4737 Berkshire Way' CITY OF EAGAN N° 11215
' 3830 Piiot Knob Rosd, P.O. Box 21•199, Eagan, MN 55121
PHONE: 4548100
??
BUII.DING PERMIT Receip+t #
7e M und
SiteAddress 4737 BERKSHIRE WAY Erect CE Occupancy R-3
i '?4 BERKSHIRE PONDSRemodel ? 2oning R-1
lot Block- , sec/Sub. Repair 0 Type of Const, V
Parcei No.
Addition 0 fdo. Stories
Move ? Length 3 6_
Name RSM HOMES
W
z A?res$ 14486 UPPER GUTHRIE CT
ctty EAGAN phone 435-$868
Na SAME 452-3499
me
U? Ackiress
?- City Phone
??
W Name
t
?? Address
tuZ+ City Phone
Demolish ? Depth 46
int Impc ? Sq. Ft.
Instati 0
Approrois Fees
Assessment
Water & Sew.
Potite
FifB
Enp.
Pfonrier
Council
Perrrdt 311 : 00
Surcharge -3 1 - (} 0
Plan Review 7 S 9_ 5 Q
SAC 52 r, -?f}
Water Conn. S [l (l - t10
Water Meter 6 1- (1 Q .
Rosd Unit 7 R tl _, jj Q
1 hereby ccknow}edge that 1 fiove read this application ond stute thut gldg. Of#. ?Z28L$ Tr. Pl. 1-49-00
the fniarmction is correct and ogree to compiy with o!i appticobie qPC Partcs
State of Minnewta Stotutes ond)',jty of Eogon Ordinances.
f/ Var. Date Copies
5iqnature of Permittee ?
HOME S Total 2. 0 0 9. 50,
h Buitding Permit is issued to: on the express Cand+titm thai
alt work sholt be done in uccordance with oii "IicobJp Stctq.pf l41nr?esoto Statutes and City of EaQcn Ordinonces.
= 8uildinp Offitiai
?
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Y7?
CITY OF EAGAN
, ?_
' 3830 Pi{ot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
, BUILDING PERMIT Receipt # ?.
To de wed for ?- - ?: Est. Volue - ,
?.? Date E
19--"
Site Address Erect Q Occupancy
, Lot L Block Sec/Sub. Remodel ? Zonin9
'
Parcei No Repair ? Type of Const.
. Addition ? No. Stories
Move ? Length
W Name -??- _- - Demolish ? Depth ?
;
b Address
? Int. impr. ? Sq. Ft.-?^
City Phone Install ?
'? -
, 1x
? Approvab Fees
o Name
Z
8u Address Assessment Permit
? City Phone Woter & $ew. Surcharge 4?;
Police Plan Review
Z
? Name Fire SAC
,?(;
?? Address Eny. WaterConn.
t W City Phone Plonner Water Meter
, Council Road Unit ?';, 4; 0
1 hereby aiknowledge thot i hqve: cead this oppiication and stote thot Bidg. Off. Tc PI, r+ ?p
tfae. informotion is Correct ond cgi'ee to tompiy with all opplicable
State of Minnesotq -Stotutes ond Giry of Eo9on Ordinances. APC
Parks
Var. Date Copies
5igncture of Permittee
_ Tota1
h Building Permit is issued ta ' on the express conditlon tho+
? oll work shail be done in occordance with oll applicable State of Minnesoto Statutes ond City of Ea9on Ordinonces.
Building Officiol
r
? Permit No. Permit Holder Date Telephone #
Plumbing a// 115- 60"7!' )G,o v
H.VA.C. (4/10 . C'
Ekctric
Softener
Inspection Date Insp. Other
Footings I w
Footings tt ?
Foundation
Framing 5,- &),?"
Roofing
Rough PIb9•
Rough Htg.
insul. ?
Fireplace
,
Final Htg. ,..> 3 -
Final Pibg. . i 7,
Final / - ? •- ? ? ?? 'I
Cert/Occ.
W..er Describe loeation:
Wel1
Sewer
pr. Dfsp.
Recoipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee `" •? F fill in numbered spaces S/C
rype or Prlnr leg;ay Tat s?f , C,?
- .
1. Date 12. instailation Cost 0
3. Job Address %,<?"?'* Blk.- Triot
4. Owner
5. Contractor "Phone .?_
6. Addreas
7. City State
2ip
8. 8uiiding Type: Residential CQ Commercial ? Institutional 0
9. Work Description: New Ll Add Cl Alter ? Repair O
10. Describe ?r?? 2?,L :.,.. f?uel TYPe
11.
fVo. Eauioment 8TU - M. Ea.
Forced Air S(:
01=;;; No. Eouiament CFM
Ai
H
dli
r
Mfg. r
an
ng:
Boi lers
Mfg. Mech. Exhaust
?
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
comp{y with alt ordinances anci;codes governfng this type of work.
Signed : for
Rough P inal
Inspections: Date Insp. Date Insp.
This +s your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERltAiT Permit Na. "CITY OF EAGAN
Fee
Fill in numbered spaces S/C
?- Type or Prini legibly Tot.
1. Date 2. Installation CQSt
3. Job Address T- Lot Blk. Tract 4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New Q Add ? Alter ? Repair O
10. Describe
11.
No.
% Fixtures
Water Closet No. Fixtures
Cesspooi/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
t Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
compiy 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 CtTY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition BERKSHIRE PONDS Lot 1 Blk 4 Parcel 10 13750 010 04
Owner
street 4737 Berkshire Way state
Improvement Date Amount Annual Years Paymeni Receipt Date
STREET SURF. ?g7 19$2 239.09 2 1 // 9 f y
S7REET RESTOR.
GRAD WG
SAN SEW TRUNK l 1982 176.04 11.74 11
SEWER LATERAL I982 57.24 f
3 1985 427.85 28".53"'
WATERMAIN 1982 46.09 3.07 15
?c WATER LATERAL 1485
y -
WATER AREA 1982 176.04 1)7,31
/
STORM SEW TRK 0 1985 385.03 25.67 15
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
' WATER CONN. 500.00
SUILDING PER.
SAC
PARK
I
RESIDENTIAL BUILDING
Permit ApplicaNon
Q '4 L . Clty Of Eagan
z? ? 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Corstruction Reauiremenb RemodeilRenair Reauiremenis Office U$e dnlv
3 regMered site surveys 3fmwm9 sQ. ft oi bt sQ. R of house: and Li roded areas 2 oopies of plan _ _ Cort of Survty Reod
(2096 maximum bt aovera9e akwed) 1set of Ere(gy CakxACans foc heo0ed additlOns _ Tree Pres Plan Recd
2 coPies of ptan showing beam 8 witidow sizes: Poured found design, e6c. 1 sita sunrey fa addiUons & decb _ Tree Pres Not Reqd
1 set of Energy CalcuMm Aadidon - indkete if on-site sepMc system _ Onsde Sef* Sys6am
3 copies of Tree Preservatlon Plen if bt pMed after 7N/93
Rn Joist DeW Opban seledion sheet (bkdgs wilh 3 or 6ss writs
Date 6 / Construction Cost 1 i 5-7 5D
Site Address ? S ??'? ? ? Unit/Ste #
Dessription of Work a[(Atk YJ-4ws 4- U,6?S
Multi-Family Bldg _ Y ? N Fireplace(s) _ 0 _ 1 _ 2
Property Owner (.?'? Q? d- ? G? y? ??.. Te1ep6one #((pS j)?jSa
Contractor Gred Lskkn Whxlow a` 8iding
llM-tibtda D*w
Address AVple VslM, MN lf6124 Cih,
State MN tk. 0 200667t't' Zip' Telephone #( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate nrv 1 Minnesota Rules 7672
Energy Code Category . ResidenBal Ventllatlon Category 1 Worksheet • Nev Energy Code Wcxksheet
(J submission type) Submitted Submittsd
• Energy Envelope Caiculations Subrciitted
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone # ( j
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accwrate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pernut, 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 appmved plan in the case of work which requires a review and
approval of plans.
3 1A t- ? E C5 ?n C44 S (?-
Applicant's Printed Name Applicant's Si e
OFFICE USE ONLY
Sub Types
O 01 Foundadon O 07 05-plex ? 13 16-plex D 20 Pool
? 02 SF Dwelling ? 08 06-piex 0 16 Fireplace 0 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 PorchiAddn. (4-sea.)
C3 04 02-plex- - 0 10 08-plex ? 18 Deck ? 23 Poreh (screeNgazebo)
? 05 03-pleX 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04piex ? 12 12-ptex Plbg_Y or _ N O 25 Miscellaneous
Work Types
O 30 AcCessory Bidc
O 31 Ext. Alt - Multi
? 33 Ext. Ait - SF
0 36 Multi Misc.
O 31 New ? 35 Int Improvement ? 38 Derrblish (Interior) ? 44 Siding
0. 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)• O 43 Reroof O 46 Windows/Doors
? 34 Replacement •Demolitiort (Ernire BIdQ) - Gtve 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 Bidgs Length Fire Sprinklered
Type of Const Width
?o?? ;;x ??!ik; :!i +?`•i;. +?i,. +:.4?= ",t
REQUIRED INSPECTIQD??+?s
Footings (new bldg) FinaUC.O.
Footings (deck) FinaUNo C.O.
- Footings (addition) ^ Plurnbing
_ Foundation HVAC
Drain Tile ()ther
Roof _ Ice & Water ? Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing Siding Stucco Stone
^ Fireplace _ RI. _ Air _
Test _ Final Windows (new/replacement)
_ Insulation T
_ Retaining Wall
Approved By . Building lnspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
+.
1.-
V4- .
?
? ..S
'
y-_ •_
? 6766
q?
T. . X. ?? PfERMi'F
Ean, MN 5b121 izATE:
Zoning.
t+io. o# t?.dts:
?
' R
S?! art?es
t)wner. , _-;.-
Site 4737 Ber ire ap er , ? c?,
h
p?,,,? Lalces ide Pk ?
Metsr No:: ;.?? J? ?: „
sim: e ore 1791n Gilli
?i
??
EL
` t
tFei
Reader No.: I[1 B
:
WlMI NN c;yr?.?? E ol)j "?-C?`--1JY
?
"
Mfisc. Ghor9es:
? .
•OOPO
?
Totat: ?
Date PQid:
BY
.T...-r..
Date ofi tnsp.: I"W.:
CITY OF EAGAN
` 3830 Pilot Knob Road Sam sotvx E P"ff
P. O. Box 21799 PERMIT NO.:
Eauan, MN 55121 pqTE:
Zonirp: No. of Units: "
Owner:
/Wdress: "-
Site Address: 3/ `?xk.s . ? r?__ .
'3
Plumber:
1 eone to oanpy wkb !he Cihr of Ea9en Connxtion Chorpe: ?5,o1g`'d
O?dinenoa. AccourM
Deposit:
,
- Permk Fee:
Surchorge:
BY Misc. Choryes:
Date of Insp.: Totoi:
insp.: Date Paid:
CITY OF EAGAN Waj? SBV{CE PWAIT
3830 Pilot Knob Road
P. O. Boxl1199 PERMIT NO.:
Eagan, MN 55127 DATE:
Zoning: No. of Units: ?
. .. ..
Owner
,
Add?ess: ,
Slte /lddress: _
W
mber -
.
u r..,
a? :.,
Meter No.: .
Connection Chorge:
.s.
Size: Account Deposit:
Reader No.: Peanit Fee:
1 aoreo to omnolp whh the Gty of Eagon Surchorge:
Ordinsnew Misc. Chorfles:
? Totol: `'?P"er .
gy Date Paid:
Date of Insp.: Insp.:
? CASH R ECE I PT
?.
?.. , `
CITY OF EAGAN P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
RECEIVED
FROM
AMOUNT $ I
& DOLLARS
too
? CASH Q'CHECK
FOR
, .. , B Y . ..?.
White-Payers Copy
Yellow-Postin9 CoPY
Pink-File Copy
Thank You
PLFA.SE NCYl'E: TFE CITY WILL PROVIDE ONE COPY 'OF SEWER AND WATER PERMITS.
PII250NS REQLIRING ADDITIONAL COPIE5 WILL BE CHARGED A$20.00 FEE TO COVER
CITY OF EAGAN
APPLICATION FOR PERMIT SEWEFt ANID/OR WATER CONNECTION
1) PROPERTY AMRFSS :
LFlGAL DESQ2IPTION:
tLot Block ubdivision or Tax Parcel I.D. Ntunber)
IF EXISTING STRL'C'IL'RE, DATE OF ORIGINAL Bt?ILDING PERMIT ISSLANCE:
(Month Year)
PRESENT ZONING/PROPOSID L'SE: R-1 SINGLE FAMILY
R-2 DL'PLEX (Two Lnits)
R-3 TOWN30USE (Three + Lnits ) ( Units }
R-4 APARTMENT/CONDOMINILM ( Lnits)
CONMERCIAL/RETAIL/OFFICE
INID(?STR.IAL
INSTIZLTIONAL/GOVERNNIENT
r
2) ? ? SMiloOkNoM
NANIE : ?'?L?• ?"? , ?? > c? cc%?- ?z ?% ?r' ?.?-?.rz .?dE?_ _
ADDRESS :
r
CITY, STATE, ZIP: `-) !> I t?
PHONE : ei on
• i: ?i•
3)
ADDRESS:
CITY, STATE, ZIP:
FHONE:
oe?.r.?
-137%.-
M*'.'!'M LItENSE # GV
t?'?T?'? : ?? ?..????:7
4)
0
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
,?io
7 -z`
For City Lse
P*fibers Li e :
Recorde(
5) 0M, ?+• : • a??
?ONNECTION 'PO CITY SEWER jg-'GONNECTION TQ CITY WATER
? OTHER (Please Describe)
6) 50,101ZSKTM?
? PIEASE HOLD APPROVID PEE2N7IT FOR PICK-LiP BY ONE OF ABOVE
M" PLFASE MAIL APPROVID PERMIT TO 1, 2 r(f)4, ABOVE?
(Circle one)
7 ) • ? ? ??f?..? ? ?? : r ???.? ?
-r.rk-
. ?= -
F O R C I T Y U S E O N L Y
PE?2,MIT E ISSUED
?-
rE`S: $ /'?Y?U SE:,:ER T_'E?2?1TT (I`ICL?D? SU°C?:aRGE)
$ le'r0 WATER PERP'[ZT (INCL'u'DE SliRCHARGE)
$
WATER METER/COPPERHORN/OUTSIDE RERDER
$ WATER TAP (INCLUDE CORPORATZON STOP)
$ S--:dER TAP
$ `
$ ACCOUNT DFPOSIT - ir7ATER
$ wac
$ SAC
$ TRli'NK WATER ASSr.SSMENT
$ TRliNK SEWER ASSESSMENT
$ LATER?1' L BE:IEFIT/TRUNK SEWER
$ LATERP,L BENEFIT/TRUNK WATER
$ Gc'
WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
? UU
$ Ar10UNT PAID;'RECEIPT #
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY?
?
YES IF YES, THEN A"PERMIT FOR 'r70RK WITHIN ?
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERIIVG DIVISIOtV, LIST AS A CONBI-
TION.
SUBJECT TO THE FOLLOt9ING CONDITIONS: -
APPROVED BY:
TITLE:
DATE:
I
r
.
NOTE: ?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
ALL CON7R!lCTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLAN$
3 CERTIFICATES OF SURVEY
? 1 SET OF ENERGY CALCULATIONS
(p2rov
To,Be Used F'or: Nr 4.; Ca t"J. Valuation: - Date: S
Site Addbv--4:_- OFFICE USE ONLY
Lot: ?' Block ? Sect/Sub ?'?
Erect X Occupancy IZ-3
Parcel # Remodel
Repair Zoning ? j?
Type of Const
Owner ??/?f ?? Enlarge
Move # of Stories
L'ength 3(0
Address ? D.emolish
vJ-r?c???c???ade Depth 4?
Sq Ft
City/Zip Code c7
----------
-----------------
Contractor APPROVALS
Address Assessments Permit
City/Zip Code
' 5;?3 S-
Phone #
??? ? -
Water/Sewer Surcharge
Police Plan Review
?SZ ?., ?re ------ sAc
n,gr ? Water Conn
Planner Water Meter
Arch./Engr ? --1- c„,,.,,,; i o__a
? Bldg OFf? ? parks
Address APC Treatment P1
Phone # 51,? ,Sc) ??6 7 Variance
?OTAI..
3I0(,
3
L5 ?"sfl
ZS,
5o0
.
Co3.
13Z•
ROBE • CONSULTING ENGINEERS
?NGIN?E??NG PLANNEAS and LAND ?UAVEYOAS
.
COMPRNY, INC.
L 1000 EAST 1461A STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000
Cer-?ZJI`L %Sur-A /'e Y
i_ LoT /, BLocK 4, BERK614I2E Poiu05,
. Dq KOTA CovNTY? M /NN65oTA
C i??•? ? DENOTE'S EXI5T/N6 ELEVAT/QN
C`13i•40) DElUOTES PROPOSED ELEVATION
- -?-- /ti/D/CATES 1»Rf CTION O F SuRFACE DRA/NA6E
NORTH 934.,5 = FiN?SNED 6A2A6E F[.OOR ELEVAT/aN
SCAI.E : /" = 30'
C13 K ?
3
?932.L)
0 ? F/CDIV7 Bui[.Q/N6
SETCiACK L wE ---"'?-J
- / I . - I,e
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DRAiNA6E AND
UT/C/TY EA6Ea1EA,tT
Ce BERKSNIRE
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Ill B8° 26' V" W
L_:..?/
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3
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IZ
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m
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i?8 711
Iher:by certify that thia ia a true and carrect representation ot a trac!•of
land as shovn'and deacribed hereon.. Aa prepared by ma on this 2-4 day of
gA-'rvRae- 9 19rs ,
L'
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N 89° 44` 42N W
1210.00
0
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xinn. lteg . 1to. /
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W33 Rpt-?gpL
.. ----' _•?i? j?t j '
- . ?iTfi.- 33+?' 2
-'L? ??F-_iTsj_ SiT?.
2000 BUILDING PERMIT APPLtCAT10N (RESIDEHTIAL)
W11 C„Y oFEAGAN ? 113
3830 PILOT KNOB RD - 53122 . ?_
651-681-4875
? s regMer.a de. wways anowhV $4 n. a W. $4 n. a nous
and .91 rooted a6ot (20X maxdmum bt covgtaae aaowed)
> 2 coplos o1 pians (show beam & window ai:ea: poured tnd. desigi; etc.)
? i sot of onaW calculaflons
> 3 coptea of troe preseroalion plan H bt plaffed after 7/1/93
oATE: ?o - rd -- 6-?n
DESCRIPTION OF W4RK:
STREET ADDRESS: ?
LOT: I B10CK:
? I 2G ? 2 copiea of plan
1 set ot energy cdcWafl?ons tor heated oddittona
t airo wnrey tor exterlor additiona & decks
It 426?, ?
CONS7ttUCT10N COST:
Wa
SUBD./P.I.D. Jf: ?rkShire Ponds f
Namw. 1
PROPERTY Lost fl?
OWNER
Sheet Address•
Cify State: Zip:
GOMRACTOR
ARCHITECT/
ENGIPIEER
gELq ROOFING & REMODEL{NCi, ING
Company. 4100 EXCELSIOR BLVD. phone #: C?-l Z- ?z 3'?D ??o
ST. LOUI , (area code) ID #0001050
Slreet Addreas• Llcense # g S_
Ciiy Stcte: ZiP:
Company: Name:
I
Telephone #: ( )
Sheet Addreas: Regishatbn #:
CNy Stafe:
ZiP:
Sewedwater licensed plumber (if installirw sewer/water): Phone #: (
i heroby acknowledqe ihat I have read thls appiicatbn, aicte fhat the infortrxdion is correc#, cind cgree to comPlY wifh aq cppIcable State
of Minneaota Sfiatutes and City of Eaqan Ordinances.
Siqnaiure ot
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Pian Received
Yes No
Yes No Not Required
OFFICE USE ONLY
Y
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex (3 21 Porch (3-sea.)
O 02 SF Dwalling D 08 06-piex ? 17 Garage O 22 Porch/Addn. (4-sea.)
'D 03 01 of _ pbx ? 09 07-plex ? 18 Deck O 23 Porch (screened)
E3 04 02-plex ? 10 48-plex ? 19 Lower Level 0 24 Storm Damage
? 05 03-plex O 11 10-plex Pibp Y or _ N ? 25 MisCel18ne0us
O 06 04-plex ? 12 12-pisx D 20 Pooi 13 30 Accessory Btdg.
WORK TYPE
? 31 New
; O 32 Addition
' ? 33 Aiteration
p 34 Repair
0 36 Move Bldg. 0 43 Reraaf
? 37 Demolish (Bidg)' ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
0 42 Demolish (Foundation) ? 46 WindowsJDoors
* Give PCA handout to applicant for demalition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buiidings
Canst. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq• ft-
MISCELLANEOUS INSPECTIONS
CI Stucco/Stone
APPROVALS
Planning Building
0 31 Ext Alt - MutU
? 33 Ext. Att - SF
D 36 Multi
sq. ft.
sq. ft.
Foatprint sq. ft.
Census Gode
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee
• Surcharge
Plan Review
License
MC/ES SAG
Gity SAC
Water Conn.
Water Meter
Acct. Deposit
S/VV Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ ,
SAC Units
°lo SAC
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127789
Date Issued:10/15/2014
Permit Category:ePermit
Site Address: 4737 Berkshire Way
Lot:1 Block: 4 Addition: Berkshire Ponds
PID:10-13750-04-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:replace two existing skylights
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Gregory A Mann
4737 Berkshire Way
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
411111°.
City of aoali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: t,5
Use BLUE or BLACK Ink
For Office Use
Permit #: Liq
Permit Fee:
Date Received:
Staff:
2016r RESIDENTIAL BUILDING PERMIT
IT APPLICATION
11 1 ((. Site Address: 41 I' !� L I(A)
Resident/
Owner
Unit #:
J
Name:bay M ow Y , Phone: L -�JV'�' iS1 f 1
Address / City / Zip: °i /� %"C.�Y t (V G W �(J ECt9(L 1 12'
Applicant is: Owner )(Contractor
Description of work:3.00V I t
OD. 0
Construction Cost: 2-(�
sfiD yzof— nn LL/—��uaiel
Multi -Family Building: (Yes / No
Company: I V v YZ VC)fi Contact: Ell2 X IO A V 1
Address: 41DDIaUtSkOlfi �� VA City: a..OvUi`c 1000 44
State_ Zip: Phoneq w."( i''Jn-L. mail:. I -L �S-'U' 'I Cu D(t 1 Y 9. towti
v
License #: c I w V t O Lead Certificate #: k I J(� vJ V 3�l _ \/
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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:
Phone:
Phone:
Sewer & Water Contractor:
Fire Suppression Contractor:
NOTE: Plans and supporting documents that you submit are considered to be "public information
the information may be classified as non-public if you provide specific reasons that would permit
conclude that they are trade secrets.
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.gooherstateonecall.orq
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota Stild' ,Cod ust be completed within 180
x tkiottlx-tvi t4esC
xliotIALA
lk
days of permit issuance.
Applicant's Printed Name
Applica -'g .
Page 1 of 3
r For Office Use
+v Ø
Permit#:4 `,4.". 00 E AG A N
Permit Fee: 2
Date Received: ✓'2 4 -/9
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-56751 TDD: (651)454-85351 FAX: (651)675-5694 Staff:
buildinoinspections(a�cityofeagan.comq___.
2019 RE IDENTIAL PLUMBING PERMIT APPLICATION
Date:\"1IA.(J, (1 Site Address: 4.73 7" Yex (fes •ritc-44) f)I „5-37/A2,.._
Tenant: A "t. '. in Suite#:
•
Name: i..' 11 Phone: .1-•Resident/Owner : _ -
; Address I City/Zip: � / / , }
Name; MILBERT COMPANY dba CULLIGAN WATER License#: WC641376
GG11tr�CtOr.- Address: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS
• State: MN Zip:_55077 Phone: 651-451-2241
Contact: BILL MILBERT Email: gloria.abas@culligan4water.com
•
Ty.pe`Of Work —New Replacement —Repair _Rebuild —Modify Space —Work in R.O.W.
Description of work
Water Heater
Lawn Irrigation(—RPZ/_PVB)
' x Water Softener
DesCri tion Add Plumbing Fixtures( Main I_Lower Level)
P —Septic System
Description:
New
Connection to City Water from Well
Abandonment T
RESIDENTIAL FEES
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* +$290 for Meter and $190 for Radio Read = $540
*Sewer&Water Permit also required for connection charges
60.00
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gophor State Ono 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.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
• website at www.cityofeagan.comisubscribo.
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 sta without a permit; that the work will be in
acc rrdaance)ri çe approved plan rt \ca f work w,vriist requires a review and approval of Ian .
eapr
Applicant's Printed Name Applicant's Signature
Page 1 of-2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178106
Date Issued:08/01/2022
Permit Category:ePermit
Site Address: 4737 Berkshire Way
Lot:1 Block: 4 Addition: Berkshire Ponds
PID:10-13750-04-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Gregory A & Mary H Mann
4737 Berkshire Way
Saint Paul MN 55122--360
Connells Custom Exteriors Inc
1303 S Frontage Rd, Suite 199
Hastings MN 55033
(651) 480-3797
Applicant/Permitee: Signature Issued By: Signature