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2984 Burnside Ave íü ðôô þýýüûúÿú ÿ ùüüýý ëíýüì úÿüõó í þý ÿþýüû ù÷àúÿýüû ùýüûù÷à ø÷àêûõ ûÿ úÿúîî äÿûü Þ ôÿë õûæõóóõôÿõþõè å÷÷ûååõ ý ûèúååûåè úþõçôÿþü÷åõüóõè ëéâéííè í èî í öù ÿó Ýÿéâéè ð èð Ýÿ è õó òñ ûû ê÷òæ ð ðíîÿæ êæòøòø ñáïáî îããã óþü÷ó óæóûûóóåõõûü÷óûûþ åò ÿúüåäè ûûà õ ÿ ÿü ÿ CITY OF EAGAN 3795 Pilot Knob Road Eagon, Minnesota 55122 Phone: 454-8180 PERMIT Dote: Receipt No.: - Single Site Address• Residential Lot Block Sub/Sec. _ Multi Res., Comm./Ind. Name ' . c Address ' a City ? Address ` AVe. Phone: ,' S1.-ZF. ?`I Nome No. v New/Alter./Repair. ? '- rtt' • Cost of Installation I Permit Fee ISurthorge 21. rNl s City ? Phone: Totnl This Permit is issued on the express condition thot oll work shnll be done in accordance with all applicoble State of Minnesoto Statutes and City of Eagan Ordinonces. C.4, -0- 5 5 9 3 5 -7 -fr 4 IfO Buildin9 Official cirr oF EAG?N . ? . 3795 Pilet Kno? Rond Eayaw, MN 55121 ' PHONE: I54-0100 BUILDING PERMIT ?. Receipf # ` - Te M Ywd for Est. Votue Dote , 19 Site Addreu Erect ? Occupancy Lot Block Sec/5ub. ' '• Alter p Zoninp parcel ,# ' Repoir ? Firc Zone Enloros p W Nome Move 0 ? Address Demolish ? Ci Phone ` Grada p ? Naffm Avprovab ,o Z S? /lddress l?ssessment - ~ CIt Phone Woter 8 Sew. Poliu Nome _ Address Firo Enp. Plonner Council Type of Const. #' Stories Length Depth Sa. Ft. Permit Surchorge Plan check SAC Water Conn, Woter Meter Rood Unit 1 hereby ocknowladge thot 1 hove read this opplication cnd stote that Bldy. Off. the informotion is correct and agree to comply with oll applicable ^PC _ Stote of Minnesota Stotutes and Ciry of Eogon Ordinonces. 5iynoture of Permittee Totol A Building Permit Is issued to: on the express wndition thrn oll work shnll be done in xcordorxe wlth all opplicable State of Minnesota Statutes ond City of Eoflan Ordinonces. Buildinq Offlciol Pormit No. Permit Holdsr Mise. Psrmit No. Holder Plumbinq H.V.A.C. E w.u Watar Disp. S?wer ENctric O;,Us'AT- Inspection Date Insp. Other Footinqs Foundation Fnminp Rouph Plba Rouph HVA Inwlation Final Plbg. Final HVAC Final - Watar Dowibe loeation: • YYsll . Sevwr Pr. Dhp. CITY OF EAGAN Remarks Addicion Country Home Heights Lot 5 61k 2 Parcel 10 18300 050 OZ owr, Street 2984 Burnside Ave. srtate Eagan, MN 55121 I Improvement Annual Years Payment Receipt Date STREET SURF, m STREET RESTOR. q GRADWG ?t) 5AN 5EW T RUNK J?W SEWER LATERAL WATERMAIN ? WA7ERLATERAL 20 WATER AREA STORM SEW TRK 1984 495.00 33.00 15 STORM SEW LAT CURB & GUTTER 51DEWALK STREET LIGHT WATERCONN. $300.00 6117 ]-19-]2 BUILDING PER. sac • 00 6117 - - PARK ? This request void 4 iz eZ 7 18 months.from S 59 ? ? ? Date of this Request Fire No. I, as 9;,ric-ensed Electrical Contractor Owner, do hereby request inspection of the above electri- cai wiring installed at: Street Address or Route No. a95' q Urj' i[:Cx_ City-EA-PW Section Township Range County Which is occupied by (Name Occupant) ? ?/? Is a roughin inspection required on this job? No Yes ? Ready Now ?"' W'?11 Call O Power Supplier Address Electrical Contractor Az ?ya..°tdri? ?Con ractor's License No. ??trC (/COmpany Name)/? MailingAddress k Q nLL?s?c/3.?e ?5wa x rSo1,(i.c3' 'Ou ctric Co ntr+? tor or Owner Making Tnls Installatlan) Authorized Signature 77 nirL;Zn..-- Phone No:5??'?9? (ElectHCal^ ^ nt a r i Ownar Making TNS Installation) ?Up` N 0 Q .,OPY Thisinspection request will not 6e accepted hy the . _.. ., State Board unless proper inspectian fee is endosad. . .Jnwanm cmrw xnarn oT 18CVICILy Gr" - 191 1- ,g, Un; .. ? o, - Phone ZII.z,,, 59359 WE- UEST FOR ELECTRICAL IN TION ? CHECK B OW WOAK COVERED BY THIS REQUEST Type o uilding New Add. Rep. Check Applianca Wired For Check Fquipment W'vad Fm Home ? ? ? Range ? Temporary W'uing ? Duplex ? ? ? Water Heater ? Lighting Pixtures ? Apt. Bldg. ? ? ? Dryex ? Eleckic Neating ? Commetcial Bldg. ? ? ? Furnace Silo UNoader ? Industrial Bldg. ? ? 11 Ait Conditi 8al ? Bulk Milk Tank ? Farm ? ? List List ) Other ? ? ? ? Rthers Others} ece 1 fle[e ) COMPUTE INSPECTION FEE BELOW vI I ///Y ?)j Seivice Entrance Size: # F¢e Fcedeis&Subfeedecs: # '? .@e Ciccuits: # Fee 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres 101 [0 200 Am s. 31 [0 100 Am res 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Am s. Transformeis R emoteControlCicc. Partialoro[hertee Si ns pec Sial Ins ec[ion Minlmum fee $5. Remazks TOTALF d I, the Electrical [nspector, hereby certify that the above inspection has been made. (Rough-in) Date? (Final) ' Date This request void 18 months from Thls reyuest voiA _((o 18 n, ( `1' ? 6 O 'i ?-I"e Re.q nst Date Firz No. Rounh-in lacper,t'uon ,?j i I?, Req ued, ?Feadv Npw ?M"lill Noti1V InsPeo- ?(J I) Yes ?NO T ii+r When Heady ? Licensed E ectrical Contrnctor ? ? I hereby request inspection uf above Ile, ! .? L? elecGicbl work insIalled at Street Ad es?s x /ar?Po?u,,te? 1Noc.- J ? Citv ? `/ W'ClYV.JjI,).(i acb n o. Fownshfp Nema or No. Rangc No. - Gount L OccuV,nt IPqINTI Phone No. ? u ' ? ? Pnwe??up er ? Atldress Electricaf Conlr ac} ICompany Name) ' pr Cunhacmr's Licen>:e No. c ? ` Mailing Adtlress (COn[rac[or or Owner MakinA Instailution) Q?? L pr ed SiBnature (COnt cto Owier Making Irmtalla[ion) Phone Number 25 4 -a* 3`-7 MINNE509A STATE BOAND OF ELECTRICITV ' . . THIS INSPECSION pEUUEST WILL NOT - Griggs-Midwey Bidg. - Room N-191 BE ACCEPTED BY THE STATE BOAflD 1821 University Ave., St Paul, MN 55104 - UNLE55 PflOPEF INSPECTION FEE IS vh....a (6121297-9111 ENCIOSED. ww AREQUEST FOR ELECTRICAL INSPECTION ? ?? ?/i' Sae instructions For comuleting Ihis rnrm on back of yellow cupy. .? Beldw Work Covered by This Request F« EB-00001-03 ?J-10 New Atl flep. Type ot 8uilding Appllunces Wiretl Epuipment Wiretl Home Range Temporary Service Duplez Water Heater Lightiny Fixtures Apt. Buildiny Dryer Electric Heatin Commercial Bldp. Fumar.e Silo Unloader industrial Bldy. Air Conditioner Bulk Milk Tani< Fai'nt Other .pealv Other (SUeci5v) . t er 7,penfy thor Other Cnmpule lnspectron Fee Belaw N Fae ServiceEntranceSize 1 . k Fno Fenders/Subfeetlers N Fee Circuits to 100 qm . 0 t. 0 to 30 Am os 0 tn 30 Am s 101 to 200 qmps 31 to 100 qrnps 31 to 700 qm s Abnve 200 qmps Abovc 100_Amps Above 100-.4rnps T?anstormers Remote Control Circ. Partial,'Other Signs Speciai Inspection S --?V ? N1 7 Rei,arks +10? OTAL FE p O Fough-in Ilate ? Z I e HecVical y??'! ?nsoector, hereby Flnal ??'?°', J?. c ' y thet the above inspectiun has boen ?l mada. This rcQuest void 18 ?uonthe: irom . . EAGAN TOWNSHIP BUILDING PERMIT NT 1733 Ownex --..t ,.??.:..??.°-.rr.4tr.....?:...?`...... ......................._---- Eagan Township Addzess (P+esenSj?.??.Ijtr7.l..................... Town Hali Builder .. Addrass ...... Dale 6fosies To Be Used Fos Front Depih Heighf Esf. Cos! Permi! Fee Remarks ?? a io, iu s Ix & LOCATION or sI '2 I& ! H - N This permit does ao2 auihorise the use of sireels, roads, alleys or sidewalks nor does it give the owner or his agen! the righlfo ereale any siluafion whiah is a nuisance or which presenis a hasard fo the healih, safefy, convenience and general welfare !o anyone in the eommunifp. THIS PERMIT MUST SE' KEPTP N? T?HE PREMISE WHILE THE WORK IS IN PROGRESS?.? ,-? •? ) This ia !o aesiifp, fhal.... zG_...... G4!r«':' .............. .................... ..has permisaioa !o ereci a.._?:^".:.`:....""?:?.!? ?upon the above described psemise subjec! !o the p:ovisiona ot the Building Ordinance for Eagan Tomnship adopled April 11, ? 1955. r ----q--?- .. ......._......° '-- - • ....`--... ....-- .._........F-t~= """_......_...."'_""__-•'. ---. .•---"_"--.._---. Per "'--._..... GGG' tR .............. Buildin Inspeofor C airman of Tnwn Board ? G•4, ) II" er.alc1z Pa,( I ?Jil k?ti?er?s?ons era Ia ? Q e I U X t 57-t nq 1 ?„ ? 1 Sc-, il S? Lc1' ? in 6 loc- k -, C-Ou r;'F yi hF ovh 'L Aec q h"F?S. ?? ? ?0, OC)C? A ? W 6^Ow III BUILDING PERMIT CIT1' OF EAGAN 3795 Pilet Keob Road Fayen, MN E5112 PHON[: 034•8100 Te bs wad tor RIIMMII, KT1CMN Est. vaiw $5,000 sro Address 2984 Wrnside Avemie Lot OSO glock 02 Sec/Sub. QPP!try Fme Hts parce1 # 10 18300 050 02 W I Name Eu2PSlP G'l1 Z Address 2484 BtgnSide At7E.. ? n_- ee1m er, n1n1 _? I Address T? 0 %chter Road g? ,eu ?' fsn. FSi4.'iT1 551 77 o....__ 65G._,)13l1 Name Address I hereby ocknowledge tFaf I have read this application ond stote tFrof the intormotion is torrect ond ogree to comply with oll appliCOble Stute of Minnewta Stntutes and City of Eagon Ordinonces. 7172 Reteipt # 2 ` ? s a- Erect ? Occupanty ?j Alter Zoning K-L Repoir ? Fire Zona NR1 Enlarge ? Type of Const. NA Move ? # Stories Nl1 Demolish ? Length NO. Grode ? Depth NA Sq. Ft.- Anororals Faos Assessment Water 8 Sew. Police Fire Eng. Pianner Council Bidg. Off. APC Permit JV JV Surcharge2.50 Plon check SAC Woter Conn. Woter Meter Rood Unit Ta,l $s3_nn Sipnoture of Pertnittee I A Building Permit Is issued to: T? %chter on the express condiHOn thm all work sholl be one i{ rp ?uccordo wi?th yp?II a.p?p..li_cabl^e Stote of Minneaofo Stotutes ond City of Eaqan Ordirances. Buildinp Official ?t?tl ? ??t.C2?-?Y l? '? 7b Be Used For Site Address: CITY OF EAGAN BUILDING PERMIT APPLICATION Valuation Include 2 sets of plans, 1 site plan w/el.evations & 1 set of energy calculations. Date ? ,f Sirrr?o???J lwL ? OFFICE USE O Y Lot C-ISU Block p -? Sec./Sub.? Parcel #: 10 1 $3> DD O?U G ? Owmer: ? Psldress: City/Zip Code: Phone # : L? s Y d (o .3 9 Contractor: Acldress: J ' City/Zip Code: Phcne #: ?.Sft ? / ,3 b Arch-/Eng•: Address: City/Zip Coc1e: Phone #: Erect Occupancy e - -3 Alter >C 2oning Repair Fire Zone ' Enlarge Type of Const. Nbve # Stories Demolish Front ft. Grade Depth ft. APPROVAI.S FEES ? Assessments Pezmit 0> Water/Sewer Surcharge - Police Plan Check ?` Fire SAC F.ng. Watex Conn. Planner Water Meter Council Roac3 Unit Bldg. Off. P.PC 'IY7PAL , - 2005 RESIDENTIAL BUILDING PERMIT APPLTCATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 #-IGI?U,2 New Construction Reouiremenfs RemodelRteoair Reauiremenk O(fice Use Onlv 3 registered site surveys showing sq. fl. ot lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert oi Survey Recd _Y _ N (20% manimum lot coverage allaved) 1 setof Energy CalculaAOns for heated addNOns Tree Pres Plan Recd _Y _N, 2 copies o( plan showing beam & windax sizes; poured found design, etc. 1 site survey tor additions & decks Trce Pres Required _ Y_ N 15etofEnergyCakulations Addition - indicafe'rfon-sdesepficsystem On-siteSepticSystem _Y _N 3 copies of Tree Preservation Plan if lot plaried after 7/1193 Rim Joist Detail Options seleclion sheet (buiWirgs wBh 3 or less uniGS) Date / 0? Construc6on Cost ?G?OV 0 ? / Site Address 2 G v-1 ?-? • UnitlSte # Description of Work Multi-Family Bldg _ Y R N Eireplace(s) _ 0 ? 1 _ 2 Property Owner Telephone # lNYr1{l?e?l? r Contractor Address 9?pp ??? City State tdt pill M"OMNM Zip Telephone #( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Category . Residen[ial Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan$ _ Y _ N If yes, date and address of master plan: . Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( I hereby apply for a Residential Building 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 pernut; that the work will be in accordance with the approved plan i he case work which requires a review and approval of p ans. ? 0 *Go?_ ` Applicant's Printed Name Applican s Signature - Telephone .; .? 1 . EAGF.N TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERtUT FOR WATER SERVICE CONNECTION Date: Decemher 9.„7970 Billing Name: Euzene Sell Number: S].?-•?' /..2, S Z C.1L, ff Site Address: 2984 Burnside Owner: same Billing Address same Plumber: WEierke Trenddng and Gretsfeld Plumbing Meter Size NOT CONNECTING NOW - SIGNED UTILITY AGREEMENT Meter No, IPermit Fee 10.00 vd 12/9/70 Meter Reading iMeter Dep. Meter Sealed: Yea_ 'Add'1 Chg. NO I Total Chg. Building is a: Residence I2ultiple Ko, Commercial Industrial Other Inspected by Date Remarks: By: Chief Iaspector In consideration of the iseue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules aud regulations of fiagan Township, Dakota Cou ty, Minne a. sy: ?D Weierke Trenchine d Gretsfeld Plvmhing Please notity the above office when ready for inspection and connection. 7 EAGPN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNSCTION Date• _ Ju1y 19. 1,9,72 Billiag Name: Eueene Sell Owner: same Plumber: Henry Gretsfilt Number• 894 .? " C1;1'141-• Site Address: 2984 Burnside Billing Address Location of Connection Meter Size Connectioa Chg.300.00 pd, 7/19/72 j? ?ter No. ?150d?aA ?`10 Y ??10 Permit Fee $10.50 t?`?- o- S 116 .S44" Meter Reading__Q_ MeCer Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected hy Date Bvilding is a: Remarks; Residence Mu1Ciple Ho, Units ?.. Commercial ? ?- ? Industrial Sy; Other Chief Inspector In consideratioa of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordaace with the rules and regnlations of Eagan Township, Dakota Cou ty, Minne ota. By: e ??~ ,t1 Please notify the above office when ready for inepection and connection. [? . ? .r EAGAN TOWNSHIP December 9, 1970 DAKOTA COUNTY, MINNESOTA I/We hereby request of the Township of Eagan permiseion as followet water service line and 1. To connect the sanitary sewer aervice Line from my reaidence/ commercial building at 2984 Burnside to the sanltary sewer lateral located same 2. 3. It is understood that I/we will not hook up and uae the service until I/we have paid to Eagaa the neceasary connection fee for such hookup. It is further understood that in the event that I/we do hook water service line and up and use eaid saaitary sewer seroice before paying the required connection fees, that I/we will be required to pay the Towaship a stm in eddition to the connection fee of $Z00.00 I/we also uaderatand that I/we will also be required to pay to the Townahip in addition to the fees required above the normal iaspection fee for each inspection by the Eagan utilitiea department. Dated;December 9, 1970 Signed: r 2984 Barnside EAGHN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE• T111;L io? 1e79 OWNER: Eugene Sell PLiJMBER Henry Gretsfelt NOMBER 1057 Address 2984 Burnside TYPE OF PIPE Heary Cast Iron DESCRIPTION OF BUILDING Industriall Commercial' Reaidential I Multiple Dwelling I No, of unita xx Location of Connections: Connection Charge $260.00 od 7/19/72 Permit Fee $10.50 Qa -?/Z° Street Repairs Total Inspected by: DaCe Remarks: Bq Chief Inspector In consideration of the issue and delivery to me of the above perniit, I hereby agree to do the proposed work in accordance with the rules and regulations of IIagaa Totmship, Dakota Cou ty, Minnesata BY. Please notify when ready for inapection and connection aad before anq portion of the work is covered. EAGEiId TOWN"uHIP 3795 Pilot Knob Road St. Pau1, Minnesota 55111 Telephone 454-5242 PERMIT FOR SE47ER SERVICE CONNECTION ?ATE: neremher 9?1()70 NUMffiER 669 Address2984 Burnside '?7--d 01 N, r? PLUMBER Wainrrke Tren hinp, d TYPE OF PIPE cast it n Gretsfeld Plumbing DESCRIPTION OF BUILDING Industriall Commerciall Residential I Multiple Dwelling I No, of units Location of Connections: NOT MM CONNECTING - SIGNED ffiC UTILITY AGREEAfENf Connection Charge Permit Fee 10.00 pd 12/9/70 SCreet Repairs Total Inspected by: Date Remarks• Sy Chief Ittspector In consideratioa of the issue aad delivery to me of the above pexmi.t, I hereby agree Co do the proposed work in accordance with the rules and regulationa of Eagaa Township, Dakota C , Minnesot By ounC (? Weierke, renching 6fetsield Plumbing Pleaee notify when ready for iaspection and connecCion and before any portion of the work is covered. J7 ? ?l y?,?,,t C-e „-r? - ?-r? ? C O U N T Y ENVIRONMENTALMANAGEMENT DEPARTMENT GROUNDWATER PROTECTION SECTION 14955 Galaxie Avenue • Apple Valley, MN 55124 952.897.7557 • Fax 952.897.7588 • www.co.dakota.mn.us MUNICIPAL NOTICE OF WELL SEALING PERMIT APPLICATION DATE: July 2, 2004 TO: Tom Colbert/Wayne Schwanz (EM) RE: Well Permit #: 04-H219600 MunicipaliTy: Eagan Fax #: (651) 675-5694 Well Type: Domestic Environmental Specialist: Luehrs 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) 891-7011. 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 permit. Please note that permit issuance is always conditioned on the permit applicanYs observance of and compiiance with all applicable state, county, and municipal laws and codes. Well Contractor: Date Application Received: Anticipated Drilling Date: Anticipated Grouting Date: Property Owner: Well Owner: WELL LOCATION: Hartmann Well Company 7/i/2004 Time: Time: Janet M Sell Janet M Sell PLS Coordinates: SE 1/4, SW 1/4, SW 1/4, Sec 03 Town 027 Range 23 Street Address: 2984 Bumside AVE PIN Number: 101830005002 WELL INFORMATION: Diameter: Casing Depth: Total Depth: Static Water Level: Aquifer: COMMENTS: Fiie Edit View 7'aals AppUcations Flelp }ii WR Ky \ / a 2 0 R i I:ZF Al??) ? A TI 21 a1 9 Connectian I Cammertts I Eagan Buiiding I Eagan De@etopmert ? Permits Owner I Eagan AssssslSales I Eagan Properiy I Eagan ParaeIlD 101830005002 ? Address 2984 BURNSlOE AVE Own$r 1 SELI JANET M -, 2984 BURNSIDE - - IEAGAN MN 55121 Clwner 2 Owner 3 Owrrer Q Search PID ? Searth House 2984 BURNSIQE AVE •.?? PERMIT City of Eagan Permit Type:Building Permit Number:EA139190 Date Issued:10/13/2016 Permit Category:ePermit Site Address: 2984 Burnside Ave Lot:5 Block: 2 Addition: Country Home Heights PID:10-18300-02-050 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 - Mark Davis 2984 Burnside Ave Eagan MN 55121 Professional Exteriors Inc. 3158 Viking Blvd NE Wyoming MN 55092 (763) 434-1500 Applicant/Permitee: Signature Issued By: Signature