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1551 Sherwood WayCITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21198 Eagan, MN 55121 Zoning: - T i 1 Owner: Address: 7 15 51 Site Address: Odnz Plumber: - SEWER SERVICE PERMIT PERMIT NO.: 1-10-84 DATE. 1 No. of Units: 1''-11-b4 ur_)Q-J 1 to eea?P11 W" the C" e4 5"P8 Connection Charge: M? Account DaPCOM poeit: _ OeJlwannws• Permit Foe: - Surcharge' Misc. Chang" - By Total: --- Date of Insp.: Dote Pall: Insp.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knoh Road 21199 B O PERMIT NO.: 1 ,_ 1 ox . P. Eagan, MN 55121 PATE: 1 .1 No. of Units : Tollefson Owner Owner: he ''I 4)ay L1 TA Brittany 7 Site Address "enz -.'.van Plumber. 470.00 pd Meter No.: Connection Charge: 15.01.3 pd Size: Account Deposit. 1 J . 00 pd Reader No.: Permit Fee: 50 Pd .50 . 5 1 agree to sea* ? ere City of ?a Surcharge: ? m e t e r 6 3 . Misc. Charges OndiMraoM. Total- Date Paid: BY Date of Insp.: Insp.:- WATER SERVICE PERMIT CITY OF EAGAN PIT NO.: - 3830 Pilot Knob Road 1 P. O. Box 21199 DATE: Eagan, MN 55121 No, of Units: Zoning: owner: i. t t any 7 It* Mdr!ss: ?..R;,Chorge. - Conne Plumber. G Paslt: J Meter No.. j?o?o?thtF? Size: 00 permit rge . t. Peoder No.. C? of Up" Surcha 1 or" to goal* WI& ? Misc. Chorgss: 01 Total: Dote Paid: XT 8y Irap.. e of Insp.: - ? ' to CASH RECEIPT y CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RECEIVaD FROM AMOUNT $ „I DOLLARS 1 00 FUND CODE AMOUNT 1 ? 7 A-.` ? Thank ?u BY White-Payers Copy Yellow-Posting Copy Pink-File Copy ? CASH 1CHECK CITY Of EAGAN 9637 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 -7 " BUILDING PERMIT Receipt To, be used for SF DWG/GAR Est. Value $99,000 Dote OCTOBER 31 84 1551 SHERWOOD WAY R3 Site Addrgfs Erect ? Occupancy Lot 1 Block Sec/Sub. Remodel ? Zoning Parcel No. Repair ? Type of Const. V Enlarge ? No. Stories of Name TOLLEFSON BLDRS Move ? Length 4 Z Address IO W Demolish 13 Depth 4 4 z City E GAN Phone 454-66/3 Grade 11 Sq. Ft. o Name u? Address F City Phone Name _ Address City - 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: TOLLEFSON BLDRS all work shall be done in occordance(iWith nN applicable State of )ylir Apsrevols Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. off.10/30/84 APC 2 Var. Date Permit y _ -J v . V%# Surcharge 49.50 Plan check 215.00 SAC 525.00 Water Conn. 470.00 Water Meter 63. 0 0 Road Unit 2 6 Q_ Q O Parks Total $2, 012. 50 on the express condition thol Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Plumbing H.VA.C. Electric I lp I (o (`? r Fj L/ Softener Inspection Date Insp. Other Footings In J v Foundation Framing _ Rough Plbg. _7/- - 1- Rough HVAC Insulation Final Plbg. Z _ 819 -2,7- XS Final H ` Final Cert/Oc Water f Describe Location: Well Sewer Pr. Receipt PI.,ll4,01BIN 1 PERMIT Permit No. CITY OF EAGAN . Fee i Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Bik. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New © Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures I Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all orpinpnces and od governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4548100 Receipt PLUMBING PERMIT Permit No. p CITY OF EAGAN L Fee Fill in numbered spaces S/C Type or Print legibly Tot. ? - 1. Date !Z"?'%. 2. Installation C st 3. Job Address Lot_ BIk. Tract 4. Owner }_ J CCJJ 5. Contractor e?r+?? ?PIRfi1E""t "? "4 f± `„mod I itt? 6. Address 70 FxcolslC AYd. E. Hopkins, , ir-1106.31 b-24 7. City StateWajU3 Zip 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New Q Add ? Alter ? Repair ? 10. Describe 11. No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Se tic Tank Lavatory p Softner Shower _ Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. _ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks 02 i4 ?Lzlff?.z& - X/ Addition BRITTANY 7th Lot 1 Rlk 1 Parcel 10 15006 010 O1 Owner Al )- Q AOI Street 1551 Sherwood Wad State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 60.37 C010181 3-11-85 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA Ift 1986 441.70 29.45 15 441.70 C010182 3-11-85 STORM SEW TRK 1986 51.53 15 772.93 C010182 3-11-85 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #47365 10-31-84 WATER CONN. 470.00 if BUI LDING PER. rr ' SAC ' PARK This request void J l ?y Jl ?t?Q•VC/ B 75 076 Request Daty* _ Fire No. Rough -in?l Ilegwr clinn ?Reatly Now ill Notily Inspec- fo Wh B es ?NO r en eady icerised Electrical Contractor 1 hereby request inspection of above ? Owner electrical work irtaW Iled at: Street Address. Box or Route No. City '. ?7M ooo y W WPF .ction Township Name or No. Range Nr. County Occupant (PRINT) V Phone No. ,?sr Power Supplier Address lakQZ-A lr.L'11 f MN ntractor ( any Motel Electrical) Co Cronp Contra t. License No. on , ` fling Atldress (Contractor r Owner Making Instal ationl 4 dam, 0 P4C - m 42 $S/ z Authm Sigrtature (Contract r er Making Installation) Phone Number - 73 D THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE . D Roorn m N-•1191 91 80 OF ELECTRICITY BE ACCEPTED BY THE STATE BOARD 1821 s- University ABldgA... . St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS 1821 ENCLOSED Phorre 18121297-2111 - R-00001 -[M BEQUEST FOR ELECTRICAL INSPECTION E + , See instructions for completing this form on back of yellow copy. 8 2 5 0 7 6 "X" Below Work Covered by This Request S G _? Aed Rep. Type of Ruilding Appliances Wired Equipment Wind Home Range Temporary Service e Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Faint Othet (SpecifvP Other (Specify) t r Specfy Other Other Compute Inspection Fee Below k Fee Service Entrancesiza f, Fee Feoders/Subfeedent a Fee circuits 0 to 200 Am 0to 30A s 0to 30 Am> Above 200 Amps 31 to 100 Amps 31 to 100A Swinming Pool Above 100-Amps Above 100_Am - Transformers litigation Booms '50 Partial. Othet- Fee Signs Special Inspection rv'f TOTAL PEES__\ , r v-?+ Rough-in Date ` the El /? Inspector- hereby certify tlmt tlg above Final Oale inspection has been Tme WaumtyoW >8 monfhsirmn This request void th. got Ell IF 66 IZI? (j q --- - ? -?- Z'- Y ui ed?- []Ready Now II Notify. InsPer;- I I jT I es ?NO or When R+atly Licensed Electr ? Owner ical Contractor ' 1 horaby ragrest inspection of above 1 elecb in l work installed at_ Street Address, Box or Route NO- } /? .t/ ? bt- Z-C?X_J?-'' C / v/1 eclnoq M. I Township Na. or No. Range No. County OccuMyt (PRINT) Phpre?? Po r Supplier Address Electr' I Contractor (COmparny Namel - G? (?c ?c _ Crelraclor's License No. Mail'n ddress (Contractor r Owrer Making Irstailation A udicitzed (Contractor/ F Maki Ins Ila[ionl Nornber MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED By THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., SC Paul. MN 55104 Phore 1612) 2972111 ENCLOSED. 3 REQUEST FOR ELECTRICAL INSPECTION JIM E9-00001-04 See instructions for completing this form on beck of "llow, cppv. Y O l D r X"' Be/pW Work livered by This Request 6168 ' Otti fArlill Rep. Type of Sentries Ayptisnces Virsd Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixly.e Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other f9pecifV) Other ISpecilyl t ,r peci y Other other Compute Inspection Fee Below R Fee Service Entrancesiza p Fee Feeders/SubTeeders N Fee Circuits 2 O to 200 Am O to 30 Amps O to 30 Am Above 200 Amps M rJ S I 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps, Above 100_Amps Transformers F F] Irrigation Boors Q Partial"Other Fee Signs Special Inspection S - TOTA FE Remarks , V E 1 '10 .3 1-77 Rough-in Date Irapeclmq hereby rtiry tlm[ the above Final Dal e rnapectlpn has been -?J I ; ade. tAie reauratvold l8ntpnlM lrorrt w CITY OF EAGAN M 9657 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PHONE: 4548100 Receipt # ' 36s To be and for SF DWG/GAR Est, Volue $99,600 Date OCTOBER 31 _ 19 84 Site Address 1551 SHERWOOD WAY Erect N Occupancy R3 Lot 1 Block 1 Sec/Sub. BRITTANY 7 Remodel ? Zoning X! Parcel No. Name TOLLEFSON BLDRS Address 1655 NORWOOD DR City EAGAN Phone 454-6873 p Name SAME Address s City Phone Hw Name iz Address City Phone I hereby acknowledge that 1 hove read this application and state that the information is correct and agree to comply yith all applicable State of Minnesota StatuteXYdadn?d City of EaganiOrjd1/i/fances. Signature of Permittee ???'. J _n? A Building Permit Is issued to: TOSON BLDRS all work shall be done in accordance i , a applicable S ten it Repair ? Type of Const. V Enlarge ? No. Stories Move ? Length 44 Demolish ? Depth 44 . Grade ? Sq. Ft. Approvals Fees Assessment _ Water & Sew. Police Fire Eng. Planner Council Permit sav. vV Surcharge 49.50 Plan check 215, , 0 SAC __535_O 0 Water Conn. 470.00 Water Meter 63-00 Road Unit 7f+t1 t10 Bldg. off. 10 30 841 Parks APC Total S2,012-5 Q Var. Date 2 on the express condition that nelPto Statutes and City of Eagan Ordinances. Building Official ALL CONTRACTORS MUST LICENSED WITH THE CITY OF EAGAN INCLUDE © SETS OF PLANS, © CERTIFICATES OF SURVEY S,F Dl(A- G7A? , Q SET OF ENERGY CALCULATIO S To Be Used -For: Valuation: 93,000 Date: OhlA. (D ?C Site Address: Lot:( Block:_?_Sect/Sub: {?viNt1= Erect: X ?- Remodel: Parcel #: Repair: Enlarge: Owner: _ Move: Address: _ Demolish: City/Zip Code: Grade: Phone #: Contractor: FileTh w Pz?c r Address: ?? ?YtiC(X?, I I??, Assessments: City/Zip Code: Water/Sewer: Police: Phone #: Fire: Engr.: Arch./Eng: Planner: Address: Council: Bldg. Off.: City/Zip Code: APC: • Occupancy: E-3 Zoning: f2 - I Type Of Const: Z ral M alibi mot.] on _ # Stories: Length: Depth: t? Sq. Ft.: Permit: q Q0 Surcharge: ¢y.Sc Plan Rev.: 215 °-° SAC : 52-5.°' Water Conn: eo.°- Water Meter 3.00 Road Unit: 2(oo .°° Parks: Variance: Q-21-9 y Se. ii•io /1? f ? No VArziAk? Gau.Co 8-14-54- 69915 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 ?R ?7o.oo G u-A" 1-23-03 New construction Requirements RemodeVRegalf Requirements Office Use Only 3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan _ Can of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if onsNe septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date- r Construction Cost? Site Address t r Off P .- r r nit/Ste # 6 L ?r/ U // Description of Work Multi-Fanuly Bldg - Y ?N Fireplace(s) _ 0 - 1 - 2 Property Owner 1-Zp A "Z-7 p Telephone # ( ) G s Contractor 444 L l?d? 't J r Af - _A4 ?2-3 7 4e Address ? e / City /??i , Ve 'c5j sue- fps ?o ? State Af/l/ Zip Telephone # (6.5/) J COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeor y 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilabo r:,? yrl}? New Energy Code Worksheet (J submission type) Submitted N I L' Submitted • Energy Envelope Cal Submitted AN 2 1 2003 Licensed Plumber Mechanical Contractor Sewer/Water Contractor 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. Applicant's Printed Name licant4Siature OFFICE USE ONLY Sub Types t ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex $? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move 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 Valuations Occupancy /?--3 MC/ES System Census Code 1-13V Zoning R-1 City Water SAC Units - Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width J - Footings (new bldg) - Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final 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 JACKSON - SURVEYORS '7, R[OIaTIR[O UHOSR LAW[ CW STAT[ Of MINM[,OTA 3619 EAST 96th STREET, MINNEAPOLIS, MN 55417 7273464 ' lbutbcpot'g dLertiticatc Scale: 1".40' a Denotes Iron 000.0 :Existing Elev. - - Drainage 6 Utility Easement --?- Drainage l-fin, I ------ , ----- ' to i r '? t u Ir l; -'A " N ' 211 i ? 14 I r SfDYY Proposed Canga Floor Ela 101.0 Proposed l/rst ).loot glav. t01.65 Proposed Baasmant Floor Blev. 94.65 C[RTIIY THAT TH[ AROV[ 19 A TRU[ AMC CORR[CT PLAT OF A $URV[Y O? Lot 1,Block 1,Brittany 7th. Addition, Dakota County,Minnesota. 9th. ugust 1984 A[ [U RY[Y[D eT M[ THIe--------OAT OPTA- A. D. .o0 •i 1 ? _zlo( Do.3 I L(?X14 z P1 V .L d Lo°?..ti l? ?PI I Zee 4 OI i \Of, a F. C. JACKSON. MINH[[OT?, OISTRATIOM, NO. 3e00 LOT: I BLOCK: SUBD./P.I.D #:N6M F M 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 k? ?L 651-681-4675 New Construction Requirements ? 3 registered site surveys showing sq. ft. of lot, sq. ff. of house and all rooted areas (20% maximum lot coverage allowed) 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 set of energy calculations 3 copies of free preservation plan if lot platted after 7/1/93 ? Rim Joist Detail Options selection sheet (buildings with 3 or less units) Remodel/Repair Requirements 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions L decks ?rK) CONSTRUCTION COST: DATE: ?rK) CONSTRUCTION COST: Name: TtIVN{/ If 1?11?! Phone#: T Last First DESCRIPTION OF WORK: YZ? - P,OO T If multi-family bldg., how many units? STREETADDRESS: vm 5oRG nntp W n X PROPERTY OWNER Street 5 City E7Ic-?hN State: ?40c)Q lod j Zip: Company: ?1?V ??? Y?11?G R Y I AJ.?_I NC Phone (area code) CONTRACTOR Street Address: a4 l o ?Yz?ll{'12 License # ),OC071 Exp. City 1?o5?\PIL?.? State: Zip: 5l) l ARCHITECT/ ENGINEER Telephone #: ( Street city Name: Registration #: State: Zip: Sewerlwater licensed plumber (if installing sewerlwater): Phone #: I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina ces. Signature of Applicant: OFFICE USE ONLY ° u 0 LK U U 1 Certificates of Survey Received Yes _ No DEC 0 4 TORO D Tree Preservation Plan Received Yes No Not Required o "I I OFFICE USE ONLY ? 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 (screened) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair ? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors ? 37 Demolish (Bldg)" ? 44 Siding ? 38 Demolish (Interior) Demolition (Entire Bldg only) permit - Give PCA handout to applicant VALUATION Occupancy Census Code Zoning SAC Units Stories Nbr. of Units Sq. Ft. Nbr. of Bldgs Length Type of Const Width INSPECTIONS REQUIRED Footings: New Bldg Footings: Deck Footings: Addition _ Foundation Framing APPROVALS Planning Insulation Final/C.O. Final/No C.O. Fireplace: _ r.i. Pool: _ ftgs Building air test _ final air/gas tests _ final MC/ES System City Water Booster Pump PRV Fire Sprinklered Windows - new/replacement Siding Stucco/Stone Roof: ice & water final Variance Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Park Dedication Trails Dedication License Search Copies Other Engineering Total: Tollefsbn Builders Inc, t 1 PIRG18TRMCO UNDER LAWS OF STATE OF MINNESOTA i JACKSON - SURVEYORS 3518 EAST 55th STREET, MINNEAPOLIS, MN 55417 Scale: 1" faYurlupor'g Certificate :40' e Denotes Iron 000.0 =Existing Elev. Drainage & Utility Easement -- Drainage lifO I: 1 Proposed Carage Floor Ele 1.01.0 Proposed First Flenr Kiev. t01.65 Proposed BBssment Floor Kiev. 94.65 727-3484 o - N N r ?M (\ N L Z- a' _ - y 9= -:S4 (I ??4jA1 I `- ;fAYy I HEREBY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT PLAT OF A SURVEY OF Lot 1,Block 1,Brittany 7th. Addition, Dakota County,Minnesota. As SURVEYED BY ME THIS---9th'-DAY OF August A.D. 1984 F. C. Or. 11551 188-12 o° Q V li 9p• ]N. No. 3600 w +? w Prc raf RoaF UEIL (R) VAL Q IWTEADo A19 FILM . bg 519' GYM` PD, -?? IrSULA?ION y5•. I'U'D- l j R = Z43'. TOTAL (R) _ '?I M (V,) VALU: ?z UiTEP•>oR Nit Flu1 ;.166 t3 51/71 WsULATlotr ' - I q G 2 FIR 'KIIJ ?DJGT i. !7 6 Z5/5' 13 FOIXT fjl a0h u r??;soNC[? s,plr4G •b7 .0 . EXj?Ri?R AtR FILM 1 O EXjGR;ofZ A1F FILM -IF-1 ' ?{STILL? ' --?_ _ nUti = ! jIz =? ToTAL (R)_ . , WALL (17,) VALU QQ IN IEt-tor- AIM fILM .6e? . Q 'le G( P.• W.• = . _ '.45 G) b ?10SULATIoN 5 %z)' I q NIA ?NITc S1DlN(x - 6-7 u Ex l Erlo; ASR FILM -1-7 tai-IC,. W -X. /. as O 1" ??Y!'??vAr'i ? Q_ E?;jE lqk AIR FILM • i7 nuu = l/R- &O!r -T31A.L (R)= ' (t?) VALUE ® IN -iEVAZ AITL FILM •bgj Floors over unheated spaces must have minimum R-factor of R-20 (tuck-under garages). Floors over outdoor air (overhangs) must gave a mininum R-factor of R-38. HINIHUM "U" VALUE AND R-FACTOR AT ROOF, WALL, RIN AND CONCRETE BLOCK PA-11 /J J-9':?SM 1 /J1,7 r-ri W 17iC,? "`: 4A'T LOSS CALCULATIONS DEPARTMENT OF BUILDINGS ,,w"`Wealhei5triq' ` Construction No. . Guide Windows Doors Reference Out. Wall Int. Yes-No I Yes- 0 19_ FI•I (36,,17- Room Length Width Windows and Doors-Crackaee and Area No. width of D•ne llelght of Dane No. of II it 1. Lin,. f . of crack Area ,p. ft. Coal Btu Infiltration Glass %? 400 Exp. wall +lOsA-4404 4fl$/5/74.?) '.j?3o 14a 3 `do78 Net exp. wall !> or z e6 44, a 3'7 3e? In I. wall 176x 7 /dOP o' 704/b Ceiling Floor y,3 k 4 1/ ! '5 "'5-676' Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ! FLT rA/, , c rf Room Length Width Windows and Doors-Crackage and Area No. -Width of Dane Nelght of Dana No. of light, Lineal fl. of crack Area p. ft. d/ a? <1 -7 Q Al X Coef. Btu Infiltration Glass s1N- 7S Exp. wall 61/+/) 1ti' ?? ? Net exp. wall / .. /079( Int. wall Ceiling IL J'< I < e7 S+ / 7 c1 Floor /.! r l GC. '7iA" Total Btu. 1 7:5 i? Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i FI.1K/reo,A,o Room Length Width Height Windows and Doors---Crackage and Area No. Width of Dane Height of pane No. of lights Ll...I fl. of crack Area .a. it, r A 7 14 1) 6 0 7?1 Coef. Btu Infihration apO[, 39 / v /JU ' S Glass /b 7S 7515 -Exprwall :'?; / t/a:: y: ,_.__._.;- - 9G ? Net exp. Wall _ CC 7 7 " 71 5 G / t' 9 n Int. wall Ceiling N /ad Y Floor Total Btu. 76 3 Required sq. it. E.D.R. or sq. ins. W.A. Leader area Kind 2 v 1z Room Length iws and Doors--Crackane VILLAGE OF BURNSVII Insulation How Applie Width Height Area Na Width of Dena Height of Da., No. of light. U ..- m of crack Area ". f. :a q 7 a 116, -- -2 L/ a? + Coef. Btu Infiltration Class //41a5 Exp. wall PL/ it r 3 1112e G Net exp. wall P37 G f'fa Int. WAD Ceiling ,w / r a a/ /a7 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.l Fovtt- Room ILength Width Windows and Doors-Crack se and Area Nd. w lath of Dana Helaht of Dana No. of light. Lincreeed ft of k Aral .a. ft 1 'G AOC v° G'? c10 CDtf. Btu Infiltration Glass ?.^na' aU /1v x304 Exp. wall Net exp. wall Int. wall Ceiling Tx 79 uO +? Floor II Total Btu. //COO Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1•1+HUA/a12,,RoctmlLeneth Width Height Wind owa and Doors-Cracka¢e and Area No. Width of Dan, Haight of Dana No. of light, Lineal fL of crack Arse p. fL one 6 x!o° IP CoeL Btu Infiltration Glass - Exp. wall (Zx / 7F Net exp. wall Int. wall Ceiling '7X / S rdJ 11 -<=d Floor Total Btu ? ? .; Required sq. ft. E.D.R. or sq. ins. W.A. Leader area IkAT LOSS CALCULATIONS DEPARTMENT BUILDI VILLAGE OF BURNSVI Weatherstrips ASHVE Construction No. Insulation Guirl Windows I Doors (' Refer ten ce II Out. Wall Int. Wall Ceiling Roof Floor I Kind Haw Applie Yes-No Yes-No 19_ Windows and Doors---Crackatte and Area No. Width of Pane Nel.ht of Dane No. of light. Ll...I ft. of crack Ana p. It. 2- Coef. Btu Infiltration Glass /a 7S 400 Fap.wall 14 f /? S cVyX Net exp. wall 3G 45, ! y /!p Int. wall Ceiling P7 Hei- pr- Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 &-, j;rr•;: Room Length Width Windows and Doors--Crackage and Area No. Width of pan@ H.Ight of pang No. of light. Lineal [l. of crack Ana p. ft, Coef. Btu Infiltration Glue Exp. wall /,t5 4- r?I/7, - - Net exp. wall Z? / x G z en g Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area _n FI.1 t fz-? Room I Length Width _ Windows and Doors-Crackaste and Area No. Width Of P•na H.I.ht Of pan. No. o[ light, Lln..l ft. of crack Area .a. ft. Coef. Btu Infiltration Glaze Exp. wall co 6, Net exp. wall t4G6 ( , ?] O U Int. wall Ceiling Floor Total Btu. ) yG'l Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 Fl.I A ;?, Room I Length Width Height Windows and Doors-Cracks to and Area No, Width of Dana Haiti "t of P.n. Nn. o[ II{hb Llo.al [L o[ crack An. w. fL 07' a L/ Coef. Btu Infiltration Glaze !G 7J /JO Exp. wall ,v7- Net exp. wall] 673.4 G 9 ? Int. wall Ceiling d 714e is Floor Total Btu. Required sq. h. E.D.R. or sq. ins. W.A. Leader area FIJ Room I Length . Width Windows and Doors-Crackage and Area No, Width of pane H.Ight of Dan. Nn. or I1.ht. Ll neat fl. of crack Ana q. fL l Coef.1 to Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room I Length Width Windows and Doors-Crackaste and Area No, Width of pan* Haight of p.n. No. of Il.h is Lln.l It. of crack An. p. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area vim. I I j 2/84 l CITY OF EAGAN i APPLICATION FOR PERMIT - SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: I.SS O S jJ ? L?1?2 y LEGAL DESCRIPTION: F?/T / -h41 c ti_i (I t/Block/Subdivision or Tax Parcel I.D. Number) IF {I T= :G STRCCT'j:tE, DATE OF ORIG IAL BUI. r,G Pte M Ir ISS?3Ai:C7 : PRESr :_ 3,^.'1I-NA;/P??OPOSZD US : ? 1 S-INGLE FP,111-Y ? R-2 DUPLE C (7NO UNITS) ? R-3 TOWNHOUSE (THREE + UNITS)( UNITS) ? R-4 APARU4ENT/CONDOMINIUjm ( UNITS) ? COMMERCIAL/RETAII/OFFICE ? ITMUSTRIAL ? INSTITUTIONAL/GOVERbII,1ENT 2) APPLICANT (PLEASE PRINT) ?-? NAME: / fJ<L-.F F sr sE U/L ?J ??Z ADDRESS: /(Obi /l CITY, STATE, ZIP: Z(pyyV //J/z) sj jyt PHONE: 3) PLUMBER =Al INT) NAME C ? FOR CITY USE ONLY : r? ? ADDRESS: PLU ERS LICENSE: In Active CITY, STATE, ZIP: 0 Expired " STB ?J PHONE,e?c3PLUMBER LICENSE N Q Not of Rec rd a Initial 4) OCCUPANT/OWNm NAMEADDRESS: CITY, STATE, ZIP: PHONE: (PLLASL PRINTJ 5) INDICATE WHICH PERMI IS BEING REQUESTED: ^^/CONNECTION TO CITY SEWER F3/CONNECTION TO CITY WATER 0 CYPHER (PLEASE DESCRIBE) 6) INDICATE ONE: 7) SI&-1ATURE: Ej PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 213,? ABOVE / (Circle one) ?? DAB ? /D z l ? ?y ??ts?atiww?.iri+s? rtR?:?.:+id e+f?aac?as riss:?a:a:aair??;a?rs?? a? . ?t KiCllt a'J?rsYA F O R C I T Y U S E O N L Y PERMIT n ISSUED FEES: $ ?U O $ $ $ $ $ S $ $ S SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER TOTAL / $ 7 /L1 AMOUNT PAID/RECEIPT # z z/ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE:` DATE: tsatw?:?i? otm fit!akm oLmwmmur!wow,aw vw:w Itwigf"" w.a wtwie won Ra mmws mw= ?W city of eagan 3830 PILOT KNOB ROAD, P.O. BOX 21199 BEA BLOMQUiST EAGAN, MINNESOTA 55121 Mayor PHONE: (612) 454-8100 THOMAS EGAN JAMES A. SMITH JERRY THOMAS August 14, 1984 THEODORE WACHTER CouricW Members THOMAS HEDGES City AomirJmotor MR CARL TOLLEFSON EUGENE VAN OVERBEKE City Clerk C/O TOLLEFSON BUILDERS INC 1655 NORWOOD DR EAGAN MN 55122 Re: Brittany 7th Addition Dear Mr. Tollefson: An investigation of this proposed development last week revealed that you have proceeded with the grading of this subdivision without the approved grading/excavation permit required from the City of Eagan. In addition, at the August 7 Council meeting, you requested authorization to begin construction of a model home on( Lot 1, Block 1, of the proposed Brittany 7th Addition. This letter is to inform you that no building permits, grading permits, public improvement projects or other related development action will be approved by the City of Eagan until we have been assured that you fully intend to comply with the ordinances, codes and requirements of the City of Eagan in completing your previous developments in accordance with the approved plans and specifications and that future developments will not create the problems that the City has been associated with in the past. Many times, we have brought erosion control requirements to your attention with little or no response to the City's concerns. The most recent storm of August 7 created a considerable amount of erosion and sedimentation within public right of way. we have not witnessed any efforts or been informed of any intentions of your firm to clean up this problem. The City has started to receive considerable complaints regarding this situation. Please be informed that the City does not intend to clean up the mess created by your development. Our easiest solution is to insure that no future development occurs which creates these problems. There are a considerable number of problems associated with your past development that must be resolved immediately before the City will proceed with any other action. THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY THOMAS A. COLBERT/CARL TOLLEFSON AUGUST 14, 1984 PAGE TWO I can't emphasize enough the sincerity of the City in insuring that you perform your development in a responsible manner. Your prompt and immediate attention to these problems will be appreciated by the City and will assist in our review and determination as to proceeding with future development. Sincerely, i homas A. Colbert, P.E. Director of Public Works CC.* Thomas L. Hedges, City Administrator Dale Peterson, Chief Building official Rich Hefti, Assistant City Engineer TAC/kf r . 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 In `? b 3 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Require ments RemodegRegalr Requirements 3 registered site surveys showing sq. ft. of lot, sq. it of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks I set of Energy Calculations Addfion - indicate if on-sde septic system 3 copies of Tree Preservation Plan 9 lot platted after 711193 Rim Joist Detail Options selection sheet (bidgs with 3 or less units Date / tq / ©tr Construction Cost -Pa- n?" Site Address /SS J SE2Ltl?p? (? Unit/Ste # ? tB M /'f Description of Work ()I L-1) 1A1G -'gr Multi -Family Bldg - Y Fireplace(s) _ 0 - 1 2 W Property Owner C I?E4 / ?CLE Telepho p ?J Contractor / t-?r A/1''r C7-t Z3 Address S? 3 A6 City l r 4F V -- COMPLETE Zip S5 It U Telephone # ((os?) Lt?-4 - 71 Y y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ 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 Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the informati is cof? and acc rate; that the work will be in conformance with the ordinances and codes of the City of 1 e o 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. n7 trf(1)06L T 7kLO Applicant's Printed Name OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool )K 30 Accessory Bldg ? 02 SF Dwelling ? 06 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_Yor_ N ? 25. Miscellaneous Work Types X 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 3 Occupancy S-I MCES System Census Code Zoning R City W ater SAC Units Stories / Booster Pump # of Units Sq. Ft. / PRV # of Bldgs Length 17 Fire Sprinklered Type of Const ?QL Width REQUIRED INSPECTIONS ,i? Footings (new bldg) Final/C.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other _ Ice & Water Roof Final Air/Gas Tests _ Final Pool Figs _ _ Framing = = = Siding Stucco Stone Brick _ Fireplace _ R.I. -Air Test -Final Windows _ Insulation _ _ Retaining Wall Approved By: Base Fee // Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector JACKSON - SURVEYORS REGISTERED UNDER LAWS OF STATE OF MINNESOTA 3615 EAST 56th STREET, MINNEAPOLIS, MN 65417 727-3454 huntpor'$ dCtTtili[att Scale: V" 40' s Denotes Iron g00.o =Existing Elev. _ Drainage & Utility Easement --?- Dre inage C, ,,NI'- I" ti ? Ilo 1 ? - \B v w ? uj L ?• 0 V N r IN ?\ ? ? ? ,? ZZ NL_ 2 a ml Proposed Carsgs Finor Ele 101.0 `_cf,ry- ?(?;?r? Proposed First Floor Elev. 101.65 Proposed Basement Floor Kiev. 94.65 CERTIFY THAT TN[ ABOVE IS A TRUE AND CORRECT IRLAT OF A SURVEY OF Lot 1,Block 1,Brittany 7th. Addition, Dakota County,Minnssota. As SURVEYED EY ME THIS-_th•-DAY GF August 1984 9 I p, 1.0 C I\ ?a I Z n Loa-La I j O \L Y 61- b i 1[ F. C. JACKSON. MINNt[oTw, -Gls'IMTION. No. 3600 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 (o - Telephone # 651-675-5675 FAX # 651-675-5694 <t tag. as New Construction Requirements Remodel/Repair Requirements Office -Use OnN 3 registered she surveys showing sq. ft. of lot, sq. it of house; and all roofed areas 2 copies of plan Pot? SuNey`kewiV ` N *ygN (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan ReW ';y t't 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks ''f?eeee P,resRe4q)reQ ? y : a I set of Energy Calculations Addition- Indicate If on-site septic system CSns eptic System'' =+ 3 copies of Tree Preservation Plan g lot platted after VIM Rim Joist Detail options selection sheet (bldgs with 3 or less units Date d 7 Construction Cost 5 ? ?o6ZT0 Site Address ?SSI SN?2WC1?+0 Ltlk f Unit/Ste # Description of Work Se?€f?t1 i`?6Q'lk? ?(jm) VPJDER CX1-m 1Js Per- Multi-Family Bldg _ Y V N Fireplace(s) _ 0 _ 1 2 Property Owner [UAEZ- /YL / dti1 L Telepho 6S-1 ) u(Cl S - I Y 91 L Contractor /(W5(- NSA Address SZ3S _ d LlNL (?0 City olle g'F?$ (.44E S Zip 5- (/ 0 Telephone # ( 6St ) 406 " 7 3 q y tate COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential ventilation Category 1 Worksheet • New Energy Code Worksheet submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( N if so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the in ation is c3ni lp qe d accurate; that the work will be in conformance with the ordinances and codes of the agar an e tate 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. m (t H&-( f-- 'F oxx Applicant's Printed Name Applicant's Sign. G OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex 22 Porch/Addn. (4-sea.) ? 17 Garage ? ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ( ? ? 18 Deck Jul 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 /C 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 4 QV Occupancy A-3 MCES System Census Code 3 y Zoning R I City W ater SAC Units - Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length /a Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) FinaVC.0. _ _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof Ice & Water Air/Gas Tests Ftgs Final Pool Final. _ Framing _ _ = = = Siding Stucco Stone Brick _ Fireplace - R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: _ Base Fee Building Inspector Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 5// W *urbtpor'o Catf fitatt lity Easement 14 N I o, I - Igo ?il? 1 20-A•. J ,L 2-2 _ `L 7 or Ele 1.01.0 r Et•v. 1.01 door Elev. 94.65 C AND CORRECT PLAT OF A SURVEY OF ------------------ ? j Permit #: Permit Fee: l_ Date Received: I I Staff: I I ----------------- RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: \ ? Tenant: Suite #: RESIDENT / OWNER Name: Phone: 6r,?V^AP5' A&o Address / City / Zip: Applicant is: Owner X-Contractor TYPE OF WORK Description of work: Construction Cost: L? Multi-Family Building: (Yes No CONTRACTOR ?\?`? License #: Name: 1 ???ti? Rte ! Address: F:b City: State.-NNCNA rson:L Y- 'eaA t P t Ph d " '1Z- C ` 2 on ac e one l ? , COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ 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'specificreasons that would permit -the City to . conclude'ttiat 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 Ea at 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 'th the approved plan in the case of work which requires a review and approv, lans. X ' X Applican' Prl fait Na A plicant's gnature \ Page 1 of 3 zx? cc" 40" City of Eatan 3630 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675.5694 -----------------I For Office Use I j Permit #: 733/ I I Permit Fee: I I ? Date Received: I I I star: i I =8 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 111 -110 - 8 Site Address: 1551 S1+elLwooD W Aq Tenant: M I C.1+#Q T}FO mJ 6 Suite #: RESIDENT/OWNER Name: Vv%I0_ VgC_L TVV*t.Src Phone: I0SI- r-IOS• egg(, +1r=?L"'.-.= WAY 12Z- Address / City / Zip: 1 S51 S _ Contractor Applicant is: X_ Owner _ TYPE OF WORK ( tion of work: C) Descri p Construction Cost: Mufti-Family Building: (Yes No CONTRACTOR Name: (!OfJSTi24C'r10?J INC. Lice nse#: ZO$Zt4 33 Address: `114032 lFXE0AkrINCE D121J4B 3tt+ City: EgEnl 1P1214161-1E State: 1'Vf-) Zip: ss _ Phone: (S,--9411 -10OI Contact Person: T2ENM S_T'Erc*.l COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 Minnesota Rules 7670 Category 1 _ _ Energy Code • Residential Vern ilalion Category t 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 be classified as non-public if you provide specific reasons that would permit the City to the information ma y conclude that the are trade secrets. 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances ano cones or The Ciry of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 1 11 x T2.'FN?' k. sml:-IIZN x Vl ? Applicant's Printed Name Applica 's SI nature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA178766 Date Issued:09/01/2022 Permit Category:ePermit Site Address: 1551 Sherwood Way Lot:1 Block: 1 Addition: Brittany 7th PID:10-15006-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 P & Michelle Thone 1551 Sherwood Way Eagan MN 55122--273 Bischel Building Contractor Services Llc 100 8th Street Farmington MN 55024 (651) 463-8762 Applicant/Permitee: Signature Issued By: Signature