3764 Bayberry LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3764 Bayberry Lane
Lot: 9 Block: 1 Addition: The Woodlands 3rd
PID:10- 75878- 090 -01
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
Owner:
Kevin G Hogan
3764 Bayberry Lane
Eagan MN 55123
$50.50
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$0.50 9001.2195
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
h all applicable State
Issued By: Signature
Mechanical
EA079400
08/21/2007
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3764 Bayberry Lane
Lot: 9 Block: 1 Addition: The Woodlands 3rd
PID:10- 75878- 090 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Permit closed without required inspection(s). Letter sent to applicant on 03/05/2009.
Building
EA083599
06/17/2008
ePermit
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
$90.00
Owner:
Kevin G Hogan
3764 Bayberry Lane
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
- Applicant -
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
h all applicable State
Issued By: Signature
SEWER &„bIYATEft PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
?
OFFICE USE ONLY
METER #OW y07 -4-13 PERMIT DATE ')6/04/91
CHIP # DZ975 4 37 y PERMIT # 12027
METER SIZE MS{N ,f B.P. RECEIPT # C 13'753
ISSUE DATE B.P. RECEIPT DATE 06/0491
_ PRV - BOOSTER PUMP
, SITE ADDRESS -17641 UYSL-Z. ` N
I' LOT ` BLOCK 1 SEC/SUB 'tia' ?!•AhbS 3RD
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER: ? ADDRESS:6410 132 T ST CT
CITY, STATE :`:1- PLE VA?,LEY ?';Nf ZIP 5 517 1.
PHONE:
OWNER: SG<iL'T<<u1' HUMES
ADDRESS: 16361 BAYWC)CD 'i.N
PERMIT REQUESTED
k SEWER X WATER - TAPS
_ CdMMIIND - RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL N07 be given for Deduct Meters.
I AGREE TO COMPLY WtTH CIT,Y6F
EAGAN URDINANCES '
CITY, STATE _ EDEN Y1tAIRI?, t?tC•; ZIP :7"?44 ??
PHONE: 914-°93r1 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOA INSPECTIONS. FOR STURM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
, I -
? CASH RECEIPT
CITY OF EAGAN '
3830 PILOT KNOB ROAD
,
EAGAN, MINNESOTA 55122
DATE
aecerv?o ? --
cnDM
i
AMOUNT
?
& DOLLARS
,ao
? CASH I? CHECK
..._ , I i
av
C 13753 ?de--P"- Copy ?`?
Ye?ow-?tkg Copy ?-?/`*!
Pink?ile Capy •_?~
Thank You
? f' +E. ?'_ • ?
RE:
DATE
JUN 4, 1991
3764 HAYBERRY LN (SCHUTBOP H0MES)
X Your Sewer & Water Permit far the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMQIVEIVT WA7ER Tl1RfV ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed untii further notice.
COMMERCIAL PROJECTS ONLY; Please pay for meter at City Hall. Meter size must be
confirmed by Bifi Adams or Dirk House(Ptumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
COlVTACT COMMUNITY DEVELOPMENT DEPARTMEN7 FOR WATER TURN ON POLICY.
Secretary, Buiiding Inspections Dept.
r r -h .
t?
(grxtt#tratt uf (Orruttanry
Citp of leagatt
llrpwftm n# gwwm -lttaprrtiim
This Certificate issued pursuant to Me requireff=u of Seclion 306 of Me Urrifonn Building
Code aaWf*8 lhat a1 the Wse of iuuance thia sdruxrrre xw in compliaxce with Me various ?
ordirtmtces of Me a1t}' regulating building conskuction or usse For the following. i
`'-, uK ams?;? SF
00-r-r 7Ynv
? 19157
VN
) IANE, EA'N PM=
POST IN A CONSPICUOUS PLACE
?:?
7?
YT 93[?'?433 ' CITY .OF EAGAN
3830 Pilot+Knob Road, P.O. Box 21-199, E agan, M
PHONE: 454-8100
Receipt .4
, 1 s1_ :. 3
Site Address 3764 ?
Lot 0 Block 1
Parcel No.
W Name ?u??
? Address 1 b3l?I i
o .... ]f R9fld fm r i D
City _
IVame
i nereDy acKnowiege inat i nave reatl this application and state that the
information is correct and agree to comply with all applicable State of
, Minnesota Statutes and City oi Eagan Ordinances.
Signature of Permitee
A Buiiding Rermit is issued to: SCRu?W go"
on the exprASS condition ihat all wprk shall be done in accoWance with.all
ap'plicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial
2oning
(A
l) C
t
t
ua
ons
c
(Allowable)
# of Stories
length
?
Oepth ?
S.F. Total -
S.F. Footprints
Ori Site Sewage -
_
On Site Well
MWCC Syslem ...?_
City Water x
PRV Required -
Boaster Pump _
APPRDVALS
Planner -
Council
Bldg.Off. _
Variance -
FEES
Bldg. Permit
??000
Surcharge 87*00
Plan F?eview 5"•00
SAG City 100-600
SAC, MCWCC 6 50*?
Water Conn ?.00
Waier Meter 95*00
Acct. Deposit 30.00
SrW Permit 30.00
S/W Surcharge 0
Treatment PI 21*'06
Road Unil 370000
Park Ded. ?
Copies
TDTAL
9
- ? Permit No. Permit Holder Date Telephone #
WATER
SEWr=R
PLUMBING
H.VA.C.
EIECTRIC
Inapection Date InsQ. Comments
Footings I `%p
Foundation
Framing 64
Roo(ing
Rough Plbg.
Rough Htg. ?
?sul. Z x3/
Fireplace 7
Final Htg. •?? ?? '?
Orstat Test 7 7- 5 ?
Final Plbg. = A? Plbg. Inspector - Notify Plumber
Const. Meter r,,? po,. ?
Engr./Plan
Bldg. Final ? 7-?? ?/ fl.?
Deck Ftg. -1 17 : Z A,
Deck Final
Well
Pr. Disp.
7SEINER ? VIfqTrtR PERMIT
CITY OF EA(3AN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
I DATE
c
SITE ADDRESS '4764 RaYRE?
LOT :+ BLOCK _LSEC/SUB
APPUCANT:
ADDRESS:
CITY, STATE
PHONE:
CITY, STATE A.rri
PHONE:
OWNER: SCSiI
ADDRESS: 163(
CITY, STATE EUEt
PHONE: Q34"
PLEASE ALLOW TWO
SEWER PERMITS, COP
? j??. ?'?•,ti,, METER #
OFFICE USE ONLY
PERMIT DATE 06/04/91
PERMIT ? 12027
METER SIZE B.P. RECEIPT # C 13753
ISSUE DATE B.P. RECEIPT DATE 06 (?4 91
_ PRV - BOOSTER PUMP
PERMIT REOUESTED
3ODLAND5 3I:D
-? SEWER X WATER - TAPS
- COMM/fN0 x RESIDENTIAL
- ZIP _ NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
- ZIP ? 5114
. . .. ,_ • - . _ 1T
I AGREE TQ COMPLY WITH CITYOF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
EPT.
ZIP
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE: ?; IIr Nr,
3830 Pilot Knob Road Permit Number. C. 0•'
Eagan, Minnesota 55122-1897 Date Issued: -
(612) 681-4675
I
? SITE ADDRESS: APPLICANT:
?_ , , , i ANr.
PERMIT SUBTYPE:
TYPE OF WORK:
nt tF RnrI (+"
n1 ;l•R 1[''f lfilM N41 f3f i?RE?I+M ;
INSPECTION .•
3- . ••
I A ! 446-2840 F11R flf.r I'RJ('A! i'Ns3PFC1I 11N1
PA1RATf rN .!,t, ji(?NS f'V01.1133E:D fOR PIt3f, AM1I ELFCCRYCAI_
I
L
?
?
•3 ? ?-p?
Permit No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspection Date tnsp. Comments
FOOTINGS
FOUND
FRAMING Q?
/
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVG
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIA TES7 '
FlNAL PLBG
FINAI HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
41
HOUSE HEATING TEST RECORD
A ESS APT.-FLOOR _
OCCUPANT OWNER
HEAT LO55-
SOLD BY
Eleehical Work By
TYPE OF HEAT
GA _ PA _4_HW -STEAM -SPACE HTR. -UNIT HTR. OTHER
?!+N?/A)S DEn CONVERSION
MAKE ?MAKE OF BURNER
Model NI'1 i Ztl 13 g?O 1-7 0 Model
Sxial c4/Z ?+S'gP6 7 J Maz. 8TU Roting
INPUT i'71P' 6en MAKE OF FURNACE
Model
?r v(NTROLS
THERMOST.ATHeat Plug Vent Size
Valve /'?? R_ KIND OF LINE SIZE NONE
Limit /?/ `'n, e?b ? Droh Hood ?,oV Regularor
Limit SeHing 7d U? Filters SizeZ? T.^?Num6er 1
Fan SeNing Chimnay Location Inzids y Outsids
?
Pilot Typa Chimney Construction / ?' ?
Pilot Make
,,/
/v e
Pilot Model Smoke 6om6 Wiring
Pilot Timing Drah 66D 0j Test Tag
L.W. Cut OEf ^
Doar Pressure Lighting Inst.
y !
Prossure Percent CO? f
b Date Tested ?
ZZ '- I ? -
Input CFH Percant Oz Company Testi g
$tack Temp. Percenf CO ? Nams of Tester G, f ? 6A?ni
DATE HTG. INST
,C 9 &? ?M Gr/ou?? ?'
_CITY `??SUBURB
INSTALLED BY
Goa Line By e ? • t
Form 235
?
32364
p
9 t j'L ? i
Request Da[e
?wa? / Frte No Rough-in InsOecuon
qeqmretlP
eady Now _ Will Nohty Inspector
R
tl
+
Wh
K 9 Ves C N. en
ea
y
I X6censed contractor D owner hereby request inspection of above electrical work al:
Job AOaress fSVeat Bax or Roule Na I
!3 A-1 t?e ? ?.. ?? Gq
.?'?lr ? ?
Sec?ion No Township Name or No Range No. Counry
I L-/ - *4 33
Ocwpant IPRINTf Pnone N.
sa t?o 7 N ??'a N 13 4 $ y ?
Power SuppLer qatlress
D4I(
o f N s
Eladncal acmr IGOmpany Name) C. do,'s License No
I GN l?ac./ ??2 c
7c
, ( c
?7
D 6
-
...
Maiing ACtlress iCo vaclor or pwne Makinq Ins*allauon)
tl S ,o- aol ? ? CJ
Aumonzetl Si nvacmnOwner n?ng In tion)
r?.,? Phone Number
MINNESO6 STATE,tSARD DF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-MlEway 91pg - Room 5-113 Ir ?? ??? BE ACCEPTED Bv THE STATE BOARD
1821 Umverslry Pve, SI Paul. MN 55106 UNLESS PROPEF INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED
$??/?` REQUEST FOR ELECTRICAL INSPECTION
le 5=a mslmchons fi? comple0nq mis lorm on Dpck ol yellow copy
Q'M-?j Q, ? "X" Below Work Covered by rhis Requesf
x^!?,vy?.
Z EB-000o1A8
;-.
ew A$d Rep" ° 7ypeolBUtltlmg ApphancesWiretl EqwpmentWued
Home Range Temporary Sermce
Duplex Water Heater Electric Heahng
Apt. Bwlding Dryer Oiher (Specify)
Comm /induslrial Furnace
Farm ' Air Conditioner
Otner(syecify) GonVactors Remarks
Compute Inspecnon Fee Below'
n Oiher Fee # Serv iceEntr2nceSize Fee # Circwts/Feedew Fee
Swimming Pool 0 to 200 Amps 0 ro 100 Amps
Transformers A6ove 200 _ Amps ve 700 _ Amp
Si9n5 Inspecbr's Use On1y T?T/1
Irngahon 8ooms ?
/
Special InspeGhon
Alarm/Communicatwn THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee Q HIN ONTHS.
COMPLE
I, the Eledncal Inspector, hereby Ro°9n-'"
7 oa+e
cerhfy that the above inspection has
been made
F,,,ai
-
oa
USE JNLY
OFFICE
TM1is request voia 18 momM1S from
Address: 3764 gp,ygEETM LANE Lot 9 Blk j Sec/Sub THE WOODLANDg 30
These items were/were not complete at the time of the final inspection.
$ 27 q1 Yes No
Final grade (6" from siding) ('
Permanent steps - garage
Permanent steps - main entry
Permanent driveway ?
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch ?
Basement finish
Deck
Please vari£y with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. ?`?
ucrtuoaRn
White - City copy Yellow - Resident copy Pink • Contractor copy
• CITY OF EAGAN Np , - 19157,
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 ? ? 3--?
Receipt #
7o be used for SF DWG/GAR Est. V
$174,000
Site Address 3764 BAYBERRY LN
Lot 9 Block 1 Sec/Sub. THE WOODLANDS 3R
Parcel No.
w Name SCHUTROP HOMES
o Address 16361 BAYWOOD LN
Ciry EDEN PRAIRIE phone 934-8933
to Name SAME I
gQ Address
? City Phone
Name _
Address
CISY -
Phone
I hereby acknowleqe that I have read this apphcatwn and state that the
inlormation is correct and agrea to comply with all applicable State ol
Minnesota Statules and City ol Eaqan Ordinances.
Signature of Permitee
A Builtling Permil is issued to: SCHl1TROP HOME
on the ezpress condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and Ciry ot Eagan Ordinances
Building Offiaal
ts9]--
? OFFICE USE ONLY
Occupancy R-3 M-1 FEES
zoning R-1
(Actuap Const V-N Bldg. Permit 899.0
0
(Allowa6le) V-N Surcharge 87.0
n
k of stoAes
66 '
Plan Review
584.00
Length
Dapih 38' SAQ City 100.00
S.F 7atal - SAC, MCWCC 650.00
S.F. Foolprints _
On Sne Sawage _ water Conn 660.0
0
On Sne Well Water Meter 95.00
MWCC Syslem X
3
City Waler x Aat Oeposit 0.00
PRV Required _ SM Permil 30.00
eooster Pump - SAN Surcharge
0
.5
Treatmenl PI 7 7 fi.(10
AVPROVALS RoadUnit 370.00
Planner - park Ded.
Council
BIdg.OiL _ Copies
Variance - TOTAL
?
3,781.5
PERIVIIT
• CfTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMITTYPE: Buz?orn?
Perm it Number: 031502
Date Issued: 0 3/ 0 6 J 9 8
3764 BAYBERRY IANE
LOT: 9 BLOCK: 1
THE WOODLANDS 3RD
P.I.N.: 10-75878-090-01
DESCRIPTION:
NO BEDROOMS
rBuildin4,Permit Type
d?Buildlng 4o7ype
r_
G.en,sur Gods
c
a..: -A.
BASEMENT FINISH
ALTERATIDN
434 AL7. RESIDENTIAL
'?I?'"t?"`? l,l ''
c'
?i";iru?,``?J?? )i
REMARKS:
CAIL 445-2840 FOR ELECTRICAL INSPECTIONS
SEPARATE INSPECTIONS REQUIRED FOR PLBG AND ELEC7RICAL WORK.
FEE SU A :
Base Fee
Surcharge
.:- Total Fee
$50.00
$50.50
CONTRACTOR: OWNER:
- Applicent - ST. L2C.
P4TER50N CONST, CARL 16886564 0004275 HOGAN KEVIN
1574 LAKEVIEW CURVE 3764 BAYBERRY LANE
EAGAN MN 55122 EAGAN MN 55121
C612) 688-6564 (612)454-2296
I I herebq acknowledge that I have rread ?hi;s
3nfiorfnation is cbrrec't`an'd agtl`eba 'Oortiply'.
L Statutes and City, oF-Ea9anQr-dimanbe8.
APPL CANT/PERMITEE SIGNATURE
[cation and state thatthe
?`a?'1'eppli&akike SCbt? +?fi "Min.
.?oua ST a
ISSUED B : ATURE
Mk?%??XX:XS?tiklnW.9Y.MYdYd?:?C?t 'M?kh4X'?kk'n[ktYF?R987K?k:#Y,+???( Y,;Yi?'?tv,t5,e
(:;ITY OF EF§GnN
CASHIEF:; S 7C:12MTNtll.. Nfla 76P.
[7ATT:: 09/II6/90 l"f.M[;: l(5eUs?5
:[D;
NMr,: i?nr!. a Pr.:.rF::r;soN
Wn 9001 3764 C+A'lBEi:f,FtV L 5[].I:10
'r?t`-;i 3001 :3764 L;AYRf-.:RR'( I._ Ll.`_iD
4
Tota'.I. Rec.ei.p,: nR;ount: 50,.5n
rRr;)g70£3`;
USG:R ISi^ NANCV
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
crry oF ?GAN
? 3830 PII.OT KNOB RD - 55122
bs i-ab76 1
New Constrvction Reauirementa RamodeUReoair ReauiremeMs
? 3 rogistered site surveys
? 2 copres of plans (incluCe beam 8 window saea; poured fid. design; etc.)
? 1 energy ealaletfons
• 3 eopies oi trea preaervation plan H bt platled eRer 7l1/93
required: _Yes _ No
DATE: r2 -a(P - ?16?
DESCRIPTION OF WORK: ?ast snPh ? ?!? ? i
? 2 cropbs of plan '
? 2 aRe suneys (exterlor additions 6 decks)
? 1 energy calatlationa for heated addkions
CONSTRUCTION COST;
11
S6 ?
C9L A'o
STREET ADDRESS: ?-7 6 y 6e ?'v
1 H?
LOT: GI BLOCK: SUBD./P.I.D. #?t?Q /?
(?? n-o-Q llAML ?
Name: Phone #: ?/-T Y- o?a 96
PROPERT'Y Last Fimt '
OWNER
StreetAddress: ?-7?y
G .
City State: ? Zip:
?
Company: C.Rd rt 41ifPhone#: 6 re -y
CONTRACTOR i
Street Address: / S7 U LR kG?"Asj License #_
City E?t9a? State: MAJ Zip:
-I
nxcfuTEcri
ENGINEER
Name:
Street
CiTy
State:
, Phone #:
Registration #: _
" Zip:
Sewer & water licensed plumber (new construction ony): . Penally appiies 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 infortnation is correct and agree to compy with all applicabl
State oi Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preserva6on Plan Received _ Yes _ No _ Not
Zaa '7 _r
S'S / 2. Z
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
O 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New X 33 Afterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual) _
(Allowable)
UBC Occupancy
2oning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging )Zr 16 Basement Finish
0 12 Multi RepaiNRem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Faciliry
? 14 Fireplace O 21 Miscelianeous
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Pianning Building
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other .
CopieS
Totai:-.
% SAC?? ?
MC/WS System ?
City Water /
Fire Sprinklered
PRV
Booster Pump
Census Code. ?f
SAC Code r? (
Census Bldg I
Census Unit o
AAf3 Engineering
Valuation: $
L q BL I CITY USE ONLY
^
SUBD.,'„A.? W(Y94" Jo?
RECEIPT#:_ 917jd''a
RECEIPT DATE: I d r1
1998 PLUMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT I4NOB RD EAGAN, NA7 55122
(612) 681-4675
Please complete for.
FIXTURES
Shower
Water Closet
Bath Tuh
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
? single family dwellings
D townhomes and condos when permits are required for each unit
? backFlow preventer for underground sprinkler system
Floor Drain
G8s Piping Outlet ' minimum -1
Rough Openings
Water Softener `for dwellings under construction
Water Softener ` for existing dwelling
U.G. Sprinkler ` far dwelling under wnst.
U.G. Sprinkler ' for existing dwelling
Alterations ? to existing residence
Water Turn Around
Private Disposal System ' MPC iic. i
(new and refurbished systems)
Private Disposal Systems' Anandonment
EACH # TOTAL
3.00 x, _
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x
1.50 x =
5.00 x =
20.00 x =
3.00 =
20.00 =
20.00 =
20.00 =
75.00 =
20.00 =
STATE SURCHARGE 50
S
?
TOTAL
-
I hereby edcnowledge that I hsve read this application, state that the iriformation is carrect, end agree to comply wRh all applicable Cily of Eegan ordinances.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liebiliry for any damages caused by the Cdy during its
nortnal operationaf and maintenance activRies to the facilities wnstructed under this permk wkhin City property/rightof-wayleasement.
SITE ADDRESS: 376 y ???
OWNER NAME: I?Cvi%+ 9
INSTALLER NAME: JZ TELEPHONE #:
STREETADDRESS: /S7y CqIcQ?,,ircJ Cu,- &a-
CITY: STATE: A'rA? ZIP: Sr72-?-
C?
SIGNATURE OF PERMITTEE
JS/FORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998
.= 1991 BIIILDING 7ERMIT APPLICATION ?
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL ?J
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURA Ly
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS ?
1 SET OF ENERGY CALCUTATIONS (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.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSIIED.
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 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Snn? ?Valuation: ? Date: S-OVL-9 I
Site Address ?YO LAI{'L.liJ J-Il
Lot ? Block I
Parcel/ub wox0.WcL
Owner I ' )AJW ??^'gc???? •
Address 300(o DtU-q??
City/Zip Code
Phone C.??? - Z.C7'? G7
Contractor
Address 1 tz, 3 b i c7
City/Zip Code eFkJ?, v-k
Phone Q ?? '29 3 ?
Arch./Engr. 21??O?VA
Address
City/Zip Code ilpy ?.C
Phone
OFFICE USE ONLY
/7? ooo ?
Occupancy
Zoning
Actual Const y-N
Allowable V'fJ
# of stories
Length (o(oT-
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _Iel
City water ?
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. S-Z?f9(
Variance
d ? w =
FEES
OJ
Bldg. Permit O( r?
Surcharge ,Do
Plan Review ,5'Sy,o0
SAC, City I OU,OJ
SAC, MWCC ,O O
Water Conn. 660100
Water Meter UJ
Acct. Deposi t a'a,0o
S/w Permit 3o,Du
S/W Surcharge 5-0
Treatment Pl . 296,00
Road Unit ?7D.JJ
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change ?
TOTAL
agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
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yo? 2o = 1120
5x czy' 12?
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Z oo FL-co (1-
,G(p ? 2 $ = 117,0
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f c,?,??.6 = 3 G N x?? _
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SlTE ARDRESS- L-a+ ? I -RV11 ? Lj o ox Iq,+,l?
CONTitACTOR: _ ??.? ? ? ?.'rVK? ,,,? pp7g; s y?
p"DNE•
__
OETERNIkE kORKING 50UAREfOOTACE pF EACH:
1. TOTAL EXPpSED WALL AREA„i,,,,, ?3te &a=• sq f t x"U" •11 Z?
2. TOTAL RODF/CElLlNG AREd,.,. :q ft x "U" •026 --
?
9
3."-TOTAL ExPOSED WALL AREA CAICULATIONSi .
¦ 3?
Total exposed Hall
•rea above floor,,,,,,,, .? 3?
Iq ft
y
a) Tota) He11 windaa area:
' ? 41¦zed...... :q fc xiluo,
glezed .._
„
.... sq ft x Ifull
.---
"
----?„
b) Total doar area sq ft x"U'l
t) Toka) slTdinq gTass door AflA: '
,
"2G,.
k ,
la
d
.
g
xe
..,... sq ft x$fUn
9lezed
Y
...... ` l
sq ft x"U's
d} Total ffreplacewell area a?o sq ft x'R1"
Q
S
e) 7otal wa11 freming erea ao
,
(Avereae lOr) .......... 3 3 ? sy ft x rrU" I /
f) Total net weil area a6ove
flovr (Insulated)......, c;L-q/5_ ? sq ft x"U"
91 Totei rim Jolst AreA...... li4 ft x"U"
Totel foundatfon
arta (Exposed)...... ...,_ sq ft
h) Total foundation ,
wlndoH •rea ............. ? ,,..._ sq ft x ritill 16
1) toW naC fourtdatlon '' ,.,.
,
aree abnve 4rade........
tq ft xI41$, b?
8, (?$•
.
.
3. TAtAI a) thru II .
? 3 L4
lf Item #3 Is the same'N'ss or less than Icem A1, you have met the lntent oF
2 MCAR 1,16008 Aaad 0, ,
.., .. . _.,. _.., ..,., ...?., _..........,,.._,. .. ,,.._,. «. .
. : aa.??,i Fege 3
, , , .. , r ii.'..s.?•.+",?,' 4.: ?,'+?,',? ' ? i ? , .4. ? ';1 :•si
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S-URVEYOR'S
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E?Ey?IRON
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CERTIFICATE SCHUTROP CoNST.
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- 91.22
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? ?DRAINPGE d UTILI:Ty
FASEMENT ? I
? LOTPER PlAT9
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20 PROPOSED m?
ORI VE Wqy
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BAYBERRY LANE ?
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- NOTE: BUIDING OIMFNSIONS SHOWN ARE PoR FpRIZONTqI
' ., .9 VERTICAL LOCATION OF STRUCTURE ONLY..SEE.
so---
DENOTES PROPOSED SURFACE DRAINAGE ARCHI7ECTUAL PLIWS FOfi BUI
DIMENSIONS. LDING H FOUNpA710N
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - qgq,Z FEEf
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - gg2.l FEEf
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - SyO,Z. FEET
WE HEREBY CERTIFY TO SCHUTROP CONST. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 9, 81ock I, THE WOODLANDS THIRD ADDITION, according to ihe recorded
plat thereof, Dakota County, Minnesota.
IT DOES NOT pIJRPQRT TO SHOW IMPROVFMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS20TH DAY OF M AY 11991.
NOTE: NO SPECIFlC SOILS INVESTIGATION
NAS BEEN COMPLETm ON THIS
LOT 6Y THE.SURVEYOR. THE
SUITABILITY OF SOILS TO SUFPORf
THE SPECIFlC HOUSE PROPOSED
IS NOTTHE RESPONSIBdITY OF
THE SURJEYOR.
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R. HILL, INC.
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 o BURNSVILLE, MN. 55337 o 612-880-6044
BENCM MARK
70P OFIXON
lLEV.+aa6.to
M A Y- 2 1 - 9 1 T U E 1 1: S 5 BE M N E T T L U M 8 E R P.02
?. ToYAI ExpaSED ROOF/CEILIHr CALCULn71oN5: ' Totel expased .
roof/ce 11 ing irca ... ....._ j??04• sq f t
J) 7ota1 skyllpht srea ....... 1" sq ft k "U" 'Ar
k) Tntal roof/eelllnq fiaming
(A ?
j yP . "
"
rrea
vereae inl),,,,,, .) sq ft x U r..?..
11
„ '7osa1 net Insulated
roaf/cellinq area....... '3?? ,
94
ft x
"U" .
.-_.._-.
qd'4°v
4• -,?..
TOTAL j) thru 1)
3,7
If totai of /R is the tame es, ar tess than A2, you have met the (nLent of
Z MCAR 1 .16008 A and 0.
? AI.TERtlAtE BUILDING ENYELOPE DESIGN
To utiltze #he totat onvelope system n,ethod, the values estebltehed hy the sum
of Itcmx !; and 04 shat) nat be greeter thart Lhe tum of ttems /1 and 02,
l. 3 70?2- %,w
3. +#. tO?a,7? , . ?7(0
CERTIFICATlON .
1 hereby eerLify that 1 have telculatad the "tl" factor• and "R"
vaiues hcretn and that the bulldlnn here destrlbnd meets nr exceeds the State
of Htnnesota Enerpy Contervatfon Aet.
ure
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e;,. t?,•'•. ::L•. . ..
(Data)
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T U E 1 1: S 7 H E N N E T T L U M B E R P. 0 3
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CU1t5TRU`CtION
1JALL FRAHING SECTION;
u • t/a •
WALL SECTION (INSULATED)
--?? lnterlor slr P1
--------{.1 ?S
4 --??
-~^? 5 ? •,
u - I/R a ,o
RIH JOIST SBCTIOfl:
----(i Interlor
2
---`--( 3 ?
-'?--lb Exterler ?
FOUkDAT]ON INSULATIOfI REQUIRED:
Min. R-5 on entire wa31 OR
` U¦ 1/R ¦
Min. R-10 down to frost ae
pth
F6UNDATION SEC7i0N;
1 Interior alr film n,hq
2 "
3 L-tb
4 E
xter or e r m n. 7
/
TQTAL R a 13?3
? U - I/R ¦
SLAB ON GRADE
; • 'ta ',; %;0 ?,• `"•.'.d'?ft
._d..•••. . ;., ..,•..1
Unheated Slabs:
Minimum R - 6.2
Mruv-2 i-9 i
P . 0 4
CONSTRUC7II}N I A VALUC
CEILIHq SECTIOH (INSULATED):
1 Interlor alr film n;RI
2
3
4 Extcriar air fllm stll! ' n,Kl
TO7AL R -
TUE 1 1 7 S 7 B Eh,i hJETT LUMRER
U - 1/R ¦
?
• .?;C?;;.T?+.tiz: ??`r?i??7?:="`,f:,sca--?
? - ?..,r..i^. ?•?.,r;- 'fi? .n
.?!?? ?`'i ?? x? 4,t •?' ? l ir?r?? ;'yi 1, ?, F. 11
Yr`.,. ??.,UA
L ?- - ._
` FNTED
CEILIHf, FRAMING SECT16N:
1 Interfor elr film n,61
P .S? S a-}- t.S,a b
3 L ??n¢Q.??.+?- i_i
4 TterTTor aTr f I'? till) n. 61
S InCheS So t woOA
70TAL A - i I
U ¦ 1/R . ,J4v
CEII,ING SEf.TION (INSULATED ??? ?G•?
1' Interior eir FT1?n 7' ? ?.F1
Z
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s
A f.xterlor a r'fTTn (?stii n.
I
OTAL R a f1
U a 1/R W'?LL
CEILINr, pRqMltIr, SECTIQN.
a.F1
1. Interior atr film
z
3
4 Exter or a r film st il n. 1
S nches So t wood
TOTAL R ¦ ?,,,,,.
U= 1/R- ?
?
1 _Inside air film n.Fl
2
3 '
4
; puts de a r i m n, ?
TOIAI, R m -
U• i/R+,
Pe$e 4
PERMIT # l g/,) ,
REACTIVATE
w
CITY OF EAGAN
1992 BUILDING PERMIT
681-0675 ,
OS, so c?"e,
APPLICATION
,J?? 1 ? RECO
SINGLE & MULTI-FMIILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uest'ed once ermit is issued.
Date / / Valuation of work 0? ZAOo
Site Address: "7(?q I_?, ? &L5=c2? ,
SlREET i I7E N
Tenant Name: (commercial only)
IAT L BIACK ? SUSD. ? f W6046615 3? P,I.D. N
Descri tion of work: 'fG • xl
The a licant is: 0 Owner Gd'?ntr '
PP Co actor O Other (Deseribe)
Name Da,,i Phane
Property CA5T FIRST
Owner
Address
STREET STE N
City ?C'L?.?=? State V\, Zip SS?LI
Company Phone CfZtl ?c
COntfBCtOC Address 1_61,6I License # 000hW';x
City !j&_L>-.> Qrt ir-C State VkAkA. Zip
Company Phone
Architect/
Engineer Name Registration ri
Address
City 5tate Zip
Sewer 3 water licensed plumber Processing time for
sewer & Nater permits is two days once area has een approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
El 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
10 31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
O 08 8-Plex
O 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
O 14 Fireplace
ID 15 Deck
O 35 Tenant finish
O 36 Move
w „ •
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
0 21 Miscellaneous
[3 37 Demolish
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC 8ccupancy
Zoning
N of Stories
Length
Depth
APPROVALS
Planning
Engineering
REDUIRED INSPECTIONS
0 Site
? Mallboard
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Mater Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcfiarge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
Basement sq. ft. MWCC System
lst F1. sq. ft. City Water
2nd F1. sq. ft. PRV Required
Sq. Ft. total Booster Pump
Footprint Sq. ft. Fire Sprinkler
On-site well Census Code
On-site sewage SAC Code
Building Assessments
Variance
0 Footing
0 Final
ValLetian:
. sv
SAC %
SAC Units
. ,CVEYOR'S CERTIFICATE SCHUTROP CONST.
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PR0I?SED m ?
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? ?DRAINPGE 6 UTIIITY ? I
FASEMENT PER PLAT
I LOT 9 ?,
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6AYBERRY
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Q tOP OF IflON
? ?p ucv.•esa.sa
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Ro8 ?# ,
?$ ., ?,
LANE ?
. ? ----
??U? ?:ti
?--- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 OENOTES EXISTING ELEVATION
(000.0) D?NOTES PROPOSED ELEVATION
I`,
i
?
NOTE: BULDING DIMENSIONS SHqMN ARE FOR FpRIZONTAI
•. 9 VERTICAL LOCATIDN OF S7RUCTURE ONI.Y..SEE.
ARCHITECfUAL PLl?IiS FOR BUILOING B FOUNDATICN
DIMENSIONS.
SCALE: 1 INCH - 30 FEET
PROPOSED GARAGE FLOOR - ??j9,4? FEET
PROPOSED LOWEST FLOOFi - gg2.1 FEET
PROPOSED TOP OF BLOCK- S90,Z FEET
WE HEREBY CERTIFY TO SCHUTROP CONST. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 9, Block I, THE WOODLANDS THIRD ADDITION, according To The recorded
plai thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVFMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS20TH DAY OF MAY , 1991 .
NOTE? NO SPECIFlC SOLLS INVESTIGATION
HAS BEEN COMPLETm ON THIS
LAT BY THE SURVEYOR. 7HE
SUITABIL?TY OF SOILS TO SUPPQRf
THE SPECIFlC HOUSE PROPOSED
IS NOT 7HE RESPONSIB?ITY OF
THE SURJEYOR.
SIGNE??JAME$ R. HILL, INC
8? ? 6
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
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James R. Hi , inc.
PLANNERS I ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 ? BURNSVILLE, MN. 55337 • 612•890-6044
QI
n
s-`•` a n?L \
I -?,,j 5r,S5 _03? '?D
CITY OF EAGAN
3830 PILOT ICNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
kgCoNI??
FOR CITY USE ONLY
PERMIT #
RECEIPT _--
DATE: 9)
?ESZA??TZAIs:; PLEASE COMPLETE IIPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WDRK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME: CR+i57-
SITE ADDRESS: 37&'Y
?,../ f?IAT:BIACK ? SUBD., O%IiaQ.
INSTALLER
wenzEL HEAT11dG & AIR CONBITIONINQ
ADDRESS: » SHAWhEE ROAD• EAGAN MN
. -2665
CITY: ZIP:
PHONE #: ?IS-d ' a
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.0
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $,-!:;)7•
STATE SURCHARGE: .50
So
TOTAL: $ 07• -
SIGNATURE PERMITTEE
i.?MM1".liG?AL` 7.i?11?FUoTToili?F FI,EASE i.GMPI.nIr'. THIS PuRTIOfi FGk ALL COMMERC1ALjINDUSTRIAL BUILDINGS,
?<... ?.:.,:... ? ....... ..:.:..
APARTMENT BUILDINGS, AND MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLSNG UNIT.
CONTRACT PRICE:
OWNER NAME:
ST.TE tDDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
ZIP:
----- _---------- ---_____---
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE a $.50 FOR
EnCit $i,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
CZTY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
... .......
. . . .. ..
?P?'xj?G,: Pwz
MSIY1MIw
SIGNATURE OF PERMITTEE
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME: SC-MN 1P.,n"P ?'?Sl •
SITE ADDRESS^ ?-A1A
LOT: -/ BLOCK ? SUBD. ?11P ?da?-?iw?d ?rc)
INSTALLER: C> L& R. /, ADDRESS: 3) S7 57 L?
CITY: ? d°PL E ? A ZIP:
PHONE #:
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
I SHOWER 3.00 v? . w
3 WATER CLOSET 3.00 -nl,w
? BATH TUB 3.00 6,. i)3
? LAVATORY 3.00 1!;, w
? KITCHEN SINK 3.00 3 IsL
? LAUNDRY TRAY 3.00 3.w
--- HOT TUB/SPA 3.00
? WATER HEATER 3.00 .?.?-p
? FLOOR DRAIN 3.00 3,w
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 z P
? ROUGH OPENINGS 1.50 ? $ ti
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S S ?. SD
ST. SURCHARGE .50
TOTAL: S SJ• U?
?pMMERG2ALfiFIDUSTRTALs PLEASE COMPLETE THIS PORTION FOR ALL COMMERC IAL/INDUS TRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
SITE ADDRESS:
LDT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FOR CITY USE ONLY
PERMIT #
RECEIPT # G?
DATE:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE e $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
r/3 03
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2006 RESIDENTIAL PLUMBING PeRnmr aPPUCaTion?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
I D?ate 14 062
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Site Street Address Unit #
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PropertyOwner???Yfl(IIIV?%?V'?CU t'FS ai'1 Telephone# (65J) ?2--L?'ISa
Con[rector S c? Telephone #((?5(
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II Address I City .? StateIWN Zip
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The Applicant is: _ Owner ? Contractor _Other
Refurbished Submit 2 sets of plans and MPC license
New
Septic System Includes County fee
_
_ $ 100.00
Per as-bwlt $ 10.00
?I Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are insfalling onlv a wafer softener and/or water
li heaier, do not complete this section; move to the next section and check the
I. appliance(s) you are installiny
?
_Septic System Abandonment i
_Water Turnaround (add $130.00 if a 5/8" meter is reqwred)
?I
Other
_
?
Water Softener X-? Water Heater I
$ 15.00
new \?o replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
I
State 5urcharge
$ 50
'
I Total ?1??50
I hereby apply for a Residential Plumbing Permit and acknowledge that the intormation is compiete ana accurace; mac me
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a perrnit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is requir" tp be reviewed and approved.
ApplicanYs Printed Name Applicaht's Signature
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Use BLUE or BLACK Ink
-----------------
I For Office Use R l
•' Permit#: L
City of Ea a� I I
E I Permit Fee: 1 I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: l
Phone: (651)675-5675 I I
Fax: (651)675-5684 I Staff:
Jutbl 0 3 2016 '----------- --
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
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Date: - -,2() 4 Site Address: °1 t.X-o. ��Y ' Unit#: 11y,
Name: tic° i V\, —)l- /Or, i .l �`10 r; c.%f\ Phone:-661
Resident/
Address/Cit /Zi �'� t.. .�� any „J '
Owner Y p: �j� � . � S°.
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Applicant is: Owner � Contractor �-
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Description of work: r
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T YP e of Work - �
Construction Cost: 0 Multi-Family Building (Yes !No i.° )
z lii(,C Contact:( tSr e6 t jDLA) \
Contractor Address: �� L V�+-J ' City: �'f` ', v lr
State: I-V Zi p: Phone:
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t° mail: Ji^. r
License#: L Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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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: g
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NC?TE;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 theare trade secrets. i
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.orr
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 Building Code must be completed within 180
days of permit issuance. /
xc' ra l3 tl V x ..c / L.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
a I
DO NOT WRITE BELOW THIS LINE
SUB TYPES -�-i I
_ Foundation _ Fireplace _ Porch(3-Seaso)I) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/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 G� G'C,. `^ Occupancy C-1 MCES System
Plan Review Code Edition jt`1.-i t Hi s- SAC Units
(25%_ 100%ri") Zoning k t City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 4� Width
REQUIRED 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
—)�L 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 Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: f ti,Jo� `l� li-r�YF , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
y • �
XV E YO R'S CERTIFICATE SCHUTROP CONST.
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240 - j i
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180 ."r �
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9ENCN VARK �_- 2667 ~ -3933
TOP Oar
1:0"
ELEV.:s a i 'o (989.5)
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^BENCH MARK
1OP OF IRON
^. (p eLEV.•esa.ao
20 OR1VEWAEYD
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_ 64.0?' 10
8 YBERRY LANE
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JERG IN
NOTE; BULGING DIMENSIONS SHOWN ARE FOR HORIZONT/
8 VERTICAL LOCATION OF STRUCTURE ONLY..SEE,
ARCHITECTUAL K.gNS FOR BUILDING & FOUNDATIOI
------ DENOTES PROPOSED SURFACE DRAINAGE DIMENSIONS.
O DENOTES IRON MONUMENT SET SCALE: 1 INCH — 30 FEET
! DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR -• gbq,b FEET
XOOO.O DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR — g8Z.I FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK— 890,Z FEET
WE HEREBY CERTIFY TO SCHUTROP CONST. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 9, Block 1, THE WOODLANDS THIRD ADDITION, according to the recorded
plot thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152786
Date Issued:10/31/2018
Permit Category:ePermit
Site Address: 3764 Bayberry Lane
Lot:9 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-090
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
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 G Hogan
3764 Bayberry Lane
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179031
Date Issued:09/15/2022
Permit Category:ePermit
Site Address: 3764 Bayberry Lane
Lot:9 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-090
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kevin G & Nancy M Hogan
3764 Bayberry Ln
Saint Paul MN 55123--242
Garlock French Roofing
2301 E 25th St
Minneapolis MN 55406
(612) 722-7129
Applicant/Permitee: Signature Issued By: Signature