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1690 Sherwood WayCITY OF FAGAN 3795 rynt Knob Rood SEWER SERVICE PERMIT Fagan, MN 55122 PERMIT No.: Zoning: DATE: Owner: No, of Units: Address: Site Address: + % e F Plumber: :1LI1++e>oc' r'?.• , n ; r, : 1tt8n T 4111"Pe to ni* with "e C* of Eego O d r n ineaeet, Connection Charge: I? roe' fir = Account Deposit: Permit Fee: BY Surcharge: , Date of Insp.: Misc. Charges; Insp.: Totai: Date Paid: CITY OF FAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: : !• .' Fagan, MN 55122 DATE: < < i Zoning: T No. of Units: Owner: "o 1 1 Address: Site Address: r , j ° Meter No.: Connection Charge: r' Size: Account Deposit: Reader No.: Permit Fee: 1 09"@ to eomP11 with the City of Fagan Surcharge: Ordinance. Misc. Charges: 1 a Total: By Date Paid: --te of I nsp.: Insp.: Receipt PLUMBING PERMIT ll CITY OF EAGAN r > Fill in numbered spaces Type or Print legibly Permit No. Fee S/C Tot. i- 1. Date 2. Installation Cost 3. Job Address L Lot (l `) Blk. O / Trac 1 1I /? r 1 4. Owner 5. Contractor Phone r 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 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 i CITY OF EAGAN 3795 MW Knob Rood Ewen, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt * To be mud for Est. Value Date 19 Site Address Ere& ? Occupancy Lot Black Sec/Sub. Alter p Zoning Parcel Repair ? Fire Zone E nlarge ? Type of Const. of Name move ? ; Stories = Address Demolish ? Length Citv Phone Grade ? Depth Sa. Ft. Name it- Address r:•.. °L -- Name I hereby acknowledge that 1 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 with all applicable Building Official Assessment Water & Sew. Police Permit Surcharge Plan check Fire SAC Eng. Water Conn. Planner Water Meter Council Rood Unit Bldg. Off. APC Total _ on the express condition thn: City of Eagan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing lj ?? £ AL R S H.V.A.C. ' Yi2- (I Well water Disp. Sewer Electric w 3s e zX l? ?? EG. Inspection Date Insp. Other Footings a /[/- Foundation Framing Rough Pibg. . O Rough HVA Insulation Final Plbg. Final HVAC Final Water Describe Location: Well Sewer Pr. Disp. Trdifiraft of Orrupaury Citp of eagan Ervartmrnt of Wuilding Jnspe'rtum Ibis Certi f irate issx d parixant to the requirewnti of Section 3o6 of the uniform Bwldiag Cods certifying that at the time of issuance ibis structure was in cmpliance with the various ordinances of the City regulating building construction or use. For the following: tim cmrnadm sF DWG / GAR BIOS. Paw, No. 7569 Ow Trw R3 ?Yw Cautmun. V Fun za.. NA z4w" Dutdo Rl o...re<n?e Tollef son Builders A&I.1655 Norwood Dr.. Fagan ft. December 17, 1982 DIM: PC" M A CdIM UGWO rocs •ai - - -- -- LIilCIN u-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 r 3. Job Address -L-ot' Blk. Tract 4. Owner 5. Contractor Phone 13 - // I! 4 6. Address 7. City 1 State Zip 8. Building Type: Residential 13- Commercial ? Institutional ? 9. Work Description: New ? - Add ? Alter ? Repair ? 10. Describe Fuel Type , _._,;1i 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli : Mfg. r 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 464-8100 Receipt 1 PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date - 2. Installation Ctt 3. Job Address LLot Blk. r Tract' G' 4. Owner ?- 5. Contractor Phone 6. Address 7. City i i State Zip 8. Building Type: Residential IjY Commercial ? Institutional ? 9. Work Description: New ? 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 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 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 1 f 1 ANY PERMIT SUBTYPE: 11/1111111 N f IIOft A/1!W'/4 j APPLICANT: TYPE OF WORK: tf11<M IIAMA11f S Permit Holder Date Telephone N PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN. MINNESOTA 55122 DATE RECEIVED 19 AMOUNT & DOLLARS loo E] CASH F-1 CHECK FOR BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You lam"-', CITY OF EAGAN Remarks Addition BRITTANY Lot_ 2 Blk 1 Parcel 70 15000 020 01 Owner I" I (k, Street 1690 Sherwood Way State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 281-9 97 56.3AT 5 1691,93 A0118 5 1-12-83 STREET RESTOR. . GRADING 1981 429 - 73 28 58 j1pa 342.99 A011805 1-12-83 -- SAN SEW TRUNK s iQ76 156-51 10 - 45 1 r, 73.07 A011805 1-12-83 * SEWER LATERAL 5040 R7 336 06 2 2 n of. . WATERMAIN * WATER LATERAL WATER AREA Sf 1981 300 00 30 DO 1 n 210,00 A011805 1-12-83 . STORM SEW TRK 1981 492-SO 32,83 K 394.01 A011805 1-12-83 * STORM SEW LAT 1 ()R1 J CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 240.00 244 10-13-82 WATER CONN. 420.00 to it BUILDING PER. SAC 525.00 It it PARK CITY OF EAGAN 3793 PIW Knob Rood Bogen, MN 55122 NO 75G9 ' n PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $56. 000 Date _ Qgtnhnr l i _, I9$2- Site Address 1690 Sherwood Way E t O R-3 rec [2 ccupancy Lot 2 B lock 1 Sec/Sub. Brittany 1St Alter ? Zoning R-1 Parcel # 10 15000 020 01 Repair ? Fire Zone NA E l T f C t V n arge ? ype o ons . W Name Tollefson Builders Move ? # Stories z Address 1655 Norwood Drive Demolish ? Length 43 z City Ea gan 55122 Phone 454-6873 Grade ? Depth 46 Sq. Ft- Name Owner Approvals Fees a Address Assessment - § city Phone Water 8 Sew. Police Name Fi 1 re Address Eng . ?<z City Phone 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 State of Minnesota Statutes and City of Eagan Ordinances. APC Signature of Permittee A Building Permit Is issued to: 4+011 Son Builder all work sholl be done in accordance with all applicable Staf inn to Sta Building Official . Permit .avi.vv Surchorge 28.00 Plan check 150.50 SAC 525.00 Water Conn. 420.00 Water Meter 60.00 Road Unit 240.00 Total $1724.50 on the express condition that r of Eagan Ordinances. This request void «/ /Z ) L g I' 72 r t'.f I S?- 321. (//?j 18 months from 4 :J T7r'c l -28 ?fz 'moo Request Date Fire No. Rouph-in Inspection ? R u red? Rea dy Now ??yfill Notify, Inspec- -? yes ?NO or When ReatlV Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or oule No. City Section No. Township Name or No. ange No. C unly nt (P,ly Nom/ ?+C^? 7L ?`Jt ` Phone No. Power Supplier Address Electrical Contractor (Company Name) Contractor's License No Mailing Add ss (Contractor or Owner Making Iustailationl I l S ?W -13r 1 Authorized Signature (Contractor/Owner Makin, Ins [alli onl P ne Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigg.-Midway Bldg. - floom N-197 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION t;- EB-00001.03 w; Be- 'instructions for completing this form on back of Yellow copy. Q vv'-Work Covered by This Request 321 (Q d rj" dd 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 h I Other (Specify) t er 1 uea V Other Compute Inspection Fee Below 1- Fee Service Entrance Size k Fee Feeders/Subfeeders g Fee Circuits 0 to 100 Amps 0 to 30 Amps 0 to 30 Amos OD 101 to 200 Amps 31 to 100 Amps i IE? , 31 to 100 AMPS Above 200 Am s Above 100_Amps Above 100--.Amps Transformers Remote Control Circ. Partial/Other Fee Signs Special Inspection TOT Remarks FEET 1 7 s Rough-in of Date the cal Pector. hereby t the above Final Date certify tha /?jj7 .?% 'nspection has been Th- r aid s l 78 months ham h? 4-15&21 CITY OF W- AN Include 2 sets of plans, 1 site plan w/elevations i BUIMING PERCT APPLICATION 1 set of energy calculations. To Be Used For - ?uuation SSG, d0d Date Site Address 1(070 S Oo (i_ C)- CFFICE USE ONLY Lot -2- Block _I Sec./Sub.br`4ak I ESrect Occupancy 3 Parcel 4: (U X50 0c? 0 zo a ( Alter Zoning /Ar / Repai Y Fire Zone _ Owner, -Tv Oj--s6y? Enlarge _ Type of Coast. Address: N05 S N0-r o b Y- Move r- M stories C1ty/zip Code: Eo(- , ss z Z ads - '-ft. - Depth Phone 1: ? s tot--7 3 Contractor: _(7).v (A € Address: City/Zip Code: Phone Address: • City/Zip Cods: Phons APPFCkTA[S FEES Assessnnnts Pendt Water/Sewer Surcharge Police Plan Check Fire SAC ay- EN. Water Conn, ?- Planner Water Meter (foa council Poad Unit Bldg. Off. APC WrAL -k `7 1 5G 6-?, ? ?? y ?? b ?-?, ? > ? G ,ty r?® Cities Digital itv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. Draiasga and Otiiity Sesemtat 5 ` t d Estatieg glevbtioaa bra f e 1M m proposed Garage Floor 11sv: 94.5 I a - - ;- 1 proposed First Floor Elev. 98.5' propomd'awsemsat Floor alas. 40.2 q? I a t, e? 44 ?o ?'v 1 tz • - ? - 2 /3, 77' n I NCREDY TI" TNAT2TNr ABCyr Ii A TRUE AND CMPRCT PLAT of A suRvlT or 2? ?y Lot 2, Block l,arittany, Dakota Couaty,Minna sota. Cities Digital l Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. P ;..i; G t r:: ^ r:0 r7 ",C ?:Un re.IfifFS'G. Ze3 i - C? L? :'S1idF? ?f' o 11, 7.7 ' i'iF' C4SF Rle J. c_r:I Lr IJAG? r-Y m') TAT, ono I ie C roo^.ri ' r9£ TF r ` ='nP O^ I -UL n_TIti- i THICK rii: P?iT7 ] ?'?I?' C9 TIrDL?in"'07 I^ Cfi?re n?rw,.? t ?., 7Q" n riIFCIC ' PAVY7 JL:3L•F.rq; L, ;, rn L;, on_ t7n ^7 LLB??-i ? _ . AI'L'? CI: °U"'VA! aJ rjpn3L' I)nIF9 fooFE onlr;; u77Z 7I o7 0" _ _?? ;.I ? 3 e.,? f?S (?C? 4IJ') ., `n n?,?IIF' ??ISt77Ai ?. I_l'3 c Q_Til=u?a C9 c23 PO .1 AIV, C F.F7? L11iF' k ,L ? . „1 EPE oz. Iq C) x i... 5. i? 4 •i0 ? r! 4 Cl S.F 1 l._. F ?- -;k SPCT rlN -(Tr?? - Zt1,+(? NSrt.lr,r-s yF?e? l?I ?- grrr???s TOTALS D?:1f9?4. Lr ` . ?( rtC : c 91:a? it i iiill??? 4 N fl t Y L-7T' 77.14 C7TA U-, DOORS -tom 4Jrnp t.?t S7n7?ttcl -?- 2n .., ?i.-?-,•_.....?-.. H -?• 1 .rC N Il -7 ??. + .r Ccoar.?S?ola) ? •r ? r l51R ii r ?1,tn1,T?trr.tt It?• ? 1 ??k 7777777 t 1{_ tlr rn ro,+.i + f({1. ?' TOTAL.. . ..t - - f + ! 3 CoNC31K w 32 crC:A13eoEG. n Airt n T /; s r 1_ I 5"f?i i +'?._.._ ? J 1/7 - :7r to --___ fC .' f`--- ? • L [ __ ---1 at _? ? rli?nt,_ _ _ 111. I? _1 1I5 A.I ?t { L+11.21 rtRC WnLti i C,n IT aGC •? ??_ ?? ?.._..? 3 i!? i? - j'a - _._.?_ _+ 1 FAl It ter. z?h fl LP i. 107 TA_ LJ) 1 tr S7 u?lf a' tnr., it `3! C11ac. ,tii GaRaG :f? x u -(t„ r._ f /rlli_?t l ?TrLa_ FIiR'- ' j '? 5r , s fir fl ` i7 d I'll F-! J.l n, rN tk iuL 5 ? a rte .ifsF ?(?_it ?__...._._ilt Pitt Suter-irnt? {LLf {} ---i - iI?i-? ???1r?L dI! f i/rn?n?TUi'-Rtnq ?rf5 a iil ;.li 1 f C _ TvTAL {?5 .j!P) iLOtti, t'-f: t:J l1LLu W,°7N )?('.r Li I ?i l?` - - ? - L ?ow?2 w , • r r pD 1 •il t-. 7 1± I .: ? , . die Lc .+ - 1 - ,-540 a5 II55t1?' 71.R ?.-:;.Hnic^ I?1f•__:LLT? ?r?l t?? tl iweR IIANC IU FRO+.,T O,F'No oS 041 A 19 rl r-7 /off v ?k r T (J ' ! (Y F F 07 t. I .Pfi } a 'e TT } ?h „r I l! : .tf(a e ? +' G?bc } h Yes t ? f t '' ' ?1 •f ft . '?: Ftr MM'?- ? fi ' r{. ! „h:. :.. r.. ?? 4 'Cli ..J.u..?,:°.:1?]l Y??l:CL'uyl ...?a • i._`'?-f.. ?d? f 1' ` ux3:: 9n..e:.. .:' ... .. ._.._. .e, ?. . ._ ? . . . PERMIT C;TY OF EAGAN 4 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.Z.N.: 10-15000-020-01 PERMIT TYPE: BUILDING Permit Number: 033105 Date Issued: 09/02/98 1690 SHERWOOD WAY LOT: 2 BLOCK: 1 BRITTANY DESCRIPTION: REROOF/STORM BU& d KoogPermit Type B, dIn9 1 k Type ffi a m 5 ?' ?? It 4r ?&V :!8w 434 DAMAGE STORM DAMAGE REPAIR ALT. RESIDENTIAL "T 4;z Q in 1 'lop 'P3 REMARKS: FEE SUMMARY- CONTRACTOR: - Applicant - ST. LIC. OWNER: CUSTOM CONCEPTS CONST 18987290 20142417 LECKEY DAVID 16540 KENRICK LOOP/STE B 1690 SHERWOOD WAY LAKEVILLE MN 55044 EAGAN MN 55122 (612) 898-7290 (651)686-7288 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 2 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan 9 lot platted after 7/1/93 required: _ Yes _ No DATE: RI3 b DESCRIPTIO F WORK: STRE ADDRESS: 1I D °I (, S ?G to1C t? Remodel/Repair Requirements ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST: -??6Q LOT: BLOCK: i_ SUBDJP.LD. #: i+c?, V?- `-/ Name: I-P Phone #: (? X l? PROPERTY Last First OWNER Street Address: ?(fgC) SV-\ A (A le)Cn j1 &( 4 City t? ('./?71.1.1 M State: Y t/ Zip: J? S? a E --7 Company: ?C\ Phone #: CONTRACTOR 1???? 5 Pf? ' ?\4 DL W, Street Address: 6 ?sC? c L)icen?sfe-# City lam" State: ? Jo L4 1 Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street City State: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appiicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant:-- OFFICE USE ONLY Certificates of Survey Received - Yes Tree Preservation Plan Received _ Yes No Not Required BY' DECEIVED _ No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _ plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Building Engineering _ Valuation: $ % SAC SAC Units ------------------ ForOffice Use j Permit #: ` Permit Fee: 9f) . CC) Date Received: 1 - I I Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0--21-0g Site Address: 14 / ?i //?`it"?rr? t?'?"It/ / Tenant: Suite #: Phone: 6& P A RESIDENT/OWNER Name: - - O /69C Address / City / Zip: Applicant is: Owner X Contractor TYPE OF WORK Description of work: Construction Cos?? Multi-Family Building: (Yes No xv) CONTRACTOR Name: A n4 1z;;G. License #: ?3 79"-,iP ' os/ Address: ??36--ZG l?'/y ?5 s?? ? y City: d/T°J /r'State: 101 Zip: Phone: ?5 -- Contact Person: T 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 (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 it 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 or i nces 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 with permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plan x/ / Vhf/'F x f/?% 9 r Appli ant's Printed Name Applic nt's Signature Page 1 of 3 ùñù òï ÿþ ÿÿ þýý üþþÿÿîüñôþí ù í ÿù ýüûúùø÷ü ß ã õ ø÷ü ß ã Úü ÿ ÿ ø ñ Ýü ñ üû ô þý ø þèîíç ÿ ååíëå ô ñ÷èðøñ çæííéëéåëë øü ýü ÿ÷öæíéîéîí ÷ö ùõô øø ÿß ãÿðòý íëë ìîý ù ôõííåå ÿôõíí èîíçëí ûùÿ ä øø ò ñ ÿ ñøù øøûý òô ýü ãùò ÿâ é øøà ñýÿü üùýÿü For Office Use r t%‘ i i is. E AGA Permit#: « !!! Permit Fee: /17. / ),1'.:, VDate Received: 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 i_ �, (651)675-5675 I TDD:(651)454-8535 FAX: (651)675-5694 A UU a 8 2 C Staff: buildinainspectionsccacitvofeaaan.com L BY:,� e%C �,�� 2019 RESIDENTIAL BUILDING PER APPLICATION Vt01(1� Date:443A 9 Site Address:_,/,‘W c% ,w4Td' /6/9— Unit#: •. I Name: 'k /I S 1. , ay - Phone: 7/5 .�-- 9--75L7 Resident/ r OwnerAddress/City/Zip:-j 95 < I,l rjf/l / �1� e----01- -,--, z• - ,, Applicant is: )6 Owner Contractor \ C((, d /r 6 Vim"' .604 22. ..-h_ '2 T of Work Description of work. , G� /11� le-- Type 'A- � � Construction Cost: Multi-Family Building: (Yes /No )0) Company: Contact: Contractor Address: City: • State: Zip: Phone: Email: License#: bead Certificate#: If the project is exempt from lead certification, please explain why: i 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 maybe classified as non-pubic if you provide specific reasons that would permit the City to conclude that they are bade 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.citvofeaoan.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 pemit 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.nopherstateonecall.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 with., a permit; that the work will be in accordance with the approved plan in e case of work which requires a review and a•• • a of•a -. x JV5* /1/40 1---- i - ...411110CIF Applicant's Printed Name • •plicant's .!nat , ..SUB ES' I�'� 55,(w,>..) Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) Exterior Alteration(Multi) Multi -� Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement — Siding Demolish Building* Addition Move Building — Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair — Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant - DESCRIPTION I Valuation 1/11)* r Occupancy 1.12.0- 1 MCES System Plan Review Code Edition yho 2e'%5-- SAC Units (25% 100% leo Zoning (.Z ~I City Water • Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction -------VWidth REQUIRED INSPECTIONS Footings(New Building) Meter Size: .- Footings(Deck) Final I C.O. Required Footings(Addition) Final I No C.O. Required Foundation Foundation Before Backfill HVAC 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 — Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: f 471 l 2/ ic- f 17 y4 , Building Inspector RESIDENTIAL FEES • Base Fee Z I Ny ' D ec P.- .4- S 7,4:e . Surcharge Plan Review 2 'Y s f. f r MCES SAC Cisac Q a` /S. °0 5 q • /�:-- Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 F ¢„ r ,s,...,•:•.i.'.:::��. ,Yti'^' �Jti_..v�'' i' "*`,"t.•'it•'Irt ^y"Y.4 •^yy,4r' � - ar F•' ',?.•r of Q �'ii"',: F.�•- MI i�aFy,j!�'' ..� s "AV,te r' • A. :ti-" :•*`�•'i 4• 41. .`A':••• 74, -,_1,1:&. ,� -_-...,-, tea.L - ,. • • �,��". _ '..,,,, "71tr., i�� •c�a'Fy..'�J �r . ,I1, .... -•. ,,�.4..,.. ' 4.1:,;•'.�'s,, mal`:'• "'�° .,, " lr,. C.y{ � ,r^7 '• --4 • .. 5, - }=' ,r ':t, '. + ^ Z' "`:',vi,, : 11 •Y�y _ .,. '!' ° ?r. w a rs�..•. : sd.r•jr , �:r;;t. ,•;• n zl,R r. 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'r w ''�r,,:• .'• 1.• ?fR•* -!'=....4,. '`,; PERMIT City of Eagan Permit Type:Building Permit Number:EA170652 Date Issued:07/13/2021 Permit Category:ePermit Site Address: 1690 Sherwood Way Lot:2 Block: 1 Addition: Brittany PID:10-15000-01-020 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 - Shannon M Moberg 1690 Sherwood Way Eagan MN 55122 (715) 529-7319 Legacy Restoration Llc 15350 25th Ave N, Suite 114 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature