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895 Sudberry Lane CITV 'JF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road pEyMIT NO.: P. O. Box 21199 Eagan, MN 55121 DATE: R 1 No. of Units: 1 Zoninp: Ownsr: _ JQSaPh ~.fi S ler n4t Address: SiM Address: ~n5 S~~y 1 fTA S 1 ~ 91 Shgff i i~1 c: Plumber. 'iCGuu'e 'li%hl, 1 pr« ts eonplr wilb His CIly of Eose¦ C.annsctlon Chorys: 425.00 2„d Ordinenm. Account Deposit: Parmit Fee: Surchorfle: - ' ' BY Misc. Gwryes: Date of Insp.: Total: Insp.: Dote Poid: t CITY OF EAGAN 3830 Pilot Knob Road WpUR SERVICE PHtMIT P. Q. Box 21199 PERMIT NO.: _ 5102 Eagan, MN 55121 DATE: zonirg: r 1 No. of unlts: 1 Owner; Joseph Xiller Const Addross: site Add,on; 895 Sudberr [.ane L12 Bl Siieffield Plumber; ,tC .riull'0 MCC}1 AAeter No.: C«,nectia? Chorye: 450.00 pd Sixe: Account Deposir: Readei No.: Permif Fee: 10•00 ptl 1 prw to aanolp wiTh !M Cihr of Eayew Surchorge: . SO p O.rl~eneM. Misc. Ct,orOes: j?d s?e2 er Total: BY Date Rold: Dote of Insp.: Inap.: . , CITY OF EAGAN 1 ' 9502 3795 P11ot Kno` Read Eogon, MN 55121 PNONE: 454-8100 BUILDING PERMIT Re~ipt To 6~ w~d fe. ~T' I;1J~/"EJ:. Est. Va~ue Dore September 22 19 83 Site Addneu 895 ''1_:'~errv Lane Ercct ;Q Occupancy R-3 Lor 12 Biock 1 Sec/5ub Sneffield Alter p zon;?,g R-I # `1`T7600- 120-01 Repoir ? Fire Zor~e Porcel . o: en i.. Ililler Const., Inc. En1°ro° 0 Type of Const. ' W Nome Move p # Stories Z e ar ve. o. pe~lish ? Length Z ~ ci Farriir.~;ton 454-4753 Grode p Depth T~''~7 Sq. Ft. ~ . u'[lei' Approval! Feea Name V. .0 " oU Address Assessment Permit 25~~ ~ U~ Woter 6 Sew. Surchorfle Ci Phone 141.50 Police Plan check GW Nome Fire SAC 525.04 Address Enp. Water Conn.'t 50.00 60.00 W Ci p~b Plonner Water Meter Councfl Road Unit 'Ir` • of) 1 hereby ccknowledge ihat I have read this applicotion ond state thnt Bldg. Off, the inlormofion is correct and agree to tomply with all applitabla T~a~ 1%'~'.. . 50 Stote of Minnesota Stotutes and City of Eogon Ordinances. Sipnoture of Permittea Ittc. A 8uflding Pertnit is fuued to: _ _ on ths express condltion thal oll work shall be done in xcordonce with all opplicoble State of MEnrxsofo Stotut" and.Gity-of Eagan'Onlifwnces. j Buildinp Offlcicl Permit No. Permit Holder Misa Permit No. Holder Plumbing 37 q~ C Gl{ 1~. (0 3~ H.V.A.C. Q b Tr- `-~3 Wall Water Disp. S~wer e~ct?~c woZ$$( Inspection Date Insp. ther Footings u1 Foundstlon Framinp W //L $3 ~ Rouph Plbq. p Rouyh HVA pP tionlbg. ~C Final HVAC Final Watsr Dstc?ibe Location: VYell Sewer Pr. Disp. . Q~~~' "G9?' ~ '~~.r" `~"G ' e~?' ~'~i~' +tlKy; ~ ry. . x y 9A ~t . . ' ' .v ° ' ~ ~l \ [i ~'~i~~_5•.`e"~t'i'Ss'.~°~.'~~.'_?.%'~.qr'~'~r`~ir''sE'C« ` . ~ (grrtrf trttfit af (~rru~r~t~tr flf Erpttr#ntmt of luilding Jnoprriinn Tbu Ccrti f icats i.aued pwstutnt to tbt requiscmcntr o f Sation 306 o f tix Unrf om Buildiag Codc ctrtifying thut at the tim of issuama tbis .rtmctm wa.r in compliance with tbe varierrr ra ; ardi~rarues of tin City n8ulatin8 brrildi»8 cohttsrution or xae. Far tJx fo!low4n8: f.J u.ckmkBcUua. SF DWG/GAR eua&r.inuNo. 8502 ~ R3 c~+~ V NA Rl w•ry'rym ryr z~ aw,u~ Joseph M. Miller A&k.18133 Cedar Ave.So..Farmingt~ soldin,?am,.m895 Sudberry L.ane ot 12,Block 1,Sheffield ~ by: November 4, 1983 &-WO-Ificw- ,e*42 a.t.: % ~ ~r ' ~ . ~ .e~c. ~ , pr .a~? ..~a? .a~ . r. , ,u. ~ ( ?AS;,.;~„~,~, "-I-N 3.. Receipt PLUMBING PERMIT Permit No. 17 CI 0 i CITY OF rAGAN . Fi ~Q- ~ Fill in numbered spaces S/C _ SO Type or Prin t legib/y Tot. 20.56 1. Date Sfpt 30, 19 g.131nstallation Cost ~ ~ 895 Suc~berr2 1 r 3. Job Address Yot Blk. Tract 4. Owner Joe Miller Construction 5. Contractor ricGuire Mechanical Phone 4 69-4 9 8 8 6. Address 20715 Aolt Ave 7. City L,a}cevi 1 1 e State Minn_ Zip 55044 8. Building Type: Residential ? Commercial O Institutional ? 9. Work Description: New ? Add ? Alter ? Repair O 10. Describe 11. No. Fixtures No. Fixtures ~ ~ Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner ~ Shower ~ Well ~ ~ Kitchen Sink UrinaUBidet Oth~r~ Laundry Tray ~ Floor Drains Drinking Ftn. Slop Sink ' Gas Piping Outlets ~ ~ i 12. I hereby certify that the above information is true and correct, and I agree to comply with.all ordinances and codes governing this type of work. Signed : ' . . , . _ for Rough Final InspeCtions: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN ' Fee Fi/l in numbered spaces S/C Type or Prini legib/y Tot. 1. Date 2. Installation Cost 3. Job Address Lot ~ Blk. ! Tract 4. Qwner 5. Contractor Phone 6. Address 7. City State 2ip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equjpment 9TU - M. Ea. No. Epuipment 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 1 agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 PERMIT # L PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILQT KNOB ROAD, EAGAN, MN 55122 OATE: CONTRACT PRICE PHONE: 454-e100 Site Address f BLDG. TYPE WORK DESCRIPTION LotBlock ~ Sec/Sub Res. ~ New ' f Mult. Add-on ~ Name s' lQ Comm. Repair ~c AddreU y' ~U'~ ~ie rr- Other ~ City ~-74`! ~r Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - NO. FIXTURES TOSAL Name • t~ WCi Water Closet -$3.00 $ Bath Tubs - $3.00 ~ Address Lavatory -$3.00 p City Phone 4E?- 0 265 Shower -$3.00 Ki!chen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICF GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Oisp. - $10.00 Aough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: . ~ FOFi: CITY OF EAGAN GRAND TOTAL: INSPECTION RECORD CITY OF EAGAN _ PERMIT TYPE: 3830 Pilot K.nob Road ~ Permit Number. Eagan, Minnesota 55122-1897 Date Issued: ~ (612) 681-4675 i r: 1~e : th i4 i_~ L1 - i-^ l SITE ADDRESS: APPLICANT: .11I:. 1 .•:fiY I.ANU I :;ti! i , , • t10 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . ~ , ~ , , . ~ ~ ~ .Lj Permlt No. Permlt Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Commants 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 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN . . , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ 19.15 PHONE: 454-8100 BUILDING PERMIT ReCeipt M To be used tor DE+ K Est Value $1 ,5 0 0 Date MAY 15 , 19 $L- Site Address 895 SUDBERRY LN Erect ? X Occupancy Lot-12 Block 1 Sec/Sub. Shi:FFiNI1L? Remodel ? Zaning Parcel No. Repair ? Type of Const Addition ? No. Stories W Name i°~~rIN W. JAWORSi:I Move ? Length 20 S~~ Demolish ? Oepth 1,.4 o Address InL Impr. ? Sq. Ft City Phone 452-0268 instan ? = o Name `'~'1E Approvab Fees a Address Assessment Permit $ 2 5. 00 ~ City Phone Water & Sew. Surcharge 1. 00 ~ Police Plan Review ~ W Name Fire SAC Address Eng. Water Conn. i W City Phone Planner Water Meter Council Road Unit I hereby acknowtedge that I have read this application and state that the Bldg. Off. 5 14 a b Tr. PI. information is correct and agree to comply with all applicable tate of Minnesota Statutes and City of Eagfn Or ina dP. APC Parks Var. Date Copies Signature of Permittee - Total MART ~W W. AitiORSKI A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applic 1e State of Minnesota Statutes and City of Eagan Ordinances. Building Official ~ I I PormN No. Pm nNt Hafdkr Date Tokphone N Fl+mbin9 IN.V.A.C. ElKlrlc SoMener Inspectfon Date Insp. CommoMs Footlnqs l FooNnqe11 ~ Foundallon Fnminp rP RoMkny Rouph Plbq. Rouph Hty. Inwl. Finplacs FInN Htp. Flnal Plby. &dy. Final Cert. Oec. Dock Ftp. S 1D*ck Frmy. I WNI Pr. DMp. I CASH RECEIPT , CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19--- eacervic FeoM AMOUNT $ I e ooLLwes +oo ? CA$H ? CHECK FOR ~ PUND CODE AMOUNT Tha u ~ BY J White-Payers Copy Yellow-Posting Copy ~bL.. Pink-File Copy . . ,K .r_•- CITY OF EAGAN 3830 Pilot Knob Raad, 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. OnSiteSewape Occupancy MWCC System 2oninq Parcel N o. On Site well (Actual) Const ~ Name City Water (Allowable) W • PRV Required ik of Stories ; Address 0 City Phone `FS?'~..2r)t BoosterPump Length Depth , o Name S.F. Totel z 0 v Address Footprint S.F. F- City Phone APPROVALS FEES _ ~ ¢ Engr./ASSess. Permit W W Name _ ~ Address Planner Surcharge ~ W City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this applbcation and state that the Variance SAC, MWCC information is conect and agree to comply wiih all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinaaces. Water Meter Signature of Permittee Road Unit A Building Permit is issued ta Treatment P1 on the express condition that all work shall be done in accordance with all parks applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Building Official TOTAL _ Permit No. Permit Holder Date TNephone Or Plumbing ,,1~ t~;~~ :;:cc;:-l1•~ ~ > ~Jl H.V.A.C. EleCtriC Softener Inspectlon oate Inap. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. _ Rough Htg. Isul. . y?' . ~ - ~ Fireplace jL tir~ Final Htg. Final Plbg. Bidg. Final ~ ' Cert. Occ. ~ Temp. LP Deck Ftg. Deck Final Well 6~ /~0 1F.~d~!'i • Pr. Disp. CITY OF EAGAN Remarks Addition 6I4EFFIELD ADDN Lot 12 Rik 1 Parcel 10-67600-120-01 Owner Street 895 SUDBERRY LANE State EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1981 28.68 1.4 20 STREET RESTOR. GRADING sq] 11981- 91.10 6.07 15 Sewer Lateral 77 1981 152.98 10.20 15 to of SAN SEW TRUNK 1981 63.30 4.22 15 46.42 of it SEWER LATERAL 595 1981 6. O 6.43 15 77-22 Sewer Lateral / 1982 65.06 4.31+ N15 WATERMAIN 1981 128. o8 8.54 3.96 1 WATER LATERAL 1982 ~F8.16 3.21 WATER AREA 1981 63.3o 4.22 15 46-47 • Powerline 1982 15 STORM SEW TRK q 1985 456.09 91.22 5 o eO o 331 /-17-8 STORM SEW LAT ()TSiT18 e 1984 91.75 9.18 10 91.75 C008501 9-6-83 :i Go ,v3 cc9 v 9 3 -3 /-17- CURB & GUTTER SIDEWALK STREET LIGHT 388.33 / O 3 WATER CONN. 4SO.00 BUILDING PER. SAC n r~ PARK ciTr oF EncaN N° 8502 9795 Pllet Knob Roed Eogan, MN SS122 " PHONE: 454-8100 BUILDING PERMIT Receipr Te M uwd fe. SF DWG/GAR Est. Vclue $50,000 pofe September 22 1 q 83 5ro Addreu $95 Sudberry Lane Erecr gg Occuponcy R-3 Lot 12 elack 1 Sec/Sub. Sheffield Alter ? Zoning R-1 Parcel # 10-67600-120-01 Repolr ? Fire Zone NA Enlarge ? Type of Const. V W Name Joseph M. Miller Const., Inc. Move ? # Stories = 18133 Cedar Ave. So. 41 Addreu Demolish ? Length_ ~ ci Farmington ph. 454-4753 Grode ? Depth 45.67Sq. Ft.- p Name O~''ner ApProrals Faea Assessment Permit ~u Address 279 5.00 ~ Cit Phone Weter 8 Sew. SurcFwrge Police Plun check 141.50 Gw Nome Fire SAC 52$.00 ~W 4~ Addreu Enp. Woter Conn. 450. 00 <W ~ Ci phom Planner Water Meter 60.00 Council Rood Unif 250 00 I hereby acknowledge that I hove reod this applicarion ond srate that BId9• O(f. the intormolion is correct and agree to comply with all applicoble $1734.50 Stota of Minnesota Statutes and City of Eogon Ordirwnces. APC TMaI Sipnature of Pertnittee osep M. Miiler onst.,•Inc. A Bullding Permif Is issued to: on the express conditlon Ihm all work shall be done in occordance with oll oppliwble Stme of Min ta Stat ~ ances. Bullding Official _ L~ . . . Y#''' .I • i ' ~ ~ _ ~ • : ~ . _ ~ d Q 1 5 ~ _ Kt- 0 ~Q^ ~ ~ ~ ~ ~ ~ ~ V ~ ~ ~ n ~ CITY OF EAGAN _ 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551~j7 N2 11945 ~ PHONE: 454-8100 /n ~ /J 7 2 BUILDING PERMIT aeceipts ~f" ~ To be used tor DECK Est. value $1 ,5 00 Date MAY 15 ,198 6 SiteAddress $95 SUDBERRY LN Erect EK Occupancy Lot 12 Block 1 secisub. SHEFFIELD Remodel ? Zoning Parcel No. Repair ? Type of Const Addition ? No. Stories Name MARTIN W. JAWORSKI Move ? Length 20 W Demolish ? Depth 14 o Address SAME 452-0268 Int.lmpr. ? Sq. Fr City Phone Install ? c S~yE Approvals Fees = o Name 0 ¢ Address Assessment PBrmit ~25.00 ciry Phone Water & Sew. Surcharg~~ 1-1 Police Plan Review F w Name Fire SAC ~ n /+ddress Eng. Water Conn. a W Ciry Phone Planner Water Meter ' Council Road UniT Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 5/14/86 Tr.PI. information is correct and agree to comply with all applicabl Stete ot Minnesota Slatutes and City f Ea an Oydin c s. APC Perks Var. Date Copies~,r Signature of Permittee TQtal ~ L b U U A Building Permit is issued to: MART W. AWORS on the express conditlon Ihat all work shall be done in accordance with ic e State f Minn ota e d Ciry oi Eagan Ordinances. 8uilding Official CITY OF EAGAN No- 1 4 8'I P ~ /m, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PH ONE: 454-8100 Receipt # ga-i I Lo To be used for BASEMENT Est. Value $1,500 Date APRIL 11 ,19 88 Site Address 895 SODBERRY LN OFFICE USE ONLY Lot 12 Block 1 Sec/Sub. SHEFFIELD On Site Sewage _ Occupancy MWCC System _ 2oning Parcel No. On Site Well _ (ACtuaq Const . a Name MARTIN W,IAWORSKI cirywater _ (.4llowable) W PRV Required # of Stories z Address_ $95 SUDBERRY LN - 0 BooSter Pump _ Length City EAGAN Phone 452-0268 DeOlh , o Name SAME S.F. Totei ~Q Address FootprintS.F. a City Phone pPpROVAIS FEES ~ a Engr./ASSess. Permit .-~~Q9 W Name ~ i Planner Surcharge 1_.QO z- Address ~z City Phone Council Plan Review aw Bldg. OfL SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is cOrrect end agree to comOlY with all ap licable State of Wa[er Conn. n MinnesotaStatutesandCityo an ipti Water Meter Signature of Permitlee _ y Roatl Unit A Building Permit is issu to: MARTIN W JAWQRWI,_ Treatment P1 oniheexpressconditionihatallworksnallbedoneinaccordancewiihall pyrkyCoples .50 applicable State of {M~i`nn~e~so~[a Statutes and Ciry of Eagan Ordinances. - 35.50 Builtling OHicialn~~,. TOTAL E 9 5 9 0 8 Requesl Dete ~ ire Na. -in Inapection 1 ~ r~.I $g HReady Now ? W~II Notiy lnapeciw Yes ? No ~ ~ V?hen Ready? I ~ licensed contrector Xowner hereby request inspection of above electrical work at: Job Addrass (Streaq 9ox or RoWe NoJ Ciry 895 SuIberr Lctn2. 1~a an Seclion No. Township NamB w No. Rarga No. Couniy ~ta OwupaM (PRINn Phone W. P1art n L"J. Ta~ibrsl~ 52-0268 PowBr Supplier Addreee DakAa 2 tri` Electrical Con[ractor (COmpany Name) Caniractwk Licenee No. rYtarL'h Go.7atiucvs ~ Mailing Adtlress (Contractor or Owner Making Instatlalion) 895 Su loevr La11e av, 1/4 n. 55?~~ Autronzetl Sig Wre (COnv or/ ner Melting I Ilation) Phone Number ' 4~~.-o2G NINNESOTA ATE 90AH0 LECTRICffY THIS INSPECTION REOl1E5T WILL NOT Grigga-MlEway 61tlg. - floom 5-113 BE ACCEPTED BYTHE STATE BOARD 1821 Univerelty pve., SL Poul, MN 55104 UNLESS PROPEfl INSPECTION FEE IS Phona (672) 602-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION eao0001-07 ? See insirucGOns br completing this form on beck of yellow copy. C~ 14-1 E -'9 5 9 0 8, X-' Below Work Covered by This Request e Add Rep. TypeofBuilding A,. qcesWired EquipmeniWired Home Range 'A Temporary Service Duplex Wat oeater Elec[ric Heating ApL Building Dryer Other (Specify) Comm./Industrial Furnace Farm • Air Conditioner Olher (specily) Conhaclar5 Remarks: Compute Inspection Fee Below: 8 Other Fee # ServiceEntrance5ize Fee # Circuits/Feaders Fce Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps 100 _ Amps Signs Inspeaar5 Use Onry: TOTAL Irngation Booms ~ Special Inspection AlarmlCommunication Other Fee I, the Electrical Inspector, hereby p01ah'" f~35 t ~y. oase 4o certi thatthe above ins ection has ' ~Y P Fnai Oa beenmade. OfFICE USE ONLY 4 This request witl 18 months irom ~a 4Th,s,tr,ua= oid L) a, L1 sL~~FF~°el~ 3`IS7 18 months trom ~ W 078814 fleqoest Date ~-7 p Fire No. peuph-ei~ In er.t~on ~qeady Ni v Notify Inspec- ' L O ~NO [or Whon Heady 54ense0 EleGrical Contr:wmr I hereby request inspection nf above ? Owner elecVlcal work instelletl at Sveet Address, Boz or R ute No. City g~s sud 60nM cOL"J_ ra -r~ ecLOn o. Township Name or N Range o. C~tv Nil ~ Q~ Occup~~t~FlIN ~1 ~ I ~r~ i i w Phone No. ..}r' C .LJ\...~irti~s4..~ C.1~+ ~ /7 5~ + / ~I Pow'~ier Adtlress 1.6 t ` L°L Electnr.al Con[ractor ICompany N mel Coi actnr's License Nn. i d Mailing Adtlress Contrector or Owner Makine Ins ilutionl Q7l Sf 54' (J1 ,~53 Authori ed Signat Cont cror/Owner Makine istallutionl Phone Number s4 MINNESOTA STATE BO RD OF ELE Y THIS INSPECTION REQUEST WILL NOT Griggs•Midway Bltlg. - Xoom N-191 gE ACCEPTED BV THE STATE BOARD 1821 University Ave., $l. Peui. MN 55104 UNLESS PqOPEX INSPECTION FEE IS oF 1R11i IQ7_1111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooom-oa ' See irtstruetions lor completing this form on back oi yellow copy. "'X" Be/" o w 4 Y Orp~overed by This Request S-7 EAdd NaO. Ty pe ot Building AOplinntea Wired EVUipmenl WireJ Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Buildinc~ ryer Electric Heatin Comme(cial 81dg. Furnace Silo Unloader InAustrial 81dg. Air Conditioner Bulk Milk Tunk Ferm Other Peri y Other (Sner.ify) t er pecitv Other O1hnr e Inspectlon Fee Below M Fee Servica EntranceSiza p Fee Feeders/Subfeaders # Fee Grcuits 0 to 200 Am s 0 to 30 Am s 0 to 30 Am s Above 200 qm~s~ 31 to 100 Amps S 31 to 100 A s Swimmin Pool Above 700-Am s Above 100_E1m s Transiormers Irrigation Booms Partial'Other Fee Signs SNeciallnspection S TOT Rertw rks N.G Rough-in ~ /(.p I, the Elacvical / Final D. i ce Q~ Inspector, ~e~eby rti~y thnc the above ( 020 [ nsuaciion has been aa. Thlarecuesivoidl8monl..slrom RESIDENTIAL BUILDINC PERMIT APPLICATION • CITY OF EAGAN ' U~(„ 3830 PILOT KNOB RD, EAGAN MN 55122 `F' 651-681-4675 New ConsWCtian Reouiremenb RamodaUReoair ReauiremeMe • 3 registered site surveys shawirg sq. tt. af lot, sq. ft. of hause; and all roo(ed areas • 2 coDles of plan - (20% mazimum lot coverage allowed) • 1 set of Energy CalcWatians for heated addNOre • 2 wpies of plan shoxi`g 6earn 8 windmv s¢es; paured found desgn, elc.) • 1 site swvey (or eztenar additions 8 daks • 7 sel of Erceqy Calculations • Indicate if hame served 6y sepGc system for additwm • 3 copies of Tree Preservation Plan if lol platted after 711/93 . Rim Joist Defail Optiaris selecfion shcet (bldgs with 3 or less wifs) 15' DATE ~-~o -b`~ VALUATION o~ SITE ADDRESS'~~9Cp jkP"A MULfl-FAMILY BLDG _Y _ N TYPE OF WORK!~jA(l.i floL t Re.- FIREPLACE(S) _ 0_ 1_ 2 , - - APPLICANT ~~~V?Q:?V~ ~R~~G?Q~~ ~ ~ll~Q~V~, ~~V~. ; 49 Somh OWasso Blvd. STREET ADDRESS _ lilll@ C8118118, I~UI 55114 C~ STATE_ZIP TELEPHONE # FAX # - J PROPERTYOWNER TELEPHONE# (051 bo2fog . COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ;b1INNESOTA RULES 7670 CATEGORY I MIYNESOTA RULFS 7672 (J submission [ypa) • Resitlential Ventllatlon Category 7 Worksheel Submitted . New Energy Code Worksheat Submitted . Energy Envelope Caleula[ions SubmiUed Plumbing Conhactor: Phone # Plumbing system includes: ~ Water SoFtener _ Lawn Sprinkler Fee: .49 ~ Water Hea[er _ No. of R.I. Baths C~ _ No. of Baths ~ s~ 1r 5 2D02 Mechanical Contractor. Phone # Vlechanical sys[em includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System gy Sewer/Water Conhactor. Phone # I hereby acknowledge that I have read this application, sTpte thaT the information is correct, and agree to comply with Qil applicable State of Minnesota Statutes ond City of Eagan Ordinances. ~ Slgnature of Appllcanf OnAAA-12 OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck 0 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 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 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Endre Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Staries Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footiugs (new btdg) _ Final/C.O. _ Footings (deck) _ FinaUNo C.O. _ Foorings(addinon) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Warer _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Frazniug _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building lnspector Base Fee Surcharge Plan Review MGES SAC City SAC W ater Supply 8 Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , Certificate for: . ' Joe Miller Construction ' 18133 Cedar Avenue South Plan $9044 Flipped Farmington, Mn. 55024 DELMAR H. SCHWANZ LANOSURVEYOR5; zNL, I qlstereC Untler Laws of The Stata of Mmnesota l ~ 2978 - 146TH ST6fE W. - BOX M ROSEMOUNT, MINNESOTA 55068 PHONE 612 423-1768 j SURVEYOR'SCERTIFICATE 4 .lJ/ X SCALE: 1 inch = 31 feet 4-1-~~ ~Denotea proposed finished grade. ~ ( Denotea proposed drainage ~ Drainage & / utility ' ~ ? Denotea aetback momiment easement I ~ Proposed garage floor Proposed top of block 9rs • Proposed basement floor ~ a.-ai (?•~west level) /7 ~ PROPOSED ;i . 7 hereby~ certify that this is a true ~ " "o'~sE and correct representation of Lot ].Z, Im 1433 ~ Elock 1, 5HEF'FIEI.D, according to the ~•f~ ~ 7 i- ;.31 r recorded plat thereof, Dakota County, ~ Minnesota. I ; 7 OAN. ie~ ~ i 8.6>a i 20 9.0 ~ 0 ~D.GO !YF~9-7?-poc•) ~ Revised to show the location of a proposed house July 12, 1983. ~~~-,~•'r/'._,~G~Iit!~ - , r{ ' J • r . , ' . ' MINNESOTA FiEGISTRATION NO 8625 : 1986 BOILDING PERMTP APPLICATION - CITY OF EAG9N AOTE: ALL COATRACTORS MUSY BE LICENSED iiITH THE CITY OF EAGAN SffiGLE FAFIILY DiiE[.LINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DNEI.LINGS - HESIDENTI9L RENTAL DNiTS FOR SALS DNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRYEY - CHEC[ i1ITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COHMRCIAI: INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: ,D~Gk Valuation: Date: 5-9-86' Site Address a9a~ SUq weY'yN1 'y~a:Kp OFFICE USE ONLY Lot 17- Block 1 Ereet _ Oecupancy L` Remodel Zoning Parcel/Sub SkQ~feRepair _ Type of Const Addition # of Stories Owner Mar+ivt [,{l, c1aWO~"5~i Move Length zo Demolish Depth Address 895 51x46ti-rv Int.Impr. _ Sq Ft Install City/21p Code lFdTy\ S5~Z~ Phone 45Z-C)? (~5 APPROVAIS FEES Contractor 5 t lf Assessments Permit 25 Water/Sewer Sureharge Address ~ Police Plan Review Fire SAC City/Zip Code J Engr Water Conn ~ Planner Water Meter Phone Couneil Road Unit Bldg Off Treatment P1 Areh./Engr. SfAPC Parks Varianee Copies Address i0T9I. O, ~ City/Zip Code ~ Phone # ~ NOTE: ADDfiESSES FOR CORNEB LOTS - CONTRAC?OR/HOMEOiiNER MDST DESIGNATEiiHICH ADDRBSS IS DESIRED. NO CHANGFS fiILL BS 9LLOAED ONCE HOILDING PEIaII2 I3 ISSIIED. ~ - _ I ~ - - - ~ rura I~iA C w~cd y~•a . .Z~S k3vlysr a~ rebar - . - - " _ , - ~ _ - _ ( ' _ _ - , - . _ . . ~ . _ . . Vi }~~~.~1t~~. (1 116111 - . r. 1988 BIIILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTR6CTOR/HOMEOWNER MUST DESIGNATE WHICH ADDHESS IS DESIRED. NO CHANGES WII.L HE ALLOWED ONCE BQILDING PEAMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OE SUAVEY - CHECK WITA HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COP4IERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS 'P)AscMerrr Fwt5f-I REC'D APft i ~ 1-488 To Be Used For: ernodelin Valuation: Date: Site Address 895 adherry I-.ane- OFFICE USE ONLY Lot IZ Block ~ On site sewage_ Occupancy MWCC system 2oning Parcel/Sub ShQ ~Ir(~+eW On site well _ Actual Const City water Allowable Owner nlar~IY1 Ld. Tauorsk.i PHV required _ 1i of stories 1 Booster Pump _ Length Address 895sudberr~i WY(e Depth S.F. Total City/Zip Code fz Yl 55123 Footpri.nt s.F. Phone ~}J~ ~0268 APPROVALS FEES Contractor Engr/Assess Permit 34.00 Planner Surcharge 1.a., Address Council Plan Review Bldg. Off. SAC, City City/Zip Code Variance SAC, MWCC Water Conn Phone Water Meter Hoad Unit Areh./Engr. Treatment P1 Parks Address Copies ~ TOTAL 3515D City/21p Code Phone If lIIT4' flF'' GAGAN cAssHIEri; s ri.R.Mzr!ai_ NO- 50, DnrE,; 07i2e3i97 r:r.Mi.=: t::;.tsr;,.::,c, 1n hdrl?i1:_;i "i' f:lF' MN :CNf.:; E.'.1.',:'i5 `_)fi[):I. i:f.C10 32:LO "dC}OJ. 895 BIIBI3[::Rft`d I_.N li=b."i'(i 'i;i?:l.t] 90[]i. 07:: L;I:ATF(7:CIi_ 162.25 32:Ll.l 9001 4266 SAPl11;;1'Di{li. 99.75 ~ l i:i1:a7. f(ec[ ip; AiFn:±i_!71'IJ g 449.75 Cn0790' }9 tJSI:::.r,` ;:ii;; Ni4P!t;`f ~!:Yi9k~r :n'>o-'?~$:%XY~;;~«t%kk?.W.,~':'m">kPf 'h':~F~>R~k r k,'m.::',•~ ~~8:~"~Y:~k9F9(•::X7k~ , PERMIT CI ` TY OF EAGAN sUILDING ~ 3830 Pilot Knob Road PERMIT TYPE: 030S23 Eagan, Minnesota 55122-1897 Permit Number: 0 7/ 2 5/ 9 7 (612) 681-4675 Datelssued: SITE ADDRESS: 895 SUOBERRY L.ANE LOT: 12 BLOCK: 1 SHEFFIELD P.I.N.: 10-67600-120-01 DESCRIPTION: SOFFITJSIDINGJFACIA Bw3ldl'ng Permit Type SF (MISC.) Build;tng'6dork Type REPAIR ,-~Census Cnde434 ALT. RESIDENTTAL t~ . _~"T„t ,r - 3 / t ? ± i~ I!t-~:j La~~ REMARKS: FEESUMMARY: vnLuArzoN ~ii,00e Base Fee $174.75 5urcharge $5.50 Total Fee $180.25 CONTRACTOR: - Applicant - ST. LIC OWNER: PANELCRAFT OF MN INC 17216628 0002179 JAWORSKI MARTY 3118 SNELLING AVE 5 895 SUDBERRY LANE MINNERPOLIS MN 55406 EAGAN MN (612) 721-6628 (612)452-0268 , I hereby acknowledge that I have read th3s application antl state{tha*t the infi`ormaCioh is ca~rreet atid agr^Re to e,ompky s~€~th- allap,piiopbl~ S I tat9 of.Mn.Statutas and Gity o'f Eagan Ordinances, ~ . . APPLICANT/PERMITEESIGNATURE ISSU D V:SIGNATURE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTtAL) 681-4675 New Construdion Reauirements RemodeUReaair Reauiremenls ? 3 regislered sile surveys ? 2 copies of plan ? 2 copies ol plans (include heam & window sizes; poured fnd. design; elc.) ? 2 sife surveys (exterior addkions & decks) ? 1 energy calculations ? 1 energy calculations lor heated addilions ? 3 capies of tree preservation plan N lol platled after 7f1193 required: _ Yes No DATE: 7 ZZ'917 CONSTRUCTION COST: ~a! o~ DESCRIPTION OF WORK: vv~ STREET ADDRESS: lOT /a BLOCK ~ SUBD./P.I.D. PROPERTY Name: Phone OWNER ` 8 _yD ss: "~~'~rr~/ O~ • Street Addre City: _ QA/ State: 161AI Zip: CoNTRaCTOR . Company: Phone Street Address: '%2/~ oar/License ?f City: /~G-,t7O`~/f State: ~N Zip:~ ARCHITECTJ Company: Phone ENGINEER Name: Registration 5treet Address City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowiedge that I have read this application and state that the information is correct a d agree to comply with ali applicable State of Minnesota Statutes and City of Eagan Ordinances. , . Signature of Applicant: ' /Z~97 OFFICE USE ONLY . Certificates of Survey Received _ Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY , . s . BUILDING PERMIT TYPE ?A1 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-piex - 0 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 5F Misc. ? 10 = plex o 15 Deck - WORK TYPE ? 31 New 3 Alterations ? 36 Move ? 32 Addition 34 Repair ? 37 Demolition . GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCIWS System (Ailowable) 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 Bidg Census Unit APPROVALS Planning Building Engineering Variance o~ Permit Fee Valuation: $ l0 ~o • Surcharge Plan Review License MCNVS SAC City SAC Water Gonn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: ~O•aJ~ % SAC SAC Units (DO O O a 0 ~ c o m O o ° w m T z LL O 00 8 ?U ~P r^ ~ (S -b 7= c N a w w 0 p V- % w J w ? h ~ F w N N 0 C3 } LL O O U) ( z z ° 1-- 0 IL w f R U 0 ? ? > J LJ-i S" F- F- J Cl 0 z z co z Flo, o 5!4 tLf) o O do vo $ 3 0 Qz V O O 0 cam C `V w w 0 w w ¢ Qw S Z 4 LLJ = w * I b QO ~e:r it F C}(~ m 2 ~ m ° q, J w z 2 W O w I 2 `L ~W/~ Cl °U 0 Q w xw a Q Z O Q a {4 0 VJ 00 < 0 0 2 Cl) I- > f LL a a a ? c u. City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 895 Sudberry Lane Lot: 12 Block: 1 Addition: Sheffield PID:10- 67600 - 120 -01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445 -2840 Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: Martin W Jaworski 895 Sudberry Ln Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA089449 06/02/2009 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State 00 Use BLUE or BLACK Ink 1 For Office Use 2 j Permit ✓ j lblflyo E am a 11 i Permit Fee: 1 1 3830 Pilot Knob Road j Eagan MN 55122 ' I Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 1 Staff: 47 JIP ~..-----------•~----2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3--( 3 Site Address: Q S c4 Lt, P' t ii Unit Name: rVl e.'~Je4_r 1~ 71L L.~ ar !tk Phone: ( ' S-2 ' 02G Resident/ q Owner Address / City / Zip: ! Te 4 Applicant is: Owner Contractor Type of Work Description of work: 1 2 t.1" 1 J r 3 ?"A+'., 1 t,,,- 0 i " rtif /3r, *4,4 Construction Cost: 0 M 0 • 410 Multi-Family Building: (Yes No Company: Z 0-'.-_5 A (I B L" id 1i L C, Contact: ° Address: ? L~•i'1-~. t.-00'a 14"IL S /tJ City: oo~_q 0- COntraCtofState: M1,11 Zip: 551-13 Phone: 6&1 - Z License Lead Certificate r 1 '7 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) f D 6 0. M3 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 X,, No If yes, date and address of master plan: Licensed Plumber: LT l ' ff i, , b A-72. Phone: 06 q t Mechanical Contractor: Phone: 7 sz' WCA-_ Sewer & Water Contractor: Phone: NOTE. Plans and supporting dDcuments that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide speck reasons that would permit the City to conclude Mat th arse 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 Minnesota State Building Code must be completed within 180 days of permit issuance. x x Applic nt's Printed Name Applicant's Signature Page 1 of 3 x DO NOT WRITE BELOW THIS LINE i 'SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family - Garage - Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck - Porch (Screen/Gazebo/Pergola) -Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous _ Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation r Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 00 Occupancy MCES System Plan Review Code Edition SAC Units (25%_100%4) Zoning / City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: 1 Footings (Deck) Final / C.O. Required 7,17 Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water Final Pool: -Footings Air/Gas Tests Final i( Framing Siding: -Stucco Lath Stone Lath -Brick Fireplace: Rough In -Air Test -Final Windows Insulation Retaining Wall: Footings Backfill Final Sheathing Radon Control Sheetrock Erosion Control ` Reviewed By: , Building Inspector RESIDENTIAL FEES , 73- Base Fee Surcharge ( f Plan Review h- MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant I/ f Copies )0 TOTAL t ! L~ ► { Page 2 of 3 r .Toe Miller construction . 51 S • 18133 Cedar Avenue South Plan 89044 Flipped Farmington, Mn. 55024 DELMAR K SCHWANZ 1LAft0St3RVEV04t$ Z04L. _00 Unpar Laws Of T8a Staid of Mmmsota 2978 -146Th STRE W_ - WX 0 ROSERIMOIJNT, INN NESOTA SM8 PHONE 02 422.4769 ~0 SURVEYOR'S CERTIFICATE s~ - 1. L ' ji? f -f SCALE : 1 inch 31 feet -7~`~ ; Denotes proposed finished grade. Denotes proposed drainage f ~ Drainage & i 4 utility ' t? Denotes setback monument 14 - easement s.- C= Proposed garage floor v~_ 9n - { ; A I Proposed tap of block Proposed basement floor r T (Lowest level) PROMSED I hereby certif'3r that this is a true a xuu ( t and correct representation of Lot 11, Block 1, SHFiEid?, according to the recorded Plat thereof, Dakota County, T r sg Minnesota. 7 a lei GAR- % ' d r Id Revised to show the location of a proposed house July 12. 1983. s~ - r MINNESOTA REGISTRATION too 8625 i t ITCO ALLIED ENGINEERING CO. AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING Jobsite and Laboratory Testing, Geotechnica/ Services, Commercial, Residential and Municipal 7125 West 126th Street, Suite #500 - Savage, MN 55378 Telephone: (952) 890-7366 Fax: (952) 890-5883 June 19, 2013 DSM Excavating Mike: (Cell) 612-919-4340 2916 Enterprise Avenue Hastings, Minnesota 55033 RE: 895 Sudberry Lane Eagan, Dakota County, Minnesota As requested, a site visit was made on June 19, 2013 at 10:00 A.M. to evaluate soils and reported debris uncovered during the excavation for an addition at a walkout single-family residence. At the time of the inspection, the proposed build area had been partially excavated at the rear northwest section of the residence, extending north approximately 20 feet and exposing a large quantity of buried tree debris. A benched section of the excavation had been completed adjacent to the residence extending out approx. 6'/2 feet, and to the depth of the house footings or 3 %feet, and then down 7 to 7 % feet to the excavation base. Observations made within the excavation sidewall, parallel to the rear of the house, indicated approximately 4 feet of clay, underlain by 3 feet of tree debris. This debris may extend back to, and below, the existing house footings. A 1 5/8" diameter fluted hand auger probe put down, at the base of the excavation, indicated a firm fat clay, a thin zone of silt, and well consolidated sand at 38". Soil moisture increased at depth, with isolated patches of water at the excavation base, and a small quantity of water infiltration noted at the south wall of the excavation. To assess the relative bearing capacity of the excavation subgrade, testing was conducted with a dynamic cone penetrometer. The dynamic cone penetrometer (DCP), employs a eight kilogram (17.6 pound) hammer to drive a 20 millimeter diameter conical point into the soil, with the penetration recorded in millimeters per blow. From the DCP readings, a per blow, penetration average was recorded and a N-value derived. This N-value is an empirical relationship established to equate the dynamic cone data to the more familiar blows per foot (BPF) standard penetration soil boring test. Test #1 - Excavation Base (West End) DCP Depth Per Blow Avg. / N-Value Estimated Load 633 MM (24.9") 35.2 MM / N - 8.75 3188 PSF R L Before leaving the site, observations were made while the contractor carefully excavated a test area towards the rear wall of the residence. Within 2 to 4 feet of the structure, all buried unsuitable materials had been removed. We would therefore anticipate acceptable soils below the house footings and foundation. In our opinion, upon removal of all unsuitable soils and debris from the proposed build area, the contractor can make build adjustments with a well graded granular or aggregate. With the noted correction, the observed and tested sub-grade soils are acceptable, and would be expected to meet an assumed minimum bearing capacity requirement of 2000 PSF for the proposed construction. Our observations and subsequent soil evaluation on this date is limited in scope to soil conditions observed within the completed excavation, and to the depths achieved by shallow probes and a dynamic cone penetrometer test. Therefore, we are unable to assess sub-grade soils, which may be encountered by borings conducted as part of a standard subsurface geotechnical investigation. Sincerely, Itco Allied Engineering Company Reviewed By: e_- Gary Standish Gordon J. Kopacek, P.E. Senior Inspector Minnesota Reg. # 7254 CC: City of Eagan Building Inspections Bruce Schweich - B2 Design Build LLC - 874 Lakewood Hills Rd. Eagan Mn. 55123 bruce@b2designbuild.com 4701 - 1 / #605 -1 3/4 / #304 (1) DCP / #610 - 1/ / #612 - 25 ITCO ALLIED ENGINEERING CO. AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING Jobsite and Laboratory Testing, Geotechnical Services, Commercial, Residential and Municipal 7125 West 126th Street, Suite #500 - Savage, MN 55378 Telephone: (952) 890-7366 Fax: (952) 890-5883 June 19, 2013 DSM Excavating 2916 Enterprise Avenue Hastings, Minnesota 55033 RE: 895 Sudberry Lane Eagan, Dakota County, Minnesota As requested, a site visit was made on June 19, 2013 at 10:00 A.M. to evaluate soils and reported debris uncovered during the excavation for an addition at a walkout single-family residence. At the time of the inspection, the proposed build area had been partially excavated at the rear northwest section of the residence, extending north approximately 20 feet and exposing a large quantity of buried tree debris. A benched section of the excavation had been completed adjacent to the residence extending out approx. 6 1/2 feet, and to the depth of the house footings or 3 % feet, and then down 7 to 7 '/2 feet to the excavation base. Mike: (Cell) 612-919-4340 Observations made within the excavation sidewall, parallel to the rear of the house, indicated approximately 4 feet of day, underlain by 3 feet of tree debris. This debris may extend back to, and below, the existing house footings. A 1 5/8" diameter fluted hand auger probe put down, at the base of the excavation, indicated a firm fat clay, a thin zone of silt, and well consolidated sand at 38". Soil moisture increased at depth, with isolated patches of water at the excavation base, and a small quantity of water infiltration noted at the south wall of the excavation. To assess the relative bearing capacity of the excavation subgrade, testing was conducted with a dynamic cone penetrometer. The dynamic cone penetrometer (DCP), employs a eight kilogram (17.6 pound) hammer to drive a 20 millimeter diameter conical point into the soil, with the penetration recorded in millimeters per blow. From the DCP readings, a per blow, penetration average was recorded and a N -value derived. This N -value is an empirical relationship established to equate the dynamic cone data to the more familiar blows per foot (BPF) standard penetration soil boring test. DCP Depth 633 MM (24.9") Test #1 - Excavation Base (West End) Per Blow Avg. / N -Value 35.2 MM / N — 8.75 Estimated Load 3188 PSF Before leaving the site, observations were made while the contractor carefully excavated a test area towards the rear wall of the residence. Within 2 to 4 feet of the structure, all buried unsuitable materials had been removed. We would therefore anticipate acceptable soils below the house footings and foundation. In our opinion, upon removal of all unsuitable soils and debris from the proposed build area, the contractor can make build adjustments with a well graded granular or aggregate. With the noted correction, the observed and tested sub -grade soils are acceptable, and would be expected to meet an assumed minimum bearing capacity requirement of 2000 PSF for the proposed construction. Our observations and subsequent soil evaluation on this date is limited in scope to soil conditions observed within the completed excavation, and to the depths achieved by shallow probes and a dynamic cone penetrometer test. Therefore, we are unable to assess sub -grade soils, which may be encountered by borings conducted as part of a standard subsurface geotechnical investigation. Sincerely, Itco Allied Engineering Company Gary Standish Senior Inspector Reviewed By: Gordon J. Kopacek, P.E. Minnesota Reg. # 7254 CC: City of Eagan Building Inspections Bruce Schweich — B2 Design Build LLC — 874 Lakewood Hills Rd. Eagan Mn. 55123 bruce@b2designbuild.com #701 - 1 / #605 —1 3/4 / #304 (1) DCP / #610 — % / #612 — 25 ITCO ALLIED ENGINEERING CO. AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING Jobsite and Laboratory Testing, Geotechnical Services, Commercial, Residential and Municipal 7125 West 126th Street, Suite #500 - Savage, MN 55378 Telephone: (952) 890-7366 Fax: (952) 890-5883 July 1, 2013 DSM Excavating 2916 Enterprise Avenue Hastings, Minnesota 55033 RE: 895 Sudberry Lane Eagan, Dakota County, Minnesota Mike: (Cell) 612-919-4340 ,77 As requested, a site visit was made on July 1, 2013 at 10:45 A.M. to evaluate a soil correction implemented as part of our initial investigation report, dated June 19, 2013. At the time of the inspection, all unsuitable materials had been removed from the build area, and a backfill consisting of a 3A" crushed limestone placed. Except for the 2 bulkheads, the 20" x 8" footings had been poured. It has been requested that we evaluate the correction zone backfill for consolidation or Toad bearing capacity. It is our understanding that approximately 3 feet of the crushed aggregate was placed and bucket tamped to provide consolidation. Unfortunately, this open graded material cannot accurately be evaluated for bearing capacity by normal test methods. Our experience indicates that this aggregate bridges well, and consolidates with minimal effort within a 3' placement depth. To provide some data relative to the capacity of the underlying cohesive soils at the correction zone base, a dynamic cone penetrometer test was conducted adjacent to the north footing. The dynamic cone penetrometer (DCP), employs a eight kilogram (17.6 pound) hammer to drive a 20 millimeter diameter conical point into the soil, with the penetration recorded in millimeters per blow. From the DCP readings, a per blow, penetration average was recorded and a N -value derived. This N -value is an empirical relationship we have established to equate the dynamic cone data to the more familiar blows per foot (BPF) standard penetration soil boring test. DCP Depth Test #2 - Excavation Base (Mid -point Rear Footing) Per Blow Avq. / N -Value Estimated Load 38.1 MM / N — 7.9 2938 PSF 544 MM (21.4") In our opinion, based on our observation and test, the completed soil correction is acceptable, and would be expected to meet an assumed minimum bearing capacity requirement of 2000 PSF for the proposed construction. v V1SAction 1n. Our observations and subsequent soil evaluation on this date is limited in scope to soil conditions observed within the completed excavation, and to the depths achieved by shallow probes or a dynamic cone penetrometer test. Therefore, we are unable to assess sub -grade soils, which may be encountered by borings conducted as part of a standard subsurface geotechnical investigation. Sincerely, Itco Allied Engineering Company Reviewed By: Gary Standish Robert P. Sullentrop, P.E. Minnesota Reg. # 17823 Senior Inspector CC: City of Eagan Building Inspections Bruce Schweich — B2 Design Build LLC — 874 Lakewood Hills Rd. Eagan Mn. 55123 bruce@b2designbuild.com #701 - 0 / #605 — 1 1/4 / #304 (1) DCP / #610 —'/ / #612 — 25 Jul.29.2013 06:30 AM Gity of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 PAGE. 1/ 1 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: r„ Date Received: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: 75''" Ja., _•.'¢r;;F:��. �/tr'� Tenar.: `""**Lz-1 ResidentlOwner Contractor Name: 7 Address / City / Zip: Name: _ �t'•'),� ;,• C-�'C... Address:4(-1,,---City: State: 71-i,r✓Zip:c c— ...... r Contact; ,7,1.--- �f �r y - -'. ,efit. Phone: Suite ff: License #: Phone: Type of Work New Replacement _./ Repair Rebuild Modify Space _ Work in R.O.W. ..._.Description of work: /�,,-�/-�,�•� ; ,011"%•4<ir tRESIDENTIAL Permit Type I Abandonment _L. RES9)ENTIAL FEES: 1 $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5..00 minimum State Surcharge) 1 $60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround" (includes $5.00 State Surcharge) Water Heater Lawn Irrigation ( RPZ /— PVB) Septic System New Water Softener IAdd Plumbing Fixtures ( VMain / _ Lower Level) IWater Turnaround 'Water Turnaround (add 5200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5,00 State Surcharge) TOTAL tl" r TV T.1r:<.Ci CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage, Call 48 hours before you intend to dig to receive locates of underground utilities, www_gopherstateonecall.orq 1 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 will be in accordance with the approved plan in the case of work which requires a review and approval of plans. �, I. / x uicr}rte,✓ lei ��'%��.;,:n•' Appligant's Printed Name x Applic lure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In „.Air Test _Gas Test , rFinal PERMIT City of Eagan Permit Type:Building Permit Number:EA143363 Date Issued:06/13/2017 Permit Category:ePermit Site Address: 895 Sudberry Lane Lot:12 Block: 1 Addition: Sheffield PID:10-67600-01-120 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Martin W Jaworski 895 Sudberry Ln Eagan MN 55123 (651) 452-0268 Tacheny Exteriors 49 S Owasso Blvd W Little Canada MN 55117 (651) 481-1466 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA148295 Date Issued:03/19/2018 Permit Category:ePermit Site Address: 895 Sudberry Lane Lot:12 Block: 1 Addition: Sheffield PID:10-67600-01-120 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 - Martin W Jaworski 895 Sudberry Ln Eagan MN 55123 (651) 452-0268 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature