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857 Sudberry LaneCity of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694. vvL L Permit #: ibc a J" Permit Fee: '5S o0 Date Received: Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICAHON Date: -7/24/ t I Site Address: Joan Workman Tenant: 857 Sudberry Lane Eagan, MN 55123 1 Suite #: RESIDENT / OWNER 6516886925 Name: le: Address / City / Zip: CONTRACTOR Name: NORBLOM PLUMBING CO, License #: 01.052-4 Address: (612) 8274033 City: 2905 GARFIELD AVE. SO. State: Zip: MINNEAPOLIS, MN 55408 Phone: Contact Person: An, k TYPE OF WORK New X Replacement RepairiRebuild Modify Space — Work in R.O.W. _ _ — — Description of work: r(4C./ water atld er G 1 i PERMIT TYPE RESIDENTIAL IWater Heater Water Softener Lawn Irrigation Add Plumbing Fixtures ( RPZ / PVB) ( Main Lower Level) _ r Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $165.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ . ....' I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x J j. ivorbtarni Applicant's Printe Name A.„`icant's Signature City of Dian 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AF 2 Use BLUE or BLACK Ink For Use Permit #: (1/ Permit Fee: Date Received: S I 2:2- / Staff: • -4-i 2011 RESIDENTIAL BUILDING PERMIT APPLICATION copi ID. OD Date: Site Address: 14- 7 Lfr, c„, CA 1[6.61 RESIDENT / OWNER JO ate\ (A)blrk.hetct tr% Phone: 6•V-1— 6k* - 61.2S -- Name: Phone: / I,s, Address I City I Zip: 1\17 So6 - tAlk 'e in ni 1 tti ,r\S'l 3 Applicant is: Owner /Contractor TYPE OF WORK Description of work: lee/v(004 1 Spid c - __e. /- ,,., .-,. Construction Cost: .47/4 ee2C-*" -- Multi -Family Building: (Yes i No CONTRACTOR ..›.() Company: Lav-.4-eir, -1--Kciug--4-v-t-tsr Contact: La vi, 1...xl v-4--f-kN, ° 0 Address: ca -Et-c-ok.d ,s,-1-. City: State: ill 10 Zip: \SZ-Dt2:7 Phone: 6,3-/- %23 - qtYr/ - • License it --Q,0 /6 g7 / 6,2 Lead Certificate #: Does this project require Lead Remediation? 0 YesNo (see Page 3 for additional information) If no, please explain: cr. 4.4„,.._S- -€. ..A. ,.., 1/ 11,t /7e,3 In the last 12 months, _Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that 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 docherstateonecall.oro 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 ofAiti, 144.0 r App cant's Si ature X cc Applicant's Print6d Name cet e Page 1 of 3 q57 cudbai(f Cn DO NOT WRITE BELOW THIS LINE a SUB TYPES Foundation Single Family Multi 01 of _ Plex _ Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% t4 Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool _ Interior Improvement Move Building Fire Repair Repair /&apo Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish interior _ Demolish Foundation Water Damage `Demolition of entire building - give PCA handout to applicant Occupancy 1'/16 --1 Code Edition #1,07#2 Zoning /0,a Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & WaterFinal Framing Fireplace: _Rough In Air Test _Final insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 2 Q "SO TOTAL -93 1.1 72- 96. MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required .46 Final / No C.O. Required HVAC Other: Pool: __Footings _Air/Gas Tests Final Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall: — Footings - Backfill — Final Radon Control Erosion Control Building Inspector 'n pK44_ /54 Page 2 of 3 g .bevr Li �► - Certificate for: - • -Joe Miller Construction 18133 Cedar Ave. So. Farmington, Mn. 55024 DELMAR H. SCHWANZ LANDSURVEroRf . Rplst.raa Undir Laws of The Stat. of Minnesota 29T13— 1445TH STREET W. — SOX M ROSEMOUNT, MINNESOTA 66068 SURVE • R'S CERTIFIC14TE PHONE 612 423-1769 (.(8) SCALE: 1 inch = 30 feet (DDenotoe propoai4 elevation JA _. Denotes propos d drainage Proposed garage floor elev. X06 0 Proposed top of block elev. Proposed basement floor elev.`% 7_�._--• (2o4'� �T e.(=?/L-2 ) of hereby SHEFFIELD,that this aocording toa true 4therreoordedrplattther�eof, Lot 5, Blockck 1, SHEFFIELD, Dakota County, Minnesota. Revised June 21, 1983 to show the location of a proposed house thereon. BY: : PECTIONS DIVISION l/ MINNESOTA REGISTRATION NO. 8625 Date: City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink F Permit #: 70 Permit Fee: Date Received: Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 7 S J brj gin, Tenant: Suite #: RESIDENT / OWNER Name: 3OCA. wV r �( N Phone: Address / City / Zip: ij S cal0et(', LA -LQ Applicant is: Owner X. Contractor TYPE OF WORK Description of work: l� i L''� P I Se„.4., Construction Cost: //CC 0 Multi -Family Building: (Yes / No CONTRACTOR Name: Rbrc 6l, ct /✓k_ Pi (tLLicen #: Address: City: Phone: ircr .toy. 9 S `tc..t G53o Contact Person: State: ! " r' U Zip: Scout PeAit 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: NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the Ci' 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.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 rf tart 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 pla Applicants Printed Name y x Appli = nt's ignature Page 1 of 3 City of Eagan Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Name x Applicant' Permit Permit Fee: Date Received: Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L. 3 0\ Site Address: 4 3 LA-C1 M/1/ Z Suite RESIDENT OWNER TYPE OF WORK CONTRACTOR Name: 'GGQ \d o k -an Address City Zip: IT 7 S e y L etvi s Applicant is: Owner X Contractor Phone: 43- S/ Pe -D Description of work: Ie% Construction Cost: 4 cu L l z Multi Family Budding: (Yes No 1 censl 1 i C%c 1 Name: oYi ,of✓( o Address: 22,7 edl A/ Cit tja✓l Phone: 113 L16W Contact Person: "ice Sv State: M Zip: 1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) Energy Envelope Calculations Submitted 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: Mechanical Contractor: Sewer Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 pf plans. x (k Az, Page 1 of 3 C*TY ( F EAGAN SEINER SERVICE PERMIT ~ LtiI 3830 Pilot Knob Road pERM1T NO.: P. O. Box 21199 DATE: Eagan, MM 55121 1 ~1 No. of Units: zo"i^o: r Co t pwmr: ~resr. 857 Sudbe I.ane L5 B1 Sheffield Sit° Add`eu' t~IcGuire A4e p Plur+ber: 9-12-R3 385dw ~~ton C~aroe' 425.00 T~d M eo.wlfl ~ eM. C'~f ACOOUM Depodt: 1~~ I i P d Craineeas. p@rtnk Fae: . . so na su.~~: Misc. Chorom By Totol: Dcte of Irap.: pate paid: I nsp.: CITV OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road pf-RMIT NO.: c P. O. Box 21199 D^TE: Eagan, MN 55121 _ No. af Units: Zonino: J .~l er on t pwner: Addross: Site Nddress: r'CGuite ''teCt? Plumber. Cor,necrion Charge: 450.00 nd µeter No.: /kaount Deposit: 7 no Sixe: Pertnit Fee: , p Reoder NOt ~ Surcharge: c}1~Ct~x I prM to asro~f? w1w tlw Gt7~ ~ Ea9a C, 0.._, T~ Misc. ChcrOes: OrdiRO°c" Total: Dote Paid: BY Insp.: pate of lnsp.: INSPECTION RECORD ; , , , CITY OF EAGAN PERMIT TYPE: o,: i ~2830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 oate Issued: (612) 681-4675; ~ r.a li', , SITE ADDRESS: ` ` E` l APPLICANT: 1106C_ItkY 1 AN1: PERMIT ZSUBTYPE: TYPE OF WORK: , 0 r, i t; ; INSPECTION . D. ~ , ~ Permit No. Perm(t Holder Data Telephone f ELECTRIC PLUMBING HVAC Inspection Dete Insp. Camments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PL60 AIR TEST ROUGH - HEATING GAS 5VC TEST INSUL GYP BOARD FIREPLACE FIREPIACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ~j . 3795 Plkf K~Road EaG nN MN SSlZ2 Q 4"'1 • PHONEs 454-8100 BUILOlNG PERMIT Receivr # To 6~ wed fer SF llGlG/GAIt ~,Value $57'0r~0 pOfe Sentember 1:? 19 83 Stte Addross ' , u ~erry ane Eme i.- 3 5 1 Siieffield ~ ~u~~~ P.-1 Lot Block Set/Sub. /11ter ? Zonirq Parcel # 10.- )760~ -05D--O1 Repoir p Fire Zone NA m Nome °8ep i_. Miller onst. , nc. EnloMovros ? Type of Const. W ~ ~ e ar ve. o. ? # Srorie3~ ~ Demoiiah ? Length cf Farmington Phone 5-4753 Grade p Depth ~5 Sq. Ft. ~ Nome Apprevala Fees ~ Assessment Permit Address . F Woter & Sew. Surchorye Z 5 Cit Pho^e pol;ce Plon check ~W Nome Fire S^C J Address Enp. Woter Conn. ~ W Cft phone Plonner Water Meter Council Road Unit I hereby acknowledge thot I heve read thls opplication end stote that Bldg. OFf. fhe inlormotion is correct and ugree to tomply with oll opplicnble S1769.50 Stete of Minnesoto Stotutes and Ciry of Eagan Ordinances. APC Totel Siprwturc of Permiftee i !!tiler , Ils t., InC., A Building Permit Is issued to: the express condition thni all work shall be done in acwrdance with all opplicobla Stote of Minnesotu Stafutes-afid City of Eayan Ordinances. Building Offlciol ~ 0 0 Z ~ ~ E aa ~ n w 1' ~ N O - ' O Z : r O To ' r~ ~ w d @~ IYl 3 ~ o•, ~ ' `n ~ .n ~ d c~ 4 0 6 = > ¦ r ~ ~ C ~ C fb q r a ~ $ O CO ~ ~ N W ~ LL IL 1L Q ~ ~ IL IL LL ~ (J1 d` Receipt PLUMBING PERMIT Permit No. ~2. ~ CITY OF EAGAN -~:r Fee Ll, J ` Fill in numbered spaces S/C D Type or Print legibly Tot. 1. Date •--~~2. Installation Cost 3. Job Address r ~ r L~ Lot Blk. Tract 4. Owner 5. Contractor _ /.r, Phone y6. Address 7. City State : . Zip 8. Building Type: Residentidl ~ Commercial ? Institutional ? 9. Work Description: New ,lc Add O Alter O Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield ~Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Orinking Ftn. Slop Sink ~ Gas Piping Outleu I 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8700 r, _ t Receipt -3 4~~J 1 MECHANICAL PERMIT Permit No. ~ CITYOF EAGAN • Fee Fill in numbered spaces S/C Type or PiJnt /egib/y ~ Tot. - - 1. Date ' 2. Installation Cost 3. Job Address 'Lot~~lk•.`~~_ Tract S r,c-1~• 4. Owner ~ I 5. Contractor l~ r i' f Phone ~ . 6. Address / ' i 7. City State 2ip ~ 8. Buiiding Type: Residential Commercial O Institutional ? 9. Work Description: New [1 Add O Alter ? Repair 11 10. Describe Fuel Type 11. No. Eauioment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: ~ Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other ' Air Cond. ~ Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : - ~ '------for RougH F inal Inspections: Date Insp. Date Insp. This is Your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CASH RECEIPT . CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 R6CtiVlO FROM AMOUNT ~ I ~ oaLuws ~oo ? CASM ? CHECK F O R FUND COOE qMOUNT ~ Tha u BY J Whi#e-PaYers CopY Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition SHEFFIELD ADDN Lot 5 Rlk 1 Parcel 1.0-67600-050-01 Qwner Street 857 SUDBERRY LANE State ~GAN MN 55123 Improvement hDate Amount Annual Years Payment Receipt Date STREETSURF. 81 2a.68 l.4 20 22.46 A013585 2-28-84 STREET RESTOR. 178 0 1 1 1 ?8. - GRADING a/ 81 91.10 .07 15 66.82 A013585 2-28-84 Sewer Lateral '7 81 152•9 10.20 15 112.22 " " _ SAN SEW TRUNK k1982 81 3.30 lF.22 ~.5 46.42 SEWER LATERAL .5Q . 3 1,5 •ZZ Sewer Lateral q 5.06 4.3 15 52.07 A013586 " WATERMAIN 1981 128.08 8.54 15 93.96 A013585 " „ * WATER LATERAL (ORZ 1982 .1 3.21 15 38.53 A013586 WATER AREA 510 1981 63•30 .22 15 46.42 A013585 ~f * Powerline 1982 15 STORM SEW TRK 89 1985 456.09 91.22 5 sG •a Coo 325 17-8 il STORM 5EW LAT DrSiIl e 1984 91.75 9.18 10 91.75 C008394 9-6-83 0?60 03 8- /7- ~ CURB & GU ER SIDEWALK STREET LIGHT '17"k 23 1985 1941.64 388.33 5 / 6, WATER CONN, 450.00 " " 8UILDING PER. SAC PARK -qo 9 89 $}0'00 2005 RESIDENTIAL BUILDING PERMIT APPLICATION Ck `I "l City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshuction ReauiremenGs RemodebReoair Reauirements Ofiice Use Onlv 3 registered site surveys showirg sq. fl. of lol, sq. R of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20% marimum lol coverage allowed) 1 sel of Energy CalculaGons for heated addilions Tree Pres Plan Recd _ Y_ N, 2 copies of plan showing heam & window sizes; poured found design, efc. 1 stte survey for addNons & decks Tree Pres Required _ Y_ N 7setofEnergyCalculations Addition-indicafeHon-sitesep6csystem Oo-siteSeptlcSystem _Y _N 3 copies of Tree Preservation Plan'rf lot platted a(ler 711193 Rim Joist Detail Oplions seledlon sheet (buildings wMh 3 or less unds) Date 1j, Construction Cost ~ZJc~J ~ SiteAddress 8S7 5v0&0~ W, UniUSte # G Description of Work 64r5 (/ilk-Y/ /N70 GWi)~J / x[.A%-w Multi-Famity Bldg _ Y~ N Fireplace(s) _ 0 9' 1 _ 2 Property Owner V •~)~CL~} ~ Telephone # &,v ' Klr Contractor ~~i''vG~?'?~S L/ ~I Address 3 % ~'1 ~?r' /~/~'J '~`'~-r City "AS State Zip Telep6one #(61,1)) J-//'AW COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (dsubmissiontype) Submitted Submitted • ~ • Energy Emelope Calculations Submitted . ! 1 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2 GCT ~ 5 _ Y _ N If yes, date and address of master plan: ' Licensed Plumber Telephone ~ Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 pla in the cas f work which requires a review and approval of plans. ( wo J119- „ (~,`6~?~~ Applicant's Pn ted Name A licanYs Signa e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 0 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck O 23 Porch (screeNgazebo) ? 36 Multi Misc. ? 05 03-plex ? 17 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex pibg_v or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• 0 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entlre Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System . Plan Review _ 100% or _ 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered' Type of Const Width REQUIRED IN5PECTIONS _ Footings (new bldg) Final/C.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation gypC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Building Inspector - Fee Base Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total r CertiPicate for: --Joe Miller Construation 18133 Cedar Ave. So. Farmington, Mn. 55024 DELMAR H. SCHWANZ LAND SURVErOR.', -VJC ' RpNHrW UnOer Laws ot ThO SbH af MinnaoU 2978 - 746TH STREET W. M p~MWNT. MINNESOTA 66068 PMONE 612 423-1769 SURVE R'SCERTIFI TE SCAI.E: ~ 30 1 inch = 30 feet ~ Zq. ~ ODenotee proPoed 2~ NTq-S~~ elevation ~ . , - Denotee propos d, D drainaBe . , ~ I . ; w s 9~ 1 ; '1 .o Pzavos~ ~ , ~ ~ ~ /MusE ry ~ F N ` zao Propoeed garage floor elev. yD6 o . Proposed top of block elev. ~iC_ ~ , d ba~ ~ent floor NS7- l oo propose ~ elev. - , , (~o(,z'r~T ~ 906.1 ~ . M / suDB~~ I certiry aCCOTding totherreoordedrplet t theY'eoff d Lot 5, Block Minneeota. Dakota County, Aeviaed June 21, 1983 to shoM the lxation of a proposed houee thereon. , I , + i ; .,l,'! % MINNESOTA AEGISTRATION NO. Bb25 / ~ CITY O'" Er1Gf-lN CASFi:rERa Js Irr;~IzNa!_ 684 UnrF:, osia:!.ir:,z rIr.E: 0:3109 0, NAMr:i (3RE.Al' I...r9!:ESi W:f.hDOk! f. EiIC::C4G 32:Lq :.?`]f..?i. r`.:;i' sUnri-r,i,v I_A 87.25 205 9001 £757 ciUDBEPiRY LPi 2.00 t ~ 1'nf,at E;c.,,,eiFrt f.-ip~.:'~i;' !i.`: ~ ° tl ~P.! Ci'(l'721. Oi t.1SE1+' .T.D_ SAN PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: s u rLo z N s Eagan, Minnesota 55122-1897 Permit Number: e 3 2 0 7 3 (612) 681-4675 Date Issued: 0 5/ 21 / 9 8 51TEADDRESS: 857 SUDBERRV LANE LOT: 5 BLOCK: 1 SHEFFIELp P.I.N.: 10-67600-050-01 DESCRIPTION: ~ 341 Permit Type SF (MZSC.) ~0f141ng14~rk Type ALTERATION ~wX enstks C434 AL7. RESIDENTIAL F,c yg ~a x ~ar" s ~ a eig ffi ~ ~ ~ a - ° REMARKS: FEE SUMMARY: BeSe Fee $$7.25 Surcharge $2.00 Total Fee $$9.25 'GT1~RT"L~KES"WINpOW & SIOE 18913400 2006042 T,IURKMiiN JOAN 6098 LOWEF2 161ST ST 857 SUDBERRY LANE ROSEMOUN7 MN 55068 EAGAN MN 55123 (612) 891-9400 (612)688-6925 ` ~ vr~e~~~ea~m¢w~l~Kf~~Cl~~~ h , ~LE~~~ysil3llt~ S a 7 ~ v .._ua~ w. o:... , e ~ .........w n... na. , . o- .ew ~ns .,...s.. ~'Es,.... t APPLICANT/PERMITEE SIGNATURE IS UED BY: SIGNAT E 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) M CITY OF EAGAN 3830 PILOT KNOB RD - 65122 681-467b New Construdion Reouiremente RemodeVRecair Reauirements ? 3 reglstered ske surveys • 2 wpias oi plan ? 2 copies of plans (inGUde beam 8 window saes; poured fid. design; Mc.) ? 2 ade surveys (euterior atlditions 8 decks) ? 1 energy wlwlations ? 7 enargy ralculelions for heated addkions • 3 copies of tree preservation plan if lot pWtted after 711f93 required: _ Yes _ No DATE: ~n20 - C, it CONSTRUCTION COST; c;p DESCRIPTION OF WORK: y~ S~n tit~Y STREET ADDRESS: ~ _ • J.AT--f VJ BLOCK: ~ SUBD./P.I.D. Name: Phone PROPERTY Lsst First OWNER ` Street Address: ;E7 Y4dht,fec. 1.4,V-- City Eff~i r4.t~ State: AI/!l Zip: L- Company: .~r~F-~?% Lj4~- (.FtPhone#: 99p~J2 CONTRACTOR Street Address: !OQ 'r/77 / /.L./f'/Z, l//'~ST~? License # _ .2CCJ(cGY~Z'~ City ~/1SL~nn 11 i~n~ State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: R oistration Street Address: City State: Zip: Sewer & water licensed plumber (new construction ony): . Penalry applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is eorrect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes _ No _ Not Required 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit - - Date C) l Q(,~ l (D ~ Site Address ~ 15 L r-) - Uni[ # J Property Owner 7sr~(,,~ Telephone ) Contractor Street Address n~ n5 S~ W City -~J52-Cl State 1' `1J Zip e5-50(ap,_ Telephonefi (~jr ) 3 2-2 Bond Expires: ° The Applicant is _ Owner ~ Contractor _ Other Add n or alteration to existing dwelling unit - - $ 30.00 furnace Additional Replacement New air exchanger ~ air conditioner heat pump other State Surcharge $ .50 Total $ C) I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. T\- ~ l C__-4z_ rr\, , 4~C~4 ~ LL=::z=S_~ P'1- Applicant's Printed Name Applicant's Signature • I I Permit# Clty of ~apn I PermitFee: L~ ~ 3830 Pilot Knob Road I -----C~T,~ LL/ ~ Eagan MN 55122 ~ Date Received: ~ Phone: (651) 675-5675 i ~ Fax: (651) 6755694 1 StaffI I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / J D \ Site Address:457 5 `'d_nerfy LctAe, Tenant: Suite RESIDENT/OWNER Name: We, e k""an Phone: Address/City/Zip: -D--' 7 S••Cbcrry Applicant is 1__~ Owner ~ Contractor TYPE OF WORK Description of work Construction Cost: Multi-Family Building: (Yes No r Inn N1dp ICb , -e<o CONTRACTOR Name:9~~-ov~R~,oan'?ic~gS~.n~vL°icens0#:~ Address: I IZZ7 /V City: I7LL?GD~~' State: /MA Zip: 5~3L) ! Phone: /a 3~ Contact Person: Z;ke Svr.-S< COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category submined submined (4 Su6ml55ion type) • Energy Envelope Calculations Submitted 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 8 Water Contractor: Phone: ;NOFE: Plans and sypporting qlocumen#s that you subinii ar`e c'ansideretl to be~ pub(ic inf'ormation: Por#ions of " 'the informahon ma'x be c7aSs~es~ as npn pubfic if yoii p{ovidespeeiffc reasoris that uvonltl ~ermit the Gity #o ; _ S~:conciade that.the ~;aratradesecrets I here6y acknowledge that this information is complete and accurate; that the work will be in confortnance 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 Xaccordance with the approved plan in the case of work which requires a review and approva~ Gk~ O~1 +z,~- ApplicanYs Printed Name Applicanf ignature Page 1 of 3 ~ CITY OF EAGAN Np g467 4 ~ 3795 Pilst Knob Read Eegan, MN 55721 • PHONBi 4348100 BUILDING PERMIT Recelpt Te ba wad fer SF DWG/GAR Esr. Value $57,000 pate September 12 19 83 Site Addreu 857 Sudberry Lane Ered MC Occupancy R-3 Lor 5 Block 1 Sec/Sub. Shef f ield Airer ? Zoninq R-1 Parcel # 10-67600-050-01 Repair ? Fire Zone NA Enlarge ? Type ot Consl. V . w Nams Joseph M. Miller Const., Inc. = 15133 Cedar Ave. So. Mwe ? # 5rories ~ Address Demolish ? Length-32_ Ci armington phom 454-4753 Grode ? Depth-AL-Sq. Ft.- ~ er approrala Feas p Name ou Address Assessment Permit ' Phone Water 8 Sew. SurcMrge 28.50 Cit Police Plon check 152.00 Gw Name Fire SAC $2$.00 x~ Addreu Eng. Water Conn. 450.00 <W Ci Phone Plonner WoferMeter 60.00 Coundl Rood Unit 250.00 I hereby acknowledge that 1 have read this opplicorion ond stafe ihat gldg. Off. the information is correct and cgree to wmply wilh oll opplicoble APC Total $1769.50 State of Minnewta $tatutes and Ciry of Eagan Ordirwnces. Sipnature of Pertnittee Joseph M. Miller Const., In A Building Vertnif is issued to: n tha express Condition ihm oll work shall be done in uccordance with all applicoble State o Anewta.. ~ es Ci of Eapan Ordinances. Buildirg Officiol ~ " ,~~~y J k'~ . ~ . ~ ~ Z ~~YT Y".' ~ $ p~ 'p J 'tl l r .:~.H . ' - .i , o ~ o ` ~ ~ ~ ~ ~ a. ~ • Y J ~ ~ ~ y ~ ~g ~ - ~ ~ ~ ~u ~ . ~ ~ , ~ ~ ~ ~ ~ ~ ~I I ~ ~ ~ ~ J . ; _ _ ~ , 0 a ~ ~ ~ ~ 4 ~ ~ . ~ °v ~i 4j ~ ~a ~ ~ ~ ~ I' . I~ w w M ~ ~ ~ , $ ~ _ ~ - 1 ; : ~ REQUEST FOR ELECTRICAL INSPECTION ' Sae insM1UClions tor comoleti ~L n0 this tam on baek o7 yellow eopv. •~~O 78 8 04 Below Work Covered by This Request 3$ g S~ AAtl Reo. Typ¢ oi Builtline APOlianees Wired Equipmant Wired Home Range Temporary Service Duplex Water Heater igh[iny fixtures Apt. Building Dryer Electric HeaLn Commercial Bldg. Fumace Silo Unloader Industrial Bldy. Air Conditioner Bulk Milk Tenk F3rm Othet DeciV ther(Sncr.ityl t.r Succify t e. Other ' ompute lnspec[ion Fee Be/aw p Fee ServiceEntmnceSize N Pee Feetler5/5ubieeders p Fae Circuits U to 200 Am s 0 to 30 qm ps 42. 0 to 30 Am Above 200 qm ~s 31 to 100 Amps 37 to 100 Am s Swimming Pool Above 700_Am s Above 100_Amps Transiormer5 Irrigation Boom,s • O PartiaL'Other Fee $ign5 Special lnspection $-24 Remerks a't9 Noueh-in ~ Oate ' the Ele ' ~LL ns0ac or, hereby • certify thnt the abova Final ' X ^1P ' spectian has hean Thia rwnuesl voitl 18 monihs tmm qP4W11uest void-4 - Z~ LS1 p I 1 54FT-cC' 18 ~~D J 18 mpnihs fmm W078804 30,s6 Reques Date Fire No. Pough-in Inspection n Reyuired~ Reudy Nuw.~'Mf11 NotitY. InsOec- rtl+~~ ~ L~ es ?Na [orWhenReady icensed Elecvical Controctor I hareby request inapection of above ? Owner elecVicel work imtellad at SVe Address, Box or Route No. Ciiy S~T S"o~ ta% e EcUOn o. Township Name or No. 17flange No. Couoty ~ e Ocr,uPant~~Tl~/!( V A ~ !r ~ Pow rSupli / Address s+ ~ 0 O pISoY'G zF./EU41G !~^Qa~l11/.~ Q(f Ele~cvi o~nror (CO~9 any Name) / Coa[r~qor's Licrp~ N~. ~A!i1cl' ,~"`e~.e;c-' 'i Mailing AdJress (Contractor or Owner Meking In ilation) 5"533'7 adOi E /ai Authorized 5' a[ IContrac[ Ow r Making Installacion) ' Phone Number S7q MIryNESOTq STATE BOAflD OF ELEC TY THIS INSPECTION qEQUEST WILL NOT GriBOS-Mitlwey BIAg. - Noom N-791 BE ACCEPTED BV THE $TATE 90AflD UNLESS P60PER INSPECTION FEE IS 1821 University Ave., SL Peul. MN 55104 „I__ ,a,~~ „e ENCLOSED. May 0410 07:29a Bill Rascher Mechanical 651-450-6644 p.2 CityofEa�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Use nPermit # Q3-77 / 1 Permit Fee: ©'Sb c l Date Received: I I Staff: I J 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 5-4-10 Site Address: 43 5 7 5 kie2 6-er.-c-1 Y1 Tenant: Suite#: RESIDENT f OWNER CONTRACTOR VCr- kill --. Phone: Address I City I Zip: 435-1 /1j of he`fi -r jc ---$ Name: � t 1..-e.-, SCri-.a. ,— trVn[ r tG[, 1 1 I AZ— 62 License #: " / Address: 7--4i - C. Prof l< f r7&' City: It'VQ<T. CT P,1 /2"-If.-- State: 2- /- State: 1.4\6\-) Dp: < S 1] 1; Phone: (9 <) 4 Sa 6.6, Z-2— Contact: S 1-'4.' Email: Name: TYPE OF WORK New _ Replacement _ Repair Rebuild Modify Space Work in R.O.W. Description of worts: o.1 'Y j10�- Glrj �" — (10} PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation ( RPZ I PVB) Septic System New Abandonment Add Plumbing Fixtures L_ main — Lower Level) )(1 J p t' LPi Water Turnaround RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes 6.50 State Surcharge) $30.50 Lawn irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes 6.50 State Surcharge) 'Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New (610.00 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 $ CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 en application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans, x APPli x Wttticn'\ Sc Q J ' Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test _Gas Test _„__Final '4‘. City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 APR 8 8 2010 r Use BLUE or BLACK Ink Permit #: aq Permit Fee: /03 • Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION GGe? d Date: 0 0 Site Address: Tenant: Suite #: RESIDENT / OWNER Name:0-0? $/O/t9)(37417Phone 1 ke— F,A.5--- Address / City / Zip: 837 6o i! b5Cji— til A li n ' : '!�' pp ca tis Owner Contractor TYPE OF WORK ����y�^�F��` Description of work: � //7 /7.00i ? /�1 Gdn3Gz �� C//ie V��- Construction Cost: �S9' Multi -Family Building: (Yes / Nb ) CONTRACTOR Name; X' 9 '%7 S70e73 L Z --C— License ti 61 ppC�o Address: /0Z111/6 P-1.1 %/ "4-5' City / // State: .)777 Zip: 1/4.5-7570c::. Phone: % Z76-_� 2 2 7 / t Email://E117r P Ge'87LCI , 2 s�76.. e 6 Contact: c $7Yt/ )7/"(:""r - COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE Plans and supporting; documents that you submit are considered to be public informat on. Portions of the information maybe classified as no public if you; provide specific reasons that would permit the City to concludes°that�the are trade secrets; CALL BEFORE YOU DIG. CaII 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.gor herstateonecall.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 ;.ermit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval o .fans. x<---571"27 Applicant's Printed Name x A. plicant's Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Pian Review (25% 100% x ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Au .- 6 t o si Interior Improvement Move Building Fire Repair Repair IrS`-60 Ve REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final )C Framing Fireplace: _Rough In Air Test Insulation Meter Size: Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final //17>/1- Siding /17>/LSiding Reroof Windows Egress Window *Demolition of entire building - rvlw (2L `) Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Da/767 , Demolish Building* Demolish Interior Demolish Foundation Water Damage give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required X, Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests Final Siding: Stucco Lath Stone Lath _Brick Windows Retaining Wall: _ Footings Backfill Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 6 /7(0 c-2 Page 2 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA111751 Date Issued:07/10/2013 Permit Category:ePermit Site Address: 857 Sudberry Lane Lot:5 Block: 1 Addition: Sheffield PID:10-67600-01-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Window or Door:1 window replacement in existing opening Tim Schenk 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 - Joan Marie Workman 857 Sudberry Lane Eagan MN 55121 (651) 688-6925 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116872 Date Issued:10/11/2013 Permit Category:ePermit Site Address: 857 Sudberry Lane Lot:5 Block: 1 Addition: Sheffield PID:10-67600-01-050 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joan Marie Workman 857 Sudberry Lane Eagan MN 55121 (651) 688-6925 Bischel Building Contractor Services Llc 100 8th Street Farmington MN 55024 (651) 463-8762 Applicant/Permitee: Signature Issued By: Signature