2976 Burnside Ave
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I
f CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 '
SITE ADDRESS: APPLICANT:
t-t1li;0 , i iIi Avt ma1:101r i ir 1 .44: 1 ?:11N
PERMIT SUBTYPE:
TYPE OF WORK:
A1 It t;ll) ir1Fd
Permit Holder Date Telephone 1t
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
corvoucrIvirv
TEST
HYDROSTA7IC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK F1NAl
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189;
(612) 681-4675
INSPE
RECQRD-
PERMIT TYPE:
Permit Number:
Date Issued:
fill ! i !1 ! tll+
s'sa »4
04 !Q?7 1 9ii
SITE ADDRESS: 1, oT,
. :'$11INSTnE avF
? ? t? r ?: •; Vi r+ M t N#" 1 (MT S
I PERMIT SUBTYPE:
I I . ', I. iNt.i
TYPE OF WORK:
:t'FPATN
a,? ?? ; I• t i??s'i t 1400f'iNf3)
h1?
APPLICANT:
i ?1!at N ;1111?! 1 ! i
(61:'I 89 4-:4.113
?
-_J
?
Permk No. Pe?mR Holdor dete Telephone 8
ELECTRIC
PLUMBING
HVAC
Inspection Data Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATINQ
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
IN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
iINTRY ?I?M1: ?; Ni Itll11 ?? PERMIT SUBTYPE:
?
TYPE OF WORK:
, • , ,: 1 ,. l
RFparR
t RnoF rNG y
rtOM-twr,
?
,
--------------------------------------------
N
:CORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
Portntt No. Permit Holder Data Telephone #
ELECTRIC
PLUMBING
HVAC
Inapsctlon dato Msp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
RDUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
CiAS SVC
TE3T
INSUL
GYP BOARD
FIREPLAGE
FIREPLACE
AIR TEST
FINAL PLBC3
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK Ff0
DECK FINAL
r-i I
INSPECTI4N RECaRD
CITY OF EAGAN PERMIT TYPE: '++ 1 1 (" "''
3830 Pilot Knob Road Permit Number.
? Eagan, Minnesota 55122-1897 Date Issued: '''. ?•' ?
(612) 681-4675
SITE ADDRESS: APPLICANT:
I )fkN'. !t?t AVI
IiE 1 tilt ( `;
PERMIT SUBTYPE:
TYPE OF WORK: s
? r-PA zij
.., , , ,: : , '.H , KOnfiNO)
_
..
_ J
Permk No. Partnit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING D .T cL, ,,?1
6 fl
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYP BOARD
FIREPLACE
FIREPIACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDC3 FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
OECK FINAL
FF EAGAN
1 WATER SERVICE PERMIT
3
95 Plfot Knob Rood PERMIT NO.:
Epgon, MN 55122 DATE:
Zoning: No. of Units:
Owner;
Address:
Site Address:
Plumber:
Meter No.: Connection Chorge: - ' ?
Size: Account Deposit:
Reoder No.: Permit Fee: -
1 agree M eomply with the City of Eagan Surcharge:
Ordinanees. Misc. Chorges:
Total:
gY Dote Puid:
Dote cf Insp.: _ Insp.:
W OF EAGAM
3795 Pilot Knob Road
Eogun, MN 55122
Zoning:
Owner: _
Address:
5ite Address:
Plumber: _
I ogree to aomplp with the City of Eogon
Ordieances.
By
Dote of Insp.:
I nsp.:-
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Chorge:
Account Deposit: _
Permit Fee:
$urchorge:
Misc. Charges:
Total:
Date Poid:
I
N° 5171
BUILDING PERMIT Receipt
To be used fa F r-1ra!C-,T-'• Est
Value Dot e , 19
.
5ite Address -., iT'7'?Slc?e it7h-:':Lv Erect X] Occupancy
Lot Blo
k ? 5
c/5
b Alter ? Zoning
c
e
u
.
Repair ? Fire Zone
Parcel #
E
l e of Const
T
n
orpe ? .
yp
a
C Name --- 7-'• Move ? # Stories
W
z
Address `•'11.??.T".? ? r,f r?
Demolish
?
Front .
ft.
Grade fl Depth ft.
?
r_ Approvau
Na
rees
0 me
Assessment Permit
??
?" Address
Water & Sew. Surcharge
Ci Pho?
Police Plan check
?
?W
W Nome Fire SAC
??
Eng.
Address ,
Water Conn.
?W Ci pha? " ? Planner Water Meter
Council
I hereby ccknowledge thot I hove read this opplication and stcte that gl
pff n
,
_
the information is correct and agree to comply with oll appiicable A? Total
Stote af Minnesota Stotutes and City of Eagan Ordinonces.
$ignature of Permittee
A Building Permit fs issued to:
all work shall be done in acco
CITY OF EAGAN
9795 Pilof Knob Rood Eayas, MN 55122
PHONE: 454•8100
on the express condition thot
Stete of Minnesota SYatutes and City of Eagan Ordinonces.
Building Official
ParwM # pah lawd IWwltfN
Plumbing / 3 44? 600-1 -
Mechonicol ,Q/0,
INSPECTIONS DATE INSP. Rouph-in Finol
Footings /. -? Dare Inw• Dote irnp.
Foundotion •L• 7 _ Plumbing
Frame/ins. -? Mechaniool . p -
Final
I I
Remerks: 7 f
/Cq?* f/dA ? - ?erIp
r .t
PiLTio
/J40 44 rac?
e o•x b . ot. ?'R
oc Xd,
CITY OF EAGAN
3795 Pilot Knob Roed
Eagae, Minnesofa 55122
Phone: 454-8100
PLFlM11`r,
Dute:
5-21 79
PERMIT
Site Address: 7-q76 PAIrmU2 AvwE]E
No. I3r'. 6
Receipt No.: 1396I
Single I
Residential x
Lot Block ? Sub/Sec??? I'?e '?1"?'t" I Multi
Nome Will-12511 himn New/Alter./Repair. 3 Address rygJ7 VZ?S Z"'?
Cost of Instollotion
O
r:aC.-A1 r5?.?a 4''.4--457! 0n
City Phone: Perrnit Fee
Name
? Surcharge
?
? Address
e
e
c7 :+ n
City Phone: Totol .
This Permit is issued on the express condition thot all work sholl be done in accordance with oll applicuble State of
Minnesoto Statutes ond City of Eagan Ordinances.
Building Officiol
?
, . CITY OF EAGAN
' 3795 Pilot Knob Road
Eagan, Mlnnesoto 55122
Phone: 454-8100
7
PERMIT No.
Dote: :i-` 1"79
Site Address:
2976 Buznsir3e Avenue
Lot Block Sub/Sec ?? ? ?iC?it"S
Nome 1111r3; . . _ : _. .
. •±?? ?,, S
e Address -`
?
City Phone:
Name
?
g Address
e
0
U
City Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Statutes and City of Eogan Ordinances.
?. .
Receipt No.:
Single I
Residential ?-
Multi Res., Comm./Ind. I
New/Alter./Repair. Cost of Insiallotion
.?"• . ?(1
Permit Fee
-, ?
Surcharge
Tota I
done in accordonce with all applicable State of
Building Officia)
CITY OF EAGAN Remarks
Addition Country Home Heights Lot 7 Rik _
Owner- Street - -- ' -u? ? J
10 18300 070 02
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
Hb SAN SEW TRUNK 1968 $100. 00 $3.33 30
1 SEWERLATERAL & StLib 1972 2416.40 $120.82 20
WATERMAIN
WATERLATERAL & StUU 1972 20
WATERAREA . p0 a 5 _a0_ b
STORM SEW TRK ?j 1984 495.00 33.00 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 75.00 13961 -24-79
WATER CONN. 270. QQ 13961 -24-79
BUILDING PER.
SAC
PARK
w void 18 months from -:F -/
Date of this Request 5278
?- ?$? -? C
I, as ? Licensed Electrical Contractor Wwner, do ereby request inspection of the above electri-
cal wiring installed at: L7 $ a } L,,, _, , ],?t?
Fly ?-.?.?'
Street Address or Route No. 7?/ 76, ? vr n S?' A ?e- City JiZ,
v
Scction Township Range County ,,Dm% rq
Which is occupied 6y
Is a roughin inspection required on this jo6? No ? Yes K Ready Now ? Will Call Gq
Power Supplier -/Y, . .? JU AdUress
Electrical Contractor
Contractor's License No. _
MailingAddress 5-0.?-1- \/," ,q .L .df-?4 ?5".S J,;21
(Electrlcal Con t o ? Owner Making Th15 Ins Ilation)
Authorized Signature f? ??_ _ Phone No. y?? z
(lectrical Contrac[or or Owner Making Thls Installatlon)
f?j? no (? p This ins ection re uest will not 6e ecce ted b the
State Boerd unless proper inspection fee is en losed.
Minnesota State Board of Electricity
WRLIEGUEST niversity Ave., St. Paul, Minn. 55104-Phone 645-7703
FOR ELECTRICAL i711SPECTION
CHECK BELON' WOAK COVERED BY THIS REQOEST
/ -d-AnP --G, 7
R 527s
Type of Building New Add. Rep. Check Appliances Wired Foi Check Equipment Wired For
Home ? ? Range ? Temporaiy Wiring ?
Duplex ? ? Water Heater ? Lighting Gixtuces ?
Ap[. Bldg. ? ? ? Dryei ? Elec[tic Heating ?
Commereial Bldg. ? ? ? Pumace
k Silo UNoader ?
Industrial Bidg. 0 ? ? n
? Bnd3' ?et TM;S ?"a
'
,. Bulk Milk Tank ?
Farm
?
?
? ,A r ?
, ...,
- t•') Lis[
Othet
0
?
? thoi
ete f ptheis
Here
COMPUTE INSPECTION FEE BELW
Setvice Entrance Size: n Fce FeedersdSu6feeders: Fee Ciccuits: u Fee
0 to ] 00 Am s. S? 0 to 30 Am eres 0 to 30 Am res
101 ro 200 Amps. 31 to 100 Ampetes 31 l0 100 Am res
Above 200_Ainps. Above 100 Amps. Above 100_Amps.
Transformers Remote Contcol Circ. Pactial or othec fee
Signs Speciai Ins ectio Minimum fee $SA
Remazks ?p
3/ ?- TOTAL FEE .t??
I,the Electrical Inspector, hereby
(Final)
This request void 18 months from
has been made.
Date
1 6- ??-7y
llate ?- la- f D
U
?
F
N° 5171
BUILDING PERMIT APPLICATION Receipt .#
To be uxd for SF DWlg & Garage Est. Value 55, 000. oate 4-24 , 1 g 79 _
Site Address2976 Burnside AveriUe Erect 43 Occupancy R3
7
HQ[IE HYS
2
CtrV Alter ? Zoning Rl
.
Block
Sec/Sub.
•
Lot
oir ?
Re Fire Zone
Parcel # p
Eninrge ? Type of Const. V
w Nome William Adam Move ? # Stories
3 Address 2857 Vl?.dY Ix7ile Demolish ? Front 59 fr•
° C? Eagan Phone 454-5822 Gmde O DevTh 46 ft.
Approvob Fees
p Nome Assessment Permit 148.00_
Address Water & Sew. Surtharge 27.50
Ci Phone
?
Police
Plan check 74.00
?w Name S E B Ehginear5 Fire _ SAC 525.00
?? Address 1 F99 M?r+h<r RA Eng. Water Conn. 270.00
6Z C( ?Qan Phone 459-$370
W Pianner Wafer Meter 60.00
I hereby acknowledge that I have read this oppiication and state that Cauncil
gldg. Off. 12naA fii 7.00
lbgAtglS&W62.O
the infortnotion is correct'n4d agree to comply with ull opplicable AP? Total 1,241.50
s dAc? City of Eagan Oroinances.
Srom of Minnesota St
atte
?
/
SignMure of Pertnitt '--j^-^?1 GLarm-
A Building Permit is issued M: Wi1liam hg on the express mndition that
alt work shall be done in acrnrd? w#1 II licable State of j newta Statutes nnd City of Eagan Ordinances.
Buildirg Official ? ?T?G 4
cITr oF eacaN
S??
3795 Pilof Kno6 Rl Eagan, MN 55122
PHONC: %48100
r
naTE -f - 2,? '
;
BUIi,DItiG PERKIT APPLICATIOV
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energv caicuations.
To be used for 1 luation --
Site Address: 117!v
f?
Lot Block Sec./Sub. Parcel Number
.g-a'
?m
(S r
Owner (f)
Address -2!95`7
Telephone eZ 2-
Contractor Telephone 7sy- Sd z Z-
Address 2 9 ?';? dl,_ _
?.
Arch/Eng. j E_6' " . Telephone yS Z - ? <?7c7
Address /11S-l
ICE USE ONi.Y
Erect
A1[er
Repair
Enlarge
Move
Demolish
Grade
Date of Approval and Initial
Assessment
Water/Sewer
Police _
, Fire
Engineer _
Planner
Council p
Bldg. Off. ` ,44 -77
1
A.P.C.
Occupancy °
Zoning
Fire Zone
Type of Const.
11 of Stories
Front
Depth
Fees pa
Permit Awe,
Surcharge
Plan Check ? 4
r
SAC S?..?
Water Connection 2 79
Water Meter
Y--Z)
0
s
' •'° ? ' EXTERIOR EHVELOPE THEkMAL TRAPISMITfAYCE PA6E,/? I
Sire Address STANOARO I:OR<SHEET
Qaner
/? ?
Contractor Phon=TS7-S2-Zate yz3
Building Type (check one) {?'} One and TNO Fami7v nwenina f 1 nrtior
Assembly (Oescrihe type from Table ? or Area (A) U-Yalue U x A
show caicutations on Pane 2 5 Ft)
Insulated Area ?3(?,? .O1Sy 2?,02(
?. Framin Area -
-
--
e
; Sk liahts Tv e ?-- - ?_
a
E Other describe -
i; Other describe
1 Tatals 13t?S ?i"k'' 2i•021
2 Averaae U-Value, UxA / A from Line 1 **'``?'** O.OlS4 . ******
3 R uired U-Value from text ***? 0.0400 ******
Insulated Area a.39 I O, D(p ?Vy,q
Framin Area
windows, Tpe RNnE?c,pu`?1 INqtNo, 2bS. ? 3 6$
Doars T e IWSUL 7 NEThLX2ix68 35.lo o.470 .7SZ
Rim JoisL Area 45 2$ X 1410 010(.3 q
? Fire tace watl 43 0. 30 12A00
9
3
?
Foundation Vlall aJove rade 45+2
2t 0$
9 3
O,0$O
g
a Foundation Windows T oe •- -
- __
?
Other (describe) _
Other descrioe ..----
Other aescribe ? ---
4 Total s
5 Avera e U-Value UxA / A from Line 4 0110 1
6 Reauired U-Vaiue frnm text ****** 0. 1] ***?e*
If Line 2 is greater ihan Line 3, ar Line 5 greater than Line 6, ccmplete tfir
followin to determine alternative li-Value far total exterior enveta e.
0 7 Area (Lire 1) + Area (Line 4), + .
r
?
= 8 UxA (Line 1) + UxA(tine 4), +
m
0
9
Area (Line 7) x U-Value.(Line 3)
x
******
_
? 10 Area (Lirre 4) s. U-VaTue (Line 6)
x = *****_
W _
Iz 11 "Budget", Line 9 +:•,6ne 10
0
? 1
2
Alternative U-Value. Line 71/1-ine 7
I
" f.line 8 is greater•than Line 11, alTer assemhlies as required so tine 8
d aes not exceed Line il.
ss=rblv CE? w6, oF lu t ss=??olv , -
t•laterial describe Tnickness R-Va ue h?aterial describe 7hzcknzss R-V
l
SPrzT
DU
BLocrK •
12 I W` a
ue
2g'
G?YP BORRp s7a
IW 0.56
cE1.LUlost CB?w.w? I? ??.1 y 4., L{p
i
nterior f-Value see Tzble 2 0.61 Interior f-Value s=e Table 2 .bg
Ext2rior f-Value (see Table 2 0,4 I Exterior f-Value see Table 2 v
Total Assem6l Thermal Resistance &s,,I Totzl Assenhl Tfie ,?al Resistznce ,
Assembly U-Value see Table 4
Enter on Pa e 1
o.orSh'
? Assem6ly U-Vaiue (see Table 4)
Enter on Pa = 1
0,30
ssembl wRLt_-wNsuLWCEV Q ssemhl
htaterial descri6e Thickness R-Value t•;atzrial describe Thickness R-4alue
aYp BohP-O 0, 4S,
BA't't l1?SU.Lrr7loeJ
3?/L ??
I I? Od i
SNEATkI?.1c,?i1?iS F3D. ??2?? 1,2Z
CEbAR 51a?IJ?, 3/y ?? !, oS' I
?
nterior f-Value see Table 2 o.bFf Interior f-Value see Tab?e 2
Ext=rior f-Value (see Tab}e 2 0• l? Exterior f-Valu= see Table 2
Total Assen6l Thermal Resistance I 4. S 7 Tota1 Assembl Thernal P.zsistance
Assem6ly U-Va1ue see Table 4
. Enter an Paae l
°• ??°4 Assembly U-Value (see Tahle 4)
Enter on Pa e 1 I
LA? sembl wR_L- RiN. I otg"r s ssembl
i
i
terial describe Thickness R-Value h'.aterial describ= Thickn=ss R-Va L, ,
B?-rr Itisv.?l?'ttow? „
3`Iz
tl ?e0 -
Woou RM?olST,SO? L''
SHEpf-T{}t W6. , l}.?uL. $?
?I y"
L 2L ?
cFORtZ S?o?w1G,
'.3 ry I
nterior f-Yalue see Table 2 0,68- ' nterior f-'Jalue (see T able 2
Exterior f-Va1ue (see T able 2 o.17 Exterior f-Yalua (see T able 2
Tatal Assem6l Thermal Resistanc= .o o Total Assembll Thermal Ra is
stance
Assembly U-Value see Table 4
Enter on Pa e 1
o,oe3 Assembly U-Value see Table 4)
Enter on Pac2 1
SSE(Ilbl EXFbSED FouNq TiDN 4 552R;b1
tdaterial describe Thickness R-Ua ue t•iaterial describe Thickness R-Vaiue
CO NLRE*CS- $I.OCK 12 I#2 g .
SZVROFOAb? SN 1 ,Z 10.57
Int=rior f-Ualue (see T able Z 01e$ Interior f-Valu= see T able 2
Ext=rior f-Valuz (see T able 2 o•i Exterior f-Vzlue (see T ah1e 2 ;
Tota1 Assembl,Tnerm_t R_sistznce To?zl Assemhi Ther!nal Resistance I
Asserbly U-Value (see Table 4)
Enter on Pave 1
0.08 Asszm5ly U-Value (see Ta61e 4)
Enter on Paee 1
SITE PLAN
REAR P[tOPERTY LINE
?
? m
h
PRpPERTY
I.INE
y
.._r
HOUSE
PA6PERIY
LINE
? ELU. ?
Garage
,i
?
:FRONT PROPERTY LINE
ELV.
? ?h IAT 7 j BLOCK F
,
6 U?, nSide.
zn T 7 X.?k ?L
C6?nt? ??1P ?9?5
?
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: Bu xLo z N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 2 8 0
(612) 681- '075 Date Issued: 0 6/ 1. 8( 9 S
SITE ADDRESS:
2976 BURNSIDE AVE
LOT: 7 BLOCK: 2
COUNTRY HOME HEIGN7S
P.I.N.: 10-18300-070-02
DESCRIPTION:
Bv'ildLng.,_Permit Type
Bu31din9 4fprk Type
-'Census Code '?.
g
?
SF (MTSC.)
NLTERATION
434 ALT. RESIDENTIAL
s I `
REMARKS:
FEE SUMMARY:
VALUA7ION
Base Fee $29.25
Surcharge $.50
Total Fee $29.75
CONTRACTOR:
$800
OWNER: - Applicant -
MARQUET7E CHRISTINE
2976 BURSIDE AVE
ENGAN MN 55121
(612)905-0590
S hereby ackflowledg2 that I ha've read this
information i,s correot and a-gree to comply
Statutes and City of Eagan Ordinances.
L
APPLICANT/PERMITEE NATUF?, E
appl3cation and state that the
with alJ: applicab2-e Sta.te of Mn.
I ?
IS UE BY: SIGNATURE
3229c)UILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55222
681-4675
New Conshuetion Reavirements
? 3 registered sde surveys
? 2 copies oi plans (inGutle beam & window aizes; poured tnd. Eesign; etc.)
• 7 energy piwlations
? 3 copies of tree preservaGon plan 'rf lot platted aiter 711/93
required: _ Yes _ Nu
DATE: ,lUY1e, I B
DESCRIPTION OF WORKYe ?00?
Last F"ust STREET ADDRESS: _ 20,`I (o ?jUYf1S 1 G??. ?{?.
Name: KQYCIUPll-L- C.v`rIS?i/1 Phone#: Q05-b590
LOT: ? BLOCK: ? SUBD./P.I.D. #:1
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Sewer 8 water licensed plumber (new construcGon ony):
and iat change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this applicatwn and state that the informa6on is cortect and agree W comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No ` Not Required
StreetAddress: 29-1(n ?jl1.YY1Slde..
CiLY Stare: M N Zip:
Phone #:
Street Address: License #
CiTy
RemodeUReoair Reauirements
• 2 copies of plan
? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heatad additions
CONSTRUCTION COST;
State:
Zip:
55i21
Company: Phone #:
Name:
Street ,
Ciry _
Registration #: _
State: Zip:
-S1TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMITTYPE: BuiLorNG
Permit Number: 031862
Date Issued: 0 4/ 2 3/ 9 8
2976 BURNSTDE AVE
LOT: 7 BLOCK: 2
COUNTRY HOMES HEIGHTS
P.I.N.: 10-18300-670-02
DESCRIPTION:
(RODFING)
Building?Permit Type 9F (MISC.)
11Building ?Ul?ork Type REPAIR
=, Census,.Cade?434 ALT. RESIDEN7IAL
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REMARKS:
FEE SUMMARY:
VALUATION $700
Base Fee $26.50
Surcharge _ $.50
7ota1 Fee $27.00
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CONTRACTOR:
OWNER: - Applicant -
MURPHY LAWRENCE
2976 BURNSIDE AVE
EA6AN MN 55121
(612)905-0590
? I her'eb,y ecknowle-dge Chat Zhave read zhis` a,pplicstion arrsi' state that?th'e ?
in?farmatipn is correct and :aagree- tcr e,amply? with. a7;1
? 5tatutes and. Cit.y af Eag,an 0 rdi;rra?6e9,W
APPLICANT/PEFiMITEE SIGNATURE SUEEV LOW
: G ATI-1REl
N t4l 998
New Construction Reauirements
BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
? 3 registered sde surveys
? 2 copies of plans (inUude 6eam & window sizes; poured fnd. design; etc.)
? 1 energy calculations
• 3 copies of tree preservation plan N lot platted after 7/1/93
required: _ Yes _ No
RemodeVReoair Requirements
• 2 capies of plan
? 2 58e surveys (exteriar additions 6 decks)
? t energy calculations for heated additions
DATE: Li--qg 5kin011 h
CONSTRUCTIONCOST; $415V 100
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DESCRIPTIO N OF WORK ? a
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STREETADDRESS:
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LOT: BLOCK: SUBD./P.I.D. #: UHam ?Q.?A
Name: ?? {,ti, LLvV!/ k+'1 f Phone #:
PROPERTI' Laz[ T First
OWNER
t Add
St
ree
ress:
City State: M?1d Zip: S.? IZ..1
Company: Phone #:
CONTRACTOR
Street Address: License #
City State: Zip:
ARCHITECT/
ENGTNEER Company: Phone #:
Name: Registration #:
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Penalty applies when address chang
I here6y acknowledge that I have read this application and sfate that the infortnation is correct and ag2e to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant ?
?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes ,_ No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
0 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaiNRem.
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-plex ? 14 Fireplace
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# ef Stories
Length
Depth
APPROVALS
Planning
? 16 Basement Finish
? 17 Swim Pool
? 20 Public Facility
? 21 Miscellaneous
Basement sq. ft. MC/W5 System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Permit Fee 02(0,50 Valuation: $`?
Surcharge . 5'O
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
?
Total:
% SAC
SAC Units
PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Permit Number: 8 U I L D I N G
Ea?jan,-MMinesota 55122-1897 0 3 0 9 8 4
(612) 681-4675 Date Issued: 10 / 16 / 9 7
SITE ADDRESS:
P.I.N.: 10-18300-070-02
DESCRIPTION:
Buildi
,Buildi
Census
2976 BURNSIDE AVE
LOT: 7 BLOCK: 2
COUNTRY HQME HEIGHTS
(ROOFING) rtg-P.ermit Type SF (MISC.)
ng Witr,k Type REPAIR
Cade 494 ALT. RESIDENTIAL
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REMARKS:
FEE SUMMARY:
VALUA TION $1,000
Base Fee $34.75
Surcharge $.50
Total Fee $35.25
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CONTRACTOR: OWNER: _ ppplicant -
MURPHY LARRY
2976 BURNSIDE AVE
EAGAN MN 55121
(612)905-0590
? . .. . .: . :... .., . . . , .-- I
I het- e by `anknawledge that -.I haveread ?this?,,ap.p,l3caC1 on<<and stat;@ that tihe
,
inforination .is correcY and agree to camply' with a?l'applicable"5'tae of Mn."
Statutes and City o# €agan Ordinances a °
? ? . . .. .. . _ . .. . .. ... s ..- .w .i.J,.?.F ?[...... ?. x ? .._, ?s Y.....?? ....-. . . ........... .. .?1?
APPLICANT/PERMITEE SIGNATURE
Aatln R.211_i
ISSUED : SI A
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?1? ?
CITY OF EAGAN -?'
' 3830 PILOT KNOB RD - 55122
681-4675
New Constrvction Reauirements
Remodel/Reoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes; pouretl fnd. design; etc.) ? 2 site surveys (exterior additions 8 Cecks)
? 1 anergy calculations • 1 energy calculations for heated additions
? 3 copies of tree preservation plan 'rf lot platted after 711l93
required: _Yes _ No -
DATE: /U -/!0'97 ? CONSTRUCTION COST
DESCRIPTION OF WORK
STREET ADDRESS: /?jeinsti14 ffr,-
LOT ? BLOCK ?. SUBD./P.I.D.
PROPERTY N8rt1@: _Ll(Ist Phone #: _ 905_'05f0
OWNER
Street Address: ;?-R7to Svro sOAe
City: Lsa,,\, State: ? Zip:
CONTRACTOR Company: ?e ar- e' vrL Phone #:
Street Address: License #:
City: 5tate: Zip:
ARCHITECT! Company: Phone
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer 8 water Iicer.Red plumber (new construction only): Penalty applies when address change
and lot change are, equested once permit is issued.
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:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140257
Date Issued:12/06/2016
Permit Category:ePermit
Site Address: 2976 Burnside Ave
Lot:7 Block: 2 Addition: Country Home Heights
PID:10-18300-02-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 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 -
Christine M Marquette
2976 Burnside Ave
Eagan MN 55121
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(763) 370-0074
Applicant/Permitee: Signature Issued By: Signature