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856 Sudberry Lane CITY OF EAGAN SlWER SERVICE PERMIT 3836 ?i:ot Knob Road P. O. Ctox 21199 PERMIT NO.: 6078 Eagan, MN 55121 pATE: ;y-- _ Zoninp: RI No. of Unlts: 1 Ownsr: J ~nh ~Ii17P7 Cunstr«etion AAdress: Site Address:- 1996 .^SUrlhar~ L9 B2 Shwfftolrl Plumber. `«^41LG .,CC.r~ I I U ~ , I "fw to eoMPy wqb Um Ci1y of E.oa¦ Connwctlon Choepa; 425. 00 pd Ordieewe.s. Aooount Deposit: Permit Fee: 10. Or pd I Surchorpe: .50 T)d I BY Miac. Chorpss; ~ Date of Insp.: Total: Insp.: Qote Pald: ~ CITY OF EAGAN ~~3~ P~lot Knob Road WATER' SERVICE PERMIT P. O. eox 21199 PERMIT NO.: 40,91 Eagan, MN 55121 pq7E; o-9-f<3 Zoning: F•I Na. of Unirs: 1 Owner: _ 3ogeph T{i11er Gonstru -ian Mdmss: Site /lddrcss: _ 856 S»t4bernr 29 T12 Shpfflnla Plumber: ZvfCGu1re ?°fech Meter No.: Connection Charge: 450 . 11 ^p d i Siu: Account Deposit: ; Reoder No.: Permit Fee: _ 1~.OQ pd ~ 1 ym eo eosoplr wilh !IN CiT of U4ea surcharge: - .50 pd i Ondi.enw. Misc. Cho?yes: 60.00 nd me t e r Totnl: BY Dcta Pald: Oate o# Insp.: Insp.: ~ CITY OF EAGAN 1 t'~ 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 PNONE: 4648100 BUILDING PERMIT RKeia # To w wwi fa Est. Volue , Dote 19 Sita Addren 5Eroct Q. Occupsncy Ae^O Lot Blxk j Sec/Sub. ~I ? Zoning Parcal No. Repsir ? T`ype of Const. Enlarpe ? No. Stories Move ? Length W Na^e Demolish ? Depth ~ Address Grade ? Sq. Ft. City Phone Inatall ? Apo.ewb Eees Z~ N~e Assessment Permit u~ Addren Woter a Sew. Surchorge "City Phona Poliu Plan Review, t~ Nsma Firo SAC A !W v~ Addren Erq. Woter Com. ~W City Phone Planner Woter Meter Countii Rood Unit I heroby acknowladye that I how reod this application and stat* thot gidg_ pff, tl+e lnformafion Is twrect ond o9ree to compty wlth oll oDdicable APC Total . ' . State of Minnesoto Statutet ond_ Citv of Eap Ordinwr?css.% Var. Date Sipnoturo of Permiftee _ l~~X • > A Buildinq Pennit Is issued tn• _ on fhe exprsss cwdition Iho+ dl work sFwll be daw fn otoordona with all oppliaobl• Stafe of Minnemota Stotutas ond City of Eopon Ordinanns. Bvildinp OFficid ~ ~ ~ 11 11 11 ~ Q ~ ~ 11 11 T T = S a 4r ~ 0 ~ ~ a a » ~ ~ z ~ ~ 0 s s $ : a s 0 ~ ~ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 11940 ' PHONE:454-8100 BUILDING PERMIT Receipt # To be used for 3HSF.i•Ic:I`iT Est Value $1 ,O l3 0 Date MAY 13 , 1g_~ SiteAddress 356 SCJUBErtRY L,'J Erect ? Occupancy Lot y 8lock l secisub. SFiEFF l1:LD Remodel ? Zoning Parcel No. Repair ? Type of Const. Addition ? No. Stories ¢ Name l~i 7 CfiAi•~tJ ~i Move ? Length _ ' Demolish ? Depth iic o Address 5~~+ int. Impr. ? Sq. Ft. city Phone 452-5049 instau ? o Name qAf4fi ApprovaM Fees s Address Assessment Permit Z•~~ ~ Ciry Phone Water & Sew. Surcharge 3.50 Police Plan Review mi Z Name Fire SAC ¢ _ ,4ddress Eng. Water Conn. a W Ciry Phone Planner Water Meter Council Road Unit Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg. Off. 5f13/$ Tr. PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Signature of Permittee ~ Var. Date COpies $66.05 Total A Building Permit is issued to: k ICHAFZD BI ERMi1iJ on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ~ I . pmmnR No. PsrmN Holder Dah TNephone # PlumWny H.V.A.C. Electric - G Softener Inspection Date Insp. CommeMs Footlnqs I ~rE ~ rF'~ " /LOT Footlngs II ~iAlf~yr/ Q Foundatbn Fnming Rooliny Rouyh Plbp. Rouyh Hty. Insul. ~ i -c Flreplsce ` Flnal Hty. Final Plbp. Bldg. Final ~ ICeA. Oec. Deck Fty. ' I Dsck Frmg. woii I Pr. Dfap. . „ .j.-.~, • . ;q. .,..oZ;; `7'~ ',r . .r',c,. .sy... . . . . . . _ ~p~ . . r , . . . PERMIT # ~ . PWMBING PERMIT RECEIPT # 3830 PILOT K OB OAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 Site Address • ' N BLDG. TYPE WORK DESCRIPTION Lot Block ~ Sec/Sub ' Res. New Name Mult Add-on ~ Address Comm. Repair c City Phone Other NO. FIXTURES TOTAL Name Water Closet - $3.00 $ c Addres$ ~ Bath Tubs - $3.00 p City ' Phone ,Lavatory - $3.00 ' Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE Urinal/Bidet - $3.00 MINIMUM - RESIDENTIAL FEE _$10,00 L.sundry Tray -$3.00 MINIMUM - COMM/IND FEE _ 20,00 Floor Drains - $1.50 STATE SURCHARGE PER PERMIT _ .50 Water Heater -$1.50 (ADD $50 S/C IF PERMIT PRICE GOES Whiripool - $3.00 Gas Piping Outlets -$1.50 BEYOND $1,400.00) Soitener - $5.00 Well - $10.00 ' Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: FOR CIN OF EAGAN GRAND TOTAL• < . :Z:w ~ r.. ..~i . . . . , . ' ' PERMIT # 991 - ; 4 MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: / CONTRACT PRICE: PHONE: 454-8100 Site Add[ess BLDG. TYPE WORK DESCRIPTION Lot'~/ Block Sec/Sub Res. New / Mult Add-on ~ m Name Address Comm. Repair ~er c City 44VY= 6Z /.~tZ l Phone l' FEES Name l - ~ RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW ~ CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLOGS. - COMM. R,4TE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SUFiCHARGE PER PERMIT - .50 Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: S/C: - SIGNATURE OF PERMITTEE TOTAL• ~ ~ • - FOR: CITY OF EAGAN 3830 Pilot Knob Road! P.O. Box 2G-A199, Eagan, MN 55121 ~ A ~G PHONE: 454-8100 BUILDING PERMIT Receipt # Tobeusedtor x'IREPLACE Estvalue $2.000 Date OCTt?BER 14 1966 Site Address 856 SUDBERRY LN Erect IN Occupancy Lot 9 Block 2 Sec/Sub. 5HEFFIELD Remodel ? Zoning Parcel No. Repair ? Type of Const Addition ? No. Storiea a rvame RICHARD AIERMAIER Move ? Length = Demolish ? Depth o Address SAME Int Impr. ? Sq. Ft Ciry Phone 452-5049 Install 11 o Name yA!-iE Approvals Fees ¢ Address Assessment Permit $ 3 2. 5 0 ~ City Phone Water 8 Sew. Surcharge • Police Plan Review I I = Name Fire SAC ~a Address Eng. Water Conn. < W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that the Bldg. Off. 4 3 0/e b Tr. PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. . APC Pa~kS Var. Date Copies Signature of Permittee TOtal *33 ' u A Building Permit is issued to: RICI-iARD SIERt•iAIFR on the express condition that all work shall be done in accordance with all applicable Sta)e of Minnesota Statutes and City of Eagan Ordinances. Buitding Official ( Permit No. Perml! Holdtr Date Telephons k Plumbiny H.Y.A.C. EbctAc SORMM Inspecrion Dah Insp. CommenM FooMnysl Foot{nps II Foundaflon Framiny Roollny Rouph Plbp. Rouph Htp. Insul. Fireplace FMaI Hty. FinN Plby. 81dy. FMN Cert. Occ. Deek Fty. ack Frmy. Well Pr. Dhp. CITY OF EAGAN f' 8244 3793 Pilof Kwob Rood Eeoan, MN 35122 ~ • PHONE: 454-8100 BUILDING PERMIT Receipt # Te be wed for SF DW .AR Est. Value $60.000 Dcte _Ttt1 v 1~ , 19 ~ 3- $Ite Address S56 Sudberrv Lana Erect R Occupancy F-3 Lot 9.__ Block 2_ Ssc/Sub. Shef f+pl d Alter p Zoninp u-1 pamel # Repoir p Flre Zone '+1~L Enlo?fle 0 TYpe of Const. V W Name - Toaenh ?f .~ft 11 er Const.. InC. Move C] # Stories Z Address 18133 Codar Ave So Der?+ollsh ? Length.43 ~ G Phone- 454-4753 Grode p Depth48-Sq. Ft. °C Nome - - Q•+*+p.Z Apororals Fees ^ Zo . uu /lddress Assessment Permit 11 nn -n 0¢ ~ Ci p~~ Water 8 Sew. Surchorpe 3 t~ Police Plan check 156 Sn 9W NOf"° Firo SAC STS 0f1 u~ Addreu Enp. Water Conn. 450 00_ ~ W Cj phone Plonner Woter Meter 60,00 Countil Road Unit 250. 00 I here6y acknowledge that I how reed this opplicntion ond stote that Bldp. Off. the informotion is correct and agree to comply with oll applicable ^PC Totol 31784.50 State of Minnesota Statutes ond City of Eaflon Ordinnnces. Slflnoture of Permittea A Building Permit Is issued to: JOSeph M. P'1121BX COA6L ZAC . pn the expross tondiflon thrn all work shall be done in accordnnte with otl opplicoble State..of Minnesota Stotutes ond City of Eeqan Ordinonces. Buildlrg Offlciot ~ - • •dsla •Ja _ .am.S . nwin :uolleoo-1 eq!r-wea ~unn ' MuNI 3VAH loulA 'd4la 121AW uoliQinsul OVAH 4dnod M rbo 15qia 4Bnod uolppuno j `2f.L tBUllooj Jayip P-dul eleQ uol3oedtul T..oO•Pwa ,am" •"a u•~+? 0.%1 vo J.). . -)W ) bupwnid •fl q JepIoH •oN 4iwud ysiW JaPIoH 3!L+JOd 'oN tlwHd ~ +~a? r +¢N•>;~~~ 1'aCT.'. c .'~r: C°c~"~Cj~~.v-•^,y`f r: .,'t .R':._,S;n ~4y ~"c_...- .c^..-~:`~iL'.~`~i ~~~'~1 ; b~ S t.? - - - - - - ~ ~ ~ (grxtiftra#t uf ("Orrupanry r Citp of eagan h' ' ~ ~p}~ttr#mpn# ~f ~~ti~~ing ~Jn~~rprlimt ~ ~ . . Tbu Certi catt isrucd ~tn4nt to tbt rc9xiremtntt of Section 306 of t!u Uniform Buildin i?~ ,a 'r. ~ ~ 8 r,,& j?;1 Code certiMng that at tix time of iuuaiur tbes structu?r wai rn compliance with thc vareoH.r `Vordinanccs of the City rrgulating buildrng conrtructios or ulr. For the fallowing: SF DWG/GAR 8244 I3ae QuiBotim Blda. Permit No. k o-PL-7 lYveR3-TYwcan. V_Fi, za,. NA zonienuu;n Rl Joseph M. Miller „u"8133 Cedar Ave. So., Farmin' B„oding ,~856 Sudberr Lane ~,,,~ot 9,Block 2, Sheffield By: ~l~Ll~- ~ September 29, 1983 eWwmg omw o.t.: ~ •,i IQT IN A LONi?ICUW1 rLAC[ ~ y. ` i_~=~ - _ ~..a:~..~;~z- -•-:,:.aa~==.a-•-' _.L r~ r,ar~,g,y~~+~i , . b - - ~ :~4?~.~ A ~r~.51~ A ~ ~ _ . ~.~'prf+~xl''~"~b~' il • a . tib6• , .°AN" j-~ ~ ~-"y'~'' ~ ` .4~~` ~u. ~ ~av M ~+.6.0.~y~. ~ ~ ~~y ~ - 4Nt i Receipt MECHANICAL PERMIT Permit No, CITY OF EAGAN Fee FiII in numbered spaces S/C 'Type or Prrni /egib/y - Tot - - 1. Date 2. Installation Cost 3. Job Address Lo t! Blk. - Tract 4, Owner 5. Contractor Phone 6. Address 7. City State Zip - 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New El Add O Alter O Repair ? 10. Describe Fuel Type 11. No. Equinment STU - M. Ea. No. Eauinment 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 oomply 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 OF EAGAN 454-8100 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 ' Lot_ f' Bik. Tract,a;' u i , 4. Owner v 5. Contractor t Phone 6. Address ~ 7. City State Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New ~ Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray - Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,6100 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DA7E 19 wecsivrn RROM AMDUNT $ I d DOI.LARS oo ? CASH ? GHECK iOR FUNG COOE AlAOUNT Thank.You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition SHEFFIELD ADDN Lot 9 Rlk 2 Parcel 10-67600-090-02 Owner Street 856 SUDBERRY LANE State EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1981 2$.68 1.4 20 STREET RESTOR. t)l 1984 178.09 17.81 10 178.09 C008519 9-19-83 GRADING 591 1981 91.10 6.07 1 72.89 A012980 10-13-83 Sewer Lateral 7 1981 152.98 10.20 1 122.41 'f " SAN SEW TRUNK 1981 63.30 .422 15 50.64 1t 1t -sig SEWER LATERAL 181 6. O 6.43 1 82.04 of of Sewer Lateral fog/ 1982 65.06 4.34 1 56,40 " " WATERMAIN 1981 128.o8 8.54 15 102.49 It * WATERLATERAL (lq 2. 1952 45.16 3.21 1 41.74 „ 91 WATER AR EA Q 1981 63 • 3O 4.22 15 50,64 ~ Pwerline 1982 15 STORM SEW TRK 1985 456 . 09 91.22 5 ~SG • o 0 .3 21, STORM SEW LAT j)TS!i1,3$@ 1984 91.75 9.18 10 91.75 C008519 9-19-83 s 1985 2609.03 521.81 5 a& D •03 mo 3 0 ~/ZG/dr CURB 8i GUTTER SIDEWALK STREET LIGHT Street 8823 1985 1941.64 388.33 5 00 `l~ o E LB WATER CONN. 450.00 " " 13UILDING PER. 8244 SAC PARK t ~ CITY OF EAGAN No - 3830 Pilot Knoh Road, P.O. Box 21-799, Eagan, MN 55127 1 0 2 9 4 PHONE: 454-8100 BUILDING PERMIT R«elDt Te M wed !or DECK Est. Volue $750 pOfe_ MAY 30 ~q 85 SiteAddren $56 SUDBERRY LN Erect Ct Ocn,penev Lot 9 BI«k 2 S?c/Sub. SHEFFIELD Remodel ? Zoning Pepair ? Type of Conrt. Pereel No. Entarge ? No. Stories RICHARD BIERMAIER Move ? Langth ~ Name Demolish ? Depth = Address SAME Grede ? Sp. Ft. ~ crcy Phone 452-5049 inatau ? 5~E Apoemak Fus Name z Assessment pe,,,,;r $14.50 o~ Addreas V~ CitY Phone Water 3 Sew. SurcYwW .50 Polfca Plan Review GW Name Firo SAC W 3 z Address Erp. Wnter Conn. ~ W Citv Phone Plonnar Woter Meter Council Rond Unil 1 hereby xknowladga tlwt 1 hava reod this application ond smre that Bldg. Off. , the inlormotion is wrred and agre~_fo comply wirh oll aDVlicable APC Total~ Srofe of Minnesota Srotu(8/1~and,~~Wqf/E~oga,ryOrdinances. Var. Dnte SipnMuro W A Bullding Permit is issued ifi: - RICkARD B on Me exprea rnrdition thot oll work sholl 6e dona in atmrdanoe wlth all appli It Sjme of inne ta 5 es and Ciry of Eapon Ordinoncea Bufldinp Ofllelol CITY OF EAGAN 3830 Pilof Knob Road, P.O. Box 21-199, Eagan, MN 55121 N° 11940 ~ PHONE:454-8100 BUIL''OING PERMIT aeceiptp 1 To be used Tor BASEMENT EsL Value $1 ,00 0 Date mAY 13 ~y 86 SiteAddress 856 SUDBERRY LN Ered El Occupancy Lot 9 elack 2 Sec/Sub. SHEFFIELD Remodel ? Zoning Parcel No. Repair ? Type of Const. Addition ? No. Stories a Name RICHARD BIZXMiN Move ? Length i - emolish ? Depth o Address S~E Int Impr. ? Sq. Ft Ciry phone 452-5049 Install ? o Name SAME ApProvala Fees $ Q Address ASSe55ment Pefmit $62.5-0 ~ City Phone Water & Sew. Surcharge 3'50 ~ a Police Plan Review W w Name Fire SAC i ~ i Address Eng. Water Conn. a w Ciry Phone Planner Water Meter Council Road Unit Iherebyacknowledgethatlhaveieadthisapplicationandstatethatthe gldg.Off. 5/13/8 Tr. PI. information is correct and agree to comply with ali applicable State of Minnesota Statutes and Ciry of Eagan Ortlinances. ~ APC Parks Signature of Permitte ~ Var. Date Copies$66.00 Total RICHARD BIERMAN A Building Permit is iss d to: on the express condition that all work shall be done'n accordance with ~I licab State of Minne ota iut~ and Ciry of Eagan Ordinances. Building Official ~ CITY OF EAGAN + v5 t F 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np 127c PHONE: 454-8100 BUILDING PERMIT Receipt# 07~2 v 7obeusedtor FIREPLACE Estvaiue $2r000 oate OCTOBER 14 1986 SiteAddress $56 SUDBERRY LN Erect Occupancy Loc 9 siock 2 secisub. SHEFFIELD Remodel ? zoning Parcel No. Repair ? Type of Const. Addition ? No. Stories W Name RICHARD BIERMAIER Pnove ? Length Demalish ? Depth a Address S~'~ME Int. Impr. ? Sq. Ft City Phone 452-5049 instan ? o Name SAME Approvals Feas $Q nddress Assessment Permit $32.50 ~ City phone Water & Sew. Surcharge 1. 00 ~ Police Plan Review w W Name I ~ Fire SAC a~ Address Eng. Water Conn. w a City Phone Planner Water Meter Council Road Unit Ihere6yacknowledgethatlhavereadthisapplicationandstatethatthe gldg.off. 9/30/86 Tr.PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and City oi Eagan Ordinances. APC Parks Var. Date Copies SignatureotPermittee ~ Total $33.50 A Building Permit is issued to: RICHARD BIERMAIER on the express condition that all work shal I be done in accordance with all applic a t of Min ta~8tak~tes end2 City~ gan Ordinances. Building Official- tl- : ,4 ~ This request void 1 nths from o o ('r68314 Rxquest Date Fire No. RouBh-- 'I spec[ion A¢ Rea eA? 0 Ready Nuw~Will Notify Insoec- < 1 - ! ?No tor When Neatly ~LicensCd EleMrical Contractor I hereby request insoection ot ebove Owner electrical work installed at: SveeYAtldress. Boz or floute No. Ciry sdi.yb rr"y ~:1 S ~--.•C~v rc-r~C ecuon o. TownshiD Name o No. RanBe o. County OccupantlPRINTI Phone No. ~ i o- ~ C. ~ L{ 4 tj 4 . Sir Power Sup0lior Address Elecvical Con[ractor (Company Namel Contractor's License No. MailinB Address ICOnVac[or or Owner MakinB Insteilationl ' s- la .S +.J ..r rC iv. Ea ~ d'l.7J Auffiorized SignaWre ICOnhactor/Owner MakinO Installationl Phone Number Iq1 .,sJ yti J -J'o 'c 9 MINNESOTA STATE BOAFlD OF ELECTFICITY THIS INSPECTION PEQUEST WILI NOT GriB9s-Mitlway Bldg. - Poom N•197 BE ACCEPTED BY THE STATE BOAftD UNLESS PNOPEN INSPECTION FEE IS 1821 UniversitY Ave., Si. Vaul. MN 66104 Phone 1612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION /ea-ooooi:o See instructiCns for completin9 lhis form on back ot Yellow capn 73 lG p ~"`X" 8eiow Work Covered by This Request . 'wdtl R.P. Tyoe of 8uiltling APPliancas Wiretl Eauiumenl WireA Home Range Temporary Service Duplex Water Heater Lighciny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other _Peufv _ [her (Specity) [hc,r SVec y t er Other - ompute Inspectron Fee Below M Fee Service EnVanceSize C Fee Feetlers/Subfeeders # Fee Circoi~s Oto200Am s 0 to30Am s 0 to30Am s 4gnAbove 200 qmps31 to 100 Amps 31 to 100 q y ming Paol Above 100_Am s Abov100_/amps siormers Irrigation Booms Pdrtial'Othor Fee s Speciallnspection Cl/, Rem3rks vw TOTA ~EE^ nouen-in i, me eieci.~~ei InsDector, ~ereby certify that the abova Final Da[e ' spaction hes been f de. Thlarepuestwidl8montlreirom ~ " w.. This rtl4ues1 void/~//S/ry[Y 44 ~nNs Irom u~ O a E 13951-1,9 4 flequest I]ate 'rk No. flouph-in Insuer,tion fl q ireA, I DAeatly Nuw Q Will No1lfy InsPec- C Ves ?No mr Whrn ReadY ~ Licen~ed Electrical ConVactor I hereby reQUest inspection of above Owner eleclricel work iristelled at: Sneec Addrass, dox or Poute No. - Ciry . ecuon o. Townshi0 ame or N. ange o. Cowrty A Occupxnt(PRINT) Phone No. VL ; u- i, Power Supolier Aadress ~ ~,y Elecfrical Cnnvact r ICOmpany Namel Conhur,~or's Lir,ense No. Mailine Address (ConVactor or Ownar Makine Instailatlon) / ' j ~ Jr` ~J J ~ .~h,• ' ~ Authorized Signawre ICOn[ractnr/Owner akine Insullationl Phone Number , ) , / " f ' f 0 Cf THIS INSPECTION PEQUES WILL NOT MINNESOTq STATE BOAHD OF EIECTflICITY Griees-MidweY Bldg. - Room N-191 BE ACGEVTED BV THE STATE BOAPD 1821 Univarsitv Ave.. St Paul, MN 55104 C-1 fa _J `}~LLNLESS PqOPEH INSPECTION FEE IS nn- lFl9i aa9-nROO ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION y EB/-0/0Y0~0'1/-0r6~ Ii, See instructlpns for comolatin9 this form on back ol yellow coDN E~ 13 9 5 1" ~ "X" Below Work Covered by This Request AdJ Ne0_ Type ot Builtlin0 AOPlinocae Wi,etl Equiyment Wired Home Range Temporary Service Duple.x Water Heater Lightiny Fixtures Apt. Building Dryer EleCtriC Heahn Commercial Bltly. Fumace Silu Unlonder industrial BIAg. Air Conditioner Buik Milk Tenk Farm om«, oeci v 001e. ~sne,lvl t nr ueciry tner O1hi:,r ompute Inspection Fee Below p Fee ServiceEntmncaSize R Fae Fexders/Subfexders N Ferz Clrcults 0 ro 200 Am s 0 to 30 Am s 0 tn 30 {~m s Above 0 qm>s 31 to 100 Amps 31 to 100 Am s Swimmin20g Pool Above 100-Am s Above 100_Am s Transtormers Irrigation Buoms Pdrti e Signs SpecialinspeCtion S T TAL ~E AerrW.ks O floueh-i n Da te I, NW. Ele ' al j' Inspectoq hereey cer(ily lhnt the above Final r \ A77 inspeclion has baen mede. TMa reQuest voie 18 montln trom ,nis reauast voia g-t 18 months lram W078770 ReAA uest Date Fire No. FouBh-in Insoemion Insoer N// -T~j Raquired? ~ReadV Nuw~}1M*IT7Votify, ~No 1or When Reatly jj~Wcensed ElecVical ConVactor 1 hereby request inspaction oi ebave ? Owner electricel work inalalled at: 4 Streec Adtlress, Box or Route Np. CitY 75'j~l S'UC;~ena La~?~~ ~'"(y E'iJ ecunn o. Township Namo or No. RanBe o. Cour1ty ~f10 Q OccuuuntlPPINTI Phone No. azzr Power $uppli/e~r / AddresS` / O/~ O rtC L-Ic°Cpi /•~!s Tpq Elactrical Comracmr ICompany Namel Contractor's License No. r ~ .,::5/<<~,,~ o ailinB !lddress ICOnvector or Ownar MakinB lnstailationl .2eo/ , Authorizetl Signa[ure lCon l tor O ner Makine Itis[allatio 1 Phone Number ~-ss76 MINNESOTq STqTE BOARD OF ELECTqICITY THIS INSPECTION 0.EQl1EST WILL NOT Griggs-Midwey Bltle. - Xoom N•791 BE ACCEPTED BV THE STATE BOAND 7821 Universi[y Ava., St. Peul, MN 66104 VNLE55 PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION hft% Ee•ooooi.oa ' See instructions+for camDleting this form on back of vellow copy. Beloo Wovk G' 2rceld by This Request 3--7 L4 C) AOd Rep. Type of Buildine Applinnces Wired Equiumenl Wirer] Home, Range Temporary Service Duplex Water Heater htin Fixtures . Apt. Building Dryer Electric Heatin Commercial Bldg. urnace Silo Unloader Industrial 81Ag. Air Conditioner Bulk Milk Tank Farmen«r Oeci Y ther (Specify) t ar 1 uocify ther Other Compute lnspection Fee Below N Pee ServiceEnvanceSize p Fee Feetlere/5ubteeders # Fea Circuits / IO. 0 to 200 qm s 0 to 30 Am s ' 0 to 30 Am Ahove 200 qmpy 37 to 100 qinps 31 to 100 Am s Swimmin Pool Above 100_Amps Above 100_Am 5 Transformers Irrigation 8ooms . SO Partial.'Other Fee Signs Special Inspection aamarks $ 947. Oa i0 FEf, oC .J ' Rougn-in 3tPj I.fne Eiecfiicnl Inspector, herehy certify thet the nbove Final Date~ soection has baen mede. This reouest vo1E 18 months irom • CITY OF EAGAN 7795 Pilot Kno6 Raod Engan, MN 65111 lr ~7? 8244 VHONE: 454-8I00 BUILDING PERMIT Receipt # J~~.~I Te ba used fer SF DWG/GAR Est,yalue $60>000 Date July 13 1 y 83 Site Address $56 Sudberry Lane R-3 Erect X,g Occupcnq Lot 9 elxk 2 Sec/Sub. Sheffield Alter ? Zoninq R-1 Parcal # Repulr ? Fire Zone NA Enlorge ? Tyce of Const. V ~ Name Joseph M. Miller Const., Inc. Move ? * Srories W Z Address-18133 Cedar Ave. So. Demolish ? Length 43 ~ ci Farmington phom 454-4753 Grade ? Depth 4$ Sq. Ft.- p NamB Owner AOOroralf Fees ~u Addren Assessmenr permir 313.00 Woter 8 Sew. Surchorge 30.00 ~ Q Phone Police Plan check 156.50 ~Z NO^1° Fire SAC 525.00 Addrefs Enp. Water Conn. 4 So - n(L <W Ci phone Plenner WaterMeter 60.OD Council Rood Unit 250.00 I hereby ocknowledge that I have read this npplicotion ond state that gldg. Off. the informotion is correct ond ogree to wmply with all applicoble APC Total $178~F. Stale of Minnesota Statutes ond City of Eogan Ordinances. Signoturo of Permitt ee A Bullding Permil Is issued fo: 1oSeph M. M111eT Const., Inc. on tha express cordiHon thm all work shall be done in acwrdance with a a licabl 5 At Minneso Stotutes ond City of EuOan Ordinances. Buildlnp Offlciol CITY G~~b pran ~e~Ons i ; BtJIIa1t~C P'EFNQT S~PPI00a . I "t O! ~ ~CR1M1.atAaryl. 1b He Osed Far vaiustion ~ CaEa -~g'~~~ , U Site Acl9ress: ,S(o Z~-''~P a'!'IC8 88 Ct~.X Lot .9_ B1odk Alter ~ oomVency ` Paroel t: tire ZOne lOepnlr zylPs of • Owefer: •~J osD ~siT Deth City/ZiP Code: lfia~e iaa+eit oor?tractru' mter/sww plamn Addres N a s: Poifoe a C CiiY/ZiP Oode: 8A qgE~pc • 6 z~ ~i' Ifiam t: Plarner npad pitit Council. p,rct,./Viv.: s g= npc Adarese: r Ciiy/Zip cot3e: - - . . Phone , . ' . ' ~ ' c .erti~f*~cate for: Jo'e Mi~ler Conatruction 18133 Cedar Avenue South Y Farmington, Minnesota 55'?2DELMAR H. SCHWANZ LP.NDSURVEVO(i5 163('. Ryiftantl Vn4N L+ws of Tba StaU ot Minnasota 2978 - 146TX STREET W. - BO% M ROBEMOUNT, MINNESOTA 56088 PHONE 612 4211769 SURV eeYOR'SCERTIFICATE `6l1,8. 28 ~ 115..- 40 1~~-~ ~ j IL•~ •n ~ jpl a ~ q A~- ~ ~ ~ oo + _ ~ \ v Q~1 ry ~ '3jS \ p . . \ sa ~ 03A ' ; s , 1 fp- Ia ~ ( .460 ,~03.0 __Proposed garage Ploor elevation 30 2 9D3.¢ Proposed top of block elevation ~ ~ 90,2 Proposed basement floor elevation kzl m Denotes iron pipe monument 0 Denotes setback monument ~o IbD,z Denotee existing elevation 9oa.Denotes proposed finish grade elevation ~ Denotes direction of aurface drainage I hereby certify that bhis is a true and correct representation of a survey of the boundaries of I,ot 9, Block 2, SHEFFIELD as on file and of record in the oPfice of the Connty Recorder, Dakota County, Minnesota. Alao ehowing the proposed location of a house not ataked thereon. As surveyed;.by,cne`-We #„q}ay.nt J,d4Yl.`1393. CERTIFICATE REYISSD 6-21-83 (House plan fiipPed): lYlinimum baaement elevation 896,3 ? f i . ~5'~ ,~.!r ir~ I `;~f ,~,'..r MINNESOTA REGISTATION N0.88?5 f~~~ i , r ~ ~ . 1985 BUILDING PERFIIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH TNE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET 0 ENERGY CALCULATIONS To Be Used For: Valuation: Date: Site Address: ~ SG J 4 aI d Y V r., iL N. OFFICE l1SE ONLY Lot: ~ Block ~ Sect/Sub E' h N Erect ~ Occupancy Remodel Zoning Parcel II Repair Type of Const ~ Enlarge U of Stories Owner te L w i~ t'r + µ G 0/ 6. Move _ Length Demolish Depth Address ~ r y Grade Sq Ft City/Zip Cade ~ A- . A t.j v Phone APPROYALS Contractor SQ L,./~' Assessments _ Permit S) Water/Sewer Surcharge Address Police Plan Review Fire SAC City/Zip Code Engr Water-Conn Planner lda~er Meter Phone Council Road Unit Bldg Off Parks Arch./Engr. APC Treatment P1 Varianee Address TOTAL City/Zip Code Phone # V6 yt \ 198bI,B0ILDING PEAMIT APPLICATION - CITY OF EAG9N ~ NOTE: 9Li. CANTRACfOHS MOST BE LICENSED NITH THE CYTY OF EAGAN 3INGLE F6FIILY DWELLIBGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DTdELLINGS - RESIDENTIAL RENTAL ONIT3 FOR SALS ONITS INCLUDE 2 SETS OF PLANS, CERTIFICATB OF SIIRVEY - CHECK iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMAIERCIAI: INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATTONS, $2,000 LANDSCAPE BOND ZaJ U'4- g* 4~ v ('j `r To Be Used For: Valuationfoi~ Date: o Site Address d S(s OFFICE D56 ONLY Lot ~ Bloek Erect _ Oceupancy ~-3 Remodel Zoning Parcel/Sub Repair _ Type of Const -JrA/ ~ Addition - # of Stories Owner ~ Move Length Demolish Depth Address Int.Impr. --t~ Sq Ft Install City/Zip Code Phone LG J^.1 - J"v Y q 9PPROV9LS FSFS Contractor Assessments Permit Water/Sewer Sureharge 5.45~- Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner ~~Water Meter Phone CouncilRoad Unit Bldg Off Z Treatment P1 Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phane # NOTE: ADDHESSES FDR CORNfiB LOTS - CONTR9CTOR/HOtiEOiiNER MQST DESIGNATE AHICH ADDRESS IS D&SIRED. NO CHANGES HILL BE ALLOASD ONC6 BUILDING PERMIT IS ISSOED. 3830 P•~qrffivv,b R~O ~ r g~n/, /`1p~ 551a3 1986 BOILDING PEmIIT APPLICATION - CITY OF E9GAN liOTE: ALL CONTRACTORS MOST BB LYCENSED tiITH THE CITY OF EAG9N 3INGLE FAI4LY DNELLINGS INGGUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUR4EY, 1 SET OF ENERGY CALCULATIONS MOLTIPLS DiIELLINGS - RSSIDSNTI9L RENTAL p[JITS FOE SALB QNITS INCLUDE 2 SETS OF PLANS, CSRTIFICATE OF StIHVEY - CHECK iiITH BLDG. DEPT., 1 SET OF ENERGY CALCUI.ATIONS COFAfERCIAC INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, ~ cJL T"f19~ O~+,{~ t SET OF SPECIFICATIONS AND 1 SET OF Eni o G~"! 7a E~iGY CHi.CULfiTIGNS, ye~ T ,v $2,000 LANDSCAPE BOND p~~~~reP~~ce aN iST~N`'J- ,~6Tf.V To Be Used For:~() G~~/q~`/UC"Valuation: 006 Q Date: .~/~T o~s 8G Site Address 854 sOd6erly LA/ CE OSE ONLY Lot / Block ~ Erect ~ Oecupancy ~ Remodel Zoning ~17 Pareel/Sub ~ Repair ~ Type of Const Y Addition # of Stories Owner A iC hAqQ R. 4v%MA i C dj Move _ Length ) Demolish Depth Address Q U54 Jr Ud b eel%X v?/ Int.Impr. _ Sq Ft City/ZiP Code ~ 519 N M Jy/ Install _ Phone ~S pZ 'S~ y9 APP80VALS FEES Contractor ti.Ot~p' ~ Assessments Permit 3~ . SO Water/Sewer Surcharge Addrag9 Pnli.rP Pian. RQVto„ Fire ~ SAC City/Zip Code'4'r~j „ y Engr Water Conn T Planner Water Meter Phone Council Road Unit Bldg Off - ~I- Treatment P1 Areh./Engr. APC Parks Varianee Copies Address YOTAI. City/Zip Code Phone IF AOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOMEOSiNER MOST DESIGNATE AHZCH ADDRESS IS DESIEED. NO CHANGSS iIILL BS ALLOiIED ONCS BQILDING PHRMIT I3 ISSIIED. CITY USE ONLY LOT ~ BL pu RECEIPT#: SUBD. , RECEIPT DATE: ~9/g7 1999 MECHANICAL PEtMIT (RESIDENZ'IAL) CITY OF $AfiAN 3930 PILOT KNOB RD EAHf1ii Mti 55122 ~ I~ 9 cesu as~-as~s Date• Complete this section on if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 30.00 ADDITION:IL 50 M B'I'U 6.00 • Gas outlets (minimum of one required @$3.00 ea.) . State Surcharge: .50 • TOTAL: Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. _ New ? Replacement _ Repair _ Other ~ Furnace _ Air conditioning _ Air exchanger, i.e. Vanee system, etc. _ Other Renritrder: Ca11681-467Sforinspections. $30.00 Sta;e Surcharge: .50 Total: $30.50 SITEADDRESS: ONV':v'ER NAME: t/Q(.LI I7 (;Yl PHONE &JI - I'`STALLER NA?vlE-t'yY LLV I J-SLV~ + PHONE (.oJ ~-7-6 STREETADDRESS: ~SU KPYIh~~CC /,r CITY: STATE: IAO ZIP: 1~6 ~ 2 Z SIGNATURE OF PERMI7"fEE )S.FORS15 BLD;MECH PER,YifT (RES) - 1999 CITY USE ONLY L BL _ RECEfPT#: SUBD. RECEIPT DATE: APPROVED BY: , INSPECTOR 1999 MECtiA1VICAL PERMIT (COMMEftCI14L) Cfl1' OF £AfiAN 3930 PILOT KN08 RD £i4&AN, b1N 55122 (651)6$1-4695 Please complete for: all commercial/industrial buildings multi-tamily buildings when separate permits are g required for each dwelling unit TE: _ CGN-['kAI.T YKICE: WORK TYPE; _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x 1% PROCESSED PIRING PERMIT FEE $TATE SURCHARGE ($.50 per $1,000 of pemut fee due on all perndts.) TOTAL SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (IMPROVEMENTS ONLl): INSTALLER: ADDRESS: PHONE CITY: STATE: ZIP: SIGNATURE OF PERMITTEE ~ DD33 ~.,SZ~ 2007 RESIDENTIAL MECHANICAL rExMiT APrLicATioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Pleaze comple[e for: single family dwellings &[ownhomes/condos when pemvts are required for each unit vace Site Address di-I Unit # i Property Ownee D'r ~ V\ Telephone # ( 6i j_ v Contractor h q Street Address City `a e-_e State M ?U Zip 55 Q. Telephone # 4'1 O Bond Expires: The Applicaut is _ Owner oo~ontractor _ Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 ~ fumace _Additionel ~Replacement ~ New air exchanger ~ air conditioner heat pump other State Surcharge $ .50 Total $~O • S C7 I hereby apply for a Residenrial Mechanical Pemut and acknowledge that the information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pemu[, but only an application for a pemvt, and work is not to start without a pemut;-Ihatlhe work will be in accordance with the appraveH pla n the case of wo k /which requires a review and approval of plans. -hi ~j(-G p icant's Printed Name Applicant's Signature 2007 COMMERCIAL MECHANICAL PERMiT arpLicaTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaUindushial buildings multi-famil buildin s when se arate emuts aze noC re uired for each dwellin unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractnr Street Address City State Zip Telephone # ( ) Bond Espires: The Applicant is _ Owner _ Contractor _ Other Work Type New Conshuction _Interior Improveinent _Install Piping _ Processed _Gas Exterior HVAC Unit** **HVAC units must be screened Under/Above ground Tank Install Remove When mstalling/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector Nature of Work: P¢I'[Ilff F¢eS $70.50 Underground tank ins[allationhemoval - $50.50 Miniinum (includes State Surcharge) . or ContractValue $ x 1% _ $ PemutFee $ State Surcharge To catculate surcharge If Pemti[ Fee is less than $1,000, suroharge is 50 cents. If Pertttif Fee is> $1,000, surchazge increases by $.SO for each $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ Total Fee I hereby aclrnowledge that tlus information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an applicarion for a pernut, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work wluch requires a review and approval of plans. ApplicanPs Printed Name ApplicanYs Signature Approved By: , Inspector Date: Required Inspecrions _ U.G. _ R.I. - Air Test _ Gas Service Test - Infloor Heat _ Final PERMIT Permit Type: Building City of Eagan Permit Number: EA105419 Date Issued: 07/13/2012 Permit Category: ePermit Site Address: 856 Sudberry Lane Lot: 9 Block: 2 Addition: Sheffield PID: 10-67600-02-090 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Replace Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Chelsea Laughlin Comments: 2211 11th Ave E, Ste #130 North St. Paul, MN 55109 651-770-9011 BL - Base Fee $500 $40.00 0801.4085 Fee Summary: Surcharge - Based on Valuation $500 $0.50 9001.2195 Valuation: 500.00 Total: $40.50 Contractor: Owner: - Applicant - Window World AKA Probuilt America Darrell R Walbon 2211 11th Ave E, #130 856 Sudberry Lane N St. Paul MN 55109 Eagan MN 55123 (651) 770-5570 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink F -For--- Office-- Use ~ I 1 / I 11• j Permit Ila City of EaEdfl I as Permit Fee: / 05 3830 Pilot Knob Road j g I Eagan MN 55122 I Date Received: l Phone: (651) 675-5675 I ~1~ I Fax: (651) 675-5694 1 Staff: l.4l I j 2 13 RESIDENTIAL BUILDING PERMIT APPLICATION Date: V Site Address: Unit Name: Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner nn Contractor Type of Work Description of work: a Construction Cost: Multi-Family Building: (Yes /No Company: Contact: Contractor Address: ity: 7-D 6) f State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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.oro 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, an 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 royal of ns. Exterior work authorized by a building permit issued in accordance with a MVicantV's Building Code must be completed within 180 day e rmit issuanc . Z~~ x App c 's Printed Name ignature P age 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA163007 Date Issued:08/11/2020 Permit Category:ePermit Site Address: 856 Sudberry Lane Lot:9 Block: 2 Addition: Sheffield PID:10-67600-02-090 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 - Vernon D Cook 856 Sudberry Lane Eagan MN 55123 (515) 229-7864 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature