1593 Sherwood WayCITY C.' EAGAN
3830 Pilot Knob Road
P. 0. Box 21199
Eagan, MN 55121
Zoning: : i
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No of Uni-
Owner: i u t. i _' on ;;ldrs
Address:
Site Address:
Plumber:
1-3-84 40695
I agree to comply with the City of Eagan
Ordinances.
By
Date of Insp.:
Connection Charge: -12 0r,
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Insp.: Date Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3&W Mat Knob Road.
P. O. Box 21199 5287
PERMIT NO.:
Eagan, MN 55121 DATE: 2-9-8
Zoning: R1 No. of Units: 1
Owner: Tollefson Mrs
rasa:
Address: M-% gHERWOOp WA Y LS 13 Brittany 3rd
Plumber: _ Genz Ryan
Meter No.: .3 3 7/ G S 6 o Connection Charge: 12 450.00 pd
ze: Account Deposit:
Reader No.: 1_2_A S/D Permit Fee: 10.00 pd
I ague to ooaply with the City of Began Surcharge: .50 pd
Ordin nom Misc. Charges: 60.00 Ila mate
714W Total:
GG
BY 1 Date Paid:
Date of Insp.: _3 -l 07 - YU Insp.:
x
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
Jul; Hlu+t
U111f)(11t) 1JAY
PERMIT SUBTYPE: TYPE OF WORK:
11 '.1 ? 1 i i I Ilr
till 1 1 1o 1 Nis
?j . , a
I If kAI ION
Ht' 11111111M b 14A 111kholM )
INSPECTION DATE INSPTR. • TYPE DATE INSPTR.
ulli,il I Id ii 1 +• ! i ;•I?i!
Permit No. Permit Holder Date Telephone
ELECTRI !/a9 QD
PLUMBING g?-
HVAC
Inspection Date [nap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING /.a
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
SFr vot?rl4t:?1 N'on Ir?t?
1NSFEU ION 1KEUOK1)
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: (n) HI Oct
Ili- IRWO 11 WAY
isle I I I fiN e' AFL,
PERMIT SUBTYPE:
s!t t I I? r ?::.
1'i?'a.?,•a
APPLICANT:
RF"AFiR : t MI 1 MM Y /1 i. IiF 171t'?l" 11F ) N'?f?F 1` 1 t Il H"()" ()NF C UNi'F AL 1146 .
TYPE OF WORK:
Al FFRA1 tray
NA:: I PI•,f V I
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR.
;J..
i
? •t
- - - - - - - - - - - -
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
C
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
f
CONDUCTIVITY
TEST
HYDROSTAM
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addition Brittany 3rd Addition Lot 5 Blk 3 Parcel #10 15002 05(1 03
Owner Street 1593 Sherwood PLjyie t4tA State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. (C L-L 2013.03 402.61 5 805.23 A 013692 3-27-84
STREET RESTOR.
GRADING (OLL 1982 596.22 119.24 5 238.50 A 013692 3-27-84
SAN SEW TRUNK SOf 1976 141
11 9-r,4 1 _1; 57.25 A 013692 3-27-84
*SEWER LATERAL (Obq 1982 .
8 5 1532.04 A013692 3-27-84
WATERMAIN
*WATER LATERAL 1982 5
WATER AREA 1982 296.92 59.38 5 118.78 A 013692 3-27-84
* Services 1982 5
STORM SEW TRK C 1982 628.22 125.64 5 251.30 A 013692 3-27-84
*STORM SEW LAT 1982 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250-00 40695 1-3-84
WATER CONN. 450.00 it
tt
BUILDING PER. 8742
SAC 525,00
tt
?t
PARK
CITY of FAGAN N° 8742
5795 Pilot Knob Road Eagan, MH 55133
PHONEt 454-8100
BUILDING PERMIT Receipt # -
To be ased far SF DWG/GAR Est. Volue $84,000 pate JANUARY 3 _ 19_84
Site Address 1593 SHERWOOD WAY Erect EK Occupancy R3
Lot 5 Block 3 Sec/Sub.)BRITTANY-3RD_ _ Alter ? Zoning R1
Parcel # 10-15002-050-03 Repair ? Fire Zone N/A
E
l T V
n
arge ? ype of Const.
W Name TOLLEFSON BLDRS. Move ? # Stories
Address 1655 NORWOOD DR. Demolish ? Length 73
City EAGAN Phone 454-6873 Grade ? Depth 38 Sq. Ft.
p Name SAME Approvab Fees
ou Address
r- r:r..
Name
Address
I hereby acknowledge that I have read this application and state that
the information is correct and agree to comply with all applicable
State of Minnesoto Statutes and City of Eagan Ordinances.
Signature of Pennittee
A Building Permit is issu
all work shall be don/eyijl
Building Official +
to:
Assessment _
Water & Sew.
Police
Fire Eng.
Planner
Council VARIANCE
Bldg. Off. 12/21/82
APC 12/21/83
Permit J 36-1) . UU
Surcharge 42.00
Plan check 192.50
SAC 525.00
Water Conn. 4 SO.00
Water Meter 60.00
Road Unit 250.00
Total $1,904.50
on the express condition that
Statutes and City of Eagan Ordinances.
/
?9 off/
?
E262 3I ?
Request Date Fire No . Rou n Inspection
R i
7 NOTICE: You Must Call Electrical Inspector
d t
Yes ? No If A Rough-In Inspection
Is Required.
I 'licensed Contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.J City
?iEri.eJaoc?'
15913
?a,
t Ce n..
Section No. Township Name or No. nge No. County
//??
.04[[,,p f
Occupant (PRINT) Phone No.
?i
Ld,.a-/?y C'?Ipr /l /?/ Cbra$ fClw.G'f/Ur..
Power Supplier Address
Electrical Contractor (Company Name) Contractor9 License No.
i .6 Gtr l? a c? cr... ii d ` .S
Mailing Address (Contractor or Owner Making Installation)
a 90/ .C "alp. . ue . S, /s ?k SSYG?
Authorized Signa
(C?ftractor/ caner Making Installation)
tu
re Phone Number
/
f
?
/l J/L ? _ n? q ?p
lga"ari/L7!!?-_ O?Z-
MINNESOTA STATE BOARD OF ELECTRICITY ?y? fe// THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room SAM 1 ' BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 58106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 602-0800 ENCLOSED.
& ?I_ y/REQUEST FOR ELECTRICAL INSPECTION
I See instructions for completing this loom on back of yellow copy.
62621 ' - "X» Below Work Covered by This Request
Ee0n001-ga
e Add Rep. Typeof 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 (sr,") Contraclorls Remarks:
Compute Inspection Fee Below.,
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200Amps Above100_Amps
Signs Inspeclor§ Use Only: TOTAL SQ
Irrigation Booms NO ^
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 NTHS. f
I, the Electrical Inspector, hereby Rough-in alvp-3),c/
4
certify that the above inspection has
been made. Fnal Oa
OFFICE USE ONLY
This request void 18 months from
I7&y-??V
2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please'. complete for modifications to existing residential dwellings.
t , .
Date 1 1 2 7
'Site Street Address ?- 0 Unit # I
Property Owner Telephone # 45 S h?S''/ 7$f9f
Contractors Telephone # ) w
Address City State Z11356101
/
The Applicant is: - Owner
Contractor -Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing only a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
-Septic System Abandonment
.-Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $
50
.
Total
I hereby anniv fnf a ResirlPntial Ph 1mhinn 13e-9 -A .nM--t. A_- L?
_...._...? _...... ,...,, .....,., ,...?ivwyc V JQL uic 111wnnn11on is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordan?f?approved pln the event a plan is required to be eviewed and app loved.
App?cans Printed Name ?? JJ Applica 's Signature
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
C2 0
Date
Site Street Address ?A Unit #
7 7
Property Owner
( )
Telephone #
` , ,E
Contractor 1JIE 1JN15 W'6VE Telephone# (6%a)8W-6A0Q
Address wq a)p-, I?V)t S\, City Nl ltC (t1S0`L StateN\Q Zip,5
The Applicant is: _ Owner Contractor - Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures (excludes water softener and/o r water heater-complete next
section if installing these appliances)
-Septic System Abandonment
-Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
- new - replacement
Xawn Irrigation _RPZ ?PVB ?ew -repair -rebuild $ 30.00
State Surcharge $ .50
l $ e)
Tota
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Lin c A
Applicant's Printed Name ?:? Applicant's Signature
531m1o?
RESIDENTIAL f, 1 57. 2S
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Requirements
• 3 registered site surveys showing sq. It. of!ol, sq, ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy calculations
• 3 copies of Tree Preservation Plan if lot platted after 7/1/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE 7Ia31Oz
SITE ADD
TYPE OF
ULTI-FAMILY BLDG _Y 4GN
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT a Ug?j 14rrtf1! &
STREET ADDRESS J? CITY 6?STATE% !!t! ZIP
TELEPHONE #" I Qpp" k CELL PHONE # FAX #
PROPERTYOWNER {r(?!/)1 DII TELEPHONE#/ ?jY~7o
---------------•-----------------------------•-------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ MINNESOTA RULES 7670 GCfEGORY 1 _ MINNESOTAL 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/Water Contractor:
Water Softener
Water Heater _
No. of Baths
Air Conditioning
Heat Recovcry System
Phone #
Fee: 590.00
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinary 1
/?` 1144,0//( ?? ?
Signature of Applicant
-----------°----------------------------------------------------------------------------- _---------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
RemodelfReoair Requirements
• 2 copies of plan
• t sel of Energy Calculations for heated additions
• 1 site survey for exlenor additions & decks
• Indicate if home served by septic system for additions
VALUATION tk j S00
_ 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 PorchlAddn. (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 INSPECTIONS
Footings (new bldg) _ Final/C.O.
- Footings (deck) Finab-No C.O.
Footings (addition) _
_ Plumbing
_ Foundation HVAC
_ Drain Tile _ Other
Roof - Ice & Water _ F inal _ 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
RESIDENTIAL
BUILDING PERMIT APPLICATION
O CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Requirements
• 3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas
(200% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711153
• Rim Joist Detail Options selection sheet(bldgs with 3 or less units)
DATE t? {? 1(P ?1 I cat
RemodefIReoair Requirements
• 2 copies of plan 2j---
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION
SITE ADDRESS ? (9`J MULTI-FAMILY BLDG -Y N
TYPE OF WORK Tecy)cAP I r(? ?1 "Ql P?5 FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT
V
STREET ADDRESS ,7 2 1 )(?°YC?? f CITY
TELEPHONE # CELL PHONE #
TE loll 1 ZIP?
FAX # 99at
PROPERTY OWNER l A-0 .i "C->I TELEPHONE#
----------------------------- ----------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 'A RULES 7111
i?j ?• e y Code Worksheet Submitted
(J submission type) • Residential Ventilation Category 1 Worksheet S
• Energy Envelope Calculations Submitted
o MAY 0 9 2002
Plumbing Contractor: ---
Plumbing system includes:
Mechanical Contractor. _
Mechanical system includes:
Sewer/Water Contractor:
Phone # 5
Water Softener _
Water Heater No. of R.I. Baths
No. of Baths
Phone #
Air Conditioning
Heat Recovery System
Phone #
-------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinan n -?
Signature of Applica?4
OFFICE IJSE ONLY
Fee: $90.00
Fee: $70.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 17 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
O 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 _ Figs _ Air/Gas Tests _ Final
Framing _ Siding _ Stucco _ Stone
_ Fireplace - R.I. - Air Test - Final _ Windows (new/replacement)
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
CITY Or FACAN Include 2 sets of pla-i:fie,
1 site pfan w/elevations
BUIIDrdG PERMIT APPLICATION 1 set of energy calculations.
TO He Used For i ? valuation ?y,6ac) Date bCC. 141 I 5
site maroon 1543 ,`jhPV?( %IOLV OFFICE USE, ONLY
tat b DICK* Sac./Sub. r? Erect __,L OccPancy
Para l 1: /D - /5. 6 0,P1 - ASD 03 alter =ire Zone
OA=: _ opel lllL? 1hlarge _ Type of Cbrrst.
Addsesa: Move N Stories
City/Zip Demolish _ Front 73 ft, Codes Grade Depth ft.
Phone 1:
Contractor: 10:b FAAi Wii'S
Addcesa: Lr2r2 I?fW1/V1YY? D?V'1A
City/Zip Code:
Mcne 1:
Arch./Em.:
Adderzrs:
CitY/Zip Code:
Phone 1:
APPIX VVAIS FEES
Assessnents Pernut
Z 5115
Water/S r Surcharge
se•
Police Plan C]:eci:
Fire SAC as
Eng. Water Conn, o
PLdjv:er water meter
council -y- Road Unit Sb 421-
Bldg. Off. f- ?
APC
WrAL I o • S o
a
s 9 d `?
1- .2 I
3 7oy0 8
?/ 3 2
Tollefeon Builders Inc.
Scale: 1" 30' JACKSON - SURVEYORS
e Donates Iron
000.0=Existing Elev.
Drainage IIEDISTERED UNDER LAWS OF RATE OF MINNESOTA ?v
-=Drainage & utility_\n
Easement
. 9616 EAST 55th STREET, MINNEAPOLIS, MN 55417 727.3484
?D
1
69•a
oarbeper's ICtrtifitatt
? Q
d
l,l
//0
ICU-
h
R
h
or.11482
183-1"
r
O?
of
?i
Proposed Garage Floor Elev.
Proposed First Floor Elev.
Proposed Basement Floor Elev.
I
1
N
I?
Io
I\
I
h
I ,L
I,
t1
I
I
Z7 Jd l
?
I
o?
8
• 7I Q
I
Ivy C(
. Z
G /
1 HERESY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT PLAY OF A SURVEY OF - -
Lot 5,Block 3,Brittany 3rd. Addition,
Dakota County,Ninnesota.
t? /l
d IIV// / D 3
12th. Dec. 1983
As SURVEYED MY ME THIS --DAY OF A. D.
F. C. JACKSON. MI{INaPfi{RUNWRATION. NO. ae00
.? i?l+ _ _-''" •a,',"emu '' .. ?tix' .'. .ac ...
IlG"C1I.?
lax;1Rs'Y'i!C-?i[?i"]I?.a.?;??61??
Fno ;
L?7L r'3Cd2IF:pc?"e.' rro;?a. a.i93 DsD-rg . lSDI?a?'EC3 PATB
?
5172 V):)-ZZ3
-
I ..:..._cTon two c0.:r[Tze rem .
• .. I7,^.•_?L 2',?.? 0^ r?PC•?r? iJn?,?r f 3 g .z c - = . ,
.^
nGna^L7i ^r• lrie n0?' L 3 0? 1I.1?.t1 !l l[i?l.:r? r
11x7'. L !-._:. .`7 cl.
iAFZ Co :r rlc OT
CM y"T1A03
TEMETI TT.
..
DAMM
TOTAL SQ
. FT. C9 roo^9 . . f S.
rYF ; f Lr ?. Ul e o 7 w -
f o7L\S ..
5 n11 (T I vULT TIQ:7 Y? i:,4q-? F, !, . P, c, tT 3?h, o g'L'IEI;
r2n, 4 TT', ! !
:dFi C? IC DLSiA IP C-Lii I'-kLt ,v l (+"Art 7C$
"Ain r3Au a : Z is 7
CR I2 Irb r rs
V >nc? c+ L'6L? zs D7, L'xr-mr` viL1A Morn i?^97J
I1fi7I;7 .Q7 07.7. I'?R C73 ?fI^1 T„n.I,r?'IIIT? 1'I,cr'.lA'3 3 !
ME77LMI L7 :22 Ma P-tv, OZrL? TtrIF•nI,`,t3
5 :
S.
P,J
J '? f•
Ts'1.'-,rv•-, +.LWrf' `jKY+?-.?+ •r Tf 4P•I ?YJ.n?LfiYti Y'v tYC?Pr ?(r T4 ?„}pt;M { ^f^a`
y ? a, x r 1 °` t, rr .t ?? ?'? 'k at}? ? rY sf - ? ar k..gw V "?"• ?
? .L ??i ? '! , r ^wk i r x,.s? u ? L 1 T ati 3 , 3 a .p'?^' ? nL i a.J i '? L' ?A? r //irk Sl?i' f 3 - ,«
IL?''?a kr?$",pi'm''?•f t Jy, ,;?u ?'-? -r'*?^.: i ?3 d;'?a'c ?„4 ?•?'t •,fiC .????+??s
?- ?, Vi T y y 1 .1 .E (Y I ?Y b. . Via .i'. `nijni y13 1 3?+' M?•?'
all
1
i rr i •r+ 1a t ? Y tt1 Sf `3...ir 3\' iw '
e i ? Y ;, a rdF ii r .ti • t "? ' ? n, 14•I ?j
f ati??!?,? i yr.v j 1?,a t ?ly4.r• ?'4tt:.'t 7-11if t.. ?. .,j., r
.
la! ?..:e?.,swi .•..r.i-' ?.. w y. ?"'. ?*. ''1?'?.i 1b'n :9 T? ? t #... 1^'
r
??, AtF
m
T ri}i
)ORS
...l?.c.,;zr•? 20 ?. I
)PALS- SS. UO
;II,IRC3 ?1 }
SrCTi u'ya?t.???- r
74
Came r r . .
AIS
40
"?'"' y.?w " rws?su?ly''a'• -?j1? Y a -? ?P ? .rv" ?"sa ?,sv.tfa, k .a'°d'?,Y ??v?? i
41 y '?":? 4`.-wZ c-}? '.': 't. •; ? ? 2-??'i'? r raw. y't- e . ?/?L ?. ?_ t ?h 5 ? ?I?F
... '9F[trDy1?.A ra..?' ?O .OD - 9ffi'M '-?°'`iY:=.?• .;yam %z ."? <3r'
r X3)1
A: S.llf 1? ---_????.ts17 ar ^a a
? x
4z -4, q
.`,"...f {-L _:.1 1 tel. 4J 7 E .. ,y ... i `? ; ' r • .' ^w* Y ! f? .`J SF '-'''; t'i,.
.? }7 t
t1? Pr ft un? F•.y ?? ?G JZ'"Eal,rarl3 X^i ?
17 rl sir I_ .. `: "Ola ?:.A
Li. t z
rte, ?r Ij.a?j ,i?'111Tf
\ ?'-..?_t ,.??'• 511.1 +_' V { - t_
T4 TA
/??-j H tF'Satn. ,o/t? I (11: g''c o sit. 3t rc ,..,J 32•c IL'ARE?E ?, T2
i..-_! i '?? .,n i I ? •il?,?-j ?'!ta1c fLll
t: 11 -//S A1R Lfa'?
H- L
I? f?j vp?> r v?nr a w/ tt S. trig C -??" ?e9
Tlgt Wnti?. JU GoCnGC )_
?` r/c rl 1T'-_ I_.l?I • }1 ` ?e•` C ??
?+ ?_ ??w- Crnrrrt 1 ???11 1 4_ Ia?1Fh/_L
AT
!;
1,1 1 t t It-?! t/tnyr +.(,?I
rr ? , irr w Ilc >:7.n711?_?? _TDT_aL
• II /?-! ,n, ')c1yT U'! Its? P_ . i`r.;{l ?_?? ?51?Ct.laa 'Iw) GnRn6?
',j • i - }-- - •_? i-li-) }lar=?!'!s P/iL _Is of ! I
;•. L?t _ _? CIS n ?; !.17 1? t
n:-St.,
_ =i/nf____fI i ?I `J S1lFF T?htpp ! pp ?__?__)
j j, L__II_ 'iZ Pcll $u r-a_e_c,in???f f' I_!?
nFT`t:A,r:nLnq?! ?{71 j
!-`. _ ; _ ?.-_? .-. •----•`.? r ? a 1 -? ? ? ? - t; L----? p T?,p E, T
ICc)?rOwr.P WALL w17N?(,r.14 t-_.I;IV?) Ccrac
i q tip O%E
Ui L1`--?-I
!!.'
yM-t 7tn feoct? rV. dt'
--??
r it - 1 ?? ? I 111
_ill
I_L t L?_n i1r !.! ill_I( j f --
1 i I r! 11? -?I
f_ _1 _ _ -r ?J•r Ij?..;!?_n!i 1 io?nt_ ZiC,gE O
`. ? t•owr Sir A •W ALt-LV •Nt,oL`'1 { I l/Kid ill ouE-R U4wl. lU c11O0T PF.?1•roJS E
-- --=
A it
. , - ?? r r..._ I !?' I?.! (L tl ! ?.II_, •31? L•rls]L - I`ll
,? SI.Jra Ir / !
1 A ?-- - .?I, c1 T1, ! i'j??li n'L li,_ • l p
.? cttl 1
I PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 7 3 3
(612) 681-4675 Date Issued: 11/21/95
SITE ADDRESS:
1593 SHERWOOD WAY
LOT: 5 BLOCK: 3
BRITTANY 3RD
P.I.N.: 10-15002-050-03
DESCRIPTION:
f.
I
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
Total Fee
(BEDROOM & BATHROOM)
Building'Permit Type SF (MISC.)
Building Work. Type ALTERATION
$337.25
$118.04
$12.00
$467.29
$24,000
CONTRACTOR: - Applicant - ST. LIC. OWNER:
KIRK CONST CO 12274769 0005839 KENNEDY TOM
423 E WYOMING ST 1593 SHERW00D WAY
ST PAUL MN 55107 EAGAN MN
(612) 227-4769 (612)452-9453
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
L?
P14 3/-- &Y -
PPLICANT/PERMITE IGNA URE
application and state that the
with all applicable State of Mn.
4 31.E I m
ISSUED B : SIGNATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:P.I.N.: 10-15002-050-03
LOT: 5 BLOCK: 3
1593 SHERWOOD WAY
BRITTANY 3RD
PERMIT SUBTYPE:
SF (MISC.)
APPLICANT:
KIRK CONST CO
(612) 227-4769
TYPE OF WORK:
DESCRIPTION
BUILDING
026733
11/21/95
ALTERATION
(BEDROOM & BATHROOM)
INSPECTIONTYPE
FRAMING .DATE INSPTR. INSPECTION
ROUGH IN PLBG DATE INSPTR.
ROUGH IN HTG FINAL
F
. i-. _ ._
RD
IV4" CITY OF EAGAN
3830 PILOT KNOB B RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
4 o, ,.q
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured find. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan If lot platted after 7/1/93
required: _Yes _ No
DATE: 3 - 9S- CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
/.?93 Sf P
LOT BLOCK j SUBD./P.I.D.
a
PROPERTY
OWNER
Name: EVd/E o y T t?Eti Phone #: '?s a - 9453
y{1 IT
Street
fJP/` JyeaA Z/V,
City: L a'17 State: Zip:
CONTRACTOR Company: /C/,e/e- C 61/1,1S T, Ca Phone #: a a 7- 117Gy
G?o C/isvr?r5 ?"?
Street Address: y a 3 , UU?4?" / 61License M S8 3 9
City; Sf ?Aa / State: /M Zip: Ssio 7
ARCHITECT/ Company: Phone #•
ENGINEER
Name: Registration #
Street Address-
City: State: Zip:
P/ ,6r,- Pni P???nq 4W5
Sewer & water licensed plumber: ?LE?re:?iqv."Gr?ic so v E? -//Pnalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information i correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. l
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No Nov 13 1995
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging o
o 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. o
? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ?
o 04 SF Porch o 09 12-plex o 14 Fireplace ?
?"5 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
o 31 New ,33 Alterations o 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
y1?y
D
Permit Fee
Surcharge
Plan Review
License
MCMS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ Zy?7no
or
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCMS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
CITY USE ONLY ?'?>?? ?
L S BL _ ) RECEIPT #:
SUED. A / -?-' r-d DATE: 4,7 J5
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 ? ( =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing = d ?'
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL ?)-a s0
SITE ADDRESS: 159'3 /S fI E 1? yJ c' ?'? VGAV
OWNER NAME: Pg d-46EL-*AJ V-r7A//VFDy'
INSTALLER
STREET ADDRESS: g? ?) P.?, aLle-
CITY: e STATE: 1/?? sv ZIP: SAS U
PHONE #: (W-:I,)
? 422E
OFFICE USE ONLY
L _ BL RECEIPT #:
SUBD.
DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
multi-family buildings when separate permits are = required for each dwelling
unit.
DATE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
ADD ON REPAIR
IS WATER METER REQUIRED? _ YES 4 NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES 4 NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permi fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME
OWNER NAME:
INSTALLER: _
ADDRESS: _
CITY:
PHONE #: SIGNATURE:
OFFICE USE ONLY
METER SIZE: DATE:
STE. #
CONTRACT PRICE:
STATE: ZIP:
APPLICANT
_ INSPECTOR:
CITY OF EAGAN
CASHIER: S TERMINAL NO: 776
DATE: 07/27/98 TIME: 15:13:10
ID:
NAME: ALLIED FIRESIDE INC
3210 9001 1593 SHERWOOD L 50.00
21.55 9001 1593 SHERWOOD L 0.50
Total Receipt Amount: 50.50
CRO95393
USER ID: NANCY
CITY USE ONLY
L 5 BL .? RECEIPT# 9(O
SUBD.1??? RECEIPT DATE:"
a
77
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ? single family dwellings
townhomes and condos when permits are required for each and
-41 . backflow preventer for underground sprinkler system '
i [ `
'+L LLTT +.. y,?
w ?i4y
FIXTURES F.9?H b4. TOTAL '
Shower 3.00 x =
Water Closet 3.00 x =
Beth Tub 3.00 x
Lavatory 3.00 x
Kitchen Sink 3.00 x
Laundry Tray 3.00 x =
t Tub/Spa 3.00 x =
Water 3.00 x
Floor 3.00 x =
Gas Piping Outlet • minimum -1 3.00 x
-Rough Openings 1.50 x
Water Softener • for dwellings under construction 5.00 x
Water Softener • for existing dwelling 20.00 x
U.G. Sprinkler `fordwelling under eonst 3.00 '
U.G. Sprinkler, ' for existing dwelling 20.00 ` :7
Alterations ' to existing residence 20.00
;a
Water Turn Around 20.00
Private Disposal System • Dak Cty dc. 75.00 =
i (new and refurbished systems)
Private Disposal Systems • Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL4 tsc"F .
..., ;
.. 1 hereby admowledge that I have read this application, afire that the infortnetlar Is coi. and agree to amply with all applicable City
of Eagan ordinances.- it is lire appkenrs responsibility to notify the property owner that the City of Eagan assumes no liability for any it -
damages caused by the City during its normal operational and., *I nanoe activities to to tedlides constructed under this permit within -
City property/rightof-wayMa KENNEDY THOMRS
` 1593 SHERWOOD WAY
SITE ADDRESS: EgCAN 55122
rv' w`y H 432-9433 W} 482-2303 f
OWNER NAME: ' tt,t L( s
_ ,TELEPHONE # SZ'7-'f(/3 , 1 f.;
INSTALLER NAME' MNOM
05 6612,26 P AVEAWE'SOUG/4
r r . STREET ADDRESS: z
CITY: MPLSr STATE: MAJ i ZIP: SS?O?3 ;' : ? j
Af i
r +,
RE OF PERMITTEE
prjo
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE: gUILDING
Permit Number: ®32659
Date Issued: 07/27/98
SITE ADDRESS:
P.I.N.: 10-15002-050-03
1593 SHERWOOD WAY
LOT, 5 BLOCK: 3
BRITTANY 3RD
DESCRIPTION: GAS INSERT
w
w?i1dT?? Permit Type
dildlrt°g°Work Type
1 110
FIREPLACE
ALTERATION
434 ALT. RESIDENTIAL
60 @WE ,k
.z,, LM F.
tt 94
?^?..Vb $"@*I ld'.al E?':Y?Y"S? 5?n
e4? n
REMARKS NEY/FLUE MUST BE INSPECTED BEFORE CONCEALING.
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - S I . Llc n?/pJ?R
HEAT-N-GLO FIREPLACES 18900758 2009091 fCENNED-Y THOMAS
8650 W HWY 13 1593 SHERWOOD WAY
BURNSVILLE MN 55337 EAGAN MN 55122
1612) 890-0758 (651)452-9453
Z hsrb,y Adkt?awled,9=e .that I
informartion se:GQrrect and
StAt'utei- anal. City 'o' Eagan have read this
agree to comply
Ordlnahc".`. . application and state 'th'at the
with all applicable State of Nn
. _ ,. ., ,.
L-
APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNATURE -
J
0` 1CS-D .S-!?)
CITY OF EAGAN a
3830 PILOT KNOB RD - 55122
1998 FIREPLACE PERMIT APPLICATION
T + L 681-4675
DATE: V (? (A 2 l C T1 PERMIT FEE: $50.50
DESCRIPTION OF WORK: Construct new fireplace Alterations to existing
Install eas insert only Install eas line only
{ Other + / 1
JOB ADDRESS: /?
I J "1 S A in r' W 00d W a U
LOT: BLOCK: -3 SUBDIVISION/P.I.D. #: ! J 1 i ' ek
APPLICANT (circle one only): OWNER CONTRACTOR
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.
PROPERTY
OWNER
Name: ?('k\h T/Anmps Phone
Last First
Phone #: 'S90 -(0? SW
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
f
Street Address:
City k 'S G r o5c/ So, State: N/V_ zip: ??533 9
Street
Phone #:
SEC ? ,
JUL 2 1998
BY: ---
?
City . Ek3 0 h State: /110, zip: -e??-X:W
A',,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
Cs, R
Council Minutes
December 21, 1982
BRITTANY 3RD ADDITION - VARIANCE
0033rD
An application of Tollefson Builders, Inc. for ten foot front setback
variance oniLots 2 through 10, Block 3, Brittany 3rd Addition was presented to
the Council. The Advisory Planning Commission recommended approval and there
were no objections to the application. Smith moved, Egan seconded the motion
to approve the application subject to compliance with all other applicable
ordinance requirements. All voted yes.
NORTAWESTERH NATIONAL BANK
REZONING, PRELIMINARY PLAT & CONDITIONAL USE PERMIT
NORWEST 1ST ADDITION
An application of Banco Properties for rezoning approximately 4.4 acres
from A (Agricultural) to GB (General Business), for preliminary plat approval
of Norwest 1st Addition consisting of 6.4 acres and 82 commercial lots and a
conditional use permit to allow a drive-up teller, in conjunction with pro-
posed Northwest Bank facilities was presented to the Council. Mr. Walter Klus
of Banco Properties, Inc. appeared as did other representatives of the Bank
including the Architect for the proposed project. Hedges introduced the
project and noted that the Advisory Planning Commission recommended approval
subject to a number of conditions. Joe Wachtler, a neighboring property
owner was also present and expressed his concerns regarding assessments. The
property would include the Fournier and Texaco properties and Mr. Klus stated
that Third Northwestern Bank would be the managing bank. tie stated that the
applicant is asking for a right-turn only on Yankee Doodle Road, and further,
that the Fournier house be used as a temporary banking facility for up to one
year. There is no present plan for development of the balance of the parcel.
He also stated that 50 feet north of the Wachtler property could be sold to
the Wachtlers, and further, that the Wachtlers would not be required to parti-
cipate in any of the special assessments for the project. Mr. Klus requested
General Business zoning because of the uncertainty of the use, but Councilmem-
bers explained that the policy of the City is to avoid rezoning until a
specific use is provided and recommended Planned Development overlay for the
project at the present time. There was a question as to whether the City
would assess the adjacent benefited property, but no detailed study has been
made at the present time. In addition, Council members questioned whether the
City should maintain the access road from Pilot Knob Road and the general
consensus was that the road be dedicated to the City but be privately main-
tained possibly until the road is extended easterly. Paul Hauge, City
Attorney, recommended that if the property owners and developers would consent
in writing to the revision of the zoning application to Planned Unit Develop-
ment overlay and Agricultural-Limited Business underlying zoning, that the
applicant could then avoid an additional public hearing for rezoning to
Planned Development. After extended discussion, Smith moved, Egan seconded
the motion to approve the rezoning to Planned Unit Development overlying, with
underlying Limited Business Zoning for the bank site and underlying Agricul-
T
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
r r CITY OF EAGAN
3 `--Y l f l ( 3830 PILOT KNOB RD - 55122
I 659-AA1-4675
New Construction Requirements
IP
3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan
and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions
> 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 site survey for exterior addiflons & decks
> 1 set of energy calculations
3 copies of tree preservation plan R lot platted after 7/1/93
DATE: b - ?21 - 77 CONSTRUCTION COST: 7D?-.
DESCRIPTION OF WORK: "cam d ff Yekpo f har25e # ra.ye
STREET ADDRESS:
LOT:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
VVOO-
BLOCK: SUBD./P.I.D. #:
(?,.a-a . - ?
Remodel/Repair Requirements
3Y
Name: kentedj ?OIYL Phone
Last q First
Street Address: r.? SdieradY y?/
City F - n, State: Zip: 7r??
61,29
Company: SELA ROOFINca A REMODELING, INC. Phone #:
4100 EXCELSIOR BLVD. (area code)
ST. LOUIS PARK, MN 55416 _
Street Address: ID #000j ()So License # 0001Q-'rQ Exp. ?
City
Telephone #: area code (
Street
City
Sewer & water licensed plumber (required for new construction oniv):
State:
Penalty applies when address change and lot change is requested once permit Is Issued.
Zip:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
Stdte of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes - No
State: Zip:
Name:
Registration
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 1of_plex O 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SAN Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Basement sq. ft.
Main level sq. ft.
sq, ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Valuation: $
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
r
% SAC
SEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881-7739
ADDRESS 15 /j 3 i5�c w CITY
OCCUPANT �1(� OWNER OR. j `may )
'�1 V 6 1�
SOLD BY 1CIA44t- INSTALLED BY
HEATING
TEST RECORD
JOB NO 211 qq9
MAKE
1 11 1,1 D /(__ MODEL 6;1 ) MPP M ° 5'0
SERIAL NO 6q09
INPUT
THERMOSTAT qP9 p1 v VENT SIZE
VALVE IT' w,
LIMIT KI 10.14
LIMIT SETTING
aiQO
FAN SETTING / Xt'd
PILOT TYPE
,L
IGNITION MODEL L..l'mu1L
PILOT TIMING-ns--eJ.+71/4-"-
PRESSURE �iS 414- PERCENT CO2 (J
INPUT CFH 88 PERCENT 02
STACK TEMP it.;?‘ o PERCENT CO Q �i
FORM 235 (REV. 6108)
TYPE OF LINER
LINER SIZE
211
ptit
OEC 832009
FILTERS- SIZE 44- f"�,' NUMBER
WIRING ct�V'
TEST TAG
LIGHTING INST
DATE TESTED
COMPANY TESTING
NAME OF TESTER
/62 ac2
FORM DISTRIBUTION: WHITE COPY - JOB FILE
YELLOW COPY • CITY
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1593 Sherwood Way
Lot: 5 Block: 3 Addition: Brittany 3rd
PID:10- 15002- 050 -03
Use:
Description:
Sub Type: e- Siding & Windows/Doors
Work Type: Siding & Windows /doors
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Windows/Doors: A framing inspection is required when installing a Bay or Bow window or if the opening is altered.
Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed,
hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling
finish(i.e. sheetrock) has to be removed to install a smoke detector.
$132.75
$3.00
$135.75
Owner:
Brian J Overvig
1593 Sherwood Way
Eagan MN 55122
0801
9001
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 with all applicable State
Issued By: Signature
Building
EA078889
07/19/2007
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1593 Sherwood Way
Lot: 5 Block: 3 Addition: Brittany 03rd
PID:10- 15002- 050 -03
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Brian J Overvig
1593 Sherwood Way
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
Issued By: Signature
Mechanical
EA091693
10/20/2009
ePermit
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
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