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4740 Berkshire Way 2011-08-1510:54 » 651975 5694 P 112 U" ULUh or ULAACK Ink For Office Use I I My of Ealan I Permit 8-. I ~ PenrlR Fee; 3830 Pilot Knob Road j f Eapan MN 55122 C gate R Phone: (651) 6754675 I Sm1F I Fax: (651) 675.5694 L--- Q 2011 RESIDENTIAL 1PLUMBING ~ PERMIT' APPLICA ON Date: O ► a t Site Address ( ""I Tenant: Suite a: RESIDENT I OWNER Name: Phone: kQ '~I.5~ 1-13-1 t~Ct00 V Address I City / Zip: " am CONTRACTOR Name: ^ f ' -License C.0ki so Address: a 5 S• Su fh~r LA 6 h ud City: State: tA,M.._Zip: !5S5 Phone: U ta ContactcasOlr O~~ -I too~ _ Email: TYPE OF WORK ew _ Replacement _ Repair Rebuild Modify Space _ Work in R.O.W, Dacri on of work' f PERMIT TYPE RESIDENTIAL . Water Softener Water Heater Lawn Irrigation RPZ / 11C PVB) Add Plumbing Fixtures Main t _ Lower Level) Water Turnaround Septic System -New Abandonment RESIDENTIAL FEES: $6S.00 Minimum Water Heater, Water Softener, or Water Heater air Softener (IndtKfes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $6.00 State Surcharge) "Wager Turnaround (add $168.00 if a 5/8" meter is required) 5105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL 13FFQU YOU DIG. Call Gopher State One Call at (661) 4644M2 for protection against underground utility damage. Cell 48 hours before you intend to dig to receive locates of underground utilities, www.copherstateonecall.ora I hereby acknowledge that thi6 information is complete and accurate; that the work will be In conformance with the ordinances and codes or the City of Eagan; that I understand IN$ Is W a permit, but only an application for a penult, and work Is not to start without a permit; that the work will be in accordance with the eppropi~rin the cage of work which requires a review and approval of plans. AppllcanCa Printed Name Applicant gnatUr+e FOR OFFICE USE Reviewed By: Data: Required Inspections: Under Ground Rough-In Air Test ,,,Gas Test Final Use BLUE or BLACK Ink For Office Use 9171 Permit < / I City of Ea a~ I I R I Permit Fee. 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I- I Fax: (651) 675-5694 1 Staff: I I 2/010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~S ) ! Site Address: L~ Tenant: I C ~C r ~17-~ I =C' Suite RESIDENT / OWNER Name: V jo: L) `T Phone: S_/ X1.7 L/ 7 Address / City / Zip: q7 r '7t ll u~ l /Z~~ W,4 l j _ L:I46,4,u J Applicant is: Owner Contractor TYPE OF WORK Description of wor 0 LC/ Construction Cost: L-I 0 0 ( / Multi-Family Building: (Yes / No ) License CONTRACTOR Name: Address: (o t160jz). L4 ~ P City: 6Mk_1 C-" State: P4A-1 Zip: 5309!1_ Phone: /~S r3 Contact: rrWLC4 RVA*(-T-)1t Email: ff2w&-C:7y000 A01- 0)NI 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: 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. 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 without a that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pl, Applicant's Printed Name plic ignature Page 1 of 2 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA085316 Eagan, MN 55122 . Date Issued: 08/15/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4740 Berkshire Way Lot: 2 Block: 5 Addition: Berkshire Ponds PID 10-13750-020-05 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. 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: Kaufman Sheet Metal Roofing Vicki Lynn Pautz 2521 24th Ave S 4740 Berkshire Way Minneapolis MN 55406 Eagan MN 55122 (612) 722-0965 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 REQUEST FOR ELECTRICAL INSPECTION Ee-ooool-oa b 'See instructions for completing this form on back of yellow copy. X'" Below Wo;~k Coveted by This Request 773 Now Add Rep. Type of Building Appliances Wired Equipment Wired Duplex Water Heater Lighting Fixtures Romp,te Home Rang e Temporary Service Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specs v Other(Speify) ther(Specify Other Other spection Fee Below # Fee Service Entrance Size t4 Fee Feeders /Subfeeders # Fee circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool_ _ Above 100_Amps Above 100_Amps Transformers Irrigation Booms) Partial,/Other Fee Signs Special Inspection $ TOTAL FEE Rema rks Rough-in t Date e E w tri c~wr Inspector, hereby ' certify that the above Final P;_4161 inspection has been y made. This request void 18 months from 9 Oes old 6 t 3` o ~ months from 7 LV ✓ Request D to Fire No. Rough-in Inspection R red2 ❑ Ready Now Will Notify, Inspec- i es No for When Ready icensed Electrical Contractor 1 hereby request inspection of above Owner electrical work installed at: z~ _x x i St4pe1743 AdBox r Route No., Z_ Section No. Township Name or No. Range No. Co ty pl~1-07?9 Oc u ant (PRINT) Phon No. Pa r Supplier Address El c I Contfac or (Company N me) - Contract s License No. Mailing Address (Contractor or owner Making Installation) Ail) 551 2 Author er} Si ture i ntr ctor/O ner Making Ins 1 r ) Phone Number MINNESOTA STATE BOARD OF ELECTRI ITY 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 Plucl nzr L 5 9 7 Request Date Fire No. Rough-in Inspection 9 Requ'ued? ❑ Ready Now iy~unill Notify Inspector Ready? f w es No X VW' 1 licensed contractor E:) owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City Section No. Township Name or No. Range No. County ` Occupant (PRINT) Phone No. Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. Mailing Address {Contractor or Owner Making Installation) Authorized Si ature JCo rrOu(ner along Installation) Phone Number MINNESOTA Sfr TE 80ARD OF ELECTRICITY A / THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S•173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ~t ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ~g EaB-00001-08R ° ►e instructions for completing this form on back of yellow copy. coit °F r5 2 9 3-17 "X" Below Work Covered by This Request New A€f&t- Rep. Type of Building Appliances Wired Equipment Wired • Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: 8 l # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Bove 100 Amps Signs Inspector's Use Only: TOTAL _ Irrigation Booms Speciallnspection t Alarm/Communication THIS INSTALLATION MAY BE RDERED DI.SCONNESijt D IF NOT Other Fee COMPLETED WITHIN 18 f I, the Electrical Inspector, hereby Rough-in Date n certify that the above inspection has Final been made. OFFICE USE ONLY This request void 18 months from E 9918 Request Date Fire No. ~Yes gh-in Inspection uired? ❑ Ready Now ill Notify Inspector ❑ No When Ready? licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address Street, Box or Route No.) City ~/4 Section N . Township Name or No. ange No. Cou Occupant(PRINT) Phone No. Power up er Address s Cw Electrical Contract ( mpany ame) Contractor's License N . J. t~ Mailing d re (Co ractor or Owner Making stallation) Authorized S' aturC a r/Owner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.0800 ENCLOSED. REOU cECTRICAL INSPECTION EB-00001-07 //,y ► See instructions for completing this form on back of yellow copy. ~ t. 1919,18 fl X" Below Work Covered by This Request New Adtii Rep. TypeofBuilding Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace ° Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Abo _ Amps Signs Inspectors Use Only: TOTAL Irrigation Booms L~ Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in r Date certify that the above inspection has Final C been made. • Dates OFFICE r USE ONLY This request void 18 months from CITY OF EAGAN16312 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 /14 BUILDING PERMIT Receipt # t_ I L-D To be used for 3-SEASON PORCH Est. Value $7,000 Date APR 18 , 19 89 Site Address 4740 BERKSHIRE WAY Lot 2 Block 5 Sec/Sub. BERKSHIRE PONDS OFFICE USE ONLY Parcel No. Occupancy FEES Zoning - W Name VICKI L PAUTZ. (Actual) Const - Bldg. Permit 90.00 o Address 4740 BERKSHIRE WAY (Allowable) Surcharge 3.50 City EAGAN Phone 454-1777 #ofStories Length 1) 1 Plan Review Zo Name SHANTZ CONSTRUCTION Depth 10' SAC, City 0a Address 3304 RIVER BLUFF DR S.F. Total - sac, Mcwcc City EAGAN Phone 456-9230 S.F. Footprints On Site Sewage Water Conn F w Name On Site well water Meter Address MWCC System - UZ Acct. Deposit am City Phone City Water - PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Ea an Ordinance`s., Treatment PI Signature of Permitee1=~ 1 /rte APPROVALS Road Unit A Building Permit is issued to: SHANTZ CONS UCTION Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 1.00 applicable State of Minnesota Statutes and City Eagan Ordinances. Bldg. Off. Copies Building Official I f i 1 Ll Variance - TOTAL 94.50 CITY OF EAGAN ~ry 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for - Est. Value Date t 19 "f Site Address Lot Block t Sec/Sub OFFICE USE ONLY Parcel No. Occupancy FEES Zoning ox Name (Actual) Const Bldg. Permit w o Address (Allowable) Surcharge City Phone'~~` ° ' # of Stories Length Plan Review o Name Depth r SAC, City Address S.F. Total ~a SAC, MCWCC City Phone s.F. Footprints On Site Sewage Water Conn w W Name On Site Well Water Meter xz Address MWCCSystem v 0 Acct. Deposit aw City Phone City Water PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: Planner Park Ded. on the express condition that all work shall be done in accordance with all Council , applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 'tr 2.~; Building Official Variance TOTAL" ° • Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC f Inspection Date Insp.' Comments Footings l Z,~~f Foundation FramingZ S y Z- ° Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final f ;r Deck Ftg. Deck Final Well I Pr. Disp. CITY OF EAGAN N2 1 12 5 9 r 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # ~1 I Te be wed for SF DWG/GAR Est. Value $63,000 Date NOVEMBER 8 19_.8 5 Site Address 4740 BERKSHIRE WAY Erect 21 Occupancy R3 Lot 2 Block 5 Sec/Sub. BERKSHIRE PONDS Remodel ❑ zoning R1 Parcel No. Repair ❑ Type of Const. ~j Addition ❑ No. Stories JOE MILLER CONSTRUCTION Move ❑ Length 45 09 W Name W Demolish ❑ Depth 46 z Address 18133 CEDAR AVENUE I„ t. Impr. ❑ Sq. Ft. City FARMI NGTOKona 431-2001 Install ❑ SAME Approvals Fees ,g Name oU Address Assessment Permit 0 u~ City Phone Water & Sew. Surcharge 31.50 Police Plan Review 161.00 P Name Fire SAC 525.00 W 11 Address Eng. Water Conn. 500-00 <W 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. 11/1/8 5 Tr. Pl. 132.00 the information is correct and agree to comply with all applicable APC Parks State of Minnesota Stotut s and City of Eagan Ordinances. GiA C.IVar. Date Copies Signature of Permittee ,~i 1,~1/ Si f\ $2,014.50 CONS TION Total A Building Permit is issued to. .70E MILLER on the express condition that all work shalt be done in accordance w' , t icable Sate o Min a tes and City of Eagan Ordinances. Building Official's CITY OF EAGAN Remarks Addition BERKSHIRE PONDS Lot 2 - Blk 5 Parcel 10 13750 020 05 Owner Street 4740 Berhshire Way State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1982 239.09 23.91 10 STREET RESTOR. 1985 123-80 8-99 19 GRADING SAN SEW TRUNK • 1982 176.04 11.74 15 SEWER LATERAL I)Ati 1982 57.24 3.82 15 * 427.88 28,53- 15 WATERMAIN 1982 46.09 3.07 15 * WATER LATERAL WATER AREA % 1982 176.04 11.74 15 STORM SEW TRK 1 qP'% 25-67 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit $280.00 57404 11/12/85 WATER CONN. 500.00 BUILDING PER. 1125 SAC 525.00 PARK 2085 RESIDENTL41 MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MIST 55122, Telephone # 651-675-5675 Please complete for: single family dwellings & tovwvirnhomes/condos when are required for each unit Date Site Address L4:3 ~4 D _ 5n c 6 Ir l~• \I\f O LA U-Ajt # Property Owner V i c h l 1" Q O ~ 7 . Telephone # {(CN Contractor Street Address 2.. l 1 O ).f;i f) Qo k t City S ran c nq . State _ M N Zip &W2u Tekp e # t(031 ^1 C? too 7--4 Bond Expires. The Appkant is owner `Contractor Other ,add-on or alteration to existing dwelling unit 30.00 furnace Additional !Replacement air exchanger air conditioner New Replacement other State Sarcharge 50 Total - $ I her by fly for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with theMcchanical.Codes; that I wderstand Ns is not a permit, but only an application for a permit, and work is not to start without a p ant that the work will be in ac coAane with the crowed plan in the case of work which requires a review and approval of Applicant's Pw%ted Name Ap et'~ S mature By I 2005 COMMERCIAL MECHANICAL PERMff APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan.MN 551'22 Telephone # 651-675.5675 Please complete for: commercial/industrial buildings multi family buildings when separate permits are not required for emb dwelling unit hate Site Street Address- unit # Tenant Name of applicable) Previous Tenant Name Property Owner 1'elepve # { Contractor Street Address city ( ) state zip Telephone # Bond Expires: The Applicant is Owner Contractor Other 'Work Type New Construction Underground Tank Install Remove **see below Interior Improvement Install Piping Processed _Gas Nature of Work: **When installingfremoving underground tank, cell for inspection by Fire Marshal and Plumbing I=Pector Permit Fees: $70.50 Underground tank installation/removal $50.50 Mrs (includes State Surcharge) or Contract Value $ x 1% _ Permit Fee • If errrli fee is $1,000 or less, add $.50 $ State Surce If er ` fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a. Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance-with the ordinances and codes of the city of Eagan and with the mechanical Codes;,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 m the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: Inspector Date: 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF RAGAN ~-7 38M PILOT KNOB RD - 55122 ` " 651.681-4675 t 577 Now Construction R2gj*ements Itemoday low > 3 registered site surreys showing sq. ft. of lot, sq. ft. of house 2 copies of playa and gif roofed areas (29Z MgxImUrn lot cgygE2gj wed) 1 set of energy calculations for heated acht ns #io > 2 copies of plans (show boom & window sizes: poured find. design; etc.) 1 site survey for exterior additions decks >I set of energy calculations A 3 copies of free preservation plan tf lot platted after 7/1/43 DATE: 7- 9' CONSTRUCTION COST: ::E/L rQ QQ 9n: DESCRIPTION OF WORK: ZEAL ltd2E SL G<J STREET ADDRESS: Y2 ~zb LOT: BLOCK:_ SUED./P.I.D.: Name: VTZ- VI C/<7- Phone #R: ? PROPERTY Last First OWNER Street Address' A- 1 City Erd Al, State: A~,( Zip: Company: 77- -QA15V,- Phone <,o44 42 912 ` . CONTRACTOR (area code) 691&k Street Address: 9!?4tE) QY~LS CYT Dense # $ 1~.,~E City &E L e'k'e State: .~ll/J/s Zip: Q:Z: 1 ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer & water licensed plumber (r*auired for new !;on Sit only): Penalty applies when address change and lot change Is requested once permit Is Issued. i hereby acknowledge that I have read this application, skate that the Information is correct, and agree to comply with all appkabi Skate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No {'999 Tree Preservation Plan Received Yes No Not Required JUL 2 ' I OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plea ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling . ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 PordVAddn. (4-sea. ❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck Q 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level 0 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE ❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ ' 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engines _ i PM I :tr:r 9 7 9+:F T f, i:M rlrt Permit Fee Valuation: f Surcharge Plan Review License TrI MC/ESSAY a..3.=,:, City SAC Water Conn. Water Meter :~.+.rr r:t?:_;..:('• Acct. Deposit 0(1:1 . r •4.0 k. , SMI Permit SMI Surcharge Treatment PI. Park Ded. Trails Ded. Other _ Copies "li~ir .'Jr» CRIf J. I, Total SAC Units % SAC CITY OF EAGAN WAIM S 0 PNWH 38M Pilot Knob Road 5 ; P. O. Box 23199 PERMIT NO.:. Ewan, WIN '55121 DATE: Zoning: _ No. of Units: g Owner: - - Address: Site Address: Plumber. P,-! iW v Charge: Meter No.: Connection Size- Account Deposit- 77- 7 Reader No.: Permit Fee: 1 agme to comply whh the City of Eagan Surcharge: " Ordiaeaceo. Misc. Charges: Total: 6 =f . ` )rd r: atc-r By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWR $ 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: T Site Address: Plumber: 1 agree to comply wish the Cite of Eagan Connection Charge: - Ordineaee& Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of I nsp.: Total: Insp.: Date Paid: .0- , P. O. box 21A" PERMIT NO.t € " ,1 121 DATE: Rl Zonl g/~~-~v~_~4~`~~.at V. ~ A t site Areaw- L 'Upa SiFe: Reader Q F }t ee: ! 1 agree to r whir 0110 City Misc. fir : I32.COpd r Total: _ 63 . QUpdI: er f BY Daft Paid: r Date o I 1 „i 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPER'L'Y ADDRESS : !.u 4 LEGAL DESCRIPTICN: (Lnt/Block/Subdivisi or Tax ei I.D. Nt3nber) IF ST-IRUC77 tE, DATE OF ORIGINAL EUI=D' 1 C.: PRESE`:T Z^`IT.~:/?'ROPOS~ US': ❑ R-1 SZ;= FAMILY ❑ R-2 CUPL ('IZ`'O UNITS) ❑ R-3 TOG-.-,\&CUSE (7-Tm- . + UNITS) f, UNITS ) ❑ R-4 APART: EI:T/CC.Ma,?INTUT.1 ( UNITS) ❑ Cal rL-IEPCLU/'Rh AII,/OFFIC:: ❑ MmUSTRIAI, ❑ TNSTIM TIONAL/GOV, T-,%!EL%7 2) APPLI= (PLEASE PRINT) NAidE : ~o i I U t ir- ADDRESS : 11133 (_g&t4 A u-r- CTTY, STAT°, ZIP: ~/~/1;r•w~ = d~, ~-e r~ WLt~ ' „~~i 0.2 r-- PI-ONE: ~f 3t -;Lou1 3) P=IBEP (PLEASE PRINT) FOR CITY USE ONLY NAME: 'PLy IM.a w+YL-a`-,. ADDRESS: 1 2 ~ j3 it 0 Luc ~.1 PLUMBERS LI ASE:. Ctive CITY, STATE, ZIP: w.s u N• N'lF~ 55' qqc~ [Q it Ld f PHONE: zs°f~- PLUMBER LICENSE # 20 h, 3' /y3 a r 4} OCCUPANT/CuTTM (PLEASE PRINT) NAME: ADDRESS: CITY, STATE, ZIP: S,a4 4 3 PHONE : 5) INDICATE ATHICH PERMIT IS BEING REQUESTED: NNECTION TO CITY SDIER [Rol ON TO CITY 1 STATER Q OTf1R (PLEASE DESCRIBE) 6) UMICA-Z" CNE: 1ePZ='%SE HOLD APPROVED PERNUT FOR PICK-UP BY ONE OF ABOVE ❑ Ka-~SE '";UL APPROVED PEPS LIT TO 1, 2, 3, 4 ABOVE (Circle one) 7) SIG:,'Am:RE: DATE: 6//151 ■ 0 Ol:ie_ielleat-se # Mon =w al:afscsw mean At p fair # *a s NO ewfi jm:;ju :m a oft soon mwvwm~' a > F O R C I T Y U S E O N L Y PERMIT u ISSUED FEES : $ Sy SE:vLR PERMIT (I`ICL ;D~ SURC :,A-FGG) $ WATER PERIU'[IT (INCLUDE SURCHARGE) $ ~~C= WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ /_Sc;)G '_CCCU:i'T' OSI= - : _:.ER $ u ACCOUNT DEPOSIT - WATER $ v.~ v WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SE:"1ER $ LATERAL BENEFIT/TRUNNK WATER $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL $ AMOUNT PAID/RECEIPT tta e DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN t PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: T APPROVED BY: TITLE: / DATE : M! wm wig-An M w An eeak~m ter m! wee w~ e~ w iv R~ l4 +e ~i~ pF W 94 t#~PN MRa M*M M NWM w J r c 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, ,j SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS- $2,000 LANDSCAPE BOND 6, 31000 To Be Used For : Valuation: Date Site Address / OFFICE USE ONLY 10 rh~ Lot aC Block J' ~ Erect ~ Occupancy .3 Remodel Zoning Parcel/Sub Repair Type of Const Addition # of Stories Owner Move Length Demolish Depth (o Address Int.Impr. Sq Ft Install City/Zip Code - Phone APPROVALS FEES Contractor Assessments Permit Water/Sewer Surcharge s" Address / Police Plan Review (9 . ' Fire SAC 2 . City/Zip Code Engr Water Conn Planner Water Meter (03. Phone Council Road Unit Z Bldg Of ~reatment Pl 2. Arch./Engr. APC Parks Variance Copies Address TOTAL so City/Zip Code Phone # l - ✓ TRI -LAND CO. e1TE PLAN , IF- oR. SURVEYING SERVICES :,,qE MILLER cONBT. 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 a BERKSHIRE WAYN '-12'1 b SCALE: 1*:W ? i T i G~ I N I" + I ~ H=AW I t I 38 i 3 3 t I . to I s I N I Iz ~ I o 22A)0 -{O - W %-1 97.9 G ALAX l E AVENUE PROPERTY DESCRIPTION LOT-.-2,, BLOCK,., P~EG1.cS1-.1tQE PO.,[~S according to the recorded plot thereof County, Minnesota LEGEND o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION • 102.00 o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = lo i- DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR a ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION DENOTES DRAINAGE DIRECTION NOTE* * VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS rcilrect hereby certify that this survey, plan or eport was prepared by the or under my supervision and that I am a duly Bradley J •nson, Mn. Reg. No. 13235 Registered Land Surveyor under the Aj,~(~BEa. t~5 Laws of the State of Minnesota Date i 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL I INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS APR 1 2-1989 J s4wso AJ Po2GH To Be Used For: Valuation: O Date: 'zzl Site Address +:Z-4-6 8EIZ/C~gX1,t~c "L) r?000 OFFICE USE ONLY Lot Block Occupancy FEES Zoning Parcel/Sub 61U Actual Const Bldg. Permit Allowable Surcharge Owner ~;~K~ PQ u t~ # of stories Plan Review Length I(~, SAC, City Address 4740 Bey-KS h i re- W z.4 Depth SAC, MWCC ~ S.F. Total Water Conn City/Zip Code Ea~36LYI' MN 651Q Q Footprint S.F. Water Meter Acct. Deposit Phone 4-s-4-1777 On site sewage S/W Permit On site well S/W Surcharge Contractor 3#h1J7-Z- L e-,-AJ r, MWCC System Treatment P1. City water Road Unit Address ,3301¢ prvc-R PLu44! h2. PRV required Park Ded. Booster Pump Copies vO City/Zip Code TOTALS Ca APPROVALS Phone 2 6 9a 3 0 4 Fru4 Ztoo Planner Council Arch./Engr. Bldg. Off. Variance Address Council City/Zip Code Phone # NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. TRI-LAND CO. 'eITE PLAN F:pR; SURVEYING SERVICES .)QE MILLER CONS TS 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 a BERKSHIRE WAY N b F-- I SCALE : I"'. W I C"^ VC i i. Hose i l I I 3 ~ 3g 3 I ~ ~ 3 2 I ~ l Iz I I. c u.00 N , a G ALAX l E AVENUE I, PROPERTY DESCRIPTION LOT-2,, BLOCK-..:5-, according to the recorded plat thereof County, Minnesota LEGEN o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION = 102-00 o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = ln2-sn DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR ELEVATION' ELEVATION DENOTES PROPOSED SPOT ELEVATION DENOTES DRAINAC* DIRECTION Nom' VENRIIFFYH LLE P OR HEIGHTS WITH ANS certify that this survey, ion or reppoort~was prepared by me at nder my direct supervision and that I am a duly Bradley J gnson, Mn. Reg. No. 13235 Registered Land Surveyor under the Date :..~1,,....~=ag.i3~-t-.` Laws of the State of Minnesota. •::\:v.,w::•isT.•+,•.ti:;i:::ti'.•'??v;.;::v; + iii'iy%:+.• v:i .::::.~.;~..::..:.:'%'•:isi?.:i:•.y:.;....4i:•i:•i•iyi`i::::ii:!~%> it~?>:i`:iii: ~~i:::: ' :?:i{:iC:isti:::j::2:~i>'r:<'':~:i:;;:y::;':j:'::Y::::': i,2~:;{:f";:v::;i'• i:y: {::;:j::i;:iy •Y: {is'y,:;iiY,.j~i::Y:,?~'<.:::':<:~ i`:i'i'S.~..::;. :•::i•y ii:..: i:•ii:•i: ri•iiiti:::. i;.i:: •`:::::::..,f:: :'•i•.; :v.:;y: :::iii:%{:ii??:'%:v;•~:{.}::;iyy''>iiyii:{•}:•ii:~}::•: ::ii:•}i••.. ni;n; . : v:•vi.:;:: i::~i `iui: ~i:!ii:4ij v: ~:!~i:~ii:•: i.'j;•ii•>:;i;i: ij•;?.: x:. ~~'rii}} iiti:.'•.: ~..~~v..: ••..':.{2i. ~ .;.•:i,:•:.+Y v..,. vi~'i::i`2::ij:+ii::;:;~..,. 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. - - - - - - - - - - NO. FIXTURES EACH TOTAL SHOWER 3•'~ WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET • minimum - 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Dak.Cty. ►ic. 15.00 U.G. SPRINKLER • home under cont. 3.00 ALTERATIONS • to existing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: l5~ 5 SITE ADDRESS: 7,'~ OWNER NAME: INSTALLER: r✓' G~ t' l~G'~ ~15. ADDRESS: ~ CITY: STATE: ZIP CODE:l PHONE ( )r~'~ SIGNATURE OF PERMIT-TEE i Mil, .iti'$:;if::i: S'::;; ;?:;F::;:;:; ~::;r:?::::::::::i.::::;:::::<>:{:i?S:~>:?~''_J:S:' ~;':y::'ii:!•"~':::?:i:~: fi ;t 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-4675 PLEASE COMPLETE FOR ALL COM IERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUR DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING U: " :T. NEW CONSTRUCTION ADD ON I REPAIR WORK DESCRIPTION: i CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF P,ERMPT FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT PERMIT CITY OF EAGAN PERMIT TYPE: ~ 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: 021859 (612) 681-4675 Date Issued: 08131/93 SITE ADDRESS: 4740 BERKSHIRE WAY LOT: 2 BLOCK: 5 BERKSHIRE PONDS P.I.N.: 10-13750-020-05 DESCRIPTION: Building Permit Type BASEMENT FINISH Building Work Type NEW UBC Occupancy R-3 REMARKS: FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Lic. Search Fee 5.00 Total Fee $40.50 I CONTRACTOR: - Applicant - ST. LIC. OWNER: SHANTZ CONST 14692921 0008886 PAUTZ VICKI 9940 ROLLING OAKS CT 4740 BERKSHIRE WAY PRIOR LAKE MN 55372 EAGAN MN 55122 (612) 469-2921 (612)454-1777 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 Mn. Statutes and City of Eagan Ordinances. L_ APPLIC / ERMITEE SIGNATU ISSUED B1. SIGNATURE SPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021859 Eagan, Minnesota 5 ,123 Date Issued: 08/31/93 (612) 681-4675 SITE ADDRESS: LOT : 2 BLOCK: 5 APPLICANT: 4740 BERKSHIRE WAY SHANTZ CONST BERKSHIRE PONDS (612) 469-2921 PERMIT SUB YPE: TYPE OF WORK: BASEMEN FINISH NEW INSPECTI TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. FFI MING FINAL EPL ACE I' F IL = - - - - REACTIVATE CITY OF EAGAN PERMIT # 1993 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I 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 3 / Valuation of work 166 on Site Address: R~~y2K_w STREET SUITE M Tenant Name: (commercial only) LOT BLOCK j SUBD. p.I.D. M ' 7g ' Descri tion of work: A IS _ w 7- F-my-1-23 The applicant is: ❑ Owner IK Contractor ❑ Other (oeacrilx) - Name -A4u T7 L =1~ 1 Phone 4 7 7 Property LAST FIRST Owner Address - ? -ILO J~E;Ae k S'I~ E STREET STE M City C/giU Stated Zip Company 51-11-A&7-2- C2QIV Phone-4-69 c2 611al- # xp• Contractor Address 4,f) koLL.T,V' 1i~S e-F lice e City Y__ILofz. LA K6 State __✓~y' - Zip s~ 7,2, Architect/ Company Phone- Engineer Name Registration # Address City State Zip Sewer & water licensed plumber 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 D 11 Apt./Cadging jg~'.J~t Finish ❑ 02 SF Dwg. ❑ 07 4-Pl ex O 12 Multi. Misc. , :1Sw#er`"1 l ❑ 03 SF Addition ❑ 08 S-P1ex O 13 Garage/Accessory ❑ I8 Comm./Ind. O 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. E3 05 SF Misc. ❑ 10 Multi. Add'i. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous. WORK TYPE 31 New O 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish D 32 Addition ❑ 34 Repair 0 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) Ist Fl. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft, PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code o Depth On-site sewage SAC ~Code APPROVALS C a` Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS O Site ❑ Footing ❑ Framing ❑ Insulation O Wallboard ❑ Final ❑ Draintiie ❑ Fireplace Permit Feed v.LU.ti«n: S Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC 96 SAC Units PERMIT GITV OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 021817 (612) 681-4675 Date Issued: 08/24/93 SITE ADDRESS: 4740 BERKSHIRE WAY LOT: 2 BLOCK: 5 BERKSHIRE PONDS P.I.N.: 10-13750-020-05 DESCRIPTION: (GAS) Building Permit Type FIREPLACE Building Work Type NEW REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge .50 Total Fee $25.50 CONTRACTOR: Applicant - OWNER: VIERECK FIREPLACE INC 14455620 PAUTZ VICKI 3465 NW 140TH ST 4740 BERKSHIRE WAY SHAKOPEE MN 55379 EAGAN MN 55122 (612) 445--5620 (612)454-1777 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 Mn. Statutes and City of Eagan Ordinances. a-a~ 111 APPLICANTIPERMITEE SIGNATURE ISSUED B : SI NATUR INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021817 Eagan, Minnesota 55123 Date Issued: 08/24/93 (612) 681-4675 SITE ADDRESS: LOT: 2 BLOCK: 5 APPLICANT: 4740 BERKSHIRE WAY VIERECK FIREPLACE INC BERKSHIRE PONDS (612) 445-5620 I PERMIT SUBTYPE: TYPE OF WORK. FIREPLACE NEW DESCRIPTION (GAS) INSPECTION DATE INSPTR. INSPECTION DATE INSPTR. FIREPLACE F L- REACTIVATE _ CITY OF EAGAN 93 BUILDING PERMIT APPLICATION..,] ' 19 681-4675 PERillA, SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, l 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 U Valuation of work OO Site Address: STREET SUITE Tenant Name: (commercial only) LOT BLOCK SUBD. P . I . D . !F Description of work: ~~,4eilo The appl i cant is: O Owner X Contractor 170 Other (Cescribe) Name Vl;nkl' OL A' PY9 Phone Property W&r F~ Owner Address 11KY-O Q^~n✓ STREET STE # Zi Cityq-/v(1 State Company VIE r-K FIR -PL r-F SALES Phone SHAKePEE, 465140TH ST. N.W. License # Exp. Contractor Address 3 . 55379 City 445-5620 State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this a plication and state that the information is correct and agree to comply ith all applic le State of Minnesota Statutes and City of Eagan Ordinances. • Signature of Applicant: I OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 1 IS, ❑ 02 SF Dw9. El 07 4-Piex ❑ 12 Multi. Misc. ❑Ak7 P ❑ 03 SF Addition ❑ 08 8-Piex O 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Piex )x,14 Fireplace ❑ 19 Comm./Ind. Misc.. ❑ 05 SF Misc. ❑ 10 Multi. Addl. O 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWC_C System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. q. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census. Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile %-Fireplace Permit Fee vaeuation: $ IC5's S Z Surcharge Plan Review D ' License Cale - MCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total SAC % SAC Units I Receipt' PLUMBING PERMIT Permit No. CITY OF EAGAN Fee 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 7. City State Zip 8. Building Type: Residential Q Commercial ❑ Institutional ❑ 9. Work Description: New Q 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 ordigancesrand 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 I. f Receipt MECHANICAL 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` 14 tot Blk. Tract q' 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential C7 Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type 11. No: Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ' X CITY OF EAGAN;:,_.::~,.~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454.8100 BUILDING PERMIT Receipt # Tlt."~ I x Iq;, To be wed for Est. Value -l ' (A) Data Site Address « Erect 1~k Occupancy ~3 > Remodel ❑ Zoning Lot Block Sec/Sub. Et +€L, Parcel No. Repair ❑ Type of Const. Addition ❑ No. Stories Move ❑ Length n ae Name . c # h Demolish ❑ Depth Ft. Address r' } Int Impr. ❑ Sq. City :r ..PHone r,? a pt° .i Install El -1010 Approvals Fees o Name zu Address Assessment Permit Ou City Phone Water & Sew. Surcharge 31 5' 16 . ~t'= Police Plan Review W Name Fire SAC 52..5 0 Address Eng. Water Conn. 500 i i W City Phone Planner Water Meter 63.00 Council Road Unit 2 b 11 , 00 I hereby acknowledge that 1 hove read this application and state that Bldg. Off. 11/1,11,95 Tr. Pl. 132 • G G the information is correct and agree to comply with all applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Parks Var. Date Copies Signature of Permittee tr{: ) .`=i`i4 Total A Building Permit is issued to: on the express condition that f all work shall be done in accordance with all a licable State of MinngsoteeStatutes and City of Eagan Ordinances. f Building Official i Permit No. Permit Holder Date TelMphone Plumbing WMA.C. Electric 0/6 3a Softener Inspection Date Insp. Other Footings 1 II lp $ L') Footings 11 Boundation Framing j g5 w,,.b4 Roofing Rough Pibg. Rough Htg. l'~~~ insul. Fireplace Final Htg. Final Pibg. Final ry `rj~/LJ _ t~ Cert,occ. 'lb- wi Water Describe Location. Well Sewer Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: g'R I ` i` I tit, 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. I d (t Ili Act I ~1 Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC y ELECTRIC ELECTRIC inspection Date Insp. Comments Footings I i Foundation .aj d S% Framing 3 ~p Roofing Rough Plbg. Rough Htg. Isul. Fireplace II' Final Htg. I Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final 3d Deck Ftg. Deck Final Well Pr. Disp. I I ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued:' (612) 681-4675 SITE ADDRESS: y,~, ; APPLICANT: y PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE f DATE INSPTR. INSPECTION TYPE DATE INSPTR. f I i Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC j ELECTRIC Inspection Date Insp. Comments Footings I Foundation I Framing I Rooting Rough Plbg. 91-"3 Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well I Pr. Disp. Ili ~I PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA151895 Date Issued:09/18/2018 Permit Category:ePermit Site Address: 4740 Berkshire Way Lot:2 Block: 5 Addition: Berkshire Ponds PID:10-13750-05-020 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Vicki Lynn Pautz 4740 Berkshire Way Eagan MN 55122 (651) 454-1777 River Valley Rpz Llc 1623 210th St E Farmington MN 55204 (515) 210-2094 Applicant/Permitee: Signature Issued By: Signature