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1643 Sherwood WaySEWER SERVICE PERN?i'i PEW%T NO.: GAN ' OF EA DATE' pilot Knob Rood No. of Units: Ee9on? W 86122 zoning i a,ner: Address' ? Faroe: site Address: connection Plumber'- r I CRT ? meson Aunt Deposit: 1691" to oe+nPh/ wit% ?e Permit fee' Ordieonc,*• su"+arge• Misc., Charges* Total: Dote Paid: BY Date Of Insp•- InsP•• OF EAGAN Pilot Knob Road Eagan, MN 55122 Zoning: Owner: Address: ------------- ; C c Site Address: --L( ^ n -y Plumber: Meter No.: Size: Reader No.: 1 agree to comply with the City of Eason Ordinancs& By Date of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: r . No, of Units: T - Connection Charge: i n<- Account Deposit: - Permit Fee: Surcharge: Misc. Charges: r . Total: Date Paid: Insp.: CITY OF EAGAN 3795 Pilot Knob Road Eogan, MN 55122 PHONEs 454-8100 BUILDING PERMIT Receipt # To be used for SF ,DWG/GA? Est. Value $62,000 Date iva 4 ?- JS 1 j Y 2 Ig L13 Site Address 1643 Sherwood Way Erect a R-3 Occupancy Lot b Block 2 Sec/Sub. Brittany 2nd Alter p Zoning R-I. Parcel # 10 15001 060 02 Repair p Fire Zone NA Enlarge ? Type of Const. Vn a; Name Tollefson Builders, Inc. Move p # Stories Split 1555 Norwood Drive z Addr Demolish ? Length64 ess Ci Eagar. 55122 Phone 454-6373' Grade ? Depth 28 Sg. Ft. Owner o Name Approvals Fees oU Address U? Assessment Permit 319.04) 31 00 Water 8 Sew. . Surcharge City Phone Police Plan check 159.50 F W Nome Fire SAC 525.00 11 Address Eng. Water Conn4 j0 - nn <W Ci Phone Planner Water Meter 60'00 Council ? Road Unit 250.00 I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC c Y 1.794.50 Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee o e son Builders, Inc. A Building Permit Is issued to: - on the express condition thni all work shall be done in accordance with all o)ifplloable State of. ynn esoto Statutes and City of Eagan Ordinances. Building Official X T Permit No. Permit Holder Misc. Permit No. Holder Plumbing .3q l l H.V.A.C. fj l l Fc c r t ater well W Disp. Sewer Electric wosl3e f £ce Efect 7-41-e'3 Inspection Data Insp. Other Footings -I s Q? F Foundation Framing ' Rough Plbg. s ?? k l Rough HVA Insulation Final Plbg. g•?,?T Final HVAC Final ?p Water Describe Location: Well Sewer - Pr. Disp. wrttftraft of COrrupanrg Citp of Cagan 1hpartinmt of WatIbtng Inopprtion Thu Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance witb the various ordinances of the City regulating building construction or use. For the following: SF DWG/GAR - BWg.Ysrn*No. 7974 U" ci.wirc.uoo n.....r-Tme R3 Wee Cowwctioa_ n Fin 7.oa• NA Zoning Diaect Rl ww. r T in w epwnC P&Au u.5.4. c Receipt I Fill in numbered spaces Type or Print legibly { Permit No. Fee S/C Tot. 1. Date • ??< ?? 2. Installation Cost 3. Job Address Lot l Blk.?-- -Tract 4. Owner % L !/! f ic. n / ?L• L f' 5. Contractor Phone 6. Address f 7. City 8. Building Type: Ri 9. Work Description: 10. Describe 11. rr Zip / 4 It No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank L Lavatory Softner Shower Well -L Kitchen Sink Urinal/Bidet Other -L Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed:. for ... Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt -' r y MECHANICAL PERMIT • CITY OruEAGAN Fill in numbered spaces Type or Print legibly 1. Date ' 2. Installation Cost n 3. Job Address 4. Owner ,.r 5. Contractor,, . 6. Address Permit No. Fee S/C Tot. Phone 7 7. City ?'f?•uti• State 4`%- Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New E:f- Add ? Alter ? Repair ? 10. Describe Fuel Type'Z--?,' -.- --' 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli 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.goverjn ing 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 Z Tract ! ' `7 • f? Receipt ? -7 26' ? PLUMBING PERMIT Permit No. uvZ CITY OF EAGAN Fee Fill in numbered spaces SIC Type or Print legibly Tot. 1. Date - 1. 1? j 2. Installation 3. Job Address 1 1/ -r 4. Owner 5. Contractor Tract `y gVnus. xc?ssiar >1?:. ?. 6. Address ZGZ " minn?Suta 55343 °p 38-1BB0 7. City state Zip 8. Building Type: Residential ( Commercial ? Institutional ? 9. Work Description: New O? 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 wo. Signed : - for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved - _ _ CITY OF EAGAN 454-8100 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 11 1 1 is 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1697 Date Issued; (612) 681-4675 SITE ADDRESS: I 1 ? I' ?? APPLICANT: ii)I : is J.it6C . l l i' Ii ?..? f l !l l F (,•t ? i 4., _ i . 1 i ; r . PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. 1 1 AYF'i1.i. f I+ I Nil =1r1 I( I 1 Vii", I n PA 11 •') 1 t• i Mb i•itl•iIIIIIN n s gdk ?? t ,E 3e?'tq'?+`. vPi 'P ?C? Permit No. Permit Holder Date Telephone N ELECTRIC 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 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL /?? CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ aiDOLLARS loo ? CASH ? CHECK POR BY White-Payers Copy -? Yellow-Posting Copy Pink-File Copy Thank You CITY OF EAGAN Addition Brittany 2nd Addition Lot 6 Rik Owner Street 1643 Sherwood Way h" 1 i ?i% i'1, - State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ?1(p 1982 2013.03 402.61 5 12 07 - AS AMMAR _ _ STREET RESTOR. GRADING 357.74 A012685 8-31-83 SEW TRUNK 6 1976 143 " 9.54 1 66.79 A012685 8-31-83 *SEWER LATERAL Er (c 1982 1 l 38N,10 _ - 766.02 5 2298.06 n rt WATERMAIN *WATER LATERAL 1982 WATER AREA ?j 1982 296.92 59.38 5 178.16 A01268S -31-83 * Services 1982 5 STORM SEW TRK 5 1982 628.22 125.6 5 376.94 A012685 8-31-83 *STORM SEW LAT 1982 CURB & GUTTER SIDEWALK STREET LIGHT ROAD VMT 250.00 -3558.5 5-2-83 WATER CONN. 45o.00 In n BUILDING PER. SAC h ?t PARK t i CITY OF EAGAN NO 974 9795 Pilot Knob Rood Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # S To be used for SF DWG/GAR Est. Volue $62,000 Date Ma y 2 19A3 Site Address 1643 Sherwood Way Erect U Occupancy R-3 Lot 6 Block 2 Sec/Sub. Brittany 2nd Alter ? Zoning R-1 Parcel # 10 15001 060 02 Repair ? Fire Zone NA Enlarge ? Type of Const. Vn a Name Tollefson Builders, Inc. Move ? # Stories Split Address 1655 Norwood Drive Demolish ? Length64 City Ea gan 55122 Phone 454-6873' Grade ? Depth 28 Sq. Ft.- Name Owner Approvals Fees u? Address Assessment _ Water & Sew. ~ City Phone Police - F WW Nome p ro 1-2 Address Eng. <W City Phone Planner- Council _ I hereby ocknowledge that I hove read this application and state that Bldg. Off. _ the information is correct and agree to comply with oll applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Signature of Permittee Tollefsc A Building Permit is issued to: all work shall be done in accordance with all Building Official Permit Jl7. VV Surcharge 31.00 Plan check 159.50 SAC 525.00 Water Conn450__110- Water Meter 60.00 Road Unit 250.00 Total $1794.50 on the express condition that and City of Eagan Ordinances. t ? CITY OF F1 GAN Include 2 sets of plans, If I q 7Y Y v 1 site plan w/elevations & BUILDING PERMIT APPLICATIONS 1 set of energy calculations. 4b Be Used For si g- pti j j d Valuation Date April I Z,, f _qe?5 Site Address j,4? _?l^PVV.r ?wsw OFFICE USE ONLY Lot t,_ Block 7 Sec./Sub. ? f? Erect Occupancy Parcel #: 6 I S © C) ( o (o 0 d ? Alter Zoning Owner: 0, E P?U?nI Address: City/Zip Code: Phone #: Contractor: Tol IP.f?-)n n bi l &o, ;Tj IC Address: I1?55 Nby wood au vz, City/Zip Code: rnfra,L j . ' E Jt Phone #: :i?4 - L2E 7 Arch./Eng.: Address: City/Zip Code: Phone #: Repair Fire Zone Enlarge _ Type of Const. _ Move # Stories _ Demolish _ Front ft. Grade Depth ft. Water/Sewer Surcharge _ Police Plan Check Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. - _ APC TOTAL l 1 l < < `- a This months froymid -7 `f 31aq 4 s W081301 µ9.S0 flequasf Fire No. Rou h-in Inspection R fired? ?Reatly Now Will Notify Inspec- Yes ?NO n When Ready Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street dress, Box or Route No. City 43 b) Section No. Township Name or No. Range No. County Occu D.rl PRINT ,/^ c/? e r s i J Phone No. Power Supplier Address Elac Contractor ICOTV y Nemel Contractor's License No. , . C v?? Mailing Addr 's IContracto ro r Owner Making Insttaai1lati 1 \ r l ?. 4,1 1 V JCS Authorized Signature IC for Owner Makm Installation) Phone Nombeliiii g MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs•Midwev Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS te,-.e [Riot 197_1111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION tu {(?J (013' See instructions for completing this form on back of Yellow copy. "x" 404.7 J Covered by This Request EB-00001.04 w.. 3(09 ?-I-S Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightin, Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm w v r A (her (Specify) t er Spocl N7__ A Other Compute Inspection Fee Below ' I N Fee Service Entrance Size N Fee Feaders/Subfeeders N Fee Circuits Irl _ U to 200 Am s 0 to 30 AMPS -5 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps Above 100_Am s Transformers Irrigation Booms r Partial/Other Fee Signs Special Inspection s 95 TD marks Re 50 EE v trr i v Rough-in Dank ?r I'tre t mal inspector, hereby 4; e Final `aS ?y ( le artily that the above /( spec tier has been ! , A.rL?l I made. N Tolle-fson Builders Inc. 96LE: I"= 30JACKSON - SURVEYORS O DENOTES IRON 000.0: EXISTING EL. -- --D&U EASEMENTS REGISTERED UNDER LAWS DF STATE OF MINNESOTA `- -DRAINAGE I 3615 EAST 55th STREET. MINNEAPOLIS, MN 55417 727-3484 6urbcpar'o Certificate - ? IOI,QO 5 L_Lj LOT F? O m ? m° C? U 5 44 1G m SPLIT F70YF-R w 0 9 L_lJ t 44 f% 77 ? i85 0 fIT s I ? ; ! ? I h 1 5 O> 1 iO La ?? O , f i 1 HEREBY CERTIFY THAT THE ABOVE IB A TRUE AND CORRECT PLAT OF A SURVEY OF Or. 11401 153-78 -7 1°? fir" ?? m a SHE-P-WOoD WAY Lot 6, Block 2, Brittany 2nd Addition, Dakota County, Minnesota Proposed Garage Floor Elev. 101.5 ,.. . Proposed First Floor Elev. 105.5 Proposed basement Floor Elev. 97.5 As BURVEYED BY ME THIS-14h-_-_DAY D? AP_ril_A_D. 1983 F. C. JACKSON. MINNE110*VRMIBTMTIDM. ND. 5900 Cities Digital ? Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. {? ll Y PI ffD L'{ItST? + I ? r?rn?r,,s i'no? L°9L r2srTtIF s rT"' °• CD fi I`i'Or, 3rl'^ I43 ' T' ' x ; r , D O TS 'ADI?at'IQTI '' ``SF^ L?? .3 I+STB r- rrr.n 'Ova C01r'?fsGilC`3 i - ? 7 70T: L C) 1 • r,rllfi OT C=C'S L^2.AOF ^m^mrl rY r'1 L 717T3Ii Sf?. I`i. C t Y j Lr'3e t? a s r> w/ ? nT..tis TYPE 0?' I OuTIC!3 IT" ii,9 .. a y n r7 THICK r.:H p LLt1F, . 7 _ :'s'FL Cis- IG?[!L•1iY017 IP t' tL? ???c4..,N? t. 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Crr • , ` , . ' ,l . S• , }ran.. l/ 47Q, i?/ ry-?` {`?1 1 !? ? ? ! : t ? P tJ ?n it a t,t 'i(r'. $? tl+F ?' Y ^ , Y' i '. 41 / ? ' , ,j • : 'TI?./ .'+?. 1?.? Mi r!? J?1:. ' {, ?'' . , ?.P p. F Ji?.1i_,4Y 1 1.. ?.. _ ..--.r. .Iwo • :,Y1'., -Z 11 ..e.:a ?f fh ^Y?i?>t n?y.?„r' rJ :Fi i1'.[ V.i:'. C (ir l itt .. 4,11 NN NOD i ID i•`Fl(`iS-:? f-'r'dJE.:1...CE?'?a,1-..?_ OF MN ,I. N": 3c'(. i.1 90" L ik',4::3 °?!-f E:1 CPdi?O1.1 9. ':k:)r':5 21.(:,_5 9(x(:1:1 . 1.16r4.3 SHE:ai41001*3 ,.,,.!s0 M Y CpI; <:i.1. ': i?J'?;7V71t :; 2116' i"'b Y,,.;?.:.,.'.C..,.,..?.P::.,.p..F.;;dUyh.:?..:,.:.,i.M;?;in :i,:kYF.*...... X>..VII, PERMIT CITt OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan Minnesota 55122-1897 Permit Number: B U I L D I N G , (612) 681-4675 Date Issued: 030829 04/23/97 SITE ADDRESS: 1643 SHERWOOD WAY LOT: 6 BLOCK: 2 BRITTANY 2ND P.T.N.: 10-15001-060-02 DESCRIPTION: Ttlrtigrmit. Type SF (MISC. ) v'ila?if t3 W11 Type REPAIR Cart#te ?#{ 434 ALT. RESIDENTIAL ?. u aaaan REMARKS: SIDING SOFFIT FASCIA PATIO TRIM GARAGE DOOR FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $199.75 $6.50 $206.25 $13,000 CONTRACTOR: OWNER: - Applicant - ST. LIC PANELCRAFT OF MN INC 17216628 0002179 THRASHER MALCOLM '05118 SNELLING AVE S 1643 SHERWOOD WAY MINNEAPOLIS MN 55406 EAGAN MN 55122 (612) 721-6628 (612)452-7228 s e rl _ s r L p, r v r, r r ? _? , a o d' n Far,iu 5a 1 i warred do peg, ea t +col+ IS "a C1 y -0, *Lai q, 0 APPLICANT/PERMITEE SIGNATURE I(PLA b I MA ISSUED B SIGMATUREI CITY OF EAGAN 3830 PILOT KN KNOB RD RD - 55122 30fiq 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4?0 681-4675 New construction Reauiremenls 3 registered site surveys 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) 1 energy calculations 3 cc ies of tree reservation plan if lot platted after 7/1/93 R-gmgdgVReoair Reaufrements ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions p P required: o_Yes /__ No DATE: /' AQ' ?L? CONSTRUCTION COSTUJ/ DESCRIPTION OF WORK: STREET ADDRESS: LOT t BLOCK I SUBD.IP.I.D. #: PROPERTY Name: -T L45 beg 96110 1m, Phone #: ??- 72ckOWNER Street Ad City: Ekpn State: Zip:?.?-a CONTRACTOR Company: Phone #: W-(ak-2,S(-- Street Address: License C-9 1.112 City: State: n Zip: 55YU4 ARCHITECTI Company: ENGINEER Name: State: Street Address: City: Sewer & water licensed plumber: change are requested once permit is issued. Phone #:- Registration Zip: Penalty applies when address change and lot 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 Applicant: v^p/ ?? OFFICE USE ONLY Certificates of Survey Received - Yes - No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total Valuation: $ ,: lie % SAC SAC Units 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAOAN f 3830 PILOT KNOB RD - 55122 l._I _ n c p (1 (651) 681-4675 l / New Construction Requirements RemodeVReoair Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured intl. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1193 required: -Yes _ No DATE: '115.449 ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST: A 7&160 pe DESCRIPTION OF WORK: RERowc -st"_ &IjzzQg'p. STREETADDDRESS: 1443 OHerzwooo LOT: V? BLOCK: V? SUBD./P.I.D. `I Utt"," f PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: 'f heath ar- M AL. Phone #: YSa --72.Z S Last First Street Address: 144°3 51,%erwoc WAy_ City State: Iro1N • Zip: 5-S1 2 a . Company: AZTEC. IZaO?:n/rr Phone#: j5CIS-994Z Street Address: //S&-3 1?00 Dr License # Exp. City _ SWAP$Lwlc State:_lni Zip: S6-337• Company: Phone #: Registration #: Street City State: Zip: Sewer & water licensed plumber (new construction only): - change and lot change is requested once permit is issued. Penalty applies when address I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. # of Stories sq. ft. Length sq. ft. Width Footprint sq. ft. APPROVALS Planning 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: Census Code SAC Code Census Units Census, Bldg MC/ES System City Water Booster Pump PRV Fire Sprinklered Building Engineering . Variance Valuation: $ % SAC SAC Units City of Eaaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: ,7-,94,7—,42- Tenant: ?,94%—,42- Tenant: /74/ 12 rpt_. O\ MAR U 5 2017 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 10330 201 MECHANICALfPERMIT APPLICATION Site Address: a/3 5 / *e- "G6.20/,21 !/Lirt- y Suite #: J RESIDENT / OWNER Name: Address / City / Zip: Phone: CONTRACTOR Name: ,t.% jj(//O- 4" "W at License #: (a/t ' 3 zio/D — L/�% / "War City: /«/CAOdir►.% State: AeiWil Zip: / Phone: 60 7— ot",7— 3 7. Contact: ,1-/d/ 041--0e47,1 Email: . Address: TYPE OF WORK New Description of work: Replacement Additional Alteration Demolition NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL rnace it Conditioner Air Exchanger Heat Pump Other RESIDENTIAL FEES: COMMERCIAL New Construction _ Interior Improvement _ Install Piping _ Processed Gas _ Exterior HVAC Unit Under / Above ground Tank ( Install / _ Remove) "" When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector MUD Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ 4— CA4ITAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x 1% $55.00 Minimum (includes State Surcharge) _ $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) _ $ TOTAL FEE 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.uopherstateonecall.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; 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 /i 1 c.k. /C a -fit rt x�ct. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground — Rough In _Air Test Gas Service Test _In -floor Heat _Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type:Building Permit Number:EA171263 Date Issued:08/06/2021 Permit Category:ePermit Site Address: 1643 Sherwood Way Lot:6 Block: 2 Addition: Brittany 2nd PID:10-15001-02-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: 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 - Malcolm & Denise Thrasher 1643 Sherwood Way Saint Paul MN 55122--276 (651) 269-7623 Legacy Restoration Llc 15350 25th Ave N, Suite 114 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature