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4849 Sheffield Cir CITY OF EAGAN SEWER SERVECE PERMR 3830 Pilot Knob Road p~MIT NO.: P. O. Box 21199 Eagan, MN 55127 ~TE~ No. of Units: OwrNr. Addrcss: ~ Stte /lddrass: Plurnbsr. I yrw !a e~0~! ~ 1M GIf? ~i MM¦ Corn~+~cNon CharO~: Or/IMweM. P~mAt F~: Surchorp~: t BY Mitc. Choep~s: ! Dct~ of Irop.: Totol: Dot~ Pold: i CITY OF EAGAN WATER SERVICE PERMR ; 3830 Pilot Knob Rosd pE~IT NO.: -,r~ i i_ ~ P. O. Box ~1199 DpTE: ' Eagan, MN 55121 i , ~ ~ No. of Units: Zor+i~: ` , ~ Own~ 'i~iliFSOt, 'T'~ , r: ; ~ Addflss: - i.2 L:S tt~ $its Addre=t:,,~.~~n51~ C r i ~ , . P1~xnber. an Qwrps. , µebr No.: ~~nt Depo~it. - Size: peR„it Fee: ~ Reod~r No.: 1 M~ e°~'~I~r wMl~ IM pe7 ~f SurcFw?~~ _.~,,.,L[, Mlyc. CF10r0~r. r~ nlC t. ~ pr~~oM. ~ 3 . ~ , - Total: poN Poid: IrnP.: Dete of InsD.: ~ CITY OF EAGAN WATER SERVICE PHtIMIT 383~' ~ilot Knob Road P. O. Box 27198 PERMIT NO.: ~ Eagan, MN 55121 DATE: 1 Zonirq: No. of Units: Owrwr: ] tei ..,~t; f':1~:r~: I ~ . ~ , " - ~ Sitr Mdro~: _ e ; i e ~ ~ _ _ 1 c ~ ,~C~~t ~ 1.)n j„i- l Plurr+b~r: . , , z~, '1 SMie~t~~~ i~ 5 ~ . . . iT•,. Rsodsr No.:4 ,ct 1 ~r lo ~ tM Qhr ~ .~4~~~ , , , ~`E.Q~ONE' M~ ~ . c-t c r ~ B,, v1 oor., ~o~d: ' Do~e of ~nsp.: ~~+w~ ~ g'~`~' . , _ ...r, . . i•r- ; :a/~jf~45.#i~.t, ../,Wr~Y;~r~~~... _ . ' .~'Y . ~ ~ PERMIT # ~ ~ MECHANICAL PERMIT RECEIPT # L a~ . . . . CITYOFEAGAN Jtuze J~Jj l~jf3f, 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE 454-8100 SiteAddress c'' ~ e~~_~e~:~ rc F~ . BLDG. TYPE WORK DESCRIPTION Lot ` Block ~ Sec/Su1~--t'-' "t,:.R~C:I::"su:d ~it~. & AC. Inc. R~. New ~ Name f ~ ' M ult Add-on ~ Address 4~ 30 I3eau D' Rue i)r. ~ Comm. Repair c Ciiy ~'a`3~ Phone `~52-2775 O~~ Name TOLL.~:FSON ~3UILDi:R:: FEES ~ c Address 12617 Fai reen RES. HVAC 0-100 M BTU -$24.00 ~ ~i~ ~~.~pla Valley phone 31-11;~ i ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air 75 M BTU '`t COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 1U.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Afr Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping OuUets # ane~ . FEE 24.0~ ~ - , S/C: • 50 SIGNATURE OF PERMfTTEE 2- . 0 TOTAL• FOR: CITY OF EAGAN - - - ~ - 1~ - { i ~ t, •'.f . . . . . ~ . . . . . • PERMIT # ~ ~ ~ ~ T . ' PLUMBINGi PERMR RECEIPT # ~ ~ CRY OF EAGAN - 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ~ ~`y `f' CONTRACT PRICE PHONE: 454-8100 Site Address ~ ~ h`~ ` BLDG. TYPE WORK DESCRIPTION Lat Block SeclSub -1 ' - ~ --Res. ~ New ~Y ~ Name " ~ ~ ~ Mult Add-on Addrqss c ` ~ _1 . ~ ~ ~ ~ ~ ~ Comm. Repair ~ Cil~/ CS,'" ' r phone ' ~ ~ Other O. FIXTURES T AL Name ~ ~ ~5 l ~a r. rS ~Water Closet - $3.00 ' ~ ~ c Address Bath Tubs -$3.00 J p City Phone ~~vatory - $3.00 ' ~ ~ J Shower - $3.00 3 . ZKitchen Sink - $3.00 3 , O FEES Urinal/Bidet - ~3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 MINIMUM - RESIDENTIAL FEE - $10.00 ~ ~ ' MINIMUM - C~MM/IND FEE _ 20.0p Floor Drains -$1.50 STATE SURCHARGE PER PERMIT _ Water Heater -$1.50 (ADD $.5U S/C IF PERMIT PRICE GOES TWhirlpool -$3.00 Gas Piping OuUets - $1.50 ' BEYOND ~1.000.00) Softener - $5.00 , - - Well - 510.00 ~ ~ Private Disp. - $10.00 _--~'E~ --r Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE ' STATE S/C: ' FOR: CITY OF EAGAN GRAND TOTAL ` p'` CASH RECEIPT 1 ~ • i a . CITY OF EAGAN ~ 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ~ ~/~j DATE ~ / f 9 RtC FIR~ . !i~" i-~'-~~'(- _ ./(_-GI. ~'.(,,~f-F_-'~~st , AMOUN7 ' $ ~J IJCJ 14 D06LAR8 ~ IOD ? CASH ~Q[.CHECK T- FOR ~ ` G%L~7/ . / V i C/Z~ ~ ;~rel .~,c r~. . ~ . , . , ~ Y ~ 1~i~_ t- _C~. l.~ -v i ' PUND CODE . pMOUNT J ~I - ~ v J 7~~ i ~ G J 3 y ~ ~ u~ ~ z ~ 7 ~ J ~u;., ~3 - y Thank You ' BY / ' ' "T ~ -~(.L/~/lY~.~ . 645~:i White-Payers CopY Yellow-Posting Copy Pink-File CopY CITY OF EAGAN Remarks~!1 t~~-~'-' i Addition ~IZ"rARY 5'i'H ADDA ~ot 5 eik i Pa~ce~ 10-15004-050-01 Owner Street 9`~~~~~ CIRCI$ State ~ 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STFEET RESTOR. GRADING SAN SEW TRUNK ( 1 . S. O l. 1F SEWER LATERAL 8 WATERMAIN N WATER LATERAL WATER AREA STORM SEW TRK 1 2 ~b. ~ j~ 1F STORM SEW LAT 1 a2 r~ CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 9UILDING PER. SAC PARK . 3830 P1101 Kr10b R d! P.O.. BO 2G-~1 9~ Eege11~ MN 55121 ~ n' , T i;1'J ~ j, . - ~ PHONE:454-8100 BUILDING PERMIT ReceiPt ~ To be used for JF i~ rlli f Ge~.:~ Est Value 5~ 0 0 U Date a~-'~Y ~ 2 , 19 t Site Address ~ t3 4 9 S H=~.'r'F I GLiI C S R Erect d. Occupancy Y~ n Lot ti BIoCk 1 Sec/Sub. Rl2 T'~j•ANY 5R'H RemOdei u -,.,:,~y..____ ~ Parcel No. Repair ? Type of Const. ~ Addition ? No. Stories a Name 'i uLL~FSUN IiLDRS Move ? ~ength 9 = 1 c 617 FNI:ZGREEN AVI's Demolish O Depth ~ a o Address Int. Impr. ? Sq. Ft City F' • V• Phone 4a1-1~.4U . Install ? a~ c~ Approvals Fees o Name ~'~.di~ Address Assessment Permit 3~i d. ~ 0 City Phone ~ Water & Sew. Surcharge 42 . 50 Police Plan Review 194 . U 0 F W Name Fire SAC ~75•00 Address Eng. WaterConn. 500.00 c W Ciry Phone Planner Water Meter 6 3. 5 0 Council Road Unit 2 9 U. 0 0 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg. Off. 5~1'a~~ Tr. PI. 156.00 iniormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Var. Date Copies Signature o1 Permittee Total ~ 0 A Building Permit is issued to: BLDRS . on the express condition that all work shal~ be done in accordance with all applicable State Minnesota Statutes and City of Eagan Ordinances. Building OHiclal F ~ - i ' PNmit No. Permk Hold~r D~te TN~pl+on~ k PlumbMy ~ N.Y.IC C. S - i - ~ c _ ~ ~ SOf 1MN Inspection Dab I~»p Comm~nb Footlnysl Footlnqs ~ Foundatbn ~ ^ Framinp / 7 6 ~ ~ RoWMy ~1~Dw ! Rouyh Plbq. - ~ l ~ ~ I Rouqh FNp. - ~/rZ ~f Imul. `{/t~~ C Ftr.v~• ( ~ /7-~G~rJ Y~l~c .tu~ Final Hty. c~ Flnal Plbp. _ f ~ . ` _ / - 0 Bldy. Final Grt. Occ. - 7 -/b ~b j ~ . p~ ~ ~ L f D~ek Ftp. ~ Wck Frmp. ( Wdl Pr. Oltp. REQUEST FOR ELECTRICAL INSPECTION ee-oucwt.oa / See instructions tor completinB ~~~s torm on Eeck o1 Vallow coOY~ 7 2 9 7 "X"' Below Work Covered by This Request (p~ yC~ AAd NeD. Type ol BuilCine Appliancea Wired EquiVment Wired Home-. Ranye Temporary Service Duplex Water Heater Lightin, Fixtures Apt. Building Dryer Electric Heatm Commercial Bidy. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Fdfm O~her Oeci y th~r ISpmcilyl t ,r $UCCify iher Olher ompufe lnspectron Fee Below # Fee Servico EntreneeSi:a n Fee Faxdars~Sebfeaders N Fe;a Circw~s ~5 ~ Uto200Ams Oto30Ams Om30Ams Above 200 qmps~ 31 to 100 qmps 31 to 100 qm - Swinvning Pool Above 700_Amps Above 100_Am~s Transtormer5 Irngation Booms ,S(.1 Partial•`Other ee Signs Speclal Inspection ~ 5 ~5~ TOTAL EE ~ 8emarks / u ~U/ floue~-in O:~te ~ I.the ctr' ~ , ~J7/~„•,~~ Inspecloq ~ereby certi/y that the above Final ' . Dale , . ~ ' inspection has Eeen ^lU` da. mk repuast voln 18 monllis Imm This request void C~+~~- ~C/~ ~ y~~ 18 rtqnt~s fmm T v~ (~=2~297 c____ 5-~ - Feques~ Uat Fire No. Nough-in Insuer,tio \ H~epu/ired? ~Reatly Nuw~Will Nolify Inspec- ~ p y~~es ?NO or When Feady ~Licensetl ElecVice~ Contractor 1 hereby request insoeelion oi above ? Owner electrical work instelled et: Sireet Address, ox or R te No. ~ ~h~ ~ ~1~ c~~e.Q_e actron o. Towns~ip Name or No. flange No. Cow~t ~ Occuoam IPqINT Ph e No. vCC~--~r~ (de~s ~5~- (o ~73 Po Supplier Address EI t ical Contractor ( m ny Nam 1 ~1 C ntractor's License No. 1~~-~r~ ~ 1 ~~e~ s-3 MailinB Add ess ICOntr ctor or Owner Making Insta' ationl ~ ~ ~ 3 ` ss3~? ~ !+uthorizetl wre ICo r mdOw a-ng Installationl Ph ne Number ~v- ~~~C MINNESOTA STATE BOARO OF ELECTNICITV THIS INSPECTION flEQUEST WILL NOT Griggs-Midway 81dg. - Noom N-191 BE ACCEPTEO BY THE STATE BOAN~ UNIESS PROPEX INSPECTION FEE IS 1821 lJniversitv ~+~e., St. Paul, MN 56104 Phnne 18721 297-21N ENCLOSED. CITY OF EAGAN . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ 1 Z OO~ PHONE: 454-8100 ~~y/~~ BUILDING PERMIT Recaipt# / 7obeusedtor SF DWG/GAR EstVa~ue $85~000 Date ~P 22 ,1986 SiteAddress 4849 SHEFFIELD CIR Erect L~ Occupancy R3 Lot-~Block 1 Sec/Sub. BRITTANY STH Remodel ? Zoning R1 Parcel No. Repair ? Type of Const {J~ Addition ? No. Stories ~ TOLLEFSON BLDRS Move ? Length 49 = Name 12617 FAIRGREEN AVE Demolish ? Depth~„R o Address Int Impr. ? Sq. Ft. ciry A•V• Phone 431-1100 ~nsta~~ ? a SAME Approvals Feea Z o Name Address Assessment Permit $ 3 8.00 ~ City Phone Water & Sew. Surcharge 42 . 50 Police PlanReview 194.00 ~i Name Fire SAC 575.OD Address Eng. WaterConn. 500.00 i W Ciry Phone Planner Water Meter 63 . 50 Council Road Unit Z90.00 Iherebyacknowledgethatlhavereatlthisapplicationandstatethatthe BIdg.Off. 5/14/86 Tr.PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. APC Parks Signature of Permitlee Var. Date Copies~~ 0 0 TOtal A Building Permit is issued to: TOLLEFSON BLDR on the express condition that ali work shafl be done in accordance with all applicable tate lin eso Statute and Ci i agan Ordinances. Building Officiel ~ ti~~ ~ ~ ~onioe use ~ Clt~ 0~ E~~~Il j Permit u: C/ U~~ j ~ c ~ ~ Permit Fee: 3830 Pilot Knob Road ~ ,i,~ Eagan MN 55122 ~ Date Received: ~ Phone: (fi51) 6755675 i s~an: i Fax:(651)675-5694 ~ i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date:i-1_~ ~ 5keAddress: `i"~ 1 ~~'1~'~"Tieid ~~Y~`~ (1 ~-eV~ N1CLY~ ~i,l C2v7A1L Tenant: Suite RESfDENT / OWNER Mame: J WU `J ~L~~~-~~ Phone: Address / City ( Zip: `t `U`( f S~?~-I'-~ i ei ,1 C~` 1~i Applicant is: _ Owner ~ Conhactor TYPEOFWORK Descriptionofwork: Y~--YV(~tlh~ Conshuction Cost: ~ OC~C~~ Multi-Family Building: (Yes No ~ CONTRACTOR Name: ~ ~JU1LD~~J License#: ~C'~C~ c~ 95'S9 Address: ~"FO" I ~~U~ ~J`-' W-e~Jt City: lwJ~~~~ t State: ~ Zip: 5 S d fo p Phone: Cn l~- C LP`I ^ F{a ~Y Contact Person: ~/'i a~ /~/P/St+v-- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheat Category Submitted Suhmitted submission type) • Energy Envelope Calculations Su6mitted In the last 12 months, has the City of Eaga~ issued a pertnit for a similar plan 6ased an a master plan? Yes _No If yes, date and address of master plan: Llcensed Plumher: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phona: , NOTE: Pians artd s~ppor$ng documents that you su6mit are eonsldered to be putrllc Informatiorf. Pprtions of the information may 6e ctassNied as non-public if you prov/de speclfic reasons fhat would permit the City ~p conclude thaf the are trade secrets. I hereby acknowledge ihat this information is complete and accurate; that the wodc will be in coMOrmance wiM the ordinances a/M oodes of fhe City ot Eagan; that 1 under5tand this is not a permit, 6ut only an apptication for a permit, and work i5 not to 5larl without a permi[; that the work will be in accordance with the approved plan in the case ot xrork which requires a review and approval of plans. X /~~IL~ 1 /V'l /SC^ x / AppllcanYs Printed Name Appll~nt's Signature Page i of 3 RESIDENTIAL / BUILDINC PERMIT APPLICATION ~ ( ~ / _ ~ CITY OP EAGAN I 3830 PILOT KNOB RD, EAGAN MN 55122 65'I-681-4675 ~f ~ ~ New Construction Reauirements RemodellReoair Reauiremenls • 3 registered site surveys showing sq. ft. of IoL sq. fl. o! house; and all roofed areas • 2 copies ol plan ~ (20%maximum lot coverage allowed) . 1 set o( Energy Calculations far heated additians . 2 copies of plan showing 6eam & window sizes: poured found design, etcJ . 1 site survey for extenor additions & decks • 1 set of Energy Calculatlons . indicate if home served hy sep[ic sysfem for add'Aions • 3 copies o( Tree Preserva6on Plan if bt platted after 7/1193 . Rim Joist ~etail Options selection sheet (61dgs with 3 or less units) DATE ~o /Z ~ C1 ~ VALUATION ~5 U~ SITE ADDRESS ~~7 / ~/(e 1-T ~PI~ ~/~C~/ e MULTI-FAMILY BIDG _Y `I~ TYPE OF WORK ~S l~-P FIREPLACE(S) _ 0_ 1_ 2 APPLICANT d~/55P I l.~i.r/~~u ~ AS!~/~`~, STREETADDRESS L~~S 0/1-~~A~ •/~7/~ CITY ~iJS~ STATE d~lvZlP S`~SJ/~ TELEPHONE # 3-~~ CELL PHONE # FAX # PROPERTY OWNER J/~?~ ~J /yIA~.~C /a'~~~Zf4 TELEPHONE # ~7 U~~ COMPLETE THIS SECTION FOR °NEW" RE5IDENTIAL BUILDINGS ONLY Energy Code Category _ ]ti\ VLSU'I'.\ R[ I1~:S 7fi70 CA"I'1:GORY 1 ~II~'i ~~yY~~7 (d submission type) . Residen6al Ventilalion Category 1 Worksheel Submitted • Ne ~ E7§y~d~~~kSh'e~~ d • Energy Enveiope Calculations Submitted JUN 1 2 ZUUZ Plumbing Contractor: Phonc # B Plumbine sysLem inclttdes: \Valer Softcner _ Lawn Sprinkler rce: b. Watcr Heatcr No. oFRL Balhs No. olBatlis Mechanical Contractor: Phone # VIcc6<micxl systc~n includcs: Air Coudilioniug Pcc: ~70.00 Hcat RccotcN Systcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, stat forr tion is correct, and agree to comply with all applicable State of Minnesota Statutes and City of agan Or ' a es. Signature of Applica OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ~ 21 Porch (3•sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Mutti ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Oemolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement •Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Foo[ings (new bldg) Final/C.O. _ Footmgs(deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Founda[ion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Frattting _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ ~ . ~ ~ " - . O 79$ HUILDING PERMIT APPLICATIOA - CITY OF EAGAN NOTE: 9LL CANTRACTOES MUSi BE LIC6NS6D iiITH THE CITY OF EAG9N SIBGLE F6PIILY DSiELLIRGS INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLfi DiiSL,LINGS - HESIDENTIAL RENT9L p~iITS FOB SALS ONITS INCLQDE 2 SETS OF PLANS~ CERTIFICATE OF S08VEY - CHECB iiITH BLDG. DSPT., 1 SET OF SPIERGY CALCDLATIONS C~RCIAC INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OE SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation:~~. Date: ~ ~ Site Address / J'/.~~LG~, OFFICB OSE ONLY ~ ~ Lot ~ Block Erect _ Oceupaney Remodel Zoning Parcel/Sub 3~ Repair _ Type of Conat ~ Addition /t of Stories Owner n Move = Length ~ .y_srss~~--~ • Demolish Depth Address Int.Impr. _ Sq Ft Install City/Zip Code • Z~ Phone ~3 ~ d a APPROVALS FEBS Contractor ~~n~~,(!~ Assessments Permit s~'jr~ Water/Sewer Surcharge Q.~i Address Police Plan Revi'ew J~li/__ Fire SAC City/23p Code Engr Water Conn Planner Water Meter c~o ~ Phone Council Road Unit Bldg Off S Treatment P1 Arch./Engr. APC Parks Varianee Copies Address TOTAL ~ ~ ` City/Zip Code Phone ~k HIOTE: ADDRSSSBS EOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MD3T DESIGNATE HHICH ADDRESS IS DESIRSD. NO C9ANGES iiILL BE ALLOiiED OPCE BQILDING PERMIT IS ISSDED. ~ ~ ~ ~'JZ Z1~j = i ~L: - ~ . G ' ' 1 ti, z_ x 5~= ~r~~~i~ - ~ ~ ~ = S~I ~ ~/~s2 ~ ~ 34 x z~ _ ~'l!~ ~ ~73G~ (,z kq~ - 4 = _ ~o/~ 1~ x ~ = ~ ~ Ll- ~ /~~~t~ ~ ~~~~lO ~ , ~Ou~ C~HSUlTl110 t1~61NEERS ENGINEERING p~RI1NEAS ond LAfln ~URVEYOfIS COMPANY, INC. ~~~.~1000 CAST 146M STREET, 6t1RNSYILLE~?IINNESOTII 65337 PHi32'3000 L'el"~ Z~Z CGiL~ V~~C7"'=/"e ~ ~c,~~ . ~,P~2o1Z: LOT 5, BLOCK 1, 8RlT7~A~/Y STN qDp/T/OAl~ DAKO7A rnu~irv, M~NrvtSorA ~~~5~~ DEA/OTES EX/ST/ti/G ELEVAT/oAl (9cs.5) DEAI~TES PROPOSED E'LEVf1TlDAl l~JplCATES D/RECT/ON OF SURFACE DRA1ilJA6E 9c.c.83= F/~t/i5NE0 GAKA6E FLDOR ELE~ATIO~t/ NORTH ScA~E : 1" = 30' 911~~~ ` 1;~ DRAiNA6f Ar.Jp UTILITY EASEMEAIT , h 5 ~ , \ ~ ~ ti ~ I ~ ~ s9o I ~s ds - ~ \ e~ s~ ~ I , ~ ~,~3.:, (9GC.5') JJ ~ ~ `~,~1 ~ C9a~..s h ~ ~ ~468.~ / `b~.~ ~ I 36.00~'1 ~~p' ~ 1 ° I " I o ~Ratbxrn ~ ~cc.s / a~ , ~ I ~ ) o bz ~ ir~ a I ~-~`k5~`5) ~ HousE r--1z a ~,M `n ~ ` ~ I~ ~ n1 a~, SH6FF/ELD ~~sqj O\ I ~ J +I I\ ~'P3.67 I 6'fIR N~ l M°g CIfZCIE ~6~ 1 O`68_ 3, ~ o m~ l , 1 ~ 6~ ~ I L`1 ;~1 ~964.5~~ ~.`o P ~y' ~ t~ T.C. ~24. 33 ~T 0 ~j ~ ~969.3~ ~S~bB~; 5~ ` (9~~,s) m \ \ ~ M s ~963.8, ~ h ~ i ~`3, e) I \ ~ \ / oP. ~ ~ ~ / / g ' ~ ~38• 3~ 3y~ 30' FROtilT BUIC/.)iNG 5I y 6315 L~ SET2~ICK L/NE" o~ ~ ~K~ I ~ 1 ~ s ~ ~`i7~l, I her~by certify that thia ie e true and correct rnpreeentation of a tract of land as ~ham' and described hereon Ae prepared by me on thi~ day ot /~~t , 19 8~ . Hinn. 1le~. No. /~S~S s 73ac~e ~F Z P~6e ? sj ~~aE coi~su~.ruia EH(31NEEAS ENGINEERiNG p~?~~+?+Ens ond Lf1l1U 3unvEVOns COMPANY, ING. 1000 E,t57 146~h STREET, BUflNSVILLE, 111NNESOTA 55331 PM ~32~~OOC Cl~T~Z~Z CCi~~ SZL7"''~/"B l, ~Q~I~ .P~CJCT'~~~ZOrL: LOT S~ BLOGK BRlTTA~Ir' STN ADpJT10rV~ DAKO7A COUNTV, MINAIk SOTA ~~s~~ D~NOTE'S E"XISTI~tl6 ELEI/AT/ON (9cs.5) D~NOTES PRo/~OSED ~'LEVfITION --o---~ INDICqTES UIRECT/ON OF SURFACE DRAlNA6E 9G7~89= F/A//SNEO GARA6E FLDOR ELEI/,4T/ON NORTH SCqLE ~ I" = 30~ 9'1 I ~ 7~ ~1J.~ -UIlA~NA6E ANV -r,~ oF 6~o~k nr nle Ibuse -~&G 9~9.~1 U7~L~TY EASEMENT T.~P oF g~„q~ .yr- /~J~ d~ - EtE'i/, 9lJ~.t2 , h i ~ \ ti / I \ \ 's9o I /S2 ~B - CJ` \ ~ ~ ~ c~~ ~ \ , ~,v3, s~ ~464.'S ~ I ~ ~ ~9b9,'t~ ~h I \ / ~ 967. Z~ / ~ . ~ 36.00'1 ~p' ~ I ~~J ~ i oo , a ~o~~~ ~ ~ y - ° NouS~ E7 M 1Y) I r~h5X5~ m f--~2.00 m y: \ ~ L ~ ~ SH6FF/ELD `S4 I ` J I I` Z3.~7 ~ FiN~SJfDo ~ ~b~ t..r + r_ 6HKN.EN 1 ~ ~q C/{ZCC.E ~ I 1 Q ~968_.3~ ~°o Fa.~, M' J 1 62,5y) ~r~ ~ c9~q.3~/ ~ 9v,.aq ~ „ I ~ , ~ ~ 24 33 p ~j ~ ~ L969.3~ ~968.y; ~91n4.g N 967,G) ` r--•,~~ ~ ~ ro `96s:s I \ ~ / ~`1L3.e) / o°~, \ \ \ / ~ a V`l ~i \ ~38•3~35~ 30' FRUNT BU/Ll~1NG 63` 5 SETf.~ICK UNE . 5 ~ / o ~ 5~ ~ ~ ~ S' V. i~ • ~79; ~ ~97a. o~ I her~by ceMify that thie ie a true and correct representation o! a tract ot land aa shoxn'~nd deecribed heraon.• Ae prepared by me on thi¦ day ot /Y>A~~ , 19 8~ , . (~~sEp G/e/SG 6~vea~,e fi.<wz e.~~ ~rvP aR ~ /.s`'~•-~ Hinn. Rt~. NO. /~SrS 19~acx tc'cEi/~r~vats 5~ ~e ~'~~~--~~L~ . EY!}T/J6 , ~ • ' CITY OF BUILDINGf DFISARTMENT ~:XTERIOR ENVELOPE AVERA(i& ~~U~~ COI~IPUTATION (To be submitted with building permit application) One or Two Family Dwelling Ovmer All Other Site Addresa Contractor TGL~~i.l~A1 „~,~4 Date Phone LIIdEAL FEET OF E)CPOSED GlALL ,~E~ ~(,Jp,g,~ ~~E"r I~ ft. above grade ~~jIS,Op ~7' TOTAL E}G°OgED 4YALL ARr^.,A S(~,, FT. o?Ar,;UE ~NI:LL CUP?STRU:TIOii: ~~U° Value x Area Detail ~A~'I~' ~~Urr •043 X SCZ. FT. 137~./D •===~~U)(A) Ce.vr , re~erence ~~U" .09G3 x Sq. FT.~oD..~ (U)(A) from °Uu . o4d x SQ. FT.. /Z4,r - 4.9~i ~U) (A) attached ~~U~~ x SQ, FT. _ (U)(~) sheets ~~U'~ x SQ. FT. _ (U)(A) nUn x SQ. FT. _ (U)(A) WINDOSVS: "U~~ ~Ialue x Area Ma!te tir T n YPe ~Ngx• S~nUn .50 x SQ. FT. 1ZZ.90=~r .~,~~U)~A) "U" x Sq. FT. u n = ' ~U)~A) nUn x SQ. FT. _ (U)~A) n u npn _ g SQ. FT. - ~U)~A) DOORS: '~U~~ Value x Area i~fa:te & TY:oe ~TL• /1~St~ , ~~Un ,//iL x SQ. FT.49,Ob =~(e(U)(A) ~i u n ~~-rio «~re •'g7 x SQ. F'T. ,o =___~j 7,k, e(U)(A) uU° x SQ. FT. = ~U)~A) n nUu _ x SQ. FT. _ (U)(A) TOTAL6 /S/ .oo SQ. r'T.__ I~O2.bS (U)(A) AVERAQE ~~U~~ TUTAL (U)(A) VALUES /~2.p ~ DIVID]sD BY TOTAI, 67ALL AREA IS/S•~ Av~kA(3E ~~U~~ ,~,~g or less for 1&2 famil _@~rellinge ROOF/CEILI ~ TOTAL AREA: • Detail reference ~~II~~ •~Z~ x 3Q. FT. _~~,5 (U)(A). from ~~U~~ X SQ. FT. . (U) (A) attached sheets. ~~U~~ x $Q. FT. _ (U)(A~ Describe ooenings °Un x gQ~ F,T~ _ ~u~~A~ in roof. nUu g SQ. prP. _ (U){A) TOTpL (U)(A) VAI,UES DIVIDED BY ~3~g! Tr~t~S ~~SQ.~ 23•8 CUrd> - _ . TOTAI, R00! (3 AREA ~~z.d .O~ r ~ AVERAGE,~ .025 r ventilated roofe. ~ ~ . __w_nt~ sECTIOH-- , Determining ~~0~~ values at RooY~ Wall~ Rim~ And Conc. Block ROOF/CEILINQ R VALUE 5 t.) Interior Air r'1Im 0.61 2.) 5/8~~ ayp. sa. .56 3. ) Insulation ~S ~ 4.1 5.) ~xterior Air Film .61 ~ 2 3 lSTILL) C nUn = 1/R= .(7ZI iOTAL (R}=~y,7$ l . WAYL (R VALUE v q 6.) Interior Air Film 0.68 7.) GYP. Bd. .45 ) Insulation /4.on 9. ) 'f1.'' gwt.T- ~iTE z °4' 10.) l~iASOnite Siding ,d7 to ii.) Exterior Air Film .17 il " npu _ 1/g_ .Oc}3 TOTAL (R)=ZT p/ f ~ RIM R VALUE ~ ~3 12.) Interior Air Nilm 0.68 i4 ;3.) Inaulation (q,ao ~ 4.) 2'~ Fir Rim Joist 1.88 J 15 15.) %z~~ B~vu..7- ~~TC .ng 16.) Masonite siding Z.67 17.) Exterior Air Film .17 . o , ~Q • . . nUn = 1/R= . d~0 TOTAL (R)= 7¢~~ . Do F ~ FOUNDATION R VALUE 18.) Iaterior Air Film 0.68 2.1 • 19. ) 9 zo.) n g° • 21.) 12" Concrete Block 1.28 ~ e ~ ~0 22.) ~i~JD hlwL. g•oo 23 °b 23•) Exterior Air Film .17 ~ e L~° , . ~~IIn = 1/~ ,~9~J . TOTAL ~R)= ~O.I ~ Cities Di ital uality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. , ~ , . ; ~ ~ ~ ~(:Ii,I'~ t}~rt : 4 :;°'t' ~ ' s a°~~~""~ ~,P.~'~4sS', ~r7; ii r S t~',~ ~ 1 ~ " .~x~ . ~~,t;:~;~d~.n+c :t., ~ ~c;~ s ..I. x.ra) ~ A~ ' t ~ ~°1~K_:: SI~E~T' r~;,: F , a . - . . r ~ ~ , ~ p ~ ,:a~,,,,~,~w. , ~ C~ ~(~I- W/A~C_, . r , ; . . . .,:..w.-~ - . . . m _ . 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N ~d F , - . . ; . s ~ . ~,~ss w~c.~ : = IS/S.oo Z6 X 3l0 = 93l0 G~55 ~oNe. fao.5 ' - : ~ . r~ ~ . ~o X !Z = ~ ~ lLo ~ ~im ~a¢,S , ~ „ ; ~ox S ~ ~8 n WDw'S /2Z.9 .'"¢38~9 f•SX ~ ~ ~vr,' S 9l. o . _ . o - ~ _ i,13~ 37~,10 ; _ , , ~.~.M1.M:_ : . ,t„ , **~~**************if*t3i*****#***#*t ~ M . - CITY OF EAGA~ **10~` pA'rn~r oF ~ xr ~°E * appr~cr,~tor~ ~oFS rAm aorb`ri~ * ArrxovAr, oF rr~ruT. APPLICATION FOR PERMIT * * INSPDCTION oF SES~It ADID/OR T~7ER ' ` Y*, TT~rAT.7.ATTONS WILL AIOT BE 4CfIFD- SEWER AND/OR WATER CONNECTION ~`T~ P~M~T '~y. APPROVID. µ • . . ****+~*******~********,r#**:*+#*****~i P ease Print 1) PROPERTY ADDRESS: `y~ L~ ~ ~~~-~jG_~a Ci p^ LEGAL DESCRIPTION: [,v/ ~ ~ I K J .U.l /LYl.C~ c~ -tLot Block Subdiaision or ~~Yx Parcel ID ) IF' EXISTING STRCCIL'RE. DATE OF ORIGINAL HIIILDING PERMIT ISSL'ANCE: ' 7 (I~lon Year PRESE[SP ZpNING/PROFOSID L'SE: C'0~'~'A~RCIAL/REPAIL/OFFICE R-1 SIN~LE FAMILY . ~ II~IDOSTRIAL ~ R-2 DOPLEX (Tton C~nits) INSTI7.T)TIONAL/C,OVE~2t~A~NT ~ R-3 7C)W[~hiOL~SE (Three + Units) ( Units) q R^4 APARThIEDPP/COI~IDOMINIIIM ( Units ) 2 ) ~i4T«~ `y ~=_`~ct m e S ~ ~ ~ ADDRESS: - CITY, STATE, ZIP: ' PHONE: ~ 3) u r~• For Cit Use °r~~ ~G~ c~ ~ Plumbers License: ADDRESS: al ~ 3~Y~9 m~n 1y \ 1SvrC. J~ Active F~cpired i CITY. STATE~ ZIP: ~1~ ~ Not recorded PHONE: ~~d ' _ MASTEE2 LIC~775E# 3~~~ M 2 S Initlal q) ~ i~• NAt~: r~+rrn ~~~~j-,~~„~ _ ADDRESS: ~ ~ ~o ~w~i c~ ciTr, srAZ~, ziP:~ E~ti 1< p,~ 1Vlv~ SS,J~ ~ PHONE: ~7',.~~ _ ti Z~ d ~5) ~ r• i r. • : ~ ~ a. • ~ C~N[~CPION TO CITY SEWIIt Qj CONNECPION 'IO CITY WATER ~ OTFIER ' • 6~ Q PLF.ASE HOLD APPROVID PERMIT FC)R PICK-L~P BY ONE OF ABOVE ~ L APPROVF9 PERMIT TO 1, 2. 3. 4, AHOVE . (Circle one) 7) r r. - ~ ~ - ?o ~ ' • ~1: • Y' 1 I: M ~ U ~ P • ? ia• . h Y71• • ~I' i ' 01• • • 0• • ~ ~ ~ r • ~ ~ : r «a• •,na~ ~ ~ i ' s- ~ s• • - r . - . . ~OR CITY USE ONLY - , PERMIT # ISSUED ~ Pd w/Bldg. Permit FEES: $ $ /O.~j U SEWER PERMIT (INCLL~DE SDRCHARGE) $ S ~O. J D WATER PERMIT (INCLODE SIIRCHARGE) $ ~~3i.5~ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL~DE CORPORATION STOP) $ $ SEWER TAP $ S ~5~ ~d ACCOLNT DEPOSIT - SEWER $ $ / j~ ACCOC~NT DEPOSIT - WATER $ 'Sf)(~. $ WAC $ .Si~~, !`~Z~ $ SAC $ S TRLNK WATER ASSESSMENT $ $ TRL~NK SEWER ASSESSMENT $ ~ LATERAL BENEFIT/TRCNK SEWER $ S LATERAL BEN~FIT/TR~NK WATER $ ~~Ir~ ~n $ WATER TREATMENT PLANT SL~RCHARGE $ $ , OTHER: s 9y~ 50 $ ~7~ TOTAL RECEIPT RECE PT g DOES LTILITY CONNECTION REQCIRE EXCAVATION IN PL~BLIC RIGHT OF WAY? Q YES ZF YES, THEN A"PERMIT FOR WORK WITHIN PL~BLIC Q ROADWAY" MDST BE ISSL~ED BY THE ENGI[VEERING NO DIVISION. LIST AS A CO[VDITION. SUBJECT TO THE FOLLOWING CbNDITI0N5: APPROVED BY: TITLE: DATE: 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ~ ~ 651-681-4675 New CansWClion Reouirements RemodeVReoair Reauiremants ? 3 registered site survays showing sq. k ollok sq. ft of house ? 2 copies of plan and a!I roofed areas (20°/. mazimum lot covereae allowedl ? 1 set of energy calculaUons tor heated additions ? 2 mpies of plans (show beam & window sizes; pourad tnd. design; etc.) • 1 site wrvey for exterior additions & detlcs ? t set of energy qlwiatlons ? 3 copies oF Vee preservatian plan if lot platted after 7/1l93 DATE: , ~ l CONSTRUCTION COST: DESCRIPTION ~F WORK: Y)1"f I~YIL'~ r~V2~ S~i' ~'1'1 (~(~,YYtC~ ~ U~CII~('~~ STREET ADDRESS: "f ~ `i -1 Y ~l-~1 C`' LOT: ~ BLOCK: ~ SUBD./P.I.D. ti~ S~~ Name: c~r Zg 1 ~ \Q,r Phone ~1: ~L~ l - ` J~ ~ ~ I _ PROPERTY e~~ J owrrEe ~~jLl~ ~.l'1e~~1Pll~ L~ S[ree[ Address: r ~ - - City _ ~ ~ ~ .1'1 _ State: rn ~ _ Zip: ~J l aa Company:- 1~-! `-'1 ' _ b~ v~. ('~.Q~~ Phone ~ ~ ~ - C% '~1 CONTRACTOR , ,J1 . ~G ~ ~ ~ Street Address:~4`~ 1rC~ ~v~ License # I _ p. G City T~ State: _ Zip: L"b Ll~ ARCHITECT/ ENGINEER Comp:my:~______ _ Phone _ N~une:------------------------------ Registration Street Address:~ _ City Sta[e: ~P' - Sewer & water licensed plumber (reauired for new construction oniv): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this applicatiort, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinarioes. Signature of Applicant: ~ ~ C~ ~ 'Q ~ ~ -1~ ~ ~ - OFFICE USE ONLY Certificates of Survey Received _ Yes _ No REi C~i ~v -~i D Tree Preservation Plan Received _ Yes ` No _ Not Required APR 2 7 1999 BY: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 0 06 4-plex ? 11 10-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 02 5F Dwelling ? D7 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (Msea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ~ 43 Siding/5offits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas insert ? 4A Windows/Doors ? 33 Alteration ? 37 Demolish Bidg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft, Ciry Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS ' Planning Suilding Engineering Variance Permit Fee Valuation: $ Surcharge Ptan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies . - Total: SAC Units °Jo SAC _ : Toll¢f'son Builders, lnc. CUSTOM DESIGNED HOMES . ~ 12817 Fairgreen Awnus ~ . A.., ~ . . ` :-ApPtaYalfeY.MN55124 S. l`~"~/ Phona(812~431•1100 : , June 12, 1986 f~'~ ~i Mr. ~ Mrs. Sherman Coffing 4905 Bominica Way :~est r i.,; Apple Valley, . Mn 55124 , ~ . . , . Dear Mr. & Mrs. Coffing, „ The City of Eagan wanted me to notify you that the garage floor of your new home at 4849 Sheffield Circle is going to be 8" - LO" higher than the original survey had outlined. I am in the process of having a new survey drawn to show the present elevation. The change in elevation was made by the masonary contractor to keep the three (3) yarda in the cul-de-sac even flowing. . iPlease sign this letter as an acknowledgment and return to our office. " Respectfully,.. • / T ny Kdx~" ~ . r allas Sherman Coffing r,,, . . ~ Candy Coffin . , ; ~ . Q . ' ~ _ s i . . . . . . . ' ~ , . . City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4849 Sheffield Cir Lot: 5 Block: 1 Addition: Brittany 05th PID:10- 15004- 050 -01 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Fee Summary: Valuation: 3,000.00 Contractor: Beissel Window Siding 1635 Oakdale Ave W St Paul MN 55118 (651) 451 -6835 Total: Applicant/Permitee: Signature PERMIT City of Eaan Comments: When installing ventilated soffit material, remove existing soffit mate take steps to ensure maximum ventilation into attic space. BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: $90.00 Owner: Steven R Balcerzak 4849 Sheffield Cir Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA087180 10/29/2008 ePermit al (i.e. debris that could block vent openings) and I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Use BLUE or BLACK Ink or Office Us`e , / , 1 i 1 lx F41 [ion City of EaEd I Permit I I Permit Fee: (hO 0 3830 Pilot Knob Road I ? I Eagan MN 55122 1 Date Received: I Phone: (651) 675-5675 I I Staff: Fax: (651) 675-5694 L_____ 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 5/7/13 Site Address: 4849 Sheffield Circle, Eagan, MN 55122 Tenant: _ Suite Resident/Owner Name: Steve & Mary Balcerzak Phone: 651-454-0651 Address/ City/ Zip: same Name: K&S Heating, A/C & Plbg. LLC License 5 9 6 2 0 PM Contractor Address: 4205 Hwy 14W City: Rochester i State: MN Zip: 5S901 Phone: S07-282-4328 Contact: Heidi Brown Email: Hbrown@ksheating.com Type of Work -New XX Replacement -Repair _Rebuild - Modify Space - Work in R.O.W. Description of work: RESIDENTIAL XX Water Heater 1 Lawn Irrigation RPZ / PVB) Water Softener Permit Type Septic System Add Plumbing Fixtures C_ Main Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 6 0. 0 0 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.aopherstateonecall.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; at the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xRandall A Holtan x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In _Air Test Gas Test Final Use BLUE or BLACK Ink 4111~ lion For Office Us1e~t~ j Permit 1 V w City o EaEd I I 3830 Pilot Knob Road Permit Fee: Eagan MN 55122r yx' 1 ? I Phone: (651) 675-5675 I Date Received: I Fax: (651) 675-5694 ~ ~ I I Staff: - - - - - - - - - - - - - - - - J 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 5/7/13 Site Address: 4849 Sheffield Cir, Eagan, MN 55122 Tenant: Suite M Name: Steve & Mary Balcerzak Phone: 651-54-0651 Resident/Owner I Address/ City/ Zip: Same Name: K&S Heating, Air Conditioning & Plumbing License 0153 Address: 4205 Hwy 14 W city. Rochester Contractor State: MN zip: 55901 Phone: 507-282-4328 i Contact: Heidi Brown Email: hbrown(d),ksheating.com New XX Replacement Additional Alteration Demolition Type of Work E Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL XX Furnace _ New Construction - Interior Improvement XX Air Conditioner Install Piping Processed Permit Type - - - Air Exchanger - Gas - Exterior HVAC Unit i _Heat Pump _ Under / Above ground Tank L_ Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ 6 0 . 0 0 TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) = $ Permit Fee *If the project valuation is over $1 million, please call for Surcharge 5.00 Surcharge* TOTAL FEE 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.aooherstateonecall.ora 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_Rick Keehn x AWt'1-)&14 _ - Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening 9 Use BLUE or BLACK Ink I For Office Use( / l j Permit 0: (Z~ ( G City of EaEdIl I Permit Fee: /on`~0 I 3830 Pilot Knob Road REC 4E® 1 >I 11 Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 1 Staff: I Fax: (651) 675-5694 Z RESIDENTIAL BUILDING PERMIT APPLICATION C Date: S Za/ Site Address 11-1991~L'l~ Unit Name /y/ Y i e Z = Phone: -s~ t /G rr l W4/ Resident! f/ Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: A4 / ~k"Y CP- Construction Cost: UaJ Multi-Family Building: (Yes J No,- ) Company: -1 Contact: Contractor address: ~~~0 /SJv'~' ST City: State:AP^/ Zip: -53045 Phone:ly/"O -l/.J w Email: ~.xsc roc^•~ ~a~t2v ~t, License Lead Certificate /t''4'17" If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) i 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 City to conclude that the 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 odes 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 wont which requires a review and approval of plans. - Exterior work authorized by a building permit issued in accordance with the Minnesota Ste •Iding rnCist be ted within 180 days of per ' 'ssuance. x ~ffiZSSra [s'✓~~ x App cant's Printed Name Applicant's Signa Page 1 of 3 DO NOT WRITE BELOW THIS LINE L !i3 Z SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous _ 01 of _ Plex Lower Level _ Pool Accessory Building WORK TYPES _ New Interior Improvement ^ Siding _ Demolish Building* Addition Move Building _ Reroof _ Demolish Interior Alteration Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition piwij-1 w? SAC Units (25-/.__ 100%4 toning - City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation NVAC Gas Service Test Gas Line Air Test Roof: ,Ice & Water -Final Pool: -Footings Air/Gas Tests Final Framing Drain Tile Fireplace: -Rough In Air Test _-Final Siding: -,Stucco Lath ,Stone Lath _,_,_8rick insulation Windows Sheathing Retaining Wall: _ Footings _ Backfill Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: / Building Inspector RESIDENTIAL FEES f - r~ Base Fee GN 1/00 ~ ~e p Surcharge ~0 0 Plan Review MCES SAC l•~ City SAC Utility Connection Charge S&W Permit & Surcharge V Treatment Plant Copies TOTAL Page 2 of 3 4v f~ a ~ o 1 F a 4 a s a O V w .goo ~ rQ~ I o Ja v W 9 ac u O t~ g ~ 0 1V e~~3s y~ duo c aff aS A~~ ~ ~ ~ F ~ E ~ a L w ti i w U ~ Q ~ o m t7 Rose ,Ja. ~s431 ao ColisuLTIHO 4H0II1EEA3 ENGINEERING PLRII}{EAS and LMID 3URQEYOtlS COMPRNY, INC. 1000 EAST 1461h STREET, eURNSVILLE, UINHESOTA 53331 PH X32'3004 i ~Qt Qurr4,P2 on LOT 5, BLOCK 1, 8R17-7-,qA1Y STIR ADD17710A1, DAKOTA COUN7Y, A41A1AJE5D7*A DE7A107-ES EX1571AJ6 ELEI/AT1041 (9cs.S) DEND'TES PROPOSED ELEVATIOAJ INDICATES DIRECTION OF SURFACE DRAIAJA6E f6e.85= FIVISM6161 GARA&T FLOOR ELEVATION NORTH A R~~S SCALE : = 3a' Lor 196A = AS 37 574. Fr. 9,+•~~ DRAt eX. mor"4,q= /,'793 ScQ F? 1•Z t~lA6E AND UTILITY EASEMEWT pR~p ~~Q/1j` f}QCf~ ' ¢00 SQ.~/~T ( J/ ~h GoYE~~vG ~3 , S ! ° L 5 < 3 ~ z 68.0~ 13 ADvr1 i g~ i 1 sr~ o` r -~~5~ ~ Hai sF r- - _ i~~ Q• m ` ~J `9b8.3 3 La 6ilR _jfl CIRCLE t 4 TIC D MY, {9ic.s) m \ 0I c, 3 3$ 35~ 30' FRQAJT 8t11LDwr, 63 5 ) SETMCK 41AM' Z hereby certify that this is a true and correct representation of a tract of land as shown'and described hereon.. As prepared by me on this „day of ` 100A-f 14 84.. / Reg. No. PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150253 Date Issued:06/26/2018 Permit Category:ePermit Site Address: 4849 Sheffield Cir Lot:5 Block: 1 Addition: Brittany 5th PID:10-15004-01-050 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - RPZ/PVB/Lawn Irrigation $59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steven R Balcerzak 4849 Sheffield Cir Eagan MN 55122 (651) 454-0651 Drain Pro Plumbing 8815 - 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160286 Date Issued:02/28/2020 Permit Category:ePermit Site Address: 4849 Sheffield Cir Lot:5 Block: 1 Addition: Brittany 5th PID:10-15004-01-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Steven R Balcerzak 4849 Sheffield Cir Eagan MN 55122 (651) 454-0651 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature