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2004 Vienna Lane
CitytyofEaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED JUN 15 2011 Use BLUE or BLACK Ink i Permit #: Permit Fee: Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION Date: (� i ( Site Address: 2c, C. �I \ I c_ n r C— q Tenant: \--'1 Ol �' �'� / /`-) r< 0 r a kc"-. Suite #: RESIDENT / OWNER Name: ? eiLs-tr e v 1G. U rct lt`Phone: I 1 Z- 619-697 Z. - Address Address / City / Zip: 2 C) U V . c_n en n_ f—NC CONTRACTOR Name: Address: State: Contact: 18121 7241109 License #: RESIDENTIAL HEATING &AIR,'NC.city: 1815 East 41st Strut, Supe A. Zip: MinneaPOUr MN -5S4071425 TYPE OF WORK New )(; Replacement Description of work: n c. Additional Alteration C;ooc)rk0.ex Demolition 30 Ito c A) 32( PERMIT TYPE RESIDENTIAL Furnace ,Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank (_ Install / Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $53© TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal $55.00 Minimum (includes State Surcharge) OR - If the Permit Fee is Tess than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% _ $ Permit Fee = $ Surcharge = $ TOTAL FEE CALL BEFORE YOU DIG. CaII Gopher State One CaII at (651) 454-0002 for protest • n against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstate n call.orq I hereby acknowledge that this information is complete and accurate; that the work will b i conformance Eagan; that I understand this is not a permit, but only an application for a permit, and work is to start wit with the approved plan in the case of work which requires a review and approval of plans. Applicants Printed Name Applica dinances and codes of the City of t; that the work will be in accordance ignatu FOk SALE U'rJ I T CITY OF EAGAN 116S7 3830 PUot Knob Road, P.O. Box 21-159, Eagan, MN 55121 ``t ~ PHONE 454-8100 ` BUILDIlifG PERMIT Fieceipt p 7o pe used for 1/2 DUP & GAI}gt value $62, 000 oate MARCEI 20 '19 $ 6 SiteAddress 2006 VIF:NA3A LN Erect IJK Occupancy R3 Lot I elock 2 Sec/Sub. RAHN RIDGE Remodel ? Zoning Pn Parcel No. Repair ? Type oi Const-- u a AddlGon ? No. Stories W Name H•GRACE CORP Move O Lengm q.,~ ~ 7 L.'~COTA LN Demollsh ? Depth ~ Address Int Impr. ? Sq. Ft. 45 city BURNSVF444E 890-4028 Instell ? o Name SME APprovab F"a $'4 Address Assessment Permit +r' 31 9. 0 0 City Phone Water & Sew. Surcharge 31.00 Police Plan Reviewl 5.9 - 5 0 W W Name 1-= Fire SAC 575.00 ~ n Address Eng. Water Conn..~` Q. 0 0 City Phone Planner Water Meter63• SO Council Road Unit 290.00 1 hereby acknowledge that I have read this application and state that the Bldg. Off. 3/20/$ Tr. PI. 156.00 information is correct and agree to comply with ali applica Stete o} Minnesota Statutes and City Eagan Ordi74. s. APC Parks Signature of Permittbe ~ Var. Date Copies ~ ~ Total $2,094.00 A Building Permlt is issued to: B.il . GRA&E CURP on the express condition Mat all work shall be done in accordance with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. Buliding Oificial x ~ 0444 G IL ~ I f ~ 4 ~ , s I~ • PERMIT N PLUMBIN(i PERMIT RECEIPT Ik CITY OF EAGAN ' ~~~G~ 3830 PILOT KNOB ROAD, EA(3AN, MN 55121 DATE: CONTRACT PRIC PHONE: 454-8100 Site Address ~a'0 / e 27 ;2 BLDG. TYPE WORK DE$CRtPTiON Lot Block S ub t Res. New m Name F.0 y'q 57C r Mult Add-on Addr P . Comm. " Repalr c City /Ch f' Phone '9"'- f If J Othar ` f, L ~I~Bath FIXTURES TO AL ~ Name • Water Closet - $3.00 c Addr ~0 a c G ~ Tubs -$3.00 p C~y ~~r~ r» s l~ /LL f' Phone =Lavatory -$3.00 Shower - $3.00 FEES =Kitchen Sink - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00 Laundry Tray -$3.00 MINIMUM - RESIDENTiAL FEE - $10.00 Floor Drains -$1.50 MINIMUM - COMMIIND FEE - 20.00 Water Heater - $1.50 STATE SURCHARGE PER PERMIT - •50 Whiripool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES =Gas Piping Oudets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: .s a FOR: CfTY QF EAGAN GRAND TOTAL• ~ • • 4 ...,rr'. ' . . , PEanniT 6 °Pa CITY OF EAGAN FEE ~ ~ MECHANICAL PERMIT P-17 RECEtPT # 454-8100 S/C MINIMUM RESIDENTIAL FEE - $10.00 + 41.50 TOTAL DATE MINIMUM COMMERCIAL FEE - $20.00 +:.SO ~ • 1. Bldg. Type: Res ~ Comm Inst New Add Alter Repair i ~ r I 3. Total Bld Price 4. Job Address ~ V~?J?~34 ~-a II , I Lot ~ Block ~ Sec 5. Owner Js 61, u• C.O. 6. Contractor ff4,Tf O ~ 1c 1 4I`/C I No(Vb?A?jd A ( r- rkcY Pt i U i LAI.t S -S 1 7 L, ; (Name) {Streep (Ciry) (Zip) 7. Contractor Phone ~k y~~ 7- ~!a y ' RESIDENTIAL NEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU'e or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or frection -$6.00 ~ ` ` • MODIFICATIONS/ALTERATIONS -$10.00 minimum fee x- HEATING 2" VENTIIATING HOT WATER STEAM ~ AIR COND. eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS - $1.50 TANKS: LP. UNOERGROUND OTHER COMM./ ~~~~ID PRICE PLUS =SO STATE SURCHARGE FOR EACH 51,000 OF FEE. Signed: for Approved Inspections: Date Rough Insp. Dste Final Insp. _ P . ~~•o~ UNj`t CITY OF EAGAN 3830 Ppot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE 454-8100 ~ BUILDING PEAMIT Receipt S Tobeuaediw 1/2 D U P 6 Gi~tvaIue $61, OOU Date ~'VLtCt1 20 19 t36 ~ SiteAddress 1004 VIr.Nt1A 7,N Erect Occupancy R3 Lot ? Block L Sec/Sub. RAHN RIUGC Remodel Ll Zoning pj) Parcel No. Repair U Type o( Const t= Addition ? No. Stories W Name B.H. VRACE CORP Move Length 4 2 = 180 7 LAC07 A LN Demolish ? Depth 46 o Address Int Impr. ? Sq. Fr City BURNSV4t&X 890-4028 Install ? ~`'~E Approvals F~s Name S Address Assessment Permit $ 316.00 City Phone Water 8 Sew. Surcharge 30.50 ~ Q Police Plan Review 15 8. 00 w = Name Fire SAC .575. U 0 u a nddress Eng. Water Conn. 50(1 • 00 i W Ciry Phone Planner Water Meter63. 50 Council Road Unit 290 . OU I hereby acknowledge that I have read this application and statothat the Bldg. Off. 3/2 O/ 8 Tr. PI. 156.00 in}ormatlon is correct and agree to comply wlth all appli e St~te oi Minnesota Statutes and City pt,f~apan Ordinaneeft. ~ / APC Parks Signature of PermiNee /`j , ~ Var. Date Copie ~ Totel , . 0 U A Buildin Permit is Issued to: B. H' GR CE CO 9 on the express condition that all work ahall be done in accordance with all applicable State of Minnesota Statutes and City oi Eagan Ordinances. Building Oflicial -A- l .~a •Ad Nom - -G •ew,i 4-a . -4 ~ • ~ '**o voo / • PJ7'j 9f ~ - ~ 'eae ~ 07;37-daw pw:l ~ Kwe •~ui~ • '*:Owfv Insul o /-1°' . 'dIN 46-N , - L' '641d 46ooy - aMMoH ~St buKuuj uowwnod 11 souRoad ~ ~tI G&+pood qwwwoo •dw~ pe0 uop"dwl AWD1108 r ~ ~ L s o1pa19 -17 L i '0:1/'A'N 6Mqwnld M ~I~Ml ~IW ~PMM IMU*d 'oli Nw+M PERMIT {k ' • ~ PLUMBINQ PERMR RECEIPT 7 ~ qTY OF EAGiAN . p s 3a30 PILOT KNOB ROAD, EA~iAN. MN 55121 DATE: ' CONTRACT PRICE PHONE 454-8100 Sfte Add(ess a- BLDG. TYPE WORK OESCRIPTION Lot Block C2 Sec1$~b Res. New m Name 3> X - 1 ~ • Mult Add-on Address Comm. Repalr C(ty,C~'/<-'12 Phone ,;__'O ~j 5 l Other e NQ. FiXTURES TO AL Name • • o~ Water Closet - $3.00 " 3 Address _,Z-Bath Tubs - $3.00 - o City s ri.lL C Phone 90' v v -~~vatory - $3.00 Shower - $3.00 FEES ZKitchen Sink - $3.00 ~ COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00 Laundry Tray - $3.00 ~ MINIMUM - RESIDENTIAL FEE - $10.00 Floor Orains -$1.50 3 MINIMUM - COMM/IND FEE - 20•00 f_Water Heater -$1.50 STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00 (AOD $.50 S/C IF PERMIT PRICE GOES =Gas Piping OuUets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 ' Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PEAMITTEE FEE STATE S/C: ~ FOR: CfTY OF EAGAN GRAND TOTAL: , PERMIT N& 7 CITY OF EAGAN FEE ~ MECHANICAL PERMIT RECEIPT Jk 454-8100 MINIMUM RESIDENTI*L FEE - =10.00 + S.SO TOTAL ~ 0 ~ I DATE y~ 7 L,94 MINIMUM COMMERC{AL FEE -$20.00 + $.SO ! 1. Bldg. Type: Res ~ Comm Inst ~ New X Add AHer Repair m r3. Total Bld Price a~00 4. Job Address ~~O U, e N?Ja ~-A ?ut ~ Lot~ Block ~ Sec ~ 5. Owner A' r4 dr 4 LAL. (4. 6. Contractor sA+~.~r0 A, i2 I 9 VOI AaDP MqNj4(C QC11 rl D ~ ~~ce- 3 7 L (Name) ~ ~i' (SUeet) (CitY) (Z~PI 7. Contractor Phone ~F RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each edditional 50,000 BTU's or iraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum iee ~ HEATING VENTILATINd HOT WATER STEAM ~ AIR COND. _AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. REFRIG. J RES. GAS PIPING OUTLETS - $1.50 TANKS: L.P. UNDERGROUND OTHER i1 ~ COMM.! =RAT- TOA BID PRICE PLUS 540 STATE SURCHARC3E FOR EACH $1,000 OF FEE. Signed: 044', for ~ I Approved Inspections: Date Rough Insp. Date Final Insp. " . - F INSPECTIDN RECUI~ - ~,t~ No: _ ~ CITY OF EAGAN PERMIT TYPE: a'l 1I 114' 3830 Pilot Knob Road Permil Number t1111 Zs, 4 ~ Eagan, Minnesota 55123 Date issued: •1~ j 11 /97 E (612) 681-4675 - I SITE ADDRESS: a n t. i H Rnc• 1~ APPUCANT; t R86 N2t NHA tA1i! FxItMf li:XAt'r ~ FrAaiN I11100t rnit> >ff 16626 ~ PERMV ~YB~TYPE: TYPE OF WORK: c~~~~c~t~trr~~ fA4r'tA ~ t€rT~ t t NAi 777 ~ I ~ i ~ i - ~ ~ l ~ ~ ~ ~ ~ ~ ~ ~ . ~ ~ ~ ~ - . , ~ } ~ . ~ ~ ' . ~ f ~ . ~ ~ . r f! n4 . . ~ ~ , ~ _ ~ ~ ~ ~ . / ~ . . • I FoR SAI•E UNIT CITY OF EAGAN 11666 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 • PHONE: 454-8100 BUILDING PERMIT ReceiptM<' robeusedfor 1/2 DUP & GAfEst.va,ue $61,000 oate MARCH 20 ig 86 SiteAddress 2004 VIENNA LN Erect ~ Occupancy R3 Lot 1 Block 2 Sec/Sub RAHN RIDGE Remotlel ? Zoning PD Parcel No. Repair ? 7ype ot Const. 1-1 Addnion ? No. Stories a Name B• H. GRACE CORP titove ? Length 49 W 1807 LACOTA LN Demolish ? Depth~- o Atldress Int. Impr ? Sq. Ft Ciry BURNSVIII" 890-4028 Install ? a Approvale Fees i o Name SAME ~Q Address Assessment Permit $ 316.00 " Ciry Phone Water & Sew. Surcharge 30 . 50 Police PlanReview 158.00 Fw Name Fire SAC 575.00 = Address 500.00 ~ u Eng. Water Conn. a W Ciry Phone Planner Water Meter 63 . 50 Council RoadUnit 290.00 Iherebyacknowledqethatlhavereadthisapplicationandst atihe B1dg off 3/20/86 Tr. PI. 156.00 infOrmetion w wrrect and a ree to comply with all appliqqq ab~le te Mmnesota Statutes and lap Ordin APC Parks ~ Vac Date Copies SignatureofPermi ~ Total ~z~~~~ A Bmlding Permit is issuetl ro: B• H. GR CE CO an the express condrtwn that all work shall be done in accordance with plicable St o 'ni nesota Statutes and Ciry of Eagan Ordinances. Building Otticial ~ FOR SALE ONIT CITY OF EAGAN A: _ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 / 11667 ° BUILDIMG PERMIT PHONE: 454-8100 Receipt M Co° 7obeusedlor 1/2 DUP & GAREst.Value $62,000 Data MARCH 20 1y86 Site Address 2006 VIENNA LN Erect ff Occupancy R3 Lot 1 Block 2 Sec/Sub. RAHN RIDGE Remodel ? Zoning PD Parcel No. Repair ? Type of Const It Addition ? No. Stories w Name B. H. GRACE CORP nnove ? Length 41 z 1 07 LACOTA LN Demolish ? Depih 45 o Address Int. Impr ? Sq. Ft City BURNSV41j~p 890-4028 Install ? i o Name S~E Approvals Feea Assessment Permit 319.00 ~ ¢ Address -31.00 " Ciry Phone Water & Sew. Surcharge ~ Police Plan Review 159 . 50 ~ F W Name Fire SAC 575.010 Address Eng. WaterConn. 500.00 ~Z . a w Gry Phone Planner Water Meter 63 50 Council Road Unit Z90.OC Iherebyacknowledgethatlhavereadthisapplicationandst747 atethatthe gldg.Off. 3/20/8 Tr.PI. 156.OC iMormation is correct and agree to comply with all apof Minnesota Statutes and Cit 1 aga Ordin es. APC Parks Var. Date Copies Signature of Perme L Total z r 09 . 0 C A Building Permit is issued to: B.H. GRAE CORP on the express condition that all work shall be done in accordance with all applicable State I Minnesota atute and Ciry of Eagan Ordinances. Building Oflicial ~ PLUMBING (RESIDEVTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date~/~Z~ Site Address 5~~,VUnit # Property Owner Telephone Contractor Address City State Zip Telephone The Applicant is _ Owner ~ Contractor _ O[her Septic S}'stem New Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes Counry fee. AddiHonal consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fxtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround 5!8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system x Water sof[ener _ Water heater $ 15.00 V replacement _ additional n $ 50 State Surcharge APR 2 9 2003 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge tha[ the information is complete and accurate; [hat [he work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a perrttit, but only an application for a perrtnt, and work is no[ to start without a pemrit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.~ A ip cant's PnntedVaine ~Applicant's Si ature ~ 5~s~3 ~ ~s,so PLUMBING (RESIDENTIAL) Permit App?ication City Of Eagan 3530 Pilot I{nob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Farruly Dwellings Townhomes and Condos when permits ace iequired for each unit Date 3 / c~1 / 03 PHONGSAVATH, PHEO 2006 VIENNA LANE Site Address EAGAN, MN 55122 Unit # (651) 405-8258 Praperty Owner - - - - Telephone # ( ) Con[rxctor NORBLOM PLUMBtNO CO. (612) 827-4033 Address City . State ip Telephone # ( ) The Applicant is _ Owner $4 Contractor _ Other Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Uni[, Including $ 50.00 _ Adding fixtures to lower fevefs or room additions, excluding water softener and water heater _ Abandonment of septic system ~ _ Water turnaround 5/8" meter if needed •$121.00) Other. _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water sof[ener X VVater heater $ 15.00 x replacement _ additional $ .50 State Surcliargc ~ nDC n 7,fl? I I Totai s f5 . SO I hereby apply for a Residential Plumbing Pemut and acknowledge that the i~ tttiY["is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permi[, and work is no[ to start without a permi[; that the work will be in accotdance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name A i s Signahzre ' RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conatruction Reauirements RemodellReoair Reauiremenb . 3 registered site surveys showing sq. ft. of lot, sq. of house; aM alI, rooted areas • 2 copies of plan (20°h maximum lot wverage allowed) • 1 set af Energy Calculations for heated additions 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site suney for exterior additions 8 decks • 1 set of Energy Calalatbns • Indicate if home sened by septic system for addi6ons ox~ 3 wpies of Tree Preserva6on Plan if lot platted after 7f1/93 • Rim Joist Detail Options selectbn sheel (61dgs with 3 or less uniLS) DATE CtZ~ I~ C-- VALUATION 1A )v SITE ADDRESS l " [(L t MUITI-fAMILY BLDG _Y ~ N TYPE OF WOtr, v r66 ~I f C~ r FIREPLACE(5) _ 0_ 1_ 2 ~ , APPLICANT STREET ADDRESS ~ CI STATE ZI d CELL PHONE # FAX # d5 TELEPHONE #6 2 PROPERTYOWNE({. ' O1-~4 a, TELEPHONE# 312 b S q 2 1 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ M[NNLSO"1'A RiJLES 7670 CA'I'EGORY 1 MINNL•'SO"fA RULL:S 7672 (J submission type) • Residenlial Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor. _ Phonc # Plumbing syslem includes: _ Watcr Soltcncr _ La«1i Sprinldcr Pcc: $90.00 Waler HcaLCr No. of R.I. Batlis No. of t3aLhs Mechanical Conhactor: Phone # Mechanic.d systcm includcs: Air Condiuoning rcc: $70.00 _ Heat Rccovcry Systcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eag rd'nance . Signafure af Applica r I OFFICE USE ONLY 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 Firepface ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 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 Width REQUIRED INSPECTIONS _ Foo[ings (new bldg) _ FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation H VAC Drain Tile Other Roof _ Ice &Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Fina] _ Framing _ Siding Stucw S[one _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Re[aining Wal] Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total l }o ~s Nd°~ 1986 B[JB,DING PERlQ2 APPLICATION - CITY OF EAG6N NOTE: ALL COHTRACTORS MOST BE LZCE9SED WZTH THE CITY OF EAGA9 C04QMERCIAL SINGLE FAIQLY Di1SLLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, i SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS~ $2,000 LANDSCAPE BOND ~~poo To Be Used For: ~ wL~- Valuation: S n nUh - Date: Z-o o4. . , Site Address a.oo^g, OFFICE DSE ONLY 'IF S<12 L ot Hlock LrF1- Erect X Occupaney (Z•'j Remodel 2oning Pp Parcel/Sub al., Repair _ Type of Const M_ Addition # of Stories Owner 1:-'~ . E~ • Llr ac e Co, _ Move Length 41L Demolish Depth 4l0 Address Int.Impr. Sq Ft Install City/Zip Code Phone 9PPROVAIS FEES Nly Contraetor Assessments Permit 31(~ Water/Sewer Surcharge 3a,r° Address I%o-? Police Plan Review 158, ;~~J • Fire SAC 5-71S. City/Zip Code `JUINSULjI.o i M,.? 5533'1 Engr Water Conn Soo Planner Water Meter b 3$D Phone 46 o z 8 Council Road Unit 2 9O. Bldg Off 32086S19 Treatment Pl 5ro. Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone # NOTE: ADDRESSES FOR CORNER IAiS - CONT@ACTOR/HOMDDiiNEB MfJST DESIGBAYE WHICH 9DDRESS IS DESIRED. HO CHANGFS ffILL BE ALLOWED ONCE BOILDING PERNTT IS ISSOED. / F~ 25x 38= '~1~x S~ - SSioo : . • . 22 ~ 20 ' 44o x 12 z j2~ x~ J= q S x i 2 = 54c~ Zo L~ Ir 1986 BOII.DING PERlIIT APP C9TIOH - CITY OF EAGAN c~ 7 ~ ,JJtS~ HOYE: ALL CONYRACTORS MOST HE LICENSED WITH THB CZTY OF EAG9H ~L C0I4MERCIAL SINGLE FA4IILY DifELLZNGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 3ET OF 1 SET OF ENERGY CALCULATIDNS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND (oZ„pipp To Be Used For:/Z Valuation:Date: Site Address z- 0 D OFFICB DSE ONLY 5ou1H ~z OF . Lot Hlock ~ Z R~ihr s,~z Erect ~ Occupaney -12,3 Remodel Zoning PC)_ Parcel/Sub 2 «Iq P Repair _ Type oF Const $-r Addition G of Stories Owner ove Length ~3 F Demolish Depth 45 Address Int.Impr. ~ Sq Ft Install City/Zip Code Phone 9PPROVALS FEFS Contractor 14. CT r.1 c P C-o -,2, Assessments _ Permit 3 I~I Water/Sewer Surcharge 31 Address Police Plan Aeview (59. S~ ~ Fire SAC 5-~51 City/Zip Code Ile ~ M.ilJ ~5337 Engr Water Conn SOO, Planner Water Meter (0 3•~ Phone S( O'~ r U L~ Council Road Unit 2RU Bldg Off Treatment P1 ISto. Arch./Engr. APC Parks Variance Copies Address TOTA, ~ u 0 City/Zip Code Phone 4l NOTE: ADDRESSES FOR CORAER IATS - CONT1tACTOR/HQM&1ftNER Mi1ST DESIGNATS i1HICH ADDRESS IS DFSIRED, AO CHANGFS WILL HE ALLOASD ONCE BQILDING PERMTT IS ISSQED. . ~ 4-X IS ' ~O x~2 - 72a 62l3« • 7714 Morpon Awnu~ gout~ Hedlund Engineering Services RICD11eId,Mlnnesota 66423 Land Surreyors Clvll EnQineera LonA Plonners Phone:868-262b Surpewifs eeaifiate - JOB N0. 86 - 7 q ~ SURVEY FOR: B.A. Grace QESCRIBEO AS: Lot 1, Block 2, RAHN RIDGE, City of Eagan, llalcota County, 1~4innesota and reserving easements of record. ~ o i9.6 9z,.a 930.4 ~ ° °r ` ~ oo m PI N pRK DRIVE ~ >zzzxa z wooocah ERST 0 WFE-~F~~ 119.51 E C4 6QUOF Q OWD9WUW 30. Q ~ 28.1 AaoUWWfZ V1 zga".aa..Hw - - ~ w>wwaow ~ i~ s w~ww~'v~i~cww w ~ ~m 4 7 OC7~fzOFZFF Z I r-N _Iq I GW Wp.c/1~-,00 axm3o"ezz Fst I ml 26 00 OQC WL~iCC~ W W ~ p(N `J ° N F0 cov~awaAA , J oq I Z- ~ Ln zol I ~ m 3 J Dr 'rBN'4y I,~ ~ N p ~ m I• 31 U1~ • 29.4 + ~ o o '(1 o Z Q Drl ?ewa I - ~ 5~~5~- ~I I ao ~ Z 20 i Z ~ L el W m I 2s ~ I LL I I ol ~ I m m I 10 N -JS U N N N! 928.7 Qz9.0 119.51 92G.3 ERSr G- CERTIFIGATE OF SllRVEY I hereby certify that on 3/12 / B6 I surveyed the property described above and thaf iha above plat is a correcf representofion of sold survey. ~ Colvln H. Medlund, Minn. Rt4 Na 5942 ! " V1999 BUILDING PERNiIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD • 55122 651-681-4675 New Conshucffon Reaulrements Remodel/Reoair ReauIremeMs ? 3 registered sMe surveys showing sq. tt. of lot, sq. fl. af house 2 coples of plan and all roofed areas (207, maximvm lot coveraae ollowed) 7 sef of energy calculaHOne for heated addMlons D 2 coples of plans (show beam 6 wlndow slzes; poured fnd. design; etc.) 1 sHe survey for exterior addMions d decb D 1 sef ot energy calculaflons D 3 coples of free preeervaflon plan M l01 plaHed after 7/1/93 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: f'i ' oor uT~O~ z2dm6F R-Mf STREET ADDRESS: O lEN G C- LOT: D~ BLOCK: SUBD./P.I.D. #:a Name: FHED Phone N: PROPERTY lasi Pird OWNER Street Address: 1&6_ (~a ~i~J~ ~tFIV{% ~ city L iTc-~T N stale: zip: ComPanY:~ / CIJ ~0 AN~~~/ Phone (area code) CONTRACTOR ~ pry~/„ ~n~~lfl~ ~ Street Address: LicenseN 2 l3 00 O b ~S~ ~f'`~fl Exp.1-3Z09 city LA1~6V state: zip: ARCHITECT/ ENGINEER Company: Name: ielephone area code ( ) Street Address: Regisiratlon City Stote: Zip: Sewer 3 water Ilcensed plumber (reaulred for new construdlon onlv PenaMy applies when address change and lot change Is requested once permit is issued. I hereby acknowledge ihat I have read this applicafion, state that the Informatlo is conect and agree to comply wifh all applicabl State of Minnesota Statutes and City of Eagan Ordlnances. 74 ~/ZF~/OEJUT _ Signature of Applicant: -42.~~/ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required ~ v OFFICE USE ONLY BUILDING PERMIT NPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling 0 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. O 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 8-plex O 15 Lodging 0 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only 0 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. (Actual) 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 SMI Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC PERMIT C°"t 0930 ~ CITY OF EAGAN PERMIT - TYPE: 3830PilotKnobRoad euiLotNs Eagan, Minnesota 55123 Permit Number: 001254 (612) 681-4675 Date Issued: 0 8/ 11 / 9 2 SITE ADDRESS: 2006 VIENNA LANE LOT: 1 BLOCK: 2 RAHN RIDGE DESCRIPTION: . , FASCIA & TRIM Building Permit Type SF (MISC.) ~Building'Work Type REPAIR \ , • / ~i] REMARKS: ~ 070 J~r 2 FEE SUMMARY: VALUATION $1,100 Base Fee $27.00 Surcharge $.55 Total Fee $27.55 CONTRACTOR: - Applicant - s7. LI pWNER: PANELCRAFT 17216628 000217 ROOT ROBIN 3118 SNELLING AVE S 2006 VIENNA LN MINNEAPOLIS MN 55406 EA6AN MN (612) 721-6626 (612)456-0490 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. 3tatutes and City of Eagan Ordinances. L - APPLICANT/PERM6TEE SIGNATURE I SUED Y: IGNATURE PERMIT N CITY OF EAGAN ~ z,~•,~,~~ kEacTivaTE _ 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE 6 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typiny of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date 8 / ~f / 2 Valuation of work /fi D Site Address: ~~i l/(LNrJq L--xJ STREET SUITE N Tenant Name: (commercial only) IAT I_ BIACK ~ SUBD. P.I.D. k 11,rU Descri tion of work: r~,4 The applicant is: ? Owner `O-Contractor ? Other (Deeeribe) Name r~,,ooT Kai~~~l Phone `l7_6 ~'~O Property LA5, ?,RS, Owner Address ZQa~ u1 E'k4lA STREEi STE I City LA04v? State /r r-' Zip Company Phone 72-/dG~,' COntreCtOf Address_Wf8 License # 696'9.179 Exp. City /~DLS State /'7•'J zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer 5 water licensed plumber . Processing time for sewer 3 water permits is two days once area has een approved. 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. Signature of Applicant: ~ ~~~j OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16•Basenient'Firr4 sh ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex O 14 Fireplace O 19 Comm./Ind. Misc. ql 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck 0 20 Public Facility O 21 Miscellaneous WORK TYPE O 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition Ep 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd fl. sq. ft. PRV Required Zoning Sp. Ft. total Booster Pump / of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code ' APPROVALS Planning Building Assessments Engineering Yariance REQUIRED INSPECTIONS . ? Site ? Footing ? Framing O Insulation O Mallboard lp Final O Draintile ? Fireplace Permit Fee Yalmtimc $ Surcharge Plan Review License MWCC SAC City SAC Mater Conn. Mater Meter , Acct. Deposit S/N Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Coptes Other Total: SAC % SAC Units QOo 6 U ; e m,ija )-a a-e.. A- 4 A R-, n rlr- ELIE CARRIER LOAo INFOIaMATION CENTER METRO AIR 19401 Prior Lake, NMinnesota 55372 OP*ION 1 OPTION 2 OP*ION 3 (612) 447-8124 1. Summer design degrees (90, 95, 100, 105, 110 or 115) (If 90, 105, 110 or 115, Item 2 N.A ) 2. Dailyrange(0°-35°) M a # 3. Wmterdesigndegrees.. . _ (PreceAe a mmus number with M) 4 Numberofwintlowpanes (1, 2 or 3 If 2 or 3, I[em 5 N.A ) 5 Stormwmdows?(YOrN) . . . . fi Windows weathersVippeV (VOrN)..... Z Four window areas start"rng wiih N or NEOrienta[ion 41 (Ex NN25N30#20N25kn, Max per side 999 sq ft) 71 N r NE 7 E rSE ~ 73S r SW 74 W or NW ~ M# NN H# B. Shadedwindowarea . (0 or sq. It Enter 0 il not applicable Max999 Sq. tt.) 9. (Oorsqea.Max:999sq iLIfO, . Items 10 & 11 N A.) 10 Door weatherstripped 9 (YorN)... 11. Storm doors? (YOr N) #M Mq 12. Fuststory perimeter 13 Secondstory penmeter Q # ~ ~ 14 Thicknessofwallinsulalion . (0, 2, 4 0r 6" hberglas Enter MA for masonry. R values, enter R, ihen value. Ex: F19) 15. Basementperimeter N N (Oorlinearft IfO,Item516,17828N.A.) 16 Basementheatetl9 (YOrN) a (If N, Ilem 17 N A ) 77. Percentabovegrade(Ex:S%=5) 18. Area of roof with exposed beams or studioceiling #M qg k# (D or sq. ft. If zero, Itams 19, 20 & 27 N.A.) 19. Woodorfiber . . (W for wood, Fforfiber II W, Item 20 N.A , II F, Item 21 N A) 20. Thicknessotfiber (1.5, 2 or 3" or R values) 21. Insulation (Y, N or R values, Y assumes 1 :5") OPTION 1 OP*ION Z OP*ION 3 22. Area of ceiling under vented roof or uncontlitionetlspace (0 or sq. It. If 0 Item 23 N.A.) 23. Thicknessof Insulation (0, 3, 6, 12 or 18" of tiberglas or R values. - Ez: R30) O N O ~ 24. Area of floors over unconditioned space (0 or sq. ft Ii 0 Item 25 N A.) ^ 25. Thickness of insulation (0, 3 or 6" fiberglas, or R values) 26. Area ot tloors over open or vented space, orgarage qM qA (0 or sq. ft H 0 Item 27 N.A.) 27 Thicknessofinsulation (0, 3 or 6" of fiberqlas or R values) 28 Basemenlarea +1 (0 or sq. it. If Item 1519 0 aklp Ihls entry.) 29. Totalheated area (sq. It.) 30. Perimelerofconcreteslab . . (0 or linear ft.) (If 0. Item 31 N.A.) 31. Thickness ofslabinsulation (0. 1 0r 2") 32. Desire0 summer intloor temperature swing `3 Nq qR RM (Value between 1 and 6 inclusive.) 33. Desiretlwinterinsidetemperature 34 Ductlocauon . . N I #I ~q (AT = attic, BA = basement, SL = slab, CR = crawl space. CO = condilione0 space) (If BA, SL, or CO, Item 35 N.A.) 35. Thicknessolinsulation 10, 1 or 2". Use 2 br 1" ngid) "REPEATDATA4" eS ~p pq ptt Yor N ,•CORRECTIONS4......................... II ihere are no corrections required enter #N If there are corrections to che data, eNer question numbec a, the new data, and #q. Ex: If no u~ he~ correcuons, enter only. NN p # #N # #p COOIING B.T.U.H. e EQUALS 90O61 pT ~S oF B.T.U.H. AT °F B.T.U.H. AT °F HEATING B.T.U.H. ~ = 6 O 8 8 Qfci f/1-~8 EQUALS y3"1~~AT °F B.T.U.N. AT °F B.T.U.H. AT °F "REPEATTHEANSWERS"(YOrN) NN g# pp •'SAVEYOURDATA?" qq p# pg Y or N; or YR## will save youi tlata and goes to beginning lor new Analysis; or NRtt# will not save data but goes back to beginning lor new Analysis. JOB NUMBER H you want to save your data CLIC assigns Job Number "STRUCTURECHANGES?" . . . If ihere are no changes reqwred enter #x If ihere are changes to the data, enter questwn number. W, the new tlata. antl qN. N kN k NN q pp Ex:25kR30#N If no further Changes, enter qtt only. NH wn gg METRC~ 'A 1R nalselivalc `I9401 Normandale• Road Pfior, Lake, Minnesota 55?7? (612) 447-8124 OPPORTUNIIY HOME 3-76 Printed ~in u.s A 838-039 . . • i 1 • _ • 1 • i • o • iza • u r 54• • 010 i •71' t • • M • 1 11 il ~ ~ 1 6 y • ~ CITY OF EFIGAN APPLICATION FOR PEE2MIT SEWEFt ADID/OR WATEFt CONNECTION (Please Print) O 1) PROPII2TY ADDRFSS: ~~G' Vti~ o~-~""'"e LE)SAL DFSQ2IPTION: (Lot Block Subdivision or Tax Parcel I.D. Ntuober) IF EXISTING STRC'CT[,'RE, DATE OF ORZGINAL BIJILDING PERMIT ISSL'ANCE: (MOn Year) PRESENT ZONING/PROPOSID USE: . R-1 SINGLE FAMILY ' R-2 DI.'PLEX ('IWn Units) R-3 TOWDIl-IOliSE (Three + Units) ( Units) R-4 APARTMF.NT/CObIDONiINIL'M ( Units) CONIIMERCIAL/RETAIL/OFFICE IAIDC'S'IRIAL INST I'Ii'TI ONAL/GOV ERPIMENPI' taanE: ~-7 S~vi/ a. 77 sd 7; ADDREss: 97a o CITY, STATE, ZIP: PHONE: g- g-9-- o"2 For City Use Np,NIE: a 17 S'O r1 9L /;7 plumbers Licens taDDRFSS : ~c? -"2 4_//a L -e _ ~ • active CITY, STATE. ZIP: G` QExpired PHONE: MASTER LICENSE # ~ 02 G j~ C=1 Not Recor Staff Initial 4) i~• NANE: ~A14 f,-o v. rDDxEsS: crTY, STATE, zzP: PHONE: 5) u M ~ • a• r~ ~ CONI=ION 'IO CITY SEWER CONNECTION 'IO CITY WATER i OTI-III2 (Please Describe) 6) u • i ~ PLEFISE HOLD APPROVID PERMIT FOR PICK-C'P BY ONE OF ABOVE C~ PLEASE MAIL APPROVID PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) 7) F 0 R C I T Y U S E O N li Y " PE.°_`tiT ISSUED ' ' F°_ES: $ jG - S C; SE7,17LD PE3}arT (I`iC,LUC° SU2CH?.RGc) +S WATER PERDtZT (ITICiuDE SliRCf:ARGc.) $ WATER METER/COPPERHORN/OUTSIDE REr1DER $ WATER TAP (INCLUDE CORPORATION STOP) $ S°:dcF T.3D =CCCi;:7 Z' - 'C'SI'= $ ACCOliNT D.F,POS IT - F]ATER $ wac $ S 7~- n c~ sPc $ TR(iViC [qAT°R ASSLSS:IF:.'T $ TFli:Jk: SEWER .iSSESSME?iT ; $ L:,TE?..,L BENEFIT/TRUVK SEi- iER $ LATc?21L BEVEFIT/TRUNK WATz'R $ /S C' U-ri WATER TREATPIENT PL,ANT SURCHARGE $ OTHER: $ TOTAL $ _5 ~ G, Ah10L'\T PAID/RECEI?T am t,/ rS'S- 4f • 15-0 L/ c 7~2 ~ DOES UTILZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES ZF YES, THEN A "PERhIIT FOR WORK WITHZV PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGZNEERZNG DIVISZON. LIST AS A CONDI- TION. SUBJECT TO TfiE FOIL6SJING CO[VDZTZONS: ~ / - APPROVED BY: TZ.LE: DAT°: • i ~ • • • ~ • i • • • i~• • u • i •r• ~ a• i • ~ • • • ~ ~i a~ ~ ~ ; ` IFEE=f, CITY OF EAGAN APPLICATION FOR PERNLiT SEWEF2 ADID/OR WATEE2 CONNECTION (Please Print) 1) PROPII2TY ADDRFSS: U/ e"77 77 a- -e T.F7:AT DFSQ2IPTION: (Lot Block Subdivision or Tax Parcel I.D. Number) IF EXISTING STRL'CT[)RE, DATE OF ORIGINAL BI)ILDING PERMIT ISSL'11NCE: Nbnth Year) PRESENT ZONING/PROP0.SID DSE: R-1 SINGLE FAMILY R-2 DL'PLEX ('Itao L'nits) R-3 TOWNHOLSE (Three + Cnits) ( Lnits) H R-4 APARTMENT/COI~IDCh~",INI['M ( Units) r~ J /f p ~ COPM~E2CIAL/RETAIL/OFFICE ~ IbIDL'STRIAL INSTI'I[!TIONAL/GOVII2AA'fENT 2) ~ NAME: G~r ~oh S~Va» S*a '>l AooREss: 5?7o0 ~U~~fLarr<<l v~-S~- CITY. STATE. ZIP: PHONE: ~ 3' 3) For City Cse .S"'wa ~ Plumbers Licens: ADDRESS: 7lv''fY~2 LV ?7cfa~~ ~[%e . C= Active CITY, STATE, ZIP: rj h fi e-L~ I•I Cf Expired PHONE: fS"~ y O a. 3( MASTER LICENSE # / v't (py C= Not Recor( Staff Initial 4 ) ~ • NAME: aooRESs: a A=& ~ah-e crTY, STATE, zzP: p~ rr, s i~~'~Le !~'i n• rxoNE: ~po ya o~ 5) • • a• ~ CONNECTION TO CITY SEWfR ~ CONNECTION 'PO CITY WATER Q OTHIIt (Please Describe) 6) u • ~ ? PLEASE HOLD APPROVID PFRMIT FOR PICK-L'P BY ONE OF ABpVE C~ PLEASE MAIL APPROVID PERNLIT TO 1, 2,30 4, P.BOVE (Circle one) , G 7) FOR C I T Y U S E ON:,Y PER.HIT " ISSUED 779 f Fr':S: $ /C~ • ~ `SF~:LR PE4MrT (I`]CL::D° SU?C`.i?RGc) . $ jG~S L' WATER PE[2AtZT (ILICiiiDE SliRCHARGn) _ $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATZON STOP) $ S::dcR TAP $ $ / ~ • r C ACCOUNT DEt'OSIT - WATER s • r ~ wac $ ~ ~.S • < sPc $ T4[iid:C WATER ASSESSi'?E:;T $ TRuc7N SEWER aS5£SSi•iENT +S L`nTE3<`,L BEiQEFIT/TBUPIK Sci•i; B $ LF1Tc.:2AL BENe.FIT/TRUA]K SQATz'4 $ C e WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL ~ $ J/• n n AMOL'\T PAID; REC°I2T 4 ~J/ 7~ sl v' DOES UTILITY CONNECTION REQUIRE EXC,aV,aTION I[V PUBLIC RIGiiT OF WAY? ~ YES IF YES, THEN A"PERPIIT FOR :40RK WZTHZN PUBLIC ROADWAY" MUST BE ISSUED BY THE ~ NO £P:GINEERING ^I`J?SICN. LIST nS A C^v:v'^ui-- TION. SUBJECT TO THE FOL•LOSJING CONDZTIONS: APPROVED BY: r-,Lt -zc TI:LE: DATE: ~f/ y I/?" ~ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 2004 Vienna Lane Lot: 11 Block: 2 Addition: Rahn Ridge PID:10- 62750- 011 -02 Use: Description: Sub Type: e - Fumace Work Type: Replace Description: Furnace Comments: Expired Perm Fee Summary: Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460 -6022 X253 PERMIT City of Eaan Closed w/o Required Inspections. Letter sent. 12/10/2008 pf Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec 952- 445 -2840 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature - Applicant - Owner: Viranga R Atukorala 2004 Vienna Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA081109 11/15/2007 ePermit cal Inspector, I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature saw' fi fL-y r ^ ",'ty'�y a l atSP �$' � Y _ fi x i �� x 1 ... : : , ,: ?,f - Ti . , � �.t^ � � !n 1Fss tiL rt' s. F 7�1P�t a k ,-r x �a� k �t�^° �uT• 1 r � .. �r� t 4+e� is 4 �i N et tso . ' Snob lbod A- - ,. N QH 8548 £ ` .12} DM ' of Units. '' ` - 4.1...,,_ o wner: , H. Grace .:: :' a t . e , rig P 11 .2* a V . , , $.4 ` Lk - _ s tir 6t? i ;Fri .00 P‘ fj j _ y _'4,e, j . a i ` / ri,. 1 1 r ( 1, � ! ..st 46 , iw' p ' t