1610 Norwood DrPormit No. Permit Holder Miac Permit No. Holder
Plumbine 3075( E/1L- p 0.Yl I, 'Iq
H.V.A.C. lo-9-45'?
.
w.u
Water
R
Disp.
Saxrer
Electrie W(?r0$ 3? F4 1? ? lcC ? ?!'? `$Z
Inspection Date Insp. Other
Footings
Foundation
Freminp
Rough Plbp. a
Rouph HVAC
Inwletion
Fina1 P16& u) G
r i
Final HVA C-1 i
?
Finel
W?r Dawiibe Locatlon:
VVall ?
Sewar •
Pr. Dhp. t
CITY OF EAGAN
3793 Nlot Knob Rood Eagen, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
Te be wed for Esf_ Value . Date
Site Addre
ss
Lot Block Sec/Sub. -
Parcel #
W Name
Z Address
Z9
Ov
u?
?
t
Name
Address Assessment
Ciry Phone Water & Se
Name Police -
Fi
Address ro
Eny
City Phone .
Planner _
Council _
Permit
Surcharge
Plon check
SAC
Water Conn.
Woter Meter
Rood Unit
1 hereby acknowledge that I have read this opplicotion ond state thot gl?, pff,
the inlormntion is correct and agree to comply wifh all applicnble ^P? Total
State of Minnesota Statutes ond City of Eq9an Ordinances.
Sipnoture of Permittee
A Bullding Permit {s issued ta: on the express condition 1htr+
oll work sholl be done in occordonce with oll opplicoble 5tote of Mlnr?esoto Stotutes ond City of Eaflon Ordinonces.
Buiidinfl Officiol
Erect ? Occuponcy
Alter 0 Zoning
Repcir ? Ffrc 2one
Enlarye p Type of Co?st.
Move ? # Stories
Demolish ? length
Grode p Depth Sq. Ft.
Approrals Fees
Psrmit No. Permit Holder Mise. Pormit No. Holder
Plumbiny 30 5 ? E/l Z -
H.v.??.c. 31? ? ? nz - a? Io-s -?-
wen
Wster
Disp.
Sowar
ew?c?i? WqIDS 32, F(Ec -1 -8'Z
inspection Date Insp. Dthes
Footings
Foundstion
Freminp _F
Rouyh Pibp.
Rouyh HVA ?V ?
Inwletion
Final Plbg. / „?t u)
F
Final HVA 90 _1-
Final
Ws?r Describe Location:
YVell ?
Sftwer
Pr. Disp. -
Receipt MECHANICAL PERMIT
CITY OF EAGAN
Fil1 in numbered spaces
Type or Prin[ legibly
Permit No.
Fee
S/C
Tot. ? ?
1. Date 2. Installation Cost
3. Job Address i Bik. Tract
4. Owner -" ??? ?- <?'• ?
5. Contractor -Z. Phone
6. Address ` -? "7 ?..3
7. City State Zip
8. Building Type: Residential Commercial O Institutional O
9. Work Description: New QY Add O Alter ? Repair ?
10. Describe Fuel Type %
11.
No. Eauioment 9TU - M. Ea.
Forced Air No. Equiament CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and 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.
Approved CITY OF EAGAN 464-8100
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot.
1, Date -/:? - 2. Installation Cost
.r?•3. Job Address .;r) Lot ? Bik. Tract
4. Owner 1! r?`
5. Contractor," z „- - - f ?1/.c/ Phone
6. Address 4/ Itr . , `y-,-, ' ?
7. City , .,) 11C-,? J A.Y J State -t,I. Zip
8. Building Type: Residential U" Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet Na Fixtures
Cesspool /D rai nf ield
Bath tubs Septic Tank
Lavatory Softner
Shower Wel l
? Kitchen Sink
Urinal/Bidet Other ?
% Laundry Tray
Floor Drains
Drinking Ftn.
Slop 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 : for -
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition BRITTANY Lot 1 131k 4 Parcel 10 150nf1 nl n 04
Owner- 4'}' ` ??1-2 )% Sveet 1610 Norwood Drive State
-_Y1y_iI_'??? L4.
Improvement ? Date Amount Annual Years Payment Receipt Date
STREET SURF. 1691.93 A011780 1-3-83
STREET RESTOR.
GRADING 12 , 1991 428-73 2&.58 ?S 342.99 A011780 1-3-83
SAN SEW TRUNK 5 15 73.07 A011780 1-3-83
* SEWER LATERAL 336.06 ? 4032.72 " it
WATERMAIN
* WATER LATERAL
WATER AREA ,51
STORM 5EW TRK 32.83 !S
40 394.01 A011780 1-3-83
? STORM SEW LAT
1 $ -
CURB & GUTTER
SIDEWALK
STREET LIGHT
2k 00 -2 -82
WATER CONN, 420. d0
BUILDING PER. 7535
SAC 525.00
?t
n
PARK
379.;r Pilot Knob Roed PERMIT NO.:
Eagon, MN 55122 DATE: .
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
I ogroe M eomPly whh tha City of Eagan Surchcrge:
Ordfnanas. Misc. Chorges:
Totcl:
By Dote Paid:
Dote of Insp.: Insp.:
ClTr OF 'CAGAN SEWER SERVICE PERMIT
3795 Nlot Knob Roed PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: No. of Units:
Owner: , -
Address:
Site Address:
Plumber:
1 agroa M comply with the Ciep of Ea9an
Ordinonces.
Connedion Charge: _' ;" r..? `
Account Deposit:
Permit Fee: -
Surchorpe:
Misc. Charges:
Total:
R?
Dote of I nsp.:
1-4J1
RESIDENTIAL ? ? o c)?
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651•681-4675
g-1?-c) ?
NewLonstrudion Reauirements RemodeVReoairReauiremeMs
. 3 registered site suneys showing sq. R of bL sq. R oi house; aroo mofed areas . 2 aopies of plan
(20% manimum bt coverege alDwed) . t set of Energy Cakufatias for heated additions
. 2 copies o( plan showing beam & windar shes: poured burM design, eta.) . . 7sle wrvey for eaterbr add'nions 8 dedcs
• 1 set of Energy Calalations . Indicate if Iwme served by septic syatem for aAditions
• 3 copies of Tree Preservatbn PWn if bt plalted after 71153
. Rim Joist DetaJ Optlons selectiai sheet (bldgs wiM 3 or less unas)
DATE q- 1-7 - OI VAW/[ION DO,, IM 0-0
JOB SITE ADDRESS I IOl D NO12-0Of.YI O'K1JQi
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? =
PROPERTY
TYPE Of
WORK -HYL15h,I VlQ LDW&.+ IMY.` FIREPLACE(S) _ 0_ 1_ 2
APPLICA
ADDRESS
PAGER #
NT ' PHONE#CO5-?j(D0-aq(07
.?7RA ,A3iZ ?d a E. '-P O RnK LD_ /Vl4?W ZIP CODE 5 S(
PHONE#)pla-%3-'f5C)3 FAX#(C5I-4'QO-3q 4P?
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculatfons Submitted [P P
MINNESOTA RULFS 7672 D ? Op?
- New Energy Code Worksheet Submitted D
Plumbing Contractor: Phon
Plumbing System Includes: _ Water Softener _ Lawn Sprinkl $90.
Waker Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor.
Mechanical System Includes: _ Air Conditioning
_ Heat Recovery System
Sewer/Water Conhactor.
Phone #
Phone #
Fee: $70.00
All above information must be submitted prior to processing of applicatlon.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O'nances.
Signalure of Applican&ive? Certificates of Survey Received Tree Preservation Plan _ Not Required _
. . . . `. Updated 1/01
;y
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4-sea.)
? 04 02-plex 0 10 08-plex 0 18 Deck O 23 Porch (screened)
? OS 03-plex ? 11 10-plex ?19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg Y or _ N ? 25 Miscellaneous ,
`? 31 New O 35
O 32 Addition 0 36
0 33 Alteration ? 37
? 34 Replacement
v
Valuation
?DOO
'?
Census Code ?
SAC Units _t?
Nbr. of Units
Nbr. of Bldgs
Type of Const T-V
?
?
Footings (new bldg)
Footings (deck)
Footings(addition)
Foundation
Drain Tile
RooF Ice & Water Final
Frazning
Fireplace _ R.I. _ Au Test _ Final
Insularion
Other
_ pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
Windows (new/replacement)
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
ToWI
:n
-7 (3 _0 C)
? 30 Accessory Bldg
O 31 EM. Alt - Multi
O 33 Ext. Alt - SF
? 36 Multi
Int Improvement O 38 Demolish (Interior) ? 44 Siding
Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
Demolish (Bldg)• 0 43 Reroof O 48 Windows/Daars
•DemollUon (Entire Bldg onty) - Give PCA handout to appllcant
Occupancy MC/ES System
Zoning -CityWater
. ,
Stories , Booster Pump
Sq. Ft. . PRV
Length ' Fire Sprinklered
Width - . ,
REQUIRED INSPECTIONS
Final/C.O.
jb FinaUNo C.O.
_ Plumbing
HVAC
':?.
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Constmction Reauiiemenls RemodellReuair Reauirements
• 3 registered site surveys showing sq. R. of IoC sq. ft. of house; and all roofed areas • 2 copies of plan
(20%maximum lot coverage allowed) . 7 setof Energy CalculaUOns for heated additions
• 2 copies of plan showirg beam 8 window sizes; poured found design, etc.) . 1 site survey for exterior additions 8 decks
• 7 set of Energy Calalauons
• 3 copies of 7ree Preservation Plan if lot platted after 711/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE S- 0 _ 0
VALUATION (EXCLUDING LAND)
JOB SITE ADDR
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER u SCwn I L?f_au3 ?
TYPE OF WORK IL6vSfL 4- FIREPLACE(S) _0 _1 _2 _3
APPUCANT qPi p ROOFINO & REMODELING. INt PHONE # Csl Z'
4100 EXCELSIOR BLVD.
ADDRESS
T L-AHISPARKhAti 55416 ZIPCODE
PAGER # CWffR13% # FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Ener9Y Code Category _ MNVESOTA RUI:ES 7670 CATEGORY 1
I (check one) - Residential Ventilation Category 1 Worksheet Submitted
Energy Envelope Calculations Submitted
i
? MINNESOTA RULES 7672
I -
i - New Energy Code Worksheet Submitted
I Plumbing Contractor: Phone #:
? Ptumbing Systcm Includes: _ Water Solteiier _ I?1wn Sprinkler Fee: $90.00
Water HeaCer No. of R.I. Baehs
No. of Baths
Mechanical Contractor: Phone #
Mechwiical S} stcm Includes: .Air Conctitioninn Fee: $70.00
Hcat Recovcry System
I
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, 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
41 V(
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Require _
Updated 1lOt
OFFICE USE ONLY
? 01 Foundation ? 07 05•plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 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 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
0 04 02-plex ? 70 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04•plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
0 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to appli cant
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr, of Bldgs
Type of Const
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof Ice & Wa[er Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insula[ion
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
REQUIRED INSPECTIONS
FinaVC.O.
FinallNo C.O.
_ Plumbing
HVAC
MC/ES System
City Water
Booster Pump
PRV., : :, .. . ,
Fire'Sprinklered
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
:Nechanical Permit
License Search
::opies
Jther
Total
Building Inspector
cIrr oF E?cnN
3795 Plist Kaob Rood Leyan, MN 65122 ? 7525
PHONts 431-8100 ?-
BUILDING PERMIT Receipt #
To 6s med far SF DWG/GAR Est. Value $100,000 Date Se otember 20 , 19_82?
Site Addreu 1610 NOt170od Dt1Ve Erect M Occuponty R-3
Lot 1 Block 4 Sec/Sub.Brittany lst Alter ? Zonirg R-1
parcel # 10 15000 010 04 Repoir p Fire Zone NA
E
l t
T
f C V
n
arge [3 . ons
.
ype o
W Name Tollefson Bt1iId9r8 Move ? # Stories
z Address 1655 Norwood Drive Demolish ? Length 56
Ci Ea4an 55122 pho,re 454-6873 Grade ? Depth 54 Sq. Ft.-
y, Na a Q{pne= AvVrorols Feea
p m
?? Addren
f ru.. oL'__
Name _
Address
1 hereby ackrwwledga fhnt 1 have read this applicotion ond state thot
fhe informafion is rnrrect ard agree to wmply with all applicoble
Stote of Minnewto Statutes and City of Eagon Ordirwnces.
SIOnature of Permittes
A Building Permit Is issued to: To110f80A
all work sholl be done in accordance with oll opF
Building Offlciat .
Asseument pertnit 433.00
Water 8 Sew. Surcharge 50.00
Police Plan check 216.50
Fire SAC 525.00
Enp. Wuter Conn.420.00
Clonner Woter Meter 60.00
Council Rood Unit 240.00
Bldg. Off.
APC Torol 51944.50
on the expren condition Ihnt
iewro Statutes ond City of Eagon Ordinances.
This requas: void ?-??
ta monrhs,r.om . I l t L I 1 t ?J l l
? ?z ?o z?
FY',? 46538
fleques[ Date
?
?
? Fire No. Ruuph.In Inspection
red?
v ' ?/??
Pec-
?ReaAY Now L3?'o
lWh
J?
ffl
"
? os
?No r
en
eady
Licensed Elar.vical Contr:+etor I hereb re
y quest inspection ol abova
Owner alectrical work inslalled at
Street AAdress, eox or floute No.
1/O l ??wDoc? r.9 p-- City
?
ecUOn o. Townshio Name or No. Range o. Cow&LL?
Occu antIPRINT
/ Phonu No.
Power Suppiier Adtlmss
/;E? C..?Lifi .
Electrical Cnneractor (COmpany Name) CoMrector's License No.
/Cp03
Mya?llinp AtlJress (COnu c r or Owner Makinyg "I?ns
ta'?
{ltion)
'
?
,
"J^+ ' /-? w
Au[horized 5i9nawre IContrector Owner aking Installationl , Phone Number
W
MINNESOTp STpTE BOARD OF ELECTAICITY THIS INSPECTION NEQUEST WILL NOT
Gripgs-Midway Blde• - poom N-191 BE ACCEPTED BY THE STATE BOAND
UNLESS PNOPEP INSPECTION FEE IS
1821 University Ava., St. Paul, MN 55704
Phone (812) 297$111 ' ENCIOSED.
? p REQUEST FOR ELECTRICAL INSPECTION EB-00001-03
?
?rL7 !1. J 5 3 8 ' Sae inatructions for comple<in9 this form on back of yellow copy. cA??
" X"Be1ow Wark Covered by This-Request ?32!7 q?
Atld ReO. Type at Buitding ApPliances Wired Equipment Wired
Home ' Range Temporary Service
Duplex Water Heater Lightiny Fixwres
Apt.: Building Dry er Electric Heatin
Commercial Bidg. Fumace $ilo Unfoader
Industrial Bidq.
3 Air Conditionor 0ulk Milk TaNc
Farnt U lher (SUecify)
tier pecify 1 Other
Compute lnspection Fee-Below - - l? Fee ServiceEntrence5ize d Fee Feeders/Subieeders IX Fee Cirwits
0 to 100 Am 0 to 30 Am s
10 Z516
0 tn 30 qm
101 to 200 Amps 37 to IOOqmps S?RO 31 to 100 Am
Above 200 qinps Above 100-Amps Above 100_-4mps
Transloriners Remote Control Circ. ,NO Partial%Ot ee
Signs Specialinspection $ . ,Op
Remarks ,. TA? FE
U
e Elechicel
nspector, hxreby
cartity that the above
+psVection hes been
18 months hom
x
ukrr#ifirttte nf Orrupttnry
Citp of eagan
Orpttrfucrnt nf iguilbing 3nsperfimi
Tbir Crrtificatt irtHed purruattt to tbe nquireauntr of Se«ion 306 of the Uniform BurJding
Coda rrstiNn8 that at t& timr of inuante tbit ttrurturt wai in com pliana witb tbe varioru
ordinetnreJ of rhe City rrguluring bwldiag conn.nnion or ufa For rix following:
W CkAAM? SF DWG/GAR 7525
siae. n?t Na
O-w?rrra R3 TYac?mo V Fin1m. NA z?,w? RI
a,,,,.fRjft,Tollefson Builders AM.1655 *Iorwood Dr., Eagan
Bwd,,,?m.2610 Norwood Drive ,..,„I.ot 1,Block 4,Bri[tany Ist
ar:
o,,,, December 16, 1982
.d., ,. , ...,. ,..?.
Q'M O? EACA1'1
B17IIDIAIG YEPhII'P APPLICATTON
-4 ? ? ? ,/ -3-E, a ^? ao
P ? 'l 1a 9e Usea ?c?r? ? , , . ?,,,? valuar?.a,?DD, Job ?
Site Addreea , z?.,
' Lot i elock Sec./5ub.4
I Pasnel f: 4 O )_So c) pC) I O (
Q+ners
wauesa:
CttY/Z1p Qode:
PhU[16 #: , .
Addrees: / ?- i
4itY/Zip OXIe: i 6--
Phcm f : --
llidl./z1g. s
Addrees: •
Include 2 sets of pl.ans,
1 site plan w/elevatians i
1 set of enezyy calqilatlms.
, oate
?'ICE USE ONLY
??
Alter zonir?g
Faepai.r ri`ire Zone
bhlarge , lype of Oonst.
wnve N stories
Aertnliat? Ftont
Grade Deptt? v'"y ft.
APPtaOVAT6
Agsessments Pennlt ?,133 `-j-O
Water/Sewer Surcharge 6-0 °x
laolice Plan Check
Fire SpC
FJIJ • Water Cau?,
-Ilf?z)
Platu? _
Water Met$r (06
Council Aoad OrtiC g?/D ?
Sldg, Of :
APC
? CitY/ZiP Cada:
! PloiB y:
70TRG 4'
?- ?
••-'??,l
pca
'• t!
co ???y
r' 1"?
?
?
,
To11efs:)n,Euilders Lnc.
1 U?,a
4
`Y Or.11343
/ 183-11
JACKSON - SURVEYORS
p . ?..,.r
r
.
RE61ST[REp UMO[R LAWi OF iTNTH OF MINNiSOTp
?
C?• , C
_F?_,'{,.•.-I-/rL? .i .
3616 EAST 55th STREET, MINNEAPOLIS, MN 55477 7273484
?unc?por'g ?crtiC?catt ? d?•
.?-, _ ? ?- -- - - -- -/ ? s- u,-- -- --- ---- -,--- -- . ------
?
/
? ? .
3 ?
?.'
F1?4 w \\
f y
,."
i
I MEREBI' <
- - - -- - - - . . ? _ . _ _ -?
FY TMAT fX[ ABOV[ 19 A TRV[ AND CORR[GT PLAT OF A BURV[Y Oi I
Lot 1,Block 4,6rLttany,
Dako[e Caunty,Hinneso[a.
k'ropoaed Garage Floor Elev. 101.50
Yraposed Firat Floar Elev, t02.33
Propoaed basement Flaor Elev, 94.83
v
.
Af BUFVEYED SY ME TM16 14in. -UAV pp yept. _A 0 1982
516NlO -
F. G. ACKSON. MINN[?OTA ICTIU
No. 9800
Cities Digital Quality Control
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PERMIT #
Y
i
Please complete for:
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
RECEIPT DATE: 10 / IQ O /
RESIDENI7AL PLiJM$INH PERbIIT APPL1CATION
crrY oF F.AsAx
3930 PII.OT KNOB RD
EntHlkN. MN 55122
651-6$1-4675
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
Z-
TELEPHONE #:
(AREA CODE)
TELEPHONE#:?'?r yZ3-II
_ (AREA CODE)
CITY: fno r STATE: ZIP: C?
Place a check mark next to the permit work tvae
New residential dwelling unit under construction and not, owner/occupied $ 90.00
Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repaidrebuild of RPZ
• lawn irrigation system
• waterturnaround
Natureofwork:1?S\ AL 1 _ ??2 ?F?Tk-{ c" ?JIL
Septic System, newfrefurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ 50
Total SD
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge tnat 1 have read this application, state that Ihe information is correct, and agree to comply with all applirable City of Eagaa ordinances. It
is lhe applicanPs responsibiliry to notify the property owner that the Ciry of Ea9an assumes no liabif for any dama9es caused by the City during its normai
-era[ional and maintenance activities to the facilities constructed under this permi[ wi[hin City prcl ertylright-of-way/easement.
SIGNATURE O PERMIT EE
, llpdated 1l01
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA111834
Date Issued:07/15/2013
Permit Category:ePermit
Site Address: 1610 Norwood Dr
Lot:1 Block: 4 Addition: Brittany
PID:10-15000-04-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew E Luckmann
1610 Norwood Dr
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
i
� � (� v �� g_k�__. � J Cv 5� � P���b� �� '',
Use BLUE or BLACK Ink I
�-----------------, I
� For Office Use I
� l����� I I
C�ty of �a�a� � Permit#: �� I
� n � �
� Permit Fee: ll• I
I �
3830 Pilot Knob Road �
Eagan MN 55122 i Date Received: �
I
Phone: (651)675-5675 � Staff: I
Fax: (651)675-5694 � ________ _______ I
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: � �� Site Address: � �G� b 1 v �� Lw�L�C�Cl ��
Tenant: Suite#:
F�eSit�e�#�C�Wn�r
Name: 1 1\(J�"��1�1(1 n l-v Gk m a nv� Phone: '"���������O�v
� .� �j�l�-2�
� ' Address/City/Zip:
�Ipah.Acqui�����n,.LLC �� ( � ��'\�
Name: �,F�;,.,6�;„ri�mhinu License#: i�•�1 v
—�i+a�e+U-
1�2-13rd St K
���,��,��� Address: Minnea{x�lis.h1K 55;1 I City:
� ..: (vl'a ' `�-�vcd' �
State: Zip: Phone:
�C h n�� c.� � � Crl� � )
' Contact: Email: `�� • ��`�` G`) h (��
��,, _New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. {�
TypL b�wC�Ck
Description of work: �
� � "�' ' '' ' " RESIDENTIAL
�,., � : :
, .
� Water Heater
Water Softener
Lawn Irrigation(_RPZ/_PVB)
�����TYI�� Add Plumbing Fixtures�Main/_Lower Level)
Septic System
�� ���� Water Turnaround
„ 2��.:: New
�,:: Abandonment
��....
RESIDE
$60.0 Water Heate Water Softener, or Water Heater and Softener(includes�5.00 State Surcharge)
$60.00 La igation(includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Seqtic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge)
'Water Turnaround(add$200.00 if a b/8"meter is required)
$115.00 Septic SVStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge)
TOTAL FEES$
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.aopherstateonecall.orp
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 ermit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X .�I�11�1 I � X .
Applic Ys Printed Name Applic t' gn re
�
F4R�?��ICE"�'S�: Rt+��t�u�d E�y: '� �l�` � Q�� �\
� � v_ � k � : .� � _ � �
F�€;qtu�re�d Ir���i���i�ns ,... ��i��r Grc�und " �c��i'��� ����r�''�� �� s T+��t � , Fi���
, ��,. � , � � �� '�
M�ter f��l�ted Item�..... Me�er�i�� 'F,.Radiv R�a� Staf� � :... ,�� ,� =
�... �
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138363
Date Issued:08/24/2016
Permit Category:ePermit
Site Address: 1610 Norwood Dr
Lot:1 Block: 4 Addition: Brittany
PID:10-15000-04-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew E Luckmann
1610 Norwood Dr
Eagan MN 55122
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(763) 370-0074
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161749
Date Issued:06/11/2020
Permit Category:ePermit
Site Address: 1610 Norwood Dr
Lot:1 Block: 4 Addition: Brittany
PID:10-15000-04-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Matthew E Luckmann
1610 Norwood Dr
Eagan MN 55122
(651) 357-3630
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature