848 Sudberry Lane
' CITY OF EAGAN SEWER SERVICE p b~~
3333 pilct Kno b R o ad pERA IT NO•: _
P. O. Box 21199 DI4TE:
Ea98n. MN 55121 No. of Units:
r
Zoninp:
pwrAr:
I?ddress:
Stta Addire~~ !,CGujxe l~1ach 100.00 pd
Plumber. 7 12I g3 36986 4'l5 ~0 r'` -
~,nsttion 0+~:
1eyrM te emph? wbb tM Cilf of Eaf~~ Account DePoWt:
Oralae~ea• Pennft Fes: ~
Surchcrps;
Misc. Charo-
8y Toto1:
pote of insp.: pcts Pdd:
CITY OF EAGAN WATER SERViCE PERMIT
4970
3g-
.Ap pilnt Knob Road pERµIT NO:: _
' P. O. Box 21199 DATE:
Eegen, MN 55121RI No. of Units:
Zonir~: JQg@rh M{1_. 1Jer Con$truction
pwner:
Addross: 848 u b e 5 2 Shef f ield
SRe Addrcss:
PtuMber: McGui 450.00 vd
Connection Chorge:
Mete~ No.: qcwunt DePoslt:
si~: io . oo pa
Permit Fee: .50 ra
Reader No.:
I peM to emPiy wNb Nw Cth of to9°" Surcharge: 6t1 00 pd taeter
Misc. Choroes: _
onomO°em 7ota1:
Date Paid:
By Insp.:
pate of Insp.:
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CITY OF EAGAN
3795 Iilof Knob Raod Eo9on, MN s5122 t~ a235
. PHONE: 454-8100
BUILDING PERMIT Receipt
To be nMd Me SF DWG/GAR Est. Value $50,000 pO1e Julv 12 1 983
Ssre Address s348 Sudberry Lane Erect .g Occupancy ti-=i
l.ot 5 Block 2 5eC/5ub. Shef f ield Alter p Zoning R-1
Partel # Repoir Q Fire Zone NA
Enloros ? Type of Const. v
W Na~ ~--Jone.ph M Miller~.c~!' Move ? # Stories
z
Address1,4133 Cedar Ave. 50. Demoliah ? Length41- •
C; Farmington phone 454-4753 Grode p Depth _t! i-s3_Sq, Ft.
°C Name Ownpr Approvols Fees
~ ~re~ Assessment Permit 283.00
~ Ci~ Phone Water d, Sew. Surchorfle 25.00
Police Plon check 141.50
~ W Name Firo SAC 52 S- 00
u~ Addreu. Enq. Water Conn. 4 5:1 _ fl(1
MW Ci p}orm Planner Water Meter 6 0. 00
Council Rood Unit 250. QO
1 hereby ocknowledge that I hove read this application ond state that Bidg. Off.
the inlormotion is correct and ogree to comply with oll opplicoble APC Total i1734.5~
State of Minrxsota Stotutes and Gty of Eagcn Ordinonces.
Siynature of Permittee Joseph M. Mil er onat., Inc.
A Building Permif Is issued to: on the exprcss conditlon thm
all work shall be done fn actordarxe wifh oll ppplicoble State./of Mi~taStatutes and Ciry of Eapon Ordlnancet.
8uildiny Officiol - - - - ~`1~ _
Permit Mo. Parmit HoltMr Miac. Permit No. Holder
Plumbing 3 Laq7 ACGUrre
H.V.A.C. 37 7 CO" ,°,'~-E
w.u
w.~.
Disp.
S~wer
Electric WO"'(~~j t e1. Ct
Inapection Oate Insp. Other
Footings -94W
Foundation
Freming 12-21-k W
Rouyh Plbq. ~
Rouqh HVAC
Inwlation 37
Final Plbg.
Final HVAC
Final W
Water Describa Location: .
Well
Sewsr •
Pr. DiSp.
Recaipt PLUMBING PERMIT Permit No.-3
CITY OF EAGAN
, - Fee Q 0 . Q
Fi/l in numbered spaces S/C
TiT
Type or Prinr /egib/y Tot
1. Date 2. Installation Cast 3. Job Address ~ Stlc:bern.- Lot Blk: Tract -
Lar.e
4. OwnerJQC Iiillcr c'onstructier.
5. Contraccor 1'-'cGu irc F_echan ical Phone
6. Address ZG 71 r- F e) 1 t Avo
7. City Iili e State 2ip daIG 4,4
-
8. Building Type: Residential* Commercial ~ Institutional O
9. Work Description: New V Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
~
Water Closet Cesspool/Drainfield
Bath tubs Septic 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 ordinances and codes governing this type of work.
Signed : for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 454-8100
Recaipt MECHANICAL PERMIT Permit No. ~CITY OF EAGAN
Fee
~ - .
Fill in numbered spaces S/C
Type or Print legib/y - -
Tot
1. Date?" 1 1 2. Installation Cost 1
3. Job Address ~ ''.Lot l~ S Blk. :Z Tract^^s
4. Owner 1+
1 ~ +
5. Contractor _ . C'•11 ~ S ~ UC 11; Phone
,
6. Address
7. City 1. ' State Zip •
8. Building Type: Residential-M Commercial ? Institutional ?
9. Work Description: Nev,?11 Add ? Alter O Repair ?
10. Describe Fuel Type
11. No. Equinment STU - 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
Inspectians: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY QF EAGAN 454-8100
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RUC6IVED
FROM
AMpUNT $ I
9k DOLLAR5
~oo
? CASH ? CHECK
PIon
FUND COOE APA OUNT
~
'h`~w~j
" l BY
~ White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks
Addixion SHEFFIELD ADDN Ldt 5 lk 2 Parcel 10-676a0-d50-02
owner Street 848 SUDBERRY LANE State EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. jg~ 1981 28.68 1.4 20 -
STREET RESTOR, g Q cnogsis _
GRADING s5gi 1981 91.1~ 6.07 15 72.89 9-23-83
Sewer Lateral 1981 152.98 10.20 15 122.41 " "
SAN SEW TRUNK 1951 63. 3O ~+.2`c~ 15 50.64 to
SEWER LATERAL ?SW3 1$1 6. fl 6.43 f ti te
Sewer Lateral 1$2 65.06 ~+.3~+ "
WATERMAIN 1981. 1.28• o8 8• 54 102.49 A012818 * WATER LATERAL Z, 1982 ~4$ .16 3.21
WATER AREA 0 1981 63.30 14.22 • Power
line 1982 STORM SEW TRK 1985 456.09 91.22 5 ~ ,m ~ 3.3(0 x o e
S70RM SEW LAT Dl"8i718 e 1984 91.75 9.18 10 1
o ,o O 3 /
CURB & GUT ER
SIDEWALK
STREET LIGHT
Street 8 9 1985 1941.64 388.33 5 / G 14,90 .3 ( 5 L0.
n n
WATER CONN. 450,00
BUILDING PER. 8235
SAC
525.00
PARK
f J
CertiPicate far: Q~ Sqo44
` Joe Miller Construction
18133 Cedar Avenue So.
Farmington, Minnesota
,
55024 pELN1AR H. SCHWANZ
LAND SURVEY011~ 'W-' .
RpistKotl UnAk l.awf 01 TM Slate of Minnnoti
2978 - 146TH STREET W. - Ya% M pOfEM01JMT. M1MMESGTA YMS PNOME 81= 47i17N , SURVEYOR'= CEIITIf16ATE
~ca e
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.
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~ +•~v PrapoW014 40**i0t`1*0r siSVa%iift
~ Cj,g2.U , Progosod top ot block •levatisn
M0.1b pr.oposed bioonmt flovr? •lamtiasl
~ Denotes iron pipe monumat d Denotes sstbaek manwnent
<!g)Denotee-proposed Pin3sh grado Denotes ot surface
.00~ draftmW
I hereby certify that this 1s a tru?e and correct repredentation of a
survey oP the boundaries of: Lot Bloak 20 9HEFP'II3LD, as on L'ile and
of record in the office of tt?e Covnty Aesorder, Dskota County,
Minneaota.
Aleo Ahowing the propoaed location of 4,hoaee not dtaked thereon.
Dated: February 21, 1983. - • •
Y
i_ 11' d p S
V
MiNNEl40TA G RATION NO. B6
Thisrequestwidp-~~
18 months from
~ 078756 ~ 3.7 . so
Request Date Fire No. Hwgh-in InspecIion
Q Reqwr ? ~fleady Nuw ~111 Notity, Inspec-
p~ es ?NO ~or When Ready
-
ij-el6nsed ElecVical ConVactor I hereby reques[ inspection of ebove
? Owner electricel work ins<alletl at:
Street Adtlress, Box or Ro re No. Ciry
y'#? .Suc~be~~ ~Qt?~ ~Q t,°~
ectmn o. TownshiD Name or No. ange No. Cou~! r~ty
1
Q e'ri
Occu antlPplNTI Phon No.
at 54 -V753
Power upp i r , Adtlress
o,~
Electrical Co tractor (Comyany Name) Conhar.lnr's License No.
4te-leCIkc X;~~ y/b to -
Mailing AdJress IConvaclor or Own M, kin8 lnstail oN
~'u+tASUl
Authorized SiBnaWre (Conba lor Owner Making Installation) Phone N~u/ mber
2fY-S9p
0~
MINNESOTA STATE BOAHD O E TIiICITY THIS INSPECTION REUUEST WILL NOT
i99e-Midwey Bldg. - Room N•791 eE ACCEPTED BV THE STATE BOARD
~Vniversity Ave., SL Peul, MN 65104 UNLE55 P0.0PEB INSPECTION FEE IS
..e - ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION „ EB-00001-04
, See inslructions to, completing this tarm on back of yellow copy. VtT8756 ~ ~qp
"X" Below bYork Cavered by This Request
le Hev. Type of Builtling Appliancxs Wirad EquiVmen[ Wired
Home ange Temporary Service
Duplex Water Heater . ightiny Fiztures
Apt. 8uildinc~ Dryer Electric Heatin
Commercial Bldg. fumace Silo Unloader
lndustrial Bldg. Air Conditioner Bulk Milk Tdnk
Farm Other Peci y Dtherl5ueclfyl
t r Sueufy Other Other
Inspection Fee Below
# Fee ServiceEmtenceSi¢e k Fee Feetlera/Subieatlers d Fae Circuiis
6.OO U to 200 qm s- 0 to 30 qm s 0 tn 30 Am s
A6ove 200 Am~s 37 to 100 Amps -,D31 to 100 Am
Swimmin Pool Above 100-Amps Ahove 100_/amps
Transiormers Irrigation Booms .Q Partial,'Othor Fee
Signs Speciallnspection
flema.ks $ 3g?t T AL FEE
r
Poueh-in Cate I.the
'f3 Inapectar, hereby
cerfilv that the above
I Final Oxte {nspection fies bean
made.
This reauest void 18 montlre irom
CITY OF EAGAN
i • 9795 Pilet Knob Raed Eogan, MN 6312' lr ~7? 8235
PHONF: 454-8100 L ~ G
BUILDING PERMIT ReceiPt
To M wed ler SF DWG/GAR Est. Volue $50,000 pate July 12 _ 19 83
Site Address $48 Sudberry Lane R-3
Erect Occupanq
Lor 5 Block Z See/Sub. Sheffield qlter ? Zoning R-1
Porcel # Repair ? Fire Zone NA
Enlarge ? Type of Const. V
a Nome 7CRIihT3E6[ 1ns nh -M Mi 7 7 x onst Move ? # Stories
W
z Aadreu 18133 Cedar Ave. So. pemolish ? Length 41-4
Ci Farmington phom 454-4753 Graee ? Depth 45-$ Sq. Ft.-
p Name O47t12I' Approvals Faes
00
Addreu Assessment Permit 283 •
Cit Phone Woter 8 Sew. Surchorge 25.00
Police Plan check 141.50
Nome 525.00
Flre SAC
Address Enq. Woter Conn. 450.00
~W Ci phaM Plonner WaterMeter 60.00
Council Road Unit 250.00
1 hereby ocknowledge thaf I hove read this opplication ond sfote that gldg. Off.
the inlormotion is correcf and ogree to comply wifh oll epplicoble $1734.50
Stote of Minnewta Stotutes and City of Eagan Ordirwnces. APC Totol
Sipnoture of Perminee
osep . i er onst., Inc.
A Building Pertnit is issued to: on the express tondition thm
oll work aholl be done in occordance with oll liwble 5t t f MI utes and Ciry of Eoqan Ordinonces.
Bulldinp Officiol ~ '
_
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CITY USE ONLY
LOT ~ BL o~ RECEIPT#: O~Oa
SUBD~.2~ RECEIPT DATE:
1998 MECHANICAL PEftM[T (R£SIIIFNTIAL)
CITY OF EAfiAN
3$30 PILOT KNOB {iD
EMAN MN 55122
Date: I (612) 681-4675
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas oudets (minimum of one required @$3.00 ea.)
• State Surchazge: .50
• TOTAL:
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not Tequired for alteration/add-on to ductwork in
existing residential units; but is required for the following:
~ Install furnace Install air conditioning
~o,ooo ~SR+~0240`1 ~ -
_ Install air exchanger, i e. Vanee system`,~etc~.d Ot~ier
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surchazge 50
Total: 20.50
SITE ADDRESS:
OWNER NAME: ~1 O~ n G h~ PHONE b5 I"H.rj L`Sb S~
INSTALLER NAM~ I 1 r ~ C• PHONE
STREET ADDRESS: ~ u~
CIT~~~ STATE: Z,p:5533
SIGNATURE OF PERMITTEE
15/FORMS BLD/MECH PERMIT (RES) - 1998
CITY USE ONLY
L BL _ RECEIPT
SUBD. RECEIPT DATE:
APPROVED BY: ,INSPECTOR
199$ M£CWkN[CAL PER1HIT (CO1NMf.ftCIAL)
CITY OF E4Hi4N
S$SO PILOT KPOB {iD
EAHArt, MN 55122
(61E) 6$1-4675
Please complete for all commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
Wnpr{ -rY°E: AIEW CONOTRU.o.;':Owl nyrn;n.:^P. IP.:^2iVJEidT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1 %
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of mmu_ fee due on a1l pertnits.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (iMPROVEMENTS oNLY):
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
city oF eagan
3830 PILOT KNOB ROAD. P.O. BOX 27199 BEA BLOM9UIST
EAGAN. MINNESOTA 55121 ~V°f
PHONE~ (612) 454-8100 THOMAS EGAN
JAMES A. SMITH
JERRV THOMAS
THEODORE WACHTER
August 3, 1984 c°°"`"Ma"'~"
THOMAS HEDGES
City ACminlsfmfor
EUGENE VAN OVERBEKE
Clty CleM1
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
JOSEPH M. MILLER CONST. INC
18133 CEDAR AVE SO
FARMINGTON, MN 55024
Dear Sir:
Our records indicate that the dwellings listed below have been oc-
cupied without a request for a final inspection:
B.P. #8303 - 904 SUDBERRY LN
B.P. #$597 - 891 SUDBERRY LN
B.P. $8964 - 888 SUDBERRY LN
B.P. #8842 - 879 SUDBERRY LN
` B.P. #8235 - 848 SUDBERRY LN ~ B ~
B.P. #8638 - 4498 WEDGWOOD DR A~ o~~-
B.P. #9015 - 905 SUDBERRY LN.
If arrangements are not made within ten (10) days to resolve these
oversights, this list will be presented to the City Council with a
recommendation for suspension or non-renewal of your contractor's
license in the City of Eagan.
Sincerel ,
~
Dale Peterson
Chief Building Official
DP/js
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY
RESIDENTIAL BUILDING ~f / L fZ . 7S'J
Permit Application `i
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conswction Reauiremenls RemodeUReoair Reaui2menfs Office Usa OnN
3 registered site surveys showing sq, ft of lot sq• fL of house; and all roofad areas 2 copies of plan Cert of Survey Recd
(20% mazimum lot coverage allowed) 7 set of Eneyy Cakulalbns for heateA additlons Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured fouM desgn, etc. 1 site survey for addNons 8 decks Tree Pres Nol Reqd
lsetofEnergyCalculations Add'rtron-indicafeifon-sitesepficsystem _On-siteSepticSyslem
3 copies of Tree PreservaUOn Plan if lot platled atler 711193
Rim Joist Defail Opfions seleclion sheet (bldgs wAh 3 or less units
Da[eq_/ '29 / ~ ConstructianCost W ~l) C)^
Site Address UniUSte #
Description of Work
Multi-Family Bldg _ Y V N Fireplace(s) _ 0_ 1 _ 2
Property Owner ` Telephone t! (foSt ) 3 foS' e(92 ~Q
Contractor
? `
Address *'I t City NOI~a~ l_lr ti htv\
State ~ Zip J~ lZ- Telephone #((¢5(
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residentlal Ventilatlon Category t Worksheet • New Energy Code Worksheet
submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber n\ Telephone )
Mechanical Contractor Telephone )
SewedWater Contractof Telephone )
`.;gy
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 MiV
Statutes; 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 accordance with the approved plan in the case of work which requires a review and
approval of plans.
,TQ_rf-j Lak~=
Applicant' ted Name App ' an 's ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Mul6 Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plBx ? 12 12-plex Plbg_Yar_N ? 25 MiSCellaneOUS
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (81dg)" ? 43 Reroof ? 46 Windows/Doors
O 34 ReplaCement •Demolition (Entire Bldg) • Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Foorings(deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final .
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review '
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
For Office Use ,.c
a� N
"� "%.. k. o* „,0 EAGA Permit#: / 50 7(1/
Permit Fee:
..,..,
/SIS- ' -
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:
buildinginsoectionscityofeaoan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: PoJe.4(a7 #e Cc/X. Phone: lid: '5/ •gi,1
Resident/ j �Q�
Owner Address/City/Zip: Q cJ 8 LI U Sk Fry
Applicant is: Owner tractor
Type of Work
Description of work: / 4�
Construction Cost: 77 Multi-Family Building: (Yes /No )
A /'
Company: 4tePreie. C77/"(c(j� Contact: )/ lit F' //-r Ci M
Address:
Contractor j YS Y Cvi.l,,Q7- city: �5
State: ,4 Zip: ..X33 Phone(�zs/ 72(7 Email:4.4"/P,c�� V1�� •C l•ef
License#:6 d''O(�Q
7 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:
Licensed Plumber: Phone:
:
IMechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
I
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to bei public information, Portions of the information may be
classified as non-.ublic if. ou •rovide s•ecific reasons that would•ermit the Cit to conclude that the are trade secrets.
You m
subscribe to receive
e ei an electronicubscnotification from the City of proposed ordinances by signing up for an email update on the City's
website at
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 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
Xcco accordance ea proJ' ve plan in he case of work which requires a review and approval of((plans. it,( 6 Gt
l-/
Applicants Printed Name Applicants Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163520
Date Issued:09/03/2020
Permit Category:ePermit
Site Address: 848 Sudberry Lane
Lot:5 Block: 2 Addition: Sheffield
PID:10-67600-02-050
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 infiltration is
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 -
Benjamin W Siekert
848 Sudberry Lane
Eagan MN 55123
(608) 692-1198
Champion Window Company Of Mpls
5100 HWY 169 N, #B
New Hope MN 55428
(763) 574-2054
Applicant/Permitee: Signature Issued By: Signature