1270 Dunberry Laneihis request void Io „,2 L? ? Fj1 c1?es Mav- 39.45 ?
1.
18 mon[hs from ? S+
G? 12I 91 ?' 4qtSO
ReQuesl Oat Fire No. flough- inI nsoec[ion
Renu dl
ady Nu Will Notify Inspec-
I ?es ?NO [9r When Reatly
/EP ncensed Eld/vical Conhamor I heraby request insvection of above
? Ownm elactrical work insialled at:
Street AtlCress, Box o? aute No ????
?
44,-1
ecUOn o.
h(J? Towns/h/ip Name or N
y. l Range No,(.{?J /
/" V Coun
?
Occapant IPRI TI Phone No.
????6 L)
oweY pPli r ?/? Address
.?
Ele vi al Con[racior ICOm ny Namel Contrac[or's License No.
- b S/8_3
Mailine /+ddress (Conhacmr or Owner Making Ins[aila[ion)
? -7 Amkj
Authori d SiBnaNre ICOmractor/Owner Makine tozlallationl Phnne Number
? U_3 5
MINNESOTq STATE flOARD OF ELECT0.ICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway 91tl9. - Xoom N-191 8E ACCEPTED BY TME STAiE BOARD
1821 Universifr Ave., St. Peul, MN 56104 UNlESS PNOPEH INSPECTION FEE IS
an...,e 16121 ]9]sttl ENGLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00007-1W
' See instrvctions for comoletine this form on back of Yellow copy. 0
??qI "X" Below Work Covered by Thrs Request 31 q s(p
Ne4 Ad,0j ReG. TVOe ot Building Appliancas Wiretl Equi4ment Wired
Home Range Tempnrary Service
Ouplex Water Heater Lightiny Fixtures
Apt. Buflding Dryer Elec[ric He2tin
Commercial Bldg. Fumace Silo Unluader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Fefm ONer peufy Other ISOecifyl
t er Sueci/y Other Oih.r
ComputP /nspection Fee Below
# Fee Servi aneaSize b Fee Fxeders/5ubfeaders N Fe.a Circui[s
U qm 5 0 to 30 Am 5 2 0 tn 30 Am s
' Above 200 qin py 31 to 100 qmps ? 31 to 100 A mps,
Swimming Pool Above 100-Am s ij" Above 100_Amps
Transiormers Irqigation Booms • artial%Other Fee
SignS Speciallnspection S
TO F
Rema,ks ? /1
?
?
??
HouBh-in
Final ?
/s D/a-te
'? 1,the rical
Inspecmr, hereby
certilv ?het [he abova
inspec[ion has been
made.
Thls rapuest voitl 18 montlre from
This reques[ void 4 - ?b
18 rtronths trom
W09200
Llw? 1 6116?5 3$93'3
/p' 00
Reques[ Date Fire No. RouBh-in Inspec[ion
Fequired?
ReaAy Now ? Will NoIilv 1asoec-
E]
?Ves ?NO ?or When Reatly
iuensed Elecvical Contractor I harebY request inspection of abova
Owner electrical work instelletlat:
Street A}ddress, Bpox or Route No.
-
? C itv ??
' h6 ?
O ? .J L CZ4?
e on o. Towns'h^ip Neme or No.
, F nee No. CountY
? /../
OccaG.m (PqIN )
L Phone Nn.
o
A.t y35? (9
we Supol' r Address •
y
lf /
ElecVica Contra tor 1 mpy Na el ?. Convactor's License No.
Mailing AdJress (Conntractor o Owner Ma ine Installationl
l
/ /?VIY a??
Author' ed $iB?at e(COnh ctor/ wner Makiny Installa[ion) P ne Number
8' -35
MINNESOTA STAT?OAND OF ELECTIiICITY THIS INSPECTION REUUEST WILL NpT
G?i99s-Midwey BI - Hoom N-191 BE ACCEPTED BY TME STqTE BOARD
1821 Univereitv Ave., St. Peul, MN 66104 UNLESS PflOPEH INSPECTION FEE IS
o?,_„_ 1a11, 147_111, ENCLOSED.
, REQUEST FOR ELECTRICAL INSPECTION x_
w.
, See inelruetions for completin9 [his torm on back ot Vellow copy.
?'X" Bel09 WbYX Qo'veied by Thrs Reyuest 3 S 9 3 3
Ney AAd Fep. Type of HuiltlinA APPlinnces Wired Equipment WirBd
Home . Range ernpOrary Service
Duplex Water Heater Lightinp Fixtures
Apt. Building Dryer Electric Heatin
Commercial 81dy. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
FBffll Other par.ify Ot er ISPedfy)
t er SueciFy t er 01her
Cnmpute lnspection Fee Below
p Fee ServiceEmrenceSixe A Fee Faxdors/Subfeeders # Fae Circuits
0 to200qm s 0 to30Am s 0 m30Am s
Above 200 qmps 31 to 100 Amps 31 to 100 Am
Swiniming Pool Above 100_Amps Above 700_Am s
Transformers Irrigation E3oorris . Sb PartiaL"Other Fee
Signs Special Inspection $
60 T
Remarks 10 O L FEE
'?
RouBh-in ' Date
I, tha
Inspeclor, hereby
- certity that the nbove
Final D:ne. inspeetion hes been
. //,i`,' ,F3 nmda.
Thls repuest voltl 18 montlv from
?? ? ?? ? ? o?s ? ?? s? ????u????i?? ???
* 0 2 9 0'3 5 7 34
_ ?
ome Duplez Apt. Bldg. Ofher New Addn
Commercial Industrial Farm / 9 '7 Remod Re air
Air Cond. Hfg. Equip. Water Hh. Load Mgmt. Other:
D er Ran e Elet. Heat Tem . Service
"X" above ihe woi[lc?covered by this requesf. Enfer re?morkjs in lthis, ?sp-ace ¢and on ihe back of fhe whife copy only.
('JU,\(? kaWI 1 '`O?''1 L/v'•?F?7ifJ([(O?
( G(+2C ? (
Calculate Inspecfion Fee - 7his Inspecfion Requesf will nof 6e occepfed withaut fhe mrrect fee:
Olher Fee # Service EMrance Sae Fee # Circuih/Feeders Fee
Mo6ile Home Park Stall 0 to 200 Amps 0 fo 100 Amps
Street Lfg,/Fraffic $ig. Above 200 ps Above 7 00 Amps
TfanSformer/Generator INSPECTOR'SU O L
? ? CN
- TOTAL o y
Sign/OWline L}g, Xfmr. ?
?
.?i r ,
,
Alarm/Remofe Control
Swimming Pool 162 ttm ? i de:cn6ed hercin on the dores sbk
Irtigation Boom go?n n
eciol Inspedion
S
p
Investigotive Fee
Flnal ?
.
THIS INSTALLATION MAY BE ORDERE I ONNECTED IF 96T CO D WITHIN 18 MONTHS.
REQUEST FOR ELECTRICAL INSPECTION
Mina?eta6teta-Board'atE?ectricity G/ ?`r a? r+
' s ve., .- t. aul, MN 55104
P A800
2 9 O- 3 5 7 I3? OFFlCE SE O LY This requesl vaid IB manths hom.olidafion dak pnnted in Pois box.
?aj'sf's?
PLEASE PRINT OR TYPE
8 (?l
a,r, d"
Reqaasl Dak Roogh-In inspection reqolmd2 es N. Inspection Olher Than Rough-In: eody Now p Will Call
? ffov must mll ihe inspeaor..fie reody) l3vle Ready:
I, licensed conhactor Q owner hereby request inspecfion of }he above elecki<al work a}:
lab Pddrcss ?Stree1, Box, or Rouk No .) Ciry
? ' Zp C
7 V
(,, Ljt/.
Secfion No. Townshtp Name orNo. Range No. Fire No. CounN T
O<wpanf
v u z Phone No.
PowerSopplier Address
Elecmc I Ckom Com?po/nj' N/??aq ["??//[??
?? V..!/ u[..?{.J t. ??' C?oAnhanor Grenjse'?jJo
G. ?D IOC?I Mvsror Lic. Na. (Plont Elen. Only)
/
MaiingMdra (ConfradororOwnerParlorminglneMll
.l l
Avthoriz ig Wm((C I ,$ emi mllanon? ?/? Phona o ???
l ? _
EB-WOA-10 6/95 Y' "STATEBOAHUCOPY-SEEINSiIiUCT10NSONBpCKOFVELLOWCOPY
CITY OF EAGAN Include 2 sets of plans,
?'
1 site plan w/elevations & -
BUILDING PERMiT APPLICATION 1 set c£ energy calculations.
'-
'
b n
u7 LnQ(
Ib Be Used For? Valuatio
G Date
Site Pddress `Z'-] nbU n? V? ? OFFICE USE ONLY
Lot F3_ Block Sec./sub. T}lsrect ? occuPanc3'
Parcel #: Zv Ib j'0S'0-6 ? A1ter Zoning /
Repair Fire Zone
Ormer: ?'Qy?' ?? [ kfl)?2 Ehlarge Type of Const.
Aaaress: _
Mve # Stories
i Demolish
City/Zip Cocle: b?????N -Tjcj3q?.. Grade Front Gi S ft.
Depth 3„Z ft.
1351 -666n
?
??
,
?? APPEOVALS FEES
Contractor: ( ?N?
?L? ?17d11a
Assessments
-?
aa
Pern?it
?>S?
?4ater/Se*aer ?
Surcharge yg -?-
Address: Police Plan Check
City/Zip Code:,. _-'
- Fire SAC So?6' `?
Phone #: Ehg. Water Conn. yd7J
?`?"
Planner Water Meter (oD
?? ?? Council Road Unit 22S-O °j'
Bldg. Off.
Adc7ress: APC
?ity/ZiP Code:
Phone #: =AL
?
y >s ?
3 6,
CITY OF EAGAN
, 9795 ?ilat Knob Reod Eagon, MN 55121
• PHONE: 454•8100
BUILDING PERMIT Receiot
Te 6s wed fo. SF DWG/GAR Est. Vnlue $97,000 pate NO g55522
S?. Ir
?
D
#
September 28 ?q 83
1270 Dunberry Lane
Slte Address
Ered ? R-3
Occuponcy -
Lot 8 el«k 1 Sec/Sub, Ches Mar Sth Alrer ? ZoNng R-1
Parcel g 10-17104-080-01 Repnir ? Fire Zone NA
Enlarge ? Type of Const. V
m Name Scott Larson Homes Move ? # Srories
; Address 213 Crestridge Drive Demolish ? Length 64
b C; Burnsville phom 435-6660 Gmde ? Depth 32 Sq. Ft-
p Name OwneT AVProvolf Fees
Zou Address Assessment Permit 424.00
u? Water 8 Sew. Surchorge 48.50
Ci Phone Polite Plnn check 212.00
?w N°R1° Fire SAC 525.00
i0 Address Eng. Water Conn. 450.00
<W Ci phom Plonner Woter Meter 60.00
Council Road Unit 250.00
I hereby ocknowledge thot I hove reod this apDlication ond state that Bldg. Off.
the inlormotion is torrect and agree to wmply with all opplicable ^PC To?a? $1969_50
State of Minnesota $tafutes und City of Eognn Ordinonces.
Slpnoture of PermiMee
Scott Lar n Homes
A Buflding Pertnit is issued to: , wi tha express condition thm
oll work sholl be done in occordanee with oll appli b t f Mi sota tes nd Ciry of Eopon Ordinancea.
Buildinp Officlal .
CITY OF EAGAN N! 15 2 4 4
3830 Piiot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt o
# a
Tobeusedfor DECK Est.Value $1,000 Date 40'4^3' g ,7g
SiteAddress 1Z70 DUNBERRY LN
Lot 8 Block
Parcel No.
1 Sec/Sub. CHES MAR STH
e Name CANDIA/dAMES BOWLES
z Address SAME
0 : City Phone 452-1696
o Name SAME
z?
OQ
Address
¢ Ciry Phone
H?
ww
Name
ti
z?
Address
,a
a i
W Ciry Phone
I hereby acknowledge that I have read this application and state that [he
intormation is correct antl agree to comply with all applicable State of
Minnesota Statutes antl C/A,b qof Eagann Or-dinanc
Signature of Permittee
A Building Permit is issued to: CANDTAI,jdMESROTdLES-
on the express condition that all work shall be tlone in accordance with all
applica6le State of Minnesota Staty{es and City of Eago Ordinances.
Building Official
OFFICE USE ONLV
OnSiteSewaga - OCCUpancy
MWCC System _ Zoning
On Site Well _ (ACtuaq Const
City Water _ (Allowable)
PRV Required - # of Stories
BoosterPump _ Length
Depth
S.F. Totel
Footprint S.F.
APPROVALS FEE5
Engc/Assess. Permit ? ?24.00
Planner Surcharge •50
Council Plan Review
Bldg. Off. SAG City
Variance SAC,MWCC
water Conn.
Water Meter
Road Unit
Treatment P1
'F449PY 1.50
TO7AL ?
RESIDENTIAL
? BUILDING PERMIT APPLICATION
??li(? ? CITY OF EAGAN
ti/ 3830 PILOT KNOB RD, EAGAN MN 55122 ?
651-681-4675
New Conatruction Reauirements
• 3 regislered site surveys showirg sq. %, of lot sq. k. of house; aM atl roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showirg beam & wirMOw s¢es; poured fourM design, etc.)
. 1 set ot Eneryy Calculalians
• 3 copies of Tree Preservation Plan if lot plaBed after 711l93
. Rim Joist DetaB Options selection sheet (hldgs with 3 or less unils)
DATE 6- 1-3'-OD,
RemodellReoeir Reaulrements
. 2 cropies of plan
• 1 set of Energy Calculatiore (or heated additbns
• 1 site survey for ezterior addRions & decks
• Indicate if home served by septic syslem for additions
VALUATION 61t ISD
SITEADDRESS IZ70 ?t..nSe/i4/ Lone MULTI-FAMILYBLDG _Y ?N
TYPE OF WORK % OR-ioof' FIREPLACE(S) _ 0_ 1_ 2
APPLICANT 4x-SY-wf•. Reoira
STREET ADDRESS R;lQ7 I 3?/9??? CITY /kdkfL STATE?!' ZIPOWI
TELEPHONE # 763'5`71-03oy CELL PHONE #FAX #
^41c
PROPERTYOWNER I5I75iA- L4AfZ TELEPHONE# 81016
------------------------------------------ ° °---------------------------------°--------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO"I'A RUI1;S 7670 CATF:GORY 1 MINNI;SOTA RiJI.[:S 7672
(J submission lype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope CalCUlation5 Submitted
Piumbing Contractor: __
Plumbing systcm includes:
Mechanieal Confractor:
Mcchanical sysCem includcs:
Sewer/Water Conhaetor:
Phone #
Phone #
JUN 1 3 2002
°--------°-°------° °-°------------------------°----------°--------°---------°---°-------°---------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnature of Applicant
orrtci: tlsc oNt.v
Wa[er SoFtcncr
_ Wa[er Heatcr
_ No. oFBaths
_ Phone #
I.awn Sprinkler
No. of R.I. Bat}
Air Conditioninq
Hcat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
0 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 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(screened) ? 36 Multi
? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 37 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of 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 _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Capies
Other
Total
CITY USE ONLY
PERMIT #: 0l ?j RECEIPT DATE:
WSIDENTIAL MECHANICAI. PEitM1T APPLICATION
crrYoe casnx
S$SO P1LOT KFOB RD
gA6AN MN 55122
e51-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: a?3?\
SITE ADDRESS:
Va"io
i
OWNER NAME: MA??n E?°as,a 1.? TELEPHONE #: ??l (?o g?
(AREA CODE)
INSTALLER NAME: TELEPHONE #: G?A
(AREA CODE)
STREET ADDRESS:
CITY: . Prnv.\ STATE: ZIP: S?lo?
Plara a rhar4 mar4 narT }n tha narmiY wnrk TvnP
New residential dwelling unit under constructionand not owner/occupied $ 70.00
? Add-on, modification or alteration to existin dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of Work:
State Surchar e $ 50
Total
Reminder: Cal[ for inspections.
n
I 1
FEB 23 2001 i'
SIGNATURE
L
Updated 1101
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
COMMEftC1AL M£C"N1CAL PEftMIT APPLICATION
CITY OF £A6M
3$30 PILOT KNOB RD
£A&M, bIN 55122
651-691-4675
Please complete for: ail commercial/industrial buildings
muiti-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
PHONE #:
(AREA CODE)
WAS THERE A PREVIOUS TENAN'C IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE#: -
(AREA CODE)
CITY: STATE: ZIP:
WORK TYPE: New coastruction Install U.G. Tank
Interior Improvement _ Remove U.G. Tank
Processed Piping
f
SpecifyNa[ureofWork:
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
P[umbing linspector.
Fees: 1% of conhact price OR $50.00 minimum fee, whichever is great?r.
Underground tank removal/installarion = minimum fee
Contractprice: $ xl°/a=$ (BaseFee)
State surcharge
TOT.4L
$
calculate at $.50 for each 51,000 Base Fee
SIGNATCIRE OF PERMITTEE
Updated 1/01
........;.;?':::?;.?,: ;:• ...............\,?„ :,.. ?,,, ?:y::
?_d-•..,,,.i...?. . .. ? ,. .. _;,....
?.-? .,...,. ,? ? ..: . ............ ,..,,
.:
;::ifli?l' .1-) ,:'f'; ?'II.?.;,...1,,i1 „ ? S?-?o : ..c:
..:,2..:.t., ........,a. f 1,..:??..i'........r .... ..,???
,:ii .?._..:: .. .. r. " :.;
, .. .
,_,.._?..,: _ ?:...,.. .,. c.. ? .: ... . . ... .. . ... i..,. ?.s,.,
: : .. ?
,...: ?..? ? ?ibi.G?........, r.: :y.
i: ,..,. r... ,..
...I,.:... .....,....I. t._ :_I._,r..,.:i_?'?Fi,Y' ?... ..1
1. 3a ., .?,......?:.i:riS ii.:::':':: Y
?r,J'4
.,.......:..?..:
? . PERMIT -
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: a u x Lp r N s
Eagan, Minnesota 55122-1897 Permit Number: 029177
(612) 681-4675 Date Issued: 11 /@ 6/ 9 6
SITE ADDRESS:
1270 DUNBERRY LANE
LOT: 8 BLOCK: 1
CHEA MAR 5TH
P.I.N.: 10-17104-080-01
DESCRIPTION:
- (ENTRYJMUDROpM)
B'ti'ild`i' n? Permit Type SF (MISC.)
Eiui`YdS:ng W4rk 7ype ALTERATION
Census Code ry'° , 434 ALT. RESIDENTIAL
, a
?.
. - '..?µ. ..
d ""€
ak s?. ?
REMARKS:
FEE SUMMARY:
VRLUATTON $9,000
Base Fee $57.25
Surcharge $2.00
Lic. Search Fee $5.00
Total Fee $94.25
CONTRACTOR: - Applicant - sT. LIC OWNER:
PIETIG CONST JAMES 14543107 0004754 LUTZ MARV
1267 DUNBERRY LflNE 1270 DUNBERRY LN
EflGflN MN 55123 EAGAN MN 55123
(612) 454-3107 (612)686-8126
S hereby acknowledge that-I heve read'this appli.c'at-ion anei state that the
infarmation is carr;ec.t anod agree to cumply, with all app]icable Stata of Mn.
5tatute nd City of Eagan Ortiinancss, .
I\JA,;?.I -A
C-
PPLICANT/PERMITEE SIGNATU E SSUED B SIG ATURC-T
cinr oF EaG,aN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4575 r
New Censlruelhn Reauirementa RemodeVReeair Reouhemenfn I ?
/
• 3 reqisterod site surveys ? 2 ropks W plen --?
? 2 copks of plans (Mdude beam d window slzea; poured hq, detipn; ete,) ? 2 sHe suneys (ezterior addidons b tleeka)
• 1 energy ealeutalions ? 1 enerqy ealculations tor Matetl additfons
?3 mpka of trae proeenatbn plan B bl pkCed aRer 7/1193
nquirod: _ Yes _ No
DATE: _ zS Dcl?- / c7 H(? CONSTRUCTION COST: ?-rD 0?
DESCRIPTION OF WORK: ?eWl C--k' 7-k u
STREET ADDRESS: 1'a7 O
lOT '0_ BLOCK __J_ SUBD./P.I.D. #:
PROPERTY Name: MAr u L ti-r z_ Phone #: ? 8? -?? Z6
OWNER s••
Street Address•- 12 7 v Du ti6 e r r H L ?
City: a 4",- ?- '?- N State: M? Zip• S s? 13
CONTRACTOR Company: jmr? es perr U• ':2?5r phone #: `FS5/ -3f v'7
Street Address: l Z(=-1 1. tib er-r?3 Lu License #• 4 7s y
City: 'e--ot-G?-?- State: /1`1 1-- Zip• z's123
ARCHITECTI COmpeny: Phone #ENGINEER
Name: Registration #•
Street Address•
City: State: Zip•
Sewer & water licensed plumber: Penaity applies when address change and lot
ehange arc requested once permit is issued. i hereby adcnowledge that I have read this application and state fhat the infortnation is comect d agree to compiy with all
applicable State oi Minneaota Statutes and Cily of Eagan Ordinances.
Signature ot Applicant:
OFFICE USE ONLY
CertiBcates oi Survey Received _ Yes _ No OCT 2 9 1996
Tree Preservation Pian Received _ Yes __,_ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
a 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o
? 02 SF Dwelling o 07 4plex ? 12 Multi RepaidRem. ?
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o
a 04 SF Porch ? 09 12-plex ? 14 Fireplace ?
090`05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
0 31 New " 1?13 Alterations o 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
?. ? .,
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
ConsL (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinkiered
Zoning 'sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ?13y_
pepth Footprint sq. ft. SAC Code al_
Census Bldg j_
Census Unit 0_
APPROVALS
Planning Buiiding A460/ Engineering Variance
?
Permit Fee Vatuation: $ O aD
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Suroharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS ? ? " ' I ?
INCLUDE 2 SETS OF PLANSO 3 CERTIFICATES OF SURVEYo 1 SET OE ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CAECK WITH BLDG. DEPT.r
1 SET OF ENERGY CALCULATIONS
CONR4ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,'
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: Date: Wl 3 I9
?
Site Address 1 d(Q LJtar bL--r v y I-ar.?
Lot 9. Block
Pareel/Sub Ckza 716-J s
Owner 0-a ln6 i0t J Jalme-> & w le?
Address 10l -Jh F)c,. y, 1!}z r
City/Zip Code E aa cL v, . M N. 55?
Phone ?'{ 50? - ?[??(o
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/21p Code
Phone 0
O,_ ^ I
+.w
On site sewage_
MWCC system _
On site well _
City water _
PRV required _
Booster Pump _
3
APPROVALS
Engr/Assess
Planner
Couneil
Bldg. Off.
Varianee
Oceupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
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.-SID
),Sb
(,-oa
, .
?ERTIFICATE OF SURVEY
SCOTT I.AQSoN
F I
T 101q.6
r(1019.61
?0.4,... ...210.00.11
.?il.i.... ..90.00.. ...... ,.... ..I 0.00.,
a:.. Lh ......
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La ..?
:s ... ? ..loo.oo.. .? ..... .. O.oO..
; ?"... 210.00...
...
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architectural s2?-5253
services
EXTERIOR ENVELOPE AVERAGE "U" CObiPUTATION
0WNER HQ E*42 S -1Ar-1E5 Bo QL ES
SITE ADDRESS
CONTRACTOR 5co-r-r L,yRSOtI DATE PHONE
DETERMINE YORKING SQ. FOOTAGE
1. Total exposed wall area..... Z-7iv•?,9 sq, ft. x.17 m 460,8Z
2, Total roof J ceilinq area... 117ta•6esq. it. x .05 m ?e•
3. Total iloor/cant. area...... sq. ft. x =---
Y(TfA L EXPobED WsaLL A2EA ggpVE Ft.OO? 2 3q-"7 • 5'1
a. Total wall window area .................... 2q4•1'i
b. Total door area............................. F?
c. Total sliding glassdoor area ............. A a
d. Total iireplace wall area..................
e. Total w.all Praming area (averagel0%)...... Zs+.-i!p
i. Total net wall area above Ploor............ i-7oo•za-
g, Total rim joist area ...................... zs z
h. Total Poundation window area............... '-"
i. Total net Poundation area above grade...... 111.a -5
Determine "U" value oP each wall segment
a. 2 a¢? ?'I x flUff .55 ° I(o 21 1 z
b. ?'t • S x "Ut' . oc, ° 2. 2'f
C. 8b R "U" •SS ° 4.4
d. X nUlr a
@. 234•1 /o X nUn • 1 I?I' ? 2(o?-I/o
f. F-7hv•24x "U" ,05l ? q[ , 91
g. ZS'Z- X ?rU?? ,053 = 13 • 3/0
$. X , ?U?? a
1. 111.s3 x „U" ,13 = 14•5?1-
4 ............................. Total -559•9!0
Ii item k3 is the same as, or lesa than #1, you have met the
intent ot SBC 6006(c)2.
.
` Feehan's architectural 521-5253
services
5. Total exposed roof / ceiling area I1-7 /v. t, 8
J. Total skylight area...........................
k. Total Ylat rooY/clg. Yraming area............. „-7.c.-I
1. Total net insulation tlat rooY/clg. area...... I b5 9• OI
m. Total vault rooi/clg. iraming area............
n. Total net insulated vault roo4/clg. area......
Determine "U" value Yor each roof/clg. segment
i - -R ttUit a
1C. NUn , 02'1 ° 3- I II
1. In. q.01 X"U" . OZ3 ° Z`f'•°'.JG
M. X ftUt1
II. X flU1f s. __.
5 ................................ Total z'7•54-
Ii total of #5 is the same as, ot lesa than #2, you have met the intent of SBC 6006(c)1.,
6. Total exposed iloor cant. area '
o. Total tloor/cant. 4raming area (average
p. Total net insulated iloor/cant, area..........
Determine "U" value for each lloor/cant. segment
0. R nUn s
p X ItUn v
6 ................................ Total
IP total oY #6 is the same as, or less than #3 qou have met
the intent of SBC 6006(c)3.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total eavelope syatem method, the values
established by the sum of itema #4, #5, #6 ehall aot be
greater than the aum oi items #1, #2, and #3.
1. 2. 3. _
4. 5. 6. ?
Prepared by ??? ?•
Date G I 7-e.183
TIirar sTVn
+PG S.R. & Siding
_. ,
i
? Int. Air .611
3. R, ? -FS
3tud 4-•35
Shtg. z , o m
3ldinp. 1 • b S
Ext. Air .17
Total "R° = 7.76
1/R v nUn =• I I A-
xMv. ixs.
v/ S.R. & 3lding
1
'Int. Air .68
S. R. • +5
Ins. i3.oo
Shtp,. 2 b(o
Siding i - 05
Ext. Air .17
T-Asi "R" = 1 '7 .41
1/R = "U°
THR[T CEILING
MEM9ER
Int. Air
S.R.
C1?. Member
Ins.
Still Air
T.,tal, rrRn
lIR - "U"
.69
,56
THRU CEILZNG
INSIJI.ATION
Iat. Air .. .69
S.R.
•5!0
Ina. 41. p
Still Air .61
Totel "R" _ .F.2 . S S
1/R - "U" _ -oz3
?
a•3S
3!' • (o !o
.61
= 3?•SS
TfiRU CONC. BIK. Int. Air .6q
C.B. ? I'7-°? I•'Z8
Ina. (Opt.) 5• ?
Ext. Air .17
B.R. (Opt•)
- Siding (Opt.)
? .'a Tote1 "R" +
:
. 7• "13
?
. ..
: ? . ; ?. . i /R ? "U" _ • ? 3
;
wml
THRU RIM JOIST
Int. Ai- .6R
Ina. 13•O
14" w')id 1.'99
Shtg. 2 - o (a
8idinr, 1 • OS
Ext. Air .17
Total "R" - i8, 85
1/R = "U" - . 0 53
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 1693.81
14 I327.37
15 1290.39
16 490.78
17- I
805.84
18 1631.79
19 1908.97
20 2512.98
B'ock 2, Lot 1 I1459.47 {
2 1545.87
3 ?624.55 ?
4 577.04
5 478.66
6 ?422.66
7 488.72
$ 553.46
9 423.54
?Ches Mar Sth
Block 1, Lot?l 467.30 ?
? -- --- ---J2 369.51 ?
3 501.09
4 4 68.55
5 506.35
6 ' 403.00
7 4?16 . 0 3
?
5?46. 00
9 4i 3.09
Block 2, Lot 1 390.00
2 390.00 .
3 390.00
4 733.75
5 603.69
6 331.45
7 325.00
8 325.00
9 600.68
10 102?1.18
OFFICIt
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612 339 3391
01-118%20.08 14:34 FA% 812 339 3391 WOODLAND STOVES
z001
Woodland Stoves & FireplaCes
2901 Franklin Ave E
Minneapolis. MN 55406
612-338-6606 Phone
612-339-3391 Fax
70: ! ON'' From: 1`//!? ?/LIHnBry
Company: G?iqGn ??"U Da6e: ?`?r v 0
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Fau #: 75"- Fy Pages: y
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S•??e p/
FRANKUN AV6NUE EAST
r,?pfi?e?e:Qkd??hary`?'ruduc?OS?A??.'rviu r?? I ? `'? ?.i?:. ?u ? • • • • • • • • • MINNEAPOLI$, MINNESOTA 65406
WWW.'WOODLANDSTOVL.S.COM
01%18!2008 14:34 FA% 612 339 3391 WOODLaND STOVES Z002
Jpltu! C55o Rockland
Chimney Connection Requirements
U.S. Only Requirements:
i. The insert must be connected to a code-approved
masonry chimney with a direct (positWe) flue
connector inta the first chlmney liner sectlon.
x. The cross-sectional area ofthe chimneyflue may
not belessthanthe<ross-sectionalarea ofthe
fl ue colla c.
3. A seafed bluk-off plute must be instoffed at tAe
damper area of the existing fireploce, u n less the
liner is connected tothe top of the ch;mney.5ee
fig.8.
q. Forlnfernal chimneys, (na sides af fhechlmneyexposed to the outside below the roofl ine,) a
posRive connedion into the firrt flue Yiie is accept-
able provided thetile is no largerthan 8"x12".
5. Fprextemal c6imneys, (one or more sides are
exposed to the outside below the roof line,
including garages), a positive connection to the
first Plue tile is acceptable provided the tile is nv
Iargerthan8°x8"- , 6. A 6° j, or 8°rtain(ess steel Iiner, extending the
full he7ghf of the chimney, is requiredfor those
installatbns wherethe Hue t11e is greaterthan
8"x1z"forinternalch[mneys,or
Figure 8. Positive Ch/mney [onnedion wlih an
ezamp/e of a damper block-off pfcrte - u.5_ only.
Canada Requlremerrt:
The insert must be instailed with a mntinuous
chimney liner of 6" (152 mm) diameter eMending
from tMe fireplace insert to the top of the chimney.
The chimney tiner must conform to the Class 3
requlrements of CANlULC-5635, Standard for lining
5ystems for ExisYing Masonry or Faetory-Buik
Chimneys and Vents, or CAN/ULC•5640, Standard for
Lfnfng Systems for New Masonry Chimrteys.
Seefig.g,
Do not use aluminum or galvanized steel pipe for
chimney connection components • these materials
are not suitable for use with solid fuel.
Flex Connector
plpe extend5
into the flrst Huc
Yile
10
oi!isizoos ia:aa Faa 612 aas aaei WOODLAND STOVES IAooa
»rui C sso aockland
If15taIIatlOn
Masonry Fireplace Requirements
• The entire fireplace and chimney must be cleaned
andinsQectedto NFPA zn Levelllstandards
befare Installation.The system must meet iocal
building code requirements.
• The structure and components must be free of
any defects such as cracks or broken bricks orflue
tiles.Any damage must be repaired before
installation ofthe fireplace Insert.
Any opening tMat may exist between the
masonry of the fi replace and thefating masonry
must be permanently sealed. .
The chimney must have a day tiVe liner or a
? stainlesssteellinerutllizingapositiveconnec-
tion.
- 60 not Femwe bricks or mortar from the fire-
placeorchimney. However,masonry orsteelmay
be removed from the smoke shelf and adJacent
damperframe areato acmmmodate inStallation
ofa chlmney liner, provided that Lheir removal
wlll not weaken the structure of the fireplace or
chimney, and will not reduce protection for
combustible materials.
• Chlmney Height:
Minimum-i5ft. (4.57 metef5)
Maximum - 33 ft. (10.5 meters)
Factory-Built Fireplace Requirements
7heJ0tul C 550 Rockland may be installed into a
factory-builtfireplace with the following conditions:
• Thefactory•bulltfireplace mus't be listed per
UL iz7 or U LC 5610.
• Thefactory-builtchimneysystemmust6efully-
lined with Ilsted chimney liner meetingtype HT
requtrements (zioo F) per U L 1777 (U.S.) or l1LC
5635 (CAN). Some I{ner manufacturers require
insulation in order to achieve a UL1777 or ULC-
56351isting.Checkwiththe liner manufacturer
to determine if insulation Is required. Insulatlon
Is recommended, especially i€the chimney is
located in a chase outside of the building enve-
lope.7he Ifner must be securely attached to the
insert flue collar and the chimneytop.
• THE TOP PLATE OF THE L1N@R 5YSTEM MUST NOT
BLOCK AIRfLOW BE7WEEN THE COOLING WALLS
OFTHE FACTORV-BUILT AIR-COOLED CHIMNEV
SYSTEM.These airways MU57 be left open under
all conditions to maintain proper air-cooling of
the ch+mney system. See fig. 3.
• Thedamperareaorflrepfacefrontmustbesealed
ta prevent passageof room air intothe chimney
caviTy.
Minimum Fireplace Dimensions
A: Front Width' ................ .............. ....... 33" (838 mm)
B: Helght ........................................ 23 3/4"{603 mm)
C: RearWidth ................... ..................... zq" (61omm)
?
D: Reer Height ..................................... zz' (559 mm
E: Depth ........... ................................. 18" (457 rr"^)
*NOTE: Width dlmension acmmmodates clearance for
blower pawer mrd routing
Conm
AlrFlou
DOfJ07BlDd(Olfi
nrECrxn4W70P
saeem.d
pehbno+m
ChimxryTap
p,dapturap?alr
flwvoutfrorn
pciweenchimrxy
atd Iner.
Aefib+iatea.
useeo CnN,rKy
? i ume.Hr
Nairksssceel
CkvancetomMbu02k dilmney6r¢r
materlalsmUftbe
malrRainedlnermidaMe wtththeflreplace
rtunuFxtueJSlisting. ' ?ogls cryyn neyflue
Bull[a? aMw+Ys
rrxu[riotbe -? llstcd.pRhbdr'tOd
rtwdlfleda terpKkarancc
obsvucted. Poeplacc
Figurez. Minimumfireplocedimensions.
Hearthpolecdonmus[ nl J p?!? 5?ppiemerRal
bCmalr?pinedin supp?maMrd
mustberwrr
a4mrdarKev.lththe
11rmlacemenuFadwd4 mmbuRlMe.
Nstfn6 \ ;:a.,..e.,,emr?-sesM!ii.
Figure 3.
Prefabrkafed fireplote installafion requlrements.
01!18/2008 14:35 FAX 812 339 3391 WOODLAND STOVES 2004
?oeo11 t.nmi10o,41 b1YbC33231 BROWNSTONE DISTR. PWGc 01
.?. ° €. . .. . . .
??????????P JIMILANKET
2400°F Alurnpna-5111ca Ceramic Fiber Blanket
iHSWOQL•HA BLAN[ZET ls a low iron. high purity ceramic fiber blanket dCve4ope¢ eSpedaI(Y
for use in hlghly redudng atmospheres. It !s l3ghxweiot, fteAble. and suitable for operating
temper2tvres #0 24000F. INSWOQG-FIP BtJtNKET retains a soft HbroLsa sbucnve rYght up to
its rriaxtmum ustlge temperature, and even the most exMttne tempeerature changes wt}i not
affect its ablllty to Insulate and stay in pface.
INSw[10LHP BIANKET was dewdoped to meet the demand for R high temperazuro, Fle-lctGle
blanlcex Insuladon with a Iow Iron content of less tFan t 96. INSWOOL-HP BtANKET has
occetlent strength, lwth hot and cold. It remalns in place on the fumaCe anchors even at, high
temgerACUres and can reslst damage Cven when subjected t'0 r+ormal misbrearment fn
shipment and hanc111ng, IF iNSW4pL-HP4tANPCET Ltiecomes wet from water, ste'ahi, or oll,
lt5 Chermai and phySicat propertMs are restored upon dry1%. 1ts sound ahserntbn ab111iy ts
a,{eater than dense or Insulating refractOrle3 and k stores 9ome 95`Ye less heat rhan dense
flrebrick and abOuC 75°!< less fhr,n Insulatifi$ btlck.
CHEMiCnL ANALYSIS - Calcined Basis
S31ita - SIOZ ............................. ...................... ......... .............................. ................ 49_196
Alumina - AI,O3 ....... ................. ............... ................ ........ ........................... ........... 54.Z%
Iron oxlde - fe,01
..................................... .. ......... ..0.2%
.............................................
l.ime - Cs0 ........................................................... ...............................................0.156
Ma,qnesIa - M,gp .................... ................................ ................. ....,.... .,?.......,,.....,...0.195
rtran« - riO, ....................................... .......... ........ ...................................... ...... ...a.i%
AsitWies -,va,o + rclo ................_......,.,..............,... _............................,.............,...o.a%
A. P. Creen is a 3upplier of Fti,gh duly rnA sup0r CtuV Wck, inswanng fieebrlek hlgtt
Numina brfek baale bricte, sAtca hnck, mwrar-% plestlcs, eastables. and precast sh+epes
ai well as minerat wOd blDCk IrtrttlAtian nnd a Compkta Carambt ftber 0.lx. SLOeW Of
the5¢ ptvducts are malntalneq In rr10Ce t116h 40 locatlons thrdlghout NORfi Amerlta.
Md, hAVlrtg t+een tn che rekactorles Uuslnea fer mwe then 60 yeas. A. P. Grem etn
Nso Prwlda the bqaerdae snd tharowgh technlcal a9slsrance ehat you mlght requlre.
Ce Cr WWWI b1lIC,Cc) (CJ
?/ 62 bg-
2007 RESIDENTIAL BUILDING PERMIT APPL[CATION
City Of Eagan
3830 Pilot Knob Raad, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Canstructlon Re4uiremen5
3 regislered site wrveys showing sq. fl. M lot, sq. R. of house; and all roofed areas
(20%mazimum lot coverage allowed)
1 Soils Report Hproposed building is to be placetl on disWrbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set M Energy Calalafions
3 copies M Tree Preservatlon Plan if IN plattetl after 711193
Rim Joist Detail Optians selection sheet (buildinqs wdh 3 or less units)
Minnegasco rtwhanical ventilation /ortn
RemodeVReoair Reouirements
2 copies of plan showing footirgs, 6eams, joists
1 set oF Energy Calculations fw heated addinons
1 site survey tor atltli6ons & decks
Addition - irMicate i1 on-site sepfic system
? ?o ? c-C
I o?'"?c§':'6e0n
C9t1`WSunreY.Recd Y r-i- N
Spils Repa?i , `Y -? N.
7reePresPJan.Rectl° Yr"T,N;
Tr@ePresReuited" ?N
Qn4le_.SeF?6GSy;sten tJ.
I'Cans are considered public information uMess vou state they are trade secret and the reason.
Date / / _5 /?? J Construction Cost
/
Site Address UniUSte #
DescriptionofWark 0_0774c. lPnue.L,q-r7d ?)ODQ &/24 i/l6f ljl SE-)d-T $ d5
iSnnG .Llt?S? k-y Fi,2?--peE
Mul[i-Family Bldg _ Y A N
t' Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner Telephone#((v5I) 09(a-'0007
Contractor ?OO?Lf}-r7D ?T1JDE-rS /????fl`-E?S
C?°
/`?
Address .?
? ,
n
City ///r/?.?OC.?S
?/?
S[ate ?/"?/L Zip ??D ? Telephone tl ( Ip I?, 339-6Io Q1"
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Venlilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Ir the Icst 12 mor'hs, hcs ihe City of Ecgen iswed a perrnit for a similer plcn based on a masTer pla.^.?
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
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 wark 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. &,?? / ?
-?f? ?
Applicant's Pr' ted Name Applicant's Signat e
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122
DATE 19
RECEIVED
FROM
wMouNS $
?
& ooLLnRs
,ou
? CASH ? CHECK
FOR
i
. / White-Payers Copy
Y Yellow-Posting Copy
Pink-File Capy
Tha ! I $ Y
Receipt
,. ?
1. Date
Cost
Permit No. ---" a 'I ?
Fee 2 ? or?
s/c ?
rot.
/l,1 V I
3. Job Address .
??? ? Lot?Blk. ! Tract
? Y
4. Owner _• ? J ? l ? ? `? ?
5. Contractor Phone 4 ?V
.
6. Address
7. City )Y" A State ( JV' Zip
8. Building Type: Residential EY Commercial ? Institutional ?
9. Work Description: New EY' Add ?
I 10. Describe
1 11.
Alter O Repair ?
No.
`t Fixtures
Water Gloset No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
't Lavatory Softner
Shower Well
' Kitchen Sink
Urinal/Bidet Other
Laundry Tray
i Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordihams and codes governing this type of work.
; . ?
Signed : L t ?!;? for
Rough f inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
PLUMBING PERMIT
CITY OF EAGAN
I Fill in numbered spaces I
Type or Print legibly
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAiV •
• Fee
FiII in numbered spaces 5/G
Type or Print legib/y
Tot.
1. Date ? 2. Installation Cost
: .. {
3. Job Address 1 Lat Blk. 1 Tract {
4. Owner
5. Contractor Phone
6. Address - ? •'- ?
7. CitY State - . „ Zip -. 7
8. Building Type: Residential Q
9. Work Description: New 6
10. Describe
11.
Commercial ? Institutional ?
Add ? Alter ? Repair O
Fuel Type
No.
? E.puipment STU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg, Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree ta
comply with all ordinances and codes governing this type of work.
Signed : - for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?
I j
CIT1( OF EAGAN ?.`?
3795 Ppot Keob Rood Eegon, MN 55122 ` ?i??
PHONE: 434-A100
BUILDlNG PERMIT Receipt # -
Tn Ir uuA inr 71: :JWC,/GtkR Fef Vnlue $97f000 D.ta SF?'>teP'1.)C'r 2:. . 19_ 33
1LlV L11IIUeiTy LaIIC
Site Address
Erect
;yM R,_3
Occuponcy
Lot Y Block 1 Sac/Sub. Ches Mar Sth Aiter ? Zoniny n.-2
Parcei 10--17104-080-01
# Repair ? Fire Zone NA
Enlorfle
[] v
Type of Const.
? Na? Scott Larson Homes Move
0
# Stories
z llddress 213 Crestridge Drive Demolish ? Length
9 ,._-.Burnsville 435-6660 C,rode fl Depth 3' Su. Ft.
? Name ..,....1 --•?•-•-•- •---
o? Assessment Permit :
Addreas
u? Water & Sew. Surcharpe ?^•;' E
Cit Phone Police Pian check
ae
WW Na^'M
Firo
SAC ??? •
=Z Addrass
u"
W Erq. Water Conn.4 50.1C'
6fl.'}0
CI Phoro
< Plonner Woter Meter
Council Rood Unit 250.00
1 hereby acknowledge thnt 1 hove rend this applicotion ond state that 81dp. Off.
the inlormotion is correct and agree to comply with all opplicoble APC Totel ''19?'9'50
State of Minnewta Stotutes and City of Eagan Ordi?onoes.
Siqnature of Permittee _
,
arsoi;
,
/? Bullding Permit fs Issued to: o? the expross condition tha?
all work sholl be done in accordonce with oll oppliaoble State oE 1Vtiwn esote Stafutes orwd City of Eo9en Ordinonces.
Building Officfal
Permit No. Permit Holdsr Misc. Permit No. Holder
Plumbing 3 C t 4-t- -(jj
H.V.A.C. Q ZQ/1M4I4^,5 •I0-7'0.3
Well
Wttsr
Disp.
Sovwr
Elect.ic wdqzo-76 ,uAs4r
In"ction Date Insp. Other
Footlnys
Foundstion
Framinq ?C
Rou? Plbq. C_ -
A
Rough HV
C t?
Inwlstion
AAV-Aall
Firol Plb?
Finsl HVAC
Finsl
Weter Deaeriba Locstion:
weu ,
Sew.r
P?. Disp. ,
CITY OF EAGAN 2 t? ??
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ,
PNONE:454-8100
BUILDING PERMIT Receipt#
To be used for Est. Value ? Date ,19
Site Address OFFIC
Lot Block t Sec/Sub. On Site 3ewage
MWCC System
Parcel No. On Site Well
a Name City Water
W PRV Required
= Address
0 City Phone Boaster Pump
. o Name
? ` Address
? City
?Q
?
W
W W
? Name
_ ? Address
U
¢ W
City
I hereby acknowiedge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
APPROVALS i
Engr./Assess
Planner
COUf1Cil
Bldg. Off.
Variance
Occupancy
Zoning
(Actual) Conat
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, M WCC
Water Conn.
Water Meter
Road Unit
f24.(t0
?O
.
Treatment P1
Parks
TOTAL
?T-
Permit No. Permlt Holder Date Telephone ?
Plumbing
H.V.A.C.
Electric
Softener
Inspection Date Insp. Commants
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg. ,z7 8 ?i,?
Deck Final ? td
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition CHES MAR STH ADDN. Lot 8 Blk 1 Parcel IO 17104 080 O1
Owner ..?/t?i-??s+! ?/ <-i ". ' --•' Street 1270 Dunberry Lane State Eagatl, MN 55123
d ?`_ i.GC v
IMprovement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK dd 1973 172.92 8.65 20 69.24
A 13243
12-6-83
* SEWER LATERAL zl 3441.41 229.43. 15
2294.31
WATERMAIN
* WATER LATERAL 1980
WATER AREA J / 1977 172.92 11.53 15 12-6-83
* Services 1980
* STORM SEW TRK 1980
* STORM SEW LAT 1980
CURB & GUTTER
SIDEWALK
STREET LIGHT
250.00 38983 9-28-83
WATER CONN. 450. OO it
BUILDING PER. 8522
SAC
525.00
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
• „ ?? i'1„? fli ' ? , t :LN7 - . ?
PERMIT SUBTYPE: TYPE 4F WORK:
,I Ti=RAI lt)tt
NIRYfNflQktI (?M)
INSPECTION .• • .•
, ??, ?
Permlt No. Pertnit Holder Date Telephone 11
ELECTRIC qa
PLUMBING
HVAC
Inapectfon Date Insp. Commante
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE ?
FIREPLACE AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
OECK FINAL
TY OF EAGAN
L30 P'iiot Knob Road
0. Box 21199
igan, MN 55121
PERMIT
PERMiT NO.: ^ ? ?
DATE:
No. of Units: 1
Addreu:
.3
to emoy wiM Nw Cihr of Eaga•
oF Insp.:
Connectton Ctwrpe: 425.0!' ,•c'
Account Qeposit:
permtt Fee; 1U_00 dn(i
Surcharps: 5f) rW
Misc. Charpaa:
Totof:
Date Poid:
f- ?
CITY OF EAGAN WpTER SERVICE PERMR
' 3830 Pi;ot Knob Road
P. O. Box 21189 PERMIT NO.:
Esgan, MN 55121 DATE:
' Zoning: P, 1 No. of Units:
Scott Larsea
; pN,ner Homes
.
: Address:
Sj? ??u: t27C? Ihrnb erry L<?ne T. ? fi l Ciies '4a r S th
? Plumber. Lide Flbf;
Meter No.: Cw?nection Charfle: 4 S!1, 04 nc!
` Slze: Aceouert Deposit:
Reader No..
I prse to oomoly NNh IM City of Rs"¦
Ordinescn.
By
U• F
Permit Fee:
Surcharge: p
Misc. Cl,orpasn• 6'1.1W, 00_tret_er
Total: ?
Dots Paid:
? r?98s 43??2z
CERTIFICATE OF SUR'VEY
PREPARED BYc
SCHOELL & MAD50:N, iNC.
. SCO! T ?AQSON ENGINEEFIS 6. SURVEYORS
?Op, 50 NINTH AVENUE 80UTH
HOPKINS, MINNE50TA 55343
`2?? : ?.5 t ?NCH??o F?Er
? . ?
??
.? DESCRIPTION:
y ,
7, :
V '
_ ? Lot 8, Block 1, CHES MAR FIFTH ADDITION.
; o 0
r V
? 1019.6 `
' r(io?9:6) ?0?46 ?,n B E N C H M A R K:
r??.a.... ...2io.oo... rc?oia.6,' o s?" " °
o.?@,:.;::. ..qo.oo.. ....... ...... ..r o.oo.. , ..., -?`•. Q o° ? 5pike in lath in :24" Oak tree as shown,
?... u? ? .• ao... ?
? - ^ - - - - - - - - ? ?io?6.2, ? f,? •w• ? Elevation = 1021.2 {City of Eagan Datum),
• ??.?t0i6.8?;? :- 'Z I ?
p I (10 6 2 x .a ???(??i c 1
( ^ ?/
? ? ;? \? ?? ?, ? m GENERAL NOTES:
,\m c o ?
; I '?"'., \ a. r ?.?'?' IC d.
??2 i ta2o.i I ' ° o ` 1) •- Denotes iron monument found,
? I ?'? a\ .?`{io2a8? p "' ( J?+
0,' SI ;-'; ? d w \.e7?? 30.0 __ 0 3? ? 2) ?- Denotes wood stake.
p p ..... .. ?'? ' ?. Ic19:r? m ` r '? ? ,?
: o '? Droino9e E Ut? i y?asemen po2i.i) N?o? Or e •" c01n 3) x1018,3 - Denotes existing spot elevation.
o ?... ? ?J ? i ? ?
'? I '•, ,i ?, o-na 2?a. -- -) ~- -- 4 0 ? 4) x(1024;6) - Denotes proposed spot elevation,
N
, .. Benchmark 7'ree-.? ?oEt.2 ?...?'?02?.?? ???' o ?r c
? _1 ? ` _ r _ ' (?022•3) f (?o2o.a)??? }N ;?N ?! ? 5}` --? - Denotes direction of surface ftow.
`,',: ? , ; o
?.. ?- - ? ? _ ? _.._ ..._. `. oo ?
....30A..., ... ? ?
- 6) ProposEd top af Foundafiion = 1021,2,
v .,_. ••100.00° . ..... •• 0;00•• q ? Q
1024.6 i ? ... ... 210:00... , • .'' J •
(?o2a.b) ??? ?! 7) Proposed garage ftoor elevation = 1020.9,
t?oii21 ?
° 8) Proposed basement floor elevation = 1013,2,
? ?'
,: m
_ ,q
yo.??? 33.o I hereby certify that this survey was prepared
' ss under rny supervision` and that I am a Licensed
, _ _______ _ _ ._._? .. _ ? _ _4_ .__ ---- _ . _ _ _ _ . _ ? ? _ ?. _ ?
? ?? ?and Surveyor under'the laws of the State of
Minnesota.
? '„ ?????? J
.?
Harold E. Dahlin
Date: 26 September 1983 ?icense No, 8414
i 'il~
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ADJA(~7JT
RESIDQVCE ~127+ ~
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~ 1~1NCH EQUALS 1b FEEY ' ~ '
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BASIS fOR BEAWNG ~ PINt # CHES MAR'fiFM.ADDl11lk1 '
/ , , ~ y
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,
'ADJACENT ' ~ CA4IPOST
BIN ~ ~ . ~ r . 89 47 26 E 210.00 (RECORD) ~ 2og,e~ ~~ns.~ N FOUND i/2'
a • f iRON PIPE ~ r RLS 8825 i
{OUND t/2 ~ ~ ~ IRON PIPE ~ u ~ % S' DRAMAGE Ac U11L11Y FASEMENt ~ ~i ~ ~ ~ ~
RLS 8525 ~ 1` : ~ ~ ~=~--_____1~_ • - - - - - - - - - 3~ 30
i . - ; ~ ~
9 t FOUND 1/Y . ' IRON PIPE ~ ~ I~ , r ~i
' ~ RLS 6825 ~ t
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~ ; i ? '~,4 ~R y
~ 30.t3 30.t3
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r~~ ~ ~ ~i~ ~ ~ ~`f;~r:~.~f ~k~".~, N ` ( Q - _ - _ ~ . . : k ~1.~ ~ ' . 0 „ . . . . . I ~ , _ _ . _ . . _ "t.. . . . ~ ' . ~ , . . , ^t~~ . . . . . . , . _ . . . . v . . . .
. - .__.~_._-r-.~.:... , ,.R . . ~ . ~ . . . ~ . ~ ~ . _ . ~ . . ~ N.. ~ ~ ~ - . .rn . . , ~ e$ e : ~ ~ . ' :
~ FZ ~ W . , : :'d O+ ~ ~ ~ 4
0 ~ . . . ' ~ ~ j~> . ~ ~ . . . ~ . . . . . . ~ . ~ ~ .
. ~ ~ ~.~~0 , ~ ~
~ . W ~ . . ~ . . ~ . . ~ . . ~ 0.31 ~ ~ ( F Q ( ~
~ ~ ~ , ~ #1270 O o #1270 ~ ~ . ~
O 135 DUNBERF • LOT AREA m 20999 SQ. fl. QUNBERRY 2,o a ~ W
O - o~ o.~e acs~~ wooo LAN~ _ p `9 ~ DECK LAN~ ~ ~ Z ° ~
o ~ (V r'' b ~
3 ~ ~ ~ ~ ~ t ~ ~ ~ ~ ~ ~ ~ ~ '
„ o ° . . , . . r . . . ~ ~ . i ~ ;
N ~ D~ ~
p ~ 147.41 4.80 _ ~ » Z ~ 5.39 5.95 W
BI'NMINWS ; ~ DRIYEWAY g
4 ~ ( d '~~~r.
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3
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„ : ~ , ! v9 _ _ .'.I . . . . . . : .
22.22 '
I
( I~~Y , I
Fd1N0 1/Y IRON PfPE ~ I ~r~HO~
RLS 8825 ~
30 30 `
- S' DRAINAGE 3 U11UlY FASF}+~?lT
, , . . . . . . . . . . .54.00 : . . . . . . . . . . . . . .
FOUND 1/2" ~ _ ~ ' n t.51 SET POINT ~Ra~ PiPE N 89'47 26 W 210.OQ (RECORD) 2osae {?~ns.) ~.se ~r u~ POINT FOUND 1/2° 1NE IRON PIPE
RlS BB25
o'~ B 4 ~ L ADJACENT ~0
I SiED
~ ~ ~
~a, m p'. ~ - ~ ~ f ~ ~ '~;i~':
~ ~ ~ ,d
~ ~ ~ i ~'P t`~Y~'k~~
~~i~~ 4~ ~
,~,~°~`:~T~ ~¶~~An~ KEMPER & ASSOCIATES I~IC~:
~ r ~ ~ ~7~~~~ ~ ~
PRFPARED f'~R: > I HE'RfBY CER11P1` 1HA7 fHIS ~ R~~''' P~w, svEa~cnno~ oR rtEro~t~ LANO~ SURVEYING ENGI~~NEERING ~ ~ ~ ~
MAR11N LUTL 1270 OUNBFRRY U~Nf ~ WAS PREPARfD BY ME OR UNDER MY ' ' ~'t; ~~Y~~l ~E DIRECT SUPERYISION AND iHAT "
fACAN, ~IfNNESOTA 55123 S~ 1Z s~~ ~ I AM A DULY REdSTERED , PROFESSIONAL LAND 5UR4EYOR
PHONE 886-8128 ~iu~@ ,,~r i e~ ~r ,uG INNSBRUCK OFFICE PARK
srnTE oF MiNraao2722 HWY. 694, STE. 130
ST.'PAUL, MINNESOTA 55112
612-631-4351 MARK. EMPER , PLs f FAX 612-631-8805
CERTTFICATE OF SURVEY DATFD 1NIS~ DAY Ol,g 1994
947f1tt (DMB) ' D.B. TODD HOLEN `
. , . ,
'
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116451
Date Issued:10/08/2013
Permit Category:ePermit
Site Address: 1270 Dunberry Lane
Lot:8 Block: 1 Addition: Ches Mar 5th
PID:10-17104-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jackie Terrell
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 -
Dale D Rathke
1270 Dunberry Lane
Eagan MN 55123
Walker Roofing Company
2274 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117297
Date Issued:10/16/2013
Permit Category:ePermit
Site Address: 1276 Dunberry Lane
Lot:9 Block: 2 Addition: Ches Mar 4th
PID:10-17103-02-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Nathan Corbin
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 -
John J Wolf
1276 Dunberry Lane
Eagan MN 55123
Corbin Exteriors Llc
1115 Southview Blvd
South St Paul MN 55075
(651) 760-3116
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA130399
Date Issued:04/22/2015
Permit Category:ePermit
Site Address: 1270 Dunberry Lane
Lot:8 Block: 1 Addition: Ches Mar 5th
PID:10-17104-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:(2) Water Heaters
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Applicant: Dean Kamrath
13791 Jonquil Ln N
Dayton, MN 55327
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Norman Duddingston
1270 Dunberry Lane
Eagan MN 55123
Adam's On Time Plumbing & Water Heaters LLC
13791 Jonquil Lane N
Dayton MN 55327
(612) 205-6060
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178428
Date Issued:08/16/2022
Permit Category:ePermit
Site Address: 1270 Dunberry Lane
Lot:8 Block: 1 Addition: Ches Mar 5th
PID:10-17104-01-080
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Tawny Attebery Duddingston
1270 Dunberry Ln
Eagan MN 55123
Thull Construction
520 Hahn Dr
Shakopee MN 55379
(612) 328-0515
Applicant/Permitee: Signature Issued By: Signature