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2950 Burnside Ave CITY OF EAGAN Remarks Addition Country Home Heights Lot 3 81k 3 Parcel 10 18300 030 03 Owner ! Street 2950 Burnside Ave. State Eagan, MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING WAN SEW TRUNK 1968 - 3u PAID SEWER LATERAL & qtUb $2359-00 $117.95 20 b5 WATERMAIN WATER LATERAL qt*jjh 1()7? 20 WATER AREA STORM SEW TRK 1984 33.00 15 49 .00 C-OOR174 7-28-83 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 260.00 3758 6-29-71 BUILDING PER. SAC 3758 6-29-71. PARK EAGAN TOWNSHIP x~ 249 /j/B=/,~ fL® NG PERMIT Owner -°~Zf.----- / f,.4! .lL~r Eagan Township Address (present) _..../._y-~ ~ :-.--.:r-...--....:! ~il•: ?~f~' >D Town Hall Builder Date Address DESCRIPTION Stories To Be Used For _ Front Depth Height Est. Cost [Permit Fee Remarks LOCATION Street, Road dr~ other Description of Location _ Lot Block _ Addition or Tract This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the hen safety, convenience and general welfare to anyone to the community. THIS PERMIT MUST B ON P E SE WHILE THE WORK IS IN PROG S. This is to certify, that....-...1 s -..4f.L.-i~,.... _.-has permission Yo stet! [r ----------------------------upon the above describ ,remise subjsct.to the, provisions of the Building Ordinance for Eagan Tow ip adopted April 11, 1955. i Per Chairman of Tow - rd Building Inspector EAGAN TOWNSHIP N° 1265 BUILDING PERMIT Owner .(:C..t------- 4'~. Eagan Township Address (present) 1.5~..'.' Town Hall Builder 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 ~3~d,- . 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-KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, thst._.. has permission to erect a . .......upon the above described premise subject to the provisions of the Building Ordinance for Eagan Townsh dopted April 11, 1955. LO c~wv Y,-- Per --'.✓---°------!a........ Chairman of Tnwn Board Building Inspector 4 - X5. EAGAN TOWNSHIP BUILDING PERMIT N° 1829 Owner - f.'° Eagan Township Address (pre ent) J;;3. Town Hall Builder . - - - - - Address Dale DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks LOCATION Street, Road or other Description of Location I Lo! Block Addition or Tract 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 ON_ PREMISE WHILE THE WORK IS IN PROGRESS. -y - ) e This is to certify, that----- - ----------Q'-,-d---.------....-°------............ has permission to erect a3n-----.-................f--G..%c..a.....✓......:.-eC,r..yl the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11. 1955. (J J / ' n , ...........................J. -'F. .....dk.:.- Per ....---........-LZCif..Gi-----. ChaumEEfifi f - - of Tnwn Board Building Inspector 4. -70 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date / /S 1 0-7 Site Street Address 7i`1 0 V9Itir A/SX-0G A4 ; 4A4., Pw y s0Z(Unit # Property Owner T ti[ 1Zb Z-V W1 AJ%( Telephone # ((of L) 2-At t) -~t SD$ Contractor 2-9-52 t C r2N5~Oc AV>✓ • Telephone # ((GIL) 2-50-0t 502 Address l20 ZLLMfjY City I=- A(s-%ArJ StateVtA,~,[_ Zip 5'502- The Applicant is: Owner & Occupant _ Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee applies when extensive lumbin repairs are made to a' building. Alterations to existing dwelling $ 50.00 Add plumbing fixtures to _~L_ main level _ lower level. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener Water Heater 15.00 new _ replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $570,56 I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. V(01) Z, zs ya t/ - c Applicant's Printed Name Applicant's Signature 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN/~~ 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date - II/ 1 O6 , Site Street Address ~~.RSU &0,41uS1,,2 /A U. Unit # Property Owner D ox) UG7~ Al Telephone # (v/~ )ago-9-,Tog Contractor OwiveK Telephone# ( ) Address City State Zip The Applicant is: Owner _ Contractor -Other Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $130.00 if a 5/8" meter is required) }Other: Alew ddr G nI ~0 Water Softener Water Heater $ 15.00 new _ replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 1 hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. D~~i~ Raz utter iw Applicant's Printed N me Applicant's Signature~G. L BL CITY USE ONLY 1 RECEIPT SUB0. btX~ DATE: 5 ~-T le, 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► single family dwellings townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = d /Jd Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL ~O. S® SITE ADDRESS: - OWNER NAME:n `~~~~I-= OWNER INSTALLER NAME: STREET ADDRESS: I~<`,Zc,~tD79et~ ~aC! CITY: STATE: ZIP: PHONE ((p/o2) a - /S(p Alto ~e y-7- sue u~~+-'~ w Lot 3 Blk 3 PID # 10-18300-030-03 Sewer/water permit # 25340 Plat COUNTRY HOME HEIGHTS Date 04/05/95 Receipt# 39095 CITY OF EAGAN 1995 SEWER & WATER CONNECTION CHARGES EXISTING RESIDENTIAL PROPERTY `e Sewer connection charges l' Water connection charges Sewer avail bility charge (SAC) 950.00 Water availability charge (WAC) $ 750.00 Pd. Date prevlo ly paid Date previously paid 06/29/71 Receipt # Receipt # 3758 Account deposit 15.00 Account deposit 15.00 Sewer permit and s~pcharge W.50 Water permit & surcharge 50.50 Pd. Water meter 115.00 Pd. Subtotal $ 1,015.50 Treatment plant 372.00 Tap Subtotal $1,302.50 dotal Tap Total $ 387.00 . Sewer & water connection charges Sewer ailability charge (SAC) 950.00 Date previously paid Receipt # Water availabilftjrckrge (WAC) 750.00 Date previously pa' Receipt # Account deposit-- 30.00 Sewer & water permit and sureh ge 100.50 Water meter 115.00 Treatment plant 372.00 Subtotal $2,317.50 Tap(s) ,,Total A plumbing permit is also required. It will be issued only to a plumber licensed with the City or to the homeowner if he is actually doing the work. OFFICE USE ONLY Property owner JAMES MUNDSTOCK PRV N O Address 2950 BURNSIDE AVE No. of taps a n E Phone no. Assessments Plumber WENZEL PLBG (452-1565) Waiver 001-05-95 12:59PM FROM CITY OF PAGAN TO 96814360 POO1/001 AS OF: 04/05/1995 PROP$'RTY ID: 10-18306-030-03 S/Ap ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN. PRIN. PAYOFF CD 10004'0 SAN SW TRR 1967 30 6.0000 100.00 0.00 0.00 CL 100136 SW/WAT LAT 1971 20 8.0000 2359.00 0.00 0.00 CL 100803 STORM SEWER AREA 1983 15 12.5000 495.00 0.00 0.00 CL SUMMARY OF LEVIED 0.00 0.00 0.00 i'~+++ 1995 P4I CHRTIFIED 0.00 SUMMARY OF DEFERRED 0.00 0.00 0.00 SUMMARY OF PENDING 0.00 0.00 0.00 SUMMARY OF CLOSED 2954.00 Preec BNTER, or Fl, F4, -F5, F7, FS Moe 1-1 n i Col%~f <c~ S' hoe EAGAN TOWNSHIP 3795 Pilot Knob Road St, Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: June 30, 1971 Number. 663 3 -3 C,407- Billing Name: Edmund Osterhues Site Address: 2950 Burnside Ave. Eagan 55121 Owner: same Billing Address same Plumber: Location of Connection M er Size-.e Connection Chg. 260.00 pd 6/30/71 ~~73JG7 Meter Noa /SoAv-a7 Permit Fee -~---rya- Meter Reading Meter Dep. 15.00 pd 6/30/71 Meter Sealed: Yea Add'l Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residence xx Multiple No, Units X25.03 RE MPE;TI N FEE FOR 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 accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. Bye Please notify the above office when ready for inspection and connection. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: June 30, 1971 NUMBER 820 3-3 CHI~f. OWNMEdmund Osterhues Address 2950 Burnside Ave. Eagan 55121 PLUMBER v a rr~ P TYPE OF PIPE Cast Iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units xx Location of Connections: Connection Charge 200.00 pd 6/30/71 Account Deposit 15.00 pd 6/30/71 Permit Fee /2"- 41- ~0 /v. .So"10 &/a3/7i Street Repairs Total Inspected by: Date Remarks: By 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 regulations of Eagan Tocroship, Dakota County, Minnesota By Please notify when ready for inspection and connection and before any portion of the work is covered. DAY/DATE: / SO ~✓~h0e~-Q, ADDRESS: Q Lo-r-3 t3L TIME: ojj , -u 4jpY,z pW7, FTG 6AA FINAL HTG. _ DECK. FTG. 'yk- FINAL PLBG. FOUNDATION FINAL/C.O. FRAMING FINAL/DECK _ ROOFING ADDITION _ INSULATION FIREPLACE R.I. HTG. POOL R.I. PLBG. -1 /RAGE _ OTHER CITY OF EAGAN SEWER WATER CONNECTION CHARGES - 1989 EXISTING PROPERTIES SEWER CONNECTION CHARGES WATER CONNECTION CHARGES SAC -7 $ 65~.00 WATER CONNECTION $ 58)40 Previously Pd. c Previously Pd. tO Receipt # 3 -7S g i Receipt # 3 -r S$' ACCOUNT DEPOSIT 15.00 WATER METER vv- / SEWER DEPOSIT 10.50 TREATMENT SURCHARGE 228.00 TOTAL: $ 70~ 50 ACCOUNT DEPOSIT 15.00 \ ' \ WATER PERMIT 10.50 \ PLUMBING PERMIT 12.50 TOTAL., $ 9)600 TOTAL FOR SEWER & WATER HOOK-UPs $4;6-36:51D- 1O,F,,FICE- U-SE, ONLY PROPERTY OWNER: C\'~' l~ O+ ' JO 3! ADDRESS: C;,)C~ J y L: J Bs :3 ADDt CITY dr Lcuiit` 18300 030 OJ tr t 2~5C1'':~tiCi~f►~ir~~ ' iiVi3r tbig $A Afi# i N t)wri~ r _ , Ir5ipr8~eYf1911 " " , s bAt~ S Ar~tsol5't Ai1nu91 w BF! pd'y iBri r i~bceipt C1att; STREET FIESTOa. s - mac' _w GRADING AN'SEWTRUNK:, SEWER LATERAL. 1 117., 91 y 2Q, 1- • . ,;,:.mot :.;'i ~ I; WATER LATERAL n r ii F WAFER AREA STORM 9~ StORM 5EW LAt• CURS EI U~UVEq SIbEWALK 1J N f- i Y f d,. ♦.t. 5 w $ yK i f tx l»4 a krF - a SilMLIGHT ;=a -71 WATER CONN r} t i C r , 5 9UILDINaPER. PARK TRANSACTION ID: R768 SPECIAL ASSESSMENTS SPECIAL ASSESSMENTS SEARCH SUMMARY PROPERTY .I.D. TODAYS DATE: 04/26/89 -SPECIAL. FLAGS-°- 1-2-3-4-5-6-•7-•8-9=1-0' 10-18300-030-03 S.A.#- ASSESSMENT DESCR. YR YRS RATE TOTAL ANN.FRIN. PAYOFF COMMENT 100040 SAN SW TRK 67. 30 6.00% 100•;,00 .00 .00 CLOSED 100136 SW/WAT LAT 71 20 8.00% 2359.00 117.95 235.90 100803 STORM SEWER AREA 83 15 12.50% 495.00 .00 .00 CLOSED #aEat SUMMARY 'OF FICTIVE 2359.00 117.95 235,90 * acat~t THIS YEAR'S TOT 0&I 146.26 1 r RESIDENTIAL I l 4 BUILDING PERMIT APPLICATION U CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 1 ~5 651-681.4675 New Construction Requirements RemodellReoair Requirements . 3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and all roofed areas . 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks . 1 set of Energy Calculations . Indicate if home served by septic system for additions . 3 copies of Tree Preservation Plan if lot platted after 7/1W • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) (y DATE VALUATION + SITE ADDRESS MULTI-FAMILY BLDG -Y X N k&1'17~' 111E,/e) FIREPLACE(S) _ 0 _ 1 _ 2 TYPE OF WORK0-T APPLICANT TAG~4l~lJ STREET ADDRESS 27/2 ~ ~e,(axd GLIB CITY ~y~ 9/1960 TELEPHONE # CELL PHONE # e FAX # `4f ~L PROPERTYOWNERTELEPHONE#~ !'/~-886 U 61 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawry Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning F 70.00 Heat Recovery System Sewer/Water Contractor: Pho L J - i 1 hereby acknowledge that I have read this application, state that the informati n is correct o comply with all applicable State of Minnesota Statutes and City of Eagan Or ' e 6Y Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 RESIDENTIAL PLUMBING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 i 11:~, Telephone # 651-675-5675 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date I / / ? / o 3 Site Address Unit # / Ate/ Property Owner/ Telephone # Contractor Address City State Zip SSr/y Telephone# ~~z} S%f~'~~EZ The Applicant is Owner Contractor ether Septic System _ New Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations to existing dwelling $ 50.00 - Add fixtures to lower levels or room additions, excluding water softener and water heater Abandonment of septic system Water turnaround 5/8" meter if needed - $121.00) Other: - RPZ _ new _ repair _ rebuild $ 30.00 - Lawn irrigation system Water softener _ Water heater $ 15.00 - replacement _ additional ~ ~ LJ Lf LS State Surcharge NOV 2 3 2003 $ .50 ey Total - - $ I hereby apply for a Residential Plumbing 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 with the Plumbing Codes; 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 pla in the case of ork which requires a review and approval of plans App tc iVs Printed ne---- 7o.tv 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use OnN 3 registered site surveys showing sq. ft: of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Carl of Survey: Recd Y N (20% maximum lot coverage allowed) l set of Energy Calculations for heated additions Tree Pres Plan Recd Y'.,_N. 2 copies of plan shoving beam It window sizes; poured found design, etc. 1 site survey for addtions & decks Tree Pres Required _Y r_ N 1 set of Energy Calculations Addition - indicate if on-sfle septic system On-site Septic System Y N 3 copies of Tree Preservation Plan Slot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date C / o3 l CJ~j Construction Cost S 6 C) _U rl Site Addr, ss C~UwV~! P, l~~ UnitlSte # Description of Work Multi-Family Bldg _ Y A N Fireplace(s) _ 0 - 1 - 2 Property Owner flh7 Z U Telephone # ( GAa -,00- tnc Contractor Address City _ State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) 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 Telephone #1 Mechanical Contractor Telephone #1 J Sewer/Water Contractor 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 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. ~!(71y i'(JZU6~tR/~/ c~ Applicant's Printed Name Applicant's Signature^ 7s. 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan GJ 3830 Pilot Knob Road, Eagan MIN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot sq. R of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cart of Survey Recd Y N (20°k maximum lot coverage allowed) l set of Energy calculations for heated additions - Thee Pres Plan Recd Y-_N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y cN I set of Energy calculations Addition - moicate ilon-site septic system On-site Septic: System _Y _N 3 copies of Tree Preservation Plan A la platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date / _J__ ;)-00 L~r, Construction Cost Site Address p(r/ 5D BL fnY , c~e Ayto-, - .J Irk- ir UniUste # Description of Work Ct Multi-Family Bldg _ Y V Fireplace(s) _ 0 1 - 2 Property Owner cfv- D-Z-(.(.Y'AV1l3- Telephone 6k,2.-) Contractor s e- Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet submission type) 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 Telephone J Mechanical Contractor Telephone J Sewer/Water Contractor 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 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 Na Applicant's - RESIDENTIAL BUILDING PERMIT APPLICATION S/ tv . N t City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Offrte Usebnly 3 registered site surreys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cerfd$wvey Recd Y LN (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions tree Pras Plea Redd Y% _N'. 2 copies of plan showing beam & window sizes; poured found design, etc 1 site survey for additions & decks Tree Pres t29quired -Y -N l set of Energy Calculations AddM'on - indicate d on-s8e septic system 0.6-Site Sepfie 5ysiam ~Y ,...,.N. 3 copies of Tree Preservation Plan if lot platted after 7!1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) q Date Construction Cost Site Address 2 S~ ~Sa405 -"D'o Unit/Ste # Description of Work /'"Os>ti i~H T„T'C .cam /!UC9 L+t (C 1-n~AY~O~#L V~ l Jh.lu~ Multi-Family Bldg _ Y A N Fireplace( s) 0o- _M2 Property Owner -p-'effa/y 2© Z Telephone # 1612- auto- q'sav Contractor f Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet submission type) 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 mas+e r-p Y _ N If yes, date and address of master plan: Wp_ l Licensed Plumber Telephone!#{ ALJu 0 S 200`,1 111~ IJ Mechanical Contractor Telephone Sewer/Water Contractor Telephone I 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 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. !NZ L Applicant's Printed Name pphcant's Sign OFFICE USE ONLY Sub Types s ^ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt- Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - 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 ❑ 06 04-plex ❑ 12 12-plex Plbg_Yor_N ❑ 25 Miscellaneous Work Types /-/'Lows S7va, t /w :;b 4 ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building` ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement aQ D 'Demolition (Entire Bldg) - Give PGA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) D1a/~ _ FinaUC.O. Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation _ RVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing - Siding _ Stucco - Stone -Brick Fireplace _ RI. _ Air Test -Final - Windows Insulation _ Retaining Wall i Approved By: Building Inspector Base Fee Surcharge rr~owvv twv Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge) n ~l / l J j U Treatment Plant LJJID License Search nC9 0 Copies Other Total P D~ / 7t ! G~o 13 -URNET TITLE PLAT DRAWING File No. 4-43404 Insp. Date: 7/26104 Inep- By: PCT Property Address: 2850 BURNSIDE AVENUE, EAGAN Buyer: ROZUMNY N Legal: LOT 3, BLOCK 3, COUNTRY HOME HEIGHTS This Rat Drawing Is not krionded to be used as a survey and aneufd net be robed upon Of 4uoR The lot dimension are taken from the recorded plat or the county records and ars assumed to be accurate- The taxation at the improvamonto shown on this drawing are approximate and are bated upon a visual Intpecr n of tee pronllnaa. A Remsed surveyor should be contacted It an accurate survey to daskod. This plat drawing dose not court] Ula a liability of the company and Is intended IN "a by Me Company 0" I• . 30' ~P e,) Oe~ { o 'obo C) 12 7 9 yb 2006 RESIDENTIAL BUILDING PERMIT APPLICATION 3 d ' City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoair Renuirements office se Only 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Get ofSurveyiRecd Y N NU __Zff (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Rt•' YS-k N 1 Soils ReportH proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres PIan;Recd _Y 2 copies of plan showing beam & window sizes; poured found design, etc. Addition -indicate Aon-sts septic system TreePnsRequired r `,y .`N 1 set of Energy Calculations Qp s1lS.¢'>fAp:~ysteln w'__j)'. 3 copies of Tree Preservation Plan ft lot platted after )11193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation forth Date/~? q/ Construction Cost Site Address Z~l~L 1 ur1zi-Ae. Ayi Unit/Ste # Description of Work s l; .L 4 C1 'L `f7 Co- Multi-Family Bldg _ Y N r~ 1 Fireplace(s) 1410 _ 1 - 2 n E09 Property Owner (1 1 1 `.I Telephone # (t) (2) CIE) PContractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential ventilation category 1 Worksheet New Energy Code Worksheet (4 submission type) 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 n Telephone ) Mechanical Contractor 4 I I Telephone # ( ) Sewer/Water Contractor OCT 2 i 2006 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 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. t J7(.~ i ,02 L( N AJ~l Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg X 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of- plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/perola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types rn~ 5~f r ~jj~L~ ~tllL•1467°Z'a~i ❑ 31 New ❑ 35 Int Improvement 11 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage_Yes Valuation ~7/T Occupancy al 1140- MCES System Plan Review 100% or _ 25% Census Code_ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of ConstJ Width REQUIRED INSPECTIONS - Footings (new bldg) _ Sheetrock - Footings (deck) Final/C.O. Footings (addition) Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final ~C Framing - Siding 4 Stucco Lath ZC Stone Lath -Brick _ Fireplace - R.I. -Air Test -Final - Windows Insulation 'n Retaining Wall J Approved By: ` Building Inspector Base Fee /Q p~ l 7 Surcharge Y,1! ~l ~?l l 71 ~5 !O Plan Review ~ ~p ~ MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant uNr-,p-,C&(1 ~s3 l2 12 License Search n /N//r'`I Copies y X Slav O.do LI Other Total ~G 0 L)n r f 1 U~ ~ jtJRNET" TITLE PLAT DRAWING, File No- 4-43404 Insp. Date: 7/26104 Insp. By: PCT Property Addreas. 2850 BURNSIDE AVENUE, EAGAN Buyer: ROZU1WMY N Legal: LOT 3, BLOCK 3, COUNTRY HOME HEIGHTS This Net Drawing la not Intended to be used se a survey and should not be tattoo upon as each. The lot dimensions are taken from the recorded plat or the county records and are meauftted to be accurate. The location of me improvements shown on this drawing are approximate mad are based upon a visual inspection at the prsndsea. A licensed surveyor should be contacted it an accurate survey is desired. This plat drawing does not comtitute a Monty of the company and is intended for use by the company only. . t° 30' X/~u `v L/ ; p Ocas t? 5kQ'f~' \ 7d 9 ' y6 ~ ,io°o " ~ lob moo. 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & to"bomes/condos when permits are required for each unit Date Site Address t ^ tw5 ~rcjbC Unit # Property Ownerr_L~? II n~7~az_on^Y-Iy Telephone Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is Owner Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-o Iteration to existing dwelling unit $ 50.00 furnace -Additional -Replacement New / exchanger air conditioner _ heat pump other tb C.~~®Z-K State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 approval of plans. ~ta~U f7oz~,>wnM Applicant's Printed Name App icant's Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA154173 Date Issued:02/26/2019 Permit Category:ePermit Site Address: 2950 Burnside Ave Lot:3 Block: 3 Addition: Country Home Heights PID:10-18300-03-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - James Elwell 5005 Park Ave Minneapolis MN 55417 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165934 Date Issued:12/01/2020 Permit Category:ePermit Site Address: 2950 Burnside Ave Lot:3 Block: 3 Addition: Country Home Heights PID:10-18300-03-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - James Elwell 5005 Park Ave Minneapolis MN 55417 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA168146 Date Issued:04/12/2021 Permit Category:ePermit Site Address: 2950 Burnside Ave Lot:3 Block: 3 Addition: Country Home Heights PID:10-18300-03-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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 (miscellaneous)$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 - James Elwell 5005 Park Ave Minneapolis MN 55417 Nybo-peterson Company 6606 E 280th St Webster MN 55088 (952) 461-2749 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169303 Date Issued:05/21/2021 Permit Category:ePermit Site Address: 2950 Burnside Ave Lot:3 Block: 3 Addition: Country Home Heights PID:10-18300-03-030 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - James Elwell 5005 Park Ave Minneapolis MN 55417 Glowing Hearth And Home Llc 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature