2821 Burnside AveCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: ,
I N f 11
+141 ? 14! 1 i
PERMIT SUBTYPE:
, , 1, . 1
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPUCANT:
AVI •
TYPE OF WORK:
piifllf l 1 1
ni I t RA i 1 t1N
MAr •ollINIO n14A rr !ql M 1
INSPECTION .ATE INSPTR. INSPECTION TYPE D.
Permit No. Permk Holder Qate Telaphone ?F
S/HV
PLUMBING
HVAC
ELECTR
ELECTRIC
Inspectlon Date Insp. Commenb
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Freptace
Final Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector - Notify Plumber
Const. Mefer
EngrJPlan
Bidg. Rnal 1 2 4 JJ
/'
.M / ? = Sv r S
Dedt Ftg.
Decit Firtal
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition Coun r Home Hei hts Lot 6 Rik
' 2821 Burnside Ave.
Owner =?'-? treet
Improvement Date Amount Annual Years Payment Receipt Date
133STREETSURF. 1972 $1200.00 $120.00 10
STREET RESTOR.
GRADING
SAN SEW TRUNK 196$ $100.00 3.33
* SEWER LATERAL 1 ]
WATERMAIN
WATER LATERAL 1 18.94 15
WATER AREA
* STORM SEW IMAW y-rk 1970 15
ST4RM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 9196 10-12-I3
BUILDING PER.
SAC 2 5.00 9196 10-12-73 '
PARK
I
?*r . .
CITY OF EAGAN r, 18405
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100
Receipt #
STORAGE BLDG
To be used for Est. Value $g' 000 Date OCT ZS
Site Address 2821 BURNSIOE AVE
Lot 6 Block 7 SeciSub. CONTRY K? H't'$ OFFICE USE ONLY
P2fCel N0. Occupancy M'1 FEFS
? 1
2oning
?'iEt3RY SCHPlIDT V
N 99
00
Name (nctuap Const - Bldg. Permit .
W 2821 BURHSIQE /1VE V-N
o Address (AUowable) 4.?
surcnarge
Cit ??N Phone 4?-3213
y ?Y ol Stories
240
Plan Review
S?E Lenglh '
o Name Deplh ? SAC
City
t ?- ,
o
Q AddreSS S.F.7otal -
u snc.MCwcc
? City Phone S.F. Footprints -
Water Conn
On Site Sewage _
W Name On Site Well W
1
M
te
W - er
e
r
a
=z Address MWCC System -
u Z
a W
City Phone
Ciry water
_ Acct. Deposi[
S/1N P
it
PRV Required _ erm
I hereby acknowlege that I have read this application and state that the Booster Pump - 5+W 5urcharge
infortnation is correct and agree to comply with all applicable State o(
Minnesota Statutes and City of Eagan Ordinances. 7realment PI
5ignature of Permitee APPROVALS Road Unit
A Building Permit is issued to: }tENRY $C1$MY D'j Planner - Park Ded.
on the express condition that all work sha11 be done in accordance with all Councii ?
'
applicable State of Minnesota Statutes and City of Eagan Ordinances. g?, pry. _ Cop?es
' 103.50
Building Ofticial ' - Variance
- TOTAL
Permit No. Permft Holder Date Telephone #
WATER
SEWEF
PLUMBING
H.V.A.C.
ELECTRIC
Mspectlon Date Insp. Comments
F??ingS I u-'s
Foundation
Framin9 ? Z fa ?d ? S •P??"PfY Y'?y.i ' /'? .
Rooling
Rough Plbg.
Hough Htg.
Isul.
Fireplace
Final Htg.
Fnal Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr.IPlan
Bldg. Final
Deck FIg.
DeCk Final
Well
Pr. Disp.
EAGAN TOWNSHIP
BUILD_InNG PERIr11T
.
Owner .....-_ °-°-
Addseas (preseni) ..... ..°.3... .... .....°---....??_
Builder ....... ........ ......... .............
__......-'--------...............-------
Address -------- --------------------------------- ............?---"-------------------°-
DESCRIPTION
N° 329
Eagan Towaship
Town Hall
De:a .?.-?--- .....
To Ba Used Fos Froai DepSh Heighf Esi. Cosf ermi2 Fee Remarks
?? So
T ON
This permit does 3 suthorise the use o lreels, roads, alleys or sidewalks nor daes it give the ownes or his ageat
the righ! !o creale ey siluafion which is a rfifisance or which presenis a hazard !o the healfh, safeiy, convenience and
general welfare lo aayane in the commuaiYy.
THIS PEAMIT MUST BE KEPT ON THE PREMISE
This is to eerlify. !hal ..... .............................. .....................
!he ebove descxibed mise s' c! fo !k? =pros
1955. ?
r---
_L
."""'-"-------- - '............... '_-------°-`-- ----"..........._..
Chairman of Town oaxd
WHILE THE WORg IS IN PROGAESS.
......has permisaion fo erect a .................................. .----------------- ....... .__upon
of Yhe Buildin4 Ordin ce for £a an Township adopied April 11.
PeT ..../.. r ..._.__'..?..... . ._.. ....._" ._'
vilding Iaspecfoz
varaci '6rEncaw WATER SERVICE PERMIT
3795 Piloe Knob Road PERMIT NO.: 1317
Eogon,MN 55112 DATE: 19112/73
Zoning: ------ R-1__ No. of Units: 1
Owner: -.?eni]-$9.Y1d?idt
Addmss: f4 ' ? ? Lyl?On>'
Site Address: 2821 BulIIS1d2. AVe. j,707_
Plun,ber: .Wenzel Plumbinq & Heating INC.
Meter No.: _22881916 Connection Chazge??0.00 pd
Size: 5/8 Rock Account Deposit: 15•00 pd
Reader No.: 466613 Permit Fee: 70-00 Pd
1 agree fo comDlY wifh tlw Villoga o4 Eagon Surchargc: -
O.dinaneas. Misc. Charges
?y Total:
Ry?? Date Paid:
Uate o Insp.: Insp.:
YPEtw4E OF EAOAN
3795 Pilof Knob Road
Eogan, MN 551I2
Zoning: R-1
Owner: mCIILY
Address:
SEWER SERVICE PERMIT
PERMIT NO.: 2083
DATE: 10/12/73
No. of Units: 1
site nadress: ??2L@urnside Ave.
Plumber: WHBZg Pl inq & Heatinq INC.
I agres to comply wifh the Villoga ot Eugan Connectian Charge: 275.00 pd
O.dinances. Account Deposit: 15.00 pd
Permit Fee: 10.00 pd
Surcharge: • 50 pd
By: Misc. Chazges:
Uate of Insp.: Total:
Insp.: Date Paid: -
?M 56877
1.?1,-
0 ?`?1 ?U
Co? °°
•
Requast Date
? h ? 7/_
V ! GY "-V3 Fire No. R gh n nspeclion
R retl?
? Ves 3JAJO NOTICE: Vou Must Call EleIXncal Inspector
II A Rough-ln Inspection
Is Re9uiretl.
licensed contractor ? owner here6y request inspection of above electrical work at:
Job Atldress (Street, Box or te No.?) ??,['
Z ) `VuKlN a /?
i,KJ? / ?
Section No. Township Neme or No. Range No. Couny
OccupaM (P INT) Phone PJo
Is'4 -3z? 3
Power Supplier Pdtlress
Elecl aclo-r /(IC?ompany Name)
rical
1 ?.T? Contraclo(s License NoI. J
?
? Ls[f
Meiling Adtlr s(COnlrador pwner Making Installalion)
O t ?
Authori r /Owner Makin allation)
. f.?: Phone Number
-g'zz TZ-
MINNESOTA STATE BOAFO OI THIS INSPECTION REQUEST WILL NOT
GHggaMitlway Bldg. - Fao 1]3 V v 8E ACCEPTEO 9V THE STATE BOARD
1821 Univerelty Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 842-0900 ENCLOSED.
lO/?/8' i REQUEST FOR ELECTRICAL INSPECTION
p? Oo See instruclions for completing [his lorm on back oi yellow copy,
lol 5 8 7 -7 1 'X" Below Work Covered by Thrs Request
" ee -ooooioe
-
??
New A'dd Rep.: TypeofBuilding AppliancesWiced EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
COmm./Industrial FumaCe Other (Specity)
Farm Air Conditioner
Other (specity) Contredork Remerks:
Compute Inspecfion Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool D to 200 Amps ? 11 to 100 Amps j
Transformers Above 2D0 _ Amps Above 700 _ Amps
Signs Inspectors Use Onty:
oll TOTAL
Irrigation Booms ?• ,?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE 0 ISCONNECTED IF NOT
O[her Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
th
f
b Rou9n-in /? oace
w
certi
y that
e a
ove inspection has
been madz. Finai oaie
?
OFFICE USE ONLY
This request voitl 18 months imm
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
• City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
(o -?j? (o (? Telephone # 651-675-5675 FAX # 651-675-5694
a?---
C_s?`
New Construdion Reauirements RemodeVReoair Reouirements INfice.Use Onlv
3 registered sile surveys showing sq. fi. of lot, sq. R ot house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _ N
(20°h maximum lot coverage alimved) 1 set of Energy Calculations for heated additions Ttee'Pres Plan Recd Y N
2 copes of plan showing beam & window sizes; poured found design, etc. 1 site survey faradtlitions & decks Tres PI'es?Required _Y _ N
1 set of Energy Calculations Adddion - indkafe if on-sife septic system Omsite Septic SysMm _ X' _ N
3 copies ofTree Preservafion Plan ifloi pfatted atter 711193
Rim Joist DetaB Options selection sheet (bldgs with 3 or less unAs
Date ??' /&
Site Address 2 f3 / Op
2 ? avfn 5+J-4- e¢j,C- Construction Cost /D? O d O
Fe?i ?o-?sy ?,l Unit/Ste #
Description of Work 3- ,$ ec,Sa AJ ,5'on fj00 1;t-%
Multi-Family Bldg _ Y? N Fireplace(s) k 0 _ 1 _ 2
Property Owner Telephone #(IpS l) 4( fy -3.Vs
Contractor ,5am F
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residenlial Ventilation Category t Worksheet • New Energy Code Worksheet
(J submission type) Submittad Submitted
. Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
"P?it uu?, l?ll
1? nAU6 0 S 2004
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential $irding 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 the State of MN
Statutes; 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. Applica t's Printed Name Applicano Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace >r, 21 Porch (3-sea.) ? 31 Ext. Alt- Multl
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 33 Ext.Att - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Wo rk Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
A 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 R0p18C01118nt 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation
Census Code ?
SAC Units
# of Units
# of Bldgs
Type of Const ?
_ Footings (new bldg)
Footlngs (deck)
ZC Footings (addition)
? Foundarion
Drain Tile
Roof Ice & Water Final
? Franfing- -
Fireplace _ R.I. _ Air Test _ Final
?c Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width lof
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIItED INSPECTIONS
FinallC.O.
x Final/No C.O.
Plumbing
_ HVAC
Other
_ Pool _ F[gs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Building Inspector
133 X ya = L?5T3 ?-D
?
?
fr Dakota County Real Estate Inquiry
. ' ?
Dakota County Real Estate Inquiry
Data Updated 7/22/04.
Select option and click map: Zoom In
Whole County Refresh Map Big Map
l { - I I . ! I I I 3 .. ... . 1 I lIY
r
j 1 t 141 i 167
?
.a`
"Zi
akata County ;:?.....?`
10-18300-060-07
ess: 2821 BURNSIDE
EAGAN, MN 55121
in cooperation with
was
t
W
?
0.77
- c o u N T Y-
Click on the Dakota County Logo above to return to the home page
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Legend
Real,Estate Parcels
¦ Parcels
¦ Common.Ownership
R W ater
IM R/UU. Easement
? Dedioated RAQr
Standard
Choose a search method, enter
criteria, and click Go or hit enter key.
House #: Ga
Address: Go
PIN: Ga
$215,100 Details
04Y $183,000
Tax Stu b
Departments
http://207.171.98.200/scripts/esrimap.dll?Name=vvebq 1 &Lefr496622.241 &Bottom=997... 07/26/2004
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-------------------------- ---------?.?_ _ .-______-------- _.-_---- --------
----------------------°------------------ - - -
NEW CONSTRUCTION qyyG,,,_
? ADD-ON A/C
ADD-ON FURNACE
DATE ( v - te - q 3
FEES
HVAC: 0-100 M BTU $ 24•00 ?
ADDITIONAL 50 M BTU 6•00
GAS OUTLETS (MINIMUbi 1 @ $3.00 EACH)
ADD-ON/REMODEL (Ex1STiNG CoNSTxUCr1oN) $ 15.00
STATE SURCHARGE .50 -
T07'AL °?? 's-D
SITE
OWNER NAME: TELEPHONE #: 454 - 32 13
INSTALLER:
EIBq(SON
CITY
TELEPHONE #: qal?- - s (?S 5?
COOUNG, iNC.
STATE: ZIP CODE:
1993 ME(:HANIC:AL Yr:KMil (xkml1Lr,N iyu.)
CITY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 6814675
CITY OF EAGAN NO 184
55
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt# C. ?t,I?o p?
7o be used for STORAGE BLDG Est. value $8,000 Date OCT 25 ,1g 90
Site Address 2821 BURNSIDE AVE
Lot 6 Block 7 SeclSub. COUNTRY HOME HTS
PBfCBI N0. Occupancy
Zoning
w Name HENRY SCHMIDT (ACWaI)Consl
3 Addr05s 2821 BURNSIDE AVE (Alwwable)
° pity EAGAN Phone 454-3213 x of stones
Langih
10 Name SAME Depih
.
20¢ Addfess S.F.Total
? ClfY Phone S.F. Footprints
On Site Sewage
r
W w
Name
on site weu
?v AddfBSS MWCC System
aw City Phone arywatar
PRV Required
1 hereby acknowlege thal I have read this application and state that 7he Booster Pump
information is correct antl agree to compty with all applicable State ol
Minnesota Statutes and City f Eagan Ordi?nance
SiqnaNreofPermitee-''A?f1' I NP?
APPROVALS
A Builtling Permit is issued to: HENRY SCHMIDT Planner
on tha express condition ihat all work shall be dona in accortlance wi[h all Co+^cil
applicable State ot Minnesota Stalute
s and City
ol Eagan Ordinances. Bldg. Ofl.
f
1
Building Otticial 1114??l.fA? rn.SI Variance
OFFICE USE ONLY
M-1
R-1
FEFS
99.00
?
4-0
V-N Bldg. Permit
V-N
24'
??
Surcharge
Plan Review
SAG City
SAC,MCWCC
Water Conn
Water Meler
Acct. Deposit
S/W Permil
SNJ Surcharge
Treatment PI
Roatl Unit
Park Ded.
copies
TOTAL
.$0
103.50
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SZNGLE FAMILY DWELLINGS
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
MULTIPLE DWELLINGS
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCNITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
A'OTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE EUILDING PERMIT IS ISSUED.
To Be Used For
Site Address eBd/ "? ?e-
Lot 4 Block ?
GouAtr o,.ne H?le-Hrs
Parcel/Sub
Owner r/i"
^ Y Sc- /1 m idL
Address db'd/ ,?ul^ry,5/ ?c? '?q?e-
City/Zip Code ,E.tya/y
Phone 116? - 3d13
ContractoY _ Shcl7 G'
Address
City/Zip Code
Phone
Arch./Engr. 's g'W e-
Address
City/2ip Code
Phone #
.$?tvrdv e _Bl?4
Valuation: -s2OVV'0-1?-
COMMERCIAL
Date: /!i. ,Z 3 - ?p
gObOf OFFICE USE ONLY
FEES
Occupancy
Zoning ?-?
Actual Const V-N Bldg. Permit i9,00
Allowable V-/J Surcharge 14.00
# of stories Plan Review
Length Z- SAC, City
Depth QD' SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage _ S/W Permit
On site well _ S/W Surcharge
MWCC System _ Treatment Pl.
City water _ Road IInit
PRV _ Park Ded.
Booster Pump _ Copies SD
SUBTOTAL
APPROVALS Penalty
Planner _ TOTAL
Council
Sldg. Off.
Variance
A-t'
t1EV•.E45l'CC.J
_.?. _ _ , . -, -• ? , ,
- - c3p- - - - - - . ._
. IYATL'.....,,.:..__.w:..-,-+r.- .
0
//e?1 ?y Sc?rit iaI?
?z?a/ ?B ?c rx sedeA ve
???d?t ???t?1 ss/.z?
r -
?
?
?
I t-- 76'--?
11' 2oI
I5b' ,
?? ? "'1 Y' '?' - e--Sa ?--3 • - •
? Hou56 &nIt
fi
y°"- -
y -
S-f0ra?e
R
.
ad?' - -- - , - - - ---
?Su Fes E r.s ? _ - - - - - ' -' ? - - ---
?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-18300-060-07
DESCRIPTION:
REMARKS:
.,
suzLaz?nrIG-7
ezzsas
09/39/93
? ? 'a' ,
?L ???
FEE SUMMARY;
Bese Fee
Surcharge
Lic. 3earch Fee
Total Fee
PERMIT
PERMIT TYPE:
Permit Num6er:
Date Issued:
2821 BURNSIOE AVE
LOT: 6 BLOCK: 7
COUNTRY HQMES HEIGHTS
r-. MAC SpUND ABATEMENT
11ld i'ttigr_Permit Type MISCELLANEOUS
i,lding j?kv,rk Type AL7ERATION
VALUA72pN
$216.00
$A0.5@
$5.00
$231.50
$21,000
CONTRACTOR: - Applicant - 5T. LIC. OWNER:
REGAL 6LOR5 & REMQDELERS 17718305 00@1168 SCHMIDT HENRY
1840 EN6LISH 5T 2821 BURN3IDE AVE
MAPLEW000 MN 55109 EAGAM MN
(612) 771-8905 (612)454-3213
Z here6y aekaawletlgo that I h,ave rcad tlais appltdet3bn and sCate that tht
irrfarmation is correct and agree tn cpmply with aii appiicabie 3CaCtr n* hfn,
3tattates and City of Eagan Qrdinances.
JP1Qfl4
APPUCANT/PERMITEE SIGNATURE ISSUED B: S NA71JR ?
IN5PECTION RECORD
CITYOFEAGAN peRMITTYPE: suzLnzNG
3830 Pilot Knob Road Permit Number: 022103
Eagan, Minnesota 55123 Date Issued: 0 9/ 3 0/ 9 3
(612) 687-4675
SITE ADDRESS: Lo r: 6 B L 0 C K: 7 APPLICANT:
2821 BURNSIpE AVE REGAL BLORS & REMODELERS
COUNTRY HOMES HEIGHT5 (612) 771-8395
F-
L
PERMIT SUBTYPE: TYPE OF WORK:
MISCELLANEOUS ALTERATIOM
pESCRSP7IpN MAC SOUND A6ATEMENT
REACTIVA?E _
PERk..T. T t
. n1194
cinr oF EAGAN
1993 BUILDING PERMIT APPUCATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architecturat 6 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of conth.
in which request is made, 2) address is changed or 3} lot change i.s requested once permit
is issued.
Date 9-?? ?3 ! l Valuation of work
Site Address:?) ?ur?cr?e r4 V-?
SiREEi fUITE ¦
Tenant Name: (commercial only)
IAT BLOCK ? SUBD. P.I.D. N
Descri tion of work: p c) )a-?'?-te
7he applicant is: ? Owner ?Contractor D Other co..eribe>.
Name S 4h m , d-l' n-r Phone f5 L/-3 -,1,13
Property LAST f1R5T
Owner Address ?,r? 1 A. c d J* V-e-
STREET fTE /
City 5tate Zip
Company 9«., Z Phone '2 7/- X3O?S
Contractor Address ,./S'%D License # !J G 2 Exp. ?,1195
City R.WL zi _'?g? State Zip /d
Company Phone
Architect/
Engineer Name RegSstration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply! th all appli ble State of Minnesota Statutes and Lity of
Eagan Ordinances. ,
Signature of Applicant:
Z?
v
OFF!CE USE ONLY
BUILDING PERMIT TYPE ?
?
01
Foundation
? 06
Duplex
?
11 TY
Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Mu1ti. Misc.
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. O 10 Multi. Add'1. O 15 Deck
WORK TYPE
W,
? 16 Basement Finish
0 11 Swim Pool
? 18 Coam./Ind.
? 19 Coimn./Ind. Hisc.
O 20 Public Facility
Q 21 Miscellaneous
O 31 New 12 33 Alterations O 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair O.36 Move
GENERAL INF ORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst fl. sq. ft. tity Mater
UBC bccupancy 2nd F1. sq. ft. PRY Required
Zoning Sq. 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 C _ Assessments
Engineering Yariance
REQUIRED IN SPECTIONS
? Site ? Footing ? Framing ? Insulation
p Wallboard ? Final ? Draintile 0 Fireplace
Permit Fee rg /-, ,?-'- wiu.cim: S d/ ee{9, ea_
Surcharge ?i?, .s?, •
Plan Review
License s. o 0
MWCC 5AL
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surchar9e
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total : • ??
SAL %
SAC Units
C[TV IISE ONLY
LOT ? BL I
suaD. ??wie' e id,
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3630 PILOT KNOB RD
EAGAN MN 55122
651-681-4675
Date:
Complete this section nnlv if you are installing HVAC in a single family dwelling, townhome or condo under
consWction and not owner/occuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
Complete this section onlv if you are remodelins, addine to, or resirin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
X New _ Alteration
_ Fumace
_ Air exchanger
Reminder: Call for inspections
SITE ADDRESS: 2.C12I B U'rtlS?
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
Expert Sheet Metal, Inc.
30 Wesf Main St. PO Box 90
PERMIT#: ?'Iv-3
RECEIPT #: .
RECEIPT DATE: Iz `M -O O
$ 30.00
6.00
State Surchazge .50
Total $
_ Repair _ Other
A'u conditioning
` Chher 5Xh0,03t0 Chlrnh FC#,+1
(Ve '% Q 0N P°inel
Fee $ 30.00
State Surchazge .50
Total $ 30.50
a--12. 'EClC1aY1
rxorE#: (o1Z - HSy •7%2?s
(AREA CODE)
PHONE #: "IIn3 - LI I_P
? (AREA COOE)
CITY:
STATE:
/.&?G7?) &W
SIGNATURE OF PERMITTEPE
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139289
Date Issued:10/18/2016
Permit Category:ePermit
Site Address: 2821 Burnside Ave
Lot:6 Block: 7 Addition: Country Home Heights
PID:10-18300-07-060
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 -
Donna F Schmidt
2821 Burnside Ave
Eagan MN 55121--130
Professional Exteriors Inc.
3158 Viking Blvd NE
Wyoming MN 55092
(763) 434-1500
Applicant/Permitee: Signature Issued By: Signature