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900 Sudberry Lane . ' 1'i.. • . cirY oF eacaN 3830 PiIot Knob P• 0. Box 21199 Road SFWER SERVICE PFRMIT Eagan, MN 55121 Zoninp: ~Y DERMIT NO.: F7ti , Owr'°r. Jose ?t Mill.r NO- of Unrts: Address; COng L Site Address: 1 <<~ ~ P?umber. ;tcGuire~i c L~e L22 &2 Shqg~-„ i 1. t?- 14-8 3 " ~z..lc; I i92 Gdiaaneea, ~ ~ °f ~A~ Connool J.i• .f~ ~C~?or~pe: Acoount ; Pe?m!t F~_ ~t: By 7~ Su p~ 'diarge: Datij of 1nsp,; MI . SO nd I 'uP.: u' ~^Des: 7'otot: - - Dote Poid: i - - CI i V OF EAGAN - 3830 Pilot Knob Road ! P. O. Box 21199 WATER SERVICE PERN~IT' ' Eagan, MN 55121 PERMIT NO.: ~ ?li5 Z°^in9: DATE: ' 1I- ~-g_; { O"'?Mr: Joaa h J~fil No. Const of unrts: 1 I Address: Slro Mdrcss: 900 a Sudb@rr L f Plurnber: C~ ane L22 S}teff ~ Meter No.: f @Id ~ i SReoeder No.. Connectfon Chor$e; 4 S 0, 0~: Account Deposit: ~me to ..olY wiele lAze Cuty. of Eeg~„ Permit Fee; 10. fl0 d eaa. Sureharge: .50 ~ d Mtsc. Clwrges: 60.00 ~ 8Y Totci: dMet ex' + i Da te o f Insp,; Dote Pcid: I lnp" r - - - - ~ - - - - ----__J . A INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ' j 3830 Pilot Knob Road Permit Number. 's Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: f u I.:'.~ H1 l)i iiOrtt: }tttY t ANt PERMlT SUBTYPE: TYPE OF WORK: INSPECTION D• • DA !!tl) I 1 Pa+i . i i• ; iPl i F 14 1. tit 1: 1 f iitd 1 I I• ; f I I liVrtil 1'/NV:Ali I'I !•M! I f'~. ti.:! I11!!hi I! ~III /iWr t I t~ If I~ i I~}1BlN(i (.1111't ~ L Pertnit No. Permit Holder Date Telephone N ELECTRIC PLUMBING l/ HVAC Inapectlon Data Insp. Comm ta Fi'Gs FoonNGS luze6el FOUND jg7~ ' FRAMING (O ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC 7EST INSUL 1,14 GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG • ORSAT ~ TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTO ~ -i-----L- - 1 - - - - ~ 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: f?ri"r 1 rrNr PERMIT SUBTYPE: TYPE OF WORK: INSPECTION • I ~ ~ J Permk No. r.m,n Hold.? U.a Telephon. r ELECTRIC PLUMBING HVAC Inepectian Date Insp. Commaits FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBIN(3 PLBG AIR TEST ROUGH HEATING GAS 5VC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIH TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG ~-7 DECK FlNAL r i•i II ~ cirr oF EAcAN $~~3 3795 Pilet Keob Reod Eegan, MH 55122 1PHONEs 4544100 BUILDING PERMIT Receipt # J` r_- Te be YNd fpf SF DtdG/GAR Est Value 53,0f) r) Date Cctober. 14 19 33 Stte Add.eu 900 u erry ane r._3 2? 2 Shef f ielu Ercct Occupancy Lot Blotk Set/Sub. /11ter ? Zoninq Parcel # 10-67600-220-02 Repoir p Fire Zone ~ Na~ oset a_.. : er oiis nc. Move nlarge ? Type of Const. ? ' 133 e ar v,3. IS6. ? # Storie;+ Address Demolish ? Length ~S G i arrlin;Zton Pho~ 454-EKX3 Grode ? Depth Sq. Ft. ~ ar Approrals Fees Nartx a~ Address Assessment Permit ' u ci Water d~ Sew. Surcharfle ` Police Plon check ~W NOR'b Fire SAC 4 5~ Address Eny. Water Conn. i W Ci Phone Plonner Woter Meter -7 Council Road Unit ` I hereby acknowledge that I have reod tfiis application and stote•thot Bldfl. Off. fhe inlormafion is correct and agree fo tomply wifh oll applicable r ,5-, Stnte of Minnesota Stotutes ond CiFy of Eagan Ordinances. APC Totol Siynotura of Permittee r.z 7. . st . , Inc . /1 Buildirg Permlf Is issued ta: on the expross condition that oll work sholl be done in accordonte with oll applioable Stpte. of Minnesoto Statutes and Ciry of Eagan Ordinonces. 8uildin4 Official I Permit No. Permit Holder Misc. Parmit No. Holder Plumbinq H. V.A.C. 41C)q WeII Water Disp. Sowsr Electric Inspection Date Insp. Othar Footinyt Foundation Framinq Rouyh PIbO. 10 Lcl I-.~13 -S 3 Rouyh HVA Inwlation Final Plbq. ~J Final HVAC Final 1 -.70_ u f Water Dewi6e Loption: Wsll 5ewer Pr. Disp. CITY OF EAGAN Remarks Addition SHEFFIELD :'3ADDN Lot 22 Blk 2 Parcel 10-67600-220-02 Owner Street 900 SUDBERRY LANE State EAGAN MN 55223 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, 81 28.68 1.4 20 22.96 A013440 1-13-84 STREET RESTOR. 1984 178.09 17.81 10 178.09 C008532 9-19-83 GRADING 1 1981 91.10 6.07 15 66.82 A013440 1-13-84 Sewer La.teral 577 1981 152.98 10.20 15 112.22 " " SAN SEW TRUNK 5117 1981 63. 30 4.22 15 46.42 " " SEWER LATERAL $ 1981 6. o 6. 43 1 77.22 Sewer Lateral bql 1982 65.06 4.34 15 52.07 A013441 " WATERMAIN 579 1981 128.08 85.4 15 93.96 A013440 " ~E WATER LATERAL 21 1982 48.16 3.21 15 38.53 A013441 WATER AREA Q 1981 3Q 4.22 15 46.42 A013440 ~ Powerline 1982 15 STORM SEW TRK y 1985 456.09 91.22 5 S•o Oo .26';2- 20 ~ I S70RM SEW LAT DTBiIIA e 1984 91.75 9.18 10 91.75 C008532 9-1983 "2 6 a f a C'oa 17-2S- La CUR & GUT ER SIDEWALK STREET LIGHT treet 1985 1941.64 388.33 5 / 0.0 1zS 2 le ROAD UNIT 250.00 39276 10-14-83 WATER CONN, 4$Q.00 9UILDING PER. 8583 SAC 525 , 00 PARK CITY OF EAGAN N9 8583 „ . 9795 Pilot Knob 'Road Eegan, MN 53121 PHONE: 454-8100 BUILDING PERMIT ReceiPr # - la174 Te 6a uted ier SF DWG/GAR Est. Value $53,000 pafe October 14 _ 1 y 83 Sire Addreu 900 Sudberry Lane Erecr gg occupancy R-3 Lot ZZ Blotk 2 Sec/Sub. Sheffield Alter ? Zoning R-1 Porcel # 10-67600-220-02 Repotr ? Fi.e Zone NA Enlarqe ? Type of Const. V c Nome Joseph M. Millei Const., Inc. Move ? # Stories = Addross 18133 Cedar Ave. i56. oemoush ? Length 40 ~ Ci armington Phom 454-SSX% 4753 Grode ? Depth 40 Sq. Ft.- p Ncme Owner ApOrovals Feas 0 o'~' Address Assessment Permil 292.00 u~ Ci Phone Wuter 8 Sew. Surcharge 26.50 Palice Plon check 146.00 Fw NO1^e Fire SAC 525.00 Address Eng. Water Conn. _4.50s.09. iW Ci Phoro Planner WaterMeter 60.00 Council Rood Unit 250.00 1 hereby ocknowledge that I have read this opplicotion and stofe that gldg. Off. the intormotion is correct and o9ree to comply with all opplicable APC Totol $1749.50 Stata of Minnewta $tolutes und Cily of Eogan Ordirwnces. SiBnoture of Permittee Joseph M Miller nst., Inc. A Building Permif Is issued to: on tha expreu condition thni all work shall be done in accordance with o icu e St ~ Minn utez ond City of Eagon Ordinancea. Buildlnq Officiol / 2 7 3~~ ~ OFFIC USE O Y This reqvesl votd 18 monMslmm volidafion date pnnted in lhis bos. .v 6 ~~S~Sc," PLEASE PRINT OR 7YPE ,(A[ ';~C/ ~ Request qob Rough-in inspenion requlred2 s ~ N. Inzpeaion Other Than Rough-In: 0 Ready No WIII Call (0 ~ ~Yw mus~ mll the inspecmr when reo YI Dore Reody: I, ? licensed mn}mdarowner hereby request inspection of }he a6ove elechical wark af: Jab~do L lreel, Bo~,yr~ub q Ci7 Zip Coe f 1 / ~ lJ [it Seclion No. To.mship Name or No. Range No. Firc No. Counry Phane No. ~4 Power opplier lddress Elennmi nkador (Compony Name) Convacmr licanse No. Mm~er lic No. I~am Elect Only) ameown Mailirg drezs (C ocbr ar Owner Pedonning InsMlloHon) O PuThorix Nro (Con dor or m P oeming Insmlbfion) Phone No. EB-UWO7 IO 6/95 ATEBOAflDCOPY-SEEINSfHUCTIONSONBACKOFYELLOWCOPY 4. i1 REQUEST POR ELECTRICAL INSPECTION II I I I II I~I III Minnesota State Board of Electricity g a 1821 University Ave., Rm. S-1 8, St. aul, MN 55104 ~ * 2 7 3 2 k, 6 7* Phone (812) 642-080D ome Apt. Bldg. Oiher: I New Addn Commerciol Indusirial Farm Remod Re air Air Cond. Hig. Equip. Water Hir. Load Mgmt. Other: D er Ran e Elec. Heaf Tem . Servi<e "X" above ibe work covered by fhis requesL EnMr remorks in this space and on the bock of fhe white copy only. Calculote InspecM1on Fee - This Inspection Requesf will not be accepled withouf the cor2ct fee: Olher fce # Service Enhance Size Fee # Circuih/Feeders Fee Mobile Home Park Sfall 0 to 200 Amps 0 to 100 Amps $freef Lfg./TraHic Sig. Above 200 Amps A6ove 00 Amps Tronsfarmer/Generator INSPECTOWSUSEONLY ~ T T~ Sign/Ou}line Ltg. Xfmr, ~ • AN. Alarm/Remote Conlrol SwimmingPool I here anl ;ne fiaeI lofia onthedamsvored Irziga}ion Boom paogh-In Dote $pecial Inspedian ~ Final ~ Invesfigotive Fee THIS INSTALLATION MAY BE ORDERED DISCON E ED IF NOT COMPLETED WITHIN 18 O T . RESIDENTIAL BUILDING PERMIT APPLICATION ~_5 , /I CITY OF EAGAN d~' 3830 PILOT KNOB RD, EAGAN MN 55122 ~ 651-681-4675 NewConstructlonBeaulremeMS HemodeVHeoehNeaulremente • 3 repislered sfte surveys showing aq. fL of lot, sq, tl. of house; arM gp rooted areas • 2 copies of plan (20% maximum lot covBrage albwatl) • 1 set of Energy Cakuletbns lor heated edtl0bns • 2 coples ot plan showing beam & windav sizes; poured tound design, etc.) • 1 sAe wrvey lor exterbr atltliions & decks • 1 set ol Energy Cakulations • InOicete tt home served by seDtic sYstem br additions • 3 coples of Tree Preservation Plan B bt plattetl aNer 711/93 . RM ,bW Deffiil Optbns seleclbn sheet (bklgs wNh 3 or less untts) DATE VALUATION SITE ADDRESS SiLkU PJFkgA L-+v MULTI-PAMILY BLDG _ ~ N TYPE OF WORK FIREPLACE(S) _ 0~1 _ 2 APPLICANT ~~NC-/~-~1-~ STREET ADDRESS OuIOSCIN STATE A44,-7JP~3 TELEPHONE # CELL PHONE # CAX # q52-~o~-- 954R -a4z-5~D 9sa - PROPERTYOWNER ~~-t TELEPHONE# Zei~- 99y'~94-/ COMPLETE THIS SECTION FOR ^NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ ~ ~TA~l1LES7,6~7 '(J submission type) • Residential VeMilation Category 1 Worksheet Submitted o Fgy~Bode W~rkshe bmitted • Energy Envelope Calculations Submitted .UG 0 8 2002 Plumbing Contractor: Phone # - Plumbing system includes: _ Water Softener _ Lawn Sprinkler -F'ee: 90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Conhactor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contracfor: Phone li = =~1~ I hereby acknowledge ihat I have read this applfcation, state that the i matio s co ec', and agre~~ ly wlth all applicable State of Minnesota Statutes and City of Eagan Ord a ces. AUC p g 20 i iJ Signaiure of Applicanf Ly OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY _ ? 01 Foundation ? 07 OSplex O 13 16-plex 0 20 Pool 0 30 Accessory Bldg O 02 SF Dwelling O 08 06plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt- Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 MuRi ? 05 03plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding O 32 Addition ? 36 Move 81dg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)* O 43 Reroof O 46 WindowslDOOrs O 34 Replacement "Demolition (EMire Bldg only) - Give PCA handout to applicaM Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Unfts Stories Boaster 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 (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other RooF _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tesu Final _ Freming _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retauvng Wall Approved By , Building Inspector Base Fee Suroharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search I Copies ~ Other Total * b • r.~r+_'. YkK. y s s ~ ~ t ~ ~ ~ . . ' n J ~ ~ m r ~ ~`~(p ~ ~ ~ ~ . ~ ~ ~ ~ ~y~~ ~ ~ _ ~ _ : • _ 6 ~ 1~ ' ' 11 I ~ = ~ ~ ~ : ~ s ~ : ~i~ ~ ti; ~ ~ T ~ ~ ~ ~ ~ , , ~ ~ ~ a ~ 9 ~ 1:~ ~ ~ ~ ~ ~ ~ r~ - ~ I : ~ w ~ ~ ~ ~ ~ ~ ~ ~ ~ • ' ~ ~~n~ ~ Certificate For: Joseph_M1 Miller Construction . ~ 18133 Cedar Avenue Plan 95088 Farmington, MN 55024 Wslkout DELMAR N. SCHWANZ LANDSURVEVON!i qpisbretl UnWr Lswf of TM Sbb M MinMwU 2978- 146TH BTNEET W. - BO% M ROSEMWNT, MINN660TA E00lY PHONE 612 423-1789 S SURVEYOR'S CERTIFICATE 13430 LPtKE . 3 ~ 4 4=I a 7.o ,1 o 'o ~l II~~~ ~ le~ 03. ~ h 4? ~ 2z / 1 11? ti o ,6 IRroposed garage floor Proposed Top of block 5Y~ ~°j ~,,~,sF = K„5-, Propoaed baaement floor ~ fl~` ~3 a°6 ~o Denotes proposed elevation Denotea proposed drainage 0 M 0 J ,K I z / I o , ~ I NOTE: Elevations of proposed houee ~ Z aubject to veriPication at time of ataking of house. J 35•'w I hereby certify that thia is a true and correct representation oP Lot 22, Block 2, SHEFFIELD, according to the recorded plat thereof, Dakota County, Minneaota. Also showing the location oP a propoeed house thereon. Dated August 5, 1983. /a . /9-93 ~ . % MINNESOTA REGISTRATION N0.8625 t~ Ct-rt1t'icate For: Jooeph'M: Miller Construction 18233 Cedar Avenue Plan 95088 Farmington, MN 55024 Walkout DELMAR H. SCHWANZ LANOSURVEVOiiS 1'x. ReqistersG Untlar Lawf ot Tbe Stale 01 Minnesota 2878 - 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 66068 VHONE 612•423 68 SURVEYOR'SCER7IFICATE . ~?4 Q=~$t N ~ g7 0o uV „3D 4 1 0110 7.Sc nir u~ E~SfA~6Atf~' Q°g~$ ~ I eN ~ I~ N pCl ~ / ze ~ ~o , J~a~G ~io • Proposed garage floor ~ ~~p Proposed Top OP blaok )40 0 Proposed basemenC floar 30 Denotea proposed elewation 17enotea proposed drainage , n0 0 TE: Elevationa nP proposed house Z sub,ject to verification at ~ time of ataking of house. L.- - - ~ - - ~ ~ ~ I hereby rert y that thia 1s a tt•ue and corr t nepresentation oT Lot 22, Bloc 2, SHEFPIELDi accor d ing to the r corded plat thereof, Dakota Coun , Minneaota. Also showi g the location of a propoeed house the eon. Dated August 5, 1983, i~'~ , ' ~~r~?s'`-,ri MINfdESOTA REGISTRATIO 140.8825 ~ ~ PERMIT A~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUz Lo z N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 4 5 8 (612) 681-4675 Date Issued: 0 9/ 2 7/ 9 5 SITE ADDRESS: 900 SUbBFRRY LANE LOT: 22 6LOCK: 2 SHEFFIELD P.I.N.: 10-67600-720-02 DESCRIPTION: ' (REPIACEMENT) B[tildinq-R.ermit Type DECK Bv3ldihg Wariz, Type REPAZR i :.,.rf . ,i ~ . _ . S- . S- . REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge .50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - PEDERSON PAUL 900 SUDBERRY LN EA6AN MN 55123 (612)454-8285 I Itea^eby acknawledge that I have read tihis appliaatidn antf state GheC t:he infiormation is cot^rect and agree to comply w3th all applica6le State of Mn. 3tetute an City of Eagan Ordinances. ~ - ; fl~u~P, ICANT ER 1 SI NATUFE -ISSUED : SIG TUR U CITY OF EAGAN JL46t 3830 PILOT KNOB RD - 55122 ~~~V•~O 1985 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Naw ConaWetion Reauiroments RemodeVReoair Reouirements ? 3 isp'stasd site wrvsys •2 mpbc cf plan ? 2 copies ot pWns (indutle beam & window aizas; poured fid. tlesign; etc.) ? 2 site survays (exterbr aOdiNons 8 dedcs) ? 1 snsryy eakulations ? 1 energy ealeuletions ior heated adtlitions ? 3 oopisa of hee pisservation plan N IM pleCetl aRer 7/1/93 isquired: _ Yes _ No DATE: CONS UCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT iL BLOCK ~ SUBD./P.I.D. cm M , PRDPER7Y Name:q\ Phone OWNER Street Address• ~,,A City: J State: Zip~~ coNTRACroR Company: : Phone Street Address: License #City: State: Zip• ' ARCHtTECTI Company: Phone #ENGINEER Name: Registration Street Address• City: State: Zip. Sewer & water licensed plum6er: Penalty applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this appliption and state that the fo 'on ' correet $nd g to comply with all applicable State of Minnesota Stawtes and City of Eagan QMinanoes. ,1Signffiure of Appticant OFFICE USE ONLY :.erlificates of Survey Received _ Yes _ No Tree Preservation Ptan Received _ Yes _ No OFFICE USE ONLY u , BUILDING PERMIT T'YPE 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish n 02 SF Dwelling o 07 4plex ? 12 Mufti Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o OS &plex ? 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireptace o 21 Miscellaneous ? 05 SF Misc. 0 10 _-plex zw- 15 Deck ` WORK TYPE ri 31 New o 33 Alterations ? 36 Move n 32 Addition ~'-34~2epair ? 37 Demolition Xr P49 GL GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS 5ystem (Aliowable) 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. 3Y Depth Footprint sq. ft. SAC Code Ol/ Census Bldg / Census Unit o APPROVALS - Planning Building , Engineering Variance Y Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC 'City SAC Water Ccnn. Water Meter Acct. Ueposit S/W Permft SIW Surcharge Treatment PI. Road Unit Park Ded. A'- Trails Ded. ` Other Copies • Total: % SAC SAC Units ~ ~ ~ K~ot~ ~ x~'rr~ yp~ 5~,~$~(~R.'~ ~~~N~ ~ ~s~-~sa~- ~ 3b ~rc~n ~~~4~~ Ro:~~~ cr ~~o~,h~S ~5,~' ~~(1~ a~~`"~' r~h~ $r` W~~~ fa~s A,~ s;n.~~S Gv. fi~~~ ~1~ w,~~n 13 ~-x6 ~~t'+r~ ~n~r~c~,w~e - ~h• ~1~~ c~ec~ 5 x f~ M~ B v~nc~~e ~e l~ v..~c~~~n ~ \ Qoab~ ~e~ ~!!h _ ~.-~a~ ~ ~ . , ~ ~ 7 ~ G ~ i ~ ~ N (,1~. ~ c~ J`~~- PERMIT ~ Y CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: guiLosNG Eagar*Minnesota 55122-1897 Permit Number: 027358 (612) 681-4675 Date Issued: 0 5/ 0 7/9 6 SITE ADDRESS: 900 SUDBERRY LflNE L07: 22 BLOCK: 2 SHEFFIELD P.I.N.: 10-67600-220-02 DESCRIPTION: (INCL REMODELING) Building-,Permit Type SF ADOITION fBuilding W'o_rk Type NEW Cens,us Code ~ 434 ALT. RESIDENTIAL ,o v ~lt ~i s , , REMARKS: A SEPARA7E PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK FEE SUMMARY: VALUATTON $32,000 Base Fee $412.75 Plan Review $206.38 Surcharge $16.00 Total Fes $635.13 CONTRACTOR: OWNER: - Applicant - PEDERSON PAUL 900 SUDBERRY LN EAGAN MN 55123 (612)454-8285 I hereby acknowledge that I have read this application and state that the informat'ion is correct and agree to camply vith all applicable State of Mn. ~ 5tsC'utes anci-City nf Eagan tYrdinances: J A P RMITEE SIGNATURE I~D'~ IG ~TU ~ 14mt CITY OF EAGAN . 3830 PILOT KNOB RD - 55122 • ~ ~ 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construdion Reauirements ~ ? 3 registered aile aurveys ? cropies of plan ? 2 copiea at plans (indude beam 8 window aizes; poured fid. desfgn; etc.) ? 2 site surveys (exterior addkions 8 dedcs) ? 7 energy celculatlorre ? 1 energy calwlations for heated addilions ? 3 copiea af tree preservation plan H bt plalted after 711/93 requirod: _ Yes _ No DATE: CONSTRUCTION COST: L3 4 s° a DESCRIPTION OF WORK: tfP%ho"" f~~ld•-~°" STREETADDRESS: 94D Suo%derr. LR~~./ Tll~ ,l<~ /21/? S 5/Z~ LOT 0,1 BLOCK 2, SUBD./P.I.D. PROPeRrr Name: 20(fdc(sbn ALLISBEk Phone OWNER / Street Address- /-W w City: L9 ah State: "~t" Zip. ~~IZ3 coN7RAC7oR Company: Sell ' Phone Street Address: License City: State: Zip, ARCHITECTf Company: lrende fT~ S Phone ENGINEER Name: ~tC Registration Street Address* City: Cole« wn;,-,e 5tate: MAv Zip: Sewer 8 water licensed plumber: Penalty applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that 1 have read this appiiption and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: OFFICE USE ONLY Rr~ ~ ~ ~ ~ EDD Certificates of Survey Received _ Yes _ No ~ • APR 1 7 1996 Tree Preservation Plan Received Yes No F ' Y OFFICE USE ONLY BUILDING PERMIT TYPE a 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool ,0103 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 = plex o 15 Deck WORK TYPE 0 31 New ? 33 Alterations ? 36 Move IP6 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Aliowable) 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 m Permit Fee Valuation: $ ooo Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units .•liller Construction , -:~Yrcdar Avenue Plan 95088 _,nington, MN 55024 Walkout a DEIMAR H. SCHWANZ LANOSUMVEYOFS (%X. RpisbiW UnGei Lawf ol TN Slab o1 MinMfOU 2978- 1467H STREET W. - BOX M ROSEMOUNT, MINNEtOTA 60M VHONE !72 423-1709 S SURVEYOR'S CERTIFICATE UQ 8~ 2~Y - e: ~34~ ~14N E e~~ 4.24 : q. u "e~''S~ oo JJ _3D~ ~24 w 7.8o ~r~cr} _ r , , o ' h Z2 7s ry lvR ti 3~ _ IrP M ' qoEroposed garage floor ~~(`°rr~' ,r P,ego ti ~oYo3.9s Proposed Top of block ?AC.3 Proposed baaement Plaor ftk ~NJ ~o Denotes proposed elevation QO / i1B> - g re,/ Denotes proposed drainage ' O ~ o / {0 NOTE: Elevations oP proposed houee subject to verification at time oP ataking of house. ~ ~ ----J ~ uy~j °j~.oo sera°44' 35"W I hereby certify that this is a true and correct representation of Lot 22, Block 2, SHII+FIELD, aCCOrding to the recorded plat thereof, Dakota County, Minnesota. Also ahowing the location of a propoeed house thereon. Dated Auguat 5, 1983. , MINNESOTA REGISTRATION N0.8625 - CITY USE ONLY L ~ ~ L ~ RECEIPT ~90/ SUBD. DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 551::2 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH 11Q. TOTAL Shower 3.00 x Water Closet 100 x = Bath Tub 3.00 :c = Lavatory 3.00 x = Kitchen Sink 3.00 ;c = Laundry Tray 3.00 :t = Hot Tub/Spa 3.00 :c = Water Heater 3.00 :c = Floor Drain 3.00 :c = Gas Piping Outlet ' minlmum -1 3.00 x = Rough Openings 1.50 _ Water SoRener 5.00 x = Private Disposaf * Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprlnkler " home under const. 3.00 = Alterations ' to existing 20.00 = p,ad Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME: ~Gl Gc ~ I~Kp O( 2o vI INSTALLER NAME: rr Ct J r-5 STREET ADDRE S: I~ ~ e r CITY: K~- TE: ~ ZIP: S PHONE ( ) SIGNAI'URE PLKMIF TT OFFICE USE ONLY L BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ~ all commerciaVindustriai buildings. ~ muki-family buildings when separate permits are n_Qj required for each dweiling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? YES NQ. FAILURE TO PROVIDE THIS INFORMATION WILL RESUL7' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF 50, YOU MUST APPLY FOR A SEPARATE U.G. SPRI?dt(LER PERMIT. FEE: $25.00 minimum fee or 1°!0 oi contract price, whichever is greater. State surcharge of $.50 per $1,000 of pzm3i fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SiGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: " DATE: _ INSPECTOR: RESpIDEmNT pBIIILD ING , y f City Of Eagan ~ ~lJ~• 7-5 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeVF2eoairReauiremenCs Office Use Onlv 3 registered site surveys showirg sq. ft of bt, sq. 8 of house; and all mofed areas 2 copies of plan Cert ot Survey Recd (20% mazimum lot coverage albwed) 1 sel ol Energy Calculations for heated additbns Tree Pres Plan Recd 2 copias of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Nol Reqd 7 set o( Eneryy CalaWtlons AddBion -kMicate Non-sife seplic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot pladed aNer 711193 Rim Jaist Detail Opbons selection sheet (bldgs wiN 3 or less uniLs Date 5-1 63 / / Construction Cost Site Address 9v~l 5[di' h t^!~Y G--LC UniUSte # DesmiptionofWork f'qNdL'f/"Se- l^ f/`°O/AC.e m&d- U0111/j6L{)5 Multi-Family Bldg _ Y~ lY Fireplace(s) _ 0_ 1 _ 2 Property Owner jn) Telephone # ( ) Contractor AWr2ed- Oll~' Address City State Zip 5- d Telephone #(rpS ~(,q S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Category , Residentlal Ventllatlon Category 1 Worksheet • New Energy Code Worksheet (J submission type) Su6mitted Submitted • Energy Envelopa Calculations Submitted Licensed Plumber p~ phone M ~ I II) I~ I Mec hanica l Con trac tor B L p h o n e # 4 2CQ2 Sewer/WaterContractor )e ae# I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? OS 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 - 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-seaJ ? 33 Eut. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) 36 Multi Misc. , ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) 0 45 Fire Repair ? 33 Altera6on ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCem6nt `Uemolition (Entlre Bldg) - Gfve PCA handout to appllwnt 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 REQITIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Foo6ngs (deck) FinaUNo C.O. _ Footings (addition) _ plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building inspector -----r_..._----------------- Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other ,_Total ~ S r l 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION " City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 . Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date IS— Site Address 4Dl/ &OC 6e L~- Unit # Property Owner Telephone # (foS~ ) - Contrsctor STANDARD HEATINA & AIR CONDITIONINQ Street Address 410 WEST LAKE STRFET CitY 55408 State 612•824•2656 Zip Telephone t! ( ) Bond Expires: The Applicant is _ Owner ~Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 )<1 furnace _Additional !V2eplacement ' air exchanger airconditioner _New _Replacement other State Surcharge $ .50 Total I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an appli or a permit, and work is not to start without a permit; that the or ' be in accordance with the appr d plan 'n the c e f wor which requires a review and approval of p rwa Applicant's Printe Name App icant's Signa •e F~'JSEP 1 6 2005 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commercial/industrial buildings . multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenanf Name (if appiicable) Previous Tenant Name Propecty Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Band Expires: The Applicant is Owner Contractor Other Work Type _ New Construction _ Underground Tank _ Install _Remove "see be/ow _ fnterior Improvement _ Install Piping _Processed _Gas Nature of Work: '*When instalfing/removing underground tank, ca/l for inspection by Fire Marshal and Plumbing lnspecfor ]'¢I'Init Fees: $70.50 Underground tank inscallation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% Permit Fee • If ermit fee is $1,000 or less, add $.50 $ State Surcharge If ermit fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be' in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; tha[ the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signature Approved By: , Inspector Date: City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2012 RESIDENTIAL BUILDING PERMIT APPLICATION 1-�✓ -/- -- �l Use BLUE or BLACK Ink For Office Use Permit #: (.91.3� Permit Fee: II q 7, Date Received: if % 2 - Staff: Date: 41 // Site Address: ?9v S , c7 di!e-,r, y Unit #: E) ENT/ Name:-,E�.� C�,.2R Fi fix" --c:315-3 c( Phone: Address / City / Zip: 90 0 -SOO 8622 y Z. -„J„ Applicant is: Owner Contractor Description of work: ®1Jf w O'C' lc Construction Costo, Company:' �cAS iteP rs C. Multi -Family Building: (Yes / No z) Contact:-Si4i1--e Chet Address: < 49C(S.-- es5f/lfe'-1/1,4 ."4/ZF%1J. City: 0i4te®�Gec- State: "r Zip: '� Phone: Cs'i - 79 License #: `.-C) 630 ! c56,/ 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: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. xSa.yi4) //=. cAcei A ant's Printed Name icant's Signature Page 1 of 3 l (,t12DONOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration 1E Replace Retaining Wall Fireplace _ Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair DESCRIPTION c� Valuation 50c7 Plan Review (25%_ 100%4 Census Code y Jk #of Units � # of Buildings Type of Construction / REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL /1 8 7G -p Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant a2 7 PD MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required yW- Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings Backfill _ Final Radon Control Erosion Control r , Building Inspector 3 AbO /9/Jct. 6 /6 Page 2 of 3 Certificate For: Joseph,M, Miller Construction . *, 18.33 Cedar Avenue Farmington, MN 55024 S DELMAR H. SCHWANZ LAND SURVEYOR Registered Under Laws of The State of Minnesota 2978- 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55098 SURVEYOR'S CERTIFICATE coSuA.6--pANc" LIO e).(Zkitr LPq\l'Eq /3D Plan 95088 ./011549 Walkout ,9 1 PHONE 812 4234799 /D-3.ei 3 (--/ rich' Proposed garage floor Proposed Top of block Proposed basement floor Denotes proposed elevation Denotes proposed drainage NOTE: Elevations of proposed house subject to verification at timgitaking of house. REVIEWED BY: s9G2 -) c)(0.00 S£f3°4fV 35 W $:?ATE° 11— /2%4_ li',:',PECTIONS DIVISION I hereby certify that this is a true and correct representation of Lot 22, Block 2, SHtifivIELD, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house thereon. Dated August 5, 1983. /S 2 /// - ja - 8) MINNESOTA REGISTRATION NO.8626 ñû þÿ ÿ þ ý ýüüûúùÿù øûûüüîøûí ü ææ ßàß ýü üûúùø÷ óáôûùø÷ óùø÷ ê ÷ ÷ ô ûô ììåû÷ ø Ûþ üðû ö øöû ü ß û ÷ý ìß ßàßßë ö ééìèëèìë ÷ø üû þ Ý û ééèîèî Ý û è öõú ôó ÷÷ ô ä ææ øÚ ß îüûú ø üû ÿ þ ÷ ìß ïßíàßßë úø þ ÷÷ æñ þ ñ÷ø ÷÷ ú ü æ ü û ôøæÿ þ å è ÷÷ á ñ üþ û û øüþ û PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA111561 Date Issued:07/01/2013 Permit Category:ePermit Site Address: 900 Sudberry Lane Lot:22 Block: 2 Addition: Sheffield PID:10-67600-02-220 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. Dayna Gardner 505 Randolph Ave St Paul, MN 55102 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Jeffrey P Garrett 900 Sudberry Lane Eagan MN 55122 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature l M-, d(~,- x3 Use BLUE or BLACK Ink I For Office Use Permit City of Eap I Permit Fee: - Q57 1 3830 Pilot Knob Road I Eagan MN 55122 1 Date Received: I--, Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 Staff: 1 1 I /2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C11096eJ - Site Address: Unit Name: '~~I SCL- Phone: - 1'-`"rt 1 - l ►`7 J Resident/ I Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work !Description of work: w Construction Cost: Multi-Family Building: (Yes / No Company: rYY 1 L t} ( nC Contact: T I G(-,, U' i . _ M~~jc~1 }tip, .N City: ~ I(a4e Contractor Address: g 1 1 State: (M f N Zip: J 5075 a_ Phone: (2)3 1 " 29 - 9'3 - (3- License %KU Lead Certificate #:N)qT - 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 b public`infarma6on. Portionsof the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. ha - 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.ooDherstateonecall ong 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 ' t~►t~t x Applicant's Printed Name Ap rcant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174941 Date Issued:03/02/2022 Permit Category:ePermit Site Address: 900 Sudberry Lane Lot:22 Block: 2 Addition: Sheffield PID:10-67600-02-220 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Monty A & Natalie R Ressler 900 Sudberry Ln Eagan MN 55123 Bonfes Plumbing Heating & Air Service Inc 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature