1587 Sherwood Way410I City otBakau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAY 002011
Use BLUE or BLACK Ink
For Offte
Use
Permit #: / g q6
Permit Fee: ` 0
Date Received:
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date;3 - j %/ Site Address:
Tenant: / Suite #:
RESIDENT / OWNER
Name- - ' I/ e., / - Phone: i:.57—* �' -0 Gj'
Address I City / Zip: /66 6:4 e/'' 44) eve e.e) et
CONTRACTOR
Name: ZA)ij //h 5' !cense it: (25%e), 5 //f
Address: 992S-73 r.9?r- gex,7,4 City: /61/
State: i f7! Zip: a , Phor/ 5% — 2 G ?-2 715
C4 As,Email:j. � Z/ , / `'�
Contact: erl �� 5 /`�C �/ �O /"O /Y% C 0--7
TYPE OF WORK
_ New Replacement R pair Rebuild Modify Space Work in R.O.W.
_ _ _
Description of work: // C4, �/'"`
PERMIT TYPE
RESIT NTIAL
Water Softener
ter
Heater
Add Plumbing Fixtures ( Main / Lower Level)
Lawn Irrigation ( RPZ I PVB) —
—
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)-' 00
TOTAL FEES $ )' Pte.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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 / G�C .�—�-
x tit/dr' / /C4,04.S"
Applicants Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: __Under Ground Rough-ln Air Test Gas Test _,,,,_Final
Clry OF EAGAN
3793 Piiof Knob Rood
r4 SEWER SERVICE PERMIT
gen, MN 53122 PERMIT NO.:
Zoning: - DATE:
Owner.
No. Of Units:
Address:
Site Address:
Plumber: rT ;,> r.
09r" to Drdin
mPIy with the City of Ego.
eno
on C
nection Charge:
Account Deposit:
Permit Fee:
By
Date of Insp
: - ?
Surcharge:
Mis
-iv r??
.
I c. Charges:
nsp.: Total:
?-- Dote Paid:
('try OF EAGAN
SERV
3795 Pilot Knob Rood WAEagan. MN 33122 PERMrER
ICE PERMIT
Zoning: DATE: IT NO.:
Owner:
Address: No. of Units;
Site Address:
Plumber- _ Fr,,
Meter No.. ?? Y r 27C 7 T
Size:
Con
Reader section .
No.: Charge:
0 F 7
1
8roo
to Comply Account Deposit:
?inonmylr with the City, Permit Fee:
' Eagan Surcharge:
By Misc. Charges:
Date of Totai: er
Insp.: Dote Paid:
Insp..
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RQCEI V ED
FROM
19
AMOUNT
? CASH ? CHECK
FOR
COLLARS
too
' White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
?Thhaan/kQ You. 1c.
C/1 L? BY
CITY OF EAGAN
5745 Pill* Knob Read Eagan, MN 55122 2 4
' PHONES 4544100
'BUILDING PERMIT Receipt
To be wed for SF DWG/GAR Est. Value $73,000 Date Mav 16 1983
Site Address i_;z37 Sherwred Way Erect Occupancy F-•3
Lot 6 Block 3 _ sec/Sub. Brittany 3rd Alter ? Zoning R-1
Parcel # 10 15002 060 03 Repair ? Fire Zone NA
W Flame To lef ann B ri dera, Inc.
zz Address 1655- Norwood Drive _ I _- -
o Nome -
t-
u' Address
I- r-.-
Name
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Length_ 6
Grade p Depth -15--Sq. Ft.
Approvals Fees
Assessment
Water & Sew.
Police
Fire
Erg.
Planner
Council
Permit au - no
Surcharge 16- 5n
Plan check 176 - Of)
SAC - 525.00
Water Conn450.00
Water Meter 60, 00
Rood Unit 250-00
1 hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable APC
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit Is issued to-
all work shall be done in accordance with all
Building Official
Total $1949.%n
on the express condition that
Statutes and City of Eagan Ordinances.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing qi Q q Ev1z- ^ oo-
H.V.A.C. !C t
Well
Water
DisP.
Saucer
Electric w O'UQa 3 ?a `ti ?{EC • (n^? $'3
Inspection Date Insp. Other
Footings J-0 A?
Foundation
Framing
Rough Plbg.
Rough HVA
Insulation
Final Plbg _2'i aJ
Of 0e) 'I
Final HVAC ,
Final lrj '
Water Describe Location:
Wall
r'
Sewer
Pr. Disp. •
Trrtif iratr of Orruvttnry
Citp of (Eagan
3hpartmpnt of Nuilbing Jnupprtimi
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 huilding construction or use. For the f ollouring:
Use CluitkaGm R3 SF DWG/GAR Bldg. rsmvt No 8024
.
OC-PMCY Type _Typ. Coutration V Fin Zone NA Zoning Dntnnt RI
O...nrB.ndag Tollef son Builders Add. 1655 Norwood Dr. , Eagan
,t.: September 19, 1983
MKT IN w C*"McY . MAC[
Receipt' PLUMBMG PERMIT Permit No.
CITY OF EAGAN "
Fee
1 ? L
Fill in numbered spaces S/C?
Type or Print legibly t! Tot. .
1. Date,i 1 r 7, 2. Installation Cost e c?
3. Job Address ` Lott=BIk. yL_ Tract
4. Owner / (i // 'I ;C s-1 ?r.• L ?:? ,
5. Contractor ! n. ?/??i !1 A/ Phone yZ .3
6. Address Lt?-
7. City k r:.C i? cl Y State Zip` l,t".i,
8. Building Type: Residential g' Commercial ? Institutional ?
9. Work Description: NewLD3- Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
_ Lavatory Softner
Shower Well
Kitchen Sink
Urinal,/Bidet-,' Other
Laundry Tray ?..
Floor Drains
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 454-8100
Receipt MECHANICAV PERMIT
CITY OFIAGAN
Permit No. -
Fee
W
Fill in numbered spaces S/C
Type or Print legibly at Tot.
1. Date 2. Installation Cost
3. Job Address Cot 61k. Tract
4. Owner --(:t?•-+-?? ?z c-L,.?
5. Contractor r f ti' ate-- Phone
6. Address
7. City State %t +-• Zip ` S G
8. Building Type: Residential 0- Commercial ? Institutional ?
9. Work Description: New E? Add ? Alter ? Repair ?
10. Describe Fuel Type= ±??
11.
No. Equipment BTU - M. Ea.
Forced Air - No. Equipment CFM
Ai
dli
Ha
:
Mfg. r
n
ng
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and code?overk?g this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
?f
Receipt
-7
PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legibly
c
Permit No.
Fee 7' ,
S/C _ _5t
Tot. r ; _ r( ;.
1. Date -2. Installation Cost
3. I^ti.. :° = L. _4z; - '..! _j Lot_(0Blk. Tract
4. Ownp Z,
5. Contractor
6. Address 762 F.xcelsi3i' Ave. E.
Hopkins, , i:?Ws a
7. City 9W680 zip
8. Building Type: Residential
9. Work Description: New
10. Describe
11.
Commercial ? Institutional ?
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.
E 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: 'I i ,r 1
for' J
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition Rrittan 3rd Addition Lot 6 Blk 3 Parcel #10 15002 060_03
Owner 1w W r ua ij - ; Street 1587 Sherwood Way State Eagan, MN 55122
V1 , L,`.
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 19 82 2013.03 402.61 5 1207.83 10-12-83
STREET RESTOR.
GRADING 1982 596.22 119.24 5 357,74 A013068 10-19-83
SAN SEW TRUNK 6 1976 143.11 9.54 15 60.79 A013068 10-19-83
*SEWER LATERAL 1982 -3&'10. 5
22 .06
WATERMAIN
*WATER LATERAL 1982 5
WATER AREA 1982 296.92 59.38 5 17"1 10-19-83
* Services 1982 5
STORM SEW TRK (o 6z'S 1982 628.22 125.64 5 376.94 A013068.. 10-19-83
*STORM SEW LAT 1982 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250.00 3584o -16-83
WATER CONN. 150.00 to of
BUILDING PER. 8024
SAC 525-00 of of
PARK
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 ?7
1V?
O
8024
PHONES 434-8100
BUILDING PERMIT . Receipt #
To be aced for SF DWG/GAR Est. Value $73,000 Dote May 16 ly 83
Site Address 1587 Sherwood Way E
t O R-3
rec
XX ccupancy
Lot 6 Block 3 Sec/Sub. Brittany 3rd Alter ? Zoning R-1
Parcel # 10 15002 060 03 Repoir p Fire Zone NA
V
Enlarge [I Type of Const.
W Nome Tollefson Builders Inc. Move ? # Stories
Address 1655 Norwood Drive Demolish ? Length_ 68
CI ae an 55122 Phone 454-6873 Grade ? Depth 35 Sq. Ft.-
Of Nome Owner Approvals Fees
uE Address Assessment Permit 352.00
r- City Phone Water 8 Sew. Surcharge 36.50
t• Police Plan check 176.00
rw Name Fire SAC 525.00
,Q Address Eng. Water Conn450. 00
<W City Phone Planner Water Meter 60.00
Council Road unit 250.00
1 hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable APC $1849
50
T
State of Minnesota Statutes and City of Eagan Ordinances. .
otal
Signature of Pevnittee
o e son Builders, Inc.
A Building Permit is issued to:
on the express condition that
all work shall be done in accordance with all applicable St a Inn Statute d City of Eagan Ordinances.
i
Building Official 1j 2
a%a1-
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING
8910 WENTWOqORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881-9000 TEST RECORD
/J 7 Sry CttJi o y Lea: ?' Gt
ADDRESS CITY 9
OCCUPANT Uln?}?G.=<' SC:,, er Iev OWNER JS.M11 C
SOLD BY INSTALLED BY G
MAKE t tm'1d X G MODEL
SERIAL NO. '6- 9- o / `` r7 INPUT.
& 3 -?t U 3 - 7s"
JOB NO.
T _ r y 1 0 M
HERMOSTAT VENT SIZE
VALVE TYPE OF LINER jO ?-
LIMIT LINER SIZE ;z B
..-?
L Z` t 4(
LIMIT SETTING l FILTERS: SIZE "91
- NUMBER
FAN SETTING e
l
"I WIRING 1&rA5 U ? ?I C
,?
?IG f- 7,1-14 X
PILOT TYPE TEST TAG
IGNITION MODEL l eei r a,)C LIGHTING INST.
PILOT TIMING /r/ le,. 7-,'f' no
DATE TESTED
`? y
PRESSURE W L PERCENT CO, A
-75- COMPANY TESTING
INPUT CFH PERCENT Oz
STACK TEMP. a ,p
0'> PERCENT CO
NAME OF TESTER
FORM 235 (REV. 11/89) FORM DISTRIBUTION: WHITE COPY-JOS FILE YELLOW COPY - CITY
This request void [O-?
18 months from
,Oi:2993 ya'S"
Hopuest Date Fire No. Rough-m Inspection
pQ ?
flee rted? Ready Now Own, l Notify, Inspec-
- ,"\ ) Yes ? No When Ready
Licensed Electrical Contractor 7 I hereby rag uest inspection of above
? Owner electrical work installed at:
Street Address, Box or Route No. City
ecLpn M. Towns ip Name or No. Range No coup
Occupant (PRINT) Phon Nn.
?/'?
ip
F J
Power Supplier
?'t1y?.
Address
E{garical Contractrn Ipany Narne; Co
ractor's License No.
? 1 nt
`
QJ V
M?a ll1lingiAouress t"airactnr or Uwaer mlaKJag\nsLailattloon/l?
Authorized Sianatore fGO tractor/Owner Making Installation) T ne Number
t- 1ksl - T\k't-IVL Il0 - 1- 1,0-1
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 University Ave., St. Paul, MN 55704
- . ........... ..... ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
(? ('Sea instructions for completing this form on back of Yellow copy.
17`- ?ticr 0 ' 3to z 3z
X"' Be ow or o ered by This Request
Neye Hdd Rep. Type of Building ADpliancas 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 Ihgr JSpcr:ityl
t nr Succify e Other
Coropute Inspection Fee Below
M Fe Service Entrance Size g Fee Feeders/5ubfeeders p Fen Circuits
i 0 to 200 AMPS 0 to 30 Amts •? 0 to 30 Amps
Above 200 Amps 31 to 100 Amps 3,1 to 100 AMPS
Swimming Pool Above 100_Amps Above 100-Ann
Transformers Irrigation Booms Partial-'Oth ee
Signs Special Inspection 5
iN
q
TOT F
Remarks )
EE
W t ,?"V
a?rtrical
actor, harsh,
f, that the abovr
action has bean
request
K 16 9 9 eOf
/08G off'
Repuest Date Fire No. Ro -in Inspection
Ra red? 1'?
S Ready Now ? Will Notify Inspector
Vas No 1Bn Ready?
1 licensed contractor 0 owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.) city
1587 Sherwood Way Ea an
Section NO, Township Name or No. Range No. County
Dakota
Occupant )PRINT) Phone No.
Edward Robrecht
Power Supplier Address
Dakota Electric Farmin gton
Eleclrical Contractor (Company Name) Contrador5 License No.
Roehnin Electric CAO 1557
Mailing Address (Contractor or Owner Making Installation)
14811 Endicott Way Apple Valley, Mn. 55124
Aulhomed Si ure conlraC1ovowner Makin Installation ' Phone Number
cs-„ 423-4328
MINNESOTA STATE BOARD OF ELECTRIC Y THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 Unlverelty Ave.. St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Mono (612) 8,12-0800 ENCLOSED.
PIijL y? REQUEST FOR ELECTRICAL INSPECTION EB-00001-08
/K 1619 9 , ,nst a lions for completing this loan on hack of yelk w ropy.
"X" Below Work Covered by This Request)
ew Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./industrial Furnace X Off peak meter
Farm Air Conditioner
Other (specify) Contractors Remarks.
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 _ Amps
Signs Inspectors Use Only: / TOTAL
Irrigation Booms ! /S 5^
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
Final Date
Dar _
OFFICE USE ONLY
This request vole 18 months from
----------i
I For Q.frlce Use /
Permit#:
I Permit Fee: ?bV
I I
Date Received:
I I
Staff:
?-------- --
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Tenant:
Suite M
RESIDENT / OWNER Name: Phone: S! ° q C/
Address / City / Zip: f [(lairj, a
Applicant is: _ Owneer
Contractorr
TYPE OF WORK ,j
??
Description of work:
e
6 L66 ? b / 4
_
(J? Mufti-Family Building: (Yes _ / No
Construction Cost: /
(
CONTRACTOR ////
Name: 770 /'Ca?P&f0•'td" License#: C;?OS ?tro?6U
?//
r?/ ?
f G1 ?n
Address:
_
n
/
:
Zi
St
t
p
a
e:
City:
Phone: iz,s 1 ICJ 7?3/3G 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
(J 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 & 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 spgcificreasons that would permit the CitV40
conclude`that they ate trade secrets: -
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance
Eagan; that I understand this is not a permit, but only an application for a permit, and wo is not to s
accordance with the approved plan in the case of work which requires a review and approv of Ins.
x \bso 2 5c r9 a-'f? x ?
Applicant's Printed Na e A Iica is na
Site Address: /-58-) _5-`,_r"0d &/q
1 the ordinances and codes of the City of
without a permitAbat the work will be in
Page 1 of 3
7
(0?_7 )2?
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.
sS0.'
Date / ZZ / d S
a 64) Q 1 Unit #
Site Street Address o
/
Property Owner i C e G Telephone # KsA 22:L2(
Contractor G /J Telephone # ??YA L
Address Z i e Si . City State vh Zip ?0
The Applicant is: _ Owner Contractor -Other
Alterations to existing dwelling
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: $ 50.00
Water Softener _ Water Heater
new _ replacement $ 15.00
Lawn Irrigation _RPZ _PV8 -new -repair -rebuild $ 30.00
State Surcharge $ .50
=Total ?O
$?d ?-
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be-in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the vent a plan is required to be reviewed and app,/ove . _
Applicant's Printed Name Applicant's Signature i Il ;dap g 2005
I J
0NO
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
,$q 3.0
CA," S/23/05 /N
New Construction Requirements
Remodel/Repair Requirements ........................
Office kke only
3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas 2 copies of plan ce"Survey Recd '.Y N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan. Reod _Y'_N
2 copies of plan showing beam & window sizes, poured found design, etc. 1 site survey for additions & decks Tree Pres Required =-Y _N
1 set of Energy Calculations Addition - indicate if on ite septic system 9gsiie Septic System _Y. _N
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date Construction Cost 3 C?QC5
Site Address 0 S 7 S Unit/Ste #
? a
Description of Work
Z S [!
of n
C 0 L?t
Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ I _ 2
((
Property Owner ( /
-2-e- Lf ? ??jj
°' }f 6 e u -c r l y Telephone # (tS j) 9 L/ - g 737
Contractor (r)n VM CA t--" G U c-
Address c , / Olin (- City S
State M to Zip 5-5- ?jt Telephone # S/) a- 3? 712 S'-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category I _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 257o plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which-requires-a-rr-eview-and!
ap royal of pla s p? ? , y ?? is a lei t- I
se U(-,PrtttQL,
Appli ant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
I. 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_Yor_ N ? 25 Miscellaneous
Work Types ft o TNx-- 66g? ,r,y Li-
ll 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) -Gi ve 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)
7X Footings(addWon) r3 r
_ Foundation
_ Drain Tile
Roof Ice & Water _ Final
g
Fireplace _ R.I. -Air Test , Final
Insulation
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
Approved By: f l- , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
/ v lw -
ftoc?q-P-
f,1. ---or--
3 01 SAD
r 04's-ig
2004 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 Remodel/Recair Requirements
3 registered site surveys showing sq. ft of lot, sq. R of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks
1 set of Energy Calculations Addition - indicate if on-site septic system
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
-l"14, l
Oifice USeonly
Cod of Survey Recd; -Y -N
Tree Pres Plan,Racd' - Y.;
free Pres Requited •'Y ' N
OnstleSapticSystem _Y N
Ulu / / q U /t?6
t
?
t
'
C
C
Date ruc
os
ons
n
Site Address 1587 MM
j Ifi Unit/Ste #
55
Description of W
rk 0
o
Multr" Family Bldg - Fireplace(s) - 0 - 1 - 2
?Q
J S/ q97' 875
? Tele
hone # ( S
IDe/7
Property Owner
I p
/
O
Contractor M)Zob , Rbody1 llc'
Address e 5 . ?^ ``
.,' '° City
fl?1
State 1 1 I I n
Zip 5S-4/3 Telephone # (g5 Z) 75 91Q? /
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
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. _
??l ?- vaKs
Applicant's Printed Name
Applicant's Si ature
'jo4d
OFFICE USE ONLY
Sub Types
f
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
02 SF Dwelling ? 08 06-plex ? 15 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
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof X 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant
Valuation Occupancy / MCES System
Census Code l _ 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. _ A r Test Final
Insulation i
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
- ?20
_ 2 S`r
CITY USE ONLY
PERMIT it: ?? y S RECEIPT DATE:
2002 RESIDENTIAL MECHANICAL PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55128
651-6$1-4675
Please complete for: ?
Date: 10--Al-02
SITE ADDRESS:
single family dwellings
townhomes and condos when permits are required for each unit
S-87 5,1-ii.rtoood.
OWNER NAME: Dq,U,,;_7 6'GV,.4_r TELEPHONE #: L!S! `?q `? 877
INSTALLER NAME: ?T Me-cAa-nil c- l _7oc- -TELEPHONE#: ?sI-?l52-2D2S?
STREET ADDRESS:
? ?e 4Sf
CITY: STATE: Mk" ZIP:
Place a check mark next to the permit work type
_ Add-on, modification or alteration to existing dwelling unit $ 30.00
• furnace replacement
• air exchanger
• air conditioner
6
7
• other
L i
??>°G7/'!? mC?2t QD17?/^
Nature of work:
3 2002
1 2
l.
! i?SQ I t(?1 L QS S G1L rC? 7 Zn'
State Surchar e $ .50
TOtal $ 30,
?
4A 4a
SIGNATURE OF P RNIMEE
L vaz
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
2002 COMMERCIAL MECHANICAL PERMIT APPLICATION
CITY OF EAGAN
3630 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY: STATE: ZIP:
TELEPHONE #:
WORK TYPE: New construction Install U.G. Tank
- Interior Improvement Remove U.G. Tank
Processed Piping
Specify Nature of Work
When installing1mmoving underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removal/installation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERM ITTEE
Updated 1/02
aG
RESIDENTIAL
5 0?5? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 2
New Construction Reaulrememe RemodeVReoair Reaulrements
• 3 registered site surveys showing sq, ft. of lot, sq. R. of house; and all roofed areas • 2 copies of plan
(209'6 maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 she survey for exterior additions & decks
1 set of Energy Calculations • Indicate 9 home served by septic system for additions
• 3 copies of Tree Preservation Plan 0lot platted after 711/93
Rim Joist Detail Options selection sheet (bkigs with 3 or less units)
DATE 1'- fit "Q7oZ .VALUATION If, 9?20 d
SITE ADDRESS /S(F7 S ?CCiDr?IJ /mil /Sly MULTI-FAMILY BLDG _Y _ N
J( TYPE OF WORK / lfye,4S45- FIREPLACE(S) - 0 - 1 _ 2
APPLICANT
STREET ADDRESS Y CITY STATE ZIP
TELEPHONE # CELL PHONE # &,C11,93,516 / FAX #
11
I PROPERTY OWNER TELEPHONE# (,S /W g z
COMPLETE THIS SECTION FOR a NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _
(+I submission type) • Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor.
Plumbing system includes:
Mechanical Contractor. _
Mechanical system includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this appllcation, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
SignalureofApplicant &42;i
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
- Air Conditioning
Heat Recovery System
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
Updated 4102
Fee: $90.00
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
32 Addition
/
? 33 Alteration
? 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation / Oa Q
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
D INSPECTIONS
- Footings (new bldg)
_ Footings (deck)
_( Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
1( Framing
Fireplace _ R.I. - Air Test - Final
_( Insulation
Approved By 7- 2, ,Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ?"17 Garage
? 10 0&plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Yor_N
Final/C.O.
Final/No C.O.
Plumbing
_ ffVAC
Other
Pool _ Ftgs _ Air/Gas Tests - Final
Siding _ Stucco _ Stone
Windows (new/replacement)
Retaining Wall
%P/L v ?f
Cities Digital
? Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
d
11leon 8uildel?i 2ne or 1140
x to 183,76
:.r fir;
5
f z x , : JACKSON SURVEYORSJn
SCII'12aI °t i/?`??, ?K i ,.^i r v ? .•..' .' .. ?? - ?•. .. ?0,?? a,t
REOIETXR[D YNOER LAWS OF RTAT[ OF'MINN280TA
o +? ? istJEiy?+g ??ev ?
Va?ifiD?A }. . ? .. ? %6
Dral„'" As4v,Utility,?18 66thsTREET,MINNEAPOl13,MN58417 7274484 Q3`? ??
Eaa68eb*,?, (? J
t r ??? a ?y ?.,?.. a
4 ?" '' batbtpOt?4 6tCtiruatt ?,y ,
x
k! ?
_.r- h0. ?'' - 4'4$ •?
e` Y Y 9?a.'71 ' •'S-t 4 ?. 13. Q? ??.' t _? 1(/1_p{? t N'-.
f P, ' .ritL ?p y
5F?
x ?. '? 7
n Q
''>u+ 1 ?.l'?b r. '?. 1,'{.:" b exit dv "? A'? i _ .. ???_ _ _? y
' +? + f ,:. .A V e?
Y 1
,,ORAfNAGE AND ?Y er
? s
?, U 7 ib-f Y: E A S E M E T /` `? ((??r?? ?1` U?
t '° \? 1 1 D yn k:W
.'
,?
9YD?'' {
_ S h,
o\ .f .
1 „-• 69.06! ??0. ?n? yt.
I N[RgT CURTI- TNAT',THE ADOV[ 0 A TRY[ AND CORRECT PLAT OF A SURVEY OF r y
?' 4 °R ?i U ?i h ?e? s ? '?F ? s^, x 'fi't ? ?_ i _' - a d''p a,,..?
?. f .?' l • ?ft+ F ?3 R .tp y ?'. -i '?.l , .. , % 1 1 ?5 TY.;
r Proposed Garage' Pt.5 Elev lot.S ,? :
a,',t , t`? >' z" r „+ .' Proposed First F)goE EIeV, 113213 G'
10?tb,9tack 3,Drittsny'rd. Addition, Propoeed'BaserREnt klaor EIpK.',`44 ? `'
:'.6kota County;NinAeeoLe.t::
.. i 5..
A{ EuRV[Y[O EY M[ TMI[?9Chi_DAY D?__A2X t •.D. 19&3
i'
SloN[O ?' t
rH_•
F. C. CKSON, MILAN IETRATION: NO:%'aaoo `.
?'? n? q CITY OF EA[,AN Include 2 sets of plans,
/ C 1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
To Be Used For G,1 inf,,1e- i -?Gv i tion ?? ?, OOlJ Date
Site Address I OL 4')M 1 d M h? ) ?
Lot Block SQL Sec./Sub. VIq(wI I.'
Parcel #: fd 1 5 oc3 2 D(p O Ca "a.
Owner:??YfJIN
Address:
City/Zip Code:
Phone #:
Contractor: ' I lekoyI Fntkkos
Address: j _o W(11?? I N I V ?
City/Zip Code: fl?I ??I?a
Phone# : -
Arch./Eng..
Address:
City/Zip Code:
Phone #:
OFFICE USE ONLY
Exert '?_ Occupancy
Alter Zoning
Repair Fire Zone
Enlarge-_ Type of Const.
Move # Stories
Demolish _ Front ?R ft.
Grade Depth 4 ft.
APPROVALS FEES
Assessments Permit
Water/Sewer Surcharge 3 G;
Police Plan Check /7/--
Fire SACQ?r?
Eng. Water Conn.
Planner W ter Meter
Council WIA Unit PA-i- 7917-
Bldg. Off.
APC
TOTAL SQ
Tnllefs)n Builders Inc.
JACKSON - SURVEYORS
kale: 1"=30'
o=Iron
bne) ,-Existing F1ev.
= Drainage
--,,Drainage & Urilit.- 3515
Easements
REGISTERED UNDER LAWS OF STATE OF MINNESOTA
55th STREET, MINNEAPOLIS, MN 55417 727.3451
Surwpot'i; lCettifiWt
99.-71
WETLAND
? I
BRA f?lh;?E % iU
UTILIT ( A=_' ?1T?I
I
I - 6905
Or. 114n5
133-7t?
ai
t I
11
?-a l0
1 AllJ?.
'c
I HEREBY CERTIFY THAT THE ABOVE IB A TRUE AND CORRECT PLAT OF A SURVEY OF
L1* G,Rla,k 3,£rittany W. Addition.,
Da<ora County,Minresota.
:.S
Q
H\
Pr?1 );ed Garagc Ft ?.11 F?ev. ICI! . ;
rir?r F:..r Elea, In }
pro,. 1-oe Rase,-Ir':t ; I., 1 1, le V. tIL. '
As SURVEYED BY ME THIS-191: )•. .-DAY OF April A. 0. 19A
SIGN
F.
. C. CK40N. MIN
tESp o1BTRATION. No. 3600
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
V
-
•
` '
o.?;LZ ? PIdO L'ITISFf_..3+ ? ?
;_ernar? _
Mom
07
- L :.:.=c i G'I T7t7'?:7:-„ nc? ?? ?.c? .:an co?^us r : rc? j
LI ^` it, Fm£ Or T_?PoBt ? UA m.
h, Lr r7lOS II:1
•
it ?Ctc.??.an
.
.
:CT: L ?n FT -02
r:J> G. .
Vypl Cose m6.fs -
T? mol rr
TOTAL sq, Iie C7 £GG^8
S. (LZ rs^L
Typn
g?"h C!' I SULATICU r j-,
. F f P
t`., 9..4.. s ,• c. TT 3 ,S n THICK
Typ C? I17UUTZoI7Ir.C-LII ?;«u,N t<. ?C••.A 'r17C8t
ZA W7,
_. ,... .-: aAT:C'-II3UI•"T7G*? -rn .?? ry
_ OG=_, -
nno t tr-?
I?VL' Arr' '*Jv TAV7? d7 I RPG5r3 1'GLI9 A?aPE Q^
IirJ ry
-
U73 7.? ? I"G t. OZ3 91Ii 7 07 ' T ^ ?IbT? I'1: L=
TPis
3
•
u*n_I -rl V e22 Poll? ALit -:,j•i ?
?i?IF
tti
,
•
; .U
t. 's -.. w ."rt7XS `^.qs t...(v»? "4/ M'.?a' r .•' 'r-r n .? •+c
Ri:f'ERr
i iY_ywF IRG3 AIAE St9-?'s'y„j'?::+pt
w. 4
.CY .. "42. v y ' *x'. i inl[;. ''?S•.ey, ?"M r W °1r rr• y ae 3 °!f J r' ^Al
'':.?pp'?? 9F[TCp.?j T-.. :-.. 'SO q p _.,,•• q'bM r .y .. -Q ? -ice a .; .4 c
C ,[w uA ?Yx >s ?' n?i? a. < a.. ? 9'7 .;tea:?.p ? ?1. :- t4 .:ca a. +' a(?..J $;.
4 '?,??j?fi STCT.o., -. • "?'? ?" L":' ?9 ?y. ^? ` '_K s ,.?:- t w~irFll'i? ::D6 J '3 ? ' '.:3
7? x .7 ti /.ll..)Ylna' n 5?1Q;'il:91
h.,YC 'Yr JET JA \ ? ? 1 W,?I S 6? ,R$". A A}1 T ? -~. '
+Tn.
'J ,q1'l: i ?'.y,.??- ri - ',, y"'.Lf -- y^ if •-e? - s 1...,.
-vf
-? -7- r SClTa
S ?.:in.? x 7 3S 17 t S; S Z'L`1
z1.49
ecs rreT '{,. t tla a
t- r
TEA LS
' - it ? A ?; Cl?•_ .. ' 1 'q S .?
d
a-
rn?v t.rn)T
-
TOTALS
..
t CEI1IPG3 '
;
y
-
51.7i.?_?-J-_
ll fi'? ur..m : ' _:
?' • . .a.... ._ !Y, .. v . 1 i. 5 ? n .. i.. .. r _ f ..,a. ? +-;3i ? .. . __ .t - ... .... a?i
r
+rc 7 tf
QQ R..Fa°
14AtR %Oni't {N'lT1t .:?Enq
• r t Y, ?G? !t per:>t i3[K>J#??o.,??:GBca[ ` ';;
j Y i{ I :? _v
t'cDAr?SJOIt,?l? z+ ;_? Oi;-'AtR l? a
I,+t_' tt T3[k z,
?li ?'F,THrr -L-77
414? ' n GA
! t
„Jf'3J; _ rDIV i. ?. t{(-01: V<o UC. 31rt pRDUE'G
I RFb
--------
-777
j s aln . i?
Fl 4
LIT
a J ( - ii_ 1/S A.t i {4) vl,?rr. wntt_ w/ tr ?uslrF C f _ ???oTnl .?? ?iat9Z
C.n lrnc
7 ?
• -?' _.._f _... ?,?t..rr ---i ,?;-fl ? ti..?. Ara r,
TT j
f?
,fd _lc +S7 U.r ll.'aLI ,'f'e Cri^„(1 ?I 15??C1-i4L rl., C4RCGE ?- L j
j
_ ;---. -
1
DIET
217
,
• ?l ?` 4r ??, 'T 1'?t,)r ?!i/?1,M( 1 =1s S+lrF,rPac t? )
Pt +/ Sy.L"LE_cooi?,??r.4i 3_-1
? _.?_.__;Is r, irk ?.?, ??{; }- ?/?'?._.c_r;?nF,?•+:A??o?o+?!}?r'71? }
T'vTn {25191
117+-7 t•1 I r ' ; }• CCltt.. ,.? U?u .. (J l1
{ _ _1 I k f
ft.
f 1`?r,?f 1-O WL t2
f J f ?N.OL
11 C ?lL+/A)(.!f /t ?) DUE'R ItPrJ[. IrJ• FRDe1T pp X1+0.+5 E-?
* / -•___._ x,,'+1.1 [ t--f- C. A , .
i f rli?_lj 3/
jl?
AL --I a
f) A
IS..-+? ? J,•• -_.L,: r I r ? w? ?:_?..+i?...`..._?-.1., ?x?_:. '+ a dia LY?A , a iTr? / (' .4 ..11? : ? r" +A ?.?., ? r ? (? ?? ?.,nr?:
?t I r a 1 'a? w r 1 ''1 1 +Ty Tr +{ rl,? p ??.'?rk• J _ / +
It?., ,1 =t 2 < ? -..1 J(0? ? ?l??` i-^ rL r T -}r. A a>_ a?. _ h A a. I a 'Pir T Yf '? +:
' t? ` ai-S ?.? ?' ,qj? ?`3 ly ?. 'i ?^?,• is i9le ) i: ???a f •4i/ r.¢Il };?a?, 'j
t. t`. '..t-.??i ? ?f?'?°911Jr •' -. x. y..x ? xi{t r.. 1/ 4j3,. .r _wv ?`. 7 f??.. ? .;
? 4 1'•. . r•?):4 •A)i 7? ?+o,a F; ?. ",71,?„k'' 'r' /1/'i:E^ ,: t._ ', .?
CJa J' .a. .'/ +1
iezeA
Ir.: e
? w
.
t sit }"? :: r r f
r.
Y
r
'
LRiwL:.?* IrNSVtn76n. fl+M[ 1NA 1.L5 ?
? •
.• y r a r'• ) ! .'rk 'q. .car{ ,i 'd '?
?
=t
?
?
? r•!r .T. ' .. .. _. rani., ? ?.,.f ......".5 ..r: ,7., i ..?i
. .._ ,. ... ..
:(,^;,.;:r
l?S4o
CITY USE ONLY
PERMIT #: 1 y yo RECEIPT DATE:
RESIDENTIAL MECHANICAL PERMIT APPLICATION
CITY OF EA6AN
3630 PILOT KNOB RD
EAGAN MN 5512E
651-691-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: ! 6
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
(AREA CODE)
INSTALLER NAME: SEDGWICKHE,STING&AIRCONDITIONING CgELEPHONE#:
8910 V%IMIM" MOW SOudi (AREA CODE)
fdi asnoRs. MN 55420
STREET ADDRESS:
CITY:
STATE: ZIP:
Place a check mark next to the oermtt work tvoe
New residential dwelling unit under constructionand not owner/occupied $ 70.00
?_ Add-on, modification or alteration to xistin dwelling nit
• fumace replacement 1/-75' $ 50.00
• air exchanger
• air conditions ? IJLA-68 J
O
.
• other
Nature of work:
irn
State Surcharge $ .50
Total $'0?D
Reminder. Call for inspections.
'
SIGNATURE OF PERMITT '
Updated 1/01
J- d4S11)
PERMIT M
APPROVED BY:
CITY USE ONLY
INSPECTOR
RECEIPT DATE:
COMMERCIAL MECHANICAL PERMIT APPLICATION
CITY OF EAGM
3$30 PILOT KNOB RD
EAGM, MN 551 EE
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are
DATE:
SITE ADDRESS:
OWNER NAME: PHO
VEMENTS ONLY):
TENANT NAMS? Y
WAS THE REVIOUS TENANT IN THIS SPACE? _ Y - N. NAME:
(IM
INSTALLER:
ADDRESS:
CITY:
WORK TYPE: New construction
Interior Improvement
Processed Piping
for each dwelling unit
CODE)
PHONE#:
(AREA CODE)
STATE: ZIP:
Install U.G. Tank
Remove U.G. Tank
Specify Nature of Work:
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing linspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removallinstallation = minimum fee
Contract price: $ x I% = $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL
SIGNATURE OF PERMITTEE
Updated 1/01
C(ot8? .
Council Minutes (3(13 35
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 13T 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 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
SEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 o (952) 881-900D
N
m
a
m
0
v
`1)
m
OD
m
z
x
u
3
A
N
M
m
m
m
tU
N
cl
Q
r
J_
ADDRESS /?S 7
-op 1
OCCUPANT J' e o e` { Cv 11
SOLD BY
,L
MAKE 46-qlex
SERIAL NO. -r k0 A 0&
THERMOSTAT I
.
VALVE 14? M
,
LIMIT LGn^Q/,[
`
LIMIT SETTING y
? L !? t?
FAN SETTING L
T ?-K e6fl
PILOT TYPE 0 le e, {r--fG
IGNITION MODEL LL/I nl1
PILOT TIMING z-, g " lef.- kri4
PRESSURE 3 '-" C' - PERCENT C02
INPUT CFH 7j~ PERCENT O2
II
STACK TEMP. os PERCENT CO
FOR41 235 (REV. 11189)
Gt),?
HEATING
TEST RECORD l /f
JOB NO. /`S vo
CITY
OWNER
INSTALLED BY
MODEL IF 3 aX V .3
INPUT 7S ?-o QD
?
VENT SIZE ;z
TYPE OF LINER t OC
LINER SIZE ?a %
FILTERS: SIZE AFAL NUMBER
WIRING AftrAS ui/.1 e
TEST TAG
LIGHTING INST
1-.a -; 2 -d?
DATE TESTED
COMPANY TESTING S n?1 ro , t
NAME OF
FORNI DISTRIBUTION? WHITE COPY - JOB FILE YELLOW COPY - CITY
m
a
F-
-e-Aa...Ay........,....».®.:.e?.?.?.,..??.,...r-...?..,.._.,..,..,a«:.,?..?...n..,rt?,..?.-..?,,..az-F,®e.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1587 Sherwood Way
Lot: 6 Block: 3 Addition: Brittany 3rd
PID:10- 15002- 060 -03
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
e- Fireplace
Gas Fireplace (new)
Contractor:
Automatic Garage Door Fireplaces
8900 109th Ave N #100
Champlin MN 55316
(763) 571 -2525
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
Permit closed without required inspection(s). Letter sent to applicant on 2/5/09. (pf)
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
David J Beverley
1587 Sherwood Way
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA080400
10/11/2007
ePermit
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138339
Date Issued:08/23/2016
Permit Category:ePermit
Site Address: 1587 Sherwood Way
Lot:6 Block: 3 Addition: Brittany 3rd
PID:10-15002-03-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
David J Beverley
1587 Sherwood Way
Eagan MN 55122
(612) 751-1441
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162607
Date Issued:07/21/2020
Permit Category:ePermit
Site Address: 1587 Sherwood Way
Lot:6 Block: 3 Addition: Brittany 3rd
PID:10-15002-03-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
David J Beverley
1587 Sherwood Way
Eagan MN 55122
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178567
Date Issued:08/24/2022
Permit Category:ePermit
Site Address: 1587 Sherwood Way
Lot:6 Block: 3 Addition: Brittany 3rd
PID:10-15002-03-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
David J & Kathleen G Beverley
1587 Sherwood Way
Saint Paul MN 55122--273
New Life Contracting Inc.
9050 Highview Lane
Woodbury MN 55118-5512
(651) 336-9966
Applicant/Permitee: Signature Issued By: Signature