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4123 Blueberry Ct CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE f r" f i*celvito FROM AMOUNT ' & _DOLLARS ..10.0 p CASH a CHECK F.J AMOUNT. FUND CODE y R z `Y ~OCk7 Y 4 crty O!: EAGAN 3795 Pilot Knob Read Eagan, MH $5122 8123 < PHONE: 454.8100 BUILDING PERMIT Receipt . To be used for SF DWG/GAR Est. Value $83,000 Dote June 10 19 83 Site Address 4123 Blueberry Court Erect XR Occupancy R-3 Lot 26 Block 6 Sec/SubAi11t02 Estates After ❑ Zoning R-1 Parcel # 10 33000 260 06 Repair Q Fire Zone NA. Enlarge Q Type of Const. Vn I a Name Thomas Hedfaes Move Q Stories 1 Address 1521 Cinnabar Court Demolish ❑ Length 75 Ci Eagan 55122 Phone 452-2238 Grade ❑ Depth-46-Sq. Ft. ,g Name Ted Wachter Construction Approval: Fee: uu Address 4550 Blaekhawk Road Assessment Permit 382.00 I- city. Eagan 55122 Phone 454-2130 Water & Sew. Surcharge 41.50 t Police Plan check. 191 -00 ~W Name HZ Fire SAC 525.()() Address Eng. Water Conn. 450_4Q- <W City Phone Planner Water Meter 60.00 Council Road Unit 250.00 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 $1t399.50 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee ! Ted Wachter one f tion A Building Permit is issued to: on the express condition Ovit all work sholi be done in accordance with all applicable State of Minnesota Statutes and- City of Eagan Ordinances. Building Official p- ; Permit No. Permit Holder Misc. Permit No. Holder Plumbing 355"7 H.V.A.C. 3-72- eAti, 7-!( - Well Water Disp. Sewer Electric w of; ska ma 7~'$ inspection Date I nsp. Other Footings Foundation 5-26- 15f Framing I Rough Pibg 1-L Ae 412 Rough HVA insulation ~3 oN Final Pibg. Final HVAC Final Watsr Describe Location: Well Sewer Pr. Disp. Roo" MECHANICAL RMtT Permit No. ~ o t CITY OF E N Fee Fill in num&-raVAoaces S/C Type or Print legibly r~ Tot. e... f 1. Bate f ="R 2. Instal, `Qn os `t (t 3. Job AeldrESS tLf? 13tk. Tract , 4. Owner /Z . Contract riff` t°'I" I' € L ? -..r Phone . Aiddress dam' s' / .t lee t' f 7. City State Zip S. Building Type: Residential Commercial D Institutional 0 9. rk DeWiption. New Add 0 Alter D Repair d 10. Describe Fuel Type 1" . Eguisament WTU Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater F Other k it Cond, Piping Outlets - : _ atio ~s i t tyv* two, ti imp. } ap i c do PLUMBING P'ERMIT~ Permit No. CITY OF IEAt3AN Fee fill in numbered spaces Sic- Type or Print legibly Tot. 1 Date 2.' I nstafiatio6 Cost 3. Job Address yewa3 z- z , G I t Blk. _ 46 Tract • 4. Owner Contractor Phone d. Address t Z C t /1 A OL Lt, 7. City 4 0, State Id/ 1) Zip J / ,5Pc;Z Building Type: Residential Commercial 171 institutional O 9. Work Description: New 91 Add 0 After O Repair ❑ 2Q. Describe 11. t4q, Fixtures No. Fixtures Dater Closet Cesspool/Drajfi"fiatd 1 Bath tubs Septic Tank Lavatory Shower well kitchen Sink Urinal/Bidet Other Laundry Tray` Floor Drains Drinking Ftn. Stop fink . Gaj kP4Tg Outlets O the ab€ l fpmativn is tale artd oorrect, wtd I aW to k '00 Reoeapt a MECHANICAL PERMIT ` Permit No. 6' CITY OF EAGAN Fee 1.2.0 Fill in numbered spaces S/C 5 Type or Print legibly Tot. art a s~ 1. Date 4-7-86 2. Installation Cost _ sc`tt ti 4123 Blue1? xry C t. 3. Job Address Lotg_Blk. (P_ Tract ' -r € 4. Owner - TA= x dg~ 5. Contractor Phone k 8. Address 4030 Beau DeRue Dr. r City Eagan, State M Zip 5 122 8. Building Type: Residential Commercial ❑ Institutional Q 91, Work Description: New ❑ Add ❑ AlternQ Repair ❑ 10. Describe Ai-r t:s vz~ zxxl -Fuel Type 11. No. Enu`ioment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mfg Mech. Exhaust . Unit Heater Mfg. Other Air Cond. &B16-311 Mfg X i i Gas, Piping Outlets i i 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 vvgrk. Sgrwd: .b"Psctiom, Date Inn. - Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 46"100 CITY OF EAGAN Remarks Addition HILLTOP ESTATES Lot 26 Blk 6 Parcel ; Owner- street 4123 Blueberry Court State Eagan, MN 55123 Blur-y--lane Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1336.72 13 3. 67 10 802.04 2008801 STREET RESTOR. GRADING SAN SEW TRUNK 1973 172.14 8.61 20 ill cia A008139 0/?7/7g * SEWER LATERAL 1980 3199.22 31 912 10 1919.54 0008801 11-15-83 WATERMAIN * WATER LATERAL 1980 * WATER AREA • Services 1980 * STORM SEW TRK 1980 * STORMS W LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT 0-83 ROAD IT 250.00 36342 6-1 WATER CONN. 450.00 BUILDING PER. 8379 n SAC 5 2-1; - 00 PARK 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Site Street Address / (f Unit # Property Owner e) e7 'y z J, e_ S, a Telephone # ~SZ 2 2 Contractor L (mot/ Telephone # Address I e w City StateZY_ The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and wat 4.,`he to ~~8 8 2004 -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is requir f Other: Water Softener Water Heater $ 15.00 replacement _ additional. ~H S Ci zz_ 1P V18 Lawn Irrigation System RPZ_ new _ repair -rebuild 30.00 State Surcharge $ .50 Total $ 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 approv )d, /yJ . Applicant's Printed Name Applicant's Signature D 5 d 'Lu04 By CITY. OF FVA"H WATER SERVICE PERMIT 3793 Hot Knob Road PERMIT NO.: 4783 Eagan, MN 55122 DATE: 6--2C'-83 Zoning: Ri No. of Units* 1 Owner: F'i Wachter Coast Address: Site Address: 473.L3 Blueberry Ct 1,26 Hilltop ` s a eq Plumber: 4ensel Plbg & 111 4 p Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 10 • D 1 ogre to comply with the City of Eagan Surcharge: • 50 ?xd Ordinances. Misc. Charges: 0.00 Pd meter Total: By Date Paid: Date of Insp,: Insp.: CITY of PAGAN SEWER SERVICE± PERMIT 3795 Pilot Knob Road PERMIT NO.: 5870 f Eagan, MN 55122 DATE: 6-10-83 Zoning: 21 No. of Units: I Owner: Ted Wachter Const Address: Site Address: 4123 Blueberry Ct L,26 B6 °Allta Estates Plumber: Wenzel Ply; & Htp 6-10-33 36342 100.00 pd t agree to comply with the City of Eagan Connection Charge: - 4 2 5 • 00 M Ordinances. Account Deposit: Permit Fee: 10.00 ad Surcharge: . 5f) ^ BY Misc. Charges: Date of Insp.: Total: Insp.: Dote Paid: This request void I 10 lr ~ i ~j IPA l'(l~o~ ~T \ 3-73 1 3 18Wmonths Qfrom 7 Request Date Fire No. Rough-in Inspection Re ,red? ❑ ❑Ready Now El WifI 14Ni y InsPec Yes No for When Ready Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. City Section o. Township Name or No. Range No. County Occupant (PRINT) Phone No. To rr> Ilpw es. Power Supplier Address Electr p Contractor (Company Name Contractor's License No. '17 57 Mailing Address (Contra or Owner Making Installation) ~a f ZZ/, ,tea - Authorized Signa ure (Contractor/Owner Making Instal lat on) Phone Number MINNESOTA STA BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave.,. St. Paul, MN 551.04 Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 s., q ' See instructions for completing this form on back of yellow copy. X " Betl~b Poeedered by This Request 7~J 3 Nevw Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pectfy Other (Specify) they Specify Other Other Compute Inspection Fee Below # Fee Service Entrance Size Fee Feeders/Subfeeders # Fee Circuits / 00 0to200Amps 0to30Amps / 0to30An? s Above 200_Amps' 31 to 100 Amps `l. 31 to 100 Amps Swimming Pool Above 100Amps Above 100_Amps Transformers Irrigation Booms P1cJ . -c;D Parti ✓ her Fee Signs Special pection Remarks T TAL FEE Rough-in D . I, t e a g inspector, hereby certify that the above Final a e inspection has been made. This request void 18 months from 2004 RESIDENTIAL BUILDING PERMIT APPLICATION ' City Of Eagan 4l a 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements t rce Use On1v 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert + 'Reed N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tw+ Tres P Fecd ~i 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks free 3~res:ilegrsred' N 1 set of Energy Calculations Addition - indicate if on-site septic system (3r> srte.SQpt+cSy#ia t?] 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date A / ZLC? / Q"1 Construction Cost IV Site Address _ f'l~f~ Lc)CS~L~ C 1 ' Unit/Ste # L; Description of Work Multi-Family Bldg - Y N Fireplace(s) _ 0 ki - 2 Property Owner 2 ale- Telephone # Contractor ~4s5 Y Address ev G-1- 1✓`Z 0 City (3~UGL~~;'r State Zips 7 Telephone # (Z) ~Sy 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 submission type) • Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a si Y ^ N If so, 25% plan review fee applies. Ob. O Licensed Plumber /Tele oneone Mechanical Contractor Sewer/Water Contractor one # ( ) 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 MN 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 a case of work which requires a review and approval of Tans. t~ (d'o Apl?licant s rinted Name Applicants Signature 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 p 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) _ FinaUNo 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 _ RI. 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 2000 BUILDING PERMIT APPLICATION (RESI NTIAL) CITY OF F AGM 2 S 3830 PILOT KNOB RD - 55122 ~y I 651.681-4675 ' V DO, Now Construction Reauiremenis 3 registered site surveys slowing sq. ft. of tat, s% ft. of house 2 copies of pkm and gl rooted areas (20% MMmum tot coverage lowed) 1 set of energy cai for healed + ilons D 2 copies of plans (show beam do window sizes: poured inxi design; etc.) i site survey for extertor addftm & deoks D 1 set of energy caiculallons m> 3 copies of tree preservation plan M ioipiatied affer7/1/93 DATE: R z o0o CONSTRUCTION COST 1 01 000-awl PAX DESCRIPTION OF WORK: ~2 n cs=. •rU ~.m aC..QQ- G o S Sao- . 0, 42AZ 7Z STREET ADDRESS: °I (23w.e 1hQ Y. , LOT: BLOCK. SUBD./P.I.D. VV i t`'51- i -,E S L - S 2-223 Name: S \ \O rut AS Phone (65 PROPERTY Lad First OWNER ~ Street Address. l 2 3 Qk ~4a_\,Q Y f~( City r.1 State: 1-(l13 Zip: 5-g[ 23 Company. S CAL. w, e.. CL-5 c-~b o u e Phone (area code) CONTRACTOR Street Address: License # Exp. City Skate: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone Street Address: Re&traion City State: Zip: Sewertwater licensed plumber (if installing sewer(waterPhone I hereby acknowledge ihot I have read thin application, state that tho Information IS correct, and agree to comply with of applicable of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation O 07 05-plex p 13 16-piex ❑ 21 Porch (3-sea.) ❑ 31 Fact. Alt - Mufti O 02 SF Dwelling ❑ 08 06-plex ❑ " 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 03 01 of _ plex ❑ 09 07-piex O 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 04 02-piex ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-piex Ping -Y or N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plea D 20 Pool c3 30 Accessory Bldg. WORK TYPE ❑ 31 New ❑ 36 Move Bldg. ❑ 43 Reroof 32 Addition ❑ 37 Demolish (Bldg)* ❑ 44 Siding ❑ 33 Alteration ❑ 38 Demolish (interior) ❑ 45 Fire Repair 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft Census Code (Allowable) Main level sq. ft. ' MC/ES System UBC Occupancy sq. ft, City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SMI Permit SM/ Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) q CITY OF EAGAN 1 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction .Reauirements RegWeLe ai{~r Reggkemonts 3 registered site surveys showing sq. ft. of lot,'sq. ft. of house 2 copies of plan and all roofed areas (20% maximum lot coverage oliowed) 1 set of energy calculations for heated additions 2 copies of plans (show beam & window sizes; poured find. design; etc.) 1 site survey for exterior additions & decks > 1 set of energy calculations 3 copies of tree preservation plan If lot platted after 7/1/43 DATE: CONSTRUCTION COST: _ DESCRIPTION OF WORK: e "6- ,-e_ OAS 'S`-Vo r y~ STREET ADDRESS: Z z, R C S!R \ e LOT: D- BLOCK: SUBD./P.I.D. ~ t\ o t S eS ~ ~ ~ Name: F ~J C. £~ow`pts Phone (of l- S L -ZZ 1 2 PROPERTY Lost First OWNER Street Address: City ZA C- t4 iJ State: Zip: 575 Z 3 Company: S A M E- Phone (area code) CONTRACTOR Street Address: License # Exp. City State: Zip: ARCHITECT/ ,p 1 ENGINEER Company: LA Name: Telephone area code Street Address: Registration City State: Zip: Sewer & water licensed plumber (reauiredfor new, construction only): Penalty applies when address change and lot change is requested once permit is issued 1 hereby acknowledge that i have read this application, state that the information is correct, and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes- No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ - 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) 02 SF Dwelling ❑ 07 5-plea ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) 03 1 of plex ❑ 08 6-plex 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) 04 2-plex ❑ 09 7-plex ❑ ` 14 Apartments ❑ 19 Lower Level ❑ 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 0 33 Alteration ❑ 37 Demolish Bldg. ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) '0 42 Reroof 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 Engineering Variance Permit Fee Valuation: Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SM Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies; Total: SAC Units %o SAC CITY OF EAGAN 8795 Pilot Knob Road Eagan, MN 55122 jr ~T? 8129 .k PHONE: 454-8100 BUILDING PERMIT i Receipt # Y To be used for SF DWG/GAR Est. Value $83,000 Date June 10 Iq 83 Site Address 4123 Blueberry Court Erect R-3 X$ Occupancy Lot 26 Block 6 Sec/SubHilltop Estates Alter Q Zoning R-1 Parcel # 10 33000 260 06 Repair Q Fire Zone NA Enlarge Q Type of Const. Vn ce Name Thomas Hedges Move Q # Stories 1 z Address 1821 Cinnabar Court Demolish ❑ Length 75 Ci Eagan 55122 phone 452-2238 Grade ❑ Depth 46 Sq. Ft. Name Ted Wachter Construction Approvals Fees ,o oU Address 4550 Blackhawk Road Assessment Permit 382.00 V~ City Eagan 55122 phone 454-2130 Water & Sew. Surcharge 41.50 Police Plan check 191.00 Name ~W Fire SAC 525.00 FW x~ Address Eng. Water Conn. 4 50 _ nn <W Ci Phone Planner Water Meter 60.00 Council Road Unit 250'00 I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with oil applicable APC Total $1899.50 State of Minnesota Statutes and C' of E on Ordinances. Signature of Permittee e ac ter o ruction A Building Permit is issued to: on the express condition that all work shall be done in accordance with all opplicobl tote of Minn to Statutes and City of Eagan Ordinances. Building Official A CITY OF EAGAN Include 2 sets of plans, V-Z-9 W 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. i To Be Used For S Lo a Valuation OC) ® Date Site Address: 4 `';~3 OFFICE USE ONLY Lot LO Block to Sec. /Sub. #t 't L "erect X Occupancy Parcel 10 3 a U Q 9& 0 6 Ct, Alter Zoning Repair Fire Zone Al Owner: Enlarge Type of Const. V n Move Stories 1 Address : ~ l (2t'A V~ ct- f- Demolish Front -79 ft Grade Depth (D ft. City/Zip code: a_ r\, as r a -q Phone f S 7 - ? APPROVALS FEW 6'p Contractor: C. wyC 1 4y- C®Y-' Assessments Permit Oda d, Address: q7 Sri g~0.ck V_ W[c Water/Sewer Surcharge le- ~ 1 Police Plan Check City/Zip Code~:P ~0. rv 'Se Fire SAC S2 S = `t S - 1 3 C Eng. Water Conn. SO, m Phone C~ Planner Water Meter bo Y OF— Council Road Unit Arch./Eng.: Bldg. Off. Address: APC I City/Zip Code: f d ! 7 Phone TOTAL SURVEYOR'S, CERTIFICATE THOMAS HEDGES h aes \0~P~ Q E eL \ G P 5 ~0 PyE fix, F.9o j 3p 5 io ~ 1 x so 4 I ~ ~s9~ ~ , ~ 77°58 ~ RY w6 ~ ~ RT --E- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = - FEET I HEREBY CERTIFY TO THOMAS HEDGES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 26, Block 6, HILLTOP ESTATE, according to the recorded plat thereof, Dakota County, Minnesota. AS SURVEYED BY ME THIS 24TH DAY OF MAY, 1983. > SIGNED: JAMES R. HILL, INC. BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 PROJECT NO. eooK i PACE JAMES R. HILL, INC. 83z~ z Boov- Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 65431 612-884-3029 r..----------------1 I For Office Use I I City of Ea Permit 3830 Pilot Knob Road j Date Received: Eagan MN 55122 Phone: (651) 675-5685 Email: plan ninga-cityofeagan.com 2011 ZONING PERMIT APPLICATION ✓ Please submit a set of scaled drawings with the application. PROPERTY 4 Site Address: Name: 0rrt C4 e5 Phone: CONTACT Address: City/State/Zip: S'S <Z3 Applicant Signature: Date: ❑ Retaining Wall <4 feet ❑ Driveway ❑ Other: TYPE OF ❑ Patio ❑ Sport Court WORK ❑ Sidewalk ❑ Fence ti Description of work: r PLANNING i Setbacks hard surface coverage shoreland zoning bluff zone/setbacks etc j y _,ti. ...4 _ Approved: Ye No Date of Approval: (~IZ45141 Staff: )VIZ- Notes: Revised Plans Approved: Yes / No Date of Approval: Staff: ENGINEERING 1 Grading drainage utility easements, wetlands erosion control improvements in the Right-of-Way, etc. Approved: Yes / No Date of Approval: Staff: Notes: Revised Plans Approved: Yes / No Date of Approval: Staff: COMMENTS G:\Building Inspections\PERMITAPPLICATIONS\2011\2011 Permit Applications SURVEYORr5 C dl ( U ERTIFICATE TliONAS HEDGES pip i , 4 .mar b fi f g o 04 / ~9i 17 . o COU~r --4 DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MMWNT SET SCALE: 1 INCH - 30 FEET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - - FEET XOOO.O DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - FEET I HEREBY CERTIFY TO TH"S HEDGES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 26, Block 6, HILLTOP ESTATE, according to the recorded plat thereof, Dakota County, Minnesota. AS SURVEYED BY HE THIS 24TH DAY'OF MAY, 1483:' SIGNED: JAMES-R. HILL, INC. j BY: HAROLD C. PETERSON, LAND SURVEYOR ! MINNESOTA LICENSE NO. 12294 I' ! PROJECT NO. BOOK PAGE JAMES R. HILL, INC. 8a vo z J~a v- Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER eloominaton, Mn, 55431 812-884-3029 PERMIT City of Eagan Permit Type:Building Permit Number:EA114966 Date Issued:09/20/2013 Permit Category:ePermit Site Address: 4123 Blueberry Ct Lot:26 Block: 6 Addition: Hilltop Estates PID:10-33000-06-260 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 . Chris Hilfer 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 - Thomas Hedges 4123 Blueberry Ct Eagan MN 55121 (651) 452-2238 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167327 Date Issued:03/09/2021 Permit Category:ePermit Site Address: 4123 Blueberry Ct Lot:26 Block: 6 Addition: Hilltop Estates PID:10-33000-06-260 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Thomas & Deborah Hedges 4123 Blueberry Ln Saint Paul MN 55123--141 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA179451 Date Issued:10/05/2022 Permit Category:ePermit Site Address: 4123 Blueberry Ct Lot:26 Block: 6 Addition: Hilltop Estates PID:10-33000-06-260 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Thomas & Deborah Hedges 4123 Blueberry Ln Saint Paul MN 55123--141 (651) 895-7881 Bormann Brothers 17593 Foxboro Ct Farmington MN 55024 (952) 891-8586 Applicant/Permitee: Signature Issued By: Signature