1556 Sherwood WayPERMIT
City of Eagan Permit Type:Building
Permit Number:EA169884
Date Issued:06/14/2021
Permit Category:ePermit
Site Address: 1556 Sherwood Way
Lot:7 Block: 2 Addition: Brittany 3rd
PID:10-15002-02-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Jamison & Alicia Czech
1556 Sherwood Way
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
30 Pilot "nob Road
0. Box 21199
gan, MN 55121
SEWER SERVICE PERMIT
PFRAAIT kw %.
- -
.
1 agree to comply with the City of Seven
Connection Chome: 1 :?. tic) Pc -
425.110 pd
Ordineeees.
Account Deposit:
Permit Fee: ,.
• '' r c:
B
Y Surcharge: '
Dote of Insp.; Misc. C haroes:
Ins Total:
p.: Dote Paid:
TY OF EAGAN WATER SERVICE PERMIT
30 Pilot Knob Road PERMIT NQ.: 4 SF 8
0. ' ox 21199 ,
igan, MN 55121 DATE:
r. L
fining: No. of Units:
n !r:;on 'Builders
rner:
Site Address: -" - - - -
Number ,en-_ .Rvan um n: F.eatin
Meter No.: Connection Charge:
Size: Account Deposit: pd
Reader No.: Permit Fee:
?d
1 "me to aogly MMh the City of flieoe Surcharge* •, d r. ? t e r
ordiweeeee. Misc. Charges: .
Total:
By Date Paid:
Date of Insp.: Insp.:
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
AMOUNT $
DOLLARS
goo
CASH M CHECK
ri- if %-? . --4 e hT
FUND CODE AfA OUNT
Thank You
BY
/ White-Payers Copy
v Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN _
3795 Pilot Knob Read Eoyon, MN 551st _ 6210
PHONE: 454-8100
BUILDING PERMIT Receipt!
To be used for SF DWG/GAR Fd vniu. $135'.000 r,-#. July 8 a83
Site Address 1556 Sherwood Way
Lot 7 Block 2 See/Sub. Brittany 3rd
Parcel # 10 15002 070 02 j
W I Name 1olletson Builders,
Address 1655 Norwood Drive
b _ re?nn ?
Name -
A
s-
uU Address
t-
r'ifv
Name _
Address
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 Builders, Inc.
all work shall be done in accordance with all applicable State of Minnesol
Building Official
Erect j] Occupancy R-3
Alter ? Zoning R-1
Repair ? Fire Zone NA
Enlarge ? Type of Const. Vn
Move ? * Stories
Demolish ? Length 85
Grade ? Depth _ 48 Sq. Ft.
Approvals Fee:
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Counci I
Bldg. Off. _
APC
Permit ?4V. DU
Surcharge 67.50
Plan check 260.25
SAC 525.00
Water Conn. 4 Y) _ nn
Water Meter 60.00
Road Unit 250.00
Total $2133.25
on the express condition that
Statutes and City of Eagan Ordinances.
•dMG 'Ad
James
114M
:uo!lxool eq!j*ua JeteM
r PUId
oVAH leu!d
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James
•dsip
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B. S,L If -2V3G, bulgwnld
JePIoH 'ON ZIwJed •n!W JePIoH 3lwJed "ON l!&UJed
(Infift'ratr of (Orrupattry
Citp of (Eagan
39rpartmmt of Nuilbing Insprrtinn
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the Cur regulating building construction or use. For the following:
u.. CL.aGution SF DWG/GAR Was. Pew Na. 8219
- - R3 - - - - -- Vn NA 7....:- .... R1
ft:
September 26, 1983
offxw ?
° 1 Date:
I T IN A COM .V-s M CR
se.
Receipt ( PLUMBING PERMIT Permit No, i
-/ CITY Of EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly
1. Date 2. Installation Cost
3. Job Address Lot_, 14 , Blk. Tract
4. Owner
5. Contractor ,?-71 Phone 4, i - / • L
6. Address
7. City tale j Zip
8. Building Type: Residential Commercial ? Institutional D
9. Work Description: New ;a Add ? Alter ? Repair ?
10. Describe
11.
No.
'.? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
r
Drinking Ftn.
Slop Sink
r
Gas Piping Outlets _
12. 1 hereby certify that the above information is true and correct, and I agree is
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
Receipt MECHANICAL PERMIT Permit No. - --?
CITY W EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly
Tot. ?- • - ?
1. Date ` 2. Installation Cost
3. Job Address 5 L f ?' "`Loi / BW. c;2 Tract = t`c_J l
4. Owner ?? ?...i ..? _
t;
5. Contractor Phone 1 3 ' `?' `{
6. Address i " "T ti 17- j -t?• ?4
7. City State Zip
8. Building Type: Residential H Commercial ? Institutional ?
9. Work Description: New Add ? Alter ? Repair ?
10. Describe
11,
Type z
No. Equipment BTU - M. Ea.
Forced Air 7 1 No. Equipment CFM
Ai
H
Mfg. r
andling:
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 : t`: • 1 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 Brittany 3rd Addition Lot 7 Rik 2 Parcel #10 15007 070 0?
Owner Street 1556 Sherwood Way State Eagan, MN 55122
Improvement Date Amount Annual Years ?5 Payment Receipt Date
STREET SURF. 7 1982 3 402.61 5 L02-63 A015 96 4
-2-,85
STREET RESTOR. -
GRADING 1982 596.22 119.24 5 119.26 " It
.
SAN SEW TRUNK &10# 1976 143.11 9.54
:
4 47,71- it of
SEWER LATERAL Lbq- 1
1982
3aQ.10
66.02
5 7 .02
it
if
WATERMAIN
*WATER LATERAL 1982 5
WATER AREA 0 296,92 59.38 5
59, LO
Spryining * 82 5
STORM SEW TRK !05 1982 628,22 125.64 5 125.66
*STORM SEW LAT 1982 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250.00 36927 7-8-83
WATER CONN. 450.00
BUILDING PER. 821
SAC 25.00
??
Il
PARK
This request void -7 -aO
18 months from
W 090329
L7 F??, ?c? (?aKy 3?? 373og
0 49 -so
rtegpait-Jett: here No. Hougn'in ins "script'
^7 p R IreV ?Ready Now Will Notify Inspec-
1- 15i--A--!9 Yes ?No for When Ready
m Licensed Electrical Contractor 1 hereby request inspection of above
L?J{ Owner electrical work installed et:
Street Address, Be. or Route No. City
ecUOn No. Towns ip Name or No. flange No. Cou n^^ty
Occupant (PRINT) Phone No.
S I.e..F?
Power Supplier Address
EI trical Contractor (Company Name) Contractor's License No.
' 03
Mailin ddress (Contractor or Owner Makin ns tailaiion)
\
^ -
1
4L..Y...u?+
Authorized Signal r ntractar/O nor Mating Installation) Number
a
3&
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - it,,, N•191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
, 111 moo. -1 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001.04
.>
?njq? ?(?J ? l(((???J]}'/?Se,(`ej?? ins tractions for completing this form an back of yellow copy.
-"X Refow?) Pored by This Request 37 3 O
Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Healing
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm -r peel y the, (Specify)
t er Spew y •? I Dther
Compute Inspection Fee Below
k F Service Entrance Siza N Fee FeedersrSUfeeders R Fee Cirtuits
0 to 200 Amps 0 to 30 Amps FZ, 13D 0 to 30 Am
Above 200 AMps 31 to 100 Amps 47 31 to 100 Amp,
Swiniining Pool Above 100 Amps Above 100-Amps
Transformers Irrigation Booms a Perti e
Signs Special Inspection
$
T TA
Remarks L F?rE- J
r
Rough-in
inal
z
( Date
.
7 I?
D
I, the E ee)
Inspector. " here by
certify that the a been
inspection has Caeen
This request void 18 months from
CITY OF EAGAN N? $ 219
9795 Pilot Knob Road Began, MN 55122
PHONEi 434-8100 p
BUILDING PERMIT Receipt
To be need ter SF DWG/GAR Far. Vah.. $135,000 rl-'. July 8 .a 83
Site Address 1»u 011C1WVUU Way
Lot 7 Block 2 Sec/Sub. Brittany 3rd
Parcel # 10 15002 070 02
,e Name Tollefson Builders, Inc.
T Address 1655 Norwood Drive
r.., EaRan 55122 or.,.... 454-6873
F Name Owner
uu Address
CIL-
Name -
Address
I hereby acknowledge that I hove 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.
Erect %) Occupancy R-3
Alter ? Zoning R-1
Repair ? - Fire Zone NA
Enlarge ? Type of Const. Vn
Move ? # Stories
Demolish ? Length 85
Grade ? Depth 48 Sq. Ft._
Approvals Fees
Assessment _
Water 8 Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. _
APC
Signature of Pennittee
A Building Permit Is issued to: Tollefson Builders, Inc.
all work shall be done in accordance with all applicab State of Minne/se/t
Building Official . e p? 1--e
Pennif DNeDu
Surcharge 67.50
Plan check 260.25
SAC 525.00
Water Conn. 450.00
Water Meter 60.00
Road Unit 250.00
Total $2133.25
on the express condition that
and City of Eagan Ordinances.
o f i1O 4 I"1•Y OF FAAN Include 2 sets of plans,
f 1 site plan w/elevations &
J BUILDING PEFMT APPLICATION 1 set of energy calculaticns.
l?l???P "Fr Valuation Date Ca-1 I I? 1?1?>
4b Be Used For
site Address. 155'6 ' OFFICES Y
Lot Block _ a sec./sub. ?':,d Erect X Occupancy '
'
Parcel #: )(7 Soot 0-7b pa ??r zoning
Fire Zone
G Enlarge _ Type of Const.
Owner: Move # Stories
>><!
Address: De olish _ Front ft 3
ft.
City/zip Code: Grade Depth r?
Phone #:
APP gOg FEES
r , Prl ee T t( Assessments permit
S b
contractor: i4ater/Sewer surcharge tA-t
Address: I(o5 m'W?OC? ?V__ Police Plan Check ?o?v
City/Zip Code: ??JI Enge SAC dB
Water Conn.
Phone Planner Q Water eter Z sb?
?-
Arch./Eng.: Bldg. Off.
Address: APC
,
City/zip Code:
Phone #:
,?Ib? -3?16?nz-D2?an 1 ; $$3
7-8-83
/ROBE
ENGINEERING E PLRHHERS andaLAND SfUaVEYoflS
COMPRNY, INC.
1000 EAST 1461h STREET, BURNSVILLE. MINNESOTA 55337 PH 432'3000
AS BUILT SURVEY
Lag-91 Qejcrlg2 on: LOT 7, BLOCK 2, BRITTAA/Y 3RD qOD17-/0g
NORTH
SCALE'. I"= 2or
DAKOTA CouNTY, 1V)1iVAJ 507,,4
c
c
c
n
x
?g
1 mh
o
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?SoV DENOTES EX157IN6
ELEVATION
C975.o? DENOTES PROPOSE
ELEVATION
ZZl- FINISHED GARAGE
- 1 FLOoR ELEVATION
DRAIMA66 AWL)
UTILITY EASEMENT
511ERW0DD WAY - j
-r-
N 89° 29, //" 6-
5 89° 29, //" W
I hereby certify that this is a true and correct representation of a tract of
land as ¦hown'and described hereon.. As prepared by me on this 2-6nf day of
/nAP-cN ? 19 8? .
hk vl.q jU 4119196
Q
llinn. Reg. No. 1&065-
Tollefson Builders Inc.
A _ ?_JACKSON - SURVEYORS
Scale ; i" = 30'
& Denotes Iron REGISTERED UNDER LAWS OF STATE OF MINNESOTA
obo.a _ Existing E1.
--?-=Drainage
3616 EAST 55th STREET, MINNEAPOLIS, MN 55417 7274466
?ttt1K?+0['8 ICCLYitiratr
4 0
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I
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N all
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30
I HEREBY CERTIFY RAT THE ABOVE IB A TRUE AND CORRECT M-AT OF A SURVEY OF
- /?
L
Lot 7, Block 2, Brittany 3rd Addition,
Dakota County, Minnesota
15.? 5?1"oo& W*
As SURVEYED MY ME THIS 7th DAY OF_.ILLne A.D. 19d3
Or. 11431
183-70
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Proposed Garage Floor Elev. (b L,
Proposed Basement Floor Elev. to 2,6
Proposed First Floor Elev.
/D•a
Cities
ity Control
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ZO4.L.- _.?. .tr ?'? M. i ' :v•o'? ,Lt,.':? t'u:dJ) le. ..e t'M1 I..:
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651)675-5675
Fax: (651) 675-5694
--- ,
I Farr l$Sa ?
Isgaa
I Permit #: I
I --? I
Permit Fee: • 5b I
I
Date Received: APR 2 1 2009
I I
I
I ----------------
Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:- Site Address:
Tenant:
Suite #:
44
RESIDENT/OWNER Name: VOundOm Phone: ?OSI LOg?e I --? I?
Address / City / Zip: saikk as aXJmP-,a-,
S03
CONTRACTOR License #: n [u I
Name: i VV-
11
Address:, S
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(
: SS35o9
Ou Zi
t
1
-jQri St
p
a
e:
City: C
p
Phone: &ID f'
b '1 I U,?)- Contact Person: c'QSM
TYPE OF WORK ) New -Replacement Repair _Rebuild _ Modify Space _ Work in R.O.W.
Description of work: (Y t fiyl
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
(_ RPZ /-fl- PVE) (_ Main _ Lower Level)
Septic System _ Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $_50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge)
"Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of he City dr
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 pl
x -7tise" Lartw x a
Applicant's Printed Name Applira is Sign l ure
FOR OFFICE USE Reviewed By:f Dated
Required Inspections: _ Under Ground _„-;;Rough-In;_Air Test Gas Test ?Finat ==
v ?v
?D
RESIDENT OWNER
Name: VIVI 6 n i Phone: Los/ L fl 0
____Efilakan
Address City Zip: ,S31..Alt as
CONTRACTOR
Name: ca.! .n I ),(,,i'VL1�i License 0 Lot S23
Address: a s t S. siatb-y, LGI<Q. ,gi V_
City: UCall.Vi State: 1 Vl J V Zip: SS 35..
Phone: &ID. gth g I Ug Contact Person: \CL.S64
TYPE OF WORK
)C New Replacement Repair Modify Space Work in R.O.W.
Rebuild
Description of work:. e W rt .O j -P (ai.. )Yf in' I a ,.p t
PERMIT TYPE
RESIDENTIAL
Water Heater Water Softener
I Lawn Irrigation Add Plumbing Fixtures
RPZ X PVB) Main Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $165.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES
Date:
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
x Jit.Sov.
Applicant's Printed Name
x
Appli is Signature
Permit Sgga
Permit Fee: 50.
Date Received: APR 212009
Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address: I S?1O SV t� W
�oM CLA1
Tenant: Suite
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 pl
Eity of h
Residential Sanitary Sewer Service
Compliance Inspection
Date /
Name
1[
B
am
Time r< • pm
(--)
J 1/ f%/' Disk #
PID Number
House Number ) IT %� Street Name
Record Number
i
• �90 o.am
Time % • bf pm
Alternative Mailing Address Phone
1
Owner/Occupant Signature
Inspector Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Non -Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Obstruction
Unable
i
push past
feet.
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks 11 Entered S . at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
n
Transition
73
1%'f j
4" to 6"Transition:
Length of Service:
•Final Cleanout �� ;)
. 49
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Number Discharged
Notes
.,• ,� _c �:
Total
Correctly
Incorrectly
Unknown
4/2/1(71::11,..,./71
1
Sump pumps
1
�i
'lc T '3,
Foundation drains
..-_2,..,7,-)_+,,,,,, n .•
,,,,f -
Roof drains
-®
!f f4 •') -
`3 -�`t i l .C '
• , -
it ;),/, --4 1 a )vs i,../-'_=;' /-?,,,, pry /2�,
. 49
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1556 Sherwood Way
Lot: 7 Block: 2 Addition: Brittany 03rd
PID:10- 15002- 070 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Perm
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
closed without required inspection(s). Letter & correc
If there is no ice protection inspection prior to final, you must meet inspecto
acceptable in lieu of inspections.
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on notice sent to applicant on 5/8/09. (pf)
Owner:
Gerald E Vandam
1556 Sherwood Way
Eagan MN 55122
ith ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
$90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA086782
10/10/2008
ePermit