3790 Grey Dove Lane
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Use BLUE or BLACK Ink
For office Use
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Permit 16 ,3` (10
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City of Ea
~ Permit Fee: ~ 1 I ac.5 . D ~J i
3830 Pilot Knob Road t t
I Date Received: 12CI I t-,7 I
Eagan MN 55122 I I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 l Staff t
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2013 RESIDENTIAL BUILDING PERMIT APPLICATION j,
• - - ~ 3790 7r`'? LAILI-
Date iCT-a~'t3 Site Address: 37L4 3~7,a, 377N 3775, 3')80. 3-)Sy, Unit#:
F----- ---..........e_..o.~ Name: Phone:
Resident/
I Owner i Address /City /Zip:
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Applicant is: Owner Contractor
Description of work: Q
Type of Work i ^
; Construction Cost: d Ol a0z) Multi-Family Building: {Yes / No
Company: ~~~°ta2~~f1 no>fct~ ar,' Contact: d~
I i Address: City
Contractor i z#
State: tyl A ~ Zip: 10"53 -1 Phone:
( License #`f Lead Certificate #
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: Phone:
Mechanical Contractor. Phone:
Sewer & Water Contractor: _ Phone:
1 NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
f the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that rheyare trade secrets
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protectinn aciainst underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. ,
I hereby acknowledge that this information is complete and accurate; that thr, ,r rk 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 pem-tit, stud 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 must be completed within 180
days of permit issuance.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA126511
Date Issued:08/27/2014
Permit Category:ePermit
Site Address: 3790 Grey Dove Lane
Lot:8 Block: 20 Addition: Town View 1st
PID:10-77100-20-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Andrea Preusse
4145 Sibley Memorial Hwy
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 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 -
Carole A Schrader
3790 Grey Dove Lane
Eagan MN 55122
(651) 247-4212 X2
Wenzel Heating & Air Conditioning
4145 Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
� , � �se BLUE or B
1 __j 4____�_LACK Ink
� � l ` � For Cyffice Use � 1
�1� Of�� �� �1 � ��,�#: �� � 1 r--1��, ,
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� PermitFee: ���, �.�J �
3830 Pi�ot Krtob F2oad � t
Eagan MN�5i22 /� I
G �, ��_ � t� ��.;:': I Date Received' �G�'`� 1
Phone:(651)675-5675 � .. _, , ,�„� 1 t
�ax:{651 j 6T5-5694 � StafF. I
E��� � � 2�1� �
L_________ �.r
------
2015 RESI`GEi'�1"f'tAL BIJIL.pING PERMIT APPLlCATION
Date Site Atldress:
�� ���. .,_ t7nit#:
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,� � Name: �y r� / ,..
�#F�@Sid�� � ��-r�--��.-�..C�f �"'.0 � crt��P Phone:�-�F ,�L—c�`�7-��/'�
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E�Y���= �� Address i Gity 1 Zip: � ..
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�` ' � j APplicant is: C)wner �Contractar '
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£ £��.:� �- -�..���1� F�r� � ''�
` i D�scripfibn of work:_ �� �r����,,�,.
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'�` �'' � ' Construction Gast:_�c�t�-�
Multi-Famil�r Building:(Yes /�a_�
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� �r ' Company: �
r Garrtact:���.��_�k����
����4� � �ddress: ����� -�rrnr-�t,t�M �
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: �,,�:.�M � �....., w� L�cense#:���30 7s'1`� ,_Lead Certificate#:
!f the praject is exempt from lead certification, please explain why: �
COMPLE'�E T"HtS AREA ONLY!F �QNST'l2UGTING A NE1N�U[LDING
In the last 12 months,has the City af Eagan issuect a permit for a simi�ar plan based an a m�ster ptan?
Yes No tf yss,date and address of master plan:
Licensed Ptumber:
Phone;
Mechanical Gontractor.
Phone:
Sewer 8�Water Contractar;
Phone;
Fire Su�apt�sion Gontractor.
;.�t� m EE�B(it� ��`� ��'��f��tm/�' ` - , � �
�� �.:
P'hOt�e:
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... , �:�}sf iT - �'r ��4 �.ii� ��
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. .. _,... . , . ,:� .. , <^;- ....,,.-.n£�ss �. ,... .,.. „� , r . .. ...: �.�hN
GALL BEFORE YOt�p�G, Gali�opher State pne Caif at(651}454.Qpp2 fa€protectian against underground utifit�r damage. Cap 4&ttaurs
before yau irrtend to dig ta receive locates of urrdergroun�i utitities. r�gQpherstatennecali am
��.:
I hereby adc�owledge that ttris informatron is canpfet�and�ccurate;that the work wiii be in confar�nance with the ardinances and c,�les of the Gity af
�' Eagan; that 1 understand ttiis is not a Y Pp
pemt�, but ont :an a lir,at'ron for a permit, and work is not to start without a permR; thak the work yvi�t pe in
eccorclance with tfse approved pian in the case afrn�rk which requires a review and approvai of pians:
Exte�#or work authorized by a batfding pertnft issued in aecordarece witEe the Minnespta Sta,te gu►�ding Cods must t�e completed within 18p
days of permit iss�anee.
x � ��
ARPlicant's Print�d Name X , "��
Applican#'s Srgnature
Page 1 of 3
� � r
� � DO NOT WRITE BELOW THIS LINE r��"���
SUB TYPES ���� 1:.��C'� �"'�� �-�
_ Foundation _ Fireplace _ Porch�3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
� 01 of G Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair � Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation �� Occupancy ,��'�L �� MCES System �'-'
Plan Review Code Edition �D�� SAC Units �`
(25%_100% !/� Zoning /�.-.� City Water '"
—s�
Census Code �'J 34 Stories -- Booster Pump -�
#of Units / Square Feet '� PRV "
#of Buildings � Length � Fire Suppression Required "
Type of Construction '�j�_ Width ""
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final /C.O. Required
Footings(Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
�/� Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee �� ?�
.---
Surcharge
Plan Review y'] �
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161148
Date Issued:05/08/2020
Permit Category:ePermit
Site Address: 3790 Grey Dove Lane
Lot:8 Block: 20 Addition: Town View 1st
PID:10-77100-20-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Carole Tste A Schrader - Bonde
3790 Grey Dove Lane
Eagan MN 55122
(651) 247-4212
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA168006
Date Issued:04/06/2021
Permit Category:ePermit
Site Address: 3790 Grey Dove Lane
Lot:8 Block: 20 Addition: Town View 1st
PID:10-77100-20-080
Use:
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota
State Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Carole Anne Tste Schrader-Bonde
3790 Grey Dove Ln
Eagan MN 55122
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature