842 Sudberry Lane
CITY OF EAGAPI SEWER SERVICE PERMIT
3830 Pilot Knob Road p~~T NO.:
P. O. Box 21199 D^,~:
Eagan, MN 55121
~ ~ing, RI No. of Units:
Owrwr. .Toe h `~iller Con~tr+iction
Address:
Plumbe Sudber Lane L2 g? Sheffia
Stt• Address:
r. uf78 E1eCh . . , .
425.OC ad
1 prM 1o eoMpM ~ liM Cil1? af EOMw Connection Char'Oe:
Or1laeness. AccowM Depoait: .
Peernk Fw:
Surchorps:
By Misc. Qarqes:
Date of Irup.: Totol:
paft Pnld:
' Imp.:
CITY OF EAGAN
3830 Pilot Knob Road wATER SERVICE PELMIT
P. O. Bax 27199 q,•;
Eagan, MN 55121 PERMIT NO.:
DATE: - ~
Zontnp: RI No. of Untts: 1
Owner: Joeanh Mi17or.struction
Mdross:
Stre Addreas: u e rry e e er(F
Plumber. 0u re Mech
' Metar No.:
Slze: Connection Chorfle: D. rjo
P
Reoder No.: ACOOUnt Depostt:
Permit Fee; P
~Gem t'O 001"* wm NM Cih, of b"sn Surcharge: p
O.riw~npr,
Misc. Cha?ges: p meter
gY Totai:
Date of Insp.: Date Pafd:
irqp.:
• . ~
CITY OF EAGAN s' 3~
• 3795 Pile~ Kwab Rood Esgan. MN 55122 :
< < PHONEs 454-8100
~ BUILDING PERMIT Receipt #
~
Te M uad ier SF DWG/GAR Est, yalue $57,000 pate July 12 _ lq 83
Slte llddress 842 SudberrI Lane Erect ja Occupancy R--3
Lor 2 Biock 2 Sec/5b, Sheffield ^lter ? Zoni?,fl n" - 1
Paroal # Repoir ? Fire Zone i1A
Enlorya p Type of Const. V
W No~ Joseph 4. Miller Const, MoVe 0 #$tories
Z Address 18133 Ceder Ave. So. pemolish p Length 39
c; Farmington ph~ 454-4753 Grode ? Depth 46 Sq. Ft.
ac Nam OwIIer Approvals F.es
O~ /lddress Assessment Permit 304.37
u~ Cit phorw Woter6Sew. Surchorpe 28.50
Police Plon check 152.00
Nome 525.40
F Z Firo S11C
/lddress Enp. Woter Conn. ~ Sn nn
t W Ci phone Plonrxr Woter Meter 60.00
Councfl Rood Unit 250.00
I hereby acknowledge thnt I hova read this applicotion and stote thot Bldg. Off.
the inlormafion is torrect and agree to tomply with oll opplicable $1769.5~
State of Minnesoto Statutes ond City of Eaqon O?dinances. APC Totnl
Sfpnoturc of Permittea
Joseph M. uiller Cqnst., inc.
A Bullding Pertnlf {s issued to: an the express condlifon thal
oll work s?wll be done in accordonce with oll oppliooble 5tate o~M _ innwsoto Statutes and City of Eogcn Ordinances.
,
Building Officiol - i
Pormit No. Permit Holdsr Mae. PKmit No. Holder
Plumbin9 I(C(pLE
H.V.A.C. Con~~ll
VMeil
Water -
Disp.
Sewer
r
El.ct.ic
Inapeetion Date Insp. Othx
Footinq~ ~
Foundation
Framing 3 ~
Roup+Plbg.
Roup
Inwlation
Final Plbg -i Y W
Final HVAC
F{nal
wate'r Despi6o Loeation:
YYall
So w~r
Pr. DhP.
''-~l-,
(11rrfiiftrtt#r of (Orrupttnry 0~:,
y ~r.: •p ;u. .
~
~ ~ Citp of Cagan
EPpal"II1tPttf IIf BlitIbt1tJ Jtt&pPtftittt ~
Tbia Ccrtif'uatc i.rtucd prrrsxaw to the rcquirnxc»ta of Sution 306 0/ tix Uniform Building
~
r' r,~ Cade «rtif ying that at the timr o/ iafuarue tbis strruta?c ruaa in corn pliana witb tbe variou.c
ordinanccs of the City rcgrrlruing bxilding connruction or xsr. Fer the follouting:
4-~: •.y. ''8
SF DWG/GAR n~ n0. 8234 , r
p L' j W. a.daranao ew4
om.w~r'ryw R3 'ryp c~,sm v F~ NA s«d% o~ Rl
d-~ ~°j
o.~ ( wgdj.,JosePh M. Miller Ad&.18133 Cedar Ave. So.. Farmin
~
awmiNg,,da„„ Q42 Sudberrv Lane L.;,~-ot 2,Block 2, Shef field
By:
September 2, 1983
f. 1J WA% oiadr
~W~ T IM A WM~MCVOY/ RJ1Ci y
T ~ _
I +~~i~`~~`~i.a_'::.~ti~.. ..:L~:~i=~~- _:._,_•L~ia~ ia~a:::i::.ta~.~:a.~a'zi,~ ~
4~ a~,a~~~ ~ ~!~~aR~'~~.. {
~ , .
_ • ~ ,e~, • . ,,a~, ~ ~ sa,
°~rta~' .~p? 'W+ire+~ _ °lnm~rwv~ '1 `'b~Y~~?. ~ '~a/~ ~ !~a.c/~.
o~~.d .,.:so
Receipt 3 -7 MECHANICAL PERMIT Parmit No.,3 ?
~ - CITY OF EAGAN Fee
Fill in numbered spaces S/C
TypE orPrini legibly To~
~ .
1. Date 2. Installation Cost
3. Job Address L"ot~Blk. ~ Tract
4. Qwner
5. Contractor ( ' ~ ~ Phone ~ •
6. Address
7. City -)5tate Zip B. Building Type: Residential.,A~ Commercial ? Institutional O
9. Work Description: New~V Add O Alter ? Repair ?
10. Describe Fuel Type
11. No, Eqsupment 8TU - M. Ea. No. EQUiament CFM
Forced Air Air Handling:
~ Mfg,
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and 1 agree to
camply with all ordinances and codes governing this type of work.-
Signed : - • -
iOf
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No..,r"
CITY OF EAGAN `
_ Fee
• Fill in numbered spaces S/C
Type or Print /egibly , r, ~
Tot. ~ 1. Date 2. Installation Cost
~
3. Job Address LotBik. Tract ' i
4. Owner Jce- : i13c r uc~lcT
5. Contractori'cCulr'e I•icC}ic-iI11C31 Phone n - 4 V~: ~
6. Address~~clt-_ Ave
7. City State ; .y Zip 4,4
8. Building Type: Residential X Commercial ? Institutional ?
9. Wark Description: New ~ Add O Alter ? Repair ?
10. Describe
11. Na. Fixtures No. Fixtures
11~
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well ~
~ Kitchen Sink
Urinal/Bidet Other~z-t .
~ Laundry Tray J.
f 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: Date Insp. Date Insp.
This is your permit when numhered and approved.
Approved CITY OF EAGAN 454-8100
CASH RECEIPT
CiTY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RiC O V LD
FROM
AMOUNT $ ~
a DOI.LARB
too
? CASH ? CNECK FOR
i
FUNO CODE AMOUNT
Thank You
6~41~11 B Y
White-Payers Copy
` Yallow-Posting Copy ~
Pink-File Copy '
CITV OF EAGAN Remarks
Addition SHEFFIELD ADDN Lot 2 Rik 2 Parcel 10-67600-020-02
Owner Street 842 SUDBERRY LANE State EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 24.39 A 1 7S
STREET RESTpR.
GRADING $ 1981 1.10 6.0 1 72•89 A012750 9-12-83
Sewer r 1981 152.98 10.20 1 122.41 " "
SANSEWTRUNK 1981 6. o 4.22 1 50.64
SEWER LATERAL 82.04
9l k 56.40 A012751 "
WATERMAIN 5715 1981 128.08 8.54 1 102.49 A012750
7F WATER LATERAL 8 48.16 3,21 15 41.74 A012751
WATER AREA 50.64 A012750
--t-Powerline 1982
STORM SEW TRK y 1985 456.09 91.22 5 56 • 4 0 33 -
STORM SEW LAT DrBilL e 1984 91.75 9.18 10 91.75 C008 12 -1 -8
oZbOr1•o3 Cc~o .3
CURB & GUT71ERSQ'
SIDEWALK
STREET LIGHT
Street 893 1985 1941.64 7 ~G O~o 933Z v'a'
WATER CONN. 450.00 11 it
BUILDING PER. 8234
SAC 525-00 11
PARK
This requas[ void p-I Cie L;z 1 13:2 'S' kL~'~l ~ ld 3-1 -l q 6
18 months fro.-
EV 0'78767
Reqoes[ Date Fire No. Fough-in InsVecUon
3 Requ retl, ?Aeady Now~M~R1 Notify Insper
s ?NO tor When Ready
J21off'scensed ElecVical Convactor I hereby request inspection of above
? Owner electrical work ins,alled at
Street Address. Box or Rout No. CitY
5~6:-- ~avL ~ L~ q 8
ecuon o. Township Name or N. . Hanee No. C o ~ry
~ia tt k
OccuO i~1(PflINT) Phone No. '
~a~ Cors-~~~ t 6 oo 40~5q- y e7 53
Power Address ~
Elecvical Contra tor ICO any Name Cnnvactor's License No. .
~~.err~I k.
Mailin AdJress IContractor or Owner M in Instaila[m~~ SS337'
oc~/ c~-'' ,~~nsu~/~o
Authoriz S~ ~atur Con ractor Owner Making Installationl Pphone Number g
d~~ ST p~p
MINNESOTA STATE BOAHO OF ELECTRICITY THIS INSPECTION NEUUEST WILL NOT
Griggs-Midwey Bldg. - Room N•791 gE ACCEPTEO BV THE STqTE BOAFD
1821 Univeraity Ave., St. Peul, MN 65104 UNLESS PR04ER INSPECTIpN FEE IS
,e- - ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION Ee-00001-04
' See inatructions tor compieting this torm on beek o( vellow co0v.
Y~' gn'7 I (j+~ ~rj
' XBelo~b'Wo~ Eoi7eied by 7his Reqirest 5-7990
Add Fap. Type oi Building Applinncas wirae Equipmenl Wired
Home Range Temporary Service
Duplex Water Heater ighting Fixtures
Apt. BuilAing Dryer Electric Heatin
Commercial Bldg. rnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Othei ae6 y t er ISUecifyl
t a. Succi y t pr Othi:r
ompute Inspeciion fee Belaw
# Fee ServicaEntranca5iie d Fee Feaders/Subfeetlers # Fne Circuits
00 U to 200 Am s 0 to 30 Am s 0 to 30 Am
Above 200 qm ps. 31 to 100 Amps 31 to 100 A s
Swimmin Pool Above 100_Amps Above 100_Am s
Trarormers Irrigation Booms ,S Partial-'Other Fee
Signsns Special Inspection
Remarks S :0 3• OT FEE
RouBh-in ( Date 1, the Elechicnl
~ Inaoector, heroby
certify thet the abpve
Final Dste inspeclion has baen
mede.
Tnls reeueet voia ie months Irom
CITY OF EAGAN
l ' 3795 PIM Kaob Rood Eagan, MN 5372= ~T
1V ? 8234
PNONE: 454•8I00 ~C ,~7 ~
BUILDING PERMIT Receipt # 6
Ta 6s und fer SF DWG/GAR Est,yalue $57,000 pate July 12 1 y 83
Sire Address $42 Sudberry Lane R-3
Erect a Occupancy
Lot 2 BI«k 2 Sec/Sub. Sheffield Alfef 0 Z~ing R-1
Parcel # Repoir Q Fire Zone NA
Enlorge ? Typeof Const. V
w Nan,e Josenh M. Miller Const. µove ? # Srories
~ Addrom 18133 Cedar Ave. So. pe,,.,oitsh p Length 39
ci Farmington Phone 454-4753 Gmde ? Depth 46 Sq. Ft.-
Name Owner Approrals ~Fa~es ~r .
Z~o
Addrea Assessment Permit JU4~0
s~ Cit ptip~ . Woter 8 Sew. SurcFwrge 2$.50
F Police Plan check 152.00
WW Name Fire SAC 525.00
FW
Address EnO. Water Conn. 45P00
iW Ci Phone Plonrrer WaterMeter 60.O0
Council Rood Unit 250.00
I hereby ockrawledge that I hove read this applicotion and stnte that gldg. Off.
the inlormntion is correct ond agree to comply wlth oll op0liccble AP~ T~a~ $1769.50
State ot Minnesom Starutes and City of Eaflon Ordinonces. Sipnoturc of Pertnittee
Joseph M. I~i.ller Cgnst.' Inc.
A Buflding Permif is issued to: - ~ i oa fhe ezpress condifion thnt
oll work sholl be done in occordonce wit~y` b~le~ Stofp~y~° O'Statutes ond City of Eagon Ordinances.
Buildiny Offlcial l.~i!x•~~/-2 <y7~o./
h
'4Wcrrsr oF F srici~ z eeaa or p~,
i sita pl~an w?elevatl.one 6
stnMIxc, PErfUr aMsaWMaa I set ot w,ew asicutwti~n '
; • =F ,~7, oda - /
'lu He osea For valuat3on nate
-T
Site Address: cr4`ICE i7SE CNIIX
Block 4j~_Sec.l". Oom4my-T
A~lter zmim
raroai papatr lPsne z«ie AIR
~ lype of ocnat. _
OMmer: l~re - ~ r......~
.
Addrese: Depth 4 " !E.
, r
City/Zip Code.
Phcm n: ~sf/- s~~ ~Pav~s FM .
~ 3..~ _
&
oor?trac6or: -~-p Assesm~r?ta Pe~+ait
Water/sawar 8~'9e
g~ Sa~~
Address: Polioe Plan
Citl+/ZiP Godea ~re Erig. Wabet Cann. Y6`0
' ~
Phcne N: Plauier Water !Neter oQ
co„ncil Roaa cnit a~
arcn./b,y. slclg. of€~- '
naaress: APC
cxty/zip coae:
f~ . so~+s, '
~ Ai
. . . ..::1 :
"
CestiYkcate For: •
Joe•M111er Constructlon 4~~,,,~ `kF076
-18133 Ceda'r Avenue Svuth I
Farmington, Minnesota
' 55024
'
DELMAR H. SCHIMANZ
LANOSURVEVORS 1uL"
. Rlyifla(" UMQer laws of TM SbN Of MiOn611014
2076 - 145TH STREET W. - BOX M ROSEMOUNT, MIMNESOTA $6068 PNONE 817 129-1788
SUHVEYOR'S CERTIFICATE
~
j r4 Vee4
,
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- ,
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2Lt' • ~,r~, ~i~ i~~ \ ,\4.J ~ ~ w4lP~° ~ ~ % ' l ` ~
~ Y r~...
~ , N 23,V~ 9B.
?k
o po
10 N
0A. ,qt9.5 Propoaed gara;e flooc, elevatlon
'roposed top of block elevation
Z Yft,g Propoeed baeement floer elevatinn
Propoaed loweet basement floor elev
>
p Deno*_es iror, aipe m(nument
8 LenoY.es aet'oac°:c mon_unent
90L3 Denotes exlat~elevatlon
oZ. Denc:tes pi k)posec' lnlsh grade elevaticn
Penotae diree t lun sur"3•.?P dr<a.lriaFe
I hereby certif;/ that this 45 mi'' co:•re-t represen*atic.n c f
a snrvey of T~t 37.o::k I-, Ias on rile ::nd uf ra,:crz: in the
offi:e o!' the "ounY.y re^_nrde^, pu'.:cr,,: ';?~inty, Minnesot.a
AI9o showing tt•,e location ot' proposec ho•ise not staked thereon.
As surveyed by r.e t"i» 1.9 day of 19R3•
!
MINNESOTA REGT~TRATION NO 8625
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 842 Sudberry Lane
Lot: 2 Block: 2 Addition: Sheffield
PID:10- 67600 - 020 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435 -2442
e - Water Heater
Replacement
Water Heater
Mike Skaja
2090 County Road 42 W.
Bumsville, MN 55337
952- 435 -2442
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Manufacturer
PERMIT
City of Eaan
- Applicant -
Serial Number Remote Number
$15.50
Owner:
Brian Peterson
842 Sudberry Lane
Eagan MN 55123 -1938
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$15.00 0801.4087
$0.50 9001.2195
Plumbing
EA078918
07/20/2007
ePermit
Line Size
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
Applicant/Permitee: Signature
Issued By: Signature
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, E AG A NFor Office Use
x7 rii°
Permit#: / �, ``/
Permit Fee: / �`
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(a�citvofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /l 9r Site Address 1� � ,, herr e__4) Unit#:
Name: i r/C 1.4 / -e f ric-00-I. Phone: �l - S- -26'5'
Resident! I
F Owner I Address/City/Zip: P. 6 . ��y 2 12 S /
Applicant is: A, Owner Contractor i
Type of Work I Description of work: (' Coo-;
, i
Construction Cost 1b ,cob Multi-Family Building. (Yes /No ) 4
Company: 6Contact: ,
�
i
Contractor Address:City: i
, State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
I
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: '
i
Licensed Plumber: Phone: I
Mechanical Contractor: Phone: I
I
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 non7EublisitmErovide specific reasons that would hermit the Cit 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.citvofeagan.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.gopherstateonecall.orq
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 unders nd this is not a permit, but only an application for a permit, and w is not to rt without a permit; that the work will be in
accor with the p rov d plan in the case of work which requires a review and approv o plans.
x x
Applicant's Printed Name Applicant's Signature
DrIa12 Y-etc Ls of\