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4170 Blueberry Cir GiTY OF. EAGAN WATER SERVICE PERMIT 3195 pilot -Knob Road PERMIT NO.: Ebgon, MN 55122 DATE: /e f Zoning: TqT No. of Units: 1 - Owner, -Il1i.XI~PtI`'i I,i.£. '~It' O~T17i1C?Ili Address: Site Address: 417r ".il~+~? exYv Circle L191 '57 Hilltop fstates Plumber: _:(,,,n z -,:GI Meter No. Connection Charge: 30.5.01U rd Size: Account Deposit: Reoder No.: Permit Fee:i • 4i;3 with the City of Eagan Surcharge: 54, 110 agree to-comply Ordinances. - Misc. Charges: E'C • fl0 Pc? ~n'a7C' Total: r By Date Paid: - Date of Insp.: Insp.: crr r 'E ~aat SEWER SERVICE PERM ,4S-16ilot Knob Road PERMIT NO.: ~ " kagan, MN 55122 DATE- 17~f 191 Zoning-, I-I No. of Units:. _ Owner: 11 t .i s~ ~,J _fJ l` Address: ~E Site Address: Plumber:t rt' TT -b 1 agree- to Comply With the City of Eagan Connectiot4 Charge: 'EkdinonCes. - ACGOt,plt . D15}t erriti+l'. Eee llll9!hn_'W4Wis. SurCharge: By _ Misc Chan s. }Hl " fDOe wbf 1n5~ ~Yote;'- D~Dif 279 Poet Ka6 so" ~y ~y ~ ~yy~j fO. 1892 r ~liltdi9t # ( USPE r t 019 NO 4 P ~y ! i cep`-. f*"- 454-9109 REQUIRED BY LAW Plumbing PEAMIT FOR ALL 6NSPEG'rIM 9-•9-80 tote: Recelg* No.: s 4170 Blueberry Cir. Single Site Aafidsess: ResidmtW Lot 19 Block 7 SwdbtS~c. Hilltop Estates mufti Rte, Mr. & Ms. F. Holbeak Name 104 A / Arbor L view (AfNtsr {fim r Address n. 7 - Cost of mokm, Burnsville, Mn "0-1673 20.00 City Phone: Permat Iree Name , S~arCteisr~re . Address 14'45 S. Robert Tr. City Roxemunt, Mn. 423-1146 ~23w Totol This Per-it is issued on the express condition ttutt Off work shat( tis dame in, ,.4*, a Minoesoto StOtutes ¢rtd Cay of Eagan Ordinances. r _ a s My or 8743 Pilot Knab K"d doq»n, Mitmesota $1i INSPECTOR, No. ~977 Pbme: 454-SI00 R00 D BYE tAttW,- Heatir PERivW FOR ALL-IN IPWrIONS . Dow 9-$-80 Receipt M*>: _ 4170 Blueberry Mr. Ride g Site Address: ResidEn - - 19 7 Hilltop ts' ot Mock Sub/Sec. multi PAC, COMM-Pry Name Mr. Mrs. F. Holbeak New!/ttl~r.!l~egeiit _ _ _ Address 104 Arbor Ln. cost Of It4w,on City Burn svillet Mn. Phone: "0-1673 Permit Fite 24.00 Nome Genzi F~r8I1 . Q . S~wreMettge - Address 14745 S. Robert Tr. City Rosemount, "tn. Phone: 423`11.46 Tot 24.9t 04 This Permit is issued on the express condition that all work shall bo dom in * w# ay1 ~''.r~ Mimwsota Statutes and City of Eagan Ordinances. CITY OF EAGAIW ; 3834 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value A .'l0u Date `~f 2t; '19,'17 Site Address OFFICE USE ONLY l.t A14 ' On Site Sewage Occupancy Lot Block Sec/Sub. MWCC System Zoning Parcel No. On Site Well yvaual) Const City Water (Allowable) w Name PRV Required * of Stories z Address o Booster Pump Length City Phone Depth a Name i-`-,",% S.F. Total 0 o a Addressx Footprint S.F. City Phone ' APPROVALS FEES F ¢ Engr./Assess. Permit • 5L F i Name Planner Surcharge Address Council Plan Review m city Phone Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit i A Building Permit is issued to: Treatment P1, on the express condition that all work shall be done in accordancewith all applicable State of Minnesota Statutes and,City of Eagan Ordinances. Parks TOTAL Building Official APISH No, a Male Dow T # f. Pkmbft e F ~w h~ r E. 1 Diet b". Commode FOOMOS I Footings It ' Foundation i Fro*ft POOR" Isuk r Fireplace Final Htg t Final Pib t Sift Final Cart Ooc Torte, LP Dock Ft% Deck Final Weil Pr. Dip. f - - CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N! 6000 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for ^x'Ur Est. Value 83,444- Date'-31 19~ sue errv Circle Site Address Erect M Occupancy R3 Lot Block 7 Sec/Sub. ~Iilltop Estates Alter ❑ zoning ?~1 Parcel # 10 3`1000 lnr, ` 7 Repair ❑ Fire Zone ~3 Enlarge ❑ Type of Const. V cccc Name 5Y'. Q rs. E. holbecx Move ❑ # Stories 2 3 Addre 104 arbor I,~zni~ Demolish 0 front 66 ft. o irnsvI e, Ifn 890-1673 Grade ❑ Depth 2&~ ft. City Phone j p Name' I.Yi ronmenta l levee.. Approvals Fees o Addregss £`S06 rszaxkada Ave • AssessmentW7-22-8 Permit 19150 G 4r e al ey, 't` hone 432-6590 Water & Sew. Surcharge - 42.00 t Police Plan check 95.75 UW Name sane as contractor ~u, Fire SAC ,525,oo _-Z Address Eng. Water Conn::3_ v z City Phone Planner Water Meter Council Road Unit •Lrt. hereby acknowledge that I have read this application and state that Bldg. OffJ)P 7-29-0 j the information is correct and agree to comply with all applicable APC Total l n`~ • 25 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: F~`It~ >>eYe10 a ;l on the express condition that.. all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinanr„n. Building Official - . y Permit Deft [slow PN Plumbing / - _ s Mechanical /f 77 - -10 --3'~ A 7~~3G O f INSPECTIOM DATE INSP. Rough-In Firms Footings Date Insp. Date Insp. { Foundation _ Plumbing Frame/ins. -~Q Mechanical Final i a e Remarks: i 4 P i i CITY OF EAGAN Remarks Addition HILLTOP ESTATES Lot 19 Blk 7 Parcel 10- Owner 4 street 4170 Blueberry Circle State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 069.38 A009785 12/18/80 1336,72 113- 67 STREET RESTOR. GRADING SAN SEW TRUNK 1973 172.14 8.61 20 111.94 A07509 3/14/79 * SEWER LATERAL 1980 3329,74, 2 0 2663.80 A009785 12/18/80 WATERMAIN * WATER LATERAL * WATER AREA lqgn • Services 1980 * STORM SEW TRK 1980 * STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT gd- UNIT 8 20230 7/31/80 WATER CONN. 305.00 20230 7/31/80 BUILDING PER. SAC S25,00 2, 0 23 0 7131/80 PARK Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 aaTE t s ItacalvaD FROM I AMOUNT & DOLLARS goo CASH ❑ CHECK FOR ( ! AW. FUND CODE AMOUNT - , 1 f s 777 'hank You'- BY White-Payers+pY Yellow-posting Copy Pink-File Copy INSPECTION RECORD t CATTY OF EAGAN PERMIT TYPE, 3mo Poo# Knob Road a 321 0 Permit Number: f Eagan, Minnesota 55122-1897 Date issued: (612) 681-4675 SITE ADDRESS: t~ r x z i""c: x j APPLICANT; 417 E4d Sgt Hl;;'R §r Md tifI"FP JOHN PERMIT SUBTYPE: TYPE OF WORK: Perntft NO. Pant t-totder [late Telephone # ELECTRIC i~...tJM RVAC l @116Woo, FOOT**8 FOLWD FRAMING ROOFING R©t KM PLUMBING Atn 'MST MUGH H 7%lQ GAS SVC TEST INSUL GYP BOARD FIREPLACE Flix-PLACE AIR TEST FINAL. PLOG FINAL HTG ORS T SLW FINAL R.I. asw BSMT' FNAL DECK FTG DECK FINAL' d r V CITY OF EAGAN Include 2 sets of plans, °r 1 site plan w/elevations & ILDING PERMIT APPLICATION l set of energy calculations. 1y~ ~o~ O~ S~ lie 'Po Be Used For Valuation ~?O 4'00' Date Site Address ; OFFICE USE ONLY Lot P Block Sec./sub.'`11~) Erect T Occupancy 3 Parcel c/;~ ~SZs4Z Alter Zoning Repair Fire Zone 3 Owner: c~ bloc Qe=,& Enlarge Type of Const. f0 Al a Move # Stories 2 Address: Demolish Front / e ft. City/Zip Code:, Grade Depth -4--8 1 ft. Phone / 6 7 3 7 APPROVALS FEES Contractor: L j~(2 /Y err ~ Assessments erml't - s61 water/Sewer Surcharge yod 40 Address: ~ i.~~ fv~ IrRI ~4t1- Police Plan Check g 7 5 City/Zip Code: WL CIA&~V SSI Fire SAC ~s, a o Eng. Water Conn. -ra Phone # : .~(3 s v Planner Water Meter 0 0 6 Council Road Unit Arch ./Ehg.: z4Aj Bldg. Off. Address: i~j0/a~JA,jAPC City/Zip Code: Z' TOTAL Phone ` CITY OF EAGAN 3795 -Pilot knob Road Eagan, MN 55122 N2 6000 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # To be used for SF DWG/GAR Est. Value 83,444. Date 7-31 19 80 Site Address G170 Blueberry Circle Erect ® Occupancy 8.,3 Lot 19 Block 7 Sec/Sub. Hilltop Estates Alter ❑ Zoning Rl Parcel # 10 33000 190 07 Repair ❑ Fire Zone 3- Enlarge C] Type of Const. V W Name' • & Mrs. F H01beCk Move ❑ # Stories 2 z Address 104 Arbor Dane Demolish ❑ Front 66 ft. o city Burnsville, Phone 890-1673 Grade E] Depth 28 ft. o Name Environmental Devel. Approvals Fees u' Address 14806 Granada Ave _ AssessmentAG7-29-g Permit 191.50 ~ city Apple Valley, Done 432-6590 Water & Sew. Surcharge 42.00 UC, Same as Contractor Police Plan check 95-75 UW Name ~Z Fire SAC 525...00 uG Address Eng. Water Conn. 305.00 W Meter 60 . 00 Q city Phone Planner Water Council Road Unit 155.00 1 hereby acknowledge that I have read this -application and state that Bldg. Off DF-7-2--f# the information is ag o comply with all applicable APC Total 1,404.25 State of Minne a Statutes and Ci f Eagan Ordinances. Signature of Pe 70 Envl on the express condition that A Building Permit is issued to all work shall be done in a ordance w0h)all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official '4 Met Via, d 9!F a~j ;O-P -v ' VIM" 1 i~' Vr N!e^ „ ` ► g 1` mot s;~ _ ~~e"•~~ 1c I~~ tih~ ~eat17IR 'dNfo-~'-.s'.. ~~'~r „ ~<+~gi~ k~ rrtifiratr of (rr1l ttnr Citp of (Eagan Department of +Vnilhing 3ns,prrtion This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various Ir ordinances of the City regulating building construction or use. For the following: ~i o: cl>mrw.uon SF DWG/OAR 6000 Bldg. Permit No. ~i OwuPancY Type -_.:L_Typs c mtmciion V Fire Zona 3 Zoning District R1 ~ . Owner of Btdlding ' Environmental Devejdde 14$06 Granada Ave.,A.V. scalding naarer. 4170 Blueberry C 1 r Lo;ty L19 , B7, Hi 11 toA Est. Btwdn,goffic;.l ~ D,te: 12-10-$0 ► T IM A COM*PICUIXP* ft ACE • 141 IITMOIN V.S.A, This reques old ] 8 months fr m Date off is Request ` Fire No. 00263b I, as L7 Licensed Electrical Contra for 0 d;ner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. •Cit Ott Section Town Range C my Which is occupied by ame of Occupant) Is a roughin inspecti required o this job? No 0 Yes D__*~,Ready Now 0 Will Call C--' Power Supplier A-9 1. X - *gok!5~ g T Electrical Contractot~'E n 'D~G'jw~Q Contractor's License No. o, 12 Mailing Address T~ - T ,E V ALL ' ,tE{gt c a Ing This Installation) Authorized Signature GAR jy~~ Phone No. (Electrical Contractor or Owner Making This Installation) i 7' This inspection request will not be accepted by the k•. State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity Griggs Midway Bldg. - Room N191 1 6' EB-00001-02 1821 Uq versity Ave., St. Paul, Minn. 55104 - Phone 297-2111 c? S REQUEST FOR ELECTRICAL INSPECTION CHEM BELOW WORK COVERED BY THIS REQUEST 92636 Type of Building New AX. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex ❑ ❑ Water Heater ❑ Lighting Fixtures Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furna Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Co Pe Bulk Milk Tank ❑ Farm ❑ E] ❑ List List Other ❑ ❑ ❑ Herers Herers COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps' 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5.00 Remarks TOTAL FEE 1, the Electrical Inspector, hereby certify that the above inspection has bee ma 4Uc (Rough-in) Date' (Final) Date / r This request void 18 months from RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651=881-4675 1 ~Jr- New construction Requirements RemodeUReoair ReauiremeMs / • 3 registered site surveys showing sq. ft. of lot, sq. ft. of (rouse; and L11 roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of EnergyCalcuMoris for heated addit * • 2 copies of plan showing beam & window sizes; poured found design, etc.) . T site survey for exterior addttiom & decks • ' 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE ^ -7- 1 , 02- VALUATION ts' 77S 04, JOB SITE ADDRESS 4_17a 13 l er e b-ein-tv 6t 1' IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER Oki tl- T~ 9 7~ C l/l t tt e TYPE OF WORK l e-4, 049 C rod ' FIREPLACE(S) - 0 - 1 ^ 2 APPLICANT C ~ 00' IQ PHONE#g$ W)-a6 ADDRESS bh otfc\ ZIP CODE _ PAGER # CELL PHONE # FAX # -m -a) o NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGOR Lo~- (check one) Residential Ventilation Category 1 Worksheet Q Energy Envelope Calculations Submitted JUL ZDDZ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted ' By Plumbing Contractor; Phone Plumbing System Includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor Phone Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O inances. Signature of Applicant Certificates of Survey Received Tree Preservation Plan Received Not Required Updated 2002 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-piex ❑ 13 16-piex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-piex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Att. -Multi ❑ 03 01 of,_ piex ❑ 09 07-piex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) O 33 Ext. Alt SF ❑ 04 02-piex ❑ 10 08-piex ❑ 18 Deck ❑ 23 Porch (screened) 0 36 Multi ❑ 05 03-piex Gl 11 10-piex ❑ 19 Lower Level D 24 ' Storm Damage ❑ 06 04-piex ❑ 12 12-piex Pibg y or N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 int improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition D 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. _ Footings (deck) Final/No C.Q. _ Footings (addition) Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water Final Pool Ftgs _ Air/Gas Tests Final _ Framing. ~ Siding Stucco ~ Stone - Fireplace R.I. Air Test Final Windows (new/replacement) Insulation Retaining Wall Approved By , Building Inspector - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY OF EAGAN No 1 4 5 Z 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT > Receipt # To be used for FIREPLACE Est, Value $1,000 Date DECEMBER 29 1987 Site Address 4170 BLUEBERRY CIR OFFICE USE ONLY Lot 19 Block 7 Sec/Sub. HILLTOP ESTATES On Site Sewage Occupancy Parcel No. MWCC System Zoning On Site Well (Actual) Const Name LINDA SHAFER City Water (Allowable) z Address SAME PRV Required # of Stories 3 Booster Pump Length o City Phone Depth °C Name J . B. MCCLOUD CONT INC S.F. Total 0 Address 15780 HARMONY WAY Footprint S.F. P City A.V. Phone 432-6606 APPROVALS FEES W Name Engr./Assess. Permit $20.50 w W 50 v g Address Planner Surcharge a L city Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application d state that the Variance SAC, MWCC information is correct and agree to comply with all p licable State of Water Conn. Minnesota Statutes and City of Eaga rdinanc s. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: J.B. MCCLOUD CONT INC Treatment P1 on the express condition that all work shall be done i accordance with all Parks applicable State of Minnesota atut sand City of agar rdinances. 21 .OO Building Official TOTAL tzl- i 1987 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 - RESIDENTIAL RENTAL UNITS FOR SALE. UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,' 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND f-' Irtlap 6L C.L To Be Used For: ~'~`~iAil+At~CC Valuations X06 Date: a-~ Site Address L-~t1~~I L°~~ OFFICE USE ONLY Lot Block On Site Sewage Occupancy MWCC System Zoning Parcel/Sub On Site Well Type of Const City Water (Actual) Owner uJ P w r--._ (Allowable) of Stories Address L~l^l W~T Length Depth City/Zip Code S.F. Total Footprint S.F. Phone APPROVALS FEES Contractor y~ po j~~C Assessments Permit SZ Water/Sewer Surcharge Address _ `Z~(~ l LMOeJV Wky Police Plan Review Fire SAC, City City/Zip Code 55 Engr SAC, MWCC Planner Water Conn Phoned. Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment Pl Variance Parks Address Copies TOTAL City/Zip Code Phone # CITY OF Et1t;AN , 1&4037 ,`..i~tT'C~c C~`»~I:P.S:'f`t#' T.P.i`E:~x 320 900i WO BLUEBERRY 50.00 21.5`?t:l~:l UF-.:Y!*.-. R!--,Y 0.50 Total Receipt Amounti 50.50 #~:?C'¢:::;: ,c~;;~fi.~::,:.~?P`:$i sic •Y, s¢..~~ ~i.~::~ ~ n •?;{v.~::k::#:~~.:b~::~' Y~?k~' a#: j 1998 BUILDING PERMIT APPLICATION (RESIDENT tj CITY OF EAGAN 3830 PMOT ~OSBT M - 55122 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc. ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan If lot platted after 7/1/93 required: _ Yes _ No r DATE: CONSTRUCTION COST DESCRIPTION OF WORK: ,D/z K STREET ADDRESS:` 7D L ~2 y LOT: L BLOCK: SUED./P.I.D. l-/ LL ToP Z-5 F1~ Z S Name: Al T --Se ~ / eC~ Phone PROPERTY Last First OWNER Street Address: l3 y (424 City C~/7~x State: Zip: Company: Phone CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ~ r-~ _ job ENGINEER Company: ,Za~ x~ Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: f OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required f t OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace O 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 Alex Deck WORK TYPE 1 New ❑ 33 Alterations El 36 Move 2 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code O/ Census Bldg Census Unit 6 APPROVALS Planning Building Engineering : Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SM Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies ,4 fl ~j , PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 0 3 5 BUILDING (612) 681-4675 Date Issued: 05/18/98 SITE ADDRESS: 4170 BLUEBERRY CIR LOT: 19 BLOCK: 7 HILLTOP ESTATES P.I.N.: 10-33000-190-07 DESCRIPTION: Building Permit Type DECK Building Work Type NEW Census Code 434 ALT. RESIDENTIAL REMARKS: PLANS REVIEWED BY MIKE BARCK FEE SUMMARY: Base Fee $50.00 Surcharge .50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant MATSCHINER JOHN 4170 BLUEBERRY CIR EAGAN MN 55123 (612)454-1894 I I hereby acknowledge that T have read this opplicat:i_on and stat=e that- the informatLon is correct and agree, to comply with all applicable State of Mn. Statutes and City of Fagan Ordinances. APPLICANT/PE ITEE SIGNATURE ISSUED BY: I NATURE L (J lv S r 11 2 f 1 t1 ~t t \ I - - ~76 L PERMIT City of Eagan Permit Type:Building Permit Number:EA121001 Date Issued:03/10/2014 Permit Category:ePermit Site Address: 4170 Blueberry Cir Lot:19 Block: 7 Addition: Hilltop Estates PID:10-33000-07-190 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Alex Shikhlinski 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 - John C Matschiner 4170 Blueberry Cir Eagan MN 55123 Delta Construction Inc 11299 Harness Draw Woodbury MN 55129 (651) 691-5021 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159953 Date Issued:01/31/2020 Permit Category:ePermit Site Address: 4170 Blueberry Cir Lot:19 Block: 7 Addition: Hilltop Estates PID:10-33000-07-190 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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 - John C Matschiner 4170 Blueberry Cir Eagan MN 55123 (651) 454-1894 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature