4294 Dunrovin LanePERMIT
City of Eagan Permit Type:Building
Permit Number:EA112311
Date Issued:08/07/2013
Permit Category:ePermit
Site Address: 4294 Dunrovin Lane
Lot:023 Block: 005 Addition: Wilderness Run 6th
PID:10-84355-05-230
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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.
Window or Door:REPLACE FRONT PRE HUNG DOOR
Perry Firkus
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
David W Plumb
4294 Dunrovin Lane
Eagan MN 55123
(651) 688-8126
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN Remarks
Addition WILDERNESS RUN 6TH ADDITION Lot 23 Rik 5 Parcel 10 84355 230 05
Owner LcL/ =} L '? ?? Street 4294 Dunrovin Lane State Ragan, Minnesota 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
_nzj 1973 161.21 8.04 20 112.85 A006154 6/19/78
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1977 162.14 6.844 -9fr 15 140.54 A006154 6/19/78
STORM SEW TRK c3 2.7 68 5 387.52 A006154 6/19/78
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 250.00 9369 3-16-78
BUILDING PER. #4702
SAC 500.00 9369 3-16-78
PARK
` CITY OF EAGAN
3795 Pilot Knob Rood Eogon, MN 55122 N2 4702
PHONE: 454-8100
BUILDING PERMIT = "+ 'j' ' • Receipt #
,
'
To be used for Est. Value Date 19
Site Address D I III r.Qu i rt Erect p Occupancy 1
Lot Block Sec/Sub. L 6 i- '+ Alter ? Zoning ?
Parcel ## Repair ? Fire Zone !
Enl
r T
e of Const
a
ge ? yp
.
Name S ri Move
?
## Stories
W
3 Address it `"- !)Urruvl .tl L Demolish ? Front ?0; ft.
r... F.avait oc.,__ Bus Grade ? Depth / ft.
W Name Ti 1 sen Hnmeso Inc.
o< Address 4195 ',ri Assessment -
ie :.a&an Water & Sew.
Phone
city
uw Police
W Name Fire
t?
-1
1 Address Eng.
aW City Phone Planner
i
d
t
th
t
li
h
k
d
I
h Council
on an
a
cat
s
ate
nowle
ge that
have read t
is app
ereby ac Bldg. Off.
the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. APC
Signature of Permittee
,ctt '?oine?.
A Building Permit is issued to:
all work shall be done in accordance with all applicable State of Minr
Inc,
Permit
Surcharge
Plan check
SAC
Water Conn. -,150.00
Water Meter - 6(1.L20
Total
on the express condition that
Statutes and City of Eagan Ordinances.
Building Official
remit # Dale lssaed Panittee
Plumbing jl _.7 7-
_Mechanical 1/ SG -co --
INSPECTIONS DATE INSP. Rough In Final
Footings ' Date Insp. Date Insp.
Foundation _ Plumbing
Frame/ins. Mechanical '
Final
I
Remarks:
INSPECTION RECORD
1TY OF EAGAN PERMIT TYPE:
830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 ` Date Issued:
(612) 681-4675
SITE ADDRESS' n _ ` 1®•-" .]t"' ."?""0" . y
tUI : .1.3 HirK
olINROVIN tANK
Wit Of PK k,'?; NON 6TH
APPLICANT:
VAI I FY PF "O(II: IA"a
(612) 43'#:'--1f149
PERMIT SUBTYPE:
F0(1 T 114 fal
TYPE OF WORK:
F THAI
RF MARKSe Pt AH I:tVII;Wt f) AY MIKU SAR'k
Permit No. Permit Holder Date Telephone R
ELECTRIC
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
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: Or, r' 1 4 106 '
(612) 681-4675
10
SITE ADDRESS: ` I
11 f - ? APPLICANT: 1. 01 1 H I- W t. '.1 111INI(OVIN 1 ANI IN`•i , Df NN Vi
I I I ?II It IVl I, IIH (;T-"
(r, 1 . ) 1 56fif+
PERMIT SUBTYPE:
1'r. I 6'iI ;1 i I 1151 I'.H
TYPE OF WORK:
A1. 1U-RAT 1 (IN
1 1. 1 1 1110 ( HA111RO(IM )
INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR.
It,{IIF,1? 1 W 1' f ISti 1 1 ?f41
RE`NARF'I:: A SUPARA11. PERM 11 )!?, Pf.u111K1!-U FOR ANY 1,1limfii•NA OR FIVIr:TRICA1 I-IONt
Permit No. Permit Holder ate Telephone x
ELECTRI C f o?
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
? rJ 9 ? ^
?J
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL A-ZG/Q6
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG _;
FINAL HTG 11 /'
ORSAT
TEST
BLDG FINAL
O 70
BSMT R.I:
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ` I N r APPLICANT:
?I l : ,• ? Is 1.tlrk
i1 . 't 1111NWIV IN I ANI :; I• t 014"1 IN,
1411 (11 10"1 "•• kIIN 61H ... I .' 1 4:• i- /030 ?
PERMIT SUBTYPE:
Ia , •
POOF T Nti
IF
TYPE OF WORK:
RPPAIF4
(RO(Ir1146)
Permit No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
?J
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY or eAGAN WATER SERVICE PERMIT
379: Pilot Knob Read PERMIT NO.:
Ragan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
'Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
agree to Comply With the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.:
nsp.:
CITY OF EAGANI
3795 Pilot Knob Read
Eagan, MN 55122
Zoning:
Owner:
Address: _
Site Address:
Plumber:
n P
1 agree to comply with the City of Eagan Connection Charge: 11.1 Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Dote of Insp.: Total:
Insp.: Date Paid:
SEWER SERVICE PERMIT
PERMIT NO.: _
DATE:
No. of Units:
CITY OF EAGAN
3795 Pilot Knob Road Pagan, MN 55122 N2 4792
' PHONE: 454.8100 9369
BUILDING PERMIT APPLICATION $45,000. Receipt #
To be used for SF Dwlg. & Garg. Est. Value Date Mar. 16, 1978
Site Address 4,294 Njnrnvin Erect [S Occupancy
Lot 23 Block 5 Sec/Sub. WR 6th Alter ? Zoning iil 3
parcel .# Repair ? Fire Zone V
W Name Randall F. Nritten
Address 4294 Dunrovin Ln -
° Eaean Bus x 2
o Nome Tilsen Homes, Inc
0 Address 4395 Svenks In
r r:... Eagan ar - 454-4784
Name _
Address
Phone
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
Tilsen Homes,
A Building Permit is issued o:
all work shall be done i accordance witbKall app' ble State of ^Ainr
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? -Front 577 ft.
Grade ? Depth 43 ft.
Annravals Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bidg. Off.
APC
Permit - 0 -
Surcharge
Plan check 00.00
SAC
Water Conn. -250.00
Water Meter -60T00
Total 960.5-
Inc. on the express condition that
sota Statutes and City of Eagan Ordinances.
Building Official
.3 '? 4
2 7
US ONLY This request void IS months from validation dare punted is box C
OFFIC
PLEASE PRINT OR TYPE
Request Dale Rough-in inspenion n 2 Yes No Inspection Other Than Rough-in Q Ready Nov,-mill Call
M
.4 r 116 1 )Poo most mil the mspemoc w n ready) Dofe Ready.
I, ? licensed contractor owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Rule Not Gry Zip Code
4zy P611VP0V1,A1 4.
6 )Y EA 4
Sechon No. Township Name or No t
Range No. Fine No. County
IAAK07
Occupant Phone No
Power Supplier Address
EleCnml Contractor (Company Name) Contractor License No Master he No (Plant Elect Only)
Mailing Address (Contmcar or Owner Performing Installation)
Aulh 5r C Phone No
2 .20
ES-00001A-10 6195 STATE BOARD COPY-SEE INSTRUCTIONS ON BACK OF YELLOWCOPY
II III I II I tl REQUEST FOR ELECTRICAL INSPECTION ?V
Minnesota State Board of Electricity 1821 * Phone Univers642ity mzet Paul, MN 55104 Home Duplex Apt. Bldg. Olh I'?t4 1 New Addn
Coercial Industrial Form Remod Repair
Ai"F
nd.
Htg. Equip.
Water Htr.
Load Mgmt.
Other.
Dryer Range Elec. Heat Rem . Service
"x' above the work covered 6y this request. Enter remarks in this space and on the back of the white copy only
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee:
Other Fee # Service Entrance Sae Fee # Cirouits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg./TraHic Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECTOR'S USE ONLY TOT Ly,t
Sign/Outline Ltg. Xfmr ed
Alarm/Remote Control
Swimming Pool I hemb rem Thar I inspected the elednml . cubed herein on he dabs sh,
ted
Irrigation Boom Rough-In Dot!
Special Inspection b
Investigative Fee Fmol e!Q
HL7 Darc?
THIS INSTALLATION MAY BE ORDERE15 DISCONNECTED IF NOT COMPLETED WITHIN 78 MONTHS.
bSI &O
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
/5 s°
Date d 1,51 O
.?? 7y
Site Street Address ?,pp
l u 1V M2s? oyly
Unit #
^'??
? lc. 7"
Property Owner ILJn "417 4 Telephone # V/ )AW-91-21,
n
Contractor Y' F'?c.9.QL?(9? td2Aj
Telephone# (?5(k Lea°/3?0
Address k3l,920 N%A & 9&1 city 2 State fi4/7. Zips ltd
The Applicant is: _ Owner 1!Contractor -Other
Alterations to existing dwelling $ 50.00
-Add fixtures to rooms, excludi ng water softener and water heater
-Septic System Abandonment
-Water Turnaround (add $121. 00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_
replacement _ additional
Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00
State Surcharge $ .50
$ d
Total
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Applicant's
A06 1 1 Lb04
L4T g:: u >4tzt"O- ?
Applicant's Signature
?15,5 ?
5915th
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
4 113. -7
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 Pros Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd
1 set of Energy Calculations Addition - indicate ifonaife septic system _ On-site 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 J / 7
Site Address 03 \ Construction Cost 5 (pJ$O
1&yijrp11ioy-n Lane, Unit/Ste#
Description of Work Rt? ?/ W0dL 1 Nw_S-?Y ?
Multi-Family Bldg _ Y Fireplace(s) - 0
)( N - 1 - 2
Property Owner N V L `` 1 ff
__PLU rT b Telephone # ((pb-l b$? - $1 @Y(
Contractor ?T n kA-UV ?JL
?a i 14V-5
Address -1
State 1,.A lJ
m 1 W J
f\G_aU 1?We< S•
Zip 55 4 ab
l ?1
City PlD FY1l V1
Telephone # (Q5;L) w Ll 1,g 1 b I
l la- aal -??103
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
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
O'
I hereby apply for a Residential Building Permit and acknowledge that the infomlation 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 of work which requires a review and
app oval of plans.
t ?_ k?-?Lt` L?nh ?iv?-?ia?t?t-Q-FFi'ce., Mana?e.?
Applicant's P ted Name Applicant's Signature
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 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 (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor _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
-14 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 LL B 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 =- , 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
Z,, to DLQ r L.
4t RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauhrements
• 3 registered site surveys showing sq. ft. of lot, sq. R of house; and All roofed areas
(20% maodmum 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 it lot platted after 711193
• Rim Joist Detail Options selection sheet (bklgs with 3 or less units)
DATE Ls t 2 ?1?4`?
RemodegReoeir Reauiremerds Mor . -7?
• 2copies of plan 11
• 1 set of Energy Calculations for heated additions
• 1 site survey for exlerlor additions & decks
• Indicate d home served by septic system for additions
t 60
loa
VALUATION
SITE ADDRESS 4 2 y V ^' (Z o U } zJ (? 1J MULTI-FAMILY BLDG -Y A-N
TYPE OF WORK R E P, F\00 X r7tS SC FIREPLACE(S) _ 0 Z 1 _ 2
APPLICANT Qt1wE t ?UA? t o c?? ?D N CF A V?l?
STREET ADDRESS NL _c,UA--' kV S? CITYbaLWv'iu-sz STATE r?MLP 5533
TELEPHONE # aCsy- b2 --leR 5-1 CELL PHONE # FAX # Q 21--!M-
PROPERTY ?
PROPERTY OWNER ?AV? L SIASA w1 PLU P"b TELEPHONE# (o5(- 030
S
COMPLETE THIS SECTION FOR eeNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNFS 1? 2?
(?l submission type) • Residential Ventilation Category 1 Worksheet Submitted • New En d et u
• Energy Envelope Calculations Submitted fFUN 2 6 2002
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 Ordinances. ?\ \? C
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
Phone #
Water Softener _ Lawn Sprinkler
Water Heater _ No. of R.I. Baths
No. of Baths
Updated 4/02
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. Aft - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl
? 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 Bkigs 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 _ 14VAC
_ Drain Tile Other
Roof _ lee & 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
7a-77C(
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
30.5
Date 15 (0) (1?
Site Address °`--/ "/ ?-{ r0 Yi h h •
Unit #
Property Owner D/d ,vi/it 7" r ?llyl ] Il?? t lt/ Telephone #
Contractor dwz_
8
Street Address ?W 10 City
State Zip Telephonnee?#
Bond #: -/()'1?//I [--A- Expires: [
0'WiK/ /J?/L
)?-
The Applicant is Owner Contractor Other
Add-on or alteration to existing dwelling unit
furnace -Additional replacement _ New $ 30.00
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
Total $ ? A
1 hereby apply for a Residential 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
app v plan in the case of work which requires a review and approval of plans.
/ ? T 1 I I ? ?/ m e n n
Applicant's Prihtea Name Wikant's Siigna
L Q? J BL CITY USE ONLY RECEIPT#: 56/6
.'S 1
SUBD. tom/ CPS DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH TOIAL
Shower 3.00 x 3 00
Water Closet 3.00 x O C)
Bath Tub 3.00 x =
Lavatory 3.00 x ?_ = 0
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum -1 3.00 x =
Rough Openings 1.50 x
Water Softener 6.U0 x =
Private Disposal * Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing 20.00 = 0 0
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
oW. S0
SITE ADDRESS:-! °-7
OWNER
INSTALLER NAME
STREET
V l2. N
c r?
L? m
Q1U.m?;-,9tl-?- .,N' r
z O So ?v
CITY: L°, k v 11 STATE: VN N ZIP: S U
PHONE #: ((, (Z) g? 2 1
!-. c SIGNATURE OFI'LIKI? 1°T z
,i
g/ 11`1 fl?/y
OFFICE USE ONLY
L BL
SUBD.
RECEIPT #:
DATE
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: w all commercialAndustrial buildings.
0 multi-family buildings when separate permits are = required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: - NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES _ NO.
IF Sv, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of ReOnjt fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
SIGNATURE:
OFFICE USE ONLY
METER SIZE: 11 DATE:
STATE: ZIP:
APPLICANT
_ INSPECTOR:
>"(4,f. AA, ,:'h'4:S?Yr.'YF :M>;:YFn;•k•1Rf,:>}.M???F>ks}.n::. YF.Y+?;n r:k>b':?:>'(k
CITY O E.61r&
CASHIER.,; J5 11POINN. N02 781
fb::
NrME,: U00.1 FY REMODI.-i".1-INC,
22AD 9001 4294 DUHROWN, 1_ 51.).00
21`i5 9001 4294 1:UPROUIN 1... 0.:50
1=7 Receipt Anmig&u 5R. 50
LEER TDe jAN
dif Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT '.
;PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
031930
05/11/98
SITE ADDRESS:
4294 DUNROVIN LANE
LOT: 23 BLOCK: 5
WILDERNESS RUN 6TH
P.I.N.: 10-84355-230-05
DESCRIPTION:
4::,C0tfvu-0,.
w z'y,?`t
n?.
i,lrs.?: ? Ica
REMARKS:
PLAN REVIEWED BY MIKE BARCK.
FEE SUMMARY:
°wv:t 410 ;+x?'9r ^srn???
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. LIC OWNER:
V*PLE AAA LLEY REMODELING 14323849 6180 PLUMB DAVID
34 HALLMARK OR 4294 DUNROVIN LANE
VALLEY MN 55124 EAGAN MN
(612) 432-3849 (612)688-8126
at x s*, sre i x? F :?, m ??- '.aG ?rx ?? a? g r?3r s h?ES"t s i?
h`eX x acknowIedge ttY?tw? ha?i-?r* '&?`? v APP e g? ? ?? a , 1
141j' S sn 3e et?rr ct ahd[.`tRa9 ? ?' p? y t ? i9: t F ? f ?r k ey o
APPLICAN E MITE GNATURE ISS EDBY: IGN R
ermit Type DECK
;r Type NEW
434 ALT. RESIDENTIAL
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF KAGAN 1
3830 Pn OT KNOB RD - 65122 51-5 6:; i7 d
681-4675
New Construction Requirements
? 3 registered site surveys
? 2 copies of plans (Include beam & window saes; poured fnd, design; etc.)
• 1 energy calculations
? 3 copies of tree preservation plan If lot platted after 7/1/93
required: _ Yes _ No
DATE: !5-11-117 0
DESCRIPTION OF WORK:
Remodet/Reoair Requirements
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST;
Ci7FJ-V tO?O
STREET ADDRESS: ?CroZ.?
LOT: BLOCK: ?V ?1 Ir'1v I
SUBD./P.I.D. #: Vt /,", 0
l-??.r GCC.!/vrt
Name: P(yVL- 1)dl V t CL Phone #:
PROPERTY Last First
OWNER T J
Street Address: T_ 1 ) l7 VI ID l/ l I? L Gl r
n
vN
6
?
Cit
State: 11
Zip:
.-
1
y _
I It.
A ??
Company: \ CI "L Phone #:
J T
CONTRACTOR
r 3/3/?9q
b g?
' t
l
???
Street Address: . r License #
o
?
/3??
City ( State: Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
City State: Zip:
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 info on is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. ti
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received - Yes - No - Not Required
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
V- 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
115 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SAN Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System i
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. 4 3 N
SAC Code y
Census Bldg I
Census Unit ?2
A,k? Engineering
Valuation: $
% SAC
SAC Units
1
'v
r,P_E,9,- Okooew rT' Lw4
s 3a,? ` ?, S
l i
/ Y/
'I=e rv
LINE
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=-
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LOT ,2 3 SLOG K ^ „
?aNT' r?RUi?FfZTI? .LI_Nt O
.DT ?4 LAN
Live
i
rt.
-c4po 0.xl?
DATE (J. lQ 1?717
d
61
BUILDING PERMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
To be used for Valuation 0C) C)
Site Address;
Lot Block Sec. Sub. Parcel Number
Owner 4"d aid z f C U?/?
Address !!7!1- ?f)
Cf_ ? it r LYE
Contractor u 4'/AD-E4v 9?[D Y? t?? OI?U
Address -213q,5- k9(6"zap
Y] __
e'a-g ') l ?JL V
Arch./Eng.
Address
Telephone fig 557/ Fi•o25?
Telephone
Telephone
OFFICE USE
Erect
Alter
Repair
Enlarge
Move
Demolish
Grade
OFFICE USE
Occupancy
Zoning A f
Fire Zone .3
Type of Const. //
# of Stories ?
Front 'V3
Depth
Date of Approval & Initial FEES
Assessment Permit
Water/Sewer Surcharge ?-°-
Police Plan Check
Fire SAC ADO
Eng. Water Conn. f?? co
Planner Water Meter /s0
Council
Bldg. Off. i 1
A.P.C. TOTAL CJ
Iq u v.
r
s7
M
/ I/ /
IV)
LiPE,e rv
i
Al4jdl
ssiz3
LOT a 3 BLOC K ED
ry
UNE?
I
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yoovZ--f -
rRONT ?AC) PFfLTY - L I_N E
I
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1- LOT -4 LAN
PERMIT ego s& (P0
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55122-1897 Permit Number: 027515
(612) 681-4675 Date Issued: 05/14/96
SITE ADDRESS:
4294 DUNROVIN LANE
LOT: 23 BLOCK: 5
WILDERNESS RUN 6TH
P.I.N.: 10-84355-230-05
DESCRIPTION:
(BATHROOM)
?uilding..,Permit Type BASEMENT FINISH
/Building aork Type ALTERATION
' Ce;rtisu"s Cti°d=e' 434 ALT. RESIDENTIAL
r"
t t t Z,i y„ _
s ?.i
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $50.00 COPY $.50
Surcharge $.50 Total Fee $51.00
Subtotal $50.50
CONTRACTOR: - Applicant - ST. LIC.OWNER:
DAHMES CONST, DENNIS 14355585 2003441 PLUMB DAVE
17590 JUNELLE PATH 4294 DUNROVIN LN
LAKEVILLE MN 55044 EAGAN MN
(612) 435-5585 (612)688-8126
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 Min.
Statutes and,City o.f Eagan 0`r4inanc°es. °°,
APPLICANT/PERMITEE SIGNATURE
N41 R IJ I
ED : ATUR
CITY OF EAUAN
3830 PILOT KNOB RD - 55122 ,{ t
1996 BUILDING NG PERMIT APPLICATION (RESIDENTIAL) ?J I, 00
681-4675
14,60
/Reoair Recuiremen
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 7 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan 9 let platted after 717/93
required: _ Yes _ No
DATE: MAY 'It 161-16
CONSTRUCTION COST:
X DESCRIPTION OF WORK: Virj%SA F.?q.semic"T Lcve? 9"142 &-'
STREET ADDRESS: sAi. e: A% ?"P aw%jeo?
LOT ?A-j BLOCK J SUBD./P.I.D. #: IA[d ld
Company: Dewu a DIA4.e%,' Phone #:
??-$12b
PROPERTY Name: bAvE P"A" Phone #:
OWNER Fl.r.
Street Address Lo
City: EAOwa State: MN Zip:
CONTRACTOR
ARCHITECT/
ENGINEER
Street Address: t"? s5o
City: WV-a ul'L'F-
Company:
Name:
l NCLl'; Pr4rw
A% AS SS
License #: `9 03
9
?s
State: ^^ N Zip:
Phone
Registration #'
Street Address,
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
State:
Zip:
Penalty applies when address change and Ic•.
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 Applicant: NED)
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received - Yes - No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 6 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Re ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex o 15 Deck
WORK TYPE
o 31 New 3?-Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
.570
Valuation: $
913 y
D/
% SAC
SAC Units
CITY OF EAGAN
CASHIER:: S TERMINAL NO 09
DATE. 08/19/96 TIME-
NAME Re22
TD-
c Lora J DARK
:210 9001 4294 DUNROVIN L 74.75
2155 9001 4294 DUNROVIN L 1.50
Total. Receipt Amount,-, 76.25
CR[: 63001
USER 1% NANCY
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE: BUILDING
Permit Number: 0 2 8 5 8 3
Date Issued: 08/19/96
SITE ADDRESS:
4294 OUNROVIN LANE
LOT: 23 BLOCK: 5
WILDERNESS RUN 6TH
P.I.N.: 10-84355-230-05
DESCRIPTION:
(ROOFING)
.0uilding?Permit Type
/Building Work Type
4-? Census Cade " ,
i
,a
J
3 ?
R
I
Base Fee
Surcharge
Total Fee
fJf? f _
Lt -? >? ki. Jrl.?
i r '-
REMARKS:
FEE SUMMARY:
VALUATION
$74.75
$1.50
$76.25
SF (MISC.)
REPAIR
434 ALT. RESIDENTIAL
$3,000
CONTRACTOR: - Applicant - ST. LIC.OWNER :
BARR CONST INC 14237030 2006368 PLUMB DAVE
500 GUN.CLUB RD 4294 DUNROVIN LN
ROSEMOUNT MN 55068 EAGAN MN 55123
(612) 423-7030 (612)376-2220
L_
I hereby acknowledge that I have read this application and state that the
information is correct and agre-e to comply with,all.,applicable State of Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE SUED 31. SIGNATURE
I
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 196M 6 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reouirements Remodel/Repair Reavirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (Include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan If lot platted after 711193
required: _ Yes _ No
DATE: ALtC4?q 9? CONSTRUCTION COST:
DESCRIPTION OF WORK: ??lc' 6 Qe
STREET ADDRESS:
LOT S BLOCK SUBD./P.I.D.#: I/? ?? A`f)n In ?n
x'1(0- 222c?
PROPERTY Name: ?10e ?)tlfr'16 Phone #:
OWNER `iA°=
Street Address: L129L-l
City: Efl9pt.-? State: _f(V-;i zip: 5-'% 044
CONTRACTOR. Company: 6Ae? l`Ots taTf°N Phone #: 4Z
Street Address: SOO Guiv 0-k0 j e0acVicense #:`Z?OCo3?°cg$
City: Pr?OCY?G?Ar-r State: m" Zip: SSN=9
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration
Street Address,
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
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 Applicant: d?
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCMS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq ft.
Footprint sq. ft.
Building
Engineering
Valuation: $
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
% SAC
SAC Units
- ? r ? + -• .. (To be submitted mUk
an w O Easily d"lling
r
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102057
Use BLUE or BLACK Ink
I For Office Use I
O1t, n City f Ea I Permit#:
~ on Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 1 Staff:
Fax: (651) 675-5694 I I
- - - - - - - -
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2 Site Address: J 40 `-e/1f0Y111 L- ✓'7/f/1~ Unit
Name: P 06 t S rl 4-~_L-L7 7 40n,8 Phone:
RESIDENT /
OWNER Address/City/Zip:
Applicant is: Owner X Contractor
TYPE OF WORK Description of work: )qco 1-6,ggolr- ~ RE,Pcor t S16 //V& t 4CI14 G J vL
Construction Cost: Multi-Family Building: (Yes / No )
Company: IMW1v7N &14161/V& (_?&)V1 1/~4f. Contact: d4 AZ &,,RA4AI
CONTRACTOR Address _ City: 7
State: MAI. Zip: 6_'533-7 Phone:
License Lead Certificate NCI 3322 5-
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
7
x /~~l 7W !5~L_V67e_solu ~,_J
Applicant's Printed Name Applica 's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150138
Date Issued:06/21/2018
Permit Category:ePermit
Site Address: 4294 Dunrovin Lane
Lot:023 Block: 005 Addition: Wilderness Run 6th
PID:10-84355-05-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David W Plumb
4294 Dunrovin Lane
Eagan MN 55123
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
For Office Use
es 6d Permit#: tP 3 O
EAGAN'-�' '•�' Permit Fee: 42) 6
Date Received: a-d
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspectionsecitvofeagan.com -J
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Q Unit#:
Name: � L � - B Phone:
pylipeeige Address/City/Zip:
Applicant is: Owner Contractor
Description of work: Iv 1 I & ._
T�c►f�W�irk .
sko
31"I' a Construction Cost: tillej 0 00 Multi-Family Building:(Yes /No )
: � -fes 'kept rr+GE
A'�� "�TMTM Contact:
� i �'������ Company
111111056
�Co. 16601,41f;
o �, , Address: b City:
�
9,140w MState: Zip:.5:51� Phone: �.]. mail: r-etcraftwts61 )/.#41ft)
` )
License#: P , 5 �� 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:
h
-- 'AVM, ;' &Mho : to apclude fiat' e tra a st Y ,
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.citvofeaaan.com/subscribe.
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(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conform-nce with the ordinances and cedes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and wo' ;' o st- out a permit; that; e work will be in
accordance with the
eaapproved plan in the case of work which requires a review and appro - of plans
CicJ�+r!! M&- x tk_
Applicant's Printed Name Applica��'l�ature
/h153
.
4/291/ 1)0/) 12 Odd L-X"44
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation __ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 21 (9'a Occupancy VILA,, MCES System
Plan Review `/ Code Edition 1�SAC Units
(25%_100%X ) Zoning City Water
Census Code tt�` Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) f Final/No C.O.Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: it ` V ,Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review b iW f ,
MCES SAC V
City SAC _ 1/r(
Utility Connection Charge
S&W Permit&Surcharge 00
Treatment PlantVI 1 I
Radio Meter Read
I
Copies f , f
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA168154
Date Issued:04/12/2021
Permit Category:ePermit
Site Address: 4294 Dunrovin Lane
Lot:023 Block: 005 Addition: Wilderness Run 6th
PID:10-84355-05-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David W & Shelley S Plumb
4294 Dunrovin Ln
Saint Paul MN 55123--172
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168666
Date Issued:04/28/2021
Permit Category:ePermit
Site Address: 4294 Dunrovin Lane
Lot:023 Block: 005 Addition: Wilderness Run 6th
PID:10-84355-05-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David W & Shelley S Plumb
4294 Dunrovin Ln
Saint Paul MN 55123--172
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature