1318 Jurdy RdCITY OF EAGAN Remarks
Addition Dox?riywood Addn. 2 ? 10 20 020 ?
Lot Blk Parcel
Owner ???' ??.? `?` ?'• 41 Street 1318 Jur# Rrl= State- E2.panaMN 55121
/?,.,?.,H, :.
Improvement Date
Amount
Annua
l
Years
Payment
Receipt
Date
STREET SURF.
iE STREET RESTOR. L/
GRADING
]
SAN SEW TRUNK 2.8? 2.51 2
* SEWER LATERAL 21 8 a 2. 6
WATERMAIN
WATER LATERAL
• WATER AREA 1972 20
* STORM SEW TRK 1975
,.? STORM SEW LAT ' y6 1972 232.54 11.62 20 139.58 007049 11-6-78
* o Sew Lat 1975
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit Char e
WATER CONN. ZSO OO
BUILDING PER.
SAC
PARK
CITY OF EAGAN --
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT
I To be used for ,..ACE
Receipt
Est. Value `?'' 9 50v pate AY 1-'' ,19 '
Site Address • ' '?
Lot Block Sec/Sub. _
Parcel
i'ONNYW00D
s Name ?CKLINSKt 11
W
z Address
?
° City Phone `' "= _'`(' k.
o Name .',-fZ 545-558t: 4 ;
oQ Address W-
P City Phone ' 3%-+074
Fc
{Vu W Name_
_z. Address
U
t Z
yj Cilt}I -
that I have read this application and state
State of Minnesota
5ignature of Perm
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
City Water _ (Actual)
(Allowable)
* of Storfes
Length
D
th
ep
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit
Water/Sewer _ SurCharge
Police _ Plan Review
Fire SAC, City
Engr. _ SAC, MWCC
Planner _ Water Conn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatment P1
Variance _ Parks
Copiea
TOTAL
A Building Permit is issued to: ' on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea
Ruilriinn (lffinial
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA154035
Date Issued:02/13/2019
Permit Category:ePermit
Site Address: 1318 Jurdy Rd
Lot:2 Block: 4 Addition: Donnywood
PID:10-20960-04-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Stephen Kuklinski Ii
1318 Jurdy Rd
Eagan MN 55121
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
Permit No. Psrmit Holdsr Date Talaphone x
Plur!'bin9 ?", / , /?._ •, - `? ?. ,(? ,., .??f /6 ?
i
H.V.A.C.
E lectric
Softener
Inapectlon Date Insp. Comments
Footings I
Footings II
Foundation 1
Framin9 7 -4- ? 4.nc•+'t oA
Roofing
fiough Pibg. -?7
Raugh Htg.
Isul.
Fireplece
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
? . , .
t ,
CONTRACT PRICE
Site Address , ` ' _
Lot Block
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PERMIT #
RECEIPT #
DATE:
m Name ? ; • fg . i E ,< LJ h
? Address
c City Phqne ?. ? •ci.:
r
? Name
3 Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
FOR: CITY OF
BLDG. TYPE WORK DESCRIPTION
Res. nNew
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1 50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00 ?
Private Disp. - $10.00
Rough Openings - $1.50
FEE: ? I
STATE SIC: • S r I
GRAND TOTAL: '
CITY OF EAGAN
. 9795 Pllot Knob Rood Eogon, MN 35122
PHONEs 454-8100
BUILDING PERMIT
Ta 6a us" fer `J` •
32,000
N 4921
Receipt # -
Site Addresa Erect Occuppncy .:..,
Lot Block Sec/Su6. Alter ? Zoning
Parcel # Repair ? Fire Zone
E
l T
f Consf
n
orpe ? .
ype o
c
o Name Move ? # Stories
w .
? 1.
Address
• Demolish ? Pront ft.
t- ._. ..._.
`.3
Ci Phone
Grade ?
Depth ft.
o Name -_,•ir'?Gt ;;'Z' CAflst. APVrovelt Fees
~
?
Address Assessment Permit
-
?
h Water & Sew. Surchcrge
Ci P
one
Police Plan check
W
m No
e
Fire
SAC
C
? Address Eng. Woter Conn.
?
W W
M
< Ci phane Planner ater
eter
Council
I hereby ackrwwledge that I have read this cpplication and stote that
13ld9 Off.
' ?
l.
the information is correct ond egree to comply with all applicable w?
Stote of Minnesoto Statutes end City of Eeflan Ordinances. A? Total
$ignpture of Permittee
A Buflding Permit is issved to: on the express condition that
all work sholl be done in accordance with all applicable 5tote of Minnesota Statutes ond City of Eogan Ordinances.
9uilding Offlcial
PennR # pah Isswd PormiftN
Plumbing c ?'i _., _W - 7s
Mechanical
INSPECTIONS DATE INSP• Rough-tn Final
Footings Date Irup. Date Inap.
Foundotion Plumbing
Frame%A1 Mechanicol ?--, = J-
Final
Remorks:
cirr oF EAGAN
3795 Pilot Knob Rood
Eagan, Minnesota 55122
Phone: 454-8100
Pr.rTMaTrtr. _ PERMIT
Dote: Se?tember 13, 1973
Site Address: -13 la juxdY ROd:=
Lot Block Sub/Sec.
Name
.
? Address
Ciry Phone:
Name `?`noert ?luinbinq
.
?
V
Address =- ?-Y5 Eden Avenue
e
0
V
XPrnit Edina 5543r. Phone:
Tis issued on the express condiTion that all work shall be
innesota 5totutes and City of Eagan Ordinances.
No, i2dF3
3_1642
Receipt No.:
Single
Residentiai
Multi Res., Comm./Ind. I
New/Alter./ Repai r
Cost of Installation
Permit Fee
Surcharge
• -??
Totol
done in accordonce with oll applicable State of
Building Officiol
ppppp-
Date:
? CITY OF EAGAN .. ?,)n A:r Pequired ?
3795 Pilot Knob Rood
Eagon, Minnesota 55122
Phone: 454-8100
HEATIN G
9-aif:A78
PERMIT
Site Addresr. ' 1 R Jiirdy Roal
Lot Bfock 4
Nome
Sub/Sec. _`'°nnyzvood
; Address "n 1 Lanham I.ane
O
City iina Phone:
Name 1 eV e J
.
? Address ,075 Pionee-
e
0
V
CitY Phone:
This Permit is issued on the express condition that all work shull be
Minnesota Statutes and City of Eogon Ordinances.
No,
Receipt No.:
Single
Residential
Multi Res., Comm./Ind. ?
New/Alter./Repoir
Cost of Insrollation
Permit Fee _
$urchnrge
Tota I
done in accordance with oll applicable State of
Building Officiol
CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, Minnesofa 55122
Phone: 454-8100
WPMM SM"I"ER
Date:
} L55-']Q
PERMIT
Site Address: 13 ]..3 :717Zd'y FC&I
2 4 DMvIrwood
Lot Block Sub/Sec. _-
No.
m
Receipt No.: 13470
$ingle
Residential
Multi Res., Comm./Ind. I
Name '•tPpMn J. RL3k1'j`w3ki oir
N
/Aiter
/Re
.
p
ew
; Address 1 1I? 'nr?
Cost of Installation
O
City
-491-4074
Phone:
Permit Fee
Nome M.?.?± ( _.`n'T?
Surcha rge . ?n
.
P
Address
'f!W'i.e AVP.
e
0
u
_<
City .
" '_ ??; 1 rt???.?" •.... .^.p:
? Phone:
Total
r Cl1
?
This Permit is issued on the express conditian that oll work shall be
Minnesoto Stotutes ond City of Eagan Ordinances. dane in accordance with all applicable 5tate of
Building Official
CITY OF EAGAN
3795 Pilat Kweb Rood Eagan, MN 551 22 N2 4921
e PHOMEs 454-8100
BUILDING PERMIT APPLICATION Receipt
Te bs umd Feff $F Dw19• Est. Vnlue 32t000 pate 813 ?. 19 7$_
?V+V VMiM
Site /1lress ' •WaM Ered
n -
Occupancy
Lot Block sec/s„b. nnywoo Alter ? Zoning
Parcel # Repoir ? FIre Zone
Enlarge ? Type of Const.
Na? YS O tAQUl S Move ? # Staries
W
Address 7jUi a n am ane
Demolis
h 0
Front 36 ft.
? C? Phone 941-2538 Grode ? Depth 26 ff.
Approvals Fees
? No" same - Sandaiper Const.
u? .50 ?d?? Assessment Permit 95 16 OQ
? Woter & Sew. Surcharye •
Ci Phone •
Police Plan check .
Nome . Firc SAC 504.00
?? Address Eng. Woter Conn. 250. 00
<W Ci phorte Planner Water Meter 60•00
Co,nc;l _?? Road Unit 75.00
I hereby acknowledge thaT I have road tfiis nppiication and stcte that gl?. O{{,
the information is correct and agree to comply with oll appliccble APC Total ?b•?
State of Minnesoto Smtut ?xi of an Ordinances.
5ignaturc of Permittee
A Building Permlt is issued on the express tondition that
cll work shali be done in a• nce vYith a11 a piioo le State of Minnesota Statutes and City of Eagan Ordinances.
Buildinp Officiol
i
RESIDENTIAL
BUILDING PERMIT APPLICATION
'
3830 PILOT KNOB RDN 55122
651-681-4675
New Conatruction Reaufremenls
• 3 registered site surveys shawiig sq. R. of lot, sq. R of house; and all roofed areas
(ZO%maximum IOl wverage allowed)
• 2 copies of plan shawing beam & wirMow sizes; poured found design, etc.)
• 1 set of Encefgy Calculations
• 3 copies of Tree Preserva6on Plan if lat platted afler 711193
• Rim Joist Delsil Opibns seleIXion sheel (bldgs with 3 or less uni4s)
DATE
JOB SITE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? _
PROPERTY OWNER_'-).etl1e. I?v? l 105 MC. 't
TYPE OF WORK g?roerv/.5?/4J : n41c,,)'sl FIREPLACE(S) _ 0_ 1_ 2
APPLICANT? F?e? WA - PHONE#
ADDRESS d i ZIPCODE ??/_
PAGER # CELL PHONE #lv5'/ JH ?S--q!?_`)'? FAX #CpSI -0?-'?.?4't' _
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing 5ystem Includes:
Mechanical Contractor:
Mcchanical Syslem Includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan nces.
Slgnature ot Appilcanf
Certifcates of Survey Received _ Tree Preservation Plan Received _ Not R uired _
Updatad 1lOt
Water Softener _
_ Water Heater _
_ No. of Baths
RemodeVRaoair ReauiremeMs
. 2 copies of plan
. 1 set of Energy CaICWaUons For healed addilions
. 7 site survey (or exteriw additiore 8 decks
. Indicate if home served hy septic system tor additlons
VALUATION
i?{ h Du1.S
Phone #:
Lawn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY
i.. .,
? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ?31 Ext. Ait - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ?
.
,?(/33
Ext. Ait - SF
I] 04 02-plex ? 10 OS-plex Ali`8 Deck ? 23 Porch (screened) ? 36 MuIN
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
)1(37 New Occ?- ' O 35 Intlmprovement ? 38 Demolish(Interior) )8? 44 Siding
? 32 Addition ' ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof X?46 WindowslDoors
? 34 Replacement *Uemolition (Entire Bldg only) - Glve PCA handout ta applicant
Valuation /?y cw, cv Occupancy {Z'"3 MC1ES System
Census Code L4 3 y Zoning City Water
SAC Units 01 Stories Booster Pump
Nbr. of Units 0 Sq. Ft. PRV
Nbr. of Bldgs 1 Length Fire Sprinklered
Type of Const -V?t/ Width
FLEQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
Footings (deck) FinaUNo C.O.
_ Footings (addition) Plumbing
Foundarion
Drain Tile
Roof Ice & Water Final Other
_ Framing Pool _ Ftgs _ Air/Gas Tests _ Final
_ F'ueplace _ R.I. _ Air Test _ Final Siding Stucco S[one
_ Insulafion Windows (newheplacement)
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
?
HVAC
Building Inspector
CITY OF EAGAN N° 13 6 2 3
3A30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for GARAGE
Receipt u
Est. Value $6, 500 Date
SiteAddress 1318 JGRDY ROAD
Lot 2 Block 4 Sec/Su6._
Parcel No
DONNYWOOD
a Name STEPHEN T KUKLINSKI II
z Address SAME
0 City Phone 452-4074 H
,o Name MORRIS PIETZ 545-5586 (W)
?Q Atldress 16593 GALENA AVE
? City RORF.MnUNT phone 432-4074
City
MAY 14
OFFICE USE ONLY
on site sewage _ occuvancy
MWCCSyslem _ Zoning
On Site Well _ Type of Const
City Water _ (ACtuaq
(Allowable)
S of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROYALS
Assessments
Water/Sewer
PoliCe
Fire
Engr.
Plannef
CounCil
1 hereby acknowledqe that I have read this application and state I Bldg. Oft,
thattheinformationiscort?agreetocomply ithallapplica4le ? A?
State of Minnesota Statut nd "ty of Ea ina c. Variance
Signature of Permittee
A Building Permit is issued to: MORRIS PIETZ
all work shall be done In accordance with atl appl^icabll?I S-tate of MinAes
Building Official ( ?CY-?--n, ??
a
FEES
_ Permit
_ Surcharge
_ Plan Review
_ SAQ City
_ SAC,MWCC
_ WaterConn.
_ Water Meter
_ Road Unit
_ Treatment P1
_ Parks
Copies
TOTAL
19 87
$72.50
-A S!1
on the express condition that
Statutes and Ciry of Eagan Ordinances.
REQUEST FOR ELECTRICAL INSPECTION ?e7e-ooiwi-oa
? See ins?ructions tor completi?q this torm on Eack oi yellow coov. ??
?--1 C 4 4 2 7 8 "X" 8elow Work Covered by 7his Request -?
uewlFdA Nao. Tvoe ot Builtlina Aooliancws Wirwd Equiuma.t Wiretl 1
Fi
Commercial 81dg. Fumace 1 ? Silo Unloader ?
Industrial Blda. Air Conditioner
Bulk M ilk Tenk ?
q Fee ServiceEntrence5ize fl Fee Feeders/5ubieedera N Fee Circults
0 to200qms 0 to30Ams 0 tn30Ams
A6ove 200 qmps 31 to 700 Amps 31 to 100 A s
Swimming Pool Above 100_Am s Above 100_P.mPs
Transformers Irngation l3ooms Partial."Other Fee
$igns Special Inspection $ ^^$?
Remarks . O? TOTAL(5?4
? - I, tha ElecVicxl
?nSOe«o., ha,abV
• certify the> >he above
Final /('?r ??' ^ ?=e/? insDection hes saen
//°5 I moaa.
This reques[ voi0 yCj/?f/?7
18 momhs 1mm .
f 4 4 2 7 8,L,? Q,v,?};,?
;;, --?? ---2 (YU,
Requesl Uate
? o
~
? Fir No. Rou60n Inspection
e Wred?
?Ready Nuw Q Will. Notify. Inspe?-
to
Wh
R
Q ?es ?NO r
en
epdy
? Licensed Electrical Contractor I harehy re0uest inspeclion ot ebove
`?'Owner elecnicel work insfalled ar
Sveei Atldress, Bo. or Route No.
? ? City -
?
1
/3 /b
u R b Q A? 6AIt-
ecuon o. TownshiD Name or No. Range No. County
A ko7`t
Occupant (PRINT) ?
S%E V£
Ltr?SX/ Phone Np.
Sa- 467q
Power Suoplier
0,4 < L z? Address
M,N 6 -o I?
Elec[rical Contractor (
Company Name) Contractor's License No.
h
S /T N7 ?'^ ?
Mailing AdJress IConvactor or Owner Making InstailatioN
S ? e-
Aut r" d Sie?aiure IContrac Owne
? Making Installationl
• Phone Number
/
MINNESOTA STqTE BOAND OF ELECTqICITY v THIS INSPECTION NEQUEST WILL NOT
Griggs-Midwav Bldg. - Xaom N•791 BE ACCEPTEO BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55704 UNLESS PROPEH INSPECTION FEE IS
Ph..o. 18121297.2111 _ ENCLOSED. _iiia
This request void 18 months from ? 11'-elp `
s.- -?( aa'?g '0R 13634
Date of this Request
1, as KLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No.
Sec[ion Township Range County
Which is occupied by
Is a roughin insF
Power Supplier_
Electrical Contr
Mailing Address
Authorized Sieo
on this job? No ? Yes4 Ready Now ? Will Ca11M
License Nolr-?,3a'
No. 3 ' SaU
`? This ins ection re uest will nat be acce ted 6 the
?}vLa.?f E 001M Q2p? State Board unless proper impeetion fee is enelosed.
Minnesota State Board of Electricity
195tUniversity Ave., St. Paul, Minn. 55104-Phone 645-7703
'REQUEST FOR ELECTRICAL INSPECTION
CIIF;CK BELOW WOAK COVERED BY THIS REQUEST
R 13634
Type of Buildiqg New Add. Rep. Check Appliances Wved Fo: Check Equipment Wired For
Home ? ? Range Tempoiary Wiring ?_
Duplex ? El ? Warer Heatet ? Ligh[ing Fixtures ?
Apt. Bldg, ? ? ? Dryec ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bidg. ? ? ? A'u Conditionei ? Bulk Milk Tank ?
Fazm . ? ? ? List
O List
Other
?
?
? thers
He pthers
Here
INSPECTION FEE
to
TOTAL FEE
I, the Electrical Inspector, hereby fy, th h abpve inspection has been mad 35
(Rough•in) Date
(Final) /Z4 c Date //- ..77- ;
Th3s request void 18 months 'm'?
?
7987 BUILDING PERMIT 9PPLICATION - CITY OF E9GAN
SINGLE FAMILY DWELLINGS
ZNCLDDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY C9LCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNEB MIIST DESIGN@TE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSQED.
HOLTIPLE DWELLINGS - RESIDEN'fIAL RENTAL DRITS FOR Sl[.E UNIRS
INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SIIRVSY - CHECK SiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COP47LRCIAL
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: (q Wf(6rJJValuation: 6g33. 66 Date: ? /
Site Address 1,?16 JM,VLfly A G"4k
sslaT
Lot (:?)
._ siock ?_?jeNNVuoa?
Pareel/Sub 1) 0u'N? 'aJB@1
Dwner SI??TJ?ti1
Address l.Zlrf S?cGvA'Y /-ti
City/Zip Code J'4:"Sq0-1 ?
Phone yS d-?Q'7? ,S yS -S S?
Contraetor K8a'2a ?j161-x
Address )(g.E93 G&?-;C-'Vfl /}cJ?
?
City/Zip Code k6v.446vr1r )"((o -?S019e
Phone T3 01- 4 6 7!
Arch./Engr.
Address
City/Zip Code
Phone #
On Site Sewage_
MWCC System _
On Site Well
City Water _
gPPR09ALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
2.
I (I - T0I
-.
Occupaney
Zoning
Type of Const I?I
(Aetual)
(Allowable)
# of Stories '
Length
Depth
S.F. Total I
Footprint S.F.
FEES I
Permit
Sureharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
S
s
r
BUZLOZ14G PF.RMIT APPLICATION
4z:?U ? ?
nATE as ?Y A-
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculatiohs.
sj/?-:?-
To be usad for ? )aluation
Site Addresc;,?/*-
9
I+ot Block See. Sub.
DoIV .-,y
Ocaner u 1ir.r n w r ?C '
Address 7.? [i ? .. - N .?/ia ?r. L.M-iv ? Contractor
Address
Arch./Eng.
Address
Erect Z-?
Alter
l:epair
Enlarge
Move
Tlemolish
Grade
OFFICE USE
nate of Approval & Initial
assessment
water/Sewer
rolice ,
Fite
Eng.
Planner
Council
Rldg. Off.
A.P.C. _
,j`? Uoo--nc
Parcel Number
Telephone
Telephone
Telephone
OFFICE USE
Occupancy ?
Zoning
Fire Zone
Type of Const.
M of Stories
£ront ?
Depth
FEES
l5 ?
P@Ilill't --
surcnarge rlan Check
SAC
Tlater Conn. ?64
er-
t-later Meter &92
TOTAI, --- Gri? , SU
CARDA[4ELl`E & ASSOCIATES, iNC. ND SUR EYORS
6440 gLYIkG CLOUD ORIVE 941-303Q DEN PHA RIE, MINN. 66344
? cEaTIFrcaTe oF suRvtY ?
5urrey For:
eook3f5 p?'70
dV \ ?
\ U?
?
M z53, ? ,y? ?.]
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CAItD & ASSMATES. ING
5TATE REG• NO. 63Q!
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1318 Jurdy Rd
Lot: 2 Block: 4 Addition: Donnywood
PID:10- 20960 - 020 -04
Use:
Description:
Sub Type: e - Furnace
Work Type: Replace
Description: Furnace
Comments: Permit closed without required inspection(s). Letter sent to applicant on 2/11/09. (pf)
Fee Summary:
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437 -0338
4/30/08 Notification letter sent regarding expired perm
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
pf
Owner:
Stephen Kuklinsld 11
1318 Jurdy Rd
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Mechanical
EA079852
09/18/2007
ePermit
c1r pF EAGAN WATER SERVICE PERMIT
379 'P` of Knob Road PERMIT NO.:
% MN 55122 DATE. " / •sT,
No. of Units. Z'c�ning I
�-� `
Owner: n c c
Address:
'Site Address: I s ;3 n
Plumber:
, Meter No.: Connection Charge :. > _ "'
Size :. Account Deposit:
Permit Fee:
Reader No.: }
1 agree to comply with the City of Eagan Surcharge:'"
Ordinances. Misc':'Charges f fi - ; `�'
Total:
By Date Paid:
Date of Insp.: Insp.:'
CITY 'oFF EAGAN SEWER . SERVICE PERMIT
3795 clot Knob Road PERMIT NO
EagcLA, MN 55122
Zoning: No. of Units:
Address:
Site Address: t t t .. +, 1 ` : 1%'- 7lt "q.0:
Plumber:
: : j / ' '. t
1 agree to comply with the City of Egan Connection Charge' ''
Ordinances. ° Account Deposit,: �•`�
_Permit ee' " "s
R , °
Surcharge:
By Misc. Charges:
Date of Insp.: Total . lnsp.: Date Paid:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141656
Date Issued:03/23/2017
Permit Category:ePermit
Site Address: 1318 Jurdy Rd
Lot:2 Block: 4 Addition: Donnywood
PID:10-20960-04-020
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (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 -
Stephen Kuklinski Ii
1318 Jurdy Rd
Eagan MN 55121
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature