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849 Sudberry Lane • — For Office.Use , 9e : r %,ee�e �,e1,r Permit#: ` . ��O r / VED L DD Permit Fee: 3830 PILOT KNOB ROAD EAGAN,MN 55122-1810 Date Received: (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694fJ bulidinglnsnections cni cltyofeagan.com _A+ Staff: 14/ `t .,. 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Z -'3SiteA ____T_e__9.4t Suite#: r—R _____ Y erg Name: Phone: a ?��y v " to h Address/City/Zip: ,�- GAJ "Ifar t4t4tirt3 ilVt Name. MILBERT COMPANY dba CULLIGAN WAT R WC 41376 c, a , � yt' License#: 4 xf`° Address: 1801 50TH STREET EAST 4 't3 ac -, . City: INVER GROVE HEIGHTS ,,, ;�'R� State: MN Zip: 55077 Phone: 651-451-2241 Mei-`s y—, „ ; .x , Contact: BILL MILBERT Email: loria.abas@culligan4water.com 'Irt:114,13.*%*1,4,44„:3,1 _New Replacement Repair Rebuild Modify Space Work in R.O.W. ,€ to Description of work. q ¢ '- g RESIDENTIAL --i OVrit `{ - �` eq'4x' Water Heater �tF''' X Water Softener gr '< 'a� �r Lawn Irrigation( RPZ/ PVB ermit,Type} 1- — } )}f + ;,t, r { 4 —Septic System _Add Plumbing Fixtures(___Main/ Lower Level) M f )0� New Water Turnaround t y:tbx' iM7 # r;s,,. _Y, Abandonment RESIDENTIAL FEES: r "—.h..._..---Y- — • $60.00 Water Heater,Water Softener, or Water Heater and Softener(Includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 If a 3/4"meter is required) $115.00 Septic System New(Includes County fee and State Surcharge) TOTAL FEES.$ 60.00 CALL BEFORE YOU DIG. Cali 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.gopherstatoonecall.orq 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 webslte atwww.citvofeagan,com/subscribe. 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 wit be In a cordance it� the approved pi n in t e cas o work whic,requires a review and approval of plans. 11 s Applicant's Printed Na a x X*. regro /� ""pNNN, cwT �-/. {, �� ){;, Applicant's Signature w,iC A i A ,i5 t o i��•1`=d4.�j. "�'hYy,'tk K ' RIVo�'`t Amb 1} 'W p r>•. 7 -a. Y 4 o 14140FF E USE os, l ,., �.t i1st! { �,l Uth i. ,i"q ty 4+tm14- � ,�3 �S�Yfij +t� '�1��k �, �,� t`. '���Sy .��iZ f�eV,ie. BC� B '� ��..- z� k � c �.�r i� s.... a��kft y: ��,,��. Y<. � r � � � �.� � t h7$ �.,.���ry?Date ' a?-n�.ar; ,I:e�d�iti: tfo 5 �r w— 4 `xioph Ap zgw }S�Y(Y3T� `i t tt fA'1` s -,.`4 St c �zq ��,� f f � � 1,4-,T-s.-r t.;� x tz F` c� � cl� d e G n ti t R h *, r# s y � �} { � alege� pt�. s fig, n �� w ��-� �a. -��,�,� 'e tt3tr�I -i 3 a� i'%€ A } ?, ,,t/t ���r � A,.a -,.o C t i •s y a t �vi.i -� l ,.Ria axe. lliems; tlylgter4Slzef z . i, liked o)Read- t . .iManomote �-ASta ,:i'-6, 3'.t ' sir ,tt.,,v, 41.° C!ty of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit* 01 J 2 (2— Permit Fee: pt_Q ' 0 0 Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: O l fit 1 I0 Site Address: Ll 5 U to bury LA QTenant:ctut Q1130%," - J Suite #: RESIDENT / OWNER Name: Q l e ( .6 l- Phone: &C(_ &56' 06r7 Address/City/Zip: iLIq, sucibe(ry Lane l=Gy 5S1a3 Applicant is: K Owner Contractor TYPE OF WORK `Q. CO f Description of work: Skip, t 11(1y -- © ° Construction Cost: of %) Li . 0 V Multi -Family Building: (Yes / No ki ) CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: 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? No If yes, date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: i I) II �'P'�"A-h �$ iti b 2 '�� NOTE Pia fi is �Po ,' ®® $ , t ou submit �i 1lk"i i� i �v � , �w tii 4 C n:u the in r "Ir► G l $ 3 La,u,,,, ;,.7h,r4 ro-r,44a.Hti% 86th t .n:61oI���"v I�� ����i.i {�,ff pa �• ale ®' . u f3 alt3lsi ® . f� I �� m � �• .,� ' nom,•. • I , r, .,. 111 , (q . s,1 ;. 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.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 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. 9cut. Applicants Printed Name x Applicant's `Signature Na' 12 Page 1 of 2 ' ; CITY OF EAGAN $E1IyER SERVICE PERMIT 383r pilot Knob Road P. Q. Box 21199 PERMIT NO.: Eagan, MN 5512~11 DATE; - Ionirg; Owner: Oe sr No. of Units: Address: Site Address: u erxY ne e e Plumber: YMO - R ~ sDn~ ~o eemvif wkb eM • P Ordin~n~. ~~~OeOw CO^"~iO^ a+a?Qe: 4 2 S. 00 d /kooimt Depoaih 15 . 00 pd Permit Fee; 0. 00 p By Surchorge: pd Dote of I MFsc. Ciarpes: Totol: Ir~sp.: Dote Paid: C CITY OF EAGAN 3830 Pilot Knob Road IAfATER SERVICE PERMIT P• O• Box 21199 PERMlT Np.: Eagan, MN 55721 Zoninp: P 1 DATE: Owner. .Io e.'~i 1 I e r No, of Unirs: 1 Address: 5ita Addrcss: 8~+9 5udberr i,.e L4 E~ S:~eff~el~ Pluenber. HJ.vrtouth Plb Meter No.: Size: Connedion Chorpe: 470 .00 nd Reoder No.: Account Deposit: 1 S 0 Qp d Per 1 agro~ to ao~wpl~, wiH~ ~ mlt Fee: 1 O. 00 pd Ordiaawow„ °f r'sO" Surchu?qe: .50 Pd ~ Misc. Charges: 63.00 oa et~te~t BY Total: Dote of lnsp.: aote Paid: Insp.: CI7Y OF EAGAN WATER SERVICE PERMR 3830 Pifot Knob Road pERMl7 NO.: P. G. Box 21199 Eagan, MN 55121 DATE: • ' Zonin9: No. of Units: I - , ~ J c o - 1 Owner; ~ Add"ess. h e f `i e.l:l ! I ite Address: . ~ s. ~1 r " - • 470.00 pd ; ter No. ~ ~/Connect,io~n Charye: 15 . 00 p d ~E ~~Y IIePosit: -wize: 10.00 pd R~~r o.: Permit Fee: .50 pd I.9n. to oy with the Ciry of E.yw¦ Surct,orge: 63 . 00 pd enttcr Misc. Charges: 7otaL• ~ ~Y Date Paid: InspDate of Insp.: " I CITY OF EAGAN ~ ~ 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagen, MN 55121 PHONE:454-8100 6UILDING PERMIT Receipt # , To w wWd Ier SF DWG/GAR W, yal,, $51,000 pote JULY 17 '1q 84 ~ SiteAddresa 849 SUDBERRY LN Erect CJK Occupancy R3 Lot 4 Block 1 sec/Sub. SHEFFIELD Remodel ? Zoning Parcel No. Repair ? Type of Const. V Enlarge ? No. Stories ~ Name JOS MILLER CONST Move ? l.ength 0 z 18133 CEDAR AVE SO, Demolish ? Depth 23 Address ~ Grade ? Sq. Ft. ~ City FARMINGTON phone SAI~iE 3 ' 260 Apoeovols F~es 86 00 ~ Name s~' Address Assessment Permit 2 ra • 50 ~ City Phone ' Water d~ Sew. Surchorge • r Police Plon check 143.00 Name Fin SAC 525.00 x Z Address Enp. Wate? Conn. 470.00 ~Z " ~ W City Phone ^ Planner Wafe? Mefer 63.00 • Council Rood Unit 260.00 ( hereby acknowled9e thot I have read thi~ opplicotion ond state fhat gldg. Off. Parka the informotion is oorrect ond oqree to comply with oll opplicoble APC Totel li .5~ Stote of Minnesota Stututes and Ciry of Eogon Ordirances. Var. Dete Sipnoture of Permittee l1 Bullding Permit is issued to: JOS MILLFR CONST on the exprcn canditlon fhoi otl work sholl be done in aocordance wyfh oli opplicabla Stote of Minnesota Stotutes and City of Eopan Ordinonces. 8uildinq Officlal Pxmit No. Permit Holder Dm Plumbinp 7T M 9- 0,q q~ ~ - q`1 c~ H.v.n.c. 7 C.~ 14 l r I 1-k Y -~U a Ebetric Softener Inapection Date Insp. Other Footinys Foundation Framinq Rouyh Plbg. f Rouqh HVAC Inwlstion Final Plbg. Final HVAC ~j Finei Ig. c.rciooc. Water Desoribe Loeation: VYell " Sawer Pr. Disp. ~ Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prinr legibty _ Tot. 1. Date 2. Installation Cost r ~ 3. Job Address " I.-Lot _Blk. Tract 4. Owner Il / 5. Contractor ~ ~ ~ ` 1 t I' " ' 1 Phone 6. Address 7. CitY State ` Zip 8. Building Type: Residential C~ Commercial O Institutional ? 9. Work Description: New D' Add ? Alter O Repair ? 10. Qescribe Fuel Type 11. No, EpLi2ment 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. I hereby certify that the above information is true and correct, and I agree to comply with all ordinanoes and codes governing this type of work. Signed : for ' Rough Finel Inspections: Date Insp. Dete Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C ~ Type or Print legibly - Tot. 1. Date 2. Installation Cost i " 3. Job Address LotBlk. ,4_ Tract JL. 4. Owner '~ij.i ~Jc~ ~ ~ E• e i, 5. Contractor~/~~ Phone 6. Address. J G~; ~ U 7'~l c~ Ct 7. City i ~ State f , . Zip Building Type: Residential 11~k Commercial ? Institutional ? 9. Work Description: New t5\ Add ? Alter O Repair O 10. Describe 11. No. Fixtures No. Fixtures u o1 Water Closet Cesspool/Drainfield ~ Bath tubs Septic Tank a Lavatory Softner ~ Shower Well ~ Kitchen Sink Urinal/Bidet Other _L 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 witJF 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 CASH RECEIPT ~_y~ CITY 4F EAGAN P. O. BOX 21-199 EAGAN, Ml[VNESOTA 55121 DA7E REC FROM AMOUNT L;7" & DOLLAR$ t00 ~ CASN CHECK Tz I / r- FoR~ , , . , - - - < i FursO CODE AMOUNT 3 Z L!S 1 ? f ~ ~ ~ ~J J Than ou . B Y White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition SAEFFIELD ADDN Lot 4 Rlk 1 Parcel 10-67600-O40-Ol Owner Street $49 SUDBERRY LANE State EAGAN MIIJ 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1981 28.68 1.43 20 STREET RESTOR, '917 _ GRADING a 1981 91.10 6.07 15 Sewer Lateral 511 1981 152.98 10.20 15 11999 11 1+ SAN SEW TRUNK t1981 C3.3O 4.22 15 " 46-42 SEWER LATEFiAL $1 96. 0 6. 43 15 77-29 Sewer Lateral b 82 65.06 4.34 15 WATERMAIN 579 19$1 12E3.OS 5.54 15 93.96 • WATER LATERAL QZ 1982 48.16 3.21 15 WATER AREA 590 1981 63. O 4.22 1 11 Powerline 1982 1 STORM SEW TRK 1985 456.09 91.22 5 456.09 C009631 10-9-84 dolSTORMSEWLAT Drgin e 1984 91.75 9.18 iQ 91.75 C008393 9-6-83 _~va t c M 1995 2609-03 521-81 9 2609.03 0 1 -2-8 CURB & GU fYE R SIDEWALK STREET LIGHT Road Unit 260.00 444777 WATER CONN, 470.00 rr BUILDING PER, 9113 n i: SAC 595-00 PAR K Ce~tificate for: 'M31 ~!iller -onst. redar Ave. So. , Farr.;ington, Mn. i) 5-,_4 :.e DELMAR H. SCHWANZ LANO SURVEVORl.1jY- ReyistsreC Untler L+ws of Tha State of Minnesota 2978 - 746TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068 PHONE 612 423-1769 ~ SURVEYOR'S CERTIFICATE f 1t ~;;1 f • Ob fi o ~7f-~ - ~Y 1 O I ~ v 4_1 Drainage . • utility '5:- .R~ easement '?~j,'~ ` J~ ~ ~ 9_ ~9 5• ~ y~`, - ; ~ 5 SCALE: 1 inch ~ 3q fe;t PG• ZT.P?~,'~ ? Denotes Set wood 'nub t- Proposed garage f loor e levatiori Denotes existing elevation , . . . _ . ; - i ~ t hereby certi:'y that this is a true and correct represent3tion of Lot 4, Block 1, SHr-TFIELD, accordlng to the recorded plat thereof, Dakota Ccunty, Minnesota. . J:~ V%401 House staked June 41, 1984 Revised Jiily 15, 1 Q84 (Flevations added , ^.1INNESOTA FEGISTRATION NO 8625 /rom'd qV Vq4 G lp,:) I(j i A 082592 ~/5-! SI..< <e4 3I,5b Heques Da~e Fire No. Oou ~uecti n Nep ued? ~Beady N. Will Notih, I.soec- Ye5 ?NO ror When ileady Licensed Electrical Contractor I herebv repuest irrapection ol abova Owner elocVinl wor4 installed a[- Stre6~~,~o,J~dre s Box ute N. Git V ection o. Township Name or No. Range No_ Cw Oc~t IPPINTI Phone,NO. Paw r Su Dlier Adtlres , EI 1 Caatr ctor Company Nac~or's License No. Ma' in0 .4tldress C tractor or Ownar tinp I..sta'la ion ~a3 Auth ized $igna ur Con ac[ ~ r Mla nstallatirnl Pho Numb¢r ~ MINNESOTp gTpTE BOARD OF ELE 7RICITY THIS INSPECTION RBR116'/ wILL NOT Origgs-MidweY Bldy. - R. N-197 BE ACGEPTED 6Y iNE SfA7E BOAND 7821 UniversitY Ava.. St Paul. IAN SStOC UNlE55 PqOVEA IMSPECTON ifE IS Pnonw 1612128]-2111 ENCLOSED. ~ IEQUEST FOR ELECTRICAL INSPECTION pEB-°°°`°e'-0I/+ ' Sea imtructians tar mGptelinp th:s lorm m.back ot Yelidr eopY• al1 D 1 A X"' Be/aw Work Covered by This Request nComme.Home o/8uildi'p Aooli a.esNfred Eau:omenieireA ge Temporary Service Water Heater igh[ing Fixtures uilding Dryer ElecVic Heatin rcial l 81dg. mace Silo Unloader Industrial Bldg. Air CoMitioner Bulk Milk Tank Farm th"°, ce° thc. Iscec~Nl ~ sooc.rv or . ome. ompute lnspection Fee Be/aw p Fee SarviceEMronceSiza k !ee F"ders/SUhfaedem N Fea Circuits 0 to200Am 0 to30q 0 tn30 Ansigs Above 200 Amps 31 to 700 Amps 37 to 700 Swimming Pool A6ove 100- AnVs Above 100--Am1135 Transformers Irtigation Booms O Partial•'Other Fee Si¢is Special Inspection S ;.L Remarks TOT FEE 7- RouOh-in Y E~ktr; ea, Daib ..by cerlih [Imt Hr a4ova Finel ~ ate pecxim hss bseo • . ~ ~_l/ oade. This repuat vo1C 18 monUn Iran I . . ' CITY OF EAGAN ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 ~ PHONE:4548700 BUILDING PERMIT i' 2eceiPt #__T 7 Te M wad fer SF DWG/GAR esr. Vulue $51,000 DOfe JULY 17 1y 84 SiteAddress $49 SUDBERRY LN Eract ?X Occupancy R3 Lot 4 Block 1 cecJSub. $HEFFIELD Fiemodel ? Zoning Parcel No. Repair ? Type of Const. V Enlarge ? No.Stories 5 Name JOS MILLER CONST Move ? Length 40- Address 18133 CEDAR AVE SO oemalish ? oepth 23 Z ~ City FARMINGTON ph.e 454-4753 Grade ? Sq. Ft. o Name SAME Aovrarala Fees Address Assessment Permif -OO Water 8 Sew. Surchorge 25. 5~ City phone Police Plon chxk 143.00 Name- Fire $AC 525.00 Address Enp. WaterConn. 470.00 "W City Phone Pionrrer WaterMeter 63.00 - Countll Road Unit 260.00 I hereby ocknowledge thot I hove read this apDlicotion ond sfate that Bldg. Off. Parks the inlormotion is correcf and agree to comDly with all opplicable APC Total $1, 772.50 State of Minnesoto Statutes ard Ciry of Eagan Otdirronces. Var. Date tSipnoture of 7ermittee A Building Pertnit is issued to: JOS MILLER CONST on the express condition thai oll worli shall be done in accorda wi II opvliwbl State f A innewfo Statutes ond Ciry of Eagan Ordinances. euiidinc ofricim -e CL1Y Gr SAGAN rwluda Zsaw of plan~, ^ 1 s16~ pTwn a~/tlwatiord t ~n'x: PEFl4T i?rPt.IC194'ltl~ ar eessew oslemA.tSom• . Rb He tlsed Fbr Valun1tion Si,OC~`J?~-~ T Slte Adl~+ese: G ?1/ ~ QmIC8 UBE Lor L alodk ~ sec./sub. a~et ~ ooa,~c,y -3 raroel a].ter 3anir~g - I Aepair 81te Eam N A 0??r~sz~ zra°~ Tip of cmnt. ' l~edre~. ~ City/Zip Oode: Phcne aonrraceoz: aa.pmnb suo.~t 28Co. 1lebes'/3w+~t 8tsdl~q~' so Addresa: Polioe P]an Cl~sclt l 4 3, CitY/ZiP Code: Fim ~IC 525. °s Ificne 1: watmr oam. 4-10 Planner 1RsEu meter lo 3.'~ Arch./E)ng.: Idtl q11t Bldg. OE~- )Iddnesa: , APC City/2ip oode: Pfiane i: 'l~DIL ~ -T7 -01 . . ' . . 4 N X x ~ N N ~ W w ~ -R 6 V~ ori ~ ol ol ~ -4% --J ~ ~ ~ I 2/84 /I CITY OF EAGAN / APPLICATION FOR PERMIT % - SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ApDRESS: ~ 4 c N!- T.FPAT, DESCI2IPTION: I- Lq J~, . YlD '4-~ wwr ~c (Lot/Block/Subdivision or Tax Parcel I.D. NuTher) ~ g z^{i:^--`G STRC.'CI'I::tE, DATE OF ORIGSNAL BliiIy.7LT~G Pu:,S'' ?SSJ~i;C:: (~%:O:t='ll Y~31'1 PRESL~i ::^..;TiNt;/PROPOSt`D US:: ? R-1 Sl^,1GLE FPMSI,Y ? R-3 DUP= (Tti'O L,iiITS) p R-3 ZY'laNHOUSE (TIIl2F^ + UNITS) ( UNZTS) ? R-4 APAF2TIENP/CONDCMINILM ( UNITS) 0 COHMERCIAL/RETAII?OFFICE ? I2MUSTRIAL p INSTITUTIONAL/G6VERbMET]T 2) pppLICAN•P (PLEASE PRINT) NArE: C°su54, ADDRESS: CITY, STATE, ZIP: PAONE: 3) PLIJI~SER PLEASE PRINT) - F08 CITY USE OHLY rAME: - PlU ERS LICENSE: ADDRESS: /422F~ .;2320 Ilt-'~ N, [7 Active CZTY, STATE, ZIP: ~JwmO..c1~ /I~IV, C] Expired FrA PHONE: Not of Record PLUMBER LICENSE k ~o (p 5 a ni a 4) OCCUP~/OKNTER NAME: (PLEASE PRINT) ADDRESS: CZTY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING RDQUESTID: CONNECrION TO CITY SES9EE2 CONNDCI'ION TO CITY WATEFt ~ OTfER (PLEASE DESCF2IBE) 6) IIVDIGITE ONE: E] PLFASE HOL1J APPROVED PERMiT E'OR PICK BY ONE OF ABOVE ~ PI.FASE MAIL APPROVED PERMIT 3, 4 ABCh7E (Circle one) 7) SI=TURE: DATE: l . G t~ . . . . . . . . . . , 1 , ae~r;i~+w ~ ii aksaiL~;acsh~ w F O R C I T Y U S E O N L Y PERMIT ° ISSUED r. • $ SE;9ER PER:?ST (INCL'uDE SUP.CHARGE) $ WATER PERR'lIT (INCLUDE SL'RCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SE:vER TAF $ ACi;OUNT DEPOSIi' - SEiJEP, $ /S <"--a ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESSPIENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER • v $ TOTAL $ AMOUNT PAID/RECEIPT i 7 DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN ~ PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGZNEERING DIVISIO[V. LIST AS A CONDI- TZON. SUBJECT TO THE FOLLOWING COIVDITIONS: APPROVED BY: TITLE : DATE: ~ s~ ws ne~~ ~ E~ s~e s~ w~ w~ w sia ws~ ~ Ra sE~~ ws~ Ra wE~ sa s~ wa wt~ w s~ w~ Lot ~ Block J_ -PIS#~ Sewedwater permit #-dLa U_ 443t Receipt # p 70MT- CITY OF EAGAN SEWERNVATER REPAIR OR DISCONNECT PERMIT 1998 Date -~a Sewer ~ Water Fee: $50.50 Address/azea to be repaired Description 6r e L Owner Phone no. z SVCet /5`~/~'/ ~ ,~b ~v •la ~ C City State/tZ,cL. Zip code Installer Phone no. y 3- 7Y3/ , Sueet Sf- City f ~ State ~ Zip code o z ,77 ? nature of Permittee PERMIT City of Eagan Permit Type:Building Permit Number:EA151899 Date Issued:09/18/2018 Permit Category:ePermit Site Address: 849 Sudberry Lane Lot:4 Block: 1 Addition: Sheffield PID:10-67600-01-040 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: 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 - Paul J Nelson 849 Sudberry Lane Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA168932 Date Issued:05/10/2021 Permit Category:ePermit Site Address: 849 Sudberry Lane Lot:4 Block: 1 Addition: Sheffield PID:10-67600-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Paul J Nelson 849 Sudberry Ln Saint Paul MN 55123--193 (612) 232-1853 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA177284 Date Issued:06/23/2022 Permit Category:ePermit Site Address: 849 Sudberry Lane Lot:4 Block: 1 Addition: Sheffield PID:10-67600-01-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Paul J Nelson 849 Sudberry Ln Saint Paul MN 55123--193 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature