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1628 Sherwood WayC TY OF EAGAN 3830 Pilot Knob Road P' o. Box 21199 Eagan, MN 55121 Zoning: I Owner. L91 'Ie f Address: Site Address: 1 Plumber: :,,rc 7 b, Fee rd neu Pfl? Wltfr the CIFF of Eagaa of Insp.: SEWER SERVICE PERMIT PERMIT NO.: i IF, I DATE: _ i No, Of Units: Connection Charge: Account QePoait: Permit Fee: Surcharge: Misc. Chorom Total: Date Paid: _ CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: R 1 No. of Units: - Owner: t' Address: 1628 ©rwoo ay L7. d Iirittan , 3r! 'Site Address: -- rnz Rear. - - -- No.: Connection Charge: Account Deposit: : Permit Fee: No . to oowk* Wbb the city of gown Surcharge: sees. Misc. Charges: Total: Date Paid: CITY OF EAGAN .? $40 3715 PIW Knob Read Eagan, MN 55122 PHONEt 454-8100 BUILDING PERMIT Recelpt # SF DFIG/CWR 000 $79 JAIMArN 3 To be wed for , Est. Volue Date Site Address Erect Occupancy R3 Lot 1 Block 1 SSqqc/dub - Pr'.ZTTANY inn Alter ? Zoning -` 10-1503 770 1U-U1 Repair ? Fire Zone -41A Parcel # V iv BLDRS Enlarge ? Type of Const. cc . Name L Move p # Stories z Address 1655 J071'00D DR. Demolish ? Length ' 4 - City ' Phone r5 n-6677 Grade ? Depth 4 7 Sq. Ft. SXM °C 0 Name u Address Assessment Water & Sew. City Phone Police U" Name Fire 5 Address Eng. u i W City Phone Planner Council I hereby acknowledge that I have read this application and state that Bldg. Off, the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Appravcis FAA* APC Signature of Permittee A Building Permit is issued to: all work shall be done in acco Building Official "l (._ Permit •r .. -- Surcharge :3) Plan check f' SAC )25 ' O Water Conn. 450. 01) - 7 7 7 Water Meter Road Unit -- Total 77 . on the express condition that dl applicable State of Minnesota Statutes and City of Eagan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. Water well Disp. Sower Electric ?+ CA (f LE Inspection Date Insp. Other Footings Foundation Framing ?j? g Roug Rough HVA $ Insula Final 4dCf j Final HVAC Final Water Describe Location: p Well , Sower Pr. Disp. r , , " l- Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee ' Fill in numbered spaces ?c> U S/C /f' S u Type or Print legibly Tot 0 Z1/ S'c . , 1. Date 2. Installation Cost 3S'U u 7 3. Job Address Lot Blk. Tractti , 4. es Owner h 5. Contractor P one 6. Address /Y 7?/S Ja b?? i S' zi q 7. City M t State Zip ?? SC?GF 8. Building Type: Residential I&- Commercial ? Institutional ? 9. Work Description: New ?«Add ? Alter ? Repair ? 10. Describe 11. No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other r" li Ch 1CIV7 A:i Laundry Tray y ?Lrt { U"" li - 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 ?S 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 Bilk. Tract 4. Owner 5. Contractor -, Phone 6. Address - , ` ` `> -? s•, 7. City t...? State ??- Zip k 8. Building Type: Residential Q' Commercial ? Institutional ? 9. Work Description: New a' Add ? Alter ? Repair ? yr- 10. Describe Fuel Type 11 No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition Brittany 3rd Addition Lot 1 Rik 1 Parcel #10 15002 010 01 Owner Street 1699 Shexwood Way State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ((" 1982 2013.03 402.61 5 805.23 A 013672 3-20-84 RESTOR. GRADING 1982 596.22 119.24 5 238.50 " SAN SEW TRUNK 1976 143.11 9.54 15 57.25 " *SEWER LATERAL 1982 '383o-,lo 766.02 5 1532,04 " WATERMAIN *WATER LATERAL 1982 WATER AREA 1982 296.92 59.38 118.78 if * Services 1982 5 STORM SEW TRK G5 1982 628.22 125.64 251.30 *STORM SEW LAT 1982 CURB & GUTTER SIDEWALK STREET LIGHT R WATER CONN. 450.00 it is BUILDING PER. 9740 SAC PARK CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN. MINNESOTA 55122 DATE 19 Rzcz1 V CD FROM AMOUNT -ac -DOLLARS loo CASH ? CHECK 7e FOR '? White-Payers Copy Yellow-Posting Copy Pink-File Copy Tha You ( r BY This request void /? ?? ?gy T I J V 18 months from A nggF; Lit $ 1, ?ktTTiJNy 3'?° yoro Request 0a1 ¢ - Sri Fire No. Rough-in Inspection Required? Ready Now Will Notify Inspec- } Yes ?No for When Ready Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. Clt , ection n. Township Name or No. Range No. County Occupant (PRINT) Phone No. T Q Power kSu { ?pplie(r?y ?'y ) Address Electrical Co tractor (C m iany Name) 1c. L?U C? - Contractor's License No. 1 Mailing A ress (Contractor or Ower Making nstailationl •??_y? ^] SS (-- tn. 0 Authorized Sig re ICOntraclortOwner Making Installation; P ne Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Be,. N-191 BE ACCEPTED BY THE STATE BOARD MN 55104 UNLESS PROPER INSPECTION FEE IS Ph1821nne University 166121 2) 297 7.2111 Ave.. St. Paul, ENCLOSED. CITY OF EAGAN Np 8 74O 9795 Pilat Knob Read Eagan, MH 55122 c ` PHONE.- 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $79,000 Date JANUARY 3 19 8'4 Sit. Address 1628 SHERWOOD WAYS - Erect R3 Occupancy Lot -1- Block. _ Sec/Sub. BRITTANY -3RD Alter ? Zoning R1 Parcel # 10-15002-010-01 Repair ? Fire Zone N/A W Name TOLLEFSON BLDRS. Address 1655 NORWOOD DR. o EAGAN 454-6873 o Name Addre. Name I hereby acknowledge that I have read this application and state that the intormotion is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee _ A Building Permit Is issued to: all work shall be done m?ac/c/9 Building Official Enlarge ? Type of Const. V Move ? # Stories Demolish ? Length 54 Grade ? Depth-48E-4" Sq. Ft._ Approvals Fees Assessment Permit $ 370.00 Water & Sew. Surcharge 39.50 Police Plan check 185.00 Fire SAC 525.00 Eng. Water Conn. 450.00 Planner Water Meter 60.00 Council Road Unit 250.00 Bldg. Off, APC Total $ 1,879.50 TOLLEFSON BLDRS. on the express condition that with 0 ap-llmble State of Minnesota Statutes and City of Eagan Ordinances. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ' See instructions for completing this form on back of yellow copy. y? 8O ;;'l 'T' Be/ow Work Covered by This Request Ad Reps -Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric: Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other (Specify) otbcr Isuacifv) Other pecity other Omer CnornlltP loSPPCtion FPP Below p Fee Service Entrance Size b Fee Feeders/Subfeeders K Fee Circuits ` 0 to 200 Amps 0 to 30 Amps V2, ?52sn 0 to 30 Amps Above 200 Amps 31 to 100 Amps S, 31 to 100 Amos Swimming Pool Above 100-Amps Above 100_Amps Transformers Irrigation Booths f5D Partia % er Fee Signs Special Inspection $ (J E A Remarks T / z M, ?y, ? } F / ((S E. 11-V Dale t . ical I Rough -in Inspector, hereby ertify that the above Final inspection has been ??o? bz msae. This request void 18 months from 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN n 3 y -, y a 3830 PILOT KNOB RD - 55122 (651) 681-4675 New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1193 required: _ Yes _ No DATE: ( 1(0 N77 DESCRIPTION OF WORK: STREET ADDRESS: ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; Caps ?-h \(W- d-a- W?-a-p, LOT: I BLOCK: SUBD./P.I.D. #: 2D Name: ( I4m7VJctl Phone #: (al]D q< - t!o 5V9 PROPERTY Last First OWNER `J Street Address: 16,9K S// ?ewoo0 City F -6? State: /YIN. Zip: S5/ZZ pp ( I -?-) Company: A rJC Phone #: I y--( CONTRACTOR Street Address: A// 6o 11'e-n License # ;20 Exp. ARCHITECT/ ENGINEER City ?8r.,"au lk State: MiAJ- Zip: SS?J?J? Name: Street City Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Stat of Minnesota Statutes and City of Eagan Ordinances. <-?++ S-? ignature of Applicant: OFFICE USE ONLY Certificates of Survey Received - Yes No Phone #: Registration State: Zip: Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 --plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code Census Units Census Bldg MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: Valuation: % SAC SAC Units S ? ? t?G?G A1Z To Be Used For ,51 W d- PWO I I I I Ute A*kess Lbw UEAIIl ruYL 1 Ldt 1 824K* Sec./Sub. Parc:al i s /0 - /Sd h .7 Au?_ ?If 0 CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations i HURDING PEMIT APPLICATION 1 set of energy calculatUM. _ ValuatiaA --.Date ?Wf ?1?1/J ?--- C FFICE USF. ONLY p L -&-act occupancy Alter Owners ?P;Y G11) Repair Fire zone J1ddt+aeas City/up code: E:fdarge _Type of Const. Move r 1 5tories Demlish _ Front Grade Death "ZI ft Phone 1: conttacmr: 1002'h A, Ald M"i S N0r1A!(Y_ _. ?VI?I?J city/Zip co": &Lzf ?q/ Phorre 1: ??-- '?,? Acoh./t7a?.: AddseRSS • City/Zip Code: Phone 1s , rl' NPJ"b - FEES Assessments Pemmt 37) Water/Sewer Surcharge a3? Police Plan Criack-3 Fire SAC S Eng. Water Conn. ?&p Planner Water meter /on ?00- Council Road unit ?So bldg. Off. AID 'DOTAL /, 2 7 `/. J'Q rt -?r 1 ?,4 a °Q ai Q) jollefson Builders Inc. Scale: 1" 30' JACKSON - SURVEYORS o Denotes Iron ?? _ _ e_Drainage S Ut it ity F aFs"aD UNDER LAWS OF STATE OF MINNESOTA .,Drainage 000.0 Existaing Elev. i 3516 EAST 55th STREET, MINNEAPOLIS, MN 55417 727-3480 G o q? I ?? L*urbgm'g Cfffi stt /2e•a )J' W h I !7 i 1 -41 t_ z Z b -4 X- -? p 9- 47' 1 HERESY ERTIFY THAT THE ABOVE IS A TRUE AND CORRECT PLAT OF A SURVEY OF Lot 1,Block 1,Brittany 3rd. Addition, Dakota County,Minnesota. 112v Or. 11480 183-65A proposed Garage Floor Elev. 5 t`>?w Proposed First Floor Elev. Proposed Basement Floor Elev. As SURVEYED BY ME THIS-18th. DAY OF Nov ÿ ÿþþýüûúóûúü ùýýþþüúíù ðýî ÷ ú÷ ÿþ þýüûúùøý÷ ö÷õ÷ ô÷ûúùóò ÷ùøý÷ ö÷õ÷ ñý÷ ÷÷ ù÷ð÷ïý÷ðýü÷î ÷÷ÿþ ÷ ù÷ÿíìë þ ê î ÷ðøíéù ðëèçêç êê õù þý÷ ÷øèçìçì ôóóò ñð ùù ÜÚéú ýðüöã Ýõ ðùü ôãò úáêþ÷òô ú ý÷æîó îó íìëá ÷üú ò æ÷ ùù å÷ð ÷÷ ÷ðùúò ùù üþ åî þ ý õúå ä÷ ç ùù à ÷ðþ ý÷ ýúþ ý÷ PERMIT City of Eagan Permit Type:Building Permit Number:EA115077 Date Issued:09/23/2013 Permit Category:ePermit Site Address: 1628 Sherwood Way Lot:1 Block: 1 Addition: Brittany 3rd PID:10-15002-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Joe Sandvik 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 - John Campbell 1628 Sherwood Way Eagan MN 55122 Inside Out Remodeling & Roofing Llc 680 Commerce Dr Suite 220 Woodbury MN 55125 (651) 528-6898 Applicant/Permitee: Signature Issued By: Signature ti \\ Use BLUE or BLACK In , 3 For Office Use ,/ Cit O Permit#: /4 /7 jh�v Y �� Permit Fee: / 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)675-5694 Staff: L J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION b Date: ('7 Site Address: 1` v 51-.4-1• eft Unit#: � � / l �• Name: J.s �.. ‹.0. j•_l 1 Phone: S t— S.2--6-5.8 I Resident/ Owner Address/City/Zip: IL 2 '/ S . ' -I t✓f•fJ y Applicant is: Owner x Contractor Type of Work Description of work: kI Rr, 1`rry+,.c.. rd-14 t of 4"dc o r.. -601,f— c f r Construction{Cost: Jr Si U ' Multi-Family Building:(Yes_I No K) Company: Dry 'Eta— Contact: 1-080.0` Contractor Address: 3vv' Cr I 0 City: +.- State:34%N Zip:55-019 Phone: 6 sf tl 21-t'(YY Email:TX. 0 ! (.�._- License#: C-L(''5 7 101.— Lead Certificate It If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes "\No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-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,aooherstateonecalkorq 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. x Sek r x C Applicant's Printed Name Applica Ps Signature Page 1 of 3 c �n it)JYie��0� DON T WRITE BELOW THIS LINE /L/- bLt7 SUB TYPES _ Foundation — Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) ?C` Single Family — Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _" Multi — Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex — Lower Level Pool _ Accessory Building WORK TYPES New — Interior Improvement _ Siding _ Demolish Building* Addition Move Building _ Reroof _ Demolish Interior — Alteration _ Fire Repair _ Windows _ Demolish Foundation — Replace Repair 0 as, _ Egress Window Water Damage — Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation c7 Occupancy --1-- MCES System Plan Review5Code Edition 4 / 'SAC Units (25% 100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 'J Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) V Final/No C.O. Required Foundation Foundation Before Backfill I HVAC_Gas Service Test Gas Line Air Test Roof: Ice&Water Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final X Siding:_Stucco Lath _Stone Lath _Brick_EFIS X Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: ,Building Inspector RESIDENTIAL FEES / Base Fee / ' Surcharge ao r . Plan Review J� / MCES SAC 1Ai City SACf. Utility Connection Charge ,F !' S&W Permit&Surcharge L Treatment Plant 4''''', 0 0 17 Copies f/ TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA158888 Date Issued:11/06/2019 Permit Category:ePermit Site Address: 1628 Sherwood Way Lot:1 Block: 1 Addition: Brittany 3rd PID:10-15002-01-010 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - John Campbell 1628 Sherwood Way Eagan MN 55122 Keyprime Roofing And Remodleing 1000 Boone Ave N, Suite 760 Golden Valley MN 55427 (952) 426-0132 Applicant/Permitee: Signature Issued By: Signature