908 Sudberry Lane
CITY Or- EAGAN SEWBt SERVICE PERMIT
3330 Pilot Knob Road
P. U. Box 21199 PERMIT NO.:
Eagan, MN 55121 pATE; 7-27
R1
Z°^i^p: No. of Units: ~
pu,ner JoaeYh .Miller 6on3fi I::c
Address:
Stte Address: _ 908 Sudberry Lane L2: li,~ ,,he¢field nadn
Plumber: ~1CGuire `•IeCh
100.00 ~s
I.on. !o eanoy wnb eh. Cihr of Eaoo¦ Connscrion Chorqe: - 42; - n rt
Ordieaeea. Acoour?t Deposih
Permit Fae: - 1 ^ _ n 0 , Id
Surchorpe:
By Misc. Charpes;
Dcte of Insp.: Totol:
I"sp•: Date Poid:
CfTYCr EqGqN
3830 Pnot Knob Road "
A. o. 13ox 271 M?ATER
Eegan. NIN 55 121 SERVICE p
p ERM1
Z~r?g: D^T N~.: ~R1411T
~+vner: E. 7-2 7-~3
qdd~~. JOgg ~<`~11 3er Conat j~~ f Units:
I
Sita ,S
Address:
A4ftr u~Mrer: 41cGuira Alac~~ ~e I,2 ~ ~heP
r.~: No.: h Ytel~ A~
sr ~
;°°d°r No.: C°^necFion Chorfle; 11 a. 0
ft" ro eoopy Pe~a'nr D~evos;t: p r' ~
~r ot Fi~A rmtt Fee;
SurchQrge;
~Y MjW- CAo
Torat: roes: Pd $eter
~N? °f 1nsp.:
Qate Peid:
ln$.:
la
cIrr oF E?GAN
• 3795 Nef Keob Reed Eogon, MN 55122
' PHONE: 454-6100
BUILDING PERMIT Receia
To be vNd Mr SF DWG/GAR Est. Vo1ue $57 ,000 Dote June 24 Iq 83
S+ce Add,ss - 90$ Sudberry Lane Eratt R-3
Occupancy
Lot 25 glak 2 ~/S,,b, Shef f ield Alter p zoning R-1
Parcei # Repolr ? Ffre Zone ~A
cc Home Josepl-i M. 'i4iller Const., Inc. Enloroe p Type of Const. V
W Mova O * Stories
~ ^ddrosf8133 CedBr :1ve. So. oen,olisl, p Length 39
C~ I'arr~ingtor~ 454-4753 Grode ? Depth ~+6Sq. Ft.
~ TIer AvPr~'als F.es
Nome OW
/lddreu /\ssessment pe~it 304.00
~ Woter & Sew. Surcharfle 28.50
Ci Phone
Police Plan check 152.00
~W NO^7O Firo SAG - 525.00
~z ~ hddresa Enp. Woter Conn ~+50. 40
i W Ci Plonner Water Meter 60• 00
Council Road Unit 250•00
I hereby acknqwledge that I hove reod this application ond state that gldy. Oft.
the lnformntion is correct and ogree to comply with oll applicable ^PC Tatal ~17b9.50
Stote of Minnesoto Stotutes ond City of Ea9on Ordinances.
Sl9noture of Permittee
orteph M. I4i lor Con9t., Inc.
A Building Permit is issued to: i on the ezprcss conditlon thai
all work shall be done in xcordonce with oll ~imbls-Stgtt'of Minne3ota Stotutes and Ciry of Eo9an Ordinances.
-
Building Offiticl E- . ,
pW srmit No. P~?mit Holder Misc. Pe~mit No. Holder
r~o ~ ~ 018`7~1 /kjMCtltiL$- V-k3 .
Inapection Uate Insp. Other ~
Faotings . . ~ . ~
Foundation
Frsminp '
Rauqh PI6g. ~ W •
Rauyh HVA ,
Inwlation )~y ' 3 ~
Final Plba
Fioel HVAC .dI
Final
Watsr ~ibe Location:
IMNI • ;
Sewer
Pr. Dkp• %
Q
- - - - - - ~ ~
,
(Irr 6
~ t•f iratt of ~rrupanr
y
:
Citp of (Eagan
,
BppMl''tmPn# Uf Bvgbilt J 3ttS.pPrttA'it
Tbij Crrtificdtt istual ParJtrKf?t fo f$e rtquirtmtnts of Sution 306 of the Uni form Building
~'r•'_'.~'~` p'.i Codt arti fring thut at tix ti+nc of ismancc tbis uructurc was in tompliancc with the variou.r
ordinancu o f the City ngxlatiag building constrrution or uae. For the following:
SF DWG/GAR f
wp ca.rs~~ waI. r.~l Na. 819 0
V NA Rl
0.PYLy 7~p. R3 Typ COOfING1ia11 FIR ZIIPt ZOAllla Qiftlid
Joseph M. Miller Addnu 18133 Cedar Ave. So., Farmi~'t~ ,
' o...~orsrea:~j
~908 Sudberry Lane Lot 25,Block 2,Sheffield MOW O,~, A!Z n,u: August 29, 1983
. ? { . _ ' ' ' ~T IM A GOMNICYOV~ ?LAC[- _ Y
1:._.: `c . ~ .i.i:•a a~..~1 ~ ~1~ .~~r~~
~~,•J~~',~,~''~1~~" ..~.d~~' .,~~~j.6. .~~j~..~J ~ ,.~~~ia.~
Receipt 5~ MECHANICAL PERMIT Permit No.
CITY OF EAGAN -
' Fee
Frll in numbered spaces S/C
Type or Print /egib/y Tvt.
1. Date 2. Installation Cost
. , Y
~
3. Job Address Lot- .--'Bik. s-- Tract
r-
4. Owner • ^
5. Contractor ' Phone
6. Address
7. City State Zip
8. Building Type: Residential C~Commercial ? Institutional 0
9. Work Description: New ~ Add ? Alter ? Repair ?
10. Describe Fuel Type
11. No. Equj~pment 9TU - M. Ea. No. Equiament CFM
Forced Air Air Handling:
~ Mfg.
Boilers
Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : - - -'`for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when num6ered and approved.
Approved CITY OF EAGAN 454-8100
Receipt <<1 PLUMBING PERMIT Permit No.
CITY OF EAGAN '
Fee
FiII in numbered spaces S/C
Type or Print /egib/y Tot -
1. Date 2. lnsta4{ation Cost
~ -
3. JobAddress SLr'L(,_r_r~. Lot ~.E Blk. ~ Tract-a f'
4. Owner ;Jna L; 1 l Pr Cn,prtri,c-t i r_,
5. Cvntractor,,:eF±b~3.~'~ 4s~1 Phone 44 c: o ;
g. Address i n'7 '2 c r'! 3 r= r~..• 1 T-? r i ZI o
Z"C7'T-,L~--T'^e'T~~ G E xT~rJ
7. City State y2ip
8. Building Type: Residential ~ Commercial ? Institutional O
9. Work Description: New ~ Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
~ Water Closet Cesspool/Qrainfield
_L Bath tuhs Septic Tank
Lavatory Saftner
Shower Well ~
Kitchen Sink Urinal/Bidet O#ier
Laundry Tray .
i Floor Drains
Drinking Ftn.
Slop Sink
I Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree tn
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Qate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8104
CASH RECEIPT •
CITY OF EAGAN .
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 1 9_
RQC[IVtD
FROM
AMOUNT $ I
& DOLLARS
~oo
? CASH ? CHECK
FOR
PUNO COOE nIdOUNT
T nk You
B Y
White-Payers CopY
Yellow-Posting Copy
Pink-File CoPY
CITY OF EAGAN Remarks
+4ddition SHEFFIELD ADDN Lot 25 Rlk 2 Parcel 10-67600-250-02
Owner Street 908 SUDBERRY LANE State EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1981 28.68 1.43 20 24.39 A012731 9-7-83
STREETRESTOR. 9 1984 178.09 17.81 10 178.09 C008535 9-19-83
GRADING 1/ 1981 91.10 6.07 15 72.89 A012731 9-7-83
Sewer Lateral 577 1981 152•9 10.20 15 122.41 " "
SANSEWTRUNK 1981 63•30 .22 15 $0.64 11
SEWER LATERAL rLIJ_ 1981 9,50 6.43 1 82.04
Sewer Lateral p 1982 65.06 4.34 15 56.40
WATERMAIN 1981 128.08 8.54 15 102.49 • WATER IATERAL Z 19 2 8•I 3•21 15 41.74
WATER AREA 1981 63.30 4.22 15 50.64
• Powerline 1982 15
STORM SEW TRK 1985 456.09 91. 22 5 G- o e ea aSS
1 STORMSEWLAT DISin e 1984 91.75 9.18 10 91.75 C008535 9-19-83
Zi ai s a4o .os C oy2ss 2--0 10
CURB & GU ER
SIDEWALK
STREET LIGHT '
S e 1985 1941.6z 388.33 5 / (o N o 0 9~SS ~
250.00 36662 6-24-83
WATER CONN. 450.00 " "
BUILDING PER. 8190
SAC
PARK
cin oF ennGnN p
• # 3793 Pllef Knob Read Eogan, MN SSlll 1~I ~7 ? 8190
PHONLt 451-8100 ~6 6 q BUILDING PERMIT Receipt #
Te M mad hr SF DWG/GAR Est. Value $57,000 pate Sune 24 , 1 q 83
Stce nddress 908 Sudberry Lane
25 2 Sheffield Erect XIb1 Occuponcy R-3
Lot BI«k Sec/Sub. Alter ? Zoning R-1
Percel Repalr ? Fire Zone NA
~c Nome Joseph M. Miller Const., Inc. Enlor9e ? Type of Const. V
= Move ? # Stories
~ Addresst8133 Cedar Ave. So. pe,,,ol;sh p Length 39
Ci Farmington Phom 454-4753 Grode ? Depth 46 gq, Ft.-
o Name Owner Avwovak Fees
Address Assessmenr Permir 304.00
CIt Phone Water 8 Sew. Surchorge 28.50
PoNce Plon check 152.00
tZ N°'"B Fire SAC 525.00
Address Enp. Woter Conn.450 • 00
iW CI Phane Plonner WaterMeter 60.00
Council Rood Unit 250.00
1 hereby acknowledge that I hove read this applicotion and state fhot gldg. Off.
the intormation is corred and ogree to comply with oll opplicuble A~ T~o~ $1769.50
State of Minnesoto $tatutes ond City of Eagon Ordirwnces. Sipnaturo of Permittee A Buiidiny Pe.mir Is issued ro: Joseph M. Miller C st. , Inc. o„ rha express condirion thni
all work shall be done in occordance with oll op j~, n ,i f Mies nnd City of Eagen Ordirwnces.
Building Officicl ~<..G
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Thisre4uestvoidSS"~ $kF-W-1'o,4 3-744 a
18 monffis from
WD $`761 a' .'!~;b
Pequest Date Firo No. Roudhr-iedntInsoection
L ~ ? ~Feady Nu~+~WRI
Re Notify Inspec-
~ s No tor When Ready
%LRollcensed Elec[rical Contractor I hareby reqvast inspection of ebove
? Owner elechical work instelled ar ~
Street Aress, Box ot Houte Na. City -
~b'e ~~e,ll (_avti- E a ~n
75n o. Township Name or No. Ranye No. C& (a -to,
OccuOAnt IPflINT) Phone No,
92 0106. &tis4,,.,,c4,eA ySU- 1/1s73
Pow~°r Sup ier 1 Address
NQ~b~
ElecVical Contr c[or (Corclpany Nume) Con~trac/mr"s License N~o7.
, QOO ~ICCTA./C `7I~RIO - ^S
Mailing Atldress IConVactor or Owner MakinB stnila[ionl
a 661 .6 ia/ 7-)4 LM 3 Ui II.,~~.~
Authoriz tl. ~JOwner Making Installationl Phone.NUmber
MINNESOTA STqTE BOAPD OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT
Grigps•Mitlwey Bldg. - Poom N•191 BE ACCEPTED BY THE STATE BOARO
1821 UniversitV Ave., St. Paul. MN 55704 UNLESS PflOPEN INSPECTION FEE IS
ia- eo-. ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION Es-°°"".
' See insbuctions for com0lecinp this form on back of vellow copV.
7~7~~
"'X"" Rel Work `C ered by This Request ?y d
Add Neo. Tyoe of BuilOing Aooliances Wiretl EquipmeQl Wiratl
Home Range Temporary 5e4,ice Duplex Water Heater rghtinG Fizwres
Apt. Building Dryer Electric Heatin
Commercial Bldy. mace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm thnr peu v 7ther
t nr specirv t er otner
Compute /nspection Fee Below
N Fee Service EnbenceSiza fl Fea Fenders/Suhfexders K Fee Circulls
r {Q t~ 0 to 200 qm s 0 to 30 Am s $."?s 0 to 30 Am us
A6ove 200 Amps 31 to 700 Amps 31 to 700 A s
Swinvning Pool Above 100_Am s Above 100_Amps
Transiormer5 Irrigation Booms .SG Parti er Fee
Signs Speciallnspection
Rerr,arks . S 33. OTAL FEE
av
aouen.in °~`e~q . '
~ Inspectoq hareby
certify that the abovo
Final 6 O('~~./~~ ; nspettion has been ,
~f ~ metle.
rnls reeuest voltl 18 months hom
Certificate for: Plan No. 93033
- • •Joe Miller Construction
_ '18133 Cedar Ave. So. , Non-walkout
Farmington, Mn. 55024
DELMAR H. SCHWANZ
LANDSUNVEVORB 143L"
RpistnM Untlb Laws Of TM 5late of Minn~[+
- 2978 - 146TH STHEET W. - BOX M1 R06EMOUNT. MINNE90TA 56088 PlIONF 817 4231789
404~ _ SURVEYOR'SCENTIfICATE ~
~ O
_58•16„ ~
m
C ! - ~ -C
1 1~ ~ ~ y~• : .
69 - ~ ; 0
. ta ~ .1?
O \ ~ N
(J~ ~
"Q~ir
S ~ o w y • ~ ~
-p 1 __•i„ ~ s ;qok~
(EDDenotes proposed. finished grade
~f N ttv ? Denotes setback monument
Denotes proposed drainage
~
Proposed garage floor elev.___•
Proposed top of block 9063
Proposed basement floor 898 6
I nereby certify that this is a true and correct repreaentation of
Lot 25, Bloek 2, SHEFFIELD, according to the recorded plat thereof,
Dakota County, Minnesota.
Also showing the location of a proposed house thereon.
Dated: February 21, 1983
l c 4EEGG11STRT1100'N~tMINNESOTA 0.8625 i ~ .
~..0; n,'?, r,..... . .
S m F
, Permit 07.30 7 City of Ea~an I I Permit Fee:
I
3830 Pilot Kno6 Road
Eagan MN 55122 j Date Received:
i
Phone: (651) 675-5675
Fax: (651) 675•5694 i Stan: i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Daie: " E5 Site Address: 4) c S Scx 6, L,
v
Tenant• ~ c~ ~-~Z- Suite
RESIDENT/OWNER Name: M*^t ~ Phone:
Address / Ciry / 2ip: L`--..c~
Applicantis: _Owner ontractor
TYPE OF WORK Description of work: Ae-I cL t 4~ w~
Construction Cost: Ut:74~ Multi-Family Building: (Yes No~-=f
CON TRAPTOR I I Name: 1,12.ti-`F PL i"'cense -B c- ' 2,413 bF5 34 1(
~A~41 ~nQ' Address: Z05?f, 3t--p: ~-'-r
~'f~
G~ ~ i~~ • City: t (,Q State: M.0j Zip:
~ Phone: (p f Z°S`iG °-Z4;c`[2-'-.Contact Persore
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv t Minnesota RuleS 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
CBtBgOry Submitted Su6mitted
(4 Subml55fon type) • Energy Envelope Calculations Suhmitled
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 Contrector: Phone:
Sewer & Water Contrector: Phone:
NOTE: Plans and supporting docurrrenis that. yousubrriit are consldered to1be pubfic intormation.'Poitions ot' '
t,he Jnformafion may be cla9siffed.as oon-publk,`ifyou provide specilic.reasons that would'permft the City to concfude fhat'the are trade searefs,'
I hereby acknowledge that this informaCion is complete and accurate; thal ihe work will be in conformance wilh the ordinances and codes of ihe City of
Eagan; that I understand this is not a permiL but only an application for a permit, and work is not lo starl without a permit; fhat the work will be in
accordance wilh the approved plan in the case of work which requires a review and approval of plans.
X 1`- AnL s 1~e'i: f.
x
ApplicanYs Printe me Applican5's Signature .
Page 1 of 3
' DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory 8uilding ? Pool
? Single Family ? 06-plex ? Ffreplace ? Porch (3•season) ? Ext. Alt. - Multi
? 01 af _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ex[. Alt. - SF
? 02-Plex ? OS-plex FF Deck ? Porch (screen/gazebolpergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
iE New ? Interior Improvement ? Siding ? Demolish Building`
? Addition ? Move Building ? Reraof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
' Demolition (entire building) - 9ive PCA handout to applicant
DESCRIPTION:
Valuation 3~ a~a Occupancy MCESSystem
Plan Review Code Edition ~2oc'7 SAC Units (25%_ 100% 1 Zoning I~D City Water
Census Code Storfes Booster Pump
# ot Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
24 Footings (deck) Final/C.O.
Footings (additfon) ~ FinallNO C.O.
Foundation HVAC
Drain Tile Other:
Roof: _Ice & Water _Final Pool: ^Footings _Air/GasTests Final
~ Framing . Siding:_Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _AirTest _Final Windows
Insulation Retaining Wall
Reviewed By: ~ ~ Building Inspector
RESlDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
f3:
Certificate for: Plan No. 93033 •
Joe Miller Construction
18133 Cedar Ave. So. Non-walkout
Farmington, Mn. 55924 ,
DELMAR H. SCHWANZ
LANDSURVEYORB
ReqistersU UnCer Lawf ol The State of Minnasota
2978 - 1457H STREET W. - BOX M ROSEMOUNT, MINNEWTA 66088 PNONE 812 423-1769
904 } _ SURVEYOR'SCERTIFICATE
r O
-
~
117
) -
fiN
23.4.7
~ , .
w -wA ~ ---•sej ~ ~ qnk?
V
7~~e'
6 5a
oti 5~ ~ qo Denotea propoaed finished grade
? Denotes setback monument
Denotes proposed drainage
y;
Proposed garage floor elev.
Proposed top of block 906•3
Praposed basement floor 898.6
I nereby c.ertif'y that this is a true and correct repreaentation of
Lot 25, Block 2, SHEFFIELD, according to the recorded plat thereof,
Dakota t-,ounty, Minnasota.
, Also showing the location of a propoaed house thereon. .
P,ated: February 21, 1983
2~~n
L~V 0E ~ .D
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re
~UCLD5RlQ's IFlSPECYMR''i~ ~M@N , Y'4
MINNESO7A EGISTR TION N0.8625 ~
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117713
Date Issued:10/22/2013
Permit Category:ePermit
Site Address: 908 Sudberry Lane
Lot:25 Block: 2 Addition: Sheffield
PID:10-67600-02-250
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 .
Eva Lewis
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 -
Jeremy Groven
908 Sudberry Lane
Eagan MN 55123--193
Purpose Driven Restoration Llc
325 Main St NW
Elk River MN 55330
(763) 633-4737
Applicant/Permitee: Signature Issued By: Signature
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use '`� f�
Permit #: L 1 b6
I O' '
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Site Address:
Name: '�iC (�y� fi OU e.>vl
Address / City / Zip: °t CA \412e ri
Applicant is: Owner 'Contractor
Description of work:
Construction Cost:
Unit #:
Phone: 15a. --L"! - aelOS
) N SS5a.3
Multi -Family Building: (Yes / No )
I
Company: ave, \<A4 A Sl e Y\49 Contact: tS N _ 3O1 5`gel
City: (sfl J 1)1,(4 .1)
State: MA Zip: '550 (1 Phone:451-3C51-75 1 Email: Dawe krAc n etk 1 (Ji), (Jt(?
License #: ‘36.--20 474 Lead Certificate #:
Address()3-6 1-) Q 6.. Sts
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Porti ns of
the information may be classified as non-public if you provide specific reasons that wouldpermit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.
x I avi►1`�I u I Dpi)
Applicant's Printed Name
x
Applic• is Sig = re
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156763
Date Issued:07/17/2019
Permit Category:ePermit
Site Address: 908 Sudberry Lane
Lot:25 Block: 2 Addition: Sheffield
PID:10-67600-02-250
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeremy L Groven
908 Sudberry Lane
Eagan MN 55123
Ray N Welter Heating
4637 Chicago Ave S
Minneapolis MN 55407
(612) 825-6867
Applicant/Permitee: Signature Issued By: Signature