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1606 Sherwood Way
SEWER SERVICE PERMIT rjumoer. ? 1 agree to comply with the City of Eagan Connection Charge: i t: _ account Depos Ordinances Permit Fee: Surcharge: Misc. Charges: - By Total: ? Date of Insp.: Date Paid: I nsp.: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: Address: Site Address: Plumber: Meter No.: Size: Reader No.: 1 agree to comply with the City of Eagan Ordinances, By Date of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: - No. of Units: Connection Charge: Account Deposit: _ Permit Fee: _ Surcharge: Misc. Charges: Total: Date Paid: 1N SFEU ION KEUUKU CITY OF EAGAN PERMIT TYPE 3830 Pilot Knob Road Permit Number: Eagan. Minnesota 55122-1897 Date Issued: (612) 681-4675 till I 1 111 M(i 0 f367 It tb/i4/1lK SITE ADDRESS:' '. .. N.: I. O7: 6 HLOc1 t , ,iiF RWOOD WAY flit 1 1 1 ANY :3110 PERMIT SUBTYPE: APPLICANT: il11 i. 1. 110 1,0111 1 ft t h t 21 Hq*--300# TYPE OF WORK: NEPAIR I-, IV I I ism 1. n, A RP RO01 R1= MARKS: I11.14001 11i?lt ,1 ANO GARAGE. DOF TO ST011114 DA"AAF. 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 DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: ! t, I . , . I1 I f f g ; APPLICANT: i .0 Ali l-lhitfl.i 0A1' 1?,!• 1 f I? lilt I I I ANY JRD (1?.1 1) BNq • h N66 PERMIT SUBTYPE: i p!; (.I I . IN I III TYPE OF WORK: 1111r1liiral? rlahIIA!44 t. A 111 ', AI It k A I ION fat MAI?k 4 SF PAkA i t Pt. I+M I I Altt 111 011 1 It1 11 1 014 ANY F I IIMk 1 1`11, fit? t. I I 1 114 If At 1-Jiilr(h. Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ry) 0 ?? ? lh? U ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing J? l? 4 l l (LLLtJVVJ Roofing Rough Pibg. -/4! F1 7 //j Rough Htg. 1,/1 1 zry u Isul. V 4 1) tJ _ Fireplace / Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notlty Plumber Cont. Meter EngrJPlan Bldg. Final r ?-7 Deck Fig. L Deck Final Well Pr. Disp. CITY OF EAGAN 5795 Pilot Knob Rood Eagan, MN S5122 PHONE: 454-8100 BUILDING PERMIT Receipt # Fin. Lower 1,F Fst- val,m ' .000.00 Site Al?ress . Lot Parcel # Ll 3 ac Nome j ; Address o; a Name ?. 0 uu Address r;... p4.n... r0 7 ?? 2 29859 8? Erect 0 Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Length Grade ? Depth Sq. Ft. Approvals Fees Assessment _ Water & Sew. Police Fire Eng. Planner Council Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is tarred and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit Is Issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. F Well Water Disp. Sewer Electric Inspection Data Insp. Other Footings Foundation Framing Rough Plbg. Rough HVAC Insulation Final Plbg. Final HVAC Final 3 Water Describe Location: Well ! Sewer Pr. Disp. CITY OF EAGAN , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value s , IL Date ,19 Site Address t' AY Lot Block 4 Sec/Sub. ; ATTAFY 3RD Parcel No. c Name 3 Address City Phone 5tat:-7t?5+i Name 'o ou 1,. Address 4-. City Phone "W WW Name r ?z. Address a ZW w City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee -- A Building Permit is issued to:__ on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official_._ ---- OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required * of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. - Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL - Permit No. Permit Holder Date Telephone ft PTumbing H.V.A.C. Electric / 0 /9 L5 °L Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing %7 / 14?8 Roofing Rough Plbg. _ ?. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. -157 Bldg. Final ` Cert. Occ. ` Temp. LP Deck Ftg. r- Deck Final Well Pr. Disp. PERMIT # Site Lot. PLUMBING PERMIT RECEIPT # • CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 5S122 DATE: Name Address c City Phone Name 3 Address p City Phone rn 4 COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES OF FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New M u It. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL 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 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp" - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: CITY OF EAGAN 3795 Prot Knob Rood Eagan, MN 55122 N2 6310 PHONE: 4548100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoning Repair ? Fire Zone parcel E l T t f C n arge ? ype o ons . W Name Move ? # Stories 3 Address Demolish ? Front ft. ° City Rhone Grade Q Depth ft. Ce Approvals Fees ° Nome _ z °? g Address H nt Name _ Address I hereby acknowledge that 1 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. Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge Plan check SAC Water Cann. - Water Meter Road Unit Total Signature of Permittee I 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 # Date Issued Penulltee Plumbing Mechanical 'el INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation Plumbing J?bl Frame/ins. _ Mechanical /o-gr Final Remarks: a _ ?0-? `,? ,? _ _yN ?.4it.? ,rw?`G,2?3c??C?o ?,?,?. 6 No. Date: Site Address: Lot IName _ Address 1 ' 1 C,1:,( t . City Phone: Name INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Multi Res., Comm./Ind. New/Alter./Repair. Cost of Installation Permit Fee Surchorge Address City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. CITY OF EA"N 3745 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT 1 'Fill Block Sub/Sec. - Brit Building Official .,-.- No. 1 CITY OF EAGAN 3795 Pilot Knob Rood Eogen, Minnesota 55122 Phone: 454.8100 PERMIT Date: Site Address: Lot 1606 Sherw od Way Block Sub/Sec. Name T. _x;}[34 ollpl' rs. A Address r City Phone: Name Qpr L Address City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential New/Alter./Repair. Cost of Installation Permit Fee Surcharge Total done in accordance with all applicable State of Building Official CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ ? CASH ? CHECK DOLLARS Leo FUND CODE AMOUNT Thank You BY White-Payers Copy t Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition Brittany 3rd Addition Lot 5 Blk 1 Parcel #10 15002 050 01 Owner Street 1606 Sherwood Way State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. -(? 1982 2013.03 402.61 5 2013.03 0007251 9-14-81 STREET RESTOR. GRADING (p (0 1982 596.22 119. 24 .22 C007251 91481 - - SAN SEW TRUNK 3 1976 143.11 9.54 15 85,87 A009953 *SEWER LATERAL 1982 8ao. 766.02 5 `38 0007251 9-14-81 WATERMAIN *WATER LATERAL 1992 5 WATER AREA 1982 296-92 59.38 296.92 C007251 -14-81 STORM SEW TRK U-05 1982 628.22 125.64 5 628.22 0007251 9-14-81 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT RA I INT1 1 RS W) -)1515 in 120/go - WATER CONN. 21 Si S * in/,)n/.qn BUILDING PER. SAC 525.00 21515 10/20/80 PARK CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 6310 ` PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt To be used for SF DWG/GAR Est Value 82,000 Date 10-21 19-80_ . Site Address 1606 Sherwood Way Erect )p Occupancy R3 Lot 5 B Brittany lock 1 ' Sec/Sub Y 3rd After ? Zoning Rl . Repair ? Fire Zone 3 Parcel # E l T of Co t V n arge ? ype ns . W Name T o lPfson R ii d re Move ? # Stories 2 Address 13816 Holyoke Ln. Demolish ? Front 44 ft. b CI Ap ple Valley. 454-6873 Grode ? Depth 62 ft. o Nome Approvals - Fees o? u? r Name Phone Water & Sew. Police - Fire Eng. Planner - Council _ Bldg. Off. APC 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee - A Building Permit is issued all work shall be done in a Building Official Permit LOO .>y surcharge 41.00 Plan check 94.25 SAC 525.00 Water Conn305.00 Water Meter60.00 Road unit 185.00 Total 1.398.75 Tollefson Buildrs on the express condition that doncY withA applicable State of Minnesota Statutes and City of Eagan Ordinances. L BUILDING PERMIT Parcel * 10 CITY OF EAGAN Site Address i o, Lot S Blo'ckk 3795 Pilot Knob Rood Eagan, MN 55122 PHONE: 454-8100 Lower Lev.F?t. val.. 3.000.00 a: ( Name Mr & Mrs Robert Dickman z Address 1606 Sherwood Way p Name iw vci.. u wain wua? z? 17995 Ixonia Av uU Address Lareville e?-__ Nome 1 hereby acknowledge that I hove read this application and state that the information Is correct and agree to comply with all applicable State of Minnesota Statutes a C/ity of an Ordinances. Signature of Permittee-c' tIC(eco,Crrt?ts mil! A Building Permit is issued to: Receipt * N? 7212 298M 5/1/ a 82 Erect M Occupancy R3 Alter ? Zoning R1 Repair ? Fire Zone NA Enlarge ? Type of Const. y Move ? * Stories Demolish ? Length_ Grade ? Depth- Sq. Ft.- Appr"afs Fees Assessment _ Water & Sew. Police Fire Erg. Plonner Council Bldg. Off. APC Permit ?v.-+v Surcharge 1.50 Plan check SAC Water Conn. Water Meter Road Unit Total 40.00 all work shall be done iwMccordance with all-a07ptlaable State of Minnesota Statutes _ on the express condition that City of Eagan Ordinances. Building Official VI +} I P- ? v - Z CITY OF EAGAN Include 2 sets of plans, I') t ` S l / 11 1 site plan w/elevations & I/ I BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For Fig Line- Lour 1 Valuation ?r 60a Date Site Address: Lot 4?i Block +0+6 5'kerwo d '"-Y . 1 Sec./Sub. 1.0 K Erect GY Parcel lD l S-W a. pSU 0 I Alter Repair /Itr/iylr ?? / s /( a.P??f ? i .: e a h Enlarge Move - Address: 66 ti City/Zip Code: S kQ .wood 'Ea 9 ?- GL?o_.., Demolish _ Grade OFFICE USE ONLY Occupancy /f//3 Zoning Fire Zone Type of Const. # Stories Front ft. Depth -ft. Phone #: 45-2 - 7 5-8 V APPROVALS FEES Contractor: /r-2o ?0? 14 / . C IQ,,t C,,, s > Address: /D 4 9 5- .T oY , a /37 ? - City/Zip Code: i/a SSo L/ 4 Phone #: V 3 $' - 6 (112 Arch./Eng.: Address: City/Zip Code: Phone #: Assessments Water/Sewer Police _ Fire Eng Planner Council Bldg. Off. A.PC Permit a 3 j? Surcharge Plan Check SAC Water Conn. Water Meter Road Unit TOTAL ??0 CITY OF EAGAN V 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121N? 16009 BUILDING PERMIT PHONE: 454-8100 Receipt # O / To be used for ADDITION Est. Value $11,000 Date 14 -150 ,19 Site Address 1606 SHERWOOD WAY Lot 5 Block I Sec/Sub. BRITTANY 3RD Parcel No. ,:c Name TOM MURRAY 3 Address SAME 0 City Phone 688-7050 c Name M & J CONST ou Address 1438 PONDEROSA CIR City EAGAN Phone 454-1599 Name Address City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and/Citty of E an rd nay Signature of Permittee 4 City A Building Permit is issued to: _I` &-H--CDNST--__ on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statu s and City o gan Ortlinances. Building Official OFFICE USE ONLY On Site Sewage Occupancy MWCC 5ystem _ Zoning On Site Well (Actual) Const City Water _ (Allowable) PRV Required # of Stories Booster Pump Length .12. 5 Depth 2.5 S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit $LI4. 00 Planner Surcharge 5.50 Council Plan Review 57.00 Bldg. Off. SAC, City Variance _ SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 XW(,X (cop y) 1 00 TOTAL %177.50 SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. (59'7 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS. MN 55420 • (952) BB1-9000 TEST RECORD ADDRESS /606 e? ??? way OCCUPANT SOLD BY e CITY A K} OWNER 0 UL r-?C ?-/?CC ol`-s' INSTALLED BY MAKE 11-0- .J SERIAL NO. THERMOSTA - ) VALVE LIMIT 1-t /-E- 4 LIMIT SETTING V FAN SETTING PILOT TYPE 1-4s x IGNITION MODEL PILOTTIMING 1 "l Al a ? pr PRESSURE 'ZS /C- PERCENT CO, INPUT CFH 023 PERCENT Oz v STACK TEMP. Ste- PERCENT CO FORM 235 (REV. 11&9) MODEL G G() (1 of1J 3 6 (3 INPUT <;& ! W`J VENT SIZE TYPE OF LINER" LJ L. LINER SIZE ! f FILTERS: SIZE NUMBER WIRING S? TEST TAG LIGHTING INST DATETESTED 7-i07 /-y I COMPANYTESTING NAME OF TESTER _ FORM DISTRIBUTION: M -JOB FI COPY - CITY 3 /y CIO 72 0 -a Reque'al Date / Fire No. Rough-in Inspection Re NOTICE: You Must Call Electrical Inspector If A Rough-In Inspection ? Y ? No Is Required. icensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or RR}oute No) /? WA y /GOG Offc_(Wcoo WAy /? [? 1-51 N Section No. Township Name or No. Pangs No. ?? County ©/9 p-,koTA Occupant f 'ft TI "DA./ Y Phone NO .?(0^ L 3)s° Power Supplierr Address Electrical Contractor (Company Name) (?r E 7YCCL ltiC. 4LA Contracfart License No. C(}Op7ls Mailing Address (Contractor or Owner Making Installation `733 4.)wo 1AAk fcA6?{nl s's'!a)L, Authoriz Si Lure ( mr don er ing Installation) Phone Number Y,sa-3?j 1 MINNESOTA STATE BOARD OF ELEETRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-113 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 612-0800 ENCLOSED. ELECTRICAL INSPECTION J? insltuctioRS for completing this loan an pack of? ilw copy. 0.4 7 7 2 J 3? T?/y' Below Work Covered by This Request WT0 t-0 O O e Add R.P. Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractors Remarks: ?O wm 8A-n4 l JfA60s 6_ ._ Compute Inspection Fee Below.: ?? 'J?"?Jf/T # 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: Typ??AL Irrigation Booms ' / `"fG ?/ 7y,?,s Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M S. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in , Final t j-loVf Date Gt1.< cz l OFFICE USE ONLY I This request void 18 months from ?'),_ This request void S 3 LS l 6? c I vl U ati? .` 18 months from ?/ /L y*? J-?' O Date of t Request Fire No. i 31 He 1, as LUoticensed Electrical Contractor C1 Owner, do hereby request inspection of the above a ectri- cal wiring installed at: Street Address or Route No. (i?Ra (l7 L?E?O dtc! Cit Section Township Range C unty Which is occupied by Is a roughin inspection required on this job? No D Power Supplier Electrical Contractor 1 0" (co pang ame) Mailing Address d.A Elactr =Authorized Si nature ??a OR Yes ? Ready Now ? Will Call I/ _ Contractor's iE tense No. W I Making This Installation) This inspection request will not he accepted by the State Board unless proper inspection fee is enclosed. mmnesota State uoaro or nectrictry Griggs Midway Bldg. - Room N191 _ 7841 University Ave., St. Paul, Minn. 5510 hone 297.2111 REQUEST FOR ELECTRICAL WPECTION CHECK BELOW WORK COVERED BY THIS REQUEST ER-00001-02 T31,824 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? Range ? Temporary Wiring ?Y Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm ? El El List List 1 Other ? ? ? oo Herre I ers y pp Herers# COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders& Subfeeders: # Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5.00 Remarks TOTAL FEE 1, the Electrical Inspector, hereby certify that the above inspection has been made. /Q:6d (Rough-in) Date (Final) / , Date °j This request void ' 18 months from REQUEST FOR ELECTRICAL INSPECTION EB-00/0?01-0] ?,?p ? See instructions for completing this form on back of yellow copy. Cf'Q[? S `9'5 2 X" Below Work Covered by This Request e Add Rep. Typeot Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specity) Comrectorb Remarks: Compete Inspection Fee Below., # Other Fee # Service Entrance Size Fee # CimuOs/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Abov 100 Amps Signs Inspect r use Only: TOTAL Irrigation Booms to Special Inspection MMCommunication Other Fee s Re* I, the Electrical Inspector, hereby tif th t th b i i Rough-in n oats-:, Iq !l cer y a e a ove nspect on has been made. Final r Date / OWICE USE ONLY .??+.. This request void 18 months from C l 5.52 g / moo °y RegWSt Date 0-k 7 Fire No. Rough' nspection Requi ? ? Ready Now ,yill e Inspectp /rTv ? Yas ? No en R when Ready I Licensed contractor ? owner hereby request inspection of above electrical work at: Job APdrew (Street, Box or Route No.) , ?cb?c S.Y'le ? - City ` Seciion No. Township Name or No. Range No. County Occupant (PRINT) Phone No. C'm u r ao '7 7 Address M, Electric Contrepor (Company Name) CoMractor5i nee No. q S-3 Haling Addre (Contractor or Owner Making Installation) `7( S 3 L/QC `YI! 1 Author tl Signature (Co tr/a/ctpJ/r?J/?nner/rMa?king/?Ins?tal n) Phone N bbbeerrr f / / // MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-In BE ACCEPTED BY THE STATE BOARD 1821 University Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (012) 642-0800 ENCLOSED. This request void z- S) 5 ` 3 r-, 4 18 montirs from Date of this Request 12-4-1980 Fire No. 3809 1, as ftLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: It `?. Street Address or Route No. 16W- Sherwood Way City Eagan Section Township Range County Dakota Which is occupied by Tollefson (Name of Occupant) Is a roughin inspection required on this job? No ? YesU Ready Now ? Will Call U Power Supplier Dakota Farmington Electrical Contractor O.B. Thompson Electric Co. Contractor's License Nc?40602 (Company Name) Mailing Address 12201 Mtka Blvd., Trltka 55343 (Electrical Contractor or Owner Maklhg This Installation)— Authorized Signature a ;" Phone No:'\ "r (Electrical Contractor or Owner Making This Installation) SUM WARD Mpr This inspection request will not accepted by the State Board unless proper inspection fee is enclosed. mmnesota state noaro or tiectnaty Griggs Midway Bldg. - Room N191 EB-00001-02 --;?-0 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 'REQUEST FOR CHECK BELOW WORK COV REDTBYI THIS EOUEST INSPECTION a T 3809 Type of Budding New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home XEl ? ? Range ia4, 00 Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Futures Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace U2,00 Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? List List Other ? ? ? ethers Here 1 , thers Here COMPUTE INSPECTION FEE BELOW Service Entrance Size: a Fee Feederalk Subfeeders: # Fee Circuits: # Fee (Tin 100 Am s. 0 to 30 Am res 0 to 30 Amperes 12 2¢.00 101 to 200 AmpsQ Ud 10.00 31 to 100 Amperes 31 to 100 Amperes Above 200_Amps. Above 100 Amps. Above 100 Amps. Tr sformers Remote Control Circe Partial or other fee , Signs - Special Inspection Minimum fee Remarks Jeff TOTAL F160, dr? 4.50 I, the ?crtcusp4 ;!, reby certify?he agctioi L as been ma (Final) 7117 4, , ,t , pate Y-- -?ZF $/ This request void 18 months from ------------------ j Permit * n / r) W I Permit Fee: D • L-)o Date Received: I Staff: (, I ----------- J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7A¢fo$ Site Address: /LOL 5j?r.,io.e? alw Tenant: C5042DIL-IZS Suite #: RESIDENT / OWNER Phone: tom/ .308 ?/fi/t Name: ?.. ?? -5 // Address/City/Zip: /boy 54ci.o?od u1 Applicant is: -Owner k Contractor TYPE OF WORK Description of work: 'V;~ F< ? ' ea 0/ Construction Cost: -woo Multi-Family Building: (Yes _ / No CONTRACTOR -. ?t w License#: 1 oS?I?160 Name: iVCrwi.6s4 /3,,.SA 1r Address: 4J1,w.,?-l iYSio City: 154-, State: dop& Zip: 66-ylq Phone: (iS1 2!} J/bcx Contact Person: Avg ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 Minnesota Rules 7670 Category 1 _ Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (+J subm Ission 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 s the information may be classified as nor pubfic,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 permh, 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 /3.TMud w+•`?? Appli nt's Printed Name t°6(I?i nt's ignature Page 1 of 3 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 I is-7 Z_-5 New Construction Requirements Remodel/Repair Requirements office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd -Y _N l set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan If lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date -j-(D-l l 0 Site Address Construction Cost i c,0 -/b Unit/Ste # Description of Work 2 a S , p Multi-Family Bldg _ Y - N Fireplace(s) - 0 - 1 - 2 Property Owner f c ? ? n d ,r C Telephone # ( ) Contractor e ? Address / T State City Zip ,!2s Telephone # Q.fj2-) (Db lJ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cate¢ory 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category I Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. n Licensed Plumber Mechanical Contractor Sewer/Water Contractor I R,, U L'J 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 permit; that the work will be in accordance with the approved plan in the case of work which requires review d approval of plans. Applicant's Pri ted Name Applicant's Si ature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 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 & Water _ F inal _ 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 4b Be Used For. Site Address Lot 45' Block Sec./Sub Parcel #: CITY CP EAGAN Include 2 sets of plans, 1 site plan w/elevations 6 BUILDING PERMCT APPLICATION 1 set of energy calculations. ?valuation?h-? ''nod Date Address: City/Zip Code: Phone #: Address: City/Zip Code: Phone #: Arch./Eng..- rch./Eng.. _ is Assess Permit / 9B "ry Surcharge 51/ . o o Planner Water Meter b0.mo Council Road Unit / 85, o D Bldg. Off. APC City/Zip Code: Phone #: Erect OFFICE USE ONLY Alter Zoning Repair Fire Zone 3 Enlarge Type of Const. Move _ # Stories Demolish Front y y ft. Grade Depth G 2- ft.. APPROVALS p ? Assessmen . / Water/Sewer Police Plan Check 9 Y ?,t ire SAC S29, oa hng. Water Conn. a r, s o ' S. fP X? Taliefson,Builders Inc. Or.11187-1 .? 8 183-67A F. C. JACKSON LAND SURVEYOR (ry Q????w? l G,r„ o REGISTERED UNDER LAWS OF STATE OF MI TA ,S LICENSED BY ORDINANCE OF CITY OF MIN a 8616 EAST 55TH STREET 55417 72 ?~ J / butbtpot•u QGetKficate >44 " v 1 ? o?,e 1-dl dye \? \ / a 1 HERESY CERTIFY THAT H ABOVE la A TRY AND CORRECT RAT OF SURV" OF 'Ke Lot 5,Block 1, \ Brittany 3rd. Addition, Dakota County, Minnesota. Y - \ rtlC rt/ \ . AS SURVEYED BY ME THIS DAY A. D.- ` 7th. 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NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE 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 JNC 2 1.1988 To Be Used For: A r ) Valuation:1 Date: I d ' -n ` ff Site Address b u) .1 b r Lot Block Parcel/Sub Owner ?o 7,1 ? Address L o L Sh o-f we o b dujQ? City/Zip Code Q '91y //1m. SS/2z Phone L99- ] 0 3 0 Contractor ?cr>)519lec11D-n Address W9 ?o?deTOS? (,/R?Le. City/Zip Code C)9 5,0 Yi Yy/„ ?T/ Z Z Phone y i tl-ISy9 Arch./Engr. Address City/Zip Code Phone # 00L r' - On site sewage_ MWCC system r On site well City water PRV required _ Booster Pump APPROVALS # OF UNITS Occupancy R- Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. FEES Engr/Assess Permit Planner Surcharge 5115"0 Council Plan Review ,59.00 Bldg. Off. 1241 SAC, City Variance SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL V/??!n aim , s .. .. y :- r •, t I-, n .a s M.: c..ii +.atrpl?il'A: .. All ?ellersoe guilders Inc. or.11187-1 .f 8 1183,-67A F. C. JACKSON uwc ruRVSroe N ?c , MUST91" UNDER LAWS Or STATS Or A NCUMMUD r oROOws: or o1Tr a Y 3616 Rrsr "TR STREET 55417 73 -SC le! / 3 ?" . .= Zrey d ??' ooo.o? E,rlst'ng ?/er. ` t 0/. E?scMetrT s1 as ? y v g` us '? * 0 6 AcOtT?o? r \ o n e. \ ff ... r - rm 1 Mtll{sT eorrlrr TNATAsOrs IS A TRU Arlo OOI?CT P"T Or stem or 1e///JJJ , ors ® a 4T, 14 Y a?.'==. i Y? ?+ a '. M sURrsrsb MY Me ?""? - r O/- A _, `y' , s +` • n mom. ?. s, . ?+ s. Y -- NO r CIV OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 033678 10/14/98 SITE ADDRESS: 1606 SHERWOOD WAY LOT: 5 BLOCK: 1 BRITTANY 3RD P.I.N.: 10-15002-050-01 DESCRIPTION: T.O. & REROOF Building-.Permit Type STORM DAMAGE Building Worrk Type REPAIR Census Code 434 ALT. RESIDENTIAL k -. REMARKS: REROOF HOUSE AND GARAGE DUE TO STORM DAMAGE. FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC. OWNER: HORIZON ROOFING 18903900 20012795 MARTIN RAY 1333 LARC INDUSTRIAL BLVD 1606 SHERWOOD WAY BURNSVILLE MN 55337 EAGAN MN 55122 (612) 890-3900 (651)686-9315 t 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. tatuteA and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE .. a.? e"/;&Q ED BY. SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN J 3830 PILOT KNOB RD - 55122 681-4675 (' - New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured find. design; eta) ? 1 energy calculations • 3 copies of tree preservation plan H lot platted after 711193 required: _ Yes _ No DATE: 1 Dh l:),Z4 K DESCRIPTION OF W STREET ADDRESS: LOT: S BLi Remodel/Repair Requirements 4 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; 4,5(, ?a yS Name: lr I f? I ?Vt t /t/ Phone #: ?0 ' qJ /,S PROPERTY Last First OWNER tt /?u ,, < a,, ' 1 Street Addrreess:) l n ( City C Q t? State: (n n Zip: ?.? la a Company: Horizon Exteriors CONTRACTOR 1333 Larcindustrial Blvd. Burnsville, MN 55337 Street Address: (612) 890-3900 City ARCHITECT/ ENGINEER Company: Phone #: License # 01d-) )l 0 795 State: Zip: Phone #: Name: Street City State: Registration #: _ Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. 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. \ 1 T Signature of Applicant: l >D ?Y1/l ll 1 IK A .!1-l)'1/! /?_ c- OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required I 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 Kew ? 33 Alterations ? 32 Addition " Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck I7 36 Move ? 37 Demolition Y 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MCMS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bldg Census Unit Building Engineering Variance Permit Fee Surcharge Plan Review L:censs MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units CITY. OPEAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 023592 05/13/94 SITE ADDRESS: 1606 SHERWOOD WAY LOT: 5 BLOCK: 1 BRITTANY 3RD P.I.N.: 10-15002-050-01 DESCRIPTION: Building-Permit Type BASEMENT FINISH Building Work Type ALTERATION PERMIT ' L-1 U2 a???? y?tt,lu? REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY Base Fee Surcharge Total Fee L $35.00 $35.50 CONTRACTOR: OWNER: - Applicant - MARTIN KATHY 1606 SHERWOOD WAY EAGAN MN 55122 (612)884-4355 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. L_ e{&M m4 kt,n n4 fp:d, l APPLICANT ERMI EE SIGNATURE -' ISSUED B : SIGNATURE CITY OF EAGAN L-R _E -ED 1994 BUILDING PERMIT APPLICATION 681-4675 0 4 `1994 ?3S 50 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 514114 Valuation of work S. Soo Site Address: Ibab c??2X1?1nOd Li)nu STREET SUITE # Tenant Name: (commercial only) LOT Z BLOCK SUBD V P.I.D. # Description of work: Fims)m ` The applicant is: IR Owner ? Contractor ? Other (Describe) Name Dlellxy) Aan nr%A ?KnAxsj Phone 686- IBIS Property LAST FIRS 854- 4355 (w) Owner Address IbOb S1,etu"? wa l STREET STE # City toagaNn State mn zip 5ra%a6 Company Phone Contractor Address 3501 El a e # Exp. City State mr Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. yy Signature of Applicant: mot?irri OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck WORK TYPE ? 31 New 4 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ?.Site ? Wallboard Basement sq. ft. 1st F1. sq. ft. 2nd Fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ,0 Final ® Framing ? Draintile a` o? i d ,Et Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: valuatiar. $ finis cement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % SAC Units PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TU:TAL SHOWER 3 00 ,3-00 Z WATER CLOSET . 3.00 BATH B O 3.00 LAVAT RY 3.00 9,00 KITCHEN SINK 3.00 LAUNDRY TRAY' 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET •rminimum . t 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP • Decay. ur- 20.00 U.G. SPRINKLER • home under conk 3.00 ALTERATIONS • to casting 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: a 0 ° 6*0, SITE OWN INST CITY: r9 aelavn STATE: /11 N ZIP•CODE.-S?fo?o2 PHONE #: 0/0-) S/Sa- -/S(o 5 SIGNATURE OFTERMITTEE 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 383011 LOT' KNOB RD EAGAN MN 55122, (612) 681-4675 SITE ADDRESS: PHONE-#: -----------------, I Permit#: I I I Permit Fee: I ?l Date Received: 117 I I I Staff: ? I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: `?SO ? SYN rfo ? W a.( Tenant: Suite #: RESIDENT I OWNER Name: Tbr^ Sa .?2fS Phone: Address /City /Zip: ll?b (. 5ti`t.r W?u Applicant is, -Owner ?C Contractor TYPE OF WORK Description of work: C ??oa?? 5? u c 4 f?? Construction Cost: I S O o Multi-Family Building: (Yes / No CONTRACTOR Name: lam' c1 o z\ C? e 5o n ?v rk z?u \? s ?t`?License #: ?.U 3o b 3 e? Address: ??e Z"Ef Qua ?v?e W 'pf - S? City: Q?,or i.w\? w'nrJ State: PnfV Zip: 5S3-T. Phone: yS 2 - 5t9 `1 - G iD'k3 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ 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 supporhng_docum'ents that you submit areconsidered to be public information Portto'ns of ; pr"ode speprfic reasons thatwould permit the City toy: as non public of you vr the rnforinatron may be'classed i nconc/tide`tfiattfie' are trade''secrets, n : r ," •r s` 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 rase of work which requires a review and approval of plans. x MiL\.wc\ ?3..Snx? x 4h, TAI_ 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: 1606 Sherwood Way Lot: 5 Block: 1 Addition: Brittany 3rd PID:10- 15002- 050 -01 Use: Description: Sub Type: e - Furnace Work Type: Replacement Description: Furnace Comments: Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Quesetions regarding electrical permit 952- 445 -2840 Crystal Gemuenden 8910 Wentworth Ave S ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: Ray L Martin 1606 Sherwood Way Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Elec $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA079804 09/14/2007 ePermit cal Inspector, 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 Use BLUE or BLACK Ink r^.,1 i, For Office Use T !Y l f �r it L� 11!0`. City of Eapil Permit#: `T Permit Fee: L'is(i ' 5 Cr 3830 Pilot Knob Road , Eagan MN 55122 i, Date Received:d_ '" Phone:(651)675-5675 1 Fax:(651)675-5694 Staff: y J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0-2 41"/7 Site Address: 7&%'--34eccA. C Unit#: Name: Dao Middlecamp Phone: 612-916-3497 Residentf'' 1606 Sherwood Way Ownelr Address/City/Zip: K___. / „„,!,,,,„,,,,,,,,,,,,:,,,,,„_,„,„,„„,„:„.„,,,,,„,,,„ Applicant is: Owner X Contractor kitchen&2nd floor loft remodel,LL wet bar,LL bath,Main Floor Fireplace,&Reroof Description of work: Type of Work Construction Cost: 150'000'00 Multi-Family Building:(Yes /No ) Company: w•b• builders Contact: Scot Waggoner Contractor Address: 5617 Bernard PI City: Edina State: MN zip: 55436 phone: 612-965-2655 Email: Scot@wbbuilders.Com License#: BC - 401790 Lead Certificate#:(-26 1/ '6.-- If the project is exempt from lead certification, please explain why: home built in 1981 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: Fire Suppression Contractor: Phone: NOTE:Plans s r n nts tha you Irbmrt� r i r r �f of. .: the info�tron may le cla wed yrs -po `� 'P e - ns that �Ethe .. .. • '' 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.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not : .tart 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 pl-- Exterior work authorized by a building permit issued in accordance with the Minnesota . c ildin o.- m t be completed within 180 days of permit issuance. x Scot Waggoner x �i � „. ��_�� Applicants Printed Name Ap. 'Sant s Sign. re / . Page 1 of 3 r) ( 1k LLC DO NOT RITE BELOW THIS LINE / 7/ "5 SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) ?0 Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES _ New Td Interior Improvement _ Siding _ Demolish Building* Addition Move Building A Reroof _ Demolish Interior — Alteration _ Fire Repair Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation '/ €C, 76v. Occupancy -QC-) MCES System Plan Review Code Edition /44V?2 'I SAC Units (25% 100%.Y3 Zoning (2 -I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Y 3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) ?4 Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: )6 Ice&Water ya Final Pool: Footings Air/Gas Tests Final ,`4 Framing 30 Minutes 1 Hour Drain Tile Fireplace: eV Rough In Air Test )d Final Siding: Stucco Lath Stone Lath _Brick_EFIS •7e2 Insulation 4 Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In Final Braced Walls Erosion Control X Shower Pan Other: Reviewed By: To viA in i k-1 y.4 , Building Inspector RESIDENTIAL FEES /1 e Qo o f" 4)4- 9`0'0. , Base Fee tt;:nD�L.S S `/i " " '' Surcharge Lc>f Aft# //? , ,ffi Z36v• QO Plan Review `i,AIZR/-e re t , (3 9�,vi.4., r; 12-e ehice , oe1-34,0 MCES SAC ,i Z 04"pa^u City SAC n1i/,`✓1 Level it'1Li-lche✓► , f Rephtc'e Utility Connection Charge 12 q ST .f7 A/ 2 y 2 0 ``c'," S&W Permit&Surcharge IV c"- 2 ()) 1 2 , �7 U c>. c'J Treatment Plant J Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink For Office Use �/J . y 0 CA fIaau :erm:: 3830 Pilot Knob Road ermiee: et, ' Eagan MN 55122 Phone:(651)675-5675 Date Received: ___ Fax: (651)675-5694 i I Staff: 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 3-11`\`t Site Address: l Q4., "a-i .toot t s 4° Tenant: Suite#: Resi eint!twne Name: Phone: Address/City/Zip: ._. ..._. Name: L ,., ''r\Ce. itia a r 14 t." License#: i ,_ ? Address:_ c.,.3 ,yr; LAV '3'C --..._City: ..__._ . ._." ._..._.. �ii`illtradto State: tiAZip: 55 4.4 2.4,0 Phone: i2.- 1 tci- 1 2,5 r Contact: ""roo' Email: i New Replacement Additional Alteration _Demolition t t.o.v.i' 1)01*ryt amu'$R.J i -.1T:yi)e of Work Description of work: vc. wcsotc t..' NJir..s41' OOOc.. t�eioD- i4e. Sys°rtL - , tcl- v NOTE:i RoOf mounted and grow d mounted mechanical equipment is required to be screened by City Code Please contact tiielec an cal inspector for information on•"permitted.screening methods. 3I RESIDENTIAL COMMERCIAL i Furnace I New Construction ___—Interior Improvement `1' Air Conditioner er "t t Tie I Install Piping Processed Air Exchanger Gas _Exterior HVAC Unit Heat Pump Under/Above ground Tank ( Install/ Remove) Other I RESIDENTIAL FEES i $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.60 Residential New, includes State Surcharge W$ TOTAL FEE i COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ __.Permit Fee ISurcharge=Contract Value x$0.0005 =$ —- Surcharge If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x \NINr+. \t 00 ii.-t-'3 ii,i't.st:G. x ,..,°'',d` Applicant's Printed Name App#ic. is ignature FOR OFFICE'USE Requiredin iaictiprns ' Reviewed By: Date:e Underground ''''Rough In `fi,rr Te igie. 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PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA143355 Date Issued:06/13/2017 Permit Category:ePermit Site Address: 1606 Sherwood Way Lot:5 Block: 1 Addition: Brittany 3rd PID:10-15002-01-050 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - William Iii J Middlecamp 1606 Sherwood Way Eagan MN 55122 Water Doctors Water Treatment Company 8201 Old Central Ave, Suite F & G Spring Lake Park MN 55432 (763) 535-1800 Applicant/Permitee: Signature Issued By: Signature