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4745 Berkshire Way
PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA085983 Eagan, MN 55122 . Date Issued: 09/11/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4745 Berkshire Way Lot: 20 Block: 4 Addition: Berkshire Ponds PID 10-13750-200-04 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Permit closed without required inspection(s). Letter sent to applicant on 3/17/09. (pf) 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: Bracach Roofing, Siding & Seamless Gutters Inc Richard D Dyck 18267 Italy Ave 4745 Berkshire Way Lakeville MN 55044 Eagan MN 55122 (952) 892-6015 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 This request void IS "Writow from t U A 066161 1-96-64 Request Da Fire No_ Rough-in Inspection Peed' QReadar Now ~TOIiAA Notify. AnPSpeC- - ~vl- I i MY- ❑ ~ tar dOAen Ready 'Licensed Electrical Contractor 1 hereby request inspeci9on of above 0 Owner electrical work installed at: Street Address Box or a No. City ctron No' Township Name or No. RarPge No_ Occupant (PRINT) No- Address Phow r tier Electrical Contractor (Company N Contractor's License A Flailing ,Address ( ractor or Owner king h tailation uthor z Signature ( ctter r king lnstall ion Nuober r ` A-W MINNESOTA STATE BOARD OF E ICITM THIS INSPECTION REQUEST inLL NOT Griggs-Midway Shia. - seem U-191 BE ACCEPTED By TFIE STATE BOARD 1821 University Ave-. St. Paul, ON 56104 UNLESS PROPER INSPECTION FEE 1S Phone (4112) 297.2111 ENCLOSED. ~ ANVA r-04 REQUEST FOR ELECMCAL INVECTION ffr-M See instructions for completing this forest on heck of yellow copy. A 61 `"X"` Below W, rk Covered by This Repuest Men Add Rep. Type of Building Appliances Wired Equipownt Wired Hoene Range Temporary Service Duplex Watm Heater -ilfihfinq Fixtures Apt_ Building Dryer Electric Hfleau Conutlercial Bldg, LVMmce Silo Unloader Industrial Bldg_ Air Conditioner Bulk Milk Tank Farm het fSpecityl ther !Specify! Uther l5pectly her Other Compute Inspection Fee Below M Fee Service Entrance Size tF Fee Feeders/5uttfeeders B Fee circuits t 0to200 Amps 0to30 Amps 9, 7.2..570 0to30 Awas Above 200 31 to 100 Amps 31 to 100 Anw Swimeni Pool Above 100 Above 100 Transformers Irrigation Booms Partial--"Outer Fee SigtS Special Inspection g TOTJMC FM etr®rks Rough-in date,t~ 1_ Ute l f' ! Inspeetar. ke►eby Final Date oLaJ,}p~tnleydthat the above _ on has been Ibis tegrveatnaid tBtaoaB+s from f 2006 RESIDENTIAL PLUMBING PERMIT PLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN D 22 EC[Eg 651-675-5675 MAY 2 3 2 D 006 Please complete for modifications to existing residential dwellings. Date / I r Site Street Address 5r)1 C Unit # ~erk-, Way Property Owner Vt C)C d1 1. . Telephone # (706) Contractor PI iI` wt)(_ k-S Telephone # Address 1 C>,2d C! ~fi • City State I'~)rii zip 1 The Applicant is: _ Owner Contractor -Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $130.00 if a 5/8" meter is required) Other: _ Water Softener Water Heater $ 15.00 new Yeplacement Lawn Irrigation _RPZ _PVB new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ `'S I hereby apply for a Residential Plumbing 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 the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printed Name Applicant's Signature f CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RECEIVED FROM v AMOUNT $ ~ ' - & DOLLARS _ too E] CASH CHECK FOR rah'...- FUND CODE AMOUNT F $T 4 . ..e v 7 Tha ou BY- J ' white-Payers Copy Yellow-Posting Copy Pink-File Copy 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Reod _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y _ N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System - Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date _ / d GJ Construction Cost 3, oG Site Address cJ ~j-C `C~Sh~ f•2.~ Unit/Ste # v Description of Work t2~Q \a c k ~0~71 O A00f W r x iX S' ll1(~~ ~D~~YI i (Y^ Multi-Family Bldg _ Y - N Fireplace(s) - 0 _ 1 - 2 Property Owner ~(`~(_C CA_ Telephone # (loSl) ~0~63 , a'7 (Q Contractor RMA HOME SERVICES, INC. Home Depot Installed Sales Address 3200 Cobb Galleria Pkwy., Ste. #200 city State Atlanta, GA 30339 Telephone # ( ) BC-20268257 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y - N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building 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 the State of NfN Statutes; 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 r approval of plans. , K i 200 U Y~S6~f~ Applicant's Printed Name A icant's Signature i f L w OFFICE USE ONLY Sub Types ❑ 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 (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # 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 -Brick Fireplace _ R.I. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Installed 0 ~1e serve Siding and Windows A LIMITED POWER OF ATTORNEY COUNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden 1Talley, >`,iIN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney are limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attorney shall expire and automatically be revoked on the 21 st day of May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNESS WHEREOF this Limited Power of Attorney is executed this 21st day of May, 2003 73M ~ David N. Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 2003 Notary P is in for the State of Borgia My Commission Expires: January 21, 2006 396816.0 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 0 9270 PHONE: 454-8100 BUILDING PERMIT Receipt # 7-) To be used for SF DWG/GAR Est. Volue $57,000 Date TIJT.Y 5 19 8A 4745 BERKSHIRE WAY R3 Site Address Erect Occupancy R Lot 20 Block 4 Sec/Sub. BERKSHIRE PONDS Alter ❑ Zoning Parcel No. 10-13750-200-04 Repair ❑ Fire Zone N/A Enlarge ❑ Type of Const. V cc Name JOS MILLER CONST Move ❑ # Stories z Address 18133 CEDAR AVE Demolish ❑ Length 50 City FARMINGTOI~hone 454-4753 Grade ❑ Depth 35 Sq. Ft. a JOS MILLER CONST Approvals Fees o Name JU4 0 uU Address Assessment Permit City Phone Water & Sew. Surcharge -----2-8--5 0 F Police Plan check 152.00 Fire SAC 525.00 W WW Name Address Eng. Water Conn. 470. 0 0 <W City Phone Planner Water Meter 63 . 00 Council Road Unit 260.00 1 hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total $1,802.50 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: JOS MILLER CONST on the express condition that all work shall be done in accor a it all applicable ate f Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 " n PHONE: 454-8100 BUILDING PERMIT Receipt 7 To be used for - Est. Value r k' Date s ULY 1) 19 ~f 4 Site Address s' Erect 0~ Occupancy Lot Block Sec/Sub. Alter ❑ Zoning Parcel No.'s 4 Repair ❑ Fire Zone ' Enlarge ❑ Type of Const. V W Name Move ❑ # Stones Y Address i" 93~~ ADD Demolish ❑ Length-' ' b 4 Jar City Phone Grade ❑ Depth Sq. Ft. Approvals Fees Name pv Assessment Permit u = t- City Phone Water & Sew. Surcharge - Police Plan check -~4 Name wW Fire SAC _a Address Eng. Water Conn. <W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total T ' State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition thnr all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing ~a~y P H.V.A.C. '41 C4) Well Water Disp. Sewer Electric Inspection Date Insp. Other Footings Foundation Framing Rough Plbg, Rough HVAC ~r Insulation Final Plbg ~d Final HVAC Final Water Describe Location: Well Sewer Pr. Disp. CITY OF EAGAN Remarks Addition BERKSHIRE PONDS Lot 20 Blk 4 Parcel Owner Street 4745 Berkshire Way State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 7 1982 239.0 23.91 10 167.39 A014558 9-13-84 STREET RESTOR. 123,80 0009659 10-15-84 GRADING SAN SEW TRUNK 1982 176.04 11.74 15 140.85 A014558' 9-13-84 SEWER LATERAL qbq 1982 57.24 3.82 l 45.81 A014558, 9-13-84 aB 02 -S'6 54.27 C009659 10-15-84 -3 - 6 9- 15 WATERMAIN 1982 46.09 3.07 15 36.88 A014558' 9-13-84 RLATER 373 61 Q009659- 10-15-84 WATER AREA 1982 176.04 11.74 140.85 A014558 9-13-84 STORMSEW TRK 7 198,5 3 25.67 1 385.03 0009659` 10-15-84 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD N $260.00 444520 7-5-84 WATER CONN. 470.00 » BUILDING PER. 469270 SAC 525.00 „ PARK 2004 RESIDENTIAL BUILDING PERMIT APPLICATION ( I1jLu< City Of Eagan -7 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Ord 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cc r, of Survey Re, ,d 'r _ ti (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions, Tree Pres Plan Read _ Y - Pd 2 copies of plan showing beam & window sizes; poured found design, etc. 7 site survey for additions & decks Tree Pres Required _'i Id 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System - Y _ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date /rn~~~ t4 / C,~~ ` Construction Cost Site Address -1 T ✓ -1 ' ~?~Q_ ~ C.`C Unit/Ste # Description of Work , ~W J 1 S ,1 Multi-Family Bldg _ Y N Fireplace(s) _ 0 2 lL1 U " ~~LP Property Owner I'Iii,% Telephone #((C571) RMA HOME SERVICES INC. Contractor -Home Depot Installed Sales Address 3200 Cobb Galleria Pkwy., Ste. #200 City -Atlanta, GA 30339 State 763-542-8826 Telephone # ( ) BC-20268257 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? Y - N If so, 25%a plan review fee applies. ) Licensed Plumber Telephone Mechanical Contractor Telephon I + T' f Sewer/Water Contractor Telephon !Vi . I hereby apply for a Residential Building Permit and acknowledge that the in r-Mation .d accurate; 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 permit, but only an application for a permit, and work is not to startwithout 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. Ol, o, OSd+N IkA-A Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg ❑ 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 (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # 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 Brick Fireplace _ R.I. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total -i~ Installed p Horne 5 Siding and Windows LIMITED POWER OF ATTORNEY. COUNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, TNT 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney are limited solely to the express powers delineated herein and app.i_y solely to the Work. This Limited Power of Attorney shalt expire and automatically be revoked on the 21 st day of May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNESS WHEREOF this Limited Power of Attorney is executed this 21 st day of May, 2003~--~ David N. Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21 st day of May, 2003. C~ Notary P is in for the State of eorgia My Commission Expires: January 21, 2006 396816A Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT Of met of mom Uz.xrx To Be used For Valuation MOM Nu MORL Site Address y~- - P Iot Slodc Sec. Mub. Alter parcel 0: /3 7S-6 AOO p mir Firm 200 City/Zip Qode: Plena t • APIPAONlKCS 3O pwwAt pmtracbor: ' lieder/Saw SuM atva, 1 Co Check Plan Address: Police SAC ri -T- city/zip'` tor _ 4 ~co ~cm pimmer Aoad twit Cbuncil Arch. /lfig.: Bldg. Of Address: AFC , City/Zip bode: / x r i Phone t : r Z ~ ~r / ter" I ~lq d ROBE - . ENGINEERING C PHANN(AS and LAND ,UAVIVORS COMPRNY, INC. 1000 EAST 1461A STREET. CUINSVILLE, MINNESOTA 5SJ3T PH 432-000 Accxj?c 52ur-3r- y L~~at I tcrL~~ton: LOT e7 BLOct' 4, BERlfsH/,Pt /Powos~ ~ DAKOTA COU/VTy, ~'I/rY/YE'SOTi9, oor- V Q H ,'L lJRA/NAGE UT/L/Ty Ef,+SEM~NT 0 N o N 88 2 6 g8 Gt/ _ M' /3 3 , s7Z9 4 21, 4.o _ Nh ! LDT ZO tl: FRoPbSED I u j~ o h I `///t't° f-focaSE 30' o lri (y~~ PL A4 -a 3 102 N l) ~1 L Z', ILL C -o N BB 2 6 4B W 91q / 'ell ai 30' F 25' RONT B!J/L D/N ~ G SETBACK L lNE" 0 1 J r q ,o i DEND TES EX/ST/IVG EL E//,9 Tf0/V ~g3o,o~ DENOTES PROPOSED ELE(/.9T/o/{/ //VD/GATES .O/RECT/D/V pF SUF~FtiCE DRS'//V,?G~" F/N/SrYE,D GARAGE .~Lp4R E"LE~~T/ON = q3~`~3'~ • I hereby certify that this is a true and correct representation of a tract of land as shorn' and described hereon. - Am prepared by the on this z+ day of Minn@ Alf$ Not/flogs CITY OF EAGAN SEWER SERVICE 11,01M 3830 Pilot Knob Hoad 6$65 P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: R1 No. of Units: 1 Owner. Joseph Miller Const Address: Site Address: 4745 Berkshire Say L20 B4 Berkshire Ponds Plymouth P ba Plumber: - 7-5-84 44520 Pod 425 i agree to campy with the City of Eagan Connection Charge: .00 pd Ordinances. Account Deposit: p Permit Fee: 11.00 pd .50 Surcharge: Pd By Misc. Charges: Date of Insp.: Total: Insp.. Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 5675 P. O. Box 21199 = PERMIT NO.: Eagan, MN 55121 DATE: " Zoning: R1 No. of Units: 1 Owner: _ Joseph Miller Iionst Address: Site Address: 4745 Berkshire Way L20 B4 Berkshire Ponds Plumber. Plymouth Plbg Meter No.: Connection Charge: 4 0.00 pd Size: Account Deposit: 15.00 pd Reader No.: Permit Fee: 10.00 pd 1 agree to comply with the City of Eagan Surcharge: ' S pd Ordinances. Misc. Charges: 3.00 pd meter Total: By Date Paid: Date of Insp.: Insp.: OF EAGAN 1" WATER VIM PIRMIT "-)t Knob Road 5675 21199 PERMIT NO.: r,5121 DATE: 121 No. of Units: 1 Owner: Joseph Miller flonst Address: Site._Addresw 4745 Berkshire W L20 B4 Berkshire Ponds Plymouth P1bg" Plumber.: 470.00 pd Meter Imo.: or~nection Charge: ize: - r ° , unt Deposit: 15.00 pd 10.00 pd derv o.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: ,50 pd 63.00 pd meter Ordinances. Misc. Charges: Total,: g - -Date Paid: Date of Insp.: insp.: t 11 2/84 CITY OF EAGAN APPLICATION FOR PERMIT rSEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: 4 Z' S7, , LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel I.D. Number) IF EXIS3 -.:G STRUC 1=1 , DA - OF ORIGINAL nUILDLITG PEj ?A 1SSJPivCE: PRESr -L „Ii ;/Pi?OPOSED C SE. R-1 SINGLE 1;=T' or. _r i L ❑ R-2 DUP= (TrdO EMITS) ❑ R-3 TOWNHOUSE (THREE + UNITS)( UNITS) ❑ R-4 APARr=NT/CONDOMINICM ( UNITS) ❑ COM4MCIAL/REIAIL/OFFICE ❑ INDUSTRIAL ❑ INSTITUTIONAL/GOVERNMENT 2) APPLICANT (PLEASE PRINT) NAME: C1 d e f,° l1e i- ADDRESS: 0 CITY, STATE, ZIP: PHONE: 3) PLUMBER J (PLEASE PRINT) FOR CITY USE ONLY NAME: W ! d k ~h P/ a vy ~ji 1~ C PLERS LICENSE: ADDRESS: Active CITY, STATE, ZIP: /V,2lS INi) 673;- e-1 Q Expired ~FiA3TE - Q Not of Record PHONE: PLUMBER LICENSE # Staff nitia 4) OCCUPANT/OWNER NAME: (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PHONE: 5) INNDICATE WHICH PERMIT IS BEING REQUESTED: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER (PLEASE DESCRIBE) 6) INDICATE ONE: PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4 ABOVE (Circle one) 7) SICIATURE: l~ DATE: ~c/ rl~:wl If~Jr AN jw w M~ ! R~ji 11f i 1Ai IMF ~ ps 7r ~w a~1 IMi 00:0 liwNi i~ idf i! 11M cad w Y FOR CITY USE ONLY PERMIT ISSUED FEES: $ SEWER PERMIT (INCLUDE' SURCHARGE) $ Zf:) WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEivER TAB' $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL $ l - AMOUNT PAID/RECEIPT 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 ~z - NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: r APPROVED BY: TITLE DATE: - r~~' _ft or Receipt t /4~0 MECHANICAL PERM Tr Permit No. i CITY OF EAGAN% Fee Fill in numbered spa s S/C Type or Print legibl ' Tot. a 1. Datei Installation Cost Blk. Tra } t' ¢ I 3. Job Address L ri Lot t 4. Owner . `ice Cw ~tl Y 1~ rt 5. Contractor` Phone 6. Address ~ ~ r ( l 7. City G; •k:-. [j State Zip 1 8. Building Type: Residential Cd---"'G5ommercial 0 Institutional ❑ ! 9. Work Description: New ©,--Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type 11. No. Epuioment BTU - M. Ea. No. Equipment CFM j Forced Air. Air Handling: Mfg' a(~ 1 p Boilers p 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 i Rough Final Inspectiops: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING RMIT Permit felts. 9 y CITY OF EftGAIV Fee Fill in numbered spaces S/C 5-0 . Type or Print legibly Tot. a~z> . 1. Date 2. Installation Cost v~ 3. Job"AddrA;~ Lot~9, Blk. Trfkt ~ 4, Owner s 5. Contractor Phone 6. Address 7. City State Zip t8. Building Type: Residential lt~Y Commercial ❑ Institutional ❑ 9. Work Description: New U Add ❑ Alter ❑ Repair ❑ f' 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield I Bath tubs Septic Tank f Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray _L 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 wit I ord++nan eI~ d codes governing this type of work. Signed: for 444 Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 45"100 WCWT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE +r 19 RECEIVE FRO AMOVUHYT $ 3d Ido & _DOLLARS 100 ❑ CASH CHECK FOR NFU ND - CODE AMOUNT 1'77 1,3 i s 41Y Thank You ~BY 4 Ir~~ ; VV ite~£-Payers Copy Yellow-Posting Copy Pink-File Copy PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA146447 Date Issued:10/25/2017 Permit Category:ePermit Site Address: 4745 Berkshire Way Lot:20 Block: 4 Addition: Berkshire Ponds PID:10-13750-04-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Richard D Dyck 4745 Berkshire Way Eagan MN 55122 (651) 437-4177 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA163764 Date Issued:09/11/2020 Permit Category:ePermit Site Address: 4745 Berkshire Way Lot:20 Block: 4 Addition: Berkshire Ponds PID:10-13750-04-200 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Richard D Dyck 4745 Berkshire Way Eagan MN 55122 Knights Plumbing Llc 304 Iris Lane SW St Michael MN 55376 (763) 286-9941 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167394 Date Issued:03/12/2021 Permit Category:ePermit Site Address: 4745 Berkshire Way Lot:20 Block: 4 Addition: Berkshire Ponds PID:10-13750-04-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Richard D Dyck 4745 Berkshire Way Saint Paul MN 55122--360 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature