4110 Blueberry Lane?917V OFa"N WATEtt SERVtCE PWAiT
? 3795 Pilot Knob Rpod PERMlT NO.:
Eagnn, MN 55122 QATE:
Zonin9: ? No. of Wnits:
Owner. Deieloj: e1:^'Ei gd't1lA?1"ti Gti.Cflt
Actdress•
$fYe'Address: 4110 8luC:ber_ry ,lim I? 1.)7 11:L1a,tElp ?S&4t-*s
;.
Ptumber W4LirICA-Trotit`'hE =. ?
Meter No.: Connection Chorge: ??• 02 '?
.
Size:
t
w' _` ^_ L/?pos`
: ??.1. k ,.
7? r?{?Ill
Reader No.: Permit Fee: ?-?-?? •?
1 eg'ee to eomply wbh th8 City of E"on SurcF?arge:
Ordinanaes. : M+sc. Ghorges: ' 60• ?O ed sifto?
7otaL• ,
By CM#e Puid•
Date af 1nsp.: Irssp.:
_ . ., .. , ?.d,..
` ?rr olt FAGr?N b SEAtER SERVICE PERM1T' "
3793 Pilot; 1Cnob Road PERMIT NO.: 5838
Eagnn, MN 5S12Z DATE• 6„1 3
'Zonin9: Ri -1do. of Units: I
Owner: DeYelopf'9"9 CQT1MtYuCtjAn
Addresr
Site Addressc dillO' 'Uu,etiertr I.1ae Ib t' i 13111C21a Estatee,
Plumber: welerm ,L'2•E3T.kCY3, & C
,s .,
t agree M eompgr wfth theNCity o# Engon Cannection Charge: 425•00 pd j
O`dinonesa. lkcourtt DeposiY
,,. . {
Permit Fee: 10.001i
Surcharge: . 50 'Dd9l
BY Misc. tharges• '.
z
Date oF Insp:: Totah
(nsp.: Dote' Pnid:
CITY dF EAGAN :
, 3795 Pilot Knob Rmod Eogon, MN 55122
?? 1-?`
PHONEs 454-8100
BUILDING PERMIT Receipt
To be used for SI'' DWGIGAR Est. Value $78,000 Date AAril 12 , 1983
Site Address 4110 I31tYebeY'I'y LF1Ae Ereet Occuponcy R-3
Lot 6 Block 7 Sec/Sub. {`ilZtoF Eet$te$ Alter ? Zoning R-1
Pcrcel # ZO 33000 060 07 Repair ? Fire 2one NA
E
i T
f C v
n
crge ? ype o
onst.
aWc Name ???elOpeIS Constructioz? Move
?
# Stories: r
,
Z Address 1101 Cliff Roacl Der„olish p Length 78
Ci Bur.nsnille Pho?,e 890-6194 6rode ? Depth ?'U Sq.Fg:
"o Name OWI1t:3C --'? CV- t-aa.' ?JE Li- 77777 APProvols Fees
~
v' Address IZ-I'l 'pE????LE ?ri?F°-
Assessment
Cit _ n SsIZZ- Phone 4'?;2- 3l0 l 3 Water & Sew.
Police
?W Nome Fire
Address Eng.
<W Ci Phone Plonner
Council
I hereby ocknowledge thot 1 have read this applitotion ond stote that gldg. Off.
the intormotion is correct and ogree to tomply wath oll applicqble
State of Minnesoto Stotutes ond Ciry of Eogan Ordinances APC
Permit 167-00
$urchorge 3g - 00
Plan check 183. 5?0 _
i SAC .25 _ nQ
? Water Conn45000
I? Woter Meter 44L..00.._
_
I Rood Unit 250 00
Total $ 874.50
Signcture of Pertnittee ?
A Building Permit is issued to: DeVGl.Oj??.''8 CoitBtruCtit?Z1 on the express condition tFnat
oll work sholl be done in accordonce with oll opplicoble Stete of Minnesoto Statutes and City of Eagon Ordinances.
j- ?
Building Official
Permit No. PermiE Holdsr Misc. Permit No. Holder
Plumbing
H.V.A.C. Sla IM wn 5--5-
w.u
f
OISP. wotnq33 Ma£?r?l?. ?-? _g3 G?.
Electric - V;
W LTG L1 ?Gouo E a„ K'?fe?S .3
Inspection Date Insp. Other
Footings ?.g
Foundation ?
Freming
Rough Plbg• - -g? ?
Roughh HVA
Insulation
Fir?al Pibg.
Final HVAC
Final
Water Describe location:
Weli +
Sewer
Pr. biap.
tl
.
----------------
r
Receipt NtECHANIGAL PE T Permit No
? CITY OF EAGAoI
Fee ^? -
? Fl!l in numbere?ces S/C •,?"7?
rYPe or Print y
Tot.
?
1. Date 2. Instalfatian Ca?t;
? ? I ,x:_! 6 'I
' p
3. Job Address 46• Lat B4k. 7 Tract
.?
4. EhNne"T'...:'??..r/..,?%.r
5. ContrM r- PMone
6. Acldress
f ;
?
7. Gity, Zip
8. Bui{ding Type: Residentia{ Gommercial Cl Jnstitutionai El
9. Work Qeseription: New El Add ? AI#er ? Repair ?
tOr Describe Fuel Type `
7
?
x.
?
?
?
No. Ec1ui12R?en3 8 TU -M. Ea.
Forced Air 'f?d. EquiRment GFM
Air Nandti
:
Mfg. ng
Boilers
Mfg. Mech. Exhaust
Unit Heater
mfg. Other
AtF COI'tff.
Mfg. ,.. . . . . .. . .
Go, Pipltig Oftti@$S ,
?.tnto-rrm#on E$,tj1x! *?t:A1'1? ? ! ? tfl? ;
???.?I?.
?`•? ? ?,..
` Receipt E; LA?=? PLUMBING PERMIT Permit No.3 ?3-7 i
? CfTY OF EAGAN '
Fee
Fill in numbered spaces S/C 7"
r
e Type or Print legibly
? Tot.
F 1. Date r`r ? ;•
2. Irtstaltation Cost
G ? y
t ?t+ +`? < r.i , l t 1 t:?%
3. Job Address Lot(0 Blk. 7 Tract
4. Qwner ;
5. Contractor Phorte
6. Address
7. City State Zip
8. Building Type: Residential 0 Commercial ? institutionat ?
9. Work Description: New 0 Add El Alter O Repair O
10. Qescribe
' 11.
Na. Fixtures
Water Closet Na Fixtures
Cess
ol/Drainfield
Bath tubs po
Septic Tank
Lavatory Softner
Shower Welt
Kitchen Sink
UriflallBidet Other
Laundry Tray
Fiaor Drains
L?rinkirtg Ftn.
SIoP Snnk
Gas Piping G}utlets
m. . ?? WIJL'' fGa* Mi`+ ' :, ? ??? Ponnit LN
? C1TY OF EAGAt1 Fee
ua)berecr *am
Ffrr ? n
TYpe or PrFnt legMfY Tot.
2. l?t?#Aafion Qa?jK
?? p1 t.. , ( `{ {? , .
I Job Address LcrtBlk. ! 1"ru't
. ;
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;OwrwoO
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:,. i$. Addrcs8 "??`'?tr•?'f .?.? .rf?t:.i f'= .,,t".,t"t ,?1...
1• tUY State,;?
?.9. BuiEefingTYFe% ResidentiaF LJ Commercial Cl Instiiutitmi CI
?s
F9. Work Description: New C'_I Add Fl Alter O Rep* Q' = f
r
; 10. Dissicribe Fuel Type
1 't?. F,qnk,?oment STU - M. Ea. Nd. ?uufiame4, CFM ?
-i. '
Farced Air Ait F1artr]*¢:
olp
Mfg.
Boi{ers Alloch. Exhaust
Mf ?
, 9•
Unit 1-tsater
41Hfg. Q'1her
` Air Cond. ?.-?...-i
Mf9 i
'"?"' I
Gas, Piping Ctutiets ?
.._
?. j
;
' theireov cerCifY that the abum iefamatio+i is true aM 00anett;„MW
? , . wo a1} ordir? ?s grpvernir4g this ?" Of 'u004-
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'--?*"' U(D PL M PERMIT Pidtlrti# iL
,
?_
? r Gt"#ld' !'? EAGAN ' ??
Fllf /F tu7!r{efEd SpaC@s S/C
Type or Prinr tegiWy ToL_
z? 9. 'Oste, tnstsliation Cost
f
E 3. Jrab A+ddren Lot 6p B I k. 7Trod, ,'
4. c'?wner
5. L'C1CIttaG`ttu' PhOtte
?
Fi. ACIdr8S8
7. Gi'ty State Zip ?
s?
?
$. E3uiiding'fYpe: Residential ? Gammereial ? Institutiunaf Cl
9. Wa?rk E3escxiption: New 0 Add Ct Atter ? Repair Q
;
10. Describe ;i
-- 11. No,.; Fixtiures No. Fixturerz
Water Closet
GessPmvilDrein#iWd
Bafih tubs Septic Tank
Lavafory Softrter ?
f Shower Weit
?
r KFichen Sink .
?
U'€#natlBidet Other
?
Lws;mdry TraY
Ficu3r Drains
Drinlcing ftn.
?
5lvp Sink ,
fa f"iping Outlets
?{'
f •
, `3: .
. . .. . .. .
d :: Fy
¢12. t hereby oerttfiy that the above inftx' . n is true and correo,yy ani I+ Rttr
`
t comOywhh aEf ordinonc.es and , rrting this type af
vowk
for
Roudh y? FinOF
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Cities Digital Qualily Control
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CITY OF EAGAN Remarks
Addition HILLTOP ESTATES Lot h sik 7 Parcel ?
Owner ?f street 4110 Bliaeberry Lane state Eagan, MN 55123
Improvement Date Amouht Annual Years Payment Receipt Date
STREET SURF. y?
STREET RESTOR.
GRADING
SAN SEW TRUNK ? 1973 172.14 8.61 ZO 77 T- -
ir SEWER LATERAL 19$0 3240.10 324?0 1 10
1944.06
WATERMAIN
*' WATER LATERAL -'f rt " I980
* WATER AREA 1980
* S rvices 1980
* STORM SEW TRK 19$0
• STORM SEW LAT 1980
CURB & GUTTER
SIDEWAIK
STREET LIGHT
Rf?AD UNST W. 04? 352
WATER CONN. 50,00
BUILDING PER. '?91T
SAC 525.00 tt
PARK
C?rrttftrtttr uf COrruprttnr? Citp of (Eagan
Dppttrtmrn# of Nuilding 3no.pprtinn
Thir Crrti fTtlitG iJltlCll Iltlf Jtl!{flt L4 t`IL llgtlll'CfltCntJ 0 f Section 306 o f the Uni f om Buslding
Cade artifying that rat thc sime nf i.rsuancc tbii structurc wa.r s'n compliancr with tbe variou.r
ordinanns o f thc City regulating building connructian or use. For the f ollowing.
ue clanirk.um _ SF DWG / CAR eift. eeradc No: 7 917
0-war 1Yre R3 w cemuwe;m V Fire z?a NA zoWns nistr;M Rl
oI%,w,fmd;,,aI)eveloners Const. Aaa.1101 Cliff Rd: , Burnsville
d?„4110 Blueberry Lane Lo,,;?y Lot 6,B1ock 7,Hilltop Est.
L??---.-?D By: June 30, 1983
?']/> Data:
Buildmg OPficial f-'/c._?.
POtT IN A COMAIWOYf M#G[ . . . . . .
? . . . ? ? .. . . . . . ? LITNO"iN u.S.H.
This request void i-Y -? l
18 months from ?
W069335
?.,. .
. ?' /D? OO
Request ate
? Fire No. Rough-in Inspection
Required?
?Ready Now ? Will Notify Inspec-
? ?Yes ?No tor When ReadY
Licensed Electricai Contractor 1 Nerebµ request inspeciion of above ? O ner electrical work installed at:
Street Address, Boz or Route No C ity
ection o. Township Name or No. R ge No. Count
Occupant (PRINT) . ,
CP _ Phone No.
Power Supplier
i?le
? Address
-
C
/CO 7 a G+3'i?
Electrical Contractor (Compa y Dlame) Contractor. s Licens ?No.
0y`? ??'3
Mailing Address (Contractor or Owner Making Instailation) / , 4/
-
&
7 Ys' v nY
Aut riz d Si9nat re (Co tr ctor/Owner Making installation) , Phone Number
MI ESOTA STATE BOAR OF E CTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave_, St. Paui, MN 55104 UNLESS PROPER'INSPECTION FEE IS
Phone 16121297_2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
' See instructions for completing this form on back of yellow copy
? ? 5,03 °
""XBeoQ 09 vPred by This Request
?.?, EB-Q0001-Oq
s.-
3sa s7r
Ne. Add Rep. Type. of Building Appliances Wired Equipment Wired 10
Home Range emporary Service
Dupiex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
industrial Bldg. Air Conditioner Bulk Milk Tank
F8fm . Other Peci Y ffther (Specify)
. t er SUecify Other Other Compute lnspe,ction Fee Below
# Fee Service anceSize # Fee Feeders/Subfeeders # Fee Grcuits
0 ps 0to30Am s 0to30Am s
A ov _Amps' 31 to 100 Amps 31 to 100 A rnps
Swi I Above 100_Amps Above 100_Amps
Trans o Irrigation Booms ? p Partial/Other Fee
Y
Signs F7 Special Inspection
OT FEE
?
Remarks
._... .s,.... /s1
?
Rough-in ,? Date l, the
( Inspector, hereby
Final Dte certify that the above? . ?r inspection_has been
?i' ??J- made.. . .
This request voia its montns trom
This request void.?.q`Z-(O?
18 months from
W,27619? ? .
(o
_...-
?- c-l ki
Reryuest Date
_ ?? ?Q? F?re No. Rough-in Inspection
Requiyed?
'?
?Ready Now ?,W+II Notify Inspec-
to
Wh
R
(? ?
es No
[y? r
en
eady
? Licensed Electrical Contractar I hereby, request inspection of above
?Owner . electti?eal work installedat . . Street Address, Bo or Route No. ' City_
E'3tkR sr tjE- ? d
ection o. Township'Name or a. Range No. County
O Pant (PRNEun? T ?'?67 5??e?r/AE ?
??Fa ?r?a ? Phone No.
=
'
6?? - 3t?t
4s?
?,
Power Supplier
?, Address
.
fl R L1..L
Electrical Contractor (CompanV Name)
Contractot"s License No.
Mailing Address (Contractor or Owner MakinglnstaJJation)
Authorized'Sign re(Con c4or O er NWRing InsSallaSion) Phone Number
MINNEAT3l STATE BOARD OF ELEGTRICITY THISJNSPECTIOAI REQUE37 WILL NOT
Griggs-Midway BId9• - Room N-191 BE ACCEPTED BY 7HE BTATE BpARD
7821 University Ave:, St. Paul, MN 55104 UN?E$S PROPER IMSPECTION FEE IS
Phone (612) 297.2111 ENCLOSED.
REQUEST FOR ELECTRICAL lNSPECTION ?w Es-ooooi-oa
V"" 27619 ? See instructions for completitig ttiis form on back.of yellow copy.
X" "`Below Work Covered by This'94equest
ew Add Rep. Type oi Building Appfiances Wired EquipmeniWired
Home Range Temporary Service
Dupiex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Neatin`
Commercial Bidg. Furnace Silo Unloader
industrial Bldg. Air Conditioner Butk Milk Tank
. Farm , . Other pecify . Qther (Specify)
t er. SUecify Other . . Other : l.0/TID(/I2 lRSDP.CLIO/] teP. KP.IOW"
ti. Fee -ServiceEnt[aoceSize # : Fee .Feeders/Subfeeders. # - Fee ? Circuits".
0to100Am s 0 to30Am s .461 0to30Am s
J. f,'Z. 101 to 200 Amps , p. 31 to 100 Amps 31 ta 100 A s
Above 200_Amps Above 100'_Amps Above 100_Ami2s
Transformers Remote ControF Circ. Partiai/Othet Fee
Signs Special Inspection $ ?
,
t
"a TO TA ?
E
Remarks ... - . . . . ... . ?
, E
Ot/?? .
Rough-in at the ai`
- spector, hereby
'certify that the atipve
,
Final
. i ction has been
-This reQuest void
? ? . . .. ,: •,.,,?c ? ? , , ? .:, r m .. ??? .
? 18 months from-
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagaa Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
1/3
New Construction Reauirements RemodeVReaair Requirements Office Use OnPv
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 3 copies of plan _ Cert of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calcula6ons for beated additions ` Tree Ptes PEan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions $ dedcs _ Tree Pres Not Reqd
1 set of Energy Calculations AddiGon - indicate if on-site septic system ` Qn-site Septlc System
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bfdgs with 3 or fess units
r
Date
? O-(J. '
Construction Cost ,
Site Address I (') bL0E76E-#1qrQ ? LdvJE Unit/Ste #
Description of Work R00?7-
Multi-Family Bldg _ Y? N Fireplace(s) _ 0X 1 2
Property Owner ? REO ER (C. }( ? - N (C t} tM/J N Telephone # (&a) yso?'? ?cl?
Contractor
Address - City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
(?l submission type) • Residential Ventiiation Category 1 Warksheet • New Energy Code Wodcsheet
Submitted Submitted
• Energy Envelope Caiculations Submitted '
Licensed Plumber Telephone # ( )
Mechanical Contractar Telephone # ( )
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the infarmation is complete and accurate;
that the work will be in conformance with the ordinances and codes of the eity of Eagan ana the State of MN
Statutes; I understand this is not a perrnit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accardance with the approved plan in the case of work which requires a review and
approval of plans. ? . -1-17
rgr? Akolv?,o nJi?
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-ptex ? 13 16-plex ? 20 Poai ? 30 Accessory Bidg
? 02 SF Dweiling C] 08 06-ptex ? 16 Fireplace E3 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchiAddrr. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex 0 18 Deck ? 23 Porch{screen/gazebo} ? 36 Multi Misc.
? 05 03-piex ? 11 1 Q-plex ? 19 Lower Level ? 24 Stortn Damage
0 06 04-plex ? 12 12-piex Pibg_Y or _ N ? 25 Miscellaneous
Work Types ?
? 31 New 17 35 Int Improverr?ent ? 38 Demolish (Intedor) ? 44 Siding
? 32 Addition ? 36 Move Bidg. 0 42 Demolish (Foundation) ?. 45 Fire Repair
? 33 Alteration ? ? 37 Demolish (Bidg}* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement *Demolition (Errtire Bidg) - G ive 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 L ength Fire Sprinklered
Type ot Const Width
REQUiRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O. -
_ Footings (addirion) _ Plumbing
Foundarion 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)
Insularion Retaining Wall
Approved By , Building lnspector
Base Fee
Surcharge
Plan Review ?
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search Copies
Other
Total
1999 BUILDtNG PERMtT APPLICATtON (RESIDENTIAL)
' CITY OP EAGAN
8830 PItOT `KNOB RD - 55122
651•681-4675
New Construction Reauirements
? Remodel/Repair Reaukements
? 3 registered sHe surveys showing sq. ff. of lot, sq. ft. of house 2 copies oi plan
and ail roofed areas (20%, moximum lot coveraae ailowed) 1 set of energy calculations fior heated addNions
? > 2 copies of plans (show becm & wlndow sizes; poured fnd. deslgn; etc.) 1 sffe survey for exteriw addftions 8, decks
? 1 set of energy calculations
> 3 copies of tree preservation plan ff lot platted affer 7/1/93
DATE: CONSTRUCTION COST: &-Ooo- OO
DESCRIPTION OF WORK: R?'? 00PI N (a q c) 0„f= - 'Sn2lfil 06'746?
STREET ADDRESS: ? I ID
LOT: BL4CK: '7 SUBD./P.I.D. #:
-,--
Name: LUN&,VN Phone #:
PROPERTY Last First
OWNER
Street Address: lo ?Ce,11 E2!!L=?/Q
?
City "'1-??&,q rJ State:
d Zip: 55/=23
Company: Phone #:
(area tode)
CONTRACTOR
Street Address: License # Exp.
City State: Zip:
ARCHITECT/
ENGINEER Company: Narne:
- Telephone #: area code ( )
Street Address: Regis#rnfion #;
City State: Zip:
,
Sewer & water licensed plumber (reauired for new consiruction oniv):
'
I
Penalty appiies when address change and lot change is requested once permit is issued.
I f hereby acknowledge thct ! have read this application, state that the information i correct, cnd agree ta compiy with oU cpplicabfe
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFiCE USE ONLY
Certificates of Survey Received Yes No
7ree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TY PE
? 01 Foundation ? 06 4-plex ? - 11 10-plex 0 16 Fireplace 0 21 Porch (3-sea.)
? 02 SF Dweiiing ? 07 5-plex ? 12 12-plex ? 17 Garage d 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-piex O 14 Apartments 0 19 Lowertevel <? 24 Storm Damage
0 05 3-plex ? 10 8=plex 0 15 Lodging ? 20 Pool ? 25 Miscelianeous
1NORK TYPE
0 31 New 0 ` 35 ?enant Impr '? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia
? 32 Addition 0 36 Move Bitlg. ? 40 Gas Insert Cl 44 Windaws/Doors
? 33 Alteration ? 37 Demofish 81dg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Inferior) ? 42 Reroof
GEfVERAI fNFORMATION
Const. (Actuaf) Basement ,sq. ft. Census Code
(Al4owab4e) Main leve{ sq. ft. SAC Code
UBC Qccupancy sq. ft. No. of Units ,
Zoning sq. ft. Na. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width: Faotprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
?
Planning
? Building Engi neering Variance
Permit fee Valuation: $
Surcharge
I Plan Review
l.icense
? MG/ES SAC
City SAC
, Water Conn.
?
Wat r M
e eter
Acct. Deposit
I
, S!W Perrnit
S/V1/ Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
TotaL•
SAC Units
% SAC
CITY OF EAGAN
9795 Pilof Knob Rood Eogon, MN 55122 N? 7917
= PNONE: 454-8100
BUILDING PERMIT Receipt
To be wed for SF DWG/GAR Est.Volue $78,000 Dote April 12 1983
Site Address 4110 Blueberr Lane Erect )a Occupa R-3
ncy
Lot 6 Block 7 Sec/Sub. Hilltop Esta.tes Alter p R_l
Zoning
Porcel # 10 33000 060 07 Repoir p Fire Zone NA
Name Developers Co11StYUCtioT1 Enlarge 0 Type of Const. V
W Move 0 #$tories
o Address 1101 Cliff Road Demolish ? Length 78
C? BurnsviZle ?o? 890-6194 Grode ? Depth 40 Sq. Ft.
? o Name Owner Approvols Fees
v? Address
~ Cit Phone
VQc
WW Nome
Fw
?? Address
< W Ci Phone
I hereby acknowledge that I have reod this appiication and stote that
the information is correct and ogree to comply with oll applicable
State of Minnesota $totutes and City of Eogon Ordinonces.
Signoture of Permittee
/1 Building Permit is issued to: Developers Construction
oll work shall be done in accordance with oll ooolicnbrlse Stote of Mir4n
Assessment
Water & Sew.
Pol ice
FIfB
Eng.
Planner
Council
Bidg. Off.
APC
Permit -Sn / . lvu
Surchurge 39.00
Plon check 183.50
SAC 525.00
,
Water Conn,4 54 . 00,
Water Meter 60 . 00
Rood Unit 250_ fl(l
Totol $1874.50
on the express condition thaf
Stotutes ond City of Eogon Ordinances.
Building Officiol y-6z"-? 2?--
s
CITY O F F
AGANT Include 2 sets of Plans
'
1 site pla.n w/el:evations &
BUILDING PE.RM IT APPLICATION l set of energy calculations.
c- ?a-
To Be Used For .??L.? ?'`? Valuation
? ? ?
f ? Date
Site Address : (Al1t OFFICE USE ONL,Y
Lot ? Block Sec. /Siab. x OccuPanCY ?
Parcel #: C-)Cov U`? Alter Zaning /
Repair Fire Zone
,
Owner :
1?
'
• C"'c'
?
Z ? r
?
z Enlarge Z'yge of Const.
.
,
?
?? r
4
-
.
L Nbve # Stories
Address: Demalish Front Z2? ft-
d
i
i Grade Depth ? f t.
ty/Z
p Co
C
e :
Phone #: ?Q -- U l 4 APPFtOVAIS FEES
I Cantractor:
Assessments
Pernlit 3
Address: Water/Sewer Surcharge
Police Plan Check j g'
City/Zip Code; Fire SAC
Phone #:
Eng• ?
Water Conn. ?t5 Q ?
Planner Water Meter
Arch./Eng.: Gouncil Road Unit
'
Bldg. Off, ,
i
Address: AFC
Ca-tI'/Zip Code: _
Phone # : TOTAL 7 t ? `? v
i ?
?
?
771
0 113 t;l-?uc,ttnrl, Tn u,
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DEL IVt AR 1-1. 5 C HWANZ
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'i 25178 - 145TN STREET W, - EfOX M f1QSL'MOUN'f, MINNGSQ7A 55068 PHqNE 612 423•1769 7
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EX7ERaOR ENVEI.OPE AVERAGE
MPU
TATION
OtdPlER .
SITE ADDR ESS •../'f j ,
: r *,JL -'.P Jj?+'Y 6 E , . ,t .. y. -
. .
CONTRAC70
R: s: r ;> . . X ,'
DATE : ;z`.? . .
PNONE : •
?
OETERMiNE 4IbRKING SOUARE F00'fAGE OF EACN:
1. TOTAL EXPOSED WALL AREA
... . .. . .
.?.L. Sq
f t
x
irU?r
?
?'' ?
2. TOTAL ROOF/CE I L i NG AREA, . . . . . . . sq f t x Ulf
3. TOTAL EXPQSED tJALL AREA CALCULATIONS:
Total exposed wall _
area above floor........ sq ft ,
a) Total wall window area:
qlazed...... sq ft x "?U"
.qlazed...... sq ft x lfull
b) Total door area , .., .. sq f t x "U"
?,
-
c) - 7ota) s) iding g)ass door area:'
, ?z ?.:,,:yY: 9lazed.: .... sq ft X
?
glazed...... s4, ft x 'lulr ?
?
d} Total firePlace wali area • sq ft x "U" _
e) Total wall framing area
(Average t09;) . . .. . . . .. sq ft x "Uf I
' f) Total net wail area above
floor (lnsulated)....... sq
, ft x "u"
q) Total r3m Joist area.. . ... sq ft x ituff
Total faundation
a rea (Exposed) . . . . . . . . . r?sq .
? f t
h) Total foundation
? window area.......
. . . . .
sq
f t
x
,lUll r ?... _.?..
t
Total net foundation ? ' . .
? a rea above _ g r`ade,% ....... ?"?J?sq f t x I IUI I ,.
? 3.
• 707AL a) thru I)
?' ?J?
!f'item #3 is the same as, or less than item N1, yo u have me t the intent of
I? • S.R.C. SecCion 6006 (c) 2. .
.?.?.
4. 70TAL EXP4SE0 R(laF/CE l L ING CAI.CULAT l Ot1S : . +
. total exposed ?
ft
? ?` s
? • :
'
._
roof/cet 1 tng area. .. .... ?, q
-
J) Total skyl iaht, area.......
sq ft
x ??------
„U"
- ---- --
k) Totat roof/cei 1 inq framing ?
??
?` ?,
??
. area (l?veraqe 109;)...... sq ft x r
???R
U
1) Total net insulated
.....
area_
il in
f/c
Sq ft
x
??U" .C23
..
g
e
. roo
T4TAL j) thru 1)
4. . .
? If total of !'b is the same as, or less than #2, you have met the intent pf
• S. B. C. Sect i on 6606 (c) 1.
. ? . .. . ? . . . . . . . . . ? ? .
. . . . . . . . . , . . . . . , . . . . ' .. ?
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AITERtaATE QU ( LQ I PJG . ? . ?
ENVELOPE .
DE . . . . . . . ? ? ? . . ? . . ? . ?.
? . . . .. .. .
51 GN ?
To util+ze the total envelope system method, the values established by the sum
,of items #3 and #4 sha11 not be greater than
the sum
of .2.
ttems N1 a nd H
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C E R T 1 F I C A T I 0 td
I hereby certify that 1 have calculated the "l1" factors and "R"
values herein and that the buildinq here clescribed meets or exceeds the State
of Minnesota Energy Conservation Act.
J
.-,.,
,?--
' . i cjna tu re -' / '?
(Qate)- ?
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4..
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pllS1'RtJf,l" ( t)Pl R V11LUL
RA11 1 NG SECT I OPJ :,:
Interior air film
2
3 i nches sof t wood
4
5 7-7/ 77 7 7
A Exterior ai r f i im t1, T7
TOTALR
U
"ECT IOIJ (INSULATED)
l fnterior air film t1.fiR.
2
3 . . ?,•`?..
4 ?i? r ?° 4 F'
.s + <
6 Cxterlor?atr film . n;j?7
TOTAI.,? R
U 1?/R a'S`?? ?
I ST SECT I 0f1: .
t Interior air film ` f1.hR
2
3.
?
!+ f` ??s4
? - ;y??
??-
fi Exteriok air film 0,17
70TAL R = ?`?, , t ::• ,
U 1/R - ? ?
TfO N SECi'f0td:
1 IntPrior ai r f i 1m
2 ?' ??4•?,
. ?
':? r c • p t c /?'? ( e? ?c ,K_ /
? ?
?
4 Fxtsrior ai r f i im ...
.
? n . 17
5
? .
' TOTAL R = V,4 L?..
U - 1/R
SLAf3 014 GRADE.
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cEiLirlr, secrtOra (IIisuLnTED)
f Incerior, a i r f i lm
? 2
. 3 ??
li Cxterior air film (strll) 01
TOTAL R, _
•C.?2 3
% CElIING FR/1MING SECTION. ,
1 4nrerior ai r fi lm
' 2 ? 4
AIR VENTED
?
L
. ? lm stiil
air fi
Interio o.?1
FLOV11 i nches saft wsocaci
' , . TOl'AL R
CE I L I tdG SECT I Otd ( I NSULATEO) :
1' Interior ei r Fi lm M1
2
3 ,
11 - Fxterior air film. stil.l ?. 1
TQTAL R
t/R ?
(DJ 1: CE I l. ( Nr, FRAMI P1r, SECT f4rt:
, 1• Infierior atr film 0.61
VENTED z
3
.• 4 Exterior air fitm stitl 071
. r, I-nches soft wood
. TOTAL R
.. . ,,, =
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117770
Date Issued:10/23/2013
Permit Category:ePermit
Site Address: 4110 Blueberry Lane
Lot:6 Block: 7 Addition: Hilltop Estates
PID:10-33000-07-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jarrod Stenzel
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 -
Frederick Neuman
4110 Blueberry Lane
Eagan MN 55123
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature
03/15/ZU1b 6:36AM FAX 6517315181
THE CHIMNEY PROS
4111 City of EaRau
3830 Pilot Knob Road RCCEIVED
Eagan MN 56122
Phone: (651) 675-5875
Fax: (651) 675-5694 14AR 1 5 2016
U0001/0002
Use BLUE or BLACK Ink
For Office Use
Permit*:
Permit Fee: / - r
Date Received:
Staff:
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3- ie" SiteAddress:_ 4"1/40 ;(3/44-00e'T /2"71' Unit II:
tif.*dik
•
contraetor.
Name: frrt---ed /1/e40/774a,,
Address / City /Zip: _±///0 40/L4ohei1'dy
Applicant Is: Owner Contractor
Description of work:td*2trz- 46dech,,c_ci
IVIulti-Family Building: (Yes No ___)
(arit,
phonezAri-
Construction Cost z4/40r9,1, 0415
N••••••••=k.
Company:
Contact: 4/7 el/
Address:C,P City:
State/VI/ Zip:.55 / ca.5 Phone:W-1- 73/-574 Email:
License It: '. (.J••4/ 7P 36,
ey.e.
Lead Certificate #:
If the project is exempt from lead certification, please explain why:
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 yea, date and address of master plan:
Licensed Plumber:
Phone:
Mechanical Contractor:
Phone:
Sewer & Water Contractor:
Phone:
Fire Suppression Contractor:
Phone:
NOTE; P109.00ypponing.,doluments.that you submit Oire•I'consi,deo#10',0,:publia infonmitio*:•:POMomi:of
the infiiithatipnmay' be:ciassOed 8 Orirpublipityou *o.v.190,'OpOilIcAr440ils.#44004001...00:.0400...i.,!..
, .
. . , .
conclude theit•theyere tiadeseerets.. ' ..' • " • . . - . . ' .. . . : ....
CALL BEFORE YOU DIG. Call Gopher Stato Ons Call at (051) 4644002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. wyvwsmoherstateonecalloril
1 hereby acknowledge that this Information Is complete and accurate; that the work Will be In conformance with tha 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 stall without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a revlew and approval of plans.
days of permit issuance.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
x 4,7ch.
Applicant's Printed Name
Anglican s Signature
Page 1 of 3
y//,D ,q lLtec.j I2E DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace
"4./C„ Single Family Garage
Multi _ Deck
01 of _ Plex Lower Level
WORK TYPES
New _ Interior Improvement
Addition _ Move Building
Alteration _ Fire Repair
Replace _ Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% 7',)
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Nic
Footings (Addition)
Foundation
Roof: Ice & Water ^Final
Framing
Fireplace: Rough In
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
i2
_ Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
411,11 CityofEa�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
Nty 2 01016
r
Use BLUE or BLACK Ink
For Office Use
Permit #: /31e7L1K
Permit Fee:
Date Received:
Staff: fC�
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Loi
Date: £ —..2-13`'943J1 Site Address: LI 11 0 1-5+ V 5 'f' 1,--Av Unit #:
{
e en
Ov�ner
ww £4
Name: 1Z,f ' 'a t"% 0.1 iv d Phone: bpi (ate
'/ 3
Address / City / Zip: 4 I \ 0 e LJ E 6 EX' i' v L4 e
Applicant is: Owner Contractor
x ti biik
irk..
�
Description of work: POO it -)t 11.- 1 (� A re � 174 'S ?_Th 7---�-
Construction Cost: � 5 0 0 00 Multi -Family Building:' (Yes / No
)
a � #
Contractor,
Company: M t; EL . Contact:
° l rti--)1‘.711°)
(1 10 W i✓ 'x �`
Address: C City:
State: fl rd Zip: .55)03 Phone: /—L)6 /.mail:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
'E.-
\
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
Plans and su ortin d . d
PP � dents that ` u �� cons;tdl�red tie �llc � � � tion �?� �n��
the infer tion m e clan s non-rf ynu provide pe fic easone�fty toy
onhey are;#� r v
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 Minnesota State Building Code must be completed within 180
days of permit issuance.
x 6:19 E f /—'
Applicant's Printed Name
f� E u / ft/1u/
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
1�o r3)ueb((r La/1'<_
Porch (3-Se�son)
Porch (4 -Season)
Fireplace
Garage
Deck
Lower Level
WORK TYPES
New Interior Improvement
Addition Move Building
Alteration Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review ��(,l
(25% 100%, )
Census Code
# of Units
# of Buildings
Type of Construction
'
VI Ii
Porch (Screen/Gazebo/Pergola)
Pool
Siding
Reroof
Windows
Egress Window
130�g
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy g C
Code Edition /»/-',/
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In _Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By: / /y/ %//, /('1/1
l
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test
Gas Line Air Test
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: Rough In Final
Erosion Control
Other:
, Building Inspector
Page 2of3