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4127 Blueberry Ct vcJ Use BLUE or BLACK Ink I City of EaEdn i Permit I I Permit Fee. 8S 0y I 3830 Pilot Knob Road L -7 711 Eagan MIN 55122 I 1 Date Received: I I I Phone: 651 675-5675 c~, I Fax: (651) 675-5694 I Sta 2011 RESIDENTIAL PLUMBING PERoM.IT APPLIC TION Date: ` Site Address: 4 d- I(~~ U e ti~C~ Tenant: Suite M RESIDENT / OWNER Name: LL ` aAff _X CU Phone: Address/ City/ Zip: H G~ ~ Sl C_~- CONTRACTOR Name: License #:bU(/ Address: -City: 1 l1V 11 State: Zip: Phone: " t~\ I~ O Contact: AA Email: ~ - (uw'La TYPE OF WORK _ New _ Replacement Repair Rebuild Modify Space _ Work in R.O.W. Description crf work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener / Lawn Irrigation RPZ PVB) _zAdd Plumbing Fixtures (~t(Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accorda with the approved plan in the case of work which requires a review and approval of plans. X x Applicant's Printe Name App scan S' natur FOR OFFICE USE Reviewed By:,date~_,x . Required Inspectior,~s: _Under Ground Rough4n _,___Aft lest Gas Test Final ~ 'r r Use BLUE or BLACK Ink r For Office Use I I l nn Permit Permit Fe City O 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 JUN 1 0 /0 I 1 I Fax: (651) 675-5694 1 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: 13 (L-e- ?A,M L, v r"M Phone: RESIDENT / OWNER Address/ City/ Zip: .4M Fj Applicant is: Owner ✓ Contractor TYPE OF WORK Description of work: l~ f.- o lz lr-p ~a.C 6,,.~•~ t-)name/ A 1 1-10 -f ✓ ) Construction Cost: coo Multi-Family Building: (Yes /No Company: V AU 10 L .L ~ Contact: Gam,, otiL J~JL -r - CONTRACTOR Address; (Sr°) 4~S' 5 i- VQVt: State: PR~qN a,N t p, State: M_J Zip: <O 4 Phone: 6 5~l ~I License oa is o (1 Lead Certificate v Fr* l9 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) , ~.RC ~a cm J19-7!jr COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will b cosnformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, an wo 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 review and ap oval tans. x TJ L. l~~ t~uyc~ x Applicant's Printed Name Appli nt's Signature Page 1 of 3 DO NOT w7 Rg~ KL*-,,~ S LINE 996f~~ SUB TYPES Foundation Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level _ Pool _ Miscellaneous _ Accessory Building WORK TYPES ` C 47 T6,17 New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 71( -o Occupancy MCES System Plan Review- Code Edition SAC Units (25%_ 100%~) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In `Air Test -Final Windows Insulation Retaining Wall: Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review ~ vP c./ Pj~xv-vv~ MCES SAC City SAC Utility Connection Charge ~A S&W Permit & Surcharge PPP fGo`-' / d Treatment Plant (uy'l13?~,L (~J( G Copies TOTAL ~j I Page 2of3 r ,j Offic, Use { Permit#: of L City ~~ll 3830 Pilot Knob Road I Permit Fee: _ v Eagan MN 55122 j Date Received: I Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ J 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: S--4 ' Site Address: _410 Tenant: Q %-m _.~I i Iolm Lou~.M - Suite RESIDENT /OWNER Name: Core Phone: Address / City / Zip: ' CONTRACTOR Name: y),D1 Q }~~LCiYJ ~ V License Address: t l, 1 o C ~ City: L ad Ct. State: ,MN y Zip: ~7 Phone: A 1 _ J `,`°f Contact Person: TYPE OF WORK -New S Replacement -Repair _Rebuild ^ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL ' Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PVB) Main _ Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) S TOTAL FEES . I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without 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' x1 A -11 _ x_ - - - - Applicant's Printed Name Applicant's nature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground _-__Rough-In ____Air Test Gas Test ----Final CITY OF 'EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 11?82 P.10. Box 21199 PERMIT 'NO.: 47 Eagan, MN 55121 DATE: Zoning: Rl No. of Units. Owner: Sunshine Const Address: Site Address: 4127 Blueberry Ct, L25 B6 Hilltop S Plumber: LgLkeviU* Plb Meter No.: Connection Charge: 4 Size: Account Deposit: r Reader No.: Permit Fee: 10.00 Ad Gorse to eomPly with the City of Eogon Surcharge: • %Q Dd Ordinonees. Misc. Charges: 60.90 Meter Total: By Dote Paid: Date of Insp.: Insp.: CITY of EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road $ P. O. Box 21199 PERMIT NO.:' Eagan, M+55121 DATE: $ Zonings if No. of Units: Owner: Sunshine Const Address: Site Address: 4127 Blueberry Ct, L25 B5 Hilltop Es t. Plumber: Lskegille Pbb$ 5- 0- 3 3 967 100.00 Pd l egree to aorhp~r Wtg1 the if Eagan Connection Char"ge425! 00 Ord;eenaes. Account Deposit: Permit Fee: 20.00 Surcharge: - 50 PA By Misc. Charges: Dote of Insp.: Total, Insp.: Date Paid: CASH RECEIPT • CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE REGBI a lot AMC?UK"t $ 100 [j.CASH HECK, lk~ r Vlz ~TCODE AM U'.4- 7-1 CITY OF EAGAN 3793 Pillar Knob Road Eagan, MN 55122 a PHONEs 454-91,00 BUILDING PERMIT Receipt' # ~S To be aced for SF DWG/rAR Est. Value $0(1 Date ~ Ma* 20 ~ 19 3. Site Address 4127 Blueberry Court Erect Occupancy ' ~Rl3 Lot 25 _ Block 6 Sec/Sub.H L 1 top Estates Alter ❑ Zoning ~.._R-1 , Parcel # 10 33000 250 ©G Repair ❑ Fire Zone NA Enlarge ❑ Type of Const.,,,~ - W Name _ 91inshinm f!nnrtructinn Co. Move ❑ # Stories z Address 1507 Clemson Ct. Demolish ❑ Length49 Ci Phone 454-7485 Grode ❑ Depth 52Sq.Ft. ~o Name Owner Approvals Fees k i2 Assessment Permit llspp. ou Address city Phone Water & Sew. Surcharge Police Plan check UW Name Fire SAC 525.00 !K Address Eng. Water Conn/+50__OO Ci Phone Planner Water Meter 60 - 00 Council Rood unit -25 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 Total~~~-- State- of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to; Sunshine Construction on the express condition thrsf all work shall be done in accordance with all appli ble. State of Mtn to Statutes and City of Eagan Ordineirices. Building Official 41 permit No. Permit Holder Misc. Permit No. Holder Plumbing-,q S - .a -5 H.V A.c. Q t`oVl e GLS -7 ~j Water Well Disp• .Sewer Electric U)0711C-0 F EiE~ ~ ZO-$3 C~ E e tov-13 4~1 `t Inspection Date Insp. Other Footings AY7 4~ ~ Cpl Foundation !9 Framing d goof_ Rough Pibg. j 1,11001, ough HVA i 1 Instf tia~ ? Final Plb#. i Final HVAC Final Water De ibe Lo on€ Well BMW Pr. Dim. R qty . i TPLUI~ 9HNG PERMIT Permit No. Q CITY OF EAGAN Fee .2C7 i „ Fill in numbered spaces S/C p Type or Print legibly Tot. 1. Date jl)~ ~ 2. Installation Cost f4 f 3. Sob Address 40 7 6110f Lot 81 k. Tract S i " 4. Owner .~-faLW,.`~s} s -t° l i[9uU .S " 5. Contractor Ziq *e 1 + /14e A / Phone x.30--' ~ s, Address,9 F. 7. City sate Zip ` 8. Building Type: Residential Cbm"Vercial O Institutional 0 9. Mork Description: New-* Add 0 Alter ❑ Repair 0 10 Describe 11. i, Fixtures Mo. Fixtures Water Closet Cesspool/Drainfield Bath tubs_ Septic Tank Lavatory Softner Shower Well VtOenic Urinal/Bidet then Y r111Y dry Tray ftoor_flxairrsLiJ3' Crinking Ftn- i tC '4 U 04. AlINQw. "l topf; ion* ate rxarrectR ltd I wee T } , P't (j!z 6 MECHANICAL PERMIT Permit No. ~ R ocei CITY OF EAGAM Fee Z 9 Fill in numbered spaces S/C Type or Print legibly Tot. t; Date ?d::> £S 2. Installation Cost 1 c am} t 1444 bt, ` of Blk. 67 Tract 3. Job Address 4. Owner e+ ! `!1teJ " - A,# ~ i 5. Contractor Jot OAJt .4 l i } Phone ~'f! !.s}lJe9P~ P et . f Address Zjf k.. Gityf.~F",f~d~ta= State Zip-~,y f S. Building Type: Residential Commercial ❑ Institutional 0 r S. Work Description: New 4a Add 0 Alter 0 Repair 10 Describe Fuel Type ` 11. No. >EBltl n BTU - M. Ea. No. Equipment CFM V Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg, Unit, Heater Mfg. Other Air Conti, f! frtaS. Pi Ping (]cutlets Ih@A 4WW information is true and corrects ar4 I agree to . c~dess go~mrrtg t~ tvtze cif '.v~o~. CITY OF EAGAN Remarks 10 _ Addition HILLTOP ESTATES Lot 25 Blk 6 Parcel x' 4 0 Owner I Street 4127 Blueberry Court State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1 A; 7 2 133.67 10 802.04 - A012489 7-19-83 STREET RESTOR. GRADING SAN SEW TRUNK 1973 172.14 8.61 20 77.54 A012488 7-19-83 * SEWER LATERAL 1980 2 1864.33 " it WATERMAIN * WATER LATERAL 1980 * WATER AREA 1990 • Services 1980 • STORM SEW TRK 1980 * STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT ROAD T 250.00 359kT-- 5-20-83 WATER CONN. 450.00 n BUILDING PER. 8064 tt tt SAC 525.00 PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ~ 3830 Pilot Knob Road Pent Number: Eagan, Minnesota 55123 Dane Issued: (6127'6814675 SITE ADDRESS: APPLICANT: I°!l 11..~1~1~ ~ ~ f'} 0 1 ~.1 Ri 1f~`~.~_7 .,.~t1 .'l~q T PERMIT SUBTYPE: TYPE OF WORK: k~flrt~~t~d1" € 1htt~k , i } 4^x - P~)OO. P cut* PL ELECTIVC l m Daft bwp. cCIS Foote i ~e Fmnft PWv#h Fem. Q R%O Pfp. PNV. k*PP+w . meter EnW~ Duk R& Dock wad Pr. Disp. i l CITY OF EAGAN PERT TYPE~ 3830 Pilot Knob Road Permit Plumber: Eagan, Minnesota 55122-1897 bate Issues., (651) 681-4675` SYTEADDRESS:.~ ty1. 0 t- APPLICANT: "I V ( ifflATOP i PERMIT SUBTYPE: TYPE OF WORK: 1 / 4 1 @ ? ` Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ti 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN U ! 3830 PILOT KNOB RD - 55122 lo- 681-4675 681-4675 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 7/1193 required: _ Yes _ No DATE: ID-21 9 CONSTRUCTION COST; ~7 3 ` DESCRIPTION OF WORK: U CYY\ r STREET ADDRESS: -41 D- b LOT: BLOCK:, SUBD./P.I.D. l Name: ~V Q 1 l I Phone 5 - 9-X PROPERTY Lest First OWNER Street Address: -S G„xYl C- City State: m r y Zip: 55) -2 Company: Phone CONTRACTOR CustUM Concepts Construction, Inc. Street Address: 16450 Kenrick LOOP. Suite D License # Lakeville, MN 55 itf City (672) ono . Qae Zip. ARCHITECT/ ENGINEER Company: Phone Name:. R ecintration. 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. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabi 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 Duplex 0 11 Apt./Lodging 0 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. 0 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex O 14 fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 - plex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair 0 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS 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 Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review _ License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units t!)~ ~N9s~ a~ ~il~~'~Fe~ ~J .~~r, :_,Y_~..R>~. Y awn,. ~eg1Sl.a~~i.~~ 1~'~Sflr~hp}Yt[111Tla ~Rni:,o.aena_aaman : :v'[. ~ Z'Zt~Z ~ rrn :m=`__'!4~~'"~ ?i'~."~'~>+`<y~-~`.~ ~'~a^'°~'~a~"~?.~'~+=.~"'~'.'aF~. ~ y' _r~.'"TC ~ a~%{ clCitp of Cagan . Re artmmt of luildin Jn prtinn 'yj 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 ordinances of theCity regulating building construction or use. For;the following: A, ~a I~~ l R' Ilsecwdficadoh SF DWG/GAR 8064 Bldg. PerndtNo. I~ Oomp.,T rya R3 Typ. Conam b n V Fin Zw- NA z«nin DUtdct Rl \ OwmofbAdin; Sunshine Const. Co Md..1507 Clemson Ct. , Eagan eneam`naa 4127 Blueberry Ct.i~Lot 25,Block 6,Hilltop Est. ~ F Y (~i~CJ sue' June , a1983 era ina We: I fpT M CO.rNGUOi/t KACL / ~.~.~.~>.~1A _ ~,q~~ m'➢Ra 6~~ .+49L~ xFA.• ~ ~w~A11w ~p~'~._.. ,q~~A~~, i~~ ~ y~d,;. `may' ,~~~y,~ ®coes atll LITnJN U.S.A. This request void t0 83 L~-5 X341 4C t 18 months from 1570 W073994 Request Date Fire No. Rough-in Inspection Required? ❑Ready Now Will Notify. 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 qtz1 L Section No. Township Name or No. Range No . Co it Oc upant (PRINT) Phone No. Power Supplier Address ectric Contractor (Company Name) Contractor's License No. Mailin ddress (Contractor or Owner Making Installation) '7 5-~i- 4,A- k.) Lo /V i~L2 - Authorized Signature (Contr r/Owner Ma i g Installation) Ph ne Number v~L - S3 ~9 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT' Griggs-Midway Bldg. - Room LE BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ' See instructions for completing this form on back of yellow copy. "X,. Selo 7oo Uekrld by This Request s z 3 z New 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 r• Other (Specify) Other Specify t r Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders /Subfeeders # Fee - Circuits 0 to 200 Amps 0 to 30 Am s 0 to 30 Amps Above 200 _Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100 -Amps Above 100-Amp e Transformers Irrigation Booms r 5Z Partial,`Other Fee Signs Special Inspection TT FEE Remarks Rough-in Date Jet' c l Inspector, hereby certify that the above Date Final inspection has been ~ !y made. This request void 18 months from. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 i ' See instructions for completing this form on back of yellow copy. 073950 3s~~~ X"' Below Work Covered by This Request Now Add Rep. Type of Building Appliances Wired -Equipment Wired' Home Range X'j 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 (Specify) Other (Specify) Other Specify Other Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders. # Fee Circuits 0to200Amps 0to30Amps 0to30Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps Above 100_Am s Transformers Irrigation Booms a KID POThiar Fee Signs Special Inspection $ JZI T CTAIL FE!;)) Remarks Rough-inDate 1. the Electrical inspector. hereby certify that the above has been Final if Date 4d a.' ae- Thisrequest void 18 months from This request void 14P Est-{ 3 S ( q s 18 months from W073950 /0, Request Date Fire No. Rough-in Inspection R X,red? []Ready Now Will Notify. Inspeo- Yes ❑ No 1\[or When Ready Licensed Electrical Contractor I hereby request inspection of above caner electrical work installed at: Street Address, Box or Route No. aso- City .q t) Section No. Township Name or No. R nge N b. Co y Occup PRINTI Ph a No. Pow uppIier Address Electrical Contractor (Company Na Contractor's Liycense N Mailin dress (Contractor or Owner Making Installation) ss ~ .0 Authorized S, natu (Contractor/Owner M i 9 InVallation) Pho Number g5;11,, MINNESOTA STATE BOARD OF EL TRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phones 16121 297-2111 ENCLOSED. C9Y OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 033880 (651) 681-4675 Date Issued: 10/30/98 SITE ADDRESS: I 4127 BLUEBERRY CT LOT: 25 BLOCK: 6 HILLTOP ESTATES P o I, N o 0 10-33000-250-06 DESCRIPTION: T.O. & REROOF BU i i t; ,l >ermit 'Type STORM DAMAGE. i,)c, r k Type REPAIR ')d~. 434 ALT. RESIDENTIAL I I I 1 I l 1 REMARKS: FEE SUMMARY: I I CONTRACTOR: - Applicant - ST- L I C . OWNER: CUSTOM CONCEPTS CONST 18987290 20142417 LOVETT BILL 16540 KENRICK LOOP/STE B 4127 BLUEBERRY C'1' LAKEVILLE MN 55044 EAGAN MN 55122 (612) 898-7290 (651.)452-8762 I hereby acknowl.edcoe that: T have read th,i« aPP1,io~at;i ern nd r ~ F information Ls Cori"ect. and ,qr ee to ccfiiply jwit-h cal UC~1 i .;.~.LN of 'Irt. Stat:utea and City of Ear. --dinances< APPLICANT/PERMITEE SIGNATURE SUED BY: J AE PERMIT2 its CITY OF EAGAN 7~1 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 021603 (612) 681-4675 Date Issued: 07/29/93 SITE ADDRESS: 4127 BLUEBERRY CT LOT: 25 BLOCK: 6 HILLTOP ESTATES P.I.N.: 10-33000-250-06 DESCRIPTION: Building Permit: Type DECK Building Work Type REPAIR UBC Occupancy R-3 REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge .50 Total Fee $25.50 CONTRACTOR: - Applicant - ST. LIC OWNER: MILLER CONST DON 18920536 0004991 LOVETT BILL 17843 JUBILEE WAY A 4127 BLUEBERRY CT LAKEVILLE MN 55044 EAGAN MN 55122 (612) 892-0536 (612)452-8762 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. ~ J 5)CA4 Noel 4;~& 'AMA A" I /PERMITEE SA NATURE ISSUED : S GNATU E INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021603 Eagan, Minnesota 55123 Date Issued: 07/29/93 (612) 681-4675 SITE ADDRESS: LOT: 25 BLOCK: 6 APPLICANT: 4127 BLUEBERRY CT MILLER CONST DON HILLTOP ESTATES (612) 892-0536 PERMIT SUBTYPE: TYPE OF WORK: DECK REPAIR INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FINAL IL REACTIVATE CITY OF EAGAN PERMIT # 1993 1$UILDING PERMIT` APPUCATION $81-4875 SINGLE &-MULTI-FAMILY 2 sets of plans, _3 registered site surveys, `1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued Date Valuation of work 2-.0o 0 Site Address T Z -7 Ph r STREET SUITE :0 Tenant Name: (commercial only) LOT BLOCK SUBD ._I I Q Q A G P. I. D 0 ~e Description of work: FZ X 11 IVE4 The applicant is: 13 Owner fS Contractor ❑ Other <owribey 577 7 2 Name 0 W -c I / Phone Property LAST FIRST Owner Address .51 W27 vL rr C l STREET STE # `S'IZZ City sQif/ State N Zip ~`3 b Company Nxl , 0"t.-i ph .2--0 Contractor Address I Z9" 3 e.) u 11 le t4J 'r / License # Exp. City LAS' r t State A Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved`; I hereby acknowledge that I have read this apppplication and state that the information is correct and agree to comply with all applicable State,of Minnesota Statutes and City of Eagan Ordinances. i Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE yy- ❑ 01 Foundation D 06 Duplex ❑ 11 Apt./Lodging . ❑ junt,* ish ❑ 02 SF Dwg. ❑ 07 4-Flex Q 12 Multi. Misc. I17 Swim Pool D 03 SF Addition` ❑ 08 8-Plex 0 13 Garage/Accessory ❑ 18 Comm./Ind. , ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. 05 SF Misc ❑ 10 Multi. Add11. ;3 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish 0 32 Addition 1~ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System ' (Allowable) 1st F1. sq. ft. City Water UBC Occupancy Pz-3 2nd Fl, sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Manning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site Footing ❑ Framing ❑ Insulation 13 - Wallboard Final ❑ Oraintile ❑ Fireplace Permit Fee, S" p°r vatuarion: Surcharge 5'0 Plan Review License MWCC SAC City SAC Water Conn`. Water Meter Acct'. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total.: S► sv SAC % SAC Units CITY OF EAGAN N~ 8064 8795 Pilot Knob Road Eagan, MN 55122 r PHONE: 454.8100 BUILDING PERMIT f Receipt # J'SG To be used for SF DWG/GAR Est. Value $75,000 Dote May 20 1 9 83 Site Address 4127 Blueberry Court Erect Occupancy R-3 Lot 25 Block 6 Sec/Sub.Hilltop Estates Alter ❑ Zoning R-1 Parcel # 10 33000 250 06 Repair ❑ Fire Zone NA Enlarge ❑ Type of Const. V oe Name Sunshine Construction Co. Move W ❑ # Stories 3 Address 1507 Clemson Ct. Demolish ❑ Length 49 ° C; a1 55122 Phone 454-7485 Grade ❑ Depth 52 Sq. Ft. Owner Approvals Fees Name o' Address Assessment Permit • 00 u~ City Phone Water & Sew. Surcharge 37.50 Police Plan check 179.00 ~W Name Fire SAC 525.00 ~Z Address Eng. Water Conn.450.00 <W Ci Phone Planner Water Meter 60.00 Council Road Unit 250.00 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 Total $1859.50 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Petmittee Sunshine Constructio c . A Building Permit is issued to: on the express condition that all work shall be done in accordance with all oppli' tate of in to Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN Include 2 sets of plans, a 1 site plan w/elevations & UILDING PERMIT APPLICATION 1 set of energy calculations. If ~r f--Af 11 To Be Used Fo Valuation z 0-c" Date S qp-? Site Address 41 2,-7 - OFFICE USE ONLY Lot aS' Block ~2 Sec. /Sub.1 ~ Erect Occupancy n 3 Parcel ~USc ® Alter Zoning/ Repair Fire Zone Owner: ~ C, Enlarge Type of Const. Move # Stories Address: /50'7_ Demolish Front ft. City/Zip Code: 55122 Grade Depth r~ ft. Phone S y- 8S' APPROVALS FEES Contractor: Assessments Permit 34 F~ Address: 1< , Water/Sewer Surcharge 3 7 Police Plan Check City/Zip Code: r „ Fire SAC &~i-~ Eng. Water Conn. Zlg-d -Act- Phone Planner Water Meter w D Arch./Eng.: `1_'to Council Road. Unit X25 Bldg. Off. Address: /.)o 3 cs APC ,1 5 5~2 2 City/Zip Code: hone 7 J_b 38/ TOTAL (f c p E rwLc - U j Z 3q S " E L [ _t, 3 C £ low 7 ~7 3 SURVEYOR'S• CERTIFICATE 'SUNSHINE CONSTRUCTION COMPANY N 6 30 5 ~ 12 63161 6A°3 /n pr~ I co 5 s A PE +qo2 4 O C-f p Ep~E~t 2 a N V A Ep $ / a opo' '19 ~00 apt / s,36 0 4 \a~ ~gq~y.l) \ 1.99 . Qb 00 5 3 ~ o ti~ oq 1 N q: M ~S 0%, 1 .00 Z 90 ' \ / qrb ~ ~ ~ 15 41 e" h\ ~3 C~ -9 103, yC 96, sz~ . 66~ 00 T~ f -9 ~O (;0 x914.6 --4 DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET ® DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 907.0 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9~5 8 FEET I HEREBY CERTIFY TO SUNSHINE CONSTRUCTION COMPANY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 25, Block 6, HILLTOP ESTATES, according to the recorded.plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AMD_ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS 5-r4 DAY OF htb.Y 1983. SIGNED: JAMES R. HILL, INC. 1 1 v BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 PROJECT NO. BOOK /PAGE JAMES R. HILL, INC. 83232 2911o2 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDEfZ Bloomington, Mn. 55431 812-884-3029 Conn ruction No. Guide How Applied Door Reference Out. Wall Int. W&H Ceilinx Roof Floor Kind _ I ~cf to 19 ja c 1 U Room Length Ile' „ Width ( It b~ Height 8 O" Fl.) -iol_ Room Length \V ("j Width \ OW };titllt id,, i and Doors-Crackage and Arta Windows and Dooro.-Xraekage and Area W141► H•1lat N•. •t l.t-1 m A re, IdtA I eltht IVw et s"t It. Area •r r••• •1 ►•a• 11!ht• •ta crack M. fL No, of pan of Vaal IIt1U •f crack M: ft. B2tl Coef. &n Coe f. Infiltration LA C) pion 2.0 Boo -2 ` IO •a►l ?Ion cuss SO Exp. wall I t [P. wall I L4 Cs Net exp. wall 1 .n~ all Int. wall Floor r C'.i. 131 U. O Total Btu. ' red la. It. ED.P_ or sq. in,. W:A. Leader area I Required sq. ft. F_D.R. or sq. ins. W.A. Leader area •t' Room Length 'p Width'a'(e" Heightb8 " r\5~1 eNT t L Room L1-ength y Width~jb" Heitht Area ndo••s and Doors-C0. of a and It. Windows and Doors--Craekage and Area wui► He~cal N of of era t Aram, Width It•Ital No. of Lln•at ft. Arta •t •r r••• IIC1+u of crack art. n. Ne. of Pape of oaM iltate of crack b. tt. ~ 1 n t r Z ' ~ t It Coe f. Btu 1 0 1 JQ_ _3 2- C*c ttioe Infiltration y Glass rail q 9- Exp. wall i " P. Wall Net exp. wall ttv b II In wall t-x Ni>J uL 3 IS Floor ' In \ L4 4 Ceil. 0tu. ILA _q Total Btu. tvC\_ O ~-t t t H 9cA cd Sq. ft. ED.R or sq. inst. W.A. Ludo area Required sq. ft. E.D.R. or sq. iris. W.A. Uadcr area u _ 9,)o Rood Length Width I3'~' s ht b'Q" Fl•~ Room I Length Width Height J1 • 7 do J1l and Doors-Crackage and Area Windows and Doors-Craekage and Area e Hrlt*l Ne. Of Llnaal fl Area Width Height Na •t Lineal ft. Arta .q •t •.f pima Ilehla of crack ft. Ne. of pan" af.pana Ilthta I of crack on. ft. 11'0'' Lv . •~t' Coef. Btu Coef Btt >•r iott. Zu y b Boo Infiltration -`f sv Glass sU Exp, wall Neu I t) Net exp, wall Int. wall Floor , I ~ y cfal: t . 1;u. 2d Total Btu. d t~. (t. E.D.R. or sq. ins. W.A. Wckt am Required sq. ft. E.D.R..or sq• int. W.A. Leader Art& 'r Now Applied ~f)rhtI Rcftfenee I Out. Wall Int. WAR CtilInw ltnof hoot Kind 19 Room Len th - Width W hh Heltht t P1'Ct FkIght t'.•c', r1•I tC -r Roos,{Length 1~U int{or+t and Doors-Crackage weld Ana Windows and Door-Craekage and elk ~.~•t~ N.~r~t N•. Ltaui ft Aral, Width Melt'\t Tfe. et Uaul it. Area at e..• •i r. n.ht• •f erect •N. t6 Ne. of fttee or Mme llf\te of enact ft. l^• ..t let t~ kt . l ip 1 • `l.. l`.rJ. ` ILI t^ Coef. mu c.f. a t ion to ?_n RO Infiltration i ~l U US 5U Miss 10 S .,.tl 1 Exp. wall ,t :p. Hall 114 Net exp. wall fall Int. wall 3 7. Fleer C•1. Btu. o Total Btu. y ircd sq. ft. I;D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area: t,. Room Lentlth 1`l'V Widthl V V Height 13'O" Fl.l M Aw %aihRoom I Length Width L &I Height e ind3..-t and Doors-Cracksge and Area Windows and Doors-Crackage and Area wi•~a N.~r~t N•, •f dual Area, fl. on. M Width Ifela\t Ns, sr l.ine•1 ft. Area •r r..• •t e•.• li[Ata of crack n. M- Ne, et pace et Dane ►1t\tr of crags •e. tt.' 3i e Coe f. Btu L -1 a f. to '11O ° ll t) Infiltration ~n I C1 Glass 50 all T. -all 3 z. Lip. wall I y I Net exp. well II Int. wall Floor ~'1 ZZ 2.r) 5 l 1 DU Ceil. tu. Total Btu. cd sq. ft_F R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq..iris. W.A. Leader area Dit.fl rl Roost 1 Length 166' Width I O V Height. 'CN I I Ll fl T n.r tt Room I Length '1' U" Width 5'(e Height do»i and Doors--Crackage and Area Windows and Doors-Crack and Area Neititt er Lf•tcre . fL A►e. Width Height rie. of Lineal ft. Area 11tf+t •r •r e..• e ek ft. Na of pane prman• lltftte of erotic on. ft. 6, ' , L4 I I Coef. Btu Coe f. am ion 'L LIn. lano Infiltration SO JOSO_ Class II 1 Exp. wall I well qg$ Net exp, wall Int. wall Floor pb L Cal: S i u, Total Btu, W.A. lttdef >rtti $1. It. ED.R. or q, kt<. W.A. Wckt area Required tq• ft. URN rq• int. or office'Use q I City of W an ~ Permit I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 1 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Lil Date: V Site Address o1 ~ 71 Tenant: ~~((q wczp- Suite RESIDENT / OWNER Name: ~~Lvt C} kmell f 1 Phone: Address / City / Zip: Applicant is: Owner contractor TYPE OF WORK Description of work: i GG Gc~ Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: 46ft O ~jG l3 GGC License OO _ OC~ Address: / C2 ! / S SS A City: State: Zip: Phone: 7~~-C37Pf~ Contact Person: l q,,2 Se-,o 4W- e COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public"information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without 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 /17 1 x D~2' x 1-1402 - Applicants Printed Name A ant's S gn ure Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108268 Date Issued:11/28/2012 Permit Category:ePermit Site Address: 4127 Blueberry Ct Lot:25 Block: 6 Addition: Hilltop Estates PID:10-33000-06-250 Use: Description: Sub Type:e - Fixtures Work Type:Inflow and Infiltration Description:Redirect sump pump discharge to the outside Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Mike Schiltz P.O. Box 22172 Eagan, MN 55122 651-681-8252 Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - William H Lovett 4127 Blueberry Ct Eagan MN 55122 Hessian Plumbing Services Box 22172 Eagan MN 55122 (651) 681-8252 Applicant/Permitee: Signature Issued By: Signature C!tyofEaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: / / ? / Permit Fee: /2 ---' I Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: e er Name: -, L ,..:_,v rtp r Phone: /- ' -s ;' Address / City / Zip: 4 t_`)x., .L1 `"JI Applicant is: ✓Owner Contractor Work 5. Description of work: C (.., i�+— t g---) G--St--MT `gT ► �4. t7' 6-e---)1,---"�Yp Construction Cost: e' '-' Multi -Family Building: (Yes / No--" ) k , �Ictor 1 Company:��v( .`_ �hl.-�v�Le_ Y��,6�.�tu\ Contact: ,)„1/4vc-�-�,,'3„,_.... Address: Co 3 �L ,,, cm_ v11.. City:t t,.L,w.d, State: N1t% Zip: cjoSri-- Phone: 6,5-I /5-757Z Email: '-P,6tis;_wA 0,� 0-V> X.3 -‘-.2.4-A. License #: L d C.0 i I C. Lead Certificate #: NA'T /' C= 13 — 1 If the projectgis exempt from lead certification, please explain why: 1 / 5c P>,..), ,-- 'T” In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: Pians ar d pporting documents t a x 'deion Portion ® f the informationy be classifi s non ea onci CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without 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. Exterior work authorized by a building permit issued in accordance with the Minn > ota tate Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name Applicant's ture Page 1 of 3