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4142 Blueberry Knoll
. „ : _: .,;.. , _ CITY OF EAGAN . .-.?.., .. .. . --" .( WATER SERVICE PERMiT 3830 Riloe Knob Road , P. O. Box 21199 4917 PERMIT NO.: f Eagan, MN 55121 7l27??? DATE: Zoning: .il No. of Units: ? Owner, V@AtLtTB B1 C,rS ? f Address: ? Site Address: 4142 B1uQb= ICno21 LI2 137 fl31ItG?P Estates ? Plumbe w'e?el Blb?, r. - ; Meter No.: Connection Charge: 4SO. 00 p$ Size: Account Depostt: Reoder No.: Permit Fee: 10•00 2d 1 agrse to wrophr wIlh !ba City of Eoyoa Surchargec . Sfl pd O?dtnonas. Misc. Chorges: 60.00 po lllotoi' Total: BY Dote Paid: Oate of Insp.: Insp.: GITY OF EAGAN SEWER SERVICE PERMIT 3830 PilotKnob Road P. O. Box 27199 PERMIT NO.: 6005 Eagan, MN 55121 DATE: 7 1n7"83 Zoning: R 1 No. of Units: I Ownert VLntuxe iZl drs Address: Slte Address: ` Plumber: t asew to cormwlY wilk tlw Chy of Eagaw Conrwction Chorye: 49a5s.0D Rd ' Ordinenees. Account Deposit: Pe?mit Fee: 10. QC1 p$ Surchorye: . SO pd By Misc. Chorpes: Date of insp.: Totalc Insp.: Date Paid• E ?. . . ? ? . ? f CITY OF EAGAN 8795 POSt Kna6 Rood Eogram, MN 55122 .?? . 82" 40 ) PHONE: 454-8100 BUILDII+G PERMIT Rece;p+ To bs used for SF DWG/GAR_ Est. Value 1?7i0(?0 ..? ?.?.? ?i?,. ?te 2?.??'2 19?_ .r?..?..r, • Site Address IL1lL2 Ririwhc+rrV Knnll - ??* XP Occuponcy I.ot12 Block_7._ Sec/Sub. Hillto;g ,E. Alter ? Zonang i4 I, Porcel .# 10_33000..120-07 Repoir Q Fire Zone ?-;A?.?----_-- E nlar%e [] 7ype of Const. y ?` •? Nome nAlp 8z t;Onnie GuSts"Ct1 Iikove Q ;tk Stortes ? 2 ? Address 13536 Euertogh v. Demolish 0 1L"ength6g._ r Ci Piro E43Zf2.S1 4 Grode ? Depth 3.2 Sq. Ft. ? p Name Mex+tTI C0- R» i?d s:'? Approvols Fees ,g *+r Address cbZ W Assessment lFSn?SY?. Permit o? ~ ,. _. g. Water,& Sew. Surchcrge .?_ Cit Phqae Police Plon check 105X5ft t?W Name Sunli tp StUd.In9t Fire SAC ?- ; ,?ddress, :.s&?`d A'• Eng. Weater Conn.45Q,?}S1 <W ; , 7 t P}?ona ' Plonner Woter Meter ?0.._ Council Road Unit _ 250.00 i hereby acknowledge fhat't'have read this appfiC4tion ond state that gfdg. Off71201$3 the information is correct ond cgree to tomgW with al'1 applicoble Stata of Minnesota Statutes and City of Eagrirt Ordirwnces. APC . Tc+w Signuture of Pertttittee /1 Building Permit i ued to: on the express eoeu#ition t'#vat, p!( vvork'sholi be d ne}`in,?ccordarice with_.oli opplicobie Stete of Minnesota Statutes ond City of Ectgcn Ordieictncet. : Building Official ? .,..., . - ? , a.?.?. ?.. .?.<.. :?? permit No. Pwmit Holtler Misc. Permit No. Holder Pqambis+s z' H.a.s.c. c?o `t 4 ct k.:vft1 )f (c ?-zs S3 . ?,??? Disp. $txrar Ebe?ic +?e?tq?7R ?' ?'? ??_-m-?3 lSgrv?r? E Inwection Dats 1rtsP• Other Footings y- ion ? a-r?r4 FraRri" / ? 944 Raugh Plbg. Rough HV _ in#ulation O ilea Final Pibq. . . Final HVAC Finai + ` Y / w8't91 . . D6qCfIffB ?. 101'i: , lc ?3 W041 . Sawer Ptr. t3hp. ..-.•' aaTVC#;3:B:+T1'rv.. 12wcn2rsz."i.u.,'.r '?ia:*.e.-.red uaa?:°iN'?;YWmvxa..x ,-.u...r?>n- . . .e-??.b.-rycr Receipt PLUMBING PEFiMIT Permit No. C{TYOF EAGAN Fee Fill in numbered apaces S/G TYpe or Print %gibly Tot . 1. Date 7/25d83 . 2. Instatlation Cost • ? _#_1, - 3. Job Address 424 S1 u Blk. e errv ?ol l 7_ Tract ?.. :.' ? Yenture 4: Owner Bui 1 ders 5. Cantractor MieDZ@1 MeCh. phpRe 452-1555 s. address 3600 Kennebec Dr 7. Citv Eetgdn State Mt1 zip 55122 8. Building Type: Residential tI Commercial ? Institutionaf n 9. Work Description: New (N Add 0 Alter O Repair O " 10. Describe i € E ... 1.2,.: 1 hmt4?rtify . tt?at ihe abave infcsrmatifln is trt?e Arrd cc>rrect, ar?d 1 sree to ? ?i s etl otdtrtonces wytbodes govsrnirsgi tbis tYPe o# waric. i j #tr Finet Rough Date Irtsp. Date Irtap. ? ?• ?, a ? .. . -? ? . ?_ ,... _.. . . . r fFXtu"res , _ f - ' Water Closet 1??0: Fixt? _ Cesspool/Drainfield 4 Bath tubs Septic Tank ` Lavatory Softner / Shawer .._.....-- Well i Kitchen Sink ,?. :T Urina1lBidet O er???? s? , -? Laundry Tray t1"0ftr- ?v -?-----' / FEaor E3rains MdShe0"` Drinking Ftn. Siop Sink Gaa Piping Outlets 7 1 9 MEC14AN1CAL P!? Perimit No. ? ?, CI7Y OF i:At?Al?: Fee ,'2.,?,?,., 6+ 00 l. '` ' Fill in numb?tl $/C ?' Typ? or Print lgdbly tot. ? 1. 'Qw Z.'Instaltatiorf Cost ?.' 3, .lob Acidrew ?t)EP,??'1t:?..a' of f? 81k. d Tract a-- 4. Qwner ^ t„ • , ? ? ?? V`? ° - " u, r., e__ . ..? ? 4.. ? `?° 1'? +. .i ?' i. i;? '• ?. . ?t S. Gontractor Gz}t€hOne i 6. AddresS „_... IM 7. Citl+ C-?-?i_j State Zip ---------- ? . ? 6. guiiding Type. FEes+dential ? Commereiaf Gi tnstitutianai ? ? 9: 1Ncxk Descr%Ption: New Add El Alier 0 Repair ? " 70. Descrtbe Fue1 Type 1+, Eadw=nt BTU - M. Ea, Foresd Air ' No. EquiAment ?FM wo• Air Nandiing: f4c?iters Mtg. -,--,- Mech. Ext?aust _ t3rit I^ester IIAfg. Oth Air CctnQ. er Mfg. Cas. PiAin9 4utiets heceW Cortzt-Y that the abotie inforimtian is tue and correct, snr? ? 6gtee lwODMO#V Vfi totrgnances and codu gS t* type of wnrk. ? AAi .,'!.. 41e?? ? ? {.:..la?: 0 _ ? fi?trtt? ? '?#Ma1 ?` ? ? 1e = i?llV ., ? am _ Insp..?.;?,,..,,;?„? tnsP• ? d.i? ? i ry ` p p R $i E Cities Digital ity Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ° j "I ? ?, x , y1? b ?I ? ?? ?? ?:I? M?''+?iAN 3795 RI#.OT0? 1?O?1D ' A ?a E+4sGAN;'MaAINNEtOTA'85122 ?F . DATL '•AMOF.liVT & ..-. ?7+A?1yLA4 f$,? ?r i t 00 5 ? E] CASH EatHBCK T.I ? r? IC AidOU81'p . el:/ ?r? '??"J ,r•'.?? /?:?' ?/ . dk??'r ?`:??? ? " r.-l: d ?*,r ?y' ''? `{r.. ? ?I r p^ f ? ` ?M ?I y +! t l? w (1? . t 9 •,?ou oy, ? ? J,. . 1 1 F i MAI,. I iF t 4 . . ? . ? . .. . . . . . . . ? . . . . l?q t ?. i ? l? , ?',. Ia.L Ar,AH I tt?`???ht?•- 4M osYVFrUtO 0 Parnm Holder Date t`elephcne # PLUMBtNQ - ?VAC' _ oate ;. UWPOctim mep, ?r?nts FtOTt?',S FOUND ' FR"iNG RO7FfNta Rty4JGt+ Pi_UMBtNfa F'LBG A{F# TEST R4t16iti F1EA'TlA1C, EST V? INSUL GYPBOARO FiREPLACE FiRfPLACE AIR TEST FIiVAL PLBG FINAL HTG ORSAT TES7 BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH • MRINS . CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT fINAL DECK FTG DECK FINAL !`?? ,Q CITY OF EAGAN Remarks additioo HILLTOP ESTATFS LotBlk Parcei Owner t?.Street 4142 BlueberrX. Knoll StateEagan., MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1980 1336.72 1-33-67 10 802* 04 A012543 3#3$-$3 STREET RESTOR. . GRADING SAN SEW TRUNK 1973 172.14 8.61 20 7"7, C.f4 A012P.i43 $,.3,,83 '* SEWERLATERAL 1980 3263.91 326.39 10 : 195$:35 It H WATERMAIN * WATER LATERAL ' f -V 1980 * WATER AREA 1980 * Services 980 • STORM SEW TRK 1980 ' * STORM SEW LAT IgSO CURB & GUTTER SiDEWALK STREET LIGHT ?P,Q? ??? ????? S8 _ 31 7-29,$3 WATER CONN. 450.00 _ tt )r BUILDING PER. 27& SAC 5.00- _ fA tt PARK cITr oF EAGaN - 9795 Pittit Knob Road Eogae, MN 53122 827$ • PHONE: 454-8100 BUILDING PERMIT Receipt To be wed for SF DWG/GAR Est. Volue 107,000 paLe 7-3ff a vZ r 19 83 . Site Address 4142 Blueberry Knoll Erect }[g Occuponcy R3 Lot 12 BI«k 7 Sec/Sab. H i 11 t o p E s t. Aiter ? Zoning R 1 parcel # 10-33000-120-07 Repoir ? Fire 2one NA Dale & Connie Gustafson Enlorge ? Type of Const. V W Name Move p # Stories ; Address 13536 Everton Ave. Demolish p Length64_ b C; AppleValley pho,.1e 432-6$14 Grode p Depth32_Sq. Ft. °C Nome Venture Builders Approvals Fees ,o ?u Address 261 W. GeorQe ?- r..., S t. P a u 1 cL.,,.,_ 29 2-R 5 9 5 Name Sunlite Studios Address 1120 E. 3rd S t. r:... Duluth oL,,.- 724-5223 1 hereby acknowiedge thut I hove reod this opplicotion ond state that the informution is correct und ogree to tomply with all applitoble Stote of Minnewto Stotutes ond City of Eagan Ordinonce5. Signoture of Permittee A Buiiding Pertnit 1 s oll work sholl be d ir Buildin9 Officiol to: oppiicable Assessment Water & Sew. Police Fire Eng. Plonner Council Bldg. Off.7 / ZO / 83 APC Permit ?q5o'sO Surchorge ? • ? 573' C-;D Plan chetk -1955 Zz 5,ZS SAC 525.00 Water Conn. 450 . 00 Woter Meter 60.00 Rood Unit 250.00 Total #.?oplq' on the express condition that of Minnesota Statutes and City of Eogon Ordinances. - This re9uest void -7 1 l G -lAf c-'- ?j O ! ?Y 1,e . ? 18 months from ? ` 27PS1 Request Date ' - i2 Fire No. Rough-in Inspection Required? E]Ready Now,KWiII Noufy Inspec- tor Wh R ad t iKyes ?No en e Y []L+censed Electrical Cotitractor 1 hereby request inspectFOn of above bi Owner , . .. . electrical work'installedat; . - Street Address, Bo t Route W. City ? ec ion o. Township Name or No Range No. ounty ? Occupant RINTI UAe- Phone No. . Po r Supplier ' - ? Address c??,?, : a?,+?' ?? Electric I Contractor (Company Name) Contractor'-s License No. Wev?Y Mailing Address (Contractor or Owner Making !ns ?Iation) ?: ?- ?? v 02 - A oSignature (ConYr or/ wn r Mak i n) Phone Numtier 44-??'-? MINNE$OTA STATE BOARD OF EIECTRICITY' / J Tr+-ts INSPECrtUne nECIuesi wILe. noT Griggs•Midway Bldg. - Room N-191 ?.1 BE ACCEPTED BY THE STATE BDARD 1821 University Ave., St. Paui, MN 55104 UNLESS PROPERJNSPECTION FEE IS i Phnne 16121 287-2U1 ENCLOSED. __ ? -- REQUEST FOR ELECTRI?AL INSPEC710N EB-00001-03 ? See instructians for completingthis form on bacic of yeflow copV. 2:7661 X'"Below WorlF•Covered by This Request 3 0`7? ?P3 ew Add Rep. Type of 8uitding ` Appliances W+red Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Buiiding Dryer ' Electric Heatin Commercial Bldg. Furnace Silo Unloader Industcial Bldg. Air Conditioner Bulk Mifk Tank 'F7rn1 Other pecitv Other(Specify) f er Gecify Other Other Lmmnufe ln.snectlnn tea Kelnw _ # Fee Service Entrance Size # Fee Feeders/Su6feeders # :Fee Circuits 0to100Am s 0to30Am s o`SD' Qto30Am t 101 to 200 Amps 31 to 100'Amps g 31 to 100 q Above 200iAmps Above 100 - Am s Above i 0Q `A?ivi s Transformers Remote Control Circ. SC) Partial%'0 ee Signs Speciallnspection O ? r ?T Remarks 4&?a-so ?Ff ? P1 Rough-in /Da?te I, the Electrical Inspector, hereby Final ( certify that the above ?ate_9 ;ection has been ' de. This requ?esfvoid J months trom This request_voidjD-Zd ? 6.%s qO q-qooq, 18 montfis from 089979 L?a? ??, HcI? Request Date ?y T Fire No. Rough-in lnspeciion Req red? ?..,/ ?Ready Now Iill Notify. InsPec.- Wh ??? V?'j , 3 Yes ONo or en Ready Licensed Electrical Contrector I hereby request inspection of above 60wner . electrical work installed at: .. Street Address, Box or Route No. ? ` City ho I? f Iq?. we. e r a, ection o. Township Name orNo. Range No. County ? ?QTc-? Occupant (PRINT) Phone No. POVXK SuPPiier Acll[lress L 0. ? . ? .. f 3@ Q Q Electrical Contractor (Company Name) ?rU? , S :v, e_r -- ? e.v?se u. ?_ Contractor's License No. Mailing Address (C actor or Owner Making Instailation) a S el Au,& Auihorized S ,_ ureontractor/Owne kin Installat Phbne Number , C? _ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION RfQUEST WILI NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STqTE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER1NSPECTION FEE IS Phone (612) 297-2117 ENCLOSED. _410111111,? REQUEST FOR ELECTRICAL tNSPECTION Ee-00001-04 ' See instructions for completing this form on back of yellow copy. 0 W. DRO 907veQ " X"" Belo i`# rd by 7his Request ???? z? e Add Rep. Type of Building Appliances Wired Equipment Wired Hcune Range =- Terriporac_ Ser.vic;e Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Efectric Heatin Commercial $Idg. Furnace Silo Unloader Industrial Bldg. Air Conditioner 8ulk Milk Tank . Farm . Other Speci y 5iher (SPecify) ther Specify Other Other Compute lnspection Fee Below # JA/Fee ServiceEntrenceSize q Fee Pee.ders/Subfeeders # Fee Circuits 0to200Am s 0to30Am s 0;o 30Am s Above 200_Amps'• 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100,Am2s Above 100-Amps Transformers (rrigation Booms ? Partial,'Other Fee Signs Special Inspection T q F Remarks A ? ?^. 1_? a /" K I O L EE 1 /"1 _ C-B . ! w U0, +, C e- Zi ?-_ P U K `P_ U tn I \ , \ 1,1 s vWJ Rough-in Date 1, the ectrical . . tnspector, hereby ttf th t h ab e Final . '.?? r . ate/ ??'Y170 cer y t a e ov inspection has been. mad ? ?, e. RESlDENTIAL BUILDING PERMIT APPL.ICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 851-681-4675 New Construction Reauirements • 3 registered site surveys showing sq. it of bt, sq. ft of house; an?ii roofed areas (20% maximum lot coverage albwed) . 2 copies of plan showing beam & window sizes; poured found desgn, etc.) . 1 set of Energy Calcufations • 3 copies of Tree Preservatlon Plan if bt piatted aft?er 7!1l93 • Rim Joist Detail Options sekfion sheet (bldgs wkh 3 or less units) DATE ,l6 ';-g, 'aI JOB SITE ADDRESS 1#EI2, holll.rd&?Yv,/9't?f. IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWN TYPE OF WOR APPLICANT ADDRESS PAGER # CELL PHONE # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULE,S 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Plumbing System Includes: Mechanicai Contractor: _ Mechanical System Includes: Sewer/Water Contractor - Air Conditioning _ Heat Recovery System All above information must be submitted prior to processing of appitcation. Phone # *?(-a-(-ci J Fee: $90.00 Fee: $70.00 ,.,....,?•?--_ -?-.--_°?" ? _?? ???1 '? 1 r}'`I rr ?• 1,, ..,_- . .- r ??• I hereby acknowledge that I have read this application, state that the inform • abrf rs co?cfi; agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ord' a ce . Stgnafure of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 1/01 Water Softener _ , Water Heater ? _ No. of Baths FIREPLACE(S) _ 0 _ 1 _ 2 PHONE#g?6a?1'?? ? 2,jW ZtP CODE?..?? FAX RemodellRepairReaui?amerHs • 2 copies of plan . 1 set of Energy Cakxjtations for heated additiam . 1 site survey for exterior additians 8 decks . Indicate ff home served by septic system for additbns VALt1A'ION Phone #: Lawn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 07 05-piex 0 13 16-plex C} 20 Pool ? 30 Accessvry Bldg 0 02 SF Dwelling ? 08 06-plex Ct 16 fireplace ? 21 ' Porch (3-sea.) 0 31 pck: Ait - Multi 0 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea:) ? 33 Ext. Att - SF CI 04 02-plex O 10 08-p#ex 0 18 Deck 0 23 Porch (screened) 0 ' 36 MuM ? 05 03-plex 0 11 10-plex 0 19 Lower Level ? 24 Sh3mt Damage C] 06 04-plex 0 12 12-plex ` Pib9.._Y or _ N ? 25 MisceN$neous - ? 39 New ? 35 Int lmprovement ? 38 Demolish (Interior) O 44 94dittig' ? 32 Addition ? 36 Move Bidg. ? 42 Demalish (Foundation) ? 45 Fire Repair 0 33 Attaratlon ? 37 Demolish (Bidg}* ? 43 Reroof C] .46 Windows/Doors 0 34 Replacement *[lemolltion (Entiro 8ldg onM • t31ve RCA handout ta applicant Valaation pccupancy MCJES 3ystem Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr, of Bidgs Length fire Sprinkisred Type of Const Width REQUIRED INSPEGTlONS ^ Foo,ings (neW biag) _ Fingvc.a _ Faotings (deck) , FinaUNo C:O. _ Footings (addition) _ Plurnbing Foundation , HVAC Drain Tile ` Roof Ice & Watcr - - Final t)ther ? Framing , Pool _ Ftgs ? AirfGas Tests ? Final Fireplace _ R.I. _ Air Test Final _ Siding Stucca Stone _ Insulation ? windows :(newlreplacsment) APproved By . Buiiding Inspsctar ' Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage _ S8W Permit & Sureharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Totai , <. r.. ;e:. .,e. dr:;:.?y:,y:,..?.,t;v?;..;W.n b ,..•.... +P??.Yt?..:.?..?;???(,.?S?,Sfnf{.,:;,'?,1.`/(.?( ?l.Y{:...rn.h..?..:,:s?.,:?•.:;..?{;..}?..q••??%f.. ,:. ...? : . {.,I?Y OF ,.r A I'•. .? ?# ?? ?,l ?? :? ?' ? .(''<r•: { ? , C;n 779 s;:.f'.._.,,..... ... "1:: .?.?•.? r..,.. , ? . .,. r?,..: ?'F:. v t't? /c :4. /9s': Y. ;1: ME„ 004;; 00 ';:I't ;. ; . n ?'4r"tt-tl-:.;x ,.•4...f:_. E ?;;1..};,,,..3?•c?_1-,+, 3210 9001 WCf BI„,I,S(".BERr;4Y 50n00 i.,. _;?{? • s y•. , j. -.t r:,i...?.:F:;::?I:_,.?'???,?r r 0.50 ,.:.!.,.?._ic?x.? s ..,:._)i1:3 ???3.?t•c'.. ! t:.?'s; a.R. Rt:'cE:?7.pt AfY1?::iE.;f`it .- e'J0a5(] ?,'?;l, ?:;???e^#,?? . . . . .. ,. .:f _?,?:. !„1">ti'?-*' ITI ;", NANi.,Y ?` r.:: .. ...??+T.^f.•t.. , Ys:, . +? ..,.1 ? -'• .TT FERMIT CITY OF EAGAN 3830 Pilot Knob Road E?agan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P e I. h! a: 10-33000-120-07 DESCRIPTION: PERMIT TYPE: Permit Number: Date Issued: BuILDING 033316 09J21/98 4142 BLUEBERRY KNCILL L(] l" - 12 E3 L.. Cl C K e 7 HxLLraP EsrATEs OEcK svEw 434 AL-ro REsxDENrt?AL REM?RK?'REvxEwED Bv szLL ADAMSo FEE SUMMARY: i3ase Fea 5urcharge Total Fee C4rNTRACTOR: ? $50.00 $5@,50 ? APPLICANT/P MITEE SIGNATURE 9WNER: - mppiicanL - usrAFsoN aALE 4142 BLUEBERRY KNqLk. EAGAN MN 55123 (612)808-2360 q)(GNATU ry?` 1998 BUILDING PERMIT APPLICATION (P;ESIDENTLAL) CITY OF EAGAN 3830 PII.O'P KNOB RD - 55122 681-4675 New Construdion Requirements RemodeURepair Requiremerrts ? 3 registered site surveys ? 2 copies of plan ? 2 copies csf ptans (inGude bearn 8 window s+tes: poured fid. design: etc.) t 2 site surveys (ezterior additions 8 dedcs) ? 1 energy calaulations ? t energy eaiculations for heated addiUorrs ? 3 copies of tree Preservation pian if lot platted after 711/93 required: _,,. Yes No DATE: CONSTRUCTIQN COST; DESCRlPTI F WORK: 1?-- ?. STR ET ADDRESS: Z3 - - LOT: i a BLOCK: SUBD./P.I.D. Name: Phone ??Z PROPERTY Last First OWNER 1. Street Address: ,); t V?j V.: Ciry State: Zip: Company: C"ja..r,n e- Phone #: CONTR.ACTOR Street Address: License # City State: Zip: ' ARCHITECT! ENGINEER Company: Phonc #: Name: Registraiion #: Street Address: I City State: Zip: Sewer & water ticensed piumber (new c:4nstructian ority): . Penait}t appiies when address chanc and tot change is requested once permit is issued. t hereby acknowiedgs that i have read this appiication and state that the information is correct and agree to camply with ait appiicaC State of Minnesota Statutes and City of Eagan Ordinances. ?. Signature ofApplicant. ??? . a??:? ;•?,. OFFiCE USE ONLY Certificates af Survey Received Yes No a im Tree Preservatiort Plan Rece'Ned Yes No Not Requir ? . . . . . . .E . . . . . . . . ?..? _. . OrFFi CE USE ONLY BUILDING PERMIT TYPE ? 01 Founda#ion Q 06 Duptex ? 11 Apt./L.odging CI 16 Basement Finish D 02 SF Qweliing O 07 4-piex CI 12 Multi RepairfRem. ? 17 Swim Pool D 03 SF Addition Ct 08 8-piex ? 13 GaragelAccessory ? 20 Pub{ic Facility ? 04 SF Porch 0 09 12-pfex C] 14 Fireplace 0 21 Miscettaneous O 05 SF Misc. D 10 ..._-piex 15 Deck WORK TYPE ?'31 New 0 33 _ Aiterations 0 36 Move ? 32 Addition ? 34 Repair ? 37 Demolitian GENERQL tNFORMATiON Const. '(Actual) Basement sq. ft. MC/WS System ? (AUowable) Main leve l sq. ft. City Water t1BC Occupancy sq. ft. Fire Sprinkiered ? 2aning sq. ft. PRV # of Stories sq.' ft. Booster Pump Length sq. ft. Census Code. pepth Footprint sq, ft. ? SAC Cctde ? Gensus Bldg ` Census Unit APPROYALS Planning B uilding Engineering Variance Permit Fee Valua#ian: $ r, 12 60 Surcharge PIan Review License • MC/WS SAC City SAC Water Conn. , Water Meter Acct. Deposit S/W Pennit S/tflt Surcharge Treatment PL Paric Oed. Traits Ded. Qther Copies ?Z> • ?8 i Totat: % sac aAG Units , J aF 2''"??'?. ,. .. ,r .o `OkA ? • f„? AV . ?a . . ..? .r,. ,? ?.v.G' ??pr S _ . ) pG ? ? ?33 ? 6m••/ 914, t CURB ry S \ ?3 / t}' ?4 . i: , - , .4 TEL • BcC tiL : 92 ? 8 x +-bt? , 60? x922.5 9Q2 ?''?' r? S"3P SWX ' x 9,- 922.3 / _ D' u_ IT?( . __..__ - - , • . __ , ? `-- `?/---?-- _--- -- ? x921.7 ?? 92 9i4.0'_ ?XI`?TING , ?902 ?*AKA65 / ?91 .q. ?. -- \ i " ? ?" M ? 1 GP! L ? ? ? ?' ? . • .? . 0J00 --tt' `' ?" ? ?? ?+- ? ? ? V ' ? •? .S ? \ t?' 1 1 ,1 ? ? .?- j ? ? !i ? --1-- ?.I( i ? . ^'' .'? ?? ? ? ._ Jrr? ? ?.? I • ?r??,,,? '_i?l ,'. ae?[1-+? ? \ = \? ? { 1' x90 5 J ? x9!?,.4 )9o 896.2 x Q? ic j--f .__?1`\ 'y?? i l: ;NI'_-• i RUN 'fLI Y \ . ? ? ??--- ? ? . x893.6 ? ARAhAG ? I I ?E ? uTLIT( T . _ ?...,-?.. t-7 " ` ?• ?, ' l ? ,? ? ? r? ? ?'° , `.?- ?? .? i • ??. 4 1 ,?,. e ? .?. ! 6 ? ... i. ? , ? ?? .? ?.., . .. . . .. TT+TT?t'?TT??[???'???/R??T'R?A?TT?riT.s.??„i?.?V'..??T'?`•R.?TTT?T??'F?S ?? r . ?: ? , .. .. . t Y Ot" ? EYIL.FfN ( . . ., C'Fw?'sMI1?.R;r ic TF?i"{?':•dF'.. 3't°?:' ?.xJt? r , ?; ? ,? ,:; <, 'fIM'= ? a./? ,, 3h.,»a:?. ,. ? ? ? NYit"!f.:. ° trEA.°AC\ T7 MB4 .!4OQ y F? 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' ? . . ?. .. . . ? , rs r .'•1 . . . . ?. . . . ? ? ?, t :? . . . . . . . ?" , `?. . . . , . ? j .' . : 1999 BUILDINC PERMIT APPLlCATION (RESlDENTIAL ZGJ CITY OF EAGAN ?'?? ` 3830 PILOT KNOB RD - 55127 651-681-4675 New Consfivctlon ReauiremeMs RemodeURecair Reauirements ? 3 registered sHe surveys showing sq. R. of lot, sq. ff. of house 2 copies of plan and gll roofed areas (20% maximum lot coveraae allowed) T aet of energy calculat(ons for heated additions ? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 affe aurvey for exterior cddffions 3 decks ? 1 set of energy calculations ? 3 coples of tree presenation plan 9 bt pla}ted affer 7/1/93 DATE: \LI 1M CONSTRUCTION COST: Cl 11,15 I'll DESCRIPTION OF WORK: R?'_ ?-Mjp STREET ADDRESS: LOT: BLOCK: SUBD./P.I.D. #: (1 ? 4 ? f? Name: l"}L1J? &1? CSYl„? Phone#: (U"??I' `tbg PROPERTY Last Fir# OWNER Street Address: ?? J'l Clty State: M? Zip: ? #: ? t?lX?? ??`t'? Com one pany: l?? ?? ?N?? ? ?. ?,?A ? (area code) CONTRACTOR ?j Street Address: 1 License #??Exp. City 6u r a3 State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( Streel Addresr. Regishation #: - City State: Zip: Sewer E. wafer ttcensed plumber (reauired for new construction onlv): ? Penalty appUes when address change and lot change is requested once permit is issued. I hereby acknowiedge that I have read this application, state that the iMormation Is coRect, and agree to comply with all applicabl Stote of Minnesota Statutes and Cffy of Eagan Ordinances. Stgnature of Appliccnt: OFFICE USE ONLY Certificates of Survey Received Yes No Q?? (. (? ?•-;???? TreePreservation Plan Received Yes No Not Required • OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 02 SF Dweiling ? 07 5-plex ? 12 12-plex 0 17 Garage 0 22 Porch/Addn. (4sea. ? 03 1 of _ piex ? 08 6-plex ? 13 16-piex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex 0 14 Apartments ? 19 Lower Level ? 24 Storm Damage 0 05 3-plex ? 10 8-plex ? 15 Lodging 0 20 Pool ? 25 Miscellaneous WORK TYPE 0 31 New O 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia 0 32 Addition ? 36 Move Bldg. ? 40 Gas tnsert Q 44 Windaws/Doors ? 33 Alteration O 37 Demolish Bldg.'` ? 41 Wood Stove CI 45 Fire Repair ? 34 Repair CJ 38 Demolish (Interior) ? 42 Reroof " cuive rC:N handout to appiicant ror demolitinn 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 B4dgs # of Stories sq. ft. MC/ES System ? Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PL Park Ded. Trails Ded. Other Copies TotaL• SAC Units % 5AC , n . , 7e?jllur OF Inc 2 S? z?va te plns & BUIL??IG RMIT APPLIset of ela s'Ib Be Used For Valuation 4 Date ? ?' Site Address ? ( ?' gu?E:rv'K nb 1 ? OFFICE USE ONLIat /,?t slock -] sec ./sub R(Ilj-d? L??m,Erect ? occupancy - Parcel #: Alter Zoning Repair Fire Zone ? owner: po,,\E d-- Co n n,k°E G 0_5+0?1?50 N Address: 13 5 :3(o E11F_,,?ko Y\, A-o& . City/Z ip Code A-pDtf-- 9 Phone # : ? 3 v? - LO $ ? Contractor. ? J_A?UV'?_ Address: ;2 0( aD `l` L City/zip Code: c-,51 U 77 Phone # : Arcn./Eng.: AddreSS: 11 2 , o EL City/Zip Code: u,A-V \ Phone #: -7,-9, ?( - S ?-z 3 Enlarge 'I'ype of Const. N1QVe # Stories Demlish Front (Q?j ft. Grade Depth ft. APPROVALS FEES Assessments Permit ' -? [aater/Sewer Surcharge 5-3 -= Police Plan Check 2,25' ? Fire SAC 2"g,?,;, =°- Eng• 1(3 Water Conn. YSS""U Planner Water Meter council Roaa onit a s? =? Blag. Of f. 7_ 2v =?5 APC 'I'OTAL / Z Y . . GWNER ? . SITE rtCORESS MI,aNESOTA STATc BUiLDIVG COOE OIYISICN . QZY OP :,Ci„m ` • EXTE-1IOR E,`I'JELOPE A'lERAGE "tt" CCMPUTATICN _ : / / .._.,.. ? . I,I"T .. COYTRACTOR DATE PHICNc G?rf' Oetermine warkTng s4uare footage ef each. 1. Totat expased wa11 area . . . . . . 2 ? ? ?2 sq. ft. x 17 ?. i ota i radf j cei i? ng ar?d ..... 5q . fi'?. z •? ? Sz', „ . I TotaT expvsed Na1T area a?--ave fToor cl I,??TF? a. Tota1 wall wirtdcw 3r?3..?1e.-E? ......... .... ? b. Tota1 dcor are3 ................................. c. Tota1 sliding gtass dcar ara3 ................... 1+7 d. Tota1 firaplac_ watt area...+N.-?t pj?i .M #:t-V?-t;> .Y'-:wli'.t, ? e iotzt wa11 rr..ming arn3 (av=ra,e 10:)............ 71rr0 i r. Tctat ^nt wa1T 3T'_3-3QOYe =c_--r ................ 1"0,:) L P m 4oi st ar--a . . . . . . . . . . . . . . . . . . . . . . . . . . . . ;. ro t31 r. ? rot3j e.XrC52'.? ;:u?:d3? :tt 3Ys3 h. Tata1 `oundatian ?aindc.+ ar--a ..................... i. 'aaT rtet ,"oundatian ares a:ove grada . . . . . . . . . . . . !E:) i o Cetermine "'J° ' vaT?.:e -= 3aca wa11 s_,:ent. D !i`- ?? ? ...?, ___. -? • `7 ?. (.LW .1. i?r•t 1 ? 1 ? ?`/ J p „1 ft _ r? , v a, A ' % ? r? r ? .1 3 ?t X h. X 'u° _ t : .,ula ? ,07 _ ?1. . 3 ..................................... i a `31 ' 1 ..?`' -?? A?•- ! If i y? #3 f s u esa„ 3s, or 1 ess _~an f tim #1 , fou ^ave of SZC 5CC5 (c)2. ?? • . ?• •S ? Tctal expased reo;/c;iTing 3r°3 , , -T'CtAL, £?+.c?'W ?- p'R,,,eF,,_ . , , , , ? ? Total skyl ight area............................. *7,r,?' L?F.' Tota1 r-afi/cni t i nq rr_,;?izg area (avsr=ye 1 C:) • O\ IX; tiT MF. t oL3T Ret i nsul a 'Cad r-zo l /cei i i ng ari3 . . . . . . . . . . . ?- }? •, l'+? ? I'1? ??1? 1? ? C'` :?'? P... .haY"???y ? 1 ? l ' i ? 1 1 1 1 1 1 1 L. 1.. ,...w r.?? ?Qetern?? "?3'• vaTu?e?;or eacho?oT/c_i l ing se?--:ent. ?, • r • - 60 V ? C?X °U° 147 M? lo-7 y t+l» t4 4_ "' C X?? q .. '.?.G ! ' ? _$_.._:_ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . tat?. j ? I A""4 . + . ?4 i S ti 2 S2me 35 , Ct' le55 t:'3f1 742, 'fQU "^2.'!a ,;;e.?' =?° S."ZC iCC35(c)1. 'Tt=rr,aza 3u;'-1;^g 'zve?=e m_s'gn '?' 1-''? •-= -13 ±J?.31 °_:'tV?l??° ?;??::.'7 .??:+iC.'? ?;':° '1???_S '?5=..':1 _-}/ :_rs ?3 arca .°Y S,6.3j ( ::? ? :? s ??:.. .?. ? -G : :2 yT°..?_a:' :?al1 • ?.:° 5W: , - i y 3 1. 4 ?3,1? } Z ?Z,?S? _ '?????? . ~ r ~~t~k't' . . . ~ m~ . I~ Nn~ -r~ p . . . . . , .~r.' ~ Ei 7~. . . . " . Gfl. _ .I ~ .1!"~ 1{~L 1 ~i I l~~ ~ ~ ~ . . . . . , . . ~ , ~ ~ ~ ~ ~ . ~ ~ . . ~ , ; , ' 4~ °'R~ 4, ~ ~ :p ~ D~ IK~ T t . '?`'~N o~ ~L> = 9~ie55 _ ~ ~ , ~ ~ ' ,,A ~01~~ ' P) vJ L , . : ~;o ° .o<,r~~ (q, ,SqN~ Ky' M. N, " 2~ , . ~r ` Tvp -:~~~:9; ' : , ~ ~ ~ ~ ~ y _ - SNT No. a~5c~~~io~ ~ ~ ~r~ v~ / 1NV - 9p6.5 _ ~ w~'~ x ~917. ~ _ / _ ° ( SIT~ PI.P ~ SI~~~"~ ~ bI~X _ ~ ~ ~ P~ ~ ~ - ~ 2 1~Sh~°T Pi~~. ~ ~ ~ ~ _ ` ' L I. 1 F'~ ~ F 1~ _ ~fi~ ~ y~„r ~ ~ W, ~~I I~ ~ L- _ 1_ s ~y~'(~~ , No . ~ ~ ~ „ ~ ~~,LI~~~-~'`~' _ ~1~s-1- 1~.t~1_ 2 ~?.i~. ~~~~~r,.4c~ ~~~~1 _ : 0 ~.~5 °I0 ,r~ ` ~ ~ Kt~al~l~ _ ~ 4 ~~c~~r~ ~c~, ~~.r~~i r~~~ r-r~~~i~r~~, .r~~r~~~ 0 ~ ~ ~ r~ ~ ~:G,, ~ ~X ~~IQ~- ~L.~vA"~'I~ ~ 3 _ h.! 3 , , ~ ; ~ _ ~ui~~~~c~ 5G~°~`~~~ ~ ~G~~`t~?~<~ ~ ~8. . 914, Z ~ ~ ~C• h ,c, , cuR~ y ~ Z ~fI~E~?~IaC.~ ~~C~~"lf~(~ ~ f~C~"fAll~~ C~ ~ ~ ~ ~S !3 ; ~ c% : ~ _ 11~'(''~~°I0~ ~~Vt~,~"i~N~a 0 ~ , E.~c. ~ T~L. ~x ~ , ~ . 9~a ~ ~M : av~~ ~ v~INt~ ~ ~~~p ~~g : x .9 3 ~ ? , d U G ~ i ~ ~ - ,3 _ ~ ~X ~i~., ~ ~ ~ ~ ~ ~ ~ v a d ~ ~ ~ 92 <8K FXIST~NCr . . ~ ~IDI,I'~ : ~T; _ ~ . ~'i~ I t~A.S~M~~l~" M~C~N~ ~ ~I~~G. PL~.N ° ~ ~ ~v~a ~ ' , ~ ~''1~ 2 ~~~'JT ~~d Irit.~l"'~, ~ ~r ~ 9«i C y 41 y 00 `yt ~ : ~ , x 9221_ t~ ~L~ ~ ~1~1~~ ry 5?P? ~ , ~ ; ` x~J22.5 ' " , _ _ D 10 t~ ~ c ce`~;~` ' ~ x .r'' ~ _ 1~'I~ 3 SEC~~1~ ~I~UO~ M~GN~~ ~ ' A. U E ~ ~ ~ ~ i ~ C ti . , 922.3 , ~ 1`~ 6 rc ~ , ~ E'd ~ ~ 3 k 3 ~ x919;2 v . . ' ~ . . ~ . . . . . Q9 T~ ~ ~ v a~ T<O _ ` : c ' a a `~:f~r . _ / 92~ ~ ~ ' , ~ , , : , ~ r C =Vd ro MY 914•0 i ~ _ ~ ~X921.7 92a--~"' _ n ° ° ~ c, E --Lt~~~~ v ro a ~ v~ . ~91~ t E ~ , /"~y ~ - - _ . - ~ i° v E _ I 917 a.. ~05,~ L v r « yy: _ j' ~ v.. T (p 'O ~ ~XISTI~ ' \ c ^ 902.2 ~ C~A1~1G~ , , ~ x . . ` ~ ~ ~ ~ Q~ , ~ ~ ~ V I ? ' y5 ~ a ~ k' ~ a11 -O . ~ • s ° N o ~ ~°.OU~ ~ ~ r ~ g0 r N ' ~ Z,~ ~ - " p , . ~I ~l*r~ TIE _ D - . , ,~b , , . `..me N y ; > Z , \ ~ f'" ° ~E PCNIN~ WI~L-~^ ~ ~ \ 9I :9 • ; t g a'< , , . rc'~.- ` , _ ~ _ av', ,~i% / . ~ . ~i ~-O.(nO cc~-O ' 1p ~ ~ _ _ , ` , . ' _ _ _ y.. ` ' _ °!v0 ' ~ ~ ` \ ` ` ~b / ~ ~ ~ ` ~ _ ~ ~ - - h • ~ < , ~ , _ 1 , ~ 6~ , / ; --r ~ F { . ~ ~ , ~ _ , ~ 8r'1~ . A , ' _ ~ a ~ ~ , , ~ ~ s . , . ~ r . . . ry. . . . ,p.~ ~ , ~ ~ J \ . , ~6'` x905 1:~ ~ _ ~ , , , ` , ~ ! _ \ ,~~-CJII.c%N. C>Gl=*t~M~.ld , : - S°7°i I!~ x9 1.4 x~Jl~'i.4 ~ - b'-O°o,L, ~V~G''1' K'1~1~`{"N o ~ ,p - co~~~~ ~ 896.2 x , , 'y ; - , aN~~o~- 5eiw-~s ; ~ ; ~ ~ li,~"~r°~~ "fi~ . 1L i_ _ k'C ~d,c.}~. LN[a ~ _ _ _ _ ~~t~ o , wNIN~~, - .x4=-=-- - ~ ; . \ - ~ ~ -_.~w__ ~ : _ . . . ` f~aw~., C,c,ilal -~NIS P i~ I~ ~ ~;-~r,M;~. r i UN 0 YCIC T ~ ~ ~ ~ _ ~ ~ _ . ~ „ ' ~ ~ G~o~~ M~M~ X$94; 2 (AP ~ b ~ ) . ~ > ` _ - - ~ ? 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I U U ~ ~ x 905.T ~~1°%7II"~ F.I;L=VA~IDN . ~ _ _ „ Exi~~~n~ ~ohT~u~ ~~-~N~~ ~ ~ ~ . , ~ ~ PRC;~tY~~p CON1'QUR I,IN~ , ~ ~ r ~ ~ ~ . ~ i ~ ~J~C%'~~1`~ 1~C~~ i i ~ Nq°f~ , . ~ ~ ~ ~ i, ~XIhTINt~:.~I~11,~T':,(.w~1~'Siw~ SNoWN ~I' Gr~t~.iE o~ Pt~aP?Ei~•~'~( sn+zl~ -W - VJf~iGi~' "U ~i N ~ „ , ~ APPP-d~~rtr~-~~, coN~•-P~c.~'U~ ~NS*~ V~~I~Y Er,At~'T u~m~ir~rl p.ti1o ~ , ' ~X (~ND .AGI. ¢~~Qule~~t7 I.IN~ '(R ~Ull.piNL~. ' ~ ; 4 f4l _ , , ~ , , -.5 - ~ lv~~ _l-I ~ ~ _ _ „ t - C~ - ~~h~,~ I.1N~ ~ . t. ~ r r { ~ C~`d ~ , ~ J~ ~ ~ ~ ' ~ ~JV E R KND . . ~ U~RY U. ; 1 ~ ~ ti i . l:D'i l2 ~.it. 7 ~ ~ ~ ~ . ~ ~ ~t ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ' ~ _ , 7 ; ; ; ~ I , _ . F. _.Gi DATE : Da4TE : JOB NO.:' GoUN'fY KG ~ 30 ~UN~ Z0 E . , JUNr- ZOf19~3 82102 ~ REVISED: a ~ REVISED: D03AWP!'BY: ' . _ w~T o~: ~c :2z ~ Tw~ ' 2~ IxUG,, C~i ~ SHEET ~I ~E. 23 . SfiEET td0 ~ . : 2, . , ~ I'I~ _ ~ f Nb ~G~~ . ~ ~ . ~ ; 0 ~ OF - 9 oE 0 PERMIT City of Eagan Permit Type:Building Permit Number:EA119056 Date Issued:11/14/2013 Permit Category:ePermit Site Address: 4142 Blueberry Knoll Lot:12 Block: 7 Addition: Hilltop Estates PID:10-33000-07-120 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 . Barbara Bessent 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 - Carolyn E Peterson 4142 Blueberry Knoll Eagan MN 55122 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature