4273 Dunrovin LaneCities Digital
itv Con
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CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
RKC Ef V 6D
FROM
AMOUNT
& DOLLARS
Sao
? CASH ? CHECK
FOR
hank You
" I BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
,.: CITY OF UGAN
3795 Pilot Knob Rood Began, MN 53122 N2 5040
PHONE: 454.8100 _
BUILDING PERMIT Receipt #
To be and for Est. Value Date . 19
Site Address Erect Occupancy
, 1,
Lot Block Sec/Sub. °^ rt'. Alter ? Zoning
Parcel # Repair ? Fire Zone
Enlarge p Type of Const.
0W: Name :rleS T? "''' `!' Move p # Stories
LU Address f i - 7 t ~°?: Demolish ? Front ft.
City _ Phone Grade ? Depth ft.
o Name
il-
u'J Addre:
I raw,
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
all work shall be done in c
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Counci I
Bldg. Off. _
APC
Permit _
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Total 30
T on the express condition that
once with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
?arw?M # Date laved per ltft*
Plumbing
Mechanical t'
Allftk373 ?? -? ?? 7 L r
025 379 /1- r- 78 6,4).
INSPE INSP. Rough-In Find
Footings Date Insp. Date Insp.
Foundation _ Plumbing C ?S 7S
Frame/Ins. Mechanical
Final
Remarks:
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PLLT' IB I?ti!` PERMIT No. 1157
Date: Receipt No.: 12192
Single
Site Address: 1273 Dunroyin Lane _ Residential X
Lot ?'. Block 4 Sub/Sec. _ TWR 6th Multi Res., Comm./Ind.
Name 'P ileen Homes New/Alter./Repair. 3 Address 627 So. Snelling Ave,
C Cost of Installation
City St. Paul Phone: 598-5501 Permit Fee 20.00
Name valrh's Plt>bing .50
Surcharge
c;)00,13 Kevwick Ave. No.
Address
e
0
v ",t{11Lratf- 55)8? ?0.5'1
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
TIrT? PERMIT
Date:
12-2I-78
Site Address:
Lot
4273 Dm ucivin bane
Block 4 d1daimew Rim 6th
OCHH=0K A7R REIM=
No. 1373
Receipt No.. 12834
Single
Residential I X
Multi Res., Comm. /Ind.
Name --4L-An Ekm-s /Repair
New/Alter
.
.
Address ?7 So. SnPZ1i"-?
i
ll
3
O on
Cost of Insta
at
haul 55116 F1 '-"r01
.
City Phone:
Permit Fee
Name - Surcharge
'
`C a 1,10 it. Fitly
Address
e
0
Phone:
City 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
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota $5122
Phone: 454-8100
W" M 8CIFTENM
PERMIT
No.
259
l- Ifr-79
Date:
Site Address:
Lot Block Sub/Sec.
Wilderness rom Gth
Nome "iarles S. TrezW:
Address 'M D,-m-xT,7n Ime
City Phone:
Nome '?7 ?)f'xt CO.il?""lI1
I M I Marie Tip n: .
Address
City Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Statutes and City of Eagan Ordinances.
Receipt No.:
Single
Residential
Multi Res., Comm./Ind. I
New/Alter./Repair
Cost of Installation
Permit Fee
Surcharge
Total
done in accordance with all applicable State of
Building Official
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: t ?? r
mINNOV JIN t ANr
PERMIT SUBTYPE:
L
PERMIT TYPE:
Permit Number:
Date Issued:
,d ?t nr, K , APPLICANT:
TYPE OF WORK:
I I I I 1 I Ii i tiN
i
flr'IC I1' I tt+N RFF,00I ".I+iitM t?!1!'looo
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addition WILDERNESS RUN 6TH ADDITION Lot 20 Blk 4 Parcel 10 84355 200 04
Owner Street 4273 Dunrovin Lane State Eagan. Minnesota
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 161.21 8.04 20 104.79 A007201 12-14-78
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 3 1977 162.14 Vt-." 15 129.74 A007201 12-14-78
STORM SEW TRK 3 Y 1978 277.61 k., 5 0 : 15 240.61 A007201 1 - 4-
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 250.00 12177 10-25_78
BUILDING PER.
SAC 5()0
()n 17177 1 _ _
PARK -
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N? 4857
PHONE- 4S4-8100
BUILDING PERMIT APPLICATION Receipt # 10664
T. h. ama for SF dwg. & Gar. Est. Value 510000.00 Date 6-22 -,19-7-8--
Site Address
Lot 19
Parcel *
Block 5 Sec/Sub Wilderness
10 84355 190 05
d Name James R. Blair
Z Add 9149 Queen Ave.
reas
S Bloomington w__ -
o Name Tilsen Homes Inc.
OU Address 627 South Snelling
r ra.. St. Paul pl,m.n 698-5501
Name _
Address
1 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 a=
Erect [1g occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories ??-
Demolish ? Front N.
8
Grade ? Depth 2
ft.
Approvals Fees
Assessment _
Water & Sew.
Police -
Fire
Eng.
Planner -
Council _
Bldg. Off.
APC
Permit 1144. W _
Surcharge 22.50
Plan check
SAC 500.00
Water Conn. 250.00
Water Meter 60.00
Total 974.50
s r inc, on the express condition that
e State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN
9795 Pilot Knob Road Eagan, MN 55122 N2 5040
• `? PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt #
To be used for SF Dwlg & Garage Est. Value 41,000. Date 10-25 -, 19-7$_
Site Address 4273 Dunrovtn Lane Erect Q Occupancy 1
Lot 20 Block 4 Sec/Sub. WR 6th Alter ? Zoning R1
Parcel # Repair ? Fire Zone 3
Enlarge ? Type of Const. V
a Name Charles Treziok Move ? # Stories
z 4133 - 27th Ave. So. Demolish ? Front 68 tt.
3 Address
o Ci MPls. 55406 Phone 724-8722 Grade ? Depth 26 ft.
A Nome Tilsen Homes ApproIs Fees
O< Address627 So. Snelling
a
? ,,:-, St. Paul 55110,,_ 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
all work shall be done in c
Building Official
Assessment _
Water & Sew.
Police
Fire Eng.
Planner
Council _
Bldg. Off. .
APC
Permit iio.uv
Surcharge 20.50
Plan check
SAC 500.00
Water Conn. 250.00
Water Meter 60.00
Total DSO
imps Tnn on the express condition that
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Minnesota State Board of Electricity
4954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
r REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
'R 28379
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home :a ? ? Range C Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fcttmes ®C
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Furnaces • Silo Unloader ?
Industrial Bldg. ? ? ? Air Con ' on Bulk Milk Tank El
Farm 11 ? ? List
Other ? El 11 xs
L408)6`6 h.XX Others
Here 111
COMPUTE INSPECTION FEE BEl bW U
Service Entrance Size: # Fee 1 1 ers&Subfeeders: # Fee Circuits: # Fee
0 to 100 Amps. 0 to 30 Amperes 0 to 30
101 to 200 Amp 31 to 100 Am eres 31 to 10
Above 200_Amps. Above Above 1
Transformers
Rte Control Circ. g
Partial o
St ns Special Ins Minimu
Remarks
111
TOTAL S CJ
0-50
1, the Electrical Inspector, hereby
(Final)
This request void 18 months from
the ov inpection has been mane:
Date
Date 3_7-7 f?
?Xis,?Kuest v d 18 months from
644,)! R28379
Date of this Request 1026-1978
1, astl Licensed Electrical Contractor El Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 4273 Dunrovin Lane City-L"U1 ___
Section Township Range County Dakota
Which is occupied by Tileen Homes
(Name of Occupant)
Is a roughin inspection required on this job? No 1] YesX2 Ready Now 0 Will Calf
Power Supplier Dakota Cty. Address Farmington
Electrical Contractor Q.B. Thompson Electric Co. Contractor's License No A36835
(Company Name)
Mailing Address 12201 Mtka Blvd. Mtka k5343
(EI Ic Contract r O n Making This Installation)
Authorized Signature Phone No. 933.9591
(Electrical Contractor or Owner Making This Installation) -?-
SV (?1M D0 n-00 t"'j f This inspection request will not accepted cl the
rrJJ (,-d (J LC ?1,?// f State Board unless proper inspection fee is enclosed.
X11,01
@ 33622
REQUEST FOR ELECTRICAL INSPECTION
See i1,hicCons for completing this form on back of yellow copy
"X" Below Work Covered by This Request
? ? ? ''1 C. E?o7
New Add. Peril Type of Building ApphencesWVed Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (speaty) Contractorg Rema,-1-B_,,,,,. o /t/i
Compute Inspection Fee Below
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps ove 100 -Amps
Signs Inspector's Use Only DTAL .J
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
r, the Electrical Inspector, hereby Rough-in Data
certify that the above inspection has
been made. Finai r
OFFICE USE ONLY
This request void 18 months from
X/rs/91
9 33622 ?4? e14 9?Y
G? ;O &°
Request Date Fire No
/ (? /T /
7 Rough-in Inspect n
Req reds
Yes ? No
? Ready Now AI Nonfy Inspector
hen Ready'
I ? licensed contractor 4 owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Rout ) City
Section No Township Name or No Range No. County
Occupa.t (PRINT)
rh6LGk r zoo Phone No
Asa-?of .5
Power Supplier Address
Electrical
l?COmradorWC ompany Namel
0 wn
Contractor's License No.
Mailing Address (Contractor or Owner Making Installation)
VV
Aumon: re ( Iracton a' m nstalla[io?1p Phone Number
MINNESOTA STATE BOARD OF ELECTRICITYU THIS INSPECTION REOUEST WILL NOT
Griggs-Mldway Bldg - Room S-173 BE ACCEPTED BY THE STATE BOARD
1621 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 5/2-0600 ENCLOSED
/ REQUEST FOR ELECTRICAL INSPECTION ffTMto ee.ooom oe
/? See msiruchons for completing this farm on back of yellow copy 30 & 04/
46 9 "X" Below Work Covered by This Request
ea Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
T Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
F&rm Air Conditioner
Other lspeatyl Coniractor9 Remarks
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps eve 100 -Amps
$IgnS Inspectors Use Only, TOTAL //
Irrigation Booms
0
L1 ??
S V
Special Inspection
Alarm/Communication THIS INSTALLATION MAY DE C(fNNECTED IF NOT
Other Fee COMPLETED WITHIN 18 S.
I, the Electrical Inspector, hereby Rough-m Date
certify that the above inspection has
been made Final to
6 7`
OFFICE USE ONLY
This request void 18 months from 1? , , ` e(? 1 e ?-,t
IF/r7 9Z/
x 6 4 6 9 0?0_ ?o' SAD
Request Data
C, Ci ,f
a - t 7 ne No Rough-In Inpsect,en Requa
(You must call inspector when ready)
' Yes ? No Inspection Other Than Roughdn
? Ready Now '? Z Notly Inspector
Date Read r\
Y
10 licensed contractor Vowner hereby request inspection of above electrical work at:
JaD Adtlr s (Street Box Rcute No) f
'S ltAl.&d iA/ WAIVE city
, Z.1- ilk
Section No Township Name or No Range No County
Occupant (PRINT,
if ,y,hefiFs <?;:. ????? Phone No.
C6??Ysa goy
Power Suppher
?IbX i T. Address
Electrical Contractor (Company Name) Contractors License No
Mailing Address (Contractor or Owner Making Installation,
Autnorrzetl ,qna (Contra orrOwne mg t Ila n) p Phone Number
6 z Asa-/o
MINNESOTA STATE BOARD OF ELECTRICITY U THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 ` BE ACCEPTED BY THE STATE BOARD
1821 Unwers,ty Ave. St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone 1612) 642-0800 ENCLOSED
Cities Digital
itv Control
The following image represents the best
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Every effort was made to capture the content
from the original page.
EXTERIOR ENVELOPE SP#C6 "U" COKMftTM5
3' L (To be submitted with building permit application)
QWs or,tvo family dpelling_.)L_ Owner _
All other
Site Address
6. M W .
Ontractor ZI ek?a 40AdES Lmr- Date_?- 3 - -1-1 Phone I.
&, RAL FT. OF
LMPOSED BALL x_j.!? ft. above grade- va
TOTAL EXPOSED WALL AREA SQ. .:
MQUE STALL CONSTRUCTION: "v" value X area
_ ti" x sq. ft. ¦
P?1??i? F-t?A,??F.
lS,),9?L,????- .O'i x aq. ft,J?¦
_
__.
°Mtail reference 'J" x sq. ft. ¦
from x sq, ft, ¦
9$Cdched sheets .A-7 x so.- ft. •O "
-'---- --- -- v.• sq. ft •
- - -- u"-- x sq. ft. "
?i S: "U" VALUE. X dues l?)!;.,f??; •:, ? F?P,710 t' C Q WEA-r44e-Q 'AAIQk-!>
1Z ? Y,
0_
74.P v 1
y
?
t4.0 sq.ft:
t.(o.(a sq.ft, .
LA..? aQ.ft.
a-Q.O sq.fC.
15. "S aq.ft.
tea.
_..• ,°
vP
_sq,ft. ;
14 A
-.
Uhe S type C ??rg r?._ ,•.?;1t.?,ci'1i"ter. eq. ft._g
2_j__ji 6q. ft. s 44
r a r,g. ft. - -f. in a n
sq, ft. 4:,
?=RS: "U" volue g area I7aoP_S ; E-4 S- CI.,
r`ske A type R
1
? sq.
-
_
it 'lull a eq.
ife ratA? R
4 "J" 8q.
_
ZOUL (17) (A) VALUES (fl 74 Wj
131[MED B4 TOTAL HALL
AREA -7a JUJ
AVI?P,AGR "U" .17 or Ingo for " is Z fzanl.ly dvellings
.22 or lone for all otaor buildings
MXO /CEILMr,
TOTAL AREA: I / -7 O aq- ft.
?3atail reforonce -.a emu eq.
from x
_ sq.
attached sheets x aq,
Rascribe openinQa - -.furl-- x sq.
€a saof "U" eq.
00TAL,(U) (A) VALUES
4iiiTIMM BY TOTAL ROOF/
03MMG ALtT>A
1? C.
/-70`0
ft.• '
ft. 1-7---7
¦
ft.
ft.TOTALS '72- sq. ft',
ft. 11 -g ¦ 50.3 G
ft. ¦
G
ft. ¦ G
ft. 4
ft.
TOTALS / / 70 sq. ft. r
?k•
`ATEAGE IV, .05 for ventialatod roofs
.10 for all other construction
.I2QDP?€BILIRG: R- value ?MML
.Y
k
S
1
Y
4
1. O t (7
2. ;p" tN?V?AtS{1.,e.t 1?.do
3a
4. It t? tta t? hl
172 3
TION FRA14ING: R- value
10 A R ! 7
2. 5 t.i4a _ , t l
3. i '-. ,1J 4? La'11='s P1 C. . C? ( .
4. 3?' ;?1????]q i? .l 11• oc?
If average "U" values as calculated above do not uset the Energy code regnlreneatoo
the "Alternate Envelops Dooign" as outlined in SBC 6006 (g) may be used. Additiowl
cheoto may be used to show calculations.
,i
,I
BUILDING PERMIT APPLICATION
DATE '7- / 8 ° 7 6
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
To be used for c5?` ?Jccyq ?2 .
S't Addr ss
Valuation r b0/J d
i e e n /
Lot Block Sec. Sub. Parcel Number
?y?c(?e rw
Owner
Address
ti6 U
Contracto
Address a i
G
Telephone
?Ia-4-11 -O 2 c7°'k
Arch./Eng.
Address
Erect V
Alter
Repair
Enlarge
Move
Demolish
Grade
OFFICE USE
Occupancy /
Zoning -10
Fire Zone 3
Type of Const. V
$ of Stories
Front CDC
Depth P6
OFFICE USE
Date o/fJ Approval & Initial
Assessment //- ?• /??75
Water/Sewer
Police
Fire
Eng.
Planner
Council
Bldg. Off.
A.P.C.
FEES
J
Permit / / S
Surcharge O
Plan Check
SAC jOd
Water Conn. 6Z6-0
67ater Meter J?'0
TOTAL
Telephone/,-) 9 c13 -,9,G0 /
Telephone
I
I o?
N
- kap?e ry
LINE
?,?E/?i2.. OQooE.eTY Lw
Vr
S +a
Y
J
?I
I
UNE?
2 <°
CllYl.k__
?,?,-n ?,?. 5 SI a 3
LoT Sao Block
or.?r_?RoaFrzrY _LiNE 0
PLOT -4 LAN
ti
I
Address: -
.
No..
to comply with the City of Eagan
CITY OF EAGAN
3195 Pilot Knob Road
Eagan, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
WATER SERVICE PERMIT
PERMIT NO.:
DATE: _
- No. of Units:
Connection Chars
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges. _
Total:
Date Paid:
SEWER SEI
PERMIT NO.:
DATE:
No. of Units:
W B 1n/jz;nn 1',177
LQa.ou Pa
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:
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodeVReoair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas - 2 -copies of plan _ Cart of Survey Recd
(20% r imum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Reod
2 copies of plan showing beam &window sizes; poured found design, etc. ?j 1 site survey for additions & decks -Tree Pres Not Reqd
l set of Energy Calculations ? "Addition - indicate ifonsite septic system _ Onsite Septic System
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 05 1,08 /=--- Construction Cost Yl ?(vOD. ?
Site Address 444 Z 3 7) UA&DJ 11A1 /-.'t/ Unit/Ste #
n/ A/ 5-3
Description of Work AbuLU 17ly C)e c'_K
Multi-Family Bldg - Y _ N Fireplace(s) 0 - 1 - 2
- WOC1L ??51-g?a
Property Owner SaVAAIAI - ,SO,~i /A{ Telephone # (Q,5'j )
Contractor
Address City
State Zip Telephone # ( )
? 7 n' OD
Cz&U r51A(,?3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 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
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
on
I hereby apply for a Residential Building Permit and acknowledge that the info L
that the work will be in conformance with the ordinances and codes of the Ci f Ea a e of MN
Statutes; I understand this is not a permit, but only an application for a permit, worms 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.
S 0 A,VA)t 5OEaAi
Applicant's Printed Name
Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex 16 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-1 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
k 34 Replacem ent
l
Valuation ,0
Census Code jwl
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const y4z
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Int Improvement ? 38 Demolish (Interior) ? 44 Siding
Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy ,MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
- Framing
Fireplace _ R.I. -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
Windows (new/replacement)
Retaining Wall
Approved By?
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
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MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
Please complete for. Single Family Dwellings
Townhomcs and Condos when permits are required for each unit
q
Date 2
D5
n r
?
Site Address 1 a I J LJl&n ro i `1 ? Unit#
_
Property Owner Soyeanna Socu_n r
Telephone#(l(J?.l?) l.()??? O 01 1'
Contractor 0, 1 QVVj Aw
*?Strect Address l O
X (i1 5L City
t
l
I? Zi r) Telephone # ((J%6'?g) y5-/gao
p
State
I U 1 t
The Applicant is Owner Contractor Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
_ furnace replacement
_ air exchanger R
air conditioner OFF
0 2003
P
other
LJ
wore A c A
State Surcharge $ .511
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the wort, x ill
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that 1 understand this is nol a
permit, but only an application for a permit, and work is not to start without a rmit; that the work will be in ccordance wish die
appro plan in the case of work hick requires a review and approval of plan
J IyY I?Cnn,,
Applicant's Prin d Name Applicant's Sig ure
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable; Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is Owner Contractor Other
Work Type
- New construction Underground Tank -Install -Remove
- Interior Improvement Call for inspection during installation/removal of tank
Processed Piping
Nature of Work:
Permit Fee 550.50 Minimum Fee (includes State Surcharge)
Contract Value $ _ x 1% Permit Fee
• If permit fee is $1,000 or less, add $.50
If permit fee is over $1.000, add $.50 per a $ State Surcharge
$1,000 Permit Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector Date:
RESIDENTIAL BUILDING
Permit Application
I--? City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
v4,ri-I
New Construction Requirements RemodeVReoair Requirements Office Use Only
3 registered site surveys showing sq. ft of lot sq. ft. of house; and all roofed areas 2 copies of plan _ Can of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pres Not Reqd
1 set of Energy Calculations Addition - indicate if on-site septic system _ On-site Septic System
3 copies of Tree Preservation Plan it lot platted after 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date 61 / 2S / 0? Construction Cost qe'7
Site Address may- Q ? z 0 c, n (hJ : v G /V Unit/Ste #
Description of Work r d .t
Multi-Family Bldg _ Y XN Fireplace(s) _ 0 _ 1 _ 2
Property Owner So 044 wV?a / SD tote Aii g 5 ec. w l ekoyn4 _ Telephone # (dU ?s ft? - T I ;; `-f
Contractor ^s
Address 38Yo W ?w7 a
Qorr?ty lie
City
State /w( /) Zip 53?-,7_ Telephone # (4!:Z) $r cy ??te
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Category 1
Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
_ Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone #(
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 without a
permit; that the work will be in accordance with the approved plan in the case work which requires a review and
approval of plans.
III ?kc_
Applicant's Printed Name Applican 's 1gnature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 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) - 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 _ 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
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
4 GI RESIDENTIAL
l BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauhementa
• 3 registered site surveys showing sq. n. of lot, sq. fl. of house; and @s 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 711/93
. Rim Joist Detail Options selection sheet (biogs with 3 or less units)
DATE
0
SITE ADDRESS 73 Z)UA1X00A1 /-A) MULTI-FAMILY BLDG _Y
TYPE OF
APPLICANT
_N
FIREPLACE(S) _ 0 _?P_ 2
STREETADDRESS [1273 ?uytyy1A) I-n/ CITY 54"&l STATE P)n/LP
TELEPHONE 41651')'690- OIA CELL PHONE # L/ )208 --V27& FAX #
PROPERTY OWNER S0)1f}AJA1A- SOEVAI TELEPHONE #
COMPLETE THIS SECTION FOR %•NEW11 RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted n e/6
• Energy Envelope Calculations Submitted II T,
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
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 Ordl nces.
Signature of Applicant ??OY
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
Remodetgleoair Reauirements
• 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
qq )
VALUATION 000-
cal APR 2 9 20?
Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated M02
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 - Mufti
? 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 & 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 , 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
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE: BUILDING
Permit Number: 0 3 2 9 6 0
Date Issued: 0 8 / 19 / 9 8
SITE ADDRESS:
P.I.N.: 10-84355-200-04
PERMIT
4273 DUNROVIN LANE
LOT: 20 BLOCK: 4
WILDERNESS RUN 6TH
DESCRIPTION: REROOF/STORM
Bu,LidirVg,Permit Type
B,kiiilding Work Type
Lensus Code 43
a=lb
Vbf C.? R _&fv.. Pw.
Y ?} u n.
DAMAGE
STORM DAMAGE
REPAIR
ALT. RESIDENTIAL
REMARKS:
FEE SUMMARY:
CONTRACTOR:
TkZTOK - app1CHARLES
4273 DUNROVIN LANE
EAGAN MN 55123
(651)452-1045
I hereby acknowledge that S have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
L-
APPLICANT/PERMITEE SIGNATURE
application and state that the
with all applicable State of Mn.
ISSUED BY. SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF RAGAN
3830 PILOT KNOB RD - 55122
6814675
New Construction Requirements Remodel/Repair Requirements 9 ? 3 registered site surveys • 2 copies of plan l `7 -
? 2 copies of plans (Include beam & window saes; poured fnd. design; etc.) • 2 site surveys (exterior additions &decks)
? 1 energy calculations • 1 energy calculations for heated additions
? 3 copies of tree preservation plan if kit platted after 7/1/93
required: _Yes _ No
DATE: CONSTRUCTION COST; (,g- <
nn l' --? [GEto
DESCRIP ON OF WORK:% 6-7 A)
STREET ADDRESS: °? 3 ` ) 120 e/j kA
LOT: 1?5k BLOCK: SUBDJP.I.D. #: /t?DC.efr>?5 S f4eGf A) L4 2
PROPERTY
OWNER
Name: l? r 'zz/ Q /? / S Phone #:
Last Fiat
Street
city
7 ? ? ?n/.?o ?i ? rC ,s?/?
,4?? 6 4-N
State: /V A) Zip:
Company: Phone #:
CONTRACTOR
Street
City
License #
State:
Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Street Address:
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Penalty applies when address Chang
I hereby acknowledge that I have read this application and state that the information is correct and agree ply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant 36 OFFICE USE ONLY
Certificates of Survey Received _ Yes
No
Tree Preservation Plan Received Yes - No - Not
Registration #: _
State: Zip:
I
red-' ?I
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual) _
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
DATE 3 - ? O -"J
BUILDING PERMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
To be used for
9
Site Address-.
Valuation e S) CIOC'
?2?!1
/e 8s/ass i 90 os
Lot Block Sec. Sub. Parcel Number
Owner "a 'LE Q L? C v Telephone
Addres
Ci'1j LeE?n .
bfe/or»^urC ? 5S''31
Contractor ?r? Telephone rG C/' If - SSO /
Address G><47_ kLML-t./L' VLt'Z NL-Y?4
?t.^/ ct0 S?Zn. S5// 7`
Arch./Eng.
Address
Telephone
OFFICE USE
Erect l?
Alter
Repair
Enlarge
Move
Demolish
Grade
OFFICE USE
Date of Approval & Initial
I
Assessment
Water/Sewer
Police
Fire
Eng.
Planner
Council
Bldg. Off.
A.P.C.
Occupancy /
Zoning X/
Fire Zone
Type of Const.
# of Stories
Front n S
Depth 13Z `l
FEES
Permit 1 ?`1
Surcharge o2r'?_ '?
Plan Check
SAC J?00. Ob
Water Conn. ?.10•00
Water Meter LID .60
TOTAL y 7 tf 5 ?
I.
I?
1
4
/o
1
.P rv
L lNE
CI
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ll? /tI J
lD ?
I
LINE'
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of I
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1
?OnIT.,?ROi?FfZTY _LI.NE
PLOT -4 L NN
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116310
Date Issued:10/07/2013
Permit Category:ePermit
Site Address: 4273 Dunrovin Lane
Lot:020 Block: 004 Addition: Wilderness Run 6th
PID:10-84355-04-200
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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.
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 -
Sovanna Soeun
4273 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
For Office Use
, . % : ,#r :::
Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)875-5675 I TDD:(851)454-8535 I FAX:(851)875-5684 gam:
buildintansoectionsecitvofeagartoorn
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:2/4/19 site Address: 4273 Dunrovin LN unit#
, Sovanna Soeun 952-649-9983
Name: Phone:
4273 Dunrovin LN, Eagan 55123
AMIlrakere Address/City 1 Zip:
Applicant is: Owner t✓ Contractor
Description of : Replace existing overhead garage door on attached garage,
�' 1500.00
Construction Cost: Multi-Family Building:(Yes /No V )
any:AA Garage Door LLC Contact: Dave Sands
- Y y`P k
lAne
Address: 562 Lundy Lane City: Hudson
WI 54016 651-702-1420 lave sa era edoor.com
State: Zip: Phone: Email: 9 9
" NAT-671 642
Ucense fi: Lead Certificate#:
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&Water Contractor Phone:
Fire Suppression Contractor Phone:
_ te- x
.., x
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www,citvofeadamcointsubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(851)4544002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecalLgrq
1 hereby acknowledge that this Information Is complete and accurate;that the work will be hi conformance with the ordinances and codes of the City at
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 a of plans.
Deborah Nyasende x i91111 ' 4 ' ,
Appiicanrs Printed Name Applicant's Signature