4087 Blueberry Lane
CITY of EAGAN WATER SERVICE PERMIT
3795 Pilot, Knob Road PERMIT NO.: 2343
Eagan. 1AN 55122 DATES 8729/79
Zofgng: RZI. No. of Units:
Owner: Patterson Builders
Address:.
Site Address: 4037 luebern, Lane L30 B6 Hilltop Bstates
k'zZ r•T
Plumber:
Meter No.: Connection Charge.- 270 r QQ p d
Size: Account Deposit:
Reader No.: Permit Fee: 10.00 gd
agree to comply with the City of Eagan Surcharge: • 110 did -
Ordinances. Misc." Charges: 60.00 p'd meter
Total:
"$y Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAIV SEWER SERVICE PERMIT
3795 Pill.& Knob Road PERMIT NO.: 3570'
2'0a 79
Eagan, MN 55122: DATE:
ZoAg: Ril No. of Units:
Owner: Patt 3rs nTj T i l ders
Address:
Site Address: 40347 Muele ry one 1,30 4' ldll.toj E2tA'te9
Plumber: P erz R" eagl
7`1° /79+ 1521' 1110.00 P(I
1 agree to comply with the City of Eagan Connection Charge: 42 5. W d
Ordinances. Account Deposit:
Permit Fee: H . A1Surcharge:
BY Misc. Charges: a
mate of Insp.:
Total: _
Insp.: Date Paid:
CITY OF EAGAN
' 3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
WAM SO MM PERMIT No. 323
Date: ~j Receipt No.: 17584
Single
Site Address. 4087 Blueberry Labe Residential
Lot 30 Block 6 Sub/Sec. hilltop Est. _ Multi Res., Comm./Ind.
Name VIP-hael Jansen New/Alter./Repair. Nero
a Address same
Cost of Installation
O
City hone: 452-3499 Permit Fee 5. or 2
Name Comers Soft Wate-r
Surcharge
3801 California St. NE
Address
e
0
City Phone: -Z3-33n,, Total r ` 50
This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN Remarks
Addition HILLTOP F.STATF.S Lot 30 Blk Parcel s ti 06: _
Owner Street 4087 Blueberry Lane State Fagan, MN SS123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1980 1336. 72 133.67 10 1203.05
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 172.14 8.61 20 I'll-94 --9127/79
SEWER LATERAL 980 3, 62 319.26 10 2944.32 A008624
WATERMAIN
* WATER LATERAL 1980
* WATER AREA 1980
* Services 1980
* STORM SEW TRK 1980
* STORM SEW LAT 1980
CURB & GUTTER
SIDEWALK
STREET LIGHT
Poad 7500 Is??-) 71/1 q/ 7Q
WATER CONN. ?50 00 15222 7119179
BUILDING PER. 5,391 7/19/79
SAC
PARK
` GASH t EC-1U PT
CITY OF EAGAIN
f 3795 PILOT -woo PoAiD
EAG i Ak ONNE-SOTA 55122
D~ME 19
RECE[VE4 - - j
AMOUNT ~ y
DOLLARS
1 oo
CASH CHECK
Fo J~ 1C !r r'c, r.
FUND CODE t AMOUNT'
zz
Th A Your3
l~
V 1 By
r ~
S222 White-Payers Copy
I Yellow-Posting Copy
Pink-File Copy
INSPECTION E
CITY OF EACAN PEA CM
3830 Pilot Knob Road Per" Nuthber. 0 2 61 f, 8
Eagan, Minnesota 55122-1897 bate tssuW:< l
(61.2) 681-4675
Moo "'00 or>
APPLICANT:
SMADDRESS: PERMIT SUBTYPE. •
TYPE Kk.
t
Y t N Y ~
Y
Il ~ ,,~r)ak 'fix q ~`r ~ b 'sT 1~ y .v ~k )r }
I ~
K..
pormft Hm POMU lamer Dais Tetq*ono
ELECTF4C.
P
3'VC
Oat- &MP-
FOUM
FEW
flo"
Puimam
Roo
AM TM
ROUW
HEATM
b
WIN"
OW BOAM
f,
muff
G F AL PM
F~iN. N'TQ
(SAT
TM
81" FKA&
BSW FKUM
DR* FTG
DECK RN&
i
INSPECTION RECORD
CITY OF EAGAN P9RWT TYPE.
` 3830 Pilot Knob Road Permit N m %er:
Eagan, Minnesota 55123 Date Issued:
- (612) 681-4675
S `E.AE CRESS: APPLICANT:
~ 4Ot# list s tt Y t r t f0ftt PL U, eu kf mtspk~ I.f, P% a".f"
r.
PERMIT SUBTYPE: TYPE Off' WORK:
f i s t : t AV 1'1:0 N
PECTION TYPE
V [ NA
ri
ELECTM
Do" k"W
3
h
-
i
theae'#~!
P f'tkq. F'*% ftpmcw -ter NOW
coirt Mier
harp'
sue. F"
t7MMk ~i.
Dim* FbW
aaoN
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHF,CK BELOW WORK COVERED BY THIS REQUEST S 0737
Tyy-,,,,of Buil ' New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ❑ ❑ Range ❑ Temporary Wiring ❑
Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures ❑
Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑
Commercial Bldg. ❑ ❑ ❑ Furnace Silo Unloader ❑
Industrial Bldg. ❑ ❑ ❑ Air Conditioner Bulk Milk Tank ❑
Farm E] E] ❑ List List
ethers - Others
Other ❑ ❑ ❑ Here the
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee FSuteeilerb # Fee Circuits: # Fee
0 to 100 Amps. 0 3 am yes 0 to 30 Amperes
101 to 200 Amps. 31 toU A peres 31 to 100 Amperes
Above 200 Amps. Above 100 Amps. Above 10Amps.
Transformers Remote Control Circ. Partial or other fee
Signs Special Inspection Minimum fee $5.00
Remarks q0,0 TOTAL FEE 1-611
I, the Electrical Inspector, hereby certify at ec 'on has been made.
(Rough4n) Date ;z 7 7
(Final) Date j -/I-
This request void 18 months from
This request void 18 months from
ate of this Request 0,UI2, X, /7 S
I, Licensed Electrical Contr for C] Owner, o hereby request inspection of the above electri-
cal wiring installed at:
Street Address o Rqute No. 9 - City
Section Townshi Range County
Which is occupied by
(Name of Occupant)
Is a roughin inspe tion required on this job? No O Ve Q Ready Now O Will
Power Supplier 74`6L, L~7t Address
Electrical Contractor s iIZ CJ~ - x' j~o
r 's License No.
n Na(
14540 PEN~~C~pCKW LANE APPLE g
Mailing Addres~_ G_ ,j,EY'
( ect ' a tl dlci~rlq► Qymer lSjng s 11ation)
Authorized Signature 33JJLL~~1i~L~n y~,,~~~~,, he No.
(Electrical Contractor or Owner Making This Installation) "
This inspection request will not be accepted by the '
State Board unless proper inspection fee is enclos,
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 020931
(612) 681-4675 Date Issued: 05/12/93
SITE ADDRESS:
4087 BLUEBERRY LANE
LOT: 30 BLOCK: 6
HILLTOP ESTATES
P.I.N.: 10-33000-300-06
DESCRIPTION:
SIDING
Building Permit Type SF (MISC.)
Building Work Type ALTERATION
REMARKS:
FEE SUMMARY
VALUATION $10,000
Base Fee $117.00
Surcharge 5.00
Total Fee $122.00
CONTRACTOR: - Applicant - ST. LIC OWNER:
BUILDERS & REMODELERS INC 18275481 0001100 WHITCOMB FRANK
3517 HENNEPIN AVE S 4087 BLUEBERRY LN
MINNEAPOLIS MN 55408 EAGAN MN 55123
(612) 827-5481 (612)452-3637
i I
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.
APP CA ERMITEE SIGNATURE ISSUED Y: IGNA E
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 020931
Eagan, Minnesota 55123 Date Issued: 05/12/93
(612) 681-4675
SITE ADDRESS: LOT: 30 BLOCK: 6 APPLICANT:
4087 BLUEBERRY LANE BUILDERS & REMODELERS INC
HILLTOP ESTATES (612) 827-5481
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) ALTERATION
DESCRIPTION SIDING
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
FINAL
REACTIVATE CITY OF EAGAN
PERMIT 1993 BUILDING PERMIT APPLICATION s i 2,.
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys,. 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work q[q 7
Site Address: //(O % 61veborr~ l
STREET SUITE N
Tenant Name: (commercial only)
LOT BLOCK_ SUBD. P.S.D. #
Description of work:
The applicant is: E3 Owner 0 Contractor Q Other (Describe)
Phone 415 2~
Name
11
Property LAST FIRST
Owner
Address
STREET STE
City Lam State Zip 2
Company u 1- .r` 0 de Phone 122-51-1-V
!
ti
Contractor Address _ ! 7 k~fflai2ln 0L License t0001/00 Exp.3 3!
City dio)c, State Mn Zip ~y
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 application and 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: lid
OFFICE USE ONLY
BUILDING PERMIT TYPE r %N
❑ 01 Foundation ❑ 06 Duplex O 11 Apt./Lodging 1 Ba nfnt Finish
❑ 02 SF Dwg. ❑ 07 4-flex ❑ 12 Multi. Misc. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage /Accessory ❑ 18 Comm./Ind.
❑ 04 SF Porch ❑ 09 12-P1ex ❑ 14 fireplace ❑ 19 Comm./Ind. Misc.
O 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 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 F1. sq. ft. PRV Required
Zoning Sq. Ft total Booster Pump
# of Stories Footprint Sq. ft. -Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code`
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ Site O Footing ❑ Framing ❑ Insulation
❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace
Permit Fee v,iuatson: g
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct Deposit
S/W Permit
S/W Surcharge .
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
PERMIT
CITY OF EAGAN -K-`~
3830 Pilot Knob Road PERMIT TYPE:
BUILDING
Eagan, Minnesota 55122-1897 Permit Number: 026168
(612) 681-4675 Date Issued: 08/03/95
SITE ADDRESS:
4087 BLUEBERRY LANE
LOT: 30 BLOCK: 6
HILLTOP ESTATES
P.I.N.: 10-33000-300-06
DESCRIPTION:
Building Permit Type DECK
Building Work Type NEW
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge .50
Total Fee $30.50
CONTRACTOR: - Applicant ST. LIC. OWNER:
DECKS UNLIMITED 15619196 0004499 BAROTT TOM
1019 73RD AVE N 4087 BLUEBERRY LN
BROOKLYN CENTER MN 55444 EAGAN MN 55123
(612) 561-9196 (612)688-2606
I hereby acknowledge that I have read this application and st;al- l::ha the
information is correct and agree to comply with all applicable, t t.~ or Mr..
Sts tes d City of Eagan Ordinances.
p j~
PLICANPPERMITEE SIGNATURE ISSUED BY. IGN URE
ICILI CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions
♦ 3 copies of tree preservation plan H lot platted after 7/1193
required: _ Yes _ No
DATE: " 3C-2 - °l CONSTRUCTIO ieceo-STU0
DESCRIPTION OF WORK: q 4- 1oZx ~ CeoAt- STREET ADDRESS:d r u rr r~ ~+g
LOT -,5D- BLOCK (a SUBD./P.I.D.
02 ~00~
PROPERTY Name: ~O W1 k- ~ C.t-~ 11 ' ~ ra `V 0 Phone #:66V-
OWNER LMT V08T
Street Address 0 6-7 e" 1 /2-
City: C l,-A v\ State: Zip: 55
CONTRACTOR Company: eC- e~ Phone So t" o l9 b
~ ,Fk;
Street Address: to Ave- v License u qg `7
City: e-,kk State: 11 Zip- 57511
~
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address-
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state tha rma on i correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY FIEE V ~ o
Cer tificates of Survey Received Yes No 1995
Tree Preservation Plan Received Yes No -
OFFICE USE ONLY r'
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex a 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 ❑ 20 Public Facility
0 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 = plex 15 Deck
WORK TYPE
cogL31 New ❑ 33 Alterations ❑ 36 Move
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MClWS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.Y
Depth Footprint sq. ft. SAC Code o
Census Bldg
Census Unit d
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ Z a ° r
Surcharge
Plan Review
License
MCJWS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
/ Bk: 37/117
DELMAR'H, SCHWANZ
LAND SURVEYOR
Rpisured U"GOF LOWS Of TM 5UU Of MIMOsOU
2075 - 145TH STREET W. - BOX M PbsemOUNT, MINNESOTA Ems PHONE Su 423-1766
SURVEYOR'S CERTIFI TE
30 ~ p
$ 00? 2 03 W cuRg
Drainage k
/ utility
~tia a/ easement
L0 T 30
z
°J~ /
n t_
y P ry
40
\ usE
\CA'6 2s1
1 ,1
sae \ s ~o0
~ ipM 7 h
M.4 / h 0
e / of Elevations shown are
Proposed garage of to existing and based on
floor elevation assumed datum
• \ _ J Ori
V
SCALE: ] inch 41? feet
ns.o, do
Cup;
I hereby certify that this is a true and correct representation of
L,-)t 3', B1.jck 6, HILLTOP ESTATES, according to the recorded plat
thereof, Dakota County, Mirinesota.
Also sh,)wind; the-, location of a proposed house thereon.
Dated June 1979
pro r k .urr 1 Estate Management, Inc.
07 -7
1
rf
MINNESOTA REGISTRATION NO. 8625
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 5318
PH6411 454-8100
BUILDING PERMIT APPLICATION t Receipt # ~z
To be used for SF DWlq & Garage Est. Value 60,000. Dote 7-19 , 1979_
Site Address 4087 Blueberry Lane Erect] Occupancy R3
Lot 30 Block 6 Sec/Sub. Hilltop Estates Alter ❑ Zoning Rl
10 33000 300 06 Repair ❑ Fire Zone 3
Parcel #
Enlarge ❑ Type of Const. V
cc Nome Peterson Bldrs. Move ❑ # Stories
z Address 36 Woodland Dr. Demolish ❑ Front 50 ft.
City Lakeville Phone 469-4366 Grade ❑ Depth 44 ft.
Name Same Approvals Fees
0
uQ Address Assessment Permit 154.90
Water & Sew. Surcharge
City Phone
~
F Police Plan check. 77.25
Ww Name Fire SAC 525.00
_a Address Eng. Water Conn. 270.00
0
60.00
¢W City Phone Planner Water Meter
Council Rd. Unit 75.00
1 hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to„comply with all applicable APC Total 1.191.75
State of Minnesota Statutes,, ind Ci Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to; eterson B on the express condition that
all work shall be done in acc r n e with all plicab State of Minnesot Statutes and City of Eagan Ordinances.
r `
Building Official
i
3
CITY `OF EAGAN Include 2 sets of plans,
y {i 1 site plan w/elevations
.u BUILDING PERMIT APPLICATION 1 set of energy calculations. To be used for S
Valuat ion _ , E yv Date ~-7 i
Site Address a: « OFFICE USE ONLY }
e c t occupancy
Lot Block_ Sec./Sub. lr zV
Ater Zoning
Parcel # Repair Fire Zone 3
Enlarge Type of Const.
Owner: J jLL Move # Stories
c
Address: 611 Demolish Front ' ft.
i'
Grade Depth ft.
Phone Approvals - - Fees
f
contractor: f, L )QJ dt S Assessment 71/9 9Permit 1
Water/Sewer Surcharge 36 e_-
Address: E: (,ACC
Police Plan Check
~i► Fire SACS
Phone # : 1T Eng. Water Conn. 0-- f
Planner Water Meter d-- 1
Arch/Eng.: Counci Road Unit
Bldg. Off.
Address: APC
TOTAL
Phone 4i:
Certificate for.
T Gene Peterson
Rt. 2 Box 291-B Bk: 37/13,7
Lakeville, Mn 55044
DELMAR H. SCHWANZ
"NO WRVEVaR
RMistemd Uod& Lows of The Staff of Minnesota
2M - MITN STREET W. - E!OX M ROSSUClJNT, AUNNMTA 5 PHONE $12 4W47"
SURVEYOR'S CERTIF Tit
2 30`
Icao
SIB0022'03 VI cu"
~w Drainage is
utility
s/ easement
L 0 T ~0
30 0
St 40
v A~ ~ N
`C00 2 USE `Aa
N
lot? 2 / h
110.4 a
ti eba, M
cv Elevations shown are
Proposed garage
v existing and based on
floor elevation assumed datum
"CALF: 1 Inca feet' ,
u3.o, JO
c~R0
~FYr , y cavil:"y that this is a true and correct representation of
f
t 3 ' , 3I pct 6, HILLTOP ESTATES, according to the recorded plat
L` ikotla Coun':y, Minnes )ta.
Ai.,c. the Location of a proposed house thereon,
z,,_;r„ «k urr l Estate Mana.gement,' Inc.
MINNESOTA REGISTRATION NO. 980
Y
CITY OF UURNSVILLE
EXTERIOR ENVELOPE AVERArE 'lull COHPUTATIO,
v
lwner ~,~1Address k r ~b.CAI Phone
.egal Description of Property! Lot Block Addition Date.
Ute Address
AIFERAGE LINEAL FEET OF
EXPOSED WALL AREA ABOVE GRADE PERMIT.NO.
z8 f L J
lain level c- 5 _ 1 C>
Lineal ft. of framed wall above grade Z/C) x height of wall l~ ~ o
:Lm joist area _ •
Lineal ft. of rim x height of rim
:.over level r
Lineal ft, of framed wall above grade Z~~ x height of wall
Lineal ft. of masonry wall above grade? j x height above grade
_ TOTAL wall area above grade including windows and doors >a
tUNDOWS: Area x "U" value
14ate b type r \nL sq ft. x Stu'. ~ (Al
x ~5L • 30 U) (:i
s ft . - . .
"Ulf
(u) C
ft. x S ^ '✓b
`/1/X7 1~l 4 Sq. ft. S GL (u)(1
~1 1i J X G sq. ft. s,U,- 5 _ -T. CGGt
ti Outs
(u) U1,-
s x
`V~ it. i (U) (A'
Is _q Sq. ft ft.__~.. L a ltu.t 51 C4 (U) (t•
_ Hutt
u .t f sq. ft. } mt " X Sq. ft. L{ A .IUr,-~ CD (D (U)
or a r1 r,' 1 Utj sq. ft. Z x nL' CI
sq. ft. x .,u., _ (U)
a .t sq- ft. x ..U„ ((U) U
x U ♦I ' Y;z `11). (A
sq. ft. L
a. - sq. ft. x (U)
. .
x ,tut, {L')
sq. f t:
sq. ft. X, $full (U)
X5.2
!MRS: Area x "U" value p (U)
Make d type TIZ, sq. ft. I ~,-LU3 3; sq- ft. t x „Utl r ~-2 Z .I ~I~ (U) (
-
f ,Y,.-,W' r •s~. ft. A. 11 us& ~ G- (U)
~ x .dull (U)
of is
sq. , ft.
o,
43. 3 3$
1.11PAOUE [BALL CONSTRUCTION; Area x "U" value
FRAMED WALL (total area less
j_ opening, framing members in '
Detail refer-wall, rim joist area & masonry)
~_~...._.X once from Tsq: ft. -U" . .'p._. A . N.7q (L') l1
- -
attached x "U" (U) (
Framin members in wall sq. ft• 0
'ff 0
J
xttrtts Rini joist area sR• ft'• x
t1nSOriTy area above r_r,Lf~s Sq. ft: ZZ $lull
it/
TOTAI. Wall Area Including
Windows & Doors Z y TOTAL (U) (A) Zb 9;
TOTAL (lt) (A) VA_LUiS Q
01VID::D BY TOTAL WALL ARFA
Af]a;ACE "U" Minimum .17 or less for '1 & 2 family dwellings
Minimum .22 or less for all other buildings
\OTE: If average "U" values as calculated above do not meet t1►c Energy rode requi.rvnt~rts, the
IIw 9_..-.. r.. •,.,l.. r,,. #).°.~$ore',•,s indleated ou Pai,e 5 may be used. .
UJAN
• .i 1/. of ~-jp i due U.AIL arch
for friviLag mzmbers R-Values
FRA`iLNG ME`111ERS TN WALLS
Top-t'icv
Exterto;, alr film .27 ,
Siding
fff 1 Sheathing 3T " soft wood 4.38
~ { .
12": dry wall 45
-
a68
3 4 Interior air film
TOTAL R
Us1/R ; U~
FRAMM I-TALL
i Exterior air files
.
Siding / t SC~1[ ITS ~J'
.Sheathing
V batt insulation ! : .
Interior air fil .S$
U - 1/R: U c
- RIM 301ST _AR A "
hxterior air film t t~
yye~ r C/}11 l
$idin8 I
Sheathing
.6s
Interior nir fi.l.
• ~ s TOTAL R , q0
J
U 1/R U ry 06
MASONRY WA2.L
Exterior air film .17
12" concrete block
Insulation 1`( C. b 2', lp
Interior air film .68
TOTAL R n 14 , Q
ROOF CE:ILIM!
' J
_ Outside air film .61
Insulation
J T 11,1 j 11" Drywall .45
1111
Interior air film .6I
TOTAL R
- Outside air film ral
• Insulation
- = - - - - - Drywall .45
- - - Interior air film .61
TOTAL R
Outside air film .17
finR .33
i Insulation x. '
Wood decking
Interior alziilm .61
'TOTAL P.
- It 1/R~
GOOF/CEILING:
TOTAL. AKErI: sq. ft.
u
Detail reference x sq. ft.=► 1..2 (U) (A)
. n
)
• ' from above. x sq. ft. (U) (A)
Describe openings .full x sq. ft. _ (U) (A)
in roof x sq. ft. _ {U)(A)
..u.. x sq. ft. (1I) (A)
"U" x sq. ft. (U)(A)
..U.. x sq. ft. (U) (A)
sa -f t. 3 .~1 (U) C
ToTnls 1 Z ~ 2
TOTAL (U) (A) VAi.UFS f
91VID D BY TOTAL, 1100F/ Q AVG. "u"
CEILING A£.EA
AVERAGE "U" .05 for ventilated roofs
•
,
.10 for all oiti..cr construction
NOTE: If average "U",values as calculated above do not meet the Eng.erpy Code requirements, the
"Alternate Envelope m-1g1i" as indicated on Page •3'. ay bc, used.... -
I
. lam-
„Y
• Exterior air film - .92
Cra-al Space
s
If plywood 6 -4 }article board .66
XInsulati
t or air film "•g2
I c
TOTAL R ,
U = 1JR
ain. R 7.5 4 ...i
Slab an grade /
Min. R=7.5
At V; it.
Grade
7.5
Insulation shall have a minimum R-Value of 7.5 and must
extend horizontally (as illustrated)'or vertically a
distance equivalent to the design frost line; that' is:
Zone 2 3 feet 6 inches
Insulation shall have a minimum R-Value of 7.5 around the
perimeter of slab on grade floors.
A Dunn & Curry Community
U 1 7 Sr,!
DEVELOPER'S CERTIFICATION
Lot: 9U
Block: 6
Subdivision: This is to certify that
®~~~,fYl/
has complied with the Seller's requirements necessary to obtain
Seller's approval for a building permit.
This Approval is by Seller only. Builder must comply with all
city requirements and must secure his own building permit.
Approved b Seller Dunn $ Curry Real Estate Management, Inc.:
By
ut rize gent at
Accepted by 'Buyer:
By C,
Date
4940 Kking Drive
Pentagon Office Park
Minneapolis
MN 55435
(612) 835-2808
~:~****~K~c~K~K~~k~K~KaK*~K%KaK~~K*~~N~aK*~****~~**aKaK
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 674
DATE„ 12/03/99 'T'IME. 07:04:37
ID:
TAME: STATEWIDE GAS SERVICES
3210 9001 4087 BLUEBERRY 60.00
215 9001 4087 BLUEBERRY 0.50
a
Total. Receipt Amount: 60.50
CR J.20245
USER ID: JAN
*~kaK~*~**~caKaK#~~~*akak**a~***~*>~aK*~*~K#a~~>K*
1999 FIREPLACE PERMIT APPLICATION 57
CITY OF EAGAN
3830 PILOT KNOB ROAD = 55122
651 681-4675
Date:__
Description of Work: Construct new fireplace YGas Masonry Alterations to existing
_ Install gas insert onn Install gas :line only
Other Y/ e G S f~ JC ia~ e~-
Job address: Lot: D C) Block: Subdivision/P.I.D. t t `~Q 5
Applicant (circle one only): Owner Contractor Permit Fee: $60.50
Name::: /4 Phone 1- to Sal
PROPERTY Last First
OWNER
Street Address: T '7 Gfe
City-v. State: Zip: 5
Company: 5,144 t' r lV 4.e_r Phone 7 - toU
(area code)
FIREPLACE
INSTALLER Street Address: 33~fd ! Jf;
City 01- State: Zip:
Company: Phone
(area code).
GAS LINE
INSTALLER Street Address:
City State: Zip:
I hereby acknowledge that I have read this application and state that the information is correct and agree to
i comply with all applicable State of Minnesota Statutes and an Grlift
Signature
I
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 16 Fireplace
WORK TYPE
❑ 31 New ❑ 33 Alterations ❑ 39 Gas Line ❑ 41 Wood Stove
❑ 32 Addition ❑ 34 Repair ❑ 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
t
CI'T'Y W EAGAN
AS ,i:?: R: S TERMINAL NCI: 770
DAIE-, 07/08'/99 07.-55:36
ID
NAME,- AI:..I.. STAR CONSTRUCTION INC
MO 9001 4087 BLUEBERRY M.25
205 9001 4087 BLUEBERRY 2.50
r
Total Receipt Amoun ; H3.75
USER ID: NANCY
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD 55122 j
651-681-4675
New Construction ReouiremeMs Remodel/Repair Reautrements l
3 registered site surveys showing sq. It. of lot, sq. ff. of house 2 copies of plan
and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions
2 copies of plans (show beam & window sizes; poured Ind. design; etc.) 1 site survey for exterior additions & decks
1 set of energy calculations
3 copies of tree preservation plan if lot platted after 7/1/93
DATE: v y CONSTRUCTION COST:
DESCRIPTION OF WORK: ZeY~a OFF r~r0~'~ I~GG~f~ ~j9y~
STREET ADDRESS: zla 7 Jai 'f
r
LOT: BLOCK:. l SUBD./P.i.D. , ~C a cc ~JZ° t~
(~6 60
Name: 1319 r~) L/L - 6161 Phone
PROPERTY Last First
OWNER ? ?
Street Address:
City r? State: i7 - Zip
Company:/ Phone
(area code)
CONTRACTOR ~ ~ D License # 3 3► ~oaa
Street Address: 3 15-
City Cj'~n C +,A 1 State: 1M j'1 Zip:
ARCHITECT/ Name:
ENGINEER Company:
Telephone area code ( )
Street Address: Registration
City State: Zip:
Sewer & water licensed plumber (required for new construction only
Renalty 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 applicabi
;tote of Minnesota Statutes and City of Eagan Ordinances. l
Signature of Applicant:
OFFICE USE O Y
i s
Certificates of Survey Received Yes Not.
Tree Preservation Plan Received Yes No Not Required E L I. _
I
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.)
❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.
❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened)
❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous
WORK TYPE
❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia
❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors
❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair
❑ 34 Repair ❑ 38 Demolish (interior) ❑ 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge - S
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.
e
Other
Copies
Total: J . -l
SAC Units
% SAC
7~ M,
zz 4,
,
a -.11 l-.
i
Cie rruPanr ,
rfifir~tte of
cit of (Eagan
ap;rttrtmpnf of +Vnilding Jnapprfimt
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building r
s Code certifying that at the time of issuance this structure was in compliance with the various ^
11
ordinances of the City regulating building construction or use. For the following:
5318 *M
t .1i SF Dwlg & Garage Bldg. Permit No.
Use Classification
7 ,
3 Zotu District
1 occupancy Type F 3 Type construction y Fite Zone
d- o~-crcnn R~ (YS_ Address eV~ r~
T" otvner of Building U
- 6
Bmlding 4087 Bl r Lana wits Eagan. NON
'
~ ,~dreas By:
Cxtaber 25r 1979 a
,
< Building Official Date:
f- A -t
J' ►p{T IN A CONS/ICUOUS 'U.CE
' -
CITY OF EAGAN
I 3795 Pilot Knob Road
r Eagan, Minnesota 55122
Phone: 454-8100
HET?`tG - PERMIT No. 1554
Date: 6-uguet 23, 1979 Receipt No.: 15669
Single
Site Address: 40$7 Blueberry Lane Residential $
Lot 30 Block 6 Sub/Sec. 4440P LtstEttes _ Multi Res., Comm./Ind. I
Name Genf' P8terem ~ New/Alter./Repair. Snew
3 Adgrpstste 2a Box 239 Cost of Installation
O
City Lakeville 55044 _ Phone: Permit Fee 24' G4
Name Ge= Rya= Pl bang & Heati___P,9_ Surcharge .50
o
Address14745 South. Robert Trail
~
e
0
Rosemount 55068 20,50
City Phone: Total
This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN
t 3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT No. 1479
Date: 9-20-79 Receipt No.: 1%62
Single
Site Address: ~Lr Y Residential
Ic 6 Hi?ltxx0 Bstait
Lot Block Sub/Sec. _ Multi Res., Comm./Ind.
reM Patter HldrS
Name - New/After./Repair
3 Address Cost of Installation lakeville City _ Phone: Permit Fee _
z--Ryan 5
Name - - Surcharge
0
14745 So. Albex-f- "'Cci13..
Address
c
City Phone: - Total
This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN
w i 3"S Pilot Knob Rood Eagan, MN 55122 lily 5 3 8
PHONE: 454.8100
BUILDING PERMIT APPLICATION Receipt # -----L
To be used for SF DwlQ & Garage Est Value 60,000. Date 7-19 , 19_
Site Addre ss 4087 Blueberry Lane Erect X) Occupancy R3
Lot 30 Block 6 Sec1Sub. Hilltop EStdteS Alter ❑ Zoning Rl
10 33000 300 06 Repair ❑ Fin: Zone 3
Parcel # Enlarge ❑ Type of Const. V
oe Name Peterson Bldrs. Move ❑ # Stories
z Address 36 Woodland Dr. Demolish ❑ Front 50 ft.
ft•
°3 city. Lakeville Phone 469-4366 Grade ❑ Depth 44
Approvals Fees
Name Same
z° Assessment Permit .00
oQ Address 30
uF Water & Sew. Surcharge
City Phone Plan check 77.25
Police
Nome Fire SAC 525.00
~Z
sG Address Eng. Water Conn. 270.00
60.00
aw city Phone Planner Water Meter
Council Rd. Unit 75.00
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 •191.75
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee/
A Building Permit is issued to. Oeterson B on the express condition that
all work shall be done in occ with all plicab State of Minnesot Statutes and City of Eagan Ordinances,
Building Official
t
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114747
Date Issued:09/18/2013
Permit Category:ePermit
Site Address: 4087 Blueberry Lane
Lot:30 Block: 6 Addition: Hilltop Estates
PID:10-33000-06-300
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, 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
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas G Barott
4087 Blueberry Lane
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use I
I
• I llZ~,)
Permit
Win
City of Ea
I Permit Fee:
3830 Pilot Knob Road 1 I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 j Staff
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: O Ln Unit
Name: Tom 8 Q ri'o't Phone: Lost 8f OWOO&
Resident/
Owner Address / City / Zip: Lf D ~7 1uebea24 Ln
Applicant is: Owner Contractor
Description of work: ~t- 400)'-_
Type of Work
Construction
Cost: O _ O Multi-Family Building: (Yes / No 'X-)
t-
g Company: FSAW-e I Ainq Sea-Vi 46 L.C Contact: e I
Contractor i Address: 937 P-OIYKUCIt five, City: Sr / *VL_
State: MAJ- Zip: `J$ 11 Phone: &1.2- .21Vs - / 902 Z)
j License 8e, 4P3736 l 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.aoaherstateonecall.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 Minnesota State Building Code must be completed within 180
days of permit issuance.
x 5ri7~{rit~Y -aLPpar► , E5W-e- CIQ, n SefviceS LLCx
Applicant's Pr nted Name Applicant's Si to
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121162
Date Issued:03/17/2014
Permit Category:ePermit
Site Address: 4087 Blueberry Lane
Lot:30 Block: 6 Addition: Hilltop Estates
PID:10-33000-06-300
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Thomas G Barott
4087 Blueberry Lane
Eagan MN 55123
Estate Claim Services LLC
934 Cromwell Avenue, Suite 2
St Paul MN 55114
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140477
Date Issued:12/23/2016
Permit Category:ePermit
Site Address: 4087 Blueberry Lane
Lot:30 Block: 6 Addition: Hilltop Estates
PID:10-33000-06-300
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.
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 -
Thomas G Barott
4087 Blueberry Lane
Eagan MN 55123
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146124
Date Issued:10/10/2017
Permit Category:ePermit
Site Address: 4087 Blueberry Lane
Lot:30 Block: 6 Addition: Hilltop Estates
PID:10-33000-06-300
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Thomas G Barott
4087 Blueberry Lane
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150427
Date Issued:07/09/2018
Permit Category:ePermit
Site Address: 4087 Blueberry Lane
Lot:30 Block: 6 Addition: Hilltop Estates
PID:10-33000-06-300
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 -
Thomas G Barott
4087 Blueberry Lane
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature