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CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road PERMIT NO.:
P. O Pox 21199 -
Eagan, MN 551,211 DATE:
ZonNo. of Units:
??..TS
Owner:
Address: aerwo Court U', M Brittany 6th
Site Address:
r.
Plumber: `
I agree to emply with the Clan d Eapaa Connection Charge: 425.00 d
Orainasese. Account Deposit: 1 ? 07P
10.
Permit Fee:
? Surcharge:
By -
Dote
of Insp.:
CITY OF EAGAN
830 Pilot Knob Road
. O. Box 21199
agan, MN 55121
oning:tl
Owner: Tollef
Addnm:
Site Address ] 5 b - S
Readef No.: "D 4 '/ J to L; (P ?2 -?.
I *one to eemply with tM City of Eagew
orrlloonees.
Date of I nsp.:
Misc. Charges:
Total:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
B1 Br
Connection Charge: 4/ U. U U Pd
Account Deposit: 1 ?
Permit Fee:
Surcharge:
Misc. Charges: 53. met
Total: -
Dote Paid:
GAN WATER SERVICE,PERMIT
CITY OF EA PERMIT NO.:
3530 Pilot Knob Road P. C Box 21199 DATE
of Units:
Eagan, MN 55121 No.
.
BUILDING PERMIT
N 903
i
Receipt #
Site Address 15V'9 'i BURT Erect
n R-3
Occupancy
Lot Block 1 SrlSub. 'IRIT'"A?TY ?,TV Alter ? Zoning
Parcel No. Repair ? Fire Zone .!A
C..1.. ?..? r-1 T..__ _[ V
W Name „ Lj # Stories
Address Demolish ? Length
b City Phone - Grade ? Depth Sq. Ft.
i
Name ?SCE': 3T DP.S . Approvals Fees
ou
o
Address
Assessmen
t n n
Permit
f
V
I-
City
Phone
Water 8 Sew.
Surcharge n
.
Police Plan check 3?
WW
F Name Fire SAC i25.'
u? Andress Eng. Water Conn. 4 7
=W City Phone Planner Water Meter =•
Council Road Unit '' •'
I hereby acknowledge that I have read this application and state that Bldg. Off.
the inlormation is correct and agree to comply with oil applicable
State of Minnesota Statutes and City of Eagan Ordinances. APC Total 4 ` Z 094. 00
Signature of Permittee
A Building Permit Is issued to: Tf'7 T T'rg?Or' HST T1?C on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing / ? 3
H.V.A.C. ((
d 3
7 ?
c c- 11 //
Cl 15!? b
Well
water
Disp.
Sewer
Electric A OG???5 'f q.0
Inspection Date In sp. Ot her
Footings
Foundation ?/ rJ JG, ?? ?!
Framing
Rough Plbg. ^? I ?d)
i
-I
1
i
C U
Rough HVAC
Insulation Y3 w
Final Plbg.
Final HVAC
Final ?f v
Water Describe Location:
Well
Sewer
Pr. Disp.
PERMIT #
RECEIPT# j
DATE
CITY OF EAGAN
PLUMBING PERMIT
454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + $•50
MINIMUM COMMERCIAL FEE - $20.00 + $.50
FEE S[J
S/C G'
1.
TOTAL lJ U
1. Bldg. Typer Res Comm Inst ? _New. - Add Alter Repair
3. Total Bid Price ,U r J 4. Job Address T
G` ? f
Lot ?- Block Sec I T 10/6 f 5. Owner ! 1 [ f-.:? 1,/ 1 1-,)/ J
6. Contractor
7. Contractor Phone #
NO. FIXTURES
/ Water Closet - $3,00
Bath Tubs - $3.00
.Lavatory - $3.00
Shower - $3.00
-J--Kitchen Sink - $3.00
-Urinal/Bidet - $3.00
NO. FIXY
Laundry Tray
Floor Drains
Water Heater
TWhiripool - $;
_TGas Piping O
-Softener - $5,
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS
Signed:
-$1.50
(City) '_') uC", r? (zip)
NO. FIXTURES
-Well - $10.00
nvate Disp Syst - $10,00
ough Openings w/o
Fixtures - $1.50
FOR EACH $1,000 OF FEE.
Approved Inspections: Date Rough Insp. Date Final Insp.
PERMIT #
' MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN ff
3830 PIL OT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE: PHONE: 454-8100
Site Address . WORK DESCRIPTION
BLDG
TYPE
LOt ?.
7-
Black
? S??c/Sub .
.
It
/
r R
N
es.
ew
m Name M
t
Add
-on
u
t
Add
r
U
Comm
Re
air
C !
=
-
?
-
.
p
A
City ??'St ?I4VV7 phone a 3 / Ot
her
Name L "' r FEES
C Addre?e t= RES. HVAC 0-100-M BTU -$24.00
p City PlIf44L r Phone ? 3 1?V60 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK 3 7 GAS OUTLETS - 1.50 EA.
Forced Air M BTU • COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlets #
Other
FEE
S/C• 5 ` SIGNATURE OF PERMITTEE
TOTAL ?O?' Ur7
FOR: CITY OF EAGAN
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt
To be used for Est. Value ) 4i Date f ' 19
Site Address
'TTANY
Lot Block See/Sub. ` 6T H
Parcel No.
a Name
W
= Address
C City Phnno
o Name ;,'"MAf'
o v Address LL "`
v<
City Phone
Name
Address
City Phone
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.
Signature of Permittee
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
O FFICE USE ONLY
On Site Sewage
MWCC S
t Occupancy
i
Z
ys
em
On Site Well on
ng
(Actual) Const
City Water (Allowable)
PRV Required * of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
ter Conn
W
a
.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
' Permit No. Permit Holder Date Telephone At
Plumbing
H.V.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
j - Ca??r Tdt? r? - /5
S s fs'?TH ?.t+
Htg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CONTRACT PRICE:
PERMIT 4
PLUMBING PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -
PHONE: 454-8100
Site Address
Lot Block Sec/Sub ' -'1 J10
Name - ,
ro Address
c city Phone `%-Z
Name
3 Address 04
O City rte
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLOGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE -$12.00
MINIMUM - COMM/IND FEE -$20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on !.
COMM. Repair
Other r
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
. Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $100
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: %-
STATE S/C: _
GRAND TOTAL: '` _ y
CASH RECEIPT L
1
CITY OF EAGAN t'..'
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
RECEIVED
FROM
AMOUNT
DOLLARS
goo
? CASH ? CHECK
POO --.T
FUND CODE AMOUNT
Thank
4 BY i l
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE t 9
REC[IVFD
AMOUNT $ I
DOLLARS
Leo
CASH FICHECK
FOR
FUND CODE AMOUNT
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
AMOUNT $
e DOLLARS
goo
? CASH ? CHECK
pr opt
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
CITY OF EAGAN Remarks
Addition BRITTANY 6TH ADDN Lot 8 BIk 1 Parcel 10-15005-080-01
Owner Street 1569 SHERWOOD COURT State EAGAN NN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1976 130.10 9.67 15
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1992 269.94 53.99 5
STORM SEW TRK (D 1982 571.13 114.23 S
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT ?260XU #43485 5-22-84
WATER CONN. 470.00 it
BUILDING PER. #gog-A if
rr
SAC 525.00
rr
rr
PARK
This request void (/ •Z?O?
18 months from q 7 ) Q
R ?Ir)'AA57 L-9 6.l
"-1 4
W-) It y
4 R.6-0
Lunar ?a a
I
/??
lira rvo.
oug P-?n mspaoNOu on
egmred7
?
fleady
?
?r
Now T?Will n Ready -
r Whehen Ready
Licensed
? Owner Electrical Contractor 1 hereby request inspection of
electrical work installed at: above '
Streettl Address, Box or Route No.
/ V City
Section No. Township Name or No. Range o. County
Occu ant (PRINT) Phone n. 1•?
Paw Sapp liar Address
??TGP
Ele rical Contractor (Company Name) Coonntrraact)or s License No.
Mailing Addres Contractor Owner Making Installation)
M ?3
1SS f C
PL
-
1
L
rnU
,
T
I
*
Au ized nature ICo ractor ?ns Ilationl Phone Number
?
?T 7 --Gs' 30
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs•Midwey Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1921 University Ave.. St. Paul, MN 66104 UNLESS PROPER INSPECTION FEE IS
Phone 1912) 297-2111 ENCLOSED.
l{ 3? ?? REQUEST FOR ELECTRICAL INSPECTION // EB-00001U4
See instructions for completim this form on beck of yellow copy. V
A n F,i'l Q 1i 7 ""x'" 8e/ow Work C oveped by This Request
Newl Addl Rep.l Tvoe of auildina 1 Aaoliances Wired 1 Equipment Wired _ I
ex
ce
Bulk Milk
e Fee Service Entrance Size N Fee Feeders/Subfeeders N Fee Circuits
- 0to 200 Amps 0to 30 Amps 0to 30 Am s
Above 200 qm -- 31 to 100 Amps 31 to 100 Ampe
Swimmin Pool Above 100-Am Above 100 Am '
Transtormers Irrigation Booms , Partial%Other e
Signs Special Inspection B?
emarks ..7.J ? T AL EEE'
or. hereby
that the above
ion has bee.
This request void//"?/Ch
18 months from x O /
Request Date Fire No. ough?in Inspection A
Requlrgtl? ?Rpady Now Up Will Notify InsPec-
?? Yes ? No for When Ready
Licensed Electrical Contractor 1 hereby request inspection of above
Owner electrical work installed at:
Street Addtess, Box or Route No. City
56 &U
ectwe No. Township Name or No. Range No. County
&we
Occupant (PRINT) Phono No.
e) -lw;g
Power Supplier Address
y/
11
4 /
Electrical Contractor fCompany Name) Conbacmi's License No.
Of/a7 -3
Mailing Address (Contractor or Owner Making Installation)
Y46?
Authorized Si nature (Contra ro Owner M. ing I tallationl Phone Number
90 mss S
MINNES TA STATE BOARD OF ILLECTRICITY THIS INSPECTION REQUEST WILL NOT,
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 University St. Paul, MN 55104
Phone (612) 642-0000 0600 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EEBj-0000011--06
/r#? / see instructions for completing this form on back of yellow copy
"k" Below Work Covered by This Request
n
V Add Rep. Type of Building Appliances Wired Equipment Wired
Home Flange Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
F Commercial Bldg. Furnace Silo unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other pec? y Other ISned tYl
t rer SuecifV Other Other
nra Incnor Nnn I-aa /fF IOW
?C Fee Service Entrance Size h Fee Feeders/Subteeders Circuits
0 to 200 Amps 0 to 30 Amps o 30 An s
Above 200 Amps. 31 to 100 Amps to 100 Am s
Swimming Pool Above 100Amps g T
I nn_Amps
Above
Transformers Irrigation Booms 6Otl--
1 Special Inspection
T
Remarks ?. n z N.
I Final
certify that the aboy
inspection has been
This request void
CITY OF EAGAN
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NO 9093
PHONE: 454.8100
BUILDING PERMIT Receipt # ??k -
To be used for SF DWG/GAR Est. Volue $118,000 Date MAY 77 19-BA_
Site Address 1569 SHERWOOD COURT Erect M Occupancy R-3
Lot 8 Block ---!-Sec/Sub. BRITTANY 6TH Alter ? Zoning R-1
Parcel No. 10-15005-080-01 Repair ? Fire Zone NA
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Length 66
Grade ? Depth 2- Sq. Ft.-
Approvals Fees
w Name TOLL .FSON RLDRS.
Address 1655 NORWOOD DRIVE
City EAGAN Phone 454-6871
0
Name TOL.LFFSON RLDRS
Address
City -
Name _
Address
City _
Phone
Phone
I hereby acknowledge that I hove read this application and state that
the information is correct and agree to comply with oil applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
Assessment _
Water 8 Sew.
Police
Fire
Eng.
Planner _
Council
Bldg. Off. _
APC
Permit 418. UIJ
Surcharge 59.00
Plan check 239.00
SAC 525.00
Water Conn. 470.00
Water Meter 61- 00
Road Unit 2hn.nn
Total $ 2.094.00
A Building Permit is issued to: TOLLEF36ti-MRS on the express condition that
State of Minnesota Statutes and City of Eagan Ordinances.
all work shall be do5ke in accordgypce with oil 961; 1,
1i /.1
Building Official
OAVE: . F-Q-Ata'f Catty. ME/ Include 2 .
-GRR,a?WL' SPACE s?ecESS CITY ar kbrm
GRa ut L 9PA'C r' v? 1 site p
r h?F DWG.I?AAR, BUILDING PERMIT APPLICATION 1 set of energy caitticns.
To Sa Used 8br - I _ Valuation 8 Date 'T?AQW &?-, 1W)II
Site Address fEhA fkyJl' Y- C# • - J
Lot _a_ Block Sec./Sub. PvinU b?
Paroal 1:
OWW9 ePB•P?JDtnl
Address:
City/Zip Code:
OFFICE USF MMY
Erect X Occupancy R 3
Alter Zoning f
Hepai-r Fire Zone N.
Enlarge= type of Cont.
Move N Stories
Demollst- Front (D(D
Grade Depth 4 ft.
1:
Omtractor: I01 f?i a'aVl ?) N Y),S
Address: I No-wn(Y-1 O ivb
City/Zip Oods: F/arlaVlJ 551zZ
Phone 1: 45-4 - (2???
Arc:./Enq.:
Address: •
City/Zip Code:
water/Sewer Surcwrge _
Police Plan Check ,
Fire SAC
EM. water cam,
Planner water meter
Council Road Unit _
Bldg off.'
AFC
1
wm D U cg
Cood S I I
gas LI?
?GI II
OLD Z
i t -x 0LG = 0? X b l
-LLLZ = 11 --` ZGZ =-" X ?I
'iLLL = b? X b b l = . x
Qo?°?? bS x coca I -- 0?, x G!?
CITY OF EAGAN No_ 14 3 4 8
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt #10*6 0,2
To be used for BASEMENT Est.Value $1,000 Date OCTOBER 26 ty 87
Site Address 1569 SHERWOOD CT
Lot 8 Block
Parcel No.
1-Sec/Sub. BRITTANY 6TH
.jName TERRY RUSKOWSKI
T Address SAME
C City Phone 688-2169
o Name DOUG HEINTZMAN
oa Address 1307 WOODHILL RD
o: City BrVILLE Phone 890-1419
H¢
wW Name_
z? Address
aw City_
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable Stale of
Minnesota Statutes and Ci(??offEEa-ga-n SOrd" !aaces.
Signature of Permittee? '- --
A Building Permit is issued to: -nOUG -_HEIPITZMAN
on the express condition that all work shall be done in accordance withal I
applicable State of Min nesot tatutes and Ci f Fag Ordinances.
Building Official Z?
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required * of Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
FEES
Permit
Surcharge
Plan Review
SAC. City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P7
Parks
TOTAL
$20.50
.50
$21.00
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
?? q I I 3830 PILOT KNOB RD - 55122
651-681-4675
Requirements
2 co-pines of plan 60.000
DATE: t Zt , "j) CONSTRUCTION COST: DESCRIPTION OF WORK: VO?F Q dtlyl N?W?? I rSN??tQac If mulfi-family bldg., how many units?
INDICATE THE FOLLOWING EQUIPMENT TO BE REPLACED AND BY WHOM:
- Plumbing - Homeowner 2[ Contractor Name
- Mechanical - Homeowner pr Contractor Name
"Note: If somebody other than the homeowner is performing plumbing or mechanical work, they must apply for appropriate
permit. Only licensed plumbing contractor or homeowner may complete plumbing work.
STREET ADDRESS: I S°1 541G ? 1? -?
LOT: A- BLOCK: I SUBD./P.I.D. #: 41-H-77114 ?tfl
Name: SC?{I CAL tIS?`f Phone#:
PROPERTY Last First 6? _ 4q5 - ??p2
OWNER
Street Address: ??y 5?u Y?DC
city , 6A ( / state: yti1 l zip: S?1zZ
Company: 1 L- : Phone #:
(area code)
CONTRACTOR
Street Address: License# Exp.
City State: Zip:
E RED ;raj?
SEP 2 1 2000 I
BY:___ _-__I
I hereby acknowledge that I have read this application, state that the information is
of Minnesota Statutes and City of Eagan Ordinances.
agree to comply with all applicable State
Signature of Applicant:
?Toollefeon Builders Inc.
JACKSON - SURVEYORS
Scale: 1'1.501
• Denotes Iron
-Drainage REGISTERED UNDER LAWS OF STATE OF MINNESOTA
- - Drainage 6 Utility Easesent
000.0 =Existing Elrv.
3616 EAST 55th STREET MINNEAPOLIS MN 55417 727-3480
Or. 11523
?y?-5
e
3
$urbtper's Certificate
Proposed Garage Floor Elev.
Proposed First Floor Elev.
Proposed Basement Floor Elev.
C 2e ?1 ??
4
3
Q
V I ? e 2- s e YY
0; P ?BG
I
Goo
1
1
1
I?
//I
IAA p'
i
N i ,
C `=D
1 HERESY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT PLAT A SURVEY OF
5 .?hC If?oa?
?oNrf
Lot 8,Block I,Brittany 6th. Addition,
Dakota County,Minnesota.
25th. 1984
As SURVEYED SY ME THIS_ DAY OF •.D.-
F. C. JACKSON. MINNESOTA REeIr/MTION, NO. 3000
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NO 9093
PHONE: 454.8100
BUILDING PERMIT Receipt #
To he used for SF DWG/GAR Est. Volue $118,000 Date MAY 99
Site Address 1569 SHERWOOD COURT Erect M Occupancy R-3
Lot 8 Block 1 Sec/Sub. BRITTANY 6TH Alter ? Zoning R-1
Parcel No. 10-15005-080-01 Repair ? Fire Zone NA
Enlarge ? Type of Const. V
Name TO FSON R DRR
Address 1655 NORWOOD DRTVE
City EAGAN Phone 454-AR71
A Name TOLL.EFSON MRS
OU Address
City Phone
f
Ww Name
FZ
X3 Address
iW City Phone
I hereby acknowledge that I have read this application and state that
the inlormation is correct and agree to comply with oil applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
Move ? # Stories
Demolish ? Length 66
Grade ? Depth 42 Sq. Ft.
Approvals Fees
Assessment -
Water 8 Sew.
Police -
Fire
Eng.
Planner -
Council
Bldg. Off. _
APC
Permit 478.00
Surcharge 59,00
Plan check 239,00
SAC 52S.00
Water Conn. 470.00
Water Meter -61..08
Road Unit 960.00
Total $ 2.094.00
A Building Permit is issued to: 1'O1,Lg17?r?-$1F$ - -- on the express condition that
all work shall be dope in occordppce with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
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yJ000,
1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, .j CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
ffV0 OCT 2 2 1987
To Be Used For: Valuation j? Date: /U - a -'?S7
Site Address
Lot Block '
Parcel/Sub
Owner /G' r r (,l5 u6I.Is ck
Address c---r
??oo ?nn,.rrt
City/Zip Code C_cL4'j" 5 1 a?_ _
Phone
Contractor O GL1Ct?V1 Yi1?L v?
Address 007 wdo(?i?? ,?.
City/Zip Code
I C ,,"f -Phone 110-1q 19
Arch./Engr.
Address
City/Zip Code
Phone #
/OOa
On Site Sewage_
MWCC System
On Site Well _
City Water
APPROVALS
Occupancy E- 3
Zoning
Type of Const
(Actual)
(Allowable)
ll of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Assessments Permit A), 50
Water/Sewer Surcharge ,S O
Police Plan Review
Fire SAC, City
Engr SAC, MWCC
Planner Water Conn
Council Water Meter
Bldg Off o z3 Road Unit
APC Treatment P1
Variance Parks
Copies
TOTAL
?l.
i
2/84
l CITY OF EAGAN
APPLICATION FOR PERMIT
J
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
(Lo t/B iivision or Tax P cel I.D. N r)
IF EXIST= :G STRUCTLT<E, DATE OF ORIGINAL n['I D •;G Fu2•LIT ISSJPiiC :
PRE= I- NIPX;/PROPOSrE USE: R-1 SINGLE- r^p rr y
? R-2 DUPLE{ (7%10 UNITS)
? R-3 TC&vNHOUSE (THREE + UNITS) ( UNITS)
? R-4 APART ENT/CONDOMINIUM ( UNITS)
? COAMMCLAL/REi'AII,/OFFICE
? L-MUSTRIAL
? INSTITUTIONAL/GOVERNMENT
2) APPLICANT (PLEASE PRINT)
NAME: G !? L
ADDRESS: 07 UG
CITY, STATE, ZIP: 0-?
PHONE:
a
3) PLUMBER NAME:
P?$E 4"WkH
QEN r
(YA r+
FOR CITY USE ONLY
14/45 SO RO'".ERT TRAIL PLUMBERS LICENSE:
ADDRESS: 0 Active
CITY, STATE, ZIP: T: N 55068 Expired
L PLUMBER LICENSE $
of Record
hot
a nitla
4) OCCUPANT/OWNER NAME: (PLEASE PRINT)
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) INDICATE WHICH PERMI IS BEING REQUESTED:
VECTION TO CITY SEWER
ONNECT
CON ION TO CITY WATER
F1 OTHER (PLEASE DESCRIBE)
6) INDICATT: ONE:
P E HOLD APPROVED PERMIT FOR PI Y ONE OF ABOVE
PLEASE MAIL APPROVED PERMIT TO 1, 2 3, ABOVE
7) SIGNATURE: (Cir e ) DATE:
46
? ai4;2
00
?ew.w w
!t!+i?rw?:a:?ea?lf?r5?i?rissa#aiiirn.rrsaaawa!!srta?a??rra?afo??aeir?rs
F O R C I T Y U S E O N L Y
PERMIT # ISSUED
FEES: $ _ & S
$ ?G SG
(l>?'`?JS ?.?.o- U
S
C9y?)S ?7c
tr-
?
.
z
C % C/ f? / $ -To7 7 Cf-zJ
S
S
$ i5 r-e
f
$
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER a-n c cc1?.C ?0 ?6?
v
TOTAL
$ AMOUNT PAID/RECEIPT /#? y c?? 5- ` fq ?J
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT 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: AL""( ) SaZU?
TITLE:
DATE : ??Lf l7
sww wow wk?.a w+w?wM?jo alum "w"ww"okm 9k4Wne=wawRa
of
3830 PILOT KNOB ROAD, P.O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8100
AUGUST 3, 1984
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
TOLLEFSON BLDRS INC
1655 NORWOOD
EAGAN, MN 55122
Dear Sir:
Our records indicate that the dwellings listed
cupied without a request for a final inspection:
B.P. #8813 - 4846 SHEFFIELD LN
B.P. #8140 - 3868 HEATHER D R
B.P. #9093 -, 1569 SHERWOOD CT
B.P. #8743 - 1570 SHERWOOD CT
B.P. #9101 - 1581 SHERWOOD CT
B.P. #8143 - 4811 SHERWOOD CT
BEA BLOMQUIST
Mayor
THOMAS EGAN
JAMES A. SMITH
JERRY THOMAS
THEODORE WACHTER
Council Mori
THOMAS HEDGES
City Adminatrator
EUGENE VAN OVERBEKE
City Clerk
below have been Cc-
T 61
(t 1+1- w a?
L¢ ? FFP?r?
If arrangements are not made within ten (10) days to resolve these
oversights, 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.
Sincerell ,
;tom-*??
Dale Peterson
Chief Building Official
DP/js
THE LONE OAK TREE... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
140 ,
33?.;L6._
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodegRenair Requirements offo6use only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and g1l roofed areas 2 copies of plan shoeing footings, beams, joists CertafSurvey Recd - _Y.:.-,N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Press Plan Reed _Y -N.
2 copies of plan shoeing beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree Press Required '-N
I set of Energy Calculations Addition - indicate ilon-site septic system on-e,rto Septic system _'-y -N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minaegasw mechanical ventilation fomr F
Date d Q Construction Cost 020al7
Site Address C // - G? Unit/Ste #
/
Description of Work ?# 4.1 WA, N l/t r .t(L t." ti &L to Mir. Cc tit?
Multi-Family Bldg
Y
N
Fireplace(s)
0 t1E ekt..
2?
_ _ _
Property Owner K'T 5e lit It -T / Telephone # 2 "Id-)L-
Contractor ((?? t uyt 6a\hs
Address PO
974 /
City
Lt/i /??Kf?/F
state k1 INu Zip S?T1SJ Telephone #(GS1) GT3^ddd-7
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Category 1
Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
_ Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In the 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
Mechanical Contractor
r--
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #( )
I hereby apply for a Residential Building. Permil-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
appr of plans.
pplicant's Printed Name )kpplicant's Signature
t _
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
ork T s
31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
DO NOT WRITE BELOW THIS LINE
? 13 i6-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower Level
20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Aft - Mufti
? 33 EM. Alt - SF
? 36 Mufti Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
"Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage_Yes
Valuation )t? t?
9
?' Occupancy MCES System
Plan Review r
0
T00% or _ 25%
Census Code 14 3 I 't City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Blcigs Length Fire Sprinklered
Type of Const t n Width
Footings (new bldg)
- Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water _ Final
- Framing
- Fireplace _ R.I. -Air Test -Final
Insulation
Approved By:
REQUIRED INSPECTIONS
Sheetrock
_ Final/C.O.
_ FinalWo C.O.
_ 13VAC
Other
Pool Ftgs thAir/Gas Tests Final
Siding tucco La _ .as
Lath Brick
Windows
Retaining Wall
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
p/ I ?/ -
'
i
? 07 05-plex
? 08 06-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
t
4
r
• ''? Paragon Pools
305 Stillwater Road • Willernie, MN 55090
_ (651) 653-6807 • Fax: (651) 653-1104
Equipment Needed /Z ix 32 '10
-Back Hoe Bob Cat
_ Cat ?_?Truck
Snow Fence Uni-Loader
Inspections Contact
walls
Plumbing
-Tooting
Before Backfil.l
St eet
City' State zip code
Directions -
:Diagram pool site in relation to house, garage, property line, and wires
(]Mow 3"-variance)
c 1J'%f¢.?
WAII AM
o hhvyL
C<Pfn
r favLYCTL
Fa?''S s
? •?JUwT?/9i5
fD+r (bp\ (y?e1C
pp. 'i Au
Rwl
U h A E4p
wS.
'L? GHKF£?
Up Flu
Ic:aL
® U I 4u
17
a a4siN,Y? ? Izu.Z I ??- Pcrz. &au?t'
fig? '
co o R4 TL
S
la, bRA le'N
ELEU4 13
.d
U%
Paragon Pool Patio will make application for and pick-up your swlmm ng
pool building permit.(Electrical, gas, fence, or other permits are the
responsibility of the contractor doing the work).
*The actual cost of the permit is the responsibility of the home owner and
Paragon Pool & Patio will expect to be reimbursed for this permit cost
within 30 days of obtaining the permit for you.
Si ned: Date:
ter and/or
h er by (i2).
_ ndicate deep end by W.
_ Does Customer wish to.retain
any or all dirt from pool
excavation: Sn,n .r
will anv ohstrur_tinns hp en-
Location for disposal of dirt:
" iot;recot?mends that
Paragon Pool;?& Fr
Customer instal do -as sible
following':.poo r_ ion ••
l)Rain gutters en
/21Rptainipa wall
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA119268
Date Issued:11/21/2013
Permit Category:ePermit
Site Address: 1569 Sherwood Ct
Lot:8 Block: 1 Addition: Brittany 6th
PID:10-15005-01-080
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.
Phil Holmin
3432 Denmark Ave #228
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Kurt A Schlegel
1569 Sherwood Ct
Eagan MN 55122
(651) 485-2702
Holmin Heating & Cooling Llc
900 Park Knoll Drive
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168240
Date Issued:04/14/2021
Permit Category:ePermit
Site Address: 1569 Sherwood Ct
Lot:8 Block: 1 Addition: Brittany 6th
PID:10-15005-01-080
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description: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.
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 (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 -
Kurt A Jr Schlegel
1569 Sherwood Ct
Saint Paul MN 55122--274
Hessian Plumbing Services
Box 22172
Eagan MN 55122
(651) 681-8252
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178901
Date Issued:09/08/2022
Permit Category:ePermit
Site Address: 1569 Sherwood Ct
Lot:8 Block: 1 Addition: Brittany 6th
PID:10-15005-01-080
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Kurt A Jr Schlegel
1569 Sherwood Ct
Saint Paul MN 55122--274
Glowing Hearth And Home Llc
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179700
Date Issued:10/18/2022
Permit Category:ePermit
Site Address: 1569 Sherwood Ct
Lot:8 Block: 1 Addition: Brittany 6th
PID:10-15005-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Kurt A Jr Schlegel
1569 Sherwood Ct
Saint Paul MN 55122--274
(651) 315-3082
Wildwood Construction
11900 Rich Valley Blvd
Inver Grove Heights MN 55077
(612) 369-1422
Applicant/Permitee: Signature Issued By: Signature