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1592 Norwood CirCASH RECEIPT CITY OF EAGAN 3795 PIL.OT KNOB ROAD EAGAN, MINNESOTA 55122 DATE REC6IVED FROM 19 AMOUNT $ I a ooLLARs ,oo ? CASH ? CNECK White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You ?J?' I B Y ? CITY OF EAGAN , -, : • ; 3795 Pilot Kwob Road Eagon, MN 55122 • PHONE: 454-8100 BUILDING PERMIT Receipt #k Te be wed for Est. Vatue Oate , 14 Site Address Erett p Occuponcy Lot Block $et/$ub, Alrer 0 Zoniny Pnrcel # Repair ? Fi?e 2one E l T f n arge ? ype o Const. aWc Nome - --- More ? # 5tories ; Address Demolish ? Length U ? a- „ 6rode ? Depth Sq. Ft. ? Name ,o u? AddreSS ? r?•,, o?..,.._ Name _ Address I hereby ocknowledge thot I hove read this epplicotion and state thot the information is correct and ogree to comply with oll opplicuble State of Minnesoto Stotutes and Ciry of Eagan Ordinonces. Siynoturo of Permittee /1 Building Permit Is issued to: all work sholl be done in nccordance with Building Officiol Fees Water & Sew. Police Fire Eny. Plonner _ Counci I Bidg. Off. _ APC Permit Surcha rpe Plon check _ SAG Woter Conn. _ Woter Meter _ Road Unit - Totol I on fhe exprcss cordition thnt State of Minnesotu Statutes ond City oi Eupen Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumhing H.V.A.C. w.u w?ee. Disp. Sewe? Electric Inspection Date Insp. Othar Footings Foundetion Framing Rouph Plbp. Rouph HVAC Inwlation Final Plbg Final HVAC Final Weter I Describe Locativn: VYell v: Sawer Pr. Disp. _ CITY OF EAGAN 3830 Pilot Knob RoarJ, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for .,??HI Est. Value Date 119 Site Address LOt BIOCk S@C/SUb. Parcel No. Name. Phone ¢ Name V 11.1.d?CL a ..i.._. ? 0 ` Address P City Phone = 13 Atltlf@SS m = City Phone ? aW 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 Ordfnances. 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 Minnesata Statutes and City of Eagan Ordinances. Building Official _-- QFFIC E USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required * of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL Permit No. Psrmit Holdsr Date Telephone t Plumbing H.V.AC. Electric Softener InspeeNon Data Insp. Comments Footings I ?6 Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Pibg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final ? Wen Pr. Disp. L /.2? CITY OF EAGAN 3795 Pilof Knob Road Eagon, MN 55122 PHON E: 454-8100 BUILDING PERMIT T- 1-- ----' :-- -A_?, r Site Address - Lot Block Sec/Sub. Parcel # . ? Name ..SI°k ? c PEttTic 1_ -_; i 3 Address 0 ..._ ,.... ? .._ ? r,ri}?tXi ? i . , . . , ? ZO o? u r . Name °v -do_ ,a2 Name _ Address I hereby ocknowledge that I have reod this applicotion and state that the informotion is correct and agree to comply with ull npplicoble State of Minnesota 5tatutes and City of Eagon Ordinonces. Receipf # N° 6007 Erect ? OcCUpOnCy Alter ? Zoning Repair ? Fire Zone Enlorge ? Type of Const. Move ? # Stories Demo(ish ? Front k. Grade ? Depth ft. Approvols Feea Assessment _ Woter & Sew. Police Fire Eng. Plonner Countil Bldg. Off, _ APC Pertnit Surcharge Plan check SAC Water Conn. Water Meter Raod Unit Total Signoture of Permittee I A Building Permit is issued to: on the express condition that ell work sholl be done in uccordante with all applica6le Stpte of Minnesotn Stotutes and City of Engan Ordinnnces, Building Official I Piumbing Methunicol Parmtt # DaM Ismsd Parmiitee ? INSPEC710N5 DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation Plumbing Frame/ins. Mechanical Final Remarks: j/? e /' 1& C -P ?? M . cirY oF EAc,nN ' 3795 Pilot Kno6 Road Eagas, MN 55122 • . PHONE: 454-8100 BUILDING PERIIAIT Receipt .# - Te be dsed fer Est. Value Dote Site Addreu ?^ vr , Lot Blxk Sec/Sub. Paroel W Nome 3 Address b Ci Phone o Name ?? Address F- rt«., Dti.,..o Name _ Address I hereby ocknowledge that I have recd this opplicotion ond state that the informotion is correct and agree to comply with all applicable Stote of Minnesota Statutes ond City of Eagan Ordinances. N2 5599 Erect t3 Occupancy Alter Q Zoning Repoir p Fire Zone Enfarge ? Type of Const. Move O # Stories Demolish ? Front ff. Giade ? Depth ft. Auceova Is Fees Assessment Water & Sew. Pol ice Fire Eng. Planner Council Bldg. Off. APC PermiT T_ Surcharge Plan check SAC Water Conn. Water Meter Totcl Signuture of Permittee I A Building Permit is issued ta: on the express condition that all work shall be done in accordance with all applicnble State of Minnesota Stotutes and City of Eagan Ordinances. Building Officiol Dar. rW.t»" Plumbing C Mechanicol /D INSPECTIONS DATE INSP. RougF-tn Final Footings ? Date irap. Dote Insp. Foundation Plumbing Frame/ins. ?p Mechanfco Final = ( 0 Remorks: 1/`$'?? ,pf?L?i•? (?WSTION AIR RF.WIFET CITY OF EAGAN 3795 Pilot Knob Road Eagan, MinnesoM 55122 Phona: 454-8100 ?:.> iiFA1'T"r - PERMIT No Dnte: 3no/so 1592 tiorwvod Circl.e Site /lddress: Lot Biock _ _ Sub/Sec. . ? ? Nome "'cl-1efsan Bldse. Address 'T 1 F •:ol- VokB I.AIke City AP-?ie V811ey, 7!N Phone: 454--687? Name "rP:12`ICk30A I Address 4n ,l7 RuA 1723 1$213 Receipt No.: Single Residentiol Multi Res., Comm./Ind. I New/Alter. / Repoi r Cost of InStallation Pe?mit Fee l Surchnrne • ' vl City Phone: .- . . I Total This Permit is issued on the express condition thot all work sholl be done in accordance with all appliovble State of Minnesota Statutes and City of Eagon Ordinonces. Building OfficiCl cirr oF E?sAN 3795 Pilot Kwob ReeW , Eayon, IMineasofa 55122 ` Phom: 454-8100 Flun,hi n g PERMIT Date: 2/28/8c; Site Address: 1542 N02woo4t D2`iYP Lot " Block 4 Sub/Sec. iAttsZY ? Name Tollefson Adra, ? Address ? I City, ATpl@ VS11.eV ,}1741 Phone: %• 54-(A173 . ? Nome ?? Rvp-n Address 14745 SO.Rqb@1't Tret_1 No. .„ Receipt No.. = Single .f 1 Residential ? Multi Res., Comm./Ind. I nek New/Alter./Repair. Cost of Instollation Pertnit Fee Surcharge 20.00 50 I 1 S"? •. , n{. ys City Phone: I Total This Pennit Ys issued on the express condition thnt oll work sFwll be done in occordance with oll applicable Stote of Minnesota Statutes and City of Eagan Ordirwnces. Building Official CITY OF EAGAN Remarks Addition BRITTANY Lot 7 Rlk 4 Parcel 10 15000 070 04 Dwner j, ' il ?'? L' Street 1592 Norwood Drive State Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. v 2819,87 225$.90 C008023 9-27-$2 STREET RESTOR. GRADI NG O SAN SEW TRUNK 1976 156.51 10.45 15 104 36 116 5 30 80 * 5EWER LATERAL WATERMAI N * WATER LATERAL WATER AREA STORM SEW TRK * STORM SEW LAT CURB & GUTTER 51DEWALK STREET LJGHT WATER CONN, BUILDING PER. SAC PARK CITY OF EAGAPI a'795 Pilot Knob Road Eagnn, MN 55122 Zoning: Owner: Address: _ _- Site Address: Plumber: Meter No.: Size: _ Reader No.: 1 og?ce to wmply with the City of Eagan Ordinanees. ay Date of I nsp.: - cITr oF EAGArt 3795 Pilot I(nob Rood Eagan, MN 59122 Zoning: Qwner: Address: Site Address: Plumber: 1 agree to ooinply wifh fhe City of Eagan Ordinances. R., Date of Insp.; Insp.. Connection Charge: , Account Deposit: Permit Fee: Surcharge: Misc. Chnrges: Totol: - - j Date Paid: SEWER SERVICE PERMIT PERMIT NO.: DATE; No. of Units: WA?ER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Charge; Account Deposit: _ Permit Fee: Surcharge: Misc. CFwrges: _ Total: Date Paid: ? cirr oF EAraN - ? 3795 Pilot Kao6 Raad Eagan, MN 55122 N0- 5599 PHONE: 4548100 BUILDING PERMIT APPLICATION ReceipT # SF 80.000 Site Address -•- _.__..__- ---'- ,y_ Lot 7 Bixk 4 Sec/Sub. Brittan Porcei # 10 15000 070 04 w Nome _ ? Addreu 0 Widsten Name Tollefson Bui.lders Ine. au Address 13816 Holyoke Lane "? ,,.- Apple Valley,,___ l+54-6873 Name _ Address I hereby ackrawledge thot I have read this application ond state that the informotion is correct and agree to cnmply with all appiicable State of Minnesota Statutes and City of Engan Ordinances. Signature of Permittee Tollefs A Building Perm(t is issued to: ull wark shall be done in accordance with 11 applia Building Offiaial Erect IN Oaupancy R-3-. Alter ? Zoning R-1 Repair ? Fire Zone TTT _ Enlarge ? Type of Const. V Move ? # Staries 2 Demolish ? FrorM 62 fr. Grode {] Depth ?.7 ft• Avorowls Fees Asseument l /7/f3(l Water & Sew. Police Fire Eng. Plonner Council Bldg. Off. l /7/RC1 APC Permit l $5 . 50 Surcherge 40-00 Plancheck 92.50 snc 525-n0 Woter Conn. 309.Q0 Water Meter -6.Q..._QO RA iin; t l R5 _(lp TotolI, ivi - 00 on the express conditbn that Statutes and City of Eagan Ordirwnces. CITY OF EAGAN ;P830 Pilot Knob Road, P.O. Box 27 •199 " PN ON E: 454-8100 BUILDING PERMIT To be used for DECK & vnura Est.Value $10,000 SiteAddress 1592 NORWOOD CIRCLE Lot 7 Block 4 Sec/Sub. SRITTANY Parcel No a Name MICHAEL MCDONALD I z W Address 1592 NORWOOD CIR 3 ° City EAGAN Phone p Name PAT7n VTi.T.A(:F ?a Address_Z.420 Rf?WF.T.T. RTl ? City HOPKTN4 Phone 23$=991'A Ww Name_ z z. Address aW City I hereby aCknowleCge that I have read this applicetion antl state that lhe information is correct and agree to compty with all applicable Slate of Minnesota StaWtes antl C'ty I E Ordina e Signature of Permittee A Building Permit is issued ta__.AT_I. _YII,LAGE___ - on ihe express cond ition that all work shall be tlone in accordance with all aDDlicable State of Minnesota S"taNtes a.yn?d, City of Eagan Ordinances. Building 7 ? Eagan,MN55121 Nj?? 16003 Receipt # !%V vX d Date DEC 29 ,7gK8--- OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ (Actual) Const City Water _ (Allowable) PRV Required _ # ot Stories Booster Pump _ Length 13 ' Depth 16' S.F. TOtal Footprint S.F. APPROVALS FEES Engr./Assess.. Permit 106.00 Planner Surcharge $•00 Council Plan Review Bldg. Off. SAQ Cily Variance SAC, MWCC Water Conn. Water Meter Roatl Unit Treatment P7 rmmcxCopies 1.50 TOTAL 112.50 ? CITY OF EAGAN jQo 7157 . 3795 Pilof Knob Raad Eogan, MN 35142 - PHONE: 454-8100 BUILDING PERMIT Receipt ;9F Te ba wad ler PAMO DECK Est. Volue $3. 000.00 Date M aTCh 29 , 19-m_ Site Address 1592 Norwood Circle Eract Occu an R-3 ? p cv Lot 7 Blxk 4 Sec/Sub. Brttany 'St Alter ? Zoning R-1 PD 10 15000 070 04 Repoir ? Fire Zone Parcel # - E l T f vri n arge p ype o Const. W Nome Mr • & WS • ? AdSr-M Nbve ? # Srories = qddresy 1592 NDLWOOd C3TC10. Demolish p Length NA, ? Ci phone 452-1574 Grode ? Depth ? Sq. Ft.- rt L rl SI4, ?D[1St ?0? Anorovab Foes 72 . o Neme ~ 17995 I?aynia Ave. u? Addreu ? r:... Takpvilla eL___ 435-6417 Nome _ Addresa Assessment - Water & $ew. Paliu - Fire Enp. Plonner _ Councll _ I hereby acknowledge thot I hava read this opplication and state thaf gldg. Off. _ the informotion is correct and ogree to omply wifh oll op0liceble AP? - State of MinnesoM Statutes and Ci Eoan O dirwnce:. Sipnnturo of Pertniftee p - A Building Permit is issued M: ert L. Q C StYY]CtiOLI all work sholl be done in accordance with oll appli (y1/? Stote i ewta Stotutes Buildirp Officiol -?R-•- Permit 36.7U SurcMrga 1.50 Plan check SAC Water Conn. Water Meter Raad Unit Total ? nn on the expreas condiHOn thm ond City of Eapen Ordirwncez. CITY OF EAGAN w 3795 Pilot Keob Rmd Faean, MN 53122 N2 6007 •' PHONE: 454-8100 BUILDING PERMIT APPLICATION Recelpt # To 6a aaed tor FIREPLACE Est. Value 1,800 Dote 8'4 , 19 80 sire Address 1592 Norwood Circle Erect 7 ocoupancv ? Lot 7 Block- ? Sec/Sub. Alfer ? Zoning ,R-1 pa,Cei # Brittany Estates Repair ? Fire Zone _ Enlarge p Type of Const. NA z Name Mark & Patricia Widsten Move ? # Stories NA ; Address 1592 Norwood Circle Demolish ? Front N1a fr. ? riw Fla von Trtn w,....e 55191 ? L 59_'I 57L ) Gmde ? Depth NA ft. g I Name _T?i'c112_el Walone Address ? ;,,. Lakeville, 469-3210 Name _ Address I hereby ocknowledge thot I have reod this applicMion and stote thot the information is correct and ogree to compiy with all opplicable State of Minnesofo $tatu C-ify of Eagan Ordirwnces. Signoture of Permitte? Assessment - Water & Sew. Police - Fire Eng. Plonner - Council _ Bldg. Off. _ APC Feea Permit 7.vu Surcharge 1•00 Plan check SAC Water Conn. Water Meter Road Unit Toml 10.00 A Building Pennit is issued to: W ghggI ?yjg}ane on the express condition that oll work shall be done in??' rdpan?ce wi?th?_all oyR?-plimble State oJf Minnesota Statutes and City of Eogon Ordinonces. Buildirg 04ficiul ofu CIq+y pg EAGp,N Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERLiT APPLICATION 1 set of enerqy calculations. To Be Used For rEro` ?/??a?P Valuation Date ?S???CU Site Pddress Ipt Bloc7c _J_ Sec./Sub. Parcel #: OanEr: Address: ,(/?YcUGGo CiYcl? City/Zip Code: ? a c_a r, Phone # : S"7 V Contractor: -) 0 ,k o y L- 1) 1 a 1 c. n vAddress: ( "? y City/Zip Gode: ` Phone #: e/!.%- 3D/G Arch./Eh9.: Address: City/Zip Code: OFFICE USE ONLY Erect r? Occupancy Alter Zoning ? / Repair Fire Zone Enlarge _ 7ype of Const. Nbve # Stories / DemoYish Front ft. Grade Depth ? . P,PPROVATS ?S Assessments Permit ? [aater/Sewer Surcharge Police Plan Check Fire SAC gnq. Water Conn. Plancber Water Meter Council Road Unit Bldg. Off. APC Phone # : TOrAL p,„? CIZy pF EAGAN Include 2 sets of plans, .,? ( 1 site plan w/elevations & ? BUILDING PERNIIT APPLICATION 1 set of energy calculations. Rb Be Used Fbr p f; o ,0P c k Valuation ? ODD °y Date 3/ a 9/F, Site Acldress /S9,2 OFFICE USE. ONLY Lot _j_.Block Lt_ Sec./Sub. 6sAa`? ?1- Erect Occupancy - - Paroel #: l D / S o o p 6-7, p o Alter [;7 zoning -/ Oaner: p2r dI&rS 172i-.- k Lve d 5???. AddTess: 15F' ???oo d C-'t.- c% City/Zip Code: Phone #: y S'.2 - /s7 y ContractAr: /P 6?f G. C?o .,F C?.•- s f Address: i 7 9 9 5` 4A,? City/Zip Code: C4 f4 , SSo V N Phorie #: y 3?- Cy l 7 Arch./Fhg.: Adclress: City/Zip Cocle: Phone #: Repair Fire Zone Enlange Type o Const. Nbve # St??ries Demlish Front ft. Grade Depth ft. ?aater/Sewer Police Fire EnJ • surcharge Plan Check SAC Water Conn. Planner Water Meter Council Road Unit Bldg. Off. APC ZOTAL ?U SEDGWICK HEATING & AIR CONDITIONING CO. res"Taec"oRO JOBN0?3b6! 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 ADDRESS Nar- woo c-,( o..i OCCUPANT(? ? SOLDBY e.c?G?..? G / I` SERIAL NO. ?w5? 1 1C)Ci"F CITY ??? n 'j MAKE k-4? /? N? Nv?C (?, OWNER N V?C /?SlA?cl INSTALLED BY MODEL C??U?WV 3G? bS? INPUT di-50 THERMOSTAT ` UU VALVE LIMIT LIMIT SETTING FAN SETTING IGNITION MODEL PILOTTIMWG ^ `??n ' PRESSURE ? W. ?PERCENT COi 0 (oao INPUT CFH CSS PEfiCENT Oz q? STACKTEMP. Z PERCENTCO v VENT SIZE 9 TVPE OF LINER y i «TI^ LMER SRE - ? FILTERS: SIZE E?- NUMBER WIRING ?'/ ? ^ TEST TAG LIGHTING INST. DATE TESTEO -] COMPANV TESTING ? NAME OF TESTER ^ -o3 UR R aT ? AUG 1 1 2003 FORM2%(REV.flIB9) FOflMDISTflIBUTION: WHITECOPY-J09 REQUEST FOR ELECTRICAL INSPECTION eea01jmu7 ? See inslruqions for completing ihis form on back of yellow copy. ~• c ry R Gg 5A88 5 ?(' BelQw Work Covered by This Request e Adtl Fep. TypeoFBUilding AppliancesWired EquipmentWired Home Range . Temporary Service Duplez Water Heater Electric Heating Apt. Building , Dryer Other (Specify) Cqmm./lndustrial Furnace Farm ' Air Conditioner Olher(speciy) Contractor§ Remaiks: Compute Inspection Fee Below: # Dlher Fee # ServiceEMrenceSize Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps a, 0 to 100 Amps Trensformers Ahove 200 _ Amps Abov d Amps Signs inspector§ Use Onry: OTAL C7 Irrigation Booms ?D (?G ' b Special Inspec[ion Alafm/CommuniCation Other Fee t I, the Electrical Inspector, hereby certify that the above inspection has been made. A019h"" ' F;,,ai ???? 'S OFFlCE USE ONLY This requeat wb 18 months from iio 7r-"L-- [E 95885 ? Requesl Date ? Fire+Jo. R. 'n Inspecllon q ired? VfieeGy Now ? WII Notity Inspeclor fi Qj \?{p ? Yes ?NO WhenReatlyT I p licensed contractor owner hereby request inspection of above electrical work at: /14 Job Address ($treet, Box or Rouie No.) City 15 1, IJorwcoa Gr'je Eacl ctr\ Seclion No. 1Dwnship Name w No. Range No. Counly * Ea a f3a?-`I-q Occupant(PRINT) Phone No. ? K8 A 143a --I04"1 a NQe Power Suppller . Address 1ec'rri ?f3co a?ti'µ' Elecirical Contractor (Company Name) Cqrdraciots Licenae N. Melling Address (CanVador or Owner Making Instaliaiion) 15`Ta vtsocc5 C:K? ??t ar?, MN SS?a2 AuthonzBtl SignaNre (ConhaclorlOwner MaWng Installalion) Phrnre Number MINNESOTA STATE BOApp OF EIECTRICITY THIS INSPECTION REQUEST WILL NOT Gtlgga-Mitlway Bldg. - Room S473 ' BE ACCEPTED BY THE STATE BOAFD 1821 Unlveretty Ava., St. Peul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (872) 602-0800 ENCLOSEO. ? Minnesota State Board of Electricity ?'?954.University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WOKK COVERED Bl' THIS AEQUEST `9??T 7 s 45919 Type of uilding New Add. Rep. Check Appliances Wired Fo' Check Fquipment W'ved Foi Home Mx ? ? Range EX • U Temporazy W'ving ? Duplex ?? ? Watet Lightlng Fixtures ?R Apt. Btdg. ?? ? Dryer ElecVic Heating ? Commercial Bldg. ?? ? P Fuma ?• Silo Unloader ? Industrial Bldg. ?? ? A'v Co Bulk Milk Tank 1:1 Pazm ? ? ? List List pthexs n1 D1 h ? (l?thers Other ? ? ? 9W. 8 . • Here Here COMPUTE INSPECTION FEE BELOW Service Entiance Size: # Fee Fceders@Subfeedecs: # Fee C'vcuits: # Fa 0 to 100 Am s. 0 to 30 Am xes 0 to 30 Am eres I "IL • 101 to 200 Amp Q Q 31 to 100 Amperes 31 to 100 Am res Above 200 Amps. Above 100 Amps. Above IOQ___Amps. Transformers Remote Control C. Paztial or othei fee Signs $pecial lns ction Minimum fee Remazks _ ; ?Cff If.0TALFE ?^J•? QeSQ I, the Electrical Inspector, hereby certi the?p'? has been?ade. (Rough-in) L Date ^J 7-.0 (Final) • ?S?'? ? Date 7 .2- This request void 18 months from es4 void-l8-months from 7* 7 ---- c 45919 Date of this Request 3»20?1 j80 ?i I, as? Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 1592 Hex77ood Drive City _ Fa,m3i- Section Township Range CountyZJ[KLL I)akota Which is occupied by Tmllefson (Name o/ Occupant) Is a roughin inspection required on this job? No ? Yes!Q Ready Now ? Will Call C3x Power Supplier DYkotY CtY. Address Farminirton Electrical Contractor O.B. Thompeon Eleetria Co. Contractor's License NoA37362 (COmpany Name) Mailing Address 12201 Mtka B10d., Mtka ?5343 (Elec'IricaflContractof; r Oyvnar Making This Installatlon) C O r? 5 Authorized Signature ?' ?Y ??'ri;"' •"`" ' Phone No. ??3?'?? , (Eleebieal Conti2`ctor or Owner Making Thls InstalbHOn) ????? ?? ya ?? ???? This inspection request wiil not be aaepted by the u li State Board unless praper inspection fee is enelosed. B P 5v ? CITY OF EAGAN BUILDING PERNIIT APPLICATICN To Be Used Fo .CL?jI,nGf?i' Valuation p 0? "-U site Adaress: /? .t.C-V-sf , Lot 7 alorx y sec./sub Parcel #: /D /?l`dCI G,To /1;s/ Ovmer: &67_? -Pddress: City/Zip Code: Phone #: Contractor Address: /? S'/ /?tA City/Zip Code: ? Phone #: &' P7 Arch./Ehg.: Pddress: City/Zig Code: Phone #: Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Date OFFI(E USE CNLY Erect Occupancy ? Alter Zoning K .- I Repair Fire Zone Enlarge Type of Const. Move # Stories 2 Denolish Fmnt 69' ft. Grade Depth 3 7 ft. APPROVALS FEf'S Assessments 7 Pexntit water/Sewer Surcharge qa e p Police Plan Check 92,sD Fire SAC " 32S o a gnq. Water Conn. y-V? Planner Water ^1eteY' ?/,o ?0 0 i S=? Council ; Road Un t =aCELo ff Bldg. Off. APC ?, 'Il7TAL 2005 RESIDENTIAL BUILDING PERMTT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?7U,vo New Construd'wn Raauiremenfs RemodeUReoairReauiremenls Office:UseOnlY 3 registered sAe surveys showing sq. ft. of lot, sq. 8. af hause; and ?II roofed areas 2 copies of plan CeR of Survey Recd _ Y_N (20 % maximum bl coverage allowed) 1 set of Energy Calculations for heated addiGons T2e Pres Plan Reoi Y_N 2 copies oi plan showing beam & window s¢es; pourad Found design, ek. 1 sile survey for add'Abns & decks Tree-P2s Required Y,_ N i set of Energy Calculations Adddion - indicate lf orhsite septlc system 4nwte Septic System _Y _ N 3 capies of Tree Preservation Plan rf lot platted after 7M l93 Rirn Jaist Defed Options selection sheet (buiWings with 3 or less urtils) Date 10 dS Construction Cost LI, L) (0 l00 u `Site Address, ', W ( S ' ni Unit/Ste # DescripHan of Work ? S?l ?vZ rUOt W 00? C? f C y=?. Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ?Q, ,?('\C???• ?\ d Telephone # (6S ! ) y,,:J Renewal By Andersen Contractor 1920 County Rd. "C" West Address Roseville, MN 55113 C;ty. State 651-264-4777 Telephone # ( ) License #20130983 - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rutes 7670 CateEOrv 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 Have you previously constructed a building in Eagan with a similar planB _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes, I understand this is not a permit, but onty 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 ?wluch.requir,cus-a-risv+ewi and approvai of plans. ?f C\. -?b' Applicant's Printed Name Signature >?? 4-3 2005 ? D OFF'ICE USE ONLY Sub Types O 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N O 25 Miscellaneous Work Types ? 31 New ? 35 Int lmprovement ? 38 Demolish lnterior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reraof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire BIdO) - Glve PCA handaut to applicant' ` Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.Q _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector ??r?e.ev.i iuu aG.o? i`tt4 !OJ Oll -4&bU 1(t?4?lSIC14f?d3YdiYUfSIG7t4[Y , re ?? - ?W?. Citrof Eagm : 3836 PiIcrt Rrtob Road - Eft8a% MN 55122 - - ;r . To VP6om It Ma.y COtoern: Elder 7ones is authorized pDptg baiLEng Pernlits for Renearal by EIder lones to p?+o?.i$e tfiis ser'vicc for na in Eagan, `ITeia euth Andezsen_ a llow . date beyand 6/6I(3i: untiI a?By? bY Audersen manapnr otizatioe Is veiid ?i fe?ot se aRy e `Ity- to th ?Y revakas it fn avrtdag I request tIvs anttiodzafian be accVW-axpeditiovs] ` . ' our Erailding Pemiita any furtficr. Ptcaac caII mc if thc? ?not delay in thn FTp&?ttg uf ? contacted at 7b3-S02-470G an'Y 9natEona.. r can lxi Your immqdiatc attcntton to tIis metter is ?pp(?RlPl? a •• I - Stnoeiely> ymond?R Rau tiscallation ivanapr Renawat bY A.ndmcn CazPoration Knrn-F.Ider7nnec . ? wuu Received Ti-me Juo. 7. 1=07PId 1? ??,'?3l??? • . MECHANICAL (RESIDENTIAL) $30-S"O Permit Apptication City Of Eagan ? 059 g 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for. Single Family Dwellings Townhomes and Condos when pemtits aze required for each unit Date -7 / ol ? / tl) 3 Site Address I.ll'! 02. Unit # 4 Property Owner ///}??'(? ?(?/Lrn,l? I- Cd Telephone t! (?jf ?- ?JD7 7 SEDG1rViCK HE/1TING &AIR COkN"^ Contractor $G10 Wenhtrsr'ti r• "? Minneapolis, N1N 53420 Street Address pm 881.gp? City State Zip Telephone # ( ) The App?icant is _ Owner ? Contractor _ Other Add-on, modif cation or alteration to existing dwelling unit $ 30.00 ? f l t urnace rep acemen air exchanger air conditioner other State Surcharge $ .50 ?. I Total ! ? $'id, di iG? _f I hereby apply for a Residential Mechanical Permit and aclrnowledge that the information is complete and a¢curate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pemut, but only an application for a permit, and work is not to start without a pemut; that ffie work will be in acwrdance with the approved plan in the case of work wMch requires a review and approval of plans. ? ;TuW1luf? E':T1?. (:?. tti6z VOIY7/. GlE ?/I?iicfr,?(} Applicant's Printed Name ApplicanYs Signature MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5674 Please complete foc commerciaUindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Address IInlt[ # Tenant Name (if applicable) Previous Tenant Name ?I Property Owner i Telephone k( ) 1 Contractor Street Address City I State Zip ?I Telephone # ( } The Applicant is Owner Conuactor Other III - - - Work Type 11 _ New construction Underground Tank _Install _Remove I Interior Improvement - Call for inspection during installation/removal of ta nk Processed Piping ? Nature of Work: ? Pert111t Fee $50.50 Minimum Fee (includes Sbte Surcharge) ? I Contract Value $ x .Ol% _$ I I? Permit Fee • If permit fee is $1,000 or less, add $.50 =tl $ ? I State Surcharge Ifpemut fee is over $1,000, add $.50 per ?I $1,000 Permit Fee ? $ I i Total Fee II I hereby apply for a Commercial Mechanical Permit and aclmowledge 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 with the Mechanical Co,4es; that I understand tlvs is not a pernvt, but only an applicarion 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 wark which requires a review and approval of plans. 1i Applicant's Printed Name Applicant's Signature RESIDENTiAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•68'I-4675 New Construction Reauiremerrts • 3 regislered sile surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas (20% mazimum lot coverege allowed) • 2 cop'ies of plan showing heam & window saes; poured found design, etc.) . 7 set of Energy Calculations • 3 copies af Tree P2servation Plan H lol platted after 711193 • Rim Joist Delail Options selection sheet (bldgs with 3 or less units) DATE ;? 1_(?Ck • n ?l SITE ADDRESS TYPE OF APPLICANT MULTI-FAMILY BLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 Renewal By Andersen, Inc. $TREET ADDRESS 1920 Councv Rd. "C" W'est STATE_ZIP TELEPHONE # Roscville, MN 55113 FAX # , 6i1-264-4777 - ?_License `t 20130983 PROPERTYOWNER mtkQo?(',???? TELEPHONE4Q.Ysa'?Ol? COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNGSOTA RULI;S 7670 CATLGORY 1 MINNES01'A RULES 7672 (d submission type) • Residential Ventila6on Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Su6mitted Plumbing Contractor: __ Ylumbuig system includcs: Mechanical Contractor: Mcchanic:il systcm uicludes: Sewer/Water Contractor: Phone # Phone # I'ee: $90.00 Fce: $70.00 I hereby acknowledge that I have read this application, state that the infor ation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordip ces. / Signature of Applicant --- -- - -------"----- --------- ----------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Water 5oftener Water Heater No. of Baths _ Phonc # Lawn Spruikler No. of R.I. Baths -- Air Conditioiung Heat Recovcry System RemodellReoair Reauirements • 2 apies of plan . i set of Energy Calculations for heated addilions • 1 sRe survey for exterior additions & decks . Indicate if home served by septic system for additions VALUATION I, ?f IIJD? 22'2 ot Required j Updated 4102 GFFIC'E USE ONLY ` ? 01 Foundation ? 07 05-plex ? 13 16-plex 11 ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt- Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea_) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) d ? 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 I ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) [3 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 i 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 ll ' 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 i REQUIRED INSPECTIONS • ?? _ Foorings(new bIdg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. I _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone V _ Ficeplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall I 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 °'?•?•..?••+. auv x?.vv ran ioJ o!1 4400.a?RAL lf1`al7tJ . 13Lt?lfPl re al .? . aanet zool ., EftM MN ssin 1Q1uV 3My ?i Sam Road . To whm rc ivray c.oncern: IIder Jonea is authorinci tA pUn building pftluits Por Retewal bY Andarsa,n_ Ptease dlow Slder Jones to pmvide this Aer'vicc fo dace bcyond 616101: r na in Basan, 'tlis ?M?eti? ia valid for any , City- uadl akonewal by Audersen mmu= aMs* cevokas ic in avrc[ng to the ovr?bn? this aut}ioriza@on bc ac,rtad.expe?flonely. as to not detny fn dse promsi,tg of ?S Pouib aaY farthcr. Plcaac caIi [ac If thao aro my qupttons.. I caa 6e , °ontacbed at 763-502-4706. Yoar 3mmGdiatG attmt[on to A{s matter is . aft& ` . . Sincxiviy, . . ond R Rau ostatlatiott Manag-e r Ronowal by Andcncn CorPotation . C'r.: Ksrcn-Fudet Innec M2k a.Q my Received Tije Jun. 1. 1.01Pld / .. r 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 1? 003 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICA ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 0 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.t 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For• Site Address I'r, f ('L ,'? NCSaluation. J a r 6 oFFi? Lot _? Bloek ?l Parcel/Sub ? T .??„ ?/ •' ? C ! . i T", OWriet' /// e?L?n/1 n lrL Address 1.597 /1l?rr..tnod Ct(' I City/Zip Code Phone Contractor 21;a U.I (C,aP Address City/Zip Code )A(,pkpWS ?Mn I5.5 Phone 931?- 47 f 3- 9 3 S 79R9 7ro.nr b/1 Arch./Engr. 'Ja?e ? Addtes9 i City/Zip Code Phone 4k 5H -0 t? On site sewage_ MWCC system ` On site well _ City water _ PRV required _ Baoster Pump _ APPROVALS Date: () - 2 7 - 'S' -)' Oecupaney Zoning Actual Const Allowable lk of stories Length /3 ? Depth ? S.F. Total Footprint S.F. FEES Engr/Assess Perrmit / CJ?o,UC, Planner Sureharge ? Couneil Plan Review Bldg. Off. I IIZ.lZB SAC, City Variance SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies ?, sv TOTAL VAtUAT? ? , ? I? X?? _??g xya ? 83 z o ?'3zo __-- ? I ? i i i I i i I i i i , Cities DiLyital Oualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. :• ?'" _ .- ?y? kV ? j RiP'YL t ?".F? • 4 ?'??'?) _ L jf 6 T't ?:,?`Y? z? ? tt•: 1.1 7. ..?,..af`,„•.? ? ?:?`? ? ?t?' ' i-t?$3?i+sao'^ ?, ?• - f ? ..w. t f 7? k Yr . u'?a? ?JS v'" ? ? r ?+ y. h o g I b x.-? ?'i r ? t"..?y" 'r? E :9 ?e ? ? , i??. ? r ?- ,•??.__ -s )O'D: ?„ s.?:, . . ?f„'i, • ?-s._.- ?? A TAys ANY r{AT As11om{ pR (Yt w?"te ?''{ .ifRi . • "Y??L ? ( '1 C ?n ? -`Fi a i? ?/^ ? ?? ... ? ?y ?%`_' : f r ?' . f nY 4 a ? N ' .-` ? v. v ? Tb ?te.fs?? 'B?iLidare 3nc. . . , i?fx? 3 v?,.,,.._,.-----"""".'---y l_lF.-C.-,3ACK50 N ? LAND BURVEYOR ? 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' . . ?' . .. . . . . . . . i i t ? r. S f ' ' . . '.. ?.. . , . , , , . .? . . ? . . ; . . .. < . . . . .. .. ..? , . . . . . ? .. . . . .. ., . ,,. .. : .. . . .- . . :; , . . . ? ? s . ? . ., R .. . ? . . . - . ..: . , .. .... . . `.' . ' i 'n3 . _? . ? ?' . . .'. . ... . • . .. , : . '.. - .. a ? .?. "- l K y l? N:. ' f ? ?. ? F? . . ? a ( ? ? 1. • / ? ??{--++?? ySr?[? • ;\ ??-ry . ' F . I `'- ? , ?.1`-"? T2 ?r?e ov ? . . . , ,. ;; . ; ..... ?,. . .. , . ? _ . 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ? L? ol Ca / 3830 PILOT KNOB RD - 55122 6 ?O 651-681-4675 New ConsWCtion Reauirements ? 3 registered site surveys showing aq. fL o/lot, aq. iL ofhousa anW §f( roofed areas (ZO% maAmum lot eoveraae allowadl ? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) ? 7 set of energy calculations ? 3 copies of tree preservation plan if lot piatted after 7N/93 DATE: 3bU Ig9 DESCRIPTION OF WORK: ! u0I"''t /,%Ceo STREET ADDRESS: I S 1)" / V a?W UO 0 C l?- LOT: ( BLOCK: -1 SUBD./P.I.D. #: 1 RemodeVReoair Reauirements ? 2 copies of pian ? 1 set of energy calculations for heated additions ? 1 site survey for exterior additions 8 decks CONSTRUCTION COST: ? Ojv i? (4 Name: 19C Ltn R(d M, lC ?p Phone N: PROPERTY Lmt Fint owrrEx i?- Street Address: City State: Zip: Company. 11 -t7l?Ol'? ? ? ? ??! s 1 ?Z tv Phone #: (? IO "7 3 )- ?- D' / 0 CONTRACI'OR '1 ,J ) 1 1 Street Address: license # ? ? I U?6 ? F:xp. 3 ?, cy City &aC Va.//?V State:Zip: ARCHITECT/ ENGINEER Company: Phone k: Name: Regisaation #: Street Address: _ City State: Zip: Sewer & water licensed plumber (required for new constructlon onivl: Penalty applies when address change and lot change Is requested once permit I hereby acknowledge that I have red this9 pplication, state that the informationlis ?OrreGt, ar?i a?ree to compy with all applicable State of Minnesota Statutes and Ci of Ea an Ordinances. ? ?? ? OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Pian Received _ Yes Signature of Applicant: J ! _ No _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex O 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments O 19 Lower Level "? 24 Storm Damage 0 05 3-plex ? 10 8-plex O 15 Lodging ? 20 Pool ? 25 Misceilaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth APPROVALS Planning Permit Fee Surcharge Plan Review License MC/E5 SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. sq.ft. sq.ft. Footprint sq, ft. Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Building Engineering Variance Valuation: $ % SAC PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA074548 Eagan, MN 55122 . Date Issued: 07/31/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1592 Norwood Cir Lot: 07 Block: 04 Addition: Brittany PID 10-15000-070-04 Use Description: Sub Type: e - Air Conditioner Work Type: Replacement Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector, 952-445-2840. Crystal Gemuenden 8910 Wentworth Ave S Bloomington, MN 55420 952-881-9000 Crystal. Gemuende n@ServiceExperts.com Fee Summary: Surcharge-Fixed $0.50 9001.2195 ME - Permit Fee (Replacements) $30.00 0801.4088 Total: 530.50 Contractor: -Applicant - Owner: Sedgwick Heating & Air Michael Mcdonald 8910 Wentworth Ave S 1592 Norwood Cir Minneapolis MN 55420 Eagan MN 55122 (952) 881-7739 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA091114 Eagan, MN 55122 . Date Issued: 09/11/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1592 Norwood Cir Lot: 7 Block: 4 Addition: Brittany 01st PID 10-15000-070-04 Use Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eagan, mn 55123 Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Champion Plumbing Michael Mcdonald 3670 Dodd Rd., #100 1592 Norwood Cir Eagan MN 55123 Eagan MN 55122 (651) 365-1340 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. Applicant/Permitee: Signature Issued By: Signature - Use BLUE or BLACK Ink For Office Use Permit ; City of EaEdREC Permit Fee:/ 3830 Pilot Knob Road 102 Eagan MN 55122 MpR g ; Date Received: Phone: (651) 675-5675 1 i Fax: (651) 675-5694 I Staff: I 1 I - J 2012 RESIDENTIAL BUILDING PERMIT APPLICATION C Date: Site Address: Unit Name: ANe-V M u_E M C 70 ouA l Phone: &57- q 5'Z-- 7097 RESIDENT / OWNER Address/ City /Zip: 5' q2 N O (LW00 r) G l~Eltr Applicant is: Owner Contractor TYPE OF WORK Description of work: A t» l T I 0/-' -/v b A- ZA& 12= Construction Cost:W"7 45- b© Multi-Family Building: (Yes / No Company: _C; P~ 12 C C7 S' OCRO /U Contact: ~t l 7 N rut .o 6*c - CONTRACTOR'S Address PO([,) (2'N City: t?Q40VZ_ CM-C-0 State: MI Zip: 6"573 7Z Phone: 9 O 611 -1 License Lead Certificate !R/A-T -(J q If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ,6 0~ 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: 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 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.aooherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Bull ing Code must be completed within 180 days of permit issuance. x CC k (SN)A//-J1 x Applicant's Printed Name Applicant's Signature Page 1 of 3 - I C(i2e(C- DO NOT WRITE BELOW THIS LINE SUB TYPES - Foundation - Fireplace - Porch (3-Season) _ Storm Damage - Single Family - Garage - Porch (4-Season) - Exterior Alteration (Single Family) Multi Deck - Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) _ 01 of - Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* jt- 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 1-1eop Occupancy G '.2 MCES System Plan Review Code Edition ,Z60-2 SAC Units _ (25%_ 100%_✓) Zoning 9-/ City Water - Census Code y 3~ Stories Booster Pump - # of Units / Square Feet PRV ' p A # of Buildings / Length Fire Sprinklers Type of Construction Z Width-- REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Y- Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: - Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By:' , Building Inspector Ca vt h RESIDENTIAL FEES ~C Q-9e 3/ J~D Base Fee Surcharge Plan Review G MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Pam Dudziak_ 1219 lz L From- Pam Dudziak Sent: Tuesday, April 03, 2012 10:16 AM ~ 7 To: 'Michael A McDonald' GG,~ I I ~~L~bb J ~i(6 Cc: Nancy_K_McDonald@bluecrossmn.com / GI l Subject: RE: Meeting follow up regarding Gardner Construction work at McDonald's residence Mr. and Mrs. McDonald, Thank you for this information. We will note the shed as "to be removed" on the plan. Removal of the shed will also be required before the final inspection for the new construction can be passed. Our clerical staff will call your contractor when the permit is available to be picked up. Thank you. Pam Dudziak Pamela Dudziak Planner I City of Eagan City Hall 13830 Pilot Knob Road I Eagan, MN 55122 1651-675-56911651-675-5694 (Fax) I odudziakacitvofeagan.com Ealsi THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND/OR OTHERWISE PROPRIETARY MATERIAL and is thus for use only by the intended recipient. If you received this in error, please contact the sender and delete the e-mail and its attachments from all computers. From: Michael A McDonald Imailto:michael.a.mcdonald0abbott.com1 Sent: Monday, April 02, 2012 12:17 PM To: Pam Dudziak Cc: Nancy K McDonald@~bluecrossmn.com Subject: Meeting follow up regarding Gardner Construction work at McDonald's residence Pam, I am contacting you regarding, the meeting that you had this morning with Jerry Gardner from Gardner Construction. The meeting was in regard to the City of Eagan approval that was needed for replacement of our existing cement. We were informed that in order to move forward with the cement replacement we need to remove the shed that is located in our back yard. am confirming that we will remove the 10'.3" x 12'.3" shed from its location when the work is completed on the cement replacement. This will allow us to have a place to relocate the items that are currently being stored in our shed. The location for the work is: Michael and Nancy McDonald 1592 Norwood Circle Eagan, MN 55122 Please confirm at your earliest convenience when we are able to move forward. Regards, Mike McDonald Michael McDonald Abbott Diagnostics Cell: 651-246-1821 Abbaft Senior Account Executive 1592 Norwood Circle Fax: 631-452-0322 Abbott Diagnostics Eagan, MN Email: michael.amcdonald@abbou.culr`°iD°f"i'r° 55122 This communication may contain information that is proprietary, confidential, or exempt from disclosure. If you are not the intended recipient, please notethat any dissemination, distribution, use or copying of this communication is strictly prohibited. Anyone who receives this message in error should notify the sender immediately by telephone (847)9:37-5701 or by return a-mail and delete it from his or her computer. ter- ~ ~6~-S 111 CCCJJJ ~ llllll~~~~~~ Nov;, RECEIVED ~3vrGr riv /9w ~o~ y r3vr~.T ~y MAR272012 e J lop)- e Foor- ?,,2- o+ ~®T GOll~l.~~ .°~/o2U~ l.ed P ~ r 41 46 ~ ~ ~0~3 Pit m U1V4 ,ZA 4~ )eE~ v 0,, ? ~ np 730 ~ t'r a- ~ ~ GGV iLyV } '31 GOr` Xf3ff S ~h~lN' O ~ l ~~`v °~J✓ ~ rTi r ~ r 1 lr t r r r i C ti LAND SURVEY 4R REGISTERED UNDER LAWS ,,0F STATIt OF MINNESOTA L~l f d LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS f~ ate, - 3 8616 EAST 55TH STREET a, ''r ~ ► ~arbcpor'g d~i~tttc ~-t ~ oc- f t s a' k~ } std: 01 vi S t t' f 3 ~ x a i t a r ~ i 1 HERESY CERTIFY THAT THE AIOV1 IS A TRUE AND CORR PLAT O/S A.2URVRY OF all 7c B k ::,~rit:t~txry~ Dak.-rta cs]:1tity,mllnII+ A:'iCy1. r At SURVEYED lY !At THIS _ all, P. C. LACK lrllftNfiiC A 9410TRATION,!rI 3600 PERMIT City of Eagan Permit Type: Building Permit Number: EA107284 Date Issued: 10/03/2012 of 3 a R Permit Category: ePermit Site Address: 1592 Norwood Cir Lot: 7 Block: 4 Addition: Brittany 01st PID: 10-15000-04-070 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 6,955.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Renewal Andersen Michael Mcdonald 1920 County Road C West 1592 Norwood Cir Roseville MN 55113 Eagan MN 55122 (651) 264-4777 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. Applicant/Permitee: Signature Issued By: Signature U5E2 CSLUC Vf DLH1.+f� IIIK r------ ----------� I For Office Use � ' bo� ' ' � Permit#: � ��� ���� �� I �tl� � � � � Permit Fee: � 3830 Pilot Knob Road . '� �' � � Eagan MN 55122 " � i Dafe Received: i Phone; (651)675-5675 � � I staff: Fax: (651)675-5694 �----------------� 2014 RESIDEN�IAL-PLUMBING PERMIT APPLICATION , � Date: ��� ��'� Site Addr s : �� Tenant: � Suite#: � _ . _ . _ . . .. . _�._ .�--�.,,,T.,..,-. r ' � r ��:�f�1�.�itfi!'1�i" Name: Phone: c'��� : � * _ �: � � < Address/City/Zip:� �-,.m,� .__ . . . , ... , .. m, ��. b„� .,�,� . .: .-�,�e.,�.�,.�.,F..�n.�.-�-.... �� � . . �, �� ... ... , ' ' " ;; . � .� Name: License#: � � "� � " Address �� ' � ����°���+�� , - //�./� �, = L � !ZT=�lG!�`? !—. . � ; �' State: Zip. Phone: �l,-�) ;; ' � C tact� �� Email: ' � #�a����� . . ,�,��,�,,,.� .�,,� .s.-,�.�..�.�.�� . . . . .�. } '�� � U � New �&eplacement _Repair _Rebuild Mo ify Space Work in R.�.W �F ������ — . — ; F � . - .. , , { . .. l. .� ? r Description of work: �,,, _ . �„ ,�� �., ��.�.� . _ . . . _ _ . � . . � . . .. � k; RESIDENTIAL � � �� � , � �r Water Heater � � . t '�C,Water Softener t , Lawrt trrigation(_RPZ/_PV8) ;+:� �������� � Add Plumbing Fixtures�Main/_Lower Level) � � Septic System � h � New Water Turnaround i; � �'. r: � � ` ' Abandonment �: � ,r..���...�.,,��:.;��:.��,��..�� �:e..�, — . . ... �,,���n,�.�.�-�,�.,.� .. _.�. _�..'-��.,_-�,.,�.. ., ,. ... . �T.-.�.�-�-mT. . ;i RESIDENTIAL FEES: !; � $60.00 Water Heater,Water Softener, or Water Heater and Softener(inciudes$5.0o state Surcharge) �: c � $60.00 Lawn I►'figation(includes$5.00 minimum State Surcharge) � � $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge) 1, i`Water Turnaround(add$200.00 if a 5/8"meter is required) „ � $115.Q0 SeptiC Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) �' TOTAL FEES$ • � �„�,-<.�._.�..�.�, _�,..Q„�,«.�,.�,.��.���,�� .�, .��..�,�.�. _ . .. �., �..�r� �,.. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against u�c�erground utifity damage. Call 48 hours before you intend#o dig to receive locates of underground utilities. www qopherstateonecall.orq I hereby acknowledge that this ir�formation is complete and accurate;that the work will be in conformance with the ordinances arx!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 ns. x��� � ��� ,� . _ _ , .. : X Applicant's Printed Name Applic t's Signature _„.,,,:�.. �..,:;�:...,:�. .,;.,:�: , . , ..�. �:_.,.:.�;� ...:... , ......- '.;�. .�,.::'... �......, .'.-.......r 5:.,..».._ti�. 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'' .'^.:::•_.:n"%`::^.. ::::5 °..3:':i" ..U5' -'.=ii:� avi.: � : .$� . ... ly�.::.:. ,r..._ .�.�e...:.+:* �\ .....r....;�..:t< rls£•i ::.f:.v _ _ Y�V �n. °:xb.k��1�':.. ..:�1.... :''{ev "�:;+ -> t�� 3 �•:,1�� T:;��`,I��:>:....:. ���I�;>� _�, �le?�;��I�. _rr1�. �,�.: `:'�. - �._.: -..�,��.: ,,r_ ,�s: _ ...r Use BLUE or BLACK ink Ir-------------- I For Office Use �. I � I ' � Permit#: � � ��� Clt� of �a��Il I Permit Fee: p� 3�1° I 3830 Pilot Knob Road RECE��E� � � I Eagan MN 55122 � � p EIVED � Date Received: '�o d I Phone: (651)675-5675 QC� � I � � Fax: (651)675-5694 �� ,p� �� � T � —Staff------------�— e� � �� - 2015 RESIDENTIAL BUILDING PERMIT APPLICATION c�,�� l� Date: Site Address:����� ��w'�dc.� 1...�s�(�l.�i Un�t#: � �� ��� �'� � 7 , Name: /�1;t�l►��.� � ��t���C:��.M�f� Phone: Co� 1-' �1'�2 � 7�9 7 -:,`,���� � Address/City/Zip: ��`��� )vL.�e•Jvc�� �+�'L� '= Applicant is: Owner ontractor t,V L I• /1 c s/ "Ta� A10 �! T Description of work: vJ� C ���� � v/�1 �������� � �' t. � ` Construction Cost: �1i J`'K' �a='���s�G�"''I� Multi-Family Building: (Yes /No ) , ; Company: a r+�u2.S �-Xrr � '. �-�4��J Contact: _�am[.5 I"trid�-✓1 . $ °, Address: '�',�'�Z�� 1��►�--� �'� �11. � �� City: � v �1 ����rt � ,,. �,, ��1 { _ State: f�1�V Zip: �IZ• Phone:`�52-��l.l(,y' (�Email: _�c1wi.ZS �c� i�1� . �+Z § License#: �C. ( � I O 2� Lead Certificate#: �d'� — Z�(,z�?/ '2 If the project is exempt from lead certification, please explain why: ��l/�� ��� f'�'��' �.�� 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: ��x����#���������������������� . � , f ��,� � � ` � ��'�t�� �` ���������a��� ���r�� �� �� ����► `�` '�'�`°��� ��!��� _,: ,� ,;` � ; , , - ��,�;�-��„�� -, � , � ���. .• .. _ . ��. - � � _._= � -- _�_ ....�,.E ... , � ��..._� 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.aoqherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of ermi�isuance. � X �,�,�'hr'o �t'�<-'� X ✓�r-�-"'�---. Applicant's Printed Name Applicanfs Signature Page 1 of 3 � , �S l� ��f w��r� C;r �] DO NOT WRITE BELOW THIS LINE ����� I SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) _ Single Family _ Garage � `' Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior ' ` Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION .. Valuation �/Gq�j Occupancy .tl�t.0 -/ MCES System � Plan Review Code Edition o/ SAC Units _.._-- (25%_ 100% v) Zoning �^/ City Water ----- Census Code 3 y Stories 1 Booster Pump �- #of Units � Square Feet 1 �Id PRV #of Buildings / Length �5��G�' Fire Suppression Required ----' Type of Construction _� Width / �- 3`� REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) S� Final/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation � Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES / 90 � @ �o �" 3 7�f 7 � Base Fee /03 a--- Surcharge Plan Review �O 7� MCES SAC City SAC Utility Connection Charge S&W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA172185 Date Issued:09/17/2021 Permit Category:ePermit Site Address: 1592 Norwood Cir Lot:7 Block: 4 Addition: Brittany PID:10-15000-04-070 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Michael A & Nancy K Tstes Mcdonald 1592 Norwood Cir Eagan MN 55122 (651) 488-0090 Hoyt Exteriors Inc 15112 Galaxie Avenue Apple Valley MN 55124 (651) 246-4801 Applicant/Permitee: Signature Issued By: Signature