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905 Sudberry Lane CITY AF EAGAN WATER SERVICE PERM11' 3930 P°.!at Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 D11TE: 4•-27-94 Zoning: i 1 1 Owner, -108@'+')~l 'tillez Con4tNo, of Un~ts: Mdrcss: Site ^ddrm: 1~5 Sudberr Lane '.1? B1 Sheffield Piumber: A:,7e:ire '•fech AAetar No.: Connection Chorge: 4 7 C1. D 0 pd ~ Slze: Account Depos7t: 1 S. ~)0 pd Reoder No.: Permit Fee: 1!7,.~70 pd I ~ ~ the City OF go"n Surcho?ge: . 50 pd Gdlneaea. Mtsc. Chorpes: 63.00 pd me t e r Totol: BY Dote Potd: Dote of I nsp.: Irop.: CITY OE EAGAN SEVI/ER SERVICE PERMIT 3830 Pilut Knob Roed P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 D^TE: • :•.,F Zonlnp; :~1 No. of Units: ~ Owr~er. Joee h Miller Const Address: Srte Address; 905 Sudberr I.ane L13 RI She f f i el,s Plumber: YCru3Le w@Cr~ 4..'/ q4 ,j 2;; P~ I yS to 6001* wJlh !6e Ciyr oi gawn Connection Chorpe: 425.00 p c1_ Orfiuenps. Acoount pepout; 157 U pd PrnnFt Fee: 10. 0 pd eY Surcharpe: .50 pd Qate of Insp.: Misc. Cl~orqs~; Totoi: Insp.: DoM Paid: CITY OF EAGAN WqTER SERVICE PERMIT 3930 F"'-n Knob Road P. O. Box 21199 PERMIT NO.; 5439 Eagan, MN 55121 DATE: 1 ontnp. R1 ~ Owner; Jose ` No. of Units: ` IWp 6t /lddrosa: , ' k B Stte Addrcss: utu ~%SBl 54~effielc~ ~ ~ Plumber. r.~ ; ~/Size:Meter N ion Charge; 47700 pd I •t t Deposir: 15 . 00 pd Read No.: Permir Fee: 10.OC1 od - I yrM to eanply wkh tlr Cihr oi gown Su?cho?ge: .50 j)d ora°010es' Jj. Mlsc• Cho?pes: 63.00 pd mE~C~~r BY Totol: Dote Puid: Date of Insp.: Q v T-- Insp.: CITY OF EAGAN , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 9 0 PHONE: 454-8100 BUILDING PERMIT Receipt # r~ ~s ! Te 6e asd_Mr SF llWG/GAR Est. Volue 59,000 Dote APTRIL 27 , 19 ti4 Site Addren C,05 SUDBF.RRY Erect ~ Occupancy Lot 1 3 Block 1 Sec/Sub. SHFI'F 1`L't ) /11ter ? Zonir?p R PercelNo. 10-67600-130-01 Repoir p FlreZone N A Enlarpe ? Type of Cor?st. v oc Name JnSF-PH M. MILLF.R CONST _ Move ? # Stories ~ Address 18133 CFDAR AVF. pemolish p Length 43 City E'A !'•M 7r''~,TnIV Phone 454-4753 Grode ? Depth A8 Sq. Ft. CT,.?.s j' Appwvals Fees ~ Name Address /lssessment Permit 1' 31C.00 1- City Phone Woter & Sew. $urchorge 2 5. 50 Police Plon check 155 . 00 ~W Name firo SAC 525.00 Address Enp. Water Conn. 4 7 0. 00 ~W City Phone Plonner WaterMeter 63.00 Councfl Rood Unit 2 6 0.~0 I hereby ocknowled9e that I hew read this opplicotion ond state thof Bidg. Off. the intormotion is corced and agree to comply with oll applicoble ^PC Totel 1~~12 Stata of Minnesota Stotutes and City of Eogon Ordinonus. Sipnature of Permittea /1 Building Permit Is issued to: `7C)SF?].'H i? . '1I LLER. CC)?:ST on the exprcss conditlon thcu all work shall be done in aatordance with all opplicpble 5tate of Minnesota Statutes ond City of Eopan Ordinances. Buildinq afflciol ~ ~ ' ~ Parmit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. ~ Well Wffier Disp. Sewer Electric A ~ q ~1,~~ ~ ~ ~l Z~I `~•J~ Inspaction Date Insp. Othe? Footinps Foundation Framiny Rouyh Pibq. Rouyh HVA G Inwlation - Final Plbp. -77' 4 Final FIVAC Finel 3 ~ Watsr Describe Location: wea - sawa? Pr. Disp. . Receipt ~ ~ ~ I) l MECHANICAL PERMIT Permit No. CITY QF EAGAN f / Fee • ! Frll in numbered spaces S/C Type or Prin t legibl y Tot. 1. Date 7. Installation Cost 3. Job Address `'Lot_~Blk. ~ Tract`?_ 4. Owner ~ , - ' 5. Contractor~ i! Phone - 6. Address 7. City State + Zip • 8. Building Type: Residential F3 Commercial 0 Institutional ? 9. Work Description: New C~ Add ? Alier O Repair ? 10. Describe Fuel Type 11. No, Equ.jpment B TU - M. Ea. No. EQUiament CFM " Forced Air Air Handling: ~ Mf9• - Boilers Mech, Exhaust Mfg. Unit Neater Mfg. Other Air Cond, Mfg. Gas, Piping Outlets ~ 12. I hereby certify that the above information is true and correct, and I agree to compfy with alf ordinances anci codes governing this type of work. , Signed : _ _ for RouO Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. f 3~ ~ ~ ! f CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print /egibly Tot. 1. Date 4-25-84 2. Installation Cost 3. JobAddress ='L,', :7 1](,1 Pr1w_1-; BIk.1-_Tract'I1 4. Owner .loF T:'i 1 ler CG>i3StY'~Ec~~~E*, 5. Contractor r*eRl.,a,,: R,, Phone . J 4986 6. Address P. 0• BOX 21c, 7. city I:a} eville state t'inn zip 55044 8. Building Type: Residential ~ Commercial ? Institutional O 9. Work Description: New ~ Add ? Alter O Repair O 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield ~ Bath tubs Septic Tank " Lavatory Softner I Shower Well I Kitchen Sink ~ Urinal/Bidet Other ~ Laundry Tray / Floor Drains Drinking Ftn. Slop Sink ~ Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed . /i + !Zil jN, , 1 for 0 Rough Ffnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 J CASH RECEIPT ~ CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 wecrrvao f FROM ~ AMOUNT $ ; 5,- - & ooLLARs 1 oo ? CASH Q CHECK FOR. _ _ ~ ~ 1. / . . ' l FUND COOfi qMDUNT . ~ J 1 . Tha k ou BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN , . •t.- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date Site Address V`` OFFICE USE ONLY Lot Biock Sec/Sub. F +k 11 171 On Site Sewage Qccupsncy - ~ MWCC 3ystem Zoning Parcel No. On Site well (Actual) Const cc Name Ciry Water (Allowable) z AddresS PRV Required # of Stories 3 4~r,5 Booster Pump Length ° City Phone Depth , p Name S.F. Total ~ d Addf@SS Footprint S.F. ~ City Phone APPROVALS FEES ~ W / Engr./Assess. Permit Name W y~ r Planner Surcharge ~ z., Address a= City Phone Council Plan Review d W Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minn,sota Statutes and Eity of Eagan Ordinances. ' Water Meter Signi -ire of Permittee Road Unit ST..~ . ~ ? A Bu !ir-3 Permit is issued to: Treatment P1 on th press condition that all work shall be done in accordance with all parks appli a State of Minnesota Statutes and City of Eagan Ordinances. - Buik -10TAL Permit No. Permlt Holdsr Date Talephone ~k Plumbing r H.V.AC. Electric Softener Inapection Date Insp. Commenta Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. ~ Fireplace . ~ - G- S - --i Final Htg. /~'7e - Final Pibg. Al. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. . -J-'2)~ PERMIT # " PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ,z % CONTRACT PRICE PHONE: 454-8100 o S-.Ses;,~~`~` L~ (:,~',,,~I•v Site Address BLOG. PTIf, E WORKD,FSCRIPTION Lot ~ 81ock SeclSub Res. New OL , ~ Mult. Add-on ~ Name L Ij i L rn ~ ~OGOS ' Comm. Repair ~o Address o r ~ . Other c City r' F'~ • Phone ~ o ~ RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - NO. . FIXTURES TOTAL ~ Water Closet - $300 $ Name " W:Bath Tubs - $3.00 c Address j_Lavatory - $3.00 p City - - Phone . 5hower - $3.00 Ki!chen Sink - $3.00 FEES Urinat/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BIDGS - COMM RATE APPLIES Floor Drams -$1.50 TOWNHOUSE & CONDO - RES. RATE APPUES Water Heater -$1 50 MINIMUM - RESIDENTIAL FEE -$12.00 ZWhirlpool - S3 00 MINIMUM - COMM /IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PEFiMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 fi ~ : • + ~ . Rough Openings - $1.50 SIGNATURE OF PEfIMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 r BUILDING PERMIT Receipt # To be used for j'ECK Est. Value ~ 1•~~'f,~ Date APR S , 19 51~ Site Address 903 SU-D$Eiu.'i I.N Lot 13 Block 1 Sec/Sub. 5KEF} Y&i.D OFFICE USE ONLY P8t'C@i NO. Occupancy - FEfS Zoning W Name f`~~L~ STI'~VL~S (Actuaky~n~1 - Bldg. Permit 26.00 ~ Address 905 SUDnER1tY Lti (Aliowabie)"'~ - Surcharge • Sp ° Cit ttA~N Phone n81-164b # ot sto~ies ~ y Length 44- Plan Aeview , o Name o~tn ` snc, city Address ~Q S.F. Total - SAC. MCWCC m City Phone S.F. Footprints - On 5ite Sewage _ Water Conn ¢ WU w Name On Site WeU - Water Meter W i? Addf@SS MWCC System - u ~ Acct. Deposit a W City Phone ciry water - PRV Requhed _ S,'W Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Treatment PI Signature of Pertnitee APPROVALS Road Unit A Building Permit is issued to: ~WELYNE S PI:VEN$ Pla^ner - Park Ded. on the express condition that all work shall be done in accordance with all Council ~~--0 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies Building Official Variance - TOTAL 27.50 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspec6on Date Inap. Comments Footings I /Aw Foundation Framing Roofing Rough Pibg. ftagh Htg. Isul. Fireplace Fnal Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr.lPlan Bldg. Fnal Deck Ft9• Deck Final G~12 i~-~~~v S' G- weu Pr. ~isp. 'Y'r;Wy..,..,,...,r..,~.*,Yn"y,, . .yCITY OF EAGAN - 454-8100 , DEPT. OF BUILDING INSPECTIONS Correction Notice Located at ~US 6 ~ N/ I have this day inspected this structure and these premises and have found the following violations of city codes governing same: ,'t!?E z 5 7- 0 5-7-1 Ar_ :T-- ~Ka~S r "/•:,f"r,~U:" !>~f--7 ~ SP~_iCcD ,~u ,0 s= 'I ? 'G ~ ~ When corrections have been made, please call 454-8100 for inspection. Date,L Inspector City ot Eagan DO NOT REMOVE THIS TAG CITY OF EAGAN Remarks Addition SHEFFIELD ADDN ~ot 13 Rik 1 Parcel 10-67600-130-O1 Owner Street 905 SUDBERRY LANE State EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1$1 2S.E>H l.~l 20 STREET RESTOR. GRADING 551 19£il 91.10 6.07 15 66.82 A 014258 7/18/84 Sewer La.teral 517 1981 152.98 10.20 15 1191-99 " " SAN 5EW TRUNK ]_981 (3 • 3Q 4.22 15 46.42 SEWER LATERAL 50 81 6.5~ 6.43 15 77-22 Sewer Lateral l 1982 6.06 ~+.34 15 1 4259 " WATERMAIN 1981 128.08 8.5~+ 15 3.96 A 014258 7 18 84 WATER LATERAL 1. 82 ~lS.1C 3.21 1S WATER AREA 1 81 63 • 3Q 4.22 15 * POwerline 1982 15 STORMSEWTRK 19$5 456.09 91.22 S q5 6.D 33a2 ~ <11 3 STORM SEW LAT DrSii18 e 1984 91.75 9.18 10 91.75 C008502 9-6-83 .03 00 33a- 8- 2~0 -~r latS CURB & GUT ER SIDEWALK STREET LIGHT Street 3 1985 1941.64 388.33 5 ( ~019 33 'ZV ROAD UNIT 260.00 42853 4-27-84 WATER CONN. 470.00 BUILDING PER. 9015 sAC 525.00 " PARK 4 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 9015 PHONE: 454-8100 ~ BUILDING PERMIT eeceipt # a' Te ba uwd for SF DWG/GAR Esr. Volue $ 59,000 Daee APRIL 27 , 19--84_ SimAddress 905 SUDBERRY Erecr 'iC Occuponcy R3 Lot 13 Block 1 ~ec/Sub. $HEFFIELD Alter ? Zoning Rl Parcel No. 10-67600-130-01 Repoir ? Fire Zone N/A Enlarge ? Type of Const. V W Name JOSEPH M MILL•BR CONST MoVe ? # Stories Z Address 18133 CEDAR AVE Demolish ? Length43_ o CiTy FARMINGTONPhone 454-4753 Grode ? Depth -AB-Sq.Ft.- o Name SAME Approrals Fees =t Assessment Permit $ 310.00 o Address u~ CitV Phone Water 8 Sew. Surchorge 29 50 Palice Plan check 155 _ DO ww Name Fire SAC 92-5--00 n Address Enp. Water Conn. 470_ o ~,Z,. City Phone Planner Water Meter F~ - n 0 Council Raad Unit 7f+n n0 1 here6y ocknowledge thot I have read this opplicotion ond stote thot gldg. Off. the informolion is corre[t und agree to comply with all applicoble State of Minrcewta $tatutet and City of Eagan Ordinances. APC Totol $~_~__,Rl 9- 50 Sipnatum of Permittee A Building Permit Is issued to: JOSE~P~H M. MILLER CONST on the axpress conditlon thm all work shall be done in a ord wit ol.i\ /op`pli e State of Minnewto Statutes and City of Eagan Ordinances. Building Officinl v ..Ite , 4 I 4 ,C'q? . w~ M 7i7 M~ 04 , ~ CITY OF EAGAN rJo 14870 . t 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121 PHON E: 454•8100 BUILDING PERMIT Receipt# ~Z3r o9 7o be used for FINISH BASEMENTESt. Value $1, 500 Date APRIL 21, 1988 Site Address 905 SUDBERRY LANE OFFICE USE ONLY Lot 13 Block 1 Sec/Sub. SHEFFIELD ADDITIO O" Site Sewage - Occupancy MWCCSystem - Zoning Parc21 No. On Site Well _ (Actual) Const : Name MADELYNE STEVENS CiTy Water _ (Allowable) = Address 905 SUDBERRY LANE PRV Required _ # of Stories ~ City EAGAN Phone 681-1646 BoosterPump _ Length Depth , p Name SP'ME S.F.7otal ~a AddreSS FootprintS.F. r City Phone pppROVALS FEES w w Name Engr./Assess. Permit 34.00 rz i- Address Planner Surcharge 1.00 aw CityPhone Council PlanReview Bldg. OH. SAQ City I here6y acknowledge that I have read this application antl state that the Variance SAC. MWCC information ia correct a ag to comply with all applicable State of Water Conn. Minnesota Statutes and i f a n rdm ~ _t Water Meter Signature ol Permitlee Road Unit _ A Building Permit is issued to _MAD 'LYNE STEVENS Treatment Pl on the express condition ihat all work shall be done in accordance with all applica6le State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official TOTAI 35.00 ! CITY OF EAGAN NY 16256 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt # To be used for DECK Est. Value $1,000 Date APR 5 , 7989 Site Address 905 SUDBERRY LN Lot 13 81ock 1 Sec/Sub. SHEFFIELD OFFICE USE ONLV Parcel No. occupency - Fees zoning - w Name MADELYNE STEVENS (Actuap Const - Bldg. Permit 26.00 o AddreSS -905 SUDBERRY LN (Allowa6le) - Surcharge • SO City EAGAN Phone 681-1646 # of srodes Length 24' Plan Review , o Name SAME oepm -L4' snc, ary AddfOSS S.F. Total SAC, MCWCC UQ ~ City Phone S.F. Footprints - On Site Sewage _ Water Conn ~ ww Name OnSNeWell - waterMeter m ~ AddfBSS MWCCSystem _ i Acct. Deposit ¢W Clty PhOf18 City Water - PRV Required _ SM Pertnit I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge iniormation is correct and ag ee to comply wim all applicable State of Minnesota StaWtes andCity of Eagan,0[Ginances ~ Treatment PI i Signature Of Permifee ~ APPR~~A~S Road Unit A Building Permit is issuetl to: lAT7ELYNE STF.VF.NS Planner - park Ded. on ihe express condition that all work shall be done in accordance with all Council 1.00 applicable Stafe of Minnesota Statutes and C.i/ty of Eagan Ordinances. Btly. pry_ _ Copies Building Official Variance - 70TAL 27.50 ihis repuest voitl eh / p~/ 18 months.}.rom Kd p O p d ~ 66209,C1,g / I Req e t Date ire No. buNh-in InsVeGion ddd~..,, equireAi f/y~eatly Nuw OWill Nolify. Inspeo ?Yes l?Nn r Iar When Reatly ~&Li ensed ectrical CaiVactor 1 hareby raquest insoection ot ebove ? Owner electrical work installad at: Stra2t AdAress, Box or floute No. City 4C7 r`J UC~ r.vLte ecuon o. Townshio Name or No Range No. C m»y Occupan~qlNTl ( Phone No. 53~~11T/i'lsol Power Suvplier Address EI nral Contractor (Co pany Name) Contrar,to,'s License No. ~ u,~ ~ ~ ~ l~a ~64A+-c cr Mailinq AdJress IConvactor or Owner Making Installationi . urri5~ lil.(G h 553 3 7 utho~ize Sature ( ontr r /Oivr MakinB nstallation) Phone Nomber MINNESOTA STA BOAPD OF ELECTflICITY THIS INSPECTION flEQUEST WILL NOT Grie9s- g. - Noom N•191 BE ACCEPTED BV THE STATE BOAHD Mitlwev Bld 1821 Uniwrsilv Ave.. 56 Peul. MN 65106 UNLESS PqOPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 1imun~hsYromid q~ 315 ~ q' Li3 61 ~ti. 3a.C96 Repuest Oate ~ Fire No. Ro -i InsOeclion Repuired? ~Aeatly Ni'v~1orlWheorReatly e~ es ?No ~ icensed Eleclrical ConUactor I hereby repuest ins0action ol ebove ? OwneI elactrical work installed at Suree Address, Box or Route No. Cit . ecLOn o. Tpwns ip ame or N. flange No. Co ry o~e No. N Oc pant (PRINT) Ph~-1 ~ G ' 75.3 P. Olie AA s Elec cal Coovacmr ICompany Nam onh s License No. Ma-linp Atldress ntracmr or O ner. MakinN Inst ilatl n1 utho' ed ignntura ont ~odOwrrer ineInstall~~ion) 1 o umber 47 MINNESOTA STATE BOAPD OF E E NICITY THIS INSPECTION PEQUEST WILI NOT Griges-Midway Bldg. - Hoom N-191 BE ACCEPTED BY THE STq7E BOARD 1821 Universi[y Ava., St. Paul, MN 55706 UNLESS PNOPER INSPECTION FEE IS Phone 18121 297.2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ea-00001-06 Snee inatrucfions br comoletiig this torm on beek o/ yellow copV. e~~ ~ 6'~Z03 "X" Below Work Covered by 7his Request AAd Reo. iyoe ot Builtline AooI,ancea Wirea Equiyment Wi.ad Home Range Temporary Service Duplex Water Heater Lightiny Fiztures Apt. Building Oryer Electric HeaLn ~ Commerciai Bldg. Furnace Silo Unlonder Industrial BIAg. Air Condi[ioner Bulk Milk Tank Farm Ou,e, ueci y ome:. (sucntv) i.r Sueci y ther Otne, ompute Inspection Fee Be/ow p Fea ServiceEnhenceSize p Foa Fextlets/5u01eetlers N Fee Cirr.wts 0 to 200 Am s 0[0 30 Am s 0 to 30 F~n ~s Above 200 qmps 31 to 100 Amps 31 to 100 ~Am s s wimming Pool Above 100_-Amps Above 100_Amnstormers Irtigation Booms Partiallher Fee~s Signs Special Inspection S RemT~ks T L FEE .a~ Ao°eh 1° Date Elec[Ym Inso ~aby certify that the above Finel ` D^1e insVection hes been si3 metle. tbisreQUeslvoiElBmonthsfrom • REQUEST FOR ELECTRICAL INSPECTION EB-00001-94 w ' See in9trueUOns for comvlating ihis form on back of Yellow copv. A 3,990q "X'" Below Wock C4:•ored by 7his Request AAd Rep. Type of 8uiltline Aooliancee WireA Equioment Wired Home Range Temporary Service Duplex Water Heater ig tiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. umar,e Silo Unloader Industrial Bldg. Air ConAitioner Bulk Milk Tank Farm ocne, neciN otnr., ~suNniN~ t ~r Succify thcr 01hor ompute nspection fee Below p Fea ServiceEMrenceSize B Fee Fxeders/Subteeders k Fee Circuits ,00 0 to 200 Am s- 0 to 30 qm s a. to 30 Am s Above 200qmps 31 to 100 Amps 31 ta 100 A S Swimming Pool Above 100-Amps Above 100-F+mVs Transformers Irrigation BoomS - Partial.'Oth Signs Speciallnspection Iiemarks 5 TOT 635.4 flough-in , xha Elec rwal Inspec[oq hereby c rlity that the above Final sDection has been mede. tMS request vmE 18 montle imm I 13.~5 3 3 D 6 RESIDENTIAL SUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Naw Construction Reauirementa RemodellReoair Reouiremenls • 3 registere0 sile surveys showing sq. ft of lot, sq. R. of hauu; and all roofed areas • 2 copies ot plan (20°h mazimum lol coverage allowed) • 1 set ol Energy CalculaGons for heated additions . 2 copies of plan shawinq beam & window s¢es; poured found design, etc.) • 1 site survey for estenor addilions & decks • 1 sM W Emigy Cafculations • Indrcate if home served by septic system for addiUons . 3 copies of Tree Preservation Plan if IM platted after 1J1193 . Rim Joist Detail Optlons sNection sheet (hldgs wBh 3 or less unAS) DATE ,/11 /oZ VALUATION 4 % oo.ok-, SITEADDRESS c10FD Sudherr64 1gon2. MUITI-FAMILYBLDG _Y _N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPUCANT D 012.hen~.. F)')crrP I nq ,++~e STREET ADDRESS 4q C~) o~ `~~~3o ai vD CITV ae STATEfr~_ZIP?5fi ] l--1 TELEPHONE 1 yl.nLo CELL PHONE # FAX # PROPERTYOWNER '--:SoYlrl L.'~crcnon TELEPHONE# l1 11 1029 COMPLETE TH15 SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category ~ MINNESOTA RULES 7670 CATL'GORY 1 MINNESOTA RULFoS 7672 (J submission rype) • Residential Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: _ Phone # Plumbing system includes: _ Water Softener Lawn 5prinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Ph m 4 p- V~ ~ ~ ~ Mechanical system inclttdes: _ Air Conditioning o.00 _ Heat Recovcry System ' Sewe?/Water Confractor. Pho I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Slgnature of Apptlcanf - 1^ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Upda[sd 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? US 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage CI 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 46 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 (Foundation) ? 45 Fire Repair 13 33 Alteration ? 37 Demolish (Bldg)" O 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Oemolition (Entire Bldg only) - Gfve 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 bidg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings(addition) _ Plumbing _ Foundation HVqC _ Drain Tile Other Roof _ Ice & Wa[er _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final - Framing _ Siding Shucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Certificate For: ,T.ose*i M Miller Construction ~ • , - 13133 Cedar Avenue South P~W %6o3f - f«P,?fD - Farmington, MN 55024 _ DELMAR H. SCHWANZ IANDSUAVEYORf, X#G. ' - RpistaW UnMr Uws of TMSNtA of Minnpop 2878 - 146TH STREET W. - BOX M R086MOUNT ~ . Mt;... . tlDUw PNONE 412 4337768 - , i - SURVEVOH'SCERTIFiCATE ' ~ leyk ~p 1% $CALE: 1 inch s 30 Peet I (,~I!<';,t~~QNE55 i ~ N Drainage & tility ~ N I easement s f 6 ' ( rt? '~3, , , h ~ Q P~aPaaso ~ ~ 0% ~ R'~ \ I , ~ 6A,e • ~ n,, ` $etback hub o = Property corner 7¢•.:~ . /Z.9S I hereby r,ertlf\C'Vi`, ?~89-57-~!^~ that this is a true\ and correct representa n of Lot 13, Block 1, SHEFFIELD, accor to the recorded piat thereof, Dakota County, Minnesota. Revised house location April 3, 1984 Houae not staked as of April 30 1494, , ~ , E . A rI EA'l.Y MINNESOTA REGIST TION N0.8B25 ~ ~F ~ y . 1988 BUILDING PERMIT APPLICATION - CITY DF EAGAN SINGLE FAMILY DWELLINGS 14t e 71) INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESZGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED. M[JLTIPLE DWELLINGS RENTAL IINITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECS WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLULE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS r An E'S h1;~i I'lti;~ To Be Used For: Valuation: 115-06 Date: Site Address ?65-5uD8c&R-3 LN OFFICE USE ONLY -T Lot 'Block ~ On site sewage_ Occupancy f • MWCC system _ 2oning Pareel/Sub On site well _ Aetual Const City water Allowable Owner MADL,Lj~NL PRV required _ 16 of stories p ' / Booster Pump _ Length Address ( U S- &.Lh6E l~A-nL= Depth • S.F. Total City/Zip Code 1:/a6A-) G~-123 Footprint S.F. Phone b 6/- /("~f b APPROVALS FEES Contractor Engr/Assess Permit Planner Surcharge AAv Address Couneil Plan Review Bldg. Off. 4/19 SAC. City CitylZip Code Varlance SAC, MWCC Water Conn Phone Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies ~ City/Zip Code TOTAL .35. GD Phone # 0 • A 26•00+ 0•50+ 1•00+ 27•50* , . 1989 BIIILDING PfiBMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLING3 ' ( 14 If ~ INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYo 1 SET OF ENERGY CALCULATIONS NOTE: 6DDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNfiR MOST DESIGNATE WHICH ADDRFSS IS DFSIRED. NO CHANGFS WILL BE ALLOWED ONCE H9ILDING PERMIT I3 I3SOED. MOLTIPLE DWELLINGS EENT9L IINITS FOR SALE UBITS • OF ONZTS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SURVEY - CHECB WITH BLDG. DEPT.9 1 SET OF ENERGY CALCULATIONS COIMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS; 1 SET OF SPECIrICATIONS AND 1 SET OF ENERGY CALCULATIONS 4` ~ To Be Used For: Valuation: ~ t~nV Date: Site Address 1(~-r Llur"il 1lu1 OFFICE USE ONL.Y Lot Block ~ Occupancy FE63 Zoning Parcel/Sub Actual Const Bldg. Permit a(o, ao Allowable Surcharge Ohmer # of stories Plan Review Length _747 SAC, City Address o S Depth ~ SAC, MWCC ; S.F. Total Water Conn i City/Zip Code 3 Footprint S.F. Water Meter / l Aect. Deposit ~ Phone On site sexage_ S/W Permit ~ On site well _ 5/W Sureharge I Contractor W ~ `c, MWCC System _ Treatment P1. City water Road Unit gdd„oee poF required _ Park Ded. Booster Pump _ Copies .oo City/Zip Code TOTAL )A n APPROVALS Phone Planner _ Council Areh./Engr. Bldg. Off. Variance Address Council City/Zip Code Phone # NOTE: Sewer & Water Permit fees and aecount depoait fees will be ineluded in the building permit fee. Processing time Por seyrer and r.iater permits is two days once a licenaed plumber has applied for a permit at City Hall. Joseph M Mlller ConatrucLion P~+'~N~ I6o3f - f~~Pi~D irj, 33. :edar Avenue Soutti Farmington, MN 55n24 ' • DELMAR H. SCHWANZ LAND SUA V tVDAf, T/fL . . Reyhlwed Undor I.awf ol ih& llaN 01 Mlnoowlo • 2078 - 146TH STIIEET W. - SOX M RdlMOUNT.~•S PHON! 412 429-17N , , ___---------"'$'UqyEY011'tC@lITIFICATE ~NN pp SCALE t 1 inch ~ 30 feet 3 , ~ ~ • Z ~-=7~ Z / ~7 . ~ Drainage & utility' ~ I easement s A r ` TjEG~C 1 i ~ S /xoPd~6D I 0 ~ \ u pro.JlE' ~ ~ \ ~A O = Setback hub "c, 0- Property corner ~ • 3~ 12.9 T F1P.TP.hy nerttPy ` N 5-7-00 Ld that thia Ss a true\ ~ and correct representa n of Lot 13, Block 1, SHFFFIELD, accor to the recorded plat ttiereof, Dakota County, Minnesota. Revieed house luc.ation April 3, 1984 ilouse noi, staked as of April 3, 1984. . ` A A ~ MINNESOTA f1/EG18T TION,N0.8849 ~ . I 2/84 ~ CITY OF EAGAN / APPLICATION FOR PERMIT - SEWER AND/OR WATER CONNECTION (PLEASE PRINT) . 1) PROPERTY ADDRESS: 905 Sudberry r•Frnr• DFSCRIPTION: Lot 13 Block 1 j (Lot/Block/Subcivision or Tax" arcel I.D. Ntunber) ~ ~ IF EXIS:"_`:G STRLTCPURE, DATE- OF ORIG"VAL nUILDL"G P=MIT TSSU~NC°: iMcr.czjYewr) ~ PRESENI' '..^,`7N. r,'/P?2nPOSD LiSE: 0 R-1 SINGLE FPMMSLY 0 R-2 DUPLEX (ZWO ()NITS) i 0 R-3 ZU~NHOUSE ('I'HREg + U[QITS) ( UNITS) ? R-4 APA==/C0D7CGi4INI[ID1 ( IIf.ITS) ? CONAEEZCIAL/RETAI7,/OFFICE ? IIML'STftiAL t ? INSTITUTIONAL/GOVERIZIEN7` i Z) AppLICANP (PLEASE PRINT) ~ NAME: Joe Miller Construction ~ ADDRESS: 18133 Cedar Ave So. f CITY, STATE, ZIP: Farmington, Minn 55024 ~ pHpiNE; 454-4753 i ~ 3) P~MER PLEASE PRINT) FOR CITY USE ONLY NAME: McGuire Mechanical Services, Inc. PLUMBERS LICENSE: ADDRESS: ~ n_ Rnu 91 4 Q Active CITY, STATE, ZIP: Lakeville Minn• 0 Expired PHO~- TEI~ Not of Record 55044 PLUMBER LICENSE k 002751M7 a nitia pCCJp~/OWNER NP.P'fE: (PLEASE PAINT) AUDRE55: CI'I'Y, STATE, ZIP: PHONE: 5) INDICATE WHZCH PF.RMIT IS BEING REQUESTED: ~ CONNECPION TO CITY SETrIER ~ CONNDC.TION Tp CITY WATER E] di'IIER (PI,FASE DESCRIBE) 6) II9DIGATE ON'E: E] PIEASE HOLD APPFZ(AIED PEMMiT FOR PICK-UP BY ONE OF AB(R/E ? PLFASE Mp,IL APPROVED PERMIT 'ICJ 1, 2, (D 4 ABWE (Circle one) 7) S2aNIA'IURE: kj<.~~.,.~„ DATE: , ~t~twwiwiw;w~~.~~~~;~~.:rriliwt+wt~'i~i~+iiiiiiiirt~tw~`~,y+t~!1~k!!!k!~!hr!'~!!ip4}!!9~N49!~".: `qrl•~''o~arl. F O R C I T Y U S E 0 N L Y PERMIT 4 ISSUED FEES : $ SE'r7ER nERr4IT ( INCLGDE SUP.CHARGE ) $ WATER PERP1IT (INCLUDE SURCHARGE ) $ WATER METER/COPPERHORIV/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEL7ER T:,P $ ACCOUNT DEPOSIT - SEWER $ e-cJ ACCOUNT DEPOSIT - WATER $ D. a-a WAC $ Z- o0 SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL $ AMOUNT PAID/RECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIG;IT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN ~ PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ~ TITLE: DATE: .a+w-M 8040 sEmzmo sun E~~e ~w w~ia~~e~ ws~ w~ ~st s~ w~ Ra ~~fe ss~ ~rt+ w~~#re w w~. ~ ity oF eagen 3830 PILOT KNOB ROAD, P.O. BOX 21199 BEA BLOM9UIST EAGAN, MINNESOTA 55121 MOyOf PHONE: (612) 454-8100 THOMAS EGAN JAMES A. SMITH - JERRV THOMAS THEODORE WACHTER August 3, 1984 ca,mann~oan THOMAS HEDGE$ Cify Adminisimiar EUGENE VAN OVERBEKE City Clark CERTIFIED MAIL RETURN RECEIPT REQUESTED JOSEPH M. MILLER CONST. INC 18133 CEDAR AVE SO 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 B.P. #8842 - 879 SUDBERRY LN B.P. #8235 - 848 SUDBERRY LN B.P. #8638 - 4498 WEDGWOOD DR ~ S.P. $9015 - 905 SUDBERRY LN. ~ j3 g s If arrangements are not made within ten (10) days to resolve these oversiqhts, 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 GROWfH IN OUR COMMUNIIY City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 905 Sudberry Lane Lot: 13 Block: 1 Addition: Sheffield PID:10- 67600 - 130 -01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner PERMIT City of Eaan Comments: Permit closed without required inspection(s). Letter sent to applicant on 2 -5 -10. (pf) Fee Summary: Contractor: Pronto Heating & Air Conditioning 7501 Washington Ave. S Edina MN 55439 (952) 835 -7777 Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec 445 -2840 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature - Applicant - Owner: Victor Prada 905 Sudberry Lane 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 EA090887 08/26/2009 ePermit cal Inspector, (952) 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 City of Fatal RCLV` 5) 3830 Pilot Knob Road 'UN 11 ' - Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 For Office Use Permit #: / Permit Fee: i39 Date Received: Co -7-0-- Staff: INFLOW & 1 FILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: 61. 2 120 2 J Site Address: Its/ 5 0Jc-vb )--0('u Eat'nl" Tenant: Suite #: Name: \ I jog- (PQ Address / City / Zip: 1.5'6 J dA ✓eCf Phone: C 5t) e B `I p 6 0,0 55\2; Name: License #: Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) %Sump Pump Repair SEWER 8 WATER (Outside the building envelope) Repair Other: Description of work: IR42pAuCe a m? rPt.,rfl F(Q.iv C �di�JGrt �t elc •2 6 , C� FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ 6 o ` a� *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeaaan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.aocherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the 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 ap , ication or 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 o. work . i ires a review and approval of plans. x ?(2. p'IDB' Applicant's Printed Name PERMIT City of Eagan Permit Type:Building Permit Number:EA122285 Date Issued:05/02/2014 Permit Category:ePermit Site Address: 905 Sudberry Lane Lot:13 Block: 1 Addition: Sheffield PID:10-67600-01-130 Use: Description: Sub Type:Reroof Work Type:Replace Description: 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 by law in ALL single family homes . Audrey Flattum 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 - Victor Prada 905 Sudberry Lane Eagan MN 55123 (651) 348-7456 Storm Guard Restoration 1355 Geneva Avenue North, Suite 201 Oakdale MN 55128 (651) 738-1698 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA146466 Date Issued:10/26/2017 Permit Category:ePermit Site Address: 905 Sudberry Lane Lot:13 Block: 1 Addition: Sheffield PID:10-67600-01-130 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Robert R Gutierrez 905 Sudberry Lane Eagan MN 55123 (956) 501-9034 Window Store Home Improvements 2924 Anthony Lane #115 St Anthony MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature • For Office Use Permit#: E AG A Permit Fee: /02 0 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 JUN 0 Date Received: '(¢"� / 6 ���g (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinoinspectionsecitvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (0 rJ q 91 c) cl e r r ( ' 1 Site Address: Unit it: q r Name: Rdbe� . t S rna-ine l�u4\2n 2 Phone: IBJkO Sb1 103 `f Resident/ Q Owner Address/Cay/Zip: 10 5 Suabe rni L Applicant is: _Owner A.. Contractor Description of work: 51 c L Type of Work Construction Cost:' ©o Multi-Family Building: (Yes /No_) Company: .-N e-(-C .j e C COIYtWilfi o y l5 Contact:J(Z e Sc ti U t 2" Contractor j\,Address: t 32 1 S V m m t t A/e City: "I . a,�J t p P State: NZip: 550'1 Phone:pt1L2�Jjt5 11 Email:1n(Q YP L C•c Ong License#:13)0 4 q 91 Lead Certificate#: ?-) 1 9 If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeaaan.com/subscribe. 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. 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 accordancedwith the approved plan in the case of work which requires a review and approval of plans. or X 1 I ra. '(fr iccch')11Z x Applicant's Printed Name A p icant's Signature r For Office Use I (11\ '++ Permit#: 7 94,1-1 EAGANPermit Fee: 04 C � 3830 PILOT KNOB ROAD �1 � r Date Received:EAGAN, MN 55122-1810 C�w✓✓ !`. (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 ' 9 Staff: buildinainspectionsCcD_citvofeagan.com JUN 1 9 2019 2019 RESIDENTIAL BUIE l: - - APPLICATION Date: LD- /q-l8 Site Address: 9C S SN 00/17e,r* (n Unit#: Name: Abe1- (t it Phone: Resident/ owner Address/City/Zip: 9oS SKdbeir y 1, � Applicant is: Owner i( Contractor p c n lcq Description of work: ge-Cetr�we.C.., Qce 1r A eie.-' Q41 Jf Type of Work '"� Construction Cost: 521 Building: (Yes /No ) Company: Pte kr reef t.+a Atute/l i i i tabetntact:3 ke ((az)Z8 3.a/S1 C #ractor Address: !3 ZZ Skier, t i 4- Ave. City: Si. a./ Park State:Jt4 V Zip: S'5b7/ Phone:(r12 US 81S 1 Email:34-Ike •Se-kK iii &fK I 9 47et c •Gowi License#:$L 7y9'/79 Lead Certificate#: Zo/ 80(p 42 If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE;Plans a td' docum n$ hat yr«submit ar gossklered to be pebble brafoninaton. Portions of the information may be 0108 0481 AM:b# r Vii. IfloOtt'trt?ke tic ratisorrt 001 WoOWP0nnit Ottf0 c0n01r+d.gaottouware trade semis. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. 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. 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.aoaherstateonecall.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 • ••t to st- ithout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv- • plans. x Tq cob SI-6.1 k- x r..l�iil>• Applicant's Printed Name Ap nature DO NOT WRITE BELOW THIS LINE C) 5 �(,tcLbRe Lf / 0 • /�6 -1 -- -- SUB TYPES — Foundation _ Fireplace _ Porch(3-Season) Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi �(.Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex /"Lower Level _ Pool — Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation }, Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant , , ' .�,z . a 4.....,• .Cr' '.t. ► +,.!•Y' F' I`.. +.n•$g. , '`: DESCRIPTION Valuation Sil2L0 .. Occupancy4 ) (L .'b• 'ACES System' Aa Plan Review Xj Code Edition i 4,,cUnits (25% 100% Zoning t ��` City Water Census Code Stories ' Booster Pump #of Units Square Feet PRV #of Buildings "' 14 ,Ili '1.1.4 » 'Cenggh "'' . '' '' 'Fire`Suppression Required Type of Construction t/a Width9` REQUIRE9,I SRFACTIONS . Footings(New Building) Meter Size: Footings (Dem :, Final/'C4 Required-}:. •"-% . Footings4Addition) . _ Final/No C.O. Required ' fotln"nidt�ion Fotirfc)ation Be�Fii-e Backfill ` if �1C Service Test Gas Line Air Test_Hood .4.1-1Root r•1-.- Pool: Footings AifK S Tests Final Roof:_Ice &Water!_ .Firal ,`: _ g rT Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES r Base Fee (L6A--10.c:( ,/1 Surcharge Plan Review MCES SAC 0°6'134' City SAC Utility Connection Charge S&W Permit& Surcharge 33(„ X 15- 0-l 0 Treatment Plant / Radio Meter Read Copies • . . , TOTAL Page 2 of 3