891 Sudberry Lane
CITY OF EAGAN
3834 Pilat ICnob Road UYER SERVICE PERMIT
P. O. Box 21199 PERM6?u7 ~
Ea9~, MN 55121 FT NO.:
Zoninp: n ~ D^TE:
Owner. No, of Units:
. Address: '
Srte ^ddress; fi91 Sud~e I,ane L11 BI Stzeffield ~
Plum6er: "cGuire %fech -21-R3 39451
~~~~.I, w+eh w c~,, ~ E.,,. c,,,?»cr,a, a - p ~
Ordiis.,ese, oMs: _ 425 00 p~
Accoun! Deposit: ~
Pen+nit Fee: 1 Qfl r, d
gY Surcharpe: .5n nd i
Dote of 1 Mtsc. pq~s; '
nsp.:
Insp.: Totd:
Dote Paid: 1I
1
CITY OF EAGAN WATER SERVICE PERM[T ~
.3C30 1Dilot Knob Road PERMIT NO.: ;
P. O. Box 21199
Eagan, MN 55121 D/~TE:
No. of Units: 1
Zoninp: '
ownar rneo-~h '-{f 1 1 PL CAnset _ I
/lddref5: ,
Site /lddress: ~Q
Plumber: "c~uire ~tech 450,~n~ AAeter No.: Co~nedia+ Gharpe: I
5ize: Account Depostt: 1~ . ^r) ;~d
Permit Fee: .50 ~
~teoder No.:
1 ayrM M oomPly wIM° IM Cih of go"w Surctwrge:
~~n~ Misc. Choryes:
Total:
Dote Poid:
ey
Dote of Insp.:
, cirr oF E?GAN
9745 'llot Kno? Reod Eagen, MN 55121 '
PHON[s 454-S100
BUILDfNG PERMIT Recelpt
Te bo wed fe. SF DWG/C=AR Est. Volue $57,000 Date October 20 _ 19 j
Site ^ddreu 691 u erry ane R-3
Erect 4 Occuponcy
t.ot 11 elock 1 Sec/Sub. Sheffield Alrer `
? Zoning
Parcel # 10-67600-110-01 Rspair ? Fire Zone `
Joseph M. Miller Const., Inc. Enlorye ? Type of Consr.
ae Name
~ 18133 Cedar Ave. So. Mova Q Storie
llddress Demolish p Length_~_
~i T'armin~tou Phone 454- #.753 Grode ? Depth Sq, Ft.
~ eT Approvals Faes
Nume
JU4
~ Assessment Permit
a~ Address
.
U~ Cit Phone Woter E~ Sew. SurcFarge ~
Police Plon check~~
-
~W Name Firo SAC ~UU
~
^ddress Enp. Woter Conn. 450.00
~ W Ci phone Plunner Water Meter ~
Council Rood Unit
I hereby acknowledye that I heve reod this appliwtion and state that gldy. Off.
fhe iniormation is correct and ogree to comply with all applicable
5late of Minnesoto Statutes and City of Eogan Q?dinances. APC Totol
Slpneturc of Permittea en nst Inc.
A Building Pe?mit Is issued to: on the axprcss wndiNon thn?
all wo?k sholl be done in occordonce with oll opplicoble Stote of MinnMto Statutes ond Ciry of Eopan Ordinonces.
Building Officiol '
Parmit No. Psrmit Holdsr Mise. Psrmit No. Holdar
Plumbing 3 l Qq C&.t Y/'' -(p T31
H.V.A.C. lf7 3 h~f'O ~i Il"~ -r3
Well
Water
Disp.
Sawar
Ekctrie
r ~
A
i~.ccion wte insn. otn.?
Footinpg /0'ly~
FountVtion r~
Fnminp
Rouph PIb4. .
Rouph HVA
Inwlation j
Final Plbp. ~ .
Final HVAC
Final _ 8 zu~
Weter ~ibe Location: •
YVell
Sswsr
Pr. Qwp. .
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print /egib/y Tot.
1. Date 2. Installation Cost
3. Job Address Loti_Blk. Tract -~4'"' '
~
~
4. Owner /7
5. Contractor i Phone
~
6. Address
7. City State Zip _ -
8. Building Type: Residential Commercial ? Institutional O
9. Work Description: New C~, Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Draintield
~ Bath tubs Septic Tank
Lavatory Softner
j_ Shower Well
Kitchen 5ink
UrinalJBidet pffier i-Vd
Laundry Tray l o( l. J.',
/ Floor Drains ~---T
/
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 ordinanoes and codes governing this type of work.
: . ,
Signed : ` for
~ Rough final
Inspections: Date Insp. Date Insp.
This is your, permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt MECHANICAL PERMIT Rermit No.
CITY OF EAGAN
Fee
fi11 in numbered spaces S/C
Type or Print legib/y
Tot.
1. Date 2. Installation Cost
i 3. Job Address j Lot ! 1 Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residentiai ~ Commercial ? Institutional ?
9. Work Description: New El Add ? Alter 0 Repair O
10. Describe Fuel Type
11. No. Equioment 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
oomply 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 454-8100
~ CASH RECEIPT ,
. ;
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DA7E 19
RECtIVtD
FROM
AMOUNT $ I
& DOLLARS
? CASH []CHECK
FOR
FUNO CODE 0.MOUN7
Than o
BY
J White-Peyers Copy
Yellow-Posting Copy
Pink-File Copy
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fi!l in numibered speces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City ! f~_%L~' • State Zip 1 J'` •
8. Building Type: Residential Commercial O Institutional El
9. Work Description: New La Add ? Alter O Repair ?
10. Describe
11. No. Fixtures = • No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs $eptic Tank
Lavatory ~ $oftner
Shower Well
Kitchen Sink
UrinaUBidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all_ordinances and cgdes governing this type of work.
:
/
Signed : for
,
Rough% Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
~ - .
~
CITY OF EAGAN Remarks
Addition SHEFFIELD ADDN Lot 11 131k 1 Parcel l0-6760o-1i_n-o1
Owner Street 891 SUD$ERRY LANE State EAGAN MN 55123
Improvement rDate Amount Annual Years Payment Receipt Dau
STREETSURF. al 28.68 1.43 20 Z2.96 CQd$$2Q 2-19-83
STREET RESTOR. 1$ 84 178 09 17 81 10
GRADING 81 91.10 6.07 15 66.g2 C008820 2-19-83
Sewer Lateral 81 152.98 10.20 15 112.22 C008820 2-19-83
SANSEW TRUNK 1981 63.30 4.22 15 46.42 C008820 2-19-83
SEWEF LATERAL 1.(~$1 9•50 6•43 15 7'].22 C00$$20 2-19-83
Sewer Lateral ~i/ 1982 65.06 4.34 15 52.07 C008820 2-19-83
WATERMAIN 1981 128.08 8.54 15 93.96 C008820 12-19-83
• WATERLATERAL Z 1982 8.13•21 15 3$.53 C00$$20 2-19-83
WATER AREA 0 1981 63.30 4.22 15 46.42 C008820 12-19-83
• Powerline 1982 15
STORM SEW TRK 1985 456.09 91.22 5 6. D SZ-2,Mfel
I STORM SEW lAT DI'Silla e 1984 91.75 9.18 10 91.75 C008400
pqt s G o •03 0o z
CURB & GUTTER
SIDEWALK
STREET LIGHT
Bm 7
1985 1941.64
WATER CONN, 450 if
.00
BUILDING PER.
SAC
PARK
HOUSE HEATING TEST RECORD
ADDRESS ~ -'s-?'i! APT. ~-F"LOOR CIN,~A- P-~ SU8UR8
OCCUPANT-261 :.d. •r . OWNER
HEAT LOSS DAT G. INST. 72
~n In~~pp /
SOLDBY INSTALLED BYVI~o: L Jr
Electrical Worl By !rA Gas Line By Q/er. n,.n r' N
TYPE OF HEAT GA FA V HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE~~.-~k MAKE OF BURNER
Model z Model
Serial 2 135 . G Max. BTU Rating
INPUT agropla MAKE OF FUFNACE
Model
CO ROLS
THERMOSTATc~~- Heat Plug_ Vent Size
Valve KIND OF LINER y1W, SIZE NONE
Limit Draft Hood egulator
Limit Setting Filters Size k OI Number ~
Fan Setting 3 himney Location Inside Outside -
Pilot Type L Cmney Construction
Pilot Make
Pilot Model Smoke 8omb Wiring
Pilot Timing Draft Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
•r ts
Pressure ~g PercentCOZ DateTested
Input CFH Percent Oz CompanyTesting ~~G ? ~
Stack Temp. Percent CO 0~/ s Name of Tester
Form 235 ICP8609098
CITY OF EAGAN NO 8~9"~
9795 Pilot Knob Rmd Ea9an, MN 55127
PHONEs 454•8700
BUILDING PERMIT Receipt # 29V.S__1
Te 6s med fer SF DWG/GAR Est. Value $57,000 pote October 20 1983
Slre Address $91 Sudberry Lane Ered ga Occupancy R-3
Lot 11 glak 1 5ec/Sub. Sheffield Aiter ? Zoning R-1
Porcel # 10-67600-110-01 Repalr ? Firc Zone NA
Enlarge ? Type of Const. V
m Nome .7oseuh M. Miller Const.. Inc. Move ? # Srories
Z Addrass 18133 Cedar Ave. So. pemoiiah ? Length 39
~ Ci FartninQton phom 454-4-753 Grade ? Depth 46 Sq. Ft.-
°L Nama -OWReT AyP•evab Fees
0
ou Addreu Asussment Permit 30 .00
u~ Cit PFwne Water 8 Sew. SurcFarge 28.50
F-. Police Plon check 152.00
U W Name Fire SAC 525.00
i~ Address Enp. Water Conn. 450.00
iW CI Phone Plonner WoterMeter 60.00
Coundl Road Unit 250.00
I hereby ackrwwladge that I hove reod this opplication and state that Bldg. Off.
the information is correct and agree to wmply with all opplica6le APC Total $1769.50
State of Minnesota Sfotutes and City of Eogon Ordirwnces.
Signature of PertniMee A Buildiny Permir is issued ro: Joseph M. Miller Const. , Inc. on the express condinon thn,
l~f~nesota Statutea and Ciry of Eayun Ordinonces.
oll work shall be done in accordance wifh all ap ' ble Sfate of,-~- ~'~`'O -J
/
Buildiny Of4iciol
of.nratP ans ;
~e
Pux~CCac-~,_,_R P~'r • Mt ot amw , . .
` ' va~~r~on
to gs wea rar ir,nrs n~
siti. Aaiar...= "as
' sec./8~.
soe ucw
~esrosl h rb ~ co z ~ o ~ - ~ ( a ~ 61
AM
city/zip 03M.
~b
Phorr
A~
f'L t
-T
1?]ae? ar~* ~ya
~ . ,
FOiiaeRs~. ati?/Zip Dosf0 ~ ;g~.
_ xzz~ ~
Pl~a~e /s ~ 1~t~tt A~IsEP~ ` .
~ Aod wit
11tct,•h./pix).: mc • ~
llddtSMa •
w~t.~ -7 47
Coft_ 1~ ' ~ ) ry S o~ ~
rY
~i
~t . . . . . . ~ ~ . ~ - , -~a.~~.'•F'.3''.
i - . . . . . , . . .
This equ . oid
18'rtqn(hsTrom ~ lT1~79
A 1 30 83 ~3d.5a
Rep~~~-ate-~ ire No. ReQU~n Insp?ec[ion ~qeady Now JI NotifV Inspec-
9 es N~ [or When Ready
icensed Elecvical Convactor I hereby request ins0ection of above
? Owner . eleclrical work installed et
Street Atldress, Bo. or ute No. City
$91 ~C1eYl
ecLOn o. Townshlp Nam or No. Range No. Count
Occupant (PRINT) , POOne No.
~ 753
ier ress
P er Sunol Add
• lVV ~
Elecvical Corttractor ICompany Namel' ontractor's iconse No.
Mailine A Jress (COnttactor or Owne Ma mg In ' a[ionl /
V>llE. 55~3
Au[horize $i n wre lC ctor wner Makiny,ln t IalioN 1 Phone N mb r ~
S9 -
MINNESOTq STATE BOAHD OF ELECTRICI THIS INSPECTION FEQUEST WILL NOT
Grig9s-Midwey eltlg. - Boom N-191 gE ACCEPTED 6Y TNE STqTE BOARD
1821 UniversitY Ale., St. Peul, MN 55704 UNLESS PflOPER INSPECTION FEE IS
Phone 16121 29]-211'I ENCLOSED. -
REQUEST FOR ELECTRICAL INSPECTION es-ooooi-oa
" 1/0/ ~3
110 ' See instructions for completing this form on back o1 yellow copy. ,/A
A'`~f ""X" Below Work Covered by This Request X~~~ ~
F Pep. TyOe ol Building Appliencea Wired EquiUment Wired
Home Range Temporary Service
=Farm Water Heater ightiny Fixtures
Dryer Electric Heatin
umace Silo Unloader
Air Conditioner Bulk Milk Tank
~nar oeci v ~mc~ fsnc~;tfvl
Other Oth.r
ompute Inspection Fee Belaw
N Fee ServiceEnhence5ize d Fee Feaders/5ubfaeders N Fee Circuits
0 to 200 qm s 0 to 30 qm ~s ~ 30 Am os
Above 200 qmps 31 to 100 Amps 31 to 100 Amps
Swimmin Pool Above 100_Am s A6ove 100_Am s
Transiormers Irrigation Booms . Partial:'Other Fee
Signs Special lnspection S
Nemarks TO 7FEE
O~-
Pough-in P}1eJ'7~ I, cbical
• ~ / Inspacb~, hereby
certily that tha above
Final D'~1i7`S inspection has baen
f ~ /r 7 narda.
This raquest vmC 18 monlhs irom
RESIDENTIAL MECHANICAL
ly ~YJ ~ Permit Application S? J J`l
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings & Townhomes and Condos when pemvts are required for each unit
Date 1 / )~1 / D~3
Site Address Ln y UC_, Unit #
Property Owner I m Telephone # { )
Contractor 1~ ~Vl~~~+t ~ a, I
Street Address ' I V V-eV Vy~ 1 1-1 City wyl S
Sta[e 1"I Zip 503 Telephone#
Bond Ezpires:
The Applicant is _ Owner ~ Contractor _ Other
Addpn, madification or alteration to eidsting dwelling unit $ 30.00
furnace replacement ~P"Gth~ g~ ~v
_ air exchanger
_ air conditioner _ New _ Replacement
_ other Su
~
~ -
State Surcharge $ .50
Total
I hereby apply for a Residen6al Mechanical Permit and aclmowledge that the informarion is complete and accurate; tUaYthe work will
be in conformance wifh the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlils is not a
permit, but only an applicarion for a pemut, and work is not to start without a~ermit; that the w c will be in accordance with the
appr d plan in the case of work which requires a review and approval of pl
E,nAl tia -I I0 Nsku
Applicant's Printed Name Applicant's Signature
COMMERCIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete foc commerciaUindustrial buildings
multi-family buildings when sepazate permits are not required for each dwelling unit
Da[e Site Street Address Unit tt
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephm^e N( i
Contractor
Street Address City
State Zip Telephone # ( )
Bond Eapires:
The Applicant is _ Owner _ Contractor _ Other
R'ork Type
New construction _Install _Remove Underground Tank
Interior Improvement Schedule inspection during installation or removal of tank
Processed Piping
Nature of Work:
Permit Fee $SOSO Minimum Fee (includes State Surcharge)
Contract Value $ x I% _ $ Permit Fee
• If pemiit fee is $1,000 or less, add $.50 $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Perxnit Fee
$ Total Fee
I here6y apply foi a Commexcial Mechanical Pemvt and acknowledge that the information is complete and accurate; that the work
wID 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 pemut, but only an application for a permit, and work is not to start without a permit; that the wozk will be in accordance with
the approved plan in the case of work which reqwres a review and approval of plans.
ApplicanPs Printed Name ApplicanPs Signature
Appioved By: Inspector Date:
RESIDENTIAL
BUILDING PERMIT APPLICATtON
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construdian ReauirameMS RemodellReoair RaautromaMs
• 3 registered site surveys sMwing sq. ft. of lot, sq. R, af house; arM all rooletl areas • 2 copies of plan
(20% mazimum kt eoverage allowed) . 1 set of Energy CalculaUOns far heatad addNOns
• 2 copies of plan showing beam & wifMow s¢es; poured found design, etc.) . 1 site survey for exterior additions & decks
• 1 sel of Energy Calculatians . Inditate if home served 6y septic system (ar addi6ons
• 3 copies o( Tree Preservation Plan if lot platted after 711193
. Rim Joist Delail Optlons selecdon sheet (bidgs wiU 3 or less unils)
DATE I-I /c>2 VALUAiION '14 0G c~ 00
SITE ADDRES$ _'E59 1 ~3ud L~err u LP r1e MULTI-FAMILY BLDG Y N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT Tc'~.c he nt , ))loc-,P i n ca
M n ZIP 55 I i1
STREETADDRESS Qq ~i i-D--) lv1 CITYL1ecyo STATE
TELEPHONE #'~°64 141oL.a CELL PHONE # FAX #
PROPERTYOWNER C.2rrI 2. 2) flCl'lm@,n TELEPHONE# A C)5 IU5 l
COMPLETE TNIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RiJLES 7670 CATEGORY l MINNESOTA RCILLS 7672
(J submission type) • Residendal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculafions Submitted Plumbing Conhactor. Phone #
Plum6ing system includes: _ Water SoFtener _ L,awn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Conhactor: Phone #
Mechanical system includcs: ~ Air Conditioning 70.00
_ Heat Recovery System rB~
Sewer/Water Contractor. Pho
I hereby acknowledge that I hove read this appiication, state that the informae to comply
with all applicable State of Minnesota Statutes and City of Eagan OrdinanceSignafure of Applicant 11.)~~
~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY " ? 01 Foundation ? 07 OS-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
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
O 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) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundalion) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement 'Demolition (Entire Bidg 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) FinaUC.O.
, Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Watec _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Srone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By , 8uilding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
- .Cert1f1c8to for: Plan No. 93033
• ~ Joe Mil ler Conetruction W~4Co,,,T
18133 Cedar Avs. 30.
Palmington, Mn. 55024
DELMAR H. SCHWANZ.
. ~0 1.AHOSUNVEVORf.ZmG• .
~ qpisIpW UMM "ws ol TM StaN ot MInMw1,
i{- i4asmUT w. - sox r aoe~ouwr. MIrmseo~?A eeas waNe eu usIx~
~ ~ i
~ Ie
~ SpVEYOA"bClRTIFICATE
SCALE: 1 inch - 30 feet
~Q Denotee setback aonumenta
C~~Denotea propoaed elevation
0`i Denotea proDosed drainage
b~~b,o3'
i
Propoead garage floor ~7 !
Drainage 8c
utility Propoeed top of block • g8 1!
I `
~ eaeement ~ Propoeed lowest floor 9G!7
f,.G~-7-
$M ~o
X) I hereby cert.Lfy that thie ls a true and
' c.orrect repreaentation of Lot 11, Block 1,
5H.E"IELD, according to the recorded plat
Q ,~~.^*1 ~ thereoP, Dakota County, Minnesota.
1
?~jo 94.0 /0.0 Revieed to show 'a propoaed house
/094/0,06 N A 1 Auguat 18, 1983
.M~ rh. ~ON~ h I
Note: Elevationa of proposed houae Bubject to
verification at time oP stn.king of house.
o
33 \
60 0o N -SJ-~~
a
~ M
„i G4NE
, ,1/?''l,'_ , ; ,
MINNESOTA HEGISTRATION NO 8625~ ' ~
ity oF eagan
3830 PILOT KNOB ROAD, P.O. BOX 21199 BEA BLOM6IUIST
EAGAN, MINNESOTA 55721 nnoyor
PHONE: (612) 454-8100 THpMAS EGAN
JAMES A. SMITH
JERRV THOMAS
THEODORE WACHTER
August 3, 1984 CopoCHfNBf1°aN
THOMAS HEDGES
Cify AtlmlNSfratar
EUGENE VAN OVERBEKE
Glry Clerk
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
JOSEPH M. MILLER CONST. INC
18133 CEDAR AVE 50
FARMINGTON, MN 55024
Dear Sir:
Our records indicate that the dwellings listed below have been oc-
cupied without a request for a final inspection:
B.P. #8303 - 904 SUDBERRY LN
B.P. #8597 - 891 SUDBERRY LN
B.P. #8964 - 888 SUDBERRY LN
S.P. #8842 - 879 SUDBERRY LN
B.P. #8235 - 848 SUDBERRY LN
B.P. #8638 - 4498 WEDGWOOD DR
B.P. #9015 - 905 SUDBERRY LN.
If arrangements are not made within ten (10) days to resolve these
oversights, this list will be presented to the City Council with a
recommendation for suspension or non-renewal of your contractor's
license in the City of Eagan.
Sincerel ,
~
Dale Peterson
Chief Building Official
DP/js
THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWiH IN OUR COMMUNIN
~
~ L BL CITY USE ONLY
• ' ~ RECEIPT
SUBD. RECEIPT DATE: II ~)-I v0D
PERMIT ii
E000 f'LUM$INfi P'~MTI' (MIDENTIl41.)
crrYoF EwsnN
3830 Pu.oT Krros sn
EAshP,lbrt 55 t aa
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations tQexistingdwelling imuAm fee~~~ 3G , Gv
Describe: ~ ~(r-A $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum • 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $ ~
Laund tra 3.00 x = $
Lavato 3.00 x = $
Se tic S stem newlrefurbished 'requlras MPC lie. 75.00 x = $ !
Se tic 5 stem abandonmeot 30.00 x = $ ~
RpZ new insqllatioNreaidrebulld 30.00 x = $ ~
Rou h o enin 1.50 x = $ ~
Shower 3.00 x = $
Under rounds rinkler irdwenin isunderconswcuon 3.00 x = $
Under round s rinkler ifezisun dweilin 30.00 x = $ ~
W ater cioset 3.00 x = $ ~
Waterheater 3.00 x = $ ~
Water softener if dwelling underconsvucnon 5.00 x = $ i
W ater softener If axtsting dwellin 30.00 x = $
Waterturnaround 30.00 x _ $
State Surchar e .50 $ .50
Total $ G
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge Ihat I have read this application, slate that the intormation is cortecC and agree [o comply with all applicable City ot Eagan ordinances.
It is the applipnPS responsibility to nod(y the propeM1y owner that the Ciry of Eagan assumes no liabiliry for any damages caused 6y the Ciry during its normal
operalional and maintenance activilies lo the faalitles wnsWcled under this permil wilhin Ciry propertyfright-of-way/easemenl.
SITE ADDRESS:
OWNER NAME: : CG~C- C2-TELEPHONE
~~A~ ~ ,n^ ^ C I~ (AREA CODE)
INSTALLER NAME: SC TELEPHONE ~ `7 - LLl
(AREA COOE)
STREET ADDRESS:
CITY: STATE P: O t~J
SIGPIATURE OF P RMITTEE
LOT: BLOCK: . SUBD./P.I.D
4~2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) J~
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 O
651•681-4675
New Construction Requirements Remodel/Reoalr Requirements
? 3 registered site surveys showing sq. ff. of lot, sq. R. of house 2 copies of plan
and all raofed areas (20% maximum lot coveraae allowedl 7 sef oi energy colculations for heafed additions
? 2 copies of plans (show beam 8 window sizes; poured ind. design; etc.) 7 sHe survey for exfertor addilions 8 decks
? t sef of energy calculaNons
? S coples ot hee preservotion plan ft lot platted aRer 7/1 /93
? Rim Joist Detail Opfions selectlon sheet (buildinas with 3 or less unitsl ~
DATE: 10 U CONSTRUCTION COST:
DESCRIPTIONOFWORK: IfmuBi-familybldg.,howmanyunits?N
STREETADDRESS: S ~Jl' S Ua 13 EQA~f LtFlWE-
Name: ~Y}C`~ 1\ v,4 ~ rv 14,20 j ~ Phone#:
PROPERTY ' Lan Fine
OWNER
StreetAddress: S411 s U44zQ2'-(
City ~ i N Sfate: Zip:
7 -Zd4Z
Company: ~4,~1aV Qoi'F Phone#: IV't'J - ¢5'
(area code)
CONTRACTOR
StreetAddress: 2U3s-)3 L,7 1a QLicense# S L1~1 Exp._91
Clty -SState: Zip:
ARCHRECT/
-ENGINEER Comparry: Name:
ielephone ( )
Sheet Address: Reglsiration
Cify Siate: Zip:
Sewer/waterlioensedplumber(Ifinstallinasewer/water): Phone#:
1 hereby aCknowledge that I have read thts applicatton, stote that the information is correct, and agree to
compiy with all applicable State of Minnesota Statutes and City of Ea a Or P ances.
Signature of Appltcant:
OFFICE USE ONLY
Certificates of Survey Received , Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 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 Ext. Alt - SF
O 04 02-plex O 10 OS-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi
? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex p 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair
? 32 Addition ? 36 Move Bldg. ? 43 Reroof ? 46 WindowslDoors
? 33 Alteration ? 37 Demolish (Bldg)' ? 44 Siding
0 34 Replacement ? 38 Demolish (Interior)
• Demolition (Entire Bldg only) permit - 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 Width
. INSPECTIONS REQUIRED
_ Footings: New Bldg _ lnsulation _ Windows-newheplacement
_ Foo[ings: Deck _ FinaUC.O. _ Siding
_ Footings: Addition _ FinaUNo C.O. _ Stucco/Stone
_ Foundation Fireplace: _ r.i. _ air test final Roof: _ ice & water _ final
_ Framing Pool: _ frgs _ au/gas tests _ final
APPROVALS
Planning Building Engineering Variance
- - - - - - - - - - - - - - - - - - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Totalr
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115409
Date Issued:09/25/2013
Permit Category:ePermit
Site Address: 891 Sudberry Lane
Lot:11 Block: 1 Addition: Sheffield
PID:10-67600-01-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Mitch Husnik
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 -
Carrie L Bachman
891 Sudberry Lane
Eagan MN 55123
Homestyle Builders & Developers Inc
37 Walden St
Burnsville MN 55337
(952) 994-3980
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA155177
Date Issued:05/01/2019
Permit Category:ePermit
Site Address: 891 Sudberry Lane
Lot:11 Block: 1 Addition: Sheffield
PID:10-67600-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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.
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 -
Randolf B Vios
891 Sudberry Lane
Eagan MN 55123
(612) 245-5887
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature