1651 Sherwood WayCITY OF EAUN
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 55121
Zoning: 1 ,
F Owner. M xalle
Address:
Site Address: 1551
SEWER SERVICE PERMIT
PERMIT NO: 0771
DATE:
No. of Units. 1
I agree to comply with the City of Eagan
Ordinances.
By
Date of Insp.:
Insp.:
Connection Charge: 52 5.00p _
Account Deposit: 00P(I
Permit Fee: 10 • `)0.-_
Surcharge: T
Misc. Charges:
Total:
Date Paid:
Bonn. chg: _ .?.c >. tjUPd Zoning: i1
Acct Dep:- I t30 5d
Permit Fee: -. 1.', . 0024 No. of Units: 1
Surcharge S n
Tr. Plant I agree to comply with the City of Eagan
Meter.
Ordinances.
Misc.:
By
WATER SERVICE PERMIT
CITYOF EAdAN Permit No.
3830 Pilot Knoll, Road Meter No:? _!
RO• Box 21199 74 Date: -' ? - a
Eagan, MN 55121 Reader No:
a-21 Lo q Size: 5 ? a
Date: ,
Owner. ''oiiefson B1,1rs.
Site Addrnee• .., c
Conn. Chg:
1srittanv
Permit Fee: + . s.... ?• - -U
o. of f Qot'
Su?charga call iCCa '
Tr. Plant ;LAS Etc
Meter. T ?^ comply with the CI
dretycl_A `A' City of Eagan
Misc.: u L Mfr
By
WATER SERVICE PERMIT
-W • t s
CITY DF EAGAN Permit No: 3-26-87
3830 Pilot Knob Road Date
P.O. Box 21199 Meter No: Size:
Eagan, MN 55121 Reader No: Date.
l? CASH RECEIPT
CITY OF EAGAN
,3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE., 19
RCCEI V ED J
FROM
AMOUNT $
& DOLLARS
Too
E3CASH E]-CHECK
FOR
1
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You 4-?
BLDG. PERMIT NO. 111.j-24
01=3210 -81ig. P rma
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
r %
._ G U
r
79-3866 Sewer Conn. >_, !
11-3855 Park Ded. I
i
TOTAL
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
REC EI V90
FROM f'
AMOUNT $
CASH
CHECK
FOR
/_! .
FUND CODE AMOUNT
J
Thank You
BY 4 DOLLARS
loo
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
' CITY OF EAGAN ? c
3830 Pitt Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 13 2 61
PHONE: 454-8100 ?BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est. Value $99,000 nata FEBRUARY 24 in 87
Site Address ' 1651 SHERWOOD WAY Erect 15 Occupancy R3
Lot 4 Block 2 SecISub. BRITTANY 2ND Remodel ? Zoning
Parcel No. Repair ? Type of Const V
Addition ? No. Stories
W Name TOLLEFSON BLDRS
Move
Demolish
?
11 54
Length
Depth 52
z 12617 FAIRGREEN AVE
o Address I
t I ? Ft
S
City A • V • Phone 431-1100 n
mpr.
Install ? q.
z 0 cc Name gAj'JF Approvals Fa
0 a Address Assessment Permit -
City Phone Water & Sew. Surcharge
UIC
w Name-
_z
Address
Z
W City -
Police Plan Review
Fire SAC
Eng. Water Conn.
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
TOLLLFSON HLDRS
00
Planner Water Met er 67.00
Council Road Unit 305.00
Bldg. Off. Tr. PI. 180.00
APC Parks
Var. Date copies
0
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. Pem*t Holder Date Telephone M
Plumbing
Hm.A.C.
Electric
Softener
Inspection Date Insp. Comments
Foodngs l r7 111
Footings ll
Foundation 71JU
Framing
-
3
1Q 7 d
L• rJ. t + 1
f^irrd.? ? IIL ` -- s t- c?arr 6 c-C r. A-j
Rooting GGOS??-Y-
Rough Pibg.
Rough Mtg. /IAL.e ? 4-1 / 0, akorep nCL f /t- VGA
Insul.
Fireplace
Final Htg.
Final Plbg. as
Bldg. Final Ll>?
Cert. Dec.
Deck Fig.
Deck Frmg.
Well
Pr. Disp.
k. j
MIF It a 4
Trr#if irafr of (Orruvonry
Citp of eagan
MirprwMa of NWA-. 3wrruou
Ais 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 c7ati8ntion ''' 'LW/GAR BIdg. F?irmjL No. 13261
Oocup&ncy Type Eta Zoning Maria 1?.1 Type Cams. y
Owner of Budding ? 1122-5 Add,. 1261; kAiRU7KR-i AVE, XTLE 4AUM
Butdding Addr®s ;,: ! 1Ci? `at1? icy T-41 B2, $REMM Z V
nue: ? ^,tF
Building OficW
POST IN A CONSPICUOUS PLACE
PERMIT # -
MECHANICAL PERMIT
RECEIPT #
CITY OF EAGAN
E
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DAT
CONTRACT PRICE: PHONE: 4544100
Site Address / '- BLDG
TYPE WORK DESCRIPTION
.
Lot Block Sec/Sub
?;
V N
R
es.
ew
m Name - M
tt Add
m
Addr
C -on
u
R
i
C
omm.
epa
r
c C. )E222i ? 2'
City ; PLC Phone Ot
. her
"Name 04Li 1 -S'?J U G " FEES
c Address ' -', RES. HVAC 0-100 M BTU -$24.00
p City /4L ''Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS
1
I
Forced Air M BTU / ND FEE - 1% OF CONTRACT FEE
COMM
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond M BTU STATE SURCHARGE PER PERMIT - .50
. (ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1
,000.00)
Gas Piping Outlets #
Other
FEE -/?
SIGNATURE OF PERMITTEE
S/C:
TOTAL
FOR: CITY OF EAGAN
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
Lov': 4 01.OCK: 2
16h 1 SHE RWOOO WAY
ARITTANY 2ND
PERMIT TYPE:
Permit Number.
Date Issued:
APPLICANT:
I Control No.
0111 trig My
•0071? 1
*6/03/92
NEAT-M-010 E1'REPtACRS
(612) 890-07%0
PERMIT SUBTYPE: TYPE OF WORK:
f tRE I. ACE MEN
Permit No. Psrmft Holder Date Telep lone •
SJW
PLUMBING
HVAC
ELECTRIC t) ` ??.? rf 7
ELECTRIC
Inspection Dmh Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
laul.
Fireplace
Final Mg.
Orsat Test
Final Flbg. Plbg. Inspector - Notary Plumber
Corot. Meter
EngrJPian
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
r
? v
CITY OF EAGAN
Addition Brittany 2nd Addition Lot 4 elk 2 Parcel #10 15001 040 02
Owner Street 1651 Sherwood Way State Eagan, MN 55122
i.,if1liil ! t
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. - 1982 2013.03 402.61 5
STREET RESTOR.
1
GRADING 1982 596.22 119.24 5
SAN SEW TRUNK JQ 1976 143.11 9.54 15
*SEWER LATERAL ?7 (9 ( 1982 3830-10 66.02 5
WATERMAIN
• WATER LATERAL 1982 5
WATER AREA n 1982 296.92 59.38 5
* Services 1982 5
STORM SEW TRK (Q (c ?. 1982 628.22 125.64 5
• STORM SEW LAT 1982 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
N2 13261
PHONE: 454-8100 -Io
BUILDING PERMIT Receipt N
/ n
/
SF DWG/GAR
$99,000 FEBRUARY 24
87
To be used for
Est. Value pate tg
Site Address 1651 SHERWOOD WAY Erect L Occupancy R3
Lot 4 Block 2 Sec/Sub. BRITTANY 2ND Remodel 1:3 Zoning R1
Parcel No Repair ? Type of Const. V
. Addition ? No. Stories
a
Name TOLLEFSON BLDRS
Move
?
Length 54
52
W 12617 FAIRGREEN AVE Demolish ? Depth
B; Address
A.V.
431-1100 Int. Impr. ? Sq. Ft
city
Phone Install ?
X Name SAME
$ Address
City Phone
w u Name
h
Address
i W City Phone
I hereby acknowledge that l have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City f Eagan Ordinances.
Signature of Permittee (/ 0-?
A Building Permit is issued to: TOLLEFSON BLDRS
all work shall be done in accordance with all
State of
Assessment-
Water & Sew.
Police -
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Var. Date
Permit $ 500.0(
Surcharge 49.51.
Plan Review 250. 0(
SAC 625.0(
Water Conn. 525.0(
Water Meter 67.0(
Road Unit 305-0(
Tr. PI. 180.0(
Parks
Copies
T..,?i .5(
on the express condition that
and City of Eagan Ordinances.
Building
This request void
months 1131
n? .J ?o . 00
Is ?. e,.-..
! `T ?7 qu natl. ? ?Ready Now Will Notity Inspec-
Yes No or When Ready
Licensed Electrical Contractor I hereby request inspection of above
? Oilner electrical work installed at:
Sir i Address Box or Ro No.
! City
d
y
Q i
adnon No. Township Name or No. Range No. County
Occu ? t IPRINTI ?
r Phoyte NOi ??
Power Supplie Address
Elect ' al Contractor (Company Namel
Mailing Address (C Doti ct or Owner Mekiminstailatio
4 s
7
2
Authorize ature IC tr or Ow g Insta llationI Ph Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1321 Univeraitv Ave.. St. Paul. MN 65104
ENCLOSED.
cw....e rcw.'- .n
jS/8 7 REQUEST FOR ELECTRICAL INSPECTION rEyS-00001-05
See instructions far completing this form on back of yellow copy. 7
42? 11 -X- Below Work Covered by This Request
Add Bep. 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 Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm ther m,. v thor lSDari tyl
t ,r uqa y ter Other
Comoute Inspection Fee Below
g Fee Servi ce Entrance Size a Fee Feeders/Subfeeders p Fee Circuits
?j 0 to 200 Am 5 0 to 30 Amps 0 to 30 Am
Above 20 _Arn Is 31 to 100 Amps _?a' 31 to 100 A mps
Swintmin Pool Above 100_Am s Above 100_Am
Transformers Irrigation Booms •SO Partial.'Other Fee
Signs I Special Inspection 's?
I,the Fr6l?ical
Inspector, hereby
certify that the above
spection has been
/s r /?
?i
K 0 412 8
a - ?/q
Request Date
/!?,, 7? ?7 ve No. Rough-in In
Required? a ion ??
OCHeady Now 7 Will Notify Inspector
When R
d
?
u--C (/ ?p^ ? yes o y
ea
I Acensed contractor I] owner hereby request inspection of above electrical work at:
Job Address
(Street. Box or Route No.) City
(
/6s/ ,511e4 a,oa0 e.,i sf
Section No. Township Name or No. Range No. Count'
o.?,?
Occupant(PRINTI Phone No.
Sim LR r02 cc0 ?/SR - S3
Powe Supper
fioz ecf ?? Address
)CO
+
t
Elec al Contr for (Company Ne e) Contractor's License No.
o • C64oUa -7S
amng Atltlress (Contract? Pyner Making Installation)
/ r?+ r
1
n
/
n/ C
le?3;50
?
6
Authorized Signature (Contractori0 a Making Installaton)
?` Nunn
463-74?S?U
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Gaggs,Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1621 University Ave.. St. Paul. 155104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 542-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION " a /h Ee-00001-ce
l?ructnrnm for completing this form on back of yellow Copy. < si (U 6 7 4/
K 04128'y
A Below Work Covered by This Request ? •` 7/7 / 9 L
New Add Rep. Typeof Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace fNRN7 .0 -.vp.of
Farm Air Conditioner Lf• 'Oeovf
Other (specily) Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Sw
imming Roo' 0 to 200 Amps 0 to 100 Amps
an
Trsformers Above 200 Amps Above 100 Amps
Signs lnspecror5 use only: _ TOTAL
Irrigation Booms /J '066
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Data
certify that the above inspection has
been made. Final Date rf ??
7-
OFFICE USE ONLY L' r
This request void 18 months from
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
:f? --1a .C) v
New Construction Requirements Remodel/Repair Reguiremenls gffice On
3 registered she surveys showing sq. ft of lot, sq. It. of house; and all roofed areas 2 copies of plan Pert of Suryey ,3GCtl ^, Y N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions T*P*PIan,RaW Y°r_I
2 copies of plan showing beam & window sizes; poured found design, etc. 1 she survey for additions & decks Tree Pres Required _Y = N
l set of Energy Calculations Addition - indicate i/on-site septk system On-siteSeptic,5ystem?,
3 copies of Tree Preservation Plan If lot platted after 71W3
Rim Joist Detail options selection sheet (bldgs with 3 or less units
Date
7 / Construction Cost _ 4 110 6
r
-,
Site Address T 5 5I er wa6 wD Y Unit/Ste #
Description of Work W ( "to 5 S Am e S (LCD
Multi-Family Bldg _ Y 2?, N Fireplace(s) _ 0 2
1 J
t'
6
it 1 - Telephone # (f ?S'/ ) ?3ZC?
^6L6 I
Property Owner t // GYt L
6 A
Contractor A 4A Y- E rt o V le-
' n
Address
N F
2-?36 y City
iC 6 S e(/ / l yP
State
41V\ Zip Telephone # (W )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate?orv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
_
Have you previously constructed a building in Eagan with a similar plan? -Y
fee applies.
Licensed Plumber ? Telephone #
Mechanical Contractor
Sewer/Water Contractor
AUG 0 2
Telephone #(
Telephone # (
N if so, 25% plan review
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 NIN
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.
iLe v? I?a r"i56A
Applicant's Printed Name
,3* 4140jY 1dl?i(
Applicant's Signature
? 7o r as
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of- plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 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* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
- Footings (deck) Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
- Framing Siding _ Stucco - Stone - Brick
Fireplace - R.I. - Air Test _
_ Final Windows
- Insulation _
_ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building inspector
N
1987 BUILDING PERMIP APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3
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
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
RENTAL UNITS FOR SALE UNITS
E OF SURVEY- CHECK WITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: + I,CCDO. Date: ?/;2-?/9'7
Site Address
Lot Block a U On Site Sewage_
.CC System ?
Parcel/Sub CZ--'A a.l"• On Site Well
City Water
Owner
Address
City/Zip Code
Phone
Contra
Addres
City/2
Phone
Arch./Engr.
Address
City/Zip Code
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Occupancy
Zoning
Type of Const
(Actual)
(Allowable) -7U--
# of Stories
Length r
Depth 5Z_
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
Phone #
Z? 54 (12 K g7CoClC
2Q d o ?24 9? l2 ???8
l (6
G?.
r w, : ,
FROM
ENGINEERING
COMPRNY, INC.
1000 EAST 14681 STREE7,
TGLEFS?iv BU/L,{?$
E PIAHHEAS n d6 AHD SjURYEYOAS gLL
?.?
BUANSVILLE, UINNENTA 5337 PH 432-5000
Cer?if ccz?`e Szt-rzr'e c?
?s?nal J214cr4,EHOn: LOT 4, BLOCK Z, BRITTANY 2ND ADDiTiO/V,
DAKOTA COUNTY, MNVNESoTA
DRAINA6E ANo
VT/L/TY EASEMENT -
890 29' //"W
(9b9 2) /01.00 r3
T o? ? SCALE : 1' = 30'
I? L O I
• qkn x ------ ?- GcULLD DENOTES EX/ST/N6 ELEI/AT/oN
?QbB.o? l9 09.0
y I Cgrs.a). (g4G3) I ?, L?uA.,a? DENOTES PRoP056D ELEVATION
i 1?) ? 54.ao C? lo. Iz l'KoposEO I "n^ i? /INDICATES D/RECT(OK OF
a ?o "Plae $ ?°'/ h°+ 1 SURFACE DRAINAGE
4 W87-157
Z3 I
o m jfEo z3.oo o q(oA•'?3 = F/N/SHED 6ARA6E
(Qto4v ELEVAT/ON
'G
°0 6g2AbE
24.00 22.0
9aT.)) QW4.? ((964.D)
9a4A) (4104°) I 3O' FRONT BUILDING
sl - -- i'S SETBACK LINE
_o962.5)
(459.9) 44 4_kn
a S 890 09 1//, PV
0
m
OSg.61 J ¢ SNERWOOD WAY (963E/• -
.r _
x hereby certify that this is a true
land as shown and described hereon..
rj?ae_LA?? Is 19 81 .
and correct representation of A tract of
As prepared by me on this ,, y of
]tag .__No. ocb
One or Two Family
All Other
CITY OF BUILDING DEPARTMENT
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
(To be submitted with building permit application)
Dwelling Owner
Contractor -Gunn o $yeteRS 7:7;yC? ,
LINEAL FEET __
EXPOSED VIALL Lt7
?E? pp-Y, 45deeT ?/ ft.
OPAQUE WALL CONSTRU:TIOII: "U" Value x Area
Site Address
Date Phone
above grade = IaOp14-1
TOTAL E)TOSED WALL AREA SQ. FT.
T RAt 47 nun ,043 x SQ.
Detail 60&G, "ult. 098 x SQ.
reference RIM S 15J' "U" . 040 x SQ.
from "U" x SQ.
attached nUn x SQ.
sheets nun x SQ.
WINDOWS: "U" Value x Area
FT. / D .O - & (U) (A)
FT. /D4.5L= 0.2 (U) (A)
FT. 129.48= 5.17(U)(A)
FT. - (U) (4)
FT. - (U) (A)
FT. -= (U) (A)
Make & Type )wgi. 66,w'T °U" , `/I$ x SQ. FT. Z. O = 58.17 (U)(A)
" it "U" x SQ. FT. _ (U)(A)
" It "Un x SQ. FT. _ (U) (A)
n if nU" x SQ. FT. _ (U)(A)
DOORS: "U" Value X Area
Make & Type ki L /JVSVLv "U" .14 x SQ. FT. .OO = _(U)(A)
it " YAmn "u" .4& x SQ. FT. 47,00= 0- (U)(A)
it n nU" x SQ. FT. _ (U)(A)
it "U" x SQ. FT. _ (U)(A)
TOTALS 1$5Z.00 SQ. k'T. Z&A07 (U) (A)
AVERAGE "U"
TOTAL (U)(A) VALUES W- 07 -
, 08(0
DIVIDED BY TOTAL MALL AREA 1$52.00
AVERAGE r less for 1&2 family dwellings
ROOF/CEILING:
TOTAL AREA: I3Z3.017
Detail reference "U" x SQ. FT. 13Z3 = 27-700) (A)
from "U" x SQ. FT. (U) (A)
attached sheets. "U" x SQ. _FT. _ (U)(A)
Describe openings nUn x SQ. FT. _ (U)(A)
in roof. "U" x SQ. (U)(A)
TOTAL (U)(A) VALUES DIVIDED BY 7-7,7E7 = r7?tL?7 1323 , Z7.7$ CV'C
TOTAL ROOF/CEI dG AREA 3 Z -s
AVERAGE " .02$ for ventilated roofs.
1
11 oop-K ydor,
9• Sa X (48+48 t-3o t 3.0) _ l4.8Z • vv
5,0o X ( zi t"24 + Z(o) 370, o0
/gSZ. r?o ?-
LVA
(o7x (4 S+•4$fi 30t3e;) _- lO?; vrZ
??lN 70 ,rsT
.S3 x C48*-48t 3or3o? = /Z9.48 ?'
tjlmpowS
1(ox = 4,o x z :--
oo
zoX 3(0 = o X 4 =
5. Zo.oo
ZA-X 3?0 = 6. o X z = lZ • o0
24X48 = $.o X (o = 48•?
56 STC • V?S,1..
Z `? 57t • SS2
(o ?- P,?-rro
ZS•do
4Z.oo
NeT EXP?D LOAU- Ge?O .S
om, L /Ss2.ov
LESS eo,ve ? tog,5z.
,?
,? l?l n 1
wDS /29.48
17J. zo 9Z
If Aa??'S 9/•00
1,4 0& ?E-
vat
z?xZ? _ ?Z4
zgxZB ^ ??z
l?•sxz = 7
1,3x3.aa?-
t --WALL SECTION--
.
Determining IIU11 values at Roof, Wall, Rim, and Conc. Block
ROOF/CEILING
1.) Interior Air e'ilm
2.) 5/811 Gyp. Bd.
3.) Insulation
4.)
5.) Exterior Air Film
(STILL)
(R) VALUE
0.61
.56
45.00
.61
11Uu = 1/R= . OZ TOTAL (R)= %,-70
WALL
6.) Interior Air Film
7.) 1e Gyp. Bd.
8.) Insulation
9.) Va" rw"- F41G?
10.) Masonite Siding
11.) Exterior Air Film
(R) VALUE
o.68
.45
MOO
Z.0-4
.17
Ilpn = 1/R= .0q3 TOTAL (R)=Z3,0j
RIM
12.) Interior Air Film
13.) Insulation
14.) 211 Fir Rim Joist
15.) %t" Bow,- K1
16. ) Masonite Sid ng
170 Exterior Air Film
(R) VALUE
0.68
14.00
1.88q
Z 67
.17
IIU" = 1/R= . C740 TOTAL (R)=AAA
FOUNDATION
180 Interior Air Film
19.)
20.)
21.) 1211 Concrete Block
zz. ) . t1b, INWI,,
23.) Exterior Air Film
(R) VALUE
0.68
1.28
g.0p
.17
"Un = 1/R= .098 TOTAL (R) = jQ,i3
CJTY OF EAGAN
CASHIER: S TERMINAL NO:. 776
DATE: 06/08/99 TIME: 09:04:53
TD a
NAME: ALLSTAK CONSTRUCTION INC
321.0 9001 1651 SHERWOOD 153.25
2155 9001 1551. SHE.R1400I' 4.70
Total Receipt AmmAnt: 157.25
CRil0585
'USER ID: NANCY
1<>k?k*Ac#?**?k?:>e:?i<+k?c#*****?*## Ac X*?t**? #1cYc?C#>r'
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122'S
3 651.681-4675
CD-
New Construction Reauiremenh Remodel/Repair Reaukements° `
? 3 registered site surveys showing sq. ft. of lot, sq. ff. of house 2 copies of plan
and MU rooted areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions
2 copies of plans (show beam & window sizes; poured Ind. design; etc.) 1 site survey for exterior additions a decks
1 set of energy calculations
3 copies of tree preservation plan R lot platted alter 711193
DATE: Ii /
DESCRIPTION OF WORK: r-2 /
STREET ADDRESS:
LOT: BLOCK: a SUBD./P.I.D. #:
CONSTRUCTION COST:
c, (,?Irr??ie
U i3
Name: L?j T r r o C ?? k7l Phone #: Es/) L{-!5?)
PROPERTY Lost First
OWNER
Street Address: 16 5 S` r r w G/ d w,A
City /_ ?-2 5 19 ?-i State: "-7 Zip:
S Phone #: 61 S y> ??
Company /III ??/3 r C -J /7
(area code)
CONTRACTOR Street Address: 33 1 ?? ty?A i In License #! Exp. ?[?po G
City C IS R I State: _? ?? .n Zip: 1? a
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Street Address: Registration #:
City
Sewer & water licensed plumber (required for new construction only):
State:
Penalty applies when address change and lot change is requested once perrnR Is Issued.
Zip:
thereby acknowledge that I have read this application, state that the information Is correct, and agree to comply with all applicabl
.rate 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 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SAN Permit
SAN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
SAC Units
% SAC
CITN OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
r a
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1651 SHERW00D WAY
LOT: 4 BLOCK: 2
BRITTANY 2ND
wild-ih.g Permit Type FIREPLACE
_' Building-'Work Type NEW
c
1 r', -Pti r" 3 1 t` ++r -
-` ,:)ul
REMARKS:
7/S /
BUILDING
000721
06/03/92
FEE SUMMARY:
Base Fee $25.00
Total Fee $25.00
CONTRACTOR: - Applicant - ST. LI OWNER:
HEAT-N-GLO FIREPLACES 18900758 000296 LATONACA JIM
3850 W HWY 13 1651 SHERWOOD WAY
BURNSVILLE MN 55337 EAGAN MN
(612) 890-0758 (612)452-8328
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L-
APPLICANT/PERMITEE SIGNATURE
atta R 1`L 1012
SUED BY. IGNA RE
Control No. 0565
INSPECTION RECORD Control No. 0565
CITY OFEAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 000721
Eagan, Minnesota 55123 Date Issued: 06/03/92
(612) 681-4675
SITE ADDRESS: LOT: 4 BLOCK: 2 APPLICANT:
1651 SHERWOOD WAY HEAT-N-GLO FIREPLACES
BRITTANY 2ND (612) 890-0758
PERMIT SUBTYPE:
FIREPLACE
TYPE OF WORK:
NEW
PERMIT # 112 I
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, I copy of energy calcs.
t is rested,. not picked up by,last working day
Penalty applies when typing of permi
que
but
uested once permit is issued.
a is re
r
of month in which request is made lot chap
Date ? / 7i / qZ- Valuation of work ?735126)
Site Location: ?Jduh?'lay GI?,I
STREET STE t
Tenant Name:
LOT BLDCK SURD. P.I.D. /
JU
Description of work: r? c
The applicant is: ? Owner ,KContractor ? Other (Describe)
Name Phone `f:5'Z
Property
Owner LAST IRST
-
1
Address &5
STREET STE N
City f4' 101/ State ? 'V Zip
Company _1U- Phone0 9Sg
Contractor Address -?gSO W, 141? /J License # 2 _ Exp.
City IJ l b- - State Zip 5-33
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply ith all app 'cable State of Minnesota Statutes and City of
Eagan Ordinances.
??y
Signature of Applicant:
BUILDING PERMIT TYPE
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwg.
? 03 Two family
? 04 Multi-fam. T.H.
? 05 Apt. Bldg.
WORK TYPE
? 31 New
? 32 Addition
? 33 Alterations
? 06 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 34 Remodel
? 35 Repair
? 36 Tenant Finish
? 11 Res. Add./Porch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
? 14 Comm./Ind. Rem.
? 15 Public Fac.
? 37 Move
? 38 Demolish
? 99 Undefined
? 16 Agricultural
? 17 Building Move
? 18 Demolition
? 20 Miscellaneous
GENERAL INFORMATION
Occupancy
Zoning
Const. (Actual)
(Allowable)
N of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
1st F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatuatim: $
SAC %
SAC Units
15.56
CITY OF EAGAN
L? B A? MECHANICAL PERMIT
SUBD. (612) 6814675
RESIDENTIAL
RECEIPT # D 7 /
DATE
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
OWNER: i AM FEES
SITE ADDRESS: ADD ONIREMODEL (EXISTING $
CONSTRUCTION ONLY)
INSTALLE#JULAM ( L HVAC: 0-100 M BTU 24.00
PHONE #: 2 ADDITIONAL 50 M BTU 6.00
ADDRESS: M kv[ f GAS OUTLETS - MINIMUM 1 @ $3 EA.
Y' ZIP: - r SURCHARGE
L:
:
NA r
l
:G TOTAL: $ J '5_0
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIALINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTIFAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
WORK DESCRIPTION: CONTRACT PRICE: FEES
1% OF CONTRACT FEE.
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE. $
PROCESSED PIPING - $25.00
MINIMUM FEE . $25.000
OWNER: TOTAL $
SITE ADDRESS:
TENANT.
SUITE #:
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #: CITY SIGNATURE
SIGNATURE
ETOTp': PAYMENT OF FEE AT TIME OF
APPLICATION DOES NOT CONSTITUTE
APPROVAL OF PERMIT.
INSPECTION OF SEWER AND/CR WATER
INSTALLATIONS WILL NOT BE SCHEID--
UI UNTIL PERMIT HAS BEEN
APPROVED.
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(Please Print)
1) PROPERTY ADDRESS:.
?? S I S?v. _ , a o rQ a i
LEGAL DESCRIPTION:
(Lot/Block/Subdivision or Tax Parcel ID )
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
(Mon Year)
PRESENT ZONING/PROPOSED USE:
0 COMMERCIAL/RETAIL/OFFICE
Q INDUSTRIAL
M INSTITUTIONAL/GOVE1?IZIENT
?R-1 SINGLE FAMILY
R-2 DUPLEX (Two Units)
R-3 TOWNHOUSE (Three + Units)
R-4 APARTMENT/CONDOMINIUM
( Units)
( Units)
2)
NAME: ?.a Cwt S;
ADDRESS:_9 2;„
self
CITY, STATE, ZIP: , fg'° o -..y / ,
PHONE: rg4G -
3) u c:
NAME:
ADDRESS: ?ts7a?_YL hde.-I- Trf> . /
CITY, STATE, ZIP:-4 ? _Sr>.,s _a,. ,?• znly
PHONE: MASTER LICENSE#
Piumbers License:
Active
Expired
Not recorded
Steal
4)
S!44•:ZAl c711151:
NAME: Sor ?Gc i /."w
ADDRESS:
CITY, STATE, ZIP:
PHONE:
-5) a r. •: :: • a? ??
?`NNECTION TO CITY SEWER tn?CONNB TION TO CITY WATER Q OTHER
6) " PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
PLEASE MAIL APPROVED PERMIT 7O 1, 2,<J)' 4, ABOVE
(Circle one)
FOR -CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
S $
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
RECEIPT RECEIPTT-
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q 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:
25 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan ll.r
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
n
#VC,viiL 5136.
Ift,
New Construction Requirements Remodel/Repair Requirements Once Use Only
3 registered site surveys showing sq. fl. of lot, sq, ft. of house; and L roofed areas 2 copies of plan Can of Survey Recd _Y
:.r
_N
(20% maximum lot coverage allowed) 1 set of Energy Calculafons for heated additions Tree Prey Plan Read _Y _N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pros Required -Y _N
I set of Energy Calculations Addition- indicate fonsde septic system On-site Septic System _Y _N.
3 copies of Tree Preservation Plan d lot platted after 711/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date 5 / / / 0% Construction Cost
Site Address 11051 5 h f V W o o of Wx?j Unit/Ste #
6a an mly SS/ 2,?
Description of WorRS?wlY/GiULf' ?eQ/gGe`7/?? ?t?laca?n?r
Multi-Family Bldg - Y - V Fireplace(s) _ 0 - 1 _ 2
Property Owner in all?'D rig Lam Telephone # ( ) /(oS/ - t{5 2-X37$
Contractor
La mocr-f xf
crl ?YS 1?,
? ?y o ti°p6
Address ?99 ?d fV, ra r ?Vr e 1_ ? City ?D j`t"(J
State PO JILL
Zo
Zip 5,S/3 Telephone # (&S)) (o q S- 3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25%a plan review
fee applies.
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.
bml U?n0j
elle??a?lneY
Applicant's Printed Name applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plea ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
- Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests _ Final
- Framing _ Siding _ Stucco - Stone - Brick
- Fireplace _ R.I. -Air Test Final Windows
- Insulation _
-
_ 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
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered she surveys showing sq. L of lot, sq. ft. of house; and pll roofed areas 2 copies of plan Ced of Survey Reed _ y _ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd -Y _ N.
2 copies of plan showing beam 8 window saes; poured found design, etc. 1 she survey for additions & decks Tree Pres Required _ Y - N
I set of Energy Calculations Addition- indicate Nonsile septic system On-site Septic System _Y_N
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date Lp / Iq / bto Construction Cost 5000
Site Address liar-)I 5 heryyOhr1 Unit/Ste #
Description of Work r e- 5 (d e.
Multi-Family Bldg
_
Y
[L N
Fireplace(s) Y 0 - 1 - 2
II
Property Owner J (VV1 II
(&+Dl'r0 cm Telephone # ( ) y5.2 - 3OZ
Contractor /Q _0Kk T1< !// J/'S
Address Z
7ib& N err/?leu3 City
?U?UII/e
?1
State M,U Zip 55113 Telephone # (j>SO(p9S- .31n
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #
Telephone #(
O/
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and`d6curate;
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.
Aa,d ? (a alLt? /).Belie yahWQ9,A?
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ FinaVC.O.
- Footings (deck) _ FinaVNo C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
- Framing _ Siding _ Stucco -Stone - Brick
- Fireplace _ R.I. _ Air Test -Final _ Windows
- Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1651 Sherwood Way
Lot: 4 Block: 2 Addition: Brittany 02nd
PID:10- 15001- 040 -02
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
Quesetions regarding electrical permit
952- 445 -2840
Chris Musta
21210 Eaton Ave
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Elec
Owner:
James R Latorraca
1651 Sherwood Way
Eagan MN 55122
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA087404
11/12/2008
ePermit
cal Inspector,
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1651 Sherwood Way
Lot: 4 Block: 2 Addition: Brittany 02nd
PID:10- 15001- 040 -02
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments:
Fee Summary:
Contractor:
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
Quesetions regarding electrical permit
445 -2840
Scott Lofgren
5708 Upper 147th St W #102
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Elec
Owner:
James R Latorraca
1651 Sherwood Way
Eagan MN 55122
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA089433
06/01/2009
ePermit
cal Inspector, (952)
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145965
Date Issued:10/02/2017
Permit Category:ePermit
Site Address: 1651 Sherwood Way
Lot:4 Block: 2 Addition: Brittany 2nd
PID:10-15001-02-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
James R Latorraca
1651 Sherwood Way
Eagan MN 55122
(651) 452-8328
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160984
Date Issued:04/28/2020
Permit Category:ePermit
Site Address: 1651 Sherwood Way
Lot:4 Block: 2 Addition: Brittany 2nd
PID:10-15001-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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 -
James R Latorraca
1651 Sherwood Way
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162762
Date Issued:07/28/2020
Permit Category:ePermit
Site Address: 1651 Sherwood Way
Lot:4 Block: 2 Addition: Brittany 2nd
PID:10-15001-02-040
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
James R Latorraca
1651 Sherwood Way
Eagan MN 55122
(763) 231-5465
Ralow's Roofing & Remodeling Inc
8609 Lyndale Ave S
Bloomington MN 55420
(952) 210-4988
Applicant/Permitee: Signature Issued By: Signature