2995 Burnside Ave
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: _
Fiigan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: - Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Dote Paid:
Date of I nsp.: I nsp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
ESgon, MN 55122 DATE:
Zoning: No. of Units:
Owner: o
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection Charge: r'
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
BY Misc. Charges:
Date of Insp.: Total.
Insp.: Date Paid:
CITY OF EAGAN t~ 7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be wed for Est. Value Dote I9 fi 5
Site Address 14 Erect Ocwpency
Remodel ❑ Zoning
Lot Block son/Sub.
Parcel No. Repair ❑ Type of Const.
Addition ❑ No. Stories
Move ❑ Length
69 W Name Demolish ❑ Depth
Address int Impr. ❑ Sq. Ft.
City Phone Install ❑
Approvals lees
ZH Name
Ou Address Assessment Permit y i
Water b Sew. Surcharge `
City Phone
t°C Police Plan Review
PW Name Fire SAC
ME Address Eng. Water Conn.
W < City Phone Planrwr Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and state that Bldg. Off. A r ' t; Tr. PL
the information is correct and agree to comply with all applicable APC Parks
State of Minnesota Statutes and City of Eagan Ordinances
Var. Date Copies
Signature of Permittae c 5
Total
A Building Permit Is issued to: on the express condition than
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinaries.
Building Official
Permit No. Permit Holder Date Telephone
Plumbing
H.VA.C.
Electric
Softener
Inspection Date Insp. Other
Footings 1 f1J
Footings II
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Insul.
Fireplace
Final Htg.
Final Plbg.
Final .0
Cert/Occ.
Water Describe Location:
Well
Sewer
Pr. Disp.
r
{ r CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55112 Ng_ 4850
PHONE; 454.8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date 19_
Site Address Erect ❑ Occupancy
Lot Block Sec/Sub. Alter ❑ Zoning
Parcel # Repair ❑ Fire Zone
Enlarge ❑ Type of Const.
W Name Move ❑ # Stories
Address Demolish ❑ Front ft.
o Grade ❑ Depth ft.
Ci Phone
- Name Approvals Fees
0
ou Assessment Permit _
u Address
~ city phi Water & Sew. Surcharge
Police Plan check
VW Name Fire SAC
uE5 Address Eng. Water Conn.
<W Ci Phone Planner Water Meter
Council
I hereby acknowledge that I have read this application and state that Bldg. Off. -
the information is correct and agree to comply with all applicable APC Total
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: on the express condition that
all work sholl be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit # Date I@mW PermMtee
Plumbing
Mechanical
INSPECTIONS DATE INSP. Rough-In Find
` Footings - e - Insp Dote Insp. gas,
Foundation Plumbing _
Frame/ins. 9-,/2- ~ /O /O-7 Mechanical
Final
Remarks:
CITY OF EA"N
3795 Pilot Knob Rood
Eagan, Minnesota 55122
Phone: 454-8100
PLUi:ifiil~t~
PERMIT No. 1191
8%1178 11259
Date: Receipt No.:
2995 Burnside Single
Site Address: Residential
1 Country Home Hei';r'; I
Lot - Block Sub/Sec. _ Multi Res., Comm./Ind.
Nome New/Alter. /Repair
• 13816 Holyoke Lane
Address Cost of Installation
..pple Valley 454-6873 2C.OC
City Phone: Permit Fee
Genz-Ryan
Name Surcharge
Q.
Tr 14745 :>G. t~o.,F--?.'t T"311
Address
e
City Phone: Total
This Permit is issued on the express condition that all work sholl be done In accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
' CITY OF EA"N
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
hr•ati.n; _ PERMIT No. ?7G
Date: Receipt No.:
Single
Site Address: 2995 Burnside Ave. Residential X
Lot Block i Sub/Sec. Multi Res., Comm./Ind.
Name 'r ).'Lief Builders New/Alter./Repair. 71eV
Address Cost of Installation
C"reT1i'ST10N ':7R rCn7)i°1l
City _aple Valley Phone: Permit Fee 20.00
Name r °edrickson Heati q r CO.
Q~ Surcharge
y dress "x)30 Beau ri-iv,-,
city F:cirrZ, Phone: .5
Total
This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt #
To be used for :.A6E:3 ;Est. Value ' } + Date 25 19
Site Address L'iLi:^>S r OFFICE USE ONLY
Lot 2- Block 1 Sec/Sub. On Site Sewage Occupancy
MWCC System Zonina _
Parcel No. ,
On Site wen
a Name 7 "-V: WIGI!, City Water (Allowable)
W ; a PRV Required * of Stories
3 Address
O City Phone 4.~2-2jE;i Booster Pump Length
Depth
c Name aC ` ONSTRUCYION CC) S.F. Total
C V Address r.LLT Footprint S.F.
UX
P City £I41P/1I)Itllsphone %44-544s
APPROVALS FEES
a Engr /Assess. Permit 24. i
W Name 50
Z Planner Surcharge •
x - Address
i W City Phone Council _ Plan Review
Bldg. Off. _ SAC, City
I hereby acknowledge that I have read this application and state that the Variance _ SAC. MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee _
Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official TOTAL _
F
Permit No. Permit Holder Date Telephone ik
Plumbing
j H.V.AC.
i
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isui. 'l
•
Fireplace w•tK0 -.o 047Y0 Final Htg.
Final Plbg.
Bldg. Final s
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
r
- - CITY OF EAGAN Remarks
Addition ~Country Home Heights Lot 2 Blk 1 Parcel 10 18300 020 01
Owner ~flYj+Cr~r.•: %~V 2995 Burnside Ave. Eagan, MN 55121
Street State
;i
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
,\0 SAN SEW TRUNK 1968 $100.00 3.33 30 PAID
!*P*SEWER LATERAL & Stub 1972 3234.35 161.7 20 2102-SR A006193 6.121.178
WATERMAIN
*WATER LATERAL 2 20 11 01
WATER AREA 91?
STORM SEW TRK _3 1984 495.00
STORM SEW LAT
I
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit Charge 75.00 10489 6-16-78
WATER CONN. 250.00 10489 6-16-78
BUILDING PER. #4850
SAC 6-3 ;
6-79
S00 - 00 10489 PARK
Receipt PLUMBING 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-2 BIk. Tract 6 5,
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ❑ Commercial ❑ Institutional ❑
9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 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
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CORRECTION: NOTICE
DATE: -7
(y r
Address :z 99-j- P Site Name
Owner/Agent PLf - Telephone
Owner/Agent Address
Ordinance Nos. and Corrections - Correct By 1
G rlnsP/
22 ,)Lle ~lPPp !1a c le a tt/G /I Pa P d G I G
For reinspection
Eagan Dept. of Inspection Inspector:
3795 Pilot Knob Rd.
Eagan, Minnesota 55122
454-8100 Dept.:
Ants request void 18 months from - %
Chef 'R 0666
Date of this Request %07 r 7
I, as O'Cicensed Electrical Co ractor 0Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No, City
Section Township Range County fC~l
Which is occupied by s..y~ (Name of Occupant)
Is a roughin inspection.roqui dj~tt this job? No ❑ Yes ®1 eady Now ❑ Will Call, -
Power Supplier Address
ElectricalCOntractorKENDRICK ELECTRIC Contractor's LicenA 352
(Company Name)
MaibngAddress_ [3813 HIGH DRIVE BURNSVILLE
(Electrical Contractor or Owner Making This Installation)
Authorized Signature GARY KENDRICK Phone No. 432 - 5036
(Electrical contractor or Owner Making This installation)
S{? n~ 0 nD f1''~(ltlM This inspection request will not be accepted by the
MM u M 1~®t%,t ll ~l, if State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity / / ! 0,7
1W.L.niversity Ave., St. Paul, Minn. 55104-Phone 645-7703 /
REQUEST FOR ELECTRICAL INSPECTION 'R 0696
CHECK BELOW WORK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home Ef- ❑ ❑ Range 17- Temporary Wiring ❑
Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures B
Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑
Commercial Bldg. ❑ ❑ ❑ Fuma [R~ Silo Unloader ❑
Industrial Bldg. ❑ ❑ ❑ Au Coirer - Bulk Milk Tank ❑
Farm ❑ ❑ ❑ List oList
Other _0 ❑ ❑ Re er Hthers~ nn Lz="/
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: Fee
0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes
I0I to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee
Signs Special Ins ection Minimum fee $5.00
Remarks gv' T OTAL FEE I, the Electrical Inspector, hereby certie ection has been m
(Rough-in) ,)Date
(Final) Date 7~?
This request void 18 months from v "
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. Z O
8910 WENTWOORTHAVENUE ~SOUTH • MINNEAPOLIS,, MN 55420 • (612) 881-9000 TEST RECORD
ADDRESS C~ 1g /-5' /J "L✓r~,})I oe- L (1`hJCITY E 494 Y"
OCCUPANT .5 -~-2~'e. • L~ ~7 OWNER Q-
SOLD BY INSTALLED BY
MAKE MODEL
SERIAL NO. V U l li~ li-~ INPUT cx-.
THERMOSTAT T X6b7 1'
- VENT SIZE
VALVE n 'Ly 'E_ ycyK C:+1 TYPE OF LINER 1~u'k
LIMIT
~}7 LINER SIZE
LIMIT SETTING FILTERS: SIZE NUMBER
FAN SETTING I L v,nL l WIRING 5,-+-
PILOT TYPE TEST TAG
IGNITION MODEL ee LIGHTING INST. n
PILOT TIMING I V`
DATE TESTED I L)
14 1
<0320 PRESSURE •S_ PERCENT CO, ~14 v L v ( Lti 04 I U
It II~
INPUT CFH PERCENT Oi COMPANY TESTING C• L IL
STACK TEMP. U 7 PERCENT CO y - /D NAME OF TESTER ~
FORM 235 (REV. 1989) FORM DISTRIBUTION:t.." PY - J02 FILE YELLOW COPY - CITY
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
9j a-- City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 `s --,?U
Telepbone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date /b) /C(& / 6 L1
Site Address Unit #
Property Owner Telephone # 01 ) -,14a- "lod
Contractor
Street Address t- ant'.rort1 Aea. L city
..aneapo is, NIN 542,;
( )
State (952) 891-9000 Zip Telephone #
Bond Expires:
The Applicant is Owner Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
✓ furnace -Additional 1-/Replacement DAA." ~C(41W
air exchanger -7 l
air conditioner -New -Replacement
other
State Surcharge $ .50
Total $ d ~D
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
SEDWG, : t ,,z mh ,AND. CC
Applicant's Printed Name Applicant's Signature
OC 2 1 2004
By
PERMIT
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 031729
(612) 681-4675 Date Issued: 04/07/98
SITE ADDRESS:
2995 BURNSIDE AVE
LOT: 2 BLOCK: 1
COUNTRY HOME HEIGHTS
P.I.N.: 10-18300-020-01
DESCRIPTION:
(ROOFING)
dui di{nd, ,Permit Type SF (MISC. )
8uilding Work Type REPAIR
Census Code 434 ALT. RESIDENTIAL
F
f
~ r
+aCl_5 ' a r^ E { I8`"n}~ A 4 E t }','-4
REMARKS:
FEE SUMMARY:
VALUATION $5,000
Base Fee $99.75
Surcharge $2.50
Total Fee $102.25
,
i
CONTRACTOR: - Applicant - ST. LIC OWNER:
HULKONEN HUNTER CONST 18943113 2000922 WIGHT STEVE
1004 KNOB HILL RD 2995 BURNSIDE AVE
BURNSVILLE MN 55337 EAGAN MN
(612) 894-3113 (612)452-2268
77 4
I hereby-acknowledge that 1 ',,haver read. this appp4lcatio•n and s-gate _th.at,:-tha
information is correct and agrp4e, to comply,wi.th all applicable` State of Mn.
Statutes and City of Eagan Ordinances.
ERMITEE SIGNATURE A ISSUED BT. SIGN R EE
q2q 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3 (0Z• L/
CITY OF EAGAN
451 3830 PILOT KNOB RD - 55122
681-4675
New Construction Requirements Remodel/Reoair Requirements
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (Include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior addRions & decks)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions
♦ 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes _ No
DATE: p CONSTRUCTION COST: xzn
DESCRIPTION OF WORK: o ^ t9a IV
STREET ADDRESS: 7 9CS/ Ay e-LIs c,IG
/h(kk4=-
LOT BLOCK SUBD./P.I.D. QM.:' L%kV
PROPERTY Name: 5i/ G _ Phone _a-&7b6~
OWNER _ ~T n
Street Address: duf A15e,
City: ~EA r,,,* !1/ State: M_ Zip:
CONTRACTOR Company: l,~rJ L~>7/~:✓~ vNl~e ON S7t Phone 4/2-
Street Address: l0 A/oB ih LL LL License *d2M 9,
City: vA? -State: MAI Zip: 403r33 7
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licer.ned plumber (new construction only): Penalty applies when address change
and lot change are iequested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comp y with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: r,:~22 i
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55132 N? 4850
PHONE: 454-8100
BUILDING PERMIT APPLICATION $69,000. Receipt # 10489
To be used for SF Dwlg. & G8rku Value pate June 16,_ 1y78
Site Address 2995 Burnside Ave. Erect ❑ x Occupancy 7
Lot 9 `Block 1 Sec/Sub. Country Home HghWter ❑ Zoning R1
Parcel # Repair ❑ Fire Zone 4
Enlarge ❑ Type of Const.. V
W Name Stephen Wight Move ❑ # Stories
Address Demolish ❑ Front 74 ft.
Ci Phone Grade ❑ Depth 44 ft.
Name Tollefson Bldrs. Approvals Fees
0
of Address 13816 Holyoke 1n Assessment Permit 16R. fV1 _
at- city Apple Val IsVone 454-6873 Water & Sew. Surcharge 44 50
Police Plan check
FW Name Fire SAC 500-00
Address Eng. Water Conn. 950-0
aw City Phone Planner Water Meter 60.00
Council -Road Unit 75-00
1 hereby acknowledge that I have read this application and state that Bidg-Off,
the information is correct and agree to comply with oil applicable 1 0R7 - 50
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee
A Building Permit i5 issued t Tol l efson Bldrs. on the express condition that
all work shall be done in rdo wit al applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
tk-
in
.a i 11\
n1TE 9 7b'
}r BUILDING PERMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
To be used for All Valuation
' Site Address.
Lot Block Sec./Sub. Parcel Nwnber /
Owner Telephone
Address
Contractor d f Telephone
Address 3 /
Arch:/Eng. Telephone "
Address
OFFICE USE .
Erect Occupancy L-
Alter Zoning/
Repair Fire Zone
Enlarge Type of Const.
Move # of Stories
nemolish Front 7
Grade Depth
OFFICE USE
Date of Approval & Initial FEES
Assessment D"~61 • Permit
L
Water/Sewer Surcharge 3 S "
Police Plan Check
Fire SAC f0
Eng. hater Conn. ~.S
Planner %7a r ter ~cG
Council C
Bldg. Off.
A.P.C. TOTAL
e
Tollefson Builders Inc. Or.10873-~
183-28
F. C. JACKSON
LAND SURVEYOR ~v
10
c
R[GI [RED UNDER LAW[ OF STATE OF MINNESOTA >
UCXHS[D BY ORDINANCE OF CITY OF MINNEAPOLIS Yl
3 EAST 55TH 9TREET55417 727-3484
051 ` ~ 1/• l X
~srii 'g QCcrtiticatr ~ y
u
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ITT
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o •=.LION
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• ~X/STI n~ F~~Y~!/IONS
1 HERESY C[~PY-TNLT ?~1[ D CORRECT PLAT CF A SURVEY OF
Lot 2,Blotk 1,Country Nome Heights,
Dakota County,Minnesota.
As SURVEYED BY ME THIS 17th. DAY of May „ D 1978
i
SIGN[ "
F. C. JACK N. MINK [SOT R 1ETRATION. No. 3600
~c~, SC'~A~ > C:'.l Cr' ii ♦ L C ~f! ' T.QF'{ 1T r
L~ ~13J^ 5 115 s.t3 Z?_1`M
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x~'}.y~y X Y', k 5 Y y < ~ t i ~ e
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-..t•..m..a771w:4~... _„~~.cK;~,.,.~ :.~.~,.s:r,::«~'„~t,:,v...:m::~s,n~.~,.__..ai.urx..•.. m3a~..+.•.da.m.;
CITY OF EAGAN 10 7 2 6
3830 Pilot knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used fee DECKS Est. Value $16,100 Date AUGUST 6 19 85
Site Address 2995 BURNSIDE AVE Erect ® Occupancy
Lot Block 1 cec/Sub. COUNTRY HOME HTS Remodel ❑ Zoning
Repair ❑ Type of Const.
Parcel No.
_ Addition ❑ No. Stories
STEVE WIGHT Move ❑ Length
e Name
W Demolish ❑ Depth
$yz Address SAME Int Impr. ❑ Sp. Ft.
City Phone 452-2268 Install ❑
Approvals Fees
o Name SAME
99 U Address Assessment Permit $122_50
City Phone Water b Sew. Surcharge 8- 50
Police Plan Review 61.25
k Name Fire SAC
ME Address Eng. Water Conn
iW City Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and state that Bldg. Off. 8/5/89 Tr. PI.
the information is correct and agree to comply with all applicable APC Parks
State of Minnesota Statutes and City of Eagan Ordinonces.
_ ry / ' ' Var. Date Copies
Signature of Pemnittae W~ Total $192.25
A Building Permit Is Issued to: STEVE WIGHT an the express condition than
all work shall be done in accordance wit ~bl St to of I and City o9 gon Ordinances.
Building Official
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
tL / 1 SET OF ENERGY CALCULATIONS
To Be Used For:j Valuation: f(T Date: -z- p~
Site Address: Zn! OFFICE E USE ONLY
Lot; ? Block Sect/Sub rect k Occupancy
Remodel i Zoning
Parcel Repair Type of Const
Addition # of Stories
Owner Move Length
7ff 4,C _ Demolish Depth
Address
Af C Int.Impr. i Sq Ft
Install
City/Zip Code
Phone APPROVALS FEES
Contractor ~JGK Assessments Permit ?Z
Water/Sewer Surcharge 8.S-°
Address Police Plan Review ,ZS
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone Council Road Unit
Bldg Off f f Treatment P1
Arch./Engr. APC Parks
Variance Copies
Address TOTAL S-
City/Zip Code
Phone #
PHONE 454.8100 -
CITY OF . EAGAN
I , 9798 PILOT 'KNO6', ROAD
` - '..EAGAN. MINNESOTA `
( - 86128, ,
November. 1'8, 1977
Mr.. Jack Loewon
9101 Penn Avenue South
Minneapolis, MN 55420
re.: 'Lot 2, Block 1 Country Home Heights
Dear Mr..Loewen:
The Eagan City Council at their meeting
of November 1, 1977 denied your request
for a waiver from the platting requirements
on the above referenced single family lot.
If you.have any questions,. please feel free
to call. me.
Sincerely yours,
(Mrs.). Alyce Bolke .
Eagan City Clerk
a
,rte--~~-~--- r
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 N? 15663
Q77'7':;1-,
BUILDING PERMIT PHONE: 454-8100 Receipt x U
To be used for FIREPLACES (2) Est. Value $1, 000 Date SEPTEMBER 29 _19288
Site Address 2995 BURNSIDE AVE OFFICE USE ONLY
Lot 2 Block 1 Sec/Sub. COUNTRY HOME HTS on Site Sewage _ Occupancy
MWCC System Zoning
Parcel No. On Site Well (Actual) Const
Name STEVE WIGHT City Water (Allowable)
W PRV Required n of Stories
3 Address 2995 BURNSIDE AVE
0 City EAGAN Phone 452-2268 Booster Pump Length
Depth
Name FIREPLACE CONSTRUCTION CO S.F. Total
o
0 a Address 7365 BAGPIPE BLVD Footprint S.F.
City E-DEN-R-RAIBIEPhone 944-5496 APPROVALS FEES
w Permit 24.00
Engr./Assess.
w w Name
i Planner Surcharge .50
z - Address
a W City Phone Council Plan Review
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance _ SAC, MWCC
information is correct antl agre o co ply lh all placable State of Water Conn.
Minnesota Statutes and t ga Or
Water Meter
Signature of Permitte ~ L~. Road Unit
A Building Permit is issu''ed to:- FIREPLACE. CON$TRU=ON_ Treatment P1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
! TOTAL 24.50
Building Official ~_p vl~A ixe_-
>t
r
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS /5 V L41
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 11 SET OF ENERGY CALCULATIONS SEpP 2 b C1988C p
To Be Used For: P 4Ces Z) Valuation Date: / -,2 O (1
Site Address 299y' .6;,rne/c/e 1pue. OFFICE USE ONLY
/bow
Lot Block On site sewage- Occupancy
1~ MWCC system Zoning
Parcel/Sub Lb(Un l41 Rft,, L, On site well Actual Const
City water Allowable
Owner S {-e Ue Lt) 1, q U~ PRV required # of stories
pp Booster Pump Length
Address A99; D4unS//'e Depth
S.F. Total
City/Zip Code Footprint S.F.
Phone 1'I6 ,2 .1-,;2 APPROVALS FEES
Contractor FI rq),, P Cou9t, (o. Engr/Assess Permit 'Ly,no
q Planner Surcharge So
Address 7365 ~nq 0.fep 61ui~ Council Plan Review
Bldg. Off. SAC, City
City/Zip Code e j, 6- 3S!6 Variance SAC, MWCC
Water Conn
Phone Z/y rj 9 0- Water Meter
Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies
TOTAL
City/Zip Code
Phone #
daft-
I FarOfficg"Usg
Permit
City of Eap ' X35.
1 Permit Fee:
3830 Pilot Knob Road I q I
Eagan MN 55122 Date Rece edf) ! ! S j
Phone: (651) 675-5675 1~ 1
Fax: (651) 675-5694 0('P • 2'n eatnCL I Staff: I
2008 RESIDENTIAL pBUILDING PERMIT APPLICATION
Date: Site Address: / J 5 L~ G r /1 S i c ~e 40il Z__C' r~ r.
Tenant: 2 f re Suite M
RESIDENT OWNER Name: Phone: four ~~St/-r]03
Address/City/Zip: ~y` ~S i~rt srck sZ 46lz
Applicant is: _X_ Owner - Contractor
TYPE OF WORK Description of work: ~Gw Cotr-s ?r. c r,`c R &,1 c, e--
Construction Cost: Multi-Family Building: (Yes _I No
CONTRACTOR Name: -5- e-- / -,4 License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(J submission type) • Energy Envelope Calculations Submitted
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:
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 the are trade secrets. s fi
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.
r
x 22rrt/ `Pr G1. x -
Applicants nted Name Applicant's Si ature
Page i of 3
DO NOT WRITE BELOW THIS LINE
f
SUB TYPES
❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool
❑ Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. Alt. - Multi
❑ 01 of - Plex ❑ 07-plex Garage ❑ Porch (4-season) ❑ Ext. Alt. - SF
❑ 02-Plex ❑ 08-plex ❑ Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc.
❑ 03-Plex ❑ 10-plex ❑ Lower Level ❑ Storm Damage
❑ 04-Plex ❑ 12-plex ❑ Miscellaneous
WORK TYPES
New ❑ Interior Improvement ❑ Siding ❑ Demolish Building`
❑ Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior
❑ Alteration ❑ Fire Repair ❑ Windows ❑ Demolish Foundation
❑ Replacement ❑ Egress Window ❑ Water Damage
Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation Occupancy MCES System
Plan Review Code Edition ~p SAC Units
(25%_ 100%~3 Zoning City Water
Census Code 4114 Stories Booster Pump
# of Units ~T Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. _V4- Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size:
Footings (deck) Final/C.O.
Footings (addition) Final/No C.O.
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace:-R.I. _AirTest -Final Windows
Insulation Retaining Wall
Reviewed By: Building Inspector
- - - - - - -
RESIDENTIAL FEES;
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
ter«lEB£i13 - t -
89~28
F. C. JACKSON
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kata Wunty,MinneeM.
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,
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Permit* City of Ea an
E I Permit Fee:
3830 Pilot Knob Roast 1 I
Eagan MN 55122 Date Received: _ j
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~jtG'1 Site Address:
Tenant: Suite
RESIDENT /OWNER Name: ! `y / , z::- P/h~one:
Address /City /Zip: `i ~i ~`rt yJ 5 r G~ c 'T
Applicant is: IX Owner Contractor
TYPE OF WORK Description of work: t V! e
`i l r n i c ; yt chi ~r s'
Construction Cost: Multi-Family Building: (Yes / No )
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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:
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 the are trade secrets.
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.
x x - -4
Applicant's Printed Name Applicant' Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA118666
Date Issued:11/06/2013
Permit Category:ePermit
Site Address: 2995 Burnside Ave
Lot:2 Block: 1 Addition: Country Home Heights
PID:10-18300-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Chris Grant
19700 Embers Ave
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 -
Terry D Teich
2995 Burnside Ave
Eagan MN 55121--135
(651) 336-9385
Grant Heating & Air Llc
19700 Embers Ave
Farmington MN 55024
(651) 226-0515
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151314
Date Issued:08/20/2018
Permit Category:ePermit
Site Address: 2995 Burnside Ave
Lot:2 Block: 1 Addition: Country Home Heights
PID:10-18300-01-020
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Terry D Teich
2995 Burnside Ave
Eagan MN 55121--135
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(952) 895-8100
Applicant/Permitee: Signature Issued By: Signature