1555 Sherwood WayPERMIT
City of Eagan Permit Type:Building
Permit Number:EA112287
Date Issued:08/06/2013
Permit Category:ePermit
Site Address: 1555 Sherwood Way
Lot:12 Block: 3 Addition: Brittany 3rd
PID:10-15002-03-120
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Jocina Hammer
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
David Wenberg
1555 Sherwood Way
Eagan MN 55122
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Flier Knob Reed PERMIT NO.:
Eagan, MN SS122 DATE:
Zoning: No. of Units:
Owner: Tn 1 7 o c „on r .. -
Address:
Site Address: C rt T Y .• t . r i
Plumber. n: ,
110.00
1 62M to ooatehr with the Cw of r--_
WATER SERVICE PERMn
CIO ?GX14 PERMIT NO.:
3795 OF Pilot Knob goad DATE:
379
fa9en? Mtn SS122 No. of Units:
Y{ y,• r?T
rl2._Boil
Zoning: pi
-----------------
Or,rler:
address: ? c `.
Site /address' Connection Charge:
Plumber. account Deposit:
Meter No•: Permit Fee: 1
No.: M IA yen
to comply wab the Cihl
Surcharge:
MIS,. Chow -
Total'
Dote paid: -?
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
ReCe7VCD
19
AMOUNT $
DOLLARS
100
? CASH ? CHECK
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
?? cfl- BY
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt
To be aced for Est. Value Date _ 19
Site Address
Erect ? Occupancy
Lot Block Sec/Sub. Alter ? Zoning
Parcel # Repair ? Fire Zone
w Name
W
Z Address
oc
0
ou
?
u
r
Name _
Address
Nome _
Address
1 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.
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Length
Grade ? Depth Sq. Ft.
Approvals Fees
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total
Signature of Permittee I
A Building Permit Is Issued to: on the express condition
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
that
Permit No. Permit Holder Misc. Permit No. Holder
4E ?
V Sl
Electric O(o(o[5
Inspection Date Insp. Other
Footings ?-II-?
Foundation
Framing
Rough Plbg. `,$ l
Rough HVAC ' .?
Insulation
Final Plbg.
Final HVAC
Final J
Water Deswibe Location:
Well
Sewer
Pr. Disp. r
v.rrtifiratr of (?rruttnr
Citp of (Eagan
loppa ft Wnt of Ruitding 3twraim
This Certificatt issued Pursuant to the requirements of Section 306 of Mt Uniform Building
Code Certifying that at the time of issuance this Structure was in compliance with the variour
ordinances of the City regulating building construction or use. For tit following:
tb.ChMMMUo. SF DWG/GAR - 7758
RIA. P...:.tu.
rd
Dam: June 8, 1983
POST IM A COMMPICyCy PIACi
Receipt; PLUMBING PERI
CITY OF EAGA
1. Date - 2. Installation Cost
3. Job Address Lot
4. Owner
Permit No.
Fee
J S/C
Tot. y,
Tract ?<<
5. Contractor, 1 / /mod n,. Phone ` .z- = - // 5-'1
6. Address
7. City State Zip
8. Building Type: Residential O" Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Dr
i
field
Bath tubs p
a
n
Septic Tank
Lavatory Softne
T
Shower r
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
&L-- -
Receipt. MECHANICAL PERMIT Permit No.
' CITY OF EAGAN
Fee
fill in numbered spaces S/C
Type or Print legibly
Tot
.
1. Date 2. Installation Cost
3. Job Address Lot ?'--Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
B. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New IT Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Equipment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
dli
:
H
Mfg. r
an
ng
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
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
Addition g_ri ttany 3rd Addition Lot 12 Blk 3 Parcel #10 15002 120 03
Owner ?71 r jl1 i_ f Street 1555 Sherwood Way State_ - Eagan, MN 55122
`-'
t (1 Lill
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. (al 19 82 2013.03 402.61 5 gns-2i A011118 11-4-RI
STREET RESTOR.
GRADING 06 6 1982 596.22 119.24 5 238-50 Amin 11-4-83
SAN SEW TRUNK a0 1976 143.11 9,54 is 57.24 A013138 11-4-83
-
*SEWER LATERAL 1982 3830.10 X6.02 5 n32 - n4 A011118 11-4-81
WATERMAIN
*WATER LATERAL 1982 5
WATER AREA (0 1982 296.92 59.38 5 1 118-76, A01 11 -18 11-4-RI
* Services 1928 5
STORM SEW TRK (0r 1982 628.22 125.64 5 251-30 A013138 11--4-.83
*STORM SEW LAT 1982 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 240.00 06 1-12-8
WATER CONN. 420.00 Ir IT
BUILDING PER. 77519
SAC n IT
PARK
CITY OF EAGAN _ t 1S o
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PHONE: 454-8100 y •,
BUILDING PERMIT Receipt #
TO he Used for I Est. Value U nnt. J Zil': i, c n :.
WAY
Site Adds
Lot Block Sec/Sub. 1 , t
Parcel No.
5 Name C)''.t?'.: !.? i i=.0;iEil-i
Address `;
b City Phone 454-1371
A Name 'Ak
Bu
Address
rite Phnnn
Name
City
I hereby acknowledge that 1 have read this
the information is correct and agree to c
State of Minnesota Statutes and City of
Signature of Perms"oe -"" . '
A Building Permit is issued to. if: `
all work shall be done in accordance with
Building Offkial
cation and state
with all applies
i Ordinances.
plicoble State of
Erect 131 Occupancy _
Remodel ? Zoning
Repair ? Type of Const.
Addition ? No. Stories
Move ? _
Length
Demolish ? Depth
Int Impr. ? Sq. Ft.
Assessment Permit -' '
Water b Sew. Surcharge '
Police Plan Review
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off. Tr. PI.
APC Parks
Var. Date Copies
Total J
an the express condition that
Soto Statutes and City of Eagan Ordinances.
? _
•
? s
'?
ro
e
s
O a
v
? ?
_
s
m
z
? g
? io
3
a
7 g
?
M g
-
M ? ? <
? <
Q
O
O
r
7 7
T
7
This request void 3? 1 L12 t V ?C t 4}-Q vl r? a q `v s l
18 W 066155 4f? i s°
Request Date Fire No. Rough-in Inspection
R fired? Ready Now Will Notify. Inspec-
Ye_s ['jMq tor When Ready
Licensed Electrical Contractor I hereby request inspection of above
Owner electrical work installed at!
Street Address, Be. or Route No. Cit
ect o e. ownship ame or No. Range No. our
Occup nt (PRINT) Phone In.
wer Supplier Address
E s[ri cal C tractor I o n V amel
fv' j Contractors License No.
I d 3 -
ling A ress 1
v 1 ra'or or Owner - . Insta=lation
``i\ \,?\J-?,l,i(,J\
Authorized Sianatur e•-ILmICactor/Owner Makina Idslallation) Phone Number
ESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Bldg . -Boom BE ACCEPTED BY THE STATE BOARD
t. Paul. 9MIN 1 66t 04 UNLESS PROPER INSPECTION FEE IS
FNrtnSFn
REQUEST FOR ELECTRICAL INSPECTION
' See instructions for completing this form on beck of yellow copy.
V nn?? i 5
"
X-j ae? I ' or? Covered by This Request
`« ER-00001-04
zq (05`?
Add Rep. Type of Building Appliances *,,ad Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Conditioner Bulk Milk Tank
Farm 2ci v
W Other ISoocifyl
[ er peci y it Other
Compute Inspection Fee Below
N oe Service Entrance Siza N Fee Froders/SUbfeaders N Fen_ Circuits
_ 0 to 200 AMPS 0 to 30 Amps ° 0 to 30 Amps
Above 200 Amps 31 to 100 Amps 31 to 100 AMPS
Swimming Pool Above 100-Am s Above 100-Amps
Transformers Irrigation Bourns
r Partial-"Other Fee
Signs Special Inspection S
Remrks AL FEE
v
certify that the abov
D?;e inspection has been
6 i made.
This rammat vole 18
CITY OF EAGAN
9795 Pilot Knob Read Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
DWG/GAR
Site Address i.-)D3 bnerwooa way
Lot 12 Block 3 See/Sub. Brittany 3rd
Parcel # 10 15002 120 03
000
vo 7758
12 to 83
Erect 0 Occupancy R-3
Alter ? Zoning R-1
Repair ? Fire Zone NA
Enlarge ? Type of Const. `F
Move ? # Stories
Demolish ? Length 50
Grade ? Depth 52 Sq. Ft.-
Approvals Fees
W Name Tollefson Builders, Inc.
z Address 1655 Norwood Drive
--- .?, coon
J u Name Owner
Address
Name _
Address
I hereby acknowledge that 1 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: Tollefs0 Buildert;-
all work shall be done in accordance with all frd blic ble State ofArtir
Assessment Permit 433.00
Water & Sew. Surcharge 50.00
Police Plan check216.50
Fire SAC 525.00
Eng. Water Conr420.00
Planner Water Meter6f)-nn
Council Road Unit 940.00
Bldg. Off.
APC Total $1944.50
on t he express condition that
?sota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN W° 10 4 6 8
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454.8100 3 d
BUILDING PERMIT Receipt # o
Te M sad far DECK Est.volue $3,500 Dote JUNE 25 19 85
Site Address 1555 SHERWOOD WAY Erect 17 Occupancy
12 3 BRITTANY RD Remodel ? Zoning
Block
Lot S c/Sub. R
i
? T
epa
r ype of Const.
Parcel No.
Addition ? No. Stories
DEAN L JENSEN Move ? Length
Name Demolish ? Depth
Address SAME Int. impr. ? Sq. Ft.
City 454-1371
Phone Install ?
SAME Apprwak Fees
g Name
` Address
C
L City Phone
t?
„W Name
G Address
u
W City Phone
1 hereby acknowledge that I hove read this application and state that
the information is correct and res to cam I r with all applicable
State of Minnesota Statutes a ry of E g dinances.
Signature of Permittee I
A Building Permit Is issued 4:i DEAN K JENSEN
?a pplimble St of Mh
all work shall be done in accordance with
Building Official
Assessment _
Water b Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. 6 / 2 4 / 8 $
APC
Var. Date
Permit
Surcharge _
Plan Ravi"
SAC
Water Conn.
Water Meter
Road Unit _
Tr. PI._
Parks _
Copies 5
Total 6 . 5
an the express Condition that
and City of Eagan Ordinances.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGA
AGAN MN 55122
651-681.4675
New Construction Reoulremenffi
• 3 registered sile surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20%. maxknum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan ii lot platted after 7/1/93
• Rim Joist Datail Options selection sheet (bldgs with 3 or less units)
DATE
SITE ADC
TYPE OF
APPLICANT ?' r X D
AULTI-FAMILY BLDG _ Y - N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS '?qY DY/C?Gt IiOl?t- CITY?STATEA)AP- ))?
TELEPHONE # S -$S7 CELL PHONE # `o I L>691 276 -7 FAX #
937
PROPERTY OWNER ?l? ?Jr ?.?Jenh? 9 TELEPHONE# c?-57 11y32
---------------------------------------------m-----------------m---------------------m---------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ---
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Fee: $90.00
Fee: $70.00
Phone # °?..
----------------------------------------------
I hereby acknowledge that I have read this application, state that the information is rrect, and a?tg t_a_corhply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanc y--
Signature of Applicant
.... ----_.................. -._......------------------
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
Remodel/Reoafr Requlremenffi ?- f
• 2 copies of plan
1 set of Energy Calculations for heated additions
• Isite survey foremerloraddillons&docks
Indicate t home served by septic system for additions
VALUATION -X60. (jD
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbgyour_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - 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 INSPECTIONS
- Footings (new bldg) _ Final/C.O.
Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation HVAC
Drain Tile _ Other
Roof - Ice & Water _ Final - Pool _ Ftgs
Air/Gas Tests Final
_ Framing _
Siding
Stucco
Stone -
_ Fireplace - RI. -Air Test - -
Final _ _
_
Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
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
Building Inspector
Copies
Other
Total
Slrl i
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
? ?s.5d
Date l l /(?/ U 5
#
Site Address Unit
, Q
l
Property Owner %- t? C ??? ?Y) Telephone # ? p% UL U) 5
Contractor ?J 1
-,con L
y p (( I ]? ?l?
Address tl? ?rI l,t a ?a fl S? l1 nI City -1 ?Ldid ! \
State Zip ?I Telephone l(15
The Applicant is Owner Contractor Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed - $121.00)
Other:
RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Water softener Water heater [ Il
replacement - additional TL
? A, 9 1 ?tt r$ 15.00
'1'
11 .... ---
I
j
State Surcharge
$
.50
_
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that me work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of pt ins. N
Applicant's Printed Name Ap icant's Signet tre
L 1 -? BBL qI CITY USE ONLY
SUBD. ?AV1 r J
RECEIPT#: 1320 I /
RECEIPT DATE: 6-15-vG,
PERMIT # lid sa
2000 PLUMBINfi PERmrr (it mENIIAL)
crrY of EAGM
3830 PILOT KNOB RD
EAG". MN 551 E2
651-681-4675
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
civ lInca FArI4
TOTAL
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tra 3.00 x = $
Lavatory 3.00 x = $
Septic System new7refurbished 'requires MPC Ilc. 75.00 x = $
Se tiC System abandonment 30.00 x = $
RPZ new installation/repaidrebuild 30.00 x = $
Rough ape in 1.50 x = $
Shower 3.00 x = $
Underground srinkler if dwelling is under construction 3.00 x = $
Underground srinkler If existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x -- _ $ 73 06
State Surcharge .50 -> -> ----> $ .50
Total $ . D • 5c
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
ordinances.
I hereby acknowledge that I have read this application, state that the information is correct, and agree i6 comply with all applicable City of if
Il 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/right-of-way/easement.
SITE ADDRESS: n 1 ?5 SO " "
OWNER NAME::??Jf { L1 ?C TELEPHONE #: ??' OJT C.IS?tI )
(AREA CODE)
INSTALLER NAME: ?xY
STREET
CITY:
L BL 3
SUBD. ,n `')4 i l4 v ,
Ia 0-1
CITY USE ONLY
RECEIPT#:
RECEIPT DATE: /-10-00
PERMIT# C1 -J O S
2000 PLUMBING 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
> backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished • requires MPC ilc. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installation/repair/rebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler If dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener H dwelling under construction 5.00 x = $
Water softener If existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge .50 -> -> -> $ .50
Total -> -> -> --> S
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
Ihereby acknowledge that I have read this application, state that the infortnatikiri is cortect, 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/right-of-way/easement.
SITE ADDRESS: AZ-V /! lac- wt 16- l
OWNER NAME:: DArl15ir/ TELEPHONE #44,5-7) 153-0770
(AREA CODE)
INSTALLER NAME: KGT' /?r/.T f TELEPHONE #: IO?Z,? oJ^
STREET ADDRESS:
:1t
CITY: /'?iiZtmu 7 STATE:
ZIP: 6TVV/
SIGNATURE OF R RMITTEE
CITY OF EAGAN
BUILDING PERNQT APPLICATION
F**a.ir
rnlarge _
hove
Derolish _
Grade
To Be Used Fbr - Valuation 10 01 "D Date
Site Address
Lot 1A_ Block Sec./Sub. Q cnl r tk7ect ?_
Parml Io 1500a Alter
Qineri G?1 .
Address:
City/Zip Code: ?z .??'ia?.
Phone Ff7_9
.
contractor: 6 ,'?n x,
Address;
City/zip (bds:
PhOns
Arch./&q.i
Address:
City/Zip Code:
Phone #:
Include 2 sets of plans,
1 site plan w/elevations L
1 set of energy calculations.
OFFICE USE ONLY
occupancy 13
Zoning
Fire Zone
'type of Const.
# Stories
Front ft.
Depth ft.
APPROVALS FEES
Assessments Permit y33
Water/Sewer Surcharge ?
Police Plan Check
Fire SAC S.2s
Eng. Water Cann, Vpo 01
Planner Water Meter /no
Council -z/- i4k3ad Unit 9-911 joe-
B1dq. Off.'
AEC
7WAL I C
A
Tollefoon Builders Inc.
JACKSON - SURVEYORS
REGISTERED UNDER LAWS OF STATE OF Y
f
3616 EAST 55th STREET, MINNEAPOLIS, MN
fourbtpor's ?rctiticatr
Scale: 1" 40'
`
a = Iran
000.0- Existing Elev.
--? Drainage
-- - Drainage and Utility Easement
iI
?I
I
proposed Garage Flag Elev. l
pr3p?srd First Fl3:1r Elev. IOLd
Propnsed Basement Flaar Elev. 92.3
Or.11371
183-76A
4
7273484 I "r 7 . l ?
I I 1
? 11 I
i
l
?r
i
I I ??
I
i
I(
• I `I
0
I
0
90 \9Y ' I
1 HEREBY CERTIFY THAT THE ABOVE IB A TRUE AND CORRECT FLAT OF A SURVEY' I ,
f, .
L.t 12,Black 3,9rittany 3rd. Additian"j
Sakota County,Ninnesata. r\
7th. Jan
AS SURVEYED BY ME THIS-_-----DAY OF..-_.-
I
1983
F. C.
No. 36M
Cities Digital
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.
.111 ? t 'I n? M ?Al; AN '
,v ?y, 1 J/s?J? -k -: ill i i { i air ?. r w 'f' ?i
rte' ' f >• /' r. , Y t r ..
err
rr7unn. R.4n ?:??l?1 t?hoze .Ea 31-118;
PI All U mm
.
M, ONE
IF.?C3 0_ Fi.OF:'?.; :•' L.0? n-0rr; ?1?11ipEQTi P9TL3
L7 ?;._t;.c? r r?:n r_? +,e? un c?:arUs . ire
rz? OP r7 r- vI:- I1vn.I,?, i 3 ?I c o
%7AL sf j,. 1'_e oil T^n0 i`T3 [T;L?xf ?l?`<?n ;: C1 - •.
70T &. Win, IMe .?? ,gin C? f"' i x.31
Ii F3 C a < p ra fi
L IR DAM
^Oi9L. Sqw Fie C
Lill. w J 'oTr,1`a
?"I?I; 07 Ir UL n l I(TI I% 1W.f r, . P, n r
T 1 o TI?ICF.
rite' V:1! Ti"
' 1
ZFi; C? I?`UL?4nl^7 III C'37Ln, T?LV.11 r C,.
rR^ ?P.+1La1T ? i' :'ir
T-13 C'7
41 ?
ti
1 1•, t
h
• C
? ?
l + 1
1 ??
?r ?.
f
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
i SET OF ENERGY CALCULATIONS
To Be Used For: ?ECKs Valuation: GO, p o Date:_
Site Address: lJSjrSffERelorlD L[74 OFFICE USE ONLY
Lot: )- B1ock2- Sect/Sub Erect X
Remodel
Parcel # 3 1 Repair _
Addition
Owner A,6 L, TESxA) Move
Demolish
Address /J55,:5- 56169W0100 444Y Int.Impr,
Install
City/Zip Code 4F,4G? MN g5/a?a __--------?.
Phone ^l3 - f APPROVALS
Contractor
Address
City/Zip Code
Phone
Arch,/Engr.
Address
City/Zip Code
Phone #
Occupancy
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
FEES
Assessments Permit ?-4•5-?
Water/Sewer Surcharge 2,°°
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council d Unit
Bldg Off -,t Treatment P1
APC Parks
Variance Copies
TOTAL 7?-?--
c ° ' S
Sys CEDA4{ ?.xK D?ccr
nrv-3 r,r;
Talsrs :L- 0-C -
BEAMS
Pas
C"vrJ4 344
Qorriaa? BOLTS 5? 4
Fd t-? rte of a 4,
i3 of^ .?
tAtTi?F?C.. / / FaaT A
l i 4
`. j COWCR&`TL'? b
l.taGcK I.Ottr EOLn-0
TD mouse
Tatsrs A?f??CHED 34
Iv c.66&C--R wi„a J?
?,o, s T rt ?+ NGr..¢s 3?
V os+ . s rAm - dais
7 --to
.34" ?'^T;
STEP
a a.c.
. ,y
r?
??. 14
a 8t'ArnS
r =
a.
y
?y r•Wg? ? x , ?? •n c
x "St3"' t -: x
.? S It L .n ?.k t, ^'?-.Ib? • Y: .J.
--
,
?
.t
'`?._ .
"f_ _
is
77
1123n Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 6755694
- - -------------
+ Foria`rie vs
j Pertt #: I t '
Permit Fee:
I I
Dale Received:
r Staff:
--------------
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
z;.«. -1 • 60 - LJ) 7 ?iiL :Address:
Tenant:
Suite #:
RESIDENTIOWNER Phone:No5j' (GCII -PP:
W Ylh
?
Name: 1?6tfl
wl
-_I 1
'
I_
1
Address / City / Zip: 15./75 "7" 1G?(,I.?LCX,I Ul??. V
Applicant is; 4- Owner _ Contractor
TYPE OF WORK r
?
Descriptiun of wink. Re
//
f
-v
Construction Cost: ( ?-i.ow Multi-Family Building: (Yes _ / No/
-)
CONTRACTOR 2
Name: O License #: G V3
Address: 4 &(n e
City: Tagr(Q Me f 044 State:AAI_Zip: 5!?0g1o
Phone:11061)gjq-9n)0 Contact Person: -I nff_h
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
(+1 submission type) • Energy Envelope Catwlations 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:
t
NOTE., Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classed as non-public if you provide speck 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
rt without a permit; that the work will be W.
Eagan; that 1 understand this is not a permit, but only an application for a peril, V
acco ance w ith thapproved plan in the case of work which requires a review and ap xkl C,ka,,r( l ??Aylllew
s Printed Name A e
Applicant
Page 1 of 3
li~~~(~1 t Permit#' I 1 l/
if Permit Fee:
"O'n Oil^# Knnh Pond
Eaqan MN 55122 Date Received:
Phone: (651) 676-5675 l
Fax: (651) 675.5694 t staff:
t
- - - - - - - - - -
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
`.aic. 7 O q .;ii. Acidres''s:
Tenant' l-,~JL~?,-..b ~a Suite
77
RESIDENT /OWNER Name: V c yi V9 / Phone: (lob1) (~A'JI -A/JJ
Address / City / Zip: 15±5 1 " /~tk)O /a V
Applicant is: Owner Contractor
TYPE OF WORK Descrip iun of wuck. 'e r( 4
Construction Cost: [ I, Qt,U Multi-Family Building: (Yes / No, )
CONTRACTOR Name: He - /j License _L - O r (C3
Address: `f t i tT enVe
City: _L~t )ye ()'we ~Gi State: Zip: _ _
Phone: (bb 0+5 "J 7 Di C) Contact Person: -4
I 1- J¢ nflPi'T
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category I Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(I 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 maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they 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 ,
Eagan; that I understand this is not a permit, but only an application for a permit, an is not to start without a permit; that the work will be
acco ance with the approved plan in the case of work which requires a review and ap ova f tans.
x F k Yet H-e-ykYlle"
Applicants Printed Name A plicant's Signature
Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1555 Sherwood Way
Lot: 12 Block: 3 Addition: Brittany 3rd
PID:10- 15002- 120 -03
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
David Wenberg
1555 Sherwood Way
Eagan MN 55122
$88.50 0801.4085
$1.50 9001.2195
Building
EA078399
06/20/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1555 Sherwood Way
Lot: 12 Block: 3 Addition: Brittany 3rd
PID:10- 15002- 120 -03
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
David Wenberg
1555 Sherwood Way
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA079712
09/11/2007
ePermit
- Applicant -
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.
Issued By: Signature
♦ Use BLUE or BLACK Ink
r
For Office Use
I
Permit 1 o;W
City of Ea
Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: U 3 3 ;
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
~ I
I
- - - - - - - - - - - - - - -
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
x
Date: Jr Site Address: Is= 5ifWLOC$3 ky" Unit
Name: Phone:
I Resident/
Owner Address / City / Zip: - I~" SWIKLI 00
Applicant is: Owner Contractor
Type of Work Description of work: _ An-unno.,~r -F%\,;S&-k
Construction Cost: Multi-Family Building: (Yes / No
s Company: L1.r3~. l~c9ti ~t3+IL,S'-~GriJ Contact: Coe-t-r-
1 r o
Contractor Address: q 1030 1 1 i1 ~ /4"C; City:
State: _Mk 1 Zip: 531&0 Phone: l z - ,20o-7[ '7 r
License kloc>34-1$ Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
DNSW~~i Kx-,wt_-6)o U,~-no LxxAK, C( 'EAMn
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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.
xnn~.wc`S x
Applicants-Printed-Name App icant's-Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE it
l
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Multi)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of _ Plex Lower Level Pool Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation I Z! 2.0 Occupancy MCES System
Plan Review Code Edition s-nh Zp6'7 SAC Units
(25%, 100%) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction P5 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
y' Framing Siding: -Stucco Lath -Stone Lath -Brick
_ replace: Rough In 'Air Test r Final Windows
' Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By:(~ I Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review Z
MCES SAC I / y o
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:EA111077
Date Issued:06/11/2013
Permit Category:ePermit
Site Address: 1555 Sherwood Way
Lot:12 Block: 3 Addition: Brittany 3rd
PID:10-15002-03-120
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fixtures:shower,vanity,stool
Mike Schiltz
P.o. Box 22172
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
David Wenberg
1555 Sherwood Way
Eagan MN 55122
Hessian Plumbing Services
Box 22172
Eagan MN 55122
(651) 681-8252
Applicant/Permitee: Signature Issued By: Signature