1652 Norwood CtCASH RECEIPT
CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
DATE - ? ? 19 _
weceivso .
PROM
AMOUNT $ I
4 DOLLARS
?oo
? CASH ? CHECK
FOR
FUND CODE AMOUNT
Thank You
{t v• BY
UVhite-Payers CopY
Yellow-Posting Copy
Pink-File CopY
BUILDING PERMIT
Site Addresa
Lot f
Percel No. _
CITY OF EAGAN
3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
ac Name '1'UL!,t:r'tiC)N t3Lllit .
; Address 1655 NORWOOD DR .
b City Phone 459
c ?n?r
? Name
?? Address
F Cltv Phena
Neme
Address
City Phone
I hereby ocknowledga tFwt I have read this applicotion ond stete that
the informotion is correct ond ogree to Comply with pli opplicoble
State of Minnesoto $tatutes and City of Eogon Ordinonces.
Slynoturo of Permittee
A Bullding Permit Is issued to: ` Zoll work sholl be done in acoordcmte wifh a
Buildinp Ofticiol
of
000
Receipt #
N° 885?
,
27 ,o sa
Alter ? Zoninp R 1I?--
Repair ? Fire Zone r1? " "
Enloroe ? Type of Const. V
Move p * Stories
Demolish p Length 8 1
Grode p Depth 38 Sq. Ft.
/lssessment
Water & Sew.
Polite
Fi ro
Erp.
Pfcnner
Council
Bldfl• Off.
APC
Permit ? 433.00
Surchorye 50
Plon check ?-D 0
SAC
Wnter Con,n.
Water Meter ?? ?
Rood Unit -T? 7 -Q 0
Torol , . 5 0
on the express condltion thcii
Stotutes ond City of Eoyon Ordinonces.
Psrmit No. Permit Holdsr Misc. Permit No. Holder
Plumbing / e A11 ' Q' 96 y
H.V.A.C. 3-y
Well
Watsr
Disp.
Sewer
ewctrk 07502-
O?JnJF?
3 3?
67Ao
oti
Inspsction Date Insp. Other
Footinys
Foundation
Ftaminq
.
-? 40?
Rouph PI6y. . _g
Rouyh HVAC ?
Inwlation -
Final Plbg. ?
Final HVAC ?d p,J
Final
Watar Desc?ibe Location:
YVell
5swer
Pr. Dbp.
Receipi MECHANICAL PERMIT Permit No.
• CITY OF EAGAN
Fse
Fill in numbeied spaces S/C
Type or Prini legib/y Tot.
1. Date 2. Installation Cost
3. Job Address Lot___ BIk. Tract
\
4. Owner
5. Contractor ` Phone
6. Address
7. City ' State ? Zip
8. Building Type: Residential O Commercial 0 Institutional ?
9. Work Description: New Cl' Add ? Alter ? Repair ?
10. Describe
11.
Type
No. Eauioment 8TU - M. Ea.
Forced Air No. Equiament CFM
Ai
H
dli
Mfg. r
an
ng:
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 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$100
Receipt PLUMBING PERMIT Permit No.
_ CITY OF EAGAN
C? -
Fee
. Fill in numbered spaces S/C '
• Type or Print legibly
Tot
^ .
1. Date . y 2. Installation Cost
?
3. Job Address Lot Blk. /
? Tract'
4. Owner '
5. Contractor . %! Phon e ' •'? " I (' i' /?
6 Add
, ress
1-
7. City State Zip
8. Building Type: Residential ? Commercial 11 Institutional ?
9. Work Description: New ?. 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 5ink
Gas Piping Outlets
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 tnsp.
7his is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition BRITT Y Lot 6 Bik 3 Parcel 10 i50n0 060 03
Owner Street 1652 Norwood Court State
r,` t
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 12 ? 1982 g 563.97 5 1127.96 A414046 6-12-84
STREET RESTOR.
GRADING 6 -2 D 1981 428.73 -.28.58 ?S 314.41 A014046 6-12-84
SAN SEW TRUNK -?? ,: 76 156.51 10.45 62.64 A01404b 6-12-84
* SEWER LATERAL 36.06 y-7 3696.67
WATERMAIN
* WATER LATERAL lgRl
WATER AREA - I80.00 A014046 6-12-84
STORM SEW TRK 6-19 1991 492-50 32.83 5 361.18 A014046 6-12-84
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 60.00 41711 2-27-$4
WATER CONN, O of t1
BUILOING PER. Sam)
SAC tt tt
PARK
CITY OF EAGAA! WATER SERVICE PERMIT
3830 P'I K b Road
? W k no
P. O. F3ox 21199 PERMIT NO.:
Eegan, MN 55121 DATE: "L
Zoning: - No. of Units:
Owner: - --- - --- -
tt3riY
AAeter No.: /0 O,? -' Connection Chorge: 450.00 pd ?
Size: Aoeount Depoalt: 15.00 p d
1 o. nd
Reader No.•?,??Permit Fee:
1mom !e emPly wHb !!N City of Eaga• Surcharge:
Oediwewai. Misc. Chorpes:
/???? Total:
BY ""'^'"' ? Date Poid:
Date of Insp.: Irup.:
CITY OF EAGAN WATER SERVICE PERMIT
X30 Pilot Kno's RAad
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoninp: No. of Units:
Owner. . ..
Address:
Site Addrcss• I 3r Ltttrit•
Plunber. • ?',van
Mater No.: Connection Chorye: '" • .
Slze: 1looount Deposlt:
17 Reader No.: Pe?mit Fee: 7 , 7
` -?r
1aorw h oawplp wuh tlw Cky of Esqaa
0?diMncr.
By
Surcharye:
Misc. Cho?fles: .
Totol:
Date Pcid:
CITY OF EA
GAN SEWER SERVICE PERAAIT
3e30 Pilot Kno:a Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: '
Zo^i^0: No. of Units: '
Ownsr.
Address:
Site Address: orwood Lourt L(> 1:3 3ritta..
Plumber. • _ V 3A
. ,.t«tA.?: ._-. . ,
1gy?ee M eenqhr wkh !ho Cily of Eegew
OeaiMnas.
By
Date of Insp.:
, , . ' : `•' ? . ??!1 ' ?i
,
Connection C}wrye:
AccouM Deposit: : .i .
Pertnit Fae: i .
Surcharpe: -
Misc. Chorpes;
Totoi:
I nsp.. Date Poid:
CITY OF EAGAN AT pp
3830 Pilot Kno6 Road, P.O. Box 21•199, Eagan, MN 55121 lr ? 0056
PHONE: 454-8100
BUILDING PERMIT Receipt # 7l
Te Ea wed for SF DWG/GAR Est. Vulue $ 100 ,OOOpate FEBRUARY 27 jq 84
SiteAdtlress 1652 NORWOOD CT. Erect 1? Occuponcy R3
Lot _6 .- Block 'I Sec/Sub. BRTTT N Alter ? Zoning RI
Parcel No. 10-15000-060-0 3 Repair ? Fire Zone N/A
E
l
T
f C
V
n
argo ?
ype o
onst.
W Name TOi.7.F.FSON BL DRS Move ? # Stories
z Address 1655 NORWOOD DR Demolish ? Length 81 ?
City EAGAN Pnone 454-6873 Gmde ? Depth 38 Sq
Ft
.
.-
Sj.?jVjE ApProrala Feet
,o Name
?? Address
f- City Phone
r
Fw Name
_? Address
?W City Phone
I hereby acknowledge that I hove reod this applicotion and state that
the inlormotion is correcf and ogree to comply with oll applicable
Stote of Minnesota Statutes and City of Eugan Ordirwnces.
Sipnoture of PermiMee
A Building Permit Is issued to: "
ull work sholl be done in accordonce with o?p Ijfobl e of
Building Officiol ?PXli
Assessment Permit $ 433 _ 00
Water 8 Sew. Surchorge S n- 00
Police Plon check 216.50
Fira SAC 525.00
Eng. Water Conn, 450.00
Planner Water Meter 63.00
Councfl Road Unit 260.00
Bldg
Off
.
.
Aac
roroi $1,997.50
on the express Conditlon tha+
Statutes ond City of Eoqon Ordinances.
3^/???? REQUEST FOR ELECTRICAL INSPECTION es-ooooi-oa
'•+w ' See instmctions for comoleting this torm on back ot vellow coOV. /? ??
A n Y12 . 1""X"" Below Work Covered by Tlyis Request <<
Add flep. Typa of Builtlinq APPliance4 Wired Equipmenl Wired
Home Ranye " T
Duplex Water Heater LiGhting Fixtures
Apt. Building . Dryer Electric Heatin
Cominercial Bldy. Furnace Silo Unloader
' Industrial BIAg. Ait Conditioner Bulk Milk Tank
Farm atlhar peci v Cihinr ISUUCifvl
t er Specify Ot er Olh"
ompute Inspection fee Below
p Fee SarviceEntranceSize p Fea Faetlers/5ahteeders 4 Fee Circaits
b 0 to 200 Am s- 0 to 30 Am s 15' to 30 Am s
Above 200 qmpsi 31 to 100 Amps 31 to 100 q s
Swimminq Pool Above 100_Amps Above 100_Am s
TransPormers Irrigation Booms Pertial- Other Fee
Signs Speciallnspection ,
$6?A TOTA
Aemarks
.?v L
oq h0reby
that ffie above
ion has bean
requeet
Cities Digital
ity Control
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Every effort was made to capture the content
from the original page.
ihis request void ? i 3 O?g?
78 monffis from ? Licensed ElecVical Conhactor ?
N Owner
I heraby request insoection of ebova y?y
electrical work installed aL ?A,7?
Stixe{ qtldress, Boz or Poute No. C uy
'
?i.J
?
ecUOn o. or No.
Townshi0 Name Range No. County
• ?? ?
` ?=
Occuaan[IPRINTI Phone No.
?
x
Power Suoplier .4ddress
i1 • -, i-. /_?/,-.• ,- `-
Electrir.al ConVactor lCOmpanv Namel Contracmr' s License Nn.
Mailing Address (ConVactor or Owner Makinp Instailation)
actar/Owner,Makine Installation)
Author
d SiBnamre (COntr
i
ze Phone Number
/
/
J
/ /r2 )
- ?'?
A.<1/, 11 1?
-
MINNESOTA STATE BOAHD Of ELECTftICITY?
GriBes-Midway eldg. - Roam N•181
7821 UniversityAve.. St. Paul, MN 55104
Phona 16121 297-2111
THIS INSPECTION flEQUEST WILL NOT
BE ACCEPTED BY THE STATE 90ARO
UNLESS PNOPER INSPECTION FEE IS
ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi:oa
' Sae inshuctions for comDieting this form on beck a1 yellow copy.
°'X" Be/ow Wark Coveied by This Nequest y
AAH Flep. Type of BuiltlinA ACPlmnces WireO Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
.Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloadei
Industrial Bldg. Air Conditinner Bidk Milk Tani<
Farm 1ne, oecifv tne, (Specify)
n a,r Suocily [her Oiher
Compute Inspection Fee Below
q Fee ServiceEnlrance5ize k Fee Fexders/Subfeeders # Fne Circuits
0 to 200 qmps 0 to 30 qm s 0 t. 30 Am s
Abave 200 qmps? 31 to 100 Ainps 31 to 100 Am s
Swimming Pool Above 100_Am s Above 100_.Qm s
Transiormers Irrigation Booms Partial%Other Fee
Signs Special Inspection
TOT
Remarks ?yJl/ ,.
-
c
CJ
a '
Rough-in
inal
F Date ihe rical
Inspeelor, heraby
?eKify that ffie
above
soeciion hes baen
mede.
TlilerepuestvoitllBmontliatrom V -
This request void
18 mon[hs from 3- 30 ^8? ") '? -0-0
Ao 7 , n a ,-L. Le., e 3b, '?E r1rk-oy qlae-L4 -?3
Rt pate
'? . ? Fire M1'o, flov
liph-in?Inspection
equired
fleadY Null Notity.InsVec-
?
Wh
?Ye.s ?NO or
en peady
? Licensed Eleclricai Contrector . I hereby requast inspaction of above
wner electrical work installed at
Sira t Ad ss, 9ox o Foute No. C ity
? ?a ?} o o D ?'f. ?. ?i a n
ecuon o. Townsnip Name or No. Rnnee No. Counry
Occupant (PflINT) Pho e No.
1 ?LL I S
Po er Sup0lior Address
?
Elec[rical ConRactor IComVany Namel ConVactor"s Licenso No.
>?
Malling AAdress (CoMraclor or Owner Making Instailation)
Authorize natur Contr or?0 e Maki g Insiallationl Phone Number
MINNESOTq STATE BOAflD OF ELEGTRICf THIS INSPECTION REQUEST WILL NOT
Griggs•Midway Bldg. - Hoom N•781 BE ACCEPTED BV THE STATE 90ARD
1821 UniversitV Ave.. St. Paul. MN 55104 UNLESS PNOPEfl INSPECTION FEE IS
Pno.w 16121297-2111 ENCLOSEO.
??gy-,?
zu 8e uead For
fiit4f Acidrewe _ 1?5? I?IOvinll?'Y',I
Iot ?L elodc Sec./Sub.
Peraol i? !d - 1 SObo - 0
CI't'Y CY' FA[',7w Include 2 sets of plan9,
1 eite plan w/elevatirns G
HUTIDING PEWi'1' APpLIG\TZQN 1 9et 6f erYecgy calculatiang,
valuatiai /0Q D 6? Dnte I , lGI?? .
G7rlV-?- oFFicE osF aNLY
b`ect -?- °°c,panc,' w 1-3
mg ??-
lob ? -? Alt:er yo
e?iair Fire 7ore
Q+n?s Falhlarge _ Type of Cbns't.
J1dd?9: ?? N Stnriea _ -.?'
Dewnlish Front
CitY/ZiP Oodes
Pirone M:
auncr.cror: MI P,-LlVl
Jk3clmea: ?5 1J01'lnl?/'.? ?rlyP Cit71/ZiP Cadas
11CCt1./$q. t
lddretre: •
at]f/Zip Cude:
Ph0[r? ?:
Grade ?
?P'? ? ft.
watEx/5ewer
a-o
??
surciarge
,
Yalice .
?
,7
Plan qhec.k - f/ Sd
Fire S7rC ?-q'" Z S O°
En9 • WatPx Ccxvn, yS6 °"`
Pl.arner Water Meter E3 °'r
Oourticil Poad Unit ?6"0 °?
B1dg. Off. ?
APC
'1riTAL l 1 cl ? ?? d
1
•
follafaoA 8uilders Iac.
JACK50N - 5lJRVEYORS
/y
R[61lTiR[D YNO{R LAWS 0/ S7'AT[ Or riNMlJOTI.
J
Or•11492
183•60A
J1?
? o
v
Proposad 8arage Flour $lav.
? - ?
Proposed First Floar Elev. --
Praponed Barewent Fioor Elcv. ?0' ? `" 'r9-?i • '" i? ?V
? .,•, ?
. ??
q? 1 N z2, jz, 110 ,
a no es roo
- =Drajnage t
OOO.OcExis[ing Elev.
? Drainage 6 Utllity Easemeqt
3656 EAST 66M STREET, MINNEAPOLIS, MN 56417 727•348t
?
sca1e: 1^_30'
I $ttrbqw.0
De t ?',
I MER[BY C[RTI TNAT TN[ ABOV[ le A TqY[ AND GORR[GT rLAT OF A 6URYiT OF
,f Lot 6,Block 3,Brituny, ,
i ?. Dakv[a Couaty,Miaoesota.
" - 1j"z, e ?
W p
As wevgrco Mr ri Tnis 22od._DAY of feb. ? p 1984
F. C.
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r Control
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C , 2/84
CZTY OF EAGAN
/
?•`< ;-?
APPLICATION FOR PERDIIT
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINi)
1) PROPERTY ACDRESS: C? 4) 9 7-
i.FryI. DFS(-MI°TIC:1: ?_? --77
(L rot/Block/SLilxlivision or Tax Farcel I.D. Niunber)
STRL'CP'RE, D?T' 0F O:tIGl :AL EUII.Ll:`iG P?-_,'_IT
+
F?,_J=-T ???T-277"C???? ?SE' `?J'G't' t P_?.S j,v
i /?` , . ?R-1 S11?
E3 R-2 GUP= (ZWO Wi ITS)
? R-3 'ICStiNfiCYJSE ('I'fIItE" + U^]ITS) ( Wi ITS)
? R-4 A.pAR'P`rc'?:T/CCV'Ll7?LLIIL',%1 I UiIITSi
? CIX?.?CIALilf2Ei'AII,/OFFICE'
? MUS'I'RIAL
? INSTITUTICNAL/GCV'EF??1EN'r
2) APPLIG_`a"I' (PLEASE PRI4i)
NArE: 6.4'-
AnnREss:
crrY, sraTE, zrP: ii"'{'t.1? v
PHONE-:
3) P=IBER ( LE E aP
IR h
T), , FOR CITY USE ONLY
NAyE' -
?
?
ADDRESS: PLU!!BERS LICEYSE:
Active
?
CZTY, STATE, ZIP: Expired
PHONE:
144 PLUMBER LICENSE 0 Not of liecord
arr nitia
4) OCC[,'P.nSIT/CS%?NER T7F1ME: lN?tast F'H1NIJ
ADDRESS:
CITY, STA'i'E, ZIP:
PHOPIE:
S) INDICA'PE 6•7HICH PE.paMIT IS BEIiVG REQUESTID:
X LL'`:v'NECI'ION 'IO CITY Sc47ER
0C0NT"1ECI'IO.I 'Ib CITY WATER
? di'.i2 (PLEASE DESCi2IBE)
6)
? PLEA.SE f:OLD APPROVID PER+tIT FOR PICF:-U'P BY O:VE OF ABOVE
??L.EiSE ?PLIL APPRO`/ID PER,LiT :'0 1, 2, 3, 4ABCVr-
(Circle one)
7) SZ(MIL,T.cE: olR.x.-a DATE: ? 02?? '
, .., ,
. aRiT`1ii?#?Ai?i1ll?l?tl?al?!'lps:i#iifiYS:iaYS;aslPRf.l?ilsl?:lFi'ial?l!ltlsl?ia:i0
F 0 R C I T Y U S E O N L Y
PERMIT '` ISSUED
F°ES : $? a
$ lo
$
S
S
$ /SFG
$
$
$
$
$
$
$
$ S°.^iED noo??rT (I:'iCL?D? ?li?C?i?RG°)
WATER PERf1IT (INCLUDE SURCI:ARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CO???ORATION STCP)
SE;VEB T-.P
ACCOUNT DEPOSIT - SEF4ER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK ?VATER ASSFSSi-;E:IT
TRliNK SEStiER ASSESSMENT
LATE°,AL BENEFIT/TRUNK SENER
LATERAL SENEFIT/TRUNK WATER
OTHER
S TOTAL
$ AM0UNT PAID/RECEIPT #?l? 1 7-4/'
DOES UTILITY CONNECTI0.7 REQUIRE EXCAVATION IN PUBLIC RZG'r3T OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED SY THE
=? ND ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUIIJECT TO TIiE FOLL0WING CDNDITIONS:
APPROVED BY:
TITLE:
DATE:
? fr OW" MOMir aM wcMMe W:PG ta jWWPe WsE wWE Eta wE?= w w? ?WOO aa wt r ie G"a wt+ wMMrOw" 10 M
MAR. 6.2009 9:45AM
bIAR/06/2009/FRI 10:05 Abd
411? city of Eaiau
3830 PJot ICnob Road
magen MN 58122
phone= (651) 675-5675
Fax:(651)675-9694
i --- ?
i PertN[ Fea:
I pgtaAGlIYEtj; I
;
i smn_ ?
?------- -----_
200'9 RESIDENTEAL BUILDING PERMIT APPLiCA'i7oN
suite &:.,?
RESIDENT ( OWNM I Name
TYP6 OF W OFUC
COTn'RACT'OR
N0.770 P. 1
FA% Mo, P. OO1I001
Acitlress! Gh I rp- "
pppttcantfs: -Y, Owner _Contra02or
Llggp(Ippon
COnst[uction C0.tt:
Name:
cm: ?,n p rf -
Phane; Q.)Contact Person:
COMp1.ETE 7HIS AREA ONLYlF GONSTRU IMG A NLW BU1LDlNG
ry??-^=?ta Ru e5 7870 Cateaorv i J Minnesota RulM_L72
ETIEt9Y C? ^• Re?tlen6al Vantlstian Cateyc?Y 1 W erleshaet • NrW C?Brgy Co? Wotkshaet
suem?d suarnnted
CntOgory
.
(d SU6misalon lyp0] Eneryy EmelaPe Celculatb- 9ubmRtad
Al-i?r ? C
In ihe hst 72 months, has tlre City oi pegan lssued s pannit fol S ahnllar plan ba9ed on a master plsn4 l
Ye5 No N yCS, d8t9 and HWf2Se Of
LIC9R8Ed Plumtlei:
PhOne:
Mochpnicel GOrttTUCtor:
Ph01te:
Sqwer & waeer Contr+otor: -
i harehY admuwledge bal INa in(rnna0on k wmpfem and aco?aate; 1l?at dTe ?ec wttl te In ocniorma? wifh Uw osdlnans aexJ eaias af tlw CSH ?
EaBani thaf 1 untlef9ftfld thie ii not a pannl[, bta oNY an goieetlon f4r & Pwm14 2M wak i6 Mt LO S?R wi1h0U[ d pBm?R; MB[ thB wvk WIII 6t a
acc/or?dance vritn Ifre aPP?mftd p1Bn 1n tha caw oT twrlc u?Riioh re4uire? a reN? antl approval af P?
x lJll ?.?.? G( l L[dY?y,7L; x
Applicant's Printed Name ApplicanYa Sig Page 1 of 3
Muifl-FamiN &iildaq (Yes _! No -kJ
Use BLUE or BLACK Ink
I F*
F*OffkW*
I
c
-7 -7
fit of Ealan ; Permit
I Permit Fee: ! /
3830 Pilot Knob Road I t
Eagan MN 55122 f Date Received: j
Phone: (651) 675-5675 I I
!
Fax: (651) 675-5694 1 sta.,
I---.~-------------J
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
~ G
Date: 0 d Site Address: 1 .S~/ ~t/D i" D a
Tenant: Gt Ha j e e a rla H d SO !.4 Suite
RESIDENT / OWNER Name: Am I-e- 6X r /a K d s o !4 1 Phone:
Address / City / Zip:/ 6 S /yo i- o
Applicant is: Owner X Contractor
TYPE OF WORK Description of worts: 126,10 J, r 19 x i s t; Wit ~Lc --744s h. j~ S fa j r ~rca ~c ~ t c ~IH~
Construction Cost: 00o Multi-Family Building: (Yes / No
CONTRACTOR Name:.Tjj, ; N C Jy S c C/ / ► r License oZ 05 O S O
Address: a 3 X9 Ta,r I o v-
City: f ii l S State: .tA_ Zip: S S~
Phone: 33'1-17/2 Contact Person: I)P-,rW Creel r-r e 1A
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 moms, 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:
NO P/ans;and supporting documents that you submit are considered to be public Information. Po ions of
lnfownation may be classified as non-public # you;provlde specific reasons that would permit the City to
conclude th #toy a secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 45440002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gogherstateonecali.orp
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and Code 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 Work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x K t[? e e X Y t~ x
Applicant`s Printed Name Applicant's Sign re
Page 1 of 3
1l
D-7 -7
O NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace _ Porch (3-Season) _ Storm Damage
Single Family Garage 4 Porch (4-Season) Exterior Alteration (Single Family)
Multi Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Piex Lower Level Pool Miscellaneous
_ Accessory Building WORK TYPES Fem.` t1--" 0"' a
T New Interior Improvement _ Siding Demolish Building"
- Addition _ Move Building Reroof Demolish Interior
Alteration _ Fire Repair Windows T Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall " Demoiition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
1
Plan Review Code Edition SAC Units
(25%q___ 100%j Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Y Final I No C.O. Required
Foundation T' HVAC
Drain Tile Other.
Roof: Ice & Water -Final Pool: Footings Air/Gas Tests -Final
Framing Siding: Stucco Lath Stone Lath Brick
Fireplace: Rough in Air Test Final Windows
Insulation Retaining Wall: _ Footings Backfill Final
Meter Size: Radon Control
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge ~ni DOX-L L.
Plan Review ~f
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2of3
l
PERMIT
City of Eagan Permit Type: Plumbing
Eagan. Permit Number: EA093713
Date Issued: 04/29/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 1652 Norwood Ct
Lot: 6 Block: 3 Addition: Brittany 01st
PID:10-15000-060-03
Use:
Description:
Sub Type: e - Fixtures
Work Type: New
Description: Main Floor
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Josh McGuire
1424 3rd St N
Minneapolis. MN 55411
Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: - Applicant - Owner:
Benjamin Franklin Plumbing Grant J Erlandson
1424 N 3rd St. 162 Norwood Ct
Minneapolis NIN 55411 Eagan NIN 55122
(612) 604-428 X61
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
TSilverstone 952-233-8739
e*°
It 4t W11
3830 Pitot 'Knob Road
Eagan MN 55'i22
Phone_ (651) 675-5675
Fax: (651) 676-5694 PLUMBING PERMIT A
2013 RESIDENTIAL -MJ ( ocx'►-
- ddress: 1 Suite #:
Date: Site A ---""'-_.., :, .� s:.
t9 -S g9
s 1 af\ S t A phone.
p.4
1 For OeCe Use431
tl
I Penn 1 uv I
11 Pen* Fee:
t nil tJ I ) 1
It Date Received:
1 Stat:
_
CATION
Tenant:
(same:
ResidentlOwner 3 l Zip:
F Address 1 City
Contractor
Type of Work
Description of work:
RESIDENTIAL
Name:
Address: aS S
State:
Contact: i /1 Cly tr E.mail,
Repair Rebuild
Phone:
1. New Replacement
Permit Type
License #: oWi3a3
City: J�
ID. 8128 glow
Modify Space
Woric in R.O.W.
Water Heater
Lawn Irrigation ( RPZ I PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures (_ Main/ — Lower Level)
water Turnaround
-RESIDENTIAL FEES:
; $60.00 Water Heater, Water Softener. or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
• $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $5.00 State Surcharge)
waterTumaround (acid $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 $
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. ;nww.00pherstateonecaii.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x C_Ot <ScY\ iLc)f c5}1 x
Applicant's Printed Name
Ann', Signature
Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground _Rough -In Air Test __Gas Test Final
al
Apr 0816 01:57p H2C Inc
401P City or Evan
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
6517889657 p.1
Use BLUE or BLACK Ink
For Office Use
Permit #: ! ��
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address: I /Jt2I (.) 00 Cf0 .r 1/ atm%'
/71
Tenant: 6 ra in
ResidentlOwner
Name:
Contractor
Type of Work
an io
Gran4 i; (andson
Address / City 1 Zip:
{ Name: r
Address:
Phone:
Suite #:
1� 5 - q'/- ?7o7
ac_ .i A c •
g0o-e4
� o4
State: N.) Zip: c S -V 7
License #:
CP) nCNC( City: J ()A'i`. s� . \30A)
1,1=791- .}'S 5 C)
1 , C04
Phone: 1
e Email: 1 i
CL
— New `Replacement _ Repair _ Rebuild Modify Space
Description of work:
Work in R.O.W.
Permit Type
RESIDENTIAL
)(Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
"Water Turnaround (add 6280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
Water Softener
Add Plumbing Fixtures ( Main 1—Lower Level)
Water Turnaround
TOTAL FEES $ CO
(
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. Vnww.aopherstateonecall.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 at I understand this is not a perrnit, but only an application for a permit, and work is not to start without a perrnit; that the work 'II be in
accor a ce wi the approved ply in the case of work which requires a review and approval of plans.
x L 04- <kit I. 014, (Ca‘---/---/ CI e/ •-e/r1L1
i Lk) 11:1 ieke‘i
Applicant's Printed Name Applicants Signature
IFOR OFFICE USE
Reviewed By: Date:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175274
Date Issued:03/24/2022
Permit Category:ePermit
Site Address: 1652 Norwood Ct
Lot:6 Block: 3 Addition: Brittany
PID:10-15000-03-060
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic.
Valuation: 15,000.00
Fee Summary:BL - Base Fee $15K $265.50 0801.4085
Surcharge - Based on Valuation $15K $7.50 9001.2195
$273.00 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 -
Grant J & Angie Erlandson
1652 Norwood Ct
Eagan MN 55122
(612) 810-2548
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(952) 746-3046
Applicant/Permitee: Signature Issued By: Signature