844 Sudberry Lane
CITY OF EAGAN WATER SERVICE PERMR
1830 F:!nt Knob Road pERMIT NO.: 4989
P. O. Box 21199 8-9- £ 3
Eagan, MN 55121 DATE:
Zoninp: R1 No. of Units: Z
pwner: Joss2h Miller C st -
Mdress:
Syh Add,ew: 844 Sudb r~rv Lane T'~ c1,PffiwlA
2•ScCuite :1ech
Pturnbsr:
Meter No.: Connedion Chorye: 450.00 Ad
Slze: Aornurn Deposit:
Pe?mit Fee: l0.OC1 pcl
Readsr No.: .50 pd
1 Nme te mwo1g wMh !Iw Ciffr of Ew¦ Surchargs:
Mtsc. Choryes: 6G. ~0 pd mater
Or~meeas.
Total:
By pote Paid:
Dote af I rup.: I nsp.:
CITY OF EAGAN SE1AIB SERVICE PERMIT
2339 C IICt Knob Roed
P. O. Box 21199 PERMIT NO.: .
Eagan, MN 551 Zl DATE- ~
Zoninp: ~ 1 No. of Units:
~~r .:oseph "(111er Const
Addross:
5lte Addma 844 SudLerry Lane I.3 B2 Shcrfield
Plumber. :•fc(:uire "ech
7-21-°1 373u7 100.00 pd
1 Mm te 011 vvMr IM CIlr of ieNw Gonrnetton Charye: 42,7,. UQ Pe,
OrdbomeM. Acwt+M DePoft
Permif FM:
Surchorpe:
gy Mlsc. U,orgm
Dah of Ir?sp.: Total:
lrqp,; Dotr Potd:
~ .
CITY OF EAGAN . A~~~
• 3795 Nkf Knob Road Eayon, MN SS122 A. 0
• ` PHONEs 454-8100
BUILDING PERMIT Recelpt
Te be aed fw S F DWG / GAR Est. Vol ue $50 , 000 Date I 9-~-,3
Slte Address 844 Subberrv Lane Erect M{X Occupancy R3
Lot -3 Black 2_ Sea/Sub. She f f i e 1 d /?Iter p Zoniny R 1
Porcel * 10-67600-030-02 Repolr ? Firc Zone NA
Enlarys ? Type of Const. ~
W No~ Josevh M. ^liller Const. Move p # Srories
z Address 18133 Cedar Ave. S. pemolish ? Length 41-4
cj n ton phone 454-4753 Gmdo p Depth 45-8 Sq. Ft.
°C Nome Same Approrols Fees
0
Address /lssessment Permit 283-nn
F Ci Water S~ Sew. Surchcrge 2 5-n~
~ Police Plan check 1~+T(?
Z Nome Fire SAC 5? 5, nn
Address Enp. Water Conn. a50nn
t W Ci phom Picnner Woter Meter 6n _ nn
Council Road Unit _-25Q,.QO
I hereby acknowledge that I have read this opplication ond state that gldfl. Off.
the intormation is wrrecf and agree to tomply with oll npplicable ^PC Totnl
5tnte of Minnesofo Stotutes and City of Eagon Ordinantes.
Sipnaturc of PertniKee
A Building Permit is iss~,,Ed to: on the express condltian thal
all work shall be in;acyordonce appliooble State of Minnesoto Srotutes ond City of Eayon Ordinances.
9ufldiny Officiol
I. PKmit No. Pe?mit Holder Misc. Permit No. Holder
Plumbinp ~CCp(,.ll'1~~
qgf-~~`1
H.V.A.C. 3qa, ~ hallF ~,3
w.n
Wat~r
Disp.
Sevrar
Electric tt) O~ $~]9 ~~R/l.d -Z7 -T 3
Impsetion Da" Ins Other
Footinys
Foundation - 1/1 Freminy y
Rouqh Plbq. Rough HVA
inwlation ,
Final Plb¢ ~
Final HVAC ~
Flnsl ~
Wour Wscriba Location:
YVell -
Sevhr
Pr. Dhp. ' .
. .<-'p`~'~'~'~`gi,~~ ~ '°°1~~.~c7~-`_`4,Y"" ~?-''~y~~"'~'"1'~ ~~'"'r`l''~P
~~4?°-F'~dt°' ~~~t i~u;t` : 1 ~ ~7~ .~e~ _ ~s ~
, 1;~.v.Y 4' _ .•l.~~T"cZ~ :yTi~.~~f:~:_-.R:.~~iE ~i~P_`~liT~_~~.`v1'T.`;...T.a'11~0='^`~~ir~~~C~,.
e
~ ~rr~iftr~tt~ uf (~rru ~tnr .
of eagan , a~~~
A
~1'~p~t~IltFltf ~ t~litlbittg .~riS}tPt#titlt ry
TbiJ Ctrtificatt ir.rucd purltfd?tt t0 !IX rtqkifnnerJts of Sateon 306 of tlx Uni form Auildrng
; 4•`g- s,, Code artifying that at tfx rimc of JSSItG11Cl tI7t7 StYuCIUP[ tUQJ iri CO1!lpllallCC 2UtlI7 ll1t 9QfJ0#S e
ordinanal o f thc Cit yrtgulating building conttruction or utt. For the f olloudng:
I
t1m CLo&atlm SF DWG/GAR BIdS Permil No. 8270
N! o.w.y ryn. R3 Tyw c~um V Fi,. Zon. NA z~~ nut~t
Rl
a.,,,„ d Joseph M. Miller ~18133 Cedar Ave. S o. Farmiri
,
~
Addrer 844 Sudberry Lane L;~,Lot 3,_Block 2, Shef f ield
~ :
~Q~"~~ 4- Se tember 30, 1983
ewm,~iornar P
~ ~ i, .c.. ~ , co«..icuou. ~c¦ y ~p
a.:.. . . .i.. _ a: . . '.y~_ y
- _ . _ - - - - - - - - i ~
~ "r' ++a' ~~~.,~~~~~oF~~`~'~~1~ ~ .,~~i. .,dj-~~i ~ a~t"~~y. ~j~-. ~~,1. ~~~.•r- , ~
~ ~~A? ~s~ ~ ~
u.... r- s..,
Receipt PLUMBING PERMIT Permit No. f; 22
CITY OF EAGAN
. ~ Fee
' Fill in numbered spaces S/C •~G
Type or Prini /egib/y ,
Tot.
1. Date 2. Installation Cost
3. Job AddressY+ Lot3_Blk. Tract
4. Owner
C. ,
5. Contractor, Phone
v
6. Address
7. City /l. State : J Zip
8. BuildingType: Residential/ l,..ti, Commercial ? Institutional ?
9. Work Description: New ~ Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
~ Sttower
Well
; Kitchen Sink
Urinal/Bidet Otiier
Laundry Tray ~ l) O
~ 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 numbered and approved.
Approved CITY OF EAGAN 454-6100
~ r
Receipt - MECHANICAL PERMfT Permit No. •J '
.7 CITY OF EAGAN
Fee
Frll in numbered spaces S/C
Type or Print /egib/y - ,
Tot:
1. Date 2. Instailation Cpst
3. Job Address ' ' t• r'~ ~d~ Blk. ~ Tract-°" Y`-
4. Owner
,
5. Contractor`-I 4- Phone ,
6. Address
7. City State Zip , .
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New E~-- Add ? Alter ? Repair ?
10. Oescribe Fuel Type I' -
11. No. EQuffipment BTU • M. Ea. No. Equipment CFM
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.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
CASH RECEIPT
. -
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122
19 ~
RtCC1Vt0 DATE
• PROM
AMOUNT $ I
& DOLLARS
~ao
? CASH ~ CHECK
FOR
FUND CODE pMOUNT
Than u
BY
~
White-Payers Copy
v' Yellow-Posting CopY
Pink-File Copy
CITY OF EAGAN Remarks
Addition SHEFFIELD ADDN Lot 3 Bik Z Parcel 10-67600-030-02
Owner Street 844 SUDBERRY LANE State EAGAN MN 55123
Improvement Date Amount Annual Years ' Payment Receipt Date
STREETSURF. 1981 28.68 1.4 20 24.39 A 12987 1 13-83
STREET RESTOR. 'el$ r
GRAOING 57$ 1$1 1.1o 6.07 15
Sewer Lateral 577 1981 152.98 10.20 15 22.41 is o+
SAN 5EW TRUNK 510 1981 63.30 4.22 15 50.64 If it
SEWER LATERAL !i 0- 1981 S. O 6.43 1
Sewer Lateral 01 1982 6.06 4.34 15 56-40
WATERMAIN 1981 128.o8 8. 54 15
107-49
* WATERLATERAL 1982 48.16 3.21 15 41-74
n tt
WATER AREA 1981 63.30 4.22 15 50-64
* Powerline 1982 1
STORM SEW TRK 1$ 4 6, p ~O t7 y.33S 7~
STORM SEW LAT DT8ifl8 e 1984 91.75 9.18 10 91.75
891 s a 6d7 , 0 3 e o 0 3aS 61-2~ /,F
CURB & GU ER
SIDEWALK
5TREET LIGHT
Street <523 1941-64 388-33- 4 0 3 3 S o
RO I
WATER CONN. 450.00 n n
BUILDING PER.
n n
SAC 00
PARK
' F''erti£icate Por:
?Toe D9111er Construc.tion ~j
18133 ^edar Avenue Soutii
• ?'3rmington, Mlnnesota 54 . ~ ~
DELMAR H. SCH WAN Z
LANOSURVEVOR j INC,
Reqislersd UnCer Laws of The State of Minnoso[a
2978 - 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068 PHONE 612 423-1769
SURVEYOR'S CERTIFICATE
~ Co
a= tJ ~ 7' ' ~ o .
~
~57.
' r! ` e t'l.b1 } \ 1 1. (,T' .
t.
~I ~ J 1~ rn
~ p ~f
'
.t? ~
iC7
1J
qo 1.5-= Propo~~e flaor e ie%
150• ~ • • , -
r r7}1VJf'`J tOp of ~ r•'.:
. 5.18.7 Proposed baaement floor• ele-.;.
S99,o Denotea existing elevation m Denates iron piPe mcnume•,t
~i 999~.0 Denotes proposed finis'rl B Denc_.tes setba!:k monumer;t
~ grade elevation
Denotea direction of surface
drainage
I hereby certify that this is a trile and correct representation of the
boundaries of -Lot 3, Blo<:k 2, SHF-%FIELD as on file and of record in thP of''', ~
of the "ounty Fecorder, Dakota "oiinty, Minneaota.
Also showing the proposed lo-;ation of a house not staked thereon.
Dated: Apri1 13, 1983.
r
r r
, f
MiNNESI)TA REGISTRATION NO 8625
~
This request voiA R- pZ l L?j (BP, QL 3p 27s
_ 18 mo,ilAs from
W078796 3~.So
5vu4ps[-at-~~ Pire No. Rough-in Insper,tion
ReOwred? EjReady Nnwig.IMTTRIO[ily InsVec-
s ? No tor When Ready
7cen9ed Eleclrical ConVactor I hereby reVUast insvection oi abova
? Owner electrical work installed at:
Streot Address, Box or Route No. . ' City
Y4/ Suc{6~- ~4.V~~
ecuon o. Township Name or . Ranpe No. Coun[ . '
ZZ't. D~GL
Occupant (PRINT) Phone Nn.
J~E ' Co 5/J- 75~3
Power Supplier Address
~G
Elecvicel Convactor ICompany Name) Convacm~'s License No.
!a~ CI ~ ~e,G 161-
Mailinp Address ICOntractor or Owner MikinB Insl211ationl
~
Authorizetl SiBnature ICon[rector~Owner Mnking Installatiunl Phone Number
` ~ NO
MINNESOTA STqTE BOAflD OF ELECTNICITY THIS INSPECTION flEQUEST WIIL NOT
Grig9s•Midwey Bldg. - Noom N•191 BE ACCEPiED BV THE $TATE BOARO
IINLE55 PNOPEP INSPECTION FEE IS
1821 UniversitV Ave.. St. Veul, MN 56104
ow.._e ia111 oo7_1111 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
. w;
- ' See i.atructions tor completirg this form on back of yellow copy. .
BeTow WOrk CaSered by This Request 3~'$S l
Hdd Nep. Type of Building APOlinncas Wired Equipmenl Wiretl
Home Range Temporary Service
Duplex Water Heater [iny Fixtutes
Apt. Building ?ryer Electric Heatin
Commercial Bldg. umace Silo Unloader
Industriai Bldg. Air Conditioner Bulk Milk Tank
Farm Othei peci v tM1er ISparlfyl
t er Suea Y Other Other
Compute Inspectron fee Be/ow
# Fee ServiceEnNenceSize p Fee Feaders/5uhfeaders k Fee Circults
( le, pp U to 200 Am s 0 to 30 qm s U ta 30 Am>s
Above 200 qmpy31 to 700 qmps 37 to 700 qm s
Swimming Pool Abave 100_Am s Above 100_/amps
Transiormers Irrigation Booms Pnrtial'Other Fee
Signs SUecial Inspection 533~6 T
Nemsrks _ ~
f 3.1 N'O
RouBh-in
cvical
J spector, hereby
certify thet the abova
Final nspection hes been
Ca.
This reoueal vaitl 18 monihs irom
This repuest wid C(~ 7 C(
18 ~mnds tram \ )'~j Lj
A 079610 L?~ +3 S
Request Dale Fire Mo. Q[~ Peo~ ~ ?Neadv wow wiu r~uarr lnasoeo-
T ?Ves ?NO iwlMhsnWraAq
~ L:cemW EIscVipl Cant~Or i h.eby rapwst io~tim ot abaie
,ffOw~ elsetrifal wvk irotalled at
Sv t Addrrss. Bo: or Ibure No. Ciry
S b (N
tion - Township Na~o a nge No. Caunt
Q
Occupan[ 1%tINT) iTmc Mo.
So
Power I~v AdAress
Eleciripl GonVac[w ICanpaM N..el Cmtracror s Licen:x Ho.
Mailinp Ad&ass ICmtracN w O~r Yakinp Insbilatian)
Avthorized Siqreuua ICmvaclor/Owner Yakim I.sbllatim) Rme H~mAa
YIqNFSOTA yTqTE BOMRD OF ElECT11ICfiY irASPE-CTION WEQUfST qILL WOT
Gri9os-ffiOwaY &da- - Roam N-197 BE ACCEPYED Bt 7ME STA7E BOAND
7821 Univera:ry Ave.. SL Peul. UN 55104 UNLESS PRpPgt If6S1EC11oN FEE 6
PI`..w 18121 247.211] EqCIOSED.
~ CITY OF EAGAN ~T
` 3795 PHw Kaob Roed Eegen, MN SS11t jr O 8270
PHONE: 454-6100 gtJILDING PERMIT Re,oe+or
Te 6e ated fer SF DWG/GAR Ett, Value $50,000 pate r4g• 7-':1 ~ 1y 95,
yM qddross 844 Sutlberry Lane Eren gp{X Occupoacy R3
Lot 3 glak 2 swsy. Sheffield qlter ~ Z~ing Rl
pa,osi * 10-67600-030-02 Repav ? Fire Zone NA
O
~ Name Joseph M. Miller Const. Enlaqe TYPa of Const. V
W Move ? # Srories
~ Addrcaa 18133 Cedar Ave. S. pemoBah ? Length 41-4
Ci Farmin¢ton phom 454-4753 Gmde p Depth 45-8 Sq. Ft.-
~C Nyme Same Aypre.nls Faaa
fri Ackirm Assessmenr Permit 283.00
CI PMrro Water & Sew. SurtMrge 25.00
Police Plon check 141.50
~W Name Firo SAC 525.00
Addross Enp. Woter Conn. 450.0
~
~W Ci phone Vlanner WoterMeter60.QO
Council Road Unif 950.00
I hereDy acknowladge that I have reod this opplicorion ond stote tFwt Bldp. Off.
the inlormation is correct and egree to wmply with all opplicoble A~ To~Q~ ~ ~ 7q4. SO
Stote of Minnewto Stotutes and City of Eagan Ordirances.
Siprwtum of Permittee
A Building Permit is i ro• _ on ths axpress wndltlon thm
oll work shall be do in pplimble Srore /of I/J/~ m~n~ew_ro Statutes and City of Eapan Ordinoncei.
Bufldirp Officiol
NOM FOR fl.ECTRICAL 111SPECTION
"1 sea 7mhuec:aas to. coeoIea.9'inia tmm on hack ot ralro. war.
woo
A 1 ""X" BelMrWolk-Cavered by This Request ~
0.ad Rep. T~of BuiN:w Applia~ OireA Equipmen[ W:reC
Home Range Tqryxacary Service
Duplex Watea Heater i.ighti(g Fiztures,
Apt Buitding Oryer Electric Heati
CotmwJCial Bldg. Fumace Silo Unloader
Irdustrial Bldg. Air Conditioner 8u8k Miik Tank
Farm oMe. lseecifyf , .lsneci rrl
t r Sq.c~ Y Oiher OIMr ampute /nspection fee Below
M Fea ServieeE~s~ea5ita N fee Foeders/Subfeedars H fee Cvcvils
0 to2(10 Affips " 0 to30 0 to30 Ajyws
Above 200 Arrys 37 m 100 Amps 31 ta 100 Any,
Swimming Rool Atnve 100-AnVs Above 700_
Trarsfomu.vs Irrigation Boorrs 50 Partial%Otlher Fee
Signs Special Inr~iection
ne~Acs S r~ ~ TOTAL ~
e°tm°,"" ' °aje1. uw el. i
h~saxw.. ne.ebr
ranify Hot the abpve
Final (~pK4m has 4een
• ~made
Tlft mpti,,mit WC18muEtu4em
70
.iwa*son. a ;
4
1 .sa pran M?/ . ~
BUIIDiNG pf1~T ~at af ~I~/ asl~v~'Sa~ 1,
WSaooo
Zb Ee tliNed valuntion
site AdBreseo 1-°`v1 Y O
lot j H1odc ~ sec./R~b• dL~AAlber zonin4
parcei iq~ rsm
T'p° °r
owner:
lladre~t= ~ Da hu*
City/Zip Qode: `
Pt~a'~e '~S~
ASe+eSt
AssOMWdr*M a83 ~ ' ,
Oontrac6ors lft ftmhag
Plan ameclc
Addr,eas: Poiioe ~ a
(YtY/ZiP Caaes Fire
HxJ•
Phcne i: PlWMer 1Pat~ 1Meter
' lb" tA+it ~ "Anci,./Enj. sldei• - ,
Address: APC
(XL}I/Gip OOC~E 7
x :
Phcm e:
-
?RA?e:40,
t;rr+t ar- r.Ac.nN
i:A!i3HiEf{l: 3S Ti-FMTNN_. N0t 695
I}ATEa L1908%99 "i'IM!i:k ' i.7,:47s}.i
,'nu
i':Aifl:;; Fl<.'.7L:t; 1ii;irF:CNG riNIl (',!3RS`fRl.)CT'T(:tN
3210 9001 844 ;lJriX3L:F;:l;1' I._Fi 111.25
?:L:°i`'.i 900i 84_4 SI_)iiI3E.F'.1'tV 1.41 2.50
2
TOtIl Ti:F_`l7el.(''1; FitOGlJi1'H;; i:l3.+5
CR:I.1C',F;"it.
Ut3iii:Pi I:n;; 3Ai'!
Y;:Y,:.~'k::kYf•%RVFYn';!~;:'Fk~.X:lok>YN:1;?''n~F:'h~k.'f.%kM.~:t:m:'n:.: ~:?#>A7i`7F1n'~r' 'M `n
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
~ ~J CITY OF EAGAN ~
~ 3830 PILOT KNOB RD - 55122 3 7
651-681•4675
New Conahuetion ReauhemeMs o p~emodel/Reoair Reauirements
CG (1
? 3 regislered sRe suneys showtng aq. k. ot lot, aq. fl. oi house J+~~ 2 coples of plan
and qll rooted areaa (20% mcximum lot coveraae allowed) 1 set of energy calculafions tor healed addHlons
? 2 toples of plans (show beam a window fizes; poured Ind. design; etc.) 1 sHe suney lor exlerior addlNOns a decW
? 1 set of energy calculations
? 9 coples of hee preservation plan N lof platfed atler 711/93
DATE: 8.JI -1 1 CONSTRUCTION COST:
DESCRIPTION OF WORK: "C-rZ_°aVr
STREET ADDRESS: ~YT 5uj- ber?Ry
LOT: ~ BLOCK: Z SUBD./P.I.D. ~1S.l~dk.P E~'
Name: Phone
PROPERTY Last ptrst
OWNER
StreetAddress: g! ~ skd6c'~y
city stare: vrw Zip:
Company: 7-F z'f-cG 2e~~''an/ Phone l°
(area code)
CONTRACTOR o
St?eetAddress: I /5 g 3 License# x1139"*,r° Exp.
City ~ccRn~S'J~ ~(E State: ziP: SS~~ 7
ARCHITECT/
ENGINEER Company: Nome:
Telenhone area code ( )
Sheel Address: Registration
City State: Zip:
Sewer 8 water Ilcensed plumber (reaulred for new consfructlon onlvl:
Pbnalty applies when address change and lot change Is requesfed once permR is issued.
I h•iireby acknowledge that I have read this applicaHon, state thot the informa on Is co recf, and agree fo compiy wtth all opplicabl
Stcte of Minnesota Sfatutes and Cffy of Eagan Ordinances.
Signature of Appli t
~-A
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
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. (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 0 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
? 33 Alteration ? 37 Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) n 42 RervOf
' Give PCA handout to applicant for demolition permit
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/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/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 .
Jl l D41 ~ 4 4$ --1 o oo
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenfs RemodelA2eoair Reauirements Office Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. fl. af house; and all raofed areas 2 copies of plan CeA of Survey Recd _ Y_ N
(20% maximum lot coverage allowed) 7 set ol Energy Calculations for heated additions TreePres Plan Recd _ Y_ N.
2 copies of plan shovring beam & window saes; poured found design, etc. 1 sile survey for additions & decks Tiee Pres Required Y _N
1 set ot Energy Calculalions Addfion - iridicate i/onsde septk system Onsi[e SepGc System _ Y_ N
3 coples of Tree P2servaUon Plan If lot platted afler 711133
Rim Joist Detail Options selection sheet (buildings wBh 3 or less units)
Date onstruction Cost cJ,
Site Address Unit/Ste #
Description of Work~~l ~ r D~ W 7n~~1 A`C
-,t Jl t?1
Multi-Family Bldg _ Y_ N Fireplace(s) _ D_ 1 _ 2 ~
PropertyOwner Telephone#Kj) 1057• y9n
The Home Depot A.H.S. Inc.
Contractor 3200 Cobb Galleria Pkwy., Ste. #200
Adaress Atlanta, GA 30339 _ citY
State 763-542-8826 elephone # ( )
BG20268257
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submined
• Energy Envelope Calculations Submitted .
In fhe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pian2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanicai Contractor Telephone )
Sewer/Water Contractor Telephone )
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
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permi , that the work will be in accordance with the approved plan in the case of work which_requires a rev_iew and
app al of plans. ,
C ~ • I
pplicant's Printed Name Ap icanYs Signature
~ OTWICE USE ONLY
Sub Types
? 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 13 31 Ext. Ait - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 08 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entlre Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile O[her
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ W indows
_ Insulation _ Retaining Wall
Approved By: , Buiiding Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Tatal
. ~
Installed
~ omeSeNi~~" Siding and Windovsrs
LIMITED POWER OF ATTORNEY
, .
.
0
COUNTY OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Ine., DBA Home
Aepot Installed Sales loca+.ed at 660 Mendelssohn Avenue Nerth, Cro;den Valley, MIV
55427, having a license number of BC- 20268257, do hereby appoint, name and
constitute Elder-Jones Building Pernut Service, Ina ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary and appropriate, in order to ohtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Powe: of Attomey are
limited solely to the express powers delineated herein and appl_y solely to the Work.
This Limited Power of Attorney shall expire and automatically be revoked on the 21st
day of May, 2004, which date is one year from the execution hereof. Further, the
powe;s conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
PN WI"!'NF_SS WHEREOF this Lim=ted Po«rer of:qrtorney is e.aectrtcd th:s
21st day of May, 2003
David N. Katz
S WORN TO AND SUBSCRIBED BEFORE ME by David N. Ikatz on this
21 st day of May, 2003.
Notazy P6Nic in for the State o eorgia
h7y Commission Expires: January 21, 2006
396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112970
Date Issued:08/27/2013
Permit Category:ePermit
Site Address: 844 Sudberry Lane
Lot:3 Block: 2 Addition: Sheffield
PID:10-67600-02-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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 -
Alisha M Hunsberger
844 Sudberry Lane
Eagan MN 55123--193
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:Plumbing
Permit Number:EA153226
Date Issued:12/03/2018
Permit Category:ePermit
Site Address: 844 Sudberry Lane
Lot:3 Block: 2 Addition: Sheffield
PID:10-67600-02-030
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.
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 -
James D Hunsberger
844 Sudberry Lane
Eagan MN 55123
(651) 895-2955
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:EA162724
Date Issued:07/27/2020
Permit Category:ePermit
Site Address: 844 Sudberry Lane
Lot:3 Block: 2 Addition: Sheffield
PID:10-67600-02-030
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. When a weather barrier is installed or
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 -
James D Hunsberger
844 Sudberry Lane
Eagan MN 55123
(651) 895-2955
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(952) 746-3046
Applicant/Permitee: Signature Issued By: Signature