1329 Jurdy RdCITY OF EAGAN Remarks < %sU 1
Addition Donnvwood AdcLn Lot ? aik Parcel
Owner ;? ' Streei1329 Jurd,y Rd, State Eagan?MN 1 2-
Improvement Dare Amoun[ Annual Vears Payme.nt Receipt Date
STR E ET SUR F.
jF STREET RESTOR. 1975
GRADING
SAN SEW TRUNK 1970 62.80 2.51 2 P31d
? SEWER LATERAL 1275 2278.78 455 75 5 P37d
WATERMAIN
# WATERLATERAL & StuUS 1
9E WATER AREA 1975
STORM SEW TRK 1975
* STORMSEW LAT 1975
CURB & GUTTER
SIOEWALY.
STREET LIGHT
WATER CONN. 130.00 10297 4-3-71.
4
BUILDING PER.
sac 10297 -3-7
PARK
BUILDING PERMIT
To be used for
Est. Value
Site Address _
Lot ' Black
Parcel No.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHO N E: 454-8100
? Sec/Sub
m Name
w
; Address
0 City ' Phone •
o Name '
0 a Address ? City ' Phone
W W Name
.w
zz, Address
aw City Phane
I hereby acknowled9e lhat I have read ihis application and state that the
information is correct and agree to comply with all applicahle State ot
Minnesota Statutes and City ol Eagan Ortlinances.
Signature of Permittee
A Building Permil is issued to:_ '
on the express condition ihat all work shall be don e i n accordance with al I
applicable State of Minnesola Statutes and City of Ea9an Ordinances.
Building Official
Receipt #.
Date_
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ (ACtuap Const
City Water _ (Allowa6le)
PRV Required _ # of Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Swcharge
Council Plan Review
Bltlg. Off. SAC, City
Variance SAC,MWCC
Water Conn.
Water Meter
Road Unit
Trea[ment Pi
Parks
TOTAL
19
Permit No. Permit Holtler Date Telephone #
Plumbing
H.V.A.C.
Electric
Soflener
Inapection oaie Insp. Comments
Footings I
Footings II
Foundation
Framing
Rooting
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition Donnvwood Adcin. Lot 3 eik 3 Pa?cei ajf ?03 3
Owner street-1329 Juz'dy Rd, scate Eagan,MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
* STREET RESTOR. 1975
GRADING
SAN SEW TRUNK 1970 62.80 2.51 2 P&ld
* SEWER LATERAL ZS 1975 22 S 8 455.75 5 Paid
WATERMAIN
iE WATER LATERAL & StuU3 197 5
* WATER AREA 1975 5 1
* STORM SEW TRK 1975
* STORM SEW LAT 1975
I
CURB & GUTTER I
SIDEWALK
STREET LIGHT
WATER CONN, 130.00 10297 4-3-74
SUILDING PER.
sAC .00 10297 -3-
PARK
CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est. Value ? 1Date
Site Address 1,179 Lot ' Block ? Sec/Sub.
s Name ?110BERT REN7
= Address 1 174 :"t1)Y Mi
o Ciry '•. ='' Phone
, o Name LALTBACL? 1.;:: i nUC?IUr<
?? Address '47 :1Aj t;?.A:aCl
? Ciry i>:: '.LE Phone 43 :- : J 1 .
Vj W Name
y
FW
Address
`W City Phone
I hereby acknowledge fhat I have read this application and state that the
information is cortect and agree to comply with ail applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee _
A Building Permit is issued ta .,
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building OHicial _
OFFICE U5E ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required iC of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
?, .
Engr./Assess. Permit
'
Planner Surcharge
Council Plan Review
Bidg. Off. SAC, City
VarianCe SAC, MWCC
Weter Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL " '
Permit No. Permit Holder Date Telephone *
Plumbing
H.V.A.C.
Electric
Softener
Inspection Dat4f Inap. Comments
Footinqs I
Well
Pr. Disp.
RESIDENTIAL
?y?aGl BUILDING PERMIT APPLICATION
? CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4675
New ConsVUCtion Reauirements
• 3 2qistered site surveys showing sq. k. of lot sq, k. of house; and all roofed areas
(20qo maximum lot coverage allowed)
• 2 copies of pian shovring 6eam & window sizes; poured found design, etc.)
• i set of Energy Calculations
. 3 copies of Tree Preservation Plan if lot plafted after 711193
• Rim Joist Det2il Oplions seleIXion sheet (bldgs wilh 3 or less unds)
-75
RemodellRenair Requirements
. 2 copies oi plan
. i sel ot Energy Calculations for heated additions
• 1 site survey for exlenor atlditions & decks
. Indicate ii home served by seplic system for additions
DATE _ a-I O-V2, VALUATIO Nr4EXC
JOB SITE ADDRESS -
IF MULTI-FAMILY BUILDIN'G,` HOW MANY UNITS?
PROPERTY OlhiNER Y'1--kiiL HeGQn bi:-CM_,Yl
TYPE OF WO
APPLICANT
ADDRESS
PAGER #
CELL PHONE #
tEPLACE(S) _0 _1 _2 _3
PHONE # 7?C7?J'jg(n'7gI?
Z I P CODE
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA Ri7LES 7670 CATEGORY 1 ?!?1 7
(checkone - ? ?v
) Residential Ventilation Category 1 Worksheet Submitted? ??• , .?,? `J I
• Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672 59P Zo 2a)/
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone #:
Plumbing System Includes: Water Softener _ L.awn Sprinkler Fec: $90.00
Water Heater No. of R.I. Baths
No. 01 Aaths
Mechanical Contractor:
Meehanical System Includes:
Sewer/Water Contractor:
Phone #
Phone #
T'ee: $70.00
All above information must 6e su6mitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to camply with
all applicable State of Minnesota Statutes and City of Eagan Ordi ances.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Air Conditioning
Heat Recovery System
Upda[ed 1101
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
, See instmctiens lor completing this form on beck ol yellow copy.
0 66212 "X BeloW Work Covered by 7his Request
Nare Adtl ReO. TVPa of BuildinB AOPlu,AC9! WifBE Equiument Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtutee
.;,at BuilAing Dryer Elec[ric Heaun
? Commercial Bldg. Fumace Silo Unlonder
Industrial 81Aq. Air Condi[ioner Bulk Milk Tank
Farm oin„, ue+, v ethm (sntadfv)
1Ter 1 uccily? ther 07 Othi,r
omoute lnsnection fee Below
p Fee ServicaEntranceSize X Fee Fexders/Sabineders N Fee Cucu,ls
0 to 200 qm s 0 to 30 qm s 0 m 30 An s
Above 200 qmps 37 to 100 Amps 31 to 100'Am s
Swinmiing Pool Above 100_Amps tlbove 100-AmPs
Transiormers Irrigation &jortis PartialOther Fee
Signs Special Inspection 5
,?
T A EE
flertarks 0
Rough-in CA- A
r ?„/
y the Elachicnl
I ectoq ne
wrti y nt the nbove
Final . ??e/
7 insoeceion has been
matle.
TMe raQUest voiA 18 mon[rts fmm
'hs
.r,vuest void / from ?w s62i2/`?%?
fiequest Da?e
?--- ?yQ Fire No. Ro P? -? ? InsVec?ion
Re retl?
?
Reatly Nnw Q Will Notify Inspec-
?f ??es ?No tor When Fleatly
Licensed Elecvical Connactor I hereby reques[ inspection oi nbova
Owner electrical work installed ac
SVeet Addre+s, Box or Roure No.
2
'
0
'
?'
% Citv
,
u?
f
,
3 2 S
o m ?14Cr/?? f
ecbon o. Township Name or No. RTnge No. Co ny
a
Occu ? t (PfiINT)
phn??r ^/?
d l9 e7
.L
Power Suppiie, Atldress
C7 ?CGrJ?I ?G..
Electrical Contraclor ICompany Namel C?>ntrartor's License No.
Mailinq AAdress IConhactor or Owner Making Instailationl
G TU? O. Eiqd? SSI 2
Avthorized r nnactor/Owne? Making Instaliation;
P,hqq=?myir
3
f(?
- -?-.?
MINNESOTA SIATE 60AP0 OF ELECTA-tetay THIS INSPECTION REUUEST G'ILL NOT
G,iBBS•Mitlway Bldg. - Room N-191 E ACCEPTED BY THE STqTE BOAFD
1821 Univeraitv Ave.. SL Pnul. MN 55106 UNLESS PHOPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
This request voitl
18 nwnths om ?/?/ /? 7
D O (fr?(^ O 18 O / g. /? ni ,G i Nn -/
7,771
%
Raques[ Date ? Fi e No. V Vflo? -iedn?Inspec[ion
F
e tl?
1
?ReaAy Nuw 111{ W?II Nolify Inspec-
?Gi?Z? ? ?Yes ?NO 711or Whe,n qeatly
C] Licensetl Elecvfcai Conuactor 1 heraby request inspection of above
*ZOwner electrical work instelled at
Street Ad
4 7 dress, Boz or flaure No.
?u /?D Y' ?.,y0
Ci? ?
?
eclmn o. Townshi0 Name or No. RanBe No. County
Occup' t (PRINT) Phone Nod/-r-- ?S3 SJ?
0&?e7' ? , A& ?
Power upVlier
?j?-(?p?'. r?._LEC7?c- L C_ Address
Electricai Conhaetor ICompany Ndme) ConRar,[m's License No.
Mailin0 Atldress (Con[racror or Owner Meking Instailation)
c?%
Authoriz ? nature ICon todOwncr MakinB ???st,?llxtionl Phone Number
sd s/
MINN SOTA TpTE BOANO OF EL I ITY TMIS INSPECTION REQUEST WILL NOT
`MX Grigga-Midwey BIdH. - Aoom Nde1 BE ACCEPTED BY THE STATE BOARD
1821 Univeraitv Ava.. St Vnul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (6121692-O9W ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-oaooi-os
/ See instructiens br completin9 this torm on back ol vellow coov.
0("t6,18 0 '&X" Below Work Covered by 7his Request
AAtl R.P. Type oi Builtlinp Apoliancea Wired Equiument WireA
Home Flange Temporary Service
+ Duplex Water Heater Liqhtiny Fiztures
Apt 8uilding Dryer Electnc Hea[m
Commercial Bldg. Fumace Silo Unloader
InAustrial Bldg. Air Conditioner Bulk Milk Tank
farm omu:. oe, v em.,,
1 P! UC(:ILY OS Cf 01hI'!
Comnufe lnsnection Fee Below
M fae ServicaEn<renceSi¢e H Fee Fenders/SUbinnders N Fne Circuits
0 to 200 Amps 0 to 30 Am s 0 tn 30 An
A6ove 200 qmps 6 37 to 100 Amps 31 to 100'Am
Swimming Poal Above 100-Am s Above 100_Am s
Transformers Irrigation Booms Pdrtial. 'Other Fee
Signs Special Inspection
TO L F E
R9"ks
? ?(J ?/ h,
Pou9h-in Dyl.
41 I, t Elacuic
Inspec ereby
. ., certily that the above
Final te inspection has been
r a7 moda.
rhia requasc voiE 18 moMhs irom Q_?,
REQUEST FOR ELECTRICAL INSPECTION es-ooou,-...
ji? See instmcxions lor comoleting this irnm on back of vellow copv.
iFl""'6 6.18 0 '&X " Belnw Work Covered by lhis Request
94 Addi Bec. Tvoe of euflafna Aoaliancea wired Ea.iument wi.en
Home Range Teniporary Service
• Ouplex Water Heater Lightiny Fixtures
Apt. BuilAinq Dryer Electric He2tin
Commercial Bldy. Fumace Siio Unloader
Intlusttial Bidg. Air Conditioner Bulk Milk Tank
Farm O+?«? oeci v ihm ISnecifyl
1 er Suac?iV Othcr OtM1m
ComAUte lnsuectian Fee Below
p Fae ServiceEntranceSize n Fee Feetlers/5ableeders ? Fee. Cirwits
0 to 200 qm 5 0 to 30 Am ps 0 tn 30 An s
Above 200_Amps. 31 to 100 Amps 31 to 100 A s
Swinvning Paol Above 100-Amps Above 100-AmPy
Transiormers Irrigation Bwms Partial,?0ther Fee
Signs Special Inspection
,?G
S' ?
TO L F E
H
ks ?o
?
•
Rough-in ?
. Dj je// I.t Elachic
Inspec eroby
certily thnt the above
Final ? r ^±e_
d ins0ac[ion hes been
?ea.
W?If/L?
ThPorepueatvo101Bmonllufrom (/Q-?-
REQUEST FOR ELECTRICAL INSPECTION ee-oopooi/-?os
If See instrvclions for completing this lorm on beck ol vellow caov.
DDr 66145 ' X" 6erow Wark Covered by Ihis Request
Fd<f Neo- Type ol 8uiltling ApoliancenWirea Equipment Wired
Home Range Temporary Servlce
Duplex Water Heater Lighting FiMUres
Apt 8uilding Dryer Bectric Herun
Commercial Bldy. Fumace Silo Unloadar
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Oth, pe,lv eihcr ISnacif')
t r.r u,?city t?er Oth¢r
Compute lnspectlon Fee Below
p Fae ServiceEnVancaSize tt Fea Fexdets/Subfeeders E Circuits
0 to 200 qm s 0 to 30 Am s T 0 to 30 !?n s
Above 200 qmpy 31 to 700 Amps 31
to 100'Am s
Swinuning Pool Above 100_Am s Above 100_Am s
Transtormers Irrigation Booms P?rtial,'Other Fee
Signs Specfallnspection
S ?
TOTA EE
flerr,nks ' /R•
Houdh-in
3 ?'11e tpe Elechica
l
?nspector. heroby I,
certily that the ebova '
Final ?
?. ? 0 te
?J f
"?OJ 'ns0ee[ion hes been
mede.
•.m..,...sa1-inla,nmm?.i.nm '
?
re ?est void /pl?//a:/
>ntlPs Imm ??
65145 ?..;
_. ---_..
Aeqwretl? [-]fteaAy Nuw 0 Will Notity. Insnec-
_ ?YCS E)No Ior When ReaAy
? Licensed Elec[rical Conlrac[or 1 hareby request insoection ot above
Owner eletlrical work inslalled et
Sveet Atldress, Box or Roure No. Ciry
ecuon o. TownshiD Name or No. Rangu No. Covnty
??1Pf 0
Occupant IPP T) Phone No.OFfC? S73 oL
, Eits9- -Y --oo z
Power Su Iier .
u Address
07? 97?6r_nAL F9n•1W.cG-rv7V
Electrical Cmvactor ICompanV Nrmel Contractw's License No.
Moiling AdJress (ConVactor or Owner MTking InstaflatioN
Autho namre IConhactodOwner Makiny Installationl Phone Number
MINNESOTA STpTE BOAPD O CITV TMIS INSPECTION qEQUEST WILI NOT
Griges•MidweV Bldg. - floom N-197 BE ACCEPTED BY THE STATE BOAND
1821 Univereitv Ave., St. Paul. MN 55104 UNLE55 PFOPEH INSPECTION FEE IS
Phone(612) 642-0800 ?? -_`?\ENCLOSED.
VILLA6E OF EA6AN SEWER SERVICE PERMIT
378"$'ilpt.-;_(nab Road PERMIT NO.: 2185
Eegon, MN 55122 DATE: 7/15/74
Zoning: PUD No. of Units:
Owner: Creative Housin4
Address:
Si[e Address: 1329 Jurdy Road L3 B3
Plumber: 1 mm plumh ?ino F. Waatinq
400.00 pd
1 agree to comply wifh Nw Village o4 Eagon Connection Charge:
Ordinonms. Account Deposit
Permit Fee: 10,00 pd
Surchazge: .50 Pd
By: Misc. Charges:
Date of Insp.: TotaL
Insp.: Date Paid:
1/
CITY of EAGAN
BUILDING PERMIT
n:.
Owner .... . ? k......? ........................?.. .. . . .
Addeecs (Psesen2) _.......??!:;,?(,,, ? ......................
. . ? ................................................
Builder
Addresc
DESCAIPTION
W,.
N0- 3233
3795 Pilo! Kaob Road
Eagea, Minaesoia 55122
459-8100
[71."' -? -_ 7 t?
Dal* ................ ....................... ........
Slories To Ba Usad For Fsoni Depih Heigh! Eet. Cos! Pesmi! Fae Ramerks
' LOCATION /vb'!ss
Thls permii does no2 aulhorise the use ot sfreels, roeds, alleys or sldawelka nor doea !t give the ownst oe hit agsnt
ffie zigh! !o ereafe anp situafion whieh is a nuisancs or whieh psesents a heaard !o the 6ea1lh, safelp, convealaace and
general welfare !o anpoxe in the eommuniip.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WOAK IS IN PROGAESS.
Thfs is 3o eertify, lhat.....,......... haspermission !o erect a_;?k-'?'° ?` "`:???"':!J ppn
-r .Jj ............... ....... .... .. .. u
the above described pxemise subjeef io the provisions of all applicable Osdinances for the C'#y of E san
........... .--'-...._"--'_f-"--"...---.""'-'_'?r•"........................ Per ....... ............................... ................
? :-:....,
Mayor Sufldlaq Impscloz
r --
_ CITY OF EAGAN ?o 15117
3830 Pllot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
? h/3
BUILDING PERMIT PHONE: 454•8100 Receipt # ?
To be used for RE-R@0F Est. Value $1, 800 Date JUNE 3 1988
Site Address 1329 .IORDY RD
Lot 3 Block 3 Sec/Sub. DONNYWOOD
Parcel No
m Name ROBERT RENZ
3 Address 1329 JURDY RD 0 City EAGAN phone 456-0042
a
o Name LAUBACH CONSTRUCTION
oa Address 347 MAPLE ISLAND RD
? City BURNSVILLE Phone 435-6713
w w Name
z ? Address
aw City Phone
I hereby acknowledge that I have read ihis p lica[ion s[ate tha e
information is correct an e to com y ith all pl' abl St of
Minnesota Statutes a ity o gan O di n
Signature of Permitt
A Building Permit is issued to: ?? NST$QJUZQT]-
on the ezpress condition that all work shall be done in accordance with all
applicable Stafe of Minnesota Statutes and City of Eagan Ordinances.
Building OHicial-4441-f?-V.?k
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ (Actuap Const
City Water _ (Allowable)
PfiV Required _ # ot Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 38.00
Planner Surcharge 1.00
Council Plan Review
Bldg. Off. SAC, City
Variance SAC,MWCC
Water Conn.
Water Meter
Road Unit
7reatment P1
Parks
70TAL 39.00
.._.aut OF EAG4N WATER SERVICE PERMIT
3795 Pilof Knob Road PERMIT NO.: _1527
Eag rieiN $5722 DATE: 7/1 5/74
Zoning: ?[1D_ No. of Units: _
Owner: C••eat;y0._.lipUBing -
Address:
site Address: +a2q_.yurd;z-11ndd-S.3_B3 fQe-2744?
Plumber. xl amm Pl ?yn & xe?Y?n4
Meter No.??'3 l o? Connection Charge: 130.00 pd
Size: count Deposit _-
Reader No.:`? _ Permit Fee: 10.00 pd
1 ogrea fo eomply with tM Vill a of Eogon Surcharge; •$0 pa
Ordin es. Misc Chazges: Go-°!t?
? TotaL _
Dare Paid:
Dateof'It p.: Insp.:
?----------------
I F.of-0lfice?_Use
? Permit
? ,50
? Permit Fee:
I
? Date Received:
I
? Staff:
L__-_____________
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date? z? Site Address: ??2 ` J 0 4 ll V-1)
Tenant:
Suite #:
RESIDENTIDWNER Name:CClVITOPe? Ve:-SsS Phone: 6 IZ'&- D-0 Z-57
Address 1 City/ Zip:
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
TYPE OF WORK _ New xReplacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descri tion of work:
PERMIT TYPE RESlDENTIAL
Koater Heater _ Water Softener
Lawn Irrigation Add Plumbing Fixtures
C-- RPZ !_ PVB) I Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System A6andonment, Water Turnaround' (includes $.56 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required)
$700.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace bumed out appliances, duchvork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this information is wmplete and accurate; that the work will be in conformance ith 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 i not to st rt without a permit; that the work will be in
accordance with the approved plan in the case of work wFlich requires a review and approva o
X cri-)b srdP4z-?- JM4 X
ApplicanYs Printed Name ApplicanYs Sig t
FOR OFFICE USE Reviewed By:" 'Date: ?
' Required Inspections: Under Ground Rough in `'' Air Test Gas Test Final -'
CITY USE ONLY
PERMIT #: d RECEIPT DATE:
4?6??
2002 f{ES1DENTIAL MECHAIVICAL PEftMIT ahhPPi.ICATION
CITY OF EAfiAN
3$30 PILOT KNOB RD
EAsArr Mx 551EE
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: ? '4?0 6--?)
SITE ADDRESS: / 3f
Jtcru'v zzi-
?
OWNER NAME:
INSTALLER NAME: AUl
TELEPHONE
TELEPHONE #:
STREET ADDRESS: ?21_1 4301h (J ?eel_z?)eJ #
CITY: V' w'??"??e STATE:
P?ace a check mark next to the permh work type
ZIP:
550 -79
? Add-on, modification or alteration to existin dwelling unit $ 30.00
. furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: IeMmd?e? e4!1--
State Surchar e $ .50
TOtal 00.30
SIGNATURE O E ITTEE
va2
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
? ? r 3Q 651-881•4875
;J U
New ConshucNon RaaWretnents ttem2deU4euatr Rewlremenf3
> 7 regisTered alfe wrveYs Ywwiny sQ. H. ol M. sQ. R. W house
and 21 rooled areos [40% rinYdmuEn bt cove(O4e allowedl
> 2 coplea of plaro (show beam A wlndow tlzes; poured Md. design; efc.)
i 1 set oi energy cdculatlans
> 3 coples of hee Presenalion plan H lot platted dHer 7/1/9S
DATE: SSIZ Ci1OQ
DESCRIPTIONOFWORK: rePa!` PX1}1)?1,? S2CjCS
s60. 50
C0.??(? ?12?J
2 coptes W plan
1 sef of energy calculaHons tor heated additlona
1 site wrvey !or axteAor addlHOns 3docks
CONSTRUCTION COST: ?
1TM
STREET ADDRESS: J32 ? flOGt d
LOT: L3 BLOCK: v SUBD./P.I.D.#: WnriIw0011
?`'?,/,,n V?- Howie? 651-68b-7?5?
Name: l7e,?2bl//yVTY! Vid Phone#: u/ov/?' 6S1-222-O??f?
PROPERTY wst Flrat
OWNER
Sheet AddtASS: 13 2q Tc/rdy ,p
P 1
CItY *qYl State: Zip: ?/Z1
Company: /" oo-el Phone N:
(area cocfe)
COMRACTOR
Street Address: IJcense # EXP•
City
Sfate:
ARCHITECT/
ENGINEER compuny: NayC Name:
Telephone t: (
Zip:
Street Address: RegishaHon #:
CNY
Siate:
Sewer/water licensed plumber (If Iintallina sewer/water}: Phone #:
73P:
I hereby acknowledge ihat I lwve read this applicalbn, sfate thaf 1ha 6nfortnaHon is cortect and agree to co py wHh atl appgcable State
of Minnesota Stahufet and Cily of Eagan Ordinances.
Sigrwture of AppftcaM:
OFFICE USE ONLY
CertifiCates of Survey Received
Tree Preservatfon Plan Received _
Yes _ No
Yes _ No
_, Not Required
auc 2 5 Zooo
BUILDING PERMIT SUBTYPES
? 01 Foundatfon ? 07 05-plex
? 02 SF Dweliing O 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 OS-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
? 31 New
? 32 Addition
? 33 Aiteration
Jbi?-'34 Repair
OFFICE USE ONLY
p 13 16-plex ? 21 Porch (3-sea.)
? 17 Garage ? 22 Porch/Addn. (4-sea.)
?18 Deck Ci 23 Porch (screened)
? 19 LowerLevel ? 24 Storm Oamage
P16g _Y or_ N ? 25 Miscellaneous
? 20 Pool ? 30 Accessory Bldg.
O 36 Move Bidg. O 43 Reroof
? 37 Demolish (Bidg)' ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to appiicant for demolition permit
GENERAL INFORMATION
SAC Code 01
No. of Units v
No. of Buildings 1
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building _6S& Engineering
sq. R.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump.
PRV
Fire Sprinklered
Variance
? 31 ExL Alt - Multi
? 33 Ext. Aft - SF
? 36 MuYi
IL13q
Permit Fee "r ti 0IS U
Surcharge
Plan Review
License
MC/E5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: -96? n-50
Valuation: $ 1400,00
SAC Units
% SAC
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2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirr oF Eacaiu 157-
'-7 3830 PILOT KNOB RD - $5122
J 9 851-681-4675 ol „ l
V
Ngw Conatiuc8on ReaWre menh Bemodel/Reoalr Reaulrements
a 3 replNaretl tlro wneYi daw1V W. R o11ot. sQ. fl. of houce 2 coPtet d plan
and yffrooled areas (107. rnmdmum bt coveroae dbweC) I ser a ener9y caacwanau ror neaiea adaaon.
D 2 eoplee of ploms (ahow been a wlntlow qxas; pouretl hxl. desiyn; efa) 1 qAe wrveY for exleAa adtlitlorn R tlecks
n 1 sef ot enerpy eW eulatbnc
Y 3 copies of hes pretervCXOn aan H Id ploMed cMer 7/1/93
DATE: 3^ l- D U CONSfRUCT10N C05f:
DESCRIPTION OF WORK: V1»1L s??I A-+C.
STREET ADDRESS: I? 2 c7 _:?_WQd v f2 D.
LOT: ? BLOCK: ? SUBD./P.I.D. Y\ Yl \n Ls? >> ?
0 G. W-.2 V,- S 0r)
Name: A16 (?El.. RRRrq bav,n 4- ?/?z?D I Pnonetl:
PROPERTY last Flm
OWNER
Street Address: 13 Z°/ J ?ZD„y
CNy ?A L A N Stafe: /11 N Lp: S- Z I
. Compuny: R)2e5• &XeJN-i,*t S Phone #: c?El' Z Z / R
(area code)
COMRACTOR 1 I
SheeiAddress: /??/L No?ti?lhcE 13CuD - ?e?# ?2oa9sZ Exp, qL/oo
qty 9100M 1.v(0T'oAj State: /1?N Zip: S%-/Z /
ARCHIiECT/
ENGINEER Comoanv: Name:
Telephone #: (
Sheet Address: RegishaHon i:
CNy
State:
Lp:
Sewedwater licensed plumber fif Iristallirw sewerMrater): Phone #: L?
I hereby ackrawledpe lhat I hwe read this appikaffon, slafe thaf ihe Infortnafion Is carecf, and agree b comPh wflh a9 appikable Sfale
of Minneaota Stahites and City of Eayan Ordinancea
?-
Siynafure of Applicanh T^?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
LOT 3 BLOCK.3 SUBD
RECEIPT # 11533c) DATE Y2195
1995 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED'PLUMBER
Date: ?4 11, i 9 9 S
Commercial
Residential (boulevards)
Existing residential
GPM
GPM
Area/address to be irngated- /3 Z 9 Jd)ao.i 2 A
4nstal4er: n r7 +- Cj? Fb Owner ? Plumber m
Street address' /a ?a ER s t 9+1 TIf s7,
City, state & zip code: Uzad? ,.ti6 ?o,? .- S Phone #:
?- & L
Owner Name- Ti ^"' 4 lo'y :?
Street add
City, state & zip code: Phone #:
Irrigation contractor, if different than instaAer:
Telephone #:
I hereby acknowiedge that I have read this application, state thatthe information is correct, and agree
to comply with all applicable City of Eagan ordinances. it is the applicanYs responsihility to notify
the property owner that the City of Eagan assumes no liability for any damages caused by the City
during its normal operational and maintenance activities to the facilities constructed under this
permit within City propertylright-of-way/easement.
ni? :?O-)?
ApplicanYs signature Title
Approved by: ?. Date: ?
PRV ? Yes C5'No New service ? Yes [8'No Meter Size ?- & Cost -
Fees due: C7;?e Calcufated
PROCEDURE FOR IRRIGATION SYSTEMS - 1995
An irrigation permit is required - please contact Pratective Inspections at 6814675.
Fees
Commercial project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee onlv if new service is installed.
$300.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water perrriit fee if new service is installed.
$750.00 per connection - WAC.
$372.00 per connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not.
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost or
$170.00. If gallons per minute are more than 25, a 2" turbo with strainer will
be required at a cost of $500.00. This information is to be supplied by the
designer of the system.
No meter will be sold 6efore all sewer and water inspections are complete on a new service. If new
service lines are not reauired, one check may be wntten for meter and permit costs. Receipt wilf be codec
to 20-3716 (meter portion only) with pink copy forwarded to Utility Biiling Clerk.
The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
f .
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS I al ' " 1
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED DNCE BIIILDING PERMIT IS ZSSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR S9LE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OE ARCHITECTURAL &
1 SET OF SPECIFICATIONS AND 1 SET
RERCPQF
To Be Used For: ?` Valua
Site Address lwaV ,t y r E2,
Lot 'T Hlock
STRUCTURAL PLANS,
OF ENERGY CALCULATIONS
?j f 3 /S
tion: Date: ?O ? ?
On site sewage_ Oceupancy
MWCC system _ Zoning
On site well , Actual Const
City water _ Allowable
PRV required _ # of sEories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
Parcel/Sub ponnvGlnnd C.(
Owner PIO??
Address `J Lf fC (/ I I L-(//
CitylZip Code ?46??d l-'?J`
Phone -- ?Q ' <---
Contractor
Address ?
City/Zip Code ?i
Phone ?
Arch./Engr.
Address
City/Zip Gode
Phone N
APPROVALS FEES
Engr/Assess Permit
Planner Surcharge .?
Council Plan Review
Bldg. O£f. SAC, City
'Variance SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
11
CERT?F/CATE OF SURI/EY
FOR
CREAT/VE HOUS/hG /NC.
,
„
?
a
?
SCALE
sc,
? i
/
MC J , 26
? ?)o
? C \
r -
0 oEN'oTES iRrN
NarvuMENT
5%
?•? ? .' .
?--_ ,
Lot 3, Block 3, Donnywood
Dakota Counfy, Minndsota
lsittly
6POHTATpN ENGNIEEPoNCi ARCMTECTURE
lATMEN. NINpNOSE. WOL8FEL0. INC. 612/031-2300
7101 YpIK AVENUE SOUrN @OINA, MINNESOTA 55435
.
,
rh??
%
i?
?r.
I trereby certity tha! thi; svrvey wos prepored
by me,or onder my i)irect supervision and
that I om a duiy kagistered l.and Surveyor
undei thn Wvn of tfe SNta of Mmnesota
Da,e Re9. No.'O9?S_
? ?yl2d 1?'?p,sv
2006 RESIDENTIAL MECHANICAL PExMiT Arrr,icaTioN
City Of Eagan
' 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permi4sare required for each unit
Date 17 / 0(0
(
Site Address Jc?C Mkv-rtol ? - Unit #
I Property 3c-S.? U\ Telephone k(b,5V
I Contractor Wohlers Southside Htg. & Air, Inc.
6950 W. 146' St.; #106
Street Address Apple Valley,lllN 55124 City
(952) 431-7099
Sfate
_------ Telep6one # ( )
Bond#: K1--1-054°7qg7 Expires: /-,\8_25-240
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional /.Replacement _ New
_ air exchanger
air conditioner ? EV? ?
?U vle
D
N ? 9 0
heat pump 06
other
State Surcharge s .50
Total
I hereby apply for_ a Residential 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.
Applicant's Printed Name Applicant's Signature.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139456
Date Issued:10/24/2016
Permit Category:ePermit
Site Address: 1329 Jurdy Rd
Lot:3 Block: 3 Addition: Donnywood
PID:10-20960-03-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
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).
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 -
Bryan N Cole
1329 Jurdy Rd
Eagan MN 55121
All Craftsmen Exteriors Llc
1020 East 146th St
Ste 226
Burnsville MN 55337
(952) 898-4680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA151970
Date Issued:09/20/2018
Permit Category:ePermit
Site Address: 1329 Jurdy Rd
Lot:3 Block: 3 Addition: Donnywood
PID:10-20960-03-030
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 -
Philip J Carlson
1329 Jurdy Rd
Eagan MN 55121
Freedom Heating & Air Conditioning Inc
724A Harding Street NE
Minneapolis MN 55413
(612) 306-6400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160827
Date Issued:04/16/2020
Permit Category:ePermit
Site Address: 1329 Jurdy Rd
Lot:3 Block: 3 Addition: Donnywood
PID:10-20960-03-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
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 -
Philip J Carlson
1329 Jurdy Rd
Eagan MN 55121
(612) 354-9009
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176705
Date Issued:05/27/2022
Permit Category:ePermit
Site Address: 1329 Jurdy Rd
Lot:3 Block: 3 Addition: Donnywood
PID:10-20960-03-030
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Philip J Carlson
1329 Jurdy Rd
Eagan MN 55121
(612) 354-9009
Aquarius Home Services
3180 Country Dr
St. Paul MN 55117
(651) 777-0448
Applicant/Permitee: Signature Issued By: Signature