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1275 Dunberry Lane Use BLUE or BLACK Ink I For Office Use I Permit CC) City of Ea I AC ?7 Permit Fee: ~ 3830 Pilot Knob Road r II ii Eagan MN 55122 I Date Received: 5 V t j Phone: (651) 675-5675 I I I Staff: 75 w`7 I Fax: (651) 675-5694 1 I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: 1)Da6 L1 a~ 4 ~{2~ w c.Gv Phone: 51- 4/S-z ~q-7 RESIDENT / OWNER Address / City / Zip: 1'2-7.5 T>4,AA36 & 1L4 L .4 w e Applicant is: Owner '~e Contractor TYPE OF WORK Description of work: N I-I 'Vl~a w V PEw t-0 e-4T/,o 9 Construction Cost: t 2c® ~c9o Multi-Family Building: (Yes / No),/--) Company: ~ yf RbO l C0 Jv5T lz,4Cne w Contact: T / wt yY1 Address: Cm *3 12-.3 5'_ bA S T City: 2ti~v~ c,2- r CONTRACTOR 55377 State: Ill Zip: Z Phone: ~9 l Z- ~9~ ~~i$ L License Z0 5 Z$ k ??9 Lead Certificate Does this project require Lead Remediation? ❑ Yes 9410(see Page 3 for additional information) If no, please explain: 00 a 4y t., i4 C, I~ u L L 7 /N I ITT 19 q0 S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www.aoi)herstateonecall.oro 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 WA T-'> C T 1 l~l rM x L•~~/GZ~ Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE / 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 ~L - it " J G New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior 4- Alteration _ Fire Repair _ Windows _ Demolish Foundation - Replace _ Repair _ Egress Window _ Water Damage - Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition ,a0) 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. Required Foundation HVAC 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 - MCESSAC City SAC Utility Connection Charge J fig;F S&W Permit & Surcharge r'' F Treatment Plant Copies Wit' ~,rr TOTAL Page 2 of 3 ities Diizital ity 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. • CASH RECEIPT ? CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESQTA 55122 DA7E 19 AMOUNT $ 1 ? CASH n CHECK DOLLARS White-Payers Copy Yellow-Posting Copy Pink-File Copy ank You , ? ' BY CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N°_ 4922 ' PHONE: 454-8100 I BUILDING PERMIT Te be used fer Receipt # / / / ?-- 7 Site Nddress - •• •••,••••••." z _ . ???:f,;?all?? T bt.t: Lot Block 2 Sec/Sub. Porcel .# oWe Name Z Addre : ? Ci ? Nome 0 ?a Addre 1-& Ww I hereby ackrrowledge that I have reod this application and state that the informotion is correct and ogree to comply with all applicable State of Minnesota Stotutes nnd City of Eagan Ordinances. Signature of Permittee Erect ? Qccuponcy - Alter ? Zoning Repoir ? Fire Zone Enlarge ? Type of Const, • Move ? # 5tories - Demolish ? Front Grade rl Depth ? ft. Assessment "' "'E • " Woter & Sew. Police Fire Eng. Planner Council Bldg. Off. j/ 4%7i? APC Permit ?" ' • ` Surchorge Plan check SAC Woter Conn. Water Meter Total 1073.50 A Build;ng Permit is issued to: on the express condition that all work shall be done in accordonce with oll opplicable 5tate of Minnesota Stotutes and City of Eagen Qrdinonces. Building Officiul ??Cxc. CS• a ? ) 3 f67? --L'4 - -7 PannM # Dah Inued Plumbing - Mechanical 1.3 c, f+L.--C? ? • aCII) INSPECTIOIYS DATE INSP. Rough-In Finol Footings ,- 2 Date Insp. Dote Inap. Foundation Plumbing ?a')?' ? • ? ? Frume/ins. Mechanical J Final Remarks: ?-?° 7 9? ?r, tPYio/' C a Jll'o tP CITY OF EAGAN 3795 Pilot Knob Read Eogan, Mlnnesote 55122 Phone: 454-8100 PERMIT Dote: 1 U)- 79 Site Address: =77? I,?l2I]}JP?V `/ Lot Block Sub/5ec. Name - • `?•C?. Cbr7.4t. IriC. :e Address %-yGS Delldaood Ave. 3 O City Phone: "`]E ti{T?-Ilfm No ? Address c 0 V City Phane: This Permit is issued on the express condition thot all work sholl be JVlinnewta Statutes ond City of Eagan Ordinances. LX1??B[7a i'ZCfiI AIR RBQUDM No. ? Receipt No.: 1 0 ,? $ingle Residential Muiti Res., Comm./Ind. I New/Alter./Repair. Cost of Instn(fntion Permit Fee ` 5urchorge Totol ' done in accordonoe with nll appliwble State of Building Officiol , CITY OF EAGAN ? 3795 Pilot Knob Rood Eogan, Minnesow 55122 Pbone: 454-8100 ;,. 1 PERMIT Date: '-4-79 1.175 Durbesty Tane Site Address: Lot Block ? Sub/Sec. Cries Mar 5th Neme 7';ilq?.''?8 ?1}C?'1[1 e Address -1'175 Dunberry Lw''r-- 3 0 City Phone: Nome Q. 7};1 !\Ve1Liv g Address 0 0 u City Phone: This Permit is issued on the express condition that all work sholl be Minnesoto Stotutes and Ciiy of Eogon Ordinonces. No. 1294 Receipt No.: Single I Residential x Multi Res., Comm./Ind. I New/Alter./Repair. Cost of Installation Permit Fee 20 . N Surcharge ' 5o Total done in accordance with all appliwble State of Building Officiol CITY OF EAGAN Remarks Addition CHES MAR 5TH ADDN. Lot 9 Bik 2 Parcel10 17104 090 02 Owner --/-'Street 1275 Dunberry Lane stace Eagan, M 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK I-NXJ 1973 172 . 92 8.65 20 112.44 A007481 3 7 79 ,t SEWER LATEAAL WATERMAIN * WATER LATERAL 9 0 WATER AREA 1977 172 , 92 11.53 15 138.36 A007481 3 7 79 * Services 980 +t STORM SEW TRK 1980 * STORM SEW LAT 19HO CURB 8+ GUTTER SIDEWALK STREET LIGHT Road Unit Char e 75.00 11169 8-4-78 WATERCONN. 250.00 11169 8-4-78 BUILDING PER, #4 22 SAC PARK Pi1* 1(wob RoW MN 55122 SEWER SERVICE PERMIT PERMIT NO.: 11ATC. Y 1 i No. of Units: Address• ii.ir nrr•r ,*ravl.,s t?.? 4•'.? !`tLf, fo omplr wifh fhe City of Eagan OF 6AGAN Pifof Knob Road M!i 55122 No.: _ to eomply with the City of Eagan . ' .:.?? • _. Connection Chorge; , • ? ?? ^ ,_ Account Deposit: Permit Fee: Surcharge: Misc. Chorges: Totol: Date Paid: C WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Charge: Aoaount Deposit: _ Pe?mit Fee: Surcharge: Misc. Chorges: - Totel: - Date Poid: '1'his request void 18 months from ii 7 4!'.? 47Z c??5w-' D 6 Date o? this Request < 8 296 I, as C7 Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: StreetiAddress or Route No. /? 7 S ?.?--.c`?'-r •-L-?-? Cit ?f '? Section Township Range Which is occupied by ?----.-.1 -t'-a--' ?--,e (Name of 1 Is a roughin inspection required on this job? No ? Yes Power Supplie .?&...?1 ,(-?= <-? Address Electrical Contracto? " `---' (GOmpany Name) Mailing Address ",% (E ctrital ntractor ar r Authorized Sip,nature Ready Now ? Will Call E( Contractg{S License No. _ Phone No.4;' '," 7 a ME n? /? ?? ?Q?? This inspec6on request will not be aceepted hy the "up? ?? ? State Baerd unless proper inspection fee is enclosed. CITY OF EAGAN ?"Ir 3795 Piiot Knob Rood Eogun, MN 55122 No. 4922 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt To ba used 4or SF DWlg. 8 GaT. Est. Value 62,000 Site Address 1275 Dunberry Lane Lor 9 ei«k 2 Sec/sub. Chesldar 5th Parcel # 10 17104 090 02 z Name +jvuuias rranKiin 3 ?fe? 1054 View Lane o _ en ota ts, 457-2860 p I Name CKC ConSt IRC ?? nddresa 2565 DellwoOd Ave. N. F,,,-, St. Paul pN- 633-3810 Name _ Address I hereby ackrrowledge that I have read this npplicotion and state that the informotion is correct and agree ro comply with all appliceble Siate of MinnesWa $ta s and City of Eagan Ordirwnc s. Signature of Permitte ?? ^•? Erect go O[tupancy i Alter ? Zoning Rl Repnir ? Fire Zona Enlmge ? Type af Const. V Move ? # Srories 2 Demolish {] front 50 h- Grade ? Depth 36 - ft Approvalt Fees _ A55e55ment o/ o/ i v Woter & Sew. Police Fire Eng. Plunner Council BId9. Off. S 4 78 APC Permit •? _ Surchar9e 31.00 Plan check 5nC 500.00 Water Conn. 250.00 Water Meter 60.00 Road Unit 75200 Totot 1073.50 A Building Permit is iuued to: on the express condition that all work sholl be done in ucmrdance with all a ?cable State of Minnesota Stotutes ond City of Eagan Ordinances. Building Officlol ,??? ?? „ minnesota atate ijoara ot tiectricity ' 1q54 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ?'REQUEST FOR ELECTRICAL INSPECTION -.^Syff,CK BELOW WORK COVERED BY THIS REQUEST ,i-7 6 ?[ P 68296 Ty?i oP Building New d. Rep. Check Appliances W¢ed Fpr' Check Equipmenl Wited Foc HortPc ? ? Range , [Er Tempoxary Wving ? Duplex ? ? ? Wacex Heater ? Lighting Fix[uies ? Apt. Bldg. ? ? ? Dryer 0 Etectric Heating ? Commetcial Bldg. ? ? ? ce ? Silo Unloader ? Industrial Bldg. ? ? ? d? ` er Bulk Milk 7'ank ? Farm ? ? ? ' 4 ` pList rsj Other _ _ ? ? _?_ LL2j _ re S _ Heie COMPUTE INSPECTION FEE BELOW Smice Entrance Size: # Fee Feede[s&Subfeede:s: # Fee Cvcuits: # Fce 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eces 301 to 200 Am s. 3] to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above lOQ_Amps. Twnsfocmers 1 1 RemoteControlCiic. Pactialoxotherfee ? Slgns Special Ins ection Mmimum fee $5.00 l Remarks TOTAL FEE I,the Electricallnspector,hereby (Final) - This request has been?ade°" ?Date ?" Date /_tl, _( -? ZY 17iest void 18 months from Date of this Request R 0698 ? I, as CEiEicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. ZE?6 ? Secti6n Townshi?`/,0W 2. 4?L44ge -MCount an y Which.is occupied 6ya-AL4t't ?4_ .13 A,? 117(Er, • ?rvame oi aiccupans? ? S? +? ? ? L Is a roughin inspection required on this job? No ? Yes ? Ready-Now U WID Call ? Power Supplier ?' ??.cf_,Gru=! Address o7??w l?- Electrical Contractor (COmOany Name) Contractoi s License No. _ Mailing Address (Eltttrical Contractor or Owner Making This Installatlon) Authorized Signature Phone No. (Electrical Contractor or Ownef Making This Installation) (?? /.?fnj ?l ?f'? ? 0??? ?0?? This inspectlon request wifl not be accepted 6y the rJ ? ? State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity Univeroity Ave., St. Paul, Minn. 55104-Phone 645-7703 ' REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST // v/ 9 R 0698 Type of Bµdding New Add. Rep. Check Appliances Wued For Check Equipment Wiced For Home ' ? ? ? Range ? Tempoiazy Wiring Duplex; ? ? ? Water Heater ? Lighting Fixtures Apt. Bldg. ? ? ? Dxyei ? Electric Heating ? . Commexcial Bldg. ? ? 0 Furnace ? Silo Unloader ? lndustrial Bldg. ? ? ? Air Condllionef ? Bulk Milk Tank ? List Lisi O he ? ? ? p Heh ? p Neieig? COMPUTE INSPECTION-IF-EE Ii&O? V? -,A] Service Entiance Size: # feeders: ? Fee Cixcuits: x Fee 0[0 100 Am s. 0 to 30 Am res 0[0 30 Am eies 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above 100 Am s. Transformers RemoteConVolCvc. Partialor othertee Signs Special Ins ection Minimum fee $5.00 Remarks ? TOTAL FEE .+_e?t? I, the Electncal nspe tor, hereb ce r y that the above inspection has been ma e. 6. 60 (Rough•in) Date (Final) n?a[e This request void 18 months from 'lA?4equest void 18 months from / bate of his Request R 56719 I, as Licensed Elect cn al Contrictor 0 Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. Section , Township Range CountyDlk k'i! I'A- Which is occupied 6y Is a roughin inspection required on this job? No)X Yes ? v Ready Now)6 Will Call ? Power Supplier A] - 39? - Elec[rical Contractor?; (GOmp Mailing Address7 ( ectrli Authorized Signature tr cal controcL ( (? (? (?L'fJ?? ? .?J? L??ll'?1?D G Contractor's License No3. 9;?, /f/nl - (C/ / V or This impection request will not be accepted by the State Board unless praper inspeetion fee is endosed. Minnesota State Board of Electricity , 1954-Uaiversity Ave., St. Paul, Minn. 55104-Phone 645-7703 r• - REQUEST FOR ELECTRICAL INSPECTION CHECK BSLOW WORK COVERED BY THIS REQUEST /,3 -:1 9 9- R 567•19 Type of BuOding New Add. Rep. Check Appiiances W'ved Fox Check Fquipment Wired For Home ? ? Range ? Temporaty Witing ? . Duplex ? ? Watex Heate[ ? Lighting Fiutu`es ? Apt. Bldg. ? 0 0 Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ?, Sdo UNoader ? Industtial 81dg. ? ? ? Air Conditionei ?='' 't Bulk Milk Tank ? Farm ? ? ? List c ? L ist Other ' ? ? ? p Hehefs? ? p Heher3i COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feedera& e? # Fee Cixcuits: # Fce 0 to 100 Am s. 0 30 A es 0 to 30 Am eres 101 V(? 200 Amps. o 100 Am res 31 ro 100 Am eres Above 200_Amps. + 100 Amps. +ve Above 1D0 Amps. Transformeis otetrolCvc. Partialorotherfee Signs' ial Ins ection Minimum fee S5.00 Remarks TOTAL FEE I, the Electrical Inspector, hereby certify that the above inspection has been made. (Final) _ This request Date D2tre / - / b- r` n.2E . &7";?- BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 sfte plan w/elevations and 1 set of energy calculations. valuation 4,2 O J a 1b be used for Site hddrest: Lat 9 Block ? See. Sub. (?/.;fi,, s-Parcel Number /D 171011 Dw Og- Owner 13 e) q L. f} S ?/? ?{ I?? ?C' Z J 1? Address ID'sA/ (?/? Lil f11?1? Mi= ,v,n a rA H?9 H r? Contractor (-1 CaNS7-A0cr"J I f'-?, aadress Rv. Ni sr r?a.. c- Arch. /Eng. D ca? /?.1 ? 2 Address EreCt Alter Repair Enlarge Move I7emolish Grade OFFZCE USE Date of Approval & Initial Assessment -- F!ater/Sewer Police Fire Eng. Planner Oouncil Rldg. Off ? A.P.C. L??-7 _zg Telephone Telephone Telephone 4? 3'3 _-S?g/0 ? OFFICG USE Occupancy Zoning ' Fire Zone Type of Const. ? l # of Stories A?- Front SS? - Depth ?lt? FEES ?11• $? ? Pezmit _is_ Surctearqe -- _? /j ---- ri.in Check SAC 17atez Conn• ra ? 67ater eter 'd TOTAL . 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) . cin oF E?caN ' 3830 PILOT KNOB RD - 55122 ? e51•681-4675 3? l-?-- ?° C4 v G New ConshucMOn ReaulremeMs Bertwdel/Reoafr Reaufremanffi D 3 registered sfte wneya ahowing aq. R. ot lot, sq. B. of house 2 copies of plan and Qjl rootetl areps (20% mmclmum lof coveraae atlowetll U? I^ 1 cet ot energy calculallons for Aeated addiflons ? 2 copies o1 plans (show beam & window aizes; poured ind. deAgn; etc.) 1 site survey 1or exteda atldiflons & tlecks ? 1 set ot energy calculations ? 9 coples o/ hee preservatfon plan if bt plaMetl aRer 7/1/93 DATE: _1.3 ?--?, 0-0 3-5wa, CONSTRUCTION COST: 2! DESCRIPTION OF WORK: f4=;RGGg3Ej;6 ti It mulH-family bldg., how many unlts7 _ STREET ADDRESS: / Z 7,S LOT: ---I- BLOCK: ? SUBD./P.I.D. #: L?. S PROPERN OWNER CONTRACTOR ARCHRECT/ ENGINEER Name: F.-a-.v K L , K/ Phone #: Laat First Sheet Address: ? 2-7 .5 L u A. ? e r r^ •, ?- ? ctty C.4 ? a- ,v state: ?Vl ,v vp: S s i 2 3 Company: J4101 Ps f i e Tl [T (_o AJ s i Phone #: 6 S-l (area code) Streef Address: I Z 6"7 Du?? P r? ?4 LN License li q 7r Exp. ?C) l Ciy EA fr? N Stafe: M 0-/ Zip: -?.5 / Z? Company: b wA-) P? Name: Telephone #: ( Sheet Ciiy State: Sewer/water licensed plumber Lf installina sewer/waterl: Phone #: Zip: I hereby acknowledge fhaT I have read Mis applicaNon, srate mrn n,e inrom,ario c nec agree/*,?amply wilh all applicable State of Minnesota Statufes and City of Eagan Ordinancea Signalure of Applicant: vv' ? f OFFICE USE ONLY Certificates of Survey Received 4Z Yes _ No ) Tree Preservation Plan Received Yes No Not Required ? I 3 - - ?/ Regtshatbn #: OFFICE USE ONLY BUILDING PERMIT SUBNPES ? 01 Foundation ? 07 05-plex O 13 16-plex ? 21 Porch (3-sea.) O 02 SF Dwelling ? 08 06-plex O 17 Garage 22 Porch/Addn. (4-sea.) O 03 01 of _ plex ? 09 07-piex ? 18 Deck ? 23 Porch (screened) O 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex aibg Yor_N ? 25 Miscellaneous ? 06 04-piex ? 12 12-plex O 20 Pool O 30 Accessory Bidg. WORK TYPE O 31 New O 36 Move Bidg. Q 43 Reroof )8(, 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding O 33 Alteration O 38 Demotish (Interior) ? 45 Fire Repair O 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAI INFORMATION SAC Code # of Stories sq. ft. No. of Units - Length sq. ft. No. of Buildings ? Width Footprint sq. ft. Const. (Actual) V Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. ? City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSP TIONS ?Stucco/Stone ? APPROVALS Ptanning Building TIIA&f Engineering ? Variance Permit Fee x) Q ? Vaiuation: $ (?- ? 31 Ext. Alt - Multi ? 33 Ext Aft - SF ? 36 MuRi ? Surcharge ?a .C) Plan Review I 3(_ o I License /?.0,0, q0 = I, ??r ?'Z l) MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Tacai: 35 1 . a- i? SAC Units % SAC Storm Sewer Trunk Ches Mar 4th Slock 1, Lot 1 345.67 2 346.45 3 3G1.68 4 301.02 5 1118.88 6 934.10 ? 7 494.29 8 455.49 9 364.05 10 597.58 11 397.59 12 328.56 13 693.81 14 327.37 15 290.39 16 490.78 17- 805.84 18 1631.79 19 1908.97 20 2512.98 B;ock 2, Lot 1 459.47 ? 2 545.87 3 624.55 ' 4 577.04 5 478.66 6 422.66 7 488.72 8 553.46 9 423.54 Ches Mar - Sth ?- - J- r _ Block 1, Lot 1 467.30 i 2 369.51 ? 3 601.09 4 468.55 5 506.35 6 ' 403.00 7 416.03 8 ? 546.00 9 443.09 Block 2- ' ?Lo?l 390.00 --- --J 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 1021.18 / . . . ,ri , .• [`: ro5 ? ? •• \ ?'fo PpoNE -3VhLT. ArDP.[nC R4c,? oF . . . `- ? ` ? p,?P¢mC. urle ? ? ? SELVICI?Q ??\ \ /CV?PPeO?C. 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S vw ~K :+M~TM,?~. .~a,w ~n.ev' .u,ir.w~, w;na w.. a . . . . . . . ...:Mi~'? . . _ . . . . .s, F:< . u . .o . n ~ r ~ . . _ we ....m ~ . . , . ~:YKt'eY.. .."NM. ^#!nr;~4?,~ti?+wN: '~S;Y #?+^.~-y+a5v!'^M~ . ~x?.r, a . ,~T -~n .w. , . r ~ n . , .r:- z. *r . .a mt . sv . . , . . . 7 . . . . . . _ ^P :,A+C . K. . ~A+.~~a.~'akt4A~+5Y.,. . . m. 4~.a '+xCW .wr, . ~ . ~x.:r.~~a^ . . ~ m* ~.:..me m.*,. , .~xa,...,,_~ . me,~ . . „ ~ , , t~ar+'... v . %~.r._.,..,: wmk;arnt~.sa .h:i .e<,._.. m_.4.....3%u..s',..»"~k,P~Y„a.,.., , .,?~m„;+Y,&2"M.a..,"13v:.~. , ~ : . . . . ~ . r , . . > . . . ~ x , aM. . . . . . ~$~~nn .~b~", A; 3ktt'.. u'Ya^~'.h„w~~~~.km ~M Y : ~ , . , re,wv,nr,z,m;ns~at~~. - ~ ~ . _ . ~ ' . , ~ _ . __.._I~~:_ - - - FROM (FRO SEP 25 2009 13:46/ST.13:46/No.6802942952 P 2 09/25$2009 11:25 EAGAN ENG I DEU 4'94801144 N0.?W P01 use BLUE or SLACK in 1v~ t _---r- ------r_- i fl4/ ' I of q1" 4 ` 1 ~ i Pemdt rroq: . i 3W Plbt Knob Road ISspen MN 66123 i DW Receivat: Phma: (691) 6764876 + + Fax: (8111) STS4W 84 Lmar + 20o9 MECHANICAL PERMIT APPLICATION _r L r LQ~ paw- Site Addrass• 12 Tenaft S~ifp RESIDENT I OWNER Name: pal mw. Ad&M l City J Zip: rt l 'IV CONTRACTOR Name: a License 0 Add 3 Umi t ci y: sue -zip ~3 WK OF WORK New Reoseament ' ' al De+ndt+~oi► Desedpoon of work. u Zziof 1YOf~• tool' d rnoiimed a ie wed so rw JOY scees>7od byChy Coale 'Mis~rcanspcs d►o A/e4hsnAs+if Irsspalor a~ one d pse Psal,►»ra 1br • pR IDAaIOdi RESIDENTIAL COMMERCIAL PERMNT TYPE X Fumiioo NOW Consin+ mn _ irde6er lnvmvameM _ Ah Condkbm 1~{a11 PqN~ Procewed Air EmchsnW -Gas Exia w WAC Uf* Hess Pump _ UrWer 1 Above ground Tank t jmM4 t _ Remove) Wr" insteYkhptnrnu&q w o*), aaN Jw inapedion by Fka Other sAamhsi and PMn i RESIDENTIAL FEES. $50.30 Min urn Add-on or alteration to an existing unit (inciugea 3.50 State Sur+ harge) $90.30 Fire repair (repiasa bunked mA sppuerom, du*vm*, w.) (indudeas 5.50 Stets Swchame) ~ _ . . _ . _ TOTAL F91 COMMERCIAAL FEES: $70.50 Underground tank ins tiaNo0onlremoval OR Conb*61 Value f x1% $50.30 m (WAideS State Surcharge) $ Parm+t Fle - 8 Pend UP Is sass: &aa MAW surchergs is 5.50, irk EM Is a SI.M, suraharga i waams by salt for *ad► = State Surdmrge 11.000 POWA Pee PA, a 61,00i stow Pam* Poe rewree s $1,00 lwa*pige). TDTAL FEE Goa R evropkxo arnd aouxam: that ~ work,rAq one Wd~e Vtat 1 U MW4 Of IN rot a PWA bA oay M apP11=60n br 8 pemk and work is nm to a wiM ba in smor4mm with tm wprorw s MAW and 80?DVei of plwa 7i-677 Mrtf 7*53 AXftwWs Prlnled Name A plies s Signatars FOR OFFICE NSE Rovimmed EY% Oft: FROM :DH PLUMBING FAX NO. :9524473327 Apr. 19 2011 11:35AM P2 Use BLUE or BLACK ink i • I G~ of Eap ; Perms # ( , 11 Permit Fee: D~ 1 3830 Pilot Knob Road I i Eagan MN 55122 t Date Received: Phone: (651) 674-5875 I staff. Fax: (65i)875-5684 ! 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 4119/201, 1.: Site Address: 1275 Dunberry Ln Tenant: Suite 4: RESIDENT I OWNER Name: Doug & Linda Franklin Phone: 651-452-6472 Address/ City/Zip: 1275 Danberry Ln, Ragan, MN 55123 CONTRACTOR Name: Dana Hoagland Plumbing Inc. License* 06218OPM Address: 410 Regency Ln W. City: Hopkins State: MN Zip: 55343-3417 Phone: 952-935-5150 Contact: Kathy__._..... Email: Kathy__RHPINC@q.com TYPE OF WORK New Replacement Repair - Rebuild X Modify Space _ Work in R.O.W. Descri Lionofwork: Kitchen & U/L Bath Remodel. PERMIT TYPE RESIDENTIAL _ Water Heater - Water Softener _ Lam Irrigation RPZ f_ PVS) Add Plumbing Fixtures Main Lower Level) Septic System Water Tumamund New Change Plumbing Fixtures. Abandonment RESIDENTIAL FEES. $35.00 Min m Water Heater, Water Softener, or Water Heater 01 Softener (includes $5.00 state Surcharge) $35.00 Lawn Irrigation ,,(includes $5.00 State Surcharge) $65.00 Add Plumbing Fixtures, Septic System Ab-addnment,, Water Turnaround* (includes $5.00 State Surcharge) "WaterTumaroubd (add $166.00 if a 5/8" meter is req ired) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES e 5 5.0 0 CALL SIEFORE YOU DIG. Gall Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoahamtateonacall.orn I hereby acknowledge that this inforntatioh is complete and accurate; that the work will be in conformance with the ordlnanow and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, ana work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approov_ ans. x Dana Hoagland Applicant's Printed Name Applicant's Signature )FOR OFFICE USE Reviewed By; Dalt+e:..~ Required Inspections. _Under Ground „_Rough-In - Air Test ...;4Gas Test _Flnal ' may m✓ 5 1 - 107:5 5 6 1 Use BLUE or BLACK Ink For Office Use l I. City of Ea aIl ; Permit n4 I do Permit Fee: / 3830 Pilot Knob Road Eagan MN 55122 j Date Received: 1\- IS_1 a, Phone: (651) 675-5675 I 1 Fax: (651) 67515694 1 staff: 1 I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: f f$~ / Slte Address: 7 A4&; 1'3R Gel/ _Unit Name: f~/~ ~(l l U 46r Phone: -4W -/P 7' ®o~ RESIDENT OWNER Address/ City /Zip: /,R737 `PuAJ BEP, A Y. 61 ~iQ4,0N j5~/ p? Applicant is: .Owner ,L.Conttector j, TYPE OF WORK Description of work: Construction Cost: ~/;r Multi-Family B ilding: (Yes / No~ylj Company: Contact: 57' el), CONTRACTOR Ad dress:.&®/rl~E City: J'1fI t!S State: A/C Zip: LL 2 ~ Phone ~9 T- 06 Ucense X30 3, Y~ ~a Lsaa .Conlflcato IVAT = -7o?-373 - l If the project is exempt.from lead certification, please explain why. (see Page 3 for additional information) COMPLETE THIS AREA QNLX IF CONS_TRU DNB, ANEW BUILDING In the last 12 months, has the City of Eagan Issued a permit fora similar plan based on a master plan? _Yes _No If yes, date and address of master plan: l,.icensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8. Water Contractor: Phone: NOTE: Plans and supporting documents that you submit a/ t 4;9=106rod. to'be public information. Portions of R the information may be c/asslfled as roll- ubl/o !f yplJ p YJpR". , . k reasons that would permit the City to cortoled~iHa#;tfie . art t~adseare.' , CALL BEFORE YOU DIG. Call Gopher State One Cog at t"j 464'0002 fa protacson against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground tdDNW I hereby acknowledge that this Information Is complete and accurate; that th0 work will to k1 Conformance with the ordinances and codes of the City of Eagan; that I understand this Is not a pgrmit, but only an application for a permit, and, Y40 is•not to start without a permit; that the work will be in accordance with the approved plan in the'Case of wait which requires a review and approval of. Mom, Exterior work authorized by s building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x_ 0 4~od' 7 x Applicant's Printed Name Ap ant's Signature Page t of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA110577 Date Issued:05/16/2013 Permit Category:ePermit Site Address: 1275 Dunberry Lane Lot:9 Block: 2 Addition: Ches Mar 5th PID:10-17104-02-090 Use: Description: Sub Type:Residential Work Type:Replace Description: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. John Wilkerson 14930 Dallara Ave West Rosemount, MN 55068 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 - Douglas J Franklin 1275 Dunberry Lane Eagan MN 55123 Jw Plumbing Llc 14930 Dallara Ave W Rosemount MN 55068 (612) 759-0691 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink � r----------------� I For Office Use � . � -,-� gv�-{ � City of �a�a� � Permit#: � i � — i � Permit Fee: �� i 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: � � � Name: ' � Phone: ��1Z� Z�2..`''�OJ� �` Res`dent! D ��Owner � Address/City/Zip. o�? 1 U �� £ ��r�� Appiicant is: Owner ' Contractor � �� , � � � I '�� . 1 i �'� > ��"� Description of work: � i Type of Work � � � �, � �u� � �;� Construction Cost: S Multi-Family Building:(Yes /N , � �'� � ° p � � � ''� �� `° .� Company� � W�hc�p��c�.;f�� Contact:��`C�'�. � s � � �� ` Address:2-�7�Q� c��'� �"��.�� City:�Yy�.a�!�P'1 � �Onfractor ��, � �� `� �� State: _�hZip: ��d 3� Phone:�,p�I Z�J�4CtSS Emaii:S�In' "no� „�� ,� �� ,� � � ��#t�� `�£ " �� License#: oZ(,Q�'7� � Lead Certificate#: �_ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: �NOTE �lans and supp�rlf��►g dacu: ��ifs�that�`yo su�mif�re�co[tstal�ereal,#o`b�public��nfo�tnat�a �orlions�f . � �, �,�� '� �= ��.� �. �, � �' : the�for,�maf�on may�be c�asst� das�o�►,�ukl c rf,you prov�de spe�ci��reasons t a o /d erm�t t �rty o � � '�°�.��.�� c�rr�ct�al��t the y�ar��firatle ecrefs . � a, _ � f - . �.,�... � - 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in acco�dance with the Minnesota St Building Code must be o leted within 180 days ermit issuance. li � pplicant's Printed Name plicanYs Signa Page f 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161214 Date Issued:05/13/2020 Permit Category:ePermit Site Address: 1275 Dunberry Lane Lot:9 Block: 2 Addition: Ches Mar 5th PID:10-17104-02-090 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Douglas J Franklin 1275 Dunberry Lane Eagan MN 55123 Aqueduct Plumbing Company 10418 235th Street W Lakeville MN 55044 (952) 432-3719 Applicant/Permitee: Signature Issued By: Signature r For Office Use`6 � +�� :::: : / �5l/ Jee: `! ' v E C E I VE1) Date Received: Of 0 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 , A`',,r 2� buildinginspections( cityofeagan.com - 2n�: Staff: BY:_�_ 2020 RESIDENTIAL BUILDING P 1VITT—APPLICATION Date: Site Address: �i / / Unit#: Name: �Jc�� I vt i, /! j Phone:/47ZoeOa- YI137 Resident/`* / Owner Address/City/Zip: 472 -75—Z7,4 5Z 7,4 k �6 Fr M Applicant is: Owner Contractor / ') Description of work: 1')4. -I, r-o rno ci P I Type o#Work Construction Cost: /‹ Multi-Family Building: (Yes /No ) Company: /Q6,9 4 /hl4 'O,A £ '?674 Contact: gqo e- e A Contractor Address: 3f. U y6 City: / 41 ✓ 11, State: kk, Zip:5,-0 7/ Phone:.(4) - � �`S�3Email: �4� i c�,r,ti/ s- 7 e �. c�`�CJ S 4/ License#: �/�%y9 Lead Certificate#: A/ 6r S `q 2 If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information."Portions of the informationmaybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conf• ce ith the ordina-/-s . ' codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work nb{ o s .rt without a,• mi at t•- • witf be in ls accordance with the approved plan in the case of work which requires a review and approva • -n ,�', , x / liz,, A Applicant's Printed Name Appli a i�'tr e DO NOT WRITE BELOW THIS LINE /,275 Dui/11;642cl L-onC- /&/-45./ 1 SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) 4 Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool — Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition — Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace — Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION 00 Valuation Occupancy 4:1P.G—/ MCES System — Plan Review 7 Code Edition ep 40 SAC Units (25%_ 100% I7 ) Zoning R.—i City Water — Census Code H ah' Stories — Booster Pump -- #of Units I Square Feet PRV #of Buildings / Length — Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) tV Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice :5,Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan � Other: Reviewed By: , Building Inspector RESIDENTIAL FEES 9 p' (,,to�/,0 / ✓ Base Fee -73 Surcharge Plan Review 117 MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3