1684 Sherwood WaySEWER SERVICE PERMIT
ps'MIT ND"
CITY OF EAGAN Rona PATE: _
No of units'
3145 ?iMN ;?1Z
Ea9?ty
zoning:
Address: .?c •,,- "? ?? z -
Address:
Site
' Connection Charge*
Plumber: E6900 Account DeP09
CWY o4
the
to ao opw wO permit Fee:
or4oceees' Surcborge'
:
Wisc. Charges
Total:
By Date paid*
pote of insp.:
Insp.
W p;ER SERVICE PEIWIIT
_- PERMIT N?"
CITY OF EAGAN DATE 1
P34ot Knob Rand No. of Units:
?gan? M 4 gstV
c -
Zoning:
Y ..
firer.
Address: ress: ? Connection cnorge,
Site p dd un t Qeposit :
Plumber' permit Fee:
Meter No.: Surcharges
51%e. Vasco Mist Charges'.
der t o.: the 'w, Total 1
1 *one to .,.,,W wltM? :
Date Paid-.
01,6160000'
InsP?
By
Of insp..
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RECEIVED
19
AMOUNT $ I
Thank You
C?:'°e?'.
ac-DOLLARS
too
? CASH ? CHECK
BY
White-Payers Copy J
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
5795 Piiat Knob Read Eagan, MN 55122
• PHONE: 454.8100
BUILDING PERMIT Receipt #
w9.
TO be wed far Est. Value Date 14
Site Address
Erect
p
Occupancy
Lot Block Sec/Sub. Alter p Zoning
Parcel # Repair ? Fire Zone
E
nlarge p Type of Const.
ae
W Name
Move
?
# Stories
Address k-) ri.7o0d Drive Demolish ? Length_
b Citv _ -122 Phone _ 454-687 ? Grade p Depth Sq. Ft.
o Name _
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.
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. _
APC
Fees
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total
Signature of Permittee
A Building Permit is issued to: on the express condition thni
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing ?Z A Z ~ --2
H.V.A.C. /,q -S~? Z
Well
Water
Disp.
Sewer
Electric GJ 3S f00 £ ?? (CCl 1 '/4' $ Z (? E Y l i
w455-71
Inspection Date Insp. Other
Footings _a-
Foundatioh
Framing
Rough Plbg.
Rough HVAC
Insulation
Final Plbg.
Final HVAC
Final
Water Describe Location:
Well
Sewer
Pr. Disp.
(Irrtifiratr of (Drrupanrq
Citp of (Cagan
Mr rn# of liudbtn 3mWrrhou
This Calificw ismd pwistww to Av rmormmi of Section 306 of the U»ifornt Building
Code cmif ring that at the time of imasce tbis strstutne wan in compliance witb the sarim
ordinances of the City rtgulatisg building construction or um. For tit fallowing: November 26, 1982
.p., IN . COM..ICY«N RAC[
ev rtwnlr-sv 7482
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prinr legibly _
Tot
.
1. Date r 2. Installation Cost
3. Job Address Lot Blk. Tract -- y
(' -
4. _ L
Owner s-+W--- r
5. Contractor -- !r Phone
6. A
Address
7. City "= ?.? •• - State Zip -
8. Building Type: Residential C} Commercial ? Institutional ?
9. Work Description: New Add ? Alter ? Repair ?
10. Describe Fuel Type t--+f -
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
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 464.8100
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
r Fee
Fill in numbered spaces S/C
Type or Print legibly
Tot. if i •..? G
1. Date / -- 2. Installation Cost /
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor
Phone 'Z-f -//I/ 5/
6. Address
7. City r r? State
8. Building Type: Residential ®Y Commercial ?
9. Work Description: New ? Add ? Alter ?
10. Describe
11.
?Se05f ?
Institutional ?
Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Additien B ITTANY Lot 3 Blk 1 Parcel 10 15000 030 01
Owner I1 L ?kJ' -'%)I ' Street 1684 Sherwood {gay State
1 I `A tt i
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, 1982 2819,8' 563-97 5 16c)1.93 A011712 12-14-82
STREET RESTOR. V -
GRADING 19,81 428.73 28,58 15 342.99 A011712 12-14-82
SEW TRUNK -5?-i 1976 156.51 10.45 15 73.07 A011712 i - -
* SEWER LATERAL 336.06 jd5 4012-72 it
WATERMAIN
* WATER LATERAL 1981
WATER AREA %nn nn !;n I"In in 21o.00 A 011712 i;)-l 4-8P
STORM SEW TRK 32.83 15 394.01 i2-i4-8p
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 24o.oo 31702
WATER CONN. 420.00
BUILDING PER.
SAC rt ??
PARK
CITY OF EAGAN Remarks
Addition BRITTANY 4TH ADDN ?o? 3 Blk
48 5 5r1>;VLI C R
Owner Street
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. (f 35(0 1982 452.94 0.59 181.20 A 013777 4-23-84
STREET RESTOR.
GRADING 2-0 1981 23.82 1.59 15 17.50 A 013777 4-23-84
SAN SEW TRUNK 504 1976 173.90 11.59 15 69.59 A 013777 4-23-84
SEWER LATERAL 1981 246.32 16.42 15 180.64 IT "
Sewer Lateral trk 1983 133.33 8.89 15 80.01 It
WATERMAIN T4S 1984 624.29 62.93 10 56627 12008234 1
-24-R4'
* WATER LATERAL 1981 15 - -
WATER AREA 1981 229.95 23.00 10 137.99 A 013777 4-23-84
STORM SEW TRK 1% 1981 596.40 39.76 15 437.36 11
• STORM SEW LAT 1981 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
RORD UNIT 250.00 38516 9-9-83
WATER CONN. 450.00 is it
BUILDING PER. 8465
SAC 525.0 "
PARK
R
t ale Fire No. Rough-in Inspection
R Y" red3
[]Ready Now Will Notify Inspec
for When R
d
es ?No e
a
y
AL?censed Electrical Contractor
? Owner
I hereby request inspection of above
electrical work installed at.
Street Address, Box or Route No. City
19
ection No. Township Name or No. Range No Co rt
OccSnt (PRINT)
1 Z) -e Phone No.
Po r Supplier Address
Electrical Contractor (Company Name) Contractor's License No.
e=09& 1
/t 1G??r
Ad ss (Cgntr:tctor or Ow
?J(
'
L
_ ner Makin tailation)
ca
ttoorr
/
Authorized Si
(CContraacc *ng
ner Maki Installation)
O
Phon Number
MINNESOTA STATE BOARD OF ELECTRICITY
Griggs-Midwey Bldg. - Room N-191
1821 University Ave., St. Paul. MN 55104
Ph- Ia12I 297.2111
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
`See instructions for completing this form on back of yellow copy,
'Below Work Covered by This Request
EB-00001-03
327 ?
N Add 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 T O v ther ISpenfyl
Other Specify 0t 01her
Compute Inspection Fee Below I
u 'Fee Service Entrance Size # Fee Feeders /S ubfeeders # Fee Circuits
Oto100Amps 0to30Amps d ZS100 0to30Am s
101 to 200 Amps 31 to 100 Amps S.OC? 31 to 100 Amps
.00 Above 200 Am)s Above 100_Amps Above 100_Amps
Transformers Remote Control Circ. SD Partial Ot e
Signs Special Inspection S, -QU
Remarks
- T TAL
??f 7
I - - -
Rough-in Date
! the Electrical
/?• actor, hereby
? certify that the above
Final / l , - Date G spection has been
This request void
This request void ??Id
16 months from l11
W 3660.
L,3( all 'tia f s?- 3I7 (Q (
Lo roe
Request Date
??? Fire No. Rough-m Inspection
Required?
?Ready Now Will Notify. Inspec-
or When R
d
Yes ? No ea
y
75i Electrical Contractor I hereby request inspection of above
R
? 0,6er electrical work installed at:
Street Address, Box or Route No. City
action No. Towns ip Name or No. Range No. County
Occupant IPRINT Phone No.
Power Supplier C
??U& a.%a ? Address
Electrical Contractor (Company N ,me) Contractors License No.
ai ng Address ontractor caner Making Instailationl
NM - k&j -
Authorized Signature (Contractor Owner Making Installation) Phon umber
MINNES( STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwav Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
?,? ?s ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION .r« EB-00001-03
,See instructions for completing this form on back of yellow copy.
W 35601
"X'GBeMOVork Covered by This Request 3 17(p I
New Add 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 pec7,y- Other (Specify)
t er Specify Other Other
Compute Inspection Fee Below
n Fee Service Entrance S' k' Fee Feeders/Subfeeders fl Fee Circuits
10 1 m 0 to 30 A m s 0 to 30 Am s
t(ffMkANPG 31 to 100 Amps 31 to 100 Am s
g Above 100_Am s Above 100-Amps
rmers Remote Control Circ. Partial-Other Fee
?i
s special Inspection
TOT FEE
Rem,?Tks r-`-
Rough-in Date
I, the ri
Inspector. hereby
certify that the above
Final ( Da}gG
O inspection has been
made.
'
This request void
18 months from
CITY OF EAGAN
2795 No Knob Reed Eagan, MN $5122 NO 7482
PHONE: 464-8100
BUILDING PERMIT Receipt
To be wed for SF DWG/GAR Est. Volue $53,000 Date September 2 l9 _B2
Site Address 1684 Sherwood Way Erect
XX Occupancy R- 3
Lot 3 Block 1 Sec/Sub, Brittany 1St Alter ? Zoning R-1
Parcel # 10 15000 030 Ol Repair ? Fire Zone NA
Enlarge ? Type of Const. V
W Nome Tollefson Builders Move p # Stories
Address 1655 Norwood Drive Demolish ? Length 48
'i-Eauan 55122 rx,r_ 454-6873 Grade fl Deoth3-r_Sa. Ft
Nome Owner
ob Address
01
E- ri.,, o?..,.,.
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.
Signature of Permittee
A Building Permit Is issued to: Tallefson Build
oil work shall be done in accordance with all appli ble State
Building Officiol a r? . _
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit A7a.vv
Surcharge 26.50
Plan check 146.00
SAC 525.00
Water Conn420.00
Water Meter 60.00
Road Unit 240.00
Total $1709.50
_ on the express condition that
City of Eagan Ordinances.
Tollefson Builders Inc. Or.11137
/ 183-SbA
JACKSON - SURVEYORS
I.
R[OIST[R[D UMD[R LAW[ OF STATff OF MINNESOTA
V _
L
e ?JI TES - Vol')
3616 EAST 55th STREET, MINNEAPOLIS, MN 55417 727-3481
butupot's cafifiNtt
c '_ 1,%O Existing Elevations
_=Drainage and Utility Easements
Drainage
;ITI0Y
I rA:r It Nr ?.3?Q,
1 ?`b OIL-) n
?o t
?•//E? i ?_. 1` Proposed Garage Floor Elev. 95.5
I Proposed First Floor Kiev. 99.5
g
/IVi
roposes basement Floor Elev. 91.2 I ? a tti
a r '
Si.4.7 `
N. Bz
v4r L o7-
Q
I hereby certify that this is a trw and correct plat of a survey of:
Lot 3,31ock 1,Br1ttany,Dakata County,Ninnesota.
As sURV[Y[D By N[ THIS 31St. --DAY OF Aug. A. 0. 1982
O[
F. C. JACKSON, MINN[s0T IsTRAT1ON. No. 3600
CITY OF EAGAN
i HVII DINC; PERMIT APPLICATION
• d-CaU.c-
1b as Used Foggy -e Valuation ."S'3.4 ?
Site Address
Lot Block Sec./Sub.
Parcel 0 [/S O Co C) Q g 0 O
Owner:
Address:
City/Zip Code:
Phone #:
Contractor: /0
Address:
City/Up Code:
Phone t: v
Arch./Eng.:
nmress: •
City/Zip Code:
Phone is
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date
OFFICE USE ONLY
Erect A Occupancy J
Alter Zoning /
Repair Fire Zone
Enlarge -,Type of Const.
movie M Stories
Demolist' _ Front .
Grade Depth 13 co ft.
Water/Sewer Surcharge
Police Plan Check
Fire SAC
Eng. Water Conn.
Planner Water Meter
council Road Unit
Bldg. Off."'?/
APC
12/
TOTAL J -Io4 `SO
Cities Digital
ity Control
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73379
i . -R
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-6755694
29, ob
New Corrstudion Reoutenents RernodeyRSna' Reaudena'nts Office Use OnN
3 registered site surveys showing sq.IL of K sq. IL OF house. and 9A roofed areas 2 copies of plan sheaving footings, beams, joists Carl of Survey Recd _Y _ N
(20%m?cirwmlo[coveoge albaed) l set o(Enegy Calcuations for heard additions Tree Preis Plan Recd _Y _N.
2 copies of plan shvmng beam & Window Si, sspoured found design. etc. t ails survey for addaons 8 dads rise Res Rewired _Y _N
I set of Energy Calculations Addrlion- erclicafe Mon-Me septic sYsram On-site Septic System _Y _N
3 copies of Tree Reservation Plan r lot plated after 711193
Rim Joist Detail Options seleefion sheaf (Wildings With 3 a less units)
Minnogasco mechanical ventilation form
o& Construction Cost D O?
•
Date 'l f ?y(f
U)C( Unit/Ste #
Site Address / i7 /J `t
7 /
VV??
f W
k
i
or
on o
Descript
Multi-Family Bldg _ Y •_ N - Fireplace(s) _ 0 2
Property Owner Telephone#???-?
Contractor'
Address
M
y VLL.
zi City
Telephone # (6St )
/
State p
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Mirmesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Coda worksheet
(v` submission type) Submitted Submitted
Energy Envelope Calculalier s Submined
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, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval o plan 7,
Applicant's Printed Name Applicant's Signature
20116 RESIDENTIAL BUELDING PERAHT APPLICATION
z•d 01269L9I59 ajo0w f3ar Wair:TT 90 91 6ew
? t
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of_ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
DO NOT WRITE BELOW THIS LINE
? 13 16-plex
O 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower Level
? 20 Pool
? 21 Porch (3-sea.)
O 22 Porch/Addn.(4-sea.)
? 23 Porch (screen/gazebo)
? 24 Stone Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext Alt - Multi
? 33 Ext Alt - SF _
? 36 Multi Misc.
O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
•Damolhien (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage_Ves
Valuation
Plan Review _ 100% or _ 25%
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy MCES System
Zoning City Water
Stones Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
_ Sheetrodc
F nal/C.O.
FinaWo C.O.
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco Lath _ Stone Lath -Brick
_ Windows
Retaining Wall
Footings (new bldg)
Footings (deck)
_ Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace _ R.I. _ Air Test - Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 05-plex
? 08 O"lex
? 09 07-plex
? 10 08-plex
O 11 10-plex
? 12 12-plex
Building Inspector
g•d OIZGBLGT99 ajo0w JjaC eZb:II 90 9I Few
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cp alligg an Rivoulreme0t5
3 registered Sae surveys showing sq. fl. of lot, aq. R. of (rouse: and All roofed areas
(20% maximum IN coverage allowed)
1 Sol, Report it proposed building is to be pieced on disturbed 501
2 copies of plan showing beam & window Sizes: poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan b lot PlaneO after 7/1193
Rim Joist Wait OpdOns selection sheet (buildings %YM 3 or less units)
Mlnnegasoo mBctamical ventilation form
835"& I
go. ?
RarRodelfit art R ulre Oalee Use 0ely
2-copies of plan shoving footings, boOMS, louts Cent of Survey Recd _ Y _ N
1 set of Energy Calculations for heated adddone roAa RR?eli d Pim RAM _ Y N
1srt0survey for edJiliuin 8decks Tree Pres Required -Y -N
Addition - indwate if On-SO sepdc system onsae Sepido System -Y - N
Plans are considered public information unless you state mey are vaue ??¦=-a••-- - - ----
/? - Date O J Construction Cost e?o . r
unitiste #
Site Address
Description of work 00
Multi•Farnny ltklg _- V 4 N
Fireplace(s) - 0 - i
Property owner Alas rJi-/p cgu?L- - Telephone #669/) yOAL-o 223C--V-
Contractor /'CLIsc- ?o? •-'ri`?l? W ? '" n
Address ? 41(?S Se, GiRV t?ocLls? ?_ p0.w1C,__?
state M_N ?_ -- zip S_s_Y Telephone 0 (7G 3) 3l5 69 3rJ -
COMPLETE TNIS AREA OIrILY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7072
Category Rules 7670 Category 1 - NV Energy Code Worksheet
Minnesota
tnergy code Category Res denttal ventilation ory 1 Worksheet Submitted
(J submission type) Submitted
Energy Envelope Calculations SubmdMd
to the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Y ` N It yes, date and address of mnstpr plnnt
Licensed Plumber
Mechanical Contractor
Sewerlwater Contractor
Telephone #1
Telephone #(
Telephone #i
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and aecuratr
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of Nf
Statutes; I understand this is not a permit, but uuly an application for a permit, and work is not to start without
permit; that the work will be in accordance with the approved plan in the case of work which requires a review at
appruval of plans.
-?1 rV1"riJ' ' ?U
Applicant's Prin ed Name Applicant s Si tore