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1606 Norwood DrCASH RECEIPT ? ?. CIT'Y OF EAGAN P.'O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RECEIVED J FROM AMOUNT $, I DOLLARS I oo E]CASH E]CHECK FOR F. w- ? FUNO CODE AtAOUNT ThankYou ?r BY R? ? White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH R ECE I PT CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 ____ _.. ?. . ._ . ? . AMOUNT $ I ooL.LnRs 1 oo FuNO CODE AtAOUNT ? f. _ 5 ? Tha ? u. BY White-Payers CopY Yellow-Posting CopY Pink-File Coov [:)CASH [] CHECK ?. BUILDING PERMIT r.. ti.. ,..,,.a 9,.. 3-SIAM POD= $1?,000 Site Ad5 ress "'%"' `V""""'° "EL Lot Block Sec/Sub. BRITTANY Parcel No. ¢ Name 3 Address 454--5415 ° City EAU" Phone Name _ Address Phone Address City - I hereby acknowlege that I have read this application and state that the iniormation is correct and agree to oomply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permftee A Buildirig Permit is issued to: SUUN OR JOM ALL611 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Buildir?g OHicial ? . ?- - CITY OF EAGAN ? der 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 c I Rwraint ?F 18067 27 , 19 90 OFFICE USE ONLY ? I Occupancy Zoning - FEES ? 162 00 (Actual) Const - ? Bldg. Permit . 7 50 (Nlowable) - Surcharge . # or stories Pl R 10.00 Length an eview rt? Depth - SAC, City S.F. Total - gAC, MCWCC S.F. Fooiprints - On Site Sewage _ Water Conn On Site Well - Water Meter MWCC System - Acet. Deposit City Water _ PAV Required _ S/W Permil Booster Pump - SrW Surcharge Treatment PI APPROVALS Road Unit Planner - Park Ded. Council BIdg.Off. -- _ Copies ..? • Variance - TOTAL PermH No. Permit Holdsr Oate Tekphone # WATER SEWER PIUMBING H.VAC. ELECTRIC Inapection Date Msp. Commente Footings I Foundation ' Framing ? e Roofing. Rough Pibg. Raigh Hig. [Sd. ? e„ t-;., 'rt Frceplace Fnal Hig. Fnal Plbg. Cpnst Meter Plbg. Inspector - Notify Plumber Engr.lPtan Bldg. Final UQ G61? ? Deck Ftg. ? Deck Final weli Pr. oisp. CITY OF EAGAN _?; ? 9434 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT RKe+at # J' J T_ 1- „r, &-_ SF nwG/GAit $99, 000 _,_ AUGUST 23 84 Site AdIresa 1606 P]ORWOOD DR Lot Block sec/Sub. Parcel No. ? Neme -.._._..._ ...,.. ?......... Z Address ` ? City Phone t ? Name SAM u uI Address F' CILV Name City I hereby ucknowledge that I have reod this opplicotion ond stote that the informafion is correct ond ogree to tomply with oll opplitable State of Minnesotu Stotutes ond City of Eogon Ordirances. Erect L7" Oocupancy --- Remodel ? Zoning Repair ? Type of Const. Enlarge ? No. Stories Move ? Length Demolish ? Depth 4 4 Grade ? Sq. Ft. Approvnls pee@ /lssessment Water b Sew. Police Fire Eng. Plonner Council Bldg. Off. APC Var. Date Permit 430.90 Surchorye 49.50 Plon check 215.00 sAC 525.00 water Conn. 4 7 0. 0 0 Woter Meter 6 3. 0 0 Rood Unit 260, 0 0 Perks Total '? 0 , ' Sipnaturr of Permittee TOLLEFSON I A Building Permit fs issued to: on tha exp?ess condition that ofl work sholl be done in uccordonEe with cll oppliooble State of Minnesota Statutes and City of Eaqon Ordlnantes. 8uildinq Officiol Permlt No. Psrmtt Holder Date Plumbiny 9 ' )_ t H.,,A.C. 1 u -14 Y Electric A5 SoRener InspeMion Date Insp. Other Footingt 10?`?? D Fou?dstion Framiny ? Rouph Plbp. D /G r Rough HVAC Inwlation ? Final Plby. - Final HVAC Final Cort/Occ. Water Desoribe Location: Well Sewer Pr. Disp. Receipt ( MECHANA L PERMIT Permit No, CITY EAGAN Fee Fill in num bered spacea S/C Type or P rint le+gibty Tot. 1. Date 2. Installa tion Cost ? 1 I 3. Job Address L ot_,7 _Blk. { Tract? 4. Owner 5. Contractor Phone 7 6. Address 7. City State /1^-- 2ip 8. Building Type: Residential Er Commercial ? Institutional ? 9. Work Description: New fT- Add 10. Describe 11. Alter O Repair ? Type No. Equ1pment BTU - M. Ea. Forced Air ? No. EQUiament CFM Air Handlin : Mfg. g Boilers Mfg. Mech, Exhaust Unit Heater Mfg. Other Air Cond. ' Mfg. T Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes yeve?' . g 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 1 _? -i PLUMBING PERIVIIT CITY OF EAGAN Permit No. Fee • , o ?,a Fill in numbered spaces S/C -':_ ? Type or Prini legibly ,? . Tot? Y /? 1. Date 4/ 2. Installation Cost 3. Job Address! iP0ar &G'CLAk1e:: Lot .::., Blk. 'r ' Tract / 3' 7?• 4. Owner 5. Contractor-6k &Z I a4f} Phone 442. 6. Address ' ?r / ff '? -?r•, . ?.? l)r ? '?" ?? 54. : . 7. City State 41 Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: Newe'- Add ? Alter ? Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank ? Lavatory Softner 5hower Well Kitchen Sink Urinal/Bidet Other I ? Laundry Tray Floor Drains Drinking Ftn. ? Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true artd correct, and I agree to comply with all ordinance; and codes governing this type of work. Signed : -:e..y,.?? Rough final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-6100 Receipt PLUMBING PERNIIT • Permit No. - .CITY OF EAGAN ?. ' Fee fill in numbered spaces S/C Type or Print legibly Tot. 1. Date ? 2. Installation Cost - 3. Job Address ? Lot Blk. Tract i 4. Owner dr, 5. Contractor Phone . ? , . 6. Address 7. City , • - State Zip ? ._ 8. Building Type: Residential ? Commercial ? lnstitutional O 9. Work Description: New ? Add O Alter -'0 Repair O 10. Describe 11. No. - Fixtures Water Closet No. - Fixtures i Cesspoot/Drainfield Bath tubs , $eptic Tank Lavatory Softner i Shower Kitchen Sink ' Urinal/Bidet Laundry Tray Floor Drains Drinking Ftn. SIoP Sink 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 Rough In'speCtions: Date Insp. for f inal Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ? Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLlCANT: hlo I I'iV 4 1111 (i ! PERMIT SUBTYPE: , , . , ,E t:f MA R t'. i I' tl i; A I!. t' 1 G. i4 I 1 :?: f?l-It 1 ? }? ? !?? fr,l.") ?4i 4ii TYPE OF W4RK: ,IN 1• 1 1 t r: r 1. 1 t' 1i 1 nr,ia i F i ON PermR No. Permit Holder Dete Tetophone M ELECTRIC PLUMBING HVAC InspecHon Date Insp• Commenta FOOTINGS G/?D r FOUND FRAMING o?a ROOFING ROUGH PLUMBINCi PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FiNAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ? SITE ADDRESS: ? 4, ,1. i11,;.111loo;l PERMIT SUBTYPE: ltif I t u r t??s 0 .* t' , ! .f. .ir, YH r. I tt!. APPLICANT: TYPE OF WORK: ? ? - - - - - - - - - - - - - - - - - - - - ---- ---- ------- Pormn No. P.min Haaer a.ft . Telephom / ELECTRIC PLUMBING NVAC Inspsction Dats Msp. Comments FOOl1NGS G ? Rri i1 L FWND FRAMING ROOFING I ` ROUGH PLUMBING PLBG AIR TEST ROUGH HEATIN(3 GAS SVC TEST INSUL GYP80ARD FlREPLACE FIREPLACE AIR TEST F?NAL PLBG FINAL HTG ORSAT TEST BIDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CITY OF EAGAN Addition_, RRTTTANY Lot 7 Blk 4 Parcel 10 15000 020 04 . Owner Street 1606 Norwood Drive state I. Improvement t Date Amount Annual Years Payment Receipt Date STREET SURF. 1952 2819.87 563• 97 5 1- -85 STREET RESTOR. GRADING 28.58 ? 285.83 A015043 1-7-85 SAN SEW TRUNK J 1976 156.51 10.45 15 2.21 A015043 1-7-85 * SEWER LATERAL f . 336.06 )Fus 3360.62 it i' WATERMAIN * WATER LATERAL WATER AREA _8 STORM SEW TRK 32. 83 328.35 A015043 1-7-85 * STORM 5EW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #45753 8-24-84 WATER CONN. 470.00 it 11 BUILDING PER. #9439 it if SAC 525.00 iT it PARK CITY OF EAGAN 3830 Pil t K b R WATER SERVICE PERMR r,9 o oad P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: ' Zoning: ? No. of Units: 1 Owner. =?.?-Iefson Eldi& Address: Sita Address• ?Nat-?''o?ad Drivt Piumber "?nL xVt:,? Metor No.: Connection Charge: _ .+ Ci . 00 pd Stze: Actount Deposit: 1.? ?.' ?p c Reader No.: Permit Fee: '. U. ?. 1 agree fe w?npF?r w1N? H?e City of Eoysn Surcharge: ''' p Oediwenoa. Misc. Chorges: ~ 7.00 pd Cteter Totnl: By Date Pcid: Dote of Insp.; Insp,: CITY OF EAGAN SEVIIER SERVICE PERMIT 3830 Pilot Knub Road - P. O. Box 21199 PERMIT NO.: ? Eagan, MN 551;j ` pATE; Zoning: - ` No. of Units: Owne?: c.....e scn _ dre: Address: 5ite Address; ?`?orwo rivs L rlttany at Plumber. 'e11Z NySn 8-4 - 4 .. . 1 ayno oon?py wlth !he CAey of Eegsn . 425.00 Connection {heryge: pd Ordieenen. Acoount Deposir 15. ' p Permit Fee: p SurcFwrpe: • , P('] ey Misc. Charpes: Dote of Insp.: Total: Insp.: Dote Paid: CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE P ERMIT ? P. O. Box 21199 ? PERMIT NQ: Eagan, MN 55121 DATE: ` - Z°nirg' ? No, of Units: ? Owner. ?0.1_l r> F 5o11 BZCIYS sAddr?efio ir??o ;, ??e L= i;x jtt;:-,y ` lst Plwmber• ?i .. ? Wft rN vil onned3on Chorge: c n : . 'ze: ? ?unr Deposit: der o.: Permit Fee: ? I!y.00 ??- 1 agrse M oampl?r wleb the Cify of layaa Surchnrge: .?? 0 pd OrJlwe k;g Misc Char : 00 -' )d rtr te ' 3 . fles . . Total: By c Dote Paid: D e of lnsp.: Insp" .1 lJ ? . RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ?? b q 7 J„ E830 PILOT KNOB RD - 55122 II V 851-681-4675 NewConsWCdon Reauiremertls • 3 registered ske surveys showug sq. ft of bt sq. tt. af house; all roofe0 areas (20% maicimum lot ooveiage albwed) • 2 mpies of plan shawing beam & window sizes; poured found design, etr.) • 1setMEnergyCelalations . 3 oopies otTree Preservatbn Plan if bt platted aRer 71753 • Rim Joisl Delail Options selecbon shaet (bldgs wBh 3 or less unMs) DATE _ JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY C YYPE dF WC APPIICANT ADDRESS s PAGER # E# FlRE?LACE(S) _ 0 _ 1 _ 2 PHONE# c ZIPCODE NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventllation Category 1 Worksheet Submitted - Energy Envelope Catculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Confractor. _ Plumbing System Includes: Mechanical CoMractor. _ Mechanical System Includes: Sewer/Water Confractor: _ Air Conditioning _ Heat Recovery System All above infortnation must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state with all applicable State of Minnesota Statutes and City oWc Slgnature of CertiFicates of Survey Received _ Tree Preservation _ Water 5oftener _ _ Water Heater _ _ No. of Baths 4 171, 15 RemodellReoairReauiremeMs • 2 copies of plan . 7 aet of Energy CalaWtions fir healed additions . t site survey tor ezterior additions 8 decks • IndkafedlwmesenedbysepticsystemforaddiNorce VALU/[ION 0j0 d_0 Phone #: Lawn Spritilcler No. of R.I. Baths Phone # Phone # FAX # Fee: $90.00 Fee: $70.00 ? ? Ito ly 3ces, _ o _ d tlDt I Update OFFICE USE ONLY ' '. ' , k 0 01 Foundation ? 07 OSplex ? 13 76-plex O 20 Pool ? 30 Accessory 81dg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 77 Garage O 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF 0 04 02-plex ? 10 08-piex O 18 Deck O 23 Porch(screened) 0 36 Mutti 0 05 03-piex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 72 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New O 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding 0 32 Addition O 36 Move Bidg. O 42 Demolish (Foundation) ? 45 Fire Repair 0 33 AlteraGon ? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Doors 0 34 Replacement 'Demolidon (Entlre Bldg ony - Give PCA handout to appllcant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) FinaUNo C.O. Footings(addition) Plumbing Foundarion Drain Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insulauon _ Windows (new/replacement) Approved By Base Fee Surcharge _ Plan Review MC/ES SAC Cily SAC Water Suppiy & Storage S&W Permit & Suroharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total FinallC.O. HVAC Building Inspector CITY OF EAGAN NO 1$067 ;' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 iog/ _O 1 Bl3fL01NG PERMIT PHONE: 454-8100 Receipt # To be used for 3-SEASON PORCH Est. Vaiue $15, 000 pate J11NE 27 , 1990- Site Address 1606 NORWOOD DR Lot 2 Block 4 SeGSub. BRITTANY Parcel No. w Name SUSAN & JORGE ALLEN ; Address 1606 NORWOOD DR ° Citv EAGAN Phone 454-5475 zi o Name SAME I g: Address ¢ Cily Phone r ?w Name ?? Address Q City Phone aw I hereby acknowlege that I have read Ihis application and state thal the intortnation is correct and agree to comply with all applicable State of Minnesota Stawtes and City ot Eaqan Ordinances. Signature ot Permitee A Building Permit is issued to: SUSAN OR JORGE ALLEN on the express condition Ihat all work shall be done in accordance with all applicable State of Minnesota StatuteIs andy 1Ci1y1Iol Eagan Ordinances. Building Official 1 M Il Ol.(A. ,? 1 II /J Occupancy Zoning (Actuap Consl (Allowa6le) # o/ Stories length oepm S.F. Tolal S.F. Footprinls On Site Sewage On Site Well MWCC System City water PRV Required Booster Pump APVHOVALS Plannar Council BIOg. Ofl. Variance OFFICE USE ONLY 16' Bidg. Permit Surcharge Plan Review snc, citv SAC,MCWCC Water Conn Water Meler Accl. Deposit S/W Permit SNJ Surcharge Treatment PI Road Unit Park Oed. Copi05 TOTAL FEES 162.00 7.50 1n5_oo 274.50 _? CITY OF EAGAN N? 9439 . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 ' PHONE:454-8700 7-' c ? J BUILDING PERMIT Receivt # Te M uted fer SF DWG/GAR Est. Value $99,000 Date AUGUST 23_ 19 84 SiteAddress 1606 NORWOOD DR Erect 14 Occupancy R3 Lot 2 Block 4 ?ec/Sub. BRITTANY IST Remodel ? Zoning R!- Parcel No. Repair ? Type of Const. Enlarge ? No. Stori ? ? Name TOLLEFSON BLDRS nnove ? Lenyth - z Address 1655 NORWOOD DR Demolish ? Depth 44 City Grade ? EAGAN phone 454-6873 Sq. Ft. g I Name $AME ?? Address • City Phone Name Address City Phone I hereby ackrwwledge fhot I have read this aOPlicafion ond state fhat the information is correct ond ogree to wmply with allopplicoble Stote of Minnesoto Statures ond City of Eogan Ordirances. Sipnoture of Perminee A Building Vermit is issued to: oll work sholl 6e done in acco Building Official Aoororals Fee. Assessment _ Wofer 8 $ew. Palice Fire Eng. Plonner Counc7l Bldg. Off.? APC Var. Date Permit $ 430.00 Surcharge 49.50 Plon check 215.00 snc 525.00 Water Conn. 470 • 00 Water Meter __h3?0 0 Rood Unit 760 - 00 Parks Total TOLLEFSON BLDRS on tha express condif{on thot ifP II opplicabl ta o( Minnesotn $tMUtes and Ciry of Eogon Ordinonces. . . . ALL'CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN ' INCLUDE Q SETS OF PLANS, CERTIFICATES OF SURVEY 7 ? SET OF ENERGY CALCULATION To Be Used For: ? ^ Valuation : 99,OGo- Date: Site Address: a /5 ? • • Lot:? B1ock:LSect/Sub: Erect: ? Occupancy: ?-3 Parcel Remodel: Zoning: Repair: Type Of Const: m Enlarge: # Stories: Owner:6ee (xA) Move: Length: LFG? Address: Demolish: Depth: ? City/Zip Code: Grade: Sq. Ft.: Ph e #: an Contract Address: City/Zip Phone #: APPROVALS Assessments: Water/Sewer: Police: Fire: Engr.. Planner: Council: Hldg. Off.: APC: Variance: ? Permit: 2'U.` Surcharge: 4-7.- Plan Rev.: 215•q SAC : 525. °- Water Conn: Water Meter Arch./Eng: Address: City/Zip Code: Phone#: Road Unit: ? (op,a ?idTf?6? Parks: 2c? x 36, = 72o xS4 = 5??8ca , ?6 ( ( 4 o- ? Feques[ D e - Fire No. qo gh-In Inspeclion Requir (You mustcall inspector wh reatly) Inspedbn Other Than Rough-In 0 fleatly Now ? WIII Notify Inspec[or O ? Ves ? No Date Reatl IRicensed contracfor ?owner herehy request inspection of above electrical work at: Job Atltlress (Sireet, Box or Pou[e No.) l?'s &/ N Ciry 4?,g- *^? Section No. Township Name or No. - Range Nn Counly Occupant(PRINT) Phone No Power upnplier L?j' Address G. . ./ M,Y • ElecMC nVactor (Company Name) / al r ? `- ? C' Cont pors Li ense No. ?a %9S Q?T. C Ff? . O. ? Mailing Atltlress ( nVacror or Owner Makj{ig Insiallation) !5-do ?. 79 TF ANhorized Signarore ( mr ctodOwner Making s I 6on Phone Num er Q ? - 7? 70 MINNESOTA STATE ARD OF ELECTPICITY THIS INSPECTION RE0IJEST WILI NOT Griggs-Mitlway BI .- Hoom 5-028 II BE ACCEPTED BY THE STATE BOARD 1821 Universlty Ave., St. Paul, MN 551W II II ? I??. II II III. II LINLESS PROPER INSPECTION FEE IS Phone(612)692-0800 ? ENCLOSEO. REOUEST FOR ELECTRICAL INSPECTION ee-o?ooyo/i'-?a/s? '? ?? ?? , 10- See inslmctions for rompleling Ihis brm on back of yellow "X" Below Work Covered by This Request .?. Ne .4dd Rep. Type of 8uilding - Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heatin Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Olher (specity) Contrzctor's RemaBS: ? S . ? ?dp?rs? 3/ro( / Compute Inspection Fee Below: ?c yLr? f1yi? Bh # Other Fee # Service Entrance Size Fe # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 -Amps $I f15 Inspeclors Use Only: T TAL ?d Irrigation Booms Special Ins ection " Alarm/Communication TFIIS INSTALLATION MAY BE ORDEREE) DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electriral Inspecmr, hereby Rou9n;n oace ceRity that ihe above inspection has been made. Final Dat ?J - OFFICE USE ONLY This ret?uest voiG 18 months from , rnis ? wia °?`??D T ta ?mnms fiom A 0 9 2 7 2 7 49 So Repuest Date ? ii`e No. r?lZ upA-in Inspectian v ?I?a?y Nam? N ' ?_ Q 'jy ?NO Y@5 br hen Neady aa LiceM¢d El¢ctriral Cmtractm 1 hna4v va0?a inspecllim ot above Q OWner electrieal vark implle0 aC Street AtlQress, ?Bo.x w floule No. - ?? /C CX? Cilv ??` ?V?-"/ A--?) Mmn N.I TownshiD Name or a Its? . Caunty OcCU nt (PRIM) Phune No. Suppli?? i y Atld'ess Electriral Cmhacta ICOnWaM Namel ?? K ?',?vc . C.?r s Lirm.e Mo. ? l ??-S' J idai?i naaress lcwn.act« w o?r eRakiip InsraclatianD 155F1 ?,? m v 7- . G. AuMwized SiBmwm (Contractm 6Aki mmlWtianl Plwa. NuFb¢r YINNFSOTA yTpiE 9pppp pF ElEG7111C1TT THIS IMSPECTIOM BMUFST rILL NOT Griggs-YidNeY &dg. - Room N-7Hl BE ACCEPIm B71NE SfA7E BOABD 1821 University AYe_, SL Peal, tlM 55700 UNlE55 PiOPS IMSIEC710N FEE IS Phone (812) 2972717 ENCLOSED_ r!4 $ l( f REQUEST FOR ELECTplCAL 1MPECTION Adfth, EgO00°1/-0/4 `Y/? , sae fsso-uea:ons m. conoI.rina tn:a furm on ceeli a wl? ?vr- IW l b'?l r?j ynQ' °7 97 ..X.. Re%w ewk Cavered by This Request ? N.l0.Qaa1 Reo.l Troo oe a.nwam 1 nowia? niead 1 Ea-iovon. Wi.ea I A Fee ServieaEntrasxe5@s p F. Feaders?Su6laetlees C fee Circuits ? 0to20(1 Anips 3a .5 0to AnICS 0Tn30Am A6ove 200 A 31 to 100 Amps 37 Lo 10? A Swimmi Pool Above 7QQ- Above 100? Traiuiameers irti tio? Boo? ? Partial'Other Fee Sigs Special Inspection .f) ? / r 5S6 RoupRin Date " - ? ? ?J mpecmr. MrebY 4?i1? tlrt ths above Final /175, ale isspactim los been nW. CITY OF EAGAN PERMIT C'4330 U ? ? 3830 ?ilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 7 9 5 (612) 681-4675 Date Issued: m 6/ 12 / 9 5 SITE ADDRESS: 1606 NORWOOD DR LOT: 2 BLOCK: 4 BRITTANY P.I.N.s 10-15000-020-04 DESCRIPTION: Building-.Permit Type tBuilding Wor_k Type i r .,_ .? GARAGE/ACCESStlRY ADDSTION ?? a REMARKS: A SEPARATE PERhIIT IS REQUIRED FOR ANY EI_EC7RICAL WORK FEE SUMMARY: VALUATION Base Fee Surcharge Subtotal $124.75 $3.50 $128.25 CONTRACTOR: - Applicant - sT. LIC OWNER: SCHWEICH CONST, DAVTD 14498808 0003607 ALLEN GEORGE 17160 HAMILTON DR 1606 NORWOOD OR LAKEVILLE MN 55044 EAGAN MN (612) 447-8808 (612)454-5475 ? I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City afi Eagan Ord'xnanaes. CJG?C. L ? ? APPLICANT/ ? PERMITEE SIGNATURE $7,000 COPY $.50 Total Fee $128.75 ? applieation and state that the with ail applicable State afi Mn. ? -- ?tJED BI-513UATU .? CITY OF EAGAN 3830 PILOT KN08 RD - 55122 ? 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) B81-4675 ? 9 repistered site surveys ? 2 copies of plan ? 2 copies of plans (InWude beam 6 window sizes; poured fitl. design; atc.) ? 2 site surveys (extenor additions 8 dacks) ? 1 eneigy calculatlons ? t energy calalations for heated additions ? 3 copiea of tree preservation plan if lot platted aiter 711/93 required: _ Yes _ No DATE: CONSTRUCTION COST: 1a1 eoo DESCRIPTION OF WORK: oA/To 6-XiSI"jN6 G>fR?IGc? S7REET ADDRESS: ??b G?v???`?D Ofc' F 11 LOT BLOCK ? SUBD./P.I.D. #: LC t`/'?? PROPERTY Name: Phone #: OWNER °"" Street Address, r?? 6 ?"? wD `' City: State: /42 k-? Zip: r cONTkaCTOR Company: Phone #: Street Address: /7/? d i???i?7'D?^',D?c . License #: City:?'A,e'Llii LE= State: ^sv Zip: ARCHITECTf Company: Phone #, ENGINEER Name: Registration #Street Address: City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot 1 hereby acknowledge that I have read this applipGon and state that the information is correct and agree to comply with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ° a " %-9 L?°- IlVLTE) Certficates of Survey Received _ Yes _ Na ? b 1995 Tree PreservaUon Plan Received Yes No -----"---- - OFFICE U5E ONLY BUILDING PERMlT TYPE ? 01 Foundation o 06 Duplex 0 02 SF Dwe(ling ? 07 4-plex 0 03 SF Addition ? 08 8-plex 0 04 SF Porch ? 09 12-plex n 05 5F Misc. ? 10 _-plex ? 11 Apt./Lodging o 16 ? 12 MuRi RepaidRem. ? 17 .2r- 13 Garage/Accessory ? 20 ? 14 Firepiace o 21 0 15 Deck WORK TYPE 0 31 New o 33 Afterations .er,32 Addition ? 34 Repair ? 36 Move ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS Syste (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklere Zoning sq. ft. PRV # of Stories sq. ft. 8ooster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variar Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter 2 7= y?Z x/6 -???! z Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies •s° Total Y • ?iYF ? .. '-./?..'a Basement Finish Swim Pool Public Facility Miscellaneous ?/3g oi 0 % SAC SAC Units Ur..lislu-1 • ' ? Iti3-72 . • il' . ?. ?.???". 9? 1 ? ? ? • i.AND B1liRV7iYO1Z eoo.o _ CXI S f..+y ?/?r. 11iOtaTL11[O UND[R LAWY 4P 41TATI[ 0/ MINNQOOTA lIC¢NO[D iY OIIOINANCi O! CITY OF MINNYnrOL1Y ? 3014 KAQT OtliN fiTR9C4l' 35417 727-3484 . . .. ? ?? ? ?ny } iburbcyor'g Cceittisate o ? 01' ?b0 3•.og'h ' I ...._ ...... q) I I ` ?-? 2 z' ,? ,? ' ? '•' .:?" `? ?? N ? ?z z?a?i ir?ti. ??. L V?, ?? ?-- L < ?,` \ L j•?? ?C ? a ?? •f sy;A? • - 7MAT TH6 qUOV6 (Y A TWYY pNG OI ? 1 ,2Y a? • I ? ? ??•'? N ?? V? - ? 'yI ?J ?bA/'.L Ii `?' _-? __'?'•?.' ? - I NiR[GY GI& I --,, -_ - ---? , i I ? w- i ? SUBJEGT MLAT OP A iURYaY OI f??b ?Fy EO 'r'rDpoeazd Garage Fioor Elov. 103.5 Propooed a'?se? Florae Elov, 105.0 Lot 2,+ilock 4,c5cltcmnp, Propoaee+ FinamwanC Floor Blav, 97,0 Deskota Cousoty,Alinn€smpCS, Ar auavivco nr wa 7N10- 8m1._OAY ov_?NfbYOt,A.o._ Tollefeon Buildere Inc. Or.11310-1 ,4 183-72 ' . ? F. C. JACKSON LAND BURVEYOR "ooo.o L?SCf'NFH? R[OIGT[R[D UND[R LAWO OF $TAT4 OF MINN6WTA LICiHS[O !Y ORDINANC6 OF CITY OF MINN[A?OL1G Sc?/e: /'_ 30' 3616 EAST 8E7N BTREET $$41) 727-34$4 . ? • = S ?a y ?burbepar's 4Ccrtificatc • --?-'--."--'---.____-'_------._ --'------ 1 Q I i Z I ?I rD t nl 0 I / 9 , ?l L ? I \$ -I l- L o ` r ? I v ? l 2. z'a % va ? `A 0 1? ?NI I , ? - I HZR[1`fC[4T1rY TiAT TH[ AlOVit I/ A TRIJ[ AND OORRXCT PLA7 OF A 9URV[Y OF Lot 2,block 4,brittany, Dako[a County,Ninnenota. Ptcoposad Garage Floor. Elev.? Propoaed FSrat Floor Elev. 105.0 Prnposed Eaeement Floor Elev. 97.0 ns eunvivEo ev Mi THI8-arb,I'..-DAV OF -Anuat A.o.-' RESIDENTIAL BUILDING m4? j PermitApplication `I? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauirements RemodeVReoair Reouiremenis Office Use Onlv 3 registered site surveys showing sq. fl of lot, sq. ft. of house; and a0 roWed areas 2 copies of plan Ced oF Survey Real _Y _ N (20%maximum lotcoverage allowed) 1 set of Energy Cakulallons for heated addilions Tree Pres Plan Reoi _Y _ N 2 copies of plan showing beam & window sizav; poured found design, etc. 1 site survey for addilions & decks Tree Pres Not Reqd Y_ N isetofEnergyCalculations AddRion - indkateifonsifesepticsystem On-siteSepGcSystem _ Y _N 3 copies of Trce Preservation Plan H ht platted after 7/1I93 Rim Joist Oefail Optlons selecUon sheet (hldgs with 3 or less unifs Date j_ / O 3 Construction Cost,? ? 5 0, 6 C) Site Address j(9 0 tp ??A? fif- UniUSte # Description of Work aCNc( o" _ _A^-- 0 Multi-Famity Bldg _ Y f, N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 6?'? Telephone #(` 5 ' o?1 Contractor L60.1n ? 7vl G Address o7 ,? ?'? f} ca In I4 cwy_ City State lllnt? Zip SS-? ?°( Telephone#(1?Sl)? ?71 ?3aY? 6sl a3o-??asc,?ll COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet (+lsubmissiontype) Submitted Submitted . • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Teiephone #( Telephone # ( Telephone # ( Rf?????lFffl AUG 1 3 2003 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. Lt (? ' Goue.-?_ a tr ApplicanYs Printed Name Apphcant,s Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg (K 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? Ofi 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair _?:? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demolitlon (Entire Bldg) - Give PCA handout to applicant Valuation ? Occupancy MC/ES System Census Code L( 3? Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const VA2_ Width _ Footings (new bldg) Footings (deck) ? Footings (addirion) _ Foundation _ Drain Tile Roof Ice & Water Final Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By r2 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total )7A,6_(7j_&t, Z5 4'OM -?" f-_64?V7",P? P-0 4 G ? G3TY OF,EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: CR. N& BUILDING 025755 06J06/95 SITE ADDRESS: 1606 NORWOOD DR LOT: 2 BLOCK: 4 BRITTANY P.I.N.: 10-15000-020-04 DESCRIPTION: ? ?t j J ? tw J REMARKS: FEE SUMMARY: VALUATION Base Fee 5urcharge Total Fee $7,000 (63MT CRAWL SPACE) B'uilding-Permit Type SF (MISC.) -:Building Work Type ALTERATION , °..1 v_t $124.75 $3.50 $128.25 CONTRACTOR: - Applicant - sT. LIC. OWNER: SCHWEICH CDNST, DAVID 14498808 0003607 ALLEN GEORGE 17160 HAMILTON DR 1606 NORWOOD DR LAKEVILLE MN 55044 EAGAN MN (612) 447-8808 (612)454-5475 L S hereby acknawledge that I have read this application and state that the information is carrect and agree to comply with all applicable SCate v;fi Mn. Statutes and City ofi Eagan Ordinances. AO?Jlz-t APPLICANT/PERMITEE SIGNATURE " ? - 55 D BY: IG TU I CITY OF EAGAN 14 3830 PILOT KNOB RD - 55122 16 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -4675 ? 3 registered eite surveys ? 2 eopies of plan ? 2 copies of plana (fndude beam 8 window caes; poured fid. design; etc.) ? 2 ske aurveys (eztenw addkbns & dedcs) ? 1 energy eelculaNons ? t energy calalatlans for heated addkions ? 3 copies oi bee prosarvation plan iF lot platted efter 7/1193 iequfred: _ Yes _ No DATE: LE4 l CONSTRUCTION COST: lO, ro" DESCRIPTION OF WORK: STREET ADDRESS: Q LOT ? BLOCK I? SUBD /P I D #: - . . . . PROPERTY Name: d!'x(,fn Phone #: s OWNER ?• M Street Address• City: State: 2?1"*U Zip: CONTRACTOR Company: one#: Street Address: I? 16/O M?0 1 1-7-P)''e/1 License #: -.. ! 3?°7 City: Z, -4 eE1/icLL-? State: /'I' Zip: ARCHITECTI Company: Phone ENGINEER Name: Registration #• Street Address, City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknawledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No i U ?011995 Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 0 02 SF Dweliing o 07 4-plex ? 12 Multi Repair/Rem, o 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 0 04 SF Porch o 09 12-plex ? 14 Fireplace ? ,,,JIL05 SF Misc. 0 10 =plex ? 15 Deck WORK TYPE ? 31 New ?-33 Akerations 0 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permk Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn? Water Meter Acct. Deposit S/W Permft SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: . 0 36 Move . ? 37 Demolition 'y . . Ak "A .. „ , w t.• ,x z:.. ? fH {I 16 Basement Finish 17p, Swim Pool 20 Public Facility 21 lI Miscellaneous Basement sq. ft. ! MC/W5 Systel?m Main level sq. ft. ., City Water sq. ft. Fire Sprinkler i d sq. ft. PRV sq. ft. • : Booster Pump sq. ft. Census Code: y? y Footprint sq. ft.' • ' ?' ' SAC,Code _0/ = -Census Bldg / . ''" •-' ?? "? Census Unit i; ° Building Engineering Variance Valuation: $ 7,860 - i, ; I I I I jl % SAC SAC Units 1990 SUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT T;: REQUESTED, BUT NOT PICKED UP SY LAST WORKING DAY OF MONTH IN WHICH itEQUEST IS MADE. LOT CHANGE IS REQULSTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. Soa o To Be Used For: -a(Z cValuation: ? Date: ? Site Address „pr}1, N0R.li.) Loc Z slack H OFFICE USE ONLY Occupancy ? R l 1T'4 N y Zoning Parcel/Sub Actual Const ' ' P Allowable ?j Owner JCX?(E f lp/j L # of stories ? r Add i n0?" ? ? h 2? '/2 ng ress W 0C7c? , Dep h ? City/Zip Code L_? ? m)U S?Io SF Total Fo.otprint. S.F. Phone On site sewage_ SQ ? ? C On site well ontractor MWCC System _ City water Address _ PRV Booster Pump _ City/Zip Code APPROVALS Phone Planner Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code FEES 10 Bldg. Permit '. Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL rf.,s< Phone # V'?tl.????" ,-? ? r? "^ . •' ? : /(, )C Z 2VZ = 3 G 0 '479 t 4 ? = u ,. Xqv - /4 yoa 10i2 /Svo o Tollefaon Bulldera Inc. Or.11310-1 . • 0 181-12 'k . ? F. C. JACKSON 000.0 ? LAND sllavarol2 11101OTi11[D UNC6R LAW@ OI STATt OF MINN[WTA- ???H~?? ?TS??eN% LICXNBtO W OMDINANCL OP OITY W MIMN[AMLI¦ , - 3e1e aArr aarN stntrr 35417 727-3484 ` . • . 1 ?o y ?. fbuCbtpoc'? iCttt(Utatt '\ ` _ pr??H?ye 1 p p • _._? 3 __h . ? -' ?---.___?...._.__....... _ . I -_. - . ....__. _ V + I11 I. N? I I 10 ° ??i ? I 1? ( 10 ? , ? o -I -z,.B, ??.:? SUBJEC°f(' I? . L , 1?l i r) c' ? )i ?? ? ` ?i-• ? ? \O I r = % a? . ?, ? ? ?. i ?• y I ?a - Ja? -5?;?.? f3s??`1• 1 HiNf1Y Ci TlIY TNAT THS AMOYE 10 A TIIYE ANO 001111{GT RAT 01 A oYRY[Y O? Proposed Garage Ploor Blev. 103.5 Propored Flrst Floor 6Lev. 105.0 Loi I,Olock 4.Erlttany, Proposod Easewot Ploor 61ev. 97.0 Dakot• Couaty,Nlanoaota. As sUHV[Y[D BY M< TNIS-8tkk1•.-OAV Or A??u?C-A.P. 1904 F. G. AACICSON. MiNNm46rAAisai6YFwrqw. No. 3600 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3(49q? 3830 PI 60T 68 OB 7D - 55122 New Construction Reauiremenb RemodeVReoair Reauirements ? 3 registered site surveys showing sq. ff. 0/l04 s4• 1L o1 house and all roofed areas (20°k maxlmum lot eoveraae allowed) ? 2 copies oi plans (show beam 8 window sizes; poured fnd. design; etc.) ? 1 set of energy calcula6ons ? 3 copies of Vee preservation plan if bt platted aBer 711/93 DATE: DESCRIPTION OF WORK: STREET ADDRESS: LOT: r?,' BLOCK: oaf ?1 y SUBD./P.I.D. #: ?? V! til ? PROPERTY OWNER Name: IC0. IlnTGt tf -rdYN Phone N: Iast Fmt Street Address: ?Ge City State: 7ap: Company. ' r0'01"?Lj LPYI. ?. ty- 41 ?Inf Phone ti: {I I? - 7 J?-ffg CONTRAGTOR 1 !?' ?f StreetAddress:??Jr(/LE?/L4•t?'e? 70?-? ? -- license# ??(D?y7 Fxp. 3 ?? 57 City 4qfik li//? State:1/??? Zip: .S?a?'q ARCffiTECT/ ENGINEER Company: Phone #: Name: Registration N: Street City Staze: Sewer & water licensed plumber (reaulred for new construction onlv): PenaHy applies when address change and bt change is requested once permit is issued. 7rp: I hereby acknowledge that I have read this application, state that the information is rrect nd a e to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No • 2 copies of plan ? 1 set ot energy calculations for heated additions ? 1 site survey for exterior additions 6 decks CONSTRUCTION C,OST: ,( Tree Preservation Plan Received _ Yes _ No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Owelling O 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 03 1 of _ plex ? 08 &plex ? 13 16-plex ? 18 Deck O 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex O 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 0 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair O 38 Demolish (Interior) ? 42 Reroof 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 Codel SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee Surcharge 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: SAC Units Valuation: % SAC PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUII2ED FOR EACH UNTT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE ? FIREPLACE INSERT DATE _ /0 ES HVAC: 0-100 M BTU $ 24,00 ADDTTIONAL 50 M BTU (,pp GAS OIJTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExISTING CoNSTRUCrION) $ 20.00 STATE SURCHARGE .50 TOTAL SITEADDRESS: t? ?(CO? /?vvwoccl? C(k/'. OWNER NAME: SUs? ??e 14, TELEPHONE #: yS"S` " 5'?f 75 INSTALLER: GOp, vL c Ti-- S oPl, S ADDRESS: I Z7 l/i? ,r teH'?.a ?e S?- ?CtJ CITY: C2r,l, ? u/J( cl5 STATE: ZIP CODE: .53-'=f? TELEPHONE #: ?f ? ? . /o `a7F??f AL 1994 MECHANICAL PERMIT (RESIDENTTAL) CITY OF EAGAN 3830 PILOT KNOB RD FAGAN MN 55122 (612) 681-4675 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB Rl3 EAGAN MN 35122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN 3EPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: Z/ CONTRACT PRICE?$___-- S°ao ------------------- NEW BUILDING INTERIOR IMPROVEMENT WORK P(4 c c, f?^ 5 aij? % , \ FEES \ 1% OF C"?I?T,,I,FBE $_ PROCESSED PIPING\? $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.SO F;',O . TOTAL $ \ STI'E ADDRESS: o(e. OWNER EACH $1,000 OF .,; FEE. ,.......n.:. k? TENANT NAME: ( RovE?tsrs orr[.,? WSTALLER: avc c q-,l 01.4 TELEPHONE #: ?4,t b ( //i -.x 4 t`)nw A'/w_ S7? VV vV STATE: 1 \4U ZIP CODE: 'S ' _L/ ?'S TELEPHONE #: 7 $-47'- ? ? 6 S,? SIGNATURE OF PERMTI'TEE CTTY INSPECTOR L BL ? CITY USE ONLY RECEIPT #: I ? "t 4 SUBD. RECEIPT DATE: L; PERMIT# 1949 PLiJJm$IINs PERMTC (RLSIDEPT[Al.) crrYoe E?sax 3830 P11LOr iaros an _ £akHt?kDl, l!R 55122 ,' (85])887-4695 Please complete for. ? single famlly dwellings ? townhomes and condos when permits are required for eadi unR D backflow preventer for undergmund spdnkier system FIXTURES EACH N TOTAL an?h r?h e ? n0 x W Flooc drain 3.00 x - $ Gas i in outlet ` rrdnimum -1 3.00 x = $ Hot tuW a 3.00 x - $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alteretions to existin dwellin 30.00 x - $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x - $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new instailation/re air 30.00 x = $ Rou h o nin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x - $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x - $ Water heater 3.00 x = $ Water soTtener if dweuin unaer mnstruction 5.00 x - $ Water soitener if existin dwellin 30.00 x = $ Water tumaround 30.00 x $ State Surcha e .50 -> -> -> $ .50 Total. -> -> -' --' $ Reminder: Call for inspections of alteratlons, i.e. water heaters, water softeners, etc. I hereby adviowledpe tliet I liave reaA thls appllcatiai. ?ate Iliat tlie Infomation [s caract and agree to comply wilFi all appliceEle C?ty W Eagan ardinsnoes. It is the appApnPs msponsibBity to nolly the properrty owner that the City of Eapen essumea no liability for eny damapes puaed by Hie City during its nortnaloperatlonal and maintensnce aciivitles W Me Tadlities canstructed under this pertnit xAthin qly pioperty/rightof-way/easement. SITE ADDRESS: OWNER NAME: : INSTALLER NAME: _J ?-?+ _ 4u S Ui", STREET ADDRESS: Cer-? u4Cr.14 fNl/ ?L zZ TELEPHONE#: C4?SJ J 7d?- bSZI (AREA CODE) TELEPHONE #: l0l zJ _ (AREA COOE) CITY: X/110 uT4 STATE: /z/y 21P: SIGNATURE OF PERM! ` CLAIMVOUCHER-REFUNDREQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: Tom Kalafut ADDRESS: 1606 Norwood Dr Eagao MN LOCATION: 1606 Norwood Dr P.I.D./LEGAL: L2, B4, Brittany RECEIPT #/DATE: 11/05/99 - 119203 VALUATION: REASON FOR REFUND: Duplicate permit PERMIT #: 38633 TYPE OF REFUND: Electrical Permit 3211-9001 $ Plurrtbing Pertnit 3212-9001 $30.00 ' Mechanical Permit 3213-9001 $ Building Permit Fee 3210-9001 $ Plan Review Fee 3422-9001 $ SAC (MC/WS) 2275-9220 S SAC (City) 3866-9379 $ SAC (Admin) 3446-9001 $ Water Connection 3865-9220 $ Sewer Permit 3743-9220 $ Water Percnit 3713-9220 $ Account Depasit 2252-9220 $ Water Meter 3716-9220 $ Water Treahnent 3868-9220 $ Surchazge 2155-9001 $ Utility Acct Overpayment 2250-9220 $ Curb Box Deposit Refund 2253-9220 $ Construction Meter Dep Refund 2254-9220 $ Water Usage Charge 3711-9220 $ Other $ TOTAL $30.00 I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. q?a-7?? Zglt??- I/? /7 !J 4 November 17, 1999 DATE CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: Tom Kalafut ADDRESS: 1606 Norwood Dr Eagan MN LOCATION: 1606 Norwaod Dr P.I.D./LEGAL: L2, B4, Brittany RECEIPT #/DATE: 11/05/99 -119203 VALUATION: REASON FOR REF[JND: Duplicate permit PERMIT #: 38633 TYPE OF REFUND: Electrical Permit 3211-9001 $ Plumbing Permit 3212-9001 $30.00 ' Mechanical Permit 3213-9001 S Building Permit Fee 3210-9001 $ Plan Review Fee 3422-9001 $ SAC (MC/WS) 2275-9220 S SAC (City) 3866-9379 $ SAC (Admin) 3446-9001 $ WaterConnection 3865-9220 $ SewerPermit 3743-9220 $ Water Permit 3713-9220 $ Acwunt Deposit 2252-9220 $ WaterMeter 3716-9220 $ Water Treatment 3868-9220 $ Surchazge 2155-9001 $ Utiliry Acct Overpayment 2250-9220 $ Curb Box Deposit Refund 2253•9220 s Construction Meter Dep Refund 2254-9220 $ Water Usage Chazge 3711-9220 S Other $ TOTAL $30.00 [ declare under [he penalties of law that this account, claim, or demand is just and that no part of it has heen paid. qqAi" Z..", 'IGNATURE 7 9;Q' / A % Novemher 17, 1999 DATE L • ? L SUBR. CITY USE ONLY RECEIPT #: I ,. -t ?--? 3 RECEIPT DATE: 45 ' 9 PERMIT # 3 3 1999 PLUMSIN6 PEgMIT [RU1DEN S$SO PILOT KAOB RU ?l ? ? ?? 7 ? q? AtHAN. MN 53182 f ztl 111 (651) 681-4675 4v 11 Plea se complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ G85 I Ifl OUtIBt " minimum - 1 3.00 X = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished " re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dweilin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ 1Nater softener if dwellin under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Waterturnaround 30.00 x $ State Surchar e 50 --> ---> ----> $ 50 TOtal --> --> ---> ----> $ ? Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------- - - ------------••-------this -------------------------------------------.._...----------------------------------------------------- I hereby adcnowledge that I have read application, sfate that the infortnaGon is cortect, and agree to compty with all applipbie City of Eagan ordinances. It is fhe appliranfs responsibility to notity the property owner that the City of Eagan assumes no liability for any damages caused by Me City during its normal oparetional and maintenance activities to the facilities construc[ed under this permit within City propertylright-of-way/easement. SITE ADDRESS: /?C,576 l/to?w 0 p ?' / OWNER NAME: : ~ /'! CG/GC Fk/Y . TELEPHONE #: yO?? -T/ I (AREA CODE) INSTALLER NAME: S? TELEPHONE #: (AREA CODE) STREET ADDRESS: CITY: STATE: ZIP: SIGNATURE OF PE ITTEE 3 . 2/84 / [EL CITY OF EAGAN r APPLICATION FOR PERMIT - SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPER'PY ADDRESS: ?G7 D?? N?? DD J? I y1 I(I ?' r.rraT• DESCftIPTION: (LOt/Block/Subclivision or'T? Parcel I.D. NuTber) 4 Ttim--.? C° 0?2IGINAI. nCiIT.,.`';G PEP_•S; ISS?Al;i?:: ' ` •'-^r ?^,i 1: LLr i ? PRESr Ttit;/P??OPOS^J II: ?: XIR-1 SL7T= Fp'.Lr;,y ? R-2 DUPLEx (' :^'O UNITS) ? R-3 TCNNE30LiSE (THREE + LiNITS) ( UNITS) ? R-4 APILRZ"=/CONDaiINIU?I ( UNITS) ? CQMMERCIAL/RETAII,/OFFICE ? LML'STRIAL ? INSTITUTIONAL/GOVERPDpMENP 2) AppI,ICAN'P (PLEASE PRINi) NAME _ 6V e'Z7j--.sfl.? <17 G?°S ADDRESS: /(aS? A),0.e%cc)zqa,0 D,Q/G?- CITY, STATE, ZIP: U PHONE: 3) pLUsER NA?+E: PLEASE PRINi ?iS? FOR CITY USE ONLY ADDRESS: ?y7'y:S ??Gi?7z /eLJe r7C'T PLUMHERS LICENSE: ? l Active CITY, STATE, ZIP: ?)& ? Q Expired - PHONE: - -??AST ptUMBER LTCENSE Q Not of Record _? a itia t]) OCC[JppNT/CrgNER DFINIE: IPLtASt PNLNT) P,bDRESS: CITY, STATE, ZIP: PHONE! 5) INDICATE WHICFI P I IS BEING RkX)UFSTEp; 9 CONNECPION `IO CITY SEV7II2 CONNFCI'ION 'Ib CITY WATEFt ? C/PIEE2 (PLFASE DESCRIBE) bJ 11VUlCr1'1'E ULVh.: 7) SIGNA7URE: ? PLEASE HOLD APPRUVED PERMIT FOR PICIC-Up BY ONE OF ABOVE [[?PLZASE MAIL APPROVID PERNIIT TO 1, 2.0 4 P.SOVE (Circle one) DATE: p,? F PERMIT °-. ISSUED L I C I T Y U S E O N L Y FEES: $ Zn. S a SETr7ER PE4MIT (IVCLU= SUP.CE?ARGE) $ /o. -5-0 WATER PERD4IT (I:QCLUDE SURCHARGE) $ $ $ $ $ $ $ S $ $ $ $ . P ? WATER METERjCOPPERHORN/OUTSIDE READER WATER TAP (ZNCLUDE CORPORATION STOP) S:.;dER TAF ACCOUNT DEPOSI; - SETr7EP. ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEF7ER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER TOTAL AMOUNT PAID/RECEIPT # 6?'17 DOES UTZLITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWIPv'G CO:IDITIONS: APPROVED BY: TITLE: DATE : ? - ? -- ? C/MR s.w w" Mmin wuw mcwma wtm w_# RMlt s:14 rFl? /4,ar !t?l4 ?i! 0"0 ?I.# sE?ll ?:A w4# Irt? ?! ?Jn w? i ; ------------------ ? aq ? j Pertnit ? PemitFee: /35, Z5 ? ? ? Date Received: j I I I Staff: I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 55` (Z-^UA SiteAddress: t IoU?o Norwood. f Tenant: Suite #: RESIDENTIOWNER Name:Da?:Z?i Lor; ??e??zher?n Phone: 612`2?9L.o5-1Zc1 Address / City / Zip: 1 l OGl9 1? or t,c?oo d O'r Applicant is: _ Owner _ Contrac or TYPE OF WORK Descnption of work: r0 ConsWdion Cost: U o o•? Multi-Famil / No/? Building: (Yes . y _ CONTRACTOR Name: V=;(?" o r 1= Ac, -C f v?2 v\\ 5 License #: Address: G?Od W. ?Ippvy?; r c,?o?. 1-f ??°Y # 11? I Ciry: 1?`C011n State: ?_ Zip: `?5?`31 Phone:cI?Ja" ContactPerson: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Su6mitted (4 SUbmission type) • Energy Envelope Calculations Submiried In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: ' NOTE: Plans and supporting tlocuinents tliat you submif are considered to"be public information. Portions of the informaSon may be classified'as non public N you provide sp,ec?c reasons tfiat would permit tBe City to condude;Uiat ihe are trade secrets.. I hereby acknowletlge thal this intormation is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagaq that I understand this is not a permit, but only an application for a pertni d work is not to start vrithout a permR; thal the work will 6e in accortlance with the approved plan in the case of work which requires a review and X? G V.? l\cGS ppr I of plans. X Applicant's Printed Name ApplicanYs Signature Page 1 of 3 . ?s . r DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex _ Accessory Building WORK TYPES _ New _ Addition Aiteration _ Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code # of Units # of Buildings Type of Construction Occupancy Code Edition Zoning Stories Square Feet Length Width _ Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _ROUgh In Air Test _Final Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S8W Permit 8 Surcharge Treatment Plant Copies TOTAL _ Fireplace _ Porch (3Season) _ Storm Damage _ Garage _ Porch (4Season) _ Exterior Alteration (Single Family) _ Deck _ Porch (ScreenlGazebolPergola) _ Exterior Alteration (Multi) Lower Level Pool Miscellaneous _ Interior Improvement _ Siding _ Demolish Building* _ Move Building _ Reroof _ Demolish Interior Fire Repair Windows Demolish Foundation _ Repair _ EgressWindow _ WaterDamage 'Demolition of entire buildf ng - give PCA hantlout to applicant MCES System SAC Uniks City Water Booster Pump PRV Fire Sprinklers Sheefrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick _ Windows Retaining Wall Erosion Control Building Inspector Page 2 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1606 Norwood Dr Lot: 2 Block: 4 Addition: Brittany 01st PID:10- 15000- 020 -04 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Exterior Enhancements 9100 W Bloomington Fwy 140A Bloomington MN 55431 (952) 881-1503 e- Windows/Doors Windows/Doors-New/Replacement House & Garage 434- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 Owner: David J Hertzberg 1606 Norwood Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. 0801 9001 Issued By: Signature Building EA088791 04/20/2009 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 City of Ea al 3830 Pilot Knob Road Eagan MN 55122 Date Received: tECENE.D. tA Use BLUE or BLACK Ink Permit *: Permit Fee: Phone: (651) 675.5675 Fax: (651) 675=5694 • L.Staff: � J 112- 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: )(DO 0 , p rki)- i ' Sib Address: �� MA) 5:51—)DTenant: • . Suite *: RESIDENT / OWNER Y CONTRACTOR TYPE OF WORK PERMIT TYPE Name: t r• Address / City /Zip: i J Phone: /iii _ / 1 I / 70 . 1 Narrie:,MILBERT COMPANY INC.dba CULLIG.� Address: 1801 50Th ST EAST city: . INVER GROVE :UGTS State: N Zip: 55.077' Phone: • 65.1 :4I-2241 • Contact BILL'.MILBE 'I.. Email: New Replacement Repair _ Rebuild _ Modify Space Work Io,R.O.W. Description of work: RESIDENTIAL Water Heater • Lawn trrlgation L_. RPZ /PVB) , Septic System New _Abandonment • ,7Water Softener Add Plumbing Fbdures i. Main / Lower Level) Water Tumaround RESIDENTIAL FEES: 655.00 Minimum, Water Heater, Water Softener, or Water Heater plut Softener (includes 65.00 State Surcharge) 635.00 Lawn Irrigation (lnckldes 65.00 State Surcharge) 655.00 Add Plumbing Fixtures, Septic System Abandonment. Water Turnaround* (Includes 65.00 State Surcharge) 'Water Tumaround (add 6166.00 if a 5/8' meter is required) 6105.00 Septic System • gli (610.00 per as built) (includes County fee and 65.00 State Surcharge) • 695.00 Fire Repair (replace burned out appliances, ductwork, etc.) (Includes 65.00 State Surcharge) J� TOTAL FEES; tQXI0. • 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.000herstateonecall.orr I hereby adcnowledge that this infJrmatlan 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 riot a permit, but only -an application for a permit, and work is not to start without a permit: that the work will be In accordancewIt, the approved plan i r work which requires a mvlew and p • rove of X �i(/' 1 /it Y►'Y1r1 ji?L /,, iiJ/1. ', App icant's Printed Name ' �ca''s.Signature Use BLUE BLACK Ink For Office Use 1 I City of EaEdn ; Permit#: n I Permit Fee: ISIO.O I i 3830 Pilot Knob Road I Eagan MN 55122 1 Date Received: 3 Phone: (651) 675-5675 j Staff.. I Fax: (651) 675-5694 2013 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date. ~3. Site Address: Tenant: Suite Name: U Lc-~ 7he r-i -Z- be Y'C; Resident/Owner Phone: I i s Address / City / Zip: r u') p8 t~f C c /72 l~ S S' l Name: Ra~ry a0'I e it License 0 ll 9 Contractor Address: City: h State: ml~ Zip: J S Phone: ( ~ U Contact: 6C U C-L g ~rK-t,11VI EmaiI: I -New Replacement -Repair _Rebuild - Modify Space - Wo n R.O.W. Type of Work I 1. Description of work: RESIDENTIAL I ~ Water Heater Water Softener Lawn Irrigation RPZ / - PV13) i Permit Type Add Plumbin Fixtures Septic System 9 (-Main / - L r Level) s i _ New Water Turnaround -Abandonment 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 Surc,ha ) 'Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ (D C~ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utili damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.-gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and cods 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 appro plans. yp/n x MO _ x 00-V 1C!` Ly hYV~tR X75®3 - Applicant's Printed Name Applicants Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In _Air Test Gas Test Final Use BLUE or BLACK Ink r------ ; I For Office Use Gj 1 Permit 4, 7 My of hian ;Permit Fee: 3830 Pilot Knob Road 1 / / 3 I Eagan MN 55122 Date Reoeived: I Phone: (651) 6755675 1 I Fax: (651) 675.5694 I StafF ! /2013 RESIDENTIAL BUI DING PERMIT APPLICATION Date: 3 site Address: 1 i~ L 01000d of- J%le' Unit 9: Name: Lo r: e- Z fl y Phone: " 3Q6 ~ aQ rt Eaaa 11V _55'= . irn!ar Address i City I Zip: 161(1 Or W W1 Applicant Is: Owner _2!~Contractor y. Description of worIC Construction Cost: aO Multl-Family Building: (Yes _/No_) Company ~'i'1Rst/ Contact' eu Address: 3q /0 Kili~ C, {tif'' f'aCt0f: state: Zip: 55~~ f Phone: Lets 5 t Lead Certificate/'t Ai License 4P If the project is exempt from lead certification. please explain why: (see Page 3 for additional information) 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 8 Water Contractor. Phone: K07E'Pl:i►sAArrdaulf'ndrdnlfldt>•cu„ nfs.'that:W`tusuD)r►Jlaf~e:,corisdere:ao:.'~yu1f/ic.inftarmaf%oiRoition:of aria the -TirforrnabaiN,may be classified as. rrgny~tblic~i you piovide ~pec~~ffc raissatfis; thtat wov/d' p~i►»It ao r . ..r codelude~thairt~thtiy'tire tieda'sr;~rt~>'s CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cal 48 hours before you Intend to dip to receive locates of underground utilities. www.aooherstateonecall.ord I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes or the City of Fagan; that 1 understand this Is not a permit, but only an application for a permit, and work is not to start without a permit; that the worts will be In accordance with the approved plan in the case of work which requires a review and approval of plans. FxWWor work authorized by a building pennk Issued M accordance with the Mlnnesota 5 8uUding Code be completed within 180 days of peradt Issuance. x . Apt l7Lt! ~tY1 x iy Applicant's Printed Name Applic is Sig m Page 1 of 3 oy~jo DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Single Family) _ Multi _ Dock Porch (ScreenlOazebo/Pergola) _ Exterior Alteration (Multi) 01 of - Plex Lower Level _ Pool _ Miscellaneous 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 Occupancy MCES System Plan Review Code Edition SAC Units (25% _ 100%__j Zoning t City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPEC71ONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test 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 x Insulation Retaining Wall: Footings _ Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector R,E§IDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAG Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 -**%\ Ei For Office Use ''J 4. , . 0 , /9t�0/ / u.... ±,4 ,Z • Permit#: was.+ •r•♦ Permit Fee: /6)-5:. s o 4 S* etisesO Date Received: 3830 Pilot Knob Road I Eagan MN 55122 Staff: Phone:(651)675-5675 I Fax:(651)675-5694 buildinoinspections@citvofeaoan.com 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11-&-Zk)il Site Address: r 6013/1 oety ct & 'v Unit#: Name: Oo 1') IL i-or; 4cl- e 6 Phone: C5 I-ct s i -110- :,.--;:,:lifeSid ,- 0- ed , ' Address I City I Zip: /4 O& /!✓ct d t"ir*N'�,Cs-C(4-91),-N AtiAl 55/2-2- :: Applicant is: Owner k Contractor Description of work: f.�L St. of Ecol 54/ny)e% t /iota(/'cam, S�'"j fe)'4, Va�ltf"toid�f.,ned441 Type o. /of ,--+� 14 n t.'..S4C.,41..14/.r g ii,o,i f S h My tei 0./f tr i d rtfr/ td s' 31c .e sivu� F„,,„ , �' Construction Cost: -7r$ 3 Multi-Family Building: (Yes /No ,Nr ) Company: P011cC,1M C J hrtiA U-10" 1-1-C. Contact: 13 di,°o//o :Y'- caRtaGta :: Address: LV/(:, r5 bCx mow, G ✓1' City: . cw't7+)4;c/) State:/'tip/ Zip: SSO j'l Phone: C12,-36C UPI Email: f al i 4 CO-1-1 C. U-)//C. ( 9/htn11,C License#: Pj C C,3 4 4 Lead Certificate#: 4✓ T F/5 I j LI b 1 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: Plans-and'41F00:�tngdocu tts�,� 1��; nsi ' to = �t *i:., i r r° l ifFte4 as f.e t :-.O '.. A .reasons` uld ,? $ ;; You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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. Apeilicant's Printed Name Applicant's Signature Page 1 of 3 ,, , E A G A NFor Office Use/��f / � i : Permit#: I '(' 762ni- A . . Permit Fee: .. RECEIVED '�� Date Received: 5> 3D (Z Al 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 MAY 8 0 2018 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinainspectionsecityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION - 1 Date: 654-5-1 f Site Address: 140‘, 01 ori Unit#: Name: O64,vtc L j ; ifertz.6.fry Phone: cs i'et60-l?1 dela tl Own Address/City/Zip: 1666 ~wood dl/+i(�./ et-,t°4 ) Erni! J�.J 22. „, Applicant is: Owner Contractor yt°Q of (Orr r 0 Description of work: 1'c +1eJ (', m a,r E l ' FL`7 y ..L p#4-k-671--- Construction Cost: Z Z/ Multi-Family Building:(Yes /NoI4�- Company: polloC.Y.. coM /al -L.G Contact: 5il!Po/ii 1�OW Candor Address: 20V laf� .A,c,,n CAc"�' City: svr�r�'letcl State, 4..Ai Zip: 55057 Phone: L I2'366-1 ' mail: Pa Caij�Ir4�c.Nt3-z 4.LcbcD�.0.4I License#: f�C+ LicaiLead certificate#: /II �r "' 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: 1� � r i r r»ent � su ,..,.„- , . re+ tit:,,, information1 ,.n ;,, 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.citvofeaclan.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.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 oif 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. rig �� x o/l/ go loch x'% n ., L Applicant's Printed Name Applicant's Signature VV IAV I •t0■I I6. WV VV♦• I I II. I.1111V . Pi9 � SUBTYPES 1 �� rwt�d� r• 6.E _ Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage — Porch(4-Season) r Exterior Alteration(Multi) _ Multi T 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 T Demolish Foundation Replace Repair Egress Window Water Damage _ Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION L0_15g5 Valuation p\lAr- MCES System Plan Review Code Edition /-t{i}1 SAC Units (25%_100% Zoning 0\ \ City Water Census Code t Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction , r/t„ Width REQUIRED INSPECTIONS/ (1 Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) )C, Final/No C.O.Required Foundation Foundation Before Backfill f 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 ?a,,Windows4 10,1v.,_ Sheathing Retaining all:_Footings_Backfill—Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan 7- Other: PLAP1/3-att--"' i Reviewed By: , Building Inspector fp 11:blif 1:7– . RESIDENTIAL FEES Base Fee Surcharge k11 , 7 2 Plan Review '° MCES SAC City SAC irl try,1 ety\ ID it ':'1" '.,ci it 0 0 0r tri ,, , , ‘,4k, ,, Utility Connection Charge S&W Permit&Surcharge 1A ; l 7 Treatment Plantf 11 P , Copies3 `°' TOTAL ,,,.......>__________--z),, ,3 i (� J Wagej� ) ,r , , _ ,:tc*„,,, 10 1 ! ) R. '«.:...:. a � t PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149992 Date Issued:06/15/2018 Permit Category:ePermit Site Address: 1606 Norwood Dr Lot:2 Block: 4 Addition: Brittany PID:10-15000-04-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - David J Hertzberg 1606 Norwood Dr Eagan MN 55122 Stern Heating And Cooling 34181 180th Ave Red Wing MN 55066 (651) 764-1236 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150821 Date Issued:07/25/2018 Permit Category:ePermit Site Address: 1606 Norwood Dr Lot:2 Block: 4 Addition: Brittany PID:10-15000-04-020 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - David J Hertzberg 1606 Norwood Dr Eagan MN 55122 (651) 274-6547 Cities 1 Plumbing & Heating 787 Hubbard Ave St. Paul MN 55104 (651) 274-6547 Applicant/Permitee: Signature Issued By: Signature 1 For Office Use I E G , .. Permit*: Permit Fee: 3830 PILOT KNOB ROAD I EAGAN. MN 55122-1810 Date Received: -- i 12-01! --..- 7 (651)675-5675 I TDD: (651)454-85351 FAX: (651)675-5 f/ECEIVE i1 . Email: buildinginspectIons@cityofeagan corn Staff. Commercial Plan Submittal: eplans@dtyofeagan corn OCT 23 2019 L. By, ..„..............,............... 2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: IC --z.I-11 Site Address: / 0 6 POCIAJC01 Or. Tenant: Suite#: i , Phone:' Resident/Owner Name. 1 Address/City/Zip: 1 .. 1.4.,. Name: STCriA 1-ICA4.7)ittj 0-CC' 05 , t, Licittnse#: ,. Contractor Cit Address. ' 1-1 IR 1801. Aut. . , i(4-ex 1,417) Cit . State: t4\ P Zip: ...55°66 Phone: 1 Contact: 42-11 Srtrks Email: Sr-on , ! RESIDENTIAL i , Furnace Air Conditioner Permit Type I _Air Exchanger I Heat Pump i _ ... _ [:. ----- X Other (,, C C.) C t-lin (4,vce.ve-nt 1 . , New ReplacementVIAdditional >fh,...Alteration, Demolition , Type of Work , . ... , , ! Description of work:12-04T:./( 406 CFP-) / yc ' 1 Ile-4r— I,.. . . ,...„,„._ ....._ .. RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge i ..1 $100.00 Residential New, includes State Surcharge = i st 60 TOTAL FEE . . . - .„. ...„,„.„....„ -... 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 vvvvw.citvoleaqan.com/subscribe. 1 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, nd 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 revi w and approval of plans. x l. -Srem- (1 x i i Applicant's Printed Name Appl &ica 's Signature FOR OFFICE USE Required Inspection ' Reviewed By: ' Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final PERMIT City of Eagan Permit Type:Building Permit Number:EA172911 Date Issued:10/21/2021 Permit Category:ePermit Site Address: 1606 Norwood Dr Lot:2 Block: 4 Addition: Brittany PID:10-15000-04-020 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 - David J & Lori J Hertzberg 1606 Norwood Dr Eagan MN 55122 (651) 994-1712 Legacy Restoration Llc 15350 25th Ave N, Suite 114 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature