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1615 Norwood Dr? CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED -? . FROM AMOUNT $ I OOLLARS foo ? CASH ? CHECK ? ' . ;- _ FOR ! ? ' t . . P'UNC COOE ? prnOUNT ?L/ ?? _-?•Gr7_'?- i ' ?4 ? - ?, } -- ?- - ? - Thank You J BY White-Payers Copy Yellow-Posting Copy Pink-File CopY - ciTr oF E?GAN 3795 Pilot Kiwb Read Eogon, MN 55122 N2 PHONE: 454-8100 ` BUILDING PERMIT Receipt # Ts Ir u?A in. Fa? Vnlna !'?n.. 11wF? , .. $ite Address <'r` '? ? , T?v[? Lot Porcel # -• - ,_, _,_ ? _,., Bixk Sec/Sub. oc Nome W Z Address ?-- . 1 0 G T Phone ' °C Nome ?o ?? Address ~ Ci Phone t°C W Name P!W _A Address Erect ? Occupancy •? Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish p Front Grode rl Depth Assessment - Water & Sew. Police Fire Eng. Planner Counci I 5389 ft. ff. Permit Surcharge Plan check SAC -5.2s•? Water Conn. Woter Meter I hereby ocknowledge thot I have read this opplicotion and sMte that gldy. pff. the information is correct ond ogree to comply with oll opplicable APC TotCl State of Minnesota Statutes and City of Eagcn Ordinonces. Signature of Permittee , ,. A Building Pe?mit is issued to: on the expross condition that all work shall be done in accordance with cll applicable Stote of Minnesoto Statutes and City of Eogan Ordinances. Building Offictol PMnk # paM laua ?wwINM PI umbing ! 14 8 q^ L S -7 'S{ :C. Mechonicol ? S - ???, a os ? o- r o-? ? INSPECTIONS DATE INSP. RoupMln Fina! Footings - Z?`7 Dote Insp. Dots (rop. Foundation Plumbing - ?? Frame/ins. -,?. ? •,1?j/ Methonitol - Fincl TT Remarks: ra??' .,/ 7'' %rG? CITY OF EAGAN 3795 Pilot Knob Rood Eogan, Minnesota 55122 Phone: 454-8100 HEATING PERMIT Date: ='ePt!'IDbEr 25, 1979 Site Address: 1615 NOPWOOd Lot Block 2 Sub/Sec. I;ritt8n9 COMBIISTDAN AIB $EQIIIRF.D No. 1558 Receipt No.: l' ri 3 Single I Residential x Multi Res., Comm./Ind. I Nome Tallefsou $Iii1.d8r8 New/Alter./Repair. ? . ? Address 18816 Hol9oke Ave. _ Cost af Instollation 0 City Aj'nZg Da12Ey Phone: Permit Fee 20• 00 Name _ FredTlCkSOt1 Heat3_np Surcharge • s0 . c' Address 4030 Beau d'Rue Urive e 0 v CitY ? ' Phone: Total 2;' , ?r This Permit is issued on the express condition ihot olf work shall be done in actordance with all opplicable $tate of Minnesota Stotutes and City of Eagan Ordinonces. 6uilding Official CITY OF EAGAN 3795 Pilof Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 FLLIHBIIdG _ PERMIT Date: September 25, 1979 Site Address: 1615 ;Vorwood Drive Bri t t azq Lot Block Sub/Sec. INome l'D1.l@t$OA B7.f;1^f_rs c 3 O :3? Address 16 :Wl yoke 1e- 'lA-?IE'V City Phone: ? Geu2 ttvun F'I.umbir-,'c, No 1484 16002 Receipt No.: Single I X Residentiol Multi Res., Comm./Ind. I QQR+7 New/Alter./Repoir. Cost of Installation PermiY Fee 20.00 Name ' .50 ` Surchorge ? Address 14745 SOl2th K0bp-7t 't2:li ° P e V City Phone: Totol This Permit is issued on the express condition thot all work shall be done in accordance with all applicable State of Minnesota Stotutes and City of Eogan Ordinances. Building Officiol INSPECTIDN REC4RD CITY OF EAGAN PERMITTYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: F L Ir+ir. • N?fRwn01? nR hrNE:GJAI. 'HY ANt1F'RNFN PERMIT SUBTYPE: TYPE OF WORK: I+t ,t i; I i' I 3?it? i 6! 1 Cd??r?;; f+! I? I_ ??t t i?E? N i 9 PermR No. Pormlt Holdar Data, Telephone 8 EIECTRiC PLUMBING HVAC Inepectlon 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 HTG ORSAT TEST BLDG FINAL BSMT R.I. BSti7T FINAL DECK FTG QECK FINAL INSPECTI4N RECORD ..-?ITY OF EAGAN ? PERMIT TYPE: c` 1 Nr; 3830 Pilot Knob Road Permit Number: '•?;oJ Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 , . . ,.. .- SITE ADDRESS: APPLICANT: PERMIT SUBTYPE; , s; TYPE OF WORK: .,, rf; V n ri tyN ? • - ' w " ? 3 . ?£ . ? fi`3?? ? . .- ? ?... . E? ? ?. G ?"` ,? A ? N . . .•? f f ?? , ' 1I E :? ? ? .4NR&"' J Rt lMRRM'=, s FIAN r(F 4i 4lf fl RY .li1F VfiF l?? •'??i!ii?il I 3Z3 0 Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FdOTINGS FOUND FRAMING / [ ? ? ROOFING ROUGH PLUMBING •7G PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL ?jt?/48 i,r1j GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITV TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: ?? 11Iti(F 3830 Pilot Knob Road Permit Number: H : A Eagan, Minnesota 55122-1897 Date Issued: ^ (651) 681-4675 SITE ADDRESS: ; {, , i („ J. APPLICANT: i f';i'; rIJf11JU tlt< i ?? ii 1 W , PERMIT SUBTYPE: TYPE OF WORK: .n: ?:?i I:r k: 5; t: h l{' T ] rt N L - ------------------------- I Permlt Holdar Date Telephone A SEWER/ WATER PLUMBING HVAC inspectlon Dete insp. Comments FOOTINGS I' FOUND FRAMINd I ROOFING ?' . 24, FOUGH PLUMBING PIBG AIR TEST ? ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FlREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIG MEfER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSAAT FINAL DECK FfG DECK FINAL CITY OF EAGAN Remarks Addition BRITTANIY Lot 12 Bik 2 Parcel ia 150(b120 02 Owner11" I" , Street 1615 N I a Driye State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. '56? 1982 8 ' Q-27-89 STREET RESTOR. GRADING ?L 5AN SEW TRUNK •' ?. f * SEWER LATERAL WATERMAIN * WATER LATERAL WATER AREA STORM 5EW TRK j ? * STORM SEW LAT 1981 CURB & GUTTER SIDEWAIK STREET LIGHT WATER CONN. 270 00 11 BUILDING PER. - 5359 11 SAC 525.00 15785 11 PARK Pitof Knob Rood MN 55122 WATER SERVICE PERMIT PERMIT NO.; DATE: No. of Units: ' Address: ?;nr..?fl _? Drivr? y?.? ?_? ? t? i r rx=•• rvo.: _ to comply with the City of Eagan CITY Or EAGAN 3795 Pilot Knob Road Eogan, MN 55122 Zoning: Owner: Address: Site Address: -._''%•'• -'rj Plumber. __ Conr?ection Charge: Account Deposit: Permit Fee: Surchorge: Misc. Charges: - Totol: Date Paid: Insp.: L12 I ogree fo comply wifh the City of Eagan Connection Chorge: Ordieances. Account Deposit: Permit Fee: Surchorge: BY Misc. Chorges: Date of I nsp.: Total: InsP•= Date Poid: ciTr oF EacaN , . 3795 Pi1M Kno6 Road Eagun, MN 55124 N2 5389 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # T. L. ...sa re. SF Dwlg & Garage F<. vM„e 68,000. f)?p 9-5 ?y79 Site Address 101 Lot 12 81ock Porcel # w 3 0 ? Sec/Sub. BYlt.taTly Name IRC Address 13816 Holyoke Ix7ne p Name _ ? OU Address ~ Ci Name _ ?w iz Address I hereby ackrwwledge thot 1 hove read this applicotion and state that the information is torrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee ? ... A Building Permit is issued to: all work shall 6e done in acco Building Officiol 11 Ered M Occupancy R3 Alter ? Zoning Rl ReDOir ? Fire Zone 3 Enlarge ? Type of Const. V Move ? # Stories Demolish ? Fmnt 50 ft. Grade ? Depth 26 ft. Aoorovals Feea Assessment Permit 166.50 Water & Sew. Surcherge 34.00 Police Plan check 83.25 Fire SAC 525A8 Eng. Water Conn. 270•00 Planner WaterMeter 60•00 Council 1b73d UIIl't 75.00 Bldg Off " . . APC Totol 1,213.75 on fhe express wndition that Statutes and City of Eagan Ordinances. ` CITY OF EAG.LY Include 2 sets of plans. BUILDING PER*fIT APPLICATION 1 si[e plan w/elevations 3 1 set of energy calculations. ? ( To be used for Valuation Date i./ 62 6 /47? Site Address M Lot lo'L Block Sec. Sub. Parcel 0 "ne-?i Ownet: :::j?jk nr gl???Lf?f? .Tml. Address: _. __.- G Phone a: N5116 9 '13 Co`ncractor: 1 1?C?., Address: ole e "o LAwi vo (s lmr,. Yhone a: ac??-ioe/)3 Arch/Eng.: Address: OFFiCE USE ONLY Erect y Occupancy A1[er ? Zoning Repair Fire Zone Enlarge Type of Const. / Move / Stories Demolish Front SCJ fi. Grade Depch ? 4 ft. Approvals Fees 712 7 0 ? '' Assessment . . Yermit Water/Sever Surcharge 3- Police ? Plan Check 10 $? Fire SAC S Eng. Water Conn. ?2 70 - Planner iiacer Meter? Council Road Unit )S Bldg. Off. - G APC Phone d: / 11 TOTAL ' ? ?? ?` . f ? ? lG, 7`Sr, y ;^-! =,? ? ?_ c1 ?-- ?? -?X ? - , ?, ? N / [ ? J c ??, i Minnesota State Board of Electricity T954University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION eHE,CK $ELOW WORK COVEREDBY THIS REQUEST § " 1 ?,605 Type oi Building New dd. Rep. 1 1 pi¢ck Applisnces Wiled Foi Check Fquipment Wired For Home ? ? Range . Temporary Wiring Duplex ? ? Water Heater Lighting Finttues Apt. BWg. ? ? ? Dryec ? Electric Heating ? Commercial Bldg. ? ? ? Fumacey??sl Silo Unloader ? Industrial Bldg. ? ? ? .y Air (7{9pvtioneiyp Bulk Milk Tank ? Fartn ? ? ? . s[ ? \ List Othe?s? Other H ? ?._ea?__1? Here f COMPIJTE INSPECTION*VBAffiW . Setvice Entrance Size: # cedersBSubfeedeis: # Fce Cucui[s: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Am res 31 to 100 Am res - A6ove200_Amps. Above 100 Amps. Above 100 Amps. Transformers 1 1 RemoteContMl Circ. Partial or other fee Sgns 1 1 Special lns ction Minimum fee $5.00 Remarks TALFEE ?oywrS 1, the Electrical Inspector, hereby c y?hat `7 has been ?de. , ?/ (Rough•in) Dafe a - 7 (Final) Date _ d This request void 18 months from This request void 18 months from Date of this Request V 7y S 12605 I, as O Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring insfalled at:L `rT7GWv Street Address or Route No. 1,41-!r NAIe(/?Q4c( / cityAgds" Section Township Range County L7d yd 7-fflWhichisocwpiedby2? Afi3pni l,11, Uf.IAJ (Name o} Occupant) Is a roughia inspection required on this job? No ? Yes)O Ready Now O Will Call I$f PowerSupplier pQ#`TA (w?' OEc71l Address 440, P5jb^) Electrical Contractor ??1?'???e 61rc.?-n.,'c R383ip Contractoi's License No. _ (COmpany Name) ' Mailing Address l, Authorized usycmcae a.oniracior or uWn Si?Q?i ? o OQ?D OpY No. This inspection request wiil not he accepted by tha State Baard unless proper inspeetion fee is enclosed. 2007 RESIDENTIAL MECHANICAL rERMi'r aPrLicATtoN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits are required for each unit ,?D"5u Date Site Address Unit # Property Owuer Telephone # ( ) Contractor Street Address 31,3 City ( State Zip Telephone # ?) a a Ot3?/,2q Bond #: Expires: Lpo t? The Applicant is _ Owner Contractor _ Other Fire repair (replace burned out appliances, duchvork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace Additional _Replacement _ New air exchanger air conditioner heat pump J X other Ge'°`^?.? J{-i. ?a /f ? I.?n?-i .50 $ State Surcharge $? . & Total I hereby apply for a Residenrial Mechanical Peraut and acknowledge that the informarion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requues a review and appxoval of plans. A /l Sa L, bPR ApplicanYs Printed Name Applicant's 3ignature 2007 COMMERCIAL MECHANICAL rExMi'r arrLicATiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaUindustrial buildings multi-familv buildines when senarate oermits are not reouired for each dwelline unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Eapires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction Interior Improvement Install Piping Gas Exterior HVAC Unit** Pxocessed _ _ _ _ '*HVAC units must be screened Under/Above ground Tank Install Remove When installing/removing tank(s), call for inspecrion by Fue Mazshal and Plumbing Inspector Nature ofWork: P¢Pm1Y F¢eS $70.50 Underground tank inslalla[ionhemoval $50.50 Menimum (includes S[a[e Surcharge) or. ContractValue $ x 1% PermitFee $ State Surchazge . To calculatesurcharge If Permit Fee is tess thau $1,000, surcharge is 50 cents. If Pertnit Fee is >$1,OOQ surchuge increases by $.50 for each $1,000 Permit Fee (i.e. a$],001-$2,000 Permit Fee requires a $1.00 surcharge). $ Total Fee I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the oLdinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pemut, but only an applicarion for a pemut, and work is not to start without a pemvt 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 Printed Name Approved By: Inspector ApplicanPs Signature Required Inspections: - U.G. - R.I. - Au Test - Gas Service Test - Infloor Heat - Final C? /6-/ Cv 2007 RESIDENTIAL PLUMBING PeRmir aPPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 ,?O. 6 U Please complete for modifications to existing residential dwellings. Do not combine inside and outside. oluin6ina on the same aoolication: ceparate aoolications and oermits are reauired. Date/ol 7 F ddres s Unit# 0 ner Teiephone # ( ) Contractor e Telephone # (6157) 3 Address City State 09.fiJ Zip 5-35;-? 7- The Applicant is: _ Owner & Occupant _,Lv Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a 6uildin . Afterations to existing dwelling $ 50.00 Add plumbing fixtures to main level lower level. This fee includes _ installation of a water softener andlor water heater at the same 6me. !f you are installing onlv a water soffener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System A6andonmenf _ Water Turnaround (add $136.00 if a 5/8" meter is required) 40ther: /Qn.- 14"-? X:? 51•? v/ao.A" Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $? v "esn I hereby apply for a Residential Plum6ing Permit and adcnowledge that the intormation is complete and accurate; that the work wili be in confortnance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a perinit, work is not to start without a permit and work will 6e in accordance with the approved plan in the event a plan is required to be reviewed and approved ApplicanYs Printed Name ApplicanYs Signature 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 a`; New Construction Reauiremants RemodeVReoairReouiremen6 Uffice'Use Onlr 3 reg's[ered site surveys showing sq. fl, o( IoL sq• ft o( house; and all roofad areas 2 copies of plan CeA oT Survey Recd ?` ?` =?, .Y =N, (209% mazimum bt covefa9e allowed) 1 set of Eneyy Calculations (or heated addNOns Tree Pms PJan` Recd 0 2 copies of plan showing beam & window s'¢es; poured tound design, etc. 7 sde survey for addNOns 8 decks Tree P[es`Required ? °Y._ N 1 set of Energ y Cak,ulations Addifion - indicete if on-sfte septic sysfem 0?1-slte,,?p`pG:System= ?;Y '=N 3 copies of T2e P2servation Plan'rf lot platted after7l1193 Rim Joist Detail OpGons selection sheet (bldgs wifh 3 or less uniLs io,Ov Date 13 Construction Cost /Z19' T--e '( Site Address A/ ? fyp r c op? ?v UniUSte # Description of Work iau 400,.y S) Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Property Owner AI?Y,1pn t G??,rr.? n• Telephone #(61 S -? 6 S'? Contractor G- , L6? 1 Address State //?Lw, Zip Telephone#(61f/) yi?U^o21- 67 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential VenUladon Category 1 Waksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y_ N If so, 25% plan review Telephone #( Telephone # ( Telephone #( )? ?! Lr' r I hereby apply for a Residential Building Permit and aclmowledge that the informariorIls compmte-caia accur te; that the work will be in conformance with the ordinances and codes of the City of Bagan and-t?? Statutes; I understand this is not a pernut, 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. 4l ok. , ? Ap icant's Printed Name plicanU Sigi e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbg,& or_ NX 25 Miscellaneous Work Types ? 31 New A? 35 Int Impmvement ? 38 Demolish Interior ? 44 ? 32 Addition ? 36 Move Buiiding ? 42 Demolish Foundation ? 45 ? 33 Alteratlon ? 37 Demolish Building' ? 43 Reroof ,K 46 ? 34 Replac6ment 'Demolitlon (Entire Bldg) - Give PCA handout to applicant Valuation -;;6?1 Occupancy R- 3 MCES System _ Census Code 21 3L! Zoning /- I Citywater _ SAC Units - Stories " Booster Pump _ # of Units - Sq. Ft. ? PRV _ # of Bldgs 'l Length f Fire Sprinklered _ Type of Const ? W idth `f _ Footings (new bldg) _ Footings (deck) _ Footings(addirion) _ Foundation Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation 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 ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt- SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. Plumbing ? HVAC Other _ Pool _ Ftgs _ Au/Gas Tests Final Siding _ Stucco _ Stone _ Brick Windows _ Retaining Wall Building Inspector SC?C? LS L , -D- ? l ss t "a-5 l0j0c'0 CITY USE ONLY PERMIT #: RECEIYT DATE: 0 ? MSIDENTlihL blECii"CAI. PERMIT APP11CATION crrYoF EwsM 3830 PaM Kivos sn $k6AR HA 551 EY 651-681-4675 Please complete for: ? singie family dwellings townhomes and condos when permits are required for each unit Date: I'" 0 1 SITE ADDRESS: nIO KW lJ(,u t/Y lv"Ie OWNER NAME: n5 0)-) TELEPHONE #: ?Q5 I - ?D ? -9 ?F 73 (AREA CODE) INSTALLERNAME: TELEPHONE#: Q?2 ?`YS??oS (AREA CODE) STREET ADDRESS: CITY: STATE: ZIP: Place a check mark next to the oermit work tvoe New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteretion to existino dwelling unit ?•-• - !. $ 50.00 • furnace replacement ? • air exchanger • air conditioner • other Nature ef work: Y7?47 -? 4QU(_Wt --- State Surchar e $ 50 Total $ ?• ? Reminder: Call for inspeciions. - SIGNATURE PERMITTEE Updated 1/Ol CITY USE ONLY pERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMMWACIi4L bIECR!lAlCA1. PERMiT A"LICATION CiTY OF EAuLA 3$30 ?LOT KftOB liD EABikA, MA 55122 651-6$1,4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: - (AREA CODE) TENANT NAME (IIvIPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: WORK TYPE: _ New construction _ Interior Improvement _ Processed Piping Specify Nahue of Work PHONE #: - (AREA CODE) STATE: ZIP: Lvstall U.G. Tank Remove U.G. Tank fS'hen instailing/removing undergraund tank, call 651-681-4675 for inspection by'Fire Marshal and PJumbing Iinspeclor. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1101 crTV oi- .r:A[:aEyn! c?A::;HrcR:, :,S Ti-RMtNAi... raot 68 DAiTli-,". 08„%0/97 T.T.i'!Ii-^ :!..'r,2Ci9'r.'.'.9 jD - t•!!li'iF:,i li?I...I?F'R_.Jr;N:iS ,i . 3?.:LO 9(:101 .i.fr?5 Nn;<MioOn D,7 i 3'r'„25 205 :?CtO:I. 1.69.5 MO(iWflpS1 %+fi 4.00 ",'r_,:tr}:i. `{er.aci.:?'. .<1[ry!]ur:'I;,, !.4:L.05, CFi.C;7967i:? :_;f3ii;"t :I:Da :7ftT! :;:X'>!i?:?:Yn:?F"n>ksK%K:ti? kk{;{<YF U'•F;:;>;:}?::??.:>'?%}:)k'i?':N?:<'fJ?('rc::r.'i;':+?:%rYF'OF_'K \ CIT? OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMITTYPE: BuiLorNG Permit Number: 0 3 0 5 9 5 Date Issued: 0 8/ 11 / 9 7 1615 NORWOOD DR LOT: 12 BLOCK: 2 BRITTANY P.I.N.: 10-15000-120-02 DESCRIPTION: (WINpOW REPLACEMENT) E?6i1d£rig',-Eermit Type SF (MISC. ) rBuilding W6rk Type REPAIR CenSUS Code z 434 ALT. RESIDENTIAL J t 1 "? am REMARKS FEE SUMMARY: Base Fee Surcharge Total Fee PERMIT ? VALUATION $137.25 $4.00 $141.25 $s,e00 CONTRACTOR: - flpplicant - sT. LIC OWNER: RENEWAL BY ANDERSEN 15717816 2004063 ELINSDN JANE 1700 BUERKLE 1615 NORWOOD DR WHI7E BEAR LAKE MN 55110 EAGAN MN 55122 (612) 430-7255 (612)905-9643 I herehy ackno+a2edge that 'Z have r,ead this applica5ion ,g?nd stlaCe that the informatxcrn is correct and aqr.'ee t?t oomdy wlth all app3icatt].`e Sta.te o'F`wMn. ? Statutes-and Gity of Eagan Ordinances_ APPLICANT/PERMITEE SIGNATURE Iry?? S??,? f ISSUE? B: SIQNATI E - ? 396qLf1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 8850 PIlOT KNOB RO - 55122 681-4675 New Construraion Reauirements ? 3 registered ske surveys ? 2 copies of plans (InGude beam 6 wfrxlow sfxes; poured tnd. design; ek.) ? 1 energy calculadons ? 3 copies of tree preservatlon plan H IM pla@ed efter 7n193 required: _Yes _ No DATE: D$' Olo -9CONSTRUCTION COST: ? 2 eopiea of pian • 2 ske surveys (extetiar edditions 8 tlacks) • 7 erre'gy calwlatlons for heatetl atlditions -Is DESCRIPTION OF WORK: STREETADDRESS: ??QVS??l?V-1r.fCX1C? ?VI?fP? eK?Sring opev??v?. LOT BLOCK ? SUBD.IP.I.D.#: ??IL01111- PROPERTY Name: ? \ 11'ASO 'n Phone #: 0[05"? ?L3 OWNER Street Address: 1LQV5 city: ET?,*Kn state: VYIY? ziP: f-51 aa ^ CoNrw?c7oR Company: RenarQ M Li EnA2rsPn Phone #: 'L1 t'?$ ? ?p Street Address: <?7J •-13Vj? Pr?l? • YlF- License #: Q CDyOkPLI-p Ciry: State: Zip: ?? ? ARCHITECT/ Company: n ? Cl\ Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licer.Red plumber (new construction only): . Penalty applies when address change and lot change arc requested once permit is issued. t hereby acknowledge that I have read this application and sNate that the information is rrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ??„ _ ,, /r Signature of Appficant ( ?4 4LL-Q « ? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling o 07 4-plex ? 03 SF Addition o 08 8-plex ? 04 SF Porch ? 09 12-plex 0 05 SF Misc. ? 90 = plex WORK TYPE 0 31 New ? 33 Alterations ? 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. o ? 13 Garage/Accessory ? 0 14 Fireplace n 0 15 Deck 0 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq.ft. sq. ft. Footprint sq. ft. Building Engineering Variance I .a- Pertnit Fee Surcharge Plan Review License MC/WS SAC City S.4C Water Conn. Water Meter Acct. DeposR S/W Permit S/W 5urcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ 16 Basement Finish 17 5wim Pool 20 'Public Facility 21 'Miscellaneous MC/W5 System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit % SAC SAC i3nits . .. . ,. .. ?...,. ?..?..°'_ _. `i.-.._ 0_>rF?-,.1.n.e> ,:K-!.•... ,.. ,._ '11_1p;Fhi" .?ric; 1Fo:L`, iW.?i(i'?-' 'fl!p EC).I;'?: - . . .., ' : ? I^ .... ..:. .. ...:. . . - ? ,.., i , m i.? ?....? ..... . ,.. . , li . ?. . _..,..r_ .. . . . ... . ...... .. . ..,.? .. t).k' . FERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, e4innesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Numher: bate Issued: BUILDING 032307 06/23/98 SITE ADDRESS: 1615 NORWOOD DR LOT: 12 BLQCK: 2 BRI77ANY P.I.N.: 10-15000-120-02 DESCRIPTION: B47.,.ld;tiT'!g„YPermit Type ?ui:T[?3.tt44, ,Wqrk Type ?n?CertSta`? !Eo??e6"=a,. % e, j ?e we ...pY- 3?/t?w' s t ? •?:.+s ?.,gm BASEMENT FINTSH flLTERATION 434 ALT. RESIDENTSAL m g ? "Wci?.a? ? u?" ;?? ? ??aec REMARKS: PLAN REVEWED BY ,]OE VOELS FEE SUMMARY: VALUATION $32,000 Base Fee $50.00 Surcharge $.60 7ota1 Fee $50.50 CONTRACTOR: - flpplrcent - sr. Lxc OWNER: MURPHY BROS 17803262 0003416 ELLINSON KSETH 2579 EASThIAN DR 1615 NORWOOD OR ',dEW 6ftIGWTON MN 65112 EAGAN MN 55122 (612) 780-3262 (612) ` -? .kk?relai' acknawls4iigs "thaC• I have; reat) thi`s appEi,??Lfior1 ae[t!` 0 at Che anfarr??ti?n ?? °?Qr'rs?t- 4 nsi °agrb e °to `ocr u?o l}?? wi;?` a`Ll"app1ic?k?,t? ` e a?` ???!. 5tatus an?i C?.ty .pf E?go?dii7anoa?s. q 92301 1998 BUILDING PERMIT APPLICATION (RESYDENTIAL)i Cj0 CITY OF EAGAN 3830 PII,OT KNOH RD - 68122 F? . 681.4678 ? D(?3 New ConstruGion Reauirements RemodeUReoair Reauirements ? 3 registered site surveys • 2 copies ot plans (inGUde beam & window saes; pourad fid. design; etc.) ? 1 energy calalations . ? 3 copies of tree preservation plan if lot platted after 711193 required: _Yes No DATE: DESCRIPTION OF WORK: STREET ADDRESS: 2 copies oT plan 2 ske surveys (exterior eddRiona 8 decks) t energy celculations tor heated addklons CONSTRUCTION COST& ? e??6'?Pa LOT: i ? BLOCK: 2 SUBD./P.I.D. #: PROPERTY OWNER Name: 7v i0ly-I / l fL 22 Phone #: Lazt First Street Address: U/I ZZ City .d% Siate: Well Zip: ??-2L Company:?? Phone t#: /d ? ??2 ??- CONTRACTOR f1 Stteet Address: ,y??? / C!/ License # 3 % CrtY State: ?i Zip: ARCHITECT/ ENGINEER Company: Phone #: _ Name: Registration #: Street City State: Zip: Sewer & water licensed plumber (new construction ony): . Penalty appiies when address chang and iot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received ^, Yes _ No _ Not Requir tYL"' OFFICE USE ONLY BUILDING PERMIT TYpE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 5F Addition ? 08 8-plex ? 04 SF Porch ? 09 12-piex ? 05 SF Misc. ? 10 _-plex WORK TYPE 11 ? 31 New ?-p 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Pianning ? 11 Apt./Lodging ,,IW-1f ? 12 Multi Repair/Rem. ? 1 i ? 13 Garage/Accessory ? 2( ? 14 Fireplace ? 21 ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering MGWS SystE City Water Fire 5prinkler PRV Booster Puml Census Code SAC Code Census Bldg Census Unit Permit Fee Surcharge Plan Review License MC/WS SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies ToffiI: Valuation: $ Basement Finish Swim Pool Public Facility Misce)laneous O ? -?- % SAC 5AC Units PERMIT , CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: BuzLozNG Permit Number: 0 3 3 8 2 3 Date Issued: 10 / 2 7/ 9$ SITE ADDRESS: P.I.N.: 10-15000-120-02 1615 NORWOO.p OR IOT: 12 BLf1CK: 2 BRITTANY DESCRIPTION: ? C'%'_ ? _ n?1 Bu,iiding ?Permit Type B?ild3ng Wor,k Type ?Eensus Code ? ? i A / T.O. & REROOF STORM DAMAGE REPAIR 434 ALT. RESIDENTSAL . ''J '. 1 I •- A _ ,.. REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - sT. LIC. OWNER: RIGHT WAY ROOFING 18530949 00639999 ELINSON KEITH 1200 E. 79TH ST 1615 NORWOOD nR Bl00MING70N MN 55425 EAGAN MN 55122 (612) 853-0849 (651)905-9643 T hereby acknowledge that T have read this applicatAon and state that the infiormation is correct and agree to compl,y with all applicable State of Mn. Statutes and Gity ofi Eagan Ordinances. ? APPLICANT/PERMITEE SIGNATURE I C?&? el c SUED BV: SIGNAI RE . 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? CITY OF EAGAN -? 3830 PII.OT KNOB RD - 55122 e81-4e75 New Construction Requirements RemodeVReoair Reauiremerrts ? 3 registered site surveys ? 2 copies of plans (inGude beam 8 window saes; poured fnd. design; etc.) ? t energy calculaHans ? 3 copies of tree preservation plan if lot platted after 711193 required: _Yes _ Na DATE: ID IU-Q? ? 2 copias of plan ? 2 site surveys (exteriar aCditions 8 decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; LIq ID •00 DESCRIPTION OF WORK: To(UZ, S}orm OGNV1Ca 4q STREETADDRESS: I?015 nOffmj or• LOT: !2- BLOCK: ? Z SUBD./P.I.D. PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Phone tl: Q `G (Ou,? Name: E I I Yl SnY? la f J?Q Last Firn Street City FGIQGI,vI _ State: VYl I?1 Zip: SSfr?`d Company:_ Street Address City Company:_ Neme: Street Address City Statc: Sewer & water licensed plumber (new construction ony): and lot change is requested ance permit is issued. Zip: Zip: Penalry applies when address chan I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applical State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Phone #: License # 00!'k3Gclq Bloomington, MN 5F,,4?5 f612l99q,0049 Phone #: Registration #: Tree Preservation Plan Rece+ved - Yes - No - Not Required ? OFFICE USE ONLY P BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? OS $-plex ? 04 5F Porch ? 09 12-plex D 05 SF Misc. ? 10 _-plex ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck 1 1 2 Basement Finish Swim Pooi Public Facility Miscelianeous WORK TYPE ? 31 New ? 33 Aiterations ? 32 Addition ? 34 Repair GENERAL INFORMATION ? 36 Move ? 37 Demolition Const. (Actual) Basement sq. ft. MC/WS Sys (Allowable) Main level sq. ft. City Water UBC Occupancy sq, ft. Fire Sprinkle Zoning sq. ft. PRV # of SPories sq. ft. Booster Pun Length sq, ft. Census Cod Depth Footprint sq. ft. SAC Code Census Bldc Census Unit APPROVALS Planning Building Engineering Vari Permit Fee Surcharge Plan Review License MCNVS 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units -?° Toltefaan Buildera Inc. ? F. C. JACKSON ? LAND 8URVEYOR \ Or.1106D 183-59 i ? N[618TER8O VNDER LAWY OF 6TAT6 OF MINN[80TA ? ? LICiNYCD BY ORDINANpR pR QTY OF YINN[APOLIi 3818 EAST SDrH STREET 5$417 ? \ \ ` ?DATbtYp['9 QCLYtIfI[Att 1 ? 4 ` ? ? ? r ? 9 i , • 727-3434 I I, l ?r I ? N \ • _ v' Y .? ` '` ` ? .__ _ a ? / ??v . ? i. <: ?- c= i . ?C}•, D/ i ???. S I ?s?_?i` : ?;! 3i. •`T' !,? ?? - ? _ ?-. ` , (, ??. •_ . , . ?, +? i I MCRHBY CHNTIlT TNAT Tqg ABOVB 16 A TRU6 ANG OORR6CT PLAT OF A SIIRV[Y OF , / / u Lot 22,Block 2,Brittany, DakoCa C:)un[y,Mlnaeaota. ? ???? ' r A6 St1RVEYED BY ME TMIfi l9tho_pAy pp July _p p 1919 / fY 513NE0- ? F. C. JACKSON. INe+6 w 661f7nw7 No. 3600 1` Cities itv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. r . i ? ? ! Y???? Q ?f ?? ? ? Y . e?l? ?: ` 3• ? i? C3s'- ???<7C;€°;;, F).31193 f'hO+t? F a a y ' . . . . ? ? ??'Y.!?fl ?dUEI?.? ri • ?. . . ?r rIT _t .0 ? ?., .. ADD,:A°1 M, FR Y . . 1.:°9 P?.,..?.-? . . . C?^ , . ,r,TAa tna r?.m 71 'b`'2?? e. ra sF m c 07 ? 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CITY USE ONLY RECEIPT #: RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MA7 55122 (612) 681-4675 Please complete for: ?? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system ------------------------------------------------------ FIXTURES ---------------- EACH --` # TOTAL Shower 3.00 x = Water Closet 3.00 x Bath Tub 3.00 x = - Lavatory 3.00 x ? _ Kitchen Sink 3.00 x = laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum - t 3.00 x Rough Openings 1.50 x = WaterSoftener `fordwellingsunderconstruction 5.00 X = Water Softener ` for existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under canst. 3.00 = U.G.Sprinkler "forexistingdwelling 20.00 = AltefBtlOnS ` to existing residence 20.00 Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems " Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE 50 TOTAL %Fe'S'v -----•---------------------- ---------p- ---------------I --------- -- -------------------- --- I her-eby acknowledge that I have read- thi-s apliption, state that the infortnation is correct, and agree to camply with all applicable City of Eagan ordinances. I[ is the applicant's responsibility to nolify the property owner that the City of Eagan assumes no lia6ility for any damages caused by the City during its norcnal operetional and maintenance activdies to the facilities consfructed under this pertnit within City property/right-of-way/easement. SITE ADDRESS: /6 /S' i??h,c?a? P, c OWNER NAME: IJAIi 'eI S'o/t INSTALLER NAME: J?o ?; /?r/-"14/ii TELEPHONE #: STREET ADDRESS: SZ= CITY: Gl?c%r ? %7 ?S STATE: .e-I ZIP: ? SIGNATURE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 CITY OF EAGAN 3630 PII.OT RNOB ROAD EAGAN, !ID7 55122 PHONE (612) 454 8100 PERMIT T:...:.:n.v.n.n..?. . ... .........t.:5 PSiDEN3'IAL>`.' FOR CITY IISE ONLY PERMIT k RECEIPT # 's-33/77- DATE: PLEASE COMPLETE IIPPER PURTION ONLY FOR SINGLE 1 TOWNHOMES/CONDOS VHEN PER1iITS ARE REQUIRED FOR EACH UNIT. ------------------- WORK DESCRIPTION NEW CONST _ ADD ON REPAIR _ Y DWELLINGS & FEES OWNER NAME: _lev? ztia SITE ADDRESS: Z /J l" ? ?? . IAT:BIACK _,9 SUBD. -,d INSTALLER: ? ECC' /? 01`?il?9l???_ ADDRESS: F?st C,-)' CITY: ZIP: S? Z z0 PHONE CJ FI ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $_L!2_ STATE SURCHARGE: .50 TOTAL : $ 15 14-0 SIGNATURE 0 ERMITTEE g11,7111 ?c'LV i?0?II4£RCiALJTNDU$TRTA'L;{ YLEASE COMPLETE THIS k'ORTIDN FOR ALL COMMERCIAL/INDIISTRIAL BUILDINGS, APARTMENT BUILDINGS, AI?D MULTI-FAMILY HUZLDINGS STHEN SEPARATE YERMZTS ARE NOT REQUIRED FOR EACH DWELLING UNIT. -------------------- _--------------- __'--------- _-_-------- ______--______ CONTRACT PRICE: FEES OWNER NAME: SITE ADDRESS: IAT: SIACK _ SUSD. INSTALLER; ADDRESS: CITY: ZIP: PHONE FDR: 18 Ofi CONTRACT FEE. STATE SURCHARGE - $.50 FbR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIM[7M FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: ( S IGNATi7RE ) S $ CITY OF EAGAN CITY OF EAGAN /?? EA?RLY? U?TILITY CONNBCTION PERMIT ?-? /?`, YLC?C-CR// ?2'? . '. . Address Subdivision/Parcel I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public r3ght-of-way. I understand that the City has not yet completed, inspected and/or accepted the sewer and/or water lateral. I agree not to use, test, or connect these individual services to any interior plurzbing and understand the require- ment to cap the sewer service to prevent any unauthorized use. In accepting this permit, it is agreed that I will hold the City and its agents harmless from any damage that may occur due to this early connection. It is understood that no Occupancy Permit will be issued or water allowed to be turned on until the City utility system has been declared operational by the City Engineer. Signed by - Plumber• Owner: Develope ' Builder: Dated: / / - ?r _?;r '7 cl, 15-? , SJ 03y ? ???? ???????TiIAL PLUMBsNG PERMIT APPLo?????? ?l i-Y oF EAGAN 3830 PILOT KNOe ROAD, EAGAN MN 55122 651-675-5675 Please cornplete for rnodifiications to existing residentiai dwellings. Daie 3 / q ! o 7 Site S.reet s?,ddress J??? ?,/ I'? U U??/y? U?(if lBnifi # / Propery 43+xner 5( l'^ I f on ?/, 01??i 7elephosae # i1?1) Contsactar?/ ? e4ddmss ?17 igy- la- _ Ci:V TeleFhane# (b6l I`'14' ZiD ?O S4a.2-dV1- 7he ,4pplican4 is: _ flwner ,&fConiractar _Other ? -- - ,4lterations to existing duvelling _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turn round (add $121.00 if a 5/8" meter is required) Other: $ 50.00 I Water Safitener ? _ i _ replacement _ PMater Heater - additional $ 15.00 Lawn :rrigation System R°?_ new _ repair _rebui9d $ 30.00 I Skaie Surcharge $ .50 JI 3a?a1 $ ?'V SD I hereby Gpply fw a Residenxici Piumbing Permif ard ac,<nowledge that the infori-aation is cornplete and accurate; that `sne wor;c }njil9 be in conformaa3c° wi#h the ordinances and cades of the City oi Eagar and fhe phambirg cedes; iha# ! 1111dEfSCciICI thf5 IS i-ied apermi:, but only an appiicaiion for a permii, vvcrk is noi fio stari wiihcut a permit anc worlt wiil be in accordance wiih tne approved plan in the evenf a vian is raquired to be reviewed and aporevec. , ?,?, ;:- ? pplicunt's =r4nted ?J?,rr?e Hupiicani,s Signat9r? ?? i? I u ? ye, 7. a ? 2007 RESIDENTIAL BUILDING PERMIT APPLICATTON City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122, . Telephone 9 651-675-5675 FAX # 651-675-5694 New ConsWctian Reguiremenls RemodeVReoair Reauiremenis OR¢e Use Oniv 3 regis[ered site surveys showing sq. R of lot, sq. ft, oF house; and all roofed areas 2 wpies W plan showing Pootings, 6eams, joists Cert o(8urvey Recd _Y _ N (20%maximum lot coverage allaved) 1 set of Energy Cakufa6ons for heated addihons Soils Report ,. _ Y- N t Soils RepoR if proposed 6uiiding is to 6e placed on disNrbed soil 1 site survey for additions 8 decks Tree Pres Plan Recd _ Y_ N. 2 copies of plan showing 6eam 8 window sizes; poured found design, e[c. Addifion -indicafe if on-site septlc system Tree Pres Reqmred.Y_ N 1 set of Energy Calculations Qn-site Sephc $ystem -- Y_ N 3 copies of 7ree Preservation Plan'rf bt platted after 717193 Rim Jdst Detail Opticns selection sheet (6uildings vrilh 3 or less unils) Minnegasco mechanical ventilation fafm ol,.,? .o nnhlir i.,f„r.,,a+in., iir,iPSq vnu state thev are trade secret and the reason. ,............__.._._...__ __..-•----....?- Date o7 SiteAddress ?CJRWo040 -- -- - ?,{./-7 ConstructionCost?/ O&t?_ ' UniUSte # /? Description ofWork ?C, fy ,t14F,7 -4?'4??' Multi-Family Bldg _ Y ? N- Fireplace(s) 0.X 1 _ 2 Property Owner J? r ,4 <-'-411v'lel? Tetephone # Contractor Address S[ate c? Z.p U? G?o: f;7???4 City Zip ? r:rg-r 7 Telephone # ( 9?) 'z?Zr Q `r0d' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateqorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d su6mission type) Submitted Submitted • Energy Envelope Calculations Submitted In the lasT 12 monThs, has the City of Eagan issued a permit for a similar plan based on a master pian? _ Y _ N If yes, date and address of master plon: Licensed Plumber Mechanical Contractor Sewer/Water Contractor T herehv annlv for a Telephone #( Telephone #( Telephone #( Buildine Permit and acknowledge that is complete and accurat e; 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 wark will be in accordance with the approved plan in the case of work w' approval of plans. ?v,< OCT 3 0 2007 ApplicanYs Printed Name Applicant's Signatu ?? ,.N 4 DO NOT WRI"I'E BELOW THIS LINE Sub Tvpes O Di Foundation ? 07 DS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext AIt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex . ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) 6 36 Multi Misc. ? 05 03-plez ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous ?J???? ?'a ?-?i.6m+??'9ti4?^1? ? ? ? WorkTVaes ? 31 New ? 35 Int ImprovemenT ? 38 Demolish Interior dJ ? 44 Siding ` ,y- air Re 45 Fi ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation p re ? s/Doors ?"3 d 46 W J`d 1° 2r- 33 Alteration ? 37 Demolish 8uilding' ? 43 Reroof n ow t q ? , ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant ?1_ //,s r ;/ ?.c.c... - ?? oj,6 D05CNption: WaterDamage _ Yes ??+? Valuation Plan Review ? 100% or _ 25% Census Code ?Z? SAC Units # of Units # of Bldgs Type of Const Occupancy ?? ? MCES System Zoning 1 "?-- City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width . Footings (new bldg) ? Footings (deck) ? Footings (addition) Foundation Drain Tile Roof Ice & Water - Final ? Framing Fireplace _ A.I. _ Air Test _ Final ?C Insulation Approved 8y: _ REQUIRED INSPECTIONS _ Sheetrock FinaVC.O. ? Final/No C.O. HVAC Other _ Pool Ftgs Aic/Gas ests Final _ Siding , Stucco Lath _kStone Lath _Brick _ Windows _ Retaining Wall . Bui{ding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge ; Treatment Plant License Search copie5`; ` Other Total ?-Y}!pL"1 k?? i'S`l7 i3!'s ler 121?.74' `O 00 Yq?= F,??.,, r.p? ???? S?S?va?a ??Pe- i %Suilders ?nc. f F. C.. JACKSON uNn suRVFroR RBGISTERED UNDER LAWS OR 6TATE OF MINNESOTA LIG6N6lO BY OROINANC! OF CITY OP MINNEAPOLIH '.8618 EAST SSrH STREET 5541,' 721-3494 ? Or,11D60 183-59 r' ? !, 1 burbepor'f; QCrrtfficate ? ? ; i ? ?t/n4X40 ,7- ? ? 1 ? J I ? i ` ,i ''' i- / • I HEREBY ClRTIFY TMAT TNQ ABOVE IS A TRVC AND CORRBCT PLAT OF A SIIAVEY OF .- ! ? ?Lat 12,81ock 2,8rittany, Dako[a G:)unty,Minoesata. AS 8t1ptlEYED BY ME TM(5 19Lh, pA?, ?' .J91?' _q p_ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT Permit Type: Building Permit Number: EA138653 40, Date Issued: 09/12/2016 Cityof Permit Category: ePermit Site Address: 1615 Norwood Dr Lot: 12 Block: 2 Addition: Brittany 1st PID: 10-15000-02-120 Use: Description: Sub Type: Windows/Doors Work Type: Replace Description: One Window/Door Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: 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 Fee Summary: Valuation: 500.00 BL - Base Fee $500 $40.00 Surcharge - Based on Valuation $500 $0.50 0801.4085 9001.2195 Total: $40.50 Contractor: Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 - Applicant - Owner: Keith Elinson 1615 Norwood Dr Eagan MN 55123 1 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA176177 Date Issued:05/04/2022 Permit Category:ePermit Site Address: 1615 Norwood Dr Lot:12 Block: 2 Addition: Brittany PID:10-15000-02-120 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 - Keith & Mary Jane Elinson 1615 Norwood Dr Saint Paul MN 55122--272 (651) 485-6284 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA179545 Date Issued:10/10/2022 Permit Category:ePermit Site Address: 1615 Norwood Dr Lot:12 Block: 2 Addition: Brittany PID:10-15000-02-120 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Keith & Mary Jane Elinson 1615 Norwood Dr Saint Paul MN 55122--272 Tony's Appliance Inc. 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature