910 Sudberry Lane
CITY OF EAGAN
3830 Pilot Knob Road
P, O. Box 21199 SlVI/ER SERVICE pERMIT
Eagan, MN 5512i PERMIT NO.:
Zontnp; u I DATE: ; .
~'~r: JOSC p. . No. of Un7ts: I
/lddress: ' r
STre Address: )10 Sudber Ltbrte t•-~
Plumber: F4cCuire Mecu S::effielcI
2'23'34
41GS1
~°7ro. ro eem* whh eM cfty of Eeses 100. 04 pd
O?dtnonw~. Co^wffm Cho.e:
^ccoUM Deposit: 15 . ao d
Permit Fee: 10.00
By Surcharpe;
d
Dote of Insp.: Misc. Chor'Des:
Insp.: Totol:
Li Dcns Pa?d:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O: Box ~1799 PERMIT NO.: ~391
Eagan, MN 55121 DATE:
Zoninp: k 1
No. of Units:
Owner. ,iOSB'1it i-i112CT
Addrcas:
Site ^ddrcsr. 910 ?Sudberry Lane L2;' is2 Shef''ie ic
Plumber. iTe ~'.eCr
Meter No.: Connection Chorfle: _ •1111 ,I ~11
Stze: Account Deposit: 15.00 n. c
Reodar No.: Permit Fee: - 1 -3, DO p''
1*Yno b eeseply wiM Mw Cify of Eogan Surthorge: . 50 pd
aaiwene... nAix. choryes: _ 63.00 pa Zeter
Total:
By Date Poid:
Dafe of Insp.: Insp..
CITY OF EAGAN WATER SERVICE PERMIT
3st30 Pilot Knob Road
F~. O..Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE
Zoninp; • No. of Unitx 1 ~
Owner. Jos~~~~< i•ii1~eT
Addrow.
51h /lddress: 'St1lberrx Lane L2 ~}.efi~ield
~ Plumber: `•`c .'1 t rE reLh
r No.• ~ Connection Charye.
1I Size: ` ^coount Deposit: . 15 . 00 p: c
J f e o No.. i{tl~lt~.mit Fee: 1~~,,OQ gd
` 1 Nrs~ to eae ° 5 0 nt;.
aa,, Choroes: 53.0'~ ;jd :;tcte:^
~ ~Y ~
' gy Date Paid:
0 0'7 A~
~ Date of Insp.. ?1 fi -7l XU Insp.:
~
' - -
CASH RECEIPT
~ CI'TY QF EAGAN
P. O. BOX 21-199
E,AGAN, MINNESOTA 55121
' DATE ~ 19
rtecciveo
FnoM u
AMOUNT Is I
4 DOLLARS
oo
7
~ CASH 2/CHECK r,.I
FOR
!
FUND COOE AMOUNT
Thank You ;
,
BY
~
J~:
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT
CIfiY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19' ,
r
Receiveo
Fwaa
AMOUNT $ , I=
$ DpI.LARS
too
? CASH CHECK
r o R
)4 ~ ~ r - - - -
i~
FUND CODE AIAOUNT
/ J./.
/
.fL/ <,(f
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN ~ $843
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt
Te b~ wsd fer 599000 Dote 2-2 3- 84
I NG FAM Dtv LG S G&CVelue
19
StteAddress 910 SUI)BERRY Erect Occupancy R 3
Lot 24% Block 2 Sec/Sub. SHEF'FIELD Alter ? Zoninp R1
Parcel No. 10-67604-260-02 Repoir p Fire Zone
Enlarye ? Type of Const. V
oWe Name Mqve ? # Stories
= Address DemoHsh p Length_I4
~ City Phone Grade ? Depth 50_Sq. Ft.
JOSEPH MILLER CUNST ApProvals Fees
~ NaR,e
oU Address 18133 CEDAR AVE, S0. Assessment Permit 795_n0
u~ City F~N Phone 454-47 53 Woter 8 Sew. Surcharye 7 S_(1(]
Police Plon check 1 47'SO
~W Neme Firo SAC - 575 _ ()fl
Address Enp. Woter Conn. ~,QQ
~W City Phone planrwr Water Meter _63~0
Council Rood Unif --Z60,W
1 hereby ocknowled9e thot I have read this applicotion ond stote thot gldg. Off.
the informotion is corrett ond ogree to tomply with oll opplicoble 1765.50
Stata of Minnesota $tatutes ond City of Eagon Ordinances. ^PC Totol
Sipnnture of Permittee
JOSEPH PSILL3';.
A Building Pertnit Is issued to: on the express tadition thn+
oll work shall be done in accordonce with..Qll opp'FiaeWaState'of Mlnnesota Statutes and City of Eaflon Ordinonces.
Bulldinp Offic{al • ! ^ , , ' '
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Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
fill rn numbered spaces S/C
Type or Print legib/y
Tot.
1. Date 2. Installation Cost 1
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City Stats 2ip
8. Building Type: Residential O Commercial ? Institutional ?
9. Work Description: New El Add ? Alter ? Repair ?
10. Describe Fuel Type
11. No. Equi men,t BTU - 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 +ntormation is true and correct, and I agres to
comply with all ordinances and codes governing this type of work.
Signed
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-$100
Cr / ,
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN Fee
Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost '
, -
~ 4.
3. Job Address l~U /1 c[rt.~- Lot ~k Bik. Tract
u
4. Owner • c~ ~ ~i 1~. i,(r, : ~.~v.
5. Contractor . r Phone
6. Address
7. City ' State Zip -
8. Building Type: Residential Commercial O Institutional ?
9. Work Description: New l~K Add ? Alter ? Repair ?
10. Descri be
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other G ~
~ Laundry Tray
~ Floor Drains
Drinking Ftn.
Slop Sink
/ Gas Piping Outlets
12. 1 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 Finat
Inspections: Date Insp. Date Insp.
This is your perm4t when rumbered and approved.
Approved CITY OF EAGAN 454-8100
:
CASH RECEIPT
,
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE . 19
RECEIVED ~
FROM
AMOUNT $ I
l - ~ ~ f- . M~E & OOLLARS
ioo
? CASH ~ CNECK
~
FOR • J_ ~~Li~-
~
FUNO CODE pMOUNT
f,
t .
Thank ~ou
~ B Y
<
White-PaYers Copy
Yeilow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks
Addition SIiEFFIEI,D ADDN l.ot 26 131k 2 Parcel 10-67600-26A-02
Owner Street 910 SUDBERRY LANE State EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 579Y 1981 28.68 1.4 20 22.96 0138 3 5-15-84
STREETRESTOR. 36 1954 178.09 17.81 10 178.09 C008536 9-19-83
GRADING 5131 1981 91.10 6.07 15 66.82 A013893 5-15-84
Sewer Lateral 577 1981 152.98 10.20 15 112.22 " "
SAN SEW TRUNK l 1981 63.30 4.22 15 46.42
SEWERLATERAL 1981 9•50 6. 3 15 77.22
Sewer La,teral 61 1982 65.06 4.34 15 52.07
WATERMAIN 19$1 128. 08 54 15 93.96
• WATER LATERAL Z, 1982 .l 3.21 15 3$.53
WATER AREA 1981 63.30 4.22 15 46.42
* Powerline 1982 15
STORM SEW TFK ~ y 1985 456.09 91.22 5 G.o 676 . ,2
cAQ STORM SEW LAT DTSit1 e 1984 91.75 9.18 10 91.75 C008536 9-19-83
O .o GO 25~0, ~v
CURB & GU ER
SIDEWALK
STREET LIGHT
Street 1985 1941.64 388.33 5
~ ~ 0 ~
WATER CONN. 450.00 of to
BUILDING PER.
SAC t1 It
PARK
; CITY OF EAGAN 7~T p
~ 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 lr • 8843
PHONE: 454-8100
BUILDING PERMIT $ 59~000 ReceiPt 2_23- 84
To bs vaad for SING FAM DWLG d G~;Cyoiue Date , 19_
Site Address 910 SUDBERRY Erect Occupancy R 3
Lot 26 elock 2 Sec/Sub. SHEFFIELD Alter ? Zoning R1
Parcel No. 10-67600-260-02 Repnir ? Fire Zona
~ Enlarga ? Type of Const. v
W Name Move ? # Stories
; Address Demollsh ? Length_3-4
b City Phone 6mde
? Depth-50_Sq. Ft.-
~ JOSEPH MILLER CONST Avvrorola Fees
Name
O
ZCi 18133 CEDAR AVE, S0. Asseument Permit 995 nn
V` Addf855
F CitY FGTN Phpne 454-4753 Woter 8 Sew. Surcharge 25 nn
Police Plon check„L7 50
~W Na^e Ffre SAC Ss nn
Address Eng. Water Conn. 4 Sn., ~0
~W City Phone Plonner WaterMeter~vQ
Council Road Unit ~_z4QT490
I hereby acknowledge that I have read this avGlication ond state thaf gldg. 04f.
fhe inlormation is correct and ogree to wmply with all applicnble APC Total 1765.50
State of Minnesofa Stotutes und City of Eogan Ordirwnces.
Signoture of Permitteo
A 8uilding Permil Is issued to: JOS PH MILLE' on tha express condition thm
oll work shall be done in accordance with I opp of Minnesoto Statutes and Clty ot Eagon Ordinancea.
8uildirg Officinl
, . . . .
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T'is reRUegi void y• , :&-py
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, ~,nt~ 1~ 46
2 Z ef-~? 1 a- L
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Request Date Fire No. Rouph-in Inspertion ~
Fequired? Neady N~ill Notity, InsOec-
es ?NO «or When qeadY
1P.Wcensed EIeC[rical Con[reclor I hereby raquast inspection ol ebove
? Ownpr elec[rical wnrk installed et:
Street Address, z Qr Raute No. Cit
~
ecLOn o. TownshiD Name o No. Range No. C unty
Occ nt (PFINT Pho e No.
3
P r ppl ar Atldr ,
~
Elect 'c Con a or ICOmp y Co a tnr's License No.
M iling Address I Vactor or O er M ing Insla'
AOUthorizecf Signature I n actor/Own aking Installatinnl Phon Number
MINNESOTA STqTE BOARD OF ELECTRICITY THIS INSPECTION qEQUEST WILL NOT
Griggs-Midway Blde. - Xoom N-191 BE ACCEPTED BY THE STATE BOAPD
1821 lJniversitV Ave., St. Paul, MN 56104 UNLESS PNOVER INSPECTION FEE IS
Phone 18121297-2711 ENCLOSED. _
REQUEST FOR ELECTRICAL iNSPECTION ee-ooom-oa
~y-
SeB in5lfUCl10n3 foI COmplBting this torm on baCk Oi VBllow cOOY. 0 2
Q '"X' Be/ow Work Covered by This Request t~,,s
Add Rep. -.Tyoe ot Builtline APOliancea Wired Eqvipment Wired
Home Range Te iporary Service
Duplex Water Heater ightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial 81dg. umace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other pecj v oiherlsoecifrl
t er Suncify Ot er Oth¢r
ompute lnspectron fee Below
k Pee ServiceEntranca5ize q Fee Feaders/Subfeede,s N#J Fee Circ
uits
0 to Z0 Amps 0 to 30 Am ps 4 to 30 tlm os
Above 200 qmps 31 to 100 qinps 31 to 100 Am s
Swimming Pool Above 100Amps Above 100_Amps
Transiormers Irriyatlon Boorris Partial'Other Fee
Signs Specialinspection Hermrks TOT FEE
a -jo
flough-in . E - 1
0 Inspacbr, hereby
ertity thet the above
Final ~~sDection hes baen
mede.
fhia repuest voitl 18 monihs irom -
~-72-70
2007 RESIDENTIAL BUILDING rERmiT nrrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reouirements RemotlellReoair Reouirements Otfice Use Onlv
3 registered site surveys showing sq. R of lot, sq. ft of house; and all roofed areas 2 copies of plan showing footings, beams, joists CeR of $urvey Recd Y_ N
- (20%maximumlotwverageallowed) 1setofEnergyCalwlationsforheatedadditions SalsReport Y N
1 Soils Repod if proposed building is to be placed on dislurbed soil 1 site survey for addiAcros & decks Tree Pres Pian Recd Y_ N,
2 copies of plan showing beam & window sizes; poured fountl tlesign, eta Ado'ttion - indcate i(on-site sep5'c sysfem Tree Pres Requved _ Y_ N
lsetofEnergyCalculations On-siteSep6c5ygt_em_ _Y__N.
3 copies of Tree Preservation Plan if lot platted aRer 711193
Rim Joist Detail Optians selection sheet (buildings with 3 ar less units)
Minnegasw mechanical ventllatlon form
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date '6' l// l Zvc~'~ Construction Cost zG~~' ~
Site Address /`''l U Sa r.~?~ j c,- n y UniUSte #
Description of Work ~ Fi~ ~ r lP ~ i~ ~%<-,~i = Z f M a~/ •-j°•~i°
Multi-Family Bldg _ Y~C N Fireplace(s) 0 _ 1 _ 2
Property Owner ~~-7 Nj 1' iTrn ~j./ Telephone # ( 'O~)
C011CC8Cf01' r'if~ a SS/7 • ~s~ -~y! 7`~^f'1~
Address
State n. Zip f 171 7 Telephone
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submittetl Submittetl
• Energy Envelope Calculations Submitted
In ihe last 12 months, has The City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone )
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.
zr~r / `9~ 1..~ m t~--~'~ -
Applica t's Printed Name Ap}alicaat's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext Att - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo/pergola) 036 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Wndows/Doors
? 34 Replacement 'Demolitian (Entire Bldg) • Give PCA handout to applicant
D@SCripflon: WaterUamage_Yes -
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type af Const Width
REQUIRED INSPECTIONS
_ Footings (new bidg) _ Shee[rock
_ Footings (deck) _ Final/C.O.
_ Footings (addition) Final/No C.O. .
Foundation HVAC
Drain Tile Other
RooF _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insula[ion _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
-s-6
2007 RESIDENTIAL PLUMBING PERnniT aPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please com lete for modifications to existin residential dwellin s.
Date~"' _1Zf 1 0!
.U"Ie ~1AOf4F Unit#
Site Street Address rUop
Property Owner,v~'~/q /L 4,6R Telephone # ~l ) ~l tJ ' a
` Contractar ZeAc. Telephone# 8.Q
Address 7 City e.vWS-i~ State!?- Zip
The Applicant is: Owner & Occupant Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-6uilt $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
~ Add plumbing fixtures to _ main level lower level. This fee inciudes
installation of a water softener and/or water heater at the same time. If you are
instading onlv a water softener and/ar water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5!8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total
I hereby apply for a Residential Plumbing 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 plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
S)Ff~'.t~.,2 .
Applicant's Pri d Name p Ys na e
I
07 6
2007RESIDENTIAL BiTILDING rEUmiT nrrz,[cnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsW cfion Reauirements RemodeVReoair Reouiremenis OfFice Use OnM
3 re9is[ered site surveys showing sq. ft. of IoL sq. tt. of house; and all roofetl areas 2 copies of plan showing foofirgs, beams,'pists Cert of Survey Recd -_Y _ N
(20%maeimum lo[ coverage allowed) 1 set of Energy Calcula6ons for heated additions Soils RepoR _Y _ N
1 Soils Report if proposed 6uiidinq is to be placed on distur6ed soil 1 site survey for additions & decks 7ree Pres Plan Recd _ Y_ N,
2 copies otplan showing 6eam & window sizes; poured found design, etc. Addilion-indicate ifon-sitesepticsystem Tree Pres Required _Y _ N
lsetofEnergyCalculations On-siteSepticSystem _ Y_N
3 copies of Tree Preservafion Plan i( bt platted aRer 717193
Rim Joist Oelail Opfions selecbon sheet (6uildings with 3 or less units) .
Minnegasco mechanical ven6latlon form
Pians are considered ublic information uniess ou state the are trade secret and the re8son.
Date _q-/ ).3 / 07-J Construction Cost
SiteAddress sqrrl~hP(pv ~4'1 Unit/Ste #
Description of Work ~ndA
Mul[i-FamilyBldg _ Y~ N Fireplace(s) _ 0_ 1 _ 2
Property Owner ()O,A YI ~ f /IQC Telephone # ( ) '
Contractor ~~l wrp( F,~rw,/
Address L-k Pdl Cit3' ~ ~~?ZZ
State ( J I ~ y Zip 5~313 f.6 Telephone 9 (~6a) y y/o /yd l
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residenlial Ventilation Cateqory 1 Worksheet • New Energy Code Worksheet
(J su6mission type) Submitted Su6mitted
. • Energy Envelope Caiculations Su6mitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masier plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone J
Sewer/WaterContractor Telephone#( J
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 onty 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.
r. d('q n 6h ~~.e AFf/
Applicari s Printed Name Ap lica 's Signa re
DO NOT WRITE BELOW THIS LINE
Suh TVPes
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt-SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgaze6o/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work TVpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding .
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair .
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement - •Demolition (Entire Bidg) - GWe PCA handout to applicant DOSCfipflon: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) . Sheetrock
_ Footings (deck) Final/C.O. .
_ Footings (addition) . Final/No C.O. .
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
_ Insulation _ Retaining Watl
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge ,
Treatment Plant
License Search
Copies
Other
Total
. . . . .
Cer,tificate for:
• Joe Miller Conat.
DEIMAR H. 5"ANZ
~~mvf~*Ook
nwM«.s uea.. L-.w a ra. shM er rxanw~.
2878 - 145TH STREET W. - 007f M NGOONWJKT. woommA ~ ~I SI_ 4miinam
l A / aw+veratVko"'+'MiCAn
Vu jL- R
~5~.9~ F fZ N E SS L4V
iao
= ~
i aza,"'~F og'o(.•.
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`^~OEtA" . Li
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1 }
VA
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r
i
r7g 1 ~ ~ ~ ~ 1 '~C•\ ~ ~O
S 4eti
I hereby certify that this ie a at!~~e and ocrroat representation of
Lot 26, H1ock 2, 3HEFFIELD, aceordieB tQ ttO reoordecl ple?L thereof,
Dakota County, MinneBOta.
Also showing the location oP a propo"d hO"" not ataked theTeon.
Dated: February 13, 1984
,
86~
MINNESOTA E6l6TNATIOM NO.-
• cirT or BuzLDIMC DePA errMNt
• BIT6tI0a~ENV50ft AR4Gi 'U" GOIPUTATIOM
• (?o M subiitted dtb buildint permit application)
On• or Cwo family dmlliug XOmwr
?11 other
sice adar.ss 4 Contrac;.or To-upW , r' Dac• one
LIM6A1 FT. OF p i~ /]9 D~ ~-A7
EXP09ED WALL 1EE WC" rc. •eoye arad• -
TOTAL EJIPOSED WA , M. P-T-
OPAGUE YAL1. CONSTRUCTIOM: "U" value.x are•
f~a~,?7~. d%at-t-_"p" .047 ,c 5.1. Cc . I D•oo - (v~•Z'7 (U;;
wUw ~ x 9q. ft. .O 7
"U^ ~ :c sq. ft. 10l,9'~
Decail reterencs "U' x 9q. C L.
from "(J
•ccachednhetta _ wUw~ x iq. ft.
Mun II yi, (21~ 1
. wUw i 5q.
- ~Un_'.x zq. ft.
, . , •V» . Y Sq. It. - - ..'.(:i'
WINDOYIS: "U" 1Ia1W x•
Alake t C~~K wU• x sQ• ft. /%0.00 ~ fts3~Z0tV ) i
4r~al
~yf sAEr.se~-.'r~wtlw~1[ Sq. fL. l3
~ ~ )f
~
. . ~ . .
w w -i !q. 1'L. ~U I r
w n . . . . . . ~Q" X Sq.
w w *V*'z sq. ft. - ! U i t
n e •QO"~l[ sq. ft.
~ORS; "V* Va111f 1 •Pea +
iake ! L~p~ S7L. "U^„ ./4 x sQ. f[. ''}Z•o0 S.'S'~ S U,;
"Q» X 3q.'IL.
w w »U* lc sq. rt.
n n wuw X 3q. I'L.
SOTALS I 9 Sq. ft.
fOTAL (U) (A) VALUES I70•SS ~ A'~• 7
)IVIDED BT TO?AL VALL A[tEA 1791b •pQ _
VERAGE "U" .185 i or ltsa for 1 t 2 farily dwnllir?ss
.t3,0 or lesa for all othar puildinas
EDOF/CEIpLpIN6: O~+~ sq- 'OTAL AKiA: Zr7~w" AI~Gr r~V~ .dZ.~ X Sq. 1~.. ~SZ ° f~3.D,~+'
tetail r~fer~nee „U. r aq. ft.
f ros r.~ r
,ccacnod she~ts. "up~-z a9. fc. ° •-)+•aerib• openinLs "U"x sq. ft. tJ
1 n toOf. . xsq. f C. -i L
TOTAL4Sq. ft.23.9 v t?7
'07A L( U)( A ) VA LUES z3•„ $~,r_~ A VC . wUw
IYIDED 8T TOTAL ROOF/
CEILINC AREA i
VERAGE "U" ,04:ir for ventllated roofs
p~ .as for a11 otlur conatrvction
' 'DqERNIvINCa "U" VALUEe-~ 11'1
kDOP ~ UIL;NU
i j'r\ ',IAWF
~
UYP eu. = I
_ {NSULA'jto~~ 3$.Qn
U
~ ~ C~ ExTER~o<< nir F~~M
~ = I/ u=. oZ5 YIITAl- k, R)_39.7$
6 ~
IfATEF-10v- f\IiZ f' Ilt1
I/," (aYY, F',i . "c
~ 31" IN'~UlCijlntI ;$.exs
91~ "R" SHTG lo•aa
(~1~,,pt~I~F~ `~IUI~!lx .fii~7
to 6-0 F.x'(ERI4R Arn FMI, ,.i
_ I / i~ =.0¢7 ToYAL (iz~i =20.97
~
.~L.IM. ~ ('t;? '•Ji'•J,:lr
• i1 0) 2
On R;e,?i ''Q" OT6 ~.c>o
~
~ o I ~ n _ , _ ~ ~ ,
~ I ~ ~ , i ~ .4C
, ot~l
71
L
~
- • ' ~ ~AAN 51F~~s. 'J.r r!9 L
T9 ~ L' ' H;1, ~ll f•: 1 i
~
140
--a r
.
~ss EX~~ w.._.~-
8.83 X (34+34+ 20¢7.8~ Ts l, o94.9Z
~.(07 )C ~#4f34+~d*.~~ ^ 103.6~
1~~98. oo ~
Csue.
• X ~34+34 ~ ~+Z'~,~ ~ 83.og
k3nr Tas-~'
.83 Y. (s+*3'`~'t7t8*28~ = 102, 9z4..
1iox3to L 4.D X 2= S. o0
?o X 36 = S,o x~" 3m.oo 14x 36= b.o x 4= Z'f`.a'
Z4 x 4s ~ ~ o x = 46,ao
a
,2o X bo = ~ 'S X Cs = .1
1 ioo. oa
3$ sn.. - 4A
zs X ~4 = 9sZ
n/,T 6~)Cws~ w~u- E.QVA4LSt
GRoss 13798.ao
" ,4eSS Coae, 83.08
" 2iisl !a~•?'~
p It)Nf~ws /~OAbO
" Dmolx s 4~ eo - 388.00
/~~-Jo. o0
i
~ 2/84
~ I
~ CITY OF EAGAN
Vr APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODT
(PIEASE P4INT)
1) PROPERTY ADDRESS: 910 SUDBERRY
T,Frnr• DESCRIPTICN: LOT 26 BLOCK 2
(LOt/Block/SL~Yxlivision or Tax Parcel I.D. Ntmber)
ir EaS_'=`:G STRUCIU2E, DaTE G° ORIGINAL :,L'ILDLI;G P.',IIT ZSSJANG:
PRL'= ~,]I`F;/PROPCS=- U5E: ? R-1 SINGLE FPYSLY
? R-2 DUPLE.Y (nd0 UUITS)
? R-3 TGWMOUSE (TIiE2F + UVITS) ( UNITS)
? R-4 ApAR'IP=/CCND=IIM ( Wi ITS)
? COMvIETtCIAL/RErAIi,/OFFICE
? LMCSTRIAL
Q INSTITUTIONAL/GOVERu~
2) APPISCAVT (PLEASE PRIN7)
NA[`1E: SOE NtILLER CONSTRUCTION
ADDRESS: ~-8i33 EEBh~F ~VE S9:
CITY, STATE, ZIP: Fa,-m;ng'kon, M'95924 `
PHO.IE: 454-4753
3) PLUMBER N~~' PLEASE PRINT) FOR CITY USE ONLY
McGuire Mechanical Services, Inc.
PLIIMBERS LILENSE:
ADDRE55:
~6$3C~~e~~~'-9. B63f 219 Active
CITY, STATE, ZIP: LakPVI1 1 P, rRi n. 55044 Expired
t Q Not af H ard
PHONE: 469-4988 r PLUMBER LICENSE # 002751M7
a nitia
4) OCC[JP?&TT/a,qiVE12 NI1ME: (PLEASE- PAINT) ADDRESS,
CITY, STATE, ZIP:
PHONE:
5) INDICA`PE WHICH PERNLIT IS BEItiG RDQUFSTEp;
~ CONNECPION 'IO CITY SEWER
~ CONNEC'PI0.1 'IO CITY WATER
? OTfiEEt (PLFASE DESCRIBE)
6) LNmIC?,:L
? PLEaSE F?OID P,PPR(7VID PER^1IT FOR PICK-UP BY ONE OF FIBGVE
? PL,EA.SE DtAIL APPROVID PER;'~IIT 'Iq 1, 2, 3, 4 AHOVE
(Circle one)
7) si=TC:RE: ~~.f1>r~ i.e. DATE:
.
w.aws~+~io i. ~...c~._ a~ M~~;,..~„i~ ai~ .ii.~..;.s~a. ra a~t rrt ~rr,ri.i.,. a..f s~.r`sa's,re,.
F 0 R C I T Y U S E O N L Y
PERMIT ISSUED "
F°ES: $ S-^.:^dE.°, nEo%SIT (I?;CL;:DE Su°CHARGE)
$ WATEB PERkIIT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE REAvER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAn
$ ACCOUNT DEPOSIT - SEWER
$ AC['OUNT DEPOSIT - WFTER
$ WAC
$ SAC
$ TRUNK TVATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ ' OTHER
~ TOTAL
AMOUNT PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLZC RIGiIT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED SY THE
~ NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
sOO w" w.40 O&M w RP_-W W-Ps w.4W 2%~ ia si.s m+ 0rt5w at si+ wm
CFlS~Ii,T. f, Ft a G~
I!A'1E:e f)~.•?~,i _ft::f;:M:CNi<;L NCI; Ll2E~
r o (JC.i 'i7:N~i:': t:4^h[I~:.G!)
NOME:a Chllq:i'?;7-[F4Nq :fi~!f;
3f_.I.O .`~{,if.):I. .`:):tp ;rI._N
a155 90 [):L SI.JDT31_Rky _.N !i.i.~2;
F'.F5C7
U'31i_f(' .:IrqN. W>kY,(~k:~.;A~kk:Ya~k~>l:k;MtMM
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) 40~ 3 75
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1--~ 0 o --I 651•681-4875
New Cauhucnon Raauirementa
n 3 reglafered site wiveys alwwing aq. R. of bl, aq. lt. of house 2 coplea of plai
antl gff roofed areas f207L mmdmum lot coveraae albwed) 1 set ol energy cdcuWMons for heaied admHons
> 2 coples o1 plans (ahow beam & wlndpw qzea; pouretl Intl. tlesign; etc.) 1 aite wrvey fw exfedor adtlitlons 8 decka
? 1 sel Of energy CalculaHonS
? 3 coplea W hee preservatlon plan If lot platled aHer 7/1/93
DATE: m CONSTRUCiION COST: "A
DESCRIPTION OF WORK: 1k9V\Mk r~ Qa Q Sh~V`O,I9.n
STREET ADDRESS: "1`O ~V~Y VV L
LOT: X~OBLOCK: a' SUBD./P.I.D. 4: ~~~~o Q(OJ
Name: lv1\Wcy- ~,~C9.V,\ Phone C ( oN o - FK) ~ o
PROPERTY tast Flrst
OWNER 1
SheetAddress: S~L CC~c~vxVi~~' LN
city 1%~ar\ srare: M~~l zip:
Company: W1~W7~ 0~' PhoneC Oj~;2-
(area code)
CONiRAC70R Sheet Address: IJcense # ~ ~Z Exp. ~ ~3~
Clty f~ ~nQ ~,1ncaS`st'V ~ State: Zip:
ARCHITECT/
EN6INEER Company: Name:
Telephone C ( )
Street Address: RegishaNon
CNy StaFe: vP:
Sewerlwater licensed piumber (H instatlinn sewerlwaterl: PFw^e
, I hereby acknowledge Ihat 1 have read thia applicatbn, sFate that ihe infortrwHon is cortect, and agree to comply wNh aA appAcable Sfate
of Minnesota Sfakd" and CMy of Eagan Ordinances.
Signaiure of Apptlcant: 't~~~
OFFICE USE ONLY
CeNficates of Survey Received _ Yes (X No
Tree Preservation Plan Received _ Yes _ No rX Not Required ~
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-piex ? 13 16plex ? 21 Poroh (3-sea.) O 31 Ext Alt - Multl
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.) ? 33 Ent. Ak - SF
? 03 01 of _ plex ? 09 07-piex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 ' Accessory Bldg.
WORK TYPE
? 31 New O 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) O 46 Windows/0oors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of 5tories sq. ft.
No. of Unlts Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge ~
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge '
Treatment PI. `
Park Ded. .
Trails Ded. •
Other
Copies
Total:
SAC Units
% SAC
Date:
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
FEB 2 0 2014
Use BLUE or BLACK Ink
For Office Use
Permit #: 10,D-11(0
Permit Fee: LE/0t
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
Resident/�
Owner
fa -0-----0-1 � Mv...1.,<phoik_ne:
Name:_/���'v 1psi G?k,^ i'''‘
Address / City / Zip:7 ..6e ( !aj � i g/ " 1-7.) ..-5—/z.....)
Applicant is: Owner Contractor /
Type of Work
Description ofwork:P —D(7 '. 5 4r '40IntI" y 43 * —;)elk
i
� c�
Construction Cost: I (` Multi -Family Building: (Yes / No
'
Contractor
If the project is exempt
Company L' `)._t. CV WI -
1 W'`/TContact: (goli r
41
f --
Addressi( � ? 11)---54, l• City: F 1` �' N (°'*"
�1'j� C) _ ¢ vL _
Stater/4 Zip: �S / ` - Phone: 4 'Uta , G0 4&) -
I
fi+t) e(C- 2' -' f'-/ L—
License #: Lead Certificate #:
from lead certification, please explain why: (see Page 3 for additional information)LL
`"D iqgT
In the last 12 months,
No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING `
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
• • . • .•• • •• I• •• • -• 0 •' •u • s.
the information may be classified as non-public if you provide specific reasons that would permit the City to
conel(lde3that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 Buildin • Code must be completed within 180
days permit issuance.
Appli ant's Printed Name
x
Applican
re
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review ✓
DO NOT WRITE BELOTHIS LINE
Fireplace Porch (3 -Season)
Garage Porch (4 -Season);
Deck Porch (Screen/Gazebo/Pergola)
7 Lower Level Pool
/Interior Improvement
Move Building
Fire Repair
Repair
(25% 100%
Census Code
# of Units
# of Buildings
Type of Construction V8
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water _Final
- Framing
✓/ Fireplace: "Rough In ✓Air Test
✓ Insulation'?
Sheathing
Sheetrock
Fire Walls
Braced Walls
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
"Final
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
✓ Final / No C.O. Required
0
AA,
HVAC Gas Service Test Gas Line Air Test
Pool: Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _
Windows
Retaining Wall: Footings _ Backfill
Radon Control
Erosion Control
Other:
Reviewed By: , Building Inspector
Brick
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
/8z .14
TOTAL 470.4
B5MT = 33 X2'S: 751@ Zo.ea/S+lrfr.
7IT4-i_VkL LMn&A JI) Mt'. so
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA120873
Date Issued:03/05/2014
Permit Category:ePermit
Site Address: 910 Sudberry Lane
Lot:26 Block: 2 Addition: Sheffield
PID:10-67600-02-260
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
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.
Fixtures:stool, tub, tub faucet, lav moving floor drain in mech
James Nybo
6606 E 280th Street
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Dean M Miller
910 Sudberry Lane
Eagan MN 55123
(651) 686-8066
Nybo-peterson Company
6606 E 280th St
Webster MN 55088
(952) 461-2749
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
I For Office Use I
2122q I
City of Ea Permit ( ! I
tn I
bJ I I -50
Permit Fee: !O
3830 Pilot Knob Road I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
t
Name: A-/5? /V ~ ~
Ile Phone: ~L 919 RIO?
Resident/
Owner Address / City / Zip: 16 0~,.eV Al
Applicant is: Owner Contractor
Type of WOCI( Description of work:
ConstruCtion Cost: ` Multi-Family Building: (Yes / No
Company: U,r, eet A yrhP h~ Jrtly'cvy~ -r~ Contact:
Address: ,D r~
,g ®lY lCihe City: /-(/c
Z~,-ii L✓q
Contractor
State: 11-1 V) Zip: 1/7 Phone:
License PS 6- 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?
i
_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 be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exteriorwork authorized by a building permit issued in accordance with the Minnesota ate Building Code must be completed within 180
days of permit issuance.
x /C r, X
Applicant's Printed Name Applicant's S' ure
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA137204
Date Issued:06/23/2016
Permit Category:ePermit
Site Address: 910 Sudberry Lane
Lot:26 Block: 2 Addition: Sheffield
PID:10-67600-02-260
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dean M Miller
910 Sudberry Lane
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154987
Date Issued:04/22/2019
Permit Category:ePermit
Site Address: 910 Sudberry Lane
Lot:26 Block: 2 Addition: Sheffield
PID:10-67600-02-260
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Dean M Miller
910 Sudberry Lane
Eagan MN 55123
(952) 232-9180
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature