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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 ? 0 to, --O / Page 1 of 1 00 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