4736 Berkshire WayThis request void
18 rranths from
? ! P
? 094561 Requ?st pate Fire No. Roug -in Inspection
I Req red7 []Ready Now ili Notify,
inspec-
v Yes ? No tor When Ready
licensed Elecir+ca-I Contractor ! hereby ?equest inspection of above
Owner electricai work installed at;
Stree ddress 8ox or R ute No. City
?
ecuon o. Towns ip Nam or o. Range No, o
Occupa t (PRINT)q
C
-r Phone No.
e7w
1 e
.
Power plier Ad res
_ c,• - ?. ?. .
Ele ca Contract (Compa v Na t `C ntractor's License No.
1 9? - ;i_
Mailin Address (Contra or or Owner Ma g Instailation)
Authoriz Signatuce ( ontractor/ ne Making stallation) P one Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STqTE BOARD
1821 UniversitY Ave., St. Paul, MN 55104 UNIESS PROPER INSPECTION FEE IS
Phone (612) 297_2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTfON EB-00001-_08
l't
' See instructions for completiog this fwm on back of yellow copy. ??? ?? ?? Y
A 094561 ""X"" Below Work Cavered by This Request
Attd Rep. Type of Buiiding Applianees W+sed Equipment Wired
Home Range Temporary Service
Dupiex Water Heater eightiny Fixtures
Apt. 8uilding Dryer Eiectric Heatin
Commerciai Bldg. mace Silo Unloader
fndustriaf Bldg. Air Conditioner Bufk Milk Tank
Farm Otner Pecrfy cner Ispecitvl
ther Specify Ot Cr Other
Compute lnspection Fee Below
p Pee Service EntranceSize !t Fee FeederslSubfeeders # Fee Circuits
0 to 200 Am s 0 to 30 Am s 0 to 30 Ami2g
Above 200 Amps! 31 to 100 Amps 31 to 100 Amps
Swimmin Pool Above 100____Amps Above 1C10-Am s
Transformers frrigation Booms Partial-'O
Signs Specia{Inspection $ TOT L F
rrnrks
Re ?
?,j
Rough-in Date ?s the lectrita
? , f „? f ?-? nspec eby
? c tify that the above
Finai Date inspection has been
r > made.
This request void 18 montns trom
CITY OF EAGAN
r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
Te M uted fer SF DWG/GAR
N° 9540
Receipt # t `e Y-
Volue $57,000 Dute SEPTEMBER 619 84
Site Address 4736 BERKSHIRE WAY Erect
? R3
Occupancy
Lot 1_ Block 5 Sec/Sub. BERKSHIRE PONDS Remodel ? Zoning
Parcel No. Repair ? Type of Const. V
Enlarge ? No. Stories
a: Name JOE MILLER CONST Move ? Length 41
; Address 18133 CEDAR AVE SO Demolish ? Depth 42
? City FARMINGTOl?hone 431-2001 Grade ? Sq. Ft.
?
SANi
E Approvols fees
?u
u?
?
Name _
Address
City -
Phone
Name _
Address
City _
Phone
I hereby ocknowledge that I heve read this opplicotion ond state thot
the inlormotion is correct ond ogree to tomply with oll opplicoble
State of Minnesoto Stntutes and City of Eagan Ordinances.
Assessment
Woter & Sew.
Police
Fire
Eng.
Plonner
Council
Bldg. Off. 9/21 /$ 4
APC
Var. Date
Permit 0
Surchorge 28.50
Plan check 152.00
5AC 525.00
Woter Conn. 470. 0 0
Woter Meter _6.3...0
Rood Unit 260- 0
@8RX C O 7 1?
Total r O
Siqncture of Pertnittee I
A 8uilding Permit is lssued to: JOE MILLER CONST on the express cond'+tion that
all work sholl be done in occordonce with licoble ?aty of Minnesota Statutes ond City of Eayon Ordinances.
Buildinfl Officiol
CITY OF EAGAN }_?T ,..,. ? ?
. .,.... . ., t Y 4i? .
F 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 4
BUILDING PERMIT Receipt #
Te be uted for SF I)WC;jCAR Est.Volue ?57'000 Dote SEgTEM$ETt 2619 84
4735 BE?ii?S?'1'?Ri re`?L-?Y
Site Address Erect u Occupancy
Lot I Block ? SeclSub. 't K' ` " WU' Remodel ? Zoning ?
Parcet No. Repair ? Type of Const. V
Enlarge ? No. Stories
W Name J`}E 1"?TLLE?i C(3IsST Move ? Length 4
Z Address 18133 (:"EJ)iAR AVE SO Demalish ? Depth 42
3: 1 --
0 City FA{7MI rv (2r tOrPhone 43 1-2 001 Grade ? Sq. Ft.
1XII???
o Name
Su Address
?- City Phone
r-
cz
?W
Name
Y? Address
City
Phone
{ hereby acknowfedge thot I hove reod this opplication ond stote that
the informotion is correct and ogree to Gompty with all applicabte
Stote of Minnesoto Statutes and City of Eogan Ordinances.
Approvafs Fses
Assessment _
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bldg. Off-??
APC
Var. Date
Permif
?
Surchorge 28.50
Plon check 152.00
snC 525.00
Water Conn. 470.00
Woter Meter §-3 . 0 0
Road Unit 260.00
)Ww((%t7?y) 1.00
Total ;,> ?L 1 0 U3` D V
Signature of Permittee I
.?OE CONST
/1 Building Permit Is issued to: on the express tondition thor
nll work shcll be done in accordonce with o11 oppliwble State of Minnesota Stotutes ond City of Eogon Ordinnnces.
Building Official
Permit No. Permit Holder Date
Plumbing ? Y fk--c.4A/1. ? ;,) - - X
H. V.A.C. 07 / r? ? l ??o U-?e C) Z.
Electric
Softener
% -z?
?"fnspection ate `Insp, r
Footi? ?,? ?,
Foundation
Framing
Rough Plbg.
Rough HVAC
Insulation
Final Plbg.
Final HVAC ?e? ?'
Finai
Cert/Occ.
Water Describe Location:
Weil
Sewer
Pr. Disp. ,.
CtTY OF EAGAN Remarks
p,ddition BERKSHIRE PONDS Lot 1 erk 5 Parcef 10 13750 010 05
Owner Street 4736 Berkshire Way State
improvement Date Amount Annuat Years Payment Receipt Date
STREET SURF, 19$2 239.09 23.91 iQ
STREEl' RESTOR. 1985 1
GRADING
SAN SEW TRUNK 176.04 11.74 15
SEWERLATERAL 1982 57.24 3.$2 15
?r ewer ate al 1985 27
g: -53= -
WATERMAIN 1982 ;
46.09 3.07 15
' WATER LA7ERAL 1985
WATER AREA 11111111111111111 -1982 176.04 11.74 15
STORMSEW TRK 1985 385.03 25.67 15 -
STORM SEW LAT
i CURB & GUTTER '
i SIDEWALK
? STREET LIGHT
Road Unit 260.00 #46624 9-26-84
WATER CONN. 470.00 " ti
SUILDING PER. #9540 " it
SAC 525.00
fi
?r
PARK
' ?
; 1999 BUILDlHG
??
PERMIT APRLICATION (RESICEIITlAt,)
CITY OF aACM ?
:? ?? KWMB RD . 55122
651-681-4675
D 3 rogisteced sft simeya dhaM?1nSi $C}. tt. Of 10t, sq• ft. af ttauxe
and al roo#ed areas =% mMcirra=iot coveram dggoL¢I
>2 copies of plcuu (stor #eam & wkdorv sitM paured tnd. etsi9n: etc.)
? 1 set # *rntr9r ccictfttbns
D 3 Copies of free presesrv+otion plat M bt ptattad cfter 7J7 /93
OAl'E: &I_.?
?.,,. .
QE?'i?iCRIPTION OF WORK:
STREE"i' ADDRESS:
c
I t- a2.. t.tJ
Lnfi: 1 BLocK: ? suBD.jP.t.fl. t
o Aly
Nflme• Phone #:
PROPERTif Lost ftd
C3WNER
Sheet Address:
CitY ? f'Aot Stota: Zip:
V
Compcny: / 7 tll f''Y` #: (; a c??.?--.....?.?1?`? ?
{area code}
Ct'>NTRACTOR Street Address: j r ? aa,1? 'Q a ?,L,? L#cense # -/,!Z?..?xP. 000
Ci1Y 4:3 d_ 0 4 ? Sta#e: ZiP:
ARCHIi'ECT/ -
EMGiNEER Ccmpany: N+ame:
Teiephone #: area code ( ) Stredt Addra;s: Regk#ra#ion #:
Ciiy Stttte: Zip:
Soww i wcder licensed pluenber (reguk251 fgr new c2nstruct0 onhrk
Poikey appiies whon oddregs change and lof cha»ge b requested once pertr* b tssued.
;
t°i?eby aCknowledge tha? ! have read #hb appNcrtion. atcft #hed #he bfonncsFion ta sorect, cncl agree to cornpty wNh'al cPPeW"
? of MinnesaM Statutes and CHy ot Eagan OrdMances.
?
10
Signtr#we c+f ApplicaM:
oFFreE uSE oNLY
CeMfimfes of Survey Received Yes No
Tc" P,eservaWn Qlan Received Y.es NO Not Reqaimd '? 2 4
c' c -? ?
s-`--?) o r't ?
2 copies of plon
1 sO ofi eraefgy cak-uIcdf+Rtis for 1ot#od addftm
1** vinray for 1G dedks
d?
Cl7NSTRUCTi4N Ct}St: '?,?`oD
,
!? 1 " a
oFFicE usE oNLY
BUiLDiNG PERMIT TYPE
fl 01 Foundation ? OG 4-plex O 11 10-plex 13 16 Fireplaae ? 21 Porch (3-sea.)
GI 02 SF Dwetling O 07 5-plex ? 12 12-plex 0 17 Garage ? 22 PorctVAddn: (4-sea:
0 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck 0 23 Porch (screened)
C! 04 2-plex , ? 09 7-plex 0 14 Apartments 0 19 Lower Levsi 0 4 Storm Damage
? 05 3-plex 0 10 8-plex ? 15 Ladging 0 20 Poof 5 Misceltaneous
VIIORK TYPE
Af"'31 New 0 35 Tenant Impr 0 39 Gas Line Only C] 43 SidinglSoffitslFascia
? 32 Addition ? 36 Move Btdg. D 40 Gas Insert O 44 WindowsiDQOrs
CI 33 Alteration O 37 Demolish Bhlg.* Ca 41 Wood Stove CI 45 Fire Repair
Q 34 Repair ? 38 Demolish (Interior) 0 42 Reroof
* Give PCA handout to applicant #or demolition permit
GENERAL fNFORMATION
Const. (Actuai) Basement sq. #t. Census Code z43q
(Ailowabie) Main level sq. ft. SAC Code Of
UBC Occupancy sq. ft. No. of Units ?
Zoning sq. ft. No. af Bidgs I
# Qf Stories sq. ft. MCIES System
Length _ sq. ft. City Water
Width Footprin# sq. ft. 8ooster Pump
PRV
Fire Sprinklered
?
APPROVALS
Planning Buiicting Engineering Variance
Permit Fee '0. S D _ Valuation: $IOC). 00
Surcharge
Plan Review
License
,.
MC/ES SAC ,
City SAC
Water Conn.
Wafer Meter
Acet. Deposit
S/W Permit
S/W Surcharga ?..
Treatment PI.
Park Ded.
Trails Ded. `
4ther
Copies Total: I ?? f saU
SAC Unit?s
'`
°!o SAC
? r
AOBE ENGINEERING
COMPRNY, 1NC.
1000 EA3T 1461h STlIELT,
&JalG Z Al.E ?!a
CONSUlTINO 4NOIN14AS PIANNlAS ond IAND ?UAYEYOAS
EUrtNSVILIE, WIMNESOTA 55337 PN 432'3000
Ce r? c a,?
vj- %% V= rz?y
U99t .I.?t crL???,?OIL •: LpT /, BLOGK 5, BERK 5/+/1,4
oAkorA cowtry, MiNNEs
i1lORTtI , .
c,A& E /~= 30 I
Q
3
?
? d
?
?
d1+
(ti9
?
?75
..._ ) ? ?
__ l ==
00 /1( B(o° Zf' 36'W
--
1 ?^ ?_ ? ? ? ?. :.
I
I
el L T 1 ?
? I
? T
I
?
E'itss-?ns.vr .
??31,0 ? /4q0lc047'iES l',(isTlfn/(, 54E?KTi01/
(93"0 ) /^/ltWcArerS PROFVsAC,p EtE?ATioV
_
?
?
?
ZJ
.?
t
O W 1 Zi, .
I
j W
J
? ? >
N o
.O? ?
^tih
?? ? '
W
• k
- 2W t
O -
930
d
Z
so.
vl?
? -
?/YDvGATFS' z/AxCT7Gr?1 OF SdQFi'4C,E rDJQI11.-?/.4brE.
hersby ceMify that thi• is a true and correct r{prasentation ot a tMCt ot
?nd a• thavn' and described hereon.. Ils prepared by me on thi? 17,* dar ot
1 ! e4
.
.r...
?. _ BERA?SK/RE ?
?
I
?
a- s23.
?I
3 ` ? 3i• ?o.?
Z 5. (,7
I
o .o RzC Fr.,ov 4
?
? ??i Q 4?-tel. ? W
C?3e.S i a N
, CITY#>F "it
7?
? 3830 P`
i P. Q-??«. PERMIT NO.: 5797
k Eagan, MN 56-f,27
;
' i
DATE: 11-1-84
? Zoning: .?
R1 No. of Units: 1 ?
r. C?
! ress:
? *e Add`ress: 4736 B?d?.? ??J??•=L?B5 $erkshire Fonds
; umber: _ Pl`Inah rP.I, b?
' r No.: EF70.00
4Anpecticn ChCrge: t?
P
? Size: ?{ i i?? l,l'
j iy 15 ?ZT
,?cc?a#i?` l'Sc?posit• p?- i
! Reader o.:
Permit Fee: 10.00 i
pd
? 1 agres MAompip wilh tho City of Eogwn Surcharge: .50 pd I
j Ordinonca.,, 0-''+ t3A+.? Misc. Charges: _ 63.00 pd meteLl'
? - Totol: j
gY ? Date Poid: ?
y
Date of Insp.:
,.
?
CITY OF EAGAN
3830 Pilot Knob Road S?E? sE'?/IC? ?I''
P. O. Box 21199 PERMIT NO
:
Eagan, MN 55121 .
Zoning: Izi DATE: - •?
???, ???
Owner: T1IeL' 10?.I8IL' No. of Units: ?
Address:
Site Address: ?1736 ?erksh:ix'e ilaq
+ I,i. ?".f5 ?3ezl?sh?z'e Ponds
• 'rzout%. ?
Plumber:
46624
1 egree to compip wilh !he Cily of Ea9an
Connection Charge: . , ?
4 25 . 00
?
Ordinonees. Acccunt De
posit: 1'° P
Permit Fee: • ` ?'
B
Y Surcharge:
--------
----
Date of Insp.: Misc. Chorges:
Insp.: Totol:
Dute Paid:
, . . _ ...
4 ,._ . CITY OF E F,-X7-?~
AGItN
f 3830 Pilot K WATEII l?RVICE !??'
?, (??
i P. O. Box 21199
PERMIT NO.: 5797
? Eagan, MN 55127
DATE: 11-1- II4
' Zoning: R 1
No. of Units: 1
' Owner, _ Toe '?i11 ex Co128t
Address:
Site Address: t? Wa LI B5 Berkshire Ponde
Piumber: _ PlYmouth PIbp
Meter No..
; Size:
' Reader No.:
-------------
} 1 agne to eomp
iy with the City oi Eagan
, O?alnonps.
By
1 Dote of Insp.:
Connettion Chorge: 470. dti pd
Account Deposit: j D• VJ pa -
Permit Fee:
-
7 pd
? 0• 00
Surchorge: •50 pd
Misc. Chorges: 63. Ad pd meter
Total:
Date Poid:
Insp.:
„ - , _
i ,
., ??. ,
C .
.
2/84
d ?
CITY Or EAGAV
APPLICATION FOR PERMIT
y. t.b
• SEWER AND/OR WATER GONNECTIQN '
k,
._ . . .. ,. . ..,
?.... . .
(PLEASE PRINi)
1) PROPII= ADDRESS: 4/736 Gh,?s?iCt?G..
LEGAL DESCRIPTICN: ?0 7?" ? /??r' lGt,? , j
(Lot/Block/SubCls.vision or Tax Parcel„_ I.D. .Nm1ber)
.T-r' --E%IS':'-=.i, S'I'!?L'CTU:ZE, DaTE Oz' ORIGi 1AI, riiILDL;G P:..?.:-ST_ISSZ:ANGZ':..
? .:.... :,•
PFWS= --•.,`Slir,/Pj?OPOSED t?SE: 0 a-1 SIN4GL. FPIMILY ,
? R-2 DUPZ,..,? (Zti%D UNITS )
. C! R-3 TGtvi _CL?SE + L':7ITS ) ( Wi I^•S)
? r2-4 APA.2- 1F-?/CO?WA%1I`1IUy1 ? LiVITj)
p Ca%1'k,,4RCZALrRETAII,10FFIC::
p I1NML'STRTrZL .
Q IINSTI'1'LTIQ:VRL/GGVEFtrZ0?Z7
) PPLICcIT (PLEASE PRINT)
2 A
ADDRESS: l8/ 33 Cc.?,P.??. i4ac S .
CITY, STATE, ZIP: ?i?{ hw+i?S ?erJ /'1.+ s'S?d?,' y
PHOiNE : y,3 !- Apo ?
3) pu,r,lBER PLEASE PRINT) FOR CITY USE ONLY
NArvE= P1k»,b;
ADDREss: /y.2
A.)
18 aa.1cp 4vc PLUMQERS IICEYSE:
?
`
,
, Active
'P CITY, STATE, ZIP: J" otAk y? L) jjl-Vyf C] Expired
MAZ) I t
PHONE: ,?,sf 3( ?J PLUMBER LICENSE [?] Not f Record
` a nitia -
q) Q(,'C[TpANT/CrqI`JM NFINIE: (PLtASE PRiNi)
ADDRESS:
CITY, STATC, ZIP: _ 5lv Atc ? CA
PHONE:
5) INDICIITE 6II-IICH PE.RM.IT IS BEING REQUES'1'ID:
?J CONNECrION TO CITY SEXER
[?Q CONNEC?IO:V TO CITY WATEFt
' ? Oi'I1ER (PT.EA.SE DESCRIBE)
6) I11DIG'11"Z C:,E: •
? PIE-PSE HOLD APPROTEp PER'v1IT FORPICF:-UP BY ONEOF ABOVE . ? PI.FASE b'RIL APPRWID PIIR11IT . M 1, 2, 3, 4, ABWE
(Circle one)
.
7) SIG:,rAZL'RE: '.J ?.,p? , .. ...
G?L?/p?'?4ji/ DATE:
.
1
y ??'?2 i
2/84
rEa CITY Or EAGIAN
APPLICATION FOR PERMIT
• ? SEWER AND/OR WATER CONNECTIODt
(PIEASE PRIHT)
PP.OP= APDRESS :
i.FryL DE,17.C-2IP'I'ZCJ1:
(Lot/Block/Subdsvisicn or Ta.t Parcei I.D. Nt..^r,tDer)
I'r' ^{I?__.:G S'I'DL=I':'tE, DAT' 0F On?Gj-.?AL :UI:.,L-? _.r_=:I-
ppWc="?' ?.^•?-• ?;/'a??OPOS? t'S=. ? R-1 SL'` ^CA?,t1r,y
.. .
a R-2 (, TPT ??CO ?,?::T1T ? ?)
7?-3 (mz.:.e.?, . U:;ITS) ( r11?:11 "_'S,)
? ?-4 L':'i,S'
V ?
? CCi•LL??C?a.I?/?2???.T?,?Cr ?'?C?:
? ?.L?Si?.:...-?.L
? 12NJC 11
2) APP=;'T` ?I?LLriJL t'(tjil l)
iVtY'1L.. :
lSLLLWSS :
C=, STC.=, ZIP : -
PHONE:
3) pjc,=- (PL?ASc PHINi) fOR CITY USE OALY
" 1 E :
nk'
ADDRES5: PLUNBERS LICENSE:
? ? Active
CITY, STATE, ZIP: ? Expired
} ,A
PHOLNE= [= Not af Record
: PLUMBER LICENSE (#
, atr nrtia
4) OCC[Tp=/Cf;iJER NAME: (PLEASE PRINi)
ADDRESS:
CITY, STA'IE, ZIP:
PHONE:
5) INDICATE 'NHICH PERNLIT IS BEING REQUESTID:
o CO.NECTzov TO CzT-Z Sa,-M
? corMC-1zo;v To czTY 'i?TATEP
' E] 071ER (PI.ZASE DESCiZIBE)
6) LYUlClli... Vaz.
? PIZ-?SE F?OID APPROVID PER.'tiLIT FOR PICr-L'P BY ONE OF AFG"VE
? =SE :17IL APPx2(,'?VED PIIr'-LIT TJ 1, 2, 3, 4 AfiOVE
, (Circle ane)
7) SZC.-ATL'RE: `
DATE:
? .
F 0 R C I T Y U S E O N L Y
PE?2MIT u ISSUED
F_- I
FEES: $ SE7,17ER n?RMTm
$ WATER PER`t??' (I`7 CL7u7t7E ;URCI:j?,r2Gc)
$ WATER METER/COPPERHORN/OUTST-DE REnDER
$ WATE'R TAP (ZNCLUDE CORPORATIO:V STCP)
$ SE;,JER TAP
$
$ .t57 AC^OUNT DEPOSIT - WATER
$ wac
$ SP.C
$ TRliNK WATER ASSESS:IE.:T
$ TRlii1K SE;vER :,SSESS:iENT
$ LATr,R.yL BENEFIT/TRLi1K S--:•:ER
$ LATERAL BENEFIT/TRUtiiC WATER
$ OTHER '
$ TOTAL
$ AMOLTtiT PAID;'RECLIPT 7
DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY? .
YES IF YES, THEN ti"PERMIT FOR WORK WITHIN 3
PUBLIC ROADWAY" MUST BE ISSUED BY THE
'',, NO ENGINEERIDIG DIVZSION. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLLOWING CONDITIONS: •
. .'
APPROVED BY:
TZ.LE:
DATE: ?-,v, 4t?
Mas:" Ulu= w iJM .?m mmoe atwm
w?? ? s w s? re? ?t•? ?t+? w?? s? ?? ?? s? s? ?a s? ? w s? w..
,
ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE Q SETS OF PLANS,
? CERTIFICATES OF SURVEY
SET OF ENERGY CALCULATIONS
To Be Used For : ?
valuation:,? Date: -j7-S?
?q
Site Address :
Lot: ? Block: ?6- Sect/Sub:' 7
t,' f Erect• X,_ Occupancy: ?
Parcel #: Remodel: Zoning: 12-!
-
Repair: Type Of Const: 77-
Owner- Enlarge: # Stories:
Move: Length: ?
Address: Demolish: Depth: 4A
City/Zip Code: Grade: Sq. Ft..
Phone #:
Contractor: W33MMOMM
Address: ?f b6tozl Assessments: Permit:
City/Zip Code•' 1
12 - Water/Sewer: Surcharge: Zg.y°
Police: Plan Rev.
• ( SZ. ?
Phone # /-
4 °"fGj°?
Fire:
SAC_
SZ?.'y
Engr.: Water Conn: 41? ='
Arch./Eng: Planner: Water Meter
Address-
? Council: Road Unit: 2(op.=
Bldg. Off.. Parks:
City/Zip Code: ApC:
,
p}?npp#. '
Variance:
? // O':C). -- ? •
QJ.,sQ
? • ' ?
?
?
V
1?
O
Oe *
304• +
?
28•5+
1 a2 • +
?
?Zc-z • +
470• +
63, +
260• +
1•+ rv
1)803°5 *
( ?s Cfl ?
CA
? ?
r .
?
A O B E'
IIPiai?ii?ni o? a°iaNO s ?unvEYO ns
ENGINEERING COMPRNY, lNC. . 1000 [A3T 1461h STRECT. EUfINSVILLE, WIHHESOtA 5S3?T PH 432•3040
- _...... ?..
LoT/, BLOGK5, BERK3w1A
DAkcTA Go?nlTY? M?NNES
4L BtRkSytRE
Z.4 S%
i L9.
4
3
?I o 3
q
? o
?I I
6?_q >
C?-
?
?jo.o
?
?
?
I
io t?' ? -- ,?- - -
?
--?
DR1VA:
UV
SDI 7 19$4
1lb/
?•96
a• s23,27
?
? 3i• ?o',?
_ a o .K"'C i ?--
? t? t5•b7 'libi
?
?-
100
?o
?
"a ` j
'' _
'^-???:: r
? 86? 2f' 36~w
I ??...?... ? ? I
? usla? •
?.
? P ? ao W
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CA&H ?ECE#PT
CITY OF EAGAN
P. O. BOX 21-199
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White-Payers Copy
Yellow-Posting Copy
Pink-FilB Copy
A?:??.
Receipt' MECHANICAL PERIUtlT Permit No.
CITY OF EAGAN?:
/ Fee
r J? i I
Fill in numbered spacgss S/G
Type or Print JegibJyiA?
Tot.
1. Date 2. Installation Cost
?-?? P
3. Job Address Lot 'Blk.
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r
4. Owner 'A
5. Contracto?.__ (Phone? l>L'
6, Address ?• ? ! <:1' -
7. City Gt-?: C' t`?tate ? = 1 Zip
,1? L-?-
8. Building Type: Residential tl-- Commercial C] Institutionai O
9. Work Description: New 9" Add ? Alier 11 Repair 0.
10. Describe
11.
-fueiTYpe
No.
1..--°. E,quioment BTU - M. Ea.
Forced Air `. t?^. No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Balers
Mfg. Mech. Exfiaust
Unit Heater
Mf9• Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. l hereby certify that the above information is true and correct, and I agree to
compr?N,with.Ill ordinances and codes governing this type of work.
,
Signedk for
Roughr? Final
Inspec#i,?ns: Date Insp, r Date tnsp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
oR-1.?...
PWMBING PERM17 Permit N
? CITY OP EAGAIV
Fee a26,
Fil1 in numbered spaces S/C
Type or Print legibly Tot. d,D
1. Date , ,.- ?/-2. Installation Cost
? / zo?.....1
3. Job d r se 2 ? Lot Blk. ract T r
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Suiiding l'ype: Residentiai j2" Commercial ? Institutionai ?
9. Work Description: New j? Add ? Alter ? Repair ?
10. Describe
11.
No, Fixtures
Water Cioset No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
? Lavatory Softner
Shower We11
? Kitchen Sink
Urinal/Bidet
Other
? Laundry l`tay
Floor Dra'rris
Drinking Ftn.
? Slop Sink
Gas Pip"rng Outiets
12. i hereby certify that the above information is true and correct, and ! agree to
compiy wl all ordina es and codes governing this type of work, ?
Signed : yr,+^ ?;??
fo?? Rough Final
inspections: Qate Insp. Daie Insp.
This is your permit when numbered and approved.
Approved CiTY OF EAGAN 454-8100
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158012
Date Issued:09/23/2019
Permit Category:ePermit
Site Address: 4736 Berkshire Way
Lot:1 Block: 5 Addition: Berkshire Ponds
PID:10-13750-05-010
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for 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.
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Robert M Conley
4736 Berkshire Way
Eagan MN 55122
(612) 590-0627
American Building Contractors
2960 Judicial Rd Suite 100
Burnsville MN 55337
(952) 707-6959
Applicant/Permitee: Signature Issued By: Signature