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4195 Blueberry Lane CITY of EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. a.8ox-2!1199 PERMIT NO.: 12-~6-$3 Eagan, MN 55121 DATE: Zoning: R2 No. of Units: l Owner: Joseph hiller const Address: Site Address: 4195 Blueberry Low Ll BS Hilltop Estates Plumber. McGuire Mecb Meter No.: Connection Charge: 4SO. t0 pd Size: Account Deposit: Reader No.: Permit Fee: 10.00 Pd 1 some to cum* With the CRY of Eagan Surcharge: Sd Omit inanew Mist. Charges: 60.00 +0)3' Ord Total: By Dote Paid: Date of Insp.: Insp.: CITY OF PAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. 0. Box 2.1199 PERMIT NO.: rt3U$ Eagan, MN 55121 DATE: 12-6--8 ^1 Zoning: Rl No. of Units: Owner: Joseph Miller Const Address: Site Address- 4195 blueberry Lane Ll 135 €lilltop Estates Plumber: - McGuire Me 10-31_;~33 39623 100.00 Pd 1 agree to comply with the City of Eagan Connection Chow: 25 Ordinances. Account Deposit: Permit Fee: 10 - 00 2d Surcharge: 0 By Misc. Charges: I Dote of Insp.: Total: Insp.: Dote Paid: ~ ~ N` ~ ~PE I #\I MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE, da C~ b CONTRACT PRICE: PHONE: 454-8100 Site*Add ess BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. - New Name Mult:' Add-on Addre - f Comm. Repair c city 10 4 Phone M` Other Name FEES c Address ' 'z' / ; RES. HVAC 0-100 M BTU -$24.00 O Ci Phone - r . ADDITIONAL 50_M_BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM- COMM/IND FEE - 20.00 Air Cond. : M BTU STATE SURCHARGE PER PERMIT - .50 Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # Other FEE: Z S/C: ; SIGNATUR F P MI E TOTAL: FOR: CITY OF EAGAN CITY OF EAGAN8 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # r`,.Js To be used for SF DWG/GAR: Est. Value $82,000 Date October 31 -19-0- 4195 Site Address Blueberry I.aite r Erect x$; Occupancy R-3 Lot 1 Block 5 Sec/Sub. Hilltop Estates Alter Q Zoning R-1 Parcel # 10-33000-010--05 Repair p Fire Zone NA Enlarge Q Type of Const. V W Name Joseph gl. Miller Cotist. , Inc., Move' p # Stories 3 18133 Cedar Ave. So. Demolish 66 Address © Length I& Ci Farmington Phone 454-4753 Grade Q Depth 37 Sq. Ft. Owner Approvals -Fees p Name - u Address Assessment Permit Water & Sew. Surcharge City Phone Police Plan chec525.00 U~ , Name Fire SAC Address Eng. Water Con...450.00 <W city Phone Planner Water Meter 60.00 Council Road Unit °2§~ 4_s_ 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 $18k ' SO State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: osePh M. Millet on the +express condition that all work shall be done in accordance with/611 oppli ble St(#e of Minnesota Statutes and City of Eagan Ordinances. Building Official X. Permit No. Permit Holder Misc. Permit No. Holder Plumbing Lg C ~•L H.V.A.C. f 3 ('wt ro(t t-t 3 Well Water Disp. Sewer , Electric S t ( 3a p Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. Rough HVA Insulation, Final Plbg. Final HVAC Final Water Describe Location: Well Sewer Pr. Dip. ~3 t PLUMBING PERMIT Petit No 2 G , / CITY OF EAGAN Fee c+ t ' 1 t*~ Fill in num d des VIC I Type or Print legibly r ff Tat. 1. Date 2, Installation Cost i fv d a•r' ,r J'' ~ 3. Job Address Lot / Blk. T 4. Owner , " 5. Contractor 41 Z , F acs Phone 6. Address "-s'"? c a 7. City State 1 p 8. Suilaling Type: Residential ❑ Commercial ❑ Institutional 8. Work Description: New ❑ Add ❑ After CJ Repair El 10. Describe 11. No. Fixtures No. Fixtures ; Water Closet Cesspool/Drainfi+eld Bair tubs Septic Tank Lavatory Softner' Shower Well Kitchen Sink Urinai/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to - comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. - - Approved CITY OF EAGANI PLU PERMIT Pe pi i CITY( EAGAN , raeasred; Pill in spaces S/`C ~w 7Y; ar Print legrbly Tat. 1-. Dale 2. Inst fttion Cost 3. Job Address LotBlk. t' Tract 4. Ovwer; f . 5. Contractor Phone P C~~ Addrfts 7. Cftq c , _ State Gila Budding Type.- Residential Commercial ❑ InstituOoral ~ kJ 3. Work Description: New Add ❑ Alter ❑ Repair E< 1Q. Descries a 7 i. Ro. Fixtures No. Fixtures dater closet Gesspoml{i3rais la Bath tubs Septic Tank Lavatory Softner Shower L_ Well Kitchen Sink Urinal/Bidet Other 44 C~ Laundry Tray Floor Drains ^ - Drinking Ftn. Slop Sink ` Gas Piping Outlets s +A 12. I JIO certify that the above infarmation is true and core""; and b to l wktt3 all ordinances and coft governing this type of rl(. # gadL for R o uo Final to . Date + s ut`apProved. 1 Y OF E? M~ PERMIT Pei iill . A . ;tc ~iAAN s , Fill 0, 'd spaces ` j TYpelo,)• A*t Aeyibl y ~tlotion Co/@t F. 2. I n s `Jk c t Tess F U-4-01 f Blk. "tract i . a r0 tar LPhoneo(n A, Atldm* G' ''y t C' c^s State i Zip •I;. I . Su Tyke: Residential , Commercial ❑ Instltutianal l k eription: New ,C A 171 Alter D Repair 0 1Ci1. ' Fuel Type's C+ 11`.. Eu irament BTU - li4. Inc. No. Egui t CPm Forced Air Air WandWrg: Mfg. 130lers Mech. Exhaust Mfo. Unit Heater Mf Other Air Cond - p Mfp (3m, Pipins Outlets i lt'~ j mAify that the above infar Wn is true and corm t aft ordinances and coon morning this type of. rc r for Row Final' * f naen'sP„ , Date _ when nu a Proved. r-ITY OF EA i p V Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. CAS14 { EMPT CITY OF EAGAN 3795 PIL&VRX08 ROAD r• EAGAN, MI4NESODA 55122 DATE ~ ~ r ! t9 AMOUNT I T r~ DOL i a-o' CHECK CASH r FUF}D C«i}E AW01 )NT o-U .i3, C ddf H f k J~4 White ~~tl INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 0 lu 3830 Pilot Knob Road Permit Number: i Pp ` Eagan, Minnesota 55123 Date Issued: F (612) 681-4675 I SITE ADDRESS: APPLICANT: tPi r $ ti},4ba } b t o 1,} Eel'€ Ry I ANC, E},49 E r ,a #AYMONt) '1411 i.. fill; ,3{PERMIT SUBTYPE: TYPE OF WORK: N t H It '-x f 14 F H 1 WA t.. t 1 V Ilk, } 0 i t I id 44. Ishc 5 0 79 1 from ~ ~ ~r~ o S3 ~~D.oa RequesI Date Fire No. Rough-in Inspection e + Require ❑Ready Now ill Notify, Inspec- es ❑ No for When Ready icensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at. Street Address, Box or Route No. City ecttU n No. I-TownsMf5 Name or No. Range No. unty ` vt 'tK)/ Occupant (PRINT) Phone No. lj eo U G O L 'Y J-~ ower Su pier Address ` l~ 7`Zj Electrical Contr for (Company ame) Contractor's Liceense~ (0 ` Mailing Address (Contractor or Ow Maki g I tail lion) Authorize Si nature ( ont tor/ caner Making ns yetion) Phone Number ~/~j S ~J THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY 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. -00001-09 EB ,QUEST FOR ELECTRICAL INSPECTION O.Z/^ See instructions for completing this form on back of yellow copy. A "'X"" Below Work Covered by This Request I_IC1dd Rep. Type of Building Appliances Wired Equipment Wired Home "Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. urnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Specify) ther Specify Other Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits 0to200Amps 0to30Amps 0to30Amps Above 200 Amps! 31 to 100 Amps 31 to 100 A trips Swimming Pool Above 100-Amps Above 100-Amps Transformers Irrigation Booms p, 570 Partial,`Other Fee Signs Special Inspection Remarks t S4 t t OXAt Rough-in 1 Date yr~ th ri nspector, hereb4C y rtify that the above Final 1xx j~ spection has been r✓" t- made. This request void 18 months from Thus requ°-t void 18 ;,,nonth§4om -7 1C n627 Request Date Fire No. Rough-m In ection Required? Ready Now ❑ Will Notify 6-30-86 E]Nes ] No for When Ready LiXAsed.Electrical Contractor I hereby request inspection of above [I Owner electrical work installed at: Street Address, Box or Route No. City _ Map 6 mAu Ea a n ection o. Township ame or No. Range No. County Occupant (PRINT) Phone No. Halitmala Power P P I i e r Address` Electrical Contractor (Company Namel Contractor's License No. Ea,6tan Etect4i:c Co. 040079-4 Mailing Address (Contractor or Owner Making Installation) 6525 E. 170th; St. Pniot Lake MN 55372 Authorized Signature (Contr ctor/Own Making Installation) Phone Number 447-2490 MINNESOTA STA E 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. ;BEQUEST FOR ELECTRICAL INSPECTION 019% EB-00007-04 R o ee instructions for completing this form on back of yellow copy. &,g935 0 2 5 6 2 7 'XI Below work Covered by This Request Z Nd. Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heater Commercial Bldg. Furnace Silo llnloader Industrial Bldg. X Air Conditioner Bulk. Milk Tank Farm Other Specify, Other iSpecify) i4l Other specify, Other Other Compute Inspection Fee' Below # Fee service Entrance Size # ..;:Fee Feeders/Subfeeders # Fee Circuits 0 to 200 Amps 0-to 30 Amps 0 to 30 Amps Above 200 . Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above ,!,90--Amps Above 100-AMPS Transformers irrigation Boo s Partial Other Fee Signs Special Inspection s 10750 1 TOTAL F. Remarks 1 r~ `Rough-in Date I, the Electrical Inspector. hereby certify that the above Final Date ( f~_ inspection has been `X~ made. This request void 18 months from CITY OF EAGAN Remarks Addition HILLTOP ESTATES Lot ~ Blk S Parcel Owner L~'ky~d 'Cr Fj Street 4195 Blueberry Lane state Eagan, NII~1 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 13-36- 72- 1-9-4-67 in 669.37 A013496 1-26-94 STREET RESTOR. GRADING SAN SEW TRUNK 1973 172.14 8.61 20 68.94 A0134 O 1~-26-84. SEWER LATERAL 321-r17 10 tt tt .3211,65 WATERMAIN * WATER LATERAL 'Y 1980 * WATER AREA 1980 • Services 1980 * STORM SEW TRK 1980 * STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT ti n WATER CONN. 450,00 BUILDING PER. 8612 SAC tt if PARK . PERMIT c~ a c~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 024179 (612) 681-4675 Date Issued: 07/21/94 SITE ADDRESS: 4195 BLUEBERRY LANE LOT: 1 BLOCK: 5 HILLTOP ESTATES P.I.N.: 10-33060-010-05 DESCRIPTION: (BASEMENT WALL) Buildinq Permit Type SF (MISC.) Building Work Type REPAIR REMARKS: FEE SUMMARY: VALUATION $12,000 Base Fee $135.00 Surcharge $6.00 Total Fee $141.00 CONTRACTOR: OWNER: - Applicant HARTMAN RAYMOND 4195 BLUEBERRY LN EAGAN MN 55123 (612)452--4989 i I hereby acknowl-edge that T have read this application and state that the information is correct and agree to comply with all appl..icohle State. of Mn. Statutes and City of Eagan Ordinances. ~I APPLICANT/PERMITEE SIGNATURE ISSUED BY. l IGN ! RE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 024179 Eagan, Minnesota 55123 Date Issued: 07/21/94 (612) 681-4675 SITE ADDRESS: LOT: 1 BLOCK: 5 APPLICANT: 4,195 BLUEBERRY LANE HARTMAN RAYMOND HILLTOP ESTATES (612) 452-4989 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) REPAIR DESCRIPTION (BASEMENT WALL) INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS L JI { CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 141 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sit surveys, 1 copy energy calcs. COMMERCIAL 2 sets of architectural & structu a1_W_ar.§z_1 set_o specifications, 1 copy of energy dIC5. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ±f c M~/ / Valuation of work Site Address: _.<</~~y G/Z!~~✓ ~Jir~iv'5 /3 s STREET SUITE # Tenant Name: (commercial only) LOT BLOCK r SUBD. Jl P.I.D. # Description of work: 1j9,ff ,-?/1~ 13/y5 6f Z The applicant is: Owner ❑ Contractor ❑ Other (Describe) Name Phone '57 Property LAST FIRST j1 . Owner Address C15 & 11~ 6 wvy X~ele STREET STE # City 1=Ale)//f) State IA) Zip Company C` . h) M C1 Phone K'10 a 611, ef, -1f,~26 Contractor Address orf?(~ G_ f j(1/t:'/! License_ # Exp. city J 11.0 ;l g/ U State 1 zip Company ILA l Ly""I2'e~lllvi 7CS~/N6, 6 Phone rc tect/ ttlglneer Name _ &tiIL Registration # AddressZ,AU( G'-A':~~TyG'C~ ZZ ` City State /t/A-' Zip ss:- 14L Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: r OFFICE USE ONLY BUILDING PERMIT TYPE (0 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-PI ex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. 05 SF Misc. ❑ 10 Multi. Addl. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition 9 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pumpp # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code y~ Depth On-site sewage SAC Code -L APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site 0 Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ fireplace Permit Fee Valuation: Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails DeC,', Copies Other Total: SAC % SAC Units CITY USE ONLY L \B,L- ~ p RECEIPT 0 1 p, p, SUBD: RECEIPT DATE: t 0 PERMIT # 1999 PLUMBING PERMIT (RESIDENTIAL) CITY OF KAGAN 3$30 iPU.OT KNOB RD EAGAN, MN 55122 (651) 6$1-4675 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 Bath tub $ 3.00 x $ Floor drain 3.00 x Gas piping outlet * minimum - 3.00 x $ Hot tub/spa 3.00 x _ $ Kitchen sink 3.00 x - $ Laundry tray 3.00 x - $ Lavatory u.~,~-ems 3.00 x I - $ Minimum fee alterations to existing dwelling 30.00 x - $ --30,00 Private Disposal System new/refurbished "requires MPC lic. 75.00 x $ Private Disposal System abandonment 30:00 x $ RPZ new installation rr fir 30.00 x $ Rough opening 1.50 x $ Shower 3.00 x $ Underground sprinkler if dwelling is under construction 3.00 x - $ Underground srinkler 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 > %30,S-0 w*w :2-j,lV-4^ P-1 I s/~ r i:rwran //~fAMC ~+f ~ w al~#Cr -filon„„..c-t_, Le 2. 1srZteshOctcZY {i w,-.}.~-rs, =oal a/"k~ r VYOG'Y w► r 3oft '.I~~y snare~ 1 sV Ve. VilY GV• iII J''ItwArif VfJ V..t vii:V• . ................a.......-....... r....-..-.--. -...w -.......n--- _----.-----r--------------------_------~--n----_----------.--. 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. SITE ADDRESS: h4 e h e /i r~ L4 OWNER:. NAME:: pa~ TELEPHONE (AREA CODE) INSTALLER NAME: & , / 4e r a- 6 { O y IO C'k TELEPHONE I (AREA CODE) STREET ADDRESS: /-5-0 9 I-AV y 13 CITY: u r h S v i STATE: SIGNATURE OF PERMI EE : tuts ~ .,TTY OF EAGAN NAME;; MANION"S MA91,1:"I-. Q-,-IQ P.j I'MI. i. 0 31001 4495 BLUEBERRY Amount'. Total Receipt CRi. i7508 USER, Ult, "IAN 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL CITY OF EAGAN 3830 PILOT KNOB RD - 55122 a 651-681-4675 New Construction Reautrements Remodel/Repair ReauiremeMs ➢ 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan and all roofed areas (220% maximum lot coverage allowed) 1 set of energy calculations for heated additions ➢ 2 copies of plans (show beam & window sizes; poured fnd, design; etc.) 1 site survey for exterior additions 3 decks3 ➢ 1 set of energy calculations 3 ➢ 3 copies of tree preservation plan If lot platted after 7/1/93 DATE: q q CONSTRUCTIO COST: r c DESCRIPTION OF WORK: 6 STREET ADDRESS: LOT: I BLOCK: SUBD./P.LD. Name: Phone _ J PROPERTY Last First OWNER Street Address: City State: Zip: Company: t tO 0k K S ( ( f ka Phone CONTRACTOR / (area code) Street Address. License # x..5°1 Lff Exp. 2 a d City ► State: Zip: ~s ARCHITECT/ ENGINEER Company: Name: Telephone area code Street Address: Registration City State: Zip: Sewer & water licensed plumber (required for new construction only l: Penalty applies when address change and lot change is requested once permit is issued. l hereby acknowledge that I have read this application, state that the information is c rrect, and agree to comply with all applicabl 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 Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex fl 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea. ❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level 0 24 Storm Damage 13 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE ❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge L; Plan Review License MC/ES SAC ; City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PL Park Ded. Trails Ded. Other Copies Total: 01, SAC Units %o SAC CITY OF EAGAN N° 8622 3795 Pilot Knob Rood Eagan, MN 55122 PHONE: 454-8100 7 BUILDING PERMIT Receipt To be used for SF DWG/GAR Est. Value $82,000 Date October 31 19- 3 Site Address 4195 Blueberry Lane R-3 Erect gg Occupancy Lot 1 Block 5 Sec/Sub. Hilltop Estates Alter ❑ Zoning R-1 Parcel # 10-33000-010-05 Repair ❑ Fire Zone NA Enlarge ❑ Type of Const. V s: Name Joseph M. Miller Const,Inc. Move ❑ # Stories 3 Address 18133 Cedar Ave. So. Demolish ❑ Length 66 C; Farmington Phone 454-4753 Grade ❑ Depth 37 Sq. Ft. p Nome Owner Approvals Fees 3/9.00 ~ Assessment Permit uV Address 1.00 Water & Sew. Surcharge City Phone 189.50 Police Plan check W W Name Fire SAC 525.00 ~W 450.00 xZ Address Eng. Water Conn. <W Ci Phone Planner Water Meter 60.00 Council Road Unit 250.00 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 $1894.50 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: Joseph M. Mill on the express condition that all work shall be done in accordance with all applicable of Minoesofo Statutes and City of Eagan Ordinances. ~`ry''/ ` " Building Official sift ~uj WmIriatiom & r V/ U lift ad-odatsaw-, at snow - • P~ MIT _ ~ - taw a~r~! t~ tilt Site des Lot BLoc~Jc_, Sic-/'• A3LtlW r P+COl t o o - o(" b - G ~dLL !fi at Ono Q~'2 1!bilr w~" l boom= #40hil No city/up phoW _ alt 7 q W wit- Auks' tbrfteMeo~: fle~ter/Uwwac p2m ftlice AMMOt Fire ate. Vhaw 0 PlarrAr ocwtl gd twit: me city/zip Cokes pe ire t TR I - LAND INC. Certificate of Survey for SURVEYING SERVICES ray hartman. Eagan, Minnesota 55121 LEGAL DESCRIPTION: Lot 1, Block 5, Hilltop Estates Addition 0 r N t j b ~ ~ B' lJ O < t y f a oil o' 1i,~ cr k I ti f `'6 c 4 W Q . Jr a, j 1 3 O~ I ~T i trf " 4 It °n I v30-00 (V 89 - Q 4: tS' ~i4, 6. ~6 6 KE Denotes Iron Pin found Assumed elevation top of curb 1000.00 I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that 1 - am a Brad ley J son Mn. Reg No. 15235 duly Registered Land Surveyor under the Date: a-9/1 83 Laws of the State of Minnesota. 4 EXTERIOR EIQVELOPP: AVURAC;E "U" COMPUTATION , I ' i OWNER DATE SITE ADDRESS :l GLL I IONS : ? 7_.....- CONTRACTOR: Determine working squat footage of each - 1. Total exposed wall area...... t ( r~~ Z sal. ft. x 17 = 'Lq7. 9) 2. Toal roof/ceiling area ~t a sq. ft. x .OS = Z5 Total exposed wall area above floor = I S _ a. Total wall window Area . t!-P1 r-. Total boor. area . q'L c. Total slidJ.n. g acs door areit~ 4Z d. Total fireplace wal area e. Total wall fraini.ng area (average 10%) f. Total rim joist area • .g. NET wall. area above floor h. wall area above floor..,. i. wall area above floor. j wall area above floor Total exposed foundation area ~ TZ k. Total foundation window area 1. Total net foundation area above grade • • ,Z Determine "U" value of each wall segment (e.g. window, door, each separate wall section) a. x null 5` 2.F~5 4L x „U„ h 5 ~ , q0 C. 4 Z x OU„ ray Z,. i s d. x lJ e. 1,195-7-0 .007 f. i51 ,,U„ o r, m 1.5 -Lei g l I oa _ x „U„ 0,7 Q 4i .o'er ~1. x "Uq i• x null 1L itcin 03 is the sttmo as, j _ x %ll o r less than CCKt►. A1,. Y'o%t ,;nf, )javP met the intent k. x Plut; 600r) (c) -T -L x Isuff A--7 1 Total Or or Envelope Average "U" Computation Page 2 of 4 Total exposed roof/coiling area = I►8 5 M. Total skylight area . - . . n. Total roof/ceiling framing area (averaUe 10%)... 116.5 o.' Total net insulated roof/ceiling ►rea........... 10(00-S Determine "U" value for each roof:/ceiling segment 1. - X "V" s p. IOCD(D'S X `IIUII aLS ZLFCD(✓ 4......... . Total 3 4 q U If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. k* Alternate BuildingEnvelope Design To utilize the total envelope 'system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. 7-q I-Q4- + 2. ---m 7-6 3. Z 7- 7- : s}-7 + 4. ~~4 g t~ z57 4 VW,L `;rrI;Cmus )TG., tlso 15% of 010y0r.' wall area for, frame., couc.truct_iun Cu11. trlicl intl ' ' 1. .~lll>.'L ~"r ._~11 r t i i n1 _ _ tl,bf~ lA5IC 6. EX.L r i u r ,I i t: filul _ 0.17 WALL - - - ToLiI i- lN'wV L FIG. N1 TGl'VlLll OF PRA IE WALL 1. Irltvrlr+r a i r i 1 rn 0.68 3 4. p r ,rc, 6. Exterior aiz filt,l 0.17 FIG. 12 7-4oAl2- U osl . 1. llitel iol* i11 r film 0.611 ' 4 . L Scn L - yc:al ~ 5• _~tQJNta - aSvZ Extr.,rior Air film 01.7 _ Za .3Cv To t .'11. 1 ~~l~` ~1:. u =.435 r. A . u 1r ft!~•~ •n' r~ 0-11 • • - 0 'cc1U1l ~ 1 -stAll ml GRAM" 04 Plc. 04 1(t G. 93 (1( /c f 1- o ~ u 11,1t} Indira! ly ~c, value, Tenth anti 1 I~z /CEILING • • Construction R-Valuc: Interior air file 0.61 2. '1J8 C~`1~ ~~-C7~`~(APo2 C'S2~CEf~ ~i 4» xtccinr* Ail (ilcl (still) U G TO t al :=._._...,~...~.11~ k.~;.r..~, ~I ;Z. COIL 0.61 ~~aC ~Lowtinterior air film lentad x. cYF' up 3. Z x ~ p Q A-;=- C k1188 . . 4. Fxterio>r air st17TT eTr Total ' , (p a7cc. • is• • U Cd. 0 "7 ~p,,zJ.!~'~~u1:" CI_ 1 2nsldp air film • 3. • 4. 0. 17 Outside air. film 'I 1 To to 1 1 2 3 4,. In5ida atr film 0.61 2. 'art Elov up • • $wanted 3. • 5, outside air film Q. 17 • ,FIG. #6.' _ . Total 3 0.61 ' ' 2. Inside:. air file" 2- r s.•'•~" ) outs ids Total ti ~~17 I 2 • 1¢c~tc: Qs 3d lLton.zl sheets if mora spaco • NOCi-VL'2TZD de~l fur details and calculation3. • r ~cc • • Heat • ' • flow up • FIG. 07 • ° t• ! 'AI'" ~I, t•, . PLAQ L wS.AL FT, osFFD WALL Bl..o~ k r IN, p . PULL I i ►s~ FuUL2- i E. tZ ► t~t ' ►~sl ■ sT c~z.. ~1c.~o~►~~ WALL AZEA LdG~ 144 X S =IL F•.~ EE X J = Z~10 w.o. acs ~uLl. ! ►51 X - ►zoa 'Fu LL Z, F. P, ISI ~ X51 M!5a.l=*, Powa..D C...,EI L. I U UU DWls L] ~ ~ D ©ot2.5 t~ a-z i ?A-r(o DRS +z- . ~ F~5 M ~ U fJ t +5 t~1 CA ,,yam l /d- 3z 000 - ~10 -05 A'ly 3, 62 70 ~y t~~ds'' y r3 w i~- 67 7-b Ty, /LZo~~ UZ u d try 1) /S te 7"i o rt..) O Lvo a ~ Gl z-z5'~, 7-7r .7 L7 ~.~IGLi /2T/v•~S L- /~E? J UST ~JC T/vrv cjS 7 ~~ScJ ~,v , ✓SS ;ice-, /''mayo,e Ty ~~111t~L?S PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA097217 Date Issued: 11/30/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4195 Blueberry Lane Lot: I Block: 5 Addition: Hilltop Estates PID:10-33000-010-05 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BE - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Raymond Hartman 1920 County Road C West 4195 Blueberry Lane Roseville NIN 55113 Eagan NIN 55122 (61)264-4777 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature I i City of all Mike Maguire Mayor Paul Bakken April 19, 2011 Cyndee Fields Gary Hansen Meg Tilley Raymond and Patricia Hartman Council Members 4195 Blueberry Lane Eagan, MN 55123 Thomas Hedges City Administrator Dear Ray and Pat: During a window replacement inspection performed on April 19, 2011, 1 noticed that a room on the lookout level of your home is currently being used as a bedroom. The existing window in the room does not meet the requirements for an emergency escape opening. Code complying emergency escape openings are required in all sleeping rooms. Municipal Center 3830 Pilot Knob Road Pat mentioned that you may be replacing that window along with some others, Eagan, MN 55122-1810 in the not too distant future. If and when you do, it should be replaced with a 651.675.5000 phone window that meets the requirements of the current building code (see enclosed 651.675.5012 fax Windows handout). 651.454.8535 TDD Thank you for your attention to this matter. If you have questions, please contact me at (651) 675-5683 or cnovaczyk(c cityofeagan.com. Maintenance Facility Sincerely, 3501 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360 fax Craig Novaczyk 651.454.8535 TDD Senior Building Inspector www.cityofeagan.com The Lone Oak Tree The symbol of strength and growth in our community. PERMIT City of Eagan Permit Type:Building Permit Number:EA114962 Date Issued:09/20/2013 Permit Category:ePermit Site Address: 4195 Blueberry Lane Lot:1 Block: 5 Addition: Hilltop Estates PID:10-33000-05-010 Use: Description: Sub Type:Reroof 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. Carbon monoxide detectors are required by law in ALL single family homes . jackie terrell Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Raymond Hartman 4195 Blueberry Lane Eagan MN 55122 Walker Roofing Company 2274 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA132774 Date Issued:09/02/2015 Permit Category:ePermit Site Address: 4195 Blueberry Lane Lot:1 Block: 5 Addition: Hilltop Estates PID:10-33000-05-010 Use: Description: Sub Type:Fireplace Work Type:Wood Burning Fireplace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: 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 - Raymond Hartman 4195 Blueberry Lane Eagan MN 55122 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142451 Date Issued:05/04/2017 Permit Category:ePermit Site Address: 4195 Blueberry Lane Lot:1 Block: 5 Addition: Hilltop Estates PID:10-33000-05-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Raymond Hartman 4195 Blueberry Lane Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143960 Date Issued:07/06/2017 Permit Category:ePermit Site Address: 4195 Blueberry Lane Lot:1 Block: 5 Addition: Hilltop Estates PID:10-33000-05-010 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Raymond Hartman 4195 Blueberry Lane Eagan MN 55122 (651) 336-9380 Twin Cities Siding Professionals 664 Transfer Road, Suite 22A St. Paul MN 55114 (651) 255-2844 Applicant/Permitee: Signature Issued By: Signature For Office Use 4 i 4® e i *** Permit#: r/S®�/C3 6� 4o w* s* cEivr ( `) .rr. +�j E Permit Fee: ®. JUL 12 2018 Date Received: 7-/a-/E 3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810 (651)675-5675 I TOD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(&cityofeagan.com L y , 2018 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans iwithl�all commercial applications. Date: 7/3117 3/17 Site Address: `T ' 1 5 6iutbtryil, L-Qvut- Tenant: Suite#: f i. Name: Kati (IQr{-rvl4Y1 Phone: (CO 51) S 3(, `t3 �a Address/City/Zip: I�5 �l'LlA t�t r / -.' AAAO1�2 Y1 55 i 3 3 I` " Name: Ray N Welter Heating License#: . * F ' Address:4637 Chicago Ave City: Minneapolis out, r MN 55407 612-825-6867 State: Zip: Phone: Gerri rickw welterheatin com Contt:acEmail: @ g• New X Replacement- Additional Alteration Demolition tet' ® Description of work: [ feta 4 Vt c2 hirl L4 11 lZ 30 2Afe (C tit I T. k yj e '',-;,-;-,47 :4-.%,-----;:::.,, a� a ottas,t6 a1 • ;�-l'es a m s a . T.`,-I' m ® eab -,,,6:_,e et, vy a ®®b+ a�R' as-.',4..f.s r @ rtl ® - •ifs . 1 ,, a e a a . ®a w . ' « �.',• > a.. z.9 s, �v� w�Sl v. ..�-1%.� =tee u. RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement v( Air Conditioner Install Piping Processed e - -Air Exchanger _Gas —Exterior HVAC Unit _Heat Pump Under/Above ground Tank ( Install/ Remove) :.=:06L6411,ABNLZIA. _Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge 00 $100.00 Residential New, includes State Surcharge =$ (0G~ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee Surcharge=Contract Value x$0.0005 $ Surcharge If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. 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 Kao AI 01A4.4q- J(- x , Applicant's Printed Name Applicant's Sign. - ,,llib' " /lie/ .......... , . ...... t�.. —.6..m, ^, t '] � . . ((�}�® ePa} ® h 'i x,. xis -. ��' x " 'e *� J_.:71,-:144'", ~4-1,a`e ,ESYB.34c Y C