852 Sudberry Lane
ciT OF EAGAN WATER SERVICE PERMIT
3830, llot Knob Road p~RMIT NO.: P. O. Box 11199
Eagan, MN 55121 DATE: 1
Zoning: R1 No, of Units:
Owner. Joseph : (i' l.~r Cotist +
rcss:
s~5 " - t-~ " ane L7 B2 Sheffield ~
Site Mdress•
pfum6er: 450.00 pd
er o.: ''6nnection Charpe: 15. 00 d
5iu: ~Sount Depos(t: 10. '10 _ P
~ t1' u 3T Oermit Fee: pd
Rea der No. : , 0 ! d
1 pne to osmplp !Iw City ~f E~p~n Surcharpe: 63 . 0~"1 ~d ~.~er.er
dJiwe~. Misc. GwrOes:
Total:
BY Date Poid:
Date of Insp.: I^sp.:
CITY OF EAGAN SEVIfER SERVICE PERMIT
3830 Pilot Knob Road
P. 7. Box 21199 PERMIT NO.: .
Eagan, MN 551211 DATE:
Zonrnp: onat' °f u"'rs: 'Owner: oaep er
Address:
Site Addreu: 85Z u erry ane ,:;,e:. e c
Plumber: rlcGuire Mechanical
3-21-84 < • P
1 pra to eompyr wkfi tiw Cihr of Eagan Connection Charpe: 425.00 pd
Ordlmnem Atcount DepOSit: 15.00 n
Pormit Fm: 10.00 p
Surcharpe: .50 p~
By Mix. Cho?pes:
Date of Insp.: Total:
Insp.: Date Raid:
- - -
CITY OF EAGAN
3830 Pilot Knob Road WATER SERVICE PERMIT
P. O. Box '11199 PERMIT NO.:
Eaqan, MN 55121 DATE: - b-
Zonir+D: R1 No. of Units:
Owrwr: Josep Tf er an81.
Address:
Site Addrcss: 852 Sudberrq Lane I, e e
~um-ber McGu ra ec ian ca
AAetsr No.: Connection Charye: ' p
Size: Atcount Deposlt: ~
Reader No.: Pennit Fee: • P
1 yf" te oomph wllh !Iw Gy ef Eoye• Surchorge: '
Ondi.enoa. Misc. Chorges: 53. p me er
Total:
BY Date Poid:
i
Date of Insp.: Inap.:
. CITY OF EAGAN . ~
3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 12038
PHONE: 454-8100 ~BUILDING PERMIT Receipt
ro be used io. DI:CK Est Value S3 . 20U Date aT11.70 Z , is ~
Site Address $-5Z ~rJp$~ jj~( j,m Erect Qx Occupancy 2i,'4
Lot7- &ock 2 Sec/Sub. bj4aj7jZ=-1 ~13 _ Remodel ? Zoning
Parcel No. Repair ? Type of Const
Addition ? No. Stories
¢ Name DANT~ 3. GUETZLlIFF Move ? Length /
3 Address SA['2E Demolish ? Depth
a Int. Impr. ? Sq. Ft
City Phone - Install ?
o Name i,~~ 452=~633 Approvals Fees
o i Address Assessment Permit 4. 5 U
~ City Phone Water & 5ew. Surcharge 2.00
~ Q Police Plan Review
~ = Name Fire SAC
Address Eng. Water Conn.
i W Ciry Phone Planner Water Meter
Gouncil Road Unit
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bld .Ofl. 5~Tr.PI.
information is correct an~gree to comply with all applicable State of 9
Minnesota Statutes and of Eagan Ordinances. APC Parks
~ Var. Date Copies
Signature oi Permittee
Tota~ $46.50
A Building Permit is issued to: f]AfJ ] F'L .T. G11RT .~OFF on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciy of Eagan Ordinances.
i
Building Oificial
~
Pwmil No. Pwmit Noldw Dab TNsphons A
qumbioy
I.V.A.C.
ENcMc
G
iollsner
tapectlon Date Imp. Commonb
"ooGnpsl
=ooHnys II
=oundatlon
°raming
RooNng
Rouph Piby.
Aouyh Htq.
~oaul.
Fk*plsce
'Inal Htg.
Flnal Plbp.
lldy. FMaI
:art. Occ.
)eok Fty.
Deck Fmp. f-~ ~
DNCdbe Locatlon:
Wdl
Pr. Disp.
. - . w CASH RECEIPT
+ •,i . .
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
oaTE +9
RQC@IVQD~ .
RROM
AMOUNT $
~ bOLLAR4
~ o0
? CASH ~ CHECK
)
rort
FUND COD6 AMOUNT
Thank You
BY •
White-Payers CopY
Yellow-Posting Copy
Pink-File Copy
~ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 0:' 1'40
Eagan, Minnesota 55122-1897 Date Issued: / s1 ~ { ~ (612) 681-4675
SITE ADDRESS: APPLICANT:
ri1 Ei~ r " , • A)fIR! I?RY I AME ; c , r•~I 1
'.11~ 1 I t l I. t~ ~ ~ ~ .
PERMIT SUBTYPE: TYPE OF WORK:
.I i MI I':~ I~1 f':111
INSPECTION D• ON TYPE DA
~ I•itMiN~,
{ ENAI
kf MA{+t t•• I ilf: M IiAPiA01 Nil 1-F k.
F
~
L
Pertnit No. Pertnit Hotder Data Telsphone #
ELECTRIC
PLUMBING
HVAC
Inapection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PIUMBING
PLBG
AIR TEST
RouGH
HEA7ING
GAS SVC
TEST
INSUL
GYP80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
OHSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
pECK FINAL
. .
CITY OF EAGAN Nd g9~ O
3830 Pilnt Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-810Q
BUILDING PERMIT Reuipr ~Te be wod ier SF' D',,,( : i G1kR Est. Vnlue S64 , U()(1 Dote ruvicH : 3 , 19 4
Site Address 852 :iIJI7E1,??FY LAN1' Erect ? X Occuponcy R3
Lot ~ Block 2 ~eclsub. SfiEFFIELD Alter p Zoning
Parcel No. 10-67600- o7C,-02 Re tr N7A
po ? Firo Zone
oe Name ,Tf1S . NiILLI'z' COP'ST. ~vros ? Type of Const.
~ If~? ^_FDA^ A~,'F;. O # Stories }
Address Demolish ? Length
City i~r',FiiT•~(-T() P'Phone 454-475:i ~
Grode Q Depth Sq. Ft.
~ Name Aporovuls Fees
u Addreas /lssessment Permit •
Water 8 Sew. SurchorQe 32.00
City Phone
Police Plon check 162.50
GW Name Fire SqC 525.00
v~ Address Eny. Water Conn. 470.00
~W City Phone Plonner Woter Meter 63.00
Council Rood Unit 260.00
I hereby acknowledge thot 1 hcve reod this opplicotion and stote that gl, pfp.
the informotion is correct and ogree to comply with ol l applicable To~a~ 1,837.50
Sfnte of Minnesota Stotutes ond City of Ea9on Ordinances.
Sipnoturc of Pem+ittee
, 70S
. . , 7 1q'1',
/1 Building Pertnit is issued to: on tM ezpress condiNon tlxat
oll work shall be done in occordoriCe with_°ll-opplicable State of,Minnssota Stotutes ond City of Eopan Ordinances.
Bulldinp Officfol j: r_._c ; . t,
Permit No. Parmit Holdsr Misc. Permit No. Holder
Plumbing
'-i
H.V.A.C. We11
wet..
Disp.
S~wer
Ekmvic 3.2.5D
InapeMion Date Insp. Other
Footinys ~
Foundation
Framinp
Rouyh Plbg.
Rouph HVA '
(nwlation
~
Final Plbg. .7 j +
Final HVAC y
Final ~
WaMr Describe Location:
VYell
Sswar .
Pr. Dbp.
Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN
Fea
Fill in numbered spaces S/C -
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phoae
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
11. No, Equinment STU - M. Ea. No. Enuiament 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
Receipt PLUMBING PERMIT Permit No.
CITY QF EAGAN
Fee :~l U• C~~
Fill in numbered spaces S/C
Type or Print legibly (j
Tot.
1. Date 2. Installation Cost
£ 5 2 Ettc;l., exry 7 2
3. Job Address Lot Bik. Tract*,?/_
J( : I T7 1 3 ~ t C;~ 1 r.L {,7'IC:P:
4. Owner
5. Contractor 1'CCt;Ii?I I:I:CI':FI:IChL Phone 4E9-4988
6. Address P. c' - LOi" : l9
7. City I,I`.YI~II.LI State Z;p 55044
8. Building Type: Residential C~ Commercial ? Institutional O
~
9. Work Description: New I)s,, Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
. Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tank
_D( 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 wittyatl 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
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
R¢CEIVED
FROM
AMOUNT s I
`-1 ,7j " ? ~ & DOLLARS
1 oo
~ CASH ? CHECK
FOR
FUND CODE AMOUNT
Thank ou
~1. . BY
White-Payers Copy
YelloW-Posting Copy
Pink-File CoPv
RESIDENTIAL
BUILDING PERMITAPPLICATION ~ ZyGJ,ZS
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-1675
~-4
NewCarotructionReauiremenb RemodeVReoairReauiremenh ~ I
• 3 regislered site surveys shawing sq, ft. af lat, sq. ft. ol house; and all roofed areas • 2 copies of plan
(20% mauhnum bt wverage allowed) . 1 set of Eriergy Calculations for heated addiUore
• 2 capies of plan showing beam & window saes; poured found design, etc J . 1 site suney kr ezlerior adddions & decks
• 1 set of Energy CalcWations . Indicate'rf home served by septic system (or addi4ons
• 3 copies of Tree Preservation Plan if lat platted after 717/93
• Rim Joist Delail Optians seleclbn sheet (Wdgs with 3 or less uni4s)
~ /
DATE ~VALUATION o 0 b
JOB 51TE ADDRESS 5
IF MULTI-FAMILY BUILDING, HOW MANY NITS?
PROPERTY OWNER
TYPE OF WO K ~ IREPLACE(S) _ 0_ 1_ 2
APPLICANT 1r7` PHONE#r2/~'
ADDRESS ZIPCODE 56~~ I
PAGER # CELL PHONE #~'A c4S-0 S/n 3 9 FAX #
0 uC S
NE1V RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ven6laGon Category 1 Worksheet SubmiKed
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbing System Includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechanlcal Confractor: Phone #
Mechanical System Includes: Air Conditioning ree: $70.00
_ Heat Recovery System
Sewer/Water Contractor. Phone #
All above informatlon must be submitted prior to processing of application.
I hereby acknowiedge that I have read this application, state that tX7 s cor ec and agree t omply
with all applicable State of Minnesota Statutes and City of Eagan
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan eived _ Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demoiltion (Enttre Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
N6r. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final O&r
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ RI. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit .
Mechanical Permit
License Search
Copies
Other
Total
0 ` CITY OF EAGAN N~ 891 O
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
BUIIDING PERMIT Receiot # ~
Te ea u.ee for RF nwr_ir_AU Est.Vaiue $64,000 Date MARCH 23 ,1 9 84
SiteAtldress 852 SUDBERRY LANE Erect [il Occuponcy R3
Lot 7 slock Z seclsub. SAEEFIELD Alrer ? Zoning Rl
Parcel nlo. 10-67600-070-02 Repolr ? Fire Zone N/A
Enlarge ? Type of Const. V
m Name JOS. MILLER CONST. Move ? # Stories
; Address 18133 CEDAR AVE. Demolish ? Length 3V
b City' FARMINGTONphone 454-475,3 Grade ? Depth 46 Sq. Ft.-
$AMF Approrals feef
~ Name
Address Assessment Permit S 32S.00
r City Phone Woter 8$ew. Surchorge 32 - 00
~ Police Plon check 1 F 2_ 5 0
FZ Name fire SAC 595 _ 00
~o Address Eng. Water Conn. ~-0 0
<W City Phone plonner WaferMeter 6-1-00
Council Rood Unit---2falQQ
1 here6y acknowledge that I have read this opplicotion ond state thot gldg. Off.
the information is correcl and agree to comply with all opplicoble
State of Minnewta Slotutes ond City of Eagan Ordirwnces. APC TMOI $1 ~ 832.50
Sienoture of Permittee
A Bullding Permit Is issued to: JOS. MILLER CONST. on rha expreu condition thm
oll work sholl be dane in accord e with li cable St e o Minnew_ ta Statutes and City of Eogon Ordirwnces.
Building pfficlol
--~•-b.;';,, r , .::+y?;.
• i `•r' ±Ah~' e .
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a ~
c r CITY OF EAGAN , A
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N0 7' 1203p
PHONE:454-8100 °3
BUILDING PERMIT Receipt#
7o be uaed for DECK Est. Value $ 3,2 0 0 Date JUNE 2 ~g 86
SiteAddress 852 SUDBERRY LN Erect 12: Occupancy R3
Lot 7 Block z Sec/Sub. SHEFFIELD Remodel ? Zoning
Parcel No. Repair ? Type of Const .
Addition ? No. Stories
5 Name DANIEL J. GUETZLAFF Move ? Length37
z SIME . Demolish ? Depth1:7
oAddress Int Impr. ? Sq. Ft.
Ciry Phone 456-7768 (W) install ?
io Name SAME 452-5633 (H) APProvals Fees
$ ¢ Address Assessment Permit
~City Phone Water 8 Sew. Surcharge
~ ~ Police Plan Review
F= Name Fire SAC
~ i Address Eng. Water Conn.
a w Ciry Phone Planner Water Meter
Council Road Unit
Iherebyacknowledget a ave read this application and state that the gldg.Off. 5/20/8 Tr. PI.
iMOrmafionis correct a ree to co ly with all applic State of Total
Minnesota Statutes and f Eaga\ man . APC Parks
Var. Date Copie
Signature of Permittee p' 46 . SO
A Building Permit is issued o: DANIEL J. AF
Qtf on the express condition that
all work shall be done in accordance wit II a icable State Min ota tatutes and City of Eagen Ordinances.
Building Official
~
~i e~a o;a
1 rtpn~hs Imm
Q,
Reqr"st Dat~~ v Fire No. Roug -in Insped n
~O Req red? ~ReaAy Now Will Notify InsPeo-
y- o Ves ?NO tor When Ready
Licensed ElecVical Convactor I hgrebv request insoection of above
Owner electrical work installed at:
Sveei AAdress, Box or R te No. Citv
~ ~C7 GUl
ecLOn o. Tuwnship Name r No. Pange No. C
OccuOantIPNINTI ~ Phon Nu.
-y s3
r Suppli r Atltl ss
~ '4e' /
Electrical C v ctor (Co ny a el Cont acmr*s LiceseNo.
~.rc~ 9 f.;-
M IinB Address ( ontmctor or Own Makine asiail i I
Authoriz ignxtu.e o ra or Owner lillikiig Insiallation) 61 Phone Numher
I v
MINNESOTA STATE 90AflD OF EL CTRICITY THIS INSPECTION REQUEST WILL NOT
Griges-Midway Blde. - Room N•791 gE ACCEPTEO BV TME STqTE BOAflD
7821 University Ave., S<. Paul, MN 55104 UNLESS PHOPEN INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
REQUEST FOR ELEC' :ICAL INSPECTION EB-00001/{+04
' See insiructiens for
~opleting this form on Deek oi Vallow copv. 5i ~ -b
~
~ ~ r ' N' Be/ow Work Covered by This Request
,A Peo. 7Ype ol Builtling Appliancee Wirod Equipmenl Wired
Home Range Temporary Service
Duplex Water Heater iw~Lightinij Fixtures
Apt. Buildinc~ Dr er Electric Heabn
Commercial 81dg. mace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm otner oecity tner ISUer.ifvl
ther Sueci y ther Othor
ompute Inspectian fee 8elaw
k Fee ServicaEntranceSize # Fea Feaders/Sabieeders b Fae Circuits
0 to 200 qm s 0 to 30 Am s 0 lo 30 Am s
Above 200 qmps, 31 to 100 qmps 31 to 700 A s
Swimming Pool Above 100-Amps Above 100_Am s
Transiormers Irrigation Booms Pdrtial'Other Fee
SignS Speciailnspection
flemarks TOTA E
3a•v~
nouen-in „ o4,,)7- ina
inspector, heraby
c r~ify that the above
Final Oection hes been
~ made.
TtkIS reyue6l vaiG 18 manths trom
ihis request vold
18 months fmm . 4 3 9 31"z`~
Hequest ig ~ Fire o. . uemred7 h-in Inspection
q QReady Now Will Notify. Insper
? yes ? No Aor When Ready
Licensed le vicai Co tractor
. 1 hereby requesl inspaction of above
? Owner electrical work inatelletl at:
Street Atldress, Box~pr,.floute No. City
c. h'Z Swk~es a'~
eclmn o. Township Nam or No. . Range No. Co~y _ ~
~~f`!
(74~
Occ ~uant (Pfily Tj Phone No.
~Jaui~l -~S, 4S2-sL33
Pawqr ~i4 ~~Adtlress .
~j
Electrical Co~nacmr ICOmpany Name) Contrar's License No.
MailinB Address (Contractor or Owner Making Instailation)
~+M~4
Autha ~on tor/ 91
aking Installationl Phone Number
' S6 =7? C
MINNESOTA STATE BOAFD OF E C 1 - THIS INSPECTION REQUEST WILI NOT
O,jB9s•Midway Blde. - poom N- BE ACCEPTED BV THE STATE 80APD
UNLESS PHOPEfl INSPECTION FEE IS
7621 University Ave., St. Peul, MN 55106
on....e 19121 997~111 ENCLOSED.
;cuutsl FUH ELECTRICAI INSPECTION ee-oooo_i /oa
See inshuclions lor comOlatinp this form on beck o/ yellow copy. ~DS 5'- 7
3 "R" Below Worl~Sovered by 7his Request
AJ aD. Typa ol BuilEing Applioncea Wired EquiUment Wired
Home • Range Temporary Service
Duplrx Water Heater Lightin,y Fintures
Apt BuilAing Dryer Electric He2tin
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
P2rm Otner peu y Iher ISner,~~yl
t er Ueu v t er Othir
ampute lnspection fee 8elow
# Fee =Abov200 ze p Fee Feeders/Subfeeders p Fee Circaits
f 30 qm s to 3p qn, s
ps 100 qinps 31 to 100 Amps
e 700_Amps anove 1
no_am,y
Irn ation Hpoms Partia6"Other Fee
Sueciallnspection
R emvrks $
~DS TOTAL FEE
Nouph-in ( Date
~ I.the Electrical
InsDector, hereby
Final pH cartify that tha above
/ P nsoaciioo nas ceen
~ f de.
tltlsrequesivolElBmontMirom
2005 RESIDENTIAL BUII.DING PERMIT APPLICATION ~p
City Of Eagan
3830 Pilot Kuob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reaui2mem.s RemodeVReoair Reauirements OAlce Use Onlv
3 regisfered sile surveys showing sq. R of lot, sq. ft of house; aM all roofed areas 2 copies o( plan Ced of Survey Recd _ Y_ N
(20%manimumlatwverageallmved) lsetotEnergyCakulalionsforheatedadditions T2ePresPl2nRecd _Y _N,
2 copies of plan showing beam & window sizes; poured found design, etc. 1 stte survey for addttions & decks T2e Pres Raquired _Y _N
lsetotEnergyCelculations Addifion-lndkatedon•sitesepticsystem On-siteSepticSyslem _Y _N
3 copies M Tres Preservation Plan if lol platted after 711193
Rim Joist DeWa Options seledlon sheel (buildings with 3 arless units)
Date J /_L~l / O`~ ~y Construction Cost
Site Address [t b4 c c ll oC0. /1 UniUSte #
Description of Work P~l+Slfl--tl'7n .10f L~D 4, A OD 1t
Multi-Family Bldg _ Yg2,N Fireplace(s) _ 0_ 1 _ 2
Property Owner hn~t ~At i( Q A/' i NL r~ Telephooe #((p5 I)~FS I" I_79 ~Il
Contractor 1~,o Y1Gt" SSCA'11L',PEy ~-e r iQf S
Address 7 n5 ) ' ~/~GC.)Om[~ ~n,P N . ~ /Sd City 1n0~/~ /~f0 UQ.
State zsp 553 Co 9 Telephone #(;(03 )2610 - a? 00 Q
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residenlial Ventilation Calegory t Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone ~
Mechanical Coniractor Telephone )
Sewer/WaterContractor 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
permit; that the work will be in accordance with the approved plan in the case of work which requices-a-re~ and
'I
approval of plans.
R~f'P l~l,L /I'>• S~iul ~F 2 ~!~?s~z~~~ ~ Z~o.l
~Applicant's Printed Name ApplicanYs Signature
~
L
OFFICE USE ONLY
Sub Types
? 01 Faundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AR - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 70 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_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 ? 48 Windows/Doors
? 34 ReplaCement 'DemoliGon (Entire Bidg) - Give PCA handout W appliwnt
Vatuation Occupancy MCES System
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) _ FinaUC.O.
_ Footings (deck) _ Final/No 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 _ Windows
_ 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
!p 7 5 /L 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouiremenls RemodeVReoair Reauiremen4s OfGC~'17se`'Dn
3 registered site surveys showing sq. fL of lot, sq. ft. of house; and all roofed areas 2 copies of plan ~a e11Af'S~.myR,gc~ A
(20°h mazimum lol coverage allowed) 7 set of Energy CalculaUons for heated add'NOns 7is~ Rres~lan kecd ~ ~ Y~'-~ "1~
2 coPies of Plan showin9 beam & window sizes; Poured found desi8n, eta 7 site surveY for additions 8 decks 3'ie9 Paes f ~'.~''N
~ -.L
i set of Energy Calculatlons AddNOn - rnd'~cate i/on-site sepfic sysfem 5~~' ~*.e,ptrc;SYst~p v~c
3 copies of Tree Preservation Plan'rf lot platted after 711/93
Rim Joisf Detail Opibns seledion sheei (bldgs wBh 3 or less unifs
Date ) al- / d ~ / 0 q Construction Cost /y ~5'Oo
SiteAddress 2 SD, SudloP(rV A /1 4- UniUSte #
Description ot Work I"1'OA /LSL&o.Pllti~SF I a~
1VZulti-Family Bldg _ Y r2( N Fireplace(s) _ 0 2
ProperTy Owner ba v P 4 Q ) i 6~ "q ; t-iF-' ~ Telephone # (95a ) FSS 1 -
Contractor RPna'i /['nnA~ C x"''Q~1OFS c?~C'
Address -73'5 I IC ~ f K lJOO d af~a/I -e JJ 1 4"I 3d City ~'dl~t/J%P ~ fo u~
Sta[e m/q Zip 57536-9 Telephone #(-7lv3 ) 7 S'O ao O G
COMPLETE THIS AREA ONLY IF CO W BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ esota Rules 7672
Energy COde Category . Residential Ventilation Category 1 W eet w Energy Code Worksheet
. (J submission type) Submitted bmiUed . Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N if so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/WaterContractor 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 pernut, 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.
.8(enJ4 /Yl•
ApplicanYs Printed Name ApplicanYs 3ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bldg
0 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 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
0 06 04-plex ? 12 12-plex PIbg,Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demalish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire 61dg) - Give PCA handout to applicant
Valuation Occupancy MCES System
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) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundalion - HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Au Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Certifieate for:
`•Joe Miller Const. Plan 84- 108
. 18133 Cedar Ave. So. WaZkout
Farmington, Mn.
DELMAR H. SCHIAIANZ
. . LANOSURVEVOR'S .
qeqisbrWUMtarLawsaf TMStateofMinnwOl+
2978 - 145TN STREET W. - BOX M ROBEMpUNT, MIRNiESOTA 86088 PNONE 812 423-7169 SURVEYOR'8 CERTIFJGAiff
,v~q ~°~b~ ar ~~t ' ,
~
~ ~,151, 4~1 ji4
~ ti o!;/ - q a.3? ~ ' ~
V ,9'~ tiW `
'xlA. R•° vpy.y,'°~ 10
CPm
1 ` • ~
~ • 41 ~ 1' ~
r~
< rf/ 40 Denvtes exiating elevation
~Q 5,19~~,- Den4tes proposed slevation
90~~ qcE' ..i.-- Danotes proposed drainage
~ Propoasd garage floor .
Proposed top l~f block . PrQposed walkout level
Proposed loweat Ploor
I hereby certiPy that this ia a trug and eorrect representation aP
Lot 7, B7ock 2, SHEFFIELD, according to 'the recorded plat thereoP,
nakota County, Minneeota.
A1so showing the location oP a progosed house thereon.
Datedp August 8, 1983 ' ~,~,,,,Ft1
: MINNESOTA REGIST ATION Nq.y~~4~~~
( fr
. ` CITT OF lUIIDIIG DEPAR2KElR
6ZTF.ItZOR EXVEWPI GI •U" COMU?A?IOM
(To be subaitted with building pesmit applleation)
One or tio fuily dwwlliefg Orner
All ather
91t• addreas
Contr.ccor D&t• Z Z9^S~ Phone .s~ y7S3
LIMEAL FT. OF
EYP03ED MALL ft. above arade - 1, 7-f~.O dZ
70TAL EIfPOSED WA .
OPAQUE MALL CONSTRUCTION: "U" value z area
T,~rr1C "U" .0 3 x sq. tt. 1,17q.$b - $0.73 (U1(A
"U" .0 x s q. f t. 117,5A =J.jo ( U)( A
Cov~ "U" 1l23 %c sq. ft. 197. S(o ~ IU1 (A
Detail reference "U" x s q, ft. (U)(A
i-om "U" x so, t*.. ~ (U)(A
actached sheets "U" x iq. tt. ~ (U)(A
"U" x si. ~ (U)(A
"II" x sq. !C. ~ (U)(A
"U" z sq. ft. - (U)(A
"U" Y sq. ft. . ~(U)(A
WINDOWS: ^ll" valua x area
Make k type J,uSuG. &?N?'r "U' .~Z, x sq. ft. (01.4(0 (U)(A
w w
w w "U" x sq. ft. ~ (ll)(A
w e RUR x eq. ft. - (U)(A
~ R "U" x sq. ft. - (U)(A
"U"-x sq. ft. - (U)(A
n n *U" x sq. ft. = (U)(A
DOOR4: "U" value x area
14ake k type -4Tio bI2• "U" .47 x sq. ft. S`f•oo ~====31-0 (U)IA
~
aT! • io6vl- _ "U" . 14 x sq. ft. 4,2,OD (U) (A
~
w w ~U~ X 9q. ft. (U)(A
n w. "U" x sq. ft. - (U)(A
1'OTAIS 11 j•0 Sq. ft.,ff~,,Zj (ll) (l
TOTA L( U)( A) VA LUES A JC .
DIVIDED B7 TOTAL YALL AREA Ij
AVERAGE "U" .185.W or lcss for 1 k 2 family dwrllinae
,23A2 or less for all other buildinss
ROOF/CEILING:
TOTAL AREA: sq. ft.
Detail reference e„oFr "U" ,025~ x sq. fL . 27/2. (U)(A)
from , "U" x sq. ft. - (U)(A)
attached aheets. "U" a sq, ft. - (U)(A)
Deacrib• openings "U" x sq, tt. - (p)(A)
in roof. "U" x sq. ft. - (U)(A)
TOTAL (U)(A) VALUES z)•/Z ~ TD?AIS 40Sq. ft.Z7•/z (U)(A
. AYC.
DIVIDED BT TOTAL ROOF/
CEILIHG AREA
AVERAGE "U" ,04-:~ for ventllated roofs ~
,p& .46 for a11 other construction
WAUL SE c.1I oN
" ~1DE"(EY-1`10I06 "U" VALUES A1 RaDF, WAIL, CZIMI ANp mNL. $LK.
ROOP ~ CEQNU
(R) VAUr--
5 O INTERIn~ AiR FILM 0.&(
o Sr8° 6,VP. Bp. .54
(j) INSUTA'poN 38.00
~
O EXTERIOR AIR FILM .lol
~ 2 3 (STILL~
I/R TbTAL (R)= 39•78
~
~ WALL (R) VALUE
8 Q iNTERIOR AIR PILM O,bB
q Q '/2" GYP, $D. .45
O 51/7." INSULATioN 19.00
9O 2 SJt~r: ~ ZA~
O MAsDNIT~ SIDINCx
a 11 EXTE{zloK Atrc FIlr1
"U'f= I/R< o TO~TAL (R) =.Z3.o3
~
IZIM
, 12 (R) VALUE -
Q INTr--RIOR A1R FILm 0,(08
i3 51/7" IN5ULA71or+ 19.06
0 -t FlR RiM lojsT 1.es
is @ ulaz
Cj MAsorl-~ sro~r(, .~f
IQ ExT~.R1ofZ AIR FILM .I'1
0o D ` ~ "U" _ 1 ~R = 0•041 ToTAL (R) = -Z4•4&
1
. • °o ~ foUNDA'[ioN
N) VALUE
~ iNTEV-lotz Atrz FiLti 01655
•
o° q Q
• ge n ~ z~ ~CbtJG, F~LK, 1.28
VAy'w-,'en 17bJn (p.00
F-X"(ERIoR AIR FILM .11
11 Ull _ ~~fZ= .123 ToTaL (i<)= S /3
~
~
t . ' • .
WoRK ~~FF-~- ~r
N~~6 ~ IA),4u-
8.83 X(34+34+ 38+38~ _ ~71. SL
g.oo X 34 = ~7R.Oo
.(07 X (34t39~~ = 4~•5l0
~~74/•08
X(34+34+38+35) _ -//9• Sz _ _ .
•
~ x 34t34 - _ _ _ 45• 5!O -
$.00 X_CStN =
-P97.-s*~
~ _ -
~
z4X3~=
{v------3C~.-op -
~4.X48 = S.o X 5= go, oo_
z$ x /4. _ ~•7 x z
/~S • zo 4
z- Cva'a7ro DP- 89:00
3 ` . ~'tL• F.~7x.. . . . . o0
oo-*--
~T
('vKow, wt}LC. . ~i7¢l• 48
leb ~i.H To~sT Il9•5~
N ~oNe . /97 s~ '
" w~~lDows tla,~o -5~v1.z8
Doo,es /,~~.oo
J,177, SO ~
,24 x 34 o
s x 17 = 2 S,So
,~,Sx 6 = 15,00 lA ~c 14 = ltcs.oo
5 X io = 56.00
v- x 67 = /o.oo
RESIDENTIAL BUILDING
b D Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 4 651-675-5674
NewConsWClionReouirements RemodeVReoairReaui2ments Office UseOnlv
3 registered site surveys showing sq. ft of Wt, sq, ft of house; and all rooted areas 2 copies of plan CeR of Survey Recd
(20% mazimum bt coverage allowed) i set of Energy Calculafbns for heated additlons Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addi6ons & decks Trce Pres Not Reqd
7setofEnergyCalalations AddiG'on-indkafellon-sifesepficsystem _OnsifeSepticSystem
3 copies of Tree Preservation Plan 'rf bt platted after 1/t/93
Rim Joist Delail Options selection shcet (Wdgs with 3 or less uniGs
Date / ~ / ~ ~ ~ b Construction Cost ~ e 7 d ~u
Site Address (S Sa-?- sH f/ Gc: iz 2 y L.,c1,..r~ _ UniUSte #
i
Description of A'ork A c.r O N A 5L4.v rZd ur-r ?n.v J~.q t'>,O
Property Owner AL 1 Cr- Ji'zs~1~/.~ Telephone #((o5K ) 0 5'I`I 7 9 69
Con[ractor RTic..//J.;S S AN cL F- Kr'r-t"o2.s ~Z;%r [
naareSS Nw Y/a ciry t7v u,cIds v•;c w
State jI/L1 Zip S-5 1 Telephone #(76J ) 7YJ-P-L46 cl
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventila}ion Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope CaiculaGOns Submitted
Licensed Plumber Telephone )
,
Mechanical Contractor ~.~~~t Telephone )
'
Sewer/Water Contractor Telephone )
u ~f
6Y
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 tYus 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 cas ork which requires a review and
approval ofplans.
j:~ dN J r/7d.~/ 1 \
ApplicanYs Printed Name pplicant's Signa ure
OFFICE USE ONLY • ~.s, _
H
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace X 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
)9 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolisfi (BVdg)' ? 43 Rerooi ? 46 Windows/Doors
? 34 Replacement •Demolitian (Entire Bidg) - 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. /~-z 3 PRV
Nbr. of Bldgs Length 1r , Fire Sprinklered
Type of Const VAJ Width 13•
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings(deck) ~ FinallNo C.O.
~ Footings (addition) _ plunibing
_ 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)
_ Insularion _ Retaining Wall
Approved By ) Z , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
city sac ,j GlN /Z Dt.~l'?1 ~ 4-1 L-10 7~U
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
cate for:
PF)e Miller Conat. Plan 84-!08
. •
18133 Cedar Ave, So. Wa2kout
Farmington, Mn.
DELMAR H. SCHWANZ
V.NO SURVEYOF S `MC-•
RpiflarW Untler Lawf a/ The 5ta1e of MinnoWla
2978 - 165TH S7REET W. - BOX M ROSEMOUMT, MINNESOTA 56088 %iONE 672 4231789
SURVEVUR'S CER7IFICASE
P
' v t~ . ' ~r E
U ~ ~oY~^p V~
~ Q
,-C1
l!" ~ ~ ti ~ ^ , •
F 10
y 1- 'k•,)'~
~ L ~ Lti
~ 4w. Z.
oo
o~a ~.r. oL• ' ~j
A/ 0,~;! ~ 3yi `'b~ 8 Denotes existing elevation
~ 03 ~ \
Denotes proposed elevation
Denotea proposed drainage
Propoeed garage floor
~
Proposed top ~6f block Proposed walkout level
°ropoaed lowest floor
I hereby certiPy that thls is a true and correct representation of
Lot 7, Block 2, SHEFFIELD, according to the recorded plat thereof,
Dakota County, Minnesota.
Also showing the location of a propoeed house thereon.
Dar,ed: August P, 1983 '
-%'-94
:.i~.er_. ~`1 •
-
~
i
;x~r`.?~:'J?'/1 a
MINNESOTA qEG15T{IATION N0.8825
~
1986 BOILDING PERlQT APPLICATIOH - CITY OF EAG9N
NOTS: ALL CONTRACTOES MOST BE LICfiRSSD iIITH THE CITY OF EAGAN
SINGLE F9MILY DAELLIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS
M[JLTIPLS DSiELLINGS - HESIDSNTIAL RENTAL DeTITS FOR SALS DNTTS
INCLUDE 2 SETS OF PLANS, CE@TIFICATE OF SDR98Y - CHECB WITH BLDG. DEPT.,
7 SET OF ENERGY CALCULATIONS
COlMCIAI:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND 32CO.
To Be Used For: ~2c~- Valuation: -zP N a"" Date: S-~-~ (e
Site Address ~Z ;~6r-r "w ¢ OFFICE DSE OIiLY
Lot ~ Bloek pG Erect ~ Oceupaney ~
Remodel _ Zoning
Pareel/Sub e t~j( Repair Type of Const =7
A(^~- Addition l~ of Stories
Owner ~nw~ e.1 J•~Q'~~di'~ Move Length /7
/ Demolish Depth
Address gsz 5~..~(hn Lu~< Int.Impr. _ Sq Ft
~ Install
City/Zip Code E~q~e~..
ph e~ ~Z - y 4•3 ~t~IS(.-77(08 APPROV9I.S FEES
Contractor ~-Ct~m Assessments Permit
Water/Sewer Sureharge 2
9ddress Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone Couneil Road Unit
Bldg Off,f p Treatment P1
Mch./Engr. APC Parks
Variance Copies
Address YOTAL
City/Zip Code
Phone #
NOTE: ADDRESSSS EOR CORNER LOTS - CONTRACTOR/HOMEOWNER !lDST DESIGNATfi {iHICH ADDRESS
IS DFSIRED. HO CHANGES iiILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSQSD.
r•- .
2/84
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPERPY ADDRESS: 852 Sudberrv
LEGAL DFSQ2IPTION: Lot 7 Block 2 f7h e
(Lot/Block/Su}x3ivision or Tax Parcel I.D. NunUer)
IF EXISTING STR[JCi'UFtE, DF.'I'E OF ORIGInAL BUILDIIQG =41T ISSJPNCE:
(honlih/Year)
PRESE.^Ti` Zr17Ir,/PRUPOSID USE: El R-1 SING7,E FAMILY
Ll R-2 DUPLEX ('I420 UNITS)
? R-3 TdFINHOUSE (THE2EE + UNITS) ( [JNITS)
0 R-4 APHxzMEivTycQEc;ri!NzaM ( Unv1TS}
p caqExcrai./rMtIr/oFFzcE
p IIMUSTRIP.L
q INSTI75JTIONAL/GOVII2Nhffiff
2) APPISC.ANT (PLEASE PRINT)
NAI`E: ,7oP Miller Construction
ADDRESS:
CITY, SfATE, ZIP: Farmi naton , N:inn. 55024'
PHONE: 454-4753
3) PLLZ= - PLEASE PRINTJ . FOR CITY USE ONLY 'NFME: MtGuire Mechanical Services, Inc.
" PLUMBERS LICENSE:
ADDRESS: P. O. Boic 219 M Active
. CITY, STATE, ZIP: Exp:red
, C] Not of Record
PHONE: 469-4988 PLUMBER LICENSE #002751M7 p~~Q
a ni ia
4) OCCTJPANT/Ol7NER (PLEASE PRIN
~Dn T) . -
..n.lSE':
CITY, STATE, ZIP:
PHONE:
5) INDICATE WHICH PF,RNIIT IS BEIAIG REQUFSTID:
~ CONINFX.TION TO CITY SES^TER
~ CONNDC.TION 'lO CITY 4MTER
E] OTIER (PIEASE DESCRIIIE)
6) IINDICATE ONE:
F] PLEASE HOID APPROVED PEEtNLiT FOR PZCK-UP BY ONE OF ABa7E
~ PLEA.SE MAIL APPRCYJID PERMIT To 1, 2,03 4 ABWE
(Circle one)
7) szcIATURE: DaTE: y fl?3
~ }!AU~r'~!~4'~!~I!ia!! ~!I MF~Yl;~!'.!!rFY~ ~ r~~~Fli ~IF~f~~ ~r` ~ ~Ph° I~~L!.Ni9~iiw~r~':. ;•i
F O R C I T Y U S E O N L Y
. PERMIT # ISSUED
' FEES: $ ~ o••~ a SEWER PERMIT (INCLGDE SURCHARGE)
$ i d• ~ a WATER PERNIZT (INCLUDE SURCHARGE)
$ G~• ~-""d' WATER METER/COPPERHORN/OUTSIDE READER
~ $ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ ACCOUNT iDEPDSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
WAC
$ S-?^S SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ ' OTHER
. . . .
$ TOTAL
AMOUNT PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
~ PUBLIC ROADWAY" MUST BE ISSUED SY THE
NO ENGINEERI[JG DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ' c=Zre~J
TITLE: _,,~.,ZY
DATE:
Mllaaw~w~~w+~w~~iewt~w~r~~~t~`~!}~'e'!!1~'!!'r~~a4i~t!!~!I~'4+1!'!twpqw~!w~!w~!}'~'!~~r!!!~
~ - PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 7 4 0
(612) 681-4675 Date Issued: 0 6/ 0 3/ 9 6
SITE ADDRESS:
852 SUDBERRY LANE
LOTc 7 BLOCK: 2
SHEFFIELO
P.Z.N.: 10-67600--070-02
DESCRIPTION: +~sn~,st„,~ H Q U S E R O O F & G A R A G E Bg3r1t#it~t, Permit Type
E~Type REPAIR
~ensus ~tsde 494 ALT. RESTDENTZAG
~
S 'P 3. ~4 rv•my.^ h ~m a
am~' t+ ?m.~ i~„+ ~ Ttl~ V~~ 5 gy Pt~
REMARKS:
STORM DAMA6E - NO FEE
FEE SUMMARY:
CONTRACTOR: OWNER: - a p p 1 i c a n t-
PERRY ALICE
852 SUDBERRY LN
EAGAN MN 55123
(612)681-1796
I hervtby wcktiPw~ovgtw >thb`t.' I'Frave r0ad,.ithis°applicati6n and stato; tha,C ~the ,
' infatma.t~sr-rf carr''0 ct' -scsci .ayree; ,tc7 ccmpl ~~th ppla,~able St6Ce of w~n.
~ Statutes dnd,;;C3,tyt Eacjaia Drd~nances. . . ~
R~z;~a.lYl~1-
APPLICANTlPERMITEE SIGNA7URE -~ISSUED 8 SIG TUq
CITY OF EAGAN
~ 3830 PILOT KNOB RD - 55122
~
q 0 1996 BUILDING PERMIT APPLICATION (RE5IDENTIAL)
681-d6T5
New Construdion Reauirements RemodeVRenair Reauirements
i 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (inGude beam & window sizes; poured fid. design; etc.) ? 2 site surveys (exlerior additions 8 decks)
? 1 energy cakuletions ? 7 energy calculetions tor heated additians
? 3 copies of tree preservation plan N lot platted afler 7/1/93
required: _ Ves No p~
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: ~Taew` ~1tw` ~A QkfiE
STREET ADDRESS: 0 5~ bz_g~~ LA
LOT ~ BLOCK ~ SUBD./P.I.D. 101110,0a
r-•~1 p C~
o ~ !
PROPERTY Name: Phone L
OWNER
Street Address:
City: State: ~ Zip:
CON7RACTOR Company: \ lti 'cV tS_ Phone #5treet Address: ~ 'cense #"R 060 6 3SC9
City: State:, /ut/V_ Zip: ~
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
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.
Signature of Applicant: IZZ a:~4c
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY ~'i'`~ qm?_,~ i;A
b.. , ,
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Ailowabie) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. 8ooster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
i,?i`i'.CL'.",LS
Planning Buiiding Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units
CITY OF EAGAN Remarks
Addition SHEFFIELD ADDN Lot 7 Blk 2 Parcel 10-67600-070-02
Owner Street 852 SUDBERRY LANE State EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1981 28.68 1.43 20 22.96 A014098 6-19-84
STREET RESTOR, ~ 1984 178.09 178.09 CQQ$$j'] 9-19-83
GRADING 521 1981 91.10 6.07 15 66.82 A014098 6-19-84
Sewer Lateral 1981 152.9 10.20 15 112.22 A014098 6-19-84
SANSEW TRUNK 1981 163-30 .22 15 46.42 A014098 6-19-84
SEWERLATERAL ASRzgf-) 1981 9•50 • 3 15 77.22 A014098 6-19-84
Sewer Lateral 1982 65.O6 4.34 15 52.07 A014098 6-19-84
WATERMAIN 1981 128.08 8.51+ 15 93.96 A014098 6-19-84
* WATERLATERAL Z1982 -TT.-16- 3•21 15 38.53 A014098 6-19-84
WATER AREA p 1981 63.30 4.22 15 46.42 A014098 6-19-84
* Powerline 1982 15
STORM SEW TRK 456 . 09 91 , 22 5 S. O 60 ~,~.3 3d ~
~ STORMSEWLAT Di+SinB e 1984 91.75 9.18 10 91,75 C008517 9-19-83
~6 0 ,03 do0
CURB & GU ER
SIDEWALK
STREET LIGHT
Street 2 1985 1941.6 388.33 ~ 9 /(o G~mo 338 ~ 8
ROAD UNIT 260.00 42148 3-21- 4
WATER CONN. 450. 00 BUILDING PEfi. 891
sAC 525.00 "
PARK
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166047
Date Issued:12/08/2020
Permit Category:ePermit
Site Address: 852 Sudberry Lane
Lot:7 Block: 2 Addition: Sheffield
PID:10-67600-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Alice Perry
852 Sudberry Ln
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature