1257 Dunberry LaneRESIDENT / OWNER
Name, /�� 54 �c9- l/ Phone:
Address / City / Zips'/ ' /.1, }e fy ,"1 k AV ) ..c 2
Name:
J
4 1/U r .fir`/` f rtAicense #: / oO f/,- f 5
CONTRACTOR
Address: �
I ,, ? � ' 6 ..14 ity: -- —
State.
i Zip: - / 7 Phone: , .-g b — 7- 1 g
_A
Cont..4. t Z:., `LI Email:
TYPE OF WORK
New V Replacement Additional Alteration Demolition
Description of work:
NOTE: R oof mounted l a jd ground
Cod Pl ease contact the Mechanical
mounted mechanical equipment s requi d f oie screened
inspector for information on p ernit,ted scr
by Ci
met o ds
PERMIT TYPE
RESIDENTIAL
FLyaace
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Air Conditioner
Gas Exterior HVAC Unit
Air Exchanger
Under / Above ground Tank ( Install / Remove)
Heat Pump
** When installing /removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
Other
RESIDENTIAL FEES:
$50.50 Minimum Add -on or alteration to an existing unit (includes $.50 State Surcharge) — 0 c
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ L0 TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation /removal OR Contract Value $ x 1%
$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
1 33y0
C ity of Eaaau
2010 MECHANICAL PERMIT APPLICATION
Date: g; " Z.OI O Site,4ddress: f
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
4
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection aga
before you intend to dig to receive locates of underground utilities. www.• o • herstateonecall
I hereby acknowledge that this information is complete and accurate; that the work will be
Eagan; that I understand this is not a permit, but only an application for a permit, and work is
with the pproved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
r
Use BLUE or BLACK Ink
Permit #: 0 91/4-5 - 0/. (v/
Permit Fee: .6-37 cf
Date Received: (P° °lb
Staff: m t-
2.
Suite #:
nderground utility damage. Call 48 hours
nces and codes of the City of
the work will be in accordance
CITY OF EAGAN WATER SERVICE PERMIT
3195 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:
agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: 0 r Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning:
-- -- No. of Units:
Owner:
Address:
- - - - -- -- - - - - -- — - - -- Site Address:
Plumber: - --
I agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By -- — Misc. Charges:
Date of Insp.: __ —_ - -_ Total:
Insp.:— Date Paid:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121366
Date Issued:03/26/2014
Permit Category:ePermit
Site Address: 1257 Dunberry Lane
Lot:022 Block: 02 Addition: Ches Mar 5th
PID:10-17104-02-022
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 .
Kathleen Myrman
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 -
Linda L Knutson
1257 Dunberry Lane
Eagan MN 55123
(651) 688-8058
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124-0000
(952) 891-1919
Applicant/Permitee: Signature Issued By: Signature
,?ai2aYSaa 3u?;.??tn Lrx _.. •.st?•n'??-
.
F. C. JACKSON
LAND 6iJRYHYOR . . ..
, SC T I? ?/'= -3 D? . . RWIiT[R[G I1N001 LAMIN OP t1ATt 0I MINNtfOTA . ..
. LiC[Nf[O OV ORWNATICE pF dT OR MIMMiArOW , •_ ,z'ro N . '
3616 EAST 83TH STR6ET55417 727-3484
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? I NtR[6Y C[ATIfY TXAT TX[ hOOV[ 16 A TRiJ[ AND Cib11RtCT PLAT Ow A BVRV[Y 0/
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La[ 2,Bluclc 2,Ches Mer Fifth Addicion,
;. Daka[e Couaty,lllqnesota.
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AS fURY[V[O ar M6 THIl--ZOd. GAY OR A!±B• .o. 1978
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Heviaed Jan. 19[n. 1979
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516N[D ' ? .
- F. C. JAC 30N. MINN[fOTA.R[ 1fTnwTlow. No. 3600