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1648 Sherwood WayCity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2010 RESIDENTIAL BUILDING PERMIT APPLICATION CAVE Jo -/0 EIZ ,n, JUN g 5 2010 LI r Use BLUE or BLACK Ink Permit #: C11 ( / e Permit Fee: (>97/,--7/ Date Received: Staff: Date: 4 / ? SAa Site Address: Tenant: Suite #: RESIDENT / OWNER Name: 4 c,pr G.. t(-- 7't" !-1` cs i Phone: Address / City / Zip: S'Q 1.4, --f Applicant is: Owner Contractor TYPE OF WORK Description of work: ,e2eG' - P,'' d giii S o 4, /)I/p-( ,34V,' / Construction Cost: 7 v 0' Multi -Family Building: (Yes / No K.) CONTRACTOR Name: (44 oi t• ,../- w.srr, /9G - ,c1 )c,v'— / L., License #: a (! C c7 A"?_Sr:e2-- Address`. 7/ ,Z cs 4 if <1 City: ( 7/P(- fState: State:/1-1 %✓ Zip: 11.5-0 7 one: 6f/ - G 3----- G (). ( Contact: P - Email: COMPLETE In the last 12 months, has Yes ?('''No 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: Licensed Plumber: - Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that,you submit are considered to be public information. Portrons of the information; may be 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 CaII at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x CrQ. r � (^—/z e�;* i / h4 - l Applicant's�Printed Nam x A. pticant's Signat Page 1 of 2 DO N(dT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%' Census Code # of Units # of Buildings Type of Construction Fireplace Garage g Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair geed '/311 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough In Air Test Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 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 Occupancy _ k2c -4 MCES System Code Edition ota27 SAC Units Zoning - / City Water Stories � Booster Pump Square Feet °'' PRV Length /y Fire Sprinklers — Width 36, Final Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control , Building Inspector TOTAL O Page 2 of 2 Tollefeon Builders Inc. LAND SURVEYOR F. C. JACKSON -q/e; /"r=Jt • . �. Kt, Al REGISTERED UNDER LAWS OF STATE or MINNESOTA LICENSED SY ORDINANCE OF CITY OF 6111NNKAFOLIS 3e16 EAST 815TH STREET55417 727-3484 *utbtpor'g Certifitatt / 211.07' 1 HEREBY CERTIFY ,THAT T • y-> r E ABOVE 11 A TRUE AND CORRECT PLAT OF A SURVEY OF 1 Or.11123 183-65 / Lie 04-7 �. - at -44, ij $ e k- 1 4ao.a: E is7 r9 1� pp -4;H 41 e 1' Proposed drags Floor- 99.5 Proposed T.rAt Floor- 100.0 Proposed B. j*ment Floor- 91.) 2 o' 7 C. i r f7° 1•1 4' 4 Lot 8,Block 1,Brittany 2nd. Addition Dakota County,Minnesota. 13Y: As SURVEYED BY ME THIS 9t . DAY OFMarch - .. A D 981 S1GNED F. C JACKSON. r1 N LGISTRATION. No. 3600 EAGAN Gd—/p IONS DIVISION CITY or EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: r O wne : Add ress: Si Add te ress: Plumber: I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: _ Permit Fee: Surcharge: By Misc. Charges: - Date of Insp.: Total: Insp.: Date Paid: CITY - EAGAN 3795 Pilot Knob Road Eagan, MN 55122 SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: ?lVYlc?O. Site Address- Plumber: Meter No.: Size: Reader No.: 1 agree to comply with the City of Eagan Ordinances. By Date of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: - No. of Units: :- Al : • •1+; ,i, Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: _ Total: Date Paid: INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date issued: (612) 681-4675 SITE ADDRESS: i ` R114-101-1 I.IA Y PERMIT SUBTYPE: APPLICANT: T RRI- RAND Hill I OVI (61471 423--4 141 ' t. 1, t 7:-ii TYPE OF WORK: Al 1 I t. r, i 1 ?W i Hit I'I 11, 1":t: INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. OFMARKSt Al ?EPARATE PERNI! IS REQ010CO FOR ANY PI11MRINQ OR FI F(7TRICAI WORM 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 Z ` FIREPLACE AIR TEST 8?zllc7 lyf ?` r /o1S ?a1?s t FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL BUILDING PERMIT To be used for Est. Value Site Address Lot Block Sec/Sub. Parcel No. Name 3 Address S City Phone - ' Name _ 0 z?_ o i Address to, City_ Name _ Address 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 and City of Eagan Ordinances. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 Receipt Date NAY: 13 OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well Type of Const City Water (Actual) (Allowable) * of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES 19 Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC, City Engr. SAC, MWCC Planner Water Conn. Council Water Meter Bldg. Off. Road Unit APC Treatment P1 Variance Parks Copies Signature of Permittee TOTAL 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. Permit No. Permit Holder Date Telephone Plumbing HMAC. Electric Softener Inspection Date Insp. Comments Footings I Footings I1 Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. 7ti• •6`) G ?• ' i ?a?t ?? 'r Well Pr. Disp. - ?Lj i CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 6629 PHONE: 454-8100 BUILDING PERMIT Receipt # Sr EK r,/C-79 Site Address Lot Block Sec/Sub. Parcel # .iLL7 ZC?C'" Name ?efso : W Z Address ' Name _ ,o u'j Address 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 r F PNMIt # Daft IMM W Pa the Plumbing ,Or,- Mechanical J y'75G ? ? -? y- 6f INSPECTIONS DATE INSP. Rough-In Flnal Footings ?-/ 7- Date _ Insp. Date Insp. Foundation Plumbing 2 I- Frame/ins. 0 Mechanical Final Remarks: Receipt _ MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential d_ Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No, Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handling: Mfg. 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 Permit No. Fee S/C Tot. Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address - Lot Blk. Tract 4. Owner G . ?c I e 5. Contractor r ??? i?rl 1 Phone 6. Address y i? f 1 l 7. City State j l \ tii Zip 8. Building Type: Residential Z Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe e- 1"/L ?7//leif7. G 11. No. Fixtures Water Closet No. Fixtures Cess ool /Drainfield Bath tubs p Se tic Tank Lavatory p Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your per when nupjbe d and approved. Approved 7 CITY OF EAGAN 454-8100 v,rrtifirate of Orrupaurq Citp of Cagan Dppm#mrmf of Building InapPr#iau This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance uith the various ordinances of the City regulating building construction or use. For the f ollouing: Useckwrmedm Single Family Iug/Gargge Bid&Permit No. 6629 n}?(Ji4 Owraof&ddinj 1V11.C1 OV14 1J1W O• Address 1Jc?1V llyl_7-6G YR 02 l BuidWSAd&m 1648 Sherwood WAY Lot 8, Block 1, BrittAny 2 By: BuBdutgofBcW eX Date: August 19, 1981 •GOT IN A WNC....... 'LACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 Control No. till 111. 1) 111111% 601 X161~ 12/14/92 SITE ADDRESS: 1.OT: 000H 91, OCK t eeof&PLICANT: 1648 SHERWOOD WAY POWERS CONST co INC HRTTTANY ?NO (612) 641-6111 PERMIT SUBTYPE: TYPE OF WORK: :I ADDITION MEW DESCRIPTTON INCt 2 BAY WIN00US 141 MAIO',s RI I.t 1111 0 Permit No. Permit Holder Date Te"one # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date [nap. Comments Footings I Foundation Framing 1 0 // 2n flpx"ce to hbVse-- Roofing Rough Plbg. Rough Mg. Isul. / 7J / Fireplace Final Htg. Orsat Test Final Pibg. Plbg. Inspector-Notify Plumber Coast. Meter EngrJPlan Bldg. Flna! Deck Fig. Deck Final Well Pr. Disp. CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE is RECEIVED FROM AMOUNT $ & DOLLARS I a 0 ? CASH ? CHECK White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You J CITY OF EAGAN Remarks Addition _\Rrittany 2nd Addition Lot 8 Blk 1 Parcel #10 1 001 080 01 Owner 1h i) h . , I; I , i k R u-? Street 1648 Sherwood Way State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. (pt -- 1982 2013.03 402.61 5 /-u . STREET RESTOR. GRADING 1982 596.22 119.24 5 596.22 C007263 9-17-81 SAN SEW TRUNK Q 85.87 A01059 9-23-81 *SEWER LATERAL 1982 _ 8 66r 5 .-18lo,io 0007263 9-17-81 WATERMAIN *WATER LATERAL 1982 5 WATER AREA 1982 296.92 59.38 5 296.92 C007263 9-17-81 * Services 1982 5 STORM SEW TRK (C (C 1982 628.22 125.64 5 628.22 0007263 9-17-81 *STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 24462 5-1-81 WATER CONN. 335.00 24462 5-1-81 BUILDING PER. SAC 24467 PARK CITY OF EAGAN 8795 Pilat Knob Read Eagan, MH 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION To be used for SF DW3/GAR Est. Value 73,0( Site Address 1648 Sherwood Way Lot 8 Block 1 Sec/Sub. BYlttany 2 Parcel # 10 15001 080 Ol W Name Tnl lrs fann R:ti ldPrs 3 Address 13816 Holyoke In Apple Valley 454-6873 City Phone o Name Address City Phone Name sZ Address 1 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. N4 6629 Receipt # °2 eIT 4 A - R3 Erect 491 Occupancy R1 Alter ? Zoning Repair ? Fire Zone NA Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front 50 ft. Grade ? Depth 36 it. Approvals Fees Asses:AGenE-173-8 Permit 114.00 Water & Sew. Surcharge 36.50 Police Plan check 87.00 Fire SAC 525.00 Eng Water Conn. 335.00 . Planner Water Meter 60.00 Council Road Unit 185.00 Off Bldg . . APC Total 1, 402.50 Signature of Permittee A Building Permit is issued to: Tollefson Builders all work shall be done in accordance with,Qll applicable State of Minnesota on the express condition that and City of Eagan Ordinances. Building Official CITY OF EAGAN N? 13 6 21 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 PHONE: 454.8 100 BUILDING PERMIT Receipt# To be used for DECK Est. Value $2,400 Date MAY 13 19 87 Site Address 1648 SHERWOOD WAY OFFICE USE ONLY Lot 8 Block 1 Sec/Sub. BRITTANY 2ND On Site Sewage _ Occupancy MWCC System _ Zoning Parcel No. On Site Well Type of Const City Water (Actual) c Name BRUCE PETERSON (Allowable) W z Address SANE n of Stories City Phone 681-62 4 W Length Depth Total S F o Name SAME 452-2741 (H) . . Footprint SF. ua Address APPROVALS FEES P CityPhone Assessments Permit $44.50 F Water/Sewer Surcharge 1 _ Sn ww Name Police Plan Review t z Address Fire - SAC, City u Engr. SAC, MWCC aW Clty Phone Planner Water Conn. Council Water Meter I hereby acknowledge that I ha read thi n and state Bldg. Off. Road Unit that the informationiscorrect an greetocollapplicable e APC Treatment P1 State of Minnesota Statutes a City of Eances. y Variance Parks Copies Signature of Permittee TOTAL A Building Permit is issued to., BRUCE PETERSON on the express condition that all work shall be done in accordance with all applicable St of M innesota Statutes and City of Eagan Ordinances. Building Official AC i / l K8 Vll? ? r - Request Date Fire No. Rough 1 spection ????//// R ire u Ready NowII NoOty Inspector R ? A yes C No len eady I licensed contractor ? owner hereby request inspection of above electrical work at: Job Adders (Street. Bair: or Route No.) City Section No. Township Name or No. Range N County Occupant IPRINTiD 13, /? • Phone No. -?? Power Supplier P Address Electrical onhactor (Company Name) ,IYW Ah if A' Contreclorg license No, Mailing Morass lContraNOr or D er Making Instel tron) `w / L Autho zetl Si neturSi4-, raclor/Owng Making Installation) r Phone Number-XXg, 7 M OTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT G gs-Midwey Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Plana (612( 642-08170 D ENCLOSED. / CI*/`?-- 5 487 REQUEST FOR ELECTRICAL INSPECTION il? See instructions for completing this form an back of yellow copy. X" Below Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) Comm./Industrial Furnace Farm Air Conditioner Omer tsyecityl CantracrorY Remarks: Compute Inspection Fee Below: Q?jVp?/ # Other Fee # Service Entrance Size Fee # CircuitsfFeeders Fee Swimming Pool 0 to 200 Amps 0 to OA pe m Transformers Above 200 Amps Above 100 -Amps Signs Inspector's Use Only: TOTAL - - Irrigation Booms 36 -30,:v 0 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISC NNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO I, the Electrical Inspector, hereby I Rof'gh-in -C/72 C certify that the above inspection has been made. Final pate OFFICE USE ONLY This request mid 18 months horn This request void Z "k+E ritonths-konr / (p , p 0 ? Date of this Request 4-2441981 Fire No. T25656 t 1, as Micensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 1648 Sherwood Way City Section Township Range County Dakota Which is occupied by %olleYeon Builders (Name of Occupant) Is a roughin inspection required on this job? No ? Yesid Ready Now ? Will Call FKc Power Supplier Dakota Cty. Address FaritinArton Electrical Contractor O.B. Thonpaon Electric Co. Contractor's License No. A406-02 ompANvd yName) 12201 Mica r Mtka 55343. Mailing Address i - ,/(Electrical Contractor or.Owner Makind This Installation) Authorized Sienature Phone -No. STATE S 1!A ® COPY This inspection request will not accepted the R 1?J State Board unless proper inspection fee is enclosed. mmnesom state noam or nectncity Griggs Midway Bldg. - Room N191 alniversity Ave., St. Paul, Minn. 55104 - Phone 297-2111 ?ol7EST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST 2 T 25656 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For - Home 30 ? ? Range '11?1 • Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures 47 Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace XM 2.00 Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner XM 2000 Bulk Milk Tank ? Farm ? ? ? List ) List ) Other ? ? ? Herers)} Herxers} COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders& Subfeeders: # . Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Am eres 0 to 30 Am eyes 2 - 101 to 200 Am • 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps. Above IOQ_Amps. Transformers Remote Control Circ. Partial or other fee Signs ai? - pecial Inspection Minimum fee $S Remarks JeffD• TOTAL FEE 6.50 I, the Elec cal tis'pector, hereby certify (Final) This request void 18 months from tion has beer made f Date 16 ?Y ?EOMWED FEB 0 5 2009 Vb ----------------- I ForOifce Use g I Permit #: ?j g L? / j I Permit Fee: J? 4q, I - I ? Date Received: j Staff:/ I ------------------ I RESIDENTIAL BUILDING PERMIT APPLICATION d"d -21/D Date: LI 1I O4) Site Address: IZJ _S'fL.)rV\1(9G j WW Tenant: Suite #: RESIDENT/OWNER Name:V ?rVC-2`l- e- ?VSdyi Phone: Los/ 4S 2- 2-74/ Address / City I Zip: ( 41 S hay Wod I J ?I ' Applicant is: _ Owner ?C Contractor TYPE OF WORK //" 4 Description of work: Mown Floor l K irk" ,muz, Construction Cost: SO, o00 0o Multi-Family Building: (Yes / Nolte CONTRACTOR Name: ?V? v 2a tnn y ?a wy? ?n G - License #: Address: 3(,43 7V-a, , ? City: ?c a q cw?- State: V kL Zip: 5 S 12, 3 V1, -D ( y tz ?^ Phone: (a 12-g 15- 3 S 3 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public 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 work will be in accordance with the approved plan in the case of work which requires a review and approv tans. x T ip V ? m-V+Ck2V- x Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation zX Single Family _ Multi _ 01 of_Plex Accessory Building WORK TYPES _ New _ Addition Alteration Replace Valuation Plan Review (25%_ 100% T 1 Census Code T # of Units # of Buildings Type of Construction - Fireplace _ Porch (3-Season) _ Storm Damage - Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) - Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) Lower Level Pool Miscellaneous _ Interior Improvement _ Move Building Fire Repair Repair Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy MCES System Code Edition L2 7 SAC Units Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers 5 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 Meter Size: Sheetrock Final / C.O. Required Final / No C.O. Required HVAC _ Other: Pool: -Footings -Air/Gas Tests -Final _ Siding: -/Stucco Lath -Stone Lath -Brick Windows Retaining Wall Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL r Y?fL?ff? Pry` 90w P' rj yp,'Cfi ?'nav? ------------------ ? F_'or,Qflice Use ? I a s I Permit q: I I Permit Fee: ern ® s g I j Date ReceiveFE9 3 2009 I I Staff: ---------------- MECHANICAL PERMIT APPLICATION /L V??7wJ::?L?? ?•J?..t??'-? Date: SiteAddress: k,k[?/q??, f Tenant: 2u « C9- Z-6 ,ii Suite #: RESIDENT / OWNER Name: Phone: Address / City / Zi p : CONTRACTOR p ? , ^ Name: FLAKE HTG ?y NCJ-icense#: Address: 93 03 Plymouth Ave No e Golden Valley : N 5542Zte: Zi Ci li p , r ty: Phone.-1(,::5-542- td t..(7 Contact Person: f TYPE OF WORK Additional -Alteration _ Demolition -New Replacement DescnpUon afwork: NOTE., Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners ,forinformation.on permitted-screening methods.. ` RESIDENTIAL COMMERCIAL PERMIT TYPE New Construction Interior Improvement Furnace Install Piping Processed _ Air Conditioner Air Exchanger Gas - Exterior HVAC Unit ' - HVAC units must be screened _ Heat Pump _ Under / Above ground Tank (_ Install / Remove) Other. 1, At3`T6;ih` " When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Ins ector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge), $ ?C-SZ` TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ X1% $50.50 Minimum (includes State Surcharge) =$ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE I nereoy acirnowieage trial tnis iniormauon is complete ants accurate; mat me worn win ue in comormanee wim me omma„ces a,,o cUUU? o, „lr ?Ity V1 =aya,,, „,a, I understand this is not a permit, but only an application for a permit, and work is not to startwithout 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. n _n Po Applicant's Printed Name Applicant's Sit ature FOR OFFICE USE. - _ - ' Reviewed By: Date;., . -Required Inspections: under Ground Roughyln Air Test Gas, Service Test InfloorHeat - - Final City of Ea jan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651)675.5675 Fax: (651) 675-5694 I For Me Use y' 0 2009 I Permit#: SO 7 r I Permit Fee: I l Date Received: ?Q? __--770 I I I Staff: -- -- 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: oQ - r-1 -U c) Site Address: I CQ 4? Is h e t w Jo CL bj° 1 Tenant: Suite #: RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR J'n Name: 9eSS 1 a VN 1 1 n? Se f ? r c.¢Xicense #: (? S9 .$ / S - f1 yh AddressPU- 9 o "1, 3s T -I City: ':L4 4a >1 State/)`t. Zip: Phone: oS ) - to 8 ( - o D 5 4ontact Person: /r r rv 2 5S ?{a ,2 -C h TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild 1( modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL -Water Heater _ Water Softener -Lawn Irrigation 1 Add Plumbing Fixtures (_ RPZ / _ PVB) C Main _ Lower Level) _ Septic System _ Water Turnaround _ New Abandonment RE L4L FEES: $50.50 um Water Heater, Water Softener, or Water Heater gad Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment. Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $165.00 if a 518" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $SO State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharg TOTAL e) FEES $ S Q S U . h the rdinances and codes of the City of C I hereby adarowledge tlat this imonmatlon is complete and accurate; that the work win be in conlonnance wrt o Eagan; Out I understand this is not a permit, but only an application for a permit, and work its not to start without a permit; that /the work will be in of arts. .,of work which requires a review and approval accordance with the approved plan in the case x U f) r 1 C_ ? C ? 1^ / I Z- xXlok arft's Sigtmture Applicant's Printed Name FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In _Air Test _Gas Test -Final PERMIT # 4 9 5 I V` RECEIPT DATE: 2002 RnIDENTIAL PLUMBING PERMrr APPLICATION CITY OF i AGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: SITE ADDRESS OWNER NAME:: _ INSTALLER NAME: STREET ADD/REnS:I CITY: ?-?.,I 0CRM0TM ? APR 0 8 2002 TELEPHONE #: yoS?- 6L1 (A CODE) TELEPHONE #: 9sd __? ?«9 (AREA CODE) STATE: / V ZIP: 7 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: - Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 Abandonment of septic system. - Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118) Other: - RPZ: new installation/repair/rebuild $ 30.00 - lawn irrigation system Replacementladditional: _ water softener water heater $ 15.00 State Surcharge $ .50 ?Jr 5 Total $ I hereby acknowledge that I have read this application, state that the information is correct, and agrea'M comply with all applicable Ci" f Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no lia lily or any damages caused by h City during its normal operational and maintenance activities to the facilities constructed under this permit within City rop /' t-of-way/ sement. SIGNATUR OF PERMITT 1/02 single family dwellings, townhomes and condos when permits are required for backflow preventer for irrigation system f^'?I To Be Used CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PEM T APPLICATION 1 set of energy calculations. Valuation) 3.11 Date Site Address Lot Block Sec./Sub. oW c •! Parcel #: /d //i00/ /)3?D j- Owner: Address: City/Zip Code: Phone #- Contractor: Address: City/Zip Code: Phone #: Arch./trig.: _ Address: City/Zip Code: Phone #: +J?V V OFFICE USE ONLY Erect A Occupancy Alter Zoning Q/ repair Fire Zone ^ 1 Enlarge _ Type of Const. 7l Move # Stories Demolish Front ft. Grade - Depth 3G ft. APP%A/ALS ' 1 t4 - FEES 4 Assessments i Permit 7 Water/Sewer Surcharge 3 6 Police Plan Check F;7 Fire SAC ?- S?O Eng. Water Conn. 3 s--Qm Planner Water Meter Council Road Unit / gt5 s3a Bldg, Off. APC TOTAL /-1d,2 - s0 7? si 8 a -- jr I ~M j BEA BLOMOUIST MAYOR THOMASEGAN MARK PARRANTO JAMES A. SMITH THEODORE WACHTER COUNCIL MEMBERS April 27, 1981 TOLIEFSON BUILDERS ATTN: CARL TOLLEFSCN 13816 HOLYOKE IN APPLE VALLEY MN 55024 Dear Carl: i CITY OF EAGAN 3798 PILOT KNOB ROAD -y, EAGAN. MINNESOTA 35122 PHONE 454-0100 Please pay for all permits applied for where construction has started. THOMAS HEDGES CITY ADMINISTRATOR EUGENE VAN OVERBEKE CITY CLERK You will have until noon on April 30, 1981 to do so before we charge the double fee authorized by Section 304 dl and d2 of Ordinance 36. Sincerely, aeten Chief Building Official DP/jac THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY. TollefRon Builders Inc. Or.11123 183-65 F. C. JACKSON R[OIST[REO UNDER LAWS OF STATE OF MINNESOTA SGT e: -J? - Q,1 N.??s len? T LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS • ? L /OOH ooo,o.- ?.pirfr,? ??e? 8616 EAST 66TH STREET 55417 727-3484 iH e o0 Ij 1 ?I 0 • y ? IFY Y I H[R[BY CERTIFY THAT tarurbtpr'g Certificate IN ^?? I 'I / qu Ql.% Proposed I ar¢ge Floor- 99.5 F I- Z? - y 1 Proposed F}rot Floor- 100.0 Proposed B} ft went Floor- 91..) IY9 ? y ?}? p IC• 9 ?. IN t Bl.o ' - n• V . .? CO ABOVE IB A TRUE ANDf( 2 0' PLAT OF A SURVEY OF 473 (??1! {/opY As SURVEYED BY M[ THIS 9th. DAY March -- 1981 Lot 8,Block 1,Brittany 2nd. Addition, Dakota County,Minnesota. F. C./JACKSON. LAND SURVEYOR No. 36400 VVY W "37, Yt FM7-7-,?- Dena SQ. FT FCP RMFER Crli o?G1 .. .7 ? 1. .et. PT ? 5 ..'FT. OYalltGa' ,' ;. I.i:;S JPF.ttIMC c• _ ! A ..- ... ;i ce- ,o.??,?--- ?. .......--e.....va,..? . ..'',.,?.-....., ..,.......... .__.,. 3 ,_ - - .?M._ S _. _Ml TCTALS VALU1a 1C n dl 9_S >t, d a ?Py ? _ tI3 ust s.=._. 1 =S d' '- 7 ? I1 .t. D??0R3 n ?1,'t C n 1. t.<? . Z ??...?.,.. ?i ... - j??t` .. ?w?....,M-.._,._ 4 _?c......._....r.. uwR's . !.? 1 +? 1 ?C ? I J __ f vwe.sose+ - _a':- ..._ ?.._...._ ..u_ .ecn,+?we?.zx • ' CisILIP.G3 _ _ _ ..___?,___.??_ r...._,.. ...a.? _ ,. .Y..._ _.._ _.. ?.. 'J TOTAL, - . . __ . ._ __._ . _ . -- --- ?..I ?T,1TA1,?(ll? ?AI VALIIE AV6P.ACa "U"'. IIIVIDED BY 'f i T 11, 4A ?. .Z.A Y? L ^n_ i` ?r`x + -/r-r PCR .+VALL TJ'42 F•t .?, r„ r --,?.--?-ss ?. rwnec?}r++.K'grw .kr {? ?? WrTN Cc I- b r i,,?!^--?----•-•_.•__ .. Y lG, co,.,c C?j TI u 1, ll?. =Ifi-w,re{ GF-?nr rrn,at IIff ,l . + .??? .a.,? tl '?.ll:)'S'?eo.rt.. 131rc. w?3R.el q'3p:dk??G RAa 17 } Jr. Q/ S A a 1t 1r nr1IJ ! ' r l W -w?J \lPffA^ WnLt t+?/!P r rr, C'`J +i.? 1'..•,ZS?i-'I f`C l4 nt.• /y CsP I?[1G C.;. f _ r?/.L'LZ1I r.L77 ?7r?= )1?-_- t.,.?- ?. 1{1 /` M, S7 k( ? f,,TC. ..r ?i f? t I? ?S?; Ct 14G >,.rf L.4 R4G E 7 of t1 ! tSIS r ' I1._I.?I ?'? - ..-LT a 1 'r"'?--"-"--'-----•' ?? ?'?.?L...1 I ^_'?.._..i liS'.s i?? , Uo' Pc, F?.L? ?,_._.} ToTA \r'=/ A L t_ tU,7 ,1 IM ??.r {(,' .1.._I, •1; r Cr,tl N l1S,otE ri R W 1}j I T' ?• ?i!"`?i dl i? z?_ f4ISLL1 rn # ?? 1 _ ! J. 04? Wf?c-?W/iN ?tll."Tf p ?f f.-"nl! ?j rL)?Ou r:R It Ak)(., Ir.l -FROw,,T.OF NgtiS E F_:13?ltrl r {{!,r? ?.?_ r ?4,?.1 1 / 5...?n.?.3 t..?_ I (r ,? 1 . •-.I _._.-. - - 1 /? f? t ft -?-?.?. `R ?'? ' . P _ 1' . .? .? _. h /F i 1 1 Cn- A",, y1. f i t ?9 " ??. ? ? lN6/1!s r z. rY r. K: . ? G e 7 ,c.. G et ? / ,r i R. y < f t (. G2LWC. SP /A/SU Jra o !c kv4" T < ? • , ' ? S?LMvr ,• TZ Q? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1 I Ll 651-681.4675 CQ ?in((p^? New Construction Requirements RemodeVReoair Recwrema' nts ? 3 registered site surveys showing sq. ft. of io4 sq. ft of house and aft roofed areas (20% maximum lot coverage allowed) 4 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) ? 1 set of energy calculations ? 3 copies of tree preservation plan if lot platted after VIM DATE: -9q DESCRIPTION OF WORK: -?s ? 2 copies of plan ? 1 set of energy calculations for heated additions ? 1 site survey for exterior additions & decks CONSTRUCTION COST: 4 Z - ,`i' 6UG'c" STREET ADDRESS: I (z?/tS LOT: BLOCK: SUBD./P.I.D. #-.' 0 V1 ?. 'fu CC Phone#: ?IS?- ??f I Name: ` Gsso(? L2 PROPERTY ;sc Fmt OWNER Street Address: ?` S7 `J r Y?5 c ,xjC?C W Ct _ T City F-?Q f-4 State: _ ? 1 k) Zip: 5?7 0-0 /A121 Company. ?C/C Y l 4 12J A t ? l Phone #: ?L73 CONTRACTOR ` Street Address: 5Ca?.?\ c,Y G.1 G k) -_ License# /Ct Exp. :SLz60C) City s? Vl1G? f W State: Zip: ARCHITECT/ ENGINEER Street City Phone #: Registration State: Zip: Sewer & water licensed plumber (required for new construction onivl: Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is co ct, and 'gree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? " OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required l i11 -'mil OFFICE USE ONLY , BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex . ? 11 10-plex 16 Fireplace ? 21 Porch (3-sea.) 13 02 SF Dwelling ? 07 5-plex ? 12 12-plex 17 ? Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of _ plex ? 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) Basement sq. ft. Census Code 30 (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units C? Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee I ((, 2S Valuation: $ Surcharge U Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies c., k -C-Q co Total: 1 I k4 25 SAC Units % SAC Iders Inc. ` F. C. JACKSON LAND W WOMOR sc ? /e: / "=,3 D 1 0.0 d 1 NERD CEIITIFY THAT 1 i i Or. 11123 183-65 REGISTERED UNOM LAW@ OF STATE OF MINNMCTA S` r"1CAI LICENSED MY ORDINANCE OF CM OF MIMMEAFOLIS I 3616 EAST 66TH STR6ET55417 727-3484 --y= D?'di•H e ?AC11rPOC?g ICtCI(6talt n +? - / o' -? - Iry v ?.k N1. P4 F" Y I-Ih - ? 1 T wpb D?J e' IN `- n ABOVE le A TRUE 2 0' RAT OF A SURVEY OF 973 (air fIear I? I? ge,Floor- 99.5 t Floor- 100.0 dent Floor- 91.j Lot 8,Block L,Brittony 2nd. Addition, Dakota County,Minnesota. I ales, r 17, As sURvEYEO SY me TNm 9th, DAY o? !Etch , D 1981 F. C/JACKSON. +f. ... ..., .. .tea. .•,. .;.t ??? Proposed Proposed Proposed CITY USE ONLY 79y73- L 6 BL I d RECEIPT #: SUED. LLU? '?2 --- DATE: 7 1996 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 unit FIXTURES EACH TOTAL Shower 3.00 x = Water Closet 3.00 x = i3dih Tub .7.`JV 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 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 = Alterations ' to existing 20.00 = 00 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL AO-6-6 SITE OWNER NAME: 11rr.1 - INSTALLER NAME,- d-6 heuD an120- Tyd' STREET CITY: cser»ar?n? STATE: 8161 ZIP: So68 PHONE #: ((/A-) 7`.23-393D w OFFICE USE ONLY L _ BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for. . all commerciallindustrial buildings. ? multi-family buildings when separate permits are aW required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES - NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES _ 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 pettnit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: SIGNATURE: OFFICE USE ONLY METER SIZE: DATE: STATE: ZIP: APPLICANT INSPECTOR: l 1987 BUILDING PERMTT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS COMMERCIAL RENTAL UNITS FOR SALE UNITS E OF SURVEY - CHECK WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND .?ld- flRT Cx gyn. Ca YT = L/diJL VRe,rM¢J ? l?hfc•M. r Lhdill 1.$ J.n-f?rt?t tJ17 To Be Used For: becK Valuation: ?.Z4x O Date: S hJ Nj Sher-wao4 Site Address lJ"- OFFICE USE ONLY Lot Q Block ••?J; Parcel/Sub VO "" a Owner IZI IC E Pe i CkSo vJ Address XA SHERWOO3 UJAY City/Zip Code Eftr n/ r Ati SS/? Wgl -(o 36y WO CSC Phone y5a avy Hoc Contractor be?tr ou tim Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # On Site Sewage_ Occupancy MWCC System Zoning On Site Well Type of Const City Water (Actual) (Allowable) 0 of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES - Assessments Permit Water/Sewer Surcharge ?.$O Police Plan Review Fire SAC, City Engr SAC, MWCC Planner Water Conn Council Water Meter Bldg Off Road Unit APC Treatment P1 Variance Parks Copies TOTAL :1 Plan View soft 20 ft ®- posft Decking - 2 X 6 (Alternative - 514 X 6 rounded edge) Front Elevation View 2 X 6 RaWng 1 4X4 Railing 2 X 6 DeddrX 2 X 10 Joists 2-2X12ei 4. 6Inch spacing 8R i 20R 10R i-4R- Left Side Elevation 4X4 a? o? 0 Footings 2ft Beam 2-2X12 2-2X10 Post 4X6 Right Side Elevation 8ft 4ft - ---I-- %% g11 ::%' 42 inch 1 0 c N CD CO CL (D 9 feet + 4 foot platform 6 inch between 2 X 2 O 0 c N (D (D" 1 PERMIT Control No. 1387 CI?`? OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 00 19 0 5 (612) 681-4675 Date Issued: 12 / 14 / 9 2 SITE ADDRESS: 1648 SHERWOOD WAY LOT. 0008 BLOCK: 0001 BRITTANY 2ND 10-15001-080-01. DESCRIPTION: INCL 2 BAY WINDOWS ?'Bv. i I d i n y Permit Type SF ADDITION Building",Work Type NEW UBC Occupancy R-3 r ?J REMARKS: RECEIPT # C O 2 2. O Z 3 FEE SUMMARY: VALUATION $22,000 Base Fee $225.00 Plan Review $146.25 Surcharge $11.00 Lic. Search Fee 00 Total Fee $387.25 CONTRACTOR: - Applicant - ST. LIcOWNER: POWERS CONST CO INC 16410111 0001939 PETERSON BRUCE 2473 W 7TH ST 1648 SHERWOOD WAY ST PAUL. NN 55116 EAGAN MN (612) 641-011.1. (612)4521-2741. I hereby acknowledge that I have read this application and state that the informatio is correct and agree to comply with all applicable State of Mn. Statutes d C"ty Eagan Ordinances. L - stn Rv;? zI?? APPLICANT/PERMI E SIGNATURE ISSUED Y: S GNATURE '\ INSPECTION RECORD Control No. 1387 CITY OF EAGAN PERMIT TYPE: B U I L. D.1 N G 3830 Pilot Knob Road Permit Number: 0 019 05 Eagan, Minnesota 55123 Date Issued: 12114192 (612) 681-4675 SITE ADDRESS: -PPLICANT: LOT: 0008 BLOCK: 0001 1648 SHERW OOD WAY POWERS CONST CO INC BRITTANY 2190 (612) 641-0111 PERMIT SUBTYPE: SF ADDITION REMARKS: RECEIP1 4k TYPE OF WORK: NEW DESCRIPTION I:NCL 2 BAY W:IN00W PERMIT # REACTIVATE - 14 a.1 CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 6814675 $34 ri. t? SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, 1 copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot than a is requested once permit is issued. Date /-- / -a- / -7 z- Valuation of work a vso, ab Site Address: 16 Z/l r S, .?r? Gva STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD. q I P.I.D. N Description of work: 16c(Wc nom. a.e?P? Ga.ao? Hers w?n?ws ?w ?3aci< Jdes The applicant is: ? Owner ? Contractor ? Other (Describe) Name 1n(ce Phone ys?:a7Y/ Property LAST FIRST Owner Address 51_f S?P?w?? Goay STREET STE # City 2??.? oh State Zip Company awes ?Gnrv r __L__? ? Phone 6Y/--0I I/ Contractor Address License # /95 Exp. x `-e City Sr luau < State M ti Zip .S3-7/k Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read t is application and state that the information is d t l h correc an agree to comp y wit all a licable St of Minnesota Statutes and City of 2? Eagan Ordinances. X 2 Signature of Applicant: 1P OFFICE USE ONLY BUILDING PERMIT TYPE r = w W Wu y ? Y ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ??16 Basement Finish ? 02 K SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool 03 P SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish A32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy R -'3 2nd Fl. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage C Cq? APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS 2ND STc*Y noc.moa4 avEU 6Q,1.44,6. IOL441 2 ISA y wi-veews A"T r2EA YL ? Site ? Footing JW Framing ;ff Insulation ? Wallboard Final ? Draintile ? Fireplace Permit Fee ZZS160 vaimtim: S r?2? OC?u Surcharge Plan Review 1NS.a5 License 15. ()n MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % O SAC Units --o- CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: ?(tice }'ter«so?u SITE ADDRESS: ?6 c(Fl SI ( ?r uavr CeJe CONTRACTOR: f C1W 5 Loan S r DATE: 1} -/ a -7 z PHONE: / rJ7 L Determine working square footage of each: 1. Total exposed wall area .. J1G sq. ft. x .11 = '7C- 2. Total roof/ce iling area ... sq. ft. x .026 Z O = Lf Total exposed wall area above floor = `/14 a. Total wall window area 53 Jr b. Total door area .................................. O c. Total sliding glass area .......................... d. Total fireplace wall area ......................... e. Total wall framing area (average 10%) ............. y/.6 f. Total net wall area above floor ................... 37 y.Ll g. Total rim joist area .............................. Y91-T- Total exposed foundation area = _0-- h. Total foundation window area ....................... i. Total net foundation area above grade .............. -- Determine 'U' value of each wall segment: a. tgpW 53?? x b. x c, x d. x e. t/1, x f. x g. x h. 3-2N. x i. niz x gut Yr aagg 19, 'u' 'u' - ' u' gut ' U' ' U' 'u' hvG = 17.E 'U' ,ot 3 . .................................................... Total = ` `1?.a- If item 03 is the same as or less than item 01, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = ,3z'/ J. Total skylight area ............................... k. Total roof/ceiling framing area (average 10%) ..... 3-- 1. Total net insulated roof/ceiling area .............. OVER 1. . Determine 'U' value for each roof/ceiling segment: J• x 'u' - k. 31 ( X Sul ()y - x Sul .02 4 . ...................................................... Total c 1 c? If total of 04 is the same as or less than 02, you have met the intent of SBC 6006(01. O Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items 03 and 04 shall not be greater than the sum of Items 01 and 02. 1. + 2. 3. + 4. - 2 SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U = 0.025 Average 2. Exterior walls & rim joists - R-20 U = 0.11 Average 3. Floors over unheated spaces - R-20 U = 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. ENERGY CODE DESIGN BY ACCEPTABLE PRACTICE To Determine Ompliance with the Minnesota Energy Code (Section 602 of the State Amended 1983 Model Energy Code) This form is only applicable to detached one-and two-family dwellings. The requirements herein are based on Table No. 6-11 in lieu of the criteria specified in Sections 602.2.1, .2 and .3. Building Address 11 `IT 14e-Tcuooc.P Leta v Contractor or Owner f c)u-? P rg (70 S r ?u Building Element Ceilings Walls (exterior) Floors (over unheated spaces) *Windows (in bldgs w/o sliding glass door) *Windows (in bldgs with a sliding glass door) Foundation Walls Slab-on-grade floors **Doors (1-3/4" metal faced) "R" Values Design qG Req'd 38 Design z o Req' d 20 Design Req'd 20 Area (sq ft) 3;k / ?F Sx "/. F (w/o fdn) % of Ext. Walls MAX. ?3 ?6o n YS''1sk Design Req-Ld 12 (glass) MAX Design l 10 (glass) Design Req'd 5 (when insulating full depth of foundation wall) Design Req'd 10 (when insulating only to frost depth and footings extend below) Design Req'd (See Figure No. 3) Design Req'd 3 * All windows shall be double glazed or have storm windows ** Conventional doors other than metal require a storm door I hereby certify that I have completed the above information and that it complies with the Minnesota State Energv/Code. Signature Date L BCSD 3-89 OC/W6593 :a;:',t;'x);;i.'K?)'r;9r.M%F:?dXi9nYr.)kX'„{is?Y::KX<?'?>KX:mX?i?X.:Xtr;;)};,eY,;X::?Y,t>Xi? CITY OF EAGAN }:ASHIh:fa 7S TEnM:f.NM... NO: 68 DATE: 08/11/ 97 TIME.,; 00804. 4 D ,, A*SE:: TEiti.:a: Fir"t.!r) 's'U1:L.rIfRS MO 9001 M40 SHERWOOD W 50.00 21°;5 9001 :!.fr,48 c"L•IERWOOD M 0,50 3430 9001 x643 SH RWOOD W 5.00 Total Receipt Amount., 55Z9 USER 0: .JAN! CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: BUILDING Permit Number: 0 3 0 5 8 2 Date Issued: 08/11/97 SITE ADDRESS: 1648 SHERWOOD WAY LOT: 8 BLOCK: 1 BRITTANY 2ND P.I.N.: 10-15001-080-01 DESCRIPTION: Building-fie ibu .lding Wo Census Cod-e f (t t« (NO BEDROOMS) rmit Type BASEMENT FINISH r-k Type ALTERATION 434 ALT. RESIDENTIAL a? - REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY. Base Fee $50.00 Surcharge $.50 Lic. Search Fee $5.00 Total Fee $55.50 CONTRACTOR: - Applicant - ST. LIC OWNER: TERRI-RAND BUILDERS 14234535 0006249 PETERSON BRUCE 15653 CORNELL CT N 1648 SHERWOOD WAY ROSEMOUNT MN 55068 EAGAN MN (612) 423-4535 I hereby acknowledge that I have read this application and state that the information is correct and agree to°comply with alt applicable State 'of'Mn.. Statu.t and City of Eagan Ordinances.. ?1cu,o Roar m P I ANT/PERMITEE SIGNATURE ISSUED B SIGNATURE 300,,Z 97 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 ? 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 711/93 required: _Yes _ No DATE: SS tJ _cr ?) DESCRIPTION OF WORK: STREET ADDRESS: !t^" / --p r vc r LOT_ BLOCK SUBD./P.I.D. #: i` e' f? 1 CA ib COST: /? 0 C G aG PROPERTY OWNER CONTRACTOR Name: ?(u C? pF V SG A Phone #: Street City: L G ?C' Y-\ State: l `(h h) Zip: Company: ?E C V- -k - ? C'r",-\ J?c? lcl? t'.S Phone #:. Street Address: ISC?,S? Ce,r f\-Q`1d License #: L249 City: State: Zip: Ss-c2 ARCHITECT/ Company: ENGINEER Phone #: Name: Registration #: Street Address: City: Sewer & water licerned plumber (new construction only): and lot change are requested once permit is issued. Penalty applies when address change I hereby acknowledge that I have read this application and state that the information is rrec and a e to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEIVED Certificates of Survey Received Yes No AUG 0 4 1997 Tree Preservation Plan Received Yes No Not Required Li RemodeVReoair Reouiremerds e 2 Copies of plan e 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions State: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging X 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 0 31 New X 33 Alterations ? 36 Move ? 32 Addition ? 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 Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance O % SAC SAC Units RESIDENTIAL BUILDING 3 aJc1 •d Permit Application n l? City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoaif Requirements Office Use Oniv 3 registered site surveys showing sq. ft of lot sq. it of house; and all roofed areas 2 copies of plan _ Cart of Survey Reed (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions _ Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date 7 G / ' Construction Cost d Site Address /6 y? f?rr °' w°y Unit/Ste If Description of Work J `? >y Fireplace(s) _ Multi-Family Bldg _ Y ?f N 0 _ 1 _ 2 ? Property Owner ?i vcL O r fr ?r?? Telephone # ( 6i rl 7j ?°? Contractor Address /Ivf City State Zip Telephone If /670 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Tfephone #( I hereby apply for a Residential Building Permit and acknowledge that_t`h'e information is co lete and accurate; that the work will be in conformance with the ordinances and codes WdwCry--of-Eag d 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. c a %? ? ?? ?cc/Jr?. Applicant'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 ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 EM. Alt - SF ? 36 Multi Misc. ? 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) - 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 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 Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector ?G 32 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION his SU CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 12 1 ? Site Street Address Unit # Property Owner Z: e Telephone # Contractor Address /JDSf city , ?n?QA Telephone # 1i!//GLP State/Mt) Zip?? The Applicant is: - Owner x Contractor -Other Alterations to existing dwelling -Add fixtures to rooms, excluding water softener and water heater Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required) Other: rr, f y? $ 50.00 X Water Softener _ Water Heater replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge $ .50 Total $ ISM 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. (?R a/V PvF,? Applicant's Printed Name ' A plicant's Sig tar City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1648 Sherwood Way Lot: 8 Block: 1 Addition: Brittany 02nd PID:10- 15001- 080 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Seta Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823 -8046 Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: 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. BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Owner: $88.50 $1.50 Total: $90.00 Brace R Peterson 1648 Sherwood Way Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801.4085 9001.2195 Issued By: Signature Building EA089317 05/22/2009 ePermit I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State öëö ù ÿ þýý ûüüûü úýýüî ùúëñø ú þýö þýüûúùîý Ý ò ûúùöø ùîý Ý ò Þý ù ô ïý ô ëýü ã ÿþ ù ÿáäß ý ã ôîáõùô ßæêê õú þý ë îèæêäêä ôïóï öòñ ùù ó Ý ò ýõ ë ìêþàþë øú ãöñä ãö áäßñ ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA138834 Date Issued:09/22/2016 Permit Category:ePermit Site Address: 1648 Sherwood Way Lot:8 Block: 1 Addition: Brittany 2nd PID:10-15001-01-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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 (WS &/or WH)$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 - Bruce R Peterson 1648 Sherwood Way Eagan MN 55122 (651) 272-9256 Warner Stellian Co Inc 550 Atwater Circle St Paul MN 55103 (651) 222-0011 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use 41,11 :::::eeCity of Eaal �' : � c .C}J� �•-/��( 1 3830 Pilot Knob Road Eagan MN 55122 Date Received: 3.'25.-4. I/ Phone: (651)675-5675 buildinuinspectionsacityofeagan.com Staff: nC� V J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 8/24/17 Site Address: 1648 Sherwood Way Unit#: Name: Bruce & Laurie Peterson Phone: ()')I'"27 ?2cCP Reek:leaf 1648 Sherwood Way owner Address/City/Zip: Applicar}t is: Owner X Contractor Type of Werk Description of work: ,7-r-t" T e/c ��l far* f �`'tj�' C% / E`sr r. / 'e, /�CG pi O"f�C� ✓� c �s ®�csc �/ �/c.�t'/C v J� e•rvi✓ t .f/®.sf x Construction Cost: i y; 3Multi-Family Building: (Yes /No ) Company: James Barton Design Build Contact: James Madsen Contractor Address: 5920 148th Street W #100 city. Apple Valley State: MN Zip: 55124 Phone: 952-431-1670 Email: JAMES@JBDB.BIZ License#: bc191023 Lead Certificate#: nat-20671-2 If the project is exempt from lead certification, please explain why: ,,�� r?7,p 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. information may be classified as non-public if ^*c � y P provide specific rents that taroaldperr� c� � ositiowi are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeacian.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x _ " r.J- x Applicant's Printed Name Applicant's Signature Page 1 of 3 " /1 `t r 1WCDRITE BELOW THIS LINE fil/ l5c/e- -- SUB TYPES Foundation Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) XSingle 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 X Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION {) .� `` /� Valuation �/ Occupancy Ale.-�/ MCES System Plan Review Code Edition 1�p"0 6 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 (6 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) ___AFinal/No C.O. Required Foundation Foundation Before Backfill 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 f St.ne Lat _Brick_EFIS Insulation X[ ,1 Windows-' pfi j6 00 0 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 l6/114) Base Fee )\ � � �-✓� Surcharge ((wrid, (�Plan Review ; I (WiviMCES SAC f " City SAC ' 1 Utility Connection Charge S&W Permit&Surcharge ,/ a 0 12 Treatment Plant t Copies q...6LC: 0,-.. TOTAL 0° Page 2 of 3 67 IOC" r For Office Use • • , /lvlo� l� • • , E AG A ,gam Permit#: / 6)r •••• '••' Permit Fee: PO 06 I �• MAY 2 2020 ( Date Received: 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a�cityofeagan.com a 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: Bruce Peterson Phone: 651 272-9256 Resident/ 1648 Sherwood Way Owner Address/City/Zip: Applicant is: 1 Owner Contractor Type of Work Description of work: Replace Decking and Rail System on existing deck Construction Cost: —$12K Multi-Family Building: (Yes /No ✓ ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: 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 may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start wit ut a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv f plans. x Bruce R Peterson x Applicant's Printed Name Applicant's Signature 90 NOT WRITE BELOW THIS LINE /(p`-1 3 ,t 000 /h /66S SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) Multi /X Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level — Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation tkc, ?Ie., Occupancy TL - / MCES System Plan Review X Code Edition 2c.r00//J C SAC Units (25%_ 100%/C) Zoning 12I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction VWidth REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) X Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool: Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower PanOther: /r Reviewed By: , Building Inspector RESIDENTIAL FEES �, Base Fee vu /4 L Surcharge /� `�^e�G? = # s 9 70,00 Plan Review �� T / J' MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA169347 Date Issued:05/24/2021 Permit Category:ePermit Site Address: 1648 Sherwood Way Lot:8 Block: 1 Addition: Brittany 2nd PID:10-15001-01-080 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Bruce R & Laurie Peterson 1648 Sherwood Way Saint Paul MN 55122--271 (651) 272-9256 R & R Remodeling Inc 8609 Lyndale Ave S #207 Bloomington MN 55420 (952) 210-4988 Applicant/Permitee: Signature Issued By: Signature