1512 Sherwood Way
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window 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 (buildings with 3 or less units)
Minnegasco mechanical ventilation form
-4 -1o cl?
Remodel/Repair Requirements Me Use Onlv
2 copies of plan showing footings, beams, joists Celt of Survey Recd - _Y _ N
1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N.
1 site survey for additions & decks Tree Pres Required _Y _ N
AddiRion- indicate ifonsite septic system On-site Septic Systeym -Y _N
oy(oln-• 0
Date ?_ / 3 / b ?•
Site Address 1511a S\Au, ?64V w!k4 Construction Cost
Unit/Ste #
Description of Work Lo?? Lv_ ? (r
t? u St^
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 - 1 - 2
Property Owner Mzy-r- &_,j SG.2-yv ;;)c Telephone#((,,S;1 ) (a91-bVl
Contractor C,*%i,4 G, ? 6tJAL-S * r}oH333?d
Address 5_70P, epe, I-J
State VAQ 14F 5{ W StG 107 City /-(-VA eke-1tF4!
Zip ( Telephone # ) X41 - 33215
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category I
Energy Code Category • Residential Ventilation Category 1 Worksheet
submission type) Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a
Y - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
(2w clbo"
Applicant's Printed Name
CA_", ? Q)".
Applicant's Signature
Minnesota Rules 7672
• New.Energy Code Worksheet
SubmMed? -
b l;
IN
na'sti'er plartk J „ 2n ?1
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of- plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
,
_,(
4p 33 Alteration
? 34 Replacement
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi 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 R- 6 a C7
Plan Review _ 100% or _ 25%
Census Code 'r<3?
SAC Units
# of Units D
# of Bldgs /
Type of Const
Occupancy &_ i MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
Footings (new bldg)
- Footings (deck)
- Footings (addition)
_ Foundation
Drain Tile
Roof _ Ice & Water _ Final
Y" Framing
_ Fireplace _ R.I. -Air Test -Final
Insulation
REQUIRED INSPECTIONS
Sheetrock
_ Final/C.O.
_Y Final/No C.O.
Y HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco Lath _ Stone Lath -Brick
Windows
Retaining Wall
Approved By: -500 1- 4- V 0 , 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
1222o
2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
? 50 so
Date -/_
Site Street Address l5 i-? 1\C Unit #
Property Owner `k Vx r ? Ok Telephone # ( (451)_( jl l ?ZI f
Contractor ? Om( tlwfy r Telephone # ((61 ) rpScl gZl I
Address \ \Z \TJCa.? City LKC, State__6?1_ Zip 55tZZ
The Applicant is: Owner _ Contractor -Other
Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. ff you are installing only a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
-Septic System Abandonment
-Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
new _ replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $ ?D • SD
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work i not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be re i wed and approved.
Q?q ('x k0A II
Applicants Printed Name A lc 'gn ure
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
(? (o 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
lU - I
New Construction Requirements Remodel/Repair 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 Cad of Survey Reod _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 team & window saes; poured found design, eta 1 site survey for additions & decks Tree Pres Required _Y _N
1 set of Energy Calculations Addition - indicate if on-ske septic system On-site Septic System _Y _N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date 1 / a `f / 0-1
Site Address /517x S _L1 u 404 won / Construction Cost (O, evo
Unit/Ste #
Description of Work ?L( V I&' 5tv¢-ear P., ll"
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 - 1 - 2
Property Owner M `
; I e_ a x&. S Ww ?o K Telephone # ((S) ) bSi • Z;;/ I
Contractor 6ju gt,?Y
_
Address 77oq
State MW ry?+?^ SE ' ?J City A n(Q lktU1. i
Zip Telephone #(Q?) `77- 33d67
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 Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber rn Telephone #(
Mechanical Contractor F,) ? Pin Telephone #(
Sewer/Water Contractor SEP 2 4 ZOO# Telephone #(
I hereby apply for a Residential ermlt 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.
(2 U,,9 v (sr,vn
Applicant's Printed Name
Applicant's Signature
OFFICE USE ONLY
Sub Types
J
? 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 e
? 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_Yor _N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
I;r 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) - G ive PCA handout to applicant
Valuation ? Q Occupancy MCES System
Census Code _ L J 3L? Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
- Footings (new bldg)
_ Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
71?( Framing
- Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
_ Final/C.O.
Final/No C.O.
Plumbing
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco - Stone - Brick
Windows
Retaining Wall
Approved By: 7--
- , 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
b 's ,1a ? -T I
S D3 ( r-14 By
A r? tl V
p N°v1
C% 1 1TI Jw 6
r
/ < SHERWOOD WAY-
0
1 10055'03
961 92 960.57
. 0 14 Iev\= ?'' N89022 '24"E
i
3.1 Maximum Slopes
or Retaining Wail Will
Be Required
HARDCOVER
LOT AREA= 12,717 S.F.
HOUSE AREA= 2,208 S.F.
COVERAGE = 17.36 %
ON
41
O
a -v 4
61(
m
U
?n
Q1
AD
C
2T
.;? N GARAGE
'N, (964.0)
I_n
o (?
W
49.0+ - ca
N Cn
m
(962.0
962.
PROPOSESH ET WOOD BASEMENT N
J
m
9
964. 4.0 CANT. (964.5) o
X(9 4. X Z
HI P X (963.6) 965.99
970.66
I t o? 977,76
I
+POP20 I
961.56+ DRAINAGE & UTILITY
5I ASkti ' EASEMENT 15
I_? to
966.85
971.81
.50 54
(976.5) S89°22'24"W 85.06 (9sisj
R ?y IT--AhI?,0 a- I AMMITIi"\A1 r
CiII In191 1FI nV VIIIVIv
EIII'
BUILDING PAD CORRECTION PER GRADING PLAN APPROVED BY THE CITY OF EAGAN. THE CONTRACTOR
SHALL BE RESPONSIBLE FOR THE FIELD VERIFICATION OF THE EXACT LOCATION OF THE BUILDING PAD.
O DENOTES SANITARY MANHOLE
DENOTES HYDRANT
DENOTES CATCH BASIN
S DENOTES SANITARY SEWER
W DENOTES WATERMAIN
ST DENOTES STORM SEWER
® DENOTES STORM MANHOLE
n DENOTES STORM APRON
- • - - DENOTES APPROXIMATE REAR OF BUILDING PAD
C;K p DENOTES EXISTING RETAINING WALL
SETBACKS
MIN. FRONT YARD SETBACK = 30'
MIN. SIDE YARD SETBACK = 5' GARAGE, 10' HOUSE
MIN. REAR YARD SETBACK= 15'
PROPOSED GARAGE FLOOR ELEVATION= 964.0
PROPOSED TOP OF FOUNDATION ELEVATION= 965.0
PROPOSED BASEMENT FLOOR ELEVATION= 956.33
NORTH
NOTE: RETAINING WALL CONSTRUCTED DURING PROJECT DEVELOPMENT
ALL OFFSET IRONS ARE MEASURED TO HUNDREDTHS
OF A FOOT AND CAN BE USED AS BENCHMARKS.
O DENOTESIRON
MONUMENT
X OOD.0 DENOTES EXISTING
ELEVATION
(000.0) DENOTES PROPOSED
ELEVATION
.r- DENOTES DIRECTION
OF SURFACE DRAINAGE
949.0 t/- DENOTES SANITARY
SEWER SERVICE ELEVATION
A TITLE OPINION WAS NOT FURNISHED TO THE SURVEYOR
NOR WAS A SPECIFIC TITLE SEARCH FOR THE EXISTENCE OR
NON-EXISTENCE OF RECORDED OR UNRECORDED
EASEMENTS CONDUCTED BY THE SURVEYOR AS PART OF
THIS SURVEY.
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT 16, BLOCK 2, PINETREE PASS 6TH ADDITION
DAKOTA COUNTY, MINNESOTA
AND THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND
ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID
LAND. AS SURVEYED BY ME THIS 17TH DAY OF JULY, 2003.
re?tCJe,
3?, ? 28.5 0 3 ?.Sr'I t
1512 WOOD WAY
A
0 .0-
' 965.15
1
10.1 ? O
p ? O I .7
(P
0
D
Z
?
O c7i
EXISTING HOUSE
-I ? O TFDN=966.6
a.. 965.28
30 15 0 15 30 60
SCALE IN FEET
LEGEND
T 117
I
c4' ca
____-O W25103 RS
TREE SUMM'A`"RY
EXISTING TREES = 2
TREES REMOVED = 0
REVISIONS
SLID HSE
0729/03 RS
ADDED CHIT NOTE
0910]IO RS
REV. PER CITY
SLID HOUSE
os LH
0
U?
Z
? M
? i
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W3
mQ
1 3
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? O m z
w ?
W
? w W
a ?
1-- a
O
? a ?
z O O
U
DRAWN
RS
CHECKED
DBP
DATE
08/07/03
SCALE
AS SHOWN
JOB NO.
5402-B59
JCS- _- ..:.
Gary R. Germond
Licensed Land Surveyor, Minn. Lic. No. 24764
t?fi 1 ne)1oc? 6P- c, I? ?
YA_ (° RESIDENTIAL BUILDING ??? I y$1
Permit Application
City Of Eagan 14
3830 Pilot Knob Road, Eagan Mn 55122
`'l 0
Ro.t?;?
-5, SRa0
to
Telephone It 651-675-5675 FAX # 651-675-5674 7
?'Y c? c2 • f ?3
New Construction Reauiremenfs Remodel/Repair Reauirements _ _ s n .. _
3 registered site surveys showing sq. ft. of lot sq. R of house; and all roofed areas 2 copies of plan - ad of Survey Recd .. .
v.^ Plan Recd
- -- -;TU7• .z. _ :xe gllowed) 1 set of Energy Calculations for heated additions Tree Pres
2 copies of plan showing bean 8 •.:h '•?-• ?;.::..; _:•:,,:d.fwnd design, etc. 1 site survey for additions it decks _ Tree Pres Not Reqd
t set of Energy Calculations Addi,ion - ir.Xcate rfoa-sde saptrc system _ Onsfte Septic System .1..
3 copies of Tree Preservation Plan if lot platted after 711153 ?/ I y sp a S u Y V C :,ate ?4.w
Rim Joist Detail Options selection sheet (bldgs with 3 or less units v
Date Y / ,,? 10.3 Construction Cost 4 7(a . ) 6 (D
Site Address 151-2 `? ft=2//j?? n /-/,)4)/ Unit/Ste # /
Description of Work D
Multi-Family Bldg _ Y x N Fireplace(s) _ 0 x 1 _ 2
Property Owner Telephone # ( )
Contractor /•-l IQP Jl-jl? OS
•
? 2G(C7-/0?'1
'
f
5J ? 0' (AtJ NIOU A)
Address 'T1 ' 1
b E City (L)AYT?ATA-
?
State per) fV Zip Telephone # ?Ij`-Z) ^ f 73-(79q?_
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
Licensed Plumber ??rr}N?E?i /?/?CHAnJ/GAL
Mechanical Contractor 6LAA)AF4 /n/EC!?? U/P A
Sewer/Water Contractor STA/L, l-emu A7B/ U?
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone # f?S4 41 q 5 _4 (oqZ
Telephone #05z)
Telephone
uu ? ?
I hereby apply for a Residential Building Permit and acknowledge that the informal n is complet?nd accKate;
that the work will be in conformance with the ordinances and codes of the City o -Eagan and-the7State 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 Applicant's Signature g,5,2)?249 . cf S/''
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
K 02
/
? SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
?
03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)-
0 05 03-plex ? 11 10-plex ? 19 Lower Love! r 24
? 06 04-plex ? 1.2 i[-plev r,ug_r _ N ? 25 Miscellaneous
Work Types
)` 31 New ?
? 32 Addition ?
? 33 Alteration ?
? 34 Replacement
Valuation 0 &00
Census Code
SAC Units b r
Nbr. of Units /
Nbr. of Bldgs
Type of Const
35 Int Improvement ? 38 Demolish (Interior) ? 44
36 Move Bldg. ? 42 Demolish (Foundation) ? 45
37 Demolish (Bldg)' ? 43 Reroof ? 46
`Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy MC/ES System _
Zoning ?G City Water _
Stories e;L_ Booster Pump
e
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 EM. Alt - F"
.-.: ill: •. - ?
Siding
Fire Repair
Windows/Doors
Sq. Ft. - W? PRV f?
Length ? Fire Sprinklered
Width_
Footings (new bldg)
Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water _ Final
X Framing
Fireplace R.I. _(Air Test Final
Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Final/C.O.
Final/No C.O.
Plumbing
_ HVAC
Other
- Pool _ Ftgs _ Air/Gas Tests _ Final
- Siding _ Stucco _ Stone
_ Windows (new/replacement)
Retaining Wall
Approved By Building Inspector
yS-D
9524739131
08/15hu6a =1:43 FAX 95247.39131 LUNDGREN RROS. CONST. 2001
A
1;1 tLel??
YOUR NEIGHBORHOOD BUILDER
FAX COVER SHEET
DATE: g` Y
TO-- ?
ORGANIZATION:.
FAX NUMBER:_
LUNDGREN BROS. CONSTRUCTION, INC.
545 Indian Mound Boulevard
Wayzata, MN 55391
(952) 473-0993
FAX 952) 473-9131 n
REGARDING:
'T'otal pages, INCLUDING this cover page: ?
If you do not receive all of the pages in good condition, please advise sender at yolir earliest
convenience.
Additional comments:
Copy to:
For return FAX, dial (952) 473-9131
##*##:K*###&###*-K###Ae,K###ak*#k%e?:##k#?k#?K:le:k#%K*eK:k##?k###?k Ae ek ?K ?k ek ?k ,k##**##*#
Fuc, then Mull: Ycs_No_,-
Call to Confirm Fay: Ycs- Nom-
Make Copies for: File Othcr?--
tfrguft. Fux< Immediately: Yes_No-
Fax and Return Original to 'ender. Yes_ Nn-
-M
oFE(Ce? Ftuc CoPI
TREE PRESERVATION PLAN SUMMARII`
CITY OF EAGAN FORESTRY DIVISION
651-675-5§00 _
(SEE ATTACHMENTS)
Development t'lbF_ Mss t? N Ull.
Lot Number Block Number Z
Address I l Z s eRwoOh W !t ,(
Builder l? Nn EsR?ty Rjzui CONSZ Z t?f C
oti?cT • 31?2R w
Tree Protection Requirements:
Tree Fencing
Oak Tree Pruning (Immediately seal wounds during April 1 to July 31)
Therapeutic Pruning
Retaining Wall = T[ji PRO CG-CT(UIV
Other:
Replacement Trees:
?e Not Required
As Follows:
SjjV'DVyI5%0tA
V:om
Attachments:
Yes
X No N?VI?VIED
v
Additional Notes:
H:\ghove\2002ri1e\treepres\Tree Preservation Plan Summary-2002
.__. -••, -•._?.~^.? wis'e? idi wsssre aaet3waesamwawme.M ¦
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: ZO74- I?F 131,, a., P,i,e->-ee Fss 444 A?rSoz,
DATE OF SURVEY: S?- 7- O 3
LATEST REVISION: 2- /7- 03
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient % t-e55 +114-"
• Proposed/existing sewer and water services & invert elevation
• Street name
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Existin
'& ? ? • Sewer service (or Proposed)
?( ? ? • Property comers
? ? • Top of curb at the driveway and property line extensions
? ? • Elevations of any existing adjacent homes
? ? • Adequate footing depth of structures due to adjacent utility trenches
? ? • Waterways (pond, stream, etc.)
Proposed
N ? ? • Garage floor
? 0 • Basement floor
? ? • Lowest exposed elevation (walkouttwindow)
? ? • Property comers
? ® • Front and rear of home at the foundation
PONDING AREA (if applicable)
? g, ? • Easement line
? X ? • NWL
? 9 ? • HWL
? R ? • Pond # designation
? g ? • Emergency Overflow Elevation
? X ? • Pond/Wetland buffer delineation
DIMENSIONS
"-I. 6 ew+ s7Gda a11
house) aa?ln1o/ n N1W Cpr4wo,
? ? • Lot lines/Bearings & dimensions
? ? • Right-of-way and street width (to back of curb)
1? ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
IK ? ? • Show all easements of record and any City utilities within those easements
? # Setbacks of proposed structure and sideyard setback of adjacent existing structureiret.•r(' ^?D Sep
? Retaining wall requirements, if any LV11 . f uv! w cQfsFar.?2S
I?a./ 81'S_ d 3
p?wrhs Reviewed:
Name Date
G:/FORMS/Building Permit Application
a
z
J
TO
V
V ^1
B)
nos
L
Anv111 ?
RE
By
p-Tip-Ep9r m y
A f? S1
en 1\ 161 jpv
t5 ,
\ 1
w
?o ___6__j005
\ ` 960.3
I /
En V-
OT
O
O{
f n
O?3 C
m
3:1 Maximum Slopes
or Retaining Wall Will
Be Required
HARDCOVER
LOT AREA= 12,717 S.F.
HOUSE AREA= 2,208 S.F.
COVERAGE= 17.36 %
•1 A2 o?n
?M
110
A
SLP - t v o
U1
Q1
SHER WOOD WAY
I
> O
i 03
97A>' N8 2° 24" E
R '
28.32
96'
0 I
II ?I
p IN GARAGE
(964.0)
I
I
o (961.4)
w Sr'I t
J
WKC?.
N ?
0
-(96_6.0 m
PROPOSED FULL BASEMENT N
1512 SHERWOOD WAY ?
61 O1
?? ?9A o 28.5 0 3.9 ?
r 964.67 0 14.0 CANT. (964.5)
X(964.6) ?- %
(963.6)
HIGH PNT 2%
X65.99
? 970.66 -
16
965.11
. 1' i J
J ?
D L71
EXISTING HOUSE
O TFDN=968.6
H0.0
966.85
1 977
I +POP20
981.58 DRAINAGE & UTILITY I
ASH13 l? EASEMENT ?5
971.81
976.50 S$9°22'24"W 85.06 982.54
(976.5) (982.5)
^p ITTA AI\/ u-rfl I Anr\I
E:F?I I Ir%l`11 v I r1VVll IVIY
NOTE:
BUILDING PAD CORRECTION PER GRADING PLAN APPROVED BY THE CITY OF EAGAN. THE CONTRACTOR
SHALL BE RESPONSIBLE FOR THE FIELD VERIFICATION OF THE EXACT LOCATION OF THE BUILDING PAD.
30 15 0 15 30 60
SCALE IN FEET
LEGEND
Ty
I
I
I
TREE SUMMARY
EXISTING TREES = 2
TREES REMOVED = 0
O DENOTES SANITARY MANHOLE
TY DENOTES HYDRANT '
DENOTES CATCH BASIN
S DENOTES SANITARY SEWER
W DENOTES WATERMAIN
ST DENOTES STORM SEWER
® DENOTES STORM MANHOLE
^ DENOTES STORM APRON
- • - • - DENOTES APPROXIMATE REAR OF BUILDING PAD
pppp DENOTES EXISTING RETAINING WALL
SETBACKS
MIN. FRONT YARD SETBACK = 30'
MIN. SIDE YARD SETBACK = 5' GARAGE, 10' HOUSE
MIN. REAR YARD SETBACK= IT
PROPOSED GARAGE FLOOR ELEVATION= 964.0
PROPOSED TOP OF FOUNDATION ELEVATION= 965.0
PROPOSED BASEMENT FLOOR ELEVATION= 956.33
NORTH
NOTE: RETAINING WALL CONSTRUCTED DURING PROJECT DEVELOPMENT
ALL OFFSET IRONS ARE MEASURED TO HUNDREDTHS
OF A FOOT AND CAN BE USED AS BENCHMARKS.
° DENOTESIRON
MONUMENT
X DOO.O DENOTES EXISTING
ELEVATION
(000.0) DENOTESPROPOSED
ELEVATION
.f_ DENOTES DIRECTION
OF SURFACE DRAINAGE
DENOTES SANITARY
SEWER SERVICE ELEVATION
A TITLE OPINION WAS NOT FURNISHED TO THE SURVEYOR
NOR WAS A SPECIFIC TITLE SEARCH FOR THE EXISTENCE OR
NON-EXISTENCE OF RECORDED OR UNRECORDED
EASEMENTS CONDUCTED BY THE SURVEYOR AS PART OF
THIS SURVEY.
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT 16, BLOCK 2, PINETREE PASS 6TH ADDITION
DAKOTA COUNTY, MINNESOTA
AND THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND
ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID
LAND. AS SURVEYED BY ME THIS 17TH DAY OF JULY, 2003.
s (961
rm7RmE7MlS0NS
SLID HSE
0729103 RS
ADDED CANT NOTE
08107/03 RS
REV. PER CITY
5103 RS
SLID HOUSE
09M5/03 JLH
Z
Q
W 3
m<
mz
Q o
(n N
??{Dps sy?,ry
w a
N w
d2 DN3 DES 02
LU
a
O O (j
z o
N
U) 0:
co z
LL
0 O
0z
w
Of 9
W Q W
Q w w
LL a 0
Z 0 0
w
Z) U
U
U
DRAWN
RS
CHECKED
DBP
DATE
08/07/03
SCALE
AS SHOWN
JOB NO.
5402-859
I -G INSPECTIGN',
Gary R. Germond
Licensed Land Surveyor, Minn. Lic. No. 24764
Address: 15 12 Sherwood Way Zip: 55123
Lot: 16 Block: 2 ,. Subdivision: Pinetree Pass 6th
THE FOLLOWING ITEMS WEREIWERE NOT COMPLETE AT FINAL INSPECTION ON
Yes No Comments
Final grade - 6" from siding
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent as
Sod/Seeded lawn
Trail/curb damage
Porch
Lower level finish
Deck
Fireplace
• V erify with your builder that roof test caps from the plumbing system have been removed.
• T um off water supply to the outside lawn faucets before freeze potential exists.
• Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing
irrigation system.
V BUILDING INSPECTOR:
CONTRACTOR:
Lundgren Brothers Construction
935 E. Wayzata Blvd
MN 55391
!I
Site address: Lot Block, Subd. y iA]S?2.F /M<5 C.IA
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.
This structure: Is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
` OR
?l This structure: will he constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater ,p r195}f 5V 0 46 0 V
Furnace fx T M o6?,v f2
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen
Bathroom 1 Ccx) M rj b
Bathroom 2 2 yo
Bathroom 3 Z (? ?P
Bathroom 4
Other
FIREPLACES
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
1 Grz
)0
c-
D S6 0
boo
MAKE-UP AIR MODEL TYPE CFM'ss
U,5-;A2 0P'I CeONST&VC,'r"G
A?A?G6p /87
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
Signaturiy; ? Lbr?
Comp6ny Name v
2'-/Z -03
Date
This form is the responsibility of the General Contractor.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1512 Sherwood Way
Lot: 16 Block: 2 Addition: Pinetree Pass 6th
PID:10- 57665- 160 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
If there is no ice protection inspec
acceptable in lieu of inspections.
Permit expired without required inspections. 4/20/2009 CE
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA087079
10/24/2008
ePermit
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Michael Fox
1512 Sherwood Way
Eagan MN 55122
$88.50 0801.4085
$1.50 9001.2195
$90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Use BLUE or BLACK Ink I
�---------- --,
� For Office Use I
I
Cit of�� �� '
� Permit#:��� I
Y � ' r�. Cx� '
3830 Pilot Knob Road � Permit Fee: �
Eagan MN 55122 I ... �
Phone:(651)675-5675 � Date Received�� �
Fax:(651)675-5694 � � I
� Staff:
� JUl 16 2015 !----------------'
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: � " �3—�`S Site Address: �S (Z ��� �-�-�r�> �.c.�a 1�
Tenant: (�. l� �n � Suite#:
�`��, ' �' Name: '(���� T e��C � Phone: � �1- '�1�1�� �'l�0� �
R�S���i'Il��t"�i��" `' �
�.��.�'� Address/City/Zip: o � � � � �
��f = �x ; Name: �� r�a��.�.� 1°� w-�.�� �.qtf License#: �
' � Address: 1�515 `���-'►\S` St� S .�, �� � City: �� �„���.�t��
� ,��t>�'1'��'�G`���; � � � �� � � �
����
�,�>„t„ � :� ��= State:_]{�n Zip: SS� G T Phone: 6 l�-- �Z'a -� $��icc � ��
, :
�� � � � ,� � ��
;��� _ � Contact: �r�r�c� � Email: e�,n n� .�o\��_� � �o�r��� l- �=o�t � �
New � Replacement Additional Alteration Demolition
�`� Tq�°c�f Vt��'k� '� Description of work:, ��- 1 a c� _ � C:��r,�r L�th 333Z _ i ��� � �
� � .. � � �fV�i'E;:��i�ckaf"rri�tt��t���d�r�nd m+�����F�n���� '���+��� � ���t�>�sc�en�d %��
, , ���
' �" Ct�:;P��con �t�anic�i i�p� fct �'o �d sc m��s
c�� � �"ctt�t' �r�n �b�� �i�
� �� _. � ` x� �
:
x�..,... : , �<. , , , �!�<
...k�-;�P;Y�s f,.`+.`�.. ,�,..�..v ;v,
4.r'J � . . '. . ..
� RESIDENTIAL COMMERCIAL
�� ,, �
Furnace _New Construction _Interior Improv�ment
�j �� �Air Conditioner � �
�����"�� _Install Piping � _Processed � ��
`Y+
4�
��� , .= Air Exchan er
���. 9
Gas Ex ri r HVA n'
— teo CUit
��`,� ; _Heat Pump Under/Above ground Tank �Instail/_Remove)
�� �t;.
� 7.��,>� _Other � � � � � � li
RESIDENT/AL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge G �
$100.00 Residential New, includes State Surcharge =$ �(1 TOTAL FEE
COMMERCIAL FEES ' Contract Value$ x.01
$60.00 Permit Fee Minimum, includes State Surcharge '
$70.00 Underground tank installation/removal =$ Permit Fee
*If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 -$ Surcharge*
If the project valuation is over$1 million,please call for Surcharge =$ `TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that th�work will b conformance 'th the or' n ces 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 no to staR witho a ermi th the work'will be in accordance
with the approved plan in th case of work whicFPrequires a review and approvat of plans.
x �c�..^ nL( X
Applicant's Printed Nam Applican ignatur
���t��3F�tCE��� �= �� �� ��� F � x�b �� , ��� ���� � �' ,��
i�teqw[red I�spect��is ' 1 E�� ��„u�����r'� �����r� �����a#e' ' ' ;
x , � ��
�4 a
.xf�. ' `�*` h 5. �%�Y �� f t��ww.`.�'
;�.l�cie�oun� `F F�iir�h i�x$''�� a4rr�X :�. Test ,;.,��I�i-fl�or Ffeat ���aC" � ,H�f�k��,��� t�g�
�. S
{ ,
\\vcd
EL r For Office Use ` _ '
j maa� �� EIV Permit#: 4j GT`i fr
` •' a' "� '' E AG N DEC 23 2019 r C CC
: Permit Fee: �� v✓
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections(c citvofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Dec 23, 19site Address: 1512 Sherwood Way Unit#:
Name: Mike & Sheri Fox Phone: 651-491-9406
Resident/ 1512 Sherwood Way
OWner Address/City/Zip:
Applicant is: Owner ✓ Contractor
Type of Work
Description of work: Add Wet bar to previously finished basement
Construction Cost: $ 3,000.00 Multi-Family Building: (Yes /No V )
company: Country Creek Builders Inc Contact: Dan Drenckhahn
Address: 23885 Beard Ave City:Contractor
Lakeville,
952-484-9812 Email: Dan@countrycreekbuilders.com
State: MN Zip: 55044 Phone:
Lead Certificate#: NAT-F109139-2
License#: BC636393
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:plans and supporting documents that you submit are considered to be public Information.Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call s ho )b- ore ou
intend to dig to receive locates of underground utilities. www.00Dherstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ord' an•-s an, cod- of e City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work i o o start w' o a —mit. at t•- w• will be in
accordance with the approved plan in the case of work which requires a review and approval• plans
xDan Drenckhahn x
Applicant's Printed Name ,if pH,.nt's ' g tur:
ocrf
Pg-i •
DO NOT WRITE BELOW THIS LINE / /` 5 ' ` lo w / S ( cl
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 0 U Occupancy - / MCES System
Plan Review Code Edition 1.l ° 1 k. SAC Units
(25%-100% ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction ---y— Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) �( Final/No C.O. Required —
Foundation Foundation Before Backfill r HVAC Service Test Gas Line Air Test Hood
Roof: Ice&Water —Final Pool:_Footings —Air/Gas Tests —Final
)(,, Framing 30 Minutes 1 Hour Drain Tile
1 Fireplace:—Rough In Air Test —Final Siding:_Stucco Lath —Stone Lath —Brick—EFIS
'Sf, Insulation Windows
Sheathing Retaining Wall: Footings—Backfill Final
—
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In—Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review \s/\.)q°.
MCES SAC
City SAC6 w,r,,.,
Utility Connection Charge
S&W Permit&Surcharge
Treatment PlantnRadio Meter Read
p
kc ..
Copies \ t
1(4,,,
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159420
Date Issued:12/17/2019
Permit Category:ePermit
Site Address: 1512 Sherwood Way
Lot:16 Block: 2 Addition: Pinetree Pass 6th
PID:10-57665-02-160
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Michael Fox
1512 Sherwood Way
Eagan MN 55122
Boevaag Plumbing
P.O. Box 1257
Prior Lake MN 55372
(952) 292-1511
Applicant/Permitee: Signature Issued By: Signature