1336 Jurdy Rd
Use BLUE or BLACK Ink
For'brfrte Use 1
1
j Permit
Clity of Eap I
{ Permit Fee: 63S of
3830 Pilot Knob Road ~V~ i 3 I
Eagan MN 55122 j Date Received:- f D
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff: Inc j
- - -
2010 MECHANICAL PERMIT APPLICATION
Date --I - ~ Q Site Address:
Tenant: Suite
RESIDENT / OWNER Name: a Phone: C CS] -C J ~ - S~
Address 1 City / Zip:,
CONTRACTOR Name: BURNSVILLE HEATING & A/C, INC. license (410L I
3451 W. Burnsville Parkway
Address: Seta 120 City:
State: 2!rmsv'ille, MN 55337 Phone:
Contact: Email:
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work:
NOTE Rpaf mounted and gtottttd moutd mechatiti~at equiprtf ('tequaredR~be screelcl by City
Coder Please contact the MechanicaFInspector for inform atloiY'~ In perrttitte¢ ~reentng *ihodg. ,
PERMIT TYPE RESIDENTIAL COMMERCIAL
_ Furnace New Construction _ Interior Improvement
Air Conditioner _ Install Piping _ Processed
Air Exchanger Gas _ Exterior HVAC Unit
_ Heat Pump Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES: 00
$50.50 Minimum Add-on or alteration to an existing unit (includes0 State surcharge) nf~}
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ i lfl.l TOTAL FEE
w COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
= $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge.
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
= $ TOTAL FEE
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.gopherstateonecall.orta
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 thh approved plan in the case of work which requires a review and approval of plans.
Q I ~YA siyl M-0 x 61 j
Applicants Printed Name Applican s Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: - Under Ground Rough In Air Test Gas Service Test ;n-floor peat Fin`fiI~ -
Exterior HVAG Screening lnspection
INSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ? ? ? ? • ? .
(612) 681-4675 '
SITE ADDRESS: , t, , . ? 3 1? APPLICANT:
??n?r?v???????, t ?. ?,• ? 0100 PERMIT SUBTYPE:
I I T Ni,
TYPE OF WORK:
RFPt#Tlr .
KI k1+111/';i"??ftM i?at?n???
_ . J
Permit Holder Date Telephone i
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
1 4 Parcel ' 10 209Ei0 110 01?
a,ddition Do ood AddI1. Lot 1 Rlk
/?
OwneF? ?, ? ?•,` ??-: ;, •,.?•• Street 1336 Jurd,v' Rd. State Eagan,r?v 55121
> /- , s„ , c ?,: ,- Z, /'/ ?
/ ' . J..4_ / v' L / /r U?7'?- f-,?
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. ?
GRADING
SAN SEW TRUNK ? ? ? 62.8o 2.51 2
* SEWER LATERAL ? 22 $ ? 455.75 5
WATERMAIN
4'r WATER LATERAL ?
# WATER AfiEA ?
?e STORM SEW TRK j9]S
?t STORM SEW LAT 1975
CURB & GUTTER
SIDEWALK
STREET LiGHT
WATERCONN. 230.00 $635 12-30-77
BUILDING PER. 44626
SAC 475-00 8635, --
1
PAR K
CITY OF EAGAN
3795 Pilot Knob Rood Eogan, MN 65122 N2 4626
PNQIVE: 434-8T00
BUILDING PERMIT Recei t #
7o be used for
5ite Address
Lot Biock
Parcel #
lx Name
? Address
0
?
H
Z
Uu
<
9
Name
Dtip1E7C -•. $279000.
Sec/Sub.
• 'ar?.: . ..
P -
30V
- Erect ? Occupancy
Alter ? Zonin9 .
Repttir ? Fira Zone
? Enlarge ? Type of Const.
- Move ? # Stories
_ Demolish ? Front ft.
Grade ? Depth ft.
Approvals Fees
Address -
Name _
Address
Assessment _
Water & Sew.
Pol ice
Fire
Eng.
Planner _
Permit _
Surcharge
Plon check
SAC
Water Conn. ?
Water Meter
Councif
I hereby ocknowiedge that I have read this applicotion and state thot Bldg. Off.
the information is correct and agree to comply with all applicoble
Stote of Minnesota Statutes ond City of Eagon Ordinances. APC 7otol
Signoture of Permittee
A Building Permit is issued to: on the express condition that
eJl work shall be done in occordance with all applicoble $tate of Minnesota Statutes and City of Eogan Ordinoncss.
Bufiding Officiai
Pamdt # Oafe Imued Panatt"
Plumbing _Mt- --?? - 7?
Mechanical , ? n ? - G7?! - ?? -
INSPECTIONS DATE INSP. Rough-In Firal
Footings Date Inap. Dote lemp-
Foundation Plumbing
Frame/ins.
I
Mechanical ?
Finol
Rernarks;
cinr aF EaG?N
8795 Pilot Knob Rood
Eagon, Minnesoto 55122
Phone: 454-8100
PLUpIl3ItIG ____ pERMIT
Dute:
Fabruary 27, 1978
Site Address: 1336 Jt1z'dy Roat
Lot BI«k 5ub/Sec. DDnnyw+ood
No. 102
? -,
Receipt No.:
Single I
Residentiol
Multi Res., Comm./lnd. -
Name -? . oir r.ew
New/Alter
/Re
.
p
.
;
Address
Cost of Installotion
O
Hudson, Wisc.
City Phone: '??.?0
Permit Fee
? R. C. Hoffman
Name
Surcharge
0
t
? Address
?
?
r
City Phone: Total
This Permit is issued on the express condition that cli work shall be done in accordance with all applicable State of
Minnesota $totutes and City of Eagan Ordinances.
Building Officiel
CITY OF EAGAN
3795 Pilof Knob Road
Eagan, Minnasotc 55122
Phone: 454-8100
PERMIT No.
_
Date: Februax'y 24, 1978
Site /Iddress•1336 Jurdy Roacl
Lot , 1 Blxk a Sub/Sec. Do'lnywood
Neme Camerca 1 %^VC!i.iJ?)[,r'_T:t
?
; Address
O
City ?'1dson. WisC. Phone:
Nnme`?ep• Sedgwick ??el3ting & EVC CA.
?
'g
? Address
?
U
City - ' Phone:
This Permit is issued on the express condition fhut all work shall be
Minnesota Statutes and City of Eogon Ordinances.
Receipt No.: '
Sinple I
Residential
Multi Res., Comm./Ind. ` di`pik-''
New/Alter./Repoir new
Cost of Installotlon
Permit Fee . r)
Surchorge
Tota I
done in accordance with ull opplicable Stote of
8uilding Offitial
? CITY OF EAGAN
?
• 3830 Pitot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
PHONE:454-8100
BUI(.DING.RtRMIT Recei
t # t
p
Tobeusedfor RE-SIQING Est.Value $3,800 Date MA.Y 7 , 19_91_.
Site Address 1336.11140 .7ifBDY RD
Lot ?& ?fock _4 Sec/Sub. DOM?tYiJOOD OFFICE USE ONI.Y
ParC21 N0. Occupancy ? FEES
Zoning ?
¢
w Name ?Y B?'?CHER/HAAOL.D COLS!lA?1
(Actual) Const
Bidg
Permit 63_ AA
? .
3 Address 1336 13 Jt1RDY (nibwabie) -
2
?
o City LWAN Phone # or stories ? .
Surcharge
Plan Review
LengM
L0% Name TWIHTOMIN REWDELZRS Depth SAC
Cit
Z
OU ¢
Address 5930 PORTLl4ND A1B ?
S.F. Total - ,
y
City ?? Phone 861-4405
S.F. Footprints _ SAC, MCwCC
? On Site Sewage - Water Conn
?w Name On Site Well
- {lyater Meter
?? Addfess MWCC System _
¢ z
a W
City Phone
City water _ Acct. DepOSit
PRV Required - S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SJW Surcharge
information is correct and agre to comptjrwith ali appiicable State of
Minnesota Statutes and P* of E?gan,Ordinances. 7reatment Pi
' t
6gnature of Permitee
AF+PROVAZS
Road Unit
A Building Permit is issued to: TWIh?? ???ELERS Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Counril
applicable 5tate of Minnesota Statules and City of Eagan Ordinances. Bldg. Off. _ CaPies
Building Official
: Variance ? TQTAL 65-00
?
Permit No. Permit Hoider Date Telephone #
WATER
SEWER
PlUMBWIG
H.V.A.C.
ELECTRIC
Inspection Date lnap. Cosnssties?ts
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplece ? 2- - ?
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Notify Plum6er
Const. Meter
Engr.IPlan
Bldg, Final
Dedc Ftg.
Dedc Final
Well '
Pr. Disp.
^.ITY OF EAGAN
'S Pilot Kwab Road
E.igan, MN 55122
Zoning:
Owner: • ,
Address: _
Site Address: = -r==.av r.r:ad _
Plumber: j;?paig?r.,,*!2/30/77 08635
1 agree to comply wkh the Citp of Eo9on Connection Char9e:.
Ordinonoes. Account Deposit: _
Permit Fee:
Surcharge: -
By Misc. Charges: -
Dote of Insp.: - Total:
Insp.:- Dote Paid:
5 plot Knob Road
,,, MN 55122
n9, - --
No.:
to comply with the City of Eogan
of I nsp.:
SEWER SER'?ICE PERMIT
PERMIT NO.: _
DATE:
No, of Units: _
WATER SERVICE PERMIT
Connectian Charge:
Account Deposit: _
Permit Fee:
Surchorge:
Misc. Charges: -
Total:
Dote Paid:
This request void 18 months from n? cD
,
•' P64505
Date of this Request 2-10-71-
I, as f?Licensed Electrical Contractor 11 Owner, do hereby request inspection of the above electri-
cal wmng installed at : ::?6 -7,
Street Address or Route No. / 33 9? City
Section Township Range County
Which is occupied by .
ls a roughin inspection required on this
Power Supplier z I
Electrical Contractor
(co
Mailing Address ?
IeCbG
Authorized Signature
(ElectYlc ontract
STATE BOARD CI
(Name of Octupant)
? Yes)a Ready Now ? Will Ca1Lq
?Address
Contractor's LicensAffyT9
o? Owner Making Thfs Installationy
Phone No.
• Making This Installatlon)
This inspection r¢quest will not be accepted by the
State Board unless proper inspection fee is endosed.
1554 University Ave., St. Paul, Minn. 55104-Phone f
. REQUEST FOR ELECTRICAL INSPECT
('1-IFf'K RFi.(1W Wf1RK CCIVRRF.TI RY TNIS RF.(111FST
?
P 64505
Type of Building New Add. Rep. Check Applianc ea W'ved For Check Equipment Wired For
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? Water Heater ? Lighting Fixtures ?
?
Apt. Bldg. ? ? ? Dryer ? Electric Heating
Commercial Bldg.
lndustrial Bld ?
? ?
? ?
? Furnace
Air Conditioner ?
? Silo Unloader
Bulk Milk Tank ?
?
g.
Fazm O D O List List
Other ?
?
?
$ehers? p
Hehers
Cl1MPiTTF iNSPF(`TI(lN FF.F RF.1 OWA!lllh? • ?? ' #
Service Entrance Size: ? Fee Fced bf a: Fee Circuits: # Fee
0 to 100 Am . 0 t 0 A 0 to 30 Am eres
101 to 200 Amps. 31 to 100 31 to 100 Am eres
Above 200 Amps. Above 100 A Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee
Si ns S cial Ins ection Minimum fee $5.00
Remazks TOTAL FE
. o0
3sb
I, the Etectrical Inspector, he
(Rough-in)
(Final)
This request void 18 months
e ifispection has been m=.? ?
Date
Date &f ",Z'7 '
L1f
i
BUILDING PERMIT
7o be used for RE-SIDING
Value $3,800
Site Address 1336 / 1 40 JURDy RD
Lot 11 & l2Block 4 Sec/Sub. DONNYWOOD
Parcel No.
w Name GARY BETCHER/HAROLD COLEMAN
3z: Address_1336/1340 JIIRDY RD
° Ci EAGAN
lY Phone 45??
,o Name TWINTOWN REMODEI.ERS
$` Address 5930 PORTLAND AVE
? City MPLS Phone 861-4405
?
wW Name
?o Address
aW City Phone ..
I hereby acknowlege that I ha ead ihis
inforcnation is correct a a e to m
UMinnesota Statutes and ' E an di
Signatura of Permitee
A 8uilding Permit is issued lo: TW NTI
on the express condilion thal all work
applicable State of Minnesota Statutes and
BuildingOXicial nP1 6 OiA , I r
CITY OF EAGAN 19026
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt # (?--' I 3 D 'e -7
dion and slata thatihe
all applicable State ol
done in accordance with all
f ot Eagan Ordinances.
OFFICE USE ONLY
Occupancy
Zoning
(ACtual) Consl
(Alloweble)
# ot Stones
Lenglh
Depth
S.F. Total
S.F. FOOtprints
On Site Sewage
on siie weii
MWCC Systam
City Water
PRV Required
Booster Vump
APPROVALS
Planner
Council
BIdg.Ofl.
ariante
Bldg. Permit
Suroharge
Plan Reviaw
SAC, City
SAC,MCWCC
Water Conn
Weler Meter
Acct. oeposit
SNJ Permit
S/W Surcharge
Treatmenl PI
Road Unit
Park Detl.
Copies
TOTAL
FEES
63.00
2.00
65.00
ciTr oF eacnN
3795 Pilot Knob Road Eagan, MN 55722 N2 4626
PHONE: 434-8I00
BUILDING PERMIT APPLICATION Receipt # 8635
To ba uaed 4or Duplex $27,000. Dote aec. 30, 19 77
Site Address 1336 Juidy Rd. Erect [}( Occuponcy I
Lor-11 siock 4 sec/sub. Donngwood Airer ? Zoning pB
Parcel #
? Name Portfolio Management
3 Address
0
o Nome u?eron uev.
?? Address S
r i-:... ' 01.,...,, 436-5579
Name _
Address
I hereby ackrrowledge thot I have read this application ond state that
the information is correct ond agree to comply with oll applicable
State of Minnesota Statutes and City of Eagon Ordinances.
Signature of Permittee -
A Building Permit is issued to:
oil vrork shcll be done in occc
Repair ? Fire Zone ___
---V-
Enlarge ? Type af Canst
Move ? # Stories 1
Demolish ? Front 32-- ft.
Grade ? Depth 44 ft.
Aoororals Fees
Assessment _
Water & Sew.
Police _
Fire
Eng.
Plonner _
Council _
Bldg. Off. _
APC
Permit
Surcharge 13.00
Plan check
snC 475.00
Water Conn.230,00
Water Meter 60.00
Toral 858.50
Dev, on the express condition that
: Stote of Minnesota Statutes and City of Eagan Ordinances.
Building Official
A?4;4
BUILDIAIG PftRMIT APPLICATION
cu+xE .? 3b 7
Znclude 2 sets of plans, 1 sfte plan w/elevations and 1 set of energy calculations.
r.?.c
7b be nsed for,. /Iv7.???I??n• J?K'?a luation
?. I
Site Address; ?
/,3,3 6 J v r d r /?
Lot Block Sec. Sub Parcel Number
!I floY+KM vdoed-
Owner '/zz. Telephone ?
Address
Contractor
Address
Arch./Eng.
Address
Erect
Alter
Repair
Enlarge
Nbve
nemolish
Grade
OFFZCE USE
Occupancy T
2onfng ?D
Fire Zone
Type of Const.
# of Stories
Front ?
Depth ?
OFFICE USE
riste of Approval & Initial
Asaesament
water/Sewer
Police
Fire
Eng.
Planner
Wuncil
Ridg. Off.
A.P.C.
F£ES
Permit ?D `5,D
Surcharge / 0
Plan Check
SAC f-/75
Flater (bnn. '?O
67ater Meter ( 0
TOTAI, 37
Telephone yJ' 6 -?S S 7 y
Telephone
PERMIT
CtTY`0F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: aurLorNc
Permit Number: 033015
Date Issued: 0 8/ 2 6/ 9 8
SITE ADDRESS:
P.I.N.: 10-20960-116-04
1336 JURpY RD
LOT: 11 BLOCK: q
pONNVW00p
DESCRIPTION:
- REROOF/STORM
Bui'lding°?Permit Type
Biiilding"' W'or,k Type
ensus Code "',? 434
DAMAGE
STORM OAMAGE
REPAIR
ALT. RESIDENTIAL
,
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Hpplicant - sT. LIC.
AA AMERICA'S BES7 INC. 17070100 20139703
2400 INTERLACHEN DR 222
SPRING PARK MN 55384
(612) 707-0100
OWNER:
6E7CHER
1336 JURpY
ERGAN
(651)452-8852
GARY
RD
MN 55122
T herehy ack?ntiwlezYgethat Fhave read?th3s?informat3pp i5 correct end agree tp opmRlY
5tatute6 and City of Eagan OrdinanG-es.
L
APPLICANT/PERMITEE SIGNATURE
application and' state that the
with all applicable State vf Mn.
[%-EO'B . Y. S?G?l?2
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
?
3830 PII.OT KNO;RD - 55122
New Consiruction Reauirements
? 3 registered site surveys
• 2 copies of plans (inGude beam 8 window sizes; poured hid. design; etc.)
? 1 energy wleulations
? 3 copies oi tree presenation plan ff IM platted aRer 7l5193
requiied: _ Ves _ No
DATE: IC, 9)
DESCRIPTI OF WORK: ?us?co\?- n(.?•? -?-c? .
STRE ADDRESS:
RemodeUReoair Reauirements
• 2 copies oi plan
? 2 stte surveys (exOerior additione 8 tlecks)
? 1 energy caleulatians for heated addkions
CONSTRUCTION COST; ? q,?D . -
LOT: BLOCK: ? SUBD./P.I.D. #:
Name: Phone #: `--1 S?-121?l S?
PROPERTY Latt Firsc
OWNER
Street Address:
City State: Zip:
Company: :!;? C' Phone #: 10 1- C) `(?, U
CONTRACTOR ?? ?loa 1? -? ?o ? 3 4? 3
Street Address: ? p?n IJr License tt
Ciry ?)'r7r I o? State: r)l? I'\ Zip:
ARCHITECT/
ENGINEER Company:
Phone #:
Registration #:
Street
City State:
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once permit is issued.
I hereby acknowiedge that I have read this applica8on and state that the infortnation is
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No
Zip:
Penalty appiies when address chang
and agree to comply with all applicabl
C
=-----
'i
Not RequiLed _
19 bZC
1991 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS CO?IlfERCIAL
2 SETS OF PLANS 2 SETS DF 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 SPECIFICATIDNS
1 SET OF ENERGY CALGULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE i1NIT5
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, SUT 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 ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PF?IT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For
Site Address
<
S? D', t4 Valuation
I 3 6 '?o i ? ?
?90 o Date : -0-7/ \
OFFICE USE ONLY
Lot JLtL? Block ?
Parcel/Sub ??yWL
Owne r l?] e? c. 4-• L? -?- C D[C- f+1 c;AY1
Address
City/Zip Code
Phone '-(-5 a- - 6 d S2 (o? -003
Contractor lw'%r??bwt? "da,I_"
Address % 13o ?QfiLw6 Aw -
City/Zip Code _MQ -7
Phone 50! ` `%/
Arch./Engr.
Address
FEES /
3 ' ? ?
Occupancy Bldg. Permit ?P
Zoning Surcharge z • UO
Actua2 Const Plan Review
Allowable SAC, City
# of stories SAC, MWCC
Length Water Conn.
Depth Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
S/W Surcharge
On site sewage_ Treatment P1.
On site well Road Unit
MWCC System _ Park Ded.
City water _ Trail Ded.
PRV _ Copies
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL (?
Bldg. Dff.
Variance
agrees that all work shall be done in accordance with
te of Minnesota Statutes and City of Eagan Ordinances.
City/2ip Code
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
2) r.0 2-2-3
New Conatruction ReauhemeMs
3830 PILOT KNOB RD • 55122 3--, cJ
651-681-4675
C='" (o-i a- 9°(
Remodel/Reoah ReauUements
D 3 regisfered sMe surveys show(ng sq. R. W lot sq. fl. of house
and gg roofed areas (2maximum lot covetaae atlowed)
> 2 caples ol pians (show beam a window sKes; poured fnd. design; efc.)
? 1 set of energy calculaNons
? 3 copies ot hee preservafion plan N lot plaXed nfter 7/1/93
DATE:
2 coptes of pian
7 seT of energy calculatlons lor heated addfllons
1 sife survey for exferlor addHlons a decks
CONSTRUCTION COST:
DESCRIPTION OF WORK: /- ! 124s: LEE- S T'O IZ P-1-T7 D N
STREET ADDRESS: 1 3?!> (? v µg-D q
LOT: ?L BLOCK: SUBD./P.I.D. #:
Name:-E'f?? ?it-2L{ ? Lt NDA Phone #; ??. 4S2 -??SZ
PROPERTY i°n Ftr'r
OWNER f?
StreetAddress: t 133G ? ?1 u'Q-p q
city C. R- G Pc-iJ state: ? N zip:
Company: ?h1?1 ?'rD 2143?a?1S Phone #: L 17 435- ?? 3Z
(area code)
CONTRACTOR Street Address: 24 p 7 4 4" Litense #S-g ExP• 3 2e°°
City f"tPPI..E- V ?4-T-l.LY State:
M ?J
ARCHITECT/ Name:
ENGINEER Company:
Telephone #: area code (
Sheet Address: RegistraMon #:
City
State:
Sewer 8 water tlcensed plumber [reauired for new conshucHon onN
PenaHy appiies when address change and lot chcnge is requested once permR is issued.
1"nereby acknowledge lhat I hwe read ihls appllcallon, state ihaf the InfamaHon is cortect, and
Siate oi Minneso}a Statutes and City of Eagan Ordinances. 1 r)
Slgnafvre of
Zip: S? l 2 4'
Zip:
applicabl
Certificates of Survey Received _ Yes - No ju' ? B
Tree Preservation Plan Received _ Yes - No _ Not Required !?ko-
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-piex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
'K02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
13 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to appli cant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Aliowable)
UBC Occupancy FZ • 3
Zoning ?• ?
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
?
Census Code
SAC Code _ot
No. of Units (
No. of Bldgs 6
MC/E5 System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/E5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
TraiVs Ded.
Other
Copies
Total:
Valuation: $ 8o, OpC) ?
SAC Units
% SAC
CITY USE ONLY
LOT ? BL 1 RECEIPT #: 1 l? o?b
SUBD. Qb hh T W 00 A RECEIPT DATE: O-??? I?
MECHANICAL PERMIT #
1999 M£CMNICAL PEftMTf (ftESID£NTIAI)
Cl7'Y OF EAfiA1V
3830 PILOT KNOB RD
E4fiAN MN 5SifY
(651)6$1,4675
Date• -1
Complete this section aiilv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
?,... ?. n i nn n?r nTT r
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Tota]
$ 30.00
6.00
.50
$
Complete this secrion onlv if you aze remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New Alteration )( Repair _ Other
Reminder: Ca11681-4675 for inspections.
Furnace
_ Air exchanger
SITE ADDRESS
_ Air conditioning
Y Other 1 11 SALtlt(?'Q.
I;ne.. m
$ 30.00 1(1 Cp?1
State Surchazge .50
Minimum Total Due $ 30.50
OWNER NAME:
INSTALLER NAME:
STREET ADD/? RESS:
CITY: C U J
-8q --747Z
ZIP: 5533 . )
AUG Z 6 1999 SIGNATURE OF PERMITTEE
' V' _
CITY USE ONLY +
L BL ( RECEIPT #: F J I ?,,( D I
SUBD. 1 J Onhj 1(40 U U RECEIPT DATE: ??
PERMIT # 3 1 01 d 3_
1999 PLU1lBIxH PERMIT (ftES1DEHTIAL)
crrY oF EAa,e?N
3$30 PILOT KNOB ftD
gAfiAN, MN 55122
(651) 681-4675
Please complete for: single family dwellings
townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Ges i in Outlet ' minimum -1 3.00 x = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavator 3.00 x = 3
Minimum fee alterations to existin dwellin 30.00 x = $ ?
Private Dis osal 5 stem new/refurbished * re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = S
RPZ _ new inst211ationlrepair___ 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Watef Softener if dwelling under conslruction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ 50
Total --> --? ---> ----> $ -
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----------------------at I have read ------------th -- isa---pp--l i-ration----- ,--state-----that--- the-- -rm---ation----is----cortect, -------and---agree-----to- co m -ply---willi----all----applic
ableCity ------------of--Eagan- -----ordinances--------
I hereby acknowledge th info.
It is the applicant's responsibility 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 untler this permit within City propertylright-obwayleasement.
SITE ADDRESS: /S 3 el
OWNER NAME: : l?OeP TELEPHONE #:
(AREACODE)
INSTALLER NAME: TELEPHONE #: G?? 5? ??y G?SJ
STREET ADDRESS: 375O ?7 (AR A CODE)
//v
CITY: ZCIL! P? STATE: ZIP: 573-,12,?
SIGNATURE OF PERMITTEE
N
+`.
.i3
,:?,.,;
?SA
'sET"UF<:,ENE1tGY CALCS
.M1
f .
SY=IAST? WORKTNG DAY
;HADDRE55eI5.
.. ,t ,
iASzBEEN'COMPtBTED.
t?5
L-?
n, :v ....o?g..
,r
ad ?Trii`t
r-1t? Ued.
ai1 De?..:
iTy.QTAL a a.
G??tnge ' ' .
.. t
a
4..:. .
..t':, ?. . . . -. ' .
d"one, iri-'accordance with
? r
?114
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117961
Date Issued:10/24/2013
Permit Category:ePermit
Site Address: 1336 Jurdy Rd
Lot:11 Block: 04 Addition: Donnywood
PID:10-20960-04-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Gary Betcher
1336 Jurdy Rd
Eagan MN 55121
(651) 452-8852
Window World Aka Probuilt America
2211 11th Ave E, #130
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
May 28 14 10:50a Aboveboard Roofing 6513402553 p.1
Use BLUE or BLACK Ink
For Office use j
city of '
Eap ~ i Permit IOC&4>d4
3830 MN Knob Road
Eaga _l~ 9~ 1
Eagan MN 55122 fA,A 1 Permit Fee: oC f
Phone: (651) 675-5675 Pik { t Date Received:
Fax: (651) 675-5694 1 I
I Staff: 1
I ~
---------------i
y 2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date ? + Site Address, J
Unit
}
Name:
_
_3 s
Resident/ t _ _ Phone: ~e
Owner Address ! City / Zip: '0'
Applicant Is: Owner r ` Contractor
Description of work:
Type of Work
It r_
- t t
:Construction Cost: € ,
Multi-Family Building: (Yes / No
P
Company sF};"b - V -~"'t r yp , f L {}r l_ f`
i
C'' i i 11- Contact. t
Address: -r~+wc J7 r_
Contractor I i C s~ t v~ 6<r' City: tv't t t Ct
State r Zip r Phone
1.
: C
_ mail: V
c~ f E Cz%. it P w}
J
License # s f r~ Lead Certificate f#.
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
t
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _ No If yes, date and address of master plan: '
Licensed Plumber: Phone:
f
i Mechanical Contractor: Phone:
Sewer $ Water Contractor:
Phone:
(VOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. ceof hrst_at-_cf,c:1_I_I
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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; (hat the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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.
s i
x jL ')sF~
Applicant's Printed Name Applicant's Signature }
Pagel of 3
May 28 1410:50a Aboveboard Roofing 6513402553 p.1
r Use SLUE or BLACK Ink
- - - - - - - - - - - - - - -
1 qmr~' i For Office Use j
~r City of oar I Permit 9: /~~~~1U I
Eap 1 1
3830 Pilot Knob Road 1
Permit Fee: I
Eagan MN 55122 p
Phone: (651) 675-5675 j Date Received: y aQ
Fax: (651) 675-5694 I I
I Staff: I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION'
Date Site
ry Address
Unit #
a Name:
Resi t✓' ' _ s c,
dent/ ' Phone: 1 a
Owner Address City / Zip:
i
Applicant is:
Owner ext. Contractor a
Type of Wo Description of work:
rk_
"j) s
Construction Cost: € z ! Multi-Family Building: (Yes No
Company
<..t-~ t~'t G l >iCrs, 'IContact: Gt e iw.l f!_
Contractor Address. ! i Lt:) ~ ~ i' e to< o``✓ City: ` w 4 vt a t C%
State. r Zip: . , . . Phone: r r °61 1 ns
i.
Email v .j 111 4:~- f a f f t x. i iV'l ~t
- J F
--License #f Lead Certificate 4:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) '
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
i
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
___Yes __No If yes, date and address of master plan:
Licensed Plumber. Phone:
Mechanical Contractor: Phone: f
I~
Sewer & Water Contractor:
Phone: ?
(VOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. 1Arw _rLor;h :_sta__un("ca~l_r)-ra,
I hereby acknowledge that this information is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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. ,
x . `t E' x tv...E'•'v'ir' l ' .J ,t f ,i'" _
Applicant's Printed Name Applicant's Signature
Page 1 of 3