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1271 Dunberry Lane Use BLUE or BLACK Ink r For Office Use Permit#: ~Ila City of EaRd I a I Permit Fee: I 3830 Pilot Knob Road lC~ Eagan MN 55122 RECEIVED Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 JUNV U 6 2011 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 00 ~,~~arll Date: Site Address: Unit M Name: f v rr2 a r_4_J7_0 L11 Phone: 6S_1- 6 2 6_ 0"7 RESIDENT / OWNER Address / City / Zip: 1 Z 7 / _ N ber r t-, LA-"e- ~ AAA N Applicant is: Owner Contractor TYPE OF WORK Description of work: % ('Ar D D w ti e X ► STl r f PLg 6e wi°rH 64rvta -s/Ze DKAC Construction Cost: <0 700eO_ Multi-Family Building: (Yes / No X.) Company: . JA7n PS P/ e° 7,~' Cb)uS7- t4c-7-&-&tt: JAM e5 Pe0J_16- CONTRACTOR Address: 12- 4-7 Dc+ ~ b-ero" 1 L- A--u e City: E:.4 6- A) State: / r t 't) Zip: .!~,S_/ 2 -2> Phone: q_~_7` 31 8 License Ll 215-4/ Lead Certificate M 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 YNo 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 the 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.goi)herstateonecall.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. x/ A art C Se i t Lr- x 7e4 Applicant's Printed Name Appl cant's Signature Page 1 of 3 r daT W ITE BELU HIS LINE v~~l SUB TYPES Foundation - Fireplace _ Porch (3-Season) _ Storm Damage _ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) - Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool Miscellaneous 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 07 Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%~,) Zoning City Water Census Code 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. Requited ~ 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 Surcharge Plan Review MCES SAC City SAC Utility Connection Charge V f [ S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 2'aLlofson auilders Inc, !d I 1 J)0)&rV (O or.10861 9510 183'»28-A F., C- JACKSON A[31tT[R[O UM"Pl f*lft Q 8TATt CP UIIWMWrA 4.f4i)tt#~ t1r 19*M"*= Cw CITY 'w ""Nu mpous 3614 VAST 54TH 9TRKLt35417 7273484 LYD)I ! j ~Icr- 4 }i4 ( 0 sC'~tt~,rf: Oki 4-Z I NY towy cx" THAT Yfit AW" q A TAU[ AND CORIk[CT I-LAT CIA fw*v[Y 4i i Lot 7,51ock 2,C4es Mar Fifth Addition, Dakota Coaatr,llin ssota. As WUPtVLY[O tY M{; TY4 1414. vxr or -__Ju _-A.m 1978 7 V C- 44"so". I l"ft*MT TAATWK. No. 3400 1. • CASH RECEIPT • CITY OF EAGAN 3795 PILOT KN06 ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ I 1 ao ? CASH El CHECK DOLLARS hank You . a2 . BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN ? 3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for ' `Est. Value Date ,19 Lot Block Sec/Sub. Parcel No. a Name ' ; Address ° City Phone . o Name ?? Address ? City Phone yVj W W Name F Address ` W City Phone 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. 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 5tatutes and City of Eagan Ordinances. Building Official - On 5Re Sewage Occupancy MWCC System Zoning On Site Well (Actuary Const City Water (Allowable) PRV Required # of Storiea Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit ? Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL Permlt No. Permlt Holder Date TeIephone # Plumbing H.V./lC. Electric J % K-.n?' ; Softener Inapection Date, Inep. Commenta Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Pibg. Bldg. Final cert occ. Temp LP ff ?-?7 '. ` > ".92 '?l1? cIrY oF EA"N 3795 Pil* Knob Rood Eagas, MN 55122 N2 4950 , PHONEt 454-8100 -'BUILDING PERMIT Receipt # To be used hr Est. Value Date 19 Sift Address Erect ? Occuponcy Lot Biock Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. W Name Move ? # Stories 3 Address Demolish ? Front ft. b r-:... oL.r_ 6rode ? DePth ff. 0! Nome a vA i ca avti u1u1 r%pprvvvu Zv 7 3 1 '1 io yO @ nt A 8t Address ssessme ? Ci Phone -•F-?,'-?1?? Water & Sew. Police F W Nome W Fire ?? Address Eng. ? W Planner I hereby acknowledge that I huve roud this application and state that Council gldg. Off. the informotion is correct and agree to comply with all applicable SMte of Minnesota Statutes and Ciry of Eogan Ordinances. APC Signature of Pe?mittee A Building Permit is issued to: cli work sholl be done in ncco Building Official with of Permit Surcharpe Plan check SAC Water Conn. Water Meter Total on the express condition thot ond City of Eagon Ordinances. PomM # pate Iwwd paedkfoo Plumbing Mechaniccl - 3 - ? asn 'A" k-,k u t-. . INSPECTIONS DATE INSP. Rouph-In Firal Footings L Dote Insp. Date Irap. Fourtdation ? Plumbing _ Frome/ins. , -7 o- z ?- 7 f Mechanical Final - 62-aar Remarks: ??_? -?V ,.,?.?-f ?'•? ?c???7l?--? 0 Z f??'?' 7 Y-' r.??flr A ; . ?.fi I w-r Ir r Y , . T • Ii1:AT'l1'ac; Dote: ? 1271 Punherr-.1 . ' :an? Site Address: . Lot Block Sub/Sec. _ CY 5 {-" Name Tc=-leTSOn Rldr.s. 13816 Holyo' e 3 Addreu O '1n n*__-- Va].l.ev ',54-6P73 CitY Phane: O?»C I'P.^z-'yan r Address 14745 So. Rober. r. e 0 v ??? ; ..;: nr-•,,.-it _i5nPhone: ! This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eo9an Ordinances. j?!lc• : Receipt No.: Sirtgle I Residential x Multi Res., Comm./Ind. ( New/Alter./Repair Cost of Installation Permit Fee SUfCfldfgB • : , -r„*„i 54 done in accordance with oli applicable Stote of No. 132 CITY OF EAGAN 3796 Pila Kwob Road Eogan, MlnnesoM 55122 Phone; 454-8100 PERMIT Building Officioi I ? CITY OF EAGAN ' 3795 Pila Kwob Rood Eagan, Minnesote 55122 ? Phone: 464-8100 T ? liP.ATING PERMIT 1:)-1 Dete: 3- 7 ? Site Address: 7 _ ? •? 5'?%? Lot Block Sub/Sec. - Narne T'--' IeTSOn B1;':- :. - Address 13816 xaiyoke ? Iipple Valley ?54 7' City Phone: ame ' `r:z-Ryan ? ? Addreu i 4 745 Co. RObE',.t City Phone: This Permit is issued on the express condition thot all work sholl be Minnesota 5tatutes and City of Eegan Ordinonces. 13PBUSTI02; Ai, . . i'.i; ? No. ? -? ? ,'- Receipt No.: Single I Residentiol x Multi Res., Comm./Ind. I New/Alter./Repair. ' Cost of Instoliation ^ n . Of` Permit Fee Surcharge ' Tota I r, • done in occordance with oll opplicable State of Building Officiol I • ' • t'.?'?`17. SCE'"IMW CITY OF EAGAN ? 3795 Pilot Knob Road ? Eagan, Minnesota 55122 Phone: 454-8100 PERMIT i _^n Date: No. Receipt No.: - I -"-'71 17h.mbe'-` j'" Single ? Residential Site Address: -- Lot Block Sub/Sec. _???.Aj,?1e R s- _ Multi Res., Comm./Ind. I Name D3W.` New/Alter./Repair. 3 Address ' j Cost of Installotion O City Phone: Pertnit Fee • ."'?- , ?p?nr •'4-? - • - - - Name Surchorge . ? Address '' ?_ ? •.^.E- ? ? - . . 0 U " City Phone: Total This Permit is issued on the express condition thot all work shall be done in accordonce with all oppliwble State of Minnesota Statutes ond City of Eogon Ordinonces. Building Official 7 CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: 0,, . i ?,r?. . . , ??. . . PERMIT SUBTYPE: TYPE OF WORK: INSPECTION „ . DATE INSPTR. F L ? . ? Permit Holder Date Telsphone N PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING <J /?' I/O II? i 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 IRRIGATION METER FLUSH MAINS CQNOUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL WATER SERVICE PERMIT cIT's FEAaAN 3795 PilaR Knob Rood PERMIT NO.: Eagan, Mhl 55122 DATE: Zoning: No. of Units: Owner. - - Address: . , ; . . . .. Site Address: Plumber; • Meter No.: Connection Charge: ze: Account Deposit: eader No.: Permit Fee: egree ro aomply witl? rhe Cky of Eayan Surcharge: dinances. Misc. Charges: [ Total: By Date Paid: oYe of Insp.: Insp.: SEVIIER SERVICE PERMIT ciTy oF EAGaN 1795 piloe Knob Road PERMIT NO.: Eagon, MN 55122 DATE: No. of Units: Zoning: - Owner: Address: s??. 'Site Address: ?., ? Plumber: : , I agree to eompFy wiN' the City of Eogon Connedion Chorge: Account Deposit: - Ordinonees. Permit Fee: Surcharge: - Misc. Charges: , 8y Date of Insp.: Total: 1nsp .. Dote Paid: CITY OF EAGAN Remarks Addition CHES MAR 5TH ADDN. Lot 7 Blk 2 Parcel 10 17104 070 02 owner??"?. street 1271 Dunberry Lane state Eagan, MN 55123 ??,? ` J ? Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTdR. • GRADING SAN SEW TRUNK ? 1973 172 . 92 8.65 20 k * SEWER LATERAL 1 3220.41 322.04 15 A D C005248 -17-79 WATERMAIN * WATER LATERAL 980 WATER AREA J/ 1977 172.92 11.53 15 139 - 36 2-12-78 * S i es 1980 * STORM SEW TRK 1980 +t STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit Ch . 75.00 11529 _1_78 WATER CONN. 250-00 2 9-1-78 BUILDING PER. #4950 sac 500.00 11529 9-1-78 PRR K f CITY OF EAGAN ? 3795 Pilot Kneb Rmd Fagan, MN 55711 N2 4950 ' PHONE: 450.8100 BUILDING PERMIT APPLICATION 2eceipt # ro be ased fowSF Dwlg. & Garage ar. value 63,000 pwe 8/22 19 78 Site Address 127 1 Dunberry Lane Erect Qg Occupancy I l.or 7 Biock 2 sec/Sub. Ches Mar 5th qlte, ? Zoning Rl . Parcel #, 10 1 7104 070 02 Repair ? Fire Zone 3 Enlorge ? TYPQ of Const. V ? Name To llefson B1dTS Move ? # Stories Z Address Demolish ? Front 51 {?. 9 Ciri Phone _ Gmde ? Depth ? fr. ? Nome loiieison it1tll's. 13816 O y0 e Address ? r:... App12 Vallev oti„.o 454-6873 Nome _ Address I hereby acknowledge that 1 have read this application and state thot the infomrotion is correct and agree to wmply with ail opplicable State of Minnewta Statutes ar?Q City of Eagen O'nonms. I Signature of Permittee /Z Qti-'? B A Building Permit is issued to: all work shall be done in acc aFlce with oll?appli e tate of Mii Faes Assessment "/ `'?? •" Water & Sew. Police Flre Eng. Planner Councu BIdg.Off. 8 2 78 APC Pertnit iJ7•vv Surcharge 31.50 Plan check snc 500.00 Water Conn.2`-0 - 00 Woter Meter 60.00 Road Unit 75.00 Tor,i 1075.50 _ on the expresz condition thM and City of Eagan Ordirronces. 8uilding Offictal CITY OF EAGAN nJ° 142 3 9 - ` R 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE:454•8100 ?ja3 q?7 BUILDING PERMIT Receipt# / D 0? To be used for SWIM POOL Est. Value $15, 500 Date OCTOBER 1 ? 9 87 SiteAddress 1271 DGNBERRY LN Lot 7 Block 2 Sec/Sub. CHES MAR STH Parcel No. a Name WAYNE DAVIS ; Address SAME ° Ciry Phone 452-6436 o Name OPINI POOL & SPA ?a Address 4862 BANNING AVE ? City WH ITE BEAR Wpne 429-3456 W w Name _z. Address Q w City Phone I hereby acknowledge that I have read tMS applica4on and state that ihe intormahon is wrrect and agree to compty with 'cahle St Minnesota Statutes and C" n.ArA 11 Signature of Pefmittee A Building Permit is issue to: OMNI P00 rSPA on the express condition [hat all work shall be done in accordance with all applicable State of Min?nes?q'[]a S?tatutes and Ciry of Eagan Ortlinances. BwldingOfficial 4_n1C.-?-'-t-a-? OFFICE USE ONLY On Ske Sewage _ Occupancy MWCCSystem _ Zoning OnSiteWell _ (ActuapConst City Water _ (Allowa6le) PRV Required _ # of Stories BOOStef Pump _ Length Depth S.F. Total FootDnnt S.F. APPROVALS FEES Engr./Assess. Permit $135.50 Planner Surcharge 8.00 Council Plan Review 67.75 Bldg ON. SAQ City Variance SAC,MWCC -- WaterConn. Water Metef Roed Unit Treatment P1 Parks TOTAL 4211.25 e Thrs repues[ void 18 monchs from D 38913 flequest Uata Frte No. Ron Insyectwn (?- (/-?•'_?? Heopuph-itretl1 RAvatlY Nuw Q W01 NnufV. InsPeo a.Yes ?No [or When Heady Licensed ElecVical ConVactor 1 hereby request inspec[m? of above ? Owner elwe11.1a1 .., Streei Address, Boz o Roote No. ?wa ecbon o. Townsnip Name or No. pange No. Cou ty Occup t IPqlry7) (A In"?c I)A ) I Phone No. _ -c s 5/sz6 Po`ver $upplier Atldress Ele tr cal Convacmr (COm n?Namel =?a? Contrar.tm's Lmense No. ) . .. , a?il7ing AdJr ( nvactor or wne Ma i InstaiJat?oS fJ 1L d) Z ? . . , i ? Z? Aut i0natur C'tr -tor Ower Makmg Installabonl Phone Number M INNESOTq STATE 80AqD OF ELECTftICITY THIS INSPECTION qEQUEST WILL NOT G"BOS-Mldway Blda. - Hoom N•797 BE ACCEPTED BY THE STqTE BpqpD 7821 Universrtv Ave.. St. Paul, MN 55104 UNLESS PROPEfl INSPECTION FEE IS Phone(672) 642-0800 ENClOSED. ; SQUESTUFQR E LECT R?ICALg INSPECTI m ooOnect ot yeilow copy. EB-00001-06 "X" 8elow Work Covered 6y lhrs Request D 3013 AdJ Rep. TypeDl ltusltline Applmncea MireE Equiument Wved Home Range Temporary Service Duplex Water Heater Lightiny Fixtuies Apt. Bwlding Dryer Electnc Heaun Commercial Bldy Fumace Sdo Unloader Industrial BIAg. Air CondiUOner Buik Milk Tdnk Farm otner oeu V thor Ist,er,,ivl 1.r unU Y thce Othi.r Comnuie lnspect/on Fee Below p Fee ServiceEntrenceSae H iee Fanders/SUbieeders K Fee Cucuiis 0 to 200 qm 5 0[0 30 qm s 0[n 30 Am s Above 200 Amps 31 to 100 Arnps 31 to 100 Am s ? Swimming Pool Above 100-Amps Above 100_Amps Transiormers Irrigation &ooms PartiaL'Other Fee Signs Special InSpecUOn 5?1. c? ? TOTAL F fleerv?rks ?. (PC Nouph-in ?'??E the ElecM1icx ? ? ??' nspector, hereby enilv that the bove Flnal Mne t?spectien has been de. _ TMe reauest voiC 70mon[M from ? This atiyuest void 18 months from ia33/ 9 C.?? /l q7? R 25948 Date of t' Re uest . I, as ILMicensed Electrical Contractor 13owner, do hereby request inspection of the above electri- cal wiring installed at: StreeGAddress or Route Nc Section Township Which is occupied by Is a roughin inspection required on this job? No ? wpvv p,? u Range County ? Yes 2' Ready Now ? Will Call 81 PowerSupplier? ?9 Address ?-?C,_4?ztlo-? Electrical ContracKE Pi CC! ?IG Contractor's Licer?i"N?`?? (Company Name) ?' '? MailingAddress ??R?2 NIG ,El?ectrilcaCl`ntFctororOwne' Installation) Authorizedsignature {'-=ARY KFiJDRLC!< Phone No.43 2 - 503 6 (Electrital Cantractor or Owner Making ThiS Installatlon) ??Q?? p? ?fl??? ???? This impection request will not be accepted 6y the V ? State Board unless proper inspection fee is enclased. This request void 18 monchs Gom J/6 33 ?y r/ R 0686 Date of [his Request b , 1'i? 7 d I, as L?'lr'censed Electncal ontractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: ? i 7 / -r=----_-?_? i Street Address or Route No. Q-f 7 ?cg u.?r rg? .ity R Section Township Range County 0044? Wltich.is occupied by Is a roughin inspection required on this job? No ? Yes 20?_ Ready Now ? Will Call Power'Supplier?? Address -?Q/s? Electrical Contractor KENDRiCK E?ECTU Contractor's License 1?`? lCOmpany Nama) Mailing Address AuthorizedSignature 578KY KtNURICK PhoneNo. A??b (Electrical contractor or Owner Making Thls Installatlon) ((? j? /..1ll L? ll ?f? ?o Q?{??? Q??? This inspec6on request witl not be accepted 6y the cyJ State Board unless proper inspection fee is endosed. .--- ??, Minnesota State Board of Electricity iS34 University Ave., St. Paul, Minn. 55104-Phone 645-7703 • REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WOAK COVERED BY THIS REQUEST J / eo 33 'R 0686 Type of Building New dd. Rep. Check Appliances Wired Foi Check Fquipment Wired Fm Home ' ? ? Range ? Temporary Wiring Duplex ? 11 0 Water Heater El Lighting F'vctures ? Apt. Bldg. ? ? ? Dryet ? Elec[ric Heating ? Commeraal Bldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. ? 0 11 Au Condllionec ? Bulk Milk Tank ? Faxm ? ? ? List List Other ? El EI Reherq Hehers # COMPUTE INSPECTION FEE BELOW Secvice Entxance Size: n Fee Feeden eed Cuwits: # Fee 0 to 100 Am s. 0 to 3 e 0 to 30 Am eres 101 to 200 Amps. 31 to 1 Am 31 to 100 Am eres Above 200_Amps. A6ove 1 ps. Above 100 Amps. Transformers 1 1 RemoteConVOICuc. Pattialorothetfee Signs S cial lns ection Minimum fee S54 Rematks TOTALFEE 0 I, the Electrical Inspector, hereby certify that the above has been made. (Final) This request void 18 += Minnesota State Board of Electricity 'f954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 /oZa.S 4f '. =.- 4iEQUEST FOR ELECTRICAL INSPECTION 25948 CHECK BE•LOW WORK COVERED BY THIS REQUEST Type of 8uilding New d. Rep. Check Appliances Wired Foi Check Fquipment Wired For Home ? ? Renge Temporaiy Wiiing ? Duplex ? ? ? Water Heater ? Lighting Fmmees Q? Apt. Bldg. 0 ? ? Dryer ? Elec[ric Heating ? Commercial Bldg. ? ? 0 Fumace L7 Sdo Unloader 0 Indpstrtal Bldg. ? ? ? Au Conditione T . ey4 Bulk Milk Tank ? Farm ? ? C] List List 1 Other ? ? ? SI y p Hehe?sl COMPUTE INSPECT[ON FEE BE ` Service Entrance Size: u Fee F ers ubfeeders: u Fee Cicwits: # Fce 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eees 101 to 200 Amps. 31 to 100 Ampetes 31 [0 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers RemoteControlC'uc. Partialocotherfee Signs Special lns ection Minimum fee $5.00 Remarks i TOTAI.FEE o I, the Electrical [nspector, hereby cep?'yt`p4hat ve'inspe tion has been mad .'{O (Rough-in)_ C/c? w Date 16 "'? - (Final) /„° ? Date .1 - /g -7y This request void 18 months from 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OTKNO 7RD - 55122 B "Li New Construdion Reouirements RemodeVReoair Reauirements ^? • 3 registered sRe surveys ? 2 copies W plen O? `?? `` ? 2 copies of plans (inGude beam 8 window sizes; poured fid. Cesign; etc.) ? 4 sitc surveys (euterior aCdkions 8 Oecks) ? 7 energy plculations ? 1 energy calculations for heated additions ? 3 copies of Vee preservation plan if IM platted after 7/1/93 required: _Yes _ No DATE: `,6 - I `-I - DESCRIPTION WORK: ? STREE DDRESS: I? LOT: ? PROPERTY OWNER CONTRACTOR CONSTRUCTION COST; Og`d- 7100 BLOCK: .?. SUBD./P.I.D. #: Name: KJ&.. ?,f,?n 7nm Phone #: Ui DC1 - z O / l Last F'vzt Street Address: 1 Z v c,ri stau: I?yl Vll z;p: ? J City ie #: ?q,6 - /?'7 d License # 26 1 1411) }? 6vJlLe State: M/V Zip: (5? 7 ARCHITECT/ ENGINEER Company: Phone Registration #: Street City State: Zip: Sewer 8 water licensed plumber (new construction ony): . Penalty applies when address chanc and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to mply with all appiicab State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No D ur?r? Tree Preservation Plan Received - Yes - No - Not F' BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-piex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL iNFORMATION Const. (Actual) (Aliowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. O ? 13 Garage/Accessory ? ? 14 Fireplace 13 ? 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 Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/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 Gensus Unit % SAC SAC Units 6tp 4/3-7 .-50-sD c-Lad- 2004 RESIDENTIAL MECHAIVICAL PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for: single family dwellings & rownhomes/condos when permits aze required for each unit t D C9 / c' l Fl b P f2 Dl a e - . Site Address 77 1 Unit # Tele hone # ((Os1 Property Owner p Contractor PP0,0 / hp Street Address ? ?_ / ??? ?.7 ? - ? • City e # l h T State Zip ep on e Bond #• Espires: The Applicant is _ Owner c/Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional eplacement air exchanger airconditioner _New _Replacement other SEP 2 3 2004 ? 50 StateSurcharge BY $ ?5 O Total _ I hereby apply for a Residenrial Mechanical Permit and acknowledge that the i tion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and ith Mechanical Codes; that I understand this is not a , but only an application for a permit, and work is not to start wit ermit; that the wo 1 will be 'n accordance,with the ap?g? ved plan in the cqe?Vf work whicyh requires a review and approval o pla . I.., M n n 11 .G. /? I ? pp icant's Printed Name ApplicanYs Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaUindustriai buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Uoit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type _ New Construction _ Underground Tank _ Install _Remove "*see below _ Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: "When installing/removing underground fank, call for inspecfion by Fire Marshal and Plumbing fnspector Pel'mlt Fees: $70.50 IInderground tank ins[allatioNremoval $50.50 Minimum (includes Sta[e $urcharge) or Contrac[ Value $ x 1% _ $ Permit Fee • If ea rmit fee is $1,000 or less, add $.50 => $ State Surcharge If en rmit fee is over $1,000, add $.50 for every $1,000 ermit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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. ApplicanYs Printed Name Applicant's Signature Approved By: , Inspector Cities Di ital uality 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. :1der? In?. F. C. Y/'SW^SON LAND SURVEYOR REGISTEREp UNpEft LAWS OF STATE OF MINNESOTA LICENSED BY OROINANCE OF CITY OF MINNEAf`OLIS 3616 EAST SSrn STREE755p1] &uxbepoi 5 Certificate I •, I EBY CERTIFY TMAT THE ABOVE 18 A TRUE AND CORRECT PLAT OP A SURVEY OF il.at _ 7,8lack 2,Chea Mar Fifth Ada4itian, Ilaknts Cpuuty,Minnesata. Ur.10$bl 183-38-A ?r 1 ' I I o" ? ? t- 2'i7?? l, f! ? - _: ? AS SURVEYEO BY ME THIS--"-- '"4"t-h-. "--DAY OF-_ 14 _?? SIGNED----,.. F. C. JACKSON, MiNHesorw oH. No. 3800 . CIi'1( OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BuxLozNG PermitNumber: 032958 Date Issued: 0 8/ 19 / 9 8 SITE ADDRESS: P.I.IV.: 10-17104-070-02 PERMIT 1271 pUNBERRY LANE LOT: 7 BLOCKa 2 CHES MAR 5TH DESCRIPTION: R E R o o F/ sro R m Bu11?9-,Permit Type Bwilding l3Qrk Type ,Qensus Code " 434 ?,- - i ...- DAMAGE S70RM pAMAGE REPASR ALT. RESIDENTIAL '?'.•ii ? ? REMARKS: FEE SUMMARY: "L'f'EC' R VO fZ NG 1494 CLIFF BURNSVIILE (612) 895--0040 - H(Jp11CdnL - 51. L1C. n NEp 18950040 20139140 B?2WT7?-I?1"OM RD E 12711 DUNBERRY LANE MN 55337 EAGAN MN 55123 (651)686-2879 IL I heNe6y aoknaar3edge. that I have read Chrs information is aorrect and agree to comply Statutes and City of Eagan Ordinance5. APPLICANTlPERMITEE SIGNATURE ap{i.13:cation and statte tNaat the with all applica6le State of Mn. 4tx--X- ck'?I SUED BY. SIGNA RE i k ? nnxa ? .? Z A BUILDINGIPEPMIT APPLICATION Include 2 sets oE plansr 1 site plan w/elevations and 1 To be used for ?ZZ, Site Address: 1a7! Lot Block Sec. Sub. 7 a ?"? owner Address Contractor Addreas Arch./Enq. Rddress ' Erect Alter Rep81X Lhlarge Nbve Demolish Grade set of energy calculations. 3,000 ? Valuation Parcel Nwnber /p M /7/ah/ o'n Telephone Telephone T S? ?? 7?3 Tolophone OFFICE USE Occupancy ? Zoninq Fise Zone ? Type of Const. # of Stories Fron t S ( DePth 3 G OFFICE USE Date of Approval & IniCial Assessment /; Y. _ `? ?2 water/Sewer Police Fite Etsg • Planner oouncil Bldg. Off. A.P.C. _ FEES Pexrnit Surcharge PZan Check S31C ?"I1o 4?ater Conn. G]ater Meter 1P,+d.Q TatnL aob 1,F ?iY /? '<='i ?rti ? ?,.-?". '? g:;i,,r.O ?? . , ? . ?. ? ? ? ??t, , ?' ?"e?4?iri?;i?.?'?? d ?C,-ez?'a°2/ .,s ??IJ?FiI?.'4/ . ?'?t? ? ? ' 1?i?? p`? r,,, ,,?''??'• a"- F?, .n'? ?'? ? ??i . )' ??t/.?-,f - ... - . ? . '- k,,%C.??_ .i"'a?<°y???s,,?% v? _.?€?P'i/.:'???n''?e,(j',?. i""e? Ci-? :7::694 Phort9 .?M,,j-j?jQ'y ? GZiY`Qus ? . I'I911 ITJPt£?'?"i t:l ? I'?0L"E . ? t 7 :4AFe I">9G'd12F-L?IC9 6p fi-I, D?i}fiai''s Lf13 23?QCr? LSD 1D'm.2 YG1' L,+33'B k?;iti Tj.'W3 . L'7GT'?.D!'r; h?i',C?'_" ? .. ? ? T4iAli, 3C}o ?p;+ licF'pF31'D ?, ?, ? 1??cA?'. i?e ?a .Q..? ?'d.??S:i 0 ?°°+, `.. .a?M??cAS?m?c'0 r 'cl-i????.?aKna? T?:;?•ED? T??T.3LPsn,o F=.?m c77 roo,,s ?. , 2TPM' ?.: Ta3o ? ?.. '.^sYoS 07 TE - IIL9T%C, 5, B7 11?2tS ? r, r? .?, a rT 31 12 gtiTCa ? rr?TS+, .VtIL?IF 3 ? , ? `d'-VI'L'',.Q? IS,auts'1s^R0II 17 G??It?v '??.?,•,N c,?.. ? C??? ?+'i'fI?CtS ? ' ??v?.?..?,*$?17'i Z??• ;`? bL'9Ub,.1i ?OSI. YII YL00RS ., . . , . - " i- ? T7ALTSt. Oa vRrOST''3 17OLM ABOL•F; QF?1i`^ R.C ----- ?-' 3- , ??? ALTn TZrn r'nllia,ct nirM'Az:o3 ? . . 0 1 t7WCi^u'i`C7.o22 770:2, 1pg, GT:1 E`2 LTJa'T.?)Sljo ?t I . '. -? - .?..__....,.__'_'_ . ? ' ?;?L ?t. [• g ? b..? ? . ? ati.iaw,.?y..;r?. at., x'.c•> 4, . ' +,._ 1 . ._ _._,- ? _ _ .. ?-.-.,-_ _ ? _ ,- , . ' 1987 BOILDING PERMI4 9PPLICAYION - CITY OF EAGAN SINGLE FAMILY DWELLINGS IPCLDDE 2 SEf3 OF PLANS, 3 CERTIFICA?SS OF SQEVEYt 1 SET OF ENERGY CALCOLATIO&S HOTE: ADDRESSES FOR CORNEH LOTS - CONTRACTOR/HOME061NEH MDST DESIGAASS AHICH ADDRESS IS DESIRED. NO CHANGfiS WILL BE ALLOWED ONCS BDILDING PERMIT IS ISSDSD. HOI.TIPLE DNELLINGS - RESIDENTIAL AfiN'PAL UAISS FOR SALE OBIISS INCLUDE 2 SETS OF PLANS', CESTIFICATS OF SQRYEY - CHECg iiIRH BLDG. DEPT.9 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL 'PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND • To Be Used For: SuyimMirlti pop/ Valuation: Date: yZ ZS Z 97 Site Address /l 7/ Pun4101-y Ln.(Cs? Lot 2 Bloek cl?l ` On Site Sewage_ M, i MWCC System Pareel/Sub J?_ On Site Well _ t City Water Owner ?,crnC ' ?oQnn Dluf/5 - Address l27/ Dur+berry Ly City/Zip Code EaAUn ? phone -1152' 611136 I APPROVALS 4 Contractor _igryiy)i vo0/ ,` $pA -?-? Address ?SGZ .?.4hhiit? 4WAwe?. City/Zip Code Govfc 6eu.- Lk SSi1D Phone ZfZ9- Arch./Engr. Address City/Zip Code Phone # e Occupaney Zoning Type of Const (Actual) (Allowable) fl of Stories Length Depth S.F. Total Footprint S.F. Fees , Assessments Permit 135.50 Water/Sewer Sureharge 8,00 Police Plan Review ' Fire SAC, City Engr SAC, MWCC Planner Water Conn Council Water Meter Bldg Off io j Road Unit APC Treatment P1 Variance Parks Copies . .. TOTAL ?q u, a ? Storm Sewer Trunk Ches Mar 4th Black 1, Lot 1 345.67 2 346.45 3 3G1.68 4 301.02 " 5 1118.88 6 934.10 7 494.29 $ 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 17- 805.84 18 1631.79 19 1908.97 20 2512.98 Btock 2, Lot 1 459.47 i 2 545.87 3 624.55 ' 4 577.04 5 478.66 6 422.66 7 488.72 8 553.46 9 423.54 Ches Mar Sth --? ? Block 1, Lot 1 467.30 ? Z 369.51 ? 3 601.09 4 468.55 5 506.35 6 ' 403.00 7 416.03 , 8 546.00 9 443.09 Block 2' ? Lot 1 ? 390.00 - --- - 2 390.00 . 3 390.00 4 733.75 5 603.69 6 331.45 C7 ? 325.00 8 325.00 9 600.68 10 1021.18 tal!efcon Baildera Inc. . ' F. C. JACKSON LAND BURVEYOR R6GIBTERiO IJNOEF LAWS OI fTATfi OP MINN[YOTA LIC[NBlO !Y ORCINANC[ W CITY OP MINNt6lOL1S 9816 EAST 867N STREET 5541I 727'3484 ? fparbepoc'g CLecHlicate .Z Jr. D -_ ? ? . _.._! _ ? I I I ? 3 ? ? - -- --- , Or.l0A6] 183-28-A i? , ..SS 3 /.i' / '- - I I o : I rn ,1 I , -JN }- D n i- ?=1 ?' ? ? ca i In3` i I ? ? I I J I n s i 24 _ ';p' ? I ? I H6 iBV C[NT1?Y TMAT TN[ ABOV6 if A TRU! ANO ODRR[CT PLhT 01 A SUNV[Y OF Lot 7,Block 2,Ches Nar Ftfth Addition, Dakote Couoty,lSinnaaote. Ai SURV6Y6D BY ME TMif -14Ch.-1AV OF?R!Y-A.D. 1978 F. G. J CKSON. M[14N[SO7wn?siiuTroN. No. 5600 i City of EapIl 3830 Pilot Knob Road Eagan MN 55722 Phone:(651) 675-5675 Fax:(651)675-5694 ?----------------i i For;a?ce??se ?7 ? Permit#: i Pertnit Fee: D- co ? ? Date Received: ? ? I ? Staff: I i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: s A $ Site Address: la Tenant: Suite #: RESIDENT/OWNER Name: T6t.i., .9I?, 7TOh Phone: AS`/- 686-e479 Address / City ! Zip: Applicant is: _ Owner >C Contractor TYPE OF WORK Description of work: T/ d- A"ed--0e79 h0 us?e 'Ct:%SP ' e? 7?Sf Construction Cost: W yj Cill? Multi-Family Building: (Yes _ I No ? CONTRACTOR Name: License#c2o(9ld,Q Y Address: 3/ 3 \/ 2 v'tej.sor, rFG ? City: (fvlartiD(ih State: Zip: 6-3-31(o Phone: 71p. 3qaZr/ 91, 9L_ Contact Person: ?dke 0!^:0c[ Zi4k COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 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 8 Water Contractor: Phone: haf you submit are considered to 6e`public information:Portions of r NOTE: Plans and supportingydocumentsj , °. " the information may tie classified as noie-public if yo`u'provide'specrfic'reasons thef wouJd permif the City to . - conclude that the are tradesecrets. ' I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance wi[h the ordinances and codes of the Ciry of Eagan; that I understand this is not a permft, 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 reqwres a review and approval of plans x a?rick L- mcelc : ,•? / '6i..??.?i ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157239 Date Issued:08/12/2019 Permit Category:ePermit Site Address: 1271 Dunberry Lane Lot:7 Block: 2 Addition: Ches Mar 5th PID:10-17104-02-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Nicholas J Lorentz 1271 Dunberry Lane Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA172767 Date Issued:10/15/2021 Permit Category:ePermit Site Address: 1271 Dunberry Lane Lot:7 Block: 2 Addition: Ches Mar 5th PID:10-17104-02-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Nicholas J & Lorelei J Lorentz 1271 Dunberry Ln Eagan MN 55123 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA179614 Date Issued:10/13/2022 Permit Category:ePermit Site Address: 1271 Dunberry Lane Lot:7 Block: 2 Addition: Ches Mar 5th PID:10-17104-02-070 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Nicholas J & Lorelei J Lorentz 1271 Dunberry Ln Eagan MN 55123 (612) 695-7680 Urban Renovations Llc 1731 Dupont Ave N Minneapolis MN 55411 (612) 961-7080 Applicant/Permitee: Signature Issued By: Signature