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4178 Blueberry Cir CITY CW EA"N WATER SERVICE PERMIT 3745 Pilot Knob Road PERMIT NO., 2774 Wigan, MN 55122 DATE: 713179 Zoning:. _ ! 11 No. of Units: Owner: Hike "it~~ eattr~~ Address: _ Site Address: -4179 k:lua+t r•rre ,°ix~ g T~ F37 11 ~ZtflTa I tR> i t>g Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit fee: 10.00, dad I agree. to complY with the COY of Eagan Surcharge: .50 Pd' ` Ordinances: Misc. Charges: 69, 10 Pd motor Total: Date :Paid: Date of Insp.: Insp.: SEWER SERVICE PERMIT cIrr of eaGAN 35 Pilot Knob Road PERMIT NQ.: 3513 _ Eagan, MN 55122 DATE: 7/3/79 Zoning: R11 No. of Units: Owner: Pt9rf~klt~ C;lisst. Address: - Site Address: .417B _pLue r _ ~J G` F' '2" 7 T iA rt + di' Plumber: SWAP 5j 100.E 00 dad l agree to comply wiA;the City of Eagan Connection Chorge: 214 Ordinances. Account Deposit: Permit Fee: ' n, - Surcharge: By Misc. Charges: 'Date of lnw- Total: _ Insp.: Date Pair) 3795 PAR. Keab goad Bwgjaa, Mbme"ft S5122 bones 4544100 Water Softener 306 - P@RAMT No.. 11/27/79 16819 Dote: Receipt No- 417$ Blueberry Single Site Address: Residential /V 14 "1 Lot _ Buck _ -s b/Sec. A- _ Multi Res., I#id. ~wY Mike Giles Nome Neww/Aiteed tftair $ 4178 Blueberry Address Cost of tton~___ l Eagan, City Phortie: Permit fee x Orlan Born Waterf Nome Surcharge Address - City Jord" MIS 5,5352 6 this PerO4, is t~sue~" tf~0 'eJCpress 8~+~dditibr► "cl of tsfi ~~.X11 be dg~ inti d ewae 1 r Nlirtnesot i *tufts . arut; city of Fag06 4 riasic~sr + ;'.a - > CITY OF EA"N i 0 5 ~ - 3795 Pilot Knob Road Edgarn, MN 55122 N! °e" - - PHONE: 454-8100 BUILDING PERMIT $53,000. Receipt To be for S F Dwl g. Est. Value Date stay $ s t 9 ~ g ased Site e6s 4178 Blugherry Cr Erect [g Occupancy iii31top Estg%q&r Z P"4 Block Sec/Sub. ❑ p"4 Parcel # 10 33000 210 07 Repair ❑ Are Zbrie Enlarge p Type of Const. J§Addr e Hike Giles Move ❑ * Sv es ress Demolish Front ft. 44 Phone Grade ❑ Depth - ft.. ..rrwwAMOU~ ne "tike Giles 24840 Dodd Blvd, Apprd>vals ' 194 UV Assessment Permit ' Water & Sew. Surcharge Lhkkeil le Phone 469 4225 Police Pia„ e Fire Address Eng. Wetter Conn. I V . ess Phone Planner der tt3 t a :council 1 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 T- State of Minnesota Statutes and City of Eagan Ordi ces~ Signature of Permittee ~ A Building Permit is issued to: on the express oorkMon that all work shcdl be done in accordance with.glLvSplicoble State of, Minnesota Statutes and City of Eagan OrdSrNSur.' Building Official ww" Permit # Date h$UW Pesmittaa Plumbing f 6 .5, - 5 9 9 Mechanical ( -.:Z)- to INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation Plumbing ?2 - 7 Frame/ins. Mechanical Final Q ? Remarks: 7, (n'?q~ CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55132 PHONE: 454.8100 BUILDING PERMIT Receipt To be used for Fence Est. Value 5 6 7. 1. R Dote 11-27 , i 9 Site Address 4175 Blueberry Lane Erect AX Occupancy Lot 21 7 111 ltop Fstatcs Alter ❑ Zoning Parcel # Repair p Fire Zane Mrs . Evelyn Us s Enlarge ❑ -Type of Const. Name Move ❑ # W 4178 3lueberrT Lane Stories 3 Address Demolish ❑ Front ft. o Ci EaSan Phone Grade ❑ Depth ` ft. Q! Nome 1' idwestX$a1+gen 'Pence Co. Approvals Fees ,o Address 5 2 5 So. V i l l c3ume A-ve. Assessment Permit • u~ Cit SO. St.Paul Phone 451-2221 Water & Sew. Surcharge • 50 F Police Plan check F W Nome Fire SAC uZ3 Address Eng. Water Conn. W city Phone Planner Water Meter Council hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree' to comply with all applicable State of Minnesota Statutes and City of Eagan, Otdinances. APC Total 5.50 Signature of Permittee r A Building Permit is issued to: Iwalt$k Midwest Fenee. ~ or the expo condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit # Date lased Permittee Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings Dote Insp. Date Insp. Foundation Plumbing Frame/ins. Mechanical Final Remarks: CITY OF EAGAN t ,a y R j [7 k 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. 1441 Date:i Receipt No.: 10322 Single Site Address. 417" Rh -bery, x&,! -.P- _ Residential Lot A. Block 7 Sub/Sec.'`'=~~~ Multi Res., Comm./Ind. Name "lice,`w". es C ra t { _`l New/Alter./Repair 3 Address k $d 13ftyd. C # Cost of Installation City Phone: Permit Fee 510 Name Surcharge 0 ddress?a a 4j W), City rtX31-f I- a Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN • 3795 Pilot Knob Road ' Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. 1362 24- 14358 79 Date: Receipt No.: 417P' l11d7~1"ry CiXr .e Single I X Site Address: Residential 21 - Sub/Sec. ltm-l Rstatw, Lot Block Su _ Multi Res., Comm./Ind. Name New/Alter./Repair 2484+.`', rr?. 3 Address Cost of Installation 4725 City Phone: Permit Fee - ame Surcharge 7 4745 Rd-)ext P Address C City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official it 4., CITY OF EAGAN Remarks Addition HILLTOP ESTATES Lot 21 Blk 7 Parcel Owner Street 4178 Blueberry Circle -State-.Eagan,-NN 55123 Improvement Date ArrTount Annual Years Payment Receipt Date STREET SURF. 1336.72 133.67 10 120 .05 A008737 - -121119.179 STREET RESTOR. GRADING SAN SEW TRUNK - 1973 172.14 8.61 20 111.94 A07507 3/14/79 * SEWER LATERAL WATERMAIN * WATER LATERAL 1990 * WATER AREA ,t * STORM SEW TRK 1980 ;t STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT _ Road Unit 175,00 14115 WATER CONN. 270.00 14115 5-8-79 BUILDING PER. #5200 SAC PARK €f P CITY O AGAR V 3755 PILOT KNOB'1WAD ' EAG J, fW# IN IfiQ`FA z DATT ( '9 FROM .,c-,... AMOUNT F 1 _DOLLARS loo CASHCHECK c, 47.1 F'U ND CODE AMOUNT yr, t Thank YT-2,f N? White-Payers Copy N? 141 is Yellow-Posting Copy Pink-File Cody -INSPECTION RECORD: - MY OF EAGAN PERM T TY1t' 3830 Pilot Knob Road Pefmit NUMAW: Eagan, Minnesota 55122-1897 E7 i d: (612) 681-4675 I SITE ADDRESS: APPL ANT. 41 6 fit ItunF ppy i 3fd t rtu'r2l` CONS] 11101f A F SUSTYPE: TYPE OF WORK: Nrbf IS If)" (Imck pack) FRAM C N6 I G. 7UTNALI , RkMARK A I EPARAIF; Pt #411111 i'~ RF UIRE#'1 f.{sR ANY Vt FC i#, xC;RJ. biOR9 tY yti q ~ ~z~ t ~o tl P IF N ~ ~ £ "Kl aII JY J :L ~ 1:G r _ i_.:. aa~.rr 1 k A ~•j~4~~.ii-',i `Jt~ 7..~..~~~ 4 4 fir.. Poo pwne No. "014or DMD s ow Pt.t.tt+J4OM HVAC { boo two FRAMMG f "OUGH PUA4wm Mot MATING 7EST G" F Svc MGM OrAa Twr ` aLDG FINAL • 4 BOUT R.I. B i FWAL DECK FrG DECK FINAL f CITY OF EAGAN, 3830 PILOT KNOB RD - 55122 lt3fi6,996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements Remodei/Reoair Reauirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; 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 DATE: ;A-u c,- s~- t CONSTRUCTION COST: S 00 CD DESCRIPTION OF WORK: Sao n~o2Cir-~ Q~ F CX STREET ADDRESS: C I LOT I BLOCK t SUBD./P.I.D. PROPERTY Name: USS ACV i L YO Phone y 32 56K OWNER LAST FMST Street Address• 91 706 I fs u c G P-cL-.z City: EA-C-a---3 State: vex zip: fill Z~ CONTRACTOR Company: Phone #:si ~T 2t Street Address: 9 Qjc) 1 ► r4A,ct- Sa . License City:_ 12-l, State:_ Zip SSu.2c~ ARCHITECT/ Company: Fc~nZ2 Phone ENGINEER Name: Registration # Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are 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 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY r ~ 5 195 Certificates of Survey Received Yes No 4 _ ' y M A ! _ ` _ _ Tree Preservation Plan Received Yes No OFFICE USE ONLY - n BUILDING PERMIT TYPE ❑ 01 Foundation o 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling o 07 4-plex ❑ 12 Multi :Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition o 08 8-plex ❑ 13 Garage/Accessory a 20 Public Facility .x-04 SF Porch ❑ 09 12-plex o 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _ plex -Er-- 15 Deck WORK TYPE 31 New ❑ 33 Alterations o 36 Move ❑ 32 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. 613 y Depth Footprint sq. ft. SAC Code 0 r Census Bldg I Census Unit D APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 7 o00 Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit f X r= 9 Z x yo 5 z° S/W Permit OLD SNV Surcharge X CX- = t, Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 5511 PRONE: 454-81140 BUILDING PERMIT APPLICATION .ter' Receipt # ~'l To be used for Fence Est. Value 0 Date 11-27 ,_19_Z9 Site Address 4178 Blueberry Lane 21 7 hilltop Estates Erect Occupancy Lot Block Sec/Sub. Alter ❑ Zoning Parcel Repair ❑ Fire Zone o; Name Mrs. Evelyn Uss Enlarge ❑ Type of Const. 3 4178 Blueberry Lane Move ❑ r stories Address y Demolish ❑ Front ft. ° Eagan Phone Grade ❑ Depth ft. City W Name Midwest >P xwsz Fence Co. Approvals Fees ou Address 525 So. Vi1laume Ave. Assessment Permit 5• _ u~ city So. St. Paul Phone 451-2221 Water & Sew. Surcharge . 50 Police Plan check W Name Fire SAC Address Eng. Water Conn. Q W city Phone Planner Water Meter Council 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 5.50 State of Minnesota Statutes Ci E on Ordinances. Signature of Permittee A Building Permit is issued to; on the express condition that Lq4)d P04 MMM-E -M :17 is all work shall be done in accordance wit II appl' a ate of Minnesota tutes and City of Eagan Ordinances. Building Official - CITY-CF EAGAN Include 2 sets of plans, l site plan w/elevations & BUILDING PERMIT AP ICATION 1 set of energy calculations. P ICA - - Zb Be Used For Valuation Date Site Address !f 1"L* i,'• t_/ . i :..r~ . OFFICE USE ONLY ec . /Sub . Erect Occupancy Lot Block Sec./Sub."' Alter Zoning Parcel Repair Fire Zone Enlarge Type of Const. Owner: Move # Stories r Address: ' r`•= _-t< Demolish Front ft.. Grade Depth ft. City/Zip Code: rf Phone APPROVALS FEE'S Contractor Assessments Permit h' water/Sewer Surcharge Plan Check Address: 4;111r ix Police Fire City/Zip Code: SAC Eng. Water Conn. Phone f / Planner Water Meter Council _ Road Unit Arch./Eng.: Bldg. Of - Address: APC City/Zip code: i Phone TOTAL w ''q~-~!~' gym. fC^:i"`c"- _ ~,._"e~`~,: --r:-Ki^°'`~~a'~'~„Y". T. _ iq : ~.~"~`c b~--•^•~at~i - „y.~. ~~r#iftr~t#r of (~rru~~tnr ofa an ,i p g D epartmmt of'Builbing Jnoprr ion I; This Certificate issued pursuant to the requirements of Section 306 of the Uniform°Building I i Code certi f jing that at the time of issuance this structure was in compliance with the various I11 ordinances of the City regulating building construction or use. For the following: s' ule claniscaum SF Dwlg/Garage sea& etm,fe Na. 5200 Y O-PRTrot R'3 Type Cmsuuctim V Fife Zone III Z.W, 41 o..,,.fBwdene Mike Giles Add. Same M eta. 4178 B weber Ciro ~ L21 B7 Hilltop Est. Ea By: j orsrii wet: February 19, 1990 u /OtT IM ♦ CONtACVOVt K►Ct I. _ BB `Ocoes .e, LITHOIN U.S.A. l Requesipat ) F No. ough-in Inspection NOTICE: You Must Call Electrical Ins ctor ((9 / ' Required? If A Rough-In Inspectio ❑ Yes ❑ No Is Required. "t nrP I ❑ licensed contractor ❑ owner hereby request inspection of abo electrical wor Job Addsesg Street, By l or Route lyq~ ` e ~d City Section No. / Township Name or No. R Age No. County Occupant (PRINT) Z'4 ` , ` Phone Nq~~_ Power Supplier OV t/~/ S Address C/„/ L7! Electrical ractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installaa Authorize ignature (Contractor wn M <ing Installation) one Number MINNESOTA STATE BOARD OF ELECTRICITY TMla.'IwSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 B ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 S e ins ructions for completing this form on back of yellow copy. V sue' ~f M 01117i~~ `A" Below Work Coveted by This Request 9 5 ill New Add Rep. Type ofBuildirig Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial 'Furnace Other (Specify) Farm Air Conditioner Other (specify) - Contractor's Remarks: Compute Inspection Fee Below: pUr`~'~~ A "-O IOL # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms L~flt/ Z 0 Special Inspection Alarm/Communication THIS INSTALLATION MAY ORDE SC CTED IF KNOT Other Fee COMPLETED WITHIN 18 MONT . I, the Electrical Inspector, hereby Rough-in certify that the above inspection has Final been made. 6- OFFICE USE ONLY This request void 18 months from This request; oid 18 months from R 749885 Date of this Request 6-3-79 I, as 1Z Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electrical wiring installed at: Street Address or Route No. 4178 Blueberry k t2i.B1k.7 City r a "e$ Section Township Range County iota Which is occupied by Mike Giles Construction (Name of Occupant) Is a roughin inspection required on this job? No ❑ Yes IK Ready Now ❑ Will Call M Power Supplier Dakota Electric Address FarainAft&n, Mn. Electrical Contractor JIM Electric Contractor's License NoA"-7_61 (Company Name) Mailing Address 20480 JaCquard Ave., V., Lakeville, Ma. 550" (Elec ici ontract wner Making This Installation) Authorized Signature 1~ L Phone No 469'4938 (Electrical Contractor or Owner Makitis This Installation) T inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity / 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION 74985 C1 ECK BELOW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range ❑ Temporary Wiring , Duplex ❑ ❑ ❑ Water Heate ❑ Lighting Fixtures ❑ Apt. Bldg, ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditione Bulk Milk Tank ❑ ist Farm I-] ❑ Lpp pp List rs Other ❑ ❑ ❑ Herers Here 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 16 32*00 101 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 I, the Electrical Inspector, hereby certify t e ab it vjc(, been ma e. cJ p OCR + (Rough-in) °1'late (Final) ?c This request void 18 months from This request void 18 months from p Date of this Request '41 63354 I, as Oflicensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri- _ cal wiring installed at:~y f SAC 7 g~a Street Address or Route No. 17 City_ Section Township ange County Which is occupied by (Name of Occupant) Is a roughin inspection required on this job? Noll Yes ❑ Ready Now. Will Call ❑ Power Supplier Address Electrical Contractor rt®ta~ Contractor's License Noel (Company Name) Mailing Address o;2d 6 (E trical tracto Owner Making This Installation) / Authorized Signature i Phone No. (Electrical Contractor or Owner Makf This Installation) STATE BOARD COPY T is inspection request will not be accepted by the State Board unless proper inspection he is enclosed. Minnesota State Board of Electricity Q ` 1954 Niversity Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST 63354 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range ❑ Temporary Wiring 21 Duplex ❑ ❑ Water Heater ❑ Lighting Fixtures ❑ Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm ❑ ❑ ❑ pLList List Other ❑ ❑ ❑ Herers erers COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee FeedeIs&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. A 0 to 30 Amperes 101 to 200 Amps. 3 31 to 100 Amperes Above 200 Amps. A Above 100 Amps. Transformers oPartial or other fee Signs SpeciaMinimum fee Remarks TOTAL F G) I, the Electrical Inspector, hereby certify that the above inspection has been ma e. (Rough-in) Date (Final) Date 7 This request void 18 months from f RESIDENTIAL /v: 30 W , g1y Jr. 5 oo BUILDING PERMIT APPLICATION _ 3 - s l CITY OF EAGAN ~ t 3330 PILOT KNOB RD, EAGAN MN 55122 t v 651-681-4675 171. 7,6 New Construction Reauirements RRemodeUReoalr Requirements • 3 registered site surveys showing sq. It. of lot, sq. It, of house; and all roofed areas . 2 copies of plan (20% maanum lot coverage Mowed) . 1 set of Energy Caicullatiorrs for heated additions • 2 copies of plan showing bean & window sizes; poured found design, etc.) . 1 site survey for wderior additions & decks • 1 set of Energy Calculations . Indicate If home served by septic systerri for additions • 3 copies of Tree Preservation Plan if lot platted after 711/93 . • Rim Joist Detail Options selection suet (fts with 3 or less units) j d DATE / VALUATION (~41~ SITE ADDRESS MULTI-FAMILY BLDG Y, _ N TYPE OF WORK FIREPLACE(S) 0 _ 1 _ 2 APPLICANT 00, STREET ADDRESS CIIY_ -STATE ZtP TELEPH CELL PHONE # FAX # PROPERTY OWNER Fy e-1 ~(Z k S TELEPHONE` _j wwwwwwwww wwwwwswww_ww.ww.w_wwww___wwwwww__www_w.wwww_wwwwrwwwwwwwwwwwwwww wwwwrwa~w+wwr wwwwwn COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 M1 2 t Submitted (4 submission type) . Residential ventilation Category I Worksheet Submitted Ytf • Energy Envelope Calculations Submitted [6 Plumbing Contractor: Phone # By Plumbing system includes: Water Softener ~--Lawn SprinklerT 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 I hereby acknowledge that I have read this application, state that the information ect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received Not Required updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-piex ❑ 13 16-piex 0 20 Pool ❑ <30 A Bidg ❑ 02 SF Dwelling ❑ 08 06-piex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft Multi ❑ 03 01 of_ piex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF 0 04 02-piex ❑ 10 08-piex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-piex ❑ 11 10-piex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-piex ❑ 12 12-piex PINY or N ❑ 25 Miscellaneous 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding I ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration 0 37 Demolish (Bidg)* ❑ 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.O. Footings (addition) Plumbing Foundation HVAC Drain Tile Other Roof fee & Water Final _ Pool Ftgs - Air/Gas Tests Final - Framing - Siding r Stucco Stone Fireplace R.I. Air Test Final _ Windows (n-ew/replacement) Insulation Retaining Wall Approved By , Building Inspector - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAG City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT --~""ITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 3 0 5 (612) 681-4675 Date Issued: 08/30/95___ SITE ADDRESS: 4178 BLUEBERRY CIR LOT: 21 BLOCK: 7 HILLTOP ESTATES P . I . N 10-33000--210-07 DESCRIPTION: (INCL DECK) Building Permit Type SF PORCH Building Work Type NEW REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY: VALUATION $7,000 Base Fee $124.75 Surcharge 3.50 Total Fee $228.25 CONTRACTOR: - Applicant ST. LIC. OWNER: GOETZ CONST THOMAS 18519258 0003478 USS EVELYN 9030 11TH AVE S 4178 BLUEBERRY CIR BLOOMINGTON MN 55420 EAGAN MN 55123 (612) 852-9258 (612)454-3244 I hereby acknowledge that I have read this application and state that the information is correct: and agree to comply with all applicable ~t:ate of Mn. Statutes and City of Eagan Ordinances. F r~- APPLICAN /PERMITEE SIGNATU ISSUE BY: S RE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 6 3 0 5 Eagan, Minnesota 55122-1897 Date Issued: 08/30/95 (612) 681-4675 SITE ADDRESS: P . I . N . ' 10-33000-210- 07 APPLICANT: LOT: 21 BLOCK: 7 4178 BLUEBERRY CIR GOETZ CONST THOMAS HILLTOP ESTATES (612) 852--9258 PERMIT SUBTYPE: TYPE OF WORK: SF PORCH NEW DESCRIPTION (INCL DECK) INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FRAMING FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK CITY OF EAGAN - 3795 Pilot Knob Road Ealgan, MN 55122 N! 5200 P's IONS: _4548100 BUILDING PERMIT APPLICATION $53,000. Receipt # r h~~5' To be used for SF Dwlg. Est. Value Date May 8, 19 79 Site A lress 4178 Blueberry Cr Erect [g Occupancy _R1 R3 Lot Block Sec/Sub. Hilltop Es tq tg%r ❑ Zoning Rl Parcel # 10 33000 210 07 Repair ❑ Fire Zone 3 Enlarge ❑ Type of Const. V W Name Mike Giles Move ❑ # StgrI s 6b ft. 3 Address Demolish ❑ Front 00 44 Grade ❑ Depth ft. Ci Phone W Mike Giles 24840 Dodd Blvd. Approvals Fees ,o Nome ou Address Assessment Permit ' U§ 6 so ~ Ci Lhkim i l 1 e Phone 469-4725 Water & Sew. Surcharge 7 Z' " 50 Police Plan chec H k t Name 5 5~- Fire SAC u~ Address Eng. Water Conn. 270.00 <W City Phone Planner Watef Mietter Council as tU7n 0 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable 1174.00 State of Minnesota Statutes and City of agaap Ordi ices`. APC Total Signature of Permittee" Mike i A Building Permit is issued to: " on the express condition that all work shall be done in ac nce wit iicoble State of innesoto Statutes and City of Eagan Ordinances. Building Official R t DATE BUILDING PERMIT APPLICATION Include sets of plans, 1 site plan w/elevations and 1 set of energy caicuations. To be used for Valuation Site Address: 'y/ Lot Block Sec. /Sub. Parcel `umber ` `7 ~rAPa,,o FsW Ti=s Owner -Telephone P Address c>05/8Z/d brs~c~ .C9i,~f/ Contractor _5'41V 1_2r Telephone Address Arch/Eng. Telephone Address OFFICE USE ONLY Erect Occupancy.. Alter Zoning.` Repair Fire Zone Enlarge Type of Const. Move # of Stories Demolish Front( Grade Depth Date of Approval and Initial Fees Assessment Permit Water/Sewer Surcharge a.. Police Plan Check Fire SAC. Engineer Water Connection Planner Water Meter Council B1 nff. r SITE PLAN t W REAR PROPERTY LINE M , PROPERTY i LIFE r DOUSE ELV. 1 Feet Feet Garage PROPERTY «h LINE LOTr y~ BLOCK z Street Address FRONT PROPERTY LINE 100 l i ELV. CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # 773 917 DATE: Rr4 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 - LAVATORY 3.00 OWNER NAME: _ 4178 BLUEBEFW COW- 6t~ KITCHEN SINK 3.00 EROM , 55123 LAUNDRY TRAY 3.00 SITE ADDRESS H454-3244 W HOT TUB/SPA 3.00 / WATER HEATER 3.00 LOT: BLS FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: rTq►~~~,^ (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: OTHER WATER SOFTENER 5.00 CITY: id~•=e~.$ZPd/`~~ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE _ SUBTOTAL S ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: S Z5 SZJ "M%"X M]:S'1~ Aft PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN PERMIT City of Eagan Permit Type:Building Permit Number:EA113002 Date Issued:08/28/2013 Permit Category:ePermit Site Address: 4178 Blueberry Cir Lot:21 Block: 7 Addition: Hilltop Estates PID:10-33000-07-210 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Larry Arrigoni Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Lawrence Arrigoni 4178 Blueberry Cir Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA141774 Date Issued:03/29/2017 Permit Category:ePermit Site Address: 4178 Blueberry Cir Lot:21 Block: 7 Addition: Hilltop Estates PID:10-33000-07-210 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Lawrence Arrigoni 4178 Blueberry Cir Eagan MN 55123 (651) 306-5252 Apex Energy Solutions 9655 Newton Ave S Bloomington MN 55431 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature