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1647 Sherwood WayDate: City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2011 Use BLUE or BLACK Ink Permit #: —A. C., Permit Fee: Date Received: Staff: (nr' INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Site Address: Lt -2 5 kra- &ca Y Tenant: Suite #: RESIDENT /OWNER + L1?- Name: i) l ft.3L-1 I". Q'', Phone: 6 J ( to Ve0 �o 1� 147 5 L - c dj k Address / City / Zip: cy 5'S9; CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING�(Within the building envelope) SEWER & WATER (Outside the building envelope) ( / ` Sump Pump Repair Repair Other: Other: DESCRIPTION II Description of work: (' A �lR , x �p r` � P � �� 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 I/1 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 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 to start without a permit; that the work will be in accordance with the approved plan in the case ofwork which requires a review and a.proval of plans. Applicant's Printed Name x Applicant's Signature Required Inspections: ' ' Under Ground r OF EAGAN i Pilot Knob Road Box 21399 h- JAY 55121 to comPly with the City of Eagan By Date of Insp.: Insp.: SEWER SERVICE PERMIT PERMIT NO.: No. of Units: 100.00pd Connection Charge: %75 _ nonA Account Deposit: T 011?'f Permit Fee: ? t1 f1n _ Surcharge: Misc. Charges Total: Date 7 Date: Size: Date: ?. 44 Permit No: 87 CITY OF EAGAN oad Mete' No: 3630 Pilot Knob F toad No: P.O. PCac 2'.199 Eagan, MN 55,21 lilts _oilei awn _, vav p site lumberer-? 5 4 ? ? 0 yp? ;onn. Cho F` acct Dep: 0 . i`L p Permit Fee: 1?a surcharge' O.09pd Tr. Piant Meter. Misc- WA Ipe r( O F EAGANaoad 30 Phot Knob gox O' MN 55,21 ag ?' 0 Owner. ? Rl zoning. 1 'r No. of Units: ------ - of Eagan 1 agree to coreplY w11h the CItY OrdinanceS- By - [ER SERVICE PERMIT D Permit No: Or Meter No' D Read'XN wN0 the CKY of Eagan CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value / Date `"' L. Site Address Lot Block Sec/Sub. i Parcel No. m Name W = Address O City Phnno a .O :t u< a City Phone I-410 ,19 OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System Zoning On Site Well Type of Const City Water (ActuaQ (Allowable) * of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC. City Engr. SAC. MWCC Planner Water Conn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit that the information is correct and agree to comply with all applicable APC Treatment P1 State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks Copies Signature of Permittee TOTAL 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. Permit No. Permit Holder Date Telephone 7F Plumbing C ) ?? H.v.ac. XO'C Electric ,:o?:ener Inspection Date Insp. Comments Footings 1 *17 Footings 11 Foundation Framing D/Si N? Roofing Rough Pibg. Rough Htg. .?? Isul. Fireplace i Final Htg. Final Pibg. ??-k? i Bldg. Final 3 7 ..t1. // rr LL ,i/eei +V,i Ce-r 11dH1 v/7 td,7i•? f1/r Ccrt.Occ. S ?. ?u?rd ,r ? in- .?1 rs. ` a?.rder 6ego Temp. LP .e ?f rC .s ?n 6 l ?. Deck Ftg. G 3 '0- L ?. Deck Frmg. Well Pr. Disp. • CONTRACT PRICE Site Address Lot Block Name w Address C City PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN `3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE C? .& Sec/Sub BLDG. TYPE WORK DESCRIPTION Name Address City Phone TYPE OF WORK Forced Air M BTU $ Boiler M BTU $ Unit Heater M BTU $ Air Cond. M BTU $ Vent CFM $ Gas Piping Outlets # $ Other $ FEE - S/C: TOTAL Res. New Mutt Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMMAND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN f' PERMIT # PLUMBINOPERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Site Address ^/T4_ Lot Block _ m Name Address C City iLlk" y? Name C Address O City -? Sec/Sub Phone 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 BEYOND $1,000.00) FOR: CITY OF EAGAN WORK DESCRIPTION New Add-on Repair RES. PLBG, ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES OTAL T Water Closet - $3.00 $ _ .,_LBath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 t Kitchen Sink - $3.00 Urinal/Bidet - $3.00 _LLaundry 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: 7. STATE S/C: GRAND TOTAL: 6:' r' t r =, (9rdifiratit of (Orrupaury Citp of (Eagan FPparbmt of Indbing Jmprrhan This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• use cwsamdon tXt1C/CSR emg. Nnait No. 12 Oowpancy Type 123 Zoning District n t Type Coml. V Owner of B"ding Y ''? i . P Address Ruddiog Address Locality - 71: Dose: AM 29, 19$7 BuMng Official POST IN A CONSPICUOUS PLACE CITY OF EAGAN Addition _$ritt.a.nT2n.d-Addi.tJoLl Lot 5 Blk 2 Parcel #10 1SO01 050 02 Owner Street 1647 Sherwood Way State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. - 1982 2013.03 402.61 5 STREET RESTOR. GRADING 1982 596.22 119.24 5 SAN SEW TRUNK 311 * SEWER LATERAL 1982 3830.10 66.02 5 WATERMAIN * WATER LATERAL 1982 WATER AREA (p 3 1982 296.92 59.38 5 * Services 1982 5 STORM SEW TRK (p 1982 628.22 125.64 5 * STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CASH RECEIPT CiTY'OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 • DATE --- 19 RECEIVED FROM AMOUNT al DOLLARS loo Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy E]CASH []CHECK BLDG..PERMIT NO. _ 1, ' 01=3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL ;. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PH ONE: 454-8100 BUILDING PERMIT To be used for SF DWG/GAR Est. Value $73 , 000 Site Address 1647 SHERWOOD WAY Lot 5 Block 2 Sec/Sub. BRITTANY 2ND Parcel No. a Name TOLLEFSON BLDRS W Address 12617 FAIRGREEN AVE = ° City A.V. Phone 31- 00 , Name SAME o G Address sa = P City Phone W z 5 z W Name _ Address City 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 arµ)? City of Eagan Or in ce Signature of Permittee /&R- Z A Building Permit is issued to: TOLLEFSON BUILDERS all work shall be done in accordance with all applicable State of I N_ 13412 Receipt # 2??_ '1987 Date APRIL 2' OFFICE USE ONLY On Site Sewage Occupancy R3 7r MWCC System Zoning R1 On Site Well Type of Const V - City Water 317 (Actual) (Allowable) * of Stories Length 38 Depth /fg SY. Total Footprint S.F. APPROVALS FEES $ 409.00 Assessments Permit - Water/Sewer Surcharge 50 3y. Police Plan Review 904 s0 Fire SAC, City inn n0 Engr. SAC. MWCC 525.00 Planner Water Conn. 525 0 Council Water Meter 67 90 Bldg. Off. Road Unit 305-?0 APC Treatment PI I go -oo ^O Variance Parks Copies TOTAL $2,352_00 _ on the express condition that and City of Eagan Ordinances. Building Official ??s.ctit' -s T9'=81 t void rom Request DO* p? Z 7 VFi re No. ri Rough-in Iespetlion Requrretl? - Ready Npw Will Notify Inspec- Yes ?No or When Ready Licensed Electrical Contact., I hereby request inspection of above Owner electrical work installed at: Street Address, Be. or Route No. City e C7 ecU On o. Township Name or No. Range No. County Occupant(PRINTI Phone No. Power Supplier / Address /0/-? K % /gC T Ele lrf I? Contractor (COmPam, Name) Contractor's License No. W HS'Oe/-) /PCA L D I - Mailing Address (Contractor or O wnner Making InstailatYon l f n L ' ^' /?1 / C /? //? 8- w. [ -fV,9 CHG.,////. ? -32 A uthori .d Signature (Contractor/Own Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midway Bldg. - Room N•191 1821 University Ave., St. Pau 1. MN 55104 Phone (612) 642-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 2//-5 9%Y' w 1 See instructions for completing this form on beck of yellow copy. >r ?? Sid ®' 3 1 7 7 -"X- Below Work Covered by This Request lilari4 Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo llnloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pecMv Other lsuer:irvl t a pnciW Other Omer ompute Inspection Fee Below g Fee Service Entrance Size a Fee FeederarSubfeeders N Fee circuits 0 to 200 Am s 0 to 30 Amps 0 to 30 Amps Above 200 Amps, 31 to 100 Amps _ 31 to 100 Am s Swimming Pool Above 10Am s Above 100- Transformers Irrigation Booms Partia L`Other Fee Signs Special Inspection . s Remarks s ? TOTAL FEE /r y, 4 Y J I Rough-in /Date [[ I, the Electrical Inspector, hereby certify that the above Final Oirte rye inspection has been 7 9 / made. This request void 10 months fro. zw 19$7 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS . INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. 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: Valuation: Date: Site Address 16?6 0, OFF'. Lot 5 BlocIc On Site Sewage_ MWCC System Parcel/Sub On Site Well / City Water Owner Address City/Zip Code Phone Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # APPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance USE Occupancy F. 3 Zoning ?•I Type of Const (Actual) y (Allowable) # of Stories Length Depth 48 S.F. Total Footprint S.F. FEES Permi t Surcharge 3? . . Plan Review 2o4•s° SAC, City I,po. SAC, MWCC 7S , Water Conn 525. Water Meter (al , Road Unit x,05• Treatment P1 1 b0. Parks Copies TOTAL 'A7?- (oC? ) 4o(:f) 2o?z22 ? 4qo J-(2 = -s-Ze° 7 2-7qZ P 4 ROBE NGINMUNG COMPANY, INC. 1000 EAST 146A STREZT, gook 69, A6E A oL46i5o t/ B,J1co62.S CONSULTING EHGINE63S. PLAHHERS and LARD SIIRVEVOftS BL'R4VILLE, I(INHE:GTA 55337 PH 4:2-5000 C4ff 7'Z d -Y CzZe <SZLP '7?'e [? LOT 5, BLOCK 2, 8,V 7-r4MY LVO ADDIT/OM, DAKOTA COUNTY, AIYAIM5?7A 969.6 N 8?° Z9' //•• E (969. Z) C969.2- 5? I? L_ r, LOT +\\5 C (967,0,'\ x(;967. a? `? y ? I ? (967. 4> (???l ` 3 36.00 1 I ) Oa '°^ ° PKaPoSED ? ?' m m I / yo?sE ° I o 0 1 11J z_° -1 i 1 ?v / Io 6RR9,w a 16,W Q Z°0 q(,y / 1? N >n .,., N1 (967.0?? 31,60 tIL5 I `y6Z 33) C965.8) / I ' ?967.0?) ° 967. of / 5 L -_? 96z4? 96s - so. 3 - X966. /ol, 00 ° N 89° 29' /i"E ° Q Sbr;y? 9A1E-Pw04D W4Y C96s i/? SCALE CFY?-&D DEVOTES EX/ST//Jis EC&VAT/Dnl (967,o ) DEMOTES PROPOSED ELE VATIOAJ IA/DICATES .01RECT/0/l! OF SURFACE PR41AI43E 96? 33 = F//?//SPED 6ARA?c FLOOR ELEVATION 30' FKOAIT EUIL DIA.16 SETBACK LIME I hereby certify that this is it true and correct representation of a tract of land as shown and described hereon,. As prepared by me on this 3a"' day of r1g4 q 19 S-7. -Minn. ltes. 'No- 16t25- CITY OF BUILDING DEPARTMENT EXTERIOR ENVELOPE AVERAGE rrUrr COMPUTATION (To be submitted with building permit application) One or Two Family Dwelling A_ Owner All Other Site Address Contractor Tr F-540A1 u Date Phone LINEAL FEET OF // EXPOSED WALL o4E? tl?)ex ?das-r rr ft, above grade = __/BlS,oo TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE W11L CONSTRUCTIO17, rrUrr Value x Area Detail rg&n7F nu" -043. g SQ, reference Co,vc., U . P9pA_ x S2. from -Kin nU" , o^r x SQ. attached fluff x Sq. sheets 'lull x SQ. null x SQ WINDOWS: rrUrr Value x Area FT. 137(v./d • 59.17 (U) (A) FT. /op.x- = 7,194 (U) (A) FT. 174,5 = 4,9h (U) (A) FT. (U) (4) FT. _ (U) (A) FT. - (U) (A) Make & Type /0"xx, _alp_4 null ,SO x SQ. FT. 12780= rWIE-57"(U) (A) to ff nun x SQ. FT. = (U)(A) rr to null x SQ. FT. - (U)(A) u rr nun x SQ. FT. - (U)(A) DOORS: rrUrr Value X Area Make & Type _?(L• 1 .W4 , full_. 14 x SQ, it u 94? 7.io nun it n x SQ. nu° x SQ it n _ uurr x SQ. TOTALS 1915%oo sq. AVERAGE rrUrr TOTAL (U) (A) VALUES 16;l ? OS - DIVIDED BY TOTAL WALL AREA /,j/$,00 ?S q AVERAGE "U" .115 or less for 1&2 family dwellings ROOF/CEILIN TOTAL AREA: FT. 49,Ob = &438 (U) (A) 42-,0O =? FT (U)(A) ; (U) (A) FT. -= (U) (A) r•T. 1(02 0S (U) (A) Detail reference rrurr •071 x sq. FT. 1134 Z3.$ (U)(A) from null x SQ. FT. (U) (A) attached sheets. rrUrr x SQ. FT, _ (u)(p) Describe openings rrUrr x SQ. FT. - (U)(A) in roof. rrUrr x SQ. FT. _ (U)(A) TOTAL (U)(A) VALUES DIVIDED BY 23,g! = T Le2 /-?+ N.ft 23.8 CUrA> TOTAL ROOF G AREA //34 rOZj AVERAGE It r ,025 r ventilated roofs. --WALL SECTION-- Determining "Ulf values at Roof, Wall, Rim, and Conc. Block ROOF/CEILING 1.) Interior Air e'ilm 2.) 5/811 Gyp. Bd. 3.) Insulation 4.) 50 Exterior Air Film (STILL) (R) VALUE 0.61 .56 Z/5. o0 .61 null = 1/R= OZI i.'OTAL (R)= f,78 WALL 6.) Interior Air Film 7.) 1° Gyp. Bd. 8.) Insulation 9.) YP 1;01L-7'- P-1-re 10.) Masonite Siding 11.) Exterior Air Film (R) VALUE 0.68 .45 19,00 Z. el+ .67 .17 null = 1/R= .043 TOTAL (R)=F3.01 RIM 12.) Interior Air Film 130 Insulation 14•) 211 Fir Rim Joist 15. ) %y11 rvg-o- 16.) Masonite Siding 170 Exterior Air Film LR VALUE 0.68 11.888 Z 67 .17 nun = 1/R= , off) TOTAL (R)= 1410 FOUNDATION 18.) Interior Air Film 19.) 20.) 21.) 1211 Concrete Block 22• ) Pit-0 WwL, 23.) Exterior Air Film JRLLALUE o.68 1.28 F,oo .17 "Ulf = 1/R= .07S TOTAL (R)= In.I3 n Oc-P-K S4Ee r " ?! ? 61P Wfle_c. 7.50x (3`?t39t310t36? _ /?ZS.oo l8/S.oo ?c .(v7X?39+39t3(ot3?? ? ?oo.so-? Pon 5.O?X Clfot2(ct3lc? _ $9.00 ;::,1ST -8SX ($9+3°lt3&t3(o, . /Zy.So LJIADowS I(ox32 = >•/ x 1 = ZoX3? = lao x 3 14x3 _ /z. ° x 1 10x44 = 12. z. x z ; zox+ib 6.7 x z. = ?1•}x48 = l?o.o x z = 24x Z4 / 7• a,o 57 Mo z4.4 l?•4 3z,o 4.0 /OZ.70 00 W/ L z t- STI.. 4?EP- ° Z l . oo PAT/0 = 4Z, oo_ 9l•ov,'- Ne--r EXP661> Lo*tL F40,4v-s 619cxrS W/ I-L /$l S. oo Lr;55 Calvet. l00.5 ?? ieim la¢.6 I.vDw'S /az.9 -438.9 4 TW& 10 . iaa 76x3(v= /o X /Z = Co x t3 l.sx zo 7;49 /zo 48 CITY 'OF EAGAN 'T APPLICATION. FOR PERMIT SEWER AND/OR WATER CONNECTION * PAYMENT' OF FFS AT TIME C_ APPLICATION DOES NOT 0=M7= APPROVAL OF PERMIT. INSPDCTION OF SEWER ANO/CR WA'L-.- INSTALLATIONS wim NOT EE SCI ULED UNTIL PERMIT HAS BEEN APPROVED. - P ease Print) PROPERTY --=-xx 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: vision or IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (/Year1 COLVERCIAL/RETAIL/OFFICE - ? SIDLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units) n INSTITUTIONAL/DOVE NI T R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONCOMINIuM ( Units) 2) Af Y• NAME: 6CF S i/ r4i ;t?7 C ADDRESS :, 7 L/ t 9 2- CITY, STATE, ZIP: S O yy, _?-?-??? PHONE: 3) u t: ?- NAME: ADDRESS: Active Expired CITY, STATE, ZIP: /?n sue.,, o+- - SO- f7f-,O,> 17 Not recorded PHONE: MASTER LICENSE# Starf 4) ..«u• r 17 NAME: LLB vn ?t .:l.C ?4"? ADDRESS: /?L/7 ?93 Y r<?n f1 ? CITY, STATE, ZIP: - ? `?•s/a ?/ PHONE: IF / - // U C7 .5) ? ?, Y. ?.. .1 «: •719 •1^I/ 7YO' •yp7u rSe/,MNNECTION TO CITY SEWER CONNECTION TU CITY WATER ? OTHER 6) r• r • r PLEASE HOLD APPROVED PERMIT FCR PICK-LIP BY ONE OF ABr= PLEASE MAIL APPROVED PERMIT TO 1, 2, 4!?)4, ABOVE (Circle one) -FOR -CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit c $ 2 S $ $ / .3 j?'n -6 . / RECEIPT it RECEIPT WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: PPROVED BY: FEES: $ /G - S?? $ /L'1' 5z) s SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ 1,5D-Z ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER S $ $ 7321 TITLE: City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1647 Sherwood Way Lot: 5 Block: 2 Addition: Brittany 02nd PID:10- 15001- 050 -02 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Apex Roofing & Siding 944 Oriole Dr Apple Valley MN 55124 -0000 (952) 891 -1919 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Delton F Ernst 1647 Sherwood Way Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA084613 07/24/2008 ePermit 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA110910 Date Issued:06/03/2013 Permit Category:ePermit Site Address: 1647 Sherwood Way Lot:5 Block: 2 Addition: Brittany 2nd PID:10-15001-02-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Window or Door:patio door Jay Deems Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Delton F Ernst 1647 Sherwood Way Eagan MN 55122 (651) 686-2842 Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA150209 Date Issued:06/25/2018 Permit Category:ePermit Site Address: 1647 Sherwood Way Lot:5 Block: 2 Addition: Brittany 2nd PID:10-15001-02-050 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Delton F Ernst 1647 Sherwood Way Eagan MN 55122 Apex Roofing & Siding 944 Oriole Dr Apple Valley MN 55124-0000 (952) 891-1919 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA172491 Date Issued:10/04/2021 Permit Category:ePermit Site Address: 1647 Sherwood Way Lot:5 Block: 2 Addition: Brittany 2nd PID:10-15001-02-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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 - Delton F & Heidi M Ernst 1647 Sherwood Way Eagan MN 55122 Apex Roofing & Siding 944 Oriole Dr Apple Valley MN 55124-0000 (952) 891-1919 Applicant/Permitee: Signature Issued By: Signature