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1617 Sherwood Way02/23/2011 WED 17:18 FAX 612 822 5408 Al'A Master Plumbimg City of Eaall 3630 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5575 Fax: (651) 675-5694 ed 5 < 60. ZZ 015 X002/002 Use BLUE or BLACK Ink Permit #: Permit Fee: Oslo Received: Staff: INFLOW & INFILTRATION PERMIT APPLICATION /:1-3/11 '' Plumbing / Sewer & Water Date: Site Address: /W? *MO/ Tenant Tenant Suite #: RESIDENT /OWNER Name: Alf, C.P r/Lille Phone:_______________ Address / City I Zip: / - / i : ,. ice., rev/C..574 4 CONTRACTOR Name: ,,A176./r'e'/RET oil: 41," " License it: tf.. 1'wG/=A Address: � K P"I/4% City: /IVRY State: dII Zip: J!/ T // Phone: '/Z xZ ' ?fl - - contact: 7,lh r4 (w-7 Email: TYPE OF WORK PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) ,'Sump Pump Repair Repair Other: Other: DESCRIPTION Description of work: �' "tel 414,.., ,s/#t 40.41 FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan,com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DICZ. Call Gopher State One Call at (851)454-0002 for protection against underground utility damage. Gall 4S hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 to start without a permit; ih : e work will be jn accordance with the approved plan in the case of work wh" ; requires a review and approval of plans. CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box ?.7199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner. -'`] +''` son i_. Address Site Address: Plumber. ,r 1 sifm to wwph wkb tie Qty of Eepw Connectlon Charge: Orihias"s. Acaount Deposit: Perot Fee: By Date of Insp.: Surcharge: _ Misc. Charges: Total: Insp.: Dote Plaid: Site Address: 1617 Shmurwe?nd Wax 1,2 B3 B tart' 3rd CITY OF EAGAN WATER SERVICE PERMIT 3830 Pint Knob Road PERMIT NO.: P. O. Box 21199 Eagan, MN ES121 DATE: 1 No. of Units: Zoning. i 0 _ 1 ? i S o 1 • - rose: tte Address' If 17 Sherwood 'ftv [._ umber. ` `' " E r No.: (o O urge. Sze:A?i Roc/( g, l No.: ngeWalk?Q! I som to empty With the ah v 1 _ r'ter- .By Paid: 'Dote of Insp.: Insp.: PERMIT # I / 3 S PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: -- CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub - Res. New Y m Name uga, vI Mult Add-on Address 702 Comm. Repair c City "Ookins. Other 933.1 Si, TOTAL NO. FIXTURES Name Water Closet - $3 00 c Address j . Bath Tubs - $3.00 p City Phone - Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 MINIMUM - RESIDENTIAL FEE _$10-00 Floor Drains - $1.50 MINIMUM - COMM/IND FEE - 20.00 Water Heater - $1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool - $3.00 (ADD $50 SIC IF PERMIT PRICE GOES Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10 00 . Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL CITY OF EAGAN 3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est Value $92,000 Date JUNE Planner Council 6 Bldg. Off. 2/18/8 Site Address 1617 SHER WOOD WAY Erect 16 occupancy R3 Lott Block 3 Sec /Sub. BRITTANY 3RD Remodel ? Zoning R Parcel No Repair ? Type of Const V . Addition ? No. Stories 44 W Name TOLLEFSON BLDRS Move Demolish ? ? Length 3 Er Depth = c 12617 FA Address IRGREEN AVE Int. Impr. ? Sq. Ft City A-V- Phone 431-1100 Install ? X .o of ?Q W W F W Uz ?WW Address Assessment City Phone Water & Sew. Police Name Fire Address Eng. I hereby acknowledge that I have read this application and statethatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee `1'OLLEFSON BLDRS A Building Permit is issued to: all work shall be done in accordance with all applicable State,of Minnesol N° 12134 Permit 409.00 Surcharge ?_?? Plan Review-3'TSOU SAC ?00 Water Conn. Water Meter-1-3-.50 237 SOU Road Unit Tr. PI. ___T576-. 0U Var. Date I Copies ;00 Total on the express condition that of Eagan Ordinances. PermN No. PennN Holder Dale Telephone N IlPlumbing IH.VA.C. 2-3 YL) J < < 1 7 d Electric d? (A J n ??' o J L So11aMr hnp..G. Date Imp. Comments IFootinp I L.6- OX, FIFDolings II 1 1 Foundation Framing Rooting Rough Plbg. Rough Hlg. Imul. t/Z f Fkeptaee Final Hill. Find PI bg• - ?/? / 'J7 1,4 L -r-A+L?C fit- y G c. Q -% Bldg. Find I Cert. 000. Deck Ftg. Deck Fmp. Wen Describe Location: Pr. Dkrp. PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 m Nan Add c City FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE -$10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR: CITY OF EAGAN PERMIT # L RECEIPT # 9e 2 DATE: / °?'3 -(J- L_ BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on _ Comm. Repair Other O. FIXTURES TOTAL Water Closet - $3.00 $ ' Bath Tubs - $3.00 Lavatory - $3.00 - Shower - $3.00 7 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 ?- Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp - $10 00 . . Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL: ' K `? ' MECHANICAL PERMIT PERMIT # RECEIPT # r ` CITY OF EAGAN _ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE:. PHONE: 454-8100 Site Address BLDG. pE WORK DESCRIPTION Lot ? Block Sec/Sub molly Res. New ? Name d - '4 `c' - Mult Add-on Addr 1-4 -7 -4 Comm. Repair c City PhonOther Name ??F.So?? ?.,?n?,zz -?-^/?. FEES 3 Address Z? / FA"c?z-'?v ''E • RES. HVAC 0-100 M BTU -$24.00 p City4f, A.,• ry Pho ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. ZO' M BTU /?• STATE SURCHARGE PER PERMIT - .50 F Vent CFM $ (ADD $.50 S/C IF BEYOND $1,000.00) PERMIT PRICE GOES Gas Piping Outlets # Other FEE '49, t TO T S/C: SIGNATURE OF PERMITTEE TOTAL s FOR: CITY OF EAGAN CITY OF EAGAN Addition Brittany 3rd Addition Lott Owner--AIL r`,)i Street 1617 Sherwood 3 Parcel #10 15002 020 03 State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1982 2013.03 402.61 5 STREET RESTOR. GRADING 198 SAN SEW TRUNK 13D * SEWER LATERAL (a b (1 19 I 4.s. 11 8 0.10 -2. 66.02 WATERMAIN *WATER LATERAL 1982 5 WATER AREA 1982 296.92 59.38 5 * Services 1982 5 STORM SEW TRK 5 1982 628.22 125.64 5 * STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK This request void Is-.;lg- 18 mon om C 267 I-Q,.6 3 611606) h S6 eyuem nre wo. augn-in InspeCLlgn ?Ready Now Nq ?v '"'? ? for Notify. Inspec- J I q(' ?Ves ?No T` for When Ready ly7 Licensed Electrical Contrector I hereby request inspection of above LRJ Owner electrical work installed at: Stre t Ad re ss, Box o ute N o . Ci d` •? ? / 1 I I t V l Section No. Township Name or No. Range No. County Occupent(PRIN Phone No. stf ?2-73 r Su plier Address I Contractor's License No. Ef(?'trical Contractor IC p nY Nam Mailing Address 'co tractor or Owner Making Installation) `76 3 a : s 1 Authori Slgnatur nine t r Makino Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION BEQUEST ILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Pr...... 19121 297.2111 ENCLOSED. (/ (? 1 REQUEST FOR ELECTRICAL INSPECTION EB.00001.04 1 ^d'Q _b b ' See instructions for comaletirg this form on back of Yellow copv. b O t0 2 6 7 .,X.. Below Work Covered by This Request dd . Type of Building Appliances Wired EquipmeN Wired _t 'ome Range Temporary Service Iplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peG y Ot er lSpenilyl [ er pp®y Other Other ompute Inspection Fee Below d Fee Service Entrance Size Fee Feeders/Subleeders p Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amos Above 200 Amps 31 to 100 Amps 31 to 100 Amos Swimming Pool Above 100Amps Above 100_Amps Transformers Irrigation Booms Partial.'Other Fee Signs Special Inspection s? TOTA FE Remarks ? E, Ica r, the q certify that the abov Final / t ? A\ D`it ?/7 Rspection has been void 18 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $92.000 Data JUNE 18 tg 86 Site Address 1617 SHERWOOD WAY Erect ? Occupancy R3 Lot 2 Block 3-Se,/Sub. BRITTANY 3RD Remodel ? Zoning R1 Parcel No Repair ? Type of Const V . Addition ? No. Stories 44 W Name TOLLEFSON BLDRS Move El Length y Demolish 1:1 Depth o Address 12617 FAIRGREEN AVE ? S Ft City A-V• Phone 431-1100 Int Impr. Install ? q. ¢ Approvals Fees i o Name SAME $ c Address Assessment _ City Phone Water & Sew. W Wa Name u 3 Address a W City Phone Police - Fire Planner Council N2/ ??// 12134 C?A?1o_S Permit '" ?W'..... Surcharge 46.00 Plan Review 204.50 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 I hereby acknowledge that l have read this application and state that the Bldg.Off. 6/18/86 information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci f Eagan Ordinanc S. APC / Signature of Permittee Var. Date T.,_ A'Building Permit is issued to: TOLLEFSON BLDRS all work shall be done in accordance with all applicabl 0 atiaf MinnesS CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Copies0 0 Total on the express condition that of Eagan Ordinances. Building Official • CASH RECEIPT "CITY OF EAGAN 3795 PILOT KNOB ROAD • 55122 sa ] 19 RECEIVED UNT 1°$ /Ys I ° -& -DOLLARS loo ? CASH ECK F I- OR tl % _4244 F.N. CODE AMOUNT AJ? Z7 Lxe2 'Ado •1-- SU Thank You 3 v"s`' el?z BV N_ 64987 White-Payers Copy Yellow-Posting Copy Pink-File Copy 1986 BUILDING PERFIIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL 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, $2,000 LANDSCAPE BOND To Be Used For: _GJI1? -?AMI1 Valuation: q2,0D0. Date: &-j'-7 R(-, Site Address 10-7 611&6)00 VVAq Lot 21 Block a Parcel/Sub /}N ? d Owner Address City/Zip Code Phone Contractor j I,I ?G?pN ?fJlLlXI?? Address Obl-l FAIYf:;t&k1 M City/Zip Code AME VL4 56? ??((( Phone Arch./Engr. Address City/Zip Code Phone S OFFICE USE ONLY Erect ? Occupancy ?•3 Remodel Zoning 2 1 Repair _ Type of Const SC Addition # of Stories Move Length 4 Demolish Depth 38 Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit 4 Dt Water/Sewer Surcharge 46. Police Plan Review Z0 4, s° Fire SAC 5"15. Engr Water Conn 500 Planner Water Meter (o3.$O Council Road Unit ZGo. Bldg Off Treatment P1 ISCo. APC Parks Variance Copies TOTAL NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. loK y4.; ?f8o x SF? = 2Z ?¢c? • ?2 X 22 - 7¢x58 l?3 c Z ll x I q - Is4 x (5 = 2310 2 x24 = 'S -? (9 x(2. = 6912 ?OKl4 = lqcD ?8 _ 1I2o x 8 - X35 x 70¢ 22x 32" ?O¢ X 44 30??? fox 1 d- ` ? 4© ? 44- ' ? (? o i? X133¢ Ciu?u- A" Par.E 5S ROBE ENGINEERING P 01 AHNEAS an d6lAHD S,llRVEYOf15 8 COMPANY, INC. .1000 EAST 1461h STREET, BURHSYILLE, LIMHESOTA 5S337 PH 422'3000 g?j?c,,ip?Zan, LOT 2 , BLOCK 3, BRITTANY 3RD ADDIT/ON, DAKOTA COUNTY MINNESOTA 31 .01 NORTH 5610% 3b ?% SCALE 1"O 30' S .Afg a DENOTES EX15TIN9 "ELEVATION ( g7o.o) DENOTES PROPOSED ELEVATIOAl ?-- INDICATES DIRECTION OF 50RFACE DRAINAGE LOT 12 F/NI514ED GARAGE FLOOR ELEVATION t l? L- L 0914.0) 97_4,0) ?o ey 3 I /7?{.i 973.?? 1 uti p I D ° O -? 1 w h N PIL0P05F? j. ? ? 1-_ Q z5A z.oNa - lo.o 'ITO w -I M J 1 M ? ? I 1 ?J ? 1 '1I ` 1 0 m /^1 ' a191433 97?N 93.00 4 N 89° 29' //"F ft SNERWa00 DRAINAGE ANO UTILITY EASEMENT v" Zo' FROAIT BUILDIAIG 5E7-.8ACK LINE L-29.00 LISA) Ft. 187.56 „ A . 8- WA Y I I I herebPcertify that this is a true and correct representation of a tract of land as shown* and described hereon.. An prepared by me on this Z ni day of M'4 `J , 19 v- . Rinn. rtes. No. 16orr CITY OF BUILDING DEPARTMENT EXTERIOR ENVELOPE AVERAGE fluff COMPUTATION (To be submitted with building permit application) one or Two Family Dwelling All Other Contractor Owner ?lPSfJ{?? ?IAI ?f?/G Site Address 1,602 `J{7PVWjX.(I V\/6h) Date Z -I Phone LINEAL FEET OF EXPOSED WALL 6,? ft* above grade = 2,44E TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WLLL CONS'TRUCTIOI:: fluff Value x Area lictail ?YIn?T fluff 3 x SQ. FT. U b 6 A ?NU) ( ) r P fer nc flan x 5 Q FT ?/G (U) (A) 9 L . e e - . .-' 4 from "U'' nAn x SQ. FT A-7 g5P5= 7 Sh (U) (A) . . - . attached fluff x SQ. FT. _ (U)($) slicets fluff x SQ. FT. -= (U) (A) fluff x SQ. FT. - _ (U) (A) 71IIIDOWS: 'Puff Value x Area Make & Type of n - • 4A x SQ. FT•(11)(A) rr nUn x SQ FT _ (U)(A) it . . nun x SQ FT (U)(A) n It . . _ nun x SQ. _ FT. _ (U)(A) DOORS: "U'f Value X Area ;I:;':ce & Type zTy. j?.a "UP' x SQ. n n par, fluff x SQ. n o n to nUn X SQ. _ x SQ. TOTALS d-g,42-6uuSQ. AVERAGE n TOTAL (U)(A) VALUES ?s¢q3 = DIVIDED BY TOTAL WALL AREA Z4 L(o.(c, G? AVERAGE 'full .115 or less for 1&2 family dwellings ROOF/CFILING: TOTAL AREA: __ yQ FT. (U)(A) FT. =?(U)(A) FT. _ (U) (A) FT. _ (U) (A) YT. -(U) (A) Detail reference fluff;_? ! x SQ. FT., from fluff x SQ. FT., attached sheets. fluff x SQ. FT., Describe openings fluff x SQ. FT., in roof. fluff x SQ. MI. TOTAL (U)(A) VALUES DIVIDED BY Totvv TOTAL ROOF/CEILIRG AREA 900 QZ AU) (A) (U) (A) _ (U)(A) (U)(A) (U) (A) AVERAGE 'full .025 for ventilated roofs. Wopi65, T EX WP WEAL 9, ? ia x 4 -5b-{• 08 9i83 x (3! +,31 t00 4.90 CUNC • -61 X (38 1-36 +-34 404 HLM TisT • 83 x ?G? ?5z+5?J rSZ? _ 24 x6b = io. aU X 3 zo x 36 = 5 o X x 24X36 = 6.0. X. 1 _ /-¢06.00 t 040 66 2,444,46 4 96.98 -x 197. 90 30. D 15. D 3 °- 5TL VJI? = Z8.Ob Zg ? ? = Zl• OCR (?? j?r.(?rU = 9Z• oU ?Ya55 walk z 6 6 Lem Cqic ?' ,?iM /87.58 IW ES 9i. DU I J Gz,0R0• &0--Y?- 31 x 30 = 936 --NIL BE2TI41-- Determining ffp" values at Rooft Wally Ri.mp and (1onc. 111001c ROOF/OFILTH(I 1.) Interior Air t'ilm 2.) 5/81f Gyp. Bd. 3.) Insulation II. ) 5.) Exterior Air Film (STILL) SR VALUE o.61 .56 V 00 .61 ape u 1/R= .pyr 10TAL (R)= Ir.79 r- AIJ. 6.) Interior Air Film 7.) }.e OYIt. Bd. 8.) Insulation 9•) L5;IAZ!t $vUT-P1r67 10.) Nu ounitu Biding 11.) Exterior Air Film (R) VAL11 0.68 .45 19• vo 2.0¢ .o .t7 epn o 1/R' TOTAL (R)=Z3.01 JIM 12.) Inturior Air Film 136) Lnenlation 111.) 2u Fit' Rim Joi.at 13.) zo/Sr.I' K„u.?-Xir1= 160 Mauoei.tu Biding 17.) ExturJor Air Film jy) VAI,UE 0.68 1 q.oo 1.88 Z•v4 .67 .17 'tut, o 1/110 0rjAq TOTAL (0=74.1t 011 DATIO 18.) Interior Air Film 19.) 20.) 210 1211 Concrete Block 22.) P&I A IVxr of . 23.) Exterior Air Film (R) VALUE o.68 1.28 $ •00 .17 13 'full u 1/Ra , 07j3 TOTAL (R) = 10, APPLICATION FOR PERMIT CITY OF PAGAN SEWER AND/OR WATER CONNECTION 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: ^KYfE: PAYMEXC OF FEE- AT T t- E OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (mm Year PRESENT ZONING/PROPOSED USE: Q CaVVERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL Q R-2 DUPLEX (Two Units) (l INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) E? NAME: TOLLEFSON BUILDERS, INC. ADDRESS: 12617 Fairgreen Avenue CITY, STATE, ZIP: Apple Valley, MN 55124 PHONE: 431-1100 3) -- NAME: GENZ-RYAN PLUMBING & HEATING COMPANY ADDRESS: 14745 South Robert Trail CITY, STATE, ZIP: Rosemount, MN 55068 PHONE: 423-1144 MASTER LICENSE# 1849M Active Expired Not recorded Staff Initial 4) (Lo eayV:?4B o i:• NAME: ADDRESS: CITY, STATE, ZIP: PHONE: Urn 5) a• : a: :: oe ?, CONNECTION TO'CITY SEWER Y C CONNECTION TO CITY WATER C] 6) e r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2 ¢, ABOVE (Circ one 7) FOR .CITY USE ONLY PERMIT # ISSUED. Pd w/Bldg. Permit FEES: $ /G', S L SEWER PERMIT (INCLUDE SURCHARGE) $ /O, S O WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ /j"O ACCOUNT DEPOSIT - SEWER $ < $ Lam, j? ACCOUNT DEPOSIT - WATER $ S DU• O U $ WAC $ 7J? •DZ? $ SAC $ $ <TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ - $ LATERAL BENEFIT/TRUNK WATER $ - /5l i DO $ WATER TREATMENT PLANT SURCHARGE $ OTHER: , $ l 9z/. J L) $- S?, ?? TOTAL f?38o5yq?'7 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? 0 YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: Lo?- Z i Block Council Minutes December 21, 1982 BRITTANY 3RD ADDITION - VARIANCE 0033#5D An application of Tollefson Builders, Inc. for ten foot front setback variance on Lots 2 _through 10, Block 3, Brittany 3rd Addition vas presented to the Council. The Advisory Planning Commission recommended approval and there were no objections to the application. Smith moved, Egan seconded the motion to approve the application subject to compliance with all other applicable ordinance requirements. All voted yes. NORTHWESTERN NATIONAL BANK REZONING, PRELIMINARY PLAT & CONDITIONAL USE PERMIT NORWEST 1ST ADDITION An application of Banco Properties for rezoning approximately 4.4 acres from A (Agricultural) to GB (General Business), for preliminary plat approval of Norwest 13t 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 '?5`fss 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomcs/condos when permits are required for each unit SLI) 5 6 Date/ /C) Site Address S r w qe V V Unit # Property Owner ° Telephone # (?S' ) Contractor STANDARD HEATING & AIR CONDITIONING 40 K RE T Strect Address MINNEAPOLIS, MN 55408 -- ----64-M24 2656 _ City State Zip _ Telephone # ( ) Bond #: Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional XReplacement New T\ air exchanger air conditioner heat pump other State Surcharge $ .50 ? L W IE Total (lCT 1 2 2006 $ SO I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a perms but only an application for a permit, and work is not to start without a permit; th a t11 be in accordance with the appr d plan in the case of hich requires a review and approval o ans Applicant's Printed Name Applicant e-I tgtlature 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq, ft. of lot, sq. ft of house; and all roofed areas (20%mazimum lot coverage allowed) 1 Solis Report if proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Nfinnegasco mechanical venfilatlon form RemodeiReoair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addr6'on - indicate if on-site septic system c? Office Use OnN Cart' of. Survey, Recd _Y _N Soils Report' _ Y _ N Tree Pres Plan Reed _Y _N, Tree Pres Required _Y _N On-site Septic System _Y _N Dh..e am rn.eirlnrnA nnhlir infnrmatinn iinlP« vrnl date thev are trade secret and the reason. Date / _ / Site Address Sl?vvw001 leis i Construction Cost 43, 53S _ Unit/Ste # Description of Work Yerder ??d SP /e <ge -a yss Multi-Family Bldg - Y - N Fireplace(s) _ 0 - t - 2 Properly Owner ? Le J e &a y ' Telephone#(&$y S$7? y0 Contractor r -51i66 V ?f , r. 5 Address 3 e o Xly State City C&r-C^'h Zip -5 -3/d Telephone # (103) 4 - 9696 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 (J submission type) Submitted Submitted . 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? Y - N If yes, date and address of master plan: 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. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 08 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 24 Storm Damage ? 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' 1' 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage`Yes Valuation Occupancy MCES System Plan Review _ 100% or _ 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width - Footings (new bldg) - Footings (deck). - Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. - Air Test -Final Insulation REQUIRED INSPECTIONS Sheetrock _ Final/C.O. _ Final/No C.O. _ HVAC Other - Pool _ Ftgs _ Air/Gas Tests -Final - Siding _ Stucco Lath _ Stone Lath -Brick Windows Retaining Wall, Approved By: , 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 4110/ City orEtan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: L f)6 S i Permit Fee: Date Received: 0 I 1 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: J RESIDENT / OWNER Name: Lee Spelbrink Phone: 651 587-6540 1617 Sherwood Way Address / City / Zip: Applicant is: Owner X Contractor TYPE OF WORK Description of work: remove & replace 2 doors - remove & replace 5 square of siding Construction Cost: 8000.00 Multi -Family Building: (Yes / No ) CONTRACTOR Company: Builder and Remodelers Contact Mary Anderson Address: 3517 Hennepin Ave So City: Minneapolis 55408 612 827-5481 State: MN Zip: Phone: BC 1100 NAT -20683-0 License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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. Mary Anderson x Applicant's Printed Name Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147301 Date Issued:12/26/2017 Permit Category:ePermit Site Address: 1617 Sherwood Way Lot:2 Block: 3 Addition: Brittany 3rd PID:10-15002-03-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Lee J Spelbrink 1617 Sherwood Way Eagan MN 55122 (651) 341-9278 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168903 Date Issued:05/07/2021 Permit Category:ePermit Site Address: 1617 Sherwood Way Lot:2 Block: 3 Addition: Brittany 3rd PID:10-15002-03-020 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Timothy & Barbara Heim 1617 Sherwood Way Eagan MN 55122 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 336-9966 Applicant/Permitee: Signature Issued By: Signature