1605 Norwood Dr?•.CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122
DATE 19
RECEtVGD
FROM
AMOUNT $ I
l< ?
Q DOLLAR3
too
? CASH 0 CHECK
/
?.?
FUND CODE AMOUN7
-
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I
Thank You ???' _?Y ?
BY -? I
White-Payers Copy
Q Yellow-Posting Copy
,? 15 i Pink-File Copy
r =CITY OF EAGAN
3795 Pilet Knob Roed Eogan, MN 55I22
• ? PHONEs 454-8100
BUILDING PERMIT Receipt #
.
To bo ased for Est. Volue Dote
Site /lddress - - ? •r ' .
? •_ ,-i '- ? ;,... ,
Lot Biock Sec/Sub.
Parcel #
W Name
? Address
0
..,.. .
p Name
?? Address
? r,1,,-_ ??, •_ ??d-Fg7?
nti.,..e
Name _
Address
I hereby ocknowledge that I hove read this applicotion and state that
the informotion is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagcn Ordinances.
N2 5390
A-rl _ _ 7Q
Erect Q Occuponcy
Alter ? Zoning
Repoir ? Fire Zorre
Enlorge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode ? Depth ft.
Approvoh Fees
Assessmerrt _
Woter 8 Sew.
Pol ice
Fire
Eng.
Planner
Countil
Bldg. Off. _
APC
Permit
Surcharge
Plon theck
SAC
Water Conn.
Water Meter
Total
Signoturo of Permlttee I
A Building Permit is issued to: on the express condition that
oll work sholl be done in accordonce with all opplicoble Stote of Minnesoto Stotutes ond City of Eagon Ordinonces.
8uilding Official
hnek # Dote Isnad PsewiMM
Plumbing C) -S- 1 nj ?
^
Mechonicol 6- r9 c? ?•
?s?
_
INSPKTIONS DATE
- INSP.
Rouph-In
Fina1
Footings ? Date insp. Date Inap.
Foundation IQ' ' Plumbing D•!r ?t ?2 1
Frame/ins. y,P9 Mechanicol
Final /. ?
Remorks:
fceipl-? MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spacea S/C
Type or Print legib/y Tot.
1. Date 2. Installation Cost
Job Address
3 / 4.0, +".
? Tract
Lat Blk
. .
4. Owner ! CrATI
5. Contractor ' Phone ?
6. Address 410
7. City " State Zip
8. Building Type: Residential 11 Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair:0
10. Descri be
11.
uel Type
No, Equio nt STU - M. Ea.
Forced Air No. Equiament CFM
Air Handli
:
Mfg. 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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
I Approved CITY OF EAGAN 464$100
CITY OF EAGAN
3795 Pilot Knob Roud
Eogan, Minnesofa 55122
P6one: 454-8100
Dute: 11-0-7Q
_ Block Sub/Sec
'tblM¢sM Bidl-S.
Site Address: 1605 ?Jo?''•-txoc3 T1rive
i6 2
Lot
Name
PERMIT
$??ttww ift
Address 13P16 Tt]"lOF3 LTl.
a1e Va1.Zey 55124
City ?? Phone:
Nome
ttb4• & A/C
454-6873
Bertu D I RLte D11Ve
urFUSI'IM AIR PWFHM
No
1606
16294
Receipt No.:
Single I
Residentiol x
Multi Res., Comm./Ind. I
New/Alter./Repair
Cost of Installation
Permit Fee
Surchorge
.50
V
EwTatl' 75122 4:?2-._T " 2n.?? :Z
City _ Phone: Total
This Permit is issued on the express condition that all work shall be done in accordance with oll applicable 5tate of
Minnesota Stotutes ond City of Eagan Ordinances.
Building Official
CITY OF EAGAN
3795 Pilot Knab Rodd
Eagan, Minnesofa 55122
Phone: 454-8100
Date:
Site Address: 1605 NCA'th!00d DriVe
Lot Block _
5ub/Sec.tt, ?
Tn21Pfgm puihurs
No. 15'10
Receipt No.: I h36 8
Single I J
Residential
Multi Res., Comm./Ind. I
Nome New/Alter./Repair. 3 Address `!DI.VCek,^
Cost of Installation
0 i?iE' va11PV ?194-,?g73
City Phone: Permit Fee
r ?
Name Surcharge
?
Address
0
City _ Phone: Total
This Permit is issued on the express condition thot all work sholl be done in accordance with all opplicable Stote of
Minnesota Statutes and City of Eogan Ordinances.
PERMIT
Building Officiol
CITY OF EAGAN Remarks
Addition BRITTANY Lot 16 Bik 2 Parcel 10 iSnnn 160 02
Owner t 1''. ,C , - `. LuJf v 0 t, UolG i. Street 1605 vorwood Drive State
Improvement Oate Amount Annual Years Payment Receipt Date
STREET SURF. (0
STREET RESTOR.
GRADING J _) C006755 O
SAN SEW TRUNK
* SEWER LATERAL ?
WATERMAIN
* WATER LATERAL
WATER AREA
STORM SEW TRK ]. HO
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 11
8UILOING PER.
5390
SAC
PARK
CITY dF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zaning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Chorge:
Size: Acwunt D
it
epos
;
Reader No.: Permit Fee:
1 c9ree to eomply with the City of Eugon Surcharge:
Ordinances. Misc. Charges:
Totol:
By Date P
id
o
:
CITY OF EAGAN SEVNER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NQ.: _
Eaaan, MN 55122 DATE: _
Zoning: _ No. of Units: -
Owner: _
Address:
Site Address:
Plumber: ?
! '. .. . .`)?1
1 agree fo campfy wifh !he City of Eagan Connection Charge: _''_r ,^•(; ;
Ordinancea. Account Depasit: _
Permit Fee:
Surchorge:
By Misc. Charges:
Dote of Insp.; TotaL- _
Insp,: __ - Date Paid:
crrY oF EaGAN
?. •ti, 3795 Pilot Knob Rwd Eagon, MN 55121 N2 5390
PHONE: 434-8100
BUILDING PERMIT APPLICATION rteceipt #
ro bo u.ea Fo.SF IArlg & Garage Esr.valUe 62,000. p,te 9-5 1979
Slte Address 1605 NoYF700d Drive Erect
?1
?uPo^cY ?
Brit'tany
16
z Rl
Lot glock
Sec/Sub. Alter ? Zoning
parcel # 10 15000 160 02 Repoir ? Fire Zone 3
Enlorge ? Type of Const. V
Nume Tollefson Bldrs., Inc./ Elmer 'Iq'121P11Move 0 # Stories
Z
? Address 1605 Norwood Drive Demolish ? Front ?68 ft.
Ci Eagan Phone Grode ? Depth 364 ft,
? T
ll f Bldx' I Aoororols Fees
O
p Name e SOri 3., riC.
?? Address 13816 HOlVOke Ln.
? ?,... Aoole Vallev figg- 454-6873
Name _
Address
I hereby acknowledge that I have read this applitation and state that
the informution is correct and ogree to comply with all opplicoble
State of Minnesota Statutes ond?j?Ciof Eagan Ordinonces.
Signature of Permittee
A Building Permit is issued t 11PfSOT3 BZCZY'S. , IRC.
oll work shall ba done in ofcphdance 't a IicqhleS ate o ir
Building Official .t.i._ / .?.?-?
Assessment
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bldg. Oft.
APC
PE(R11t 1J / o ?V
Surcharye 31.00
Plancheck 78•75.
snc 525.00
Water Conn. 270•00
Woter Meter 60.00
Road Uni.t 75.00
Toral 1,197.25
on the express condition thot
Statutes ond City of Eagan Ordirwnces.
° = Minnesota State Board of Electricity
795XUniversity Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST.FOR ELECTRICAL INSPECTION
CHEJCK BELOW WORK COVERED BY THIS REQUEST
/ G •s1e /
s 1 17Q.1
Type of Building New Add. Rep. Check Appliances Wired For CAeck Equipment Wired Fm
Home 7M ? ? Range • Temporary Wixing ?
Duplex ? ? ? Watei Heater ? LighUng Fixtures
Apt. Bldg. ? ? ? Dryer ? Elecvic Heating ?
CommercialBldg. ? ? ? Fumace n2•00 StloUnloader ?
IndustriaiBldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
List ) r" '.,.
,, : _i..
..... T
n List
)
Othe[ ? ? ? p
'_
eh ers} ___r
ft
) "___
___'
' - p
}
H
ere
?sl
COMPOTE INSPECTION FEE BELOW t°"N"
Service Enhance Size: # Fee Feeders&SUbfeedeis: # Fee C¢cuite: if Fee
D to 100 Am s. 0 to Q iii' ied 0 to 30 Am eres 1 19 24-00
101 to 200 Am s. 31 . 00 res 31 to 100 Am eies
Above 200 Amps. Ab -' - Amps. Above 100 Amps. '
Transformers m' C" ontxol Circ. Partial or othei fee
Signs ia spection Minimum fee
Remazks
Jeff D.
TOTAL F (/Lj,aV)
44, 50
I, the Electrical InsPector, herebY ce * hat t a v?insPection has been mae..
?fl? ? 7^
/
(Rougtt-in) L,( / Date Q'j-
(Final)
This request void 18 months from o ( ?'
?/ AN
'T4!Pqsa'st??WrVmonthsfrom
Date of this Request 10-19-1979 • -? 13793
1, as E31,icensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 1605 Norarood CityE?
Section Township
Range County Dakota
Which ia cecupied by Tollefson
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yes EY . Ready Now ? Will Call EK
PowerSupplier Dakota Cty. Address Farminaton
ElectricalContwctor O.B. Thompson Electric Co.
(COmpany Name)
MailingAddress 12201 Sdtlsa Blvd.f Svltka ?5y5
Contractor's License No 37962
,_._...._w,_... ................._....., ..........o..o......,
/' rfr,G=,.????%'?
??' Phone No. 933•252
Authorized Signature ?,?
(Electrlcal Contractor or Owner Making Thls Installation)
g?p?? W8 ? L?D ?0?? This impection reqP Pwill npt be accepted 6y the
State Board unless ro er ins ection fee is enclosed.
minnesota btate uoera m eiactricity
Griggs Midway Bldg. - Room N181 ?/ EB-00001-02
18?4Univarsiry Ave., St. Paul, Minn. 55104 - Phone 297-2711 7 ?oA
REQUEST FOR ELECTRICAL INSPECTION 1? 3 v 88034
CHECK BELOW WOAK COVERED BY THIS REQUEST 0`
Type of8uilding New Add. Rep. Check Appliences W'ved For Check Fquipment Wirod Foi
Home ? 123 0 Range ? Temporary Wiring ?
Duplex ? ? 0 Water Heatet ? Lighting Fututes ?
Apt: 81dg. ? ? ? Drye[ ? Electric Heating ?
Commeccial Bldg. ? ? ? Fumace ? Silo UNoadei ?
Industrial Bldg. ? ? ? A'u Condifioner [7r] Bulk Milk Tank 0
Far,,, o ? ? List List
Other
?
?
? p
Heielg? p
Heie15I
COMPUTEINSPECTION FEE BELOW
Secvice Envance Size: # Fce Fceders&Subfeedeis: # Fee C¢cuite: # Fec
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
101 ta 200 Amps. 31 l0 100 Ampeies 31 to 100 Am res
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformeis RemoteControl Circ. Partial or other fee
Si ns Special Inspection Minimum f
Remarks
TOTAL F . 0,-
I, the Electrical Inspector, hereby certify that the abojei?spection has been made
(Rough-in)_ ?/ ?/?„ n-, Date
(Final) _ Z ` Date 2 ?
This request void
18 months from
This re ?'qltpst void
1 &months From
a'? 3' ? ? C7 LJ
Date of this Request 4-17-81 Fire No. S" 88,934
I, as Q Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 1605 Norwood Drive City Eagan
Section Township
Range County Dakota
Which is occupied by Elmer Thelan 454-8765
(Name of Octupant)
Is a roughin inspection required on this job? No El Yes ? Ready Now (B Will Call ?
Power Supplier
ElectricalContractor Rossow, Inc. Contractor'sLicenseNo.??82$
(COmpany Name)
MailingAddress P.O. Box 254 Lake Elmo, Mn. 55042
}Etectrical Contractor or Owner Maklna This Installatlon)
Authorized Signature ?Phone No. _ 770-5046
?+ 4fVl?? ? ? : ? ?fy (Elec cal CllV antractor or Owner Making This Installation)
`\? ? (??? ?? 1?? !This iMpection request will notbe accepted by the
C/ ?? State Board unless proper inspecfion Tee is endosed.
Cv-e-.
2006 RESIDENTIAL MECAANICAL rERlvtiT arPLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Te(ephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits?are required for each unit
430.50
Date L)LG
? Site Address L,?? -Dr - Unit#
Property Owner KGi(?,<) Telephone tt (C051) )65
? Wohlers Southside Htg& Air Inc.
? Contractor
6950 W. 146v` St.," #106
Street Address Apple Valley, MN 55124 City '
(952) 431-7099
State
----- Telephone # ( )
-
Bond#: Kt-5-oSz4`798,7 Expires: a5_24?0
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30 00
X furnace _Additional Replacement ^ New
air exchanger
? air conditioner cc`
heat pump
C
other JU?
State Surcharge $ .50
Total
I
I herehy apply for a ResidentiatMechanical 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 with the Mechanical Codes; 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 acwrdance with the
approved plan in the case of work which requires a review and approval of plans.
0I-Yar{. U-1jl ler 5 ri1 cz ,_c
Applicant's Printed Name Applicant's Signature
f_f,t 5"O` I 2005 RESIDENTIAL BiJILDING PERMIT APPLICAI'ION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephoue # 651-675-5675 FAX # 651-675-5694
*F a?. a5
CA)-
L'r ?Y?
New Construction Reoui2ments RemadeVReuairReauirements Office Use Onlv
3 registered site surveys showirg sq. ft. of lot, sq. ft. oi house; and all raofed areas L/ 2 wpies of plan Cert M Survey Recd ?. .=Y _ N
(20% maximum lot coverape allowed) 7 set o( Eneigy Calculafans for healed addtlions Tree Pma Plan Recd - ._ Y?_ N,
2 copies of plan showing beam & window s¢es; poured found design, elc. ?7 site survey for additbns 8 decks T{ee Pres Raquired _ Y_ N
1 set of Energy Calalafbns Addfion • irMicate ilon-afte sepfk sysfem Onai[e Septlc Syslem _Y _ N
3 copies o( Tree Preservation Plan if lot platted after 711193
Rim Joist DetaO Options selection sheet (build'mgs wiN 3 or less uniGs)
Date 6l0 D,S Construction Cost
A'
Site Address '? 6 S /I16XAlOd,O DRi vE7 Unit/Ste #
Description of Work '1ZETI.it4E FipOA%l 4 T1S6P, .SlpEW/FL.KS, Abb 6461,E U6+e4111SP,
/ Fk,y? E?,y
MuIH-Family Bldg _ YN Fireplace(s) _ 0_ 1 _ Z .
Property Owner /?(ER (2(6 Kp-AJ Telephone#(rpSf ) 345 &'?d.73.
Contractor `?uIG
Address 36 A A/,D Lr CiTy FkfOQ L14"Kc
State ziP,?'S37 z- Telephone #(?p P) oUS 4Z37I
CoarRacTOgs LrerusE itJa • o20a7 .2456
?-/
rn/rI/
"
L
COMPLETE THIS AREA ONLY IF CONSTRUCTING A
- Minnesota Rules 7670 Cateeorv 1 - 'v"-iii°-D
Energy Code Category . Residential Ventllation Category t Worksheel • Nev+
(4 submission fype) Submilled SuW
• Energy Envelope Calculations Subrtlitted -
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but 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.
46z,56AI •
App icl ant's Printed Name ? ApplicanP Signatur
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plez ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Starm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N O 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
4
1
ft
"
Valuation -
000.
;
census code
SAC Units
# of Units
# of Bldgs
Type of Const vi3
_ Footings (new bldg)
?q Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Approved By:
R
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundatian ? 45 Fire Repair
? 37 Demolish Building' 0 43 Reroof ? 46 Windows/Doors
"DemollNon (EnUre Bldg) - Give PCA handout to applicant Occupancy 9-3 MCES System
Zoning 2- ? City Water
Stories Booster Pump
Sq. Ft. PRV
Length 91 Fire Sprinkiered
Width 7 '
REQUIRED INSPECTIONS .
FinaVC.O.
)Ci Final/No C.O.
_ Plumbing
HVAC
Other
Pool Ftgs AirJGas Tesu Final
Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES 5AC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Piant
License Search
Copies
Other
Total
q `x7 / X5 yac) - 3No2- .-
Drf°-rA 5l ooV
1Z.eP(,tce. 2"ao0, ,
SUILDIATG PERMIT APPLICATION
.
include 2 sets oE plans, 1 site plan eo/elevationa add 1 set of energy calculations.
To be used for ?j valuation
Site Addzess: /? e96
Lot Block Sec. Sub. Parcel Number
. . . . . ,. ,?.v.°°?...?
, ..
Owner , Telephone .
Adds'es 3 -a
Contra
ad8rea
Arch. /Eng.
Address
Fsect ?
Elter
.` RePBir
Enlarge
Move
Demolish
Grade
OFFICE USE
Aate of Approval s Initial
Assessment (? JJ, ? a1?79
water/Sewex
Police
Fire
Eng.
PlanIle2'
Oovncil
Bldg. Off.
A.P.C.
Telephone
2blephone
OFFICE USE
Occupancy
Zoning A2/
Fire Zone .?
Type of Const. v
# of Stories
£ront lo B ,i_
Depth
?
FEE3
?
Pezmit
surchar4e 3/
P1an Check 7V ?
SAC
4tater Conn. 2 76
Vlater yMete?-rv /o .
/r ?? .
?
TOTAL
6
rt
i
yai33
i qb7
? t a-l
??
Cities Di-gital Quality Control
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I H6R6BY C[RTIFY THAT TM@ ABOV6 IB h TRUi AND CORR[CT PLAT Or A BURVQY OP
Lot 16,Block 2,Br[[tany,
7aicata Caanty,!ftnnesate,
As eunveveo ev Mi TMIS___UCII_ yAy ? Aug___1 p 1979
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TOK'N OF EAGAN
3796 PIIOT iCNOB ROAD
/O /SUC?o /?OUZ
3r'4-?a?y
d'
/' ST. PAUL, MINNESOTA 55111 RECEIPT NO.
$ ',? Z? DEPARTMENT OF INSPECTION AND ZONING pERMtTNO.
Total Fee Collectetl APPLICATION
_CheCk if Double Fe¢
DatBOfAODlication ES' o?VJOrk O
Name ot ownar G )C1 A ry??~/Aaerass /?l Q 7 ?I?wUVU ??l L?/ %
Nama of Licensatl Contractor J ! & / -
?? " o ACtlress /!P W/u l l /() 5?
Work to Ea tlone Number Stroet Sitle Connecting Streets
on Premises at: yyarC Lot 61ock Atltlition or Tract
Structure: New Oltl Brick IStone Frame Brick Veneer Stucco I Cem. Blo<k Metal
Work to be Oone; BuiIE Install ?. I Alter I Repaiv I Move Wreck Han9
Stories Front Oepth Height I Built of To be usetl for
Builtling Masonry or
Fin Cemen glacktop Sign Plastar5t4cco
Dr Wall Elavator Fence Driveway Roafin9
Natu?e of Work: Air ConG. Refrigeration Plumbing Ventilation Sheet Metal Gasfitting Gas Burner WarmAir Ht. Steamfitting
Otner (Name) r 4 rllt / ?C J"6 7/0C. L
PLASTER-STUCCO-DRY WqLL SIGNS an0 BILLBOARDS GAS BUi3NER NS.P. Perml No. Oate
Erect New Si n Number of 8urnersto be: Ins[alletl Repdiretl
No. vtls: Int. Rapdir OIE Sign AltereC ConverteG
Illum. Tratle IVame
Ext. Non-Illum. Gas Unit Size Na. _ B.T.V. Input
Rooi Gas Supply Piping to be Installatl: Ft.
Projacting Type of Heating Plant: Steam Warm Air
BING Horizontal Hot Water Vapol
No. PLVM Vartical Connectea Loatl B.T,U.
Water Closet In Inches)
Proposatl Vent Flue Size (Diam
Corrybinetl Horiz. & Vert. .
Bathtub
pe of Cons[
idns T
Di
Fl
OtMer .
y
ue!
mens
Cnimney
Urinal Remarks:
Shower '
LavdtO!
Kitch.5ink f
lA
ll
ti
51o Siok MECHANICAL STEAMFITTING a
pp
W
orts
SOe<
6ar $Ink
?'?'arm Alt Heating Plants: No. Item
Dishwasher
Launtlr Tr. Pipe_ PiOeless Steam Boiler
Ork. Fntn. Fan Systom Hoi Water Boiler
Mlsc. Fix. pre5sure Sys<em
St Migh Pressure BoileY
Gas
ave
Gas O n.
Matorizetl Unit Heater
arb Di No v
.
antilator
UNt
A.C Unit L
G
D T
tle N
HNI Siie No
WQ Steam Hot Water Neater
as
r .
lncin. ra
am
.
Manutacturer, w Steam Raeiator
Gas Wat. Heater Oia?n. of Grate Inclle5
Hot Wate
tliator
R
MISC.GaS B.T.U.Input; ? r
a
Floor Dr Oil Input Gal. Par Hour
, .
CaaY. FIY. Or.
Gch. Bas. Con. Werm AiY Heatin9: Gravity
Ratin
Sep Tank CesSpoo Forwtl A1 g
Ventilatlon DucL Work 5a. Ft. Cap of H W Radiator
House Saw.
Ref.Drn. RefriqMation
D 54.Ft.Ca of5teamRatliat.
Rn. Wat. _
General5heet Metal H
P
LBatleIS NO. .
.
MiSCBllaneaus
LL?
APOroveC:
7die:
: aa
The untler5l9^etl haraby makes application for a pelmit to tlo work as herein specifie
InsPecfor 3 p to a all w9 k in s[rict acwrdancB with ell
ortlinances antl cotles of the ortlina es a coA of t?e ow of Eagan.
?
1 AD ?nt
O ? U O
BUILDING PERMIT IS VO D if no work is Oone above the fountlatlan tor e periotl of six (6) months
fY0111 tF1B tlata of ISSUdlltB.
ALL PERMITS VOIO unle4j5 work is completeE antl final inspection matle within one (1) year of issuanta.
-'--'ti?i??
CITY OF EAGAN
EARLY UTILITY CONNECTION PERMIT
Address Subdivision/Parcel
I hereby request permission from the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way. I
understand that the City has not yet completed, inspected and/or accepted
the sewer and/or water lateral. I agree not to use, test, or connect these
individual services to any interior plumbing and understand the require-
ment to cap the sewer service to prevent any unauthorized use.
In accepting this permit, it is agreed that I will hold the City and its
agents haxmless from any damage that may occur due to this early connection.
It is understood that no Occupancy Permit will be issued or water allowed
to be turned on until the City utility system has been declared operational
by the City Engineer.
Signed by - Plumher•
Owner:
Builder:
Dated:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1605 Norwood Dr
Lot: 16 Block: 2 Addition: Brittany 01st
PID:10- 15000- 160 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Brock Corporation, Taylor
6253 Bury Drive
Eden Prairie MN 55346
(952) 888 -2000
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Merrie J Kaas
1605 Norwood Dr
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA084886
08/01/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107961
Date Issued:11/07/2012
Permit Category:ePermit
Site Address: 1605 Norwood Dr
Lot:16 Block: 2 Addition: Brittany 01st
PID:10-15000-02-160
Use:
Description:
Sub Type:e-Fireplace
Work Type:Gas Fireplace (new)
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 by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Merrie J Kaas
1605 Norwood Dr
Eagan MN 55121
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
r C!ty of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
013
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / 3 Site Address: 4,05 NorkiooG)' OC- Unit #:
Name: I!/e�%1� /�G4.S
Address / City / Zip: /6)0 j /1004-1006/ 2V
Applicant is: Owner ,\ Contractor
Phone: 65/— (, 373
Description of work: KHr/ , em e l
Construction Cost: 47 7, 35-0
Multi -Family Building: (Yes / No )
Company: 44///t/ gd'Gcd gutlGfe1S, (-L(' Contact: Jt,SdY% o//Z
Address: 35-- 7 Al'G(Ow &a Ji J /4-i f U Vl/ City: g-10 ( L i k—
/V
State: Zip: 5�3 Phone: 7c �J��� / a(oa�
License #: 131, 0(0.93 g Lead Certificate #: /147 / G /—
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
//ow c(4$ dV/If d /976'
it -I kg1°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:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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 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 permit issuance.
x JG.501 /J • i'o /-f2._
Applicant's Printed Name
x
AppI 't's Signatu
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
/6c)---3 a/
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
WORK TYPES
New Interior Improvement
Addition Move Building
XAlteration Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% if )
Census Code
#of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: Rough In Air Test
X Insulation
Sheathing
Sheetrock
Reviewed By:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
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
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _
Siding: _Stucco Lath _Stone Lath
Windows
Retaining Wall: _ Footings Backfill
Radon Control
Erosion Control
, Building Inspector
Final
Brick
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Use BLUE or BLACK Ink
--,
For Office Use I
... , ., Permit#: CI
II° 5T3 (-C'
1
City of Eapll
Permit Fee:
I
3830 Pilot Knob Road z, 1
Eagan MN 55122 RECEIVED Date Received: -- ' AL/A
SY/ i
I
Phone:(651)675-5675
151
Fax:(651)675-5694 FEB 0 1 2017 L stag
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
2 ,y.
Date: I1
Site Address: NO _ toy vv.'%ILI- 1 ''Ll'CIA 'Vtlij Sri 1:1' Unit#: y 1
.. 1
Name: Oti irri 4- 11-4A1A-S
Phone: -,
I
Resident/ i ,
4 • I( 0c- A4long0t3 4, et e - •t,,,4 PIA'
Owner 2 Address/City/Zip; - - .
i
' Applicant Owner N ContraCtOr
Description of work: i."---''-‘''`f/()‘-'1,'k- 4' -e•;‹,,Is - ,,,,, io,4.9 ;
Type of Work I ,
,
Construction Cost: .?.--C-11 0(..)C) Multi-Family Building:(Yes /No- "‘I )
, v „.t,, A,,,,- ,• . h,,.. , ,
Contact.
Company:''" .—;--'";--'-',-. i,',, :-''---- ----- --..----.,,,i-,‘:- ',' J--16‘06- ,
, .
i ',„
‘ . .-„ .- ,.. ,, 4. , -\\., ,
Address: \‘-. ;. z-,,, ,-.A s'.n, ,- P-t,-',..- ..'.. City: \-- -:1 '-' "., -, ‘',--
, Contractor
State: , ' ' Zip: '›'"''= ‘-. 1 Phone: A.....',.,) ;-> '/ •-- Email: ',.- -/ \
,-,,
License#: i':t- i- IS. 5 / '-
Lead Certificate#: C .
..,
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 that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-4002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www gopherstateonecalLorg
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 permit issuance.
x 1 : ',.' . i.. 1' =*"., i,i '
,
Applicant's Printed Name ApPlicant's Signature
Page 1 of 3
DO NOT1 I1 <-
WRITE BELOW THIS LINE 0)
)L)
,-
SUB TYPES I L.(-_-; \\)„,, -u-k-0 fr
Foundation Fireplace Porch(3-Season)
Exterior Alteration(Single Family)
Single Family ____ Garage Porch(4-Season) _____ Exterior Alteration(Multi)
-
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of Plex _ _Lower Level Pool Accessory Building
WORK TYPES
_ New Interior Improvement Siding _____ Demolish Building*
Addition Move Building Reroof Demolish Interior
_
....___
Alteration Fire Repair —Windows Demolish Foundation
_
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Mg Occupancy _Zit4 -/ MCES System -,
Plan Review Code Edition ,10/5. SAC Units —..
(25% 100% i/r Zoning IL -1 City Water .......
Census Code 1134 Stories Booster Pump
_
#of Units i Square Feet ---- PRV
#of Buildings I Length --- Fire Suppression Required ,—
Type of Construction Width —
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) 4, Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test
Roof: Ice &Water _Final Pool: Footings Air/Gas Tests Final
_ --Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath Brick EFIS
Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In__Final
Braced Walls
Erosion Control
Shower Pan Other:
1ev
ff-,iewed By: tip
, Building Inspector
RESIDENTIAL FEES
i. / g
Surcharge
Plan Review zi 7Z -
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
,-
For Office Use
Permit#: / //? /6? �j
City of #: l'Permit Fee: Cr"
c
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 L Staff:
2017 RESIDENTIAL PLUMBING
G- PERMIT APPLICATION
Date: L 2�^17
, Site Address: 1 `P 07 c n�r� UC3C.Jf��\� `(
Tenant: Suite#:
f.
Resident/Owner Name: Phone:
Address/City/Zip: /(47 s-- �r�r-��o o r / g����
C �� e
J ry�f�1
Name: f � ^c License#:
Address: 9 uo ��e1�`-- �2-15� \ ity: ���J
w C�-
Contractor a y
3 State: h"Y/\ Zip: S3 ) ?- Phone: � ('57 l'I\
t I
1 , cv`�-�
Contact: � Email: f V '� t
New Replacement Repair Rebuild —Modify Space Work in R.O.W.
Type of Work —• `— �— — /J
Description of work: + ca� 0(---.1 VI'bc3 19- �f 91 /4,-t-,
RESIDENTIAL i
Water Heater
Lawn Irrigation ( RPZ/—PVB) Water Softener
Permit Type i Add Plumbing Fixtures( Main/—Lower Level)
t
Septic System
Water Turnaround
New
a—
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$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES $
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.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 of 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 pl ins.
/ "
*441
x `:IQ— 'r`-)LJ- \ X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
RECEIVED
Permit# 140953 APR 2 7 2017
I, David Thompson,project manager on 1605 Norwood Dr. Eagan, MN, confirm that the
following work was the full extent of framing and insulation work on this job performed by me:
Removed king,jack, and cripple studs of non-load bearing wall at master bathroom
doorway. Replaced king,jack, and cripple studs to open the width of the doorway from 28" to
31".
Installed blocking in the master bathroom shower wall and main bathroom shower wall for grab
bar installation.
Installed blocking for medicine cabinets in both bathrooms, did not move stud locations.
Installed blocking for tile backing in master shower(one stud).
Removed and replaced tile backing in master shower exterior wall. Replaced plastic moisture
barrier.
Bath fans in both bathrooms were replaced using existing venting. No other HVAC work was
performed.
Signed,
David Thompson
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171703
Date Issued:08/27/2021
Permit Category:ePermit
Site Address: 1605 Norwood Dr
Lot:16 Block: 2 Addition: Brittany
PID:10-15000-02-160
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Merrie J Tste Kaas
1605 Norwood Dr
Eagan MN 55122
(651) 365-6373
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature