3765 Bayberry Lane
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA096858
Date Issued: 11/05/2010
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 3765 Bayberry Lane
Lot: 3 Block: I Addition: The Woodlands 3rd
PID:10-75878-030-01
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Angell Aire Donald Slusarski
1223 Nicollet Ave S 376 Bavberrv Lane
Burnsville NIN 55337 Eagan NIN 55123
(952) 746-200
I hereby aeknowledae that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and Cite of Ea-an Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
INSPECTION RECORD Control No. 1 1 2 5
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 003 540
Eagan, Minnesota 55123 Date Issued: 09/30/92
(612) 681-4675
SITE ADDRESS: 1.01 I@ H L a I1 k• I APPLICANT:
171;13 "AYHERRY 1.ANit 1. fFf !:'!YL! HOMES IHC
CHE 14041 1, ANDS 3140 (612) 4154-7866
i
PERMIT RIypTYPE: TYPE OF WORK: NFU
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR
t fiti I 1 NIi FRAN i N6
IW;VtAIION FINAL
F IRFP( Act.
at:MAkK'.r I'$ 4f CONTRACTOR 1N01gi'",t3N t'I Ro
; -i
Kr.~t
d
1k 'I
-I
Permit No. Permit Holder Data Telephone R
S/W
PLUMBING AQ,/2,42 J-3r;~71-2
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation 2
Framing
Rooting
Rough Plbg. .11-11`27M
Rough Htg. ~r ~j
[Sul. 11-13 ~Z
ArWace -z x s
Final Htg.
Orsat Teat Q
Final Plbg. Ptbg. Inspector - Notify Plumber
Const. Meter
EngrJPian
Bldg. Final ) G 3
Deck Ftg.
Doric Final
Well
Pr. Disp. -15_t Z ad, Aj l
SEWER & WATER PERMIT rOFFICE USE ONLY
CITY OF EAGAN METER # 3 a T PERMIT DATE , ` 0~ 90
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # _d 3 PERMIT # 11521
METER SIZE 5/9 050K B.P. RECEIPT # G A L,L-
i'L~' 11 , 19 ;'0 ISSUE DATE 2 - Z 7-90 B.P. RECEIPT DATE 06/ 11
DATE
PRV _ BOOSTER PUMP
SITE ADDRESS ' Lill PERMIT REQUESTED
LOT 3 BLOCK 1 SEC/SUB THE iiOODLANLS 3RD
SEWER X WATER TAPS
APPLICANT:
ADDRESS: COMM/IND RESIDENTIAL
CITY, STATE ZIP NEW EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: ' c f `.r r S Ahead of Domestic Meters on Water Line.
ADDRESS: 1521 94TH LANE Nfj~' Credit WILL NOT be given for Deduct Meters.
lLA19E 55434 '
CITY, STATE ZIP
PHONE:
I AGREE TO COMPLY WITH CITY OF
OWNER: HLARK JOHNSON CONSTRUCTION EAGAN ORDINANC
ADDRESS: 1614 E CLIFF RD
CITY, STATE BURNSVILLE, .iNl ZIP 55337
4: ATURE W #N METER ISSUED
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
INSPECTION RECORD f - -
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ? i t
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
„t G7Ry i ANE
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR- INSPECTION TYPE DATE INSPTR.
i
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE k ~l
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
i Flt I II+;III: iih}st" -,;,I; I + I hail Ii{, r.4 1
PERMIT SUBTYPE: TYPE OF WORK:
II VAI ION
INSPECTION INSPECTION I 1+11+.Id I !d ! i 1 I ,
I I1 1111 I i ilhf~, I N,, s:.. 11 11 1- i t jtl I I++I
A.
i
Permit No. Permit Holder Date Telephone N
ELECTRIC 0 7 R /D /O Q
PLUMBING ~/O 9J
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL ~~~raAw j~ ba so.,a.Y
a' ZG-9b n pf'-F: a~
DECK FTG
DECK FINAL
it
f
INSPECTION kVU6RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ' ' . 11- 11, APPLICANT:
IIII.;, I,1....a
1'1,'r 1 Pe 141 rl rrll .tIJ:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
i~
Permit No. Permit Holder Date Telephone
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG y 100-2
DECK FINAL 7
SEER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN - METER # PERMIT DATE u7/ uri"'•~
3830 PiloVnob Rd. 11521
Eagan, VIN 55122-1897 CHIP # PERMIT #
' METER SIZE B.P. RECEIPT # L' E =
DATE l . ISSUE DATE B. P. RECEIPT DATE r ~ 1 ' ,
PRV -BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
LOT 'BLOCK SEC/SUB
SEWER " WATER TAPS
APPLICANT: %
ADDRESS: COMM/IND RESIDENTIAL
CITY, STATE ZIP NEW EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: 1521 fi4V LAN is Credit WILL NOT be given for Deduct Meters.
CITY, STATE y'1 -4 1 Ji'c' t. ZIP 554±4-
PHONE:
1 AGREE TO COMPLY WITH CITY OF
OWNER: " lt7llt`SOrti f~f•S" .U`t.',"!I „ EAGAN ORDINANCES
ADDRESS: 1614 F. CLIFF RfS
CITY, STATE BURNSV LLi: , ZIP ,5 { ! i
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CASH RECEIPT
CITY OF EAGAN ;
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE / 19
nFCerveo I j t L' 1
FnOM
AMOUNT $ 7 !
J
& DOLLARS
rm
O /CLASH CHECK
r
FUND OBJECT AMOUNT
Thank You
~J
BY
r
C n Whit---Payers CC
V( 1~"i~ Yellow-Posting Copy
Pink-File Copy
DATE: JULY 10, 1990
3765 BAYBERRY LN (HARK JOHNSON CONST)
pt 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, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
L For Office Use Only:
• PERMIT #
• MECHANICAL PERMIT
CITY OF EAGAN • RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE ! v' S PHONE: 454-8100 DATE:
Site Address BLDG, TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. New
A 1 (2 1z
m Name Mult Add-on
Address Comm. Repair
City II% EAP ;LIS, hi~itidne~ Other
J -o lI
FEES
L Name RES. HVAC 0-100 M BTU - $24.00
c Address ADDITIONAL 50 M BTU - 6.00
39 p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
TYPE OF WORK GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA
I - COMM/IND FEE -1% OF CONTRACT FEE
Forced Air_ M BTU - APT. BLDGS. - COMM. RATE APPLIES
Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Air Cond. L M BTU REMODELS 12.00
MINIMUM COMMERCIAL FEE 20.00
Vent CFM STATE SURCHARGE PER PERMIT .50
Gas Piping Outlets # -L (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Other
PERMIT FEE: I :Fr%i.Cf i ~s "
SIGNATURE OF PERMITTEE~
S/C: J v
TOTAL: ? FOR: CITY OF EAGAN
T
C3'► ~~i~cate o~ ~ccu~anc~g
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use 0assifwatiau: S' DBldg. Poermit No. 1540
O-P-y Type R-3/M1 Zonio6 niskid R1 Type coati Vn
Owner of Building i'TFE4'TYIF HATS INC Address 1484 LAKE IWW OEM—, EAGAN
BWOng Address 3768 BAYHOU LAIC [ ooli~ L , B), IN
Oakt 01 /06/42
Bw1dift rcial
POST IN A CONSPICUOUS PLACE
t.
1 M ~
r
Tatif iratt of (Orrupanry
Citp of (Eagan
Frvarwmt of wwbwg jwtrtion
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.-
Use Chwifindon SF DWG/GAR Mg. tlrmil No. 17982
Occup-y Type Kw R3441 Zoning District R1 Type Coast V N
Owner ofBoilding L"~tSL1l~ aJulpaw 00 71. Add= 1614 E. ajFF RD., B'VMZ
3765 BAYBERRY LANE Q, B1, -M WOML,l1 W 3
Date: 3/26/91
Building Of *
POST IN A CONSPICUOUS PUKE
r T ••p~.r,•f ~f%~7RSi`:aTt "it ~r~;._. ' SS _ pa
CITY OF EAGAN ? 17982
` 3830 Pilot Knob Road, P:O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SP DWG/GAR Est. Value $192'00'0 Date JUNE It 1990
Site 9dress 3765 BAYBERRY LANE
OFFICE USE ONLY
Lot Block Sec/Sub. THM 'UWW' 2-3, N-1
Parcel No. Occupancy 1111-- r FEES
Zoning $ 962.00
MAJIM J131141111130111111 U111111115-11, W Name (Actual) Const 9n Bldg. Permit
104; 2 CU" RD
Z
o Address (Albwable) Surcharge
City DIVILLE Phone # of Stories 615-- 00
Length Plan Review -_0 00
o Name $ Depth SAC, City -_W~
0e, Address S.F. Total SAC, MCWCC •
°C City Phone S.F. Footprints On On Site Sewage Water Conn
9000.
~Q
W Name On Site Well Water Meter
W MWCC System
5 2 Address )IJ(_ Acct. Deposit
s W City Phone City Water 00
PRV Required SNV Permit 50
1 hereby acknowlege that I have read this application and state that the Booster Pump SAY Surcharge •
information is correct and agree, to cofrtpI ith II applicable State of -~W
Minnesota Statutes and gfty of Eagan Ordinajt Treatment PI
Signature of Permitee MARK JONI" CM= APPROVALS Road Unit
A Building Permit is issued to: Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota St ` tes and City 9f Eaga~r Ordinances. B~. Ory- Copes 3,~30
C E -~.c~k
Building Official Variance TOTAL
t:
Permit No. Permit Holder Date Tekgphone #
WATER 12 7/D ~jO
SEWEAi
PLUMBING ~/g A
x ' 5d
HN.A.C. 794 7
ELECTRIC ~p~ 7 U 0.0
Inspection Date Insp. Comments
Footings 1
Foundation
Framing 7 a y ga D
Roofing A
Rough Plbg. p 9d ~j d
Rough Htg.
Isui. l~ 7 G LC1~ '15" 1 9
Fireplace 19-20-/e o S
Final Htg.
Final Ping. WAU
Const. Meter Plbg. Inspector - Notity Plumber
Engr.JPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
.77 75
PLUMBING PERMIT For Office Use OnI
• CITY OF EAGAN PERMIT#
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # PRICE `c- PHONE 454-8100 DATE:
Site Address BLDG. TYPE WORK DESC IPTION
Lot- lock SecJSu Res. -ice New
Mult. Add-on
Comm. Repair
Name
Other
Address
c City Phone - RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
oq I-
NO. FIXTURES TOTAL
Nam ` Water Closet - $3.00 $
_ Bath Tubs - $3.00
Addressja 4Q Lavatory - $3.00
Cit . I L~~~ hone ' --~-Shower - -
y~1~b Kitchen Sink nk $3.00
Urinal/Bidet - $3.00
FEES Laundry Tray - $3.00
COMMAND. FEE - 1% OF CONTRACT FEE 1 Floor Drains - $1.30
APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50 _
TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool - $3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT)
STATE SURCHARGE PER PERMIT .50 Softener- $5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 T Z
7
GNATURE PERMI PERMIT FEENS.Q
STATES S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
S. S
19 p REQUEST FOR ELECTRICAL INSPECTION= EB-00001-09
6 / ( 100 See instructions for completing this forth on back of yellow copy t i DQn
/0 Q "X" Below Work Covered by This Request aj.., /IG o / 7
N0% Add Rep Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractors Remarks
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 -Amps
Signs inspector's use only TOT! " 1-0
Irrigation Booms ~.O J~
Special Inspection
7
Alarm/Communication THIS INSTALLATION MAY BE OR D NECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Roughin j/ oaia GJ
certify that the above inspection has P,nal - oa J
been made.
OFFICE USE ONLY l
I h
This request void 18 months from ! r• Se NIL h_T -I In
O a yF95P /
9-948 N o i
3=~/~&°°
aid
Request ate Fire fig. ugh In Inspection Required Inspection Other Than Rough-In
h I O Q C~ (You mus cas ll inspector when read y) Ready Now Will Nohry Inspector
V L ~7 Ye ❑ No Date Read
1 ❑ licensed contractor ❑ owner hereby request inspection of above electrical work at.
Job Address (Street. Box or Route No) City
3"7 !0 8 'Ba-11 bzalr- LgnG E/Q G AW
Section No. I Township Nam or No Range No County
DR l~oT-6
Occupant (PRINT) Fv~T~' C W c b Lilt/ Phone Np. r Sys.)-
Power Supplier Address
Electrical Contractor (Company Name) Contraclors License No.
5 01.1 m L°-
Marling Address (Contractor or Owner Making InsMIIatwn)
Authorized Signature (Contractor/Owner Making Inslallahon) Phone Number
.ti , 0? (o - 5 I/S.),
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-128 BE ACCEPTED BY THE STATE BOARD
1821 University Ave, St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
Address: 3768 BAYBERRY LANE Lot 10 Blk 1 Sec/Sub IM WOODLANDS 3RD ZIP:55123
These items were/were not complete at the time of the final inspection.
Date: 01/06/92 Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas VII,
Sod/seeded grass
Trail/curb damage
Porch 1✓
Basement finish
Deck
Please verify 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. M
.~,6,
White - City copy Yellow - Resident copy Pink - Contractor copy
Address: 3765 BAYBERRY LANE Lot 3 Blk 1 Sec/Sub THE WOODLANDS 3
These items were/were not complete at the time of the final inspection.
at : 3/26/91 Yes No nqpPrrnr&
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry VI/
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch VII,
Basement finish
Deck
Please verify 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.
White - City copy Yellow - Resident copy Pink - Contractor copy
flj/90 99804640
X8211 3 l - $7O190
Request Date Fire No Rough-in Inspection
❑
Required? Ready Now i/.tN41 Notify inspector
~VdYeS L7 No When Ready?
I Nicensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street Box or Route No I City
59&1-S tZ--AGP-y-\
Section No Township Name or No Range No Court,
~p K c~TA
Occugent (PRINT Phone No
Power Su liar Adtlress
R oTA rL.€'ci tL ~AF'vt+li'7(, pP-I
Elecinoal Conlractor (Company Name) Contractor's License No
45 f7-C 2(c J~(\C. CO 417- 1 44S
Mailing Address (Contractor or Owner Making Installation)
)R i,3 a1C r L,\. 6, Ad-,
sSlzz
Authorzetl Si re IContractoviJwn km{q Installavon) Phone Nvmber
4i
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
.16f34190 REQUEST FOR ELECTRICAL INSPECTION EB-W00t--T07
1~ See instructions for coppletmg tf•~ form on back of yellow copy
"X" Below Work Covered by This Request
@ 08211
Neer P,_7d Rep. Type of Building AppllancesWired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Cimuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above. Amps
Signs Inspector's Use Only TOTAL
Irrigation Booms 7090
Special Inspection
Alarm/Communication THIS INSTALLATION MAYBE ORDER DISCONNECTED IF NOT
Other Fee ,.30 COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has Finai Da '
been made Cf/
OFFICE USE ONLY
This request void 18 months from
7,13 IgI
Request Date Fire No Rough-in Inspection
O Regwred?eatly Now ❑ Will Notify Inspector
yu x~:7 ❑ Yes n No When Ready'+
l l 'censed contractor ❑ owner hereby request inspection of above electrical work at
Jobrddreas (Street. Box or\ to No I City
-30 fv5 4 RETelq E7
A
Section No Township Name or No Range No Coun
Occupant (PRINT) I ~i Phone No
Power S ier Adtlresa
C C T2 l G ~QY h I1 7 7~
Elecmcal tractor (Company Namel Contractors License No
crrt7r~l o T 8
Mailing Address IC011racmr or awn Makmg Invellalionl
1 19 6 7s
42, Y
Authorized ature (ContractonOwn K Installation( Phone Number
I M !a n( , s rn 3z
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS
Panne (612) 642.0800 ENCLOSED
~'I REQUEST FOR ELECTRICAL INSPECTION Ela-00001 m
~/4 //O
I► See msimctions for completing this form on back of yellow copy q ?t O~~/~
'X" Below Work Covered by This Request
@ 08207 "
New Add ep -Type of Building Appliances Wired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Elednc Heating
Apt. Building Dryer Other (Specify)
COmm.llndUStrldl Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks.
Compute Inspection Fee Below.
# , Other Fee # Service Entrance Size Fee # Circuds/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps 00 Amps
igns Inspector's Use Only TOTAL _
Irrigation Booms
IS
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee , 30 COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has Final Data
been made. CC//
OFFICE USE ONLY r-
This request wid 18 months from
CITY OF EAGAN NO 17982
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 rp' 267 ,
BUILDING PERMIT Receipt # ( O w
Tobeusedfor SF DWG/GAR Est. Value $192,000 Date JUNE 11 1990
Site Address 3765 BAYBERRY LANE
Lot 3 Block 1 Sec/Sub. THE WOODLANDS 3 OFFICE USE ONLY
1 FEES
Parcel No. Occupancy R 3, M-
R=1
MARK JOHNSON CONST Zoning 962.00
W Name (Actual) Consl V~ Bldg. Permit $
Address E CLIFF RD (Allowable) Va-- surcharge 96.00
o City B' VILLE Phone 890-2242 # of Stones 65 Plan Review 625.00
Length
~o Name SAME Depth L6- SAC. qty 100.00
Q,< Address S.F.Total 600.00
SAC, MCWCC
City Phone S F. Footprints -
On Site Sewage Water Conn 625.00
Ow Name On Site Well Water Meter 90.00
uCE Address MWCC System XX Acct Deposit 30.00
aw City Phone City Water XX-
PRV Required SAV Permit 30.00
1 hereby acknowlege that I have read this application and state that the Booster Pump s/W Surcharge .50
information is correct and agree to comply with all applicable State of 252.00
Minnesota Statutes and EagaryfDrdina Treatment PI
Signature of Permit T APPROVALS Road Unit 355.00
A Building Permit is issued to: MARK JOHNSON CONST Planner Park Dad.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota S Utes and City4y Eag / Ordinances. Bldg. Off. Copies
Variance TOTAL $3,765.50
Building Official
0 1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
~~~fZ
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (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.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
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 & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
t^ JUN 0 5 RECD
To Be Used For: Si Valuation: - Date: 6 14/190
Site Address 5 &d~~yr 19?' oa, OFFICE USE ONLY
Lot ;3 Block j FEES
Occupancy tz-3 M-1
a Zoning 71-1
Parcel/Sub (t j(art5 3rr1 Actual Const V-Q Bldg. Permit
Allowable V- 1i Surcharge 96.Oo
Owner MCL.- QwA, # of stories Plan Review ~Z S.00
Length SAC, City f no,ov
Address Depth 34 SAC, MWCC 0-,110
S.F. Total Water Conn 61b,00
City/Zip Code Footprint S.F. Water Meter 0,0 O
Acct. Deposit 30,00
Phone On site sewage- S/W Permit 3x,00
On site well S/W Surcharge
Contractor lna,t c~n~rlse G MWCC System v Treatment Pl. 5 ,00
Q City water y~ Road Unit 3
Address /1,/y E. L/:F!' PRV Park Ded.
Booster Pump Copies
City/Zip Code ~terrsu:l~e MH 5533'7 SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL
ee~~ Council
Arch./Engr. ba~ (Actnsr~IoL7` Bldg. Off.
Variance j 4
Address
City/Zip Code
Phone # %j -,,e3 (0 yq
VAL-L~
GA R C
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SURVEYOR'S CERTIFICATE MARK JOHNSON
JRR
Amp
57 I N N
22. 0
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o ; o ' u Nn
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A I_ ,q/ f GARAGE I
N N M
N t Im N Houss 0 L `I
i ` p 8 0
~_1 i r t 53.0 v ! /Jf
S DECK Pa6~ ~~~Zr~ ` , ^ -
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~~so) 494
6
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n --La p
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DENOTES PROPOSED SURFACE DRAINAGE
0 DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 F T
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - a'11. ~ r
X0000 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - v&r_, r
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 89I.~ F r
WE HEREBY CERTIFY TO MARK JOHNSON THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 3, Block I , THE WOODLANDS THIRD ADDITION, according to the recorded plot
tnereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROPP.'jNNTSfEX015PTAS,SF`Iew S
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS ISC'fi DUNE 1`r""e' `'990
SIGNED ES R. HILL-,,I
_ Y,'. ..e wd C 4 3.3 JIR T
JOHN C. LARSSON Ira` ~
,"LPND SC)RVE7UR°
MINNESOTA LICENSE NUMBER 19828
y James R. Hill, inc.
, o ° A
o ~ o ~ ov,
_ r m m x y _ D
o m o tlp' m Z PLANNERS /ENGINEERS / SURVEYC ~S
T M Z 0 O W
O m
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55437 ► 872 884 28
a
OW EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION"
Nr'~t
SITE ADDRESS PLAN N0.
CONTRACTOR MAQ44..dpi V /nI" DATE Mrs IZ Ig~Q
`•~N. c oNS hie"
Determine working square footage of each
1. Total exposed wall area.... ?j°pl545
Z. Total roof/ceiling area......
3. Total. floor/cant. area..... lI2.0
..~~_sq.ft. x~ = S.Cp
Total exposed wall area above floor
a. Total wall window area.......
b
c • Total sliding ~O.$S
area
ing glass door
d Total fire p area
lace wall area......
all framing area (average 1o%)
f• Total net wall area above " "
floor••••.•.•.,•••M ~ GrL
g• Total rim Joist area....,.
Total exposed foundation area
h. Total foundation window area
i• Total net foundation area above grade........
k is
Determine "U" value of each wall segment
a. 50(0-$rj x "U"
eb x fluff •.k~ _ .b
. o x "U"'- _
do x "U" `
e.- x "U" _
f. Z x "U"
h. x "U" ° ! 4 q~
i. 1-- x for
4.
Total = 42c~, 60
If item #4 is the same as, or less than item #1P you have met
the intent of SBC 6006(0)2.
Total exposed roof/ceiling area 15f1q.0
3. Total skylight area
k. Total roof/ceiling framing area (aver. (.10016"o/c)...,.
(.0625024"o/c)... :0
1. Total net insulated roof/ceiling area.* . O,Aez-
Determine "U" value for each roof/ceiling segment
J. x "U„ = -ST
k.J~ x "U"
k. z U r0 r0
5. Total = 33.4~t-
If total of #5 is the same ast or less than #2s you have met the
intent of SBC 6o06(c)1.
Total exposed floor/cant. area
M. Total floor/cant. framin area (average .10,%)••••....••
M1(~Q b
n. Total net insulted floor/cant, area***. *a 6*
Determine "U" value for each floor/cant. segment
M. R17- x "U" 06P = 0.(
n. 0 r x "U"
6 . Total
If total of #6 is the same asp or less than #3, you have met the
intent of SBC 6006(c)3•
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established
by the s6 of items #4, #5 and #6 shall nnot~ be greater than the sum
of items #1$ #2 and #3-
1.. 419.4-5 2. 4►rn5 3-
420,~a 5• 33,E 6.
4.,
Prepared b • ~-~/a_-"'~
Date -S-12--90
THRU STUD Int. Air .68 THRD INS. WALL Int. Air .68
wl S.R. & SIDING 1/2" S.R. .45 w/ SR. & SIDING 1/2" S.R. .45
Stud ('0. B& (0 " ins. 11.0
25/32" Bild. 2.06 25/32" Bild. 2.06
Siding fib Siding .it)
c~
Ext. Air .17 C Ext. Air •17
Total "R" _ I i QZ , Total "R" = +
J /R = "D" _ OI 1/R = "U" _ , d
THRD RIM Int. Air .68 THRD CONC'BLOCK Int. Air .68
JOIST SOY Ins. 1q.0 C.H. ('IZ") I.-L6
Opt. Styro. Opt. Ins. 5.0
1 1/2" Wood 1.89 y Ext. Air .17
25/32" Bild. 2.06 % • .
i / Opt. S.R.
III., Siding Opt. Sid.
Ext. Air .17 Total "R" = rf , 7j
Opt. Brick 1/R = "U".=
Total "R" _
1/R = "D" =
THRU CIG. Int. Air _ .61 THRU CID. Int. Air .61
MEMBER S.R. Or) ~(p INSULATION S.R. (5/~') ,f~•r~o -
Clg. Memb. q Ins.
Ins.-(' Still Air .61
Still Air .61 Total "R" = 4Co l Qj
if 1
Total "R" _ I . 17) 1 /R = "U" _ . d Z l
1/R = "D" _
i
THRU MwFA Into Air 092 THRU 3NS. into Air 092
AT TUCX?S. Carp.-Pad AT TUCKIS Carp.-Pad ~,Z3
51810 undo .82 5/88 undo .82
11210 Ply. .62 1/210:P1f. .62
aoint Depth I1.5~ L i " rna. 30,0
5/8" S.R. .56 518" s.R. .56
Still Air .92 Still Air 992
Total 10R" _ (P , (o 9 Total °R10 = '35.0
I /R _ "n" : GYPO I /R a OUR
_ , O Zq
YrN,,f:.°:A;'Rcil."cA:%ki$?$i,:'r'/.Mti~M>;c,is'n~::J,cB'%;;r'I•~~);i'k, S:A:9S>$ i'ETC ,t~,: ,:~dXt
MY OF EAGAN
CAf3!'IERN S TERhIMAl_ ,dO; "
PATEN '17M OG T'EMI 10; 44-.26
UN
h!f'rSEN CARL A Pi Tt.:RSOI
720 90A 3765 'BA"B'_RRY' L 50.00
2155 701 3765 DAYIERfRY L 0.53
k
Total f;r.ceicat Point- =C.53
','SEF WACY
^"MY,fk°nK?It I NA, Y";1F',',..UM 1AW, IV A MANS A::.'.i'* k
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 032431
(612) 681-4675 Date Issued: 0 7/ 0 7/ 9 8
SITE ADDRESS:
3765 BAYBERRY LANE
LOT- 3 BLOCK: 1
THE WOODLANDS 3RD
P,I,N,: 10-75878-030-01
DESCRIPTION:
Bur Permit Type FIREPLACE
U'31-di rrg _ W%) r k T y p e NEW
'eiis~rs`Cod':,, 434 ALT. RESIDENTIAL
s~p
c rs
zlVV
k
'Vs
v' A ^s='s _"a .v vr. ~iNE .a s. a~ :.era ,aa~ e.3 Y~ k
REMARKS:
FEE SUMMARY-
Base Fee $50.00
Surcharge
Total Fee $50.50
CONTRACTOR: - Applicant - ST. LIC OWNER:
PETERSON CONST, CARL 16886564 0004275 SLUSARSKI DON
IV374 LAKEVIEW CURVE 3765 BAYBERRY LNAE
EAGAN MN 55122 EAGAN NN 55122
(612) 688-6564
i her"e by ackncnwletige tlaat:I ve 6e:ad "Ciift 'a'Ppl catabn arid stal$ >h"at;,'t11e
~nfo.r;mwt-iai-°is cair,C Gt' and agree to comply f all "app3icah0e` Ca e f Mn
6tz~i e es ariCa y f l a,' ,an O.rdan°ancp&.
APPLICANT/PERMITEE SIGNATURE BV: RE
2
3
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1998 FIREPLACE PERMIT APPLICATION
681-4675
DATE:_ PERMIT FEE: $50.50
DESCRIPTION OF WORK: Construct new fireplaceI Alterations to existing
Install eas insert oniv Install eas tine only
_ Other
JOB ADDRESS: 3 766- er (~e~i C!
LOT: 3 BLOCK: SUBDIVISION/P.I.D. D D Lure
APPLICANT (circle one only): OWNER CONTRACTOR
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.
Name: J "",xy Phone
PROPERTY Last First
OWNER
Signature:
Street Address: ?766-
City Eq c14 r State: h! Zip: SS/~o2
i
Cc, I
Company: CA Pe f`Pr { Co-S ~rvc~io Phone 60'(f-&,S 6 y
FIREPLACE n
INSTALLER Signature: j
o~ 7S
Street Address: /S 7 V Z,9 Ice i,j C.r• r-Z License #
City Ca 44n state:) Zip: S~/o7.2
Company: 1~C t rSan }7 a - 9 Phone 21 P - (0802 -dJ 37
GAS LINE
INSTALLER Signature:
Street Address: f- I 1L o X 31 L
ackG"S4cl- Yt,/V
I
Use BLUE or BLACK Ink
I For Office Use
I ? 1
Permit
City of EaAQ
dfl I 191
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: o- 'i2 I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 1 Staff:
L --I
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date:\ Site Address:
Tenant: Suite
Named Phone:(~~
RESIDENT / OWNER
Address/ City/Zip:
Name: License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
DESCRIPTION Description of work:
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.org
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 se of work which r~quir s a review and approval of plans.
Applica is Printed Name Applican'fs Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160482
Date Issued:03/12/2020
Permit Category:ePermit
Site Address: 3765 Bayberry Lane
Lot:3 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-030
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 -
Donald Slusarski
3765 Bayberry Lane
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168365
Date Issued:04/20/2021
Permit Category:ePermit
Site Address: 3765 Bayberry Lane
Lot:3 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-030
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Donald & Cynthia Slusarski
3765 Bayberry Ln
Saint Paul MN 55123--242
All Craftsmen Exteriors Llc
1020 East 146th St
Ste 226
Burnsville MN 55337
(952) 898-4680
Applicant/Permitee: Signature Issued By: Signature