1943 Berkshire Dr
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA091591
Eagan, MN 55122 . Date Issued: 10/13/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1943 Berkshire Dr
Lot: 10 Block: 2 Addition: Berkshire Ponds
PID 10-13750-100-02
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Hallmark Homes Minneapolis Richard L Henninger
14764 Cherry Ct NE 1943 Berkshire Dr
Prior Lake MN 55372 Eagan MN 55122
(612) 386-7575
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
For Office Use
41 j Permit ,tom
City of E
~~C
Permit Fee:
3830 Pilot Knob Road f j
Eagan MN 55122 Date Received: i
Phone: (651) 675-5675 y
Fax: (651) 675-5694 i Staff:
20009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 0 ( Site Address: /17443 ,~K_HZ'A6 NZ L'-
Tenant: Suite
RESIDENT / OWNER Name: ~'CH rV~A,~. N! ~2 Phone( -91f1o
Address / City / Zip: IdEkk SH :rI2. E` 42A111 9;, r !6&M AA SSIa~
Applicant is: Owner Contractor
TYPE OF WORK Description of work: )21:0-ou AFL Attu, A84MCE 1458N13I--7 Q00P-TA'Ll
Construction Cost: 4 ~/744Q GO Multi-Family Building: (Yes / No
CONTRACTOR Name„-Po/-/A)j m4&r ~Sav c - License 00 / J 79
Address: /4710~6
City: //P/-)-2 r~0/,v-, 1~IA< State: P7AJ Zip:.5 S 3 7
Phone:611-32&7 5l') S Contact Person: }-HOC ~e3ur-A=
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
(4 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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.
3 j Gt; -Soctce 1,_'_ x
Applicants Printed Name Appli an Si na
Page 1 of 3
CITY OF EAGAN SEWER SaWks PERMIT
3830 Pilot Knob Rood
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE.
Zoning: No. of Units.,
Owner,
Address:
Site Address '.~.1" 7QSt'3
.S it 7.
Plumber: ,
1 some to eomohr wilt, the Cty of Bosom Connection Charge:
ordirooom Account Deposit:
Permit Fos:
Surcharge:
By
Misc. Charges:
Dote of Inrp.: Total:
Imp.: Date Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: _ No. of Units:
Owner:
Address:
Site Address: D 3 ?kr-rk.shi n ?r, I,
Plumber. P 1 IL r 1 ur:ir
Motor No.: Connection Charge: Size: Account Deposit:
Rooder No.: Permit Fee:
I Nne to eo=* wish the City of 6"On Surcharge: y
orallor' Misc. Charges:
Total: y~.liit: `nr
By Date Paid:
Dote of lisp.: lrtW:
CITY OF EAGAN WATER SERVICE PBMAIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning:
Owr ~°itst
Address:
Site Address
Plumber:
Meter No.:
~R den • 'ZL'M Account Deposit. "~--~P Permit Fee:
"me to saMP4 WK the City of Bgpn Surcharge:
Ord
Misc. Charges:
Total:
By loo Dote Pall:
Dote of Insp.:
Insp.:
AND CO.
,SURVEYING SITE PLAN FOR JOE MILLER CONSTRUCTION
SERVICES
a
b 9 7
SCALE*: I
~ ~1 tiT
's L'-G;IL UESCRIPTION
LU•i 10 1.s uCK 2
I BERKSHIRE PUHUS
KEY:
I ye r 10Ox00 Denotes Existing Spot Elevation
(100.00) Denotes Proposed Spot Elevation
Denotes Drainage Direction
1ct•oo Proposed Garage Floor Elevaoion t
sv Proposed First Floor Elevation
Proposed Basement Floor Elevation
1 31 N t W ff: Verify all floor heigi is with
t 4. final house plans U)A i
B 9XV1/RE DRIVE
hereby certify that this survey, plan
)r report was prepared by me or under
,y direct sucervision and that I am a Bradley J. wenson Mn Reg. No. 15235
July Registered Land Surveyor under the
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: r
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
Permit No. Permit Holder Date Telephone >r
S/W
PLUMBING
HVAC
ELECTRIC 9
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Rooting
Rough Pibg.
Rough Htg.
Isut.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg. 9 3 D S
ra
Deck Final G f 1
Well
Pr. Disp.
I
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fes
Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address ! Lot Blk.. Tract
4. Owner
5. Contractor Phone
6. Address
i
7. City State Zip
8. Building Type: Residential ❑ Commercial ❑ Institutional O
9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑
10. Describe
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 work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454.8100
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spacer S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
8. Address
7. City State Zip
8. Building Type: Residential ❑ Commercial ❑ Institutional ❑
9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑
10. Describe Fuel Type
11. No. EuuiaaavwL BTU - M. Ea. No. Euuipment 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 4546100
i r CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be wed for Est. Value Date
Site Address Erect Q Occupancy
Lot t Block Sec/Sub. Remodel ❑ Zoning
Repair ❑ Type of Const.
Parcel No. Addition ❑ No. Stories
Move ❑ Length
Z Name Demolish ❑ Depth : G
z Address Int Impr. ❑ Sq. Ft.
City Phone Install ❑
Approvals Fees
,o Name
6U Address Assessment Permit
City Phone Water & Sew. Surcharge . 5 U
Police Plan Review ) 0
ac
ku Name Fire SAC JU,
iK Address Eng. Water Conn. 0 01
u
<W City Phone Planner Water Meter n
Council Road Unit i.l
I hereby acknowledge that 1 have read this application and state that Bldg. Off. i i Tr. Pl. - a
the information is correct and agree to comply with all applicable APC Parks
State of Minnesota Statutes and City of Eagan Ordinances. ;
Var. Date Copies ~ 301
Signature of Permittee i
! Total
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Officiat
Permit No. Permit Holder Date TAO2-
Plumbing
'6 A 6 (o r' i;: r, ! f r J 4 J
Electric
Softener
Inspection Date Insp. Other
Footings 1~ o
Footings 11
Foundation
Framing 46
Rooting Q
Rough Plbg.
Rough Htg.
Insul.
Fireplace
Final Htg. S i
Final Plbg. 9 1~,
Final
CwvOcc.
Water Describe Locati.~
Well
Sewer
Pr. Disp.
CITY OF EAGAN Remarks
Addition BERKSHIRE PONDS Lot 10 Rik 2 Parcel 10 13750 100 02
Owner Street 1943 Berkshire Drive State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 6 5 7 1982 239.09 23.91 10
STREET RESTOR. 1985 12 3 - 19 C 8-9S IS -
GRADING
SAN SEW TRUNK 1982 176.04 11.74 15 7-3 1~-3-'S
SEWER LATERAL
101 1 2 57.24 3.82 15 3 15. 4 blt
/a -
427.85 , .291 7O- 94 R-0 ~G fie. `3 -
* Sewer Lateral
3 1 1985
WATERMAIN '7 05- rl 982 46.09 3.07 13 o. * WATER LATERAL 198
WATER AREA 82 176.04 11.74 15 a `.3-
ZS-
STORM SEW TRK 1 8 385 -67 IS 333.11 o 16 /.2 `3-0j" 95- .03 25
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road I jnj 4- --$280 - 00 S4600 1q. / 19, " /A 1;
WATER CONN. 500.00 BUILDING PER. 10808
SAC
PARK
This request void
)JI.,pno.ths from
0068653 7 ~r c . a ~ Fb~ ~ Aso
Req t Uate Fne No. Pmgh-in Inspection L l
Doe epu e Ready Now AIrP/'ll he fy Inspec-
t Yes ❑No for When Ready
icensed Electrical Contractor I hereby request inspection of above
Owner electrical work installed at.
Street Address, Bo or Route No. City
Z--a 4,-t
1719 42,- t 5 h I,"-C)
ection No. Township Name or No. flange No. Co
Occupant (PRINT) Pho a Nn.
o - z~
-1- A
Poppher Aitde ss
MAP- b r= C-rk I I I AA I
Electrical Contrac r (COTDa nY N 1 1 ontrarto r'e L,cense No.
d G~~eG7`IZ~G ~/6
MdIIInB Address (Conti ctor or wrier Making I staia Lin)
13 i5iW )'O e o GEC SS>2!3
Author ed Signature (Co actor ner Making Install Lonl Phone Number
4152-5A z
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
955 REQUEST FOR ELECTRICAL INSPECTION ER-00001-04
e instructions for completing this form on back of Vellow copy. q/
X"" Below Work CFiwered by This Request
160
Had Rep. Type of Building Ptopbences Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Omer nelfy Dther Isoecifyl
1 cr spnci v Other Other
ompute Inspection Fee Below
N Fee Service Entrance Size a Fee' Fenders/SUbfeaders a Fee crrcwts
( 0to 200 Amps 0to 30 Amps Va.S 10 to 30 Am
Above 200 Arnps31 to 100 Amps 31 to 100 Amp,
Swimming Pool Above 100-Amps Above 100-Am s
Transformers Irrigation Booms b Partial.'Other Fee
Signs Special-Ins ection Remnrks TOTA i
P $
3j
Rough-in Date "the El.
9-1-6 _fr inspector. hereby
ertify that the above
Final Date inspection has been
i made.
This request void 15 months from A~
L
15
1 S4
Re uesl D e /,jr Fre a Rou; 1-in Inspection
r j Required, Ready Now ❑ Will Notify Inspector
(5 =Yes When Ready'
nsed contractor 11 owner hereby request inspection of above electrical work at:
Job Address (Street Box or Route No) I (nom ^ JI J City
(j, L 'At:54 7_3
Section No Township Name or No Range No County Occupant(PRI TI Phone No.
Power Supplier Atltlre66
Electrical G t acWr mpan Name, Contractor's License No.
Mailing Address co ractor or Owner,
hl)kylg Installation)
3 ' V/~J
Autnon2 ign IGDmractOrlOWnQr Making Installation, Pnone Numidur
L -
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 C BE ACCEPTED BY THE STATE BOARD
1621 University Ave., St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642.8800 ENCLOSED
R ELECTRICAL INSPECTION sm5 n E9.000n1.G8
tmns for completing tra form cn Wck of yellow copy.
ork Covered by This Request
5 " Below W
R1 791N~
e 'KfB Rep Type of Building AppeancesWired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other(Specify)
Comm./Industrial Fu ace
Farm it Conditioner
Other (specify) Contractor's Remarks
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuit
Swimming Pool 0 to 200 Amps / 0 io 100 Amps
Transformers Above 200 _ Amps Above 100 -Amps
Signs inspectors use Only. TOTAL
Irrigation Booms
Special Inspection
Alarm/Commumcabon THIS INSTALLATION MAY ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough.in Date
certify that the above inspection has Final t
been made i
OFFICE USE ONLY
This request void 18 months from
CITY OF EAGAN No 1 U 8 U 8
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PHONE: 4548100 ~GIJ
BUILDING PERMIT Receipt #
Te be used for SF DWG/GAR Est. Value $61r 000 Date AUGUST 15 f9 85
Site Address 1943 BERKSHIRE DR Erect X1 Occupancy R3
10 2 BERKSHIRE PONDS Remodel ❑ Zoning R1
Lot Block Sec/Sub. Repair ❑ Type of Const. V
Parcel No,
AddRion ❑ No. Stories
JOE MILLER CONST Move ❑ Length 40
Z Name Demolish ❑ Depth 46
Address 18133 CEDAR AVE Int Imps ❑ Sq. Ft.
City FARMINGTON Phone 431-2001 Install ❑
Name SAME Approvals Fees
it Address Assessment Permit 316.00
• City Phone Water 8 Sew. Surcharge 30.50
Police Plan Review 15 .00
Fw Name Fire SAC 525-00
Address Eng. Water Conn 500.00
iW City Phone Planner Water Meter 63.00
Council Road Unit 280.00
1 hereby acknowledge that I have read this application and state that Bldg. Off. 8 1$ 85 Tr. Pl. 132.00
the information is correct and agree to comply with all applicable APC Parks
State of Minnesota Statutes on City of Eagan Ordina s.
Var. Date Copies X664-50
Sipnoture of Permittea ~Ccds~ Total
A Building Permit is issued to: JOE MILLER CONST on the express condition that
off work shall be done in accordance with all apppl~icable St mnesoto Statutes and City of Eagan Ordinances.
Building Official m f~~d--~~~-J
V I RESIDENTIAL
5 BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 Q
651-681-4675
New Construction Reouiremelda RemodegReoair Reouirements
• 3 registered site surveys showing sq. ft. of lot, sq. fL 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 saes; poured found design, etc.) _J~ • 1 site survey for exterior additions & decks
• 1 set of Energy Calculations • Indicate ff home served by septic system for additions
• 3 copies of Tree Preservation Plan ff lot platted after 711/93
• Rim Joist Detail Options selection sheet (Ndgs with 3 or less units)
DATE VALUATION
SITE ADDRESS L4~ey'4_<Aa ~ MULTI-FAMILY BLDG _ Y X' N
TYPE OF WORK FIREPLACE(S) _ 0 2
APPLICANT
STREET ADDRESS _&mC5 ~Aue s CITY ~STATE~ZIP G5`
TELEPHONE # IOIo~ 8(pl'ROt3 CELL PHONE # FAX #
PROPERTY OWNER TELEPHONE#iW_VQS-9717
kd-irvJ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
lr,Sl-~fS4-3~F~3
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) • Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor. ~^-Phone # '
Mechanical system includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor. I,J Phone# ii
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eaga Ina e . _
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 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi
❑ 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 _ Ftgs _ 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
PERMIT Cu i 3
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 021959
(612) 681-4675 Date Issued: 09/15/93
SITE ADDRESS:
1943 BERKSHIRE OR
LOT: 10 BLOCK: 2
BERKSHIRE PONDS
P.I.N.: 10-13750-100-02
DESCRIPTION:
Blding% Permit Type DECK
wB~ilding Wgrk Type NEW
C Occupartc.y,' R-3
f Building tength-' 36
Building Width ;i 9
Y
CID
27
FEE SUMMARY-
Base Fee $25.00 COPIES $1.00
Surcharge $.50 Total Fee $26.50
Subtotal $25.50
CONTRACTOR: OWNER: - Applicant -
UHRICH JACK
1943 BERKSHIRE OR
EAGAN MN 55122
(612)454-5342
I hereby acknowledge that I have read this app'.llcatlon arts, sta`tre that the
information is correct and agree to comply wltrh all applicable State of Mn.
Statutes and City of Eagan Ord'inanoles< +
APPLI ANT/PERMITEE SIGNATURE ISSUED SIGNATURE k
INSPECTION RECORD
CITY OFEAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 021959
Eagan, Minnesota 55123 Date Issued: 09/15/93
(612) 681-4675
SITE ADDRESS: LOT: 10 BLOCK: 2 APPLICANT:
1943 BERKSHIRE DR UHRICH JACK
BERKSHIRE PONDS (612) 454-5342
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTA.
FOOTING FINAL
REA~.i # TIVAT~ 1993 CITY OF EAGAN
UILD BUILDING PERMIT APPLICATION $2G •5 0
,.PEPM
1 1993 681-4675
y :1 ! •f l
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 14cil Valuation of work ?SOa
Site Address: I`l`{3 Eer ks~:Tf- tt. ve
STREET SUITE Y
Tenant Name: (commercial only)
LOT io BLOCK a sUSD. B<<k&L4;, Po d!s P.I.D. +v jo_13750- roo-oa
Description of work: Deck
The applicant is: [9 Owner ❑ Contractor ❑ Other (Describe)
Name LKW-tcl.~. Sol..ti (3a~~c) Phone NS4-53'/a
Property LIST FIRST
Owner Address I9u3 8esk&.Llve JJa.
STREET STE k
City Ea%_aK State MMJ Zip ssia~
Company I~ow~ Phone
Contractor Address License # Exp.
City State Zip
Company d1ok..e Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber u+4 Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 7 16 Has eU.Fiavish
❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. L1 17-Swim Pool
❑ 03 SF Addition ❑ 08 8-P1ex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind.
❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add11. C 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
CjK31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
❑ 32 Addition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy R-3 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code U3 v
Depth F%1 On-site sewage SAC Code
T
APPROVALS a'
Planning Building Assessments
Engineering 4ariance
REQUIRED INSPECTIONS
❑ Site El Footing ❑ Framing ❑ Insulation
❑ Wallboard Final ❑ Draintile ❑ Fireplace
Permit Fee 2~. Vatuatiao: g
Surcharge , u
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
Chi 2/84
Cl ~
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPERTY ADDRESS: Pfy „ r
=71,L DESCRIPTION: /o :l / 4~ yCt~
(Lot/Bloc)c/Sutdavisicn or Tak Parcel I.D. Nisnber)
' IF E :I STRUCT E DATE OF CRIGZIAL rx;ILDI`:G = ISSUA1 CE:
PRESENT
❑ R-2 CUPL (mo G^IITS)
❑ R-3 TJ•-.,\TCUSE (TL- = + L' TITS) ( GNI'^S)
❑ P,4 APART T .T/CC?1DCi•iTNI-L:~I ( UNITS}
❑ CCi-=1CLAL/RE^-AIL/OFFICE
❑ ='UST'!~LAL
❑ L\ST=IONAL/GOVEPS--JE:,:T
'2) APPT.TTC,.;T (PLEASE PRINT)
NAhfE: ~n c /D7/~/th
ADDRESS: 3 3 eedN~ Au e
C=. 1, STATE, ZIP: Ar...t. S f„✓ Ike 6S~a~
PHONE:
3) PLL',IBE.R (PLEASE PRINT) FOR CITY USE ONLY
NPl P/ti by m w.eLl. J /"t A! N e LG_
PLUMBERS NSE:,
ADDRESS: Nabs $ 93 RJ .Que ,tJ etive
CITY, STATE, ZIP: OA.) Expir
A]i Ln of Recprd
PHONE: SS,y- 3475 PLUMBER LICENSE a A046M3 Lc
r. 51-13
(PLEASE PRINT)
4) OCCT PANT/CT,+i TER NAME:
ME:
ADDRESS:
CITY, STATE, ZIP: a Sens As '2
PHONE:
5) INDIC=E :v'FIICH PER-IIT IS BEING RECUE=:
19-'CONNECTION TO CITY SMER
E CCu'=ICV TO CITY WATER
❑ OTTFR (PLEASE DESCRIBE)
6) INDIC:'T-- CNX--:
Q--PIE-ASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
❑ PLEASE 1-AIL APPROVED PEFUT TO 1, 2, 3, 4 ABOVE
(Circle one)
7) SIC~IGE: Ul~,,,Q~QhQy~~,,.J DATE: 3 ~'S
~ R Q~l+rlfe~s i~ r v Er.ar~ r : r+t r:a s+a~a r r s.FS:a:r a ae ,.e ~aa syta nr r r ~ a ~sisa.
F O R C I T Y U S E O N L Y
PERMIT ISSUED
FEES: SE.-.--ER PERJIIT (INCLUDE SURCHARGE)
+
$ / •Si: WATER PERMIT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ /S oU ACCOUNT DEPOSIT - WATER
$ WAC
$ ~5. o u SAC
$ TRUNK WATER ASSESS:IENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SE:?EY
$ LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
AititOUNT PAID/RECEIPT $ Sa j~
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
Q NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: o! ,
TITLE:
DATE :
ON go-" rr}~~rlrRw-me w=+Rwwli% wm w:4w R1 w qp:m wpo w:m/4 w la Wig w~ ma MOOR fpm wr
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - - - - - - - - - - -
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INERT
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExIsTING CoNsTRucnoN) $ 20.00
STATE SURCHARGE .50
TOTAL 90 5d
SITE ADDRESS: 1! 7°. io/"! 1Jc
OWNER NAME: / / 1 r1 C', /'t TELEPHONE
INSTALLER: / Y ~ W,
ADDRESS: Jom/~ O
CITY: 1 STATE: ZIP CODE
TELEPHONE
SIGNATU OF PERM
a' a°3:3';':e'a~,.. >::::.w..;*h ME.. ..cz:.::3:. .~a~V.: ..ate" Mb:, 1f! a. aT:,..
''y'n•,:A_~::2`¢:;...~yp~••~~°°>.:«:<£.s<~r[.eH.:.:a.,.;., ?v'
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<
N.'. ;:.}..t.€ A. s.~a "€x.,:ce~. a,.
:3.4:3'(:>['s:>:':">`- i.4'h~'`~>:~^=h:':E~.<`:'(« a,: :'.::a-, , n ~Y%.:~,_~.
.<:<.,...?:o-..i!['.>;°6~4n<:F~:vy~:"5'4<:<:~ASj~Y'~.~~~f: +b"¢'nf~.'.:
7~" Bl► r ~i e'}:Y'n Y,.~,:<>:'. ..)c 1<,24:. :Q.Y. :R:' tea:: Art y
[aia<<ai~ai sii.aa.~ia:<i:[eA.':~':Y?ia'ik3'S.1'3~~,23C$aT3 :'~~~.}~fCYY~~ ~ L R n. .2~ .
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 5$122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OFE FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $S0 FOR EACH $1,000 OF' FEE.
TOTAL $
SITE ADDRESS: - `
OWNEkNAME: TELEPHONE
TENANT NAME: (WROVEMENTS ONLY) = ' [
INSTALLER:
ADDRESS: "
CITY: STATE: ` ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
4r
I / 0 rLIE10*'o W4
/ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: ~ /y//~"m ~ Valuation: 4 a-5~-a' Date: l U
Site Address: 1oo773 ~F/t,h2 & ' OFFICE USE ONLY
Lot: M Block 0~ Sect/Sub y Erect X Occupancy R-3
Remodel Zoning R-I
Parcel # Repair Type of Const Q
Enlarge 11 of Stories
Owner Move Length ¢o
Demolish Depth 4(~
Address Grade Sq Ft
City/Zip Code
Phone APPROVALS
Contracto x& 4& 4, - et Assessments Permit 316
Water/Sewer Surcharge 3o.9°
Address 18/j~j ( GfGCl/1 C /Ct ei Police Plan Review T5g
_~s- Fire SAC 525
City/Zip Code ~xG-I J~5o6Z~ Engr Water Conn Soo
Planner Water Meter n3
Phone Council Road Unit '660
Bldg Offj, -aSq Parks
Arch./Engr. APC Treatment Pl
Variance
Address TOTAL
U
City/Zip Code
Phone #
o•*
316-00+
30.50+
158.00+
:25.00+
500.00+
63.00 +
2B0•~'10+
132-00 +
21 004.50 *
T R 1- LEAN CO.
•S U RV EY I N G
SERVICES SITE PLAN FOR JOE MILLER CONSTRUCTION
°
vac 0p•+p'
b
1 ''s L'LGi1 D'S01PTION
i V0 LUI 10 ULUG:v 2
BERKSHIRE PDf1US
KEY:
l`' rr
r 10Ox00 Denotes Existing Spot Elevation
y° r (100.00) Denotes Proposed Spot Elevation
Denotes Drainage Direction
iox.oo Proposed Garage Floor Elevation t
Proposed First Floor Elevation
Proposed Basement Floor Elevation
I iz > ? 'may / HUiE: Verify all floor eights rlith
final house plans'
~ ` tW. loi.o.
A Vol ~+xaI %3 f
• r
e
AERKSN/RE DRIVE
'I hereby certify that this survey, plan
or report was prepared by me or under
my direct sucervision and that I am a Bradley J. wenson Mn Reg. No. 15235
duly Registered Land Surveyor under the
LODbYlkxRY;:a :"gk,. y,.:>.::>:a,>qyi> ~rpc~''<!x.
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3530 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - - - - - -
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE Ti l q
17 1
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ 53.00 EACH)
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00
STATE SURCHARGE .50
TOTAL ~L:~10
f h~, f /~.3 3
SITE ADDRESS: _ IgT3I~S~ U~ ' I /
OWNER NAME: _I TELEPHONE `I51 _a3401
INSTALLER: r ~ ArWI, fCU /f M
ADDRESS: I (Z S Z ~Ye t
Nn. CITY: i f ~'1~ eJd STATE: ZIP CODE: 55~~'3
TELEPHONE 8(ob-r~ 1 of
SIGNATURE OF PERMITTEE
s yy >
~ ..,>.>:~L",:.... :...„C:.. - <._...>,:e'o ' ~'::;5`z~~">'~ZeY`°F?~9`~,..:' er : `~a~~.s'.` '~3. _ f:i:'. ,.g .":s~ •i~v _ _
3 _ ,....sv, 5 w: ,...a.a.e~ ~'~a> x.+r ,-e 3 •c*; ~ ,w u"Y': ggt`6.F ~S.Fx~> a x;. l eee~~~~... S >rA a a '~'~~`a:
F. ,y3{~ai:`r z'< >..ES~xe: .,.;.~3;>t,`'x`F3iz 3:i Q±';Se v:..c>3.n£: eg'•¢ sx` ..Ra$w `..r .rk.rx'z" :r{',6~: si:
(£:3.::...~a...4>a ~:kks~;,>~a•r 1;k? ~ y..rxgT>>,.1,23F 8>~L „rxa<a .yr,. QxxF~'a~2i:""`{':~,.,ze~.:E...$.sis:rx{
1993 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PELOT KNOB RD
EAGAN MN SS122
(612) 681467S
PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CONTRACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF fggW2' FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
l I For Office Use
Y ~ Permit Ld ~Iqll I
CR of 5, I G
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Re 'ved: f /
Phone: (651) 675-5675 cfj I I
Fax: (651) 675-5694 I Staff: I
INFLOW & I LTRATION PERMIT APPLICATION
V Plumbing / Sewer & Water
Date: 101 /yllZ0/J SitoAddress: I y3 /jey~~ 4It,-r priv-e ti .r 12 Z
Tenant: Suite
RESIDENT / OWNER Name: /e 1 X44 r 14) PA7 n 1r7 Phone: GS -7
J/
Address / City / Zip: ?Y 3 6 eY /=5 A r-T Pr Ea 5G h /0 / S S 12 Z
Name: SeiF License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
An
DESCRIPTION Description of work: R e,r d u ~e C 17 2 X> If f u
~ p
FEES
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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 ,pc4ard peN r.n 9.ry x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
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