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4139 Blueberry CtCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4139 Blueberry Ct Lot: 22 Block: 6 Addition: Hilltop Estates PID:10- 33000 - 220 -06 Use: Description: Sub Type: Work Type: Description: Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 e- Fireplace Gas Fireplace (new) Contractor: Automatic Garage Door Fireplaces 8900 109th Ave N #100 Champlin MN 55316 (763) 571 -2525 Improvements to the home may requ concealing. PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to Carbon monoxide detectors are required by law in ALL single family homes. Owner: Brian D Walter 4139 Blueberry Ct Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA088506 03/19/2009 ePermit CASH RECEIPT CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RECEIVED wefyjj'„? PROM G ^ :L' '-V .t .? AMOUNT $ 17 I /? ?GG mot/(? & DOLLARS 100 ? CASH J CHECK FUND CODE AMOUNT / s"y cc? Than u /'-3 White-Payers Copy Yo11ow-Pbsting Copy kAb3ATY???.. CITY -OW t Or d; PEON. 21-199 Ea * 4"1 " PHON 4100 Recut # BASEMENT Est Value $4 , 300. Dates-` r $i 4139 BLUEBERRY 1 k Addt$V Site Erect 0 Oo?Lqpamtr s Lot 44 Fdiock 6 Sec/Sub. HILLTOP ESTAT.4Semode1 Q£ Zoning Parcel. Repair ? Type of Cost. Addition 0 iYo St P rtae KARLPKAUN' CLII4E Move ? Lea th ,, Demt9li?n ?- Depth Rdrrass Int. lmpr. ? Sq. Ft i Phone 452"`0658 install El Approvals Age, U 221-7727 (w) A Phone P" Address City Phone I hereby acknowledge that I have read this application and state tha inforrmiition is correct and agree to comply with all applicable Sta Minnesota Statute and City of Flan Ordines,: .. y .. self r, Signature of A Building Permit is issued to: ----7- ail work shall be lone in accordance with all applicable Budding Official I CLINE of Assessment - Water & Sew. Fire Eng. Planner Council tthe Bldg. Off. 3/14/6 to of APC Var. Date Surma _?. Plait lw? SAC _.t ter cwk Road U Tr. Pl. Parks L: 1'4 0 , _ PERMIT # CITY OF EAGAN FEE - µ PLUMBING PERMIT RECEIPT # 454-8100 S/C MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL r ' DATE MINIMUM COMMERCIAL FEE -$20.00 + $-60 1. Bldg. Type: Res c.- '. Comm Inst 2. New Add Alters Repair 3. Total Bid Price 4. Job Address? ! F+? Lot Block Sec ?. 5. Owner 6. Contractor (Name)- / 5 e 4 l (Street) (CAY) 7. Contractor Phone # NO. FIXTURES NO. FIXTURES NO. FIXTURES -Water Closet - $3.00 -Laundry Tray $3.00 Well - $10.00 Bath Tubs - $3.00 -Floor Drains - $1.50 _Private Disp $yt $10.00 Lavatory - $3.00 -Water Heater - $1.50 -Rough Opener w/o Shower - $3.00 ,Whirlpool $3.00 Fixtures -11.50 Kitchen Sink - $3.00 ____GasPiping Outlets $1.50 -Urinal/Bidet - $3.00 -Softener $5.00 COMM./IND. RATE - 1% QF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR,EACU $1,000 OF Imo. Signed: •:';-?.... for Approved Inspections: Date Rough Insp. Date.,,_,_.. Ev* kW. PERMIT # CITY OF EAGAN 'FEE tl i . MECHANICAL PERMIT RECEIPT 45x4-81 SfC MINIMUM RESIDENTIAL FEE-- $10.00 +"o TOTAL DATE MINIMUM COMMERCIAL FEE - $20.00 +'$.50 1. Bldg. Type: Res Comm Inst 2. New Add !" Alter- 3. Total Bid Price 4. Job Address Lot Blo S ?;,, wner 6. Contractor ?c. s (Name) 7. Contractor Phone # RESIDENTIAL HEATING - 01-100,000 BTU's $24.00. Each additional 50,000 BTU's orfraction - $6.00 RESIDENTIAL COOLING - 01 0 BTU's - $12.00. Each additional 6,000 BTU's.*r faction - $6.00 MODIFICATIONS/ALTERATION -$10.0 minimum fee HEATING VENTILATING HOT WATER STEAM AIR COND. -----AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. REI R1 . -RES. j,AS PIPING OUTLETS - 1.5 TANKS: L.P. UNDERGP" OTIR Al, COMM./IND. RATE - 1% OF TOTAL BID PRICE PAL $.50 STATE SURCHARGE FOR EACH $1,900 OF FEE. Signed: -? _ for Approved Inspections: Date ugh Insp. Date _,._?_ Final In p. ,,_ F; CI OF EAGAN 3830 Pilot Knob Road,'P O. Box 21.19M, MN S5121 PHONE : 454-8100 IIT Receipt # ktlvooo for 5 Est. VW* $98#000 oat 19 Sits ;address 4139 BLUEBERRY CT Erect Occupancy R3 Lot 22 dock 6 Sec/Sub. HILLTOP' EST Aster J Zoning R1 Parceii NO, 10-33000-220-06 Repair a Fire Zone N 7_A °_ KARL KARE10 CLINE # F b4orger O Type of Coast. V v nrne AVE SO Move a # Stories _ E# 890-4240 cit m Demolish Q Lengths y l?c e - Grade 0 ?1 Depth Sq. Ft. 1144?11?/IIWMIIi11M _ -_ Nan" NOME TER BLDRS A h , AdOress 42 NP.AL AVE SO. Assessment Permit _ • 00 City ©N Phone 436-5$03 Water & sew. rsurchare - - 49.00 I- Polite plan check 213.50 Name Fire SAC 525.00 Addrests Eng. Water Caton. A70 . 00 d City. Phone Planner Water Meter _ + ?r 00 Council Road Unit _..- 2 6 0- 00 l hereby mclcn wrledgo that I have read this application and state that Bldg. Off. the information 4 tor-rcect o gree to comply with all applicable St t f Mi S APC 0 • 50 a e o nnesotbv tatute. CitK of Eag rdinonces. TOW S€gr. Lure of Permittee / A $ui #rtg Permit is issued to: on the all work shall be done in accord w Ail a ptip`obie t to of Min nesota Statutes and City of F0 "no Official * s aa h"Poldeft ,Dow POO*W F NOW HVAC FIRM Waft V SWAYAW Receipt '"I U PLUMBING PERMIT Permit Nio CITY OF EAGAN Feet Fill in numbered spaces S/C Type or Print legibly Tot. ?!J 1. Date d 2. Installation Cost t& 3. Job Address atBik. Tract Pte', 4. Owner 9" 1 1 es?- e .*-' cJ 5. Contractor 6. Address 7. City State Zip 8. Building Type: Residential k'1 Commercial ? Institutional 0 9. Work Description: New Add 0 Alter 0 Repair 0 10. Describe 11. 12. 1 hereby certify that the above information is true and correct, and I agree to comply 'tlyall ordinan ?pSd codes governing this type of wor Srgne Ifor Rough f=inal Inspections: Date Insp.- Date Insp. Thts is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 No. Fixtures Water Closet aNo. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets Receipt 7 MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee 20. 00 +' ' 1 L Fill in numbered spaces S/C .50 Type or Print legibly Tot. 20.50 1. Date 6-8-g4 2. Installation Cost 4800.00 3. Job Address 4139 Blueberry Lo t"2 0.Ik. Tract _ 4. Owner HOMEMASTEI BUILDEW 5. Contractor R 'Y N. WELTER HEATING Phone 825-6867 6. Address 4637 Chicago Ave. So. 7. City Mp1s. State MN. Zip 55407 8. Building Type: Residential Z7 Commercial ? Institutional ? 9. Work Description: New I Add ? Alter ? Repair ? 10. DescribeIfstall heating & air COfd.Fuel Type Nat gas Elec. air co I., 11. No. 1 Equipment STU - M. Ea. Forced Air 100,000 No. Equipment CFM Mfg. Air Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. h O 1 Air Cond.36,000 Btu t er Mfg. Gas, Piping Outlets 12. I hereby cert $ that t above informatio 's true and correct, and I agree to comply wi ances codes rning this type of work. Signed: R Fib Inspections: ate Insp. Date Insp. This is yQur permit when numbered and approved. Approved CITY OF EAGAN 454.8400 CITY OF EAGAN Remarks Addition HILLTOP ESTATES Lot 22 Blk 6 Parcel 0 r Owner Street 4139 Blueberry F1t1f7 f state Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 13-36-72 133-67 jo 802.04 C008450 S-17-81 STREET RESTOR. GRADING SAN SEW TRUNK 1973 172.14 8.61 * SEWER LATERAL 1980 3213.19 321,32 10 1 1927J1 CO 8450 5-17- 3 WATER MAIN * WATER LATERAL 1980 * WATER AREA 1980 * STORM SEW TRK 1980 * STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 260.00 #42971 5-3-84 WATER CONN. 470.00 1? It BUILDING PER. 9031 ri SAC 525.00 I? PARK (? ((e D3? 1? ?/Ro o, 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date 3 / 1l / b? Site Address l (?C? CO IL Unit # Property Owner Telephone # la Contractor Street Address )6 4-11 i4be/"J e 11 Sf i L, City u State Zip JJ`3o (7/3 ) ` ?-77` 7 Telephone # Bond #: Expires: The Applicant is Owner _ Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace Additional __?/Replacement air exchanger air conditioner _ New _ Replacement other State Surcharge $ .50 Total $ 30. I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 app coved plan in the case of work which requires a review and approval of flans. Applicant's Printed Name Applicant's Signature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date 0 Site Street Address Unit # Tenant Name (if applicable) Previ ous T t Name Property Owners "4141::L phone # 41 to Contractor a&i e 7 ie Street Address CV f ( f9&€,- e el? 54- /7j'9n'7 ? City State Zip _ b Telephone # (763) 7.747 Bond #: xpires: The Applicant is Owner _Xontracto Other Work Type New Construction _ Underground Ta k _ Install Remove **see below Interior Improvement _ Install Piping _ rocessed _Gas Nature of Work: **When installing/removing u derground tank, call for inspection by ire Marshal and Plumbing Inspector Permit Fees: $70.50 Undergr and tank installation/removal $50.50 Mini (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If ep rmit fee is $1,000 or less, add $.50 $ State Surcharge If permit fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: irm y Vol TPQ COO FO RA W MW WYK Y001 MA MA) IN NY 0 W.25 2.50 Qup 77 S 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) C>j CITY OF EAGAN m c 3830 PILOT KNOB RD - 55122 J 651-681-4675 1Ca-ar-?? New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan and g_ll roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions ? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 site survey for exterior additions & decks > 1 set of energy calculations 3 copies of tree preservation plan If lot platted after 7/1/93 DATE: -L2-PV- '77 CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: / 13 9 se l ,l /3 C n r 1 l 0, 7L LOT: BLOCK: _, Co SUBD./P.I.D. #: Name: 66 ? e r Ri C / Phone #: 51- L F2 - c7C SS PROPERTY Last First OWNER Street Address: Z'3 9 f City , i3 Q A n State: 7) A) Zip: 2 Company: l 4 ?S Re d f s- _ L Q Phone #: (/ 2,S 2d / 8 (area code) CONTRACTOR Street Address: /off O (7O /off _?4/ e . License #a2D / 6 ' ,z Exp. `3/' o%doo City A a !? n State: /r) Zip: \Ij ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street Address: Registration #: City State: Zip: Sewer & water licensed plumber (required for new construction only): Penalty applies when address change and lot change Is requested once permit is issued. I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 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-plex 0 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 0 19 Lower Level ? 24 Storm Damage ? 05 3-plex 0 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 ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair 13 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit 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 `q. C) C Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: i I; I SAC Units % SAC i 9/s/ /.t / C-"/ H 17 Request Date - °- -....• Fire No. - R gh-inn lion Required? ? Ready Now <,II Notify Inspecr J ? Yes an Ready? I El licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) / 3 , Z5 / -- a -f -/l < t` City t -? - Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. ?,. 57 Power Supplier Address Electric I Contractor (Company Name) 4t t?r Contractors License No. Mailing Address (Contractor or Owner Making Installation) Authorized grtature (Contractor/Owner Making Inst'JL,I2?ion) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. H1? 9/y+? REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on back of yellow copy. 3 7 4 X" Below Work Covered by This Request y CHF'.• EB-00001-08 ew Aid . _TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial I Furnace Farm Air Conditioner Other (specify) Contractor's-Remarks: °- - Compute Inspection Fee Below:" l / K # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms !6 rJ' D Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made Final ate OFFICE USE ONLY This request void 18 months from This request void 3 Uxnonths from Z 4 Request Date Fire No. Rough-in Inspection R quired? [:]Ready Ready NowWill 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 o. '13 City e 3tion o. Township Name or N Range No. Coun lie Occupant (R"I?NT)? P Phone No. Power Supplier Address Electrical Con ractot (Company Na e) Contractor' s Licen$e ilV Mailing Ad re s (Contractor or Owner Making In tailat onl - 0 ` YV Authorized nature (Cons tort caner M ing Installation) Phone(-Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSrPECTION 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 Phone (612) 297-2111 ENCLOSED. 3 46 REQUEST FOR ELECTRICAL INSPECTION E,13-00001-04 See instructions for completing this form on back of yellow copy. C// 2- B " X" Below Work Covered by This Request Add ,dep. r 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 (Specify) Other (Specify) ter Specify Other Other ompute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits 0to200Amps 0to30Am s 0to30Amps Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100 -Amps Above 100_Am s Transformers Irrigation Booms Partial/Other Fee aigns apeciai inspection $, 70T EEr` Remarks l?>J C" ) Rough-in 1 ' Date t Electrice 7 P ? eby spa certify that the above Final D? Ae; inspection has been de. This request void to montns from This request void t0 18 months from 9) ]? 777 Request Date • _ d Fire No. Rough-in I spection e ired? Yes ? No ?Ready Now Will Notify, Inspec- for When Ready Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Stree Address, Box or Route No, 3 city 1 1 Section No. - Township Name or No. Range No. Countb'. Occupant (PRINT) pQ Phone No. I a Powef Supplie ? Address g23 3f Electrical Con ractor (Company Na e) Contractors License No. Mailing Address )Contractor or Owner Makinglil-stailation) M30 ?210*4 -90 - Authorized Sig ure (Contra r/Owner Making Installation) Phone umber 00, MINNESOTA STATE BOARD OF ELECTRICITY THIS 1 PECTION REQUES 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 Phone (612) 297-2111 ENCLOSED. L04??Q REQUEST FOR ELECTRICAL INSPECTION EB-00001=04 See instructions for completing this form on back of yellow copy. A ,.? "X" Below Work Covered by This Request 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 Specify Other (Specify) Other (Specify) Other Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders /Subfeeders if Fee Circuits 0 to 200 Amps 0 to 30 Ams 0 to 30 Ams Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100 Amps Above 100-Amps Transformers Irrigation Booms Partial/Other Fee Signs Special Inspection s AL FEE Remarks .m Rough-in O e he EI ical Inspector. hereby certifyyehat the above Final Wion has been w a d1k his request void 18 months from 01 RESIDENTIAL BUILDING PERMIT APPLICATION .51921 CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Now Construction enuirements • 3 registered site surreys showing sq. ft. of lot, sq. ft of house; and ,$t roofed areas • 2 copies Of plan 30- (200/9 maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions; • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exteuku anions & decM • 1 set of Energy Calculatlons • Indicate r home served by septic systern for addlitionsi • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail options selection sheet (bldgs with 3 or less units) DATE W(6 ^_ VALUATION SITE ADDRESS MULTI-FAMILY BLDG _ Y N TYPE OF WORK I Q FIREPLACE(S) _ 0 _ 1 _ 2 10 APPLICANT STREET ADDRESS t - 4 1 M 6&1/tat / ' e - . S ') CITY 'T3VI U STATE ZIPL TELEPHONE ;QGZ- ZD?'(Sc1 CELL PHONE # FAX tIUZ= '_i ? " - PROPERTY OWNER P c1i kOb 5 TELEPHONE # ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR -N§Wn RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 ('J submission type) • Residential Ventilation Category I Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: # JUN 1 9 CUJL -------------------------------------------------------------------------- ------ --- -------------- ------------- I hereby acknowledge that I have read this application, state that the info n Is correct, and ag to comply with all applicable State of Minnesota Statutes and City of Eagan rdi(nanc Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Not Required Updated 4/02 OFFICE USE ONLY O 01 Foundation 17 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 (screened) ? 36 Mufti ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage 0 06 04-plex 13 12 12-plex Pibg_Y or N ? 25 Miscellaneous q 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 0 32 Addition 13 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof 0 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 Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Final/No C.O. Footings (addition) Plumbing Foundation - HVAC Drain Tile _ Other Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests _ Final Framing Siding _ Stucco - Stone Fireplace - R.I. Air Test Final Windows (new/replacement) _ Insulation _ Retaining Wall - - ------- --- - - ------- - --- --- - - - Approved By - - ---- , Building Inspector - - - Base Fee - - - - -- - ---- - - ---- Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ;G?? RESIDENTIAL l BUILDING PERMIT APPLICATION 2-Z CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4873 New Conetructlon Reaulrements • 3 registered site surveys showing sq, ft. of lot, sq. ft of house; and a roofed areas • 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served by $epfic system for additions • 3 copies of Tree Preservation Plan If lot platted after 7/1/93 • Rim Joist Detail options selection sheet (brigs with 3 or less units) DATE t? " (2 - r?-- VALUATION G cr cd Q SITE ADDRESS '03F 26t <S 7 MULTI-FAMILY BLDG - Y TYPE OF WORK ' - u - FIREPLACE(S) 0 _ 1 2 APPLICANT i'f hr'1 L' flu i lc«?J ll"cn'^G'v'S STREET ADDRESS f Aa CiTlr 'i' s'wrr? STATE *--& ZIP 31', 3 ? TELEPHONE # `T6) `1142-64 CELL PHONE # FAX # PROPERTY OWNER Zee IV rte- j ,. TELEPHONE # -------------------------------------- ------------------------------------------------------ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 ('I submission type) • Residential Ventilation Category I Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Phone # Plumbing system includes: N Water Softener - Lawn Sprinkler Fee: $90.00 N Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning ee: $70.00 Heat Recovery System Sewer/Water Contractor: Pt" -------------------------------- •------ - ---di - -- --- -------•--- I hereby acknowledge that I have read this application, state that ree to comply with all applicable State of Minnesota Statutes and City of Eagan Signature of Applicant ----w-M-w---------- a-------?YU--N--t---N?MwM-q---?ww---ww--MM-M-w----?-?---s- OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Not Required Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBIdg ? 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 0 18 Deck ? 23 Porch (screened) ? 36 Mufti 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PibggY or - N ? 25 Miscellaneous ? 31 New ? 35 int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 0 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windoivs/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 Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) Final/No C.O. - Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water ` Final Pool Ftgs Air/Gas Tests Final Framing Siding _ Stucco Stone Fireplace _ R.I. Air Test Final Windows (new/replacement) _ Insulation Retaining Wall - - ------ ---- - - - -- - - --- - - Approved By -------- - ---------- - - - ----- --- - - , Building Inspector - - - - ----- -- Base Fee ----- - -- - --- --- - -- - - ----- --- - - - Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 9031 PRONE: 454-8100 BUILDING PERMIT Receipt To be used for SF DWG/GAR Est. Value $98,000 Date MAY 3 Site Address 4139 BLUEBERRY CT Erect [ Occupancy R3 Lot 22 Block 6 Sec/Sub. HILLTOP ES T Alter ? Zoning R1 Parcel No. 10-33000-220-06 Repair ? Fire Zone N/A Enlarge ? Type of Const. V W Name KARL & KAREN CLINE Move ? # Stories Z 10716 -27TH AVE SO Address Demolish ? Length City BURNSVILLFphone 890-4240 Grade ? Depth Sq. Ft. HOMEMASTER BLDRS o Name Approvals Fees , o 423 NEAL AVE SO. zU Address Assessment Permit $ 427.00 u§ AFTON Phone 436-5803 Cit Water & Sew. Surcharge 49 00 y P 1' Plan check 21-4-50 Name Address City - Phone I hereby acknowledge that I have read this application and state that the information is correct a gree to comply with all applicable State of Minnesota Statute , d Cites of E g rdinances. Signature of Permittee Ck/ o ice Fire Eng. Planner Council Bldg. Off. APC SAC 525-00 Water Conn. 470 - 00 Water Meter f 3 - 0 0 Road Unit 76O 00 Total $2.007.50 A Building Permit Is issued to: on the express condition that all work shall be done in accordarxg-w-ft all a pIi ble tote of Minnesota Statutes and City of Eagan Ordinances. Building Official 6 3 / CITY OF EAGAN Include 2 sets of plans. / 1 Certificate ofSurvey & BUILDING PERMIT APPLICATION 1 set of energy calculations. ,/ ' A F R 2 7 1984 To Be Used For ,_ Valuation 5w, n? C.+ . C? n Date Site Address : 3 7 eqk - IL OFFICE USE ONLY Lot Block Sec. Erect Occupancy '3 Parcel #: 0 Alter zoning Repair Fire Zone Owner: k'G tip, f j ,Lr z Enlarge Type of Const. ? Move # Stories Address: /C` oS , • Demolish Front /off ft. Cit /Zi d C • r' , Grade Depth 16O - _q ft. t ?, , y p o e Phone #: Contractor: Address: /t,?? /'t ; S c# City/Zip Code : e!gLe l' m, ,/y1.cf, < 5 e Phone # :_ Arch. /Eng.. Address: City/Zip Code: Phone #: APPROVALS FEES Assessments Permit Water/Sewer Surcharge 4/ 9 Police Plan Check Fire SAC Sa Eng. Water Conn. _/,,0 Planner Water Meter [®3 Council Road Unit p- ee d Bldg. Off. APC TOTAL i &Z 7, <j d I v 1? A T 2 ( t r locrloo Jet OS -- ' X . J9 t r des ire sl ° as0 30 ol GARAl; 47/0 07 7 qoq.SL----ST( 14? Ste. N%7 Ocoool? qD&f 0 (ertifcate for: aa? Dunn & Curry ?MA K SCHWANZ w?rt,?oR ? ' . ? w?rw.?w urw•.? M ? sup. wawww.?. 4 0 am - 14ETN t1AEET W. - eft M WT. MIMMMDTA MM !NONE N! 4Si17U IWRVEYOR^i CERTIFICATE .tip o? r i 1 N 1?s ID Scae { 24, p? N 6°1` - Z L g 3' y;/ --?' I hereby certify that this is a true and co t rep entation of Lot 1e, Block 6, HILLTOP ESTATES, according to the recorded plat thereof, Dakota County, Minnesota. Dated : October 10, 1979 Approved for Dunn & Curry Real Estate Management, Inc. by: tQ? kno cC4y3O 0; Ie i jJJ? - - r r.y?? F M.NPESCTA REGISTRATION NO'8625 ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION BUILDING AND SAFETY DEPARTMENT, 55042, DATE: 4PR 19 X484 This supplement is provided to assist the applicant in computing the EXTERIOR ENVELOPE AVERAGE "U" FACTOR INFORMATION. This information is required so the BUILDING OFFICIAL can determine that the submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6001). It is the APPLICANT'S RESPONSIBILITY TO accurately and completely compute the data; reflect the proper DESIGN CRITERIA in the plane submit product specification, as needed to support the "R" and "U" factors used ; and to assure that construction is accomplisted per the approved plans. JOB LOCATION: • &-r e4eN<; 1}1447z ' 5 zj ?S OWNER (S) PHONE : P9 -- ? CONTRACTOR: JJ ? ?D/YI?y1i). rc. PHONE: L! f 7'c5 p -?D A. Determine the total exposed wall area as follows: 1. Total wall window area 0 2. Total door area go 3. Total sliding glass door area 71® 4.. Total fireplace wall area 5. Total wall framing area (average 10%) © O 6. Total net wall area above floor D 7. Total rim joist area 1-70 Subtotal: Total exposed wall area above floor -X/ 7 0 8. Total foundation window area 9. Total net foundation area above grade /?- Subtotal- Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .19 = Item I (non-residential .23) C. Determine the total exposed roof/ceiling area as follows 10. Total skylight area 0 11. Total roof/ceiling framing area 12. Total net insulated roof/ceiling area GRAND TOTAL EXPOSED ROOF/CEILING AREA ?66 Q D. Multiply the GRAND TOTAL EXPOSED ROOF'/CEILING AREA X .04 = (non-residential .06) - 1 - Item II 1 #?174 il 66. ? .._ ., .. F, ,.. ?, , .? ... ,.. .. ,.. -i C7. iyrr_ 7 073 ro" 0L' a3o X "U" • g Q X au 7 _.` 3. ?f o x "uli 3 3 y /_3, ,? C X null a 6 • moo x slum ,083 X9,6 •6 / <cc X Slum , o I • ?? ? x mull 7. osp 8. X "U" 0 " ? ?j,? 9• /?? x Mug ea = ADD 1.9 FOR TOTAL WALL SEGMENTS :a Item III /???? F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 11. x "U" ?. :12, ?..?._.. x "U", 3q ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS Item IV I C. if Item No. III Is the same as, or less than Item No. I, you have met the intent oe State Building Code 6006(c)2. rf Item No. IV Is the same as, or less than Item No. Ii, you have met the intent* of State Building Code 6006(c)l. 1. Add Item No. I yy7, *+ Item No. II J. Add Item No. III + Item No...IV '?. If the sum of Items III and IV are less than Items I and II, you have met the .Entrant' of the code for total envelope system. In addition to the above items you may have -to add for such items as floors aver utheate% spaces, such as cantileverd areas, etc. 20 arrive at "ti" value divide the total of the R -values for each segment (as above) into 1.000 . Answer you have is the "U" value for that segment. R=iple: A total "R" of 35.08 divided into 1.000 o .028 "U" The undoreigned, as applicant for a Building • Permit, hereby affirms the abore information has been prepared and submitted by himself or under his direction; hereby acknowledges the information to be correct and accurate; and hereby presents the information with required plans in support of the Building Permit Application 2 o E WALL SEcI1C IS pct e ii o r ,air film fiG:ii3' it Sheathings ? 06 Insulation ? Interior Finish ? %L ?? GYP Qd ?'?S` • n -Interior Finish ? 1 Interior Air-film, - ----- 68 Total R -77 fruit FLcterior air' film .17 Siding ? Sheathing - --," Insulation „B .0 Z) 1 a o finish h--" Interior air film .68 Total R 21 IRE Exterior air Film .17 Siding I I ..sC;?}!t?rc-3s%? `7% 11 ----.=?._ • Interior Ai. film .big • I , flit 'r'? , Total R 21, g ? F'MUD WALL SECTIONS .. , .. ...._.._.? xt r a tr film .1? ? Lvi?1 kJ Sheathing ? v73? d477"ii ! ! ( Insulation ? Interior Finish? ti -/.2 L So?w o o p ?'p lle5li . GrP. ?d. a Interior Finish ? Interior Air film _,, rE.._......?: .__.? Total Ii LITterior air' file .17 1 Siding ? -Insulation .S •,' ??So i?r :o . ?,,?, ntsxo f n i rah //? „?, Qd. . ?S- rA Interior air film Totatl. R Exterior air Film ?. Sidirs ? ,?ClL y 1I J Interior A:r film .68 i /D. trtTtf o- lei AA /Sj f7GIex 1117 0,6 JN?C1L.. 6 Df? l ?; A1/2 "4z An 7V771 L r o3P x /fl C) lsf_. )a ._ . / 7 /NsuL 3/'? •?? ?? , nU'? , 07,E 1. Interior air film. 0.92 2. Finish floor? 3. Sub/floor ? Insulation? 6. Exterior it film {ati11} 0.92 Heat flow Total R 10, down.. _ seUst U 1/R Overhang.. (Outsida air- below) ,. _ 1./Interior air file. 0.92 2 Finish floor. ? Sub floor ? 4. Insulation ? ???? Jt???iLb'G`UL? 6. Exterior finish ? Exterior air film. 0.17 Heat flow - Total R down not CJ G j Transfer these t tals page 1. NOTE::: F _ .Window sizes shall.be calculated from the width height of it opening. Door sizes-shall be calculated from the actual door size itself. - 5 - 4 r) n Lill Heat flow up (k) • 1. Jnterior air film. 0.61 -2. Interior ceiling. ? 3. Insulation ? 4wu y G, .?D.oa • 4. Exterior air film 0.61 total v = 1/R tt_r_ Fig. #4 To tal ceiling framing area. ?1) 1. Interior air film 0.61 Use this framing schedule for which- 2. Interior ceiling ? J.' j-p. B4. , ys ever ceiling or roof 3. Insulation ? S t.6& AJ 6 , .39,Oa detail you use. 4. Framing ? 3/.? Sar-tzc?oag, I ?? ---' - = 5. Exterior air film 0.61 Total ACS'', .T U I/R fruit -- - - - -- - - T. "01 1. Interior air film 0.61 J ' ._ -- 2. Into-or ceiling ? - \J 1? 4. Vxterior air film. 0.61 Heat flow up LF Fig. # 5 LT -- 1 f H .,rsW IL 10. Heat flow up Vi 1!6 Total fruit = 1. Inte'r•ior air film. 0.61 2..I s_^z'. 9?' nt 1 ? 3. Roof ±T-1,su'a3ti h. ? 5. Outs' air film. 0.17 Total U 1/R trUu _ 0 Transfer your U values to page 2.. Compute equare footage and compute to+als in blanks marked k, 1. 8. or in. CITY OF EAGAN N o 11623 3830 Pilot Knob Road, P O. Box 21-199, Eagan, MN 55121 PHONI*: 454-8100 BUILDING PERMIT Receipt # h 6-37 BASEMENT $4,300 M ARCH 14 86 To be used for Est. Value Date 19 Site Address 4139 BLUEBERRY CT Erect ? Occupancy tot 22 Block HILLTOP 6 Sec/Sub ESTATES Remodel IX Zoning Parcel No . Repair ? Type of Const. . Addition ? No. Stories KARL KAREN CLINE Move ? Length Name Demolish ? Depth i Address I F 1 I t Ft S c 452-0658 mpr. - n . q. . City Phone Install ? o Name 221-7727 (W) Approvals Fees z?- 0 L) Address F Phone F W Name 3 Address Z m City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree toeomply with II ?p}Iiable State of Minnesota Statutes and C ty-jdtR&gan Or ?/?// Signature of A Building Permit is issued to: KARLLLKAREN CLINE all. work shall be done in accordance with all apl' able ate of Minn Building Official Assessment Water & Sew. Police Fire Eng. Planner Council 6 Bldg. Off. 3/14/8 APC Var. Date Permit ''-"•-' Surcharge 2.50 Plan Review SAC Water Conn. Water Meter Road Unit Tr. PI. Parks Copies - on the express condition that Eagan Ordinances. 3 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For: Valuations 06,00 Date: 3'/ ° Site Address OFFICE USE ONLY Lot Cl? Block Erect Occupancy Remodel Zoning Parcel/Sub Repair Type of Const Addition # of Stories Owners Q 7f G r eA ( ?i r? Move Length 11 Demolish Depth Address /!,t e1 Fry Int.Impr. Sq Ft Install City/Zip Code -? n ---------------------------------- -- du??? 7ghe d?y7fareird 7TH:? Phone- Ic? ' o4 6PROVALS FEES Contractor Assessments Permit SO, Water/Sewer Surcharge 2. Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road Unit Bldg Off 3:_& Treatment P1 Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone NOTE: ADDRESSES FOR CORNER LOTS CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. CITY OF EAGAN 383Q Pilot Mob Road l WATER SERVICE `PERMIT ot P. 0- Box 21199` i,PERMIT NO.: 5537 Eagan, MN 55121 DATE: Zoning: R1 No. of Units: Owner: Romemasters Bldrs Address: Site Address: 4139 Blueberry Court L22 B6 Ri 'top states Plumber: Murr Plbg Meter No.: Connection Charge:' Size: Account Deposit 15-00 Pd Reader No.: Permit Fee: p I agree to comply with the City of Eagan Surcharge: .50 Pd Ordinances. Misc. Charges: 63. p meter Total: By Date Paid: Date of lnsp.: Insp.-. CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 6726 P. O. box 21199 PERMIT NO.: Eagan, MN 5512i DATE: Zoning: No. of Units: 1 Owner: iomemasters Mrs Address: Site Address: 4139 Blueberry Court L22 B6 Hilltop Estates Plumber: Murr Plbg 5-3-84 42971 s pd I agree to comply with the City of Eagan Connection Charge: . pd lj Ordinances. Account Deposit: Permit fee: LU.UU p Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY of EAGAN WATER SERVICE PERMIT 3830 Pilot Kq¢b Road 5 537 P. O. Dox 21199 PERMIT NO.: Eagan, MN 55121 40ATE: 6 -15-84 Zoning: R1 No. of Units: 1 Owner: _ Home Address: ' Mb ``C ite Address: UNk v 22 B6 Hilltop Estates umber. eter No.: ,I ion Charge: 470.00 pd Site: rf A c nt Deposit: 15.00 pd Reade No.: 41 L Permit Fee: 10.00 pd I agree to comply with the City of Eagan Surcharge: . 50 pd Ordina Misc. Charges: 63.00 pd meter Total: 8 'Pate Paid: Date of Insp.: CASH RECEIPT CITY OF ? EAAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE h / `J fig t t jj FROM w/ v 41 AMOUNT $ f & DOLLARS Q CASH &'GHECK FOR r f{ Z FUND CODE AMOUNT Thank You BY a 4412 White-Payers Copy Yellow-Posting Copy L Pink-File Copy 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPER'T'Y ADDRESS : / /39 LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel I.D. Number) IF EXIS==`:G STRUCflJRE, DATE OF ORIG ;AL B ILDING P-_%_IT ISa::?,NCE: o _ - -- ' PR:SL 2^`Jl :r/P:wGPCSW USE,: -i SINGLE FAILY ? R-2 DUPLE (TS:O UNITS) ? R-3 TUNNHOUSE (THREE + UNITS) ( UNITS) ? R-4 ApART^ =+'I'/CvNDC',a`?LTNIL- I ( UNITS) ? COrECIAL/RETAIL/OFFICE ? II?'DUSTRIAL ? INSTITUTIONAL/GOvEN NT 2) APPLICANT (PLEASE PRINT) n *!E: ADDRESS: ???L so CITY, STATE, ZIP: ly PHONE: 3) PT,L,.m NAME: (PLEASE PRINT) FOR CITY USE ONLY ADDRESS: PLUMBERS LICENSE: - Active F771 CITY, STATE, ZIP: APPLE VALLEY, MN 65124 Expired PHONE: -MASTER . ?{ Zl/5 PLUMBER LICENSE #O`I 77 _3 _ Not of Record 7 7 a 't nitia 4) 0r_1_UPANT/CW'TER NAME: ADDRESS: CITY, STATE, ZIP: PHONE: krLLAJt MINI) 5) INDICATE WHICH PERMIT IS BEING REQUESTED: CONNECTION TO CITY SEWER 2t,O:TNECTION TO CITY WATER ? OTHER (PLEASE DESCRIBE) b) i DiL2 is ONl : 7) SI=ZT.'RE: ? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE 0`LEASE NAIL APPROVED PERMIT TO 1, 2,G) 4 ABOVE .4 1 s (Circle one) DATE: k2L? ?4?lel:??ilJO??i?l!llElliE!lff?M7t ' "P ?asar a ?w as sos s nras: m moon we ? 20 Narr m Isaac r FOR CITY USE O N L Y PERMIT '-` ISSUED F __ FEES: $ =; $ rL/ Lf $ $ t j ?7 SEWER PERMIT INCL 'DE S 10 RCHA aC, WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER $ TOTAL $( `? AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: fs? w" w- .rw -m : N OLM w- M s-!4 84}- oc" - w -j" EON w.as "k-,s * plum ¦!ss 1a w 7? ?... PERMIT City of Eagan Permit Type:Building Permit Number:EA117772 Date Issued:10/23/2013 Permit Category:ePermit Site Address: 4139 Blueberry Ct Lot:22 Block: 6 Addition: Hilltop Estates PID:10-33000-06-220 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Jarrod Stenzel 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 - Robert J Meiers 4139 Blueberry Ct Eagan MN 55123 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:EA157011 Date Issued:07/30/2019 Permit Category:ePermit Site Address: 4139 Blueberry Ct Lot:22 Block: 6 Addition: Hilltop Estates PID:10-33000-06-220 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 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: 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 - Robert J Meiers 4139 Blueberry Ct Eagan MN 55123 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature