4134 Blueberry Knoll,
cITV of EacaN .:,r . .
WATER SERVICE
PERMIT _.
? 38N P&WA Knob Road 49$5
P. O. Box 21199 • PERMIT' NO.:
` Eagan, MN 55121 DATE:
Zoning: _- RI No. of Units: 1
Owner, Develermrn .e n gtr rt-tfrsc
Address:
` Site Addressr
`
`piumber. W@ie7rke Treic S F.xC
Meter No.: Conneccion Charge: 450. UO pd
Size: Account Deposit:
Reader No.: Permit Fee: 10.00 g d
1 egroe to oomplg with !M City of Eogan SurcFwrge: .54 p d
Ordieonew Mtsc. Chorges_ 60.00 pC# 1aeCer :
Totui:
BY Dote Poid:
.
Dete of lnsp.: tnsp.:
CITY Q.F EAGAN
3830 Pilot Knob Road
P. O. Box 21199
; Eagan, MN 55121
Zoning: RI
, Owner: Develc
` Address
Site Addr WeAe.rk
Plumber:
SEWER SERVICE PERMIT
PERMIT FJO.: 6072
DATE:
No. of Units. i
rs Construction
425. Ofl pd
i egroe to 60moy wieh tM Cih? of Eagarn Connectton Chcrge:
Ordinaeees. AccouM, Deposit:
Permit Fee: 10.00 Dd
Surcharge: .50 g,d
Bv Misc.; Chorges:
Dcte of Insp.: TotaL•
? Insp.: Dote Paid•
? ya
CASH RECEIPT
CITY OF EAGAN
? 3795 PlLOT KNOB ROAD
k EAGAN, MINNE50TA 55122
D
TB 19 ?
A
k
k_ . RBC FsOM
aanouNr $
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^ ? DOLLARS .'
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FIGASIi ?GHECK 1 oo
----
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FUMD ? ? .. ?CODE. .. .. ?AMOUNT
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. . CITY 4f EAGAN ? .? -..
3745 Pilot Knob ltood Eagon, Wi4 S5122 ? - PHONE: 454-8100
BUILDING PERMIT Receipt
` To be used for SF I1WG/GA,R Est. Yolue $71,000 Dote •Ttil9 7 19 $?
----?
.r
Site Address 4134 $ltteb? ry
Kn_A11 Erect XX .
,?
,
Oecuponcy
Lot _10_. Blotk _7_ Sec/Sub. H3.11tOti EBESt@S Alter ? Zoning
Porcei ?.' 10 33000 100 07 Repoir 0 Fire 2one A1,A
Enlarge ? Type of Const. n
oWc Name Develr)Rers Coast tuet m, IpG Move p- ,# Stories
Z Addrass -1,101 Clif f ReA.d
? DemolisK p Length_`.3
Ci BumaVil16 Phone - 890-6194 Grode ? Depth --3a-.Sq. Ft.
? Name OWtI@X APProvab Fees
?o
u'
Address
Assessment
Permit 346,00
u
~ Ci '- Phone Water & Sew. Surcherge 35.50
Police 173.00
Plon check
?Z Noe Fire ...
SAC ?5.Q0
?? Address Eng. Water Ca?n. 450.,00
._
<W Ci Phone Plonner Water Meter gQ' dd
Council Road Unit 2503.2L-
1 hereby ocknowledge that i.htlpe read Yhis apglication ond stote that gldg. Off.
the informotion is correct ondJogree to cRASply with oll applicoble
?18??
??
Stute of Minnesoto Stotutes c?`nd City ofr APC
?fogan Ordinances. Totol +
•
Signcture of Pennittqd? , //-?f
e
A Building Permit is`Asued ta opare onetruct on, Inc.
on the express cvrnditlen thaa °
oli work shoU be do e in ac rdorxe wi h all opplicoble Stete of Minnesoto Statutes end City ot Eagan Ocd'enarrees.
Buiiding Offlciol _
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. ..,_ . _.._... < >?:
Permit No. Permit Holder Misc. Permit No. Holder
Piumbing -
`H.V.A.C:
YWN
Water
DisP•
Sewer
?"
Electric 3b0 dx
Inspection Date Insp. Other
Footinge 7 ?y
Founcation
Framing ? ? .
Rough Pibq.
Rough HVA .$
Insulatian 8-
Final Pfbg.'
...
Finai HVAC
Rinal
Water scvi6e Location:
vaeu ..
sewer ?
P.. Disp. ,
C1tleS Dlgltal Quality Control
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? Permit
P4UI1?BIMG PER?AIT No. ?? ?
Cf'i'lf OF EAtiAAI Fee
Fil/ in numbered spaces S/C
TYpe or Print legibly Tot. 'SO
Date 2. tnstailation Cost
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S. Contraetor Phorte
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,
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' 7, City ' ?
,.-
State Zip
S. Bu'tlding Type: Residentiai ;0 Commercial ? Institutional ?
9. WDrk t?escriptian: Nevpf3 Add ? Alter ? Repair 0
: 10. [}escribe
#i Fix#ures Na Fixtures '
Water C{oset Cesspool/Qrainfield
-? Bath tubs Septic Tank
Lavatnry Softne r
Shovaer Well
Kitthen Sink
? UrinallBidet 4ther
?- Lauruiry '!'ro1+
F W'"", f loor Drains
?
Drinkirawg Ftn.
Slop Snk
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P . , Oin P'ipinij 4uttets
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? ahavw ? is tnw OW eG #awes fm
?
7 T7 3 AAELP€RMtT Psrmitllto.P?$? t
EAGAN
Fee c-le- ?
Filf in, nar»bered spaces StC
TyPe or Print /egfbly ?
V ., To#. ^'?- ?'"
t. Date ? 2. lnsta{Iation Gost ?
7 ; 1
f° 3. .?c?b Address+Iot?_?Ik. ? Tract
.,
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4. OWI1Ci'y,.- f 54',` f r /': °r.r ,,?• ° :
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S. CGtt1tCaCf+c7Fe+rc--? ei 41 f' d4 ;:?* ,,r ..PhOR2
? 6. AddreSS
? 7. City State zrp?
f . :. . T ,--?%------. ' •. Y . ? . : .
F??? '" .. : . . . .
& Building'Type: Residential ? Gommereial ? Institutional 0
?
9: W+ark D:scription; New B` Aefd El Alter 0 Repair 0
v -
, .
kF 10. Describe ' Fuel Type °
F.. . .. . . . . . . . .
4
?11. PJt?, E_qyiliment 8TU - AA, Ea. Na. Eauipment CFM ;
Far+cad Air
_e,rcc e Air Handiing:
? Mfg. .
Boiters Mech. Exhaust
Qther
i
!
:A _ m . ', . : 4'`t#Y: : .*a abm lsformati on
CITY OF EAGAN Remarks
Addition HILLTOP ESTATES Lot 1n B1k 7 Parcel
Owner -' street 4134 Blueberry Knol l State Eagan, NIIV 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. -.-1336.72 133.67 10 802.04 A012340 6-10-83
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 172.14 8.61 20 77 . 54 A012340 6-10-83
* SEWER LATERAL 2063.19 " "
WATERMAIN
* WATER LATERAL 1980
,r WATER AREA 1990
*
* STORM SEW TRK 1980
* S70RM SEW LAT 1980
CURB & GUTTER
SIDEWALK
STREET LIGHT
250.00 7-7-83
WATER CONN. 450.00
BUfLDING PER. $211
SAC 525.00
PARK
C?rrftftrafi.e of (Orruparcry
Citp of (fagan
Rr:pttx#mprtt n# Buitbtng 3nsprrtinrt
This Certi f icate istued pur.ruant to the requirementl o f Sectian 306 o f the Uni f orm Building
Code certi f ying that at the time o f is.ruana thi:r nructure wat in com pliance with the variou.r
ordinana.r o f the City rcgulating building tonttruttion or ule. For the f ollowing:
uu elagirc.uon SF DWG/GAR eiag. remiic No. 8211
OccupancyTYpe R3 TypoCaosWction ..V FireZonr NAZortingDistrict RI .
o,,,,,wore„ua;ng Developers Const, naa.. 1101 Cliff Road, Burnsvill
sLLaa;oenaa. 4134 1 u erry Knol },,.. i;ryTleit 0,R1.k 7,Ai 11 tQn
bdkAL&?B'.: - Estates
ewuamgorrcW 3< a,tt: October 6, 1983
IO{T ?N A CONBrICU0U4rLACE
0G0'::> ?-
.
This request void I C?
18 months from ? -t O L M/ 8 7I 14t` f ! 40P
W 089300
3'7 l ( ?7
s-Z)<oc,
Request at Fire No. Roh-in Inspection
Reug
ire d? .?/
Ready Now L5!? iIIjVotify
Inspec-
T
q Yes ? No ,
/ ?or WPlen Ready
?Licensed'Electrical Contractor 1 hereby request inspecfion of above
Owner electrical work installed at:
Street Address, Box or Route No.
/ ? `Citv
ection o. Township Name or N. Range No. County
Q ?
Occu ant (PRINT) Phone ??N i? /` I
Power Supplier -
? ? Address It`
O / ?P {?f IYI - Y (!- /?J
Electyiqal Contractor (C?Ompa y Na?ne)
iv? ev Contractor'?cen? No.
?? -3
Mailing Address (Contr ctor or Owner king Instai on
oorto e .w'd
Author' d Signature (Co tract r/Owner Making Installation) Phon Number
??5±6
MINNESOTA STATifBOARD QF ELECTRICITY THI5 INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N.191 BE ACCEPTED BY THESTATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 University Ave., St. Paul, MN 55104
Phone (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAt 1111SPECTION
' See instructions for completj ag`this form on back of yellow copy
?g??PoPered ?
Be ow or by This Request
EB-00007-04
W:
?-71-7
r1d Rep. Typeof Building Appliances Wired .. EquipmentWired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Efectric Heatin
Commercial Bldg Furnace Silo Unloader
industrial Bldg. Air Conditioner Bulk MilkTank
Farm Other SPec+ y Other (Specify)
t er Specify Other . Other c:mmnutrslnsner.t/nn tee Helnw
# ee ServiceEntranceSize. H. Fee Feeders/Subfeeders Fee Gircuits
0 to 200 Am s 0 to 30 Am s 101 0 to 30 Am s
Above 200 qmpS? 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Amps Above 100_Am s
7ransformers frrigation Booms , 5' Partiai-`-Other Fee
Signs Speciallnspection $ TO
Remarks t T
I
v. ?.?? .
Rough-in Date _?? 1, the Elec ri a
. ` 07I- Inspector,hereby
tif
that th
b
ve
Final cer
y
e a
o
? inspection has been
made.
This request void 18 months from
2005 RESIDENTIAL BUILDING PERMIfiAPPLICATION ,00
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 0 651-675-5694
New Construction Reguirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas RemodeUReaair Requirements
2 copies of plan i j. 6 ki., Iru
?-?Y ??
(20°h maximum lot coverage ailowed) 1 set of Energy Calculations for heated additions ?ree s PE?3 E??.i Y N!
2 copies of plan showing beam & window sizes; poured found design, eta 1 siie survey for additions & decks
1 set of Energy Ca?ulations Add'dion - indicate 'rf on?ite septic systom ??sl.fB:?epij..ysfaM.
3 copies of Tree Preseroation Pian if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (buiidings with 3 or less units)
Z
Date - -7 Construction Cost ? ? 7LIV• v U
Site Address I?lve b e?r Unit/Ste #
141 .v > > t z 3
Description of Work S1-"7 1r`" 9001,
Multi-Family Bldg _ Y? N Fireplace(s) _ 0_ 2
Property Owner x ?le l6 _-o., drt o-A Telephone #(o s' l) 4 S? ? 2 3 U 3 n; 3 e?.g-
?1SZ -235-9G2Z dA
Contractor Se- 114
Address City
State Zip Telephone # ( )
COMPtETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Ru1es 7670 Cateor1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted -
. Energy Envelope Calcutations Submitted ?
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # ( )
Telephone # ( ?
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 the case of work which requires a review and
approval of plans.
?? -?
Applicant's Printed Name Apph?cant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex 0 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea. ) Q 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.
? OS 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage
? 06 04-plex 13 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
O 31 New ? 35 Int Improvement 0 38 Demolish Interior ? 44 Siding
O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
13 34 Replacement `Demolition (Entire Bldg ) - Give PCA handout to applicaM
Valuation Occupancy MCES System
Plan Review 100% or 25°l0
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) _ FinaUC.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
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
,,,,, 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
Remodel/Repair Reauirements ....._...
t71f?':t41 e:t7tt?t
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ge? ?;?e?! ?ecd Y A
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions TF? #?C?S ?I&#? I?6(XI ,;_, Y„ N.
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tr4? N
1 set of Energy Calculations AddiCron - indicate if on?ite septic system 1 .;;3' ;;, N;
3 copies of Tree Preseroation Plan if lot platted after 7/1l93
Rim Joist Detaii Options selection sheet (buildings with 3 or less units)
Date 03 1 zg / Z 0u S Construction Cost ig g, U UU , vv
Site Address Ll/ 3y ig lad b P"- y /4n o t1 Unit/Ste #
6adA .iV S5I z 3
14
Description of Work C(,???
ve - c? u. f-a ae..
Multi-Family Bldg _ YXN Fireplace(s) X 0 2
Property Owner _K
ja ?- k'Q ; c,' & v /h?a ? d S d? Telephone #(6S1 ) y?Z ' Z 3 v 3
y 41 -23 6 92
Contractor 5(f I'F
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category Residential Ventitation Category 1 Worksheet • New Energy Code Worksheet
(?l submission type) ? Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 257o plan review
fee applies.
Licensed Plumber
Telephone # ( ?
Mechanical Contractor Telephone # (
Sewer/Water Contractor
Telephone # (
eby apply for a Residential Building Pertnit and acknowledge that the information ?,r .accura e;
I her
that the work will be in conformance with the ordinances and codes af the City of Eagan anc?t e tate ofMN
Statutes; I understand this is not a permit, but oniy 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.
V" 1 G
Apphcant's Printed Name A icant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ??30 Accessory Bldg
O 02 SF Dweliing ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage $0 22 Porch/Addn. (4-sea. ) ? 33 Ext. Ait - 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 O 24 Storm Damage
? 06 04-plex ? 17 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 ? 46 Windows/Doors
O 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 351 00v 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 Wicith
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
_
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
' n Roof _)? Ice & Water
Framing Q? Final = Pool = Ftgs =AirlGas Tests Fina1
Siding Stucco Stone Brick
Fireplace _ R.I. _ Air Test Final Windows
? Insulation _ Retaining Wall
Approved By:
-16ya
---------- ? , Building Inspector
-
----
----- - -----
Base Fee --------- ------------- - ---- - ----------------------------------------- - -------------- - --- ----------
----
Surcharge ? 2,
?
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Page 1 of 1
I ^'Oe User Name: Password:
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?ir
Gulbrandson Residence -- Code: Minnesota Forgotten Password? I Register (optional) ?
ProjeCt Envelope Mechanical New Reports , Print Help ;.
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http://energycode.pnl.gov/REScheckWeb/main frameset jsp;jsessionid=2345AFCA7E7E2... 3/29/2005
Q : -
. .;?,
?,nstruction
Road ?????t???
Burnaville, MN 55337 DELMAR .
URVEYOR 5 ? InC •
Re9istered Undsr Laws of Tho State of Minneiou
2978 - 146TH STREET W. - BOX M R08EMOUNT, MINNESOTA 56068 PHUNE 812 423-1789
SURVEYOR'S CERTIFICATE
o O4 S ?X
?..?
Tin? to s 928.0 a Prapamed elev
= Exiating elevation
'
O= Iron pipe at property
cornera.
S ? p s Wood Hub
Proposed'drainage
I .,.
I 92?? = Propoaed garage
t'loor elevation.
T?/ ? 0
Sc ale : 1 inc l_
= 30 f eet
Houee location staked
June 8, 1983.
m ? ^ ? ••? ?,?i3
?'7
2 ?` ?
g
N
4A
?VN c'y /'7 ,?? \•
?? •?? s?s . j p ? ? ?,i ? ? ?? I hereby certify that
this ia a true and
.a
X correct repreaentation
oP Lot 10, Block 7,
HILLTOP FSTATES, aecord:
s to the recorded plat
•n / yi
q23 \`? - ?V ? ?o? thereof, Dakota County,
M s p ?,,? 6, s q'? Minne sota .
?; r 8 ?. • 'o ? ,? ?
3 4: ,?32.1 .?? '? a??,+ d Zo 3A?? Dated: Oc to ber 1 0, 1979
W •
30.1 .
,? y q ed for Dunn & Curry Real Eatate
PowE,e ' ?" 9zs¢ Man ? rit, Inc. , j
Q ` y ? qZlo ! ,.1
.
9 2 B? by ?1????`? ?f??I`'
^?AhN._c ??? S Ex?sriN?
J ?N?E
7uyG44X9 MINNESOTA REGISTRATION IV0.8625 /
9Z 3. I? GAR • ,? ar -Kr
CITY OF EAGAN
9795 Pilot Knob Raad Eogon, MN SSIZl N•° 8211
PHONE; 454-8100
BUILDING PERMIT ° Receipt ? ? ?
To be uted for SF DWG/GAR Est. Volue $ 71, 000 paie July 7 1 q 83
Site Address _ 4134 Blueberry Knoll E
r
? R-3
rec ? ""pOncy
Lot 10 7
Block Sec/Sub. Hillto
p Estates
Alter ? Zoning R-1
Parcel # 10 33000 100 07 Repoir p Fire Zone NA
V
Enlarge p Type of Const.
o? Name _ Developers Construction
_ Inc.
Move
Q
,1? Stories
; Address 1101 Clif£ Road Demoiish Q Length 53
° C; Burnsville phone 890-6194 Grode ? Depth 38 Sq. Ft.
p Nume OWrieY _ ADProvols Fees
ZV
u
?
UW
W W
?-W
u'?
Z.
Address
Name _
Address
Assessment
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Permit 340. VV
Surcharge 35.50
Pian check I73.00
5AC 525.00
Water Conn. 45n nn
Water Meter 60. 00
Rood Unit 250. 00---
I hereby acknowledge that I read this ap lication ond state thot gldg. Off.
the informotion is correct/and/ ogree to t,, ply with o!l applicoble $1839.50
State of Minnesota Sta es nd Ci o agon Ordinances. APC Totol
Signoture of Pertnitt ?
ve opers Construction, Inc.
/1 Building Pertnit i ssued to: on the express condition thcal
all work shell be do ir%dan e w'fih all opplicoble Stote of Minnesota Stotutes ond City of Eagan-0rdinances.
Building Officiol
?--
TY OF EAGAN Include 2 sets of plans,
?? • 1 site plan w/elevations &
? WILDING PE= APPLICATION 1 set of energy calculations.
'
41 , //aaa - -
,. .
Zb Be Used For ?-C Valuation Date
Site Address C7FFICE USE ONLY
Lot ? BlocJc ? Sec. /Sub . , ect ? Occupancy
Parcel # : ` 1D -?,?5d 0 ? loo 0 -'? Alter Zoning
RQDair Fire Zone le
Owner: ?. Enlarge '1'ype of Const.
Address' - ? Awl Nbve # Stories
Demolish Front
City/Zip Code: , Grade Depth ft.
Phon,e # : .
APPROVAIS FEF,S
Contractor: ' Assessr?ents Permit
sr e
?
Address: .qater/Sewer Surcharge
7
Police Plan Cheek -?
City/Zip Cod.e: Fire SAC
Eng. Watex Conn. yt?S'G ?-
Phoi?e #: Planrier Water D+4eter
Arch./Eng.. Council Road Unit <. 6'0 ?-
Bldg. Off.
: Acidress : AFC .
City/Zip Code :
Phone # : 'IUTAL
..,_ _
1?urin a; Uui•.?•y : ' Survey 1?6r : ' ? . .
Developers Canatruction
1101 Cliff Road
i surnsville, MN 55337 DELIVRAR H. ??HWANZ
LANO SURVEYOR }1 , I11C .
RWistered Under Laws ot The StaU ot Minnesota
2978 - 146TH STREET W. - BOX M R08EMOUNT, MINNES07A 66088 PHONE 812 423-1789
SURVEYOR'SCERYIFICATE . gfD+? Ci PjQ4p? . 04 E. .,s CXr y??tilG I
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\o 28 a 928.0 = Propased e1ev.
G?o3 , s? 92 ,9 - bciating elevation
/ I O= lrxon pipe at property
corners.
a ? wooa xub
1 ? I 9 Proponed-drainage
q,?f4 = Propoaed garage
floor elevation.
Scale : 1 inexlc/
= 30 feet O
Houae looation staked
June 8, 1983.
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I hereby certify that
a •a o? ? ? this is a true and
A:' !d? i correct repreaentation
:' ? p?/ / \• ? y?? ° Q' J'' ? oS` Lot 10, Block 7,
HILLTOP ESTATES, accordini
.o ??1 ?? sto the recorded plat
?o? thereof, Dakota County,
Minnesota.
Dated : October 10, 1979
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ed for Dunn & Curry Real Estate
Man ?e nt, Inc.
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r?nhH•- ??. $ Ex?sr?N?
. 7Ze GUXQ MINNESOTA REGISTRATION N0.8625 ?
92?. 1 =GAk• - - -
,
Certificate for:
? Dunn & Curry
Survey For; `
Developers Conatruction
1101 C1iPf Road Burnsville, Mx 55337 DELNtAR H. SCHWANZ
LAND SURVEVOR S . IY1C.' •
RyisterW Under Laws oi Tho Stato of Minnesota ^
2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 6606$ PHONE 812 423-1789
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SURVEYOR'S CERTIFICATE g f D? ? P? '?'`2?
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= 928 0= Proposed elev.
926•y" Exi.ing elevatia?n
O= ;pdn pipe at property
cornerd.
s 3 ? wooa xub
? I= ?(s Propomed drainage
Proposed garage
dD flcwar elevatian.
Scale : 1 inc?it/
?3oreet
? House location staked
June 8, 1983.
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hereby aertify that
th is a true and
A 4? I cor ct representation
oP L 10, Block 7,
HILL ESTATFS, aecording
e? ?? ?, \ ? ? ? ? ? _ ?,-- ,s+ • to the corded piat
?A thereof, D ota County,
M q Mi21Y1@s0t8•
4, q32 ? ?„? q3?, , 17o?d ??-
` Dated: Oatober 10, 1979
?? ???, \?,,-?' , q3°•2 '`93
ed for Dunn & Curry Res1 Eatate
'?- o x 9z?¢
yr Man i1 t, Inc.
by q2f? ? '
MAn?No? ?/ . z ? Ex?Sr/N6
T???a ?/GuSE MfNNESOTA REGISTRATIQN 40.8625
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HEAT LOSS CALCULATIONS ?
Weatherstrips A.S.H,V. ,
Guide
indows Doors Reference Out. WaIJ
e No I Yes No 19_
Room Length ? Width
Windows and Doors-CrackaQe and Area !
CA;l}tryct,i9n No.
Int. Wall Cei1 n? A?
t
No. tVldtb
ot pane Helgh[
o( pane No. o(
lightn
Llneal It.
o[ cnck
Arew
tq, tt.
0 2
_ Caef, $?u
Inhltratio? t%d
Glass
7 ?
Sz> -?
Exp. wall -?--s-+---
Net exp. wall % g/, 7?
Int. wall
Ceiling
-"et
1 otal tStu
I Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area
F1.1 0/'/7 Room I Length p Width /,S- Height 5
Windows and Doors-Crackaae and Arra
No. Wldth
o[ pane Helght
ot prne No. of
Ilehte Lineal tt.
ot crack Area
sq. tt.
26
Coef. $tu
lnfiltration ? a p // a O
Glasa Z o Sl 166 0
' Exp. wall
Net exp. wall ?p ? 80
Int. wall ?
Ceiling
Floor
1 otel titu. 1 9 0 /2,
Reyuired sq, ft. E.D.R. or sq. ine. W.A. Leader aroa
?FL ?G py,7Room I Length / Z, Width 7 Height ?
Windows and Doors-Crackaae and Aro-a
No. Wldth
of pane Helght
of pane No. ot
Ilght• Lineal tt.
ot.crack Area
ea. (t.
Coef. ?tu
(nbltration
Glas a SD / S4 G>
Exp. wall
Net exp. wall 2016 6 6
Int. wall
Ceiling
Floor S; / ?f?'
'_1 otai titu. ?
? 0 . • f . r. r n n • •.? . . . .
MINIVEAPOLIS, MIIVN.
Insulation
Roof Ftoor Kind How Applied
?
,
/ FL? ?x?-? Room I Length ? Z Width ??. Height g `
Windows and Doors-Crackaste and Area
?
No. Wldth
ot D`n• Helght
of pane No. ot
Ilghts L(neal !t.
ot crtck Aree
Yp. It.
/8
dr o
/
/?? ?
/ 34 8 d a
/ 9 0 U
Coef. Btu
In6ltration ,s6 Vo Z Z 4!0
Glaaa 2 S S'D
Exp. wall
Net exp. wall Z 3z g' Z„
Int. wall
Ceiling
Floor
Total Btu.
Required aq. ft. E.D.R. or sq. ina. W.A. Leader area
2- F'1.1-)'J. Ba-,O., Room l Length z, z Width /.r Height 9
wi naows an a uoorr-4-racea ge ana t?rea
No. Wldth
ot Dan• Hel[ht
ot pan• No. of
IIgAts Lineai ft.
ot crack Aroa
sQ. ft. -
? ? 5r ?/8 z. a2 y
'
2 v ?3 d > / .? S /?
ef. tu
Infiltration
Giaaa Z/ S p l b Sp
Exp. wall
Net exp. wall Z o 6 6 O
Int. wall
Ceiling
Floor
. Total Btu. S3 S 5?
Required aq. Et. E.D.R. or sq. iris. W.A. L.eader area
-2- F1•1 dzJroo .,Room I Length 1-5, Width Height 8
Windows and Doora-Crackage and Area
No. Wtdth
o[ pane Helaht
ot pane No. ot.
Ilghu Lineal tt.
o[ crtek Area
sp. f t. ?
'
/ ?Y 5/8 Z o2 ?/ /G ?
? 20 J?
CoeE. Bcu
Infiltration ya / ?,?
Glass .Sa 40 s'-a
Eup. wall
NeC exp. wall qZ
Int. wall
Ceiling
F{oar / Z S !3 S'
iotat titu.
.
HEAT LOSS CALCULATIONS
.
Weatherstrips A.S H.V .E , Copshqction No.
Guide
Windows Doors Reference Out. Wall Int. Wall Ceifing Roof Floor
Yes No I e No 19_
2 FI.j 7,4 V-A- Room Length 15' Width // Height 8
Windows and Doors-CrackaQe and Area ?I
No. '.%'Idth
o[ pane Helght
of pane No. of
IiQhte Llneai ft.
a[ cnck Area
sq. tt.
COCf. BC4
Infiltratioti
Glass --.-?s-?:^-^-
Exp. wall •
Net exp. wall -f 2- 6 y3 z
1nt. wali
Ceiling ? 9G
Floor
Total Btu. ? g
Required sq. ft. E.D.R. or sq. ina. W.A. L.eader area
F!•j,&,rF,„,r-/--Room I Length Width Z y Height 8
Windows a nd Doors -Cracka ge and Area
No. Wldth
o[ Dnne Helght
ot Dane No. ot
IlQhte Lineat It.
of crack Area
sQ. tt.
Coef. Btu
In6ltration 6 p Z ya a
Glasa ?L 5-0 / 8 c5 v
Exp. wafl
Net exp. wali o? c/ ( 3 8
Int. wall
-&?
Floor
Total Bcu.
Reyuired sq. ft. E.D.R. or sq. ins. W.A. Leader area ?
FI.1 Room I Length Width Height
Windows and Doors-Crackage and Area I 17 '
No. WIAth
of pane Helght
of Oane No. of
Ilghl• Llneal tL
of crack Area
eq. [t.
'
?
V
' Coef. Btu r
Cnfiltration
Gia+3
Exp. wall
Net exp. wall
Int. wall
Cetling
Floor
1 otal Btu.
n • . i. r n n . • twr . I . .
MINNEAPOI.IS. MIMV.
Insulation
Kind How Applied
F1.1 Room I Length Width Height
W? ndows ana voore--il.racxa ge ana r+rea
No. Wldth
ot pan• FieiQht
oT pan• No. ot
tlghts Llneai tt.
ot crack Aroa
sQ. tt.
_ coeE. Btu :
Infiltration
Glaaa
Exp. wall
Nec exp. wall
Int. wall
Ceiling
Floor
Total Stu.
Required aq. ft. E.D.R. or aq. ina. W.A. Leader area
Fl.l Room I l..ength Width Height
W i naows an a Lroors-a.racxa ge ana Hrea
No. Wldth
ot Dan• 8elqht
ot Dan• . No. of
I1ihU Llneal tt. .
ot crack Aroa
tQ. tt. . . .
...
ef. tu
Infiltration
Glaaa
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required aq. ft. E.D.R. or sq. ins. W.A. Leader area
ri.i Rnnm I lrnoth Widt}? HeiQht
Windows and Doors-Crackage and Area
No. Wldth
ot Dane Hel`ht
ot pane - No. ot
Iliht• Llnealtt.
ot crack Are•
sp. tt. . .
Coef. Btu
lnfiltration
Glass
Exp. wall
Net exp. wall
lnt. wall
Ceiling
Floor
I Total Btu. . . ?
******************?********************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 765
DATE: 08/14/00 TIME: 15:11:02
ID:
NAME: ,
NORBLOM PLUMBING CO
3212 i9001 1904 S POINTE T 30.00
2155 9001 1904 S POINTE T 0.50
3212 9001 4298 BEAVER DAM 30.00
2155 9001 4298 BEAVER DAM " 0.50
3212 9001 3542 COACHMAN R 30.00
2155 9001 3542 COACHMAN R 0.50
3212 9001 4134 BLUEBRRY K " 30.00
2155 9001 4134 BLUEBRRY K 0.50
Total Receipt Amount: 122.00
CR135779
USER ID: JAN
L 10 BL J_ CITY USE ONLY
? r
RECEIPT #:
SUBD. ST Gi'Im RECEIPTDATE:
PERMIT# 4?!16?
2000 PLUNB=NG PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IQNOB RD
EAGAN, 1W 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
RIXTIIRES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet * minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchert sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Sep,?? `.ert't new/refurbished • requlres MPC iic. 75.00 X = $
Se ?,. abandonmeM
? 30.00 X = $
new instaliatioNrepaidrebuild
RPZ 30.00 x = $
Rou h?. .: c;ning 1.50 x - $
Shawer 3.00 x = $
Under round sprinkler ff dwelling is under construction 3.00 X = $
Under round sprinkler if existing dwelling 30.00 X = $
Water cioset 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under constnuction 5.00 x = $ ?
Water softener if extsting dwelling 30.00 x = $
Water tumaround 30.00 x $
State Surchar e .50 --> ----> ----> $ .50
TOtal _> . -50
Reminder: Catl for inspections of alterations, i.e. water heaters, water softeners, etc.
?---------------------•--------------------------------•------.._..------------------------------------------------------._.---------•--------
! hereby adcnowledge that i have read this appUcation, state that the information is comect, and agree to comply with aH applicable City of Eagan ordinances.
tt is the applicanYs responsibility to notify khe property owner that the Ciry of Eagan assumes no iiability for any datnages caused by the City during its
nortnal operational and i iis permit within City propertylright-of-way/easement.
?
SITE ADDRESS:
OWNER NAME: :
tNSTALLER NAME: T&jO,9.,eiL0M TELEPHONE #:
STREET ADDRESS: G.?7U J C=-Z ry' Ir?,,h- 1?. Lll I`Tuit-
CfTY: M(/UAJE-6PQ L.l S STA
SI
DAHL, BRUCE/LINDA
4134 BLUEBERRY KNOLLS
EAGAN, Miv 55123 TELEPHONE #:
(651) 405-8188 - (AREA CODE) '
2005 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.
?'F?D!5-0
Date / L) l 3 D I 0 5-
Site Street Address ? 1 v L'nr h o ll lkml SS I Z 3 Unit #
Property Owner 6v /4n:;4 4 dSQ f? Telephone #(ajs:j) 2 39- 9(? Z?-
Contractor Telephone # ( )
Address City State Zip
The Applicant is: ? Owner _ Contractor _ Other
Alterations to existing dwelling $ 50.00
X Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. If you are insfallinp onl a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_,Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
? Water Softener _ Water Heater $ 15.00
_ new X replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
r--?p , S0
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is com*te
and accurate; that the work will be in conformance with the ordinances and codes of the Gity 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 approved.
Vv/& G v i-o-i SL
Applic nt's Printed Name App ' 's ignature
???-?Q ???---
2007 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 ? L2k?
Site Address_ t 1 r"',bm? irr,_? Unit #
Property Owner Telephone # 0
Contractor Dan Wohlers Southside Htg. & A/C
6950 W. 146?' St., #106
Street Address Apple Valley, MN 55124 C`?'
State (952) 431 7099 Telephone # ( )
Bond #: ? ?-- 1- 0CJ ?" ?? '?1 a ? Expires: OC.:a o? ? d ?
The Applicant is Owner X Contractor Other
Fire repair (replace burned ouf appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alterafion to existing dwelling unit $ 50.00
? fumace _Additional 4Replacement New
air exchanger
? air conditioner
heat pump
o:lier
State Surcharge $ .50
Total $
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 staxt without a permit; that the work will be in acc d
approved plan in the case of work which reyuires a review and approva[ of pl D C?j ?? Cl D
C"
6t
, 2 9
Applicant's Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120593
Date Issued:02/20/2014
Permit Category:ePermit
Site Address: 4134 Blueberry Knoll
Lot:10 Block: 7 Addition: Hilltop Estates
PID:10-33000-07-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Kyle S Gulbrandson
4134 Blueberry Knoll
Eagan MN 55123
Apex Energy Solutions
1509 Southcross Drive West
Burnsville MN 55306
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156675
Date Issued:07/12/2019
Permit Category:ePermit
Site Address: 4134 Blueberry Knoll
Lot:10 Block: 7 Addition: Hilltop Estates
PID:10-33000-07-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kyle S Gulbrandson
4134 Blueberry Knoll
Eagan MN 55123
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164006
Date Issued:09/17/2020
Permit Category:ePermit
Site Address: 4134 Blueberry Knoll
Lot:10 Block: 7 Addition: Hilltop Estates
PID:10-33000-07-100
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Kyle S Gulbrandson
4134 Blueberry Knoll
Eagan MN 55123
(952) 239-9622
Keystone Builders Inc
11670 Fountains Dr, Suite 200
Maple Grove MN 55369
(763) 280-0568
Applicant/Permitee: Signature Issued By: Signature