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4267 Dunrovin LaneCASH RECEIPT a CITY OF EAGAN ~ 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT l ac DOLLARS too ? CASH ? CHECK 17- FOR ?. t I BY White-Payers Copy ?? ':' J tr Yellow-Posting Copy ' Pink-File Copy BUILDING PERMIT To be and for DECK Est. Value $&00.00 Dat e Iay 23 19 _ Site Address 4267 Dunroviu L am Erect a Occupancy Lot 19 Block 4 Sec/Sub,Wi lderness Run 6 Alter ? Zoning Parcel # 110 :34355 190 04 Repair ? Fire Zone Enlarge ? Type of Const. W Name George P. huddle Move ? # Stories 3 Address 4267 I?unroyin La ne Demolish ? Length ?' b eitd; iL_55123 Phan. 454-1830 Grade ? Depth 20 Sq. Ft. Name _ ,o Address I hereby acknowledge that I have read this application and the information Is correct and agree to comply with all State of Minnesota Statutes and. City of Eagan Ordinanc, Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge _ Plan check _ SAC Water Conn. Water Meter Rood Unit _ Total $15.00 Signature of Permittee A Building Permit Is issued,to: George P . Huddle on the express condition that all work shall be done in accordance with all applicable State of Minne 9NStatutes and City of Eagan Ordinances. Building Official 7 CITY OF EAGAN 3795 Filet Knob Rood Eagan, MH 55122 C3 U v PHONE: 434-2100 Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. Well Wstar Disp. Sewer Electric Inspection Dab Insp. Other Footings p 7n 46 Foundation Framing Rough Plbg. Rough HVA Insulation Final Plbg. Final HVAC i Final I Water Describe Location: Well Sewer Pr. Disp. I « 7 BUILDING PERMIT 1. Site Address ''U Lot - Block Parcel # & Name _ W _- 3 Address r,a v- *77, 7 city PI T o Name v? Address '7;--1 F City PI ?W Name ?z _, Address 1_11 N? 5088 erect 6th U uccuponcy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. - Move ? # Stories ` _ Demolish ? Front ft. Grade fl Death ff. Assessment 1 Water & Sew. ne Police Fire Eng. Planner 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 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: all work shall be done in accordance with all Building Official CITY OF EAGAN Pilot Knob Road Eogan, MN 59122 PHONE: 454-8100 Receipt # Permit Surcharge Plan check SAC Water Conn. Water Meter Total on the express condition that Minnesota Statutes and City of Eagan Ordinances, Pamit * I Dab lased I Pansiftae INSPECTIONS DATE I INSP' Rough-in Insp. I Date Find Irop. Footings 1 - i !L 7S? IniP Date CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PZLT+?II'?^ PERMIT Date: 1--4-79 Site Address: 4267 Dunrayi ..n Lot Block 4 Sub/Secrw1. 8 RM 6th No. 1-290 X42 Receipt No.: Single I Residential X Multi Res., Comm./Ind. I I`11sal Fkves Name /Re air New/Alter . p v27 SO. S`t'1?FLa.lh T Address Cost of Installation O t. Pawl. 5512< 69f ?-5501 City Phone: Permit Fee lph's Pluc> L-0 e F? No ¦ m Surcharge Address 9900 XeWi& Ave. e 0 V i Ph one: ty 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 I-26- J0 Date: Site Address: Lot ii 4267 Dun Lavi n PERMIT Block _4 Sub/Sec."ildenie5.4 I;am Fth 0Cf4KJ!','V AIR FT"sIRM No. 1??7r Receipt No.: Single Residential Name ' 1.-AM TkTreq New/Alter./Repair. Address ? ter' '?Z 1137C' r ?`? ' Cost of Installation O 1 c ? C 1? litcl Y) 77; 01 7r), 11if1 City Phone: Permit Fee ,. 9ir>c?,r? & Scgn . 5 ame Surcharge Address 12C But lcx e 0 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 . OF EAGAN WATER SERVICE PERMIT 195 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 Surchorge: Ordinances. Misc. Charges: - Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: Address: Site Address: Plumber: I agree to comply with the City of Eagan Ordinances. By - Date of Insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: - No. of Units: Connection Charge Account Deposit: . Permit Fee: Surcharge: Misc. Charges: - Total: CITY OF EAGAN Remarks Addition WILDERNESS RUN 6TH ADDITION Lot 19 Rik 4 Parcel 10 84355 190 04 Owner ?" Street 4267 Dnnrovin 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 20 104.79 A007591 4-5-79 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1977 162.14 S['8-6fs 15 129.74 A007591 4-5-79 STORM SEW TRK c3 1 7 5 240.61 A007591 4-5-79 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 250.00 13040 1-24-79 BUILDING PER. SAC PARK --L I- -SN 77 71 CITY OF EAGAN ?T ? 8068 3"S Pflot Knob Read Eagan, MN 55122 lr ' PHONE: 434.8100 cs ? BU ILDING PERMIT Receipt # To be sand for DECK Est. Value $800.00 Date May 23 19 - Site Address 4267 Dunrovin Lane Erect $g Occupancy Lot 19 Block 4 Sec/Sub.Wilderness Run 6 Alter ? Zoning Parcel # 10 84355 190 04 Repair ? Fire Zone Enlarge ? Type of Const. s r, Name George P. Huddle Move ? # Stories Address 4267 Dunrovin Lane Demolish ? Length 22 ri agan 55123 Phone 454-1830 Grade ? Depth 20 Sq. Ft.- Name Owner Approvals Fees st Address A Assessment Permit 14.50 d 50 City Phone Water 8 Sew. Surcharge . ua Police Plan check ? f Name Fire SAC Z XE5 Address Eng. Water Conn. i W CI Phone Planner Council _ I hereby acknowledge that I had this application and state that Bldg. Off. - the information is correct and a ' e to comply with all applicable State of Minnesota Statutes a F11 APC of Eagan Qrdinynces. Water Meter Road Unit Total $15.00 Signature of Permittea - G gorge P. Huddle A Building Permit is issue o: on the express condition thni all work shall be done in accordance with all op (?,b,.le ate f? es and City of Eagan Ordinances. Building Official l ? eq CITY OF EAGAN 3795 Pilot Knob Raad Eagan, MN 55122 N2 5088 ` PHONES 454-8100 / BUILDING PERMIT APPLICATION Receipt # lid To be used for SF D1•fig & Garage Est. Value fl 41,000. Date 19_ 79 Site Address 4267 Dunrovin Lane Erect $] Occupancy F-3 Lot 19 Block 4 Sea/sub. Wilderness Run 6th Alter ? Zoning E-1 Repair ? Fire Zone 3 3 Panel # Enlarge ? Type of Const. a: Name Cleorge Huddle Move ? # Stories R-501 z Address 1635 Scheffer Demolish ? Front 58 ft. 3 St. Paul 551,,,, 698- 4571 Grade ? Depth 42 tt o I Name Tilsen HafleS 0 Address 627 So. Snellincx St. Paul 55116p6a,,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. Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit y, •` v - Surcharge 20.50 Plan check SAC 525.00 Water Conn. 250.00 Water Meter 60.00 Total 973.50 Signature of Permittee ' A Building Permit is issued to: Ti1S on the express condition that Building f f?'nnesota Statutes and City of Eagan Ordinances. all work shall be done in acc d with oil a licable S ate Official / CITY OF EAGAN BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. To Be Used For t o M E 0 EC K valuation ye9L)0.0 0 Date `z 3 ^ 83 Site Address: 41"-7 Dj( R 0 .2 NC OFFICE USE ONLY Wt _L?_ Block q Sec. /Sub. ?N'(?,?UPL 0 rect ;'?-Occupancy Parcel #: O ?( 3 ea`a ?1 d p Alter Zoning D / Repair Fire Zone Owner: 7 EO I?(-jt ! . A4,6 D L E Enlarge _ Type of Const. Move # Stories Address: VQ 07 ?)Uy9oy-71U4)1A1e` Demolish _ Front ft. City/Zip code: -EW 6,4N -411AI 5 5-10?? Grade Depth ft. Phone #: 16 41- / e3 O APPROVALS FEES Contractor: 0 W )l Address: City/Zip Code: Phone #: Arch./Ehg. _ Address: City/Zip Code: Phone #: Assessments Permit Iy 15-0 Water/Sewer Surcharge SG Police Plan Check Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. APC TOTAL .a` C7 o SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO.610 -7/- 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881-9000 TEST RECORD ADDRESS ?IA G -7 Z?I. 4 /p [/zaf ?„F > CITY /f:?`T w_J IW fl OCCUPANT ?5 ff `f OWNER_ SOLD BY 14 '^n : INSTALLED BY `L MAKE [ ? Of ?J a ,v v 3(- is '7 PO MODEL .?(? '? e-) t , - . SERIAL NO. 5 ?O z,- INPUT ^l-)ri G THERMOSTAT 2600 VENT SIZE y VALVE>?? TYPE OF LINER LIMIT ?FAXA`?Lg LINER SIZE LIMIT SETTING zf-- % d FILTERS SIZE ?'i??42o NUMBER FAN SEfTING?•? WIRING ?'¢ PILOT TVPE?Z;4/a4L ??(J' TESTTAG / L S IGNITION MODEL PRESSURE PERCENT C02 (r INPUT CFHC1 C PERCENT D2 ?r STACK TEMP. PERCENT CO ?.; ---? FORM 235 (REV 111BB) LIGHTING INST. s/-J DATE TESTED COMPANY TESTINGI 4 NAME OF TESTER ° FORM DISTRI TION: WHITE COPY- JOB FILE YELLOW COPY - CITY yva J..--•? /Jv/v This requuue-st void 18 months from Jr - 4- i z2a I G w u8A"), R 41704 Date of this Request 11-4-1978 I, as Micensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 4267 Du=ovin Lane City Section Township Range County Dakota Which is occupied by Tilsen Homes (Name of Occupant) Is a roughen inspection required on this job? No D Yew Ready Now ? Will Call 91M Power Supplier Dakota Cty. Address Farmington Electrical Contractor O.B. Thompson Electric Cos Contractor's License No. A36835 (Company Nameitka 55343 Mailing Address 12201 Mtka Blvd. s (Electrical Contractor nr n-..r MaWna Thls InstallaL?n1 Authorized OWE 2000 00PU Phone No. _ n21 This inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. This request void 18 months from 1-3 Z) * p P 94561 Date of this Request 18 ? / I, as JKLicensed Electric Contra or ? Owner, do hereby request inspection of the above electri- cal wiring installed at: c-- (.v f-F, Street Address or Route No. SrAtf/? CJ?/Y//E?f1//FlL)??e?City Section Township Range County Which is occupied by Is a roughin inspection required on this job? No ? Power Supplier b4KO f8 /?, Electrical Contracto ?A o I /d (Company "arn Mailing Address (E lect rlc tors atur Authorized Sign (Electrical Contractor or Owi SUM MOWN COPY Yes Ready Now ? Will CallX tress ontractor's License &2V Installation) Phone N i? This inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity niversity Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION C ECK BELOW WORK COVERED BY THIS REOUEST /30 7/ P 94561 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? Range ? Temporary Wiring ?l Duplex - ? ? Water Heater ? Lighting Fixtures uv, Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace S8o Unloader ? IndusIrial Bldg. ? ? ? Air Conditioner Bulk MBk Tank ? Farm List LList ) Other ? ? ? Others o Herers7 COMPUTE INSPECTION FEE BEL N M Service Entrance Size: # Fee F ers Fee Circuits: # Fee 0 to 100 Amps. 0 to 3 m e 0 to 30 Amperes 101 to 200 Amps. -0 31 to 100 Amperes 31 to 100 Amperes Above 200_Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5.0 Remarks TOTAL FEE I, the Electrical Inspector, hereby cert ' t th ?jJlifspectIn has beep} made. 0-?-? (Rough-in) Date I" I 7 (Final) Q ill Date ?5-?3-?c/ This request void 18 months from _ Minnesota State Board of Electricity University Ave., St. Paul, Minn. 55104-Phone 645-7703 T REQUEST FOR ELECTRICAL INSPECTION C6 CK BELOW WORK COVERED BY THIS REQUEST iaa 74W 'R 41704 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home XW ? ? Range E* Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures 712 Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace :ISF Silo UAoader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm List List ) Other El ? ? p thers Here I 1 •XX } Others Here ) FEE to Remarks Hall 1, the Electrical Inspector, hereby certify that the a to TOTAL F j q 0,0! 40. 60 ?as been ma ate.. 1l- T-7y (Final) ? L,) Date 56-75' This request void 18 months from `. t Ilk RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 N9w Construction Requirements 3 registered site surveys showing sq It of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE SITE ADDRESS ??6? ?unro ?t`vy L TYPE OF WORK APPLICANT -t- e +I? 'I "a -CIS v c.1 R-® RemodellReoair 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 MULTI-FAMILYBLDGKY _N e. E1 FIREPLACE(S) _ 0 _ 1 _ 2 a"„n3 ) STREET ADDRESS /? (? ?lA/)rout „ n CITY__ I STATE AiA? ZIP''ZC TELEPHONE # ls5 % ,49?f -41&C CELL PHONE # ? sl99LOFAX # PROPERTYOWNER TELEPHONE# ?LSJ J yqy-?? COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESO"rA 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 _ Lawn Sprinkler Pee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Pee: $70.00 Heat Recovery System Sewer/Water Contractor. I1 # -------------------------------------------------------------------------------- -- ------- --------------- I hereby acknowledge that I have read this application, state that the info tid(yNcpr&gbffr ,l ree to comply with all applicable State of Minnesota Statutes and City of Eag rdjna s. 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 ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ... tp 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 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 0 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy C/.?-G ? f? MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs 1 Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) "+ Final/No C.O. Footings (addition) 7 J Plumbing Foundation _ HVAC Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Pigs _ Air/Gas Tests -Final _ Framing _ Siding _ Stucco _ Stone - Fireplace _ R.I. _ Air Test - Final _ Windows (new/replacement) - Insulation _ Retaining Wall 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 / O X "V Other Total Approved By ?? Z- , Building Inspector -------- --- ---- - ----------- - - --------- - -------- - ---- - - - --------- - - - - s y 44:, 7 P I ,'ERIE- AkoOEAT Y LWE. ?I W y--ao o? .? , ? o ZG ,??ervc Line 6,,7 j cc.? Zh [re <<; f ? ? i Los BLoc.K 61 onST PacC PFfq-TY _LINr- 5 N ry L A1,6 i OMOVI M , -PLOT -F L A N RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN IS-0 ('9 3830 PILOT KNOB RD, EAGAN MN 55122 I r I t? 651.681-4675 I J New Construction Requirements • 3 registered site surveys showing sq, ft. of lot, sq. fl, of house; and 011 roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes: poured found desgn• etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE S- a3- 0.:,7- RemodelfReoair Requirements • 2 copies of plan • 1 set of Energy calculations for heated additions • 1 site survey for exterior additions & decks • Indicate I hone served by septic system for additions G VALUATION 70C2o SITE ADDRESS 9o?C 7 ,>,,( n 1K6V &?h L41 MULTI-FAMILY BLDG _Y _N TYPE OF WORK Rc mo vg L?_e=RZ,*Ce .,Pooh FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT C©hS7?rrt c ??o n S'c?r td y e es o IC l?v fit' STREET ADDRESS ;7? D 2 Al c9nof S )4- CITY STATE?ZIP n y?? TELEPHONE # 442-S2/- 3337 CELL PHONE # C S'/ cP V 8. 35-1-S' FAX # eta S.2 PROPERTYOWNER SO`f?r1 sO 7t ?. TELEPHONE# 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 Cade Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor. Mechanical system includes: Sewer/Water Contractor. Air Conditioning Heat Recovery System Fee: $90.00 Phone # (?Fee: n$70.00 Phone # v a MAY 2 3 2002 -----------------------------------°°--------------------------_-_-----------------------------------------------u I hereby acknowledge that I have read this application, state that the information is correct, and agree to com ly with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant } OFFICE USE ONLY ??- Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 Water Softener _ Water Heater No, of Baths Phone # Lawn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 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 & Water _ Final - Pool _ Ftgs _ A r/Gas Tests -Final _ Framang - 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 PERMIT# S RECEIPT DATE: 2008 RESIDENTIAL PLUM$INOPERMIT APPLICATION CITY OF KAGM 3630 PELOT KNOB RD EALGM, MN 5512E 651-6$14675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: Q_141 1 1/61?4?-U T 11 1 W41 W OWNER NAME:: ?/WC??1? Q1/?/? TELEPHONE #: 19 1 - -* 47112o- (AREA CODE INSTALLER NAME: Won M ' TELEPHONE #: W 40 0,&= ?y?,? (AREA CODE) STREET ADDRESS: 1U1u0 TWO MIi1 /1? CITY: likholyi STATE: MIN ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: - Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 - Abandonment of septic system. Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118) Other: RPZ: new installation/repair/rebuild $ 30.00 lawn irrigation system L water softener water heater ReplacemenUadditio I: $ 15.00 u State Surchar e $ .50 D g APR 10 ZOUZ Total I hereby acknowledge that I have read this application, state that the information is correct, and jfc?v is the applicant's responsibility to notify the property owner that the City of Eagan assumes n liabilityfor property/ operational and maintenance activities to the facilities constructed under this permit wift n, OF PERMITTEE 3 City of Eagan ordinances. it by the City during its normal 1/02 i DATE 11-19-M BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for Valuation too Site Address: Lot Block. See Sub. Parcel Number Owner d LL tk-t ? _ yj?d d-t?'- Addresss Contractor _c LtQ?-F-o4? ?s(?Em F?-i Address -1-cruet "Z YI ..S X50 Arch./Eng. Address Erect Alter Repair Enlarge Move Demolish Grade OFFICE USE /? Approval .& Initial Date ?oJ of Assessment .(/ i / d/Zy -- Water/Sewer Police Fire Eng. Planner Council Bldg. Off. A.P.C. Telephone 69f-(1601 Telephone Telephone OFFICE USE Occupancy R Zoning / f Fire Zone, Type of Cc7 t. _ # of Stories Front $ Depth FEES Permit Surcharge - - .- Plan Check r? ?\S O SAC S D - Water Conn. .2 Water Meter 6 ? TOTAL ?- 111F?? qT3, SO tt44 with budwift peso" tw a+usi? dMSllia??_ 4 AWL Or Uts ".: ; Li Date TOTAL MOM VAII 't WALL COUTRUC?LOU: "U" value X oroo 4h'A"AU rsfcrema ' dtiamr 0+404W Ghetto ti ::'J2' "U" VALUZ S Lpss iA a tom, t"4. ftUao 2 qa®s ° "SS CCs l?t ? w 9 ?:O s. r ft. .. _ ?-x= "D" • Cold ©qw 4i-(Jin w??w ft. ??y 47..sr'_ I I go . 1 4 L. 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Q ??LcE,ti.C' f, c?• ?.J(.000U?? ?? 17 ?IA 07A LOT Mot K I ?owr_?aoaF?rY _?iNE -PLOT -4 L NN L N BIL hh CITY USE ONLY SueD. ernPS 4Luv RECEIPT #: 133561 RECEIPT DATE:'` &- )OI - W PERMIT # 'l' 5"17 8000 PLUM$IN6 Puma (mmENTIAL) crrY of EAem 5860 PILOT KNOB RD P.AGM, MN 551 EE 651-681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system veru e TOTAL FiRiumv;Q Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas I in outlet ' minimum -1 3.00 x = = $ $ Hot tub/s a 3.00 x Kitchen sink 3.00 x = = $ $ Laund tra 3.00 x $ Lavato 3.00 x ° $ Se tic S stem newirefurbished requires MPC lie. 75.00 x Se tic S stem abandonment 30.00 x = = $ RPZ new installation/repair/rebuild 30.00 x Rough opening 1.50 x = = $ $ Shower 3.00 x = $ Underground srinkler if dwelling is under construction 3.00 x = Underground srinkler if existing dwelling 30.00 x = $ Water closet 3.00 x _ Qa $ Water heater 3.00 x = • $ Water softener if dwelling under construction 5.00 x = Water softener if existing dwelling 30.00 x = $ Water tumaround 30.00 x > > $ 50 State Surcharge .50 > - > - > $ SD Total > -> - - Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - --------------------- ---------------------------------------•- ---- -...----------------------------•- - I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and mainteRnjqt7 'vi'es t?alilieS-(;Q-nMcted under this.p-enmit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: : INSTALLER NAM SOTH, THYDABOUE 4267 DUNROVIN LANE EAGAN, MN 55123 (651) 994-4762 STREET ADDRESS: 61A TELEPHONE #: (AREA CODE) TELEPHONE #: (AREA CODE) zm iuAnrlcw n.=. STAM- ZIP: CITY: MINNEAPOLIS MN 65408 - SI N RE OF PERMITTEE I I I COLE II I i I t --- -- IgZ(71DUN ROV.IN, 1-ifNE _ I I 55/ x 3 1 i t I i 1 I ' i I i I I 1 I I ? i ? 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L ? i P i 1 a of rY LwE w I S N ??rr +1 uNt? ? i (1i I All- i i ??oPE.e rY L.l NE d? i 1 26 ' •3? 6 ke is I L oT 8LC)G k i ?koNr_?aoaFrzr?! ..Li.NE PLAT -4 LAN City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4267 Dunrovin Lane Lot: 19 Block: 4 Addition: Wildemess Run 6th PID:10- 84355- 190 -04 Use: Description: Sub Type: e - Fumace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan Comments: Questions regarding electrical perm 952- 445 -2840. Permit expired without required inspections. 4/9/2009 CE - Applicant - $50.50 Owner: Sothy Soth 4267 Dunrovin Lane Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA084894 08/04/2008 ePermit equirements should be directed to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 $0.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA107170 Date Issued:09/27/2012 Permit Category:ePermit Site Address: 4267 Dunrovin Lane Lot:019 Block: 004 Addition: Wilderness Run 6th PID:10-84355-04-190 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 - Sothy Soth 4267 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:EA107523 Date Issued:10/16/2012 Permit Category:ePermit Site Address: 4267 Dunrovin Lane Lot:019 Block: 004 Addition: Wilderness Run 6th PID:10-84355-04-190 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors 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 - Sothy Soth 4267 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:EA112681 Date Issued:08/21/2013 Permit Category:ePermit Site Address: 4267 Dunrovin Lane Lot:019 Block: 004 Addition: Wilderness Run 6th PID:10-84355-04-190 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 . Jayme Meyers 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 - Sothy Soth 4267 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