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1564 Sherwood CtCity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 60 DI 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /k h() Site Address: / c-6, Tenant: gApL,R JJ L504 Suite #: RESIDENT / OWNER Name: )b-74. 4- `j A>3.4, A %4Le v til Phone: Co S7 tiSZ S9 3 2 -- Address / City / Zip: / o ef 5,41;a7(,)ov'f3 6,7- Address 7Applicant Applicantis: Owner ' Contractor TYPE OF WORK Description of work: I A51AL.E.. (,AS ii^iSr o r rif'i=PLS INTO rvt,gSO -fzy c/e w 71 Construction Cost: 3(.06/ (s) ' Multi -Family Building: (Yes / No A ) CONTRACTOR Name: rX51Nc- 7 0-A4i4 ilt.D446. License #: Zo5 12 -CD Co D Address: 'Z75O / . rel i )E1 1 Av City: ?v5 Evi t -Le- State: NI /4 Zip: 5.5 /7 3 Phone: (05( 43-5 JD 2 Contact: 44 riy Co 12 —5(0 / (a mail: COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes 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.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. x jov,27LL Appiicarit's Printed Name Applicant's igfia Page 1 of 2 ìûû ÿ ÿþþýüìüúû ùýýþþû ïù òý ì úìò ì ÿþ þýüûúùëý Ü ø ûúù÷ö ùëý Ü ø õý ù ô óý ô òýü ñ ÿþ ù ÿðïî þ ñ ôëðíùô îêéé öù þý ò ëèêéïéï õô óò ùù âô úø ÷ ù Ùìþò öø úôýòñ÷ ñ÷ ðìîììììã ò üúö ò òç ò ùù òòæ ô ôùúöòùùüþ æñ þý øúæ å é ùùá ôþ ý ýúþ ý TY OF EAGAN SEWER SERVICE PERM 30 Pilot Knob Road 0. Box 21199 PERMIT NO.: gan, MN 55121 DATE: Wing: R I No. of Units: Address: to "Mpy wuh the City of Eayae of I nsp.: Connection Charge: 425. "' r c Account Deposit: Permit Fee: - r C Surcharge: Misc. Charges: Total: CITY OF EAGAN MO Pilot Knob Road WATER SERVICE PERMIT 51 ?'? P. O. Box 21199 PERMIT NO.: 11-14-- 3 Eagan, MN 55121 DATE: Zoning; $t TQ l I e S n B Id s Ow No. of Units: 1 ner: Address: -= a Coo 1564 Sh ! * * B1 B ittan4 6th - erw Site Address: Plumber: ('enn Ryan Meter No.: Connection Charge: 450. 0 n d Size: Account Deposit: P Reader No.: Permit Fee: I come to oosepy with the City of fioyow .50 Surcharge: P OrJiewsae. Misc. Charges: 60.00 nd meter Total: By Date Paid: Date of Insp.: Insp.: • CASH RECEIPT 40 CITY OF EAGAN R<C61VLD FROM 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT Is DOLLARS 100 ? CASH ? CHECK FOR FUND CODE AMOUNT Than$?u I M. -m-im White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN ` 3795 POW Knob Road Eagan, lii1N 55112 " PHONE: 454-8100 BUILDING PERMIT Receipt # To be wad for Sr D14GIPAR Est. Value 89, 00i Dote October `.: 19 83 b4 S enmo our 3 Site Address i:) 6 1 Brit tang 6th Erect Occupancy Lot Block Sec/Sub. Alter ? Zoning 10-15005-060-01 1 Parcel # Repair ? Fire Zone ac W 2 9 oe 0 to u? r Name A W1i MW&l J U/ .L"=L O Address 1655 Nortaood Dr. City Eagan 55122 Phone 454--6873 Name Enlarge ? Type of Const. Move ? # Stories Demolish ? Length_ 7 Grade ? Depth Sq. Ft. Approva Is Fees Address Assessment City Phone Water & Sew. Police Name Fire Address Eng. City Phone Planner Council Permit Surcharge Plan check SAC Water Conn. 4 Water Meter Road Unit 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit Is issued to: on the express condition thnt all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official a Z m t aT ? ? j O 4 ? J o Z ? ?, - ? 3 3 o ? 4. _ ? ; W ? S LL p LL • _ LL ? Q ? Q ? C LL C IL C LL ; ? O d Receipt PLUMBING PERMIT Permit No. a CITY OF EAGAN c. o v Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cot 3. Job Address/ Lot_'Blk. Tract Tti 4. Owner • , z / '-. Z3 5. Contractor ??`?? -?yr7 N Phone 6. Address /'e/7y S 5U - '? d be r'l J ?/?!? f 7. City k ? =-e` rn r-w )`' State /V? A/ -? Zip v 8. Building Type: Residential U-- Commercial ? Institutional ? 9. Work Description: New L9- Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank f Lavatory Softner 1 Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray -4 Z Floor Drains i 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 : e- :/, el, for k- It Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 1+ .il Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN • Fee . Fill in numbered spaces S/C Type or Print legibly Tot. - 1. Date 2. Installation Cost 3. Job Address Lot _6 Blk. Tract f? 4. Owner f . ?-*- ?"-; 4=?? `'" 5. Contractor <..s- Phone J 6. Address "7 L, S 7. City State Zip 8. Building Type: Residential d Commercial ? Institutional ? 9. Work Description: New ? " Add ? Alter ? Repair ? 10. Describe Fuel Type - r 11. No. Equipment 8TU - M. Ea. Forced Air r No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. 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 governin_g this type of work. i Signed : - for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition BRITTANY 6TH ADDN Owner Street 1564 6 SHERWOOD COURT C...... EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 304 1976 130-10 8.67 52.07 A013530 1-31-84 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA (?(Q 3 1092 269-94 5, 9 9 108.00 A013503 1-31-84 STORM SEW TRK s 1982 571,13 23 228.47 A013503 1-31-84 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 2 1 - - 3 WATER CONN. 450.00 it tt BUILDING PER. SAC it to PARK 18'mu the from'd I(--1W L (o t $ c Bi, c+4an?- (A? g00q A 219R1 qq 1S;b Request Date Fire No. Roquh-in Inspection ?-y?u? ?Ready Now 14*l.i11 NotitY Inspec- t 1- ?7 - ? s Yes Yes ? No [or When Ready Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Be. m Route No. City I? ?1} A ecL On No. Township Name or No. Range No. County Occupaot(PRINT) 11'p, ?r'-? Phone No. Power Suppli r Address e ?.{ Electrical Contractor (Company Name) L i ) I Contractor's License No, C • k? f?i c Ad ress (Contractor or Own.r Making Instailatio I C-? _a -N?Z ?? ?) Authorized Sig F"45 (Contract r / wrar Making Inswllwmnl - o Q J Phone umber ? - -? ? \ ?l.'l .L-C1 '. 33(z?- MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED By THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1621 University 7Ave., St Paul, MN 55104 Phone (6121 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-01 ' See instructions for completing this form on back of yellow copy. 10 A--91 q R 1 "X" Below Work Covered by This Request 16OT(p Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building 1,4 Dryer Electric Heaun Commercial Bldg. Furnace Silo Unloader Industrial Bldg. ?C Air Conditioner Bulk Milk Tank Farm or y Ihar (Siedty) t er sppClfy O RZ Other ompute Inspection Fee Below N Fee Service Entrance Size ft Fee Feeders/Subfeaders p Fna Circuits . bU 0 to 200 Amps 0 to 30 Amps 1 3:-t-5 0 to 30 Ames Above 200 Amps 31 to 100 Amps 1 5 . ce 31 to 100 Amps Swimming Pool Above 100-Amps Above 100-Am s Transformers Irrigation Booms '-f6 Partial.'Other Fee Signs Special Inspection S ' TOTAL Remarks n.C? .J G.? o. Rough-in Data the Elactri cal ? `?? ? nspector, hereby certify that the above Final } D inspection has been made. This request void 18 months from BUILDING PERMIT N° 8595 Receipt .# 2 To be used far SF DWG/GAR Est. Volue $89,000 pate October 20 _ lg 83 Site Address 1564 Sherwood Court Erect ?. C Occupancy R-3 Lot 6 Block 1 Sec/Sub. Brittany 6th Alter ? Zoning R-1 Parcel # 10-15005-060-01 Repair ? Fire Zone NA E l V n arge ? Type of Const. a Name Tollefson Builders Move ? # Stories z Address 1655 Norwood Dr. Demolish ? Length 77 city Ea gan 55122 Phone 454-6873 Grade ? Depth 38 Sq. Ft.- p Name Owner PProva a ees ou Address Assessment Permit 4UU 00 ' u Water 8 Sew. Surcharge 44.50 F City Phone 200 00 Police Plan check ' ?w Name Fire SAC 525.00 Address Eng. Water Conn. 450.00 iW CI Phone Planner Water Meter 60.00 Council Road Unit 250.00 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable $1 929 50 State of Minnesota Statutes and City of Eagan Ordinances. APC l F A . Total Signature of Permittee I o e son Builders A Building Permit Is issued to: on the express condition that all work shall be done in accordance wl all applicable to of Minnesota Statutes and City of Eagan Ordinances. Building Official ? CITY OF EAGAN 9795 Pllot Knob Read Eagan, MN 55111 PHONE: 454-8100 RESIDENTIAL BUILDING PERMIT APPLICATION 5 ?,% 3 CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Now Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan If lot platted after 711/93 • Rim Joist Data] Options selection sheet (bldgs with 3 or less units) DATE 1)2 SITE ADDRESS 15 (o 4 S [+C ZW 0017 CT- Phone # TYPE OF WORK NFW C20OF FIREPLACE(S) ?0 _ 1 - 2 APPLICANT 7AY L-Orz 13vnc1C C.or° STREET ADDRESS 3SDI LL?r no-t,we Sock CITY mnPl-s STATE h1y7IP '2!3g6$ TELEPHONE # (9R -222- 8OW CELL PHONE # FAX # r i PROPERTYOWNER IDIOM JU-So", TELEPHONE# 6S`/- 4S2- 5g-?2 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Cade Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor. _ Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Orc Signature of Applicant OFFICE USE ONLY Water Softener _ Water Heater No. of Baths RemodellReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • l site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION SUOo ac MULTI-FAMILY BLDG _Y ?N Phone # Lawn Sprinkler No. of R.I. Baths // 3.7 _'? Fee: $90.00 Fee: $70.00 Phone # 1 S p n T ? I Certificates of Survey Received - Tree Preservation Plan Received - Not Required Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ 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 (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give 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 Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.0- - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plying - Foundation HVAC - Drain Tile _ Other Roof - Ice & Water _ Final _ Pool _ Ftgs Air/Gas Tests Final _ Framing _ Siding Stucco 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 Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total L 81. CITY USE ONLY sueD. ?iriH ?t1ti (0444 RECEIPT #: l 3 J n 3 RECEIPT DATfE::n -5- c, C) PERMIT# 141277- 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, NN 55122 651-681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished • requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installationlrepair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ d . Ua Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge $ .50 Total -> > - > -> 30 -52 Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ----------------------------------------------------------------------------- -------------------- hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and-maiot ca art??: r'„e-f,?e rwrilitio¢ ?,nsinurrp"ynde[ this permit within City property/right-of=way/easement. _ , SITE ADDRESS: OWNER NAME: : INSTALLER NAM STREET ADDRESS: CITY: NELSON,DONALD 1564 SHERWOOD COURT EAGAN, MN 55122 (651) 452-5932 i 1 TELEPHONE (AREA.JCQDE, TELEPHONE #: (AREA CODE) _ ST ZIP: flz? SIG OF PERMITTEE T5 CITY CY' EAGAN Include 2 sets of plasm, /G11/ y? L 1 site plan w/elevations i BUILDING PERMIT APPLICATION 1 set of energy calaaatione. .jCctr To He used fbr ? valuation ? z D--o-n Date 1 X55 ? i ? ?? &ita lxkiceae I 4 5h?c ?ntrr ?