1250 Dunberry Lane A~
Use BLUE or BLACK Ink
Office Use
For I
j Permit 0'0'(1 ~ I
City of Eaoan I4
Permit Fee:
'0 1
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
I - - - -
2011 MECHANICAL PERMIT APPLICATION
Date: Site Address: Zs
a ZZA. z.21 A-MV14E --tt 412
Tenant: Suite
RESIDENT I OWNER Name: , 4d&WF 44 Phone:,k_,ZZ~ 6,&P X..;3_3!
Address / City / Zip: j r=°
Name: ,t,$9,. 1~s.Ts License
CONTRACTOR Address: /l2 4,L44,4~,eCity: 5-~
State: Zip:5 f~J Phone:
Contact: Email:
New _A Replacement Additional Alteration Demolition
TYPE OF WORK Description of work: A
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction _ Interior Improvement
PERMIT TYPE -Air Conditioner _ Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank C_ Install / - Remove)
Other
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ X1%
$55.00 Minimum (includes State Surcharge) Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge
- If the Permit Fpe is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010411,010 Permit Fee requires a$ 5.50 surcharge) TOTAL FEE
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.aooherstateonecall.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.
Applicant's Printed Name App i is ignature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
? CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNQB ROAD
EAGAN, MINNESOTA 55122
DATE ' 19
eecEivee
FFOM '
AMOUNT ? I
& OOLLARS
Ioo
? CASH ? CHECK
,
FUNO CODE AMOUN7
Than You
?? ?
( . BY
? 1\
r j
53814
White-Payers Copy
Yeliow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks
Addition CHES MAR 5TH ADDN. Lot 1 Rik 1 Parcel 10 17104 010 01
Owner Coyl T-)I F'7^/. ?1?Screec 1250 Duliberry Lane -/1¢? State Eagan, I?IIV 55123
1 '?4J t d 1 (.. l(i'.L ?-iL-tti Improvement ' Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 172.95 8.65 20 86.55 a010753 11-18-81
t SEWER LATERAL 1990 3362.71 224,1$ S
WATERMAIN
+t WATERLATERAL 4)I 3 2690.17 A010753
WATER AfiEA J41 7 172.95 103.77
*
* STORM SEW TRK 980 '
* STORM SEW LAT 1980
CURB & GUTTER i
SiDEWALK
STREET LIGHT
ROAD UNIT 75,00 13814 4-10-79
WATERCONN. 540..00 13814 4-10-79
BUILDING PER. r
SAC 121501010 13814 4-10-79
PARK
i I
cinr oF Er?c,AN
9795 Pilef Knob Raad Eogas, MN 55122 N! 5152
PHONEs 464-l100
BUILDING PERMIT Receipt #
Te bs used for Est. Val ue 90,00o. Date 19
Slte Address ??' -- Tanp A & H Erect p Occuponcy
Lot Block ? Sec/Sub. C' '":S "?c.3L' it}? ?St:?C?ll. Aiter ? Zoning
Porcel # Repoir ? Fire Zone
Enlarpe ? Type of Const. "
W Name Move ? # Stories
z ?? ??.? Iioly?e r?.'L? Den,olist, p Fronr ft.
? Vallev 454-60V3 Grode ? Depth ft.
g Name _
?
u? Addrcss
? r?...
Nome
Address
I hereby acknowledge that I have reod this application and state that
the informotion is correct and agree to comply with all applicable
Stare of Minnesota Statutes nnd City of Eagon Ordinances.
Signaturo of Permittee
1-
A Building Permit is issued to:
all work shcll be done in accordance with
Assessment
Woter & $ew.
Poliu
Fire
Eng.
Planner
Courxil
Bldg. Off.
APC
Permit '
Surcharge
Plon check
SAC
Water Conn.
Totai
on the express wndition that
Minnesoto Stntutes ond Ciry of Eagan Ordinonces.
Building Offlcial
FemM # OeN luwd Pue1MM
Plumbin9 f 3a e) - / 1^ 7 %
Mechanical ? nlLdJt?L
66 - 3 - 7 2t-L,
INSPECTIOh15 DATE INSP. Rou9h-in Firal
Foorings oare inw. uore lmp.
Foundation Plumbing • ,j -
Frome / ins. Mechonioo I 9
Final O ^
Remarks:
, CITY OF EAGAN
. 3795 Pilot Knob Road
. , Eagan, Minnesato 55122
'. Phone: 454.8100
??12r7 PERMIT No. 13 so
6-11 79
Dote:
Site Address;
Lot ?
1250 Dunbeny Iane A& B
Block 1
Sub/Sec. Cliao Mr 5th
Name . '117Llef9dY Bldl^3.
- 13816 Holydae Lane
e Address
3
O ?.,
City ?? [ ` ?,'?? Phone: 454--6873
Name GMa_Ry=
.
E Address 34745 ?. Pcbert Tm11
e
0
v City PCOW-rnziT 55062 Phone: 473--1146
This Permit is issued on the express condition that all work shall be
Minnesota Stotutes ond City of Eagan Ordinances.
Receipt No.: 14623
Single I
Residential
Multi Res., Comm./Ind. ?IexI
New/Alter./Repoir
Cost of Instollotion
40.00
Permit Fee
1.00
Surcharge
41.00
Tota I
done in accordance with ali opplicoble $tcte of
Building Officiai
CITY OF EAGAN
3795 Pilot Knob Road
Eogan, Minnesota 55122
Phone: 454-8100
HFATING
F-2'3-79
Date:
Site Address:
1250 A& 8 D2beriy Lane
'. 1 Cbex Mar 51th
Loi Block Sub/$ec. _-
T'011A?f9m i3h'22Z5.
O043iAS'T2M PSR TEWIF?D
No.
1474
14734
Receipt No.:
Single
Residentiol
Multi Res., Comm./Ind. ' I
Nome New/Alter./Repoir
- : 3816 ;b1wYe A?t
3 Address Cost of Installation
0 'i : ?de vd1lE'y '1 i 4-'S 87 .:
City _ Phone: Permit Fee
??tiric?:sm 5J
Nome Surchorge
?
? Address
e
City _ Phone: Total
This Permit is issued on the express condition that all work sholl be done in accordance with all applicable State of
Minnesota Stctutes ond City of Eogan Ordinonces.
PERMIT
Building Officiol
CIT! OF EAGAN
3795 Pilot Knob Road
Eogan, MN 55122
Zoning:
Owner:
Address: ?
Site Address:
Plumber:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
E'_S?'?' •?lS?R ? 2
Zut;bin:. &
00 pd --
agroe to compiy with the City oF Eagan Connection Chorge; -__Ll 0 l3-!
'Ordinances. Account De
posit:
Permif Fee:
Surchorge: _
By Mi
Ch
sc.
arges:
Dote of Insp.: Toial:
Insp.:_ D
P
d
ate
al
:
WATER SERVI CE PERMIT
cIrt ; oF EAc,AH
3795 Pilot Knob Road PERMIT NO
:
.
Eogan, MN 55723 DATE:
Zoning: No, of Units:
Owner: ' ' _
-
-
Address: -
Site Address;
Plumber: -
Meter No.: - Connedion Chorge:
Si Accaunt Deposit:
ze:
Reader No.: Permit Fee:
1 ugree to eomply with fhe Ci+y of Eagan Surcharge:
di
O Misc
Chor
es:
r
nonaes. g
.
Total:
g Dote Poid:
y
te of Insp.: Insp.:
OF EAGAN
75 Pilot Knob Rood
?gon, MN 55122
agree to somply with Ehe City of Eagan
PERMIT NO.:
DATE:
No. of Units:
Connection Charge: ()I)
Account Deposit: `
Permit Fee: ?
5urcharge: ?
Misc. Chorges:
Totol:
Oate Poid:
7F EAGAN WATER SERVICE PERMIT
i5 Pilot Knob Rood PERMIT NO_:
Eogan, MN 55122 DATE:
Zoning: - No. of Units:
QWner.
Address:
Site Address: ' •
Plumber.
Meter No.: Connection Charge:
S1Ze: Account Deposit:
Reader No.: Permit Fee:
I agree to comply with the Ci1y of Edgan Surcharge:
Ordinanaes. Misc. Charges:
Total:
BY Dote Poid:
Dote of Insp.: Insa.:
SEWER SERVICE PERMIT
1 his request void 18 months from ?'07le a"e
.? ? ?79 R 66284
Date ofyhis Request
I, as ILd Licensed Electricaf Contiactor OOwner, do hereby request inspection of the above electri-
cal wiring installed at: e- fA3 + 4yC-e(-h ,
Street Address or Route No. Zg?h 't L-W O )Zt0,Gt9AgCity
Section Township Range County
Which is occupied by L&?
? (Name of Occupant
Is a roughin inspection required on this job? No ? Yes/ Ready Now ? Will Cal}X
Power Su
Electrical
Mailing Address IGARV KEN?IUCK 432o 55036
_ (Electrlcal Contracto, or Owne, Making ThIS Instailatlon)
Authorized Signature Phone No.
(Electrlcal Contractor or Owner Making This Installatlon)
S5?? 7??' ? ?? 1? ?? ? (/'??j ? This inspection request will not 6e accepted by ffie
V !1 l",? l, [?' State Board unless proper inspection fea is enciosed.
_ ?iate Board of Electricity
_..,ry Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK WVERED BY THIS REOUEST
aype oi nuuamg rvew AdU. Kep. Ch?k pP
Home ? ?']
? ? Range
Duplex 0 ? ? Water Heater
Apt Bldg. ? ? ? Dryer
Commeroial Bldg. ? ? ? Pumace
Industrial Bldg. ? ? ? di[..
Farm ? ? ?
/"G S,
R 66284
L7 Tempocary Wiring
? LighUng Fixtures
El/ ElectricHeating
L7 Silo Unloader
iQ Bulk Milk Tank
11
?
?
COMPUTE INSPECTION FEE BEL'6W 'w 'M U
ServiceEntrarice5ize: # Fce Feeders&Subfeeders: # ee
0 to 30 A es
101 to 200 Amps.
res
Above 200 Amps.
Above 100 Amps. =AbA
mps.
1'ransformers Remo[eConttolCirc fee
Signs Special Ins ection .DO
Remazks
TOTALFEE G
JO
,
1, the Electrical Inspector, hereb}/?Sx(ify t tiove i ection has been mad?. SrSs«?
(Rougtt-in) l??? Date
(Final) /?.? Date S? _.
This request void 18 months from
Tlis request void 18 months from
7? /? a 66288
Date ?of thJs-Request G
?
I, as [d'I.icensed Electn al ontractor OOwner,'7 do hereby request inspe tioneR ?trabove eCectri•
cal wiring installed at: 4 / 61 "UQ 11?? ,S`? ?" '-1 a
Street Address or Route No. ??-:w 1/4
-?_
Section Township Range Count _?
Which is occupied by
Is a roughin inspection required on this job? No ?
Yes 0- Ready Now ? Will Call C-'
Power Supplier 9?
Electrical Contractor-9p0
??? =MRt?? ??? -----•
Mailing Addtess
(Elettncal Contlactor ol Owne? aking hls nsta a IonP
Authorized Signature Phone No. ?
qq?? (Electrlcal Contractor or Owner Making This Installatlon)
W)y This impection request wiU not he accepted hy tha
State Board unless proper inspection fee is enclosxd
Minnesota State Board of Electricity
-.i°199*4,Jniversity Ave., St. Paul, Minn. 55104-Phone 645-7703
; REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
/'e,LcaG
R 66288
Type oi Building New A. Rep. Check Appliances Wired Foc Check Equipment Wired For
Home. ? ? Range El Temporary Wuing ET?
Duplex ? ? ? V?ate[ Heatet ? Ligh[ing Fixtutes ?
Apt. Bldg. ? ? ? Dryei ? Electric Heating ?
Commeicial Bldg. ? ? ? Fumace ? $ilo Unloader ?
Industtiai Bldg. ? El ? Aic Conditionec ? Bulk Milk Tank ?
Farm • ? ? 0 List ) List
Other .. ? ? ? p
}
Hehe15f p
Hereis?
COMPUTE INSPECTION FEE BELOW
ServiceEntranceSize: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee
0 to 100 Am s. C7 Wn.30 ere 0 to 30 Am eres
101 to 200 Amps. 10 `pe 31 to 100 Am eres
Above 200 Amps. M &A p Above 100 Amps.
Transformexs mo ont- r Paztialoco[herfee
Signs Special Ins ection Minimum fee $SA •
Remazks 4-1 TOTAI,FEE
I, the Electrical Inspector, hereby cerKfy that the above inspection has been made.
(Rough-in) Date
(Final) ) Date
This request void 18 months trom ?T ? -
CITY OF EAGAN No 5152
$795 Pilot Kno6 Road Eagan, MN 55122
PHONE: 454-8700 /90 ,,j
?-t--_
BUILDING PERMIT APPLICATION ReceiPt #
To be used For DUPlex & Garage Est. Volue $0P 000• Dote 4-10 19 79
Address 1250 ThmhP= Tane A& B
Sit Erect $? O«uPa^cv ? -
e
C1'12S MdY 5t1 AC?R.
j
k _ 1 S
/Sub Alter ? Zoning R?
.
-
ec
Bloc
Lo+
10 17104 010 01
Repair ? 3
Fire Zone
parcel # Enlarge ? Type of Const- V
ome TollefsOn Bl?dYS Move ? # Stories
i 13816 HOlyOke I?a[ie
E Demolish ? Front A 52 ft.
ddre
ss
454-6873
le Va11eY
A
Grade ?
Depth 44_ tt.
phone
Ap
city A_,,.,,,,1. Feee
o Nome S? --..
o? Assessment
ug Address
Water 8 Sew•
r- ci Pha+e Police
Ww Nama Fire
i? Address Eng.
<w Ci Phone Planner
Council
I hereby ucknowledge that I have read this application and state that gldg. Off.
the informotion is correct and agree to complY with all applicable APC
$tate of Minnesotu Statutez and Ciry of Ea9an Ordinances.
Permit 140.00
Surcharge 92.75
..?_. _'.
Water
Total 2,178.25
Siflrwture of Permittee
BZC?{YS on the express conditian that
SwTollefs A Building Permit ls issued to:
all work shall be done in accorial e St e Minnesota Statutes and City of Eagan Ordirronces. Building Official -.--?,?-_--
?? C) te (-l
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Plcase complete for. Single Family Dwellings
- Townhomes and Condos when permits aze required for each unit
43o. s-o
Date eq / 6/ 03
Site Address
YM LAJ Unit #
Property Owner ( %( Telephone # ( )
Contractor
Street Address
State City
Zip Telephone #
The Applicant is _ Owner ? Contractor _ Other
Add-on, modification or alteration to existing dwelling unit
? furnace replacement $ 30.00
air exchanger
air conditioner
other
State Surc6arge s .50
Total
,-.
L ; _ . ? I -, „ ..
I hereby apply for a Residential Mechanical Permit and aclaowledge that the infMM l luate;?tbat the work will
be in conformance with the ordinances and codes of the City of Eagan and with I undu% d this is not a
pemut, but only an application for a pemut, and work is not to start wi e in a nce with the
approved plan in the case of work which requires a r.eview and approval f pl -
?me? Y? ?? ?'-u?S
ApphcanYs Printed Name Applicant's Signature
17103 CHES MAR 4TH
DUNBERRY LANE
1250A/ 10 17104 012 Ol
B 10_17104 Ol 01
1252A 10 17104 02101
1252B 02201
1253 10 17104 01002
1254 10 17104 03001
1255 10 17104 021 02
1257 10 17104 022 02
1256 10 17104 040 01
1258 10 17104 050 Ol
1259 1017104 030 02
1261 10 17104 030 02
1260 10 17104 06001
1263/ 10 17104 041 02
1265 042 02
1267 10 17104 05002
1268 10 17104 07001
1269 10 17104 06002
1270 10 17104 08001
4
17104 CHES MAR STH
(PAGE 1 of 2)
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,
?
HUILDING\ PEAMIT ?PPLICATION
'?Z . 7
include 2 eets oE plans, 1 eite plan w/elevations and 1 set of energy calculationa.
?
gQ? 00? ?
To be used foz Vsluation
Site Address: j-Q 2? ' ,i
Lot Block Sec. S1fb. Parcel Nwnber f p
?p 7
Owner
Address
Telephone l b' 7_ 7 _
Contractor ,h,0,,7za
AdBreas
Arch./Eng.
Addregs
?.
?.
Telephone
. \\
Telephone
OFFICE U8E
Erect ?
Alter
iaepair
i3nlarqe
Move
nemolish
Grade
OFFZCE USB
pate of ApProval 6 Initial
y/ .
AsseSsment
water/Sewer
Police
Fire
Phg.
Planne2
pouncil
Bldg. Off.
A.P.C.
Occupancy
Zoninq
Fire Zone ?
Type of Conat.
# of Stories
Fzont
Depth
\
Pezmit ' 1 AsIM
Surcharge "-
Plan Check 9? ?-=
SAC I <-2 < / !a
G]ater ConnXJ
t7aYer Meter -*),?P-in /"pFl
917 "J 't/ G aV 7e- /gV ?:.c
2bTAL --
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Tollefe:n Buildcrn Inc.
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I HEREBY CffRTIW TXAT TNB ABOVE IY A TRIJ[ AND ODRFiCT PLAT OF A SURVRY Or
Lot 1,Block L,Ches Mer Fifth Addition,
Dakota Cpuo[y,Minnesota.
AS BURVEYED BY M[ THIB 3rd. _pAy ? ApCil _A 0 1979
F. C.
F. C. JACKSON
LAND SURVEYOR
REa18T[RED UNpfiR LAWB pr BTATH OR NINNlgpTA
IIGCNBHD 6Y ORDINANCE OF CiTY OP YINN[A'OLIB
3816, EAST SSrH S7REET 55417
727-3484
?acbepoc'g ?ctt{ficate
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2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EACAN
1'1. J a 3830 PILOT KNOB RD - 55122
851-681-4875
?? , -s as O9g Re ??r Reaulre?
A k0-50
calW blavJao ?6
? 3 regialered We wneya showing aq, R o1 bl, sq. H. of house / 2 coplea of plan
anO gp roofed areaa (70% maximum bt covemae allowetl) 0 C) i aet of energy calcWaMons for healed oddlHona
D 2 coplea of Wanf (ahow beam d wintlow sixei; poured Ind. design; efc.) 1 aite aurvey for exfeAor additlona A tletka
D 1 aet of energy calculaMOna
D 3 caples of tree preservaflon plan Il lof pkMed cHer 7/1/93
DATE: 06- 1U . O0 CONSTRUCTION COST: O, 00
_ DESCRIPTION OF WORK:
STREET ADDRESS: l" U N -d 2 FJ Fjukj
LOT: L BLOCK: SUBD./P.I.D. q:
10 13,1,jH A 11 el
Name: "2wL Phone S:
PROPERTI wst Pint?
OWNER Sheet Address: I 11?-u V-?) c rf?) ? ? ? (er al LQ
U ?Z--
City tJ State: Zip: JJ
#: Ot 01D-10"
COMRACTOR
ARCHITECT/
ENGINEER
(area code)
sheet Address: Y V ucense #JL0 C b-'28 0 Exp, 01
Gly 1V? J? nl1 tV i gQ _ Sfate: Zip: S?3 J?
Telephone #: ( )
Name:
Sheet Address: ReglshaHon Y:
Cly
Sewer/water licensed plumber
State:
Lp:
I hereby acknowledge thal I have read 1hb appUcation, akife ihat Ihe IMomwHon is
of Minnesota Statutea and Cify of Eagan OMinances. ,
Certiflcates of Survey Received ? Yes
Tree Preservation Plan Received _ Yes
agree b comply wNh an appOcable State
OFFICE USE ONLY
No '
_ No ? Not Required 2 0
A
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-plex ? 13 16-plex O 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 Ot of _ plex ? 09 07-plex X 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 OB-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex O 11 10-piex Pibg _Y or_ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex 0 20 Pool ? 30 Accessory Bld9•
WORK TYPE
?{ 31 New 0 36 Move Bldg. ? 43 Reroof
?O 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
0 34 Repair ? 42 Demolish (Foundation) 0 46 Windows/Doors
` Give PCA handout to applicant for demolition permit
GENERALINFORMATION
SAC Code
No. of Units
No. of Buildings ?
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVALS
Planning Building /W Engineering
/
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
0 31 Ext. Ait - Multi
? 33 Ext. Att - SF
? 36 Mutti
??-
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Valuation:
pg?&lc-
l? of
Total:
SAC Units
°k SAC
.,eare Inc. Ur.11004
• 18 41A
F. C. JACKSON !IS
• LAND BURVHYOR
R[OIBT[N[D UND[R I.AWS 0/ QTAT[ 0/ NINNROOTA `
LIC[NB[O OY OROINANC[ OI CITY O/ MINNtA'OLIf -r
•: ? Y^it
? ,
8818 EABT 53rN sTREer 55417 \ U? L'•0 :EX l%' ? nn rlP V.
i
; 721-3484 °
i *ucbepor'g QCcrtiftcate
-
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1 MER[BY C[RTIFY TNAT TM[ ADOVL Ii A TNY[ AND OOItRiCT RAT O! A SURV6Y O?
Lot 1,Block L,Chee Mer Fifih Addition,
Dakata County,Klnnesota.
AS BURV[YED BY Mt TMIS 3Td.i_-DAV OF_ApTLI A_p 1919
F. C. JI(CKSON. MlxMtoOTA' IY[QIKnwTWN. NO. 9600
r?1• ? ?
Council !7inutes
April 21, 1981
All voted yes. ,
OCCIVS
Smith moved, Parranto seconded the motion to accept the request of the
develcper for the pr=parstion of the feasibility report for street and utility
lmprove3ents in the First Addition subject to submission of an application by
the developer. All vote yes. R 81-22
??IFI,-TOId.BFSON-ii?3VEH pF PLAT--?
? -----
Carl Tollefson appeared on behalf of his application for waiver of plat
in order to subdivide six duplex lots for single oWnership located in various
lots and blocks in Ches Mar and Cedar Grove Additions. The Plannin3 Comais-
sion recomaended approval on March 24, 1981, subject Lo certain conditions.
Mr. Tollefson indicated that Dave Gabbert and he are going to fora a,joint
hcmeowner's association for existing double bungalows in the Ches Mar area.
E3an moved, Parranto seconded th= moticn to app^ove L'.:e application sub,ject to
the formation of a homeowner's association crith the by-laws and articles to be
reviewed by the City staff and further subject to the following conditions:
1. All prope^ty shall retain the existing drainage and utility ease-
ments.
2. Each of the newly created lots must meet all applicable ordinance
requirements.
3. That the hoaeorrner's association by-laxs shall be subject to staff
reviex and approval.
All voted yes.
g1{TARATr i. y'pTi[ZgO0SE SF24POBARZ AD9ERSZSING SIGN
R 51-23
The application oP Carl Tollefson for temporary advertising sign to
advertise Briarhill Townhouses located on Silver Bell Road was next con-
sidered. The sign rrould be at Lhe southxest quaCrant of the new Trunk Hi3hvay
?13 and Silv?r Bell Road. Smith moved, Parranto seconded the motion, all
voted in favor, to approve the application sub,ject to compliar.ce with the
applicable ordinance.
i1ZLLIEM lE9DS YAIYER dF PLd?
The application of William Meade for uaiver of plat to subdivide a five
acre parcei Was next conside^ed. Because of lack of appearance by the appli-
cant, Parraato move:, Wachter seconded the motion to continue the application
until the next regular meeting. All voted yes.
S9LLY BEAOCHI2[I9 REZOAZAG
The application of Sally Beauchemin for rezonir,g from R-1 to Agricul-
tural of a parcel in the W±lderness Retreat area on Cliff Aoad was next
considered. Ms. Eeauchemin was present ar.d indicated she preferred to rezone
to Agricultural rather than to acquire a special use permit as recommended by
6
,'" `-'•?
c-Y oF F.AcAN
3795 F,:ot Kncb Roa3
Eaqan, minnesota 55122
OAKO'IIa COLIDTPY 'fRiBLRdE .
420 THIRD STREEP
gp%1INGION NHd 55024
Re: City of Eagan - Le4al NotiCO
Gentlemn:
i am herewith enclosing 1 oopY/wPies of N°tice °f Pu'lic Hearing
in the follw+incJ matters:
Carl R Zbllefscn for waivex' of plattina f Qd mtPx ]otG ,
wltidt please publish for 1 wek(s) in 170? a}' ??rr?*'-- ---' 19 gL_
and , 19 edition of the Tribime. Please foxward
to the City of Eagan your Affidavit of Publication. Z'hank You•
Very tzulY ?yOurs
gvanoverbeke. City Clerk
City of Eagan
Telephone: 454-8100
_. ,-- ?? r?LUng regulations to split eight duplex lots for
si-? ownership -
oF ptoperty loca[ed !n Dakota Couniy, Mlnnesota described as
. follovs:
Iot 1, Block 1, Ches Mar Sth Additim
Lot 2, Block 3, Ches Nlar lst Addition
Iots 1& 2, Block 2, Ches Mar Sth Addition
Lot 1, Block 1, Cedar Grove 11
Lots 1& 3, Block 4, Ches NJar lst Additicm
Iot 2, Blodc 1, Cedar Grove 11
of the NW; of the NN3; of Section 14, Zbwnship 27,
Range 23 Dated: 3-6-81 Advtsory Planning Commlsslon
Clty of Eagan
By: . vRM ,
City C1' k
CITY USE ONLY
LOT A- BL PERMIT #:
SUBD. (?2S Mar RECEIPT #:
RECEIPT DATE:
513
1 3
ov
2000 NECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IRiOB RD
EAGAN tAI 55122
Date: 651-681-4675
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
conswction and not owner/occu ied.
• HVAC: 0-L00 M B T U
ADDI'fIONAL SO M BTU
• Gas outiets (minimum of one required @ $3.00 ea.)
$ 30.00
6.00
State Surchazge .50
Total $
Complete this section onlv if you are remodelin¢, addine to, or reoairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New 79 Alteration
-x Furnace
_ Air exchanger
_ Repair
?
Fee $ 30.00
State Surchazge .50
Total $ 30.50
Reminder: Call for inspections
SITE ADDRESS: J?? [?? bu nl-? Y v?? ?-1? •
OWNERNAME: -('?'Y'?(APe+r1A k- PHONE#: ?n I_-
T-(? t,?`L?i I (AREA CODE)
INSTALLER NAME: W^ ` U? I'e I"S ?1DqS1d,P' fffq - rHOrrs a: ?- y3l --I09C1
. _ °-? . , . _ (AREA CODE)
STREET ADDRESS:
CITY:
_ Other
Air conditioning
Other
AQw.i,a.Q R fn?lyl,QP?,a
SIGNATURE OF PERMITTEE
2kV STATE: MN ZIP: 5sjc-)-q
CITY USE ONLY
L _ BL _
SUBD.
APPROVED BY: , INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAI. PERMIT (COM?.+RCIAL)
CITY OF EAGAN
3830 PILOT IQN08 RD
EAGAN, lYII1 55122
651-681-4675
Please complete for: all commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK 1'YPE: New consWction Install U.G. Tank
_ Interior Impravement _ Remove U.G. Tank
_ Processed Piping
When ins[al/ing/removing underground tank, call 651-681-4675 jar inspectian by fire marshal and
p[umbing inspector.
Description of work:
Fees: 1%of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
Contract price: $ x I°/a = S (Base Fee)
State surcharge calwlate at 5.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERMITTEE
. ?0?i
le?f /, le6s ?? -6r -s-Q
Rertwdel/Reoair Reaulrementa
New CanshuCHon Reaulremenh
D J reylatared flfe wrveys showing sq. R. 01 bf, aq. H. 01 house
and gj rooled areas f20% rtaximum lot coveroae albwedl
> 2 coples of plans (show beam & v+intbw slzes; poured fnd. tleslyn: etc.)
D 1 Eef 016n6rgy CUICU1C11on5
> J Coples ol hea preservaHon plan Il lot platted aRer 7/1/93
DATE: J :? -
DESCRIPTION OF WORK:
STREET ADDRESS:
10T: / a BLOCK: ? SUBD./P.I.D. 4:
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?(,,o , 50
Name:?Gi?100 Phone #:
PROPERTY taat Flrat
OWNER - 11% .
Sheet
CONiRACTOR
ARCHITECT/
ENGINEER
ary S?46A,>u srate: ?lN zip:
Company: ~ //-I- Phone C (area code)
Sheet Address: 1lcense # ExP•
City
?
State:
Company: ~ /? Name:
Telephone tl: (
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4875
Sheef Address: Regishaflon Y:
CNy
Stale:
Sewer/water licensed ptumber (H instaltlna sewer/water): Pho^a ?
Zip:
vP:
I hereby acknowledye Ihat I have read lhis applicaHon, sfate 1haF the Infomwtion eet, and agree to comply wHh a0 appaeable Stafe
of Minnesota Statutea and CHy ot Eagon Ordinances.
Signature o} Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
fvlAY - 2
Tree Preservation Plan Received _ Yes _ No _ Not Required ^
2 copiea of plan
1 wt of energy calculaHons for heaFed adNMOns
t sire wney tor extedor adcUnons 9 tlecks
CONSiRUCTION COSf: 7 00
?_
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex 3;?- 18 Deck ? 23 PorCh (screened)
? 04 02-plex ? 10 08-plex O 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-piex aiu9 Yor_ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
>1?r- 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code o f # of Stories sq. ft.
No. of Units D Length i2 sq. ft.
No. of Buildings 1 Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinkiered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building L Engineering Variance
? 31 F_xt. Alt - Muki
? 33 Ext. Alt - SF
? 36 Multi
q3y
Permit Fee 1?0 .S 0
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: -rtifi . 5 d
Valuation: $ 1,2ao
SAC Units
% SAC
' L9 47A ,. /
F. C. JACKSON ?SJSJ({?/?/
. LAND BURVEYOR ('(
/
R[61YT(A90 UMO[R LAWB W KAT[ W MINNtypTA
I LIC[N![D !Y ORDIIUNC[ OI C1TY 0I YINN[APOLIt
i 3e16 ewsr ssrH STRlET 55417 \
727-3434
I ?
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?aso - f+ D?.v6e-rzxy ?.v? ?`?P ??
457 °
_'i-c•,.1 .f?,T, --,
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L
1 MCRIBY CLRTIFY TNAT TN[ ACOV[ i{ A TAY[ AND ODRR[ CT PLAT 0/ A SURV[Y OF
a
Lat 1,81x k 1,Ches ?far Fifth AddttLOn,
Dakota Coun[y,!linneeota.
AS BURV[YCO 9Y M6 THILdLYi._DAY OF_A-P<<1 _A,p, L979
J.-•"?.Y`'^.t'?-?d.. y
Vi
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F. C. JACKSON. MINN[fOT/961tTMTpN, NO. 3600
i
?
?
1
11
crrY OF EAcAN
sos.nx.T: MU-VM aF PIM
aprLZCAar: cAxL zvurLEFsaN
IlSATION: ILYP 1,. SIfJCK 1.CfES Np1R 5TH,IAT 2,BLOCK 3, Cfff'S
M1R 1ST, IDM`1&2,BIDCfC 2,CHES MAR 5TH.71.7P 1,BIOCK
1,CEDAIt G%7VE 11,I0'I'S 1&3,BL0CK 4,CElES MAR LS'r,IpP
2,BIOCEC 1,(9]F1R GLZDVE 11 OF TfE NFB; OF THE NNB; OF
SECPION 27 ADID SEC,TION 20
EXISTING ZONING: R-2 (RESIDEN'PIAL DUPLF?S)
DATE OF PUBLIC HEARTNG: NIIRCI 24, 1981
DATE OF RFPORT: NU?CH 18, 1981
gEPpRTID gy: KURTIS G. UIdtICH, PIANNING ASSISTANT
APPLICATION SUBMITPID
An application has been suLmitted for a waivex of plat to allaa for the sub-
division of 8 duplex lots for separate ownershiP of each duplex unit with
lot.
1. The lots in question currently all wntain one duplex upon a single lot.
Tlae pr.uposal is to split each lot to allaa for separate ownership of
each duplex tmit with lot.
2. Fach of the newly-created lots would meet all ordinance requireuients
applicable to the R-2 zcning desi9nation.
3. The proposed lot splits would not negatively inipact the character of
the neighborhoods and would encourage owner occupancy of the dwelling
units. '
4. In the past, other similar waivers of plat have bee.n 9ranted in the
Ches Mar and Cedar Grove neighborhoods.
5. Separate utility lines are currently provided to each unit•
If approvecl, the waiver stould be subject to the £ollaving wnditions:
1. All property shall retain the existin4 dx'aina9e and utility easenents •
2. Fach of the newly-created lots must meet all applicable orclinance rr
quirerients.
KQ]/jac
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Use BLUE or BLACK Ink
. r----------------�
I For Office Use �
I
City of E���� ; Permit#: '�����5'��"" I
I � �
3830 Pilot Knob Road � Permit Fee: /�L� � �
Ea an MN 55122 � �
Phone: (651)675-5675 � Date Received: ��C�-/�I
Fax: (651)675-5694 I �
I Staff: !�'7 L. I
�-----------------�
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2)sets of plans with all commercial applications.
Date: Site Address:
Tenant: Suite#:
Resident/Owner Name: /Qo�/7 �,f�� ��G� c��/l� Phone: ��� �C'�" /��
Address/City/Zip: G �✓Gp"l� 2/` ri� �a �
Name: /'7 4/�'1lt�l t,°d"� /I S f���icense#:
COt1tP1CtOC ' Address: �.,�y�� S7-/� City: ��r�Q�'�
State:�Zip: SS���� Phone: -���� ��`7 yG �C�'
` Contact: Q°, 'i—° Email: M�L'/`S' �S'/(�` �CU�'i
New Replacement �ditional Alteration Demolition
Type of'Work Description of work:
NOTE: Roof mounted and ground mounted'mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction _Interior Improvement
P@CfT11t Typ@ 1�ir Conditioner Install Piping _Processed
Air Exchanger Gas Exterior HVAC Unit
_Heat Pump Under/Above ground Tank �Install/_Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ TOTA�FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
'If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge'
"'If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
"'"`If the project valuation is over$1 million, please call for Surcharge =� TOTAL FEE
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.
x ��/.'�� /��i/��!'/G'��/' x <�GGiy��Tl..�.
Applicant Printed Name Applicant's igna ure
FOR OFFIGE USE
Required Inspections: Reviewed By: Date:
.�f Underg€eur�d Rough In ` Air Test Gas Service Test Jn-floor F�eat Firta�•��*� HUAC Screening
To: City of Eagan Page 2 of 4 2014-08-11 21:14:16(GMT) 16517890805 From Tony Detomaso
Use�LIBE+or BL�a4CK 9nk
jForOffi�eUse --------��
%� /� I
� Pertnit#:� LY ���V 1
C1�� of Ea��.Il � �
jPermit Fee: ' '�� 1
3630 Piiot Knob Road I �
Eagan AAN 55122 � Date Received: � I� I �
Phone:(651)675�675 j
Fax:(651)675-5694 � 5tatfi: �
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Date: g'//"( Site Address: f2�c: ` `�2.� � � /�3 Unii t�:
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( "I� � O$1I460Irk � Description of work -���-���— ,�.+=°c�.,;.� •.F. � 4� ._,�.�v��i L;�-�c`�,„�—h 2,X�- �r�t l�:;i
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� � Construction Cost;�.it�'�c`�" �Mu�Yi.Family Building:(Yes /No�) �'
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r �lddress:��� '%�t3r'�p.��v'� iS%C f� City: o�C�,e�C�T. f/�-tL.�
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� � State:�Zip:�� P.hon�:���'��'9��C7aEmail: ��tl.�(�—� ��Gf`!cr�t`.�v.vt �
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� License#: C'�G�,.�. ��' �' Lead Cer4ifcate#: G�f� ;,�C�,3� t
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� If the project is exempt from lead certification, please explain why:{ses Pag�3 for additio�al information) �
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� COf�lRLE�E THBS d��EA ONLY 1�CON�TRIJCI'I�IG A R4�W�iJILD�PIC9 � �
� �
� In#he last�92 months,has 4he City oi Eagan issued a permit for a similar plan based on a master p1anY �
� �
_Yes _No IF yes,date and address of masler plan: �
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� Lic.ensed Plumber: Rhone:. �
_ €i �. �� . . . ... .. ... ...... .. - . . . ...... . .. .
.. � . . .. -.. �� .. ._ . - �� � .....
� Mechanical Contractor: , Phone:
_ ,.
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� Sewer�1Nater Contractor: Phone: �
� NL?�'�'•Plans aRd sup�ortirtg documents tieat yqu subartlP are cQraslaf�rec0 t�be pu.bfic irrformation_ �'ortiotis o�� -:�
„ the+nforr,�atissn r�sa,y be�la�sf�ed as»on-public ii yo.u pvov.is�e specifie re�sons.that woula�perr»it the.:Cily#o �
� - conc/ude<8f�at they are'tracie secrets.- - ---- - - --- �.:�
CALL BEFORE`YOl!DIG. Ga8 Gapher SYate One Call at(651)A54-0002 for protection against underground utility damage. Call 48 hours
before you intend 3o dig to receive locate&of underground u6lities. v!n^r_w.gopherstateanecall.or4
I hereby acknowtedge that this fnfoi'matioa is oomplete and accurate;that the work wilt be in conformanFe witb the prdinances and Godes of the Gity of
Eagan;that 1 understand this is not a permit,but only an applicaEign for a pertnit, and work is not to start without a permit;that the work witl be in
accordance with the approved plan in the case of work ivhich require$a review and approval of plans.
E�ctenor work authorized by a buflding permit issued in accordance with the AAinnesota State Building Code must be completed within 1S0
days af peRniS issuance.
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ApplicanYs Printed Name , AppllcanYs Signature
Page 1 of 3
Jun 1416 09:37a AA Garage Door LLC.
411,1/kCity afBapO
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 6755694
651-702-0838
p.1
Use BLUE or BLACK Ink
L
For Office Use /T7 Permit#: Q
/0'sa
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6/14/2016 site Address: 1250 Dunberry Lane A
Unit #:
Name; Rochelle LaChapelle Phone: 651-408-2133
Address / City /Zip: 1250 Dunberry Lane, Eagan MN 55123
Resident/
Owner
Applicant is: Owner ✓ Contractor
Type of Work
Description of work: Replace existing overhead garage door on attached garage.
Construction Cost: 1200.00
Contractor
Company: AA Garage Door LLC
Address: 401 9th Ave
Multi -Family Building: (Yes i No ✓ )
Contact: Deb Nyasende
Slate: MN Zip: 55071
License #:
Phone: 651-289-7121
City: St Paul Park
Email: dave@aagargedoor.com
Lead Certificate #: LSR 147842
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:
Sewer & Water Contractor:
Are Suppression Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information, Portions of
the information may be classed as non-public if you provide specific reasons that would permit the City -to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 48 hours
before you intend to dig to receive locates of underground utilities. www.000herstateonecaltora