884 Sudberry Lane
CITY OF EAGAN WATER SERVICE PERNUT
3M pgj.,,. JKnob Road PERMIT NO.: i
P. O. Bax 21198 DATE:
Esgan, MN 55121 Na, of Units:
ZOf11"g' Joseph giller Conat
ner:
~ B S:e 1 e` 'i
; a
ss: 83 4 e Ll
Addro
`Sfte e Addross• p
~Meter Ptumber. 8~1~~ ion (~rfle,
p
No.: t DePosit: P
. ~ ~ Pertnit Fee: p
Size J f ~ .
p mete-~
Re,dar No • ' ~ ~ C~ ~ 5urcharoe:
~.9.« w vh? 3 nn'~. c~roes:
a c~ L g
Or~iwene~.~ ~ 6 3~a- Tatal:
pate Paid:
BY InsP.:
Dote of InsP• • - -
CITY OF EAGAN SEINER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: 2"
Eagan, MN $5121 DATE; 2
Zoning: ` No. of Unlts:
Owner•
Add?ess:
Srte Address: Sudberry Lane L18 B2 Fheffield
Plumber: `IGrufre *Sech ' -
4-27--94 42854 00.0 p
I~a~•• te aowpif wN4 eb. Grr •f tq.n ConnKtiw, o,or"; _ 425.00 pd
Orais.we... Aooount Deposir: 15.00 pd
Permit Fn: _ 10.00 pct
Surchcrpe; _ .50 pd
By Misc. Chorpm
Dote of Insp.: Total:
Inap.: DaN, PoaM:
CITY OF EAGqN
3830 Pilot Knub Road '
P• 0. Box 21199 WATER SERVICE pEMT
Eagan, MF4- 55121 PERMI7 NO.:
Zoninp: DATE:
Owner: Joaep er onstNo. of Unirs:
Addrosx
Siro /1dd?ess: er~r ane
Plumber: McGu .re . eC e e u
Meter No..
Size: Connadion .
Chorge:
Reader No.: AcOOUnt Deposit:
I Mro@ to oomPllr wifh Permit Fee:
p~,~N~ ~ ei Ea~o~ Surchorge:
' Mist. Chorpes: • m
r
Bv Toto1:
i ~ot~e ~
of Insp.: ts Poid:
I?np..
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: '
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: '
(612) 681-4675
SITE ADDRESS: APPLICANT:
t.ANt
PERM1T SUBTYPE: TYPE OF WORK:
INSPECTION . D•
. ; ;
F
~
L
Permit Holder Date Telephone M
PLUMBING
HVAC
Inspectfon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC ,
METER
IARIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HVDAOS7ATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD
,,.-EITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Ea an, Minnesota 55122-1897 s'
9 Date Issued:
(612) 681-4675
~ ~ . , .
SITE ADDRESS: i f: APPLICANT:
!!Y 1 ANF
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION DA • DA
L~ ~
Permit Holder Date Telephone M
PLUMBING
HVAC
Inspeation Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARO
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYOROSTATIC
TES7
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
r CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date ,19
Site Address • OFFICE USE ONLY
Lot Block SeC/Sub. On Site Sewage - Occupancy
MWCC System , 2oning
PerCel No. On Site Well - Type of Const
Ciry Water _ (ACtuaq
x Name (Allowable)
Z # of Stories
3 Address Length
° City Phone Dapth
S.F. Total
, p Name Footprint S.F.
~ u Address APPROVALS FEES
~ City Phone Assessments ~ Permit
gc Water/Sewer _ Surcharge
W W Name Police ~ Plan Review
~ z Fire ~ SAC, C- y
_ - Address
u = Engc _ SAC, M'NCC
~ W City PhOne Planner ~ WaterConn.
Council ~ Water Meter
I here6y aCknawledge that I have read this epplication and state Bldg. Dff. ~ Road Unit
that the information is correct and agree to comply with all applfCable APC ~ Treatment P1
State of Minnesota Statutes and City of Eagan Ordinancea Variance _ Parks
Copies
Signature of Permittee TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea
8uilding Official
Psrmit No. Permit Hoider Date Telephone #
Plumbing
H.V.A.C.
E lectric
Softener
Inspection pate Insp. Comments
Footings I L ~
Footings II
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
81dg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg_
Well
Pr. Disp. X .4 a
6 Cs a a- ~ak.r
,'H, e
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 90 10;
PHONE: 454-8100 -
BUttDIf+fG PERMIT Receipt
Te M und for SF DWG/GAR Est. Val ue $57,000 pate p-PR I L 27 , 19 8 4
Site Add 884 SUDBERRY Erect p3
r~ [Y Occuponcy
l.ot 10 Blofk~-~~~S~GfS~u~_ S~EFFIELD Alte? ? Zoning Rl
Parcel No. Repoir ? Fire Zone N A
a Name `'TOSEPH MILLER C~NST Mov~° ~ TYPe of Const. V
= 18133 FDARE AVE ? # Stories34
Addre Gemolish ? Length
~ City ~ ON Phone 5- 53 Grode Q Depth 50 Sq. Ft.
Approvals Fees
o Name SAME O
u~ Address Assessment Permit .50
~ CitY Phone Water & Sew. 5urcharge
15~0 0
Police Plan check
~W Name Fire SAC - 525.00
~W
Address Eny. Woter Conn.4 To-. 0 0
-
< W CitY Phone Ptanner Water Meter 65' 00
Councl! Road Unit 260.00
I hereby ncknawledge that I hove reod this opplication ond stote that gldg. Off.
the inlormafion is torrect ond ogree to comply wiTh ol) upplicpble ^PC - ' Total
Stofe of Minnesoto Stotures and City of Eagon Ordinonces.
5ipnufure of Pertnittee
A 8ullding Permir Is isswed to:. `-10SEPH i` IL..LER CONST on tha expross conditicn thwT
oll work sholl be done<'in. occordoncp with.,oN, ag~ljwble 5t4?te of Minnesota Statutes ond City of Ea9an Ordinances.
r., ` „ . - .
Bufldinq Official
V Permit No. Permit Holder Misc. Permit No. Holder
Plumbin9
D
H.V.A.C.
Well
Water
Disp.
Sewar
Electric 3yj~l h-(o
Inspection Date (nsp. Other
Footings ~
Foundation
Framing
Rough Plbg.
Rough HVAC
Insulation
Final Plbg
Final HVAC ~
Final
Water Describe Location:
VYell
Sewer Pr. D'?sp.
Receipt T L~ PLUMBING PERMIT Permit No.
. ' CITY OF EAGAN
Fes
Fill in numbered spaces S/C
Type or Prinr legibly
• Tot.
1. Date 2. Installation Cost
3. Job Address y' 864 Suc.~r errkot Blk. ~ Trac~~
4. Owner Jae r:iller Construction
5. Contractor r:ccuire 2'echanical Pnone 469-4988
6. Address F' . G. BOX 21 P
7. City I.aj.eville State P.inr. Zip 5J044
8. Building Type: Residential ~ Commercial ? Institutional ? ~
9. Work Description: New 6k 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. 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.
SIgnBd : for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit Na
I CITY OF EAGAN •
Fee
l r (/r l( Fill in num6ered spaces S/C
Type or Print legibly = -
Tot.
1. Date 2. Installation Cost
~
3. Job Address ~ r~U i.i~ 1-LotBlk. ~ Tract j-~
~
4. Owner :
6. Contractor ` i Phone L " .
6. Address
7. City ' State Zip
8. Building Type: Residential L'S Commercial ? Institutional ?
9. Work Description: New EJ-- Add 0 Alter ? Repair ?
10. Describe Fuel Type
11. No. Equi ment STU - 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 : _ - r-.
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
?
CASH RECEIPT r
CITY 4F EAGAN r
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE -7 19
RCCEIVED . PRdA ; S
AMOUNT $
I , & ooLLwRs
,oo
Ej CASH ~ CHECK
4 1'.~. Lc
. FUND CODE AMOUNT
• ~ 4j _
~ I
( .
<<
I ~
t , Tha ou
. B;, k;
, .
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
1NSYE(Crl'IUN ilEUUlll)
G1TY OF EAGAN PERIVIIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: .
(651) 681-4675
SITE ADDRESS: APPLICANT:
PERIIAIT SUBTYPE: TYPE OF WORK:
INSPECTION . . .
~ ~
Permft Holder Date Telephone #
EWER/
WATER
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
RQOFING ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HE4TIIVG
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE ~
AIR 7EST
FINAL PLBG
FINAL HTG
OASA7
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN Remarks
Addition SHEFFIELD ADDN Lot 18 Rlk 2 Parcel 10-67600-180-02
Owner Street 884 SUDBERRY LANE state EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. S 22.96 A 014186 7 10 84
STREET RESTOR. 1 $ -1 - 3
GRADING 59/ 1981 0 6 66.82 A 014185 7 1 84
'I 1981 152.98 10.20 15 112.22 fr
5AN 5EW TFUNK 1981 6 o 4.22 15 46.42 if
SEWER LATERAL 593 ir Tr
Sewer La 52.07 A 014186 7 10 84
WATERMAIN 1981 128.08 8.54 1 93.96 A 014185 7 10 84
• WATER LATERAL 2 48.16 1,21 15 3$.53 A 014186 it
WATER AREA 57 p
• Powerline 1982 15
STORM SEW TRK 6, 2 y 1985 456.09 91.22 5 SG•o 9 4,po 93 Zo ,f
~ STORM SEW LAT Drging e 1984 91.75 9.18 10 91.75 C008528 9-19-83
s .2loo L~do9•3 , 20 ~
CURB & GU ER
SIDEWALK
STREET LIGHT
Street S 1985 1941.64 388.33 5 ~o ~3 lZialYZ
ROAD UNIT 260.00 #42854 4-27-84
WATER CONN. 470.00 TT ii
9UILDING PER.
9016
sac 525.00
PAR K
1+ ' PSee i back ol Yellow copy.
Thi~st
FAtl R.P. Tvpe oi Builtling Appliancea Wirad Equipment Wired
Home ~nge Temporary Service
Duplex Water Heater i,yhtiny Fixtures
Apt. Building Dryer Electric. Meabn
Commercial Bidy. umace Silo Unloader
Industrial Bldg. Air Conditioner BLdk Milk Tank
Farm Other oNcOy ~har Buecifvl
t er Su~cify Other Olher
ompute /nspection fee Below
p Fee ServiceEnimnceSize N Fee feetlers/5ubfeeders Fee Circuits
0 to 200 qm s 0 to 30 qm s to 30 Am s
Ahove 200 qmps 31 to 100 qmps 31 to 100 A s
Swimming Pool Above 100_Amps Above 100-AmVs
Trans*ormers Irrigation Booms 3'O Par[ial-'Other Fee
Signs Special InsNection $ ~
Remerts TOTA FEE
7 ~
PouBh-in Date
e Electrical
• ~ r ~ ~ectoq hereby
cartify thet the above
Final pection has been
rf• de.
TMe reQue6t voiA 18 months Irom
CITY OF EAGAN
- ' 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 N? 9016
PHONE: 454-8100
BUILDING PERMIT Receipt g -LTe ba und for SF DWG/GAR Esr. Volue $57,000 pate APRIL 27 1 q 84
Site Addre 884 SUDBERRY Ered ~ «cu~ncY R3
s
Lot 1 alock 2 Sec/Sub. SHEFFIELD Alter ? Zoninq Rl
ParcelNo. 10-67600-180-02_ Repair ? FireZone N/A
JOSEPH MILLER CONST Enlarge ? Type ot Const. V
W Name Move ? ~F Stories
= Address 18133 CEDARE AVE pemolish ? Length34_
~ City FARMINGTON phone 454-4753 Grade ? Depth__5Q-Sq. Ft.-
Approrala Feet
~ Name SAME
o~' Address Assessment Permit $ 304.00
u1- City Phone Water 8 Sew. Surcharge 28 • 50
Police Plan check 152. ~0
Gw Name Fire SAC 525. 00
r 470 . 0~
4~ Address Eng. Water Conn.
aW City Phone Plonner WaterMeter63-Q0
Council Road Unit 960- 0
1 hereby ackrwwledge thot 1 hava read this opplication and state that Bldg. Oft.
the intormation is correcf and agree to wmply with oll opplicable AP~ .~mo~ $1• 80z. cJ0
Stufe of Minnesoto Statules and Ciry of Eogon Ordinances.
$ipnofure of Permittee
A Bullding Pertnit is iss JO ' H MILLER CONST on the express condition thm
olI work sholl be doneaWiff icable Stote of Minnewto $tatutes ond Ciry ofi Eagan Ordinances.
K~
Buildin0 Officiol
. . . ' . ca y.l..
~ ~
~ ' ~ • ~
~ joAtin
' -
~
6z~
.
.
.~~go
, .4
- ~ ~
tyinrenuescvoid ~Y35 r' (e '7•(p $ y
btitN fram y ~
A
35 51
Reques[ Dale Fre No. Poueh-i Inspec[ion
Ae~aywred? [:]Ready Nuw ill NotifY ~nspec-
,p.es ?No or When Ready
,J2rLicensed ElecVical ConVector 1 hereby request inspection ot above
? Owner electrical wark installed et
Sireet Address oz or Route No. Citti..
ecuon o. Townshio ame ur o. Fange o. - Co
OccupantlPHINT) ~ Phone ~
~ ~7 ?1d71. L1 4- W-t,53
Power Sup0lier - Address
G (
Eiev I Cnn(rac[or IC peny Na e) ffic ~ raclor's Lice se No.
Mailinq Address IGo cmr or Owner kjnq Instailatiun
3
Aut~ori- ed Sie turentrac~or ner M kin Installationl Phone. umber
~ -6i60Q0
MINNESOTA STATE BOAND OF EIECTflICITV TMIS INSPECTION flEQUEST WILL NOT
C+/i69s-MidwaY Bitlg. - Noom N•791 BE ACCEPTED BV THE STATE BOAND
1821 UnivarsitY Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
il 16121 297-2111 ENCLOSED.
CITY OF EAGAN N° 13 4 7 8
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
` PHONE: 454•8100 ~ r,J, ~ S
BUILDING PERMIT Receipt# /
7o be used for DECK Est. Value $900 Date APRIL 17 ~ 987
Site Address 884 SliDBERRY LANE OFFICE USE ONLY
Lot 18 Block 2 Sec/Sub. SHEFFIELD ADD On Site Sewage _ Occupancy
MWCC System _ Zoning
Parcel No. On Site Well _ Type of Const
City Water _ (ACtual)
a Name JOHN DONANUE (Allowable)
w # of Stories
= Address SAME Length
~ City Phone 452-7564 H Deotn
S.F. TOtal
,o Name SAME 228-6611 (W) FootpdmSF.
~a Address APPROVALS FEES
P City PbOnB qssessments _ Permit 18. $0
Water/Sewer Surcharge Sn
W W Neme Police _ Plan Review
! z Fire _ SAC, City
s- Addrass
Engr. _ SAC,MWCC
aw City Phone Planner _ WaterConn.
Council _ WaterMeter
I hereby aCknowledge that I have read this application and state Bldg. OH. _ Road Unit
thattheinformationiscovectandagreetocomplywithallapplicable APC _ TreatmentPl
State of Minnesota Statutes an City o gan rdinances. Variance _ Parks
Copies
Signature of Permittee u- 707n1 1. 0
A Building Permit is issued o: JOHN DONAHUE on the express condition thet
all work shall be done in accordance with ali applicable State of Afinnesota Stat/u~}~s and City of Eagan Ordinances
Bufiding Official ~ /_i
ar
..A
304•OC+
2 3 • S 0 +
752•OC+
525•GC+
470 • 00-F
6 3 • 0 C +
260>17C+
1802•5 0*
RESIDENTIAL
BUILDING PERMIT APPLICATION < < <3 r-1
CITY OF EAGAN
3830 PILOT KPIOB RD, EAGAN MN 55122
651-881-4875
NewConshuctbn lieaulrementa NamodeUHeoelr ReaulremeMe
• 3 registered sRe surveys slwwng sq. ri. of lot, sq. R af house; end ell rooled areas . 2 copies W Dlan
(20% marimum bt covarage allowed) • 1 set of Energy Cakulatbns for heffied edtl0bns
• 2 copies oi plan showing beam & windav sizes; poured founC desipn, etc.) • 1 sile sun+ey tor eMerior etldilbns & decks
• 1 set of Energy Calculatans • Indicete if home served by septk system 1or eddRbns
. 3 copies W Tree Preservatbn Plan if W[ planed afler 711193
. Rim Joist Ueteil Optlons selectbn shaet (bldgs with 3 or less unAS)
DATE VALUATION
SITE ADDRESS Q~Qm/ MULT6FAMILY BLDG _Y _ N
TYPE OF WORK I-&r dPP ark refuoP o,j~'~~-~2[p FIREPLACE(S) _ 0_ 1_ 2
APPLICANT JA)r'ker
STREET ADDaESS 47'~0( ~3&`2 6~ r5p. CITY A.~~(-s5 STATE ~ZIP
TELEPHONE# f9(21'72_~`a)a)_CELLPHONE# ~ FAX#CD4
PROPERTY OWNER TELEPHONE
_ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MI t
(4 submission type) • ResideMial VeMilation Category 1 Worksheet Submitted • N IE ~y `i rk e t tted
• Enargy Envelope Calculationa Submitted ~
MAY 2 3 2002
Plumbing Conhactor: Phone # _
Plumbing system includes: _ Water Softener ~ Iawn Sprinkler •
_ Water Heater ~ No. of R.I. Baths
_ No. of Baths
Mechanlcal Conhacfor: Phone #
Mechanical system includes: ~ Air Condiuoning Fee: $70.00
Heat Recovery System
Sewer/Water Contracror: Phone ri
I hereby acknowledge thaT I have read this applicaflon, state#jat#heJraf ation is correcT, a agree to comply
with all applicable State of Minnesota Statutes and Ci1y of Ebgan Ordlnances.
Slgnafure ofA cdnt, -
--------.........~._.r._.~..._.p~..r
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _
Updated 4I02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex 13 13 16plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex O 16 Fireplace O 21 Porch (3sea.) ? 31 Ext. Alt - Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorohlAddn. (A-sea.) O 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi
O 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex O 12 12-plex Plbg_Yor_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 ? 48 Windows/Doors
13 34 Replacement •Demolition (EMire Bldg anty) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code 2oning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Fina]/C.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Dcain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ FraminB _ Siding Stucco Stone
_ Fireptace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retxining Wal1
Approved By , Building Inspector
Base Fee
Surcharge a ~
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License 5earch
Copies
Other
Total 3 1~s
~ CITY USE ONLY
L ~ BL RECEIPT#: \
SUBD. 75,,~,,,~ Q~ RECEIPT DATE: I~-~~-P~ -U V
PERMIT#
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH il TOTAL
Alterations to existing dweliing - minimum.fee $ 30.00
Describe: ~ ) ~-'e-
Bath tub $ 3.00 x = 3 -
Floor drain 3.00 x = $
Gas piping outlet ` minimum -1 3.00 x = $
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished ' requires MPC lic. 75.00 X = $
Septic System abandonment 30.00 x = $
RpZ new installationlrepaidrebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = S
Underground sprinkler _ it dwenin9 is unaer mnstruccion 3.00 x = $
Underground sprinkler if exisiing dweuing 30.00 x = $
Water cioset 3.00 x
Water heater 3.00 x = $
Water softener If dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 X = $
Waterturnaround 30.00 x $
State Surcharge .50 $ 50
TOtal $ ~ ~
~ 5
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge thst I have read this applicztion, state thst the information is wrteG, and agree to compty with all appliwble City of Eagan ordinances.
It is the applicanPs responsibility to notiry the property owner that the City of Eagan assumes no lia6ility for any damages caused by the City during its
normal operational and maintenance adivities to the hacilities constructed under this pertnit within Ciry propertylright-of-way/easement.
SITE ADDRESS: X k(I -~t) j 6 -e I`1''l c^ .
OWNER NAME: : ~Ol4t uc~ ~0 ~a?/"` TECEPHONE
(AREA CODE) - t -
INSTALLERNAME: ~ ` L l /Oza .--c'r4c, TELEPHONE#: , S`i S!C' %~~~G? -
. (AREA QODE).
STREETADDRESS: "6 A?e S
CIIY: STATE: tYl rv ZIP: s SO/~i
e
-
ATURE OF PERMITTEE
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
arv oF EAcnN
3830 PILOT KNOB RD - 55122
`r 851-881-4875
New Conahuctlon Reaulremenh Remodel/Reoair Rerntlromenh l vA l~ v
> 3 reglatered slfe wrveyf alwwinp tq. lf. d lof, aq. R. o( houae 2 copies of pian
and gH roofed areas (20X rtcudmum bt covemae albwed) 1 - -heatedaWHOrts
> 2 copies ol plans (ahow beam A wlndow slzes; poured Ind. dealyn; etcJ Lowsum1`u~~dor~decka
> t aet W energy Calculatlons ,
> J coples ot hee preservation plan tt IW platled ofler 7/1/93
DATE: T ~ ~ CONSTRUCTION COST: ~(DO
v~ ~ -Co T-l JCc L~ NAiuaqY
DESCRIPTION OF WORK: &Ci~rzs N gpsErv~Enrr- NFuI RAr~lI ~ C F_-L t-I'~?C^
STREET ADDRESS: R Sq S U D9Ele 12 Y LA lU F El4h t4 Q M/V SS l Z3
LOT: ~ BLOCK: SUBDJP.I.D. N:
Name: NELIEIZ NANCY Phonee:lo~~-`~S~•~ZJ~
PROPERTY Lad Flrst
OWNER Sheet Address:qd y (~L4D,9FJ2 )2 Y--AnJ E
CNy F A,S 141~1 State: Zlp:
. Company: SAWl Phone t:
(area code)
COMRACTOR
Sheet Address: License # ExP•
CNy State: Zip:
ARCHITECT/
ENGINEER Company: ~ AmF Name:
Tebphone ( )
Sheet Address: Reglshatlon Jf:
City State: Zip:
Sewer/water licensed plumber (H instllina sewerMraterl: Phone (
I herebY acknowledpe ttwt I have read Ihis applicaNon, atate lhaf Ihe infortnaNon carect, and agr fo co b wilh a0 applleable Stotf
of Minnesoto Statufea and CHy ol Eagan Ordinances.
Signature of Applkant:
OFFICE USE ONLY
1 ~^O i
Certificates of Survey Received _ Yes _ No
v
Tree PreservaUon Plan Received _ Yes _ No _ Not Required L
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 FoundaUOn ? 07 05-plex ? 13 16-plex ? 21 Porch (3sea.) ? 31 Ext Alt - MuRi
? 02 SF Dwelling ? 08 06-plex O 17 Garage O 22 Poroh/Addn. (4-sea.) ? 33 Ext. Ait - SF
? 03 01 of _ plex ? 09 07-plex O 18 Deck ? 23 Porch (screened) ? 36 MuRi
? 04 02-plex O 10 08-plex PO 19 Lower Level ? 24 Stortn Damage
? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous
? 06 04-plex O 12 12-plex ? 20 Pool ? 30 Accessory Bidg.
WORK TYPE
? 31 New ? 38 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding
4 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code ~ # of Stories sq. ft.
No. of Units _L Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) ~ Basement sq. ft. Census Code ..,~~9~
(Allowable) Main Ievei sq. ft. MC/ES System
UBC Occupancy 72 sq. ft. City Water
Zoning /0-4 sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building ize Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
. City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies .
Total:
SAC Units
% SAC
Certlficate For:
Joseph M. Miller Construction
, 1M33 Cedar Avenue So. =
Farmington, MN 55024 , -
i
DELMAR H. SCMWANZ
LANDSVRVEVORO 111G• RpistsrM V nQer lAws of Tlla Stab of M Innnota , . 2818 - 166TH STREET W. - BOX M ROSEMOUNT. MINpE80TA 68088 PMONE 812 4211769
SURVEYOR'S CENTIFICATE
~ u tJ ASERRY I_._ Prt~lE
60.00 ?~109°57o~V~ 1.0i
\p ~QA1A4liE Q~ .
UrkutTY VA5£NY6MTo
o ~ Ca~e
,`nn , 40 0
M I ~ zo
~ 6 ~CAje,
~o 5~-- o~
~ I ~iov5~ ~ C7 = 3et f9,ood hub
o s f'roperty eprner-Lron
u1
'Q ~ 3•°. i 34 _~f°~ ~ ~ a p opo8 d elevatlon .
, Q Proposed garage Plaor elevation
0+ o Proposed top of block elevation
~ i(7 Proposed basement floor elev.
2
(o D~7 S 89°4q''3r' ~pJ
I hereby certify that this is a true and correct representation of
I,ot 18, I31ock 2, SHENFIELD, according to the recorded plat triereof,
Dakota County, Minnesota.
Also stiowing the location of a propoaed hause not ataked thereon
as af April 3, 1984.
n ~
~s , r
MINNESOTA REGISTRATION NO.88
, PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: e u x Lo z NG
Eagan, MinnesOta 55122-1897 Permit Number: 0 3 2 3 3 9
(612) 681-4675 Date Issued: 0 6/ 2 4/ 9 8
SITE ADDRESS:
884 SUDBERRY LANE
LOT: 18 BLOCK: 2
SHEFFIELD
P.I.N.: 10-67600-180-02
DESCRIPTION:
REROOF
Brfil~di.ng_Permit Type STORM DAMAGE
Building Wprk Type REPAIR
(-~Census Cod~"'` 434 ALT. RESIDENTIAL
€
d 61
n _
4L_
'Pn
ru h
i
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - s7. LzC OWNER:
RENEWAL BY ANDERSEN 15924777 2004063 HEUER NANCY
350 73RD AVE NE 8 884 SUfJBERRY LANE
FRIDLEY MN 55432 EA6AN MN 55123
(612) 502-4777 (612)456-0218
I hereby acknowledge that I have read this application and state tha[ the
information is correct and agree ta comply with all applicable S te of hin.
5tatwtes and City of Eagart Ordinances_
~
APPLICANT/PERMITEE SIGNATURE I SU BY: SIGNA URE
323511998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 68122
681-467b
New Conatruction Reauiremants RemodeNteoair ReauiremeMs
? 3 registered site aurveys ? 2 copies oi plan
? 2 copies of plans (inGude beam 8 window s¢es; poured ind. design; etc.) ? 2 sile surveys (ezterior edditions 8 tledcs)
? 1 energy oelculatlons ? 7 energy calculetions for heeted add'Rions
? 3 copies of tree preservation vlan H bt pWtted aRer 7/11/93
required: _ Ves No ~
DATE: O~ Il2lRe CONSTRUCTION COST;
DESCRIPTION OF WORK: Wen (QL' e'0 r. i InJnc4 )S 1t1 {1nVh o c~ )/fA,(y]
STREET ADDRESS:
LOT: BLOCK: SUBD./P.I.D.
Name:~ ~Y ~~Q ril~ Phone ~~lL - o a c g
PROPERTY Last Fust
OWNER ~ ~ ~J J
Street Address: 1 L( ~.~Q L~,~ i'le,
c;ri 5tate: miv Z,p: 557 a3
Company: =&0 1) (,d,{ VNP In Phone
CONTRACTOR
Street Address: 3~ NLU License # o~)nnL{0i~0 An
Ciry Frl-dJP State: m1\ ~ ZiP: 5943 a
ARCHITECT/
ENGINEER Compeny: Phone
Name: _ Registration
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construcfion onty): . Penalty applies when address drarig
and tot change is requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with ail appCmbf
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appliqnt
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes _ No _ Not Required
~n?~".,•s
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt.lLodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex O 12 Multi RepaidRem. 0 17 Swim Pooi
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch 0 09 12-plex ? 14 Fireplace ? 21 Miscelianeous
? OS SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 ARerations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC I
SAC Units
PERMIT
; CI+rY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Permit Number: B U I L D I N G
Eagan, Minnesota 55122-1897 033889
(651) 681-4675 Date Issued: 11 / 0 2/ 9 8
SITE ADDRESS:
884 SUDBERRY LANE
LOT: 18 13LpCK: 2
SHEFFIELp
P.I.N,: 10-67600-180-02
DESCRIPTION:
8ud'lding Ipermit Type FIREPLACE
B~iilding Work. Type NEW
ensus Code 434 ALT. RESIDENTIAL
t
` r
~
REMARKS:
CHIMNFY/F ~LING.
!:t:f7Y r:n r.ncn~d
FEE SUMMARY
AA iE:~ 11/02/98 7iME:~ !.'::;::0~.,3
Base Fee
5urcharge Tr::;;
Total Fee ^qi'iF;; tal_L:[FB r-:tR.r:.sTDE INc
o 9na= F;„v sn.on
?i..:e5 900:I. 4073 N I;s~>'r(
900:!. E3s34 =J r „ _ ~
n
CONTRACTOi iWNER:
FTRESIDE COF 70'•;,,,F'r.ecr:r:i.prF, Amo;.;n1;~ :UER NANCY
r
. Qi1 34 SUDBERRY LANE
2700 P f;•.t'~r Q:l
RQSEVILLE ,J ra;;;:p a:r,;: NnNr;Y 1GAN MN 55123
(612) 633-14 551)456-0218
tk?k%KWYl.~f?oyl.:4•X, ~y!•YF>'n ~:,~:Xm":+~~~kikknY.iY.iCik.'b'm:>kur>K5};k i' ~Y~%f:~
II F-
I hereb, application and state that the
3nforma'~..-U„ with a1.1 applicable 5tate o'h Mn.
Statutes and City ot Eagan Ordinances.
~L -
~ APPLICANT/PERMITEE SIGNATURE - UED BY: SIGNAT LIRE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1998 FIItEPLACE PERMIT APPLICATION
681-4675
DATE: ( J ~ C}~ ~ ~ 'Z PERNIIT FEE: $50.50
DESCRIPTION OF WORK: ~ Construct new fireplace _ Alterations to existing
_ Install aas insert onlv _ Install eas tine only
Other
JOB ADDRESS: 9 a~I Sf,{ C) vO1rV q kQ 11
LOT: BLOCK: SUBDMSION/P.I.D. S
APPLICANT (circle one only): OWNER ONTRACTOR
I hereby acknowledge that I have read this application and state that the information is coaect
and agree to comply with atl applicable State of Minnesota Statutes and City of Eagan
Ordinances.
Nazne: 1+e Ll e 1n )/V C il G U Phone
PROPERTY Last First
OWNER
Signature:
Street Address: fn P 62uU
City ~ Clcj~;( r State: Zip:
?
Company: I`1NPciiQ&vl4II1GXRY'2sillQ- Phone#:
FIREPLACE n
INSTAI.LER Signadue: ~ G A/(.~l L-l
Street nddress: 3KSn UJ, VUJI 4 3 License #^~C 0 V ?0 9l~
ciTy 0:2U 6VVs VL%P_ state: l~' 1 j 1 1. z;p: S~
' Company: Phone
GAS LINE `
INSTALLER Signature:
Street Address:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 F'veplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERALINFORMATION •
Census Code. 434
SAC Code O]
REMARKS
Chimney/flue must be inspected before concealing.
PERMIT
Cl, f OF EAGAN ~UILDING
383' lot Knob Road PERMIT TYPE:
Zag , innesota55122-1897 PermitNumber: 033421
(612) 681-4675 Date Issued: 0 9 J 2 3/ 9 8
SITEADDRESS: 884 SUDBERRY LANE
LOT: 18 BLOCK: 2
SHEFFIELD
P.I.N.: 10-67600-180-02
DESCRIPTION: REPLACE WINDOWS
Bu.irl:tll`Mg-iPermit Type SF (MISC.)
B.bild3ng "f+3ork Type REPAIR
,Glensus Code j 434 ALT. RESIDENTINL
~
9i
_~.t.
~\..r
`
k ~
REMARKS:
FEESUMMARY: vaLuaTIoN $4,ee0
Base Fee $87.25
Surcharge $2.00
Tota1 Fee $59.25
RE'TYEWFIL'~'1r'RNDERSEN T PP 115024777 20040630 Q~WNER: NANCY
350 73R1] AVE NE 8 884 SUDBERRY LANE
FRIDLEY MN 55432 EAGAN MN 55123
(6~12) 502-4777 (651)456-0215
I hereby acknowledge that I have read this application and state that the
informaticrn is coMrect and agree to eomply with al1 spplica6le 5tate ¢f Mn,
StatuCes and Gity of Ea9an ardinances.
I 1~-~-Kl
APPLICANTlPEFMITEE SIGNATURE I SUED BY: SIGNATl1RE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAtiAN
3830 PII.OT KNOB RD - 55122 c
33 q a I 681-4675 Cl' a" J •
New Construction Reauirements RemodeVReoair Reauirements
~
? 3 registered site surveys • 2 copies o1 plan
? 2:opies of plans (inGude beam & window saee; poured tnd. design; atc.) ? 2 site eurveys (exterior addRions 8 decks)
? 1 energy ralwlations ? 1 energy calwlatlons for heated adddions .
? 3 copies of tres preservation plan if lot platted aRer 7/1l93
required: _ Yes _ No
DATE: CONSTRUCTION COST;
DESCRIPTION OF WORK: ZoZ0,A-e- 3 wcnd~ cn `7iJnu t.Jz~"-C-~ Cff7~t~~ Ul-e-f~~-d-~
STRE ADDRESS: $g~ ~1_~a.n~~. _
LOT: BLOCK: SUBD./P.I.D.
Name: ./,l.Q/1 j Phone#:
PROPER'CY Last F"rt
OWNER ` rf
Street Address: q L~~'
L
City CCCQyQ~ State: Zip:
Company:`)1-494~~ar~~ Phone#: SSO 3-"~l7?7
CONTRACTOR -p
Street Address: 7,3 ~ ~ . ~ C-, License # C3,00 L-l 0 (o -.:;o
City State: 7n Zip: 5s,1;3z,,-
AkCHITECT/
ENGINEER Company: Phone k:
tJa.~PReg:s*_re?icn
Street Address:
City . State: Zip:
Sewer 8 water iicensed plumber (new construction ony): . Penalty applies when address chanc
and lot change is requested once permit is issued.
I herehy acknowledge that I have read this application and state that the infortnation is correct and agree to compty with all applicab
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
I~
- 1,
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
LI l!
Tree Preservation Plan Received _ Yes - No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
13 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ? 16 Basement Finish
O 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
O 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Pubiic Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex O 15 Deck
WORK TYPE
? 31 New ? 33 Alterations 0 36 Move
1-1 1e~. I1 AA po~Rjr 71 33 7 11..vl:t'''m
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinkiered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq, ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Fieir r:eview
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SM/ Permit SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
CITY l'Jr EAGAN
CFlahI:I:E:Re S 7EFtMINF1L. NQ^ 809
DATF..x 09/25l98 T'IhSF..; iJ:I.U.°.GJ
IIi a
NAMF_. FL.DER-JOh['S
3?i.0 9001 8E34 SUDEtFRRY L.N 87.25
2155 9001 4384 SULik3CRRY LN c'..°OU
Tot,al I;ece:ip+, Amcrun+,,, 89.25
CfiO3 i' i 35
USI"R II+: NANCY
X~%k~FmX~%tXt ~XYF%~~kX~~F ~Y ~F?X mX~%~ # ~k~k~~X~Y%c~k~F~lm~~ta; ~#Xc~k
w~.
1 Y ~
1987 BUILDING PERMIT APPLICATION - CITY OF EAGAA
SINGLE FAMILY DWELLINGS
IHCLQDE 2 SSfS OF PLANS, 3 CERTIFICATBS OF SIIRVEY, 1 SET OF ENERGY CALCOLATIOAS
HOTE: ADDRESSES FOE COHNEH L02S - COATR9CTOR/HOMEOWNER HIIST DESIGHASS AHICH ADDRESS
IS DFSIRfiD. NO CHANGSS WILL BE 9LLOWED ONCE BQILDING PERMIT IS ISSOSD.
MOLTIPLE DWELLINGS - RFSIDENTIAL REdTAL DNITS FOR S9LE DHITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECB iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COI+RlERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
~
cx~
To Be Used For: f C~ Valuation: #!400 Date: ~1-15- gZ
Site Address ~ n y S-"deh~ z*,v Z. OFFICS IISE ONLY
Lot ~ Block On Site Sewage_ Occupancy
MWCC System Zoning
Parcel/Sub SYel{cl n On Site Well Type of Const
City Water (Aetual)
Owner o oNf}Ho e~ (Allowable)
' pn ` 0 of Stories
Address G
j~gy ~Sud1Y1e?~iQ., A./ Length
• Depth
City/Zip Code S.F. Total
~ Footprint S.F.
Phone (/,bha~ Q - 7,rl y wl~ ~ZZ_ g' APPROVALS FE&S
pWnie ~ Assessments Permit (PD.
Contraetor ~
Water/Sewer Surcharge ~
Address Police Plan Review
Fire SAC, City
City/Zip Code Engr SAC, MF7CC
Planner Water Conn
Phone Council Water Meter
Bldg Off Road Unit
Areh./Engr. APC Treatment P1
Varianee Parks
Address Copies
TOT9L
" City/Zip Code
Phone 0
. m .
- - - -
_
Certificate For: ~
36sephi M. Miller Construction
19133 Cedar Avenue So. ,
Farmington, MRd 55024 , . .
- . :
DEtMAR H. SCHWANZ
uAHOSUnv[vow~ ~n&.
AM,stwp UeVV l~$ N TY {Y[o of Yim~L
297E - 146Ti1 $tREET W. - Bp7( M 110fEMpMIT, WMNECpTA 66M "IOME 612 438-I70
'
~ x y • SURVEYOR'iCERTIf?GRTE
s uOB~RRY L?4f~lE .
e ~
60.0o N69 57o~V~ . , 3
-
,p oen~D~wE
~Wm.r
~ ~T Il ITy ry ~ ~ ~ry , '
ll~' ~ i
LN K) ~
~ ! I -zzn- ~/3.a• O
(f~
I~ P I 1' i
\ 1 ,Y>
~ 4 N.o?5E get kood hub
~U)
o- Property corner-iron
'Q 'i3.o . 34 n,.o• Q ' 9 sExieting elevation
Propoaed elevation
~ ~~z; : J,,~ ~ ~ • -
~ P r o p o e e d g a r a ge floor elev at ion
0
o Propoeed top of block elevation
5 Propoaed bashment floor elev.
Z ~ I
!
LoT 1g :z
L_ - --1
(o O. Q7 ~ B9°44' 35' yJ
I hereby certiPy that this is a true and correct repreeentation of
Lot 18, Block 29 SHIIFFIELD, according to the recorded plat thereof,
Dakota County, Minnesota. Also showing the location of a propoaed house not ataked thereon
as of April 3, 1984;
J(,~ o ,
I^..N ~I ~•L/ ~ N247 MINNESOTA 11EGKTRATO. !
2/84
CITY OF EAGAN
APPLICATION FOR PERMIT
' SEWER AND/OR WATER CONNECTIODI
(PLEASE PHINT)
1) PrtOPIIZPY ADDRESS: 884 Sudberrv
r•FrAr• DESCRIPTICN: Lot 18 Block 2
(Lot/Block/Subdivision or Tvt Parcel I.D. NLUnber)
IF E.^CZST=_'-:fi STnLC^'[7'2E, = .^F OR?GiNiPS~ :;;I:-D?`IG P=RAIT ISSJPNG::
PRESE.]T "C'7IPN:/P?ZOPOSED IISE: 'E% R--1 SIIvGLEE F3:-ILTY
? R-2 GUPLEX (7W0 UNITS)
p R-3 2CwMi0USE (TI-IREF + I7NITS) ( i]NITS)
? R-4 APARB`~7T/CONI?0'NIn7IUM ! Wi ITS)
? COMA"fERCIAL/REI'AITi/OFFICE
? II`D' US`T'RTAT,
p INsTZ7vTlorAs,/cov~r
2) APPISCANT (PLEASE PRINT)
DUM: Joe Miller Construction
ADDRESS: 18133 Cedar Ave S0.
CITY, STATE, ZIP: FarmLriCJtOlly iwinn 55n24'
pgpiNE: 454-4753
3) PLUMBER PLEASE PRINiJ FOR CITY USE ONLY
NpME_ McGuire Mechanical Services, Inc.
PLUMBERS LICENSE:
ADDRESS: p 0. BQX-219 M pctive
CITY, STATE, ZIP: Lakeville Minn. 55044 0 Expired
` 02751M7 = Not of Re~d
PHONE: 469-4988 PLUMBER LICENSE # 0
a nitia
4) OCCUP~/aINER NAP4E: (PLEASE PRINT)
AUDRESS: A CITY, STATE, ZIP:
r i
PHONE: s
;
5) INDICATE WHICH PF.RMST IS BEING REQCTESTEp: 1
~ CONriECPION 'ib CITY SEG7ER
CONNEL^I'ION 'in CITY WATEf2
~ 0'I'IER (PLEASE DESCRIBE)
r
6) INDICATE ONE:
? PLEASE HOLD APPROVED PER*1IT FOR PICIC-UP BY ONE OF A&JVE
? PLEASE MAIL APPROVFD PERIIT TO 1, 2,(0 4 71BWE
(Circle one)
7) SIaIAZURE: DATE:
~ m
• . a
F O R C I T Y U S E O N L Y
PERMIT ISSUED
FEES: $ SEWER PERilIT (I'ICLliD-1 SUP.CHARGE)
$ WATER PERA1IT (INCLUDE SURCHARGE )
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATIOIV STOP)
$ SF,WER TAP
$ ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
$ WAC
$ SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRi7NK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ ~ OTHER
$ TOTAL
$ / a a ~d AMOUNT PAID/RECEIPT #
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUE? BY THE
~ NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUIIJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: C~~d_~o
TITLE:
DATE :
~~w~~
W(Z~7 PLUMBING (RESIDENTIAL) 11b'so
Permit Application
City OfEagan
3830 Pilot Kno6 Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date 6 / z A l ~24 (J~
Site Address p Unit #
PropertyOwner cvi~ Telep6one#fol-111 4 y~7=
Contractor
Address City
State Zip cSa' Telephone# f,j2)
The Applicant is _ Owner _ Contractor _ Other
Septic Sys[em New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5J8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Water softener. _ Water heater $ 15.00
replacement _ additional
State Surcharge $ 50
Total $ IS. J()
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurete; that the worl: will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is noi n
permit, but only an application for a permit, and work is no[ to start without a per that the work will be in accordance wiih Ihc
approved pin the case of w®rkhhichh requires a review and approval of plans.
~
Applicant's Printed Name Applicant's Signature
Use BLUE or BLACK Ink
r
For Office Use 7 / I
Permit City of Ea Rd~ 0~-~-~ 4
Permit Fee: f I
3830 Pilot Knob Road I c I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: C~ '1-3 Site Address: v k i,_) 6q6 /t YJUnit#:
Name: n Y_,, L y f r= y ~l zr~~ Phone:
Resident/
Owner Address/ City/ Zip: 5 22 It S V r7 y L AJL)n e;- 7 J/I
Applicant is: Owner Contractor
Type of Work Description of work: l U U U r
Construction Cost: Multi-Family Building: (Yes / No )
Company: C LC~/i~ i 1Gt ~~L Contact: 1
Address:``/C' A-A ,v. L Contractor city: L [3
State: -MAJ Zip: Phone: U -7 8? - P_ / CE
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
f the information may be classified as non-public if you provide specific reasons that would permit the City to
1 conclude that they 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.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 Minne ota ate Building Code must be completed within 180
days of permit issuance.
x I) Lq Ur,- L Ld /ZA "i x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
. r________________�
I For Office Use �
I ~ ��I �
Clty of���a� ; Permit#:
I b� �
3830 Pilot Knob Road � Permit Fee:
Eagan MN 55122 � j
Phone: (651)675-5675 � Date Received: �
Fax: (651)675-5694 � �
� Staff: �
�-----------------�
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial appli a ions.
Date: Site Address: �� ����"" � �� '
Tenant: Suite#:
��. .. � h
�__- - $.
F� '�� � Name: �'GP.�1 C�. �....��rQ<!" Phone: �� �' �'� � ' �� �
��
[
Address/City/Zip:
�
� _ Name: v ` � � License#•
�- r Address: LP d��o d'�l� �/� � Ci . ���r �
����.�: ,�y . �_:
��_ �_ � State:,�d�Zip: � �� Phone: �D���'C��/ ��� �
:-��� � � Contact: Email: `���`C ��� �'�'•��
�.-
�� �
��� f New �eplacement Additional Alteration Demolition '
�t�� �_ �
.����y� m Description of work: � ��
�_
� : � _ f�.. OT � c�o���,�te `�� �ru�++�. � 4�c ��
�--�
~�� � ._ ' „�� .��.'ti��G'� Q�Tl�Cr��� !�
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, , _. ...: -.� � � � . _e.. .: m ,: �
�� � ,._ �'� _.
' ��� ���-'� �''` `�� RESIDENTIAL COMMERCIAL
�
��" �� Fumace New Construction Interior Improvement
��Y _ Air Conditioner Install Piping Processed
'_ � -� �� � —
���` � Air Exchanger Gas Exterior HVAC Unit
�,�.� � � — _
`-� �� �# � �� Heat Pump ��� Under/Above ground Tank �Install/_Remove)
,���„�� — —
���� �� Other
_;��:� .-�.
a�.
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
'If contract value is LESS than$10,010,Surcharge=$5.00 =� Surcharge"
"`If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
*""If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
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 undecstand 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 ase of work which requires a review and approval of plans.
p C
X ��� �C vl��✓� '��.
Applicant's inted Name App' s Signature -
u��. . , ._ _ #_ _�- �._
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141162
Date Issued:02/23/2017
Permit Category:ePermit
Site Address: 884 Sudberry Lane
Lot:18 Block: 2 Addition: Sheffield
PID:10-67600-02-180
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:Siding repair - front elevation near front door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Nancy C Heuer
884 Sudberry Lane
Eagan MN 55123
Roof Time, Inc.
6190 White Drive
Prior Lake MN 55372
(952) 447-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153157
Date Issued:11/27/2018
Permit Category:ePermit
Site Address: 884 Sudberry Lane
Lot:18 Block: 2 Addition: Sheffield
PID:10-67600-02-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Nancy C Heuer
884 Sudberry Lane
Eagan MN 55123
(651) 456-0218
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156991
Date Issued:07/29/2019
Permit Category:ePermit
Site Address: 884 Sudberry Lane
Lot:18 Block: 2 Addition: Sheffield
PID:10-67600-02-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Nancy C Heuer
884 Sudberry Lane
Eagan MN 55123
(651) 456-0218
Boys Mechanical Inc
490 Villaume Ave, Suite 300
South St. Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature