3768 Bayberry LanePERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
t3UILDTNG
001540
09J30/92
SITE ADDRESS:
3768 BAYBERRY LANE
LOT: 10 BLCICK: 1
THE WOODLANOS 3RD
DESCRIPTION:
-Buildin,g Permit Type SF DWG
Building'-Work Type NEW
UBC Qccupanc„y R-3 M-1
' ConstructionType V-N
Zvning R-1
Building Length 69
Building Width ? 36
% - .
_?l`_?iJ`?'????`it.?ii ?
. . .,_; '•? ?
REMARKS: ??? 0'-:? lyD
S& W CQNTRACTOR - THOMPSON PLBG
FEE SUMMARY:
VALUATION
Base Fee
P1an Review
5urcharqe
SAC
SAC %
SAC Units
Subtotal
$870.50
$565.83
$53.00
$700.00
100
1
$2,219.33
$166,000
MIBCELLHNEOUS $1,610.50
COPIES $1.00
1"otal Fee $3,838.83
CONTRACTOR: - flpplicant - Sm. I.I QWNER:
LIFESTYLE HOMES INC 14547$66 000128 LIFESTYLE HOMES ;CNC
1489 LAKE PpRK CIR 1489 LAKE PARK CTR
EAGAN MN 55122 EAGAN MN 55122
(612) 454-7866 (612)454-7866
?
I hereby acknowledge that I have read this apwlication and state that the
intormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Qrdinances.
/ -
i
APPLICANT/PERMITEE SIGNATU
--------------
IS D 87. 39ONATUHE
Control No. 1125
INSPECTION RECORD Control No. 1125
CITYOFEAGAN PERMITTYPE: euzLozNG
3830 Pilot Knob Road Permit Number: 001540
Eagan, Minnesota 55123 Date Issued: 0 9/ 3 0/ 9 2
(612) 681-4675
SITEADDRESS: Lor: 10 BLUCK: 1 APPLICANT:
3768 BAYBERRY LANE LIFESTYLE HOMES INC
THE WOODLANDS 3RD (672) 454-7866
PERMIT SUBTYPE: TYPE OF WORK:
SF DW6 NEW
INSPECTION
FOOTSNG D. .
FRAMING .A
INSULATION FSNAL
FIREPLACE
REMHRKS: S& W CONTRAC70R - THOMP50N PLBG
1-
L
PERMIT N
REACTIYATE ?,
Lido
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
lEP a 1 ?o
?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, i 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 uested once ermit is issued.
Date q a Valuation of work
Site Address:_ 3-Ro8 13" b
:erru LrtnP.
_
STREET SUITE N
Tenant Name: (commercial. only)
LOT 10 HIACK l SUBD. Wmdl(Lnds 3 P.I.D. k
Descrl tion of work: S. &_
The applicant is: ? Owner 113"Contractor ? Other (Deserfbe)
Name n'1af K + Ki m Phone ?33- 57? 3
[iroperty LAsT FIRST k
Owner Address 510q h?.ri-I-n c,,p s Dr.
STREET ' . STE N
City ?IfYnYnrnG-h}7 State r(LX1 Zip
Company Lt yMPS, ?Dn C'. Phone
\l
COntf8Ct0r Address 1489 LCk k p ?ll f LC fY.k_ License # IaW Exp.
City GQGQYI State 11'ln Zip 5J ?Z?
?Ij
Company SQ YY1P n`; (I h(71t'e. Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 3 water licensed plumber . PrOcessing time for
sewer 8 water permits is two days once rea 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. ?--^,r
? ;/s?
Signature of Applican?.. -
OFFICE USE ONLY ?
BUILDING PERMIT TYPE '? '? ..
;
?
.,
? ,,
.
.;?r
? 01 Foundation 1:1 06 Duplex 11 11 Apt./Lodging .LT16 4dsement Finish
? 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
31 New ? 33 plterations ? 35 Tenant Finish ? 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) v-rv Basement sq. ft. MWCC System `(E 5
(Allowable) v_N lst F1. sq. ft. City Nater YES
UBC Occupancy (Z"3 M_1 2nd F1. sq. ft. PRV Required
Zoning 2-I Sq. Ft. total Booster Pump
f of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth ? On-site sewage SAC Code 01
APPROVALS
Planning Building Assessments
Engineering Yariance
REQUIRED IN SPECTION S
? Site ? Footing ? Framing ? Insulation
? Mallboard ? Final ? Draintile O Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Nater Conn.
Mater Meter
Acct. Deposit
S/M Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
sAC % l00
SAC Units p!
1,?
V•tmtio,: s l66 00o
GARAGE ; 3$ X 2? _ r1? 0
lox 3 =
6SMT;
0'I x 14 . r7l 4
16x3a= syy
-2zx3= L?
3x/c?_ 3a
13 4
?29x l6= 1?66y
2ND Ft.?r2 ; 3o x3y? l020
3 X .2-1 = GG _
/OSG xS3=
x i5;L .2 0310
Po? 12rv?? IUy,K2y :_ 3,66a
??s+i. i354
? 36 .5'3 s 72
l6553?
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SEP-29-'92 iL.E 88:36 ID:JRMES R HILL 1NC TEL 1,10:612 890-6244 #615 P62
SURVEYOR'S CERTIFICATE LIFE STYLE HOMES
fv??v E
BY
nate 2-
- RAGAN mmnrwT
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BENCH M4RK
TOP OFPIPE
ELEV.•888.89? l?
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, ?EIMCH rana
TDP OF rrE
EAE1t+ 90i148
/
RY
-LAW
NOTE= BUI.DWG qMEN310N5 9HOWN 0.RE FUN IpRQONTA6
9 YERTICAL LOCATION OF STRUC7URE ONLY. SFE 888.8
ARRIITECTUAL PI.ANS PINi BUIlDINO 6 FOUNpATIW /ON
D
IMENSpNS, ?
= DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE:1 INCH - 30 FEEf
0 DENOTES IFiON MONUMENT FOUND PROPOSED t3ARA0E FLOOR - S IZ- 4 FEET
X000.0 DENOTES EXISTiNG ELEVATION PROPOSED LOWEST FLOOR - 885• 7 FEEr
(000.0) DENOTES PROPOSED ELEVATION PROPOSm TOP OF BI.OCK - S R + 5 FEET
WE HERE9Y CERTIFYTO LIFE STYLE HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LoF IO,Bbck 1, TFIE WOODLANDS THIRb AOpITION, accadlnq to 1he recqded qol ihereof,
Dakota Cqinty, Mlnnesato,
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURYEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 22ND DAY OF SEPT. ' , Ig92,
NOTE NQ SPEC6IC 901LS INVESTNSATtON
11A9 BEEH COMPi,ETED ON 7NIS
LOT !Y TNf 9URVEYOR. TME
9UITABLITY OF SOIfS l0 SUPPORT
.THE 9PECEIC HOUSE PHOPOSED
IS NOT THE RESPONSIBLRY OF
THE SURVFYOR..
R. HILL, INC.
?
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19628
W0 p 9 )ames R
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inc
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2500 W. CTy. RO. 42 • BURNSVILLE, MN. 55937 o 612-890-804
R=95% lAldES R BILL INC 09-29-92 08:39AM P002 #;
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w LOT SIIRVEY CHECRLIST BOR RESIDENTIAL
0
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BOILDINCi PERMIT APPLICATION
J
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¢
PROPERTY LEGAL
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2
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c? o U) Date of Survay:
a z ?
DOCIIMENT STANDARDS
? d
i
? ? • company
gnature an
Registered Land Surveyor s
? • Building Permit Applicant
? ? • Leqal description .
?-/ 13? ? • Address
B' ? ? • North arrow and bar scale
? 0 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
H? ? ? • Directional drainage arrows with slope/gradient $.
? C? ? • Proposed/existing sewer and water services
? ? • Street name
? ? ? • Driveway
ELEVATIONS
Existina
? C? ? • Sewer service
L3? ? ? • Lot corners
?
? ? ? • Top of curb at the driveway
? ? • Elevations of any existing adjacent homes
Provosed
? ? ? • Garage floor
P? ? ? • First floor
C3' ? ? • Lowest exposed elevation (walkout/window)
9Y ? ? • Property corners
9? ? ? • Front and rear of home at the foundation
DIMENSIONB
? ? ? • Lot lines
? ? • Right-of-way and street width (to back of curb)
13/ ? ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
? ? ? • Show all easements of record and any City utilities within
those easements
? ? • Setbacks of proposed structure and setback of adjacent
existing homes
Reviewed: C????? ?e 6-? sev I ?g, ly?/v
Name / ate
August 1992
NEATlOEa CALCo.
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........,?...... _ ..................._.........._....._......._.............._, _._. .
...
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.
.
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53
..............
REQUlREMENTS_ _
..... _.,.
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.
.
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FIGURE 1 ......_..
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...... ..._ ....... ...._._...
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.
..
.
.
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,
.
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SS
INTERIOR AIR FIIM
.... ..... ............. ............. ------------
, 0.61? .
r
_
.
.
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59 INTERIOR FiNISH
........_......_......._....-•---._ _._._.----._........__........
6U INTEP.IOR AIR FILM
... .._ ..........................._....._._......_,.......---.._._...__.._
61 TOTAL ASSEMBLY R-VA?LUE
-.......... --..._..._.._._........__..__..........._.___.__..._...,
62 kSSEMBIY U-t1ALUE (1 1R)
............._.......- .._..,___....._....._.__...._..____...__._.
63
_._..._.........__...,.._..__...-? ._....._...._..__ .............
64 CLG...?ROOF IhlSULkTED AREA:(W ...IT...N...A
........................... ....................... _ . .
65 ]_l]]]]1]..]1]]]l]]...]1111]]]]]11.1111111111]]]]'
66 FIGURE 2
_
67 IPITER1uR ?1RFILM
If 4 S........._ULATI. ......II ...N..._......... .__....._-?---_._........._._
68
..... _._............_---..........._..__.._..........
WbGD(?1E............MBER
69
................................_..._.............?._...?..........?......?....?..-
70 INTERIi?R. FIWISH
.................._._..._....._...._..._
71 iNTfRi?R AIR F1LM
............_................................_................................
.
72 TGTAL J,SSEMELI` R-UALUE
.................................... -........ .... ---- ..... ..........
7 H4..........5E?°1...2LY...... ... ..U..._..-U'._ALUE........ . (.1 ....R.)
;......................._.........
74 ]I1]1.11111.111111111.1111111.11,11117111111111?
RC UF Il%JL;;TED kREA:(WITH A
?s ]lll,ll)lll111,11711,111]111111_lll]]]lllll.l.l]1
77 FIGIlRE 3 .
..... ........... _..__.._............ _.__...._.__.._
78 INTERIOR xIR FILI t
.........................................?....
79 1??7ERIl?f? FINISH
............. ......... ...........
83 'E?STE?'IL?R FINIaN
It4 E;;TERIOR AIR FiLM
_ ....... ....................
J5 AS TO?pl kSSEIvIELY R-V
...
....... ..........................................
86 SEP?IRLY l?-VALUE (1
? ............... ...... ..........................
s7 1]]lJ]]]11_]]].131]]1.]]]I11]
88 E!'PO'"ECr1?'HLL 1I?l?ULA
34 1_ll?l.1.11111]])]
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?0 FIGUE 4
.....................
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91 INTERILR,_AIRfILM_._ _.__.-•-- -----?---068i?_?.?.?.?.?..??a.)ai?.?).a.?.?.?.?a.?.???..?.?.?.?.?.?.
42 iri7E?ioa.firiGH..._._._....._ ---..-- ?
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43 ---.___
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. ___...._............ -................ - .____.--_--.-
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45 ?HEATHI
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96 EiSTERtUR ,FWISH._. -•--.-----•-• ---. .
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7
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ALL FRAP?IING AREA •
.
,
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] 05 INSULATIOPI
. ......................... _.................... _. _..... _...... _.
lOG GLiNTIPlUOUSVAPORBAkRIE
?107 iv'?)UDI°lEt•1EER
......... _........... .............___.___._....--
108 SHEATHIhIG
...... .... ......... .........._......---._..._........_.....
t U9 E„TERIOR FINISH
..................... ........ _...............
1 10 EkTERIGR AIR FILM
111 TOTAL ASSEMBLY k-UkLUE
._......... ._................ -. ---....._._._...._.._
112 k3SEP96LY U-VALUE (1 ..J....R)
t t a 1111ll]]lll)llllll)11lJll1ll111
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1 S 6 FIGURE 6
.............. ... ..... _..... ............ _..
117 INTERIDR AIR F'lLP4
......................_..................... ......... ....._
119 IPJSULxTfON
._.
........... ........... _..__ .......................
119 CuNTINUOUS'JAPi_iRBkRRIE
'? ............_............_........._........._.
120 fOUNDATION WkLL
........................................ ......... _.............
121 EXTER!OP. AIR FILM
. .........................
122 TOTx....L AS?EMBLV R-S?ALUE
.... . ........................._.._....._._..............._
123 xLS'=EI°iFL;Y.
124
illll11111111711llll1]]llllillll
12e o-ca22:2-2
? 129 Ct? i?oJ.°..._ ............... ............_.....
t 130 DC2?..
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..............................___......... _.. _._..
131 GC362a l36
_ .............._----- ......._._.....
i 1132 iPCt...24/36
..o......... ... ..........................
- .. .
Is 33 DL'21t5
. ....................................................
1134 1CPD6
..........................................................
I135 i:Ckt'v!3
1 .?8
2.06
0.61
..........
0.17
[ 55.00 :
.
......................
........ ............... ..... 2.1 A€
. _.................. <....?._. 0.47:
..... .........
.. 2563
.......... ...
,
_
42.00 s
....................... ............. -..: _.. 2565
...................... .._._- ,
u.39:
--- ---- .. 16.42
.................
' 46.00 :
.....
. 2.14:
... ... 0.47:
..............
_ 21.44
._..............
__............. __......__ .
.
.. ' 12?J.C!0 :
--_..... _......_.
_
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2.1 ?li 11.471
_....._....... _......___...._......
_ 55.42
_ ..............
•
:
t 4?1.170 i
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.
........
: 42.00 '
...... .._........._:....
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136 GCP3642
........... _..........._..---_.._._.------__.__.___T_..._.___.- : 28.00 ?
___.._..._-•-•-------........ ......... ....... 2.14: 0.47
_. . .......... .-.......... .... i 13.05
. _......_....
137 CC3624
...
............._..._.._....__..._....__.........._._.._
..
_..
__
-
- : 80.00 i
.
.
.
- 2.14€ 0.47:
. ?-__.__._... 37.22
.-----....
138 .
.
_
-
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224
..............
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. .
_
_._.....
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4
:
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-
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._65:4
139 ...
... ._..
.... _._... __....... _ .._._........... __....... _..... .__
HRCrA-?P!
............................ __.__...._---..__....__.._...____.___._.......__- ....
.
.
.
...----........_.__....___ .
i 14.00 '
-------•--._._....__._.._.__._._._ _
.
2. 14. 0.47
_----__......?_.._..-.
: 6.524
--..._..__.
140 L'CA1 U3 ' 1$.00 : ,
2.14: 0.47 ; 3.382
141 ..............-.__.___---._...____._...__.____._.._.._...?._.___
DC20.24....
_..._........... _._.......------- ...... ..... ............ _....._........ _---.---_._...._..--___.___? ..
9.00 's
......... ...... ------------ ..___.._.......__... ------.....--......_m
2.00' 0
. _.............. .-. ._............. ._..............
..__..._?F:5
142
i O.llO ;
2.14: 0.47 .
0
1
143 ........... . .................. ..?..........?....?.?....?........??..?.......
........................
. ?.. ..?...........?...............Y ............................... .............1 ... .
;94_75 ;].]]?]]]1]],1: TOT?L U,
TOTAL SQFT.?
......... _
_
.- -.. ..............
;._.1 Rl..:l
...
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.............. ..... -._........ ---....... _........... ..._._..
],11111111111111]]11
1]])1]]]1
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---_...._..__...... ..
l.lllj.l.]]]]1`l.]]111.]]..
11]]]l;l_]]11.J11]])?
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145 ,
,
.
DOORS-TA?fLOR
...... .......... :h10_USED:
.._..... _.- .......... ..
.
.
...... ..... ARER : R-VP.LUE
.......... .... .... .----..._.. - : UxA
---.............
146 .............. -..... -.....__...... _.___.... .............
3-Ov.6-SENTRAh1CE
. ,
..
__A
.. ..... _
i 1.00 ;
.
.....
.
._ ................. .. 37.00 14.00
__.......... ........---...._.... ; 2.E43
................. ..
147 ........
...._................... ...._..... ...........___......_.............._...___._.._._......
2-3 `6 _3 S.ERVICE----•?-----._?.----
.... .
_
.
.----._...__ __.._.
-??_???:?1.?L10 :'. 18_OL1': 14.00 ,
;_1_286
148 28x6t3SERVICE
................ ............. _.....
_._......_.._
__._
...__.
.
._.._.
. i L1.00 :
___.._.._._..._..........__......_....__...
_.
. O.UI]i 14.00
.?..._......._._._----... U
?.._.._.
149 ,.____
.
.
_
.
....
. ,
..
._.
sTOTAL kk 55.170: TOTAL U? 3.92_
'3
r.. _ .
PERMIT U,3qM
.? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 4 3 5
(612) 681-4675 Date Issued: 0 4/ 2 4/ 9 5
SITE ADDRESS:
3768 BAYBERRY LANE
LOT: 10 BLOCK: 1
THE WOODLANOS 3RD
P.I.N.: 10-75878-100-01
DESCRIPTION:
B,.uilding?'Permit Type DECK
Building Work.,Type NEW
r` z ? -
<<
?fs.I
f-1
{ LJr ,??`.je
. .; ? ._.. -t - ?..
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: - Applicant - sT. LIC. OWNER:
THE DECK & DOOR COMPANY 14513192 0005457 WEBER MARK
11632 AKRtlN AVE E 3768 BAYBERRY LN
INVER GROVE H7S MN 55075 EAGAN MN 55123
(612) 451-3192 (612)686-5452
II
I hereby acknowledge that I have read this appl"ication and?sCate thet the
informaCion is correct an51 egree tio eamply withi,all applioabie SCate af Mnx
Statutes and Eity ofi Eagan Ordinances.
APPLICANT/P RMI RE
,tAttn aorr,? I ?1.
' IS S A
, INSPECTIUN REC(JRD
. CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road BWS LDIN6
Permit Number: 025435
Eagan, Minnesota 55122-1897 Date Issued: 0 4/Z 4/y 5
(612) 681-4675
SITEADDRESS:P.1.N.; 1e-75878-1ee-01 APPLICANT:
1.0T: 10 BLOCK: 1
3768 BRYBERRY LANE THE DECK & DOpR CQMPANY
THE WOODIRNDS 3RD (612) 451-3192
PERMIT SUBTYPE:
pECK
TYPE OF WORK:
NEW
.
e - ?
A
I 4E t ?
?
[?• . .' ?. . ".- . ?•' ? . i ? .. y.. ... ....., t e ? .. 1 ? : _. .' .... e . . . ? .-. ?? ? _ ( r . ? . ? ...........5,..................., ?
3830 PILfOT KNOB RDN 55122 ?O• ??
i4434 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 I'
New Construaion Reauirements RemodeUReoair ReauircmeMs
? 8 registered ake wrveys ? 2 capiesl! ot plan ? 2 capies of plans (inGude beam & window sizes; poured fid. design; etc.) ? 2 sRa surveys (exteriw add'rtions 8 decks)
? 1 energy calwlations ? 7 energy calculetions for heated additlons
? 3 copies W Vee proBervation plan H lot platted a8ar 711l93
requlred: _ Yea _ No '
DATE: ?-/ 7- 9S CONSTRUCTIONI COST:
DESCRIPTION OF WORK: AuI ? n />r='ci:
STREET ADDRESS: -Z 76 ?r 137,4y SI, ?4'e Y L Aw/z ' I
d
LOT BLOCK ? SUBD./P.I.D. #: U??A" " `3
G'?tz i3?l?
PROPERTY Name: Phone #:
OWNER `R"
Street Address• 37 ? K 12.47'3"AK? L*v1-Z
City: %,4 6:.4n! State:/Vir ,A! Zip:
CONTRACTOR Company: ,?ffe2 Vr"4?< d- 00.,2 C,;.•?? c Phone #: z-
/ ro
Street Address: //d 3? ??Ka?+'?'?'? ,z License #-
City:/Nd<<"?!-a?L?? h?r?s State:. Zip•=S- sn7s
ARCHITECTI Company: Phone #-
ENGINEER
Name: Registration #•
Street Address
City: IState: Zip:
Sewer & water licensed plumber. Penalty applies,when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the inforination is cortect `and agree to comply with all
appiicabie State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY I'RECENEDD
Certificates of Survey Received _ Yes _ No APR 17 1995 ?ii Tree Preservation Plan Received _ Yes _ No __..__________
I ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
0 02 5F Dwelling ? 07 4-plex
0 03 SF Addition o OB 8-plex
? 04 SF Porch ? 09 12-plex
0 05 SF Misc. a 10 = plex
WORK NPE
X 31 New o 33 Alterations
0 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length ?
Depth
? 11 Apt./Lodging o
? 12 Mufti RepaidRem. o
? 13 Garage/Accessory o
0 14 Fireplace o
cM 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq.ft.
APPROVALS
Planning
Building
..,...
.. .. +? ?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS Syatem
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
y3 q
?
-?
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
..
Valuation: $ 12-o-0
°k SAC
5AC Units
-29-192 TI.E 08:36 1D:JAMES R HII.L 1NC
TEL rro:eiz e9e-6244 a615 P02
.AVEYOR'S CERTIFICATE LIFE STYLE HOMES
11 1C
???/1 .J
RE• IE
-J __kk
Date
??
?)
86Q2
/
I
NOTE: BULDIN6 CIMENSIONS SHOWN AqE iOq 1qRQpHTp(,
9 YQITICAL IOCAT1pN OF STRUCTURE ONLY. SEE
ARPIITCCTUAL PLANS FOR 8UI101N0 S FOUNOqT10G
aMENsaw.
•---- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUMD
X000.0 OENOTES EXiSTING ELEVA110N
(000.0) DENOTES PROPOSED ELEVATION
88Q.8 ??
Z
SCALE:1 INCH - 30 FEET
PROPOSED (3ARAOE FLOOH - 8 9z. oFEF-T
PROPOSED LOWEST FLOOR - 985.7 FEFT
PROPOSED TOP OF BLOCK-849-5 FEET
1NE HEREBY CERTIFY TO l.l FE STYLE HOMES THAT THIS IS A TAUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 10, Bloek I, TME WOODLAHDS THIRD ADDITION, attadtnq to 1he reoaded qal thereof ,
Dakoro CouMy, Mlnnaala.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IXCEPT A'S SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 22ND DAY OF SEPT. ' , jg92,
rore: wp spEeme soas irrvEsrMnrIoN 51G"ED: Jp* R. HILL, INC. ,o?
-NAS BEEN GOMPLETEO ON 7X13
LOT SY THE lURVEYOR. TME
9UITA6ldTY OF SORS 10 911R'OAT
-7HE gKCrtlC HOU4C PAOPO3ED
is Not rHE REsroNSIeILrtr ov
THE 9UMFYOR..
? ` ?
JOHN C. LARSON, LANO 5URVEYIOp
MINNESOTA LICENSE NUMBER 19826
Q mo ? 0 s James R
Hill
inc
N
?
a .o
? y
.
,
.
?
o ? o $ Z W o ? PL.ANNERS / ENGINEERS / SURVEYORS
x
- 0 m N 2600 W. CTV. R0. 42 * BURNSVILLE, MN. 55337 o 812-890-8041
.i,a,p? ..• .i
R-95% JAMHS R H1LL INC 09-29-92 08:39AM P002 #21
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10•-75578-100-01
PERMIT
PERMIT TYPE:
Permit Numher:
Date Issued:
376$ BAYBEI2RY LANE
LOl': 10 BLOCK: 1
THE WOODLANDS 3RD
Crrzo 1191?'Z
BUILDING
026506
10/16/95
DESCRIPTION:
Bd3lding= _Perrnii: Type
pu2ldi,ng LJ"qrk Type
• t?
L3ASLhIENT FSNISM
ALTERAT70M
l
Y,
`, S??????.
REMARKS:
A SFPARATE PERMIT TS NEQUIRED fOR AMY PLUMtiING OR GL.f:C'1'RICAL WQRK
FEE SUMMARY:
Base Fee $35.00
Surcharge _ $.50
Total Fee $35.50
CONTRACTOR: - pPPl.icant - s-r. Lzc. OWNER:
PETERSON CONST, CARL 16856564 0004275 WEBER MARK
1574 I.AKEVIEW CURVE 3758 f3AYBERRY LN
EA6AN MN 55122 EA6AN MN 55123
(612) 688-6564 (612)636-5452
I hereby acknowledge that X have Yead this a'ppl?ication'and"state thaC the
informati„on is correcC and agpee tcr comply with=a11 applicableState ts'f' Mn.
Statutes and Cit^y ofi Eagan €krdina.nces. . ? .
t?APPLICANT/PERMITEE SIGNATURE 155UE BY: IG UR
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: s u t Lo z NG
3830 Pilot Knob Road Permit Number: 026506
Eagan, Minnesota 55122-1897 Date Issued: 10 / 16 / 9 5
(612) 681-4675
SITE ADDRESS: P•i. N.' 10- 7 a
LOT: 10
3765 BAYBERRY LANE
THE WOQDLAND5 3RD
PERMIT SUBTYPE:
BASEMENT FTNISH
-^lY7b-'bl
BLOCK: APPLICANT:
1
PETER50N CDN5T, CARL
(672) 688-6564
TYPE OF WORK:
ALTERA7ION
INSPECTION
FRAMIN6 D, .
ZNSULATICIN DA
ROUGH TN PLBG FINRL
REMARKS: fl SEPARATE PERMST IS REQUIRED rOR flNY PLUMPTNG OR ELECTR7CAL WORK
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IV CITY OF EAGAN 11 ?jQi? F'f
3830 PILOT KNOB RD - 55,122 'Z "
OG 1985 BUILDING PERMIT APPLICATION, (RESIDENTtAL) cfi?,??
681-4675
? 3 regisered site wrveys ? 2 wpba ot Plan
? 2 eopies a1 plana (indude beam & window sizes: poured fid. destgn; McJ ? 2 site swveys (exteNw atltlitions 8 dedcs)
? 7 energy cakulaHons ? 1 energy piwletions for Mated adddions
? 3 eopies oT troe pteaervation plan H lot plaked after 7H/93
required: _ Yes _ No ?
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: `'^ f T3 Q 5t1'"1 °^+
STREET ADDRESS:
3-1(0F i
aNbe?.y L9, ei
LOT ? BLOCK SUBD./P.I.D. #:,?'/hD
PROPERTY Name: I/11 e 64 I- ryl a,4-- Phone #: s?fs?
OWNER ?*
Street Address,
CONTRACTOR
ARCHITECTI
ENGINEER
Company:
Name:
Phone #•
Registration #,
Street Address-
City:
I State:
Zip:
Sewer 8 water licensed plumber. ? Penatty appiies when address change and lot
change are requested once permit is issued. '
I hereby aCknowledge that I have read this application and state that the information is correct and agree to Comply with all
applicable 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
City: ??? q ") State: I M N Zip: 55 - Company: Ca ? 1 Pefef-so„ rLo. Phone #:
11
Street Address: IS ? y LQ r-{il%a?j Cu"Aicense #•
? a qr, 1 State: MN Zi
City: y p.
?a"?r
?uJ
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- - - - - - - - - - -
OFFICE USE ONLY
BUILDING PERMIT TYPE '
0 01 Foundation a 06 Duplex o 11 Apt./Lodging -?" 16 Basement Finish
a 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Pubtic Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
0 31 PJew -er- 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main leve l sq. ft. City Water
UBC Occupancy sq. ft. Fire 5prinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. Yjy
Depth Footprint sq. ft. SAC Code 6i
Census Bldg ?
Census Unit O
APPROVALS
Planning Building Engineering Variance
Fermit Fee Valuation: g /SOd
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
5AC Units
//pp?;,
L CITY USE ONLY RECEIPT#:?
1 c? BL ?
/D/O ?
SUBD- /,/ !I d DATE: ,?,?
?/?'. LV?L?a,ri.d?iy ?3??
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 pertnits are required for each unit
FIXTURES -- EACH ° NO. TOTAL
Shower 3.00 x
Water Closet 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 " mini mum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x
Private DispOSal " Dakota Cry. Iicense 20.00
U.G. Sprinkler " home under const. 3.00
Alterations * to existing 20.00 = -
Water Tum Around 20.00
STATE SURCHARGE
TOTAL
SITE
OWNER NAME: VWL r, 44°'1? -
INSTALLER NAME: r' Vf"Zv'
STREET
3
1Au
CITY: STATE: ?N ZIP: SSI2-3
PHONE #: (? LL
I+'?EKC?d, • j?a?
L _ BL _
SUBD.
OFFICE USE ONLY
RECEIPT #:
DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . all commercial/industrial buildings.
? multi-family buildings when separete permits are no required for each dweiling
unit.
DATE:
CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED9 YES NO.
FAILURE TO PROVIDE THIS iNFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WiLL YvU SE INSTALLIhG A METFR FOR A FUTURr: U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1°/a of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of °ermit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS
TENANT NAME:
OWNER NAME:
INSTALLER: _
ADDRESS: _
ciTr:
PHONE #:
ZIP:
SIGNATURE:
APPLICANT
OFFICE USE ONLY
STE. #
STATE:
I METER SIZE: DATE: INSPECTOR:
12 09:50:38 a.m. 01-03-2017 1 /2
UseseuBLUE or BLACK Ink
For Office
"" 90
1 City of Etall
, Permit#:
Dct...._
\ . Permit Fee: •
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675 Staff:
Fax:(651)675-5694
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION 1, ,
. ,
Date: I- Q-17 Site Address: 3-7(0? 130,,ii b e rr-%f 1--(--i-n .
Tenant: Suite#:
—,
i
Resident/Owner Name: ...\ III Ect C i Mc&in Phone: (e)51- 95,9-4-f7Y c
,
ty
Address/Ci / p
Name: Rt.)-i-0- P....co-t t4 v. License#: P rnt)(01 I(0 1
1
Contractor Address: 1446 3o - 9. -7 11-N Ie-e- IQ City:
State: rirt.I.3 Zip: 5S 1/47 Phone: --) (0 3- 5 / 5-3 90 7
Contact -Pk.i: \ C C . t 1/\ Email: Pk. : C
I . 6, tv, a) azesc- C o
..„
Type of Work —New \ Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work: RE P ta._(..e 50 get,i r:CL Lu Lc 4-4 e 44.er.4.-4"e V
-1 . ., . .
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation( RPZ/ PVB)
Permit Type Septic System , Add Plumbing Fixtures L_Main/ Lower Level)
New _Water Turnaround
. , Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures,Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$ 60-0 0
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4544002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. , . , , • , , , , .
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 . Is ..t to stjrt without a permit;that the work will be in
acco ance with the proved plan in the case of work which requires a review and appro -1 o Is.
x II /21)1
i /,
xifr i e-------- -
Ap licant's P 'nte Name Alicanrs nature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158641
Date Issued:10/23/2019
Permit Category:ePermit
Site Address: 3768 Bayberry Lane
Lot:10 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kevin R Edelman
3768 Bayberry Lane
Eagan MN 55123
(651) 303-7369
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160478
Date Issued:03/11/2020
Permit Category:ePermit
Site Address: 3768 Bayberry Lane
Lot:10 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kevin R Edelman
3768 Bayberry Lane
Eagan MN 55123
Garlock French Roofing
2301 E 25th St
Minneapolis MN 55406
(612) 722-7129
Applicant/Permitee: Signature Issued By: Signature
Smoke and CO detectors affidavit for Building permit final
I Kevin Edelman have tested all the required smoke detectors and Carbon Monoxide detectors,
At 3768 Bayberry Lane. Eagan, MN 55123.on this date 05/11/2020.They are correctly located as per the manufacturer's
installation instructions and operating.
There are working smoke detectors in every sleeping room, in every hallway leading to a sleeping room and on every
level of the house.
There are working Carbon Monoxide detectors outside of every sleeping room,within 10'
Permit#EA158641
Signature L