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1582 Sherwood Way
From: Hoffman Weber ConsFax: (877) 970-1133 To: +16516755694 Fax: +16516755694 Page 3 of 4 .9/13/2010 11:52 Use BLUE or BLACK Ink 41'City of Eapp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Forte Us:,� 6Qq. Permit Fee: ga. CO Permit#: Date Received: Staff: c� 2010 RESIDENTIAL BUILDING PERMIT,IAPPLICATION 9 Date: " 13- 1 0 Site Address: 5 6 c t�` �(�i co,ct 'N 0'1 Tenant Suite #: RESIDENT/ OWNER Name: Kt\ tN Sul \ ‘ Vat 5r� S t,, , _( � nphone: (91 -10,D _ © lS O Address / City / Zip:Cl 2- 1 itr i((.3d t/ J014 Applicant is: Owner Contractor TYPE OF WORK Description of work: —'ear ( f arid c R.t R06 c Construction Cost t 4 ' 15 9 Mufti -Family Building: (Yes l No CONTRACTOR Name: -I-WT(1w) webC ?. (-..vOS C ligif nse#: t 6 / 13; Address: 19 3 010 V''12Si t)r /\VC NE. City: Fg d (eit State; !VI(. Zip:tSS13a /� Phone:y/ Cd (oLf0Ci1%Or1.I�3y/�3 Contact m 10,11r 1! �' f . W/!^mail: 1 1 fl t -/l "t� t rt @' hid t �(1,4S-1-0A ehl alt .c Oft) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor Phone: d supporting oc0 ihrt ire /tnsiderad fo be ptlifrt c,i maybe lassifie las non-pub/rc if you pry sp /t/c masons that i haft they acre„male sec . ” CALL BEFORE YOU DIG., Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage Calf 48 hours before: you intend to dig to receive locates of underground utilities. vtiww.gwherstateonecafl.o; rg, 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 1 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. • J -ID Fry /'! /t / Appht nts Printed Name Ap Page 1 of 2 CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road t P O B x 21189 PERMIT NO.: . . o Eagan, MN 55121 DATE: Zoning: R1 No. of Units: 1 Owner: Tollefson Bldrs Address: Site Address: 1582 Sherwood Way L3 B2 Britta=. 3rd Plumber: I" ena Ryan 1-7-85 48309 IUU.DU ? I agna to am* wUb the City of Eagan Connection Charge: 425.00 d ordinanoat. Account Deposit: 15.00 - n Permit Fee: 11). OU Pd Surcharge: r - rj By Misc. Charges: Dote of Insp.: Total: Insp. CITY OF EAG . AN y3830 Pilot Knob load WATER SERVICE PERMIT P. O. Box 21199 " PERMIT NO : Eagan, MN 551 1 1 . DATE: = 72-21 -' " ? ;Zoning: No. of Units: Owner: Tolkefson Rldrs /lddrm: Site Address: 1582 Sherwoo:! t,Ta L3 B' Lrittanv 3rd plumber: Fnz Rvan tar Na.: Connection Charge- 4 70.00 d Size: Account Deposit: 1 n Reader No.: Permit Fee: 10 . U .? 1 some to caawly with the City of Eager Surcharge: I'd Ordinange. ! Misc. Charges: _ 63.00 pd meter Total: By Date Paid: Dote of Insp.; Insp.. CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 211ag Eagan, MN 55121 Zoning: Owner i:oi e scn. Ui WATER SERVICE PERMIT PERMIT NO., DATE: _ No. of Units: PJAP&r:. -, -- --- '+orge: Connectio 4 7) . U U- 20 Meter No.. a i: - n rii- Deposit-. ? - 9?Lf ? Siu: , Reade No.: CL Fee: P 1 mom to oomph' v'" the City of Eaten Surcharge: i ? ; y t E: - Misc. Charges: Total: Dote Paid: By of Insp : Insp.: . 31i3 I g? - - CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 `J RECEIVED FROM - ?.;•1 AMOUNT'' / DOLLARS loo ? CASH ? CHECK lf? FOR FUND CODE AMOUNT f f 1 ) Thank ou BY White-Payers COPY Yellow-Posting COPY Pink-File Copy CITY OF EAGAN 9 8 3 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # TO he reed 11" ' TV, Fs*_ Value Date 19' Site Address Lot Block Sec/Sub. Parcel No. W Name Address b City Phone Name Erect ? Occupancy Remodel ? Zoning Repair ? Type of Const. Enlarge ? No. Stories Move ? Length - Demolish ? T Depth Grade ? Sq. Ft. z O Add Assessment u ress Water b Sew. ?- City Phone Police W ? °C W Name Fin 11 Address Erg. iW City Phone Planner I hereby acknowledge that 1 have read this application and state that Council Bldg. Off. i 'Z the information is correct and agree to comply with all applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Signature of Permittee Permit J J v Surcharge Plan Review. SAC i Water Conn. Water Meter Road Unit Parks Total 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 Permit No. Permit Holder Data Tel! hone i Plumbing 5 o (' 6-..--,L ?j H.VA.C. Electric Softener Impaction Date Insp. Other Footing Foundation Framing c t Rooting Rough Plbg. 1- tS Rough HVA Insulation Final Plb¢ 3 Final HVAC l(?? Final / C!rt/Ooc. Water Describe Location: WWII Sevor P=.- 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 i 3. Job Address Lot Blk. Tract ti 4. Owner 1 9 F 5. Contractor Phone 6. Address 7. City State Zip a 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? j 10. Describe Fuel Type 11. No. Emwoment 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 I agree to comply with all ordinances and codes governing this type of work. Signed: Inspections: Date for Rough Final _ Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-6100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot - Blk. - Tract 4. Owner f c ?? 5. Contractor Phone 6. Address ' L 7. City ' V 7- State Zip i•1 8. Building Type: Residential Er Commercial ? Institutional ? 9. Work Description: Describe 10. 11 New 12r-? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner _ Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for ' Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 CITY OF EAGAN Addition Brittany 3rd Addition Lot 3 Rlk 2 Parcel #10 15002 030 02 Owner Street 1582 Sherwood Way State Eagan, MN 55122 lA ! J Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 7 1 82 2013.03 402.61 5 02.6 A015458 5-7-8 STREET RESTOR. GRADING (o 1982 596.22 119.24 5 119.2 If If SAN SEW TRUNK 47 - 71 rr rr *SEWER LATERAL 1982 _ 8aQ.1Q 66.02 5 766.02 WATERMAIN *WATER LATERAL 1982 5 WATER AREA 1982 296.92 59.38 5 59-40 " it * Services 1982 5 STORM SEW TRK 1982 628.22 125.64 5 125.66 *STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #48809 1-7-89 WATER CONN. 470.00 °' °' BUILDING PER. 11 °i SAC 25 no 1° 11 PARK CITY OF EAGAN IV_ 9 8 3 4 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # To be eased fer SF DWG/GAR Est. Value $84,000 Date JANUARY 7, . Ig85 Site Address 1582 SHERWOOD WAY Lot 3 Black 2 sec/sub. BRITTANY 3 Parcel No. Or JName TOLLEFSON BLDRS = Address 1655 NORWOOD DR City EAGAN Phone 454-6873 o Name SAME Address t- City Phone fig Name iF Address %! City Phone I hereby acknowledge that I hove read this application and state that the information is correct gnV agree to comply w' h oil applicable State of Minnesota S t, tatu s Pnd City of EoganOrdirpnces-__4 Erect ?t Occupancy R3 Remodel ? Zoning R1 Repair ? Type of Const. V Enlarge ? No. Stories ^ Move ? Length 4 ? Demolish ? Depth 38 Grade ? Sq. Ft. Install ? Approvals Feas ` Assessment Water 8 Sew. Police Fire Eng. Planner Council Bldg. Off. 12 8 APC Var. Date Permit Surcharge 42.00 Plan Review-192.r20 SAC 525.00 Water Conn. 470 _ 00 Water Meter 6 3 . 0 0 Road Unit 260.00 Parks Total Signature of Permittee I A Building Permit Is issue to: TO LE ON BLDRS are the express conditlon that all work shall be done in accordance w?-•? ?/??I?aDDliwbla rate o yinnesoto Statutes and City of Eagan Ordinances. Building Official s'?QZ-P BUILDING PERMIT APF?LICATION - CITY OF EAGAN ?S ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN Erect: Remodel: Repair: Enlarge: Move: Demolish: Grade: To Be Used For: _ .Valuation: 24,Gco- Site Address: Lot: B1ock:2 _Sect/Sub: i III ICI Parcel #: Owner: _?Q'(Q.Rw Address: City,/Zip-Code; -11 Phone,.:#p Contractor: IAA ll? Address: I(o2S I?J?VUI(YYI ?>t?1??_ City/Zip Code: Phone #: 4r244? _;; Arch./Eng: Address: City/Zip Code: Phone#: m INCLUDE © SETS OF PLANS, © CERTIFICATES OF SURVEY SET OF ENERGY CALCULATIONS Date: I>{r:. Z? Iq Occupancy: IZ-?7 Zoning: IZ• I Type Of Const: 'S[ # Stories: Length: 40 Depth: 36 Sq. Ft.: Assessments: Water/Sewer: Police: Fire: Engr.. Planner: Council: Bldg. Off.: APC: Variance: Permit: 385• Surcharge: 2 Plan Rev.: 71z _ SAC : 57-5. °! Water Conn: 4-70. %-' Water Meter (03. °= Road Unit: 2L?0. ?d Parks: 1 19 -3-)'60 I Gc N ? ,1 0 ?i w cJ - C?j 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. q '30 ?? Date / / Site Street Address IS$a She Unit# 43 Property Owner I . ( ) Telephone # Contractor 1?3?7-i,1tJ1S WE?)UE- Telephone# (ipla)?)-Ja14n Address Loiy '.J12-D f-VA SuJ city FIU -\C VXSDV\, StateN\Q Zip 5 The Applicant is: _ Owner Contractor - Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). -Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener - Water Heater $ 15.00 - new - replacement V Lawn Irrigation _RPZ ?PVB ?ew -repair -rebuild $ 30.00 State Surcharge $ .50 $? ' S0 Total I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to startwithout a permit;and'work will be in accordance with the approved plan in the event a plan is required to be reyiewd,and approved. Applicant's Printed Name Applicant's Signature i 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 52?v CITY OF EAGAN ? ? (p 3830 P 6) KNOB 6 681-4 - 55122 3 S ( _ 'f Q New Construction 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 if lot platted after 7/1/93 required: _Yes _ No DATE: 5 //O Remodel/Repair Requirements ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST: DESCRIPTION OF WORK: xol legC,? .5;7 STREET ADDRESS: Z©o d Y LOT: -?) BLOCK: SUBD./P.I.D. Name: Phone #: 04 99-33 4 PROPERTY Last First OWNER Street Address: 5z 5J /Z City t= /?1ti zip: 4/2 '-t- State: Company: r,'? "c C Phone #: 05 CONTRACTOR p n Street Address:/ ?ZI / f44,74a License # 70/3?7/1/O Exp. ' City 1 uBM'JrL /'L-L-C State: 04/ Zip: 6373-3 2 ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): 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 correct, and agree to comply with all applicable 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 Not Required OFFICE USE ONLY BUILDING PERMIT TYPE I ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft, sq. ft. sq. ft. Footprint sq. ft. Building ? 16 Basement Finish ? 17 Swim Pool ? 20 Public Facility ? 21 Miscellaneous Census Code SAC Code Census Units Census Bldg MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance 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 Valuation: $ % SAC SAC Units i 2/84 E pp CIT Y OF EAGAN _? ? APPLICATION FOR PERMIT - SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPER_ ADDRESS: _ 15802 47 LEG=+L DEvG4IPTT_CN: a ' - 2f/TTf3"4 J/ 0?. (Iot/Block/Subdivision or Tax Parcel 1. D. Nt.:^.aer) I W;IS .:G STRUCT'L^:"cE, DATE OF ORIGZIAL Er;II.^.L".S :=__iT IS :C?: PnES= _-'Tr;r/nnOPOSED USE: ?<P'-1 Si.:GL:". FAMILY ? R-2 DUPE: (TS•:O U'IITS) ? R-3 TIC:t1i?-'CUSE 'FT?? + L. ^c ('r-._ zII..) ( UNITS( ? R-4 P.`- ^ t" /C^:Zl_. T ;I 11 ( UrI=S ) ? CCI,-I=C??i,/RET_AII.,/OFFICE ? :%LDUS T I:-_L ? 11STIMTIC.XAL/GCvT_==r Z) APPI,TG-271' (PLEASE PRINT) NAME: ADDRESS: CIT'_', STATE, ZIP: PHONE: 5?nf -? 8 7 _3 3) PIA.;B? NAME: NAME: IPL?:`SEHINT) FOR CITY USE ONLY ADDRESS / `/7S/S SO CJ ri` %?O13P7 PUJ4B RS LICENSE: Active CITY, STATE, ZIP: p??fjpUy/? ?ljir? ???R C] Expired PHONE: PLU4BER LICENSE # /?fl9iyJ Not of Re rd V? aSFrr Teti, 4) OCCUPANT/CT:'NER NAME (PLEASE PRINT) : ADDRESS: CITY, STATL', ZIP: PHONE: 5) 6) INDZC= " CNE: PLEASE HOLD APPROVED PERMIT FOR PICT;-UP BY ONE OF ABOVE ?PL11 SE MAIL APPROVED PEP.•LLT TO 1, 2,? 4 ABOVE (Circle one) 7) SICaTi.•RE: DATE: ° INDICATE WHICH PERMIT IS BEING REQUESTED: Q?CONNECPION TO CITY SEWER CONNEI 1ICN TO CITY WATER C] OTHER (PLEASE DESCRIBE) ?! w giLM?s..a i r ee E r:gfcw aR s'+t ?:?sa? a wi as s issi :a a at fa l?:a?1s?-? ?I a `s'ki atsasaa? F O R C I T Y U S E O N L Y PERMIT i ISSTJED FEES: $ /0.5 () $ is 5b $ $ $ !5• oy $ _ is-ov $ tea. yd $ Z-S ?a $ $ arT =11ER PER` DE (I-ICL oURC::ARGL) WATER PERMIT (INCLUDE -SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEi ER TAP ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESS: ENT TRUNK SEWER ASSESS?IENT LATERAL BENEFIT/TRUNK SETTER LATERAL BENEFIT/TRUNK WATER OTHER $ TOTAL AMOUNT PAID/RECEIPT tt qq6 7 1 DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: (I?a DATE : Z- Z.L. 6?-? Ms" Emu= wM?ft mw?wwmw*?sw=+M^eMwqw saww?c??t?w?Jl"40 ?wWwW-M 6OL40 RWr IW"WM TallefsonkBuilders Inc. Se v/e; /•'=.30' JACKSON - SURVEYORS o = t! RROISTERED UND[R LAWS OF STATE OF MINNESOTA -At ?I i J c^n 'a I HEREBY ?Y THAT T 3616 EAST 68111 STREET, MINNEAPOLIS, MN 86417 727.3484 :Drainage 6 Utility Ea 8atbtpor't 6ttHfitAtt 000,0=Exiating Elev. - -Drainage Proposed Garage Floor Rev, ic.f a \ Ld'•V° M ? o e 30 ° N m Z-s?oYy o 2 oI" a? /37, 17' ABOVE IS A TRUE AND CORRECT FLAT OF A SIURVST OF l Lot 3,Block 2,BrLttany 3rd. Addition, Dakota County,Wnnesota. AS SURVEYED EY M[ THIS 27th. DAY OF MCembe;.D- 1 V 183-69A V - % --WALL SECTION-- Determining 'full values at Roof, Wall, Rim, and Conc. Block ROOF/CEILING 1.) Interior Air r'ilm 2.) 5/81, Gyp. Bd. 3.) Insulation 4.) 5.) Exterior. Air Film (STILL) R VALUE 0.61 .56 440O .61 fluff = 1/R= OZl tOTAL (R)= 49.78 WALL 6.) Interior Air Film 7.) ill Gyp. Bd. 8.) Insulation 9.) Z`%Z!l &W-T-RIT45- 10.) Masonite Siding 11.) Exterior Air Film R VALUE 0.68 .45 17.00 2.0¢ .6 .17 fluff = 1/R= •043 TOTAL (R)=Z3.O1 RIM 12.) Interior Air Film 13.) Insulation 14.) 211 Fir Rim Joist 15.) Z54Z!, &vllx-Kirk 16.) Masonite Siding 17-6) Exterior Air Film (R) VALUE 0.68 1(1.00 1.88 Z. 04 .67 .17 fluff = 1/R= •O TOTAL (R)= d4.9? r FOUNDATION 18.) Interior Air Film 19.) 20.) 21.) 12" Concrete Block 22.) PI&Ib IAKL. 23.) Exterior Air Film R VALU 0.68 1.28 ?00 .iZ fluff = 1/R= , pq$ TOTAL (R) = f p. l ?7 CITY OF BUILDING DEPARTMENT EXTERIOR ENVELOPE AVERAGE "U'r COMPUTATION (To be submitted with building permit application) One or Two Family Dwelling All Other Contracto rPf1LP.//???.?//? LINEAL FEET OF EXPOSED VALL 6o WD)% P ft. OPAQUE WJIL COT'STRUCTIOT:: 'lull Value x Area Owner-DAP.-650Y7 1?iu i 1l-ki"r- Site Address 15OZ ?{'1/. Z&d V\14 7 DateJLZ_ "7 Phone 4434--&E above grade = Z44/72-&17, TOTAL EXPOSED WALL AREA SQ. FT. Detail "U" 3 x SQ. reference "U" nqp? x sq. from flu" 040 x SQ. attached "U" x SQ. sheets "U" x SQ. fluff x SQ. WINDOWS: "U" Value x Area FT. D ?s6 1 (U) (A) FT. fbag= 13.4.11 . )(A) FT. 7. 5h (U) (A) FT. _ (U)(A) FT. -= (U) (A) FT. - (U)(A) Make & Type "U" Z_x SQ. FT. 2_4.4A (U) (A) " It rlU" x SQ. FT. _ (U)(A) n it flute x sq. FT. _ (U)(A) " to flute x SQ. FT. _ (U)(A) DOORS: "U" Value x Area Make & Type "U" .14 x SQ. it to flute x SQ. If it -flute x sq. to rr flute x gQ TOTALS ?sQ. A RAGE nun TOTAL (U) (A) VALUES 154 93 DIVIDED BY TOTAL WALL AREA AVERAGE "U" .115 or less for 1&2 family dwellings ROOF/CEILING: TOTAL AREA: FT. (U) (A) (U) (A) FT. 4_ FT. - (U) (A) FT. - (U) (A) FT. /54.9?J (U) (A) Detail reference - fluff oz/ x SQ. FT.9-Y-)= /9.?? (U)(A) from fluff x SQ. FT. . (U)(A) attached sheets. flute x SQ. FT. _ (U)(A) Describe openings rou" x SQ. FT. _ (U)(A) in roof. fluff x SQ. PT, All (U )(A) TOTAL (U)(A) VALUES DIVIDED BY 1q. 5-3 = 7?rViv ?eFf / `UTA> TOTAL R00F/CEILIT7G AREA 930 • OZ AVERAGE fluff .025 for ventilated roofs. ? ?x?D w?cL 97 x (ter 4 ,31 ? 3o 4.90 LOLL • -&I x (36 1-06 4-34 t34) ELM ToisT z4 x&D = ID. oo X 3 zo x 36 = 5 O X 24X3( = 6.0 X ! /1?06 . no ?, DAD • 66 _ .. 96.98 -K 187.58 30.0 = 15. D 12-0 Z8. Db = Z(• GYM _ -¢Z• oU I a55 l?flil? z,Z14 l 66 r I!; CeSS ?'yic . G6. ?g c OL - 42z p OFD 080.60- i, ?'I PERMIT# y 7 RECEIPT DATE: _/1? -0 RUIDENTIAL PLUMING PERM1T APPLICATION C" OF $AGAN 5830 PHAOT KNOB itn RAGAN, ME 55122 65161--4875 . Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: : HELLIE, SIRI 1582 SHERWOOD WAY EAGAN, MN 55122 (651) 686-8336 _ TELEPHONE #: (AREA CODE) INSTALLER NAME: TELEPHONE #: STREET ADDRESS: (612) $274033 (AREA CODE) CITY: 2905 WFIELDAVE. SO. STATE: ZIP: MINNEAKILISi, MN 554W Diace a check mark next to the permit work tvoe New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 abandonment of septic system new installation/repair/rebuild of RPZ lawn irrigation system water turnaround Nature of work: =tac& vva- -" hP afor 'T _ Septic System, new/refurbished - $ 225.00 . includes County & Consulting Inspector fees . requires MPC license State Surcharge 7 = ' $ .50 Total $ Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. JT7, _ SIGNACf1,)Rl_ OF PERMITTEE Updated 1/01 I 1 _ 1 i fl , 4444 3 ! i loF City of Eat 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use � Permit #: I o 1r/ L /} fi 20 Permit Fee: Date Received: (9 -D --f. Staff: 2013 MECHANICAL PERMIT APPLICATION 0 Please submit two (2) sets of plans with all commercial applications. Date: 2 - Z1 - 1 3 Site Address: 1 5 S Z Tenant: 1Ce- \\ S J t k k 5 e,0 (J"--)� Suite #: Name: i(.. _it . ( S , I 1 k.. 1/4.30k -r\ Phone: Address / City / Zip: 1 94 ? 5 L _r c...' an c� 1,,.J ez . ( t- '-' '. '-.) 5 ) 2_2 Name: J t. S t ck. ,c -A IA 6....c4 , �4.4 ,c License #: Address: 1 1 S C- L{ t 517 ST Su � 4c. 4 City: t`-'1. rN n �_� r v 1. S, State: tA Zip: 5S 1 ?_2_ Phone: 6 1 Z-.- 7 Zr"'( `(<SqG Contact: Email: New i( Replacement Additional Alteration Demolition cArt tc,r 585T -A Oct -0 Description of work: c l�� ,� �_ �o-Cs a- Com`=c. c 22-1k i3._7 3 C) RESIDENTIAL Fumace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = cy0 TOTAL FEE COMMERCIAL FEES: $70.00 Underground tank installation/removal $55.00 Minimum *If the project valuation is over $1 million, please call for Surcharge Contract Value $ $ =$ =$ x 1% Permit Fee 5.00 Surcharge* TOTAL FEE CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection agai st underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecaliorq I hereby acknowledge that this information is complete and accurate; that the work will be in . nformance the .. ances 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 . to start witho pe at the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Y c� I� L \ co \[ 1 r x Applicant's Printed Name Applic PERMIT City of Eagan Permit Type:Building Permit Number:EA143093 Date Issued:06/01/2017 Permit Category:ePermit Site Address: 1582 Sherwood Way Lot:3 Block: 2 Addition: Brittany 3rd PID:10-15002-02-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kyle Wachter 1582 Sherwood Way Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature