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1618 Sherwood WayITY OF EAGAN 795 Pilot Knob Road Eagan, MN 55122 oning: ner: Address: Site Address: Z' Plumber: I agree to comPly with the City of Eagan Ordinances. By Date of Insp.: Insp.:- CITY OF EAGAN ;3795 Pilot Knob Road Eagan, MN 55122 ;Zoning: 'Owner: Address: Site Address: Plumber: eter No.: ize: eader No.: agree to comply with the City of Eagan dinances. y ate of Insp.: _ No. of Units: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: elPl Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: Insp.. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: r 3830 Pilot Knob Road Permit Number: +HN 7 r. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ti SITE ADDRESS: t,, O r , APPLICANT: i :' iiF'RIJ001) WAY HF(I IIANY JR0 tbirl /7N-s34+,t PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR- Permit No. Permit Holder Date Telephone 8 ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE 3d -?ft7 FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL .? CITY OF EAGAN n 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 l? 9054 PHONE: 454-8100 BUILDING PERMIT Recelpt # To be wed for EiASENc,HT Est. Value 5, i; UU Dote f•!AY 0, 19 i'?4 Site Address 1618 SiiE RWOOD IrAY Erect ? Occupancy 3 1 E31? I'I"i r?:V Y Lot Block /Sub. 3 Alter ? R It Zoning Parcel No 10-15.002-030-01 Repair ? Fire Zone . E l T f C n arge ? ype o onst. sc Name , , . RRY Br.RT I E Move ? # Stories Z Address A2 iF; Demolish ? Length City Phone 454-8432 Grade ? Depth Sq. Ft. it [!AVID SCHWEICH CONST Approvals ,o Name of Address 605 16 O'PTH ST Assessment u? City PRIOR LAKE, Phone 447-8808 Water & Sew. Police ,W Name Fire 1Z Address Eng. ut3 W City Phone Planner Council Fees Permit Surcharge - Plan check _ SAC Water Conn. Water Meter Rood Unit U I hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable 53.00 State of Minnesota Statutes and City of?Eagan -Ordinances. APC Total Signature of Permittee SCNW;'ILA Cot. S'I' A Building Permit is issued to: DAVID on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official I? - 3 0 d Z r E Q o 0 E d c 14 d Z E 6 _ 4 ! m 1 g Ti ?' i 0 t W c 2 t I C c - S L L 2 'B L c e IL : > = ?r ? m 3 d w C U. V I e C IL n c IL • o = . 1 o N 1 0 d CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-5100 BUILDING PERMIT re he umd for Receipt # Dnfr± Site Address L.ot Black Sec/Sub. Parcel # Q! Name W 3 Address i 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 Minnesota Statutes and City of Eagan Ordinances. Erect ? Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front _ ft. Grade ? Depth ft. Approvals Fees Water & Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official N! 6308 Persslt # Date bond P*mlttee Plumbing ?/- ,1 S ?d nit- 9 Mechonicol l -1,) w =, INSPECTIONS DATE INSP. Rough-In Final Footings _ . S zQ Dote Insp. Date Insp. Foundation _ Plumbing ^- Frame/ins. ? frl+?? Mechanical Final ??rr_ T Remarks: CITY OF EAGAN 3795 Pilot Knob Rood No. Eagan, Minnesota 55122 Phone: 454-8100 PERMIT Date: Site Address: Lot 3 1618 Sherwood Way Block Sub/Sec. rittam 3 Tollef em Bldrs. INSPECTOR NOTIFICATION REQUIRED BY LAIN FOR ALL INSPECTIONS Receipt No.: Single Residential Multi Res., Comm./Ind. Nome New/Alter./Repair 3 Address Cost of Installation City Phone: Permit Fee "i'.I 17 ivf n . ` Nome Surcharge 715 Address City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official No. PERMIT Date: Site Address: Lot Block Sub/Sec. ''7 r INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Y. Name N i /Alt R ew er./ epa r. Address 1.., 'l6 st f In tall ti C City Phone: o o a on s i P F erm t ee Name i l r r S h ?iryl C L'. ... Address ge u c a City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances, CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 Building Official CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE__ ,_ __ 19_ RECEIVED AMOUNT $ 8 DOLLARS Too ? CASH ? CHECK FOR A FUND CODE AMOUNT Thank You BY White-Payers Copy Yellow-Posting COPY Pink-File Copy CITY OF EAGAN Remarks AAAl.;.... Brittany 3rd Addition Owner Street Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. We -7 1982 2013.03 402.61 5 2013.03 0007250 9-14- 1 STREET RESTOR. GRADING 1982 596.22 119.24 5 596.22 C007250 9-14-81- SAN SEW TRUNK 1976 143- 11 9.54 15 85.87 A009284 3-11-81 * SEWER LATERAL 1982 -3830.10 66 i02 5 181o.lo C, 00-17-5 0 WATERMAIN * WATER LATERAL 1982 5 WATER AREA h 1982 296.92 59.38 5 296.92 0007250 9-1T--81- * Services 1982 5 STORM SEW TRK (?(? 5 1982 628.22 125.64 5 628.22 0007250 9- - 1 * STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT RD- UNIT 185 00 71517 1 n /?l 180 WATER CONN. l 1 BUILDING PER. SAC 525.00 21517 10/21T80 PARK RESIDENTIAL BUILDING PERMIT:APPUCATION CITY OF EAGM 3830 PILOT KNOS.ItD - 55122 661481-4673 3 rayiSxW sibs mwvm swift ep. IL.of bN w. R. of howm and 0- m*d areas. (20% Ma m o lot w ap BADIW) • Y copies of OW-show*g. bw & w&40W **; pvmd bj(d design, elf.) • r *or e CataM" w . ;'00010 of Tree Pr op PWA H btOded srtar711M • fjr? Jo'lat Detetl Opowa setec$arshw. i wqh 3 of law"M DATE. I L) y- , JOB SITE ADDRESS HMKdftMkR9guftwft • 2.pf.A? • tseptErrig?tali?AedOl?e farheated eddy ? 1 dae.?ver flSr axterfor,sdd?iprki & d@Cits .Iar?teiFtwmest?etl#;y.aepde_?yHmrn:ter ; l:? VALUATION. 00 IF MULTI-FAMILY BUILDING, HOW MANY UNITS! PROPERTY OWNER 1 TYPE Of WOR1C APPLICANT MON-RAY, INC ADDRESS 801 BOONE AVENUE N( -f- 1-c- . 0_1_2 PAGER # CELL PHONE FAX 0, 7fi--1& NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY L Energy Code Category _ A(WNn0 TA RL.I:L .7670 CAT'ZGORY I (cheek one) - Residential ventilation Catdgoryt Morksheet'SubmiltecI Energy Envelope "adatbns &AMMed = AC NNTSOTA RM- M 7672= Now Energy Cods WorMhesit Submrftd' . Plumbing Contractor. Phone .; Plumbing System Includes: _ water 'Softener lawn 6 riukler Fey 90:ORR: Wawr Heater No. of R.I. Brags - No. of Baths Mechanical Contractor..; Phone # - Mechariical..System Includes:: Air Candiaoning Fees 370.t30: _ Hest;'Rccovery System Sewer/Water Contractor. Phone # All above information must be-'sutxnitted prior to processing of.application. I hereby'acknowiedge-that I have read this sapp11cafloh, state thot t'he_infofmotion4con-ect onddgree.tocomply Wthr all, applicable State of,whnesota Statutes and City.of Fagan Ordinoes Signcture of Appllcontd;?" - Certificates of Surveq ReceNved Ttee Preserva on Plan R . rreri. 'N6t,Re4u1ired updama'im4 OFFICE USE ONLY 0 01 Foundation 0 02 SF Dwelling. ? 43 01- of - plex 0 04 02-plex 0:05 03•plex 0 'O6 04-plea 0 07 OS-plex .0-13. 1 "ex E3 os .06-plex 0 16 Fireplace (3 09 07-plex `:O `17 Garage. 13 10 08,-Plex 13 18. Deck 0 11 10-plex 0.19 Louver Level D' 12 12-plex Ptbg;_Y or ^ N 0 20 Pool: 0 21 Porch. (3 .sea j 0 22 Porah/Addn. (4-sea:) 0' 23, Porch (screamed) 0 24 Storm Damage 0 2$ Miscellaneotis d 0 .30 Armory Bldg Q: 3 a Ext, ?i41t -',Haiti p .33 Ek Alt- SF 0 - 36 MUM 0. 31- Now 0 35 Int Improvement [3, '38- Demolish (interior) 0 44 Siding a 32 Addition 0 36 Move Mg. l7 42 Demolish (Fauridation) 0. 0 Fire Repair D 33, Aiteeation 0 37 Dernoiish.(Sldg)• Q..43 Reroof O 46 WlndowslF oors 0 34 Replacement- 'Demolition (gntir* t3ld9 only) - Give P'CA handout to applicant Valuation Occupancy MMS :System Census-Cade Zoning City Water SAG Units stories Bog4ter Pump Nbr.. of Units Sq. Ft. PRY Nbr: df Btdgs Length Fire Sprinktered Type :of Const; Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) final/No ootings (addition). P Foundation Draia Tile Roof tee &-waw _ Find _ Other Fiaming_ _ Pool _ F Air/Gas Tests Fireplace -. P11. - Air Test _ F_ incl. - Siding Stucco Stone: Insulation Windows (new/replacement) Approved By ,.$uliding fnspeetor Base Fee Surcharge Plan Review- MOMS SAC City"SAC Miter Supply & Storage S&W'Peryk &. Surcharge Treatment Plant Pluml7ing,Pen-hit. :Mechanical-Permit License. Swch Copies Other Total s FinaUGO.. _ CO. , _ lumbitYg HYAC CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N2 6308 • PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # To be aced for SF DWG/GAR Est. Value 681000 Date 10-21 , lgg0_ Site Address 1618 Sherwood Way Erect [R Occupancy R3 Lot 3 Block ? 1 Sec/Sub. Brittany 3rd Alter ? Zoning R1 Parcel # Repair ? Fire Zone 3 E l f C T t V n arge ? ype o ons . c Name Tollefson Builders Move ? # Stories 3 Address 13816 Holyoke Ln. Demolish ? Front h4 ft. ° Apple Valley, WMn 454-6873 ' Grade ? Depth 37 ft. fftone c ef Approvals Fees Name 0 bwflu u Address Assessm?s_ U Water & Sew ~ City Phone . Police Name Fire x5 Address Eng. aW City Phone Planner - Council 1 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: all work shall be done in accordance with Permit ihh_!2 1 Surcharge 34 nn Plan check 83.25 SAC 525 nn Water Conn.30`1-?00 Water Meter An .00_ Road Unit 185 nn Total 1.358.75 .lefson ,l ld el'e on the express condition that applicable ?e of Minnesota Statutes and City of Eagan Ordinances. Building Official ?1 I 1? (' CITY OF EAGAN Include 2 sets of plans, U / 1 Certificate of Survey &" BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For A&6-1h, EAlr valuation ItZ 0_-)0 Date ZLa Site Address /9 /(S/?c?? lrJo° W?1 Y OFFICE USE ONLY Lot & Block ! sec./sub. ??Erect Occupancy ,P3 Parcel #: ?d SOU (? a U ?O - U / Alter Zoning p/ Repair Fire Zone a Owner: J F em x T/ c? Enlarge _ Type of Const. / Y Move # Stories ?P tuG? p w 9 Address: / 6 /P r5 Demolish Front 1./1 ft. City/Zip Code: ?G 9„J _ Grade Depth oy ft. Phone #: 4 TY' ?y3 Z Contractor: /QyC)/O ?hul i?Y? CDtiS7- Address: ?cs7? le6ee 5-7" - City/Zip Code: 6WdQ LAf, e' S` 5-39 Z Phone #: S y? - ??y Arch./Eng.. Address: City/Zip Code: Phone #: APPROVALS FEES Assessments Permit Water8ewer Surcharge Police Plan Check Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. APC TO'T'AL ? V CITY OF EAGAN !? AT l ? 9 r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 V 5 Y PHONE: 4548100 BUILDING PERMIT / Receipt # To be sued for BASEMENT Est. Value $ 51000 pate MAY 10, 19 84 Site Address 1618 SHERWOOD WAY Erect R ncy _ Lot 3 Block --1- ? ? Z Zoning Sec/Sub. BRITTANY 3 Alter Zoning Parcel No. 10-15002-030-01 Repair ? Fire Zona N A E l T f arge ? n ype o Const. c Name JERRY BERTIE. Move ? * Stories Z Address SAME Demolish ? Length City Phone 454-8432 Grade ? Depth Sq Ft . .- A II.`{ T Approvals Fees o Name D VID SCHWE CONS Address 605 160TH ST s- City PRIOR LAKE Phone 447-8808 Name _ Addres<. City - Phone 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 ands City of,EagarvtOrdinances. _ Signature of Pennittee _X4 A Building Permit Is issued to: all work shall be done in acca Building Official Assessment Permit +' -rv..?v Water 8 Sew. Surcharge 2.50 Police Plan check Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg Off . . 53r,00 APC Total IAVIL acnW1;1LA cVLVST on the express condition that all opplioii "*tote of Minnesota Statutes and City of Eagan Ordinances. 7 7JS/"? This request void 18 months from Date of this Request 12-5-1980 Fire No. T 3818 1, asl3Licensed Electrical Contractor ?Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 1618 Sherwood Way City Eagmn Section Township Range County Dakota Which is occupied by Tolleson Builders (Name of Occupant) Is a roughin inspection required on this job? No ? Yesia Ready Now ? will can g# Power Supplier Tnkn+n n+v. Address Electrical Contractor O.B. Thompson Electric Co. Contractor's License N A4 102 (Company Name) Mailing Address 12201 Mtka Blvd., Mtka 55343 (Electrical Contractor or Owner Making-This Installation) Authorized Signature (Electrical contractor Or Owner Making This Installation) SU tl E BOARD CUT This inspection request will not accepted by the State Board unless proper inspection fee is enclosed. a wan war.., neuan:n Griggs Midway Bldg. - Room N191 EB-00001•C 1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 2 CJ REQUEST S CHECK BELOW WORKOCO EREDTBYTHIS REQUEST PECTION J T 3 818 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home 30 ? ? Range 104.UU Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace x02.00 Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm Lis' ) List 1 Other ? ? ? } Hehersl 1 Aerers? COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee 1 117oaders&SuIrfeeders: # Fee # Fee 0 to 100 Am s. 0 to 30 Am eres es 101 to 200 Am s.1 OU 10.0 31 to 100 Am peres res Above 100 Amps. mps. N& Transformers Remote Control Circ. ee Signs Special Ins ection Remarks Jef£ D. . TOTAL 44.5 I, the Eo 1al Wssp c?k Hereby certify that theabove ije tort has been ma e (Rouen-in6) ?V Zi (?Aaid ) u? `??'8? • ??% (Final) j [' , ? --.I This reqtiesk Zola 18 months from b-7 q l0 2004 RESIDENTIAL BUILDING PERNHT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 cyn 223 New Construction Requirements i Remodel/Repair Requirements OffceUse,only 3 reg stered site surveys showing sq. it of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Yz 'N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Rood _Y•'__N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pros Required , - Y, -: -- N 1 set of Energy Calculations Addition - indicate if on-sde septic system 09-site, Septic System _Y- _N 3 copies of Tree Preservation Plan ff lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date o,-,?s// Site Address-- Construction Co mrf557/ac?- Unit/Ste # Description of Work MALL lit(/ I(?Q S Q Multi-Family Bldg _ Y ?N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 1 p 2 Telephone # Contractor ?bbL[Jl V ( y 7 „? Address MJrSS(/ cJ l 5' Y w State 1 111 t ? y City Zip 3 Telephone # (g.5z) 9•2'?l!/(U / COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateporv 1 _ Minnesota Rules 7672 Energy Code Category . Residential ventilation Category 1 Worksheet New Energy Code Worksheet (-I submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor . Sewer/Water Contractor Telephone # ( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and r - approval of plans. ,l'? Pl1 f? EMI '?s • V? LI IS D Applicant's Printed Name Applicant's Si e u 5 OFFICE USE ONLY Sub Types ? 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 (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # 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 _ FIVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding _ Stucco - Stone - Brick _ Fireplace _ R.I. -Air Test -Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector ?4 A RESIDENTIAL BUILDING L(? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 IXA5' 10I,l03 New Construction Requirements RemodellReoair Requirements Office Use Onlv 3 registered site surveys showing sq. ft of lot sq. it. of house; and all roofed areas 2 copies of plan Cart of Survey Recd -Y -N (20% maximum lot coverage allowed) 1 set of Energy Calculations for healed additions Tree Pres Plan Recd -Y -N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd -Y -N 1 set of Energy Calculations Addition -indkate ifonsde septic system On-site Septic System -Y -N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date 03 Construction Cost S dU C7 Site Address (g SN E R LU o01`\ Unit/Ste # Description of Work R E P? A c C I IJ GS CC IC S 1 N6 C KlS K I N G V00 Multi-Family Bldg - Y ZC N Fireplace(s) - 0 X 1 - 2 / Property Owner R Ac f? J- m A R? 9 E R l lr Telephone # (?0 5 () qS'-( - 8y3 2 Contractor l R( R T It Address (v(g S 0 L Q LcX ub W A`f City L A G A N State -N Isi zip SS 1 Z 2 Telephone # (? S () ?lSN- 8y 3 2 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor 13 #1 ) I hereby apply for a Residential Building Permit and acknowledge that the information: is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Q J?W,; 6CRAC8 R E Q T I( /?,ltApplicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration -11 34 Replacement Valuation Census Code SAC Units Nbr. of Units _ Nbr. of Bldgs Type of Const Footings (new bldg) Footings (deck) r Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. _Air Test -Final Insulation Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS Final/C.O. Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests -Final Siding -Stucco -Stone Windows (new/replacement) Retaining Wall Approved By 7 Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 1-1 ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 EM. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors `Demolition (Entire Bldg) - Give PCA handout to applicant rl ? 91 ?? a R ?' •.' ?j CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUIIDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For a s _? ??$ 60 0 Date ?d O Q Valuation Site Address ? OFFICE USE ONLY Lot Block Sec./Sub Occupancy Paroel #: Alter Zoning Repair Fire Zone 'g Owner Enlarge _ Type of Const. y Address: Move # Stories Demolish Front G.y ft. City/Zip Code: _ Grade Depth *37 ft. Phone #: APPF40VATS FEES Contractor: p/ Assessments Permit / li le. r6 Address: Water/Sewer Surcharge 34,6d /? _ Police ' Plan Check ?3. s 6 City/Zip Code p/1;yl i/Pire SAC ?9,t.oa Phone #: Eng. Water Conn. 3,0 ,r, 0 0 Planner Water Meter G 0.00 Arch./gig.: Council Road Unit // Ste. aBaB Bldg. Off. Address: APC City/Zip Code: Phone #: TOTAL ?S T31lefson Builders Inc. F. C. JACKSON LAND SURVEYOR REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS 9616 EAST 88TH STREET 55417 721-3484 ?? --' - __- gburbe"r's Certifitate 1 1?i •I I I`??u / I I • .JI \?\ I k? i' -- - a b I I\ ` I 1 HERESY CERTIFY THAA THE ASOVE IS A TRUE AND CORRECT PLAT OF A SURVEY OF Lot 3,Block 1,Brittany 3rd. Addition, Dakota CDunty,Minnesota. 7th. Oct. 1980 At SURVEYED aY ME THIS--_--DAY OP__ F. C. JACKSON, Or. 11188 183 65A N. NO. 3600 " ? I , iW a , .I' ..y s,,y} 3 ?A tl x t 4r f R n<i.xr' ) r 5 - ' 3 r . v ` ,E ! s T :v,/, .rr -P 3. ,t/./ >'?+ / `?/ A. , ' ?G 7f , ' C'r ?.'1?/.' G Z ? / _ ..i ! ka rS S C '•"' M' ? qE ?, l Gt n +y ? . . ^ :. . a _. ? r f' f5.. ; s '?y'n , t . j . /A :.. , / f ' • I^ ?d?.`.1.? .' ? . a " . ' i, r n r,7tca rn, EL.4n' .??i31. F'?hone pCl? 187 Iv j ' Cam GMr Puom 1. tr " u # F Q RiL3 ,? . nrnnrcn "'?' ? , 9L r arallp»Te cJ [t e Lei '!foil; J tns TLR?, - , . ADn3df.c3 r a?' L A?S?_ yr - I?0 L'7vTt;0 w'.C^ r.I n 00 :1 Zi# n s IC3 V, . :I.I ^4L 17,M? o^ Z'. p^,13r 11?. t,q, I ? ti ? [• w . . r TOTAL SQ, r?o Q^ I,' .:= c .rdi.?°i,'GnSFrnc JT '. x .. : c71 TMTEll LF T rTs L?A r : OTAL 3Q. F-7. C? I'OOR7 ada t "TF LnJ.4)00 . '_ 'P); OP hZUL_STIC`'; 71 e5 t-T ' i' 'ta r I ..? ?r } r n dcr r3'? L?;Stti? 1 ! - 02 Il.';JLATYOi7 Ir CMG, t?.i.c TiIIell a^It=T; G' IL-311121"1 .Tr LOOn^ ?R IfAM- EJ"J!!C??'"il" VALIM ?] LxrO:;C .!.'L9 11POPr (?F1r^ F U67I>TI 02 .27 MR on A.177) T::? `I.i,. 119 7 1 [I?7Fic':I C7.?! ^O'! t1Ptr O'er; 2 LilSj;'_1]i .I } .. ,. .. % n 1 bl, , F y ?' SLh r ,? I D'TAIL . ^?' ?tI:FRni)Ch' " 'HJ E[lO w1 - R ?? yc Y? r. a S n SQ. F JY[• FT Sq.. FT. 7CPo(MACE OY ;IIG(3 1z;S JPENImj ;''.,VAISTF. TOTAL A( I1 TOTAL ', DOORS y uvav. I • Y i ? TA TCTAL .i f M xa. ?ti. ? s?sw..s r.vR?. • . ?J *131 111 II C75 , e fn e aT.TA1 1. 1) E?' AVBRACr tugs IIIV IIl-D,BY 1o9'AI (•1 fl; Aitxa i ` ?>? u!?P£Y vn?r~iu,TW ccaaR P(. r ,?•r-. +-i '` Viu1?-?sn ?e'ttE'Fl'^)•? :?,?L ( 'Jf - _hT_E ?ld? i r .. ;-7. I<^coAec.3ifc h i -e 71--1? -,-- A R .. , LEA - - Tnrrir. J !!+ I s''con.rt:.+3uc (.,?32,<+ ra3euEGl!ltaa rr :' ?t!...--_..1. ...r......... .....__ ,,.,n r 11 .. ' 7 [ f i ? ;: i ? ? G rt . . _.... .- t Cz[ S A I It 4 i { { y • ' - - . , 1 ` I --.SL?e::l? _?'fr1 l l fi"--- -? ? ? ` 'r! lal iii -p r'Irr : I ?t W A- rU C.o tLae.r E _ -- ??f`L_YE t rot 1 +4 ?`?? -10, Jo /S7-la / {t'ar`t . -r.. I ( t7 .I ^(L EL? r4 5 R 4c -- r T L ?_ - i ! . _ _ ' --•-° -•-- . :.-.? .? ,?.`'1t ,-?r,l ._._. ,- `? Y a/ r?) , !I - ? ? ? ? - ? _ . -_? i _W l ?r S /!rF r?°r•e? 6 ? II t N t 7Rnif T trti C+ - :; n ( - t F -A TnT^ {ZS j i ° J / ( T L f.C Jilt, f ! {? t i - ;L:.` f.O L?J iT 1( Wp,t,L?.l;/iN ?Dl_+tc ,??l ['`t A.l .'_I' ?•(_1?:?C>rR Unro C. tro F•Ro 4? 1 } , Z?--•,,-.i - ^ I 1 ^, t- I i I, r y f,, t? 1 t ?i j ? t _ ?, .,.; -'l?TAB 7 f ?, ,..lp.r .? :. ; . T.LL.:,.I,(*..`?,:). :.*P}%..S'.J,!:.:.'":**U' S!! , ,i ),:X: ?t%,! N),i ::l.., CITY OP Ir Ai3'AN S::H :R .... .. ?.,r .: , .. 09,30/91 T"'c.., . ,":3 f3s°-? 1 A l i':I:I::... ;i'? G 9001 WE SNF.'RNOOD P 50.013 215 9101 1(:.48 r;l..lFRWOM) W 0.50 Total Receipt Amoun&, 50.50 C,'rii'.!,l R3 USER TO MARLVNN sA CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-15002-030-01 DESCRIPTION: r. i' . e PERMIT TYPE: BUILDING Permit Number: 0 3 0 8 7 6 Date Issued: 09/30/97 1618 SHERWOOD WAY LOT: 3 BLOCK: 1 BRITTANY 3RD (GAS INSERT/LINE) Buil~din -Permit Type FIREPLACE Building' W?&r_I< Type NEW "Census Code , 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee $50.00 $50.50 CONTRACTOR: - Applicant - OWNER: MASTER GAS FITTERS INC 17708691 BERTIE GERALD 2240 SHAWNEE OR 1618 SHERWOOD WAY N ST PAUL MN 55109 EAGAN MN 55122 (612) 770-8691 (612)456-8432 L 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 Mn Statutes and City of Eagan'Ordinances APPLICANT/PERMITEE SIGNATURE PERMIT IS S 131: siAT'- UHE CITY OF EAGAN 156. 3838 PILOT KNOB RD - 55122 O. 5 0 G 1997 FIREPLACE PERMIT APPLICATION 681-4675 DATE: ID - 2 7 PERMIT FEE: $50.50 DESCRIPTION OF WORK: _ CONSTRUCT UAY FIREPLACE _ ALTERATIONS TO EXISTING ZINSTALL GAS INSERT ONLY INSTALL GAS LINE ONLY OTHER: STREETADDRESS: LOT _ BLOCK SUBD./P.I.D. #: APPLICANT: (circle one only) OWNER ONTRACTOR 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 FIREPLACE INSTALLER Name: /7 G? Pia ?c? _ Phone ufl rtxsr Signature: Street Address: Q4 `-> City: State: Company: Signature: Street Address: az?-S/z a`jif• ??? r'G City: AA2• -56 X&L State: Zip: Phone #: 7-70" yf69/ License #: Zip: 4?I0 GAS LINE Company: 5;qpw V., Phone #: INSTALLER Name: Signature: Street Address: City: State: Zip: 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. -135-14 zoos 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. SI5,5D Date/9 -,5' l?I_a2l Unit # ) ,ge Site Street Address e e/-( Telephone# (r¢10-11 /? 6 0 )1 92 e PropertyOwner ? Telephone # ?:R1?3c? 789 II Contractor © ?af Pw? S U?LLP .: State Zip 3 it y Address i The Applicant is: _ Owner X contractor -Other Refurbished Submit 2 sets of plans and MPC license New tic System Se Includes ounty fee _ _ p $ 1 Per as-built $ 10.00 $ 50.00 Alterations to existing dwelling Add plumbing fixtures. This fee includes installation of a water softener andlor water _ heater at the same time. if you are installing only a water softener andlor 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 I li $ .50 , i State Surcharge T? $ Total -, , _a.., ar n o Infnrmatinn c cnmol ete and accurate; that the I hereby apply for a Residential Plumomg rerrnu a a-ao? ??a L.1u1 -- -1-.1..-- - 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 approyP4)an in the event a plan is required reviewed andtapproved. Ap ficants Printed Name Apidlicaf is Signature ? ?qo9 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 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) 1 Soils Report K proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan ff lot platted after 7/1/93 Rim Joist Detail Options seledon sheet (buildings with 3 or less units) Remodel/Repair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate non-site septic system /q7 A?D Office Use Only Cad of Survey Reed -Y _ N Soils Report - - _Y, _N Tree Pres Plan Recd - - Y ° N Tree.Pres Required _Y. _N On-site Septic System ,- _Y _N Mmnegasco mechanical ventilation form Ca,cc? SJa3 Plans are considered public information unless you state they are trade secre and the reason. Date 6 Q Site Address t> / Z? Construction Cost Unit/Ste # Description of Work Multi-Family Bldg _ Y N i Fireplace(s) - 0 - 1 _ 2 Property Owner e rrLt ' r (? Er 1 7 / Telephone # `XY 7f Contractor ? Address ' State 46 /t/d city 1?5?16/ 1 -I Y Zip 5 S//Z Telephone # (?? ?) ?J 7 y? J?? ?/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (submission type) Submitted Submitted • 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? - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Buildini? Permit and acknowledge that the information is accurat that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NIN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of workw?i i and approval of plans. 1 V1971T1 c_ ) -/ IP Za ?u MAY 17 2007 Applicant's Printed Name p ]cant's S ture DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of - plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex Work Tvpes ? 31 New ? 32 Addition ? 33 Alteration 1?1(_ 34 Replacement ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 19 Lower Level ? 24 Storm Damage 25 Miscellaneous ??yy 611® 9L s ai ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage _ Yes Valuation (?17 Occupancy MCES System Plan Review 100% or 25% Code Edition Census Code f ` ?P Zoning t _ City Water SAC Units r Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ' / ? Width Footings (new bldg) Footings (deck) Footings (addition) _ Foundation Drain Tile Roof _ Ice & Water _ Final Framing _ Fireplace _ R.I. - Air Test - Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS Sheetrock FinaUC.O. Final/No C.O. _ HVAC Other - Pool _ Ftgs _ Air/Gas Tests _ Final - Siding _ Stucco Lath _ Stone Lath -Brick Windows Retaining Wall Building Inspector p06/-% wan 8:58 FAX YSAdt/Y 9 `1720 `j 06/26/2007 04:22 PM //r/? Q jel/f7-X Tl bb lts En6 inea.ln6. P.A. Tibbits Engineering, P.A. Structural Engineers 1110 Greeley Ave. Glencoe, MN Phone: (320) 864-5642 FAX: (320) 864-5672 www.tibbitsengineering.com June 26, 2007 Giertsen Attn: Mr. Chad Bratsch 8385 1 Os' Ave N Golden Valley, MN 55427 RE: Truss Repair for Residence Located at 1618 Shorewood Way Eagan, MN Dear Mr. Bratsoh: ®003/004 3205545572 2/3 55336 Toll Free: 888-248-0373 As requested, I visited the residence identified above on June 26, 2007, and examined the roof trusses which the overhang were torn off. Our design follows the requirements of the Minnesota State Building Code and the Intemational Residential Code, 2000 edition. This includes a roof snow load of 35 psf and a roof dead load of 20 psf. The existing roof trusses have a clear span of 32'-0" and are spaced at 2'-0" o.e. The overhangs were torn off on the left end of the truss and this caused the top chord to have cracks that extended into the heel plate. The trusses should be repaired as shown on the enclosed detail on page 2 of 2 of this report. When repaired as indicated, the roof trusses will meet the requirements noted above. Our involvement in the design of this structure is limited to the individual members addressed and specified in this report, All other engineering and design remains the responsibility of others. Sincerely, TIBBITS ENGINEERING, P.A. Y J ' Ks ' eph M. Paumen, P.E. Project Engineer Enc. I hereby certify that this plan, specification, or report was Prepared by me or mulct my diacct supervision and that I am a duly licensed professional Fnpµteer under the laws of the State of afirmcsota- Date " 6/ l7 License N.. 42342 r ... f:;, .p .:,'taSuaoll rTbp27q Oita W 0 v - 3YUldu 'R Hd S0 MOSMall-Q! Jo 0-1615 2ql Jo SAM[ ? aep tapun ,aamflug Ieuopssalold pasuaol'T .qnp a we I rap pue UOISIAJadnS 1039 ? Xul.mpun Jo 3w ;q , =Ida-?d seM iwdaa m n n _ eoncoyloads'ue;d sell I>:1II SJruoo Cgajaq I ¢ m ?q O n N q q 1 q G x x x r ? F NU F O x N e ? i G T e ? o m N Y 'a b o ? O u b O ? oD `Q O V•SN e e C6=6 r i L = n ? s m X V a? -° °eg x o .° DD LL , N 0 0 V N O D O T U I b •? W X O ? N 0 i w [ N l Q o : q ? a m mu u m .O i 0 Er 4D ? O w 'Q v0- w m p ? N ; ^ Y a ?? ? ?e+ VI ? N ryry O.O Fp`'? y m O N u N ?a ??e a a E/E 1L9549BDEt Y I '9uI,equl9u3 sclggil Wd 23 40 1009/92/90 vooisoo® xea 6G:8 aam C1- LOOZILZI50 MINNESOTA DEPT. OF LABOR & INDUSTRY Construction Codes and Licensing Division 443 Lafayette Road N. St. Paul, MN 551554344 MON RAY INC 801 BOONE AVE N MPLS, MN 55427 3kc r State of Minnesota Construction Codes and Licensing Dimlon Depatfinent of Labor and Industry Telephone: (651) 284-5065 443 Lafayette Road N. E mail address dli.contractor@state.mn.us St. Paul, MN 55155-4344 Websde.address: www.doli.state.rnmus ResidentiaW.Building Contractor License Legal Name: MON RAY INC Business Structure: DBA CORPORATION - ---------- 1- For (7fhce'?UBeh ?, j Permit p: _S?! ?? I Permit Fee: Date Received: j I I I Staff: I I / n200Q8 RESIDENTIAL BUILDING ?pPERMIT APPLICATION nse• I ? I? C7IG?vU errs e.t.re«. `? I U ?Yt ?11wl?C? ?? Tenant: Suite #: RESIDENT / OWNER Name: V C 1 }}-}}f ?11 ,.b V/'??1lnnfr. 1Phone: i Address/City/Zip: ,oz w? G / Applicant is: Owner --(Z Contractor TYPE OF WORK lp , , Jt - ? I? w ?d UJ? Description of work: t . / , // Construction Cost: 43 ( o,D o Multi-Family Building: (Yes_ / No _ I CONTRACTOR / Name: 7 r I? 1? 9b6 ?Gt License #: ZOZ???g 4 Address: J d ?dU ,U5 - NJ Zip: 5s, Z3 City: ?jMA ` State..,/?, Phone: Gam- ?0(b 4 VD Contact Person: ???) - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Cateaorv 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 maybe classified as non-public if you provide specific reasons that would permit the City to ,,. conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the rk will be in accordance with the approved plan in the case]off work which requires a review and approval of plans. Applicant's Printed Name Applica is Sig at Page 1 of 3      ò  ÿ    ù þýüýû  ÿ þýþü     ûÿÿ ñðûíóÿî  ý     ÿ  ø  úùø ÷ÿÿö   ø ÷ÿ ö ø ÷ÿö ä õÿ äðÿ÷ýÿñÿ ÿ  ÷  ÿ ÿ  ÿááÞ÷ý  Ûü úëý ÿçÿÿ ñ÷ ßÿñÿ îÿîñÿ ÿë ÿ ñÿÿÿ ýùÿ ñ èòýÿ ü  ÷ÿü ûýò ò ýñü    ÷ÿèýò òý ÷ÿýòÿ  ýýè ý ùñàÿÿÿ ý ÿ ÿë ÿù ý  üÿòýñ îñÿ è ý ÿçÿÿâïâèèá ÷û  ú îý üÿý ÿéýýâïâèíèí éýýûè  öõ ø ôó ÷÷ý ðÿÿ Úÿ ýÿ ÿ í ðýöÿ êúîÿ öý ð ÿßÿôõþýüýôõ æêãêáá îÿ ÿù ý ÿüÿîýîýßÿ ÿýî ý÷÷ýý ýÿîýîÿò ñý  ÿýýü ÿÿñ÷  îýý÷÷ýùÿúýÿ òôÿ ýúýÿ ý òþýüýÞ ýÿ è ÷÷ýä ÿ ñÿÿúüý ÿ ÿ úüý ÿ           ðð þý ýü þýý  üíü     úýý ðíú÷ñï   ý   ìî  ÿ  þýö  ûú ù  ø÷ö ô ú ù  ø ú ù õ ùý   ù ô ô  ðùý  ó  òý ñ  ßý ý   ý íì    ä  ýüåäììì ì ý ñ èìèéëéëì õú   ý ý êýýèìèéìíéîíì êýý üé  ôÿóù ö òñ ùùý õ  ÷ý  ã ý  íîô õýôø ë ÷øý õ ç åäìì þý ýåäììîî âìáî  û ý÷  ýýç  ýýùùýýý ý æ ïý ýý ïù ÷ýýùùýû ý  æå ýý ýô æþý ýð ý é ùùýö ï  ý    ý 4* City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED .1010 2012 Use BLUE or BLACK Ink Permit #: / Q O Permit Fee: ( 71 3 Date Received: fj� Staff: 111 2RESIDENTIAL BUILDING PERMIT APPLICATION Date: Tenant: Site Address: /fel32.62e cAGJ AAy Suite #: RESIDENT / OWNER Name: 6tifecyL.n 69271 Phone: (' Address / City / Zip: Iw 1E. ShSei,•.lx.o LAY Applicant is: Owner ?< Contractor TYPE OF WORK Description of work: k r Tztt A—) Roof C 4 4.44 • Construction Cost:d2, SBO ,Multi -Family Building: (Yes / No )('' ) CONTRACTOR Name: —771614-C 60. tit. License #: 31/ Address: ?030 /1 S0. City: /3bcY,m,•t70,n) State: AK) Zip: 537-120) Phone: — Zc 7L7� Contact: Email: COMPLETE In the last 12 months, has If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes _No 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 in classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. ::-- 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.ciopherstateonecall.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. x / h ©t -.4-s- 66c �Z Applicant's Printed Name x� Applicant's Signature Page 1 of 3 /I-7/ ¶E t ood SUB TYPES Foundation A Single Family Multi 01 of _ Piex Accessory Building Fireplace Garage Deck Lower Level NIOT WRITE BELOW THIS LINE WORK TYPES New Interior Improvement Addition Move Building - Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation 3,9a0 Plan Review (25% 100% /6 - Census )Census Code It3it # of Units / # of Buildings / Type of Construction Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Reviewed By: vs+ i i nr i i r Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests Siding: _Stucco Lath Stone Lath - Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL gcl Page 2 of 3           ò     þýýü ûîû     úüüýý õòú ùüë ø ûø    þý   ÿþýüûú  ùèþø ÷øüûú ö õ  øúð ùø ð  øÿÞ ð  øüûú ð þæ þø øÿ ø öþóý øë ó öþóý ø ÿÞ ð ÿñÞ  ý îäîèâ    ðö ààïï  éîïîïâ ÷ú  ÿþøñ ø ùè éîî  öõô  óù úú     ã ø  ø èâàïÿñ øõ÷ û   ðö  ðö ìàêàïï ñ ø ýû õ  ñ  ñ ç ø ñ  úú     ñ ñ æøó  øø   ø óúûõñ  úú ý ÿ   æð  ÿ þ  åûæ  äø  î úú ß þ ûÿ þø PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA170171 Date Issued:06/22/2021 Permit Category:ePermit Site Address: 1618 Sherwood Way Lot:3 Block: 1 Addition: Brittany 3rd PID:10-15002-01-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeremiah J Carter 1618 Sherwood Way Eagan MN 55122 Barr Web Industries 3038 E 35th St Minneapolis MN 55406 (612) 850-6900 Applicant/Permitee: Signature Issued By: Signature