1602 Norwood CirCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEIYLD
FROM
AMOUNT $ I
& DOLl.AR3
?oo
? CASH Fl CHEGK
FOR ?_ ? Ak
?
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You ?
, CITY OF EAGAN
.? • '. 3795 Pilet Knob Rood Eagon, MN as1Z2
PHOHEs 4544100
BUILDING PERMIT
Te e. ?a ila. I ` (It,l
?
Receipt #
$'r•l O ' Mre l O
S1te Addrcu
Lot Block Sec/Sub.
Parcel #
oc Nnme
W
; Addross
b
Ci Phone
? Name
r
u? Address
?- r:.., c?.....e
Nome _
Address
I hereby acknowledge thot I hove read this application ond state that
fhe informotion is correct and ogree to comply with oll opplicoble
Stote of Minnewta Stotutes and City of Eogan Ordinonces.
Erect ? Occupanty
Niter p Zonirg
Repair p Fire Zone
Enlorpe p Type of Const.
Move 0 # Srories
Demotish p Length
Grade ? Depth Sa. Ft.
Assessment Permit
Wofer & Sew. $urchorye
Police Plon check
Fire SAC
Enp. Water Conn.
Planner Wuter Meter
Council Road Unit
Bldg. Off.
NPC Total
Sipnoture of Permittes I
/1 Building Pertnif fs issued to: on ths expross conditlon that
oll work sholl be done in occordante wlth ell opplicabla Stote of MinnesoM Statutes and City of Eagon Ordlnanus.
Bulldinp pfficial
Psrmit No. Pe?mit Holder Miu. PNmit No. Holdar
Plumbing t\ 54,9 '$Z
H.V.A.C. j5F-Az
Well
Water
Disp.
Softwor
EMctric g53$`1 ? E F(E c.
Inspction Dato insp. Othsr
Footinys
,
Foundation
Framinp Z.2
Rouph Pltq. .? ?
Rouph HVA
Inwiation
Final PICg.
Find HVAC
Final
Water Desaiba Location:
Vllell
Sav»r '-
Pr. Disp.
.Receipt MECHANICAL PERMIT Permit No. '
CITY OF EAGAN
Fee
Fill in numbered spaces S/C '
Type or Print /egib/y
Tot.
1. Date ? 2. Installation Cost
3. Job Address ` Lot ? Blk. ' Tract
?-
4. Owner '
5. Contractor Phone
6. Address '
7. City ' State Zip
8. Building Type: Residential Commercial ? Institutional O
9. Work Description: New Q? Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Equi2ment BTU - M. Ea.
Forced Air No. EQUipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 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
1 Receip`t PLUMBING PERMIT Permit No. '
CITY OF EAGAN
Fae
Fill in numbered speces S/C •
Type or Print legiWy Tot.
1. Date - 2. Installation Cost
, C?LN?.,,._. _- J-
3. Job Address Lot Bl k. ? Tract
?
4. Owner ?/C t._:c_' i ? ` ?, k
5. Contractor" -t i+. / ?y?'Jn / -e c c Phone
,
6. Address ! r/
? Y._
.._?
f ; •? ? ? i ?
!. . ? 7. City ?` L,.Sc 12 1'T State /\ 1 nI Zip
8. Building Type: Residential C9' Commercial ? Institutional ?
9. Work Description: New Q Add O Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Septic Tank
•' Lavatory Softner
2- Shower
Well
1 Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
. ,
?
L ., . / 2I-' . ' /
.
`
l ,
// 1
12. I hereby certify that the above information is true and correct, and 1 agree to .
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
7his is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
INSPECTIUN RECORD
,?CI?Y OF EAGAN PERMIT TYPE: 1"
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
?
?
PERMIT SUBTYPE: TYPE OF WORK:
I+t •a: t, r d' i!0a1 ..; tt G'Af; FIREf'tAC E
Pormft No. Permlt Holder Date Telephona #
ELECTRIC
PLUMBING
HVAC
Inapec8on Dete Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS 5VC
TEST
INSUL
GYP BOARD
FIREPLACE Z'?I-yY ?'1ij F'reloo? . Vti.•4' ,?L. -
iasiall
FIREPLACE
AIRTEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
OECiC FINAL
CITY OF EAGAN Remarks
Addition BRITTANY Lot 3 81
Owner ?,J) ( Street 1602 Norwood-$oi=*9 (
Improvement . Date Amount Annual Years Payment Receipt Date
STREET SURF. 1982 2819. 8 563-97 5
STREET RESTOR.
GRADING ,SaG 1981 428.73 Z$•S$ ?
SAN SEW TRUNK 1976 156.51 I0.45 15
* SEWER LATERAL 1981 5040.87 336.06 0
WATERMAIN
* WATER LATERAL 1981
WATER AREA 6-/
STORM SEW TRK u 1981 492 32. 83 ?
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 #2
WATER CONN. 335.00
BUILDING PER. 7120
SAC r? ?r
PARK
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagon, MN 55722 DATE:
'i
Zon;n
g:
No. of Units: '
Owner:
Address-
Site Add
Plumber: ?
Metar No.: Connection Chorge:
Size: Aocount Deposii:
Reader Na.: Pertnit Fee:
1 agree to eomplr wilh tha Ciry of Eagan Surchnrge:
Ordinaeces. Charges:
Misc
.
Total:
By Dute Poid:
Date of Insp.: Insp.:
SEIAIER SERVICE PERMIT
CITY OF EAGAN
3796 Pilar Knob Rood PERMIT Na.:
Eagon, MN 55122 DATE:
Zoning: No. of Units: ?
OnVner: :1 S.1(ie1 `
Address:
Site Address: 1 ' ',orwo0d Irivt
Plumber:
1 egree to oompy with ehe Citr of Eagan Connection Chorge: -
Ordinanees. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Chorges:
dote of Insp.: Totel:
Insp.: Dote Paid:
?0,6 o?z
RESIDENTIAL
BUILDINC PERMIT APPLICATION
3830 PILOT KNOB RDN 55122
Cj?T ( v v
I
?? 651-681-4675
NewConsWctionReaulremeMS ? /
. 3 registered site surveys showing sq. fl. d lot, sq. fl oi Muse; ancu rooted areas
(20°,6 maximum btcave2ge albwed) . 2 mpies of plan showing beam 8 windwv s¢es; poured bwd Aesign, ett.)
• 1 set ol Energy Caladaibns
• 3 copies of Tree Preservation Plan if bt pWtled efter 717193
• Rim Joist Detail Optbns seledion,sheet (bWgs wNh 3 a less wils)
DATE u
JOB SITE ADDRE'
IF MULTI-fAMIIY
PROPERTY OWN
TYPE Of WORK_
APPLICANT _j
ADDRESS 96
PAGER #
FAX #
VALU/fION 7ai? o0
CELL PHONE #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Sut
- Energy Envelope Calculations Submitted ,i
_ MINNESOTA Ri1LES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Inclndes:
Mechanical Confractor. _
Mechanical System Includes:
bewer/Water Conhactor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
7
AU6 zyzco,l
?
- . _...__,......,_ -
Fee: $90.00
Fee: $70.00
Phone #
All above infortnatlon must be submitted prfor to processing of application.
I hereby acknowledge that I have read this application, stote that the information is cortect, and a ree to comply
with all applicable State of Minnesota Statutes and City of Eagan ' es. ?.?
Slgnature W Applic ?
?
HOW MANY UNITS?
FIREPLACE(S) _ 0 _ 1 _ 2
PHONE# rl?a3-?Z?S-zZZ?
ZIPCODE sS?4?s
RemodeVReoairReauirements
. 2 oopies of plan
• 1 sel of Energy CalaAations for heated additions
. i sile wrrey tor ederbr additiom 8 dedcs
. Indiate T home served MseD6c system for addiBOns
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
` . . . . " updated 1/01
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex 13 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex O 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex O 77 Garage O 22 Poroh/Addn. (4-sea.) ? 33 EM. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 , Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •DemoltUon (Entire Bldg only) - Give PCA handout to applleant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const yyidth
REQUIRED INSPECTIONS
Footings (new bldg)
Footings(deck) FinaUNo C.O.
Footings(addition) Plumbing
Foundarion
Drain Tile
Roof _ Ice & Water _ Finel _ Other
Framing _ Pool _ Ftgs _ AidGas Tests _ Final
Fireplace _ R.I. _ Air Test _ Finel _ Siding SNCCO Stone
Insulation _ Windows (new/replecement)
Approved By
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
W.ater Supply 8 Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
ToWI
Building Inspector
Final/C.O.
HVAC
BUILDING PERMIT
Te M wed fe, SF DIC/CTAR
GITT OF EAGAN N? 712?
9795 Pilof Knob Rmd Eagon, MN SS722 r. .
PHONEt 434-8100
Receipt # r
Est. Value $84,000 pote I`'r3TCt1 11 "19 ?2
Site Address 1(D02 NOYSvbOd VMONE N..(^?
Lor 3 Block 4 saisub. Brittany lst
P„cei # 10 15000 030 04
W iName 1h1lPfS(71'1 Ri ri 1 rl[tTs
z Address 1655'Nonvood Drive'
. ? -...
g Name _
?
oU ? Addreu
§
? ru..
Nome _
Address
I hereby acknowledge thot I have read this application and store that
the information is correcf and ogree fo Comply with oll op0licable
Stote of Minnesota Stotutes and City o( Eagan Ordirwnces.
Sipnature of Pertnittea
A Building Pertnit is issued to: T0,q
all work shall be done in acmrdance with all
Bu{Idinq Official
of
Erect )a Occuponcy R-3
Alter ? Zoning R-1
Repcir ? FI're Zone NA
Enlarge ? TYPe of Const. Vri
Move ? # Stories 2
Demolish ? Length 60
Gmde ? Depth 36 Sq. Ft.-
Aoororals Fees
Assesunent Permit '195 (1(1
Woter 8 Sew. Surchorge 42.00
Police Plan check192.50
Fire SAC SZS.OO
Enp. WaterConn.31s_0n
Planner Water Meter hn . nn
Councll Road Unit 1$,5 ..(7)Q-
Bldg
Oft
.
.
APC
Totol 51724.50
_ on Ma expreu Cordition thm
City of Eoqan Ordinances.
?7580
d M16
REQUEST FQR ELECTRICAL INSPECTION
? See iniuc6ons%completing this lorm on beck al yellow copy.
X" Below Work Covered by This Request
EB00001-08
- 93
ew Adtl ?p. TypeoBuiltling AppliancesWiretl EquipmenlWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt Building Dryer Other-(Specify)
Comm.llndustrial Furnace
Farm Air Conditioner
., Olhersyeclry) Gamractor§ ftemerks:
Compute lnspection Fee Below:
Other Fea # ServiCeEntranCeSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps / 0 to 100 Amps
Transformers Above 200 _ Amps Aboved0o _ Amps
Signs inspector's Use Oniy: TOTAL
Irrigation Booms
Special Inspection ?- -
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
ni(
th
h Rouqn-m ? Date
ca
y
at i
e above inspection has
been made.
l ,r?fP3
OFFICE USE ONLV
Thls request voia 18 monihs trom
?S?f U
76
? ' e-,-o
?
a
s
Requesl Date ' Fhe No. ghin Inspection
?tly Now ? Will Nolity Inspecmr
Wh
R
tl
?
G Ves o en
ea
y
I• licensed conirector ? owner hereby request inspection of above elechical work at:
JoD Aatlress (Sfreet Boa or Route No.) City
p e2 d,eiC/40 C`. /LGGF ?i9?.?i
SecUOn No. Townsnip Nama or No. Range No. County
Occupanl(PRINT) Phone No.
Power Supplier Atltlress
Eletlncal ConVactor (GOmpany Name) Conlrector's Gcense No.
LG
Maiiin qaaress tco acror or Ownar Makinq Ir.stallation)
/rn/
?
Ao!bo
6Signature I ntr nOwner Making Inslalia4om PhoNUmCer
'
-
?r? -6?-?i-
MINNESOTA STATE HOARD OF ELEC4 ITY THIS INSPECTION REOUEST WILL NOT
Grigga-Mltlway BIEg. - Room &173 ? BE ACCEPTED BY THE STATE BOARD
1821 Universlly Ave., SL Paul. MN 55104 ?eG /?. IINLESS PROPEP WSPEGTION FEE IS
Plwne (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?? es-00001 -oa
? See instructlons lor co ting this torm on back of yellow cupy.
?53 '
-87 "
?'X'' Below Work Covered by This Req? ,jb (',?' ?
e AdE' kep. Typo of BuilAing Appliancas Wired Eqvipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixwres
Apt. Buiidiny Dryer Electric Heatin
Commercial Bldy. Furnace Silo Unloader
Industrial Bldg. AIr Conditioner 8utk Milk Tank
F2rm r Olherl5l>ecify)
ther SpunFy 1 ? Other
(.'omPute lnspection Fee Below
F Fee ServiceEntrence5ize p Fee Feeders/5vbiextlers N feu Circuits
0 to 100 Am ps 0 to 30 Am s ? = 0 to 30 Am s
? 101 to 200 qmps 37 to 100 qmps t g;" 37 to 700 qm s
A6ove 200 Above 100-Am s Above 100_Amps
an4ob e2 RemoteControl Cira Partial-'Other Fee
itgn ? Special InsPection $
flenia rks
I
?
Rouph-in
? Da1- ?? .
Inspecbr, hereby
Final
Ote certify that 1Me nbove
i
4 nsa tion has been
9
, .
ThIS fqqll<:GI VOId
18 lli0l11hS tf0lll
7hisrunuestvolA SllY 2--3!
? 18 monthfronu Q ? S-c?, o O
85387
uesi Da1E
' Fire No. Ro.. pli-In Inspection
Atn?'red ?
DReaAy Nuw?dWill Nn?ifv
Inspec-
S?t ?fes ? Nn .
lor When HeadY
Licens¢d Elec[rical ConVaCror I hareby reqoest inspection oi above
Ownpr electrical work installed nt
Sveet Atldress, Bux or Noute No. , CitV
ecvon o. TownshipName or Nn. ftange o. County
Or,cupxnt(PfllNT) Phone No.
i e
Powei Supolier Addmss
u•
Ele I cal C
of
Vactor (Com any Name) on
tm's Liconso
C
tr
3
e
N
o
.
/
?
K. C? /
/
'
?
?
?
J
?
V'7?1Q03-?T
Mailine Jress- IContractor or Own¢r Making Installationl
t
S ?' f Ss? ??
Vejx)
Authnriz i na[ure (
actor/Owner MakinB Installa[innl Phone umber .
4
%
MINNESOTA STATE BOANO Of ELECTHICITY THIS INSPECTION flEQUEST WII.L NOT
Grip9s-Midwnv Bldy. - Poom N-191 8E ACCEPTEO BV TryE STATE BOAPD
1821 Unive.sity Ave.. St. Paul, MN 55104 UNLESS PNOPEH INSPECTION FEE IS
o1 ___ 'a?" ou, ".• ENCLOSEO.
(9rr#ifiratr nf (Orrupttnry
Ctp of (Eagan
Dr.pttrfmrtti rrf +?ui[Ding Jttsprrtiutt
Tbu Ccrtificatc usutd punxant to the rrquisemrntt of Sation 30G o/ the Uniform Building
Code rntifring tbat at the time of iuua+ut tbir tnunurr wat in compliann witb the varioux
ordinanat o f the Citr reguloting bailding conttrrution or utr. For the f ollouang:
?cl..M? SF DWG/GAR elaa.n?xo. 7120
oa„wwrryr R3 ryrcm?? un Plnl NA uweaa?l RI
o,p,,,,mm,. Tiollefson Builders_Ad,,,a1655 xorwood Dr. , Eagan
B„o,,q,,,.1602 Norwood Drive L,y;ry Lot 3 Bloek 4.13rittanv lst
lq0p- Ap?? °?
BuO Neo? g? p,a: August 6, 1982
.e.. ,. . .W. ..
r.trv oF FacaH
CASH:f.rRc S T'FRMT.NAL. N0? 729
PA7E? 01/27/93 TINtf-N 15:1'.-.1.2:23
ID^
tdAMFe AL.LIECi 6":f.RE.SIDE INC
3210 7(]01 1602 NORWCJOIi CS 50.00
21.55 9001 :4.602 N(7F2W[70D C;7; 0.,'i0
D
Ta1:7:L liec?ip+, Amnunt e 50.50
cRo857rc;
usr:aR zv: NANcv
"?.'..IT;V OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
auiLozNG
031379
01(27/98
SITE ADDRESS:
P.I.N.: 10-15000-030-04
DESCRIPTION:
1602 NORWOQD CIR
LOTc 3 BLOCK: 4
BRITTANY
NEW GAS FIREPLflCE
rmiC 7ype FIREPLACE
rk 7ype NEW
v
434 ALT. RESIDENTIAI
?€
r
??£??? "??? ?? ? ?? ? ?
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - sT. LIC OWNER:
FYRESIDE CORNER INC 16332561 2009091 WHTTE JOHN
2700 N FAIRVZEW AVE 1602 NORWOOD CIR
ROSEVILLE MN 55113-0847 EAGAN MN
(612) 639-2561 (612)452-9769
,, , y R. - p}$? ? y?
?. ya{b ?° ?i ssB??rr$` Y?.q a+?s ?°+?? y?v °? axi$.L?nyyc!L.r
3 IFAE?V? ??ie J .hMQ?S?????' ???.vn?t? ??I?.'?F'?Q4 ?NtFM?1fi?h???ggV?'???.erF??4!1Gk1Yf{"???^A'4y?.1
ey?rp AyW4° ?
nyg?wr???pQ??on ek
$n? e4J. ?} ? V?!1 At??MlC (L?t '(f.RA f•`- L RI t 2g.Tl^iYi g?u aL S?? SkI ?i?}q? f?
?y91_" C'i ?s 6CAt ?hS?4 EMUI ?' 3'S? E >3tPi ?Kh?g??-u41'8 e
?
APPLICANT/PERMITEE SIGNATURE SUED BY: SIGNATUIi
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
1998 FIREPLACE PERMIT APPLICATION
681-4675
DATE: 1-2 (? - / e
DESCRIPTION OF WORK:
JOB ADDRESS:
? LOT: ?3
?'?_ e..
? Construct new t?ireTce
_ Install ¢as insert onlv
Other
PERMIT FEE: $50.50
_ Alterations to existing
_ Install eas line ontv
Z1 /, /\/ 6
BLOCK: ?
APPLICANT (circle one only):
.vJ a-cn (
SUBDMSION/P.I.D. #:
CONTRACTOR
?
OWNER
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.
Name:w 6A ?LIQ? Phone095 Z -! & ?
PROPERTY Last First
OWNER
Street Address: O,(, /(1fLuJ a o FZ?) Ui /C
City 6Q6 /Q /L Stete: ll'L Zip: z Z
,;;?,?3 -Z?/
Phone#:6?l0"aJJ 0'
A K_ t?!/ S ddress:
y?p C t A ?j?? "?t) -g:y? 1-3 License # Zoa fa
?
?C) pf2"? State:MAl Zip:?
I
Street
Phone i!:
GAS LINE
INSTALLER
If
OFFICE USE ONLY
BUILDIN PERMIT TYPE
O 14 Fireptace
WORK TYPE
O 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
?
i
.. ,._... r ._ ..
?ac)
?
?
?
?
;
Rb Be Userl Flotg
Site Addz+ees ?
Iut 3 Blodc
Paitiel i: ) U
Oweferz
wmzess:
CYty/Zip Oode:
Phot?e f:
Z /l1 c tN
4- Sec./Sub.&
sr e D 030 0
QTSC CF FAGAN Include 2 sets fSf Plans?
1 site plan w/elevationa i
IG P'EFASl'r PLI T 1 eet of erlazqy C81CUlatirng,
It.10?1 l ?HtE -
llddress: /?_UV?LaA&ya &0.
CitY/ZiP Oode:?-?d,.? ?S/?
Fhore
l?ttit./Etq. :
Af,ldtp99: •
CitY/Zip Cocle:
R1Gt19 #:
? `, ? ?'FICE USE Q9LY ?
A7.ter zon?ing? T K-1
Feepair Fire zone ?
Mi1arge _ 'Lype of Const. /
MDve # stortes
DWnl? Fzont D -ft.
Grade neptt? 3 ft.
Water/Saqer Suxrharge ,
Police P1an Ct?e,ck ?
Fire _ ? ?
E9. Wates ponn.
Plarups Water Meber
Ckxuicil Road Unit
Eldg, Of?
APC
TOTAL -k 17 ;Zq i ?T':
Tpllef&on Buildera Inc. Or.11294
183-72
F. C. JACKSON' -3 1'
LAND BURVfiYOR g r_ T I'O L9 ? 727-3484
RFb10TERQO UNDiR U1W6 O! lTl1T[ O/ MINN[!OT .__ ??', ? ??y? fi
) DBY OROINANC[ Gi CI OF MINM[AML?1
i..?7 1 600.0
;;=Xisf,N9 6- ??° y-
? i/ 5816 EABT 567H STRE y1 y
55417 tp -7
Q J.
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g Q C e c t t e ? s P'
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? ?r?t
, ye
?t
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p
ii
1'rapwaed Garoge Flaor 61ev.109.3
Propoaed PiraC Floor 81av, 120.13
Prepoaad baaemea[ Floar Hlev. 1101.63
?\ \
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CITY USE O\LY
LOT ? BL RECEIPT #:
SUBD. ? Y 1A--h5 RECEIPT DATE:
MECHANICAL PERMIT #
1999 MECHANICAL PEtMTf (RESIDENTIAI.)
C1T'Y Of EAifiAN
S$SO fILOT KAOB itD
fRHAN MN 55122
Date: (651) 661-4675
Ia?aglC??'
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
consttuction and not owner /occunied.
- 11VfiC: 'r^•
V-aVV 1V3 L 1 v
ADDITIONAL 50 M BTU
6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge .50
Total $ _
Complete this section aie1v if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New Alteration L?Repair _ Other
Reminder.• Ca11681-4675 for inspections.
v Furnace _ Air conditioning
_ Air exchanger _ Other
SITE ADDRESS: 1 ('0 ()L)` Aj O V, W L U d
$ 30.00
State Surcharge .50
Minimum Total I7ue $ 30.50
OWNER NAME: PxorrE a: (051 _??6 -`l3 0 ??
(AREA CODE)
INSTALLERNAME: `{?U1fIC(?b0/1 ?Qfll?( 4 PHONE#:
I
3?nsZ) Kc,?? cAODE)
STREETADDRESS: ? ?
CITY: Ea X?= STATE: /L2N ZIP: ,?-?'12z
?fw
SIGNATURE OF PERMI EE
CITY USE ONLY
L _ BL _ RECEIPT#:
SUBD.
APPROVED BY:
INSPECTOR
1999 MECifANICi4L PEftMIT (C01411NEfiCIAL)
CITY dF EkfiAN
3$30 PILOT KN08 ftD
EAsAv, M1v 55i EQ
(651) 8$1-4675
Please complete for. ail commercial/industrial buildings
multi-family buildings when separate permits are iot required for each dwelling unit
U.v lE: UUtv l'itAt;1 YKll:c: I
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank (Minimum Fee)
Processed Piping (Minimum Fee)
"NOTE: When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal
and plumbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
CONTRACT PRICE x 1%
PERMIT FEE
STATESURCHARGE
TOTAL
------------------------- -----
SITE ADDRESS:
RECEIPT DATE:
MECHANICAL PERMITi#:
($.50 per $1,000 of,pennit fee due on allpeimiu.)
?I
----- --------------------- 'I----
i
OWNER NAME: _
TENANT NAME (IMPROVEMENTS ONL7):
INSTALLER:
ADDRE55:
CITY:
PHONE #: -
(AREA CODEj
PHONE #: -
(AREA CODE)
STATE:
SIGNATURE OF PERMITTEE
. Use BLUE or BLACK Ink
---------1
I For Office Use2~ ~r
I J" f b I
i Permit I
City of MEN ~ U0
I Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: I
Phone: (651) 675-5675 j Staff:
Fax: (651) 675-5694 L - - - - - - - - -
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
~ ~t p-~ 1 ---7-) Site Address: flag ~ l oy-yuood brux-
Date:
Tenant: 1 1x Y Suite
Name. !W \ ~ i'1 r Phone: q5A " 5(s....2~► 3 °i
Resident/Owner
Address/ City /Zip. iLpo), frorwvcxl U r. C.' -tGlr~ 1•? , S5!
~.:.,:nf .rv.. r..va ~.x.,,ev ~ mvo_r•xnaens?c.a ert+llum+~,s+e+,nwamrt!n. +x^.,n,mn.e!rxw„e samr,rnsw.n~ ne.<,m,w .w ms+nv n , w..u a mnn-, xn,amn,¢. x /.y
Name: q k
Address: City: - r
Contractor j~
State: -Zip: Phone: ~La
\ •
Contact: IS r r i V 1- r Email _
-New _Replacement -Repair -Rebuild - Modify Space Work in ROW
Type of Work
. SC~1
d Description of work: 01'-\ Y
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation RPZ / - PVB) i
Permit Type Add Plumbing Fixtures Main Lower Level)
Septic System
New Water Turnaround
k
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ QU
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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 1 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\L h ok~kjl-l SZ2A 0
Applicant's Printed Name Applicant' Sigh ure
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground ^Rough-!n,. -Air Test ^Gas Test -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123300
Date Issued:06/03/2014
Permit Category:ePermit
Site Address: 1602 Norwood Cir
Lot:3 Block: 4 Addition: Brittany
PID:10-15000-04-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Nicole Rosenberg
1602 Norwood Cir
Eagan MN 55122
(952) 456-2234
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
City of
E� �� Permit#: n �—
Permit Fee: �70
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
buildinginspectionst cityofeagan.com Staff:
L
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: f-! , "� Site Address: 1602 Norwood Circle Eagan, MN 55122 Unit#:
Name: Nicole Rosenberg Phone: 952-456-2234
Resident! 1602 Norwood Circle, Eagan, MN 55122
Address/City/Zip:
Applicant is: Owner ✓ Contractor
Type of W ,'
Description of work: Roof Replacement
Construction Cost: 12000 Multi-Family Building:(Yes /No ✓ )
Company: Fulsaas Exteriors Inc. Contact: Ryan Fulsaas
ntrctor
Address: 14206 Audobon Way city: Rosemount
state: MN Zip: 55068 Phone: 952-564-1695 Email: ryanfulsaas@gmail.com
License#: BC723080 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE Plans and supporting documents`thatjr00. submit are considered to be public;infor0blfoi Pore 0
information may be Blass al s non-public if y€a provide specific reasons that would per the fir to co lid that ttthey
are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.gooherstateonecall.org
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 -5'he work will be in
accordance with the approved plan in the case of work which requires a review and approval of pla
xChris Citurs x /
Applicant's Printed Name Ap Ii . '4e
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use L
Cit Ol L� �11 ::::e:
J��
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
buildinginspectionsecityofeagan.com Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Al' co'e �10� Ei�lbev , vs-66 2z3v
Name: Phone: $2
/ o ib7t Cr gn-6-0-4.1
net Address/City/Zip:
Applicant is: Owner `Contractor
. : Description of work: / ��
S.,y. of Worw.,
ry�
; Construction Cost: f 2 yob Multi-Family Building:(Yes /No )
tr k {c A9 5 f�vi2_S_. 12 c
Company: Contact: � / �°`
. t Address: /cz°6 4- u80 L City: ,05eltecizA4 f-
enr _
State: �' Zip: �' Phone:9�25�Y`G' Email:
License#: 6 L 7 Z O 30 e t:3 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
F :Plans fa it supporting doc Uf a tha ,You s y'®a"are
®n �I to a ® .int F 4 anon of the� .t
information maybe class! a e ub u;;Pr;; a e ® /t t = •® o ® a ey
: xre
a trade t .. � t�.�.. :�..41.14 �M�
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.cityofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work ' not to start w'thout a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval o/tans.
a5
x x
Applicant's Printed Name Applic• "s Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148938
Date Issued:04/30/2018
Permit Category:ePermit
Site Address: 1602 Norwood Cir
Lot:3 Block: 4 Addition: Brittany
PID:10-15000-04-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Nicole Rosenberg
1602 Norwood Cir
Eagan MN 55122
(952) 456-2234
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150271
Date Issued:06/27/2018
Permit Category:ePermit
Site Address: 1602 Norwood Cir
Lot:3 Block: 4 Addition: Brittany
PID:10-15000-04-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Nicole Rosenberg
1602 Norwood Cir
Eagan MN 55122
(952) 456-2234
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature