2969 Burnside Ave
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA087567
Eagan, MN 55122 . Date Issued: 11/24/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 2969 Burnside Ave
Lot: 3 Block: 4 Addition: Country Home Heights
PH) 10-18300-030-04
Use
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Insert
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Chimney/flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Andrew Hoffman
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Fireside Hearth & Home Frank T Bums
20802 Kensington Blvd 2969 Burnside Ave
Lakeville MN 55044 Eagan MN 55121
(952) 985-6675
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA090438
Eagan, MN 55122 . Date Issued: 08/03/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 2969 Burnside Ave
Lot: 3 Block: 4 Addition: Country Home Heights
PID 10-18300-030-04
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, 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 $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Renewal Andersen Frank T Bums
1920 County Road C West 2969 Burnside Ave
Roseville MN 55113 Eagan MN 55121
(651) 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 City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: fill 1111441
3830 Pilot Knob Road Permit Number: ' 4 N f `3
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: 1 I APPLICANT:
14111;14.11)1 . i%l t 1.+1:'1 1144,
PERMIT SUBTYPE: TYPE OF WORK:
1,ATn
INSPECTION DATE INSPTR. INSPECTION
i
Permit No. Permit Holder Date Telephone R
ELECTRIC
` PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN SEWER SERVICE POW
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 OATS:
Zoning: No. of Units
Owner.
Address.
Site Address: -
Plumber.
I agree. to eewPb With the Cihr of 92"M Connection Charge:
ordi"Hem Account Deposit:
P*m-lt Fee:
Surcharge:
By Misc. Charges:
Data of Insp.: Total:
Insp.: Daft Paid:
f
CITY OF EAGAN Remarks
Addition Country Home Heights Lot- 3 wk 4 Parcel 10 18300 030 04
Owner Street 2969 Burnside Ave. State Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
N SEW TRUNK 1968 $100.00 3.33 30 PAID
SEWERLATERAL & Stub 1972 3578.75 $178.94
WATERMAIN
* WATER LATERAL & Stub 1972 20
WATER AREA
STORM SEW TRK 1984 495.00 0 1
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, $260.00 3497 5-6-71
BUILDING PER,
SAC
PARK
EAGAN TOWNSHIP N? 1184
BUILDING PERMIT
Owner ...A5..~- F4-- 1 - Eagan Township
Address (present) R.~e..g....f IR•R-K (ykrG - Town Hall
Builder .,s.a n..e ..t t l p~O
Date...
Address
DESCRIPTION
Stories To Be Used For Front Depth Height ~Est.~Cost Permit Fee Remarks
LOCATION
Street, Road or other Description of Location Lot Block Addition or Tract
Imo' X.~ f K~-~ (~ao • X131 6 U~ n 1 t+,
~ T
This permit does not authorise 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 ON THE PREMISE WHILE THE WORK IS IN PROGRESS. L p
This is to certify, that.dlxr ".,t r.! ..dAr------ has permission to erect a...~f6L -Srirv....... Pon
the above described premise subject to the provisions of the Building Ordinance for Eagan Townshi a opted April 11,
1955. ~ ~ may- ~ -
' - Per _ !..!r...... A.................
Chairman of nwn Board Building Inspector
City of Eapn Clam You~~cr
Make Check Payable to: Bauer Repair Service
Address: 934 16`h Ave N
Permit 87650 . South St. Paul, MN 55075
Site Address: 2969 Burnside Ave
Reason For Refund: Contractor was issued a lower level finish permit to complete the entire basement, in
addition to one egress window.
TYPE OF REFUND
Building Permit Base Fee 0801.4085 $ 88.50
Construction Meter Dep
Refund 9220.2254 $
Curb Box Deposit Refund 9220.2253 $
Fire Suppression Permit 0801.4096 $
Mechanical Permit 0801.4088 $
Plan Review Fee 0720.4222 $
Plumbing Permit 0801.4087 $
SAC MCES 9220.2275 $
SAC (City) 9379.4681 $
SAC Admin 0801.4246 $
Sewer Permit 6201.4532 $
Surcharge 9001.2195 $
Treatment Plant 6101.4685 $
Water Permit 6101.4507 $
Water Meters & Radio Read 6101.4509 $
Water Supply & Storage 6101.4680 $
Copies 0201.4230 $
Total - $ 88.50
1 declare under the penalties of law that this account, claim; or demand is just and that no part of it has been paid.
cf I" ~Z15 b8
SIGNAT RE - r DATE
City of Eapn
Mike Maguire
MAYOR December 15, 2008
Paul Bakken Michael Bauer
Peggy Carlson C/O Bauer Repair Service LLC
Cyndee Fields 934 161h Ave N
Meg Tilley South St. Paul, MN 55075
COUNCIL MEMBERS
RE: REFUND OF PERMIT # EA 87650
Thomas Hedges Dear Michael:
CITY ADMINISTRATOR
On December 3, 2008, Permits EA 87650 was issued to Bauer Repair Service to install
an egress window at 2969 Burnside Ave. As requested in your letter of December 11,
2008, we have cancelled this permit and are refunding the base permit fee of $88.50
under a separate cover. The State surcharge fee of $1.50 is non-refundable.
This letter is also meant to advise you that effective January 1, 2001, the City of
MUNICIPAL CENTER Eagan's Fee Schedule assesses a $50.00 fee to refund permits that have been
3830 Pilot Knob Road processed and receipted. As a courtesy, we are informing contractors of this policy
Eagan, MN 55122-1810 and issuing a full refund, minus the state surcharge, for a cancelled permit on a "one
651.675.5000 phone time only" basis.
651.675.5012 fax Please contact me at sbrandel(cDcitvofeagan.com or (651) 675-5671 if you have any
651.454.6535 TDD questions about this letter or the refund.
Sincerely,
MAINTENANCE FACILITY
3501 Coachman Point
Eagan, MN 55122 Sarah Brandel
651.675.5300 phone Office Supervisor / Administrative Assistant
651.675.5360 fax
651.454.8535 TDD
cc: Dale Schoeppner, Chief Building Official
www.cityofeagan.com
THE LONE OAK TREE
The symbol of
strength and growth
in our community.
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PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA087650
Eagan, MN 55122 Date Issued: 12/03/2008
(651) -5675 no
67agan Al Cof bRaR www.ci. eagan. mn.us
ww
Site Address: 2969 Burnside Ave
Lot: 3 Block: 4 Addition: Country Home Heights
PID: 10-18300-030-04
Use:
Description:
Sub Type: Exterior-Single Family Dwelling Construction Type: V-B
Work Type: Windows/Doors-New/Replacement
Description: Egress Window
Census Code: 434- Occupancy: IRC- I
Zoning:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, 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 $88.50 0801.4085
Valuation: 3,000.00 Surcharge - Based on Valuation $1.50 9001.2195
Total: $90.00
Contractor: Applicant - Owner:
Bauer Repair Service LLC Frank T Burns
934 16th Avenue North 2969 Burnside Ave
South St. Paul MN 55075 Fagan MN 55121
(651)336-3378
1 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. r~
I
Applicant/Permitee: Signature Issued By: Signature
k ` C~i'PY OF EAGAN PERMIT'
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 7 9 7
(612) 681-4675 Date Issued: 09/17/97
SITE ADDRESS:
2969 BURNSIDE AVE
LOT: 3 BLOCK: 4
COUNTRY HOME HEIGHTS
P.I.N.: 10-18300-030-04
DESCRIPTION:
(ROOFING)
Building-Permit Type SF (MISC.)
Building Wa_rdt Type REPAIR
Census Code 434 ALT. RESIDENTIAL
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REMARKS:
FEE SUMMARY:
VALUATION $6,000
Base Fee $112.25
Surcharge $3.00
Total Fee $115.25
i
CONTRACTOR: - Applicant - ST. LIC OWNER:
APEX ROOFING 18911919 2004228 BURNS FRANK
944 ORIOLE OR 2969 BURNSIDE AVE
APPLE VALLEY MN 55124 EAGAN MN 55122
(612) 891-1919 (612)454-2154
I here€ry acknowledge that I have read-phis ap-piica~i,on and state ~that. the
information is correct and agree to comply `Wi•thall applicable State 'of`Mn.
Statutes and City of Eagan 6rdih nces
APPLICANTIPERMITEE SIGNATURE - ISSUED B SIGNATURE J
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ig.
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construction Reouirements Remodel/Repair Reouirements
# 3 registered site surveys # 2 copies of plan
# 2 copies of plans (include beam 8 window sizes; poured intl. design; etc.) # 2 site surveys (exterior additions & decks)
# 1 energy calculations # 1 energy calculations for heated additions
# 3 copies of tree preservation plan if lot platted after 711/93
required: _Yes _ No _
DATE: 01116c Z 9 7 CONSTRUCTION COST: ~~p +
DESCRIPTION OF WORK: oRoo62
STREET ADDRESS: /de~ n[lL~ ~a9g~
LOT i BLOCK SUBD./P.I.D. I - 7k,4 IM94! '0dr,fv
,QU/`.iJ 9
PROPERTY Name: L I a A) sC Phone _ ~✓~y~ 215
OWNER
Street Address: g Ark 1`4j,3 / 4e 00.J O :2,
City: t5'a ,(J State: 141AJn (1zip: Z z7
CONTRACTOR Company: 1 4~-AA( fPhone
Street Address: Dr;0 4V License 200 y~2-7
city: A-PPIe yl/ty State: /4/U. Zip:
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licerned plumber (new construction only): Penalty applies when address change
and lot change arc 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
I ~b2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
VV CITY OF EAGAN
PILOT 3830 651-681-4675
. 55722 ' //JJ 133
New construction Reaulrements l~Tl Remodel/Repair f(eaulremeMs (0 100 > 3 registered site surveys showing sq. I of lot, sq. ff. of house 2 copies of plan
and gil roofed areas (20% maximum lot coverage allowed) I set of energy calculations for healed additions
> 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 site survey for exterior additions d decks
> I set of energy calculations
> 3 copies of has preservation plan It lot platted after 7/1/93
DATE: CD CP ,V JOQ CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREETAD?DRESS: - 02 t(o< t ~Cp, O e-- T-C l~
LOT: 3 BLOCK: SUED./P.I.D. 0
Name: siz y\S ~r~c Phone InS\- ~5~}- of\~
PROPERTY Last First
OWNER q ~
Skeet Address: ~ `CA l 3v f (\'~~i~Q . \ Q4p-
CRY aQaJ State: tcsQ Zip: 5l~\Q-~S
Company. c~Ge^\~[9 ;z!~nO, Phone C I- t` HN-Ven
(area code)
CONTRACTOR 3J3~O1
Street Address: 14 e L) License # z2~`lFbl~E p.
City ~V-4~) State: Cv-10 Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Street Address: Registration
City State: Zip:
Sewer/water licensed plumber (if installing sewer/waterPhone (
I hereby acknowledge that I have read this applicafton, state that the Information Is correct, and agree to comply with ail applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Signatu of Applicant.
OFFICE USE ONLY
Certificates of Survey Received Yes No Ju.j Z 6
Tree Preservation Plan Received Yes No Not Required
city of aagan
PATRICIA E. AWADA
Mayor
PAUL BAKKEN
BEA BLOMQUIST
PEGGY A. CARLSON
June 27, 2000 SANDRA A. MASIN
Council Members
THOMAS HEDGES
City Administrator
Frank Burns
2969 Burnside Ave
Eagan, MN 55121
RE: Building Permit #41466 issued 6/26/00
Lot 3, Block 4, Country Home Heights
Dear Mr. Burns:
A permit to re-side your home was issued to Sears Home Improvement Pro. Inspections required
are:
• final when complete
It is the responsibility of your contractor to call the City of Eagan for these inspections. For
your protection, we are recommending that you withhold final payment until you have verified
that the City has approved the final inspection.
Please call 651-681-4675 weekdays between the hours of 7:00 a.m. and 4:30 p.m. with any
questions you may have in this regard.
Sincerely,
Jan Severson
Office Supervisor
MUNICIPAL CENTER MAINTENANCE FACILITY
38M PILOT KNOB ROAD THE LONE OAK TREE
EAGAN, MINNESOTA 55122-1897 THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 3501 COACHMAN POINT
EAGAN, MINNESOTA 55122
PHONE: (651) 681-4600
PHONE: (651)
FAX: (651) 681-4612 Equal Opportunity Employer 681-4300
TOD:(651)454-BWS FAX: (651) 681-4360
W WW.CHyafeoQafl.COfT1 7DD: (651) 454-8535
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERNIIT FOR WATER SERVICE CONNECTION
Date: 5/6/71 Number: 599 C-
Billing Name: Frank Burns Site Address: 2969 Burnside Ave.. Eagan 55121
Owner: Billing Address
Plumber: same
Location of Connection Meter Sizes/R Connection Chg. prn_pd 5/6/71
Meter No.31~()4551 Permit Fee 10 _ n 5/6/71
Ira31 Meter Dep. 15.00 55/h/71
Meter Sealed: Yes Add'l Chg. ,Z_5n „,a 5/6/71
NO Total Chg. 292.50
Inspected by
Date
Building is a: Remarks:
Residence ua C ; _ ri j5
Multiple No. Units IMPROPERLY MST%LLEll
Commercial
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 accordanc ith the rules and
regulations of Eagan Township, Dakota County nnesota.
By.
Frank Burns
Please notify the above office when ready for inspection and connection.
07/19/93 09:04 DAKOTA COUNTY-1,IESTERN SERU. CTR. 001 -Low
MUNICIPAL NOTICE OF WELL PERMIT W~PLICATIOINT
DAKOTA COUNTY rJMRONNENTAL MANAGEMENT DEPARTMENT
WATER AND LAND MANAQEN3NT SECTION
14988 Galaxie Avenue West, Apple valley, MN 55124
Tel (612) 891-7011 Fax (612) 8917031
DATE:. July 16, 2993
To: Tom Colbert/Wayne Schvans Fax #t (613) 681-4612
FROM: Water and Land Management
REe Well Permit #a 93-9173 well Type--Sealing
Municipality : Eagan Reviewer a Rutten
NOTICE,
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 father review of the application or
if you have any questions or concerns about it, contact the Environmental
specialist listed above or our office at (612) 891-7011. 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 perm . Please note that permit issuance in always conditioned on
the permit applicant's observance of and conpp1$anoe with all applicable
laws and codes. A copy of the well permit will be forwarded to your
office when Completed.
WELL' CONTRACTOR INFORMATION:
Keys Well Drilling
Application Received: 07/15/1993
Anticipated Drilling/Sealing Data if known- Timal -
LOCATION OF WELLe
PLO Coordinates No OW #s NE No SW t, Sec 3 , Town 37 , Range 23
Wall Location 2969 Burnside Avenue
property owner Frank Burns
Well Owner Frank burns
PID Number 10-18300-03-004
WOLL INFORMATION,
Diamer
depth 4 f
Total depth 303
OWL 160
Aquifer
COMMENTS:
I
' 'R=94% 612 891 7127 07-19-93 09:01 P001 #03
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CERTIFICATION OF PURPOSE OF SECONDARY
KITCHEN FACILITIES WITHIN SINGLE FAMILY DWELLING
I, iJ~jtir duly sworn and under oath, certify that I am the Owner of the one-family detached
dwelling as defin d in Section 11.03 of the Eagan City Code located at 969 Burnsid and legally described as Lot
3• Block 4, Country Home Heights. PID 10-18300-030-04.
A building permit application has been submitted on my behalf to the City to enlarge, alter, improve, remodel,
and/or finish the above-referenced dwelling, or a portion thereof, to include the installation of facilities for a
secondary kitchen within the dwelling.
The secondary kitchen facilities to be installed under the building permit are for the sole purpose of providing
cooking and food service facilities for private entertainment of guests by the property owner at the dwelling.
I acknowledge that the Eagan Zoning Code prohibits the existence of a second kitchen facility within a dwelling unit
to serve a complete, independent and secondary living or housekeeping use within the dwelling. I certify that the
installation of the secondary kitchen facilities under the building permit is not for the purpose of providing a second
complete, independent and separate living and/or housekeeping unit within the dwelling.
Dated: - d ,t:i.{•. 2008
~Jf O/wner's Signature
S ribed and sworn to before me this ~ day of ✓G i 2008.
Iy
Notary Public ? JULIEA.STP!D
NOTARY PUBUC • WNNcSOTA
My Commission Expires Jan. 31,2010
I hereby verify that the above said Certification of Purpose of Secondary Kitchen Facilities Within Single Family
Dwelling was recorded at the County Recorder's Office on 2008.
By:
Its:
THIS INSTRUMENT WAS DRAFTED BY:
City of Eagan
Community Development Department
3830 Pilot Knob Road
Eagan MN 55122 Bldg Insp/Forms/Certification of Kitchen Facilities
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LLL777 LL.
CERTIFICATION OF PURPOSE OF SECONDARY
KITCHEN FACILITIES WITHIN SINGLE FAMILY DWELLING
I, duly sworn and under oath, certify that I am the Owner of the one-family detached
dwelling as defin' d in Section 11.03 of the Eagan City Code located a969 Burnside and legally described as Lot
3 Block 4. Country Home Heights PID 10-18300-030-04.
A building permit application has been submitted on my behalf to the City to enlarge, alter, improve, remodel,
and/or finish the above-referenced dwelling, or a portion thereof, to include the installation of facilities for a
secondary kitchen within the dwelling.
The secondary kitchen facilities to be installed under the building permit are for the sole purpose of providing
cooking and food service facilities for private entertainment of guests by the property owner at the dwelling.
I acknowledge that the Eagan Zoning Code prohibits the existence of a second kitchen facility within a dwelling unit
to serve a complete, independent and secondary living or housekeeping use within the dwelling. I certify that the
installation of the secondary kitchen facilities under the building permit is not for the purpose of providing a second
complete, independent and separate living and/or housekeeping unit within the dwelling.
Dated: )Lc C 2008
Owner's Signature
S ribed and sworn to before me this day of J~l ~L 2008.
Notary Public ; JULIE A.STR!D
NTARY My CommsPngEr.Firesjan, 31,2010 }t
I hereby verify that the above said Certification of Purpose of Secondary Kitchen Facilities Within Single Family
Dwelling was recorded at the County Recorder's Office on 12008.
By:
Its:
THIS INSTRUMENT WAS DRAFTED BY
City of Eagan
Community Development Department
3830 Pilot Knob Road
Eagan MN 55122 Bldg Insp/Forms/Certification of Kitchen Facilities
OEC 2 2008
l
-
For i3 trice qw I
lee,
Clty of Ea~~Il j Permit#: (C, /(C/JS~~X
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 1 I
Fax: (651) 6755694 I staff:
----------------1
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: r) 3bit 0~3 Site Address: f3Lfln)S1;k A16e 1~~
Tenant: J:k4,✓ K 4- A-y,UAJ E? JS v!/ uS Suite
RESIDENT / OWNER Name: r%4 JiL gi "4vic ~c r/NS Phone: C~ "`ice Y " Z' ~^y
Address/City/Zip: ;~9r,q nu/u/si~C¢ "'g
Applicant is: _ Owner Contractor
77
TYPE OF WORK Description of work: ~u~zAriClrls'y>J ~f z~g•~sS ~.s~~~~J
„ ~
Construction Cost: 3nc~, G•) 4) Multi-Family Building: (Yes _ /No
CONTRACTOR Name: & 44ef- Aoq,✓ .SL/5- License ?dG Zg 7_7 Z-•
Address:
City: -1~vuA sAt 14a., ,l, < State: 1,47.r: Zip: S-_5-w 7i
Phone: Z/, s / - 336 --337Y Contact Person: fh 'e-44 d !J icy Oi -
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 a 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 thatwould 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.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
7
DO NOT WRITE BELOW THIS LINE
SUB TYPES
❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool
L 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 144--l MCES System
Plan Review ✓ Code Edition 20076r 115644-- SAC Units
(25%_ 100%~ Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings j Length Fire Sprinklers
Type of Const. V 15 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Sheetrock Meter Size:
_ Footings (deck) Inal/C.O.
_ Footings (addition) /final/No C.O.
_ Foundation HVAC
Drain Tile Other:
oof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
ireplace:_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
-----------1
Jff`eiQ~g f
4b~ City of Eap j Permit# / /lam
j
I Permit Fee: `,6Q
3830 Pilot Knob Road I -
Eagan MN 55122 Date Received: I
Phone: (651) 675-5675 j
Fax: (651) 675-5694 I Staff: C ~O
------1
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ~a lI1 I6 r5 Site Address: n y /JLD 7 4
Tenant: d`r Suite
RESIDENT OWNER Name: RRti 13U~1J S Phone: ~7 u
Address / City / Zip: / pp C G B f 1l~ 4S "DA-'kV ?r~Sil, ~ b &-,o
CONTRACTOR Name: V/ License ! -qD 1"
Address: q 9S IO4- 40
City: S. o$~'Y4914- State: Zip: s
rs'e: 1,-/- '451- 3'$ (0j Contact Person:
TYPE OF 4.05 -New -Replacement _Repair Rebuild'' _l~"""Modify Space _ Work in R.O.W.
I D
'If
R SG
escription of work: Mme, I-40k b~-47"t 4 4 j-7 77.6 4L,-/4 6K ' ,ri.r t x
G
PERMIT TYPE RESIDENTIAL
Water Heater -Water Softener
Lawn Irrigation _ Add Plumbing Fixtures
RPZ / _ PVB) L Main _ Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Turnaround (add $147.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
1 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 1 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 approv of plans.
x ~D V )D N no Sx
Applicant's Printed Name Applicant's Signature
„t sz 4r$r ;ivA t XiTPTNIII-
TOR, OFFICE USE Reviewed By ,
Required in"spections Under Ground Rough In b4i - Air Testes Gas+Test eFinat
I= 2S1 ~ Iw.n lt'I#k, F- t 0.
City of Ea~~Il LI-OEC U Permit#: Cl l f l O~ I
1. 1 F 2~~$ I
(/~t (j~~
I Permit Fee: v
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: j
Phone: (651) 6755675 j scarf:
Fax: (651) 675-5694 1 n q
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:&DEC60 Site Address: .29l09 BKrNS.'g2. /9 u2
Tenant: r AAiv4C 8 WW S p Suite
RESIDENT/OWNER Name: F"XWK BwAj5 Phone: ZS!- (/SV-Z✓SY
~1
Address/City/Zip:.?9" ulQ5144 Atf¢
Applicant is: _ Owner _V Contractor
TYPE OF WORK Description of work: ~ASa,, ~ r 40020CW Z C l45-5 L ) /N63LJ
Construction Cost: Sao Multi-Family Building: (Yes No .%e
CONTRACTOR Name: 43A!&E& 1Z,2.AA),r-- '~VC License 062.rZ 7 Z
Address: 3Y 4ozp- A l e Ajr
City: SO~ih 5-+ /'x./ State: ^A.-' Zip: J509s,
Phone: LS1-33~P-33'78 Contact Person: /"a-p t OR 426d Al-S
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 tote 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 M/"4,a/ wh r3Qw•Pl- x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool
I ❑ 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/gazebolpergola) ❑ Multi Misc.
❑ 03-Plex ❑ 10-plex *01 . Lower Level ❑ Storm Damage
❑ 04-Plex ❑ 12-plex ❑ Miscellaneous
WORKTYPIE (~l^^ IC L(f~i1^'~ A0
CG~i~'S
❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building'
❑ Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior
;R~ 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 SAC Units
(25%_ 100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. 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 T 6r V
S&W Permit & Surcharge
Treatment Plant
Copies
Total
I:./ Page 2 of 3
Receipt: 27415 T637083
TORRENSFEE $4600 1111111111111111111111 11
Recorded on: 12/1911008 09:00:01AM
By: SJS, Deputy
Certificate 144317
Return
CITY F EAGAN
PI J
LGT KNOB ROAD
MUNICIPAL CENTER Joel T. Beckman Registrar of Titles Uj
MUN
EAGAN, MN 55122 Dakota County, MN `Q
n
CERTIFICATION OF PURPOSE OF SECONDARY O
KITCHEN FACILITIES WITHIN SINGLE FAMILY DWELLING
I, /7L r e k .1 k 1 duly sworn and under oath, certify that I am the Owner of the one-family detached
dwelling as defin d in Section 11.03 of the Eagan City Code located at 2969 Burnside and legally described as Lot
T 3, Block 4, Country Home Heights PID 10-18300-030-04
A building permit application has been submitted on my behalf to the City to enlarge, alter, improve, remodel,
and/or finish the above-referenced dwelling, or a portion thereof, to include the installation of facilities for a
secondary kitchen within the dwelling.
The secondary kitchen facilities to be installed under the building permit are for the sole purpose of providing
cooking and food service facilities for private entertainment of guests by the property owner at the dwelling.
I acknowledge that the Eagan Zoning Code prohibits the existence of a second kitchen facility within a dwelling unit
to serve a complete, independent and secondary living or housekeeping use within the dwelling. I certify that the
installation of the secondary kitchen facilities under the building permit is not for the purpose of providing a second
complete, independent and separate living and/or housekeeping unit within the dwelling.
Dated: J .wC'_ CI 2008
Owner's Signature
S In ed and sworn to before me this day of , 2008.
Notary Public JULIE A.STRID
NOTARY PUBLIC-MINN-tSOTA '
• My Commission Expres Jan.3t, 2010 t,
I hereby verify that the above said Certification of Purpose of Secondary Kitchen Facilities Within Single Family
Dwelling was recorded at the County Recorder's Office on 2008.
By:
Its:
THIS INSTRUMENT WAS DRAFTED BY:
City of Eagan
Community Development Department
3830 Pilot Knob Road
Eagan MN 55122 Bldg Insp/Forms/Certification of Kitchen Facilities
Use BLUE or BLACK Ink
For Office Use
I I
City ~ on Permit
u Play r '
~ Permit Fee: 60
I
3830 Pilot Knob Road i I
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 1
Fax: (651) 675-5694 Staff----------------
2009 RESIDENTIAL PLUMBING P RMIT APPLICATION
Date: f Site Address: "-n 5
Tenant: Suite M
RESIDENT/ OWNER Name /ale LA-Y Phone: 77
Address/ City/Zip: CONTRACTOR Name: G W4 ka ("r, se
Address: y
City: ,t l A" State: jwk,) Zip: 6 3 4
Phone: Contact Person:
TYPE OF WORK _ New X Replacement -Repair _Rebuild - Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater -Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / - PVB) Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) -
TOTAL FEES $
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.popherstateoneGall.org
I hereby acknowle a 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 u stand this is not a permit,-buYonly an application for a permit, and work is not to start without a permit; that the work will be in
accordance wi a approved plgnap-the case of work which requires a review and approval o plans. _ _ .
x x~
AppJfea` 's P rnt Applicant's Signature
FOR O ICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA138562
Date Issued:09/06/2016
Permit Category:ePermit
Site Address: 2969 Burnside Ave
Lot:3 Block: 4 Addition: Country Home Heights
PID:10-18300-04-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Bonnie Tste J Burns
2969 Burnside Ave
Eagan MN 55121
(480) 363-0588
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature