1295 Dunberry Cirj uITY OF EAGAN Remarks
I Addition CHES MAR 4TH ADDITION Lot 14 ? r 1 Parcel 10 17103 140 01
2 R i k
?i Owner ?+-?u? ??++d `?????-,.H?.?=?treet I295 Dunberry ?-F- State Eagan, MN 55123
C-
Improvement Date ' Amount +Annual Years Payment Receipt Date
STREET SURF.
?
STREET RESTOR.
GRADING
SAN SEW TRUNK 7 A007457 -26-79
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 163.58 A007457 2-26-79
$
STORM SEW TRK
3Z-.-
.- -21-w8 PAIfl
STORM SEW LAT 35
' ? .? 3
,
7 CQ • :S
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit Ch . 75.00 ,1 11690 9-19-78
WATER CONN. 250.00 11690 9-19-78 ?
SUILDING PER. #•. 73
s,ac 500.00 116
PARK
CITY OF EAGAN
,
3795 Pilet Knob Roed Eagen, MN Sbl?.Z N! 4973
PHONE: 454-8100 I
BUILDING PERMIT
)00. Receipt .#
11690
Ts be wed Far . t 1 r? _ d Ga ? Est. Value Date I?? ? 19
Site Address 295 Ihtnb F.
( Erect d Occuponcy T
? Lot Block ,SK/$,Y,1v,. Alter ? Zoning f'L
parcel #. " Rapair 0 Fire Zone 3 _
E
l t
T
f C
n
arge ? ype o
ons
.
Name Move p .?E Storles
W
? Address DemoHsh ? Front ft.
ri.., o?,.,... Grade ? Depth ft.
? LVLLCiJV4 LiYLa . i+pprvVom
Name
?
o? ?? p yoke 1,n Assessment-
U? ...; ? v a l 1 e,,:
~ Ci Phone Woter & Sew.
Pol ice
?W Nome Fire
?? Address Eng.
i'=" Ci Phone Planner
Council
I hereby ocknowledge that I have read this application nnd stete thot Bldp. Off. _
the informetion is mrrect and og?ee to rnmply with all appliceble APC
State of Minnesoto Statutes nnd City of Eapan Ordinances.
Signature of Permittee
A Building Permit is issued to:
oll work shall be done in occo
Building Official
Fees
Permit
Surchorge
Plen check
SAC ? 1
Water Conn. , ?(]
Woter Meter • . ? - 00
Total 1;;.`i'; . `"i0
i rtSclu -cjs, u r s, on the express condition that
all applicable Stote of Minnesoto Stotutes ond City of Eagan Ordinonces.
PennM # Date Itsved Pwa1MN
Piumbing
Mechanical a.- - ? - /l 4- tl. 4
INSPECTIONS DATE INSP• Rough-in Finol
Footings Q= Dote Irnp. e Insp.
Foundation _ Plumbing ? . Xz• : .A
Frame/ins. _ Mechanical 1
Finol f •
Remarks: I?+ ;1 -7 -7f' r w `? 10?- -8? ?
INSPECTIQN
REC4RD Controf
? No. O5? S
CITY OF EAGAN PERMIT TYPE: Nu i ? n? a"
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: a6 ? 18 ?g 1
(612) 681-4675
SITE ADDRESS: 1. p't: 14 Ht_ aCx t t APPUCANT:
` 1DUNBkRkY 11&- OSTMAM REM
C}1ES MAR 4TN j612j 462--1676
PERMIT SUBTYPE:
tif: 1; K
(+I MARKSs RECFIPT #
TYPE OF WORK:
NEW
DESCRYPTION 26 X i• i 16 X 7
I ? J
Permn No. Parmit HoIdK Dab Tehphone •
SIVV
PLUMBING
HVAC
ELECTRtC
ELECTRIC
Inspwlion Dats Insp. Commenb
FooNrige I
Foundation
Fremhlg
Roofing
Rough Plbg.
ROUgh Hlg.
Isul.
Fireplace
FnaI Htg.
Orsat Test
Fnal Pibg. Plbg. Inspector- Notify Plumbsr
Const. Meter
EngrJPlen
B1dp. Final
Deck Ftg. ?? ?
Deck Final aa'-?z Fo ;/ bG a 'v
jtv
weu
Pr. Disp.
N
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ` ? ? 14 4' `
; ii ; r ? ;,1'' •---??G??2
? Iii , ri?l -t r II
PERMIT SUBTYPE:
.1.; l
f:r?nF 1 h4 t.
?
PERMIT TYPE: t' J Ho
Permit Number: IWIP
Date Issued: " it, F.'/ `I6
? APPLICANT:
TYPE OF WORK:
r-P A I u
hF `?t 1? t I' 1 tf 1N i R0UF l Nti 1
f
Pertnit No. Permit Holder Date Telephone #
EIECTRIC
PLUMBING
HVAC
lnspection 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
BIOG FINAL - ?
iF?llZ!//! ?? rfri I
BSMT R.I. ?
i
BSMT FINAL
DECK FTG
DECK FINAL
.iTY OF EAGAN
3795 Pilot Knob Rood
Eagan, MN 55122
Zoning:
Owner;
Address: --
Sice Address:
Plumber: __ _ ..
( ogree !o comply with the Citr oF Eogan
Ordinanees.
By _
Dote of I nsp.:
Connedion Chorge:
Account DeposiY:
Permit Fee:
Surcharge:
Misc. Chorges:
Totol:
Date Paid:
3
WATER SERWICE PERMIT
cirr oF EAGAN
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 . DATE:
Z
nin
: No. of Units:
g
o
Owner:
Address: -
Site Address:
Plumber:
Meter No.: Connection Chorge: , o .,.'.
Size: -- Actount Deposit:
Reader No.: Permit Fee: L .,y
1 ogree fo oomply with the Ci4y of Eagan Surcharge: i n,..
Ordinances. Misc. Chorges: , ?..,.
Total:
B Dcte Poid:
y
fl.,se nf Incn t IttSP..
SEWER SERVICE PERMIT
PERMIT NO.:
OATE; .
No, of Unitr.
I
cirr oF eacaN
•• 3795 Pilef Kno6 Roed Eogae, MN 55122
PHONE: 454-8100
BUILDING PERMIT APPLICATION $68,000, Receipt #
Site Address _
Lor 14
Parcal # -
w Name _
z Addreu
0
Zu
V
r
N? 4973
11690
19.,e 78
Lt7J wnoerry asn ?i ? Erect Q Occupancy I
Block 1 Sec/Sub. Ches Mar 4thAlter ? Zoning RI
10 17103 140 Ol Repair ? fire Zone 3
Eni
r
e ? e of Const
V
T
g
a .
YP
Move ? # Stories -
DZ-
Demolish ? Front ft.
Phana Grade ? Depth 50 ft.
F
Name Tollefson Bldrs. Avor?ls ?s
Addrea 13816 Holyoke Ln
--- - - ---
Name _
Addrcu
I hereby ackrawledge tfwt I hove read this aDPlication and state that
the informotion is corred arya a9ree to comply with oll apDlicoble
State of MinnesoM Statutes/uhd Ciry of Ecgan 9rdiqances. _
Signature of Pertnittee L1v ??__?.?..!?
A Bullding Permit is issued to: Tpl
oll work shall be dane In accord ? ith all
Buildirg Official
Assessment
Water & Saw.
Police Permit I 6A sn
SurcFwrge I4 . nn
Plon check
Fim SAC 5nn . nn
Eng Water Conn. _250 ,IJ0
.
Planner
CAUnGiI Woter Meter 60 00
Rnad Ilni t 75 (10
Bldg
Off
.
.
APC
Toral t nti ^S 5n
on the express condition that
of Minnesota Statutes and Ciry of Eagan Ordinonces.
MECHANICAL (RESIDENTIAL)
?
Permit Application ?
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please wmplete for. Singie Family Dwellings
Townhomes and Condos when permits are required for each unit
Date // l /9 l ?2(X.J?
Site Address /a?/ J I (,J'f /berru a• E c-?av Unit
Property Owner Telephone # (?JS? ) 7 ?- / ??
Contractor (J / d
Stree[ Address ? ?Q S Z75 -`-`' S / • (X/ - City
State mN - Zip Telephone # 20?SO
The Applicant is _ Owner -L-Conhactor _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
?fumace replacement
air exchanger
air conditioner
other
State Surcharge $ .50
Total ?- ? v
I hereby apply for a Residential Mechanical Pernut and acknowledge that the ' rion is complete and aceurate; that the work will
be in onformance with the ordinances and codes of the City of Eagan with e Mechanical Codes; that I understand this is not a
ermit, t only an application for a permit, and work is not to start wi out ermit; that the w rk will be in accordance with the
app v d plan in the case ?orl wu4Fs a review and approval of
B
ApphcanYs Printed Name ApplicanYs Signature
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot ICnob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. commercial/industrial buildings
multi-family buildings when separate permits are not required for cach dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Appticant 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:
Perl[lit Fee $SOSO Minimum Fce (includes State Surcharge)
Contract Value $ x .Ol% _$ Permit Fee
• If pernut fee is $1,000 or less, add $.50 =:1 $ State Surchazge
If permit fee is over $1,000, add $.50 per
$1,000 Pemut Fee
$ Total Fee
I hereby apply for a Commercia] Mechanical Pemut and aclrnowledge 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 perrsut, and work is not to start without a pemvt; that the work will be in accordance with
the approved plan in the case of work which iequires a eeview and approval of plans.
Applicant's Printed Name
ApplicanPs Signature
RESIDENTIAL
5'? 7 BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122 ,
651-681-4675
New ConstrucNon Reauirements
• 3 registered site surveys showing sq, ft. of lot sq. ft. of house; and all roofed areas
(20 % maximum lot coverage allowed)
• 2 copies of plan showing beam 8 window saes; poured found desgn, etc.)
• i set of Energy CalcWatlons
• 3 copies of Tree Preservation Plan if lot plaQed after 711193
• Rim Joist Detail Optiore selection sheet (Mdgs wiN 3 or less unils)
DATE
SITE ADD
TYPE OF
APPLICANT
Water Sottener
_ Water Heater
_ No. of Baths
STREET ADDRESS l?a,r<'.Pd CITY -L??- STATE ZIP
TELEPHONE ? ? ?FS ? ?a g 7 CELL PHONE #67 ?(y7 v pqX # (? f1- cf ,fG
PROPERTYOWNER A ek //A y?(4?4 TELEPHONE#G)Y -------------------------------------------------------------------°---------°----
COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIYNES01'A RUL1;S 7670 CATECORY 1 MINNGSO"1'A RULI?S 7671
(J submission type) • Residential VentilaGon Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbtng Conhactor: __
Plumbing system indudes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Contractor:
_ Air Condiuoning
_ Hea[ Recovery System 0 T5? a a
$70.00
- --°-----------°------°-----------------------°--------------------------° -- - - - - - - - - - - - - - - - - -
I hereby acknowledge ihat I have read this application, state that the infor ion is cnu ee to comply
with ali applicable State of Minnesota Siatutes and City of Eagan Ordinances" '
Signature of Applicant
OFFICE USE ONLY
?ULTI-FAMIIYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
Fee: $90.00
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
RemodellReoair Reauirements
. 2 copies of plan
• 1 ut of Energy Calculations for heated additlons
• 1 sita survey for exterior addilions & decks
. Indicate if home served 6y septic system for additions
? <J
oc) (3,
VALUATION?2 e`?
CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool 0 30 Accessory Bidg
? 02 SF Dwelling ? OS 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 6ct. 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 "Demolitlon (Entire Bidg only) • Giva 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) _ FinaVC.O.
_ Footings (deck) FinaVNo 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)
_ Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
PERMIT uZO.sko97
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 T 6 9
(612) 681-4675 Date Issued: 0 6/ 0 5/ 9 6
SITE ADDRESS: Q?l flL,
1295 DUNBERRY .L-KNE
LpT: 14 BLOCK: 1
CHES MAR 4TH
P.T.N.: 10-17103-140-01
DESCRIPTION:
(ROOFING)
Buildin"y-•,Permit Type SF (MISC.)
;rBGiYding W'ork Type REPAIR
Census Code 434 ALT. RESIDEN7IHL
:r
3 -"
.._. _.... ._., . W. ?,?, .e _ 't..
REMARKS:
FEE SUMMARY:
VALUATItlN
Base Fee
Surcharge
Total Fee
$112.25
$3.00
$115.25
$6,000
CONTRACTOR: - Applicant - ST. I.xc.OWNER:
HORI20N ROOFING 18903980 2001279 OLSON DOUG
1333 LARC INDUSTRIAL BLVD 1295 DUNBERRY LN
BURNSVILLE MN 55337 EABAN MN 55123
(612) 890-3900 (612)686-0437
f
I h:ersby acknowled'ge that I have read th3s applzcation and state that the
information is correct and agree to comply with all ap:plicable`StaY's of Mn.
? Statutes and City of Eegan Ordinances: `
APPLICANT/PERMITEE SIGNATURE
hqua RN,1?
I SUED BY: 13IGN-ATURE'
J
CITY OF EAGAN //? . 7;) `Jf
lqqtq 3830 PILOT KNOB RD - 55122 CIL
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Gonstruetion Reauirements RemodeVReoair Reauirements
? 3 registerod site surveys ? 2 oopies of plan
? 2 caDies of plans (inUude beam & window saes; poured fid. design; etc.) ? $ glt@ gU1V8y9 (BXieflOf BdAlIlO(16 S d8Ck8)
? 1 energy calculetions + I ene
? 3 topies oT tree proservation plan ff lot platted after 7/1/93 ?9Y ??wlationa for healed addKions
requlred: _ Yes _ No
DATE: 5I Z 9/96 CONSTRUCTION COST: Si 37J
DESCRIPTION OF WORI
STREET ADDRESS:
LOT -IL-
BLOCK J_ SUBD./P.I.D. #:
PROPERTY Name: Z)004 Phone #: ??- U`? ?
OWNER W* Im* _
Street Address•-12Q,5 It-)(Jnn
City: <Q9CL/7 State: WI-) Zip: 3
coNritac7ort Company: /?6Ri2oq Phone #: 2'?0-35'OU
Street Address: Li'?,ense #• ?a o/a79S
City: ?- ?UePO? u i//e State: ?'? Zip; Ss 3?`7
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 infortnation is cortect and agree to comply with ail
applicable State oi Minnesota Siatutes and City of Eagan Ordinancea.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
Tree Preservation Plan Received - Yes _ No
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex
0 02 SF Dwelling o 07 4-plex
0 03 SF Addition o 08 8-plex
0 04 SF Porch o 09 12-plex
? 05 SF Misc. a 10 = plex
WORK TYPE
0 31 New o 33 Alterations
? 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actuat)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPitOVALS
Pianning
OFFICE USE ONLY
0 11 Apt./Lodging o
0 12 Multi RepaidRem. o
? 13 Garage/Accessory o
? 14 Fireplace ?
0 15 Deck
? 36 Move
0 37 Demolition
i4
?? ..?. ?
K
?. ?,..
? . .. .
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
_ Basement sq. ft. MC/WS System
_ Main Ievel sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City $AC
Water Conn.
Water Meter
AccG Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
.. . PERMIT CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
SITE ADDRESS: L' , l i?
1295 DUNBERRY tAME'
LOT: 14 BLOCK:.1
CHES MAR 4TH
DESCRIPTION:
Control No. 0528
BUILDIPIG
000659
05/28/92
26 X 10 & 16 X 7 .
Building Permit Type DECK
Building'Work Type NEW .
Building length 26-..
Building W3dtfi,
j I? kJ
REMARKS:
RECEIPT #
FEE SUMMARY
eaee Fee
Surcharge
lic. Search Fee
Subtotal
;25.08
$.50
$5.09
$30.50
COPIES $1.00
.
Total Fee . j31.50 ., _
CONTRACTOR: - nppltcant - sr. Li OWNER:
03TNAN BEN 14521576 009614 OLSON DOUGLAS
1300 OUNBERRY LN 1295 DUNBERRY;LANE
EAGAN P4N 55123 EAGAM MN
(612) 452-1676 (612)686-0437
I hereby acknowledge that I have read this applicetion and state that the
information is correct and agree to comply with all applicable State of Mn.
StaCutes and City of Eagan Ordinances.
?i • ?ti?. 1?--??
APPLICANT/PERMI SIGNATURE ISSUED BY: ffNATURE
O
1992 BUILDING PERMIT APPLICATION AJaY 2-t-RECo
681-4675
CITY OF EAGAN
PERMIT #
SINGLE.& MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date s/ ZZ Yaluation of work
Site Address:_ /,1957 z?/ti&'eze'? ?4t t
STREET STE /
Tenant Name: A
LOT BLOCK
1
SUBp. ,f IL
4A
.I.D. / f
I
Descri tion of work: iDti ,9,fe- /4 ' 2? ?
The applicant is: ? Owner Vi'Contractor [3 Other (oecor+be)
Name ' Phone ?X?"U `{'•3 J
Property IAST FIRST ,
Owner 0?ti4e
fx
?
xCLe"
/2 95-'
4
s
r
qddress
/
STREET . STE !
City State A?'! w Zip 5- -5-/7- 3
Compan cw S h- Phone ysZ-1s 71-
COt1tl'8Ct0r Address /,7 o u License # 0012 ly Exp. 3- 93
City 1__AWAA_o State At AI Zip SS12
Company Phone
Architect/
Englneer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge ttiat 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.
Si
t
f A
?
li
tl•
/
gna
ure o
C
pp
can
?,
?
/
vrriLic uae unLr
BUILDING PERMIT TYPE
? 01 Foundation O 05 Apt. Bldg ? 09 Basement Finish
O 02 SF Dwg. E3 06 Garage/Accessory ? 10 Swim Pool
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch
? 04 Multi=fam. T.H. pd 08 Deck ? 12 Comn./Ind.
WORK TYPE
$431 New
? 32 Addition
? 33 Alterations
? 34 Repair
? 35 Tenant finish
? 36 Move
GENERAL INFORMATION
O 37 Demolish
? 99 Undefined
tonst. (Actual
; Basement sq. ft.'
(A1Towable lst F1. sq, ft.
UBC Occupancy ? 2nd F1. sq. ft.
Zoning Sq. Ft. total
f of Stories footprint Sq. ft.
Length On-site well
Depth hS x7, On-site sewage
APPROVALS
Planning Building Engineering Variance
REQUIRED INSPECTIONS
O Site $a Footing
0 Mallboard $ Final
0 Framing
O Draintile
law
? Insulation
? Fireplace
Permit Fee , 00 v.iuac;on:
Surcharge
Plan Review
License ?
V,WCC SAC
City SAC
Mater Conn.
Mater Meter
Acct. Deposit
S/Y Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Capies A00
Other
Total: ?
SAC Units :
SAC 96
? 13 Public Fac.
? 14 Agricultural
? 15 Miscellaneous
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
ities Dieital Oualitv Control
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V3f` .:?i?.
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.
?
„ ?Z 17
?
'
' - BUILDING PERMZT APPLICATION
include 2 eets oE plane, 1 site plan w/elevations,and 1 set of energy calculationa.
To be used far ' • -11-Q/ Valuation
site Address :
Lot Block Sec./Slib. Parcel Nwnber 17103 /?{D
Owner
Address
Contractor yr4-?e.
Address 3
Arch./Eng. --
Address
Erect i?
alter
Repair
Fnlarge
Nbve
Demolish
Grade
Telephone
Telephone
y ,.
Telephone
OFFICE USE
Occupancy -?
Zoning I
Fire Zone 3
Type of Const.
# of Stories
Fsont ?ioZ
DePth k-05-6
OFFICE USE
pate of roval & Initial
Assessment
vtater/Sewer
Police
Fire
F,ng.
Planner - q- 36-78
Oouncil
Bldg. Off.
A.P.C.
FEES
_
J
Pezmit
Surcharge
Plan Check
SAC ? ?30
Glater Mnn. r?37J
19ater Meter V
TOTAI.
?U
..
?iY? / 6?
? q ? 50
?a F d y ?
T311efsan Builders Inc.
,
F. C. JACKSON
LAND sURVEYOR
R[O1§T[N[D VNO[R LAWY Or iTATQ M MINNiaOTA '
LIC[NitD tY ORDINANCK M CITY O/ YINN[A!'OLI• .•
3816 EABT 767H STRHET SS4L 1
727'3484
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1 N[R[MY CiRTilY IMAT TN[ AOOV[ MA TRU[ AND ODRMCT RAT OP A SURVLY OI
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Lot 14,Block 1,Chee Nar Fourth Addition,
Dako[a Coun[y,Mtnnesota,
ws culevcreo ev re rNis- 24th_o?r oF AuB.--?.o. 1978 _
Revieed Sept. 7th. 1978 ?
F. C.
. M?MN?sOtA
:" i' ° •-
TION, No. 3600
Cities Di it? al Qualitv Control
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118524
Date Issued:11/04/2013
Permit Category:ePermit
Site Address: 1295 Dunberry Cir
Lot:14 Block: 1 Addition: Ches Mar 4th
PID:10-17103-01-140
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Jackie Terrell
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 -
Thomas L Mueller
1295 Dunberry Cir
Eagan MN 55123
Walker Roofing Company
2274 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136771
Date Issued:05/31/2016
Permit Category:ePermit
Site Address: 1295 Dunberry Cir
Lot:14 Block: 1 Addition: Ches Mar 4th
PID:10-17103-01-140
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 -
Thomas L Mueller
1295 Dunberry Cir
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136771
Date Issued:05/31/2016
Permit Category:ePermit
Site Address: 1295 Dunberry Cir
Lot:14 Block: 1 Addition: Ches Mar 4th
PID:10-17103-01-140
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 -
Thomas L Mueller
1295 Dunberry Cir
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142062
Date Issued:04/13/2017
Permit Category:ePermit
Site Address: 1295 Dunberry Cir
Lot:14 Block: 1 Addition: Ches Mar 4th
PID:10-17103-01-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Thomas L Mueller
1295 Dunberry Cir
Eagan MN 55123
New Windows For America
2123 Old Hwy 8 NW
St. Paul MN 55112
(651) 203-0149
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148292
Date Issued:03/19/2018
Permit Category:ePermit
Site Address: 1295 Dunberry Cir
Lot:14 Block: 1 Addition: Ches Mar 4th
PID:10-17103-01-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas L Mueller
1295 Dunberry Cir
Eagan MN 55123
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155251
Date Issued:05/06/2019
Permit Category:ePermit
Site Address: 1295 Dunberry Cir
Lot:14 Block: 1 Addition: Ches Mar 4th
PID:10-17103-01-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Thomas L Mueller
1295 Dunberry Cir
Eagan MN 55123
New Windows For America
2123 Old Hwy 8 NW
St. Paul MN 55112
(651) 203-0149
Applicant/Permitee: Signature Issued By: Signature