1611 Norwood Dr now Use BLUE or BLACK Ink
r----------------i
@ r 1' I For Office Use t
c C 7 2 n' )e Permit t
df Eapn t Permit 1
2 rr ~j Fee t
it
3830 Pilot Knob Road *~a
(fif (0 t Date Received: 1
Eagan MN 55122
Phone: (651) 675-5675 1
Staff: 1
Fax: (651) 675-5694 '2 l' fnl ; I
INFLOW & INFILTRATION PERMIT APPLICATION
_Plumbing / Sewer & Water
Date:. -7 ' S 1 ( Site Address: ' ~P I cJ T v v D
Tenant: Suite
RESIDENT / OWNER Name: ° f U n » e 4 Phone: Gr 1- ys Y ? `d Y7
Address ! City / Zip:.
Name: e S *N tA a_j t p fi e, ce._~ T'hc- License Q S 1 5 / S 0
Address: l; O- 0 a 1 City: QQ_y
CONTRACTOR
State: M N Zip:.S"S Q_ Phone: (-Si - 1- $ 2,S 2 M / 2 b/ 9- 7 o
Contact: tW#ft e -S- 1 #-r Email: Clll) Y~ I h ea PLUMBING (Within the building envelope) SEWER & (MATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
DESCRIPTION Description of work: 7',,% + 1 J, t-. i n w
>ci=FC _
$55.00 / Each (includes $5100 State Surcharge) TOTAL FEE$ 3 ~ _ 0@ -
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofea-gan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecalLorg
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans:
X 12
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
. CtTY OF EAGAN is 3 9 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt ?
To he used for Est. Value ?? ? '' ? ? ? Date ;' i,Y 1-4
,19 Site Address OFFICE USE ONLY
Lot Block Sec/Sub. On Site Sewage _ Occupancy
MWCC System _ Zoning
Parcel No. On Site Weil _ Type of Const
City Water (Actual)
_
a Name (Anowable)
W
;
Address # of Stories
Length
° City Phone Depth
S
F
Total
p NBme .
.
Footprint S.F.
,
? ? Address APPROVALS FEES
? City PhOne Assessments _ Permit
1- ? Water/Sewer _ Surcharge
F W Name Police _ Plan Review
_ g Address Fire - SAC, City
? W
City Phone Engr.
Planner SAC, MWCC
Water Conn.
_
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
tfiattheinformationiscorrectandagreetocomplywithallapplicable APC _ TreatmentPt
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Copies
Signature of Permittee TOTAL
A Building Permit is issued to: ? on the express condition that
all work shall be done in accordance with all applicable State of M innesota StatuteS and City of Eagan Ordinances.
Building Official ?
Permlt No. Permit Holder Dsta Telaphonis ?t
Plumbing
H.V.AC.
Electric ? .337
Softener
Inspectlon Date Insp. Comments
Footings I ? r.
Footings II
,
-
Foundation r
?
Framing
Roofing
Rough Plbg.
Rough Htg.
l5ul. p
Firepface
Final Htg.
Final Pibg.
Bldg. Final - G2?' ?. a-?l- o o r
Cert Occ.
Temp. LP ??cr- i?C ^ ?n. '
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
??-..+ CITY Of EAGAN
' 3795 Pilot Knob Road Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
To M osed for Est. Value Dute
Slte Address
Lot Bixk $ec/Sub.
Parcel #
ce Nome
W
; Addre:
b
Name
n,
t°-
?l' Add?ess
Name _
Address
I hereby acknowledge tFwt I have read this opplicotion ond state that
the information is co?rect and agree to comply with all applicoble
State of Minnesota Statutes and City of Eagan Ordirwnces.
Ns 6404
Erect [] Occupancy
Alter 0 Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front
Grode p Depih ff.
Appro vols Fees
Assessment _
Woter & Sew.
Police
Fire
En9•
Planner
Councl I
BId9. Off. _
APC
Surcharge
Plan check
SAC
Woter Conn.
Woter Meter
Road Unit
Total
Signcturo of Permittee I
A Building Permit is issued to: on the express condition thot
oll work sholl be done in xcordance with oll applimble State of Minnesota Statutes cnd Cfry of Eagan Ordinonces.
Buildtng Officlal
parm(t # Dah !wd PonelltM
Plumbing
Mechanical
-7-?(
INSPECTIONS DATE INSP.
Rough-In
Finol
Foo?ings Date Irqp. Oote Inap.
Foundation Plumbing
Mechanicol
Finol -ii ?
Remorks:
' CITY OF EAGAN
3796 Pilot Knob Reod
No. Ea9an, Mlneesota 55122
Phone: 454-E100
PERMIT
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Dote: Receipt No.:
Single
Site Address: ' Residential
Lot Block Sub/$ec. Name ' New/Alter. / Repoir
.
; Address Cost of Installotion
O
City ' Phone: Permit Fee
` Name Surtharge
?
? Address '
City Phone: Totnl
This Permit is issued on the express condition thot ull work sholl be done in occordonce with oll applicoble Stote of
Minnesota Stotutes and City of Eogon Ordinonces.
Building Officiol
--.-r -
CITY OF EAGAN
3795 Pilot Knob Road
Eayait, Mlnnasote 53122 INSPECTOR NOTIFICATION
No. Phew: 454-8100 REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Date: Receipt No.:
Single I
Site /lddress: Residential
Lot Block Sub/Sec. i Multi Res., Comm./Ind.
Nome I New/Alter./Repoir. .
3 Address Cost of Instollotion
O
City Phone: Permit Fee
? Nome SurcFarge
?
ilddress
?
City Phone: Totnl
This Permit is issued on the express condition that all work shall be done in occordance with all cpplicabte Stote of
Minnesota Statutes and City of Eogon Ordinonces.
Building Officiol
INSPECTION 1ZE(:URll
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: '
Eagan, Minnesota 55122-1897 Date Issued: - '
(651) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK:
I r
? _?_ , ? . ? • . ? „-
I_: = - -
_ _ _ - - _ ?? _ _
-
- - --- - - - - - - - - - - - - - -
kf MAf'K'•: CNTMNt Y1[A lIF M1191 HC-. IN r{'PE'"t! i1 lHr f ??1; E i i1W.1 A1 I'Mti.
Permit Hoider Dabe Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS .
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL NTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCrivirr
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addition RRTTTAtvY L Ik 7 Parcel 10 15000 140 02
I ' 1611 •?OrM?O" Ye .
Owne?d Street ' State
Improvement Date Amount Annual Years Payment Receipt Date ,
STREETSURF. ?LC?', g (?p?7 7 1 ?
STREET RESTOR.
GRADING ,j?? 1 $ 400.15 4-16-81
SAN SEW TRUNK
* SEWER LATERAL r
WATERMAIN
* WATER LATERAL
WATER AR
EA
M
STORM SEW TRK 1981 492 5 --
* STORM SEW I.AT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. 6404
SAC
PARK
CITY OF EAGAN
?9795 Pilot Knob Road
Eagan, MN 55122
Zoning:
;Owner:
!Address:
ite Address:
?Plumber.
eter No.:
ize- -
eader No.:
agree M compiy with the City of Eogan
rdieanaes.
v _
Obate of Insp.: _
Pilot Knob Road
, MN 55122
By
Date of I nsp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE: _
No, of Units: n
ConnecYion Charge:
Account Deposit:
Permit Fee:
$urcharge:
Misc. Charges:
Total:
Date Paid:
I nsp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No, of Units:
Connedion Charge
Account Deposit: .
Permit Fee:
Surcharge:
Misc. Charges -
Total:
Dote Poid:
0
1 ogree to eompiy wifh fhe City of Eogon
Ordinances.
cin oF ¢acaN
3795 Pilot Kno6 Road Eagan, MN 53123 N2 6404
PHONH 454-8100
BUILDING PERMIT APPLICATION Receipt #
To 6e used for 5F DWG/GAR Est.Value $0,000 Dote 12-2 19 $0
Site Address 1611 NOT'WOOd Ih'. Erect ? Occupancy R3
Lot 14 glock 2 SeUSub. Brltt2i?y 1St qlrer ? Zoning Rl _
Porcel # 1015000 140 02 Repair ? Pire Zone 3 _
E
l T
f C
t V
. n
crge ? ype o
ons
.
w Nome TollefSOn Bui1d81's Move ? # Stories
; Address 13$16 Hol}*oke Ln. pemoiish ? Front 62 R.
° App le Va11ey
Mep
454-6873 Grade ? Devrh 37 rr.
C; ,
ho„e
? Na Approvah _ Feos
o me _
?
v? Addtess
? r?...
Nome _
Address
I hereby acknowledge thot I hove read this application and stote thot
the Information is correct ond ogree to tomply wiih all applicoble
State of Minnesota Stotutes and City of Eogan Ordirwnces.
Signature of Permittee =
A Building Permit is issued to:
all work shull be done in occo
Building Official
Tollefson Builders
uil
AssessmAk! _
Water 8 Sew.
Police -
Fire
Eng.
Plonner -
Council _
Bidg. Off. _
APC
SurcMrge 40.00
Plan check 92.75
snc 525.00
Water Conn.305.00
Water Meter 60.00
Road Unit 185.00
Torai 1.393.25
_ on the exprew condition that
and City of Eagan Ordinances.
CITY OF EAGAN N° 13 9 6 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHO N E: 454-8100
BUILDING PERMIT Receipt #
To be used for PO2CH Est. Value $14, 000 Date SULY 24 19 87
SiteAddress 1611 NORWOOD DRIVE
Lot 14 Block
Parcel No.-
Sec/Sub. BRITTANY On Site Sewage
MWCC System
On Site Well
City Weter
olName NEIL & JOAN BECKER I
z Address S?
City Phone
o Name M1RICK BLORS INC
?a Address 200 W 88 ST
? City BLMGTN Phone 888-2929
Name
Ciry
I hereby acknowledga that I have read this application and state
thattheinformationiscortect ndagreetocomplywithall pplica6le
State of Minnesota Statut a d Cit o a{ygn din s.
Signature of Permittee l.i
A Building Permit is issued to: MARIC BLDRS INC
all work shall be done in accordance with all app iCa66 tat of I
Building Official
2
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr.
Planner
Council
Bldg. Of(.
APC
Variance
OFFICE USE ONLY
_ Occupancy
_ Zoning
_ Type of Const
_ (Actual)
(Ailowable)
# ofStories
Length
Depih
S.F. Total
FootDrint S.F.
FEES
_ Permit
_ Surcharge
_ Plan Review
_ SAC, City
_ SAC, MWCC
_ Wa[erConn.
_ Water Meter
_ RoaA Unit
_ Treatment P7
_ Parks
Copies
TOTAL
121:50
00
Fn.7s
8 .25
on the express condition that
I City of Eagan Ordinancea
-4
Minnesote State Boerd of Electricity
Griggs Midway Bldg. - Room N797 ?
1821 Lniversity Ave., St. Paul, Minn. 55704 - PFwne 297-2111
REQUEST FOR ELECTRICAi INSPECTION
CHECK BECOW W6RK COVERED BY THIS REOUEST
EB-00001-02
T 3II68V
Type of Building New Add. Rep. Check Appliances Wired For Check Fquipment Wired For
Home ? ? ? Rangc t3 • Tempocary Wiring ?
Duplcx ? ? ? Water Heate[ ? Lighting Fixtwes )(2
Apt. Bldg. ? ? ? Dryei ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace )Q2. 00 Silo UNoader ?
Industrial Bldg. ? ? ? Ait Conditioner f$2. 00 Bulk Milk Tank ?
Fazm ? ? ? List ) Lis[
Othyr ? ? ? }
He?ers) . p
Hehersi
COMPUTE INSPECTION FEE BELOW
Se?viceEntranceSize: # Fee Fceders@Subfeeders: # Fee Cvcuits: # Fee
9 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 1 8.00
101 to 200 Am 0 G 10.00 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transfo[mets Remote Con[toi Circ. Partial or other fee
Sigris S cial Ins ction Minimum fee SS . 0
Remazks
n n ?.`_ ^ J@ff D? _
TOTALF SQ'00
50.5
I, tHe
(Final)
This iequest void
18 months from
has ?ti,den!m .
?k -3a-?d
D3fe.
? ? , 7 ?•-
This request void 6- I q `? I ?
18 months from ? (+(?
Date of this Request 12-24-19e0 Fire No. T 38""
l, as)E3 Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 1611 Norwood Circl.e City Ea?an
Section Township Range County Ankota,
Which is occupied by Tollefson
(Nama of occupant)
Is a roughin inspection required on this job? No [] YesAg Ready Now ? Will Callt3
Power Supplier Dakota Ctv. Address Farmin,qton
Electrical Contractor 0. B. Thompson Ele ctric Co, Contractor's License No ?0602
(COmpany Name)
Mailjng Address 12201 It4tkaBlvd., Mtka 55343 ?
(ElectrICal;COptractOf or Owrer MMiih°'Th15.InstalNtlon)
??? 933-25 '?
Authorized Signature "? °_ I /i?i Phone No.
(e1BCVICaI contraCtor or Owner Making Tnls installatlon]
????? 1???? This inspectian request will not 6e accepted hy ffie
t7 ? Stete Board uniess propar inspection fee is enclosed.
10/411g7 (iEQUEST FOR ELECTHICAL INSPECTION heeC-a'o/o/oi-os
"-, 0 bea instruetions tor completing ihis /orm on baek o/ vellow copv. <?/
(r CZ'a'a "] G *'X" Below Work Covered by 7his Request
PlikwdAAdiRaD•1 Ivoe?t BuilOina 1 Aooliances Wired 1 Equioment Wired I
M Fae ServleeEntrence3iie d Fee Fexders/SUOteetlers # Fee Circuils
0 to 200 Am 5 0 to 30 Am s ? 0 to 30 Am s
-, Above 20 _Am ?s 31 to 100 Amps / 31 to 100 Am s
Swinxnin Pool Above 100_Am s Above 100-Am '
Transiormers Irrigation Boorris Partial-' e
Signs Special inspection 5,?1
(J' TOTAL FEE
Remnrke
I, the ElecVical
Inapector, heraby
certity Nal tha above
? inspection has DeBn
mede.
rniz .daues, Me
18 rtpnths fmm :?
C 6 3 3 7 5,? IA1, 121
Requast Date
/ ?f
V ? k Fire No. Hou InsDection
Heq?ed? ,..?..--?..[CC
?eatly Nuw ? Will Notify. InsOec-
m
Wh
/ -
• ry es ? No r
en Reatly
6 Licensed ElecVical Contrflctor 1 hereby re0uest inspaction of a0ove
Owner elaetrieal work inalalled at:
Snoet Address, B z pr Noute No.
L I? •
-?
??
^ Citv
E?5' +9 "`!
o rw w ? u
?
ecUOn o. Township Name ar No. Ranga o. Count
Occupant IPRINTI hone No.
Po;i¢r Sup0lier Atldress
EIe tricel c?o,nvacwr ICOmoanv Namel .
7/
f Contractor's License No.
e <.
r r c-
Yq Ic 46 G?D
ilina AdJrass (Contractor ner g?ng
/
Y 5 IF aila{ionl
l
?
so Z/
/7 ?
k
? e s ?, .
d a-
A izetl Si0^atur Contractor Owner Makina Installationl Phone Number
?6
MINNESOTA STATE BOAND OF ELECTqICITY ? THIS INSPECTION flEQUEST WILL NpT
aripps-Midwey Bldp. - Room N-197 BE ACCEPTE? 9Y THE STpTE BOARO
7821 Unlvsreitv Ave.. St. Paul, MN 66104 UNLESS PNOPEN INSPECTION FEE IS
Phone(812) 647-0800 ENCLOSE?.
RESIDENTIAL BUII.DING
Permit Application
? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
eff 3u0.2?5?
New ConsWction Reauitements RemodellReoair Reouiremenfs Offce Use OnN
3 registered site surveys showing sq, ft. of bt, sq. R of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20°k maximum lot coverage allowed) 1 set of Energy Calculations for healed addi6ons Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poufed foufM design, etc. t sde survey lor add'ifions & decks Tree Pres Not Reqd
lsetofEnergyCalalations Addition - indreateifonsitesepticsysfem _ On-siteSeptlcSystem
3 copies of Tree Preservation Plan'rf lot platted after 711193
Rim Joist Dehail OpGons selection sheel (bldgs with 3 or less unifs
Date aU Z(rn,p_ / o-3 ConstructionCost CK1F9S13 ?
SiteAddress jwj? mQ(uy)(]?j UnidSte #
Description of Work'??V o1l Cl r4 1,;3k U„!l \A[L&?a
, ?C7.?1 C7 ?C? ?`? l CSl YY1 ?'
, ??
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone #( )
Contractor RENEWAL BY ANDERSEN
1920 COiINTY ROAD "C" WEST
Address ROSPVILLE, MN 55113 City
State 651) 264-4777
LICENSE # 20130983 Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy CAde Category . Residential Ventilatlon Category 1 Workshaet • New Energy Code Workshaet
(a submission lype) Submitted Submitted
• Energy Envelope Calculations Submitted ?
?jV"I
Licensed Plumber ,Felephone #(
U L,. s?)\
Mechanical Contractor 'Telephone #(
Sewer/WaterContractor lu`' -elephone#(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the wark 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 applicarion for a permit, and wark 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
appr val of plans.
?0sa ??Czo?
ApplicanYs Printed Name ApplicanYs Signature
t v
OFFiCE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex q 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
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 17 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Damolish (Interior) ? 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) - Give PCA handout to applicant
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
REQUIREDINSPECTIONS
- Footings(new bldg) _ FinaUC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Franung _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
??• ?•, °v••` `u" t°.JV ran ?o.r aii A400 XtsCIKrtA4 nreqUtlltTJtSlY
re . ?.
?? .
acmet 2oal
Mty Rl awm
3 PLoad
EftM 1vIN 55122
To Whom It May Caitosrn:
EIder 7ones 3s atuhonized to prill bu'ddi?g perzaits Por Ranewsl }ry Anderm please altow
Sldcr Ion*s to pmvidc this sefvicc for ua in Ekm. Ylda endutcl?tian it valid for any
to date the Citybcyond 6(6/Ol; until a Ribuewal by Auderselt mauap? ?P?stY r +evoloas it M wiidng
-
I rcqueat this authorization be accepted sxpedidously, as W not delsY in the piveessiitg of
our baIIdinS Pf-anita emy Raz$ur. Plcaac cari mc If tbac aro euq qnwttona. _ I can bn
oontacbed at 763-5()2-4706.
Your immGdieAe mentton tc) us mdu«, is
Sinoftely,
god R Rau
ustallation Managcr
Renawut by Audasen Corporativn
('.V: Kmn-FJde.r Tnnec
.?[
--,F?i?.I??4 U ?/ pa?vs et?
i
ti
?,?c?atiaa?
??°°"n?'? ,,,?m
Wuuz
Received Tiae Jun. ). 1-07PId
>8 ?X ?f; ?F Yh ?t ?F k? %; ?i °d:# %??X 9d:X>k X? ? $? %i? k kt.v,t w ?F ?! * ?k M ?n MY6 Rt :? ?F %?Y6W
C7:7Y fJF F_r1GAid
CASH:CF:Iti: 5 iF:RM7:NFl4... N0: 7¢32
PATE;; 1Ul:!.`.?/'?:3 TIMEt L5°3054
?L+:
NFlME: I-SRE:SIDE CORNf'F,
:3^ciA 9001 1611 NOIiP!n(].Y.t TiR 5[],00
2155 9001 011 NOf?WOOD IFR ().50
'!'ni;y:l. heceip+, Arr.:;i.ant,: .°.,(J.SO
Cf<CI985i?3
UfiE:R 'f.I): TditNCY
?KY?Yn1FJn?k>k7$Yn ?.w„kcat?k'hc4FJn?kYd?K>K?KW X?$(?R'F?"?XkC:kM1:9n`Sk?k?PFX?
PERMIT
CIT't-&EAGAN
3830 Pilot Knob Road PERMIT TYPE: a u s LoING
Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 7 2 B
(651) 681-4675 Date Issued: 10/ 19 ( 9 S
SITE ADDRESS:
P.I,N,> 10-15000-140-02
DESCRIPTION:
, GAS INSERT/GA5 LTNE
Bu.X1..d3.nq'.Permit Type FIREPLAL'E
B.Uilding War`k Type ALTERATION
Zensus Gnde 434 ALT. RESIDENTIAL
?-
:?.'-^
? j
` !r
t X + {{
* [
y
REMARKS:
CHIMNEV/FLUE MUST BE SNSPECTED BEFOftE CONCEALTNG.
FEE SUMMARY:
Base Fee $50.00
Surcharge -_-l_e50
Total Fee $50e50
1611 NOftW000 OR
LOT: 14 BLfJCK: 2
BRITTANY
CONTRACTOR: -
FTRE5TQE CORNER INC
2700 N FAIRVSEW
r
RUSEVTLLE MN
(612) 633-1042
Applicant - S7. LIC.
16331042 20099911
AVE
55113
OWNER:
BENNETT MARY
1611 NORWOOD DR
EAGflN MN 55122
(651)454-9447
Z hereb,y acknowiedg,e that I have read th3s dpplicataon and sCate that t'he
information is cprrect and agree to cam:plv with a11 aAplacabl.e State of Mri.
Statutes and City of F-agan (lydinances.
? _ .
APPLICANT/PERMITEE SIGNATURE
SSUED BY: SIGNAT RE
?
CITY OF EAGAN
3830 PIIAT KNOB RD - 55122
1998 FIItEPLACE PERMIT APPLICATION
681-4675
DATE: V - 16A
?t:;-o C?-o
PERMIT FEE: $50.50
DESCRIPTION OF WORK: Construct new fireplace Alterations to existing
? Install eas insert oniv L/ Install $as line onlv
Other
JOB ADDRESS: it(I I, i O o' ?
LOT: 19 BLOCK: =SUBD.V2Q?J?l
APPLI
CANT (c'vcle one only): OWNER I hereby acknowledge that I have read this application and state that the information is conect
and agree to comply with all applicable 5tate of Minnesota 5tatutes and City of Eagan
Ordinances.
Name: ? (J? ? W Phone
PROPERT'Y Last First
OWNER
Signature:
StreetAodress: )(ai {n_???U' 1?J 4/
City State: rr)(\j Zip:
?
Phone #:??'k1'-
CempV
£IREPLACE INSTALLER Signa S ?.icense #
Ciri State: // l^V Zip:
GAS LINE
INSTALLER
;( ? OCT 19 1998
r
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
W ORK TYPE
? 31 New O 33 Aherations
? 32 Addition 0 34 Repair
GENERALINFORMATION
Census Code. 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
;,
f
?._ '/ ?. ?,' • ' ; ,.
G
1987 BQILDING PBRMIT 9PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IACL[IDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY C9LCQLATI065
NOTE: ADDRESSES FOR COBNSR LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATS WHICH ADDRESS
IS DESIRED. NO CHANGfiS WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSDED.
MULTIPLE DWELLINGS - RESIDEN'fIAL RENTAL ONZTS FOR SALE 0NIT5
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORYSY - CH6CB WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: 3-6'a•Sor? PotiuA Valuation: /`1' 600 °" Date: 71Z 3/8 1
Site Address 1t-\( Nop-W cefl Po.,.+t
Lot Li Block 6-)-
Pareel/Sub
Owner rfel?
Address Ilo0
City/Zip Code
oa.wooo On,.,E
('w rS
Phone
Contractor Nwtr.-?u`' f3v+?oc?s
Address 2 00 S'$Y3. 5L.
City/Zip Code ??oh?u?c•.-? 51 o
Phone Sgs - 2Q2c(
Arch./Engr. Mno-tr.L- 9.7'An,S tN(,
Address '+-e? 0,g Q?v ST_
City/Zip Code
Phone ti $
USE
On Site Sewage
MWCC System
On Site Well
City Water
6PPROVALS
Assessments
Water/Sewer
Police
Fire _
Engr _
Planner
Couneil
Bldg Off _
APC
Variance
Occupaney
? Zoning
Type of Const
(Actual)
(Allowable)
li of Stories
Length
Depth
S.F. Total
Footprint S.F.
FE&S
?
Permit ? Z1• -
Surcharge -1,
Plan Review GO ,
SAC, City
SAC, M4ICC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL ??
/?4c
2b He Used
site Addness /(07/
Iut I`{ Block ?
Parcel M:
Owner:
Addness:
City/Zip Oode:
Phone N:
Addziess: P ?e
City/Zip Oode:
Phone M: ?w
,AddneB$ ry..
CI:'Y OF EAC',M Include 2 sets of plans,
1 site Lnlan w/elevations &
BiJZLDING PM?MCT APPLICATIC+T 1 set of erergy calculdtirns.
„? ??
? Valuatien ?
?41 4VA-"?
OFFICE USE OA
LI
Erec-t
? Occupancy
Atter Zonirr3
Iz-pair Fire Zone 3
F.n].arge' 'Iype of Const. ?j
hk,tn # Stories
Jemolish P'ront ft.
Grade T
Depth 3 ? ft.
APPFY7VALS F'EFS
Assessnen_ Perniit sa
Water/Sewer Surcharge `/4.0
Police
Fire
? Plars Check
S71C s a r: o 0
?.
-?? 73 water conn. 3 A s. m o
Plarurer Water Metes jm 004
('A1.1T1C11 ? Fo3d URit l '9.re OU
Sldg. Off.
APC
City/Zip Oocle:
Pha'ie #:
'It7PAL
? ?i `5 ??
C? 17 ?
5 ?? b
??yoo
?
?4, ?
.TAle::,,e Buoldera Iac. ' Oi.11196
_ /G•'. n' LS3-?9
--" -- - - -
? I I f-- ------- -- F. C. JACKSON
? i u?no suavirow 1 1
I I
( t
Il[61MTtN[D UND[R LAWf OF /T11Tt W MINN[/OTA
LIC[Nf[D SY 011DIMANC[ OF CITY OF MINN[ArOLIS
? 3e1e eAsr aaTx srReer 55417 727-3484
I
? i ? ,?. ? ?hlCbtpO['g ?tTti6tatt ?
?`, •? ' ;? ?
?. ? I I \p> rv 's`x
6 ?'v >
?1_
r14
.
v?
ti
3f?3e?-
? z,Y
:?
000•0 = Exirting Eleva[ione
Dralaage S Utili[y Eaeesents
Drainage
, Propoaed Garage Flaor Elev. 101.5
Proposed 8asement Ploor Elev. 92.0
Yropnaed FLrst Floor Elev. 100.2:
? Q
O
?
. 1 H!R[1Y C[RTI?Y TMAT TNt AMOV[ If A TRUE AXD ODM[CT RAT O? A SURVK OF
Lot 14,Blxk 2,Brittany,
Dakota County,Minneaata.
As eunveveo sv Mi TH18 28th. DAY Of Oc[
1980
i
F. C.
If
?
i
No. 3a00
Cities Digital
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
,? !???' ?A? ?i•/C?Z 'Y ? ? , ? ... ..kf ? . nj' ???'? s?t r7 .
??. ? r'. ga : 4 : i . .?i :. • ?i j 3? r? 4 ,? i?. }< ?':
,K i??y< :: .: ' c ?C •'y ^ ? ??i? / . \ i ?+t?? ?j?yi??Y?? ?' 'y?'tt i?h - i? µtf? «,;:
'+'??i. N^q•fC .??t.` C?. ^,..? r., ? ^ , ? ? ? ? -.. ? l , ? .? i 7t + ? '
3 ? ' ? ?,? ? ?1 •. F'i 7 ?s,.. C;Ic?c?rnin7Lan, EO'In. 5,?ti39; !?honau ?114-'1187:;.:
?''? PLAII `xi c ?
2 VEIL°I?2
rzo:E
r?settaF,?q en
c
rs
.Orn,
'3 . ;:??ni•??:c? 7 . rs?a ??- { - ,
?h i . . . . ' . . . . . i . 1 1 .
?y - . . - . . e?Y.
?•^:1t?0`; L.i ?ri;p: ; ':L`i"?°.C^, C(?_??Yis•!;^T.C`.S ? .
,.
:
I'M2 02 r.iP.^:;;L? 17A.Q, i?? =1 C c
0:' L;t?0
ia`rL Ta Sa?•
. . ' . . . .. i .
'1?i!T? CnSFne.3T ,
_ - t
Cr'd L•?'a"fir
' ??^L? rg - n.?^;• -' ,?
:OT.1L 3(j. F?i. 0? I`•OC".'S
?E S. 6 p
TYF/ . , . , . •
M Lp"'.^io woo!?, ?,f ?
='Ynli' Cfn IrULATT("; 1, i9i.f:' r<n. P.c% TT r
a^I.tCr `'??' C:lE?!F,' ! 1
Ei:?Jt?i%(.`7 x17 (°2TLfte ta., r..,r.i F G.. 1 C1?? 1fI 2CiS
ni i° CrA U1n _2 1
?
?
77t'T G" £E3U?iiI^7 ?n 7-1 OOn^
-, :. -
V•9
t ? • ;,
K'cTTI CCrtrti e7 rxr-L,.?)C'; 1!?/I,t.!7 QPOPF; ti;!tT^ r
?
uesa?:?_i o? .E'r Pon onI; nz-n T;? `T';!:7It? 7`;;i'7 x?1:C•:J----- • l._;
.
` L1*7FITZ;I C? o21 !70.2 e1TTi ri_'tTT_,?
a .
I?,f ..,?... . .. . . . . ' ' . .
F,?r+ , . ' • . . ' . - . r , t b
r?.?. . . . . ' ' _ ? .
?
. . . ' . .. . - - +- .
y r
?Y 5 ! s • t
R > ?
?,? . . . ?
. .?
at, I t r!, n
. . ?J
y .. . } • ` . . f D,sTATL gQ. FT' S?i. FIT
RPFiHr.ElC.rs OY;:iIIf;C,3
9EClo????.. . . .
...t:
?C_. FT.?
I.i::;S JP}:NINGS'..
L?.Cr.1.??n?.??? ? ?AY:??.e....-•• W?..?_?..? ??
? ???_???
??«.??, _?':.. ??
r. ?q.`??• 0
? { - ,Stt
_
„.
4r:'
r<7,4..! <-
... -r...,. ?., z_! ... ..
. ?.. . .
.._.._.S??L?I.?_. ?
.. 3
'eq (iJ
w: L
,
_ `
-- •
;
`l _
..TL'.L`.?•„?..t a._ ' n , r _ _ _.. ?
r
._ _.._.Lr
`
.
-_ ._ ...._.?...?.. ..?.-.. .
'
?
....?__. a. . .,..«..?e
.
•
?
........_....,_..?..?._..
,.,r , ,.
, r- . .y
?.._
: ....
?cslnnt -
, ?
: ? ......_ .... __.. ? __.
CfTlf1\y?? 1 f. ? 7 ?) }
..a ??_ ?? ( '?1.(111
>`? ? q.??. ?.. '_N. .
,.........., ),.?f !1 F .....
....
. ..
. ?? ...? .._. ? ?7
\
?
?
..
. . _
-,..
.
.
.?..a... .?,:.._. • .
v??:?.,?.,? t.
,
<
•
.>"_... . .,.?-.s? .r
.. .........•.-,..-,.?..,.. . ' ,.......
,
.-_.?..?_'..?....
m:.•'.?,..e.r._-_ ... ._"?,:'c?_,__.._?,_.._.,e.... _ .. ..::-_,.._,.._,.,.,.- ._...? ...?.. ........_.?,.?
-
.-
.
.
?,..?,r.._:..-"?s.,u=-?.-s?.z _ •'
_"'.:_:. ...-..
. .. . ..
..?....n.?».......... _ .. .... .?..
..:..'
?.. .. .?-?..??.?. .-..?...?
_
?.
r
? .
_...._.
....+?-.. a_?. ..?...???.-r .s...?... ._. _..o._e .?.. ..
.,??.. ....__,_.___..
"U^ 'X 'SQ. PooTACE, °.
AISTIs . '
4 6.0
? . .
? ?.L_
:.d
,
7 '
..?-:.-....,e..W-.,.?':?......_?.?._, , . 1 n
,......M...? ? ..?....R ?....?.._.. ..'"'.?..' _._....__._?._...__. :.
? t
??-...-. ..__.....?,..?.,.....,e... J ._...._.?_.___ ? . '?....?...' _'A f+ - . ?_....
. . . ;....?? ...?._,.>,..-z.?.._,M ?. _ ........,?......?.-........ ?.. . ?- ..v.. -_.__ i??..??s.??..??
iU"PA ?.S
.. •
f .. C
n
.._!L. ].r...,.. .r...<.?..?? .?..?..,.r?....:
?t
.: .?. . -.?.r- ' :-: .?..??, _.. : ..?.....? ... ....?.??_ -?..?.?..-....?-..?a.?.....+??.
?.
' D(I U:iJ
-...--?-
i??? S
?!.?,?_?_ .,, a,?-..?,,,..,.?.?•_? _ . ;? . t_?.._.....-?...__. , .?,.,_.a,s.?.?A,= ??`'?,
, ?. r)
. ? ??.?i,TALs.c?+??_ r' "'"" .._y..?.?..-.?+-?.?.. ..? m..-e.,.?? .....
cr.r?,rer.>
: ' n :'..,
?O,^n 13
15. S
0
?.
-.---_. .-. - ---- - - .,- ToTAI,.?('t;}4A?? VAR1P? . ? _ ? AV6RACn nUn,'.
e t'.
;)IYIUI?U 1IY 1r.Tdl ..,:11.L AHt A
? r
-? ?
? aw? / .?T??G'BY?(??n•r ? Y :: ?F 1?. )
?
?I 1tJ1 ? u?PeR :wa
? ?? w;ru ccnaR F?,r
..........
?.3p?:,_..__, " _.._ CFOraR $itrir.'• lt?h
r.,. ?
???
-
-
?,-?--- .._" I,l^
, ,t. . . • - •-?-
i.-= :.?itit Ira?,
? rD?ar
.3LK ,A13ouE Grtan'6 ` ? , _.
i . ?r ' , rt . . ? ? a
M1
?._ . . .. .-: .' .. >. ? ' . _
77
i ?
O
( -----
;.,..??; , n ln A
i?
aCChiG-3lIC.w,13R?C? A?O.UE.?jRAb
A i tL? ??
f ;???
a
.
, ?
'
A
Tt t'? a -
? wn?:•. ?U GnCt?GC.:. ? ' -? ;.
} ^ i'
----
`
:1.?..."tat-.
If,
U./
'a?•f.?Ti? Jli`i +?? ?? r$??CI'14C erJC.4R4G??' ? -',? ,
n/5 F
-- ----_--
??
?Y?._ '.?......?.?, _t?...,,?,..?J.?.? .? r ? T.I ( ? / ? ? ?'? _•__--j ' r ` . ?.... ?J ? ?? '
""" ? ?. ?f^_ T'?? n--.? ,,,_• ,??, S u e???.l_?. a?t
'-
???----°?--•_.!
r.?..?..^N? ?.?..?...A ?Z:? ?l 17??? ( ..I_" -?'_'i .l/'?"??•i? f?`':??cr?-'L? ?,.aStl-?
wri "I
?j-_-?,?,?__ --i -_"- i • ? ..
__,?
-
, cL
.
____?-rCn' Lsl
-T?.• I!' 77 i i
• y? ??! _ ? NvOl._7'r.d ?i[-9in1C l?nijr-R un.,?
1 b lu F'rzon?T.
c
?7?
??.I.?TAI" I?`vSd ?,?
w
r . ' ?-.._. .?:? r ' ` . . ? . . . .. . . _ { ..+ r.
? ? .. -.
? - `:,. . .. . . ? . . . ; ? ?
b+ 5 -. .:. ' . -... . ? .. ., . . ..,. . ? . :. `,, ., ..i t? ?
?' ' ?. _.. ... _ . .. .. a. . . ._ . . .. . : _ ...:. .. :.;-_..:?. .: . ? „_ . '
.'? 4'.. ? .. i.rt
? ? ? • r sfudr???k. 1 ?
ti y
? i
5Y
i t
.. ? ?
r?.
?
\
I
?..??,.f . . ? .. . 3",r?. , . . , . _..
qqz;; ?' '
.'r;? a _ . . . .
ISiI .. ..{P 1 .
;?..
• ,rv. p
... .
. ,- GR[wL' _SP /NSU *GD f.ts?!G ?!4 ?'? . ' "` tr °..p
•
r?
f y' 1 : .
t
. ,.. .. . . . . . ....
.l
?
y ??
e -
? 3? ?
°.?iTY iPari 4A
?
. - - . • . - - . . . - x ?
? 1` ??y p?C' ; .
, ?.. . . Y :' -.. ? .?• .., ' ''. . ,.? , .?', . . ' I
' ..
........ A._ ?..?a2
.?, W ?..
? Y M? . . t . ? .
: .. ... .,. _.?..._ _. ,._. ..?...?
L BL CITY USE ONLY a ?I
? RECEIPT#: / a 15
SUBD. n?4 RECEIPT DATE: I ' G9-GU
PERMIT# =a g5
1999 PLUM$1Nfi PE{iMTP (iXSIDEPTtAta
crrYoFEAsM
38so Pn ut' xtvoe sn
_ f.tleAP. MN $57 fx
.? (BSl)8$I-467S
Please complete for: single iamily dwe--Il as-
fid-mes and condos when permits are required for each unit
D becldiow preventer for underground sprinkier system
FIXTURES
EACH 8
TOTAL
Bath tub $ 3.00 x - $
Floor drain 3-00 x $
Cies i in outlet ' 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 newlrefurbished ' re uires MPC lic. 75.00 x - $
Private Dis osal S stem abandonment 30.00 x - $
RP2 new installation/re air 30.00 x = $
Rou h o enin 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 z - $
Water closet 100 x - $
Water heater 3.00 x - $
Water softener 'rf dwellin under construcoon 5.00 x = $
Water softener if existin dwellin 30.00 x = $
fNaterturnaround 30.00 x - $
State Surchar e .50 -> -> -> $ .50
T?ltal -> -> -> >
:7c^:3'::P.deP: Cs.!I fc+r Irl.r.p.SdFn.e, g ,nfi I.P. :J:afnr ,!.ydfE.n's, ±J?:tPr SQfSP?"±??c? r4z.
• •-------°-°----°-° °----°-°----------
--"------'°---------'-' •--------•----•----'- •--"-----"' •"'
I
I?rebY adv?owledpe that I have read ihis application. sfate that the mfdmatlon is carrect. and to witlf all ----icable -"--'-----------------
It (s ihe applicanCS responsibility to notlfy fhe property owner ihat tlre Ci of E an assurt?as?labilfor an ? ???n ordinances.
ty ag ty Y damapes mused by Me Gty during ifs
nomml ope2tional and malntenance actlvities to tthe tacilitles cansWcted under thfs permk wlCdn Gty propertyMpM-of-way/easement.
SITE ADDRESS: 1441 si1//?/1Wenn s2 D,itIAE? iw
OWNER NAME: : IA iQy 136 1 1AiJ 97 TELEPHONE #: 6?5-1 L/s'i? --S''?I ?J
(AREA CODE) .
INSTALLER NAME: -T?VILee2& eJ.47?".e zn, TELEPHONE #: '7-33 'Z75?Z
STREET ADDRESS: Z?2 - Z44 %Iz, (AREA CADE)
CITY: 2E2 ?? STATE: Z-&QL_ ZIP:
SIGNATURE OF PERMITTEE
1 ..
Clty of Eapn
3830 Pilot Knob Road
Eagan MN 55722
Phone: (651) 675-5675
Fax: (651) 675-5694
Og - 05 C'&&cL'
i ----n' --------- i
? Permit#: .`?1?? /? ?
I Permit Fee: ` Ic3O' ? I
I I
? Date Received: ?
I I
I Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -7? 3d" 68 Site Address: lL Ir /V ? 4-- vd 0 ?G+'$v M^-)
Tenant:
Suite #:
RESIDENT / OWNER Name: M sL Phone:
Address l City / Zip: ?+^ ?--r? ? •
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description of work: 7-0- ? a-" 41"V_ lP,--
Construction Cost: 0-4''a Multi-Family Building: (Yes No ?
CONTRACTOR Name: ("- 4? g..: 1?CLicense #: l?i L-Z03 Q? i? z ti 14
V
Address: 2-az97(o 2L? a 6,
?
City: ['?L(.- State: Zip:
Phone: gb ?- -791?_ -,.),/OContact Person: lt • S f'a ' 9
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NE UIL ING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy COde . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Cafegory Submitted Submitted
(4 Submission Type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plum6er: Phone:
Mechanical ConUactor: Phone:
Sewer 8 Water Contractor: Phone:
NOTE: Plans and supportirtg ilocuriienfs Yhat ou submii are conslderea[,fo ize pu6lic informaffnr5.;; Por?ons ofti
, ?? _
Y ??
4I
asons thatwould per»aft the C1o - f?
the mformat?on may be classified as non public ii you provrdg,spec{f?c re
? (i f n ?
c? cohc?ud0thafLhe aretradelsecrets
?
?
.?-
I hereby acknowledge that this information is complete and accurete; 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, 6ut 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.
ApplicanYs Prin me t?pljranfs Signat re
JUL 3 0 2008 Page 1 of3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation
? Single Family
? 01 of _ Plex
? 02-Plex
? 03-Plex
? D4-Plex
WORK TYPES
? New
? Addition
Alteration
? Replacement
DESCRIPTION:
? OS-plex
? 06-plex
? 07-plex
? 08-plex
? 10-plex
? 12-plex
? 76-plex
? Fireplace
? Garage
-J& Deck
? Lower Level
? Accessory Building
? Porch (3-season)
? Porch (4-season)
? PorCh (screen/gaze6o/pergola)
? Storm Damage
? Miscellaneous
? Pool
? Eut Alt. - Multi
? Ext Alt. - SF
? Multi Misc.
? Interior Improvement ? Siding ? Demolish Building*
? Move 8uilding ? Reroof O Demolish Interior
? Fire Repair ? Windows ? Demolish Foundation
O Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
Valuation
Plan Review
(25°/a_ 100%
Census Code ?
# of Units
# of Buildings
Type of Const.
Occupancy t QGY MCESSystem
Code Edition 4--p-0 (e SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Length Fire Sprinklers
Width
Footings (new bldg)
? Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace:_R.I. _AirTest _Final
Insulation
Reviewed By:
RESlDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
V
Sheetrock Meter Size:
Final/C.O.
. ?/ Final/No C.O
?a
Building Inspector
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
04?
C) U?)
Page 2 of 3
-?-
6?claQZa
- „ ,.- :,, • -,; ,
--- /G <o Qr.1119fi `----.
, ? _" ?.• ?'a JACKSON
LAND 9URVEYOR - , i
? RiG19TEliEO UNDfiR LAWN pp STATE Op yINpaBpTA
LlCiNBED BY OROINANCH p/ CITY OF MINNtAP06,18 ? .
3616 EAST 53Ttt STREET 55417 727-3484 $v
?. ?
r
bUtb ' ?
? j; Ccrtificatc
1 I b
Il? (
., f .
i
\ ? 7 7 %•
?? h???. ???°-??'+?? i •_ .Zt?o
\ y } ?_ /\'{\4 000.0 _ Exiating Elevatfpne
I •? ? ?? --? ° _?-- ? ?' .
Drainage 6 Utfiity Eaeements Draioege
? i v-? Propased Garage Flaoz Elev, 101.5 ?
Pr4poaed Ba$ement Flaor Elev, 92,0
Yropoaed Firyt F2oar Elev, 100.25
? HEREHY CFRTIFy THAT TNfi ABOVE 16 A TpUE AHD ppRR[CT PLAT pp A SuRVBY pF
L?t 14,91ack 2,Brittany, /V /Wi I'idN
llak,ota C?>uoty,Minnesota.
SURVEYED BY ME THIS_ z?L? __ (J(;[
. 1
j
i
i
I
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA089717
Eagan, MN 55122 . Date Issued: 06/16/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1611 Norwood Dr
Lot: 14 Block: 2 Addition: Brittany 01st
PID 10-15000-140-02
Use
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Apple Lake Heating & Air Conditioning Craig P Bennett
207 150th Street West 1611 Norwood Dr
Apple Valley MN 55124 Eagan MN 55122
(952) 431-4328
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.
Applicant/Permitee: Signature Issued By: Signature
May 14 14 09:37a AA Garage Door 651-702-0838 p.2
Use BLUE or BLACK Ink
r Office Use Cat o1 r PermitI 1
of Eap Fo
j Permit Fee:
3830 Pilot Knob Road 1 t
Eagan MN 55122 i Date Received: I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff: Ll~cv
I
L-------
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address b1I Unit
Name: -0, a Ron
e T ~ WS i f 7 S7 - ~T /
Phone /
Resident/ s /
Owner Address 1 City / Zip: I (Y I Lj rw ✓Jd , AQ a
I Applicant is: Owner V Contractor
r n t J
Type of Work Description of work: j'~a~E ut°a'~'u~G' j
I ^ 3
I Construction Cost: ~~~.IJ. V Multi=Family Building: (Yes /No
)
I Company: t- I Go( U C- b o ` L L t , Contact:.eb L- C1 e d -e
Address: / 01 CI I `7 1 LJ City: l 7LT 1 ~a f K
I Contractor r _
State: Zip: 7~ d?/ Phone: W02
i
I License Lead Certificate L S ~ - 1 's
- i
If the project is exempt from lead certification, please explain why: (see Page 3 for additional.information)
i
i".
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
i
Licensed Plumber. Phone:
i
Mechanical Contractor: Phone:
i
3
s Sewer & Water Contractor: Phone:
t
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide speciTrc reasons that would permit the City to
conclude that the are trade secrets.
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.goaherstateonecall.ora
hereby acknowledge that this information is complete and accurate; that the worts 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.
Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X &,elnn,~A IN19162ilok-11-
Applicant's Printed Nami Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144391
Date Issued:07/24/2017
Permit Category:ePermit
Site Address: 1611 Norwood Dr
Lot:14 Block: 2 Addition: Brittany
PID:10-15000-02-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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 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
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Craig P Bennett
1611 Norwood Dr
Eagan MN 55122
(651) 454-9447
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
For Office Use
4
60 1637
:::::
EAG N
Date Recei:ved:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 MAY 31 2018 Staff:
buildinqinspections(@citvofeacian.com
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:5/a3/is Site Address: 1 L 11 'N OCwood l P Unit#:
1,111,1,17-4;1343, Name: Mary 6- £c&,o ('3f `e-A - Phone: [S 1—,ra LC/-C95
J
",-A 5 reg Address/City/zip: 1 LI 1 K1Gar wooc t c'
dApplicant is: Owner )C Contractor
'40- ,--7=1:117:4,!,071-Or'-`5-57�'m °' . � � Description of work: (ZeS4c1 a aasq,„ d g cI c a- 604:4& FatSLi 0.
Construction Cost:. I7i3O9 Multi-Family Building:(Yes /No 1C )
l ;1f' Company: W e)\:1 I4ovy e. TwN.eCove.Me+n4S Contact: t a i 6 a S.AclfeNno.A
q T
Address:—76DS ( plaec "Te Go,r tr•
111' '= State:• MN Zip: 553 Phone:952►-g33-f oEmail:C�Su ermosk&wet%ext. Um
= License#:�L7II3f3 Lead Certificate#: At-15'77C5-a
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: y� �
�_ 'fE:Pla i ___ ( o n e G _ I co .L'J a 1 t _ ...+ �1 fIt
s" v ' s M c
may"- �t'�
i rifled s gO a as/'e !' e- M J1 /^: ,.a,_ e v G a e. • ea Y �A�,�
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for qr.;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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x QGV.A S. .deC1y
Applicant's Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157537
Date Issued:08/26/2019
Permit Category:ePermit
Site Address: 1611 Norwood Dr
Lot:14 Block: 2 Addition: Brittany
PID:10-15000-02-140
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Craig P Bennett
1611 Norwood Dr
Eagan MN 55122
(651) 247-6452
T & K Construction Services
9025 Elgin Pl N
Golden Valley MN 55427
(612) 290-6674
Applicant/Permitee: Signature Issued By: Signature