1598 Norwood CirCASH RECEIPT
CITY OF EAGAN
3795 PILOT ICNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
R¢ceiveo
FROM
annouNr $ I
DOLLARS
+so
E] CASH [:] CHECK
B y
v
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You -
' cirY oF EAGaN
3795 Pilot Knob Raod Eagae, MN 55122 N2 6760
PHONE: 454-8100
BUILDING PERMIT Receipt # -
To be used for Est. Value Dote , 19
Site Address - Erect ? Occuponcy
Lot Block Sec/Sub. Alter ? Zoning
Parcel # Repair ? Fire Zone
w Name i I?liiljers.
3 Address .."oYe I.ane
0:
z
?
?
Address
Eniorge ? Type of Const.
Move 0 # Stories
Demolish ? Front
6rode ? DepYh ft.
Auaorols Fees
Assessment
Water & Sew.
Potlce -
Fire
Enp. _
City Phone Plcnner _
Council _
I hereby ackrwwledfle that 1 hove reud this application and state that gldg, pff,
the information is correct and agree to comply with oll opplitoble APC -
State of Minnesota Statutes and City of Eagan Ordinonces.
Permit
Surcharge
Plon check
SAC
Water Conn.
Woter Meter
Road Unit
Total
Slgnoture of Permittee I
A Building Permit is issued to: on the express condition that
nll work sholl be done in accordance with nll opplicable State of Minnesota Statutes ond Ciry of Eagan Ordinances.
Buiiding Official
PennM # DoM luuod Pasiltt"
Plumbing ,,23? ;;,, ` 3 - $- G Z - C?QA
Mechonicol !O g-?`?'- $ GE Yl Z~ /'\
S
INSPECTIONS DATE INSP. Rouqh-In Fi?xA
Footings 717 $' Data Iru . Date Inap.
Foundation
Frame/ins.
Finol
rt -lle- T L Plumbing
Mechanical (?L
Remarks:
a
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee .
flll in numbered spaces S/C
Type or Print legib/y Tot '
1, Date ??^? r?'=? • 2. Installation Cost
'
o
? `
'
3. Job Address Blk.
L
t
• Tract
4. Owner
5. Contractor Phone '
?
6. Address
7. City '. . iState . , Zip
6. Building Type: Residential ?Ll Commercial O Institutional O
9. Work Description: New C] Add ? Alter ? Repair ?
lO. DeSCrIW Fuel Type
?
11.
No. Eauioment STU - M. Ea.
Forced Air No. Equipment CFM
Air H
ndlin
:
Mfg. . -- g
a
Boilers
Mfg. Mech. Exhaust
Unit Heafer
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets 6
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
6-/
Receipt PLUMBING PERMIT Permit No. ?
CITY OF EAGAN Fee
Fill in numbered spaces S/C
Type or Print legibly Tot. -
.?
1. Date 2. Installation Cost - J • ,, , :.
3. Job Address Lot Blk. Tract
4. Owner /f f < : ;"- '
5. Contractor Phone
6. Address
7. City ? , , -•? i, _ State / l Zip -
8. Building Type: Residential P Commercial 0 Institutional 0
9. Work Description: New O Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date _ Insp._ _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
?;?. ? r t r?v c
PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
U t 1!t i i:t??l+
. ? 1
TYPE OF WORK:
:,: ..
tt?I r+6
o 4/i'1N/Sd4
s
&
? ?
?}
y 6
fi_Jt
?'
??-d( I
r4l&•+??j-J
J
Permit No. Permft Holder Date Talephona #f
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapection Date Inep. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Fnal Hig-
Orsat Test
Fnal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Fingl
Deck Ftg.
Deck Fxial S-,f
7
Well
Pc Dfsp.
CITY OF EAeiAN Remarks
l.ot 4 Blk 4 Parcel 10 15000 040 04
Street 1598 Norwood Circle State
ptu
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ??O 182 2819,8 563.97 5 1127.96 A013897 5-17-84
STREET RESTOR.
GRAQING S,?t 1981 428.73 28.58 314.41 A013897 5-17-84
SAN SEW TRUMK 62.64 A013897 5-17-84
• SEWERLATERAL 1991 5040-87 -336,06 ? 3696.67 A013897 5-17-84
WATERMAIN
* WATER LATERAL 1981
WATER AREA 51 180.00 A013897 5-17-84
STORM SEW TRK 1981 492.50 32.83
IS
361.18
A013897
5-17-84
* STORM SEW LAT 1981
CURB & GUTTER
SiDEWALK
STREET LIGHT
Road Unit 185.00 25672 7-9-81
WATERCONN, 33$.00 25672 7-9-$1
BUILDING PER. 6760
SAC
PARK
WATER SERVICE PERMIT
f OF EAOAN
f Pilot Ksob Road PERMIT NO.:
n, MN 55142 DATE:
ng: No. a# Units:
, . . _
sr
. _
Addresl: ' r itltsaj e i " '', c'"
iber:
r No.: Connection Charfle: ?
Accnunt Deposit:
kr No.: Permit Fee:
ve to Qanply wMii !be Citp ef Eepea Surchorge:
manoas. Misc. Charges:
Totol:
Dote Paid: t
of Insp.:
SEWER SERVICE PERMIT
CITY OF EAGAN
3795 P11a Knob Roe/ PERMIT NO.:
Eayan, MN 59122 DATE:
Zoninp:
Owner: - i No. of Units:
-
Address:
Site Addresm " r t
Plumber:
1 agra to eemoly wilh Hw Cihr ef Eagew Connedlon Charpe:
Ordiweatp. Attount Deposit:
Permit Fee:
Surchatge:
By Misc. Charpes:
Date of I nsp.: Total:
Insp.: Dote Pald:
CITY OF EAGAN
3795 Pilot Kno6 Road Eagan, MN 53722
PHONE: 454-8100
BUILDING PERMIT APPLICATION
Receipt #
N° 6760
?2SIa 1
To be used Foe SF DWG/GAR Est. Value $68,000 Date 14.g1-
Site Address 1598Ngrwood Circle Erect Ex Occupancy R3_
Lot 4 Block 4 sec/s,b. Brittney lst Add. Alter ? Zoning Rl _
Parcel # 10 15000 040 04 Repalr ? Fire Zone NA
Enlarge ? Type of Const. V
rc Nome Toll e£SOn BLl dErB, Inc Move ? #$tories
3 Address 13816 Hol.,qoke I.flIIE Demolish ? Front 46 ft.
° city ADD18 Vellev phome 454-6873 Grade ? Depth 62 ft.
& Name OmnPr APVrevole Fees
0
05 Address
Assessment
Permit 337-00
V Water & Sew. Surcharge 34.50
H Cit Phorre Police Plan check 168.50
F
ww Name Fire SAC 525.00
~z
Address
Eng. 5.00
Water Conn.
aW Ci Phone Planner WaterMeter 60•00
Council Road Unit 185.00
I hereby acknowledge thot I have read this opPlication and state that gldg. Off.
the information is correcf ond agree to comply with all opplicable APC Total $1645.00
State of Minnesota Statutes and City of Eagon Ordirwnces.
Signature of Permittee
A Building Permit is issued to: - - on the express condition that
all work shall be done in accordance w'oll npplic 'qnesota Statutes ond City of Eogon Ordinances.
Bullding Official iE` 4` _
.
LY i By, ?r?"-l????. l S?- % ? z'o C-') CD
?
. est void -:2 a ( Q (0
18 months from
' ? 40123
Date of this Request Fire No.
I„as 5 Licensed Electrical Contractor OOwner, do here6y request inspection of the above electri-
caf wiring installed at:
Eagm
Street Address or Route No. 1598 Norwood Circls City1VMAML-
Section . Township
Range County DBkOta
Which is occupied by Tollefeon
(Name of Otcupant)
Is a roughin inspection required on this job? No ? Yeg= Ready Now ? Will Call)=
Power Supplier Dakota Cty.
Farmingtori
Electrical Contractor O.B. Thompson Electric Co. Contractor's License No440602
122o1rrdy ?caComffvy?., Vtka 553?
Mailing Address ame
o n
Authorized Signature V/? a k?sr`???'h ne?' 70 ??_ u?? •
(Electrical Contractor or Owner Making TMS Installat on)
?? nln1?? p O n?D ?('Op? This inspectian request will nat be accepted 6y the
Li=J l?i State Board unless praper inspection fee is endosed.
Minnesota State Board of Electricity
Griggs Midway Bldg. - Room N197
- t Unive;piry kVe., St. Paul, Minn. 55104 - Phone 297-2111
REQUEST FOR ELECTRICAL INSPECTION
CH?CK BELOW WORK COVERED BY.THIS REOUEST
EB/-0-/0001-02
v? CC0(O -7
? 40123
Type of BuOding New Add. Rep. Check Appliances W'ved For Check Equipment Wired FoY
Home ? ? ? Range ? 'TemporarYW'iting ?
Duplex ? ? ? WaterHeater ? LightingFixtures ?
Apt. Bldg, 0 ? ? Dryei ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unioadef ?
Industrial Bldg. ? ? ? A'v Conditioner ? BWk Milk Yank - ?
Fatm ? ? ? List ) L
ist
Other ^ ? ? ? }
Heieisf p
Heiers1
COMPUTE INSPECTION FEE BELOW Tempoxary 38rvice
Service Enhance Size:
# Fee Feeders&Subfeedeis: # Fee Cucuita: # Fee
0 to I00 Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Ahove 200_Amps. Above 100 Amps. Above 10Q_Amps.
Transformers RemoteContiolCirc. Pariialorotherfee
Signs 1 1 Special Inspection Minimum fee $5.
Remarks JefF D. TOTALFEE ?dd 10•50
l, thc:Electi'taal\ ns or?ereby certify that the above inspection has been made:
(Rough-i-1 Date
(Final) t _ _ °il) Date ??fGJ
This request void • Y?krt
18 months from
This eepues[ voidce (G
?e 6thL?60
r i{-f-a. n,? Si-2 , o 0
(a9-S?_
Renuxse Uate -
• Fire No. qouPh-in insaection
RnquveA? ' . ?
?Neatly Nuw Will Noiify, Insoer
_?? ? XYe.s ?No ' , -r When ReadV .
4Klicensed Electrical Contractor_ , , . . 1 harebyrepuestinspaction of ebove "
? FYVner eleclrical work installed et:
SVeet Ad 1r ss. 9oz or Rou[e No.
IS? aR wooD cr Ciry .
E aG)O-n1
ecuon o. TownshioName ur No.- ' Ranqe No. County '
OccupanUlPfl TI . ' -
s
?f
? d
i
? Phone No. '
er
?w
s?m
e-
Power Suyplier
DA K o-f R ?lec+?'? ? Atldress •
rF,2/I+46U?RA/
.Ele Vical Coniractor (COmyany Name) . .. . .
77,1`2 EL,E-C'_141c ai _Z Contractnr's License No.
G-7 ?
MailinB AdJress (COnhacmr drOwner Making Instaii tioN
lu% ?3?d
A
U
I?A 'I
-
a,PE_
e-
Authorize Siggna[ur IConhector OwnerMaking Ins411ationl - Phone Number
V
MINNESOTA STATE'BOAA OF ECTEICITV THIS INSPECTION BEnUEST.WILL NO7
Griggs-Midwey Bldg. - Room Nd91 ' . -- BE ACCEPTEDeY THE STATE BOAND
1821. Univerairy Ave., SL Pauf; MN 55704 • '.UNLESSfROPEBINSPECTIONFEE 15
an..... IRt9t99)_91n - . ' . 'ENCLOSED. . -
!1 !?lJ V AREQUEST FOR ELECTRICAL INSPECTION
6? yop.? I- See instructions (or completing this torm on bnck ot yellow copy.
l.
"V.&Iow Work Covered by This Request
EB-00001-03
-;2(08?
Atld Aep. Type of Building Appliances Wirod Equipment Wired
Home Ranye Temporary Service
Duplex Water Heater Lightin Fixtures
Apt BuilAiny Dryer Electric Heatin
Commercial Bidy. fumace Silo Unloader
Industrial Bldg. AIr Con(litioner Bulk Milk Tanlc
FTlln Other peci v) Othrr(SVecily)
OI e. Suer.i(y Other Dther
Compute lns - n F Below
.N Fee
d'D Ekji ce
to 1 ' s
01 Fee Fxeders/5ubteeders
U to 30 Am )s
31 to 7 00 Ainps N
/0 Fee
/s Circuits
0 to 30 Ain s
31 to 100 Am s
- Above 200_ m"j+'g Above 100-Amps Above 100_P.m s
Transiormers Remote Control Circ. Partial%Oth
' Signs Special Inspection
S
' Q
?
?
Rt:*arks
I _ / . 5
o TOTAL F E J
'
J
i ir i
RnuAh-in pate
? : tha Elecbicel
_? Inspector, hereby
?if
th
Final
P car
at the above
V
'
?? spection has bean
? '
A w
?:.
T is repuest void
18 months hom
Clty of Ea?an
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
- --------------
? F9rOfficeUse ?
j Permd #: _<7(,_,z_ j
I I
? Permit Fee: Z?ln
?
? DateReceived:
I ? I
I Staff: ?
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /0-?? ? Site Address: / a-6-' C'( ``2
Tenant:
Suite #:
RESIUENTlOWNER Name: ,?? Phone:
Address / City / Zip: 1S ye
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description of work: fzL =:?: C 6 `ee-'l
Construction Cost: v, 2 C?' Multi-Family Building: (Yes No ?)
CONTRACTOR Name:*,?2?-"'r-5 F G o?? l y'? ?b?`5 _ License #:
Address: ?1 `"fG °l ?"?j Z?L??f? G.?,.? 2 A?
City: State: Zip:
?-
Phone:???L? GontactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota RuleS 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
CaiBgOry Submitted Su6mined -
(4 submission fype) • Energy Envelope Calculations Suhmitted
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 informatlon. PortTons of
the intormatlon may be classifled as non-public if you provide specific reasans that would permit the Ciry to
conclude that the are frade secrets.
I hereby acknowledge Ihat this information is complete and accurate; ihat the work will be in conformance with the ordinances and codes of the City ot
Eagan; thal I understand this is not a permit, but only an application for a permi6 and work is not to start without a permit; that the work will be in
accordance with ihe approved plan in the case of work which requires a review and approval of pla ps-.?z
x!
ApplicanYs Printed Name ??Alp c nt's Signature
Page 1 ot 3
2007 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Kaob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructian Reauiremenls
3 regatered site wrveys showing sq. ft of bl, sq. ft of haise; and ell rwfe0 areas
(20%maximum bt coverege allowed)
i Shcs Repal if proposed Iwilding is to be placed on disWrbed soil
2 copies of plan slrowing heem R wirMow saes; poured tuurd design, etc.
1 set of Energy Calaiatians
3 copies 01 Tree Preservatian Plan if lot platled efter 711N3
Rim Jdst Detail Opbon seledim sheet (6uildings wBh 3 ar less unils)
Minnegasco merlienical venhlal'qn fwm
1 G 7-?
V 15?
RamadeVReoair Reouiremenls Olfioe Use OnN
2 copies of plen showin9 foodn9s, beams. ]dsfs CeA ot Smvey Recd Y_ N
t set M Energy Calculations kr heated adtlitions Shcs RepoK _ Y_ N
1 sile survey for additions d decks Trea Pres Plen Recd _ Y_ N,
Adddian - indcete if onsile sepfic sysfertr Tree Pres Required _ Y_ N
On-site Septic System _ Y_ N
Plans are considered ublic informa2ion unless ou state 4he are 4rade secret and the reason.
Date :3 / ? / CJ / Construction Cost `Y ?? 0
? _I
_._ 0 ( (?{,[?,? ,?'7 .
Site Address ?
? o ??- Unit/Ste # ,
Descriptioo of R'ork mi2loe -a b ? ?JI?L'ZrT1A0J ?? .?d WQ
-
Multi-Family Bldg _ Y Ftireplace(s) _ 0 _ 1 _ 2
r
C(
PropertyOwner?Oh{?j V-'C)tili;4e ?, r
Telephone#66,1)3
1
Cootractor /l?C
Address o2 CC City
State Zip ,M062 Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesoh Rules 7670 Cateizory 1 Minnesoh Rules 7672
Energy COde Category . Residential Verrtilation Category 1 Worksheet • New Energy Cotle Worksheet
(J submisslon rype) Submitted Submitted
• Energy Envelope Calculations Submitted
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber Telephone #(
MechanicalContractor irli . - 2007 Telephone#(
_ ?,
Sewer/Water Contractor 0 ?,2 Telephone # (
ppkj/
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 Ciry 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 equires a review and
approval of plans.
Applicant's Printed ame ? A plicant's Signa re
ti
DO NOT WRITE BELOW TffiS LINE ?-?
Sub Tvues
? 01 Foundation ? 07 05-plex
7"_ 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 64 02-plex ? 10 08-plex
? OS 03plex p 11 10-plex
? 06 04-plex ? 12 12-plex
WOf1c Typ9S 4?
? /?y
? 31 New ? 35
? 32 Addition ? ? 36
`91C 33 Alteration ? 37
? 34 Replacement
D@SCIiDtlOtl: Water Damage _ Yes
Vatuation y S"?vn
Plan Review 100% or 25%
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const ?
0 13 16plex ? 20 Pool ? 30 AccessoryBldg
? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AR - Multi
? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
p 18 Deck O 23 Porch (screeNgazebo/pergofa) ? 36 Multi Misc.
? 19 LowerLevel ? 24 Storm Damage
? 25 Miscellaneous
??? ?'?`"' 1/?/?'f "" ?. .?- ! ? f?„ ' ?./?/T'?.
Int Improvement ? 38 Demolish Interior ? 44 Siding
Move Building ? 42 Demolish Foundation ? 45 Fire Repair
Demolish Building" ? 43 Reroof ? 46 WindowslDOOrs
•DemollGOn (EnGre Bldg) - Give PCA handout W 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 Tce& Water Final
?C Framing
Fireplace _ R.I. _ AirTest _ Final
insulation
T
REQUIREDINSPECTIONS
_ Sheetrock
Final/C.O.
? FinaVNo C.O.
HVAC
Other
_ Pool Ftgs _ AidGas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
W indows
_ Retaining Wall
Approved By: , Building Inspector
Base Fee
Suroharge
Plan Review
MC/ES SAC
ciry sac
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
I*#
t?-G7fG
a
L ?? 17
. , )
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConsWCtlon Reauirements
• 3 registered stte surveys showirg sq. fl. of lat, sq. fl. of house; and all roofed areas
(20% maximum lot coverage allawed)
• 2 wpies af plan showiig beam 8 window sizes; poured found design, elc.)
• 1 setof Energy Calculafions
• 3 copies of Tree Preservatlon Plen if lot platted after 1!7193
• Rim Joist Detail Optbns seleclion sheet (bldgs wAh 3 or less uni4s)
DATE 5 '- (0 - C?J 'Z,
SITE ADDRESS f S 98 N 0 5??v.ac,o fJ i Z C, L E MULTI-FAMILY BLDG _ Y _ N
TYPE OP WORK _t?AT H F M n 1J j=i FIREPLACE(S) _ 0_ 1_ 2
APPLICANT 'iF V,?„ F S f IU Q r
STREET ADDRESS ??f caS E. 7 5 5 S"t- CITY'YxJ &hn i nicGfip?S?,T,ATE_,??IP
TELEPHO??F ? 3-Z '?j`7C0 CELL PHONE #Ci;S ?'i.- -- 2 17 3 3 8-5 fAX #
PROPERTYOWNER?aNf.? Q 1 0 V, LE r TELEPHONE#6Si -454-5-43 S
------------------------------------------------------------°-------------------°------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672
(4 su6mission type) • Residential Venlilation Category 1 Woricsheet Submitted • Naw Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing syslem includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor.
Air Conclitioning
Heat Recovery System
S I1-+ oa.
Tee: $90.00
p?L? L? T 0 TT
? MAY 1 0 2002
------------------------------------------------------------------------------------????---- -- ---------r----------
I hereby acknowledge that I have read this application, state that the information i comect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O inances.
Signature of Appilcant TUAI-J
OFFICE USE ONLY
_ Water Softener
Water Heater
_ No. of Baths
RemodeURaoair Reaulrements
. 2 oopies of plan
• 1 sel of Energy Calculatiom for heated additbns
• 1 site survey forentedoradditions & decks
• Indicate if hame served by septic system for addNOns
_ Phonc #
Lawn Sprinkler
No. of R.I. Badis
VALUATION P50 6
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY i
? 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.) 1 ? 31 Ext. Alt - MuRi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) i D 33 EM. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 SYorm Damage ?
? 06 04-plex ? 12 12-plex PIbgiY 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 R_ 3 MC/ES System
Census Code Zoning City Water"
SAC Units - Stories Booster Pump
Nbr. of Units D Sq. Ft. PRV ,
Nbr. of Bldgs / Length Fire Sprinklered
Type of Const S" ( Width
I
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O. I
_ Footings (deck) ? FinallNo C.O.
i
_ Footings (addition) ? Plumbing
_ Foundation ? HVAC i
_ Drain Tile Other
Roof _ Ice & Water Final Pool Ftgs Au/Gas Tests Final
Fianun8 _ Siding Stucco Stone _
_ Fireplace Au Test _ Final _ Windows (newheplacement)
_ Insulation _ Retaining Wall
P
Approved By 3 Building Inspector
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
PERMIT # 5O I {o RECEIPT DATE:
2002 RESIAENfIA., #'LUMBINfi PER61Tf APPL1CATION
CITY OE EAfiAN
3830 PILOT xNOa Rn
ERfir4N, MN 55122
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS:
OWNER NAME: = TELEPHONE #:
(AREA CODE)
INSTALLERNAME: TELEPHONE#: t-)4/4 ! O 7VI
(AREA CODE)
STREET ADDRESS: J? U
cirv: 2?e6 47`-ev STATE: /11 ?/L''t?/ ziP: ?7?'Qc
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) g 100.00
includes $40.00 County fee
Note: Additional consuRant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
? Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118)
? 'S ?
1
b
Other:
:?3 C4 0
2A4i5
L,(3-
?? ? ylJ? ?
_ RPZ: new installation/repair/rebuild
u $ 30.00
?
lawn irrigation system
FR
02
2 4 2002
MAY
?
`
ReplacemenUadditional: _ watersoftener _ waterh ?c----- $ 75.00
State Surcharge $ .50
$
rotal
I hereby acknowledge that I have read this application, state thatthe information is cortect, and agree to complywith all applipble Cityof Eagan oNinances. It
is the applicant's responsibilityto notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during ds normal
operational and maintenance activities to the Bcilities constructed untler this permit vithin City py? erty/rig easement.
? ? TJ
SIG RE OF PERMITTEE 1f02
k CITY OF?EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE
Permit Number:
Datelssued:
BUIL T fi
023260
04/68/94
SITE ADDRESS:
ssee rvoRwooo czR
LOT: 4 BLpCKe 4
BRITTANY
P.I.N.: 10-15000-040-04
DESCRIPTION:
ByU1ldingl-Permit Type
?Bu#ldirtig Wd?rk Type
?._.
/' '•"*
r ;
?.
j ,
; i..
--
,?,? ? .
` <<
?°.
DEGK
NEW 71
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Totai Fee
$30.00
$30.50
CONTRACTOR:
OWNER: - wppiicant -
:URLEE JOHN
L598 NORW00D CIR
:AGAN MN 55122
(612)452-9929
F- _ _ I
I hereby acknowledge that t haue rsad this a-pplicatiorr and state that the
informatibn is aawrect and agr^ee td comply wzth aLl applicable State ef httt.
Statutes and City o'F Eagan Ofrtlinances.
L I
A.? J,n ?-
?- APPIICNT/PERMTE;? SIGNATURE ISSUED Y: GNAT E
CITY OF EAGAN
1094 BUILDING PERMIT APPLICATIQN
? 681-4675
? ! FR
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets af architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested ance permit
is issued.
Date / / Valuation of work
Site Address:_ 15 15 l??v-?.?csor? e?re.Le E6_4 mA-. !u ?
STREET SUITE #
Tenant Name: (commercial only)
IAT ? BLOCK ? SUBD. P.I.D. #
Descri tion of work: j!yc
The applicant is: lq'l Owner ? Contractor ? Other (Describe)
Name CUr 1ee- Sok n Phone a?'f323
Property LASr FIRST
Own@r pddress 15cr A AJt)D-wa?j (2-i rcl ?o.-
STREET STE #
City ec'- State M? Zip S.5 /d 2
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read 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.
Signature of Applicant: qXA ? t,r,J1XRQ/
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwg. ? 07 4-Plex
? 03 SF Addition ? 08 8-Plex
? 04 SF Porch ? 09 12-Plex
? 05 SF Misc. ? 10 Multi. Add'1
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(pllowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Plann9ng
Engineering
REQUIRED INSPECTIONS
? .Site
? Wallboard
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
?r
? 11 Apt./Lodging
? 12 Multi. Misc.
0 13 Garage/Accessory
? 14 Fireplace
13 15 Deck
13 35 Tenant Finish
? 36 Move
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Faotprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? final
vsLmc;m:
13 Framing
? Draintile
'Lt"3'60BaYe%nti 'Fi n i sh
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Boostir Pump
Fire Sprinkler
Census Cade
SAC Cdde
Census Bldg
Census Unit
Assestments
? Insulation
? Fireplace
SAC %
SAC Units
ities Di itg al Qualitv 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.
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--"'/- •".{ 'riy?N[61BTiR60 UNpCR LAWB OF fTAi[ W M1NN6fOiA
? LIGtNS[D IF'I ORDINANCt O' CITY OF MINN[AMLI•
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bucbepor'g QCerti6cate ''• 1
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I HERlBY GLqTIFY TffAT ABOV6 15 A TRUE ANO CORRlGT PLAT 001 SURYr OF
i,
Lot 4,Block 4,Brittany,
?\ 3fp. e? I}a!sita County,Minnesata.
\
;
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AS SURViYED HY MC TNIS__. 11tIl_OAY OP June_..p _
4V
... . .?•.., '3'I:?.;•,r.:.:?..(-1?_ hf.Ji: ri>',.i,tt.
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ri:?;;.r.?::i:;:::li.Ji??k:?k?k.k".tt:s?}::?.;?4; 'M ?::#?1?iY.?km:+:?yt;i:V';??{+>•::k%A?:?'. ??k #
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILCT KNOB RD • 55122
651-681-4675
New Cnnshytt(Qn ReaWrements
? 3 regislered sHe surveys showing sq. M. of bT, sq. ft. ot house
and,QLi roofed areaa (2046 moximum lot eoveraae allowed)
D 2 coples of plans (show beam a window sizes; poured ind. design; etc.)
ID 1 set of energy calculaHons
D 3 copiea of hee preservaNon plan H lot plafted aHer 7)1/93
?l l
Remotlel/Reoalr Reaulremenh
$12g- 25
#2323
2 copies of plan
1 set ot energy calculofions (or heated addRlons
1 aMe survey (or exAedor addlMOns 8 decks .
DATE: ? ?79 CONSTRUCiION COST:
aoo
DESCRIPTION OF WORK: ??&4- Ol? ?- ? ULaII?
STREET ADDRESS: 07
?
LOT: BLOCK:
SUBD./P.I.D. #:
Name: 6tj-<-1[G 9•An Phone#: 45"q "54j5,
PROPERTY tart Ftrst
OWNER ,,I +
Street Address: / sOc? I a /V d) LUO cfd &JL
City it aqa/V State: Iip:
Company: BG./If1e2 Phone#: LQ 12 -7qg'y97 6
(area code)
CONTRACTOR
StreetAddreu: IQD6I I,ultdct.Qe 14J.?License#2b01Z0 Exp. LZ ?"
city M v IS • state: M n1 ztp: .SSy! 9
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Sheet
City
Sewer & water licensed plumber (reauired for new eonstrueHon onlvl:
Regishation #:
State:
Zip:
P/enaPly applies when oddress change and lot change Is requested once permfl is issued.
1 hereby acknowledge thot I have read this appiicatton, state that the IMormation Is correct, and agree }o comply wHh all applicabl
Vate of Minnesota Statutes and City of Eagan Ordinances.
Signature W Applicant ??/? 111? l11L ?OFFICE USE ONLY ? -_ ------ _ . _
.?I _
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required ALIG Z 0! ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level
? 05 3-plex ? 70 8-plex ? 15 Lodging ? 20 Pool
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only , O 43
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45
? 34 Repair ? 38 pemolish (Interior) ? 42 Reroof
' Give PCA handout to appli cant for demolition permit
CaENERAL IfVF'OftMAl'fOiV
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
BUIIdIRCj
Engineering
Census Cod
SAC Code
No. of Units
No. of Bldgs
MC/ES Syst,
City Water
Booster Purt
PRV
Fire Sorinkle
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4sea.
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
re Repair
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
Total:
Valuation: $
s'
SAC Units
% SAC
/c_??oa??V40 ._.oy
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR T'OWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE ?
? FIREPLACE INSERT /Qc o
DATE
$ 24.00
6.00
FEES
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLET'S (MINIMUM 1 @ $3.00 EACH)
$ 20.00
ADD-ON/REMODEL (Exis7vNG coNSTxucr[oN)
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TELEPHONE #: `7 ,A> -
.50
??
&'e'a4-cr,
f
TELEPHONE #:
STATE: ZIP CODE:S
1994 MECHANICAL PERMTI' (RESIDENTIAL)
CITY O'F EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
1994 MECHANICAL PERMTT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6$14675
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
I3A TE-:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF f?:.?'?,?. ......: °' FEE $
..?_?.. v._.
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCHARGE
TOTAL
STTE ADDRESS:
$25.00
$25.00
$.50 FOR EACH $1,000 OF UM FEE.
$
OWNER NAME: TELEPHONE #:
TENANT NAME: (uMPxovEMErrrs orrLY)
INST.
COiV c"3'cAi,T ricIt.E: a
CTTY:
TELEPHONE
STATE: ZIP CODE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
---------i
j Permtl#
? Permit Fee:
? Date Received:
I ?
? SIaH: ?
2009 MECHANICAL PERMIT
Dater ? " v `"- ' Site Address: ) 5! O /Vne?
Tenant:
Ct ec,
Suite #:
RESIDENT / OWNER Name: O Phone:
Address / City / Zip:
CONTRACTOR Name: tA_)eiA7,e1 R'P?-1.???? License #:
Address:
City: ? -e- Sta : zip: .S3?I IZ
Phone: 15 Contact Perso ?xZ? 363 ?Z? 2' ?
TYPE OF WORK - New _ Replacement _ Additional _ Alteration _ Demolition
Description of work:
IVOT€:' Both rvot mounted antl grou»d rrinu,nted r+iec'han)?W equl,priaettf Ps t?40Fretl to '
6e sereene?d 4y City Cvde. Pteasa soniaef fhe ftAecttanical Inspectar or ane af €he
e
: PfanneFS for iiiformatioi? on rmitteti`screenin methods. '
RESIDENTlAL COMMERCIAL
PERMITTYPE New Construction - Interior Improvement
Fumace -
AirConditioner _InstallPiping _Processed
Exchanger
n Gas _ EMerior HVAC Unit
_
? Under / Above ground Tank L Install Remove)
eat
Pump
- _
"" When installinglremoving tank(s), call ior inspection by Flre
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $50 State Surcharge)
$90.50 Flf@ f@Paif (replace 6urned out appliances, duciwork, etc.) (includes $.50 State SurCharge)
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installatioNremoval OR Contract Value $ x 7%
$50.50 Minimum (includes State Surcharge)
- $ Permit Fee
- If Perrnit Fee is less than $7,000, surcharge is $.50.
- Ii Permi Fee is >$1.000, surcharge increases by $.50 for each =$ State Surcharge
$1,000 Pertnit Fee (i.e. a$1,001-$2,OD0 Permit Fee requires a$1.00 surcharge).
$ 70TAL FEE
h
I hereby acknowledge ihal this intormation is complete and accurate; that ihe work wdl be m conformance wilh the ordmances and codes of the City of Eagan, t at
I understand this is not a pertnit, but oniy an application for a pertnit, and work is not to start withou[ a permit; that !he work will be in accoNance with ihe approved
plan in the case of work which requires a review and approval of plans.
X x
ApplicanYs Prinied Name ApplicanYs Signature
For Office Use
City of Eapn Permit
I /
Permit Fee: li
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: ~
Phone: (651) 675-5675 I l
Fax: (651) 675-5694 Staff:
2009 MECHANICAL PERMIT AP LICATI N
5- l ~ ~y~( c~ G A, CI etc-
Tenant: 'Site Address: ! O
Tenant: Suite
RESIDENT / OWNER Name: Phone:S Address / City / Zip: d y~~
CONTRACTOR Name: _J 7e,1 License
Address: c7 L L
City: State: Zip: Sit 2
Phone: 62 17f"74f Contact Perso 6,2-- 3,63 -Zv Z
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work:
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE t
Furnace New Construction Interior Improvement
V"
_ Air Conditioner Install Piping Processed
Air Exchanger _ Gas Exterior HVAC Unit
Heat Pump _ Under/ Above ground Tank (_Install/_ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ TOTALFEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
I 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 x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: -Under Ground _ Rough In _Air Test _Gas Service Test In-floor Heat `Final
Exterior HVAC Screening Inspection
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121166
Date Issued:03/17/2014
Permit Category:ePermit
Site Address: 1598 Norwood Cir
Lot:4 Block: 4 Addition: Brittany
PID:10-15000-04-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John C Curlee
1598 Norwood Cir
Eagan MN 55122
Norwest Contractors
8469 Zanzibar Ln N
Maple Grove MN 55311
(612) 859-8517
Applicant/Permitee: Signature Issued By: Signature
City of Eakall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
APR 0 6 2016
r
Use BLUE or BLACK Ink
For Office Use I r �,
Permit #: /
Permit Fee: (% 6 '
Date Received: , e V..6
Staff:
�/ j 2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: $74'/1%0/ Site Address: / 5 l g Au,-Gc7f,,e'L") C nom/ - Unit #:
Restdantl
Owner Address / City / Zip: / SI 8 Nor o oma( C
Name:
Type of Work
Contractor
Phone &.Jy7'"4/7e-' 1?a1
Applicant is: Owner Contractor
1
Description of work: % A' CI5' jI-;e ,S u � -'F� ° %'��` li�� •� f"a-a `9Gl ��,
Construction Cost- 606 Multi -Family Building: (Yes
Company: Contact:
Address: City:
State:, Zip: Phone: Email:
/ No )
° License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes
No If yes, date and address of master plan:
Licensed Plumber: Phone:
Phone:
Sewer & Water Contractor: Phone:
Mechanical Contractor:
Fire Suppression Contractor:
Phone:
NOTE: Plans and supporting documents,that you submit are considered to be public informato:Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One CaII 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 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 = - it issuance.
icnt's Printed Name
er
s Signature
Page 1 of 3
�7 lj C12-1A)cod C
DO NOT WRITE BELOW THIS LINE
73 9:37
SUB TYPES
Foundation
Single Family
Multi
01 ofPlex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
in Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
NO.
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By: (o 1//9"
Siding
Reroof
Windows
_ Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
>41
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: — Footings _ Backfill Final
Radon Control
Fire Suppression: Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Jr4: ' Sq - T x CS. c:)G
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140216
Date Issued:12/02/2016
Permit Category:ePermit
Site Address: 1598 Norwood Cir
Lot:4 Block: 4 Addition: Brittany
PID:10-15000-04-040
Use:
Description:
Sub Type:Fireplace
Work Type:Wood Burning Fireplace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John C Curlee
1598 Norwood Cir
Eagan MN 55122
(651) 470-3801
Glowing Hearth And Home Llc
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147619
Date Issued:01/22/2018
Permit Category:ePermit
Site Address: 1598 Norwood Cir
Lot:4 Block: 4 Addition: Brittany
PID:10-15000-04-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John C Curlee
1598 Norwood Cir
Eagan MN 55122
Boys Mechanical Inc
490 Villaume Ave, Suite 300
South St. Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165923
Date Issued:12/01/2020
Permit Category:ePermit
Site Address: 1598 Norwood Cir
Lot:4 Block: 4 Addition: Brittany
PID:10-15000-04-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John C & Diane L Curlee
1598 Norwood Cir
Saint Paul MN 55122--272
(651) 470-3801
Boys Mechanical Inc
490 Villaume Ave, Suite 300
South St. Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature