1579 Sherwood WayWATER SERVICE PERMR
.:ITY 0b EXGAl1 PERMIT NO.:
3795 4ilot Knob Road DATE: 1 -1
55122 .. No. of units:
11090"1 MIA zoning: n c .
Owner: i ,
pjdress:
Site Address. Connection Charge:
plumber: Account Dept.
Meter NO,: Permit Fee:
Size: Surcharge.
Reader No.: City of 4.e9°n Charges:
to eomPly witb th° Misc.
1 e9?° Total:
Ordinone°s. Date paid:
lns9•?
BY
Dote of Insp.:
C.TY OF EAOAN
3795 Pilot Knob Road S*1NER SERVICE P
Eason, MN 55122 ERIVIIT
Zoning: PERMIT NO.:
g: DATE:
Owner: No. of Units:
Address:
Site Address:
Plumber: t' 3
Tr-r
hdiaoneesh1p1?r wife the Cty' of Eosan Connects
Charge:
Account Depoit:
osit:
Permit Fee:
Surcharge:
rte of Irup.; Misc. Charges:
p•• Total:
Date Paid:
.y:
CITY OF EAGAN
i _ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for WFJ1 NT Est. Value *I, 5t'C Date
Site Address 1579 SHE«RWWD WAY
Lot I Block 3 Sec/Sub. BRITTANY 3RI:.
Parcel No.
W Name ";EVIN ftDERSON
Address 1579 Sli3:eR.1•'ME 'JAY
City RAGAil Phone 452-4090
o Name RAMMY -1011 ?nN
a 0 Address 1576 WAY
City PAGAN Phone 102-22$7
,V+, W Name
Address
W City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Signature of Permitee
A Building Permit is issued to: e.AHOY JURNSON
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
Occupancy FEES
Zoning
(Actual) Const Bldg. Permit 35. CC`
(Allowable) Surcharge 1 • f+f`
# of Stories
Length Plan Review
Depth SAC, City
S.F. Total SAC, MCWCC
S.F. Footprints
On Site Sewage Water Conn
On Sfte Well Water Meter
MWCC System
Acct. Deposit
City Water
PRV Required S1W Permit
Booster Pump SW Surcharge
Treatment PI
APPROVALS Road Unit
Planner
il
C Park Ded.
ounc
Bldg. Off. - 50
Cowes •
Variance TOTAL 37.50
16084
Permit No. Permtt Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC r' v
n 7 ?0 ?S 75
r µi.' 7
- - A/
/?
Inspection Date I Comments
Footings I
Foundation
Framing ,Z' D Q
Roofing
Rough Plbg.
Rough Htg.
Isul. 70 -oi
0
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr.lPlan
Bldg. Final
Deck Ftg. /
Deck Final NST 7.C /'.S
Well 7t' T
Pr. Disp.
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
RECEIVED - 1
FROM
19
AMOUNT
3 DOLLARS
goo
CASH CHECK
FOR
FUND CODE AMOUNT
J
Than You
' BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
DATE I
PERMIT # i 0CZ
PLUMBING PERMIT RECEIPT # 6 (0 CI V
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 5 - j C1
Site Ad es
Lot Block
m Name
N
? Ciiyr
c
c Add
O City
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE -$10.00
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
BLDG. TYPE WORK DESCRIPTION
tries. New
Mutt Add-on
Comm.
Other Repair
NO. FIXTURES
Water Closet - $3.00
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
FOR: CITY OF EAGAN
STATE S/C:
GRAND TOTAL
TOTAL
s
CITY OF EAGAN
3795 Filet Knob Reed Eagan, MH 55122 a. O `]
PHONEt 414-8100 V
BUILD`NG PERMIT Receipt
Site Address xJ 17 oRerwouu way
Lot F3 Block 3 Sec/S„b. Brittany 3rd
Parcel # 10 15002 080 03
ac Name LVIICL0VR DUMJ.UCL5y 1R?:•
W
Address 1655 :Norwood Drive
U r:. , .:a-an 55122 M„_- 454-6873
e Name _
0
ou Address
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.
Erect
$]
Alter ?
Repair ?
Enlarge ?
Move ?
Demolish ?
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. -
APC
Occupancy R-3
Zoning R-1
Fire Zone i1
Type of Const. y
# Stories
So. Ft.
Fees
Permit 4 1-5. UU
Surcharge SQ - DO
Plan check 21 Fi _ 5)
SAC 525-()0
Water ConnA5i nn
Water Meter 6n _ can
Road Unit ? Sfl 00
Total $1954.50
Signature of Permittee I
A Building Permit is issued to: Tolle son builders, Inc. on the express condition Ihnt
all work shall be done in ac rdar%7 with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing a
`r 3 6,,,,--,e*,, &-3.-0it ?
H. V.A.C. J _
3 L0 02 1 l t c
Well
Water
Disp.
Sewer
Electric w6t1k zz
Inspection Date Insp.
Other
Footings
Foundation d
Framing
Plbg.
Rough
Rough HVAC
Insulation r e J
Final Pibg.
Final HVAC t
Final
Water Describe Location:
Well
Sewer
Pr. Diisp.
Ttruftrate of Orruvaury
Citp of eagan
arvartnpnf of Wuilbiug Inswrfion
Tbir Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance tbts structure was in compliance wuh the various
ordinances of the City regulating building construction or use. For the following:
un Cksd&.OUM SF DWG/ GAR Bias. Parruit No 7828
not nor T'Pe R3 7Yp cowumtio. V Fite zone NA zo dm auwa RI
-el
Receipt ?t PLUMBING PERMIT Permit No. .?-- I
CITY OF EAGAN a 6110
Fee's
Fill in numbered spaces
Type or Print legibly Tot.
La
1. Date-l G` ? 2. Installation Cost
S 9 ?ywvt' r rl?,
3. Job Address Blk. Tract
79
r
4. Owner ej / I -- T -?? i ? S
5. Contractor ir/ Phone
6. Address / f-, bee l--i- Ti-;q_.
7. City 1\ i ??r1I xz vri'State NA. ck-J Zip S c l r%
8. Building Type: Residential 4?' Commercial ? Institutional ?
9. Work Description: Newj42'-- Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
L Bath tubs Septic Tank
Lavatory Softner
Shower Well
'
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify -that the above information is true and correct, and I agree to
comply with all ordinances and codes? verning this type of work.
Signed : r-2/' 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 OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address Lot BIk. Tract - '
4. Owner -
- :z
5. Contractor Phone
6. Address
7. City State ;?- Zip if
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New D- Add ? Alter ? Repair ?
10. Describe
11.
Type k,
No. Equipment BTU - M. Ea.
Forced Air No. Equipment CFM
Air Handlin
:
Mfg. g
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 1 agree to
comply with all ordinances and codys governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4548100
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189
(612) 681-4675
SITE ADDRESS•
1NNFEU ION KLUOKI)
PERMIT TYPE:
Permit Number:
7 Date Issued:
• l o7
.Eti} RL4000 WA)
i'•i I I I iSPI i Sf? U
fill[I WNG
01i A t
{36!01 jctA
ct ??. f APPLICANT:
1 1'tt C, i ;'l.t41? I NE'
7
I
PERMIT SUBTYPE: TYPE OF WORK:
1,1 PAIR
ut .f, I t t td I:1 110"t
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL r
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addition Rrittnnv Ard Addition Lot S Blk 3 Parcel #10 15002 OSO 03
owner h -' fi li_/ i. street 1579 Sherwood Way State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1982 2013.03 402.61 5 1207-93 AQ12RQ1 9-71-R3
STREET RESTOR.
GRADING 1982 596.22 119.24 5 357.74 A012803 9-21-83
SAN SEW TRUNK 3p.?f 1976 143.11 9.54 66.79 A012803 9-21-83
• SEWER LATERAL 1982 '3830.10 66.02 5
2299-06
WATERMAIN
* WATER LATERAL 1982 5
WATER AREA 66 1982 296.92 59.38 5 178-16 AQ1 MIA 9-21-93
* Services 1982 5
STORM SEW TRK 1982 628.22 125.64 5 376.94 A012803 9-21-83
+k STORM SEW LAT 1982 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250 00 347,14 3-10-83
WATER CONN. 450,00 rr +t
BUILDING PER.
SAC 5Q5 nn of
PARK
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 ' (952) 881-9000 TEST RECORD
ADDRESS f S h?l/`lA/'yi0 W O\
OCCUPANT W)Ck-^
SOLD BY???y
MAKE Ll S?j V'6
SERIAL NO 1
ly- D
VALVE IIUI
LIMIT
LIMIT SETTINL
FAN SETTING
PILOT TYPE _
JOB NO.
FEB A 6 2001
CITY ?ynj?%y l? A
^J ,.y (AALA C-`
OWNER A
INSTALLED BY
MODEL Yv \ I " 3
-76
INPUT-
VENT SO
TYPE OF
LINER $I
FILTERS
WIRING
TEST TA
IGNITION MODEL LIGHTING INST.
PILOT TIMING _
DATE TESTED
PRESSURE W ?- PERCENT CO, w
PERCENT COMPANY TESTING
INPUT CFH Op
STACK TEMP. hD PERCENT CO NAME OF TESTE
FORM 236 (REV. 11/89) FORM DISTRIBUTION: WHITE COPY-JOB FILE YELLOW COPY - CITY
` CITY OF EAGAN
9793 PRO Knob Reed Eogen, MN 55122 ?7
l?l .D 7828
.. PHONE: 454-8100
' BUILDING PERMIT
Receipt ?J
# a -7
To be used for SF DWG/GAR Est. Value $100,000 Date March 10 I9--M3-
Site Address 1579 Sherwood Way Erect
$] R-3
Occupancy
Lot 8 Block 3 Sec/Sub. Brittany 3rd Alter ? Zoning R-1
Parcel # 10 15002 080 03 Repair ? Fire Zone NA
Enlarge ? Type of Coast. V
a Name Tollefson Builders, Inc. Move ? # Stories
z Address 1655 Norwood Drive Demolish ? Length 60
city Eagan 55122 Phone 454-6873 Grade ? Depth 33 Sq. Ft.-
5 5 Name Owner Approvals Fees
s0
u
Address
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.
Assessment -
Water & Sew.
Police
Fire Eng.
Planner
Council
Bldg. Off.
APC
Permit 43J. UU
Surcharge 50.00
Plan check 216.50
SAC 525.00
Water Conn.450.00
Water Meter 60-00
Road Unit 950_!111
Total $1984.50
Signature of Permittee
A Building Permit Is issued to: Tollefson Builders, Inc. on the express condition that
all work shall be done in accprdonl{ wiAh all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
i in/ "*
i / --/ , /
95 8
3
8 2 L8 Gf . ?- . , /
3' 4;2o
-
1 -
Request Date _ Fire No. RougMn spedion
Required
El Ready Now Will Notify Inspador
Yes ? No When Ready?
1 ? licensed contractor 9 owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.) C8y
15 S ? L'? ar.
Section No. Township Name or No. Range No. County
k
k
o
Da
Occupant (PRINT) Phone No.
, '.n ?e P i 15a-`IL )CIO
Power Supplier
ak Electric Address
0 aaO
4/
5t
0
? ^
f
Electrical ConVacror (Company Name) a Lic
ense o.
7Cnl
Mailing Address (Contractor or Owner Making Installation)
157q
?
.
- r,J?.. ?
Authorize S' azure (CO redo ner king installation) Phone Number
? JrJ?`l?r
MINNESOTIKTATE BOANB of ELECTRICITY
Grigga-Mldway Bldg. - Room S173
1821 UnlveraRy Ave., St. Paul, MN 55100
Phone J612) 692401100
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION .r: EB00001-07
0- See instructions for completing this form on back of yellow Copy.
90i'vC
X" Below Work Covered by This Reauest
e Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.Mdustrial Furnace
Farm Air Conditioner
Other(speciy) contractor Remarks: G?/??/LG //P L/ D
fT /p C
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Cirouits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abov 00 _ Amps
Signs Inspectors Use Only: TOTAL JCQ
Irrigation Booms
Special Inspection
Alarm/Communication
Other Fee - F -
I, the Electrical Inspector, hereby
tif
h
h `? n - .
Rough-in Date
cer
y t
at t
e above inspection has
been made. Final ,.,_ Date
OFFICE USE ONLY /. • ?>r ' ??/' -` ?,
`• r' `-?
The request wid 18 months ha.
This request void ??' L$?CJ 3i ?lslAK"L3 d-LfJ `??
18 months from Q
08-1228
Ranges[ Dale 2 Fire No. RRouuh ed 'Inspection Ready Now Wit ntity Inspec-
o r _ 1 Yes ?NO for When Read
Y
Licensed Electrical Contractor I hereby request inspection of above
? Owner electrical work installed at:
41
hh,?A.SY TATE BOARD OF ELECTRICITY
Bldg. -ooN.191
ity Ava.. St. Paul. MN 55104
Street Address x or Route 1N o. /???Qf
I f i lll+l.?? ?? /%?
t/`? City
acLOn N o. Township Na,. or No. Range N . C unty
?4 .fi?
^I J 4
Occu a nt(PRINT)
IW, Phone Nn.
PowS?r Supplier Address
Electrical C ntractor (Com any
Q_ mat Contractor"s License No.
I a 3
Mailing A ress (Contractor or Owner M'a.I{? op n taila b 1
1 "
Y,rWA-l\JI
tiorized Signature l ntractor/Ow r Making Installations Phone blkA nber
THIS INSPECTION REQUES WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB
u:
,See instructions for complCrli ng this form on back of Yellow Copy.
X:'Belork bDErd by This Request ?y0
Ne% Add Rep. Type o1 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 O
,
t5ft Omer lSper;rfyl
t war peG Y R
9 Olhe,
Compute Inspection Fee Below
ft Fee Service Entrance Size k Fee Feeders rSublaeders a Feo Circuits
0 to 200 Amps 0 to 30 Amts 0 to 30 Am Ps
Above 200 Am is 31 to 100 Amps - 31 to 100 Amps
Swimming Pool Above 100-Amps Above 100_A mps
Transformers Irrigation Booms U Partial-"Other Fee
Signs Special Inspection
?
T A
flemnrks (} ' F
IS
Rough-in
Final Date
t/b(//] rte/`/?Sy
't< G
i -} a? 1, theec rical
inspector. hereby
certify that the above
inspection has been
made.
Thln nummitt vnld 19 months from
CITY OF EAGAN N? 16084
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
n
'
^
-] (0(J9
BUILDING PERMIT Receipt#
1 C J
To be used for BASEMENT Est. Value $1,500 ?(]
Date I " ? w 19_-.39
Site Address 1579 SHERWOOD WAY
Lot 8 Block 3 Sec/Sub. BRITTANY 3RD OFFICE USE ONLY
Parcel NO. Occupancy FEES
Zoning -
X Name KEVIN PEDERSON Actual) Const Permit 36.00
Bldg
Address 1579 SHERWOOD WAY (Allowable) .
1
00
.
Surcharge
City EAGAN Phone 452-4 0 # of stories
Plan Review
Length
p Name RANDY JORNSO Depth City
SAC
=
va Address 15,76 9H S.F. Total ,
SAC, MCWCC
City FACAN Phone 4522287 S.F. Footprints _
Water Conn
On Site Sewage
Name On Site Well Water Meter
N Address MWCC System
City Phone City Water Acct .Deposit
S/W P
it
PRV Required erm
I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge
information t
n
rge to ply with 1 applicable State of
as a
City 0
Minnesota Statu utes an City o ag Dance . Treatment PI
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: A Planner Park Ded.
on the express condition that all w al a done in accordance with all Council -- 50
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. ON Copies .
7 \ Q
Building Official 'Ril'Irt
?s
Variance
TOTAL 37.50
5'
2007 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651.675-5675
Plpacp cmmniete fnr mndifirafinns to existing residential dwellings
j6
Date I C_-? 7 / d?
Cl L{?--`/ Unit#
Site Street Address IJ?r(c?O?
\
Property Owner / Telephone # (65j) 7 got __5-g
Contractor -\/o ?f f / ,` Telephone # (95?) 9,V
? ?'? C2t 3o'rr?.J -lorAn?,Ci ?. 7Y?n p ,7,?Y.L(r
Address ` 5',l _ ? 5 /n ?/? State Zi
The Applicant is: _ Owner & Occupant X Licensed Plumbing Contractor
Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive plumbing re irs are made to a building.
Alterations to existing dwelling $ 50.00
Add plumbing fixtures to _ main level _ lower level. This fee includes
installation of a water softener and/or water heater at the same time. 9 you are
installing on a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
-Septic System Abandonment
-Water Turnaround (add $136.00 if a 518" meter is required)
Other:
_ Water Softener Water Heater $ 15.00
_ new replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $ )5.?b
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete ana 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 with the approved plan in the event a plan is required be reviewed and approved.
Ca 11,E OC?a C %?? o Q??
Applicants Printed Na a Applicant's Signature
65(1, gio
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
,, o3d -sv
Date Ay ?4
Site Address 8'79 S h e-rt,t) 0a d (n)NQ Unit #
Property Owner e i ow, Telephone # ( )
Contractor e
, a i C O U 1 1 its
,
Street Address ? t
p
-
I 1 9-3n ?? AA, City Ga
State YV?t ``
?J Zip Telephone#((p12) ,
Bond #: Expires:
The Applicant is Owner Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace -Additional -Replacement
air exchanger
air conditioner New _ acemen
R
epll
_
t `
?
other t, o rr? a dux
_ .y
r? (? MM
$ .50
State Surcharge
AUG 0 2004
Total ULJ
AUG 0 4 2004
By
BY
I hereby apply for a Residential Mechanical Permit and acknowledge that the orata ton t tt"aad 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
approved plan in the case of work which requires a review and approval of plans.
eud+- F.u 11A l .1???/lf
Applicant's Printed Name Applicant's Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date ! /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip
( )
Telephone #
Bond M Expires:
The Applicant is Owner Contractor Other
Work Type
New Construction - Underground Tank _ Install -Remove "see below
Interior Improvement - Install Piping - Processed -Gas
Nature of Work:
`*When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installationhemoval
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x Iola = $ Permit Fee
• If ermit fee is $1,000 or less, add $.50 => $ State Surcharge
If ermit fee is over 51,000, add $.50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial 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 approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector Date:
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan ?S
(
a 3830 Pilot Knob Road, Eagan MN 55122
o Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodellReoair Requirements Office Use Only
3 registered site surveys showing sq. 0. of lot, sq. ft. of house; and all mofed areas 2 copies of plan Ced 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
I set of Energy Calculations Addition - indicate Bon-site septic system On-sts Septic System _Y _N
3 copies of Tree Preservation Plan'rf lot platted after 711M
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date g / .2, /(f:p / Construction Cost
Site Address /s79 5ll??u?^x? Unit/Ste #
Description of Work J t ?2dr tabl _ }? ' i_ lie,
??E' h76
Multi-Family Bldg - Y N Fireplace(s) Y 0 - 1 - 2
Property Owner YD(oer- - ''r deb NqqeWn',,a, Telephone # (657 Ysa -SAS 9s
,%W (20,4 1r11
Contractor reef, r lVer?n iS I?rOgSt•?sl /
.
Address 4147 L-44Ae.' 13`1 1' ST - City
State RAI Zip 5-157-37,,5' Telephone # (60,) 3L? - -Tr3R
h o a.U vs s u ?o vv1
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Category I
• Residential Ventilation Category 1 Worksheet
(4. submission type) Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone t
Telephone t
I hereby apply for a Residential Building Permit and acknowledge that the info ion lis ccurate;
that the work will be in conformance with the ordinances and codes of the Ci 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 approve tan in the case of work w ' requires a review and
appr al.of plans.
A
Applicant's Printed Name Applicant's Signature
A NEW BUILDING
_ Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
N If so, 25% plan review
P A (i 0 2 4.V"04
complete and
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
?3 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_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
?0 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
I 33 Alteration
on 12 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
/?
34 Replacement 'Demolition (Entire Bldg) - Gi ve PCA handout to applicant
Valuation Occupancy MCES System
Census Code ZT Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const v a) Width
- Footings (new bldg)
- Footings(dcck)
Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
REQUIRED INSPECTIONS
Final/C.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding _ Stucco - Stone - Brick
Fireplace - RI. _ Air Test Final Windows
Insulation - Retaining Wall
Approved By: Building Inspector
---------------------------------------------------------
-----------------------------------------------------------------------------------------------------
Base Fee . aS
Surcharge 45--C) U
Plan Review I
MC/ES SAC
City SAC
44
Utility Connection Charge fi?Ls
S&W Permit & Surcharge °???rrr?,,,ppp ?
Treatment Plant ?La v?iL
License Search J
Copies
Other
Total
(o . a
. % , 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan -A Q q . a?
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694- ?V?A ?-? ??
°.. /
New Construction Requirements Remodel/Repair Requirements 0fircs?1rse QiTv
3 registered site surveys showing sq. ft. of lot, sq, ft, of house; and all roofed areas 2 copies of plan Ce11 q);5urYey Recd Y N.
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tiee'Pres Ptah: Recd Y _ N;
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Trae Pres 12egiapd Y • N
_Y
1 set of Energy Calculations Addition- indicate ifonsite septic system 011-riles Spilim
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date 7 / J l C, y Construction Cost pp?-
Site Address 1:5- 79 Skpr,O d l try Unit/Ste #
Description of Work ; YC > - E 4
Multi-Family Bldg _ Y X N Fireplace(s) X 0 _ 1 - 2
Property Owner Fpp-o6,u+ `E' Del Aw wn ter - Telephone # (&S1) 5D3 3y-
Contractor K??g°'? Hi? f °'>s
Address 11197 Lower oV, ST City !5a% e_
State IVA-11 Zip gs399' Telephone # (/?) &fr?- 0 3 frl
3
la /.z 3(67 6 ,7
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, 2576 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 informatioKjr, __ te;
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 approv Ian in the case of work which re ' es a review and
approval of plans.
Den n %, 5 Krog-sw
Applicant's Printed Name App icant'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 Fxd. Alt- Multi
? 03 01 of_plex ? 09 07-plex ? 17 Garage 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - 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
dg 2 °? ES S
Valuation Occupancy [ ystem
MC
Census Code Zoning 1 Z ( City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length 7 i 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 - - -
llnn
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
e
REQUIRED INSPECTIONS
Final/C.O.
?d Final/No C.O.
Plumbing
HVAC
Other
Pool - Ftgs _ Air/Gas Tests _ Final
Siding - Stucco - Stone -Brick
Windows
Retaining Wall
Building Inspector
a0 0 7V/o ?(? `3?go.0 C.?
C)
. ' Eagan City Council Meeting Minutes
August 17, 2004
Page 3
HH. Selection of New Polling Place. It was recommended to authorize staff to select a new polling place for
Precinct 5 for the 2004 Primary and General Elections and authorize notice to the registered voters.
GG. Designation of Ryland-Shafer/Richardson Partnership as the Master Developer for the Cedar Grove
Redevelopment District".
Patty Kurd representing MICA discussed the need for more affordable housing and requested the City
consider including affordable housing in the Cedar Grove Redevelopment District.
Councilmember Carlson moved, Councilmember Maguire seconded a motion to approve the designation of
Ryland-Shafer/Richardson partnership as the Master Developer for the Cedar Grove Redevelopment District.
Aye: 5 Nay:0
PUBLIC HEARINGS
VARIANCE - WAYNE ANDERSON
City Administrator Hedges introduced this item regarding a request for a Variance to allow a 2-foot encroachment
into the required 30-foot setback from a public right-of-way at 3150 Famum Drive, Unit A. City Planner Ridley
gave a staff report.
Mayor Geagan opened the public hearing. There being no public comment, he closed the public hearing and turned
discussion back to the City Council.
Councilmember Maguire moved, Councilmember Tilley seconded a motion to approve a Variance to allow a 2-foot
encroachment into the required 30-foot setback from a public right-of-way for Lot 3, Block 5, Coachman Land Co.
2°d Addition (3150 Farnum Dr., Unit A). Aye: 5 Nay: 0
VARIANCE - DEBRA NEWMAN
City Administrator Hedges introduced this item regarding a request for a 4.2 foot Variance to the established front
yard setback of 20 feet to enclose a porch on the front of a singe-family dwelling at 1579 Sherwood Way. City
Planner Ridley gave a staff report.
Mayor Geagan opened the public hearing. There being no public comment, he closed the public hearing and turned
discussion back to the Council.
Councilmember Tilley moved, Councilmember Fields seconded a motion to approve a 4.2-foot Variance to the
established front yard setback of 20 feet to enclose a porch on the front of a single-family dwelling at 1579
Sherwood Way in the SW '/4 of Section 33. Aye: 5 Nay: 0
VACATION OF GUN CLUB ROAD AND PUBLIC EASEMENTS
LONG ACRES ADDITION
City Administrator Hedges explained that a presentation would be made regarding the request for vacation of Gun
Club Road right-of-way, drainage and utility easements, and pubic comment would be taken, however the Council
would not take action until later in the meeting in conjunction with the final plat of Long Acres Addition. Public
Works Director Colbert gave a staff report.
Mayor Geagan opened the public hearing. There being no public comment he turned discussion back to the Council.
Councilmember Carlson moved, Councilmember Maguire seconded a motion to close the public hearing for the
vacation of Gun Club Road right-of-way, drainage and utility easements within SE'/4 Section 36 on property within
the proposed Long Acres Addition and direct consideration of approval to be concurrent with the approval for the
Long Acres Final Subdivision. Aye: 5 Nay: 0
9528089002
-FROK : KROGSTAD CONSTRUCTION INC
FAX NO. : 9528089002
REScheckCompliance Certificate
2000 Minnesota Energy Code
REScheckSoftware Version 3.5 Release le
Data filename: Untitled.rck
PROJECT TITLE: 1579 Sherwood Way
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 09102/04
DATE OF PLANS: 9/2/04
PROJECT DESCRIPTION:
Newman front entry addition.
1579
DESIGNER/CONTRACTOR:
Krogstad Construction Inc.
4197 Lower 134th Street
Savage, MN 55378
612-369-6839
COMPLIANCE: Passes
Maximum UA - 378
Your Home UA = 355
6.1% Better Than Code (UA)
Sep. 02 2004 06:19AN P1
Permit-? N be
Checked By/Date
Gross Glazing
Area or Cavity Cant or Door
Perimeter R-Value R-Vahm U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 1008 38.0 0.0 30
Wall 1: Wood Frame, 16" o.c. 1024 13.0 10.0 42
Window 1: Above-Chade:Wood Frame:Double Pane with Low-E 142 0.320 45
Window 2: Above- rade: Wood Frame:Double Pane with Low-E 68 0.320 22
Wall 2: Wood Frame, 16" ox. 1024 13.0 10.0 53
Watt 3: Wood Frame, 16" O.C. 448 13.0 10-0 23
Basement WWI t- Masonry Block with Empty Cells 676 13.0 10.0 140
Wall height: 8.0'
Depth below grade: 7.0'
Insulation depth: 0.0'
Furnace l: Foreed Hot Air, 85 AFUE
Air Conditioner 1: Electric Central Air, 10 SEER
Proposed and Maximom Cf-Fnetor Averages
Proposed
Maximum
Average U- Factor Allowed U-Factor
Above-Grade W indows and Glass Doors
Includes Foundation Windnws> S.5 m
0.320 0.370
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,
and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota
Energy Code requirements in REScheck Version 3.5 Release Ie (formerly MECchec4 and to comply with the mandatory
requirements listed in the F*S checkInspection CJnecklistl0_ n
Builder/Designer W L Daft / `%t -0y
Td WbTZ:90 VOW ZO .daS Z006808ZS6 : 'ON XCd ONI NOIICrndISNOO Qd1S008A : W08J
Z006808ZS6
Certificate of Survey for: DEB NEWMAN
O Denotes iron pipe set with a plastic LOT SIZE = 21,054 S.F.
plug stamped RLS 10943. ADDRESS: 1579 SHERWOOD WAY
• Denotes iron pipe found. EAGAN, MN 55122
X55 92
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Job No: 1566.1
Scale: 1" = 30'
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Lot 8, Block 3, BRITTANY THIRD ADDITION, Dakota County, Minnesota.
I hereby certify that this survey, plan, or report was prepared by me or under
my direct supervision and that I am a duly Registered Land Surveyor under the
laws of the state of Minnesota. N John Oliver & Associates, Ino.
JOHN 0 ER & ASSOCIATES, INC. a u ffjWbwn*W L=W Su nd W. Land Plan, W
//// 580 Dodge Avenue
" -( - M 1 Elk River, Minnesota
(6/2)441-2072 (FAX)441-5665
By: Randy . Morton, Land Surveyor
Minnesota License No. 21401 201 M. Travels" Trai6 suite 200
Burnsville, MN 55337
Date: 7/26/04 (612)884-3045 (FAX)894-3049
DWG: 1566BASE.DWG
Date: 7/26/04
.FECTIC
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• 70.0
J 2004 RESIDENTIAL BUILDING PERMIT APPLICATION ?
?p `f g U 3 City Of Eagan ??lsl
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodeVReoairReguirements Dffice- sri?CKJv
3 registered site surveys shaving sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan Lori of "I?ey et%("??' f {;t' "' l
(20% mmdmum lot coverage allowed) 1 set of Energy Calculations for heated additions nee Pr plan?eai 1` -0!.
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks ree Rres?RBrarg4F
1 set of Energy Calculations Addition • indicate don-s8e septic system ion-sites-"tepMR_Y=N
3 copies of Tree Preservation Plan I lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date 6" 1 dy
Site Address 15"n -51wa-end a)-- Construction Cost "'}CGb -
y UnittSte #
ot
Description of Work
Multi-Family Bldg _ Y _K N 0 _ 1 - 2
/
Property Owner x0ele /yPw~ Telephone # ( )
Contractor e? ?/
Address / love 1 /Wo
State City !5WI.?
Zip Telephone # COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
Have you previously constructe 091
fee applies. UU
Licensed Plumber b ..?tJ 3
Mechanical Contractor
Sewer/water Contractor
A NEW BUILDING
_ Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Y _ N If so, 25% plan review
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.
l/•E?119i5 4,-9,41 -IL?
Applicant's Printed ame Applicant's Signature
with a similar plan?
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 9 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex 1
? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New
32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code 4 3b
SAC Units -
# of Units
# of Bldgs
Type of Const
_ 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 U
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
.% 1
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
MCES System `-
City Water _
Booster Pump
PRV
Fire Sprinklered f
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
-7e -a.(-
I \ Tolletson BuilcerE inc.
lp..
JACKSON - SURVEYORS
a Qrr o-rE5 IRON c\: REGISTERED UNDER LAWS OF RATE OF MINNESOTA
---=fi4 tJ E-A,5E f. is
3616 EAST 55th STREET, MINNEAPOLIS, MN 55417
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Or. 11379
183 JIM
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Lot S,Block 3,Brittany 3rd. Addition,
Dakota Couaty,Minnesora,
Proposed Garage Floor Elev.101.5
Proposed First Floor Elev. 102.3.,..
Proposed Be6ement'Floor -Elev, 94',3
15 'i RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
' !00'?
New Construction Requirements RemodellReoalr 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 Cert of Survey Recd _ Y _ N
(20% maximum lot coverdge 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 & decks Tree Pres Reqd _ Y _ N
1 set of Energy calculations Addition - indkate if onsite septic system on-site Septic System _ Y _ N
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date / ?? QJ Construction Cost IK 36')0.0J
Site Address I lit l n
?J?"t? l?lh1??17 per,
lr?," Unit/Ste #
Description of Work (^) 5 I rf? l (?Ps? ( mu
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 2
Property Owner ??, '''y?
?t= to WV 1 J Telephone # ((,P-l) tt? L 5bj
Contractor I - t 4Gl `71 ?? E t ?
Address 3,, ?. i}v-/'1 13 City
State Md zip 4;j37 Telephone#(J?l) J!J''u7?J
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
fee applies.
Licensed Plumber F77M Telephone #(
Mechanical Contractor !vu OCT 16 2003 JUj Telephone #(
Sewer/Water Contractor Iuy_ ( Telephone #(
If so, 25% plan review
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 lan in the case of rk which requires a review and
approval of plans.
Apphcant s Printed Name Applicant Signature
OFFICE USE ONLY
Sub Types
Y *
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ Final/C.O.
- Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof - Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final
- Framing _ Siding _ Stucco _ Stone
- Fireplace _ R.I. _ Air Test - Final _ Windows (new/replacement)
- Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
CITY OF EAGAN
CASHIER JS TERMINAL Nit 7%
DATFU 06/02/9:8 T'iffS 0.2020
ID:
NAME: f;JORKST;tAND COM"ANTC_S INC
WO 9001 079 SHERHOOD H2.25
20 1 9001 157 9 fiiHIRWOOT: 3„00
lotal Receipt AmourAr 05W
CRO9'c280f3
W ER TH ;IAN
?(..'C;(, ; `k: J'O!: Jilt"(.:Y•?'.. ? ? ?._..,, ,.:,),::R;;'.A:)')$?:ra.
CITY OF EAGAN
3830 Pilot Knob Road
Eag-are' Innesota 55122-1897
(612) 64675
PERMIT TYPE: BUILDING
Permit Number: 032143
Date Issued: 06/01/98
SITE ADDRESS:
1579 SHERW00D WAY
LOT: 8 BLOCK: 3
BRITTANY 3RD
P.I.N.: 10-15002-080-03
DESCRIPTION:
SF (MISC.)
REPAIR
434 ALT. RESIDENTIAL
REROOF
Bullding Permit Type
;Building Work Type
"Census Code
t
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION
$112.25
$3.00
$115.25
$6,000
CONTRACTOR: - Applicant - ST. LIC OWNER:
BJORKSTRAND COMPANIES INC 14525598 0008676 NEWMANN DEBRA
41516 DIAMOND DR 1579 SHERWOOD WAY
EAGAN MN 55122 EAGAN MN 55122
(612) 452-5598 (612)452-5895
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 Mn.
Statutes and City of Eagan Ordinances.
I
APPLICANT/PERMITEE SIGNATURE
PERMIT
I^ QTIAT WISSUED BV: SIG ATURE
I
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) I ZS
CITY OF EAGAN
?2 I 3830 PILOT KNOB RD - 55122
J { 681-4675
New Construction Requirements Remodel/Repair Requirements
? 3 registered site surveys
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan I lot platted after 7/1/93
required: Yes _ No
DATE: &: TVR?
DESCRIPTION OF WORK:
STREET ADDRESS:
? 2 copies of plan
• 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST;
v T& V BLOCK: SUBD./P.I.D. #: IU 1 I ad?
Name: Phone #: 7?c?' LrO 5 L5
PROPERTY Last First
OWNER 45 7 y ??eru/DDt? ?? V
Street AddressI / .{--
City 'E-0 a/l//f/ State: / Zip:
Company: /??t???t Phone #: 7?? r ?? ??
CONTRACTOR Street Address: Address: License #
City State: Zip: 17-
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received - Yes
No
Tree Preservation Plan Received Yes No
0
RECEIVED
Not Reouired BY'----_
OFFICE USE ONLY
r?
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
CITY OF EAGAN Include 2 sets of plans,
/?? IG\ 1 site plan w/elevaticna i
BUILDING PERcT APPLICATION 1 set of energy calculaticns.
. GCL?-
7b Be Used Fbr valuation ?j660 Hate Z?' ?3
site Address OFFICE USE ONLY
Lot Block Sec./Sub,( Bract Occupancy
Parcel is b /Goo a OYD Alter Zoning
Repair Fire 2or?e
Owner: Enlarge , Type of Const.
Address: Movie M Stories
Demolish _ Front (9 ft.
City/Zip Code: Grade Depth C33 ft.
Plane 1:
Address:
City/Zip Code:
Phone f: - ..
Arch./Eng.:
Address:
City/Zip Code:
Phone is
APPROVALS FEES
Assessments P;e at
water/Sales Surcharge ?O
Police Plan Check -0
'Fire SAC -I-As- -0
Bag. Water Conn. Soo
Planner Water Meter /
?
Unit
sd
l J
. Off.'
Bldg.
L
APC
TOTAL * t s0
v
Tollefson Builders Inc.
JACKSON - SURVEYORS
-mac le1 / "_ 36''?
QENoTES IRON REGISTERED UNDER "We OF STATE Or MINNESOTA
3616 EAST 55th STREET, MINNE APO LIS, MN 55417 727-3684
0r. 11379
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I HEREBY CERTIFY THAT THE ABOVE IB A TRUE AND CORRECT PLAT OF A SURVEY OF
Lot 8,Block 3,Brittany 3rd. Addition,
Dakota Lounty,Minnesota.
_L
Dr
?1
Pra'pased_Carage Floor Elsv._-101.Sj
Proposed First F100r Elev. 102.3•,_
Proposed Basement-Floor [lev. 94;3
i?
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00335
Council Minutes
December 21, 1982
BRITTANY 3RD ADDITION - VARIANCE
An application of Tollefson Builders, Inc. for ten foot front setback
variance on lots 2 through 10, Block 3, Brittany 3rd Addition was 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 lst 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 Bank 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
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-
7
1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN
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 # 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
RAGEmc-N7F' MSt? _ W JAN 2 6198'9.
To Be Used For: Fa ?,/znr Valuation: I SC)' Date: I-,f5L5$7
Site Address (Wj
Lot V Block 3
Parcel/Sub R21TTAoy At'bI3
Ownertel) n Pmv-s"
Address
City/Zip Code
Contractor
Address
Na?gt.hor?
City/Zip Code rC ?4n ?It?
Phone 4Ja?o2c??
Arch./Engr.
Address
City/Zip Code
Phone #
5a?
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
WCC System
ity water
tRV required
ooster Pump
FEES
Bldg. Permit ?6.D0
Surcharge -,Do
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acet. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Copies Sa
TOTAL
APPROVALS
Planner
Council
Bldg. Off.
Variance
Council
NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building
permit fee. Processing time for sewer and water permits is two days once a licensed
plumber has applied for a permit at City Hall.
1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
I w O ? I ?/??x /7?
SINGLE FAMILY DWELLINGS 17 I
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONa
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 / 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 For: g?e%yrrc ee Ffg*, a,Jaluation: 600.
Site Address MV ?(ifau/ r CSC. OFFI
Date: / - zG - 89
Lot 14 Block I_
Parcel/Sub yAj?rtit?pmi
Owner ?_Ir?p,1t? IiiAh?
Address Anjr _u
City/Zip Code
Phone
Contractor M,y,,)es'f L:qe a *' Co .
Address S.70S Ca ? xy.. a
City/Zip Code else„y /V f, SSYy2?
Phone 6/2 - 6-5-9-S900
Arch./Engr.
Address
City/Zip Code
Phone #
On site sewage_
On site well
MWCC System _
City water _
PRV required
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
Council
FEES
Bldg. Permit 0
ca?& ¢-
Surcharge ,50
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Copies
TOTAL ?-S-
NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building
permit fee. Processing time for sewer and water permits is two days once a licensed
plumber has applied for a permit at City Hall.
400 City of Up
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
? ---------
I Ear9ficerllse
I
SS?/?/3
? Permit#: 7
I
I Permit Fee: I
I
Date Received:
I
I I
I Staff:
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -7//8/06 Site Address: /S'79 Sherooocxf 60&y
Tenant:
Suite #:
RESIDENT/OWNER Name: Cwman Phone: /OSr?'
Address/City/Zip I5-7g 5kerwooef We-4
Applicant is: - Owner X Contractor
TYPE OF WORK Description of work: TC t+
Construction Cost: S400 Multi-Family Building: (Yes No
CONTRACTOR Name: Qt rgrecn ?a?sh?cf/c License#: 526rg-- 4e6
J
Address: 970 Oa Yr o cf A.
Sf, Pa.,,! State: N Zip: SSrr r
City:
Phone: r&s?) ?7_oq_ 3r3o Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
_
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(1I submission type) • Energy Envelope Calculations Submitted
in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer s Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
-` conclude that the are trade secrets:
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
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
X 7-t167-- _? 711? WA
Applicant's Printed Name Applicant's Signature
Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1579 Sherwood Way
Lot: 008 Block: 003 Addition: Brittany 3rd
PID:10- 15002- 080 -03
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952- 445 -2840. Crystal Gemuenden 8910 Wentworth Ave S Bloomington, MN 55420 952- 881 -9000 Crystal.Gemuenden
@ServiceExperts.com
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$0.50
$30.00
$30.50
Owner:
Robert K Newman
1579 Sherwood Way
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
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
Mechanical
EA076238
12/20/2006
ePermit
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146887
Date Issued:11/20/2017
Permit Category:ePermit
Site Address: 1579 Sherwood Way
Lot:8 Block: 3 Addition: Brittany 3rd
PID:10-15002-03-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Derek E De Grote
1579 Sherwood Way
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157141
Date Issued:08/06/2019
Permit Category:ePermit
Site Address: 1579 Sherwood Way
Lot:8 Block: 3 Addition: Brittany 3rd
PID:10-15002-03-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Derek E De Grote
1579 Sherwood Way
Eagan MN 55122
(651) 329-4885
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature