1280 Dunberry Laneities Di ig tal Qualit,y Control
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• CASH RECEIPT •
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DA7E
RECEI VED
19
AMOUNT $ I
[:] CASH Fl CHECK
11
DOLLARS
?ou
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Th nk You
?? , BY
, CITY OF EAGAN
' 3795 Pilot Knob Road Eages, MN 55122 N° 4889
PHONE: 454-8100
BUILDING PERMIT
Receipt #
To be uaed fer ? ;11.. Fs (',ESt:.Value : 1";: Date , 19'.
Site Address Erect fl Occuponcy -
Lot Block Sec/Sub. r `Z p Alter ? Zoning ?
Porcel Repoir ? Fire Zone -
Enlarqe ? Type of Const. `
ae Name Move ? $k Stories
; qddmu Demolish ? Front
b Ciy Phone Grode ? Depth ft,
Name _
Address
I hereby acknowledge that I hove reod this
the informotion is correct and ugree to c
State of Minnesota Stotutes and City of
Signature of Permittee '
A Building Permit is issued to:
oll work shall be done in accordance wii
and
oll
Assessment .:j
Water & Sew.
Police
Fire
Eng.
Pianner
Council
Bldg. Off. _
APC
Permit '
Surchorge '
Plan check
SAC
Water Conn&
Woter Meter
Total ._.!j-
on the express condition that
Stote of Minnescta Statutes and Ciry of Eogan Ordinances.
Building Offiti0l
I*
Plumbing
Mechonical (?l • ?CI ' ? t?['
INSPECTIONS DATE INSP• Rou
h-In Final
Foatings p
Dote Inw. Gate Insp.
Foundotion Plumbing !
Frame/ins. Mechanicol
Final
?
it
Remarks:
CITY OF EAGAN - • ? t ????
? 3830 Pilot lCnob Road, P.O. 9ox 21-199, Eagan, MN 55121
y PHONE: 454-8100
BUILDING PERMIT Receipt # r%
7*xr?T;I n f.• T,, ?
To be used for ` Est. Value Date
Site Address 1284 Dl1NBERSY i.N
Lot 8 Block 2_ Sec/Sub. _CHIS MA8 4TH
Parcel No.
W Name •1M BaRC+QUIST
I Address 1280 DW8ERRY LM
° City ?N Phone 681-0213
, o Name 1CEI?I00 COI18? tN3 RL?PAIR
?4 Address 16200 J118PER 8? llii
r City _ itAlSHY Phone _ 422-9Ol
?Q
W W Name
?w
Address
i W City Phone
1 hereby acknowlege that I have read
inlormation is correct and aqree to c
that the
State of
Signature of Permitee - -"?-
A euilding Permit is issued to: KENCO C011ST INS REZAIR
on the express condition thal all work shall be done in accordance wilh all
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
Building Otficial
OFFICE USE ONLY
Occupancy _ FEES
Zomng -
(Actual) Const _ Bldg. Permit 25.00
(Allowable) _
Surcharge • 50
# ol 5tories _
Length _ Plan Review
DePth - SAC, Ciry
S.F. Total _
SAC, MCWCC
S.F. Footprints
On Site Sewage _ Water Conn
On Site Well - Water Meter
MWCC Syslem _
City Water _ AcCt. Deposil
PfiV Required _ S/W Permit
Booster Pump - Sryy Surchaige
Treatment PI
APPfiOVALS Road Unit
Rlenner
Council - Park Ded.
Bldg. Off. _ Copies
Variance - TOTAL 25.50
PsrmN No. Permit Holder Date Telephone #
WATER
SENfER
PLUM6ING ?
H.VAC.
ELECTRIC
Inspeetion Dale M?sp. Commwnts
Footings I
FoundaUon -
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
F?epiwe
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Nolify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Dedc Ftg.
Oedc Final
Well
Pr. Disp.
cITr oF E?GAN
9795 Pilot Keob Reed
Eagon, Minnesofa 55122
Plrone: 454-8100
EiEATING
PERMIT
Date: ?-
Site Address: 3•28n Duilberry Lane
Lot Block Z Sub/Sec. Che8 ''ar 4
Name 'I'allefson Bldrs.
.
? qddress 73R16 Holyoke
Ctty AnP1e Valley phone; 454-6873
Name Fredrickson Heating
.
? Address Y,": 'W Eeau L'r.;.v?-
City Phone:
This Permit is issued on the express condition thot oll work sholl be
Minnesoto Statutes and City ot Eogon Ordinonces.
Ccaibustion Piiz Required
No.
1309
Receipt No.: 1 1,' 1 (-,
Single I
Residential
Multf Res., Comm./Ind. I
New/Alter./Repafr IQew
Cost of Instollntion
?n
Permit Fee
ISurciwrge .50
I Total -
done in accordonce with all appl(cable State of
Building Official
?
?
Y •
? ?
t'L.l1iJ1f9lir'?
Date:
$ite Jlddress:
1280 Dunberry Lane
Lor Block ` Sub/5ec. _ `'t1es ?4ar 4th
?olefson Blc--.1
Name
`
?
Address
13816 fiolYOKL
.•t?pie 'JaliE'y , . .. - .
?
City Phone:
,:enz-Ryan
Name
.
?
}:i . ?i;::" = 1" -c ,
Address
?
City 4..'.
Phone:
This Permit is issued on the express condition that all work sholl be
Minnesota Stotutes ond City of Eogan Ordinances.
CITY OF EAGAN
8795 Pilof Knob Reer
Eagon, Minneaefe 55122
Phone: 454-8100
PERMIT
8/1;(78
No.
? ;.
Receipt No.:
Single I ?
Residential
Multi Res., Comm./Ind. I
new
New/Alter.lRepoir. Cost of Instollotion
Pe?mit Fee
Surchorge
Tota I
done in accordance with all applicable Stote of
Buildfng Official
INSPECTIUN RECORD
CITY OF EAGAN PERNIIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675 SITE ADDRESS: La 7, 6 BLnCK, j APPLICANT:
iZaA QUNDERRY tANE HIOH7-"Y ROflFINs
CHE'S MAR ATH (612) 823-•097•
PERMIT SUBTYPE:
M1SCF LI,.AMEdUS
TYPE OF WORK:
6.9
Control No. 0617
at}ylnrme
M OW7 N 3
•6/11/s2
REPAIR
.
HFpAitkSa tt!'I:F[F' 1•C9l43R8 OATEq 6/11/92
PermM No. Permlt Hok,h? Dats ToIophorN •
SJVV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
inapectlon DOW Nnp. ComrrNnb
Foaringa 1
Foundation
Framing
Aooiing ?
Rou9h Pb9• ?
Rough Mtg.
Istd.
FreplaCe
Finel Htg.
Orsat Test
Flnal Plbg. Plbg_ Irrep9ctOr - Notiiy Plumber
Corret. AAeter
Eng'JPIBn
slag. Final ($?,,p G - Tay lir
oedc Ftg. _. ?
Deck Final
Well
Pr. Dtsp.
No..
ta comply wilh the City of Eogan
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Charge:
Acwunt Deposit:
PermiT Fee:
Surcharge:
Misc. Chorges: "
Total:
Dote Paid:
Address: T,n T c: -- :c S
to coenply with the Cify of Edgae
of I nsp.:
Connection Charges .?
Account Depasit:
Perrnlt Fee:
Surcharge;
Misc. Charges:
Totol:
or
CIT iF EAGdN SEWER SEBVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.:
Eogan, MN 55122 DATE:
Zoning: __ No. of Unit-s: _
CITY OF EAGAN Remarks
Addition CHES MAR 4th ADDITION Lot 8 Blk Z Parcel ld 17103 080 02
Owner? -??- " Street 1280 Dunberry Lane State Eagan, MN $$12.;
Improvement-77 Date Amount Annual Years Paymeni Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 204.47 10.22 20
SEWER LATERAL
WATERMAIN
WATER LATERAL Y f 19$0 .?
WATER AREA j9'J7 2Q4.4] 13.63 1$ 1
Services
STORM SEW TRK - 5 PA2 C005249 VlV79
STORM SEW LAT j$ PAID C0 49 5117179
CURB & GUTTER
SIDEWALK
STREET LIGHT •
Road Unit Char e
WATER CONN. 250.00 11I07 8-1-78
BUILDING PER. 889
SAC
PARK
BUILDING PERMIT APPLICATION
N2 4889
Receipt .# - . I????
To ba umd for SF DW eI l_ &(:;kah. Value rn- n()n Oote
Site Address 128d Du nhprry i.anP Erect o Ocwponcy T
Lot 8 Block Z Sec/Sub. Ct10S MdY' 4 Alter ? Zoning R1
Parcel #, 10 17103 080 02 Repair ? Fire Zone
Enlarge ? Type of Const. ?
n Nome William Netz Move ? # Stories
W
3
Address
Demolish ?
Front
Ci Phone Grade ? Depth 2$ fr.
p N TO1 l afan R ra APProvnls Fasa
p Ume ]7
?'~' Address 13816 HolYOke
? App1e Valley,,,,,,e 454-6873
Nome _
Address
I here6y acknowledge thot I I
the fnformation is correct a
State of Minneaota Statutes
Signature of Permittee Z
A Building Permit is issued
oll work shull be done inA
cInr oF eacaN
3795 Pilet Knob Rood Eagan, MN S3722
PHONE: 4548100
read this applicotion ond state that
gree to mmply with all opplirnbig
City of Eagon Ordinqinces;, ?
Assessment -;
Water & Sew.
Police -
Fira
Eng.
Plonner -
Council _
Bldg. Off. _
APC -
Permit 3_n 50
$urcharge 2?nn
Plan check
SAC =90 u Q
-
Water Co,.250.00
Water Meter.6.g.. () Q_
to..a,a rT..;t 75 01
Total 10 0. 54Q-
on the express condition that
State of Minnesota Statutes and City of Eagon Ordinonces. _
Building Officfal
CITY OF EAGAN Np ' 9808
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDINGPERMIT PNONE:454-8700 C'?S/l.
(?? QAY TTiF) Receipt #
Tobeusedtor FIREPLACE Est.Value Date OCT 1b , 1991_
Site Address _ 1280 DUNBERRY LN
Lot $ Block Z Sec/Sub. CHES MAR 4TH
Parcel No.
w Name_ JOHN BERGOUIST
3 Address 1280 DUNBERRY LN
? City EAGAN Phone 681-0213
o Name KENCO CONST INS REPAIR
Address 16200 JASPER ST NW
Ciry RA__ Phone_ 422-9901
ww Name
Address
<W CitY Phone
I hereby acknowlege ihat I have read ihis apphcati n a stale that Ihe
Inbrma0on is correct and a e-ta a il I licable S[ate ot
Minnesota Statutes t an Ordin s
Signature of Permite
A Building Permit is issued to: KElf(CO CONST INS REPAIR
on Ihe express condition that all work shall be tlone in accordance with all
apphcable State oi Mmnesota Slatutes and Ctly of Eaqan Ordinances.
Bwlding Ollicial ?ln?tn R etl.l nl J+
OFFICE USE ONLY
Oaupancy _ FEES
Zoning
(Actual) Const _ Bldg Permit 25.00
(Allowable) - Surcharge .50
a ol smnes _
Lenglh _ Plan Review
Dapth - SAG, Ciry
S.F. ToWI
S F. Fwryrints _ SAC, MCWCC
On Site Sewage _ 'Nater Conn
On Site Well - Water Meler
MWCC System _
City Watar _ AuL Deposit
PRV Required _ S/W Permit
Booster Pump - S/VJ Surcharge
Treatment PI
APPROVALS
Road Unn
Plenner - park Ded.
Council
BItlg.ON. _ CoPies
Vanance - TOTAL 25.50
IPW,t void 18 months from
1.2474
25922
_ , 7,r ` n
Date of t Request a V ? G
I, as LTLicensed Electrical Contractor ? Owner, do hereby request inspection oC the above electri-
cal winng installed at:
Street Address or Route
Section
u
Range County?
Which is occupied by
Is a roughin inspection required on this job? No ? Yes M-? Ready Now ? Will Call 0-'
Power Supplier s?Yi?.?p..f? , Y?llf _Address
Electncal ContractorKFtV DR:1,}1 E iKI I\S C Contractor's License . &34359
(COmpany Name)
Mailingnflaiess_13813 HIGI-' G?<i`dE BURNSV(LLE
(Electrlcal Contractor or Owner Making Thls In:tallatlon)
Authorized Signature GARY KENDRICK Phone xo. 432 -5036.
(Electrical Contractor or Ownar Makln9 This Inztallatlon)
? ?f'? u 0??? ?j ?S',??J This inspection request will not 6e accepted 6y the
(?
c? w IJ d ? ??, {? lj State Baard unless proper inspection fee is endosed.
"1? Minnesota State Board of Electricity
1954University Ave., St. Paul, Minn. 55104-Phone 645•7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY TH1S REQUEST
/d O 7•aC
R 25922
Type oP Butlding New Ad . Rep. Check Appliances W'ved Foc Check Fquipment Wi[ed Fm
Home
Duplex
? ?
11 ?
? Range
Water Heater ? Temporary W'ving
Lighting Fixtures
Apt. Bldg.
Commercial Bldg. ?
? ?
? ?
? 0
/? Electric Heating
Silo UNoader ?
?
Industrial Bldg.
Fazm 0
? ?
? ?
? on tt"ad
t Bulk Milk Tank
L
ist ) ?
Other
?
?
? p
Heie rs p
r
H ehe TS)
COMPUTE INSPECTION FEE BELOW
Seevice En[rance Size: # Fee Feeders&Subfeeders: # Pee Cucuits: # Fce
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. Q 31 to 100 Am eres 31 to IDO Am res
Above 200_Amps. Above 100 Amps. Above 100 Am s.
Transformers RemoteControlCirc. Partialor otherfee
S' ns Special Ins ection Minimum fee 55.00
Remarks '/
TOTAL FEE
I, the E?ectrical Inspector, hereby cert,il'?t?fi'at 'An3p.ecSian has been mad .«a• oo
(Rough-in) ? ? ?'d Date
(Final) Date
This request void 18 months 4om
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: Lor: e aLocK: 2 APPLICANT:
1280 DUNBERRY LANE RIGHT-WAY ROOFING
CHES MAR 4TH (612) 623-0970
PERMIT SUBTYPE:
PIISCELLANEOUS
TYPE OF WORK:
?
?
Control No. 0 617
BUILDIN6 ...
000783
06/31/92
REPAIR
?..,,.REMARKS: RECEIPT MC619346 DATED 6/11/92
PERMIT
? CITY OP EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT T.YPE:
Permit Number:
Date Issued.
BUILDING
000783
06/11/92
SITE ADDRESS:
1280 DUNBERRY IANE
LOT: 8 BLOCK: 2
CHES MAR 4TN
DESCRIPTION:
rBuilding Permit Type MISCELLANEOUS
Building"Work Type .. REPAIR
\
,--,;i?=,,. t ??,,,i? f`???:-
L
?
? ?r,? (r-=I,'?i
?-,»L? A?? ?u t` ,
:: t?? ?SL ? i?
._.
REMARKS:
RECEIPT NC019346 DATED 6/11/92
FEE SUMMARY:
VALUATZON ;3,000
Base Fee $64.00
Surcharge $1.59
Total Fee 555.50
CONTRACTOR: - Applicant - sT. LI OWNER:
RIGHT-WAY RDOFING 18236976 000399 BERGQUIST JACK
11304 RED FOX DR 1280 DUNBERRY LANE
pIAPLE GROVE 14N 55367 EAGAN MN
(612) 823-0970
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 Nn.
Statutes and City of Eagan Ordinances.
IL_
APPLICANT/PERMITEE SIGNATURE
ISSUED B . SIGNATURE
Control No. 0617
-7q?5--,
?
2007RESIDENTIAL BUILDING rExMiT arrLrcaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conswction Reauiremenis
3 registered sile surveys showing sq. ft. of lot sq. R of house; and all roo(ed areas
(20°k maximum lot cauerage albwed)
1 Soils Report if proposed building is to 6e placed on disWrbed sal
2 copies of plan showing beam &windOwsizes; poured found design, etc.
RemodeVReoair Reauirements
ms, jdsts
2 wpies of plan shaxing foo6ngs, !Iam
1 set oi Energy Calcula0ons Wr headditlons
1 site survey for edditions 8 decks
Add'dion - mdicafe d oo-slte epfic 1 sel of Energy Calala6ons ?
3 copies of Tree Reservatim Plan if IM plal[ed after 711193
Rim Jast Delail Options selec6on sheet (buildings vrith 3 or less units) to,% ? ??" D?
Minnegasco mechanical ventliatlon (ortn
Plans are considered public ihformation unless ou state the ar, trade
/ Office Use OnN
ert ofSurveyRetd , _Y _N .
SoilsReport ;.'--". _Y._N
TreePresPWnReW, Y._N.
TreepresRequued _Y _N
On-site Sepfie System _ Y_ N
<< ?? ?h?- hc? ?'s
secret and the reason, ?
Date?/?/?? \ ConstructionCost/?--7 Cjc) U
Site Address UnitlS[e #
?
Description of Work ? ?,.q al
Multi-Family Bldg _ Y? N . Fireplace(s?_ 1 _ 2
?
Property Owner ^,? c
1? Telephone # ( )
4
Contractor S
Address 7 f-n'? JA?? `XO(
Statc Zipf Telephone # ()p?? ) ?F2? •? Qb"3
%
COMPLETE THIS AREA
Energy Code Category . Residential
(J submission type) Submitted
. Energy Em
In the last 12 months, has the City of Eagan is
_ Y _ N If yes, date and ac
Licensed Plumber
Mechanical Contractor /
Sewer/Water Contractor /
IF
Category 1 Worksheef
Calcula6ons Submitted
a permii for a similar plan based on a
; of master plan:
Cc?IEuW C3 Telephone # (
Telephone # (
Telephone #(
plan?
I hereby apply for a Residential Building Permit and acknowledge that the information is co plete and accurate;
that the work will be in confornpiance with the ordinances and codes of the City of Eagan an the State of MN
Statutes; I understand this is noY a permit, but only an application for a permit, and work is not o start without a
permit; that the work will be in?accordance with the approved plan in the case of work which requaes a review and
approval of plans. ? -? -
Applicant's Printed me App i s Sign ure
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Att - SF
? 04 02-plex . ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 MuIG Misc.
? OS 03-plex ? 11 10.plez ? 19 LowerLevel ? 24 StorrnDamage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvnes /L.,T- /Zl ?GL9 Dl-/J /vL Qt0 /'/yUV (n?ffJ'u
? 31 New / ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition / ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
?T? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applirant
DBSCIID1.lOt1: WaterDamage_Yes
o
r
l
Lk
I
Valuation
-t-!--
Occupancy
MCES System
Pian Review 100% or 25%
Census Code L:t j L,
- T- Zoning City Water
SAC. Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIItED INSPECTIONS
_ Foo[ings (new bldg) Sheetrock
_ Footings (deck) FinaVC.O.
_ Footings (addition) ? FinaVNo C.O.
Foundation
_
?
HVAC
_ Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framing Siding
Stucco Lath
Stone Lath
Brick
_ Fireplace _ R.I. _ Air Test _
_ Final _
_
_
Windows
v Insulation _
_ Retaining Wall
Pproved By: ?? , guilding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
16-?
r'
PERMIT k ? f,3
REACTIVATE _
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date
Valuation of wark
Site Address:_
STREET SUITE N
Tenant Name: (commercial onty) Qe-
,
IAT 6 BLOCK ? SUBD.
. 14+t- P.I.D. it
Descri tion of work: Q-crG+
The applicant is: O Owner EY'Contractor ? Other (Describe) ,
Name RY u c s+ 3 C, c k Phone
Property LAST FIRS,
Owner qddT'ess _ ? 2$ Q "Y) u n k-? Y r? L 4 h?
STREET STE M
City ?- a? u r-\ State Zip
3- D
Company L; c,A o ct(\ t, n y Phone • ? ?< <
COntrBCtOf Address 92?Er I tSG?( IP??( License M??GI ?l Exp._?? 1 ti
City /?'?a ?(r ?? rc,v e State ,lVl /V Zip
Company Phone
Architect/
Engtneer Name Registration #
Address
City State Zip
Sewer 6 water licensed plumber . Processing time for
sewer 5 water permits is two days once area has een approve .
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 Applicant.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
? 31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
? OS 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? 11 Apt./Lodging
O 12 Multi. M1sc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprlnt Sq. ft.
On-site well
On-site sewage
Building
Variance
? Site ? Footing
? Wallboard ? Final
? Framing
? Draintile
? Insulation
O fireplace
Permit Fee 5el 0 0 v.iuatcm:
Surcharge ?, s v
Plan Review
License
MWCC SAC
City SAC
Mater Conn.
Mater Meter ,
Acct. Deposit
S/W Permit
S/W Surchar9e
Treatment Pl.
Road Unit
Park Ded.
Trafls Ded.
Copies
Other
Total: ?gv
SAC %
SAC Units
? 16 Basement Finish
O 17 Swim Pool
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
MWCC 3ystem
City Nater
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
?
?
?a
i.,; •
F?
1
- ? ? DATE ??// 7 ?
HUILDIPIG P£RMIT APPLICATION
Include 2 eets cf plane, 1 bite plan w/elevations and 1 set of anergy calculations.
' ?,
7b be used foz Valuation ?
Site Address. /,180 ????????,
mt siocx sec.? ? s?. ? Parcel x,mmer /o 17/03 O?o o?
?'' • ' o? ''u?Owner 1
Address
Contractor
Address
Arch. /rng.
Addrese ?
? ;.
EreCt
alter
Repaii
Enlarge
Nbve
Aemolish
Grada
.OFFICE USE
Date of Approval & Initial
Assessment /.
Water/Sewer
Police
Fire
Eng.
Planner
Oouncil
Bldg. Off.
A.P.C.
Telephone
Telephone A 10
Rblephone
OFFICE USE
occupancy 1
Zoning 101
- --
Fire Zone ?
Type of Const.
# of Stories
Front g I
Depth
FEES
Pezmit OnU
l ?Cl +
' `
5urcharge 96
Plan Check
S71C
G?ater Cbnn. ' a.5li
T•7ater Metex
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TorAr i D 6,
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oo 8- ,
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? :nllefaao Buildera Inc.
? F. C. JACKSON
wvo suRVEroR
? Or.10871-?
183.z7
R[619TENEG UNO[R LAWB OI 91TAT[ O? YINMtSOTA
LICZNitG !Y OROINAMC! OF CITY 0/ MINNUMLIO
3e1e eAsr sarH sTaeer 55417 727-3484
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1 M EP10Y ClPTIRY TNAT TH[ ABOVL If A TRU6 AND ODRR[CT RAT OI A SUflViY OP
Lot 8,Block 2,C6aa Mar Fourth Additioa,
Dakots Couaty.Minaesots.
A6 SPRVEY[O er ME THiA 16th, oAv w Npy A.o.-
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101991 BDILDING PERMIT A CATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS lifTLTIPLE DWELLINGS COMMERCIAL
2 SETS OF PIANS 2 SETS OF PLANS ? 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLP,NS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUiATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANG E IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL B E ALLOWED ONCE BUILDING PER MIT IS ISSUED
YROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMSER.
Dp P- /
To Be Used For: Valuation: Date: • a!
Site Address
Lot ? Block
Parcel/Sub ei 71l Ax,
Owner W?\1 1 'Lts-1 i? ?
Addrass
City/Zip Code
Phone O g j 0?J
e
Contractor ?,Pl e{JC'p J l /h`J ?F?'Pi?
Address 16200 223VEiZ
City/Zip Code
Phone /-/ :) ,°? 9 ? o /
Arch./Engr.
OFFICE IISE
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System
City water
PRV
Booster Pump
APYROVALS
Planner
Council
Bldg. Off.
Variance
Address
City/Zip Code
FEES
Bldg. Permit
Surcharge .nn
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
SIIBTOTAL
Penalty
Lot Change
T01`AL
Phone #
Sewer/Water Licensed Contr.
agrees that all woik shall be done in accordance with
(Signa e of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
a
1.
?.
2. Nature of
CITY OF BAGAN
YERMIT
TO VOBR pITHIN CITY P80PERTY/BIG}IT-OF-VAY/EASE?ffiNTS
Paga 1 of S
3. Indicate belov items to be affected and Ynclude a aketch or plan of aork to be done.
Curb 6 Gutter Stzeet Surface
Trail/Sidewalk Trees:
Pond/Wetlands Public
Traffic Control Deviees/Signa Private
Drainage IItilities
Structurea/Buildinge Other r'G•rww?.,I G-- JwCA.
4. Method of Installation or Construction JAO s;Sc,/QCK go
5. Work to start on or after: 1 /g and shall be sompleted bq: /= unless an
extension granted to: by:
DATE STAFF/DATE •
6. Will detouziag of traffic be necessaryt ./L? . If necesaary to detour traffic,
describe suggeated route:
DETOURS: The Dizector of Public Worka ahall be •_±ortstod in vritina at_ least 72
hours in advance of any detour being established, changed o? discontinued.
j/?WJ `?s-?-? s-?
NAMEOFAPPLICANT vO<?s7 k7. ?evn PHONE
n / P NT r
wnnnESS Goi,,,;o t?4 GG,.-7 . . 1114i1/ S?3`l ? S
NAME OF PARTY OR ORGt%NIZAT7?ON PERFORMING NORK / Ct77rvOr/ L?Y? dc?i
CONTACT PERSON: ?114-n EMERGENCY (24 HR.) PHO E
ADDRE55 /(1/.) /J .C'7u2 Mv2l DAY P$ONE
The itmdersigned herevith accepts the terms and conditions of this permit by Lhe City of Eagan
as herein contained and agree to fully comply therewith to the satisfaction of the City of
Eagan.
signea :???? icie : nnxE:
------------------------- ----------------------------=-----._._....---------•----------------
FOR CITY IISE ONLY AUTHORIZATION OF PERMIT
FINANCIAL SECURITY: AMOUNT: TYPE:
(Cash,bond,IAC,etc.)
Fee: $ Receipt No. Yermit No. PQ• L 7- //y
In consideration of agreement to comply in all respects vith the regulations of the City of
Eagan covering such operations, and pursuant to authorization duly given by aaid City of
Eagan; permission is herebq granted for the work to be done as deaeribed in the • above
application, said work to be done in accordance with special proviaions as hereby stated:
: D . OF BLIC WORKS
APPROZED
gy - J
/D T /
ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON •SPECIAL PROVISIONS' TO BE COMPLIED
WITHt THE DATE WHEN iIORK IS'C014PLETED MUST BE REPORTED TO THE FAGAN CITY ENGINEER.
Permit No. W-L'?lee 2 of 5
PERTINENT REGULATIONS
Safety
1. Traffic-shall be allowed to pass and to be pzotected at all times. If it is not
possible to allow traffic to pass, a euitable detour must be provided and plans
submitted to the Diractor of Public Aorks 72 houzs in advance.
2. Banlcadea shall be erected in a marmer vhich u*tll provide auitable visibility in all
directiona. All barricades shall be in good conditioa, and all signs shall be of such
aize and legibility to provide adequate varning to oncoming traffic. At least two 7"
flashing amber lights shall be mounted on each end barricade with one on an advance
varning sign.
3. Excanations must be shored or sheeted vhen necessary to prevent under-mining of
roadvay, trailways, utilities, or for safety zeasons.
4. Guys or stays shall not be attached to trees on zight-of-vay or private property
without r+ritten permiasion.
5. . Flagnen shall be furnished by the party or organSzation performing the vork whenever
the work being done crestes a hazard either to the ttaffic using said road or tha
peraonnel engaged in the construction, or when directed to do so by the City.
OPERATIONS .
1. Permit on Job--Permits or copies shall-be kept on the site of the vork vhile it is in
progress in the custody of the individual fn charge, and shall be'exhibited- upon
request made by any City officisl. .
2. Provisions and Specifications--These general provisions, specifications and Std. Plate
P-1 shall be considered as forming an integral part of each and every permit iasued for
opezations within Eagan. The work authorized by this permit shall be done at such time
and in such manner as shall be consiatent wlth the cafety of the public and shall
conform to all requirements and standards of the City. If at any time it shall be
found by the City that the vork is not being or has not been propexly performed, the
permittee, upon being notified by the City, shall immediately teke the necessary steps,
at hia ovn expense, to place the vork in condition to confozm to aaid requirements or
standards.
3. Execution--The permittee shall use diligence in the execution of the work authorized
under thia permit in order not to endanger or unnecessarily obatruct travel elong any
zoad oz trailway. Operations shall be so conducted at all times ae to permit oafe and
reasonahle free travel over the roada and trailways within the limits of the work
herein prescribed. All cafety measurea for the free movement of traffic shall be
provided by the permittee at his own coat.
4. Coaformity to Lawt--The installattoa shall be aade in confozmity vith all applicable
laws, regulationa and eodes covering said inetallations. All Inetallations shall be
made in conformity vith regulationa of governmental agencies for the protection of the
public.
a. The applicant shall furnish a bond or financial guarantee in the amount to be
determined by the City vhich is required to ensure adequate 6 timelq completion
of repair. This bond or financial guarantee shall remain in effect for 2 years
subsequent to completion of atreet repair to pzotect the City from defects in
material, worlmanship or non-compliance aith City Standards or speeifications.
Permit No.t?w-t? 27-1T page 3 of 5
,
b. The applicant shall furnish evidence of public liability insurance of not lesa
than $100,000/300,000 and property damage of not less than $25,000 issued by an
: insurance company authorized to do business in the State of Kixuieaota on which
the City ia named as an additionel ineured party.
c. Except for the negligent acts of the City, Sts agents and its employaes, the
parmittee shall assume all liability for, and save the City, its agents and ite
employees, harmless and defend seme at ite sole coat' and expense from any and all
claims for damages, actions oz cauaea of actlon arising out of the work to be
done herein and the continuing usas by the permittse, including but not limited
to the placing, constructing, and reconstrueting, maintaining, protecting and use
of said facility under thie application and permit for eonstructton.
5. Existing Facilities--The utility facility and installations stiall not interfere with
any existing utility facility on the City's xight-of-way or easements. It is the
responsibility of the applicant to call for neceasary locations of existing utilitiea.
(Copher One 454-0002)
6. Private Property--The xork permit or permit for eonstruction as issued doea not in any
vay imply an easement on private property.
7. Quality of Work--Finished surface, baee and sub-base of road or trailvay upon
completion of work shall be at least equal to or better than epecifications of
originally provided road or trailvay in accordance vith City Standard Specificationa.
8. Cutting Trees--The permission herein gzanted does-not confer upon the permittee the
right to cut, xemove os deatroy trees or atirubbery within' the legal limita of the
right-of-way, easaments that are not specifically identified on the plan attached to
this permit or relieve pexmittee from obtaining any consent otherwise required from the
owner of the property adjacent thereto.
9. Dralnage--All wateraays and lines of drainage shall remain operative.
10. Pole Anchors--Pole anohors, anchors, bracea or other constzuction will be permitted
s?ithin zight-of-way or easements and vill be approved on a case by case basis.
11. Driving Limitations.
a. Driving or parking on City trails or aidevalks shall only be permitted for those
operations requiring direct access to the boulevard area.
b. Vehicles operating or parked vithin the right-of-vay area shall utilize their
varning flashers at all timea.
c. Vehiclea driving on trails or sidevalka shall not operate in excesa of 5 miles
per hour. Vehicles shall operate at slover speeda Mhen reather conditlons, trail
eonditions, poor viaibilitq, obstructed sightlinea or other conditions require
special precautions to ersure the oafsty of trail usere and the general public.
d. Driving shall not be permitted vithin thoae boulevard areas where damage to turf '
trailways or other infrastructure may occur.
e. " Vehicles shall not be parked on traile or aidewalke in such a manner as to.
timnecessarily impede the safe and efficient vse of trailways by the general
public.
Permit No. •Z -J Page 4 of 5
12. 9ehicles or equipment traversing roads or trailaay aurfaces Bhall not utilize studded
or chained tires, caterpillar tractlon, or any other form of traction which will result
in damage to the aurface.
13. Clean-Up--Street, trailways and affected right-of-way shall be scraped clean at the end
of each work day and swept clean after construction is completed and left in a neat and
presentable condition.
14. Trees and Vegetation-Burning or disking operations and/or the use of chemicals to
control or destroy trees, brush and other vegetation is prohibited without prior
approval from the City.
15. &eplacement of Sod--jlherever top-soil and aod are disturbed, they shall be replaced and
maintained satisfac.torily uatil the turf ic established. The undersigned hereby declares he/she has read and will comply with all the PERTINENT
REGUTATIONS as stated above and relevant City Ordinances.
DATE: /0???lq Y SIGNED
Revised 5/93
LTS#1-PERMIT.Fti
PAGE 5 OF 5
PROPERTY LINE
?
SAtAE AS REMOVED
(3" MiN1YUM)
SAME AS REMOVED
(6' MINIMtJM)
TRAILWAY
1. Curb and Guttez shall be removed only after saw cutting at joints and replaced
aceording to specifications or Standard Plate.
2, Bituminous pavement atea removed shall be saw"cut prior to patch?ng.
3. Boulevard sod removed shall be replaced with minimum 4" of topsoil and cultured sod.
4. 2341 bituminous vear course shall be paved.betveen May lst and November 15th for
permanent patch. Temporary cold mix patch should be used November 16th to April 20th
(or as permitted by weather).
5. Class S, 100% crushed aggregate base.
6. Roadway alosuxes in accordance with Appendix B- Traffic Control for street or highway
vork zones - MnDOT/MUTCD.
7. Bituminous trailway closure requirements ssse as roadvay in /E6 above. •
8. Backfill shall be thozoughly compacted by the "Specified Density Kethod" of compaetion.
All suitable backfill material placed below a depth of five (5) feet below the final
pavement surface shall be placed in maximum lifts of twelve (12) to eighteen (18)
inches and compacted to a minimum ninety-five (95X) percent of ASTM Specification D698-
64T (Standard Proctor Density), meihod "A". All suita6le backfill material placed
within five (5) feet below the final pavement surface shall be placed in lifts not to
exceed tvelve (12) inches and eompacted to a minimum of one•hundred (1005) percent of
the above ASTM Specification.
city of eagan
PUBLIC
, WORKS
? DEPARTME
STREET AND BITUMINOUS TFiARWAY
E%CAVATIONlPATCN DETAIL
approved: I pjate #:
I
TRAfFIC CONTROL qEQUIREMENTS
b/B3 I P-1
%
i C
;
.
A a?4?2
Natural Landscape ?
JTJ
- 1000 Blue Gentian_Road.__._.-_--..--._
- Phone: 452-0755 ?-- ?- -
Y
. , _ . :,..._ ... - - - °.w.-,-...?_?. _...?
---
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A6 ?-?(JV^L ?C.? "'> (?t/'?• (i Gr
1? . i ._.._.J. ..-..?.. .. ?. ? ?- .. _
G-•''" _ rL :./"_`.
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Usti?
Natural Landscape
1000 Blue Gentian Road
Eagan, Minnesota 55121
Phone: 452-0755
Storm Sewer Trunk
?Ches Mar 4th ?j
Block 1, Lot 1 345.67
2 346.45
3 3G1.68
4 301.02
- 5 1118.88
6 934.10
7 494.29
8 455.49
9 364.05
10 597.58
11 397.59
12 328.56
13 693.81
14 327.37
15 290.39
16 490.78
17- 805.84
18 1631.79
19 1908.97
20 2512.98
tock 2,
CB LoCl 459.47 j
- - J 2 545 . 87 ,
3 624.55 '
4 577.04
5 478.66
6 422.66
7 488.72
C8:?> 553.46
9 423.54
Ches Mar Sth a
Block 1, Lot 1 467.30 ?
2 369.51 I
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
5 603.64
6 331.45
7 325.00
8 325.00
9 600.68
10 1021.18
,
? CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
NIAKE CHECK PAYABLE TO: Fireside Corner
ADDRESS: 3850 West Highway 13
Burnsville MN 55337
LOCATTON: 1280 Dunberry Lane P.I.D./I,EGAL: Lot 8 812 Ches Mar Cth
RECEIPT #/DA1'E: 2205/17-7-00 VALUATION:
REASON FOR REFUND: Job Cancelled PERMIT #: 43619
TYPE OF REFUIVD:
Plumbing Pernnt 9001.4087 $
Mechanical Permit 9001.4088 $
Building Perrtut Fee 9001.4085 $
Plan Review Fee 9001.4222 $
SAC (MC/WS) 9220.2275 $
SAC (City) 9379.4681 $
SAC (Admin) 9001.4246 $
Water Connection 9220.3865 $
Sewer Petmit 9220.4532 ?
Water Peanit 9220.4509 $
Accaunt Deposit 92202252 $
Water Meter 9220.4509 $
WaterTreatment 9220.4685 $
Surchatge 9001.2195 $
Overpayment 9001.2250 $
Curb Box Deposit Refund 9220.2253 $
Construcuon Meter Dep Refund 9220.2254 $
4
Othcr $
TOTAL $ 45.00
[ declare under the penalties of law that t6is account, clavn, or demand is just and that no part of it has been paid.
` ? December 12, 2000
SIGNATURE DATE
?
9-
2000 FIREPLACE PERMIT APPLICATION
f3bI q CITY OF EAGAN
I 3830 PILOT KNOB ROAD - 55122
651 681=4G75
Date: 11- 7 - l70
Description of Work: _ Conshvct new fireplace ?as _Masonry
? Install kas insert onlv
Other
Job address: /
?
Lot: ? Block: f ? Subdivision/I'.I.D. #: NS QY'
Applicant (circle one only): Owner C ntractor Permil Fee: S60.50
Name:Bien U/5 T J1AZ?k__ Phone #: 00/3
PROPERT'Y Last F'ust
OWNER /? ?
Street Address: /c)?(I? IJ?a/ 6 f/.?4?r G
City FA`/ fh'? State: Zip:.?? ?.3
Company: ln,4?5I m 6ms /7?? ' Phone t1: (P- 22' Y-
(azea code)
FIREPLACE
INSTALLER StreetAddress: ?}d-L/? S`j/.?v?ot/? 02
City n//) 5? ?i-uL State: Zip: is_Q CJ
Company: 5"74/4 ` Phone #:
(azea code)
_ Alterations to existing
460.50
lI- ]-oo
Install pas line onlv
GAS LINE
INSTALLER Street
City
State:
Zip:
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 Sta and City of dinan
Si e
lp
BY:?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 F'veplace
WORK TYPE
? 31 New
? 32 Addition
? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
? 34 Repair ? 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
PERMIT k WM 2000 FIREPLCITY OF EAGANPPUCATION ? 6o, ?O
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date:
Description of Work: V? Construct new fireplace V Gas _ Masonry _ Alterations to existing
_ Install gws insert onlv _ Install gas [ine onlv
Other
Job address: Z) v AiA 4.e? .?•.,.
Lot: Block: SubdivisionlP.I.D. #:
Applicant (circ le one only): Owner Con tractor Permit Fee: $60.50
Name: ?`G/?`GJ vi Si
^ TNG4 Phone #: ?O C•-' ?l 3
PROPERTY Last First
oVINER
Street Address: ? ?,v
City 7 /k74 /+-,/ State: Zip:
T
Company: )'f') A°J( [ \ >? S ' Phone #: 6SI - 7
(azea code)
FIREPLACE
INSTALLER
Street Address: :?3-y o <
1?j ?r^??`L?
???
City ?u- 5!'• f?? L State: Zip: l U
Company: Phone #:
(area code)
GAS LINE
INSTALLER Street Address:
Ciry State: Zip:
I hereby acknowledge that I have read this application and state that the information is correct and agree to
comply with all applicable State of Minnesota San?d -City o f Eag Or ' an s.
Signature
OFFICE USE ONLY
BUILDING PERMiT TYPE
? 16 Fireplace
WORK TYPE
? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
? 32 Addition ? 34 Repair ? 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
CITY USE ONLY
PERMIT #: Y:- 1 l3 --a, RECEIPT DATE:
2002 ?IDENTIAE,MECHANICAL PERTaIF'f APFP.ICATIION
crrY oe EAlEiAN F5 ?rE! (
S$SO PYLOT Y{NO$ $D
FAsAx MN 55122
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: ,_J I 1 -I ?UZ
ti'P(P__7?D 2QD2' ';
SITE ADDRESS: I Z(, U hA?? ? I n .Vt I?
OWNER NAME: ,)?C?°I ?U?.I?V i2?Q_I.L1SI _ TELEPHONE#: ???OR I' f?-I ?J
INSTALLER NAME: `-,In TELEPHONE #: Go5 I U2'5'
STREET ADDRESS: f?-I ?I US ? ?Zr-3 ?t2.! TU
CITY: &Y.Onc)j STATE: Ulll ki ZIP: 55?bh
Place a check mark next to the pemtit work type
? Add-on, modification or alteration to existinq dwelling unit $ 30.00
• furnace lacement
• air exchan er
• air conditioner
• other
Nature of work:
State Surchar e $ .50
T
t
l $?
o
a
SIGNA OF PE EE
voz
10/26/1994 10:06 6124551734 SDUTHVIEW DESIGN PAGE 02
NAMe U?? kants1.?iav'
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5Vlf6 LIG?7i GfY PNONI N
LANDSCAPE C FV?CfOFti4 455•8239 w
4921 BABCOCK NYBI QROVE MEIGMTB, MN 56077
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R-97% 6124551734 10-26-94 10:05AM P002 #13
10/26/1994 10:06 6124551734 SDUTHVIEW DESIGN PAGE 03
• ' Nulfi(_ J?(?- :iT'
pppllES9 ?mfj?
Px011E N
IANOSCM! CONfqACTORS 966-8438 pEg?pN?l ?? ? SJ? W-
4941 BABCOpC TRAI1., INYER [i11OYB NBGHTB, NN 66077
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gaggyo ? ?? 6124551434 10-26-94 02:39PM P002 #27
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1280 Dunberry Lane
Lot: 8 Block: 2 Addition: Ches Mar 4th
PID:10- 17103 - 080 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Royalty Remodelers
4411 Slater Rd
Eagan MN 55122
(612) 414 -8199
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Permit closed without required inspection(s). Letter sent to applicant on 4/8/09. (pf)
If there is no ice protection inspection prior to final, you must meet inspecto
acceptable in lieu of inspections.
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
John R Bergquist
1280 Dunberry Lane
1280 Dunberry Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
th ladder and flat bar. Pictures are not
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA084906
08/04/2008
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136110
Date Issued:04/25/2016
Permit Category:ePermit
Site Address: 1280 Dunberry Lane
Lot:8 Block: 2 Addition: Ches Mar 4th
PID:10-17103-02-080
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
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.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Douglas E Marsh
5610 Seven Lakes W
West End NC 27376
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
4001• City
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit f:
Permit Fee:
Date Received:
Staff.
L
2016 RESIDENTIAL BUILDING PERMIT APPLICATION qq
Date: (LQra )ea Site Address: j mo Zone Unit#: /v
Resident/
Owner
Name: L Q R e,nee I I 6Lc 4\ Phone: q-' S6 —`�05
/
Address / City / Zip: �� so b u� \\J�'- '� j !sa `n
Applicant is: Owner X Contractor
Type of Work
f�%
• (�L-�C (^tea t4C
Description of work.
Construction Cost: $ g� ® Multi -Family Building: (Yes / No�)
Contractor
Company:�w' ;t1 6 '//y6-wie 6 ??C=&g- Contact: 'v , i2,40)V trl/1(&'
City: a 2,.S .
Address: 51Q I Wet.] k-=- !'CL9 . N. r(_.
State: frit lip: $Y& Phone: ?CZ -89)i t' "Efiail.:QiNeht -' 110/1u-.�.+�er4)
License #: .ZIP ‘21-3.5-68 Lead Certificate #: /1/#4-1-1 7 43713 - I
If the project is exempt from lead certification, please explain why:
b ` j
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit fora similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber.
Mechanical Contractor
Sewer & Water Contractor
Fire Suppression Contractor.
Phone:
Phone:
Phone:
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 they 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 unities. �r:.,� , f ,�„� �t • ui;.y.
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.
Exteriorwork authorized by a buildbrg penult issued in accordance with the Minnesota State Building Code must .: completed wither 180
days of permit issuance.
�t-"r 1- A't N t 12
Applicant's Printed ame Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137790
Date Issued:07/22/2016
Permit Category:ePermit
Site Address: 1280 Dunberry Lane
Lot:8 Block: 2 Addition: Ches Mar 4th
PID:10-17103-02-080
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
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.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Douglas E Marsh
5610 Seven Lakes W
West End NC 27376
(952) 456-2058
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150914
Date Issued:07/30/2018
Permit Category:ePermit
Site Address: 1280 Dunberry Lane
Lot:8 Block: 2 Addition: Ches Mar 4th
PID:10-17103-02-080
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 -
Douglas E Marsh
5610 Seven Lakes W
West End NC 27376
(651) 431-5702
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:EA168408
Date Issued:04/20/2021
Permit Category:ePermit
Site Address: 1280 Dunberry Lane
Lot:8 Block: 2 Addition: Ches Mar 4th
PID:10-17103-02-080
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 -
Douglas E Marsh
1280 Dunberry Ln
Eagan MN 55123
(952) 456-2058
Hoffman Refrigeration & Heating
5660 Memorial Ave N, Suite 2
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature