875 Sudberry Lane
CITY OF EAGAN
363.30 Ai:at Knob Road SENER SERyiCE pUMff
P. O. Box 21199
PERMIT NO.: Eagan, MN 55121
Zonlnp: R 1 DATE:
Owner. JOse h Mil ler const o. ~ Unih: 1
/1dd?esx
5ite Address: 875 SudbePr ,
Plumber: '*c(,uire riechane L7 L1 S}i~ffi~lc~
~ M+~N t0 OOl~yr ~y~l~1 }j. 100.00
•'i(
"Mnwe. c
'my eF Eop• Caw+ecNon C}arm: 4 2:i 0C
Aooount Depowr.
Permit Feo: 1(` ~ tl ~ri
gY Su"Cf'Cr'De:
Dcts of Insp,; Mtsc. (harpm
Torol:
DcM Peid:
CITY OF EAGAN
i~`.ot Knob Roed
3E30 1NATER SERVICE PERMIT
P. O. Box 21199 PERMIT NO.: 4`~9 3
Eegan, MN 55~`z1 Di1TE: g--9-Fi3
Zoninp: 1
Owner: 11115ep er on s t°' °f u"in:
Add?en:
sir. AAW?os,: e='I'Y an e e e
p~umber c u re ~tec
Metsr No.: Connection Chorpe: b t~
Slze: AcoouM De
Reader No.: Pcsit:
Permit Fee: 1~.07115 d
~s!me lo oom* wuh &0 Gh of Elv¦ Surcharge: • 5~ k~c3
a''~"°"°"' G 0. (1
M?sc• Choroea: p meter
BY Total: Dote of Insp.: Dote Pofd:
Intp.:
CiTY OF EAGAN $1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDINCs PERMIT Re«ipe #
To be ww fer •~`%CK Est. Volue i 00 Date
SUubL'r~P,Y I, Erect Q Occupancy
SiteAddress 47'
Lot ; Block } 5:..1Sub. . Remodel ? Zoning
Fiepair ? T'ype of Const.
Parcei Nc.
Enlarge ? No. Stories
L,vLL ' LaPp.4 Move ? Length
Na^e Demolish ? Dapth
; Address S~~'~'
Grsde ? Sq. Ft.
~ city Pnone 1•-0692 t i: ) tnstalt ?
Name Z-~?--5t}4:5-- ~ 4,1 Appemral~ Fe~s
Z~ Address Assessment Permit _ - •
s ~
~ City Phone Woter & Sew. Surchorqe
Polica Plan Review,
a
~W Name Fin SAC
~E3 Add?esa Erq. Woter Conn.
~ ~ Z. City Phone Ploruwr Woter AAeter
Council Road Unit
I hereby acknowlsdys that I how read thia appliCOtion ond store tlwt gldg. Of{, la ?Parks
the informotion is correct ond ogree to comply wlth oll opplitoblt
qAC Total
Stote of Minnewto Seotutes and Ciry of Eoqon Ordironces.
^ Var. Date
Sipnoturo of PertmittN 1~,
A Buildinq Permif fs issued to: .~'y" on the express condition fhot
all work shall be dons in acoordonce with oll opplfooble Stote of Minnesoto Stotutes ond City of Eopan O?dinancas.
8uiidinp Offitiol
Permit No, Pemk Holdw 0es Tels Aons 7F
Plumbing
H.V.A.C.
Electrfc
$oftenar
Insptetion Date Insp. Other
Footingt i
Foundation
Framiny
Rooting
Rouqh Plbg.
Rouyh HVAC
Inwlation
Finsl Plbp.
Final HVAC
Final v
CMt/OcC. c
Water Disaibe Loca n:
YYell
Sowar
Pr. Dilt.
CITY OF EAGAN 87 ~2
3795 Pilot Knob Rood Eayan, MN 5512= '
' PHONE: 454-8100
BUILDING PERMIT Receipt
To be wed fer SF DWf7,/GAR Est. Value S60'000 Oote Aur~ust 1 19
Site Address 75 Sudberry Lane 3
Erect Occuponcy
Lot 7 Block 1 Sec/Sub. Shef f ield Aiter p Zoning P - - t
Parcel # 10 67600 070 01 Repoir p Flre Zone NA
Enlorge ? Type of Const. Vrl
iosepti . . r ons . , nc.
W Nome Move p # Stories
Z Address 8133 Cedar Ave. So. Demoiish Length 1}3
3 Farmi ton 454-4753 ?
b C~ nK p}~o~ Grode ? Depth 4Sq. Ft.
~ eI' Approvais Feea
Name
o
o§ U ^ddress Assessment Permit i •
u~ 30'
Cit Phone Woter & Sew. Surcharge p~
Police Plon check0
WW Name Fire SAC 525•00
Address Eny. Woter Conn. 45~~
< W Ci phone Planner Woter Meter
Council Road Unit
I hereby acknowledge thot I hove read this applicotion ond stote thot gldg. Off.
fhe informotion is oorrecr and agree Lo comply with oll opplicable ApC .r~a~ ?
State of Minnesota Stututes and City of Eagon Ordinances.
Signoturc of Permittee
i . uonsr IvC.
I1 Building Permit is issued to: on the express condition thnr
all wark shall be done in acoordancs y~th all eppLicobla State of Minnesota Statutes and City of Eagnn Ordinances.
1`
Building Officiol
p Permit No. Permit Hoider Misc. Permit No. Holder
Plumbfng '~t1t~j"3
H.V.A.C.
weu
Water
Disp. ~
Savuer
Ekctric WO-1$7$ µ~(~.14q.~
Inspection Date Insp. Other
Foatings 3v
Foundation
Framing
Rouph PI6g.
Rough HVAC
*PIb
a ~
Final
sc?ibe Location:
Water De
We11 Sewer
Pr, Disp. .
=~~~.a,,,,, .,,a,.~ . ~
aaa. " '~ir' ~ . ~'i' ~ `q}'ri"~.
~ ;
~ _ (~~~r#ifir~tt.e uf (~9rr~t =r ~
(citp of Cagari
`igrpttrtmpnt of Builbing Jnsppr#imc
Tbis Certi firate iisued pursxant to the rcquirement.r o f Seuion 306 o f the Uniform Building
Codr terti bing that at the timc of isruarut this .urHaurc wat in cmnplrancr with the variou.c
ordinancu o f the City regularing 6uildr'ng connruuiox or usc. For the following:
' ~i .
v30ckmrx.om SF DWG/GAR Bld`.hrmitNo. 8302
uc Zarnslkstnn Rl
O-r+u~r~Yw R3 '1yn~coou~cnaa Vn F;~.za~. NA
o,,.,(B,,,,d,,,, Joseph M. Miller nea..18133 Cedar Ave. So., Farmiri
~y; e~,wa,. 875 Sudberry Lane LoW,iyLot 7,Block 1,Sheffield
by:
suum~ o~ September 9, 1983 `,1~
a
~ ~piT IM ? CO~M~ICYOUt ?LAC[ 1 ~
• iw , ~ - . . • ~~a::a.s~~.~..~: _ r.~,~~y""= . ~~.:~~I.
~ ~a~ ~ ' _ - J~~', y' ' ~ _ , ~ v'•,~$~` ! .
~ 'a.xkWOPr ~ ,
Receipt - " " - MECHANICAL PERMIT Permit No. - '
CITY OF EAGAN . '
Fee
Fill in numbered spaces S/C
Type or Print legibly , _ -
Tot.
1. Date 2.; Installation Cost
3. Job Address tatT:7 Blk. ~ Tract- ` -
•
4. Owner
5. Contractor Phone 6. Address'
7. City - State Zip '
8. Building Type: Residential `D Commercial ? Institutional ?
9. Work Description: New 10 Add 0 Alier ? Repair ?
10. Describe Fuel Type
11. No. Equipment 8TU • M. Ea. No. Equipment CFM
Forced Air Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : - , - for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Rsoaipt PLUMBING PERMIT Permit No_.'- ~
CITY OF EAGAN
i t Fee
` PiU in numbered spaces S/C
Type or Print legibly Tot ~ U
1. Date , 2. Installation Cost
3. Job Address. ~J .c1!~a~.~x•.+-'~ C Lot~Blk. ~ Tract
4. Owner.;AdmoxI L'r li: u_'Z~',} ~
5. Contractor!/ Phone
6. Address
r
7. City State ; Zip,' -
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New ~ Add ? Alter O Repair 11
10. Describe
11, No. Fixtures No. Fixtures
Water Closet Cessponl/Drainfield
Bath tubs Septic Tank
Lavatory Softner
r Shower Well
~ Kitchen Sink
Urinal/Bidet Other ~ ! J
~ Laundry Tray ;
~ r.
/ Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outleu
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 464-6100
CASH RECEIPT
?
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
R6C61V[D , FROM
AMOUNT $ I
4 DOLLARS
~oo
? GASH ? CHECK
ROR
FUNO CODE A/AOUNT
Thank You ~ -
By
White-Payers Copy
Yellow-Posting Copy
; Pink-File CoPY
CITY OF EAGAN Remarks
Addition SHEFFIELD ADDN Lot 7 Bik 1 Parcel 10-67600-070-O1
Owner Street 875 SUDBERRY LANE State EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt DatQ
STREET SURF. 5 1 81 28.68 1.43 20
STREET RESTOR. 211
GRADING 1 81 91.10 6.07 15 7
Sewer Lateral 1981 152.98 10.20 15 122.41 to it
SAN SEW TRUNK 1981 63 • 30 4.22 15 50.64 H ir
SEWER LATERAL 1$1 96.50 6.43 15 82.04 11 tt
Sewer Lateral ql 1982 6.06 4.31+ 1 "
WATERMAIN 5-79 1981 128.08 8.54 15 102.49 A012798 "
• WATER LATERAL (oqZ 1982 48.16 3.21 15 1
WATERAREA !iKO 1981 63•30 4.22 1 ~o
• Powerline 1982 15
STORM 5EW TRK y i9$rj 456.09 91 . 22 Slo. Df e' 00 9,3-2 7 `
STORM SEW LAT DTSiTLB e 1984 91.75 9.18 10 91.75 C008396 9-6-83
~Go y"•o3 C4 0 o93a7 /7-
CUFi6 & GU F?ERSQ'
SIOEWALK
STREET LIGHT
1941.6 388.33 5 61 oL9 3-7-
0
WATER COfVN. 450.00 BUILDING PER. 8302
SAC
PARK
This request void 6t-~ L71 3Q~
18 months from ?~lc C
W078783 3~, so
reffquest Date Fire No. Rouph-in Inspection
Required7 OReady Nowkil ilt Notify InsPec-
-`3 _13 ~w ~No tor When Ready
J;~tSCensed Eiectncai Contractor I herebv repueat inapection of above
? Owner electrical work installed at:
Street Address, Box or Route No. City
ql 'l~ Sci ,w ~ab'L e- ~ 9?1
ection o. ownship ame or o. ange o. Coutity,
Q
Occupant (PRINTI 0 Phor N
o~s-(% v , ; 53
Power Supp i r Address
,QQ ~c /l4n.~:~ 1~0~!
Electrical Co `a or Compan Namel onira tor's License No.
C / < • / ~ ^
MailinA Address (Contractor or Owner Making Instailation)
v~~~~ cun,nsv~r/P /~~ds
Authorized Si t (Contractor Ma g Installation) Phon Number •
MINNESOTA STATE BOARD OF ELEC ITY THIS INSPECTION REQUEST WILL NOT
Griqps-Midwev Bldg. - Room N-191 BE ACCEPTEO BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 University Ave., St. Peul, MN 65104
o,,___ ENCLOSED.
. ~ CITY OF EAGAN N° 101 5 8
3830 Pilot Knob Road, P.O. Box 27-198, Eagan, MN 56121
BUILDING PERMIT PHONE: 4548100 Receipt * _S/
~T
T. M m" f. DECK Est. Value $1,200 Date APRIL 29 , 19 85
SiteAddreu $75 SUDBERP.Y LN E~ ~ oc-Pe^cY
7 1 SREFFIELD ADDN Remodel ? Zoning
Lot 81xk ~/Sub. Repair ? Type W Conet.
Percel No. Enlarge ? No. Storiea
LYLE J ZAPPA Move ? Length
~ Name Oemolish ? Depth
~ Addm9 SAME Grade ? Sq. Ft.
City Phone 452-0692 (R) ioscan ?
224-5095 (W) ApprwaM i"t
~ Name
o~ Addresf Assessment Permit $Z0.50
u~ City Phone WaMr 3 Sew. Surcharya 1.00
t Polica Plan Review
W Name Firo SAC
~W
Addreas Enp. Water Conn.
w W Clty Phone Ptonner WofarMefar
Council Rood Unit
I herc6y ockrwwledqe that I Mw rood this upDlication and stote that Bldg. Off. 4/ 17 /SS Parks
fhe iniwmation is corrcct and ogree to wmply with oll opplicoble A~ Total $21.50
Stata of Minnewro Stotutes and Gty o! Eaqan Ordironces.
Y var. oato
Sipnofurc of Pem+iMae ~ = A Bulldirp Ge,mit Is Issued fo:~ LY& IJI. ZAPPA on tha exprcts caditlon Ihoi
all work sholl be done in oeeordanee with nll imbla Stctt~~o,fY+linne_ $fatutes and Ciy of Eopan Ordirances.
Bufld6+q Officlol
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi.oa
. ' See inetruct iana for complatine thia form on beck oi yellow copV. `u-78783
X" Belaw Work Covered by 7his Request 3$' q0 o
Adtl Hep. Type of 6uiltlfng Appliences Wired Equiument Wired
Home Range Temporary Service
Duplex Water Heater ightiny Fixtures
Apt. 8uilding Dryer Electric Heatin
Commercial 81dg. mace Siio UnloaAer
Industrial Bidg. Air Conditioner Bulk-Milk Tank
FBfm Other pem y C~[her (Snecifyl
~¢r Suea y [ er Other
Compute lnspectron fee Be/ow
q Fee SarviceEntranceSixe ft3l adars/Suhfaedars M Fee Circuits
0 to 200 Am s- o 30 Am s 0 to 30 g Above 200 Ainpsto 100 Ainps 31 to 1Swimming Pool ove 100
_Amps Abave s
TranSiormer5 gation Boorcis ~"C Partial%Signs cia~inspection
fi erryrks $ y~ FEE ~
flouBh-in ?~1e .
~ q I. She ql
/'/~3 Inspector, heraby
certify ehet the above
Finel Dxie `T. inapectian has been
• 14~p/ made.
Thh mnuant voitl 18 monlha iro.
:ti, r~ ~ . w-r - . .
~s- Inalua. artl. o~ plsns, i
• ~ 1 si1e p~n ~+/~i~vati~ i ;
~st or ~x1IDl
Sb se ueea FbL' valaation ~•ne~ Ds6e i`o2-5` d~3
sste naarese: L4 n ~ ~ss aesx
act
yot alndc 0 sec./sub. alter ~OM*WRW
Parael 1c) f o 7(POo p zo c~ ( PAPLir ~ Firs
~~110e!
Ownex: ~J~ i~bM1?~~.~~...+~ r.~~...w~y*~'
Addra8s_ ~
City/Zip oale.
P1r5ne 1: 3- 9 APPPOVAiS
rv " -
~ ...2 l.~ q..;
Oontracear: .
meter/sewsr
A&tress: Polioe Plsn Checlc
SII~ °
aty/zip Code_ Fire wC .
D a'
PhCne i: Planner _ i~t@r )dsier ;
R~e!! UniE
couricii
Axch./Fl?g.: Bldg. Of . 7-a~~~'a ti'~
APC
AAdresss
r
City/Zip Oode ° ~ ~ $ r~ "
T
Phane N:
, , ~ .
CITY OF EAGAN N~ 8302
9795 Pllef Knob Rood Eagan, MN 55142
PHONE: 454-8100
BUILDING PERMIT Receipt # 22S jj
Te M wad fer SF DWG/GAR Est. Volue $60,000 Dote August 1 1983
Site Address $75 SudberTy Lane Erect ,yg Occupancy R-3
Lot7_ BlxkI_ Sec/Sub. Sheffield Alter ? Zoning R-1
parcel # 10 67600 070 Ol Repoir ? Fire Zone NA
Enlorge ? Type of Const. Vn rc Name Joseph M. Miller Const., Inc. MoVe p # Scories
z Address 18133 Cedar Ave. So. Demolish ? Length 43
C; Farmington pE,o,x 454-4753 Grade ? Depth 4$ Sq. Ft.-
p Name OwIler AOVrovala Fees
or' Addreu Assessmenr Permit 313.00
0 .
u~ Cit Phone Water & Sew. Surcharge 30.0
Police Plon check 156.50
Gw Nome Fire SAC 525.00
Address Enp. WaterConn. 450.f1(1
i W Ci Phone Plonner Worer Meter 60.00
7-0
Council Road Unit 250.00
I hereby acknowledge that I have read this opvlication and state that gldg. Off.
fhe inlormation is correct and ogree to comply with all oppllcable $1784.50
State of Minnewta $tatutes and City of Eagon Ordirances. APC Totol
SlgnMure of Permittee
Joseph M. Mil r Const., INc.
A Building Permif Is issued to: on the express conditlon thai
pll work shall 6e done in uctordance w' oll p nnewta Statutes und Ciry of Eapan Ordinances.
Buildirg Offlciol ~
~
860 616 0217
Aug.28. 20081 9:21AMfJ-Schuco USA Production Planning ChtJ('D No.2310lnP• 1-.]67 iT L 1 1 1- IVI • . ' OPTIONAL - ROOF 1GTlNSTAC44flOJY 1MSTRUC710NS
CAUTION: Be sure to check that window frame ts not NOTE: Do not use screum longer than 7 114' as they
sagging prior to roof Installation. Level seat board and may protrude through the head board causing damage
temporarily support If nacessary. Failure to do so may to the interior of the bay or how frame.
make it impossible to adjust once roof is installed
causing miselignment of opersting windows. If necessary, shim between back of roof antl SVucture
wali to maintain proper clearance. Attach roof to
Remwe stretch wrap from unit. Remove screws from structure wall using atlequafe sized fasteners.. Attach
angled roof panels antl ramova panels. 7hls will make tumbuckle system iF required.
unit tighter and allaw for adachment to structure wall
and head board o4 bay vr bow frame. Bottom panel of NOTE: Roof is not designed to be a frame support. A
roof has been pre-drilled to allow all-thread rods to tumbuckle kit or knee breckets must be used for
pass through. Place the roof unit on top af the frame. proper support.
Roof shouid fit flat on frame with 1/8" clearance at Install flberglass insulaGon in roof cavity. Re-install
frame vinyl drip cap to allow for retum of soffit metal. angled roaf panels and fasFen securely in place.
Secure rnof to frame with 1 114° screws (supplied). Install soffd and fascia metal, drip edga, and shingles
per manufacturer's reCOmmendaiions,
OP710NAL - KNEE BR4CKETINSTAlLA770N lNS7RUCT70lVS
Knee brackets may be substituted for tumbuckles, Counter sink below surface and fill all holes with
however substantiai latersl support must be provided. gfazing puriy. Apply two (2) coets of exterior grade
(IE: Brick wsll or wood siding). If exterior wall is vinyl paint. (Brackets are primed only).
siding, siding musf be cut back. If appiicable, foem
insulation should be removed so knee braokets cen be NOTE: Be sure that fsateners used to attach the
attached directly to wood &heattiing. If wood support brackets to the frame are of tiie correet length and do
is not adequate, a double stud should de Inserted In not proWde through the frame seat board damaging
wall under sill at eaCh knee hracket locstlon. Attach the interior.
knce b?ackets to wali using finish head nails or screws.
~
OPTlONAL - TURNBUCKLE KR I NSTALLATIOH INSTRUC710MS
Install frame into opening. Level seat board and IRstall Install wall hooks into wall or roof truss. NOTE: Wall
shims as required. Plumb jambs and install shlms as hooks must be instaltad into 2x for proper strenglh.
required. Using 3° drywall screws, fasten frame into Pre-dNll pilot hole with 9/64° drill bit to elfminate
plaee. Instali double serews at top and bottom of sptltting of 2x.
Jambs to eliminate frame from pulling inward caused
by tensloning of tumbuckles. Atteoh eyehoolcs on tumbuckles to chein on frame.
Atfach oppasite end of eyehooks on tumbuckles to
Cut chain into hvo even pieces. The iwo outermost all wall hooks that ara screwed Into 2x.
thread steel rods will be extendad on frame
approximately 2". Instell end of chain over these iwo ~vel seat board by adjusting tumbuctdes.
rods and Instsll one washer over these two rods. NOTE: Excessive torque on tumbuckles may cau
install 1/4" nuts on rotla to look down chain: top of frame to pro)ect in past house wall.
~r7P-
27
I~~~ 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
~'t~ ~ City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/wndos when permits are required for each unit
Date ~ / l / ~
Site Address ~ ~ ~'~/'c Unit #
PropertyOwner ~ QV1~g~ ~O?1 /~1 ~ Telephone#(bs~ ) ~~S' (
Contractor
Street Addr~DARD HEATING 8 AIR CONDITIONING ~Q, c~~r
7i'f0~E5T KE~ STREET
State ~INNEAPOLIS, MN 5540R.~oon Z~p Telephone )
612-824-265g
Bond Expires:
The Applicant is _ Owner Conhactor _ Other
Add-on or alteratian to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
~ airconditioner _New X Replacement
other
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a p it; that the wor ' in accordance with the
approved an in th case of w ~ch requires a review and approval of pla .
~s(~, ~
Applicant's Printed N e Applicant's Signa ~ f~ i~ ~
S
Ijl JUL 2 2 2005 ~
By - -
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commerciaUindusvial 6uildings
multi-family buildings when separate pertnits ue no[ required for each dwelling unit
Date
Site Street Address Unit #
Tenanf Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Conhactor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work'1'ype
_ New Construction _ Underground Tank _ Install _Remove *'see below
_ fnterior Improvement _ Install Piping _Processed _Gas
Nature of Work:
**When installing/removing underground tank, call ior inspection by Fire Marshal and P/umbing lnspector
Pet'm14 FeeS: 570.50 Underground tank installa[ion/removal
$50.50 Minimum (incluAes Slale Surcharge)
or
Contract Value $ x 1% Permit Fee
• If ep rmit fee is $1,000 or less, add $.50 State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 ep rmit fee $ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permiY, that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicznYs Printed Name Applicant's Signature
Approved By: , Inspector Date:
RESIDENTIAL
, . BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConstNetion ReauiremeMS RemodellRewir Reouirements
• 3 registered site surveys showing sq. ft. o( lot, sq. ft of house; and all roofed areas • 2 copies of plan
(20%mazimumlatcoverageallowed) • 7setofEnergyCalculaUonsforheatedadditions
. • 2 copies of plan showing beam & window s¢es; poured found design, etcJ • 1 site survey for exterior addNons & decks
• 7selotEnergyCalculations • IMicaleifhomeservedbyseplicsystem(oradditions
• 3 copies o( Tree Preservation Plan if lot platted aRer 711/93
• Rim Joist Delaq Opl'wns selection sheet (bldgs with 3 or less unils)
DATE 5/15Joz VALUATION L1`'bqo 0k-)
SITEADDRESS 8715 ~'~~~dbPrr~ Ln.,nP MULTI-FAMILYBLDG _Y _N
TYPE OF WORK ~15~ ~oo-F FIREPLACE(S) _ 0_ 1_ 2
APPUCANT 1 o.c he r1L-a
r
STREETADDRESS yq gnuuQf5f_)Q f?,)Ivi:~ CITY STATE_ZIP
TELEPHONE # LV`'aL1 1ALu\D CELL PHONE # FAX #
PROPERTYOWNERT_`aW+or') t,.~o1'~L~'11Q~ TELEPHONE# q05 q $03
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA NULES 7670 CA"I'LGORY 1 MINN
(J submission type) • Residential Ventllation Category 1 Worksheet Submitted • New rMAt 'arl~h~[ d
• Energy Envelope Calculations Submltted 1 6 2002
Plumbing Contractor: Phone #
Ylumbing systcm includes: Water Softener _ Lawn Sprinkler y
Water Hcater No. of R.I. Baths
No. of Baths
Mechanical Conhactor: Phone #
Mechanical system includes: _ Air Conditioning ree: $70.00
_ Heat Recovery System
Sewer/Water Contractor: Phone #
i hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of App~~cenf
- Y
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg .
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6d. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AIt - SF
? 04 02-plex ? 10 OS-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 ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolitlon (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding 5tucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
_ Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
":er•tif'icate for:
, Joe•:I211er c'onstruction
18133 Cedar Avenue South ~
Farmington, ttinneaota
~
55124
DELMAR H. SCHWANZ ~
LANDSURVEVOR$ (
' RegutereC UnGer Laws ol Tpe Sble Of Mmnefota I
2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55066 PHONE 612 423-1769 I
~,0
6~~o SURVEVOR'S CERTIFICATE .
SCAL':: 1 inch - 31 fcet. ~
I ~ \ \ 9~ ~5 I
~
Proposed gara-e floor clcv, i
Proposed top of block cl--v, ~
i' ~ ~12•~p Propoeed bl3ement ''loor clcv,
1
O Denotes iron pipe mornu>ient ~
Drainage & ~
~ utillty ' p ? Danotes setback monumenY.
~ ease nt i
_ Q 1415,o Denotes existinfr, clev..tlun
Denotea proposed fin9_3h ~
Q's:'o grade elevatiun
M
j~ m I hereb.i certif;i th.t t:-,13
3r.d 4•o^re, t ~E~•...ce.r.t!tin^ i ' ` _
1, £H'F?I':I.^,
Plat thcreof,
,
~ ~ I • \ ~enotes d;,r-~ti~,n ~ur^<_c
m ' - - - f dr31-1'Cc
'
r~! LJ'~° -
A13o sho:•iinG the progoaed lo:~ation of a nnuse not at.~,;ce i'^~r~.
Dated: April 27, 1483
.
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Cities Di _ it~ al Quality Control
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~9 30
EXTERIOR ENVL%LOPE AV£ItAGE "U" COMPUTATION
-
i
,
anrL
PIIONE:
~ i 1?DORF~S ~ I
~ ti!,'tP„h ~ • . .
af; !Ri ' .
I . ' ' li f i~ j~ ,
~e vorking equara footage of each
3
, eQ. ft. x .17 = 24.
' oXPAly~ad, '?I~~,'P~
s4. ft. x .05
t": ~w11 &ru"ebove floor - la9
4~'A1 . wall MSF~M tlYOt}i : r .
. . . . . . . . . .
~ ,,,L • ~ .~3~n
GOD! AXQA........ N•
.....r.. T
:yTD,tal oliding ela~sdqq~c-tires
~~lTOthl Eireplaee wall areia' 17 0
.
'
wall ~l• i' 1 framin9 ares (avOrage 10%) .
!4 i
' !..Totsl zim joist area
i . . . . . . . . . / 3~(Z
; 9,'.•L wall area above floor -
: .
waJ.l area above floor -
.i• wall area above f.loor
h, • .
.
,~~,i J• wall ared abOVO f1001'.........................
4ta1 expose3 foundation area
~ . . . . _
~ q
t ~k. 'abtel fwir.datfon window area
1, ybtal net foundation area apove grade
{ 1,
petoxmins "U" value of each wall segmenr
t'h~•`.! (e,q. windos+, door, each separate wall section)
lZO x •u" .55 ° (olo
i. b. 3g x •55 `
fl1~~61 ~.,x. '4,~ X MVN ~ ~ .d~~ I~ ~.~i i.. . . .
x "Ur
•
~p .
r.1~'-iJ~'.. ~ e• X
f. 14 1 X „ut, .041
-
~
~ g. I_ 3, 0 xsou„ ,oqq ~_~L+
X «U"
, f h. ~
A.4~i~
X ~
Tf itcm H_ is thc same a;.
x "U" ° or less than itrn, Yl, Yo"
havA met the intenC uf
k. _ x%11 _ SUC 6G05 (c) 2.
X „U„ 32,1
- . . ~ Towi
' -
y._. _
~;.IDctorior Envelope Average "U" Computation Page 2 of 4
!
~
Total exposed 'roof/ceilinq area = l~ ~ 8
m. 1bta1 skylight area • .
i.n.. Total roof/ceilinq fxamingarea(avcrayc lOw)... 10?_7
' o. Total not insulated roof/coiling area.......,•.•„_„ q70 -
Determine "U" value for each roof/ceiling seqment
x "Ulo _ m -
. n. ! 08 g "Uqi : P2'1 _ m 2.9
o. °}'10 X "U" OZ3 e 27- 3
4 7bta1 = Z~ Z_
If total.of #4 is the same as, or less L•han q2r yau have met the intent of
88C 6006 (c) 1.
~ Alternate Buildiny Envelope Design_
• 1b utilize the total enYeloga'system method, the values established by tlie sum of
ltema 43 and p4 shall not be greater than the sum of items R1 and N2.
' . . 1. 3't~4 .4 + 2.
3: 2t'1.1$ t d. 76.2 = 2_42.~ _
• ,
.
i ,
1 , • . ~ I 35
pL.A k.t ~ ~l 30
i
.
~ LlruE+4l- FT, SaCpoSED WALL
$~..OGk~':; Zlo-F.38+ZCq + Io= 13b
li-t2c.+316+'uo+-7+c.~ /1q-
~
;:U L L 1111 ? 3s+3 = 14t
- ~
;:uLL 2,4
. 1Z t H:
~kPoSED WA LL A~Q..E.A
X, S a~q
~.~IE.E o ~?4 x S= 5?O
VvLL I: x.
Fu Ll! k $ = -
F, a, _ ~ .
~t M:; 141 ~ ~ = I 41
To-t-A l..
054,Ft, EKPoSED GEiL(uq ~88~ ~,5k~~.5= Id~+B
~ VllDv~15 1~ . ' . ~ `Doo~S ~
zo 38
~13(o Pr+~ i ~ ~ ' Za ~g
i ' 2.44b 3Z
.~?%3co ~ ~ ~ g ~ ?AT Io DRS , A
•
Zo4a i z~
51.._ ~ J (o° 'f4
, tiZO ¦ ~SM~ Uui+S
~
~ . . 1jDqICEILI:tG ' I • ~ .
. . • .
, (;on•;t ~ ~.^tt
, 0. 61 ~
' • Tntcrioc
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~tal
y '
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s .0~3
rM • , 1 t ~ : . . • ` • • J '
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. . . •
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• 0.61
' • ' 1~ Tnterior nir filp
~ gaae flov ~ 2. • '
eatad up • ' s. g • ~ - ~ .
5[1~- ~•61
. ' • , ' 4. gxtorios aii 1". Total 3(p.l S
: , . . . . • .
.
, ~ • " •~ZT . .
15 . . , . '
. . ~ . y • • _ . •
. . • . • .
• . • ~ • w . COA.j?/l?c T/ IT.~ O.61
~ ~•..N,`~~ 1 l. I sid~ filtn
2. .
. • ' 3.
~ ~ . q.
/ Total
cr, ,
0.61
Tnr.~a{r Eilm
1 . 2,
3.
. • ~ jtisoted 4, 0.17
Eeat Elev vp.. S. putside air £ilm
. • . Total
nG. 16'~_ _ ; ~ !il : . • • 0.61
3 ~ 1. neide air m
~ • • ,:::.•i~.t'-~' 0.17
~i.,,.Y,rr.y•°~='~S:!';i..~"•' • S. Wtside a Total
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• , ~ .......{'b1 Total zZ~~Z
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~
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED IiITH THE CZTY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: OECK Valuation: 411900 Date: 7 b~.s
Site Address: 7 5 SL1 'r ~ OFFICE USE ONLY
Lot: ~ Block L Sect/Sub ~ rect X Occupancy
?AF
Remodel Zoning
Parcel !I Repair Type of Const
Enlarge ll of Stories
Owner [,K E S. Z/aPPA Move Length
Demolish Depth
Address S 75 SUO R ERRY 111gME Grade Sq Ft
City/Zip Code FF(GAN . m N 551a21
Phone N y5J,o(o9a c.) 2 aLC-5095 APpR0VAL5
Contractor S EI-F Assessments Permit 7-0 So
Water/Sewer Surcharge
Address Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone Council Road Unit
Bldg Off. a
Arch./Engr. APC Treatment P1
Variance
Address TOTAL
City/Zip Cade
Phone !k
zarPA
~ 97S StiOBERRI' 4qNE' . , - -
EAGANS MK. sSi-a3'
~ . .
. , '
;
,
. , , . ;
s .
, . .
_ - .
, . .
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~ 6O~
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105 [Cl l
2004 RESIDENTIAL BUII.DING PERIVIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWCtlonReauiremenls RemodellReoairReouiremeMs
3 registereA sNe surveys shovring sq. ft M bt sq. ft of house; and all roofed areas 2 copies of plan Ce(YofS, d~y ~ecd 5 ug_~" 61
iZ-
(20°6manimumlolmvewgeallvxW) 1setofEneqyCalculaiionsforheatedadditions
2 copies of pWn shovnng beam 6 vrindow sizes; paured (ound tlesign, etc 1 site survey for addifions & decks T~res"„i~qulr~i~~
isetofEnergyCakuletions Addton-indicateifon-sifesepticsysfem 0t10616 3 copiesMTree Preservalion Plan if bt plaked e%er7/1193
Rim Jasl Defall Options selection sheet (b1d95 with 3 or less unifs Date Z- / Z-1/ Co t uction Cost
Site Address UniUSte #
Description of Wark
Multi-Family Bldg _ Y ~ N Fireplace(s) 2
f/
Property Owner ~ Telephone #
cootreccor
Address, ' ~ City
State ~ Zip iZ~T Telephone #W YO /O a d
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy CAde Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(+1 su6mission type) Submitted Submilted
. Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Ea qC~W.ifb.asimilar plan? _ Y _ N If so, 25% pian review
fee applies. ~ f` m ~ 11 I ~ I
Licensed Plumber Nr ~ ')nn ~ elephone )
I L
Mechanical Contractor lephone )
Sewer/Water ContracTor By elephone # ( )
I hereby apply for a Residential Building Pernut 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 undersfand this is not a pexmit, 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
approva] ofplans.
' ~ '
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 01 of _ plex ? 09 07-plex ? 77 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
0 04 02-plex ? 70 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04plex ? 12 12-plex Plbg_vor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Nbve Building ? 42 Demolish Foundation ? 45 Fire Repair
~33 Alteralion ? 37 Demoiish Building' ? 43 Reroo( O 46 Windows/Doors
Ljp\' 34 Replacement `Oemolifion (Entire Bldg) - Give PCA handout to applicant
V
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) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final
_ Fmming _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insularion Retanvng Wall
Approved By: , Building Inspecror
Base Fee
Surcharge
Plan Review
MGES SAC
Ciry SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 875 Sudberry Lane
Lot: 7 Block: 1 Addition: Sheffield
PID:10- 67600 - 070 -01
Use:
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector,
952- 445- 2840Ashley Orman 410 W Lak e St Minneapolis, MN 55408 612 - 824 -2656 ashley @standardheating.com
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$0.50
$50.00
$50.50
Owner:
Dayton D Wohlman
875 Sudberry Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
Issued By: Signature
Mechanical
EA076874
03/06/2007
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124098
Date Issued:06/23/2014
Permit Category:ePermit
Site Address: 875 Sudberry Lane
Lot:7 Block: 1 Addition: Sheffield
PID:10-67600-01-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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 by law in ALL single family homes .
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dayton D Wohlman
875 Sudberry Lane
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink r
r For Office Use 1 l'ttl::4
Permit#: !-o 0/ z•--
,ti
' '' City of Eaaall . /}... ��t//0.
Permit Fee. �V
3830 Pilot Knob Road 4_ °'._i _-Eagan MN 55122 RECEIVED Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
JAN 1 $ 2017
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
I it ,L C U,.,'
Date:
Site Address -.1 � firti Lel Glalli"\ .'1K/ z*) Unit#
U
Name: rl ' L.M1 V OhIrYY '1 Phone: S..2C15.__3
Resident/
Owner' Address/City/Zip: J �v Xyl '1� � 1�1�.1 2.
J
Applicant is: VOwner Contractor
' Type of Work _,,...,.,,,,__—_— yr__ ..„,„„„._ _ _.„.. ______I
Description of work: p��YY�` l
yp
l ; Construction Cost: eq�C�0 Multi-Family Building: (Yes /No V )
? o Company: X14- Contact:
Contractor
i Address: City:
State: Zip: Phone: Email:
/1-"-L.'" C(- ), Is.-3
! License#: Lead Certificate#: Ct 7 3.�
1 If the project is exempt from lead certification, please explain why:
1
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:
i
Fire Suppression 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.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
&-d1 n , 0
Applicant's Printed Name Appli ant's Signature
Page 1 of 3
b 7� c(.,abbeGe v L-11 • DO NOT WRITE BELOW THIS LINE PIC 915
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
SSingle Family Garage Porch (4-Season) Exterior Alteration (Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION �t
Valuation '1 0 Occupancy i'IL / MCES System
Plan Review Code Edition SAC Units
(25%_ 100%_) Zoning ! City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction
t�±C2 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation Foundation Before Backfill n HVAC Gas Service Test )( Gas Line Air Test
Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
)4 Fireplace: J Rough In Air Test Final Siding:_Stucco Lath Stone Lath _Brick_ EFIS
* Insulation x, Windows t , c / '1.,
Sheathing Retaining Wall:_Footings_ Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
x_ Shower Pan Other:
Reviewed By: \ 1,00 , Building Inspector
RESIDENTIAL FEES f rA } NY'''' ,I
Base Fee t 1 , E.I '
1'
Surcharge .1/C ; / ) f .
Plan Review Li `�,. 1j 2 '' f
MCES SAC
1 C/
City sac �' 7 ,2_ y /
". � �'3
Utility Connection Charge
S&W Permit& Surcharge q t,,i 4-2
t
Treatment Plant =_' 1` °`_ 4-°'
Copies i ...
I,
TOTAL j •f ,,�:1, ,,,,2" U € .sa-
ajt7.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141047
Date Issued:02/10/2017
Permit Category:ePermit
Site Address: 875 Sudberry Lane
Lot:7 Block: 1 Addition: Sheffield
PID:10-67600-01-070
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Dayton D Wohlman
875 Sudberry Lane
Eagan MN 55123
(651) 905-9803
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature