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4147 Blueberry Lane
CITY" O EAGAN SEWER SERVICE PERMIT p795 Pilot Knob Road PERMIT NO., Eagan,: MN 53122 DATE: Zoning: '_' x .I No. of Units: Owner: '{'i T Address: Site Address: b Qt"r L r Plumber: # agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: ' `' . (?Q Pd Surcharge pd .50 BY Misc. Charges: Date of Pnsp.: Total: Insp.:= Date Paid: Cities Digital ality 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. Crr OF EAGAN WATER BERM- ?`, Rl JT 3795 Pilot Knob Road PERMIT NO:; ugan,, MN 55122 DATE: Zoning: r"T - -- -- --- No. of Units: Owner:' Address: Site Address: { At-[ z-. k Plumber:. Meter No.: Connection Charge Size; Account Deposit ?adcr;'NO.; Permit Fee., 1 agree to comply with the City-of Eagan Surcharge: Enances {? ?C. ca Misc. Charges: _ Total: Date Pored -,7 J t {rg? Insp. eta i _.,_., d? y 1.?: ii air Cities Digital ity 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 tc E 37 5 Pilot Knob Rood Earaaa, MN 55122 PHONE: 454-8100 ' BUILDING PERMIT 000 (?. Receipt # " To be for Est. Valuest} Date '' i` ;•Y 1.tiej 1,T) Site Address'' Erect Occupancy `{ b Lot Block { Sot/Sub. zxR"" Alter p Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. or Name 1 j:. C ae?.' SOfl 0M1SU- X' t:1O cc). Move ? # Stories Address Lly1L1 ] AVf'_.` Demolish ? Front s + i ft It t..Ca d Yacton Phone 8C1 -12676 ' Grade E] Depth y 0 Yfe Approvals ten; 4 kk of.. - F- Z NO Address f Assessr?iork :c 30 f t' City Phone Water & Sew. i Shale Pi k d t-? Pol ce n oec ' Name Fire SAC , TL Address Eno. *kKVr Cal? 4 aW Phone Ci Planner W" MOB' Council Road Lh-dt t 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 I r 1 otal State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is i=awed to: an the expsm It . all w o r k shall be i h in accordance with all applicable State o f Minnesota Statutes and CHy o f E n OrdkWVW? Buikg Official si i rt i 40 IIa1s 1 _ Pk _ f Ire 61 ?? ? (t-23x'8" !t E2C r s DATE n . Footi flue t +.. Date Machankqf -tt 4z 4 L s {fit , .CITY OF EAGAN 3795 Pilot Knob Road No. 7 Eagan, Min oto 55122 INSPECTOR NOTIFICATKM Phone: 454-8100 REQUIRED BY LAW J'` PUMIT FOR ALL INSPECTIONS Date: ;..?3.? `!354 Receipt No.: 4.1-47 i1u Y li Single Site Address: Residential X Lot 2 Block Sub/Sec. ILf:1,Y, Multi Res., Comm./lnd. Name 14.11 . pz ie,Z^4C>wt1 0073 C't` OI ri New/Alter./Repair Address L,! ik a AVe. :a Cost of Installation 20. 00 City I l txx?x `.f?"i Phone: Permit Fee Name _GE 0. SSE'.(1., r#di C HtlJ. Surcharge Address 1001 ;{Eaxlic?t Ave. City 3.g 55415 r li 31 20. rat . l Phone: Total This Permit is issued on the express condition that off work shaft be done in accordance with a41 o 4icc e Minnesota Statutes and City of Eagan Ordinances. silo Building Official ax' CITY OF EA 3795 Pilot Knob lReW No Eagan, Mirmosavo 55122 INSPECTOR NOTIFICATIO1(,; Phone: 454-8i160 REQUIRED BY LAW FOR ALL INSPECTIONS Pill"T Dote .'3413 Receipt No.: Single Site Address: 4,147 131..b!lm TResidential X Lot 1 Block ? Sub/Sec. llil11:;,) Multi Res., Comm./Ind. 1 Name New/Alter./Reps€r Address L272--'a-lo, Ave a Cost of Installation City Phone: E'I )r?,' ;1 Permit Fee 2Q . [x} Name C`ir'1ter Fe3V.LCUC2`3";c:. Surcharge 8E `:37 Ike 21m Address City 1I.1_t :T?'x ;I CYC1 1 Phone: 1..- =171 Total 2O.5O This Permit is issued on the express condition that all work shall be done in accordance with all applicable stm* 6C Minnesota Statutes and City of Eagan Ordinances. ? Building Official CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE r? ` 19 ?1T RECEIVED r t FROM 3 1( Ll 6 E Y ?!t AMOUNT $ ' & DOLLARS 100 ? CASH E- HECK r -i f F U N D CODE A /.1 O U N T w e? / y T?aak You Vii; White-Payees y Yealow-PosXir PY' Pink-File Capp fi; s .a,?'! . ?lliii'c ? I' j INSPECTION REC%o TY OF EAGAI PER#S*I ' 3830 Pilot Knob load Permit Nu nbe I' + Eagan, Minnesota 55122-1897 Date Issued: (612) 681-467 7 it SITE ADDRESS: 1+ *n , 0 t i; 6 APPLICANT: 41 1;' tit UF1 RRY LANE HIV t'.t R h ips Vii; }$ { wlt # 'for ?'?? ? ? ??. ? t:+ ? ??? ,I:?'Em'-$??• ?i?; +I t1 ,1 ? 9 1 1 f 3. TYPE OF WOK.. P4MI B YPE s3 + Ei ?aii, ltd '4 a5- _ Lt`V THAI tl 1 ?? f Ile ?,. ; s ' lei z ;t RfMAI, °t Ati t V"tf=w n RY ULl. ,l: „i :n # 43 Z 41 Y A,, Jll! iii. t ` _[ I t PLUMBING HVAC Inspection Date Imp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PWMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSA TEST T BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG (Z? DECK FINAL Permit Halter Date Telephone # ?»;? '?Jk?l ,_? n fsAd ,? ; nt3lt , ?, - 2jtslttl?? ?Ayty?'°as ?lcd'? » C ?r tf irafr of C1rrupanr esi q :? Qtitp of (Eagan . _ j9ppartmrnf of &tilhing Insprrtinn This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: I y -ji SF DI?G/GAR 6514 the ch xi6n6oo Bldg. Permit No F L ?P?Y Type R3 Type coastmwtion Vn Fire Zone NA Zoning District R1 ? o,,,,wfmwdingM.R. Anderson Const,warea 8901 Lyndale Ave. So., Bloom suaairunaareffi 4147 Blueberry Lane, Lot 21, Block 6,Hilltop FstaAp's By: April 19, I982 BuiWingOfCuiai Date: Aq- .CtT IN A CONfrICYOUe fM1.AC[- ®?oES ed? 7TI5 f CITY OF EAGAN Remarks Addition HILLTOP FSTATF.S Lot 21 Blk 6 Parce !'-- Owner V"Al v .'. ii /ThLt U D}) U1141-1 Street 4147 Blueberry Lane State_ Eagan, MN 55123 Elv'? v?' 1t ??? Ott Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1990 13-36.72 133.67 in 133 .72' COOT 18 1-5-82 STREET RESTOR. GRADING SAN SEW TRUNK 1973 172.14 8.61 20 86.04 - C007618 1-5-82 * SEWER LATERAL 1980 3213.99 321-40 2249-. T9--- C007618 1-5-82 WATERMAIN * WATER LATERAL 1980 * WATER AREA -rvires 1980 * STORM SEW TRK 1980 * STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT Road 1 S-00 WATER CONN. BUILDING PER. 23397 Dig 41 SAC 25 ()A 23397 PARK . 2/18/8t uestvoid bta0 18 months from Date o this.Request 2 1y Fire No. T 2 6 7 9 6 I , a Licensed Electrical Contractor D Owner, do hereby request inspection of the above electri- cal Vr)qg installed at: t Address or Route No. ? 1 BL $ City Section Township Range County Which is occupied by ?l ?P ?N C o$S 1 j (Name of Occu ant) Is a roughin inspection required on this job? No O Ys Ready Now 0 Will C Power Supplier Address ININj Zi4 Electrical Contractor Contractor's License N _i (Company Name) Mailing Address i' (It-1 (Ele rical ontractor or Owner Making This Installation) Authorized Signature Phone No. ?Ro (Eiectrica r Contractor or Owner Making This Installation) AN This inspection request will not be accepted by the i i State Board unless proper inspection fee is enclosed. Griggs Midway Bldg. - Room N191 EB- 0 01-02 1821 University Ave., St. Paul, Minn.. 55104 - Phone 297-2111 `1I 01 REQUEST FOR ELECTRICAL INSPECTION T26796 CHECK BELOW WORK COVERED BY THIS REOUEST Type of Building Ne Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? Range Temporary Wiring Alex ? ? Water Heater Lighting Fixtures Bldg. ? ? ? Dryer Electric Heating `? mmercial Bldg. ? ? ? Furnace Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner Bulk Milk Tank ? Farm ? ? ? List List Other ? ? ? Others Here ? Others Here COMPUTE INSPEC TIO N FEE B ELOW Service Entrance Size: # Fee Feeders& Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Am eres i 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 $,$. Remarks i, the El pct TOTAL FEE y certify t}rq[f to al}6'e% pSctiorAikas been rjde. (Rough-i! t;.C/ ate - / (Final) Date °z7 This request void 18 months from This'request4'Uid It /z3 18 months from T 77876 z Request Date t i Fire No. Rough-in inspection Req ired? ,?f Ready Now Will Notify Inspec IvvvVV?????`tor Wh R d Yes ? No en ea y *,Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: t AAdddresss. Box or Routtee No. L'. r ?71&e V'Ig1??+ City 1`?, Section No. Township Name or No. Range No. Co ntti y Ocg?up^ant 1PRIN 1` l 1?1!ON Phone No. Power Supplier Address El trContractor (Company Name) C cT - Contractor's License No. l5 Z Mailing Address (Contractor or Owner Making Installation) ht c-. -CAo- 9-01V Authorized .Sign t re ontractor/Owner Making lnstallation) C Phone Number ;,. . e. 717, ?. MINNESOA STATE BOARD OF ELECTRICITY 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) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 T - t,-8 7 6 ' See instructions for completing this form on back of yellow copy. "X" Below Work Covered by This Request -q 3 New A d 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 (Specify) Other (Specify Other Other Compute Inspection Fee Below # Fee Service Eptr e # Fee Feeders /Subfeeders # Fee Circuits 01)0` ,s 0 to 30 Ams 0to30Amps 1 ?} 2(C 31 to 100 Amps 31 to 100 Amps } a' Hmps Above 1 00Amps Above 100_Amps anstormers Remote Control Circ. ") $3 Partial/Other Fae- Signs Special Inspection OTA Remarks L FEE . •r ?r.i t 1-1 - I -h \- t ' v- - -sl - Rough-in .. .-,} Date I, the Electrical L/l'?i +'?V Inspector. -hereby certif that the ab Final Date, y ove inspection has been made. This request void 18 months from CCD 2007 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 ReoulLements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings beams foists Cert of Survey Recd _ Y - N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report - Y _ N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd -Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required _Y _ N 1 set of Energy Calculations On-site Septic System Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 i Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form J r u z ?aa7 Plans are considered public information unless you state they are trade secret and the reason. 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 (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Date Site Address Construction Cost N 2 L DOC), co Unit/Ste # Description of Work SE - e_ CC`'\ bF o dia? ° v 6 or,, --, Yc` Multi-Family Bldg _ Y - N Fireplace(s) 0 1 _ 2 Property Owner B ck Telephone # (& t) b 1?C'? _ Contractor •-!- me Owr\QV- Address State City Zip Telephone # ( ) I hereby apply for a Residential Building 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 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. Applicant's Printed Name Applicans Signature DO NOT WRITE BELOW THIS LINE 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 ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 1 0-plex ] 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types C) 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 CI 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Cc tem MCES S , Valuation ys Occupancy Plan Review 100% or 25% Census Code I 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) _ Sheetrock - Footings (deck) Final/C.O. Footings (addition) Final/No C.O. _ Foundation HVAC Drain Tile Other Roof Ice & Water Fi Ftgs Air/Gas Tests Final nal Pool Framing _ Siding _ Stucco Lath Stone Lath -Brick Fireplace R.I. Air Test 14 _ Final Windows Insulation - Retaining Wall -"? Approved By: t,•° , Building Inspector --------------- - --- ------- - ---------------- - ----------------------------------------------------------- ------------------------------------- Base Fee Surcharge A Plan Review MC/ES SAC City SAC 44) /71 Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 `` `7 1$ m Telephone # 651-675-5675 l? - Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date 7 / .S? / 0 `/ Site Address y! V 7 dAte be,---?jt L_ Y'7 e-- Unit # Property Owner h [3C C Telephone # (405 / ) to _ 6 Z-- Contractor / is -- . Street Address 1I/1 c.z 14eJ- A S. City State /17n1 Zip S . 3 7 Telephone # (93' L) 7 VCS - S -Q Bond #: .S Expires: 9 L,3/ a V The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 X furnace -Additional -,Replacement air exchanger air conditioner New X_ Replacement other l 4Jar,, _ / Co 1 c0 Ctrr /°,cfZlrn State Surcharge $ .50 Total D l? p $ 3 O . SO LJ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete nd accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan a with that I understand this is not a permit, but only an application for a permit, and work is not to start wit u 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. ?L 12/Lrn 4r! .q Applicant's Printed Name Applic s Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is Owner Contractor Other Work Type New Construction _ Underground Tank - Install -Remove **see below Interior Improvement Install Piping Processed _Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State surcharge) or 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 for every $1,000 ptr?nnt 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: RESIDENTIAL PLUMBING 1-3 Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit D 1 / / C)3 ate jtl - / Site Address L ` I' ?•?-? I" j+ `7? ?15<? ?' ?,?? Unit # Property Owner C til r 1 ?C 'l' 5`?. Telephone # ( ) s Contractor w1 CC: r'1` Ci r"" ?1' r 0CA I'rl 1. } 1 '" ?L Y i 4 ) i 4 r Address f -1 City _ State Zi T le hone # ( ) p e p The Applicant is Owner Contractor Other Septic System _ New ' - Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations to existing dwelling $ 50.00 Add fixtures to lower levels or room additions, excluding water softener and water heater Abandonment of septic system Water turnaround (+ 5/8" meter if needed - $121.00) _ Other: esy, G tk_r u 11 - RPZ _ new _ repair _ rebuild *-. $ 30.00 - Lawn irrigation system Water softener Water heater - - $ 15.00 - replacement _ additional State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing 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 Plumbing 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 wowill be in accordance with the .approved plan in the case of work which requires a review and approval of plansi Applicant's Printed Name Applicant's Signature ?. RESIDENTIAL BUILDING (Q( (o 4 7 Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft of lot sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 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 to/o z /aa d,Remodel/Repair Requirements Office Use OnN ? copies of plan Cart of Survey Reed -Y -N 1 set of Energy Calculations for heated additions Tree Pres Plan Reed -Y -N f 1 site survey for additions & decks Tree Pres Reqd -Y N Addition - indicate if on-site septic system On-site Septic System -Y -N Date Construction Cost l Z S (30 ' Site Address `? / tf 1 e rr,^ Qj- Unit/Ste # _ Description of Work Multi-Family Bldg _ Y ./ N Fireplace(s) _ 0 2 Property Owner £C+?'?i Telephone # Contractor )'Sowresz c - _ Address 2 3Zo t_ ?A 6 a.?` City ?o State f) 1,3 Zip Telephone # (?S O y Z ? - /93-3 - 0 - W? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 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 Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone hil-ITT Telephone I hereby apply for a Residential Building Permit and acknowledge that the info ation is complete and ccurate; that the work will be in conformance with the ordinances and codes of the Ci I a_.g 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 es a review and approval of plans. Appl d Name Applican's gnature OFFICE USE ONLY r I 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 ? 17 Garage 22 Porch/Addn. (4-sea.) 0 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 0 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous W k T ) l1(t w' de S 6-#+R- A & a or ypes ? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation yo, 010 0 Occupancy YL -S MC/ES System Census Code Zoning i2 t City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const V f) Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) Final/No C.O. Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof A Ice & Water Air/Gas Tests Final Pool Ftgs Final Framing _ _ - Siding - Stucco Stone - _ Fireplace - R.I. - Air Test - Final Windows (new/replacement) ,4 Insulation Retaining Wall Approved By Building inspector ------------------- - ------ - - -- - - - --- - - ---------- Base Fee Surcharge 1 )*; +1 Picot - 5'/0 14 ^ Plan Review f tAS?Ci ewr ` 5-/ o ??/„s " } MC/ES SAC G 1 ?? Cr '" )t` 14 Lf p City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Permit Number REScheck Compliance Certificate 1995 MEC Generated by REScheck- Web Software PROJECT TITLE: Becker Residence COUNTY: Dakota STATE: Minnesota HDD: 8499 CONSTRUCTION TYPE: Single Family DATE: 09/22/03 DATE OF PLANS: 9/16/03 PROJECT DESCRIPTION: Addition to home and garage DESIGNER/CONTRACTOR: Single Source Construction COMPLIANCE: Passes Maximum UA = 142 Your Home UA = 103 27.5% Better Than Code (UA) Ceiling 1: Raised or Energy Truss Wall 1: Wood Frame, 16" o.c. Below grade: Wood Frame, 2 Pane w/ Low -E Below grade: Wood Frame, 2 Pane w/ Low-E Window 3: Wood Frame, 2 Pane w/ Low-E Window 4: Wood Frame, 2 Pane w/ Low-E Window 5: Wood Frame, 2 Pane w/ Low-E Basement Wall 1: Masonry Block w/ Empty Cells Wall height: 8.0' Depth below grade: 7.5' Insulation depth: 8.0' Basement Wall 2: Masonry Block w/ Empty Cells Wall height: 8.0' Depth below grade: 4.0' Insulation depth: 8.0' Basement Wall 3: Masonry Block w/ Empty Cells Wall height: 8.0' Checked By/Date Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA 510 44.0 38.0 6 665 19.0 21.0 19 21 0.300 6 21 0.300 6 8 0.300 2 19 0.300 6 28 0.300 8 160 1.0 13.0 7 147 1.0 13.0 80 1.0 13.0 8 4 Depth below grade: 4.0' Insulation depth: 8.0' Over conditioned space: All-Wood Joist/Truss over Uncond. Space 510 14.0 0.0 31 Furnace 1: Forced Hot Air (Non-Electric), 80 AFUE Air Conditioner 1: Electric Central Air, 10 SEER COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations bmitted with the permit application. The proposed building has been designed to meet the 1995 MEC r irements in REScheck- Web and to comply with the mandatory requirements listeq'ip the RESch Ins ec ion Checklist. Builder/Designer Date { Oct-01-03 09:O1A single M source CONSTRUCTION, INC Lie. $ 20373506 (Licensed, Bonded and insured) FAX COVER PAGE To: City of Eagan, Attn: Tom Fax Number: 651-675-5694 Date: 1011/03 Number of Pages: 4 incl. cover Tom: The following information pertains to the permit application for: 4147 Blueberry Lane - Dan & Kim Becker residence This is the engineering for the 10' opening between garage spaces, and the door header size calcs for the new garage door. Lastly, the floor trusses in the addition will be 14" deep clear span. Engineering and connection details will be available when we place the actual material order. Please call me if you have any questions. Thanks, John Geurkink Cell: 612-366-2221 12320 Cobblestone Lane Rosemount, MN 55068 phone 651.423.1933 email: dmoellerCED-sinsilesc.biz fax 651.423.7197 P.01 Oct-O1-03 09:02A I , Garage Header 2 Pos of 1 314" x 9 112" 1.9E MicroIlart) LVL W. WWjW3 4-M-21 60M ; ;" THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN r` CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slopet $11112 Roof S11ope0M2 An dhienelone we horizontsL $OAQ3: Analysis is for a Drop Beam Member. Tributary Load Width: V Primary Load Group - Snow (psi): 35.0 Live, at 115 % duration, 20.0 Dead ve;rticid Loads: Product Diagram Is Concapitual. -type Class Live Dead Location Application Comment unlrorm(ptf) 3now(1.15) 184-2 120.2 0100' 3` Adds To SUPPORTS- input Boating VerticSl Raaottona (Ibs) detail Other Width I -s"9111% UvelpsdFUPUWotsf 1 Trimmers 1,S0• 1.50' 10321 1191 10 1 1723 L2 None 2 Trimrrmrs 1-50" 1.50" 1032109110/1723 12 None -See TJ SPECIFIERS I BUILDERS GUtOE for deW?(s), L2 D Maximum Design Control Control Location Shear (Ibs) 1723 -1382 7265 Passed (10%) Rt. end Span I under Snow loading Moment (Ft-Lbs) 3985 3986 13541 Passed (29%) MID Span I under Snow loading Live Lad Dell (in) 0.086 0.308 passed (U999+) MID Span I Yoder Snow loading Totae Load Deft (in) 0.144 0.453 Passed (tJ772) MID Span I under Snow loading P_02 •Deretection Criteria: MINIMUM(LL:U380.TL:N240). -9recirg(Lu). AN compression edges (top ono botlom) must be braced at 2E r oic unless detailed otherwise. Proper attachment and posicroning of lateral bracing is required to achieve member stabnfy. -OAaign assumes adequate continuous lateral Support Of the compression edge. 6PULIURM NOTES: -IMPORTANTI The anaiysIs presented is output from spf wares developed by Trus Joist (Ti). TJ worranta the Sizing of its products by this software will be edrrlep6ahed in accordence with 7J product design criteria and codo accepted design viol es. The specific product application, ir+pui design kwds, and aEated einensons have bost'r provided by me sof ware user. The output has not been reviewed by a TJ Associate. .Not all products ate readily available. Check With your supplier or TJ technical repraentatlvo for product availability, THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowance Stress Design methodology was used for Building Code Ut)C analyzing uw TJ 016t'<ibutiOn product listed above. -Note' Sap TJ SPECIFIERS / BUILDER'S GUIDES for multiple ply connection. PRO;lEGT f NFORMATIOP4: Seeker ,lob copyright a ZOOS by True JD1et. a eeyerha.pC araive. wicraialrr• 1.8 a raaisured cro4eaask of Zrua 4015C. 1 OPERATOR 1NFORMATlOH: Morley Frantzick Stock BuUdk>g Supply 915 Yankee Doodle Road PO Box 21099 Eagan. MN $5121-0099 Phone : 851-454-4985 Fax :851-4.4-1311 money.rranIZtc aa)Gkeu pty.com ** TOTAL PAGE.13 ** Oct-O1-03 09:02A TJ46w frM) 0-06 Sam /W"": 7Oo2123 View T 10,14M 6:333$ AM pip.1 t Ir vet, 4 1.0.11 Adft" for open!ng between Z garages follam LVL THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Stopo: 9012 R c S opeM2 r Al anenafarts are heri:entaL. It)' 3" VrdetxS Diagram is CW1C60YeL Ar?alytis is for a Header (Flush Beam) Member- Tribbutary Load width: 1 Primary Load Group - Snow (pat): 40.0 Llve at 1151% duredon, 20.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Urutprm(ptf) Sndw(1.15) 280.0 140.0 07010-3- Replaces Vniform(Olt) SnOw(1-15) 440.0 220.0 0 To 10.3" Replaces Input eearln9 Vertical Reactions tlbs) Detail Other Width 1)mlDeadIUpl*ITotat 1 Stud wall 1.60" ,2.68' 3690 / 1904 / 0 ! Ira" 07 Blodkktg I Ply 1 1!4' x 11 718" 1.3E TitnberStrand8h LSL 2 Stud wall 1. 2-6W5" 3690 I1904/0/55" L1: Blocking I Ply 1 114'X 11 71$' 1.3E TknberSbani LSL -See Td SPECIFIER I ERS GUIDE frx detaa(s): L1: $hoctdng -Bearing lenge requirement exceeds input at suppoil(s)1. 2. Suptllemental hard*are is rOQVWed to satisfy bearing requwements. L. Maximum Osaign control Control Location Sheer (its) 5594 4377 9081 Passed (48%) Rt and Span I under Snow loading Moment (Ftjgs) 14334 14334 20525 Passed (70%) MID Span i under Snow loading five Load Tien (in) 0.220 0.342 Passed (LJ558) MID Span 1 under Snow load ng To4ri Laed Dee (in) 0.334 0.512 Passed (1/368) MID Span 1 under Snow loading P. 03 -Dsfleetion Criteria: MINIMUM(LL:U36o.TL:L/240). -Dracing(Lu): All compression edges (lop and bottom) nit be braced at 2'6* Ole unless detailed otherwise, lateral txadn9 is reciuted to achieve member alObriity. Propsr ettaeMmer?t and poaiiioning of -Design assumes edequste continuous lst rat support of the oompressign edge. 4r ?Z& l-44 - OPgRTOA!NFORMATiQN: Big Vance STOCK LUMGCR 915 YANKEE DOODLE RD. ESTtMATINI DEPT. EAGAN, MN 50121 Pnone : 651-454-4985 Fax :651-454-1511 bWl. vanceQstocksuppy.com ¢oyyrtlt ' 11w DY True Jol.e, s Veyerlueu.ir 5 i1ges¦ waerohrL' Ls a reylarired cridemark of True oolet. Oct-01-03 09:02A P.04 88COW Addition vow Wk% y &4..w Hesder or gperi tg between z g TJ-b (TM) /Ai $pld NW 96W. 7002123M6 Usm.i 1a1a-.A1 Am 2 Pes of 1314" x 11 718" 1.9E Mierollam® LVL Am" I Sign. Ve10ee: +.i-M THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED -IMPORTAHP. The analy us presented to output tram ao{twere developed by Trus Joist (f J). TJ wl nts 04 512mg of its produces by this software Will be eccompti hsd in ecoor4erir wipe TJ product design Crtterie end code eaepted design valu9e. The specific product application. Ir1i>,A design IOOds. and elated dti? Ions have been provided by tfte software user. This Output has not been reviewed by a TJ A ociete. -Not all products are readily available. Check with your supplier or TJ technical rww& ttwe for product aved W ity. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLYI Pf2ODUCT SUBS TiTUTION VOIDS I M15 ANALYSIS. ,Allv?rabte Stress Deel901 methodology wet used for Buading Code UBC analyzing Ina 'tJ Distribution product listed above. -Note: See TJ SPECIFIER'S I BUILDER'S GUIDES for midtiple ply connection. MRATOR INFOR T Bill Vance STOCK LUMBER 915 YANKEE DOODLE RD. ESTIMATING DEPT. EAGA'I WIN 55121 Phone : 661-454-4M Pax ; $41 A54-1511 tNN.vanceestociraupply.oom re r x1h a1?74111 by Tt%& !01.0E, a vlye><t.btobor l.as13 wa llieroi* • reyi,t%rea tra•3pwpstc of s»o Jo3?- ** TOTAL PAGE.03 ** 45 9 Girard AwerLe South '4431 Q? 8toorr. irtStort, NSie+rtesc+o eror Civil Engineer 7./' • f Phone :888-2080 Smuleffor JOB NO. GGS6$ SURVEY FOR: M ARVIN H. ANDERSON CONSTRUCTION CO. DESCRIBED AS: Lot 21, E.Coch 6, HILLTOP ESTATES, City of Lawn, Dakota Count i, f. , ?icac? s av,,.v.utg the a'r,rz.%naGland utitity en,.ce as home on the :,.eccoAd p.Cat thereof. Adl)4 4, ke? EIEYAT1CXS Street fit, y _ First Foot Oc°.3 •h'? •Y?z Foundation yp7. EAG yob. 7 ?c9 3 irm CERTIFICATE OF SURVEY DING INSPM, hereby certify that on 216111 I surveyed the property described above o.nd that the cbove plot is a correct representation of said survey. Cctr irti K t Clu r d;-"iiinn F,e¢ No $f 9 4 2 RESIDENTIAL BUILDING PERMIT APPLICATION E5-TA `) CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan 9 lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 1W-j$ Remodel/Repair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate 0 home served by septic system for additions VALUATION 7J.. SITE ADDRESS (09/ 9 / D/uc19crr/1 e' MULTI-FAMILY BLDG -Y IAN TYPE OF WORK r ®. FIREPLACE(S) _ 0 - 1 _ 2 - en APPLICANT /J/i GS A ?iC- STREET ADDRESS q'2 Ni / i 1 TELEPHONE # qJ -7o/69J CELL PHONE # & J O CITY i k STATE AfAl ZIP FAX # lf? - PROPERTY OWNER Dan /J Ct I f TELEPHONE # 6f'/ -6x'6 _6 o ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 ('l 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 # Mechanical system includes: - Air Conditioning - Heat Recovery System Sewer/Water Contractor: Phone # Fee: $70.00 -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I 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 Fdinances. ixc?Obbpj(l Signature of Applicant OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4/02 OFFICE USE ONLY ? 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 ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 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 _ Ftgs _ Air/Gas Tests - Final _ Framing - Siding _ Stucco - Stone Fireplace _ R.I. - Air Test _ Final - Windows (new/replacement) Insulation - Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL BUILDING PERMIT APPLICATION l 55 b CITY OF EAGAN 7 v 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 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 -1-?--L JOB SITE ADDRESS IF MULTI-FAMILY BUI PROPERTY OWNER TYPE OF WORK APPLICANT, PAGER # )ING, HO Y UNITS? p _ wr CELL PHONE # wetly REPLACE(S) YES _ NO PHO??NEE# q 1O.07S &CLIV # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plumbing System Includes: - Water Softener ` Lawn Sprinkler Water eater _ No. of R.I. Baths Fee: $90.00 No. aths ?, Mechanical Contracto Phone # Mechanical System Includes: - Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of ap I hereby acknowledge that I have read this applicatior all applicable State of Minnesota Statutes and City of Signature a Certificates of Survey Received - Tree Preservation Plan Received ? 70, 00 Remodel/Repair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks VALUATION (EXCLUDING LAND) 3 Not Required th Updated 1/01 OFFICE USE ONLY ? 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.) q 31 Ext. Alt - Multi ? 03 01 of __ plex 0 09 07-plex ? 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plea ? 12 12-plex Pibg__Y or _ „ N ? 25 Miscellaneous ? 31 New ? 35 lnt Improvement 0 38 Demolish (interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning (ity 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 Roof Ice & Water _ Final Other Framing Pool - Ftgs Air/Gas Tests - Final _ Fireplace R.I. r Air Test - Final Siding - Stucco Stone _ Insulation - - Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY OF EAGAN t 383OtPilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PIN,: 10-33000-.-210--06 PERMIT PERMIT TYPE: Permit Number: Date Issued: 41.47 BLUEBERRY LANE LOT. 21 BLOCK- 6 HILLTOP ESTATES DESCRIPTION: GAZEBO/DECK Build:inq Permit Type SF (MISC. ) Building Work 'Type NEW Census Code 434 ALT. RESIDENTIAL BUILDING 033342 09/23/98 REM?P S:REVIEWEO BY BILL ADAMS, FEE SUMMARY: VALUATION $2,000 Base Fee $62426 Surcharge ._, ,...?,....... _.<.... .. Total Fee $63.25 CONTRACTOR: OWNER: _ Applicant -- BECKER DAN 4147 BLUEBERRY LANE EAGAN MN 55123 (612)225--0629 I hereby acknowledge that, I h,?ve read thi< apnl ica t:l on and state that the information is correct and agree to comply '. ith all n.tpplicable State of Mn.. t-,, toter and City of Lucian Ordinances, AP NVPERMITEE SIGNATURE ( SSUED BY: SIG ATUR '.,k, T ?T+fi* fl;.?a :)?n: i•':?f ;e i;:T, ;t? :'F ??i :?', rp. m.T.:T::?•:}{::?:'..V .l• 1'.,,;, s;• 4;:;?: a4: rT`. iF:'T•. •i••:'?:q; CITY OF EAGAN DATEn 09/24/98 TIM M39:46 ".?f•. a i..,+. 1 " R i0 ...Z l„}0 1 4 14 t )..`1 1..4 t7,,. B 1 ::*S, rt, '( ? 205 900:'. 4147 BLUEBERRY 'f't..,,t. .,,ri .et..P3.. % ti1"',S[ u h': !r!,::.: Psi r+(:g- tai,. k4.-.MY 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Constriction Requirements Remodel/Repair Requirements 3 • 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _Yes _ No DATE: _ c/5 ?LIO DESCRIPTION OF WORK: STREET ADDRESS: 'tf c/ ? 2 copies of plan ? 2 site surveys (exterior additions 8 ? I energy calculations for heated additions as- CONSTRUCTION COST; ?4-50 0 LOT: BLOCK: SUBD./P.I.D. #: Name: 3e4C,4€A- /?C. 7t' ?GriV1 Phone #: 8l¢ ' ?.?..r PROPERTY Last First )?OfOWNER -+- WV : F? 2 Z. y-oln2Q Street Address: W'V 7 City / State: 1A Zip: SJ-7 L CONTRACTOR Company: Phone #: Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address gang 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 applic State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE 13 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex O 03 SF Addition 0 08 8-plex ," 04 SF Porch ? 09 12-plex 13 05 SF Misc. ? 10 _ plex WORK TYPE 31 New ? 33 Alterations 0 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. # of Stories sq. ft. Length sq. ft. Depth Footprint sq. ft. APPROVALS 13 36 Move ? 37 Demolition MCIWS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Planning Building Engineering Variance _ Permit Fee Valuation: $ Surcharge Plan Review License MCIWS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ? 11 Apt./Lodging 0 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 swim Pool ? 13 Garage/Accessory ? 20 Public Facility O 14 Fireplace 0 21 Miscellaneous J X,15 Deck _.- se. r?ct,t.UN0 96n vir, rd Avenue South - ?? 81oon,ins ton, Minntscto 55431 C}S*rveyor Civil Engineer ,- ,./ = Phone: 888-2080 Sier'cqor's 17 N-w JOB NO. ____ SURVEY FOR: M ARVIN H. AA'DLRSON CONSTRUCTION CO. DESCRIBED AS: Lot 21, SLoch 6, 147LLTOP ESTATES, Cif c Loan, ` Jaota Cou.n yf, na C)Lviji' the draanau?/a,?d u .,Ci?u ea3 a.6 ?wum on the %,_ect:rd p.Cct thuLeej. J J .. -Al ? t '' ,? St~?et ?i± tJs'reeoay. ?Ap YO 2 First Foot Foundation yt z / A 206. u1M !SEP.i?tit CERTIFICATE OF SURVEY ?i . I hereby certify that on 2f6/il I surveyed the property described above and that the cbove plot is a correct representation of said survey. C::tv n R i?ed}und, {/;r,n. Fear No. 5942 *************************************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 738 DATE: 08/11/00 TIME: 09:59:47 ID: NAME: NORTHSIDE SIDING 3210 9001,4147 BLUEBERRY 167.25 2155 9001 4147 BLUEBERRY 4.50 Total Receipt Amount: 171.75 CR135668 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN $Inis 3830 PILOT KNOB RD - 55122 651-681-4675 New 3 registered site surveys showing sq. ft. of lot, sq. ft. of house and gif rooted areas (20% maximum lot coverage allowed) 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 set of energy calculations 3 copies of tree preservation plan if lot platted after 7/1/93 DATE: 2 (0 DESCRIPTION OF 1 STREET ADDRESS: Remodel/Renoir Requirements 2 copies of plan 1 set of energy calculations for heated additions I site survey for exterior additions & decks CONSTRUCTION COST: S"! ?? - LOT: BLOCK: SUBD./P.I.D. #: I?li? b Esia 0-?V(FfC rJ Name: Phone #: l C7fl t0 Cd?("5 PROPERTY Lost First OWNER F" M Street Address: CONTRACTOR ARCHITECT/ ENGINEER City Company: Street Address: City Company: Telephone #: ( ) Zip: #: S (area corode#) License # Exp. S1 ? a V-\Zip: Name: Street Address: Registration #: City State: Sewer/water licensed plumber I hereby acknowledge that I have read this application, state that of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE 0 Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No State: to comply with all applicable State Not Required AUG 10 2000 LBY Zip: Phone #: ( OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 18 Deck ? 23 Porch (screened) ? 19 Lower Level ? 24 Storm Damage Plbg Y or -N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)* E-/ 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories sq. ft. Length sq. ft. Width Footprint sq. ft. Basement sq. ft. Census Code Main level sq. ft. MC/ES System sq. ft. City Water sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Engineering Valuation: $ Variance ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi SAC Units % SAC 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN p- 3830 PILOT KNOB RD - 55122 3 ( © 9 (651) 681-4675 New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: 3- 1c)- lG 1 Remodel/Repair Requirements ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; (eODO DESCRIPTION OF WORK: L(?C= ?? ?`\F? STREET ADDRESS: H I y 1 91 wo-b-v mA a_n - L O T : BLOCK: SUBD./P.I.D. #: 5 PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER N:une:__ C? _-------- rli e ------------ Phone #: __ tU 5 (p Lo ( 2------------- List First Street Address:__ ?L? 1--- '-U CL_?S? `-h ------ ----------------------------- / --------- Zip: -------- City E?-------------------------- State: _ -MA L _ Company:?u _C (1ST lJ _Lc?L Phone #: ---- - -- (1 rI ``C =C)9a_- rC_ License # - 41a V 17_Exp. -____-- Street Address: LI -------e City C ill L L ___________________ State: n? - - ------- Zip: --- S C? - Company: Name: Street Add City Sewer & water licensed plumber (new construction only): change and lot change is requested once permit is issued. Phone #: --------- Registration #: ---------------------------- State: ----------------- Zip: Penalty applies when address I hereby acknowledge that I 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 Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No RECEIVE Tree Preservation Plan Received Yes No Not Required MAR 17 1999 BY: i OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. APPROVALS Planning Building Census Code SAC Code Census Units Census Bldg MC/WS System City Water Booster Pump PRV Fire Sprinklered Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Valuation: $ PERMIT # b RECEIPT DATE: b-16-01 - RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for irrigation system SITE ADDRESS: OWNER NAME:: TELEPHONE#: U 15 t(1 LD L AREA CODE) INSTALLER NAME: STREET ADDRESS: TELEPHONE #: ?- G.. _ ?C? (AREA CODE) (t"r ?1'F 1 \i CITY: STATE: 601 1.2,12 ',` _ ! (._, ZIP: E 2U `7 Place a check mark next to the permit work type Uj i? New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting inspector fees • requires MPC license State Surcharge $ .50 Total $ h O , v L Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. r SIGNATURE OF P Updated 1/01 CITY OF EAGAN Y795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # To be used for SF DWCi/GAR Est. Value 60 , 000 Date _ N2 6 514 2-18 , 19 Site Address 4147 Blueberry Ln. Erect Occupancy R3 Lot 21 Block 6 Sec/Sub. Hilltop Alter ? Zoning R1 Parcel # Repair ? Fire Zone Enlarge ? Type of Const. __ W Name M.H.AndeXSon COnstrUCtlOn CO. Move C] # Stories 3 Address 8901 Lyndale Ave. S. Demolish ? Front 50 ft. 0 City Bloomington Phone 881-2661 Grade ? Depth 45 ft. Approvals Fees Name Zu SCIM AssessrKMt 2-18-81 Permit 154.50 Uu Address Water & Sew. 30.00 Surcharge city Phone Police Plan check 77.25 W W Name Fire SAC 525.00 x? Address Eng. n335.00 Water Con aW City Phone Planner Water Meter 60.00 Council Road Unit 185.00 I 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 a., 366.75 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: all work shall be done in accordance M.H.Anderson Construction on the express condition that all appl of Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN Include 2 sets o plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For C .. L? fi5m, ?c cation Cc _ Date a l Site Address: L1/ Y Z 9/ b,c U s",, L A Al,k' OFFICE USE ONLY Lot Block Sec./Sub. Erect Occupancy Alter Zoning Parcel #: Repair Fire Zone Enlarge Type of Cont. Owner: /?!?c%` S ecr C ors°S? C u, Move # Stories Address: Demolish Front ft. City/Zip Code: Grade Depth ft. Phone #: 9 ?/ - APPROVALS FEES Contractor: S AM ?Z Address: City/Zip Code: Phone #: Arch./Eng.. Address: City/Zip Code: Phone #: Assessments / Permit Water/Sewer Surcharge Police Plan Check Fire SAC _ Eng. Water Conn. 3 ,S5 Planner Water Meter b ) Council Road Unit / Bldg. Off. f APC TOTAL CAL\HN H. HEDLUND 9609 Girard Avenue South Bloomington, Minnesota 55431 Land Surveyor Civil Engineer Phone-888-2080 Suiveqor 'S Cer? > e JOB NO. 4056$ SURVEY FOR: ,MARVIN H. ANDERSON CONSTRUCTION CO. DESCRIBED AS: Lot 21, Efock 6, HILLTOP ESTATES, City o j Egan, Dakota Courzty, Al.i.nne6ot ne6 ehv cng the d w nag /and uti ty ea.a erien e as ahown on.: he Aecond p,Cat th eh.eoj . Ln?9 V 3 - " 40 JOLO ,ham ?t/Jr/??" ?v '' y??? r EI OILS Street fit Ekittevray f First F aoc D.3 top foundation % 7 St Garage floor 906.7 p`er' Upper Basement yGy. 3 Lower Basement DD, Yard Grade At House DG. san'bry sew CERTIFICATE OF SURVEY I hereby certify that on 216/tl I surveyed the property described above and that the above plot is a correct representation of sold survey. Calvin K Hedlund, Minn. Reg. No. 5942 ]Ieveloped By the State of "innesata Building Code I'ivision) EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER Marvin H. Anderson Construction Co. SITE ADDRESS _-_-7 GV ?t ?{ LA~? l? /v N, CONTRACTOR Marvin H. Anderson Const. Co DATE PHONE 881-2661 Determine working square footage of each. - 1. Total exposed wall area La 46sq. ft. X .185 = ©, 2.- Total roof/ceiling area >4 28 _ sq. ft. X .04 = I. Toa.1 net foundation area above grade ............ Total exposed wall area above floor = --- Z 42 a. Total wall window area...,., b. Total door area ... c. Total sliding glass door area. . = d. Total fireplace wall area,.." ' S? B`f e. Total wall framing area (average 10%) f. Total net wall area above floor .. ' g. Total rim joist area ...' .... . / 2, per- Total exposed foundation area = X0,3 3 h. Total foundation window area ......... Determine "U" value of each wall segment. -a. 2D1 0 X "1U11 .55 = 2, 77 b. X RU" .128 X 11U11 c. f .55 = 7 ----- d. ----------------------- -------- ?g z ' z_ D X "U" .155k /4t 76 f X .,U.. , D - 2 97 3 g 2.30 X "U" ,oy3 s f h. X "U" .55 3 7 i - G .0 2 X ""U", .47 ' - 7 3.......... .........................Total = If item 13 is the same as, or less than item rl, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = l 8, j. Total skylight area............ ...... ...... ......... k. Total roof/ceiling framing area. (average 10%)...t/ Z,.g 0 l.- Total net insulated roof/ceiling area.........:.. 5, 2 p Determine "U" value for each roof/ceiling segment. - ------------- ----------------- ---------- k. Z. 9 o X liU" .166 = Z /, ?o X U.. 4......... ... .......Total If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by t1 ,? - sum of items 713 and #4 shall not be greater than the sum of items #l and #2. + 2. Z /2 = 3T, Z 3. Z 7 + 4. 7- C E R T I F I C A T I O N I hereby certify that I have calculated the "U" Factors and R Values herein and that the building here described meets or exceeds the State of ?`innesota Energy Conservation Act. • C Circled Units are Inciu re_ :'ithin the ?t?ac:,ed PIan CAPCLAD XNUItG WINDOWS Size Sq. Ft. Gla Sq. Ft. So. Ft. So. Ft. Total So. Ft. ss Ooening Size Glass Ooening ODenino 2820 .4.83 3426 7 71 3418 - 3420 5.02 - 4026 . 9.30 4020 6.10 7.36 5026 11.69 BASEt! Ei2 T UNITS -27,16- 2.63 -2714 3.47 2718 JI 1 C-100 DOUBLE-HUNGS 2416 20 5.02 6.86 3616 7.60 9.88 24 6.33 7 62 8.37 20 9.57 12.06 2816 . 5 88 9.89 7 87 24 4 11.54 14.24 20 . 7 41 . 9 60 016 n 8.46 10.89 24 . 8.93 . 11.34 2 24 10.65 12 84 13.29 15 69 3216 6.74 8.87 . . 20 8.49 10.83 24 10.23 12.79 C-2n0 CASEF'ENT 1527 35 2.41 3.28 4335 9.79 11.28 43 3.16 4.20 5135 11.66 13.31 51 3.91 5.11 5935 13.54 15.34 59 4.E6 - 5 41 6.03 6 5 3543 9.79 11.28 1927 . 3.13 .9 4.08 4343 5143 12.10 14 42 13.75 16 -22 35 43 Z 4.10 5.07 5.21 6 35 ?Z ? 5943 35 . . 16.74 . 18.70 51 6.05 . , 7.49 51 4351 11.66 14 42 13.31 16 22 59 67 7.02 8.63 5151 . 17.19 . 19.14 2327 -7.99 3 84 9.77 4 87 5951 19.95 22.06 35 3 . 5.04 . 6.23 1 B,G01 3559 4359 13.54 16 74 15.34 18 70 43 51 6.23 7 43 7.59 5159 . 19.95 . 22.06 591 . 8.62 - 8.95 10.31 9O g3 5959 6759 23.16 25.42 2535 3 43 3 1'3 5.51 6 81 , 6.74 7,j 8 21 5967 26.37 26.37 28.78 28.78 . . SPACE-VU PATIO DOOR - PP5 29.56 PP9 53.83 PP6 5.89 PP12 72.83 P P 8 4-9 3??, ? 7- C rc I e„ r ?:ni is a , r I ncl ud> t'; t'r. i n tIe d ttac!?ed P1 an C- 100 PICTURE UNITS Sq. Ft. So. Ft. So. Ft. So. Ft. Size Glass Ooenino Size Glass Openinq 4-4 x 4-6 16.16 18.77 E-0 x 4_6 18.89- 21.72 5-S x A-E 21.62 24.66 CA?ADCO PRIED SLIDER Y:IN D07 S 1527 5.62 3135 15.07 1535 7.29 3143 18.51 1427 7.12 3151 21.96 1935 9.24 19-42-19 24.06 1943 11.34 _ 35 1951 13.46 19-42-19 29.56 2535 12.15 4 2543 14.93 19-42-19 35.06 2551 17.71 51 - 3-0 x 6-8 F 15.39 18.16 4-0 x 6-8 F 21.60 24.64 6-0 x 6-8 30.78 36.31 - Sq . Ft. Size OOenina 2-6 x 6-8 16.66 2 2-8 x 6-8 17.77 "- So. Ft. Size Oocnina ,,' _n•, 2.77 1'-0" 6.11 1'-2" .22 Z- 2715 2.41 3.28 19 3.13 4.08 23 3.84 4.87 31 5.28 6.46 3515 3.16 4.20 19 z.10 5.21 CARADCO PATIn DOOR 8-0 x E-8 43.20 49.27 9-0 x 6-8 46.17 55.18 12-0 x 6-8 64.80 74.61 PEP,!',^-DOOR ENTRANCE So. Ft. Size Ooeninn 3-0 x 6-8 20.00 1 3-E x 6-8 23.33 E.1 T PALACE SIDE LITE UNITS So. Ft. Size Onenino 2'-6" 12.77 C-200 AWNING 4315 3.91 5.11 19 5.07 6.35 23 6.23 7.59 31 8.55 10.08 Total Se. Ft. Or eni nc i3¢4 i LAt.LJ )ur° t i r I i Im 4. I) k ------ ---_- • ?f, Filberglas Insulation _- ---- .-.45:. Sheetrock '(1 Interior Air Film 4q•0 Total "R" Value .°? Total "U" Val ue. . b8 Interior Air Film=-, .45 i /2"-Sheetrock - _____ Insulation j oo • :_ . 1/2 Fiberboard Sheathing 3/8" Plywood Sheathing n Aluminum Siding .76 5/8" Direct to stud Siding .17. Exterior Air Film l " T " ?) ota R Value A-1-Total ."U" Factor - _? -. • (4 Interior Air Film .01 X - ? ,x N - - f - N" Insulation oc ? - 1.88 1 1/2" Soft Wood -----__ 1.00 Rim Joist Insulation Liner--- - , Aluminum Siding -_ '- - .7 5/8" Direct to Stud Siding' /. e . .17 Exterior Air Film T t l " " o a R Value - 6 2 " act 12 ite Xi rr?Fi lm - - 1.8 3E"•ttteta:3lack - -.17 Exterior Air Film :Z.13 Total Value R • f7 "Total "U" Factor. TYP/C4L it I LL .SEC T/QAj Use BLUE or BLACK Ink r For Office Use I I Permit 1 t--I~ 1 j City of Eagan I i v Permit Fee. 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit 3 Name: i Phoneb5I - mot' Resident/ C % p L Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: Construction Cost: \ C> Multi-Family Building: (Yes / No ) Company: e'V-Cont Oct: ' Contractor Address: O City: v l I # Stater Zip. G- Phone. License F l~~ o co Lead Certificate b -7 1 3 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateoneGall.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 to Building Code must be completed within 180 days f permit issuance. i X L x Applicant's Printed Name pplicant's ig re Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA155234 Date Issued:05/06/2019 Permit Category:ePermit Site Address: 4147 Blueberry Lane Lot:21 Block: 6 Addition: Hilltop Estates PID:10-33000-06-210 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - John C Hames 4147 Blueberry Lane Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155235 Date Issued:05/06/2019 Permit Category:ePermit Site Address: 4147 Blueberry Lane Lot:21 Block: 6 Addition: Hilltop Estates PID:10-33000-06-210 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: 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, 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - John C Hames 4147 Blueberry Lane Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160381 Date Issued:03/05/2020 Permit Category:ePermit Site Address: 4147 Blueberry Lane Lot:21 Block: 6 Addition: Hilltop Estates PID:10-33000-06-210 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - John C Hames 4147 Blueberry Lane Eagan MN 55123 (612) 860-5399 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160653 Date Issued:03/31/2020 Permit Category:ePermit Site Address: 4147 Blueberry Lane Lot:21 Block: 6 Addition: Hilltop Estates PID:10-33000-06-210 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - John C Hames 4147 Blueberry Lane Eagan MN 55123 (612) 860-5399 Noah Acquisitions Llc 5718 International Pkwy Brooklyn Park MN 55428 (612) 822-5292 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162859 Date Issued:08/03/2020 Permit Category:ePermit Site Address: 4147 Blueberry Lane Lot:21 Block: 6 Addition: Hilltop Estates PID:10-33000-06-210 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 - John C Hames 4147 Blueberry Lane Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature