1696 Sherwood WayWATER SERVICE PERMIT
CITY OF EAGAN
3795 Pilot Knob Road
seven, mw 55722
Zoning:
Owner:
Address:
Site Address:
Plumber:
Meter NO.:
Size:
Reader No.: Eagan
1 eyree to comply W" the city
Ordinance.
By
Date of
1 agree to comply with the City of Eagan
Ordinances.
PERMIT NO.:
DATE:
No. of Units:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilo` Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
PI,,mMrr _.
By
Date of Insp.:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
111: 1 I I AN"'
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
1
}IF I't1+I11L1 IW,
PERMIT SUBTYPE:
I r11 ;I,. I APPLICANT:
TYPE OF WORK:
N I I.1 '
( C I let I't AC U IN( 1 I$W 11 ?
INSPECTION DATE INSPTR • TYPE DATE INSPTR
, .
i. ill n i I IIN I Mr,
F
L
Permit No. Permft Holder Date Telephone A
S/W
PLUMBING
HVAC
ELECT 3 00
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing ,
Rough Plbg.
Rough Htg. 7/s a f 3 uG y??`%3 ?b L -?
Isul.
Fireplace -
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg
Deck Final ? /? r!
well
Pr. Disp.
CITY OF EAGAN
t r 3795 Pile: Knob Road gogan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be wed for Est_ Velue ato
Site Address Erect
[3
Occupancy
Lot Block Sec/Sub. Alter ? Zoning
Parcel # Repair ? Fire Zone
E
l T
f
n
arge ? ype o
Const.
0W: Name Move
?
# Stories
Z Address Demolish C] Length
City Phone Grade ? Depth Sq. Ft.
0
0 Name
uu Address Assessment
~ city Phone Water & Sew.
u? Police
WW
? Name
Fire
Address Eng.
<'Z" Ci 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: on
oil work shall be done in accordance with all applicable State of Minnesota Statutes and City of
Building Official Approvals Fees
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total
the express condition 11hn+
Eagan Ordinances.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C. ?J37? t c
Well
Water
Disp.
Sewer
Electric Wo 5 4 3(e a ?`(, ,'?--I( -$3
Inspection Date Insp. Other
Footings fZ-lo gz ??
Foundation
Framing
Rough Plbg. ZZ? GJ
Rough HVA -2-2-
Insulation AZA
Final Plbg. y3 2 f ZX
d
,
Final HVAC - j
1
Final
Water Describe Location:
Wtll
Sewer
Pr. Disp.
Trrtifiratr of Orrupaury
Citp of Cagan
Prparhnraf of But1bing 3nBprrftnn
This Certificate issued pursuant to the requirements of Section 306 of t& Uniform Building
Code certifying that at the tine of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or ust. For the folloudng:
u» chwficedit SF DWG/GAR D14. parrot No, 7739
ooapuwy 7y" R3 .7yp cmtnctlm V Fln NA Zoning t)WWM Rl
o.n..afta ,, Tollef son Builders AIM. 1655 Norwood Dr. , Eagan
+e.mneAd*.1696 Sherwood Way ?,rLot l,Block 1,Brittany 1st
,I +? k my. May 9, 1983
bwba a omcid Dw:
?wT IM . CoNYWJA*W .t?C.
5 ..
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 f
7. City State Zip
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New ? Add ?
10. Describe
Alter ? Repair ?
11.
Fuel Type ?
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
CITY OF EAGAN
Permit No.
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address Fa ' Lot Blk. ii Tract
4. Owner ?.'
5. Contractor Phone i i
6. Address
7. City State Zip
8. Building Type: Residential 1 Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11,
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
I Bath tubs Septic Tank
Lavatory Softner
/ Shower Well
/ Kitchen Sink
Urinal/Bidet Other
Laundry Tray
l 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
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
RECEIVED
FROM
AMOUNT
? CASH ? CHECK
DOLLARS
loo
FOR
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
? ' z BY
CITY OF EAGAN Remarks DIMIGN 813142 8.110/79
Addition RRiTTANY Lot BIk 1 Parce110 15000,010 01
Owner - Street 1696 Sherwand?W T State Eagan, MN.
Improvement Amount Annual Years Payment Receipt Date
STREET SURF. (C? 1982 2819.87 563-97 1691.93 A012355 6-14-83
STREET RESTOR. K U
GRADING G 428-73 28.58 342.99 A012355 6-14-83
SAN SEW TRUNK ?c 19 156.78 10.45 15 73.18 A012355 6-14-83
* SEWER LATERAL 3/ .336.06 )5411 4032.72 if if
WATERMAIN
* WATER LATERAL 1981
WATER AREA 3" 210.00 A012355 6-14-83
STORM SEW TRK 3-4 1981 492.50 32.83 394.0 A012355 6-14-83
-
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 240.0
WATER CONN. 420.00 ++ +t
BUILDING PER.
SAC 00
++
++
PARK
4'M
2 0 3
u
Request Date
,) s
)) Fire No. Rough-i I sPeclion
Require NOTICE: You Must Call Electrical mspecior
It A Rough-In
Inspection
J Yes [D No uired
Is Required..
licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route i
?Cy4? S'41rwovd w city
? AAj
Section No. Township Name or No. Range No. County
ty?'T
h/"? 'el??
O
(PRINT) Phone No.
/
Power Supplier Address
El for ompany Name) Comm ctor5 License No.
Mailing Address (Contractor or ner Making Installation)
? CJ
/'Z -,7 5 ?5,,f oi e,- 7--
A= (Contr Makin nstailation) Pho//ne Numbe(r? / / /
CD /J -CG 7
MINNESOTA Sip'1E BOARD OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT
Grlggs-Midway Bldg. - Roam S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
Thiireq).Wtwoid 18 months from ,
/ I' to
R
to of this Request 'WI'U., 'q /p 1 7 7q 76821
J
1, as Licensed Electri1 Contractor Owner, do hereby request inspection of the above electri-
cal wiring installed at: :R }
Street Address or Route No `^?/'e _ City C a/
Section Township
Which is occupied by L[-?C
Is a roughin inspection required on this
Power Supplier
Electrical Contractor IK' ?
Mailing Address 14540 PEE
Range County
(Name o Occupant)
No El Yes Ready Now ? Wilk;
t.
Authorized Signature - phone-lo.
(Electrical Contractor or Owner Making This Installation)
??? ?????f? This inspection request will not he accepted by the
}f State Board unless proper inspection fee is egclasel
REQUEST FOR ELECTRICAL INSPECTION
p? r? I wee instructions for completing this form on back of yellow copy.
IYI 2 3 X" Below Work Covered by This Request
EB-00001-08
?' aGb32
ew Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Romance r
RC-0 )-I T! a >)
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps O to 100 Amps
Transformers Above 200 Amps ve 0 Amps
Signs Inspector's Use Only: TOTAL
Irrigation Booms L Jir
Special Inspection -(
Alarm/Communication THIS INSTALLATION MA ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 TH .
I, the Electrical Inspector, hereby Rough-in f oat
(
certify that the above inspection has
been made. Final Date
L?
OFFICE USE ONLY
This request void 18 months from
Minnesota State Board of Electricity
1954
iviversity Ave., St. Paul, Minn. 55104-Phone 645-7703
".-MQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
-7 41?
682,1
7
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm List List
_
Other ? ? E3 Others
Here ))) Others
Here
COMPUTE INSPECTION FEE BELOW
Service Entrance Size:
0 to 100 Amps.
101 to 200 Amps. # Fee F S d Fee
es
3 o I0 Circuits:
0 to 30 Amperes
31 to 100 Amperes # Fee
• O
Above 200 Amps. A ove 1 _ Above 100 Amps.
Transformers Remote Control Circ. partial or other fee
Signs Special Inspection Minimum fee 55.00
Remarks ?- - _ G
TOTAL FEE
I, the Electrical Inspector, hereby certify that the above inspection has been made. 3 -fro
(Rough-in) Date
(Final) C? n? Date
This request void 18 months from
This request void Z-+
1S months from
Lit Bfr 8r1. ?5 3q'?g9-
(F4 t s a
naq vL+?Ti?_ / ?? Fire No. RROUgh edn?lnspection 1 1 Ready Now Will Notify Inspe,
Yes nNO ?lor When Ready
Licensed Electrical Contractor I hereby request inspection of above
Owner electrical work installed et:
Street Address, Be. or Route No. City
'W WA
action No. Township Name or No. Ran o. Cow
Occupant (PRINT) Phone No.
___/ -e '/- So n
Pope) Supplier ?/ ry r1 Address
Electrical Con aeter ICompa ny Namel Contractor's Licnn se No.
41
Mailing A ross (Contractor or Owner Making Instailattion)
-
-
'
7n-
T- L4tL S+' LA.) .
Authorized Sig Contractor Owner aki ng Installation) Pho umber
on -
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
1-11-1«. ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
' See instructions for completing this form on back of yellow copy.
VIA ((+?A
X" , W oGe'ed by This Request
3g3".g
4??+R Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting FixtUres
Apt. Building Dryer Electric Heat
cial Bldg. ing,
Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm O Other (Specify)
t er SPeci fy t e Other
Compute Inspection Fee Below
k Fee Service Entrance Size A Fee Feeders /S ubteede is d Fee Circuits
0 to 200 Amps 0 to 30 Amps
i 0 to 30A m
Above 200 Amps 31 to 100 Amps E -V to 100 A
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Boors 5?) 1 Partial-'Other Fee
Signs Special Inspection $
O
Remarks U
40
Rough-in
` D tq
^/6-Y
ripe(
Inspector. hereby
certify that the above
Final Ate? j? inspection has bean
made.
This rsquest void 18 months from
CITY 01 EAGAN
3795 Pibe Knob Road Eagan, MN 55122 p 7739
PHONEt 454.8100 !
BUILDING PERMIT Receipt
To be tri for SF DWG/GAR Est. Value $47,000 Dote D ecember 23 -,i9-B2-
Site Address 1696 Sherwood Way Erect [X Occupancy R-3
Lot 1 Block 1 Sec/Sub.- Brittany 1st Alter ? Zoning R-1
Parcel # 10 15000 010 Ol Repair ? Fire Zone NA
Enlarge ? Type of Const. V
a Name Tollefson Builders Move
?
# Stories
Address 1655 Norwood Drive Demolish ? Length 50
C; Ea gan 55122 Phone 454-6873 Grade ? Depth_ 0 Sq. Ft.-
0 Name Owner Approvals Fees
0` Address Assessment .
Water 8 Sew.
City Phone
Police
w Nome Fire
u? Address Eng.
i-z City Phone Planner
Council
I hereby acknowledge that l have read this opplicotion and state that Bldg. Off.
the information is correct and agree to comply with. oil applicable
State of Minnesota Statutes and City of Eagan Ordinances. APC
Signature of Perrnittee
A Building Permit Is issued to: Tollefson Bui
all work shall be done in accordance with all applicable
Permit 107. UU
Surcharge 23.50
Plan check 134.50
SAC 525.00
Water Conn420.00
Water Meter 60.00
Road Unit 240.00 _
Total $1672.00
on the express condition that
Statutes and City of Eagan Ordinances.
Building Official
RESIDENTIAL
51, l l?z BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 l 2
651.681.4675
New Construction Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing bream & window saes; poured found design, etc.)
• 1 set of Energy calculations
• 3 copies of Tree Preservation Plan H lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE 6_1Y-(:A
SITE ADDRESS
TYPE OF WORK /
APPLICANT
STREET ADDRESS
TELEPHONE # A;1-5f? CELL PHONE #
Remodel/Repair Requirements
• 2 copies of plan
• I set of Energy calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
32
VALUATION , S 98
PROPERTYOWNER /%t//( A11W TELEPHONE# 44-1 -e-4-T" ?w
----------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(J 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/Water Contractor:
Air Conditioning
Heat Recovery System
MULTI-FAMILY BLDG _ Y + N
FIREPLACE(S) _ 0 _ 1 _ 2
? ou STATE^W?ZIP 36741/r
FAX #
Phone #
Fee: $90.00
Fee: $70.00
-- --- ---- ---- ------- --- --
I hereby acknowledge that I have read this application, state that the information 1 rect, and agree to _ mply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
-°------------___---------- -- ---------------- ------ -_------ ---- -----
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
Water Softener
Water Heater _
No, of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 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 IN SPECTIONS
Footings (new bldg)
- Final/C.O.
- Footings (deck) _ Final/No C.O.
Footings (addition) -
_ Plumbing
- Foundation HVAC
_ Drain Tile _ Other
Roof `Ice & Water _ Fi nal _ Pool
Ftgs
Air/Gas Tests Final
_ Framing - _
_
_
Siding
Stucco
Stone
Fireplace _ R.I. _ Air Test _ Final _ _
_
Windows (new/replacement)
_ Insulation - Retaining Wall
Approved By
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
Building Inspector
CITY OF EAGAN
BUILDING PERMIT APPLICATION
TO Be Used Fbr valuation ¢1/ /, 0 60
i
i
I
Site Address 9 GtJn
Lot _/ _Block _L Sec./Sub.
Paraal i s L o l s o O D o to oj 61
jmsess:
City/Zip Code;
Phone 1:
Address:
city/Zip
Phone t:
Arch./Eng.:
Amare": •
City/Zip Code:
Phone #:
Include 2 sets of plans,
1 site plan w/elevations i
I set of energy calailations.
Date
OFFICE USE ONLY
Erect C= pancy+
Alter Zoning
Repair Fire Zone
Enlarge _ Type of Const.
Move N Stories
Demolish Front ft.
Grade _
Depth 77-f t.
?? Water/Sewer - -- Surcharge
/ Police Plan Check
z%YL , y 2jrl Fire SAC
'PI-7 3 Eng- Water Conn,
Planner Water Meter
Council Road Unit _
Bldg. Off. 75 -- 7
APC
i/- TOTAL (Ip a? OC?
141
ities Digital Quality Control
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Cities Di
ity Control
The following image represents the best
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Every effort was made to capture the content
from the original page.
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CITY"OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-15000-010-01
DESCRIPTION:
INCLUDED)
SF ADDITION
NEW
R-3
18
16
ou-
PERMIT
PERMIT TYPE: BUILDING
Permit Number: 021556
Date Issued: 07/23/93
1696 SHERWOOD WAY
LOT: 1 BLOCK: 1
BRITTANY
(FIREPLACE
B.ullding„ Permit Type
Building Work Type
i/USC Occupancy\_,
Building Length-,,
Building Width L_
1
,f
REMARKS:
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
Lic. Search
Subtotal
VALUATION
$171.00
$111.15
$8.00
Fee $5.00
$295.15
CONTRACTOR: -
KELLER BLDRS, MARTIN
465 18TH AVE S
S ST PAUL MN
(612) 646-5589
Applicant - ST. LIC. OWNER:
16465589 0004970 MILLER MARK
1696 SHERW00D WAY
55075 EAGAN MN 55121
(612)688-8253
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
L_ /
APPLI ANT/PER ITEE SIGNATURE
? i
$16,000
COPY $.50
Total Fee $295.65
application and state that the
with all applicable State of Mn.
610R6r.1mil
ISSUED B SIGNATURE
PE?PE'AM IT PIE , EIVEQ 3 BUILDIINNGA PERMIT APPLICATION ?ZgJr' ?
hI3
J U L- 1 6 1993 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, i copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date TZtl Valuation of work 2W'Do ) ° Q
Site Address: Ibglo UJOOp V_O
STREET SUITE /
Tenant Name: (commercial only)
LOT _L BLACK I SUBD.?FZ)TTANI A-t, V0i , P.I.D. N
Description of wori6rAjx?)?wn! .)
The applicant is: ? Owner Contractor ? Other (Describe)
Name OAYZY-- M (L_Lgte Phone
Property LAST FIRST
Owner Address Ifella iii?n?ooo W/4
STREET STE M
city ACS State SIN Zip 551/7
-L_e Phone (o -55
Company 77? ?Z4z
Contractor ,
?f? ??. License # &D470 Exp.- i q7-
Address ? L
D
City 't), "?r f ?c State M!? Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
plicable State of Minnesota Statutes and City of
correct and agree to comply with all
a
p
Eagan Ordinances.
l
ap
p
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
?r03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Addl. ? 15 Deck
WORK TYPE
P? 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) 1st F1. sq. ft.
UBC Occupancy g-3 2nd Fl. sq. ft.
Zoning Sq. Ft. total
# of Stories Footprint Sq. ft.
Length On-site well
Depth r(On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS )Nccu?? GA??, F)
? Site Footing E Framing
? Wallboard Final ? Draintile
? 16 BaSememt Fish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code 3
SAC Code
t
Assessments
,Insulation
Fireplace
Permit Fee 0. v.iu.tion- S 0Q0
Surcharge o
Plan Review tTl is _
rG?C?? ??S x S
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies s?
Other
Total:
SAC %
SAC Units
Cities Digital Quality 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.
? .
CITY OF EAGAN
EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION
OWNER:
SITE ADDRESS: NAI ?it?sO?tikti?n IfI1W ?? l??
CONTRACTOR: AAA- l-l KR ? &06; DATE: W M?qg /PHONE:
Determine working square footage of each:
1. Total exposed wall area ... '?Lsq. ft, x .11 = 5 3,0
2. Total roof/ceiling area ... '316 sq. ft. x .026
Total exposed wall area above floor = .
a, Total wall window area ............................
b. Total door area ................................... 2
c. Total sliding glass area ..........................
d. Total fireplace wall area ........ ............
e. Total wall framing area (average 10%) .............
f. Total net wall area above floor ................... 3
g. Total rim joist area ..............................
Total exposed foundation area = 40L 0
h. Total foundation window area ....................... o
i. Total net foundation area above grade ..............
Determine 'U' value of each wall segment:
a. x
b. Q x
c. O x
d. Q x
e. A-S x
f. 9231 x
g. 0 x
h. p x
i. Ip x
lul .-815 LS t
'U'
'U' - O
'
'U-?,
IUT St',
lul = n
lug = Q
'U' n - C7
3 . ................................................... Total = ??? $5
If item #3 is the same as or less than item A1, you have met the intent of SBC
6006(c)2.
Total exposed roof/ceiling area = 3 qt,
j. Total skylight area ............................... o
k. Total roof/ceiling framing area (average 10%) .....
1. Total net insulated roof/ceiling area .............. ?,.
OVER
Determine 'U' value for each roof/ceiling segment:
j. x 'u' -
4 . ...................................................... Total = ?, ZT
If total of #4 is the same as or less than #2, you have met the intent of SBC
6006(01.
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 #2.
1. s3.0 z + 2. ID, 3&?
3. Srj,35' + 4. Gl, z`{
CD F1r
j7 e?i c ifn y v F %. 77 /" fi
2
Council Minutes
July 15, 1980 9 •9';y'"?
Page Seven
} All members voted yes except Parranto who voted no.
D 80-68
JOYCE ADDITION REZONING AND PRELIMINARY PLAT
The application of Reverend and Mrs. Reuben Meissner for rezoning from GB
and R-1 to GB, R-2 and R-1 and preliminary plat approval of Joyce Addition, located
in Auditor's Subdivision 38 near the intersection of Highways 1155 and 1149 was
next considered by the Council. The Planning Commission recommended approval
subject to conditions at their July 8 meeting. Reverend and Mrs. Meissner were
present as was Del Schwanz for the applicant. The storm sewer problem in the area
was discussed and it was recommended that the storm sewer report for the area be
updated. Parranto moved, Wachter seconded the motion, to continue the applica-
tion and further to direct the City Engineer to update the feasibility study for
storm sewer for the T. H. #55 area and Burr Oak Pond storm sewer area for an ad-
ditional 30 days. All voted yea.
L & F ADDITION PRELIMINARY PLAT
The application of Ralph Linvill for rezoning from Flood Plain District to
Limited Industrial District and preliminary plat approval of L & F Addition near
the former Palmer Nursery property on the west side of Cedar Avenue at the railroad
right of way was next considered. The applicant requested that the applications be
continued until the August 5 meeting. Egan moved, Wachter seconded the motion,
?- all voted in favor to continue the item until the August 5 meeting.
?BR TTI ANY ADDITION VARIANCE
The application of William Dolan for variance covering Ilot 7:, Block 1, Brittany
Ad=ion, was next considered by the Council. There were no objections and no --
appearance for the applicant. The APC recommended approval on July 8, 1980.
Parranto moved, Smith seconded the motion to approve the application subject to
conditions proposed by the Planning Commission as follows:
1. All other setback requirements and ordinances shall be met.
• All voted yes.
GRANVILLE HOUSE SPECIAL USE'-PERMIT
The application of Granville House, Inc,., for a special use permit for an
extended care facility for chemically dependent adolescents at 722 Blue Gentian
Road was next considered. Two representatives of the applicant were present to
explain the project and indicated that Granville House will purchase the Ames
Estate on Blue Genfian Road and approximately 30 occupants will be housed in the
property.
The City Planner made certain recommended conditions in the event of approval
by the Council. It was noted two other adjacent houses are being used for counseling
and some similar purposes. There were no objections to the application. The
City Councilmembers recommended, however, that a public hearing be held and adjoining
property owners be noticed and that the issue be considered at the next meeting of
the Council. Egan moved, Smith seconded the motion to direct the staff to notice
the surrounding property owners and that the matter be considered at the August
5 Council meeting. All voted yes.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1696 Sherwood Way
Lot: 1 Block: 1 Addition: Brittany
PID:10- 15000- 010 -01
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: Replacement
Description: Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
Owner:
Marc H Miller
1696 Sherwood Way
Eagan MN 55122
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA080329
10/09/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132459
Date Issued:08/17/2015
Permit Category:ePermit
Site Address: 1696 Sherwood Way
Lot:1 Block: 1 Addition: Brittany
PID:10-15000-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Marc H Miller
1696 Sherwood Way
Eagan MN 55122
Premier Window Professionals Inc
3897 Danbury Tr
Eagan MN 55123
(612) 363-3914
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132530
Date Issued:08/19/2015
Permit Category:ePermit
Site Address: 1696 Sherwood Way
Lot:1 Block: 1 Addition: Brittany
PID:10-15000-01-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Marc H Miller
1696 Sherwood Way
Eagan MN 55122
Premier Window Professionals Inc
3897 Danbury Tr
Eagan MN 55123
(612) 363-3914
Applicant/Permitee: Signature Issued By: Signature
!"
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City of Etta"
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
EKED
FEB 2 9 2016
Use BLUE or BLACK Ink moi''
For Office Use �y I �j
Permit #: / 3 I 5 t,
Permit Fee: c:2 6 , V 'y
Date Received:
1
Staff:
L
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2/25/2016 Site Address: 1696 Sherwood Way
Unit #:
Name: Marc Miller Phone: 612 280 2899
Address / City / zip: 1696 Sherwood Way Eagan, MN 55123
Applicant is: Owner ✓ Contractor
Construction Cost:
Multi -Family Building: (Yes / No
Company: A K Anderson Enterprises Inc Contact: Arne
Address: 241 Halsey Ave NEcity: Buffalo
State: MN Zip: 55313 Phone: 612 308 7194 Email: rkneea@gmail.com
License #: BC341022 Lead Certificate #:
If the project is exempt from lead certification, please explain why:
Home was built in 1983
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:
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 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.
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.
xArne K Anderson
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
/ cr6 9,166-zupood ,A- c--(
DO NOT WRITE BELOW THIS LINE
/3.:S305
SUB TYPES
_ Foundation Fireplace — Porch (3 -Season) _ Exterior Alteration (Single Family)
`y( Single Family_ Garage _ Porch (4 -Season) _ Exterior Alteration (Multi)
_ Multi ^ Deck ` Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of _ Piex .� Lower Level _ Pool _ Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wait
DESCRIPTION
Valuation "€ Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100% ) Zoning ,[_1 City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final 1 C.O. Required
Footings (Addition) JC Final 1 No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Roof: _Ice & Water _Final Pool: Footings Air/Gas Tests _Final
4_ Framing Drain Tile
Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath Stone Lath _Brick
ic insulation Windows
Sheathing Retaining Wall: Footings _ Backfill _ Final
Sheetrock Radon Control
Fire Wails Erosion Control
Braced Walls Other:
Interior Improvement
_ Move Building
Fire Repair
Repair
_ Siding _ Demolish Building*
_ Reroof _ Demolish interior
_ Windows Demolish Foundation
Egress Window_ Water Damage
'Demolition of entire building — give PCA handout to applicant
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Pian Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
�City urPapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 615.5675
Fax: (651) 675-5694
91018 0 8VN
03A13038
113338
Use BLUE or BLACK Ink
For Office use
Permit#: 1 i
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Vg/ho
Tenant;
Site Address: /6 9L S h erw 00 01
eL
•
Name: Phone:
?`a ''; .. Address / City / Zip:
Name: fa r C a Fa- L-4-- License i: 0% /G /O
.�,':•:'.; Address' 7 9(o s Pi. r .e era. # City: L o r c Mo
State: 1"44 Zip: ,-S 3S7 Phone: ((2- 3(0Y- 5-2/g
!;., ;.•. 'w :'V ,: ,`:;. a ,,, w Contact: C�J
:rye^• ... IJR Email: �.Ct SrSC yi(1ilM�//t9�6L G a o^
•_ New _ Replacement Repair Rebuild Modify Space Work in R.O.W.
_
Description of work: u/#4er v i -F .4-
_ _
`
7./t31.4// Net.-? k .4.-L.. Fact 4 5/4h l"
.":'°x'4;1:•" '-'1$,S u.:.. ••":^'
RESIDENTIALal-A
Water Heater
� -
Y //W^3A
Water Softener
— Lawn Irrigation (` RPZ / PVB)
,Add Plumbing Fixtures (Main / Lower Level)
`
Septic System
_
Water Turnaround
�✓`'' ~ ` New
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener
(includes State Surcharge)
Turnaround* (includes State Surcharge)
TOTAL FEES $
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage.
Cali 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstatgonecall.org
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approv
2'2:a6ed
tb69SSL9S29:01
98LL86t729L JLH 1 981d OOStl3:wood 22:tif 9202-80-ddW
411/I"
City of Eaton RECEIVED
3630 Eagan Pilot
MN 55122Road ��R (i 20
Phone: (651) 675.5675
Fax: (651) 675-5694
Date:
Tenant:
Use BLUE or BLACK Ink
For Office Us
Permit H:
Permit Fee;
Date Received:
Stall:
c,3
2016 MECHANICAL PERMIT APPLICATION
0 Please submit two (2) sets of plans with all commercial applications.
Site Address: /4 ?(o Sli er iA1 it. Ay
•
J
r:.•;• .:. ^, ";.., „ •,;..:,,.,•.w,;;Fif,
'; :•: <,. •:.=
Name: Phone:
Address / City / Zip:
;,`;.: ,:: `;'. ; '.:::: '':;' .:•,.;
f.'�i:1 +�'.". i::�:: :y+.w;.k,'..'....:L:::...:,y '� fY�'Fy Yw 1X,^
>, : 9�-,. � '� � ... /�_4�{+{.�_y1�1r °"�:�,
' wW..::..: ::..::........., > ;.:w, <;.•.:=
�.. Y
Name: G�Gsc a P4-4? License #'
• •
Address: % � 1-72 City: L o rev
State: WA/ Zip: S—S-3 Sal Phone: A /Z- 34 7 rV 9(
Contact Rea al Email: ,e.4'rete/LI4/ir7 .2,a 6,/. C 0 A".
',.;K..:. is ". ... . . -: •:''•L:..^�:","w;".
.q.• .:l, vl:;. ie
New i Replacement
Description tlo of work iffirr' G 41/1r
_ Additional ZAiteration Demolition
-c. 4t:. Sk v¢. A- ve.44-li G
1�r�M"_��1i1i11Sr:.{R�.,
�L�.1111M• r ^'-•�.
F1174$ �!x., {. i ` '�. ,7•!....,
S �� ,,
.•"
g �• ' r"
�Iltf_Install
;,; ;;;,,;;,;;:.• .; :•
:+.;.:...-, ,,.i ,:., :.ar:;Y;i:i
.: ,• .;CW :: '•'i';. is y':i;t
.... ,:.i':'r w<?�'•..ws• ' , .. s •�.....ti� ^^.,
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
_ _
Piping
Air Exehan9er
_Processed
Gas Exterior HVAC Unit
Heat Pump V C.tF +�+�
Under/Above ground Tank (. Install / Remove)
r
6/611m. �W 6lie-
h' Other J'� e.
RESIDENTIAL
RESIDENTIAL FEES
560.00 Minimum Add or alteration
to an existing unit, includes State
includes State Surcharge
Surcharge
= $ TOTAL FEE
5100.00 Residential New,
COMMERCIAL FEES
$60.00 Permit Fee Minimum
Contract Value $ x .01
= $ Permit Fee
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
0 the project valuation is over $1 million, please call for Surcharge
= $ Surcharge
= $ TOTAL FEE
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 • _ - . , will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x gee/
Applicant's Printed Namevri
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A is : ' Signature
2,1 : aged
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178455
Date Issued:08/17/2022
Permit Category:ePermit
Site Address: 1696 Sherwood Way
Lot:1 Block: 1 Addition: Brittany
PID:10-15000-01-010
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 -
Marc H & Anne E F Miller
1696 Sherwood Way
Saint Paul MN 55122--271
(612) 669-7108
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature