1516 Sherwood WayRESIDEN".TIAL.
BUILDING PERMIT. APPLICA110N
My OF EAc -
U30 PILOT KMOS.Rb -ISIZ1.
11m consm den Rea enirnts
•3 slpe sunueysdffM !-SqA O kit, AAL 900M, anM roofed areas
• j2!>? m?ilrtM?m btcovetaga albr?ed)
7-mples of peen Suft bMn 8 Wp dQVSIZK pwred bind deWp, W-)
• 1,aetdF_Galaaledons
o 3 Mpw ofTMO Preaervaw Pten ict o ded akr711153
Ri i,laist DeW Options se.b*lt shm pWp wkh 3 or less unlb)
DATE 10 -22- 0-f
1`7 a 0 0:
Renwd@Mh=irftd
' x oopte? of pfe!i
1 setoE f3nerg?Da9orrs tot hea?d?ldlgoi?s
:. y sib e?rvoy;?7r.e?de?bt8odiduras8
.Indica6a 3 Moore aeryef!:?ll. iaraddi!(o? -' i
VAI.UA'ION
JOB SITE ADDRESS /5-/_4 54e owwor. d W
IF NIUETI-FAMILY BUILD'INC,.How MANY UNITS? -
PROPERTY OWNER EEx 0 joar'l Warn e.y--
TYPE OF WORK v, Idtw3 a J eck AREPLA- 1-10 )" D
APPLICANT Av G A)zk r A !e _ -- = PHDt+1C^ili. =? "/ ` ! - /yf
ADDRESS
PAGER #
CELL. PHONE # _ a7S-. Z : 31tl 31 if/ FAX # f
NIEW RESIDENTIAL BUILDING ONLY- FILL OUT CO PU M"Y
Energy Code'Categgry _ MINNESOTA RLTLF.S 7.67G'C.AT GQRY. I
Residenlyal.Ventilation CgftarK F'Wa Suhm1ftdsd;.
(check one).
Energy Envelope calculations Subndtiled
MINNFSO'TA RULES 7672
New Energy Code Workshapt Sub,w ted;
Ptombing Contractor - thane #F; - _
Plumbing System Includes: _ Water Softener Lawn SprinUer "'?? r - -
Water Heater - No. of 1.1. Bad-is
No. of Baths
Mechanical Contractdr: phone; #t - - '-
Mechanical System Inelud-es: Air.Conditioning ?`ecc 570.00
Heat Recovery System
Sewer/Water Contractor. - Phone*
Adl-abowe information must be submitted prior to pmcessind.of application,.
I hereby ocknawtedge that 1 hove rood this.opplicotion; state-that, the infdrindf'ion is:.corr-O&. aria dWee to c?
vwith till opjAcatbie State of Minnesota Stcitutes and City of Eagan Ordino Is,
Signcltvre cf Applicant
:Certificates -of Survoy Received Tree-PreservagonPlan Ttweived. ? Not R64oreW
llpated 1101
OFFICE USE ONLY
11 01 `Foundation 13, 07 os;plex
00.2 SF Dwellino a 08 48-plea
El 03 01:6f _'Olex ,O 09 07-plea
? .04 1 02"plex O, 1'0: Q6-x_
D 05 03-ptax. 0 111
.10-plex
Cl,M 04-(ilex 13 12 42-plex
Cy 31 NOW O 35
7 ' 32 Addition O 36
? 33, Alteration 13. 37
? 34 Replacemerit-.
Valuation h.4r(c-a
Census: Code
SAC: Units
146r.: of n is _
Nbr, of Bid
t
Type -of Const a:2
MCIES System.
City. Water
Booster Pump
PRV
Fire Sprinkleredi
_ Other
- Pool TVs _ AirtGas-Tex% - Fiw
- Siding ? :Stucco Stone
Witadt?.ws knewheplace ).
Approved By.- _ , Building inspector,
..0-13 16-pipe
d 16 Firepleoe
O 17 Garage
K la ;@
13 1 9 Lower Level
PWg Y or r N
0 go Pool
O 21 Portli :(3-sea:)
,13 •22 PorchlAddn. (4-sea.):
13 23: Porctr•( reeved).
,13 24. Storm Dafi age
'D 25 Mis+celtanequs
E3 30 Awes pty Bldg
O: 31 Ext. Alt - Muni
? 33 'Ext. An -.SF
? =36 (Mutt[
int:lmpwornent 4 38. Dernollsh (fnterior) 0 44 ;Siding
Move;Bidg. O 42 Demlish (F'aunctation). 13' .45 'Fire Repair
Derry jWh (Bidgr O 43 ReM." O" Cl 46 WinidoWa/Doors
°` Demolltlon'"re]Rdg only) Givo PCA:handout toapWicant
,Occupancy, ? to
Zoning.
`Stories
Sq. ft.
.Length.
Width,
REQUIRED INSPECT16NS_
Footings (new bldg)
Footings (.decg) t~inaFinaVNllC:oO.
Fontings.(aclditioa)
Foundation ?H
Drain Tile
RAoI' Ice & Water Final
fem.
Fireplaee ^ RL _ AirTesf _.FWI
Insulation
Ban Fee
Surcharge'
Plan RevieW
MC/ES SAC-
01tyl_ SAC
Water supply, & Storage
S$W.' Permit & Surcharge
Treatment Plant.
Plumbing Permit
Mechanical Permit
Lic:ense.Search
Copies
Other
Total.
?C.Q:
Plumbing
_ VAG
f? r f
Address 1516 Sherwood WAV Zip 5512_2
Lot 17 Blk 2 Sub Pinetree Pass 6th
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: , l y _p ( Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
le-
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
I
Porch
Basement finish
Deck x"
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
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
,\\ 3830 PILOT KNOB RD - 55122
851-681-4875
New CaruhuctIon Reauire menh .6 _3 [)' o d
1307
a 3 registered site wheys showing sq. ft. of lot, sq. ft. of house
and gq roofed areas (206 maximum lot coveraoe allowed)
> 2 copies of plans (show beam & window sizes: poured fnd. design: etc.)
> 1 set of energy calculations
a 3 copies of tree preservation plan ti lot plotted after 7/1/93
Q'J' Le_ k J -1 -Gal
2 copies o (plan
1 set of energy calculations for heated additions
1 site survey for exterior additions & decks
DATE: - Z&- O o CONSTRUCTION COST: 5
DESCRIPTION OF WORK: SFfl
STREET ADDRESS: is/co SFl fi?a2r rnn WAY
LOT: BLOCK: a SUED./P.I.D. #: T1#V61r 15 ?Ms
Name: Phone S:
PROPERTY Last Flat
OWNER
Street Address:
city
State:
Zip:
Company.L.UAD&A4.) B".Q*05?RN07 " Phone: 15, 2 -307f
(area code)
CONTRACTOR License # S0[Z[Z_E(p•8PL
SheetAddress: gas WAY"r&
City ( z*731 State: MA) ZIP: t5559 ARCHITECT/
ENGINEER Company:.
Telephone C ( )
Name:
Street Address: Registration #:
City
State: ZIP: _
G .i 14
Sewertwater licensed plumber (i Installing /wat 1i.,. Q 'TG N/AR/itT b Phone #:
y l U I
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 Ordinances.
Signature of Applicant..
OFFICE USE ONLY
Certificates of Survey Received Yes No o
Tree Preservation Plan Received ?! Yes No Not Requiredi /?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
?
,(
X 02 SF Dwelling ? 08 06-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ piex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
X 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) '[3 46 Windows/Doors
• Give PCA handout to applicant for demolition permit,
GENERAL INFORMATION
SAC Code D) # of Stories sq. ft.
No. of Units Length + sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. N Census Code
(Allowable) Main level sq. ft. " 7 7 3 MC/ES System
UBC Occupancy Q(?i sq. ft. City Water
Zoning_ sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning _
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:
Building /f94 Engineering Variance
Valuation: $?
X31_54-
m i3A-i
f i"
6- l4-i*A
'co(?_S I
17q3 X lS" =
)773 X
15° 4O.h
& 4l u
Sy
S" y
? 31 Ext. Aft - Muni
? 33 Ext. Alt - SF
? 36 Multi
24? 1Li?
7
z?o
/? w ll?b7c;L
)?/ 7,19?
SAC Units
% SAC
LUnDGkfi
BROS.
CONSIRUCnON
INC
EXTERIOR ENVELOPE AVERAGE U COMPUTATION
Site Address /2(0 SNERkJa? WRY Lot_q Black?
?i?uFrr?EE }'.9ss !o?'
R & U Factors
MS E Wayr•Ma mwk Opaque Walls
Iy7VAIta Wall Framing Areas
MitiffA OXII Ceiling Insluation Area
(G12)473-1231 Ceiling Framing Area
Rim Joist
Masonry Wall
Windows
Doors
Skylights
1) Lower Level (Basement)
Total Exposed Wall Area
Opaque Wall Area
Wood Frame Area
Rim Joist
Exposed Block
Window Area
Sliding Glass Door
Door Area
R U
.043
.04
.04
. 5
.31
.55
*v2r ,? X (U) .043
X (U) .04
X (U) .04
X (U) aaM I
?'uX (U) .35
?49 X (U) .35
X (U) .31 ?
Total y
??/ 'y
L?1f?p?aR?f?
BRCS.
2} First Or Main Floor
CONSTRUCTION
INC Total Exposed Wall Area
.
Opaque Wall Area
Wood Frame Area
935 E. Waph Blvd.
Wayzata
MhumsWa 55391
(612)473-1231
Rim Joist
Window Area
Sliding Glass Door
Door Area
3) Second Floor If Two Story
Total Exposed Wall Area
Opaque Wall Area
Wood Frame Area
Window Area
Sliding Glass Door'
ICP'I
? 1 X (U) .043 = ?.?
//
X (U) .09 = ?•?
`X (U) .04 = (P„P
X (U) .35 = 10 .4
X (U) .35 =
X (U) .31 =
Total i ??'?
X (U) .043 = rTli'?
II •? X (U) .09 = G
(U) .35
X (U) .35 =
Door Area X (U) .31 =
Total
4) Total Ceiling Area
Wood Frame Area
Opaque Ceiling Area
Skylight
?
I?O
X (U) _ .4 ,
n
X (U) 0Z3 = ??
X (U) .55 =
? ?
Total
LWIDGREn
BRCS.
CONSTRUCTION
INC. MINNESOTA U FACTORS Total Exposed Wall Area- X .11-=
MINNESOTA U FACTORS Total Exposed Ceiling
Area X ..026 =
(A) Total = 6454• 3
935 E. Wayzala Blvd. 0?2 Mwala Item 1 + Item Z Item 3 IJ?'S Item 4 ?? _???
Mhumla 55391
r
(612)173.1231
If Total Of Items 1-4 Is Less Than Item (A), Building Complies With
SBC 6006 (C)s
f
i
FLCO CGF1
(SEE ATTACHMENTS)
Development
Lot Number 17 Block Number Z
Address 15716 5 H I"W oott> T tU F
Builder UANDCAPANN 11105 CbWl
Tree Protection ulrements:
_x_ Tree Fencing
Oak Tree Pruning (Seal wounds during April 15 to July 1)
Therapeutic Pruning
Retaining Wall
Other:
Replacement Tress:
Not Required
_ As Follows: 16 Cfff t;6o2Y g TRM to to df rt,10
IDUA ti, SITE MEDI T,
Attachments:
_ Yes
No
Additional Notes:
01 XWSTIJU. "TREE ?to-rVC-ctoN efNCC-
APTIM Srt: CLVAMIM6 AN> 9MRE
tic 0tVWr1WGr
TlZrMs -rn MVU t *rEt.Y (Tva 2uCLLtW
KUM I-Muut StRApl,S-TC-)
EAGM FOpSSTW DIVISION
t
f
00,0
(9 0,591,
art 34.30 .:>
y w 169,86
(O ? 'J 4 s ?SS ??\
e \X
,
t ? ? t
as 1,..
3.9 x m
OS
--
C7 it ?
C7
3 e] L
Z m
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r O
$ II bbd ?? ? ?$ ?;
T b q? $s
=J< m s
w? s y Z
CERTIFICATE OF SURVEY
9ATSRS-B&RGQUIST. INC.
€ LUNDGREN BFOR ROS.
u CONST., INC.
MY OF EAGM ?' ?
L
n
H
J
w
tY
0
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f y ?
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vcv,z 13
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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 %
• Proposed/existing sewer and water services & invert elevation
• Street name
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
• Existing
/? ? Sewer service (or Proposed)
? Property corners
? Top of curb at the driveway
V ? Elevations of any existing adjacent homes
? V? Adequate footing depth of structures due to adjacent utility trenches
Proposed
ID i6 ? Garage floor
1 ? ? First floor
tz ? ? Lowest exposed elevation (walkoutrWndow)
10/ V ? ? Property corners
? ? Front and rear of home at the foundation
/ PONDING AREA (if applicable)
? m//? Easement line
?? NWL
? da ? HWL
? ? Pond # designation
C3 ?? Emergency Overflow Elevation
DIMENSIONS
/? ? Lot tineWElearings & dimensions
4 ? ? Right-of-way and street width (to back of curb)
? Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e, all structures requiring permanent footings)
Ca ? ? Show all easements of record and any City utilities within those easements_
?? Setbacks of proposed structure and sideyard setback of adjacent g structures
? ?' ? Retaining wall requirements, if any
Reviewed:
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION /
PROPERTY LEGAL: LOT 17 Z3LOL'/?/? 7Q ?t4 6O 1' 4Dz7?OAv
DATE OF SURVEY: 6-114-00
LATEST REVISION:
March ISM
CRA0SLDGPRWr.FM
REVISIONS I BY
i QI
By
Date
IEAGAN I
4A7
34
Q)I
w
0
N
Y;
I
?, 0
fp?n 0
;it
L, O
DRAINAGE & TY
,,? EASEMENT ? 10
/ Q( 966.8 ?
m•
/ ? / ? }gym
/ X34 s ea sszeb'0
70
v3 //y^'? •a N
J
J
l3 F 4? A
3cX
m
am % ?
I / 17
10 11.15
L/ ry----?
15 94`. - ! 64.48 J
(4S89°22'24"W
Sao. t xl
X962.0
1(960.2)
5rL:r
J
O
I OA
T
C
m
\ BENCHMARK
ELEV = 961.20
I 416 I `J
/ x 0 I
X 975.7
132.97
982.7
$?Y
1-= A N I\/
L??'\I I I n1 v I
RECEIVED AIN 2 6
^TI I
v I fl
F X 976.5
/ (976.5)
HOUSE AREA = 2,440 S.F.
LOT AREA = 13,659 S.F.
LOT AREA X = 17.86%
Proposed Top of Foundation Elevation= 974.0
Proposed Garage Floor Elevation- 973.0
Proposed Lowest Floor Elevation= 966.0
-0--- Denotes Iron Monument
+ 000.0 Denotes Existing Elevation
+(000.0) Denotes Proposed Elevation
?- Denotes Direction of Surface
Drainage
y} + Denotes Sanitary Sewer Service
Elevation (Approx.)
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.
A r\ r1 1T1 I
I-\vLJI 1 1v1 v
LEGEND
(3 DENOTES SANITARY MANHOLE
DENOTES HYDRANT
f? DENOTES CATCH BASIN
S DENOTES SANITARY SEWER
W DENOTES WATERMAIN
ST DENOTES STORM SEWER
® DENOTES STORM MANHOLE
n DENOTES STORM APRON
SETBACKS
MIN. FRONT YARD SETBACK - 30'
MIN. SIDE YARD SETBACK = 5, 15' BOTH SIDES
MIN. REAR YARD SETBACK = 15'
I hereby certify that this Is a true and correct representation
of a survey of the boundaries of:
LOT 17, BLOCK 2, PINETREE PASS 6TH ADDITION
DAKOTA COUNTY, MINNESOTA
And the location of all buildings, N any, thereon, and all visible
encroachments, if any, from or on said land. As surveyed by
me this, 13th day of June,_ 2000.
??r?M] 11E'?bF
U1
W_ O
Ow"
W z 71
68?F-4?
F?z0a
a
DRRAWN
CHEECCG D
06/4/00
SCALE
1,-30'
JOB NO.
5402-615
Gary R. Germond
Licensed Land Surveyor, Minn. Uc. No. 24764
***************************************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 681
DATE: 09/15/00 TIME: 09:47:34
ID:
NAME: ELANDER MECHANICAL INC
3213 9001 1516,. SHRWOOD WY 48.00
2155 9001 1516 SHRWOOD WY 0.50
3213 9001 4637 STNCLFF DR 48.00
2155 9001 4637 STNCLFF DR 0.50
3212 9001 4637 STNCLFF DR 49.50
2155 9001 4637 STNCLFF DR 0.50
3212 9001 1516 SHRWOOD WY 67.50
2155 9001 1516 SHRWOOD WY 0.50
Total Receipt Amount: 215.00
CR137319
USER ID: JAN
CITY USE ONLY
L BL D 7"n RECEIPT*
SUBD. ? /IP -P,P_ rG-A?- (0 -- RECEIPT DATE: ll p
PERMIT #
2000 PLUMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backllow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x Z = $ C a
Floor drain 3.00 x = $ p°
Gas piping outlet ' minimum -1 3.00 x Z = $ o"
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $ °O
Laundry tray 3.00 x = $ 3
Lavatory 3.00 x = $ /g°._
Septic System new/refurbished • requires MPC lic. 75.00 x _ $
Septic System abandonment 30.00 x $
RPZ new installation/repair/rebuild 30.00 x = $
Rough opening 1.50 x = $ 5:0
Shower 3.00 x = $ (, °1
Undergroundsprinkler If dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $ / 2-
Water heater 3.00 x Z = $-
Water softener if dwelling under construction 5.00 x - _ $
Water softener if existing dwelling 30.00 x $
Water turnaround 30.00 x $
State Surcharge .50 -> -> --> $ 50
Total -> -> -> - $ OC-)
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--- - ------ --- -- --- ----------- ----- -- -----
I hereby acknowledge that 1 have read this appiica6on, state that the iMOrtnation is correct, and agree to comply with all applicable City of Eagan ordinances.
it is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/dght-of-way/easement.
SITE ADDRESS:
OWNER NAME::, Gr,! /t Gr S'?!ae /J/rs5 ???ST. TELEPHONE #:
(AREA CODE)
INSTALLER NAME:
STREETADDRESS: -9
CITY: 5-4 64 ?c O
rz ,, A,4i •i r Cris` TELEPHONE
? / / (AREA CODE)
ZIP: S 3 ?
RE OF PERMITTEE
1
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 681
DATE: 09/15/00 TIME: 09:48:11
ID:
NAME: ELANDER"MECHANICAL INC
3213 9001 1516 SHRWOOD WY 48.00
2155 9001 1516 SHRWOOD WY 0.50
3213 9001 4637 STNCLFF DR 48.00
2155 9001 4637 STNCLFF DR 0.50
3212 9001 4637 STNCLFF DR 49.50
2155 9001 4637 STNCLFF DR 0.50
3212 9001 1516 SHRWOOD WY 67.50
2155 9001 1516 SHRWOOD WY 0.50
Total Receipt Amount: 215.00
CR137319
USER ID: JAN
CITY USE ONLY
LOT yr? BL PERMIT #: ya 9/ I
SUBD. 1 ?j' Il jr, iei RECEIPT #:
RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN HN 55122
5 l ( l1? 651-681-4675
Date:
Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required Q $3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
.50
$ 70 v
Complete this section only if you are remodeling, adding to, or repairing an existing single-family dAlling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New Alteration
Furnace
Air exchanger
Reminder: Call for inspections
SITE ADDRESS:
5717/ P?vVcspGr vc
Repair - Other
Air conditioning
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Lam' S T
?i
f PHONE #
OWNERNAME: /
i cs
i ??f%1 N :
INSTALLER NAME: ?C Cr 4 ^ t C 04 t
DE'
PHONE #: (
AM&
?r (AREA CODE)
STREET ADDRESS:
CITY: (/I 14 LC. Q Ai/C STATE: A?l ZIP: S S?J /
CITY USE ONLY
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE
WORK TYPE: 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 inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
i Underground tank removal/installation = minimum fee
Contract price: $ x 1%=$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE#: -
(AREA CODE)
STATE:
ZIP:
SIGNATURE OF PERMITTEE
Cities Digital Quality' Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
I +.01 13:11 MAX e32a+901.1?? _ LLfICItECS BltUS. Comsm lm001
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on w:l'., 1s '20iro iae ?Annes„b Energy Cede, CatLtO61 8AI !i . ,'*aitdt of t8 (Or ;n$u ation Fr*dion, air
Lg ;'.ncua' aro t'k'!tlaa:: t, -wag adptt3it. As a rSm1" ":@ C j Cf Eaghl i5 it;ui,4,ng.that ehe toiiowingirforrnadcn be
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_ Tkss:?.xw:e:M' :".+?nY?c?rroHrralares.fdMereq'irPnatlbsoln'appriYa?8or7?a
i APPUANC:
^ GAS 1 ELEC .MANUFACTURER MODEL BTU S VENTING TYPE .J
'lh?ur X F la 40, 06V PVC 1
-VENTED
IbF WOST SY54 u -.•L'OC7rrTNIN TM : CFNN
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• '1'ftte loan h, fht reapa>e?ly of ?1te Cianerel Ca:baoaer.
Due
I hereby edeeroYr oqe fiat the ebotra atom dmll is =tract end gm m mmpy-w%h, the t E.'wW Code End CW of Eagan
FWrements.
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By
Date
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DRAINAGE & TY
` ,e," EASEMENT
ox 966.8
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RECEIVED JUN 2 6 2000
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r?
LEGEND
(3 DENOTES SANITARY MANHOLE
DENOTES HYDRANT
Wi DENOTES CATCH BASIN
S DENOTES SANITARY SEWER
W DENOTES WATERMAIN
ST DENOTES STORM SEWER
® DENOTES STORM MANHOLE
n DENOTES STORM APRON
SETBACKS
MIN. FRONT YARD SETBACK = 30'
MIN. SIDE YARD SETBACK = 5, 15' BOTH SIDES
MIN. REAR YARD SETBACK - 15'
HOUSE AREA = 2,440 S.F.
LOT AREA = 13,659 S.F.
LOT AREA % = 17.86%
9 0 Proposed Top of Foundation Elevations 974.0
IC"M s? 2
Proposed Garage Floor Elevation 973.0
j Proposed Lowest Floor Elevation= 966.0
? I
Ln --p Denotes Iron Monument
0) + 000.0 Denotes Existing Elevation
+(000.0) Denotes Proposed Elevation
Denotes Direction of Surface
Drainage
+ Denotes Sanitary Sewer Service
Elevation (Approx.)
A title opinion was not furnished to the surveyor nor was a
5? 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 o survey of the boundaries of:
LOT 17, BLOCK 2, PINETREE PASS 6TH ADDITION
DA
And the KOTA COUNTY, MINNESOTA y
survleyedsiby
encroachments, nif any, froimi or onf sold land. onAs end
me thi3„13th day of Junen2000.
A nr\ITl/1Nl
ntLJLJIIIVI4
Gary R. Germond
Licensed Land Surveyor, Minn. Llc. No. 24764
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PERMIT# q jV q(,
RECEIPT DATE: /V -//-of
MIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF K AGM
5880 PILOT KNOB RD
$AGM, MN 551 EE
651-681-4695
Please complete for:
SITE ADDRESS:
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
?
OWNERNAME:: TELEPHONE #:?0- I_ -I qLq
(AREA CODE) :39-v15770
INSTALLER NAME: (y TELEPHONE #: k0k
X.. r /..Inn /"). ,. _ (AREA CODE)
STREET
CITY:
New residential dwelling unit under construction and not owner/occupied $ 90.00
_ Add-on, modification or alteration to existing dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repaldrebuild of RPZ
• lawn irrigation system
• water turnaround
a
Nature of work: -Wat c
_ Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
_ Water turnaround - existing dwelling unit, including: $ 50.00
• 5/8" meter 115.00
$ 165.00
State Surcharge $ .50
Total $
Reminder., Schedule inspections of alterations, Le. water heaters, water softeners, water turnaround, etc.
I hereby acknowledge that I have read this application, state that the information is correct, and agr to complywith all applicable City of Eagan ordinances. It
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no lia it y for a' damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City pr rlv way/e n .
SIGNATURE OF PERMITTEE Updated giol
Place a check mark next to the nermit work Woe
l ?
Date: 10/11/2001
Installer ...
Install Date: 10/11/2001
Time .......: -
Client .....
Order Number
Department..
SEARS
011321429000
50
M
Customer....: WARNER, ANN
Address.....: 1516 SHERWOOD WAY
City........: EAGAN, MN 55122-
Phone.......: (651)681-1490 Work 'hone ( -
Item:
WATER TREATMENT Standard Replacement - Softener
WATER TREATMENT Delivery
WATER TREATMENT Permits
Special Instructions:
MUST BE IN PM
SOFTENER HERE NAME ON CARTON
Amount Received
Comments .......:
Pick up at:
388880 10-7-01 KS
NOTICE TO CUSTOMER:
Do not sign this statement until the installation is satisfactorily completed.
The installation of the above has been completed satisfactorily.
011321429000
SALES CHECK NUMBER
CUSTOMER SIGNATURE
INSTALLER NOTE: Return this form with your invoice.
I have inspected merrhanc_ise and fr'.and no damage.
I have inspected my home and found nc damage.
have checked all wa`-er- lines and found no leaks.
Customer Signature
Appliance Installers of MN
RESIDENTIAL
?5 7 BUILDING PERMIT APPLICATION
CITY OF EAGAN oo
3830 PILOT KNOB RD - 55122
651-681.4675
New construction Reauiremerds Remods Reoalr Requirements
. 3 registered site surveys showing sq. ft of lot sq. ft. of house; and all roofed areas . 2 copies of plan
(20% maximum lot coverage albwed) . 1 set of Energy Calculations for heated additions
. 2 copies of plan showing beam & 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
. Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE
JOB SITE
IF MULTI-FAMILY BU
PROPERTY OWNER_
TYPE OF WORK c?w
APPLICANT ?
ADDRESS 3?1
PAGER #
HOW MANY UNITS?
Mh a9U FIREPLACE(S) - 0 X 1 - 2
PHONE#
CODE ? J3 L
PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor.
Plumbing System Includes:
Water Softener
Water Heater
No. of Baths
_ Phone #:
Lawn Sprinkler
No. of R.I. Baths
Mechanical Contractor: l!'arnelr
Mechanical System Includes: - Air Conditioning
- Heat Recovery System
Sewer/Water Contractor.
Fee: $90.00
Phone # y ?!TL
Fee: $70.00
Phone #
All above information must be submitted prior to processing of application.
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 Ord' noes. `
Signature of Applicant M
4h / O OQ VALUATION
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required
Updated 2002
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 '04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water _ Final _ Other
Framing _ Pool _ Ftgs _ Air/Gas Tests _
Fireplace - R.I. - A r Test -Final _ Siding _ Stucco _ Stone
Insulation _ Windows (new/replacement)
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
? 07 05-plex 13 13 16-plex 13 20 Pool ? 30 Accessory Bldg
13 08 136-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 09 07-plex 13 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6d. Alt - SF
? 10 08-plex ? 18 Deck. 13 23 Porch (screened) ? 36 Multi
13 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg only) - Give PCA handout to applicant
_ Occupancy MC/ES System
_ Zoning City Water
_ Stories Booster Pump
Sq. Ft. PRV
_ Length Fire Sprinklered
_ Final/C.O.
_ Final/No C.O.
_ Plumbing
HVAC
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA106785
Date Issued:09/11/2012
Permit Category:ePermit
Site Address: 1516 Sherwood Way
Lot:17 Block: 2 Addition: Pinetree Pass 6th
PID:10-57665-02-170
Use:
Description:
Sub Type:e - Water Heater
Work Type:New
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Josh McGuire
1424 3rd St N
Minneapolis, MN 55411
612-604-4285
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Colleen R Osgar
1516 Sherwood Way
Eagan MN 55122
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA151591
Date Issued:09/04/2018
Permit Category:ePermit
Site Address: 1516 Sherwood Way
Lot:17 Block: 2 Addition: Pinetree Pass 6th
PID:10-57665-02-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner & mini split unit
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 S Cantone
1516 Sherwood Way
Eagan MN 55122
(651) 448-3650
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature