1934 Berkshire DrFAC,AN WATER SERVICE PERMIT ? .
. dot Knob Raad
r. ?.: Cnx 21199 PERMIT NO.:
Esgan, MN 55121 DA7E?
Zaninp: .? 1 No. of Units:
Owner:
Add?e:a:
Sita /1ddress: 1 'Y 3'
Plumber: r. ?_ ': urc:^ it:
Mater No.. Connectian Charge: ^
Size: Accow+t Deposit:
Reodsr o.: ?? m / 0 9 l Permit Fee:
1egme to eowPlp rrllb Mw Gy ef Eegee Surcharpe: . 5(tin?
CrJiwaner. Miac. CFwrfles:
Totah
By Dote Paid: i
Dcte of Incp.: Inq.:
, Yw? ad.'? /O
CITY OF EAGAN 1A/ATER SERVICE PERMIT
3830 Ailot Knab Road
P. O. Box 21199 PERMIT NO.:
? Eagan, MN 55121 pqTE;
Zoniny: .? - hlo. of Units:
? Owrnr.
? Addrmw.
Slte /ltidrcss: ' 134 i3e.z'Ks! iir.'e
Plumber. =" ""' el- ' i }
Meter No.: Connection Chorye• i?.- ?•() ?t:? I
Size: /?eoount Deposit: '. S . ?C?vc?
Reoder No.: Penriit Fee:
1 yiw !o emply wMb !iw Cihr of Eqsn Surchorge: 'r l};ac
OrdiMewm Mtac. Charges: "^N Total: mf•tf--?r
BY Data Pald:
Dote of Insp.: Insp,; i
i.
CASH RECEIPT
CITY aF EAGAN
. ' "J. •
? i
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
)
oare'
wt???vm ,. . .??
FROM
AMOUNT
4 DOLLARS
?oe
? CASH ? CHECK
FOR
o'
FUND . COk1E AMOLNT
1 ?.
?
?
? / . /-
?
". /
Thank You
5;305
BY
1Nhite-Payero CopY
Yellow-Posting CoPY
Prnk-Fiie GopY
,
BUILDING PERMIT
Te w rwd Far Est. Vaiue ? %;) • ? ,
Dat
e % ?
14
SiteAddreu Erect ? Occupancy
Lot 2 j-
Block - ?ec/Sub Remodel ? Zoning
Parcel No. . Repair ? Type of Const.
Additfon ? No. Stories
99 W
Name
' . • ?' ; Move
m
D
li
h ?
? Length
,
?
Address s
e
o
r
I
t I
? Depth
n
mp
. Sq. Ft.
City Phone "4 4- i'-, ':? Install ?
z?
u?
Name
City
CITY QF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-5100
Phone
Phone
1 hereby ocknowledye that I hove reod this application ond stote thot
fhe intormction is correct ond agree to tomply with oll opplicoble
Stats of Minnesota Stotutes ond City of Eagan Ordinonus.
Siynoturc of Pertnittea
A Building Pennit Is Issued fo: -
all work sholl be dorw in occo?dcnce with cll appliaoble Stote of
Buildirq Oiflciol
RlCClpf # " V
Assessment
Woter & Sew.
Polite
Fire
Enp.
Planner
Countil
Bldg.Off. •, ?; G
APC
Var. Date
tft
10881
FNs
Permlt 313 _ )0
'
surcharge 3 0 , u ?
Plan Review 1 5 G_?;.?
sAC : ; 5. u U
WaterConn j 0.?1'? '
Water Meter - U
Road Unit
Tr. PI.
Parks
I Copfea
Total
On t1?s axpreu Conditlon that
or+d City of Eopon Ordinonces.
Pwmit No. Permk Hddw OoM Tel
phon
I?lumbinq 7
t
H.VA.C. O
elecwa )5 Cl (o9
saftw,.. ?
I
Irup?Ction Date Insp. Other
Footinps I
Footinps II
Foundatlon ?a (,d, ?
FrsminQ
Rootin9 ? , $
Rough Plbg. ?
Rough Htp. Jzv
Insul.
Firoplaa
Flnal Htg.
Flnsl Plby. p- .
Flnel
C*..rqOcc. $ 1 u f $
Watsr prtpi6e Loeation:
vwu
Sewer
Pr. Disp.
F EAGAN Remarks
BERKSflIRE PONDS ?ot 2 e?k 4 pa?? 10 13750 020 04
C'Tyo
Owner 5treet 1934 Berkshire Drive State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 691 1982 239.09 23.91 10 ty, S"ef =f
STREET RESTOR. 1985 12
GRADING
SAN SEW TRUNK 1982 176.04 11.74 15 p/ 1f/,S' 1
SEWER LATERAL 19$2 57.24 3.$2 15 J IA"
* Sewer Lateral 1,13 1985 _427.88 3- 19 3 O Co it
WATERMAIN fjo? 1982 46.09 3.07 15 30. 7 e
? WATER LATERAL 1985
WATER AREA 19$2 1](7.04 11 . 74 15 , 19 eO /
STORM SEW TRK 91 7 1985 385.03 25.67 15 33.7. -7l "Illye_ // ,r dpil
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN. 500.00
v
u
6UILDING PER.
SAC 525,00
PARK
?
Raoeipt MECHANICAL PERMIT Pe?mit No. a
CITY OF EAGAN Fa
Ffll in num6ered spsces S/C 1
TyPe or Arinr leglbly Tot
1. Date 2. Instailation Cost ?
. . . 1
3. Job Address - Lot Blk. fract
?
4. Owner - ? "-t` r ?y ?'.c a? .•{,k,
,r
5. Contractor Phone y F ?•l ? .
6. Address ? ? ' .??? ' •
7. City State Zip ?
?
8. 6uilding Type: Residential 13 Commercial ? Institutional ?
9. Work Description: New fl Add ? Alter ? Repair ?
10. Describe Fuel Type
11
No, Enuioment STU - M. Ea.
Forced Air No. Eouipment CFM
Mf9• Air Handling:
Boilers f ?
Mfg. Mech. Exhaust
'
Unit Heater
Mfg. Oth
Air Cond. er
Mfg,
' Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and t agree to
comply with all ordinances and codes goveming this type of work.
Signed : for
Rough Final
Inspections: Oate Insp. Date Insp,
This is your permit when numbered and approved,
Approved CITY OF EAGAN 454$100
INSPECTION RECD
CITY OF EAGAN PERMITTYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: ' • w ' ? ?' ? ?' j ? ?` f' -' Q# - APPLICANT:
PERIIAIT SUBTYPE: . ` TYPE OF 1NORK:
INSPECTION r• • DA
f ?
?
?
J
?ir
Parmit Holder Date Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BQARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTCi
ORSAT
TEST
BLOG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CANDUCTIVITY
TEST
HYDFDSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
This raquesl wid tQ / I 1`9;'
Re:que t Ua a
?
?r'] ?r- Fre. No. Rough-i Insper?mn
R w 7 ?Ifeatly N Will Notify Inspec-
' r When Read
J
/ es N. v
Licensed Electtical Contraclor ? 1 hemby requast i?peciim of aEOVe
? ner electrieel wak installed at_
SlreelAtldr,3ess,?orRou
k o. / ?
In
r?v?
%M Ci?y/
cuon o. Townshrp N ame or No. RanBe No. Counry
Ocwp? m (?INTI
1 ?(,c C L PM1One No.-
Power ? ? Atldress
Elec ' Cont actor (COmpany Nume) Contr r's License No.
Mailin Address (COntracmr or Owner MakinB lnstailahoN
I c,?SLsa-? C
Authorized -enatu (Co ractor Owner n Install ion) i,M1O. N? '
MIMNESOTA A E BOANp OF EIECTRICITV THIS INSPECTION REQUEST AiIL NOT
Grippe-MitlweY Bldp. - Room N.191 0E ACGEPIED BY 7HE STATE BOARD
lMl Univarsitv Ave., St Paul, MN 55104 UNlE55 PROPEN INSPECTION FEE 6
P1ene 16121 297.2111 EMCLOSE?_
?? REQUEST FOR ELEC7RICAL INSPECTION EB'0°°°'?
/? n ' See irelructeons lor camoletirq this form on baek of ?rella? cap?. '?I` I 4?
;",? 46,92 `J "X" Below'Work Covered by This Requesf ?
Adtl Rep. TYVa ot Bwltlin9 APPIieMea 1?irW EQUipm en Mi
t r d
e
Home Hange Tentpprary Service
Duplex Water Heater Gghting Fixtures
Apt. Building Dryer ElectricHeaGn
Commercial Bldg. umace $ilo Unfoader
Industnal Bldg. Air Condrtioner Bulk Milk Tank
Parm Osner SoecPry therlspeciryl
t r SVeu(Y iher OtMr
ompute lnspectron Fee Below
M Fee ServicaEntrenceSiie p Fae FaxdarsBubfeeders p Circuits
? Oto200Ams 0 to30Ams Otn30Am
Above 200 qm is 31 to 100 Amps 31 to 100 Amp,
Swimming Pool Above 100_lvnps Ahove 100_Anqis
TransTOrmers Irrigation Boorts Partial: Other Eee_
Signs Speciailnspection $
TOTAL F
Ne?arks
_ ? . .1c.A,J
I . ?
pouph-in Date ?/ 1. the E1ec4iwl
IrtYector. hereby
,?rtih tM[ the ahove
iinal ? Date
?' ?[ion has been
?de.
fqsnpup[voW lBmontln imm
CITY OF EAGAN N° 'I O H H'I
3830 Pilot Kno6 Road, P.O. 8ox 21•799, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 R«ia # ? Q ? .
Te M wsd ia. SF DWG/GAR Est. Value $60, 000 Date AUGUST 30 1 985
_
SiteAddress 1934 BERKSHIRE DR Erect M Occupancy R
Lot Z Block 4 Sec/sub. BERKSHIRE PONDSRemodel ? 2oning Rl
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories
W Name WESLEY CONSTRUCTION
? nddrms 9401 XYLON AVE SO
City BLMTN Pnone 944-7092
o Name SAME
Addresa
City Phone
Name
City
Phone
I hereby ocknowledge fhot I hove read this opplicntion and stota thaf
fhe informafion is Correct and o9See to Comply wifh all apDlicable
Stafa of Mmmsota Stotutes anQ/Ciry f n Ordinonces.
!
Sipnmure of PermiMee `rP;f
A Bullding Cermir is issued to: WESLEY CONSTRUC'
all work shell be done in ottordance with ol?ao 1' bls Stn of
Buildirp Offlciol ,
Move ? Length 3 $
Demoliah ? Depth 46
Int ImPr. ? Sq. Ft.
Install ?
Avvrmels Fees
Assessmenf -
Worer & Sew.
Polica -
Firo
Enw•
Planner
Council
BIdg.Off. 8/23/8'
APC
Var. Date
Pefmlt ? -S1J.UV
suronaree 30.00
Plan Raview 156,Q
snc 525.00
water conn. 500. 0 0
WatBrMeter 63,90
RoadUnl[ 280.?0
TcPI. 132.00
Parks
COpiee
? rotal $1, 999.50
_ on the ezpress wndifion Ihol
ond City of Eoqan Ordmwnces.
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
. F,aqan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
5931 t,ERKSHIRE DH
I.OT; ? EdLOCK - 4
BERKSHTRE PONp::
P.I.N>: l0-1375i-0 20-0 4
DESCRIPTION:
PERMIT TYPE:
Permit Number: 6 W11- 0 T N G
0 34@91
Date Issued: J tit, 0 / 9 8
' - 'I.h. F RER001-'
8011tlinq (?Garmi i: 'r.ype STqI?M DAnIAC,F
Bu3lding Woti-,, 'I v}>o RFPflIR
`Census Cade • =13A ALT. RESIllENTIAL
t
REMARKS:
.l
FEE SUMMARY:
CONTRACTOR: _ qpplicant - ;r, i_lc. OWNER:
WES7WRPI CP_I]AR SUPPI.Y 1Ci47030Q 20014207 F3EN5ClN :IOG
705 N HWY 1F,9 1934 BERK5H:CftE DR
PLYMOU'fH DIN 554141 EF,GFaN P9N 55123
(612) 54L-4207 (Fa7.)586-4922
I hsreby acknowledge that I havs rsad this applicatia» and staCe f:hat the
ini'ormatian 3s correct and aaree to ccrmply wi.th all apPlaCabZe State of Mn.
StaYiaT.es and City ot Eage?n Ordinannes.
APPLICANT/PERMITEE SIGNATURE
SSUED BY: SI NATAME
-
CITY USE ONLY
LOT ? BL ? RECEIPT#: S(P ?S
SUBD. yrk yln',`?P? IpYIc?S RECEIPTDATE: D'aq "oD
MECHANICAL PERMIT #
,vA99 M£CHANICAL PERMIT (RES1DENTiAI)
cirY oF Ewsm
S$SO PILOT KNOB RD
£kHAN bIN 551 EY
(651)661-4675
Date•
Complete this section onlv if you are installing HVAC in a single fami]y dwelling, townhome or condo under
construction and not owner /occupied.
• IiVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
$ 30.00
6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge .50
Total $
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, alterarion, or repair.
X New Alteration Repair _ Other
Reminder.• Ca11681-4675 for inspections.
_ Fumace ' \ Air conditioning
_ Air exchanger _ Other
$ 30.00
State Surcharge
Minnnum Total Due 30.50
siTE a,DDREss: I T? I('Fi
OWNER NAME: ? ?QT PHONE #: ?'_-
INSTALLER NAME: (AREA CODE)
?l G PHONE #:
(AREA CODE)
STREET ADDRESS: `( C? t l
CITY: /JD(( ? STATE:A? 4)- ZIP: S d?
/Q&
SIGNATURE O RMITTEE
FEB24` .
/??5
CITY USE ONLY
L _ BL RECEIPT #:
SUBD.
APPROVED BY:
INSPECTOR
RECEIPT DATE:
MECHANICAL PERMIT #:
1999 MEcHMtcAl. P£RH[rr (COMME[tcIAL)
crrY oF E,e?ciAx
S$SO PILOT KNOB !tD
EAGA1v, Mv 55 122
(651)6$7-4675
Piease complete for: all commercialfindustrial buildings
multi-family buildings when separate permits are rot required for each dwelling unit
DATE:
CONTRACT PRICE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank (Minimum Fee)
Processed Piping (Minimum Fee)
**NOTE: Whrn installing/removing underground tank, ca11651-681-4675 for inspecNon by Sre marshal
and plumbing inspector.
DESCRIPTfON OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
CONTRACT PRICE x 1%
PERMIT FEE
STATESURCHARGE
TOTAL
------------------------------
STTE ADDRESS:
($.50 per $1,000 of e't fee due on all permits.)
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IlvIPROVEMENTS ONLl):
INSTALLER:
h ` f??. t[?L Wop4::iV ?K-MTC'Pf.tl
ADDRESS: PHONE #: -
(AREA CODE)
CITY:
STATE:
ZIP:
SIGNATURE OF PERMI"ITEE
! f! A:RM1iA ? i f+t !lg?c'? ! s I'R Aa:i? ?
F O R
PER.`1IT °- ISSUED
I T Y U 5 E O N L Y
F°E$: $ I(7 S °
$ /c?•ju
$
5
$
$
?;
+S ? fJO. ih,
$
$
$
$
$
$
$
$
$
SE:•iEF °E?RM?^i'
WATEc2 PERA12:`
g` ... a ?!!?Jl:s?lf? ? ?lSaF?Y
(I`ICL::DE SU°,C:i?.RGE)
(INCL'uDE SiiRCHARGn)
WATER METER/COPPERHORN/OUTSI'JE READ;R
WATER TAP (INCLUDE CORPORATION STOP)
SE,lER TAP
__.
- ,=3
ACCOUNT DFPOSIT - P7AT°R
WAC
SP_C
TRli,IK WATER ASSESS.`!E:7T
TRliNK SEWER ASSESSiiE.iT
LATERAL BENEFIT/TRUNK SE::T:1B
LATcRAL BENEFIT/TRUNK IQATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
ANIOL:dT PAID/4ECEIPT 4
<?-,US
DOES UTILZTY CONNECTION REQUIP.E EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN n"PERh7IT FOR SJORK WITI-IIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
C] ENGZ:VEERING DIV:SION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TI;LE:
DAT°:
,
4+ s=" umb?w MMs20"m ncwrt =Fm tM wMia s:ft wM "t+ WtM wlW:WwXl Ra wF W se Mi+ Ra nc? i.e s? w r
,
2/84
CITY Ot EAGAN
APPLICATION FOR PERitiIZT
SEWER AND/OR WATER CONNECTIODi
(PLEASE PHINT)
1) PROPE.TrPY pDOcZESS:
TFrti, DFSGRIPTICN:
I" F`G S'?'?,L:C^.?.^:'rE, DAT' 0° Oi2IGuAL uiII.DL`:G ZSS??NG:
P?rSL?= ?:^.?IZ::?;/P?OPOSc.TJ L'S:
O-R-1 SZ;GL. pPMSLY
Q R-2 DUPL..,t'Y (T%TJ U:]ITS)
_ ? ^n-3 'IC[,:iII-IC`IISE (?'F?.^ + L:JITS) ( U?II'_^S)
? R?4 APAR21-E%1T?=
I)Ci.iT. ?jjj.,?:,1
Q CC1yiMEI?CIAL,/RET',AII?Oc:'ICE
Q 11'DliSTRIr1L
Q L?ISTI;[,TIO:IAI,/GGU
1) APPLIC:vT
NAh1E :
ACDRESS:
C=-'' S'.r.m, ZIP:
PHOtNE:
3) PLL:IBER
NAl^'IE:
LNr)
PDDRESS_
CITY, STATE, 2IP: PHC,r? ?N l /?
PHONE:
PLUHBER LICENSE N 22-L6
4) OLY-'[,'PAh1T/C!YT?E'c2 NAME: (PLEASE PRIN1)
ADDRFSS:
• CI?"l, ST:yTE, ZZP:
r PFiC}:VE:
FOR CITY USE ONLY
IBERS LEYSE:
Att/iv'e
] ired
? ot of Record
01 1cvL)iGd'E iQHICH PII3MIT IS BEING REQUE$TID;
.[? CODINF.CTION TCJ CZTY SEWFR
? COtZ1F2rZGN TC) CITY WATEF{ -
? MM:R (PLEAS£ DESCRIBE)
?I
_, _....?..,... ?.?.:
? PLEaSE F?OID r1PP?ZWFB PER,'VLIT FOR PICI:-G'P BY ONE OF 11HCi?lE .
? PLFASE b'r1IL APPROVED PERNLIT Tq 1, 2, ?4 AB(NE
(Circle one)
7) SZG-ATLmE: /?17
DAT'E:
. _ ...?
y
1985 BUILDING PERNIT APPLICATION - CI?Y OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED 41ITH ?HE CITY OF EAG6N
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF St1RVEY
1 SET OF ENERGY CALCULATIONS
\ V ? q I
? V
To Be Used Far: Valuation: (od,?-? Date:
Site Address: kP, _ OFFICE OSE ONLY
Lot : 0?-
Parcel //
Block ? Sect/SubErect' x Occupancy
Remodel ? Zoning ?
Repair ? Type of Const
Addition li of Stories
Owner (, Move _ Length
Demolish Depth ¢(o
Address Int, Impr. _ Sq Ft
Install _
City/Zip Code yapry+?? ? S `/,,
r
Phone ?W ;?0
Contractor ?
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone I?
APPROVALS FEES
Assessments Permit
Water/Sewer ? Surcharge ? ?
Police ? Plan Review ?S(?. ?
Fire SAC S25,=°
Engr Water Conn 500. °=
Planner Water Meter ' °°
Counciload Unit "LSO,°-'
Bldg Of 0> - Treatment Pl 132.`=
APC Parks
Variance Copies
TOTAL
< -
313•00+
30°00+
156•S0+
:25•G0+
7-CO•30+
63°00+
28C°C0+
132•OD+
1) :99•50*
Z4x ?Y? ' Gl I? x Sg - 528°I&
.. ,
2?-« -
20 ?? E2
3e)x 44 S?I ?3 4 Y?
,
xµ
i=
?.'
?:.
?.
. '-
A?
?..
? -.
?;.
?.
?. .
Survcy for,Wesley ConstructionIne..; Lot2 B2ocK °erkeRire Pomds,
1936 Bsrk_shire nr. =
a •?
? .
??.
?
. <-
,.
J7 J'
?.
AC'V-3'l'1C3Y1SK ST'fe'Et`, 100.C:
Top of h1ocY.s 7102.4
;,aTage fio0i == 102.0
?
`
?
..?
I,
s
%
?
f
!
f ?
acals: 1.' ? 30'
i-
C?
a'
? C•? ???..W?
VY1NEk pj
?.....u?.? ?....a?.. . ?..
?x
SI7E ADDRE"SS
CON'fRACi
?
UR
---.?
?•r-?r=--.r:.? ?',?`??__,?r__ ?I,7E. .2??,a?•,,,??',. P,8lQt1E..
Determine working square footage pf, earfi
1. Total,exposad 'Wal,l a psa;
.... Sd,
ft '?x??
.
??
?
2. Totdi
,:
roofJcei i i;ng *"a . . .
9a
, S4. ft :.? x
Tota'1 expcised w01 area ?bou* fioar
a. Total wa'I1 window a
? ` ?
rea.._
6. Total door area ....................... ?^.v?'!4 °,?
c. ToLal sliding gjass door area ............. .. Z?...:_?,
d. Total fireplace wall area.. ......?............ .-
'w... '
.?.??..... ?"??3
'rtq
.... •..?...
e. Total wail framing area (avera9e 10%
f
Total n
t
1
? ??? ? ?'"""' ;^ , '{
??
?
?
.
e
wa
1 area abpve
f loor w
?
g. Total rim joist arca ...
................. ;?
,. T
?
Totai exposed foundation area = ?? ?=
;??r;??•a?,?
h. iotal foundation windoiv arr
a
.
,,,,,,
i. Toal net foundation area abeve grade
...........
Determine "U" value cf each wall segment.
?
e?r
s
a. •+ `? ,„ x
4
--
='•
b. x
----
c._ x a L),? , -
--- --- --- ? '=- -- y
?
x
e._ _ ' ,=,• --- x „U„ . v? _
4r' ? X 11W.
? • A,+ ? , ?`
? S' X ..Uu . ? -- --- -?`-?--
h. - x „Uli •- ? --
i.__ x „Uit
//?n,?
. . 5
?
a: .
?
:?.
'? ` 3.....
...... .......................... Total - I'" , ?
.,.
„ IF item p3 is the same as, or less than item ,61, you have met the iotent
g` of SRC 6006(c)2.
?f
:
? ? ti , S.We
? .?.- __- ..?.• .r.--.?, ?.? _ ?'??", M a '?' ' , "?"'?i""" ?
l`s?no trotu?xiyfC'RAnIq ,. ,?. . ? ?, '?,? ?? p , ? , ?,?, ,. ? ?` ?, ;
?•
o.fia
x. „
?. ..
4.
?YC
kI.t,
Total
FIG. N1
1. 1. '
FI6. M2
.._r^
u p
. 1 0 •;
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? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Construcdon Reouirements RemodeUReoair Requirements
? 3 registered sde surveys
• 2 copies of plans (inGude beam 8 window s¢es; poured fid. design, etc.)
? t energy ealeulations
• 3 coptes of hee preservaGon plan ff lot platted aRer 711/93
required: _ Yes _ No
DATE: /fll/? 5?8
? 2 copies ot plan
? 2 site suneys (eMerior additions & dedcs)
? 7 energy calwlatlons for heated add"Rions
CONSTRUCTION C05T; 333.!V'
DESCRIPTION OF WORK--/--r-,,Q20F/? ? ,PFi2PlUF -dA/y7 Dq/YIf&5
STREET ADDRESS: /7?3 `f /?t? KS H/Kt? "L
LOT: ? BLOCK: ? SUBD./P.I.D.
Name: --A [?-?/lJcsd N Ll U5 Phane #: (p 86 - 7 9 ZZ
PROPERTY Last Firsc
OWNER '/
Street Address: 19,37 36e45H/R6 r,?
?(.l/?/116
ciTy 6L}64? srau: 27A) zip::5S/23
Company: ?.{??tS?? cE/?tr?. i?(? Phone #: V`7 1-63G ?
CONTRACTOR ,r ?G{/y/ ' q
Street Address: 70s /Vi i(9 / License # 2-0 Q ? VZ,?5 7
ciri '-I-Qyrn altl-lf State: /qA/l Zip: S.5 7c1 l
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction onty):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this appliption and state that the infortnatlon is coRect and agree to compy with all appiicabl
State of Minnesota Statutes and City of Ea9an Ordinances. ?y
Signature of Applicant: 1???.C.??1?+? ?X/-????
61
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 33 ARerations
O 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Aduaq
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
O 11 Apt./Lodging ?
? 12 Multi RepairlRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft,
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprink sq. ft.
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Gonn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Building
Total:
Engineering
Valuation: $
16 Basement Finish
17 5wim Pool
20 Public Facility
21 Miscellaneous
MCN1lS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
5AC Code
Census Bidg
Census Unit
Variance
% SAC
SAC Units
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA116202
Date Issued:10/04/2013
Permit Category:ePermit
Site Address: 1934 Berkshire Dr
Lot:2 Block: 4 Addition: Berkshire Ponds
PID:10-13750-04-020
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.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Phillip S Carlson
1934 Berkshire Dr
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117793
Date Issued:10/23/2013
Permit Category:ePermit
Site Address: 1934 Berkshire Dr
Lot:2 Block: 4 Addition: Berkshire Ponds
PID:10-13750-04-020
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 .
Pat Addy
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 -
Phillip S Carlson
1934 Berkshire Dr
Eagan MN 55122
Greenguard Construction Inc
2915 Waters Road, Suite 101
Eagan MN 55121
(651) 289-7000
Applicant/Permitee: Signature Issued By: Signature
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