The URL can be used to link to this page

4186 Blueberry Lane Use BLUE or BLACK Ink r For Office Use I City O1 Ea(] (]j~yn Permit#: I Permit Fe . 3830 Pilot Knob Road _ Date Rec Eagan MN 55122 ` I I Phone: (651) 675-5675 SEP 09 RECO I I Staff: Fax: (651) 675-5694 I I I - - - - - - - - - - - - - - - - - - C 2010 RESIDENTIAL BUILDING PER IT APPLICATION Date: 7 Seo 20/0 Site Address: ~~g6 &vkb rE~ Lit Lo 4 IL41✓ STI23 Tenant: r fA - ~:C- , rc I() Suite M RESIDENT / OWNER Name: ~re F i'r G-Vo Phone: bbl 06 - I ( Address / City / Zip: L{ % QL_"~ LK ~ IVIV S S i ~ 3 Applicant is: ( Owner Contractor TYPE OF WORK Description of work: _ s~ku~ l rtee✓ pprr~ ~et,k OV,rr ~i`~~ przl Construction Cost: _ f ZS D. W Multi-Family Building: (Yes / No ) CONTRACTOR Name: SJ License M Address: City: State: Zip: Phone: Contact: Email: 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 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.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. x 12-x Applicaii srinted Name Appl Giant's Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES - Foundation _ Fireplace _ Porch (3-Season) Storm Damage Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Single Family) - Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior - Alteration Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 00 Occupancy " MCES System Plan Review Code Edition SAC Units (25%_ 100% V) Zoning vvj City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge 04Y-e7 a- y ~'f Plan Review MCES SAC 0 m' yr F' City SAC Utility Connection Charge t~1` Q S&W Permit & Surcharge Treatment Plant I Copies TOTAL Page 2 of 2 PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA095565 Date Issued: 08/23/2010 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 4186 Blueberry Lane Lot: 22 Block: 7 Addition: Hilltop Estates PID:10-33000-220-07 Use: Description: Sub Type: e - Gas Line Work Type: New Description: Stove Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952) 445-2840 Renae Freimvald 2200 Hwy- 13 W Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: Genz Ryan Plumbing & Heating Gregory- Fairchild 2200 West Highway- 13 4186 Blueberry- Lane Burnsville NIN 55337 Eagan NIN 55123 (92)767-1000 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 Use BLUE or BLACK Ink r For Office Uss~e~~Permit#: City of Ea Ra~ I l I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION CC~~ Date: Site Address: L1/t am' ct,iA //q/t,fir 2-3 f l'ti f Tenant: 4 € 16LE4,11 2L cc Suite \j I RESIDENT / OWNER Name: Z 1 C~~ Vi i f 1 Phone: nfC r Address / City / Zip: LI J & 6L,4unt Lvt, 6 cvt /L it/ u_ 127 Applicant is: /X Owner Contractor TYPE OF WORK Description of work: r0 /Me - P&-C t Construction Cost: V2yvtn (rryf~}~ t Multi-Family Building: (Yes / No x ) CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: COMPLETE THIS 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.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. x t 1rcA ,'zj /C . Y~:arrk ~i~ x 1.- Applica Printed Name Applicant's Signature D ~J I~ D Page 1 of 2 JUN 4 2010 DO NOT WRITE BELOW THIS LINE qq SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 3OOt~ Occupancy C- - MCES System Plan Review Code Edition ? SAC Units (25%_ 100% Zoning City Water Census Code y J y Stories _ Booster Pump ^ # of Units - Square Feet ~O PRV # of Buildings 1 Length b Fire Sprinklers Type of Construction Width ~l2 REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee g S l l ' Surcharge Plan Review .~2 4-2 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 6aGAw 'WATER SERVICE PERfi l cl 'OF X795 Wet' Knob Rodd PERMIT NO.: Eagan,' MN 55122 DATE: L3-L7- _ Zoning: 1Z2-- No. of Units ! _ f . Addr=ess:. - - - - - site Address _44f36 R tt t,~ y _~~s $ n 6'~ "~I l t ~iEtt:sit** _ Plumber: sSt3 T_T _ v Meter No_: Connection Charge: ~~*~Kl Account Deposit: Reader No.: _ Permit Fee: 1 agree to compty with the City of Eagan Surcharge: , 5) Pd Ordinances. Misc. Charges: . il<1k AtQ#= a Total: d By Date Paid' Date,:-of Insp.-- Irisp.:_ - ftW CAY o , EAGAN SEW-ER SERViC9 PE V9S Piiaty'Knaob Road PERMIT NO.: _ Eagan, mm 'o,122 DATE: Zonipg'No. of Units: Owner; ~C.i.it- - :Address: Site Address: f t C1?a-- di- - Plumber Pd. I agree tb-'sompfy *ith the City of Eagan Connection Charge: s Ordinn*ces. Account Deposit: _ Permit Fee: s41 Ai%i_._ i Surcharge: By Misc. Charges: _ Date' of iri'sp. Tdtal: Insp. Date Paid: 17F 1Rr-19 •T111r1W CITY OF EAG~AN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for DECK Est. Value $1,000 Date MAY 28 19 91 Site Address 41$8 UnY L N Lot 22 Block 7 Sec/Sub. HILLTOP ESTATES OFFICE USE ONLY Parcel No. - Occupancy I-$ FEES Zoning, w Nametg1!t (Actual) Const Bldg. Permit _ 3 Address _ 4186 BERRY L N (Allowable) _ - so o City SAW Phone 412-0159 # of Stories Surcharge Length Plan Review o Name MIKE ALL I Depth SAC, City o~ Address 12219 ALLEN DR S.F. Total F City 'VILLE Phone 8%-"34 S.F. Footprints SAC, MCnn On Site Sewage Water Conn 1805 Name On Site Well Water Meter Address MWCC system - a U City Phone City Water Acct. Deposit PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ardinances. - Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: MIKE W"1111111 Planner P ark Ded. on the express condition that all work shall be done in accordance with all Council "s applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg, Off. Copies 26*00 Official Variance TOTAL PeraWLHO. Permit Holder Date Telephone # WATER SEWER PLUMBWG HN.A.C. ELECTRIC Inspection Date Insp. Comments Footings Foundation Franning Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Pibg. Ptbg. Inspector - Notify Plumber Const. Meter EngrJPian Bldg. Final Deck Ftg• f/3/,q,/ Deck Final Well Pr. Disp. IL fF CITY OF EAGAN 3745 Pilot Knob Road Eagan, MN 55122 Na 5 19 9 PHONE: 4548100 BUILDING PERMIT $78,00f). Receipt SF D"7 r. May 8 74 To be for Est. Value Dote t9 Site Address 418~°" Blueberry i.A Erect ❑ x Occupancy R3 22 7 Hillto; st4kteS Alter Zonin Rl Lot Block Sec/Sub. ❑ g Parcel # iU 33000 220 -U7 Repair ❑ Fire Zone 3 Enlarge ❑ Type of Const. V ad Name Mikc Giles ° oast Move ❑ # Stories 3 Address Demolish ❑ Front 64 ft. Grade ❑ Depth 37 ` City Phone. .arWrr::. , `h Nome Mike Giles Cons t. Appromrals Fens 10'1 4148F160- 0 0 24840 Dodd Blvd. Assessment i~eerr~ ---~3 u< Address t- ' akev l le 469-4725 Water & Sew. Surdwge Cit Phone X321' Police Plon check WW Name' . Fire SAC 525100 .00 x? Address Eng. Water Conn. 27€3 aW city Phone Planner Wafter Meter 60,00 Council Rd Unit 75.00 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all opplicable a4Z.75 State of Minnesota Statutes and City of Eagan Ordinances:: r' ;APC Total Signature of Permittee''f Hike Giles the condition 4bot . A Building Permit is issued to: on express all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Officioi j . Permit # Deft Issn" Peradttee Plumbing 1,317 ~ Mechanical - ~t4r79 T3 INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation Plumbing-/9 9 Frame/ins. / - Mechanical Final Remarks: CITY OF EAGAN Remarks ~ r Addition HILLTOP ESTATES Lot 22- Blk 7 Parcel owner `'A', Street 4186 Blueberry Lane state Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1336.72 133.67 1203.05 STREET RESTOR. GRADING SAN SEW TRUNK 4311 1973 172-14 8.61 20 1 111.94 A07506 3/19/79 * SEWER LATERAL 1980 3108.25 310.83 10 12797.43 WATERMAIN * WATER LATERAL L' 1980 * WATER AREA 1980 * STORM SEW TRK 1980 * STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 75.00 14116 5-8-79 WATER CONN. 270.00 14116 5-8-79 BUILDING PER. #5199 SAC 525.00 14116 -8-7 PARK J INSPECTIO RECORD" CITY OF EAGiAN PERMIT TYPE: 14 to c 1 of 106 3830 Pilot Knob Road Permit Number: 0 0,; Eagan, Minnesota 55122-1897 Date Issued: s9 ! I (612) 681-4675 SITE ADDRESS: APPLICANT: at vi t- f;#t##'tt:#,f€yt f sr ; ##rf9f~.f~ fNil PERMIT SUBTYPE: TYPE OF WORK: l r l f Is A: t rat' t l , ; ( I ~ ;I~ R'+ 1'2 { if:t tai f .i i~t)tlC #i %i# ll~ f IVAI fi is P I ~ a t 1 P i 6 CITY OF EAGAN PERMIT TV It I 3830 Pilot Knob Road Permit Number Eagan, Minnesota 55122-1897 Date Issued: i~k''►1x ra (612) 681-4675 v I H, 07 F SITE ADDRESS: APPLICANT: B 1 k`: HI,IIFttt':W8V 1.ANt': A;, i V+;' ROO? I P46 A~ ` PERMIT SUBTYPE: TYPE OF WORK: ~ i_ a I try R t R nit, t , t #I4}(i~ 1 {~~'r P ' ;E 7 '73 7 "t 4 y~ 11 i~ 1 I' t{ t2il(ff 13 ~ i f' Yt q x TO y+ t gy 3 94 4=. ~ I « r ~ i O , `:711 O R ~~Y'p;PI f i `far ~ ,rlh* h4 r Permit Holder Date Teteptwrwe # PLUMBING HVAC Inspection Date kwp- Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST RC~.JGH HEATING GAS SVC TEST INSUL GYP BOARD j FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 a 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 Reod (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations Addition- indicate if on-site septic system - On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date ( o / q / 03 Construction Cost Site Address ' (0 e Unit/Ste # ~a Description of Work sJim Multi-Family Bldg - Y _ N Fireplace(s) - 0 - 1 - 2 Property Owner - V- Z' mwwj Telephone # (~,p+Z) p 365 Contractor 0S fylb ( U Address City State Zip y~,2 Telephone # ((o~ y) $~~](o 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 (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone(# ( ) _ 1 Sewer/Water Contractor Telephon I#( ) , I ? I hereby apply for a Residential Building Permit and acknowledge that the info Ovation 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. NO co V" ~rav 5L Applicant's Printed Name Applicant's Signat e 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 ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck O 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 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 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 F _ raining 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 Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ink 1 1111'::4 RESIDENTIAL BUILDING PERMIT APPLICATION 5-)7 CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 651-681-4675 New Construction Reuuimrients RemadellReaair Rea _ • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas + 2 copies of dart (20% maximum lot coverage allowed) _ • 1 set of Energy C for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for ®xterlor additions & decks 1 set of Energy Calculations . Indicate if hone served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7!1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE r- O ; VALUATION SITE ADDRESS 9 Itt l" MULTIFAMILY BLDG - Y TYPE OF WORK b - FIREPLACE(S) 0 1 2 APPLICANT / STREET ADDRESS f) Gt.Gt` CITY gLr ~ STATE NAI ZIP U at/ TELEPHONE # q WD CELL PH NE # lB~ ~~6 - FAX # b a PROPERTY OWNER TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category NIINNESO'r.~ RULES 7670 CATEGORY ! _ IMI NESOTA RULES 7672 (-,'submission type) • Residential Ventilation Category t worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor. Phone # Plumbing system includes: Water Softener Lawn Sprinkler Water Heater No. of R.I. Baths D No. of Baths r SE P 2 6 ?_002 n Mechanical Contractor: Phone ic;j ~ICChFttlI system incluc(cs , fir Cotitl tionitrg Fee- Hcat Rccovtry System Sewer/Water Contractor Phone # 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 Ordina 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-piex ❑ 20 Pool ❑ 30 Accessory8ldg ❑ 02 SF Dwelling ❑ 06 06-plex E3 16 Fireplace 0 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ Alex 0 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn.,(4-sea.) ❑ 33 , Ext. Alt SF ❑ 04 02-plex 0 10 08-plex 0 18 Deck ❑ 23 Porch (screened) ❑ 36 MUM ❑ 05 03-piex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage Q 06 04-plex ❑ 12 12-plex Plbg__Y or N ❑ 25 Miscellaneous ❑ 31 New 0 35 Int Improvement ❑ 38 Demolish (interior) ❑ 44 Skting 0 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair D 33 Alteration ❑ 37 Demolish (Bldgr ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *DemolMon (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 Bidgs 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 Renewal Andersen Ave. . NE NE 350-73rd PING PERMIT APPLICATION Fridley, MN 55432 CITY OF EAGAN 3 Q 753-502-4777 3830 PILOT KNOB RD - 55122 #MN20130983 >4 651-68"1-4675 1 0 New ConstructionReauirements RemodeftoakReauiremsMs • 3 registered site surveys showing sq. fL of lot sq. ft of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy CaloAdons • 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options seleclion sheet (bldgs with 3 or less units) DATE VALUATION (EXCLUDING LAND) JOB SITE ADDRESS %Iuq,~aLc csA Usist& IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER 1,Y► C. 2jQ mu rn.A TYPE OF 1wtz\ou I a w;r~da~r.~s`~ 1ts`i6 'DoaC t,3c4~hfn FIREPLACE(S) ^0 _l _,2 ._3 APPLICANT 0. - f OeAltaQ PHONE# 3~t ".G04w4 ADDRESS ZIPCODE_5Sq,*3D PAGER # CELL PHONE # FAX # 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 Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: 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 application. 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 A4e~g zzl~~ Certificates of Survey Received _ Tree Preservation Plan Received Not Required _ updated 1/01 OFFICE USE ONLY 'a ❑ 01 Foundation ❑ 07 05-piex ❑ 13 16-piex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-piex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft - Multi ❑ 03 01 of_ plex ❑ 09 07-plex 0 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex 0 10 08-plex 0 18 Deck 0 23 Porch (screened) . ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level 0 24 Storm Damage ❑ 06 04-plex 0 12 12-piex Plbg_y or N ❑ 25 Mlscellaneo ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interlor) 0 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration p;' <37 Deurm (Sidgr ❑ 43 Rem& ❑ 46 Windows/Doors ❑ 34 Replacement Vemolition (Entire Bldg only).-.9" PCA"N "f** t caM Valuation Occupancy MC/ES„System "I Census Code Zoning _ City Walter SAC Units t , Stems Booster Pump Nbr. of Units Ft. PRV z Nbr. of Bidgs 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 i Final Other Framing Pool Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. -Air Test -Final Siding _ Stucco - Stone Insulation Windows (new/replacement) Approved By BukWV Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant I'I Plumbing Permit Mechanical Permit License Search Copies Other Total , a,~,~. iuu ~.„..~v rr,• ~ ad .711 .448.7 1KTiiVL`4TAL tfY°itllYUL't(r°3L'PI 10 uuzi uuL w r e nal BY "DUSM, June 7, 2001 City of Eagan 3836 pilot Knob Road Eagan, MN 55122 To Whom It May Concern: Elder Jones is authorized to pull building permits for Renewal by Andersen- Please allow Elder Jones to provide this service for us in Eagan. This authorization is valid for any date beyond 61610.1; until a Renewal by Andersen manager expressly revokes it in writing to the City- I request this authorization be accepted expeditiously, as to not delay in the processing of our building pcrm is any further. Plcasc call me if theic arc any questions. I can be contacted at 763-502-4706. Your immediate attention to this matter is appreciated. Sincerely, ymond R. Rau nstallation 11~anage,r Renewal by Andersen Corporation Cc: Kara-Rlde.r Jnnee 4 GHADA M. EL GAMAL N<Amry public Minnesptg MY CommInion E~ piss Jan. 3T ,20DS Received Time Jun. 1• 1:07PM CITY USE ONLY L BL ~ RECEIPT ~ J S~UBD.~ RECEIPT DATE: 1 -2J 1 ^ C) PERMIT # 41 -q% 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN PIOT 3EAGANLMNF 55122 FiooW 1/31/0 651-681-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee $ 30.00 Describe: Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet * minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished * requires MPC lic. 75.00 X = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x - $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x - $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge .50 $ .50 Total $16 , S Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby8cknowledge that i have readthis application, state that the information is correct, and agree to comply with all applicable City of Eagan oedinances. 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. SITE ADDRESS: `Y u 1 V- E b L y, V k£ Y- 0412 -47-s-1 2-3 OWNER NAME:: i t f AQ- f- t R -E ru TELEPHONE S '~~1 ~5 y 1 S 1/1 (AREA CODE) INSTALLER NAME Mt 9,-~, TELEPHONE _ SS (AREA CODE) STREET ADDRESS: ~ Ccr~>Q~-~ ~t' S~G 4` CITY: I? LEI A STATE: ZIP: SIGNAT E OF PE MITTEE CITY USE ONLY L ~ v BL ~ RECEIPT SUED. 1~ RECEIPT DATE:' I"~ b® PERMIT # / 2000 PLUMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD ~ EAGAN, VIN 55122 S4ornj~.C X~ e,~ 651-681-4675 `Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for underground sprinkler system FIXTURES EACH # 3AL. Alterations to existing dwelling - minimum fee $ 30.00 Describe: Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished * requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x _ $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge .50 $ .50 Total °-a $ Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. 1 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. SITE ADDRESS: f- - - q ( OWNER NAME:: I l ( D-~y1 TELEPHONE b J ol (AREA CODE) INSTALLER NAME: TELEPHONE (AREA CODE) STREET ADDRESS: C~ a ~S O d CITY: nA 11 11 V ED STATE: ZIP: JBY: IGNATURE OF PE ITTEE PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING i Permit Eagan, Minnesota 55122-1897 Number: 032757 (612) 681-4675 Date Issued: 08/03/98 SITE ADDRESS: 4186 BLUEBERRY LANE LOT: 22 BLOCK: 7 HILLTOP ESTATES P.I.N.: 10--33000-220-07 DESCRIPTION: REROOF Building Permit Type STORM DAMAGE Building Work Type REPAIR Census Code 434 ALT. RESIDENTIAL it REMARKS: 'I REROOF DUE TO STORM DAMAGE. FEE SUMMARY: i i f CONTRACTOR: - Applicant - ST. LIC OWNER: AZTEC ROOFING 18950040 2013914 KOTTEN MICHAEL 1444 CLIFF RD E 4186 BLUEBERRY LANE BURNSVILLE MN 55337 EAGAN MN 55123 (612) 895-0040 (651)452-0159 1 hereby acknowledge that l: have read this application and state that t.,he I information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L c /4) APPLICANT/PERMITEE SIGNATURE SSUED BY. SIGNA URE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured Ind. 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 n_ No DATE: { I CONSTRUCTION COST; q b, DESCRIP ON OF WORK: 5 to 1 Y 1 STR ADDRESS:14 'S _ G LOT: BLOCK: SUBD./P.LD. Igo 1 } e Name: K Phone -7 5 7 JI PROPERTY Last First OWNER 'l t 1 G~ C L Z=41 Street Address: City G- State: Zip: Company: Phone 3 q 6 - 7 CONTRACTOR License (i Street Address: city ~1 v f / (I State: M/y Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang 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 applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: III C ~OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required 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 =plea ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS 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 S/W Permit S/W Surcharge Treatment PL Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units PERMIT c c~5a97D CItY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 0 3 7 (612) 681-4675 Date Issued: 02/07/96 SITE ADDRESS: 4186 BLUEBERRY LANE LOT: 22 BLOCK: 7 HILLTOP ESTATES P . I . N 10--33000-220--07 DESCRIPTION: (GAS) Building Permit Type FIREPLACE Building Work Type NEW Census Code 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge .50 Total Fee $25.50 CONTRACTOR: - Applicant ST. LIC OWNER: FIRESIDE CORNER INC 16331042 0001068 KOTTON MIKE 2700 N FAIRVIEW AVE 4186 BLUEBERRY LANE ROSEVILLE MN 55113 EAGAN MN 55122 (612) 633-1042 (612)452--0159 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L -J I ~ r1 T/PERMITEE SIGN TU E ISSUED B : SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 7 0 3 7 Eagan, Minnesota 55122-1897 Date Issued: 02/07/96 (612) 681-4675 SITE ADDRESS: P . I . N 10-33000-220-07 APPLICANT: LOT: 22 BLOCK: 7 4186 BLUEBERRY LANE FIRESIDE CORNER INC HILLTOP ESTATES (612) 633-1042 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIPTION (GAS) INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. ROUGH-IN FINAL I CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1qG31 ? 1996 FIREPLACE PERMIT APPLICATION 681-4675 DATE: 7 DESCRIPTION OF WORK: INSTALL bffM FIREPLACE: _ WOOD BURNING GAS INSTALL GAS LOG ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLED IN: r ~-A STREET ADDRESS: 4 LOT BLOCK SUBD./P.LD. 11 APPLICANT: (circle one only) OWNER =CONTRACTOR 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. PROPERTY Name: 1~1c... R--r 1(O -t7oj Phone OWNER FIRST Signature: Street Address: I is c. City: G State: Zip: Z- FIREPLACE Company: F A-1 Cr r"one 6~ 3 6 INSTALLER - Signature. Str dress: 7oo z6L r X,4-V1 G-tJ License Ld City: l c-L. State: Zip GAS LINE Company: Phone INSTALLER Name: Signature: Street Address City: State: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 14 Fireplace WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 32 Addition ❑ 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKS: Chimney/flue must be inspected before concealing. FEES Permit Fee Surcharge Other Copies Total: r 1 CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N° 5199 PkWHE: 454-8100 BUILDING PERMIT APPLICATION $78,000. Receipt To be used for SF Dw1 g. Est. Value Date May 8 19 79 Site Address 4186 Blueberry Ln Erect ❑ X Occupancy R3 Lot 22 Block 7 Sec/Sub. Hilltop Estates Alter ❑ Zoning Rl parcel # 10 33000 220 07 Repair ❑ Fire Zone 3 Enlarge ❑ Type of Const. V 1% Name Mike Giles Const Move ❑ # ,Stories Z Address Demolish ❑ Front 64 ft. 9 City Phone Grade ❑ Depth 37 ft. Zo Name Mike. Giles Const. Approvals Fees 24840 Dodd Blvd. Assessment Permit 39.00 Address Ci akevi 11 a phone 469-4725 Water & Sew. Surcharge 91.2 Police Plan check uW Nome Fire SAC 525.00 =Z Address Eng. Water Conn. 270.00 az City Phone Planner Water Meter 60.00 Council Rd 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 licab .<APG Total 1242.75 ,ppp State of Minnesota Statutes and City of E an OQrdina i f / Signature of Permittee A Building Permit is issued to: Mike Giles on the express condition that all work shall be done in ac r nce ith pplicable State o Minnesota Statutes and City of Eagan Ordinances. Building Official' 1 x i DATE BUILDING PER".IT APPLICaTIO`ti Include 2 sets of plans, 1 site plan w/elevations and l set of energy caicuations. i To be used.. for Valuation o Site Address: ~c~ Lot Block Sec. /Sub. Parcel Number ~a 7 411 k (7oty , ST~Tr S. • Y Owner -Telephone Address III-gyo Contractor Telephone y~ Address Arch/Eng. Telephone Address OFFICE USE ONLY Erect Occupancy. Alter Zoning /°5 Repair Fire Zone _3 Enlarge Type of Const. Move # of Stories Demolish Front Grade Depth 7 Date of Approval an- Initial Fees Assessment Permit / Water/Sewer Surcharge Police Plan Check Fire SAC Engineer Water Connection Planner Water Meter Council ~1 SITE PLAN w REAR PROPERTY LINE ►rl m PROPERTY LINE 3 i~ 1 EL,V. Feet Fee _ Garage t - PROPERTY LINE LOT BLOCK S f Street Address 9"19e- Q~vJ= Ae.-i ,-o"A f s FRONT PROPERTY LINE v.,. ti 3 ; 100 ELV. EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION twoin' Strife 106 j OWNER , . SITE` ADDRESS ~~~J4//~' V Y Y CONTRACTOR DATE RHONE , Determine working square footage of each. 1. Total exposed wall area s ft. X .17 2. Total roof/ceiling area ► sq. ft. x .05 Total exposed wall area above floor a. Total wall window area b. Total door area c. Total sliding glass door area 3 d. Total fireplace wall area.... q p~ e. Total wall framing area (average 10%)...:........ Q.47' f. Total net wall area above floor g. Total rim joist area Zo S 7 3.1 Total exposed foundation area = tiD o. 'Sq Total foundation window area.. i. Toal net foundation area above grade Z A Determine "U" value of each wall segment. a. ~3 r '?5 X Hull d. zp~ e. Z~ . qz X IIUI, - - Z9.15.1L LIP X "U.. a y X "U" it 3. Vd ...Total -ins 1~51~ If item #3 is the same as, or less than item #1, you have met the intent of SBC 6005(c)2. x",.~""w` r wA-v,.~rlivse► .a*v`'v`1 + t . Total exposed roof/ceiling area = 11q Total gross roof/ceiling area = j. Total skylight area k. Total roof/ceili-ng framing area 1. Total net insulated roof/ceiling area....... )0 Zq ~P Determine "U" value for each roof/ceiling segment. j. X "U" _ k • 1 t , X „U„ C) 2 7 4. ............1 R Total t 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 €w sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1 + 2. _ 3. + 4. - m :jIA!, nt.. 4n~e .....l,. ate..... he +hin. Int -°i nr tuds Q 3£t H,ztl CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 9 28 + , 7 BUILDING PERMIT PHONE: 454-8100 Receipt # C 2>0 7 To be used for DECK Est. Value $1,000 Date MAY 28 19 91 Site Address 4186 BLUEBERRY LN 22 Block 7 Sec/Sub. HILLTOP ESTATES OFFICE USE ONLY Lot Parcel No. Occupancy M-2 FEES Zoning - W Name MICHAEL KOTTEN (Actual) Const Bldg. Permit 25.00 o Address 4186 BLUEBERRY LN (Allowable) Surcharge .50 City EAGAN Phone 452-0159 # of Stories Length 301 Plan Review Zo Name MIKE WALLIN Depth 14~ SAC, City (00 Address 12213 ALLEN DR S.F. Total - City BURNSVILLE Phone 894-9034 S.F. Footprints SAC, MCWCC On Site Sewage - Water Conn Fw Name On Site Well Water Meter Address MWCC System - aw City Phone City Water Acct. Deposit PRV Required - S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes an City of Eagan rdina ce 1. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: MIKE WALLIN Planner Park Ded. on the express condition that all work shall be done in accordance with all Council .5o applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official ~ 1 _ D II Variance TOTAL zo. UU t 1991 BUILDIN PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG.. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: bir v Valuation: Date: g Site Address v 1. OFFICE USE ONLY Lot Block FEES Occupancy N - 2 Bldg. Permit Zoning Surcharge 5 v Parcel/Sub Actual Const Plan Review Allowable SAC, City Owner # of stories SAC, MWCC ~ Length Water Conn. Address F/ Depth q Water Meter S.F. Total Acct. Deposit City/Zip Code 2 Footprint S.F. S/w Permit S/W Surcharge Phones Q/ On site sewage- Treatment P1. j_ On site well Road Unit Contractor MWCC System -;O-ir Park Ded. city water Trail Ded. Address PRV Copies ' Booster Pump _ City/Zip Code ~A SUBTOTAL APPROVALS Penalty Phone Planner Lot Change Council TOTAL Arch./Engr. /V Bldg. Off. Cis s zi9i Variance Address City/Zip Code Phone # agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. SITE PLA14 REAR PROPERTY LINE m m PROPERTY ~ -----1 LINE r Feet ~Fee _ ELV. 1 Garage i PROPERTY LINE LOT ; BLOCK Qs w i Street Address y/y i - FRONT PROPERTY LINE - I00. _i ELV. 3 1 Use BLUE or BLACK Ink M- For office Use City Of Eap i Permit#:_ 2S I I Permit Fee: 3830 Pilot Knob Road l l Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff- 2009, RESIDENTIAL BUILDING PERMIT APPLICATION Date: /U Site Address: WOO Tenant: Suite RESIDENT i OWNER Name: P one(r/) Address / City / Zip: 71 e. JCt7 1 o~..J Applicant is: Owner -xContractor TYPE OF WORK Description of work: Q7 Construction Cost:l Multi-Family Building: (Yes / No CONTRACTOR Name: License Z b Address: q7 ' City: Cx&AVA- 6 , t 0-412.C,_ State://)-) Zip: 0 Phone: Li51 ,7 O " A & 4-~ Contact Person: 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.-gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without ape it; that the work will be in accordance with the approved p n in the case of work which requires a review and approval of plans. x J V'-d W - x a'L - Applicant's Printed Name Applicant's gnature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA114118 Date Issued:09/11/2013 Permit Category:ePermit Site Address: 4186 Blueberry Lane Lot:22 Block: 7 Addition: Hilltop Estates PID:10-33000-07-220 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Kevin J Gyolai 4186 Blueberry Lane Eagan MN 55123 Cedar Custom Builders & Remodelers 1501 Keller Lake Rd Burnsville MN 55306 (952) 215-5141 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA126577 Date Issued:09/02/2014 Permit Category:ePermit Site Address: 4186 Blueberry Lane Lot:22 Block: 7 Addition: Hilltop Estates PID:10-33000-07-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Samantha Doble 2200 Hwy 13 W Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Kevin J Gyolai 4186 Blueberry Lane Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167238 Date Issued:03/04/2021 Permit Category:ePermit Site Address: 4186 Blueberry Lane Lot:22 Block: 7 Addition: Hilltop Estates PID:10-33000-07-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Kevin J & Kristine A Gyolai 4186 Blueberry Ln Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature