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841 Sudberry LaneCity of Evan 3830 Pilot Knob R. ad Eagan MN 55122 Phone: (651) 675-'•75 Fax: (651) 675-569 Use BLUE or BLACK Ink For Office U CC Permit#: �Q Permit Fee: ✓ Ov ) Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION Date: J /SJ). 0 i I S to Address: 41 .5 %AN (231. La, P Tenant: Suite #: RESIDENT / OWNER Name: Address )4'-1-1--S i �:, v ,_; S M -1 Phone: i , 1p 5 .. - 9 722, I City l Zip: T I 5 " (j'. Qy LAN) a CONTRACTOR Na\ne: Address: State: Contact `-3' Vii j;7 �'�'1 .. C� . L r -) L L. License ft 3 90y 41--(4.0 k S- T. (V City: -5— )"JD40"' i„,..r +:414-5 i) IV\r4 Zip: 'S -'S~/. k Phone: 1�a5 1j y t k- Ai S 35.2. 0 0 :c , et (.4 1-... Email: S'Ai . FT y- E C IA i 5 et. A. 10 ti•• TYPE OF WORK Description New ys Replacement Additional Alteration Demolition of work: F-01.... I'a.., s.) A. c, it C j4ja.rJ E e 6 .r NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code_ Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New_Construction Interior Improvement Air Conditioner T Install Piping - Processed Air Exchanger - Gas Exterior HVAC Unit Heat Pump Under I Above ground Tank ( Install I_ Remove) Other instalingl/removing tank(s), calf for inspection by Fire '"Marshal Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or burned alteration to an existing unit (includes $5.00 State Surcharge) out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ 5.5_ (7C' TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal State $10,010, surcharge Fee OR Surcharge) surcharge is $ 5.00 increases by $.50 for each $1,000 Permit requires a $ 5.50 surcharge) Contract Value $ x 1% _ $ Permit Fee - If the Permit Fee is less than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.. nniierstater,r,,erai;.or:r 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 or Eagan; that l understand this is not ,t 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 ct work which requires a review and approval of plans. Applicant's Printed Name x App ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground Rough In _Air Test Gas Service Test _In -floor Heat Final Exterior HVAC Screening Inspection Z' d 96b998171.99 >1aeM >lonu° eL9:60 U. 90 In(' CITY OP EAGAN ~ 3830 Pilot Knob Ruad WATER SERVICE PERlM1IT P. O. 8ox 21199 Eagan, M,~I 55121 PERMIT NO.: DATE: ,..~5 i Zoninp: ~ O?vne?: '~~S11 1, ji~h ?"'il3er No. of'Untra: J. j Addroa: , , Site Addrrss: i4 i SUcberrv Ln. L,1 Iq~•~#1,; Vlumber P1 ti,_Flumhir, a ; Mster No.: ~ . Size: ^Q~?a^ CharQe: ~ 0 0.;10 n ~ Rende. No.: -j~- f~_l17 y/ f~` D Z ~ca,nr orpoart: ~0 0 ~~M ~ 1M of Permit Fee: ~ Or~I~ ° Surcharpe: M1sc. CFwrpas: 13 "1. Ofl nd S *C: BY Total: Date cf I ~id: nap.: IntP.: CITY OF EAGAN SEWER SERVICE P 3830 Pilot Knob Road E~'~' P. O. Box 21199 PERMIr No.: Esgan, hRN 55121 DA7'E: Zonlnp: ~ I , pwnwr, -'ogPA~ ~fil2er No. of Un~ts: ~ Addram S~te /1dd,ess; '-"`+I Sudberrv J,i FI Siieffic-ic! Plurnber I' `T';nu[~~ I som te sonw? w!N ew CIey of v bs0¦ C°r""cN°"Choro.: 425. ;i ~)d Account DoDOdf: hnnM FN: _ . ~ . i Surehorge; . , . ; By Mltc. Chorom ~ Dote of Irap.: Totol: lnep.: C Dnh Pold: ' ~ CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, h1N 55121 DATE: 5-1 i- t; S Zonlr+q: 7 ~ pM,~~. Josepti ~iiller No. of Units: 1 ~ Addross: ~ Sits /lddresc; 841 SUdber Ln. LI Bl 5heffE#ld ~ plLwnber Ylymoutli Plumbint~ I SiAAeter No.: Connection Chorfle: _500.Onpd ! Aeeourrt Deposit: 15.0r) ~ Reoder No.: Perm;t Fee: 10.00 ~ I sam to ampy wkb th. City.f E".n Su?d,a.pe: .50 ~Ordi"O°°m Mtsc. Cho?pes: 132.OOpd S/r_, i i BY Totol: 53 ~J4Pd meter I Dabe Patd: i I Date of Insp.: ~ Insp.: ~ - - - , CASH RECEIPT ~ ~ CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE i' 1 p wceervso FRpA J AMOUNT $ 'i & DOlLARB lee ~ CASH CNECK ~ ~ FOh, ~ FUND CODE qMOUNT .'1 ( ^ I ` !It : Thank You BY -l White-Payers Copy Yellow-Postinp CoPV Pink-File CoPY , ~ CITY OF EAGAN 3834 Pi1ot Knob Road. P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING ?ERMIT R«+at # Te 6e wad he Est. Value Dare 19 ~ ' : i T' Y.:'r r: 1A Erect Q Occupancy 3 S1te Add 3 ~ ` 11 Fj"4' . F;.,~ Remodel ? ZoninQ Lot re~s ' Block - ' - ` - ~~ub. Repair ? l''ype of Conwt. v Parcel Na. Enlarge ? No. Stories , cilLLi~:_'•', +:~~tl3t: Move ? Lsngth a~ Name Demolish ? Depth rt ~ Address , j • Grade ? Sq. Ft. City . Phone ~ Install ? Appreveb Ftes t~~ Name . . /lssessment Permit Address v Woter 3~ Sew. Surcharqe v- ~ ~ity Phone Police Plan Review. ~Neme Fitt SAC 13 Address Enp• Wofer Conn. ~ atW City Phone Pionner Woter Meter Couruil Road Unit 1 hereby ocknowiedpe thot I haw rcod fhis oppliwfion and state that Bldg. dff. the inlorrnotion is correct orid ogree to comply with all applicuble APC Tata` • StoN of Minnesoto Stotutes ond City of Eagan Ordinonces. Var. Date r Sipnotuh of Permittss A Buildlny Permit Is issued to: on ths expross caditlon thai 011 worlc shoit bs donw in atcordance with oll opplicoble State of MlnrosoM Statutes and City of Eayan Ordi?wnas. 8uildinp Offieid Pwmit No. Ponnit HoldK Date Telthone p,un.ntnq - r H.VA.C. T (F, ` ~ 0 r Q .Z EhetNc Sok~r InapectiOn Dste Insp. Other Footinys Foundation Fnminq Rooiing Fiouyh PIlq. Rouyh HVAC Inwlrtion ie/flp~ F a' A- C IAI Co Final Plbp. W~7H co,44 Busri ~jr i 0 Final HVAC v Final f ~ Crrt/Oce. Waar D"aiM Loeation: YYell Sowar Pr. Dbp. Roaipt MECHANICAL PERMIT Pennk No. CITY OF EA(i1?N FM fid in numbered s,pscea S/C Typs or Prini legibJy ToL ' 1, pete ! 2. Inutallation Cost 3. Job Address t l' Lot ` Blk.~ ~ 4. Ownar S. Controctor Phone B. Addrea ~ 7. City State 2ip 8. Building Type: Residential Q Commerciel ? Institutional 0 9. Work Desaiption: New O Add O Alter ? Repair ? 10. Oeacribe Fuel Type 11. No. Fp"jnqie.^; BTU - M. Ea. No. Eauiament CFM Foraed Air Air Handling: Mfg. ~ Boilen Mech. Exhau:t Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rouph F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 Receipt -PLUMBING PERMIT Permit No. CITY OF EAGAN - Fse - - Fill in numbered spaces S/C ~ Type or Print /egib/y Tot. ~ 1. Date ' 2. Installation Cost 3. Job Address LotBlk. ~ Tract ~ 4. Owner 5. Contractor Jk+A-Q,- - Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New O Add ? Alter O Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool /D rai nf ield Bath tubs $eptic 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 ordiryances 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 454-6100 ~ ! . PERMIT # ~ C Ja ~ . PLUM8ING PERMIT RECEIPT # CITY OF EAG9AN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Ad ress ZG E B}DG. TYPE WORK DESCRIPTION Lot Block ~ Sec/Su ' ' L_ ~ Res. New m Name Mult Add-on v ~ Addr Comm. Repair c ~ Phone ~ - ~ • ' Other NO. FlXTURES TOTAL L Name vyf G~`" EWater Closet -$3.00 $ c Address Bath Tubs - $3.00 p Ciry Phone ~ Lavatory - $3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE Urinal/8idet - $3.00 MINIMUM - RESIDENTIAL FEE - $10.00 Laundry Tray - $3.00 .MINIMUM - COMM/IND FEE _ 20,00 Floor Drains -$1.50 STATE SURCHARCE PER PERMIT - .50 Water Heater -$1.50 (ADD $50 S/C IF PERMIT PRICE GOES Whirlpool -$3.00 BEYOND $1,000.00) -~Gas Piping Outlets - $1.50 Softener - $5.00 weu - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: 1~ CITY OF EAGAN Remarks 'lb Addition SHEFFIELD ADDN Lot 1 Rik 1 Parcel ln-67600-010-O1 Owner 9~~ n.~r • Street 841 SUDBERRY LANE State EAGAN MN 55123 ,n / • r ~ 417 Improvement ,i Date Amount Annual Years Payment Receipt Date STREET SURF. 5 4aZD, /D A STREET RESTOR. ~I 1984 178.09 17.81 10 178.09 C008390 9-6-83 GRADING 5,61 1981 1.10 6.o7 1 ~ 16 .Z /D 1981 152.98 10.20 i a SAN SEW TRUNK 57 1981 6. O 4.22 I. fg D SEWER LATERAL 5193 $ 6.43 - 1 1982 ~ 6 4.34 WATERMAIN S 75 - 1981 128.08 8.54 1 17~ ~ iF WATER LATERAL (p9Z 1982- 48.16 2 ' O a WATER AREA • 82 1 STORM SEW TRK ~3 9 1985 456.09 91.22 5 I ~1 STORM SEW lAT DT81118 e 1984 91.75 9.18 10 91.75 C008390 9-6-83 ~ CURB & GUT ER SIDEWALK STREET LIGHT O Road unit 280.00 5 7 0 5/16/ 5 WATER CONN, 500.00 BUILDING PER. sAC 525.00 PARK This reyuest vaitl 5 1 rtqnths /ram d- ~ J I N sl t1j.- / Fire No. No --n Inspectian He u > ~Neatly Now~Will Nolify. Inspec- F / ? es ?No tor When Reatlv iicensed Electrical ConVacto, 1 h¢rabY reuuest inspection of abova Owne,r leclricel work irstalled atr : 5 p+~ress, 6o r floute o. Cit _u~ eclmn o. Township Name or No. Range No. C y Oc.cupam IRtWTI Pho o. ~e Po er Sup liel K ~ Atltlre ~ ~ EI trical Con ractor ICOmp y Namel ~ C imcior's Licease No. MailinB Address IC~ontra r wner Makine I ilaG N ~ / AuMoriz Signa[ure ICOnVac Own aking Install un) e Numbcr 1 ` t I [r`~i V ' MINNESOTA STATE eOARO OF ELECTRICITY THIS CINSPECTION REUUEST WILL NOT Griggs-Midway BIdO• - poom N•797 BE ACEPiED BY THE STq7E BOARD 182t Univergity Ave., St. Paul. MN 55104 UNLESS PROPEN INSPECTION FEE IS Phom 16121297-2111 ENCIOSED. REQUEST FOR EIECTRICAL INSPECTION EB'000101~4 ` ' Sea instructions for coltil this form on back uf Ye1low copy. M41Q37 1"X" 8elav Work Covered by This Request TYOe of Buildine AoPlianeva N" Equipmanl Wife;!W~ Home Range Temporary Service ~ Duplex Water HeaCer 79htiny Fixtures Ap[. Building Dr er EfecVic Heatin Commercial Bldg. urnace Silo Unloacfer Industrial Bldg. Air Corxlitioner Bulk Milk Tank Farm ohhei Speci v tnee (snec.ry) t r SUecify Ot er Oth., ompute lnspection Fee 8elow p Fee ServiceEntmnce5ize N Fee Feeders/SubfeeAers # Fee Circuits 0 to200qms 6 to30A Otn30Am Above 200 Am n 31 to 100 Arrips . - G 31 m 100 Amps Swimmiog Pool Above 100_Amps Above 100_Am - Transiormer5 Irrigation $oorrs W Partial'Othei Fee Signs Special Inspection S TOTAL FE€ Ne~rks f 7_1U Rouph-in I.the Elec(rieil i~+PBetoq nere y C C!r[ify thet thB above Final D31~~ ~ inspection has heen / d eade. taroreouaid wie Ia monens Uom CITY OF EAGAN N 0- 10 2 2 6 3830 Pila Knob Road, P.O. Box 21-198, Eagan, MN 55127 BUILDING PERMIT PNONE: 4548700 Reuipt # n 2y) Te ye esest fm SF DWG/GAR Est. Value $53.000 pate MAY 15 , I q 85 SiteAddress 841 SUDBERRY LN Ereet CR Occupancy R3 Ramadal ? Zoning Lot 1 Blaek 1 ~/Sun. SH • F7 .L.D Rl Repeir ? Type of Const. _V Percel No. Enlarge ? No. Stories JOSEPH MILLER CONST Move ? Length 32 ~ Name Demolish ? Depth 40 A~ ~ CEDAR AVE Grode ? sq. Ft. City~ARMINGTON phone 431-2001 Install ? SAME Aoo.o.ob ieea Z~ Neme Assesunent Permit ' ~ ou nddrae: 26. 0 V~ Ciri Phone Water 6 Sew. Surchorgs Police Plan Review 146.00 Name Firo SqC 525.00 V-uZ, Address Erq. WoterConn. 500.00 ~W City Phone Plonrwr WaterMeter 63.00 Council Road Unit 280. 0 0 I herebY atkrowledya fhat I hova rcad this applicution and stata that 81d9. off. 5 10 T. P. 132 . 00 fhe Information Is rnrrect and agree to comply with oll apPlicable A~ Total $1, 964.50 Sroto of Minnewro Sroturos ary~of Ec9n Or~ Var. Date Siynmuro of Permilm w Buildinp Pem+ir Is luuad m: JOS PH MILLER CONST on the axpren caditlon tMt all work sholl Ee dorro in occordonce with all appli la Stme of innes and Ciry of Eapan Ordironcet. 8uildlrq Offfdol O, o p L t 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN HOTE: ALL CONTRACTORS kUST BE LICENSED WITH THE CITY OF EAGAN INCLODE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation:Date: Site Address: ~ OFFICE USE ONLY Lot: L Block ~ Seet/Sub ^ ect X Occupancy R-3 Remodel _ Zoning {Z-~ Parcel 1E Repair _ Type of Const 7~ Enlarge 1k of Stories Owner Move Length 3 Z Demolish Depth 4a Address Grade Sq Ft City/Zip Code Phane APPROVALS Contracto GGGC!/L Assessments Permit 2q 2~o Water/Sewer Surcharge 2~.5D 'cp Address~ ~GaKi Police Plan Review 14co.= - Fire SAC 525. City/Zip Code ~u,SSOZy Engr Water Conn 500.`-° Planner Water Meter (03.'° Phone Council Road Unit 'Lgo.~ Bldg Offs/ Parks Arch./Engr. APC Treatment P1 13Z = Variance Address TOTAL ~~y •S d City/Zip Code Phone A Certificate for: \ Bk: 86/54 J`oe Miller Construction ' 18133 Cedar Ave. South ~ Plan 85-134 Farmington, Mn. 55024 D Vl\ ~'Q DELMAR H. S WANZ LnNOSUa von~„~L'. y~ Rsgisbr~tl UnOb law ~ TM St.b of Minn~b 1n r 2978 - 1467H STREET W. - BO% M R MOUNT. MIMNESOTA 86086 ~ 4211760 pl. S EVOR'SCENTIFICATE L71 q .9s~ K--..~, •o io/ 8 Z , zi b~ 904. S9 \ R ~ X/ 3° ~ ~ 9As. bs 904 3 ~ v~,0 fo/HNe , , / 4 ~ ~ 9ot. sa D T~ o E ToP~Ue 0 ~~909.29 ~ >aONN6 ~ Drainage & - utility easement / SCALE: 1 inch ~ 30 Peet R' Elevations shown are exieting ` Proposed garage Ploor elevation . ~ I hereby certify that this is a true and correct repreaentation o£ Lot 1, Block 1, SHEFFIELD, according to the recorded plat thereof, Dakota County, Minnesota. Also ahowing the location of a proposed house as staked thereon, Dated: April 26, 1985 MINNESOTA REGISTRATION N0.8626 ~ - \ ~z~Z9 DELMAR oP1.qSvop~WAN~Z a.yntnw u.aa u YM3Ub ot Minrowb ~hv 7976 - 146TN BTREET W. - BOX M R . M1MNEtOTA 66088 P 81Y 4237789 ~ EY011'8 CBRTIFICATB \o fl ~v y . I oc L k f f nl1 ~n \ Da ~ ? ~ A ~~Yb\brv3D,~1/ ~ 77 . /s93 ~ . , J'` . • % L 0 T Drainage & utility easement ~ SCALE:-1 inch ~ 30 feet ~ ~ I hereby certll'y that thia is a true and correct representation of Lot 1, Block 1, 3HE"ISLD, aCCOTding to the recorded plat thereof, Dakota County, Minnesota. J,~f/j 6 • :i~~:(/ ~~2if'~, ~ MINNESOTA REGISTRATION N0.6625 Lr 2/84 i ~ CITY OF EAGAN APPLICATION FOR PE4iMIT SEWER AND/OR WATER CONNECTIODI (PLEASE PRIHi) 1) PP.OPFSII'G' ADDRESS: r.FraL, DESC4IPTICN: / / (Int/Block/Svisicn or Tax Parcel I.D. Nwnberj .YiI:='=:G S?'nCCPTtE, Dr1T' O_° ORLGL?AL EiiIL.D'L`:G =:~:"UT TSS",,ii:G.: PFESE:~7r :^`]rvr:/P??OPOSa) IIS"r.': Q R-1 SING= FP?~.ILY . ? R-2 DiJPI= (T.iO U:?ITS) ? R-3 ZC'.v'F?C[JSE ('?'f?D= + li:]ITS) ( UfIZ^.S) ? c2-4 P,FA.4'!":"z'`:T/CO:ZJG-S:IUM ( GtiI?S) ? CCL%niF1?CLAL/Rf.':A1Z,/OF:'IC:: Q =IIST.'~I.-~S. ? L`]STITT,'TIOJIAI,/GGV~:`R~,^r 2) APPI,IC7,.%7 (PLEASE FftI4i) aDDRess: iS/33 ~~~ra~ ,t7~c crrY, sraTE, zIP: PHOLNE: 3) pEU.IBER (PLEASE PAINT) FOR CITY USE OHLY rIkME: _Pl-4 .nou~~ ADDi2ES5: LS~.~.25 X PLI1P•BERS .NSE: Active CITY, ST?TE, ZIP: Expired Record PHOVE: I Pltl"78ER_LICENSE..# ,g665. d tnlti3 4) Qccu'ppNT/Gr.z NFIME: (PIEASE PRIN() ADDRESS: ~ Saii . 0 C-2 ) CITY, STA'I'r-, ZIP: PH(WE: 5) INpZGd'E WF3ICH PERh1IT IS BEING REQUESTm: CONNEC.~PION 'R7 CITY SETr7ER ~ COCNEX,TION 'Io CITY S'IATEft , ? di'[MR (P=E D~'.SCF2ZIIE) 6) M"DIG,.c C::c: PLEASE F?OID APP;2pVID PE7,m1IT FOR PICE:-L'c BY ONE OF AEG'VE ? PLF1',SE :T'~IL APPFtOVEU PE%1lIT TJ 1. 2, 3, 4 ABOVE (Circle one) 7} SICZZA'IL'RE: L/JA.co /~'vuQs~~ DATE: 94 /~a 5- F O R C I T Y U S E O N L Y PERMIT ISSLiEO F°-nS: $ ! O~~ SEi'iLB PEB?1T_T {I_`ICL~DE SU°CH2P,GEJ i $ WATER PERA4IT (INCL'JDE SURCFIARGE) $ (~oU WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (ZNCLUDE CORPORATZON STOP) SE'.VER TA? ACCOUNT D.F,PpSIT - GIATv-R ~un. v-c7 WAC 5AC All"_ TRli'VK WATER ASSESS?•?E::T TRliVK SES4ER ASSESSMEDIT Lr.TEP,AL BENEFIT/TRULIK SE?:'EF LATERr1L BENEFIT/TRUNK SVATER Fi 1.G T1115 OTIIcR - WITl-I cu e orr+E-P- . TOTAL Ab10L'.:T PAID/RECEI?T $ '~~7.~j ~2 DOES UTILZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES ' IF YES, THEN n"PERMIT FOR 'AORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDZ- TION. SUS.7ECT TO THE FOLLOWING CONDITIONS: ' APPROVED BY: TI:LE: ' DATE: gou ncm w Wcw w_s MR m w sm wsn mt:m Otw w Wiw sr w.a w* m se M-pe Ra ~m m sm so m canr nF Eac,AN' CASHIFR: JS TERMIkR: k0: 763 ' DAT=: •10/05/99 TIMc: 14:04s00 IAa NAME: A3TEC RE7[1F.*.NG S GONSTRUCTION 32l0 9001 525 F.ASTWOOD CT 209.25 E155 9001 525 EASTWOOD C7 6.00 32f 0 9001 841 SLIDHERRr LN 11 t.25 2155 9001 841 SWOMY I,N- 2.50 . 32f0 9001 659 IsROCKTON CU' 195.25 2155 9091 669 8Rf)CKTON CJ 5.50 . ' r Tota7 Receipt Amovn`.: ' 529.75 C4i.1i762 . . USEq IU; 141 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 580? CITY OF EAGAN 3830 PILOT KNOB RD • 55122 t 1 ~j Cj New Conslruction Reaufremen 651-681-4675 h Remode odN REa"Mf D 3 registered sMe surveys showing sq. k. of lof, sq. H. ol house 2 coples of plan and all roofed areas (2046 maxfmum lot coveraae allowed) 1 set of energy calculaNons for heafed addNlons ? 2 copies of plans (show beam 6 window slzes; poured fnd. design; efc.) 1 sMe survey for exferlor addttions i decks ? 1 sel ot energy colculaliona ? 3 coples ot hee preservWton plan H IW plaked after 7/1/93 DATE: CONSTRUCTION COST: 45v Z S 0 DESCRIPTION OF WORK: AC STREET ADDRESS: LOT: ~ BLOCK: SUBD./P.I.D. ~ Ne 7 ~ Name: J akNSv~ ~ 25~ tj Phone ~S ~5 -`)07 3 PROPERTY Lar First OWNER SheetAddress: $Y/ 5`A4 City 4E-State: rnIL~ Z1p: ~5) 2 J Compony: i'rZ7't C T~~~"'I Phone eK D (area code) CONTRACTOR SireetAddress: t/S 93 -PP-- License#'2c'/3rrlva Exp City D~~fcn;S~~/~t State: /Vrl ZiP: SS 337 ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Streei Address: Registration City State: Zip: Sewer 8 water Ilcensed plumber (reaufred for new conshuction onlvl: Penaly appltes when address change and lot change Is requested onee permN Is issued. I lyereby acknowledge that I have read this applicaflon, state fhat the irvformation Is correct, and agree to comply wMh all applicabl Stafe of Minnesota Stafutes and CMy of Eagan Ordinanees. , Slgnaiure of Applicant: 0 - OFFICE USE ONLY Certificates of Survey Received _ Yes _ No J , i Tree Preservation Plan Received _ Yes _ No _ Not Required ~f 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. (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 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 Bidg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * r 34ll!? PC.1 h-ndCL': ~O £:ppI:CO : fCi ~w?Ivil:i'il F8i"1'iiit 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/E5 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/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other ~ Copies ' Total: SAC Units % SAC 411/ City of bp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 (IAN 2 8 2010 For Office Us Permit #: Permit Fee: Date Received: Staff: 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: \C—)n 110 Site. Address: ` \ `-�1� Y � AA.. 5 crm�—� Tenant: U�„ J Suite #: RESIDENT / OWNER Name: LA ii L\-b_b't 1.,� y Phone? 6if3I l 1._% l b Address / City / Zip: � � ! � � t ea Ct,or '. (t l J CONTRACTOR Nam -.i b► 1i'�.: Q P.,: -#: LC Lt l 1� 1& C_. Address: -31414 c ( �l - City: � C� Stater } Zip: � 1 1,0Phone: I -c)C &'V7 Contact Person: ``�.\k m TYPE OF WORK New is Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater P Water Softener Lawn Irrigation Add Plumbing Fixtures ( RPZ / PVB) ( Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing "Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $136.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge),...-) TOTAL FEES $ 'Di/2) 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 an application for a permit, and work is not to start without a permit; that the work will be in accor(iance with the a roved plan in the case of work which requires a review and approval of !ans. X�JVa `�I Applicant's Printed Name X Appligant's ggnature 1 FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test __Gas Test Final C()C_! 41111i" City For Office Use tyofaaft �. — Permit #: / (/ 3 3 74-7 3830 Pilot Knob pegRaad Date Received: Eagan MN 55122 Phone: (651) 675-5685 Fax: (651) 675-5694 Email: planninnacitvofeacian.com 2012 ZONING PERMIT APPLICATION. ✓ Please submit a set of scaled drawings with the application. Site Address: Address: 3v/ .5o ter /' lad Applicant Signature: CI Retaining Wall <4 feet 0 Driveway Cl Patio Ci Sport Court ❑SidewalkFence Cl Other: Description of work: J-24,14ti. (t')'!�J Q T i J� C'/ 4cyio a/ayi, 5771�e�"CQ J - - Approved: o Date of Approval: 3/.20/149 Staff:~ Notes: 5s %I) -50 1,N4 S•ad beV. /.� t'�4 h� 1&. W t t 11C.e. ki Lt<JOfbiC` strr efC .) t,loter cs ho eik' Is puetiA.Iss i ak_ a.S Ak :t 5 ar-e-wu,rg. a_ silt. o • . „ • n - re • _ LS - Revised Plans —, Approved:fNo Date of Approval: 3-21- (2 Staff: (-- , 00'® 7�► 13LAC.OME JT- of 174@ FE,Jc3E WrrHuJ 'T 3/41.4 ESMT MAY SUE•JEc1 FANICE 7a DAMA$E f=ItOM WINTER- mAt4117124.61Neg AC7W117164. G:\Building Inspections\PERMIT APPLICATIONS \201112011 Permit Applications - let"14 'town lth& hies .e,,, ,M�, o r Pro �`" " -I wisi4ti r diet; nate. .4- ease 4- e aSe wt -n -t w ► pct w Qtss Ru d Inas c. 3s v►tpi- 4.w -ea t 1 rvt i # S►�-e_ �viow�g 2� mould t�+ IncreaSed to 3s -f+ atlon5 u�;(datriums ! Pct. - ounu , i� por~s lute. '-%r v�ev�M irn 4 i rtes P✓1br 'b t h3' lio3 id Sd. 4.0 ti 7/7 \ /67) 7L/ DELMAR H. S 'WANZ LAND SUR voRA0e. Ragistarod Undo; La YIN Ste* of Minnesota 2978 - 145TH STREET W. - BOX M 1) R , MINNESOTA 56068 EYOR'S CERTIFICATE 1-C.; 1789 6 j� 9ftr� / G /ff3 L 0 7 1 Drainage & utility easement 22/agta- "J I hereby certify thAt this is a true and correct representation of Lot 1, Block 1, 3HEFP'IRI.D, according to the recorded plat thereof, Dakota County, Minnesota. 2°°. 4 A.. NAS' la'�� 0 w .4' A SCALE 1 inch - 3') feet ci ; 6 Tc,( Loos( i+-� Jo c. f e-( = 3a' 74, 30'0, ; v nr-A iL MINNESOTA REGISTRATION NO.8625 PERMIT City of Eagan Permit Type:Building Permit Number:EA108560 Date Issued:12/17/2012 Permit Category:ePermit Site Address: 841 Sudberry Lane Lot:1 Block: 1 Addition: Sheffield PID:10-67600-01-010 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:JoAnne Burr 990 Lone Oak Road Ste. 114 Eagan, MN 55121 651-905-0105 Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Maria Tzintzarova 841 Sudberry Lane Eagan MN 55123 Window Concepts MN 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA111655 Date Issued:07/08/2013 Permit Category:ePermit Site Address: 841 Sudberry Lane Lot:1 Block: 1 Addition: Sheffield PID:10-67600-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description: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. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Maria Tzintzarova 841 Sudberry Lane Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117080 Date Issued:10/15/2013 Permit Category:ePermit Site Address: 841 Sudberry Lane Lot:1 Block: 1 Addition: Sheffield PID:10-67600-01-010 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 - Maria Tzintzarova 841 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA151921 Date Issued:09/18/2018 Permit Category:ePermit Site Address: 841 Sudberry Lane Lot:1 Block: 1 Addition: Sheffield PID:10-67600-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 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 - Maria Tzintzarova 841 Sudberry Lane Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA156765 Date Issued:07/17/2019 Permit Category:ePermit Site Address: 841 Sudberry Lane Lot:1 Block: 1 Addition: Sheffield PID:10-67600-01-010 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Maria Tzintzarova 841 Sudberry Lane Eagan MN 55123 (763) 587-1899 Dubois Design & Remodeling Inc 715 St Croix St Suite 14 River Falls WI 54022 (651) 458-0844 Applicant/Permitee: Signature Issued By: Signature I— For Office Use l o. Permit#: 1 J B I 13.2e7/ Qict F— Permit Fee: RECEIVED —��9 Date Received: / 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 SEP 17 2019 (651)675-56751 TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(u)cityofeagan.com ---� 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9.1 7.2019 Site Address: 841 SUDBERRY LN , EAGAN MN, 55123 unit#: Name: Kevin Stevens Phone: (763) 587-1897 Resident! 841 SUDBERRY LN EAGAN MN, 55123 Owner Address/City/zip: Applicant is: Owner ✓ Contractor Type of Work Description of work: 4.35kW solar array mounted parallel to roof surface.All components are UL listed Construction Cost: $9,100 Multi-Family Building: (Yes /No ✓ ) Powerfully Green Armel Martin 952.270.6303 Company: Contact: Contractor Address: 2380 Watertown Road City: Orono State: MN Zip: 55356 Phone: 763.438.1976Email: armel.martin@powerfullygreen.com License#: BC708267, #EA714 '5 ' Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes ✓ No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeauan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org 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 an application for a permit, and rk is not t 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 ap ov of pla xArmel Martin Applicant's Printed Name Applicant's Signature owl itit4bc47� Zfi. / rir,.? DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ _ Exterior Alteration(Single Family) 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 rAlteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 4/ 1/10Occu ancY C - I MCES System Plan Review Code Edition jld1Z' Sr SAC Units (25%_100%J Zoning PP City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction U 13 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) K) Final/No C.O. Required 1 Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final "l Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS 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: / C)2'' ".1-/Wit , Building Inspector RESIDENTIAL FEES Base Fee 11 I lc Surcharge _• Plan Review 12.4• MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies 22„. Y .a.� 4 5. 50 TOTAL 32(o9 em Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA167766 Date Issued:03/29/2021 Permit Category:ePermit Site Address: 841 Sudberry Lane Lot:1 Block: 1 Addition: Sheffield PID:10-67600-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Maria Tzintzarova 841 Sudberry Ln Eagan MN 55123 Gv Heating & Air Inc 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature