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4854 Sheffield Lane CITY OF EAGAN ilot Knob Road 'W30 P WqTER SERVECE PERMIT i P. O. Box 21199 PERMIT NO.: 37 Eagan, MN 55121 DATE: Zoninp: 'f", No. of Unirs: ~ OM'nQr: /\ddress: site Address: ' Licid n ; L2 isrittanv 5th ~ Plumber: Meter No.: Connection aor 4 S 0. 0 0 pc~ Stze: _ Reader No.: ^tcount Deposlt: Permit Fee: I0.00 Ui3 ~agrw to aaaPly Wi& 11N Ctfy ef Eoqen Surcha o.dtnencu. .50 Dd Mtsc. Choroea: 6 0. 42 pci r,e te r B Totol: Y Daft Dote of I Poid: nsp.: Irup.: i - ' rfTY O` EAGAN SWER SERVICE PERMR ~ 3830 Pilot Knob Road I P. O. Bax 21199 PERMIT NO.: ~~24 ; Eagan, MN 55121 DATE: 6-23-83 ~ i Zontnp: _ RI No. of Units: 1 ~ owner: i ollef son Bldrs _ i Address: ~ I Site Address: 4854 Sheffield _T,it. L5 L2 Britt.arzy 5t-h i ~ Plumber: GenZ RvESl r -,-2G-03 36034 100.00 pr: ' 1 pm to osrnply wM t6 Clhr of EoOee Connection Chanpe: t; I - 4 2 Ordimnast. AacouM Deposit: ~ Permk Fee: _ I n rin ; ~ Sl/rcharge. • 5 Li L I ~ By Misc. Chorpes: Date of Insp.: Totcl: Insp.: Dote Paid: CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 weceIvso FROM AMOUNT $ I & DOLLARS 1 ao ? CASH CHECK FOR FUNO CODE AMOUNT Thank You BY ' 1M1ite-• Yell• P' r CITY OF EAGAN 3795 ?ilef Koob Road Eeyon, MN 55122 8~~._,'~b' ' PHONEs 454-8100 BUILDING PERMIT Reuipt To be wed for qF DL,TG/GAR Est.Yalue $105_004 Date M~•• , 19 Site Addrcss 4254 4hPff1Pld T.anr+ Erert ~ Occuponcy R-1 Lot 5 Block _2 Sec/Sub. Bri ttany 5th Alter ? Zoninp u-1 Parcel +99,94 r+rn 92 Repoir p Fire Zone MA Enloroa ? Type of Const. un W Na~+e Tc~llafae~ R~ilc:araTiu~ . Move p # Srories ~ z ra Demolish p Length~_ Addross_..1.655 iJoxwcoA iZ.4,.,. CityEaizan Phone 54_ Grode ? Depth 16 Sq. FL. ~ Approrols Ftes ~ p Name _().i,iner u~ Address Assessment Permit 4 4S 5(1 ~ Ci phone Water & Sew. Su?chcrge 59,90 Police Plon check??'75. ~ W Nome Firo SAC - s-, nn /~ddrass Enp. ' Wctcr Conn. t W Ci phore Plonner Water Meter h Cl _[1n Council Road Unit I hereby acknowledge that I hove read this opplicotion ond stote that Bidg. Off. the informotion is torrect and ogree to tomply wifh oll opplicable Totol State of Minnesota Stotutes and City of Eoyan Ordi~ances. Sipnoturc of Permittee A Building Permlt Is issued to: Tollefson liuildera, Inc. pn {he express conditlon ehcjl oll work sholl be done in actordonce with oll epplioobla Stotp/of Minnesotn Statutes ond Ciry of Eoyan Ordinontes. 8uildlnp Offlciol . " - < - - - . . ~ ~ • ' ~ 0 x d ~ 2 `m r = v ~ ~ ~ • o ~ . a iL ` A 3 JI- lm Cc ci > ; fb ~ d x i _ a = o 2 c 1 LL LL 0 {L ~ fA p, CORRECTION NOTICE ~ - + (7 DATE: ~L'-~'~~ ~ ~r7~, ' Addreu Site Name . Owner/Agent r009 Telephone Qwner/Agent Address 1'6 %'.5 j , Ordinance Nos. and Corrections - Correct By ~ L4~ lI ~ !•1r ~ : ~ 4RIF/~ ~ -12 ~ C f~ ~ • { l. ~ ~ i:= 0~~:?< ' ~ ru• ~ -..r ~ ~ ~ ~ C~ , , I ' For reinspection Eagan Dept. of Inspection InSpeCf6~: ,13735 Pilot Knob Rd. Eagan, Minnesota 55122 • 454.8100 Dept.: ~ r . ~ 06 A4jaf ri-q- , ~ . . .z: ~ . • - . . l, P • £ r, y ~s y~i',. ` ~ ,ti 3"' • t S . ,a.~• . ~Sx ~ }r { ~ ~ ~ ' ]~e~;n' . . . ~~f..r~.~.r~.~~F~L"iJl.f. .'r.:~.•~.fi ~..di~.~~~+ s~~~'•~'1r.ra~1'~.~~li~ Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN ~ Fee , , Fill in numbered spacea S/C I'Type or Print legib/y Tot. ~ 1. Date 2. Installation Cost : i • ~ , . - `i%,~. . - ~---J ~l 3. Job Address ,Cvt_~? Blk. ;Z' Tract .S ~ 4. Owner ~ ; ~ _ -r-r,..., ~ 5. Contractor Phone r3- ' ~ 6. Address 7. City State " Zip ' S • ~ 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New Q Add ? Alter ? Repair 11 10. Describe Fuel Type 11. No. EQuipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mtg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to wmply with all ordinances and cqdes governing this type of work. , J ! Signed : ° - for Rough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 Reoeipt PLUMBING PERMIT Permit No. ~ CITY OF EAGAN _ Fse ~ , Fill in numbsred spaces S/C ~ Type or Print /egib/y Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract z t it _ a-T / 4. Owner 5. Contractor _ . ~ Phone 6. Address 7. City State 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 Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower 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 all ordinances and codes governing this type of work. i Signed : for Rough Final ~ Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 I 1NSYEU`1'lUN KLUUK1) CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: t ll 1 FFNt PERMIT SUBTYPE: TYPE OF WORK: ; INSPECTION . D. F ~ L Permit Holder Date Telephone M PLUMBING HVAC inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING a N s~F,.~..ac-r ROUGH PLUMBING PLBG AI R TEST ROUGH HEATING GAS SVG TEST INSUL GYP BOAFD FIREPLACE FIREPLACE AIR TEST FINAL PLBG fINAI HTG ORSAT TEST BLDG FINAI, DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CITV OF EAGAN Remarks addicion BRTTTAxY STH ADDR Lot 5 eik 2 Parcel =450ols"`o504V Owner street 4854 WWI= LANL''' state EAC'PJ MN 55222 Improvement Oate Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 19T6 133•57 8•90 15 !F SEWER LATERAL 1982 1OO. 38O.1S WATERMAIN • WATER LATERAL 1982 ~"j WATER AREA 1 82 305.65 1.13 5 STORMSEWTRK 1982 6146.69 129.34 5 388.03 A012874 10-4-83 1F S70RM SEW LAT 19$2 5 CURB & GUTTER ' SIDEWALK STREET LIGHT ROAD LTNIT 250.04 36034 5-26-83 WATER CONN. 450. OO ° BUILDING PER. $076 sac 525.00 " " PARK Thi, request void L 5 ~ B Z~ Bn'~n~ 5-~~- 3(a~~ a 18 months from dY 081278 y4li Requtls[Ce= Fire No. F ugh-in InsUec[ion ~ fle ired? ~ReaAy Now~Will Notifv Inspec- 9~ ye+ ?No ~or When Feadv Licensed ElecViual ConVactar I hereb re y quest inSpaCtion of ebOVB Owner elecVical work instelleA ab Street A dr ss, eox or Route No C, ' Lce ~ ecuon o. Township Name or No. Ranpe No. Coun OccvpnntlPRINT~ Phone No. Power uppliar qqq Atldres3 EI ical ConVector ICOmuany Namel Cuntrar.mr's License No. ~a Mailin tldress ICOnV r or Owner Making Instailat nl AuthorireA Signamr e ICo tor/Owner ~ki~ny ~knsV/ ~-te~llalion) hone Nurnbj~k , J ~'11 & MINNESOTq STATE BOAHD OF ELECTRICITV THIS INSPECTION flEQUEST WILL NOT Griges•Mitlway Bidg. - Noom N.191 BE ACCEPTEO BY THE STATE BOARD 1821 University Ave., St Peul, MN 55104 UNLE55 PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ' See inatructions tor completing this torm on back ot Vellow copy. ~ Be ow~~oi? o ered by This Request 3(07 ~2 o'L Atld Pap. Type of Building AOPliancns Wiretl Equinmen[ Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric HeaLn Commercial Bldg, Furnace Silo Unloader Industrial 81dg. Air ConAi[ioner Bulk Milk Tank Farm t yo ume, (sne,fv) ~ e. succirv ~ othor Campute lnspection Fee Below q Fee Sarvice EntrencaSixe il Fee Feeders/SubfeeAers P Fnn Circuits 0 to 200 qm s 0 to 30 Am s 0 co 30 Am ps Above 200 qirqps 31 to 100 Amps vF 31 to 100 qm s Swimming Pool Above 100_Am s Above 100_AmPs Transiormers Irrigation Booms Partial-'Other Fee Signs Speciallnspection $ T AL FEE Aemerks Q-J Rough-in D;~[ he ectricel spector, heroby certity taat the above Final insoection has been mada. Thle recuest voitl 18 months from CITY OF EAGAN p , 9795 PUM Kno6 Raad Esgan, MN 65142 *T jr ? 8076 PHONE: 454-8100 BUILDING PERMIT Receipt # Te b! YNA f0r SF DWG/GAR Est,yalue $105,000 pate May 26 iq 83 Site Address 4854 Sheffield Lane Erect ZCJC Occupancy R-3 Lot 5 Blxk z See/Sub. Brittany Sth Alrer p Zon;ng R-1 Parcel # 10 15004 050 02 Repolr ? Fire Zone NA Tollefsan Builders, Inc. Enior9e ? TypeotConsr, gn W Name Move ? #Stories Z z Aadress 1655 Norwood Drive Oemoiish ? Length50_ C; Eagan 55122 p,o„e 454-6873 Grode ? Depth 36 Sq. Ft.- ~ Owner Approvak Feo. Name p Addreu Assessment permit 445.50 u~ Cit Phone Water 8 Sew. Surchorge 52.50 F Police Plon check 222.75 ~w Nnme Fw Ffre SAC 525.00 Address Enp. ' Water Conn. G S!1 . flll Plonner WaterMeter 60.00 Councfl Road Unit 250.00 1 hereby ackrawledge that I have read this opplicotion and state that Bldg. Off. the information Is correct and agree to wmply with oll opplicable APC TMOI $2005.75 State of Minnetoto $tatutea and Ciry of Eagon Ordirances. SlBnoturc of Permittee o e son ui ers, Inc. A Building Permit Is issued ro: on the express condiHon thnt all work shall be done in xcordonce with I opptiko I of Minnewto Stotutes and Ciry of Eagen Ordinancea. /f n Building Offltiul Y+f ~ ~ ~ ~ . ` ~~~j CITY OF FA['~}1N Include 2 sets of plans, 1 site p7.an w/elevations 6 gUILp1NG PEFMIT APPLICATION 1 set of erties'gy calculations. - ~M1 Val~~iation 1DSOY.l7 ~ Date 'ib Be Used For site Address /~-R OFFICE USE ~'Y Iot ~ slocx ,s/ec./su6. Erect J~ occupancv -°J Paroel f0 / 5oo Oso ~ Alter Zonirig gepair Fire Zone oaner: LdMI Enlarye _ TYPe of co++_Gt / # Stories Address: Demlish Front ~ 6 ft. City/Zip C,ale: Grade DePth Ptnore APPIdOvAis , Tc,~nn 17,11 I y~,~{~,{~s Assessrealts Permu~~ QOHtr3CfAr: ,7 Ji Water/Sewer S ~,c~aregs: 1l9~ I~rn-inlMJ Polloe P1an Check ~51aa 5 ~.s ~ City/ZiP Ckode: Fire SAC Water Conn. Phppe Plaruyer Water Metes Council Fnad Unit ~ SD prch./F71q.: Bldg. Off . pcldress: APC City/Zip Code: 'R7PAL 17 o`ZDO Pltoaie 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan <I 7-1~. U 3830 Pilot Knob Road, Eagan MN 55122 U Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdbn Reoviremenis RemodeUReoair Reouirements i3~iceUseb~v 3 regislered site surveys showing sq. N. of lot, sq. ft. of house; and all roofed areas 2 copies of plan ~4Fd Y. ~ (20% maximum lotcoverage allowe~ i set of Energy Calculafions for healed add~tions TteCvre3gldtf Recd Y; :N 2 copies of plan showing beam 8 window sizes; poured found desi9n, elc. . 1 site survey for additioirs & decks 7r~B Ares 1~eq4j~Ey1 Y; ~d 1 set of Energy Cakulaiions Addi(ron - indlcate rf on-site septic sysfem Da~sdB ~ep'fiC.~st0h7 MYN~ 3 copies of Tree Presen2lion Plan rf lol plaried after 7/7193 Rim Joist Detal Options selection sheet [bldgs wilh 3 or less unils Date /I! ~ / /1/~Ti Construction Cost o7.~ Q~ SiteAddress y~Sy Sh e7`-e iV L< t e Unit/Ste # DescriptionotWork 74 cs I fflll~! 1L115 7~ 74 Multi-Family Bldg _ Y X N lireplace(s) _ 0 2 Proper[y Owoer Vi°&i 5--M X12 d e Telephone tf ('iS 7 i Contractor e op/~•.S Address ~,2ea City ~ lC U~. (~j~) y~lr- -2 73~ State /''U [V 7ap S-a-U Y(~/ TelePhone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Venlilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submifled Submitted • Energy Envelope Calculations Subm(tted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber i q ; • _ Telephone ) ' !i Mechanical Confractor G/ ~u~ ~ e. 411 / Telephone ~ Sewer/Water Conhactor Telephone # ( ) \ LJ/ ~ I hereby apply for a Residential Building 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 State of MN 5tatutes; I understand this is not a permit, but an application for a permit, and work is not to start without a permit; that the work will e in acc with the appr plan in the case of work which requires a review and approval of plan Applica 's 'n Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 Otot_plex ? 09 07-pleac ? 17 Garege ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 17 10.plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement-' 38 Demolish lnterior.= b'44 Siding ? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• Cp 43 Reroof \ 46 Windows/Doors ? 34 Replacement 'Demoiition (Entire Bldg) -Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water . ~ . SAC Units Stories Booster Pump . " # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinkiered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Foofings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice& Water _ Final _ Pool _ F[gs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Buiiding inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 5 rs s-o PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for. Single Family Dwellings Townhomes and Condos when permiu aze required for each unit Date z 1-2-F Site AddresA/ 6-7 / n Unit # Property Owner peap ~~m br~ _ Ci Telephone # (k1 ) /J//Ll ~ Y.J U' / Contractor ~ • ~ ~ UJ;(Wh I ~ Address 3 C/i ?0 pC/~a Ed' City ~2wa State il~l~nn. Zipft2J/~~ Telephone# (Lryf) ~i(1',I ~J~~ The Appiicant is _ Owner ~Contractor _ Other SeptiC System New _ Refufbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround 5!8" meter if needed -$121.00) Other: _ RPZ new installation _ repair _ rebuild ^y 30.00 _ Lawn irrigation system _ _ Water sottener x Water heater 0 379CI $ 15.00 4replacement _ additional LJ Y- - State Surcharge $ .50 Total $ ~ I hereby apply for a Residenrial Plumbing Pemut 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 with the Plumhing Codes; that I understand this is not a pemilt, but only an applicafion for a peimit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Aln), ApplicanYs PrinYed Name Ap ' anYs Signature ~V 138-I . - ' . 3830 Pilot K]]3 Public Works Depactment Eagan, MN SEngineering Division Phane: (651) U R V EY C3 R S Cj~ Of Ll(k(~QA Fax: (651) 6TDD: (651) <TwTi 7I Y1MwEfUTA ToS W You ScalllQOs Requested p FYI us, MN ssan ~z%-s~e~ e~ am £onvarding the attached material. If you h_.3D-8104ge questions, please feel free to call me. ~c::ifrcatt "I A Lr 1 . . ' . Fro~\C.L~ ~ S2 x W V, L / rc •r. o C . L C)T 5 0 0 ~ ' ~ J . ~ A ~ 1r G 4O ' ~ •o I'A211B6v C[RTIFY TMAT TFIE AHOV[ IS A TRU[ AtiD COR0.[CT P,.~AT OP A SuRVCY 0/ Iat S,SYack 2,5rit*_20y Sth. Additian, , Jakota C2unty.l3i0oe90[a. 6[h. MaY . p 2933 _ I ~AY Dr Af fURV('«D ~Y r[ TMI{ / $IOM[ f. C. J,?CICSON. M~wKt~o? 1~wtsrwwrww. No. 3800 FERMIT CLTY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u~ ~ o z N e Eagan, Minnesota 55122-1897 Permit Number: 033175 (612) 681-4675 Date Issued: 0 g/ 0 4/ 9 g SITE ADDRESS: 4854 SNEFFIELIJ LANE LOT: 5 BLOCK: 2 BRITTANY 5TH P.I.N.: 10-15804-950-02 DESCRIPTION: REROOF/STORM DRMAGE 8,~~1d ermit 7ype STORM DRMAGE nding 4~~rk 7ype REPAIR u OnsGS C-crde434 ALT..RESIDENTTAL ~ *P3` i',a ~w." ,~a atv%+'--.~ j @-" $^j . .uti.36 g ~iF r a a i fi r,t} (v i~..~ { sa r'~ e p»-ap ~k5Y!,. t~ av.# G g, "wC~' R :ra ~ gA .+y ti~ L4 u'' IE „L.m4 ~`«a REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - 5T. tzc. OWNER: AZTEC ROOFING 18950040 20139140 CAMBRIDGE DEAN 11583 RUPP RD 4854 SHEFFIELD LANE BURNSVILLE MM 55337 EAGAN MN 55122 (612) 895-0040 (651)686-7365 = T hereby ackncwledge that Thave read th3s aP,plicat"ian antf staCOsthat the a.nfurr"t3pn` tarr:Oct -and agree tc+ cttmply w3.th 111 applacAbit sCate vf Psn. ' r S ~at~r~~s antf.~zty of Eagat~ G~r~d~,nances,: APPLICANT/PERMITEE SIGNATUFE IS D BY: SIGNATURE ~ - 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 7 ~ 681.4675 y5~3 New Construction Reauirements RemodeVRecair Reauirements ? 3 registered site surveys ? 2 copias of plan ? 2 wpKS of plans (InGude beam & window sizes; poured fnd. Eesign; etc.) ? 2 site surveys (exterior add'rtions 6 decks) ? 1 energy ralculations • 1 energy wlculations for healed additions ? 3 copies of tree preservation plan if Ipt plaCed after 711183 raquired: _ Yes No DATE: ~-,-T-o ZS CONSTRUCTION COST; LD~20 DE=ADDRESS: F WORK: ~ L~ ST4~~~ & 'hX L~ LOT: S BLOCK: SUBD./P.I.D. Name: Phane CYIj& ` PROPERTY ~C First OWNER ~ Street Address: c,ry pnSmte: Z,P: Company: Phone (1 ~O CONTRACTOR f~~ Sffeet Address: Licrnse # City ~z)RAIK tl/~ / /S State: Zip: 5~7 ARCHIT'ECT/ ENGINEER Company: Phone Name: Registation IZZ~ Street Address: Ciry State: 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 application and sfate that the infortnation is Correct and agree to ty with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ~ Certificates of Survey Received _ Yes _ No j,ciJo Tree Preservation Plan Received _ Yes - No Not Require OFFICE USE ONLY ~ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4plex 0 12 Multi Repair/Rem. ? 17 Swim Pooi ? 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 O 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bidg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit 51W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units I iallgfs + Batldere Inc. • ~ Or.11$13-I . 188-1 JAC'sKSQN SuRYEYO.....RS . DB6l6T6N[O LNddp LAW6 OI RATQ 0/ M/MMII}pTA " " , SC=1P.i1~~~1 ~ 3676 EpST 55th S?REET, MINNEAPOLIS, MN 55477 727-308t 9= jT,m V00.0=EEL6LLRg FIEV. &tirhtpui'g ~cCk{Gtait ~=Dzafoage • ~ ~ , , - - A 9~a V g~9 ~ \ a . L I ~ N N 'i LLJ r 141 r L OT tl p p V7 1 M'aREBV C[NTIFY TNAT Tt1E AHOY! H A TRUE ANp CORFlCi PLIAT OF A SURV[T O? ~O . O Eat S,Black 2,5riktany Sth. Rdditian, pakotn Countq,d9inaeed[a. ~ wR SURVLI'6D w rs rNn k~y'------- Dwx o? May ._p, 1483 SIawB ~ . F. C. ACK9ON. 1A Reareiaur.Tww. No. 1900 Cities Di ig tal Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. I ' S -w d>; SS'.yNl r ~ S s. . - 1~ ? iy.t ~ F 48 ttfr.~.;,~vyt~4 ~ JY W ? 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' , .u_-... . 3o.sa Oa\1 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complele for. single famity dwellings & tnwnhomes/condos when permits are required for each unit Date ~ / U~/ Site Address Unit # Property Owner Sl nl/Il Telephooe # d Contractor ( ma'a4it/> Street Address ~S~7 C., l 0/01 CitY A ssece b4 .'1 zip SS/o1N Telephone # Bond Expires: The Applicant is _ Owner -0~Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ~ furnace _Additional .41"/Replacement air exchanger ;L air conditioner _New v/Replacement other State Surcharge $ .50 Total $s0, I hereby apply for a Residential Mechanical Permit and acki owledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Cily-of Eagan and witYi ttie-Mechanical Codes, that 1 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. ApplicanYs Printed Name ApplicanPs Signatute 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commercial/industrial buildings mul[i-family buildings when sepazate permits aze no[ required for each dwelling uni[ Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telep6one # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner Contractor Other Work Type _ New Construction _ Underground Tank _ Install _Remove'"see below _ Interior Improvement _ Install Piping _Processed _Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing fnspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharee) or ContractValue $ x 1% PermitFee • If eo rmi[ fee is $1,000 or less, add $.50 Z:> $ State Surchazge if ermit fee is over $1,000, add $.50 for every $1,000 ermit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not ro 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. ApplicanYs Printed Name ApplicanPs Signature Approved By: , Inspector Date: zoos RESIDENTIAL MECHANICAL rExnziT arrLicnTioN So City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits aze required for each unit Date ( _ Site Address ShekT 1e-0 Lar,e Unit # Praperty Owner ~Y~ CQmb~,dae Telephone # ( ~p~) ) ~D$l0- ~~OGJ Contractor Ron's Mechanical, Inc. StreetAddress 12010 Old Brick Yard Rd City Shakopee State MN Zip 55379 Telephone# (952 )445-8585 BondRL:r~ Sbk`(-Qy Expires: FSl70b_D( The Applicant is _ Owner ~ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ~ furnace _Additional ~Replacements(r~G V U _ air exchanger _ air conditioner 6 heat pump other State Surcharge $ 50 , Total I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will , be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Ltrc_ia JernQnd-er ~ Applicant's Printed Name Applicant's Signat e PERMIT City of Eagan Permit Type:Building Permit Number:EA136535 Date Issued:05/18/2016 Permit Category:ePermit Site Address: 4854 Sheffield Lane Lot:5 Block: 2 Addition: Brittany 5th PID:10-15004-02-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Dean Cambridge 4854 Sheffield Lane Eagan MN 55122 Great Lakes Window & Siding 14690 Galaxie Ave Apple Valley MN 55124 (952) 891-3400 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166635 Date Issued:01/25/2021 Permit Category:ePermit Site Address: 4854 Sheffield Lane Lot:5 Block: 2 Addition: Brittany 5th PID:10-15004-02-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dean & Shelly Cambridge 4854 Sheffield Ln Saint Paul MN 55122--277 Great Lakes Home Renovations 14690 Galaxie Ave, Suite 100 Apple Valley MN 55124 (952) 891-3400 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174583 Date Issued:02/04/2022 Permit Category:ePermit Site Address: 4854 Sheffield Lane Lot:5 Block: 2 Addition: Brittany 5th PID:10-15004-02-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dean & Shelly Cambridge 4854 Sheffield Ln Saint Paul MN 55122--277 (612) 433-1849 Total Home Solutions Llc 1008 Prospect Pt Rd Jordan MN 55352 (952) 207-6995 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176980 Date Issued:06/09/2022 Permit Category:ePermit Site Address: 4854 Sheffield Lane Lot:5 Block: 2 Addition: Brittany 5th PID:10-15004-02-050 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 - Dean & Shelly Cambridge 4854 Sheffield Ln Saint Paul MN 55122--277 (612) 433-1849 Twin Cities Contracting Services 140 W 98th St, Suite 202 Bloomington MN 55420 (952) 405-6201 Applicant/Permitee: Signature Issued By: Signature