1250 Mourning Dove CtReceipt MECHANICAL PERMIT
2Psrmit No. •
• CITY OF EAGAN
f1/l in numbered specea
Type or Print /egib/y
1. Date , - 2. Installation Cost
3. Job Address . Lot?61
Fee
? S/C
Tot.
?
Tract
4. Owner .: > h I _-,) / P,a r'/7 J
5. Contractor Phone
?-.
6, Address
i
7. City State Zip "
8. Buiiding Type: Residential C7 Commercial ? Institu[ional O
9. Work Description: New Q Add O Alter ? Repair ?
10. Describe
11.
Fuel Type
No,
/ EguiRment BTU - M. Ea.
Forced Air ` No. Equipment CFM
Ai
ndli
:
H
Mfg. `- r
a
ng
Boilers ?
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
? Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and.codes governing this type of work.
Signed : f for
Rough Finel
Inspectians: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt
PLUMBING PERMIT --> -, ;
Permit No.
CITY OF EAGAN _
Pes
? Fill in numbered spaces S/C '
Type vr Print /egiWy T
-
ot.
1. Date ; 2. Instaliation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
?
6, Address
7. City
n?
State
Zip
8. Building 7ype: Residential 0 Commercial ? Institutional D
9. Work Description: New D Add ? Alter ? Repair ?
10. Describe
11.
1Vo. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $eptic Tank
- Lavatory Softner
-7
! Shower Well
Kitchen Sink
Urinalf8idet Other
Laundry Tray
Floar Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
, 11 • it(. Ff f!'1 , U
PERAAIT SUBTYPE:
,!. ,. - .11
f,i
I ? 1
, APPLICANT:
i
(:,j,,'1 '?ifii
TYPE OF W4RK:
-?
N. f 6t ?• .
INSPECTION
? .. . ..
k[ M/1Ftk'. - A =•C f, Al+ii l t F'1' f; M l I I', Itt tr1111tf 1t F l1F' kt4 ; f'l iIMN l tiir il1'.' t Y!1 I lz l1 Al 1.1isfcl
F -1
p?
L
INSPECTION RECORD
PERMIT TYPE:
? Permit Number:
Date Issued:
Permit No. Permft Holder Date Telephone M
S/W
PLUMBING ?J
HVAC
ELECTRIC
ELECTRIC
Inspection oate Insp. Commenta
Footings I
Foundation
Framing
Ll
Rooflng
Rough Plbg.
Rough Htg.
Isul.
Fireplace >z(.?? x
Final Htg.
Orsat test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr.lPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
INSPECTIDN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 PilOt Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: '
(612) 6$1-4675
SITE ADDRESS: APPLICANT:
f)NN1Nt?i MJ'1t. e 1
', i f i, rif•li i`, ti?FEi C1 t?0 4 6
PERMIT SUBTYPE:
TYPE OF WORK:
? ?
Pertnit No. Pormlt Holder date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectfon Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFMG
?
•?-a
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIA TEST
FINAL PLBG
FINAL HTG
ORSA7
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
OECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addition ST. FRAIVCIS WOOD Lot 25 Bik 1 Parcel 10 65900 250 Ol
p,,,,,,er street 1250 Morning Dove Court State Eagan, MIlV 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1980 1758.49 175.85 10 1230.97 A011387 -1- 2
STR E ET R ESTO R. IDp, 1981 75.00 15.00 5 15 80
GRADING
*SANSEWTRUNK 2926.87 A011387 9-1-82
*SEWER LATERAL
WATERMAIN
t WATER LATERAL
? WATER AREA qw)
t
# STORM SEW TRK
y? STORM SEW LAT 1980
5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 420.00 31482 8-18-82
BUILDING PER. 7453
5AC 25.00 '1
PARK
cIrr oF E?GAN
'- 3795 ?ilof Knob Reed Eoqan, MN 55142
? PHONE: 454-8100
BUILDING PERMIT
58G,GOA
Site /lddress
Lot
Cburt
Block Sec/Sub. . •' -- ` 'od
Porcel # -
nc NOmE
W
? /lddress •
O
?V
u?
F
Receipf #
19
Erect ? Occuponcy
A1ter p Zoniny
Repoir ? Fire Zone
Enlorye ? Type of Const.
Mova D # Stories
Demolish p Length
Grade ? Depth Sq. Ft.
Apyro va Is Fees
Woter & Sew.
Police
Fin
Enp.
Plonner
Council
I hereby ocknowledge thot I have read this applicotion ond state that B?? Off.
the intormation is correct and ogree to comply with all opplicoble APC -
State of Minnesoto Stotutes and City of Eagan Ordinances.
Sipnoturo of Permittee -
A Building Permlt Is issued to:
all work sholl be dona in acwrdonce with oll opplicoble Stote of Minnesa
NG111!
Address Assessment
Permit
Plan check
S11G
Woter Conn.
Water Mefer
Road Unir
Totul
on the expreas condition Ihnr
Statutes ond City of Eopon Ordinances.
Buildinp Offlcial
Permit No. Permit Holder Misc- Permit No. Holder
Plumbinp ? ? ? ? l,e) (0 - 27 ?
H.V.A.C.
3 2 z
W El?z? (
o?S -S
w.u
Water
Disp.
Sewer
ENctric ? l{1(?s Mon rc
D ' 27 -$2-
Inspeetion pate Insp. Other
Footinqt ?*.
.
FoundatFon
Freminp Z
Rouyh Plbp.
RouOh HVAC
Inwlation •1'r2 4j
Final Pibq.
Flnal HVAC Q,
Flnal
Water Dyeribs Loeation:
Nhll
Sftwr
Pr. Dhp. S
CITY OF EAGAN R r? +3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1`? - 11402
2
PHONE: 454-8100
BUILDING PERMIT , Receipt#
To be ufed tor MFr F' I REPLLo4QValue Date I? :F FAErI 3n
Site Address 1 4jv MVUlC"l LYIa uuvr. %.:1' Erect U Occupancy
Lot '25 elock 1 Sec/Sub. ST CRANCtS WOUneqoft 11 Zaning
Parcel No Repair ? Type of Const
. Addition ? No. Stories
Move ? Length
¢ Name KFIJT rTRARN$
= Demolish ? Depth
o Address `?AH??? Int Impr. ? Sq. Ft
a
o Name
? < Address
1- r.it„ Phnnn
?a
? W Name-
? ? Address
< Wz
City -
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Permit 1 I - 5n
Surcharge _ 50
Plan Review
Water Conn.
Water Meter
Council Road Unit
I hereby acknowledge that I have read this appiication and state that the gldg. Off. Tr. PI.
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Cit
of Ea
an Ordinaaces APC Parks
y
g
-.'
_ _
,
- Var. Date Copies
;1_
Signature of Permittee !
' Total ? ? nn
KEnT STEARNS
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with aU applicable State of Minnesota Statutes and City of Eagan Ordinances.
PwmH No. Prmlt Ho1dN Date T?phon? k
Plumbiny
N.V.A.C.
EIecMe
So1bnK
ImpecUon Date Insp. Commenis
Footinys I
FooNnqs II
Foundatlon
Framiny
Roofiny
Rough Plby.
Rouph Htp.
Insul.
Fireplsee 1 1
Ffnel H1q.
Final Plby.
Bldp. Final
CarL OeC.
Deck Ftq.
Deck Frmy.
Won
Pr. Disp.
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
$1200.00 PHONE: 454-8100
SiteAddress
Lot Block
?
°
' Name "'Ey
- 360
Address
?
c Ciry Eag
?
Name
c Address
O CitY
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUets #
Other
PERMIT # Na7
RECEIPT #
DATE: ' ? `g 6 o
BLDG. TYPE WORK DESCRIPTION
Res. ?
Mult
Comm, -
Other
New
Add-on -
Repair
Phone
3U , M BTU
M BTU
M 8TU
M BTU
CFM
FEE
S/C:
TOTAL•
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU , - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
, j(} I SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
tzTY oF FAGAN
BUILDING PEF2MiT APPLICATION
'ro se Used For 5F pWq/00t-- vatuation ?T?7,Aoo
sire Aaaress: rZ? ]'1oQ2a1rn1?
rAt zs siocx ? sec./sub. Sz
Parcel #: lo (p S2oo a5 0 o
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date E -G-s?;Z
oFFzce osa ora,Y
Occupancy
Alter Zoning
- Repair Fire Zore
Oaner: Y-F
rA- Enlar4e _ Type of Const.
-
Address: a0 ) o'l 3\S+ AVE, So, Nbve
Demolish # Stories
Front ft.
S? O(p
'1
\a
Cit
Zi
d
'-'"
C Grade Depth J 3-7s ft.
y/
p
o
e: ±
Q
,
-?
Phom #: 3SR - 0-7 S? APPROVALS FEE'S --
Contractor: AICE4-MP5 nn)-? ? C., Assessments Permit ?7Z
Pddress: water/secaer surcharge
5
F POlice Plan Check
'ity/Zip Code:
Acl L
1 Fire SAC ?
?-
tone #: Ehg. water conn. ao
Planner Water.Meter /op -
h./Ens• : (c. t+ T rv? F5a n) -
'? counc? xoaa tmit i?-
- Bldg. Off.
=ss: APC
Zip Code: -* (pa
#: . TOTAL _
w 6? //ffy?
0- j,
'41 8,11, . ?
s
v
RaQUe Oate n Fire No. Ro gh-In spedion Requiretl
(YOU m ? call inspedor hen reaEy) Inspection Other Than ugh-
Now ill NIn
? qeatl
otJ
Ins
ecror
es ? No y
y
p
Date Featl
I? licensed contractor wner hereby request inSpection of above electrical work at:
Job Fdtlress (Streel. Boz ar Ro e NoJ
C-P?
? City
•
0?50 /ouc?n
??
Sec[ion No. Township Name or No, Ranqe No. Couny
Occup nt(PRIN'n . Phane No.
?,,1 ?.? DSStVl (
Power Supplier Atltlress
Eleclncal C vacbr (Company Name) Conlredo/s License No.
otMC owner
Meiling Atl ess (COntractor or Ownar Making Installatian)
"qt ove
Authorizetl - ure (Conlrecto00wner K stall n) Phone Number
c g-- 2-? J?
MINNESOTA STATE BOARD LECTflICITY THIS INSPECTION REpUEST WILL NOT
Grlggs-Mitlway Bltlg. - Boom t28 II II I I I ( I I II I I I ( I I II BE ACCEPTED BY THE STATE BOARD
1921 Unlversity Ave., St. Paul, MN 55100 UNLESS PPOPER WSPECTION FEE IS
Phone 16121 6412-0800 . . cNCi nccn
i /
REQUEST FOR ELECTRICAL INSPECTION ?ffi?ea-oaooi-os
? Soe inshuctions br compleling Ihis torm on back of yellow copy. (?? ??OS
!
"X" 821ow Wo; `f qered by This Request ?,.
Ne Ad Rep. Type of Building App iances Wirad Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Managemeni
Comm./Industrial Fumace Other (Specify)
Farm Air Conditioner
Other (spacity) Conttacror'?cs:
5?,,? . •n? S
Compute /nspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transfoimers Above 200 Amps bove 100 -Amps
Signs Inspector's Usa Onty:
Irrigation Booms
O
Special Ins ection
Alarm/Communication THIS INSTALLATION MAY B? DERED DISCONNECTED IF NOT
Other Fee COMPIETED WITHIN 19 NTHS
I, the Electrical Inspecror, hereby
ti
th
t ih
i
b
h Rough-in oige
cer
ry
a
e a
ove
nspeclion
as
been made. Final oa?e
OFflCE USE ONLY
his repuest vdC 18 monlhs Irom
3 ?
//
ThisrequesivoiAlqzZ LZs , IS`I s'f..??~C ?_U
..?? 4f 14 5
Fequest Oate Fire No. PouNh-in Insper.Hon
Feq reA? ?.n
y?eadV Nuw?n'ili Nntilv Insuec-
tor Wh
n R
d
D
Z- Ves o n
ee
y
>4 icensetl Hectrical Convnetor I hereby requasI inspuction of above ,
? Owner eleclrical work installed at: Sireet AAdCress, Box or Route Na City
enion n. Township Nama: o n. Fanpe; No. Covnl
Occupant(PRINT) Phnne No.
? 33R -`0 -S
Poweh $up0'lier - Adtloss
¢3?b
220?' ?"ne.e?
W est'
Elecrtical ConVactor ICOmpany Namel -
?
' Convu,Ac?to,r's I.icen
I se No.
t lG
mO
n?Yll
Mailing Address 1 ontractor or Own¢r Makin Instailationd
4-6 1-1 G ?-?3r•l b ,
Aul ized Signawre (C vacmdOw er Makinp Installation) Phone Number
ZS' - 23
MINNESOTq STATE 90ANO OF ELECTRICITV TMIS INSPECTION HEQUEST WILI NOT
Griggs-Midwey Bitlg. - floom N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., 51. Paul, MN 55104 UNLESS PROPER'INSPECTION FEE IS
p? ,,,,- 19111 147 111, ENCLOSED.
?
??99 REQUEST FOR ELECTRICAL INSPECTION
T /4'- ?? See Tsfruceions for completing this form on bnck oi Yellow copY.
r ••v?
?"X"`Below Workby This Reques!
«.w ee- ooom.oa
3 z ? zb
Ne Atltl Hep. TYPO oi Builtlin9 AOPliencas Wirwtl EquipmBnt WireA,
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Buflding Dryer Electric Heatin
Commercial Bldg. ' Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm OaFer 711 eoI f vi Oiner (5nerify)
1h<ar ISUerify Other Otl+er
Compute lnspection Fee Below
V Fee ServiceEn[ranceSize p Fee FeP.ders/SuhlenAerS M Fee Cirr.uits
0 to 100 qm s 0 to 30 Arn ps Ja OC) U to 30 Am ps
< 101 to 200 Amps 31 to 700 Amps 31 to 100 Am
Above Z00_qmps Above 100_Am>s Above 100_Amps
Transiormers Reinole Control Cira Sfw- P2rtial%Other Fee
ic?ns Speciai Ir ction
Reniarks ??^A Y....^ ,
r C__ OTAL FEE
th_rm
RouBh-in -`Dnte ' V ?
9,zs a,
? a ec[or, hereby
Final rtify that the nbove
b?r?r - aection has heen
.. ? e . mide.
This reuuest voitl
1x,.,?...?.? a.,.,.,
CITY OF EAGAN _
. 3795 Pile1 Knob Rmd Eopan, MN 65112 1? ?T0 7453
PMONF: 454•8100
BWLDING PERMIT Receipt
Site Addreu 1250 Mourning Dove Gburt E
t )ff O R-3
rec ccuponcy
Lof 25 Block 1 Sec/Sub. St. Francis WO Od lSx{le, 0 Zming R-1
.'arcel # 10 65900 250 Ol Repair ? Fire Zone NA
V
Enlarge ? TYpe of Const.
w Name l',Pnt Stnarna /riave ? # Srories
Z
? Addreu 2012 31st Ave. SO. pemolfsh p Length50
Ci Mp ls. 55406 phone 339-0755 Gmde ? Depth53.75_Sq. Ft.-
? • h Aowevab Faea
o Name Ric Thomanaen & Aason,
o? Addreu 1869 Selbv
(':? c? n-l Dl.....e
Nome _
Address
I hereby acknowledge that I hove rend this applicotion and stote thot
the informotion Is cnrrect a ree to comply with oll applicable
Stata of Minnesotu Stafutes Ci Ordinonces.
Slpnoture of Permittee ,
A Building Permit Is issued to: RiCh WhOIDpSOII & A38
oll work sholl be done in occordance with all upplicgkla Stote ofMii
Assessment -
Woter & Sew.
Police _
fire
Erq.
Plannar _
Council -
Blda. Ofi. _
APC
Permit 373.00
$urcMrge 40.00
Plan check I R6 _ F+O
SAC 525_O(1
worer Coon. 420 _ nn
water Meter An _ nn
Rood Unit NA
Torol _$1604.50
an the express condition thni
Stotutes ard Ciry of Eogon Ordinancec.
Buildirq Offlciol
w = CITY OF EAGAN N p 11402
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 ReceiptA SaC6 3
To be used lor MFG FIREPL?'valu ??? Date DECEMSER 30 .19 85
SiteAddress 1250 MOURNING DOVE CT Erect ? Occupancy
Lot 25 Block 1 Sec/Sub. ST FRANCIS WOODR415191 ? Zoning
Parcel No. Repair ? Type oT Const.
Addition ? No.Stories
a Name KENT STEARNS Move ? Length
3 - SAME Demolish ? Depth
Address
Q Int. Impr. ? Sq. F1
Ciry Phone 454-70 71 Install g1
. o Name Approvals Fees
0
i
0 Address
? City Phone
?Q
w W
Name
?
? , Address
< W CiTy Phone
Assessment _
Water & Sew.
Police -
Fire
Eng.
Planner-
Permit 11.50
Surcharge .50
Plan Review
SAC
water Conn.
Water Meter
Road Unit
Tr. PI.
Parks
Copies
Total 19 nn
Council
IherebyacknowledgethatlhavereAdthisapplicationandstatethatthe
information is correct and agree o comply wi all applicable State of Bld9. Off.
Minnesota Statutes and City aganOrd APC
Signature of Permittee ? -------°'?jVar. Date
A Building Permit is issued to: -
all work shall be done in accordance
KENT STEARNS
State
on the express condition that
Statutes and Ciry ol Eagan Ordinances.
Building
; Ttr#iftrtttr of Mrrmpttnry
Citp of Cagan
arpttrtmrnf nf t?uilbitmg 3nsprriirm
7hit Certi jirate irrucd psrm4ru to tAe requi+rmentt of Section 306 o/ the Uni form Bn'rlding
Codc mtifring ehat at the timc af iurtarut tbzc nrurture wat in rampliana with thc variaul
ordinanrer of tbe City ngaTotinB brulding ronnrnctiox or Hsr. For t)x fo![owing:
SF DWG/GAR aae.h?tNO. 7453
awe+m'Trw R3 rywuw V Fm z? NA zoNwownd Rl
a.„rmm,6Kent Stearns ,dd,m2012 31st Ave. So. Mpls.
D„,,,..1250 MourninQ Dove La,i„,Lot 25 Block 1,St. Francis
nQ0 Court Wood lst
December 14, 1982
? ??a
?fto?
? 1=_-
.a.. ?. , ?..,??. ..,?.
2007 RESIDENTIAL PLUMBING PERmir aaPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Piease complete for modifications fo existing residential dwellings.
Date 12! s I 07 Lawrence Rossini
Site Street Address 1250 Mourning Dove Court Unit #
Eagan, MN 55123
6516882050
Property Owner ie # ( )
Contrector M P(/,l?39b/rl!) Teiephone# (G1Z) ?Z7-4o33
Address ZqOS li-,tvTit? " City Statc.,04.4_/ ZEp sry08
The Applicant is: _ Owner ? Contractor _Other
Septic System _ New _ Refur6ished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
i ' Per as-built $ 10.00
? Fire Repair (repiace bumed out fixtures, eic.) $ 90.00
Alterations to existing dwelling $ 50:00
_ Add plumbing fixtures. This fee includes installation of a water softnen and/or water .
heater at the same time. If you are instafling onlv a water soffener #nd/or wafer
i heater, do not complete this section; move to the next- section 'r? ?opI? the
appliance(s) you are installing. ?
Septic Sysfem Abandonment ( ,
? "!^l
_Water Turnaround (add $136.00 if a 5/8" meter is required)
?? ' j%
Other:
WaEer Softener ? Water Heater $ 15.00
_ new _X_ replacement
Lawn Irrigation _RP2 _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50.
?
Total
$ [.
_T?
I hereby apply for a Residentiai Plumbing Permit and acknowledge that the inforrnation is complete ana accurate; inat tne
work will be in conformance with the ordinances and code f the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a e,+qnit, work is not tostart without a permit and work wiil be in
accordance with the approved pian in the event a plan is r µlrkd t be revieweond a roved.
je-(T' "rblow?
ApplicanYS Printed Name &1ants Signature
PERMIT ?
-CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
suzLozNe
031010
10/22/s7
SITE ADDRESS:
1250 MOURNING DOVE CT
LOT: 25 BLOCK: 1
5T FRANCI5 W000
P.I.N.: 10-65900-250-01
DESCRIPTION:
(ROOFING)
rmit Type SF (MISC.)
r*d Type REPAIR
,-N434 ALT. RESIDENTIAL
a i? -
. ?. _ .
N
REMARKS:
FEE SUMMARY:
VFlLUATION
Base Fee
Surcharge
Total Fee
r
$112.25
$3.00
$115.25
$6,000
CONTRACTOR; _ Applicant - ST. LIC OWNER:
SELA ROOFING & REMODELIN6 18238046 0001050 RqSSINI LNRRY
4100 EXCEL5IpR BLVD 1250 MOURNSNG QOVE CT
57 LOUIS PARK MN 55416 EAGAN MN 55123
(612) 823-8046 (612)688-2050
t
f??...,, ..
APPLICANT/PERMITEE SIGNATURE
ISSUED B)IJ SIGNATUR?
31010 1997 BUILDING PERMIT APPLICATION (RE5IDENTIAL)
CITY OF EAGAN
3830 PILOT ICNOB RD - 55122
681 -4675
New Coostruetion RecuiremeMs
RemodeVReoair Reauirements
? 3 registered site surveYg ? 2 copies of plan
• 2 copies of plans (inGude beam & window sizes; poured fnd. design: ete.) ? 2 she surveys (eMerior atlCitions 8 decks)
• 1 energy calculations ? 1 energy piculations for heated atlditions
? 3 eopies of tree presenation plan 'rf lot platted after 7/1l93
required: _ Yes _ No DATE: /O ",-2O ' CONSTRUCTION COST:
DESCRIPTION OF WORK: .169a 7Z" rT Si= %-/ C'lt'/? Gf-
STREETADDRESS: -?c?cSO /ylprlvi.JG Dd 0 'iff G'74
LOT 16 BLOCK SUBD./P.1.D. #: l'?f/J I,I/ i
PROPERTY Name: 45SSlAI ! Phone #: 46ff aes o
owNeR
Street Address:
City: State:
CONTRACTOR C0111p8nY: eci n qgnFlNr R. REAA6161r6FP46a I0I6 Phone #: g? 3
4100 EXCELSIOR BLVD.
Stf2@t AddreSS'ST. LOUIS PARK, MINNESOTA 55416 License #:
?? ..
? i ,S
City: State: Zip:
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licer.^.ed plumber (new construction only):
and lot change are.equested once permit is issued.
Penalty applies when address change
I hereby acknowledge that I have read this application and state that the infortnation is corcect and agree to comply with all applicabie
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 - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling o 07 4-plex
? 03 SF Addition o 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 __.?-plex
WORK TYPE
? 31 New ? 33 Aiterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
0 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
0 15 Deck
? 36 Move
? 37 Demolition
46
16 Basement Finish
17 Swim Pool
20 Pubiic Faciliry
21 Miscellaneous
Const. (Actual) Basement sq. ft.
(Aliowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq, ft,
# of Stories sq. ft.
Length sq.ft.
Depth Footprint sq. ft.
APPROVALS
Planning Building
Permit Fee ?? a. a 5
Surcharge ?, B a
Plan Review
License
MC/W5 SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total: // 5. a`J
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
_ Engineering Variance
Valuation: $ (.GiiW ?
% SAC
SAC Units
--? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT CU4A
PERMITTYPE: eusLnxrdG
PermitNumber. 025060
Date Issued: 0 2/ 0 7/ 9 5
SITE ADDRESS:
1250 MOURNING DOVE CT
LOTa 25 BLOCKa 1
5T FRANCIS W00D
P.I.N.: 10-65900-250-01
DESCRIPTION:
Xd;irrg),Permit Type
ldirtg a8rk 7ype
?
t-,
,
.in, ?? . . . L-
REMARKS:
BASEMENT FINI5M
flLTE12ATI0N
t" a
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR: OWNER: - APPlicant -
R05SINI LAWRENCE
1250 MOURNING DOVE CT
EAGAN MN 55123
(612)588--2050
I N-ereby ack;nzswledge tNa,t I have read this aPPlica'Cion snd staCe that the
3n#ormatian is correct anil agree to camply with a31 applicable State af' Mn.
StatuCes and Clty of Ea9-an Ordinartces.
L ?
APPLICANT/PERMITEE SIGNATURE ISSUED 8. SIGN E
04() CITY OF EAGAN 4y
3830 PILOT KNOB RD - 55722
61995 BUILDING PERMIT APPLICATION (RE5IDENTIAL) ,
681-4675 60?G!'?
New Cnnstruction Reauirements RemodaUReoair RenuiremeMs
? 3 2gisMred site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fid. design; etc.) ? 2 si[e surveys (exlerior edditlons & Gecka)
? 1 energy ralculatbns ? 1 energy plculations for heated addklons
? 7 tree preservatioa plan A lot platted after 7/1/93
required: _ Yes _ No 14?
DATE: i?2.c??9r CONSTRUCTION COST: la,
DESCRIPTION OF WORK: ?N.'stt 13ri-s??t-K/i - iA c(,4 des C,, epluce
STREET ADDRESS:
LOT i?_ BLOCK I SUBDJP.I.D. #:
PROPERTY Name: IAW2Q?+.`ce Phone #: (6ff-`-265D
OWNER `"^
StreetAddress• pdJc G7`,
City: FIYA?v' State: Zip; 5.5 /2- 3
CONTRACTOR Company: 3c?-U= Phone #:
Street Address:
License
City:
ARCHITECT/ Company:
ENGINEER
Name:
Phone #,
Registration #,
5treet Address•
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
I hereby acknowledge that I have read this appiication and state that the
appiiqble State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Zip:
State:
Penatty applies when address change and lot
correct and aaree to carfidlv with all
1
?. ?
Certificates of Survey Received = Yes = No I __.f A N 2 0 1995
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
- •?• •,r:.: ,?.<».
.
0 01 FounsJation ? 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public'i'Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 5F Misc. ? 10 Muiti (additional) ? 15 Deck
WORK TYPE
? 31 tVew Cml?-33 Alterations ? 36
? 32 Addition o 34 Repair ? 37
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Pertnit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
ToWI:
Move
Demolition 'i
Basement sq. ft. MC/WS System
Main level sq. ft. City Water '
sq. ft. Fire Sprinklered +
sq. ft. PRV
sq, ft. Booster Pump
sq. ft. Census Code.
Footprint sq, ft. SAC Code a0
Gensus Bldg i
Census Unit O
,
Building
Engineering
Valuation: $
Variance
°h 5AC
SAC Units
? 7985 BUILDING PERMIT APPLICATIOH - CITY OF EAGAN
NOTE: ALL CONTRACTORS FNST BE LICENSED WITH THE CITY OF EAG9N
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1'SET OE
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be Used For ; h'1?F0 TiRf_,Ol o, Valuation :
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
Date:
Site Address
Lot Z'5- Block ? n-I
Parcel/Sub IS'(
Owner
Address t7?70 MUVe-NfAY= VC?llh,?
City/Zip Code Lq c-Aou sS i ? 3
Phone q 5LI - -70 'L?
Contractor ?LZE_ ???ek-L
Address
Erect , Occupaney
Remodel ? Zoning
Repair Type of Const
Addition ^ # of Stories
Move , Length
Demolish ? Depth
Int.Impr. Sq Ft
Install z:
APPROYALS FEES
Assessments Permit
Water/Sewer ' Surcharge
?
Police Plan Review
Fire SAC
Engr Water Conn
Planner? Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TOTAL
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone lI
HEAT LOSS CALCULATIONS
Weatharauipa A'S'H'V'E' ?
Guide
Windowa Doora Reference Out. I
Yes-No ( Yes--No ? 19_ ?
Fl.r Room LenRth W
Windowa and Doora-CrackaRe aad Area
BUILDING AND INSPECTION DIVISION DEPARTMENT OF
COMMUNITY DEVELOPMENT 2215 WGh7 OLD SHAKOPEE
ROAO, BLOOMINGTON, MINISESOTA 55431 881•5811
," ]^ Construction No. INSUI:ATION p?m?gtor?
ait int. Wall CeJing Roof Floor Kind How Apptiea
th Fleight I FI., Room I Isngth Width Hei86t
??.-f}' Windowa and Doors--Crackase and Area
N. Wiaan
o[ pan. H<<im
of p.ne xo. of
U/hu LInea7 [t.
of tfaek Aiee
y. te.
CoeE Btu
[nfiltration ? .`?'2,
?21i
Bxp. wall
Nat exp. wall, o i.-''? / 2
Jint. WaII
- 36
Ceilittg
Floor . . . ? . 2 ?
7otal Btu. ' 12 3 )-)
Requircd aq. h. E.D.R. oi aq. ins. WA. Leader arex
` f1.1 Raom I Length Width Heig6t
Windows and Doors--Craekase aad Area 16T nl_ _.
s Na WIOtb
ot pa'ro s16 t
ot pand, Ne. M
Uipto LMeaI tt
ef erack An?
q. t4 ? J-"'
?
?
Coef. Btu
' 1o51traiion
Giau ' -
; Em. wall 3yti
Net eap. wsll
' 1nt. wa0
,?:Ceiling . .. . . . . , . . . . .
'Floor 5, r
=Tocal sea
Reqaired sq. ft. E.D.R. or aq. in+. W.A I.ender aras ,`
' F1.1 ' Room I Lensth Width -?- Height
Windows and Doon--Craclcaxe and Area (1 P i
'-
A'0. wmtn ?
01 paTS ' H.lraa
OI Wnn xe. a
HtTts Lfnul [4
61 Cn<k w,..
p, il C' r.;IP S
)
)o)o
:
Coef. Btu
Infiflration 37
ct.K
Eap. wall
M<<emp. Wau ?
Int. wsll
Ceiiing :2
Floor
No. WICIh
e! D.n. 8elght
ot pn,ne No.oi
Ilghtr L1v.a1S4
ot Craek Aee&
p. ft. .
Coef. Btu
In6ltration
GIAsf a
Esp. wall
Net exp. wail
InG wa11
Ceiling
Floor
Total Btu:
Requaed sq. Ft. E.D.R. or sq. ina. W.A. l.eader arca
Fl.I RoomI l.ength Width Height
Winclovn aad Doors-Crackage and Axa
WICt! ' efiht Na o[ LInNI [6 Ana
Na o! p4n0 nf Mtu 1lseb ot eraek K. [t.
CoeE. Btu
In5leration
Glaas
Fsp. wall
Net esp. wali
Int. well
Ceiling
flocr °, _,.. .., . .,
? -
Tota! &a. -
Required sq. €e. E.D.R ot K. ias. W.A. Lu+der ar,en
F7. Reom I Lengeh Wideh He+sht
Windowa and Daors-Craclcage and Ana
Na WICIh
Ot pan, Relght
el pa??o, Na eR
Ilshu I.Inql tt.
o[ eraeY Aroa
p. [t
Coef Btu
Infiltration
CJais
Eap. wall
1Vet exp. wsl!
In4 wall -
Ceiling
FIOOP
Toial Stu.
S$equired aw ft E.D.ft. or sq. ins. W.A. Lzader area
S u M ?A A-e-Y
4 e-Ai-
?.?
,?p.:
?. ?.:.
?iV??2[?Y 6AL.GUc...,i-Tld vs , R t or- 8
Loss - W??5 :
MAr rJ WAuJ A ?Zu-?ts 1EI9,SF X GC@ 0.04 3 = 7g.22
IVl AIrJ In? F2aM iOcl AV-0k " 2 4? 5V7 x 6. I 3 g = 3 4.4-1
?i+A -36 (sr AvzCA 22& sF x 0.043 9.7z
C-aAanC7E5 P/M I,JAv-A?2f4 Z S2s V= x 0. 04 I 10.33
6M aUC PA2r/ WM.+- Ft2??&Y', A+2? z? sP X ( ) - 12-3 3.44
?UND a--noni WAu_ A+e-? 41 9 sG x p.z7S I l,3".23
1)60R ARt--? 136 5p x D• Z3 Sr.57
PArrr (,)a-u, Doa?e- AcE7A 23 sy: X o.os¢ i e2-4-
lNDdW AP2e?-A 2-5b5F7 x 0.27I 69.3?'
3 4-07 s F 3 30.60 BTU/W?
336.60 8Tu142 ° F_
G 1•?. FA crZ)2 = 3 4-87 s;:
? 0.09?1 < o. l7 CO UE 1
0. 09-7 M/4R°PS-v
lc)o31>
? CAT 1o ??.5 - C?rutic,? -
CA-n-rl---t4ea-c- GeILwc7 Ate-ot-5
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?,t?-r,uL??
C`?,? ?. C? IL( fJC7 1-12f1m1NC7 Af2-tA-
? 4z 5?= x L(,9 6.031= 19.90
-7 I sF x0. i 2?, = 9.09
3_0
10 ? x Q. 152 1.3Z
5r) 2S, 17? x6.02a- i a-.21
G?St=x?.OZ3 I •.5 ?
?o-FALS 1469 S? Y0. I i
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I
f-?V o2A-4 r cTOle = 0.0 34= 3 Z
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t/UTS IDs Air2 'FILM Oo(7
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ft-r n-1 W A Lt- I- ft Mi rJ CI H IeF}4 .
INS,oe? Ale- F?IL'O
5s <<
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?
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„
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CITY USE ONLY
L ?? BL _L RECEIPT #: 19?d5
SUBD. ?/COin.?i.a (.tJaa?ML DATE: 4c??U 5
1995 PLUMBiNG PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/5pa
Water Heater
Floor Drain
Gas Plping Outlet ' minimum -1
Rough Openings
Water Softener
Private Disposal * oakota cty. iicense
U.G. Sprinkler " home under const.
Alterations ' to existing
Water Turn Aroun/
Zw?.???
STATE
70TAL
- EACH NO. TOTAL
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x
3.00 x =
3.00 x =
3.00 x =
3.00 x =
1.50 x =
5.00 x =
20.00 =
3.00 =
20.00 = ?-
20.00
SURCHARGE
.50
S-C?
SITE ADDRESS: la S L? dlmr,Gl&vt ' h/G ?(?L?P C?.7'•
OWNER
INSTALLER NAME-
STREET ADDRESS:
CITY: STATE: ZIP: S? ?2
PHONE #:
OFFICE USE ONLY
L _ BL _ RECEIPT #:
SUBD.
DATE•
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681,4675
Please complete for. . ali commercial/industrial buildings.
w multi-family buildings when separate permits are II4! required for each dwelling
unit.
DATE:
CONTRACT PRICE:
WORK TYPE: _ NEW CONS7RllCTION ^ ADD ON REPAIR
DESCRIPTION OE WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLEO? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN'A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 pet
$1,000 of pgtmiS fee due on all permits.
CONTRACT PRICE X 1°/a
5TATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
STE. #
INSTALLER:
ADDRESS:
cirr:
PHONE #:
METER SIZE: ' DATE:
STATE:
ZIP:
SIGNATURE: ---
APPLICANT
OFFICE USE ONLY
INSPECTOR:
CITY OF EAGAN WATER SERVICE PERMIT
3795, Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: — No. of Units:
Owner: — —
Address:
Site Address:
Plumber:
Meter No.: — Connection Charge:
Size: Account Deposit:
Reader No.• Permit Fee:
I agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Dote Paid:
Dote of Insp.: d — insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3793 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection Charge:.
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.• Dote Paid:
CityofEaaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Perm`��/it #: / C� 0 3
Permit Fee:
Date Received:
Staff:
2012 MECHANICAL PERMIT APPLICATION
Date: 1(7)--2(A- \ Z Site Address: ka5O ft/Iowan i � Dive _ C1
,-Q ,YUUnsiV
Tenant:
Suite #:
•
Name:--(J'tj �aci ! Phone: LOS -1 ty 8b — Zo7)
Address / City / Zip: 0 t' i(J Lan //I )}jtrr l y, J j(,(( `J� / Z -2
Name: BURNSVILLE HEATING & A/C, INC. License #: M (X)3 (l -
Address: 3451 W. Burnsville Parkway City:
Suite 120
State: zipBurnsville, MN 55337 Phone:
Contact: LO1 CC
Email:
New X Replacement Additional Alteration Demolition
Description of work: k Q V (Yrt v -f !`1 C hi k,ilt ( S
RESIDENTIAL
Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other hC.a1L{ l '( Skid
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
Under / Above ground Tank ( Install / — Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) t �/ / ,J )
$100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ UCV , V l/ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge)
$60.00 Minimum (includes State Surcharge)
- If the Permit Fee is less than 810,010, surcharge is $ 5.00
- If the Permit Fee is > 810,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
-A
OR Contract Value $ x 1%
_ $ Permit Fee
_ $ 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.aoeherstateonecall.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 1 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 I approved plan in the case of work which requires a review and approval of plans.
(1161 braila
c l
App icant's Printed Name
Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121589
Date Issued:04/08/2014
Permit Category:ePermit
Site Address: 1250 Mourning Dove Ct
Lot:25 Block: 1 Addition: St Francis Wood
PID:10-65900-01-250
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
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 by law in ALL single family homes .
Chris Haqq
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 -
Lawrence J Rossini
1250 Mourning Dove Ct
Eagan MN 55123
Abelard Construction
150 Eaton St
St Paul MN 55107
(763) 797-4043
Applicant/Permitee: Signature Issued By: Signature