2970 Burnside Ave
6/21/2011 2:57:39 PM 7975 01/01
4:57 a;5~;
C O U N T Y
ENVIRONMENTAL MANAGEMENT DEPARTMENT
GROUNDWATER PROTECTION SECTION
14955 Galaxie Avenue • Apple Valley, MN 55124
952.891.7557 • Fax 952.891.7588 • www.co.dakota.mn.us
MUNICIPAL NOTICE OF WELL PERMIT APPLICATION
DATE: June 21, 2011
TO: Tom Colbert/Wayne Schwanz (EM) Fax (651) 675-5694
RE: Well Permit#: 11-1-1285871 Well Type: Domestic
Municipality: Eagan Environmental Specialist: Olsen ~A,,4 19,044
The Water and Land Management Section of the Dakota County Environmental Management Department has received the
following permit application for the well described. If you require further review of the application or if you have any
questions or concerns about it, contact the Environmental Specialist listed above or our office at (952) 891-7557. If there is
no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no
objections to the issuance of the permit. Please note that permit issuance is always conditioned on the permit applicant's
observance of and compliance with all applicable state, county, and municipal laws and codes.
Well Contractor: KDANIES BAUERINC.
Date Application Received: 06/21/2011
Anticipated Drilling Date: Time:
Anticipated Grouting Date: Time:
Property Owner: Jason Basely
Well Owner: Jason Basely
WELL LOCATION:
PLS Coordinates: 1/4, NE 1/4, SW 1/4, SW 1/4, Sec 03 Town 027 Range 23
Street Address: 2910 Barnsi& AVE
PIN Number: 101830009002
WELL INFORMATION:
Diameter: 4
Casing Depth: 287
Total Depth: 292
Static Water Level:
Aquifer:
COMMENTS:
3342
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2970 Burnside Avenue-Well Permit
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PID: 101830002090
2970 BURNSIDE AVE
EAGAN, MN 551210000
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Property Assessing
PIN: 101830002090 Year Built: 1953
House#: 2970 Land Value: 61800
Street: BURNSIDE AVE Building Value: 218500
Apt: Total Value: 280300
Zip Code: 551210000
Lot: 9 2 Sales
Plat: COUNTRY HOME HEIGHTS
Legal: Sale Year: 1994
Sale Month: 7
Sale Value: 145000
Owner Sale Tax: 0
PID: 101830002090 Net Tax: 2583.38
Full Name: JAYNE M GUARRERO Total Tax: 2583.38
Address 1: 2970 BURNSIDE AVE
Address 2:
City ST: EAGAN MN 55121-1307
Zoning
Zone Code [SqR]: R-1
Zone Desc: Residential Single
LandUse Code: LD
LandUse Desc: Low Density (0-4 units/acre)
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Use BLUE or BLACK Ink
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For Office lJ
City Ol Eapn Permit I Permit Fee: U1
3830 Pilot Knob Road
Eagan MN 55122 ~~N 7 2~„ i Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 i Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATIO ,--1-C
Date: Site Address: Unit
Name: -Jason and Nichole Basley Phone: 952-594-1097
RESIDENT /
OWNER Address / City / Zip: 2970 Burnside Ave, Eagan, MN 55121
Applicant is: Owner _X Contractor
TYPE OF WORK Description of work: _reroof
Construction Cost: $5,500 Multi-Family Building: (Yes / No _x--) -
Company: Alan Johnson Construction LLC Contact: -Alan Johnson
CONTRACTOR Address: 225 Pineview Lane N City: -Plymouth
State: MN Zip: 55441 Phone: 763-242-1592
License 20559170 Lead Certificate NAT-99381-1
If the project is exempt from lead certification, please explain why:° (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
-Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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_Alan D. Johnson x_Alan D. Johnson
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Dq 70 &AOSiCU
DO NOT WRITE BELOW T MISINE
SUB TYPES
Foundation Fireplace Porch (3-Season) Storm Damage
ZSingle Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of Plex Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
_ New Interior Improvement Siding _ Demolish Building*
- Addition _ Move Building _Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
- Replace _ Repair Egress Window Water Damage
- Retaining Wall *Demolition of entire building- give PCA handout to applicant
DESCRIPTION
Valuation 90 Occupancy MCES System
Plan Review Code Edition I D-7 SAC Units
(25%-100%-) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Drain Tile Other:+
Roof: -Ice & Water Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath Stone Lath -Brick
Fireplace: _Rough In -Air Test Final Windows
-
Insulation Retaining Wall: _ Footings Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: I l / r , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge C~
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA094631
Date Issued: 06/23/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 2970 Burnside Ave
Lot: 9 Block: 2 Addition: Country Home Heights
PID:10-18300-090-02
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Renewal Andersen Javne 1\1 Guarrero
1920 County Road C West 2970 Burnside Ave
Roseville NIN 55113 Eagan NIN 55121--130
(61)264-4777
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 Citv of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
r INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: I I D10'.
3830 Pilot Knob Road Permit Number: r
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
LAII 14, 1 111 ii'•.•'! li;: i 111 1 1 IAN
IN Flay MIMI IIF I IfII i i. I I ~1',. ;s i4 r1 it
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
Permit No. Permit Holder Date Telephone #
SAN
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing 7~Q
Rough Plbg.
Rough Htg.
Isui.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meier
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
I
Well
Pr. Disp.
l
r
CITY OF EAGAN Remarks
Addition Country Home Heights Lot 9 Rik 2 Parcel 10 18300 090 02
Owner Street 2970 Burnside Ave. State Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
'A0 SAN SEW TRUNK 1968 $3.33 30 PAID
SEWER LATERAL & Stub 1972 3 163.15 20 PAID
WATERMAIN
* WATER LATERAL & Stub 1972 20
WATER AREA
STORM SEW TRK 1984 33.00 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. 280.00 4001 8-30-71
BUILDING PER.
SAC ~275.00 6864 8-29-73
PARK
EAGAN TOWNSHIP
N° 848
~~QQ BUILDING PERMIT
Owner - ✓.1L Eagan Township
Address (present) -C------ Town Hall
Builder
Dale
Address
DESCRIPTION
7 To Be Used ~FF~oorS,,,/~ Front Depth Heigh! EI Estt.. CCoost Permit Fee Remarks
/41 1- LOCATION
Street, Road or other Description of Location Lo! Block Addition or Tract
P
This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community,
THIS PERMIT MUST BE EPT O THE ]PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, !h a!-..' has permission to erect a-.
1955. pon
the above de pr ire subject to ~ther- sions of the Buildin g Ordinance for Eagan TownshiP ad ied April 11,
0
_ Per
r
Chairman ......_......................._.......iT.':.-1
of Tnwn Board Building Inspeefaf
I .
\ CITTOF'EAGAN PERMIT ex
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 021128
(612) 681-4675 Date Issued: 06/04/93
SITE ADDRESS:
2970 BURNSIDE AVE
LOT: 9 BLOCK: 2
COUNTRY HOME HEIGHTS
P.I.N.: 10-18300-090-02
DESCRIPTION:
REPLACE ROOFING
Bialding,_Permit Type SF (MISC.)
Building Work Type REPAIR
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REMARKS:
FEE SUMMARY-
VALUATION $1,800
Base Fee $41.00
Surcharge $.90
Total Fee $41.90
CONTRACTOR: OWNER: - Applicant -
GOODRICH WILLIAM
1970 BURNSIDE AVE
EAGAN MN 55121
(612)452-8044
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 Mn.
Statutes and City of Eagan Ordinances.
nrtar11
APP NT/ TE SI NATURE ISSUED : S GNAT RE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 021128
Eagan, Minnesota 55123 Date Issued: 06/04/93
(612) 681-4675
SITE ADDRESS: LOT: 9 BLOCK: 2 APPLICANT:
2970 BURNSIDE AVE GOODRICH WILLIAM
COUNTRY HOME HEIGHTS (612) 452-8044
PERMIT SUBTYPE: TYPE OF WORK:
SF.(MISC.) REPAIR
DESCRIPTION REPLACE ROOFING
INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR.
FINAL
K[A(.11YAIL VI1 s Vr" Gnva~~~
PERMIT # . 1993 BUILDING PERMIT APPLICATION 1154 f. Q Q
2W1 I tA 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & 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 month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date--)( lf-t Valuation of work
Site Address: Xt_~C) Il g plt,-o
STREET SUITE N
Tenant Name: (commercial only) _77 LOT BLOC& SDBD. P.I.D. 0
Description of work: r o o
The applicant is: Z Owner ❑ Contractor ❑ Other (Describe)
Name _ 1s_Ldl 1 a A l 1~ Phone U: ~
Property LAST FIRST
Owner Address 3-qlU 9 1" nSi(ko__ ~
STREET STE
City ~GLJCi.r~ State 0-\n Zip
Company Phone
Contractor Address License # Exp.
City State Zip
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & 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 with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
K Signature of Applicant:
VILLAGE OF EAOAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 2063
Eagan, MN 55122 DATE: 6L9/73
Zoning: 0.1 - No. of Units: 1
Owner: John H. navip
Address - -2
Site Address: 2910-1=n" Avenue, Eagifi 55121 T-
Plumber: wenZel_glllbn4 B Heating Inc.
I agree to comply with the Village of Eagan Connection Charge275.00 Pd 8/29/3
15.00 pd
Account Deposit:
Ordinances. Permit Fee: 10.00 Pd
Surcharge: 5n E~---
By: Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION C~
Date: August 30, 1971 Number: 697 / /-I~ 14
Billing Name:; John H. Davies Site Address: 2970 Burnside Ave., Eagan 55121
Owner: same Billing Address same
Plumber: same
Location of Connection Meter Size 5/R Connection Chg. 280.OO.pd 8/30/71
R.O. No.: S237692
Meter No. 21508137 Permit Fee 10.00 pd 8/30/71
.50 pcT 8/30/71
Meter Reading 000 Meter Dep. 15.00 yd 8/30/71
Meter Sealed: Yes Add'1 Chg.
NO Total Chg.
Inspected by
Date
Building it; a: Remarks:
Residence X7xx
V25.0u r- j-,pT:00 d FEE FOR
Multiple No. Units
Commercial IWIIPRDPPLY INSTALLED METERS.
Industrial By:
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulatioizs of Eagan Township, Dakota County, Minnesota.
By:
J n H. Davies
Please notify the above office when ready for inspection and connection.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139125
Date Issued:10/11/2016
Permit Category:ePermit
Site Address: 2970 Burnside Ave
Lot:9 Block: 2 Addition: Country Home Heights
PID:10-18300-02-090
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 -
Jason Bosley
2970 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
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170321
Date Issued:06/28/2021
Permit Category:ePermit
Site Address: 2970 Burnside Ave
Lot:9 Block: 2 Addition: Country Home Heights
PID:10-18300-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jason & Nichole Bosley
2970 Burnside Ave
Eagan MN 55121--130
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature