1680 Sherwood Way41'
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: 9t7iQ I
Permit Fee: Sa'J 1
Date Received: .7-80
Staff:
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: Site Address:
Tenant: Suite #:
RESIDENT / OWNER
..
Name: s 6)i �.��
Phone: sr5)- 9$' -9' Kee
Address / City / Zip: /‘ a
---«L2E4017 `x/22
CONTRACTOR
Name: dS pysr
License #:
Address/wcF'O
City:
State41 Zip: .ss /0.9 Phone:
G 3/' 41-C.0 1 ydlc
Contact: Email:
TYPE OF WORK
PLUMBING (Within the building envelope)
.__L'_ Sump Pump Repair
Other:
SEWER & WATER (Outside the building envelope)
Repair
Other:
DESCRIPTION
Description of work:
FEES
$55.00 / Each (includes $5.00 State Surcharge)
TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora
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, andawork 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 L"j? .41.ENC S 7CI1P
Applicants Printed Name
FOR OFFICE USE
Required Inspections: Under Ground Rough -In Final
� a�uirrc0 S
Applicants Signature
CITY OF EAGAN SEWER SERVICE PERMIT
3795 PL Lt Knob Rood PERMIT NO.:
Eager, MN 55122 DATE:
Zoning: T No. of Units: 1
'r??tr;icr 5,,:,
t'cr
Owner:
Address:
Site Address: 16F O S?ieTwooc'' Way It. < < itt 7
Plumber" "r^ -!T-P ''ec!:^r;fct•l
I agree to comply with the City of Eagan Connection Charge:,-. 2 r •'''
Ordinances. Account Deposit:
By
Date of Insp.:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
WATER SERVICE PERM
CITY OF E AGAN PERMIT NO-
3795 Pilot Jnob Road DATE:
Eoyan, MN 55122 No. Of Units:
Zoning: ; en' E3 ronst=UCt icn
Owner: 7
Address:
Site Address: r r t 1 ^ c r s:, i ;?
Plumber: Connection Charge:
Account Deposit:
Meter No.:
Size: Permit Fee:
Reoder No.: t1w City of Eagan Surcharge:
1 agree to comply WHI' MISC. Charges: '
Ordinances. Total:
Date Paid:
By Insp.:
Dote of Insp.:
?I
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RECEIVED
19
AMOUNT
DOLLARS
tno
O CASH E] CHECK
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
J
Th nk You
' BY
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
R6CiIv Qo
FROM
AMOUNT $
DOLLARS
goo
Thank You
? CASH ? CHECK
By
White-Payers Cope
Yellow-Posting Copy
Pink-File Copy
e V
BUILDING PERMIT
for
Receipt *
Site Address Erect ? Occupancy
Lot Black Sec/Sub. Alter p Zoning
Parcel # Repair ? Fire Zone
Enlarge ? Type of Const.
N
ame
W Move ? # Stories
Address Demolish ? Length
b (%#r Grade ? Depth Sq. Ft.
oe Name
u? 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.
Assessment _
Water & Sew.
Police
Fire
Erg.
Planner
Council
Bldg. Off. _
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total
Signature of Permittee I
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN
8795 Pilot Knob Road Eagan, MN 55122
PHOHEt 454-8100
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing l ?? C G ,
Y"rr- 7.Z$'--$e-'
H.V.A.C. l?? l
?`c?`0.rtei 7-?p ?2
Well
Water
Sewer Disp.
Electric (O?D?p?D3 IJOt ?-? ??C 7-$-8 z ?-?E w?
T(pca (a!c S r a• _S
Inspection Date Insp. Other
Footings G
Foundation
Framing
Rough Plbg.
Rough HVAC 5
Insulation
Final Plbg. . r
Final HVAC y d
Final
Water Describe Location:
VYell
Sevatr t
Pr. Disp.
(5rdifiratr of (Orrupaury
Citp of (eagan
Opparttnmt of Wadding Inapprtinn
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
SF
7381
OMCW <3!2- We: September 10, 1982
BUMM
MINIM IM A CAIMPOMOWS RAG
t, S. A.
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. Tract
4. Owner
5. Contractor,, - Phone
6. Address
7. City State Zip
8. Building Type: Residential ,?. Commercial O Institutional ?
9. Work Description: New E? 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
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
I
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 ?
Lot f Blk. J
I Tract_
`
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New b Add ? Alter ? Repair O
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
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
CITY OF EAGAN Remarks
Addition RRTTTANY Lot 4 Rlk 1 Parcel 10 1-5000 non 01
Owner hlr Street 1690 Sharwnncl Way State
F? ?f f Q 1 F?
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. V 1982 2819.8T 563. 9T 5 22c;,;- go A011467 9-9R R2
STREET RESTOR.
GRADING b-,16 1981 428.73 28.58 15 371.57 "
SAN SEW TRUNK 10.45 15 83.50
*SEWER LATERAL S17 1981 5 0 $7 336.06 bA 1,; 4368.77
WATERMAIN
* WATER LATERAL 1981
WATER AREA S21 1 gal sno - no -in on 240.00
-
STORM SEW TRK b1f 1981 492-SO 32.83 426.84
* STORM SEW LAT 1981 ~
CURB & GUTTER
SIDEWALK
STREET LIGHT
AD UNIT 2AO-00 #30786 7-1 -,Q7
WATER CONN.
420-00
BUILDING PER. 7381
SAC rot; no
tt
fe
PARK
CITY OF EAGAN
5795 Pilot Knob Rood Eagan, MN 55122 Nni? 7381
E' PHONE: 454-8100 3e Y?p
111110iNG PERMIT Receipt # Y
To be used for SF DWG/GAR Est. Value 75.000 Date 7-1 -,19-82-
Site Address 1680 Sherwood way Erect 30 Occupancy R3
Lot 4 Block 1 Sec/Sub. Brittany 1 Alter ? Zoning Rl
Parcel # 10 15000 040 01 Repair ? Fire Zone NA
Name Hatt & Kim Miller
Address
o Name Kan' c (`nnCtnar-ti tm
Address 16423 Gladiola Ave w
r:.., RosEMMt 5506,8..__ 432-2030
Name carne ac mntrarhnr
Address
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Length 42
Grade ? Depth 60 Sq. Ft.-
Approvals Fees
Assessment -
Water 8 Sew.
Police
Fire
Eng.
Planner _
Council
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable APC -
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
all
Permit .,..v.wv
Surcharge 37.50
Plan check 179.00
SAC 525.00
Water Conn. 420.00
Water Meter 60.00
Road Unit 240.00
Total 11819.50
on the express condition than
of Minnesota Statutes and City of Eagan Ordinances.
Building Official
? CITY OF EAGAN "- D I elude 2 sets of plans,
1 site plan Wel.evations &
3 BUILDING PERMIT APPLICATION 1 set of energy calculations.
To Be Used For 5F 60X- Valuation nW60o Date
Site Address: //, 9,1Q Sl &Y-L
Lot Block 1 sec./Sub. lrect_
Parcel /0 I eb00 Alter
Repair
owner:,,, C /S_r» Iy://?Y Enlarge -
Move
Address: Dermlish _
City/Zip Code: Grade
OFFICE USE ONLY
Zoning
Fire Zone if/,Q
Type of Const.
77-
# Stories
Front ft?
Depth n f t.
Phone #: c? 7 / - (,5 4/ S- / APPROVALS FEES -
Contractor: /-!re, -P's C e;"? 57 re lc'
7 -O
Address:
City/Zip Code: ?.? m f . /7n . S SU6 S?
Phone #: L/ 3 a? D3 0 _
Arch./Eng.: ?{?.h'.4 Con .S?ryG?•017
Address:
City/Zip Code:
Phone #:
Assessments
Water/Sewer
Police _
Fire
Eng. --
Planner
Council
Bldg Off.
APC
Permit 315-Y
Surcharge ?> 0
Plan Check 7
SAC
Water Conn.// o
Water Meter '6
Road Unit dg [{Q
TOTAL /, 9. 5-6
?Fy
? ??a6
This request void -7[9-
8 nronihs Irom .66&63
30 Fr3 q
(ek od
Request Date Eire No. Rough-m Inspection
Requrtudl
?Ready Now ? Will Nmrtv Inspec-
p
June 30, 1982 ?Yes YO NO 4n When Ready
[Licensed Electrical Contractor
? Owner
I hereby request inspection of above
electrical work installed at:
Street Address. Box or Route No.
Block 1
Lot # 4
1680 Sherwood Way City
,
, Eagan
Section NO. Township Name or No. Range Nn. County
Dakota
Occupant (PRINT) Owner - Miller Phonc No.
Contractor Ken's Construction 432-2030
Powerr,5upplicr Address
Dakota Electrical 4300 220th St. West Farmin to
Electrical Contractor (Company Name) Contractor's License No.
A-40742
BOLT E INC
Mailing Address '(Coatractor or Owner Making Installation)
fieldii
Aut on .t a IC tra t /0wn akinp ns tallation) hone Number
869-3231
MINNESOTA STATE BOARD ICTRICITY
Griggs-Midway Bldg. - Room 191
1821 University Ave.. St. Paul, MN 55104
ar....- 16121 297-2111
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
This request void O/S
?,,Rn,66665
Ly g? `L`?}a ( i ? 3 f z. 3S
37 r 00
Renuest are' Fire No. Rough-in Inspection
Required?
-]Read, Nowt Will Notify Inspec-
8/3Z82 ®Yes ?NO for When Ready
Licensed Electrical Contractor I hereby request ii
rspeclioe of dhOVe
? Owner electrical work installed at:
Street Address, Be. or Route No. City
?680 Sherwood Way, Lot # 4,Block 1 B ittany, Eagan
ecvon -0 Township Name. or No. Range No. County
Dakota
Occupant (PRINT) Phone No.
Miller
Pgwer Supplier Address
Dakota Electric 4300 220th Street W.Farmin ton
Electrical Contractor (Company Name) Oonlnl ctors License No.
BOLT ELECTRIC INC. A-40 42
Mailing AdJress lCOntractor pr Owner Making Instailation)
ue uth Richfield 42
Authorized Ignaru If mra ctor/ w r A Ins tallationl Phone Number
869-3231
MINNESOTA STATE BOARD OF E (CITY - THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bldg. -Room N-191 BE ACCEPTED BY THE STATE'BOARD
1821 University Ave., St. Peel, MN 55104 UNLESS PROPER INSPECTION FEE IS
oi,-.o 16121 997.2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
/r?? G C rs
, see instructions for completing this form on back of yellow copy.
CF1 Y-++,
"X' Below Wark Covered by This Request C-663
EB-00001-03
SIz-3S
New Add Rep. Type of Building Appliances Wired Equipment Wired
x Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo llnloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other poccly Ot cr Isp."fyj
they Speci ty Other Other
1=gmpute Inspection hee Below
d Fso Service Entrance s ixe !1 Fae Feeders/Sgbfeeders N Fee Circuits
0 to 100 Amos 0 la 30 Am s 10 to 30 Amos
12 101 to 200 Amps 31 to 100 Amps 31 to 100 Amps
Above 200 Amps Above 100Amps Above 100_Amps
_ Transformers Remote Control Circ. C r S-h Partial/ Other Fee
Signs Special Inspection
$
7 T
Rei r is 3
, OTAL FEE
O
Rough-in D [e I, the Elnoteal
'
pec tor, ereby
1
Final
D•rj a ce rti ly tha1
, he above
inspection has been
r f
/?^S
This request void
1S mpnths from
REQUEST FOR ELECTRICAL INSPECTION r EB-00001-03
l
Jar p1 6 ? Seepinstr;•rtjpns for completing this form on back of yellow copy. 3o G?'
"X"' e OWIVork Covered by This Request
New Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range X Temlx)rary Service d
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Fann Other pec,ly the, Ispecifv)
"o, Ispuc i fy Othet Othai
Compute Inspection Fee Below
p Fee Service Entrance Size H Fee Feadere/Subfeeders N Fne Circuits
0 to 100 Amps 0 to 30 Amps 0 to 30 Am >s
1 101 to 200 Amps 31 to 100 Amps 31 to 100 Aran s
Above 200 Amps Above 100Amps Above 100_Amps
Transformers Remote Control Circ. Partial.'Other Fee
Signs Special Inspection S 1?
Q TOT
Remarks ? EE
arv ervice
... --- I, the ?Tectriee?-/
Inspector" hereby
o;e thatthe above
Finalinspection ties been
s request polo I,.
months t fiop,
v
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
$30,50
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date
Site Address 16 $D SIJF Rw,04 WRV Unit #
Property Owner [MA RV P&PA Telephone # 91jPg
Contractor LohWZ 0 J r-
Aaw
Street Address q1 -7) nL O Siaa6 "b»1AP/Rr.kley city E466n.)
State 7h r,) Zip Sr/ Telephone # (6S/ ) 89V- ?2V
Bond Expires:
'C
The Applicant is Owner ontractor Other
V
Add-on r a'keratto o existing dwelling unit $ 30.00
furnace -Additional Replacement
_ air exchanger
air conditioner -New Replacement
other
State Surcharge $ .50
Total $ ?D
I!-
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 plaps^,
Db cop- -rmt15---
Applicant's Printed Name
.JUN 0 8 2005
i-'
IJ i_ i5
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Work Type
New Construction - Underground Tank _ Install `Remove *"see below
Interior Improvement _ Install Piping - Processed -Gas
Nature of Work:
" When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installation/removal
550.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1% = $ Permit Fee
• If oe rmit fee is $1,000 or less, add $.50 => $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 grmit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
Applicant's Printed Name
Applicant's Signature
Approved By: Inspector Date:
RESIDENTIAL
BUILDING PERMIT APPLICATION
J I CITY OF EAGAN
U 3630 PILOT KNOB RD, EAGAN MN 55122 ?? .
651.681.4675
New Construction Reaulrements
• 3 registered She surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sixes; poured found design, etc.)
• l set of Energy Calculations
• 3 copies of Tree Preservation Plan a lot plaited after 711/93
• Rim Joist Detail Options selection sheet (bklgs with 3 or less units)
DATE 5 -3D -D a
SITE ADC
TYPE OF
APPLICANT
7-4
IULTI-FAMILY BLDG _ Y N
FIREPLACE(S) X 0 _ 1 _ 2
STREET ADDRESS la-5-6-D Id?q t k<4 S7' CITYS4ATE P ZIPS M/,)L
TELEPHONE #?Sa' 1ab ?bGj CELL PHONE # FAX # ?ci 6 Jr?lt
PROPERTY OWNER Gr??RY "14-60 !'010,00 TELEPHONE#
COMPLETE THIS SECTION FOR %NEWn RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
submission type) • Residential ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor. _
Mechanical system includes:
Sewer/Woter Contractor;
Air Conditioning
Heat Recovery System
Phone #
Fee: $90.00
u L JUN 0 5 2002
---------------------- ------------------------------------------------------------- ,, -- -
hereby acknowledge that I have read this application, state that the Information is correct, an agree to comply
with all applicable State of Minnesota Statutes and City of Eagan inannces///
[
Signature of Applicant ( JL + &
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
Water Softener
Water Heater
No. of Baths
RemodegReoair Reaulrememe
• 2 copies of plan
• 180 of Energy Calculations for heated addillons
• 1 site survey lof exterior additions & decks
• Indicate a home served by septic system for additions
VALUATION/ S
r
Phone #
Lawn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of - plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 18 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Mufti
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) Final/C.O.
- Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof - Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests -Final
_ Framing Siding _ Stucco _ Stone
_ Fireplace _ R.I. -Air Test -Final Windows (new/replaccment)
_ Insulation _ Retaining Wall
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
I .
EXTERIOR ENVELOPE AVERAGE "U COMPUTATION
OWNER /I: //L y`
SITE ADDRESS /CSC} S»Kwn GL/Ay
CONTRACTOR_ /,??.V o tc?y DATE &30 Yz PHONE
Determine working square footage of each.
1. Total exposed wall area .... 128a sq. ft. x .I9 = 993.2d
2. Total roof/ceiling area .... 1354 sq. ft. x .04 S9 Z9
Total exposed wall area above floor = 2 8rj
a. Total wall window area ................. 113
b. Total door area ...................... ?o
c. Total sliding glass area .... ....... 9m
d. Total fireplace wall area ....:. . G
e. Total wall framing area (average 10%)... IZ 3
f. Total net wall area above floor ........ ?6
g.
Total
rim joist area .................. _
>6o
Total exposed foundation area = 1414
h. Total foundation window area .......... 131
1. Total net foundation area above grade ;;Gc
Determine "U' value of each wall segment.
a. 1,73 x "U:: Y3 = V
c. ym X IV,
D. o x IV! o = Q
e. /a3 X 'U" .Jo = i2.3
f. X ':U'; B? 9?B
g 1440 X "U"
h. e3 7 X "U'
i. jaZ, X NUl ,a
3.... .............:..........................Total = 9q7.7-
If item ,#3 is the same as, or less than item N1, you have met the
intent of SBC 6006(c)2.
off
Total exposed roof/ceiling area = 1.35 C
?. Total skylight area ....... ...
k. Total roof/ceiling framing area (average 10' 35,c
1. Total net insulated roof/ceiling area ....... joa o.9
Determine "U! value for each roof/ceiling segment.
j. o X "U" °
k. /36 X "Un 62/ 299
= z/-9C
1. /zzo X "U'' 0,18
4 .........................................Total = gc.sC
If total of #4 is the same as, or less than #2, you have met the
intent of 5BC 6006(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established
by the sum of items #3 and #4 shall not be greater than the sum.of
items #1 and 92.
1. 293. 2 + 2. 5'9 zi '297,44
3. 297.'70 + A. -/[,-X = a941 U(.
CERrIFICArF OF SVRb2 Y
RJ /?` ? 11
J// e `/ N
J 4
_,.
Scale: 1" = 30'
nr_?„-, ;lots
i .:-Pi °Y 6'ER7-,'FY c.? r':i= ArT
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 6/?06
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 13 c>( Q
651-681-4675 /
New Construction Requirements
9 3 registered site surveys showing sq. it. of lot, sq. R. of house
and all roofed areas (20% maximum lot coverage allowed)
2 copies of plans (show beam & window sizes; poured Ind. design; etc.)
1 set of energy calculations
3 copies of tree preservation plan Slot plaited after 7/1/93
DATE: 5- "- li t
DESCRIPTION OF WORK:
Remodel/Repair Requirements
2 copies of plan
1 set of energy calculations for healed additions
1 site survey for exterior additions b decks
CONSTRUCTION COST: 8400 ?'
STREET ADDRESS:
LOT: L BLOCK: SUBD./P.I.D. #: r
Name: POQiP LAtZX-j • Phone #:
PROPERTY Last First
OWNER
Street Address: /G s0 S"eille icoo co/2,4.
aosl t4 j . State: IY1N Zip: SS/ZZ
Company. Azrcc- Cays-1/ZL;&•6A.. Phone #: 8?6 Cd40 - G/L.
(area code)
CONTRACTOR •;aZ- License# Exp.
Street Address: IAFW 115-B3 RVPP L7r
City dU,eti 0,'11_ State: &140 ' Zip: 6.5' 2-7
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
City
Sewer & water licensed plumber (reaulred for new construction only):
State:
Zip:
Penalty applies when address change and lot change Is requested once permit I hereby acknowledge that I have read this application, state that the Informaltee to com
ply 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
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 Apartmen ts ? 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 On ly ? 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 hando ut to applicant for demol ition permit
GENERAL INFORMAT ION
Const. (Actual) Basement sq. ft . Census Code
(Allowable) Main level sq. ft . SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engi neering 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
®F
3795 PILOT KNOB ROAD, P.O. BOX 21199 BEA BLOMQUIST
EAGAN, MINNESOTA 55121 Mayor
PHONE: (612) 454-8100 THOMAS EGAN
JAMES A. SMITH
JERRY THOMAS
THEODORE WACHTER
CouncA Memoers
September 16, 1983 THOMAS HEDGES
Cuy Ad.1mtatar
EUGENE VAN OVERBEKE
Coy Clerk
Mr. Tom Miller
1680 Sherwood Way
Eagan, MN 55122
Re: 1676 Sherwood Way, Dwelling Elevation and Grading
Dear Mr. Miller:
September 15, 1983 Assistant Inspector Douglas Reid and I investigated the
referenced lot and dwelling that was of concern to you. The grades and
elevations of the dwelling reasonably conform to the proposed drainage plan
in effect for the area. 'There is a possibility of some erosion and that
problem has been addressed to Tollefson Builders, Inc. by Eagan's Department
of Public Works.
If I can be of further assistance, please feel free to contact me.
Sincerely,
Q& A"
Dale S. Peterson
Chief Building Official
CC: Tom Colbert, Director of Public Works
Parcel File - Lot 4, Block 1, Brittany lst Addition
Lot 1, Block 1, Brittany 2nd Addition
DSP/bar
THE LONE OAK TREE... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------------------
For Office Use (q144 (I
I Permit #:
Permit Fee: 7 V
j Date Received: 7 -/ 7
Staff: ('el I----------------'
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7 14 0t3 Site Address: ((2ao Ske-rwooo
Tenant: L_" rGrtC e_ Po PP Suite #:
RESIDENT / OWNER Name: L4 AI)ftJ1Ce- 1?0 P P Phone: (oS(- 4S7@-9408
E0.?o.- Y?'lt`I tS,Sf LZ
Address/City/Zip: l b fbO S5kaX_Wv00
d
Applicant is: Owner Contractor
TYPE OF WORK Description of work: Ttu.r ox ? ?? ???
Construction Cost: 10 Multi-Family Building: (Yes No
CONTRACTOR Name: Az-t e. ?RooFi; j l oxSn?crr? License #: 20139140
Address: 4105 854u't
zip: 56443
City: 3/bokwt YOr? State: (YIAI
,I
Phone: 743.316-04130 Contact Person: lJlr-?S Y+:0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
_ Minnesota Rules 7670 Cateoorv 1
_
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 the are trade 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
accordanc with the approved plan in the case of work which requires a review and approval of ans.
x ?( E tnAS x
Applicant' Printed Name Applicant' Signature
Page 1 of 3
Ll� Q
For Office Use// /le t�
t a : Permit#: v & i/q
ar
‘.„,4%. ," „. E AG A N
Permit Fee:
RECIEVED Date Received: ✓7 a /i
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 !
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: y,�_
buildinginsoectionsCa.cityofeacian.com Jt''._ 1 8 2018 L ‘
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: a /5) 4R Address:J19d c (J ?kl7J Unit#:
Name: .4P d-//.e4 I )/ KJ Phone: �a 9 23S' ff/6 1-
€ Resident/ �� V / f / _� gg /
Owner Address/City/Zip: 16 (F7 Sf' uivim;�- &/ 4
I I 1
Applicant is: Owner X Contractor
oak
,
Type of Work . Description of work: 3w`� �z_
I
Construction Cost: 12 1 0 Uv Multi-Family Building: (Yes /No )C )
Company: !JU Zit/tk- Contact: Pi A + .
Contractor Address: 4 3 (Jo-vi(a.,t4L � t .,( City: Ea.-/C .&
b la �753F73 div$�ii�v-
State: �Zip: ��t Z 3 Phone: Email: 0 Jr^ .� (l
V
License#: 6(l, O S 9'i cF Lead Certificate#:
, If the project is exempt from lead certification, please explain why:
1
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:
( Fire Suppression 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-.ublic if ou •rovide s•eciftc reasons that would•ermit the Cat to conclude that the 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 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 tart 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 rP1�W 1 k/u kms
- " xM
Applicant's Printed Name Applicant's Signature
�I� 5iiwood (�- / -_7e6
DO NOT WRITE BELOW THIS LINE / •
SUB TYPES
Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
p 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
Z° 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 2 f • ' Occupancy .J 12C-f MCES System
Plan Review Code Edition i 2oI c SAC Units
(25%_100%( 2) Zoning ,j2 -t City Water
Census Code ` Stories Booster Pump
#of Units Square Feet PRV
#of Buildings ] Length Fire Suppression Required
-_
Type of Construction jam.% -- Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) ?o Final I No C.O. Required
Foundation Foundation Before Backfill e HVAC_Gas Service Test Gas Line Air Test Hood
Roof: _Ice &Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS
Ne Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
7' Shower Pan Other:
Reviewed By: 0/41/44-70,141-- , Building Inspector
RESIDENTIAL FEES /-
Base Fee /.-j*,�-T le e
Surcharge 0 r
Plan Review
MCES SAC
City SAC
Utility Connection Charge .
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150841
Date Issued:07/26/2018
Permit Category:ePermit
Site Address: 1680 Sherwood Way
Lot:4 Block: 1 Addition: Brittany
PID:10-15000-01-040
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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 - Permit Fee (miscellaneous)$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 -
Lawrence S Popp
1680 Sherwood Way
Eagan MN 55122
Hessian Plumbing Services
Box 22172
Eagan MN 55122
(651) 681-8252
Applicant/Permitee: Signature Issued By: Signature