1296 Dunberry LaneCITY OF EAGAN Remarks
Addition CHES MAR 4TH ADDITION Lot 4 Rlk 2 Parcel 10 17103 040 02
Owner „LCti.ir II . ? Street 1296 Dunberry Lane State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 204.47 10.22 20 1 D'' A008027 7-1 -79
SEWER LATERAL - 15
1 347745, 7_24_79
WATERMAIN
WATER LATERAL 98 60.64 S C-006596 7-24-79
WATER AREA 1977 204.47 13-63 F A008027 7-I9-79
7-24-79
STORM SEW TRK 7-24-79
STORM SEW LAT
CURB & GUT7ER
SIDEWALK
STREET LIGHT
D3 Tilt . 3-8-79
WATER CONN. 270.00 13510 -8-79
BUILOING PER. #5115
SAC
PARK
? CASH RECEIPT ?
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
?.
'-f
DA7E 19
? .,
eac£rvco
FRpN f ?' : ,/,.
r
AMOUNT $ I
' ec DOLLARS
Ioo
? CASH C] CHEGK
i f
POR
/
J
??? --°?+;,? ???--? _? ?'?;.s?
PUND COD6 pMOUNT
f
.- '_' . '.G..
- ??
Thank You'
r1 `
. . ? i
13510
• -' ??r: ?? ?G'
BY ?
?
White-PaYers CoPY
Yeilow-Posting Cop
Pink-File Copy
C.ITY CP EAGAN
9795 Plk* Kaob Rood Eogen, MN 53122
PHONEs 454-8100
BUILOING PERMIT ReceiPt #
Te be used for Est. Value ' Date
Site Address
Lot
Parcel # -
oWe I Name
;
b Addre;
Bixk ? Sec/Sub.?-'-s Ma= eth
m?;??? ?rr? •??
?. , .
` Nome
0
Z .
ov ? Address
u
f' tliv Dknna
Name _
Address
I hereby ocknowledge that I have reod this opplicotion and stote thot
the information is correct and agree to comply with all opplicoble
Stote of Minnesota Stotutes and City of Eogan Ordinances.
Signcture of Permittee
r"'nl ?ca??r+n r?t?i ?S7nY4
N4 5115
Erect [?- Occuponcy
Alter Q Zoning
Repoir ? Fire Zone _
Enlorge ? Type of Const.
Move ? $k Stories
Demoltsh ? Front ft.
Grade ? Depth ff.
Appronak Fees
Assessment Permit
Water 8 $ew. $urcharge
Police Plan check_ .
Fire SAC
Eng.
Planner Water Conn.
Woter Meter
Counci I
Bldg. Off _
.
APC Totul -
A Building Permit is issued to: " `on the express condition that
all work shall be done in accordonce with oll appliwble State of Minnesota Statutes cnd City af Eagan 0?dlnances.
Building Official
PwoM # DeN l?ed /"Mfr
Plumbing 33:kj / 1. '7 -9
AAeChOr11CGl L-IA '1&,-jj
C
INSVECTIONS DATE IWSP. Raqh-in Find
Footings Date Insp. Dots Irop.
Foundation Plumbing
Frame/ins. Mechonlcal
Final L"zr
Remarks: i -jif' .7.1 P7
PERMIT
CITY OF EAGAN LID 17766
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 , j
Receipt # ,
--? ?
Est.
' Site Address 1296 atINSEM L!!
Lot 4 Block _2. SeclSub. CHES lIAR k?H
Parcel No.
W Name COLIN b MARGIR Qi?lE?1
3 Address 1296 DUlBMY Lii
0 City EAGAN Phone 454-9072
o Name UN 0S'[MAN
00Q Address 13Od DUNUERRY LN
c` City "GAN Phone +52-1 S76
?
W W Name
?z. Address
4 W City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply_ with all applicable State of
Minnesota Statutes and City of Eagan Ordinarice's.^`_
Signature of Permitee
A Building Permit is issued to: aEN OSUAN
on the express condition that all work shall be done in accordance with alt
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial
Occupancy
Zoning
(Actuai) Const
(Allowable)
X of Stories
Lengih
Dep[h
S.F. Total
S F. FootpriMs
On Site Sewage
on site weu
MWCC System
Cliy Walef
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. OH.
Variance
OFFICE USE ONLY
R-3 FEFS
_ Bldg. Permit
- Surcharge
121 Plan Review
-$ ? SAC, City
= SAC, MCWCC
_ Water Conn
- Water Meter
Acc1. Deposit
_ SNJ Permit
- SiW Surcharge
Treatmenl PI
Road Unit
- Park Ded,
Copies
- TOTRL
7Z.00
1-. 50
'1. SA
//?W
Pamit No. Permit Holder Date Telephone N
WATER
SEWER
PLUMBING
M.V.A.C.
ELECTRIC ? /? 'J?O - T 4:70
Inspection Date Inap. Commenis
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Fnal Plbg.
Gonst. Meter Plbg. Inspector - Notify Plumber
EngrlPlan
Bldg. Final LeJd
Oeck Ftg.
Ueck Rnal
wen
Pr. Disp.
. CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for IJECK. Est. Value 't I +00'J Date APR 2 1 19 r
Site Address 12% DUN$ERRY LN
Lot 11 Block 2 Sec/Sub. t%liES ?,;A- 47'h OFFICE USE ONLY
PdfC81 N0. Occupancy - FEES
2oning
W Name ??h ?+ ?FGTE ()?''E?` lnctuapConst - Bidg.Permit
Address I 298 T1i1NBE3?):Y i.rt (Albwable) -
Surchar
e . G r,
o City EwCAH Phone 454-9072 # of stories - g
Plan Review
Length _
o Name ?EN 0ST?N Depth - SAG City
, '
?? LN
Address 1300 UITNSE.,nY S.F. To1al -
SAC, MCWCC
? City G??M Phone 452-1376 S.F. Footpnnts -
Water Conn
On Site Sewage _
?
W W
Name
On Site Well -
Water Meter
~
=
Address MWCC S slem
y -
<W
City Phone
Ciry Water - Acct. Deposit
SNJ Permit
PRV Required -
I hereby acknowlege that I have read this application and state that the Booster Pump - S.NV Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment Pl
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: ?? 351.tlAi: Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State ot Minnesota Statutes and City of Eagan Ordinances. gld9_ pM. _ COP'es
Building Official Variance - TOTAL ??' `'t)
Pe?mit No. Pe?mk Holder Date Telephone #
WATER
SEWER
PLUM6ING
H.V.A.C.
ELECTRIC
Fnapection Dats Insp. Commsntn
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul. ..
Fireplace
Final Htg.
Fnal Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr.IPlan
Bldg. Final
oeck F?9. 12
oecx Firiai " 3 7 ?lU
weu
Pc Disp.
- .?. . . ?. ? ...... . . o. ': ?-0
CITY OF EAGAN
? _. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100 ?
BUILDING PERMIT Receipt ?
To be used for •?=`L? ?? j C`Z" Est. Value ? i4.Lo,'i' Date ?°?'"• ` ='?:n 1'? ,19 14tk ?
Site Address 1129?, pV:i47Fx:;Y LAxtii
Lot Block 3 Sec/Sub. ?m un 4"ftl
Parcel No.
m Name CaLlll OVE.:
z Address SAME
° City Phone ?54--9U72
, o Name I?i?rivN F!A'4?.5
oQ Address ?'•??• ?Y 50`=
UCc
City rF-=O" L': Phone 441-692:
a
W
W
z
a
z
W
Name _
Address
City _
I hereby aCknowledge that I have read
information is correct and agree to c<
Minnesota Statutes and City of Eagan
Signature of Permittee -_-_ _ _ _
n and state that the
applicable State ot
all
Building
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On 5ite Well (Actual) Const
Ciry Water (Allowable)
PRV Required # of 5tories
Booster Pump t^'
Length
Depth r; e S.l
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess.
Planner
Council
Bidg. Off.
Variance
FEES
Permit
Surcharge
Plan Review
SAC, Gity
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
-psaw (copy
TOTAL
:
Permit No. Permit Hoidor Date TNephone ?t
Plumbing /? '• `'J(??i., .a!i r:,GV,"i'???
H.V.AC.
Electric
Softener
Inspaction Date Inap. Comments
Footings I f
Footings II
Foundation
Framing ? ?p
Roofing
Rough Plbg. AI.a
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg. 44,
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
BUILDING PERMIT
Receipt #
N'? _ 12176
To be used ta D. LC K Est Value $1,500 Date ..' utyfi, 2 S_ , 19 -?
SiteAddress 1296 iJU1413k:RRY Lid Erect ? Occupancy
Lot 4 elock 1 SeciSub. CiiES ?3AR 4TH Remodel ? Zoning
Parcel No Repair ? Type of Const.
. Addition ? No. Stories
CGLU?J OWF:hJ Move ? Length ,18
W
Name
SAt•E
o Address pemolish ?
I
I
? Depth
F
S
454-9072 nt
mpr.
? q.
t
Ciry Phone Instau
o TEU 'KACEiTf:R CONST
N Approvals Fen
=
ame
?? Address 4 S S 0 BLACKHAWK RD Assessment Permit $ 2 5. U 0
? Ciry ??AN Phone 454-2130 Water & Sew. Surcharge Z• UO
Police Plan Review
? ?
? = Name Fire SAC
?,? Address
_ Eng. Water Conn.
:
< W Ciry Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and state that the Bldg. Off. 6/2 S/8 6 Tr. PI.
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
Signature of P
CITY OF EAGAN
3830 Pibt Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Var. Date Copies
2600
Total ?
'
A Building Permit is issued to: jr-" rut?.n s i.c? k..W041,04 on the express conditfon thet
all work shall be done in accordance with all applicable State qf Minnesota Statutes and City ot Eagan Ordinances.
/ ?..?
Building Official ??. .?" ? ? ,._.?_ ¦
II Ift?mlt No. I PemNt HWdrr I Dab I TNephora 1i I
Illnaoactlon Date I lnsa. II Commenh 1
Plby.
H9•
Hty.
Piby.
Fty.
DisP.
, . . CITY OP EAGAN
' 3795 Pilot Knob Road
_ Eagan, Minnesota 55122
Phone: 454-8100
MMIT"I'1r. PERMIT
No. z4 .::
S ??rj
Dete: -1F 16-79 Receipt No.:
?1% Singie I
Site Address: Residentiol
`
a :?,.,? ?th `
Lot SVock - Sub/Sec. Multi Res., Comm./Ind.
Name Tolie£? Builders New /Alter./ Repair
? Address 13816 ?lya''`9 Ave'
Cost of Instollotion
O
1'.?`?')?.e Vt']..u.E?'?
City Phone: Permit Fee '
` ? e ' t Surcharge ? Address
e
0
V . ? c.
City Phone: Total '
This Permit is issued on the express condition thot oll work shall be done in accordance with all oppliwble State of
Minnesoto Stotutes and City of Eagan Ordinances.
Building Officiol
? CITY OF EAGAN
3795 Pilot Knob Road
Eagon, Mienesota 55122
Phona: 454-8100
''UjPERMIT
Date:
4-16-'79
Site /111dress: ??? ?R*'er? TAM
? ' `1P3 !"ar 4t'i
Lot Block ` Sub/Sec. _
Ncme ibllef9i01'? Aldz?:.
e Address 13816 Holy*e `?':s•
3
O
City AM1'f' Val1"f_?R,r Phone:
Nnme 'E?Ryav-
?
? Address 1 -474 0
e
0
?? r?tr:y.r,s• - . , ` :1 ??. •,
City . . ? Phone:
This Permit is issued on the express condition thot all work sholl be
Minnesota Statutes ond City of Eagan Ordinonces.
Receipt No
No. 113S
Single I
Residential `
Multi Res., Comm./Ind. I
New/Alter./Repair
Cost of Installotion
20.00
Permit Fee
Surcharge
, f ;n
Toto I
done in occordance with all applicable Stote of
Building pfficial
,
:ONTRACT PRICE:
3830 PILO7
>iteAddress
.ot Block Sec/Sub _
L Name
c AddresS
City
Phone
,
Name
3 .
p Address._
Ciry - '
Phone
PLUMBING PERMIT
PERMIT #
RECEIPT # '
DATE:
FEES
D FEE -1% OF CONTRACT FEE
iS - COMM RATE APPLIES
JSE & CONDO - RES. RATE APPLIES
- RESIDENTIAL FEE - $12.00
- COMM/IND FEE - $20.00
RCHARGE PER PERMIT - .50
S/C IF PERMIT PRICE GOES
OF
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. " New
Mult. Add-on ?
Comm. Repair
Other
RE3. PLBG. ONLY - COMPLETE THE FOLLOWING:
FIXTURES
? W
l
$
00 TOTAL
ater C
3.
oset -
_TBath Tubs - $3.00 $
?Lavatory - $3.00
Shower - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
ZWater Heater - $1.50
? '
Whirlpool - $3.00
-1-Gas Piping Outlets - $1.50 '
(MINIMUM - 1 PER PERMII)
Softener - $5.00
Weli - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 ,
`
FEE:
STATE S/C:
GRAND TOTAL:
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
VNM SCF1'FMM
PERMIT
No.
I_J 1.Q4
Receipt No.:
Single I
Date:
7-12--79
2296 DmberT-, z mw-
Site Address: ' Residential
Lot d?U Block 412-2^ Sub/Sec. l Il03 m'/'O? Multi Res., Comm./Ind. I
?V]_C? P?. iX{'it]?Y'
Name air
New/Alter
/Re
.
p
Address ?9! tka?+ :??"t'. -
Cost of Installation
3
° 452-2141 5.oC,
City
Phone: Permit Fee
_ _
I "3CC:.
Nome Surcharge
?
?
11,47 PivenwYx?. T.3ri'.?e
? Address
e
City Phone: Total
This Perrnit is issued on the express condition thot all work sholl be done in accordunce with all applicable Stute of
Minnesota Statutes and City of Eagon Ordinances.
Building Official
anr oF u"N
3795 11111,ot Kaob Road
Enyau, MN 55122
Zooiing:
Owner: r--r-=-:t
Addreu;
Site Address: * -
Plumber:
Meter No.:
Size: -
Reoder No.:
1 agroe to wmply with !he City of Eogan
Ordinanoes.
R.. -
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
U. of Insp.; - -
F'ilot Knob Rood
MN 55122
s: -
ddress:
ar:
Connection Charge: " ; ^,
Account Deposit:
Permit Fee:
Surchorge:
Misc. Charges: _ `1 " •?? Total: -
Dote Paid
Insp.:-
SEWER SERVICE PERMIT
PERMIT NO.:
DATE: -
No. of Units: '
l1351d
1 agree to eampfy with the City of Eagan Connection Charge: '??5 • n? ???
p???ncn, Acoount Deposit:
Permit Fee:
Surcharge:
gy Misc. Chorges:
Date of Insp.: Total:
Insp.:- Date Paid:
4 `
BUILDING PERMIT
To 6e used for DECK
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Fst.Value $1,000
No 16342
Receipt #
Date APR 21 19-8.9-
Sife Address 1296 DUNBERRY LN
4 OFFICE USE ONLv
Block 2 SeGSub. CHES MAR 4TH
Lot
P8fC01 NO. Oaupancy _ FEES
Zarniy -
m Name COLIN & MARGIE OWEN (Actuaq Const - Bidg. Permit 26.00
w
;
Addr2SS 1296 Di7NBERRY LN
(Albwable)
- Surchar e .50
? City EAGAN Phone 454-9079
N ofStories 9
-
Plan Review
Length _
o Name BEN OSTMAN Depih - SAC, City
,
o
¢ Address 1300 DIINBERRY i.N SF.TOtal -
,
?
City EAGAN Phone 457-1 576_
SF Fooipnnts SAC,MCWCC
-
Water conn
On Site Sewage -
r
ww
Name
On Sne Well
- Watar Meter
i? AddIBSS MWCCSystem -
Acct. DePOSit
cw City Phone City Water -
SIW Permrt
PRV Requrted _
I hareby acknowlege that I have reatl this applicallon and sta[e that the Booster Pump - SrW Surcharge
infortnation is correct and agree to cowrth allrapplicable State of
Mmnesota Statutes an
dity YEagan (di Treatment PI
-
?
Signature Of Permrtee ? APPROVALS Road UnR
A Building Permit is issued to: BEN OSTMAN Planner - Park Ded
on ihe ezpress condihon that all work shail 6e done in accordance with all Councd -
apphcable State of Mmnesota Statutes and City of Eagan Ordmances. Bldg Off _ Copies
Bwidmg Offiaal -
njA '?'0 1?1 I 1Y
Variance
- TOTAL 26.50
CITY OF EAGAN
? 3630 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12176
PHONE: 454-8100
BUILDING PERMIT Receipttt <f? Y ?
To be used for DECK Est value $1,500 oate JUZdE 2 5
Site Add?ess 1296 DUNBERRY LN
Erect ? Occupancy
Lot 4 Block 2 Sec/Sub. CHES MAR 4TH Remodel ? Zoning
Parcel No Repair ? Type of Const
. Addition ? No. Srories
a COLON OWEN Move ? Length 1$
z Name $AMF Demolish ? Depth?a
3
0 Address Int.lmpr. ? S9FC
City Phone 454-9072 Install ?
o nlame TED WACHTER CONST
?? nddress 4550 BLACKHAWK RD
iP I city EAGAN Phone 454-2130
c
?
w Name
Address
a W Ciry Phone
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree to comply with all applicable 5tate of
Minnesota S}atutes and Ciry of Ea an Ordinanc s.
Signature oi Permmee >
A Building Permit is issued to: TED WACHTE CONST
all work shall be done in accordance with all applic'a?l?e St?l?qf Minnesota
Building Ofticial ? ?? Aee[
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bidg. Off. 6/25/86
APC
Var. Date
?- o
Permit 4GJ. V V
Surcharge 1.00
Plan Review
Water Conn.
II Water Meter
Road Unit
I Tr. PI.
I Parks
I Copies Z6.00
i Total
i the express condition that
BUIuDING PERMIT
To be used for ADDITION
Est.Value $14,000
Ea9an,MN55121 N? ` 15852
Receipt #?q V ? ?S
Date NOVEMBER 10 19 88
Site Address 1296 DUNBERRY LANE OFFICE USE ONLY
Lot 4 Block 2 Sec/Sub. CHES MAR 4TH OnSiteSewage _ OccuDancy
MWCCSystam _ Zoning
Parcel No.
On Site Well _ (Actual) Const
a Name COLIN OWEN Ciry Water _ (Allowable)
W
z
Address S? PFV Required # of Stories
-
° City Phone 454-9072 BoosterPUmp _ Length 10,
DePth 9 811
e Name TRADITION HOMES 5.F.7otai
?a Address P.O. BOX $06 FootOrintS.F.
? City PRIOR LK Phone 447-6821 pppROVALS FEES
? a Engr./ASSess. Permit _$ 138.0(
ww Name
? i
Planner
Surcharge ?.??
i-
oi Address
Counca
PlanReview
69.0(
aw City Phone
Bldg. Off SAC. Ciry
I hereby aCknowletlge that 1 heve read ihis apphCation and state that ihe VananCe SAC, MWCC
mformation is correcl and agree to comply with all applicable State of WaterConn.
MinnesotaStatutesandCityo gan ina S. WaterMeter
Signature of PermRtee -. Road Unit
A ewlding Permit is rss ed to _ T TIO _ HQ?Y?$ Trealment P7
on the express contlition that all work shall be done in accordance with all
1d7C1d[ ?COP
y?
. 5?
epplicable State of Minn ta Statutes and y of E an OrAinances _; -
$
BwldingOfficial_! -- TOTAL _
Qy
\J $ 214.5(
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199
PH O N E: 454-8100
cinr oF EacwN
9795 Pilaf Kaob Roed Eagan, MN 55122 No 5115
PHONE: 4548100 ? ?
BUILDING PERMIT APPLICATION Receipt # /52???
To be used forSF DAlg & GdY'dg2 Est. Value 55, 000. paYe 3-8 , 19 -79!
Site Address 1296 DtIl]bET'Ly Ic"]ri2 Erect Occupancy R-3
Lot 4 Block Z Sec/Sub.?e5 MdY 4t1 Alter ? Zonin9 R-1
Porcel # 10 17103 040 02 2epoi. ? Fire Zone 3
Enlurge ? Type of Const. V
rc Name Tallefson Builders Mpve ? #Stories
i 13816 Holyoke Ave. Demolish ? Fronr 48 ft.
; Addreu Depth 36 ft.
° r:.,, Apple Valley rtio.A _ 454-6873 6mde ?
g Na? =
ot Address
Nnmt
Address
I hereby acknowledge tFmt I have read this application ond state that
the informutian is correct and agree to comply with aIl applieoble
Stote of Minnewm Statutes and City of Eogon Ordinonces.
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit ''T"'""
Surcharge 27.50
Plon check 74•00
snc 525.00
Water Conn. 250.00
Water Meter 60.00
toad Uni.t 75.00
TotQi 1,159.50
Signature of Permittee '
A Building Permit is inued M: Th efson M=Stc;?eof on the express condition tfiat
oll vrork shnll be done in occodar i all aP Minnesoty Statuces and City of Eaeen Ordinances.
Building Official ?S
CITY OF EAGAN NO 1776 6"
: 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8100 /6 r ?r• ? ?j
BUILDING PERMIT / ...i
Receipt # ? r
Tobeusedfor ADDITION Est.value $5 000 Date APR 7A , 19-9jp_
SiteAddress 1996 T11fNRFRRV T.N
Lot . 4. Block 2_ SeGSub. CHES MAR 4TH
Parcel No ...
w Name COLIN & MARGIE OWEN
? Address 1296 ?UNBERRY LN
? City EAGAN Phone 454-9072
F Name BEN OSTMAN
i
ga Address 1300 DUNBERRY LN
? Cily EAGAN Phone 452-1576
1.u1 s
F Name
X-' Address
aw City Phone
1 hereby acknowlege that I have read th plication 1nd state that the
informallon is correct and ee?),qqq ???I; with ?pl¢a61e State ot
Minnasota Statute 4(g Ordi c .
Signature ol Permi ?
n 6uilding Permn is issued to: BEN OSTMAN
on the express condition that all work shall 6e done in accordance with all
applicable State of Minnesota Statmes and Cny of Eagan Ordinances.
BuAding OHicial
Occupancy
Zoning
(ACtuai) Const
(Allowable)
# ofSfones
Lenglh
oepm
S F. To1al
S F. footpnnis
On SRe Sewage
On S[e Well
MWCC System
Csty Water
PRV Required
Booster Pump
APPROVALS
Plannar
CauncA
61dg. Off.
Variance
OFFICE USE ONLY
R=3 FEFS
12'
-8!
eldg Permn
Surcharge
Plan Review
SAQ City
SAC,MCWCC
Water Conn
Water Ma1er
Acct. Deposrt
S/W Permit
S/W Surcharge
Treatment PI
Road Und
Park Ded
Copies
TOTAL
72.00
2.50
7 Sn
77.00
Request Oate
S / ? Flre No. Ro Mn Inspedion
Requi ?
?1eeM ? ? Wiil NMity Inapector
Wh
R
tl
'
C • I(Yes ? No en
ea
y
ICg licensed contractor ? owner hereby request inspection oF above electrical work at:
JoE AdOress (SYreet Box a Roule No.J
a o&h ??
1-4h Ciry
,E h
Sectbn No Townahip Name or No Fange No Counry
.?7aif"d??t
Occupant (PRIM) Phone No.
Power SuppLer A1
,4 Atkrew
Ekr.trrcel Conhector (COmpeny Neme)
.E"L,EcTW/c ConVactork Ucense No.
o a.
MaA
413 ing Atld?rejes (COmrador or Owner Mekng Installetion)
/ Y .
c y//?? ( ) 1
?L? YAIo%
Autlwed Si aWre (Conl w/Owirer Makiiy In tallabon)
? Phone umber
l* -
MINNESOTA STATE BOARD OF ELECTHICRV THIS INSPECTION REOUEST WILL NOT
Gdggs-MWway BICg. - Raom 5113 BE ACCEPTED BY iHE STq7E BOAFD
182t Univeratty Ave., St Paul, MN 55104 UNLESS PROPEP INSPECTION FEE IS
Phone (612) 64241B00 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? See insVUClions lor mmpleYig ffiis (oim on back ol yellow oopy
J(" Below Work Covered by This Request
M EB-00001-07
ew Add Rep. TypeofBUilding AppliancesWired EquipmemWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Builtling Dryer Other (Specify)
Comm./Industrial Furnace j r
Farm ' Air Conditioner
Other(spadly) ConVaclork Remarks:
Compute Inspecfion Fee Bebw:
# Other Fee # ServiceEntranceSae Fee #
i CircuitslFeedere Fee
SWimming Pool 0 to 200 Amps I 'l o to
Transformers Above 200 _ Amps Above i00 _ Amps
Sigf15 Iinspector5 Use Only: T
yD7
p L
IrrigaNon Booms ,
n
`
^0?0? J 0
Special Inspection •y
Alartn/Communication
O[her Fee
I, the Electrical Inspector, hereby
h
it R°uqn-,n ? oew
cert
yt
attheaboveinspectionhas
been made. Fnal oe?e ?
OFFlCE USE ONLY
Thas request void 18 monlhs (rom
This requestvoid 18 months from /?+/ ? Q`
??_ ?.tsRequest,?.• C???ic.Q 'R 66244
Date of
I, as L'1 Licensed Electric Coa ntractor O Owner, do hereby request inspection of the above electri-
cal wiring installed at: L 4 a21 e q+$-%
Street Address or Route No. CL.(lLpg? ? City
Section Township Range County Which is occupied by
Is a roughin inspection required on this job? No ? Ye^ Ready Now ? WID Cap:?.
Power Supplier ?L?Y.f? L3/eA?1![' ?Addrasy?"???.}a?L?? ?i?
Electrical Cont.4aitqr ?ntVI?iLsLIBIVe No. _
? 'm
Mailing Address QAgX K?'NDRiCK 432 • ?9oJ?9
(Electrical Contractor or Owner Making 7his Installatlon)
Authorized Signature Phone No.
(Elecbical Coniractor or Owner Making TllIs Installatlon)
$ ? d??? ????? d???This inspection request will not be acceptad by the
, Stete Boerd unless praper inspection fee is enclosed.
IF Minnesota State"Bbard of Electricity
4 University Ave., St. Paul; Minn. 55104-Phone 645-7703
BEQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WOfiIC COVERED BY THIS REOUEST
?--S? .0 <-
R 66244
Type of Budding New dd. P. Chmk ppP(ianm {y'ved F Check Equipment Wiced For
Home ? ? Range Tempocary Wiring ? /
Duplex ? ? ? Water Hcate[ ? Lighting Fi?ctutes ??
Apt. Bldg. ? ? ? Dryer ?
/ Electric Heating ?
Commexcial Bldg. ? 0 ? Fumace _
LN' Silo Unloader ?
Industrial Bldg. ? ? ? Av Conditioner ? 8uik Milk Tank ?
Fazm ? ? ? List « rW_ List
Other ? o E) pethers
re 1 Others?
Here
COMPUTEINSPECTION FEE BELOW
Seivice Enhance Size: # Fce F $Subfeedess: # Fee Cixcuits: # Fce
0 to 100 Am s. A es 0 to 30 Am eies
101 to 200 Amps. 3 31 to 100 Am eres
Above 200_Amps. ve 1 Above 100 Amps.
Tcansformers RemoteContro uc. Partial or other fee
O
Signs Special Ins ection Minimum fee ES.00
Remarks
„
TOTALFEE
/
I, the Electrical Inspector, hereby c tha e de ms tion has been made. ts/G,oo'
(Rough-in) Date -Z
(Ftnal) ?j, ?-?i` ?- Date
This request void 18 months from ? ?? y?-
'O////9 o Y ?;' 5Ca o
P 32944 '0`o 90
Requast Da[e -
? (_ [y
' Fire No Hough-i Inspechon
qe?u" tl.
O Reatly Now ?III Notly Inspector
R
d
?
WI
a
??J
L. s ? No an
y
ea
1 censed contractor ? owner heieby request inspection oT above electrical work at:
Jo Pddress (Street, Box or Raufe NoJ
IAQ(, oua84,oR,y Ciry
E04(474`;?)
Sechon No. Twmship Name or No. Range No Caunty,/?e`,? ?q
l?rT?
OccupaM (PRIIJn
c.nAi atv?-? Phone No
-cto?a
Power Suppiier Adtlress
Electrical Comraaor (CVmparry Name) 7
EA4,r-Tc<< )Nc. omrectw8 License No
0 yaaW
Mailing qAtlress (ConVaclor or qvner Making Inslalialan)
RG& wwa ?? 4lili mn? s s iaA
Y233 uv
Authoru igna re( r ir?m Installatwn) Phaire Number
fdINNE30TA STATE BOANU OF ELECTRICRY THIS INSPECT70N REOUEST WILL NOT
Grig9s-fdbway BMg. - qoom &773 BE ACCEPTEO BY iHE STATE BOAHO
1821 UnlvOnity Ave., St. Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS
Phone (812) 802-0800 ENClASED.
&11114v REQUEST FOR ELECTRICAL INSPECTION &Vft y ee.ooom m
? See inslruch ' mpleM1ng this form on back ol yellow copy
7 3 2 9 4 4 -low Work Covered 6y This Request
'4e% RAd Rep. ° Typeofeuiltling AppliancesWired EquipmentWired
Home Range 7emporary Service
Duplez Water Heater EleCtric Heating
Apt. Building Dryer O[her (Specify)
Comm /Industrial Furnace
Farm Air Conditioner
Olher (specJty) ContraclorSRemarks mQ?K' lVl,Rf" d•,
Compute lnspection Fee Below.• SmA4' Ao0 tnO'U,
# Other Fee # ServiceEntranceSize Fee # CircwlsiFeetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abo-7Q0 _ Amps
Slgns inspeciw5 Use Only: 70TAL
'
Irngation Booms '.3 Q, s
?p
Special Inspection
Alarm/Communication
Other Fee
I, the Electriral Inspector, hereby
tif
h
h Rough-in oate ???
y t
cer
at t
e above inspection has
been made.
F?
?? /? r ?dfe
oFFlCE USE oNlv , 'r_ ?
Th* request witl 18 months Irom
b5495
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
1?q1 a s-
New Constructbn Reauirements RemotleVReoair Reauiremenls _ s
3 registered sile surveys showing sq R of lot, sq fl oF house; and all roofed areas 2 coples of plan sp;
(20%ma
ximumbtcoverageallowed) lseto[EneyyCakulatlonstorheatedadditions 2 copies of plan showiig beam & wintlow sizes, poured found design, elc. 1 site survey for addiGons 8 decks
1 set of Energy Ca?ulations Addfion - rndicate if onslte sep6'c system y_
3 cnpies of 7ree Preservation Plan if lot platted afler 711l93
Rim Joisl Detail Op6ons seledion sheet (61dgs with 3 or less units
Date ?
ConstructionCostz/o ?y
? nn-
Site Address Unit/Ste #
Description of Work L., b h-t Z iidG
Multi-Family Bldg _ Y? Fireplace(s) _ 0 _ I _ 2
Property Owner Telephone #(E? l)
?
Contractor
Address City
State Zip .e? Telephone
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculahons Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N
fee applies.
Licensed Plumber Telephone # (
Mechanical Contractor
Sewer/Wafer Contractor
Telephone #(
ielephone #(
If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and 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.
? oli? er-v a SG? wk our
Applicant's Printed Name
(
ApplicanYs Si ture
OFFICE U5E ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling Q 08 06-plex O 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 Eut. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 38 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 48 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA hantlout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. ` Air Test _ Final _ W indows
_ Insulation _ Retaining Wall
Approved By: , Building 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
,
Aus• 9• 2005 4 55PM
N o . 5 8 6 8
O'CONNOR
PUJM8ING, HEATING & COpUNG
P- 2
7904 Vermiilion St. • Hastings, MN 55033
PHONE (651) 437-4177
arstaf Tesi Report for Job
Address City ?-6 ?--'
Date of InstalL .5-115??o
Type of HT. F/AHW Space HT Unit HT
Other
Make 7;2v&'?
Model T--,D / 00 913 ?-?k0Y
Serial Vn 5'S'10 `"0 Input / e'scs coo
Pilot Type ? G,-E r
Pressure ! •??• ?' C02 6
lnput CFH
02 !T-
Stack 7emp CO
Date Tested
Company 0
Technician
- -1 o.*
V. III
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
72•ooF
2•50+
2•70+ I
77•00*+ '
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCIILATIONS 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.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED,
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRE55 IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER,
To Be Used For: (7--4l2?c?(fl?l Valuation:
Site Address
500b' Date: ' Z 3`? ()
Lot ? Block Z
Occupancy
Zoning
Parcel/SubCF{T_'j''}'?l?1Z'?'OuR'Tl-1 Actual Const
Allowable
Owner iA/,(J d--PA04`+ (R/ W # of stories
Length
Address O U -n IwJAtQ.kY I Denth
City/Zip Code A" tr4k.."
Phone
Contractor&- nf ??,?jT/V A u..
Address I'? 61)??_?t?2/L`/ ?w
City/Zip Code 6#IW
Phone yS Z -157?.
Arch./Engr.
Address
City/Zip Code
S.F. Total
Footprint S.F
OFFICE USE ONLY
FEES
R- 3
i R.'
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Sldg. Off.
Variance
Bldg. Permit r/ JJ
Surcharge `L,SU
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct, Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
Phone #
? u ia'ft ?r.? ? '` , ? ?
? ?? ? .
• w ,.. ? ..
?x8- 9?
?!e ?:- C.?-??
..?-
? `? X ? r = '?? ? 6 ? r? ?? ?
? __,
• ri t?'1 )01830445
F. C. JACK50N I ?
u?no surtverort ?ts n 6 c' Yr y L??'7 er
721-3484
9[619TiN[O UI[KN Lwi OF RAT[ OW WMMYOTA .I /00• ?
ucw? n oeawwa ?n o? nwawPoui y i
' - `? ?` 29.jf'
E616 EA6T 667N BTRtET.?_. \ /
55417
( ? a -
N
$qt'U[pOC?g dtCl?lLdtt ?
sp;k• zz?r ?- z?•
I ? a ?1VI'
?
^? 2f'?
?
4/
*
g ?= I ro?1 1911) lUwe//is9 ?1
J / ? 1
" = v ra r,-r ? y e f G?7"i ?.
7? -
' ??1C.?)cNfS
v
t/I?9
H'
?.
f
i
F
?
1 M[RLDY C[RTIFY TNAT TX[ AiOV[ ti A TRUt AND ODMiCT R117 OA A
Lat 4,Block 2,Ches Mar Fourth Addition,
Dakota County,Minoesota.
rNn 16th Feb.
As suwvirco w rc ?
I
I
!
a
i
h i
d i
I
S
OP
I ?
6?ow[
r. C. JACKSON
P+-J Oc Sc'I?
?W17S?i'T-) C7?1
S
Nb. al00
.?
r
?
?
?P41(?
nazF /
BUILDING PEAMIT APPLICATION
Include 2 sets of plans, 1 eite plan w/elevations and 1 set of energy calculationa.
To be used for
*10i
Site Address:
Lot Slock Sec. Sub.
'IIZ o-2 'E?64 /7?i-'c, -X?
Owrter
Actdress ?y ,?%-
Contractor ? 4412(
Address
Arch./Eng.
Address
FS'eCt
Altex
REpair
L•hlarge
Nbve
Demolish
Grade
OFFICE USE
Aate of Approval & Initial
Assessment
water/Sewer
PoliCe
Fire
Bng.
P1dfIT10Y
council
Bldg. Off.
A.P.C. _ __---
Valuation
Parcel Number lD J7/D _4 O60 0a-
Telephone ?7v'' rok 7-3
Telephene? __
Telophone
OFFICE USE
Occupancy 14?-3
Zoning Kl
Fire zone _3
Type of Const. t/
# of Stories
Front ?
Depth 3?.
FEES
Peanit ?
Surcharge
Plan Check ? 7 -2?
74` ?d
S71C
PTater Conn• as? -
4later N,eter
?l'?---
?oe.???r
TOTAI,
`7 ~
??
? ? ?_
Cities Di ig tal Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
,.
^ 1/ 0..,1 7i
Yoi1cE??DII Buildera Inc. r ?
. F. C. JACKSON LJ3 44
u72J834b EYOR UL4 " G:. Y? y L-- ?`7 ?-
NEGIBTEftED UHDiR LAWB OF BTAiC OP MINNfBOTA .I ? 0?• ^
LIC[N8[O BY ORDINJINCC_O!i CIT_?Ot YINN[ApL1Y ?• ? ? 7 f? T A
5818 EAST SSrH STREET _,.__
55417 ' ? ? -- -- -- -- _ .
barbepoc's QLetHfitatc I ?
I „? C1 Z : • ,{ ' , ` ? 1i
_•'.1 ? /Z
p?
?
- - _ ? ??,?vr ?.-??? f? !/rf'?- ? ? .
Y y a,
? ?1: ..??c?ts I I
?
1 I I
^ I ,
^ I I
? h
I ?
I
I I
If/r
I ?
I HERHBY GENTIPY TNAT TME AEOVE 16 A TRU[ AND CORRLCT PLAT OF A b pUlVlY OI
?
I
? I
Lot 4,Block 2,Chcs Mar Fourth Addition, ?
Dakotn County,Minnaeota. ,
?
?
?
j ?
I ?
AS SURVEYED BV M! TMIS- 1bCh__DAV OF Feb. 1
F. C.
I
?
i
.I
i '
`
?
? - - - ' '--
OL _
?
?
? i ( !
5 .
[ 0
a " f
No. 3600
? C
I .d
?
, i
i
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
`? ` E' ' . ? ' ??'? • '?`??` ?P,? Y r ?i (? ?.`t??? .;+? C?'s Y? ?/C?L°/ /
,', . O / k?' •.,A ?a ; r'? r? ,
' ? ;,,? •, ' . - . 1 S??!?:'?A i..?.?,1a 9vr'."?^?' ??% ? . i ? • - ? .
tZir-i. r5431 Phene 004-916:
.,,?' . .
;.
`r'' • - PI.Aii 1,'TJfiITr?d ? .
:4.' L?,?i: P?Sf!z2%F:?C!i 0'_' a Or.`r,?:a L?l? £SSQ!'R
A? .
Dn I•,YM . . uAFM ?
?•: ,
L.':^;l L'7vT'.10:i' !iC'iR'.co 10U" GQ"_d&'fJti'<mol
? . L%''"AL IME3' 0:' [JL.Y,F,
G
, mcTA*_. 01o =o er !7;
` • i0lSL Cl.:S4s O
;.?; . ?,'•?,
' I?r?i7 0 .. . J
rP; cosr-me,?r , ,
t.
".. "• '
,..
CI:i Tn`;°i'LD PY
1OT.'STe Saa F'dyo op roo?lg C
1'iM / M:JeWOO!l Wf
a^ZflL; . 0?' I:'sIIT n.R°IC}:y $?T i1Af t?; ?, ?, . 1?, a T T
.?FL on atsULa.^aC!7 xn Ur_t]o r=:k.rwN c- G.
ndr?ti 07 $L9U?Ai30•';: Yn r;r,p0_r,."
V!!L.'.^
raM
/j.(rjCf; ,
sfu 42b ? • ?
A!7i':tnG?i: ^ULd Vd rsrE p? i?7e45?"•; E;n..LF13 ABOLM OP_i'c^
I7.Tt?Z`:?=? 07 eEl FO?? C?'.M h.II'_1 T;:',) PAi11d,P T`ts?;7,?:3I:;J
CT? 022 ^0:? itux, Ci'?ri 3 L'xJ?F_T?Siire:?
r.,
w . '
i . .
? er•.
?..-?.s..?......,..... ..
. ?c:?L ?_t. C• S Ei e.? ?
?t
Cities Diizital
itv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
. i?
u?j: Fr
,? . . ..AP•.FEPi,ElCE
OY'r'.l3ICC3 IHG:i
9 1L- (o
? ??r ,?S.?,oa ? ?? ?,%.? '3?'.:_n?--°--? - _Mw..._ ?.ti_S•_sl?
?..._..? W?
; -??__---
?; ??.Sr< S.'_S'_'J...?S?.-,;t__.??'^..t1?t_??,C?
r
rd 4 ?1 Tu P cs..:?,..Fi:?- ;' i n f-•?_ _...?,,.._. ?.. ?._....,a..?...L?:_.i? '
. ? ,. .r1.?.r? A_....-•.....-...??1_?. ?i??,r,.
'•',?,yo-'? ' ?'T,?.'n'\.?,? ?.,.u-'??d..m?. ??,c?"'i_j.».-•-?r?;__.,.e,_.....?._?,...__..?.r?' ?1 ,
j ?. ?r .(=l,'!l?_
'i
.?5.???s?'n,?w.r ?:? ?? ? ? ??? i, ?...,.. ? .?..? .?.`.p-• ._ ?.``4? S j ,..._.
?.?n,.,;.
`*?? ?•?a..,,.._.,?.,?:,,--,x,?,.?.-.a...??e.-, ?R r ,.,..w.. -
iOEfli,?,?s.Pe.2r•,.e...?..a..v.??..-?..,o_? ?l-,...a....aa..?-....e.,...???? ?._..- ?-...??,..??
`?k A •5 C?
]4'ti Y .
31i2•>
TOT
?,: .? ??nn.?tti7?'in'r.,•i?I V ?O .. ;? o,??,..?..a?.......,.?a-.,.e,?.
^1 C i A L3?
CEi11dL'G3
fl .
5 11 -5
?
mamezatt.:e?.
PJ`'AL (ll){h) VALIiF _ ?,'t3? ? ?pVERACE'n?joi
? ?
;
? DIVII)N;U BY 'Pu`l'i1L .r.1I,L 9e2c:A
? VAI,UF .. ,
-
,
.^.?...? ?.:.
•q?.9ti
•_-.?.? ?<_...(i_?_?r Q? S,. ? ? ?' •. .
?em...?...?.,a? ,. .
?
Cities Di ital ?ualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
? - -•-_--?-'??°A_1 A."?F'?,?ne.. ? ? .. _ ?-???
?? iC7 ??[?PER wnLL
!. ? I _ ? .?..? ..._...? _.._..._._ ..y.._.i.?_?..
' ?t ? ??c'?!?• ;, i rt ----?-i----((i - A ?- -?.? ; I
,'-" ?? .. , Ip"""'"" ^^-?_ _- .t__.'_":"_>_'___.?..4_•.?.?__'?? ? O
? S ?_1_n-t 2 I
t:-; ---_?. _ _ • -,?._ ?
--
.,?? ; z.+(
....
-?-----
; ?i/_s ny?
.-, Y t`?._...---?- p- -----? ._. ?.?. •:? r,r?r.? r?>,??I ??'' R? ?
d 41?
n.)C- 1'?tIe W/?2,..?w nr,nu?Ganbr
F •" ? - ' - , ___-- •?_ _ ?' _ 11 " t_____`- ?_ ?
`I p i 2
2
t+q
? '
?E.?:,Lj f ta ?,T 12 Z
.._?jif-o -1"i
? t>
; ».LL.,.4...__._ r
, ?E:??:??_:.__:-.--.._V =.= ? _?___:--=? --=- ` '- - --:• -.._-.?-?_?,.?_?_ Taratr
rSt?CLCiLC. •?rJ L,wR4c? _.._y?,..?s -- 4
i?;/s PI7&.
'-
fJ?,...d?,.?...,:....,,._?.? •`??fi?nr ?_ a /.Pi9
M?y
- ?i..... .`......?a..?....>..?,_.?.. J ? ._ _. .?., a,?_
Cj
ti
?!']
? P 2 fJ ?C 4 . ?'1 f
_ 1: '?-y-?-
. ,
. -- _ _ --?"?
??__
, ?? ?. F• I ? a ? ?
=:-._...._..__?----T ?'T? ??--
?
?
" {
?/
??? L 9`? ? F- O lrJ £ YL i
:.1" _"__'
•?_? ,_? ?
UJ L?. [? L W /?.. y
"'--,
•??
,?, - - - jr???._..
(P ? y
c.15`n
?
. ,
,
_,
,1 ?
ovE R unr.>c, Iv FR-oNT OF' I-loi+
sE
r ---. ----
r e f S A t 9
?
----•m,-. .........?.e? / 5_?1 1 ?47
_
? 7 .
,.._?
_.?.?...
,,
'"" : ?.._._.
`'•`;-,, '
?.._..?: ? . .
I
._?. TAL ?l?,,cr! r(??fti1
; -- ? .
• 1 88 BUILDING PE T APP
, 9 RMI LICATION - I
CITY Or EA
?
SZNGLE FAMILY DWELLING3 I
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF i!;3RGY
NOTEs ADDRESSES FOR COANER LOTS - CONTRACTOR/BOMEOWNER M:..;T DE:
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING .?'sRMIT,
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS _
? O•* I
?i
?138•00+
'7•UU+ I
? 69•00+ ,
0•50+
y? L14•50* ?
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH BLDG. DEPT.t
1 SET OF ENERGY CALCULATIONS
CONA4ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, _ '
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIC:S
?vPrl7sl .
f
To Be Used For: - Valuation: ;;2? 1'ate:
Site Address ?? ?(O Zly Ger ,I?h f OFFICI; fJSE
I /t1 oc?o - -
Lot 0 ?/ Block G Z-
Parcel/Sub 61) eS n//ew
Owner (fJ?i
address
?
City/Zip Code
;z
7
Phone y?h? 90 7 Z
Cantractor
Address ?Gr ?O lv
rity/Zip Code rGr a.- ?rt ?e ??
Phone yy7 e?; f a /
areh./Engr.
Address
City/Zip Code
?1R V
On site sewage_ C.,,upancy R-3
MWCC system _ zoning
On site well _ f.:tual Const
City water _ !.llowable
PRV required _ l. of stories
Hooster Pump _ l..ngth /O'
L,.pth 9'-53 11
S.V. Total
I',,;)tprint S.F.
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off. / iiA
Variance
1'EES
Permit 139.2f
::urcharge em-
Plan Review 641,00
SAC, City
SAC, MWCC
.!ater Conn
?Jater Meter
lload Unit
1'reatment Pl
Parks
Copies s"
'fOTAL / S(
- --?
Phone ll
??0 0?1 ? A7.sDiTrcn ?
! ? X /O ;c ? ?? x ?"1 ? = ? ?7'2-t?
tD
c
?
m
l1
?
?
?
?
D
?
Ri
---- - - ---_--1 --
.
-- 30 ?
p1P?vF- w+
S
cF
?
i
-- ??
Lrgf
J
2ovw / 2 L
:ATIOB - CITY OF EAGAP
AOYS: ALL CONTRACTORS MUSY BS LZCE9SSD WITH THS CITY OF EAG9N
SIBGLS FAFIILY DiIELLIAG3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOI.TIPLE DW6LLI9GS - EfiSIDSNTIAL EENT9I. QNITS FOR SALE DNITS
INCLUDE 2 SETS OF PLANS9 CERTIFICATE OF SOR9EY - CHECB IiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: k ,2??
'?LJ'?'o O ) Date:
Site Address t a.9
Lot ? Block
Pareel/Sub ?,,-
Owner CO-CR? ? nn?
Address I a 9 ? ?
City/Zip Code A77r.,t _ $Sl a 2
Phone
Contractor v 7? Urq,e? 06?-
Address 4,5-,5-6 City/Zip Code
Phone a, 5
Arch./Engr.
Address
City/Zip Code i?-
Phone # /+
---OFFICE QSS ONLY
Erect ? Oecupancy
Remodel Zoning
Repair _ Type of Const
Addition li of Stories
Move _ Length
Demolish Depth ! D
Int.Impr. _ Sq Ft
Install
APPROVALS
Assessments Permit ZS,oD
Water/Sewer Sureharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Couneil Road Unit
Bldg Off A il Treatment P1
APC Parks
Variance Copies
-
SYYfAL .7
6
NOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOB/HOHEOiINER MQST DESIGNATE iiHICH ADDRESS
IS DESIRED. NO CBANGSS LiILL HE AI.LOiiED OHCE BOILDING PERMIT IS ISSIIED.
??x??= ?t? x? ? /Vvon ?? --
?
C
?
ZA
?v
a
r-
?
?
----?-g ?----
, I ??? poS E D
n? /_` 1AJ
O wNFR•
C..o tEN d wEti
I?. 9(o a u N 8e a?,,? L?r
A Al
907?-
CONTtPACTo h',
TEU\../AGHrCt,
WSGI - '.1 I ,i 0
p
-- 1989 BfJILDIBG PBAFIIT APPLZCATION - CITY OF EA(
SIAGLE FAMILY DWELLIAGS
11 ? ?' + + z
INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEYt 1 SET OF ENERG7
NOTEs ADDEESSES FO@ Cd9NER LO?S - COATAAClOR/HO[QEdWNEH lIQST DE
IS DESIRED, HO CHANGFS iPILL BE ALLOLTED ONCE BIIII.DIdG PI3RMI7
. , o•*
26•00+
0•5U+
2b•5U*
26•00+
0•50+
26•5U*
M[ILTIPLE DWSLLINGS HENTAL 09IT3 FOE SALS D8IT3 • OF II9IT3
INCLi1DE 2 SETS OF PLANS, CERTIFICATE OF SUEVEY - CHECg i1ITH BLDG. DEPl., 1 SET OF ENERGY
CALCIILATIONS
COMAIERCIAL
INCLiTDE 2 SETS OF ARCHITECTURAL & STROCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS APR gj 1989
til?„ ?o?? G y
To Be tlsed For: e Valuation: Date:
Site 9ddress OFFICE I1SE ONLY
Lot ! Bloek Z Occupancy
Parcel/Sub
Owner
77F
Address ,f,CY !, dl .
City/Zip Code &,fi¢.,y/ .-.
I
Phone T)
Contraetorw ? S % H2 ?I w
Address
City/Zip Code ?4e!??4441 /*/'" J5-12 3 I
%S7 ? APPHOVAI.°,
Phone
Planner
9rch./Engr.
9ddress
City/Zip Code
Phone 0
Aetual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sexage
On site well _
MWCC System _
City water _
PR4 required _
Booster Pump _
Council
Bldg. Off.
Varianee
0?-
Bldg. Permit
Sureharge
Plan Review
SAC9 City
SACp MWCC
Water Conn
Water Meter
Aeet. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Dnit
Park Ded.
Copies
TOTAL
,&,o-z>
..130
NOTE: Serrer & Water Permit fees and accoupt deposit fees vill be iaeluded ia the building
permit fee. Processing time for serrer and water permits ia two daqs onoe a licensed
plumber has applled for a permit at City Hall.
`? nc I/I?Or, 1097 i
183-44
F. C. JACKSON
,
LAND SURVEYOR
121-3484
31STERED UNp[R UW8 OF 6TATE OF MINN[SOTA .I / OC• ?
?
IB[C !Y ORDINIIlICL.O!_CITY O? MINNtAPOLI• ?•I
__\?-'__ Z4,'1r=-A
5T SDiN STREET-____, \ I ? ?
75411 ' i I - -- -_.-- --- ? -
ibucbcpoc'g QCatificate
I;•.2:'t
? ?' „?• ,i ` I .
? 4---------n, v
?
n
NI / Y" D?O -s C.?I ? t
\ f
i.? _
i 17?' I
13
{?-
o - ?x i'_< ? '? , F/c ?- -. i ?!-
--
.
1 N[RlOY C[RTIFY THAT TH[ AlOV[ l0 A TRU[ AND OORR6CT PLAT OF A
Lot 4,151ock 2,Cliea Mar Faurth Addition,
Dakota County,Hinneeota.
t6th Feb. 19
A8 BURVEY[O sV MB THIE------- -DAY OR__._-
1
. ?
SiaN[o =-?
F. C. JACKBON,
I' ,
;
?
,. i
I
?
Ow
?I I
i ?
?.
v
1 ?
--
/ /
?
/
i. / v R-K /1 ._?-?'
4[9o7 oiwrruTroa. No. 9600
Storm Sewer Trunk
? C s r]ar 4th ?
Block l, Lot 1 345.67
2 346.45
3 3G1.68
4 301.02
5 1118.88
6 934.10
7 494.29
8 455.49
9 364.05
10 597.58
11 397.59
12 328.56
13 693.81
14 327.37
15 290.39
16 490.78
17- 805.84
18 1631.79
19 1908.97
20 2512.98
B:ock 2 I.ot?l
? 459.47 ?
~-- `
2 545.87
3 624.55 '
577.04
? 5 478.66
6 422.66
7 488.72
8 553.46
9 423.54
es Mar Sth ,
Block 1, Lot 1 467.30 i
2 369.51 ?
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 , 603.69
6 331.45 '
7 325.00
8 325.00 ,
9 600.68
10 1021.18
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
Reaulremenfa
? 2 Copies o1 plan
oATE: a 1 5 l o i
CONSTRUCTION COST:
?
-* 5 aoD . v v
?
DESCRIPTION OF WORK: FWt dku u d? 2 I( muHi-famity bldg., how many unifs?
ll wr,
INDICAiE THE FOLLOWIN E6IUIPME O BE REPLACED AND BY WHOM:
_ Plumbing _ Homeowner 21 Coniractor Name
_ Mechanicol _ Homeowner g[ ConTractor Name
"Note: It somebody other Than the homeowner is performing plumbing or mechonical work ihey mustapply for appropriate
permit. Only Iicensed plumbing contractor or homeowner may compiete plumbing work.
STREET ADDRESS:
LOT: BLOCK: SUBD./P.I.D. #:
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
PROPERiY
OWNER
Name: 0Ao01 Gdiah UA,n J?'Ak Phone#: 9Q"09-0602-
Last Flrst
Sheet
1V
Clty ?? CL U State: MdV Zlp: 5S03
Company: Lw^c. Phone#: ?SO bO?'??SS
(area code)
CONTRACTOR ?0 ? SG, S?GS 3 3l D l
StreetAddress: ??v W' License# Da1 3 Exp.
qy 61uo,n?'y3for state: M/v zip: Sw;d
I hereby acknowledge that I have read this applicafion, sfate ihat the informatio correct, nd agree fo compty with all applicable State
of Minnesota Staiufes and Clty of Eagan Ordinances.
Signalure of Applicant:
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) '-F---
J ? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
Reaulrements
? 2 copies of plan
DATE: q I 2q'00
CONSfRUCTIONCOST: + I6O'U00
?
DESCRIPTION OF WORK: If mWtl-famiry bldg., how many units?
Ih+erior wG.?1 Vepctir o -Floo6 i?aw,0,52.
IPlDICATE THE FOLLOWIPJG EAUIPAAENT TO BE REPLACED AMD BY WHOPA:
_ Plumbing _ Homeowner ps Conhactor Name
_ Mechanical _ Homeowner gr Contractor Name
"Note: If somebody other than The homeowner is performing plumbing or mechanical work they must apply forappropriate
permit. Only licensed plumbing contractor or homeowner may complete plumbing work.
STREET ADDRESS: 12!? te
LOT: BLOCK: C
Name: Moorv,&aw b QY? Phonea: (v51- 3'N -81&_7
Last First Cp 1 2-?p 2l0 -7DriW
h
SUBD./P.I.D. #:
Gw2
6s 1 - &gg - otoaz
rROPEerv
OWNER
CONfRACTOR
Sfreet Addreu: I 2-11? Lv D Uy\be rrn LQ n e
ay eaqc.v-- stcte:
r
rnn
(Keyr"2)
Ccdl?
?U.9p f (C.
5S 12'5
Zlp:
Company: 5?1? Phone#:
(area code)
Sheet
City
I hereby acknowledge that I have read this application, state that Me
of Minnesota Stafutes and City of Eagan Ordinances.
Signature of Applicc
State:
License # Exp.
Zlp:
?"i 1? 7 i 35 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
' I 7 CITY OF EAGAN
3830 PILOT KNOB RO - 55122
651-681-4675
Reaulrements
? 2 copies of plan
DATE: 1 V-Z-OD CONSTRUCTION COST: f?5 I!5.60
/ j?
DESCRIPTION OF WORK: ??C(,? I( multi-famiry bldg., how many units?
IPIDICATE THE FOLLOWIPdG EQUIPMEfdT TO BE REPLACED AfdD BY WHOPA:
_ Plumbing _ Homeowner Q Conh'actor Name
_ MeChanical _ Homeowner gt Contractor Name
"Note; If somebody omer man The homeowner is pertorming plumbing or mechanical work they must apply for apprapriate
permiT. Only Iicensed plumbing contractor or homeowner may complete plumbing work.
STREET ADDRESS: I L"f lY 11JL'1/Y 1UV-11
LOT: A BLOCK: ?_ SUBD./P.I.D. #:
Name: wicci t) L_ Phone #:
pRppERTy Lasr flrst
OWNER ;? ra i \. ?.. _ i _
Sheet
Ciry En GC 10 Stafe: ? Zip:
CompanyTw I,-A'yv (an4_ Phone N: ?5a ffl'' br
(area code)
CONTRACTOR
Sfreef Atldress: License # *a I ki xp. 0 ?T31'U I
Clry wmf)fl?n? State: MN 2ip:
I hereby acknowledge thqt I have read this appiication, sfafe thaf the information is correct, and agreeto compry wifh all applicable SiaFe
of Minnesofa Stafufes and Ciiy of Eagan Ordinances.
Signafure of
OCT-3
2004 RESIDENTIAL MECHANICAL PERMTT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc single family dwellings & townhomes/condos when pertnits are required for each unit
2
I O
_
Date / /
Site Address I?? w ! J?4 h rrq LCt_.r'\ e Unit #
??
Owner?Ct
Pro
ert T
l
h
#
-
p
y e
ep
one
Contractor r --
O'Connor ?
Street Address I Plumbing, Heating 8L Copling ? City
State 1904 Vermillion St. (n»4374177 , Telephone# ( )
?- Hastings, MN 55033
- -
Bond #: Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit ?,r/}'(
tIA
?
+ $ 30.00
A furnace _Additional ?Replacement ?'?Q?a
?L, ?
_ airexchanger
?/ hc?^fl.??",.
g?a (aS ?
air conditioner N
/r R
l
t
_
ew
ep
acemen
other
State Surcharge $ .50
Totai APR 2 ti 2004 ? $ s?
--- J
I hereby apply for a Residenrial Mechanical Permit and acknowledge that the infotmation is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and wi[h the Mechanical Codes; that I understand tlils is not a
permit, but only an applicarion for a pernut, and work is not to start without a p fnit; that the work i be in accordance with the
roved plan in the ca r which re uires a review and approval of plans.
? a ?S (?AVvt6L, OA
Applicant's Printed Name ApphcanYs Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commercial/indushial buildings
multi-family buildings when separate permits are not 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 _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _ Remove *'see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
"*When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Perlltit Fees: $70.50 Underground tank installationhemoval
$50.50 inimum (includes Stale Suroharge)
or
ContractValue $ x 1% PemutFee
• If nermit fee is $1,000 or less, add $.50 => $ State Surcharge
If,permit fee is over $1,000, add $.50 For
every $1,000 nermi[ fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicanPs Printed Name
ApplicanPs Signature
Approved By: ,Inspector
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107013
Date Issued:09/24/2012
Permit Category:ePermit
Site Address: 1296 Dunberry Lane
Lot:4 Block: 2 Addition: Ches Mar 4th
PID:10-17103-02-040
Use:
Description:
Sub Type:e-Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Daniel L Mooradian
1296 Dunberry Lane
Eagan MN 55123
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
To: 6516755699 From: 7637108061 _ 9-10-19 9:17pm p, 2 of 2
r ,
For Office Use
.: .% %i :, Permit#. /S'/ 37)--
E AGA N
..... .....
Permit Fee: (03.?
��1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received:
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694
buildinginspectionsCd_cityofeagan.corn Start -
J
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 09/10/19 Site Address: 1296 Dunberry Lane
Unit#:
s
Name: Karen Leider Phone: 952-457-1314 t
Resident'
i
owner I Address/City/Zip: 1296 Dunberry LN, Eagan MN 55123
Applicant is: Owner V Contractor
1 i Replace existing overhead garage door on attached garage.
Type of Work ' Description of work:
1300.00
) f
Construction Cost: Multi-Family Building: (Yes I Na
Company: AA Garage Door Dave Sands i
I
Contact: s
1 Address: 562 Lundy Lane Hudson
Contractor City:
WI . 54016 ara 651-702-1420 dave as edoor.com '
State: Zip. Phone: Email: g 9
NAT 671642 `
License#: ?
Lead Certificate#: ;
If the project is exempt from lead certification, please explain why:
i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
i
Yes No If yes,dale and address of master plan:
Licensed Plumber Phone:
Mechanical Contractor Phone:
i
g Sewer&Water Contractor: Phone:
i Fire Suppression Contractor: ;
Phone: l
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non-•ublic if .u • ovlde specific reasons that would . , it the Ci to conclude that the are trade secrets. `
i
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.goohersiateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and app val plans.
x Deborah Nyasende .-,z_
x ' , d
i (17C A 6.46t-
Applicant's Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163001
Date Issued:08/10/2020
Permit Category:ePermit
Site Address: 1296 Dunberry Lane
Lot:4 Block: 2 Addition: Ches Mar 4th
PID:10-17103-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Carter J Nickolay
1296 Dunberry Lane
Eagan MN 55123
Universal Windows Direct Twin Cities
150 88th St W #205
Bloomington MN 55420
(612) 866-2888
Applicant/Permitee: Signature Issued By: Signature