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1581 Sherwood CtCITY OF EAGAN 3830 Pilot Knob Road Ea9an?Ox 1199 55121 Zoning: Owner' -TO j I e f, Address: Site Address: 15 Plumber: lro?? 4 7'0 Ohoaaaar.r of Essen of Insp.: So*" SERVICE PERMIT PERMIT No.. DATE: No. of Units: 1 Connection Ch .4 vv. OQ-p-a, Acco orve: 425. oo -4- it Permit F Dieppyt. 1 S . 00 d Surchargs: "' .00 . S0 Mi sc- Charges. Total: cafe old: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: n 1 No. of Units: 1 Tollefson Bldrs Ow ner: Address: Site Address: 1581 Sherwood Court L10 B1 Brittany 6th setaz Ryan ?Pl r b U er rl 470.00 Meter No.: Connection Charge: 'Size: Account Deposit: Reader No.: Permit Fee: na II agree to eompy wob the City of Eason Surcharge: Ordinances. Misc. Charges: ?' 3.00 P d meter Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN 3830 Pilot Knob Road WATER SERVIC E PERMIT _ P. O. %x' 1199 PERMIT NO : Eagan, MN 55121 . Zoning: n j DATE: Owner: Tolleison Blebs F No. of Units: l A ddress: e_ S?ite Address: 1 81 e rgo n 1 ;) 51 3rittan 6th \j umber I ,. Meter No.: i Connection Charge: 4 7 0. OO d 15 Account Deposit: .0 Pd der No.. s Permit Fee: 10.0 Pd agree to comply whb the City of Eagan Surcharge: Ordinances. Misc. Charges: 63.00 nd n:e t e r' Total: 9 By 4 6 Date Paid: Dat ofnsp p.: I nap.. CASH RECEIPT CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RECEIVED AMOUNT $ 'S - / & DOLLARS 7 0 0 ? CASH ??G9ECK FOR 0 FUND CODE AM OU NT / ?/S •/ Thank] - Ij , .. BY White-Payers Copy Yellow-Posting Copy Pink-File Copy PERMIT # Ze 2" MECHANI CAL PERMIT CITY O F EAGAN RECEIPT # 3630 PILOT KNOB R OAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE : 454-8100 DATE: Site Address BLDG TYPE / WORK DESCRIPTION . Lot Block y Sec/Sub ? New Res. Mult Add-on m Name y> Comm. Repair Address Other C City Phone FEES Name RES. HVAC 0-100 M BTU $24.00 3 Address/ ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMMAND FEE -1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Air Cond. M BTU REMODELS 12.00 MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping Outlets # (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) Other PERMIT FEE: 3) SIG T P MI TOTAL: FOR: CITY OF EAGAN 3830 Pilot Knob BUILDING PERMIT T.. tr ..-A S... SF 1)-AG/GAR CITY OF EAGAN Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 $91,000 Receipt * N° 9101 MAX 24 ._ 84 i-JVa. U/f L1\.1VVL V1 Site Addref Erect t\ ? i\.J Occupancy Lot Block??/ubl _ Alter ? Zoning Parcel No. Repair Q Fire Zone J Enlarge ? Type of Const. cccc Name Move Q # Stories 4 4 3 Address P.AGIM _ b Demolish ? Length --43 City Phone Grade ? Depth Sq. Ft. Z9 OV V? Name _ Address City - Phone tie Address City Phone I hereby acknowledge that I have read this application and state that the information is eorrect 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- all all work shall be done in occore with 611 opplimble St of i Building Official Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit 14 x . 00 Surcharge ..>0 --- 203.00 Plan check SAC • U O Water Conn. 470.00 Water Meter 7 3 . o d Road Unit 2150.00 -2.50 Total on the express condition that Statutes and City of Eagan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing ?i 1 15 ?r c,z2 ?- l 1) ! a , ?l Y H.V.A.C. y (eq a - 1444 Well Water Disp. Sewer Electric ()5 3 5 5 ?,.- 1 !4 ?( Sv Inspection Date Insp. Other Footings ra3 14 S J Foundation Framing 7 Rough Plbg. Rough HVAC Insulation Final Plbg. Final HVAC Final - yc/ Water Describe Location: Well Sewer Pr. Disp. Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee I r Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date-// J Y 2. Installation Cost V 3. Job Address Lot / Blk. Tract 4. Owner //i >-J+S/'/? -" C Jam, i 5. Contractor /?-z.i// Phone 6. Address /''i /S 7. City f. 5422 ,el State /»/-4/ Zip 8. Building Type: Residential- Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe a No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield y_ Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other 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 i• 1, Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT 1 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 t I Blk. Tr t 4. Owner 5. Contractor 1 Phone 6. Address 7. City !+-Z-e State Z-1--- Zip 8. Building Type: Residential E Commercial ? Institutional ? 9. Work Description: New Q' Add ? Alter ? Repair ? 10. Describe Fuel / Type xi,?.? ?. . 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r ng: an 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 gover ing this type of work. Signed: -az 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 ' i Addition BRITTANY 6TH ADDN Lot 10 Rlk 1 Parcel 10-15005-100-01 Owner Street 1581 SHERMDOD COURT State EAGAN IIW SS122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1976 130.10 8.67 15 43.40 A015112 1-28-85 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1982 269.94 S3.99 5 54.02 A015112 1-28-85 STORM SEW TRK 1982 571.13 114.23 5 114.25 A015112 1-28-85 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT $260.00 #43570 5-24-84 WATER CONN. 470.00 IV BUILDING PER. ;'9101 11 " SAC 525.00 if " PARK CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 N? 9101 PHONE: 454.8100 S?U BUILDING PERMIT Receipt # C/ J To be said for SF_DWG/GAR Est. Value $91,000 Date MAY 24 19 84 Site Address 1581 SHERWOOD CT Lot 10 Block 1 `;ec/Sub. BRITTANY 6 Parcel No. 10-15005-100-01 rc Name "? " u" J z Address 1655 NORWOOD DR 9 City EAGAN Phone 454-6873 M 0 ou uul 1- Name _ Address City _ Name Address City - Phone I hereby acknowledge that 1 have 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 TOLLEFSON HORS A Building Permit Is issued to: all work shall be done in accor e w _ oll applicable St to of it Erect CJ Occupancy R-1 Alter ? Zoning HI Repair ? N/A Fire Zone ?- Enlarge ? Type of Const. Move ? * Stories _ Demolish ? Length Grode ? Depth 43 Sq. Ft. Approvals Fees Assessment Permit $ 406 • 00 Water 8 Sew. Surcharge 45. 50 Police Plan check 203 • 00 Fire SAC 525.00 Eng. Water Conn. 470.00 Planner Water Meter 63 •00 Council Rood Unit 260 _ 00 Bldg. Off. APC 0 Total ' • on t he express condition thin sots Statutes and City of Eagan Ordinances. Building Official CITY Or EAGAN Include 2 sets of plans site plan w/elevations i "2/F PWE,.(,A BUILDING PER#QT APPLICATION 1 set of energy cal(PUt ss. To :x Used Far &M#l valuation 16 91,000. °-° Date Mil\) ZZ, )?YX+ Site Address hroklAl T- OFFICE USE ONLY lot _(O Block _J_ Sec./sub. F,ect X Occupancy R 3 Parcel Is IS3b 5 ) C)J Alter Zonim I Owners TQL?PVI ?IA11/?P/? > Fire Zone N A Fhlange _ Type of cont. Address: lb_5, Noylnipq !?VI lei !1D"e ! Stories Demolish _ Front q 4 City/Zip 011de.. Grade Depth 43 ft. Phone Contractors ltP? Address. city/zip owe: Phone !: Arch./'&q.: Address: • City/Zip Code., !a . Phase `i: ' ? water/Sewer Surcharge 5?- Police Plan Check 20 3 . Fire SAC 525.%° Eng. water COMA 470. = Planner Water meter `cv3.? Council Road Unit. Bldg. Off.' Z AFC 1 J U 1dPAi. H /1 7 72 OW ate e*>? 10, o®o1 b b5o I ? ?. b5? _ 2-b? i Z q bo - ?-h x azs I x lr?- 1:7) ---? J -/ 9 ??ZXZZ e Lxh dog, S ) 1 x ? Z? _ gGo??CI = bs x Z?Z Z b?Z = 17??° X ? j7 = oz?sz = t? x o?? _ ZZ X ?Z zi Xf L )" °J-X` ?-z k 4 0 6 0 0+ 45.50+ 203.00+ 525.00+ 470.00+ 6 3 0 0 + 2 6 0 • 0 + 1972.50* This'eque't vs Y 39d? TB manilas Iti 1 A 053858 Rio, 5t 50 Request Oaw - ?` Fire No, ulilf?in71 coon []Ready Now e's -? y it Notily Inspec- ?NO tar When Ready ,g,lLiceasad Electrical Contraotar 1 hereby reapeat inspection of above ? Ow ntar alaetriol work installed at: Sbaet Address, Boa ar Roace No.' City rm NO. I Tantship feee ar No. Rage No. County Oeapa d INIINH Phone No. Winer Soe lie Address 7? M EI iraI Capbactar ICmarattl. Name) xgpQ ct-f-To2lC Contractors License No. Idaili Address Mon radar or Owrrer Nakuru lpstailatiml /sS/mc?r . G ?w SS3 A rsed Sivonae ICrarbactor kim lmtgllWiml ? Numbe? MINNESOTA SPATE BOARD OF EUMMICFTy THIS INSPECTION REQUEST WILL NOT OrippeJNdaay Bldg. - Rom N-TBT BE ACCEPTED By THE STATE BOARD TS" IlaftimsHy AV . SL Paid. MR S57 O/ UNLESS PROPER INSPECTION FEE IS Pb,,, 0121297-2111 ENCLOSED. Db BEQUEST FOR ELECTRICAL INSPECTION ?1 r1 ? See imtruerim s for coupleGrq this fmm on beck of. "l low, copy. (? (? Y A n 11 q5 Mq A "X"' Re%w Mork ---*wed by This Request Equipment -S -_ r Few - rSetvifs HrtrertroSVS 0 to 200 AnIps A 3 Fes 3Z ?° FeedersBrddeedere O m 30 S Fee Circuits O to 30 Am Abwre 200 - 31 m 100 Atrips 31 to 100 ARIM Sminmi Pool Above 100- Above 100_Am s Trertsfcnners Ivi ion Boars O rartia VOther Fee Sight bpeclml lnswunin $ ?w TOT FEE xmr®rks L4 Ct' Sough-in 0 le , the Si ?(' Inspector, ereby rtify that the above Final Date epection hes been made. nAffa owyo d}Smmehefmm b 5 q S'" 2004 RESIDENTIAL BUILDING PERMIT APPLICATION 7v City Of Eagan ty 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New construction Requirements RemodelfReoair Requirements Offioe0 On' 3 registered site surveys showing sq. R of lot, sq. ft of house; and all roofed areas 2 copies of plan &6f Survey Riod Y N (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions Tree Pres Plan'Recd Y,-N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks TreeFres fFequlra .Y N l set of Energy Calculations Addition - indicate it on-site septic system O?Srte Sept'ystem `.aYN 3 copies of Tree Preservation Plan If lot platted after 711/93 Rim Jost Detail Options selection sheet (bldgs with 3 or less units Date & l IC( l o q Site Address 15'31 ?e(-WODc Construction Cost CZ_rr) r ) ?X Unit/Ste # Description of Work l e > °LEt(U Cig zn neg xc2 ?i ?/? n Cn?r? -2p-o-e t Multi-Family Bldg _ Y ? Fireplace(s) 1 0 _ 1 - 2 Property Owner '16w BreAm s4- gc c 1 Telephone#(fprj1 Contractor lA?{YO?1e c( ?? ?t Address o2. (2117 eA+c nj State A/'\nLNr>? mo1'71-- v e city QNP 86 r r In r Zip ?Z E Telephone # (ra,S( ) t-((eC -(., n2_2- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a b ' dine fee applies. Licensed Plumber in Eagan with a similar plan? _ Y N If so, 25% plan review Mechanical Sewer/Water Telephone #( Telephone #( Telephone # ( I hereby apply for a Reside 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. Applicant's Printed Name A li ant's Signature OFFICE USE ONLY Sub Types ? 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 (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 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 Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System 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) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final - _ Framing _ Siding _ Stucco - Stone - Brick Fireplace _ R.I. - Air Test - Final _ Windows Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector PERMIT# .__)-1 D'% 1 RECEIPT DATE: 8008 MIDENTIAL PLUMING PEFM1T APPLICATION CITY OF HAGM 3630 PILOT KNOB itn EAG"' MN 5512E 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: /671 - -, 4LA,IL mod- `i4.akL OWNERNAME:: ?tntoa) &1 d? TELEPHONE#: 66-1 365- YSE-Ir (AREA CODE) INSTALLER NAME: yN/i+l d . / rite TELEPHONE M 6,51 5? • ,3`,36 - %? ' _ (AREA CODE) STREETADDRESS: I-TA56 0AJ1kA,JN/D_ -Yri,J D 714'1 CITY: ? J-\. ?-/'& _ STATE: 56?)G Y ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: -X.A .? u?ct -".A /- nLc uz /ao ' _ r so Hers and water heaters. Addi fixtures to lower levels or room additions, excluding wate -I $ 50.00 _ Abandonment of septic system. - Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 - lawn irrigation system Replacementladditional: _ water softener _ water heater $ 15.00 r, - State Surcharge I - ^ $ .50 L' Total $ 50.66 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Cityof Fagan ordinances. It is the applicant's responsibility to notify the property owner that the Cityof Eagan assumes no liability for any damages caused by the Cityduring its normal operational and maintenance activities to the facilities constructed under this permit whin City p p /'gp f ay/easement. w/ Fi! 0? /J ?7 .OiL?Ll? SIGNA URE OF PE I EE 1102 t) -7 I ? RESIDENTIAL ?O BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681-4675 CA -" L ( o'T New Construction Requirements RemodegReoair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) 1 site survey for exterior additions & decks • 1 set of Energy Calculations Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Run Joist Detail Options selection sheet (bldgs with 3 or less units) DATE //_ Zit -d Z VALUATION /Gf -52?3 _ SITE ADDRESS 1 .3YI S?a c.?dor/ L %• MULTI-FAMILY BLDG Y s<N - TYPE OF WORK 147,_, s / +scra yu.? FIREPLACE(S) lzC 0 _ 1 _ 2 APPLICANT ?n59ruc/'_., STREET ADDRESS Gcv..? CITY A[SAn STATE/,V+ ZIP 6_37`4 TELEPHONE # `?3SZ-5i3z- 377 CELL PHONE # G/i -2ys-- 9iiZ FAX # PROPERTYOWNER loNr .C?.s?c TELEPHONE#GS-/-.3?- r--sf-f COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (J submission type) • Residential Ventilation Category 1 Worksheet Su • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc Signature of Applicant _--_--______ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 MINNESOTA i ES 7672 D ?w'l LN''eE?'"gLyr?£ I orksheet Submitted PION 2 0 2002SSgIIII?I V me 9 Water Softener _ Lawn gprin er--- =Eed: 690.00 _ Water Heater _ No. of R.I. Baths No. of Baths Phone # Air Conditioning Fee: $70.00 Heat Recovery System OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of-plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ?< 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 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 Bldgs Length Fire Sprinklered Type of Const I ? . / ?7? Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. Footings (addition) Plumbing _ Foundation X HVAC _ Drain Tile T Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final \( Framing ` _ Siding Stucco Stone J Fireplace _ R.I. -Air Test - Final _ _ _ Windows (new/replacement) V Insulation _ Retaining Wall Approved By T-7 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 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF ZAGAN 3 4 -1 Ol 3830 PMOT KNOB RD - 55122 (651) 681-4675 New Construction Requirements • 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured Ind. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1193 required: _ Yes _ No DATE: DESCRIPTION OF WORK: STREET ADDRESS: RemodeVReoair Requirements ? 2 copies of plan ? t site surveys (exterior additions & decks) ? t energy calculations for heated additions CONSTRUCTION COST: -2 LOT: 4 C? BLOCK: I SUBD./P.I.D. #: Name: 1 Y 1-C II r }l Phone #: ('s /- A /t 7 - `,t,JC PROPERTY Last First OWNER C Street Address: City 1). Ci ? 1 State: r?/VI Zip: Company: ??Ff Tel !? l Phone #: ??? S\J Z?Z! CONTRACTOR 1 ?1 Cf S 3 E lot gy ?c_e Street Address: hniy -/c 5` License # c'0/47'3 41,q Exp. City W-06))o _ State: /r , / Zip: J s-/ ! ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received - Yes No Penalty applies when address correct, and agree to comply with all applicable Tree Preservation Plan Received Yes No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Variance Permit Fee 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: Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Census Code SAC Code Census Units Census Bldg MC/ES System City Water Booster Pump PRV Fire Sprinklered % SAC SAC Units Tollefson Builders Inc. JACKSON - SURVEYORS REGISTERED UNDER LAWS OF STATE OF MINNESOTA 3616 EAST 55th STREET, MINNEAPOLIS, MN 55417 727-3484 burhepor'g Certificate Sc ale: 111= 501 -: = Drainage o p,o Denotes Iron OOaO= Existing Elev. 2 - -=Drainage & Utility Easement a _ S \ ph N \ ?>Z N o? Ic Proposed Garage Floor Elev. Proposed First Floor Elev. Proposed Basement Floor Elev. 1 HEREBY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT PLAT OF A SURVEY OF Lot 10,Block 1,Brittany 6th. Addition, Dakota County,Minnesota. 16th. May 1984 AS SURVEYED BY ME THIS--DAY OF A.D. tED F. C. JACKSON, I el Or. 11531 188-5A s O 'NV ?I V L 'D6,O I\ No. 3600 TDllefson Builders Inc. Or.11531 188-5A JACKSON - SURVEYORS REGISTERED UNDER LAWS OF STATE OF MINNESOTA 3616 EAST 55th STREET, MINNEAPOLIS, MN 55417 727.3484 *urbtpor'i; Certifitatt s Scale: 1"= 50' -+= Drainage o Denotes Iron °O °= Existing Elev. q,o'o - -=Drainage 6 Utility Easement p• ?1 ? D ate. ' 1 - -?- IT i `1 V / ?? / 1h11 p?°I ?I •?- \ ? h 2'1 ?/iuel ? jl4 ? h .? >Z tV o?U ?IN 6.0 10 M 11 Proposed Garage Floor Elev. Proposed First Floor Elev. Proposed Basement Floor Elev. =. 1 I HEREBY CERTIFY THAT THE ABOVE 16 A TRUE AND CORRECT PLAT OF A SURVEY OF Lot 10,Block 1,Brittany 6th. Addition, Dakota County,Minnesota. ?RGP rF ` Dt' 16th. May 1984 1`I AS SURVEYED BY ME THIS DAY OF A.D. F. C. JACKSON, MINNESOTA JIEGISTRATION. No. 3600 Citi 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. ILI i O:?7r2 Pi3II 1Vti® ? - ? MOM -L ?3L T_9r.?2IFsC9 C".' 11, OS':3?s i43 731 OM . dD11Zi'EQt3 Dim- T-:.=tIG t TT,Tr.O r.IIp CD'.'rZfaL?ICS ZI^?L ILv? 0.7 MIPCOL3 tJn+,r, CO rl) TGiG?, S!3, he 0?' ?^?pG° itl.'•.it 18iZn,'n - i .? ` r z. ' WAFa CGSF fib VT. :. " Ty .'y cri Minn TOTAL So. r.. C'9 LOG^9 J S'=PP, Or I sulATICa Er I7 A9.t? r? 7;,0 1^L'YCS r.rn V?LTT: I ! 1'a FL CP 7L::UL- woo Ir, CrIle. ?tLt?.N 0 ajn $ ?'a?0 LTgI37 s : 2 is ;r - _ ?LOG:iJ - - -' rn? r tm '' - L PCB 'rAT' TAL s OJ rlf.^Sr- 3:4Lf.4 AT±DPC Z+^, jtj 3 t3IJI 7J :{?? .+? Ta.'2 C73 7fit!1 ! J^ IxM ] l.?r* . . ?? r, r y f ILi9 L'£A ?_J t9.2i.i`DJ 2I+r I3?'Ln Ttiif.?1T:.?J 'Ly.i?p. e. N, Yi+t'?r?? ?y < .o'."Ci ,L?''V..• yA'q?' ?'?y?i'"`; .rw .'+{? wi -w?°'? ??.?....5 ?t??`ty.•???F..r.?l:_?Sil.:w '?^-r ?sY. •i "a ? a ,. ?.?-:.Jt "+. v.? _-?..r-.i..... _._?... .. ?. i Y?,W?.ifi .Y? .tU'Y! a±f 11'S.ijl?+'-.i ???? 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S.lil?... ?SI I F rt`l {! 1 M. e :. iL I ? 2/84 r lF `? eaN't CITY OF EAGAN APPLICATION FOR PERMIT - SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROP EfTY ADDRESS: 1 5-91 S =LDESCIPTICN: /D - / ? Y (D (LOt/Block/Subdivision or Tax Parcel I.D. Number) i EYIS?'_ :G STRUCII-TRE, DAT' OF ORIGTLL AL BUILDIING ^.-I.Sm TSS?:?;:C: ! P° 5 --- ` rVP CPCS= U : XR-1 SLiGLE FA.M, LY - -- ? R-2 DUPLE{ M%0 UNITS) ? R-3 TMMICUSE (THREE + UNITS)( UNITS) ? R-4 A1DART:TG^.T/MNDa%=. TJ;1 ( UNITS) ? CMENT-tCLAL/RETAIL,/OFFICE ? mUSTRLU ? INSTITUTIO.NAL/GOVE.RINMENT 2) APPT.ICA%T (PLEASE PRINT) NAME: TOLLEFSON BUILDERS, INC. ADDRESS: 1655 Norwood Drive CITY, STATE, ZIP: Eagan, MN 55122 PHONE: (612) 454 - 6873 3) PLUMBER (PLEASE PRINT) FOR CITY USE ONLY `?• GENZ-RYAN PLUMBING AND HEATING ADDRESS: 14745 South Robert Trail PLU.ERS LICENSE: Active CITY, STATE, ZIP: Rosemount MN 55068 Q Expired PHONE (61 Nit 2) 423-1144 PLUM8ER LICENSE # 1849M Q Not of ec rd I 'S arr nitia 4) OCCUPANT/G!v TER NAtitE. LPLLASL PRINT) SAME ADDRESS: AS CITY, STATE, ZIP: ABOU PHONE: 5) INDICATE WHICH PERINLIT IS BEING REQUESTED: CONNECTION TO CITY SEWER CON-NECTION TO CITY INIATER ? OTHER (PLEASE DESCRIBE) b) L'vDIC-'=Z 0:Z: 1fl PLEASE HOLD APPROVED PERAIT FOR PICK-UP BY ONE OF ABOVE PLEASE TAIL APPROVED PER!-UT TO 1, 2, 3Q 4 ABOVE (Circle one) 7) SIG ,7TL'RE: f DATE: 7o y ! ?l ?I:?Ai-A:i .71 ilr.s:?! tAi:ri:ii i i rr.ra:a:r r ?[ rrr.r i:f?i?!!!!?s'iei?.aL•? F O R C I T Y PERMIT ' ISSUED F7 __1 FEES: $_ i u• ..Sd $ of . D $ /tea $ $ s?7d. t d $ sus s $ $ S U S E O N L Y ` SET'--EE nrIITTI (I_(7-DE SURCHARGE) WATER PERMIT (INCLUDE SURCEARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAD ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER TOTAL AMOUNT PAID/RECEIPT $ 71 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 ri NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : J7 - i o7 -725r'.c7'_ ?ss?ws w?i??cw w:w ?a s??t+?r??ws?awr w_+?w:?w?r wf?w.a w:?fa f?+wa ?c?wwr ww 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: BEA BLOMQUIST Mayor THOMAS EGAN JAMES A. SMITH JERRY THOMAS THEODORE WACHTER Council Members THOMAS HEDGES City AdmiNshator EUGENE VAN OVERBEKE City Clerk Our records indicate that the dwellings listed below have been oc- cupied without a request for a final inspection: B.P. #8813 - 4846 SHEFFIELD LN B.P. #8140 - 3868 HEATHER DR B.P. #9093 - 1569 SHERWOOD CT B.P. #8743 - 1570 SHERWOOD CT B.P. #9101 - 1581 SHERWOOD CT to 8 B.P. #8143 - 4811 SHERWOOD CT Pj R1-r4,y &A 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. Sincerel CQJ? Dale Peterson Chief Building Official DP/js THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY UNDERGROUND SPRINKLER SYSTEM PLUMBING PERMIT Date: 'T cl--g Permit # Date 7'- 9- 9 / Receipt # Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit wll be required, as well. Existing residential: $15.50 (Plumbing permit not required if backflow preventor was previously installed). Residential developments: Fee to be determined by building inspections department. May require payment of water embing permit, WAC, and water treatment plant fees. {XQ QQ13 / ?U? S?'l?'NW6U? l1?uw`1 (Address to be sprinklered) ??b d Homeowner/Plumber: 'reA'? - S'50 .-A lllevS' Phone #: / 29- 3 S9 0 ,3 Street Address: 7 r q '??p 12,/4c- 5- City, State, Zip: /lifpLS _ `j l,v . Owner Name: ?? -?At2LSurt? /??Gton b ?llycu?lu.-S Street Address: S i1 Phone #: Irrigation Contractor: ??, ?f}?wcrec? Phone #: I hereby a owledge that I have read this application and state that the information is correct a agree to co ply with all applicable City of Eagan Ordinances cc: Engineering Department /7ffz,-/ ?E6GU ???Y UZ* 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) q c\ CITY OF EAGAN B RD - 65122 1-4 Ot 1313 3830 PILOT 651- 81-46 New Construction Requirements nt?, model/Repair Reeuireme ? 3 registered site surveys showing sq. ft. of lot, sq. ft. of house ?v ? 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) ? 1 set of energy calculations for heated additions ? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) ? 1 site survey for exterior additions & decks ? 1 set of energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1193 DATE: -Z CONSTRUCTION COST: `7f)L gi DESCRIPTION OF WORK: ` e"'- STREET ADDRESS: I F-)'F) I Sf1gY (1 )rnN C-F ? Erf 0're C. LOT: 10 BLOCK: SUBD./P.I.D. #:V L'\ ?\ Name: fn I P r I IInn Phone #: !{?_ LA 4- -42011 PROPERTY Lit First OWNER StreetAddr?esjs:?,,?,? Cit}' C^' State: ___ Zip. CONTRACTOR ARCHITECT/ ENGINEER License# 201?p42-?- Exp. City State: Y 1 !? _ Zip: v _ Company: Phone #: Registration #: Street City State: Sewer & water licensed plumber (required for new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Zip: correct, and agree to comply with all applicable li'?II i? Not Required! I L I•'?; 2 6 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee 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: Valuation: $ SAC Units CITY USE ONLY PERMIT ff: `I ft RECEIPT DATE: RESIDENTIAL MECIIANICAL PERMIT APPLICATION S$SO PILOT KNOB RD ast=a8'48?5 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: ' 5+ J l SITEADDRESS: l,-DI!n1 1-4?13LA 1AJ?3 J(??J ?i 2 OWNER NAME: TOYY? `? 1 ?6 Y-V?UO? V? Q 1 TELEPHONE M 5 1 J?PS ?} y ( ?y? (AREA, CODE) (. INSTALLER NAME: ?y ` tJ? l U i ' lyy TELEPHONE* ?)'E)93 (AREA CODE) STREET(A?ID^DRESS: )0l0 CJU V' lW -1 CITY: STATE: t r I?j ZIP: 550g). M1.. ..6--G -11 v! M +t. rnit w .L + . New residential dwelling unit under constructionand not owner/occupied $ 70.00 _ Add-on, modification or alteration to existin dwelling unit $ 50.00 - • furnace replacement • air exchanger j v c L • air conditioner • other _ Nature of workJ-y? t I4ak'? ac, 1 OL y ua ' T)a_`-"' State Surcharge .50 $ ,x $?J=0 Total Reminder: CaR for inspections. SIGNATURE PERMITTEE Updated 1/01 CITY USE ONLY PERMIT #:" RECEIPT DATE: APPROVED BY: INSPECTOR [yf ':tom Aa.?1J`i tY`n .. ..3. 1'. /i Y.X ;3 L% 2. 1 I4L+ rv Y :'l i:'.•n'iq COMMERCIJAI MECi NICi?E1 £fiMIT APPLICATION CV19F_EAeLAN 3$30 PILOT KNOB RD EAGM, MN 55122 .651-6$1-4675 ,. :: _ ,• 5:.;.:,.., Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE (AREA CODE) TENANT NAM E.(IMPROVEMENTS ONLY): WAS THERE.A PREVIOUS TENANT IN THIS SPACE?•- - Y- N. NAME:. INSTALLER: ADDRESS: CITY: WORK TYPE: Specify Nature Of Work PHONE #: (AREA CODE) - STATE: ZIP:. - New construction Install U.G. Tank - Interior Improvement Remove U.G. Tank - Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing tinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x I%=$ (Base Fee) State surcharge calculate at $.50 for each S 1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/01 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 -- -----, dog #: I Permit I I Permit Fee: I I Date Received: I I Staff: I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION S S/Z Z Date: (o - - '( - O ! Site Address: Tenant: Suite M RESIDENT / OWNER P one: l ? Z 70 /0/0 Name: 7 k?&V,0L C?, I Q ig /,, / ^w o ? ' Address / City I Zip: ! G ?I ?.? ? Applicant is: _ Owner _ Contractor 9 oy F K TYPE OF WORK f = Description of work: Construction Cost: 5 Multi-Family Building: (Yes No CONTRACTOR Name: nnse#: 2b } 5?Sb C Lice , e Address: Y Zt S6 k) < ) fl, Zip: St n City: i Phone: f/ Q (Z 3 17 ontact Person: ?- r^e COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (J 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 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 the are trade secrets. 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 wit ut a rmit; that the work will be in accordance with the approved plan in t e case of work which requires a review and appro o pan . x rl z- tx L1ti d9 uel/ -_ Applicant's Printed Name Applicant's (Signature Page 1 of 3 7 [ For Office Use tt My Permit of Eaali I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3i2/7 9 Site Address: Tenant Suite RESIDENT/OWNER NameTOM l3kC1)d cl Bid 1 Phone: 6 /d 70 f o / 0 Address/ City /Zip: l~, E - J C.1 bo Ue Applicant is: Owner V Contractor TYPE OF WORK Description of work: Si c e_ home: - Da" QCieCI J 'Al 3 Y Construction Cost: 1-7000 Multi-Family Building: (Yes / No CONTRACTOR Name: License _ _ 2 C) Address: 11825 Point Douglas Drive South Hastings, MN 55033 City: I ( State: Zip: Phone: _(061 &B 0 8 q'I` Contact Person: ?(:f r- e /-t 1 ate P? rl5 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 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 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 Mey are ?made secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances d des of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is of to start wit permi that the work will be in accordance with the approved plan in the case of work which requires a review and approval of p S. cz, Applicant's Printed Name App i• nt` S rrature Page 1 of 3 City af aau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: '11 1,02-S - Permit Fee: -� Date Received: Staff: 2010 MECHANICAL PERMIT APPLICATION Date: G- c)1(J Site Address: I p I S\ er- CF ` Tenant: Suite #: RESIDENT 1 OWNER NatI vli tt} e-1 tl,..V1 1 PhdJla- .3. -10' -ICI Address / City / Zip: (r5Y l x E -Q. o 0-1-) CONTRACTOR Dan Wohlers Southside Htg. & A/C Name: _ 6950 W. 146th St., #106 Address: Apple Valley, MN 55124 _ City: State: (952) 431-7099 Contact: a.Li 1 f . Email: WO'hler3 5t3U-hS) de, (-tP'r -r TYPE OF WORK New ✓Replacement Additional Alteration Demolition l Description of work: �� `�" � � (10 3 PERMIT TYPE RESIDENTIAL �umace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction _ Interior Improvement Install Piping _ Processed Gas _ Exterior HVAC Unit Under / Above ground Tank ( Install / _ Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: C $50.50 Minimum Add-on or alteration to an existing unit (includes 56 State Surcharge) $90.50 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) OR - If Permit Fee is Tess than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% _ $ Permit Fee _ $ Surcharge = $ TOTAL FEE CALL BEFORE YOU DIG. CaII 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.00pherstateonecali.orq 1 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 stithout 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 pl hers Applicants Printed Name Applicants Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162158 Date Issued:06/30/2020 Permit Category:ePermit Site Address: 1581 Sherwood Ct Lot:10 Block: 1 Addition: Brittany 6th PID:10-15005-01-100 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Thomas J Brigl 1960 Cliff Lake Rd Eagan MN 55122 King & Hiller Construction Inc 2467 River Shore Ct Hastings MN 55033 (651) 289-3300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162158 Date Issued:06/30/2020 Permit Category:ePermit Site Address: 1581 Sherwood Ct Lot:10 Block: 1 Addition: Brittany 6th PID:10-15005-01-100 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Thomas J Brigl 1960 Cliff Lake Rd Eagan MN 55122 King & Hiller Construction Inc 2467 River Shore Ct Hastings MN 55033 (651) 289-3300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167562 Date Issued:03/22/2021 Permit Category:ePermit Site Address: 1581 Sherwood Ct Lot:10 Block: 1 Addition: Brittany 6th PID:10-15005-01-100 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 - Thomas J & Brenda J Brigl % Bismarck Sports 0012 1960 Cliff Lake Rd Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature