1269 Dunberry Lane
il \ AJi i1 <! i i V
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
, ) I :?i , , Y t aMf-? . . . ; , .. ?, ,
fit • r?Fa1c !, I li ? ?? ?.• ? ?? ? ? s.t•?.s :
PERMIT SUBTYPE:
fl ll1- 1 Ni-i
TYPE OF WORK:
[if?[R1Pi I(!N
IrtltO(iF: `;T+?i'M If fiMAI ,i
F
L
Permit Holder Date Telephone #
PLUMBING
HVAC
inspection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
[V
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP80AR0
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONOUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB RQAD
EAGAN, MINNESOTA 55122
DATE 19
REC6IYED
FROM
AMOUNT $ I
DOLLARS
ioo
? CASH ? CHECK
?oR
FUNC CODE AMOUNT
Thank You
°f O& ` s v
a-I
White-Payers Copy
Yellow-Posting CoPY
Pink-File Copy
CITY OF EAGAN Remarks
Addition CHES MAR 5TH ADDN. Lat 6 Rik 2
Owner ,u? '`' `-' ' •"' Street 1269 Dunberry Lane
?i
Eagan,
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK ? 1973 172-92 8.65 ZO 112.44
* SEWER LATERAL
WATERMAIN
* WATER LATERAL
WATER AREA 1977
*
,t STORM SEW TRK
* STORM SEW LAT 1980
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit Char e 75.00 12114 10-10-78
WATER CONN. 2$0.00 12114 10-10-7$
BUILDING PER. #$OZ 12114 10-10-78
PARK
cirv oF EAGAN
3796 POet Kneb Rosd Eagan, MN 55122 N? 5926
PHONEs 454-8100
BUILDING PERMIT
Te 6. wed far 5 r `k.A P. Esr. velue 5 7, n!10 ,
Site Address ?nberrv ;,ant-
'
2 . r'' St1l
Lot Block Sec/Sub
Porcel #
oe Nome
W
z3 ?1??
b
0? Name `J°. uc
0
?? /?ddress
H 1"1w. OL.._-
Name
I hereby ockrwwledge thot I hove reud this opp
the information is correct ond ogree to comp
5tate of Minnesoto 5totutes and City of Eagc
Signature of Permittee
A Building Permit is issued to:, Tn1 lefso'
all work shell be done in acoordance with all a
Receipt #
Dote
, 19
Erect [( Occupancy !.?
/11ter ? Zoning
Repa(r ? Flre Zone
Enlarge p Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode ? Depth ft.
Approvols Fees
Assessment Permit
Water & Sew. Surcharfle
Police Plan check
Firo SAC
Eng. Water Conn. ,? .
Planner
Counci I Water Meter '
. ??
Bldg
Off
.
. ,
APC Totol '
3• on the express condition that
State of Minnesota Stctutes and City of Eogon Ordinonces.
Building Offitiol ,
PomM # OaN lasued le nnifiN
Plumbing 1??S /1-15-7S ?- n
Mechanical l > q-] I ( -I y ` 7$ ? ? °?(?-{Jy? 1
???L, /at331 0-f3-78
(NSPECTIONS DATE INSP.
Rouqh-In
Fina!
Footings --,5-1? Date Inap. Date Irra.
Foundation ? Plumbing /J- ' ?-
Frome/ins. Mechanicol 79'
Final
Remarks:
?
CITY pF EAGAN SEWER SERVICE PERMIT
3Y95 Pilot Knob Road PERMIT NO.:
Eogan, MN 55122 DATE: ?
Zoning:
No. of Urrits:
Owner:
Address: '.' """?•.`?°„
SiYe Address:
Plumber: --
I agree to comply with the City of Eogon
Ordinances.
By
Dote of Insp.;
Insn.-
CIYY CF EAGAN
?795 Pilot Knob Road
Eagan, MN 55122
Zoning; _
Owner: -.- . , .,
Address:
Site Address:
Plumber: -
'JVleter No_; ,
? 5ize:
Reader No.:
I ogree +o eomply wifh fhe City of Eagan
Ordinonces.
By
Dote of insp.:
],;1Qe P
Connection Chorge:
?
Account Deposit:
PermiY Fee:
Surch4rge:
Misc. Charges:
TotoL• -
Date Paid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
-. No. of Units: - V
Connection Charge; • •
Account Deposit:
Permit Fee:
Surchorge:
Misc. Chorges: .. - , ":?? c?e•c,-;
Torol: _
Date Paid
insp.;_
. CITY OF EAGAN
' 3795 Pilot Knob Rood
Eagan, MinnesoM 55122
Phone: 454-8100
`x kr-imf?T. :< _ PeRMir
Dare:
U-15"7$
Site Address: 71'`(?r?? V ar? •
Lot , Biock Sub/Sec.
iNnmo _ .
13515 TiOI..mCe AVC3.
City ':?PZe VA:.I.e. Phone: 54-6$71
. . , • -".- ? 45 so. ? r?-.,--- - , -
??7r,
No.
Receipt No.:
Single I
Residential Multi Res., Comm./Ind.
New/Alter./Repair. Cost of Installotior
Permit Fee
Surcharge
SQ
V I City Phone: " . I Totol -
This Permit is issued on the express condition that all work sholl be done in occordonce with all applicoble $tate of
Minnesoto Statutes ond City of Eogon Ordinances.
20.00
Building Official
CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, Minnesota 55122
Phone: 454-8100
?PERMIT
Date: 71-14-7$
Site IWdress:
1269 Dunbesn? Zane
r 1) (.s 5th
Lot Block Sub/Sec. _-
culu2m'I?CI?I AIt TTY7fT=
No. 1-347
Receipt No.:
Single
Residential
Multi Res., Comm./tnd. I
Nome tol1??? PkiilOkrS New/Alter./Repoir
°e Address ??1"f T?1?R'ke r72 `
? Cost of Installation
City Phone: Permit Fee
Name ??3?`*'n t?`?• Surcharge ? -- -
.
ress
t Phone: Totol
This Permit is issued on the express condition that all work sholl be done in occordonce with all oppliwble State of
Minnesota Statutes and City of Eogan Ordinances.
Building Officiol
Owner/Agent
Ordinance Nos. and Corrections - Correct By
For reinspection
Eagan Dept. of Inspection
3795 Pilot Knob Rd.
Eagan, Minnesota 55122
454-8100
CORRECTIQN NOTICE
DATE:? ` /b - ,
Site Name ?- 2 - L" ,?/•??
2u,,
Yfhis.reyuest void 18 months Gom b_? i a 3 3?
• ?h?? ?`'z'° rn"'' ? 25971
Date of this Request(?i(J &6, 7? si n??
I, as ErCicensed Electrical Contractor ? Owner, do heceby request inspection oC the above electri-
cal wiring installed at:
Street Address or Route No. /c;,9, 60 !? &ACV." ? City
Section Township Range v- County
Which is occupied by
(Name of OccuOant)
Is a roughin inspection required on this job? No ? Yes C5'? Ready Now ? Will Call'B?
Power Supplier ?? ? ? e? Address ?GEiFirw?' aA?
ElectricalContracto4?ENDUCK EU+????Qu Contractor'sl.icensElDT43,+s
(COmoany Name)
MailingAddress 13813 HIGH G:?I'JE BURNSVILLE
(Electtlcal Con[ractor or Owner Making Tbls Installatlon)
nuthorized signature ;GARY. KENDRICK Phone xa 432 - 5036
(Elecbical Contractor or owner Making 7hls Installatlon)
no J? D This ins ection re uest will not be aece ted b ffie
S?(,`? ?f/?5? ? u ?(??D 00ply State 8 ard unless proper inspection fee is en losed.
Minnesota State Board of Electricity
:195"-Uaiversity Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WOAK COVERED BY THIS REQUEST
i-R 33?
R 25971
Type of Building New Add. Rep. Ch¢ck Appliances Wired For Check Fquipment Wired Foi
Hoine ? ? Range Temporary W'ving ?
Duplex ? ? ? Watei Heate[ ? Lighting Fixtuxes ?
Apt. Bidg.
C ?
? ?
? ?
? Dry.e? ? Electric Heating ?
ommercial dldg. ur IN $ilo Unloader ?
Industrial Bidg. ? ? Bulk Milk 7ank ?
Farm ?
List
Othet ? ? = exe
rs
Here ?
COMPUTE INSPECTION E BELOW
Smire Entrance Size: # Fee Fcedets&Subteeders: # Fee C'vcuits: # Fee
0 to 100 Am s. 0[0 30 Am eres 0 to 30 Am eres
101 tu 200 Amps. J 31 to 100 Ampeces 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. Above lOQ_Amps.
Transformers Remote Control Circ. Pattial or other fee
Signs Special lns ection Minimum fee §5.00
Remarks
TOTALFEE
?
I, the Electrical Inspector, hereby certify
(Final)
This request void 18
has been mad . L/p, p?J
J??e I /-
Aate 3- ?-'7 y
BUILDING PERMIT
r_ ._ ..__. .__ SF Ih;
cirr oF eac,aN
3795 Pilet Knob Rood Eagan, MN 55722
PHONE: 454-8100
APPUCATION
57,000.
N? 5926
Receipt # --L-'?/'"
Site Address 1269 Dunberry Lane
Lot 6 Block 2 $ec/Sub. CM Sth
Parcel #
w IN,,, TOllefson B1dYS.
? Addreu 13816 Holyoke Ln.
r.?. Apple Valley .... 454-6873
o I Name _
z
??t Address
? r:.,.
Nnme _
Address
I hereby acknowledge that I have reed this application and state
the Informatlon Is correct und?ygree to comply wlth all upplii
State of Minnesota Statutes qhtl.City of Eagary Ordinonces.
Signature of Permittee _
A Building Permit is issued
oll work shall be done in c
Buildinp Officiel _I2
Erect [I Occupancy R.
--
r
Alter ? Zoning
Repoir ? Fire Zarre ?
Enlarge ? Type of Const. -
Move ? #' Stories 6.8-
Dertwlish ? Front ------ 47v_-ff""_ fr.
Grade ? Depth ft.
Approvals Fees
Assessment permj{
----- H. 50
Water 8 $ew. Surchorge
Palice Plancheck?b.0
i
Fire SAC
?500
Eng. Water Conn. ?_00
Plonner kV4terUIIMeter lt?J-.oo
ica
Council
Bldg. Off.
qpC rorm 1,064.50
on the express conditfon Nat
Stote of Minnesota Statutes ond City of Eagan Ordirances.
(0qzl1
2005 RE5IDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Camtruction Reouirements
3 registered sde surveys showing sq. ft. o( IoL sq. ft. of house; and all mofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam 8 window sizes; poured found design, etc.
t sel of Eneyy Calculafians
3 cnpies of Tvee Preservatlon Plan'rfbt platted after 71'1193
Rim Joist Defaa Oplians seleIXlon sheel (buBd'mgs wiN 3 or less units)
Telephone #(
Date !5 / 'Rs / 0 S Construction Cost ' 3? r° 49 1 ?
Site Address ?a Cn 9 DIn1J 1je(Q.f-V d-CrP-e- UnitlSte #
67 MA) .Sl
Description of Work Pnlac.Y ? 3`--Cry'(A r.,.lnxkc.u i r9d.?+nZ?- _EXg
Multi-Family Bldg _ Y?N Fireplace(s) _ 0 _ 1 _ 2
•-?
Property Owner ?GSO.?I I Y Cca(
iosarus Telephone #(4S! )??1?`?.34 ai
/ l1;,ne_ s/ - 0 2 3
Contractor ?N ??i o/racc5 (
?1G?.v9CK-?
Address ??i (9 9 Aw A (MCk-4° / CitY
State MA.) Zip ,?5g72 3 Telephone # (6?) ?078- ?p 3B3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(+Isu6missiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
a?
?1f .M sy G?` . ?"'
Telephone #( )
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans. , ?,
ti
? ., I? , ? ? ? ? ;? [N ? 0" ? .;
Applicant's Printed Name? A/fplicant's Si ature ? °1/4 rZ? 2005 I?
RemodellFtenair Reoulremems Olfice Use Onlv
2capiesofpian CertofSurveyRecd,,. _y _N
1 set of Energy Calculations for heated additions Tree Pres Wan Recd -' _ Y_ N
1 site survey fir addiGons 8 decks Tree Pres Required- _ Y_ N
Addition - indicate ii on-sife septic system On-site Septc System _ Y_ N
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of_ plex ? 09 07-plex x 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
0 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 08 04plex O 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 37 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building O 42 Demolish Foundation ? 45 Fire Repair
g 33 Alteration ? 37 Demolish Building" ? 43 Reroof 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout W applicant
/,OQ6 e?
?y
Valuation --q5w Occupancy ?-3 MCES System ^
Census Code Zoning City Water -
SAC Units Stories Booster Pump -"'
# of Units Sq. Ft. -'-' PRV
# of Bldgs - Length Fire Sprinklered -
Type of Const ? Width -
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) ? Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof
Ice & Water F inal
Pool
Ftgs
AidGas Tests Final
?
_
Framing _ _
=
=
Siding Stucco Stone Brick
_ Fireplace _ R.I. _ Air Test _ Final Windows
_ Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee -
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
d InC.
, F. C. aJACKs?N('\
LAND SURVEYOR
RiG19TERED UNDER lAWS OF 8TATE OFMINNEBOTA
LICENSED 9Y OHDINANCE DF GITY OF MINN[APp6l6
3618 EAST 58TH STREES55417 72)-3484
*urbepor'g QCeriificate
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l HEREBY CERTIFY THAT TN8 ABOVE 18 A TRUE ANO CORRCCT PLAT OF A SURVEY OF
Lot b,Block 2,Ches Mar Fifth Addi[iDn,
Dakota Coun[y,Hinneaota.
's.
' AS Sl1HVEYEO BV ME THIS_--?SCh_-DAY
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F. G. J/4K50N, MwNesorw
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Or,10034
133 28A
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No. 9800
PERMIT
CITY OF EAGAN
! 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE: g u s Lo z rv c
PermitNumber. 032963
Date Issued: 0 S/ 19 / 9 S
SITE ADDRESS:
P.I.N.s 10-17104-060-02
1269 DUNBERRY LANE
LOT: 6 BLpCK: 2
CHES MRR 5TH
DESCRIPTION: REROOF/ STORM DAMAGE
, 6ull?,dt'?gol?,permiC Type STORM DAMAGE
Bu`sldii'rg G30,rk 7ype REPAIR
?5en s u sC otl`e434 AL7. RESIqENTIAL
. e??.
?j ?
A mv?R ?; . ?'tl?
s 's .[
a` ?n
¢
Oa?
?t
:eiMac a mxikiG: eE2 ? V wai.?°j??i ?'
? ai zin sia f`° 3?s ay ? .'?-?,., ?m im :°- X ?f 0
REMARKS:
FEE SUMMARY:
rn7-R??T p - MPPl?canc - si. L1L.
CDI??EP'fVfiLO CI'E5TGN 14313393 20070851 ?NER: . ?IM
1066 TIFFANY pL 1259 ?UNBERRV LANE
APPLE VflILEY MN 55124 EAGAN MN 55123
(612) 431-3393 (651)454-9176
? I here?y 'acletl o wl?dge,-,tHat ? have rvad thi-t ap.p],lca?it?n ar,d:?t
.?mfigrmct??an zs'cc?wr?ctF?r[zl,,.?gr`???toe?mg?y.l;r??Fr`?]1'.?pR?%aab?
St'dtr,ates 'arrd C3'tyqf Ea`g.rarr=bxdSriaanae
? - , n .._. _... ,. . ? . _ e. e s .
i
Mrt,
?
APPUCAN7/PEqM17EE SIGNATURE
' 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3830 PII.OT KN B RD - 65122
681-4676 o
Zg
New Construetion Reauirements RemodeVReoair Reauirements .
? 3 registereC sde surveys
? 2 copies of plans (inUude beam 8 window s¢es: poureC fnd. design; etc.)
? 1 energy calculatlons
? 3 copies of Gee prexrvation plarH bt platted after 7/1/93
required: _Yes Na,.
DATE:
WORK: _/Z:f7--
STREET
? 2 eopies of ptan
• 2 site surveys (exlerior adtlitions & deGcs)
? 7 energy calculations for heated add'Rions
CONSTRUCTION COST;
LOT: ? BLOCK: ? SUBD./P.I.D. #: &a /?
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: ?? UJL&L- /?? Phone #: 7"? T /'??/1.
185t First ? Street
Z_046k_
City tr;? ? State: Zip:
Company: Phone #: (6, Z 1l ?_
Street Address: d7i1'? {???, I? ? SP- 313 ? I License g # ` ,?;2a0'7D?/
'8
Cc.L? 5?
City (1(Lvig State:/v/,9? Zip:
Company:
Street
City
Sewer 8 water licensed plumber (new constructlon only):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the iniormation is correc,t?nd agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. %
Signature of Applicant: _ ql
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Phone #:
Registration #: _
State: Zip:
Tree Preservation Plan Received - Yes ` No - Not Required
OFFICE U5E ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? OS 8-plex
? 04 SF Porch ? 09 12-piex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition 0 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. 0
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Const. (Actual) Basement sq. ft.
(Aliowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq, ft.
Length sq. ft.
Depth Footprint sq. ft.
APPROVALS
Planning Building
Engineering
Variance
i
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
°h SAC
SAC Units
DATE
`.
i
BUILDZNG PERMIT APPLICATION
Include 2 ects of plana, 1 site plan w/elevations and 1 set of energy calculations.
To be used for ?---'?I
site Address: /azG f .??1?
Lot Block Sec./Sub.
Owner 16-1
Address
? a cGOntractor/
A Address
Arch. /Eng.
Address
Fsect v`
Alter
Repair
Enlarge
Move
Demolish
Grade _
.OFFICE USE
Date of A roval & Initial
Assessment
Water/Sewer ?
Police
Fire
Eng.
Planner
oouncil
Bldg. Off.
A.P.C.
OCJC3
Valuation _
PaYCel NUmheZ
Telephone
Telephone CD d 7 -:?
Telephone
OFFICE USE
Occupancy ?
Zoning s? /
Fire Zane .3
Type of Const.
# of Stories
Front 'Depth ?/7, ?•?
FEES
Petmit
Surcharqe -?2B .n2
Plan Check
sAc ?roo ?
Hlater ('onn.
Water Meter GD '?
ToTru. ^ ?f5t-
?
1
i? __
. „
,z// g(? "
? ns0
? a633
Tallefsan Buildeze Inc.
F. C. JACKSON,-,
LAND BURV6YOR
RC016TlHED UMDER LAWB OI BTAT6 OF MINNEWTA
LICiNeCD YY ONDIXANCB OF CITY OP YINNtAPOL(i
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8816 EA87 SbTX STREET55417
ibusbtpoYg QCectificate
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I HlRFHY C¢RTIPY TNAT TN[ AlOVB 16 A TRU[ ANO OORRLVCT PLAT OF 11 SVFV6Y Ow
Lot 6,Block 2,Chea Mar F[fth Addition,
Dakota Cnunty,Minneeata.
As suRVevco er wc THIf -?SCII. DAY OF Sept. A 0 1978
F. c.
727-3484
,
MINN[40TA .p MTION. NO. $600
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,
' city oF eagan
THOMASEGAN
Mayor
PATRICIA AWADA
SHAWN HUNTER
SANORA A. MASIN
March 27, 1995 THEODORE WACHTER
Courxll Members
THOMAS HEDGES
Ciry Administrafor
MRS CLAIRE FOWLER E.J. VANOVERBEKE
1269 DUNBERRY LANE ciNaark
EAGAN MN
RE: 1269 DUNBERRY LANE
LOT 6, B2, CHES MAR 5TH
Dear Mrs. Fowler:
Per your request, I have researched the parcel file for the above-referenced property and
found that the only building permit issued was for the initial construction of the home in
October 1978 to Tollefson Builders. A copy is enclosed for your review.
If I can be of further help to you, please let me know.
Sincereiy,
,.?i-?? /?;•t?.?;r, -.1
Jen Severson
Secretary to Community Development
js
Enc.
Notary Public
MUNICIPAL CENTER
3830 PIIOi KNOB ROAD
EAGAN, MINNESOiA 55122-1897
PHONE: (612) 681-4600
FAX:(612)681-a612
iDD:(612)454-8535
THE LONE OAK TREE iHE SYMBOI OF STRENGTH AND GROWTH IN OUR COMMUNITY
Equal OpporiunitylAffirmailve Action Employer
MAINTENANCE FACILITY
3501 COACHMAN POINi
EAGAN. MINNE501A 55122
PHONE: (612) 681-4300
FAX:(612) 681-4360
iDD:(612) 454-8535
1
CITY USE ONLY
L?, 02- RECEIPT #:
SUBD. DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN .
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? single family dwellings
? townhomes and condos whcan permits are required for each unit
FIXTURES EACH TOTAL
Shower 3.00 x =
Water Cioset 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 :c =
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 x 3.cc
Floor Drain 3.00 :c =
Gas Piping Outlet " m+Mmum -1 3.00 x =
Rough Openings 1.50 x =
Water 5oftener 5.00 x =
Private Disposal ' Dakota Cty. license 65.00
=
(new and refuroished systems)
U.G. Sprinkler ' home under const. 3.00 =
Alterations ' to extstrng 20.00 =
Water Tum Around 20.00
STATE SURCHARGE
TOTAL
..
? FOWLEP JRMES
SITE ADDRESS:? 1259 OUNBERR4' LRNE
EfiGRN , 55723
OWNER NAME:_ H1s4-g 166 W
I INSTALLI
STREET
I CIIY:
.50
20,50
STATE: ZIP:
PHONE #: (
NORBLOM PLUMBINO CO.
MINNEAPOLIS, MN 56408 ?
D8A VENTCO/APPLIANCE INBTALLER3 ?
2905 GARFIELD AVE SOUTH Z-7-91
?
OfFICE U3E ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 661-4675 -
Please comptete for: ? all commerciaVindushial bu(Idings.
. multi-family buiidings when separate permits are b4t required for each dwelting
unii.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ACID ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REOUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF 50, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY(LER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of Rennd fee due on all permits.
CONTRACT PRICE x 7%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE #: SIGNATURE:
APPLICANT
OFFICE USE ONLY
C: • METER SIZE: " DATE: INSPEC70R.?'-,
'
Storm Sewer Trunk
Ches Mar 4th
Block 1, Lot 1
2
3
4
_ 5
6
7
8
9
10
11
12
13
14
15
16
17'
18
19
20
Biock 2, Lot 1
2
3
4
S
6
7
8
9
Ches Mar Sth ?
Block 1, Lot 1
2
3
4
5
6
7
8
9
r -------? -
,Block 2, Lof?l
2
3
4
5
? 6 ,-z
7
8
9
10
:
345.67
346.45
3G1.68
301.02
1118.88
934.10
494.29
455.49
364.05
597.58
397.59
328.56
693.81
327.37
290.39
490.78
805.84
1631.79
1908.97
2512.98
459.47
545.87
624.55
577.04
478.66
422.66
488.72
553.46
423.54
467.30
369.51
601.09
468.55
506.35
403.00
416.03
546.00
443.09
390.00
390.00
390.00
733.75
603.69
331.45
325.00
325.00
600.68
1021.18
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PlLOT KN06 RD, EA4AN MN 55122
651-681-4675
New ConaUUCtion Reauirements
• 3 registered site surveys showing sq. ft, o( IoL sq. R. of house; aM all roofed areas
(20%maximum lat coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• i set of Energy CaIcWa6ons
• 3 copies of Tree Preservation Plan rf lot platted afler 7l7193
• Rim Joist Detail Options selenion sheet (bltlgs with 3 or less units)
DATE -7-
SITE ADC
TYPE OF
APPLICANT
STREET ADDRESS `Z 7Q7 1, 5' oe=
TELEPHONE # 6 "S%/-O CELL PHONE #
UITI•FAMILY BLDG _Y t/N
FIREPLACE(S) _ 0 _ 1 _ 2
FAX #
PROPERTYOWNER TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNESOTA RCI.ES 7670 C.1"CEGORY 1 MIV VE50"1':\ RL LLS 7672
(J submission type) . Residential Ventilation Category 7WOrksheet Submitted . New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ___
Plumbing system includes:
Mechanical Conhactor:
Vlccliuiiril sys[em inclu<les:
Sewer/Water Contractor:
_ Water Softener _
Water Heater _
No. of Baths
r'Lir CondiUOttin;
Heat Recovery Systcm
Phone #
Fee: 570.(?0
--------------------------------------------------.._...._.......----°--°-----••---------°-°°----°--------------•---
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Stotutes and City of Eagan Ordinances. ,/ ??? ,-? ?7 To Unn mn
_ ???
Signature of Applicant
OFFICE USE ONLY
JS?- -YS
RemodellReoair Reauirements
. 2 cropies of plan
• 1 set ol Energy Caiculations for heated additions
. 1 sile wrvey (ar eaterior addiliore & decks
. Indicate iF home served by sep[ic system for additions
VALUAiION 'Zem
_ Phone #
Lawn Sprunkler
No. of R.I. Baths
Phone #
ATEl??ZIP
65l-2S86--04a_3
Fee: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFtCE l1SE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt • Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 PorchfAddn. (4-sea.) ? 33 Ext. Alt - SF
? Oa 02•plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 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 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demo)ition (Entire Bldg only) • Give PCA hantlout 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 Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED IN SPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) Final/DIv C.O.
_ Footings (addirion) _ Plumbing
_ Founda[ion HVAC
_ Drain Tile Other
Roof _ Ice & Warer _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
W ater Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspectar
Total
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructron Reouiremenis
RemodeVReoair Reauiremenls _._..._._ ___._.
OfficziUse`finH
3 regislered site surveys shaving sq. ft. of lot, sq. fl. of house; and all roofed areas 2 copies of plen
(2096 mmimum lot coverege allowed) 1 set of Energy Cakulations for heated additions Ttee#'YE5 PlaisROi? _N'
2 copies of plan showing beam & window sizes; poured found design, etc. t site survep for addilions & decks T(eC P2S ke?iiied ,„. Y: ';N
lsetofEnergyCalculations Addition-indiwteAonsitesepficsystem (ht-slleSepl?c?yslem . _Y:. ?'N3 copies oF Tree Preservafion Plan if bt plafled afler 771/93
Rim Joist Detail Oplions seleclion sheet (buildings with 3 or less units)
/
Date 09
,a-x Construction Cost DO O ?
_
_
-
Site Address la,2? ?c 1/1 hOJ'r'U Z -11 7` QO 65 I ;:?s Unit/Ste #
Description of Work ? i c/lYI
Multi-Family Bidg _ Y?j N = Fireplace(s) _ 0? 1 _ 2 •
Property Owner ja??7n Telephone # (?51 ) .fO SiIO .'SSDa?
Contractor
Address ?
City
State Zip Telep6one # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
-"Minnesota Rules 76?0 Cate¢ornl,,, Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan: --?
Licensed Piumber
Mechanical Contractor
Sewer/Water Conhactor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. r--- - ---?
700
S
Applicant's ted Name , Appl' ant's Signatu e
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
ez--?02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 07 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Mutti Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_N ? 25 Miscellaneous
Work Types
V
? 31 New ? 35 Int Improvement 44 Siding
? 38 Demolish Interior O
? 32 AddRion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
?1- 33 Atteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) -Give PCA handoutto applicant
Valuation DDD ? Occupancy 23 ? V MCESSystem
Plan Review ? 100°/a or 25%
Census Code g3? Zoning City Water
SAC Units Stories Booster Pump
# of Units a Sq. Ft. PRV
# of Bldgs ? Length Fire Sprinklered
Type of Const Width
REQUIl2ED I NSPECTIONS
_ Footings (new bldg) _ FiaaUC.O.
Footings(deck) FinaUNo C.O.
? Footings (addition) _ Plumbing
_ Foundation HVAC
?
Drtin Tile
_
,/ W*-t-L
A, rne-
Other r/?T
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ RI. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Perrnit & Suroharge
Treatment Plant
License Search
Copies
Other
Total
------------------
? For 4ffic'e Use I
j Permit z j
? Permit Fee: e`2 t/ ?
? Date Received: __ f?? ?
I Staff:
I ______I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant:
Suite #:
RESIDENT/OWNER Name: ,?(k_S?+rl 1 Vl??V1CLS Phone:
Address/CitylZip: ?)1,(,{7bCi ??? ?lC&A) 5J?Z
3
-
Applicant is: 74 Owner _ Coniraclor
TYPEOFWORK Description of work: Rcmovc ?;?smufl LscmeN{-;,,r;t?dnu+s ¢cflRCC Wi¢h CSCi40
Construction Cost: ? Multi-Family Building: (Yes_/ No?
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Cade • Residential Ventilation Category 1 Wwksheet • New Energy Code Worksheet
C8t¢gOry Submitted Submitted
(q submiSSion type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit 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 Contrector: Phone:
NOTEc"Plans and supporting documents tha(you submit are considered fo be pubiic information. :Porifons of
the infarmation may be classified as non public if you provide specffic reasons that wou/d permit the Ciry to
conclude that the 'are trade secrets..
I hereby acknowledge that ihis iMortnation is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of
Eagan; that I understand Ihis is nol a permit, but only an application for a pertnit, and work is not to start wRhout a,penit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pla 6.
/'
_ ?CYSon 1l?ov??a_? X
ApplicanYs Printed Name A canYs Si n u
Page 1 of 3
"dc-
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? DS-plex ? 16-plex ? Accessory Building ? Pool
x Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Eut. Alt. - Multi
? 07 of _ Plex ? 07-plex ? Garage ? Porch (4season) . ? Ext. Alt. - SF
? 02-Plex ? DS-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building*
? Addition ? Move Bu ilding 0 Reroof ? Demolish Interior
? Alteration ? Fire Repafr ? Windows ? Demolish Foundation
? Replacement ? Egress Window kA ? Water Damage
' Demolition (entire 6uilding) - give PCA handout to applicant
DESCRIPTION:
Valuation ?
3WO
Occupancy A G-
MCESSystem
?
Plan Review Code Edition I 47 - SAC Units
(25%_ 100 % ? Zoning City Water -
Census Code Stories - Booster Pump ?
# of Units Square Feet ? PRV ?
# of Buildings ? Leng[h - Fire Sprinklers
Type of Const ? Width -
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof: Ice & Water Final
? Framing
_ Fireplace:_R.L _AirTest _Final
Insulation ?
Reviewed By: _
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Sheetrock
Final/C.O.
Final/No C.O.
HVAC
Other:
Pool: _Footings _AidGas Tests _Final
Siding: _Stucco Lath _Stone Lath _8rick
? Windows
• Retaining Wall
Building Inspector
- - -----------------
O
Page 2 ot 3
RESIDENTIAL BUILDING PERMIT APPLICATION REQUIREMENTS:
New Construction Reauirements
? 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
? 1 Soils Report if proposed building is to be placed on disturbed soil
? 2 copies of plan showing beam & window sizes; poured found design, etc.
? 1 set of Energy Calculations
? 3 copies ot Tree Preservation Plan if lot platted after 7/1/93
? 20% maximum lot coverage allowed
? Rim Joist Detail Options selection sheet (buildings with 3 or less units)
? Minnegasco mechanical ventilation form
Remodel / Repair Reauirements
? 2 copies of plan showing footings, beams, joists
? 1 set of Energy Calculations for heated additions
? 1 site survey for additions & decks
? Addition - indicate rf on-site septic system