4222 Dunrovin Lane+ ?. CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, NESOTA 55122
DATE y 19 -?
Cf, , qqq JJJ I
RECEIVED
FROM
AMOUNT I
-& _DOLLARS
goo
CASH A CHECK
FOR r VGA' 1?i i'_
d J? i . -2,-,
FUND CODE AMOUNT
Thank You
BY-
14992
60
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
9795 Pilof knob Road Eagan, MN 55122
PHONE: 454-a1 OO
BUILDING PERMIT
To be aaod far Est. Value
Site Address
Lot Block Sec/Sub.
Parcel #
cc Nome
W
Address
Ci Phone
Name
Address
~ Ci Phone
WW Name
h
z
!EA Address
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.
Receipt #
N2 5290
Dote , 19
Erect ? Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlarge p Type of Const.
Move ? # Stories
Demolish p Front ft.
Grade ? Depth ft.
Approvals Fees
Assessment -
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Total
Signature of Permittee I
A Building Permit Is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
T, . .
Penolt # ate Issued Pensktee
Plumbing -L - T 1
Mechanical j - ! , 7 -k A , ( nc.,C k-
INSPECTIONS DATE .INSP. Rough-In Final
Footings Dote Insp. Date Insp.
Foundation _ Plumbing ?? f?s2li
Frame/ins. Mechonical
Final 2
Remarks:
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
3?L PERMIT
Date:
11-2-79
Site Address: 4222 Dmrovin ,
Lot Block Sub/Sec: Lclerne 6t1
Name ..11sen 1lanes, IT?C'<
c Address 27 `o.
3
O
City Paul 553Phone:
Name .1alphi 3 Plu.fixrx.,
Address
City _ Phone:
This Permit is issued on the express condition that all work shall be
Minnesoto Statutes and City of Eagan Ordinances.
No. 150A
Receipt No.:
Single
Residential
Multi Res., Comm./Ind.
New/Alter./Repair. Cost of Installation
Permit Fee
Surcharge
Total
done in accordance with all applicable State of
Building Official
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
Date:
Site Address:
f PERMIT
9--13-75
4222 Dimmvin Vane
'is Rim Eth
Lot Block Sub/Sec.
rI? _-
1 1.--w 1 r T. .•'c
Name
• :?27 So. SMIliTY1
I Address
3
° St. Paul " 55 i1l? 6 3- 5) _5 01
City Phone:
A. HirkfAr b Soar
Name
? 20 E. f3tit1E2'
+°. Address
c _
fo L r-j', .:as_ err i SLR ^??' .?J ?rl1
Y City l L11 _ Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Statutes and City of Eagan Ordinances.
( AM 1aTJYDM
No
1535
15591
Receipt No.:
Single
X
Residential
Multi Res., Comm./Ind.
New/Alter./Repair
Cost of Installation
Permit Fee
r0
Surcharge
Total
done in accordance with al l applicable State of
Building Official
WATER SERVICE PERMIT
CITY OF EAGAN
3755 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE: -
Zoning: No. of Units:
Owner: -
-
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
E.9795 Pilot Knob Road PERMIT NO.: -
Eogin, MN 55122 DATE:
oning: No. of Units:
ner:
flddress:
ite Address:
Plumber:
agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
.._, .?-- ,??.,?,? .? ::_.- ,, _ K , ?-- _ - -- • asp
RESIDENTIAL
BUILDING PERMIT APPLICATION
y X773 CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-6814675
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 d window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
• 1 set of Energy Calculations . indicate f home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (adgs with 3 or less units)
DATE ?o - Z / VALUATION Z S
JOB SITE ADDRESS y2-- Z- Z P U /i/ E 0 I/ Z N L IV
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
c
FIREPLACE(S) _ 0 _ 1
TYPE OF WORK 0 0 F /
APPLICANT /c C 9 a ?s /< i PHONE#G S7- 4(0f - 992
ADDRESS 4 Z 2 Z 0 U IV aP 0 V-T N L N ZIP CODE Tr/ 2.3
PAGER #
CELL PHONE #
FAX #
VIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone #:
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor.
Mechanical System Includes:
Sewer/Water Contractor.
- Air Conditioning
- Heat Recovery System
Phone #
Phone #
Fee:
$70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applican& -
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1l01
OFFICE USE ONLY
? 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 (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace _ R.I. _ Air Test - Final
Insulation
_ Other
Pool _ Ftgs _ Air/Gas Tests _
Siding _ Stucco _ Stone
Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Final/C.O.
_ Final/No C.O.
Plumbing
HVAC
Building Inspector
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 5290
s
PHONE: 4454-8100
BUILDING PERMIT APPLICATION Receipt
To be used for SF Dwlg & GarageEst.yalue 48,000. Date 6-29 19-1-9-
Sit, Address 4222 Dunrovin Lane Erect ® Occupancy R3
Lot 11 Block 5 Sec/Sub. wilderness Run 6th Alter ? Zoning R1
10 84355 110 05
Parcel #
Repair ?
Fire Zone 3
Enlarge ? Type of Const. V
Name Rikess/McDDUgall Move ? # Stories
Z Address Demolish ? Front 70 ft.
Ci Phone 739-1243 Grade ? Depth 28 ft.
ame
E
627 So. Snelling
Address
Assessment
St. Paul 55116
698-5501 Water & Sew.
,
G Police
W Name
Fi
f re
Address Eng.
<- City Phone Planner
Council
I hereby acknowledge that I have read this application and state that Bldg. Off.
the informotion is correct and agree to comply with all applicable
State of Minnesota Statutes and City,?Rf Eogan Ordinance .
Signature of Permittee Tilsen Hones, Inc. Approvals Fees
N
Permit ljo.;,u
Surcharge 24.00
Plan check 67.75
SAC 525.00
Water Conn270.00
Water Meter 60.00
Total 1,082.25
A Building Permit is issued to: Msen Hocres, Inc. on the express condition that
all work shall be done in accordance with all opplicable ate of Minne Statutes and City of Eagan Ordinances.
Building Official O e- O/ ?2''
yr eAGAN Remarks
Addition WILDERNESS RUN 6TH ADDITION Lot 11 Blk 5 Parcel 10 84355 110 05
Owner(1117,/fF r Qn.: . 0_ Kt.kL;! Street 4222 Dunrovin Lane state Eagan, Minnesota 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 161.21 8.04 20 A(r6(,,7V A008416 10111 ?79
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1977 162. S68. 66 15 A009416 i n1i 1179
g
STORM SEW TRK
197R
d
9 3
A008416
10/11/79
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 270.00 14992 29-79
BUILDING PER.
SAC r p 14-29-79
PARK 5?1 al, 5-977 .77
Cities
i2ital
ity Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
di-
??
Minnesota State Board of Electricity
1$54 University Ave., St. Paul, Minn. 55104-Phone 645-7703
..,PC-G ZEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
/?'?
R 94932
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? Range ' Temporary Witing ?
Duplex ? ? ? Water Heater ? Lighting Fixtures
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace Mt2.00 Silo Unloader ?
Industnal Bldg. ? ? ? A r Conditioner ?
4
00 Bulk Milk Tank ?
Farm ? ? ? pLList )yy) . LList )
Other
?
?
?
Heiersl y
Heiersl
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders&Subfeeders, # Fee Circuits: # Fee
0 to 100 Am s. 0 A eres 0 to 30 Am eres 8 1 00
101 to 200 Am s.1
Above 200 Amps. U 10. 0 0 r
1 31 to 100 Am eres
Above 100 Amps.
Transformers of '- ntr r c _ Partu"or oche[ fee
Si ns Special Ins ection Minimum fee
Remarks
H81??-,
TOTAL Et
36.50
I, the Electrical Inspector
(Final)
This request void 18
hereby certify ?t;? abut pecjjgnktgd¢ been rrl?
-??`/`I°? i ` `F'ate ` G-? 1
Chis rpquest'void 18 months from
R 94932
Date of this Request 7-30-1979
I, as ZiLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 4222 Dunrovin Lare City Eagan
Section Township
Range County Dakota
Which is occupied by Tylecn Ffnmen
(Name of Occupant)
Is a roughin inspection required on this job? No D Yes$ Ready Now ? Will Call
Power Supplier Dakota Cty. Address Farmington
Electrical Contractor O.B. Thompson Electric Co. Contractor's License No A36835
(Company Name)
Mailing Address 12201 MtkaBlvd. s Mtka 5,5343
s r --
Authorized Signature ?? '?- " ,'; : -. =?- • ? Phone No...
(Electrical C? ontractor COPY Owner Making This Installation)
Sr `ll ro ?(? ?? (nt/rttIYr This inspection request will not be accepted by the
IJ !nl State Board unless proper inspection fee is enclosed.
PERMIT #:
3017()
CITY USE ONLY
RECEIPT DATE:
5D
Please complete for: ? single family dwellings
crrY OF EA6AN
3$30 PILOT KNOB RD
EAfiAN MN 55122
651$$1-4675
townhomes and condos when permits are required for each unit
Date: q_O Q
SITE ADDRESS: ky) V I /? C_._ / 1
OWNER NAME: TELEPHONE#: IOt9?
INSTALLER NAME: 6Li / z &4a, TELEPHONE #: C??! r I l ??
STREET ADDRESS: e* -+ 7v-
CITY: Aas-emoujtf STATE: r' / n ZIP: -' vll? p
Place a check mark next to the permit work type
Add-on, modification or alteration to existing dwelling unit D ?hr ??
• furnace replacement i . $ 30.00
D
• airexchanger i n, OCT 10 20 2
• air conditioner
• other
Nature of work: (/1 ??
/?yy
State Surcharge $ 50
Total $-?
2002 RESIDENTIAL MECHANICAL PE€ IT APPLICATION
1102
C RESIDENTIAL
L BUILDING PERMIT APPLICATIONC Ste. 2?
[j CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ?-'" ' -- -
651-681.4675
New Construction Requirements
• 3 registered site surveys showing sq. R. of lot, sq. R. of house; and pit roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• l set of Energy Calculations
- 3 copies of Tree Preservation Plan ff lot platted after 711193
• Rim Joist Detail Options selection sheet (brigs with 3 or less units)
DATE 06/26/02
Remodel/Repair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION $12, 000.00
SITE ADDRESS 4222 Dunrovin Lane, Eagan, MN MULTI-FAMILY BLDG _ Y X N
TYPE OF WORl?emove and replace siding, 9r, r
and rofffREPLACE(S) _ 0 _ I _ 2
APPLICANT EXTERIOR INNOVATIONS INC.
STREET ADDRESS 9635 Humboldt Ave. S. CITY Blooming ton?STATE MN ZIP 4? 1
TELEPHONE # (952) 884-0814 CELL PHONE # (952) 210-8907 FAX # (952) 884-5769
PROPERTYOWNER Mike Ringwelski TELEPHONE# (651) 405-9292
--------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
- Energy Envelope Calculations Submitted
Plumbing Contractor: ____
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
Heat Recovery System
---------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Of
Signature of Applicant
Fee: $90.00
Fee: $70.00
--------------------------------
is correct, and agree to comply
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required
Updated 4102
OFFICE USE ONLY
? 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 (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ Final/C.O.
- Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
Drain Tile Other
Roof - Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing Siding
Stucco
Stone
Fireplace _ R.I. - Air Test - _
Final _
_
Windows (new/replacement)
Insulation _
_ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
BUILDING PERMIT APPLICATION
Telephone 7Pgy-/adIs
include 2 sets of plans, i site plan w/elevations and 1 set of energy calculations.
To be used for a/ Valuation
Site Address: ?'6t?z4E?. , J3/aa--
.6 9, 6
Lot Block See. Sub. Parcel Number /D
Owner `1GC/CG? e 0&a'6t1
Address Y _
Contractor, -Y ddL^--1J0-n .
Address o? 'c
S /
Arch./Eng.
Address
Erect V
Alter
Repair
Enlarge
Move
Demolish
Grade
OFFICE USE
Date of Approval 6 Initial
Assessment f1• JI G/5?79
Water/Sewer
Police
Fire
Eng.
Planner
council
Bldg. Off "1)"7
A.P.C.
Telephone G Sr- S S O
Telephone
OISZRo
DATE 5-16271?
OFFICE USE
Occupancy 14 3
Zoning
Fire Zone 3
Type of Const. f(
# of Stories
Front > D
Depth ?g
Permit _
Surcharge _
Plan Check
SAC
Plater Conn.
Water Meter
FEES
TOTAL
't a
a
38 ? y?
3 ? ?a
y? o??
y
??
???-
-s
?.
F,?
I
b?
3Y
f- aq
?oja 7Y
LINE
Sr y l
J ik
..fl,c R- oWoAeArY LwE
W
o'
?I
I
uNt
r ti
I
,
N
ALM. ssia 3 I
LOT Buck
,
v ?±A Q?
rlZOWr ?Pc-Pi= LTY _LI_N G
LC]T 1? L AN
Cities Digital Oualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
W. lp?
` '?`cr. N t ` . .'M[^I.IF? LSiTF'•?M` µ`«1i Am
•, a ("cv be eubmt f Ce: Wth "I
i???:(f?q }
#soil I tiAis, 6aghr 1
fit) rue or
4 STc?I 1oM6i? ? ?_ 09Le a+ 1`1 e'lfG' yr c ,s.
t X ft. Y ?.
-: Of"ril 4.1- i Ste. IW4e '? ?'t?l
fL'IAI, t
<3'pll+N T!„$I:` CoN>ii't:U(:!'I01: '1:"
value X area
•'i4 AI -t'r"F tr ?RACr! - --_ q• .?..?.'x 6 ? J.t, ik'?. .
h<d cAeet< C+_C-sq
x sq. ft.
' :rUn X 50. 1;1?• ?
SAI
x beef) 1is OU-) x
c 4-k i 3A rap --:o
-"- --_ _ I L an
ar l d? w
t,.4KR tgZf9 _ LGivt,• `?SaLrL.??9_R_.T!l5_17rt?k g:9,M ?t:'?- -?
*+ rr ? '--•?:.?1 r+r S-rpuMS ? TJ "._r.Fj:1...?: 81?i?'f`t1?'
i. .'FC. Mrv iRl?yi?R (? ,I
N area t?,OOV-S% PEASE
X, So.
r. .1i. ?x 6n+
i (_'' £J1a V.'+I.:J R? 1. 01 "YrTALSI
,'"...`.G'. or lrss rr 1 4 7 f mil: r1v Ilinv,s '
.22 or Icr.6 for cii r,t, r hcl l Imp's
sq.
IK n".
. :C'fifHJ_ rttoli4R 3u?.._ . 'i1.rr` X^ Sq. it.. w
4"'(+ Ww « .- t' 1'r ? .??rr x f+t!y f tre ?71
ft?v
!'.PMI?:T+ U TAT. RD)Oj I /'+?
ities Digital 4uality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
' / f • A\. Ertl. Itt tY
¢ ?S
'rr vent fia It t.ed rt.o: e.
ss
C. , It) for sI l oatcr crn' tract on • - --------------- -?--.?.?-ate ,a3 '23 ?043
;g
y
• ?,
• Qu:;_Sl? __1?t?.R._. __ _ ..__A fly. ?:r
;?rn•. nca -s C' 1CIII,-? 'd ,..,..., ,:I, nc• 9 0wt th.
tit "1'rrn '.• :nv.'lrpr ?. •,i 'n" , itn,•, ;a :'Rt: OV, l ) r.1•; u=•t', ddnrj & 9F.i
;nr-tc n.^..' `t: u4ed tr w rn C,i
Z
. .,V-7
'
1
.
?I
. 1.M
? Y
i .
4.i-
x -
q30-0 2000 FIREPLACE PERMIT APPLICATION O
60 5
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: J/ - 7 -" y0
Description of Work: _ Construct new fireplace 1/ Gas -Masonry Alterations to existing
?Install gas insert only Install gas line only
Other
Job address: oza-.k ? /eot/A_%/
Lot: 110 Block:
Applicant (circle one only):
Owner Subdivision/P.I.D.#:
Contractor Y,ildeyhess UI1
Permit Fee.
$60.50
Name: „t x_I (c>i'tS 14C ?/ 1Z rC Phone #: Y-?" 9,494
PROPERTY Last First
OWNER Street Address: 73c1d. 7?VAJR0?*L/ ^-2-
city e" `7 State:
Zip: !'Y/-?-3
Company: /IQ f4.f _ (J/ rl S ? ? Phone #: AQ ? ?7 -7f4OY
(area code)
FIREPLACE e
INSTALLER Street Address:ak J /[ ?"`? ? O2 9
City At-,b 5 f--, > A/z- State: ft'I4-" Zip: SQ o/
Company: 4,4 !r Phone #:
(area code)
GAS LINE
INSTALLER Street Address:
City State: Zip:
I hereby acknowledge that I have read this application and state the information is correct and agree to
comply with all applicable State of Minnesota and City E g Ord' ces
St ature
? .i'
,TF?
LY.-
?_
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
? 32 Addition ? 34 Repair ? 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114782
Date Issued:09/18/2013
Permit Category:ePermit
Site Address: 4222 Dunrovin Lane
Lot:011 Block: 005 Addition: Wilderness Run 6th
PID:10-84355-05-110
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Michael E Ringwelski
4222 Dunrovin Lane
Eagan MN 55123
Bayport Roofing And Siding Llc
10 South 5th St, Suite 700
Minnepolis MN 55402
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature