846 Sudberry Lane
ci i'v oF SAGAN ~ SEWER SERVICE PERMiT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 5511I DATE: ' - - ~Zoninp: `
6seiT17e consLo. of unirs:
Owne.:
Addrou:
Site Address: 121
~ e
Plumber:
I-ZI-53 J
1 qrM to ~s*11 wilh eM pey oF ffeps Connwctton Charge: - 425.00 pd
OrdIMsoM. ACOOUM Deppsj};
P.m,it F.s: - 10• pd
B 5urchoroe: _ .50 pd
Y Misc. Chorpes;
Dote of Intp.: Totol:
Imp ' Dote Pold:
CITY np EAGAN WATER SERVICE pERIWR
3830 Pilot Knob Roed
P. O. Box 21199 PERMIT NO.: 4990
Eagan,MN 559,?,1 D/~TE:
Zoninp: ' No. of Units:
OM,ner: Jose h lktiller Canst
Addr+ess:
Stte Addreas: g 6 udberry Lanc L4 132 S.'ri3ffield
Plumber. ''~cs'uirc ':eC+~
Meter No.: Connect(on CXpr450, 00 i~<f
Size: q°:
Atoount Depostt:
Readsr No.:
Permit Fee: Lo . ~J J pd
~ eew~l~r nN~ tie Cihr ef Ep~s Surcharpe: .50 pd
1Wsc. Chorpes: ~0• C~? q~ n~t~r
B Total:
Y Doh Poid:
Dote of Irtsp.:
Insp.:
CITY OF EAGAN g f 13
3793 'llot Knob Raod Eaoon, MN 5512!
PHONE: 454-8100
BUILDING PERMIT Receipt #
To bg w"d for SF DiJG/GAR Est. Value $55,000 pa?e July 27 , 19 53
Site Address 846 Sudberry Lane Erect
Ey, 4 7 Sheffield ~u~~~
:-1
Lot Block Sec/Sub. Alter p Zoning
10 F,76(?0 040 02
pa~~ # Repoir ? Fire Zone
cc Name Joseph M. :•Iiller Const., Inc. Mo°~° ~ Type of Const. nt~
W e ar ve. So. 0 # Srories
~ Addmss 13133 DemoNsh p Length
Ci k'arrsington phone 45~4-4753 Grade ? Depth Sq. Ft.
oc NQme 0wner Approrals Fees
O
Address Assessment Permit ' 27:
~ CI Phone Water b Sew. Surcharge
Pollce Plon check
oe
~W Na^e Firo SAC 525.00
/Rddress Enp. Woter Conn. 45_~n..',~
i W Ci phorke Planner Water Meter -231r.-M
Countil Rood Unit
I hereby acknowledge thwt I have reod this opplication and state that Bidy. Off,
the information is correct and agree to comply with oll applicable
State of Minnewto Stotutes and Ciry of Eagon Ordinances. A~ Totol
Sipnoture of Permittee Juseph . . _ t. , Inc.
A Building Pem+it Is issued to: on tha express tondition thns
oll work shall be done in occordanu with oll oppliooble State o~~a-3totr,rtea and City of Eo9on Ordinonces.
Buildirq Official '
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Receipt t PLUMBING PERMIT Permit No.
CITY OF EAGAN .
Fee . '
Fi/l in numbered spaces S/C
Type or Print legibly Tot
1. Date P'.~ 4~? 2. Installation Cost
L, -
3. Job Address Lot Blk_ i Tract;:ll'
l;
4. Owner ~%1~ %~,~~..o
5. Contractor,. Phone `r
~6. Address
7. City r j State . _ Zip _ -
8. Building Type: Residential ~l Commercial ? Institutional 13
9. Work Description: New E] Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
-f Water Closet Cesspool/Drainfield
j I_ Bath tubs 5eptic Tank
L.avatory . Softner
1 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 ta
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Flnal
Inspections: Date Insp. Date (nsp.
This is your permit when numbered and approved.
Approved CITY QF EAGAN 454$100
~
Receipt ~I{~IECHANICAL PERMIT . -
Permit No
CITY OF EAGAN Fee
rFi!/ in numbered spaces S/C
Type or Prini legib/y Tot. ~
r
1. Date 2. Installation Cost
,r 3. Job Address Lot~ 1 4 Bik. y Tract 'f
o t -7
4. Owner
~ i
5, Contractor Phone
6. Address ' ' ' 7. City i ' ~ t ~ • I State Zip
8. Building Type: Residentiai LI~ Commercial O Institutional ?
9. Work Description: New Add ? Alter ? Repair ?
10. Describe Fuel Type
11. No. Eouioment 8TU - M. Ea. No. EQUiament CFM
~ Forced Air Air Handlin
~ g:
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 454,8100
CITY OF EAGAN o
3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ 12~ ~ t~
PHONE: 454-8100 ,
BUILDING PERMIT Receipt t?
Tobeusedfor FIREPLACE Estvalue $2'775 Date HOVEMBER 18 19 86
Site Address 846 SUDBERRY L14 Erect ? Occupancy
Lot 4 Block Z Secisub. SHEFFIELD Remodel ? Zoning
Parcel No. Repair ? Type of Const
Addition ? No. Stories
Z Name tIICHAEL J. .TARUSZ Move ? Length
SAME Demolish ? Depth
o Address Int Impr. ? Sq. Ft
City Phone 4$2-7471 Install ?
c Name SA14E Approvab Fees
u Address Assessment Permit $ 3$. 5 U
~ City Phone Water 8 Sew. Surcharge 1.50
Police Plan Review
~ = Name Fire 5AC
~ Z 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 gldg. Off. 11 1~ 8 Tr. PI.
information is correct and agree to comply with ail applicable State of
Minnesota Statutes and City oi Eagan Ordinances. APC Parks
Var. Date Copie
Signature oi Permittee Tot81 '
A Building Permit is issued to: MICHAEL J. JAROSZ on the express condition that
all work shall be done in accordance with all applicable Stateyof Minnesota Statutes and,City of Eagan Ordinances.
Building Official ~
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CASH RECEIPT
~ CITY OF EAGAN
1795 pII.OT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
naceIvKc
FROM
AMOUNT ~ I
Ac DOLLARS
1 oo
~ CASH ? CHECK
~
FOR / .:.7.. ~ .S I... I
RUNO CODE A1.tOUNT
Than~1 Yo~u
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VYhite-Payers Copy
Yellow-Posting Copy
V Pink-File Copy
CITY OF EAGAN Remarks
Addition SHEFFIELD ADDN Lot 4 e1k 2 Parcel 10-67600-040-02
Owner Street 846 SUDBERRY LANE State EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1981 28.68 1.43 20 24.39 C0085 9 9-12-83
STR E ET R ESTO R. '911984 178.09 17.81 10
GRADING 5sl 1981 91.10 .07 15 72.89 C008509 9-12-83
Sewer Lateral 1981 152.9 10.20 15 122.41 C008509 9-12-83
SANSEW TRUNK 1981 63.30 .22 15 50.64 C008509 9-12-83
SEWERLATERAL 59-3 1961 930 6.43 15 82.04 C008509 9-12-83
Sewer Lateral (gql 1982 5.0 .3 15 56.40 C008509 9-12-83
WATERMAIN 526 1981 128.08 8.54 15 102.49 C008509 9-12-83
iE WATER I.ATERAL 1982 48.16 .21 1 41.74 C003509 9-12-83
WATER AREA 4.22 1 50.64 C008509 9-12-83
* P w r 'ne 1982 1
STORM SEW TRK 1985 456.09 91.22 5
~ - - 84
zij STORM SEW LAT 91.75 C0095I4 9-1 -8
2609.0 zi si
CURB & GUTTER
SIDEWALK
STREET LIGHT
88 ? .33 5 WATER CONN, 00OO of 91
BUILDING PER.
SAC 5115-00 11 11
PARK
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fisak
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(~~r~tfirtt#r nf (~rru~ttnr~ ~
,
of (Eagan
~J ~r~r~rtmrtct nf +~uii~ing Jn~pedimt
~ TbiJ Cntificate irrued Puratrant to tbe requinmentt of Serrion 306 0f the Unifmm Building
~
t' yr Code nrd fying that at tbc time n f ircuarat tbit ttrurture tuat in tomPlianct with tbr variout \
ordinanirr of 1fn City rcguJating building iangrrution or un. For the fallowinx •
uKcwaru,a~ SF DWG GAR M„, N~,No. 8293
o-war'iYp R3 bwc~wcuw Un Firczon . NA ,~t Rl i
a,,,~dB~ ~Joseph M. Miller AM.18133 Cedar Ave. So., Farmin t
~ ~a~846 Sudberry Lane ~~yLot 4,Block 2,Sheffield
~w August 30, 1983 y ' ~
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` CITY OF EAGAN NO 8293
3795 Pilot Knob Reod Eogan, MN 55124
PHONEs 454.8100
BUILDING'PERMIT tteceipt #
Te M wed 4or SF DWG/GAR Est. Volue $55>000 Date Julv 27 , 19_$1
Site Address 846 Sudberrv Lane Erea gk Occuponcy R-3
Lot 4 Block 2 Sec/Sub. Sheffield Alter ? Zoninq R-1
Porcel # 10 67600 040 02 Repair ? Ftre Zone NA
~ Enlarge ? Type of Const. Vn
m Name Joseph M. Miller Const., Inc. Move ? # Sro.ces
z Address 18133 Cedar Ave. So. pemolish ? Length_
C;4armington phone 454-4753 Gmda ? Depth Sq. Ft.-
~ OWRei Approvola Faef
o Name
o~' Address ~ Assessment permit 29$ • 00
u~ Cit p~~e Woter & Sew. SurcFwrge 27• 50
Police Pian check 149.00
Gw Nome Fire SAC $25.00
_ Addreu Enp. Water Conn.
~
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iW C7 Phone Planner WaterMeter
Council Road Unit 250.00
I hereby atknowledge thot I hove read this apDlicotion and state fhat gldg. Off.
fhe intarmofion is correct ond agree to comply with nll opplicnble APC Totol 1759.50
Srate of Minnewta Stotutes ond City of Eaqan Ordirwnces.
Sipnature of Permittee
osep M. Mil er C t., Inc.
A Buiiding Permif Is issued to: on fha express conditlon thnt
oll work shall be done in accordante with all o ' b Sta of nne and City ot Eagcn Ordinonces.
Buildinp Offtciol
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CITY OF EAGAN t~' p ~1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~v 12 88
BUILDING PERMIT PHONE: 454-8100 Receipt n ~ 9V3
FIREPLACE $2,775 NOVEMBER 18 86
To be used for Est. Value Date
SiteAddress $46 SUDBERRY LN Erect ? Occupancy
Lot 4 elock Z Sec/Sub. SHEFFIELD Femodel ? Zoning
Parcel No. Repair ? Type ot Const.
Addition ? No. Stories
w Name MICHAEL J. JAROSZ Move ? Length
Demolish ? Depth
a Address SAME
452-7471 Int.lmpr. ? Sq. Fr
Ciry Phone Insfall ?
o Name SAME Approvals Faea -
nddress Assessment Permit $38.50
~ Ciry phone Water & Sew. Surcharge 1.50
~ ~ Police Plan Review
Fw Name Fire SAC
~ Address
u i Eng. Water Conn.
i W City Phone Planner Water Meter
Council Road Unit
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off.ll/18/8 Tr.PI.
information is correct and a ee to comply with all applicable State of
Minnesota Statuie an City o Ea9an 0 tlinan s. APC Parks
Var. Date Copies
Signature of Permitte I Total --T4T--7W
A euilding Permit is issue : MICHAEL ROSZ on the express candition that
all work shall be done in ato cordance with all applicable tat f Minnesota Sta~tu~tes an yip~ -of Eagan Ordi~ances.
Building Ofticial ~ ~ 'CJ ~E='t-~?
e requesl voitl~/~'7
- 18 months trom .
4 4 3 8 8
Njaques`Dale Fire No. IHeaPOUBh-iredn?InsoecUOn ~
1 mfleatly Nuw ~Will Nntify Insper
d- ?Ves ?Na 'or When Heaay
Licensetl Eleclrical Contrector I heraby repuest insoeccion of ebove
Owner electrical work installed et:
Str t A ess, Bo r Rou e No.-r Gtv
'u b 44\1
ecuon o. TownshiD Namo or No. Ranee o. C nry kd~
Occu V V+4cc-L Z-- Phone No.
we~ Sup lier Addr
Elecvical Comractor ICompany Namel nnar.mr's License No.
Mailin0 AtlJress IContractor or Owner Makine lnstailaGOnl
Authoriz ignfl[ure ( nhactor ~nstfl I tio 1 Phone Number
MINNES q STATE BOARD OF EIECT IiY THIS 1 SPECTION NEQUEST WILL NOT
Grig9s•Midwey Blde• - paom N-191 BE ACCEPTED BY THE STATE BOAHD
UNLESS PqOPEN INSPECTION FEE IS
1821 University Ava., Si. Paul. MN 5510E
onnn. 16121 297.2111 ENCLOSED.
1 a, ST FON ELECTRICAL INSPECTION
1 , Sea instruetions tor completiiq Nis form on bnck of yellow coOV.
4 8 8 yX" 8erow Work Covered by This Request _
Atld N Type ol BuilAine AVVliancee Wired Equlpmant Wired
Service
Duplex Water Heater xtures
, Home Range lm
Apt. 8uildin~ Dryer aLn
der
Commercial Bldg. Fumace
Industrial BIAg. Air Conditioner ank
Farm inrr neci v ~Hl
~ n,r Vecilv ther ompute lnspection fee Below
M Fee Se
rviceEnvence5to ubteeders % Fee Gircvits
U to 200 qm s s 0 tn 30 Am s
A6ove200 qmps 31 to 100 A s
Swinming Pool _..4mps Above 100_Am s
TrensPormers 3ooms Pdrtial~'Other Signs spection 5 'TOTAL
Nemarks Houph-In
• Di I, lhe Ele . el
! Inspector, heraby
certily that the abova
Final D e r ~sDection has bean
( ~ ~p mada.
thla reQuest valE 18 monlM Irom
This request void p-I C/J (-y' 8;~, 3~q~ O
18 rtwnths fmm
W078773
Fequest []ate Fira No. Rough-in Insuec[ion
` y ~ Reqwrac ~ E]
Heady Now,[4&#rPNo1ifv Inspec-
~ ?No or When Reatly
censed Ele<trical ConVactor 1 hereby request inspection of ebove
Q Owner alectrical work inatalled al:
Slreui Address, 8 x or Route No. Cfiv
" ~ u 6 a. Car~~- ~C1~
ectmn o. Township Na r No. Ranye No. Couqty
l t
Occupant (PRINT) Phone No.
of" 4/S 4'753
Powe SuO`Plier/~ j Address
FQ.Lal 11i -
Elecvical Con[ ctor (Sompany Nemel Contrarmr's License No. .
Mailinp Address IConvactor or Owner Makine lnstailationl
'Q0O1 EI.,ZI UMSV"I~t SS33'T
Awhorized Signature (ConttactodOwner Making Installationl z Phone Number
~g~-5984~
MINNESOTq STATE BOARD OF ELECTflICITV THIS INSPECTION PEQUEST WILL NOT
Gtiggs-Midwey 61tlg. - Poom N-191 BE ACCEPTED 8V TME STATE BOARO
1821 University Ave., St. Paul, MN 55706 UNLESS PROPEfl INSPECTION FEE IS
- 1e1- 1o, 111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
r;
~ ' See Inntructiona for completi" this torm on beck ot yellow copy. ,
?/~p 7(~ ry hd
7(~~ BeloiA'Wo~k'CoJered by This Request ~-7 qqc)
New, AAd Rep, Type of euilding Appliancns Wiretl Equiument WireA
Home Range Tem rary Service
Duplex Water Heater ic~htiny Fixtures
Apt. Building Dryer Electric He2tin
Commercial Bldg. n ce Silo Unloader
Industrial 81Ag. Air Conditioner Bulk Milk Tenk
Farm otner peci v Otnerl5necifvl
t ar 79-o Ot er Other
Compute lnspection Fee Below
N Fea Service EntranceSize k Fee Faeders/5ubleaAere k Fee Circuits
~ /0. U to 200 qm s 0 to 30 Am s 3; 0 tn 30 Am s
Above 200 q~n~~y~~, 37 to 100 Amps 31 to 100 qm s
Swimming Pool Above 100_Amps Above 100_Am s
Transformer5 Irrigation Booms Pdrtial'Other Fee
Signs Speciallnspection
Nemarks $'53.0 OT
s
Rou6h-in ' Dace ~j I, 1he Electrical
1~6y InsDactor, hereby
certity thnl the above
Final D»teq/ inspec[ion has baen %0 made. .
Tniereeuealvoid/Bmonihsirom ~ ' / _
2004 RESIDENTIAL BUILDING PERMIT APPLICATION -76
City Of Eagan
3530 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Consirudion Reouirements RemodeVReoair Reauirements 03freflse(~rfiv
3 regislered site surveys showing sq. fl. of lot, sq. H. of house; and sll roofed areas 2 copies of plan Ceflolf S~*
(20% maximum lot caserege allau4 1 sel of Energy Calculalions for heafed additions itee P~es Pldti [Cecd Y: _N.
2 copies of plan showing beam & windax s¢es; poured found design, etc. . 1 sife survey tor addAions S decks TRB PrQS ReClyiied Y,• ~ N
7 sef of Energy Calculalions Addflion -ind'icete ifoo-sile sepfic system atrsil¢~Bpt~5y5lem
3 copies of Tree Preservalion Plan rf loi platled afler 711/93
Rim Joisf Deieil Options selection sheet (bldgs with 3 or less units
Date Construction Cost oo - ^
Site Address Unit/Ste #
~
Descrip[ion of Work
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0_ 1 _ 2
Property Owner Telephone # ( ~,)Si
Contractor
Address ~ 17 S~' ~7S J City
State ~.r 1 Zip S6~ 71 Telephone #04) -3 62n cy
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ ~nesota Rules 76'72
Enefgy Code Category , Residential Ventilation Category i Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitled Submifled
. Energy Envelope Calculations Submitted
Have you previously constrycted a building in Eagan with a similar plan? _ Y _ N If so. 257o plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/WaterConhactor 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
3tatutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a
permit; that the work will be in accordance with the approved n in the case of wor which re ' s a re~view and
approval of plans.
1 ~
Applicant's Printed Name A' ant's Signature
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck Q 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
q- 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Boosier Pump
# of Unfls Sq, Ft. PRV
# of Bidgs Length Fire Sprink(ered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundalion HVAC
Drain Tile Other
Roof i Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ RI. _ Air Tesf _ Final Windows
_ Insulation _ _ Retaining Wall
Approved By: , Building Inspector •
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utilify Connection Charge
S&W Permit & Suroharge
Treatment Plant
License Search
Copies
Other
Total
Cqrtificate for: P~AN ~0~31
Joe Miller Construction Inc.
18133 Cedar Avenue South ~
Farmington, Minnesota
5 5'12 4
DELMAR H. SCHWANZ
LANDSUFVEVOfiS Wc-•
Regislentl UnCer Lawi ol Tbe Slate ol Minnasob
2978 - 145TH STREET W. - 80X M R0.SEMOUNT, MINNESOTA 55068 PHONE 612 423-1788
SURVEYOR'S CEHTIFICATE
N-lCi° 46
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V ~ ~ _ ~wts ' ls
/ 0
s S I 3Z ~ 1 zt Z~~D 0
N
((1 Z {
m 1 l a.
~ O~a 0 tin.a3
N-jC)o 5~
901 .5 Propoaed garage floor elevatio
8 0-9.. Proposed top of block elevatio
Z- $98.7 Proposed basement floor elev.
1n
8 Denotes setback monument 901.5 Denotea existing elevation
O Denotes iron pipe monument 901.5 Denotea proposed finish grade elevati
Denotes direction of surface drainage
I hereby certify that this is a true and correct representation of a survey
of' the boundaries of Lot4, Block 2, SHEFFIELD as on file and of recOrd in the
offlce of the !'ounty Recorder, Dakota County, Minnesota.
Also showinp the proposed location of a houee not staked thereon.
As surveyed by me this 9 day of March, 1983.
dJyj
- ~ MINNESOTA REGISTRATION N0.8625
. , ~ ,.l" .
~
2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681=4675
Date:
Description of Work: _ Constrvct new fireplace _Gas _Masonry _ Alterations to existing
_ Installpas insen on[v _ Install eas line onlv
Other ICEMJVi~v~ DAMRbc'D L~LHY~F~.Uri ~~L•~S r,Q~SM WWG,eUR/u/ti/(s
M195nNEj CqlMAtC~J. .~N:57ALL1AiL• t~l.. bSt4rD1R,p,or-bv0 VE"vud;C 5YS7cM,
Job address: 46 J V p 6aj L AVJr~;
Lot: ~ Block: ~ Subdivision/P.I.D.
Applicant (circle one only): Owner Contractor Permit Fee: $60.50
Name:J A'QoSZ- xEi Phone#: IOS~ 45-Z 747I
PROPERT'Y Last First
OWNER StreetAddress: $46 SuQacX9y~,qAf~.
Ciry L-R(7RfJ State: MA/ Zip; 5Jr1z3
Company:vA LLLtV i! E`CfZL~ (~4I Y-0Jq SPZC Phone 65V 460 12 33
(area code)
FIREPLACE P.O. Jjbk ~q-0~95
INSTALLER Street Address:
csri APPt-ti..VA LLgj srate: /IA) zip: 551 Z4-
Company: Phone
(azea code)
GAS LINE
INSTALLER Street Address:
City State: Zip:
I hereby acknowledge that I have read this application and s te that the information is correct and agree to
comply with all applicable State of Minnesota Statutes and ty of E Ordinances.
`4
Signature
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 16 Fireplace
WORK TYPE
? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
? 32 Addition ? 34 Repair ? 40 Gas Insert
GENERALINFORMATION
Census Code 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
1986 B02LD/E:SIT PLICATIOH - CITY OF BAG9N
HOYS: ALL CONTRACi08S MOST BE LICE9S6D iiITH Tffi3 CITY OF E6GAN
SINGLE FANIILY DiIELLINGS
INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
MQLTIPLS DSi6LLINGS - HBSIDENTI9L RENT9L DNITS FOE SALB 0liITS
INCLUDE 2 SETS OF PLANS, CSHTIFIC9TE OF SDHVBY - CHECB iiITH BLDG. DEPT.,
t SET OF fiNERGY CALCIILATIONS
COrAIERCI9I.
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF
ENEAGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: ~S Date:
Site Address 9"A &4jbo6f 4 OFFICS DSE ONLY
Lot ~ Block ~ Ereet _ Occupaney
J Remodel Zoning
Parcel/Sub Repair Type of Const
Addition 8 of Stories
Owner Move _ Length
I ( Demolish Depth
Address 10 ~Cib~ r~ "~%'A t, Int.Impr. Sq Ft
CW 1J 5~123 Install 7~
City/Zip Code /UG(
Phone 7~a --7"t 71 APP80VgI.S FEFS
J~oSZ ~
Contractor Assessments Permit -
Water/Sewer Surcharge I•~
Address Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone Couneil Road Unit
Bldg Off Treatment P1
Arch./Engr. APC Parks
Varianee Copies
Address TOTAL
City/Zip Code
Phone 8
POTE: 9DDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNE6 lSDST DESIGNATE NHICH ADDRfiSS
IS D&SISED. HO CH6NGES NII.L HE ALLOiiED ONCE BIIII.DING PfiRMIT IS ISSIISD.
GITY OF EAf:FlN
CASHTERg J5 IE'RMINFlL N0: 343
nArF: oFi30i99 irnE: i3Ni3.45
m.
NIAME^ AZTEC F(001=:CNG .4 CC?NS7f2UCTIUN
3210 9001 4689 L.ENOtiE LN 123.2.5
2155 300J. 4683 LENORE i_N :3.00
321.0 9041. 4689 LE:Nf:ll;lc: LN 167.25
21L,5 900:I. 46E39 4FNOFZF LN fi,.;U
:12i.0 9001. 4689 I...E.hlORF_' L.N .I.LJ.!]iLS
2155 9aai 4689 L.ENDLN 3.00
~
Tot,a].' Feceipt Flmouxtit: 428.25
CFii146ic?
1.1;FFi :I:D: tAN
?kYF~'(i X~'M7K n'M>X>kkC7k$tk:%~R(1{CXtM'Myit'M3k)k'M'Mi%)k~)k:iCk~'1F~;c1k1X#~yk
' 3 7 OE-b 1999 BUILDING PERMIT ARPLICATION (RESiDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 'o'5S
~
651-681-4675
New Consfrucf(on ReoulremeMs Remodel/Reoalr ReavlremeMs
? 3 regtstered aMe surveys showing sq. R. of lof, sq. R. of house 2 copfes of plan
and gJj roofed areas (207, maximum lof coveraae allowed) 7 set o} energy calculatlons lor heafed addiNOns
Y 2 copies of planz (show beam a window s(zea; poured fnd. design; etc.) 1 s@e survey for exterbr addiHons a decks
? t set of energy calcufattons
> 3 coptes of hee preservatton plan C lof plaHed aker 7/1/93 le .
DATE: ~1,:;: CONSTRUCTION COST: S SD4n
DESCRIPTION OF ORK: iF ReJ
SiREETADDRESS: gqd~ Sc'`~~~~ 1,4'J6
LO7: % Ll- BLOCK: Z SUBD./P.I.D.
Name: ~RaSZ ~i~CG Phone#: 66I-'fS2- 71(7/
PROPERTY Last FW
OWNER ~~~a su~..(J,~R,Ry LA.~C
Sheet Address: ~
CNy ~ M 4K State: 19~d Zip: ~r5l2 3
Company: YTZ'-4- c" Phone#: G(L $'9s o0`~~
(area code)
CONTRACTOR 2O/ 3P/~p
Sheet Address: License # 6cp.
aty ~~r~nrs?~(le state: Zip. SS3,37
ARCHITECT/
ENGINEER Company: Name:
Telephone areo code ( )
Sheel Address: Registration
City State: Zip:
Sewer 3 waler Neensed plumber (reaufred For new consiructlononhr):
Penally applfes when address ehange and lot ehange Is requested once permtt is issued.
I hereby acknowledge thaF I have read This appllcaHOn, sfate that the information fa cortect, and agree to comply wHh all applicabl
State gf Mfnnesota StaFules and Clty of Eagon Ordlnances. ~
Slgncfure of Appflcant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ~~L 2 6~~'D
Tree Preservation Plan Received _ Yes _ No Not Required
~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex p 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
0 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex O 09 7-plex ? 14 Apartments ? 19 Lower Level O 24 5torm Uamage
? 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
? 33 Alterafion ? 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
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of B(dgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire 5prinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ 57,z;5C-) C~
Surcharge
Plan Review
License
MGES 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
r7s7 JW-. s'o
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date I I ~~p~`7fI ~
Site SEreet Address !J (p Unit #
Property Owner Telephone # ( Ffiil ) LEQN1 L
~
Contractor C O( S~5 Teiephone #((N) cJ- 12'1 D
Address ~IL City StateYlllq- Zip 55133
The Applicant is: _ Owner Contractor _Other
Aiterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener V"Water Heater $ 15.00
_ new V/ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total . $ i 1550
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved. ~
~r~.~ ~~Vl
Apphcant's Printed Name Applicants Signature
JAN 2 7 2005
~
ey
50
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA109806
Date Issued:04/05/2013
Permit Category:ePermit
Site Address: 846 Sudberry Lane
Lot:4 Block: 2 Addition: Sheffield
PID:10-67600-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Janel Behrends
122 West 3rd S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Michael J Jarosz
846 Sudberry Ln
Eagan MN 55123
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116216
Date Issued:10/04/2013
Permit Category:ePermit
Site Address: 846 Sudberry Lane
Lot:4 Block: 2 Addition: Sheffield
PID:10-67600-02-040
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 .
Angie Olson
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 -
Michael J Jarosz
846 Sudberry Ln
Eagan MN 55123
(651) 452-7471
Reroof America
10740 Lyndale Ave S
Suite 10W
Bloomington MN 55420
(952) 888-8440
Applicant/Permitee: Signature Issued By: Signature