( OFFICE USE. ONLY Lot _? Slock Sec./Sub. Erect / \ Occupancy 3 I . va rml 1: (2? l S ©C7 3 -c)(On -6 Alter Zoning Repair Fire ?one 41iRlears 5P.P LrftLarge _ `type of Const. Addteoa: move M Stories Darolish _ Front ft. City/Zip Cade: Grade Depth ?ft. Phone t i Oontsactor: - _ Adds+eea: City/Up Odds: Pharse ?: Arch-/bv. I Adc3n"s City/Zip Cbde: Ptsocte ?: -- Water/Sewer Surcnatge Police Plan C kt"- Fire SAC - s ap- El. Water Cows, _ 16 Water Meter _ (op sncil Council Road Unit j5? c5'O ? Bldg. Off. io APC TMAL Q Z l ,AJI C4 Ysllefson Builders Inc. Or.11472-2 188-5 JACKSON - SURVEYORS scale: 1" 50' MWIWTSRED UNDER LAWS OF RATE OF MIMMEEOTA o Denotes Iron 000.0 Existing Elev. Drainage =16 EAST 66th STREET, MINNEAPOLIS. MN 66617 727.7666 Drainage 6 Utility Easements („ Sat?uper'd 6tctiiuatc n Ljo• a z o N -- . O o, ifJ, Sfi i FA /a f e? :h ? ?o ?, fL? ?? S 4r Proposed Garage Floor Elev. 105.0 Proposed Basement Floor Elev. 105.6 1 \/I 4 Proposed First Floor Elev. 113.6 N 13,,16' I HERESY CERTIPY THAT THE ABOVE m A TRUE AND CORRECT PLAT OF A sURVET OF Lot 6,Block 1,Brittany 6th. Addition. Dakota County,Dlinnesota.. 6th. Oct AS SURVEYED BY ME THNI-.---DAY OF Revised Oct. 11th. 1983 Revised Oct. 12th. 1983 1983 o. F. C. JACK/ON. MD. sow ? F { UTILITY EASEMENT THIS INDENTURE, made and entered into this 15th day of November 198 4, by and between DONALD I. NELSON and SAND7FK-TZVELSON, husband & Grantor s, and the CITY OF EAGAN, Dakota County, Minnesota, as Grantee, WITNESSETH WHEREAS, said Grantors , in consideration of One Dollar ($1.00) and other good and valuable consideration, to them in hand paid by the said Grantee, the Receipt whereof is hereby acknowledged, do_ hereby Grant, Bargain, Convey and Warrant to said Grantee, its successors and assigns, the utility easements situate in Dakota County, Minnesota, as follows: That part of Block 1,_ RITTANY_6TH ADDITION Dakota county, MN, lying northerly of the following de cribed line: Beginning at a point on the northwesterly line of said Lot 6, said poin being 20 feet southwesterly of the most northerly corner of said Lot 6 and as,measured along said northwesterly line; thence in a straight line to a point on the north- easterly line of said Lot 6, said point being 55 feet from said most no therly corner and there terminating. See Exhibit "A" attached hereto and made a part hereof. Temporary easements included herein shall expire no later than N/A The Grantee shall have the right to do whatever is necessary for the enjoyment of the rights herein granted, including the right of clearing the right of way of ingress and egress to and from said tract of land and over and across said easement only for the ++??^^^ Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. RJrin Wno aL-12 C •?-')r• r.. { ... -s. _. .T _ ? 1. _:4 5f 7 !CYST C2: . J ? MAN. LUG • Ff1OM e L1L T_30?IIF.?C3 C:' TiO;'.3:"It i92 131 0-M ADVIi4EQtT SI Qn? ?7 r ir._IIG I L7C 1'T.-0 ii bC?"T! e? two C.(Itpux-p 'IC3 1 .? 1 < LI,^•_i]L Piz": Or r PG3L3 lJd•t,r, 3 9 C ? fiGidL : ?. F7- C_ I' 3 M-E4 1141:.4 r Z. VN L ?n• F?. .p7 j.,rs r) pn1 77P3 CcSrrnsOT 7L3'L1 I,Y DAM. TOTAL SQ. r:. C? ro0^9• DAM. O i a 5 '-PP- pn I yISMTIp?. Fr, 1;.9t.t C? 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C/n Ct n ' w -771 jf? 777 77, P-21 i 1 t T7 ai- ?? of llllf ? t\ I - ? s , e 1 ? 4 i l cQAQL-L. INS 01. ij;p AUlS ! {. •, .?' I. 1 r ? 1?'rl If..1 1 Ir?,t 1 41 ., '< ' ? ? t 1 Y Y .It' 1 ?,' .._ ' / 1 ? ?; i ? ,Ii ry Tjll ` lt: r,? 4 t+a F 1 4 ?? ?„ y i 1 ? •? .u 1 d r1- .y 1; i ', ?./ ?, ?? I:r .r1I ni. fi tX? f ±?.,.. , ? r ^r ujn.r« '??_J:?t '•?SS ?.??. .:lA .l?'??art lxf, R -0/0 111 41?ulyoaajoi 3830 Pilot Knob Road Eagan MN 55122 Phone: (651)675.5675 Fax: (661) 675.5694 Name: bUIJ os0rj =8 RESIDENTIAL BUILDING PERMIT APPLICATION Data: ?/ (3 ?? Site Address: IS' (Q`t Sher w OU?? Cau Suite #: Tenant: RESIDENT 1 OWNER TYPE OF WORK CONTRACTOR Address I City I Zap:. Applicant is: _ Owner X Contractor Description of work: 1 EAr2- QC_ Concoction Cost: I, q'69' Lo Name: S(119yo ----------------- I I , j Pamdt #: ? ? Permit Fee: b• no_ I i Date Received: I I l I Staff: ---? ;?3 Multi-Family Building: (Yes _ I No X L t Icense #: 202 Address: L?' t ? w Ciry: ??(l?Yx er- Statte:MIN zip: S5 Phone: GJl • LJ0,)9•9.--Contact Person: 1?nre? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 1 Minnesota- Ru, le_7672 Energy Code Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (d submission type) Energy Envelope Calculations Submitted 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 Mechanical Contractor: Sewer & Water Phone: Phone: Phone: I hereby acknowledge that this information is complete and accurate: that the work will be in confortnance with the ordinances and modes of the City Fagan; that I understand this is riot a permit. but only an appkcation for a permit, and work is not to star without a permh; that the work will be in accordance with the approved plan in the ease of work which requires a review and approval of plans. '?Q • U 1 r ' y? LLCA x L?.Y Nt4-NYC QA x Applicants Signature Applicant's Printed Name page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA112083 Date Issued:07/26/2013 Permit Category:ePermit Site Address: 1564 Sherwood Ct Lot:6 Block: 1 Addition: Brittany 6th PID:10-15005-01-060 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. Deb Larson 8815 209th St Lakeville, MN 55044 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Donald I Nelson 1564 Sherwood Ct Eagan MN 55122 (651) 452-5932 Drain Pro Plumbing 8815 - 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166832 Date Issued:02/08/2021 Permit Category:ePermit Site Address: 1564 Sherwood Ct Lot:6 Block: 1 Addition: Brittany 6th PID:10-15005-01-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Daniel R Jandro 1564 Sherwood Ct Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173117 Date Issued:10/28/2021 Permit Category:ePermit Site Address: 1564 Sherwood Ct Lot:6 Block: 1 Addition: Brittany 6th PID:10-15005-01-060 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. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$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 - Daniel R Jandro 1564 Sherwood Ct Eagan MN 55122 (651) 248-3406 Peine Plumbing & Heating P.O. Box 66 Vermillion MN 55085 (651) 463-0155 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175792 Date Issued:04/15/2022 Permit Category:ePermit Site Address: 1564 Sherwood Ct Lot:6 Block: 1 Addition: Brittany 6th PID:10-15005-01-060 Use: Description: Sub Type:Fixtures Work Type:Alteration Description:Bathroom(s) 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. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$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 - Daniel R Jandro 1564 Sherwood Ct Eagan MN 55122 Peine Plumbing & Heating P.O. Box 66 Vermillion MN 55085 (651) 463-0155 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA177265 Date Issued:06/22/2022 Permit Category:ePermit Site Address: 1564 Sherwood Ct Lot:6 Block: 1 Addition: Brittany 6th PID:10-15005-01-060 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Daniel R Jandro 1564 Sherwood Ct Eagan MN 55122 (612) 799-5883 A Pane In The Glass Construction Llc 8478 Long Lake Rd St. Paul MN 55112 (651) 329-4815 Applicant/Permitee: Signature Issued By: Signature