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4078 Blueberry Lane
City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: `D ao3 T Permit Fee: Date Received: Staff: L 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 4", `— / Site Address: e6 efek Tenant: Suite #: Name%A (J co 144 ,4 License#: j 6 Address: o ‘,) t T'C1(ic37 City: /.7e...S State, 1,4 1 Zip: 6G' Contact: i'f f/li/ (1/3 Q Phone: eft G f a 7 �!-1 Email: New )( Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work:94 0/ /rd./ G 4/) RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x [4i! . Applicant's Printed Name x A. .can's Si nature/re FOR OFFICE USE Required Inspections: Under Groun Meter Related Items: Meer Size dio Re d, r CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Os 9008 PHONE: 454-8100 BUILDING PERMIT Receipt F To be wed for SF DWG/GAR Est.Value $112,000 Dote APRIL 26, 194 4078 BLUEBERRY LRi R3 Site Ad ress Erect Occupancy Lot " Block 7 sec/Sub. HILLTOP EST Alter ❑ Zoning _-iti "0 ~ N/A Parcel No. 10-33000-020-07 Repair ❑ fire Zone DEVELOPERS CONST Enlarge ❑ Type of Const. ae Name Move # Stories z Address 1101 CLIFF RD Demolish ❑ Length 68 BTTRNSVILL 890-6194 City FPhone Grade ❑ Depth. --LO-Sq. Ft. SAME Approvals Fees Zo Name 4 18! 0 o~ Address Assessment Permit u1 56.00 t- City Phone Water & Sew. Surcharge 0 Police Plan check Name Fire SAC _ 0 R K Address Eng. Water Conn.00. <W City Phone Planner Water Meter 63. 0 Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable , 0 State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee DEVELOPERS COigST A Building Permit is issued to: on the express condition that all work shall be done in accords wit II_opp icablq Stott) ofy )tAinnesoto Statutes and City of Eagan Ordinances. i Building Officio) k Permit No. Permit Holder Misc. Permit No. Holder Plumbing y 3~ a Db h(.kk e- 5J~ 'g H.v.A.C. 5 R 5 Well water Disp. Sewer I / Electric ~Yr1 5-i:, f 7 l(~. Inspection Date Insp. Other Footings ~g LAJ Foundation Framing R~gh PiDg. Rough HVAd 44/4/ Insulation Final Pibg. C. Final HVAC Final Water Describe Location: Wall Sewer Pr. Disp. Cities Digital Quality 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. Receipt U PLUMBING PERMIT Permit No CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 6) 1. Date f( 2. Installation Cost 1~1r Job Address/ Lot Blk. Tract 4. Owner b. Contractor Phone 6. Address r 7. City / i f~a GI' State 1 F + Zip S ' e~ ! 8. Building Type: Residential. Commercial ❑ Institutional ❑ 9. Work Description: New 16 Add ❑ Alter El Repair ❑ 10. Describe 11. No. Fixtures No. Fix_tur_, es Water Closet Cesspool /Drainfield Bath tubs Septic Tank Lavatory Softner / Shower Well / Kitchen Sink Urinat/Bidet Other Laundry Tray € floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets I tweby certify that the above information is true and correct, and I agree to y with a4l ord4 sand ruing this type of work, 'mad: for ~ baaJ l eo ians: Date Insp. Date Insp. V1S y` permit when numbered and approved. CITY OF EAGAN 484-8100 ,c . I COMICAL EERMI"f' PwM t NO. f CITY OF EAGAN G G tj F Fig in mrn tiered www S}C Type or P'rirrt terribly Tot. 1, pate ' 2. Installation Cost ~ ~ L am ' 3. Job Addrsrss Lot. Btk. Trecp A, Owner S. Cio~atractor Phone Address 7. Qty State dip S. SttMing "type. Residential 13' Commercial 0, Institutional 0 " 9, Work Description: Now fill" Add 'n Alter 0 Repair 0 to. Describe Fuel Type 11. f . >raui BTU • M. Ea. No. Eguipment CFM 1=Diced Air ` G F Air Handling: Mf9• Boilers Mech. Exhaust IWO. t h t 1-dater Other Ail C". G", Apir* Ow lob `I'riiormation is wus and correct. and 1 agree an or This t *wk. war , - .a_ - : aka ~ a~ tea.. p ~ac.x ~ ~ ~$s rg~'` ~ F .,S z.~SC! i. .._._J-.~.,.~.,.-x`53 ' .2 .....-~.J+~. CITY OF EAGAN Remarks Addition HILLTOP ESTATES Lot 2 Blk 7 Parcel to, 3~ - 2 6~ Owner Street 4078 Blueberry Lane State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 668.37 A 013751 4-12-84 1980 1-3-4- 67 in STREET RESTOR. GRADING SAN SEW TRUNK 1973 172.14 8.61 68.94 * SEWER LATERAL 1980 3128 95 312.90 10 1564.50 " if WATERMAIN * WATER LATERAL 1980 * WATER AREA 1990 • Servi es 1980 * STORM SEW TRK 980 * STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 260.00 42825 4-26-84 WATER CONN. 470.00 BUILDING PER. 9008 " SAC 525.00 PARK CASH RECEIPT ✓ CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE ~l & a. 19 RECEIVED FROM AMOUNT Is JG ✓ "t~✓d a" (':2 _DOLLARS Q CASH CHECK f,'• tr r s c -f~ • ' FUND CODE A NT Than u17-~ By 82 Waite-Payers Copy YeHovv-Posting Copy Pink-File Copy I PECTION RECORD CITY OF EAGAN PERMIT TYPE: Will D TNG 3830 Pilot Knob Road Permit Number: 02, 12 6:4 Eagan, Minnesota 5512^3 Date issued: ! t (612) 681=4675 SITE ADDRESS: APPLICANT: 4018 fit(IffiCkRY I,ANt' 1sILDR~r Mrsporf. PERMIT SUBTYPE. TYPE OP WORK: s {.rttt4:tl. NW $0211 t-N# t 0 AM 1044 tN'~i)tAtt0N V1NA1 1 Perna9t #fs P 160100 MOP="" 004e t kw!-C*mwftvft FowW"on but aw H~w Oak T" OWA mew aft Pow Do* K45073 Request Dat Fire No. FfougNKIEspection 7 Re fired? ❑ Ready Now~llll Notify Inspector Yes G No When Ready? i 1 :3 licensed contractor )1 owner hereby request inspection of above electrical work at: Job Address (Street or Route No.) city 110'7& I u e be _pr b, . Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. Power Supplie Address Electrcal o tractor (Company Name) ic Contractor§ License No. L _'by-P *o,tJV1 £-r Mailing Address (Contractor or Owner Making installation) ovt Authorized Signature (Contractor/Owner Making Installation) Phone. Number `IS 1-00a MINNESOTA STATE B ARD 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. (p~5.0373 REQUEST FOR ELECTRICAL INSPECTION EB-GO001-0 See instructions for completing this form on back of yellow copy. 9'(0 `X" Below Work Covered by This Request'er' v New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other(Specify) Comm./Industrial Furnace Farm Air Conditioner I Other (specify) Contractor's Remarks: h~L/ J rG-~- Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL _ Irrigation Booms - c~~Cf11 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 D certify that the above inspection has Final ( Date ~ku been made. OFFICE USE ONLY This request void 18 months from This request void ~l1 ( f 33 / 511(o -94 18 months from D 773 ~a4-7 MFR quired? .Ready Now ill Notify, Inspec- ;ice-nsed uest D to Fire No. Rough-in Inspection ~Q yes ❑ No for When Ready Electrical Contractor 1 hereby request inspection of above ❑ Owner electrical work installed at: Street AW-lg a. Box or R Citgi LSA lqll Section No. Township Name or No. d' Range-No. Couf 4F A. Occ ant (PRIN ) Phone No. Power Sup ier 6 Address a Electri 1 ontra for I m y N ei ontractor's Li en e 0 b ! Mailing Address (Contractor o Owner Makin Installation) ~ava Author' ad Signa re (Co actor Owner Making Installation) Phone_4 bel 4 1, -3 ~Zi% JV~ r 5 MINNESOTA STATE OARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION GEB-0000104 ► See instructions for compAeting thi® form on back of yellow copy. /(o A 7 X" Below Work ~ avered by This Request A d Rep. Type of Building Appliances Wired Equipment Wired Of' Home Rand; 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) t er (Specify) ter Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders /Subfeeders # Fee Circuits 0to200Amps 0to30Amps 1 0to30Amps Above 200_Amps 31 to 100 Amps Z- p. 31 to 100 Amps Swimmin Pool Above 100-Amps Above 100_Am s Transformers Irrigation Booms Partial/Other Fee Remarks Signs Special Inspection $ 56 Ord TOT FF~, Rough-in Date I, the al inspector, hereby certify that the above Final Date inspection has been made. This request void 18 months from RESIDENTIAL BUILDING PERMIT APPLICATION i I^ CITY OF EAGAN V~ 3830 PILOT KNOB RD, EAGAN MN 56122 651-681.4675 New Conetrudm Reauirementa • 3 registered site surveys showing sq. ft of lot, sq. It. of house, and 11 roofed areas • 2 copies of plan (20°4 maximum bt covArage Mowed) . 1 set of Energy calculation for heated addgkms • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior Witco is & decks • 1 set of Energy Calculations . Indicate I home served by septic system for additions • 3 copies of Tree Preservation Plan I lot platted after 7/1/93 • Rim Joist Detail Options selection sheet(bklgs with 3 or less unite) d 2- DATE VALUATION X~u . SITE ADDRESS 16 MULTI-FAMILY BLDG _ Y kN TYPE OF WORK 0Q- FIREPLACE(S) >~-0 _ 1 2 APPLICANT t es Id V "I STREET ADDRESS tc ` 6 CI k~Wre STAT91 ZIP ,L TELEPHONE #9~ 4-W' l-r ELL PHONE # FAX # "g PROPERTY OWNER TELEPHONE # 43Y-- COMPLETE THIS SECTION FOR -NM- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) + Residential Ventilation Category 1 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 T No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System T Uw L~' Sewer/Water Contractor: Phone # - r,,ct, 1 2002 I hereby acknowledge that I have read this application, state that the Information is c d agree tocomy with ail applicable State of Minnesota Statutes and City of Eagan Ordin c sSignature of Applicant lel OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex O 13 16-plex ❑ 20 Pool C7 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex< 0 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi 0 03 01 of _piex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt SF ❑ 04 02-piex ❑ 10 08-piex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-piex ❑ 19 Lower Level ❑ 24 Storm Damage 0 06 04-piex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding 0 32 Addition ❑ 36 Move Bldg. , ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair . ❑ 33 Alteration ❑ 37 Demolish (Bidgr ❑ 43 Reroof ❑ 46 Window /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) 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 _ 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 PERMIT cr . 0"F, EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILD G Eagan, Minnesota 55123 Permit Number: 021253 (612) 681-4675 Date Issued: 06/18/93 SITE ADDRESS: 4078 BLUEBERRY LANE LOT: 2 BLOCK: 7 HILLTOP ESTATES P.I.N.: 10-33000-020-07 DESCRIPTION: 4-SEASON Building Permit Type SF PORCH Building Work Type NEW UBC Occupancy R-3 Building Length 14 Building Width 14 REMARKS: FEE SUMMARY VALUATION $11,000 Base Fee $126.00 COPIES 1.00 Plan Review $81.90 Total Fee $219.40 Surcharge $5.50 Lic. Search Fee 5.00 Subtotal $218.40 CONTRACTOR: - Applicant - ST. LIC. OWNER: PIETZ BLDRS, MORRIES 14327496 0001278 MARKOV JIM 16593 GALENA 4078 BLUEBERRY LN ROSEMOUNT MN 55068 EAGAN MN (612) 432-7496 (612)454--0027 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L APPLICANT/PERMITF#SIGNATU8K SSU : S NATUIRE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021253 Eagan, Minnesota 55123 Date Issued: 06/18/93 (612) 681-4675 SITE ADDRESS: LOT: 2 BLOCK: 7 APPLICANT: A078 BLUEBERRY LANE PIETZ BLDRS, MORRIES HILLTOP ESTATES (612) 432-7496 PERMIT SUBTYPE: TYPE OF WORK. SF PORCH NEW DESCRIPTION 4-SEASON INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. FOOTING FRAMING INSULATION FINAL I REACTIVATE RECE E-D CITY OF EA AN PERMIT 1993 BUILDING PERMIT APPLICATION''" 0 1 1993 661-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, l set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) of change is requested once permit is issued. Date (o Valuation of work G o Site Address: d STREET SUITE Tenant Name: (commercial only) D %~6> 1 t-I a e LOT 2- BLOCK 7 SUBD P . I . D . 0 Description of work: The applicant is: 0 Owner 0 Contractor 0 Other (Describe) Name 14 - Phone 607 Property LAST FIRST Owner Address t-4 0 "c STREET STE # City State ~241~ Zip Company - Phone w Contractor Address License #1 P 000 City State Zip U Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved'.' I hereby acknowledge that I have read this appplication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. r x Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06'Duplex ❑ 11 Apt./Lodging ❑ 1 sement`nish ❑ 02 SF Dwg ❑ 07 4-P1ex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. 04 SF Porch ❑ 09 12-Plex ❑ 14 fireplace ❑ .19 Comm./Ind. Misc. 05 SF Misc. ❑ 10 Multi. Addl. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 31 New O 33 Alterations ❑ 35 Tenant Finish 0 37 Demolish 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst Fl. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster PUN # of Stories Footprint Sq. ft. Fire Sprink er Length On-site well Census Code c Depth Iwo On-site sewage SAC Code APPROVALS 0 Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS L/ S Cj4.%0jJ ~001+4,4, ❑ Site It Footing Framing %wInsulation Wallboard Ii Final ❑ Draintile ❑ Fireplace Permit Fee 12G.00 vstuati«n: S 000 Surcharge C.50 Plan Review 1.2 License , / y/q 11C MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded Trails Ded. Copies o Other Total: SAC % SAC Units WW1 N.ili.V6lvv avs . Dunn & Curry - r i Su.vey for Developers Construction RFEC EKED 11.01 Cliff Road Burnsville, Mn. DELMAR H. SCHWANZ ,JUN 15 1993 5 533 7 LAND SURVEYOR Registered Under Laws of The State of Minnesota _ _ 2978 - 146TH STREET W. - BOX M ROBEMOUNT, MINNESOTA 66068 RHONE 812 423-170 SURVEYOR'S CERTIFICATE 06 v t 'foe v$ =cVx" 134.71 fts'r q© o~' {b,tb~~ jI~o3Z IN W 14! PHouseed I I ~ yz vZ N I co } I b )j Garage j W gG o 7;rQ Zb !r J ~ g%0 %30 130.00 S $9° ~ r~l' (av~j ~y c=f" 0 Denotes Iron Monument 0 Denotes set wood hub Denotes existing elevation Denotes proposed elevation hereby certify that this is a true and correct representation of i,ot 2, Flock 7, HILLTOP ESTATES, according to the recorded plat thereof,. Dakota County, Minnesota. Dated: :`evober 10, 1979 Approved for Dunn & Curry Real Estate Management, Inc. House staked for DeveloP..rs Construction on April 11,1984. e MINNESOTA REGISTRATION NO. 8625 A") Ely. D CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTAT ON 1 5 =99 OWNER: i YIc~ (,1 - SITE ADDRESS: ._I j2 r~. CONTRACTOR: M-0 r,'L ( ~ rZ ~Z1hADATE: PHONE: 4 Determine working square footage of each: 1. Total exposed wall area sq. ft. x .11 V...a . 2. Total r of/ceiling area .32sq. ft. x .026 lotl 1 Total exposed wall area above floor a. Total wall window area b. Total door area - c. Total sliding glass area d. Total fireplace wall area e. Total wall framing area (average 10%) 2 , f. Total net wall area above floor" g. Total rim joist area Total exposed foundation area h. Total foundation window area..... F i. Total net foundation area above grade, o f Determine 1U1 value of F.eaeb wall segment: b. x wUl:_ n C. x ' U' - d. X ' U' e. X fu lid 9. x I U11 h. X I U! i . X 0. 3 . ...............................4........ Total _ If item #3 is the same as or less than item 01, you have met the intent of SBC 6006(c)2. 01r Total exposed roo /ceiling area j. Total skylight area k. Total roof/ceiling framing area (average 10%) 1. Total net insulated roof/ceiling area OVER Determine 'U' value for each roof/ceiling segment: x I US k. x ' U' . Total 4 . ....s If total of #4 is the same as or less than 02, you have met the intent of SBC 6006(c) 1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items #3 and #4 shall not be greater than the sum of Items-#-l--and #2. 1e + 2. 10 1 1~ '31 s e? z r' 2 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-"75 New Construction Requirements Remodet/Repair Requirements \J' ♦ 3 registered site surreys ♦ 2 copies of plan ♦ 2 copies of plans include beam & window sizes; cured fnd. design; etc:) site surveys (exterior additions & P decks) 1 ere calculations energy ♦ 1 energy calculations for heated additions 3 copies of tree preservation plan if lot platted after 7/1/93 required: Yes _ No //11 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: kh(~P IMi , J~QJJIJO STREET ADDRESS: - LOT: BLOCK:' _ SUBD./PJ.D. Name: ML kLy Phone PROPERTY Last First OWNER Street Address: -~16 r7 9 hLL u-ii Liu, City State: 121. J Zip: Company: ~ Phone CONTRACTOR Street Address: " ~~\A, r License # 171tg Exp. City State: Zip: C~ p~-- ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (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 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No ~ s Tree Preservation Plan Received Yes No Not Required - OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ ' 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory 0 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace O 21 Miscellaneous - ❑-,05, SF Misc. ❑ 10 _-plex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move 32 Addition Q 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. ' Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. Census Units Zoning sq. ft. Census Bldg # 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: $ D Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: %o SAC SAC Units CITY OF EAGAN CASHIER: JS TERMINAL NO: 679 DATE: 08/30/00 TIME: 14:01:58 ID. i NAME: BEISSEL WINDOW AND SIDING 1 3210 9001 4078 BLBERRY LN 293.25 2155 9001 4078 BLBERRY LN 9.00 Total Receipt Amount: 302.25 CR136658 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3o,. CITY OF EAGAN .J 4~bO7 3830 PILOT KNOB RD - 55122 651-681.4675 > 3 re"red site surveys showing sc. IL of iota sq. ft. of house 2 copies of pkm and gH roded areas 1 set of energy colculollons for heard mans > 2 copies of plans (show beam & w1rWow sizes; poured Rid design; etc.) 1 site survey for exletlor acdlitlons 6 darks > 1 set of energy calculations > 3 copies of ft* pmsenrallon pion M k# platted after 7/1/93 r~z DATE: CONSTRUCTION COST* DESCRIPTION OF WORK: STREET ADDRESS: 41to :z LOT: BLOCK: -7 SUBD./P.I.D. IT7 I 1 tl © Name: y Phone PROPERTY Lost First OWNER Street Address: 'e ~N~p ' qty State' JW- /N Zip: _ Company e / i 1v do z tJ ~r~; Phone c -r sr ' (area code) CONTRACTOR. Street Address:,,Z:Q License # 6', Em. City t /,x51- r C.2CL State: h7/-L/ zip: y ARCHITECT/ ENGINEER Company: Name: Telephone Street Address: Registration C"'y State: Zip: SewedJwater licensed Rlumber (if installing sewer/water): Phone t-_-.---) 1 hereby acknowledge #wt t have read this application, date that the rN rract, and agree to con-4* with all a State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Yes No AUG 3 0 2000 Tree Preservation Plan Received Yes No Not Required r, OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 F.,A Alt - Multi ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage' ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF 03 01 of,_ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) , ❑ 36 Multi ❑ 04 02-piex ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plea ❑ 11 10-plex ftg _Y or_ N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-p1ex 0 20 Pool ❑ 30 Accessory Bldg. WORK TYPE ❑ 31 New ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)* ❑ 44 Siding ❑ 33 Alteration ❑ 38 Demolish (Interior) CI 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors' " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq• ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation; $ Surcharge Plan Review License Mc/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PL Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 9006 ' • >PHONE. 454-8100 f BUILDING PERMIT Receipt To be used for SF DWG/GAR Est. Valise $112, 000 Date APRIL 2=6, 19 $o Site Address 4078 BLUEBERRY LN Erect Occupancy R3 Lot 2 Block 7 Sec/Sub. HILLTOP EST Alter Zoning R1 ❑ PN/A arcel No. 10-33000-020-07 Repair ❑ Fire Zone Enlarge ❑ Type of Const. W Name DEVELOPERS CONST Move ❑ # Stories Z Address 1101 CLIFF RD Demolish ❑ Length68 City BURNSVILLEphone 890-6194 Grade Q Depth 30 Sq. Ft. SAME Approvals Fees ,o Name ZOU Address Assessment Permit 0 u~ City Phone Water 8 Sew. Surcharge 56.00 t- Police Plan check 231.50 W W Name Fire SAC 525.00 V0 Address Eng. Water Conn. 470-00 <W City Phone Planner Water Meter 6 3 . 0 0 Council Road Unit 260, 0 0 1 hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total $2, 068.50 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: DEVELOPERS CONST on the express condition that all work shall be done in accords wit II opplicab) Sta of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN Include 2 sets of pl . l site plan w/elevations & ' BUILDING PERMIT APPLICATION 1 set of energy calculations. Th Be Used For _ Valuation - Date Site Address LPQ bt k OFFICE USE ONLY Lot 7i Block 12 Sec./Sub. a 4~'~ect Occupancy Parcel Alter Zoning AN* Repair Fire Zone Owner: •rlx4r Enlarge Type of Const. Address: I Move # Stories Demolish Front j ft. City/Zip Code; Grade Depth 3b ft. Phone APPS FEES Contractor: Assessments Permit water/sewer Surcharge SG° Address: Police Plan Check 9-?l ~ City/Zip Code: Fire SAC 3s- Eng._ Water Conn. Al )p O Ea Phone Planner Water Meter J Arch./ling Council Road Unit 60 Bldg. Off . Address: AFC City/Zip Code:` Phone TOTAL ~ i 0 ~ ~ C9 s 77 7 ;7,-P Certificate far: ,rA= Curry ' Survey f'or Developers Construction 11°0-1 Cliff Road Burnsville, Mn. DELMAR H. SCHWAN .5533 / LANCSURVEYOR Registered Under Laws of The State of Mtrnneseta 2878 - 148TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 56NO POKE 612 4 17" SURVEYOR'S CERTIFICATE C 0& 'fv 'Z 7 N i 30 -130 0. 7- I o~ I~ ~ ►bJbA . ~i~c3~ Ego) a Proposed U House ' YZ~ r D i Garage r C' L r 0 e a Denotes set wood hub ; ~)~?notl es proposed elevation ?6-40 Denotes existing elevation _ hereby certify that this is a true an coo-rent representation of li)t 2, Block 7, HILLTOP according, to the recorded plat hereof, Dakota County, Mftnneaota. Dated: October 10, 1979 pproved, for Dunn & Curry Real estate °~agement, Vic. H use staked for Developers Construction on April 11,1984. MINNESOTA REGISTRATION NO. 8625 •E.XTERi,01( ENVELOPE AVERAGE "U" COMPUTA'I'IGN OW1 E R SITE ADDRESS: CONTRACTOR: DATE: PHONE DETERMINE, WORKING SQUARE FOOTAGE OF EACH-, • r 'f l TOTAL EXPOSED WA4L,.AREA ' lr rl sq ft, x U fv 2. TOTAL ROOF/CEILING AREA. . • • .,~~'V ~r91 Sq ft x Illtli.. 3.' TOTAL EXPOSED 14ALL AREA CALCULATIONS: Total exposed wall,, . area above floor a sq. ft i,a`","; • a) Total -wall windowarea•' r glazed.: l sq ft x lru,r glazed. sq ft x 'lull b) Total door area ,44~ sq ft x "U" id } c) Total slidinn glass door area glazed.:.... sq ft x rrUir glazed..', sak ft x U d) Total fireplace wall area. sq ' ft x "U'l _ e) Total wall framing area (Average 109) ,ZIF sq ft x rrUrr f) Total net wall area above floor (Insulated)........ sq ft x "U" g) Total rim Joist.area......... sq ft x "U" J d Total foundat-ion area (Exposed) o sq ft h) Total foundation window area sq ft x "U" y 6 j Total net foundation f: area above,q ade%....... sq ft x llull, 91 3. TOTAL a) thru 1) if 'Item #3 is the same as, or less than 'Item fl, you have met the intent of S.n•C. Section 6006 (c) 2. 4. TOTAL.EXPOSED ROOF/CEILING' CALCULATIONS "Total exposed ~ , . reef/cei 1 1ng area sq ft F J sq f t x i.iUii o ti f Total sky I iaht. area... k) Total roof./ceiIInq framing ; area ,.(Average10%) sq ft .X "U11 - :~1, i N ; 1) Total net insulated roof/cei 1 Ing area Sq ft x W., l' TOTAL J ) thru `1 t , . If total of A 1s the same as, or less than P2, you have met the intent of S. I3. C. Section 6606 (c) 1 ATE;` BUILDING ENVELOPE ALTERt DES I GN To utilize the total envelope system method,, the values established by the sum of Items #3 and #4 shall not:be greater than the sum of items`N1 and ~2_ CIA 3 • 67 - 0 23 C E R T I F,1 C A T 1 O N I hereby certify that 'I have calculated the "U" factors and "R" values herei.n and that the, buildinci-here described meets or exceeds the State ` of Minnesota Energy Conservation Act, S 9 at re C01I51'IZUr,'r 1 011 It vnt.ut: , r , WALL FRAKIMG SECTION Interior alr film ~r.l1R`,! 41?r'tt -(3 ches soft ~mod , Exterior air f11m 0 '17kti"r;, t -TOTAL :R _ •61`t WALL SECT ION 4 ULATED 1 Inte'rlor,'alr,fllm' 6 Exterior a r`'fi im TOTAL A, y f r "RIM JOIST SECTION: t,1 Interior air'fitm y n hA L 7 Exteriol+ air film ~''•~y n .-17, 'TOTAL .~R;, ti s, rP Y.~. , ;k t J. i U 1/R M A t t: ~ 1 t, FOUNDATION SECT I OId nl error aT .7 .r1 R • a 11 .xterlo ai r'f i Im n O 17 TOTAL R t~ U 1%R SLAB ON GRADE ! u V 4 01 1 41 C7 w l.llll'I I I III. I I tlil V/~I,ll{~ ' ( CCILIt1t1 SECT 1011.,IIISULIITER) ' 1 Interior air:'Film 2 1. + 3 (xterio a 1 r f m (still) 3 ~ TOTAL' R I ! ',r 7 5 ,N~ j,t^y '~i 1 14t y+ ~~r Irl " ~ 1•', ! I d I r t .l l da ~ Ir µ r /r" ~ ~ t t,,L I ~ ' T~1 ,~71t `~tyl'11~.{~1 +j?~lt ~{f, `511r •i l : ~.?•5 , , v t li:l y l 1 5 `r , Jt J '1 ,"1 ~ (~MINCISECTION' 1.. (lo'a,'1is 1 : l CE I L 'I NG FR 2 5 Interior air f1 lm n ' ~'J!'~~shr; a 'AiR. ~ .yENTED 1t I n t e r i o aIr'P, 11m: still i;0. 1• j F~-O " 5 r inches' sof t: Hrood TOTl1l: R a, A it L „r 4-• +r V CEILING SECTLOtI~ (INS1 1LATER)+j l,. ,t L Interior. a i f 11f?1 ` A. 61 ,.2 1or air i'ilml still 1 ~I Fxt e r `I. TOTAL R • ~ / till tj ) ~ 7 S~ 1 1 i i. li ( f 1 i . C E I 1,,1N,(; F n RA I i ~o r Sai r~ f i ilm x,1 • VENTED z . 3 Exte air film sti 11 n: 6 1 inches sof t' wood _ TOTAL R • 3 4 5 ~ ' ~J •11~ `~{'y-fit F 1 n s i de a 1 r' f i l m r1' i 2 / S astsii~e air film. n. 17 / TOTAL, 11 CITY of EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 5452 P. ~0. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 5-3-84 Zoning: R1 No. of Units. 1 Owner: Developers Const ~ress: `S ~ Address: 4078 Blueberry Lane L2 B7 Hilltop Estates lumber Weierke Trench & Exc eter No.: 3~f/~ Connection Charge: 470.00 pd Size: Account Deposit. 15.00 pd Reade No.: 4 q1- 6J F q Permit Fee: 10.00 pd II agree to comply with the City of Eagan Surcharge: .50 pd Ordinances. Misc. Charges: 63.00pd meter Total: By jj !-d Date Paid: Date of Insp.: Insp.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot "ob Road X52 P. O. Box 21'99 • PERMIT NO.: Eagan, MN 55121 DATE: 5-3-84 Zoning: R1 No. of Units: 1 Owner: Developers Coast Address: Site Address: 4078 Blueberry Lane L2 B7 Hilltop Estates Plumber: Weierke Trench Exc Meter No.: Connection Charge: 470.00 pd Size: Account Deposit: 15.00` pd Reader No.: Permit Fee: 10.00 pd 169100 to am* with the City of Eagan Surcharge: .50 pd Ordinances. Misc. Charges: 63 . 00pd mister Total: BY Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 38 0 Pilot Krvpb Road 6642 P. O. B'ibx 21'1 9 PERMIT NO.: Eagan, MN 551211 DATE: Zoning: No. of Units: Owner; D ysz Opers onB Address: B su eTry Ile L B7 Hilltop E-e-ti es Site Address: 4078 Plumber: We ez a Trench Exc 4-26-84 42825 M0.00 rd urea to comply with the CRY of Began Connection Charge: 425' 00 pd ordinenees. Account Deposit: T Permit Fee: Surcharge: p BY Misc. Charges: Dote of Insp.: Total: Insp Date `Paid: 1 2/84 r CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: 4078 Blueberry Lane LEGAL DESCRIPTION: Lot 2, Block 7, Hilltop Estates (Lot/Block/Subdivision or Tax Parcel I.D. NUillber) IF EYIS7- 2NG STRUCTURE, DATE OF CRIGi dAL E ILDL`;G P=.:-ST ISSUE. NCE: PRFS S^`11 /P:KOPOS L'SE: R-1 SINGLE FP~AIILY - _ ' - / ❑ R-2 DUPE= (IZ%O UNITS) ❑ R-3 TO NIEOUSE (THREE + UNITS) ( UNITS) ❑ R-4 AP-ARTTflZN7/CCNDCi%=ILnI ( UNITS) ❑ CCMMRCIAL/RETAIL,/OFFICE ❑ L%ML'STRIAL 13 INSTITUTIONAL/GOV~~IMENT 2) APPLI= (PLEASE PRINT) NAME: Developers Construction, Inc. ADDRESS: 1101 Cliff CITY, STATE, ZIP: Burnsville, MN 55337 PHONE: 890-6194 (PLEAS nchln RINT) FOR CITY USE ONLY 3) PiumBER NAME: Welerke Tra 660 Cliff Road PLUMBERS LICENSE: ADDRESS: Active CITY, STATE, ZIP: Burnsville, MN 55337 Expired MASTER Not of Record PHONE: PLUMBER LICENSE # Starr initia 4) OCCUPANT/CwNER (PLEASE PRINT) NAME: James & Mary Agnes Markov ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTED: ® ccmECI'ION TO CITY saim ® CONNECTION TO CITY WATER ❑ OTHER (PLEASE DESCRIBE) 6) D; DIC% ONE: ® PLEASE HOLD APPROVED PER14IT FOR PICK-UP BY ONE OF ABOVE ❑ PLEASE MAIL APPROVED PER%UT TO 1, 2, 3, 4 ABOVE (Circle one) 7) SIG:v'AZL-RE : DATE : ap_alla~#~~r 3t1 fry ownw:.sm-2.u some Mw ~rassa. s roii s.rs +sara i= M No an ai owww" ac es F O R C I T Y U S E O N L Y PERMMIT " ISSUED rr pr. _ FEES: $ SE;. T;R PERMIT T.,r.T - -D T-T 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 ~y . ~ AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C~ 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: c~~ C7 TITLE: DATE: n e, ee~ 1e w:.e okm et eat >t a"" "FLAW "amps Wn amps mi oww wm w oE pa eys eta ■t lee ~!i w dtV of cagan 3795 PILOT KNOB ROAD, P.O. BOX 21199 BEA SLOMQUIST EAGAN, MINNESOTA 55121 Mayor PHONE: (612) 454-8100 THOMAS EGAN JAMES A. SMITH JERRY THOMAS THEODORE WACHTER DATE: April 16, 1984 Council Memoers THOMAS HEDGES City Administrator EUGENE VAN OVERBEKE Cry Clerk PEMnING ASSESSMENT SEARCH RE' Hilltop Estates; Lot 2, Block 7 4078 Blueberry Lane:, Eagan, MN 55123 Parcel # 10. 330.00 020 07 Requested by: DAKOTA COUNTY ABSTRACT CO. 1250 Highway #55 Hastings, MN 55033 I CERTIFY THAT ACCORDING TO THE RECORDS OP SAID OF'F'ICE, THE FO=M-rG 121PROV111E ITS ARE COD=4PLATED OR PENDING AF HAVING BEEN APPROVED, AND APE t?OW IN = -PROCESS OF PLANNING OR COMPLETION. Kind of Improvement Approximate date of Completion Approximate cost NONE [)'ATVER: Neither the City of Eagzn nor its employees guarantees the accuracy of the above in- formation which was requested by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration for the supplying of the indicated information in the above form, and for all other consideration of any nature whatsoever, any claim against the City or its employees rising there from is hereby expressly waived. Levied assessments to be paid to the COUNTY'TREASURER AT HASTINTS, MDT. 55033 or CITY OF EAGAN. Very truly yours, SPECIAL ASSESSMENT DIVISION THE LONE OAK TREE. THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY ,ate 7t' CAgt of czaga a 3795 PILOT KNOB ROAD. P.O. BOX 21199 BEA BLOMQUIST EAGAN. MINNESOTA 55121 y- Mayor PHONE: (612) 454-8100 THOMAS EGAN JAMES A. SMITH JERRY THOMAS THEODORE WACHTER DATE: July 5, 1984 Council Members THOMAS HEDGES City A43miru5trator EUGENE VAN OVERBEKE City Clerk PE^^IDI17G ASSESSMEN'T' SEAR!M- RE: Hilltop Estates, Lot 2, Block 7 4078 Blueberry Lane, Eagan, MN Parcel #10 33000 020 07 Requested by: Chicago Title Insurance Company 4820 west 77th Street Edina, MN I CERT= THAT ACCORDING TO THE RECORDS OF SAID OFFICE, T-HF. --7o tmn rip-TzOVED FvTs ARE C011=1PLATED OR PENDING AFTER HAVI1G, BEEN APPROVED, AND APE i-Tal DT = PROCESS OT_' PLANNING OR COMPLETION. Kind of Improvement Aporoximate r-ate of Corm ietion Apnroximate cost NONE IZ,IVER: Neither the City of Eagan nor its employees guarantees the accuracy of the abomre in- formation which was requested by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration for the supplying of the indicated information in the above form, and for all other consideration of any nature whatsoever, any claim against the City or its enoloyees rising there from is hereby expressly waived. Levied assessments to be paid to the COUNTY TREASURER AT HASTINGS, m. 55033 or CIr.^Y OF, EAGAM. Very truly yours, 461azAl W107y SPECIAL ASSESSMENT DIVISION THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 30-60 2006 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~_ 2 Site Address LU e jo Unit # Property Owner (1/70 CZA L -Telephone # (LSD) S `(J 0d:~'77 Contractor STANDARD HEATING & AIR CONDITIONING 410 WEST T Street Address MINNEAPOLIS, MN 55408 City 612 824 2656 State Zip Telephone # ( } Bond L y 1 Expires: ~tP The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional /Y\ Replacement New " _ air exchanger air conditioner heat pump other State Surcharge $ .50 Total $ I hereby apply for aResidential 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 permi but only an application for a permit, and work is not to start without a ermit; that the work will accordance with the appr d plan in the case of hick requires a review and approval of p ns. C-Ak/0 4 Applicant's Printed Name Applicant's Sign (j Use BLUE or BLACK Ink I For Office Use I I Permit I City of Ea Ed~ I ~ Permit Fee: l 1 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 1 I I Staff: Fax: (651) 675-5694 L -----------------I 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:.? ' /-/,:2 Site Address: Tenant: / Suite RESIDENT / OWNER Name: V Phone: Address / City / Zip: Z,)ze-, Name: Z License CONTRACTOR Address: C~~~ ~T City: State:4~ Zip: ~LJ ~6 Phone: Contact: Email: TYPE OF WORK - New 4 Replacement _Repair -Rebuild - Modify Space - Work in R.O.W. Description of work: e-10L AL 1-0 C r r 4 D1 RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ / - PVB) PERMIT TYPE Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goi)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xrTlzm 41~~ x 4; Z4 2 4-t 6 Applicant's Printed Name licant s ature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink r For Office Use Permit#: Ron City of EaEd Permit Fee: ` 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Date Received: Z Z Phone: (651) 675-5675 I I 11 IV I Staff: ? I Fax: (651) 675-5694 01 CfiWi 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ( l Site Address: V 29 o61L)5-:6cP1&1 Z4) Unit M e o~ Phone: Name: &aJd:t RESIDENT OWNER Address/ City/ Zip:! ~j Jt ~yJ £ (Ei 4It) Applicant is: Owner ntractor Description of work: & sV V_4 ~ ~T/& fl~ 4 ld TYPE OF WORK - Construction Cost Multi-Family Building: (Yes / No ) Cornpany:,~, S L C c Contact:-_J CONTRACTOR Address: City: CCPr~ State: Zip: Phone: .16'1'11)- of License 3 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone, Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesot State Building Code ust be c pleted within 180 days of permit issuance. x App ant's Printed ame Applican 's Signature Page 1 of 3 Zt DO NOT WRITE BELOW THIS LINE Q~6 SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 6,00 Occupancy MCES System f Plan Review Code Edition AfiV7 SAC Units (25%_ 100%_z Zoning j~.. / City Water Census Code ~y Stories Booster Pump # of Units Square Feet PRV # of Buildings / Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation zY HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review 7G MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r For Office Use ; Permit City of EaRd I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 ; Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit rlk Name. (~f V GJ ( Phone: Z- ~o- ~ 4 I RESIDENT / [ 9Jf r OWNER Address/ City /Zip: L Applicant is: Owner -Contractor Description of work: C-_ TYPE OF WORK Construction Cost: Multi-Family Building: (Yes / No .X Company-SL en rv.cy c Y n ~ Contact: ~ r CONTRACTOR Address: City: J'4 State: Zip: Sbo Phone: License 2 -C~~~ c171 O Lead Certificate M If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portionsof the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X C3 x Applicant's inted Name Applica ur Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA115996 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 4078 Blueberry Lane Lot:2 Block: 7 Addition: Hilltop Estates PID:10-33000-07-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Mitch Husnik 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 - Marvin Tstes G Vikla 4078 Blueberry Lane Eagan MN 55123 Homestyle Builders & Developers Inc 37 Walden St Burnsville MN 55337 (952) 994-3980 Applicant/Permitee: Signature Issued By: Signature F Use BLUE or BLACK Ink r I For Office Use l~ I Permit + o non City of EaR d Permit Fee. l I I l I 3830 Pilot Knob Road Eagan MN 55122 Date Received: S ~ I Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L{ Site Address: f (at 0 ~ Unit I Name: Phone: I Resident/ Owner I Address / City / Zip: A6),LF(m,_ Z,4) Applicant is: Owner Contractor s Description of work: t .jpV 1~~LL T Ype of Work Itt Construction Cost: ?it V Multi-Family Building: (Yes / No Company: LLef Contact: ~R) Ea s.5-- Contractor Address: City: Y State: Zi : Phone: p G r R License Lead Certificate G 0C If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ey COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sower & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a bu' ding p mit issued in accordance with the Minnesota State Building Code must be comple d within 180 days cif permit issuance. e X Ap ' pant's Printed N1a Applicant's Signature Page 1 of 3 ,~ID -7 rr 641ce DO NOT WRITE BELOW THIS L AE 1430 V36 SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of - Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION a,r Valuation ~ Occupancy MCES System - Plan Review Code Edition ,2007 SAC Units (25%_ 100% I!) Zoning City Water Census Code Stories - Booster Pump # of Units Square Feet - PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition)L Final / No C.O. Required .Foundation J~ HVAC _ Gas Service Test Gas Line Air Test Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Drain Tile Fireplace: -Rough In -Air Test -Final Siding: -Stucco Lath -Stone Lath -Brick Insulation Windows Sheathing Retaining Wall: _ Footings _ Backfill _ Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES f ,ZD l ~/D 7 Base Fee 73 Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies y ,t TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA136250 Date Issued:05/03/2016 Permit Category:ePermit Site Address: 4078 Blueberry Lane Lot:2 Block: 7 Addition: Hilltop Estates PID:10-33000-07-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Marvin Tstes G Vikla 4078 Blueberry Lane Eagan MN 55123 (612) 490-4484 Northern Plumbing & Softening 7401 Central Avenue North Fridley MN 55432 (763) 502-8228 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159088 Date Issued:11/20/2019 Permit Category:ePermit Site Address: 4078 Blueberry Lane Lot:2 Block: 7 Addition: Hilltop Estates PID:10-33000-07-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Marvin Tstes G Vikla 4078 Blueberry Lane Eagan MN 55123 (651) 454-0027 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature