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4835 Sheffield LaneRESIDENT / OWNER Name: '� /-2+.5....1 �. / P hone: � � -7Cv Address / / Zip: `' / / CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the building envelope) 4. Sump Pump Repair Other: SEWER 8 WATER (Outside the Repair building envelope) Other: DESCRIPTION Description of St work: � i 4L4 • : 1 / /- • FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ 411/1° City of Eaali Date: Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 VYN0 e7-3 Applicant's Printed Name t Address: O Site Add ant's Signature r Use BLUE or BLACK Ink 9 lC) Permit Fee: 0 Permit #: INFLOW& INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date Received: Staff: Suite #: *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.citvofeacian.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.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of rk which requires a review and approval of plans. Re a €red Ir pectic s nd bij CITY OF EAGAN ~ SEWER SERYICE PERMIT 3830 Pifot Knob Road P. O. Box 2119J PERMIT NO.: Eagan, MN 55127 p^~; - ~ ZO^~^fl~ ~ No. of Units: pN,~~; Tollefaon Bldrs Nddress: Site Address: Z61~3 Norwo~d ?;rive ~,13 r? i;rittar.y _At Plumb~r. ,eA7. va?1 - J. -"3 4 4 J[~ t; l p a 1~grM M eomply wie6 Hw Cily ef Ea~oe Connectlon CFwrpe: <i 2. 0~ pd Ordiweeess. J~ccount Depoait: 1 5. Q(~ pd Permit Fee: 1~. nd Surchor~pe: . 5 0~ c? BY Misc. Chargex Data of Insp.: Totol: Dots Paid: CITY OF EAGAN 3830 Pilot Kna~b Road WATER SERVICE PERMIT P. O. Etox 211, 9 PERMtT NO.: 54'~4 Eagan, MN 55121 Zoning: R1 DATE: 5--17-84 Ow~xr. TolZef~on RI4~,~ No, of Un~ts; 1 Address: ~ ~3 5 Slta Address: _ ~ Plumber. L13 B~itt$ny 2st .,e~1z e,yar: Meter No.: Size: ~^nection Chorge: 470.00 ~ Reoder No.: ~~~nt Deposit: • P 1~~ros fo eom~r Permit Fee: • P prdiwo ~Y °f E~q~n Surchnrge: • n eess. ' Misc. Chor~es; 63.00 pd meter gy Total: Dote of Insp.: Dota Pnid: , ~nsp.. INSPECTION RECORD CITY OF EAGAN PERIIAIT TYPE: 3830 Pilot Knob Road Permit Number: k~:'~r~.r, Eagan, Minnesota 55122-1897 Date Issued: ' F+' ` (612) 681-4675 SITE ADDRESS: ' , r~ ' ~ t ~ ` ~ APPLICANT: ~ I ~i I: HI E~~ I , . ~~t rt'tF ~ 1 ANt t~i i r~~s; i r, s, i i f r,~;~ . ~ r~~ i ~ r ;;r.~; , t ~ r . , i i ~r PERIUIIT SUBTYPE: TYPE OF WORK: ~ ,~~i ~ i~ii~r,ri- t:~ ~~_~i i~~,r~ , i~~~,,,, . . ~ ~ ' ~ ~ ~ ~ Permft No. Pennit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FtREPLACE FIREPLACE AIF TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.L BSMT FINAL DECK FfG DECK FINAL ' CITY OF EAGAN Remarks Addition Bl2ITTANY ~ot 13 Blk 3 Pa~ce~ 10 15000 130 03 dwner J~1!'-^~1~ Street ~T~~Q~~~ ~r1Ve State '",i , , ~ Improvement Date Amount nnual Years Payment Receipt Date STREETSURF, 1~12~.96 A 014256 ~~I8 84 STREET RESTOR. GRADING ~.~16 1981 428. ~3 28. 58 ~ SAN SEW TRUNK :r * SEWER IATERAL 19$j 5040 8 33 ~7 WATERMAIN * WATERLATERAL j9S1 WATER AREA ,~J j~Hj n n STORM 5EW TRK / j981 492. 50 3? .$3 f3 1 $ rr * STORM SEW LAT 19H1 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT .00 2481 4-10-84 WATER CONN. 4~0.00 " BUILDING PER. $95] SAC PARK ...~r..~~~~r.,.~.s-~ . .T. ;v~+~"ap~"~7-<r~v . ~r--w~npR-.'^F~ _ , ~ CITY OF EAGAN ~y~ # ~ ~ ~ ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 • PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for ~K Est. Value 1 QQQ Date A~j iQ , 19~_ Site Address ~3s aK~FFI81.~ i.N LOt 1~ Block ~ Sec/Sub. ~I??AP! ls'! OFFICE U5E ONLY Parcel No. Occupancy - FeFs Zoning W Name ~I~ 1~ERQUIST (Actual' Const - Bldg. Permit 25•~ o AddfB5S ~ss $~~ZE]~ (Allowable) - Surcharge City ~1~ Phone as1-1 S]2 ~ ot s~o~s Lengih Zb~ Plan Review =a Name oepin 1~~ snc, C~ty ~Q Address S.F. Total - SAC, Mcwcc ~ City Phone S.F. Footprints - ~ On Site Sewage _ ~Nater Conn F W Name On 5ile Wetl - Vllater Meter ~ ; Address MWCC Syslem _ i W City Phone Ciy Water _ Acct. Deposi~ PRV Required _ SNV Permit I hereby acknowlege that I have read this application and state that the Booster Pump - ~yy ~rcharge informatan is correct and agree to comply with all applicable State of Minnesota Statutes and City oi Eagan Ordinances. Treatmenl PI Signature ot Pertnitee APPiiOVALS Road Unit A Building Permit is issued to: ~~~I~ Plan~er - park Ded. on the express condition that all work shall be done in accordance with all applicaGle Slate of Minnesola Statutes and City ol Eagan Ordinances. pry. Copies Building Official ~ar~ - TOTAL Z~' ~ ~ PermN No. Permit Holder Date Telephone Af W~1TER SEWEH PLUMBING H.VA.C. ELECTRIC Inspection Date I~sp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Fnal Htg. Orstat Tes1 Finel PI6g. Pibg. Inspector - Notity Plumber Const. Meter EngrlPlan Bidg. Final Dedc Ftg. _ 2 _C/ Dedc Flnal ~a Well Pr. Disp. 1 ~ CITY OF EAGAN ~T 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121 1r ~ 895 1 PHONE: 454-8100 ~ BUILDING PERMIT Rece~pt # % ~ ` ' ~ To b~ Nsd for if' j(:~ iJ? Est. Volue = 7. l11 , C G t) Dcte A~'R ~i I, 10 , 19 4 . - SiteAddr s 4835 SHEFFIELD LN Erect Occupancy ~z3 L~I'.3:`~'~'ANY 15T Lot Block sec/Sub. Alter ? Zoninp - ~ ti-150~)17-1.3n-C~. Parcel No. Repair 0 Ffre Zax Enlorgs p Type of Const. oc Name ~'nLLEF.;Oi~ i3T.,i`i p # StorPes Z Address 1 G 5 5 ;`1C~~P.~';UO? ~ T','' . pe~lish p Length ~ City Phone ~ 54 7 ~ ~ Grade p Depth J~~ ~$q. Ft. °f AI' 1F' Approva ls Fee• O Name . ~ O O~ Address Assessment Permit u~ City Phone Woter 8 Sew. 5urchorfle S~•~~ Police Plan theck~' ~°W` Name Firo SAC ~•0 Address Eny. Water Conn. 4 7 0. U ~ ~W City Phone Plonner WaterMeter-~3~~~ Council Rood Unit L I hereby acknowledge that 1 hove read this opplication and state that g~ , Off. the informotion is correct ond ogree to comply with oll opplicebla ~C Totol ~ 5 Stots of Minnesoto Stotutes and City of Eagon Ordina~ces. Sipnature of Pem+ittee A 8uilding Perrr~it Is issued ta ,'~-'T~T,- „~'`'f ;i' TiI,T;r.^ , ~ the express condition thm oll work shall be done in accorda with ell applicable Stote of Minnesota Statutes and City of EaQon Ordinances. Buildlr?p Offlciol i { ~ ~ ~ , - _ _ 7 J Psrmit No. Permit Holdsr Misc. Pamit No. Holder Plumbiny -1 3~ U G e?12 ~ d ~ J" ~ 5~~/ H.V.A.~. 4 5~ ~ G~ ~ ~2 5-~ 5-~a w.u Water Disp. Sewer Ekctrie F Inspection Date Insp. Other Foot{nyt /D I Faundation ~ Frsming •9~ ~ . Rouph Plbq. - ' ~ ; ~ ~ Rouph HVA .2 s~ Insulation Final Piby. Final HVAC 7 ~ ~ . f c.s! Final 15 Wetar ~escriba Location: Well S~wsr Pr, Disp. ' ~ CITY OF EAGAN NO 892 ~ ~ ' 3"e39~Pilot~Knob poad, P.O. Box 21-199, Eagan, MN 55121 ~ ' PHONE: 454-8100 BUILDING PERMIT Receip~ # C I~jOO~ To Ge used for DECK Est. Value $1, 000 Date ePR 1 Q , ~ g~_ Site Address 4835 SHEFFIELD LN ~ BRITTANY 1ST OFFICE USE ONLY Lot 13 Block 3 Sec/Sub. P2fCBl rID. ~ Occupancy - FEES Zoning w Name JIM LOGERQUIST (ACtuapConst - BIdg.Permit 25.00 o Address 4835 SHEFFIELD LN ~nuowacie) - Cit EAGAN Phone 851-1532 so~swries Surcharge .SO y Lergih 16 ~ Plan Review iF Name SAME DeD~~ SAC,Ci~y Addf@SS S.F.Total - SAC,MCWCC " Cliy Phone S.F. Foolprinis _ On Site Sewage _ Waler Conn ~ ° W Name on sae wen _w - WaterMeler AddfeSS h1WCC5ystem a W City Phone Ciry water _ Acc~. Deposit PRV Required - S/W Permi~ I here6y acknowlege thal I~ have read Ihis applicalion and slate that the Booster Pump - ~yy Surcharge iniormation is correct and agree to comply with all applicable State of Minnesota Statutes and 'q of Eaqan inance~ Treatment PI SignaNre of Permilae APPHOVALS qoad Unit A Building Permit is issued Io: _ JIM LOGERQIII ST P~a^^ef - Park Ded. on the express condition ihat all work shall be done in accordance with all Council applicable Slate of Minnesola Statutes antl City ol Eagan Ordinances. Bldg. Otf. _ Copias ~ 70 ~Dlf I rn~ Varianca 25.50 Building OHicial - TOTAL , . CITY OF EAGAN NO gg57 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 . • PHONE: 4548700 BUILDING PERMIT Rece~Pr # To 6a uted for SF DWG/GAR Esf. Value ~S1O1 ~ OOO Dote APRTT. 7 0 , 19~4_ ~ Site Address c - ~ Erect I pcc~poncy R3 ~ot 13 s~ock SeclSub. BRITTANY 15T A1}ef ~ Za~~~y Rl Perce~ tvo. 10-15000-130-03 Repair ? F~re Zone N/A Enbrga ? Type of Const. V _ c Neme Z'OLLEFSON BLDRS . Move ? # Stories Z Address 1655 NORWOOD DR. Demolish ? Length 51' ~ ~ city EA6AN phone 454-6873 Gmde ? Depth 36 ~~q. Ft.- ~ Name SAMF Approrals Feaa o~ Address = Assessment Permit +S 435. PO u~ City Phona Wafer 8 Sew. Surchorge 5~• r Police Plon check 2~-7.7~ Fw Name Fire SAC 525.00 Address Eng. Water Conn, OO ~uZi City Phone Plonner WaterMefer 63.00 Cauncfl Road Unit Z6~.~0 I he.eby acknowledge that I hove read ihis epD~~~a~~on and state thnt g~dg. Off. ihe inlormation is correct ond ogree to comply with all applicoble $2. ~21. Zr~ State of Minnewta Starutes ond City of Eagan Ordirwnces. APC Totol Sipnaturo of Permittee A Bujlding Permit is issued to: TOLLEFSON BLDRS. on tha expreu condition Ihnr all work sholl be done in occorda e wit II oppliwble tate Min esota Statutes and City of Eoyan Ordinances. Buildirq Official p ~ lA ' ~j`~ CITY CY' FX'~N Include 2 sets of plaris, ~ 0~ 7 1 site plan w/elevatiane i . , &1IIDING PEFhQT APPLICATION 1 set of er~eagy csia~tl~n6. . ZU 8a~ Ueed Ebr ~[(,J - Valuation Dats /CJ ~ ; Site AddneYe . She ~FI~ USF. QiLY ~ r~ ~ 8~«,* y~ s~./s~. ~~i~,l ? ' ra~ r: _ _ /b ' /S~a-v - / o ~ ~ z~ ~___.Q~~r3 Qrrer: ~~Ql,~ ~ ~ Fire zone Enlaxa7e _ Rype of Opnst. llddtdia: N Stories Daro11s1'- i Fmnt ~ ,5y cYt~r/zip Oode: - craae - Depth - y~~ ft. Pltane n I,~ APPAOVNB ~ C1ai#raCCGit r.l_~-r~l1V1 ~Ii~! YA~,V~ Assessment8 Pernut 3s addrear: ~55 I~~l)VU-;~~/'Y:~ ~i'IV(~i watPS/Sa~er surchats3e ~ / CitY/Z1P O~des ~~GLf.A,~J .~.'~J /~a ue~ SAC ~ ~ ' 1: - (rl7s 1 ~j ~3. Water L~aru~. 7 O - ' Planrer Water Meter 3 Ilydt./FYwJ.t Oa.vicil Aoad Unit ~lmo Bldg. Off. ~ • ~ 6d .~~fi~ W.ii' e ' - et'°,e'~: " ° ~ . t ' ~;`TOmH. , ~ ~~~as , • 1 ~ • , ~ G ~ ~ ~ c~J w ~ ~ -C ~ ~ ~ ~ 5~_ c~ w ~ ~ ~ ~J ` ~q ` v~ W Q~)N t `Q \ V e ~ ~ w ~ ~ ~ ~ _ n ~ ~ ~ ~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) l!-~ 2 CITY OF EAGAN GJ~ J~~~~ 3830 PILOT IUIOB RD - 55122 ~j1~ 651-681-4675 New Conshucfion Reaulremenfs Remodel/Reoalr ReauiremeMs ~ D S registered sHe surveys showing aq. H. of lol, sq. ft of house 2 copies of plan and all roofed areas (20% maximum loi eoveraae allowed) 1 set of energy calculalions for heated addMions D 2 topies of plana (show beam i window sizes; poured ind. des~gn; efc.) 1 sBe survey lor exierlor addBions 3 deck~ ? t ~el of energy calculafions ? 3 copies of hee preservWlon plan tl IW plalfed affer 7/1/93 DATE: ~~'7" V/ CONSTRUCTION COST: ~ O~ v DESCRIPTION OF WORK: ? ~ ~L~ ~ ` STREET ADDRESS: J L~ 1 L.C~ ( l LOT: ~ BLOCK: ~ SUBD./P.I.D. Name: C(~-S~YO 1~I/~.cYl7.f Phone#: Il~~I PROPERTY tast Fint OWNER Street Address: " ' ? ~J ~il ~-l .E'fi~ City ~~~C.~~~ Stafe: ~ ` ~ ~ ~ Zip: 02,~~ Company: li~C S C~( Phone l~ 1~ SS 9~ 'CX~~O (orea code) CONTRACTOR Sheet Address: I 1~~~ ~~~~~A ~ . Ltcense 7~ Exp. ~ City A~ i~,~a Stote: r`~l ~`I . Zip: `,7 ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Regishation 1k: City State: Ztp: Sewer 5 water Iicensed plumber (reauired for new conshuction onlv): Penalfy applles when address ehange and lof change is requested once permR Is Issued. I hereby acknowledge that 1 have read This applicaNon, state fhaf the InfortnaHon Is conecf, and agree to comply wNh all applicabl Sfate of Minnesota Siafutes and City of Eagan Ordinances. 1~/ Slgnature of Appllcant: ~ ~~~i~A ~ ~ ; ~ _ ~.r OFFICE USE ONLY i _ ' _ Certificates of Survey Received _ Yes _ No ~ /~~9'-j),,' Tree Preservation Plan Received _ Yes _ No _ Not Required `~r~ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 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/Soffits/Fascia ? 32 Addition O 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Deme!!sh Bldy.' ? h1 Wood Sto~~e ? 45 Fire Repair D 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. 5AC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of 5tories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Traiis Ded. Other Copies ToWI: SAC Units % SAC w 4 ~ ~ ~ ~ ~l~ t~ ~Q9-9A BUILDING PERMIT APPLICATION 1 I ~ CITY OF EAGAN .g~ L~4.by`"" ' ~ ~i~+?'.. SINGLE FAMILY DWELLINGS MULTIPLE-DWELLINGS ~ • COMMERCIAL 2 SETS OF PLANS ~ 2 SETS OF PLANS 2 SETS OF ARCHITECTllRAL 3 REGISTERED SITE SURVEYS TtEGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPEGIFICATIONS 1 SET OF ENERGY CALCUL.ATIONS 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 i~iONTH SN WHICH REQUEST I3 ~E. 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 BU2LDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLIIMBER. To Be Used For: Y,/EGK Valuation: Date: ~G r7 ~ Site Address ~~,3,~~k~~~t°~Lj'~ ~ OFFICE USE ONLY Lot ~ Block ~ FEES Occupancy 5{ Zoning Parcel/Sub ,~,~srT~'f Actual Const Bldg. Permit ~f, sa Allowable Surcharge Owner ~Z~M ~,p[~~QU[y-$r # of stories Plan Review Length ~ SAC, City Address SN/~~~L~ , Depth (2.~ SAC, MWCC S.r. iotai Water Conn City/Zip Code ~~4(yY~}~ ~'j`,sl a^~ Footprint S.F. Water Meter p Acct. Deposit Phone ~~{S~-^~~~. ~ ps~'153r~. On site sewage_ S/W Permit ~ On site well S/W Surcharge Contractor _ S~~,,,F MWCC System _ Treatment P1. City water _ Road Unit Address PRV _ Park Ded. Booster Pump _ Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL ,S~ 5b Council Arch./Engr. Bldg. Off. ~/•/&_4i S Variance Address City/Zip Code Phone # ` , .s Inc. Ot. 1~514 i , . 188-6 ~ JACKSON - SLJRVEYDRS ~oo•° Scal~: 1" = 30' ~ca~~rcwio YND[R uw~ or srwri O! YIMM~~OT• ' o DenoCeo Iroo ~+Draioage poo.oBX11CLt18 EIfV. ~~6EAST55NSTREET,MIN~ ,MN65117 727-3484 0 Sucbrpoc's 6criititat~ ~R b ;o ~ ~o~ 65 op oo i ~ , ~ ~ ~10 .Y O g3 ~ ~1 OR~ O D $O, ~°~1 b' 1~A ~ 1` ' ~ 1 ~ ~ 106.9 ~ /04 ` ~ r P ~ ° ~ ' ~ b ~ ~3 s ^ ~ 1 / ~ k ~ ~ ~j r05.i ' .1 ~ / ~ ~ 5~ ~ ~~0~~~ ~ts~ Gr,R~ .^~v oQ~ ,p~ Q y Z ,S'~.; ~o ~ 1 2 . ~ ~ ~3~"-. ~ p . ~ , ~ ~ O ~ N~~S N ~ ~ ~ _ o ~ m , ` z , ~ N ~ a>.p 26 r ~ ~e , pa ' N 1t , ~ .1 ! ~ ~ ~ ~ / , _ ~ ~0 ~ > 30.0~ ~ • 9 c~~ 1 ~ . / . ~ / ~ ~ ~ 5 J / ,OD Prop~s~d Garage Rlaor E1. Propo~~d Ba~emcnt F1oor E1. ~ iP Pcoposed Flr~t Floor E1. 105.1 I N[II[Yl' G[Ri1FY TNAT TNL ABOV[ 1~ A TRU[ AND CONw[CT ruT OF A sU11V[7 OF Lnt 13, 81xk 3, Brictaa~, Wkou County, Minne~ot• A~ ~uevcric ~r r~ rNU 4th wr or_~til w.o. 1984 ~ s~ow[ C. JACKaON. M~wut~srw ~u~~oM. No. 7WD r~. ,~ToLlefson Buildera Inc. Or. 11514 188-6 ~ ~ ~ JACK50N - SURVEYORS ° Sctle: 1" = 30' R[6uTER[D VNDtR uws w~rwr~ Or MINN[iOTA O Dnnotee Iron Die iehge - ooo.oEXLECLOg E18V. 3616 EAST 55ffi STREET, MIN~ .MN 5561) 727•3484 0- - V `r ~0 ~burbcpors 6crttticate DR` ~ 30 , . '~>.0 65.0~ ~ ' t' ~ ~~o ~ 0 53 ~ ~ O ~ ' - ~P ~ oR`~-° ~ ~ ''~:b~~ ~ ~ ~ A ~ io6.9 ' / ~ag~ ~ 5 ' ics i ~2a~ ~~R• "1 o r ~ ~ G P W Q A p D Z ~0 1 ~ ~ o~ ~3 ~NO~s~N ~ _o~ z, ~ N 1 a 6 ~ ~ N s ~ '0 2 ~ ~ t° . i = ~ , ~ 0 1 ~ 30 - ~ go.oo ~d •4 r~ f n ~ ' ~ m ~ 5~.~-~ J~ ~ `~~,0~ Proposed Garage Flaor Hi: _ t"~"~ Prpposed Basemen[ Floor EL. ~ ly ID5.1 ~ PraQoeed Firat Floar $1. I XERE9Y C[RTIIT THAT TN[ ABOV[ 10 A TRUF ANO COR6[CT PLAT OF A SUIIY[Y Oi ~ Lot 13, Block 3. Brittaar, Dnkota Caunty, ?liaaeaota ~ Ai WRV[Y[O ~Y M[ TMIt 4th ~ April ~.p, 1986 ~ ~ ; liaMt ~ f. C. JACKfON. Mn~~~w IsT~wt~ow. No. ~000 / ~ t, Cities Di i~ ta1 Qualitv Control The following image represents the best available image from the original page. 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' ~ ~..~i ' . , ~ ~ ~ ' ~ r • -1.t1 T~. ~ (3' 11 (t t ~ ~ + ~ , l OTqI F +1~(5, j . ~ . ; ~ , : ,,.r' ~ / ~.r,~ ~>','t47 , j~ , ~ ~.1 , r. 1.~{ \a~ ~I' - ' ~~'i. ~ ~ :~:y r' ~-~y. .y ~1•. 4,' . ~'~~i ? ~ d.i nn~~~ f•~ L',-.+.~t-.~_._.~._..._ _1-- ..r-~~r.~ t.'~__.~-. ~~.~--~.~~.-17r..,~f ~ ~r• .._:S~'~ i ~ i , ~ 2/84 C,. , , ; CITY OF EAGAN „ ~c'~•~='S ; / ' APPLZCATION FOR PERMIT ' SEWEf2 AND/OR WATER CONNECTIODi " - ~ ~ ~ (PLEASE P9INT) S' ~ 1) PROPII`T`I ADDRESS: ~ ~ ~ ~ ^ - r Frat. n~~rzcv: ~ ~~y ~ s ~ i< ~>~'~7T~fNl' /a~l i`I ~Or~! (Lot/Block/Subdivision or 2'~ax Parcel.I.D. Nim~ber) i: ~ti2.::'=_:G S'IRUCS[,^:2E, De~T' G=' ORIGii:AL v.iILDl:`;G P:T~~?IT IcS~?~Cr: ~ F~~SL ~ ~,^,`.~F:/F .~C°CS:~ L~5~: ~R-1 5~1GIW r~`nSLY ? R-2 GUPLEX ('Irn'O Wi ITS) ? R-3 'ICxvTII-ICZ;SE (THRE" + ~TS) ( Wi ITS) ? R-4 FLpAR7T'~`T/~V'DQ~LPi]IT~':~1 ( LNITS) Q CA~~..'RCL~L/REPAI7,/OFFICE ? ~L'S'r~Tai. ? INSTI'IUTIONAL/GG~~~Il+4Q+7r 2) APPLIC~VT IPLEASE PRINT) N~P7E: TDLLEFSON BUILDERS, INC. ADDRESS: 1655 Norwood Drive ' ~TTY: 5'TA'I'E, Zp: Eaqan, MN.. 55122 - p~`~= (612) 454 - 6873 3~ P~~,~~ - PLEASE PfliNT) FOR CITY USE ONLY - GENZ-RYAN PLl1MBING AND HEATING Piur. 5 LILENSE: aDDRESS: 14745 South Robert Trail a~tiY~ ~ CITY, STATE, ZIP: Rosemount MN 55068 0 Expired PHOiVE• ~ Q Not o Record - •~612~ 423-1144 PLIIMBER LILENSE N 1849M ~Q arr nit3a 4) OC~I~TAy'p~~],7p~ (PLfASE PHIN!) SAME ADDFtESS: AS CTTY, STATE, ZIP: nB~VF - PEfONG: 5) INDICATE WHICIi PEP,MIT IS BEID~ REQUESTIID: [X~ CO;v'IVF.CPION TO CITY SE47ER CO:.T:VF~TIO~] ~ CZTY ~VATER ~ UI'['.IIt (PT,F'ASE DE,SCRIIIE) 6) ~:DIC;.:: 0:~: ? PL f?SE f?OLD APPROVID PER~tIT FbR PICi:-UP BY 0^IE OF i1BGVE ~°IF.aSE +TAIL APPROV"D PER~LIT 'IC~ l, 2, 3~ 4 AEWE (Circle one) 7) SIC~~.~E: ~ ~6~.,-.~. D~TE: J~~y=O ~ ~ R Q:iq~l sJS ,i~ i fl Ite:taa fn1 w Pe ar:ss:s.lA al ai s r:s s:a ~ ~a i~r.~1~.wR ~-~i.~ r a~e as ~ resaar ea F 0 R C I T Y U S E O N L Y r~ ~ . PER^1IT " ISSUE? J F°r5= S f 0•S-~a C~F1.~ED n~o~iri (I_;C:.::D: '=li~CHr?=G.~) ~ /G•?~`"a WATER PERP4ZT (INCLUDE SURCY.ARGc) $ ~ WATER METER/COPPERHORN/OUTSIDE READER S SJAT.^•.P. TAP (I~,'CL'JD~ COR?ORATIO;; S;OP} $ SE:dE4 T.z'.D $ /S. J ACCOUNT DEPOSIT - SEiti'ER $ ACCOUNT DEPOSIT - [VATER $ ~9 d, ~-G WiaC S ~!~'~""/-o~ SAC S TRU.1K ?VATE~ ASSFSSi9E:IT S TRliNK SE[~ER ASSESSMENT $ LATEP.AL BENEFIT/TRUNK SES•7ER S LATERAL BENEFIT/TRUNK SaATER $ ~ OTHER S TOTAL $ 7~''' ~ A:~'IOUNT PAID/RECEIPT ~ ~ '7 ~ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIG:~T OF WAY? YES IF YES, THEN A°'PERMIT FOR WORK WITHIN ~ PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGZNEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO TF3E FOLLO:JING CONDITIONS: APPROVED SY: o~,~~i TITLE: ~'f. ~ DATE: ~,J/'- / G~ ~-8'~ ~ c+~ w~ in sa-f.~ ~.a +n rs.~ ~t+~ ~t ~ ~4 ~-)f w f~ ~li ~44 f! ~ i~ fSi CL~ R~ i9 ~39 Y4+6 i4/ R~ltl Ya ~ ! • ~ ~n~YF~ ~%~CAl.YF?k ~ ~k~' %~~%~X( ~X?~ ki h~ YC ~A(Y£5,l' M~k ~?~%tk( ~X<k~ 8' r...:i:74~ ar r:nc;Fl~ c~~~rr.e:ri~ s r~.F~t~~ai. r~n~ as T_IFlfE.~ 0`_'D/0`.',/9fn TJ.hil=.: i.5~i39~C)3 rn : ranri~_v rir~ exTr:_r,zr:~rss zr~i. 3ii?10 Sai:![]1. 4L335 £il-IC:LP F"Sf:I~U i.1~C.E'~ 21"'.;~ `,.~C1U:1. 4E33:~ '.:HF_l.l"'1='7ELf~ 3a00 Te,tr~:l 12eceio# Amo+,nt,~ J.iS.c?5 CF0c;39 a3 USEf•; .7.D~ NA~CY yF'M ~t:K~?k?k?KaY~X~k~~k#~t%c~k~kKcYF~k~X~k~X'M~kM~XX~%~~S ~FYFXtXt~k~ 'M~X PERMIT ~ r CITY OF EAGAN ~ 3830 Pilot Knob Road PERMIT TYPE: B u I ~ o I N ~ Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 7 6 6 (612) 681-4675 Date Issued: 0 9/ 0 5/ 9 6 SITE ADDRESS: 4835 SHEFFIELD LANE LOT: 13 BLOCK: 3 BRITTANY p.I.N.: 10-15000-130-03 DESCRIPTION: ~szorNC> ~Build ng`Permit 7ype SF (MISC.) r-Bui,lding lJ~a~rk Type REPAIR ~ C~`nsus~~~~Code~ A3R ALT. RESIDENTIAL . lf , ~ ~ ~ r r 1.. : ; i -a t~~~`~,r ~aa.~ ~ ~ ~ , ~Jl 4 ~ ~ : ( ~,.i;. _A~, w~, l '_s , ~ G* ' ~ REMARKS: ~ FEE SUMMARY: VALUATION $6,000 Base Fee $112.25 Surcharge $3.00 , Total Fee $115.25 CONTRACTOR: - Applicant - 5T. ~IC.OWNER: MINNESOTA EXTERIORS INC 13915514 00@2877 CAS7R0 ALBERT 8600 JEFFERSON HWY • 4635 SHEFFIELD ~N 05SE0 MN 55369 EAGAN MN 55122 (612) 391-5514 (612)686-9620 I here6y acknowledge that i have read this applicaCion and state that the inforrna,tion-is oarrect and agree to cornply with all applicable State of Mn. L Statubes and City of ~agan Ordi~nances. ~ APPLIGANT/PERMITEE SIGNATURE IS ED B SIG~~ CITY OF EAGAN ~ I ~ 3830 PILOT KNOB RD - 55122 • r . ; ~ 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reauirement<_ RemodeUReoair Reauirement= ? 3 registered sRe surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured tnd. design; etc.) ? 2 site surveys (exterior additions 6 decks) ? 1 energy calculations ? 1 energy eaiculations for heated additions ? 3 copfes of tree preserva ion plan 'rf lot platted aRer 7/1193 required: s No ~ ~ ~ ( ~ DATE: CONSTRUCTION COST: DESCRIPTION F ORK: ~ , STREET ADDRESS: LOT BLOCK SUBD./P.I.D. ~H ~ ~_G~G°/~ Phone PROPER7Y Name: OWNER ' ~w~' Street Address: ~~s City: State: Zip: CoN7Rac7oR Company: Phone ~J Street Address: License #:1~~~~~ State: ~"i~ Zip: S`~`~O / City: ` ARCHITECT! Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water Iicensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the informati ,is correct~and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: / - OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY ~t j ~ ..s, ~~,~o~ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 02 SF Dwelling ? 07 4-plex ? 12 Muiti Repair/Rem. ? 17 5wim Pool ? 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New o 33 Alterations ? 36 Move 0 32 Addition '~C 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC Citv SAC Water Conn. ~ Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies TotaL• ' % SAC SAC Units i�. For Office the �%��/ t J 4 + , JUN y {{Q Permit ft: E N Permit F . Date Received; 3830 PILOT KNOB ROAD(EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinoinspectionsCrr2citvofeactan.com IA1" 2018 RESIDENTIAL BUILDING PERMIT APPLICATION -t� Date: 6/25/18 Site Address: 4835 Sheffield Lane unit#: Jim Rogers Name: Phone: Address/City/Zip: 4835 Sheffield Lane Applicant is: Owner X Contractor i Description©f work: 31 Feet drain tile and Moisture Barrier on the walls qj �ipf�Y rk 3190.00 ,u Ute ,: Construction Cost: Multi-Family Building:(Yes_I No ) Company: Complete Basement Systems Contact: Lewis Uhrich 54004 Loren Drive Mankato Address: City: 11.101. CIO/ State: MN zip: 56001 Phone: 507-387-0507 Email: Iewis©mycompletebasement.com BC143377 Nat-105017-2 License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTEi P. d ,,{, ,ng documents y ou submit are coria be public Informarfti tr lrrr # may' ,..0111esed - i a Ifyou protf rd:, x r#tfs"that would mgr City to cobpl.ti'f that " y You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website et www.citvofeauan.comisubscribe. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(661)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecail.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit but only an application for a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xLewis Uhrich x Applicant's Printed Name Applicant's Signature 1&-3 Ek e- CA S, nD DO NOT WRITE BELOW THIS LINE 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 4 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 l A ,j, I SAC Units (25% 100% ) Zoning , f City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction (6 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) v,,� Final/No C.O. Required Foundation !° HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour NDrain Tile '',. Fireplace:_Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control — Shower Pan Other: — Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee eil Surcharge Plan Review MCES SAC OP" c I(ei City SAC t' Utility Connection Charge S&W Permit&Surcharge 1 9 0 Treatment Plant f Copies TOTAL Page 2 of 3