4255 Dunrovin LaneCITY OF EAGAN Remarks
Addition WILDERNESS RUN 6TH ADDITION Lot 17 Blk 4 Parcel 10 84355 170 04
OwnerL.l,? ` l'A 10- Street 4255 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 93 114190
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 341 1977 162.14 . 08 ?-?- 15 -]iR-qd A009793 11/4/80
STORM SEW TRK c?- 19 7 A 293 94 19 -59 293.94 A008793 1/4/go
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 27040 16311 10?16/79
BUILDING PER. 44
SAC 525.00 pffli
PARK 7 7
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECSUreD _
FROM
AMOUNT $ I
ac DOLLARS
goo
? CASH ?-CHECK
FOR .E? ?... !? ?Y% s=.? -
? yy
FUND CODE AMOUNT
I
}
-'-? - ---
Thank You
3? 95311
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
F
• CITY OF EAGAN
37" Pilot Knob Rood Eason, MN 55122
PHONE: 454-8100
F BUILDING PERMIT Receipt #
To be used for - F,* Vel„P M40
Site Address
Lot Block. _, Sec/Sub.
P-1 4
ad Name
W
Address - -
b City Phone
o Name
N2 5465
Erect ? Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move p * Stories
Demolish ? Front ft.
Grade ? Depth ft.
Approvals Fees
0 Add Assessment Permit
?
~ ress Water & Sew. Surcharge
City Phone Police Plan check
F-
a?
wa,
Nome
Fire
SAC
F11 Address Eng. Water Conn.
aW Ci Phone Planner Water Meter
Council
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with oil applicable
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee
A Building Permit is issued to: 1.ISen i' ? - t"?' • 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
Permit * Dote hoed perm"fee
Plumbing 1i -a _ 7 A) CA-e
Mechanical
INSPECTIONS DATE INSP. Rough-In Final
Footings --) Date Insp. Date
- Insp.
Foundation _ Plumbing &/,..,. 72-? ?-1
Frame/ ins. . /?•?
loorw '7 Mechanical
F
inal
Remarks:
1 - S r) j Ili-,? 04AX*-,F, Z&-;-
t 6
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT
Date:
Site Address:
Lot
4255 Ihmrovin
Nrildis 14m 6th
Block Sub/Sec. _-
No.
1502
Receipt No.: 16193
Single
Residential
Multi Res., Comm./Ind. I
`?i Lsen 4OWS, Im.
Nome New/Alter
/Re
air
.
p
• r'%2-0' So. S elli q
c Address Cost of Installation
°
c il-. -Paul fi 5F1116 P--,
City Phone: Permit Fee
T?a1Ph's P1??irx; . r;?
No Surcharge
E.
Address
e
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 Rood CO1 IFi' S a 10N r.I.Z REQU aRFD
Eagan, Minnesota 55122
Phone: 454-8100
'EATING PERMIT
Date: 11/9/79
Site Address: 4 2 55 Dunrovin
Lot 17 Block 4 Sub/Sec. WildernesS Run
Name 1•1sen 'Homes Inc. -
e Address
8
L. Pau? , lard
City Phone:
A. Dinder. & Son Inc.
Receipt No.:
Single
Residential X X
New/Alter./Repair. ^1CW
Cost of Installation
Permit Fee
Name Surcharge ' Sn
1-20 E. Butler
Address
City Paul 5511. r' Phone: !- 5 7- TR I Total 2 C, 0
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.
No. 1623
Building Official
CITY 4V' EAGAN
3795 1 got Knob Road
EoSnn, MN 55122
Zoning: -
Owner::' '?" EarE
Address:
Site Address: 1 ` '=? u
Plumber:
Meter No.:
c??e
Reader No.:
j agree to comply with the City of Eagan
Ordinances.
By
Date of Insp.:
CITY OF EAGAN
3795 m Knob Road
Eag,on, MN 55122
Loning:
Owner-
Address:
Site Address:
Plumber: ---
SEWER SERVICE PERMIT
PERMIT NO.:
DATE: _
No. of Units:
I 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:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Dote Paid:
CITY OF EAGAN
5795 PRot Knob Read 'Eagan, iAN 55122
PHONE: 454-8100
BUILDING PERMIT APPLICATION -
To be used for SF Dwlg & Garage Est. Value 51,000.
Site Add:
Lot -
Parcel #
7 BJgfk 15ec/ub. Wilderness Rm
z Name rw L
3 A 1320 4
o %Tu:
p Name 'I'1ISen hones, InC.
?? Address 627 So. Snelling Ave.
f- ,;,,, St. Paul 55116,,,,,,,° 698-5501
Name
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.
N2 5465
Receipt # _--f--s --3 //
Erect XgK Occupancy R3
lAlter ? Zoning R1
Repair ? Fire Zone 3
Enlarge ? Type of Const. y
Move ? # Stories
Demolish ? Front 64 ft.
Grade ? Depth 38 f t.
Anorovals Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit 14G.uu
Surcharge 25.50
Plan check 71.00
SAC 525.00
Water Conn. 270.00
Water Meter 60.00
Total 1,093.50
Signature of Permittee I
A Building Permit is issued to: TilSan Hr vrwg, TMC on the express condition that
all work shall be done in accordance with all qp?licobie State of Mipnesota Statutes and City of Eagan Ordinances.
Building Official
Ttu's' a .ques?vd 18 months fro-? Z-A l ??,
Date of this Request 1(1_1 _19 9 1 3 7 9 6
9 ..7
I, ash Licensed Electrical Contractor ? Owner, do hereby, request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 4255 Dunrovin Lane City Eagan
Section Township Range County Dakota
Which is occupied by Tils en Homes
(Name of Occupant(
Is a roughin inspection required on this job? No ? Yes Ek Ready Now 0 Will Call @x
Power Supplier nR,kn+.z nt3r, Address Li;g- inrr+nn
Electrical Contractor O.B. Thompson Electric Co. Contractor's License No 437962
(Company Name)
Mailing Address 1 201 Mtkn R1 yd y lv tka_ _55343
Authorized
(Electrical
Phone No. 933.252.
5? n V? D Or,; 0 CopU This inspection request will not be accepted by the
(? u 2D u State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104=Phone 645-7703
REQUEST. FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
/li•y-, a/
S _ 174
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home :a ? ? Range 30• Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures EK
Apt. Bldg. ? ? ? Dryer -• ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace • 00 Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditionei4'aK4.0 Bulk Milk Tank ?
Farm ? ? ? LList )
00
DiR?
Di li
[} List
Other ? ? ? p
.
.
.
y
Hehersl „ice Oteheers?
COMPUTE INSPECTION FEE BELOWC
Service Entrance Size: # Fee Feede f 0: # Fee Circuits: # Fee
0 to 100 Amps. 0 to 3 eres 0 to 30 Amperes 1
101 to 200 Am E UG 1 . 31 to 100 A res 31 to 100 Amperes
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers 1 1 1 Remote Control Circ. Partial or other fee
Signs 1 1 Special Ins ction Minimum fee
Remarks TOTAL Qv
0.
1, the Electrical Inspector, hereby certify
(Final) _
This request
been?iadef
e /O?r9a- 7
e /-as = U
-I oo\ 51 2005 RESIDENTIAL BUILDING PERMIT APPLICATION J/ 6i 6-D
City Of Eagan
` 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 (???/`^ ' L ?( U3
New Construction Requirements RemodellReoair Requirements Office Use Only
3 registered ske surveys showing sq. R of IoL sq. ft. of house; and all roofed areas 2 copies of plan Cen of Survey Reed _Y _N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N.
2 copies of plan showing beam & window saes; poured found design, etc. 1 she survey for additions & decks Tree Pres Required _Y _N
1 set of Energy Calculations Addition - indicate it on-site septic system O"Ite Septic System _Y _N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date -7-, / 73 / 6E_ Construction Cost 1--/,?) ?, (
Site Address X55 ?u sJ \ b41 t 1L L r Unit/Ste #
Description of Work (a A) C Aj Avt+V r?;, D CG k
r
Multi-Family Bldg - Y Z N Fireplace(s) - 0 *1 - 2
Property Owner P)ALI o * 1_'k5, D S ( n a5 Telephone # 3 ` 96 L? 6
Contractor / a troy 1) L L L
Address 'ZS '
I *k wto " i w City V t <C Le
State W t S . Zip S S z/ Telephone # (94 j) ,:),S L Z-/ 19
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 #(
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
permit; that the work will be in accordance with the approve tan in the case of work which Cs P?
approval of plans. I :_ 1% ?, ? 3 2605
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
I µ _,
? 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 >K 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_y or_ N ? 25 Miscellaneous
Work Types t/,?/
prvv
?
f
? 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 "Demolition (Entire Bldg) -Gi ve PCA handout to applicant
,,?
Valuation (9LR ? 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
Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace _ R.L _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
Final/C.O.
Final/No C.O.
Plumbing
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
- Siding _ Stucco - Stone - Brick
Windows
Retaining Wall
i
Approved By: L/ Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
-4--- ?
4
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I
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c
...
4 u
LINE
E?i
. ,C7e1q,f- Ako oEAr y LwE
Ld
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LOT i7 u Black
?h,.cldahtc?tld +G(!?t G ? C(QQ??x, '
?la5,s ?
rRoNr_PRaaFrourY ._u_cvE
1• i1T ?? f
ti. ou
April 15, 2003
Lisa Bergren-Salinas
4255 Dunrovin Lane
Eagan MN 55123
RE: Inclined Wheelchair Lift
Residence: Berg ren-Salinas, Lisa Res.
4255 Dunrovin Lane
Eagan 55123
Department of Administration
- Elevator ID# -09173PT03-07R
Dear Sir/Madam:
Minnesota Statutes Chapter 16B provides that the Department of Administration, Building
Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and
manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the
Elevator Safety Section recently inspected your residence and determined it meets
requirements of the Minnesota Elevator Safety Code.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for
Elevators and Escalators does not necessarily assure compliance with the
Americans With Disabilities Act of 1990.
Sincerely,
BUILDING CODES AND STANDARDS
Bill J. Reinke
State Elevator Inspector
bjr/rkr (CE-2)
c: Schoeppner, Dale R., BO, City of Eagan
Premier Lift Products LLC
Gary Good Construction
ElFormMR
Building Codes and Standards Division, 408 Metro Square Building, 121 7th Place East, St. Paul, MN 55101-2181
Voice: 651.296.4639, Fax: 651.297.1973; =: 1.800.627.3529 and ask for 296.9929
`1_/ ' BATE O -pS /
BUILDING PERMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
To be used for r? gat
Site Address; //P 61S Irl Al
Lot Block See. Sub.
Owner '7?
Address rlztp. - e
y1 f?3/
Contractor `JrcQALM?bsvcGd,
Address (Aa7
5165/ dr
k 'r
Arch./Eng.
Address
`
Valuation
Parcel Number lel ?/? )rJr 1,7P O?11
Telephone /O 9 - M9
Telephone
Telephone
to it'd' - S5af
OFFICE USE
Erect
Alter
Repair
Enlarge
Move
Demolish
Grade
OFFICE USE
Date of Approval & Initial
Assessment
/
t D?
Water/Sewer
Police
Fire
Eng.
Planner
Council
Bldg. Off.
A.P.C.
occupancy !1
Zoning
Fire Zone 3
Type of Const.
# of stories
Front L
Depth 3tS
FEES
Permit y
_
Surcharge
Flan Check
SAC
Water Conn. a JO O3i
Water Meter
TOTAL J I-StO
INTERIOR ENVELOPE SPACE "U" COMMATIM
y (To be submitted with building permit application)
14
:*M ov two family dwelling_.1yA__ Owner
?L11, etlar
Site Address
f _a
Potraetor •11. _c eA Anmf-1,7 I etc Date Phone
<E1" PT. OF
¢!OSED WALL L+ (9¢ +'1? +
+j
2
5 : L ft. above glade- F -r,
.
_
_
G4. x708
1 TOTAL EYPOSED WALL AREA SQ. FT.
. Y. A V ?1 Z
hoUE WALL CONSTRUCTION: "U'l value E area ,
+SrZ
"U" ;11-20,
z ¦q,
ft.
(99)
(A
€3A??v C IZ?.??E_ LL1F Ll "U" . tj-7 z sq. ft. C. M (A
t 11 reference "U" z sq, ft. (9n (A
^4rom (`nor r?tc. 0."" "U" .47 z sq. ft. 1 56,E M --(A
f&nhed cheats "U" z sq, ft. (U) (A
'9J" x sq, ft, (9) (A
'b" z sq, ft. (0) (A
"U" VALUE R & to*
W tiJ t?ouJS 4 PA t Cx?o (t
_. ? ? ANN ?8 x3i z
1 2 wA . .. ?.. "
1 ? LH
! type
y}?'+ 11
"
_Q
e
2 @, ti.- -Xl+_ to
"u z sq.
C.L MT' S??l, 1 I k* - MS' '" sq.
d..?u. T '.U"_,,2 x sq.
llul. .5b voluo ! area flo0R.S, PEASE_
" I C) 2S_ "U" .. 1.2 z sq.
,. fv" z s q.
q
PA r i o Ae? o P s "U"Tz s
.
(A) VALUES Z79
ED BY TOTAL WAIL AREA2.2-gyp. I AVG. "U"
"U" .17 or less for 1 & 2 family dwellings
.22 or less for all other buildings
CT.
ft.
ft.
ft,
ft,
ft,
f t.
ft.
FT.
ft. "
f t. (j 2.9 to x, (U) (A
ft. 3.7 2..0 (U) (A
ft. ]O o - 2CA (0) (A
ft. (A
ft. • (9f) (A
ft." F?a o " rcu). (A
TOTALS 2'3 0, I sq.. ft.302_6 (91)
AREA: 1 42 sq. ft. -
( reference "U" x sq. ft. " (V)' (A
E "U" .e43 x sq. ft, 1'792 r! 7?' / (D). (A
bed sheets "U" x sq. ft, a ('U)_ (A
be openings "U" x sq. ft. (U) (A
f•4. "U" x sq. ft. (U) (A
), (A), VALUES ??• TALS ?7R 2 sq. ft. r7 7.l (U) (A
RD
ROOF/
BY TOTAL
1 9 1 04
1, J
IG AREA .
i .
s ; UJ 1}? s wow
G .• L S4
a
;mV,
, .05 for ventialated roofs
.10 for all other construction
KXVICLILING: R- value
2. Ip ^ Illc,vt_At?ow1
4. AN2 b\
43
5.
6. 3 ?>
Z
3ISTRUCTION FRAMING: R- value
1.
2.
3.
4,
5.
6• ? !7
- ---
If ave rage "U" values as calculated above do not meet the Energy Code requiremnts,
the "A lternate Envelope Design" as outlined in SBC 6006 (g) bray be used. Additional
sheets may be used to show calculations.
}
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CQQQ/!I, a55/a? 1
YIZorJT r?R?i?F1?TY , LI N G
(PLOT -PLAN
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF FAGAN
?O 3830 PILOT KNOB RD, EAGAN MN 55122
/ 651-681-4675
New Construction Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window saes; poured found design, etc.)
1 set of Energy Calculations
3 copies of Tree Preservation Plan 6 tot platted after 711M
. Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
DATE 1 01'3/ QZ
SITE ADDRESS V,55 /)UPebI(/ N
TYPE OF WORK K00-f ?I
APPLICANT 0-"1144V /` 4O e, ,
STREET ADDRESS (D 01 Q C
TELEPHONE #41270/-6/3 CELL PHONE #
RemodegRegair Requirements
2 copies of plan
. 1 set of Energy Calculations for heated additions
1 site surrey for exterior additions & decks
Indicate if home served by septic system for additions
VALUATION 4 b
c.
E(S) _ 0 -1 - 2
CITY o f 1AR0'1JSTATS_A ZIP 53
FAX #
PROPERTYOWNER I iSA /?e12gRct1 I/•??s TELEPHONE# G???lO83 9?ZS
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR ffNEWff RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _
(J submission type) • Residential ventilation Category 1 Worksheet Submitted
Energy Envelope Calculations Submitted
Plumbing Contractor: _
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Contractor:
Water Softener _
Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
_ Phone #
Lawn Sprinkle
No. of R.I. Baths
Phone #
MULTI-FAMILY BLDG ?Y _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 Ordi ??
Signature of Applicant
---------- °----------.
OFFICE USE ONLY
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 O 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
O 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 _ Au/Gas Tests _ Final
- Framing _ Siding _ Stucco - Stone
Fireplace _ RI. - 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
Budding Inspector
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107146
Date Issued:09/26/2012
Permit Category:ePermit
Site Address: 4255 Dunrovin Lane
Lot:017 Block: 004 Addition: Wilderness Run 6th
PID:10-84355-04-170
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors-New/Replacement
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Mario A Salinas
4255 Dunrovin Lane
Eagan MN 55123
Home Depot At Home Services
656 Mendelssohn Ave. N
Golden Valley MN 55427
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112427
Date Issued:08/13/2013
Permit Category:ePermit
Site Address: 4255 Dunrovin Lane
Lot:017 Block: 004 Addition: Wilderness Run 6th
PID:10-84355-04-170
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Elizabeth Hess
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 -
Mario A Salinas
4255 Dunrovin Lane
Eagan MN 55123
(651) 225-6635
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121459
Date Issued:04/02/2014
Permit Category:ePermit
Site Address: 4255 Dunrovin Lane
Lot:017 Block: 004 Addition: Wilderness Run 6th
PID:10-84355-04-170
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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: 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 -
Mario A Salinas
4255 Dunrovin Lane
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
To: City of Eagan Page 2 of 5
•
4111' City of Btu
3630 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651)675-5594
2016-10-27 15:54:03 (GMT)
15072999410 From: KRISTIN LOEFFLER
Use BLUE or BLACK Ink
For Office Us.
Permit #: ! (P'S
Pennit Fee: 11 ;.--,�7341.
%'
Oete Received: / (� �` / /
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/27/16 Site Address: 4255 Dunrovin Ln
Unit if:
Name: Lisa and mario Bergren
Address / City/ zip; 4255 Dunrovin Ln
Applicant is: Owner 'Contractor
Description of Work Sub floor drainage system with moisture barrier on the wall and sump pump installation
Phone: 651-235-6635
Construction Cost: 3717.00
Multi -Family Building: (Yes — / No )
Company: Complete Basement Systems
Contact: Lewis Uhrich
City: Mankato
State: MN zip; 56001 Phone: 507-387-0507
Email: lewis@mycompletebasement.00m
Lead Certificate #: NAT -105017-2
Address: 54004 Loren Drive
License #:
BC143377
If the project is exempt from lead certification, please explain why:
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:
Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
Phone:
Fire Suppres
si,on Contractor:
aMit
*Ms nf
atlo 1. ltt8
IIcIf
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454.0002 for protection against underground utilky damage. Cali 48 hours
before you intend to dig to receive locates of underground utilities, www.00nherstateoneraltorq
1 hereby acknowledge that this Information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 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 pian In the case nt work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance w*It the Minnesota State Building Code must be completed within 180
days of permit Issuance.
Lewis Uhrich
Applicant's Printed Name
4A4
Applicant's Signature
Page 1 of 3
To: City of Eagan Page 3 of 5
2016-10-27 15:54:03 (GMT) 15072999410 From: KRISTIN LOEFFLER
tivaCC
-1)(0-1.1 t_e"..-1
DO NOT WRITE BELOW THIS LINE
spa TYPES,
Foundation
Single Family
Muni
01 of Pies
WORK TYPES
New
Addition
Alteration
Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%_)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Leval
Porch (3 -Season)
Porch (4 -Season)
_ Porch (Screen!GazabolPergola)
Pool
_ Interior Improvement
_ Move Building
_ Fire Repair
Repair
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation _Foundation Before Backfill
Roof: _Ice & Water _Final
Framing — 30 Minutes _ 1 Hour
Fireplace: _Rough In _Air Test `Final
Insulation
_ Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
_ Accessary Building
Demolish Building*
_ Demolish Interior
_ Demolish Foundation
_ Water Damage
'Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
_ HVAC _ Gas Service Test _ Gas Line Air Test
_ Pool: Footings _AirlGas Tests _Final
X' Drain Tile it
Siding: _Stucco Lath _Stone Lath _Brick EFIS
Windows
_ Retaining Wall: _ Footings Backfill Final
Radon Control
_ Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3