4838 Sheffield Lane
Ci'T'': CF EAGAN
3830 Pilot Knob Road SEyyER SERYICE PERMfT
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 p^TE: _p
Zontnp: 1 t
~olelfson fslcirs No. of Units:
Owner:
/Wdress:
Site Address: e e .4110 s 6lY't 371y ~
Plumber: GEnz RvAn
. - _i .16
1 p/N fe eonlp(q wuh fre r~ ~
CifY of Eagon Connection Chorpe: 42~. 00 nd
Ordlnanas.
AcoourM Depoait:
Permlt Fee: 10. P nd
By Surchor~pe: .50 pd
Misc. Chorqes;
Dote of Insp,:
Totcf:
Insp.: Onte Poid:
.C17', :)F EAGAN
3830 Pilot Knob Road WATER SERVICE PEMT
P. O. Box 21199 5'~'1 J
Eagan, MN 55121 PERMIT NO.:
Zoning; 'L 7 D^7E: -
owner: ~''ollefaon Bidrs NQ• of U?+rrs: 1
Addnm:
Sits Addresx 4838 Sbcffiald Lenv 11 62 i3ritr.
plumber; =enz yan an 5th
Mecsr No.:
Siu: ConnecNon Chorye: 4-50•00 j.:ti
Reode? No.: Acaourit Deposit: -1-'
Permit
~
r9ra* to eomVhr with ~ Fee: • P
~ ~ ~°n Surcharge:
O~dinena • P
Miac. Charpes: 60.00 d ?petCr
BY Totoi;
Dote of insp.: Data Poid:
IruP.:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 901.9
' PHONE:454-8100 -
~%1 ;
BUILDING PERMIT Receipt #
Te M wW Mr nECK Est. Value $1100. paYe APRTL 27 ~ 1 q 84
4838 SHEFFIELD LN R3
Site Add~ ess Erect Occuponcy
.1 2 BP.ITTANY 5 . R 1
l.ot 8l10-15004-e010-02 Alter ? Zonirg N/A
Parcel No. Repofr ? Fire Zone
Enlorge ? Type of Const. Vri
oe Name BzLL S`~(1I`~' Move p # Stories
; Address 4838 SF?FFI`ZELD LN Demolish ? Length
T~ City Phone 452-9383 Grcde ? Depth Sq. Ft.
Name 5AME Approra Is Feea
~
Address Assessment Permit 4 1.00
1- City Phone Water 8 5ew. Surchorge
F Police Plon theck
yUj W Name Fire SAC
F
Address Eny. Water Conn.
~ W City Phone Plonner WoTer Meter
Council Rood Unit
1 hereby ocknowledge thot I hove reod this opplicotion ond state thot gldy, pff.
the inlormafion is correct end ogree fo comply wifh otl applicoble ~21.50
Stote of Minnesoto Statutes and City of Eagan Ordinances. APC Total
Sipnnture of Perrnictee
A Building Pertnif is Issued to: BILL SNOKE an the exPress condition thao
oll worlc shall be done in occo~Mnte ~-ir#h oll npplicabl! 5tate of Mlnnesoto Statutes ond City of Eagan Ordirances.
Buildlnp Officiol
~7~
E Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Well
Water
Disp.
Sawe?
~
E lectric
Inspection Date Insp. Other
Footingc
Foundetion
Framing
Rough Plbg.
1
Rough HVAC
Inwlation '
~
Final Plbg.
Final HVAC
Final
Water Describe Location:
~~l -7z wf-c~ ~-V. *0
~ .
se,~. C~70(e h~m Avi .djl;t
Pr. Disp. ,
PMw
~r
~ a~ 9~'
r / 1~ Q-
Receipt PLUMBING PERMIT Permit No. -7-7
- ~ CITY OF EAGAN ;•c Fee ,~.•,~(i
Fil1 in numbered spaces S/C
Type or Prini legibly Tot. . d
1. Date 2. Installation Cost 0,--
T
f /
` j77
3. Job AddresI(, Lot~Blk. Z Tract
4. Owner
5. Contractor Phone
6. Address ' ~~T.=S ~~i~ - 1 f- f ~ ~r ~ E 7 •
7. City T~ e-2 State Zip
8. Building Type: Residential Q~Commercial ? Institutional ?
9. Wark Description: New I!Y Add ? Alter 0 Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Z~ Bath tubs Septic Tank
Lavatory Softner
Shower Well
_L Kitchen Sink
Urinal/Bidet ~
otner (.C.J
~ Laundry Tray f
--f-
Floor Drains
Drinking Ftn.
Slop Sink
_t 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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
r
Receipt MECHANICAL PERMIT Permit No.
. CITY OF EAGAN Fee
Fill in numbered spaces S/C
Type or Print legib/y Tot. '
1. Date 2. Instaliation Cost
t.. _
3. Job Address ' LotBIk. ~ Tract
4. Owner
~
5. Contractor Phone 6. Address
.
7. City - • ' State Zip
8. Building Type: Residential d Commercial O Institutional ?
9, Work Description: New'Q Add ? Alter ? Repair ?
10. Describe Fuel Type -t-~--~
11. No. Eauinment 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 : • ..r', . for
Rough Finel
Inspections: Date Insp. Date lnsp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN r
~ ~ 3795 Pilet Kwob Road Eegon, MN 55112
PHONEs 454.8100
BUILDING PERMIT Receipt #
To b~ wtd for Est.Value a65,000 Date ~u,~-~.u3t 3~ 19 '3
Sjte Addreu 4338 Slief f ielc: Lane T. - ;
Erect Occuponcy
Lot Black 2 Sec/Su6. ?rittany 5th Alter p Zoning
Parcel # 10--15~)U4-O10-G2 Repoir ? Fire Zone A
Entarne ? Type of Const.
W Name ° e 8on >u ers, nc. Move 11155
O # Stories
Z - orwoo r ve
~ Address ~ ? Length
C~ :.ar an 55I.22 ~o~ ~~54--6F~73 Grcde p Depth Sq. Ft.
°C Name Cknier Approvais Fees
0
Address Assessment Permit y~
~ Cit Phone Water & Sew. Surchorge ~
Police Plan check
~W Na^'e Fire SAC
I z Address Enp. WaterConn.~;50.00
Ci p~ Plonner Water Meter F' 7•00
Countil Rood Unit 250• n0
I hereby ocknowledge that 1 Fwve read this applicotion ond state thot Bldg. Off.
the information is correct and ogree to wmply with all applitcble A~ Totol ~
Stote of Minnesota Statutes and City of Eogon Ordinonces.
Sipnoture of Permiftee TOIIC_SOLt tia±:Eders, InC.
A Building Permif Is issued to: ~ on the sxprest condition thnt
oll work sholl be done in accordonce with oll opplicable Stgte of "Minnesofo Statutes ond City of Eaflnn Ordinances. Building Officicl
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing 379-2
H.V.A.C. t l r
Wall
Water
Disp.
Sewer
Electric wo4o~5
A-o(o g 70l.
Inapeetion Date Insp. Other
Footings -Z3-g3 Df-
Foundation
Framing
Rouqh Pibq. .77
Rouph HVA
Inwlation df 's~
Final Plbp.
Final HVAC
Final
~ . /
Weter Describe Locat/i~ n: NfJ NNO ?f q4ll? ~ 6`
Well
Sewer .
Pr. Disp.
~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
!(1 1 ANf-
i r I I, 11 PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION DA . .A
F ~
~
L
Permit No. Permk Holder Date Telephone S
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
InspecUon DeM Map. Comments
Footings I
Foundation
Framing
RooNng
Rough Plbg.
Rough Htg.
Isul.
Freplace
Flnal Htg.
Orsat Test I
Final Plbg. Plbg. Inspector- Notify Plumber I
Const. Meter II
EngrJPian I
Bldg. Final II
Qeck Ft9•
`J I
Deck Final z I
Well I
I
Pr. Disp. I
I
I
I
CITY OF EAGAN Remarks i ! - " _
Addition ~ITT~ 5TH ~DN - Lot 1 sik 2 Parcel
Owner Street 4838 $EFFIEI'D LAl1E Scace ~AN MA 55122
Improvement Date Amount Annual Years Payment Receipt Date
STR EET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 6 133-57 S. 0 15
* SEWER LATERAL QW_ 1$2 OO. 80.1
WATERMAIN
* WATER LATERAL 1982
WATER AREA 82 0.6 61.1
STORM SEW TRK 1$2 64(.(9 129.34 5
• STORM SEW LAT 1982 5
CUFB & GUTTER SIDEWALK
STREET LIGHT
250.00 38351 8-30-83
VIATER CONN. 450.00 1#
9UILDING PER. 8427
SAC
525.00
PARK
CITY OF EAGAN r '
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PIMReceipt #
To be used for EWTRv Est. Value V+9C4~0 Qate ~ 2A ,1 ga
Site Address 4$38 SHElPtELlI I,ANL OFFICE USE ONLY
Lot ~ BIoCk ~ Sec/Sub. BRI T?ANlY 57H On Site Sewage Occupancy
MWCC System Zoning
Parcel No.
On Site Well (Actual) Const
s Name WILL1AH 4 " Nl S fl;'aQk J~ Ciry Water (Allowable)
z AddreSS 41838 SMIFFRj E(,ID WE PRV Required # of Stories
0 City ~AaAH Phone 452"9383 Booster Pump Length
Depth
, o Name 'AKE S.F.rotai
~ ~ Address Footprint S.F.
P City Phone AppqOVALS FEES
~ W Engr./Assess. Permit ~ S~• r'S
WW Name
~ Planner Surcharge
_za Address City PhOne Council _ Plan Review
~ W Bldg. Off. _ SAC, City
I hereby acknowledge that I have read this application and state that the Variance _ SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Wa1er Meter
SignatureofPermittee RoadUnit
A Building Permit is issued to: WN: a! 80Treatment P1
on the express condition Ihat all workshall be done in accordance withal l
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL ~ ~ ~
Building Official---_--
Psrmit No. Permit Holder Dste Tslephone #
Plumbing
H.V.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing - P
Roofing G,
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Pibg.
Bldg. Final
Cert Occ.
Temp. LP `
Deck Ftg. Deck Final
Well
Pr. Disp.
CITY OF EAGAN ~T
3830 Pilot Kno6 Road, P.O. Box 27-199, Eagan, MN 55121 N? 9019
PHONE:454-8700
BUILQING PERMIT Rewipt # Y~ 7J
Te ba aaad For DECK Est. Volue $1100. Date APRIL 27 , 19__84
4838 SHEFFIELD LN
Site Address Eracf [4 Occupancy R3
Lot 1 Block 2 Sec/Sub. BRITTANY S qlter ? Zoning RI
Parcel No. 10-15004-010-02 Repoir ? Fire Zone A1/A
Enlarye ? Type of Const. Vn
rc Neme BILL SNOKE Move ? # Stories
Z Address 4$38 SHEFFIELD LN Demolish ? Length_
~ citv Phone 452-9383 6rode ? DePth Sq. Ft.-
Name SpME Approrols Feas
o
oU Address Assessment Permit 0•50
V~ City Phone Water 8$ew. Surcharge 1.00
F Police Plon check
ww Nama Fire SAC
~
xa Address Enp. Water Conn.
u
m W City Phone Planner Woter Meter
Council Road lJnit
I hereby acknowledge that I hove reod this applicotion ond state that Bldg. Off.
the information is correct and ogree to tomply with all applicoble APC Total ~ 21.5~
$tate of Minrxzota Stotutes and City of Eagan Ordirances.
Sipnoture of Pertnittee
A Building Permit Is iuued to: BILL SNOKE on fhe express condition thno
oll work sholl be done in acca nce 'th oll~app`abl~~f ,M~-i~n-ne-wfa Statutes and City of Ea9on Ordinances.
Buildirg Officlol o
Q
CITY OF EAGAN Include 2 sets of plans,
1 Certificate o,f Survey &
7 BUILDING PERMIT APPLICATION 1 set of energy ca].culations.
Tb Be For Valuation j/eW' ~ Date ~Z? -'RV
site Psldress: oFFICE vSE ONLY
Ipt ~ Block ~ Sec./Sub. sErect Occupancy
Parcel / b S D D~/~ D[ 0- p a~~r Zoning '
Repair Fire Zone
Qaner: 4 Enlarge Type of Const.
Mve ~ # Stories
Pddress: Detrolish Front ft.
City/Zip Code: Grade ^ Depth ft.
Phone i7~y S 7~- ~ 3~r3 APPROUAIS
Contractor: ssmnts Permit
Address: Water/Sewer Surcharge /
~G?v.~so,¢ Police Plan Check
City/Zip Code: Fire SAC
Phone Y y~-~~6J Eng • Water Conn.
Planner Water Meter
Arch./Eng.: Council Road Unit
Bldg. Off.
Address: APC
City/Zip Code:
Phone TOTAL
. , ciTr oF EnGaN No g427
• , 3795 Pilof Knob Rood Eagan, MN S5112 •
PHONE: 454-8100 ~C
BUILDING PERMIT Recelpl #
Te M uted hr SF DWG/GAR Est. Volue $65,000 Date /tu¢ust 30 19-31
Site Address 4838 Sheffield Lane Erect ~ Occupancy R-3
lot 1 Block 2 Sec/Sub. Brittanv Sth Alter ? Zon;ng R-1
parcel # 10-15004-010-02 Repoir ? Fire Zone NA
Enlarge ? Type of Const. V
s Name Tollefson Builders, Inc. Movo ? # Srories
z Addreu 1655 Norwood Drive pemolish ? Length 56
C; EaQan 55122 ph. 454-6873 Gmde ? Depth g 38 Sq. Ft.-
~ Owner ADOrorals Faea
p Name ~
ou Address Asseument Permit
u~ CI Phone Woter 8 Sew. Surchorge 32.50
Police Plan check 164.00
G~„w Name Fire SAC 525.00
Address Enp. Water Conn. 450.00
iW Ci Phone Dlonner WaterMeter 60.00
Councfl Rood Unit 250_00
I hereby acknowledge that I hove read this aDVlicntion and stote thot Bldg. Off.
the information Is correct and agree to wmply with all applicoble 1809
.50
$tofe of Minnesoto Stofutes and Cify of Eogan Ordinances. APC Total
57gnoture of Pertnittee
o e son u ers/nc.
A Building Permii Is issued to: -I on the express condition thal
oll work shall be done in accordonce wifh all oppli ble Sfete ~ ew -City of Eagon Ordinonces.
Buildirg Off(ciol ' f ~ ~
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NQ 15999
6~ ph7
BUILDING PfPHONE:454-8100 Receipt /
~~NT~
To be used for ENTRY Est Value $4, 000 Date nF.^FMRF.R 98 ,19_8.8-
Site Address 4838 SHEFFIELD LANE OFFICE USE ONLY
Lot 1 61ock 2 Sec/Sub. BRITTANY STH On Site Sewage _ Occupancy R-3
MWCCSystem _ Zoning
Parcel No.
On Site Well _ (Actual) Const
m Name WILLIAM & BONNIE SNOKE Ciry Water _ (Allowable)
w
z Address 4838 SHEFFIELD LANE PRV Reauired _ x of Stories
a City EAGAN Phone 452-9383 eooster PumP _ Len9m
Depth
¢ Name SAME s.F.Totai
.o
o Q Addtess Footprint S.F. _
U
~ City Phone ApPROVALS FEES
~ w Name Engr./ASSess. Permit 58.00
Pianner Surcharge 2.00
i- Address
aZ Cil Phone Council PlanReview
aw Y
Bidg. Oft. SAC, City
I hereby acknowledge that I have read this aPpliw[ion antl state that the Variance SAC, MWCC
information is correct and agree to comply wilh all applicable State of Water Conn.
Minnesota Statutes antl Cil an Ordiaances.
Water Meter
Signalure of Permittee - Road Unit
A euilding Permit is issued to:_[,,TX"_$pNNIE-SI]OK£ - Treatment P1
on the exDress condition fhat all work Shall be tlone in accordanCewith all
appliCable S[ale Ot Mi n ofa Statute11 and Gity of E§gan Ordinances. Parks
Building Official TO7AL $60.00
_Y ~~~~•~o+
~J
This repuest voiA
18 months trom
A . nrP,79 y4 `Sv
Requesr0 te Fire No. Reqehe~2 lnspection ?Ready Now~Will No~ify, Insp¢r
~es ?NO ~or When Ready
L iereed Electtical ConVactor I haraby repvast inspection of above
Owner electrical work imtelled ac
Stree[ Address, Bax ar Foute No. C.i
YW
ecLOn o. ownship Nam No. flange No. Counly
Occupant (PRINT) ' Phone No.
Power $uOPlier Adtlress
Elec[ric Contra tor (COmu y Namel Comraclor"s License No.
Mailing Addre (COntractor or Owner Making Instailationl
.54.
~7 5,5_
71
Authorized SiBna[ure IContractor/Owner king Irstallation) hune Num er
TMIS INSPECTIDN REQUES WILI NOT
MINNESOTA STATE 90AND OF ELECTRICITY
Gria6s•Midwey Blda. - Haom N-191 BE ACCEPTED BV THE STAiE 60AflD
UNLESS PNOPEN INSPECTION FEE IS
1821 UnivarsitY Ave., St. Vaul, MN 55104
Phone 16721 297-2117 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi.na
' Sea insiruclions lor combleting th7s lorm on back ot yallow coOV• 0 ~~0 9 Be/ow Work Covered by This Request 3 gQ S5'
AdQ Rep. ~Tyoe of Builtline Aoolientae Wired Equiumenl Wired
Home Range Temporary Service f
Duplex Wa[er Heater Lic~htiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial 81dg. Air Conditioner Bulk Milk Tanl<
Fatm ~ ~~hnr ISnecityl
t ar Suecily Other
Compute Inspection Fee Below
# Fee ServiceEntrence5ize # Fee Feeders/5ubfextlars N Poa Circuits
o 30 Am
0 to 200 Amps 0 to 30 Am s j
A6ove 200 qmps 31 to 100 Amps 5. ta 100 Am s
F1mps
Swimmin Pool Alwve 100_Am s ove 100_
Transiormers Irrigation BoomS tial-'Other Fee
Signs Specialinspection $ Na~rerks TOTA
~
NouBh-in ~ Oa[e the cal
d.//~ Inspeclor, herBby
~ certify thet the above
Final ~ D [e '~s0eclion hea been
~ `J ~ aa.
this requeet voitl 18 monihs trom
This reques[ voitl -(-4 L l` 6~~ g ht~4-k/L~ S'-~~1 3g y`~ ~
18 months from
W090385
Requesl Da e iire No. Roueh-in Inspection
~ He iretl7 ~Peady N ow Will Noti}y Inspeo-
` ~1'es ? No r When fleatlY
icensed Electrical ConVactor 1 haraby requestinspectioo af abova
Owner eleetrical work installed at:
Sve tldress Box or floute Na. C
et~9~ S{~.~ r"~`r= d~ LaAF, c~'_6LOan
ectmn o. Township Name or No. aage No. Counly
Occu~FllNTI ~ Phone No.
Power Supplier Atldress
D' w-a-'
Eleqzq cal Cnntraclor (Compv N , 1 Conhaclor's License No. ~
Mailina Add ss IConiractor or Owner Mekinp InStailaY nl ~
~
Authorized Signamp hector/Owner ingynsullationl Phone Numb
MINNESOTA STqTE 90ANO OF ELECTRICITY THIS INSPECTION NEQUEST WIIL NpT
Grigga-Midway Bitl9. - Noom N•191 BE ACCEP7E0 BY THE STATE BOARD
1821 Univerai[y AVe., St. Peul, MN 55704 UNLES$ PROVER INSPECTION FEE IS
ENCLOSED.
REQUEST fOR ELECTRICAL INSPECTION
~ See insVUC[io.s for comoleting- ihis fmm on back af yellow copv.
lrelow Woik Covered by This Request
Ne% AAd RaO. Tyoe ol BuildinB APPliences Wi,gtl EqaiOmen[ Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixmres
Ap[. 8uildinq Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
' Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm m,.r oe, y mer (Sner.ify)
t er ueury Ot er Othor
Compu[e lnspection Fee Below q Fea ServicaEntrenca5ize # Fee Fenden/Subfeaders b Feu Circuits
Q• - 0 to 200 Am s 0 to 30 qm s 0 to 30 Am
Ahove 200 qm ps 31 to 100 qmps 31 to 700 Am
Swimming Pool Above 100-Am s Above 700_Am s
Transiormers Irrigation Boorcis ~ Partial-'Other Fee
Signs Speciallnspection 5
Remarks TO L FEE
flouBh-in Dace 1 th rical
Inspecmr, nerebv
carlity lhet the abova
Final insDection has been
maa.
iTis reauest voltl 18 manths irom ?
1 PERMIT ~ ~l - 3 ~
CITY Ot EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 4 7 6 0
(612) 681-4675 Date Issued: 10 / 2 6/ 9 4
SITE ADDRESS:
4838 SHEFFIELD LANE
LOT: 1 BLOCK: 2
BRITTANY STH
P.I.N.: 10-15004-010-02
DESCRIPTION:
.
B,u3lding'._Permit Type DECK
6uilding Wo,rk Type NEW
~
i
1 ~
\ i
. ~ ii.
0,. ~ .
li.: 'J
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPY $.50
Surcharge $.50 Total Fee $31.00
3ubtotal $30.50
CONTRACTOR: - Applicant - sT. Lzc. OWNER:
BASIC BUILDERS INC 14233114 0002097 SNNOKES WILLIAM
2810 145TH ST W 4838 SHEFFIELD LN
ROSEMOUNT MN 55068 EAGAN MN 55122
(612) 423-3114 (612)452-9383
I hereby acknowledge that I have read this applicaCion and state that the
information is correct and agree to comply with all applicable State of Mn.
Sta es and City Eagan Ordinances.
~j . A ~
PLICANT/P . 1 EESIGNATURE ISSUEDB SIG URE
)4140 CITY OF EAGAN
1994 BUILDING PERMIT APPUCATION 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site su v~~~rEWri1Dn rgy
calcs.
" Z 1 1994
COMMERCIAL 2 sets of architectural & structural lans, 1 set of
specifications, 1 copy of energy calc
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ho Valuation of work '
Site Address: qSflfglE~ct 6WE
STREET SUITE !f
Tenant Name: (commercial only)
LOT BLOCK ~ SUBD. 577t P.I.D. #
Descri tion of work:
The applicant is: ? Owner 12111&ontractor ? Other (Describe)
Name 'SMOKF-S Wi I I tA PJQ,'3N1,e-, Phone y5~7439i'
Property LASt FI RST
Own@I' Address "T g,3 5- ,~¢wr~u c-fWF_
STREET STE #
State y I Zip s.~'~aa
c; ty
Company I C_ fj~U IL S ~J C • Phone
Contractor Address ~~7"~d ~ - R6 ~i~2T ~ • L i c e n s e #eW-_?Z1g7 Exp. f'
City State MWL • Zip 5_5-60~5
Architect/ Company Phone
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and tate that the information is
correct and agree to comply wi 11 applicable St of i nesota Statutes and City of
Eagan Ordinances. ~ ~
~
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE 1%:
~ '~"~l4r
O 01 Foundation ? 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. 0 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex 0 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch O 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. 40 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
~ 31 New ? 33 Alterations ? 35 Tenant Finish 13 37 Demolish
32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowablej ]st F1. sq. ft. City Water
UBC Occupancy 2nd fl. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint 3q. ft. Fire Sprinkler
Length On-site well Census Code ~
Depth On-site sewage SAC Code ai
Census Bldg
APPROVALS Census Unit o
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
O.Site Jo footing ? Framing 0 Insulation
? Wallboard Cl~ Final O Draintile ? Fireplace
Permit Fee v.iuas;a,: g
Surcharge
Plan Review
License
MWCC SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies ,Sp
Other
Total:
SAC %
SAC Units
•an Bui1Mr• l~c. Dr. 11455-I
, • 1E8-1
JACKSON - SURVEYORS
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Addzess: Danolish Front F.
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Phone N:
APP%DVF1IS FEFS
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water/Sewer Surdtarge 3~ `s--"
Addre:.s: I~ I~lOVytmy] (~1'IVt~i Police Plan Check Jl 5/ ~
City/i;ip Oode: Z Fire SAC h Qs' ~
~ Water Conn. °
Phone ~ nerwater Meter Gr
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Pdd.ress : APC
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JACKSON - SURYEYDRS
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N16 E457 Sbih STREET, MINMEAPpLIS,MN 55477 72I3qA
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19$$ BUILDING PERMIT APPLICATION - CITY OF EAGAN
SZNGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES EOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MiJLTIPLE DWELLINGS AENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFZCATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS -
COP'MERCIAL
IiVCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS OEC 1 91988
F//U!S!{/dl& G0w6ot LEt/EL ~c
To Be Used cor: fN4qRG6 ENrRJ Valuation: aPnre~t>°%oUU Date: /9"jC1 "880
Site Address ~8~8 s~Eff/E~A 4ANE OFFICE USE ONLY
Lot ~ Block it On site sewage_ Occupancy R-3
3RlTrANy r7H'CC system _ Zoning
Parcel/Sub ~rh R DD/T/oN ~Cp~ On site well _ Aetual Const
City water Allowable
Owner ?0NN46,TSN0kE 0•t. 15Ruv0c1)D pRV required of stories
~ '~~~0 Af Booster Pump Length
Address ~'F$,32 ZOfFFIEi-D LRUC Depth
S.F. Total
City/Zip Code J~,A`x" ftl N 5514g Footprint S.F.
Phone o 1.2 145a - q3 83 APPROVALS FEES
Contractor M1~~a?n ~'bONN IE S NA KE Engr/Assess Permit Planner Surcharge
Address i`!53 `d' SN E FFlCLO L.AIUF- Council Plan Review
Bldg. OfP. -Z126 SAC, City
City/Zip Code F-ACihIU 111f3 SSt.1A Variance SAC, MWCC
Water Conn
Phone 6la2 4Sd-a383 wA UASA10lSe Water Meter
347'SSd, Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies
f TOTAL City/Zip Code ~
Phone # r--
- , .
0
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauirements RemodallReoair Reauirements Offce Use Onlv
3 registered site surveys showirg sq. R of lot, sq. R. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(200% maximum lot coverage allowed) i setof Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N.
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addilions & decks 7ree P2s Required _ Y_ N
lsetofEnergyCalculations Add'Rian - iiMketeifarsResepticsystem OnsiteSepticSystem _Y _N
3 wpies of Tree PreservaGon Plan if lot platted after 771193
Rim Joist Dafail Oplions selection shcet (buildirgs with 3 or less units)
Date Construction Cost ~ d' ~ •
Site Address Ll `6 3~5 UniUSte #
'-G , ss, aa.
Description of Work t+~'ee S t~d l~c, r
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0~ 1 _ 2 ,
Property Owner Ca~- 15 c..~ r t C?~' ~ Telephone #((,s\ ) 2-1
Contractor ~14k~(~t j
Address ~1a w s v. \ r_ city le
State AA,~, Zip Telephone #(c,s c) 3 1 S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submilted
• Energy Envelope Calculations Submitted
In the I st 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master planZ
~ Y _ N If yes, date and address of master plan:
r
Licensed Plumber G ~`6'SQO G ~ Telephone #(&Z,) 3'3Li -t'I l S
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building Pemut 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 w~l in accordance with the approved plan in the case of work which requires a review and
app val of pl
~ S^ ~.J C. 5 c h \\c~ I-e,j-
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 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 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex pibg_Yor_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* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demolition (Entire 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 INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Foo[ings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone Brick
_ Fueplace _ R.I. _ Air Test _ Final Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
~ CITY OF EAGAN
3830 PILOT 0 55122
651 681-46 5 C4'
New Consfrudion Reaufremenis Remodel/Reoalr Reauiremenis
> 3 registered sHe surveys showing sq. R. of lot, aq. R. of house 2 copies ot plan
and all rooled areas (207, maxfmum loi coveraae allowed) 7 sei of energy caiculations fa heaFed addMions
> 2 copies of plans (show beam i window sizes; poured Fnd. design; etc.) 1 sRe survey for exAerior addRions 3 decks
~ 1 set of energy caleulatlons
> 3 copies of iree presenailon lan H lof plaNed aRer 7/1/93
DATE: G W CONSTRUCTION COST: .9'6
DESCRIPTION OF W RK:
STREET ADDRESS: asg
LOT• I BLOCK: ~-SUBD./P.I.D. 2~`
Name: ( /~~I Phone #:C ~6-42
PROPERTY Last Fint
OWNER
Street Address: ~
City / State: Zip:
Company:~;i~'1`/~ Phone
(area code)
CONTRACTOR
Sfreet Address: License # Pl/~ xp.
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration
City State: Zip:
Sewer 8 water Iicensed plumber (reaulred tor new constructton onlv):
Penaly applies when address change and lot change is requested once permN is Issued.
I hereby acknowiedge that I have read thfs applfcation, state fhat the Information is ect, and a Vllh all applicable
State of Minnesota StWutes and City of Ecgan Ordlnances.
Signafure of Applicant:
OFFICE USE ONL
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
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. (4-sea.)
? 03 1of_plex ? 08 6-plex ? 1316-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 5iding/Soffits/Fascia
11 32 Addition ? 36 Move Bldg. D 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demoiish (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. 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. City Water
Width Footprint sq. ft. Booster Pump
PRV
APPROVALS Fire 5prinklered
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.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
~ RESIDENTIAL BUII,DING
C s~ "Z Permit Application r
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ~o.
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWCtionReauirements RemodeUReoairReaui2ments Office UseOnN
3 regis[ered site surveys shavirg sq, ft of lot, sq. fl. of house; antl all roofed areas 2 copies of plan CeA of Survey Recd
(20% mazimum lot coverage allowed) 1 set of Energy Calculations for heated addi6ons Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 sRe survey for addNOns & decks Tree Pres Not Reqd
isetofEnergyCalculations Addi6on-indiratei(on-sitesepticsystem _On-siteSepticSystem
3 copies of Tree Preserva6on Plan if lot platted aker 711193
Rim Joist Defail Options seleclion shcet (bldgs wiN 3 or less unifs
Date 06 / it 3ry~ A r Construction Cost ~3~ 00~1
Site Address ~ p c~ 0 5~~1T7 ~3~0 (_a/1 f. MN UniUSte #
Description of Work ~
Multi-Family Bldg _ Y KN Fireplace(s) -40 _ 1 _ 2
Property Owner Telephone #(ikj ) 7
wor k 9Sa -3- 8 0'
Contracror
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CON8TRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Vendlation Category 1 Worksheet • New Energy Code WoAcsheet
(J submission type) Submitted Su6mitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone )
„
j
ey
I hereby apply for a Residential Building Permit and aclrnowledge 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 plan in the case of work which requires a review and
approval of plans.
_21.~I 1 C'~ Q0.r) SCJvX QF''~ "°L
Applicant's Printed Name Ap licanYs Signature
OFFICE USE ONLY
i
Sub Types J
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 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 08-plex )K, 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
~Q2 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation ~L 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 a/ W idth
REQUIRED INSPECTIONS
Footings(new bldg) FinaUC.O.
Footings (deck) ~ FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding Stucw Stone
_ Fueplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _ Rebining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC ~l,/ 1 vv
City SAC ~
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
v
Or. U4554'
y-
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96)6E.4T7 $5p,6TqEET,MINME4PDLIS,MN55d1) 1SJ4U4
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2006 RESIDENTIAL PLUMBING PeRMiT aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date
Site Street Address `Ig 3~ C~.e% i Ll 4 LtA unit #
PropertyOwner /"'0.rk G•-t'ISoV\ reiephone# ( (oSl ) qOS'95_$0
Contractor t Ll~~ ~ ~ ~ o-~'A t t~, ~V1L= Telephone # ( GSI ) 43 -70i (
Address city F,~.rm ;A,yt cA scace Mti' ziP s SO
The Applicant is: _ Owner Contractor _Other
SeptiC System New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Aiterations to existing dwelling $ 50.00
_ Add plumbing fudures. This fee includes installation of a water softener and/or water
heater ai the same time. !f you are fnstalling onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are instailing.
_Septic System A6andonment
_ Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener ~ Water Heater $ 15.00
_ new ~ replacement
,
' Lawn irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and acknowfedge 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 piumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work wi11 be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
A~
Applicant's Printed Name ApplicanYs Signature
L ~ / ~ o a Zy
ity oF eagan
3830 PILOT KNOB ROAD, P.O. BOX 27199 BEA BLOnn9UI5T
EAGAN, MINNESOTA 55121 MmOf
PHONE: (612) 454-8100 iHOMAS EGAN
JAMES A. $MITH
JERRV THOMAS
THEODORE WACHTER
Couricil Members
TFiOMAS HEDGES
CHy Atlministrata
December 28, 1984 EUGENECVANCOkERBEKE
MR BILL SNOKE
4838 SHEFFIELD LN
~ EAGAN,-MN-55T22
Dear Mr. Snoke:
On May 17, 1984 at your request, John Vu,jovich and I inspected the joist
system in your home. The findipgs were that the joist had been raised by the
cantilever that extended beyond the exterior foundation wall which gave you an
aggravating hump in your dining area floor. On November 7, 1984 we again
inspected it with Tim of Tollefson Builders Inc., The findings then were the
same. The hump in the floor was built in and we suggested that possibly it
could be corrected by slowly raising over a period of weeks, the cantilever
portion of the building and then placing brackets or posts under the outer
edge of the cantilever to hold it in place. We also warned that this may not
correct it, but could cause damage to the drywall. Any corrections attempted
would be between you and Tollefson Builders Ine.. At that time, Tim said he
would approach his employer, Mr. Carl Tollefson, for the approval to go ahead
and attempt the repair. It was my feeling that Tim would inform you of his
employer's decision,
Sincerely,
/ ~e:-C.[Ou~~ .
ale Peterson
Chief Building Official
DP/js
THE LONE OAK TREE. THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIiY
~ c6ty oF eagan ; 3830 PILOT KNOB ROAD, P.O. BOX 27199 ~ BFA BLOM9UIST
EAGAN, MINNESOTA 55121 nnayor
PHONE: (612) 454-8100 iHOMaS EGAN
: JAMES A. SMIiH
V1C ELLISON
THC-0DORE WACHiER '
' Cou=l Memben
iHOM4S HEDGES
MARCH 26 ~ 1986 ciN,w~'iniM,W.,
EUGENE VAN OVERBEKE
CM pe.e
MR BILL SNOKE ,
4838 SHEFFIELD LANE
EAGAN MN 55122
Dear Mr. Snoke: ,
At your request, i researched the matter concerning the joist
problem which you experienced in your new home. I am very
concerned about problems such as these because the City would
like its citizens to enjoy the amenities of life in Eagan
including their own homes. Unfortunately, it is not possible for
the City to do any more then enforce the minimum requirements of
the Minnesota Uniform Building Code.
The correspondence which I have found between yourself and Mr.
Peterson indicates that the joist problem was inspected on at
least two occasions after the original inspection. It was Mr.
Peterson's feeling at that time that the problem was not a result
of a code violation and there-fore could not be acted upon by the
City. While I agree with you that it should not be necessary to
threaten litigation to have such a problem corrected, issues not
covered by the Uniform Building Code are necessarily problems to
be addressed between the contractor and the home owner.
, If you have reason to believe the problem was in fact a result of
a code violation, please do not hesitate to contact me. We
realize that it is sometimes difficul.t to differentiate between
health, safety and welfare issues and those which pertain to the
quality of construction. We have the highest confidence in the
ability of our inspectors to apply the code uniformly and
appropriately, but we also appreciate the effort of our citizens
in insuring that the standards are met.
Sincerely yours,
Jon Hohenstein
Administrative Assistant
JH/jh
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWfH ~N OUR COMMUNIiY
i 40~ City of Eapn j Permit#
I
I Permit Fee: ~
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received: j
Phone: (651) 675-5675 i ~
Fax: (651) 6755694 i Staff ~
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~r ~/h/f_ Site Address: C Y V~i [d / wruC
Tenant: ou/oc k [ V G /i e l~.rl9)1 Suite
RESIDENT/OWNER Name: ? &10166 Phone: fQS~~TUcS`~s~l
AddresslCity/Zip:435- 6LW'F7Ial LWI'l.Y tfull /Iin 4:35/~
Applicant is: _ Owner 4 Contrector
TYPE OF WORK DescripGon of work:
Construction Cost: Multi-Family Building: (Yes Nq~
CONTRACTOR Name: r K License #;~G~7]'l~vJ
Address:J2jmi~1-.abVlX
City : ~ StateMp_ Zip:._
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Wofksheet • New Energy Code Worksheet
Category Submitted SubmiHed
(4 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: Phone:
Mechanical Contractor. Phone:
Sewer & Water Contractor: Phone:
; NOTE: Plans and supporfingdocume'nts thaf yqu submlt are consiBered to be publfc 7ri/ormabon;'rPortions of' ;
1rr `fhe iniormafi~on, ihay be classriied as'nort-pabiic:it' you provide specrric reasahs that wquld permit fhe City'to '
'coeclude that tiie are trade secrefs . j
I hereby 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, 6ut 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 appr al of plans.
x ~IPVV~WI,VIXJLM~/~ x
ApplicanYs Printed Nanlqj Appl~canYs Signature
Page 1 of 3
A Kienholtz
Builders, LLC
~"u s T ¢o Ler- y~ LJ ,C.ac.J 7r-)V; !+~•-wl~~~ ~
jju ~ C oft~ SS ASS cGr%t4es o?iW JcT
Pr~~T S~tx~~ ye 0,
~t83~ 5?~.-~;~d, Lv~
13832 Echo Park Court • Burnsville, MN 55124 • OfHcs (952) 236-7305 • Fax (952) 405-8311 • MM Lieej=e #20633621
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4838 Sheffield Lane
Lot: 1 Block: 2 Addition: Brittany 05th
PID:10- 15004- 010 -02
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments:
Fee Summary:
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437 -0338
ME - Permit Fee (Replacements)
Surcharge -Fixed
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
3/4/10 Letter & correction notice sent to applicant. Copy of correction notice to inspector. pf
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
Total: $50.50
Owner:
Mark R Carlson
4838 Sheffield Lane
Eagan MN 55122
$50.00 0801.4088
$0.50 9001.2195
Issued By: Signature
Mechanical
EA090907
08/28/2009
ePermit
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.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165919
Date Issued:12/01/2020
Permit Category:ePermit
Site Address: 4838 Sheffield Lane
Lot:1 Block: 2 Addition: Brittany 5th
PID:10-15004-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
John M Abboud
4838 Sheffield Ln
Eagan MN 55122
(612) 819-7579
Noah Acquisitions Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature