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4234 Dunrovin LaneCITY OF EAGAN Remarks Addition WILDERNESS RUN 6TH ADDITION Lot 13 Blk 5 Parcel 10 84355 130 05 Owner I !? nlnM10 -P?f& Street 4234 DLnrovin Lane State Eagan,Minnesota 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. I GRADING -- SAN SEW TRUNK -111 1973 161.21 8.04 20 104. 79 3 6-4-79 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1977 162.14 , L - - STORM SEW TRK 3 I 97R 4g 240.61 0006563 6-4-79 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 124 - 13UILDING PER. 63 SAC 500.00 12489 11- - PARK • ? CASH RECEIPT • CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 % RQC6IVED FROM AMOUNT 1 1 = DOLLARS loo ? CASH ? CHECK FOR FUND CODE AMOUNT i Thank You . ? ? BY White-Payers Copy Yellow-Posting Copy Pink-File Copy 3795 P" BUILDING PERMIT CITY OF EAGAP Knob Road Eagan, PHONE: 164-8100 MN 55122 7700 Receipt # To be weed for Est. Value Date 19 Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter Q Zoning Parcel # Repair ? Fire Zone Enlarge ? W Name Move ? Address Demolish ? b City Phone Grade ? Name Approvals O Address Assessment . U ~ P Water & Sew. hone City G? Police Name F Ww ire ui3 Address Eng <W . Pl nn r city Phone a e Council Type of Corot. # Stories Length Depth Sq. Ft. Permit Surcharge Plan check SAC Water Conn. Water Meter Rood Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittes A Building Permit Is Issued to. on the express condition than all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. ?3Z W VL v- z-(-$ Z Well water Dfsp. Sewer Electric Q( I W Z 7S ` i O w ?t? r- ?Z - - Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. Rough HVAC Insulation Final Plbg. Final HVAC Final > Water Describe Location: WWII Sewer Pr. Disp. BUILDING PERMIT -1 r+ C Site Addi Lot Parcel # ,;i_nnn_ a Nome Address -M 1 trecr U Alter ? Repair ? Enlarge ? Move ? Demolish ? Grade ? No 5163 vccupancy Zoning Fire Zone Type of Const. .# Stories - Front Depth ft. ft. Approvals Fees o Nome o Address S?xnl 1 inrr Assessment Permit _ u Water & Sew. Surcharge ? Ci Phone f- W Police Plan check Name W FW ? Fire E SAC n t C W ? Address W ng. . er on a W t M t City Phone < Planner er er a e Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee 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 CITY OF EAGAN 3795 Pilot Knob Read Eagan, MN $5122 PHONE: 454-8100 Receipt # ,., s , Pomit # I Dote Issned I PeenWoe DATE Date I Insp. I Date Remarks: .3 '-2 9- 77? Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address _ Lot Blk. Tract 4. Owner _ " - 5. Contractor Phone 6. Address 7. City State Zip - 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ,0 Repair ? 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. r .. - Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to complq, with,all ordinanoes:'and codes governing this type of work. Signed : - a for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 M-F, := PERMIT No . Date: 7" Receipt No.: r {+ Single Site Address: 4234 Residential Lot 1.3 Block 5 Sub/Sec.!"- T;kn (41? _ Multi Res., Comm./Ind. Nome "Ila i1 Scan air New/Alter /Re . p Address 07)27 SO' SM11iTY- Cost of Installation O City `t. Paul -(4'3-550' Phone: ? Permit Fee ' Name Rc9lph 's PILT'i1tdnri - Surcharge - 9940 ?''x>-..?_ 1?!? _ Adzrre ss e 0 U J. 1 v 1t`,er i - 7 J. ' City Phone: Total This Permit is issued 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 CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 HEATM PERMIT Date: Dee?em ber 14, lr`-7? Site Address: 4234 -Amrovin !Ane Lot 1-3 Block 5 Sub/Sec. Nome ^' iisen Al mes Inc. e Address `7 8o. Snelling Ave. 3 O City St. Paul 55116 MR 6th Phone: No. 1366 Receipt No.: 121697 Single Residential Multi Res., Comm./Ind. new New/Alter./Repair. Cost of Installation Permit Fee 20.00 Name A. Binder & Sou Tn+-. Surcharge .50 P Address 120 E. Butler Avg. o City , 5 au2. `` - Phone: Total This Permit is issued 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 CITY OF EAGAN WATER SERVICE PERMIT 3793 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No, of Units: Owner: r•, Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: - t I agree to comply with the City of Eagan Surcharge: -------------------- Ordinances. --- Misc. Charges: ' r t- .r _ Total: By Dote Paid: Date of Insp.: Insp.: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner. Address: Site Address: 4,23-4. :! Plumber: I agree to comply with the City of Eagan SEWER SERVICE PERMIT PERMIT NO.: ' .^ t DATE: No, of Units: Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: j of Insp.: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN $5122 PHONE: 454-0100 BUILDING PERMIT APPLICATION T. M urwd far SF Dalg & Garagorsf.value :51,000. Site Address 4234 Dtuimvin Lane Lot 13 Block 5 Sec/SabWilderness Run 6th Parcel # 10 84355 130 05 rc Nome Spec Home z Address 4234 Dunrovin Lane ? Eagan p Name Ti l sen Hcm S ?< Address 627 So. Snelling St. Paul 55123 p e 698-5501 Name _ 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. Signature of Permittee A Building Permit is issued to: all work shall be done in acco Building Official N2 5063 Receipt # -/12422-- 11-22 a 78 Erect ® Occupancy i Alter ? Zoning Rl Repair ? Fire Zone 3 Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front 66 fr, Grade ? Depth 26 fr. Approvals Fees Assessment _ Water & Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Permit 14L.OV _ Surcharge 25.50 Plan check SAC 500.00 Water Conn.250 00 Water Meter 60.00 Total 977.50 on the express condition that Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN 5795 P84 Knob Road Fagan, MN 55123 N? 7700 PHONE: 4548100 Bl11LDING PERMIT Receipt # -s ? ?S a Te be and tor BASEMENT REMODEL Est. Value $900.00 Date December 1 I9_L2_ Site Address 4234 Dunrovin Lane Erect ? Occupancy R-3 - Lot 13 Block 5 Sec/Sub. Wilderness Run 6th Alter 7(g Zoning 10 84355 130 05 P l Repair ? Fire Zone # arce v E l T f C t n arge ? ype o ons . s Name Tfmothv Veerkamp Move ? # Stories Mess 4234 Dunrovin Lane Demolish ? Length NA Ci Eagan 55123 pie 454-2095 Grede ? Depth H Sg. Ft.. ne Nam Address Assessment _ Water 8 Sew. City Phone a Police - P Name Fire u3 Address Eng. RE CI Phone Planner _ Council _ 1 hereby acknowledge that I have read this application and state that Bldg. Off. . the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of,Fd3oniordirances. r Approt,ah Fees Ow APC Signature of Permittee N -L 1?1 A Building Permit Is issued to. all work shall be done in accordance with Permit _ Surcharge - Plan check _ SAC Water Conn. Water Meter Rood Unit Total 16.50 an the express condition that Statutes and City of Eagan Ordinances. Building Official CITY OF FAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used ForBa-sEnmEA-? P-EM04? Qktion / DO -e' Date 12-/I Az Site Address 'tZ34+ J mrpylN Lane OFFICE USE ONLY Lot 13 Block S Sec./Sub.LOCI , P-UA -Ej;;?t occupancy Parcel #: 10 $ g3s s 130 o a Alter = Zoning Repair Fire Zone V_ Owner: imo i?1• Yeer?Ca1+? Enlarge _ Type of Const. Address: 23`} i)y"v/n Lane Move # Stories _ Demolish _ Front ft. City/Zip Code: ? -1Aa Vj S-T 123 Grade Depth IV rz,- ft. Phone #: y s? Q? FEES Contractor: S e`I T Address: City/Zip Code: Phone #: Arch./Eng. - Address: City/Zip Cade: Phone #: APPROVALS Assessments Permit Water/Sewer Surcharge Police Plan Check Fire SAC Eng- Planner Council Bldg. Off. APC Water Conn. Water Meter Road Unit TOTAL /6 I REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 7 15-9 1 Sao instructions for completing this form on back of yellow copy. q 'T' Below Work CoCered by` This Request ?j 32 7 1 Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Colnmerci al Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peu yl Other (Speufy) utter specify Other Minor Compute Inspection Fee Below p Fee Service EntranceS¢e q Fee Feeders/Subfeedefs q Fen circurts 0 to 100 Amos 0 to 30 Amps 0 1On 0 to 30 Am 101 to 200 Amps 31 to 100 Amps 31 to 100 Amps Above 200 Amps Above 100-Am s Above 100_A mps Transtormers Remote Control C rc. l 5-0 P rtia I, Other Fee Signs Special Inspection i00 S Romarks IA : a nn /l - ? c.. J . 9? y J?D \ TO n _ ?o•. pll rli rv\Kl•?- - ?•"? \YL7V lL.11 VV1 / Iy(1 •+y na Tnspector• hereby cert,fy that the above inspection has been s request void months from m This request void lZ? 1 18 month,-. from t'J.- 2 7*5 9 4 L131 33 Z-7 ? .201oc-3 Request Date Fire No. Rough-in inspection R dl gw ?4?i ?Ready Now IYI WWII Notify, Inspec- /' pZ?' ` rJ O? yes ?Na C for r When Ready RLrocnsed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Be. or Route No. 4? 3? ( 1Ju &r(Dv \- r\ Lang, City & +'\ Section No. Township Name or No. Range o. CouXnty ((AA?? Occupant (PRINT) \ c A4 C) F E rKe? Phone No. Power Supplier Address Electrical Contractor (Company Namel Cn actor's License No. ©LA.) Y\L Mailing Address (Contractor or Owner Making Installation) Authozetl Si nature?T tractor Owner Making InstallatmN /,/// Phone Number sy -moo q MINNESOTA 6TATE,BOARO OF ELECTRICITY THIS INSPECTION BEQUEST WILL NOT Griggs•Midwey Bldg, - Room N•191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 56104 _. ,,...,, _,. ,,... ENCLOSED. xThs revAest void IS months from i3s4/"Z Date of this Request 2-2 'R 55809 8..19 1, as IgLicensed Electrical Contra9ctor ? Owner, do hereby request inspection of the above electri- calwiringinstalledat: - 13 8'S: Cc3 R-6oC Street Address or Route No. 4234 Du=oviiz City F "an Section Township Range County Dakota Which is occupied by Tilsen Homes (Name of Occupant) Is a roughin inspection required on this job? No ? Yesi2 Ready Now ? Will Call Power Supplier Dakota Ctv. Address Farmington Electrical Contractor O.B. Thompson Electric Co. Contractor's License Njl3635 (Company Name) Mailing Address _ 12201 Mtka Blvd., Mtka .55343 Authorized Signature No. 933-2521 VA tl E BOARD COPY This inspection request will not accepted the State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity 19'5 University Ave., St. Paul, Minn. 55104-Phone 645-7703 Nil REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST / .3 S"G S6 ,R 55809 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home Er ? ? Range r Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures IRX Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace f V I PV . Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? List List Other ? ? ? Others Dispd)i Here shox thers Here COMPUTE INSPECTION FEE BELOW f'vv Service Entrance Size: # Fee Feeder ubfeeders: # Fee Circuits: # Fee 0 to 100 Amps- 1 1 0 to er 0 to 30 Amperes 101 to 200 Amps 31 to 100 Amperes Above 200_Amps, n g" Above 100 Amps. Transformers Partial or other fee Signs Minimum fee $ 0 Remarks Hall TOTAL FEE 3 G , 0 6 5 I, the Electrical Inspector, hereby (Final) This request has been made Date l Date Sn x-53 ,? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-881-4875 New Construction Reaulraments • 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, ate.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bklgs with 3 or less units) DATE ]] / NO- SITE ADDRESS I I -?(- IJr,, I?GIJ,1 TYPE OF APPLICANT STREET ADDRESS TELEPHONE # CELL PHONE # FAX # Cll?)3L _. iQ CD?? - ??'TZQ/r5 PROPERTY OWNER '? V D P I R G M v/ TELEPHONE # ------------------------------------ ---------------- -------------------- ----- ---m------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ 77m7 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted 2 d ZaOZ Numbing Contractor. __ Plumbing system includes: Mechanical Contractor. _ Mechanical system includes: sewer/water Contractor: Water Softener Water Heater No. of Baths Air Conditioning Heat Recovery System MULTI-FAMILY BLDG _Y t- N Phone # Fee: $70.00 -------------------------------------------------------------------------------------------------------------------------- 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 Ordir)s?ces., Signature of Applicants .....?..?..?.....?. ............. _._......... °............... _............... OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 p edpeoeir Reaulrements • 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 (4:?7T _ Phone # Lawn Sprinkler No. of R.I. Baths Phone If )RK U e- `) h; Oct 1-0- FIREPLACE(S) _ 0_ 1_ 2 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. Aft - 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_Yor_ 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 Bklgs 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 & Water _ 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 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 Inspector K-2 DATE J > Fl BUILDING PERMIT APPLICATION include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. r ,[ _ cKl To be used for Valuation 103 Site Address; Lot Block See. Sub. Parcel Number lid a5 Owner )OAO't e " L ?2 C? Address ela n n m Contractor Address J07'? .? Telephone Telephone Arch./Eng. Address Telephone OFFICE USE Erect Alter Repair Enlarge Mova Demolish Grade Occupancy l Zoning Fire Zone Type of Const. J # of Stories Front G Depth a OFFICE USE Date of Approval 6 Initial Assessment 17i- Water/Sewer Police Fire Eng. Planner Council Bldg. Off. A.P.C. FEES Permit y°2 Surcharge =" Pian Check SAC SM . n Water Conn. water Meter %n ? TOTAL ?- 1? 75? 0-11\,) 4 S O A?E/d?2 OkoOF?QTY L *v4 ( oq ars % N s ry LINE" i 11 ?? 66r 7? ? 1 46 ` -?/ I I n ??OPE.eTY LINE i CI 1 LOT I BLock n 1 n l ?oMT_?RC?pFfZTY LINE -PLOT -PLAN Cities Digital Quality 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. S:C Uf ' M/' ?1'ti ? tl h bi;i l,li„ ,tl bp•.t iCA1 1011, -uo -- TO. -5 ^?.(lz f 1. l rJ 2, I. ?3 2E d(p_ > C'{ ov Are I?a C? . Em. . X.,.. - _(c'D 0, 01 I n• I U: ? IVIT,'1 j)t D A Ids= ,?: 7 (U) (A = t1'.0 517- 2.o(c)( Ar- ' o n CSC cr., I t, _ Sc- `'`? - I<?-- -?-- 4.2 (U) (A (U) (A - - - -----(U) (A 151.4 (U) (A .C'4?1 Cities Digital Qualitv 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. n ; z>> 3 Z3 ' E043 1I = Q-7 r i i n•.l CITY USE ONLY LOT Ii? ? BL PERMIT #: L??] 1 L1?A SUBD. 1M Aar 3' un jl) RECEIPT #: - RECEIPT DATE: 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3630 PILOT KNOB RD EAGAN NN 55122 c) 651-681-4675 Date: ?j Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) Complete this section only if you are remodeling, adding to, or reairin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New X Furnace Air exchanger Reminder: Call for inspections SITE ADDRESS: OWNER NAME: INSTALLERNAME:? 1?C STREET ADDRESS: 191J Alteration _ Repair 9- Other ?/ Air conditioning Other State Surcharge .50 Total $? Fee State Surcharge Total n r0 U T) L-aA\3?? U?vYl PHONE #: ? 5 / (AREA C( 1\ c PHONE #: (,I Z STATE: $ 30.00 .50 $ 30.50 ZIP:". OF PERMITTEE L BL SUBD. APPROVED BY: CITY USE ONLY INSPECTOR PERMIT* RECEIPT* RECEIPT DATE: 2000 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for. all commerciaUndustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNERNAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE *************************************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 763 DATE: 09111100 TIME: 09:28:05 ID: NAME: TOTAL AIR, INC 3213 9001 4234 DUNRVIN LN 30.00 2155 9001 4234 DUNRVIN LN 0.50 Total Receipt Amount: 30.50 CR137199 USER ID: JAN 6 0 qz~ Use BLUE or BLACK Ink - - - - r it i City of Eakan ; Permit o~ g I - 3830 Pilot Knob Road E i Permit Fee: (!~(7 ~d Eagan MN 55122 I I Date Received: 2 Phone: (651) 675-5675 Fax: (651) 675-5694 Stan: 4RI~) I 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT I OWNER Name: J Phone: Address / City / Zip: CONTRACTOR Name:,MI1BERT COMPANY INC.dba CUUIGAN WATER Address: 1801 SOT" ST EAST City: INVER GROVE HGTS State: MN Zip: 55.077 Phone: 65T .45.1.-2241 Contact BILL.MILBERT:r . Email: TYPE OF WORK m -New _ Repair _ Rebuild _ ModifySpace - Work in,R.O.W. Descri tion o ~aeplacement ork: PERMIT TYPE RESIDENTIAL Water Heater later Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures L Main Lower Level) _ Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water SoTrt3TW, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $5.00 State Surcharge) "Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 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.oopherstateonecall.om 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 plans In the case of work which requires a .review and approval of plans x Apphcan 's Priiht#d Name A p icant's_Signature FOR OFFICE USE r Reviewed BYt ' %ac4 Date: z a~'.rga2t:iii 4~ ~+'se,~tr :'Yf 7.r3 %.i4A Requlred,lnspe~os, , x ~~=Under Gtround` f~ Rougil~ Air'Test Gas,Test~:,_ v ' ~Ts Final: 4[111/'' C!tyofEaaali Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: ��3 p Permit Fee: Date Received: Staff: 10 5 a5 Nag /I-3 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 13 Site Address: I/013 Y »/,CH. rOa I N Z --/ t/ Unit #: Name: 77GK Vee`, ' a/*if Address / City / Zip: / 3 DGtit rc7 /it" LJ/ Applicant is: Description of work: Owner //\Contractor Phone: (,5/ - f Company: Multi -Family Building: (Yes Contact: (YQr 15e- # Address: %�� City: ,f G( State: , /r Zip: -s777 Phone: 67,02---2/S— c -- License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: 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.aopherstateonecall.orq 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 da = • permit issuance. J�.rr' rT Applicant's P N • me Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161052 Date Issued:05/04/2020 Permit Category:ePermit Site Address: 4234 Dunrovin Lane Lot:013 Block: 005 Addition: Wilderness Run 6th PID:10-84355-05-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Timothy P Veerkamp 4234 Dunrovin Lane Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature