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1268 Dunberry LaneCITY OF EAGAN Addition CHES P9AR STH ADDN. Lot 7 Blk 1 Parcel 10 17104 070 01 Owner F? , ?-7 ll'if 1_. !- -n street 1268 Dunberry Lane State Eagan, A'QV 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK a 1973 172.92 8.65 20 112.37 C005217 2-20-78 * SEWER LATERAL 1980 3311.44 $ 2 : 76 WATERMAIN * WATER LATERAL 1980 WATER AREA 11141 1977 172.92 11.53 15 138.33 C005217 2-20-78 * * STORM SEW TRK 980 * STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT Road llnit Ch . 7 WATER CONN. 250.00 11$28 9-1- $ BUILOING PER. #4949 sAC 500.00 11528 9- -78 PARK ? INSPECTION RECOIZD ? CITY 4F EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: s; fi t i Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 ?.N.: IFJ-]!]04-07A SITEADDRESS: N} U?,F; j ?,Lul.? ? ; APPLICANT: ., A:NHFF+kY t ANr t Ilf MAtt £, {N ( h I )4b4,•3 10 I I PERMIT SUBTYPE: TYPE OF WORK: , . INSPECTION D. . .. Psrmit Holder aate Telephone # SEWER/ WATER PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ? ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRICiATIpN METER FIUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVEO FROM AMOUNT ? I DOLLARS ioo [-] CASH [:] CHECK FOF FIIND COOE - q1A0UNT - I jhank You B Y ? White-Payers Copy Yellow-Posting Copy Pink-File Copy 4 BUILDING PERMIT Site Address Lot Biock ? Parcel # ee Name W I Addre: cinr oF EA"N 3795 Pllot Kno6 Road Eagaa, MN 55122 PHalIEs 454.e100 & G8I'i. = Est. Value ! 4,0G4- 'e . ?aa„aJV?6 U..?<.l J• Name Z° ..s ?aiy,c??t ou Address ? ??.,, 3fglle?;? ati,,,1e 454-6873 Name Address I hereby ocknowledge thet I hove reod this appiication ond state thut the information Is correct nnd agree to comply with oll applicoble State of Minnesota Stotutes cnd City of Eagon Ordinonces. Signacure of Permittee A Building Permit is issued to: ell work shall be done in acmrdance with a11 applico6le Stote of Mir I Building Official N2 4949 Receipt # Dote . 19 Erect [3 Occuponcy Alter ? Zoning Repair E] Fire Zone Enlanpe 0 Type of Const. Move ? # Stories Demolish ? Front Grade ? Depth ff. Aooro v011 Fees Assessrnent 0/ 1.c/ r u Water & Sew. Police Fire Eng. Planner C,OUIICIl ' ./ 1 Cr Bldg. Off. APC Permit Surcharge Pion check SAC , Water Conn. " YNote? Meter Totol on the express condition thot Statutes and City of Eagan Ordinances. ?ennM #? Dafe laued P?MtN Plumbing -7 t,. Mechanical INSPECTIONS DATE INSP• Ragh-In Find Footings Z-/--7t Dota Insp. Date Inv. Foundotion Plumbing Frome/ins. Mechcnicol Final Remarks: l.I - f I. 7 v . ` ?'".:1MSING ? n.,?a• - 28-78 CITY OF EAGAN 3795 Pilot Kwob Roed Eayan, Minnesota 55122 Phone: 454-8100 PERMIT No. 42 Receipt IVo.: Single I : Residentia l Site Address: r-:1T1 'oCT"'`/ I„1:1G ' Lot Block 1 Sub/Sec. (N5 Multi Res., Comm./Ind. I _ C:nn I.?li? ?.?: ?-C rl•:' Name (, ' New/Alter./Repoir. I Address ? ''116 Holyol_<? Cost of Installation City 1T'P 1? Va i I. e?- Phone: `1' 4-?' ?' 7~ Permit Fee N e f'EnZ-Rgan Surchar9e .5n ? i Address City Phone: Totol This Permit is issued on the express condition that oll work shall be done in accordence with oll applicable Stote of Minnesota Statutes ond City of Eagan Ordinances. Building Official • CITY OF EAGAN 9795 Pilot Knob Road Eogon, Minnesols 55122 Phone: 454-8100 PERMIT Date: I 0° 24- 7`' Site Address: Lot Block Sub/Sec. _ Nome ' ?`t:?nn sl;;s•?. ? Address 13816 HU1.Vkoi-._= City irq1 1e?7 Phone; Name . ;30 BeRU D' ? Address e 0 u City Phone: This Permit is issued on the express condition thot oll work shall be Minnesota Stotutes and City of Eagan Ordinonces. No. I '29 Receipt No.: 1? J 5? Single I Residential y Multi Res., Comm./lnd. I New/Alter./Repoir Cost of Instollation Permit Fee , n Surchorge Total done in accordance with all applicable State of Building Official CITY OF EAGAN 16 3'' S 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # `/ ? _ -?5 ;< ? Jr To be used for 1?ZCK Est. value ;1 gow Date AN _ , t g $9 Site Address SAM uuwmmxi Lot 7 Block 1 Sec/Sub. Parcel No. Gity Phone 471-z«° ? Name SAM 0 Address ? City Phone U¢ WW Name F, w u ; Address <W City Phone I hereby acknowlege that I have read this application and state that ihe information is correct and agree to comply with all applica?State of Minnesota Statutes and City of Eagan Ordirtances. Signature of Permitee ?• ^? `? A Building Permit is issued to: TM OR 3MN VUZSMR on the express conddion that all work shall be done fn accordance with aIl applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Occupancy Zoning (Actuaq Const (Allowable) # of Stones Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Wa1er PRV Required Booster Pump APPROVALS Planner Camcil Bldg. Of(. Variance OFFICE USE ONLY - FEES ZOZ13 16W Bidg. Permit Surcharge Plan Review SAC, City SAC,MCWCC water Conn Water Meter Acct. Deposit S!W Permit S!W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL 26.00 •50 ao w Z7.50 Permtt No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inapection Date Insp. Comments Footings I Foundation Framing Roohng Rough Plbg. Raugh Htg. Isul. Fireplace Fnal Htg. FinaI Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan 814g. Final Deck Ftg. bS Deck Final - --? 640 ,CeO,1477 Well ? Pr. Disp. CITY OF EAGAN s "5 Pllot Knob Rood Eogon, MN 55122 Zoning: Owner: Address: Site Address: ' Plumber. _ 'aZ Rvn n 1 PERMIT NO.: DATE: No. of Units _ I ogree to comply wifh fhe City pf Eagan Ordinonces. By Date of Insp.: 00 r Connettion Charge: ? '• ? 'N? Account Deposit; PermiY Fee: Surchorge: __ Misc. Charges: Total: Dote Poid: cirr oF Eaw?N WATER SERVICE PERMIT 3795 Pil?f Knob Road Ec'Aan, MN 55122 PERMIT NO.: Zonin 9: DATE: Owne r: - No, of Units: Address: Site Address: Plumber: Meter No.: Size: Connection Charge: . Reader No.: Account Depasit: 1 agroe to eo?nPI y with the City of Eogcn P ermit Fee: a - S Ordinoncas, urcharge: , - . Misc. Chcrges: ' ?, •. BY Total: Y Dote of Ins P.: Date Paid: I nsp.: . CITY OF EAGAN NO 16875 ^ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE:454-8100 C BUILDING P 3aa? ` ERMIT Receipt # To be used lor DECK Est. Value $1, 000 Date- AUG 1 , 1g 89 Site Address 1268 DUNBERRY LN Lot 7 Block 1 SeGSUb. CHES MAR STH OFFICE USE ONLV Pareel No. occupancy - Fees Zoning - w Name TOM & JOAN WIJESSNER (ACtuap Const Bldg. Permit 26.00 o AddreSS 1268 DUNBERRY LN - (Allowable) - 50 Surcharge . City EAGAN Phone 297-2226 xorsrodes - 10 3 Plan Review xj Length ? Name SAt"?E Deplh 1(1X u SAC Ciry i . , ?a Address S.F. Total - ? SAC, MCWCC C.ItY PhOf10 S.F. Foolprinis _ t C W On Site Sewage - a er onn Name onsaewen t M W - er eter a 2 30 0 1 AddfeSS MwCCSyslem _ , Z Cily Phone Ciry Wa1er _ Accl Deposil l PRV Requiretl _ SrW Permil I hereby acknowlege that I n'?'9 read this application and stafe that the gooster Pump - SIW Surcnarga intormation is correct a agrB? to comply with all applicaH State of Minnesota S[aWteS a City qF'Eagaq Or9 anCeS. Treatmenl PI Signature of Permit e?????? ? APPROVALS Road Unit A Building Permit is issued to: TOM OR dOAN ESSNER Pianner - park Ded. on the express condition that all work shall be done in accordance with all Council - 1 00 applicable State of Minnesota Statutes and Ciry ol Eagan Ordinances. Bldg. Olf. Copies . .. ? BuiltlingOfficial 4fl11f? 0 f?, 1 yy 111 Variance - TOTAL 27.50 t CI'iY OF EAGAN 3795 Pilot Kneb Rood Eogan, MN S3122 PHONE: 454-8100 BUILDING PERMIT APPLICATION Te ba used ro.SF Dwlg. 8 Garage E 64,000 N4 4949 Receipt # ?zs°Y 78 Site Address1268 lhinberry Lane Lor 7 eiock 1 sec/Sub. Ches Mar 5th Parcei # 10 17104 070 Ol w IN.,re Tollefson Bldrs. _ 3 Address 0 o Name '.. ??.?.... ..?uia. ?? Address o y oe ?- r:... ApPlB Vallev o,.._e 454-6R7.1 Name I hereby acknowledge that I have read this appliwtion and state thot the infortnation is wrrect end agree to comply with all opplico6le Stcte of Minnesota Stntutes ?q?ll Cityof Eagaii, PF)dinonces. Signoture of Pertnitt ee A Building Pertnit is issued t9./ oll work shall be done in.OcorEpncb,with all p0icable Stote of Mir Erect IN Occupancy 1 Alter ? Zoning Repair ? Fire Zone Enlarge ? Type ot Const. v Move ? # Stories Dertrolish ? Front 63 ff. Grode ? DeDth 42 ft. Approvalt Feea Asseument t512441 Woter & Sew. Police fire Eng. Planner Courxil cy 10 Bldg. Off. APG Permit ?"" "'" _ Surcharge 32•00 Pian check SAC 500.00 Water Conn. 250.00 Water Meter 60.00 Road Unit 75,00 Toto on the express condition thot Statutes and City of Eagan Ordinonces. Building Official This request void 18 months From // G 33 • '$? 0687 Date f o th? Requestag? $ 7k -' I, as G72"censed Electrical C tractor O?O ??, do hereby request inspection of the above electri- cal wiring installed at: /-? e r Street Address or Route No.s-? 7??_ ?r?rK.c4 i ,S.bE City. ?4? Section . Township Range County lkdi4l?- Which is occupied by Is a roughin inspection required on this job? No ? Yes L3'? Ready Now ? Will CallFJ- PowerSupplier?G.,?P?, AddressJAZ!?? ElectricalContractor UNDR! ?'? ???I? Contractor'sLicenseik?g2 (COmpany ame) MailingAddress 13 RIZ -t \/E R?CVIi i ? (ElectncaTCOnTraTr o, Owner.MalS?n I5 5 ) AuthorizedSignature GARY KFN.??,IC'K PhoneNo. 432 69 b (Electrlcal Contractol or Ownef Making T1115 InStallatlon) ?''{`j? n`nj ?? ?? pO J,1??! {1 (y'? This irnpection request wili not be accepted bV the e?J l1 L f?'? ?l, Q State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity •7954 ?lniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 • 'REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY TH1S REQUEST /i61 33 ? 0687 Type oi Building New Add. Rep. Check Appiiances Wired For Check Equipment W'ved For Homc ? ? Rangc ? 'Iemporary Wiiing ? Duptex ? ? ? Water Heater ? Lighting PLxtures ? Apt. Bldg. ? ? ? Dryec ? Electric Neating ? Commemial Bldg. ? ? ? Fumace ? Silo UNoader ? Industrial Bldg. ? ? ? A'u Conditioner ? Butk Milk Tank ? Fazm - ? ? ? List List 1 Othec , ? ? ? HeicIS? p y Here?S1 COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee F rs u ec ee Cixcuits: k Fee 0[0 100 Am s. 0- A e- 0 to 30 Am eres ]Ol to 200 Am s. 31 100 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above lOD Amp TiansFormers Remo[e Conttol Citc. Partial or othei fe Signs S ecial Ins ection Minimum fee $5. Remarks TOTALFEE Q I, the Electrical Inspector, hereby certify that (Final) This request void 18 months from has been made. 9-???? tiAis request void 18 months from 7_1 ? a33/ A /??n._ ?..? w ? ?, /? Date _ofyt s Request, / 9 7Y R 2 5 949 I, as L-$7'I.;censed Electrical Contractor Owner, do hereby request inspection of the above electri- cal wirinR installed at: Street Address or Route No. ta City? Section Township Range County? Which is occupied by Is a roughin inspection required on this job? No ? Yes P-'? Ready Now ? Will Call4a? Power Supplier &4'? (_Q,+? a i , Address ? ??+ ? Electrical Cont?f?t????91r.T g i 1, Contractor's ?[."ompany Name) Mailing Addres? or BURNSVILLE -5036 Authorized Signatur?,?EN ?R I CK Phone ( W. r cal Contractor or Owner Makin9 This Installatlon) n?p} This inspection request will not be accepted 6y the ???W tln?(' ? R UOG=,l.?1? ??ply State 8oard unless proper inspection fee is encloud. Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION R 25949 CHECK E3.OW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliencea W'ved Fox Check Equipment W'ved Fm Home " Duplex ? ? ? ?? Range Water a ["r Temporary Wiring Lighting Fixmces - ? Er, Apt. $Idg. Commeacial Bldg. Industrial Bldg. ? ? ? . ? ? ' r c c ' - i ? ? ? Electric Heating Silo Unloadec BWk MilkTank ? ? ? ist List O her ? ? ? p Hehels? p HeieisI COMPUTE INSPECTION FEE BELOW Secvice Entrance Size: u Fee FeedersBeSubfeedeis: # Fce CIICUits: # Fce 0 tu 100 Am s. 0[0 30 Am eres 0 to 30 Am eies 101 to 200 Amps. 31 to 300 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Ttanstormers RemoteControlCirc. Partialocotherfee S' ns Speciai Ins ection Minimum fee $5.00 Remarks TOTALFEE L B I, the Electrical [nspector, hereby certify that t}le above in?pection has been mad .Z4,40 .0 (Rough-in) /X? : ?{?,?ivc,CTkate G- :2 (Final) (?c?????e This request void 18 months from ?• . = CORRECTION NOTICE - s . Address I Owner/Agent Address Ordinance Nos, and Corrections - Correct By -A?e' /// , r DATE: SiteName2' /- `1-4S AQx 5 ! ,t , " rl t 11 For reinspection Eagan Dept. of Inspection IfISpBCtOf: 3795 Pilot Knob Rd. Eagan, Minnesota 55122 454-87 00 Dept.: _ CITY?OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: P.I.N.: 10-171.04-970-0:1 DESCRIPTION: , _._.., i. j i PERMIT PERMITTYPE: BurLD.r.NG Permit Number: 033817 Date Issued: 10 / 2 7/ 9 8 1.268 DLINBERRY LANE LOT: 7 BLOCK: 1 CNES MAR 5TN i -_., .ri.. T.O. & REROOF Nu,i'ld3'g')Permit Type STORh1 DAMAGE 601ding 4Yu?k Typa REPRIft C"ensus Code "\. 434 ALTe RESIDEN'ilAl r ?$..x .. ??.. REMARKS: FEE SUMMARY: CONTRACTOR: - APpl.icant - ST. Lzc. OWNER: PIETTG CONST JflMES 19543107 0004754 WOESSNER TOM 1267 DUNBERRY LANE 1268 DUNBFRRY LANE EAGRN MN 55123 EAGAN MN 55123 (612) 454-3107 (661) I hereby ackn'owledge that Z have read this appl3cation ar+d state thaC the infarmation is carrect and agree to comply wStH a-11 applzcable State af Mn. Statutes and City of Eagan OrdinanCes. ? APPLICANTlPERMITEE SIGNATURE IED BY: SIGNAT RE ` I 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 -? --? i 7- - 681-4675 New Construction Reauirements ? 3 registered site surveys ? 2 eopies of plans (inGude beam 8 window sizes; poured Tnd. design; etc.) ? i energy calculations • 3 copies of Uee preservadon plan 'rf IM platted after 711l93 requiretl: _ Ves _ No DATE: -0- n 0 c-7- '7 d RemodeURepair Reauirements ? 2 copiea of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calwiations fnr heated additions S4z, r rv? CONSTRUCTION COST; ? SL D b DESCRIPTION OF WORK: STREET ADDRESS: t 2 f? Ef l ?u ?? e r r ? LA/ LOT ? I BLOCK a : : SUBD./P.I.p. #: kn Name: ?o e ssN e c? ?oivl Phone PROPERTY I.ast First OWNER StreM Address: J 2 6£f' ? 1 J u n- ? e r r- •-, ?- ? City F -/} &- f}-n.i State: Zip: Company: Jot'rn P S ? t e 77 (- - Phone gSy "3/ C7' 7 CONTRACTOR Street Address: ) Z (o -7 ? u ?v ? -P rr t -, LA-) License # City E,?4 fr-F?c? State: M A-1 Zip: SS-J Z? ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: Ciry State: Zip: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. I hereby acknowledge that I have read this app(icatian and state fhat the State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No Not Penalty applies when address chang ? nd ag-L ly with all applicabl . f r-?-- leA, v Wt BUILDING PERMIT T1fPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch 0 09 12-plex E3 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPRQVALS Planning OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft, sq. ft. sq. ft. sq, ft. sq. ft. Footprint sq. ft. Building Engineering Variance Permit Fee 5urcharge Plan Review License MCNUS SAC City SAC Water Conn. Water Meter Acct. Depasit S/W Permit S/V11 Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Vafuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit % SAC SAC Units y a /y C'?" _.• , •'?' ? ' - PATE i BUILDIirG PERMIT APPLICATION tnclude 2 seta o£ plans, 1 site plan w/elevations and 1 set ot energy calculations. ow °?" To be used for ? ? Valuation Site Addrass: /,,?G ?'" I,ot Block 7 ? Parcet 1 Number /n l7/U-?/ 07 ? ?) /' Owner Address' contractor Address ,,Arch. /Ertg. Addresa Telephone Telephone ?- lr E? 3 Telaphone OFFICE USE ffect L? Alter Repair Enlarge Move riemolish Grade ,OI"FICE USE Date of Approval & Initial Assessment _a water/Sewer Police Fire Eng• Planner oouncil Bldg. Off. A.P.C. Occupancy [ Zoning /Z? Fire Zone Type of Const. v # of Stories Front Depth FEES Permit Surcharge 3a'4 Plan Check SAC ??S p 0 FTater Conn. 4latJer M/eter G? oS- .V i?J 7?M? rv TORAL l0 ? '? : 3p °,1(A 1.31/ le ?LJ .6 r 30 y9a 9? 9, a yd ? Cities Diizital Oualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. Tallefeon Butldere Inc. Or.10882 ?p 183-30-A r. F. C. JACKSON - -.- • -t,. y:??? !- /,_;, LAND 6URVEYOR ? i - - "1'r'y?it ? `•- *?f?'i,/'y .?V -?,f,,.,?? 11[OIK[fi[D UNO[R LAWS p1 fTATH O/ MINN[WTII / , UC[N9[O 6Y OROIN6NC[ OF QTY OF MINN[h?OLti •- t ?n?? sefe ewsr saTH STREET 55417 12 7-:548+ }- `'?- -- --- - ' ? gbarbcpor'? QCerHficate U44 nber-r?, L .? - +? - - - j -? - --- - --? ' ' M I O L .? ? . ??- ? ?. 0 t Ci I `" •"< / `IS ?? • . . ,v ? I , '. ? f" i 1:.?• ,?,___-, _ ay ;O ?. -- - - - , I M!R[dY ClNTIFY THAT TNi ACOV[ 16 A TRU[ ANC OORR[CT PLA OF A BURV[Y 01 ? }. i ? Lot 1,Block 1,Ches Nsr Fifth AdditioA, lkikote County,Minaeeota. 27th. AS 6URVEYEp BY MH TH15-_ DAY June 1418 / SIGHED p F. C. CKSON, iNHReo: ? v ? V ? ? fi s 1?4 _ 7z. ?-_ RcaIsrrtwiion. No. 3600 / ,y? ? . . . . '` :; ` #; .. ?.O..d?l?/t????'?n,??/• ? C,?tz.?w/ n i _ ,. - :. ?!; ?,;9?.f?? , ? !' l? . . :... c-:9 191^ l'1'. Oth F.:>e1,91 Phe+ta CIy'?.oL'd rI9IP 1.'imr.Ti_'r? ? n_rnnr.;s I PTTOa? L-13AL r79(!?Z?i!Q17 L?"' r't?s?ri.i?i'y'? I?S°? r?,{?r.{ ?D:?•i'2:'??? 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DIVIDP'll dY 't'u1AI, 4;1[.L , ----------- -'-?.__._<,??;- ,? 1989 BUILDffiG PERMIT APPLICAiION CITY OF EAGAN SIIIGLE FAMILY DWELLZAGS 2 SETS OF PLANS 3 HEGISTERED 3ITE SDIFPEYS 1 3ET OF EpERGY CALC3. 1(013 HGS 16 l?LTIPLE DiiELLI 2 88T5 OF PLAN3 BECISTfiRED 3ItE SOFt9E25 - (CHECE iRTH BLDG DIV.) 1 SEf oF EsEHGI CdLC3. MULTIPLE DWELLINGS AENT6L W1ITS FOR 3ALE DIiTfS COl4lERCIAL 2 SETS 0£ l9CHI?ECTURN. 8 STBDCTIIRAL PLLN3 1 S8T OF SPECIFICATIOHS 1 SfiT OF ENEAGI CALCS. / OF UHITS 10TEt iDDRESSES FOF CORFER LO?S - COAiR,CfOR/HOMEOYNEA lUST DESIGBATE iiSICH IDDAFSS IS DFSIAED. AO CHANGES NILL BE lLLOiiED OtiCE BUILDING PEAMIT I3 ISSDED.. 3EWER i iiATER PERMIT FEES lAD ACCOQNT DBPQSIT F6E5 iiII.L Bfi INCLDDED M!'PB !HE BUILDING PERlII2 FEE, p80C£SSING tIME FOR SEWER lAD AATER PEIMITS IS TWO DAYS ONCE l PERMIT H6S BEEN OOMPLETED INDIC9TIPG A LICEIiSED PLU!ffiEA. PENALTY APPLIES NHENs PERHIT IS NOT PAID FOH IN SAME MONTH IT IS REQUESTED. LOT CAANGE IS REQUESTED ONCE PERMIT IS ISSUED. To Se Used For: j?Qr r Valuation: Pj+. I,eL?o Date: Site Address fZW Du06e:r4 4)4nR Lot 7 Block / Crt t? ?n Ai2 g`MAriN Parcel/Sub 10-/ 7/ot4-U"1 0-D1 Osmer ?i,?a fS4?nJe Y'. ' IQrY? C",10A1,) Address 1Z(n8 DwNLer r , LrgNp City/Zip Code /Y!N SSfx3 Phone 4ISZ -L, v r 6 Y o?197- 21- Contractor ?5.p kddress City/Zip Code Phone Areh. /Engr. .$ @ Address City/Zip Code Phone # Occupaney 2oning Aetual Const Allorrable f of stories Length 10 x j iVz Depth iE-x ie'h- S.F. Total Footprint S.F. On site aewage On aitie xell _ MWCC 3yatem _ Citq water _ PAV required _ Booster Pmp _ IPPROVALS Planner ? Couneil Bldg. Off. 8/l Yarianee f'EES Bldg. Permit .2C'00 Surcharge Sc Plan Reviex SAC, City SAC, HWCC Water Conn Water Heter Acet. Deposit S/W Permit S/H Surcharge Treatment P1. Aoad Uait Park Ded. Copies 1,00 SQBSOTiL. Penalty ?UTdL _9 7 +S i ?,' '• ° .???"'eti??M i'='?#f,?.??ll$t??6lN??i?'?ik?F 55??ir 7 J H ye 4 F ` w 5? 3??' 6 S? ? nr ?Pi ?r `? ? "? s ° ry? }?v?. ?F•yA? ?,az?' } P??? Sv s ? ' 7?, r7 s r (? ?yyy 1f ,yteI d,,[I PM?4Mit'M? ? e" ? ?. - t? ?^ q h n dgY t? L'r x c i? '- !1 k 1 7vy? h{ ' ?k , i b ' `?\t? N4 ,tn.,4j1 x?qp.y.p`'.?'P?_ P1 y ? i?i?°L? n` a4 ni ab ? r f ? ` , i ? '_?i? e-t-• "-?.•i. """4'. -J.-..? ? i 40 eiP4.F??,?'V i7rs . ?4v Y / 7 . a ti ? i? p47a jo ? ? a'?ff ra , ,?,?y t? ?"w ?yrA?° r :?' ?' x ? ? ?" ?' i? 'a ?+`r?' J d ?' c f a10x? ? . h. s ? t . G? M?4 ?? y t n° l a ts? Ri\ J 5 y: - zl?v ?i ? €" kx ?i ?4 f r# 'L,? v s? ? s y2" 4d1 e 1 xa L,? KVxi ?s t'9r' y???g??r. if ? t? x ?sd; ?£"tt: ?$ ?-?s-1 <k?y f ' r rk?' M.?l° 1qy?Y.y?imy y!IL`}?{/?i?flfiYw?4?;? ? ?^1? ? . _ R t L ?` E r .?Nsn rlit ?+'tyy?y ?.?a,? v?yy ?? t r : i ? As surtvarte ?Y fbs TN421?h lq]& s1ii??( . - ??? . . , . . ?:;i i??;:` f ,,? ?,•. ?.S"'A?'' y'.?r + ti . .. .. . .. . .. . ... ? , .' _ . .. , ' , . ? , . . . ?. ?i1 t,t? "beoo ' 4 .. 3 r . r .' ?Z ?. JA;.?? ._'. 1 oF 3830 PILOT KNOB ROAD V1C ELUSON EAGAN. MINNESOTA 55122-1697 ^^?' PHONE: (612) 454-8100 iHOMnS EGnN FPJ(: (612) 454-8363 DAVID K. GUSTAFSON PAMEV+MCCRFA iHEODORE WACHTER Co?ll Members ' 1H0MPS HEDGES October 20,, 1989 CINMmnishalor EUGENE VAN OVERBEKE City CIeM1 JOAN WOESSNER 1268 DUNBERRY LANE EAGAN MN 55123 Dear Ms. Woessner: The Mayor has asked me to respond to your inquiry regarding the possibility of placing a streetlight at the intersection of Dunberry Lane and Cliff Road. I have reviewed the matter with our Police and Engineering Departments. They have informed me there are 41 other intersections in Eagan that are currently prioritized for streetlights. In addition, there are seven existing streetlights that will need to be changed. Such streetlights, at a cost of approximat'ely $800 each, will be installed over the next few years. The cost of streetlights is typically financed through the Major Street Fund or special assessments to the benefited property owner. The City's intersection streetlighting program is updated periodically as lights are installed and as needs are warranted. The Dunberry/Cliff intersection will be added to our capital expenditure list for streetlights. Thank you very much for expressing yotxr concern about this issue. Sincerely, n6 W-4.°f Thomas L.;Hedges City Administrator cc: Vic Ellison, Mayor Tom Colbert, City Engineer TLH/JW/ j eki THE LONE OAK TREE.:.1HE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY Equal Opportunlly/Aftirmailve Actlon Employer ?. .< .. , , , ... _ MEMO TO2 THOMAB L. HBDGBB, CITY ADMINISTRATOR FROMS THOMAS A. COLHERT, DIRECTOR OF YllBLIC WORH$ 1 DATSs OCTOBER 11, 1989 SUBJECTS TREETLIf3HT UEST - DUNBERRY I,71NE AND CLIFF ROAD Recently, you have informed me that the Mayor received a concern from a resident questioning the lack of a streetlight at the intersection of Dunberry Lane with c:liff Road. With the development of the Ches Mar Adclitions in 1979, ornamental residential streetlights were installed within that subdivision in accordance with a layout plan prepared by the Dakota Electric Association (November,.1977). Althouqh, present City policy would have provided for a 250 watt mast arm streetlight at the In reviewing our major intersection streetliqhting intersection has not been identified as a this De artm_ents. (Attached is a memo from Craig Knudsen listing the high pri- or?y streetlights in the City of Eagan). Subsequently, it has not been included in the 1990 budget requests and is not anticipated to be included in any foreseeable future budqet requests. If the installation of this estimated $800 streetlight is to be installed, it could be financed under one of the following three metho 1. As a special assessment against yet to be determined benefitted properties under the premise that, had it been installed as a part of the original streetlighting plan, all lots would have shared equally in its cost. ? It could be included in a future budget request. Sased on proposed level of funding, there are approximately 8- 10 major intersections that are scheduled for streetlight installations each year. 3-) It could be financed immediately out of the Major Street Fund. Page Two October 11, 1989 If you would like the Public Works Departmeiit to pursue this issue further, please provide the appropriate di.rection. Also, let me know if any additional information would be helpful to address this concern. Respectfully submitted, Z?..?.b ???t?ir2--(.?G,Y Thomas A. Colbert, P.E. ? Director of Public Works cc: Arnie Erhart, Superintendent of Streets/Equipment Michael P. Foertsch, Assistant City Engineer Attachment TAC/jf MEMO TOS ]1RNI$ SRHART, BUPERINTENDENT OF BTREETS/EQIIIPMENT FROMS CRAI(i E. RNQDBEN DATE: MAY 25, 1989 SUBJECT: BTREET LIGHTS/BIIDGET Attached is a listing of intersections in need of street lights to be used for the 1990 Budget. These lights are not necessarily in order of priority and only a portion could be installed under next years budget. The actual cost of each light will depend on the location and access to power, but you can expect the range to be between $750 and $1,000 per light. Please contact me if you have any questions. ig E. Knudsen Enqineerinq Department iatersection Location/COrner Tvoe Trunk Hwy. 13 & Letendre Trunk Hwy. 13 & Four Oaks Rd. Pilot Knob Rd. & Towerview Rd. Pilot Knob Rd. & Quarry Lane Pilot Knob Rd. & Jurdy Rd. Pilot Knob Rd. & Sigfrid St. Pilot Knob Rd. & Balsam Pilot Knob Rd. & Eriks Blvd, Pilot Knob Rd. & Delores Pilot Knob Rd. & Carriage riills Dr. Nicols Rd. & Erin Dr. No. Nicols Rd. & Erin Dr. So. Nicols Rd. & Nancy Circle Blackhawk Rd. & Bluestone Blackhawk Rd. & Gabbro Tr. Blackhawk Rd. & Sartell Ave. Blackhawk Rd. & Davenport Blackhawk Rd. & Serpentine Blackhawk Rd. & Palisade Cir. Blackhawk Rd. & Robin Lane So. Blackhawk Rd. & Crestridge Lane Blackhawk Rd. & Monterey Lane Blackhawk Rd. & Kyllo Lane Blackhawk Rd. & Cliff Lake Dr. Lexington Ave. & Lexington Way Lexington & Gemini Rd. Dodd Rd. & Lasso Dodd Rd. & Atlantic Hills Dr. Dodd Rd. & Wilderness Run Rd. Kost Rd. & Elrene Rd. Apollo Rd. & Mike Collins Dr. Slater & James St. Deerwood & Riverton Yankee Doodle Rd. & Coachman Yankee Doodle Rd. & Washington Dr. Yankee Doodle Rd. & Wescott Hills Dr. Adler & Silver Bell Rd. Beau-De-Rue Dr.& Silver Bell Rd, Beau-De-Rue Dr. & Gold Pt. Beau-De-Rue Dr. & Cedarvale Dr. Cedarvale Dr. & Nicols Rd. N.E. N.E. N.E. N.E. N.E. N.E. N.W. N.W. N.W. N.E. S.W. S.W. N.E. S.W. S.W. N.E. S.W. N.W. N.E. N.W. N.E. N.E. N.E. S.W. S.W. N.E. N.W. N.E. N.W. N.W. S.W. S.E. N.E. S.E. S.E. S.W. S.W. S.W. S.E. N.W. N.E. 250 MA 250 MA 250 MA 250 MA 250 2R1 250 MA 250 NIIk 250 NF, 250 NF+ 250 MA 250 MA 250 MA 150 MA 150 MA 150 Mh 150 MA ].50 tg1 150 NR1 150 MA 150 MA 150 MA 150 MA 150 MA 150 M1 150 MA 250 MA Dec. Dec. Dec. Dec. 250 MA Dec. 150 MA 250 MA 250 MA 250 MA 150 Np1 150 2R1 150 M41 250 MA 250 2g1 Btreetliahts To He Chnnged Intersectioa Chanae From Change To Silverbell Silverbell Silverbell Silverbell Rahn Rd. & Rahn Rd. & Galaxie Rd Rd. & Willow Way Rd. & Heather Dr. Rd. & Laurel Ct. Rd. & Ballantine Rd Chipmunk Ct. Badger Ct. & Karis Way Dec. LO GNA Dec. ]9D FHA Dec. 15D FNA Dec. 1M FNA Dec. ]50 FNA Dec. ]5D WA Dec. 19) 4rl1 MEMO TO: THOMAS L. HEDGEB, CITY ADMINISTRATOR FROM: THOMAS A. COLBERT, DIRECTOR OF POBLIC WORRS DATS: OCTOBER 11, 1989 SOBJECT: STREETLIGHT REQUEST - DUNHERRY LANE AND CLIFF ROAD Recently, you have informed me that the Mayor received a concern from a resident questioning the lack of a streetlight at the interseCtion of Dunberry Lane with Cliff Road. With the development of the Ches Mar Additions in 1979, ornamental residential streetlights were installed within that subdivision in accordance with a layout plan prepared by the Dakota Electric Association (November, 1977). Although present City policy would have provided for a 250 watt mast arm streetlight at the intersection of Dunberry Lane with Cliff Road, there was evidently no such requirement in 1977. In reviewing our major intersection streetlighting program, this intersection has not been identified as a high priority intersection after evaluation by the Police and Engineering Departments. (Attached is a memo from Craig Knudsen listing the high priority streetlights in the City of Eagan). Subsequently, it has not been included in the 1990 budget requests and is not anticipated to be included in any foreseeable future budget requests. If the installation of this estimated $800 streetlight is to be installed, it could be financed under one of the following three methods: 1. As a special assessment against yet to be determined benefitted properties under the premise that, had it been installed as a part of the original streetlighting plan, all lots would have shared equally in its cost. 2. It could be included in a future budget request. Based on proposed level of fundinq, there are approximately 8- 10 major intersections that are scheduled for streetlight installations each year. 3. It could be financed immediately out of the Major Street Fund. . .` , ? Page Two October 11, 1989 If you would like the Public Works Department to pursue this issue further, please provide the appropriate direction. Also, let me know if any additional information would be helpful to address this concern. Respectfully submitted, Thomas A. Colbert, P.E. Director of Public Works cc: Arnie Erhart, Superintendent of Streets/Equipment Michael P. Foertsch, Assistant City Engineer Attachment TAC/jf . MSMO TO: ARNIE SRHART, SIIPERINTBND&NT OF STREETS/EQIIIPMBNT FROM: CRAIG E. RNIIDSEN DATE: MAY 25, 1989 SIIBJECT: STREET LIGHTS/BIIDGET Attached is a listing of intersections in need of street lights to be uspd for the 1990 Budget. These lights are not necessarily in order of priority and only a portion could be installed under next years budget. The actual cost of each light will depend on the location and access to power, but you can expect the range to be between $750 and $1,000 per light. Please contact me if you have any questions. ? ig E. Knudsen Engineering Department „ . Intersection Looation/COrner T e Trunk Hwy. 13 & Letendre N.E. 250MA Trunk Hwy. 13 & Four Oaks Rd. N.E. 250 NA Pilot Knob Rd. & Towerview Rd. N.E. 250MA Pilot Knob Rd. & Quarry Lane N.E. 250NFi Pilot Knob Rd. & Jurdy Rd. N.E. 250MA Pilot Knob Rd. & Sigfrid St. N.E. 250MA Pilot Knob Rd. & Balsam N.W. 250 NA Pilot Knob Rd. & Eriks Blvd.. N.W. 250 MS Pilot Knob Rd. & Delores N.W. 250MA Pilot Knob Rd. & Carriage ni21s Dr. N.E. 250MA Nicols Rd. & Erin Dr. No. S.W. 250MA Nicols Rd. & Erin Dr. So. S.W. 250MA Nicols Rd. & Nancy Circle N.E. 150 M Blackhawk Rd. & Bluestone S.W. 150 NA Blackhawk Rd. & Gabbro Tr. S.W. 150 MA Blackhawk Rd. & Sartell Ave. N.E. 150MA Blackhawk Rd, & Davenport S.W. 150NFi Blackhawk Rd. & Serpentine N.W. 150 NIIa Blackhawk Rd. & Palisade Cir. N.E. 150 2+A Blackhawk Rd. & Robin Lane So. N.W. 150 NIIa Blackhawk Rd. & Crestridge Lane N.E. 150Ng, Blackhawk Rd. & Monterey Lane N.E. 150 Ng, Blackhawk Rd. & Kyllo Lane N.E. 150MA Blackhawk Rd. & Cliff Lake Dr. S.W. 150NFa Lexington Ave. & Lexington Way S.W. 150 NA Lexington & Gemini Rd. N.E. 250MA Dodd Rd. & Lasso N.W. Dec. Dodd Rd. & Atlantic Hills Dr. N.E. Dec. Dodd Rd. & Wilderness Run Rd. N.W. Dec. Kost Rd. & Elrene Rd. N.W. Dec. Apollo Rd. & Mike Collins Dr. S.W. 250NP, Slater & James St. S.E. Dec. Deerwood & Riverton N.E. 150 MA Yankee Doodle Rd. & Coachman S.E. 250MA Yankee Doodle Rd. & Washington Dr. S.E. 250MA Yankee Doodle Rd. & Wescott Hills Dr. S.W. 250MA Adler & Silver Bell Rd. S.W. 150 NA. Beau-De-Rue Dr.& Silver Bell Rd. S.W. 150NF. Beau-De-Rue Dr. & Gold Pt. S.E. 150 NA. Beau-De-RUe Dr. & Cedarvale Dr. N.W. 250MA Cedarvale Dr. & Nicols Rd. N.E. 250MA Streetliahts To Be Chanae8 Intersection Chanqe From Chance To Silverbell Rd. & Willow Way Dec. 15D F2-A Silverbell Rd. & Heather Dr. Dec. 15DWIk Silverbell Rd. & Laurel Ct. Dec. 15DW4k Silverbell Rd. & Ballantine Rd. Dec. ]M FbA Rahn Rd. & Chipmunk Ct. Dec. 150 FDA Rahn Rd. & Badger Ct. Dec. 150 WIk Galaxie Rd. & Karis Way Dec. 15D W-A Storm Sewer Trunk Ches Mar 4th Block 1, Lot 1 345.67 2 346.45 3 3G1.68 4 301.02 5 1118.88 6 934.10 7 494.29 8 455.49 9 364.05 10 597.58 11 397.59 12 328.56 13 693.81 14 327.37 15 290.39 16 490,78 ll- 805.84 18 1631.79 19 1908.97 20 2512.98 B;ock 2, Lot 1 459.47 2 545.87 3 624.55 4 577.04 5 478.66 6 422.66 7 488.72 $ 553.46 9 423.54 Ches_Mar Sth ? 91ock 1, Lot 1 467.30 Z 369.51 3 601.09 4 468.55 5 506.35 6 ' 403.00 C7? 416.03 $ 546.00 9 443.09 Block 2, Lot 1 390.00 Z 390.00 3 390.00 4 733.75 5 603.69 6 331.45 7 325.00 $ 325.00 . 9 600.68 10 1021.15 Date: City of Etall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAY 072012 r Use BLUE or BLACK Ink For Office Use Permit#: Q 3L? 19-7 7 Permit Fee: Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION %/Oj 2C/2 -Site Address: /2 6 S Dw fiber, 1 Lo-fve Unit #: piennkiNfil MOM 411101},A, Name: f--1rvl T 4 S e fe - Phone: f,SJ 7 Fe of 90 0 Address / City / Zip: / 2 1, A D©1 ti.bc►rr L e7-46_6 z, Applicant is: Owner X Contractor Description of work: Deng EV c u/,S r/tiCr Lies ---, is -741-L- ,uc ec..J Construction Cost: 38 � a Multi -Family Building: (Yes / No x ) Company:-,k)fileS E? 776_. ,f2grfc'., ? CD, Contact: J4111 S fie i7 6— Address":� �/ 2 �r - .i e r,' ' / L / �7 �-7 State: / V / 10 Zip: J 2.,3 Phone: 6 ri ¥S 3 %6 / License #: 117,5-4/ Lead Certificate #: City: E A 6- A- ) If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) LUorK )/mac... No T- 19-F'-(- c; snore tA4n/ 24)d_42e,c ,-/o- aur ' c r4 -/-1D aeS .Qcr' 1tiaz- ( /> cv �,u1,6w JJf�' C.�LI/f t fQ 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: 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.orq 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code,tnust be completed within 180 days of permit issuance. .�i9'llt s T! e7fG-- Applicant's Printed Name xadriPto Applicant's Signature Page 1 of 3 /96g/ bi, tbc-44(/ SUB TYPES Foundation Fireplace Garage Deck Lower Level Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace -T' Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%)O Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair N,9 20 Vc, REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) �, r7� Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final yFraming Fireplace: Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant � N9-.3-5) Meter Size: MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Final / C.O. Required )4, Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests Siding: Stucco Lath Stone Lath _ Windows Retaining Wall: _ Footings Backfill Radon Control Erosion Control , Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 72it- 2s 310X1 Page 2 of 3 Tolle THOA swAsiers magi Fe Os JACKSON °". 4„4- irlAS LAND SURVEYOR 1-�r In �p 1-11/lay E.w.re Arm** �r REGIBTERUD UNDER LAWS OF STATS OF NUINtiOTA _ __ C v /e' / �� 3 d LICENSED sr ORDINANCE OF CITY of ORINEAFEWS •r.1`rs y 3616 EAST SSTs STREET 55417 *waved cad Dpi rrr-y c Lane. -- ss 17; CI I• DAM d ss 411 BU'ILLIN /1)(130 727-3484 n REVI�lNED 9--/2. 183-30-A g0 P EGTIONSe1VISION i'0► fiwvi Am, 4 •wit4,fl J ttii►j `•s 7 9* I"GI(' KN Y TKAT THE A TRUE AND Cola C? OF A of tM P r l2- g ear` LA -0e - Lot 7,Btask T ,Cs 7htt FL#th Add akota CountytHinassota. 27th. 3tuie 1978 As $URV YED BY ME THIS DAY OF A.D HI 1 t i4 4 F. C. . No. 360 44![°° C!ty of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: /03834/ Permit Fee: ,:.0 0 CO Date Received: 1-15 r /3 Staff: rr' INFLOW & INFILTRATION PERMIT APPLICATION v Plumbing / Sewer & Water Date: 7" /54- ZW-1 Site Address: / ?6' 7j9'' 24 Tenant: Suite #: A-; -AA. ��aLS:Cte RESIDENT / OWNER DESCRIPTION Name: Address / City / Zip: /2 ? 4/64,''y' Phone: Name: A -46w - L - %e ' 1nGQ.4 License #: 496161., "/ /r'l Address: / 7/0 nzz•e /frxioa te ‘67" -c_57/7 --- State: NA-) Zip: (�/ e/ Phone: b67 "-c3/G " V/?? -Contact: 4 L.e.. €snaiE 'j .t G.� �iM�v: Ceram .e PLUMBING (Within the building envelope) iX Sump Pump Repair Other: Description of work: SEWER & WATER (Outside the building envelope) Repair Other: /49.6 ;41 2 c4 tie orrzrz F?2l FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One CaII 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 whit requires a review era approval of plans. x < . /47/?•Z. / t• - • %dC_/S ,pplicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground _Rough -In Final Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use I I 11 j Permit #:-L &I City of Ea Permit Fee: p~ Ed I ba 0A 3830 Pilot Knob Road A Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION oat,w ~;12_ Date: Site 'Address: f Unit Name: ICI YVX 17-1--p .S e l'- Phone: 6SS 7& ci O Resident/ Owner Address / City / Zip: l Z b 8 lDu N b e rr !l L 4-Ne Applicant is: Owner Contractor / Type of Work Description of work: Pe P IA L-e 9 f} rA-G-e -DO a r h e A-be K Construction Cost: / 2-6 0 030 Multi-Family Building: (Yes / No - ) Company: ,j&m e S , ' e776-- cD A)ST, Contact: 1i T % ~7 Contractor Address: 12-1' 7 D u o ,.-j,6 e rr city: Ci4-lr ~ State: r Zip: Phone: 6 S~ vs Y-3/0 License 22 k) C 7Sr~f Lead Certificate 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 they 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. 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. x ~/1PS r eTIG x Applicant's Printed Name Applic is Signature Page 1 of 3 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 /otoo Occupancy MCES System Plan Review Code Edition 121"7 SAC Units (25%_ 100%Z) Zoning A City Water Census Code lY3y Stories Booster Pump # of Units / Square Feet PRV # of Buildings / Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: Footings _ Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee '51-75- Surcharge Plan Review 36 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies / C TOTAL 919. $ 1 Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA130425 Date Issued:04/23/2015 Permit Category:ePermit Site Address: 1268 Dunberry Lane Lot:7 Block: 1 Addition: Ches Mar 5th PID:10-17104-01-070 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 by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kim L Pfoser 1268 Dunberry Ln Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature