4109 Blueberry Lane? AM SfRYICE
cITr *F ]EA"N
3795> PIW tcrab Roaa ??RMIT No.:
E+aqp+,, iVlN? S5122 DATE:
Zoning: No. of Units: w
dwner•
ftddress
Site Address:
Plumber: Goanx llyaa
Meter No.: Connection Charge;
5ize: Actount t3eposit:
Reader Fdo.s Permit Fee:
I agree io eGabply with the City o# Eagoa Surcharge:
OrdinarAes. Misc. Charges: k'iO„ 00 ? "Wtsv °.
• Total: ,
i
By Dcrte Paid: .
Date of lnsp.: Insp..
-
,.
?
fT#' ?fi
-
ciTY JbF FA??t YOWER SERVICE P iT-?I"
37" Rii<?t Knob Road PE12M!'fi' NO: 1404
E?gae. MN .S519:3 , OA"TE: ' 3,r"/J
Zoning: "Na, bf iJnits: ;1,
Owner•
Addresr.
Site Address; ,m1 t'sc? , 'LuI 4Y4'y- Zane -t-2- S?.: +i ?littr.?n+?„?M~
Plumber.: €";QnM
1/r'ai2/7"5, .f T:f?€i
1'agree to-coMply whh the Gity of Eagt?n Gtmruection Charge: ..0- ~? w ARM.?
Ordinonaes. ' Account Depcssit:
P'ornait Fee.
.. . . . . .
g8:
fJUI'[`ehC3r
By Wst. Charges
Dote of Insp.' `T?1'al•
7
Insp.' 7
4*e 'paid:
j
.. . . . .. . . . . .. . .. .. . . .? . ? . .? .?;.
.: . . . .. . . ,' . . : . . , ?
CITY OF PAGAN _
= 3795 Pilot Keob Road Eagas, MN 55123
? _ .. . e . PHONB: 4548100
8?J1LDING PERMIT Receipt .#
To be uted for Est. Value [)ate ?? ; . ,
.. ., _ _
W. 5904
1^'22 7
''s??7-?'A?? ;x
Site Address -
Erect Tx..'?
Occuponry
Lot ' Block 16 Sec/Sub. Alter p Zoning
Parcel # 1.1 13000 22n 0(' Repair ? Fire Zone 3
Enlar9e ? TYPQ of Const. v
W Idame Move ? # Staries ?.
3 Address .? ?. ?`? ` ` ?~??r'`"?.?. ?• Demolish p Front. ft.
? Cit 13.-? 71'?"L Phone 43Pa°- 5?`l7 Grnde ? C?epth
. .
.
p NO171C ApQI'OVAIi . . .. .? .
.
.
o~ Address
v? Assessment Pat?aait
~ Ci Phone Wuter & Sew. Su?
?
d Police Planh cPtetk
n
r^r
u
W am
N e
W
ire tr
t+
C
?
_?Z Address Eng. 1?Vcter Conn - ,?
<W CiY Phone Plenner Water Meter
Council TA7&I UT)1t
t hereby acknowledge that 1 have read this opplication and state that Bld Off.
the information is correct and agree to comply with ali applicable APC ' 7
1
StaTe of Minneso#a Statutes and City of Eagan ?'rdinances. ca?t
$ignature crf Nrmittze ??,?•-
'
A Building Perv»i# is issued to: Al(?sbaIe
on the expma conditian thcit,,
e(t work shali be done in accordance with all applicable State of Minnesota Statutes and City of Eogan f?rdirt4rices,
Building O#ficiAl ` .
?
9
?
PMnit # Oote isrued FesmlMao
Plumbing f 3,-L ? • 3 "/ S
Mechanicui 1391 /- oZ /p - 7L7 ID ? C yl
- "?
3 - - ?S --
INSPECTIONS DATE INSP.
Rough-I
Find
Footings
Foundation 1-?3 7Cf
Piumbing Date r
Irn Date Insp.
Frame/ins. ... / _ 2 7 Mechanical ?
Final
Remarks:
- o v-
? ? 4/-?s-?7'
?'".?
?''e `?'°`?? ,
??, ? .. ,..µ. ,. .
CITY OF EAGAN
3795 Pilot Knob Road
. Eagan, Minnesota 55122
r Phone: 454-8100
?•???* PERMIT No 132I.
.
+-1-5-79 13494
Dcte: Receipt No.:
Site Address:
4?'? ?"? Ta? _
ngle
Si Residentiol I
x
2111
6
t?? ?tatw I
Lot Block
_
Sub/Sec. _ Multi Res., Camm./Ind.
ml
Name New/Alter
/Re
air
.
p
.
3 Address 13203 W. C;`". DT..
Cost of Installation
0 13'Vil.le 435--5077 20•00
Ciy Phone: Permit Fee
P''MZ`RYaTl •9-0
ame Surcharge
.
Address .?.
4$47 SO. RabeXt- ''Y'W
a
v
RoSeMMMt 5506$
423-'I1.411
20.50
City Phone: Total
This Permit is issued on the express condition thot all work shall be done in accordance with all oP4alieable Sfote o#
Minnesota Statutes and City of Eogan Ordinances.
Bui{ding Officfal
L _
> r
PERMIT
Date: .1'26-"79
Site Address: 4109 rlud)errv Lane
Lot Block ? Sub/Sec. ???-?? ?? _
Name Ale"".a.ti3.tIe/Vm4d
e Address Mn3 W. ??l Or•
?
CityB '''JME.' 55337 Phone: 435'°5077
` Na?me e & C Ti4?'atincr
Address
e
V e;i Tx??.' ?7
City ' Phone:
This Permit is issued on the express condition thaf al4 w+ork shall be
Minnesota Stotutes antl City of Eagan Ordinantes.
CrIF Y OF ?AGAH
3795 PIle?t Kno6 Road
Eagan, /wlinnesota 55122
Phone: 454-8100
hJe?. 1391
Receipt No.: 12M
Single
Residential
Multi Res., Corrrrrt./Ind.
New/Alter./Repair. ? Cost of Installatisn
I Permit Fee 20•00
Surcharge • ?
,.
II Tota I 20' 50
done in accardonae witft di! ct?Ja ?1? '??i
Bu"rlditmiig Official
..
;°.: .- , . ? .
?
I
VAVHIIW"?
? t A
??
?
?
?
OF
t
.
? i:
3795 PILC}'t K ?6,4fl
EAGAN, M#"Nt3tE A`?y22'
.>
DATE
E
-A;m4urcr
£,
tAMs
? C] CASH 8;.'049CtC' , oo
¢ 8
v
i ' B"SJNYS CObjt AMOUNT
.. '
.,
1?+?: F•''.
? ..'
R. ? .:i
?
` d
I
f ?g t?i
r
w
- ' a
y2t
?y:
?
BY
?
I ?
White-Payers copy
• r,
Y8I IOw-Pusivo p,t,r?y
Pink-Fite Co??
L . . ,c•az....s??.... ..n? ..,.::. . .. .?., a'= .a.z?:.,..:?. , ?', i ???F,,:,.; . ,,?k`?' ?
Cities Di 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 28 eik 6 Parcei
? Owner??;M? Street 4109 Blueberry Lane state Eajzan, NIlV 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1203.05 A009162 6 11 80
STREET RESTOR.
GRADING
SAN SEW TRUNK ~??? 1973 172.14 8.61 20 111.94 A007422 2-14-79
* SEWER LATERAL 29
WATERMAIN
* WATER LATERAL
j * WATER AREA
*
* STORM SEW TRK 1980
* STORM SEW LAT 1980
CURB & GUTTER
SIDEWALK
STREET LIGHT
oa Unit 75.00 13108 1-22-79
WATER CONN. 250.00 13108 1-22-79
BUILDING PER. #5094
sac 525.00 13108 1-22-79
PARK
?
This re;iest void 18 months from
Date-of thi -Request
? I, as &Pticensed Ele ical Contractor
i cal wiring installed at: c.?1? ?j
Street Address or Route No.
Section Township
' Which is occupied by
R 46854
, do hereby request ir?spection of the above electri-
?..-c?G?-?-?; Range County
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call F1---`"
Power Supplierxc?' Address * -
Electrical Contractor raotp,'`&"Lcerj:se Na
(Company.Name),_ w V F Y?
Mailing Address
(?.?¢t?,.ital'?ontractnr?;p? Q?r?ek k.F?g?'h?' ?a
Authorized Signature Phone No.
(Electrical Contractor or Owner Making TMs InstaNation)
?? ? ?? ? ?': This inspection request wilF not be accepted by the
? State Board unless proper inspection fee is enclosed.
-
Minnesota State Board of Electricity
-19,1V*University Ave., St. Paul, Minn. 55104-Phone 645-7703
- RE(2UEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
'R aA RR n.
Type of Building New Add. Rep. Check Applian ces Wired For Check Equipment Wired For
Home 15 ? ? Range Fkr Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures 9-1,
Apt. Bldg. ? ? ? Dryer ?
/ Electric Heating ?
Commerciai Bldg, ? ? ? Fumace ?..,
Ld' Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Fazm ? ? ? List List
Other
?
?
? Others
Here Others
Here
COMPUTE INSPECTIO N FEE B ELOW
Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee
0 to 100 Am s. 0 Am es 0 to 30 Am eres o
101 to 200 Amps.
I?Y 31 ' A es 31 to 100 Am eres 0
Above 200 Amps. Ab 0 p Above 100 Amps.
Transformers Re te tto Partial or other fee .
Signs Special Inspection Minimum fee $5.00
Remazks
,
TOTAL FEE
4P
I, the Electrical Inspector, hereby cer ' at t ins e' n has been mad.!f!{oU
(Rough-in) • Date
(Final) Date °V-
This request void 18 months from
? CITY USE ONLY
PERMIT #: O(O RECEIPT DATE: O
•
2002 RnID?'.N'I'IAI. MECH"CA.L PEUiT APf'LICATION
crrr oFEA.sm
I 3$30 i'II.OT KNOB fiD ?
EAGM Mrr 55 122 MAY Q 6 ZUU2
651-6$1-4675
By
Please complete for: A single family dwellings
townhomes and condos when permits are required for each unit '
Date: 4 - J0-o-,\-
SITE ADDRESS: L-} I C?q„ UL_lJ..SL..?Oe.i?? ?--.C-1 • .
OWNER NAME: TELEPHONE #: 695I 81`8365
INSTALLER NAME:
Wohlers Southside Htg. & Air., Inc.
6950 W. 146' St., #106
STREET ADDRESS: Apple Va11ey, MN 55124
(952) 431-7099
CITY: ZIP:
Piace a check mark next to the permit work #ype
? Add-on, modification or alteration to existin tlwelling unit $ 30.00
• fumace replacement
• air exchanger
• air conditioner
.
• other
Nature of work-aE? oj C1?? C_
State Surchar e $ .50
Total
/
NATURE OF PERMITTEE
tio2
CITY llSE ONLY
PERMIT #: RECEIPT DATE:
APPROVED BY: , INSPECTOR
200E CQ14IEMML IECE"CAI. PERU1T MfUCA1TON
GITY OFj;AGM
3$90 PILOT KNOB RD
#:A6M, MN 5512E
85Y-6$1?6?5
Piease complete #or. aIl commerciaVindustriat buildings
multi-famity buildings when separate permits are not required for each dweliing unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #: -
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. Ii1AME:
INSTALLER;
STREET ADDRESS:
CITY: STATE: ZIP:
TELEPHflNE #:
WORIC TYPE: New construetion iustall U.G. Tank
Interior Improvoment Remove U.G. Tank
Processed Piping
Specify Nature of Work:
When installinglremoving underground tank call 651-6814675 fer inspeMivn by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price QR $50.00 minimum fee, whichever is grcater.
Undergraund tank'removaUinstallation ? minimum fee `
Contract price: $ x 1%o =$ (Base Fee)
State surcharge ' calculate, at $.54 for each $1,000 Base Fee
TOTAL $
' SIGNATURE OF PERMITTEE
Updated 1/02 '
CITY OF EAGAN
3795 Pilot Kno6 Road Eagdn, MN 55122 Ho 5994
PHONE: 454-8100 f??? ?
BUILDING PERMIT APPLICA,.?'?ON Receipt #? ?
To be used for SF Dwlg & Garage Est. Volue 58,000. Date 1-22 , 19 79
Site Address4109 Blueberry Lane ?3
Erect Occupancy
Lot 28 Block 6 sec/Sub. Hilltop Estates Alter ? Zoning R 1
parcet # 10 33000 280 06 Repair ? Fire Zone 3
Entarge ? Type of Consi. V
W Name Mel Aleshire Move ? #k Stories 1
3 Address ?-5203 W. C1yS?l Dr. Demolish ? Front 52 ft.
? Ci B'ville 55337 phone 435-5077 Grode ? Depth 48 4t.
o NQme S` Approvals Fees
?U Address Assessment
Water & Sew.
? Ci Phone
Police
?
F W0?
Name
Fire
1 ? Address Eng.
a'Z" Ci Phone Planner
Counci f
Permit 152.50 _
Surcharge 29.00
Plan theck
sAC 525.00-
Water Conn.250 • 00
Water Meter 60 • QO
1 hereby ucknowledge thot I have read this application and state that gldg. Off.
the information is correct and agree to tomply with alt applicable APG Totai ?9?-.50
State of Minnesota Statutes and C" of gon rdinances.
$ignature of Permittee
A Building Permit is issued to: Mel AleShire on the express condit7on thot
oll work shall be done in ecco dance wit allicoble Stote of Minnesota Statutes and City of Eagan Ordinances.
Building Officiol
? ?3
....
?
DATE
?
s
l
BUILDING PERMIT APPLICATION ?
Include 2 sets of plans, l site plan w/elevations and l set of energy calcuations.
To be used for jV 6 1 VC,:E Valuation
Site Address: -4/ a9 dloe aer I"y I?J'?@'
/
Lot Block Sec. /Sub. Parcel Uumber A819 06
;,I,f (Cl J-l%LLneP 155 T"/?TEj
.
Qwner ?1`1) LOF,S y{/ /f I-C Telephone ?,??!" _ 5 t? 1 7
Ad d r e s s ?YJ 4'
L,c
. . . . . . J . . . . . . . .
Contractor 'I EL ALgS /?.?i R f-' Telephone
Address
Arch/Eng. Telephone
Address
OFFICE IJSE ONLY ?
Erect ? Occupancy - ?
Alter Zoning -t
Repair Fire Zone
Enlarge Type,of Const. ?
Move # of Stories l
Demolish Front f ?Grade Depth 4-9
Date of A roval nd Initial - Fees
Assessment Permit
0---
Water/Sewer Surcharge Z.g r
Police Plan Check
?-,.. Fire SAC
Engineer Water Connection
,-.
Planner W ter Meter ?
?
Council
I
Bldg. Off.
A.P.C. TOTAL
i
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
(651) 681-4675 ,.-
New Construction Requirements RemodeURepair Reauirements
?? ??
a-
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes; paured fnd. des+gn; etc.) ? 1 site surveys (exterior additions & decks)
I ? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot piatted after 7/1/93
required: _ Yes _ No
' DATE:
DESCRIPTION OF WORK: _ Ziool --?.
STREET ADDRESS: -1 1 G I ?1? 4 Lz
LOT: ? ZS BLOCK: ? SUBD.lP.I.D. #:
Name: &-?Lc L-5 ?ra-,/c-?
PROPERTY 1-ast Firsc
OWNER
Street Address: 41 Z) sr),_ ?
Ir-
?.-
Phone #: 7'2-'1
City P- 4 s%r.?/ State; nc? Zip:
Company: '17?, Phone #: (1I 13
CONTRACTOR
Street Address: 8TC ? /j- c??- ??^^ L'• d Lieense # Exp.
City _blr?c, State: sw J' Zip: 53 3? C
ARCHITECT/
ENGINEER Company:
Name:
Street Address:
City
, Sewer & water licensed plumber (new construction only):
' change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that
I State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
I Certificates of Survey Received Yes
CONSTRUCTION COST: ?
Signature of Applicant:
No
Phone #:
Registration #:
State: Zip:
Penalty appii?s when address
comply with all applicable
' Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
D 01 Foundation ? 06 Duplex
0 02 SF Dweliing ? 07 4-plex
? 03 SF Addition O 08 8-plex
?' 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _ plex
I WORK TYPE
? 31 New O 33 Alterations
?i 0 32 Addition \,25)34 Repair
? 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi Repair/Rem. ? 17 Swim Pool
? 13 Garage/Accessory O 20 Public Facility
? 44 Fireplace ? 21 Miscellaneous
0 15 Deck '
? 36 Move
? 37 Demolition
, GENERAL INfORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zaning
# of Stories
Length.
? Width
APPROVALS
Basement sq. ft. Census Code
Main level sq. ft. SAC Code
sq, ft. Census Units
sq. ft. Census Bldg
sq. ft. MC/ES System
sq, ft. City Water
Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
Planning Building Engineering . Variance
Permit Fee ? -7- a Valuation: $
Surcharge ?. C) c)
? Plan Review
j License
MC/ES SAC
' City SAC
Water Conn.
Water Meter
Acct. Deposit _
S/W Permit
S/W Surchar9e
Treatmen# PI.
Park Ded.
a
Trails Ded.
Other
Copies ' .
?
TotaL•
°lo SAC
SRC Units
4 ?ff?
? CE'X't1 x ? r-itr: f?0r
.,
' . . . 14.
. ?. 1?4e.? A1e.3nr? ?, ?? ? •??,?
152'1; !n' e s t 'Crystal Ltike Dr.
V.; rnsv° ?. 1 Min.`i5-337
DELnna?R H. SCNwANZ?
.
.. ? ? ? . . . . . .. . ?? ??b ? ?
I.ANDSWRVEYCfR 41,
RaoistaW UntlAr "ws of 7M Stote of Minnesota a ? r
29"18 - 1?16TM 8'TREET W. -?X M R06EMOUNT, MlNNESOYA 58tl66 l?AIQN? a'fZ ?1'' f?'?,???? b
??.s, .s?.
SURVEYOR'S GERTfFICATE
SCAaJ?.: l ineh 40 feet w?
a r ?.
Ap
t }? A? tP k
.,1 ? 4 1 :. t {.. . F/ easlnF
? ?OD . . . \ ?'?i .. ... , .7..i.
, ?,? ? ??a? ? >?'•<??
• < Y,??) k., r? ,?.?/ ti`., `? = r
?
s?o ? ? ? ? , ? ;
14*1?
F? ?lY •'? /' 'h a?fr a?+
. ? ... . . ?? ? . . . . . ? ?
. . . .. . . f . ? . ? ? . .
/ ?r
o
?,yN
5
I heretjy c?,rtify thra.t this { s a true and, eor°r?.act .repres entati00';OP
I,vt -'.:, :ei; cyck ti, HTi.,'I,Ti;P :i?'?s 1'A't'EZ, aCCon:iS ng t;r? the recorded ?l *$
fihercof, ?1,tk,;?ta ("au.rity, V;inm!s<.:ta,
;
?.
A isc t,he 2 )rati;)z-i ,f a propa?,4l izoz?e us stikecl thO04,:
lb. 1 -79
a ?, ?f!
; • ?;&c ?::
?
?
A,a?e?
? h( e
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157115
Date Issued:08/05/2019
Permit Category:ePermit
Site Address: 4109 Blueberry Lane
Lot:28 Block: 6 Addition: Hilltop Estates
PID:10-33000-06-280
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 -
Daniel G Schwanz
4109 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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162133
Date Issued:06/29/2020
Permit Category:ePermit
Site Address: 4109 Blueberry Lane
Lot:28 Block: 6 Addition: Hilltop Estates
PID:10-33000-06-280
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Daniel G Schwanz
4109 Blueberry Lane
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature