1573 Sherwood WayCITY OF `•"??< : ?:.., t _ ? .... ,- -
EAGAN . _ ; ..?.
3830 pilot Knob Road Permit No: i ?? '
Q Date: 6-/14-88 Meter No: .-//°Q /a O O t
P.O. Box 21199 Reader No. S? 3 q Size. 40, o c
Eag;)n, MN 55121 Date:
Owner. 0-1-iefson Builders 5? (-
Site Address: 15 7 . ° 0A
Conn. Chg: 550, pp d
Acct Dep. 15.00 d Zoning: k1
Permit Fee.. 10.OOpd No. of Units: 1
Surcharge: .50 d
Tr- Plant Z' 04.00 d 1 '9'60 '0 comply with the City of Eagan
Meter. Ordinances.
Misc.:_ ?T7By is
Ira _ WATER SERVICE PERMIT
CITY OF EAGAN Permit No:
3830 Pilot Knob Road BIP No: Date: ; _ . x .
1-
P.O. Box 211919
Eagan), Date: '
1N1N 55121
K ))
Owner n .141^C t? ?11 i1:LYS
Site Address. Sneztuood r.-a3 , LQ
Plumber: ar U. nr R3 "rit iar.•r ?r
MWCC:
City Chg: Zoning.
r !
Acct. Dep: No. Of Units:
Permit Fee: agree to comply
with the City of Eagan
Surcharge: Ordinances.
Mitt- -
SEWER SERVICE PERMIT
Conn. Chg:
Acct Dep:_
Permit Fee:
Surcharge:
Tr. Plant_
Meter -
I agree to comply with the City of
Ordinances.
Y
WATER SERVICE PERMIT
PERMIT #
MECHANICAL PERMIT RECEIPT # _
CITY OF EAGAN'
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address , SHERWOO') `9A}.' BLDG. TYPE WORK DESCRIPTION
Lot - Block t $ec/Sub Res. New
P,uR114SVIL.LE HEATING Mult Add-on
m Name
KHODE ISLAND E . Comm. Repair
Tn Address
c City SAVA3? Phone n?"1-OEO? Other
m
c
3
O
Name -
Address
City _
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
FEE-
S/C:
TOTAL-
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - t PER PERMIT)
COMM/IND FEE - 1% OF CONTRACT FEE
APT BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS
_$24.00
- 6.00
1.50 EA.
12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIG P EE
FOR: CITY OF EAGAN
?o
N4N
?'` r ? CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ONE: 454-8100
BUILDING PERMIT Receipt
To be used for Est. Value i.w9W , Date 4AY
Site Address
?Y
W
2
O
Address
City_
W W Name
o Address
i W City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
,19--
OFFICE USE ONLY
On Site Sewage Occupancy '
MWCC System Zoning
On Site Well (Actual) Conat
City Water (Allowable)
PRV Required r # of Stories
Booster Pump Length
Depth `
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
' Permit No. Permit Holder Date Telephone
Plumbing
HN.AC. Cj? `j -a
El
i ' Y ? ,
ec
s
114116"
SAfiefl9r ` ? / (? , ?' f ??p, yd?t?C^ o?
Inspection Date Insp. Comments
Footings I
Footings II
Foundation 6,
Framing
Roofing
Rough Plbg.
Rough Htg. i L
[Sul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final C
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
pr
Terfiftirat.e of (Orruvaury
Citp of (Eagan
arpartatmt of stdibing jwprt>tmt
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 City regulating building construction or use. For the following.
u. Cla..ifi tion S 1 1!A"-BWg. Perrot No.
Oocupawy Type R3i" Zoning District L: I Type Coast r:
RFC d .':i'... ?2617 EAIFQ`."__a' . `;'. APi?11;
9wlding AM=
.11: 1
Date: 1988
POST IN A CONSPICUOUS PLACE
J PERMIT #
MECHANICAL PERMIT `
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: M7?Y 14 1988
CONTRACT PRICE: PHONE: 454-8100
Site Address . 573 FJa
BLDG. TYPE WORK DESCRIPTION
Lot 9 Bloc
Brit k 3 Sec/Sub
tany 3rd Addition Res XYX New X:i`'
Mult Add-on
Name T Ge nz-kvan P&H
A? Address1474 5 south Robert Tr ail Comm. Repair
N CityRosea a nt, NN Phone 423 -1144 der
5506 8
FEES
Name RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City1pi' l p V al i ay, Phone 411. .1110Q (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
50 EA
TYPE OF WORK
COMM/IND FEE - 1% OF CONTRACT FEE .
.
Forced Air '_ 25 M BTU 30-00 APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Ve
t
CFM STATE SURCHARGE PER PERMIT - .50
.
n (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ' 000)
BEYOND $1
,
Other _
FEE:
.
31 501
? JJ
`'
50
S/C: SIGNATURE& PERMI E
TOTAL: 32,00
FOR: CITY OF EAGAN
PERMIT #
PLUMBING PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
Site Address z 1?
r.
Lot Block Sec/Sub"
=--r-"/ ,t.! ;
=? ' r ll r, ?l i v
Name
(D
Tv Address
c City !a;I)td 7 h'i-&-Phone 1 7 i y'x
•-
Name f K22
C Address
/
p City , /•. GA
? Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE -$12.00
MINIMUM - COMM/IND FEE -$20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NQ FIXTURES TOTAL
d(-=Water Closet - $3.00 $
_LBath Tubs - $3.00
Lavatory - $3.00
_T Shower - $3.00
Kitchen Sink - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
TRough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
REQUEST FOR E CAL INSPECTION Ee'?-/oooot-os
/ e1nsttAc?n) "'1 leli%,?Ais rm on back of yellow copy.
ed by this Request
Now Add Rep. - Type of Building Appliances Wired Equipment Wired
Home Range T mporary Service
Duplex Water Heater fighting Fixtules
Apt. Building Dryel lectric Healing
Commercial Bldg. Furnace ilu Unloader
Industrial Bldg. Air Con itioner 1 Bulk Milk Tank
Farm ihri .p ei V lhur ISpe, ty)
Other pecifY Other Other
M Fee Service Entrance Siza h F e is?Subleeders N Fen Circuits
U t(1300 Amps to 30 Amps 0 to 30 Am
Above 200 Arnps 31 to 100 Amps 31 to 100 Amp-,
Swimming Pool Above 00_Am s Above 100_Am s
Transtormers Irrigation Boonis Partial Other Fee
I signs
r k?1
TOTAL FEE
Rgh-in 1. the Electrical
// Inspector. hereby
j cattily that the above
Final , i Orf1e inspection has been
made.
This request void
18 months from
? I = ',, A ": 7 - ? I #Z,,,
_?------------------ _--
T 00e,11 99
Ordi? Q°
- .6- . -
j-
Request,Date
ie No.
F
Rough i Inspection
Requi !
1
Ready Now ? Will Notifv Inspec-
41
_ 2- - d f b
1 5- ?Yes ANo for When Ready
Licensed Electrical Contractor I hereby request inspection of above
Owner electrical work installed at:
Street Address. Box or Route No. City
" 3 5 N`-r to, A GJ
action No. Township Name or No. ang-e Country
6
J tz,?
?',ke, 771;1.-
16Z '?/, Z,-,eA?:, I A0
16 / 777MJI
_
Occupant (PRINT) Phone No.
r y3/ - /(nr7
Power Supplier Address
K [ n4 A e T72 I e " IY7 .rJ ,-Z
Electrical Contractor (Company Name) Contractor's License No.
- & O 'r r
Mailing Address (Contractor or Owner Making Installation)
7 )
stallation)
king I
Authorized Signature (Contractor Owner M Phone Number
n
a
MINNESOTA STATE BOARD OF dIECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FQR t,LlTRI AL INSPECTION -,. EB-00001-0
See instructions fog ,*Odflis fornyoq back of yellow copy. 811511-v
'E I 4'1 O XBelow rk Covered by this Aquest
Add Rep. Type of Building Appliances Wired Equipment Wired
f{orr1e Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatio
Commercial' Bldg. Furnace Silu Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm they peci v Iher ISpnr:rfy)
t .r Specify Other Other
FP.P. Below
'M r Fee rService Entrance Size h Fee Feeders/Subfeeders N Fee Circuits
0 to 200 Amps 0 to 30 Amps 0 to 30 Am
Above 200 Am is
1 31 /to 100 Amps 31 to 100 A s
Swimming Pool ve 100 Amps
1 Above 100_Amps
Transformers rrlgation Boons Partial. Other Fee
Si
s12,n5l I TOTAL FEE
trougn-in / I, the Electrical
Inspector, hereby'
certify that the above
Final Date inspection has been
made.
This request void
This request void/_/?/8Q
18 months from (f v
E 11416 4 4:3 r
Request Date x r Fire No. Required? Inspection Ready Nuw A Will Notify Insoec
Yes ?No 7r for When Ready
Licensed Electrical Cgittractor I hereby request inspection of above
Owner electrical work Installed at:
Street Address, Box of Route No.
d C City
Z
,c
/s 73 her cion
ectton o. Township Name or No. ange Count
Occupant tPR NT) Phone No.
/
?S
Po pplier
;Nkc-IA ?l Address
12!:?
Electrical Contractor (Company Name) f k x Contra 9 1or's License No.
,J
aiM ling dress (Contractor r n r Making Installs ion)
o
G
(4 Love,
'
Autfio ed Signature C t r Owner rng installation) Ph a Number
r`
MINNESOTA rI.Av BOARD OF E LECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs50T w -Room N.191 BE ACCEPTED BY THE STATE BOARD
1821 Univers e.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
'ow...... r91-11 fa9.r1RM ENCLOSED.
CASH RECEIPT
CITY.®F EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
_ DATE
l + r 1 I
RECEIVED
r ?.L.?C ? ?i ?_I ?I?
r
AMOUNT
' 8 DOLLARS
too
? CASH l CHECK
I j r' I i
(.1
White-Payers Copy
Tty
?L? ? 83629 Yellov Posting Copy
Pink-File Copy
Thank You
BY
K
Y
BLbG. PERMIT NO. ?AI
01-3210 Bldg. Permit
01-3422 Plan Check L7 GO
1 01-3445 Surch./Adm.
,01-3446 SAC/Adm. -70
01-2155 Surcharge
-17-3860 Road Unit 00
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
,'J,-3855 Park Ded.
TOTAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for :. %F WG/GAR
Receipt
Est Value 130,000 Date_
Site Address 1573 SHERWOOD WAY
Lot 9 Block 3 Sec/Sub. BRITTANY 3RO
Parcel No.
a Name iOLLEFSON BUILDERS, INC
W
o Address 12617 FAIRGEEEN AVE
City,ArPLF VALLEY Phone 431-1100
.o. Name SAME
City Phone
?-Q
"W
FW
Name
z Address
U
cc z
'
City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Y
Signature of Permittee
A Building Permit is issued to:_ TOLU S' 1`1 Ai.' t LUL• RS , IN
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
1 g 88
OFFICE USE ONLY
On Site Sewage Occupancy R--3 M-1
MWCC System X Zoning R-1
On Site Well (Actual) Const V-N
City Water X (Allowable) V-N
PRV Required X * of Stories
Booster Pump Length 781
Depth 30'
S.F. Total
Footprint S.F.
APPROVALS FEES
672.00
Engr./Assess. Permit
Planner Surcharge 65.00
Council Plan Review 336.00
Bldg. Off. SAC. City 100.00
Variance SAC, M WCC 550.00
Water Conn. 550.00
Water Meter 67.00
Road Unit 125.00
Treatment P1 204.00
Parks
-
-
-
2
86
9
.D0
TOTAL .
CITY OF EAGAN Remarks
Addition Rri ttany 3rd Addi ti nn Lot 9 Rik 3 Parcel #10_15002 090 03
Owners ` lilt, ?' Street 1573 Sherwood Way State Eagan. MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1 1982 2013.03 402.61 5
STREET RESTOR.
GRADING 1982 596.22 119.24 5
SAN SEW TRUNK 501/ 1976 3.1 9
*SEWER LATERAL 1982 3830.10 66.02 5
WATERMAIN
*WATER LATERAL 1982 5
WATER AREA 1982 296.92 59.38 5
* Services 1982 5
STORM SEW TRK 1982 628.22 125.64 5
*STORM SEW LAT 1982 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
jot
Xicensea tiectr cal Contractor I hereby request inspection of above
wrier electrical work installed at.
t Address, Box or Route No.
Stree
City
15--)-3 skarwooc?
b
l?
Section No.
I
Township ame or No.
Range No.
I
Co
v
,0 o/d n?t (PRINT)C C ?\
c R-e- 56 Phone No .
Power Suppliers Address
/
Imo' ? ?iE?
Electrical Contractor (Company Naame)
pp t( Ctra r. sr L iicenns Na.
,
ailing Address (Contraptor or Owner Making Installati nl
tL-'_`. S4 - N
Authorized ICOntractor/Owner M king slnstal lation) Phone Number
7
CQ
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, MN 56104 UNLESS PROPER INSPECTION FEE IS
1.1,. an 1.11 ENCLOSED.
This request void' -Z..? L l ??j gQ? QTY N.?y ?Q
18 months from o -?
REQUEST FOR ELECTRICAL INSPECTION E8-00001.04
L`
' See instructions for completing this form on back of yellow copy.
"XI, Belo rk r'o red by This Request 3q6[Q
New ,Addl 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 (Specify) Other spe,ify)
t or GnCi Y Other Olh,!r
Compute Inspection Fee Below
N Fee Service Entrance Size a Fee Feoders/Subfeedera p Fee Circuits
/ 0 to 200 Am s 0 to 30 AMPS 0 to 30 Amps
Above 200 AmpS. 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100-Amp s Above 100_Am s
Transformers Irrigation Booms Partial%Other Fee
Signs Special Inspection
T
Remarks ALFEE
/Cl
I, the Electrice]
Inspector, hereby
certify that the above
Final Oa to apec[i on has been
Thm rem?..e vold
This yn void
18 m
months ths from E 268786 4156
Request Dale - Fire No. ugh-in Inspectiolt'
, Y e wired? IAReady Now Will Nntiiy Insper.-
n ID
-Z?- x(, G Yes ?No ?"? for When Ready
Licensed Electrical Contractor 1 hereby request inspection of above
? Owner electrical work installed at:
Street Address, Box or Route No.
/573 s h?.?? Cc? City
?a?c
action o_ Township Name Or No. Range No. Count
Occupant (PRINT) n J (/A Phone No.
Paw SupPli er Address
< r V
Electrical Contractor (Company Namel Contra,, s License No.
is
Mailing Address (Contractor or Owner Making Instailation) 767 /' / 5 ?GCJ? ? e / s l y
Author' ed Siena to (Contr cto /Ow r Making Installation) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
21 Griggs-Midway Bldg.. Room . MN MN BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
18hn Univers itv Ave.. St. Pau1l. 65104
Phnnw lfit21 964-ORD0 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION L EB?-0l0,001-q06
H.878 ? See instructions for completing this form on beck of yellow copy.
E , -X" Below Work Covered by this Request
New Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtutes
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other Pecs Y Dlhor l SUOr.ifY1
t ,r Succify the, Other
Compute Inspection Fee Below
If Fee Service Entrance Size p Fee FeedersrSubteaders g Fee Circuits
Z. ,V 0 to 200 AMPS 0 to 30 AMPS 34 0 to 30 Amos
Above 200 Amps 31 to 100 Amps S' 31 to 100 Amos
Swimming Pool Above 100_Amos Above 100-AMPS
Transtormers Irrigation Booms $O Partial 'Other Fee
` Signs Special Inspection
" TOTA FE
E
Remarks ?(p /
Y
J
Rough-in
inal
•
1145? D tt
16
'te
1-7 c
I, the E ctriel
,Inspactor. e y
certify that the above
inspection has been
made.
This requesl void 18 months from
CITY OF EAGAN N0 14942
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt
To be used for SF DWG/GAR Est. Value $130,000 Date MAY 4 ,1988 -
Site Address 1573 SHERWOOD WAY
Lot 9 Block 3 Sec/Sub. BRITTANY 3RD
Parcel No,
a Name TOLLEFSON BUILDERS, INC
c Address 12617 FAIRGREEN AVE
3z
CityAPPLE VALLEY Phone 431-1100
Name SAME
?` Address
i- City Phone
Name
City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan 0 dinanc?es.
Signature of Permittee v „ U Q J
A Building Permit is issued : +OLLEFSON BUILDERS, INC
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official?MAf ? I kc
OFFICE USE ONLY
On Site Sewage Occupancy R-3 M-1
MWCC System X Zoning R-1
On Site Well (Actual) Const V-N
City Water X (Allowable) V-N
PRV Required X # of Stories
Booster Pump Length 781
Depth 30'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 672.00
Planner Surcharge 65.00
Council Plan Review 336.00
Bldg. Off. SAC, City 100.00
Variance SAC, MWCC 550.00
Water Conn. -35D.00
Water Meter __(22,_00
Road Unit 379...0o
Treatment P1 204.00
Parks
TOTAL 2,869.00
This request void
?? 9?
18 months from
E -4205 t Q A ?? .5? ?=
Request Data ir'e No. Nq ugh Insuertion
equi ?
eady Now []Will Notify, Inspec-
FKR
S^L ^ d ?Y s No or When Ready
,Licensed Electrical Contractor 1 hereby request inspection of above
? Owner electrical work installed et
Sweet Address, Box or Route No. City
. 1373 SNP v GJiBra CVe.AJ7
V LOCK .3i ?o FR-
Occupant (PRINT) ?l Phone No.
7Z,-1 ?iil?coc.t< #3/-11-10
Art Ol e
on
MINNE<OTA STATE BOARD OF PCECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg, - Room N•191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
nm.....e rc»t neo.rwnn ENCLOSED.
/qlle?8' REQUEST FOR ELECTRICAL INSPECTION EB-000(01--06
?y , See insomoons for completing this form on back of yellow copy. ? w ? 7 /
E "4215 ".'X; ? Below Work Covered by This Request
Hdd Rep. Type of Building Appliances Wired Equipment Wired
Home Range T nporary Service
Duplex Water Heater yhti ny Fixtures
Apt. Building Dryer lectric Heaun
Commercial Bldg. Furnace Silo Unload,.,
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Omer c' y Omer (sped fyl
t nr Specify Cher I Other
ComOute Drsnpctloo Fee Be/ow 0 IJN
g Fee Service Entrance Size h ea rsrSUbfeeders k Fee Circuits
17, U to 200 qm s to 30 Am s 0 to 30 Amos
Above 200 Amps. 31 to 100 Amps 31 to 100 Am S
Swimming Pool Above 100_Anlps Above 100_Amps
Transformers Irrigation Booms Partial.'Other Fee
Signs A? Special Inspection I$ /L Sp (TOTAL FEE
I, the Electrical
Inspeclpr, hereby
certify that the above
rnal I Oate inspection has been
\ made.
(?/?? (J .7-SfaY
10imonths Isom id`"
E 114'16 4 i3tk 3 /3 r i 7t?4 r i,4 2 rd.
Request Date
S-n /- T
J(/ VC VR Fire No. go. gh-,in Ins Vect inn
ReNq?Yes ON
- Yes
eatlY Now Will NolifY InsVec-
or When Ready
I
IN Licensed Electrical Contractor 1 hereby request inspection of above
? Owner electrical work installed at:
Street Address. Box or Route No.
/S73 Sher c?c3? C ity
Zacon
ecU On o. Township Name or No. Range County
W
Occupant (PRINT) DD
I
'
` Phone No.
U}
? I
C?(C r
S
Pow Supplier
Akcs_(A Address
Electrical Contractor (Company Name) Contrar nr's Liamae No.
Mai?lijng/A dress (Contractor or Own r Making Installation,
Author' etl Signature oat ctor/Owner Mifing Installation) t Phn n NNumbe,
//
O ?? Cod
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. MN 55109 UNLESS PROPER INSPECTION FEE IS
ot.....e la»r aaang nn ENCLOSED.
??9 j53S - REQUEST FOR ELECTRICAL INSPECTION . ER-00001-"0?s
?¢} ti / See instructions for coblpletiog ",a form in back of yellow copy. w?A45,,o
E 1' 41 "X" Below Work Covered by This Bequest
ov4 Addl Rep. Type of Building Appliancm 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 Other pen v Other ISlwcilyl
t nr SUOCify Other 01hu,
ompute inspection Fee Below
Al Fee Service Entrance Size a Fee F.mfers/Subfeeder5 PT Fen Circuits
0 to 200 Amps 0 to 30 Anlts 0 to 30 Aros
Above 200 Amps 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100_Amps Above 100_Am s
Transformers Irrigation Booms Partial.'Other
Fee
Signs Special Inspection $ ?-7 S5 TOTAL FE
Remarks L E
Hough-in Date I, the Electrical
Inspector, heroby
certify that the above
Final D^tt' inspection has been
made.
This request void 18 months from
6q/oLI
761 C-Z
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodellReoalr Requirements Office Use Only
3 registered site surveys showing sq. R. of lot, sq. ft of house; and all roofed areas 2 copies of plan Cart of Survey Reod _Y _N
(20% maximum lot coverage allowed) l 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 d decks Tree Pres Required _Y _N
1 set of Energy Calculations Addition - irdlcete d onsh septic system Onste Septic System
...
_Y _N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date S l O.S?
Site Address Construction Cost XXS(a 95`
Unit/Ste #
Description of Work O& A C1LUn mo,. -``Q np C SCE AJ-1 x\
n . ",.Q-
Multi-Family Bldg _ Y _ N T
Fireplace(s) _ 0 2
Property Owner Telephone # ((vSI) ?/ Sol - I I Uy
Contractor
Address )
State 1'1'NO ?` ?p ?
City (AQI;11 '"?
Zip SS43 Telephone # ( I(0?3 S? I'a5? S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _Y _N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
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. n
i? In l? L I n
1 V C)
J jUI
?Vu
Applicant's Printed Name Applicant's Signature ?!.'
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. 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
? 34 Replacement *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
- Footings (new bldg)
- Footings (deck)
- 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
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
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
J I 3830 PILOT KNOB RD - 55122 ? _ ( c1 9 p
J 651-681.4675 I
New Construction Requirements RemodeUReoair Requirements
? 3 registered site surveys showing sq. K of lob sq. ft of house ? 2 copies of plan
and,iiff roofed areas (20% maximum lot coverage allowed) ? 1 set of energy calculations for heated additions
? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) ? 1 site survey for exterior additions & decks
? 1 set of energy calculations
? 3 copies of tree preservation plan if lot platted after 7/1/93
DATE: 4- In
/J
DESCRIPTION OF WORK: /CPf
/?
?IOt e V- Kc?z
z/G *
CONSTRUCTION
?7?
STREET ADDRESS: S 7 S`1 Pr4XtiA® (wJ4<
COST: --7 0 • C/-;?)
fOi.rti /JG ?
LOT: _ BLOCK: 3 SUED./P.I.D. #:
PROPERTY
OWNER
CON'TRACT'OR
ARCHITECT/
ENGINEER
Name: /'"rod r5-Pr --IC) An Phone #:
I?t - First
Street
City State:
Company:- RIGHT-WAY ROOFING
1200 E.79th Street
Street Address:. _-? _... nr
City I (611)Hhj-
Company: Phone #:
Street
City
Zip:
Registration #:
State: Zip:
Sewer & water licensed plumber (required for new construction ontvl:
Penalty applies when address change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information is co t, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. all
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No l
' I ? iJJJ I I
Tree Preservation Plan Received Yes No Not Required
I I?
Phone #:
Zip:
License #(`7OO 3992 Exp.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-piex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Valuation:
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
% SAC
I
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
-9--I4Gq?
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 11 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used F
Site Address
Lot I Block 3
Parcel/Sub
Owner
Address/(6 j
City/Zip Code
Phone --43 / - //!)
Valuation: Z ? y Date:
Contractor , . A Js c-2t4i i
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone U
iI
On site sewage_ Occupancy R 3/M-I
MWCC system Zoning R-1
On site well Actual Const V-N
City water Allowable V-N
PRV required -4::??7k of stories
Booster Pump _ Length 8
Depth 30'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 0Z' 00
Planner Surcharge 69.00
Council Plan Review 3-p ?"O
Bldg. Off. 153 SAC, City
?O
100,
Variance 12-2f-?7- SAC, MWCC GD.Op
Water Conn
oil
690,
Water Meter 60, 00
Road Unit 325,00
Treatment Pl ? 04, W
Parks
Copies
TOTAL = /.
Lif 6ZI
R95?£ =bnx't?9
hZ2 ?I X h/
ahil = Z? xht
7roe-,? uNZ.
G IzoL ? ,? h x ?? h I
Z K I
y iws?
ldoo.j-j 151
9bol; =SIX "LbEI
h05 = sz x $ J
ohg = AZXai?
a-h = Ax9
11.u?
?sSb =hlx had, :zz x Z£
Tu?sO,v BOICC?ErzS
O 13 # /3f.3.0/
COHSUlTIHO EH01f+fERs
INGINMUNG rLnHHEns and LANG dunvEYOM1S Avg /0+
Ao6 0
COMPANY, INC*
1000 GIST 14611 STREET, BunHSVILLE, U1111 SOTA 55737 PH 432'3000
C4CY j;v-Z CCZzC C Vc'7?LT"TTe?
-0c4rrL,c2icrt: LOT 9, BLOCK 3, BRITTANY 39D ADO/T/oA;
DAKOTA COUAITY, MINNESOTA
DENOTES BX157-/M6
66F, V4 -ROAI
VJ
3
5 ? 1
9 5b 1 h2 °? ?
19
ORAINA66 41VD
0711-17-Y 6A9EMEA1-T
?- z
ter,
wy:
SCALo : /" = 30'
?5g
N Z1
C96o•z> DCN076S PROPOSED
6L61/AT/oA/
?. INDICATES 91945C7'14V DF
650C,C ICE DRA/IVA66
960.50. ?/N/SHED 64RA 6 E
FaM QC-V4T1OA1
a
5?•9? 5x,00
rq
-
8 pKoP°SEP
'eo `\
Va E DIRE
1
rj
W?
G?P
0
DWE DD
DEP-Z
zo' FROA17- BUILDING
top -SET6ACK LJ t/E
3? f
OpW 7..
by 00 7
CgbD? ??_
bo•5° w °
n-bs
0 25
? a? e5 Q . j3.
?NEp- v' Si•?5
;O?-' r/ AY
/,Lb 361 ? 5' e;
I hereby certify that this is a true and correct representation of !, tractf of
land as aho%m and described hereons• As prepared by mn an this Z?? Y
IVIXIL i 19 88 .
w0 ... ?Ninn. nad, No. 13600
/O' Se,rBAaK VAglAWtE eFRAHTEP 1 z- z 1- S Z
CITY OF BUILDING DEPARTMENT
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
(To be submitted with building permit application)
One or Two Family Dwelling Owner
All Other
Contractor JoGG SOkJ RVLZ & S
Site Address 1,wr `? Rlea 3
?gIrraiv?y 3a. .4 oar,
Dater Phone
LINEAL FEET OF 11
?/I Z bJ?.`IS
EXPOSED WALL "Sac- ?Cc'per; r7HEET ft. above grade =
TOTAL EXPOSED WALL AREA SQ. FT.
OPAQUE WELL COV'STRUCTIOPi: "U" Value x Area
a
Fp-"A& rrUrr .043 x SQ. FT. 1607,S0 . 9.10 (U)(A)
-
Detail
Conk. "Ur' .09F3 x sq. FT. p3n, D = 7.R7 (U)(A)
reference
Rir+t "U" a? x SQ. FT. 187•SO = 7.50 (U) (A)
from 'U" x SQ. FT. _ (U)($)
attached "Urr x SQ. FT. _ (U)(A)
sheets "U" x SQ. FT. _ (U)(A)
WINDOWS: "U" Value x Area
Make & Type _ "U" .Sr x SQ. FT. 07.50 = S (U)(A)
of rr nUr' x SQ. FT. _ (U)(A)
" It "U" x sq. FT. _ (U) (A)
" " "U" x SQ. FT. _ (U)(A)
DOORS: "U" Value'x Area
Make & Type 5TL• ?AXwL• nil" .14 x SQ*
ft fluff .47 x SQ.
it " "U" x SQ.
It n fluff x sq.
TOTALS -20757813 SQ.
AVERAGE "U"
TOTAL (U)(A) VALUES J(nS.99
. 07
DIVIDED BY T 'BALL AREA ZD)S.9$
AVERAGE "U' .115 or less for 1&2 family dwellings
ROOF/CEILING:
TOTAL AREA: Mat L7
Detail reference fluff . dZ>' x SQ.
from fluff x SQ.
attached sheets. "U" x SQ.
Describe openings fluff x SQ.
in roof. rrUf' x sq.
FT. 417,oo &•S& (U)(A)
FT. 42.00 = Iq•7jt (U) (A)
FT. _ (U) (A)
FT. - (U) (A)
r'T. /LaS.99 (U) (A)
FT. 7810 G. 5-0 (U)(A)
FT. (U)(A)
FT. - U) (A)
FT. - (U) (A)
FT. - (U)(A)
TOTAL (U)(A) VALUES DIVIDED BY I(O•SO - TTAcL?v "22E fT QV(t)
TOTAL R00^/ 1r AREA
78? • ZI
AVERAGE ' " .025 f r ventilated roofs.
--WALL LEMON—
Determining IOU" values at Roof, Wall, Rim, and Conc. Block
ROOF/CEILING
1.) Interior Air P'ilm
2.) 5/81r Gyp. Bd.
3.) Insulation
4.)
5.) Exterior Air Film
(STILL)
(R) VALUE
0.61
.56
45-co
.61
IOU" = i/R=,OZI TOTAL (R)=?. ?8
v
WALL
6.) Interior Air Film
7.) Z'r Gyp. Bd.
8.) Insulation
9.) Z4>', $ox:T-g11?
10.) Masonite Siding
11.) Exterior Air Film
(R) VALUE
0.68
.45
19,00
2.04'
.07
.17
nUrr = 1/R= .0,43 TOTAL (R)=Z3.pj
RIM
12.) Interior Air Film
130 Insulation
14.) 211 Fir Rim Joist
15.) zs;1)e1 3ocr-RRlnE
160 Masonite Siding
17.) Exterior Air Film
(R) VALUE
0.68
19.00
1.88
-Z- 67
.17
IOU It = 1/R= , 040 TOTAL (R)=24.44
FOUNDATION
18.) Interior Air Film
19.)
20.)
21.) 1211 Concrete Block
22-) R)&1D 1{vS?uL,
23.) Exterior Air Film
(R) VALUE
0.68
1.28
5.07
null = 1/R= ,09$ TOTAL (R) 2>
of
WORK s46S-r"
1,5aX (34-+34t Z(v+ZA = 114000
b#5?)( CZ7tZ.7+ Z(,tz(o) = 956.98
Z,a7s78 --
coye.
.(o7x C t34+-z6tz() _ -40-
gkm ?,ST
83 X (08 ,- 5Z t 5g• +5Z) = /87 SS -
LowboW S (-1BY)
t6x3z = 7.1 X 2= l¢-z.o
10X4$ /3.3 X 1 = t 3.30
Z4x48 = !(o.o X 5= So_oo
107_ So
Doop-S
3° s??• 1v?s•L = Zg.oo
2$ STG• r7ER = Zl•00
PATiD = `LjZ,oo
9/.cc ---K
Z&XZ7= 7OZ-00
12X 7 = 84,00
781x. oo ?;-
Naj w?-• F.r?t?sFc.s
6, m w4u- Z,o7S.gg
LES?i Caue. • 80.40
wa?? ,o?,so - g(do-48
u ?00?'S 9).00
t, loo9.So 4-
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
CLAIMANT MASTER ELECTRIC
ADDRESS 12467 BOONE AVENUE SOUTH
SAVAGE, MN 55378
Location
Receipt No./Date
Reason for Refund
Type of Refund
1573 SHERWOOD WAY
',9. B3 BRITTANY 3RD I
84199/5-31-88
CONTRACTOR 1-051 JOB
Electrical Permit
Plumbing Permit
Mechanical Permit
Surcharge
Water Connection Permit
Sewer Connection Permit
Account Deposit
Utility Account Over-Payment
Other:
01-3211 $ 12.00
01-3212 $
01-3213 $
01-2155 $
20-3713 $
20-3743 $
20-2252
, $
20-2250 $
$
$
TOTAL $ 12.00
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
JUNE 16. 1988
Signature Date
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
CLAIMANT ASPEN ELECTRIC
ADDRESS 7675 WEST HIGHWAY 13
SAVAGE, MN 55378
Location 1573 SHERWOOD WAY
L9. B3. BRITTANY 3RD -
Receipt No./Date 84524/6-9-88
Reason for Refund JOB CANCELLED
Type of Refund Electrical Permit 01-3211 $ 12.00
Plumbing Permit 01-3212 $
Mechanical Permit 01-3213 $
Surcharge 01-2155 $
Water Connection Permit 20-3713 $
Sewer Connection Permit 20-3743 $
Account Deposit 20-2252 $
Utility Account Over-Payment 20-2250 $
Other: $
TOTAL $ 12.00
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
JUT,Y 8 1988
Signature Date
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
tNOTE: PAYMNI7P OF FEE AT TIME OF ^i"1
i APPLIC-MON DOES NOT OON-
STIWM APPROVAL OF PEPMT.
i IIYSPECPION OF SEWER AND/OR WATER x.
INSTALLATIONS WILL NOT BE SCEDOLED t
NTHTL PERMT HAS BEEN APPROVED.
f4ff*11*f4fi*f>*f*i*fff*1flfifl**ffi**
_city of ecagan
(PLEASE PRINT
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION.
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
N1on Year
PRESENT ZONING/PROPOSED USE:
Q .C0 M'lERCIAL/RETAIL/OFFICE
Q INDUSTRIAL
a,INSTITUTIONAL/GOVERNMENT
p?R-1 SINGLE FAMILY
R-2 DUPLEX (Two Units)
Q R-3 TOWNHOUSE (Three +. Units)
Q R-4 APARTMENT/CONDOMINIUM
2) , NAME: 76
?JCidt?H
ADDRESS:
CITY, STATE, ZIP: ..
PHONE:
3)-?? NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
MASTER LICENSE
4) FOR
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
( Units)
( Units)
Active
Expired
Not recorded
St Init
5) a ?Tufi.?ellf:Ta'u?i
' f:?3i ??
ONNECTION TO CITY SEWER
ET-C CONNECTION TO CITY WATER a OTHER
6)
* THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-Lip.
** PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE
* ARE ANY PROBLEMS.
*
FOR -CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SURCHARGE)
$ WATER PERMIT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $<S ACCOUNT DEPOSIT - WATER
i
$ ??5 C d $ WAC
$ S U (i $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ n $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ E, TOTAL
G7 J?l<
RECEIPT RECEIPT /
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES 'IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MOST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
Lq , B3
Council Minutes
December 21, 1982
BRITTANY 3RD ADDITION - VARIANCE
00335
An application of Tollefson Builders, Inc. for ten foot front setback
variance on Jots 2-through 10, Block 3, Brittany 3rd Addition gas presented to
the Council. The Advisory Planning Commission recommended approval and there
were no objections to the application. Smith moved, Egan seconded the motion
to approve the application subject to compliance with all other applicable
ordinance requirements. All voted yes.
NORTHWESTERN NATIONAL BANK
REZONING, PRELIMINARY PLAT & CONDITIONAL USE PERMIT
NORWEST 1ST ADDITION
An application of Banco Properties for rezoning approximately 4.4 acres
from A (Agricultural) to GB (General Business), for preliminary plat approval
of Norwest 1st Addition consisting of 6.4 acres and 82 commercial lots and a
conditional use permit to allow a drive-up teller, in conjunction with pro-
posed Northwest Banc facilities was presented to the Council. Mr. Walter Klus
of Banco Properties, Inc, appeared as did other representatives of the Bank
including the Architect for the proposed project. Hedges introduced the \
project and noted that the Advisory Planning Commission recommended approval \1
subject to a number of conditions. Joe Wachtler, a neighboring property
owner was also present and expressed his concerns regarding assessments. The
property would include the Fournier and Texaco properties and Mr. Klus stated
that Third Northwestern Bank would be the managing bank. He stated that the
applicant is asking for a right-turn only on Yankee Doodle Road, and further,
that the Fournier house be used as a temporary banking facility for up to one
year. There is no present plan for development of the balance of the parcel.
He, also stated that 50 feet north of the Wachtler property could be sold to
the Wachtlers, and further, that the Wachtlers would not be required to parti-
cipate in any of the special assessments for the project. Mr. Klus requested
General Business zoning because of the uncertainty of the use, but Councilmem-
bers explained that the policy of the City is to avoid rezoning until a
specific use is provided and recommended Planned Development overlay for the
project at the present time. There was a question as to whether the City
would assess the adjacent benefited property, but no detailed study has been
made at the present time. In addition, Council members questioned whether the
City should maintain the access road from Pilot Knob Road and the general
consensus was that the road be dedicated to the City but be privately main-
tained possibly until the road is extended easterly. Paul Hauge, City
Attorney, recommended that if the property owners and developers would consent
in writing to the revision of the zoning application to Planned Unit Develop-
ment overlay and Agricultural-Limited Business underlying zoning, that the
applicant could then avoid an additional public hearing for rezoning to
Planned Development. After extended discussion, Smith moved, Egan seconded
the motion to approve the rezoning to Planned Unit Development overlying, with
underlying Limited Business Zoning for the bank site and underlying Agricul-
T
?l?g3o :?30.Sv
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651475-5675
Please complete for. single family dwellings & townhomes/condos when permits are required for each unit
Date / l to / 0 Ca
16-73 f!/
S
eU ]?
1 Unit #
JO CA AL
Site Address 1 -
Property Owner 30' 1 f 1 I 1 S_L/ k..rK Telephone # 1014
Contractor Z?
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State (
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Bond #: 9
Expires: / Ir 0-7
If
The Applicant is Owner _2? Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
D< furnace -Additional 2?Replacement New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approve plan in the case of work which !f requires a review and approval of plans. \
Applicants Prttt et d name A t Signa
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1573 Sherwood Way
Lot: 9 Block: 3 Addition: Brittany 3rd
PID:10- 15002- 090 -03
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
John H Prediger
1573 Sherwood Way
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA084036
07/07/2008
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
h all applicable State