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4117 Blueberry Lane ~D- Use BLUE or BLACK Ink D I For Office Use Y <TK 3 I , I JUN 14 2,010 ; Permit 9514644/ j City of Ea an I I Permit Fee. 7,0 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: ~t-64-10 j Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~,t_ Site Address: ! G Tenant: !__ec~ Suite RESIDENT / OWNER Name:/ (ps` -(p S- 4~U Phone: Address / City / Zip64,X-C GIM. VYl n, 5'1 3 Applicant is: Owner "4 Contractor TYPE OF WORK Description of work: -j Construction Cost: Multi-Family Building: (Yes /No /V A_ CONTRACTOR Name: WA&Tm License f D Address: 47!S~ City: l/u-0 Statefi n Zip: Phone: ~.V -7 9q-.P_4 Contact: Email: 61 COMPLETE T IS AREA ONLY IF CONSTRUCTING ANEW 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora 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 ermit; that the work will be in accordance with the approve an in the case of work which requires a review and approval of plans. x ,/I'1 x Cat-A-Z" ~ Applicant's Print Name Applica Signature Page 1 of 2 M WY O EAGAN 5795 P8W Knob Rood a `s'W Eagan, Minnevoto 55122 Phones` 4544100 HOT= PERMIT No. 3-1+-79 .3'. f Date: Receipt No.: 4117 81 Single Site Address: Residential 27 6 Hintop ftbibm Lot Block Sub/Sec. Multi Res., Comm./Ind. J. Bmftn CfonSt1"uabiCla 00. r Nome New/Alter./Repair 3 127 DOW BlVid. 3 Address Cost of Installation Eagm 454-3237 20.00 w City Phone: Permit Fee - GMZ-RYM .50 ` ome Surcharge 14745 So. Fobert TMI'L a Address ; e 1 °110unt SttEB 423-144 20.50 City Phone: Total . This Permit is issued on the express condition that all work shall be done in accordance with all applf,*4 $We of Minnesota Statutes and City of Eagan Ordinances. i r Building Official Tyr CITY RAGAN 3M l et Knob Road g Eagan, Minneseft 55122 Plwnet 45+88100 PTIMM PERMIT No, 4--4-74 Date: Receipt No.: 4117 Bluebamy a Single Site Address: Residential 27 Lot Block ! Sub/Sec. Multi Res., Commdlnd. J. Ba M Conat. Name New/Alter./Repair ].279 DOW Blvd. Address Cost of Installation City 423-3459 Permit Fee 20.00 Phone: me GMZ" 1 W Surcharge a 3AU5 So. Address e v City lbsevount 55068 Phone: 423-1146 Total 213.50 This Permit is issued on the express condition that all work shall be done in accordance with all applicable: S 0 Minnesota Statutes and City of Eagan Ordinances. i Building Official 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. CASH RECEIPT CST. OF EAGAV 3795 PILOT KNOB ROAD E N; MINNESOTA 55122 CSATE"~ 19~ / RECEIVED FROM AMOUNT r & 001-LAR3 t o0 CASH CHEGK FOR Y f r t FUND CODE AMOUNT In ( -r, RC !J w _ x Thank YOU s Whiter-Payers Copy r, Yeilow~ Posti COPY Pink file Copy 1 R 4e r- X117 777 CITY ibif -EA"N WATER SCR Mi Pilot knob Road PERMIT NO.: r~ Eagan, MN. ;&5122 DATE: Zoning: No. of Units: ilt;' Address: Site Address' w°. PtetmberJ 8' R 'i'ach"Itott ✓ES~Z fltZ Meter No.: Connection Charge:, ~w.,,.w. `1 ii Sim: Account Deposit:_ Reader No. Permit Fee: - 1L~Cl' nd_: ogee to caiafply with the City of Eago~n Surcharge: f' Ordinances. Misc. Charges: - - Total: By Date Paid: Date of i nspw: I nsp. + CIt16 OF Ea6;4N SfWJEt SERVI~~ ~ 3795 Pilot''Ktnobt Rbad PERMIT NO.: 3~~~ Eagan, MH 5:5112 i7ATE: 5 c Zoning: 1' 1-._- No. of Units: Owner. - t Address: - - - - 1 Site Address:a,_~ 1tS'V T,ttl_-?.~ Plumber: - - . _ 2/26/7", 77,40f; 100-t-W In t I agree to comply with the City of Eagan Connection Charge: nu Otdinances. Account Deposit: Permit Fee:I ('.Surcharge: By Misc. Charges: Date of Ins Total: T Insp.'--- 'Dote Paid:' - - A 777. i _ CITY tAGAN ' E' 37" Pilot >U44 ltttt Eagan, MN 55100, PIIOW f r 454-8100 ` F 40 W ",d for'% t'r Est. Volt ~3~J r f1j"` 2-26 Site Address - mot, Erect occupancy Lot Block r Sec/Sub. Alter ❑ Z.omi Parcel # Repair ❑ fire Zone _ Enlarge ❑ Type of Const. ~ W Name d Move 0 * Stories 44 ft. Address Demolish, ❑ Front 73 City r~ . St. Paul Phone 717 Grade th ft. ae Name ' fc'SY"1 CbRist. K "al Ap~pro~raft Fe" 0 it; Address ..279 r)Odd Blvd. Assessment P*rmit v Cit ' irpn Phone Water & Sew. Surcharge -473-3459 Police Plan the jQg Name ru.- li3s Plarei . c Fire SAC xF3 Address Eng t Water Con"j, " (v o U City, 7 ICCLM lPhone °-12 37 Planner Water 3 . . road T. Council ` v I hereby acknowledge that 1 have read this application and shore that Bldg. Off. the information is c and agree to comply with all applicable State of Minnesota and Gay of Eagan OrdinanVs. APC 7;Ql Signature of Perms A Building Permit i6~on the a ss ~ > aft work shall be do>se'+io once with all o lieable State of Minnesota Statutes and City of Eogon Orddraaaftim Building Official ~ } Permit # tlorho toowd PawNtNe Plumbing /322 4-4-7 Mechanical C f jam- ^ / - INSPECTIONS DATE _ tNSP. Rougfi-In Final Footings Date Insp. Dote trop. Foundation Plumbing h `LQ q Frame/ins. Mechanical ~s ?9" Final Remarks: F 'L CITY OF EAGAN Remarks Addition HILLTOP ESTATES Lot 27 Blk 6 Parcel owner) street 4117 Blueberry Lane State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 3 6.72 10 1203-OS 1-4-90 STREET RESTOR. GRADING SAN SEW TRUNK 1973 172.14 8.61 20 111.94 A007542 3/26/79 • SEWER LATERAL 2836.67 A008795 1-4-90 Iggo 31 -5- 19 10 WATERMAIN * WATER LATERAL * WATER AREA * STORM SEW TRK 1980 * STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREETLIGHT Road Unit 75.00 13406 2-26-79 WATER CONN. 50.00 13406 2-26-79 PER. # SAC 5?5, 13406 PARK -96-79 INSPECTION RECORD CITY OF EAGAN, PERMIT TYPE:" wi f t n I N p i s 3830 Pilot. Knok Road Permit Number: Eagan, Mintesok# 55123 Date Issued: (612) 681-4675 WE ADDRESS:" APPLICANT' ~ 1 ,;;t~~~ +~I r 3 ~r•9t ~ gig ift3,t ;s~ B~i-'~ ! 4 t E t S r e j d i k s 7-4-4, #4 ?r? PERMIT SUBTYPE: TYPE OF WORK: ~ $r$; fff1iM t i, k') N At, _ 71 t OWN u ,ti INSPECTION RECORD ' r ¢d CITY OF EAGAN PERMIT Typ,e:. q, 3830 Pilot Knob Road Permit Nuinber: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 F SITE ADDRESS: 1. OT a,, ly APPLICANT: PERMIT SUBTYPE: TYPE OF WORK;t, ter i, t:P t iom f a' s ! I i ~ k, 1 Permit Mohler Date Telephone # SEWEFV- WATER PLUMBING HVAC inspection Date insp. comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIRIEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORS AT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL M 6x088 'Y_ 1919q Request Date Fire No. • Ro gh-in ThsPection NOTICE: You Must Call Electrical Inspector Required? If A Rough-In Inspection es ❑ No Is Required. I' is nsed c ntractor ❑ owner hereby request inspection of above electrical work at: Job r s Str t, Box or Route No.) City LN n Section No. Township Name or No. Range No. County UA07~ -IN Occupant (PRINT) Phone No. E t L) " Co IS Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. PRQ~qR)__SG1Q17-_ NO Lt Q aF, cap Mailing Address (Contractor or Owner Making Installation) X111 L%. Ph P L " O ll A o ed Si re (Contr r/Owner Making Installation) Phone Number L) MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-08, 10. / pp See instructions for completing this form on back of yellow copy. 6 Q,C 8 0 _ x" Be;ew Work Covered by This Request M New Add rap. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL 50 Irrigation Booms Special Inspection C , Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. I, the Electrical Inspector, hereby Rough-in D certify that the above inspection has Final r e been made. ' OFFICE USE ONLY This request void 18 months from 60 3310 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Reod _ Y _ N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y _ N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date _ / / Construction Cost Site Address / Unit/Ste # Description of Work t h S l a l/ o 0(7s a"W" echzEci ~ d atz e apil ruh a- L7ai Lq )e. L/ V Multi-Family Bldg _ Y N Fireplace(s) _ 0 1,/j - 2 / /Uew S -vv Property Owner Telephone # &V) 7coo_ Contractor I, r P S l~ HI -e o v- Yo Address L, j 4 Z f K j y ; 3 nn City a State Zip Telephone # (9J2 S-9e9 02 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # f ) Mechanical Contractor r K ES 1 P _ 6OU ~ r' 004Q_ Telepho Sewer/Water Contractor Telepho r~MARC I hereby apply for a Residential Building Permit and acknowledge that the in rmation is co accurate; _,:m_~. that the work will be in conformance with the ordinances and codes of the C an and the State of MN Statutes; 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. UGI V 4- 21- 1~ 0S K 1 Applicant's Printed Name Applicant's Signature v OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03, 01 of_ plex ❑ 09 07-plex 0 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04. 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06: 04-plex ❑ 12 12-plex Plbg_Y or_ N ❑ 25 Miscellaneous Work types ❑ 31: New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # 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 _ Ftgs _ Air/Gas Tests Final Framing - Siding _ Stucco - Stone - Brick Fireplace _ R.I. -Air Test -Final _ Windows Insulation T Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total MECHANICAL (RESIDENTIAL) 36 &k3 5b Z' Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date Site Address Unit # Property Owner Telephone # (&5 _ku Contractor r 1'~ e~ h r!~ r Street Address ALICA city State Zip i'~`- Jf 1 Telephone # (712 ) L6L4 The Applicant is Owner Contractor Other 7 Add- n, modification or alteration to existing dwelling unit $ 30.00 furnace replacement air exchanger ~O air conditioner other State Surcharge $ .50 Total $ 2~ ~I I hereby apply for a Residential Mechanical Permit and acknowledge that the information is c mplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and-with the Mecha cal Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start out a permit; t the work will be in cord with the approved plan in the case of w k which requires a review and appro al of plans. Applicant's Print d Name icant's Signatur MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date ! ! Site Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) The Applicant is Owner Contractor Other Work Type New construction Underground Tank Install -Remove Interior Improvement Call for inspection during installation/removal of tank Processed Piping Nature of Work: Permit Fee $50.50 Minimum Fee (includes State Surcharge) Contract Value $ x 1% _ $ Permit Fee • If permit fee is $1,000 or less, add $.50 $ State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a 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. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: PERMIT= X40- - CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L 01 N c, Eagan, Minnesota 55123 Permit Number: 022843 (612) 681-4675 Date Issued: 01 / 2 4 / 9 4 SITE ADDRESS: 41,17 BI.UFBERRY I..ANF LOT.- 17 BLOCK: 6 H1,LL.'T0P ES•T"ATES P 14 N o r 1.0-•-33000-270--06 DESCRIPTION: (DECK INCLUDED) E~'uif.dir~Permit Type SF PORCH din,~ y p e NEW REMARKS: FEE SUMMARY: VALUATION $13,000 Base Fee $144.00 Plan Review $93.60 Surcharge $6.50 (-ice `:search Fee 5<00 Fatal Fee $24910 CONTRACTOR: - A p p l i c a n t S T< L I C, OWNER: HERITAGE BLOBS 17840015 0004314 WIRTANEN CARL 9130 DAVENPORT ST NE 4117 BLUEBERRY LN BLAINE MN 55448 EAGAN MN (612) I84--0015 (612)452--41.41 Cry,- tmr~t n -1 xc) ni L h 3 ! J r,i, L ire ;f71. i`ra%c'ln.. L_ AP 1CANT/P ITEE SIGNATURE ISSUE Y. SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 2 8 4 3 Eagan, Minnesota 55123 Date Issued: 01/24/94 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT- 27 BLOCK: 6 4117 BLUEBERRY LANE HERITAGE BLDRS HILLTOP ESTATES (612) 784-0015 PERMIT SUBTYPE: TYPE OF WORK: SF PORCH NEW DESCRIPTION (DECK INCLUDED) INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FRAMING FINAL REACTIVATE ~ U' _ CITY OF EAGAN PERIIT E' CE WED 9 BUILDING PERMIT APPUCAT'ION CM` 4! 0 9 1993 94 681-4675 1-0 m-j SINGLE & MULTI-FAMILY Z sets of plans, 3 registered site surveys, l copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I sot of specifications, I copy of energy talcs, Penalty applies: I) when permit is typed, but not `picked up by last working day of month. in which request is made, address is changed or 3) lot change i.s requested once permit is issued. Date 9 Y-3 Valuation of work Site Address: 7 4;4 VA-:'9 C~x ~ STREET SUITE # Tenant Name: (commercial only) LOT 2 7 BLOCK SUED. rP, Y.x.D. Description of work; The applicant is: 0 Owner I Contractor 0 Other coescrin~ . Namelf 7;7>r Phone, Property LAST FIRST Owner Address y117 y STREET STE City Gig State Zip Company ,1-1,'-14I7`316 L t3Ul,~~5 Phone 7,P-41-00 is- Contractor Address g`~a v y~-o tic; License 0. 4, 1 EXp• r ~ city 'eL"91,4ze State 4=-u Zip Architect) Company Phone Engineer Name Registration i Address City State Zip; Sewer & water licensed plumber Processing time for sewer & water permits is two days once area as 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: OFFICE USE ONLY } BUILDING PERMIT TYPE ❑ 01 foundation O 06 Duplex E3 11 Apt./Lodging 16 ish ❑ 02 SF Owg. ❑ 07 4-Plex b 12 Multi. Misc. ❑ 17 Swim Pool 03 SF Addition ❑ 08 8-Plea ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. P 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Conn./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'i. 0 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK "TYPE Q 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish R 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st fl. sq. ft. -City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pua►p / of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code y Depth On-site sewage SAC Code APPROVALS ~ar~, beck P~~ ~ Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS Site ❑ Footing Q Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee vatuatiam ' Surcharge Plan Review ~2 License MWCC SAC' City SAC P Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge "treatment P1 Road Unit Park Ded. Trails Ded Coppies other Total: SAC x SAC Units DELMAR H. SCHWANZ LANDSURVEYOR It"iStersd Under LAWS of The State of Minnesota 2979 - 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA NO$ PHONE 612 423-1769 SURVEYOR'S CERTIFICATE i kk/ S-eej A; r \ FE A / <c- -ell , Q p a ny~ r :v I hereby certify that this is a true and correct representation of a of the baandariez of the following described tract of 1:_~nd: i. Lot 27, Block 6, HT=10P F33TA "ES, acc:)rding to the recorded plat z thereof, Dakota 'County, Minnesota. Also showing the loc 3.tf. 3n of a proposed house as staked thereon. February 13, 197'. 41 r MINNESOTA REGISTRATION NO. 6626 - - - - - - - - - - - - - - - - - PERMIT CITY 0'7 EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 8 5 0 (651) 681-4675 Date Issued: 1.0 / 2 9 / 9 8 SITE ADDRESS: 4117 BLUEBERRY LANE L4T~ 27 BLOCK- 6 HILLTOP ESTATES P-1-N..- 10-33000-270._06 DESCRIPTION: T.O. & REROOF BI!i 1n -~Iermi,t:: Type STORM DAMAGE Bu 1 I iri:g I'iJoi°k Type REPAIR ty< n~;u Code 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY i i CONTRACTOR: _ A p p l i c a n t ~ ST . L I C. OWNER: WESTURN CEDAR SUPPLY 15410304 20014207 WIRTANEN CARL 705 N HWY 169 411: BLUEBERRY LANE PLYMOUTH MN 55441 EAGAN MN 55123 (612) 541--4207 (651")452-4141 i'1E'r Pbu iack:nowl?dgp t-Jial-: "1 1Vt read 1.f1a_ ( pIt ccs"%: on atlCl i_riformafi.J,nn corre(-,,t: and ,-3qt ee to, Comply w, I-, h all, apf,,)I "cab'Le ~ e of Mn "I.atut..es &n CiJlyr of Lacian l~rC:l l"tl i:7 ilC t APPLICANT/PERMITEE SIGNATURE ED BY. SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF FAGAN 3830 PELOT KNOB RD - SS 122 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include team & 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 if lot platted after 7/1/93 required: _Yes _ No DATE: LZ/ 22~,, L22 CONSTRUCTION COST; DESCRIPTION OF WORK: ~c~A,~Y/edOF 0e/n ~~/Y1ACac~ STREET ADDRESS: c///? 'L.U6,66,2= c/ L AI / LOT:,-1 a~ BLOCK: SUBD./P.I.D. `A-N t Name: Phone -2, PROPERTY Last First OWNER Street Address: LAIt city 6%4 State: MN I Zip: ~ - Company: ~(J ~P Phone CONTRACTOR Street Address: /?d 's- l a) l License # 2,0ol x/2,0 City State: /V l Zip: L. ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chant and lot change is 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 applicat State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY l t I I Certificates of Survey Received Yes No a . ~ Tree Preservation Plan Received Yes No Not RequiLd OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 -plex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 -Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft: MC/WS 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 APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SM/ Permit S/W Surcharge Treatment PL. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units :•xt;3}}rx: r:•ini:`:}::. :;•:<cc$y;;::.;•::::.r.:o>r.: • . .t• p~{rt f tti } v.•S nt::vi.r.•: r.;;:.}3f.: F t:':3. r 'x'•r~'•3rir•Y+ :.{gv;..y,;},.•,::t:; .•"•`+r :'£':}::?'t,~k•.~.. 3•r ,;:Y•~.~•".. i~•'~•~.,'.•,~•`.~•~'•<:±r=;:%:~'•'rt ~xc;uu;;;;cx; ti`4; •:'r/ •?:..s:,rr ..£3.:.,~j:tF•:;`r. ;4'rt'Y i,,.F~::~r:•.•,.:• f::.~ . {r , r•,,.}Y,:;;:ty i4"Y Y%'.ti ;•ti3:;•. ?Yri?; •:3v{,.`rs v ?q > •'~3 a~ ifs, {r:•:{:: r: ;:ii"': i''~ j:::+:r'L•:iF .{ri:K'+: • {tf•..;,~.F~ f,:.:::: n•}i ~:3. ~ ~ • f ifs trJ: ~it .r,~. •{r ~~•y'•`:.3:•}:{•3.•''• . t ? 'nFt:. .'•.<,t,,):::;S:y~ {~•k5•' ,,'k:.Y..., :~'(•yur < ~ . ~ ~h; ........n:.....'• }:f.Fii nx :iG::~•.3m'^+~tiiT}• rr.}~' :±ry.;;l :,+i. 19% PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH SHOWER 3.00 I WATER CLOSET 3.00 BATH TUB 3.00 1 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET - minimum - 1 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP.,- Da.cty. ac. 20.00 U.G. SPRINKLER home under consL 3.00 ALTERATIONS - to costing 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: y SU Cys: wv- La nC SITE ADDRESS:. 9 1) OWNER NAME: INSTALLER: / V d r A-h y Ka ADDRESS: l k 0~ , -1 yl CITY: Area STATE: 2IP CODE:~~- PHONE S 3 - 3 SIGNATURE OF PERM E •~Kf},n~}.+:M{'. J.J.. y'~b',~,?~\ >t4} irriti::.V\ J.-.•: ty tt: t iC.~+:s•r,:'?. ' f ..}.2.::!f.'r?f5 ':•~Tat~YSrt~. h~:C„',4~'F'S''}r:: ~y Q'itiiw•itv'm ivl'•tii{:rri}%/•~.~}:~h.,~\. ..,'6${x}..}'iv~~. $fi0. r}: 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMAIERCIAL,/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. _ NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE. $-50 FOR EACH $1,000 OF FEE. MINIMUM FEE. $ 25.00 CONTRACT PRICE % 1% $ STATE SURCHARGE $ TOTAL SITE ADDRESS TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 NO 5108 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # A To be used forDWlq & Garage Est. Value 65 r 000. Date 2-76193-q--- Site Address 4117 Blueberry Lane Erect 30 Occupancy R-3 Lot 27 Block 6 Sec/Sub. Hilltop EStateS Alter ❑ Zoning R-1 Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. V 9% Name Bill Lier Move ❑ # Stories R 1 3 Address Demolish ❑ Front 73 ft. ° City So. St. Paul Phone 454-3237 Grade ❑ Depth 40 ft. o Name J. Barton Const. Ccopany Approvals Fees z~ Address162.00 o 1279 Dodd Blvd. Assessment Permit _ u C; organ Phone 423-3459 Water & Sew. Surcharge 32. 50 E Police Plan check 81-•00! uu uj Name Phillips Planninq Service Fire SAC 525.00 juj X- Address Eng. Water Conn.250.00 city Bloomington phone 884-1187 Planner Water Meter 60.00 Council Road 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 1,185.50 State of Minnesota Stat s nd Pty of E an Ordinances. Signature of Permittee A Building Permit is issued o: J• jen 00- on the express condition that all work shall be done in a co da a with a li le State of Minnesota Statutes and City of Eagan Ordinances. Building Official L L~ DATE-,O - BUILDING PERMIT APPLICATION j Include 2 sets of plans, l site plan w/elevations and 1 set of energy calcuations. To be used for'sw IM dt/Jdy~ Valuation Site Address: i; Lot Block Sec.e/Sub. Parcel Number ? Owner f~i~! ~I Telephone Y5- V 3Z Add S~ 7 ress sdm,/~ F J I` • ~wzs~y / r~-~rvr+ Contractor /'~/l rd)l S~iuta.~ /Oo . lephone Spa 3 3 S Address 1,7 7 Arch/Eng. f / S •Telephone SJCA~ 991V 11,U Address f OFFICE USE ONLY Erect Occupancy" Alter Zoning' Repair Fire Zone Enlarge Type of Const. Move # of Stories Demolish Front Grade Depth Date of Approval and Initial Fees Assessment Permit: Water/Sewer Surcharge Y' Police Plan Check A_ Fire SAC a, Engineer's ' Water Connection Planner Water Meter , Council r. Bldg. Off. A.P.C. TOTAL PHILLIPS PLAN SERVICE 10700 Lyndaie Ave, So. Bloomington. MN 55420 EXTERIN ENVELOPE AVERAGE "U" COMPUTATION 'te¢106 OWNER L~~ N1(Z 5 . 1; L P Z i F. { SITE ADDRESS CONTRACTOR Q 4gTO k) ~ LTJ DATE - ► 3 R~ PHONE a tt ! I -z r? Determine working square footage of each. 1. Total exposed wall area Z.5 5 ~o s ft, x 2. Total roof/ceiling area ~ 500 5 sq. ft. x 0 L p Total exposed wall area above floor Z~3lt~ a. Total wall window area.. 2Z0 b. Total door area . . c. Total sliding glass door area d. Total fireplace wall area. . . e. Total wall framing area (average l0 I'i4 O f. Total net wall area above floor ~i g. Total rim joist area Z;ILfl Total exposed foundation area h. Total foundation window area......... i. Toal net foundation area above grade Determine "U value of each wall segment. X 11V a. ZZ0 b.~~ _ x 11U)s ci ZCO C. X" c - d X "U„, e. X "Ulf .13 X "U" h. r _ X "U'r '5 _ ~53 • X i i U n Ct L o '1 q C). 1 U 3.... JCS, ......Total = If item #3 is the same as., or less than item #1, you have met the intent of SBC 6006(c)2. 1 i DATE &-toe _ BUILDING PERMIT APPLICATION Include 2 sets of plans, I site plan w/elevations and 1 set of energy calcuations. To be used for`5-14144 fa, Valuation Site Address: Lot Block Sec,./Sub. Parcel Number"7 Owner!!/ Telephone Address _ Sp m W /LA674tt*+ • Contractor / • /g/1, tS/ dy, "M. 2~' elephone 5 a 3 ~ Address 01, dud P Arch/En fh~/~/0s f~~--... ,~•J5 .++•..c.o :Telephone Address !34T0-77 . OFFICE USE ONLY ErectOccupancy Alter Zoning Repair Fire Zone Enlarge Type of Const. Move # of Stories Demolish Front, Grade Depth r~ Date of Approval and Initial Fees 01 Assessment Permit C- Water/Sewer Surcharge Police Plan Check Fire SAC e Engineer Water Connection Planner Water Meter Council Bldg. Of r A.P.C. TOTAL !3^~fYgk~A'• carry.iv.y.v...,.«.w:Now...r.~=-ws•n..+r+-.,a.in"s^'~'~.+.f4!f,MV=.~.. ^.1niYYM• fr.+wa. ^.,y^+uw O Total exposed roof/ceiling area = I X01 IS Total gross roof/ceiling area = j. Total skylight area k. Total roof/ceiling framing area 1. Total net insulated roof/ceiling area....... . Determine "U" value for each roof/ceiling segment. k.__ ~ 9 X "U" f 1 X IiUn - 4.... l ~tQ1, 7.?... ..Total 4~~►~ If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006{c}l. To utilized the total envelope system method, the values' established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. + 2. - 3. 4, MATERIALS Exterior Aii Siding Mlati-ria1 3heittKing y l.3Z Insuiat orz 1 Shoetrocl 45 Intt- for ALr tudfj 4.3& Rim 88 Conc. Bik-a. ! Z ~ ~ d .r 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. Vy Y41} ~ I I~ I k i rw ±t v, t' it fi ! M y ~'SurVey. For: 4 . J., r"arton Construction Cor►Pzin 9 Y 4 I~ I. 0 Dodd Boulevard ~ 3rd 4 *,a { , ~ Rosemount, MN 55068 i _DELMAR H SCHWAN~ ;r►` ~~f.~ > LAND SURVEYOR t t j Registered Under Laws of The $iat• of Minnesota . ; 2976 - 146TH O"KET W. BOX M ROMMOUNT, NpNNEOOTA 050" PHOON sit 4.1 A6B SURVEYOR'S CERTIFICATE A 10 ~ t I i 4 I hereby certify that tai; i3 a true an(] c;c~x'reCt ;x"e~ reseCita$ 16n r><f of the bouridaftea of the x'-)l lowing derwribe.d tract of lands T-4)t 27, Block 6, 1.ILUT 11 FSTA , ace )3, i"np to the re+Corded ~i14 ~ thereof, Dakota County', M nnesotU. ~ 1.4 Also showing the locatf ,n of a propose.::! house as staked tholmOv k 'f k ki tik Febnmry 13, 19711'. ' { t W k 1-1 4:l PERMIT City of Eagan Permit Type: Plumbing Eaaan. Permit Number: EA101275 Date Issued: 09/29/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4117 Blueberry Lane Lot: 27 Block: 6 Addition: Hilltop Estates PID: 10-33000-06-270 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Alex Barna PO Box 188 Cedar. MN 55011 763-444-0292 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087 Valuation: 550.00 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: SoNvada and Barna Plumbing Linn A Muckerheide PO Box 188 4117 Blueberry Lane Cedar NIN 55011 Eagan NIN 55123 (763) 444-0292 I hereby aeknowledae 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 Cite of Ea-an Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Plumbing Eaaan. Permit Number: EA101275 Date Issued: 09/29/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4117 Blueberry Lane Lot: 27 Block: 6 Addition: Hilltop Estates PID: 10-33000-06-270 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Alex Barna PO Box 188 Cedar. MN 55011 763-444-0292 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087 Valuation: 550.00 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: SoNvada and Barna Plumbing Linn A Muckerheide PO Box 188 4117 Blueberry Lane Cedar NIN 55011 Eagan NIN 55123 (763) 444-0292 I hereby aeknowledae 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 Cite of Ea-an Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Date: City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: 10c -/1 G Permit Fee: 105, a , Date Received: 411 0 Staff: 2013 RESIDENTIAL BUILDING iPERMIT APPLICATION Site Address:"` 11 ?j ue r)e 1 .6(,I ( r m Ki Unit #: ), a Name: ► i�1��'t-�1 1 YC_,�� Address/City/Zip '' I1 b\Ue1 m) 9 /1 "k' 1 .E Applicant is: Owner Contractor 6t, Phone(n (Q - 0e6 Description of work: A() \N r\d0Lk) rfiolOcenrIent 1 Ylfi(i -eXl jt=i no opt Iucturf p 0 Construction Cost: Multi -Family Building: (Yes / No C%1 Company: Qemij S Contact: V\ c ¥ o f f Address: 41 `i F1901) ( Dr Ne City: Cl DU L(LV1 State: _12Zip: �, )Q ` 21 Phone: License #: CMG r121 0. Lead Certificate #: I V j T c).-1002.1- 1 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 the information t!ng,documi c/assiified submit are CALL BEFORE YOU DIG. CaII 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.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a uilding permit issued in accordance with the Minnes • State Building Code must be completed within 180 days of permit issuance. x 6-I VA Applicant Printed N . e x Applican Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA157997 Date Issued:09/19/2019 Permit Category:ePermit Site Address: 4117 Blueberry Lane Lot:27 Block: 6 Addition: Hilltop Estates PID:10-33000-06-270 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Lynn A Muckerheide 4117 Blueberry Lane Eagan MN 55123 (651) 688-3808 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA170362 Date Issued:06/29/2021 Permit Category:ePermit Site Address: 4117 Blueberry Lane Lot:27 Block: 6 Addition: Hilltop Estates PID:10-33000-06-270 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Lynn A & Emily Beth Muckerheide 4117 Blueberry Ln Eagan MN 55123 (651) 454-9297 Janecky Plumbing Service 720 Pontiac Place Mendota Heights MN 55120 (651) 454-9297 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA179130 Date Issued:09/20/2022 Permit Category:ePermit Site Address: 4117 Blueberry Lane Lot:27 Block: 6 Addition: Hilltop Estates PID:10-33000-06-270 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Lynn A & Emily Beth Muckerheide 4117 Blueberry Ln Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature