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1664 Sherwood WayCITY OF FAGAN - SEWER SERVICE PERMIT 3795 Pilot Keob Road Bageh, MN 55122 PERMIT NO.: Zoning: DATE: Owner. To,znson No. ofgits: Address: Site Adds aerw?c Plumber: GPM: I agree lb OOM* With lie City of Eagen Ordinances. By Date of Insp.: Connection Charge: 425.00 Account Deposit: Permit Fee: Surcharge: Misc. Chatnes: Total: Date Paid: CITY OF FAGAN 3795 Pilot ICn4 Ro d WATER SERVIC a E090n, MN 55122 Z E PERMIT PERMIT NO.: oning; O DATE: wner: Ad No, of Units: dress: , Site Address: P lumber: Meter No ,. , , 7 Size: ' Reader N Connection Charge: co l Account Deposit: P P y with the CitY of Eagan Ordiwance ermit Fee: ? Surcharge; By Misc. Charges: Dote of I Total: - nsp,; Date Paid: Insp.. CITY OF 7795 POO Knob Reed BUILDING PERMIT Site Address Lot Block Sec/Sub. Parcel * cc Name W Address Nome fo ou Address 01 t- r;a.. eL___ I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to: all work shall be done in accordance Building Official Erect ? Occupancy Alter ? Zoning Repair Q Fire Zone Enlarge ? Type of Const. Move ? * Stories Demolish ? Length Grade ? Depth Sq. Ft. Appr ovals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge _ Plan check SAC Water Conr Water Mete Rood Unit Total on the express condition that State of Minnesota Statutes and City of Eagan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing Wall Water Disp. Sewer Electric 1. q?(o Sl ?YC1 /L?C E ?IEC? (2 ?!3-Fsz. Inspection Date Insp. Othe r Footings ?O bp Foundation Framing Rough Plbg. Rough HVA Insulation ? i .. ~ Final Plbg . Final HVAC ? ' . Final r Water ~ d Well Server Pr. Disp. Tertifirott of (Orrupaury Citp of (Eagan Frpurtmmt of BuiOWU AuWPrtinu This Or i ficatt issued pursuant to the requirements of Section 306 of the Uni form Building Code certifying that at the timr of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: um crwauum SF UX/CSR Blue. temut N.. #7607 u3 V NA RT- cbnst. Date: 12-10-82 KI" M A COMWICOOUI RAC[ .8. LI MOw U.S.A. Receipt MECHANICAL PERMIT Permit No. j CITY OF EAGAN Fee Fill in numbered spaces SIC Type or Prini legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot_Blk. Tract 4. Owner 5. Contractor Phone l 6. Address 7. City State Zip 8. Building Type: Residential O Commercial ? Institutional O 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe Fuel Type 11 No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg, g Boilers Mfg. Mech. Exhaust Unit Heater Mtg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 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 it L4 Lot 4 Blk. Tract 4. Owner 5. Contractor -? Phone 6. Address 7. City State Zip 8. Building Type: Residential C1. 9. Work Description: New O Commercial ? Institutional ? Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner _ Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets E 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 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: ! ?? + f 1 ?i F APPLICANT: icls 1 I t F;td ? tJf? t ?• 1 . 1 X14'. ?y41b,# PERM ITPUPTYPE: TYPE OF WORK: V? N%1;N1 /'lit I H At. IUP AI ION i s I'A 11 0 DOORS INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. ?ifkr;tl k ?•t !3I ?, i ? fVrtl F- L J Permlt No. Permit Holder Date Telephone # Sm PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings i Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ DOLLARS loo CASH ? CHECK White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BY CITY OF EAGAN Remarks Addition_ Brittany 2nd Addition Lot 4 Rik -1 Owner p? :" Street 1664 Sherwood Way MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1982 2013.03 402.61 5 12-07.81 A011720 -1-2-15-82 STREET RESTOR. GRADING (D 9 596.22 119.24 4 A011720 12-15-82 SAN SEW TRUNK 0 1976 43,1 66-79 A011720 12-1 -82 *SEWER LATERAL 1982 $ 0 10 766.02 5 2298.o6 it of WATERMAIN *WATER LATERAL 1982 5 WATER AREA ,;? 1982 296.92 59.38 5 -178-16 A011720 12-15-82 * Services 1982 5 STORM SEW TRK t 1982 628.22 125.64 5 6. 4 A011 20 12-1 -82 *STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT ROAD TINIT 244, - - WATER CONN. 420.00 if ?r BUILDING PER. SAC 525.00 PARK CITY OF EAGAN 3795 Pilot Knob Road Fagan, MN $S121 NO 7607 PHONE: 454-8100 - BUILDING PERMIT Receipt # ??7 To be used for SF DWG/GAR Est. Value $97,000 Date 11_-2_ 19 B2 Site Address 1664 Shenmod Way Lot 4 Block 1 Sec/Sub. Brittany 2nd Parcel # 10-15001-040-01 W Name m- W- ,Tohnszon Con-t-mic+ion Address P. O. BOX 130 Zg VSn r Name - Address Nome - Address I hereby acknowledge that I hove read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: all work shall be done in accordance Building Official A all Erect Occupancy R3 Alter ? Zoning R1 Repair ? Fire Zone 13A Enlarge ? Type of Const. V Move ? # Stories Demolish ? Length 74 Grade ? Depth 36 Sq. Ft.- Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 10-22-82 APC Permit '3GS.UV Surcharge 48.50 Plan check 212.00 SAC 525.00 Water Conn420.00 Water Meter 60.00 Road Unit 240.00 . Total 1,929-50 on the express condition that State of Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For W >L0 ?a valuation 77 Date 4-a/- Fs Site Address: / d , GI(o(n4) OFFICE USE ONLY Lot 4 Parcel #: Owner: Address city/zip Phone # Contracto. Address city/zip Phone # Block Sec./Sub. Erect x Occupancy to (Sob( 6q6 pT Alter Zoning A?1 Repair Fire Zone Enlarge Type of Const. Arch./Eng.: Address: Move # Stories -? Demolish _ Front ft. Grade Depth 36 ft. APPROVALS FEES Assessments Water/Sewer Police Fire Eng. Planner _ Council Bldg. Off. 1?s _2 _frf/ APC City/Zip Code: Phone #: _ TOTAL ?? 9 7 9 ?- ?O Z Ti - r7i Permit Surcharge 4 R sti Plan Check / ? a SAC S Water Conn.-yam„ Water Meter / p Road Unit ?y?? This request void (7- 16 i,b 1 q 73l I F t 'j?QK? J 3 1Sr6.59 L (Oq tso RequGe((egi(te © Fire No. Rey h'y? ns pection ?ReatlyNow Will Notify Inspec- 6 Yes QNOtor When Ready ensed Electrical Contractor 1 hereby request inspection of above Owner electrical work installed at: Street Address. Be. or Route No. /G G 5` Sn C/<e'cocw 4d"4 City n 4-- Section o. Township Name or No. Ran No. Counly dd ?RO(? Occupant (PRINT) Phone No. M. w r_4oh Power Supplier J ? Address Electrical Contractor Il:Ompa ny Name) ` Contractor's License No. ai inB Address (COntractovr Owner Making Installation) " V7J /"?iG~ ?• o ractor/Owner Making Installation) i gg nature Authadd S Phone Number Z , MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT 821 University Bldg. Room MI - BE ACCEPTED BY THE STATE BOARD 1 1821 University Ave., St. Paul, , MN 55104 UNLESS PROPER INSPECTION FEE IS Pnonn 16121297-2111 '. ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 / See instructions for completing this form on beck of yellow copy V148659 "X*' Bej&v Wor, Covered by This Request 3 3 4 S N Add Nip. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service i Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm they (Specify) Other Isper:ifyl t ar Specify) Other Other COMDUte inspection Fee Below. q Fee Service Entrance Size q Fee Feeders/SuMeeders p Fee Circuits 0 to 100 Amps 0 tds30 Amps / 7 0 0 to 30 Amps ULOV 101 to 200 Amps 3.1 to 100 Amps 5" ce, 31 to 100 Am L Above 200 Amps Above 100-Amps Above 100 _Amps Transformers Remote Control C. rc. Partial/Other Fee Signs Special Inspection $ TAL F Rena rks ?f Je 'r F Rough-in ) ^ i Date I" el ctor, hereby certify that t".1, e above Final 1 ^;t ` 4 e /f action has been r /mar t.11 This repuest void 18 months from 33826 ld ?sQ Request D to ^ Fire No, ^ I equi - n Inspection RequiretlP / ?Raetly Now C Will Notify inspector When Read ? I '-u Yaa C?jo y I li d t t h b 7 i l ti f b Con rac or owner cense ere y request nspec on o a ove e e Job Atldre ss (Str I Box or Routs No 11``//22//11 (0 .J r11fT?•/`r-/1`iA-/l w.lJ Zlb Sedtori Township Name or No. Range No. Cou Occup IIP INTT j Phan No. 7, Power Supplier Atldress Electrical Conlector (Company Name, Contractor's License No Harrison Electric Inc. 421867 Mailing Address (Contractor or Owner Making Installati0n) 2525 Nevada Ave. No. Golden Valley Mn 55427 Aulhonzetl Slyrla! ?e ICOnvaclonOwner Making InstallatOn, y Phone Number O 544-3300 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT d 1' - Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD /3I& 1821 University Ave., SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 1612, 632-0800 ENCLOSED. /Ao/ _ REQUEST FOR ELECTRICAL INSPECTION See'nstruat,ons for completing We form on hack 01 yellow copy. R A 2 fl X" Below Work Covered by This Request ES-00001-08 t low 'y4. &n.ar ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating • Apt. Building Dryer Other (Specify) Comm./fndustriaf trace Farm Air Conditioner Other (specify) Contractor's Remarks' 37 -f Compute Inspection Fee Below: )p A Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Abo Amps Signs inspectors use only OTAA Irrigation Booms rr Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISC NNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO I, the Electrical Inspector, hereby Rough-m Dat certify that the above inspection has been made. Final rate OFFICE USE ONLY \ This request void 18 months from \ CERTIFICATE OF SURVEY I hereby certify that this is a correct representation of a survey oft Lot 4, Block 1, Brittany 2nd Addition, Dakota County, Minnesota, according to the plat thereof on file and of record. and that I am a duly registered land surveyor under the laws of the State of Minnesota. s,s slt w000 9q,1 /? /'tea R : 5p8 84 03 O. Gene L. Jacobson, Surveyor o Minn. Reg. No. 773 Dated this 20th day of Oct., 1982 Elevations shown are existing grades and are assumed datum. N / 2 b M 41 1 a M ire ry; \ / N ro ou4 HOUSf wa y 0 PROPOSED OgRgC 10 2 'OC4 rION I a a/ p C0T 4 BIOCk DRq"N4Gf 6 & '? r2irr ? \ fgsfMfNl c S ssoD'O0, \\ OO'30M 20 DR. BY GLJ I SCALE - I"= 30' I 0 DENOTES IRON MON Prepared fort M. W. Johnson Constr. P. 0. Box 130 Farmington, Minn. 55024 N Ol P w n A h O l7 2 BEARINGS ARE ASSUMED DATUM. JACOBSON SURVEYORS LAKEVILLE, MINN. 55044 PHONE 469-4328 88 - 73 PHILLIPS PLAN SERVICE PHILLIPS PLAN SERVICE T EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION -' tL I Z-139 R OWNER s OWNER ADDRESS CONTRACTOR 1.1N.B01414 SW4 DATE 1.0-Z1-87-PHONE Determine working square footage of each. 1. Total exposed wall area ...... 23Lt .9 L. sq. ft. X .1 S `1? 9• 2. Total roof/ceiling area .... P70 sq. ft. x .04 O. Total exposed wall area above floor = I4Q3.Lo a. Total wall window area ..................:........ 7-35.Lo b. Total door area ................................. 38 e. Total sliding glass'door area .................... 44 d.- Total fireplace wall area....... ... e. Total wall framing area (average 10%)............. to Z. f. Total net wall area above floor ................. /4L05.L g. Total rim joist area ............................ ZOO Total exposed foundation area = IZa •310 h. Total foundation window area .................... q-45 y i. Toal net foundation area above grade ............ 1 .q Determine "U" value of each wall segment. a. Z35.L0 x "u" , 55 = IZ9.? b. 38 x Hu,. . 139 = 5.28 c. 414 X „U„ .S = 2L d. q 8 X "U" .34 = 19.28 e._ IIOZ.$ X "U" .13 = Z1.ILo f. Jy Los. 7- X „U„ . 0 g ZOO X ,.U„ O57 h. 4.qS X "U'. , SS = S.I _ i. 119A I X "u" . qU = SL0.23 3......................Z3ZZ:?11,0 .....Total = Lo If item 3 is the same as, or less than item fl, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = 17 7 0 Total gross roof/ceiling area = 1 7 ? 0 :. j. Total skylight area .. ........... '? k. Total roof/ceiling framing area ........ q- 1. Total net insulated roof/ceiling area... __LS c 3 Determine "U" value for each roof/ceiling segment. k. t?? X 035 = Hull L6. 1. 1593 X „u" ,03 = '17.7 4...... ..........L? ?.Q..........Total s if total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(01. . To utilized the total envelope system method, the values. established by the sum of items #3 and 14 shall not be greater than the sum of items 01 and #2. l + 2. _ 3 MATERIALS, Exterior Air Siding Material Sheathing Insulation - SheetroCk Interior Air Studs Rim Conc. Ms. + 4. _ Therm. Resistance "R" .45 I P3 775- . We 4.39 1. Z8 ?CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT CC? /? ?7 BUILDING / 023139 04/06/94 SITE ADDRESS: P.I.N.: 10-15001-040-01 DESCRIPTION: DOORS) SF (MISC.) ALTERATION r REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee 1664 SHERWOOD WAY LOT: 4 BLOCK: 1 BRITTANY 2NO VALUATION PERMIT TYPE: Permit Number: Date Issued: $4,000 $63.00 $2.00 $65.00 K AT"CITM I N C, T- 6424 CONROY ST PRIOR LAKE NN (612) 445-0004 Hppilcanz - JI. LIU. ?MIR: M 14450004 0003830 ?MI R: NE 664 SHERWOOD WAY 55372 AGAN MN 55122 (612)454-3953 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L J A^- (v) ? APPLICANTlPERMITEE SIGNATURE ISSUED BY: SIG A UR II (3 PATIO Buildlhg- Permit Type B,uildinq 'Wo,rk Type INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 023139 Eagan, Minnesota 55123 Date Issued: 04/06/94 (612) 681-4675 SITE ADDRESS: LOT: 4 B L O C K : 1 APPLICANT: 1664 SHERW00D WAY KEARNEY CONST INC, T N BRITTANY 2ND (612) 445-0004 PEAMITAYPTYPE: TYPE OF WORK: DESCRIPTION ALTERATION (3 PATIO DOORS) INSPECTION TYPE FRAMING DDATE INSPTR. INSPECTION ROUGH IN PLBG DATE INSPTR. ROUGH IN HTG FINAL F- 33U4 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 r? ' ti; I v - 1, Z.011 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 2uA / ab / -7,1 Valuation of work 4 0.?'o Site Address: Ho" s;(mwaca w4Y STREET SUITE # Tenant Name: (commercial only) LOT BLOCK _L SUBD. rI? P.I.D. # mow, p Description of work: ie£r«wE 3 Pao ooaa2s Awe o448iweq unY?- Ivex'; (p?w'lblvraP The applicant is: ? Owner ® Contractor ? Other (Describe) Name 14EKyhEV. Jok. Phone ySY-34S3 Property LAST FIRST Owner Address r(D(o4 sH15)2uo0c> ww" STREET STE # City 0orroA%) State YKAJ Zip s1-1ZZ- Company 1-?n• 490, El Cwr?- 3:k Phone 4yJ_-000'f Contractor Address Lwz(4 Ccc+PPcY sr License # 0003$ Exp. 3hllgy Ne+? `?` - Iaro?^D Forz City _PP LVz L' kY155 State W% Zip SS3-) L 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 with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ??- ?- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch 0 05 SF Misc. WORK TYPE ? 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l. 1h-5 14.// ,® 33 Alterations ? 34 Repair ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck 3 pe_i d Aoirs ? 35 Tenant Finish ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # 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 JO Final ER Framing ? Draintile ? Insulation ? 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: Valuation: $ "t0 0O ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water - PRV Required Booster Pump Fire Sprinkler Census Code / SAC Code Census Bldg i Census Unit --- (T-- Assessments SAC % SAC Units CITY OF EAGAN 3830 PILOT KNOB ROAD j #?,Sr d???°'1!P EAGAP, MN 55122 PHO??NE (612) 454-8100 w*w; w. FOR CITY USE ONLY PERMIT # RECEIPT # O 3 DATE: .5 9/ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS S, TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ADD ON ? jtm REPAIR ?• OWNER NAME: Q pAn Ne?nnin SITE ADDRESS:- IloG?/_ c?/1eru?riod?ry/7T LOT: BLOCK SUBD. + (?' INSTALLER: sF:nc.wltcx HEATING 8 AIR CONDITIONING CO. ADDRESS: 8910 WENTWORTH AVE. SO. 155420 milfflEA 581.9000 CITY PHONE # ZIP: FEES ADD-ON MINIMUM 5.00 HVAC 0-100 M. BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ STATE SURCHARGE: .50 TOTAL: $ $, sp SIGNATURE OF PERMITTEE17 s.,u125rEftCaAL/TNFiUaTR_kAL_ PLEASE CUMPLETE THIS PORTION FOR ALL COMMERCIAL/ INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN U U S 3830 PILOT KNOB RD - 55122 q 651-681-1675 3 3 ( f 9 New Construction Requirements # 3 registered site surveys showing sq. It of lot sq. & of house and all roofed areas (20% maximum lot coverage allowed) # 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) # 1 set of energy calculations # 3 copies of tree preservation plan if lot platted after 711/93 DATE: 3 -3 0 DESCRIPTION OF WORK: /L°/9rpFF "-e'-a0 STREET ADDRESS: Gv/q Remodel/Repair Requirements # 2 copies of plan # 1 set of energy calculations for heated additions # 1 site survey for exterior additions & decks CONSTRUCTION COST: 02 o O C. ?9 f ?4-- fXGti V\'tio LOT: BLOCK: I SUBD./P.I.D. #: Name: .1 / A /)Gr" ` O1 1 Phone #: ??' gGIJ PROPERTY iasr Fiat OWNER ??? S1i e/ GI/'9 t/ Sheet Address: City /_ '9 ?h State: /22 Zip: °?- Company: 14yllj?i,r c ,,),j ? - _ Phon # 6 K 3 CONTRACTOR Street Address: 3 3 tJ (V, tense # ( 0) / 7 Exp. 9 City C f L( S 44 ? State: Zip: ARCHITECT/ ENGINEER Street City Phone #: Registration #: _ State: Zip: Sewer & water licensed plumber (required for new construction oniv): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received - Yes No Tree Preservation Plan Received Yes No Not Required i I 'i 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 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 S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units Valuation: % SAC Oct 29 07 07'.;// J.R. 6127225107 6127225107 p.1 ?a 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 38M Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consouctim Requirements 3 regisferetl site suveys showeig sq, it of lot. sq. fl of house; and all roofed areas (2001.maxlmrm lot coverage allowed) t Solis Report If proposed bwIdN is tabs placed an dlstuted sail 2 copies of plan showing beam & wandow saes; poured found Astgn. ate. 1 setorEneWCakulalWna: 3 copies of Tree Proms rvadon Pin if Wt platted after 711M Rim Joist Date! Op fors selection sheet (buildings with 3 or less units) 1,7nnegasoo mechanical venbWan farm Remodeldteoalr Requirements; Oft Use Only 2 copes of plan sho.Mrg fobirgs, beams, joists Cad ofSmay Read Y -W 1 set of Energy Calalatlaa for healed additions Stile Report Y _N I a% survey furaddtlons& decks Tree Pray Plan Recd IF _N Addition -hWala ifon-arse sepUcsymm Tree Pres Required -Y -N On-site Septic System _Y _N ?,runs i::'.: ^eGs l:' :I.':--^3 U -D'ibli '.rr C?."? aa4i o n un' s vo a ?t' z thcmcy a ' c-;.1? 3aC?ia4 crarJ' 2'i"•E rnpnn n Date 10 _ 1 Z\ 1 5,`7 Site Address l'(Arz`l i .L Construction Cost `13K2W t? 11C'J]r? ZJ.3Wt.? ?ttG t'?A? -? Uuf.VSte # Description of Work tKa,nrrU 2= iA v ncrl~ on Y,A,j- e, 5 ? p C,rA ( \ Multi-Family Bldg _ Y )( N Fireplace(s) 1 - 2 Property Owner hruC c Mhi-S t"er\6 Telephone #(Lell Cootractor ?k W - Address ' , State _ XY\J.? Ei%12_ City MfaU;;' Zip '5s"ky1 Telephone # ((Qhz) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 (V su En Code Category . Residential Ventilation Category I Worksheel New Energy Code Worksheet (J Submission type) Submitted Submitted • 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? Y _ N If yes, dole and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor apply for a Permit and Telephone #( Telephone #( Telephone #( J that rate information is complete and aceurab that the work will be in conformance -Mth the ordinances and codes Qf the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pe d work is not to start without a permit; that the work will be in accordance with the approved plan in the of rk which reuires a review and approval of plans. Applicant's Printed Name Alidtilicant's Sien ture Date: City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION 4- Ib Site Address: Tenant: bfiVitO I LINDA DEP-IoLG, f ((2 4 5H>ckwa t/J 4Y Suite #: RESIDENT / OWNER Name: LAUib (b L.IAIoa Phone: 61,l 90Y 9017 Address/city/zip: / 51-16k tV kM "l li'"` 4110 i Iv ) " 11A - Applicant is: Owner Contractor TYPE OF WORK CONTRACTOR Description of work: g6MaVIk A91411?baa-A lit ltt5rgoM goliabbfite ixt- t kv5i ft LLI h11, °' tl . N-0NnxS`1gfL SV 1 % (oi t. i 11,1119 ir-fi Construction Cost: 3, 0D, of Multi -Family Building: (Yes / No ,/ ) Name: URL -6/ Mel gio C illiu61 jt � License#: 20630t37 Jig Address:P' 1% bX 2 22 City: /4/9/9/eRA Y State: MO Zip: i5%r_ �' Phone: 6iL S4Jf 5`i31 Contact:,,) 01�) nvZI,W Email: 6 t/l }� of `l t es/a op, 60 m COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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 conclude that they are trade secrets. 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 i of 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 o .la s. Applicant's Printed Name City ofEaOa. 3830 Pilot Knob Road `f Eagan MN 55122 ‘Ret--� Phone: (651) 675-5675 MAR X912 Fax: (651) 675-5694 11-3323 1o5 Va0 Date: Ill Tenant: RE Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: b3 7(p 2012 ME -IAN CAL PERMIT APPLICATION Site Address: , (�� �L/1 ➢ l./ 1 t' L1 6 Y M il DENT / OWNER' Name: 4c-2 Suite #: IN i A 1, re ho e: I it - 'a' 1 MENOMMIE i er i I Ai Ii. Li Address: ��•LanN ' City: 1L41k 1 A, k Zip: SINS Phone:el f. IPLid/ Address / City / Zip: CONTRACTOR TYPE OF Name: #. State: Contact: New Description of work: eplacement L .4 Email: Additional ! i► teration Demolition NOTE: Roof mounts Code.:.P"lease'c n and ground m tct the Mechan ItadicaI equipment is require or for information;on :permit(' d ed. by Cl lethods. PERMIT TYPE. RESIDENTIAL urnace it Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) $60.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) OR OTAL FEE Contract Value $ x 1% _ $ Permit Fee = $ Surcharge = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.rtopherstateonecail.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 wo i of to start without a permit; that the work will be in accordance with the :. oved plan 'n the se of work wh' h requires a review and approval of plans xY �.n: ApGlrce n s Printed Name FOR. OFFICE USE Requ red Inspectio. Underground Rough Air=Tes PERMIT City of Eagan Permit Type:Building Permit Number:EA170300 Date Issued:06/25/2021 Permit Category:ePermit Site Address: 1664 Sherwood Way Lot:4 Block: 1 Addition: Brittany 2nd PID:10-15001-01-040 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. 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 - David N & Linda G Aderhold 1664 Sherwood Way Saint Paul MN 55122--271 Snap Construction 8200 Humboldt Ave S, Suite 120 Bloomington MN 55431 (612) 333-7627 Applicant/Permitee: Signature Issued By: Signature