4843 Sheffield Lane CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199. . PERMIT NO.:
Eagan, MR 55121 DATE: l
Zoninp: ~ No. of Units: I
p,~,~~, i~Iaeisu:: Bl~iTB
Addross:
S~ 4~43 Sheffield Cit~e- L2 T'1 ^ritta~v 5
P~umber "'~'nz ~ 3'~n L l?
Mster No.: Connedion CF+orqe: S ~r-P~-
Siu: Acwurrt Depoait: i
. p
Reodsr No.: Pertnit Fee:
1~~ !o ao~olp whl~ tIN CifY of Ee'sa 5urchorfle: p.
M~sc. Char9es: 132 00
' ~"O"°~' pd rneter
Total:
gy Dor. Po~d:
Date of Insp.: Insp.:
_
1 CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road pE~~T NO.: ~
~ P. O. Box ~'1199 DATE:
Eagan, MN 55121 1
No. of Units:
, `~ollc~isc~ 31'rs
pwner.
~ Addross:
' Site Addres: '{44~ Shaffield CircZe L2 R1 Britt~.:1~ ~
.~r~ ..y.tn p;
Plumber. 1- 1 ~ 7 : ~ •
I~ ' ~ u^J.~~ Dri ~
1 N~ to omn~if? wNA !Iw Cih o~ Conrnctlon Charpe: i p ~
O~Iir~won. Aaount Depoait: . . ~u
Pom+it Fe~: , ,.~d
Surcharoe:
~ Misc. CFwro~
By T~:
, pote of Insp.: ~
, Irop.: _ _ - - -
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. @nx 21399 PERMIT NO.:
Eagan, MN 55121 DATE: ~
Zoninp: No, of Units: 1 ~
Owner: ~n~1~ '':.~o~i rty~iHdAl'~~~~y.- - - - - -
/1~~.~~ J ~i
Site Addrcas: t' `•"`f,: ' d _ ' " '
P(umber: ' L ~
o.: Con~ection Char~e. 50U . 00 ~~i I
E: ~'.~~/S'''~ /K,CL~ ° 4 rr - ' _ .~ppOUht W.i~~Y ' ~ i
~ 9L ao~~ a i
Reoder iVo.: 12 Permit Fee:
t yw~ h oo~nPl~r wi16 Nw Citlr of Es~n Su?cf~erye: •;'J F~i: ~
OrJirnaa. Miac. CFa?pes: I
Total: .00 pd rneter
BY ~ Dote Poid:
Dota of Insp.: Ir~p.: '
~3/ 8 5 - -
~ CASH RECEIPT
~ f; .
' CITY ~F EAGAN
~ ~ P1tsrBOX 21•199
~
EAGAN, MINNES07A 55121
, -
DATE ~ / 19
acceivan ' y ' -
FROM f .~.Y"'~- ~ L'"+^ . Lrf :.s' y''
AMOUNT $ :j
'Y
I
& DOLLARS
+oo
? CASH ~ CHECK
.
i '
¢ i ~'s~-
rbR ~.e-1'~ ~ I.°'LC'( ~ . iL~
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_ . . ~ . ' .;C J^, . i/•. ~
.i
. Y
FUND CODE A1'nOUNT
L~
~ ~~j ~
~ , ~
/
~ ~
J
Thank You ,,,r,
B Y ' ~;1,1.r~,~ ~ ~f: ~ :'L~~
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
r.,
" CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
nare ~ 9
~
wace~v ~
rw
AMO NT ~ I
~ DOLLARS
~oo
? CASH ~ CHECK
FOR
FUNO CODE AeAOUNT
Tha l~ u
~ ~ 6Y
? White-Peyers Copy
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 1 9
R6CffiVtD ' i , . ~
FROM
AMOUNT $ I,
6 OOLLARS
~oo
? CASH ? CHECK
~ ,
FOR `
i -
PUNO cODE AIAOUNT
.
3at ~ '
Thank Y ~
~ BY
White-Payers Copy
Vellow-Posting CoPy
Pink-File CoPY .
~ CITY OF EAGAN ~ $ 5 ~
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING 'ERMIT Receipt #
T~ M oad fsr - Est. Value l ` bote 19
f~,~~~r., LANE - Erect ~ Occupancy
Site Ad~ '
Lot ~ Block t ~/Sub. " Remodel ? Zoning
Parcel No. Repair ? Typeof Const. ~L
Enlarge ? No. Stories
, . . Move ? l.ength
~ Neme ~ '
,r , Demolish ? Depth ~
~ Addreas , Grade ? Sq. Ft.
City Phone Install D
App.oral~ F~e~
, ~ A{ame -
Assessment Pertnit
~ Addreas
City phone Watu b Sew. 5urcharqa
Poliu Plan Review
~,°L Name Fin SAC `
Add~ess Eny. Woter Co~n.
t W City Phone Plonner Woter Meter
Council Rood Unit
I hereby acknowiedge that 1 have reod this applicotion ond stcte that g~d9, pff, f.? ~ g• p•
the information is correct and ogree to comply with ell applicabla APC Total ~
5tote of Min~esoto Stotutes ond City of Eagon Ordinonces.
Var. Date
Signoture of Permiftee
/1 Buildinfl Permit is issued to: on ths exp?ess taditlon thoi
oll work sholi be done in accordance with oll applicnble State of Mi~nesotn Stotutes ond City of Ea~on O?di~onces.
Buildlnp Official
9 - t/f s ~ T 71 11 7 O , 31 ~ T C O ~ < C
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Receipt _ PLUMBING PERMIT Ptrmlt No.
CITY OF EAGAN F~ -
~
1"! Fill in numbered spaces - S/C ~
Type or Print legibly Tot J ti.
1. Date 2. Installation Cost t. - r
4 - i ii r' . c, i , - .c . • ~
3. Job Address Lot Blk. Tract
4. Owner ~'G -y~J'c-
~10~1@ l = ~r
5. Contractor ~ r , ~ •
6. Address l~~~/ a Sr ' r ~~S i~ i
7. City F , _ State ' ~ 4 Zip . , ' `
8. Building Type: Residential Commercial O Institutional ?
9. Work Description: New Add O Alter ? Repair O
10. Describe
11. No. Fixtures No. Fixtures
Water Closet ~paol/Drainfield
__L Bath tubs Septic Tank
~7I Lavatory Softner
-~F~
~ / 5hower Well
Kitchen Sink
Urinal/Bidet Other
~ Laundry Tray
. Floor Drains
Drinking Ftn.
Slop Sink
' Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with aIJ ordinances and codes governing this type of work.
.y=.
~ Signed : _ . ;c _ ~s . ' for " ~ - , . ~~t •
Rouyh Final '
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
f
Recsipt ~ MECHANICAL PERMIT Permit No.
CITY OF EAGAN
r F~e.
~ ~ ,
FiN in numbered specas S/C
Type or Print /epibly T~
1. Date ' 2. Installation Cost
3. Job Addreas lot Blk. ~ Tract '
4. Owner •
5. Contractor ~o^e '
B. Address ~ - .
7. City State ~ Zip
B. Building Type: Residential ~ Commercial ? Institutional 0
9. Work Description: New E7, Add ? Alter ? Repair ?
10. Describe Fuel Type
11. No. Eouioment BTU - M. Ea. No. EQUioment CFM
Foraed Air ` ~ Air Hendling:
Mfg.
Boilers Mech. Exhaust
Mfg,
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, P'iping 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
Rouph F inal
Inspections: Date Insp. Date Insp.
This is your parmit when numbered and approved.
Approved CITY OF EAGAN 464~100
CITY OF EAGAN Remarks- ~1 U,~ Q~ ~ 1,
Addition ~ITT~ 5'~'~ ~DN Lot 2 alk 1 Parcel 10-1500~-020-O1
Ow~er streec ~8~3 sH~FIELD LA~~ srdte 1''~ 55122
Improvement Date Amount Annual Years ~ Payment Receipt Date
STREET SUFiF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 8 1
~F SEWER LATERAL ~
WATERMAIN
M WATER LATERAL
WATER AREA
STORM SEW TRK (p ~
* STORM SEW LAT 1 $2
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. SOO.OO "
~UILDING PER.
SAC
PAR K
' CITY OF EAGAN ~ 9$ 5 2
` 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55127
PHONE: 4548700 ~'~j~
BUILDINCs PERMIT Recei~ g
Te M wad 4e. SF DWG/GAR Volue ~~4 ~ 000 p~e JANUARY 16 , ~q 85
SiceAddreu 4843 SHEFFIELD~~~~f Erect ~ Occupanoy R3
Lot 2 Block 1 ~c/Sub. BRITTANY S Remodel ? Zoning Rl
Repeir ? Type of Cons[. ~
Pareel Na. Enlarge ? No. Stories
TOLLEFSON BLDRS MO1e ~ ~~etn 47
W Name Demolish ? Depth __5 Q
Z ndd~s • 1655 NORWOOD DR Grade ? Sq. Ft.
~ c~ty EAGAN phone 454-6873 i,,,teu ?
Aowwnk F~a~
o Name S~E $ S. ~ ~
}G Address Assessment Permit
s~ CitY Phone Water & Sew. Surcharge 3 Q ~
Pol~ce P~an Review 177.50
Gw Name Fire ~ SAC 525.00
i~ Address Enp. Water Conn. S~~ 0
~ W City Phone Planner Watei Meter _1~.~0 ~
Council Rood Unit ~sn_no
1 hereby otkrwwledge thot I hove read this oD~~~~ation nnd ztote thof g~dg. Off. 4/8 S T. P~ . 13 2. 0 0
the inlormation is correct d agree fo comply with all oOPlicob~e APC Total 52, 069. 50
State of Minnesoro Statu s and City of Eag Or ~nance~ Var. Date
SlpnWurc of Permittee
A Bullding Permit Is issue to: TOL _ SON BLDRS on tha express conditlon tha~
oll work shall 6e dorre in occordance with all o lico{yf)ef, State of M(~'~
Qf•~a
Sta-tutes ond City of Eapan Ordironcea.
Bufldirp OfHclal ~ '~J`'"~- J
~
Fj~! REQUEST FOR ELECTRICAL 111~ECTION EB'°°°°'~+
p ~ ' See irtstructions tor complaii`g this fvm on ~~k o, w„o., ~ ~ r518 5
f'~ 2 ~ 6 71 '"X" BeJow WorkA'overed by This Request
Ade RaD. TYPe oi BuilEing Appliaircw~ KirM E9uiPmem Nired
Home Range Tenqprary $ervice
Duplex Water Heater Ligfi[ing Fixtures
Apt. Building Dryer Electric Heatin
Commeroial 81dg. Fumace Sifo llnloader
lodustrial 81Ag. Air Cwiditioner Bulk Mi1k Tank
Farm oane. Saec~ v orM~ (Scec~ry1
t er Suecify Other Olher
ompute lnspection Fee Below
A Fea ServiceEntre~eSize p Fee Feetlers~Subfeaders b ke Circufts
1 0 to 200 Amps ~ 0 to 30 q 0 to 30 Am
Above 200 q~npy 31 to 100 Amps 37 to 100 A
Swimming Pool A6ove 100_ Above 100_Am
Transformers 7migation Boorrs •~"j Partial~'Other Fee
~ Signs Specialinspection
S~, TOTAL V
eemarks - ~ , L~ f-
`T
11oueMin Da~ . ~he Elac ~wl
. ~ ~.f ~ ~soacw.. nereer
eertilv clret the abova
iinal te i~6~faction las been
~ s -tf- d..
tM~ropueatwltli8mmmefrom ~
~~a= ,~;d ~I 6~- ~ I ~ 5 ~ b 5S~
78 rtonffis from
~ L~~'a. • i 1-4 5 9.
Ne.QUest tiaie~ ~ Rre No. uBh-in Insuecf
~ fle ed7 ~ReadY Nuw W~II Nolify InsOec-
~ ~ Yes ?No or When HeaAy
Gcensed Electrical Contractor I hereb ~
Y equelt inspection ol abovo
? Owner elecvical wark insfalled ah
Street AAdress, Box ar floure No. Ciry
t- U ~Lr~ L..i~t . ~ Ft
cuon o. Townshio Name or No. ~ nee No. Counry
Occupnn[ IPiiINTI ~ ~ No~ ~R!y
5 U /
Fower SuD0lier ~ Atltlress
~~k'-~~
hiwl Conhacmr IComOany Namel T Cm~4aCir's L~w~e~ ~
-?1
V L g
Mailinp- ddress (Con[ractor or Owner Makinp Instailatianl ~ Y^~
J
~ ct-~L.~ i 3 " ~
o~ized SiB~[ur onva OwnBr
M~ns~allatioN O'~~~
~y~ s
' YINNE$pTA STATE BOAflO OF E~LECTRICITY ~MIS IMSPECTION BEQUEST NILI NOT
Griqps-Midwey Bldg. - Room N-191 BE ACCEP7ED BY 7HE SrATE BOAiIU
1821 Univarsity Ava., St. Paul, MN 55704 IINlESS PROPER INSPECTON PEE IS
Phone.16121 2972171 ENGLOSED.
~ ~ • ~ ~ ~
~i,~ ALL CONTRACTORS MUST SE LICENSED WITH THE CITY OF EAGAN
. ~ INCLUDE Q SETS OF PLANS,
J ~ CERTIFICATES OF SURVEY
U~~`-~ Q SET OF ENERGY CALCULATIONS
To Be Used For: ~ Valuation: ~ 4 OGb• - Date:
~w~F- F~M~c.Y ~"-A~ ~n~4~
Site Address: L~~~j ~cj}}~FGIELI) ' •
Lot:~ Block: ~ Sect/Sub: ~21-~~j Erect: X Occupancy: (~-3
Parcel Remodel: Zoning: R_I
Repair: Type Of Const: ~
Owner: SE~ g~~/~1~/ Enlarge: $ Stories:
Move: Length:
Address: Demolish: Depth:
Cit Grade: Sq. Ft.:
. X~.~~1P.. Code;
~ Phone
Contractor: I
O ~F~ IV ~UILI~P--J ~
Addreas: IbS~ No2.wnoD DIZIV~ Assessments: Permit: 35.5~~=
y p ~~~Z Water/Sewer: Surcharge: 37
Cit /Zi Code: , Police: Plan Rev.: 1-1~1.~
Phone 45d--bg~3 Fire: SAC: 525.°-
g~qr,; Water Conn: SGYj.~°
Arch./Enge Planner: Water Meter ro3.°°
Council: Road Unit:
Address: Bldg. Off.: ;~'-Pa~k-s':TPL ~ 32
City/2ip Code: APC:
Phone#: Variance: ' ~
(~1? (~1
~ ~ ('~C~ f ~ ~
•
x x
N ~
~ ~
~
~ N
~ N
~C x
- ~
-P
„
-,I ~ 6~
~ w
~ ~ ~
o• *
3h5•00+
37•00+
177•50+
525 • 00 +
500 • 00 +
63 •00 +
zao•oo+
132•00+
2~069•50*
~03~ i ~ ~s~
2004 RES{DENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ~ I ~ I ~ ~ I ~
Site Street Address 't~~ S~~"~ Unit #
Property Owner ~~.P ~~a I lf.i ~ Telephone VJ d I J$a~ ~
Contractor r ~ ~.1~ d r ~S Telephone # ( ~ ..r05" ~ ~ ~
Address ~ O QQ c~ty C?
~'l stace mn z~p 5Sl d3
The Applicant is: _ Owner Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, exciuding water softener and water heater
_Septic System Abandonment
_ Water Tumaround (add $121.00 if a 5/S" meter is required)
Other:
_ Water Softgner _
Wa
et r Heater $ 15.00
~replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $
I
Total
I 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 start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
i~~ I-~2r'GLr~~~ ,~.e.6 ,~Pn~c~1¢e
ApplicanYs Printed Name ApplicanYs Signature
~ (~~f~(I`l~L~ ~~i
~
~ I
I
_ - QY . _ - I
~
~ : 2~b4
_'i°~ .
~ b.~+~ / " CITY Or EAGAV
~ ~ !~'t\ ~ p ,
(1+1t~ AP_ LICATION FOR PERMIT
• SEWER AND/OR WATLR CONNECTIO~i
(P~EASE PRINTJ
1) PROPERTY ADDR.SS: _ ~0~ S~~'~G~~~~
T.Frar D~uprTcv: G-~T a, ~~-G~X?K~ ~~ir_~JY s~ I
(Ir~t/Block/Subdivisicn or Tax Parcel I.D. Pi~r~r1 ~
~ ~{I;':'_:G S?°;L'~I''~vz'., Dtl'r' OFORIGi^.TAL `uiI'i.lll::~ :~_~S'~ ISS~;:~;G.:
_ar,
P.D~.C.L~.T. ..~~II::~:/?~??OPOS~ L'S': ~ 1 SL;GLE FP?~SLY . -
'O R-2 ^uUPT.~: ('P,;a L~'ITS)
~ i2-3 TCr~:~?CvJcr mc.-n,W i^ c( mc -
L.]IT,.) Wi 2_„)
~ R-~k A~'A;mrc~:T/CC:3~Ciir_ll~~l ( U~ZT_Si
p CCt~SE.°.CL~i./RETAIL,/Oc~'IC'~
? L1'DliSi~L=~L
? I~;STI;'LT20:]AL/GC'iJE.T'u~:~~:T
2) APPLIC~..~T ~ (PIEASE PRiNi)
NAh~: ~G/.i~ySi•wi ~U/GUc7ZS
two~ss: /6_5~ fUo%'c.ioo~
CI'I"_', ST~'1T~', ZIP: ~`--~(ry~/~,~ l~Js./ _S"~~'.~ 2
PxO~: ~.3.~- -6 8 ~3
3~ P~ (PL"cASE PftlNT) FOR f,ITY I1SF ONLY
~ ~V~" k3~N~-~V~S.a~ PLU ERS LICEYSE:
~o~ss: 1. 4745 SA ~4i~E~TTi't--t 1. `~J Active
CITY~ STATE~ ZIP: Q Expired
PHONE_ n Q N t ~ Re rd
~o~,~~ PLUNBER LICENSE N
ar nitia
4j ~-L.p~.~d~,~ (PLEASE PRINT)
D111NIE:
ADDRESS:
Cl'I"L, STATL, ZIP:
PHO*IE:
5) INDICl~TE SQI-IICFi P IS HEING REQUESTEp;
CC.IDI~CPION 'I`~ CITY SEYIER
CONNDC:ION 'I1~ CZTY S4A'I'ER
~ di(~R (PLPA.~E DESCT2IIIE)
6) IfDIG~
~ C:+E:
~PLE~.SE E!OID APPROVID PEf2.+1IT FOR PICI:-G'P BY ONE OF ABGVE
PLFASE :~*AIL APP?2CJ~/fD PF~'~LLT T'J 1. 2,~ 4 ABOVE
(Circl one)
7) SI~~'IL'f2E: f DATE:
R Olalaqfs~ i~ rl saf l~:laaca ! s e?t v.sst~~q ~r ~ s isa:J~:a~ a at f~~lirJrssJ~ fq t slfa
y •
FOR C I TY U S E ON;,Y
'
i
PER*1IT ISSUED
FE~S: $ S d c~n, n~ ~ rm ~
LD~ S~.~ER ~_9_~ (I_ICL::D~ SU°C~?,F.CE)
S ~ d W~TE~Z PEI2P'IT_T (INCL'uDE JLfZC:IE~tZGL~
$ U~ WATER METER/COPPERHORN/OUTSZDE READ~3
$ WATER TAP (INCLUDE CORPORATZON STCP)
S S~.;dE4 T~P
S /J• a--~ ~(`'.Ql..,_ ~.]_r~.c.i_ - a_..=~
$ /~r f--a ACCOUNT D..F.POSIT - PIATER
$ ~ WAC
$ ~ r~'`'~ SF.C
$ TRli'VK S~ATER ASSESS:?E:IT
$ TRli.JK SESvER ASSESS~?E~iT
$ LATER~L SENEFIT/TRUVK SE;~?ER
$ LATERr1L BENEFIT/TRUNK WAT°_R
$ /.7~~. ~ OTHEP. ~
$ TOTAL
+S y~ P.PIOUNT. PAID%,~ECEIPT n~f 9d'~ O
. ~ , , . L7 '
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi-IT OF WAY?
YES IF YES, THEN A"PERMZT FOR P70RK WITHIN
~ PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERZNG ~IVISION. LIST AS A CONDS-
TION.
SUBJECT TO THE FOLLOL9ING CO[VDITIONS: •
A!'PRUVED BY:
TITLE:
DAT°: ~~-/-~~j~
4 si+ ~•c+~ ~c~ ra ~cw wt+~ w~ w ss~ ws~ Ra ~.t~ w~~ w~ wca wF ~~a ~i+ w.a ~ s~ w~
~ Tollefaon Butldare Inc. 1j11~ J,- Oc.11584
~ ~ w 188-3
N JACK50N - SURVEYDRS
RLOItTiR[D YND[R LAW~ OI ~TAT[ O/ MINNtlOTA
Scale; 1" 40'
e I~(IDC88 IC011 3g~gEAST66th8TREET,MINNEAPOIIS,MN68477 7Y7-3484
~-,urainage \ \
-=Drainaga 6 Utllity Easement
OOO.O:Exiating Elev, ~DpTbtpOC'g ICtCll~tAt0. a~
S
Proposed Garage Floor ELe . 9 L e.o " ~
, ' 0 i
1
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1 N[11[~Y C[1171?Y TXAT TNi ABOYt 1~ A TRU[ AMO CORRlCT rLAT OP A fYRY[Y
Lot 2,Block 1.Brittany Sth. Addition,
Dakota C~unty.Minnewta. ~
9eh. J~a. 198~
A{ /UPVtV[D ~Y M[ TNI/- OAY O? A.O.
/ /
~
1
810N[
' F. G. JACK60N. MIMNSW R uTMT~oN. No. a600
VV~hU~V
' ~ CITY OF ~~}~./~i~) BUILDIN(i DEPARTAIENT
' l;7CrERIOR ENVII.OPE AYERA(iE ~~U~~ COMPUTATION
~ (To be suhmitted vrlth building permit application)
One or Two Family Dwelling Owner
All Other Site Addreee ~i43 ~~('IELI~
Contractor -('U(L~~SDI~ I~i~ll.17~RS Date ~ 0" Phoae ~IS~}~i7~
LINEAL FEET OF
EXPOSED YUILL In/02K5{-/~7- it. above grade ~ 1, 793• oU
TOTAL EXPOSED WAI,L AREA SQ. FT.
0?A~UE Wp.LL COhSTRll~TIOPis ~~U~~ Value x Ares
~ "Un x Sa. FT.~~ 3:I (U)(A)
Detail uUn x S@. FT. 5t3,b~' _ (U)(A)
reference ~~M ~ '~U~~ x SQ. FT. [OZ.92 = (U) (A)
Yrom nqu x SQ. FT. = (U)($)
attached r~U~~ x 8Q. FT. a (U)(A)
sheete upu x SQ. FT. _ (11) (A)
WINDOWS: ~~U~~ Value x Area
P1ake & Type ~/~LSI~ ~5A/~~T~~U~~ ' x SQ. FT. SSS.~o~a
42~,5fi (U)(A)
n np~~ x SQ. FT. _ (U)~A)
n n uUn x SQ. FT. ' _ (U)(A)
n u npu x.BQ. FT. ~ (U)(A)
DOORS: "U~~ Value x Aree
P1~:~ce & Ty»e 5TE1;"L-ti(IbGY.~~U~~'~ _l~ x SQ. FT. ~1•OD =~0-~.1~D (U)(A)
u n u~n x SQ. FT. _ (U)(A)
n u npn x SQ. FT. ~ ~U)~A)
u o npu X SQ. FT. _ (U)(A)
TOTALS /~C13•GL'~ SQ. !'T. /o~•,~ (U)(A)
AVERADE ~~II~~
TOTAL (U)(A) VALUES 8~ a
DIVID~D BY TOTAL 1~ALL AREA 17g3• C~D 07
AVERAaE ~~U~~ , jg r leea for 1&2 family dwellittga
ROOF/CEILINdi .
TOTAL 6REAs '
Detail referettae ~~U~~ ./JZ/ x 8Q. FT. / - ~1~. -~„(U)(A)
from ~~U~~ x SQ. FT. . (U)(A)
attached sheete. ~~U~~ x SQ. FT. _ (U)(A)
Describe oneninga ~~U~~ x SQ. FT. a (U)(A)
in roof. ~~0~~ a SQ. FT. _ (0)(A)
TOTAL (II) (A) VALUES DIVIDED BY ~ 9 ~•~f ~~V~ )
TOTAI, ROOF/CEILItifi A13EA . „ Q,~
AVERACiE ~~U~~ .025 for ventileted roofa.
Wo~~
~f~D55 x POSED WqLL
9.soX z6r~6+90t~~~ _ l, l78•00
.sao x a~ fab+4~ x a~1~ = 6/5. o~
1, 793 • ao ~
CoNC ~
. (07 X C~6 ~ a6 -r- ) = 83: 08
gi TD~sT
. 83 x +~-~a8 +zr~~ = !oz-9z
W~NboWS
~xa~ _ ~ x = oa
2ox36 = S.oO ~ x5 = ~S o0
z~l~x 40 = ~ ab x l : 00
Z4 x 48 = 8. 00 x z - /6 . ob
ZpX~ ~ g.33 xZ ~ !6• 6b
SS. 66 aE-
.LboRS
3
l. HJ ~ 5l.. - ZB. b0
zg sr~- sE ~ = zl. 00
49.00-~
1~(~~' ~xP05ED_W~GG =
~ppF G,20<SS y~~ /743•~
z~ x~g = ~~~8-~ ~NC. ~308'
~oz.9z
„ WOUI'S 5l~~6 _ 3Z.~G~
Doa~ ~9•cY~
„
. ~
- --wntL sECTIOH-
. '
Deterimining ~~II~~ valuee at Roof~ Wall~ Rim, and Conc. Block
ROOF/CEILINa (R) VALUE
1.) Ittterior Air r'i1m 0.61
2.) 5/8~~ ayP. sa. .56
3. ) Insulation ~ o0
5.) Exterior. Air Film .61
tSTILL)
I 2 3
6 uUa = 1~R= •OZl i'OTAL ~R)= 95•7~
~
~ , ,
yypI,L R VALUE
\°J
6.) Interior Air Film 0.68
9 7.) ayp. sa. .45
8.) tnsulation )9.00
9. ) ~}z'~ Bv~GT-R'~TE 2•04
10.) Mnaonite Siding .67
~0 11.) Exterior Air Film .17
l .
' ~~p~~ = 1/R~ .OQ3 TOTAL (R)=Z3.o~
~
r
RIM (R) VALUE
~ ~3 12. ) Interior Air N'ilm 0. 68
~~0 i t3.) Ineulation 1q.oo
14 1y.) 2~~ Fir Rim dolat 1.88
~ 15 15.) ZS/3,Z~' R.s~aT-~i~ Z.o4
16.) Maeonite Siding .67
17.) Exterior Air Film .17
- o .
dQ . , . nII~~ ~ IIRa ~ ~.(J TOTAL (R)=zl~~~
O . ' p° .
~ FOUNDATION R VALU
18.) Interior A1r Film 0.68
' 19.)
2~ u'y ~ ~ ~ .
n ~~j~'. 9 21,) 12" Cottcrete Block 1.28
' e n ~ 22.) ~~GID ~h1$uL• $~00
~3 ~°~j .1 23.) Ex~erior Air Film .17
0
L~° + do • npn e 1/R= . 09$ TOTAL ~R)= 10.~~7
~
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132235
Date Issued:07/31/2015
Permit Category:ePermit
Site Address: 4843 Sheffield Lane
Lot:2 Block: 1 Addition: Brittany 5th
PID:10-15004-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Jeffrey C Brandt
4843 Sheffield Lane
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140751
Date Issued:01/19/2017
Permit Category:ePermit
Site Address: 4843 Sheffield Lane
Lot:2 Block: 1 Addition: Brittany 5th
PID:10-15004-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Jeffrey C Brandt
4843 Sheffield Lane
Eagan MN 55122
(612) 325-5973
Tri County Water Conditioning Inc
325 Third Ave NW
P O Box 65
Huchinson MN 55350
(320) 587-2950
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179739
Date Issued:10/19/2022
Permit Category:ePermit
Site Address: 4843 Sheffield Lane
Lot:2 Block: 1 Addition: Brittany 5th
PID:10-15004-01-020
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Jeffrey C & Bernice Brandt
4843 Sheffield Ln
Saint Paul MN 55122--277
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature