.ft. X .10 = 22
2c. Casement window: 21 sq. tt. X .33 = 7
2d. Awnfngwfndow: 111 sq. ft. X .33 = 37
2e. Total fixed giass window area: 157 sq. fi. X .46 = 72
2f. Totai swinging door area: 78 sq. ft. X .S = 39
ACTUAL AYERABE 'U' Tor walis 275
AYERABE 'U' REOUIRED tor wails (line 1) 280
The ectuat average "U" (line 2) is less ihan or equal to the required everege "U" ( line 1). Therefore, the wall
dces comply tvith the ENEROY CODE.
EXTERIOR ENYELOPE AVERAOE'U'COMPUTATION
Page2 of6
C ILE INBS:
LINE 3.
Totel exposed ceiling erea: 1080 sq. fi. X.026( required average "U") = 29
LINE 4
"U" value of each ceiling segment
4a_ Type 1 ceiling: 356 sq. ft. X .027 = 10
4b. Type 2 ce111n9: 40 sq. ft X .046 = 2
4e. Type 3 ceiling: 648 sq. tt. X .021 = 14
4d. Type4ceiling:. 72 sq.ft. X .046 = 3
ACTUAL AYERABE 'U' for ceilings Zg
AYERA6E "U" REQUIRED for ceilings (line 3) 29
The actual average "U" (line 4) is less than or equal to the required average "U" (line 3). Therefore, the ceilings
comply with the ENEROY CODE.
SOURCES
2a. Type I Wall - Typical Wail, thru insulation (90% of wati)
' Source - Oraphic Standards
U=.05
R Value
Air Surface .17
!/2" Redwaod Siding .81
I/2" Oxboerd Sheating .91
5 1/2" Fiber Oless Bffit insulation 17.16
6mil PolyethyleneVeporBerrier .00
1/2"(3ypsum Boerd .45
InsideAir Film .68
Total R = 20.18
EXTERIOR ENYEIOPE AYERABE'U'COMPUTATION
Page3 of6
2b_ Type 2 Well - Typicel Wall, thru freming member (10X of wall).
Source - Orephic Stenderds
U=.10
R Value
Atr Surface • 17
!/2' Redwood Siding .81
!/2" Oxbaerd Sheeting •91
5.5" Softwood 6•8$
6m11 Palyethylene VaparBerrier .00
1/2"Oypsum Boerd .45
InsideAir Film •68
Total R = 9.9
Gless Areas, Source - Weather Shield I nc. Units sha11 be 1" Insutaiing gless. Excapt as noied
2c. Cesement Windows ( 1" Triple glazed) U=.33
2d. Awning windows (1 " Triple glazed) U=.33
2e. Fixed Olass Wlndows U=.46
2t. Swinging Doors U =.5
4e. Type 1 CeilingAssembly, ihru insuletion (90X of ceiling).
Source - Oraphic Standerds,
U=.027
Value
Inside Air Film .61
5/8" OyP. Bd. .56
Polyethylene Vapor Barrier 0.00
8" Fiber Olass Beti Insulation 24.96
3 1/2" Fiber Olass Batt Insulation 10.92
Air Surface .17
Totel R = 37.22
EXTERtOR ENYELOPE AYERABE 'U'COMPUTATION
Pege4 of6
4b. Type 2 CeilingAssemtrly, thru framing members (10X of ceiling).
Source - Oraphic Standards
U=.046
R 4alue
I nside Air Film .61
5/8" Oyp. Bd. .56
Polyethylene Vapor Barrier 0.00
7-1/2" Sottwood 9.38
3 1/2" Fiber Oless Batt Insulation 10.92
Air 5urface ' .17
Total R = 21.64
4c. Type 3 Ceiling Assernbly, thru insulation (90X of ceiling)
Source - Oraphic Standerds
U=.021
R Value
InsideAir Fiim .61
5/8" Oyp. Bd. .56
Polyethylene Vapor Barrier 0.00
12 " Fiher Olass Batt Insulation 37.44
1"Certi foem Rigid Insulation 5.5
1 1 /2" Air Spece .81
1 /2" Oxboerd .91
Ashalt Shingies .44
Air Surface ' .17
Total R = 46.44
EXTERIOR ENYELOPE AYERABE 'U'COMPUTATION
PageS oi6
4d_ Type 4 Ceiling Assembly, Thru framing members (10% of ceiling)
Source - Oraphic Standerds
U=.046
R Yalue
InsideAtr Ffim •61
5/8°DYP. Bd. .56
Polyethylene 4epor Berrier 0.00
1 S" Softwood 18.75
1 /2' Oxboerd •91
Ashalt Shingles .44
Air Surface .17
Total R = 21.44
LF OORS:
LINE 5.
Total exposed floor are& 353 sq.ft. X.05 (required average "U") = 18
LINE 6
"U" vatue ot each tloor segment:
6e. Type 1 floor: 318 sp.ft. X .038 = 12
66. Type 2 floor: 35 sq.ft. X .074 = 3
ACTUAL AYERABE 'U' for floors 15
AYERABE 'U' REQUIRED tor floors (line S) 18
The actual averege "U" (line 6) is less ihan or equel to the required everage "U" (line 5). Therefore, the floor
dces comply with tha ENEROY CODE.
EXTERIOR ENYELOPE AYfRABE 'U' COMPUTATION
Page6 of6
SOURES
6a. Type i Flaor Assembly, thru insuletion (90Z of floor)
Source - Oraphic Standerds
U =.038
R value
8" Fiber Olass Batt 24.96
6mi1 Polyethytene Vapor Berrter 00.00
3/4" Plywood .94
Air Surface .61
26.51
66. Type 2 Fioor Assembly, thru framing (10X of floor)
Source - Oraphic Standards
U =.074
R value
9.5" Softwood 11.88
6mil Polyethylene Vapor Barrier 00.00
314" Plywood .94
Air Surface .61
13.43
1986 BOILDING PSRliIT APPLICATIOH - CITY OF E9GAA
HOTS: ALL CONTHACTOES MOST BB LICENSSD iiITH THB CITY OF EAGAN
3IAGLE F6FIILY DWELLINCS
INCLUDE 2 SET5 OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCIILATIONS
MUI,TIPLfi DiiE[.LIAGS - HESIDENTI9L RENTAL. DNTTS FOR SALE ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRYEY - CHECB WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMAIERCTAf:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTIIRAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENEftGY CALCULATIONS,
$2,000 LANDSCAPE BOND
7R`Xa
To Be Used For: Valuation: ~ Date:
w
~~rr~ r-
Site Address oZ l)(o LliPr) na 1-0 OFFICE QSE ONLY
Lot 14 Block 2- Ereet v' Oecupaney ~Z 3
Remodel Zoning R I
Pareel/Sub Repair a Type oP Const SC
Addition li of Stories
Owner Move _ Length b Z
Demolish Depth 3 2
Address 11~0 Int.Impr. _ Sq Ft
Install
City/2ip Code
Phone APP80VALS FESS
Contractor ~Q~j~"~ ~~1~ Assessments Permit 3c~4.
Water/Sewer Surcharge 38.$O
Address JL-4!D $#66T Police Plan Review 182.
Fire SAC 575
CitylZip Code WL.~ Engr Water Conn S~o.
Planner Water Meter ~3.5°
PhoneAll, Council Road Unit 290•
Bldg Offgc- Treatment Pl 156,
Arch./Engr. APC Parks
Variance Copies
Address 'fOTAI.
City/Zip Code
Phone #
NOTE: 9DD8SS5SS FOR CORNER LOTS - CONTRACTOR/HOAISOWNEB MDST DE3IGA9TE iiHICH ADDRESS
I3 DFSIRED. NO CHANGSS HILL BE ALLOSiED ONCE BUILDING PERMIT IS ISSUED.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178722
Date Issued:08/31/2022
Permit Category:ePermit
Site Address: 2116 Vienna Lane
Lot:014 Block: 002 Addition: Vienna Woods
PID:10-81950-02-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Blair S Dack
2116 Vienna Ln
Saint Paul MN 55122--232
(651) 686-4429
Presidential Construction
6885 Sycamore Lane N, Suite 220
Maple Grove MN 55369
(763) 238-4709
Applicant/Permitee: Signature Issued By: Signature