1656 Norwood CtcirY oF Er?GAN
3795 'ilef Knob Rood Eogon, MN 55122 ` PHQNEi 454-8100
BUaLDING' PERMIT Receipt #
T. V .....1 L... c? .._..- ^--- ...
Slte Address Eroct (] Occupancy
Lot Block 5ec/$ub. Alter 0 Zoninq
Porcel # Repoir ? Firc Zone
Enlarge p Type of Const.
W Name Move
O
?k Stories
; Address
I Demolish ? Length
b
Ci Pfione 6rode Q Depth Sq. Ft.
o Nome
?
81 /lddress
?- r:?., o?.,,__
Nome _
Nddress
Assessment _
Woter & Sew.
Police
Firo
Enp.
Plonner
Council
Permit
Surtho rge
Plan check
SAC
Woter Conn.
Water Meter
Rood Unit .
I hereby acknowledge that I have reod this applicotion and state that Bldg. Off.
the inlormotion is correct and agree fo wmply with oll appliccble
Stote of Minnesoto Statutes and City of Eogon Ordinonces. APC Totol
Sfynoture of Permittee
/1 Building Permit Is issued to: on the expreu conditbn tFual
all work sholl be done in acaordante with oll oppliooble Staro of Minnesoto Statutes ond City of Eayan Ordinonces.
Buildirp Officiol
Permit No. Permit Holdar Mise. Permit No. Holder
Plumbing 3???j Eh 2- lt 12-23
H.V.A.C. 3 hz- r?. l z-r
Well
Watsr
Disp.
S?wer
e?ry? wU sloal
?v d54 30(0
Intpection Data , Insp. Other
Footinys
Foundation
Frsmin9
Rouyh Piby. -T
Rouyh HVAC ,t'
Insuletian _io -a3
Final Plbp. "J-
Final HVAC -1 S•b,?
Final _2 f.g w
Wabr Desc?i6e Location:
YYell
Sftwer e
-
Pr. Dkp.
. •
_ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road F;?? ?
Permit Number.
Ea an, Minnesota 55122-1897
9 Date Issued:
(612) 681-4675 '
SITE ADDRESS:
t1 }c 1 1 i A F•1 Y
? 0 t
Nr1?.'! lir???? I T
, .01 APPLIGANT:
PERMIT SUBTYPE:
1.r 4 k).> 4 1
TYPE OF WORK:
Af111 i T ! ON
A l:i1) fC1 #AtifEp fIAi'H
INSPECTION
i.?••i, .. .
,, , • ? . „ ••
REMAP 1K.•.'7 k43 hfrAlk 1, FkM t 1!-, Rf-0 t t 1P t'(3 i'4) ti f t r+ lf+l's Af fstz PO 110i{fM0 I,i(Wa
ti: F M11(1E 1 MA":,1 i k [iA 1 Ft NNfI !1(1[i 'ifd I rt MA`? i f. k f:;A ( 1l 1 OVf: it f:illfitAW
Permit No. Permit Holder Oate Teiephone #
ELECTRIC
9 r 7 9G O
PLUMBING
HVAC
Inspection Date lnsp. Commenta
FOOTINGS
FOUND
FRAMINQ
ROOFING
ROUGH
PLUMBING
? Z
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINALPLBG
!
FINAL HTG
pRSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FWAI
::3o
CITY OF EAGAN Remarks
Addition BkI'I"I'ANY Lot S Rlk 3 ParceI 10 150()0 OSO 03
Owner Street 1656 Norwood Court State
? n
Improvement ( Date Amount Annual Years Payment Receipt Date
STREET SURF. ? L; 9
STREET RESTOR.
GRADING L 28.$8 ?5 42. A012018
SAN 5EW TRUNK -? . 1976 156.51 10.45 15 73.07 1-18-81
* SEWER LATERAL 336. 06
,
WATERMAIN
* WATER LATERAL
WATER AREA S/
STORM 5EW TRK 32. 83 I 394.ol 2
* STORM SEW LAT lgRl ?
CURB & GUTTER
SIDEWALK
STREET LIGHT
1
240.00 33194 11-23-82
WATERCONN. 420.00 11 ?r
BUILDING PER.
SAC
PARK
C1TY OF EAGAN
3795 Pilog Knob Roed
Eagon, MN 55122
Zoning:
- r
Owner: - - -
Address:
Site Address:
Plumber: -
Meter No.:
C:.
Reader No.:
1 agroe to aomply wiffi Ho City ef Eagan
Qrdinanoas.
n..
Oate of I nsp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
Na. of Units:
Connection Charge: -
Acoount Deposit:
PeRnit Fee:
5urchorge:
Misc. Charges:
Total:
Date Pnid:
Insp..
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pllot Knob RoeJ PERMIT NO.:
Eagan, MN 55132 DATE:
Zaning: No. of Units:
Owner:
Address:
Site Address: Pl umber: '
1 egree to csmply wIM the C11y df Eogan Connection Cho?ge: Ordinaneem. Account DePosit•
By
Dnte of Insp.:
•
Pertnit Fee:
Surchorge:
Misc. Chcrpes:
Total:
Qnte Poid:
.!
BUILDING PERMIT
SiM Addreu
Lot 5
Pa.cel # -
? Name- Tollefeon Builders
z Addreu 1655 Norwood Drive
? . !.,-..,
p Name _
??
u Address
H ri...
SF DWG/GAR
Block 3 Sec/Sub. Brittany lst
10 15000 050 03
Nume _
Address
I hereby acknowladge thot I hove reod this applicotion ond state that
fhe informafion is corrett and agree to wmp1Y with all applicoble
Stnte of Minnewto Statutes and City of Eogon Ordinunces.
Signoture of Permittee
A Buliding Permif Is issued fo: TOl
oll work shall be done in accordonce with all
Buildiny Otficiol I/
CITY OF EAGAN
3795 Pibf Kaob Reod Eagan, MN 55124 PNONr?: 451-8100 7675
Receipf j}`
Esr. Vaiue $100, 000 pate November 23 _ 1 q 82
Erect 13 Occuponcy R-3
Alter ? Zoning RI
Repair ? Fire Zona NA
Enlorge ? Typa of Canst. V
Mwe p # Stories
Demolish ? Length Sl
Gmde ? Depth 38 Sq. Ft.-
Approvab Faes
Assessment _
Water 8 Sew.
Police _
Fire
Enq.
Planner _
Council _
Bldg. Off. _
APC
Pertnit ''''•"°
Surcharge 50•00
Pian checkzlb.so
SAC 525.00
Water Conr,420. 00
Woter Meter fio _ 00
Road Unit 740_00
Tofal S164 _ 50
on the express tondition thnt
y of Eagon prdinances.
I II I II ? (II IIII ?I IIII REQUEST FOR ELECTRICAL INSPECTION w 7
Minnesota Sfate 8oard of Electricity
1821 Universiry AveRm. JS12§?, St. Paul, MN 55104
V
273IR3 Phone (812) 642Home x Apt. Bldg. Other:? New Addn
Commercial Indvsfrial Farm Remod Re air
Air Cand. Htg. Equip. Wmer Hfr. Load Mgmt. Ofher:
D er Ran e Ele<. Heat Tem . Service
T" above the work covered by this request. Enter remorks in Pois space and on the back of the white ropy only.
1,;yk?+ o.? 5fVj-t C-oc'-d-r
Colculofe Inspecfion Fee - 7his Inspecfion Requesf will not be accepted withoW fhe mrrecf fee:
Olher Fee S Service EnTrance 5¢e Fee # Circueeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 ta 100 Amps
Sfreet Lig./TraHic Sig. Above 200 Amps Above 100 Amps
Trons{ormer/Generator INSPECTOP'SUSEONLY A
TOT
?
?
$ign/Oufline Lig. Xfmf. ? C)
d
Alarm/Remofe Control
$wimming Pool I hereb cem ele 'cal ineollafion desaibe ? the doks spkd
Irriga}ion Boom p,e,h-
$
ecial Ins
ection
p
p
Investigative Fee Final
-uSTALLATION MAY BE ORDERED
WITHIN 10 MONTHS.
273-37C ?
? ? OFFICE USE NLY This requut void 18 monfhslmm validafian dak printed in
PLEASE PRINT OR TYPE
Requesi'Dore Raugh-in inspection reqaired2 ? Yes Inspetlion Other Than Roughlm ? Ready N. 0 Will Cail
?_ aa ? lYou musl wll fhe InspecNr when ?eady? Da1e Reody:
I, gLirensed contractor Q owner hereby request inspedion of ihe above elecfrical work at:
lob Pddress (Street, Box, or Roale No.) Ciry ZiG Cade
Seclion No. Tavmship Nome ar No. Range Na. Fire No. Cwnry
Ompom - Phone No.
Ge?y,4
?
Power Sopplier Mdress
Eleclnml onkacror (Compony Name) Cankowr Li<enee No. Master Lic No. (Plam Elect Only)
??• i
Malll Pddrees (Cantmdor o Owner Perfommnq Insmllanont /
* ?
k1
AuNwn ed Signabre (Contm o Owner Performing Imlallafion? Phona No.
y 3-?
EB- 1A10 6195 STA7EBOAflDCOPY-SEEINSfRUCTIONSONBACKOFYELLOWCOPY
REQUEST FOR ELECTRICAL INSPECTION6 T d
IIII?III?I IIIII I I III ???I II I? II II nnesota 8121 Un ersity AveRmf SIe28iciry Paul, MN 55104 ?`"? ??
s 0 3 2 9 6 7 5 3? Phone (612) 642-0800 97?j??y ?
Home Duple: Apt Bldg. Other: New ddn
Commercial Industrial Farm Remod Re air
Air Cond. Equip. Water Htr. Load Mgmt. Other:
D er Ran e Elec. Heat Tem . Service
"R' obove the work <overe'd by fhis request Ent?er remaJrks in this space ond on the bock of the white copy only.
S...ry?•'-?g g•K /r??+'
f /
?A 17? remn.t e- "s.vd? (.
Colwlate Inspection Fee - This Inspection Requesf wil) nof 6e accepled wifhouf the correct fee:
Olher Fee # Service E?rance Sae Fee ?F Circuils/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps D to 100 Amps
Sireet Ltg./rroHic Sig. Above 200 fvn 700 Amps
Transformer/Generator iNSPecroq'SUSE r
/? AP1 TOTAL .
'
Sign/Outline L}g. Xfmr. ,
Id -
Alorm/Remote Control ?
$wimming Pool - lot?an described ?n on Me do?s sm?ed
I hemb ce i Nw? I ins ecxd the al `
Irrigation Boom xoegh-In
S
ecial Ins
edion
p
p
Investigo}ive Fee F???? o?re
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
3 2 9- 6 7 5 ? OFFS"E USE ONLY This rcqoetl .oid 18 manths irom wlidanon dok pnnkd in Ihis box
, _-O
-
'
s
9 .
P 7-_
n•
I?'''°d•r'q?bi
PLEASE PRINT OR TYPE
Repms? ?ax Rouqh-in inspeclion reqoired2 s ?nspeaion OiherThon Rough-Im Q Reody Now ill Call
g ? ?? (You muzl mll the inspecbrwhen raady) Wle Ready:
I, icensed confractoi ? owner hereby /equesf inspection of ihe above electrical work at:
Jo6 Address (She.1
Bot, or Roule .)
'? Cih ? Zip Cade
/
(P i- ?,J" aOC9? ?' 7 /. ^
Seclion No. Township Name or No. Rarge Nn Firc No. Counp /
?
T
6
,s
A
OccuPam ? Phane No.
Power Suppller Pddress
Fentlml Canko or (Compony Name? ntmcror Llcense No.
Co lont Eled. Only)
s
No. (
P
Ma
ier L
ic
?/
? /
A
`l,
Q
> ?
/
/
'
/
?
r t
y..? w .t
orG
//
C?
z
Y
MailbgMdm?szdor orOwnerPedo 'nginemlln?fi/an)
Authorized Si re ? nbacror Own aAoimi g Ins Imion)
. Phona No.
? •, i ? [
?7«J
EB- ATE80AROC0 - EEINSTRUCTIONSONBACKOFYELLOWCOPV
(lerfifirtt#r af (Orruvttnry
titp nf Cagan
EP#18Tttt[PItI Df Blt[Ibtt[y lIt9.pPLtillT[
Tbir Ccrtifitatc ireued purraant ta the rtqraremrnu o/ Srrtron 306 0/ the Uni form Buildirsg
Code nrtifying thru at rhe timc af iscrana tbit nratttnt wai in rompliana witb the variattr
ordinarues of the Citr rrgulating buiGling tontNattion o' ute. For the fo!lauinK:
un cbftdfk? SF DWG/GAR ' &ag.Po?No 7675
o=o.qyrya R3 1Ywcm.wxnnoa V FinZ: ?NA z«ftwwa Rl
Tollefson BuildersAd? 1655 Norwood Dr., Eagan
1656 Norwood Court..._ Lot S,Block 3,Brittany lst
By.
February 25, 1983
? ?
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN p Q?
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date A?_ 1 1
Site Street Address Unit #
Property Owner {?- Telephone #
11511 3 r
4
f'/e ., Telephone#
Contractor /ll-!W 4 /D
Address ity r??? ?L??/??? State /1 Zip .'
? e- ?{4
The Applicant is: _ Owner Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_ Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
V Water Softener _ Water Heater $ 15.00
? replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event, a plan is required to be reviewed and approved. /)
r
?
51
?7
?
Applic'Gi6t's Print6d Name ? A plicanYs gnatu e
5 1Sb 5b
MECHAIVICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please compiete for: Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
??s o
Date
Site Address kl(jrk,wO M C(3l !a' -+ Unit #
Property Owner 0-so (\/ ',v, -? Telephone # ( (? ?j ` ) tA;,SP - LA C) d Li
Contractor a?)fZir"ol l
Street Address c?? `c? ?(J ? ?} ?-Oyl ??I-('J (1tAE? City V(dfYl'ti t (} (]TC?i'l
State Zip Telephone tl ( (?,P,)
The Applicant is _ Owner ? Conuactor Other
Add-on, modification or alteration to existing dwelling unit ?? ' $ 30.00
_ furnace replacement on
_ air exchanger
airconditioner
otfier
State Surcharge $ 50
Total
$ ")0. ..?0
I hereby apply for a Residenrial Niechanical Pernut and aclrnowledge that the information is complete and aceurate; that the work will
be in conformance with the ordinances and codes of tqe Ciry of Eagan and with the Mechanical Codes; that I understand tLis is not a
pemrit, but only aa applicarion for a permit, aud work is not to start without a permit; thaY the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans. •
.l `
Applicant's Printed Name Applicant's Signature
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please compfete foc commerciaUindustrial buildings
multi-family buildings when separate permits are no[ required for each dwelling unit
I
Date
Site Address U
nit #
?
Tenant Name (if applicable) Previous Tenant Name !
1 1
PropeHy Owner Telephone # ( ) Y
Contractor 1 'f
1
Street Address City T
i
State Zip Telephone # ( I
)
I
Other
Conuactor
The Applicant is
Owner ?
_
_
_
Work Type
New construction Underground Tank _Instatf _Remove
Interior Improvement Call for inspection during instailatioNremoval of
_ Processed Piping
Nature ofWork: I
?
{ank
II
Permit Fee $SOSO Minimum Fee (includes State Surchazge)
Contract Value $ x 1% _ $
• If permit fee is $1,000 or less, add $.50 => $
If permit fee is over $I,OOQ add $.50 per
$1,000 Permit Fee
$
Permif Fee
ll State Surcharge
Tota1 Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that tne worK
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand diis is
not a permit, but only an application for a permit, and work is not to start without a permit; that the woclk will be in accordance with
the approved plan in the case of work which requires a review and approval of plans. I
Applicant's Printed Name
ApplicanYs Signature
Approved By: , Inspector Date:
CITY CY° F1CM include 2 sets o£ Plar?s, -
site plan w/elevatims z
BUITl»ING PERMI'P APPLICATION 1 8et oE erwr? CdlaLldtiane.
? G
ci, t /?7'
L1sed Ebr A-A - Valuation ??. ??-c, Date _rLL???
Site Addrem OEFICE USF. aR.Y
Iat Bladc Sec./sub. ?? Erect Oa.vpancy .3
Pazwl 16 1 ?_, o o c n 5'o 0 -3 Alter Zonirg
' QwI1Hr:
AddReo9:
` (YtY/Zip OOde:
? rtwm r:
Jlddcwe: //,.
C1tY/ZiP OOdB:
1'hone #:
Ardz./F7g. s .
AddEeea: •
CitY/Zip Code:
PtK?e i:
Aepa.i.r Fire Zake
Enlarge _ 'Pype of Const.
Move N Stori.es 11
Darolish Front S
Grade pepth 3 Yf ft.
??J?" • APPIiU1lAL.S FEES .
? Assessrmnts Perntlt
? /Po].ice?r PSurduu-ge
lan C'heck
k'ire SAC as-SIP
Eny. water Cann, -4?
Planner Water Met.et 6e '04---
Cowncil Hoad Unit
Sldg. Off.' AIIC4/1,
?/ ?
,
q
?:_ lLC, TL t'WA
c,? ?f st?o ? ?_ V?_ ? ?Lc,
mr?tiSC?
r
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l IfV? i?
1 43?y
31 y
T31l?afsan Builders Inc.
??.
Scale 1" 30'
Yr?n
!
; 000.0 > Exiating
= Drainage
= Jrainage
I - '
i
JACKSON - SURVEYORS
NEGIYT[REO UNOHR LAWi OF !T/T[ OF
^A?
l
3616 EAST 55th STREET, MIfVNEAPOl15, MN 55417 7273484 !?-
? ? _ - ('???• ,'+?t- ?d : _ ? •
*qT1XQ0i'4, ttitlb[8IE ? - o -- 15?o?
j ' 'L3 --
Elev. // /??1,?,? ?9-'R` r? •r •?? ? I
6 Utility Easet? l <} ?„??
I //
.?
Propoaed Gerage Floor Elev.
Propaaed Pirat Flaor Blev.
Prap3ced Eaeement Floor Elev.
Or.11351
183-60A
I
MINN[80TA
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Lot S,Slor.k 7,3ritany,
Dakou Caunty,llinrteeota.
AS BURYEYED BY ME TNIS-_ Z1Lt-- DAY OF- -Pq? z-_A.D. 11'gZ
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$IGNlO---?--L-
F. C. JACKSON, MiNN[soTn
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::120 9001 1656 NOIiMIO(:JD r_T 274.75
34?2 9001 1656 NOFWC.iOD C'1' 2.^+"t'.3[}
205 9001 1656 NC.lhWllClCi C7 ::3.50
'fo'ta'L Fiecei.pt Amaun1;- 421.63
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. :,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.Z.N.: 10-15000-050-03
PERMIT
1656 NORW00D CT
LOT: 5 BLOCK: 3
BRITTANY
PERMITTYPE: auzLaxNG
Permit Number: 0 2 8 6 2 7
Date Issued: 0 8/ 2 9/ 9 6
DESCRIPTION:
T$ V
% 0 d:?'a'c ?E#?€ eir'e'.`g? &`', ,a"
W 9F?.§ i?rrse l+.°`p4i? ?q4^ag??3:i? ?
REMARKS:
SEPARATE PERMTTS REQUIREO FOR ELECTRICAL OR PLUMBIN6 WORK
REMODEL MASTER BATH AND ADD ON TO MHS7ER BFlTH pVER GARAGE
FEE SUMMARY:
flDD TO MASTER BATH
Permit Type 5F (MISC.)
Uork 7ype AODITION
?434 ALT. RESIDENTIAL
"sFl_
VALUA7ItlN $19,000
?Base Fee $274.75
Plan Review $137.38
Surcharge $9.50
Total Fee $421.63
CONTRACTOR:
? fir•
i here'by
ir?farmat?an is carc?_??t ??.c4 `?e
Statutea'-rrxiC?ty+ q?€ ai
APPLICANT/PERMITEE SIGNATURE
OWNER: - Applicant -
HEIST GARY
1656 NORW00D CT
EAGAN MN
(612)452-4904
CITY OF EAGAN
.??
3830 PILOT KNOB RD - 55122
a7 1996 BUILDING PEaMIT APPLICATIQN (RESIDENTIAL)
681-4675
? 3 reglatered sile aurveys . ? 2 coples ot plan
? 2 copka ot plana (fndude beam 3 window sizea; poured fnd. desfgn; etc.) ? 2 sita surveys (ezterior addiHons d decks)
? t energy calwiatirna ? 1 energy alculations (a heated additions
? 3 copiea of bee preeervstion ptan N fot pletted afier 7l1/93
required: _ Yes _ No
DATE: 8 `Q,!? - q 6, CONSTRUCTION COST: `? ? gi SOU
DESCRIPTION OF WORK: R6mD DC L MJ3 Sf}T N 0. nd add o ri +o ryl P? o ve.?' ?aKaa e-
STREET ADDRESS:
LOT 1? BLOCK 3
O
SUBD./P.I.D. #:
PROPERTY Name: He l s} , 6QYL-i i' Pct,"?efle- Phone #:
OWNER `""
Street Address• N°rWOOd Cfi
City. 6a?.an State: f-91V Zip:
CoNTRAC7oR Company:? ' Phone #:
Street Address: License #:
Ciry: State:
ARCHITECTI Company:
ENGINEER
Name:
w? °4
Zip.
Phone #-
Registration #-
Street Address-
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
State:
Zip•
Penalty appiies when address change and lot
I hereby acknowledge that I have read this application and state that the information Is correct and agree to comply with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances. '
Signature ot Applicant: ^-F`""'"'
r???ED
OFFICE USE ONLY TIE!
Certificates of 5urvey Received _ Yes _ No UG 2
2 1996
Tree Preservation Pian Received Yes No
OFFICE USE ONLY
BUILDtNG PERMIT TYPE
0 01
? Foundation o 06 Dupiex ? 11 Apt.lLodging o
02 SF Dweliing ? 07 4-plex o 12 Multi Repair/Rem. ?
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ?
0 04 SF Porch o 09 12-plex ? 14 Fireplace ?
0 05 SF Misc. 0 10 = piex a 15 Deck
WORK TYPE
a 31 New o 33 Alterations ? 36 Move
)a"'32 Addition a 34 Repair o 37 Demotition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Pianning
Basement sq. ft.
Main level sq. ft,
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building m43
Engineering
16 Basement Finish
17 $wim Pool
20 Public Facility
21 Misceilaneous
MCNVS System
City Water
Fire Sprinkiered
PRV
Booster Pump
Census Code. ? uay
SAC Code ?L
Census Bldg i
Census Unit ! o
.
Permit Fee Valuation: $ 19, ooo. ?
Surcharge
Plan Review
License u,
MCNVS SAC
City SAC `
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC SAC Units
i
?
)?T:t:TT.:?:??:a:.?h:m??Y:?:h::N.:U.I•W.'.?Yl??fit?if?)?i. .i?}?:h?.?4iy:lv ??
t' I'rv r.u= L:nc;AN
C,1Pf.;l?:I:I:Fi:: 9 7'Iii:FiPi:[id(dl... H;;c 709
T.iAiY'E:t 05?,24/99 ;Iiil'_a 070405
rn-.
NAMF:; i1L.f1f1VE tiuC}I=`CrJ(:I u !iTi:!I'4(; :I:NC
3210 9001 2067 IUf1G] i'(1.1 '.0-5 . i:[J
215E; 53001 2067 1:17•.;G;B RAi 2.00
32LO 900: 4839 r:r.?:::F!nr;D 1_N 83.25
205 900:!. 4039 Pi]:'_:liFt RI:i i_!t `...5J
32'Lp :df.:liJ:l 1.656 Mt.1FiML)ilD C'i 05.,25
2155 5001 1656 NC?„i:1OD "'1' 3.00
Ta'i;:.,. R.nrae'LI:?I: AI'iini.dil'l:II 241.2c:5
CKL)95f ;f i
us,::R 1Lt^ NANf.;V
oC.
. 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. CITY OF EAGAN /?/?
3830 PILOT KNOB RD - 55122
?js q U 651-681-4675 r
New ConshocNon ReaulremeMs RemodeVReoah Reaulrements
D 3 registered s8e surveys showing sq. H. of Wf, sq. N. ol house 2 copfes of plon '?; ` '):(- 9 1
and g1 roofed ureas (2095 maximum lot coveroae allowed) i set of energy calculaMons for heated addNions
? 2 copies of plans (show beam R wlndow shes; poured fnd. design; etc.) 1 sBe survey for wderior addMfons 8 decks
D 1 set of energy calculallons
? 3 copies of hee preservaNon plan H lot plafted afler 7/1/93
DATE: ? ' 443 ' ??
CONSTRUCiION COST: ^r/00
DESCRIPTION OF WORK:
STREETADDRESS: ?p SIp /VO/Z W095( G? EIlF/V hV/V • 5S1-22
LOT: ? BLOCK: ? SUBD./P.I.D. #: VL ?n
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: /?£/??? /?/??y Phone #: &51-45'z-4104
Lost F?
StreetAddress: !5?? Il?diQGAvd 67"•
city c2v!-?rt/ state: t?9.V • ziP: ?`J-"/Z Z
Company: Phone #: lG'J`? 1106 -?Yr'o
? (area code)
Sheet Address: 3 S1?a /'CA1A16-,vEc. license # ZP1/36d/ ?. ?- 3J--2'vo
city state: ziP: 57612 Z
Company: Name:
Telephone #: area code (
Street Address: Registration C
Clty
State:
Sewer & water Iicensed plumber (reautred for new eonsfruction onN):
Penatly appiles when address change and lot change Is requesfed once permN is issued.
Iip:
I hereby acknowledge that I have read fhis application, sfafe thaF the information is cortecf, and agree to comply wifh all appOcabl
$tate of Minnesota Statutes and City of Eagan Ordinances.
Signature W AppllcanY.
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE U5E ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-piex ? 16 Fireplace
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level
? 05 3-plex ? 10 8-piex ? 15 Lodging ? 20 Pool
woRK nrPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44
? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wnod Stove ? 45
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Codi
SAC Code
No. of Units
No. of Bldgs
MC/ES Syste
City Water
Booster Pum
PRV
Fire Sarinklei
Permit Fee I? 5 as
Surcharge 6 )
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: 1 a$. a-S-
Valuation: $
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
Siding/SofritslFascia
Fire Repair
SAC Units
% SAC
3 CITY USE ONLY
L ? BL RECEIPT #:
SUBD. DATE: 91,1
?
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dweltings
? townhomes and condos whESn pennits are required for each unit
5hower 3.00 x = 3 , 6
Water Closet 3.00 x = 3 ,6
Bath Tub 3.00 x = 3 a
Lavatory 3.00 x =
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 ;c =
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 :c =
Floor Drain 3.00 :c =
Gas Piping Outlet " minimum -1 3.00 x =
Rough Openings 1.50 ;< _
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. SpPlnkler ` home under const. 3.00
Alterations ' to existing 20.00 =
Water Tum Araund 20.00
STATE SURCHARGE .50
TOTAL ? s'6
SITE
S
r
OWNER
INSTALLI
STREET ADDRESS: 3
.
rA?:
CITY: STA
f ZIP: Sy-oeq S-
PHONE #: ((,?2- ) ? ) -7 -- 9 S??
L BL
SUBD.
OFFICE USE QNLY
1996 PLUMBING PERMIT (CnMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for: . all commercial/industrial buildings.
w multi-family buildings when separate permits are pgt
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE f
WATER FLOW: GPM. ARE FLUSHOMETER.`i TO 8E iNSTALLED?.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF MET
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER ;
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY(LER PERMIT.
FEE: $25.00 minimum fee or 7°k of contract price, whicherer is greater. State
$1,000 of pwmit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
lNSTALLER: _
ADDRESS: _
cirr:
PHONE #:
RECEIPT #:
STE. #
LOWING
YES _ NO.
ISSUANCE.
_ YES _ NO.
af $.50 per
STATE:
SIGNATURE:
APPLICANT
OFFICE USE ONLY
for each dweAing
ZIP:
METER SIZE: DATE: - INSPECTOR:
V' aa.m
JhL-
Clty of Eaian
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
6pq??B
------------------
j Pertni[ #: ... 73 ?l' °t9(lj ?
? Permit Fee:
? Oate Received:
I Staff:
I
-----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: q? Site Address:
Tenant:
Suite
RESIDENT / OWNER Name: CfT ?t.? He 1c5+ Phone: ??
Address / City / Zp/
:
Applicant is: _ Owner -V"aonhactor
TYPE-OF WORK Descriptian of work:
Construction Cost
CONTRACTOR
#: ?013R9LfaL!
CiTy: c-r-l'1(xxX]Ter SCdte: M1V Zip: '?'?J0p0
Phone:G Jl"'I-* •"I3;1O ContactPerson: KQ 11
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv i Minnesota Rules 7672
Energy Code . Rasidential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Su6mRted suaninec
(4 submission type) • Energy Envelope Calculations Submitted .
In tha last 12 months, has the City of Eagan issued a permit for a similar plan based on a maater plan?
_Yes _No If yes, date and address of master plan: -
Licensed Plumber; Phone:
Mechanical Contractor.
Sewer 8 Water Contractor:
Multi•Family Building: (Yes_/ No
Phone:
Phone:
I hereby acknowledge tha[ this irrtortnalion is crnnplete antl accurete; ihaz the work will be in CoMOrtnanCe with the ordinances and codes of the City of
Eagart; thai ! urtderstarW this is not a pertnft, 6ut only an applicaUOn tor a permit, and work is not to start without a permii; that the work will he in
accordance with the approved pian in the case of vrork which requires a review and approviil ot plans, n
Xn I a- (" (?3CC/ 1 44 x .
Applicant's Printed Name App s Signature
Page 1 of 3
t
Use BLUE or BLACK Ink
r
For Office City
Use l���� �� / /0J `a
3830 Pilot Knob Road
Eagan MN 55122 ,` j Date Received: /0 23.77
Phone:(651)675-5675
bu ildingi nspections(acitvofeagan.com Staff: 5 --
J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10°11,-11 Site Address:16 5C9 M Q Pock Cf 5(2/2— Unit#:
Name: �lain� k�4 V- g Phone: ?4 2s9- O1SZ
Resident/ � p L
Owner Address/City/Zip: I (eSC® Iv(o�.�UG tj 0 i4r" Nth Si Z'Z
i
' Applicant is: Owner Contractor
7dov1Description of work: IIh� I W ( I QZN , bJ( 7v d49)
Type of Work
\! Construction Cost: 1/ `l 5®
Multi-Family Building: (Yes /No & )
Company: MON /IOC/ Contact: 1, cliZ
VV
Contractor Address: � �Ce�SS� �U "iV City: N 15
Statex- `" Zip: s3 k3 Phone:47 Ula S 3 51mail: tCPU'1,3 , ./Any(AM
I j License# JS H l I Lead Certificate#: J PCT n)
Lj(,1"'-Z
If the project is exempt from lead certification, please explain why:
1
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:
I
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
o
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
I NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the
information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.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.qopherstateonecall.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; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of!. -• .
Applicant's Printed Name Applica s Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165138
Date Issued:10/20/2020
Permit Category:ePermit
Site Address: 1656 Norwood Ct
Lot:5 Block: 3 Addition: Brittany
PID:10-15000-03-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Alan E & Kristen M King
1656 Norwood Ct
Eagan MN 55122
(218) 259-0752
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169465
Date Issued:05/27/2021
Permit Category:ePermit
Site Address: 1656 Norwood Ct
Lot:5 Block: 3 Addition: Brittany
PID:10-15000-03-050
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Alan E & Kristen M King
1656 Norwood Ct
Eagan MN 55122
Craftsmans Choice Inc
5680 Quam Ave NE, Suite A
St. Michael MN 55376
(763) 276-7465
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173781
Date Issued:12/02/2021
Permit Category:ePermit
Site Address: 1656 Norwood Ct
Lot:5 Block: 3 Addition: Brittany
PID:10-15000-03-050
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, Pete DeGrood at (507)
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 -
Alan E & Kristen M King
1656 Norwood Ct
Eagan MN 55122
(218) 259-0752
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173834
Date Issued:12/07/2021
Permit Category:ePermit
Site Address: 1656 Norwood Ct
Lot:5 Block: 3 Addition: Brittany
PID:10-15000-03-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Alan E & Kristen M King
1656 Norwood Ct
Eagan MN 55122
(218) 259-0752
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature