4194 Blueberry LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4194 Blueberry Lane
Lot: 23 Block: 7 Addition: Hilltop Estates
PID:10- 33000 - 230 -07
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
PERMIT
City of Eaan
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Andrew M Skarphol
4194 Blueberry Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA082094
02/29/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
, cirY OFIFAGaN WATER SERVICE PERMIT
? 3795 Pilat Knob Rood PERMIT NO.: 4729
' Ea9an, MN 55122 DATE:
Zonin9: P?T ? No. of tlnits• ?
Owner: Erivlrot e.c1' tioate8
Address:
Site Address: 194 'F 1'l.e?> nTTy t1,@ ,.?? .., 71 P Eitwtlw
Plumber: Finf f 71'( i,?1, ing
Meter No.: Ccmnection Chorge: 4-50"00 ;Qd
Sizes AtCOunt DeposiY: '
Reader No.: Permit Fee: ?? ?}
1 ag?ae to abmply wklr the Cify of Eogae Suesr.harge: • 5??
Ordinonaea. Misc. Charges: ?'4. C1E? ?d ?t6lktQ?'
i 7otal:
BY Qato Pcid•
, Date of irrsp.: Irsp
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.
?. CITY OF ?:AGAN s?t sEavicE PERMrr
37t5 Pitot Kneb Road PERMIT NO.:
; Eogon, MN 55122; DA7E:'
Zoning: Na. a6lJnits:
? Owner: ?iVi3'flteCh '101ROs3 ?
` Address:
Site Addresst
Plumberc
! ogrea to can?r vmb Hre Ciftp of Eogon Connectton Chcrge: 4? 5.40 pd
4rdinaaees. Accoun!'' f3eposii:
' Perrnit Fee: 11200 PA
5archarge: ..,,50 24
BY Mlsc. Chorges•
Date of lnsp:e Ti?fi6e!•
EnW: Dmte Paid:
. . 8 _ _ . .. . _ . v . _ il,..??... ?. __....?_.?
Ci71( E?R ??AN
- 3795 Pilot Knob Rqsd Eoyon, MN S'.il?t
, PH?IE: ?S4-S100
`BUtLD1NG PERMIT Rece?Pr .?
?o be u?ed for S? Uj?G?GAR Est. Value $7?LQOa Dote l
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??il 4 , 19.._.??
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? Site Address 4t?? ??????err?r ?,817p Erect ? . ?.?..
Occuponcy R-3
Lot 2? Block??_ Sec/Sub. ???-1tOU ESt3?@8 Alter ? Zoning K^'1
Parcel .# l? ????Q ??? ?? Repoir 0 Fire Zone ?
? . Enlar9e ? TYPe of Const. ?
? Nome ?tivi2'OteCh HOm?8 Move p' ?# Stories'
`? ; Add?ess ?635 1°?T$CQX8 Ro8t1 Demolish ? Length_?2_
b Gi ?an 55122 Phone 452-12&? Grade ? Depth-lEz Sq. Ft.
°C Nome ?tiz' ??` APprovals Fees
? Z'?
Address
Assessment
Permit ?7t1- ?1?1
u?
?' Cit ' p?? ? ?j Woter & Sew. Surcharge ?...$Q_._
F
? Police Plan check ?_
? W Ncme Fire SAC -??-?---
??. Address Eng. Water Conn,(?.?,??,,.
<W Ci Phone Plonner WaterMeter?._
Council Road Unit 2?i?'f ft(1
I hereby ocknowledge thati have read this opplicotion ond state thot g?dg. Off. '
the intormotion is correct and agree to compiy with oli opplicoble APC Totol Sl R?A _?i(1
Stote of Minnesota $tatutes and Ciry of Eagon Ordinances.
Signoture of Permittee
ErivlrOt-erh
/1 $uilding; Permit is +ssued to: .??gy? j on the e re? cnndition thu?
xp
oU tvork shn{i be dor?e ir? accordance witk? oll appl? le te of?innesota Stotutes ond Ciry of Eogan Ordirwnces.
T,.,
8uilding OffiCial
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Permit Ido., Permit Holder Misc. Permit No. Holder
Plumbing ?a^?J'?.?„ ? fV?? P) v, Cy--s
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Water
Disp.
Sewer
Eiectric W0'13(ob? 6p,(( Lt{&C . CeIEC,
Inspection Date Insp. Other
Footings
Fountmtion
Framing
Rough Pibg. i?? l.CJ
Rough HVA
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Insulation
FinM P?bg. „? .
Firta1 HVAC
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Final
watiw Dascribe location:
Wtell +N
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Pr. Disp. >
%1knfiffiratP 1?f (Orrllpaury
?irp ot (Eagan
?F,?tMI`?IIiPYtf it? i?Ut??littt? ?JIt,?#iPE`?itirt :K, ;
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Thet Certificate issucd pur.ruant to thc requirementr of Section 306 of the Uni form Building
Code urti fying that at the timt of itsuanet thi.r .rtructure wa.r in compliance wrth the various
ordinanccs o f tht City rcgulating building conttruction or use. For the f ollowing:
i
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SF DWG/GAK
7$91
Ux Clauificatian .
R3 . . . V Btdg. Pemrit No.
NA
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? O=FaacY TYPe TYPe ComWcYion Fim Zone '
. .. 2oning: Dietrict . . Rl.
owm,of$„ildinB Envirotectt Homes ?aa??4655 Nicols Rd., Eagan
4194 Blueberry Lane
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Receipt ?:s Iv, PLUMBING PERMIT Permit No.
' ClTY OF EAGAN Fee
FIN in numbered sPaces S/C
,
Type or Prim leyibly Tot.
9, pate 2. knstatlation Cost
14
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3. ,fgb Address Ldt_.-23Blk. -7 Tract `' 'I
4. OrAmeF ?I/ O
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6. Addrm ?'15 1-5 21L? Cf". 1z
7. CttX zP Sffite ldt? . Zip
$. Buitding Type: Residentiat Gommercial ? Institutional ?
9. UMcsrk Descripttan: New ? Add 0 Alter D Repair 0
? 10. Daaikw
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. 11. No, Fixtures P1o. Fixtures
Water Closet Cesspoot/Drarnfield
?.? Bath tubs Septic Tank
? lavatory Softner
: Shower Welt
Kitchen Sink
Urifw/Bittet .? Other ' ? A90u r?-e.0r-
F *!j€ TrBY
f Acior lDraies
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? Receip# MECtiA1dICAL PERMIT Permit No.
CITY OF EAGAN
` Fee
fill in numbered spaces S/C
Type or Print legibly Tot. ?"-> >'"'
t. Date 2, installation Cost
F 3. Job Address clq 4?lA'C'(fotL. ? Blk.()l TracA)?
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4. Owner r L ? -?... ?
5. Ccintractor Phone
6. Address lt;k bf 1( L.t LCc Yt
7. Clty S28LB Y' ?. Zlp
8. Building Type: Residential Commercial ? Institutionat M
9. Work Qescription: New ?-- Add ? Alter n Repair ?
` 10. Describe a, yv /jcelC o'} Fue1 Tvpe
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Forced Air No. Equipment CFM
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Boilers E
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Unit Heater ec
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f4Af9. Other
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Gas, Piping Dutlets '
x 12. 6 herebyf?fy thst the above ir?forma#ian is true andNo"ct, ar?t1 1 iO
awroy ai# qrcfn? and a governing tMl tYPO crfi WOrk.
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? ` re# C1?Y OF EAGM 46"100
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EAGAN, OTA 55122
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CITY OF EAGAN
Remarks
Addition HILLTOP ESTATES
Owner 6 `; ? St?wt 4194
_ Z Parcel
-sist. Estgan, MN 55123
Improvement Date Amount J1?t?J : n''e?r? p?yv?at Receipt Date
STREETSURF. 1980 1336.72 10 9-2 -$3
STR E ET R ESTOR.
GRADING
SAN SEW TRUNK 111.94 A07508 3 14/79
SEWER LATERAL 3280.37 328.04 10 196$,25 A012$23 9-26-83
WATERMAIN
' * WATER LATERAL 980
* WATER AREA
* Services 0
* STORM SEW TRK 1980
* STORM SEW LAT 1980
CURB & GUTTER '
SIDEWALK
STREET LIGHT
ROAD UMT 250.00 1f}?.. 4?-8
WATER CONN. 450.00 tt n
BUILDING PER.
SAC 525
00
q
n
PARK .
This request void 9, 7 ( ?( K ? D
18 months from ?
w 073?681
Request Date Fire No. Rough-in Inspection
Re ired?
[]Ready Nowtf*i{i Notify, Inspec-
? ! -
es ? No
?1'
tor When Ready
icensed Electrical Contractor I hereby request inspection of above
? Owner electrical workinstalled at: . .
Street Address, Box or Route No. City
ection o. ownship Name or No. Range No. County?
Occupant (PRINT) Phone No.
?
Power Supplier
. Address
Electrical Contractor (Company Name) ntractor's LicenseNo.'
r
Mailing Address (Contractor or Own Making
ation) .
Z
or ed ' na re (Contractor/pwner Ma ing tnstaflation) Phone Number
7 7
e `?:d??
CMMALIW? SOTA STATEIRD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway BIr?¢ f Room N-197 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER 1NSPECTION FEE tS
1821 University a? St. Paul, MN 55104
Phone 16121 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
' See instructions for completing this form on back of yellow copy.
???? ??•
"X?' Bel"o ?I?r C olvered by This Request
?. EB-00007-04
?t?((q
kcld Rep. Type ot Building Appliances Wired Equipment Wired
Hame Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Buiiding; ryer Electric Heatin
Commercial BPdg. ? Fumace Silo Unloader
Industriall Bidg. Air Conditioner Bulk Milk Tank
Farm ocner Peci v cner (suecifv)
t er pecifY te 07her
/
C.0177D1lIE !/7SDECilOn tP.P, tSP.lOW
# Fee ServiceEniranceSize k Fee Feeders/Subfeeders # Fee Circui2s
Z 0 to 200 Am s 0 to 30 Am s :T-g 0 to 30 Am
Above 200_Amps' 31 to 100 Amps 37 to 100 A s
Swimming Pool Above 100_Amps Above i00`Amps
Transformers Irrigation Booms Partial/Oiher Fee
Signs Speciallns i
TA
Remarks L FEE
? / _
?x ? • ..r ..? ,,,, -s-
Rough-in Date .
Ins.pector, hereby Pinal te certify that the above
?inspection has been
made.
This reauest void 18 months from
This request wid (
18 months irom ?
A n7 ? R r 7 f
Request DaTe Fire No_ RequRough-in InsPction
ired?? .. .
?NeadY:NeowQWB9i91..Notilfy Iansiperc-
Dye. Elfow, kw wnmn Pfteadiy
Q Licensed Elecrricai Con[rac[or t heraby request iosPaction of above '
? Owner.? sleetriol work iastallmd at_ . . .
Street /4lAress. 8ox or Route No. ? Ciiv
Sectoon _
. TownshiP Namea N0.
.
? '? Range No_
. . . Cauntp. . - ' - . . . .
. .. .
Occupani IPRIN77 ° Phane Na. . ..
C?
Rorrer SaPPiier Address :
Elecvical Contractar (ConyanW Name) Cantractor?s ticenise Pb_
Maiiinp AdJress ICmrtractor a Owner Making Instailatianl
'! ? ??? ?? ?! ?-' ?- ?? ?i. %1 ?
A - ed Signature ( as Makinp InStallationl Phone Plunber
?L; ?,. ??? • 452 J ~ ? l. J
MINNESOTA SfATE SQI?RD ? EIECiRICI'1`i TM? I?TUM IRMUEST MLL NOT '
Griggs-YidwaY sldg- - Roow N-191 BE ACCEPIED 61f iHE SiA7E 60ARD
1827 Univa(sitp Ave_. SL Paul. YN 55704 UNLESS PROPER INSPEC?lON F?E IS
Pl+one 46121 29J?777 ENCl06ED_
REQt9EST ?i H.EC77?CAL t?PECT10111 AWNII? Es-?om-o?
, Sce ins[ructions iw comple6de Ubis fars m 6aek d ne1Mw suPY. AW-Im
I°?
t l
A '-x-- eeeow work crn?ereJ by rn;s Requesr
da ?.. aypear e..:w..u? nnaliaas wi.ad Eau:wan[ rr.e?a
« ? ? Ra-je TI.W.ry SeNBCE ' .
1 I 1 1 Incysueal Bldg- 1 1 Air Corditioner 1 I Biu9k Me1k Tarnk I
Onhe.
# Fee ServiceEntranc?S¢e !t Fee Feeders/Subfeeders ? Fee Circuits
0 tD 2? Ary1pS 0 tD ? 0&(H? Anws
.
Above 200 q?• 31 ia 100 AreQs 31 to 10E? Anps
Swimmi Pool
- - Abave 1 Q0 AA6ov?e a f10_Amps
Transiarmers frrigation Boortos Partialu"Odw Fee
a?g?s Speceal 'nspectaon ?
$ 2D TOT F--?
8e?rks :.1,
Rouph-in Da[e
`
?Peetor. heireby ?....
aertiry Nwi t9?e abovs
FOnal C ??Ye ?? " _- bm his beea
BUILDiNG PERMIT
CITY Of EAGAN
3793 Pilot Knob Road Eogon, MN
PHONE: 454-8100
sa1u N•° 7891
Receipt
To bs used for SF DWG/GAR Est.Vulue $79,000 Dote April 4 19 83
Site Address 4194 Blueberry Lane
Erect
?
Occupancy R-3
Lot 23 Block 7 Sec/Sub. HilltoP Estates Alter ? Zoning R-1
Parcel # 10 33000 230 07 Repoir ? Fire Zone NA
V
Enlarge ? Type ot Const. -
ae Name Envirotech Homes Move 0 .? Stories
3 Address 4655 Nico ls Roa d Demolish p Length62
° Eagan 55122 452-1148
Ci Phone Grode
O De th 42
p
Sq. Ft.
, o Name OwTier Approvals Fees
?? Address
? Citv -
?
W W Name _
H
_z
; Address
Phone
Phone
Assessment
Woter & Sew.
Police
Fire
Eng.
Planner
Council
I hereby acknowledge that I have reod this applicotion and state that gldg. Off.
the informotion is correct ond ogree to comply with all opplicoble
State of Minnewta Statutes ond City of Eogon Ordinonces. APC -
Signoture of Permittee
Permit 370.00
Surcharge 39.50
Plon check 185 . 00
SAC 525.ao
Water Conn450 .00
Woter Meter hn _ nn
Rood Unit 250.00
Totol $1879.50
/1 Building Permit is issued to: "".v1LUt2 h on the express condition thnt
oll work shall be done in occordarxe with oIF appl' e ?twe of9 innesotc..5tat s ond City of Eogon Ordinances.
Building Off3ciol ?-
,?j1 • "oy c0.lCs, C15 Y''tl'k? 4
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.-.=-- .. _. .
?TY OF EAGAN
f ""` ` ? _.,.,...„,? . . . . / . . . . . . .
z _
Include 2 sets of plans, ?--
1 site plan w/elevations & /
°?1??,? • BUILDING PERMIT APPLICATION 1 set of energy calculations.
?
Tb Be Used For ?
C?a-? ,
?'?'"Valuat?.on JqD ? d
Date
site Address oFFICE vsE ONLY
Lot ? -7 Block : .e Sec . /Sub. E 7' Erect
?
ccupancy
i.
Parcel # : ( b j 5 4? (J ? ? ? ? Alter Zoning /
O Repair
Enlarge Fire Zone
Z'ype of Const.
umer:
• .
Address: ??SS: i? f C z? -?? Mpve
? /?c- - Derolish # Stories
Front ? ft-
CityJZip Code: Grade Depth oL ` ft.
Phone #:
APPROVAT..S FEE5
Contractor: ?`,?' V ik'?r? ?• ?_ ? ? ? ?1<-= 3 Assessnuents Perniit 7
Address : [aater/Sewer
Police Surcharge
Plan Check
City/Zip Code: Fire SAC
??.?
Phor? #: ?'
Planner Water Conn. ?
Water Meter IolJ ---
Council Rraad Unit
Arch./Eng.s Bldg. Off. 'S
Address: ?
CitY/Zip Codes --
Phone # : TC7I'AL D -7
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EXTERIOR EPNuLCDE AVERAGE "U ` C01-1PtJTATIOi1
OWiVER °1` 1001P-n4r cL 7Y o?'1'z ? S
SITE ADDRESS Al-,4.tj 1? 14 ?r11 /?"f?
CONTRACT
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OR
iU[,?f&4Te,C.
o,WE'S DATE PH
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= ONE
Determine working square fQOtage of each.
1. Total exposed wa31 area sq. ft. x,I9
?
2. Total roof/ceiling area.... L sq. ft. x.04
Total exposed:wall zrea abave floo'r = Z?c?,
a. Total wall vrindocr area . . . . . . . . . . . . . '7-75- '
b. To-tal door area ........l.............. 4fol
c. Total sliding glassarea .............. ?
d. Total fireplace prall area ..............
e. Total wall framing area (average I.Q?)...
f. Total net vrall area above floor .,......
g. Total rir. ,joist area . ... ........ .
?
Total exposed foundation area
h. 2'ota2 foundat ion i, indow area .. .. ?
i. Total net foundation area above ? grade .
Determine ';U': value of eaeh wall s'egment.:
.?-
a . -72, 5 x t' U''
X tiTUf:
c . X ??U :;
D. X f'U;' _ - ? ?-
e.? X '•U" ,? _ ---?
fX
9• X "U ' - , a
h.
X ;' U'
/
0
2
X NUtl ? a ?_ ,..?'
-?-
3.......... ..... ..... ...... .............Total
If item #3 is the same as, or less than item #i, you have met the
intent of S8C 5006(c)2.
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,. 4 s DELMAR H. SCHWANZ
LAtvD SURVEYOR - , I
Regatefed Unjer Laws ot The State of M?nnexota ?
2978 - 146TH STREET W. - BOX M ROSEMOUNT, MINIVESOTA 55068 PHONE 612 423•1769
% 3o 978.96 SUflVEYOR'S CERTIFIC.ATE , . ?
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? MINNESI')TA REG15TRATIC1IV NO $625
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j. . . . . . . . . . . . . . . .
Y?',J?,„ . .. . . . . . . . .. . . . . ..
i". . . . . . . . . . . . . .. . . . . . . . .. .
Total exposed roof/ceiling area
-- ?. Total skylight area .............a... ?
k. Tat ?
al roof/ceiling o framin ?.rea ( verage 1M
?
1. Total net insuXated'rooffceilinE area ....... ,
Determine "U' value for e3ch roof/ceiling segment.
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k. jX;;Ut; xze
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4 ................................ .......Total
If total of {,'-'# is the same as9 or less than #2, you have met the
intent of SBC 6006(c)l•
Alternate Buiidirig Envelope Design
To uti?ize the total envelope systen method, the va3ues esta5lished
by the suM of items #3 and #4 shall not be greater than the sum, af
items #I an3 #2.
1. + 2. -
3• + 4.
;
city oF cagan
3830 PILOT KNOB ROAD, P.O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE (612) 454-8100
July 25, 1986
MR & MRS BRIAN A LEE
4194 BLliEBERRY LN
EAGAN, MN 55123
RE: FOUNDATION FAILURE
6/22/86 - 4194 BLUEBERRY LN
LOT 23, BLOCK 7, HILLTOP ESTATES
EAGAN, MINNESOTA
Dear Mr. & Mrs. Lee:
BEA BLOMQUIST
Mayor
THOMAS EGAN
JAMES A. SMITH
VIC ELLISON
THEODORE WACHTER
Council Members
THOMAS HEDGES
City Adminisirator
EUGENE VAN OVERBEKE
City Clerk The Building Inspection Department investigated the wood foundation failure
at the above referenced dwelling on June 23, 1986.
The failure was extensive as approximately 30' of the front (west) foundation
wall collapsed. The foundation was a U.B.C. approved wood foundation install-
ed on April 12, through the 21st, 1983 by Envirotech Homes. Envirotech Homes
is no longer doing business in Eagan.
There were no rain gutters on the dwelling and the landscaping along the
front wall was done with landscape rock. This rock acted as a collector
for a].1 the rainwater from the 5" rain that had occurred the night before
which drained from the front roof. The drainage capability of the front
exterior grade was exceeded and resulted in lateral forces that exceeded
the foundation walls design load. It is important that positive drainage
is maintained at all times throughout the life of a building.
Sincerely,
Dale Peterson
Chief Building Official
DP/ is
CC: Hel C Lyson
Robins, Zahle, Larson & Kaplin
1800 INTERNATIONAL CTR
900 - 2ND AVE SO
MINNEAPOLIS, MN 55402
THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY ?
TO: EAGAN CITY COUNCIL
???oc5 :>,:?O 07
I'M WRITTING THIS LETTER IN RESPONSE TO IMPROVEMENT PROJECT
#466. I BELIEVE THAT IT IS UNJUST FOR ONLY CERTAIN LOTS TO
BE ASKED TO PAY FOR IMPROVEMENTS THAT WILL BENEFIT THE WHOLE
COMMUNITY. THESE DEVELOPMENTS HAVE BEEN IN PLACE FOR LESS
THAN IO YEARS, AND IT APPEARS THAT WHOEVER APPROVED THE ORIGINAL
STORM SEWERS DID NOT DO THEIR JOB PROPERLY.
IT IS MY CONTENTION THAT IT IS UNFAIR FOR ONLY A FEW CITIZENS
TO BEAR THE FINANCIAL BURDEN OF THIS INCOMPETENCE.
IN PROTEST,
?
SCOTT R. FRATER
B10 C K 7. L o T 23
-?(
?Q,?,?- ?,,,, ? ,f,.???'.?h?P?? ,.l,??.????? .?r?i?v ..d/J.?u:+?-/?
..C!' /?+?-t?--' ?+? ` ?fii^?p ? .? ,.G.l .GG? _G`/,K 4°?
e? ? ?? ? %?
?' ,??^??? ,,•?'?.,.?,????'??, ..,?? ~-G4 .?-r?.. .. ,r?7? ..? .???
,, .
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when pernuts are required for each unit
-1?, 3C3 . ';U
D
f
a
e
Site Address Unit #
Property Owuer Telephone # (?$1 ) Z<2,5??-
Contractor
Street Address
`?
- City ??G7y}j1?
State Zip Telephone #
Bond #: Expires:
The Applicaiit is Owner Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
_ furnace _Additional _Replacement
air exchanger
? air conditioner _New _ Replacement
_ other
?
I
State Surcharge
.50
?
Total
,v0
I hereby apply for a Residential Mechanical Permit and aclrnowledge that the information is complete curate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; t 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.
55? , ---
Applicant's Printed Name Applicant's Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciallindustrial 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 Appticant is Owner Contractor Other
Work Type
_ New Construction _ Underground Tank _ Instail _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
Pe1'mlt Fees: $70.50 Underground tank installation/removal
S50.50 Minimum (includes State Surcharee)
or
Contract Value $ x 1% Permit Fee
• If ep rmit fee is $1,000 or less, add $.50 => $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 e? rmit 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:
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: I 24b()
&
Permit Fee:
Date Received:
Staff:
111-
� 02014 RESIDENTIAL BUILDING PERMIT APPLICATION
/
Date: - l / Site Address: /b 6� /3ZVEc3812_R y Lq�v Unit #:
Km4,012...c.4„i sktAirzer-v• 0 L. -
Resident/
Owner
Phone: 657" Li S` -f - 6 76
Address / City / Zip: 4/1111 !>L, zf3cKle y L -
Type of Work
Applicant is:
Owner Contractor
Description of work: /\ 1` h OO F
fi�rr,, �
Construction Cost: 5d v Multi -Family Building: (Yes / No N )
Company: Contact:
Address: City:
State: Zip: Phone:
License #: Lead Certificate #:
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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 CaII 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.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota Stat -L. uildin de must be completed within 180
days of permit issuance.
x i\ 19 S v bL
Applicant's Printed Name
Ap cant's Signature
Page 1 of 3
,f . ' {
t
Use BLUE or BLACK Ink
------------------
� For Office Use �
��} I Permit#: / ����I I
6� �f����Il RECEIVED ; � _ 2� �
� Permit Fee: �
3830 Pilot Knob Road � I
Eagan MN 55122 cjE� ��► ��� i Date Received: �
Phone:(651)675-5675
Fax:(651)675-5694 � Staff: �
L----------------
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ��- d�' �y Site Address: ���y Q������ ��`C Unit#: �, � I'�
��
�� �5" �1'� �
'�'�� �� ` �� Name: �NDIZ� ��4�P1`tCfZ.,- Phone: �� 1.� � �
ReSld��! �[
OWn�C`, Address/City/Zip: i C9� ���;;.g�¢�fi.y l-l�
Applicant is: �Owner x Contractor
T e Of Description of work: ��!�i�� a-�C3��
Yp �����: [�/
� � Construction Cost: Multi-Family Building:(Yes_/No ?C� )
E ~
„
„ �.��
rE�.- �i Company: Contact:
t�f,
�� � �°�' Address � � City:
��x�=i�►ntrac���
State: Zip: Phone: Email:
� ;, License#: Lead Certificate#:
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:
NO����Ians ,suppQrting ` ��r s su ��`irdered to b�� .` , �t. Por�' of
�e��nfQrmatr����ay b�.�(ass` . ��ron i��o ` specitie r�� � � tt��� n
�� � � � s �„ � x,.�°;,� � �z�� �
u .,.
�, �,
� � � ��_� k COrlClr�d,��th�,� trade sec �, �,�
�
,.
, � � 4�r,,3� �t > ,_ � � ,��`�"� ��'" �
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.aooherstateonecall.ora
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildi Code must be completed within 180
days of permit issuance.
x �l-NJ(L3t��'�i�4i2 f't��. X _
ApplicanYs Printed Name App icant's Signature
Page 1 of 3
. � , - � � ��� �����7� L:� �a ���3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
� Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi � Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ 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 �D�� Occupancy ���� MCES System
Pian Review � Code Edition 7+`15'$C. SAC Units
(25°/a_ 100%�) Zoning �-�� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction .�, � Width
REC�UIRED INSPECTIONS
Footings(New Building) Meter Size:
� Footings(Deck) Final/C.O. Required
Footings(Addition) � Final/No C.O. Required
Foundation HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee � �
�,� � Z(�� � �S � �� �.,�_
Surchar �
ge t
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
� , .
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� . � �� . ��. ��9 �( �����->� �, ��
_ , .; .
- � DELMAR N. SCHWANZ
LAND SURVEYOR=-'� I►,}�,
j � Req�ste�ed Untler Laws o�The State o�M�nnesota
'�, ,J 2978— 145TH STREET W. — BOX M ROSEMOUNT,MINNESOTA 55068 PHONE 612 423•1769
` !�� T�N l-��t�;
� �✓4 ��'�'�'�•� SURVEYOR'S CER71FtCATE � •
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( NIINNESt)TA riE6iSTRATI!3N NQ 8625 /', •
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154482
Date Issued:03/25/2019
Permit Category:ePermit
Site Address: 4194 Blueberry Lane
Lot:23 Block: 7 Addition: Hilltop Estates
PID:10-33000-07-230
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 -
Andrew M Skarphol
4194 Blueberry Lane
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature