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1661 Sherwood WayPERMIT City of Eagan Permit Type:Mechanical Permit Number:EA128233 Date Issued:10/31/2014 Permit Category:ePermit Site Address: 1661 Sherwood Way Lot:2 Block: 2 Addition: Brittany 2nd PID:10-15001-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Heather Winn 21210 Eaton Avenue Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Scott J Gira 1661 Sherwood Way Eagan MN 55122 (612) 965-0182 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 5512 DATE: ' Zoning: No. of Units: Owner. To11 f ?:.. -; t .s t Address: Sit* Address: 164?1 '?bs-rwood TJay 1.2 B2 Brittany 11 Plumber. I yrw to emply whir on Chy of 1""n Ordi"Now BY ` Dote of Insp.: Connection Charge: +25.00; 0 Account Deposit: 15. y Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot"iGrab Road P. O. Sex 21199 PERMIT NO.: Eagan, MN 55121 DATE: _ Zoning: No. of Units Tollef son B drs Owner: . Address: Site Address: 1661 Sherwood +,r'ay L' !'.2 Brittany II Plumber. ?enz- . Meter NNo.. -( S S C Charge: 'i Size: ?r ;°' u? t?ryNwt: ? - 1 5.00" l Reader No.:/ G k ee: 10.000d 1 Gene to evooply wkb if 7D t A-W . 50 yu 3' O;d TP ordaeeeee. ? j 1, sc. Charges: . Total: 63 •''Cp-- meter By Dote Paid: Date of Insp.: -- $ _ ?? Insp.: CITY OF EAGAN ERVICE W R PERM S ATE 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: _ No. of Units: Owner: Address: Site Address: ` Plumber. Motor No : Connection Charge: . Size: Account Deposit: Reader No.: Permit Fee: 1 agree to own* whh dw Chy of Laden Surcharge: onsom oee. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot - Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City 8. Building Type: Residential ? 9. Work Description: New 0 10. Describe 11. State Commercial ? Add ? Alter ? Zip Institutional ? Repair ? 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 1NSFEU ION REUUK1J CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date issued: (612) 681-4675 SITE ADDRESS: 1 f+ 1 ?? 1 1,148011 WAY ill? 1 1 1ANY -,Nil APPLICANT: HIP I i It 1 Ill, ;.'q.10 PERMIT SUBTYPE: TYPE OF WORK: ; I,A I R I ; I ::,,: ! 1*00f / S101414 11AMAki Permit Holder Date Telephone # 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 DOMESTIC METER 'IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ' CITY OF EAGAN ''? '? '? ?' ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # To be =W for Est. Value to , 0 G Date D L T( is 19 ` Site Address ' 6f;1 UtiF R( OOT.) Erect Occupancy Lot Block Sec/Sub.` ` Remodel ? Zoning Parcel No Repair ? Type of Const. . Addition ? No. Stories Name Move 11 li h ? D Length Address emo s t I r I ? Depth S F City Phone 4 . n mp Install ? q. t. ? Name Approvals Fees ZZ u? Address Assessment Permit i > City Phone Water b Sew. Surcharge - Police Plan Review I . 5r1 W Name Fire SAC ' 5 . (10 U(3 Address Eng. Water Conn. r) <W City Phone Planner Water Meter Council Road Unit i' 1 hereby acknowledge that 1 have read this application and state that Bldg. Off. - Tr. PI. the information is correct and agree to comply with all applicable APC P k State of Minnesota Statutes and City of Eagan Ordinances. ar s Var. Date ies Co Signature of Pe?mittes p A Building Permit Is issued to: ' Total on the express condition thoi all work shall be done in accordance with all applicable State of Minne sota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone Plumbing 5 Z r)(31,?-5 Y HNA.C. «/ I Electric xg Softener Inspection Date Insp. Other Footings 1 il) 0 Footings 11 Foundation Framing Roofing Rough Plbg. S 6 4d-4 Rough Htg. Insul. a Fireplace Final Htg. Final Plbg. i ` Final Cert/Occ. ?? S ??? Water Desaibe Location: Well Sewer Pr. Dlsp. Receipt PLUMBING PERMIT Permit No. . CITY OF EAGAN , Fee <Fill in numbered spaces S/C "?.7 Type or Print legibly Tot. 1. Date 2. Installation Cost ; 3. Job Address Lot <- Blk. Tract 4. Owner 5. Contractor ? .4,2f -r ,e, Phone 6. Address `/ / 7. City r State /J Zlp _ 1.-<- 8. Building Type: Residential- Commercial ? Institutional ? 9. 10. 11. Work Description: NevveV - Add ? Alter ? Repair ? Describe No, Fixtures Water Closet No. Fixtures Cesspool /Drainfield t_ Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other i 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 : C!. for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4545700 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill In numbered spaces S/C Type or Print legibly Tot. 1. Data L 2. Installation Cost I l 3. Job Address f ? Lot -81k. Tract 4. Owner 5. Contractor Phone 8. Address f 7. City State Zip - B. Building Type: Residential © Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. Type No. Egltinment BTU - M. Ea. Forced Air No. Equipment CFM Air Handling: Mfg. 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 : r for 11 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 2 elk 2 Parcel #10 15001 020 02 Owner r street 1661 Sherwood Way State Eagan, MN 55122 iiil Lt1 r`i 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 .?D 143.11 9,54 is /7 AP 0 3- • SEWER LATERAL 1982 -3830-10 66.02 5 - WATERMAIN • WATER LATERAL 1982 5 WATER AREA 1982 296.92 59.38 5 * Services 1982 5 STORM SEW TRK G, 1982 628.22 125.64 5 * STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT Rriad 11nit $280-00 56126 10/11-/95- WATER CONN. n n BUILDING PER. 11112 SAC PARK , BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 464-8100 To be used for SF DWG/GAR E, $94,000 N_ 11112 Receipt * n..._ OCTOBER 9 Site Address 1661 SHERWOOD WAY Lot 2 Block 2 sec/Sub. BRITTANY 2ND Parcel No. W Name TOLLEFSON BLDRS Address 1655 NORWOOD DR City EAGAN Phone 454-6873 4o Name _ Address City _ Phone CJ? Name iU? Address '< Fa City Phone I hereby acknowledge that I have read this application and state that the information is correct a agree to comply with oil applicable State of Minnesota Stotutlid a?d City of Eagass Ordinances.__/ Signature of Permiftee A Building Permit Is issued to: TOLL SON BLDRS 1 1. all work shall be done in accordance with off li Jsle State of Building Official ?t 4- 85 Erect M Occupancy R3 Remodel ? Zoning RI Repair ? Type of Const. V Addition ? No. Stories Move ? Length 44 Demolish ? Depth 44 Int Impr. ? Sq. Ft. Install ? Approvals Fees Assessment Permit $ 415.00 Water & Sew. Surcharge 47.00 Police Plan Review 207.50 Fire SAC 525-00 Eng. Water Conn. 500.00 Planner Water Meter 63.00 Council Road Unlt 280.00 BIdg.Off. 10/9/8 5 Tr. Pl. 132.00 APC Parka Var. Date Copies Total $2,169.50 on the express condition that 4ot Statutes and City of Eagan Ordinances. This request void 18 man the from 3*075R51 ?a "q-t-Icensed Electrical Contractor ? Owner I hereby request inspection of above electrical work installed at: Street d ress, Bo or Rou o. ZO Cit y * ecvon No. Township Name or No. Range No. -County Occ t (PRINT) P,ona No.,'? P0 we, Supplier Adtlross Ele rtcal Contractor (Company Name) Contractor's Licimn?o. Mail' g Addres (Contractor or Owner Making Installs I A uth a Signature (Contra tar ner Making la . all tiord P ne Numher MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midway Bldg. - Room N-191 1821 University Ave., St. Paul, MN 66104 Phone (612) 297-2111 re No: Hougn,, inspeci,a, 1 ? I d? V fleady Now.OJill Notify. Inspec- I Pe ire es ?No -?f When Ready [HIS INSPEU I IUN REOVESI WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 5 'See instructions for completing this form on beck of yellow copy. /(J/, X" Below Work Coveted by This Request t+Ad Rep. Type of Building A-ppliancee 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 Oihe, peci v the, Isoecifyl ttm SpepJy Other Olhe, omnute Inspection Fee Below 4 Fee S erv ice Entrance Size p Fee Faedets/Subfeedere # Fee Circuits 0 to200 Ams 0to 30 Amps Oto 30 Ams Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above i00 Aros Above 100_Amps Transformers Irrigation Booms C) Partial/Other Fee Signs Special Inspection C' ^ - ?? zZ TOTAL"PE Barrerks / Bough-in 01Q I, the\Eiectr ci al inspector, heroby certify that the above Final Data??l?? _f/9 ?,/1-? inspection has been made. Thlarepuest This request void j (u f' .? 7 G 18 months from l Q -fi? 594A 4r 2. ga, Request Date - ? / Fire No. Rn !Inspection ? ?Rea dy Now Will n Inspec- Wh f r J Ip?es ?NO or en Ready J9,Lic.ensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City action No. Township Name or No. Range No. County Occu r t WRINT) / Phone N. Powe Suppliers / ? Address EIe ical Contractor IC"' y Name) Contractor's I.icense o. Mailin ddrejSfi?fC ontrac or or Owner Makin Instailatio 75 rp,?? Au i e nature (Contrac orod9w nsta Lion) P N/u/m)bor MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST VGILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 56104 Phone 1612129]-2111 ENCLOSED. t:? -$-f 6 REQUEST FOR ELECTRICAL INSPECTION }t ' See instructions for completing this form on back of yellow copy. Q d "X" Below Work Covered by This Request 0 Ed-D0007-04 '7 •dd Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Futures Apt. Building Dryer Electric Hearin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pea y Other (Spnafy) t pr Succify ihor 01her Compute /nsoection fee Below q Fee Service Entrance Size U to 200 Am s Above 200 Amps. tr Fee .S Feedors/Subfoeders 0 to 3U Am [3537, 31 to 100 Amps p Fee Circuits 0 to 30 Amos 31 to 100 Amps Swimming Pool Above 100_Amps Above 100-Amps Transrormers Irrigation Booms Portia l,'Dther Fee Signs Special Inspection 5 TOTAL FE Remarks D 1" the Electrical Inspector. hereby certify that the above inspection has been This request void 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For: AFL) Valuation: 94,000) Date: QCMMF&Z,IQeS Site Address 1(6I 5..jA= 1A)& Lot Z Block - Z-Parcel/Sub 1UMNY 7tc) ADDI-rio ? Owner Tn?! ?GI?I glli(??G Address I L5-'S 11111 ? ??• City/Zip Code k6ALJ Phone 454- - 4A-0 Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Erect ,y Remodel Repair Addition Move Demolish Int.Impr. Install Occupancy Zoning Type of Const # of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer ' ' - Surcharge - Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Offlp-/,6-: Tyeatment Pl APC Parks Variance Copies TOTAL So Phone R 910??, ? -b? '??zi = b x?l Z?z ?-,7 -t ?z s = Z z ? jVz Z?z 21 ???? = bZ ??Z n bZ°1 BS x097 o(-?31Z1 = gSx 012 oZAtI 17 ?) 0 ?0 L II = b x??Z'= bl ?I Tollefson Builders Inc. JACKSON - SURVEYORS UNDER LAWS OF OTATR OF MINN{{OTA Scale: 1" 30' a Denotes Iron 3818 EAST 56th STREET, MINNEAPOLIS, MN 55417 727-3480 Oct. _ 1985 ,cDrainage 6 Utility Easevon SQtbt K6o ICtrHf alt Proposed Garage Floor Elev. -- o oo_ o -Existing Elev. / 6 0 6 / -are inages 'O .. \? '7f !1 s- ' 4d J `? \k / 0 0 5 ? a ? ?;;? n .? f. Ip •? hl y o \ J NI ,72 10 N I NLR{RY CERTIFY THAT TN{ ABOVE 19 A TRUE AND CORRECT PLAT OF A SURVEY OF Lot 2,Block 2,Brittany 2nd. Addition, Dakota County,Hinnesota. AS fURVLY[D BY M{ THIS 2nd. DAY ED ,/ F. C. JACKSON. Or. 11674 183-5 w ION. No. 9600 . --NALL ALOTI21-- Determining 11011 valuee at Roof, Well; 'Rim, and ouna. 111ook ROOF/OFiL,INQ (R VALUE 1.) Interior Air ri.lm o.61 2.) 5/811 Gyp. Bd. .56 30 Insulation 44 oo 11.1 5.) Exterior. Air Film .61 WILL) eUll = 1 /Ra . OZ I -TOTAL (R) = r1j r jil TI' (R) VALUE 6.) Interior Air Film o.68 7.) 1" Gyp. Bd. .115 8.) Insulation 17.00 9. ) ZS/Id7j1 $ull ?iTE 20 r 10. ldeaulAt to Siding . o 11.) Extorior Air Film .17 111111 a 1/Ra •oi-j TOTAL. (R)=L3.oj RIK (R) VALUE 12.) Interior Air Film o.68 !3.) Inundation !9x00 111.) 211 Fir 111111 Boiut 1.88 13.) Z?/Sr 11 Nox-r-ha5 Z.vq 16.) . Mauonite tlidiog .67 17.) Exterior Air Film .17 nun w . 1/11r 00 410 TOTAL (R)=z?Sitl r- I THIN1DATI2H VALUE 18.) Interior Air Film o.68 19.) 20.) 210 1211 Concrete Block 1.28 22.) 9ILIA IA/S(-PL-• $ 00 23.) Exterior Air Film .17 hull Y 1/Roo , 010 TOTAL (11)= r? EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION (To be submitted with building permit application) One or Two Family Dwelling All Other Contractor Owner -??Pf5nV1 Ou i Ueje?rs Site Address 1582 ShP??NMJ V4) e' I 31 Phone 7 LINEAL FEET OF EXPOSED WALL 6?6 fte above grade = Z,44k . j TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WILL COA'.STRUCTI01i: "U" Value x Area Detail T;vajL -- nUn 3 x sQ. reference null x SQ. from nU" ( ? x SQ. attached "U" x SQ. sheets nUn x SQ, nUu x SQ. WINDOWS: "U" Value x Area Make & Type l EAl 2= nUn x SQ. to to n1Jn x SQ. It of nUn x SQ. u to npn x SQ. DOORS: "U" Value x Area Mace & Tyne uUn x SQ. " it nun x SQ. 11 It nUu x sQ. It it nllu x SQ. TOTALS g?.G?h SQ. AVERAGE nUn TOTAL (U) (A) VALUES /•5¢.93 = DIVIDED BY TOTAL WALL AREA Z,4'4& (o(b AVERAGE "U" .115 or less for 1&2 family dwellings ROOF/CEILING: 9 TOTAL AREA: FT. U?_(U)(A) FT.(U)(A) FT. U) (A) FT. - ku) (it) FT. - (U)(A) FT. - (U) (A) '1 F L G FT'. - (U) (A) FT. - (U) (A) FT. _ (U) (A) FT. 4q.4 z: 4. (U) (A) (U)(A) FT. (U)(A) FT. - (U) (A) FT. /54.13 --(U) (A) Detail reference "U" 0721 x sq. FT. .6? (U)(A) from "U" x SQ. FT. (U)(A) attached sheets. nUu x SQ. FT. Z (U)(A) Describe openings "U" x SQ. FT. _ (U)(A) in roof. nUu x SQ. IT. _ (U)(A) TOTAL (U)(A) VALUES DIVIDED BY CUY-\ TOTAL ROOF/CEILING AREA 9??O + OZ AVERAGE "U" .025 for ventilated roofs. n &-=? LXP2?gD WALL, 9,tiD X ?L 4 364 08?68) 0,783 x (.It CONC • :, (?7 X C3g tag +3??3?F> ELM 040.66 _ Z,446•466 4 96.98 -? • 83 x ?(? rs2 r J r5z? 187.50 * 04 X6d = /0.00 Y-25 = 30.0 zD X3& X Z 4 X 36. - 6•? X,, 1 .r , ?. ? I. _____ Z - = Z I Ol) h' . ?u?r? = 9Z• oc? r 9/c?7v-- I?JaI ,44?. Gross ?. .. ? z 2r'M /8-7.50 ?r mops 9i• DU , . 7?1 .. 1. , . ..._ ?.? ,} ... III ,,7 4.. i.. r I a PERMIT CITY OF EAGAN /3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-15001-020-02 1661 SHERWOOD WAY LOT: 2 BLOCK: 2 BRITTANY 2ND PERMIT TYPE: BUILDING Permit Number: 0 3 2 9 3 0 Date Issued: 08/17/98 DESCRIPTION: REROOF/ Bu 'dA Permit Type 8j,11dinj 1 # k Type STORM DAMAGE STORM DAMAGE REPAIR 434 ALT. RESIDENTIAL me € Ono ^+ ?4«'war+a L 3 `°`: `" y"*yS? : ,4';,^ '("a` % P 4° $ awP^mµry? uSm ` weL` D?4 am Aa Sm REMARKS: FEE SUMMARY: AP C 17O?l ?NG _ RppAi18950040 20139140 D ER's JOAN 1444 CLIFF RD E 1661 SHERWOOD WAY BURNSVILLE MN 55337 EAGAN MN 55122 (612) 895-0040 (651)330-0486 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 g _ I -? Cz p New Construction Requirements Remodel/Repair Requirements I O ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? t energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: -Yes _ No DATE: CONSTRUCTION COST; Z V Dnn, 5z DESCRIPTION OF-WORK: 29 ?7 STRE. ?DDRESS: 11 OLD ! k LOT: ';l- BLOCK: SUBD./P.I.D. #: Name: ?DcLn Aid-GUIs Phone#: PROPERTY Last First OWNER Street Address: City i'-gpi 1 State: Zip: IZZ Company: 2 Phone #: )J % 4 b CONTRACTOR c )' , ?[ J Street Address: I(L qq P0 "a) License # Zip City bpyV?Ut F State: Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: - Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Penalty applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl 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 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SM Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MCNIIS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit % SAC SAC Units Cities Digital Quality 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. Tp . CITY I ISP nut v 1997 PLUMBING PERMIT (RI CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 DENTIAL) Please complete for.. ? single family dwellings ri vt ' , s . • townhomes and condos when permits are required for each and ? backflow preventer for underground sprinkler system FIXTURES EACH rb4. TOTAL': Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = lavatory 3.00 x 7777 Kitchen Sink 3.00 x , Laundry Tray 3.00 x = of Tu 3.00 x = Heater`` - 3.00 x = 3 Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener *for dwellings under construction 5.00 x = _ • '' Water Softener ' for existing dwenirg 20.00 x = U.G. Sprinkler 'for dwelling under const. 3.00 - U.G. Sprinkler • forexisting dwelling 20.00 Alterations ' to existing residence 20.00 Water Turn Around 20.00 ;• Private Disposal System ' Dek Cty tio. 75.00 A: (new and refurbished systems) Private Disposal Systems • Abandonment 20.00 STATE SURCHARGE 50 , ' TOTAL d - I hereby admowledge that I have read this application, state that the Irrformation is correct, and agree to comply with an appGeabla City .. of Eagan ordinances. it Is the applicenrs responsibllity to notify the property owner that the City of Eagan assumes no liability for any ..' {,. .: damages caused by the City during its normal operational and maintenance activities to the reenitles constructed under this permit within r :- ... . { City property/right-of-way/easel UELDHUIO-KROEZE JOHN i 4 )t SITE ADDRESS: 1661 SHERWOOD WRY j ERGFN NN 55121 t ;: y f?) OWNER NAME: HOB1-8569 W 330-0486 INSTALLER NAME: yQ a? PWM&AJ ? TELEPHONE #: $Z7 r ?r? 033 r " £ + 2 VE ' Z906 60261 R MU • SA11411t ON t. . STREET ADD ESS: STATE MPts C ZIP: -5640 P3 : . ITY: F S1 i * 0FPERMITTEE v,' I ,? 2/84 ? CITY OF EAGAN ) *V 11 l APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: ` / W u o2w?` I/6 - -O?o Oa (Lot/3icck/Subdivisicn or Tax Parcei I.D. :Amber) i E 15 _ :G ST -RUC=, DATE- OF CRIGP: AL EVIL '.'G =-_IIT ISSN:.= P=-=- -_-NrTVp.'RCPCSED U.SE: R-i SINGLE, Fa.a'?.Y ? P.-2 DIIP=E (1-mo UNITS) ? R-3 TU%NHCYJSE (TITRES + UIIITS) ( UDIITS) ? R-4 APARun T/cama.=ium ( IINITS) p CC1^ 1E °cIl aiRETAIL/CFFICE ? Ii.'DCSTRLAL p LIISTIT'TICNAL/GOVENnE?.T 2) APPLIC»7T (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PHONE: 3) P=L I= NAMME. GEN6* Ieb,Vc&.N'NN &H 113 CC ?I VA 5S[? ?t 1I VV FOR CITY USE ONLY /1 ADDRESS: 0#33ERT TRAII; PLUMBERS L 5 068 OSEMUUMI. MN CITY, STATE, ZIP: R Ex Ve,d - M8E l Q?9? PHONE:, PLUMBER LICENSE # / C? =79 ? t of Record a r r t n t t 1 a 4) OCC[JF'?NP/rJ7rIER NAME: (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PER IT IS BEING REQUESTED; X CCIv2NIECTION TO CITY SE.I?? CC..'UE CTION X. TO CITY WATER ? OTHER (PLEASE DESCRIBE) 6) L`JDICATE a:M: ? PL ;SE HOLD APPROVE'.) PEPMIT FOR PICK -UP BY ONE OF ABOVE PLEASE MAIL APPROV PEFZ:%IIT TC 1, 2,, a3 4 ABOVE (Circle one) 7) SIGNA=m: DATE: /? 7 M% WMii?R:=#i M!00 ??w[r+tt.-fa:a :ll/11{ofsi:ii:i:ss?[1!f?:r?-mssi S!!4?i;.efte F O R C I T Y U S E O N L Y PERMIT = ISSUED FEES: $ /?J.j G SEiiER nrP tIT (I_ICL Dn SURCHARG7-i $ WATER PERMIT (INCLUDE SURCHARGE) $ 30o WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER .^.P ACCOUNT DEPOSIT - SE:,?ER $ i.S D G ACCOUNT DEPOSIT - WATER $ ?'O y WAC $ SAC $ TRUNK WATER ASSESSZIENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SES•iER $ LATERAL BENEFIT/TRUNK (WAATER $7-7 OTHER $ TOTAL $ AMOUNT PAID/RECEIPT J5r261 ? DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE 0 NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: y6 06 fry??.? swR?N* itiiMR=iM10 00 i00 w}Nwl4WRMM40 JON 4W rgWINWM}*6"rwta/!40 Rwin m. ---------------- I ? I Permit #: I Permit Fee: - / 35 •• /? Date Received: 3 I C I I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION n Date: Site Address: Tenant: Suite M RESIDENT) OWNER Name: Phone: Address/ CRY/ Zip: /W/ ???? Applicant is: Owner k Contractor TYPE OF WORK i) [ Cl( Si?'iY/j Pe? e/ // Description of work: 7$ ' ? Construction Cost: ?u Mufti-Family Building: (Yes No Li # CONTRACTOR cense : Name: ???? Address: ? SSUF6 Zi : State:--4, Cit G?Ue ? p / y // / (? / _ Phone: -&/ /?(t _ Gr6'% //p Contact Person: f./.1f??2. / 7 ?Z?/7([YVl,fg'l COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting-documents that you submit are considered to be public information. Portions of , the information may be classified as non-public-if you provide specific reasons that would permit the City to conclude that they aretiade secrets 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 pl s. X ?/le /7U7LhQFGr( ` Applicant's Printed Name Applicant's Signature Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1661 Sherwood Way Lot: 2 Block: 2 Addition: Brittany 02nd PID:10- 15001- 020 -02 Use: Description: Sub Type: Work Type: Description: Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Glowing Hearth and Home 100 Eldorado Dr. Jordan MN 55352 (952) 492 -9276 e- Fireplace Gas Fireplace (new) Total: Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: Permit closed without required inspection(s). Letter sent to applicant on 4/17/09. (pf) Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - $88.50 0801.4085 $1.50 9001.2195 $90.00 Owner: Scott J Gira 1661 Sherwood Way Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 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 Building EA086686 10/07/2008 ePermit 01/18/2011 11:49 6514332095 4100•City ofl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 875-5675 Fax: (651) 6756694 DADS:PLUMBING PAGE 01 Use BLUE or BLACK Mk 1 L 11111111111111111111 Fennel S. Permit Fee: Date Received: Stet 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Data: f,/t $725 t 1 site Address: 1 G 61 5 4Nekr La, a 0 d c, Tenant: 2011 Suint +t: RESIDENT /OWNER CONTRACTOR Name: •SGo' '- _G- i ' Phone: 651— I/5 Lj - g 04 0 Address / City / Zip: 16 6 t 6 Vveskr Hca a ad. Name: , �1 uv �o 4 i Ph l ' C.ense : 5 9211.. P Address: I LI W (5i es) flrMl In i t t scat , t4 O. SCAN, ck �1 City: state:C`�"1 �*i. Zip: 5 5-0-7 3 phone: '. / - ti 3 3 - ? 5— Contact trtfl •! SVN.eletetok.A1A Ems: TYPE OF WORK PERMIT TYPE New Replacement Repair Rebuild XModiy Space Work in R.O.W. Description of work: ZyKn \G-\\ c-\- - Zr- RESIDENTIAL Water Heater Lawn Irrigation ( RPZ /PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures L_ Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $55.00 Mipigium Water Heater, Water Softener, or Water Heater and Softener (includes $6.00 State urcharge) 835.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abancignrnocit, Water Turnaround* (i *Water Turnaround (add $166.00 if a 5/r meter is required) $105.00 Septic System Jy ($10.00 per as built) (includes County fes and $5.00 Sta $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5,00 Sta odes $5.00 State Surcharge) ate R -Se crit Surcharge) CVs.v 'c.A Surcharge) TOTAL FEES $ (Alk BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection again . - •• mund utility dame Call 48 hours before you intend to dip to receive locates of underground utilities. www.aoohecateteeonecalLorg I hereby acknowledge that this Eagan; that I understand this accordance with the a x Applicant's Printed ,T m, information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of n . J s permit, but only an application for a permit, and work Is not to start without s permit; thet the work will be in the case of work which requires a review and approval of plans. L , V' C e S=' S . trwvh'w'ti. Applicant's Signature y4.iz,;rC;' , T n I VED (41/ / For Office Use )`/O''' '_k ,%„ '.4. of ,O. E jekG A4,, ' f a, 3L 1 t 8 ZO1Q� „ 0 , Permit#: �� �� .,.„„„ N :_._ Permit Fee' 19----)'‘,L/ Date Received: t`• -• 1V'ES 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections ancitvofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ti('6 Site Address: ((P!o ) 4. r t-ki :: --fir „,i)a V Unit# ( Name: 5re_0-�}.- 3 L t c d_ &I rc— Phone: �.P(� " U eat-/2. d Resident/ 1r 11 /ry r I Owner I Address/City/Zip: b \ ? N c-J W t✓ V/� t���G v1 � S I Z ) i ( Applicant is: Owner K Contractor Type of Work Description of work: �,v���c. f i 1 til i Construction Cost q14) <-- 0 Multi-Family Building: (Yes /No,:l< i �..�., ..�.. � ...r `..,��.� Company:5_-2.5)\?�A- Cr `-'54' -r`-pq Contact: ( , r� i Contractor Address: I t'' `G( Cfr 4 t.C1 City: � `�+ Stater)-1 Zip: cc ,Q Phone:(.fa' 'Zi(D..u33(9 Email: bre v- �. Vdkjt avL..CL • . _ . License#:'VC (3 0 6 t� Lead Certificate#: � '' ri ��d I �If the project is exempt from lead certification, please explain why: l -\ I I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING l In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? i Yes No If yes, date and address of master plan: Licensed Plumber: Phone: I Mechanical Contractor: Phone: I Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-.ublic if ou provide s•ecific reasons that would•ermit the Cit to conclude that they!are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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 conf: -- ,'th 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 .t to start wi .. •ermit; that the work will be in accordance with the appr. -. elan in the case of work which requires a review and-•• • - •f•I-• r A x - ;� i- ter� x "I -` J /6 ,.,./ _. --;726-/zz,Or)(:)1gqi /1-:---;-„-- - ., s DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) )C Single Family Garage _ Porch (4-Season) — Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration / _ Fire Repair Windows _ Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building–give PCA handout to applicant DESCRIPTION Valuation \6O a(" Occupancy MCES System Plan Review Code Edition r1v,04/ SAC Units (25%_100%� ) Zoning .___ City Water Census Code Stories /_, Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction , Width REQUIRED INSPECTIONS '`' Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/ No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof: Ice &Water f Final Framing 30 Minutes /'.. 1 Hour Pool: _Footings Air/Gas Tests _Final Drain Tile Fireplace: _Rough In _Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced WallsErosion Control ic Shower Pan n Other: Reviewed By: Lam- , Building Inspector RESIDENTIAL FEES Base Fee , . 146‘ 1.' Surcharge (M16T\ iT Plan Review ( P. MCES SAC City SAC Utility Connection Charge 1 w S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 i i m o For Office Use ': °« :. -I ::::::' o? 1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: / 21 1. (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56940 Email: buildinginspectionsacitvofeaaan.com Staff: U m Commercial Plan Submittal: eplans(c citvofeagan.com L 2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date:!'2-/ Site Address: /lO 61 5 -e-d dodo( (No i! / Tenant: Suite#: ra Art st/ �,ti � Name: Phone: ReS1E�@tt11Vf. -- -s`,, , , ,,_ Address/City/Zip: 0320i /C £ -; ��� , � � „ Name: �� ��u'�Sah �4�. License#: � C/47 j3 :n t * , Addres : 0 14 tra Z (Y7 City:: �l br4r�t//o ,,,,,,,,,v,,,,,..%421,40, ,I d State: 114/'Vr Zip: .',CJG Z Phone: ' l7 - rZ /�l -© a fig irk k " ` .°° 4�: -. , ,3- Contact: 4a At Email: a, /4.1-r/..."-g.1„,, Atc4a..r•ca l P /...0.LA„,.,a 3:7t- RESIDENTIAL Furnace 7,-',, X Air Conditioner Permit y k ....:::,,, ,,':""q,•:',7,-„7-y,;-;,,r7,, _Air Exchanger aif, 4;m f _Heat Pump , ,1 ! _Other �' :,",'„'''7,4';''::71,Z,,,1,-7,!.,.. (l SI�iU)h"f@ , �" �" New Replacement Additionaleration Demolition — TYP .': ,, Description of work: -77 ' .'l.a. g �3�‘ i �� 6 /f/k FliIA.ac t A-c_ RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New,includes State Surcharge =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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 ""h 0-1 x A.,,, Applicant's Printed Name Applrca' s Signature FOR O`FF E" USE 's „"" Require , r 1,-; ,,� �, ., k 5; ; m „� mowed Bye Coate Under' r , - a-- - A T Gas Service"Fest :1n-floor`HeatFinal, , For Office Use R ; ; JJ � (e � RR a �"r° Permit#: �J EAGAN •" �'' Permit Fee: (p 0 • 00 Date Received: /420 19 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: 75- 30 buildinoinspectionsacitvofeagan.com L 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 6 2—`y Site Address: /( 6/ 't' ftAlcbot 1,0Q), Tenant: Suite#: 1ne Name: Phone: ReSickifitiA Address/City/Zip: 4"140110. - W Name:ITLicense#: ° E p /P'�`tece iCCJ Address: �d !rS�C Z L�7 City: f rol batt' x.434 -a� d� I, q-7"-4.4,-4,1-41010 '' 14 State: AA(11 Zip: -'S.36 2-- Phone: lZ-7/940 �u 6 --r/f J ci Jt;i Contact: 5.::,"55,4;14,0;'f,,111 a�'1 Email: �-/ z ' New Replacement —Repair Rebuild —Modify Space Work in R.O.W. Type rr 4 — — — Description of work: !e-eB OdretViL RESIDENTIAL = Tgt-7, Water Heater 6 e,4 m"�w Lawn Irrigation( RPZ/—PVB) Water Softener 'e it Ty x Septic System Add Plumbing Fixtures( Main/—Lower Level) W' New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) `Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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.aooherstateonecall.ora You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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 in accordance with the approved plan in the case of work which requires a review and approval of dans. Applicant's Printed Name Appi ca is Signature Pi=� �� Date 91: '1:74 .a i 9 � Fib -- ;" a a I' s�* Required Inspeottos der r rnd Rout h-Ift Air Test Gas Test ,� �Final" �� �.✓�6a��"ro� „rat � �' 1P.? a - Meter Rei e:. MeterSi2e „ eddt�lead° ;Manometer staff;�.