1279 Dunberry LaneCITY OF EAGAN Remarks
Addition CHES MAR 4TH ADDITION l.ot 20 81k 1 Parcel 10 17103 200 01
Owner C,EL, ( %,? ;.2._I.,",,;,i-Street 12%'9 Dunberry Lane State_ EaAari, NW 55123
p
1`IIIJPLf 1.?? `)q1?1 Y,?! U?l1l/, ' 1/.- f/ 'r 11 I v'
Improvement Date Amount Annual Years ° Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL lz_ I non is 3966.19 of it
WATERMAIN
i1 WATER LATERAL
WATER AREA j
97
204-47
A
* 5
? STORM SEW TRK
• STORM SEW LAT
S 3' 9(v(a.rcJ -7 f 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. ? ?.oo n p
BUILDING PER. 7993
SAC n n
PARK
Cities Difzital Qualitv Control
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? CASH RECEIPT ?
CITY OF EAGAN
3795 PILQT KNOB ROAD
EAGAN, MINNESOTA 55122
REC tl V ED
FROM
AMOUNT $ I
& DOLLARS
t oa
[:] CASH [:] CHECK
FOR
/ 4Vhite-Payers Copy
? Yellow-Poating Copy
Pink-File Capy
Tha k You,-- - -
?v ` BY
CITY OF EAGAN
. ' 3795 PIlef Knob Rood Eoycn, MN 55122 ?
• _• . ? • ; F? ?
PHONE: 454-8100
BUILDING PERMIT Receipt # -?
SJte Addross 1279 ilunherry I.ane Eroct }a Occuponcy R-3
Lot 2" Block_.1.,_ Sac/S?ibctiea .*far 4tn Alter ? Zoninq 'a-1
Portel # 1? 17103 200 01 Repair ? Fire Zone riA
v
Enlarge ? Type oF Const.
Nome -`?•S??• -TQ1tnBOn C:nr?r?tr?irtinn rySpv # $t
ri
W e ? o
es
; l Addfess P-0. Box 130 Demolish ? Length60_
b
cit.,FarminQton PhnM 432-68 i8
Grade
?
Depth46-Sq. Fi.
9 Nome Qwner Approvols Faea
Addross Asseument Permit SUS. 30
oU
u
~ Cit phone Water & Sew. Surchcrpe 64, 50
Polite Plon check252 • 75
vW NOfTQ Fin SAC 52 5_ il?;
?? /lddress Erp. Water Conr4`?n _ fiQ
?W Ci phom Plonner WaterMeterF?i-•''jn
Countif Road Unit .ln
I hereby acknowledpe that I have read fhis opplication and stote thar gldg, pff.
the information Is torrect ond agree to wmpFy with oll applicoble
5tnte of Minnesoto Stotutes ond City of Eagon Qrdinonces, ^PC Total
Sipncture of Permittee
*1
A Buildinq Permit Is issued ro: •W. Juhnson Ca,istruction, on ehe expross condttion thnr
all work shall be done in occordonce with all opplicabla Stote of Mlnnesoto Stotutes ond City of Eoflen Ordinonces.
8uildirp Officiol `
Pwmit No. Psrmit Holdsr Mise. PKmit No. Holder
Plumbing c., q 3 ?nz- n tp?0?g
H.V.A.C. 35Z ?A?? s-S
w.u
wn.?
Disp.
S?wer
w°5°`6 ?
fian? ?? Ec ,
(o- x t-fs3
Ekctric w o 50$ 1.1 Fr`KA &1 Ec ?m
Wo5o8S$ 1( tc lc ?l
Inspection Date Insp. Other
Footingc
Foundation
Frsmina
Rouph Plby.
Rough HVAC
Inwlation
Finel P16g.
Final HVAC
Fin,i 3 3
Water Dhcri6e Location: ,
VWII
Sawer
Pr. D'up.
CITY OF EAGAN = -y +?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUIIDING PERMIT Receipt #
To be used for ? w?IZYoN Est. Value #Y,QQQ Date Z$ , 1921
Site Address 1279 ntMERQRY i,.N
Lot 20 Block I_ Sec/5ub. CHES MAR 4TH
Parcel No.
W Name J11iES ULIJI?iC
3 Address 1279 W1NBERRY Ll1
° City EI1GAlT Phone 452-7934
, o Name 1?VS PIETIC (AitS?
;? Address _12b? DK?Y 1-11
City EA? Phone 414-1107
Name -
Address
rit,
acknowlege that I
m is correct and
Signature ol Permit,
A Building Permit is
on the express coM
applicable State of I
Building Official -
Phone
state that the
able State of
k shall be done in ac
es and City of Eagan
OFFICE USE ONLY
Occupancy A--1 FEES
zoning -
(Actuaq Const - Bldg. Permit 25.00
(Allowable) - Surcharge .50
# of Stories -
Length IAL, Plan Review
Depth 4' SAC. City
S.F. Total ?
? SAC, MCWCC
S.F. Footprints L
On Site Sewage _ Water Conn
On Site Well - Water Meter
MWCC System _
Ciry Water
_ Acct. Deposit
PRV Required _ S1W Permit
Booster Pump - S1W 5urcharge
Treatment PI
APPROVALS Road Unit
Plenner - pyrk Oed.
Council ?
BIdg.Off. _ COpies
Variance - TOTAL 25.30
PermH No. Permit Holder Date Tekphone ?Y
WATER
SEWER
PLUMBING
H.V.A.C.
EIECTRIC
Inapsetion Date Insp. Comments
Foa5ng5 I
Foundatian
Framing
Rooling
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspec,tw - Nolily Plumber
Const. Meter
EngrJPlan
eldg. FuiW ?I
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
cinr oF EaGaN No
3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-6100
BUILDING PERMIT
Receipt #
12843
To be used for BASEMENT Est Value ? 16, 000 Date NnVE'dBEi•: 4 ,19 86
Site Address 1279 UCNBERRY LAivE Erect ? Occupancy
Lot 2.0 Block 1 Sec/Sub. CHES HA[! 4TH Remodel ? Zoning
Parcel No Repair ? Type of Const
. Addition ? No. Stories
a Jl1 F: OL1J14EK Move ? Length
? Name SAi;L Demolish ? Depth
p Address
Cit
452-7934
Ph Int Impr. ?
? Sq. Ft
y one Install
o Name BaYAN D. VpIGilY CONST Approvaa
Z
oa Address 3557 4PPER 143RD ST W Assessment
I- City RUSE!"sOlNT-hone 423-1296 Water & Sew.
??? Police
? W Name
3 Fire
a
c Address Eng.
? W Ciry Phone Planner
I hereby acknowledge that I have read this application Council
nd state thatthe 10 Z. SE?
information is correct and agree to comply v?ith all a
e State of Bldg. Off.
bolLcabi
Minnesota Statutes and City o} Eagan OrdinaTices. APC
? Var. Date
Signature of Permittee fi
?//
Permit
Surcharge '?
Plan Review ?4.25
SAC
Water Conn.
Water Meter
Road Unit
Tr. PI.
Copies
,.. SZOL. 13
1atYA[v U. VCI.GHT CUP3ST -"TA Building Permit is issued to: ' on the express condition that
all work shall be done in accordance with all applicable Stale of Minnesota Statutes and City of Eagan Ordinances.
Building Official
PermH No. PwmN HoMM Dste TNephone k
PlumlY"
H.Y.A.C. ?," S?i ? ?(.?i ? ? ?? Co
Electric 6 C
Soflsner
Impsctfon DaU IniP. Commenq
FaoHnqs l
Foodnqsll
Foundatlon
Fnminp
Rooflnq
Roupb Plbp.
Rouph HEp.
Imul.
Ffnplace
Finsl Mty.
Final Plbq.
Bldy. FYuY /o
Cerf. Occ.
Dsck Ffq.
Deck Frmq.
WNI
r. Disp.
P
I
?_ .
Receipt ?
MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces
Permit No. ? -
Fee
S/C
Tot.
? Type or Print Icgibl
1. Date 2. Installation Cost
3. Job Address ` Lot,i.V
?
4. Owner ? 5. Contractor
6. Address
7. City 1,1 State' J Zip
8. Building Type: ResidentialL 0 Commercial ? Institutional ?
9. Work Description: New O Add ? Alter ? Repair ?
I 10. Descrihe
I 11.
Type . .
No, EauiRment BTU - M. Ea.
Forced Air No. Equipment CFM
Air Handli
:
Mfg. - 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 to
comply with all ordinances and codes governing this type of work.
Signed : - -? - for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 454-6700
BIk. Tracf- '? -
Phone
/?'}?
PERMIT #
' •' MECHANICAL PERMIT RECEIPT # = ' •' > `>
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
RACT PRICE PHONE 454-e100
idress _- 7 7 -1 1 BLQG. TYPE WORK DESCRIPTION
? Name Address L
c Ciry --
? Name _
c Address
p3 CitY -
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent. CFM
Gas Piping Oudets #
Other
FEE
S/C:
TOTAL•
Res. ? New
Mult Add-on
Comm. Repair X
Other . `
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYONO $1,000.00)
-? Jt ? Lt
SIGNi4 RE OF PERMITTEE
FOR: CITY OF EAGAN
? PERMIT H
PLUM8ING P
CITY OF EA
3830 PILOT KNOB ROAD,
Site Address Q ?,?
Lot 0?10_ 81ock _t-
Name _
Address
? Name _
3 Address
0 Ciry -
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1.000.00)
OF EAGAN
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. Y New
Mult. Add-on 1<.
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO; FIXTURES TOTAL
?Water Closet - $3.00 s ' - ?: '` _
Bath Tubs - $3.00 c' "
?L?Lavatory - $3.00 ? •???
?_Sharecbc---g3.00 Y' i K
_,/--Kitchen Sink - $3.00
Urinal/Bidet - $3.00 ?
-/_Laundcy Tray - $3.00 l:'%? N
Floor Drains - $1.50
Water Heater - $1.50
hirlpool - $3.00
Gas Piping Outlets - $1.50
JMINIMUM - 1 PER PERMIT)
?Softener - $5.00
• Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.SQ
FEE ; ,?•! ' -?'""
STATE S/C: -
GRAND TOTAL•
Receipt -? ' - PLUMBING PERMIT Permit No.
CITY OF LEAGAN
Fee
?- Fil1 rn numbered spaces S/C Type or Prini /egib/y
Tot. -?/ •
.?
1. Date " 2. Instaliation Cost
3. Job Address Lot Blk. ? Tract
4. Owner --
5. Contractor r -'-- ? ` Phone
? .
6. Address
?t--? , -- l
7. City Stdte Zip ? .?
8. Building Type: Residenti?.] Commercial ? Institutional O
/
9. Work Description: NewNO Add 11 Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
l
fi
C
D
i
-
Bath tubs esspoo
/
ra
eld
n
Septic Tank
- Lavatory S
ft
L
Shower o
ner
ll
W
? Kitchen Sink e
•
Urinal/Bidet Oth
i
'
Laundry Tray er
Floor Drains
Drinking Ftn.
S - -
lop Sink
Gas Piping Outlets
Z
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
_ for
Rough Final
InspeCtions: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
OF AN.AQAN
P" Kwb Reed
.MM 55122
No..
!o aomPip with !be Cih of Eogan
+w.,?.-•-??
to eomPlY wifh fhe CMy of Eayon
WATER SERVICE PERMIT
Connection Chorge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Gwroes: -
Totol:
Duta Paid:
Connection Chonpe: Ncoount Deposit:
Permit Fee: - - =
Surchorye:
Misc. Chorges:
Total:
DaM Poid:
C?prtifirtttr of Orruvttnry
Citp of Cagart
Eepbrtmrnf crf Bixilding 3ns}rrriian
Tbit Certi/icatc ir.rued purtuant w the nquircmrntr o f Section 306 of the Uniform Building
Codr rMifring ehat ut the time of irtnattca thit nrruture wat in rmnplianct with the varroru
ordinarsaJ o f t& City regulating building ronttruttion or uir. Far the f o!lowing:
..
Xh.SF DWG/GAR : 1+`' ' BiaS.P.?t NO. 7923
O=warTYw R3 Tywc-?" v Fi.z . NA zoN.uw.., Rl
M.W. Johnson Const?ad„aP.O. Box 130, FarminQton
1279 Dunherrv 7.ana ..._T.nt 90_Alnrk 1_Chca Mar L
BY August 3, 1983
CITY OF EAGAN N° . 19840
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
`
PHONE:454-8100
G
rf
BUILDING PERMIT
Receipt # C 15?
^
J4'
To be used for GA2AGE ADDITION Est. Value $1, 000 Date - 9CT 28 ,?g91
Site Address 1279 DUNBERRY LN
CHES MAR 4TH
Lot 20 Block 1 Sec/Sub.
OFFICE USE ONLY
Parcel No. occuPwcy M-1 FEES
Zoning -
W JAMES OLI.INEK
Name (ACtual) Const - Bldg. Permit 25.00
; AddreSS 1279 DIJNBERRY LN (Allowable) - SO
?
City EAGAN Phone 452-7934
s of srones
- Surcharge ,
!
1
L Plan Feview
Length }
,
o Name JAMES PIETIG CONST oevth 4? SAQCtly
?
g04 Address 1267 DIINBERRY LN S.F.Total _
SAC, MCWCC
Cjty EAGAN
Phone 454-3107
S.F. Footpnnts
?
Water Cqnn
On Sne Sewage _
r
W W
Name
On Site Well
-
W
l
M
l
??
AddfBSS
MWCCSystem
- er
er
a
e
¢w
Clty PhOnO
CityWater
_ Acct
Daposit
W P
PRV Raqwred - S/
armit
I hereby acknowlege that I have read this application and state ihat the Booster Pump - SNJ Surcnarge
information is correcl and a rpe-t comply with,af?a plicable Stale of
Minnesota Statutes and Ci f En Ordinanc d Treatment PI
?
Signature of Permitee
C
APPROVALS
Roatl Umt
A Builtling Permn is issue to: JAMES PIETIG ONST Planner - park Ded.
on tha express condition that all work shall be done m accordance with aU Council
applicable Slate of Minnesota S
taWtes and Ciry of Eagan Ordinances. BlegAff. _ Copies
p
8uildingOificial ?Q{1T11,0,4ti_I rn,?t Variance - TOTAL 25.50
l
x 2G
A N2 12o43
3830 Pilot Knob Ro d
P.O. Bo
-
1 9, Eagan, M N 55121
PHONE:454-8100 ?
BUILDING PERMIT Receiptu
To be used lor BASEMENT Est. value $18,000 Date NOVEMBER 4 19 86
Site Address 1279 DUNBERRY LANE Erect 0 Occupancy
Lot 20 Bloc k 1 Sec/Sub. CHES MAR 4TH Remodel ? Zoning
Parcel No Repair ? Type of Const.
. AddiUOn ? No. Stones
a Name JIM OLIJNEK Move ? Lengih
W SAME Demolish ? Depth
o Address Int Impr. ? Sq. Ft
CiN Phone 452-7934 Install ?
o Name RRYAN D. VOTGHT CONST
? a Atldress 3557 17PPF.R 143RD ST W
a
? CiryROSEMOliNTphone 423-1296
rc
w W
Name S?
z
?
a Address
z
i w Ciry Phone
I hereby acknowledge ihat I have read this
information is correct and agree to com
Minnesota Statutes and ' an rc
Signature of Permi ee
A Building Permit is issued to: RYAN D
all work shall be done in accor ance with all
Building ONicial ?
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Councd
Bldg. Oft. 10 / 29 / 86
APC
Var. Date
Fees
Permit +L40."'
Surcharge 9•00
Plan Review 64.25
SAC
Water Conn.
Water Meter
Road Unit
Tr. PI.
Parks
Copies
Total $201.75
CONST on the express condition that
3te of Mihnespta tafutes and City of Eagan Ordinances.
/?211i3'C/ REQUEST FOR ELECTRICAL INSPECTION Ee-00001-06
` , Sea instructions lor complatirq this iwm an beek ol yellow cnDV.
r 7`?27'j "'X" Below Work Covered by This Request
?
rAtl pap TYPB 01 BwlEinq Appliancee Wirotl EquiV.nen1 Wired
p Fea Se/viceEntrence5iza p Fee Fendars/Subieetlers # Fex' Cvcu"s
U to 200 qm 5 0 to 30 Am s jVP0 0 to 30 Am s
Above 200 qmps 37 to 100 qmps 31 to 100 A
Swimmin Pool Above 100-Amps Above 100_Am s
Transrormers Irrlgation Booms Pamal-'Other Fee
Signs Special Inspection !ns`f ,+
RertHrks TOTAL E p
u
HouBh-in "a1e ' I. the EIe?Hsl
7 In9PeCto?,?ereby
I
cerUfy that the above
Finel inapection has been
i mnda.
This rupuest void
18 monMs fmm
C 7 22 7 7,L ,x. G/ /,z 8-
6r81vv?r
Ne.nuasYD..:e
" Fre No. Rough-'n Inspection
He ired7
es ?NO _
Peatly Now Will Notify lnsoec-
?
__ . When PeaAY
-iid Licensed Eleclncal Convactor 1 hereby request inspecfron ai ebove
,-yner eleclrical wark inslalled et:
Streei Address, Box or Route Na. Qty
L -l r cL
ac ion o. Tow snip Name or No. RanBe o. ouniy
fVl ?l.L/
OccupQnt WpINT)
a 1t Phone `No.
P er5 lier
a r' ?2C_Y`i C..,_ Atldress
30
E ncal ontractor ICOmpany Namel
I?- -hri Contra or's Lmense
G4 Ud.
Mailing AdJress (Contrectorwner ekma Inslailation)
4 ?e -S, KLme ?s SS?b
Au[h ized SignaWre (COntraciodOwn r Making Insta ation)
? 1 hane Number
-?aa- 6aa
MINNESOTq STATE 80AR0 OF EI.ECTflICITY THIS INSPECTION NEQUEST WIIL NOT
Grigps-Midway Bldq. - Room N-191 BE ACCEPTED BY THE STATE BOAH?
1821 Univereitr Ave.. St. Peul. MN 65104 UNLESS PROPER INSPECTIONFEE IS
ENCLOSED.
pM^ne1p??1 pyy?pnn
REQUEST FOR ELECTRICAL INSPECTION
' Sae inatructions for complatieg ihis torm on bnck of yellow copy.
88lJj
'"X'" Below ?rk Covered by rhrs Request
EB-00001-04
y«
?
3sSq 3
AAd Nep. Type oi BuilAing AOOlpnces Wved Equipment Wved
Home Range Temporary Service
Duplex Water Heater Lightinp Fixtures
Apt. Building Oryer Etectnc Heaun
Commercial Bldy. Furnace Silo Unloader
Industrial BIAg. Air Condrtioner Bulk Milk Tank
Farm Orner ueu v Other Isuerifyl
Ter Suecify Other Other
Compute lnspectlon Fee Belaw
p Fee ServiceEnhence5ize d Fae Feader5/5u1olextlers k Fee Cvcuits
0 to 200 qmps 0 to 30 Am s 0 to 30 Am s
Above 200 q?n??y 37 io 700 qmps 31 to 100 qm s
Swimming Pool Above 100-Am s Above 100_Am 5
Transiormers ?rngation 8ooms Partial%Other Fee
Signs Special InspecLOn
$
TO
R=arks
l?.SO L FEE
• ,
ough-in Dnta 1, the Electrwal doF Inspector, hareby
cerb}y thn< the above
Final p inspection has been
C. ? O mada.
This reauest valC 18 monilre fro.
This request voiA s- S
18 months Irom _
V31050889
L.:z o
ReqJest Uate iire No. Re?ugh`?,InsVecUOn peady Nuw ? Will Notily Insuec-
!
?2/ ?
I
I
?Yes o
tor When Peatly
ycensetl Eleclncal Convactor I hereby reauest inspection of above
Owner electncal work installed aC
Street AAdress, Bax or Route No. Qri
1,2 7 4! L
±ftteg G-
ecbon o. Township Name or No. nnBe No. Counry
Occupant(PqlNT) ' k ,
.s o.• Phone No.
Pawer SupP??/fer? /? /
C
? Address
t !
L
lectncal Contractor (Comp`a?LNrmei
Z
' ontrxr.mrs License No.
?+?r?? `
ZC.'?
??/G G
Mailme AdJress (COntractor or Owner Makine Instailxtion)
+
Z.0I ? j?;o AF I .?SC.?!
Aotho .e Stgna[u e(COnhact wner Makmg InstallaLOnl Phone Numbm
LLULZ --Z_ -1 Y
NINNES)TASTATE BOAR? OF ELECTNICITY THIS INSDECTION REUUEST WILL NOT
Grigqs-Midwey Bldc. - Room N•791 BE ACCEPTED BV THE STATE 90AHD
1821 University Ave., St. Paul, MN 55106 UNLESS PXOPEF INSPECTION FEE IS
e1.___ 1.11, 1nv1111 ENCLOSED.
1hus request voud 5-? L .20 / ?
18 months fmm t L ? "t
W 050858
3SS93
?? I otn
Request Diate Pire No. qooeh- Inspecuon '
??' g Requ d? ?Ready Now ill Nobfy Insoec-
tor Wh
n R
d
? ?
es No e
ea
y
Licensed Electncal Contractor 1 heraby request mspection of above
? Owner ' electncal work installed at.
Street Address, Box ar Raute Na. City
.e L.? C sr i •?
e ion o. Tow s?ip ame or o. R3nge o. Cou
nry
/
J ?
Occupnnt (PHINT) Phone Nu.
?w : &(/.
Power Sup0lier ` Address
l
6„'
c r
E ectncal Convacmr (COmvany Namel Contr cmr's Lmense No.
_
?
O$
?
t 41`
ilf
Mailing Address (Convactor or Owner MakinP lnstailatmn)
Authonz Signa u ?ConvacmdOwner Making Installauon) Phone Number
6a- 3Y?7
1? THIS INSPECTION NEQUEST WILL NOT
MINNESOTA STqTE BOAHD OF EIECTNICITV
Griggs-Midwey Bldg. - Foom N-197 BE ACCEPTED 8Y THE STATE Bpq0.D
1821 Univars,tV Ave., St. Paul, MN 56106 UNLESS PflOPEN INSPECTION FEE IS
e.___ 1e11, eo, e1?11 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
' Sea inshuetmns for comolehng this form on back of yellow copy.
"X ' BeloMMvrd by This Request
EB-OU001-O4
lfkrw ?Add j XBD. Type af 11m0tlin8 APPIianC05 Wiretl EquipmBnl Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Bwlding Dryer Electric HeaLn
Commercial BIAy. Furnace Silo Unloader
? InAustnal Bldg. Air Condrtioner Bulk Milk Tenk
Farm Oth" ueci Y O4hEr ISpar.ifyl
t er Succ-ly O! er Othur
Fee Belaw
I k I Fee I ServicaEnhencaSixa I # I Fee I Fendera/SVbteeders I N I Fne I Grcuils I
t0
ion 5
1, Ne Electricel
InsOectoq hereby
cerLfY ti+et the nbove
Tnspecc,on has baen
mxda.
This re4uesl voltl 18 months
This reqaest vmd
18 monffis fmm
050874
L<2CJ( a ? ? C{t£5 /14,2r
:il (a s (o C)
47, 0o
nequest uate Fue No. RouH7-in Inspectmn ??a-..''
_?3 P?equ..reA? ?Ready Nuwill Nn1iI Insoec-
6 ?`/ ??.es ?NO 04WhenReady
? Licensed Electrical Contnctor I hereby request inspectron of ebove
? Owner . alectncal work installed ai:
Svee[ Address, Box or Roure No. Ci`tyr-.
7 ?1./Sa iC ?/ ? L??
cuon o. 7ownshio Name or No. Ra ye No. County
r
Or.cuunm (PRWT) Phane No.
Power $uppii¢r
1 Address
Electncal Contractor (ComOa?v Namel
f
' ConVactor's License No.
?c
K
A ?L G 5i
Mailine Address ICon[racmr or Owner dlakine ??slailauonl
-
g s
f?
? .?- <f
at
o•-
uthonzed $igna ure ICon[ clor/Ownet Makmy InstallaLoni Phune Number
?Ylb 1- 3 s?s7 MINNESOTA STqTE BDAflD OF ELECTRICITV THIS INSPECTION qEQUEST WILL NOT
Grie9s•Midwey Bldg. - Room N•791 BE ACCEPTEO BY THE STATE BOARD
1821 Universi St. Paui, MN 55704 UNLESS PROVEN INSPECTION FEE IS
ty Ave., ErvClOSED.
REQUEST FOR ELECTRICAL INSPECTION .r-„ EB-00001-04
, Sea inslractions tor complating this farm on beck ot vellow capy.
? f)5084
"X"" Below Wofk avered by This Request
FNIT vii HA Nep. Type of Bunldmg Applinncns Wrted EquiUment WveA
Home Ranye Temporary Service
Duplex Water Heater Ligh[my Fixtures
Apt. Builduig Dryer Electnc Heatin
Commercial Bldg. Furnace Sdo Unloader
InAustnal BIAg. Air Condrtioner Bulk Milk Tnnk
` Farm oine, oau v ome. 1suu, rry1
t r sw'cirv otner Otner
Campute lnspection Fee Be/ow -
p 4 Fee ServieeEntrenceSiza d Pee Fnndars/SUbieednrs K Fae Grcwts
12.4o 0 to Am 5 0 to 30 Am s 30./p 0 to 30 Am s
Above 200 qmps 31 to 100 qmps ?fAO 31 to 100 A s
Swimming Pool Above 100_Amps Above 100_.4m s
Tranytormers IrrigaUOn Booms .fp Paitial:Other Fee
• Signs Speciai 6ispection $
(
'
'
' , ?
TOT
Rema rks J
?
.s ? E ? ??
J
HouBh-m Do1e: I, the Ele eal
Inspector, heroby
? certdy that the above
Final Imspectmn has been
ede.
TIJC rxaueat aoid 18 montRS fram
2006 RESIDENTIAL PLUMBING FERMIT APPLICATION ? S• Sa
CITY OF EAGAfV
3830 PILOT KIVb6 ROAD, EAGAhI Mld 55122
651-675-5675
Ptease.complete for rrrodifications fo sxisting residential dweilings. FED 2 6 2007
e
? I 1 ?
?
.
Dat
Site 3treet Address Unit #
Property Owner 10 1iWM NPMJ1 I I.LI V Telephone #?
Contractor Na? wiikt san/6CX"j Telephone #q5a)L3
?
' ?lJSZ
kddress City Stste
-tk- Zep5201
The Applieant is: _ Owner XContraator _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-puilt $ 10.00
Alteratfons to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener andlor water
heater at the same time. If pou are install]ny onlv a water softener andlar water
heater, do not complete this sectian; move to the next section and check the
appliance(s) you are installing.
TSeptic System Abandonment
_ Water Tumaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener / \44ater Heater $ 15.00 ,
_ new V replacement
_ Lawn Irrigation ^RpZ _pVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Totai
$?.
I hereby apply for a ResidentiaI PI b' P _
um ing ermit 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 pl4rt7bing codes; that I
understand 4his is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accord e with the roved plan in 4he event a plan is required be re iewe w approved.
??
Applicant's Printed Name Applicant's Signature
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
1 City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: singte fartuly dwellings & townhomes/condos when pamits are required for each unit
-4 -?V - ?
Date?/?/ v?
Site Address ? Unit #
Property Owner M(,j) l? ? )?Q z, ),W0, Telephone # ( a/d-) 7V3
Contractor (2v, /// AAW>
Street Address S?A_2 ?/C// City
State ?'1l1 Zip SS&' 7 Telephone #( 9?0 )Alg/
Bond Eapires:
The AppGcant ia _ Owner ? Contrac[or _ Other
Add-on or aUeration to etisting dweiling unit $ 30.00
furnace _Additional _Replacement
air exchanger
? airconditioner _New ?Replacement
other
.\ •\
?
StateSurcharge $ .50
y
Total
=
. ? -
? 3v. sv
, ;
I hereby apply for a Residential Mechanical Peimit and aclmowledge that the informafion 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 tlus is no[ a
pemut, but only an application for a pemnt, and work is not to start without a perinit; tha[ the work will be in accordance with the
apgroved plan in the case of wock whieh cequices a Teview and approval of plans. p ? I/
Tca? K,.? V-. .f
Applicant's Pri d Name Appli nt's Signature
2005 COMMERCIAL MECHAHICAL PERMIT APPLICATION
City OFEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Ylease complete for. commerciaUinduslrial builduigs
multi-faruily build'vigs when separa[e pamits are no[ required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner Conhactor Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove'"see below
_ Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
*'When insfalling/removing underground tank, call for insp¢ction by Fire Marshal and Plumbing Inspector
Pe['111i1FCC8: S70.50 Undergroundtankinstallation/removal
$50.50 Minimnm (includes Sfata Succharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If permit fee is $1,000 or less, add $.50 => $ State Surcharge
If uermit fee is over $1,000, add $.50 for
every $1,000 nermit fee $ Total Fee
1 HcLcuy app.y ior a Commerciai Mecnacucaj recmrt and acknowledge that the information is complete and accurate; that the work
mll he in conformance with the ordinances and codes of the Ciry of Eagan and with fhe Mechanical Codes; that I understand llris is
not a pernut, but oNy an application for a permit, and work is not to start without a pemut; that the work will be in accordance with
the approved plan in the case of work which requires a review and apprwal of plans.
Applicant's Prittted Nazne
Applicant's Signawre
Approved By: Iuspector Date:
- 1991 BIIILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
lNLTIPLE DWELLINGS
le-c:
2 SETS OF PIANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PiANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES VEtEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF HONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWEA ONCE BUILDING PERMIT tc TSSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Stol'age AnP%umj Valuation• $1*=1=3=5=1a-8-
Site Address 1279 Dunberry Ln.
Lot 20 Block 1
Parcel/Sub
Ches Mar 4th
pwner James Olijnek
Address 1279 Dunberry Ln
City/Zip Code Eagan 55123
Phone 452-7934
Contractor James Pietig Const.
Address 1267 Dunberry Ln.
City/Zip Code Eagan, Mn. 55123
Phone 454-3107
Arch./Engr.
Address
City/Zip Code
Phone #
Occupancy M ?
Zoning
Actual Const
Allowable
# of stories
Length /q'
Depth -1/'
S.F. Total
Footprint S . F. -5 ? On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. " /l,zy9f
Variance
COMlSERCIAL
OCT 2 319Q1
FEES
Sldg. Permit •??? °`
Surcharge sz'
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL ??1n
Sewe7r- er Licd Contr.
u? a grees that all woik shall be done in accordance with
Signature of Co tractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
?-(Xlcl -
? y
' ? .
5 ?• ? i j - ,?S ?(? ?`
I ?
?,;.?°
<
f
4
I
;
?
N
?JLM?.Y I
. CERTIFICA-FF
i
r
,
yyi
3
o -
: . p(? U ? •?'A `'}4' C? --- 9 6
0
o ? ? o PRnFC =?v o
I
o I
?O
`'t . .
S
.?.
?;joJVbl•i1?:1 n}w*(1 nten tld18L1Lµ,
Frmtaa w:d nrn nse?wind dnLum.
OF SURVEY
Z &9°4 9'o5" E
Zy;, v. po
j Li(AlF I.?:.:? E?,'TI l•?-P(? E:.?{`7?b1E.?lT?
T
l, 0"1 Zo .
?1
- ?
? m
0
,v
1
OL _
??.`D
A
_/ •`', ?n
i?
9 S. ?? L
? Z-?-'E
a? - - -- --
\O
i Lereuy oe:tSCy tlwL tt,is in a co1.1.006 .):' e nurv:,j c.fs
Lot 'LG, 5100a 1, Chr:S Yt.}1 FiXltc'i:i Ai!Ull'I?jN. UykJLu Cou1ity- H14f1tl3JLU'
yc;o:.) tn(r, Lo the {,Int Lhelroof 01. filb nn,i .,f rauorj .
&;;d Lt,,,t, [ u:n a duly eeglnturnd lead aurveyur undak'?'•!,e laea of the 3tatu OC 6fiu?le3??Ln.
/
- . _--
pntod u, :i i 1Wi day of' April, 1983 fROno (. ?'1?
UH EiY bti I SCALE - I= 30'I 0(itt401ES IHON tdiiN
yropnrad fort
y?. M. JotiLi.+?l k:onstr.
15U
T'?PfYi?ngLOU, :d:ci?. LoG.:4
S?
14.0
?
btAHINGS AfiE H?)SUMtU DATUM.
JACUbSON SUFtVl WHS
LAktVILLE, MINN `,5044
i-tiOrJE 40,13 - 4 528
i! ',^
BUILDING PERMIT
N° 7923
Receipt .# l :?
To M wad }er SF DWG/GAR Fst, Value $129,000 Dote A pr31 13 1 9___$3_
Site nddress 1279 Dunberrv Lane Erect ;(x Occupancy R-3
Lot 20 Blxk 1 $ec/SubChOS Mai 4th Alter ? Zoning R-1
parcel # 10 17103 200 Ol Repair ? Fire Zone NA
E
l f C
t
T V
n
urge 0 ype a
ons
.
rc Name M.W. Johnson Construction Move ? # Srories
; ,qddmyi P.O. Box 130 Demolish ? Length 60
b c; FarminQton phom 432-6838 Grade ? Depth 46 Sq. Pt.-
p Nome Owner ApPrmols Fees
su Addreu Assessment _
Water & Sew.
Cit Phone
Police -
w Name
Fire
?w
?? Address ' Eng.
iW CI Phone Planner _
Councfl _
I hereby acknowledga that I hove read this applicotion and state that gldg. Off. _
the information is correct and agree to comply with oll opplicable
Sfote of Minnewta Statutes and City of Eogan Ordinonces. AP?
Sipnature of Pertniftee
M.W. Johnson
A Bullding Cermif is issued to:
oll work shall be done in accordance wieh oll opplit
CITY OF EAGAN
9795 Pilet Kno6 Raad Eegan, MN S5132
PHONE: 454.8100
Permit Jw.jv
Surchorge 64.50
Plon check252.75
SAC 525.00
Woter Conr650. 00
Woter Meter 60.00
Rood Unit 250.00
Totol $ 107 - 7 S
_ on the express condition lhnt
City of Eagun Ordinances.
Building Officiol
CIiS' S ::AG?ti?
BUILDING PERMIT APPLICATION
Tna,,iciP z sets o= plans,
l?lan w/elevations &
1 set of energy calculations_
r---
To Be Used For S)?- o ? valuation?g o Date W- j -,PS
Site Address: ,7 q OFFICE USE ONLY
Lot ;10 Block _/ Sec./Sub. ?
o
Parcel #: lD 1`7103 200
awner:
Pcldress :
City/Zip Code:
Phone #:
Contractor: f Yl - L?• ?.??yi ?rv? .
-?
Address: ? Q . ? /20
City/Zip Code: 6?? i yYlvwr??
Phone #: Z1,32 - e.9138
Arch./Ehg.:
Addressc
City/Zip Code:
Phone #:
Erect ?Y, Occupancy
Alter Zoning
Repair Fire Zore Aig
Enlarge 7A?e of Const.
_
Nbve # Stories
Detmlish Fmnt (?p ft.
Grade Depth ft.
APPROUALS F'EES
Assesst[ents Permi.t pS l
Water/Sewer Surcharge
Police . Plan Chec7c ? Sa
-
Fire SAC 3'.??
gzq, Water Conn. ,S'y O
planner ?
Water Meter
Council Roac1 Unit
Bldg. Off.
APC
n7PAL -1 o? I O 7 i'7 S
` a a s?o
y74?
CERTI FICATE OIF SURVEY
S a9°49'os" E
2?i- o . O o
?
?
?
? ?ZO.3 0
`?GA'?. I,?_ P - ------ - - -- ?7
N-"01
ORAItJAC? E llr??..t ? ;'
?- ---` - ?YE?bEME?1T/
l, o'C 20 ;
, -
,
t? ? ? ?AV 4b' 0 99 6
E ?4
? 14.p S
i f 1
i I 9D63 Z?'O ? C?AR . ?
e1, ' --
r _ 3?.0
?0 ? ?Z
-? ---/
?
9s. Qo '
?
? m
0
? .?
N p
? ?N
? vi
?
?
? O
m'
t___96?? Du? IR??? .
- ?
Elavc+tions ehaxn aro eziating
grndos end are answaed datwn.
_ 1 AM t-
I horotiy oortify that thin is a oorreot ropresontation of a aurvey ofs
Lot 20, Bloak 1, CHES tlAR F'OURPH ADDITION, Dakotu Couaty, Biinne:,ote,
acocrdini* to tha plat thorooP on filo and of record.
and thet I am u duly rogiatarod laad eurvsyor under r,he laaa of tho Stata of L'innosota.
Dntod th:s llba day of dpr11, 1988 Gane L. Jaoobson????irtt?. RoP. No. 7754
DR. BY BA I SCALE - I" _50'1 o DENOTES IRON MON
Propsmd for:
BEARINGS ARE ASSUMED DATUM.
JACOBSON SURVEYORS
LI. U. Johmon Coastr.
P. o. Ro$ aao
Fo.rington, 65024
LAKEVILLE, MINN. 55044
PNONE 469 -4328
=;'-',
.:.. ..... ....:.? .. ..
4..w?.?1`w?...-.a? .,, ..r....,. ...
' ' "'"" ".'?? F'?a• EXTERIOR ENVEIOPE,AVERAGE "U" CDMPUTATION
OYlNER
SITE ADDRESS
CON7RACTOR JCi1-1Q50 0 (o+..)ST DATE ?z - ) r?- PHONE
Determine working square footage of each.
1. Total exposed wall area ..... Z5C)'-I.q l.o sq. ft. x .1 b n `455. ?
2. Total roof/ceiling area ....... Ci lD O sq, ft. x •0?
Total exposed wall area above floor = 21?.Lo
a. Total wall window area ........................... r,0.
b. 7ota1 door area ................................. {,°,
c. Total sliding glass door area ...................
d. Tota1 fireplace wall area ....... ... .......... -
e. 7otal wall framing area (average 10%)...:..... ... I'7 3Z
f. Total net wall area above floor .............. I?? nS.88
g. Total rim joist area ............................ zLP L-v
Total exposed foundation area =_1GZ , 9-;p
h. Total foundation window area ..................... Q•y 5
i. Toal net foundation area above grade .......,.... G 3.11 1
Determine "U" value of eaCh wall segment.
a..-- ---1 E)o_ fl X„U'l
b.__- -- 3?- x„U?,
c. `f'-F __ X 2- 7_
d ..--
X U ---
e. X "U" ---_l?-y,--
f.__ x,tult ?_ ? ? I0
9
'--- „U??
---zLc?u X ?u
, ?, - -
-- - ?
h.-- ---- x "U"
X i,u., _u'c?
s ............... ........ Sb?l.:.91?..Total
If item k3 is the sanie as, ar less than item N1, you have met the intent
of SBC 6006(c)2.
;
I;
? ?.
,
?
i
?
I?
I;.
?-
?i
. '
.,.
•???' Total exposed roof/cei 1 ing area = r-I 14) 0
?
- Toeal gross roof/ceiling area = y LB p
? j. Total skylight area ..............:......... -
k. Total roof/ceiling framing area ............
1. Total net insuiated roof/ceiling area....... L-0 L4
Detennine "U" value for each roof/ceilin9 segment.
?_.. - -.._..
•' X liu??
?------------- -------? ,
k. ?=1 Lo XitUil , Oy2 = y, D3
1 . - -???-- x " Li„
a ............... ...... q LAP......... Total
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1.
To utilized the total envelope system method, the values established by the
sum of items #3 and p'4 shall not be greater than the sum of itens U1 and k2.
1. + 2. _
3. + 4. _
MA'"h:FfAl.:; Phcrm. :?es:st.?n', ?,,•
h:c??-:.or Ri.r . 1rI
data:?•?
Si,?• '*r;:lq:
7w,u I ,...Ln
:ihE. oc,:N. ? 45
InYin :or. Air _b
$
J p
,
?'onc. Iilks.
1
.?,.
:,
. ? .!• ?' `? _ " '_ -
?a¦.?
1986 BIIILDIAG PERLSIT APPLICATIOH - CITY OF
HOYS: ALL COPTBACfORS M[JST BE LICEASSD 1iIYH THE CITY OF EAGAI - ?
SIHGLS F9lILY DjiELLIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF EN.
MOLTIPLE DWBLLINGS - BfiSIDSNTI9L HETITAL U9ITS FOR SAL 12 9?op}
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRYEY - CHECg SiITH BLDG• ?c4 6 A'? L? *
1 SET OF ENERGY CALCULATIONS '? 20 1'
COIIIMERCIAt:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
5e5e-moj7'
To Be Osed For: F II, I-W Valuation:?
Site Address
Lot Block ?
Parcel/Sub
Owner 1-ih'? d(r I j-oJe-K
Address . ? ?9-61 17, !id N tWR ?
Erect _
Remodel _
Repair _
Addition _
Move _
Demolish
Int.Impr. ?
Install
Date:
Occupancy
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
City/Zip Code
Phone "r ?L- D / 3 4-
Contraetor (L?#j' R VdIU('f'T LD 51
Address ,35.7 / UPp'Lo r' 14 Or- 51. :0i
APPROVALS
FEES
City/7.ip Code f?VItfYNppl11 ! I !D5 U(na
Phone 4 D-3 ' 129 Ip
Areh./Engr. t-o 0 hZ g?
Address
Assessments Permit ?? so
,Water/Sewer
? Surcharge
Police Plan Aeview (o¢, zs
Fire SAC „
Engr Water Conn
Planner Water- Meter
Council Road Unit
Bldg Off D
- Treatment P1
T
APC T Parks
Variance Copies
ioT9L O r City/Zip Code
Phone lt
?f-
,,j G Pk)R M,1--? :??
Ar yd P dQc-0
NOTE: ADDRfiSSES EOR CORNEB LOTS - CONTRACTOR/HOfiEOiiNfiB MUST DESIGN9TEiiHICH ADDRfiSS
IS DESIRSD, NO CHANGE4 WII.L BS 9LLOTiED OHCE BOILDING PERMIY IS ISSIISD.
Storm Sewer Trunk
I-Cfies lfar 4th ?
7lock 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
S20 ? 2512.98
?-
Biock 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 ,
Block 1, Lot 1 467.30 i
Z 369.51 ?
3 601.09
4 468.55
S 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
5 603.64
6 331.45
7 325.00
8 325.00
9 600.68
10 1021.18
?________________
I Fq(,Qt?ce,?Use i
j Permit q_7 f f j
Permd Fee:
I
I Date Received: 0'??'??`
? C e c/
I ?
I ?
I Staff: ;
I ----------------- I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION LC-rt ??lq %E
Date: 7h /0 Site Address: I a7?I !/iM , EA4ah ??
Tenant: O9" lQ, h d' / d/4'1? VCA4-.?r'1 a V-?- _ Suite #:
-7 -al- C) 1
X. <Yl22i
RESIDENTIOWNER Name: Br fdl'1 N,2'-vM6tk,- Phone:
?
/ ?9 ?
Address / City / Zip: I?7 ? ?vn bCf ?y L,YI . £?i/JVV\ ??1./ - .? l z3
Applicant is: Owner _ Contractor
lS?
i-
?
TYPEOFWORK t
?
X
Descriptionofwork:
Construction Cost: `f" 0 Multi-Family Building. (Yes No
CONTRACTOR Name: k License #:
Address:
City: State: Zip:
Phone: Contad Pereon:
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 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;,Plares and suppoRing documents that youwsubmit are considered to be public information. Pqrtions.of,
the informafion etay 6e classKied as non public ?f yop'provide specific reasons.fhat "would permit th_e City to
- conclude that the are trade,secrets:
I hereby acknowledge that this information is complete and aaurate; 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 permR; that the work will be in
accordance wi[h the approved plan in the case of work which requires a review and approval of plans. ?
x??an 'T• Awm an, X
App TicanYs Printed Name A ' anYs Sign ur ?
Page 1 of 3
t
.
SUB TYPES
DO NOT WRITE BELOW THIS LINE
? Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garege ? Porch (4-season) ? E#. Alt. - SF
? 02-Plex ? 08-plex 0 Deck ? Porch (screeNgazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
New ? Interior Improvement ? Siding ? Demolish Building•
? Addition ? Move Bu ilding ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
* Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation 3, /7Dt7 • Occupancy SiZG- ? MCES System
Plan Review Code Edition ?-0 o7 SAC Units
(25%_ 100%? Zoning City Water
Census Code ?c 3?{ Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
,
Type of Const.
7`
Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size:
)c Footings (deck) FinallC .O.
Footings (addition) Final/N o C.O.
Foundation HVAC
Drain Tile Other:
Roof: _Ice 8 Water _Final Pool: _FOOGngs _Air/Gas Tests _Final
Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _AirTest _Final Windows
Insulation Retaini ng Wall
Reviewed By:
------------------------------------------ Building Inspector
-------------------------------
------------------------------
-------------------
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant ?
Copies ?
Total
Page 2 of 3
CERTIFiCATE
i
?
N
- F91OF SURVEY
4, 89°49'os" E
2.5 0 . o 0
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9 --- --?_
Eldnltio:;s Ahown a.^e nsi,sti.aK
graias and are assumod datum.
o ?
-`l
J hereby aertif'y tAat this is a r,orreot rept`asontst.on o` e surv:ay Lot 20, 91ac;c 1. Ch'ES }CAR L'0?TR^:i ADDT.'PTOA', Dakoca Couat:/. Minr.,?so?e,
nc,^o^dinjr. `u ti» plat theroof an f'_Is and nf reco*a. '
p-d, t'r,at [ am a duly regis'or'P,f 2ar.d surveynr undsr `he IgW3 af the StstH ?f Yinnegot&•
---
Dated 1;:s llth dey of April, 1933 ('?e+ne L. Jucobson?i?r. Re?,. N?• i7?
IDR. BY 3A I SCALE - I_3'0'1 0 DENOTES IRON MON
preparod f ar :
m, W, dohn:ton Censtr.
p, 0. Roz 130
Fanr.ineton, ?'.:r.n. 55024
E?EARINGS ARE ASSUMED DATUM.
JACOBSON SURVEYCRS
LAKEVILLE, MINN 55044
FHONE 469 - 43?_8
---?
? ?'????5-? ------ I
? Pertnit #: U4 b: i
i Pertnit Fee:
I
? Date Receive ('
I U - -? ?
? Staff:
L------ JtJt-3-d?8?18
2008 RESIDENTIAL PLUMBING PERMIT APPLICA
Date: Site Address: ri:
Tenant:
Suite #:
RESIDENT / OWNER Name: C? &KlYl Phone: ?-3 {," 3 I
)
Address / City / Zip: d
?
13
CONTRACTOR
Name:
License #: '
!
Champion
znn
Address: (351 4R5-1
,
3670 Dodd Rd. #100
State:
Zip:
City: F nnni 661 .
agaP,
Phone: Contact Person: 0 i i'",_
TYPE OF WORK _ New _ Replacement _ Repalr _ Re6uild _ Mddify Space _Work in R.O.W.
iqonlcu r
?
Descri tfon of work:
PERMIT TYPE RES?/?ENT(AL
? Water Heater _ Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ PVB) I Main _ Lower Levelj
Septic System _ Water Turnaround
New
Abandonment
RESlDENT1AL FEES:
$50.50 Minimum Waier Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Waler Turnaround` (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ ?•?
I hereby acknowledge tha[ this information is complete and accurate; that the xrork will be In conformance with the ordinances and cotles of the Gry ot
Eagan; ihat I understand Ihis is not a permit, but only an application for a pertnit. and work is not to start without a permih, that fhe work will be in
accordance with the approved plan in the case of work which requires a revlew and approval of plans.
X C?VY?eS ?
ApplicanYs??Printed Name ApplicanYs S nature
F.OR OFF.ICE USE-;,;':;
.,n_i .... ..........?S?i':..r.? ._ -. . .r.. . <. ?
2007 RESIDENTIAL BLIILDING PERMTf APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reawremenis
3 registered site wneys shaning sq. R of lat, sq. fl. of hause: and all rooted aieaz
(20%maximum lot coverage albwed)
1 Sotls Repqt'rf proposed buildrig is to be placed on disWrbed sdl
2 copies M plan showirg beam &winAwi sizes; poured fuund design, etc.
1 set of EnefgY Cakulations
3 copies of Tree PreservaUon Plan H lot pWtted aRer 7/1193
Pom Jds1 Detail Op6ons selection shcet (buildiiigs with 3 or less units)
tu6nnegasco mechanical ventilafim fam
RemodeVRenau Reauirements
2 copies W Dlan showing too6ngs, bemns, jdsls
1 sel of Emgy CakulaWbons fa healed additlons
1 site survey tar addiU'ais & dedcs
pdd'rtion -indicafe Worrsne sepdc system
qD/'
v Y4aq 7
??a, oO
Olfice UsB OnIY
CBrtofSurveyRecd _Y _N
$q7s Reppt _Y _ N
Tree Pres Plan Recd _Y _ N.
Tree Pres Requiied _ Y _ N
QtsiteS2pBcSys[em _Y _N
01??- ? inSn?a4inn iiatlnec uMl e4.T4P_ 4piLH aP'e tPadB $eCPet aPId Qo-le PeIi50P1.
....., ..... .......,......... .. ......... ...""..."""
d
Date 01 / 09 ! U d, y,?
Site Address 1Z1Q - -1()JAn t?C,y(M 1-tkr _""_' _ _ _ __-_
ConstrucNon Cost
e, UniUSte
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2
Property Owner ?? iQ n I?K?W?U n
Z' _ Telephooe # ( gI
Contractor MN µ'IND0IYS &$Ip
[
(V(' ('p
_
_
,
nddress 860 ?YMALE AVE. S.
State Ni MN 55420
citr
Zip Telephone #(q(?'? )
8?g • qqo?
COMPLETE THIS AREA ONLY IF CONSTRUCTINCs A NEW BUILDING
- Minnesota Rules 7670 Caterzorv 1 Minnesota Rules 7672
Energy Code Category . Residen6al Ventdation Categay 1 Worksheet • New EnergY Code Waksheet
(q submission type) Submitted Submitted
• Energy Emelope Calculations Submitled
In the lasf 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
i hereby apply for a Residential Building Permit and acknowledge that the information is wmplete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
4nn ?xenon
Applicant's Printed Name
4App i, nt's Sig ture
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112923
Date Issued:08/26/2013
Permit Category:ePermit
Site Address: 1279 Dunberry Lane
Lot:20 Block: 1 Addition: Ches Mar 4th
PID:10-17103-01-200
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Nathan Corbin
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 -
Brian J Newman
1279 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:Building
Permit Number:EA148114
Date Issued:03/06/2018
Permit Category:ePermit
Site Address: 1279 Dunberry Lane
Lot:20 Block: 1 Addition: Ches Mar 4th
PID:10-17103-01-200
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Michael Winters
1279 Dunberry Lane
Eagan MN 55123
(612) 719-7548
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA149137
Date Issued:05/08/2018
Permit Category:ePermit
Site Address: 1279 Dunberry Lane
Lot:20 Block: 1 Addition: Ches Mar 4th
PID:10-17103-01-200
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.
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 -
Michael Winters
1279 Dunberry Lane
Eagan MN 55123
(612) 719-7548
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152530
Date Issued:10/18/2018
Permit Category:ePermit
Site Address: 1279 Dunberry Lane
Lot:20 Block: 1 Addition: Ches Mar 4th
PID:10-17103-01-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Michael Winters
1279 Dunberry Lane
Eagan MN 55123
Bob Boldt Hvac
4310 Trenton Tr
Eagan MN 55123
(651) 454-7760
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173883
Date Issued:12/10/2021
Permit Category:ePermit
Site Address: 1279 Dunberry Lane
Lot:20 Block: 1 Addition: Ches Mar 4th
PID:10-17103-01-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Michael & Kerry Winters
1279 Dunberry Ln
Eagan MN 55123
(612) 719-7548
Tri County Water Conditioning Inc
325 Third Ave NW
P O Box 65
Huchinson MN 55350
(320) 587-2950
Applicant/Permitee: Signature Issued By: Signature