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1496 Sherwood Way ieESIDENT1'A'L_ ` BUILDING PERMIT APPLICATION to` CITY OF EACAN ' o,_ jk.y _' 0 : . 3830 PILOT [MOO RD - 53122- ` GS1•G81-4075 P ftw g"w t0n.RwwMMeata • 3 reowred silo OrieysshmkV sq: ft. al K n ft. ofl ww,, wd 9 rooted arms (20% ma mum•ol cowlixW alto W) ?i ?j z • 2 cosies at paoet Aft heath:& %*j* r sixes; poured W¢ Oesom ell'-) R ti- 1 `1 ? tJ : ?i Z mt of EneV Cokdalioft 1 corhes of Tme Pmse ok n Plan 1,10t pMW altar 7110 7 Mrn Jost DeW OXa3s.selmm sheet00p with 3 oriels outs} X705.. ? ? ?tof C,adcufaf??+st#art?amd.?rkltikxis ? ' • i sde:so m tot exworeddii6m 8 dadt4 DATE VALUATION tfX!ClitilNii gain} (00 I '- - JOB SITE ADDRESS If MUL!14AMILY. BUILDING, HOW.MA?NY UNITS? PROPERTY OWNER _ TYPE OF WORK, f1REPLAC.(S)- YES NO_ APPLICANT - PHONE #. Q,?T .?;f2_z3 I PAGER #k CELL`PRONE.# = FAX# Lo S; _112-1 Nth RESIDENTIAL SUiLDING ONLY 0--ifILLOUT COMPLE'fE?t.Y Energy Code Category _ MIMSTESOTA RULES 7670.GA1 RY _ (check one)' - Residential VentiiatiwCategory 1., Wot4W SubrOtl?ed Energy Ehveiope Calculadons Sttbmittpd ?VIL??' NT. SOTA RULES 7672 New.Energy Code Worksh"SubtrA Plumbing Contractor: Atdand;j Phone '7 rJ-T'J ?a __E,&LLe2J I'Iumbit - System Indgdcs: __ Water Softener Lawn Spr;nlder Fee 190.00 _. Water Heater No. off' . Bath Ni o- of Bit} ` Mechantcalt:Cdntractor. Pttalite; .N.1e uLnical System Includes, ? Air Cinclitiotling Feet $70.00 He-at Recovay System Sewer/Water Contractor: Phone #- All above 4niormation-muskbo subrW ted prior:to processing of appiicalon. I hereby acknowledge that t have read th s" application, suite that the I fohTtafion tS_< of appkable State. of Minnesota Statutes and City of Eooan Ordinar}ces, Signafure of Applicant Certificates of Survey Received Tree Preservation Plan Received. Not l abed Update icon OFFICE USE ONLY .0 .01 Foundation . 02 SF Dwelling 03 01 of _ plex 0 04 : -M-plex 13. 05 03-plex ? 06 04-ptex. 0 07 05-plex ? 13 16-plex ?.: -0.8 - 06-plea O 16 Fireplace. ? 09 '07-plex :CI 1 Z GarVe 13, 10 '08-plex 0 18 Deck O '11 10-ptex 0. 19 Lower Level ? 12 12-ptex. Ptbg_Y or _ N ? 20 Pool! D 21 Porch (3-ses.) 11 22 Pdreh/Addn. (4-sea.) 0' 23 Porch (screened) ? 24 Storm Damage 0 25 Miscellaneous 13 30 Accessory Bldg ? 3:1 Ext. Alt - Multi .0: 33 Ext. Alt- SF © 36 Matti t 31 New t7 35 lint Improvement ? 38 Demolish (irtteriirrj 0 44 Siding. 0 32 Addition 13 36. Move` Bldg ? 42 Demolish (Foundation). ? 45 Fire Repair D 33? Altimt do . •17 37 Demofth (Bldg)' ? 43 Retool Cl 46 Windows/boors ? 34. Replacement *Demolition (Entire Bldg only) - Give PCA handout to: applicant Valuation Occupancy MCI ES System: Censtis Code /C :Zoning C4.-Water SAC Units 9 / Stories. _ 2. Booster Pump Nbit, of Units: / S.q: Ft w-,z? PR1Y Nbr. Of Bldg$ Length s Fire Sprinklered Type of Const S -? Width.- REQUIRED I NSPECTIONS _ Footings (hew bldg) Final<:O. P?p Footings.(deck) aD& C:O. -Footings--(addition:) b Plumbing Foundation 3 RVAC Drain Tiic: ' Roof _ Ice 8a Water Final _ Other Fr niag _ Pool _ Ftgs A,&Gass Tests _ Final Firolace 4 R.I. ? Air Test ? \(Final _ _ .Siding Stucco Stone Insnbfa 7 ? _ _ _ Windows (new/ioplacemerit) Approved By , Building Inspector Base t=ee q 54t ? Surcharge s ?e 15 Plan Review MC/ES SAC 1/1671- f City SAC . Water .Supply & Storage ;; SSW Permit.& Surcharge r z- v tr L._ Trei tment Plant Plumbing Permit Meehan+cal Permit License Search Q ? 1 Y?? I(? ? ? ?!J Y? ? Copies Oth?c V o? Total ? Address _ 1496 Sherwood Way Zip 5512 _ Lot 12 Blk 2 Sub Pinetree Pass 6th Addition THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: -01 - O Yes No Inspector: Final grade (6" from siding) X Permanent steps (garage) /? Permanent steps (main entry) Permanent driveway Permanent gas X Sod/Seeded grass Trail/curb damage X Porch Basement finish gIL-T-l z, /3,0" - ?j Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed area (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE (. SITE ADDRESS TYPE OF APPLICANT ?l PJIS STREET ADDRESS I'l "1 V ?tC L?-V ?t UV? TELEPHONE #?S?"bSCo-5?j'(S CELL PHONE # Water Softener _ Water Heater _ No. of Baths PROPERTYOWNER_lC U??? TELEPHONEI-GffG';J78 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'T'A RULES 7670 CATEGORY I _ (J submission type) • Residential ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System MULTI-FAMILY BLDG Y ?N _ FIREPLACE(S) )4-- 1 _ 2 CITY STATE V I ZIP 557 GAG ' y FAX # Ot I( S (7`5S_19 Phone If Lawn Sprinkle No. of R.I. Baths Phone # --------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Or( Signature of Applicant OFFICE USE -10 , U c ) Remodel/Repair 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 Q000 Tee: $70.00 is correct, and agree to comply Phone # 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 X19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New A 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 Bl dg only) - Give PCA handout to applicant Valuation ZOdO'?' Occupancy 1?' 3 MC/ES System Census Code Zoning City Water SAC Units o f Stories Booster Pump Nbr. of Units ° Sq. Ft. PRV Nbr. of Bldgs ( Length Fire Sprinklered Type of Const V nl Width REQUIRED IN SPECTIONS Footings (new bldg) Final/C.O. _ - Footings (deck) _? Final/No C.O. - Footings (addition) Plumbing _ Foundation _ _? HVAC _ Drain Tile Other Roof _ Ice & Water Final Air/Gas Tests Pool Figs Final ? Framing _ _ - _ _ Siding _ Stucco _ Stone - Fireplace _ R.I. -A ir 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 Site address: A q(e Lot /a Block 01 Subd.a Pr.? (D On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. 0 • 40 This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR X This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE Water Heater PS 46, ood PV (?' Furnace x _55 M1q U ) a0 000 Dryer EXHAUST-SYSTEM : LOCATION TYPE MODEL 'CFM's VENTED YES NO Kitchen kitchen Bathroom 1 O ?50 Bathroom 2 PowpEa o A) F .50 5 L? ? Bathroom 3 a J 5 b t) D 14 Bathroom 4 /0 0 X Other FIREPLACES OCATION L GAS WOOD MANUFACTURER MODEL BTU'S VENTING DIRECT ATMOS r 1 ^ f L fl E571 17 a &0 0 ' _ MAKE-UP AIR MODEL TYPE CFh S ?.o I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. Si n ure C any Name Date This farm is the responsibility of the General Contractor. MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 Permit # Checked by/Date COUNTY: Carver STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 5-31-2001 COMPLIANCE: PASSES Required UA = 522 Your Home = 430 17.6% Better Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value --------------------------------------- CEILINGS ----- 1734 ------- 44.0 ------------------------ 0.0 WALLS: Wood Frame, 16" O.C. 23 19.0 2.0 WALLS: Wood Frame, 16" O.C. 172 12.0 2.0 WALLS: Wood Frame, 16" O.C. 1270 19.0 2.0 WALLS: Wood Frame, 16" O.C. 176 12.0 2.0 WALLS: Wood Frame, 16" O.C. 1231 19.0 2.0 BSMT: Conc. 9.0' ht/8.3' bg/8.3' insul 116 10.0 0.0 GLAZING: Windows or Doors, Above Grade 41 0.350 GLAZING: Windows or Doors, Above Grade 193 0.350 GLAZING: Windows or Doors, Above Grade 296 0.350 1 DOORS 37 0.350 FLOORS: Over Unconditioned Space 274 30.0 0.0 HVAC EQUIPMENT: Furnace, 90.0 AFUE ---------- -- -------------------------------------------- COMPLIANCE STATEMENT: The proposed building ------- design ----------- - described here is consistent with the building plans, specific ations, and other calculations submitted with the permit application. The propose d building has been designed to meet t irements o f t he Min nesota Energy Code. Builder/Designer • r =??j Date 5 ?? n LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTYLEGAL: Lama. 4 IIP6 c? {ina.?to Y?25s loA /9dcyn DATE OF SURVEY: a 9- a / LATEST REVISION: m rn c m v DOCUMENT STANDARDS O z v Q, 0 ? • Registered Land Surveyor signature and company ? ? • Building Permit Applicant ? ? • Legal description 0/0 W ? ? • Address ? • North arrow and scale e/, ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) v/? ? • Directional drainage arrows with slope/gradient % ? • Proposed/existing sewer and water services & invert elevation B ? ? • Street name ?? ? • Driveway 0/0 / ? . Lot Square Footage l ? ? • Lot Coverage ia/ ? ? • Benchmark ELEVATIONS Existing m/? ? • Sewer service (or Proposed) GY ? ? • Property comers n/ ? ? • Top of curb at the driveway and property line extensions ? 9/11 • Elevations of any existing adjacent homes ? W 11 • Adequate footing depth of structures due to adjacent utility trenches ? VU • Waterways (pond, stream, etc.) Proposed 6/ 0 ? • Garage floor I( ? ? • First floor Ii, ? ? • Lowest exposed elevation (walkouttwindow) 2-?? ? • Property comers 0/0 ? • Front and rear of home at the foundation PONDING AREA (if applicable) / ? • Easement line ? C9/? • NWL ? [3 ? • HWL ? • Pond # designation ? ?? • Emergency Overflow Elevation DIMENSIONS t8?0 ? • Lot IinesBearings & dimensions C7 ? • Right-of-way and street width (to back of curb) t? ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) M/10 ? • Show all easements of record and any City utilities within those easements CW ? V ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures ? • Retaining wall requirements, If any ////?? (/? //// Reviewed: ///??? ?il)-f?CJ /?- a A ) 4,r/h 1 l - .1-7 Name ?J / Date u / v S2 n 1 h / \ I V TREE SUMMARY \ PROPOSED CONDITIONS SIGNIFICANT TREES = 1 TREE TREES REMOVED = 0 TREES PERCENTAGE OF TREES HER WOOD y REMOVED= 0 % WA Y ALLOWABLE TREE REMOVAL = 20% .55 E 1 S ? ,y Z4? o a i Fi-00 /lC 982.7 X (983.2) LOT COVERAGE LOT AREA= 17,888 S.F. / ROOF AREA = 2,486 S.F. LOT AREA % = 13.9 % (98 9S° SOJ H6NOU feu c o $? of `98 O INN W \ / ,Lyh OpS?p't on F.O i,R (P ? VZ ? a 0 9 PROP 96 ? h6/ I; J J 00 J 4)? + I I e4 Sst O °s S!2 ? \ R98) ?8 `L S 49aa \ 0 s y ?5y°? 9$a 01?' 12 y u ?9? +a9` ?? , / 19gy 01 D HP(986.5) yx Q 98&0) ,?9..yy9,,?? ??cc (988.0) QQ *?9980) 0 OV LJQQQ ? ?8? \OD}. PROPOSED RETAINING WALL 110 to 92.0) X (999.0) +?pOa ` DRAINAGE & UTILITY ?o+ EASEMENT \ \ CAK10 % 999.4 (999.4) S89022'24°W n RE"', IN ]BY EAGAN E'NGINEEPING DEPT, 173.60 ` 10' NW BELL TELEPHONE EASEMENT PER DOC. NO. 758361 30 15 0 15 30 60 SCALE IN FEET LEGEND (3 DENOTES SANITARY MANHOLE ZC DENOTES HYDRANT JO DENOTES CATCH BASIN S DENOTES SANITARY SEWER W DENOTES WATERMAIN ST DENOTES STORM SEWER ® DENOTES STORM MANHOLE DENOTES STORM APRON OAK10 DENOTES TREE TYPE, * LOCATION, AND SIZE SETBACKS MIN. FRONT YARD SETBACK = 30' MIN. SIDE YARD SETBACK = 5' (GARAGE), 10' (DWELLING) MIN. REAR YARD SETBACK = 15' PROPOSED TOP OF FOUNDATION ELEVATION= 987.5 PROPOSED GARAGE FLOOR ELEVATION= 986.5 PROPOSED LOWEST FLOOR ELEVATION= 978.75 ALL OFFSET IRONS ARE MEASURED TO HUNDREDTHS OF A FOOT AND CAN BE USED AS BENCHMARKS. O DENOTESIRON MONUMENT X 000.0 DENOTES EXISTING ELEVATION (000.0 DENOTES PROPOSED ELEVATION ?- DENOTES DIRECTION OF SURFACE DRAINAGE DENOTES SANITARY 7 (7O 9 4.5 SEWER SERVICE ELEVATION r °4 ?4SJ W A TITLE OPINION WAS NOT FURNISHED TO THE SURVEYOR (V M NOR WAS A SPECIFIC TITLE SEARCH FOR THE EXISTENCE OR N NON-EXISTENCE OF RECORDED OR UNRECORDED O M EASEMENTS CONDUCTED BY THE SURVEYOR AS PART OF O THIS SURVEY. O 1 hereby certify that this is a true and correct representation 1n of a survey of the boundaries of. I X 1003.9 LOT 12, BLOCK 2, PINETREE PASS 6TH ADDITION (1003.9) DAKOTA COUNTY, MINNESOTA And the location of all buildings, I any, thereon, and all visible encroachments, if any, from or on said land. As surveyed by m?p\'1,h2\9?th day of May 2001. /J l? 1/I _..no C A [ _AQ r Daniel R. McGibbon Licensed Land Surveyor, Minn. Lic. No. 18883 uc¢? } O V) 0 PQ Z LL LL. OIZZ a¢?CQ r6xzoa P0 - W a U DRAWN RS CHECKED DRM DATE 5/29101 SCALE AS SHOWN JOB NO. 5402-794 R O 3os PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit S'j-D_s6 Date -7 1 '67/ y e5 Site Address 1"(,o vV " Unit # % Property Owner( j -t o M?, Q cA Telephone # OW' 7 Contractor Address Cf? dN G City ( ) State Zip Telephone # The Applicant is Owner Contractor - Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Altera ' s To Existing Dwelling Unit, Including Adding fixtures to lower levels or room additions, excluding water softener and water heater $ 50.00 _ Abandonment of septic system _ Water turnaround (+ 518" meter if needed - $121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 Lawn irrigation system _ Water softener _ Water heater $ 15.00 replacement _ additional State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; t the wor : will be in accordance with the approved plan in\t?hFeicase eoof?work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature RESIDENTIAL BUILDING lo-)q Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 ,t4gz-Rceq 6"61_ 11_q 'I II s/o3 New Construction Requirements RemodeVReoair Requirements Office Use Only 3 registered site surveys showing sq. ft of lot sq. ft. of house; and all roofed areas 2 copies of plan _ Can of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions -Tree Pres Plan Reed 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd l set of Energy Calculations Addition- indicate if on-site septic system _On-site Septic System 3 copies of Tree Preservation Plan Slot platted after 7/153 Rim Joist Detail Options selection sheet (bldgs wit 3 or less units Date d / ;72 51 0`5 ro Construction Cost (s-? ' 1 1 Site Address HR(o J?. ? UJ kU Unit/Ste Of Description of Work 3 5yC ? f i{ Multi-Family Bldg - Y X N Fireplace(s) _ 0 ?1 _ 2 Property OwnerS 1G VSCA- Telephone #(( Contractor ` a:F (Eje.IL ycgck Address i R fo 5AE_j& x b W&A 4 City e , ``?' State A'1 Zip ''5122 Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculatio Submitted Telephone # ( ) Licensed Plumber vf? Mechanical Contractor Telephone #( Sewer/Water Contractor Xll?---------- Telephone #( J ICY ?- _ I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. r_1 C srlllltl_?? Applicant's Printed Name f licant'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 A 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. 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 Bldg. ? 42 Demolish (Foundation) ?. 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation o ?O D Occupancy ? - a MC/ES System Census Code Zoning City Water SAC Units Stories Boaster Pump Nbr. of Units I0 Sq. Ft. ? PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const V(j Width REQUIRED I NSPECTIONS - Footings (new bldg) _ Final/C.O. _ Footings (deck) Final/No C.O. Footings (addition) Plumbing Foundation HVAC _ Drain Tile _ Other Roof - Ice & Water _ Fi nal Pool Ftgs Air/Gas Tests Final Framing _ _ _ Siding Stucco Stone - _X Fireplace X R.I. X Air Test PY _ Final - _ _ Windows (new/replacement) 1. Insulation - Retaining Wall Approved By T Z , 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 ?-' 5r4-5o? ftO L/ -) C/- x yb = /7,i d-v Nov 02 08 12:49p City of Eakan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651)675-5694 P.1 ^----------------- I For Office Lisa I Pennita: b / ?-?S I Permit Fee: Date Received: start: - - - - - - - - - - - - - - - - - =8 RESIDENTIAL BUILDING PERMIT APPLICATION Date; ?Y Site Address: Tenant: Suite #: RESIDENT / OWNER Phone: Name: ?f + R \k V( A ' ' ` { Address / City / Zp: pf y'?7tj wQ LI Applicantis: _\-Owner "tractor TYPE OF WORK Description of work: v e -s-130 \ h (e - S Construction Cost: t3.3 ?.lo • Mutt-Family Building: (Yes _I No CONTRACTOR Name:mo w L)? v., Cci-t_ • licensea Address: ) SSI? L M -Zip: City: 1" ' ccc` S ? } ? Phone: ?iS?- mil ? 3 Contact Personr, ' U COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateoorv 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: Ucensed Plumber: Phone: Machi nloal Contractor: Phone' Sower & Water Contractor: Phone- NOTE: Plans and supporting documents that you submit are considered to be public Information. Portlons of the information may be classified as non-public ff you provide specific reasons that would permit the COY to conclude that the are trade secrets. I hereby adsowkedge that this infonnation.is complete and accurate; that the work will be in conformance with the ordr Eagan; that I understand this is not a permit, but only an application for a permit, and Work ie not to star without a atx e with the approvetl plan in the case{?of work which requires a review, and approve of plane. .. Applicant's Pr noted Name W Applicant's Signature A v ? 3 Va ?n (,s; -`13 ano cones or the k ay or that the work will be in Page 1 of 3 SEP/20/2011/TUE 12:07 PM MIKE'S CUSTOM MECH City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 6755694 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Site Address: 14 q FAX No. 7635687163 P. 001/002 Use BLUE or BLACK Ink For Office use Permit #: //2 2 ? T2 Permit Fee: Nitta Received: Staff Date: q-15--�1 Tenant: - J Suite #: Phone: to ft 910_(.0 —C(7 3 27._ cSa� �dre�� Name: 4\--k•Nic '-) License #: Address: a�14 0.F � 2b\ City: Phone: 1 -(4 -73. -r7 -10S- State: 't -W Zip: S5t-R7,\ Contact:1/46Q Emall: ..� ►�� New Replacement Repair — Rebuild _ Modify Space Description of work: RESIDENTIAL 1 Water Softener Water Heater Lawn Irrigation (. - RPZ / PVB) Add Plumbing Fixtures ( Main / _ Lower Level) Water Tumaround Septic System New . Abandonment Work in R.O.W. RESIDENTIAL FEES. , $55.00 (,Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes -$5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) Water Turnaround (add $166.00 If a 518" meter Is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00State Surcharge)TOTAL FEES $ .; 56 0 t CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. . -Call-48-hours_before_:ouJntend to_dig to receive locates o_f underground utilities_ www_gopherstateonecel►_orq _ __V __�. 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 '9 4l^ Applicant's Prin ed Name Applicant's Signature � . ,,.., ,t.i,r ,"ry .,. r�: r_ W..:gri" ^rte'py�,n5i.: 9).( •>:�� k '; *aa .'fi.4 ...ry ' �,.,a';�f'iwA,..:��4���'�'ll•;;��g '�° F' it J1c i i !q 9 „};'.: ,.n3 - :.a..,i�r:!'�"r ar °�' •Y�a�Pi.: ''�w;. ''>JSiw:9,, �tt'•'.I 1n;: ir'1��� r� !�� f, u �wJ..R ygry ...iieir�:i�:'::'K�.l:..:..iJ'u+ia•:��.Y`k. ^.,�Siii�d„I:}�l4vrawli :'C:^�Gj.:,E:'7 •iG yr 1"`.� ,@iJj� ''.J.l: `71?A �� 4:J7'� ''pp�g�y�,� y►C �+� Yslll,,�� rnlizr '," � 'Q dis.'4J' p'�. �,.; r:�F .��,',Ul.,N6'.`�`, 9e, � i� l�i�F �.� R�aN✓J.t�.r.MC'�A7� in'n•ri7?r LYJi"a»r;i� ',q'4,. �',']:�•U;�.. ..���.r6 ;dc `nAf.'-0�y�.».�.. r ..a.rW ��C... .-. OR,A' yp; tf 8a., o1/2..•,,i. l,4 ,tat +°a., .p.l•-,.��y�3.c.•.:u,�,'e�airy$�if i�i ' 4J,Y' :I� �?LNV i'*,— (J Ji. ''r.yar�l:3 �'�: ;Y NI I��."f, {; ,�4 ` °31!x+.' �,. 5l7 .`!?•.h (,t • ar° IW�;�Mf �' d `•'i<:I�iairw�ci' l h ry,,^•,^ :Y ..... 5k.,i:i;(SSx' !.. tid�T Lyr9 dr;k IT1,:.i,u� gtp�i baa reed i s eetton ,:alai. .p�. • „�_ r r, k ��� s PERMIT City of Eagan Permit Type:Building Permit Number:EA135989 Date Issued:04/18/2016 Permit Category:ePermit Site Address: 1496 Sherwood Way Lot:12 Block: 2 Addition: Pinetree Pass 6th PID:10-57665-02-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Matthew Moreim 1496 Sherwood Way Eagan MN 55122 (612) 812-3336 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA145445 Date Issued:09/11/2017 Permit Category:ePermit Site Address: 1496 Sherwood Way Lot:12 Block: 2 Addition: Pinetree Pass 6th PID:10-57665-02-120 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 - Matthew Moreim 1496 Sherwood Way Eagan MN 55122 (612) 309-5081 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160992 Date Issued:04/28/2020 Permit Category:ePermit Site Address: 1496 Sherwood Way Lot:12 Block: 2 Addition: Pinetree Pass 6th PID:10-57665-02-120 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 - Matthew Moreim 1496 Sherwood Way Eagan MN 55122 (612) 812-3336 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature