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1672 Sherwood WayCity of Eagan Eagan, PERMIT City of Eaan Permit Type: Building Permit Number: EA096945 Date Issued: 11/09/2010 Permit Category: ePermit Site Address: 1672 Sherwood Way Lot: 2 Block: 1 Addition: Brittany 02nd PID: 10-15001-020-01 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Sandau Construction 9925 Lyndale Avenue South Bloomington MN 55420 (952) 403-9100 - Applicant - Owner: Carolyn S Nawrocki 1672 Sherwood Way Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: 611-1. 7 ( Permit Fee: 00 Date Received: / — I Staff: `7 2010 MECHANICAL PERMIT APPLICATION ,� Site Address: �1 %iZS( L00051 tj\& Tenant: Suite #: J RESIDENT / OWNER Name: Address I, , , CIA '_,. , Phone: L34Q --- 'q440 IP / City / Zip: Lo :' 1TI)0 i � h��*cwo( 2 ,-' ) 0 ✓ J1� \ i�C.,1 )4 C t CONTRACTOR Name: Address: State: ' J ViXt clew x_ACV© ` City: C )��ZZ/ C./��� 1 Zip: 53C51--- 1 - 'tone: UC.k LQ tDn Contac L .ice. 1 .. °..2 tit, 47 TYPE OF WORK Description New X Replacement Additional Alteration Demolition of work: Y o • u ,d, grou .mo ntmechanical ,equipmeniis•;r„ qutr.:.DKK •, • crae edb .:Cit e lease contact,theeMechanical Inspector.for information on; permitted screening methods PERMIT TYPE;umace RESIDENTIAL Conditioner Exchanger Pump COMMERCIAL New Construction —Interior Improvement Air Install Piping Processed Air _ Gas _ Exterior HVAC Unit _ Heat _ Under / Above ground Tank ( Install / _ Remove) tank(s), call for inspection by Fire Other **When installing/removing Marshal and Plumbing Inspector RESIDENTIAL FEES: or alteration to an existing unit (includes bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) d{� $ (JV4-J� TOTAL FEE c $50.5 inimum Add-on 0.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR Contract Value State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). $ x 1% _ $ Permit Fee - If Permit Leg is less than $1,000, = $ Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 _ $ .6 , 06 TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Cali 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.orq I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will begin accordance wit the approved plan in tib -se of work ich req a review and approval of plan, _ Applicant's Printed Name x Applicant's Signature eviewed B ir: Test t Gas Service Exterior HVAC Screening Inspection: i OF EAGAN Pilot Knob Road MN 55122 SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Site Address: t z inerwooa Plumber. 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of I nsp.: Total: Insp.: Date Paid: Pilot Knob Road MN 55122 WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Uni,?- Site Address: Sher-ono.' Plumber: ! 1 Meter No.: Size: Connection Charge: Reader No,; Account Deposit: 1 agree to comply with the Ci ty of E Permit Fee; Ordinances, Eagan Surcharge: Misc. Charges: By Total: Date of Insp.. Date Paid: Insp.: BUILDING PERMIT a11Sw= To be used for Est. Value 411 300 Date_ 90 1672 SURWOM A Site Ad ss O FFICE USE ONLY Lot Block Sec/Sub. Parcel No. Occupancy FEES Zoning 33.00 a: Name - - - - (Actual) Consl Bldg. Permit t672 Sam R Cow way W Address (Allowable) rchar e S 1 •? o ItIllim City Phone # of stories g u - Plan Review Length o Name Depth SAC, City ua Ari S.F. Total MCWCC SAC , City Phone S.F. Footprints - t S S Water Conn ewage On i e W w Name On Site Well Water Meter =Z Address MWCC System 0 Acct. Deposit Q W City Phone City Water - SSW Permit PRV Required I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and Cigr of Eagan Ordin ces. Treatment PI }`- Signature of Permitee M"TIN R M APPROVALS Road Unit IND IM111111; S A Building Permit is issued to: Planner Park Ded. on the express condition that all work shall be done in accordance with all Council .50 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. CCopies 5O 36o Building Official Variance TOTAL '• `? : 't...'-use r.Y --.rY„?47 ,=a.:'F. : ws.,-„?.•; ,...;.?,?v.v?a m„?,.-.. .+. ,. CITY OF EAGAN N2 17636 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ; Receipt # Permk No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC 941-qg 1 J. Z'1-77 °? D dry Inspection Date Insp. Commerds Footings I Foundation Framing /S b., Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN 976"" 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # 161 To be used fer WOODSTOVE Est Volue $1,800 pate DECEMBE 6 ly $4 Site Address 1672 SHERWOOD WAY Erect [ Occupancy R3 Lot 2 Block 1 Sc/Sub. BRITTANY 2 Remodel ? Zoning Parcel No. Repair ? Type of Const. V Enlarge ? No. Stories W Name JEN G EIKAAS Move ? Length SME Demolish ? Depth Address _ Grade ? Sq. Ft. City Phone u Name Phone Name Address City Phone I hereby acknowledge that I have read the information is correct and agree State of Minnesota Statutes and,City application and state that omply with all applicable :agarx Ordinances. Assessment Water b Sew. Police Fire Eng. Planner Council Bldg. Off. 11 27 84 APC Var. Date Fees Permit Y ., Surcharge Plan check SAC Water Conn. Water Meter Road Unit Parks Total - Signature of Permittee v . y y" - - " I A Building Permit Is issued to: JENS G EIKAAS on the express condition than all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official /,"J5 /r `-? --- Permit No. Permit Holder Dab Plumbing H.VA.C. Electric Softener Inspection Date Insp. Other Footings Foundation Framing Rough Pibg. Rough HVAC Inw ation Final Plbg. Final HVAC Final Cert/Occ. Water Describe Location: Well Sewer Pr. Disp. P?oeir. i 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. I Tract i 4. Owner ?? f 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Se tic Tank Lavatory p Softner Shower Well Kitchen Sink Urinal/Bidet Other 1 / Laundry Tray / Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454.8100 Receipt MECHANICAL 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. 1 Tract 4. Owner - .. c.:. 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential D Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air H dli Mfg. an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes 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$100 Aw BUILDING PERMIT $78,000 Site Address . . "ur Lot Block Sec/Sub.rittary 2r: '. Parcel * 1 ,, Name -,n Puilders e. Address b ,. oc Name _ ?F uu Address Name _ Address 1 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. Receipt * *?I~ It I' 82 Erect 0 Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish d ? Length D F Gra e ? epth Sq. t. Approvals Fees Assessment Water & Sew. Police Fin Eng. Planner Council Bldg. Off. APC Permit Surcharge Plan check SAC Water Conn. Water Meter Rood Unit Total Signature of Permittee A Building Permit Is issued to: all work stall be done in accordance with all applicable State of Minne Building Official CITY OF EAGAN 3745 Pilot Knob Road Bogen, PAN 55122 PHONEt 454-8100 on the express condition that and City of Eagan Ordinances. .daa 'Jd James ` IIWVI :uoileoo-I oglxma Jele ' Ieuld i5gtd IeU1j uopoinsui OVAH gbnod `rt• •Ogld OWN / 6uiweJ j uol3epuno j ssulsooj Je43o dsui elea uollawsul ,j z? of-b '??13 ?? ?3 zo?sFm *iJp«a James •ds!a Jopm 118M Al C -J*V*A"H Ouiqutnld JePIoH 'ON I!wJOd ?!W JePIoH MLuJed 'ON 3!wJed : (Ur#ifiratt of (Orrupttnry Citp of Cagan Tbir Certi f we huxed purawnt to the regwremmi of Sanox 306 of the Um f om B+r UmS Code certifying thw at the time of issnanw ibis structure was in compliance u*b the variety ordinances of the City regulating building conomaim or use. For the following: u.a..iewbm SF DWG/GAR nae.r.mmsa. 7505 - ---,.- Rl'_ _7b=caYmedm V mmZo" NA z.rgmmw R3 ft: n.u: November 26, 1962 Pon in 4 O swpw-u s PI "It +e. CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEIVED (f FRnu 19 AMOUNT $ at DOLLARS too ? CASH ? CHECK White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You e" / BY CITY OF EAGAN Remarks Addition Brittany 2nd Addition Lot 2 Owner 11'' ?11 r %I L Street 1672 Sherwood 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1982 2013.03 402.61 5 12o7.83 A0116 0 12-3-82 STREET RESTOR. k GRADING (ge T9ZZ- -596.22 119.24 357.71 AOll6 0 12-3-82 - SAN SEW TRUNK 1976 143 11 ,L5 5 66.79 A0116 0 12-3-82 SEWER LATERAL (AN 19 bl- -3830.10 766.02 2298.o6 if it WATERMAIN WATER LATERAL WATER AREA ?j 1982 296.92 59.3 5 178.16 A0116 go 12-3-82 * Services 1982 5 STORM SEW TRK Qo(C?j 1982 628.22 125.6 5 376.94 A0116 0 12-3-82 * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD I 24o.oo 8 9-10-82 WATER CONN. 420.00 'r n BUILDING PER. SAC tt ?? PARK Zb be Used For Site Address , CITY O EAGAN Include 2 sets of plans, 1 site plan w/elevations 6 BUITz= PEmrr APPLICATION 1 set of energy calculations. ??V i n ? ? Date 4-4 (,L `-cr C FFICE USE CNLY lot ,-) Biotic / Sec. /Sub. Parcel t: / v ISO 0 l O -ZO o 1 CLty/Zip Code: Phone Contractor: /2 Address City/Zip Phons 1 Arrh./Fng.: _ Address: City/Zip Code: Mom d!: F _ )C Occupancy Alter ,zoning 3 Repair Fire Zone Enlarge _ Type of oonst. Move N Stories Demollsh Front 72 ft. Grade -Depth 3y ft. water/Sewer Police -dire Planner Council Surdtarge 37 - Plan Check / sS/ 3O SAC b'as Water Conn. v Water Meter loo Road Unit 77a- Bldg. Off. 9y 9- APC WrAL ?t 10 N t Sc CITY OF EAGAN NO 1 7836 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 . bg BUILDING PERMIT Receipt #C 7 7 To be used for BASEMENT Est. Value $1,500 Date MAY 9 - ,199-0-- Site Address 1672 SHERWOOD WAY Lot 2 Block I Sec/Sub. BRITTANY 2ND OFFICE USE ONLY Parcel No. Occupancy FEES Zoning W Name JOYCE BASTYR (Actual) Const Bldg, Permit 35.00 z Address 1672 SHERWOOD WAY (Allowable) h S 1.00 o City EAGAN Phone 688-9230 Not Stories - urc arge Plan Review Length o Name MARTINS REMODELING Depth SAC, City Address 14328 EXCELSIOR IN S.F.Total - SAC, MCWCC City APPLE VALLEY Phone 431-1254 S.F. Footprints S Water Conn On Site ewage w Name On site Well Water Meter ? Address MWCC System ? Acct. Deposit aW City Phone city water _ S/W Permit PRV Required 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable Slate of Minnesota Statutes and ?ily of Eagan Ordinances. Treatment PI Signature of Permitee '?1J1 &A lt? APPROVALS Road Unit MARTINS REMODELING A Building Permit is issued to: Planner Park Dad. on the express condition that all work shall be done in accordance with all Council -- Copies 50 .50 applicable Stale of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Building Official Mt '/' Variance TOTAL 36.50 CITY OF EAGAN N? 9767 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 'BUILDING PERMIT Receipt # Ta be trad far WOODSTOVE Est.V01ue $1,800 Date DECEMBE 6 19 84 Site Address 1672 SHERWOOD WAY Lot 2 Block 1 Sec/Sub. BRITTANY 2 Parcel No. Name JENS G EIKAAS Address SAME City Phone 454-7964 SAME ZZF Name u1. Address l- City Phone U? ?uW Name T Address <W City Phone Assessment Water 8 Sew. Police Fire Eng. Planner Council Permit vci ..,v Surcharge 1.00 Plan check SAC Water Conn. Water Meter Rood Unit I hereby acknowledge that I hove read this application and state that Bldg. Off.11/27/84I Parks the information is correct and agree to comply with all applicable APC Total $30.5 State of Minnesota Statutes an oogo rdinances Var. Date Signature of Permiftee A Building Permit is issued to: JENS G EIKAAS on the express condition that all work shall be done in acco a with pplewble State of Minnesota Statutes and City of Eagan Ordinances. Building Official - Erect IN Occupancy/ R3 Remodel ? Zoning R1 Repair ? Type of Const. V Enlarge ? No. Stories Move ? Length Demolish ? Depth Grade ? Sq. Ft. Appravals Fees • 5 ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN ? ' ) 1 (Ir} T U l INCLUDE © SETS OF PLANS, © CERTIFICATES OF SURVEY 2 7 ? "- Q SET OF ENERGY CALCULATIONS To Be Used For: ' 00 D _5- - Date: Valuation: Site Address: d(p-?'Z 6r(E?Z?U000 k1jR? Lot: A.Block: ( Sect/Sub: t Erect: Contractor: 0W vi ?L Parcel #: Remodel: Repair: Owner: VV S E 114Fa?? Enlarge: Move: Address: (r 2 5 ff F k GG ll Wvg y Demolish: City/Zip Code: E v? ? lq 01i (i ? Grade: Phone #: Z{ S Y - 7 C) G ?( - Address: City/Zip Code: Phone #: Arch./Eng: Address: - City/Zip Code: Phone#: Occupancy: 2-3 Zoning: (L-1 Type Of Const: jL # Stories: Length: Depth: Sq. Ft.: Assessments: Permit: 2?•? Water/Sewer: Surcharge: Police: Plan Rev.: Fire: SAC: Engr.: Water Conn: Planner: Water Meter Council: Road Unit: Bldg. Off.: Parks: APC: Variance: ?d' 5O M BUILDING PERMIT Receipt # To be used far SF DWG/GAR Est. Value $78r000 Date September 10 , 19 82 Site Address 1672 Sherwood Way Erect QJ Occupancy R-1 Lot 2 Block 1 Sec/Sub. Brittany 2nd Alter ? Zoning R-3 Parcel # 10 15001 020 01 Repair ? Fire Zone NA Enlarge ? Type of Const. V e: Name lbllefaon Builders Move ? # Stories z Address 1655 Norwood Drive Demolish ? Length 72 z Ci g an 55122 phone 454-6873 Grade ? Depth 34 Sq. Ft. - Name Omnar Approvals Fees _ OU Address Name _ Address 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: To11ef8on all work shall be done in accordance with all op?la Building Official CITY OF EACrAN 3795 Pilot Knob Rood Eogonr MH 55122 PHONEt 454.9100 Assessment - Water & Sew. Police - Fire Eng. Planner Council Bldg. Off. _ APC N?O 7505 Permit Jbl.uu Surcharge 39.00 Plan check 183.50 SAC 525.00 Water Conn. 420.00 Water Meter 60.00 Rood Unit 240_00 Total $1834.50 on the express condition Ihm and City of Eagan Ordinances. ..,nonths fromu t["C) Let 81, 317Q( ?o, o0 I I eyuesr vale rue No. o.Ph-in Inspection a e fired? []Ready NuwXWill Notify, Inspec- 7 Yes ?No for When geadY Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City Section No. Town ip Name or No. Ra n0e o. County Occupant (PRINT) Phone No. Power upplier Address Electrical Contractor (Company Nadia)- 7 Contractor's License No. 0 -?-I ailing reiss (Contract., or Owner Making Installation) Authorized SiOnature (Coe ctor/Owuer Making Installation) Phone Z e, MINNESOTA STATE BOARD Of ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwsy Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave:, St. Paul, MN 66104 UNLESS PROPER INSPECTION FEE IS Ph..... f6121 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION E13-00001-3 3-5-6 OLL2 ' See instructions for completing this form an back of yellow copy. 4 /I -X";'?d76w-Work Covered by This Request 31-71Q l e Add Rep. Type o1 Suildmg 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 Other Pecs y Other (Speci fy) t :r peci fy Other Other Compute Inspection Fee Below fl Fee Service Entrance Size H Fee Feeders/Sabfeeders H Fee circuits Oro 0 to 100 Am -'? 0 to 30 Amps 0 to 30 Amps JW to 2 )Am S, 31 to 1,00 Amps 31 to 100 Amps I ve 2A " is Above 100 _Am s Above 100_Am s Transion rs? Remote Control Circ. y Partial, Other Fee 9iljns Special Inspection 9 ?J TOTA FE Remarks E Rough-in pate 1, the tricei? Inspecto¢, hereby certil fhat the abov e Final 1 • [?rr} ! l' -° action has been made. This request void 18 months from This request void 19 Nts from C ! M 35624 LZ? 9 ft zff"' 0ttZ^4 52ZD S 3-7, 0 Co Requepl Dale ? Fire No. Roaughed ll nspec[ion Ready Now IB WiII Notify, Inspec- Wh X )f R -- es ?No or en eady Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed et: Street Address, Sox or Route No. 1A Cit ?' \ action No. Township Name or No. Range No. County Occupant lPRI NT) Phone No. Power Supplier V Address t Electrical Contractor (Company Nmel Contractor's License No?? out Mailing A "des (Contractor or Owner Making Installation) j? Authorized S iignaturUlCoQntr?acjrpyd?Owner Making Installs ion) Phone Num r 00 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwey Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phnna 16121 297_2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ggE,??% Ee-00001.03 ' Sao instructions for completing this form on back of yellow copy. M5624 "'X" Below Work Covered by This Request 3 -zzo S e Add p. . --T"e 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 the, ( 'an v Omer (Specify) then ISUem y -P Other i fg?" Other Compute Inspection Fee Below ' k Fee Service Entrance Size g Fee FeedersrSubfeede,a k Fee Circuits O to 100 Amps Oto 30A s 0 to 30 Amps 1200 101 to 200 Amps 31 to 100 Amps 31 to 100 Am Above 200 Ams Above 100-Amps Above 100_Am s Transformers Remote Control Circ. Partial/Other Fee Signs Special Inspection $ Remarks Z 7 A J f- nal I, the Electrical tor, hereby certify that the above notes ? inspection has been this request vc 18 months from 6 4 013 8 Request y) 011"e1 I p T Flre No. Ro -in Inspection R ned? ? Ready N. Aiill Notify Inspector I ?Ves o X N When Ready? I IXlicensed contractor ? owner hereby request inspection of above electrical work at: Job Adores (Street. Box or Route U) e 72- Cry S-ion NO. Township Name or No. Range No. Coun Occupant (PRINT) J? 3 Phone No. vpp-%a s® Power Supplie Address Electrical Comrador (Co any Name) G ? Coniractor5 License No. So .k IA.6? ah Mailing Address (Contractor or Owner Making Installan n y / L ? u 5 a , Authorized Signature (Contractor)Owner Making Installation) iW?u a e Q_ 'P ?_ Phone Number 41. ti -Y 'D- 3 V MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(612)602-0800 ENCLOSED. ?5?aa1?so 8401..E8 REQUEST FOR ELECTRICAL INSPECTION ? See instructions for c3hr pleting this form on back of yellow copy. X' Below Work Covered by This Request EB-B-00001 07 1b, MR, New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace K a4 Farm Air Conditioner Olher lspecily) Contractor's Remarks: Compute Inspection Fee Below: Or Other Fee # Service Entrance Size Fee Circuits/Feeders Fee Swimming Pool 0 to 200 Amps l 0 to 100 Amps Transformers Above 200 Amps 100 Amps Above Signs Inspectors Use Only! O TO AL Irrigation Booms . T ?• Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 THS C I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final De / OFFICE USE ONLY This request void 18 months from This request void 18 G. Q-1 3 S month. from V7 2 I"-6 0-8 ?a Request Date n Fire No. RRggghe{,I ns c[ ion ?fteatly Now Will Notify, Inspec- 3 - I I y1 J ?yes No for When Ready Licensed Electrical Contractor I hereby request ins pection of above Owner electrical work installed at: Street Address, Boa or Route No. City 1&72 6ti - vvOrJ E;&V7y t91r.'W action No. Township Name or No. Range No. county ''\\ Occupant (PRINT) Phone No. 4?PiS G. ElK?AS [? `t i T -7C1C Power Sapplier Gaut 74 . ELEC TVitt Address ???/vtt'Vl ? ? Electrical Cont acto (Company Name) Contractor's License No. W FVVY I ?• Mailing Address (Contractor or Owner Making Installation) I G 7 `Z 5 t-t E ki W 6 0 JD W V? Authorized Si Lure (Coat todQwner Making Installation) Phone Number ' ??(y ? l-? t,0 MINNESOTA. STq?E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILLINOT Griggs-Midway 66'' dg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS ow_..., ratot egzvttt ENCLOSED. .s-utjEST FOR ELECTRICAL INSPECTION w L I U , See instructions far completing this form on bock of yellow copy. X'" Belovrwork Coveted by This Request EB-00001-03 3 k+--7 v S Ne -T ddd - Rep. Type of Building Appliances Wired Equipment Wired Home Range - Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other reci v OMer IS Uacity) t ter pacify Other Othor Compute Inspection fee Selow u Fee Service Entrance Size # Fee Feeders/Subfaeder5 is Fee Circuits Oto 100 Amps to 30 Amps . 0to 30 Am 101 to 200 Amps 31 to 100 Amps 31 to 100 Am s Above 200 Amps Above 100_Amp's Above 100_Am s Transiormers Remote Control Circ. O ` Partial%O er Fee Signs Special Inspection -f 3 'f Remarks • ,A0 OT L??E Rough-in Date 1, the E actrical Inspector, hereby cunity that the above Final Dat/c 'nspection has been • V Dl de. v' This request void 18 months fiom Tollefson Builders Inc. r S:.A'...c ?e,..0 iI 01 It ER`s/O r., lo° r ?H T8 9 DL . C qq.'$ fir , a ? ? 0 1 . :LIKE IV i •y t ,.E 1!"1 p `D (011 IOC I ° VA W-. K JACKSON - SURVEYORS Or. 11338 183-64 REGISTERED UNDER LAWS OF STATE OF NINNESOTA?ZZ--'^Urainage 6 Utility Esmt. 000.0 Existing Elevations ,% Drainage 3616 EAST 55th STREET, MINNEAPOLIS, MN 55417 727.3484 r 6 barwtmr'g 6trafkatt _ ?J ,'? nQ 1 . 4 !? ?Y ? .l ilLl?j Y. • ?k?i %rA4E - ? , II_ #a'o4le-Y I I I I I I I I I I' r?AA L OT 'L 1 1 a 1.1 ?J 1 - D ?l l ? Proposed Garage Floor Elev. 101.6 r Proposed First Floor Elev. 101.8 Proposed basement Floor Elev. 93.5 1 1 ' - : Jri.86 I hereby certify that this is a true and correct plat Df a survey of:- Lot 2,block 1,Drittany 2nd. 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DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: R ,? eoed IL Valuation: Site Address 11e72 5ht/wo0diy*y Lot _ - Block I- Parcel/S+ub Owner -4 -l n Address A02.1 S /'w ,1, City/Zip Code 249 4 n Phone 688 -,?A30 Contractor 0A1h:dA R?.made/?its Address / ?/3] $ EarJS/d? Lyl. City/Zip Code &Ale 11&#n4 Phone -1.2 r/ Arch./Engr. Address City/Zip Code Date: S- Y- 90 OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System _ City water PRV _ Booster Pump APPROVALS Planner Council Bldg. Off. Variance FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL 3S ,SO Phone # k>kkAY„k:j(Y,q:i;*X IV")Xin+l;.Q;y.,ckkie2.,Y, CITY OF l:Ai..,PN C'AS11:CERg .J=_ TERMINAL. NO:: 699 D'1'1E: 09/iQ/99 TIME: 09:312::55 10 32iQ 9001 i672 SI'iERWOOD !1 1.2? 5. pt.') 20 5 900;. :672 SHERWOOD W 3.00 Total Receipt AmounQ iP8.25 USER ID; QN! 0 *** ?/ ***:k`3* " 11 ::• A)"( lox*)k*iklt;`Y.N: 111 4)1-73` 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 f 651-681.4675 New Construction Reauiremenis Remodel/Repair Requirements 3 registered she surveys showing sq. ft. of lot, sq. fr. of house and all roofed areas (20%, maximum lot coverage allowed) r 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) > 1 set of energy calculations > 3 copies of free preservation plan R lot platted after 7/1/93 DATE: DESCRIPTION OF WORK: STREET ADDRESS: LOT: a BLOCK: I SUBD./P.I.D. #: sw-g 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions & decks CONSTRUCTION COST: C" O? j-7 6c> W Name: / i' If'- ?G?Xr /r Phone #: ?7 6 2 7 PROPERTY Lost First OWNER Street Address: ?? 7 ???x v o City r? State: Zip: > >?/ ?Z Campo sr yo f r Ce4! Phone #: G /? a ?rf of a (area code) CONTRACTOR Street Address: F"-0 So License ?/ ?f ? Exp?Z-Gov City/ad State: -t? Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code Street City Sewer & water licensed plumber (reaulred for new construction antv): State: Penalty applies when address change and lot change is requested once permit is issued. Zip: 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 OFFICE USE ONLY ?i Certificates of Survey Received _ Yes _ No SEP 1 Q S99 Tree Preservation Plan Received Yes No Not RequiredAL---- Registration #: 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 handou t to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Valuation: Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Total: SAC Units % SAC /1lpl?` 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION 15 1 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. - ?? ZQtJj Date cq_/ J(q I t 7 Unit # Site Street Address '' Property Owner llMI ( 6 Qj 1 / CJCt K'. Telephone # (((Sjl) 4 3 - Contractor _s Telephone # 4?fjN0 Address 3 City State_t2J Zip 150 The Applicant Is: _ Owner 1 Contractor Other Refurbished Submit 2 sets of plans and MPC license New Septic System Includes County fee _ _ $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing' fixtures. This fee includes installation of a water softener and/or water heater at the same time. N you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $130.00 if a 518" meter is required) Other: _ Water Softener /) ter Heater $ 15.00 new _VC/replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $-? To I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; chat We work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is n 9t to start without a permit and work will be in accordance ith the approved plan in the event a plan is required to be r i d and approved. Applica Ynted Name Applican Signature -, n;- --------- i? I ? Permit#: I I I Permit Fee: q0 ILCV-? I I Date Received: I I I Staff: I 2008 RESIDENTIAL BUI Date: 7- / Site Address: PERMIT APPLICATION Tenant: Suite #: RESIDENT/OWNER Name: C")6 lrv? U e Phone: " Address / City / Zip: Iiz Applicant is: Owner Contractor TYPE OF WORK Description of work a- Construction Co : Multi-Family Building: (Yes _ / No I CONTRACTOR Name i e 1 e License #: Address: Zip: 4? 2 State: City: O( ? f 1 ) 1 Phone: , 0-216-dl ?? Contact Person: G 1 1 ??,1 e ?, /Yl COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 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 andsuppor -ng documents that yousubmit are-considered.-to be public information: Portions of the information may be-elassihed as?on publie f you provide spe tiEc reasons that il oald permit the City to +v= -conclude that She are trade secrets = + ; , ;i 4. 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 a without permit; that the work will be in accordance with the approved Ian/innntthe case of work which requires a review and approval plans. Applicant's Printed Name Applica s SignKture( Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1672 Sherwood Way Lot: 2 Block: 1 Addition: Brittany 02nd PID:10- 15001- 020 -01 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Crew2 Inc 2650 Minnehaha Ave Minneapolis MN 55406 (612) 276 -1680 e- Windows/Doors Windows/Doors-New/Replacement House 434- PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: $88.50 $1.50 Total: $90.00 Owner: Carolyn S Nawrocki 1672 Sherwood Way Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Permit closed without required inspection(s). Letter sent to applicant 3/2/2010. (pi) Building EA091366 09/29/2009 ePermit Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. 0801 9001 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA159299 Date Issued:12/09/2019 Permit Category:ePermit Site Address: 1672 Sherwood Way Lot:2 Block: 1 Addition: Brittany 2nd PID:10-15001-01-020 Use: Description: Sub Type:Fireplace Work Type:Free-standing Stove (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Carolyn S Nawrocki 1672 Sherwood Way Eagan MN 55122 (651) 235-5324 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA170587 Date Issued:07/12/2021 Permit Category:ePermit Site Address: 1672 Sherwood Way Lot:2 Block: 1 Addition: Brittany 2nd PID:10-15001-01-020 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - RPZ/PVB/Lawn Irrigation $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 - Carolyn S Nawrocki 1672 Sherwood Way Eagan MN 55122--271 Applicant/Permitee: Signature Issued By: Signature