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4842 Sheffield Lane CITY OF EAGAN SEWER SERVICE PERMR 3830 Pilot KnQb Road ,;;~j~, P. Box 2119§ PERMIT NO.: ` Eagan, MN 551 DATE: i,~-- ~ u-- ~ ZO^~~~ No. of Units: O e BOn 4 re Address: Site Address: e e ane ~ r ttanV th Plumber: ~enz yan ~ .~ro. ~ ~ ~ c~, ~ c~~~, c~~: 4 as . ~0 pd Crdlwn~et. Acoount Depasit: • P Permk Fee: • P Surchorqa: ' P" BY Misc. C1~orges: Dote of insp.: TotoL• Insp.: ~ote Pcid: ~ - CITY OF EAGAM WATER SERVICE PERMIT 3830 Pilot Knob Hoad ~~ti~ P. O. Bax 2110~ PERMIT NQ.; _ Eagan, MN 551Ri DATE: 1 Z~~~: No. of Units: Owner. TO e aOri ~ ='8 ~ro~' 3hef ield Lane L2 R2 Brittany 5th 5ite Address: P~~be~; Genz Ryan d.UO pd Meter No.: Cannection Charge: p Size: Account Deposit: p Render No.: Perrnit Fee: ~ p 1 e9rs~ to oompM ~?hi~ el~e Citr sf Eo9°n 5urcharge: 3. 00 pd oeCeY Oedinaaea. Misc. Clwr9es: Totol: BY Dote Poid: ' Date of I~sp.: Insp.: CITY OF EAGAN 1NATFR SERYfCE PERINIT 383Q Pilot tCnob Road P. O. Box 27 i99 • PERMIT NO.: - Eagan, M~i 55121 DATE: `'-1..;'; ~ `F Zoninfl: No, of Units: i Owner. TO ~ $ $F~~4~ Address: ' . ` ' :~c~~'~vu~K~ ~te Addre „f~~~~~~„~ St~~,f j, 1d+. . L~ Rt ~Ylkalt~~ ritta-~v =,ti, Pl~~rbE~: ~ y i'~.~it yr rh ,~~r ~D.: ` ~nection Charye: 470.00 d 51ze: ~unt Deposlt; I 00 pd Reader No.: ~~2 3~i Permit Fee: - I C: . OG p-' 1 ~O ~0~~ ~ ~ C~ ~ Surchorge: _ . 50 pd ~°°°O°~' Misc. Charyes: 63.00 d iCeter B Total: Y Dcte Paid: Date of Insp,; ~ - - - ~ ~ CASH RECEIPT ~ t CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 , DATE ~ 19 wECeiveo , PROM ~ AMOUNT $ - I ~ DOLLAR$ +oo ~ CASN ~ CHECK `/~~(if POR ' 1 / FUND CODE AMOUNT i ~ ( C- ~ ~ " ~ ~ ~ _ ti ~ _ - ~ V C . ~ S ~ c~' _ _ . ~ 7S ~ ~ . , . ~ 9".)a=~ 7 ~ G' ~i Than ~ 4. ~ J ~ - JG- BY ' c. _ i • White-Payers Copy Ye~low-Posting Copy Pink-File Copy , CITY OF EAGAN qt~4(~ . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~ ' , : , BUILDING PERMIT R~~i~r ~ Te b~ w~d fa 1]WG/GAR Volue $105~ 000 Date ~1UGUS'r 23_ 19 4842 SHF,FFIELD LN F3 Site Addresa Erect Occupancy Lot 2 Block 2 SeclSub. BRITTANY 5 Remodel ? Zoning Parcel No. Fiepafr ? Type of Const. V Enlarge ? No. Stories ~ TOLLEFSON BLDRS Move ? Length ~ W Name ~ Addreas ~ ' _ ~emolish ? Depth City Phone Grade ? Sq. Ft. , Apo~ovab Feas Name 0 Address Assessment Permi~ ' City Phone ~~.3 Wa~er E~ Sew. Surchorfl~ 52 . 50 G Police Plun check 222.75 °C Name Firo SAC - 5"l S_ 00 ~W Address Eny. Water Conn..~.Q~~ ~ W City Phone Plunrxr Water Meter ~ 0 Council Rood Unit 2~n - n 0 I hercby acknowtedge that I hove reod this opplication ond stote that Bidg. Off. Parks the intormotion is torrect ond ogree to comply with all opplic~le APC ~ Total 1~ U J State of Minnesoto Stotutes and City of Eagan Ordinonces. Var. Date Sipnaturo of Permittee ' F, R S A Buildinq Permit is issued to: on th~ azpress conditlon tha~ oll work sholl be done in accordarrce with all oppliwble Stote of Mlnneaota Stututes und Gty af Eapan Ordinonce~. 8uildin~ Officiol L`1 f ~ r - ~ ~ Psrmit No. Parmit HoIdN Dsts PlumbioY "1 ~ 3 C" l, r , k~ ~ _ ~`,'f i~? s~ ~'li H.VA.C. ~ lO 4c ~P ~ v i C.J~- ~ v I 1~ I~ Elsctric I~ Z-g ~ U~j l~ 5. S~ Softenar Inspeetion Date Insp. Other Footings S'i Foundation Fnmin9 Rough Plbg. Rough HVAC Inwlation d~ Final Pibq. Final HVAC ~p~~ Final /~y ~ CwtlOce. , , U• Ct~"~'.~-.. ~ ~ Water Describe Locatio~: VYell ~ S~wer Pr. Disp. Receipt "~r~~ ~ ~ ~ MECHANICAL PERMIT Permit No. ~ ~ CITY OF EAGAN ~ ~ ~ / F~ ~ Fill in numbered spaces S/C ~ Type or Print /egibly Tot. 1. Date ~~t.1~,1984 2. Installation Cost S5, 500. 00 • ~ l~t. 3. Job Address 4842 Sheffielat~ Lot ~ 81k. ~ Tract ~_J 4. Owner TULLEFSON BUILDERS 5. Contractor FREDRICKSOLd HTG_& A.C. Phone 452-~775 6. Address 4030 Beau D'Ru~ Dr. 7. City L•'a~an State M~ Zip 55122 8. Building Type: Residential ~ Commercial ? Institutional ~ 9. Work Description: New ~ Add ? Alter ? Repair ? 10. Desaibe L~:t~NOX furnace & A.C. Fuel Type L1at1. c~as 11. No. Eauioment STU - M. Ea. No. Evuiament CFM 1 Forced Air G12n3L110 Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other 1_ Air Cond. ti516-411 Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : . - ~ ' . ' for Rough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4b4-8100 Receipt PWMBING PERMIT Permit No. ___L CITY OF EAGAN 2U v ~ ~ ~ 1 ~ ~ ~ ~ F~ I( Fill in numbered spaces S/C i ~ S~ Type or Print legibly ,at Tot. SO i • 1. Date/U " fJ f'i S~ 2. Installation Cost . U~ yyyL- ~f/f Fr~~ Lf,i4-~ 3. Job Address ~ Lot~_Blk. Tra~T'r_f 4. Owner ~G"~~~'~~~ ~></.]y S 5. Contractor «ci~?/~~~lv Phone y~ 3~~~Y`~ 6. Address ~ ~l7 `~5' Sd . /trl Ur~' 7~S ~i~f~ ~ ~ ~ ~ y~, 7. City _Y':7/ f'C ~ i~ State (/i~ Zip J'SC.~-•~i 8. Building Type: Residential L~~ Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield ~ Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinat/Bidet Other ~ Laundry Tray Floor Drains Drinking Ftn. Slop Sink L Gas Piping Outleu 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and code govern ??g this type of work. Signed : %~~i~~li ~fd%~~~ for ~ ° Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454~5100 ll~l~YL~;'1'lUl~l itLl~UKII GITY QF EAGAN ~ PERMIT TYPE: ' ' ~ ' ~ ~ ~ l. ~3830-Pilot Knob Road Permit Number: i~~~~; Eagan, Minnesota 55122-1897 Date Issued; N`~''' ~ (612} 681-4675 ~ ~ . , L~ ~ ~ ~ ~ APPLICANT: SITE ADDRESS: , „ , F~ i ~ ~ ~ ~ ~ ~ , ' I/ 1 ANE ~t~ ~ i ' ~1 . ~ ~ , ~ , ~ ~ ~ t PERMIT SUBTYPE: TYPE OF WORK: . ~ :i ~ . . , . , . , . . „ . . ; i;! ,~:;:i. r ~Ni1~ , , „ ~ . I ,r ~ ' I ~ I if , .frf .~r~l F , ~ r,~ ~ s~~,±, ;,•?~~~a ~~t.raAf,~~iwr, Zl.l•E'(Ft1f.At G-r~:r~i ~ nr~rr rN~.~~~~~ ~~~~iv~. . c,~''f'/iF~~ATf t}P~f~MTI Rf ~JU1Rf'n 1'(ZR i~MV PI UM~3tNii WqFtK x- ~ n~: .4..~...:= t.~k;~,~s=a. . ' E:~~~ „ ~ - - r~--•;~- . ,ng~ - ~ J 3~ Permlt Holdar Date Telephone # PLUMBING - 7 HVAC Inspection Date Insp. Comments FOOTINGS F~UND FRAMING 8 , L~CT ROOFING ROUGH ~ PLUMBING - PLBG AIR TEST ROUGH HEATING GAS SVC TEST ~NS~~ ~~41~ GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT - - TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks d~` I ~ U~ 1 G~: Addition ~I~A~ 5~ Lot 2 Rlk 2 Parcel lai5oob-Q2~-~ Owner Street ~81F2 sHA~1~Il~'+Id~ LAlll~'+ State F~~?1? 1''~ 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TFUNK 1 6 1 8. 0 15 44. 57 A014927 12-6-84 ~F SEWERLATERAL 1 Q 1 OO. 80.1 3SO.1 WATERMAIN ~ WATER LATERAL 1 2 WATER AREA Q 0.6 6j.1 61.1 [~Q14 2 12-6-84 STORM SEW TRK 1 ~16. jQ9.34 ~ 129. 3] A014927 12-6-84 M STORM SEW LAT 1g82 5 CURB & GUTTER ' SIDEWALK STREET LIGHT 260.00 WATER CONN. ~F~O.OO BUILDING PER. - SAC ~r PARK ; CITY OF EAGAN N° 9440 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHONE: 454-8100 / BUILDING PERMIT rteceiPr # T Ts be wed fer SF DWG/GAR Esr.Value $105~000 pme AUGUST 23_ ~q 84 SiteAddress 4842 SHEFFIELD LN. Erect ~ Occupancy R3 Lot Z Block z ~ec/Sub. BRITTANY S Remodal ? 2oning T- Parcel No. Repair ? Type of Const, V Eniarge ? No. Stories ~ Name TOLLEFSON BLDRS n~ove ? Le~qth 5$-- Z Address 1655 NORWOOD DR ~emo~isn O oeptn 33 ~ City ~GAN phone 454-6 73 Grade ? Sq. Ft. $j1~M~+ ADV~o~a~~ Fees ~ Name V~ A~~s Assessment Permit • ~ Wa~er 8 Sew. Surchorge 57 _ SQ ~ City Phone Police Plan check 727 - 7S ~w Neme Fire SAC r+7 ~i - (lO Address Erp. Water Conn. 470 _ OQ ~u City Phone ~ Plonner Water Meter n0 ~ Councll Road Unit ~~~~..,,n np I hereby acknowledge thot I have read ihis aOP~~~ation and state that Bldg. Off. ~ Parks fhe inlormation is correcf and ogree to comply with all opplicuble APC Totel $2, 038.75 Stata of Minnewto Statutes and City of Eogon Ordinonces. Var. Oete Sipnoturc of Pertnittee A Building Pertnit Is issued to: TOLLEFSON BLDRS on the express conditlon Ihn+ all work sholl be done in acco h all appliwb te of Minnesota $tatutes ond City of Eogan Ordirwnces. Buildirg Officiol ~~iv~sl+-~J . -:::t i=::.,..,..:. . ~ • • ALL,CONTRACTORS BE L CENSED WITH THE CITY OF EAGAN INCLUDE ~ SETS OF PLANS, ~ CERTIFICATES OF SURVEY S.~ [~J ~(~Jp~~ ~ SET OF ENERGY CALCULATIONS To Be Used For: Valuation: ~D~jFO~_~ Date: Site Address: • • Lot:~ B1ock:~Sect/Sub: Yt ~f 5`~ Erect: Occupancy: ~-3 Parcel ~ Remodel: Zoning: R-I Repair: Type Of Const: 'Q' Owner:~~jQ~j~'~~ Enlarge: # Stories: Move: Length: ~ Address: Demolish: Depth: 33 City/Zip Code: Grade: Sq. Ft.: Phone Contractor: i ~ Address: ~ / Assessments: Permit: Q']r.~ City/Zip Code: ' Water/Sewer: Surcharge: 52,~ Police: Plan Rev.: ZZ2.= Phone ~~-Gj 7~ Fire: SAC: 525.°` ~h Engr.: Water Conn: q1D•°- Arch./~nq: - Planner: Water Meter (e~ Address: Council: Road Unit: 2(oD~ Bldg. Off.: ~ Parks: City/Zip Code: APC: Phone#: Variance: ~ / ~3~'~~ ~ - - . ~ ~ ~ N N ' • ~ ~1 . : ; ~ ~ x ~ (~C' " ~ ~ ' , , . C 1~ G~ N ~ it i~ ~a ,1 p ~ - ~ ~ ~ ~ 0 ~ ~ ~ x x -Q -A -A ~ ~ - ~ a --P U1 U~ ~ ~O v~ N ~ N ~ U~ ~ ~ ~ N m v~ ~ ~ V ~ ~ 5 Sp+ i ~ i <'j ' ~22e~~(~} c95•OCF G~~•0~~~ 63.0~ ibC ~ 6 •'1 7 k C j This request wid ~ u~ ~ Q/`/( l/~ 78 mont~s (rom ~ ~ l U T A 0 94428 L a/3 2- 5 ~9, ~ Repuest Oate - Pire Na. Hough-in {repec[ion Inspec- ~ ~j B red? Q11eaAy Nw~ Wiil Noiifv. C./ ^ Q ~es ~Na tm Whev Heapy licansed Electrical Connactor ^ ! herebY ~e0++ast i~paction o1 above - ? Owner . ~ electriql ~ror4 i~b11e0 at Sv¢et d s. Box or Noute No. Gty 5-.s~~~',~/~~z~ E-- ect~on o. Township Name or No. ~ge o. Cw~~v Occupan< IPPINT) ~ Pho~,~~/ ~ ~ ~ i r / f Powe SuOV~~ie~r~y Adtlress I°~-~1 Elecl'cal ConhactorlComnany Namel Contractor s L:r,ense No. ~ ~~-~~~r~ _~~v- ~S~/`~~V _ ~ Maili Address ~COnhactm or Owner Maki~q I~tailation) ' ~ m~T o G , 7~ AuMorized SiB~1ure (COnttactor Owner Maki~ rebllation) Phme N~m~p¢ ~~t~E`-~e~----, tf'~~f~.~~ MINNESOTA gTATE BOAND OF ELECTRILITY THIS INSPEGTION flERUEST pILL NOT Grigps-Midway Bldg. - Room N•191 - BE ACCEPfED BY 7NE STA7E BOAO~ 1821 University Ave., St. Peul, MN 55100 UNLE55 PROPEp INSPECTON FEE IS vn.....1612129]21t1 ENCL0.tiED_ . i(r (b~~ REQUEST FOR ELECTRICAL INSPECTION EB'0°~'-O° `-~10 Sea insfructions lor co~le~i~g Nis form m hock d yellwr enpy. ~ ~I /L y N A ""X~' Below Work Covered by This Reqaest Ftltl Nep. TYPe of Bulltling Apo~~a~ee Niretl EQUio~uen~ W"ved Home Range Te~orary Se ~ce Duptex Water Heaffir Lighting FizNres Api. Building Dryer Electric Heatln Commercial Bldg. Fumace ~ Si1o UnbaJer Industrial Bldg. Air Conditioner ~ Bulk Milk Tnnk Farm Ne~ ceo ther (SOeciryl t r ueoly ~ cr o~he. ompute nspection fee Below N Feo ServleeEntrenceSize q Fea F~pera/Subfeeders C~ Fee Circuita OtoZ00Am 3~• Om30A Oto30 Above 200 Am ~s 31 to 100 Artqis 31 io lOQ A Swimming Pool A6ove 100_An~s Ahove 1[W_Amps Transtormers IRigation Boort~s Partial' er Fee Si gts Special Inspection ~ Re~rerks S ~ TOT (~i 7 liouph•in ale y . ~ Elec wal ~v~0 I~cPao~ar. M~abY Certify tlnt the abOYe Final ~ Oatc. ' ~v~ ~s bean ~ ~(p aade. TNam9ueatwblBmondefrom - ~ . ~B~S ~ ~~~.~5 RESIDENTIAL BUII.DING Permit ApplicaHon Ciry Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 ::,:'NewConshuclionReauiremenbi:n r~-; ~.-ReiiqdeVReoairRmuirements.. . , . . OlficeUseOnN ~ 3 regulered site wrveys shoMd^A s7. R of lot sA. ft of house, and ~q roofed arees 2 wpies ef Plan . _ Cert ol Smvey Reod (2096 meximum bt oorerage albwed).. . . 1 sel of Enwgy Calalatlans tor t~md addiUona _ Tree Pres Plan Recd 2 oopies of Plan sMxde9 beam & wiiMow sizes; poured taund deeign. efc. 7 sile w~y foradOitbns & dedcs Tree Pree Not Reqd , lsetofEneigyCakulatloru . , . . . AddAbvi-'ridiatei/a~esep6csystem _On~io~SeptlcS)ytem 3 oopies af Tree Preservadon Plen H bt D~d aPo~ 71V93 Rim Jaet Defail Opdais selectlpi sheet (bldgs with 3 w less unib ~q, w Date / I ~ / ~ Construction Cost ~-~i' l ~ ~ ~ ~I Site Address p ll~ Q Q p UniUSte # Descriptioo of Work ~ } } 1 Q,('J~_) v ~ ('a ~Q (~(~(/Y~ Multi-Famlty Bldg _ Y~~I~T Fireplace(s) _ 0 _ 1 _ 2 Property Owner ( ~ Telephone # ( ) ~~j Z'~ r/! Contractor ~ ~ 1 ~ - Address V~ City State tl~ I/p ~ Zip ~ Telephone 1j c~~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Caueorv 1 _ Minnesota Rules 7672 • ResidenBal VentiWtlon Catepory 7 Wwksheet • New Errergy Cade Wakshcet (JsuCmissionrype) Submittetl Submitted . . Energy Envebpe Calculatlore Submitted Licensed Plumber Telephone ) Mechanical Contractor Teiephone a ) ~ G ~ 1~1 P Sewer/WaterContractor TelepFi~s e#~ ~ 1~ ~I n1 MAR i u" ) . . _ . I hereby apply for a Residential Building Permit and acknowledge that the i~ifprm~i§'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 pernut, but only an application for a permit, and work is not to staR without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appmval of plans. ~u ~ e ~`1~~,m~M ° Applicant's Print Name ~ Ap ant's Signature OFFICE USE ONLY Sub Types ? 07 Foundatlon ? 07 05-plex O 73 1&plex O 20 Pool ~ 30 Accessory Bidc ? 02 SF Dwellfng ? 08 O6-plex ? 16 Fireplace ? 21 Parch (3-sea.) ? 31 Ext. Alt - Multi 0 03 01 of _ plex O 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 EuL Alt - SF 0 04 02-plex ? 10 0&plex ? 18 , Deck r~ 23- Porch (saeeNgazebo) ? 36 Muttf Misc. O 05 03-plex 0 77 10-plex O 19 LowerLevel ? 24 Stortn Damage ? 06 04plex . O 12 12-plex Pitig_Y or_ N O 25 Miscellaneous Work Types ? 31 New p 35 Int Improveme~t ? 38 Demolish (Interior) O 44 Siding ? 32 Addidon O 36 hbve Bldg. O 42 Demollsh.(Foundation) ? 45 Fire Repair ? 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoars ~ 0 34 Replacement •Demolitlai (EMIre BWg) • GNe PCA handout to applipnt ~ Valuatlon 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 Width . . . :.,c~.: . ~ . . . REQUIRED INSPECTTONS ` . , , ' Footings (new bldg) FinaUC.O. _ Footings (deck) ' FinaUNo C.O. _ Footings (addidon) _ pl~~g _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framin8 Siding SNCCO Stone _ Fireplace _ RI. _ Air Test _ Final Windows (new/replacement) _ Insulation _ Retaining Wall f~prov~d Dy . 6uiiding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connect(on Charge S&W Pertnit & Surcharge Treatment Piant License Search Copies Other Total , RESIDENTIAL ~ ~ ~ BUILDING PERMIT APPLICATION q~ ~ ~ a CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conatructlon NeauhemeMS RemodeVNeoalr ReauhemeMe ~ . 3 reg~tered sMe surveys showing sq. R of bt, eq. fl. of house; and gl~ roofed areas • 2 wpies of plan (20%maximumbtcoveragealhwed) • lsetofEnergyCakulalbnstorhealetlatlditions . 2 coples of plen showing beam & window s¢es; poured fountl desgn, etc.) • 1 sAe survey for exlerior add'dbns & tlecks . 1 set of Energy Cakulatbns • Indicate il hane served by septic system Mr add'nbns • 3 coDles of Trae Preservatbn Plsn tl bt plattetl arier 7/7/93 • Rim Joisl Deteil Optlons selectbn s~eet (bldgs witl~ 3 or less un~s) - I~' 1 ~ DATE ~/.t~ ~ OL VALUATION l ~do ~ SITE ADDRESS .~`1`s~F/"".-G/~ `~Ov~ ~ MULTI-FAMILY BLDG _Y ~N TYPE OFWORK_AI~O~AlL 2 z4~f~ lcdllt,~OwS FIREPLACE(S) _ 0~ 1_ 2 APPLICANT ~1~ -fp/~IP~ ('1XT/ UC ~ Z~`J' 33/S STREET ADDRESS CTY #6r~Y. /O .(l~ CIiY /~STATE~ZIP`~ L' TELEPHONE #~3. c°oZ~ CELL PHONE #~S/. ~7. OSS/o F~4~c a!S/• ~ 9zS3 pFF~tf~ Co~r ig J~i4r~C. Cc~~= PROPERTY OWNER `v~~ ~%HNtif2T'L TELEPHONE # ~Z Y7R~i COMPLETE THIS SECTION FOR ~NEW~ RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RUL,ES 7672 (J submission type) • Residential VenNlation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted • Energy Envelope Calculafions 5ubmitted Plumbing Coniractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanlcal Coniractor: Phone # Mechanical system includes: _ Air Condirioning ~~~~F~: 00 Heat Recovery System ~ JUN 0 5 2002 Sewer/Wafer Contracfor: Phone 9--°-- I hereby acknowledge that I have read this applicatlon, state that the inf ation s'correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordl a es Signature of Applicanf OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY O 01 Foundation ? 07 05-plex O 13 1&plex O 20 Pool ~ 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex O 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garege ? 22 Poroh/Addn. (45ea.) ? 33 Ext. Att - SF ? 04 02-plex ? 10 OB-plax ? 19 Deck ? 23 Porch (screened) ? 36 Multi ? O5 03-plex ~ 11 10-plex ? 19 Lower Leval ? 24 Storm Damage O D6 04plex ? 12 12-plex Plbg_Yor_N ~ 25 Mfscellaneous J7~G~~(,t~s ;/J,'~/1~19~(~/~S ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Akeration ? 37 Demolish (Bldg)* ? 43 Reroof ~ 46 WindowslDOOrs ? 34 Replacement "Demblition (EMire Bldg only) - Give PCA handout to applicam Vatuation ~C717 Occupancy L.. `~L MC/ES System Census Code L-~ 3 Zoning City Water SAC Units . Stories Booster Pump , Nbr. of Units , , Sq. Ft. PRV Nbr. of Bldgs 1 Length Fire Sprinklered Type of Const ~1 W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ~ FinaVNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs _ Air/Gas Tesu Final ~ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final ~ Windows (new/~ ~ ~'-r(,~5 _ Insulation _ Retaining Wall Approved By T L , Building Inspector Base Fee Suroharge /,y,~ p / Plan Review ~Z~i/6LlC" `~'~Cj MGES SAC City SAC ~ v~s Water Suppy 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit LicenSe Search Copies Other Total PERMIT CITy OF EAGAN pERMITTYPE: auz~ozN~ 3t~30 ~ilot Knob Road Eagan, Minnesota 55122-1897 Permit Number: 032139 (612) 681-4675 Date Issued: 0 6/@ 3( 9 8 SITE ADDRESS: 4842 SHEFFIELD LANE LOT: 2 BLOCK: 2 BRITTANY 5TH P.I.N.: 10-15004-020-@2 DESCRIPTION: r.'~.. B.Uildinc~ Permit Type BASEMENT FINISH ~Bu~ldi~g~GJork 7ype ALTERATION t'~Census ~o~ie 434 ALT. RE5ID~N7IAL i iz ~ r ~ ..._.ry y i~"..,. . . ~ ; ~t'... ~ i~. i' r' ~ ~y ~ ' r a ~ _ i fi.. e` ~ ~~j ~ ~ ` . . ~."...f ~ t -`f ~3 ~ ~ (~e , " v ~ REMARKS: PLAN REVIEWED BY JOE UQLES i CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS SEPARATE PERMIT REQUIRED FOR ANY PLUMBTN6 WORK ' FEE SUMMARY: I Base Fee $50.00 I Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - SCHWARZE STEVEN ' 48q2 SHEFFIELD LANE EAGAN MN 55122 , (612)883-6324 I hereby acknowledge that I have read this application and stat~ that the in~ormation is carrect and agree to camply with all applicable State of Mn. Statutes and City of Eagan Ordinances. _ . - z ~ h~.j, ) IJ~f 11 A APPLICANT/P IT E SIGNATURE I SUED BV: SIGNA URE I~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~v a~<', ! CITY OF EAGAN I yhG6~{' . ~ 3830 PII.OT KNOB RD - 65122 ` ~ 681-4675 New Construction Reauirements RemodeVReoeir Reauirements . ? 3 registered site surveys ? 2 coDiea of plan ? 2 copies of plans (inGude beam 8 window saes; poureG tnd. design; etc.) ? 2 sfle surveys (exterior additions 8 dedcs) ? t energy plculations ? 1 energy calculations Por heated aEditions ? 3 wpies of tree preservation plan 'rf lat platted after 7!1l93 required: _ Yes _ No DATE: b ~l"9g CONSTRUCTION C05T; DESCRIPTION OF WORK: #'~~3~~y ~4~ei«u~"~ STREET ADDRESS: g Z S ~J c.a~ ~ LOT: BLOCK: ~ SUBD./P.I.D. (U r v Uvl ' J~ Name: ~d ?CGWoc?2~ Phone#: 6 S 3 63~~I PROPERTY Last Fun ~,~R ~a8 v~ S~, F~~ elJ L~,e Street Address: t / city ~ qa~ state: zip: .~S//~ . Company: Phone CON'I'RACTOR Street Address: License # , City State: Zip: ARCHITEC'fl ENGINEER Company: Phone Name: Registration ~t: Street Address: Ciry Stau: Zip: Sewer & water licensed plumber (new construction ony): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this apptication and state that the iniortnation is correct and agree to comply with all applicabi State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant ~a~-~-~ - OFFICE USE ONLY D~~ L5 0 v~ Certificates of Surve y Received _ Yes _ No ' Tree Preservation Pian Received _ Yes _ No _ Not Required OFFICE USE ONLY ~ ' ~ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 16 Basement Finish ~ 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New ~33- Alterations ? 36 Move ? 32 Addition ? 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 oi Census Bldg ,1_ Census Unit 6 APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ' Surcharge Plan Review License ~ MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Traiis Ded. Other Copies • Tot2F[__- ..,_~._~~i r'. ~ i ~ % (S C ~e~ ~ SAC Units , ' ~f~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~J2~ CITY OF EAGAN 3830 PILOT KNOB RD - 55'122 3 ~ ~ -a- 651-687-4675 ~ - (P ~ ~ ~ New Conshucfion Reauirements Remodel/Renalr Reaulrements ? 3 registered sRe suneys showing sq. tt. of lot sq. R. of house 2 coptes of pian and a~l roofed areas (20% maxim~m lol coveraae allowed) 1 se1 ot energy calculafions for heafed adtlRlons ? 4 copies of plans (show beam 6 window sizea; poured fnd. design; efc.) 1 sMe survey for exferlor addRloro S decks ? 7 set ot energy caiculatlons D 3 copies W hee preservation plan 6 1ot platFed affer 7/1/93 DATE: ~L~ I 1 CONSTRUCTION COST: ( lY ~ DESCRIPTION OF WORK: X. ~AJI ll lS f/ Ln Y~'~~ STREET ADDRESS: LOT: ~ BLOCK: ~ SUBD./P.LD. ~n ~ ~ Name: ~ I~~~~~~ L Phone#: PROPERTY ~an F~'~ OWNER I Street Address: L L City ~aGa~ State: Zip: ~~~2~ Company: / 1hlr~ ~U JI ~~~I Phone#: Ipl~, 5' (area code) CONTRACTOR 2 Sheet Address: I~~ License # ~ ~ Exp. ? Ciiy '~~SUI .U _ State: Zip: r 7 ARCHITECT/ ENGINEER Company: Name: Telephone crea code ( ) Street Address: _ Registratlon Ci1y State: Zip: Sewer 8 water Iicensed plumber (reaulred for new conslrucffon onlv): PenaMy applies when address ehange and lot ehange Is requested once permH is issued. I hereby aeknowledge ihat I have read this appllcaflan, stafe fhaf the IMormaflon is cortect, and agree to comply wfth all applicabl Sta1e of Minnesota StaFutes and CMy of Eagan Ordlnances. I Signature of Applicant OFFICE USE ONLY RECEIVED Cert~cates of Survey Received _ Yes _ No J U L 0 1 1999 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.) 0 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 Stortri 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 ? 36 Move Bldg. ? 4D Gas Insert ~ 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (~nterior) ? 42 Reroof " uive FCA handouc io appucani for demoiitioii 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 ~dth Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review Licen~e 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 % SAC / ~ BL ~ CITY USE ONLY RECEIPT %3~ ~ ~ V SUBD. ~ RECEIPT DATE: ~ 9 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6H1-4675 Please complete for: ingle family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Cioset 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = HotTub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet " minimum - ~ 3.00 x = Rough Openings 1.50 x = Water Softener for dwellings under wnstruction 5.00 X = Water Softener ` for existing dwelling 20.00 x = U.G.Sp~inkle~ "fardweilingunderconst. 3.00 = U.G.Sprinklef `forexistingdwelling 20.00 = Alterati0ns ' to existing residence _ 2_ - Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems' nnandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE 50 TOTAL ~~5~ ~I here6y acknowledge that 1 have read this application, state that the infortnation is correct, and agree to comply with all zpplicable City of Eagen ordinances It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities construded under this pertnit within City property/right-of-way/easement. v SITE ADDRESS: ' OWNER NAME: p INSTALLERNAME: TELEPHONE#: ~S~-~1~0~ STREET ADDRESS: CITY: ~ STATE: , ZIP: ~ ~ C ~ SIGNATURE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RESJ • 1998 Tollefaon Builders Inc. Or.11554 e , 188-1A N JACKSON - SURVEYORS 11[OI~T~II[D UMD[11 LAW~ O/ ~TAT[ D/ YINNtWTA Scale: 1":40' s DenoCea Iron ~18 EA3T 65th STREET, MINNEAPOLIS, MN 65417 727-3484 oa~ Exieting Elev. ~=Drsin~ge.-~.~.,..,-. 91?LLChtpOC~g /C[TItR[att ' -_=Drainage 6 Utility Easeiseat , . _ ~ i~~ ~ 2 ~ Propoaed Garage Ploor El~v.' /rS8 s~ o / j , "o ~ o. Sy Cn3 ~ \ \ ~ ~ / ~ ~ / . c / ~ v ~~U~ / ~ ` 2 ~ / i ~ 5 j3tj G wV -~/G 7~~ ~ ' ~ i= ' a Zg =l f P/~ 9'r, / r^ ~ ~ ~7~ Q~~ u / ~ P w ~ .90 ~ ~ 8 W . ~ ~ • ~ 9c~ ~ Zq~, c~ \ U= ' \ ~:~y ~ a ~ 6f ` 0 ~ - ~ 9- !9- e 4~/J~ ~ 1~Y RTIFY TXAT TML ABOV[ 1~ A TqU[ AND CORq[tt PU1T Or A 6VRV[Y OF ' s-~3~ ~ ~ o ~v Lat 2.Block 2,Bsittany Sth. Addition~ y~ B' Dakota County,ltia+~esota. qS 1984 Af ~VRVtY[D M[ TNI¦ ZOC~1• OAY OF Aug~ A.D. ~ ~ ~ ~~_a-' _r.~ SION[ F, C. JACKSON, Nr+[wiw a~sr~wTtoM. NO. 3600 • ~irx ur ArrLE VALLEY . ~ F(INIPfUM "U" VALUE ANn F-FACIOR AT P.ODF, IJALL, RIPI AIMD CONCP,ETE ELOCK' Provide insulation baffles in every' ~ K~~F j~,~~L.~N(~ r rafcer space. . ' VA~ _ ~ 5 iQ It1TE~toR ~ P,tR FI~M . b8. ~ . - ~Q S~B" ~`cP~~ E~. ' : ~ , A ~ 3Q ItiSULAjtoN ~5• ~ ' ~ . / - OO EX j ~R;ol~ RtF FS~M . . ~7 ~ ' ~S711 L ~ • ~ ' -~-i,_- ' / • , • ' ~ ~'u"=~11Z=a~ T~TA~ Cn~= 6 ' f . ' . . • ~ WALL ~ . t/A~a - ~ r' ~ ~ s . • -p IN?~(=lo~ FiR fI~M -~a . • , q ~ ~ ~~2~ C,YP.~ ~SD.. . . . ~ O ~z,~;``' iNS~~ATlor+Siz'' ?~I ~ ' _ , ' ' ~ QQ 7s~~~' Y,~I-T YT~ ~ . Ub ' . O Nt/~ ror+lTc s1n?Kz . . (07 ~ ~ ~o ~ . ~Xj=i Io; AiR Ft~r1 ' - ! "1 ~ ~t ~ jt~ _ ~.~~s To-~R~ CR) = . ~ ~ . . , ~1M . . ' C~) VaIU; _ . ' r ii ~ ~ ~t II~T~1'-lorc A~t~ FIu1 . . . b8 • . 4, 13 5 1NsU~~~TIOIa ' : ~ ' I q ' ~ 2 ~R t~~t~, .1~tsT . ~ . i . ~ - . }l ~s . ~s ~J,z S~':~.-~,~G . ~ . . ~ a. o~ ' . u- r~~;~r'1T~. stfl~r~ : ~ .b7 ~ • . . ~ p . ExT~Rt~R A1~ ~l~M - 1 ~ . . . A ~ . ~~.u~~ -,~fR=_U~1. . . : - ToTa~ (a ' op • ~ ' . ' • ''r . . ° ' • ~ ~ 'Fo;1r~DATioi-~ ~ ~ . . O . . ~~t~~ • . . . ' Q IN ~E~ Al1C Ftl.I1 ' ,'(~8 . ~S Q . 7.1 . . . o° bp', 7 C . . ' A 7~ ~ IL" cnJ~~. ~~K, 1• aP~ ~'i7 . . n ~n h~,fP-~~vANt 5 . Q EXj~P,Io~C AlR ~ICM • 17 p . ~s i , 11111~ ~'/n ~ •0 ~ '~~AL C~'= V ~l J ~T. Floors o~~er unheated apACes must have minimu:n R-factor of R-20 (tuek-nnder garages). Floors over outdoor air (ovechangs) t~ust tiave a ninimum P.-factoz of R-38. , • , ' HE~.'Y LQSS CAl,QA11TIOALS DF3ARTMFNi OF BUIIDINGS , '.Vueheutrip? A. . Con~Wclioe No. • ImuLtion Cuide Window~ Doon Referena ~ut. WeU Int. Wall Ce~inQ Roo1 F]oor Kind f-low Applie-~ e~-r-Flo I Yc- ~-~~o II 19- ( - Fl.~ ~b~Ni,vo R~[.ength W~d~h ii Hdght Fl.~ FAroi~y Room L,~neeh Wld~h Hdeht Window~ and Doon~rackage and Aret Windows and Doon~rackagt end A~e~ ~v~ain x.iim do. er u~.-•i n. wn• wieie Hdfel x> er nie..~ t~ w... Ne. ef o~ne ef o.nr ?~~b ef ar~c4 p. It. Ns et pan~ ef aan~ I~~TU ~ et cnct ~v. fl ~ 4! ~_p I O fo ~ ~o p ~a T ~ V~ 41d Coef. Btv . - Cocf. Bn Infilttation In6llration CJa~~ iv ~S 760 Glsu p~r~a 'A~~c ~D iS~s '7ac~ Fsp. ~all! ~r 3 ~ F !42 G o a E:P. weli N ~ x F 5~~~/ - . I~et r:p, wall Nd exp'. wdl v' ~nt. wa~~ InL w~11 Ceiling / x1.3 /~J 3 ~ ~S Ceiling /~i J~a.7. JOS / ~ ' Floor Flour _ - ro~i s~~. ~v ~y Total Btm !09'1~ Requircd eq. It. E.D.R. or ~q. int. W.A. I.eader area ReyuR~d sq. k. E.D.R. or ~q. WA. l.~ader nrea Fl.~ ,C~ rei~ Room l.~ngt6 ~j Width Hcight _ F7.~ L~ Room I~ng~ 078 ~id~h /t'S Height Window~ and Doon-~rackage and Area Windows and Doors-Cratkage and Acea wia~e Hel~n~ Ne. e[ Lln.~l tt. Ar~a wle~h H~I[et No. of U~e~l [L •h~ Ns. of D~n~ ef qn~ It[~t• of v~ck ~p, tl Na o[ D~n~ ef p~n• i1~~U O[ e~~e4 N. tl / '~8 'bb i0 4I y n ~`a . / 3lo Z~D 'aGV - ~ - Coef. Bm Coef. B~ . In6hration In6ltrstion 'DOO~ 96 /e^~a~~G Claw r /O JS 9 Sb Glw ~/O ~dd Ezp. wall 9•c g 7 eZ E7cp. wsU o? ~ t/'.>' x~ 3v 2S ~ M1'd up. wall G.~ G 37 Net ezp. wall aG E~!.~ / C Int, wsll Int. ws0 Ceiling x~ ~ y yG 8 Ceiling a 8~' ~ 3 ~ G~/ U /4, Floor Fl°°r To~+l Btu. /S'70 To~al6tu. Rcquircd ~q. fl. E.D.R. ot aq. int. W.A. Lesdet arc~ Requircd ~q. h. ED.R. or tq. ins. W.A. Leader area Fl, a~Ne-~TF Room ~Lengt6 g Wid~6 i3 Height }l,~ jteomlLenBth Width Hciaht Window~ and Doon--Cracluge and Area ~ndow~ and Doors--Craclcage and Aret wmt~ Hd~nt Ne. of Llnul t4 wn~ w1a1~ Hd~it Ne. et Lln.d LL. An~ Na ef Pan~ e( Wn~ Ili~l• ef enNe p. fl NP ef P~m Of p~e~ II[Tb ef e~~eY q. K ~ 'KX~ 'Jd J Coef. Btu Coef. E In6ltr~tioa In6ltralion Gl~u /O 7 '7 ~ Glaa Exp. w~ll K~ (e J _ Fsp. w~U Net t:p. w~ll y ~ a y Nel e=p. wall Int. walt Inl. wap Ceiling ~ f /dH V CeilinQ Floor Floor Tot.1B~u. /ti/Qp To~.IBta Rcquircd p. ft. EO.R or ~q. io~. WA. Is~der are~ R~uired w. h. ED.R. or sp. in.. WA. l.~der are~ Wee~hweiriq A.S• •V. Construetion Na•~ In}ulatwn Cuide Window~ Doon Rcfe~ence Out. Wall Int. Wall C.e~ing Rool Floor Kind Now Applie Yci-No I Yu-No I 19_ II g'2 F7•~ (j d I Room Length ~ 3~' Width p7/ ~ Neight Fl.~ ~ y Room L.engtl~ I/{ Width ~ Height Window~ and Door~-~rackage and Area Windowi and Doon-Crackage end Area wie~n N.i~n~ Ne. er u~..i i~ wn. w~e~e t+.~~ei Ne. eI, Ue~J fL w..a Ne. ot pane ef p~ne II~TU e! cr~ck p. fL Na ef p~n~ ef o~e~ IfiEi~ ~ e[o~ek q. Il. 3~u 3~ a av a~ ~ C«f. Bm Coef. Bh In6ltration ]n6ltratioa CJa:~ 7J' /3SD Clau /a 7,> 900 Fsp_wall o~! ,l / 3~~l t g yµ Fsp. wa1l .J/G Idct ezp. wall ~/a(a G a~ SG Nat e:p. wsll /~l G t/~ ~JG~/ ~ ~ InL wall TnL wa~ CuGng ~/x /3~ ~7N i/3!~ Cdl~~a /yt~,./~ iNt NPr~ Ob3 H Fi Floor ' Total Btu. Total Bta 9.'S Requircd sp. ft. E.D.R. or ~q. in~. WA. Lesdu ~ru SQ GJ~- Required sq. k. E.D.R. or sq. im. WA. Ltader aru Fl.~ 8~+ Room L,eneth Width /~1' ~ Height Fl.I gN TN Room ~ Length F Width /3 Heiqht W~ndo..~ and Doon-Crackage and Area Windows end Doors--Crockage end Aru N'IE~~ Hels~l Ne. et Llne~l ft. Ar~~ WIAtC Nds~t He. of Llnnl [t. An~ Ne. el D~n• of o~n• ?ihl• o( eneL p. TL N0. af D~n• e[ p~n~ 11[~b e[ v~ek p. ft 3 aN ~9 ~ a 3 G • CoeL Btu E. Bt~ ~n6llration ~nfiltration c CJau / 7:: l~ua Clau ~0 7S ISd Fsp. w~ll / O" 3- X d ~.~0 ^ ' Eip. wsil v g Ei y A'et ~zp. w~ll ~?Oo~ G ~,~i Net e:p. wal! S~l. :~~/F Int. wall . Int. wall Ceiling ! " 4 1r / 8(. 7 V Ceiling r ~ $ ~ 'f ~7 Floor Floor Totel Btu. 304 Tota! Btu. y 6 Rcquircd ~Q. ft. E.D.R. or ?q. in~. W.A. Le~der erct Required ~q. k. E.D.R. ot ~q. in~. V/A. Leader area Fl.~ /,3 2~'. Room ~Length I N Width / 3~ Height }1,~ Room I I.englb ~ W~dth H~~ht Window~ and Doon-~rack~ge ~nd Area Window~ nnd Doort-~nckaae end Area N'16tn Hd(nl No. et Lln~~l t4 Ar~~ wlel~ H~1~4t Ne. et Llnul ll. An~ Na el Dt^~ O~ D~~~ ~~f~~~ ef enek p. fL Na ef y~n~ ef D~e~ 11(~U ot er~at N. !t S ~y o CoeL Bcu CoeL B~~ Infillration InFltration ~ a ~5 So E~p. W.u r~l ~ a y~t EsP. w.n Nel exp. w~ll 44 4 Net exp. w~U Int. w~ll Int. wall Ctiline c.! :rrcl ~ 7J ~n CeilinQ Floor ~ Floor Tot¦I Btu. • Toul Bta R~qu~red .q. A. E.D.R or'.q. im. WA: Lc.&r ..ei ~J / y R~quind p. k. ED.R or .a. im. WA. L~,der are~ . . . . HEAT •LbSS CALCVLATIONS DEPARiMFM OF BUILDINGS ~'~~GE OF BURNS~ ~•1Z'uthei~lrips A Cuide~ ~mtruction No. ~ I z` Imulatan Window~ I_ Doort ~ Rcfuence II Out. Wall Int. Wall CeOinQ Roof F7oor II Kind . Flow Appli Ya-No ~ Ye~Jo 19._ ~ Fl.~ S,y T Room, Leng~h Width Neight F7.~ Room Lcngth Width HeiBht Windowi ~nd Doars-Crackage and Aru Windov.v and Doors-Crackage sod Aru N'IEIh Nri~~~ Na, ef LIn~H [L Ate~ WIEIG Hd~hl He. et Llool tL ArY Ne. el oant ef Dane Il~hb ef cr~<k p. (l N~ ef p~m ef p~e~ tl[b4 eI er~cY ~p. fL ~ O I ~ ~ C«f. Bcu ' C«f. Bn Infil~ ra t~on Inbltration Cla» ~ 7.~ 00 Claw Fsp. waU 8~ pcr S SO+'~~+og 7S Fsp. wsli n'ct czp. wa~~ y'~ ~.%D'i~ l7i r1L 7 Net ex wau ~ _E~r~_ P• Int. wall Int. wa0 ~*'*n8 4t«r.~ GP.-~t-iux3 ~~5 S aGOS CeiGng Floorp,~K~d 1 a~ ki5 ip~8 3 31~~1 Floor Total Btu. ?o~ 8 a J3o 1.~i9GS Total Bta Required ~q. (t. E.D.R. or ~q. im. W.A. Leader aru ~ R~q~"v~d.q. k. E.D.R. or ~q.;~+.. WA. llader are~ Fl.~ Room L.ength Width He~ght Fl,~ Room I Length Width Heiqht 1['indows and Doors--Crackage and Are~ Windows snd Doon-Ccackage and Aru N941h Hel~~l Ne. ef Llned fl. Ar~~ a~~eie Hel~lt No. oI Line~i f6 An~ Ne. of yan~ of qn~ Il~hl~ ot v~ek p. fl Na of pan• eI p~n~ 11[~t~ ef er~ek q. IL - - Coef. Btu f. cu In6ltration In6ltratioo Glau r Glau Fsp. wall _ Exp. will Nel ezp. wall Net exp. wall Int. wall Int. wall Cci~in8 Ceiling Ftoor Floor rota~ Btv. Tota~ Blu. R~q~ired sq. ft. E.D.R. or aq. ini. W.A. Leader are~ Requirea ~q. h. ED.R. ot sq. ia~. WA. Ceadcr area Fl. Room ~ Leneth V~'idth Height F7.~ Rnom I(.ength Width Height Window~ and Doort-Crack~ge and Are~ ~ndovn and Doors~rockage and Aru w~e~n xd~ni Ne. et Lln~d tt. Arq wiein H.ise~ ae. et u~..~ u. wn. Ha et oan• et D~n• II~*b e( enek p. f6 Na e[ P~m et D~e~ Ilt~b e! u~cY K. R Coef. Btu Coef. Btu 1n61tntion Inbltotioo Clu~ Glm ~P..,,.u ~p. W.n N<< <:p. w.ll N~~ ~:P. w.ll Int. wtli Int. wall Ceiline CeilinQ Floor Floor Total Btu. Tot~l B~a R~qui~ed p. (i. E.D.R or ~p. in~. WA. l.e.der .rca ~ RcQuired p. k. ED.R or ~q. int. WA. Le~der ~rea i ~.'r~ . ,y ~'I Z ~ $ c} ~p~., - . `~~Y~ CITY OF EAGAN 1 ji APPLICATIODI FOR PEfL~12T ' SEPIER AND/OR WAT~R CONNECTIO;I (PLE,7SE P5I4TJ 1) P°OP~i~' AC)DRESS : ~ ~/J~C ~ /EL ~ /~JC'~ r.Fr~, D~~;_~v: ~oT a .cc~ a r3NY (L~t/31ock/S -~visicn or Tax arcel I.D. vumber) i~•'..T~~='_ :G S~'Ri:~~: , D~'? G_° O.4IGi.:AL~ ~uIi.,^.L`:G F~_•S'^ T_S~~?~:C=: ~ FP°~.='- ~^„Ji::l:/^.-..C_°OS%:.~ ~~~c ~,?-1 SuiGI.:, cp;•t.ILY ' ' • ~O R-2 DUPLE{ ('IT;~O UNITS) Q R-3 TCi.v\~IiCiJSE (T:-TC:`"n + L'~IITS) ( W.I^_~) ? 3-4 An.~1R'LT'~'`:"_'/CC.`IDG'~L'.IL~.~I ( UDIITS) ? C~~M~T?CI_-w/Rt'TAII?O~E'ZC:: p .T'i~'DU3iPTai Q NSTI"'TIOi~.'AL/G,"4'~'-v~~~1^.' z) ~pni,TC»;r (PL'cASE PR141J r~,,~L: T c.L~FSa~J ~,c r~2 ~ AnD~sJ: ~(0,53 ~J01~ L1~Bo 0 ~~/d ~ crr:, sra~, zr~: ~j9'G ~3w, I?'11? h.~/6ca.. P~:e~~: ~.53/- 1873 3) Pu:fB~' ,wy ASE PRltli) ~ FOR CITY USE ONLY tvt~~~: ~s~ir/Z- 1S l'A~w ~ PLUMB RS LILE45E: ADDRF.SS: / fl7~/(J.~ ~r/j'~j/ ~O ~67+~T ~I /'~'/L ~ Attive ~ CITY~ STATE, ZIP: ~~tJ`..^~ff~UjyT ~~y/ ~3~(px C] Expired PxQ,~ i7u~ii.~ Q Not o~f- R~gcord • 'iloZ,3' ~f/// PLUMBER LICENSE k ~gC/9/~ ~i' art initia q~ ~~mnyT~~;r,•T.~ (PLEASE PRINi) NA(•tE: ADDRESS: CITY, STATE, ZIP: PEfC}:IG: 5) INDIG"-.TE WFIICIi PEr>~ T ZS BEIi~G RD;2UEST~: ~;~IECrION 'Il7 CITY SF.?~IPR :i[VE~iIC~ TO CITY [~IATER ? GiE'~ (PLE'ASE DESCi2ZBE) 6) L`.DZG,::; C:W: PLv~,SE F:OLD P,PP??pVEU pER,~LIT FOR PICi:-UP BY O:IE OF 11BCt)E - E~AiL APPROV'?) pER:•lIT 'IO 1, 2,a 4 ABO~,/E (Circle one) 7) SI~.'1TL:.E: ' DATE: ~ ~e a:a~:+s~.ia:r. a ~a.c~:t:~+~ : r.~~~.~a~ ~ o s~.;s:a:~ ~ .~.~.t.~:.~r~.*. ~~'a'~ ,rtit~s.aa.v~ F O R C I T Y U 5 E O N L Y PERytIT ISSUED F~rs= $ >o.`.c-U S°i•lE^ nso~.~TT (T_'_ICL:,..~ SURCE:•-r.~3) $ /o . W-C~ WATE~ PERI~4IT ( INCLtiDE SURCHARGc.) $ ~ WATER METEP./COPPERHORD]/OUTSID~ RE~DER $ Wr1TE:? T.IP (I.ICiiiDE CO4?CRAT~C\ STCP) $ SESdE3 T^_P . $ /a~~`-# ACCOUNT GEPOSIT - SE;~:ER ~ i-S'm--G~ ACCOU.]T DEPOSIT - WA:°_~ S -4~7~ - i`-~~ WAC S SAC $ TRU:Ii: SPAT°:? A55°_SS.'-:::iT $ TRCiVF SE;vER ASSESSi~1EVT $ LATEP..AL BENLFIT/TRUiVK SE?~:ER $ LATE~L BENEFIT/TRUJ7ri WATER $ OTHER S TOTAL $ /5~.~ AAIOUNT PAID/RECEIPT # .~1~ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF LvAY? ~ YES IF YES, THEN A"'PERMIT FOR WORK WITHIN PUALIC ROADWAY" MOST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO TfIE FOLLO:~lIDIG CONDITIONS: APPROVED BY: plCf_~ TITLE: ,~j,~g' DATE: /d-~~-~~% ~aww~~~s~y~c~~a~s~~+w~w+~stw~w_~~~w~w~f~w.awt~s~sinw±arc.~~a~r~w~ . ity oF eegen 3830 PILOT KNOB ROAD, P.O. BOX 21199 BEA BLOM9UIST EAGAN. MINNESOTA 55121 nnav« PHONE: (672) 45d-8100 THOMAS EGAN JAMES A. SMITH JERRV THOMAS / ~'V THEODORE WACHTER Council Members ~ 7 THOMAS HEDGES ~ Ciry Adm~nisha~Or September Z5~ ~9$5 r~'~ EUGENEVANOVERBEKE CiN Clenc ~~N~ 2~ JEAN HANSEN L ~_4842 SAEFFIELD"LN~_} EAGAN, MN 55122 Dear Ms, Hansen: The Department of Inspections has been unable to satisfy you that there are footings or the equivalent beneath the concrete floor of your attaehed three season parch. Our inspection recards indicate footings were inspected for the building and the dwe111ng was certified for occupancy which also indicates everything was in order. As I have explained in previous conversations, to the best of our knowledge all footings are in place. Sincerely, 4 Dale Peterson Chief Building Official DP/js THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN 2007 RESIDENTIAL MECHA~TICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when persnits are required for each uni[ Date ~ / ~ / Q ~ Site Address p ya U{~tQ `J"j7P.Y~ L~~ Unit # Proper[y Owner ~V'Pi~( ~ ~C,~L~(J(lti~! Telephone # ( (pS' I ) Y - r71~ D Contractor ~W~~~~/tJy~ v~Tl(37~CN StreetAddress ~ lU7 V'P/vl/(~L~CIj/~~_~T• City 77~~ ~ State Zip __yG L-~ Telephone# (~psl ) ~37-~/77 Bond Expires: The Applicant is _ Owner ~ Contractor _ Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a buiiding. Add-on or al[eration to existing dwelling unit $ 50.00 ? furnace _Additional ~Replacement _ New air exchanger ~ air conditioner heat oumo other State Surcharge $ .50 Q $ ~Q ~ ~ Total I hereby apply for a Residential Mechanical Permit and acknowledge that the infortnation is comple[e and accurate; that the work will be in conformance with the ordinances and wdes of the City of Eagan and with the Mechanical Codes; that I understand this is not a peanit, but only an applica[ion for a permit, and work is not to start without a permih, that the work will be in acwrdance with the a~pp/roved plan in [he case of work which requ'ves a review and approval of pl ~ v~~'~I LC~.~c)v~P,G~?~, .a~%1 0 Applican 's Printed Name Ap 1 canP ignature 2007 RESIDENTIAL PLUMBING PERnniT APPUCATioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~ 1 I ~ ~ ~~p~ Site Street Address 7 S``~ SGi.C.~/7P.I~r.~ LGL Unit # Property Owner S`K/~~ ~V Telephone # ( (05/ ) v ~a - `~75~0 _ ~~(~~,~~-y~ Telephone# ((o~O ~ ly7 Contractor > Address I 9D y vPi1/I/l~t.c-t ~l ~tTLt- City State ~ Zip S~~i The Applicant is: _ Owner ?Contrector _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includ $ ~OO.OOfee Per as-built $ 10.00 Fire Repair (rep~ace burned out fixtures, etc.) $ 90.00 Alterations to existing dweiling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. !f you are installing oRIV a water sokener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment Water Turnaround (add $136.00 if a 518" meter is required) Other: - ~ w . / $ 15.00 ?'JJater So/ftener _ Water keater J new _ replacement Lawn Irrigation _RPZ _PV8 _new _repair _rebuild $ 30.00 State Surcharge ~ $ 50 S ~ To~a~ 1 hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to staR without a permit and work will be in accordance wit~ the approved plan in the event a plan is required to be reviewe nd approved. S ~i.~ti.cJY~ Applican Printed Name Ap icanPs ' nature i ~oc=~o`tr~.u~ ~ ~ ~ City of Ea~aIl ~ Pe~rt# ~ 9~ ~ ; I Pertnit Fee: I 3830 Pilot Kno6 Road rJ,~~ ~ Eagan MN 55122 ~ Date Received: ~ j Phone: (651) 675-5675 I Staf~ ~ i Fax:(651)675-5694 ~ i -----------------J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ND G~ U IC rrl~ ! .i Tenant: C Suite RESIDENT / OWNER Name: ~ C i a~i~(~~QI~ Phone: (1 SI ~7?~ ~T'T~~ Address / City I Zip: ~S(~ ~ r~J01~YU~lL~~ LIiWL~ Applicant is: _ Owner ~CoMrador - TYPE OF WORK Description of work: ~D()~ ~LS~~~lil'Gl~t~ Construction Cost: . Multi-Family Building: (Yes No ~ CONTRACTOR Name: !!~~/L~ ~,~~/I~N~. License#:?D o~-[~~ Address: ~ ~ ~J/rf/'~'~ ~~Vp S, Z~p: ss~ay Phone. ~ ~ ~ Contact Person: ~~i/~A COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ _ Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submifled In the last 12 months, has the City of Eagan issued a pertnit 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 ConVactor: Phone: NOTE:,Plans andsupportingdocuments thaf you submit;are consideredrto;be public`iniormation Portions of;; the mformat~on may 6e classified as non-public if you prov~de specfic reasons that would permtt the C~ty to ; ~ ~ a~`' 1 ` v '''m r ~`COOCIUI~E tllaf Lfle . 8t6=t1'2CIe S@CfC{5 , .r ~ :~..c.,; ~ .v4" `.'~.4 '~s ! t~.. : 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 Ea9an; that I understand this is not a pertnit, but only an application for a permit, a work is not to start without a permk; that the work will be in accordance with the approved plan in the case of work which requires a review and I of plans. x~~A/1Y.~ ~11~' J X AppiicanYs Printed Na e ApplicanYs Signatur Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4842 Sheffield Lane Lot: 2 Block: 2 Addition: Brittany 5th PID:10- 15004- 020 -02 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 2,000.00 Contractor: Windows America of MN 609 W County Rd E Shoreview MN 55126 (651) 203 -0149 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $2K Surcharge - Based on Valuation $2K Total: $70.00 - Applicant - Construction Type: Occupancy: Owner: Steven C Schwarze 4842 Sheffield Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Rhonda Steffes 609 W est County Rd. E Shoreview, MN 55126 651- 203 -0149 rhonda@nwfamn.com $69.00 0801.4085 $1.00 9001.2195 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. Issued By: Signature Building EA076093 12/06/2006 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4842 Sheffield Lane Lot: 2 Block: 2 Addition: Brittany 5th PID:10- 15004- 020 -02 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Windows America of MN 609 W County Rd E Shoreview MN 55126 (651) 203 -0149 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Construction Type: Occupancy: Owner: Steven C Schwarze 4842 Sheffield Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. $88.50 0801.4085 $1.50 9001.2195 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. Issued By: Signature Building EA078008 05/30/2007 ePermit PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA146417 Date Issued:10/24/2017 Permit Category:ePermit Site Address: 4842 Sheffield Lane Lot:2 Block: 2 Addition: Brittany 5th PID:10-15004-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Steven C Schwarze 4842 Sheffield Lane Eagan MN 55122 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA172087 Date Issued:09/14/2021 Permit Category:ePermit Site Address: 4842 Sheffield Lane Lot:2 Block: 2 Addition: Brittany 5th PID:10-15004-02-020 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 C Schwarze 4842 Sheffield Ln Saint Paul MN 55122--277 (651) 334-6480 T J Exteriors Inc 16150 Dutoit Rd Carver MN 55315 (952) 448-4312 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA172747 Date Issued:10/14/2021 Permit Category:ePermit Site Address: 4842 Sheffield Lane Lot:2 Block: 2 Addition: Brittany 5th PID:10-15004-02-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steven C Schwarze 4842 Sheffield Ln Saint Paul MN 55122--277 Estate Claim Services Llc 6701 Penn Ave S, Suite 201B Richfield MN 55423 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature