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1660 Sherwood Way For office Use pity of Eaaali j Permit I P errnit lEms. 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (631) 675-5675 @@ I Fax: (651) 675-5694 ©U • 5 C'L ~ scarf: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION gyp- Date: : 14ta to 15VW atA J !A Cw c~.rt M. SSIA . o Site Address: Tenant: OcWt-t? •L -5-11t Suite#: RESIDENT! OWNER Name: R ddne .1 - Ted Care. Phone: (051- 4O fa' q !53a 5 t.,.1lo(. !'tomIrWOOd C!. a 51oc Address / City ! Zip: ~ rf Applicant is: Owner Contractor TYPE OF WORK Descriptio o wo Da-"1 re 0[ J , t- E'_ t - Wryt~Ot~ inSWIa4C W ex;* L:c Construction Cost: 16, 0 00 Multi-Family Building: (Yes / No CONTRACTOR Name: T- M our "11ta-t 4 9e4n40d e(er5_ License -oc 0 O `7 ' 04 4 Address: Po. 160 3% City:... SOMC CS C, State: LO, T_ Zip: 57 '1O A Phone: twist- '14 yl cw Contact Person: PQ., max + f Yl COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted {tf 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 they 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 approval of plans. X bd"j ~arih D_'J' Applicants Printed Name Applicant's S attire Page 1 of 3 AUG 2 0 2009 Z'd 680 LZ-L99 lepowe~j sleplin8 aeW-r d90410 60 OZ 6nV DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex D Accessory Building ? Pool Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex D Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building* ? Addition ? Move Building ? Reroof ? Demolish Interior Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation 0_0 _0 0 Occupancy MCESSystem Plan Review Code Edition SAC Units (25%0 100°/ Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:_R.I. _AirTest -Final Windows Insulation Retaining Wall Reviewed By:~ , Building Inspector RESIDENTIAL FEES: Base Fee V ~AOaw Surcharge r-t1J1rt Plan Review 17 00 MC/ES SAC City SAC Doly Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 F CIT V OF L;r?GAN 3830 Pilot Knob Road P: O. Box 21199 Eagan, MN 55121 Zoning: Owner: r) t ?+ Tess: e Address: Plumber: Meter No.: 2q 9 a Size: -1: ?/q , , Re-c.4.. WATER SERViC9 PERMff PERMIT NO.: DATE: - No. of Units: 500, 00 D..2 der' No.. 6 Y L Q d./ -,64 ernid ee: some to " aplp With the city of Eaves Surcharge: , irreeass, Misc. Charges: 112-00 By h i r1n •t l m ?n 0 4? Total: Date Paid: Date of Insp.: S 5 Insp.: CITY OF EAGAN SEWER 3830 Pilot Knob Road SERVICE PERMIT P. O. Box 21199 PERMIT NO.: 7339 Eagan, MN 55121 DATE. 5-6-85 Zoning: R1 Toliefaon Bldrs Owner: 1 No. of Units: f Address: Site Addy Plumber: 1 qne to aeerpiy whh the Cilp of Fagan ordaeeeees. BY Date of Insp.: Connection Charge: 425.00 pd Account Deposit; Permit Fee: Surcharge: Misc. Charges: Total: Dore Paid: Site Add" _ Lot Parcel No. Name Addre Name AU Address F City Phons Name Address City Phone 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. swx*un of Perini tes A Building Permit is issued to: !? iJ all work shall be dore in accordance with all applicable Stab of Mir Building Official Erect Q Occupancy •:3 Remodel ? Zoning 1 Repair ? Type of Const. Enlarge ? No. Stories Move ? Length Demolish ? Depth 6 c Grade ? Sq. Ft. Appewels Assessment Water & Sew. Police Fin Eng. Planner Council Bldg. Off. 4./ APC Var. Date Permit 143.00 Surcharge ry0 Plan Review j o SAC 0 Water Conn. • V 0 Water Meter 0 Rood Unit ' i Total on the express condition that Statutes and City of Eagan Ordinances. CITY OF EAGAN 4 0 0 5 7 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Recelpt # Permit No. Permk Holder Dab Tsle hone if Plumbing d 3 H.VA.C. 3 /Cl -0 - Electric S 12 ?// L Y Softener Inspection Date Insp. Other Footings Foundation Framing Roofing Rough Plbg. Rough HVAC ZZ Insulation Final Pibg. Final HVAC Final ?Ulgl ASA r?c Cert/Ooc. Water Dowibe Location: Yllell IJ. - ' - Q jL(I?C.F.?.?r Sewer Pr. Disp. CITY OF EAGAN Remarks Addition grittany 2nd Addition Lot 5 BIk 1 Parcel #10 15001 050 01 Owner ` street 1660 Sherwood Way State Eagan, MN 55122 ?', J 1 it l 'Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. (06 1982 2013.03 402.61 5 Dy?, la3 O l S9 5 3 -13 45 STREET RESTOR. GRADING 1982 596.22 119.24 5 / -?4 01.5953 -13- S SAN SEW TRUNK 0 1976 143.11 9.54 15 7/ o I5 q 53 8-13 -85 * SEWER LATERAL 1982 8 0.10 766, 02 5 `7 . Oat o l-5953 2-13-2-5 WATERMAIN * WATER LATERAL 1982 5 WATER AREA 1982 296.92 59.38 5 S , yo 016'953 -13-85 * Services 1982 5 - STORM SEW TRK (p(? 1982 628.22 125.64 5 /a?$, 6,47 A015953 -13 45 * STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT Road linif 280.00 50784 WATER CONN. 500.00 BUILDING PER. 10067 SAC 5,1500 PARK "AN CITY OF EAGAN N? 10 0 6 7 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 () BUILDING PERMIT Receipt # *_ v , s.. SF DWG/GAR cN vah.. $104,000 Dar,. APRIL 11 Iq 85 Site Add?an 1660 SHERWOOD WAY Lot S Block Sec/sub. BRITTANY 2ND Parcel No. W INeme TOLLEFSON BLDRS Address 1655 NORWOOD DR City EAGAN Phone 454-6873 ; Name SAME ZZ u? Address City Phone W ?W Name x Address ts u t,=„ City Phone I hereby acknowledge that I ho read this application and state that the information Is correct ongree to comply with all applicable State of Minnesota Statutes City of Eagan Wiroinces. Signature of Permittae A Building Permit is issued . TOLL all work shall be done in accordance with all Building Official Erect ? Occupancy R3 Remodel ? Zoning R 1 Repair ? Type of Coast. u Enlarge ? No. Stories Move ? Length 44 Demolish ? Depth 62 Grade ? Sq. Ft. Install Approvals Fees Assessment Water 8 Sew. Police Fire Eng. Planner Council Bldg. off. 4/9/85 APC Var. Date Permit -'? 443.00 Surcharge 52.00 Plan Review 221.50 SAC525. 0 Water Conn. 500- Y 0 Water Meter _3D 0 Road Unit 280 00 T.P. 132.00 0 Total $2,216-5 tsLUtCJ on the express condition that State of in to Statutes and City of Eagan Ordinances. S 5$? 3 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 New Construction Reauirementg • 3 registered site surveys shoeing sq. ft. of lot, sq. R of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam it window sizes; poured found design, etc.) • 1 set of Energy calculations • 3 copies of Tree Preservation Plan d lot platted after 711193 Rim Joist Detail options selection sheet (bldgs with 3 or less units) DATE in I (CIO`) SITE ADDRESS t (A C,C? ?? rwoc?c? ?c, ct MULTI-FAMILY BLDG _Y /AN TYPE OF APPLICANT STREET ADDRESS " a)' _L5 4A'ZIP ; Lu TELEPHONE# cDca-sa 33S?CELLPHONE# eo(a--)o(--((S7 FAX# E?(a-???-tgoa PROPERTYOWNER t ? c'n-b`!2?! TELEPHONE# c c(- /o(0 9c COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (4 submission type) • Residential ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor. _ Mechanical system includes: Sewer/Water Contractor: FIREPLACE(S) _ 0 _ 1 _ 2 Phone # Fee: $90.00 ? IlIl2!I I!l OCT G 1 ?nm Fee: $ I hereby acknowledge that I have read this application, state that the info mation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan ces Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Water Softener Water Heater _ No. of Baths Air Conditioning Heat Recovery System VALUATION (? '<?c:)o RemodelfReoair Requirements • 2 copies of plan • i set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for add'Non$ Phone # Lawn Sprinkler No. of R.I. Batt OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr, of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final[/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final Air/Gas Tests Pool _ Ftgs _ Final _ Framing _ _ Siding _ Stucco _ Stone _ Fireplace - R.I. _ Air Test - _ Final Windows (new/replacement) _ Insulation _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF 3830 PILOT KNOB RDN 55122 E ~ 3 ' 651-681-4675 C' Reouiremenh ? 2 coples of plan OV U n DATE: D CONSTRUCTION COST: DESCRIPTION OF WORK: De r" k E0014 n A S If multi-family bldg., how many units? INDICATE THE FOLLOWING EQUIPMENT TO BE REPLACED AND BY WHOM: Plumbing Homeowner gl Contractor Name Mechanical _ Homeowner or Contractor Name "Note: If somebody other than the homeowner is performing plumbing or mechanical work, they must apply for appropriate permit, Only licensed plumbing contractor or homeowner may complete plumbing work. STREET ADDRESS: 1 In C? S k f2 W O o' Q Lo 0- LOT: S- BLOCK: I SUBD./P.I.D. #: Name: c a ?-. q 6A U !j Phone #: 5 3 -2) Lost First PROPERTY OWNER CONTRACTOR Street city ,tr S? a Vl State: f" i Zip: s- J oZ Company: Se- I Sheet City State: Zip: SEP 15 2000 I hereby acknowledge that I have read this application, state that the information is correct, and of Minnesota Statutes and City of Eagan Ordinances. state Signature of Applicant: Az? Phone #: (area code) License # Exp. - - (o (00 _ S?\ eccod -- ® J? inc 1z, _ EAGM ED By DATE -BUILDING INSPECTIONS DEPT. 11 1 _Y Lt 1 ,y - 3TAQ t 1 .., 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN t` INCLUDE 2 SETS OF PLANS CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: 6j(.-' E-FAMIL%/ Valuation: 104,000, ? Date: Site Address: IL-"(00 ??HFFeW?DI? WK}1? f? OFFICE USE ONLY Lot: Block Sect/Sub ItTWt V ect X Occupancy -3 Remodel Zoning R-I Parcel b Repair. Type of Const Enlarge N of Stories Owner Se& R,FLOtA/ Move Length _ Demolish Depth 2 Address Grade Sq Ft City/Zip Code Contractor (p t 9Fj-=0 1 1:5 11L.1 O,S APPROVALS Address I(c6S Njn2WODD 22. Assessments _ Permit 443 Water/Sewer Surcharge 5 2.!' City/Zip Code E_7}y:,A? Police Plan Review ZZI. Fire SAC 525.°' Phone S ?F54-bR7? Engr Water Conn Fa;- ce Planner Water Meter 4D,5 Arch./Engr Council Road Unit Bldg Off $:!k:?Av Parks Address APC Treatment Pl 132 Phone # Variance a"a/?r50 TOTAL S.. a. w IL LL rLc 4 ` 32-53 z ? ' 3540 (?-" 3 3-6 77 Z2?(r>? 541'Z- (03 [60 .TDllefson Builders Inc. Or.11599 183-64 JACKSON - SURVEYORS Scale: 1" 30' REGISTERED UNDER LAWS OF STATE OF MINNESOTA s Denotes Iron Drainage -Existing Elev. 3615 EAST 55th STREET, MINNEAPOLIS, MN 55417 7273484 Drainage & Utility Easement gaurbepoc'? fCcCttticatt Proposed Garage Floor Elel 71t?- ?I j i J ?/? VI N -515- t_ 1? ?r v Y ") o• ZI 1 HEREBY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT PLAT OF A SURVEY OF Lot 5,Block 1,Brittany 2nd. Addition, Dakota County,Minnesota. 21st. March 1985 AS SURVEYED BY M[ THIS---DAY Or-A.D. 0 0 F. C. JACKSON. MINNESOTJC [GIST"TIoN, No. 3600 CITY OF l4A1 BUILDING DEPARTMENT XXTERIOR ENVELOPE AVERAGE 'lull COMPUTATION (To be submitted with building permit application) One or Two Family Dwelling All Other Contractor 77 ILEF' ON gf11C l? fZS Owner T W FSn N a/f -I7F lZ , Site Address UY46 Seiej d=c> wig Date 411-6 Phone 469-LALLI LINEAL FEET OF EXPOSED FULL _? 1A7OP?2? fto above grade TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE W11,L CONSTRUCTION: "U" Value x Area Detail F:W _AM); nU" •043 x SQ. 37- FT. 1G,29-Ae• P .q (, (U) (A) reference r'n Ne, nun x SQ. FT. F35.76- S• 4U (U) (A) from rZI M "U" .040 x SQ. FT. IR7"= 7•S Q (U)( A) attached nun x SQ. FT. -= (U)($) sheets null x- SQ. FT. - - (U)(A) "U" x SQ. FTe = (U)(A) WINDOWS: null Value x Area Make & Type ;E412Y..LtW7- "U" 4¢, x SQ. FT.44&0= (U)(A) II to nu" x SQ. FT. _ (U)(A) to It nun x SQ. FT. _ (U)(A) n to nun x. SQ. FT. _ (U)(A) DOORS: "U" Value x Area Make & Type ST/ -r N-4; nun ..1zk x SQ. rr a 903170 "u" .4-7 x SQ, of n -null- x SQ. is to "Un x SQ. TOTALS 1;0Rp.a?SQ. AVERAGE nU" TOTAL (U)(A) VALUES 07 DIVIDED BY TOTAL WALL AREAa®'°?a AVERAGE "U" 1 r less for 1&2 family dwellings ROOF/CEILING: FT•-4q=(U)(A) FT. (U) (A) FT. - (U)(A) Y•T. !LL?•1? / _(U) (A) TOTAL AREA: PAD !? Detail reference "Un n? x Sq. FT. 840 =?(U)(A) from n " U x SQ. - FT. (U)(A) attached sheets. nu" x SQ. FTe m (U) (A) Describe openings nu" x SQ. FT. _ (U)(A) in roof. nun x SQ. FT. _ (U)(A) TOTAL (U) (A) VALUES' DIVIDED BY ! TF 4 a -rmALl?p ' Nf 1-764- `V` ?) TOTAL ROOF/CEILING AREA 610 .0--2-.l AVERAGE "U" .025 for ventilated roofs. I: i ,; C6 EKFt76-ED WAU- X -t 2-0) I', g-83 x + 3g 30 + 3g) _1103. Zz a38D.a??E CONC eiM So?sr WINDOWS ao x 36 = 5.00 X ao x 70 = 0-? x I _ ?4x4B = 8.o X ZB s-r? sl; R- = nc) x z = 21•oU 10.00 8•b 10.0 •44-.60 * Ner e x pys ED wAtl, E&-UAL -S S2?S WA-L.'- Z, 3sJ • ZZ ?? Cot`lC. ffi-7? 211 1 187. GB w,Nmjjs 44•L0 -450.94 woes 133G?D l 9a?cl. -)?- CITY USE ONLY LOT BL q RECEIPT #: C? b SUBD. RECEIPT DATE:' 1p? T' MECHANICAL PERMIT #y? 1999 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN r 1 p 3$30 PILOT KNOB RD ""l O EAGAN KN 55122 5- -LA (651)6$1-4675 Date: Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea.) State Surcharge Total $ 30.00 6.00 .?u Complete this section only if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _ Alteration Repair _X Other Reminder: Call 681-4675 for inspections. X Furnace Air exchanger - Air conditioning OtherA>r- C\.10c-,t,. $ 30.00 State Surcharge 50 Minimum Total Due SITE or (71X1 W?1 OWNER NAME: K (JCY C PHONE #: ? y Y pp,? \ \\ t? (AREA CODE) INSTALLER NAME: F l j ?? n l 0.11`C 11a £ t + 1 C- PHONE #: (-p 1 c? LI -CXJOS- STREET ADDRESS: (AREA CODE) CITY: A ()lr STATE: Q>'? ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY L BL SUBD. APPROVED BY: I RECEIPT #: RECEIPT DATE: MECHANICAL PERMIT #: 1999 MECHANICAL PERMIT (COMMERCIAL) CITY Of EAGAN 3830 PILOT KNOB RD EAGAN, MN 55182 (651)6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 10/a of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x I% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: CITY: ZIP: ($.50 per $1,000 of permit fee due on all permits.) PHONE #: (AREA CODE) INSPECTOR PHONE#: - (AREA CODE) STATE: SIGNATURE OF PERMITTEE 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) J CITY OF EAGAN c 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reaulremenh 3 registered site surveys showing sq. R. of lot, sq. ff. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) '1 set of energy calculations for heated additions 2 copies of plans (show beam 3 window sizes: poured Ind. design; etc.) . 1 site survey for e0edor additions a decks a 1 set of energy calculations > 3 copiess? of tree preservation plan N lot platted after 7/1/93 DATE: (o- Z - 4 q CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: I (o0 Woor? Wf4 7 1 V? V" Ty Z BLOCK T SUBD /P I D #: : : LO . . . . Name: Ag-rz y l?ODI/?7 Phone#: 40 to- c( ? PROPERTY last r OWNER Street Address. iu u O /Lwoo r7 w R 1 city E At A.. State: r1i Zip: '55(2? Company: W t ,SNIZ1`1 C)K2 &VfLj Phone #: G12- Sy 1'y3a?? (area code) CONTRACTOR 7? t 1 f 1 .? Rgs Street Address• License # ZO1 ? 55Wb Exp 06 city ` Stare: W1c-) Zip: -SS- (Li ( ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street Address: Registration #: city Sewer b water licensed plumber (required for new construction only): State: Penalty applies when address change and lot change is requested once permit Is Issued. Zip: I hereby acknowledge that I have read this application, state that t a! n is correct, and agree to comply with all appltcabl 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 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 plex 1 of ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 _ 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level Z4 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.' 7 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) 114 , 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units 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 Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Valuation: Total: SAC Units % SAC CITY USE ONLY LOT 5 BL RECEIPT 76) 7 SUBD. RECEIPT DATE: L ?9 ?f/ i 199$ MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN / ?// Q? 3850 PILOT KNOB RD a EAGAN MN 55122 Q (612) 681-4675 _Vm/. Date: 4 Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets ( minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other 7? Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge Total: 20.50 SITE ADDRESS: / l0 io 6?0-0a W at OWNER NAME INSTALLER NAME: la& STREET ADDRESS: Id CITY: i PHONE #: - 00- R--, 5 PHONE #: d ?r e5 ST ZIP: 5 ?,77U SIGNATURE OF PERMITTEE JS/FORMS BLDIMECH PERMIT (RES) - 1998 L BL SUED. APPROVED BY: CONTRACT PRICE: Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: 1998 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (618) 681-4675 NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x I% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: CITY: CITY USE ONLY ($.50 per $1,000 of oermit fee due on all permits.) RECEIPT #: RECEIPT DATE: PHONE #: STATE: ZIP: SIGNATURE OF PERMITTEE Aug 31 05 11:45a P.O. Box 386 S ierset. Y18 54025 715-5445580 7155495581 fax 651-275.4081 fax Fax 651 275 4081 Don Martin 651-275-4081 Toe TomMiklya - City of Eagan Frone VrkieNeudahl Faze 651-675-5694 Pages: 4 Phone: Date: 08/31/05 Re: Spec sheet on foam CC: ? Urgent 19 For Review ? Please Comment ? Please RePly ? Please Recycle Project: Jill and Rodney-Carey j1660 Sherwood ways Fagan,-MN-55122-- Permit # EA070366 P -703ko Attached is the specification sheet for the dosed cell foam used on the above referenced project Please call if you have any further questions. Thank you. Vickie Neudahl J-Mar Builders, LLC 651-248-6802 y? - 5i OD F"I 14.4K P. 1 Aug 31 05 12:27p Don Martin . - + 651-275-4091 p.2 08/31/2885 11:34 7155496236 PENGUIN INSULATION PAGE_ 61 G? i--d t? V 00 W' j r--1 W processing Properties uAilid product) .!? $?!T'1765-/mq.®.3711 ^.170lkalg73as ?ia,l7a?l ssaos?! rx asasNVOt-(aooi•74a97tl-pufriM7n-re Pu179bx110 +wMkw .rwrforPrMe??, FE ISB is a closed cell splray applied foam, wbich whey isst&Ued following appiicarion guidelines adheres tmwiou* to fn+ming members and subetretes, prowdauS sopesior enaw economy and dwabs7it9 while sigeifieandy reducing unmmuaged nvma m and air infiltraaem. An a component of a ,,sysmms approach.. to proper building envelope ooagmeaon in both residential end cmmercial coneancdM FE 159 provides exceptional performance in reducing heat transfer, moist TLiakness (4-) Malbmxm Flom spread (25)01 Smoke Development (450)tr1 PoWdret aw foam *-.M AwAdnotbe leftextpaesdio idwriwappdieatiom and Abep, -,mdbysmieim=ofalS-mirmoefl-fnulbenfec (r) ]Ids mnnsvic&d ftm w spread raring is rut !mended to x afloat harards preserved by this or any odrer mWertat wwkr actaal flm Go®ar E2035, Qusm UAP Sum, W.C 1vn7:mg ammo, irac.,cou - loose 125OF -130°F. A minimum spray or wanking pressure of 1004 PROPERTY TEST FE a00 FE 15B i Mix patio BY Volume 1.0 1.0 Bpec[fic ASTMD-1638 Gmvi 1.22-125 1.17-1.19 - Viscosity f3v- eld RVF 150.250 $00-1300 Peso I of? Aug 31 05 12:28p Don Martin 88/31/20B5 11:34 7155496238 i'?S?fQdA! .tom 47 ..r 4PPA C?3 A cc ..V tn rt W w F U Y H 3 . _. -." 651-275-4081 p.3 PENGUIN INSULATION PAGE 03 The 1 £ 158 should only be applied to 1' to 2'p un& This application procedure is is cowlid nce with the SPFA foam application Sidelines. i The FE 158 is h= for flee as angXTFR Q? roof d=k system due to the light density of this product. The FE 158 should 1191 be MW 11 ft! refrigereed stntctaras or where rapid char in tamparOM can occur. 1 VZ 158 is to be applied to wood stadwall sinfeez between 40°F to . 120"F. Foam EneerptiWe technical service personnel should bo consulted in all cases when application coaditiom are questionable. The use of foemwd plasde in interior applications on walls or ceilings may present an Wreasonsble fire hawdd unless the foam is Protected by an approved, fire-resistant theanal barrier which has a finishes of not j less than 15 minutes. As with any airtight building envelope _ system approach, sdetl v..xad:.+...tr.&-ulea Tent t: eonsidem& The taftmrtdon herein is to swirl i s in determining whether our products am suitable for their applications. Our products we intended for sale to industrid and commercial enstotners. We request that customers i irnpeet and test our products before use and satisfy themselves as to, enrinmts and suitabiMy. We warrant tbat one products will meet our written liquid component specifications. Notbaig herein shall constitute ' any other warranty, exlaess or rmplled, including any warranty cf oerchmtability of fitness, leer is protection from any law or patent to be I ' mfeued. ALL patent ngbts are reserved. The ettcltlsive rentedY ft s11 proven claims is replacement of our mat"Ws and in no event shall we be liable for aoeeiai. incidental or eonsa9t>mtisl dama¢w. Shddlf! Addkional Information Three a3cotbs from date of meaufaenuc when stored is Created on: OSl27I05(DCl>) arlgidal,unopened contain (50-750F). Revised on: 06/2018S(SWfary) ; Rovisiaa M: 3 ; P*ae 3 or 3 Aug 31 05 12:28p Don Martin 08/31/2005 11:34 7155496230 ?? ^r?SESLLt... Cd t? A Cd U Q? t'1!1 ..w i-? OQ In properrdes (Onialsed product) Q 0 9 w r?r PW -A" 651-275-4081 p.4 PENGUIN INSULATION 1'WYL_ nZ PROPERTY ZEST T ? TYMCAL xES?u><.TCs Core ' A51M D 1622 r i 2.1D-235 4 1.88 1.99 E : dl Conan As7lM 116226 c laitial ASTM C-518 0155.0.171 ce (gamma) ASTM Pr96 _ 2.91 1 mach 2.99 i Dinsmsieml Smbliry (K Ya1= i ASTM 112126 Ch i Dwy Age 28 Days (158°F, Dry) +33 to+8 2 Frsrte-14 Day -20°F I .437 to -0.95 5!ur8soe Bomiag ASTM E-94 Foam Thickness I 4„ u Flans "SACS Smolm bw i 450 -- rims h)gkdpmparV rnahs era 0yaod far das mid as gOOd a ou+ devdeps,eritjaeilirytordpcarsbalgdavadsrioa:. flafeaarardrrsahm+r yka"propaam can vary with chow" in rho wpiloari repa•m•ah"; !a, mapaveow diaebim, pmcestbW erdpareat, mm hwd varmama, WOWNR4 a&. As a rmuk thew ffiMMedp OPwO r an fir ev m Pkjota 1p op"spaoylwwwAa.mdbedetemh frmn The recammcoded agtplication sad handling proeednes far t)1c specific pr"= being used should be known and followcd by the foam applicwwr. A amdl "sex area" of sprSW foam should be applied and iaepeoted prior to conmezeing the project. This simple, low-Cost test area can indicate modegttete adhcwK4 improper =15mc prq="Oft and/or recd for primer, m rfeea cadammatioa, MIP90Per substrate ead/or "Wm wmpm=c. wpiym=t w6ftnetlons, material coataminalion or improper application technique. A simple; viskW inspecdoa of a I smple cut from a test spray and periodic job samples can reveal potential problems Theo map, be due to one or mare of the above Fw2of3 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 &e n • „p WOZ + New Construction Requirements Remodel/Repair Requirements ...................... Office Use Dnly 3 registered site surveys showing sq. 0. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ced of Survey Recd . Y _, fit (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Ttee res Plan Recd iY _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks [ree PreS Reialsed iY _ N l set of Energy Calculations Addition- indicate if orsde septic system Dresite Sept?cSysfem ,.. '{,...,fi} 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date 8/ 1 / 05- Construction Cost 7f 7'0 6 L- P Site Address rl (p (00 ?3AfYWV0d Wacj Unit/Ste # (X4l Description of Work YY??"" lCx.mo y a- 2& 4 ?GL /Jt ya e21 /I i1Gt u , /tislVta 1 UYI I Irt -{'()U7 (!-0.AF P Multi-Family Bldg - Y _,X N Fireplace(s) X 0 - 1 - 2 Property Owner Cro 1 o?ji) l ?Q ?t .Y•!9.(-f Telephone # ( (051) T 0 (p 5 32 Contractor I - V Y) ow B UA 1 dCks 1 Lb C, 7 Address y ./' d 6cry- 3 Fj (o City YJ Y r?w?} q ? State W :F- Zip 5'402-5 Telephone # (65I) a4 U - ?0? R S MN 4; -tea arx- * & 101-1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Catc;ory 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 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 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. Applicant's Printed Name T.(Jy?? L_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_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Replacement Valuation C?LP0 Plan Review _ 100% or- 25% Census Code SAC Units # of Units # of Bldgs Type of Const 1113 J ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Int Improvement ? 38 Demolish Interior ? 44 Siding Move Building ? 42 Demolish Foundation ? 45 Fire Repair Demolish Building* ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) -Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width - Footings (new bldg) - Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof Ice & Water Final Framing - _ Fireplace _ R.I. Air Test Final Insulation REQUIRED INSPECTIONS _ Final/C.O. Final/No C.O. Plumbing _ FfVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick _ Windows Retaining Wall Approved By: J7, ----------------------------- ------- , Building Inspector - Base Fee ----------------------------- ---------------------- Surcharge l(Nt! ?j Plan Review ?( ? MC/ES SAC 1 VSVL City SAC n910Lr? /7 Utility Connection Charge S&W Permit & Surcharge Or*v1i?v1 l Treatment Plant p?nr,e License Search Copies Other Total /7 V03 PERMIT City of Eagan Permit Type:Building Permit Number:EA129424 Date Issued:02/10/2015 Permit Category:ePermit Site Address: 1660 Sherwood Way Lot:5 Block: 1 Addition: Brittany 2nd PID:10-15001-01-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Rodney Carey Ii 1660 Sherwood Way Eagan MN 55122 (612) 578-3703 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature r For Office Use �,• � � :::::e: /5539•--• 17a-3f ; 0 Date Received: / / I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 , liig -Ph (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-569 Staff: buildinginspectionst cityofeagan.com , HAY 0 3 2019 2019 RESIDENTIAL BUIE; " ' T APPLICATION Date: Site Address: / 624,0 5 h R..r&d L w Unit#: Name: %\, t 1 �t �G-tt Phone l01-51&- 3Zv 3 REES:W Owner Address/City/Zip: t tal.O (�v l� Ui A E4 &ri f k �- Applicant is: Owner Contractor g-1 141zr _ti. Description of work: No1,ccA„,11,4 20:‘1 O 1� Eg1iv t u--� TyPe Ot lot = o Construction Cost: 11.„00 • Multi-Family Building: (Yes /No it ) Company: At WO toog. Contact: ''S$1'0 V )4S t: City: aittOtt 447 C0ntt'#C#OC Address: , ` State:$.*Zip:1 S tcL Phone:61;—'l9' Ii) Email: �1TW01.-44 tOdS &JCNea A3 1MA.;l . C Ow License#: fr, six-7 4e)toy 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 maybe 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.citvofeagan.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.qopherstateonecall.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-- ccorrdd^ance with the approved plan in the case of work which requires a review and approval�of plans. )t* (ACAA0414 x Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE / c i erg a i�s�31 SUB TYPES a/ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi yl;, 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 _ Der}iolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION A_ '.) rhk,,(1,'ValuationOccupancy ,� MCES System Plan Review Code Edition ,A• 0\c" 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 Y Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: y( Footings (Deck) Final I C.O. Required Footings (Addition) ,Final I 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 Pan Other: Reviewed By: len, , Building Inspector I RESIDENTIAL FEES Base Fee Surcharge �L ' PPlan ReviewOL/thoi `"b „ 1, MCES SAC City SAC !` - I g Utility Connection Charge ,r . J 5 b--910 S&W Permit& Surcharge ( ' Treatment Plant i Radio Meter Read Copies TOTAL 1 Page 2 of 3