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1568 Sherwood WayCITY OF EAGAN SEWER SERVICE PERMIT 3745 Pilot Knob Read PERMIT NO.: TE MN 55122 Eogra : DA , Zoning: No. of Units: 3. Owner: Address: Z ZT _ ; ; Site Address: Sl.en.?t L L-,. - Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: B Misc. Charges: y Date of Insp.: Total: I : Date Paid: nsp. CITY M 1AGAN 3745 1, Hat Knob Road Eason, MN 5512 WATER ? SERVICE PERMIT zoning; PERMIT No.: Owner. • _ PATE; Address: ? No. of Site Address: , c Units: Plumber: Meter No., - Site. Reader No. • Co nnectio f a9roe to aonrAccount on Charge; ?+lin Ply w6h Deposit: o.4M the city of Eagan Per?nit Fee: By Surcharge: Date of Insp.: otgl. Charges: Dote Poid: Insp.. CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 RIECILIVCD DATE AMOUNT $ I 19 DOLLARS IDo ? CASH ? CHECK White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: I` 1 N'a 3830 Pilot Knob Road Permit Number: 1, Ott Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I if I ;' I !' I,1'u, 1 APPLICANT: pit 01401111 &JAY I ; I ?011 M 1 11141.R'U!. i 1 1??Pli ckl? (.•i 1 ' •' 84132 PERMIT SUBTYPE: . I. • f TYPE OF WORK: 41 11 f. N(I t l1!?!' b 'Rr 11100F 1. 1 NA Af SCRIP110" INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. c f! l!! :. l I i!h.l I r:.;l PrMANK.S: SUPARATU PFR14TI`; REQUIRff1 FOR ANY ELF CTRICAI OR 1>1IIM11110i WARM ! ? Z' R e Permit No. Permit Holder Date Telephone M ELECTRIC 040 CFO PLUMBING /?1?5?r1G ?GG? Q57 HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL 2_1p_A' / !! 6 GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 6795 Plbst Knob Road Eagan, MN SSW l ? 4 t23 ' PHONES 454-8100 tD BUILDING PERMIT Receipt # To be wed for Est. Value Dote 19 Site Address Erect 0 Occupancy Lot Block Sec/Sub. Alter p Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. W Nome Move ? # Stories Address Demolish ? Length b City Phone Grade ? Depth Sq. Ft. Name Approvals Fees ~ Address Assessment Permit ~ city Phone Water & Sew. Surcharge Police Plan check Name Z Fire SAC ,tq Address Eng. Water Conn. <W city Phone Planner Water Meter Council Road Unit 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit Is Issued to: on the express condition that all work shall be done in accordance with all applicable State of Minne sota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing 2-q-l!5 EA.Z-F- 4.1 H.v.A.c 3i (95 ?< <, ,, ?, Wall Water Disp. Ssvwr Electric ? /i G 7 L l W Z ? C+ C E- C ?L g-(D R'Z r w3Ss?to I! Inspection Date Insp. Other Footings Foundation Framing F Rough Plbg Rough HVA Insulation Final Plbg, _ f (?J Final HVAC G Final ?.a Water Describrl- e Location: ' Well Ll.? y -era / G Sewer Pr. Disp. ?? citp of (Cagan .? ?. firpubmt of suilb-mg rrtim Tbis Cirti ficatt ittrad pxrnAow to the njuke mmi of Section 306 of the Uui f om BOWing Cede certifing tha at the tim of iimommr tbir strxaxn woe in toutpliame wub the sabot ordinauaet of the City regulating b Mixg construction or use. For the follauiug: w.a.recal. SF DWG/GAR ny.r..ANO. 7433 O-P-W'rYr R3 ?Yrc ro. V rN 7- NA zap Dwda P-1_ 1?&= Novesber 8, 1982 &AkmfflflkTd AA_ Dow pow w • cFNGaPOW fLA= 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 -:of I Blk. Tract 4. Owner 5. Contractor ;,r- Phone ti 6. Address r 7. City State Zip 8. Building Type: Residential M Commercial ? Institutional ? 9. Work Description: New 13 Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai Handli Mfg. r 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 464.8100 Receipt PLUMBING PERMIT Permit No. • CITY OF EAGAN Fee Fill in numbered 4was S/C Type or Print legibly Tot. ' ' 1. Date 2. Installation Cost 3. Job Address Lot Blk. - Tract J 4. Owner < < = A 5. Contractor Y J 'J Phone , j 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 C l/D i fi l Bath tubs esspoo ra n e d Se ti T k Lavatory p an c S f Shower tner o W ll Kitchen Sink e Urinal/Bidet Oth Laundry Tray er Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets l " 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 Rri Ytany Srd Addition Lot_ S Blk Owner Street 1568 Sherwood Way Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. (vtol 1982 1003.03 402.61 5 1207.83 A013521 2-6-84 STREET RESTOR. GRADING 1982 596.22 119.24 5 357.74 A013521 2-6-84 SAN SEW TRUNK 30 -Y' 1976 143,11- _ _ S 5 66.79 A0116 12-7-82 *SEWER LATERAL 1982 _3830,10 5 2298.06 A013521 2-6-84 WATERMAIN *WATER LATERAL 1982 WATER AREA 134 1982 296.92 59.38 5 178.16 A013521 2-6-84 * Services 1982 5 STORM SEW TRK 1982 628.22 125.64 5 376.94 A013521 2-6-84 *STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 240.00 nm8 8-c)-82 WATER CONN. 420.00 BUILDING PER. SAC 525.00 n n PARK / /. G OFFICE USE ONLY This request void 18 months hom wlida ion dale rinsed in is box. Y / / Pill I III III?(II II III IIII IIIIII IIIII L II I ? 13 4 0 9 5 ? )evo 5 3 5 * T PLEAS YPE Rgquno Dale Rough.in inspection required? es y ? No Inspenian Other Tha?_R ughan: ? Regd?yNOw WIII Call d $ W V R d _ _ ou must call the inspector wh n rrn ( ) Dale ea y: • ? Y I, sed contractor ? owner hereby request inspecti on of the above el 'c alj e Job Addrau (S4eeh Box, or aura No.( City Zip Code ?a 5 ion No. Township Name or No. Rmge No. ire No. my 0eeopant O Phone No. Power Supplier Address Elxtri onkactor (Com ny Nome Contractor License No. Master Ile. No. (Plant Elev. Only( C ? Moiling Addreu (Canrcacror Owner Perim Insallah It_ Au rized SignoNre (Conk or or Owner Perlormirg Installation) Phone No. t - Co //& /9 7 405-395 REQUEST FOR ELECTRICAL INSPECTION4"?'/ Minnesota State Board of Electricity _ 1821 University Ave., Rm. S-128, St. Paul, MN 55104 Phone (812) ,842-0800 Home Duplex Apt. Bldg. Other: New Addn mmercial Industrial Farm Remod Repair Air Cond. Htg. Equip. Water Htr. Load mt. A_ Other: Dryer Range Elec. Heat T..P .Service "X" above the work covered by this request. Enter remarks in this space and on the bock of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200_Amp-' Above 100-Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL Sign/Outline Ltg. Xfmr. Alarm/Remote Control Swimming Pool I here ce Ihat the a cal instal anon described herein on the dohs sbh Irrigation Boom sengMn Dote Speciallnspection Investigative Fee al W2 THIS INSTALLATION MAY RE ORDERED ISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. pr REQUEST FOR ELECTRICAL INSPECTION ?., ER-00001-03 V27491 ' See instructions for completing this form on back of yellow copy. 0 "X Be_'ow Work Covered by This Request 3 13 3 a e Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating • Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Speci v - the, (Specify) I er pecrty Other Other Compute Inspection Fee Below 4 Fee Service Entrance Size N Fee Feeders/Subfeeders N Fee Circuits to 100 Amps 0 to 30 Amps D to 30 Am 1 "o,2 00 ps 31 to 10 0 Amps 31 to 100 Am s A bvb 200' ` n i ` Above 100Amps Above 100_Amps Tr nstormers- Remote Control Ci rc. Partial: Other Fee Si- s Special Inspection S TOT Remarks / FEE Ara Rough-in Oate 1" the Electrical Inspector. hereby cerC that the above Final g{.1 nspeetion has been ? b/ ! niede. ,nis request vole 18 months fiom This request void Br /fs / /eC L7r / [• (7"'l?? 3 y? 3 ?j ( 3 ISmwnths rum Z_ [t7T?'? 27491. !o•ac? Rams t Date Fire No. Rough- inI nspection egwred? ?Ready Now?Will Inspec- ?NO for When n Reatly ?" as Licensed Electrical Contractor- I hereby request inspection of above Owner electrical work installed at: Street Address. Box or Route No. 1.5 Qs City VcLan No. Township Name or No. Range No. Com Occur/°j`?tt-1(PR(f N(AT) k7` V / 7-e Phone No. P -er Supplier Address Electrical Contractor (Camps Name) Contr_a?c-tr tl' [I coast, No Mailing Addr s (Cantrac t?or?rT•w0Y,w.,lnor Making lealailation) / UU-) ?r Authors ?ture 1 on mctor Owner Making Installation) Z3 umber _,s MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave-, St. Paul, MIN 56104 UNLESS PROPER INSPECTION FEE IS Phnnn 16121 297-2111 ENCLOSED. This request void 18 rgonrhs from TJ 35596 Ls 13a g? ?EAw???] 31`7oY YZ tOcI Renuest Date ` Fire No. Rough-in Inspection Regwred? - Inspec- ?Ready Nuw Will Notify [or Wh R , yes El No en n eatly Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. -rte City ecuon No. Township Name or No. Range No. County Occupant (PRINT) Phone No. Power Supplier Address Electrical Contractor (Company Name) - 1 Contractor's License No. Mailing A esss.[(Contractor or Owner L f2 Making IInsttaallation) v Authorized Signature IContraactor/Owner Making lustsl ation) Phon umber THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY Ave., - St. Pau 1, MIN BE ACCEPTED BY THE STATE BOARD 21 Universit ty Bldg. 18 MN 55104 UNLESS PROPER INSPECTION FEE IS ph Univer6....e 19121 791"11 ENCLOSED. q?y?,1?.?'Ir? REQUEST FOR ELECTRICAL INSPECTION t]V J 5- ' See instructions for completing this form on back of Yellow ..PV. Below Work Covered by This Request wFx EB-00001-03 3 `7 6 1 N Add Rep. Type of Building Appliances Wired Equipment Wired Home Range ?. Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other - y mar ISpeclfV) t r Speci Y Ot er Other INS 64...W1 Iul to 2UU AmI)S- 1 I Is1 to IUU Amos 1 / 13fo 01 J1 to 1uu Amus I Igns, ? N \ I opeciai inspection .1 1 Remarks ` cam S X19TOTAL F ? , W- -oa Rough-in Data 1. the Electrical ? t pectpr. hereby t .t tif th t th b Finai Date/ cer y a e a ove inspection has been made. This request void 18 months from CITY OF EAGAN 9795 Pilot Knob Read Eagan, MN 33122 C) f) N? 7433 PHONE: 434.8100 /, d BUILDING PERMIT Receipt id d # _ . To be wad for SF DWG/GAR Est. Volue $97,000 Date August %I9-J32_ _ Site Address 1568 Sherwood Way Er t ( R-3 O ec M ccupancy Lot 5 Block 2 Sec/Sub. Brittany 3rd Alter ? Zoning R-1 Parcel # 10 15002 050 02 Repair ? Fire Zone NA E l T V n arge ? ype of Const. W Name Rb11efSOR Builders Move ? # Stories Address 1655 Norwood Drive, Demolish ? Length 74 Ci 4 arn 55122 Phone 454-6873 Grade ? Depth 14 Sq. Ft.- Nam Owner Approvals Fees it Address P-r ru. Name _ 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. Signature of Perminee A Building Permit Is issued to: Tot t a son Nt+ A[3 all work shall be done in accordance with oll?? op Ifcable State of Building Official , aJ ,:2 Assessment _ Water & Sew. Police Fire Eng. Planner _ Council _ Bldg. Off. _ APC Permit 424.UU Surcharge 48.50 Plan check212.00 SAC 525.00 Water Conn. 47,0..90_ Water Meter60.00 Road Unit 240.00 Total $1 Q.-2? . SO on the express condition that and City of Eagan Ordinances. 68Lq 90 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use OnN 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ced of Survey Reod -Y -N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Reod -Y -N. 2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required -Y _N l set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan If lot platted after 111193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Date Y / 7 q Pm Construction Cost ?.7,,P?/ e9 Site Address H r 4Y0 a lsle?l Lz? Unit/Ste # Description of or /5z- -?X It d Multi-Family Bldg _ Y Fireplace(s) _ 0 _ 1 - 2 Property Owner VV ? Telephone # ( ) 6p-7 0e7z Contractor Address KELLER RESIDENTIAL, INC. MA SHALL AV city State 1429 R ST. PAUL, E. _ MN 66104 Zip Telephone#f 5404 SAX fi46-8575 dw COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with 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 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. 4 6 ?//14W Z - Applicant's P ' ted Nam ?' ?' 2005 OFFICE USE ONLY Sub Types ? 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 x 18 Deck ? 23 Porch (screen/gazebo) ? 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 ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy -U4 MCES System _ Census Code L" If Zoning City Water _ SAC Units Stories Booster Pump # of Units Sq. Ft. PRV _ # of Bldgs Length Fire Sprinklered _ Type of Const Width Footings (new bldg) ?( Footings (deck) 72(- Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final - Framing - Fireplace _ R.I. _ Air Test _ Final Insulation 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 ? 30 Accessory Bldg ? 31 Ext. Aft - Multi ? 33 EM. Alt - SF ? 36 Mufti Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS _ Final/C.O. Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Building Inspector rLz& ?? CL.Ck. 0'4 $urv?a-y Gz4f-0 !p?> ?/;? SHERWOOD WAY 12-42!21" R 310.65 L = 68.89 N 89'29'11" E 42.01 SET FD. IRON IRON I FD. IRON i 30.0,wCon? a UW O O W 1 O W e m ? 3 ? % g X + F'1 c00? ? o, iY F ,, N0, A568 tie d 9.8 119?N0 1.5 95?olf N 9.2 /WOOD 9 9 ' //D. 2?e - TOE ' q 3 D? 4' ?- O ^? CA O (i FD. FD, IRON hereof and situate in IRON S 89'29'11" W 79.36 r of the boundaries / ereon, and all visible t 5, Block 2, BRITTANY 3RD ADDITION 49 seconds East. 3143 acres. r ownership, the legal description or the existence of M^ EGAN, FIELD & NOWAK INC. 7415 a Wayzata MN 55426d SURVEYORS Tele: (p61i2s) 546-6837 23446R (nst tJ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 70,E New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq, ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _N l set of Energy Calculations Addtion - indicate if on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan If lot platted after 711193 Rim Joist betal Options selection sheet (buildings with 3 or less units) Date J? /maA /O D Construction Cost THOS t)?1 Sy Site Address 1568 'J -r -cx\A3oo8 [J q? . _ Unit/Ste # Description of Work js? V A f o r7-, (,?j? ptuJs In* Clow- t.oAn Ancy I Sir rn Bl N Fi l 0 Y G 2 `e-1w5hiV'1C9- oryr r_nlmp 1 Multi-Family dg _ rep - ace(s) _ _ _ Property Owner -$'?m Wa\dh0.v?Y {ll Telephone # Q& IGt) NO ? No o1 LA PELLA WINDOWS & DOORS Contractor 15300-25TH AVE. N. STE. #100 Address PLYMOUTH, MN 55447 - City State 763-745-1400 hone # ( ) LICENSE#20165884 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cawzorv 1 - Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 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 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. AnAWQ?? D ?{ n Applicant's Printed Name Applicant's Signature OYFICF4 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 ? 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 Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # 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 T ests _ Final Framing _ Siding _ Stucco - Stone - Brick Fireplace _ R.I. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total . Pella Windows & Doors -Twin Cities, Inc. .8 unp amil paAiaaay 15300 25TH AVE. N. STE. #100 PLYMOUTH, MN 55447 763/745-1400 WATS 1-800-462-5359 FAx 753n45-1401 June 8, 2001 City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 Dear Jan: Elder Jones Corporation is authorized to pull building permits for Pella Windows & Doors -'Ruin Cities, Inc. Please allow their representative to provide that service for us in Eagan. This authorization shall be valid until such time as the division manager expressly revokes it, in writing to the City. I request that this authorization be accepted expeditiously, so as to not delay the processing of our building permits any further. Please call me if there are any questions, I can be contacted at 763-745-1432. Your inunediate attention to this matter is appreciated. ' cerely, `-? JA,iTE W. SANG Bryan . May. 1 9 ay Replacement Sales Manager cc: Kara - Elder Jones yUC r?? ((1 ?Y+? t Denna Krafty-Replacement Sales Process Coordinator Windows, Doors, & skylights Inn I5?1 OUTTTq UTUT TU.T KIST OBI 7TO 4 J ITIOT TV' Tn snn inn 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN $ 'mob 7 3830 PILOT KNOB ROAD, EAGAN MN 55122 -t I J 651-675-5675 Please complete for modifications to existing residential dwellings. Date -? I / r I C) Ll Site Street Address S f12 b0? W ??l Unit # 1 Property Owner V\ ? I `/ ?n (? WA L-0 1 6 ? J S C• ? . Telephone # fPj S?;-Sa ?3 3- Contractor / ueTT+t 1&5'? ?CY?F?£rwl r T-A ?-- Telephone # 3 is Ot O Address /? ? ?^ YC it Y gyp 19 w City S7( / J L State Zips The Applicant is: _ Owner ontractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excludin g water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 - replacement _ additional. Lawn Irrigation System RPZ_ new _ rep it rebuild $ 30.00 State Surcharge N $ .50 JUL 14 2004 Total I hereby apply for a Residential Plumbing Permit and ac6`ormation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance ith the approved plan in the event a plan is required to be reviewed and approved. [?r LC, (A-k,\ 5,r--"? - e, Applicant's Printed Name Applicant's Sign} ure CITY USE ONLY 1 I q' a- l I L RECEIPT #: -t Q, SUED. I<.? 1 Y1'C'.1,11 „ , f e RECEIPT DATE: I PERMIT # ? ?:j 1999 PLUMBING PERMIT (R SIDENTI W CnYOFEAGM 38M PILOT XROS RD EAGM, ME 551 EP (651) 6814675 Please complete for. D single family dwellings D townhomes and condos when permits are required for each unit backilow preventer for underground sprinkler system Rll", IPF? ! iii 4 -'1 PA 1. 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 = $ Minimum fee alterations to existing dwelling 30.00 x = $ Private Disposal System new/refurbished ' requires MPC iic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Q Rough opening 1.50 x = $ Shower 3.00 x = $ Underground srinkler ff 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 existin dwelling 30.00 x = $ Water turnaround 30.00 x = $ State Surcharge .50 -> -> -> $ .50 S0 Reminder. 'Call for inspections of alterations, Le. water heaters, water softeners, etc. I hereby adnidwledge trial l have read Mte appllrafidh state friar 8ie infarriatiai Is corec4 grid agree to ?ty with all applicable City of Eagan?ordiharioee. It is the applicant's responsibility to notify the proper,ty 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 pemdl within City property/right-ofway/easement. r/ 1 n t/., An C`. LA ?S SITE ADDRESS: OWNER NAME:: \l, TELEPHONE #: G 5 / (a 8'7- D 973 (AREA CODE) INSTALLERNAME: j4 ,Q8d pp O fl t Ld/ILI,n TELEPHONE M P 61 CD SvZ ` ?S?o S STREET ADDRESS: l 9 KA Jh ^fA9' w ??1 /? CITY: o ! /)) / YY7 A) Ss/ 02 a STATE: /AA/ ZIP: IGNATURE OF PERMITTEE ppp? QTY OF EAGAN Include 2 sets of plans, ?c zo e o'`? a` 1 site plan w/elevations 6 irr u ?O G BUILDING PEF441T APPLICATION 1 set of energy calculations. * =? ee Used For valuat?.on 9 7 ?-a-o Date Q? Site _ Address OFFICE USE ONLY lot Block Sec./Sub. Erect OccuFwncy Parcel #: D )Soot a•SO O _ c x- Zoning Alter A"I 1 Repair Fire Zone Owner: Enlarge_ Type of Const. Address: Move # Stories De olish _ Front 7ft. City/Zip code: Grade Depth yr' ft. Phone #: Address: City/Zip Phone #: Arch./Eng. _ Address: • City/Zip code: Phone #: Water/Sewer Surcharge _ Police Plan Check i ??? /U 53iaa Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. _ AFC v ;?K q5s 3-7 qO K 3a? TOTAL a 'So 7-3o-ra i Tallefson Builders Inc. S.41*- 1" 30' Iron Oa..•.; :Existing Elev. _ _ a.6.U Easement __ .-. Drainage JACKSON - SURVEYORS REGISTERED UNDER LAWS Or STATE O? MINNESOTA 1 3616 EAST 55th STREET, MINNEAPOLIS, MN 55417 N buntpor'sc Certificate o 1n , fl ? 1 `r r ? l 1 v 727-3484 01.11333 , 183-70A /' Jr 3 34; H 1 HEREBY CERTIFY THAT THE ABOVE 18 A TRUE AND CORRECT PLAT OF A SURVEY OF Proposed Garage Floor Elev. 104.0 Proposed First Floor Elev. .0 proposed Basement Floor Elev.99.0. Lot 5,Block 2,Brittany 3rd. Addition, Dakota County,Hinnesota. Jui As SURVEYED BY M[ THIS--- 27th... DAY OF_ __ _?-__A. D. 1982 fA ?: SIGN F. . C. . JACKSON, MINN[SOTS-'k IttRAnoN. No. 3600 i /// ities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. 4 - - . ??7V ?? 1 '? I t? ds NVA J? !V •3T1??f i:E'fjC} ?C, rT ??. :- .Y / ?? Ei .. s -.: :. _ th n: `'JL.dF nLnnunn, R!1T )54 1 . Pho j rt®© z 116> 4 3 I p : I t _ ' I cot PI -kII &Utir? + ti `. t .?c?:rfnrt nnnrr s F ,, 3 roams ' v ?z19lnIF'2C?! On I^0 L t'x:+^ t o n1noTt ' . 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I +'• F} ?1 5 fl 1'Q,.... f_in 9 •7--? - 1. . , ? .... t.?, .: r??-7+:IR i. ?j?:...?Ey?-.-? ?. -.7-2f -77'-Z CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 1568 SHERWOOD WAY LOT: 5 BLOCK: 2 BRITTANY 3RD P.I.N.: 10-15002-050-02 DESCRIPTION: re 4' 3 qq BUILDING 029143 10/30/96 REMARKS: SEPARATE PERMITS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge Lic. Search Fee Total Fee INCLUDES REMODELING hrN- Permit Type SF ADDITION n,g W rk Type NEW Co# 434 ALT. RESIDENTIAL si3 Mn"Rµ'n a k $624.75 $312.38 $29.00 $5.00 $971.13 $58,000 CONTRACTOR: - Applicant - ST. LIC OWNER: L CRAMER DESIGNERS 19358482 0002064 WALDHAUSER JIM 550;0 LINCOLN DR 1568 SHERWOOD WAY ED?NA MN 55436 EAGAN MN (6j2) 935-8482 I hereby` a.eknowl0d0 that I" 3nformation. is. ;w`crr°rec???ccLw,:a .4d h a t Jt-fiv` ,ba to o? NrT- t tI'Y'V OF ii a'If"AN C:A!iH7aii:Pi' _ Cl:ha;r !AL.. N{]?. L4' E)?.3 ..,57;,:1.6 HlD; IRAN:.. 11 3 :Li] `_?(l)9. 1`.'16`:3 c;lit:fiinlt7(71:a I b2 f15 N 38 `')E7na. .?'55 i.::r;E3 tEl'?li3!±! f7f7t] 41 2.9„E70 . .'i+:i II..,,:::I I i10 D 114 S., 00 Y t ll'l:. i.'.t ]. E%. ti.,+_.'l.i.r i-lIl. .4. :? .'?. i. .i :l.3 i E.i:t F}L]:'. ?{: CITY OF EAGAN SQ ?/ I /3 ?J 3830 PILOT KNOB RD - 55122 // 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 /a New Construction Requirements Remodel/Repair Reauirements lo ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan H lot platted after 7/1193 required: _ Yes _ No DATE: //) - /;!-. L- ! w CONSTRUCTION COST:{ 4200 DESCRIPTION OF WORK: STRE,1rT ADDRESS: / n eS ---*I L?J rd LOT T_ BLOCK Z SUBD./P.I.D. #: w PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER Name: Phone #: IS, w fiaffi Street State: A 4) City: Company: Street Address: L?4, License #:A6fzaV1*4L City: ?Q State: Zip: ?3 Company: k*-k kcea r Phone #: Name: Street City: Sewer & water licensed plumber: change are requested once permit is issued. Zip: Phone #: 9&SS-919&2 Registration #: State: A L) Zip: Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the informatio is correct and agree to mply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY OCT 2 8 1996 Certificates of Survey Received _ Yes _ No ML Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? Q2 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 03 4 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Basement sq. ft. MC/WS System Main level sq. ft. City Water sq. ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. ?I34 Footprint sq. ft. SAC Code Census Bldg 1 Census Unit 0 Building ?VO Engineering Variance Valuation: $' 4"'j;rv, I ??- gX22 c l-r{- 12uZy = y? K r. L/ cb A s-4 is, cis 1=. Crawl' ? 2 CI ? 6 v O. I SAC 2u 2y= zsShck`= 1,-7 2-8. SAC Units SHERWOOD NORTH 1" = 30' CP O = 12'42.21" R 310.65 L = 68.89 r, FD. IRON / Z w (? s v: a= g,9 WAY N 89'29'11" E 42.01 SET FD. IRON IRON I N w.o,,ui c«a 0 , N uNe 00 I M F s / 70AGNat? VJ1 A.5 sT )'. 9 TOE?- SURVEY FOR: K. K. DESIGN DESCRIPTION: Lot 5, Block 2, BRITTANY 3RD ADDITION, according to the recorded plat thereof and situate in Dakota County, Minnesota. FD. IRON - S 89'29'11" W as E - 2!8 J^ T 0 0 FD. IRON 79.36 CERTIRCATION: / I hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any thereon, and all visible encroachments, if any, from or on said land. Dated this 3rd day of June, 1996 by. ? -- Jack Balks Minnesota License No. 20281 NOTES: 1. The orientation of this bearing system is based on the east line of Lot 5, Block 2, BRITTANY 3RD ADDITION which is assumed to have a bearing of South 00 degrees 30 minutes 49 seconds East. 2. The area of the property described hereon is 13,690 square feet or 0.3143 acres. 3. No title work was furnished for the preparation of this survey to verify ownership, the legal description or the existence of any easements or encumbrances. EGAN, FIELD & NOWAK INC. 7415 Wayzata Boulevard Minneapolis, MN 55426 2575-26 SURVEYORS Tele: (612) 546-6837 0 6055 1 23446R SCALE ENERGY CALCULATIONS ' ?N ALLOWABLE VALUES F " " SO. T. x ALLOW. U z 1. TOTAL EXPOSED WALL 838.37 X .110 = 92.22 (' 2. TOTAL EXPOSED ROOF 462.00 X .026 = 12.01 m N m w L+J o ACTUAL VALUES F S " " °W" N ' O. T. x ACTUAL U N j Y?N A. NET WALL. AREA 423.17 X .046 = . 1946 m N N B. WALL FRAMING 107 66.68 X .108 7.20 Y C. RIM JOIST 85.75 X .024 = 2.06 D. FOUNDATION 85.75 X .047 = 4.03 E. WINDOWS 123.66 X .350 = 43.28 F. SLIDING GLASS DOORS 53.36 X .330 = 17.61 3. TOTAL "U" VALUE OF EXPOSED WALL 93.64 W, Li G. NET CEILING AREA 438.90 X -022 = 9.65 N H. CEILING FRAMING 57 23.10 X .025 = .57 Q 1l J j 4. TOTAL "U" VALUE OF EXPOSED ROOF 10.22 W 7 z z_ AVERAGE "U" WALL /ROOF ALLOWABLE 1. 81.43 ACTUAL 3. 93.64 -7 1 2. 12.01 4. 10.22 z -0 c6 TOTAL 104.23 > 103.86 C 6 J J THE TOTAL OF THE ACTUAL VALUES LLJ ARE LOWER THAN THE TOTAL OF = THE ALLOWABLE VALUES (n a m J (con u 4. ? iv Uo Zm? N z .. aoo 0 z ? ZW N O K. K. DESIGN 6112 EXCELSIOR BLVD PHONE NUMBER 612-922-3226 - MINNEAPOLIS, MN. 55416 FAX. NUMBER 612-920-2083 NUMBER OF SHEETS r?including cover DATE. #15(0 T0: 6TJ FROM: ? M?"??Q7? COMPANY: •(' PROJECT: WJ?')?(s FAX. NUMBER: ? 4 PROJECT NUMBER: ?0-4 U Vspl T?OAJ RV ii OaA< W 6 iT4 fovonol) a ,- u?+ m ?o- tutu. o -1 mv;o ? --S-a- -t.o.... ???.,.. -. . 614(t' c c. w rte- jfkL ;111" PLEASE CALL 612-922-3226 IF YOU HAVE PROBLEMS WITH THIS TRANSMISS ON OR DO NOT RECEIVE THE NUMBER OF SHEETS INDICATED SHERWOOD WAY NORTH a . 12'4221" R 310.65 L 68.89 N 89'29'11" E SET FD. IRON IRON t FD. (n 'i IRON 30.0?y? COId1 ,[N UNE O Z W O s L / j M cD ? SA O Np, 1565 to g1ADN5 SA e VIA SCALE 9.2 1" = 30' 26 9.9 TOE I ? o SURVEY FOR: K" K" DESIGN DESCRIPTION: AFD D" IRON - Lot 5, Block 2, BRITTANY 3RD ADDITION, according to the recorded plat thereof and situate in Dakota County, Minnesota. S 89'29'11" W 79.36 CERTIFICATION: I hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any thereon, and all visible encroachments, if any, from or on said land. Dated this 3rd day of June, 1996 by. - Jack Bolke Minnesota License No. 20281 NOTES: 1. The orientation of this bearing system is based on the east line of Lot 5, Block 2, BRITTANY 3RD ADDITION which is assumed to have a bearing of South 00 degrees 30 minutes 49 seconds East. 2. The area of the property described hereon is 13,690 square feet or 0.3143 acres. 3. No title work was furnished for the preparation of this survey to verify ownership, the legal description or the existence of any easements or encumbrances. EGAN, FIELD & NOWAK INC. 7415 Wayzata Boulevard Minneapolis, MN 55426 SURVEYORS Tele: (612) 546-6837 23446R SnsACV, I I I I I I I I 1 1 I 1 I 1 ! I r 1 I f f 1 f 1 1 ? r r ! ! r ! r r r r r r I w c G J S O0"J0'49^ E _? V 5•_O,' 145.Up• PROI, _ SIDF_ OARAc& scrBAC _ f X l!N{ ? K - ? / 1 1 _ 1 N 13"13"09 W 140.84' PROPERLY LINE CITY USE ONLY L S BL ?. J RECEIPT#:66 "? SUED. ?f DATE: / S ('P 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH ROL TOTAL Shower 3.00 x I _ Water Closet 3.00 x _ Bath Tub 3.00 x = Lavatory 3.00 x C_ _ Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cry. license 65.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 r e L4IIS111[t s DT00 = ?D OlI STATE SURCHARGE .50 TOTAL 41-). SITE OWNER NAME: (, )a- W h atA ?Es? /? INSTALLER STREET ADDRESS: 6 &.- 1 P t'l k2 /?iI e-- Sri CITY: R i C-11 ?), e- (r') STA PHONE #: (&. 1,;? ) 961,- -. slt?? OFFICE USE ONLY L SUBD. _ BL RECEIPT M DATE' 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for. ? all commerciallndustrial buildings. W multi-family buildings when separate permits are not required for each dwelling unit. DATE: tNnP.K TYPF: NFW CONSTRUCTION DESCRIPTION OF WORK: CONTRACT PRICE: ADD ON REPAIR IS WATER METER REQUIRED? - YES - NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pg®jf fee due on all permits. CONTRACT PRICE X 1% STATE SURCHARGE TOTAL .S`ITF Qrll?RFCC• TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: SIGNATURE: OFFICE USE ONLY METER SIZE: DATE: STE. # STATE: ZIP: APPLICANT _ INSPECTOR: City of Eajan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651)675.6694 Date: 4 ^ 1.1^ JUN 1 5 2009 For Office Use --- - - - - - I - g97,g3 ' I Permit I I I Permit Fee: -6- I I I I Date Received: I ? I Staff: 6 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Site Address: Tenant: V RESIDENT/OWNER Name: se-0-- Phone:Lo5 ^!p?'f ^ bB1 .,.. Address / City / Zip: 4-4 nNw wau CONTRACTOR Name: rJ License#: 03,67- PM Address: 2lt o - 1?): (1? ` City: UWE S te:_V LN Zip-n.;1)q ?/ I P& Phone: ?7 1 ? ?- 155- f PO_ Contact Person; TYPE OF WORK -New -Replacement -Repair N Rebuild _ ModitySpace _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater , Water Softener _ Lawn Irrigation _ Add Plumbing Fixtures (? RPZ / _ PVS) (_ Main _ Lower Level) Septic System _ Water Turnaround _ New _ Abandonment _ YZ t? Q I RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, & 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 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. x Wt i'r-kw e l 6. talc ;rw *,J e, k),/t," Applicant's Printed Name Applicant's Signature moll FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground _Rqugh-In -Air Test -Gas Test -Final City of EaRan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 For Office Use Permit #: / D[37 Permit Fee: La�o 2Z Date Received: i ' 2t o —12 -- Staff; iZ,Staff: 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercialjapplications. Date: l-" f (t5 �� '2 --JS Site Address: e cc k14JU 0 c7l Name: / 11415 L/Ol (Aka 4.- Phone: 1,0 `7 Address / City / Zip: Ct 11A-11 3S/ Tenant: Suite #: Name: Do t' 1-11) 1, Y Q --h n 4- }fir l License #: D 220 (J 1 Address: (� bq kit I'yyL hl 011 Sf City: OoJ) '� s State: 1.,/l Kt Zip: SS �3? Phone: LO S I i 3 -1' q 2 j v 2-1p Contact: t Vv'1.. Email: 1.,Y / ' 8Y1 ci OV1 C 110 LL. TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: acit- 1A VcQ NOTE: Roof rnounted and- ground'rrounted mechanical -equipment' s required -to be -screened by- ity Code. Please contact the Mechanical Inspector for information on permitted screening methods PERMIT TYPE RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank (_ Install / _ Remove) COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) $60.00 Minimum (includes State Surcharge) - If the Permit Fee is Tess than $10,010, surcharge is $ 5.00 [- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) _ $ \X ' J ( TOTAL FEE OR Contract Value $ x 1% Permit Fee Surcharge TOTAL FEE =$ =$ _$ CALL BEFORE YOU DIG. CaII 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.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. )°fie1111 c pp s a Applicant's Prihted Name x Applicant's Signa�tyfe 1,24( FOR OFFICE USE. Required" Inspections: Underground Rough In Reviewed. By: Air Test Gas Service Test 11141°°r Heat Screenin PERMIT City of Eagan Permit Type:Building Permit Number:EA114764 Date Issued:09/18/2013 Permit Category:ePermit Site Address: 1568 Sherwood Way Lot:5 Block: 2 Addition: Brittany 3rd PID:10-15002-02-050 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Reinaldo Cintron Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - James R Waldhauser 1568 Sherwood Way Eagan MN 55122 Ralow's Roofing 4351 Parklawn Ave. Suite 108E Edina MN 55432 (952) 210-4988 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117134 Date Issued:10/15/2013 Permit Category:ePermit Site Address: 1568 Sherwood Way Lot:5 Block: 2 Addition: Brittany 3rd PID:10-15002-02-050 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - James R Waldhauser 1568 Sherwood Way Eagan MN 55122 Ralow's Roofing 4351 Parklawn Ave. Suite 108E Edina MN 55432 (952) 210-4988 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink �-----------------� � For OHice Use � • EG I�M'11�� ' ���_ ; ���� p� ���n� � Perrnit#: u `� JUN � 7 2014 j Pertnit Fee: ��•(�CJ I 3830 Pilot Knob Road � ,� � Eagan MN 55122 ��� ,� � Date Received: ��7'� � Phone: (651) 675-5675 BY'--�'�------- i i � Staff: � Fax: (651)675-5694 _________________,, 2014 RESIDENTIAL P UMBING PERMIT APPLICATION Date: � Site Address: �J`x� ���N� Tenant: �1 c�i�-� Suite#: �' �� � ���� Name: � �� Phone�(��� �l� � � � ����:t"t��'��" ,- ��� �� ��:� Address i Ciry/Zip: � � e�If� Name: ( IiJ � ' ense#: -1 ' � �� Address: � � �-� � Ciry: �S � �������'�x r,. �� State:��Zip: � Phone:��� � � l,�`� � l.�C� Contact: � -'�-'r l Email: ' '[_ �. ���� _New _Replacement �Repair �Rebuild _Modify Space _Work in R.O.W. � �j �� Description of work: ������-���� �� ��� � -(�� �� RESIDENTIAL ��� � {� � �fl„�?�}-�j�- Water Heater �� l � �� Water Softener ✓Lawn irrigation � RPZ/�PVB) ����� Add Plumbing Fi�dures�Main 1_Lower Level) Septic System ��1..u� �� I/J = ` New Water Tumaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.0o State Surcharge) $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Seatic System Abandonment,Water Turnaround*(includes$5.00 State Surcharge) '`Water Turnaround(add$200.00 if a 5(8"meter is required) $115.00 Seqtic System New{$10.00 per as built)(includes County fee and$5.00 State Surcharge} �1 TOTAL FEES$ < vD CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Calt 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 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, an rk is not to start without a permit; that the work will be in accordance with the approved plan in the case of work wfiich requires a review and app ova of plans. .�_ X C��I�V11��l l�tl� X 'l� Applicant's Printed Name Applicant's Signature ' °: � �E��C��`����� ��r�,�N���� �' �� � .; z.� ,Y � . < 'm � ���� .,� �+��i��rr������ �„�,������'�tc�� .�,,,����� .�..�.�"T�= �,�,,.��'�� �,,��� ��efie���tta�1��� ^ � ' �I�f���„�,;,:,., ��I���,�,,�, �� r> u � _ , y � , s ' .�� �1 �;�5� ��- �C�C� �i O�J i Use BLUE or BLACK Ink �-----------------, � For Office Use � �f� ���� Q��t��tj'O j Permit#: `/ � i !1 a itll � O' �� I 3830 Pilot Knob Road � Permit Fee: ' Eagan MN 55122 � I Phone:(651)675-5675 � Date Received: � I � Fax:(651)675-5694 . � �': � � Staff: � �����������������J 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: Site Address: Tenant: Suite#: �s���,� x� � � � �� LV Phone: �.e�l` ���'v� l � ReSid�@1�''� 3 r� Name: n - "°' ,�„N�'� � � Address/City/Zip: � S r (�,� �� : � �� ' Y c, � �'� �� Name: Q -� '°'�"" License#: � I � U b � S '�j F�, r../l"? f ��^�4 L � � �, �'`� Address: �� ' T City: y��"��' �.- h i ' �1 � ( ����� �� � � , � State:�Zip: ��Il��_ Phone: (D�I� `I�� / - _'7 � � �; " Contact: . �`�SGJ C�• YGt.(�„�a� DYl Vlt�leCG'Gt. lJ �=� y'`�,�c���. ��,,���� Email• i e. l IY� ( l�vt �s �, a'� `� `" ��� New �Replacement Additional Iteration Demolition h�::; � � C Description of work: � ���. q: � ` .', e� , � �. . � < _ :_ ; � .. �, �f � ;� �' RESIDENT/AL COMMERC/AL � � ��, y „ ,� 5��� urnace _New Construction _Interior Improvement � � �� �ir Conditioner Install Piping Processed ,�� — — s �.: _Air Exchanger Gas Exterior HVAC Unit �" � Heat Pump Under/Above round Tank �r ' �,'°` �� — g (_Install/ Remove) '�..� �..:. Y ♦ � _ F '€E.", f.�f�.'. .C'^.•` Olhe� . . RES/DENT/AL FEES $60.00 Minimum Add or aiteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge' "*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 ***If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 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. x ������� ����l�L'u'�- X ,� App�ican�s Printed Name Applicant's Signature , � � „ i I � : : _ , I i PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA168711 Date Issued:04/30/2021 Permit Category:ePermit Site Address: 1568 Sherwood Way Lot:5 Block: 2 Addition: Brittany 3rd PID:10-15002-02-050 Use: 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James R Waldhauser 1568 Sherwood Way Saint Paul MN 55122--277 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature