1538 Sherwood WaySEWER SERVICE PERMIT
CITY OF EAGAN
3830 pilot Knob Road PERMIT NO.
PRO Box 21199 DATE:
Eagan' MN 5512 No. of Units:
Zoning: O . of son rldrs •
x ttany t
Owner.
erwoo a:T
Address: 1"!
Site Address: eAZ_- an 47 5.0{I d
Plumber: - 15 . U0 ?-
v o1 Eagan Connection Charge: t
I agree to comply with the CRY
Ordinances.
BY
Date 01 Insp
i Insp
Account DepOSlt. 10.00
permit Fee: . 50
surcharge:
Misc. Charges:
_ Total:
Date Paid:
WATER SERVICE PERMIT
CITY OF EAGAN IT NO.: '
3830 Pilot Knob Road PERMERM
P.O.,Box•21199 DATE:
Eagan, NIN ,5 i 21 No. of Units:
Zoning: o e son rs.
.Owner. r any
Address: erwoo
P
:Site Addess: enz - wan
? iflb ti L?
Plumber-. 7 S? Of0 ?6? g?GG t e Q;
Meter No.: HU"l'yE - ui Dposit: pi-
Size: rr?? a 1?
•c L-
urcharge: n
Reader No.: the n
I agree to comply with Misc. Charges:
Ordinances. Total:
ate paid:
Insp.:
Date of Insp : 7 - ---
CITY OF EAGAN
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 55121
Zoning: l-
Owner. Tol'`?f
Address: Z 538
WATER SERVICE PERMIT
PERMIT NO.:
No. of Units:
Site Addess.
Plumber. Gent-R 8n inn n?l?,?
Connection Charge: LOOnc-
Meter No.:
Account Deposit: , n?tia
Size: Permit Fee: ?- 5
Reader No.:
I agree to comply with the CRY o1 Eagan Surcharge:
Misc ' r nD.,a Tr
Ordinances. . Charges: 63.50` d =etcr
Total:
Date F'aio:
By
t Insp.:
Date of Insp.:
4 _
`-? ---.7
BUILDING PERMIT
CITY OF EAGAN t f t)
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - 12902
PHONE: 454-8100
Receipt #
To be used for Ste' DWG/GAR Est Value $115,000 Date NOVEMBER 2 0 19 8 6
Site Address 1538 SHER'400D WAY Erect 13 Occupancy R3
Lot 13 Block 2 S@c/SUb. BRITTANY 7TH Remodel ? Zoning R1
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories
TOLLEFSON BLDRS INC Move ? Length 40
W
= Name 12517 FAIRGREEN AVE Demolish ? Depth b?
o Address
431-1100
Cit
A • V • Ph Int. Impr.
I ?
? Sq. Ft
y one nstall
= o Name SAME
0 a `Address
Lu W Name
Z
Mai Address
a W City Phone
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
I hereby acknowledge that I have read this application and state that the Bldg
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC_
Signature of
Var.
Permit .50
Surcharge 57.50
Plan Review 235.25
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
'Tr. Pl. 156.00
Parks
Copies -
Total $2 ,347
.75
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with ail appficable,§tate of Minnesota Statu*5,and City of Eagan Ordinances.
Permit No. Permit Holder Date Telephone 8
Plumbing V?Ip 0
Electric GlAK7 ? c^.
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Insul. 7
Fireplace
Final Htg_
Final Pibg.
Bldg. Final
Carl.Occ. j
Deck Fig.
Deck Frmg.
Well
Pr. Disp.
MECHANICAL PERMIT
CITY OF EAGAN
-3834 PILOT KNOB ROAD, EAGAN,
??--' PHONE: 454-8100
Site Address
Lot Block
m Name -
Address "?
c City
Name
c Address - -
p City:
TYPE OF WORK
Forced Air
Boller
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
Sec/Sub
R
' New
es. ,-
lt Add-
M
on
u
ir
R
C
one`i epa
omm.
Oth
er
._1 M BTU
rvi DIU
M BTU
M BTU
CFM
PERMIT #
RECEIPT #
55121 DATE / =
BLDG. TYPE WORK DESCRIPTION
SIC:
TOTAL
FEES
RES. HVAC 0-100 M BTU -$24.00
> ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU -
GAS OUTLETS -
COMM/IND FEE - 1% OF CONTRACZ FEE 6.00
1.50 EA.
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
r ? +
X?j• (?? FOR: CITY OF EAGAN
• PERMIT #
PLUMBING PERMIT RECEIPT # 9 Z ZL
CITY OF EAGAN
"
G „ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE , i PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Loth ? Block ?- Sec/Su b' " f1 but
L Al Res. x New '
Name ft &l Mutt Add-on
Address / Y "7y= Z ',o o bey fs Comm. Repair
c City T_ Phone l/ 2 3 11"1'K- Other
Name IMP. FIXTURES
WaterCloset-$3
00 $ TOTAL
c Address./26.,/7 .
_LBath Tubs - $3.00
p City V/- Phone q 7 / v Lavatory - $3.00 F
Sh
$3
00
ower -
.
Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE /Laundry Tray - 00
MINIMUM - RESIDENTIAL FEE -$10.00 -1 -Floor Drains - $11..50
MINIMUM - COMM/IND FEE - 2000 Water Heater $1.50
STATE SURCHARGE PER PERMIT -
(ADD $.50 SIC IF PERMIT PRICE GOES • .50 Whirlpool - $3.00
l
Pi
i
G
O
$
50
BEYOND $1,000.00) p
ng
1.
as
ut
ets -
Softener - $5.00
well - $10.00
' i ?? ! ci i ?,": / j
? Private Disp. - $10.00
=Rough Openings - $1.50
?. -
SIGNATURE OF PERMITTEE FEE
STATE S/C-
FOR: CITY OF EAGAN GRAND TOTAL; f -
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for .-. Est. Value ` t .
1, r
Site Address 1 tY
Lot Block Sec/Sub. + ' +t 7T
Parcel No.
e Name CL: S("ITt?n
3 Address
O City .t•.: Phone
,0 Name i,
z I-
Address
?¢ City Phone
U¢
F W
Name
K Address
a Z W City
Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
1538S
Recelpt #
Date 19
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit .24,0c,
Planner Surcharge • 5c
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Permit No. Permit Holder Date Telephone e
Plumbing
H.V.AC.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings 11
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
RECEIVED
FROM / .
AMOUNT $ ;I
& DOLLARS
goo
CASH [ II HECK
FOR
SAIAAV Cal
FUND COOK AMOUNT
j
1
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
S T CASH RECEIPT
CITY OF
EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE / 19
RECEIVED
FROM
AMOUNT $
? CASH ?_CHECK
FOR _ _l 1 l
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
;,
t
BLDG..,, PERMIT ti0
a.
01-3210 $ dg. emit
01-3422 Plan Check
01-3445 Surch./ndm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
CITY OF EAGAN
Addition BRITTANY 7th
Owner
Lot 13 Blk 9 Parcel 10 15006 130 02
Street 4.850 Windsor Court or State Eagan, MN 55122
1538 '§herwood Way
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
1976
0 7
15
60-37
A0154 44
5-3-85
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1986 441.70 29.45 1
STORM SEW TRK 1986 772.93 51.53 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
This request void !/'k-5/e7
1B =.the from
?"G;2- 5; C-
;5&6; -Or/
.. [DReady Now?WilI Notify. Inspec-
- 35 / jf 7 Ryes nNo for When Ready
Licensed electrical contractor 1 hereby request inspection of above
Owner electrical work Installed at:
Street Address, z or Rou Na.
I S nvcn?)
C' y
ecUOn No. Township Name or No. anpa NO. County
Opeai, IPR TI
I "0' Phon NL+.
Po r Supplier
Y) rfyTA- Address
Is trical Contrac r
4- pony NameL.
C-
Tv, C mr mo s cerise No
Owner Making Inste a ionl
ailino Address (Contractor rJ40\1
Authori ignatur [Contractor Making Installation Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUE6T WILL NOT
Griggs-lill Bldg. - Room N-181 BE ACCEPTED BY THE STATE BOARD
1631 University Ave.. St. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS
aw..... rater aee_nann ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION E6-00001os
W'ft
7G'o2%G
See instruetlons for completing this form on back of yellow eoov.
O "X-'. Below Work Covered by This Request -??
Ado Seo. Tv- Sul0 ofldino l a Aoolloneee Wired Equipment Wired 1
g Fee Service Entrance Size a Fee Feeders/Subfeoders It Fee Circuits
l Od U to 200 Am s 0 to 30 Am s iF3 0 to 30 Am
Above 2 _Am S 31 to 100 Amps _ 31 to 100 A S
Swinanin Pool Above 100_Am s Above 100 Am S
Transformers rn tion Booms Partia l,'Other Fee
Signs I Special Inspection S
s` TOTAL FEE?
emerks 1 17-1^ G:,Jj
neupn-ur t ?? ??,?7I 1, tbscE.Ich bly
(( Inspeto, hereb
r ertify that the above
Inspection has been
rFinal c DatL/'7-44c
II , 6 made.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 12902
PHONE. 454-8100
BUILDING PERMIT Receipt k &gSLcp
To be used for SF DWG/GAR Est Value $115,000 Date NOVEMBER 20 tg86
Site Address- 1538 SHERWOOD WAY
Lot 13 Block 2 SeC/SUb. BRITTANY 7TH
Parcel No.
% Name TOLLEFSON BLDRS INC
3 Address 12617 FAIRGREEN AVE
o City A.V. Phone 431-1100
i 0 Name SAME
o t
Address
City Phone
FQ
0 1
Name
a Address
a W City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City Egan Odin
Signature of Permittee
A Building Permit is issued to TOLLEFS N BLDRS
all work shall be done in accordance with all
of
Erect ® occupancy R3
Remodel ? Zoning RI
Repair ? Type of Const V
Addition ? No. Stories
Move ? Length 4 0
Demolish ? Depth 4 Z
Int Impr. ? Sq. Fl.
Install ?
Approvals Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Permit v -
Surcharge 57.50
Plan Review 235.25
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
BIdg.Off. 11/LU/drTr. PI. 156.00
APC Parks
Var.
Copies
Total $2,347.75
on the express condition that
City of Eagan Ordinances.
Building Official
CITY OF EAGAN NO 15 3 8 8
3830 Pilot Knob Road, P.O. Box 21 .199, Eagan, MN 55121
PH ON E: 454.8
B
ILDIN 100
c86o 1 .7
O
G PERMIT
U Receipt #
To be used for DECK Est. Value $1,000 Date JULY 26 ,19-82--
Site Address 1538 SHERWOOD WAY OFFICE USE ONLY
Lot 13 Block 2 Sec/Sub. BRITTANY 7TH On Site Sewage Occupancy
MWCC System Zoning
Parcel No.
On Site Well (Actual) Const
a Name CLARENCE & YVETTA SUTTON City Water (Allowable)
W
z
Address 1538 SHERWOOD WAY PRV Required # of Stories
3o
City EAGAN Phone 681-0310 Booster Pump Length
Depth
z
o Name SAME S.F. Total
.
o a Address Footprint S.F,
City Phone APPROVALS FEES
c
"w
Name Engr./Assess. Permit 24.00
Planner Surcharge .50
i- Address
a W City Phone Council Plan Review
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and ty of g n Ordinances.
Water Meter
Signature of Permittee
- - -
Road Unit
A Building Permit is issued to: YV TTA SUTTON Treatment P1
on the express condition that all work shall be done in accordance with all
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. 24
50
Building Official *Axli %6d, 1 Tv- TOTAL .
1999 BUILDING
New Construction Requirements
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
(651) 681-4675
Remodel/Repair Requirements
• 3 registered site surveys
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted after 711193
required: _ Yes ,_ No -
DATE: 3- 3 6- c7q
? 2 copies of plan
? 1 site surveys (exterior additions & decks)
• 1 energy calculations for heated additions
CONSTRUCTION COST: S",- ';ay, a7
DESCRIPTION OF WORK: A tL A iQ6;6 r - :5+o&wi r_
STREET ADDRESS: / S 3 s A i°lO-W bod w /9-V
LOT: BLOCK: ?- SUBD./P.I.D. #: y?
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: su-/.k /v Z'-1AA*V6e Phone#:(efat) C--el-0 3
Last First
Street Address: /L5-36' glieaujeod C.)AJ
City
r9 State: MN Zip:
Company: A aTe c Pr-1 az Phone #: g ?Ic? 00 W
Street Address: 793 A U12 cc,
n, License # c?F /4/ Exp. r?
City _ 6 Uanls vl lie State: M /V Zip: v?''S ?jCompany:
Phone #:
Name: Registration #:
Street
City
Sewer & water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
State:
Zip:
Penalty applies when address
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
Tree Preservation Plan Received Yes No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
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
Census Units
Census Bldg
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
SAC Units
1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN
I
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For
Site Address 5
Lot /_3 Block 22
Parcel /Sub A"?ti . -J-by M.
Owner
Address
City/Zip
Valuation:
Phone '? 3 / - '//0 0 U
Contractor _,hj?
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
? 5( 00U Date:
Erect ? Occupancy )Z,3
Remodel Zoning 2.1
Repair. Type of Const _
Addition # of Stories
Move Length
Demolish Depth
Int.Impr. - Sq Ft
Install
APPROVALS FEES
A
c)
Assessments Permit -
Water/Sewer Surcharge 5-7•?
Police Plan Review 235,5
Fire SAC 5'7 5.
Engr Water Conn 500
Planner Water Meter - b
Council Road Unit 290 .
Bldg Off Treatment P1 SCo.
APC Parks
Variance Copies
TOTAL
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
r.
---2- L2'-b) )
-Z b(;, L
2 6L9-?-
qo,K?
0+ z ?}
0}7 0 1 C
t? + x X91
_-P -?, 7l< G1? L
092,
-L l N -171
2? X-?Z
22 X22
CITY OF BUILDING DEPART14ENT
EXTERIOR ENVELOPE AVERAGE "Ulf G014PUTATIoN
(To be submitted with building permit application)
1
One or Two Family Dwelling Owner
All Other
Site.Addre.se
Contractor 7046ar
,4&&y?QS
Date , Phone
LINEAL FEET OF M ?1 11
EXPOSED WALL SHEET ft. above grade = ?ib1Jr•9Q1
TOTAL EXPOSED WALL AREA SQ. FT.
OPAQUE W/:LL CONSTRUCTI01;: rrUrr Value x Area
Detail - rgr+Mp_ rrUrr
04Z> x SQ FT
60
50. ZO (U) (A
_ . .
,
)
reference - C°tie' "Un •099 x SQ FT
g
40
07 (U)(A
7
. .
p,
=
.
)
from Rim fluff •fJ4D x SQ. FT._ 187,58 = 7.50 (U)(A)
attached 'ruff x SQ FT
(U
. . _
)(1()
sheets fluff
x
SQ
FT
(U
(
. . _
)
A)
nun x SQ. FT. -= (U)(A)
WINDOWS:' nUrr Value x Area
of
Make Type./ nun •Sf
x
SQ.
FT. 07.50 $ U A
( )( )
nun x SQ FT
-
U
if it . .
=
)(A)
(
nUn x SQ FT
to If . . _ (U)(A)
nUn x SQ. FT. -= (U)(A)
DOORS: rrUrr Value -x Area
Make & Type
it of
if IT
of it
TOTAL (U)(A) VALUES
j(vS,99 =
DIVIDED BY T L AREA Z07,5',9$
AVERAGE "Ur .115 or less
ROOF/CEILING-
TOTAL AREA: 7A(r?
•079
for 1&2 family dwellings
FT. 43,00 = &,861 (U)(A)
FT. 42.00 = 19; j+ (U)(A)
FT. _ (U) (A)
FT. _ (U) (A)
FT._ j(?5,99 (U) (A)
Detail reference fluff •bZI x SQ. FT.
= 6,Sf7 (U)(A) 7,86
from
attached sheets. four' x
rrUrr _
SQ. FT. (U) (A) III
Describe onenings nUrr x
x SQ. FT.
SQ. FT. _ (U)(A)
(U)(A)
in roof. rrUrr x SQ. FT. _ (U)(A)
TOTAL (U) (A) VALUES DIVIDED BY -rMAL4j _ZJ2.?V_ N,fT 6.5p `UrA>
Cam`
TOTAL ROOF/ pggp 78? , pZ/
AVERAGE ' rr .025 f r ventilated roofs.
_& fluff 0,14 x SQ.
_PAT/O rrUrr .47 x SQ
nun .
x 3Q.
flUfl x SQ
TOTALS O SQ.
AVERAGE rrUrr
I# ,r
WORK S14EET
Uoyi E?
9.,50X (34t34t &+z6o = 114o.o0
8?8?X CZ7i-L7t Z(otzlo?= 13GAS
Z,075-.713
Corue .
WX (34134+ zOne.) = -¢o---
gim •Svle T
$SX(&8+51- +5"f +52) = 1875, -
wIN7Dow s (-q y)
14x3z = 7.1 X 2 = !¢,zo
ZoX4$ ° /X. 3 X j = ! 3.30
1408 = /&.o x 5= $a.o0
107.5c,> 4-
Donp.s
3Q s7?• Yv?S•L = Zg,oo
L$ STG• SCR. _ X1.00
PATla - 42,op
91.00 *
2(oxZ7= 702.00
1,2)( 7 = 84• oo
78(o, oo 4-
Her ?Ez? w*4- FaoAc.s
6&64- W*.4- Z107s98
LEy? Cow. So.4o
u l±rist 110,7 55
u krDw? )&; - `!60-46
rr ?rz?5 91.00
1, lvO9.5o ?•.
--WALL SECTION--
Determining OOUn values at Roof, Wall, Rim, and Conc. Block
ROOF/CEILING R VALUE
1.) Interior Air e'ilm 0.61
2.) 5/81, Gyp. Bd. .56
3.) Insulation 45-m
4.)
5.) Exterior Air Film .61
(STILL)
nUu = 1/R= ?o?1 TOTAL (R)°Q(v.75
WALL (R VALUE
6.) Interior Air Film 0.68
7.) }n Gyp. Bd. .45
8.) Insulation 1$00
9.) Z0/12 e 1' $u1L7-91W . 2.0+
10.) Masonite Siding .07
11.) Exterior Air Film .17
IOU" = 1/R= ,pc?3 TOTAL (R)=23.01
RIM (R) VALUE
12.) Interior Air Film 0.68
130 Insulation 117.00
14.) 2" Fir Rim Joist 1.88
15.) 25/;z" BvrLT-I??TE Z.04
16.) Masonite Siding .67
170) Exterior Air Film .17
nUn = 1/R= p¢p TOTAL (R)=24.44
FOUNDATION R VALUE
18.) Interior Air Film 0.68
19.)
20.)
21.) 12" Concrete Block 1.28
22.) pj&jjD 1W??UL.., $.60
23.) Exterior Air Film .17
IIU" = 1/R= ,09$ TOTAL (R)=10,I2,
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
NOTE: PAYMENP OF FEE AT TIME OF
APPLICATION DOES NOT CONSTITUTE
APPROVAL OF PERMIT.
INSPECTION OF SEWER AND/OR WATER
INSTALLATIONS WILL NOT BE SCHED-
ULED UNTIL PERMIT HAS BEEN
APPROVED.
Y-41
%au[/C10CK/buDalvlslon pr Tax Parcel ID #)
IF EXISTING ST=L= M, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING,/PROPOSED USE: Mon Year
Q Ca44E,RCIAL/RETA7L/OFFICE
INDUSTRIAL
INSTITUTIONAL/GOVERNMENT
,_2?R-1 SINGLE FAMILY
R-2 DUPLEX (Two Units)
R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINIUM ( Units)
2)
NAME: L 4f e S i ?. 5??? - (i
ADDRESS:/[f6 9 -2- : n r a, la s i_?
CITY, STATE, ZIP: S>gz?.sfZ 5- 57 3 7 7
PHONE: ? yLi- "7.6 00
3) m: For City Use
NAME: ?iG^ ;2 Plumbers License:
ADDRESS: /y 7 H 5 - S n / ?? ?? [? Active
IIH+1 Expired
CITY, STATE, ZIP: 40S <- m "t-/. Not recorded
PHONE: MASTER LICENSE# Stiual
NAME: / ?L C?? on ?Lc ` G?Us
ADDRESS:
CITY, STATE, ZIP:
PHONE:
•5) ia a •:? :a ??
13?_DNNECTION TO CITY SEWER [:k-,MNNECTION TO CITY WATER [ OTHER
6) r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
ftytLEASE MAIL APPROVED PERMIT TO 1, 2,,?V 4, ABOVE
p / (Circle one)
7)
:FOR -CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ S tr6 . _52
$ $ /b
$ $
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /S` U"Z) ACCOUNT DEPOSIT - SEWER
$ $ .'9-0 ACCOUNT DEPOSIT - WATER
$(? • D O $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ J ?2 •0-c? $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ /Z- 9 $ 6/0 lJ TOTAL
RECEIPT R
ECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO
Q DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: .) ,_„-
TITLE:
DATE : 115-117
I?3 $ $
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
3P x
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS . FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS;
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Er,,K
Valuat ion: 164y Date: Ja L y U
-
Site Address jJ
.rF2?
SY lUona
[i?L
OFFICE USE ONLY
Lot 3 Block Z On site sewage Occupancy
Parcel/Sub BRIDA" A DDA MWCC sstem Zoning
On sitye well Actual Const
City water Allowable
Owner (,IQrPnCe ?IUP -0 fir, nn PRV required # of stories
Booster Pump Length
Address ShertAinod (a Depth
41 S.F. Total
City/Zip Code 'biOo MA :S.5- /a1 Footprint S.F.
Phone (? la Io Sl - D.3 /I) APPROVALS FEES
Contractor Engr/Assess Permit at/ 00
SZ5
?(
?F?c Planner Surcharge So
v
C a
Address Council Plan Review
Bldg. Off. SAC, City
City/Zip Code Variance SAC, MWCC
Lf3 J ty6 Water Conn
Phone Water Meter
Road Unit
Arch./Engr. Treatment Pl
Parks
Address Copies
TOTAL
City/Zip Code
Phone # ?p I Q kzq-? ) /o
e F-DO-
3T015T ZxIC)
CSFAMS Z- 2-x 10
T'a?7-S lulrcL.S iT ?'^?f ?CL'T,vl-S u-??2CUV?? - I7?cK?5 G%1Dw..D Lrc?P_
Se A4ee 2c Fine XL/ 'e - 0!?) r?
?°aK 60, BABE 36
6 TMU-rSUV BUILDERS
/a08E EOHSpL1,H0 !HO HEERS
ENGINEERING PLAIIHEAS and AHD 3aRVEVOIIS
COMPRNY, INC.
1000 [A57 146N STREET, eURNSVILLE, MINNESOTA 53337 PH 432-3000
cep-?zfr ?>a>? su.?-z-? y
jL!lg_Sl Ih tcr4,e2f0n: LOT 13, BLOCK Z, BK/7'>ANY 7-fH ADDITION,
PAKOTA COUNTY, A41NNE90TA
C'S,y? DENOTES EXISTIIJ6 ELEVATION
C4t.b.s) DENOTES PROP05E.D ELEVATION
,a ? INDICATES DIRECTIOM OF SURFACE DRAIIJAGE
9-7e.o = FINISHED EAXAGE FLOOR ELEVATION
SCALE : /" a, 30'
I
J
0
U
>I Om
x`963
SNG?C wvc v I ITZ.
I 0
9.1 ado
990 29'
(y67.z) Al c3yq,70
t%7.f 7/.62 I Lz 5 ,3T T73.2,
•°- 973A
•? 2_76 '1 30' FROAM RUAPIV6
*2Sf°) 41 bt Lew-to) I 5EYB4eg LINE
N ?il i 2 0°
130.41 t _ \(y W.7 ?l1
0
N C s/? ? I O n
..00 11
. I ? I ?¢osED D?cK
j0 I
I__ y%v,1)
i 9G6, 133.03
N 890 37' 37"I; DRAINA E At-1D
0o I /1?r ? ? UTILITY 'EASE MErJT
I hereby certify that this is a true and correct representation of a tract of
lappd as shwn'and described hereon.. As prepared by me on this 17r;,' day of
?Ucmb?/ 19 84,.
- Minn. Reg. No. /doFfS
RESIDENTIAL BUILDING
(? 5 b Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
???o oa
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 Can of Survey Recd _Y _14
(20% maximum lot coverage allowed) 1set of Energy Calculations for heated additions Tree PresPlan Recd _Y _N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _Y _N
1 set of Energy Calculations Addition -indicate ifonsite septic system On-sde Septic System _Y _N
3 copies of Tree Preservation Plan ft lot platted after 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date J L L / Z ( / o3 Construction Cost
Site Address 5316 54i _"013 / cll UoiVSte #
/1
C?
Description of Work 645 f-14EAII is
Multi-Family Bldg - Y
- N Fireplace(s) _ 0 1 - 2
Property Owner /
`L4 /2L-AJCC SJ C %? /?? Telephone # (&»?)
5
Contractor
? W- ?'?
Address
` / City
State '
"
wyv1 Zip X37 Telephone #?j)Z)
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 building in Eagan with o similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # (
N If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the informatf6fi-ts-comp rate;
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 pl the ase work wh' requires a review and
approval of plan
Applicant's Printed Name Applicant' ,Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 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 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 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 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 _ F inal - Pool
Ftgs
Air/Gas Tests Final
- Framing _
_
Siding
Stucco
Stone _
Fireplace _ R.I. - Air Test - -
Final - _
_
Windows (new/replacement)
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
7`II('P 7
2005 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.
30.
Date I
Site Street Address 6r1. Unit #
Property Owner ? R O v Telephone # (a) ?_
Contractor I! 0lkC2S Telephone # (p) 3-) 561 -°71)?q
Address ?rc4r ??7?r"' Care _ City A_Ij.E Staters Zi C)
The Applicant is: _ Owner Contractor -Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
-Septic System Abandonment
-Water Turnaround (add $125.00 if a 5/8" meter is required)
`Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
13flcta Ito e??r, ev I n a'tR-c,
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
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 the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
thg event a plan is required to be reviewed and appro.
(51 tl L Ut'i , h elr
Appli-cant>Printet?i Name App" nt's Slgn t re
BcaK 60, ABE 33 6,
A ToLL6{SW BUILDER5
ROBE CONSULTING tN0O1RS
ENGINEERING PLRHH4AS oed LAND bAV6VORS
COMPRNY, INC.
1000 EAST 1461A STREET, OURNSVILLE, UINNESOTA 55337 PH 432`3000
Lgaat QrYcr4,g2fgn
SCALE ' I'=, 30'
LOT I31 BACK Z, BRITTANY 77H ADDITION,.
DAKOTA COUJ7Y, MINNESOTA
C?ly DENOTES EXISTING ELEVATION
C91.e.s) DENOTES PROP05G-D ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
41-76,0 = FIP11514fD 6ARA6E FLOOR ELEVATION
.%7,f, 7/, bt
h
O
U x
N
t4
( OO
N O
j
D I 64,19 0
o
?
WAY r?
I
I
I A Q4
L- 51.37 R° 399.7°?
I °-
'o _
10
14L9?1?
V .1 ..276 2
b? L g?? I
I Z
20 \ S;•° 19.9)
%?Fte
,o I
.N
P ?
-may
11
/ 3 3.03
N 89° 37' 37"g
I
I
?I
,g
,2)
3o' FRaNT gU1CD1A,,6
SMAM LINE
a
O n
976, /)
DRAINAGE AND
UTILITY W-A%MEIJT
S hereby certify that this is a true and correct representation of a tract of
lapd As shown'and described hereon.. As prepared by me on this /`? day of
"I /& Hinn. Reg. No. /6o?r
C?-
Y/ 0 S a
2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Yom, s"b
Date 0 / _? / 6-7
Site Address Unit #
Property Owner Telephone # (Ub 1) GX 1 ' 63 to
Contractor Dan Wohlers Southside Htg. & A/C
6950 W. 146th St., #106
Street Address Apple Valley, MN 55124 - city
State (952) 431-7099 Telephone #
(
)
Bond #: T2,(- _L 054-7 9 P? -7 Expires: Cls a5_0-7
The Applicant is - Owner X Contractor Other
Fire repair (replace burned oat appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
furnace -Additional Replacement _ New
air exchanger
I?
i
a
r conditioner
heat pump
other
State Surchar
e- I 50
$
g
J l NOV 0 9 2007 .
Total $ 5?
I hereby apply for a Residential Mechanical 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 Mechanical 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; 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
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
v 3?05(o 3
1 °a
?-----------------
wiCetjiii
j Permit #: 77 A
Permit Fee:
Date Received:
I I
I Stott: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I I ?)U I V U Site Address:
Tenant:
RESIDENT / OWNER Name: Phone: '(0 ?? " " I rJ ?]
Address/City/Zip: 5 SL'A4W(RX-A
Applicant is: - Owner Contractor
TYPE OF WORK Description of work: \Si V cr1P
Construction Cost: 0 Multi-Family Building: (Yes / No
CONTRACTOR Name: ` License lt: 6(a r l
--
N
Address:'
1
Z
Ci
! «l Zi
5
51SAO(
2
?)
ty: -
.
p:
tate:
Z
Phone: 15Ji!iontactPerson: 1 no, k?A
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 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 without a permit; that the work will be in
ordance with the approved plan in the case of work which requires a review anda al of plans.
x \J0.( e? xCi r°
Applicant's Printed Name Applicant's Signature
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143560
Date Issued:06/20/2017
Permit Category:ePermit
Site Address: 1538 Sherwood Way
Lot:13 Block: 2 Addition: Brittany 7th
PID:10-15006-02-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Keri K Williamson
1538 Sherwood Way
Eagan MN 55122
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
r Use BLUE or BLACK Ink
IIIIIIIMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMIIIIMIIIIIIIIIIII
f EaPil For Office Use /CltYO1 Permit#: /i Kd / `� ' 1iis
Permit Fee: AR 14- 1
Eagan a Pilot 5512 Road RECEIVED -ICI.-
jc//r / �
Eagan MN 55122 Date Received:
Phone: (651)675-5675 AUGbuildinginspections(5 cityofeagan.com AUG 1 4 2017 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: �I W I LL/IIIVIz2d Phone: LIN -01P/-3906
1 Resident/
Owner Address/City/Zip: 4. AG'rInl VIA .,,,, -A A �,
I �r ZZ
Applicant is: Owner Contractor
Type of Work Description of work:i, e[ f e d er,, itAs -e414'})1/1.5 /a)� j adm r
LA 1-1-15411
Construction Cost: ,�1D )U Multi-Family Building: (Yes—/No _-._.
Company: Contact:
Contractor
Address: City:
State: Zip: Phone: Email:
•
License#: Lead Certificate#:
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: Phonep �_— !
I NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the
information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they
I are trade secrets. __a_. _._._.... ..__.____.. _._...._...,___...__.._....._..._____. .. ._..__.__
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.citvofeanan.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 48 hours before
you intend to dig to receive locates of underground utilities. www.000herstateonecall.orq
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 lans.
X Veit( W(ul 6A) x t/1...//. .i/4
Applicant's Printed Name A'pplicant's Signature
Page 1 of 3
/5 "6 6 5he(,U0c).1 V1/4/ ,/
DO NOT WRITE BELOW THIS LINE /`7I��ea
SUB TYPES
Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family)
Single Family Garage Porch (4-Season) _ Exterior Alteration (Multi)
Multi X 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
eJ Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION /
Valuation J 630D. Occupancy LT Z L–1 MCES System
Plan Review Code Edition
wit 20 SAC Units
(25%_ 100% X) Zoning tR'-I City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 11 Tj Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) _ Final I C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: Ice &Water _Final Pool: _Footings _Air/Gas Tests Final
7.4 Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath Brick— EFIS
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: C 0 WI air k )y,4 , Building Inspector
RESIDENTIAL FEES /
Base Fee 2ci7EC)ci�� )( "Z,tb`
Surcharge A DD i 7/4-t e fez,vt"._
Plan Review f e-t-,q.chzD Z., 3 n r+ 2) f'-‘. k 4 P e--
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant _
Copies
TOTAL
Page 2 of 3
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148673
Date Issued:04/13/2018
Permit Category:ePermit
Site Address: 1538 Sherwood Way
Lot:13 Block: 2 Addition: Brittany 7th
PID:10-15006-02-130
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 -
Keri K Williamson
1538 Sherwood Way
Eagan MN 55122
Mechanical Plus Inc
406 Pierce Street
Shakopee MN 55379
(952) 594-5326
Applicant/Permitee: Signature Issued By: Signature
1 l!1
For Office Use {{,{�
%. i, i
/ ...--......2
LiC
* EAGAii i e
Y\
i i
.,,„,.... ....„,
: /4'� ' moi' ` Cc..,
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 KL(..,,.: "
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsCa�citvofeagan.com APRL
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4/10/2018 site Address: 1538 Sherwood Way Unit#:
Name: Keri Williamson Phone: 404-861-3900
Resident/
.,,i,/.? (
Owner Address/City/Zip:
—
Applicant is: Owner X Contractor
Bathroom Remodel - please see drawing for more information
Description of work:
I Type of Work
$4,500
Construction Cost: Multi-Family Building: (Yes /No )
Company: Minnesota Rusco Contact: Caily Alama
Contractor
Address: 5010 Hwy 169 City: New Hope
State: MN Zip: 55428 Phone: 952-935-9669 Email: Caily@minnesotarusco.com
License#: CR002173 Lead Certificate#:
° If the project is exempt from lead certification, please explain why:
Home was built after to 1978.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I 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-•ublic if •u >rovide s•• ific reasons that would .ermrt the Ci to conclude that the 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.citvofeaqan.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 48 hours before you
intend to dig to receive locates of underground utilities. www.gor herstateonecall.orq
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 f plans.
x Caily Alama x /lea-ill-a,
Applicant's Printed Name Applicant's Si Lure
DO NOT WRITE BELOW THIS LINE /3.E 511c-et/mod L1)P ! 14/g6 --
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
Y. 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 _et, 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 $ 2/ DO 6. Occupancy 1R4-1 MCES System
Plan Review Code Edition AO Zo 15' SAC Units
(25% 100% A ) Zoning )2-1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction T 6 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Y Final/No C.O. Required
Foundation Foundation Before Backfill t`=> HVAC Gas Service Test Gas Line Air Test
Roof: Ice &Water Final Pool:_Footings _Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding:_Stucco Lath _Stone Lath Brick_EFIS
r 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: l6) "i 41.- /rte , Building Inspector
RESIDENTIAL FEES :M; A v rvt rC'e
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150218
Date Issued:06/26/2018
Permit Category:ePermit
Site Address: 1538 Sherwood Way
Lot:13 Block: 2 Addition: Brittany 7th
PID:10-15006-02-130
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 -
Keri K Williamson
1538 Sherwood Way
Eagan MN 55122
(404) 861-3900
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
For Office Use
t%
r , , Permit ti: S67
` +
EAGAN
Permit Fee:
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:
builfiinginspections(cm�cityofeagan com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION (� ��,"\�
Date: 8/14/18 Site Address: 1538 Sherwood Way, Eagan Unit#: $ AL"
Name:,Keri Williamson Phone: 404-861-3900
Resident) 1538 Sherwood Way, Eagan 55122
Owner Address/City/Zip:
Applicant is: X Owner Contractor
Description of work: Bathroom Remodel(shower install); Stairs Handrail replacement
Type of Work ,974 n fiani
Construction Cost: Multi-Family Building:(Yes /No X )
Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why: rr
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-•ublic if •u •%
DO ROT WRITE BELOW THIS LINE ° / ç] 2-L/®
M
SUB TYPES 111
Foundation Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
L 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
)C1 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 of. 2," o`"a• Occupancy .Z'C— I MCES System
Plan Review Code Edition /MI 2-'0r.5– SAC Units
(25%_ 100%2° ) Zoning R- I City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Ve Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) P Final/No C.O. Required
Foundation Foundation Before Backfill )D HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests Final
Xi Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS
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: TO "14%)( /1/ - , Building Inspector
RESIDENTIAL FEES ja-),,,q:/1 ✓= foorz sN�t•+erZ /1ReM 'f ci99-"—
Base Fee /Y)= :.ten.-1 m Ilre
Surcharge
Plan Review 5-7-74,'12 rrfl.)Izl7Rb4: ) – MA.n "1) .1=1o• R
MCES SAC
City SAC it MoD•
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157905
Date Issued:09/16/2019
Permit Category:ePermit
Site Address: 1538 Sherwood Way
Lot:13 Block: 2 Addition: Brittany 7th
PID:10-15006-02-130
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 -
Keri K Williamson
1538 Sherwood Way
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature