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1925 Berkshire DrCASH RECEIPT CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE RECEIVED FROM 19 AMOUNT 0 /3750 ni3O 0 l $ DOLLARS 00 ❑ CASH ❑ CHECK L FUND CODE AMOUNT )/ c...- .• 7 5 !,,,,...,,. ,).)*--6 ,_ ti Than 7 / 1C ! f 2- • r. BY White—Payers Copy Yellow—Posting Copy Pink—File Copy i CASH RECEIPT CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RlCEIV RD FROM AMOUNT $ I j a: DOLLARS i roe ❑ CASH ❑ CHECK FOR FUND CODE AMOUNT I i Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: _ -1 ` Owner: . osen i `ilje- No. of Units: Address: It* Address: 1 Drive LA 01 Berkshire Ponds lumber: t A 1 n t V 111ilitieg- r ~ S ,n n e Connection Charge: 470.7F pa C Sxe. Account Deposit: ^ . Reader Permit Fee: 1 ap" to eoagdy W" the City of Eagan Surcharge: Ordinances. Misc. Charges B r Total: Date of In Date Paid: sp.: Insp.; CITY OF EAGAN 3830 Pilot Knob Road SEWER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: + Eagan, MN 55;yji DATE: Zonirg; Owner •seP.i er No. of Units: Address: Site Address: er an r e + r ve Rer :s lire Plumber: a oIIdB b t1 I egrea to aomP4 Wpb tb ph, of Eagan Connection Change: 425.00 d Ordinences, Account Deposit: p Permit Fee: P BY Surcharge: pc, Misc. Charges: Dote of Insp.: Total: Insp . Dote Paid: CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: 1 Owner: Joss h '-filler Address: Site Address 1925 Aerkshire Drive L4 I Eerks1,4 Ponds Plumber. ` fu r r 1' 1 b . AV Meter No.: Sit: Connection Charge: 47 .Ob Pd Reader No.: Account Deposit: 15. ry Permit Fee. 1).60 1 agree to =ar* Whir Nra City d Eagan Surcharge: .50 pd Orlieeaps, Misc. Charges: 63. red mete.. By Total: Dote of Insp.: Date Paid. Insp.: ReceiptDPLUMBING PERMIT Permit No.~~ CITY OF EAGAN Fe. U. c~> Fill in numbered spaces S/C J Type or Print legibly Tot. 1. Date2J Q7 2. Installation Cost 15~ u CIO 3. Job Addres~`~o1J Blk. Traci v: c 4. Owner JG/E 5. Contractor Phone ! I 6. Address 7. City State Zip 8. Building Type: Residential AD*" Commercial ❑ Institutional ❑ 9. Work Description: New Add ❑ Alter ❑ Repair ❑ 10. Describe 1 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink ; Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with,.all ordinances.and codes governing this type of workkf ` Signed for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN Remarks Addition BERKSHIRE PONDS Lot 4 Blk 1 Parcel 10 13750 040 01 Owner Street 1925 Berkshire Drive State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1982 239.09 - 23-91 10 143, O g2- 17 -oZh~a'S STREET RESTOR. GRADING SAN SEW TRUNK 1982 176.04 11.74 1 AZ7, IIZ QL6,Z791 C-1 - SEWER LATERAL 1982 57.24 3.82 15 Ay~l , DO v v Sewer Lateral I qgc; * 427.88 28.53 is 3W 3 C. WATERMAIN 1982 46.09 3.07 15 33,fr/ WATER LATERAL 1999 WATER AREA AWjJ- 1982 1-76-04 11.74 19 n - STORM SEW TRK A 9, 9 a ~S STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT R - "-2F- WATER CONN. 470.00 BUILDING PER. #9096 " if SAC 25.00 11 PARK Receipt `s J FJ MECHANICAL PERMIT Permit No. `i CITY OF EAGAN Fee ~ i11 Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost u 3. Job Addressi Lot Blk. ( Tract D 4. Owner it 5. Contractor~-C: Phone 6. Address j 7. City _ State Zip 8. Building Type: Residential ❑ Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type 1 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 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, P.O. Box 21-199, Eagan, MN 55121 INTO PHONE: 454-8100 e BUILDING PERMIT Receipt # d.. To be used for Est. Value Date Site Address Erect d Occupancy Lot Block Sec/Sub. Alter ❑ Zoning Parcel No. Repair ❑ Fire Zone Enlarge ❑ Type of Const. of Neme I L. Move ❑ ; Stories z Address Demolish ❑ Length City Phone Grade ❑ Depth Sq. Ft. Approvals Fees Name OU Address Assessment Permit 01 r City Phone Water 8 Sew. Surcharge Police Plan check W Name Fire SAC ug Address Eng. Water Conn. <W City Phone Planner Water Meter Council Road Unit 1 hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition thno \ all work shall be done in accotdonce with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. well Weter Disp. Sewer t p~ J Electric q T ( o, ! '~t !t ~,-d ,t ! Inspection Date Insp. Other M MEN Footings Foundation Framing Rough Plbg _Q'!~r . g[,,, Rough HVA Insulation Final Plbg. y Final HVAC Final Water Describe Location: 7 Well eM~ Sewer Pr, Diap. 0 i»clude ewb of Plans. 1 sib p~ :+/e]ovatiu>B s APPI.ICA~'IDit sot of eess aleula+i- S~F ~o scrirnnvc PEP= Dab Rb Be t7eed For ~ uetion zs crr= U -9-9-M Site Address: - X o.y R-3 Ivt Block sec-/S%b R- I Fire some Parcel f: plepair Wpo ct pp SL OWW: AOdrees: Depth ~City/Zip ODde: APPS Phrne t: _ sooeit 30~ ex=tractor: water/lower PLn C}rlds A S 3• Address: / Police a - S Oa Fire 1Rebr _ Code City/Zip IWq• Mohr Meter Ptsone t : Planner il lbesi _ grit 4t Ca:ncil Arch. /@':g- : Bldg. Of APC Address= City/Zip Code: - ZCI371t. / i-~; . Phone is 2¢ X ` 4 x 5 4= 4r~~5~ I x ~ 2 = t 2~ 54 ~ ~ 4g ~C) x 5¢ = 48(a z(x 72 " 4GZ x 1 I - 5082 5gvvo n C` M N ~ M O P CJ N Ll C~i ~ h ~l n r t~ v ni W This request void 18 months /ram Renuest Date Fire No. Rough-in Inspection Required? Ready N. Will NoUty Inspec- Q Yes ❑NO for When Beady /I n'a Q'Nce Electrical Contractor 1 hotelier r agues[ inspection of above Owner eleelrinal work installed at: StreeAddress 5 . Bog R-r No . C Cris s~" Q Q/~ ' ection O. Township Name or No. Range No- C Occupant (PRINT) Ph ne No. PoWcSpq A or r p G. Add s - Electrical C`a oft aattrur / (Co(m~~n`Iy([^NameI ontr~tur s Lncense No. Ind 2. r Manhn Address ( Itue or or Owner Making hnsbilation) J 5s/ a3 Author ed Signature (Con clo weer Ma rg Insta lalion) Phone Number -S 2 MINNESOTA STATE BOARD OF EIECTRI ITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. _ Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 56184 UNLESS PROPER INSPECTION FEE IS Phorm (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ER-00001-04 See instructims for completing this farm on back of Valloa copy. "X" Be/ow Work Covered by This Request 'Add Rep. TVpe of Building l~~~lranrces irad Equipment Wired Home Ban 'a Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnag 'Silo Unloader Industrial Bldg. Air Cer Bulk Milk Tank Farm hcF Other Isue d lyl then (Specify Other Other nmpute inspection Fee Below M Fee Service Entrance Size b Fee Faeders~Sub(eeders b Fee Circuits 020206 qm s 0to Amps 0to 30 Amps Ahove 200 Amps 31 to 100 Amps _ 31 to 100 q mps Swinming Pool Above 100Am - Above 100_Amps Transformers Irrigation Booms -5o Partia L'Other Fee Signs Special Inspection ScC~ SO TOTAL FEE Rem rks Rough-in Date the Electrical r ~y."l Inspector, hereby (CYV certify that the above Final ( 7-21 4 nrepecl on has been node. TMs request vold lB months frarn T- is ropuebt void 113 ~ ~ w ~A~ ~ (e months from Ran at D to Fire No. Rough-in Inspection Requi edr ❑ ❑Reatly Nill Notify Inspec- Q/ Lj- yes No for When Ready Roktsed Iectr cal Contractor I hereby request inspection of above 6 Owner electrical work installed at: Street ddress, Bo or Route No. City action No. Township Narne or No. Range No. our c Occ'u''p(a~~n4t..lQPRINT) Phone No. Pa u leer - Address I,- Cont ctnr (Company Na el Coinractnr's License No. P1 12JAV 11 J Mailing Add IContrantor 0r caner Making Installation) ~~r s Author d ~gnature IC tor/Owner aknlg Installation) Phone Number THIS INS ECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRIC TY FEARS Griggs-Midway Bldg. - Room N•191 UBENACCLESS ACCEPTED PROPER BY INSPECTION FEE IS 1821 University Ave., St. Paw. MN 55104 Phone 1612129]-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION w, EB-00001-04 See instructions for completing 0-:,form, on beck of yellow copy. ~f (gY ""X" Below WorkCovr y 1hfs Request Add Rep Type of Building Appliances Wired Equipment Wired Home --'Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatm Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Speoly Other (Specify) t er Specify Other 011hei ompute Inspection Fee Below # Fee Service Entrance Size b Fee Feeders/Subfeeders # Fee Circuits ' O to 200 Amps 0 to 30 Amps ➢ .0 to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 700 A Swimming Pool Above 100_Amps Above 1g0 in _A S Transformers Irrigation Booms '1 Partial/Other Fee Signs Special Inspection B TOTAL FEE r flemarks Rough-m Date , the Electrical inspector. hereby cer fv that the above Fnal action has been ( / r de. This request void 16 months from CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 9096 PHONE: 454-8100 e BUILDING PERMIT Receipt # L.Z~C2. To be used for SF DWG/GAR Est. Value $58, 000 Date MAY 23 I9 84 1925 BERKSHIRE DR R3 Site Address Erect Occupancy R _ Lot 4 Block 1 Sec/Sub. BERKSHIRE PONDS Alter ❑ Zoning Parcel No. Repair ❑ Fire Zone N A Enlarge ❑ Type of Const. V W Name JOSEPH M. MILLER Move ❑ # Stories z Address 18133 CEDAR AVE Demolish ❑ Length 50 City FARMINGTONPhone 454-4753 Grade ❑ Depth 35 Sq. Ft. SAME Approvals Fees o Name 6 u Address Assessment Permit $ 307.00 ~ City Phone Water &Sew. Surcharge 29.00 Police Plan check 153.50 bjw Name Fire SAC 525 • 00 _K Address Eng. Water Conn. 470 o0 0 U0 `W City Phone Planner Water Meter 63.00 Council Road Unit 2 6 0- 0 0 1 hereby acknowledge that I hove read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total $~..i S7 - 50 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: JOSEPH M. MILLER on the express condition that all work shall be done in ac rdanc ith all o lico o ate of Minnesota Statutes and City of Eagan Ordinances. Building Official M 1 I I City of EapIl I Permit S / O J` I Permit Fee: ilao _~00_0 3830 Pilot Knob Road Eagan MN 55122 Q n I Date R~ IQ f~pn p Phone: (651) 675-5675 Staff: O[9 Caw rt~iC~~ I ~j U. LL, Fax: (651) 675-5694 U ll 46441Il[I,L 2008 RESIDENTIAL BUILDING PERMIT APPLIC ON By Date: Site Address: Tenant: Suite S- C] 6►{ RESIDENT / OWNER Name: pQ~F r y C I`i& 4 Phone: 6 S 1- L1 (I Address/City/Zip: 19 15 gerKShttr cl fti~ 0. ~ i5ae:._,~ 'S1D Applicant Is: A Owner _ Contractor TYPE OF WORK Description of work: Q Gk Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: License _ Add7<1 CitySn Pa u, State::-MW Zip: ri 5 I S Phone: 651- AA a - 613 3 a Contact Person: T OF_~=j cv--►0" 4s 1- P YI - q S 6 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted 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: Sewer & Water Contractor: Phone: gNOTE: plans and su{?portfnq'doc"uments, that yoµsutiii lt afd con__idere&fo be pubflc infotmatlon,giPorHons:of, i the lnforma77on maybe classlhed asnonpu blic >f you prov/de specNic reasons that would permit the Clty to - ---11 , I. a.-, `,,k" x _ ._,6'~ilbonCft7de~thaC 'lie are rade'~secre S§_.- .'rid gy .''+llf rSta 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. x PQ~t?1" ~~,1IF~l x Applicant's Printed Name Applicant's ignature Pa 1 of 3 1 DO NOT WRITE BELOW THIS LINE SUB TYPES ❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool ❑ Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. Alt. - Multi ❑ 01 of - Plex ❑ 07-plex ❑ Garage ❑ Porch (4-season) ❑ Ext. Alt. - SF ❑ 02-Plex ❑ 08-plex 1?= Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc. ❑ 03-Plex ❑ 10-plex ❑ Lower Level ❑ Storm Damage ❑ 04-Plex ❑ 12-plex ❑ Miscellaneous WORK TYPES ❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building" '9- Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior ❑ Alteration ❑ Fire Repair ❑ Windows ❑ Demolish Foundation ❑ Replacement ❑ Egress Window ❑ Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation Occupancy I i 1, /Ir MCES System Plan Review Code Edition n, e^) (f SAC Units (25%1Do%A Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. t1--\ Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. _ Footings (addition) _ Final/No C.O. _ Foundation HVAC Drain Tile Other: _ Roof: _Ice & Water -Final Pool:-Footings -Air/Gas Tests -Final _ Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: _R.I. -Air Test -Final Windows Insulation Retaining Wall Reviewed By: 1 G Building Inspector RESIDENTIAL FEES: Base Fee 7 E Surcharge n , Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies ' Total Page 2 of 3 jJ /ROBE CONSULTING 6NOINI lRS ENGINEERING PLANNEAS and LAND iUA71YOAS INC. ® COMPANY, 1000 EAST 146H STREET, BUANSVILLE, MINNESOTA 5535000 Z.t rl IJC.TCl'L On: LOT 4, BLOCK BER/(SH/.PE PDNOS, OAfDTA COUNTY, M/NNESOTs>. N 890 40' 42 "W 930.0) ~43i.o 115-16 DR,91WAGE¢' UT/[17Y \ EASEN/ENT ~ S LOT h~~ o SeALF-7 1':'30' ~ O ~1,rz. L.'28,5 92S•5~ i 1 .~'p. o Rl 1929.5) 24.e 0 24.c D _I NhSE I I SSG o / 11.15 a.i,o o See 83-..z / n .i o 92~.Si 1 2.85 4 24,0 30' FROND 9U/CO/NG 928.5 I n I SETB/1CK G/NE I ~2l 5~ d~ 3¢ ~I~ J Q 9z83~_ O 70 I R'373.27 9S. 27 z6.o Q N I FuyRE e2s.s Q ~u TI to !'E,PKSH//Q~E 1i~5a5 42S.o~ DENOTES EX/ST/NG ELEAI4710111 _ (41-5•o) DENOTES P/E'OROSED ELEYAT/ON (2-4' /ND/CATES D/RECT/ON OF SURFACE 10MINA61F F/N/SHED GARAGE FLDOR fL EYAT/ON = ~a•$'~ I hereby certify that this is a true and correct representation of a tract of land as shown'and described hereon.. As prepared by me on this day of /noti ~ 14 b4-, ' Minn. let. Xa. 144F5 ✓ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New construction Requirements RemodellReaair Requirements ~Il r • 3 registered site surveys showing sq. R. Y ot, sq. ft. of house, and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes, poured found design, etc) • 1 site survey for extenor additions & decks 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan it lot platted after 7/1193 Rim Joist Detail Options selection sheet (clogs with 3 or less units) y DATE VALUATION - ®67 r SITE ADDRESS / liMULTI-FAMILY BLDG _Y XN TYPE OF WORK ~ a/ S T FIREPLACE(S) _ 0 _ 1 -2 APPLICANT STREET ADDRESS a CITY STATE IR cif ' TELEPHONE # Z12-3/sl _2(2~ELL PHONE # FAX # PROPERTYOWNERA&--Z 5if TELEPHONE#~S~/-~S SG COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ C MINNESOTA RULES 7670 CATEGORY t Z6/2' ll \Ict i" I~ II 1TIT171r (J submission type) • Residential ventilation Category 1 Worksheet Submitted •)1 fNeyrEnergytode Worksheet Submitted • Energy Envelope Calculations Submitted uLJ 1~I OCT 10 2002 Plumbing Contractor: Phone # Plumbing system includes: A _ Water Softener _ Lawn Sprinkler - Fee: X90 O0 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # NIcchaniCal system includes: Air Conditioning Fee. 570.00 Heat, Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agre omply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of - plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 EM. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Mufti ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. Footings (addition) _ Plumbing - Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone Fireplace _ R.I. _Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Building Inspector - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total I 2/84 i j CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: ~n lA, LEGAL DESCRIPTION: y (Lot/Block/Subdivision or Tax Parcel I.D. Ntmber) ' IF E`;IS72:G STRL'CPTRE, DATE OF ORIGudAL EUILDI::G PER',:ST ISSZ:?-,~CE: PRES= Z. ,`TTNr;/PROPOSED LTSE: R-1 SINGLE F2%MILY ❑ R-2 DUPLE x ('-7ti70 UNITS) ❑ R-3 TavNI CUSE (TI-4-PI- + UNITS) ( WITS) ❑ R-4 APA.RT--=/CC'N1Da.L1`:IU:1 ( WITS) ❑ CCMi~,IMCLT-S,/RE:AIL,/OFFICE ❑ IN'DU'STRIAL ❑ IAISTITLTIONAL/GOVERI,LME T 2) APPLICnNT (PLEASE PRINT) NAME: o ADDRESS: r 3 CITY, STATE, ZIP: _ O 2 ~y- y7~3 PHONE: 3) PLumBER NAME PLEASE PRINT) FOR CITY USE ONLY PLUMBERS LICENSE: ADDRESS: Active CITY, STATE, ZIP: !l$~/ILL~eY~A1P1`001~4 Expired PHONE j~3~ 'A Q Not f Re rd PLUMBER LICENSE # 0-?. 7e P/ t nctta 4) OCCUPANT/Cr.muER NAME: (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTED: ION TO CITY SEWER CONNECTION TO CITY WATER ❑ Cl HER (PLEASE DESCRIBE) 6) I2IDI= 0.E: ❑ PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE LEASE M7JL APPROVED PERNUT TO 1, 2, 4 ABOVE (Circle ne) 7) BICy'T,,r1TL'F2E: DATE: ~ I~ ~~e a~an,asom~~s:Ea:aa~a ai sra~asare+rssi~s~:~a~t~~R~i~ar rre sx~e~sasan es FOR C I TY U S E ON 11Y PERMIT ISSUED FEES: $ /0,50 SETTER PERMIT (INCLUDE SURCHARGE) $ /l050 WATER PERMIT (INCLUDE SURCHARGE) $ 6.•0 0 WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ 1 ..000:7- PCSI: - R $ ACCOUNT DEPOSIT - WATER $ ~~0-(~U WAC $ 5Z5. LY) SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL $ 2~.an .OKIV319V IPT ~ y513 ZzfO. ,w.Tetatat 6t tva tit ,v3J1A.v 3m S 7 Z DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ROBE CONSULTINO INOINIIRS ENGINEERING PLANNIAS and LAND iuAYIYOAS COMPANY, INC. 1000 EAST 146h STREET, BURNSVILLE, MINNESOTA 553137 PH 432'5000 Cer1v1- CG[1 &Ty= -~y ,td[~tj,~~d~j~ o LOT 4, BLOCK BER+fSH/RE fIJNOS, OAtv;w coavrY, M/NNESOrl, N 89041014211W Qe //S. 16 93ei.os ORA/N9(VC `dT/C/7Y EN/ENT LET T~~ o O SCAoE ri"= 3o I - - axs SI /D A 2~ (`928.5 929.5 u nl ~ I ~26.5~ n 24.0 ' /0 , ti o I F-721 I q h N G'Rn6E I 1'~~'SG O a ILIS zl.a q `ao 83•l. z. m / n : ' 28.834 4 Z4,o 927.5i 1 30' FRONT BU/GO/NG ~8 S, ~ SETBACK L/NE I y,Li 5' 4J 34 q 0" 5L A \LL ,o %~V 92a 3~ ~O ~7 ~ VI /0 U L = 9S. 27 za.e k N _ Fc,.LfE 255 Q. g ' ~ Vr 9Z7. j8~2.44~~ TI G'E/('KSH- /IQE 925 S l'E 525.0) DENOTES EX/ST/ a ELElif1T/ON _ DENOTES Plmoes£D ELEI/Ar/oN ~t4•a~ /ND/C19TES Z/RECT/ON oc SMI FACE DR41NA9S F/N/SHED GARAGE"FLODR ~LEYAT/ON= 9~g3 I hereby certify that this is a true and correct representation of a tract of land as shovn'and described hereon.. As prepared by me on this day of Ini~f ~ 1484-. ' j r Minn. let. Xo. /4O0M CITY OF BUILDING DEPARTHM EXTERIOR~ENOELOn IRMAGE OUR COKPUTATION (To be submitted with building permit application) One or two family dwelling- Owner M7bEL $3'IOZ All other Contractor 31te address ~C.~T.~1.C7lAkJ Date 9 9-83 one LINEAL FT. OF EXPOSED WALL ~F G~Op~L SAa ft. above grade ;ALL TOTAL EXPOSED OPAQUE WALL CONSTRUCTION: "U" value x area !S._"U" 7 x sq. ft.J.4- (U)(A RIM wUw O x sq: ft.-b t2S (U) (A U < s ft.~_ S~S,,771~0 _~~2Z_(U)(A Detail reference u a sq. ft. - (U)(A f rom "U" x s 0. 1 T.. - ( U) ( A attached sheets "U" x aq. ft. - (U)(A "U" x s;. - (U)(A x sq. ft. - (U)(A "U" x sq. ft. - (U) (A "U" x sq. ft. - __(U)(A 4INDOWS: "U" value x area Make k. type IiIS~xAT~D "U" x sq. ft. /ZS-44 - $ (U) (A w w "U" x sq. ft. - (U)(A "U"x sq. ft. - (U)(A "U" x sq. ft. - (U)(A "U "--x sq. ft. - (U)(A. "U" x sq. ft. - (U)(A DOORS: "U" value x area ?lake k type • "U" .14 x sq. ft. SISS' (U)(A1 a •GO - (U)(A1 w w wU w .47 x sq. ft. M I T- q• ft. - (U)(Ai " "U" x sq. ft. - (U)(A1 TOTALS Af t Sq. ft.Z*5iZL(U)(A TOTAL (U)(A) VALUES AVU. 7IVIDED ST TOTAL WALL AREA l$~er•cr$ w ~p9 MRAGE "U" ,18iilor r less for 1 k 2 family dwe7ings less for all other buildings ZOOF/CEILING: A . IOTAL AREA: 9,f sq, ft. retail reference "U" •02 x sq. ft. 9S4 - Z;,Od (U)(A) from "U" x sq. ft. - (U)(A) attached sheets. "U" x sq. ft. - M(A) 'ascribe openings "U" x sq. ft. - _(U) (A) in roof. "U" x sq. ft. - (U)(A) OTAL (U)(A) VALUES 23•$S - TOTALS 7S Sq. ft.z3•(U)(A A VG. IVIDED BT TOTAL ROOF/ CEILING AREA 9s`F •OZ✓~ VERAGE ".U" for ventilated roofs p(D for all other construction 0 9.67 X z4fzg t3( ++3(0 /z7. /o $.(07 X (Z~ t2gf 3St 7~ ~o, - 55~~, 3Z S.00 X 36~ ISo.oo - ,67 x ~ZtZ4-t3SfStSfs~ = . $v,7lo.' - ~It~Dvv~lS 16 x3Co = 4.ao x -1 = 1l~.00 2o x 34 = .5,0o x (a = 3o, oo 2f x 3!0 ° &.00 x 4. = Oy oo Zo-X 48 = G.(P&X 4 = Z6,&q- Z4 x 48 = 8,00 X 1 - 3Z,ov _ lzs.44' 3X7 = Zhoo ZIx 7 = 18.&q (°o = z.oa 81. /YET VALL. Zi iz,>V& .s fjAA -1*6r - 87.14 .I sx ~S = - WALL sEc,Tlorl - -Dq -111NW6 "U" VALUES Al I~ooF, WALLI Vin, AND COND. bLK. Rooi' I CEILINU (F) VALUE s IQ IrITEKIo( AI>z FILM 0.&1 Q 5/9 G'(P. 5D, .54 INSULATION w.OD O ExTERIoR AIF FILM .Col I 2 3 (STILL) °u„ = 1 /1t =.o2S TOTAL (R)= 31.78 WALL (11,) VALUE ® © IIATER10P AIR FILM 0.08 9 O ~I2° GYP. $D. 45 1NSu A- aN 13,00 O l1alq" OTL~- &,00 ® MAWHTr-- SIDING ,b; to 11 EXTERIotz ArR FILM Cl tl , U, _ I / R = •o47 TOTAL (R) = ZD..97 17 RIM (R) VALUE l f---- tQ INTEIziO>z AtR Fluff 0. (D8 ID 107, 51/i INSULATION 19.00 14 Z FIR RIM ,501ST 1.88 hW 041! . Or 16P - 6-00 I6) MASOr17E SIDING tO ~-XTC--JODP- AIR FILM IT "Uu = 1/~=.D3S TOTAL (a)=Z~: foUNUATION (tt) VALUE tg INT62-IDIz AIR FILM 0.bi8 g tl I n , n C~ I"1" Cb0C„ $LK. 1.28 23 t'> EXTERIOR AIR FILM Il 1 S., . U 11 = 1 (Z = .9~9 TOTAL 00 = Z./3 PERMIT City of Eagan Permit Type: Building Permit Number: EA105865 Date Issued: 0810112012 itj of 0n Permit Category: ePermit R Site Address: 1925 Berkshire Dr Lot: 4 Block: 1 Addition: Berkshire Ponds PID: 10-13750-01-040 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Home Depot At Home Services Peter R Veilleux 656 Mendelssohn Ave. N 1925 Berkshire Dr Golden Valley MN 55427 Eagan MN 55122 (763) 542-8826 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. Applicant/Permitee: Signature Issued By: Signature *City otEaQao 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use /Dia) Permit Fee: Permit #: Date Received: Staff: 2012 MEHANICAL PERMIT APPLICATION Date: 1 I- Site Address: I L--) ?� ( 5i71(P Dr Tenant: Lry V1 ( Name: �-rr eC Phone: ! ( lit P )r Ta�� ' � Address /City /Zip: � � �,� i _ � Suite #: Name: Ron's Mechanical Inc Address: 12010 Old Brick Yard State: MN Zip: 55379 Contact: Linda Phone: License #: Road City: Shakopee 952-445-8585 New Replacement Additional Alteration Demolition Description of work: RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other 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) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1% $60.00 Minimum (includes State Surcharge) _ $ Permit Fee - If the Permit Fee is Tess than $10,010, surcharge is $ 5.00 = $ Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE _ $ (QO• 0 TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.uopherstateonecall.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 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. x ��,nda rnarder Applicant's Printed Name x Ap icant's Sig re HEATING TEST ADDRESS m_ APT. FLOOR CIT � '° OCCUPANT OWNER HEAT LOSS SOLD BY CA Electrical Work By LAO' in Ar ., Gas Line By ° TYPE OF HEAT GA FA HW STEAM SPACE HTR UNIT HTR OTHER ' AS DESIGN CONVERSION MAKE OF BURNER DATE HTG. INST. INSTALLED BY MAKE Model Soria l INPUT a Model 71 Max. BTU Rating MAKE OF FURNACE Model CONTROLS THERMOSTAT Heat Plug Vent Size KIND OF LINER Valve' Limit Draft Hood Filters Size 1 Number Limit Setting Outside Fan Setting 4. Chimney Location Inside_ Chimney Construction Pilot Type Ptif Pilot Make Pilot Model Smoke Bomb �,. Draft Test Tag Pilot Timing Lighting Inst. L.W. Cut Off Door Pressure Pressure Percent CO2Dote Tested_ Input CFH ti ro Percent 02 Company Testing Stack Temp. - / Percent CO t I /Nome of Tester Form 235 SIZE Regularor^�, NONE Wiring /92.5 i3Atif tikpoacr Mr. Lance Cole Heating Manager Goodin Company Minneapolis, MN Subject: 90plus Direct Venting for RGRC and RGTC Job: Ron's Mechanical Dear Lance, March 12, 2013 We have review the direct vent termination pictures provided and copied them below or reference. Both applications meet the spirit of the termination recommendations shown in Figure 21 of our Installation Instructions (see page 2 of this letter). The extension to 12 inches, on the combustion pipe, will add a safety factor in preventing flue gas migration. Rheem understands that it is sometimes impossible to penetrate the structure with the dimensions show in Figure 21. The use of an elbow to meet the recommendations will not make the termination more susceptible to flue gas migration or wind issues. Sincerely, Don Palmatary Product Marketing and Development Rheem Air Conditioning Division Fort Smith, AR 72917 Rheem Heal ing & Cooling P.O. Box 17010 Fort Smith, AR 72917 479.648.4900 www.rheemcom 4 A er. FIGURE 21 STANDARD HORIZONTAL DOIECT VENTING UPFLOW MODEL SHOWN (TYPICAL FOR DOWNFLOW MODELS) SUPPLY AIR EXHAUST PPE COMBUSTION AIR PIPE AsgsleqgIV,I4AIIVW4W•WAIVW•Virc4, A NOTES: 1 SUPPORT HORIZONTAL PIPE EVERY FOUR FEET. 2 VgIEJI 3IN. PPE 15 USED REDUCE TO 2 IN. BEFORE PFJETRATMG OUTSIDE WALL 3 11 It MAXIMUM. 214. DINKIER PIPE MAY BE USED INSIDE TIE ViMLL 4 DEMI_ "A" - EXHAUST TERMINADON TERMINATE NE LAST T2 INCHES WITH 2" PVC PIPE ON 45,010 NO 105,000 BTUH MODELS. INCREASE TFE 1214. MMUM ABOVE GRADE TO KEW TERIMIAL OPENINGS ABOVE Agi11g:WM[1 LEVEL OF SNOW ACCUMULATION VAERE APPLICABLE DETNL -Er, INSTALL WIC DEFLECTOR VANE IN 2 IN. PVC COUPLING MI VERflCLE POSITION USING PVC SOLVENT_ THE COMBUSTION AM TERLOMMON MUST 145 11 DE SAME PRESSURE ZOE AS THE EXHAUST TERINNATION. 5 6 12" MIN. ABOVE GRADE LEVEL SEE DETAIL B T PVC COUPLING COMBUSTION AM TERMINATION DETAIL B 1407 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA143413 Date Issued:06/15/2017 Permit Category:ePermit Site Address: 1925 Berkshire Dr Lot:4 Block: 1 Addition: Berkshire Ponds PID:10-13750-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Peter R Veilleux 1925 Berkshire Dr Eagan MN 55122 (651) 785-6311 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA150641 Date Issued:07/17/2018 Permit Category:ePermit Site Address: 1925 Berkshire Dr Lot:4 Block: 1 Addition: Berkshire Ponds PID:10-13750-01-040 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Peter R Veilleux 1925 Berkshire Dr Eagan MN 55122 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature Peggy Fleck From: Building Inspections Sent: Tuesday, September 10, 2019 7:35 AM To: 'Danel Vickerman' Subject: RE: 1925 Bershire Dr / EA150641 / Veilleux- Siding 10802067 (new homeowner Sam Ouch) Hello Danel, We will make note that you have tried to close out this permit, but we will not close the permit out at our end. Eventually, if there is no action taken to schedule an inspection,the permit will become expired. Best regards, Peggy AA « fit \s, Peggy Fleck « �«�, , �,ri'F� �' Clerical-Community Development 3830 Pilot Knob Rd I Eagan, MN 55122 / y Office: 651-675-5674 \,.•ti*Ma's ! https://www.cityofeagan caro From: Danel Vickerman<danelvickerman@gopermits.org> Sent:Tuesday,September 10,2019 12:04 AM To: Building Inspections<buildinginspections@cityofeagan.com> Subject: 1925 Bershire Dr/EA150641/Veilleux-Siding 10802067 (new homeowner Sam Ouch) Dear City of Eagan Building Department- The Home Depot has been unable to reach the new homeowner with regards to completing the service corrections requested per a failed final inspection. The new homeowner Sam Ouch has been sent a letter requesting a response to complete the service,which was delivered on 8/2/19 per UPS 2nd Day Air tracking services #1ZE47A770293160691. We've documented our efforts and unless we hear back from the home owner,we'll consider this closed on our end. Please let us know if this is enough to close the permit with the building department as well. thank you, Danel Danel Vickerman, Permit Expediter Go Permits LLC Ph: (760) 814-1243 DanelVickerman@GoPermits.org Gat PERMITS 2