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880 Sudberry Lane
CITY C cAGAN SEINER SERVICE PERMIT 3ts30 Pilot Knob Road P. O. Box 27199 PERMIT NO.: Eagan, MN 551V1 DATE: ZOni^g' No. of Units: Owner. Joseph ?`iiller Const Address: 5ite Address: 6$0 Sudbe Lane L17 B2 Sheffield Plumber: icGuire ~1CC1? ~-2 3°~?5 1Q0.0~ pd 1 °v"ee to MPh with the Cky of Eaoa¦ Connectton Chorge: _ 425.00 nd Ordinanees. Accouryt Depoalt: Permit Fae: 10.00 Surdhcrge: . 5 : BY Misc. Chanpes: Dote of I nsp.: Totah ' I^Sp•' Qate Ratd: CQTY ~ 'AGAN Wq~R SERVICE PERMIT ~ 30 F. vc Knob Road P. O. Box 21199 PERMIT NO.: ~ 1. 1 Eagan, MN 55121 pATE: E-~ 3 Zonirg: RI - pN,~r; _ 3osegh *11.11e2' ~nst o. of Units: Address: Sit, Addrm; 380 Sudberrv Lane L17 B2 She fie Ptumber. 11cGuire '.fec}i ' Meter No.: Connection Charge: • p ~ 5iu: Accounr Deposit: Reoder No.: Permit Fee: 10.00 :d I elm to wmoly wkb HN Gty of Eaya¦ Surchorge• . 50 "c: ~ Oedinanus. Misc. Choryes: • me Ct ~ Totol: BY Dote Pa1d: ; Dote of Insp.: Insp.: cinr oF EAGAN , : 85,14 3795 PM Knob Reod Eegen, MN 55122 PHOHE: 454-8100 oU1LDING PERMIT Re«ia+ To be wed fer S7 '1)14`'/rA1R Est.Volue $57,041" Date Se tet,iher 2( 19 Site Addreu 380 S«dberry Lane Erect Occuponcy R-3 Lot 17 Block 2 Sec/Sub. She f f ield Alter ? Zoning °-1 f I..)-67600-I70-02 Repoir ? Fire Zone VA PatpI # :fosen M. °t er Conat. Inc. Enlarye p TYpe of Const. ~r ae Nome ' Move C) # Stories ; Address 13133 Cedar Ave. So. pe,r,ol;s, p Length 39 b ci I'r~rr.iinp ton Phone 454-4753 Grode ? Depth 46 Sq. Ft. ce JWrier ApProvals Fees p Nnme Zou ~r~ llssessment Permit 304. [JO u~ Cit phd~ Woter 3 Sew. Swchorpe 2`~ • 50 PoHce Plan check 152.00 ~W Name Fin $AC 525.00 v,-~ Address Enp. Water Conn. ~ W C~ p~ Plonner Water Meter Courxfl Road Unit 1 hereby ocknowledge that I have reod this applicetion ond state thaf gldy. Off. the information is correct ond ogree to comply with oll opplicable APC Total '50 Stete of Minrxsoto Statutes and City of Eagan Ordinonces. Sipnoture of Pertnittee sep 'S. '4111er Const. , Inc. on the express conditlon lhnt A Building Permit Is issued to: all work sholl be done in occordance with oll applicable State of Mlta;wso"3futes and Ciry of Eoflan Ordinonces. Buildinfl Offlciol ~ Parmit No. Permit Holder Misc. Permit No. Holder Plumbing H.v.a.c. qp ~ .~3 w.n w.ce. Disp. Sawer Ekctric r,(,Q Z3 Inspection Date Insp. Other FooTinys ~ Foundetion Frsminp ~ Rough Piby. ~ Rouyh X InwlaFinal PFinal T ~ Final W~Dstcribe Location: VWII SewsPr. Q ~ ~,~~i ~~R"" ~ . ",~t~" •~Tjr'~~~'~°' . ~1~I`~`~ 0 ,~a'~~'; . _ ' - ~rrtt#tratt of ('rrupttury Citp of (Eagatt RPpttl'#mPrit if Blitldtltg ltliWPtttUtt ~ Thir Certi ficatc issued pursuant to the reqrurrnunu o{ Sectioa 306 of thc Uniform Building Code urti f ying that at tFx ti+nc of is.ruancc thrf structurc was in cone ptiance with thc various ordinancrs o f tlx City rcgulating Luilding constrmtlon or ute. For the f oSlowing: u- c~rK.s~ aiaa. P~ Na. 8514 r ~ ~4L r' Oll 7YPn Ra 'hP. Cmwctwo,3;_ Pin lona Nr_ Zonin6 Dirtnet R I • Owner of &Ad'm~ M.Mfller Add[mt ZTUUUptl • ,g ~ Bw7dY~A0drm . Loality"'E~"f"B1~_ • nfnL_ta~ _7_ ' ~ , ~ . euwLa,o+,aaW n,te: nAceraher 11 1983 ~ y; ~ ~T. 1K A lQMP GuOUt ILAG~ . . - . : . . . r{ ~s fi~ , ` P ,a . ,A~«~*+~G• .~"~~S .~u' ~~qy. '~a' .-af~~ ..i`,~„4~ v~~~'P' .~t~L ~,~'k•- , -r.,... . - Receipt MECHANICAL PERMIT Permit No, • CITY OF EAGAN • ' Fee Fill in numbered spaces S/C Type or Prrni legibly , Tot. 1. Date 2. Installation Cost ' 3. Job Address Lor.-LL79Ik, Tract- ' 4. Owner 5. Contractor ` Phone 6. Address 7. City State Zip 8. Building Type: Residential 'C7 Commercial O Institutional O 9. Work Description: New El Add ? Alter O 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 informatian is true and correct, and I agree to camply 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 454-8700 Receipt S I PLUMBING PERMIT Permit No. 3g~' ~ • G CITY OF EAGAN Fee . °TD 169iJ ! fill in numbered spaces S/C fs G,~ Type or Prinr legibly _ Tot. 1, Date Instal lation Cost '1 L -',j, 3. Job Address Lot Blk.~ Tract 4. Owner 5. Contractor Phone v 0_ 6. Address ry u,i' cJ <'C 7. r.lty .StBtB j/ Zlp 8. Buiiding Type: Residential Commercial O Institutional ~ 9. Work Description: New Add 0 Alter O Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield ! Bath tubs z- Septic Tank a( l.avatory Softner -J-- Shower Well j_ Kitchen Sink - ~ Urinal/Bidet Ot er 014-41~ Laundry Tray Floor Drains ~ ~ Drinking Ftn. ~ Slop Sink ~ Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. 1. Signed : for Cl Rough ~ Ffnal Inspections: Date Insp. Date Insp. This is your permit when numhered and approved. Approved ~ CITY OF EAGAN 454-8100 CASH RECEIPT ' CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 R[Ct1VtD FROM AMOUNT' $ I & DOI.LARS ~ o0 ? CASH ? CHECK FOR ~ FUND CODE Ae/IOUNT T You BY ~ White-Peyers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition SHEFFIELD ADDN Lot 17 Rik Z Parcel 10-67600-170-02 Owner Street 880 SUDBERRY LANE State EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, g 1981 28.68 1.43 20 STREET RESTOR. *9 178.09 17.81 10 173.09 CQ $$27 9-19-83 GRADING 581 1981 91.10 6.07 15 66.82 A013273 12-9-83 Sewer Lateral 571 1981 152.98 10.20 15 112.22 +o SAN SEW TRUNK 15 E~E 63. 30 ~F.22 15 46.42 ~t tt tr tt SEWER LATERAL 59 0 6.43 15 77. 22 Sewer Lateral (og / 1982 6.06 4.34 15 52,07 7 WATERMAIN 5 1981 128.08 8.54 15 93.96 A013273 " • WATER LATERAL Z 1982 48.16 3.21 15 38.53 A.1 274 WATER AREA 1$1 63• 30 4.22 1 • Powerline 1982 15 STORM SEW TRK y 1985 O 91.22 5 7S ~o•O e'0 0 -3 41-7 9120 817 STORM SEW LAT DTSiTIS e 1984 91.75 9.18 10 91.75 C008527 9-19-83 a6o y.m eo0 3 7 av CURB & GUT ER SIDEWAIK STREET LIGHT Street 993 1985 1941.64 388.33 5 -00 3 7 Ld ROAD UNIT 250.00 38825 9-26-8 WATER CONN. 450.00 BUILDING PER. 8514 5AC PARK CITY OF EAGAN N? 8514 w - F 3795 Pilot KnoA Rmd Eagan, MN 55142 PHONE: 454-8100 BUILDING PERMIT Receipt # To be wad 1or SF DWG/GAF Est. Volue $57,000 Date Sentember 26 , 19-33- Sire Address $80 Sudberry Lane Erea Occuponty R-3 Lot 17 el«k z See/Sub. Sheffield A1fef p Zoning R-1 paten! # 10-67600-170-02 Repnir ? Fire Zone NA Enlarge ? Type of Const. V W Name Soseph M. Miller Const., Inc. Move ? # Scories z Addreu 18133 Cedar Ave. So. Demotish ? Length 39 C; FarminQton phe„e 454-4753 Grade ? Depth 46 Sq. Ft.- Avorovols Fees °C Name O+'ner 0 o~ Addrexi Assessmenr Permit 304.00 V~ Ci PFane Woter 8 5ew. SurcFarge 28.50 F Police Vlon check 152.00 ww Nome Fire SAC $2$•00 f ~ x~ Address Enp. Water Conn. 45().() <w ci pho~ Planner Woter Meter 60.00 . Council Rood Unit 250.00 I hereby ackrwwledge ihot I have read this aOVlicotion und sfate thaf Bldg. Off. the inlormotion is correct and ugree to comply with all opvlicable APC Totnl 1769.50 Stute of Minnewta $tatules and City of Eogan Ordinwnces. Signofure of PertniMee A Buiidinq Permit is issued to: Joseph M. Mi]Iier CoRS IriC. w tha expreu condifion 1hm oll work sholl be done in accordance with oll upplicabl e f es ond Cify of Eoqon Ordinances. Buildinp Officiol ~3 ri,% J ~'b ~ ~ ~~~I • i r a~ d 0 s ' • ~ $ ~ r ~ ~ ~ • ~ a,d 1 - /1 ~ g~kz , lj~ ce4k 544179 - 16 rtwnths irom w 078823 i, 3o s'3 ~3a.sa Request Date Fire No. Rough-In InsVec~ion ~/~D _ a? 3 Rey~urteA7 ? ~Ready Now *Mfr No~ify Inspec- es No ior When Rently ~i ~icensed Elaclrical ContrTC[or I hereby reyuest inspe0ion of ebove ? Owner elechicel work instnlled at Sireet Atltlress, ftux or ta N. C itY . ggd ~a e ecuon a. Townshrp Name or No. flange o. Cou iy ' ~tl o ~ Occu rIPRINTI Pho~ne/ No,~ tn~ ol~Gn cSh~ F-a.~JG'7'~b~j `7 ~ t_ 7~J ~ wer Su V~~ Atltlress ~~c,:' ~-1 E c~hl'c Elactrical o~} ra mr iCO}~ pany Namel Con/tr~ tois License No. .q~ crnl' ,b-)r,-~A.~c. M~aiylinp Address (COnVacror or Owner in8 Instailatio I ~ ~y 0~0~~ ~ o2f !'ii/I-'j Authori ed S~ydaIDre 1 ttrac[ /Owner MnkinB Instnllaunnl Phnn Nnumb r MINNESOTA STATE BOANO Of ELECTRIGIT THIS INSPECTION PEQUEST WILL NOT GrigBS-Midway Bldg. - Poom N•191 BE ACCEPTED 9Y TME STATE BOAHD 1821 UnivarsitY Ave., St. Peul, MN 55104 UNLESS PROVEN INSPECTION iEE IS ENCLOSED. REQUES FT OR ELECTRICAL INSPECTION EB-00001.04 ~ , Sae insiractions for completinB this form on beek ot yellow copy. ~pFff [~j(~~j 3 7 ""J(" BeQw Wotk ~overed by 7hi s Request / Ad Pep. Tyoe of Building Apoluances Wired Equiument Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. umace Silo Unlorde,r Industrial Bldg. Air Conditioner Bulk Milk Tenk ferm Tthar oeci y Qthar f5uar.ifyl ther ueci y Other Other Canpute lnspection Fee Below M Fee ServiceEnVenceSixa p Fee Fxxders/5ubleeAxrs IX Fex Circui[s 0 to 200 Am s D to 30 Am s 0 tn 30 Am s Above 200 qm>s. 31 to 700 Amps 31 to 100 qm 5 Swimming Pool A6ove 100_Am s Ahove 100_Amps Transronners Irriga[ion Booms o Pdrtial,`Other Fee Signs SUeciallnspection O Rertmrks r M37 Roueh-in D1ta'/ r^ I, t E rical ~r Inspector, hereby cartifv enet tne nnovo Final D:~te ~ gpection hes been TIJa reouest valtl 18 months from _ ' RESIDENTIAL BUILDING ~ Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 is r-I Oj (ci (4 (D Telephone # 651-675-5675 FAX # 651-675-5694 New Constructlon Reaui2ments RemodeUReoair Reaui2ments Office Use Onlv 3 registereG sife surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 wpies of plan CeA of Survey Recd Y N (20% mazimum bt coverage allowed) 1 sef of Energy Calculations for heated additlons Tree Pres Plan Recd _ Y_ N 2 copies of plan showing beam 8 window sizes; poured found desgn, etc. 1 site survey for addPoons & decks Tree Pres Not Reqd _ Y_ N i sel of Eneyy Cakulations Addition - indkafe iYon-site sepfic system On-site 5eptic System _ Y_ N 3 mpies otTree Preservation Plan if lotpWtted aker7lil93 Rim Jaist Detail Options selection sheet (bldgs wiN 3 or less units Date 7 / 30/ 03 Canstruction Cost o-o Site Address a p ~ SGC(,( bP~/'i^ Y [e;rh e. UniUSte # Description of Work ~n N4!( Multi-FamilyBldg _ YX N Fireplace(s) ~ 0 _ 1 , 2 Property Owner /3/^ ~'a y .,4P L r i" &YC-- Telephone # (657/ ) o,S--!~V / wvvlr rz 6 - 77 Contractor s ,e Address C'«Y ' State Zip Telephone # ( ) COMPLETE THIS AREA ONLY.IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 CateQOrv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet -,-NewETn y Code Worksheet (d submission type) • Submitted n 2C ~~;I {1~~$ulxnmia • Energy Envelope CaIwlaGons Submitted L' ~ Have you previously constructed a building in Eagan with a similar olan? _ Y _ Nso. 25% plan review fee applies. ~ LY _ 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 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. 6,~, !r, n r- P-/C- Applicant's Printed Name Applicant's Signature Sub Types OFFICE USE ONLY ~ , . ? ? 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 Ext. Alt - Multi ? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex A 18 Deck 0 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_vor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding )CL 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ~4 6 (9J Occupancy MC/ES System CensusCode ~ 3y Zoning CityWater SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const ~ N W idth REQUIRED INSPECTIONS Footings(new bldg) FinaUC.O. V Footings (deck) ~ FinallNo C.O. Footings (addirion) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final ~ Pool _ Ftgs _ Au/Gas Tests _ Final _ Franvng ~ Siding Stucca Stone _ Fireplaca _ R.I. Au Test _ Final ~ Windows (new/replacement) _ Insulation _ Retauung Wall Approved By Building Inspector Base Fee Surcharge Plan Review ;Zr MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total . ~ 6°'° , ~ f ~ 24~ r w s~ r~ tt / ~ I \ ~ ~ J S~Sa !o'~ 60, 0 ' ; su db~rr L Q ~ ~ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN S~ O O 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4875 '-4-. c> NewConsWCUon Reauirements RemodeNteoalr ReouiremeMa • 3 registered site surveys showirig sq. ft. of lot, sq. ft. of Iwuse; and all roofed areas • 2 copies of plan (20% maximum lot coverage alloxred) • 1 set of Errergy CalcWatlons (oi heated addiUons . 2 copies of plan showing beam & windaw s¢es; poured found design, etc.) • 1 site survey hr extenor additbns & decks . 1 set of Energy Calalations • Indicale if home served by septic system for addilions . 3 copies of Tree Preservatlon Plan i( lot platted afler 711193 • Rim Joisl Defad Oplions seleGbn sheet (bldgs with 3 or less units) DATE ~~~O 2- VALUATION 7vV, '~_D SITE ADDRESS ~ 0 O S Ud/)~~f~ MULTI-FAMILY BLDG _Y _C N TYPE OF WORK :~N/~*-, 91- d4~*5e- r/~- FIREPLACE(S) _ 0_ 1_ 2 ^ MAtTER MODELING, INC. 82 Tenth Aveaue South APPUCANT $npgdna,Minneur 55.ua STREET ADDRESS (952) 831-9311 CITY STATE ZIP TELEPHONE # . CELL PHONE # FAX # PROPERTYOWNER TELEPHONE# - COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNI'SO'1'A RUI,F,S 7670 CATEGORY 1 MINNI MC-()( (dsubmission type) • Residential Ventilation Category l Worksheet Submdled New d • Energy Envelope Calculations Submitted Plum6ing Contractor: Phonc # Plumbing system includes: Water Softcner Iawn Sprinkler VVater Healer No. of R.I. Baths No. of Badis Mechanical Contractor. Phone # Mech:tnical systcm includes: _ Air Conditioning Pce: $70•00 _ Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the' or ati is co~J e, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O in e./ Signature of Applicant OFFICE USE ONI.Y Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? Ot 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 6ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y ar _ 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 'Demolidon (Entire Bidg oNy) - Give PCA handout to applicant Valaetion ncaIpancy MC!ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. - _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee--------------------------- Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ( ~ I 7 ~ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4875 II ~I ~ NewConsWCtionReaulremanta RemodellReoairReauirementa WIR O s 200z I• • 3 registered site surveys shawirg sq. of lol, sq. ft of house; and all roofed areas • 2 copies of plan (20% mazimum lot coverage allowed) • 7 set a( Energy CalcWations f led additions ~ • 2 cop~es of plan showing beam & wiMow saes; poureA tound design, etc.) • 1 site survey for exterior addi ns 8 decks . 1 set of Energy Calalations • Indicale tl home served by se u • 3 apies of Tree Preservation Plan'rf lot platted after 711193 . Rim Joisl DeWO Optan.a selectlon sheel (61dgs with 3 or leas uniLa) DATE I~ ~ VALUATION &r JOB SITE ADDRESS SUcE'&F~ vL I¢' IF MULTI-FAMILY BUILDIN , HOW MANY UNITS? ~ PROPERTY OWNERy ~ ~ 411J SO~~ TYPE OF WORKCz'j.,Z~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT MMTER EMODELINa,INC. PHONE# 82 Veaue uth ADDRESS Hm1a,.a WP.+...a=•••a mada ZIPCODE PAGER # (952ft- 3 ~I~NE # FAX # MN. 012818 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY energy Code category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 i - New Energy Code Worksheet Submitted Plumbing Contractor: Phone • Plumbing SysCem Includes: _ W oflener _ L,awn S' er Fce: $90.00 Water e . R.I. Baths No. oF Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Condi6ioning Fee: $70.00 Heat Recovery System Sewer/Water Conhaei . Phone # All above iniormation must be suhmitted prior to processing of applica6on. I hereby acknowledge that I have read this application, state thaWfo: and agree to comply wiih all applicable State of Minnesota Statutes and City of EagaSignature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 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) 0 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration O 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors O 34 Replacement •Demolltion (Entire Bldg only) - Give PCA handout to applicant ValuaHon Occupancy MC/ES System Can,us Code Zcrrra City V'dster SAC Units Stories Booster Pump ~ Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ FTaming _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building inspector - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage 5&W Permit & Surcharge _ Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Certificate For: Josyph B. Miller Conotruction 19143"Cedar Avenue South Farmington, MN 55024 Plan 93'133 DELMAR H. SCHWANZ LANDSURVEVOPS INt+• • Reqiiterey UnGm Laws o/ The State oi Minneiota 2978 - 146TH STREET W. - BO% M ROSEMOUNT, MINNESOTA 56068 PHONE 672 423-1789 SUHVEYOR'S CERTIFICATE C ~ U p 8~ee Y N~ QQ~ ~o.oo N ` p cJepW~w~ ql, ~ Uttt,~~`! EaseMear° 9~Z.9 I~N ; o ~ l1b.o 9~9 ~ /1.~1 r, zz.33 - - I-~ t!- \ ~ ~q 1 I ( M m I N v~Z,3; I ~ I ' ~~So 0 e 4 17.0 Propoaed garage floor U)~ ~ pR~J~7er ^N\ ~5 LO 9/7, 3 Proposed top of block 969.7 Proposed baaement floor i 3S, o 'Q (9I9 ljoi ~ 5~ Denotes proposed elevation O / Denotes proposed drainage 9~b /l 0 I C O ~ i 1-7 _ C , qn. qib• Co 0.00 Sbl) °44W I hereby certify that this is a true and correct representation of Lot 17, Block 2, SHEFFIELD, according to the recorded plat ttiereof, Dakota County, h1lnnesota. Also showing the location of a proposed house thereon. Dated: August 5, 1983. n /%i,r; MiNNESOTA REGISTRATION N0.8625 PERMIT # 1-- --i -i C) RECEtPT DATE: MIDENTIAL PLUM$IN6 PEiMIT APPLICATION CrrY oF E,4em S$SO PILOT RA08 RD $k6AA, AdN lSbt EE e51-e81-4e75 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITEADDRESS: DOU ~jb(T' N `^"'FL OWNER NAME: : &YiU ) TELEPHONE ~Q51 4011 -0Z/l 1 (,nRE.o COOE) INSTALLER NAME: TELEPHONE C, STREET ADDRESS: (ARFA CODE) l~~"1~ J"~ Q.~ LQ~ t"Ll l f J CITY: Lo_q4jLu) STATE: A ZIP: J5o `1 Place a check mark next to the ermlt work type New residential dwetling unit under construcYion and not ownerloccupied $ 90.00 Add-on, modiflcation or atteration to xi tin dwelling unit, including: $ 50.00 • abandonment of septic system • new instalfationirepairirebuild of RPZ • lawn irrigation system • water turnaround Nature of work: 1 4 Septic System, new/refurbished - $ 225.00 • inCludes County & ConsuRing Inspector fees • requires MPC license Water turnaround - existing dwelling unit, including: $ 50.00 • 5/8" meter 115.00 $ 765.00 State Suroharge _ $ .50 ToWI $ Reminder: Schedule inspectlons of alterations, I.e. water heaters, water softeners, water turnaround, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eegan wdinences. It is the applicanYs responslbility to notify Me properry owner that the Ciry oi Eagan assumes no biliry f n1~ V~~A~ 1~~~r any damages caused bythe Ciry during ds normal operatio~l and maintenance activdies to the facilitias consiructed under this Permit wilhin U7 m e f-ili4 1 semen{+ ~ ~P P SIGNATURE OF PERMITTEE Updated 9l01 . • Date: 10/18/2001 Appliance Installers of MN Installer GORDON MEYER Install Date: 10/19/2001 Time - M Client SEARS Order Number: 011322422650 Department..: 42 Customer.... : PATE, BRIAN Address..... : 880 SUD6ERRY LANE City........ : EAGAN, MN 55123- Phone....... : (651)405-6921 :dor;c ?hone Item: Pick up at: WATER TREATMENT Standard Replacement - Softener WATER TREATMENT Re-route plumbing per Cut to 5 ft WATER TREATMENT Re-route plumbing per Cut to 5£t WATER TREATMENT Delivery WATER TREATMENT Permits Special Instructions: PAID FOR 2 COTS PERMIT REQUIRED softener here name on carton Amount Received : Comments NOTICE TO CUSTOMER: Do not sign this statement until the installation is satisfactorily completed. The installation of the above has been completed satisfactorily. 011322422650 SALES CHECK NUMBER CUSTOMER SIGNATURE INSTALLER NOTE: Return this form with your invoiCe. Y,ave insoec':ed mer^:,ar.r.~i.se arid -oand ;:o d:7.maqe. i. hava i.ns..ec; ed my home and founo no cama ;e. ;X) I `L3vP CCI°c)C.°,iS .3_l wa* • . er lir;es ana fo'~nd ieaics. Custcme.r S:ignatilre 7 7 rZI 2007 RESIDENTIAL MECHANICAL rExnuT arrLicnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete far: single family dwellings & townhomes/condos when pertniLS are requirzd for each unit Date t5_ / /d ~ 0-7 Si[eAddress 1q9'U S[AZL~9(~41r/c_/ 4CL./.r> Unit# PropertyOwner ~?~(,(~/!Cl.//,(/l Telephone#( fpS1 Contractor _ 'r R u Street Address '~C' City 7 7-~ 7 1904 Vermillion Street ~ State Hastings, MN 55033 Telephone lio~" r (a 7d I Bond ILLT Expires: /D ? s -,;~W / The Applicant is _ Owner ,./Contractor _ 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 furnace _Additional _Replacement _ New air exchanger ~ air conditioner heat pumn other State Surcharge I U/ ~C~ D $ .50 l1 1 MAY 1 4 2007 Total S V V , ~ I hereby apply for a Residential Mechanical Permit and acknowledge that the infortnation is complete and accurate; [hat [he work will be in conformance with the ordinances and codes of the Ciry of Eagan and with [he Mechanical Codes; that t understand this is not a permit, but only an application for a permit, and work is not to start without a permit that [he work will be in accordance with the appr ved plan in the case of work which requires a review and approval of plans. v~c~V ~?i°~/L~..(~, , lZl w,(~!( Applican s Printed Name AppL ant's gnature PERMIT City of Eagan Permit Type: Plumbing Permit Number: EA135495 Date Issued: 03/18/2016 of ER 1n Permit Category: ePermit Site Address: 880 Sudberry Lane Lot: 17 Block: 2 Addition: Sheffield PID: 10-67600-02-170 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Heater&Water Softener 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(WS&/or WH) $59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Benjamin Franklin Plumbing Lauri L Beyer Pate 5718 International Parkway 880 Sudberry Lane New Hope MN 55428 Eagan MN 55123--193 (612)604-4285 X61 (651)405-6921 1 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 4111,P°. City of EaRall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: O l D Permit Fee: G va Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: � r 11 dent! Weer Name: Air( 6Liri P6VE Phone: E f% 6 -)© Zip: Address City/ / Zi Applicant is: Owner A/ Contractor Type of Work Description of work: . ` k2.0 e�� Y Construction Cost: �30 CD Multi -Family Building: (Yes / Nov" ) Contract©r= Company: re Pr?' /f''Q Ac Contact: //fit �j/2`.3��bZ.- //++,e�,+��� / Address:'UJ''^ � City: C J (9-o Ito -63-4:5" U /C9t P � (421A-1 State:, 7 �Zip:t` / Phone: - L2- . 'iail: // P%'neG(9Q' G _% License #/yC ' OO s4 $ Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NanS and supportingdocu a hat you submit are, considered tom publicfb to the information ma r be classified non pubic f y r ®,specific ons that woul ® perm!t the City tz icludethat to are t ecr is CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Bui > ing Code must be completed within 180 days14de of permit issuance. Applicant's Printed Name x Applica s Signature Page 1 of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