840 Sudberry Lane
CITY OF EAd"A
3830 Pilnt Knc Road WATER SERVICE PERMIT
P. O. Box21199 PERMIT NO.:
Eagan, MN 55121 DATE: - - 7' ~
Zoniny: ~i No. of Units: ~
pwner; 3ose h Miller Conat
/lddress: ,
~ite Add 't-°"uaoe~ry R2 Sheffield
'r~rr r,-rrrr~e
Plumber ?cnLC cs~ r.~drt
A:,1'eter No. Connection Charge: 470. 00 pd
e: rr r~ 1~00o De Ia Q 0 Iad
urrt posit:
; ,
Reo No.• Permit Fee: 10.OU pd
1 "eao to 400PM'"Oft !M City ei Eayew Surcharye: Pd
Orrinenan. Mtsc. Chorpes: _ 63.00 pd m~
Total:
BY Dote Poid:
Dote of Insp.: ~~~f S-"/ST u Irup.:
CITY OF EAG. N SEVUER SERVICE PERMIT
3830 Pilot Knob Road pERMIT NO.:
P. 0. Box 21199 5--24-84
Eagan, MN 55121 D^TE: Ioninp: R1 No. of Unlts: ~
' OwMr .losevh riiller Cor,st
Address:
Site Add?ess: $40 Sudberrs? Lane L1 B2 She f f ield _
Plurnber. ''iCCui[e P1eCh
5--14-84 43209 425.00 pd
1.gn. to aoinolY wI& Hn GM ef S.loa Connectton Charpe: 15.00 pci
OdiMnaa. Accam Deposit:
Pern~it Fea: 10.00 nr1
Surdwr9e: ' ~ pc'
gy MiK. Charoes:
Date of Irup.: Total:
Irup.: Dota Pald:
CITY OF EAl kN WATER SERVICE PERMR
3830 Pilflt Knoo Road pERMIT NO.:
P. O. Box 21199 ~..:o
Eagen, MN 55121 DATE:
i No. of Units:
Zoninp: .
~r. Joseph ~iiller Lone,t
Addnm' 8 0 Suc3b ~ She e
Site Addrcss: erry Lane L
M~~r. c u re ._c~c ~
Conr,ecrto., Charoe: 470.00 p
AAeter No.: , p
Size: Acoount Deposit: .
Pertnit Fee: pG
Reoder No.: . nd
1asm to eesPlp w16 tiM CNy of Eaqae 5urchorge: p met9r
Ordineee~. Mtsc. Charoes:
Total:
BY Dote Poid:
Dote of Insp.: I^sp.:
CITY QF EAGAN ~ 12112
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 - ~ ~
BUILDING PERMIT Receipt# ~ ~
To be used tor >>ECK Est. Value $ 2. 016 . Date JUNE 13 19 86
Site Address 640 SUDSERRY L:J Erect ft Occupancy
Lot 1 Block 2 SeclSub. SFiEFFIELn Remodel ? Zoning
Repair ? Type of Const.
Parcel No.
Addition ? No. Stories -
a Name KEN L"aUST Move ? Length 42 .
Z C" AIM. E Demolish ? Depth 1-4-
o Address Int Impr. ? Sq. Ft
City Phone 54- 924 Install ?
= o Name SAM Approvals Fees
O¢ Address Assessment Permit $ 3 8. 5
City Phone Water & Sew. Surcharge 1.50
~ Police Ptan Review
F Z Name Fire SAC
u 0 Address Eng. Water Conn.
i W
City Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and state that the Bldg. Off. 6/ 11/ t3 Tr. PI.
iniarmation is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances. APC Parks
- - Var. Date Copies
Signature of Permittee - .
Total
A Building Permit is issued to: ~,E+V r'AUST on the express condition that
all work shall be done in accordance with all applicable State oi Minnesota Statutes and City of Eagan Ordinances.
Building OffIC181 r" n
~
PwmN No. Prrmit Holder Dib TNophont If
PlumWn9
H.V.A.C.
Eleetrlc
180IIMN
io.peeuon oat. Insv. commwnh
I Footlngs l
Foodnqsll
IFoundaebn
Framinp
Roollnp
RouQh Plbp.
Rouyh Hty.
Insul.
I Finptaee
Ffnal Mty.
I FMaI Plbp.
I Bldp. FinN
ICert. Occ.
o.ck Fro.
ID*ck Frmy.
Wa "?Ibs Loutbn:
Pr. Diap.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ 9n6 4
PHONE: 454-8100 ~ - ,
BUILDING PERMIT Receipt
Te M w"d iw S1;' U'vti~/Glt~ Est. Value $62,UDG pme i'1AY 13 19;i4
~10 SUDB:_~''.t~ `f
Site Address Ered ~ Occuponcy i2
Lot 1 Biock 2 sec/Sub. SHEFFIF;LD Alter p Zoning
Parcel No. 10-67600-010-02 Repoir p FlroZone
~ * Enlorya ? Type of Const.
'7C?.>i;I EI I LL~R COidc7' ve
~e Name ~
i J ? # Stories
4 2
~ ,4ddrey, , r CEDAR
i t , - pemolieh ? Length
City Phone Grade p Depth Sq. Ft.
°C Name S A,'r' Approrolt Fees
~ Assessmenf ~ 319.UU
Address Permit City Phone Wafer 8~ Sew. SurcFwrge 31.00
Police Plan check~y ' 50
~W Na^e Firo SAC 525.00
Address Enp. Water Conn. 470.00
~ W City Phone Plonner Water Meter 63.00
Council Rood Unit 260.00
I hereby acknowledga that I have reod this applicotion ond stote thot gl, p{f.
fhe information Is correct end egree to comply with all applicoble A~ T~a~ , 827.50
Stote of Minnesota Statutes ond Clty of Eoyan Ordinonces.
Sipnature of Pertnittea
l~ Bullding Pem+it Is iuued to: ~ OSF;PH i~tl L,I~f;R CONST on the QxpR~ condition thno
oll work sholl be done in xcor" v~iT1t oll~applicabie S~tate, of Min?uwto Statules and City of Eepon Ordinances.
Buildinq Officiol " J ~
Permit No. Ps?mit Holdsr Misc. Parmit No. Holder
Plumbiny 'hk hUI YC/ -6
H.V.A.C.
Well
Weter
.
Savrer
n Disp
Electric 00 31.I,4-zp
Inapettion Datt Insp. Other
Footinys
Foundatfon
Freminp
Rouph Plby.
Rouyh HVAC '
Inwlation
Final Plbg.
Final HVAC
Final ~
Watsr Dsscribe Location:
VYell .
Sawer
Pr. DbP. .
.
Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee .
Fill rn numbered spaces S/C ~
Type or Print legibly
Tot.
1. Date 2. Installation Cost
3. Job Address • ~ ~ Lot 1 Blk. ` Tract
4. Owner r
5. Contractor V Phone
6. Address Vl ~ ` " t + ~ `
r~ -
! ~ l
7. City ~ State Zip
8. Building Type: Residential L~ ^ Commercial ? Institutional ?
9. Work Description: New [II- Add O Alter O Repair ?
10. Describe Fuel Type
11. No. Fquioment STU - M. Ea. No. Equipment CFM
1 Forced Air Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
c
Signed: --C'i ` for
Roughi Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
' l
Receipt PLUM8ING PERMIT Permit No.
~ • CITY OF EAGAN
~ Fee
Fill in numbered spaces S/C 77-
Type or Prini legibty TotZC. 5 G -
.
a~ ^
1. Date Installation Cost
3. Job Address 8 4 0 t=" 1 F r XL~it 1 Blk. Tract
4. Owner joc P:iller Canstructiar.
5. Contractor ''CGUlI'e P:echar.ica 1 Phone 4 G~-` C u U
P. 0. 1,0:! 21C1
6. Address
LakeviZ? c., I.inn r-5865
7. City State Zip
8. Building Type: Residential b\ Commercial ? Institutional ?
9. Work Description: New E2-,, Add ? Alter 0 Repair ?
10. Describe
11. No. Fixtures No. Fixtures
-Y" Water Closet Cesspool/Drainfield
~ Bath tubs
Septic Tank
Lavatory Softner
I Shower Well
/ Kitchen Sink
Urinal/Bidet Other
~
i l.eundry 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.
Signed : • for
Rough Final
Inspections: Oate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8700
~
CASH RECEIPT ~
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
/ . .
DATE 19 ~
Recpnveo ~ .
nwow . ;.C .
AMOUNT $
-
DOLLARS
~oo
? CASH CC1CHECK
`
/
FUND CODE AMOUNT
i
T You
~
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File CoPY
Y •
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt #
Tobeusedfor pL'EstValue a1, 500 Date
Site Address 0 SGa; r.RRY. LN OFFICE USE ONLY
1 :4 1:r:F, ? ~ULD A.-) n
Lot Block Sec/Sub. On Site Sewage _ Occupancy
MWCC System _ Zoninq
ParC@I No. On Site Well _ Type of Const
City Water _ (ActuaQ
a Name P. (Ailowable)
of Stories
; Address . Length
° City Phone S'-_ 1'' oepth
S.F. Total
¢ Neme Footprint SF.
O
Address APPROVALS FEE8 4 4 5 J
~ City Phone Assessments Permit l,r,o
Water/Sewer _ Surcharge
W W Name Police _ Plan Review
~ Z Fire SAC, Ciry
s n Address -
Engr. _ SAC, MWCC
~ W City Phone Planner _ Water Conn.
Council _ Water Meter
I hereby acknowledge that I have read this applicatfon and atate Bldg. Off. _ Road Unit
that the information is correct and agree to comply with all applicable APC - Treatment Pt
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Copies
Signature of Permittee TOTAL
A Building Permit fs issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea
Building Official
Permit No. Permit Hoider Date Talsphone ~
Plumbing
H.V.A.C.
Electric
Softener
Inspectlon Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition SHEFFIELD ADDN l.ot 1 Blk 2 Parcel 10-67600-010-02
Owner Street 840 SUDBERRY I.ANE state EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, al 28.6$ .4 20 22.96 A 014297 7123184
STREET RESTOR. W$ 178.09 COD-8511 9-19-83
GRADING 591 1981 1.10 6.0 15 66.82 A 014297 7 23 84
Sewer Lateral 521 1981 152.98 10.20 1 112.22 " "
SAN SEW TRUNK 5 1981 63. 30 4.22 15 46.42 i' 'p
SEWER LATERAL 510 1981 6. O 6.4 1 77.22 vi
Sewer Lateral (PR / 1982 6.06 4.34 1 52.07 A 014303 "
WATERMAIN 519 1981 128.08 8.54 15 93.96 A 014297 7 23 84
• WATER LATERAL (oq 7, 1982 48.16 3.21 1 38.53 A 014303 it
WATER AREA 1981 6. Q 4.22 1 46.42 014297
• Poxerline 1982 15
STORM SEW TRK 1985 56.09 91.22 5 o D a 33 3 yo p
` STORM SEW LAT DTSill e 1984 91.75 9.18 10 91.75 C008511 9-19-83
q 2 60 , 03 eo0 333 /z-O/d
CURB & GUT ER
SIOEWALK
STREET LIGHT
Street 1985 1941.64 . 6 ep O Z,e
ROAD UNIT 260.00 43209 5-14-84
WATER CONN. 470.00 " "
BUILDING PER. 9069
sac 525.00
PARK
1
' CORRECTION NOTICE
DATE:Z-OF.-
Address Site Name
l
Owner/Agent Telephone
Owner/Agent Ad ess
Ordinance Nos. and Corrections - Correct By
3795 For reinspection
Eagan Dept. of Inspection Inspect
~
00 4L LM cni2
Pilot Knob Rd. v I
Eagan, Minnesota 55122
4548100 Dept.:
_ CITY OF EAGAN N° 13383
t 3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Rebeipt#
Tobeusedfor FIREPLACE Est.Value $2,500 Date MARCH 26 ,tg87
SiteAddress 840 SUDBERRY LN OFFICEUSEONLY
1 2 SHEFFIELD ADD onsitesewage _ occupancy
Lot BIOCk SeC/Sub. MWCC Systam _ Zaning
ParCelNo. OnSiteWell _ TypeofConst
City Wa[er - (ACtuaq
rc Name KENNETH R FAUST (Allowable)
# of Stories
~ Address SAME Length
~ City Phone 454-3924 oeptn
S.F. Total
'o Name SAME FoolOrint S.F.
,
~a Address APPROVALS FEES
P City Phone qssessments _ Permit -$44tc.5~0
Weter/Sewer - Surcherge ~
W W Name Police _ Plan Review
Fire _ SAC,Ci1y
_z. Address Engc SAC, MWCC
aw City Phone Planner _ WaterConn.
Council _ Water Meter
I hereby acknowledge that I have r ad this application and state Bldg. Off. _ Road Unit
thattheinformationiscorrectantla eetocomplywithallappli e APC - TreatmentPl
State of Minnesota Statute City of ~a9b nce Variance - Pancs
covies
Signature of Permitte ~ TOTAL ~
A Building Permit is issued to: xENNETS R FAUST on the express condition that
all work shall be done in accordance with all applicabl~e e~te`o_f M-in'nes t~ tat~utes and City of Eagan Ordinancea
Building Official
~
CITY OF EAGAN
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ 9069
' PHONE: 454-8100
BUtLDING PERMIT Receipt
Te M wed for SF DWG/GAR Esr. Value $62, 000 Date MAY 13
SiteAddress 840 SUDBERRY Erect C~ Occupancy R3
Lot 1 Black 2 SeclSub. SHEFFIELD Alter ? Zoning R1
Parcei No. 10-67600-010-02 Repair ? Fire Zone N A
Enlor9e ? TvPa of Consr. V
JOSEPH MILLER CONST
~ Name Move ? * Stories
Z Addr s CEDAR AVE pemolish ? Length 42
~ CityFARMINGTONphone 454-4753 Grade ? Depth 48 Sq.Ft.-
p Name SAME Approvals Foas
o~ Address Assessment Permit $ 3l 9_ 00
u1- City Phone Wafer & Sew. Surchorge 31 • 00
Palice Plan check 159.50
Gw Nsme Fire SAC 525.00
r
Address Enp. Water Conn.
mW City Phone planMr WoterMeter___6_3,00
Council Road Unit 260_Q0
I hereby eckmwladge that I have reod this applicarion and stare that Bldg. Off.
the inlormation is correct ond agree fo comply with oll aDPlicoble
Stafe ot Minnesota $tatutes and City of Eogan Ordinances. APC Totol ~ •50
Sigrroture of PermiMee
A 8uilding Permit is issued to: JOSEPH MILLER CONST on *e express condition tlun
all work sholl be done in acwrdpr~itr all napp mble t of Minnesota Statutes nnd City of Eagan Ordinances.
Bulldirp Official ~~yJ ~
ihis repuest void ~ 1 ~
78 monihs fmm
A 051018 L~ 13 a 3~. 50
Hequesl'Date Fire No. floup~-in s eciion ~ '
Nequ~C3 . ~ NO ReatlY Nuw m~IWheo Ready ec
ctlt{sed Electrical Contrmctor 1 heraby request insoection at ebove
? Ownar electrical work imielled at:
Street Address, Box or Faute No. Citv
S ~ e<
ection o. Township ame or No. N nge Mo. County
OccupantlPfllNT) - . Phone No,
Powgr Suppliw ddress
gL mLS~~ro~'t .
Electrical Cyntractor IComVany Namel Comrar,tor's License No.
f -
MailmB <.tldress (Cootractor or Owrer Makina Instauationl
Authorized Si re( t r Own ~ M. ' InsYalla ) Phone Numbor
~
YINNE60TA STqTE BO OF ELECTflICITY TMIS INSPECTION HEQUEST WILL NOT
Gripqa-Midway Bldg. om N•181 BE ACCEPTED BY TNE STATE BOAND
UNLESS PNOPEN INSPECTION FEE IS
1821 University Ave., St Peul, MN 6510C
Phone (8121 287-2171 ENCLOSED.
REQUEST FOR ELECTRICAL INSBECTION ~ea-ooao`i-oa
' Sea inatruetions tor eomplatiny this form on back ot Yellow caov.
A 111(" 8elow W,ark Covered by This Request ~
`
Ns4A_4dj Rao. Type of Buildine Appiiames Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixnues
Apt. Building Dryer Elec[ric Heatin
• CommerCial Bldg. Fumace Silo Unloader
Industrial 81dg. Air Corditioner Bulk Milk Tank
Fefm Olher pec. v ther ISnecityl
t r Vocify t er Oth.,
ompute lnspection Fee Below
p Fee Service EntraneeSfze q Fea Feedars/SUbfeaders F Fae Circuits
0 to 200 Am s0 to 30 qm s 0 to 30 Am s
A6ove 200 qm s 31 [0 100 qmps ~ 31 ta 100 A s
Swimming Pool Above 100-Am A6ove 100_Am s
Transtormers Irrigation BooRS ~ Partial.'Ot ee
Sigis Special Inspection 5 tv
AL FEE
pemerks ~ rO
L
RouOh-in Date~ ~ E al
nsDectoq hereby
c rlily thet xhe above
Final of~~ / spec[ion has beeri
~rode.
Thb fepueat voltl 18 monllu Irom
/3 Be 3
-
7987 BDILDING PERMIT 9PPLICATIOH - CITY OF EAG9N
SINGLE FAMILY DWELLINGS .
INCLIIDE 2 SETS OF PLANSp 3 CERTIFICATES OF SOEVEY, 1 SET OF ENERGY C6LCQLATIOPS
NOTE: ADDRESSES FOR CORNEH LOTS - CONTR9CTOR/HOMEOtiNER MUST DESIGBATfi WflICH ADDRESS
IS DFSIRED. NO CHANGfiS WILL HE ALLOiiED ONCfi BQILDING PERMIT IS ISSIIED.
MOLTIPLE DWELLINGS - R&SIDENTIAL RENTAL IIPITS FOR SALE IIHITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQftVEY - CHECK FIITH BLDG. ?EPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: Date: ~
Site Address OFFICE OSE ONLY
f
Lot ( Block~ ~ On Site Sewage_ Oceupancy
~j MWCC System Zoning
Parcel/Sub s k-z 1 Z,C On Site Well Type of Const
City Water (Actual)
Owne , ~ l f/LCc~/ (Allowable)
/ IP of Stories
Address { Length
Depth
City/Zip Code S.F. Total
~!'SY 3lcZ Footprint S.F.
Phone APPROVALS FEFS
Contractor~~~} Assessments Permit 9,5-u
Water/Sewer Surcharge 1.,50
Address / Police Plan Review
Fixe SAC, City
City/23p Code c/2,r/S!//~ Engr SAC, MWCC
Planner Water Conn
Phone Council Water Meter
Bldg Off Road Unit
Arch./Engr. APC Treatment P1
Variance Parks
Address Copies
TOTAL ~
City/Zip Code
Phane lk
`
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3830 PROT KNOB RDN 55122
651•681-4675
New Conshuctfon Reaulrements Remodel/Reoalr ReavlremeMs
? 3 reglstered sNe surveys showing sq. fF. ol lot, sq. R, ol house 2 copies oF plan
and all rooted areas (20% maximum lot coveraae allowed) 7 sei of energy calculafions tor heated addHfons
> 2 copies o} plans (show beam 8 wlndow skes; poured ind. design; Mc.) 1 sNe survey for exTerlor addklons 8 decks
: 1 set of energy ealculations
> 3 copies of hee preservation plan N lot platfed aker 7/7/93
DATE: 10.1,9- I CONSTRUCTION COST:
DESCRIPTION OF WORK: a
STREET ADDRESS: O r~ ~k~~ cT~ky L--ek,GL~2~
LOT: I BLOCK: SUBD./P.I.D.#: QQ,I
Name: Phone#:
PROPERTY Lan First
OWNER
StreetAddress: g~v Sk~~~R'~y
City State: 44`J Zip: 2" 3
Company: T` Phone (O
/
(area code)
CONTRACTOR
StreetAddress: License# 0?012?6(0 Exp.
City k~~SJ; f~c State: -AWq!?j1'?1n) Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration
City State: Zip:
Sewer 8 water Iicensed plumber (requtred for new construcfion onlv):
Penalfy applies when address change and lot change is requested once permR fs Issued.
I hereby acknowledge that I have read thls applicatlon, state thaf the Information is conect, pnd gree.to_Ggmply wRh alt applicabie
State of Minnesota Statutes and City o( Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No C/ V
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
0 33 Aiteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Ailowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/E5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SlV1! 5urcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
CITY OF EAGAN 2/84
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PIEASE PRINT)
1) PROPER7.'Y p,DDR£SS: 840 Sudberry
LEGp,L DESCRIP'I'IpN; Lot 1 Block 2 ~
(Lot/Block/Stbdivision or Tax arcel I.D. Nwnber)
IF EXIST2\n SPR[JCISJRE, DA?E OF ORIGI'uAI, EUIIDING PE.°,:•SIT ZSSJANM:
(f°_or.th/`fear)
PRESE`Tr ZC+C7IY';/PROPOSID USE: ~ R-1 SINGLE FAMILY
? R-2 DUPLk~C (TW UNITS)
[3 R-3 ZC7WWOUSE (THI2EE + UNITS) ( UNITS)
. 0 R-4 APAFClPdENP/CL7iv'D~dSiIl~i ( UNITS)
0 CamMERCIAL/Rr.'rAII?OF'FICE
Q IIMUSTRZAL
Q INSTI7.[1TIONAL/GOVFTIINMENf
2) Appr.TCANr (PLEASE PRINT)
Larson Excavating, Inc.
ADDkESS: 15604 .orn 1 Trail
CI*ry, STpTE, Zip; Rosemount, Minn 55068
p}ONE: 423-4466
3} pLUgER r%Mbs. McGuire M0 AdP1CdT FOR CITY USE ONLY
PLUMBERS LICEXSE:
ADDRESS: P. O. Box 219 Active
;
CITY, S"1P.TE, ZIP: Lakeville, D'INN 55044 ~ Expired
Not of Record
• PHON99-4988 PLUMBEN LICENSE 002751N_7 d
a ni ia
4) OMWANT/almm NAME: Joe N!iller(P9NFSMLjtion
ADDRESS: 18133 Ceclar P.,ve SO.
CITY, STATE, ZIP: Farminqton, N:inn. 55024
PFONE: 454-4753
5) IINDICATE WHICH PERMIT IS BEING REQUESTF]D:
~ CONDIE=ON 2t7 CITY SET•7ER
CONPIfX.TION TO CITY WATER
OrPi-IER (PI.EASE DESCRIBE)
6) INDICATE 0NE:
E] PLEASE HOID A15PR0VEp PII;MiT FOR PICK-UP BY ONE OF ABOVE
? PLEASE MAIL APPRUVID PFI2htIT TO 1. 2. 03 4 ABWE
(Circle one)
7) SICnNANF2E: ?/~i'i~.e-~~. C JN~w~n DATE:
_ F O R C I T Y U S E O N L Y , ~ -
PERMIT # ISSUED
' FEES: $ ~ p .-3 d SEWER PERP4IT (INCLUDE SURCHARGE)
$ WATER PERb1IT (INCLUDE SURCHARGE)
$ 0`-0 WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ ACCOUNT 'DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WA2ER
$ WAC
$ SAC
$ TRUNK WATER ASSESSMENT
S TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ ' OTHER
_ .
` . S TOTAL
AMOUNT PAID/RECEIPT ~-'c-
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN
~ PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CQNDITIONS:
APPROVED BY:
TITLE:•-G/ti~ ~
DATE :
~
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N9 12112
PHONE: 454-8100 G 3~~3
BUILDINR~ PERMIT Receipt q
. To be used tor DECK Est Value $ Z. 016 • Date JUNE 13
Site Address 840 SUDBERRY LN Erect 75 occupancy
Lot 1 Block 2 Sec/Sub. SHEFFIELD Remodel ? Zoning
Parcel No. Repair ? Type of ConsL .
Addition ? No.Storie~s2 ,
W Name KEN FAUST Move ? Length
SAME Demolish ? Depth 1 a
e Address Int. Impr. ? Sq. Ft.
ciry pnone 454-3924 instau ?
o Name SAME Approvals Feea $Q nddress Assessment ' Permit $38.50
~ Ciry Phone Water & Sew. Surcharge 1. 50
~ Police Plan Review
F W Name Fire SAC
-z
mn address Eng. WaterConn.
a w City ' anone Planner Water Meter
Council Road Unit
Iherebyacknowledgethatlhavereadthisapplicationandsiatethatthe eid9.orf. 6/11/8 Tr.PI.
information is correct and agree~lo comply with all applic `State of .
Minnesota Statutes and C'ry VEagan OrQi ~ ces. APC Parks
~.Signature oi Permitte Var. Date Copies~
- Total ~ V V V
A Building Permit is issued to: KEN FAUST on the express condition that
all work shall be done in accordance with all app' able State o in sot Statutes and City of Eagan Ordinancea. .
Building Otticial . .
= { Pl/
~
' 7986 BOILDING PEIiIM 9PPLICATION - CITY OF BAG9N
BOTE: ALL CONTRACfORS M[TST BE LICEBSSD WITH THE CITY OF EAGAN
SINGLE FA4ffLY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DTiELLINGS - RSSIDENTIAL RENTAI, peilTS FOH SALB ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATB OF 3DRYEY - CHEC[ WITH BLDG. DEPT.,
' 1 SET OF ENERGY CALCULATIONS
COlIl+fERCIAI:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE HOND
To Be Used F r. rArla Df-C.k Valuation ~ Date:
Site Address goQ,.j b QQq Lu OFFICS IISE ONLY
Lot I Block Ereet -A~ Oecupaney
Parcel/Sub SkE- F~ t~ L b Remodel _ Zoning
Repair _ Type of Const
Add3t3on R of Stories
Owner Move Length
P { +I Demolish Depth
Address p~'~ ~Lc~+ bLr2Ry 1~-~11 Int.Impr. _ Sq Ft
r 1
City/Zip Code Install
~
Phone 4i3-4-j- ,gq2 4/ APPROV9LS FEFS
Contraetor Assessments Permit 3(g.Sd
Water/Sewer Surcharge ro
Address Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone Council Road Unit
Bldg Off Treatment P1
Areh./Engr. APC Parks
Varianee Copies
Address TOTAL U.O,
City/Zip Code
Phone ll
NOTE: ADDRBSSBS FOR CORNER LOTS - CONTRACTOR/HOIiE0i1NER MUST DESIGNATE HQICH 9DDRESS
IS D&SIASD. NO CHANGES UiII,L BE ALLOiIED ONCE BIIILDING PSEFIIT IS ISSIIED.
J'oe Miller Gf~r
- 1$133 Gedar Avenue 3outh
Parmington, Mn., 59024
I~X I~Z l-' x LGC~~ DELMAR H. ;;C€iWANZ
. ' I.ANDSURM'EY019.~,'?1C.
RMIttvW Vndwl.rwsoI i'h* Sbta olMWnMwM rF..
2978 - 1A6TH S7REET W. - BOX M ROSEMOUIfl', b11NNEdOTA StlOBe ?MCNfi 6'll 473'170
9.6
SURVEYORSCEFITIFI TE
Q Rlk
-~e~~
=30
o Dezotes Iron. Mc>nument
V i;enotes tvood Hub Set ~C..
1 ~
~G'T^
QO-
v. ~
~Si
to
~
iA "+r~ °~~~.,.8~'~~ F~~~f,~ ' . ~ . V •Y . ~ a ~ .
p O v ~r~ p o o . . . •'d
,
m d- Kropos
ti "ea,~ti cu ~
° Houee
aNaSe \ /q\.\~
\ ~
tY~q ~ 9~ \ ` 1r ~L9
d. ~ . ~ ~S ~4& A4+7na. Denotes existing eleyatiari
O ~tp"#• ~`~0 ~ Denotee grogosnd exevnt3un
Proposedgarage Ploesr elevation.T .
, Qs
~
I hereby cer*ify,that thia is a t~^ue and eorrect representation oF
Lot. 1, Block 2, SH."P'FIELD, accord'ing to the recorded plat thereof
Dakota County, Minne$ota.
. Also ahawing the lo ation of a proposed house as ataked thereon.
A
April 27, 1984
• \-5U~~~rr~f MINNE507l. RE. Y.~TRA°.Iw+Pie1.8825
L=1,F641rJI Wv. ~ss~z 3 3SzY
Joei Mi11er
1E3133 Cedar Avenue South
~ t-armington, Mn., 55024
DE`MAR H. seHwANZ
IANOSUNVEYORS'I',)C.,
RegistsrW UnEU Lawi of TM State of Minnesaia ~9 •
6 .
2978 - 145TH STREET W. -BOX M R06EMOUNT. WKMOSR/TA 8808$ PMOME 842 4431I88
SURVEYOR'SCERT/fl 7E
4.
co, '3o~~~~
o Aenotes Iron•Monurnent'
o Denotes woQa xub set
Q'r ~ i
~
~lq• ° r .SaE 3
0,~,
~'`6A
~
~ ~
. " • L l.• . _ Y . 5 i ~ '
`'~j• ` '~O• . ~{y ~ ~4,:
S,~ F
m ~ ov ~p ~ ~ $rnpQSed,~
Cj ~9 ' ~ Houae
~0~ a~ aN ge
.ti
N4+.t~
c.
notes existing e2evat3an
Dp
~a Atp'Y.(s+ Denotes Propaseet glevatirm ~
Praposed garage floor eleyation.-.
ya
V~ v~ I
~ •
I hereby certify that this is a true and correct repreaentation of .
Lot 1, Block 2, SHEFFIELD, according to the recorded plat thereof
Dakota County, Minnesota,
Also showing the location of a proposed hou8e as ataked thereon.
~
AprSl 27, 1984
~ ~~•~Ye?>f ~MINNESOTA RE ISTRATION NU 8025
, • - ~ -
owrxit:~
~ i~;r:r -
~ . ~Z...Q-
S17'li ADUWiSS:
CY1tJ7'itAC7\lltt ~ ' I ~y V _
I)clc:rmi.r.,- l<ii.q lu,>t..v~r nl c,i~~h
1. 7'utal cxposed trnll araa...... .:y. f~.. .lf =
_
2. Toal roof/cei].ing ire;~
..__..._19Z~- . ---Z.~Z.-
'IbT.al ar::•Y ;AYx)vu f.lo:,r
a. Total wall wlndow• n_t.a _38
cotal %~rar '
i•t!a
:o:al sli'"Un,1 dour ar~; . ---•3-~--
~j-o_--
d. Total firc,,larce wali arca
o. Tolul vall f.riwiinrj .ire:: f;n•(.-i ,n~~• lu•.) .
f. 1•otal rim joisL 'arca . . --Lq'cp-
9. Flf.'•'r 52a1l dl'°d zzbOve Ilour.......
h. wall aren aUove f loor
i. ---wall area abovc floor.......
~~/1C.
j• ?D'1G:JJ1: J1C3 ~ `ye~i . .0.T. . •
tir
ToCUl expu::u,'. fou!o:]:iliuii :u•c.i = .
~Q--
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' Total net four.dation arca jbovc gr,jdc
---e3--
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7C Utilize the l'otal envelopc ?:y :Lm met.Lod„ Chw val.uar: c::cai)]:islied by lhe ::om oF
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.
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MECHANICAL (RESIDENTIAL) sm ' Sb
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Plcase complete for: Single Family Dweliings
Townhomes and Condos when pemuts are required £or each unit
Date G'-
/
Site Address V Unit #
N
Property Owner ~ Telephone # -'(o7] ( lb
,
Contractor
Street Address City
~ ~U(Yhnt,l(~~
C-"
State - ~v\ Zip,:5',~(oQ'i0q_,9$ Telephone# ( (05I )3 72-P92-
The Applicant is _ Owner YContractor _ Other
Add-on, modification or alteration to eaisting dwelling unit $ 30.00
X furnace replacement
air exchanger
~ air conditioner
other
State Surcharge $ .50
Total $ ?fj:~&_G
0`1
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 ordiaances and codes of the City of Eagan and with the Mechanical Codes; that I understand ttris is not a
pemut, hut 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 requues a review and approval of plans.
k Z~, . \t~,Q -
ApplicanYs Printed Name Applicant's Signature
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Pleasc complete for. commercial/industrial buildings
multi-family buildings when sepazare pertnits are not required for each dwelling unit
Date
Site Address Unit #
Tenan[ Name (if applicable) Previous TenanEName
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is _ Owner _ Contractor _ Other
Work Type
Newconstruction UndergroundTank _Install _Remove
Interior Improvement Call for inspection during installation/removal of tank
Processed Piping
Nature of Work:
P¢1'I11i[ F¢¢ $50•50 Mrmimum Fee (indudes State Surcharge)
ContractValue $ x .Ol% _ $ PermitFee
• If permit fee is $1,000 or less, add 3.50 $ State Surcharge
If pemut fee is over $1,000, add $.50 per
$],000 Pernilt Fee
$ Total Fce
I hereby apply for a Commercial Mechanical Pemut and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an applicarion for a pernvt, 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.
ApplicanPs Printed Name ApplicanPs Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 840 Sudberry Lane
Lot: 1 Block: 2 Addition: Sheffield
PID:10- 67600 - 010 -02
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Insert
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
Improvements to the home may requ
concealing.
Applicant/Permitee: Signature
PERMIT
City of Eaan
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
- Applicant -
Construction Type:
Occupancy:
e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Eric J Frank
840 Sudberry Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA091411
10/02/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117412
Date Issued:10/18/2013
Permit Category:ePermit
Site Address: 840 Sudberry Lane
Lot:1 Block: 2 Addition: Sheffield
PID:10-67600-02-010
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Eric J Frank
840 Sudberry Lane
Eagan MN 55123
Apex Energy Solutions
1509 Southcross Drive West
Burnsville MN 55306
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117792
Date Issued:10/23/2013
Permit Category:ePermit
Site Address: 840 Sudberry Lane
Lot:1 Block: 2 Addition: Sheffield
PID:10-67600-02-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Vladislav Fogel
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 -
Eric J Frank
840 Sudberry Lane
Eagan MN 55123
Estate Claim Services Llc
934 Cromwell Avenue, Suite 2
St Paul MN 55114
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
4 " i
City of Ea ,I 'q1 lli
kanPermit Fee. I 2-2-._'-'411... l
3830 Pilot Knob Road �" '
Eagan MN 55122
RECEIVED bate Re ived- „,„ ��
Phone: (651)675-5675 O
Fax: (651)675-5664 MAR 1 5 2017 i Staff l
i
2017 RESIDENTIAL BUILDING PERMIT APPLICATION Cc, I L
8/7/2017Date: Site Address: 840 Sudberry 1)
Ln Unit -3_)x,
Name:e: Eric & Emily Frank horse; 651-283-6296
Ant
Resident/
Owner Address I City I Zip: ' 10
Applicant is: Owner X ontractor
Type ofWork
Description of work, Ba
Bathroom Remodel
3 500
Construction Cost:_ '
Multi-Family Building: (Yes i No__ .
Minnesota RuscoCaily Alma
Company: Contact,
5010 Hvvy 169 NNew Hope
Contractor Address: City:
MN55428 952-935-9669 , Cally@minnesotar s c. ern
State: Zip: Phone mail,
CR002173NAT21315-2
License a, Lead Certificate :
If the project is exempt from lead certification, please explain why_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A HEW BUILDING
iIn the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No if yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that ya submit are considered tobe public information. Portions of
i the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Cali 48 hours
before you intend to dig to receive locates of underground utilities www.gooherstateorectali.otg
I hereby acknowledge that this information is complete and accurate,that the work will be in conformance with the ordinances and codes of the City of
Eagan, that I understand this is not a permit, but Only en application for a permit. and work is not to start without a permit, that the work will be al
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 18-0
days of permit issuance.
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Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE /1"1 I cq
SUB TYPES VOS "ei ,
-1 • ri
1, Lc.,-..c....
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
_ ......_
10 Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
_
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of Plex Lower Level Pool Accessory Building
_
WORK TYPES
New Interior Improvement Siding Demolish Building*
_
Addition Move Building Reroof Demolish Interior
9 Alteration Fire Repair Demolish Foundation
Replace Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation Occupancy .„.T./Zc - 1 MCES System
,
Plan Review Code Edition MO 2°./.5- SAC Units
(25% 100%?Q.) Zoning ?I_ City Water
Census Code Stories Booster Pump
#of Units Square Feet
#of Buildings Length Fire Suppression Required
--_ -‘7-
Type of Construction 3-
Width _
REQUIRED INSPECTIONS
Meter Size:
Footings (New Building) _
Footings (Deck) Final I C.Q.Required
Footings(Addition) r Final i No C.O. Required
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test
........_
Roof: Ice &Water , Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick ERB
Ili__ insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: I 1:=,kvi /i/1 15. ly4- , Building Inspector
RESIDENTIAL FEES
Base Fee 414 a-,in,-)" lee_ a, Dtt) . —
Surcharge
Plan Review
'VICES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141897
Date Issued:04/05/2017
Permit Category:ePermit
Site Address: 840 Sudberry Lane
Lot:1 Block: 2 Addition: Sheffield
PID:10-67600-02-010
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
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 (miscellaneous)$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 -
Eric J Frank
840 Sudberry Lane
Eagan MN 55123
(952) 283-6296
Den Mark Plumbing
8445 Quail Hill Rd
Maple Grove MN 55311-1533
(763) 416-9924
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162345
Date Issued:07/10/2020
Permit Category:ePermit
Site Address: 840 Sudberry Lane
Lot:1 Block: 2 Addition: Sheffield
PID:10-67600-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: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 -
Michael Stafford
840 Sudberry Lane
Eagan MN 55123
(651) 238-3576
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature