1632 Sherwood WayCITY OF EAGAN
3830 Pilot Knob Road
P. 0. Box 21199
Eagan, MN 55121
F (\Address: 1(' WATER SERVICE PERMIT
"Zoning:
r: Tolle
PERMIT NO.: 3b9
DATE: 4-3-84
No. of Units.
17 R1 Arittanv 2nd
Meter No.:{[ .?_ Connection Charge:
Size: ? Il a Account Deposit: 15.00 Ad
46 ji it Fee: V1.00 '•'.'.
Rea r No.:: d'
Jul 4 f*
1 GOree to 0001 4 >r? C@t Eat n I i' Surcharge: l pd
Or?eeGG4.,p Cj;d eBY By Date Paid:
Dote of - Insp.:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199 WATER SERVICE
PERMIT NO.: PERMIT
Eagan, MN 55121 DATE:
Zoning: No. of Units: 1
Owner: olie.°son b1drs
Address:.
Site Address: Jhcmo,av
- Li.
riLLa:,
v ??.
Plumber: "P`1ZV3It
Meter No.: Connection Charge: ' `? • '
Size: Account Deposit: 15.30 aci
Reader No.: Permit Fee: 1 n,1
1 GONGS to WHO* WINS the Clyr of EeOen Surcharge:
OrAmse e. Misc. Charges
Total:
By Date Paid:
Date of Insp.: Insp.:
30 Pilot Knob Road
0. Box 21199
gan, MN 55121.
ning:
1 Ggm M eenrOhi wish the C*y of amps
SEWER SERVICE PERMIT
PERMIT NO.:. y-
DATE: 1 •- ?, t,
Nn- of Units:
Connection Charge:
Account Deposit: 15.00 pd
Permit Fee: 1 1), 'X) Pd
Surcharge:
Misc. Charges:
Total:
Dote Paid:
By
Date of Insp.:
Insp.:
CASH RECEIPT
CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
DATE - 19
REC<IYED I
FROM
AMOUNT $ y
? CASH
FUND CODE AMOUNT
C
741 y
& DOLLARS
goo
? CHECK
Thanklou
?. 9 Y _
v
C U
K, 1, 7 A.1 nA.,
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Name TOLLEFSON ELDES
1 hereby acknowledge
the information Is co
State of Minnesota S
Signature of Permittee
A Building Permit is issued to:
all work shall be done in acco
Building Official
N° 8869
?-
Receipt # , a` a7
bet,- MARCH 5 , o 84
Permit 355.00
Surcharge 3 7 . 0 0
Plan check
?'..0 0
SAC
Water Conn. 453.00
Water Meter 6 3 . 0 0
Rood Unit ? ( ' 0 0
Assessment
Water 8 Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Total ! r 86 . 50
on this express condition thni
Statutes and City of Eagan Ordinances.
BUILDING PERMIT
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Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly
Tot.
1. Date 2. Installation Cost
3 J
b Add L
t Blk T
. o
ress o
. ract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New ?" Add ? Alter ? Repair ?
10. Describe
11.
Type
No, Equipment STU - M. Ea.
Forced Air No. Equipment CFM
Ai
dli
H
Mfg. r
an
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 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 464.8100
Receipt `f PLUMBING
CITY OF I
Fill in numb
Type or Prir
3. Job Address Permit No. I i (o
1. Date 2.lnstallati<
Sy 2 60 COP ti/q j
Fee
S/C
Tot. ,' -
13 P
Tract SAN Y
4. Owner
5. Contractor Phone
6. Address
i
7. City
8. Building Type: Residential ?
9. Work Description: New La
State Zip
Commercial ? Institutional ?
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
CITY OF EAGAN Remarks
Addition Brittany 2nd Addition Lot 12
Owner C'KI i5o,) Street 1632 Sherwood
Parcel #10 15001 120 01
State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. NO J 1982 2013.03 402.61 5 805.23 A013896 5-16-84
STREET RESTOR.
GRADING 1982 596.22 119.24 5 238.23 A013896 5-16-84
SAN SEW TRUNK 1976 143.11 9.54 15 57.25 A013896 5-16-84
• SEWER LATERAL 1982 ;3 0.10 66.02 5 1532.04 A013896 5-16-84
WATERMAIN
• WATER LATERAL 1982 5
WATER AREA 1982 296.92 59.38 5 118.78 A013896 5-16-84
* Services 1982 5
STORM SEW TRK 1982 628.22 125.64 5 251.30 A013896 5-16-84
dt STORM SEW LAT 1982 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 260-00 R22 R - - 94
WATER CONN. 450.00
13UILDING PER. 8869
SAC
q2-1; - 00
PARK
his request aid 4 _ y g? TH 9 So
18 months from
A47321 Ala 2 'MAJ a"?'-° a3?
Requbst Oates-
C Piro No. Rough-in Inspection
Regaired? ea dy Now Will Notlty. Insper.-
?? Z- a ?Yes ?No for When Ready
Licensed Electrical Contractor I hereby request inspection of above
Owner electrical work installed at:
Street Address, Boa or Route No. City
z
ection No. Township Name or No. Rangy o. County
O acupent INT) Phone No.
.9'a
Power Su Address
Elec tr' Contractor (Company Name) Cont
ctor's License No.
ra
li0iE2iN s
tr/
'?
V 66) 3- `7"
Mailing q ress (Conn r'actor Owner jMaking Instailation) ?{
Jl
`
?
C - 71?-
_
y.
?V a
LVJ
Authorized Sig (Contractor Owner Making Installation) Phone Number
G3G-23sS
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
4 . C(jul L,/ REQUEST FOR ELECTRICAL INSPECTION ER-00001-04
' Sea instructions for completing this form on beck of Yellow copy.
,A 44 7^/ 5 2 1 '"X" Below Work Covered by This Request 5?a 3 9
Add Reµ. I Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Liyhti ng Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other pep y thcr (So.,fy)
t ar Specify they Other
Compute Inspection Fee Below
k Fee Service Entrance Size # Fee Feeders/Subteeders c
uits
L DO 0 to 200 Amps !3 0 to 30 Am s 0 to 30 Am s
Above 200 Amp cu 31 to 100 Amps 31 to 100 Am s
Swimming Pol Above100Amps I D Above 100_Amps
Transformers Irrigation Booms Partial,'Other Fee
Signs Special Inspection TOT FEE
Remarks o
.?
Rough-in K Electil
ch b
1 Final Y e.
Ellis request gold 18 months from
CITY OF EAGAN
BUILDING PERMIT
N° 8869
Receipt # e /a?a
To be mad for SF DWG/GAR Est. Value $ 74 r 000 Date MARCH 5 - 19 84
Site Address 1632 SHERWOOD WAY Erect Occupancy R3
Lot 12 Blink 1 Sec/gab. BRITTANY 2ND Alter ? Zoning R1
10-1
Parcel No 5001-120-01 Re
air ? Fire Zone N/A
. p
Enlarge ? Type of Const. V
c
°r
OV
uaS
t-
Name TOLLF-FSON RLDRR _ Move ? # Stories
Address 1655 NORWOOn DR- Demolish ? Length 46
City PAGAN Phone 454-F,R73 Grade ? Depth 48 Sq. Ft._
RAMP.. Approvals Fees
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PHONE: 454-8100
Phone
Name _
Address
City _
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 City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: c
all work shall be done in accordance with
Building Official d
Assessment _
Water 8 Sew.
Police
Fire
Eng.
Planner -
Council
Bldg. Off. _
APC
Permit $ 3555.00
Surcharge 37 • 00
Plan check 177.50
SAC 525.00
Water Conn. 450.00
Water Meter 63.00
Road Unit 260.00
Total . 50
on the express condition That
Statutes and City of Eagan Ordinances.
5
lb as Used Etw
bite Address I,
CITY OF EACAN Include 2 sets of plans,
1 site plan w/elevaticass i
BUILDING PERMIT APPLICATION 1 set of energy calculations.
valuationfzaa6 Date Mcw?Ir? 1C1
tot IZ- block r _ sec./sub. BiiAM
Parml 1: -j_O ) <-, r) O k - )7_ t?
Owner: X-
?GD, ?7P?(flnf
llddi?aee:
City/zip Code:
Phons 1:
Contractor: IZI 1
t?Dl??nltx X 1 1i
city/zip axis:
Phone 1: __45 7,
Ards./E7sg. s
Addnew s •
City/Zip Cods:
Phone 1s
OFFICE USE ONLY
Erect 00cwancy
Alter zoning
Repair Fire Zone
L•7ilarge ? 7ype of Const.
Move N Stories
Demob i Front ft.
Grade _.__ Depth _ #g ft.
Water/Sewer Surcharge 7
Police Plan Check -
Fire SAC S-
Eng• Water Cost's, 5'0
Planner Water meter
Council Road Unit 7 o _-AI -
Bldg. Off. _
AFC
TOTAL A 2 },,7, S 0
vle
Tollefson Builders Inc.
JACKSON - SURVEYORS
REGISTERED UNDER "Wo OF RATE OF MINNESOTA
3616 EAST 55th STREET, MINNEAPOLIS, MN 55417 727-3186
Surbrpor'd 6cctttuntc
Or. 11402-/
183-78
I 100.00 c
c ?_I i IS
Scale: 1"=30' y 5 I Q?` ? D ` 5 a
o Iron J
. D.6 U. Easement / ' I, 2 ?' IOC 2 y-it
?
8 h i `uv
ucc.o 'Existing Elev. 69 'A ? ._
--? Drainage
L_l? I I 1 N -? -
o ti a }
3
c ?. Q
I ?
5
§ 15
.. `^ I O to .
I HERESY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT PLAT OF A SURVEY OF -
Lot 12,Block 1,Brittany 2nd. Addition,
DeLota,County, Hinneaots.
Proposed Garage Floor Elev. 101.5
Proposed Basement Floor Elev. 97.5
Proposed First Floor Elev. 105.5
As SURVEYED BY ME THIS 29th. VA of rsbruary..D. 1984
F. C. JACKSON.
Cities Di
Control
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'I 2/84
CITY OF EAGAN
[L[mn
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
(Lot/Block/S vision or Tax Parcel I.D. NL=13er)
u ENIE=- --G STRUC 1jRE, DATE OF ORIGINAL BUILDL"G P=T ISa??;CE- :
PP.ESy Z. >1 F /?? PCS USE: R-1 SENGLE FA2-ILY
- _°
_-
R-2 GUP= (TWO UNITS)
? R-3 TCIA1\1HOCISE (THREE + U*TITS) ( CHITS)
? R-4 AT)AR1Z'=-/COLIDQ-,IL\'Ili:1 ( [J,TITS )
? CG1MMERCIAL/ =AIL,/OFFICE
? =USTRLAL
? INSTITUTIONAL/GCVEMMYENT
2) APPLICz?N'P (PLEASE PRINT)
NA?1E:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) PLU^-fBER. (PLEA $E PRINT) FOR CITY USE ONLY
NA'vE: L n?
/
ADDRESS: ?
d
L
?
?
rt PLUMBERS LICENSE:
,`
r
`
`
? ? Active
CITY, STATE, ZIP: KgnsCG?p?yy-r
•y? 0 Expired
__
MA? i p
PHONE: -Q7;r-/f PLUMBER LICENSE Q Nat of Recor
R? '
arr initia
4) OCCUPANT/CS-TT TEt
- NAhTE:
IPLLASb PKiNI)
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) INDICATE WHICH PEP T IS BEING REQUESTED:
/COtiNECPION TO CITY SEWER
Lam' CCNOIECTION TO CITY WATER
sssF] OTHER (PLEASE DESCRIBE)
b) EVDIC7; E ME:
7) SIG S =RE:
P=E
PLEASE
FOR PICK-U? BY ONE OF ABOVE
TO 1, 2, 4 ABOVE
(Circle one)
DATE: ??I l l
i Rl?a:a ?A #.i tl RE1R=:1 R1 ifs . ... .. i G .
WWI f iai:a ti a ! !!lRlfili i ! ?! S? R
F O R C I T Y U S E O N L Y
PEP-MIT a ISSUED
FEES: $ p ^;,, o PER_ Ti (I"; r o u orGE,•
Sc .E i . CLr'DE SU..C.. )
$ WATER PERMIT (INCLUDE SURCHARGE)
$ ?• a-G WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
/t.
$ EL?a?o ACCOUNT DEPOSIT - SE-,,.',EP
$ t?
ACCOUNT DEPOSIT - WATER
$ WAC
$ rr'? 5- ?rf SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ OTHER
$ TOTAL
$ 7/•.?o AMOUNT PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
C] YES IF YES, THEN A "PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
Q]?NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: o
TITLE:
DATE:
N! w"m ium mm i iR 05--on ! m m Ejw 4M"= i fi4 wlfo Ri ?!i 1! UPi? ii1 R# w w ia u$,m Rmw /!w 1! m" "m
Council Minutes
May 17, 1983
CBRIITANY 2ND ADDITION - VARIANCE
0(":141
An application from Tollefson Builders, Inc. for variance from the 20%
lot coverage provision under Section 11 of the City Code was next considered.
Carl Tollefson was present and stated that the proposal is for a proposed home
for the Parade of Homes in August, and noted that the applicant has submitted
a house plan for 3,174 square feet on a lot that would allow for 2,565 square
feet maximum. The lot coverage would be 24.7% requiring a 4.7% variance. The
house would be a rambler and constructed for passive solar energy, thus the
reason for the house being spread out, but it was noted that the Dakota County
Park is immediately to the south with only one home adjacent to the lot.
There were no objections to the application. Upon motion by Smith, seconded
Thomas, it was resolved that the application be approved for the reasons
stated.above. All voted in favor.
TIBERON 1ST ADDITION - FINAL PLAT
The application of J. E. Parranto Associates, Inc. for final plat
approval of Tiberon 1st Addition was presented to the Council and upon motion
f by Egan, seconded Thomas, it was resolved that the application be approved,
-3 subject to compliance with all necessary ordinances. All voted in favor
except Wachter who voted no. R 83-31
SEE PLAT FILE
PARK RIDGE ADDITION - FINAL PLAT
The application of Riverdale Development Corporation for final plat
approval for Park Ridge Addition was considered and recommended for approval
by the staff. It was noted there is a ponding easement that is being vacated
and would be rededicated with the final plat. Smith moved, Wachter seconded
the motion to approve the final plat application for Park Ridge Addition,
subject to applicable ordinances. All voted yes. R 83-32
SEE PLAT FILE
COACHMAN HIGHLANDS - FINAL PLAT
The application of Brutger Company for final plat approval of Coachman
Highlands consisting of the replat of Lot 1, Block 3, Fox Ridge Addition, was
presented. There were no objections and the staff recommended approval. Egan
moved, Wachter seconded the motion to approve the application for final plat
approval of Coachman Highlands and authorize the Clerk and Mayor to execute
the related documents and further, subject to applicable City ordinances. All
voted yes.
R 83-33
SEE PLAT FILE
16
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 679
DATE: 08/30/00 TIME: 07:23:47
ID:
NAME: DELMAR FUNACE EXHCNAGE INC
3210 9001 1632 SHRWOOD WA 60.00
2155 9001 1632 SHRWOOD WA 0.50
Total Receipt Amount: 60.501
CR136631
---USER ID: JAN
60-50
2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: Y
Description of Work: _ Construct new fireplace -Gas -Masonry Alterations to existing
Install pas insert only Install pas line only
Other
Job address: d d,,g
Lot: a Block: Subdivision/P.I.D. #:
Applicant (circle one only): Ovvn Contractor Permit Fee. 560.50
Nam. Lez? 6 l-
70f6-4 Phone #:
PROPERTY v Last First
OWNER
Street Address: 3 ?/t y
City ?' ?f P?? State:
Zip:
-
33
V?
Company: Df-- , A 60 -
,
CA4 r lv?---Phone 76 3 -S
(area code)
FIREPLACE
INSTALLER Street Address: `fT f3 ?3 edE,!? r A -
City a EG ,t ar `/[? ? State: zip: _5-1-f, I t?
Company: Phone #:
(area code)
GAS LINE
INSTALLER. Street Address:
City State: Zip:
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 27mr:=:??
Signature
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New ? 33 Alterations ? 39 Gas Line
? 32 Addition ? 34 Repair ? 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Cade 01
REMARKS
Chimney/flue must be inspected before concealing.
? 41 Wood Stove
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 765
DATE: 08/14/00 TIME: 12:02:20
ID:
NAME: WESTURN CEDAR SUPPLY, LLP
3210 9001 1632 SHERWOOD W 139.25
2155 9001 1632 SHERWOOD W 3.50
3210 9001 4359 HAMILTON D 111.25
2155 9001 4359 HAMILTON D 2.50
Total Receipt Amount: 256.50
CR135729
USER ID: JAN
q2?6 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
I + !' ??
CITY OF EAGAN
3830 PILOT KNOB B RD RD - 55122 1 "?^
851-681-4675
w
D 3 registered site surveys showing sq. ti. of lot, sq. ff. of house
and gp roofed areas (20% maximum lot coverage allowed)
> 2 copies of plans (show hears & window sizes: poured fnd. design; etc.)
> 1 set of energy calculations
> 3 copies of two preservation plan If lot platted after 7/1/93
DATE: 2'e j f cc
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: I
BLOCK: I SUED./P.I.D. C
u"k!'S' X445 d,8/r4r ,
Name: "
Phoneft: 6.5/,Ys9'^4?13t/
PROPERTY Last First
OWNER
Street Address:
City F "an state: zip:
CONTRACTOR Company. `&-erkt/'L i
97L? meet Address:
/
City / y IV Phone If: 74-3
?- (area code)
Dense ft 4r` ?'?? • 3-31- 0
/
?Mlv
State: ? Zip:
ARCHITECT/
ENGINEER
Company Name:
Telephone M: ( )
Street Address: Registration ff:
City State: Zip:
Sewertwater licensed plumber (If installing sewerlwater): Phone M (-?
I hereby acknowledge that I have read this application, state that the iMonnallon is coned, and agree to comply with oil applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions & decks
CONSTRUCTION COST: C age _
Cr4
OFFICE USE ONLY
Certificates of Survey Received Yes _ No
Tree Preservation Plan Received Yes - No Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-piex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-piex Plbg Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building
Engineering
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
? 31 Ext. AR - Mufti
? 33 Ext. Aft - SF
? 36 Multi
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
SAC Units
% SAC
tP Q Sa 3 PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
1/5-50
Date / 22/ b a>
Site Address Unit #
erty Owner I V I Telephone #
Pro
p
M.P. PIPEWORKS
Contractor
EAGAN, MN 55123 City
Add
ress
(851) 365 1340
( )
State Zip Telephone #
The Applicant is Owner Contractor Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPG license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter if needed - $121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Water softener Water heater $ 15.00
V replacement _ additional
rr .50
I
I
State Surcharge
l
Total IW - $
I hereby apply for a Residential Plumbing Permit and acknowledge that the in&5nFTmtion is complete and=accurate; that the work will
be in confomiance with the ordinances and codes of the City of Eagan and wttli the Plumbing Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit t at the work will be in accordance with the
approv plan in the c e of work which requires a review and approval of pl Y U
ApplicUt's Nam App,' s Si lure
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177026
Date Issued:06/13/2022
Permit Category:ePermit
Site Address: 1632 Sherwood Way
Lot:12 Block: 1 Addition: Brittany 2nd
PID:10-15001-01-120
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:
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 -
Aaron Sullivan
1632 Sherwood Way
Saint Paul MN 55122
(612) 419-7866
New Life Contracting Inc.
9050 Highview Lane
Woodbury MN 55118-5512
(651) 336-9966
Applicant/Permitee: Signature Issued By: Signature