3769 Bayberry LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3769 Bayberry Lane
Lot: 2 Block: 1 Addition: The Woodlands 3rd
PID:10- 75878- 020 -01
Use:
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Comments:
Fee Summary:
Contractor:
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746 -5200
Quesetions regarding electrical permit
952- 445 -2840
CRAIG ANGELL
12253 NICOLLET AVE. S.
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Christophe R Butler
3769 Bayberry Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Elec
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA081252
11/27/2007
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
& WATtR pERMIT
3830 Pilot Knob Rd.
Eagan, Mfv55122-1897
DATE MAY 29. 1.991
OfFICE USE ONLY
METER # V?qY-0-73o pERMIT DATE (15/30/91
CHIP # 11 Z6 <11' 36 F ? PERMIT # 1.2 015
METER SIZE ' sPt'Su B.P. RECEIPT # G 13652
ISSUE DATE B.P. RECEIPT DATE 05124/91
_ PRV - BOOSTER PUMP
SITE ADDRESS 1769 '•?A?'I;?.' t; :' I-1V
LOT 2 BLOCK t SECISUB T!'.i W170Di.ANDS 3RD
APPLICANT:.
ADDRESS: _
CITY, STATE
PHONE
PERMIT REGIUESTED
x SEWER X WATER - TAPS
_ COMM/IND -RESIDENTIAL
ZIP X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: HATTt1EW DANIFLS INC Ahead of Domestic Meters on Water Line.
ADDRESS: 1.5185 CAtZ0U5EL WAY Credit W1LL NOT be giVen for Deduct Meters.
CITY, STATE zZOSEMO[I11T MN ZIP 5 5068
PHONE:
I AGREE TO COMPLY WITH CITY OF
OWNER: h A YOT iiCMES TNC EAGAN ORDINANCES
ADDRESS: 7901 UPPER tiAM1.ET CT
CITY, STATE APpLL• VALI.isY MN Zip 55124
PHONE: 697-c513 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSlNG. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
. • .,
v . ? a
-elf
(gtxttfirate uf (Orrupattry
Citp of tagan
Dpp81'biiptd id wlitldUtg 3wPttWt't
T7rfs Ca?i/'icale Luuedpursaairt to lhe requinemenls af Seruon 306 of the Urdjorm BuUng
Code certifying 1hat a[ lhe lime ojissuance disoruemre was fn conrp!&raae with the wriaus
onlinanoa of 1he CitY regulaA'vt8 bur7dinS cbnstruadoR or «se- Far the foUowing:
uk c6am-" SF WQ5AR mas na W -3$I-22
?-
?Pa7 R 3 Liri-- Z°°i°g Dis? -?o I Typc C--V N
Owserd8ieldio?? ?• vn!r nnuoe rvn Ad&- 7904 UPP$R H'?ac arvi
POST IN A OONSPICUQUS PIACE
DATE:
Ml?Y 30, 1491
? • Wu
Rr=: 3769 BAYBERRY LN (R A KOT HOMES I[+1C)
x 'Your Sewer & Water Permit for 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 PERMANENT WATER TURN 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 until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CAIL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMEN7 DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
? . . " CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 g''
PHONE: 454-8100 _
- BUILDING PERMIT Receipt # - - -
To be used for aT DVG CAfi Est. Value =1 SZ 000 Oate-_!!AY 29 . 1991
Site Address 3769 EAYBEg8Y L1i
Lot 2 Block _I Sec/Sub. 3 OFFlCE USE ONLY
P8fC21 N0. Occupancy ?3 111?1 FEES
Zoning J?--1
W Name R A KOT HO1?ES INC (aauaq const Y? Bldg. Permit 924 _AA
? Address 7901 l1MR HAHI.ST C? (Albwable) "y gu?charge
City APr1.E VALLEY Phone 687-9513 * ot stodes -
Length AV I Plan Review 334.00
? Name QAMN Oepth .?? SAC, City 1nA-00
ou 4C Address s.F.7aal -
City Phone S.F. Footprints _ SAC, MCWCC ???-?
F On Site Sewage _ Water Conn 660-AA
W W Name on site weu -
w Water Meter 9s-?
? ; Address Mwcc system _lL
<W City Phone City Water X ?ct. DePosit 30•?
PRV Required S/W Permit 10-00
I hereby acknowlege Ihat I have read this application and state that the Baoster Pump - Styy Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City ot Eagan drdinanges, Treatmenl PI 276-W
5ignature of Permitee APPROVALS Road Unit 370.Od
A Building Permit is issued to: R AKM HOM TNC Planner - park Ded.
on the express condition that all work shall be done in accordance wlth all Council
applicable State of Minnesota Statules and City of Eagan Ordinances. gldg. pN. _ Copies
BuildingOfticial _ VarkV" - TOTAL 3•643•?
i
Permft No. PermN Holder Date Telephone #
WATER 020I /
SEIkER
P?UM81NG
HN.p,.C.
EIECTRIC v 7 / ?
Inspectian Date Insp. Commenta
Footings I (
Foundation
Framing
As
Roofing -
Rough Plbg. , l Y
Rough Htg.
Isul.
Fireplace
7?/S
Final Htg. ?-Z?• 9?
Orsiat Test
Final Plbg. Zg ? D?. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final ? 2s-9/ I9v aS • J-„`?G'?c??"?'
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
L I
Rd.
?;
DATE '1AY 29_ 1991
METER # -
CHtP # -
METER SIZE
ISSUE DATE
SITE ADDRESS "°7 `.,9 bf11LF`.R i LN'
LOT A- BLOCK I • SEC/SUB rliE W04DI.AKDS 3RD
APPUCANT:
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER, KA??'FiEM DAhI.ELS
ADDRESS: 15185 CAROU5EL WP.`.'
CITY, STATE KOS:;`s01'NT MN ZIp 55063
PHONE:
OWNER: _
ADDRESS:
CITY, STAI
PHONE: -
PLEASE ALLOW TWO WORKING DAYS FOR PRO
SEWER PERMITS, CONTACT ENGINEERING DEPT.
RAKOT
OFFICE USE ONLY
PERMIT DATE `' 15/30/g'i
PERMIT # 12019
B.P. RECEIPT # C 136::2
B.P. RECEIPT DATE (11122
_ PRV -. BOOSTER PUMP
PERMIT REOUESTED
? SEWER X WATER - TAPS
- COMM/IND ?- RESIDENTIAL
% NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit W1LL NOT be given for Deduct Meters.
?.
. , •-? .
---- i .
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
454-5220 FOR INSPECTIONS. FOR STORM
7- INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 'Eagan, Minnesota 55123 Date Issued:
(612) 687 -4675
SITE ADDRESS:
rv. , i:t 4 Ity f. AWf
? iNf 11+??)??1 ANli':,- tl-tif
'I PERMIT SUBTYPE:
APPLICANT:
ir, 11,
TYPE OF WORK:
11141 i'M41,. 1 1 1 ; Irrrsi
Permit No. Permlt Holder Date Telephone #
SJW
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Commenta
Footings 1
Foundatian
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg. zC
Deck Finaf S
Wetl
Pr. Disp.
Address: 3769 BAYBERRY LN Lot 2 Blkl Sec/Sub THE WOODLANDS 3RD
These items wexe/wete not complete at the time of the final inspection.
Ye5 No S k-23
Final grade (6" from siding) Ll? -rG 4?HiN w???3 ?a t?o ?r
1
Permanent steps - garage J 7
Permanent steps - main entry X_?
Permanent driveway ?
Permanent gas
Sod/seeded grass ?
Trail/curb damage
Porch ?
Basement finish
Deck
Please verify with the builder the removal of roof tast caps from the plumbing
system and the shut-off of vater supply to the outside lawn faucet be£ore
freeze potential exists. ?
White - City copy Yellow - Resident copy Pink - Contractor copy
Ile
p 04 88-4a_,
Requesl D.I. Fre No Rough-in Inspeclion
Reqmretl'
?eady Now 0 Will No9ty Inspector
Y. C No When Reatly?
IX hcensed contractor D owner hereby request mspeclion of above electncal work aT
Jo0 Adcress (Slreei Box a Rout ? Qry
??)?C .4YA¢'?lf?` .
2e, F G.An
Seclion No TownsM1io Name or No Range No- Counry
I -??7n
Occuoam IPftINT,
A Pnona Na
b-3 "1 -Ci,SL3
Power Suppher Aedress
D,4L C;ZA &Loc, F,4_,Cr., ?.zC,
Eler,ncal C vYO, (Company Namel GoNrector5 Licanse No
?SC L CTC( ?'L?L ' S
Meeing nadress IComracwr or owner Mekinq InstalleLoni
1s('3? /_n FAI&?n i
Authon ec eWre IConUaciorlOwn Making Installation?
/?.s-?c?1]r IPhone Number
MINNESOTA STATE BOIHD OF ELECTFICITV THIS iNSPeCTiON REQUEST WILL NOT
Griggs-Mitlway BIU9. - Hoom 5-173 BE ACCEPTEO BV THE STATE BOARD
1821 Ilniversity Ave , St Paul MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(61Y)602-OB00 ENGLOSED
REQUEST FOR ELECTRICAL INSPECTION
? See.pstmaions lor compiximg ihu lo;rn on back nl yellow mpY
? 04 "X" 8elow Work Covered by This Request ?"mI?
888
ew Adtl Rep. __
TypeofButlding AppliancesWired EqwpmentWired
Home Range emporary Service
Duplez Water Heater Elechic Heating
Apt Butlding Dryer Other (Speclfy)
Comm /Intlustrial Furnace
I Farm l Au Condi6oner
Otner (syeciry) ConVaqors Remarks
Compute Inspechon Fee Below:
# Other Fee # Sermce EniranceSrze Fee # Qrwrts/Peetlers Fee
ming Pool O to 200Amps 0 to 700 Amps
formers Above 200 _ Amps /+bove 100 Amps
W
S rospecrors Use Only TOTAL
e
fion Booms ? iCI 1 5 °G
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouqn-io ? oate
cernfy that the above inspection has
been made. F,,,ai Date ?
??dZ
OFFICE lISE ONLV
TNS repuest voic 18 months irom
/?ca/w
/
p 0 4 9 2 6
,
9equesl Date Fre No Rough-in Inspec0on
Reqmre0?
? Feady N. yZWill NoOy Inspector
7 k XVas C No When Ready?
I2!,licensed contracror ] owner hereby request mspec4on of above electncal work at.
Job Adaress (Slraet Bov or Route No )?A-1 -F Y1n Qry
n 6- q
$¢qmn NO TownSM1iD Ndme or No Range NO Counly
?r07A
Occupam (PRINT) Phone No
??n- ???.
PowerSu Atloress
'
ton
n c>
Eieclncai C ICOmpany Namel Conirecror5 Lcense No
R? " LERC? 5
Meiling Atltliess IContractor or Ow?nert Makmg Insla??atior)
?
?
. ?AG,An n . SSfZZ
??S2?tr'? 70
l??'
Authonzatl
naWre IGonVec[orlOi InStallaliom Phone Number
/
/. c,sS( L?[ fC c, . '?3-633z
MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REQtIEST WLLL NOT
Griggs-Mitlwey Bldg - Room 5473 BE AGGEPTED BY THE STATE 60AR0
1821 Umversiry Ave. 51 Paul. MN 55104 UNlE55 PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
r?/i1 q??/ REQUEST FOR ELECTRICAL INSPECTION ee-ooom-oe
?'Q? ? Sae insvuc[ons br conpletn?y P,is brm on bacr nl yeldw copy
6
?nQ q2R "X" Below Work Covered by This Request ??`•??
ew, AdC Rey? TypeofBuilding ApphancesWned EqmpmeniWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt Budding Dryer Other(Specify)
Comm./Indus[nal Furnace
Farm Air CondiM1Oner
Other?specJy) Con4aclors Remarks
Compute Inspecbon Fee 8elow.
# Olher Fee # Serwce EntranceSrze Fee M Circwts/Feeders Fee
Swimming Pool 0 to 200 AmpS 0 to 100 Amps
Transiormers Above 200 _ Amps Ahove 100 _ Amps
SigpS Inspecmr's Use Ony TOTAL
Irrigahon Booms ? S/• C ?t,??
Special Inspechon
Alarm/Communicahon TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee -50 COMPLETED WITHIN 18 M HS.
I, the Electncal Inspector, hereby Rouqn-io
!
certify ihat the above inspection has
been made
OFFICE USE ONLY
Tlns repuast voitl 10 mon[M1S Irom
0- W
80 ri 4 ? ':-*9
7
Requ st Date Fire N. ovgH-In Inspeclion Reqwretl InspecUOn Ofher Th n Fough-In I
(VOU m sl call mspector
when reatly) ? Ready Now WAI Nobty Inspec1ot
N / ?
Ves No pale Reatl
1? licensed contractor Xowner hereby request inspection of above electrical work at:
Job Ptltlress (Street Bax or Raute Na )
3 'y 6Wy .xy Qy
-
Section No ovmship Name or N. Range No County
Octupant (PFINT)
c',cff Z'% PM1One N.
Pawersupp6er Aatlress
Eletlncal Conlraclor (Company Name) ConVadots License No
Mailing Atldress (COnvactor or Owner Making InsMllalion)
7-69 4,gO'? 1!?5yfj?V,41?9NSS?23
ANhonzetl Siqn ure (CO totlOwn aking Instelletian)
? Phone Number
??'
G66 -?s
MINNESOTA STATE BOARU OF ELECTqIC
Griggs-Mitlway Bldg. - Room ^s128
1
11
111111
1111
111
11
1
1 I
I)
II
(I THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BV THE STATE BOARD
1821 Universtty Ave., SL Paul, MN 55100
PMenalfi12166Ya1H00 ?
? UNLESS PROPER INSPECTION FEE IS
ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ???'?a es-aoooi-os
b
L ' See mstmclions Im wmpleting [his form on back M yellaw copy ??FJ//? ?
,
"X" Below Work Covered by This Request
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplez Water Heater Eiectnc Heating
Apt Butldmg Dryer Load Management
Commllndustrial Furnace Other(Specify)
Farm Au Conditioner
O[her (speaty) Gonlracmrs Remarks ?/J?
Compute Inspection Fee Below
t./ljV
# Other Fee # Service Entrance Srze Fae # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 10D Amps
Transformers Above 200-Amps A6ove 100 -Amps
Slgns Inspectors use only TOTAL
Irrigation 8ooms Ie
,
Special Inspection Z?
?
_
Alarm/Communication 01NECTED IF NOT
THIS INSTALLATION MAY BE ORD
ISC
Other Fee COMPLETED WITHIN 16 MONTHS. .?°
I, the Electrical Inspector, hereby Rough-in
certify that the above inspection has
been made
F'"a?
OFFICE USE ONLY B
This request vmtl 18 months fmm m+
f; n?h
,a
BUILDING PERMIT
To be used for SF DS
CITY OF EAGAN No . 19132
3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8100 /Receipl # v
4R Est Value $152,000 Date MAY 29 , 19 _91_
Site Address 3769 BAYBERRY LN
Lot z Block 1 Sec/Sub.THE WOODLANDS 3R
Parcel No.
I=. Name R A KOT HOMES INC
30: Address 7901 UPPER HAMLET CT
° City APPLE VALLEY phone 687-9513
I fo I Name 3AME I
g? Address
City Phone
Name _
Address
CiltY _
Phone
I here6y acknowleqe ihatl have read this apphcation and state that lhe
informauon is correct and agree to comp wrth ell applicable State ol
Minnesota Statutes andCiry o EaQa ina ;?
Signature of Permitee Y C ?
A Building Permit is issued to: R A KOT HOMES INC
on the exprass condillon that all work shall be done m accordance with all
applicable State oi Minnesma Statutes and Ciry ot Eagan Ordinances.
8uiltling Oflicial
OFFICE l1SE ONLY
Occupancy R-3 M-]. FEES
Zoning -R--1
(Aquaq Const V=N Bldg. Permit RT 9.00
(Allowable) V=N
Suroharge
76.00
k o1 stories
Lenglh
67 '
Plan Review
534.00
Decth 3 9? snc, cny i on _ o0
S.F. Total - SAC, MCWCC 6 50 _ nn
5 F. Foolprmts -
On Sile Sewage _ Water Conn _(1(1
On Sile Well Water Meler 95 _ 00
MWCCSystem x_
30
00
Ciry Water X Acct Deposit .
PRV Reqmred _ S/VJ Permi[ 30_ on
Booster Pump - S/W Surcharge
?
.5
TrealmenlPl 976-n0
APPROVALS RoatlUnit 370.00
Planner - park Ded.
Council
BIdg.OH. _ Copies
Variance - TOTAL 3,643.50
?-----------------
I F,,o{??e'e°iJsg I
; Pertnit #: ?v
' h"o?5b ??-
I Permil Fee:
I ?
? Date Received: I
I ?
i ?
? Staff'
L _________________I
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: ?1 1?9 ? Y..MU fl.l L-i 1
Tenant:
Suite #:
RESIDENT I OWNER Name: 1?5' LC1 S&u+-W--r Phone: lD 1- (03 6- 1 JOY
Address / City / Zip: ',?ICLr`t1Qi ? ECl ?an KA
CONTRACTOR Name: C18Rt i0n License #: (0(?Jp- Q?V)
651-W5-1340
Address: 3670
an, MN 55923-7339
City: State: Zip:
Phone: Contad Person: ?5-, V ? E' h
TYPE OF WORK _ New ?! Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RES?ENTIAL
?Water Heater Water Softener
Lawn Irrigation Add Plumbing FiMures
? RPZ /_ PVB) ? Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESIDENTlAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ t?O ` S?
I hereby acknowletlge [ha[ tnis intorma[ion I5 comple[e antl aCwra[e; fia[ [f7e wonc wni oe m comormance wrcn me ominances ano wues ui Lne ?,uy u?
Eagan; that I understand this is not a permit, but only an appliration for a permit, and work is not to start without a permit ihat the work will be in
accordance with the approved plan in fhe rase of work which requires a review and approval of plans.
X CJari'v's r-?. Aig?1P,i- X
ApplicanYs Printed Name ApplicanYs Signature
,..,.
FOR OFFICE USE Reviewed,By` Date ?=' ry
, ... $
Required Inspections:. -=Under Ground:; Rough In i-' Air Test ' ? Gas Test ?` Final ?
,
I?Xr?o
rjq9`3q RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsWCUon Reauirements
• 3 registered site surveys showirg sq, ft. of lot sq. N. of houu; aiM all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing 6earn & window sizes; poured found design, etc.)
• isetofEnergyCalculalions
• 3 copies of T2e Preservation Poan K lot platted after 7/1193
• Rim Joist Detail Options selection sheel (bidgs vnth 3 or less unifs)
DATE ( 7
SITE ADDRESS
TYPE OF
APPLICANT
MULTI-FAMILY BLD?GA _Y (91t
_ PIREPLACE(S) 1 _ 2
STREET ADDRESS 9489 Rit^.a St Suita 7f1 CITY;Rncati_illa $TATE nnn?ZlP55113_
TELEPHONE # Rr,1 J3d_Qd33 CELL PHONE #
FAX # 851n?st?nP:21.g
PROPERTYOWNER TELEPHONE#!)
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CA"1'EGORY 1 MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheel Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
Pluinbing system includcs:
Mechantcal Contractor.
Mechanical systcm includes:
Sewer/Water Contractor.
I hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eagan
Signature of
OFFICE USE ONL
1 ,aL,- D-S
ree: $90.00
Fee: $70.00
correct, and agree to comply
? r, : AUG 2 6 2J02
Certificates of Survey Received _ Tree Preservation Plan Received _ ?n?tRequired _
_ Water Softencr
_ Watcr Heater
_ No. of Baths
RamodellReoair RanulremeMs
• 2 cop'es o( plan
• 7 set of Energy Calculalions for heated additlons
• isilesurveyforrxlenaraddihons8decks
• Indicate if home sened by septic syslem for addNOns
Plione #
Lawn Sprinkler
No. of R.I. Batlis
Air Conditioning
_ Heal Recovery System
VALUATION ?C) ?--I C) `
Phone #
Phone #
4102
CITY OF-EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERIVIIT cRZG709
P?RMITTYPE: BuiLoxNG
Permit Number: 024103
Date Issued: @ 7/ 2 5 J 9 4
3769 BflYBERRY LANE
LO7: 2 BIOCKa 1
TNE WOODLANDS 3Rp
p.I.N.: 10-76878-020--01
DESCRIPTION:
Bf?iiXdinq-.permit Type
?uilding Wi?Gk Type
rf ??
i?
DECK
NEW
ul n
?1.1 ?? , 1
C= J
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search
Total Fee
$30.00
$.50
Fee $5.00
$35.50
CONTRACTOR: - Applicant - sT. Lzc. OWNER:
OON'S BLD6 & REMODELING 15446988 0005914 BUTLER CHRIS
7711 30TN AVE N 3769 BAYBERRY LN
CRYSTAL MN 55427 EAGAN MM 55123
(612) 544-6988
I hereby acknowiedgs that I have read tkris
information is carraat and agree ter catnply
Statutes and City of E.agan Ordinennes.
L
app7.ication anci statO tihat the
with alX a'ppliCaale 5tate vf Mn.
r
;i
I
l ny?
T'EE SIGNA7URE IS ?SUED 8 ?. SIG TUR ? JlI,P,?E!
APPLI ANTlPERMI ?
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: auzLorNG
3830 Pilot Knob Road Permit Number: 024103
Eagan, Minnesota 55123 Date Issued: 0 7/ 2 5/ 9 4
(612) 681-4675
SITE ADDRESS: Lo r: z 8 L 0 C K: 1 APPLICANT:
3769 BAYBERRY LANE DON'S BLDG & REMODELING
THE WOODLANDS 3RD (612) 544-6988
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
INSPECTION D. . ..
FOOTINGS FINAL
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7
I
i4103
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
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Sa.tu q- 14
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si e surveys, c f energy
calcs. JU? 07 T094
COMMERCIAL 2 sets of architectural & struct r,a]_gZ?ns,_1
set o
_
specifications, 1 copy of energy .
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 -7 - / '7 / s y Valuation of work y?c ?
Site Address: s;3?. ?e...„ ?....?
STREET SUITE #
Tenant Name: (commercial only)
LOT ? BLOCK SUBDjf4?
lkl Wu ue?, P.I.D. #
Descri tion of work:_LPAJ
The applicant is: ? Owner 13 Contractor ? Other (Uescribe)
Name ?3a-Tl 4s ? w?; s Phone
Property LAST FIRST
Owner
qddress 3-74, ti ??.?s?11, ?.,.?
STRE STE N
City E State Zip .s's?za
Company Phone
Contractor Address License # ;-?5?Y Exp. ?s
City r State Zip s.s?rz?
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
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
Ea9an Ordinances.
Signature of Applicant:
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Parch
? 05 SF Misc.
WORK TYPE
tr3i New
? 32 Addition
OFFICE USE ONLY
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Ladging
? 12 Mu1ti. Misc.
? 13 Garage/Accessory
1 ?4 Fireplace
5 Deck
? 35 Tenant Finish
? 36 Move
Const. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBC Occupancy 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Stories Footprin t Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering _ Variance
REQUIRED INSPECTIONS
O.Site ? Footing ? Framing
? Wallboard Final ? Draintile
? Insulation
0 Fireplace
Permit Fee yei„at;,,,; g
5urcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Oed.
Copies
Other
Total:
? ._
.;? ?.
? 16 Basement Finish
? 17 Swim Paol
? 18 Comm./Ind.
? 19 Camm./Ind. Misc.
? 20 Public Fdcility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
?-stlRVEYOR'S CERTIFICATE R A. KOT HOMES
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NOTE: 6ULpINC DIMENSIONg gHqVN ARE FUR NOR20NTAL
AFO?iiEIRTECTIlALLPI.ANS RtiR BUIl01N6u9 FOUND4TEdi
oiMENsaNS.
"* DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES lRON MONUMENT 5ET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATlON
(000.0) DENOTES PROP05ED ELEVATION
SCALE: 1 INCH - 30 FEET
PROPOSED GARAt3E FLOOR - gGg.Z FEET
PROPOSED LOWEST FLOOR - r8154.,4b FEET
PROPOSED TOP OF BLOCK- Sy3.e? FEEf
WE HEREBY CERTIFY TO R. A. KOT HoMES THAT THIS 15 A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 2, Bfock I,THE WOODLANDS THIRD ADDITION, according to the reaorded plai
thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS. EXCEPT AS SIiOWN, AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISlON THIS 14T H DAY OF M AY
.1991.
NOTE: NO SPECtFIC gpLg INMTgATION
Y.RS B?Eii toMPLFf?D OH TiRS
LOT oY THE 3 lIR11[Ypq, 7}E
T??vft rYic ?ua°"c'srraose
IS NOT THE qEgppN518LITr OF
THE suaveron.
51GNED: P.. NILL, INC.
BY; _ C
JOHN C.L?ARSON,LAND SURVEYOfi
MINNESOTA LICENSE NuMaFa inolio
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P L A N N E R S / ENG INEERS / SURVEYORS
- m O m N - W
2500 W CTY. RD. 42 o BURNSVlLLE, MN. 66337 6 812-890-0044
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L CITY USE ONLY
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SUBD;QL. a/?rca?d ??
RECEIPT #: Sn
DATE: /*/" 95
&.9?'t01gq980
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 67??-° 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. Iicense 20.00 =
U.G. Sprinkler " home under const. 3.00 =
Alterations * to existing 20.00 = aam
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL ab.5?
SITE
OWNER NAME: ?J25 ? `To ??}Irf
INSTALLER NAME: Z12)? _z"'
STREET
CITY: ?. r?5r_*P M* STATE: i0 ZIP: ??g
PHONE #:
.?G`AQ ?O ?j ?
?
1991 BUILDING ERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(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 APPLZES WHEN: TYPING OF PERMIT IS REQUESTED,, BUT NOT PICKED UP SY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED,
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation
Site Address h/'iol&n)11 4
.
Lot a" Block 1
Parcel/S b WOOG/w""I'S 3`v:
S ?c
Owner O` ' A. )?m l ?
Address
City/Zip Code ?L2 1/0?*7 Aw ,ST/Z'
Phone nf37 - 9.?r6
Contractor S1'j'4 43 44t""e-
Address
City/Zip Code
cnv Date: S?41-7?
? OFFICE USE ONLY
Occupancy I``?> M_I
Zoning R -I
Actual Const -/- N
Allowable V-N
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water V
PRV
Booster Pump _
APPROVALS
Phone Planner _
Council
Arch./Engr. Sldg. Off. ?s
a ? Variance
Address /70 d7?'?
City/2ip Code
FEES
OJ
8ZZ
Bldg. Permit ,
Surcharge r1Co?JJ
Plan Review J?`?'?/,O?
SAC, City 100,00
SAC, MWCC
J
010
Water Conn. ?oC?O,OJ
Water Meter ,D J
Acct. Deposit 3v,oJ
S/w Permit 3v, 00
S/W Surcharge ,5'7J
Treatment P1. 2rl6rUJ
Road Unit S'70,t?a
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL Q
Phone #
agrees that all work shall be done in accordance with
( ignature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
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fIpt Mla] ], ar ea ak,ove the fl cinr-_ . , .. :. 100A.274
ri.m .tnist :ai era...,,„.................. 286
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1'. ]f3??•4„','74 ;, "ll° n.U4321n = 77.9720B
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"!J" 0.39 = 2.C)94,.i
i. f39, '7 >: "I1" 0.076161 .:? fy.Q37C>14.-
6...........,,......_..,...... .........,'I'ntA.t `]:5864 , ..
[ f A tE'lil ilE, i.:, t.he Son?e a?; c,r 1. rr?;?a t fian i. t F?m #A ynu F1iiVE! ma ?. ri.trrent '
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4:. Cr?t.al iJat rnc.ai/r:pilinct fr-GZmirn;i ai°e a...... 1061,.
1. l'ota) nel- ilat rnoa;cRiling ar-ea... ::..t:.
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l'OTAL fL(:I(1Ft CAMl'. AI"CE::A Wnc.tc?sed),. 13.67
? n. lnt al f l t:+rar can#. fi omi rin ar et<'a (.rvv. lti'l.) , 1.::;67
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p. -Inf:ra] ne?t i.nsul.atr=d f Lnc,r /%aanh. ,are.???.. 12.303
pe•tF•rmine, ??im u,:,tur> Fc:n c:>arh flrar/cant.. neqmcant.
n.. 1..'•A7 .. "0" 0.0'=iSfa57 -- 0.077450
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t:t...........,............. .............. {otal 0.41834E3
c?
f F i tcnt ddfl i=. t hrp some, ar r,r 1 e,a;=; f han i tem 03 yoi.i have mrzt t:he
r.anrarqv ccidra, l I^IC/1C@ 1.16ouF1 M ltNl7 Q.
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r. fntat nFt in=;"Wec-I ILoorlr_ant. ar'ea ...... 10.0
lleF.E:rtnine "i_i" valur= fnr- ear.:l'i f1Ct[)1"'/Cdn't. St313rt1@Ilt.
q.. "1J" t),f?;:'i743H =_ O.l")689"2:=i'
r. "l.f" 0.027894 = 0: 301255'
9 ...............................,,...,, frata.l ?.?.7C?1E31
i tem #S' zs ihic same as cir .l ras.=, tliRn i tem #4 you hiave met khe
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SURVEYOR'S CERTIFICATE R A. KOT HOMES
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TOP OF PIPE
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(/ LOT 2
/-?RAINAGE 9 UTILITY
? EASEMENf PER PLAT?.
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NOTE: 6ULOING OIMFNSIONS SHOWN ARE FDR FIORIZONTAL
9 VERTICAL LOCATION OF STRUCTUNE ONLY. 9EE
ARQIITECfUAL CI.ANS FOR BUiLqN6 8 FOUNWATION
DIMENSpNS.
?
?
?BENCM MMK
TOP 0/ ?N'[
[liV.-891.19
\
a DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES lRON MONUMENT FOUND PROPOSED GARAOE FLOOR - gqg,Z FEEi
X000
0 DENOTES EXISTING ELEVATION PROP05ED IOVJEST FLOOR - 5dp}4.-b FEET
.
(000.0) DENOTES PROPOSED EIEVATION PROPOSED TOP OF BLOCK- Sy3,e? FEET
WE'HEREBY CERTIFY 70 R. A. KOT HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 2, 61ock I,THE WOODLANDS THIRD ADDITION, according to ihe reoorded plnt
Thereof, Oakota County, Minnesota.
IT OOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT A5 SHOWN. AS
SllRVEYED BY ME OR l1NDER MY DIRECT SUPERVISION THIS 14T H DAY OF M AY .1991 .
NOTE: NO SPECIFlC SOLS INVE9TIIiAT10N
HAS BEEN COMPLE1LrD ON THIS
UDT SY TIE SUIIV[YOR. THE
SUITMLITY OF 90NS lb SUPPaftf
THe sWr?c rwusE rnoaoseo
IS NM THE RESPONSIBM.ITY OF
THE SUlNEYOR.
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E R. HILL, INC.
SIGN;BY:
RSON,LAND SURVEYOR
N C.LA
NESOTA LICENSE NUMBER 19828
0 R. Hiinc.
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-?y `A v ?a James
PLANNERS i ENGINEERS I SURVEYOR
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-? 0 m 2500 W. CTY. RD. 42 4 BURNSVILLE, MN. 55337 6 812•890-80
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nr_rE-.RrirNe_ °u° vAi_i.ir:>',
nir;u srIra; wrni srDn•.ir, Q, s.F-z-
Interiar- 61i,r...... 0.63
SheB'E ftOCk ........
7hermo-E+real:_..... C?
c}i_td. . . . . . . . , » . . . .
s;nF,,tn; ng . ,. . . , . . . . 0.06
71d]flta........... . 11. 7Z]
E>;terior A:ir...... 0.17
(o'ha7 "fi" Uaali.ie.... ....,... 11.,0:
i/R = nU° V81L1f?.... ........ 1/.09U.y.'.11
rHr-,u sN,ui. Ar.r.cN WxrH ,z»zF>ac N< S=
tnr.erior niY......
Sf1F?F?t. FiOCI.:........
Ther'mo° F:±rc+ak. . _ . . .
Insii1 zati on........
Sheathint7....,,....
'r.lin4............
Yl:teriar- qir"_.....
0. 6fl
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0
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p„ 7F1
0.17
fQ'fEt.l °f2° VEiJ.LIB............ •h'. j 4
1/R -- "!!" Va1iae .......... .0.ir•3':;?Q,
T'HRU CEILING f'IEMFfFK
Intrri.car= A1r-...... 0.69
5hedt Fock. . . : . . , . 0.58
Ceilina Nernber.... A.315
Insulat.inn.... ..., M92
Sti7.1 Ai.r-......... O.bt
rotal "Kt" v,lue............ s,>_!n
1lf2 .-: "U" Va].uEZ............ U. i1:r'69OS
THFi1J [:E:"ILINC; IhJSI.!LA'f it]IV
Inter-ior Air ...... 0.60
Shee} ficrc k . . . . _ . . . O. `]fd
1 n su1 at 1. on ........ 42
Sti11 Air......... 0.61
?
lylotal "Ft" Value........ .... 43.87
1/R - "U" 4'alue.......... ..ii.(i;'_27cJ4
THRU CF.IhICPF_TF RL.l7L"Y;
? ? . ? I . .? .. . .. .. . ? .. ..
H14r.......... 1.28
? Ation........ 1.1 '
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"II.................... E7.t.Y7f,lf,J.
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.
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CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
WAWKa3';,.,"?'
FOR CITY IISE ONLY
PERMIT #
RECEIPT #
DATE: 'I 3
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH DNIT.
WORK DESCRIPTION
NEW CONST
ADD ON _
REPAIR _
OWNER NAME: K-A, A?Cz
SITE ADDRESS: 3 /Ei ?? ?FRF.?I
IAT:?_ BIACK ? SUBD. ?,& / )? Sr
INSTALLER: fA6uFiJj ?fE?Q7'?••? .?A?c?.Ln?cJ.
ADDRESS: //`1( G.. CL(Ff KK
CITY: I^tJowt?tc ZIP: c5?3`?J7'
PHONE #: VS -O"1)IO
FEES
ADD-ON MINIMUM $_
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU
Ap-
GAS OUTLETS - MINIMUM 2o
OF 1 PER PERMIT
SUBTOTAL: S2.1. c*
STATE SURCHARGE: .50
TOTAL: $1^ .?
SIGNATURE OF PERMITTEE
?AMt+I?R?TIl,?:??IV?ST7S1'K?A?,3.; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
>? ....: . .. .. . .. . .:.. .
APARTMENT BUILDINGS, AND MULTI-FAMILY BUZLDZNGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
lAT: BIACK _ SUBD.
INSTALLER: •
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING m $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL: $
(SIGNATURE)
C,T7'Y UF F.ACAN
3630 YI.LU'I' KNDt1 FtOAD
F.ACAN, ;.^.: 551.22
PHONE: (612) 454-8100
k'LUHBING':PERH21'
. . ?
RESIDENTIAL?: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAHILY
TOWNlIOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
DWELLINGS 6
----------------------- ----^-------------------------°-------------------
WORK DESCRIPTION COMPLETE THE FOLLOWING:•
N0. FIXTURES EA. TOTAL
NEW CONST ? ADD-ON MINIMUM 15.00
ADD ON I SHOWER 3.00 3.CC)
REPAIR ? WATER CLOSET 3.00 9.00
BATH TUB 3.00 ?00
LAVATORY 3.00 /a,?
OWNER NAME: ?,CL. JCvv/ ? L KITCHEN SINK 3.00 LF 00
IAUNDRY TRAY 3.00 3:02
SITE ADDRESS: 310 &vkwk /7e? ? NOT TUB/SPA 3.00 1514?
/ WATER HEATER 3.00
LOT:BLOCK J_ SUBD. ? FLOOR DRAIN 3.00 3 fJ"?
GAS PIPING OUT.
INSTA].LBP.: (MINIMl7M - 1) 3.00 3.OJ
?r1 ?,?A /`,? v?/? ? ROUGH OPENINGS 1.50 ?
ADDRESS: ?-4?llXdY _ OTHER
/r?7 Z WATER SOFTENER 5.00
CITY: 1?S??Ib((yJ7 ZIP: PRIVATE DISP. 15.00 ,
U.G. SPRINKLER 3.00
PHONG 7--2? .3?30 -
?/• G ?
SUI7TOTAL $
ST. SURCHARGE .50
SIGNATURE PERMITTEE
TOTAL: S ?.?tJD
COMMERCIAL'/INDUSTRIALi PLEASE COMPLETE TFiIS PORTION FOR ALL C02ZMERCIAL/INDUSTRIAL BUILDINGS AND
MDLTI-FAMILY BUILDINCS WIIEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACN
DWELLING UNIT.
CON`1'P.ACT PRICE
OWNER NhME:
SITE ADDRESS:
LOT: BLOCK SUED.
INSTALI.ER:
ADDRLSS:
CITY:
PHONE
FOR:
GITY OF EAGAN
--------------------------------------°--
FEES
18 OF CONTRACT FEE.
STATE SURCk{ARGE - $.50 FOR
EACN $1,000 OF PERMIT FEE.
ZIP:
$25:00 MINIMUM FEE.
GONTRACT PRIGc x 1%
STATE SURGHARGE
TOTAL:
ROR C1TY USI? UNLY
PERHIT #
RECEIPT
DATE:
(SIGNATURE)
I
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA107632
Date Issued:10/19/2012
Permit Category:ePermit
Site Address: 3769 Bayberry Lane
Lot:2 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-020
Use:
Description:
Sub Type:e - Water Softener
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Valuation: 500.00
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
ZACHARY E SIMPSON
3769 Bayberry Lane
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink 1I,4
40!! For Office Use
u �'J C l :f
Permit#: C /g / 1
City of Eaaali Permit Fee: / 7 .=?0
3830 Pilot Knob Road 6'
y ,��
Eagan MN 55122 RECEIVED Date Received:
Phone:(651)675-5675 Staff:
Fax:(651)675-5694 JUN 2 8 2017
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
oeckaN4
Name: f v.aa vwaz 4l 2.4 r 4 sr.4rr,'sr:vyPhone: 6/2_.—1?B -
Resident!
Owner Address/City/Zip: 3 7C / A A?e.,30A4.&Y'1,A-Ate /F">+G,#,v "/ 5 I 3
Applicant is: Owner X Contractor ` I
Type of Work Description of work: /<:;./ e�+.�__�M ,®Q.. .0 o,
Construction Cost f 2--5,c70 c9 .c a Multi-Family Building:(Yes /No X. )
Company: e` c.r Z.- Contact: d?4 ' L /7 •
Contractor Address: 1�Ef-S c c7 #Lr City: i b -' I2re-i-/ra.-7a.v,i
State:W I Zip: 14.O/7 Phone: 4/2--8 f 0-?email: 1Pc.t 7 @
License#: f/� c_ ef,3-7, 3 Lead Certificate#: 1V#7'—3 77 S 1 -- 2_.
If the project is exempt from lead certification,please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-publicif you provide specific reasons that would permit the City,to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 State Building Code must be completed within 180
days of permit issuance. // --
x /QA-L/ t_- ® T .s2 x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
69- .
• 76fDO l WRITE BELOW THIS LINE /`Z
SUB TYPES
_ Foundation — Fireplace — Porch(3-Season) _ 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 )6 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 # Y 3 Z . '— Occupancy 52..c.—(.—\ MCES System
Plan Review Code Edition IMA ze.15-- SAC Units
(25%_100% )°) Zoning 2-i City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction kfF Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) 20 Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
)4 Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
?° Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill—Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 1 z" WV. 14-1%-t A ,Building Inspector
RESIDENTIAL FEES i ''Z/6.
Z/6. -,
Base Fee �'
Surcharge CS a p , o a54, /LC-
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA144188
Date Issued:07/17/2017
Permit Category:ePermit
Site Address: 3769 Bayberry Lane
Lot:2 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-020
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Zachary E Simpson
3769 Bayberry Lane
Eagan MN 55123
Aj Alberts Plumbing Inc
7975 Afton Rd
Woodbury MN 55125
(651) 738-0580
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144779
Date Issued:08/09/2017
Permit Category:ePermit
Site Address: 3769 Bayberry Lane
Lot:2 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-020
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 -
Zachary E Simpson
3769 Bayberry Lane
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145354
Date Issued:09/06/2017
Permit Category:ePermit
Site Address: 3769 Bayberry Lane
Lot:2 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Zachary E Simpson
3769 Bayberry Lane
Eagan MN 55123
(612) 978-0558
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
Jeffrey Wheeler
From: Scott B <scott@ajalberts.com>
Sent: Monday, October 02, 2017 9:53 AM RECEIVED
To: Jeffrey Wheeler
OCT 02 017
Subject: 3769 Bayberry Lane
Good Morning Jeff
The scope of work for us was to lower kitchen sink drain to accommodate a deeper sink. The
gas line was relocated slightly. A new gas line was not ran just moved slightly. I hope this helps
you. Please let me know if you require anything else
Thank You,
Scott Bjork(scott@ajalberts.net)
AJ Alberts Plumbing Inc.
www.ajalberts.com
651 738-0580
. n r
AA Alberts
�-" 1.... tJ *VI t i t N
1