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4102 Blueberry Lane INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 0f f 1M0 3830 Pilot Knob Road Permit Number: 0 2 7 7 Eagan, Minnesota 55122-1897 Date Issued: 06/06/96 (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: tit . N 6,1 u.Z V) NAt c Permit NO. Permit Holder Date Tetephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND i FRAMING ROOFING ROUGH PLUMBING i PLBG k AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARF FIREPLACE FIREPLACE AIR TEST f FINAL PLBG FINAL HTG ORSAT TEST i BLDG FINAL " BSMT R.I. BSMT FINAL DECK FTG 46,)I,ejj DECK FINAL oll 1 MY Of EAGAN =„r 379S -Hot Krmb Road 9"an, MN $5122 M y Pff : 454-$100 a_ BURMNII PIIWff Receipt To be used for aF I7UGICIAR. Est, V 1,03,000 Date 12-` ts~ ~ Site Address l+l t r LSl- Erect U Occupar I Lot 5 slack 7 Sec/Saab. hilltop T' -,S Auer E] Zoning Rl Parcel # Repair El F"sre Zane 3 Enlarge Type of Como y hJaa j Domestic DevelOpzaent Inc. Move # Stories Addms 14244 Garden View Dr. Demolish p Front 70ro +r CAY Apple Vall4YrP no 432-9316 Grade p Depth 40 • same Approra~ Fees ZI- " - Address Assessment PIMMA ~ t 50 SO § Water & Sew. 50 City Phone Pol ice Plana t~& 109-25 H Norm Fire SAC -5_2!5. nO Address Eng. Wow Phan Planner Water meter 60.00 Council Road Unit V5-09 1 hereby acknowledge that 1 have read this application and state that 84dg. Off. the lrtformation is correct aM agree to comply with all applicable APC 1 1 ,1.51+1 5 .a. State of Minnesota 'Statutes and City of Eagan Ordinances. Signature of Permittee A 8uala4irrg Permit is issued to: n0]St@iC DeY810177tteTlt Inc, aw thre all work shalt be done in accordance with alt applicable State of Minnesoft Statutes ai City of Eons, ' „b,, Baaildkv Official L ~r1 d r ~ 4 i Pkwrking 1-5,-A i tNSPECTK)NS DATE I ~J V imp. n Fk" Daft Insm iFoundeion iTrcenclins. tr-7f"`-_ Fifvai Rmnorks: age y_!~, IT i MECHANICAL PERMIT RECEIPT # 7y8-R CITY OF EAGAN 1 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. X New I/ Name A C. Y Mult. Add-on Comm ' m fle p airAddress 4010 Beall Q'Ibis Dr. c city uagan Phone 452-2775 Other FEES L Name Mi-tchell RES. HVAC 0-100 M BTU -$24.00 c Address - ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM- 1 PER PERMIT) - 1.50 EA. - TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS - 12.00 Air Cond. M BTU $ MINIMUNF COMMERCtAL FEE 20:00 Vent. CFM B $ STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $ BEYOND $1,000) Other 5 supper-3-ratur n a FEE: 12.0 S/C: SIGNATURq PERMITTEE TOTAL: 12.5 FOR: CITY OF EAGAN - CITY Of EAGAN •1 . ` 37" PRO Koob. Road No. 2 $a"*, MinneWe 55122 INSPECTOR NOTIFICATION Pine: 434-9100 REQUIRED BY LAIN FOR ALL INSPECTIONS ~~c`~ a PERMiT [kite: 2,4-`:.80 Receipt No.: 223 3 t Single Site /4dd8: 4102$°•~" Residential fl ` Lot S Block 7 Sub/Sec. "if111222 43t:. Multi Res., Comm./Ind. riew Narne.~C IX1C. New/Alter./Repoir Address 14244. GiMIM V f Dr Cost of Installation city AAPP-le Y8l~*$9 Phone: 432o:.9 316 Permit Fee 20.00 h.: f Nome ' IitlA+- Surcharge .50 Address 7226 Cedar' Ave, City Phor►e. Total 2.13.50 This Permit is issued on the express condition that oilwork "I be done in accordance with *ff apoNsd0s S 'of Minnesota Statutes and City of Eagan C}rdinances.- I 3M Not Knob Roam k No, f ,2284, 6"w4 Mineesoft 55122 INSPECTOR NOTIFICATION p -one: 454-8109 REQUIRED BY LAW °r3 tyr PEt#MiT FOR ALL INSPECTIONS Die: 1- Z4-• 1 , Receipt No.: 22$93 Singfe 4102 L'1't d3erYY Ian. Residential Site Address: Lot 5 Block 7 Sub/Sec.' 11"Z#P E St' Multi Res., Comm./Ind. Name - Dc tic DeM109V Mt Inc Tdew/Alter./Rtroir Mg Address 14244 Gard View Dr. Cast of installation city le Va11jyr ?7 i Phone: 932-9316 Permit Fee 20.00 Name "redriCkSDEI tin , .50 Ad*m 4330 pggg tae Dr. City mi Phone: Total 20.50 This Permit is issued on the express condition that all work shall be done in oomollarx* with otr fe $#440 vt Minnesota Stotutes and City of Eagan Ordinances. Buikbng Official Y~ T ~ ~1 J ~ e X'~7¢^y.~' .9 ,.~.~:c-.9r-'- 7q'1y:.~q^ .8*'~""Src"gT'a"""'~~'°.`g.~.•r-.~, F.. r., ..,y.~ .s PERMIT PLUMBING PERMIT RECEIPT # r^i CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New Mult. Add-on - Name Comm. Repair wa Address 3t) !t. Other C City r, w 141 - Phone 2- 26 1L) RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name 64 -1-water Closet - $3.00 $ . 3 Bath Tubs - $3.00 "'w 3 Address _1 _Lavatory - $3.00 O City Phone / Shower - $3.00 -3 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE -I--Laundry Tray - $3.00 5 APT. BLDGS- COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE $12.00 j--Whi4pool $3.00 ' MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets- $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMlTTEE FEE: 'tom i STATE S/C:~- FOR: CITY OF EAGAN GRAND TOT/4 - CITY OF EAGAN ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PEA.MIT Receipt # i To be used for i tfor.ki.ACE/BA4& lue 4 t Date 4J't 5E 7 Site Address 4102 8Li. ZbU,,,RY LN OFFICE USE ONLY 3 Lot Block 7 Sec/Sub. HILLTOP STA'T'Et,On Site;Sewage Occupancy y MWCC System Zoning Parcel No. On Site Well (Actual) Conat i T MITCHELL City Water (Allowable) W Name z Address SHIT. PRV Required # of Stories O Booster Pump Length City Phone Depth f z P. Name 6AAE S.F. Total Footprint S.F. c° a Address City Phone APPROVALS FEES P- M Engr./Assess. Permit `4' W W F Name Planner Surcharge " = z Address Z City: Phone Council Plan Review a m Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct' and, agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: KVV 1 0.` I ;1 TC it tLLi Treatment P1 on the express condition that al}work shall be done in accordance with all applicable State of Minnesotal6taty4es and City of Eagan Ordinances. Parks IbTAL Building Official Ma. i4~ees11 hei r Deft , It apotdc Me, Aft Deft In%*- Can Foo l"WO 1 F oft* WbWW 3E F Pn Rough PV* ROU" tft F ieR~ ' F Ft~natHt~. F +o. Wft Final TOMIX LP Deck Ftq Dock FMa! Well Pt. ONN 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. P41 1O e 1 #snwk No. 476 r MY OF #AQAM Fee !r~0 Fitt k? . 1. Date 2. Installation Cost - zap Job Address Tract € t t 4. Owner fi. Address 7. City State S. Ruildng Type: Residential 14' Cornn ercial Q Institutiortal 0 9. Work Description: New. Add 0 Atior 0 Repair 0 j 10. Describe 91. No. Fixtures ¢t'~dtttres i Water Closet bath tubs Septic Tank Lavatory ~ Softner Shower well Kitchen Sink r Urinaliffidet Other Laundry Tray Floor Draim Drinking Ftn. Slop Sink Gas Piping Outlets I IZ I by c er°tify tat the above it ormati is_€rl wod t rFat, and I agree to for Insp, Do" ~ql ail MWoved. x Cities Dig _ ital 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. CITY OF EAGAN Remarks Addition HILLTOP ESTATES Lot 5 Blk 7 Parcel owner t l L! street 4102 Blueberry Lane stateEagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 4X9 1336.72. 133.67 In_ 1069.38 A010292 6-12-81 STREET RESTOR. GRADING SAN SEW TRUNK 1973 172.14 8 61 20 94.74 A010292 6-12-81 * SEWER LATERAL 1980 3429.61 34 96 10 WATERMAIN *„WATER LATERAL 2743.69 A010292 6-12-81 * WATER AREA * Services 98 * STORM SEW TRK 980 * STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 22253 1218180 WATER CONN. 305.00 22253 12/8/80 BUILDING PER. #Aj 77 22253 191p,180 SAC 525.00 22253 1? 8180 PARK 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. CITE' OF EAGAN ' WATER SERVICE.` ERP MIT '.37YA Pilot Knob Road PERMIT NO.: icu ua, MN 55122 DATE: ' No. of Units: t p wne r: Address: Site Address: -1)2 atzts Plurnber: gY Meter No Connections Charge: 'Size: Account Deposit: "'Agmder No - - Permit Fee'` 't'agreq to oonyzly with thci'City of Eagan Surcharge: f^ ' - notices. Misc. Charges:' :~E < ~r°t~'IE, r TotQl: Date Pain: " CI'Ty of EAGAN SEWER SERVICE PERMIT 4y., 37 A Pilot Knob Road PERMIT NO.: ` r Eagon, MN 55122 DATE: 1 I A ~ , _ Zoning No. of Units: i Owner:• Domestic Devel.o nment Address: Site Address: 102 T.ueberry lAne L5 . 7 '11tcc,n mat s Plumber. e~ I~tTab - 1 agree to comply with the City of Eagan Connection Charge: 2 7. `10 L -d Ordinances. Account Deposit: _ Permit .F@e" ILA ~1r' Surcharge: BY. _ Misc. Chorges~$', _ ~^lt5ti~. erg '#ns Y y CITY OF EAGAN • 3795 Pilot Knob Road Eagan, MN $5122 N2 6437 PHONE: 454-8100 BUILDING' PERMIT APPLICATION Receipt # wl To be used for SF DWG/GAR Est. Value 103,000 Date 12--5 19$0 Site Address 410 l e rry In. Erect Ej Occupancy R3 _ Lot 5 Block 7 Sec/Sub. Hilltop ESt. Alter ❑ Zoning Rl Parcel # Repair ❑ Fire Zone 3 _ Enlarge ❑ Type of Const. V W Name Domestic Development Inc. Move 3 1424 Garden View Dr. ❑ Fr Stories 70 Address Demolish ❑ Front ft. ° City Apple Valley,% 432-9316 Grade E] Depth 40 ft. one - o Nome same Approvals Fees ov Address Assessment Permit 21$ • 50 U~ city Phone Water & Sew. Surcharge, 51.50 Police Plan check 109.25 u~ ,a,W Name Fire SAC 525.00 n u~ Address Eng. Water Conn.305.00 U , , City Phone Planner Water Meter 60.00 Council Road Unit 1$5.00 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 1 454.25 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: Domestic Development Inc, on the express condition that all work shall be done in accordanc=wicfl pplic abl State of Minnesota tatutes and City of Eagan Ordinances. Building Official ~ , L ® ~t This request void 16 months from Ll Request at Fire No. T.ugh-in Inspection 1 ® /_6 eq fired? []Ready Nu Will Notify Inspec- ! 7 es ~No or When Ready A Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Str et Address, Box or Route No. City ection o. Township Name or No. Range No. Cou MTV- D 17 Occupant (PRINT) Phone No. k V,2~jt * ode- ~ ~4e Power Supplier Address ElectrI aI Contractor (Company N eI Contractor's License No. r rf > r~ Q C D b4 ` Mailing Add,reess Contr for or O ner Making i/ng ng Install tion) ~ e- r' v Y 15 hel ~ d Signature ntractor/ aki ~sta Ph a Numjr, f MINNESOTA STATE BOARD ELEC T 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) 642-0800 ENCLOSED. lg72 ,e- REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 See instructions for completing this form on back of yellow copy.~;,~~" D -4 282 "X" "Below Work Covered by This Request Now Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Sper.ify) ther Specify Other Other ompute Mspection Fee Below # Fee Service Entrance Size # Fee Feeders /Subfeeders # Fee - Circuits 0to200Am s 0to30Amps GjKov 0to30Amps Above 20Q-Amps, 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms d Partial,Qi r Signs Special Inspection s~~,~ R marks ( TOT F w, p, K Rough-in Date 1, the cal .r -304 Inspector, hereby ertifv that the above Final ` Date inspection has been ~ , .l made. This request void 18 months from This reques, void r 7 yn~ 18 months from Date of t}}Ws Reques/ctrical Fire No. 2869 I, as Plicensed El Contractor ❑Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No.City Section' Township Range Countyi%lac~ Which is occupied by (Name of Occupant) Is a roughin inspection required o this job? No ❑ Yes ❑ Ready Now O Will Call ❑ Power Supplier io " 9~ Address Electrical Contract ntra is eiceie7o~ (Company Nam Mailing Addres r ectric o actor or ner MakAt This In n) Authorized Signatur Phone No. (Eiectrica o actor or Owner Making This Installation) STA My "I'l BOAft 'LOU This inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity Griggs Midway Bldg. Room N191 ~ ~4P EB-00001-02 1221 l lwiversity Ave., St. Paul, Minn. 55104 - Phone 297-2111 2869 REQUEST FOR T CHWK BELOW WORK CO EREDTBY'THIS REQUEST'®N Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired Fo Home ❑ ❑ ❑ Range ❑ Temporary Wiring Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures ❑ Apt. Bldg. El El ❑ Dryer 1:1 Electric Heating 11 Commercial Bldg. ❑ ❑ ❑ Furnace ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm ❑ ❑ ❑ List List Other' El ® ❑ Qehers~ s~ Others Here COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeedets: )g Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $S.00 Remarks o. TOTAL FEE 61 I, the Electrical Inspector, hereby certify that the above inspection has been made (Rough-in) Date (Final) Date This request void 18 months from This request void r 6-7 i keF~ t of 18 months from / Date offfiistequest Fire No. as IL;;censed Electrical Contractor ❑ Owner, do hereby request insPection^~T 17080 of the above electri- cal wiring installed at: I / Street Address or Route No.j D Cit Section Township Range County 040 Which is occupied by 4'"na. (Name of ccupant) Is a roughin inspection required this job? No 0 Yes [ Ready Now 0 Will Call C Power Supplier Address Electrical Contractor o-. Cont c r s i se 'o. Mailing Address _ (tectricaf Contractor or (3wn,&~ 1 fcir~g , r18rt n) Authorized Signature _ A tome o. (Electrical contractor or OwneY Ntaking Tr~6 ` tatrEtiop) copy STATE WAR Tails Hws~+ic~aq r4 ~4tk ndi be accepted by the State Board 6tnhtl~fifp inspection fee is enclased._ Minnesota State Board of Electricity Griggs Midway Bldg. - Room 111191 EB-00001-02 1821 University Ave., St. Paul Minn. 55104 - Phone 297.2111 ' REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST T 170810 Ty9 ofBuiNing 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 rk Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm ❑ ❑ ❑ List List Others others Other ❑ ❑ ❑ Here Here COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps. Above 100_Amps. Transformers ` Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5.00 Remarks TOTAL FEE y certify that the above ' sp ction has been made. I, the EPAJf~~) (Rough(Final) This request void ✓ 18 months from PERMIT °CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 7 9 2 (612) 681-4675 Date Issued: 06/06196 SITE ADDRESS: 4102 BLUEBERRY LANE LOT: 5 BLOCK: 7 HILLTOP ESTATES P.I.N.: 10-33000-050--07 DESCRIPTION: Building Permit Type DECK Buj1ding Work Type NEW census Code 434 ALT. RESIDENTIAL I REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge .50 Total Fee $45.50 CONTRACTOR: - Applicant - ST. LIC.OWNER: GOETZ CONST THOMAS 18519258 0003478 MITCHELL BETTY 9030 11TH AVE S 4102 BLUEBERRY LN BLOOMINGTON MN 55420 EAGAN MN 55123 (612) 852-9258 (612)452--6518 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. ISSUED APPLICANT/PERMITEE SIGN RE BYYATURE -CITY OF EAGAN 3830 PILOT KNOB RD 55122 . gjo t 1996 BUILDING PERMIT APPLICATION RESIDENTIAL 681-4675 New Construction Reaukements Remodeffip air Requirements ♦ 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 & delis) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: _Yes No l q CONSTRUCTION COST: DATE: Mme; 30 DESCRIPTION OF WORK: 0 yrk1 STREET ADDRESS: z/lU Z &-C t s ~5wY l.i(I • LOT _ BLOCK SUBD./P.LD. i ~Ar~ap PROPERTY Name: M jL tf/-&7nr Phone OWNER FMOT , r, s L,.✓ Street Address* /-//oz City: State: / ti► Zip: 5372 2 CONTRACTOR, Company: J^ oo~T~ o.~ 57> cr Phone # cYs~~rt2 Street Address: 9030 /f t=~ 1-56. License y7 City: State: MN Zip: 56 ARCHITECT/ Company: Phone ENGINEER Name:. Registration M 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 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: OFFICE USE ONLY - M 31 Certificates of Survey Received Yes No 1996 Tree Preservation Plan Received Yes No OFFICE USE ONLY, BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex o 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 2:1 -Miscellaneous 0 05 SF Misc. ❑ 10 _-plex -~a 15 Deck WORK TYPE Im 31 New o 33 Alterations ❑ 36 Move ❑ 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MOMS 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. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit I APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCMS SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Permit SM Surcharge Treatment PL Road Unit Park Ded. Trails Ded. Other Copies Total % SAC SAC Units NO. n-B Bx.32to!:-! HARRY S. JOHNSON COMPANIES, INC. 401 WEST 79TH STREET - BLOOMINGTON. MINNESOTA 55420 PHONE 16121 884-5341 p,~urt~ Maw CERTIFICATE OF SURVEY W u4oT of 0qOgaN S*Tv-s-zr ',,g, lot it Fs6e, 7 F R pON({'-~7 S I G 1/ l~i~ t~'rr~'~ 4tlLt-toP ~Sj ~cl~S SG4tiE I"=Qo' ;C-L'ey g2t,5s 30 S--;5L-5V oN 'roe OF:, wlIl-2 VALVE A~ruCas gt+owrv g4s 0 gog,3y K9o*.?.+ Ott 414 A-5'5UTAI~0 GA-(1Jto~ % 90 4'%% yocy`~ J ' 35. X30 " /6 41 ,Y V/A Ljr, M~4 ~ j~ go~.4a x N - \T 4~`?Q p 90y.ro S* 41 ?bh 1 Gauk 9o3. 'P . t+ I5 43 qo4 fi toPc~dg LOT 5 00 ~,ti S ~ ~ o G` `'gyp ~ I O I hereby certify that this is a true and correct representation 2 of the boundaries of: h I Lot 5, Block 7, HILLTOP ESTATES, according to the recorded plat thereof, Dakota County, Minnesota. It also shows the location of a proposed(-c-, r irv4T~oi-t x9o~.5 house thereon. As surveyed by me or under my woos rluv • direct supervision this 28th day of November, Tap of Gur-¢, Tom, 1980. 02.4LI.07r- D r2FGt 10" ////W/e'/4~~..Z Harry nson 4`Af5 ofAf 04-W Land S rveyor PleoP~` ruToY 1\1innesota Reg. No. 5065 i ~ T 3 g RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN ANN 55122 651-681-4675 New Construction Requirements Remod2ffi air Requirements • 3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas • 2 copies of plan maximuml otcov (20% e e allowed) 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam 3 window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7(1!93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION SITE ADDRESS n U (.,:fCaa Q MULTIFAMILY BLDG - Y 'N TYPE OF WORK, L- P1 olr FIREPLACE(S) 0 _X1 -2 APPLICANT STREET ADDRESS CITY b STATE ZIP.__!Z 9/7 TELEPHONE #'_tj' -q70-L CELL PHONE # FAX # ~,•[(7'0 PROPERTY OWNER 1'j-TI TELEPHONE r. . .r ........a..................ra...r........rr.r......... COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOT.\ RI LES 7670 cxTEGORY I _ MINNESOTA RILES 7672 (,4 submission type) • Residential Ventilation Category I Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Phone # Plumbing system includes: _ Water Softener Lawn Sprinkler Fee: $90-00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mcch~uiical s% stein includes: Air Conditioning Fee: $70-00 Heat Recovery System Sewer/Water Contractor. Phone! # I hereby acknowledge that l 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 Ord' antes. Signature of Applicant OFFICE USE ONLY - - - - - - Certificates of Survey Received Tree Preservation Plan Received Not Required Updated 4102 : x OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool 13 30 Accessory Bldg ❑ 02 SF Dwelling 0 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea) ❑ 31 Ext. Alt Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt SF ❑ 04 02-plex 0 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) 0 36 Multi ❑ 05 03-plex 0 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex 0 12 12-plex Plbg_Y or - N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (interior) ❑ 44 Siding ❑ 32 Addition 0 36 Move Bldg. ❑ 42 Demolish (Foundation)_ ❑ 45 Fire Repair 0 33 Alteration 13 37 Demolish (Bldg)* ❑ 43 Reroof p 46 Windows/Doors E3 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Final No C.O. Footings (addition) Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Figs _ Air/Gas Tests Final Framing Siding _ Stucco Stone Fireplace R.I. - Airiest Final Windows (new/replacement) Insulation Retaining Wall Approved By Building Inspector - Fee Base - - Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant I Plumbing Permit Mechanical Permit License Search Copies Other Total • CITY OF LAGAN Include 2 sets of plans, 3 l site plan w/elevations & BUILD PEI LIT APPLICATION 1 set of energy calculations. n ,•Z "!J 0' To Be Used For S ~ U Valuation 2 403, 00 c Date Site Address -We A OFFICE USE ONLY Lot IE Block Sec./SubatlttTdP ~~Erect Occupancy Parcel Alter Zoning Repair Fire Zone Owner: a? ~FJfst.6Pl~t~~t+T , Enlarge Type of Cont. jLr Move # Stories Address: Demolish Front 7d ft. City/Zip Code: Grade Depth ft. Phone _ APPROVALS FEES Contractor: 445(4,04A WT ..IN C. Assessments Permit water/Sewer Surcharge Address: GAA°A€~ LAW ,)OP. Police Plan `Check coq N22 City/Zip Code: 0),,6 t&A,t Fire SAC e s q3 Eng. c~ ( Water Conn. OS Phone # : Z Planner Water Meter 60 Council Road Unit 1 gam= Arch./Eng.: Bldg. Off. Address: APC City/Zip Code: Phone TOTAL 1L~ 3 1,73 1l • NO, 280-60BK. 3 2 t, l:- t HARRY S. JOHNSON COMPANIES, INC. x 401 WEST 78TH STREET BLOOMINGTON. MINNESOTA 55420 PHONE 16121 884-5341 CERTIFICATE OF SURVEY TbP Nut oft0~an~j [70N(5 IG i;?VE~~N~ 3*T~N 6oT~ to 4 li 6tK.7 F R RIL440P VSj AlV'a SCAIX jftr47' 121,SS 30 5~" ~i,~v ou ?oP o~ I ~~r~s ~51+owN ~ gas~r7 w~7~2 v~~.vc 9og,3y ,~4o4•Z4- vu kK a-ssu~n~ c~e,T~r,~ 'Z% gok/2'~ 0r~ J 357 Al X30 _ 9CoPo2 ; 2 F p V7 A\ ~R4, VAJ. i ,rte ,Q r•Ro34 9a~j,ro u o~tu I g ,903.6 g0q.ta x . gob a 30 r 3~ ~V Q ` ~3\ Py 39,33 O ~ a 9oB.~9 g04,7 . tPPs~dg 411s \ LOT 5 A. I 0 I hereby certify that this is ` a true and correct representation ? of the boundaries of: Lot 5, Block 7, HILLTOP ESTATES, /s 00, according to the recorded plat if-jVD~ thereof, Dakota County, Minnesota. It also shows the location of a proposed house thereon. As surveyed by me or under my WOOD Ho~T ~ATI°~ x9 ~S direct supervision this 28th day of November, T©P or~ Gvr-e, TG, 1980. 09A49AC--7t D i2 G7 rOr-~ ~~r Harry nson Land S rveyor PRot°~`IFtT~y Minnesota Reg. No. 5065 CITY OF EAGAN N°_ 14 3 6 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PH ON E: 454-8100 Receipt g-(!✓ # To be used for FIREPLACE /BASEN T/alue $2,500 Date OCTOBER 29 19 87 Site Address 4102 BLUEBERRY LN OFFICE USE ONLY Lot 5 Block 7 Sec/Sub. HILLTOP ESTATES On Site Sewage Occupancy Parcel No. MWCC System Zoning On Site Well (Actual) Const x Name KEVIN MITCHELL City Water (Allowable) z Address SAME PRV Required # of Stories City Phone 452-6518 Booster Pump Length Depth o Name SAME S.F. Total 0Q Address Footprint S.F. P City Phone APPROVALS FEES Cc Engr./Assess. Permit $44.50 WW Name 1.50 _za Address Planner Surcharge L) Z City Phone Council Plan Review ¢W a Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and a r e to comply with all applicable State of Water Conn. Minnesota Statutes and Cit f Eagan rdin ces. Water Meter Signature of Permittee Road Unit A Building Permit is issued to. KEVIN M TCHELL Treatment P1 on the express condition that al ork shall be donain accordance with all applicable State of Min t tutes and Cit "ovEagan(~rdinances. Parks 4- TOTAL Building Official G\_- 46.00 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1'SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY -CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND F RE PLAACE f T T 07 To Be Used For: fim Z c/~c/v~£1,1-(-Valuation: - L Date: 2 Site Address 'ql6?- >Lu i~7BC^IZ~,y LANE OFFICE USE ONLY Lot S Block On Site Sewage Occupancy MWCC System Zoning Parcel/Sub n ILuTOP ESTATE-5 On Site Well Type of Const City Water (Actual) Owner kE V I N M I TC H E LL (Allowable) # of Stories Address y 10 2 LUe1aEPPY LANE Length Depth City/Zip Code EAGA N 2 3 S.F. Total Footprint S.F. Phone y Jr 2 6 J l$ APPROVALS FEES Contractor kEV I N MITCHELL Assessments Permit Water/Sewer Surcharge Address A 10Z &UEFCRRY LANE Police Plan Review Fire SAC, City City/Zip Code L= A GAN J~Jr ~2'Z Engr SAC, MWCC Planner Water Conn Phone Council Water Meter Bldg Off z{ Road Unit Arch./Engr. FECHAW-s AIZCHITEC?UAL S6K APC Treatment P1 Variance Parks Address J SQ J 6-,UZ IE P, Copies City/Zip Code ALE UAL ~ r7 {Z TOTAL AP it Phone # U 3 6 ~G D ~ LIQOSk1Sn g 2oI3c F Suite u bc)-Alrl~RAL s~ t.'it "Ce J g !L. 1NC.C~dt~i ~ Foil, --43 ~ u ?tiC'E".iu~Y iii 1:~5`►~li 5»~ :,;y1.1aY C' ~~~~a~~ fr•"~ Cel~:~~. L Yota d es;poJ,L ~,fa`d l area 4 -Q ft. m .ltd s ToCa~ rcof j5C a1 <jG7 •Y.1Y 1jti0..41 l.iC.V a. "o'8 t:a'~1d~~av♦e:~~ca. ~o~a.., .~....u.. z`]~ b. 'Lot-al roc 01°0a . o..... T Z~~ . C. 'total JSI Vc d. '(o al Y 0 A i ~ ~,b W. 1 ~~d ~ `Y 11. i.~ O c>> o P O o 0~ G v e O a y~ ~tSc 'ec . tea V':;°aratic aV Qaa F-~ V TO, al no"'- ~)Li'i y arca aLcvo . octal Rio a-ust area .......a.....a~~uo~uo~.. ~.~e=.._ . 'ga'y eAPased ia~~ ss..~ aia ar ea : = . r....~ h. Petal fok!a,x . Teal gv.,tad17.1. DOtOi`Zii` n(2 "U" Ala r LiC of COCA W, SC f` i .1 : tJ t ~ d A a 1 i pp 1 :J. . . . . . . . . . o If item #3 is the same as, er than item O'L you have met the intent _ of SBC GOCG(c)2. r YcsU expascj vc a ~ j coi 1 Y►.g ai oa Total gross vo !!sail igg my Total Aylh area o o 0 0° k. Yozal rcoficoiling framing area 1. Mal not insL'rlatcj reoficeilin;}navea-...u r 3 each vooficuiling segment. P V Outt If total Gl`f A is the SaMe? 60, Or less - t;{" aD V2. you have met the intent of SW C005011. Yo uA l OW W total envo G r n i sysom w' y the values established by the sum of Was V3 and, P4 shall nou ,be cg►catw than the sum of items #l and V2. 4 + 2 i.. 6 ~ AN qq r , VIA, at 1! Ca t r. LI'Yi~s.:lCta, - OWN ~ RAI ~ e j; i . Use BLUE or BLACK Ink �------------------ � For Office Use � ' j Permit#: � � �� � Clt� of ���a� � ����; � Permit Fee: � 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone:(651)675-5675 � � Fax:(651)675-5694 I Staff: I � I `����������������J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � Site Address: 1 I�Z �t1C��r�` l�� �u � �� Unit#: �@�i�f:�l� , Name��(�!��� ��(�1�� Phone: �1�� � f��� �1 1� Qyy��p Address/City/Zip: �V �!'4 L L �'l� . � �Z... Applicant is: Owner Contractor f�cs.��z: Typ� Qf WctCk Description of work: Fa� ��� eXl�"�lf� �` � � 1p. fC��� ��`�h �l�Mc��k �.,; 1� , ll? ' Construction Cost: � �(!��°' Multi-Family Building: (Yes /No� �,�-� �t _ � '1 .j,�`_� Company: / ��t��� ^.,,_.� `,ontact:����1 ��`��`K Addres: ����_��i�'�J�► ' City: T1� _� , �OC1�1'�C��I` .�� , ' State:i��N Zip: i���-1��.. Phone: �' 4`���`.-'(Z`"Email: C�{.f � 2'�c'r'I�t�lc�(��i, ,ta � G�E��'(Z� �J� 'i License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) t � t�1 l.l�C� C� 1�iLl°_�t�CC� "� ��� . OMPLETE 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:F18riS antl'sC�p,p€�rting d4�urneri�s-�frat y0u�tibmit�r��c�1l�ide#��1 tO�b�p�l�i����itrma�i�pn� F�rtic���ci�'"'�' the�nformaticrn may be�c�assi��d a,s n�n�p�b�i�if y��ptcav�tle sp+��ifi�r�sc�ns th�tt�l�t�[�ld p��it�f����� k i ct�n�%d�th���F�� �re tratle secret,s. - ` 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.orp I hereby acknowledge that this information is compiete 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 tf��l . �t-" X ApplicanYs Pr' ted Name Appli t's Sig ure Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA164510 Date Issued:09/30/2020 Permit Category:ePermit Site Address: 4102 Blueberry Lane Lot:5 Block: 7 Addition: Hilltop Estates PID:10-33000-07-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert & Sarah Schmidt 4102 Blueberry Ln Eagan MN 55123--143 (612) 384-9192 New Windows For America 2123 Old Hwy 8 NW St. Paul MN 55112 (651) 203-0149 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165573 Date Issued:11/06/2020 Permit Category:ePermit Site Address: 4102 Blueberry Lane Lot:5 Block: 7 Addition: Hilltop Estates PID:10-33000-07-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert & Sarah Schmidt 4102 Blueberry Ln Eagan MN 55123--143 New Windows For America 2123 Old Hwy 8 NW St. Paul MN 55112 (651) 203-0149 Applicant/Permitee: Signature Issued By: Signature