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1617 Norwood DrCASH RECEIPT CITY 4F EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RtCE1VED FROM AMOUNT $ I a ooLLwRs +oo ? CASH ? CHECK FOR White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You ,Z>fB Y • ` cirir oF EaG?N 3795 Piloe Knob Road Eoyan, MN 56122 N2 6529 PHONEs 4548100 BUILDING PERMIT Rxeipi # To be usea fer Est. Value DoYe , 19 Site Address " Erect ? Occupancy Lot Block Sec/Sub. -" Alter ? Zoning parcel # Repofr ? Fire Zone Enlorge ? Type of Const. W ?`1a? Move ? #k Stories 3 Address Demolish ? Front ft. 0Ci Phone Grode Q Depth ft. o N? - i? ou Address Smile Fee@ Permit uR ~ Water & Sew. Surchorge Ci ph? Police Plan check Name Fi SAC FZ re ?? Address Enp. Water Conn. <W Cf Phone Plnnner Wuter Meter Council Road Unit 1 hereby acknowledge that I hove recd this oppiication and state thot gldg Off. the informotion is correcc ond egree to comply with all applicoble S f Mi S f E di d Ci O APC Total tate o nnesoto agan r nances. tatutes an ty o Siflnoture of Permittee A Building Permit is issued to: on the express condition that all work shnll be done in atcordante with all applicable State of Mlnnesota Statutes and City of Eagan Ordinances Building Official Pffmit # DeM Isued Porroiftes Plumbing d2? B Metonical cE1rt? r" 7 5'S ?'d' ?- -,t/ ?L?? ? ?? joF INSPECTIONS DATE INSP. Rough-In Final Footings Date Insv- ?Date.? Inap. Foundation Plumbin ' .4, w rame ins. Mechanic I ? L?- o Final ? Remarks: ?-3 ? •..? . ? CITY OF EAGAIV ' 3795 Pilof Knob Road No. Ea9as, Minnetofa 55122 vtiene: 454.81o0 PERMIT '•-?-?1 Date: Site Address: Lar i6i? ?kmwooa _:._.? ...,. , Block Sub/Sec. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residentiol Mufti Res., Comm./Ind. I ,. . Na^e New/ Alter. / Repoir ? Address ? Cost of Installation ?.. ,- City Phone: Pe?mit Fee Name ? 5urchorge ? Address City Phone: Total This Permit is issued on the express condition thot oll work shall be done in nccordance with oll cpplicable State of Minnesoto Statutes ond City of Ecgan Ordinonces. Buildin4 Oificiol ^ CITY OF EAGAN 379s Pilot Knob Reod No. Eoyan, Mlnnesota 55122 INSPECTOR NOTIFICATION Phone: 454.8100 REQUIRED BY LAW - PERMiT FOR ALL INSPECTIONS , -? - Date: ' Receipt No.: Single I Site Address: Residential • ' Lot ' Block Sub/Sec. ' Multi Res., Comm./Ind. I Nome ' New/Aiter./Repoir ? Hddress Cost of Installation City Phone: Permit fee Name ^?- ` Surcharge ? Address 7 ? City „-' Phone: Totol This Permit is issued on the express condition that oll work shwll be done in xcordonce with all applitable State of Minnewta Stotutes and City of Eagan Ordinonces. Building Officiol INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: H I. i I 1 r;N'F Nt!llfitNti 0114/0 0') j .,r, /CIA z APPLICANT: F I , ? _ ... . . ?.;? . ? _. ,. . ,? .. .s_ < _? .:. .. ?. : ? _ - - - _ i PERMIT SUBTXPE: TYPE OF WORK: ;: F P A-f R I i ; , , ; ; I : ', fer-r3noF Permit Holder Date Telephone M PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ?• ?? ROUGH PLUMBING PIBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD I FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG OECK FINAL CITY OF EAGAN Remarks Addition BRIT1'ANY Lot 11 Rlk 2 Owner-?Q{ti? -, L '. Lq 1111f, U;(i,{LE1 +,, Street 1617 Norwood Drive Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, ?•, 19 8 2 2819.87 561, 97 5 2255 • 90 A010893 1-26-82 STREET RESTOR. GRADING .? 19 S O 5AN SEW TRUNK 156.51 10-45 1 93.93 * SEWER LATERAL J WATERMAIN * WATER LATERAL 1991 WATER AREA STORM SEW TRK d 198 49 ?S 459.67 1 4 10-1681 - * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 23788 WATERCONN. 335.00 23788 3-18-81 BUILOING PER. SAC PARK OF EAGAN Pil;t Knob Road MN 55122 WATER SERVICE PERMIT PERAM1IT NO.: DATE: No. of Units: Address: No.: N., • to earnply wilh Ma City of Eogan Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Total: Date Puid: I n5p.: By Date of Insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: ^ No. of Units: ?o eomply wiH+ the Ciry of Eogcn Connedion Chorge: Account Deposit; _ Permit Fee: Surcharge: ?- Misc. Charges: - Total: Dote Paid: CITY OF EAGAN 3795 PiloT Knob Read Eagan, MN 55121 NO 6??29 PHONE: 454-8100 1 / BUILDING PERMIT APPLICATION Te 6e ueed Fer SF dWC{6GAR Fcr_ Voliir 84,000 Site Address Lor 11 siook Z Sec/Sub. BT1ttE#il? Porcel # 10 15000 110 02 w Name Tbllefsori Bldrs. ? Address 13816 Holyake Iaz _ Trm1e V-llrn. ACA_CO']O o Name S? r ?? Address Neme _ Address I here6y ocknowledge thot I have read this application and state that the informution is Correct and agree to comply with all opplicable State of Minnesota Statutes and City of Eagon Ordirwnces. oll work shall 6e done in accordanceJlwith all aooACable, State of MiReceipt # Sienmure of Permittee A Butlding Permit Is issued to: To11efSq71 BZ(lY'S. Erect >ff Occuponcy R3 Alter ? Zoning Rl Repair ? Fire Zone 3 _ Enlorge ? Type of Const. V Move ? # Stories Demolish ? Front ft. Grade , ? Depth fr. Aoaroval: Fees AssessRQt7-50-R7 Woter & Sew. Police Fire Eng. Plunner Council Bidg. Off. APC Permit 171.JU Surcharge 42.00 Plan check 95.75 5AC 525.00 Water Conn.335.00 Water Meter 60.00 Road Unit 185.00 rotol 1,434_25 on tha express condition that Statutes and City of Eagan Ordinances. Building Official 5,,2S ?d`-. REQUEST FOR ELECTRICAL INSPECTION ' a,""Neaooooi.oa See insbuctions tor completing tM1is form on Dack ol yellow copy ? s7552 ? •'X" 91 Work Covered by This Request ew Atltl Rep. TypeolBuilding AppliancesWired EquipmenlWired FIBme Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Indushial Furnace Y& Farm Air Conditioner ONer (speuryl ConVactor5 Remarks: Compute Inspection Fee Below: # ' Other Fee # ServiceEntranwSize Fee # Circuits/Feetlers Fea Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs inspeclor§ Use Only: ^ TOTAL „?? trrigation Booms /J S'? Special Inspection AlarmlCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in f oa?a certify that the above inspection has been made. F;nai aie ?. ?i OFFICE USE ONLY This request voitl 18 moniM1S trom J 57552 Request oale S?)/J?G 7 Fire No. Rough= spectbn Re 9ui . 1_ ?iVeady Nav ? ? ? WIII Nolity Inspector Wh R tl ? ? Z 7 ' ? Yes No en ea y Ik licensed contractor 1-3 owner hereby request inspection of above electrical work at: Job Atlaress sVcet. Bo. or Route No.) / Cdy " w??d r . Section No. ownship Name or No. Range No. Counry a *;,- 3 I)? Occupem (PRINT) PhOne No. Pov,er Supplier D?• Atltlress ? Elecvica? Contrec?or ICompany Name? ConVaMOrS Licanse No. ' e.4 a /ss Mailing Aatlre (COnvaclor or Owner M ng Installauon) - r C° wa ? ? LLO Amn S?gnaiure ICOmractocOwner king Ins?al on? ` ne NumOer - 3.? MINNESOTA STATE BOAflO OF ELECTFICITY fl' THIS INSPECTION REOUEST WILL NOT Griggs-Mbway Bidg. - Hoom 5493 BE ACCEPTED BV THE STAiE BOARD 1821 University Ave., SL Paul. MN 55100 UNLESS PROPEF INSPECTION FEE IS Phone (612) 6424800 ENCLOSED. Minnesota 5[ate eoartl of Electricity Griggs Midway 81dg. - Room N791 q EB-00001-02 182'I University Ave., SL Paul, Minn. 55704 - phone 297-2111 10 1 FOR CHEC]Y EEOW WORK CO EREDTBYI THIS EQUEST ION ? T Ln` G?8 JJ Type of Building New Add. Rep. Check Applisncea W"ved For - Check Equipment Wued For Home MK ? ? Range EY4• 00 Tempoiary Wiring ? ,Duplex ? ? ? WaterHealer ? LightingFixwtes ia Apt. dldg. ? ? ? Dryei ? Elecuic Hea[ing ? Commereial Bldg. ? ? ? Fumuce ?C2, QO Silo Unloader ? Industrial Bldg. ? ? ? Av Condi[ionet ?{2• VO gulk Milk Tank ? Farm ? ? ? Lis[ List .... O[hers i.: pthers ? Othei ? ? ? r Hece 7-00 Here COMPUTE INSPECTION FEE BELOW Service En[rance Size: # Fee 1 1 Fcedets&Subfeedecs: # Fee C'vcuita: # Fee D to 100 Am s. 0 ta 30 Am etes 0 to 30 Am eres 12 24.00 101 to 2 , ps1 U 31 to 100 Amperes 31 to 100 Am eres Above 2 O'CL m s .. Above 100 Amps. Above 100 Amps. Transfor RemoceControlCixc. Partialorotherfee Signs Speciel lns ection Minimum fee $5.00 Remazks Jeff D. TOTALFE e?J? 46.50 (Final) This request void 18 months from This request void ?i ' Si q/G 1 ??, po ? 18 months from ? Date f this Request 3-18-1981 Fire No. D 25588 I, as iEkLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- ¢al wiring installed at: Street Address or Route No. 1617 Norwoo3 Drive City Ea?an Section Township Range County Dalcota 1t'hich is occupied by Tollefson Ruilders (Name o1 OctuOant) Is a roughin inspection required on this job? No ? Yes la Ready Now ? Will Call filc Power Supplier nakoka Ctv, . Address Fa.rmi.neton Electrical Contractor ThomPeon Eleetrie Co. Contractor's I.icense NA40602 (COmpany Name) Mailing Address 12201 Mtka Blvd., I,4tka 55343 _(Electrical Contractor or Owner MakingThls Installation) Authorized Signature f/ :i %' . .Phone No. (Electrical Contra6tor or Ownei Making This Instailatlonj ?a ? Thisinspection-request will not 6eaccepted by ffie EI ?E1 State 8oard unless praper inspection fee is encloud: (?rrhifirtttr nf (Orrupttnry Citp of (Eagan 3Oppttrtmrni of luilDing Jnsprdiml Tbie CrrJificate isturd purtHant to the +rquinmentt o/ Sertion 306 o f the Uniform Building Code tatifying that at the time oJ isruantt ebit nrurtuie wat in tont plianrt witb the vaiiaut ordinuruu af the City regu/ating bxilding ronst+uctran ar usr. For the f ollowing: IheChdlutim SF DM/CAR BIdi.P¢? No. 6529 0=? TYr R3 'h?Cmwc4rn V FlnZma 3 ZooiiyWutct ?- 0„Q48m,m, ^bllefson F3uilders,.,,,, 13816 Nolyoke Ia. , Apple by: ?,_ `" o,u: December 22. 1981 .<, - - - -_ - LI:HO,. I s... R RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EACAN MN 55122 T J 651-681-4675 NewConstruetion ReauiremeMs • 3 registered site surveys shovnng sq. R of lot, sq. ft, ot house; and all roofed areas (20°k maximum lot coverege allowed) • 2 wpies of plan showing beam & window saes; poured found design, etc.) . 1 set of Energy Calculations • 3 copies of T2e PreservaUon Plan if lot platled after 7/1/93 • Rim Joist Oetail Options selection sheet (bldgs vnth 3 ar less units) DATE d?- SITE ADDRESS TYPE OF APPLICANT l A1 RemodellReoairReauiremenb • 2 copies of plan . 1 set of Energy Calculalions for heated addilions 2j '0? • 1 sde survey for exterior additioris & decks • Indicate'rfhomeservedbysepticsystemforadditiuns VALUATION 7S ? ? LTI-FAMILYBLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 STREETADDRESS 6SGbUl&4 2 ?-T CIiY57-46KA&STATEAip) ZIP SW-z Ct TELEPHONE #fS t`120-24-fo.?CELL PHONE # FAX #?TSZ'9Z G- S"/ (D 0 PROPERTY OWN ER-4 ASoAJ dA C'S-CN ?lfiS TELEPHONE# COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RUI.NS 7670 CATEGORY 1 MI (d submission type) • Residential Ventllatlon Category 1 Worksheet Submitted N? g • Energy Envelope Calcuiations Submittad AUG Piumbing Contractor: ___________ Phone # - 7,200'2 P1umUing sysLem includes: _ Water Sof[ener Lawn Sprinklcr . Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Condiuoning HeaL Recovery System Phone # Phone # ree: $70.00 I hereby acknowledge that I have read this application, state that the inf ation is corre , and agree to comply with all applicable State of Minnesota Statutes and City of Eaga Ordi es. ? c SlgnWureofApplicant ` OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.) ?? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex A 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 ' al 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? i 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors 01 34 Replacement "Demolition (Entire Bldg only) - Gfve PCA handout to applicant Valuation G?, flv? Occupancy MC/ES System Census Code ?3 y Zoning City Water !I SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV ,I Nbr. of Bldgs Length Fire Sprinklered Type of Const • Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. j_ Footings (deck) ? FinaUNo C.O. ii _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacemem) _ Insularion _ _ Retaining Wall i Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit ' Mechanical Permit License Search Copies Other Total -?p C>O , -?5 Building Inspector „ ? i 1 ? n ? s r? &t?^?d k" z '? 3?' ?..3 S S yyy ax"`. ??- " 1 MJ, I - A ; '.X ,.apMTfR{O LIIaM 4? O??1T4,Tt Or NIIwYOT ??? q.,?.. r ,',,?,?.. LIQMRC We OROWAIIfi OF Q!T' O/ : . - • ?• •. i,• . : -. ? .. . . .. ? ? . .S61! [bT DOTM fTR[tT ? 55417 K/ ?, _,? 17- Sc y!e: /"=3' ya au 1•F •? ? .?'? ?? ? i y?? , ? t /"' • _ _ ro rr c?'. ??;q ? .,?? ?-? . ?, r r3.•_a t° ?1'.`??Z `o? ,? ? ?_\ ! • ?' . / ,, ' ?, ?\`? ,, ' ? ? ? ? ?! • ?? , ? -/ ! ve .? `13 n . + I M[RCtY Ct11T1/Y TNAT TN( AW1/f 1{'A`TIIYt ANY OORIIICT RAT OI A sY J . . s H7[LS[ ?Q.Q. Lps $leYaC10Os . _ =Draioags 6 Utllity 6asesencs \/ ?+.i. • Dzaiq.p Ptspoa*d Graga EleV. 208.0 ? Lot 11tDlock 2.brittanr. Dakota Couoty?!{ton. `?roposed laNMet 61ov, 101.0 . ? • ;: Ptapwsrd l4at..;Moar.Eltv.. 109.3 . . ,. .. , , .;; . . M. ? . . . . - . , ?,. _ ?.` . ?P? . . . . { A? au?m?s sr?pt ter 26tb. omr 1lBO . . , .. . s ;, S? a, I RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 3 a a . ? ? New Construction Reaulremenb RemodellReoair Reauirements • 3 registered site surveys showing sq. R of lot, sq. fl. of house; and all roofed areas • 2 coDies M plan (20% manimum lot coverage allowed) . 1 set of Energy Calculafions for heafed addilions • 2 copies of plan showirg beam 8 window sizes; poured kund desgn, etc.) . 1 site survey (or exterior additions 8 decks • 7 set of Energy Calculations . Indicate if Mme served by septic system for additbre • 3 copies of Tree PreservaGOn Plan if lot platted after 7l7/93 • Rim Joist DeWlOptionu selection sheet (Mdgs with 3 or less unh) DATE 911 ??0 -2-'_ VALUATIONf I 7. ? 0 4"0 SITE ADDRESS 17 AWIVGOD b Y" MULTI-FAMILY BLDG TYPE OF WORK_ a3 ;A G- FIREPLACE(S) _ APPLICANT 1 STREETADDRESS 6JW LOAG/CC'j2 CITY. TELEPHONE #KZ"%2E •aQk63 CELL PHONE # L/Z-1011°05 3 0 FAX # 9.52 - QZr -5-'r/(e O PROPERTYOWNER TASON w/PAerr,,, C,So? 6CiS TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONIY Energy Code Category _ MINNE50'1'A RULES 7670 CA'1'EGORY 1 (J submisslon type) • Residential VentilaUOn Calegory 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing systcm includes: Mechanical Contractor. Mcchanical system includes: Sewer/Water Contractor: WaCer SoFtencr _ _ WaCCr Heater No. of Baais Air Conditioning Heat Recovcry System Phone # Phone # AUG 1 2 2002 Fee: $70.00 I hereby acknowledge that I have read this ppplication, state that the nfo mation is rrect, and agree to comply with all applicable State of Minnesota Statutes and City of Eaga Or in ces. r Stgnature of Applicanf ? OFFICE USE ONLY Phonc # Lawn Sprinklerl= No. of R.I. Baths _Y ?LN I _ 1 _ 2 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY I ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ' ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 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 ? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) ? ? 36 Multi ? 05 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 ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof O 46 Windows/Doors ? 34 Replacement 'Demolitlon (Entire Bldg only) - Give PCA handout to applicant 11 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 i , REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaUC.O. _ Footings (deck) _ Final/No C.O. , _ Footings(addilion) _ Plumbing Foundarion HVAC " Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stoue , _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee ; Surcharge Plan Review MC/ES SAC City SAC ? Water Supply & Storage S&W Permit & Surcharge , Treatment Plant Plumbing Permit Mechanical Permit ?I License Search ' Copies ? Other ; Total Building Inspecror, FERMIT CITY OF EAGAN 3830 34 Knob Road ERgan Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-15000-110-02 PERMITTYPE: euzLozNG Permit Number: 0 3 3 4 7 0 Date Issued: 0 9 /2 5/9 8 1617 NORWOOD DR LOT: il BLOCK: 2 BRITTANY DESCRIPTION: R E R O O F Buil?ki'rrg.Permit 7ype 13,411dinq W?D.rk Type ,Census Cod'e .t. i f f J \ n.?.Y4.., ? .... .. STORM DAMA6E REPAIR 434 ALT. RESIDENTIAL }? iz == t , ?' ? REMARKS: FEE SUMMARY: ?Tp w^r^^, - NPF/11 c a rI L -^ Z) I . L 1 l. . ^??(,I?Yk1?? K?? AffA\JV1?1146 9500A0 20139140 y I5 JASON 18 11583 RUPP RD 1617 NqRW00D DR BURNSVILLE MN 55337 EAGAN MN 55122 (612) 895-0040 (651)456-0702 I hersby aeknowledge that I have'read 'this application'and state that Che io'Formation ie correct a?nd agree to csainply wit,h al1 appla,oahla Stata of Mn. Statutes and City of Eagan Ordinanaes. ? APPLICANT/PERMITEE SIGNATURE ? ?J -- ?SUED BY: SIGNATU- FE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN q u 3830 PII.OT KNOB RD - 55122 681.4675 ygq I New Construction Reauirements RemodeVReoair Requirements ? 3 registered site surveys ? 2 copies ot plans (inGude beam 8 window saes; poured fnd. Eesign; etc.) ? t energy caleulations • 3 wpies of tree preservation plan H lot piatted aRer 711193 required: _ Yes _ No DATE: 4-'2I -G 75 DE5CRIPTION OF W STREET ADDRESS: • 2 copies ot plan ? 2 sRe surveys (exterior addRions & decks) ? 1 energy caleulations for heated addkions CONSTRUCTION COST; ??4?, Z-CO LOT: BLOCK: ?--- SUBDJP.I.D. Name: Phone #: PROPERTY Lact First oWNER D e Sveet Address: 1 City State: Zip: Company: ?Z ?T !c' C ploo? Phone #: !?q?j'- 60"7() CONTRACTOR C ?-? / Street Address: 1l;? 9 UP2 License ?t ?ZC??i2 J1/ /19 City i)fJ???4j'V J?/? State: Zip: 7- ARCHITECT/ ENGINEER Company: Phone #: Name: Registration tt: Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction onty): and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and sfate that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ Na Penalty applies when address chang is correct and agree to - Not Required with all applicabl ; BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-piex ? 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addifiion ? 34 Repair GENERAL INFORMATION OFFICE USE ONLY i j? I ? ? 11 Apt./Lodging ? i 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous O 15 Deck i ? 36 Move ? ? 37 Demolition ? Const. (Actual) Basement sq. ft. ? MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV m # of Stories sq. ft. Booster Pu p Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS V Planning Building Engineering Variance Permit Fee Valuation: $ I, Surcharge Plan Review p License MCNVS SAC II ° Cfty SAC Water Conn. ? Water Meter Acct. Deposit S/W Permit I S/W Surcharge Treatment Pi. I Park Ded. Trails Ded. ? Other Copies il Total: I % SAC I? SAC Units I 2b He Used Fbr Site Address , ,_ Iot // Block ? Sec./Sub. Pareel N: J/) ii, Addcess: City/Zip Oode: CITY CF EAC.APT Tnclude 2 sets of plans, 1 site plan w/elavations & IG PEFMI; APPLICATION 1 ret of enesgy Calculdtions. rionar.e /,4'- / -4& /y?? Y..6da-?'-? OFFICE USE ONLY Phone , qontractorv Addzess: City/Zip Code:???a.?„? ?j?%• Arch. .. City/Zip Code: Ptlotbe !I: Exect OccupancY /P3 Alter wnin4 ?j Repair Fire Zone 3 Enlarge _ 7Ype of Const. mbve # Stories Dennlish Front ft. Grade Depth ft. APP%JJALS FEES Assessnents Perndt [later/saaes surcharge v 2 . o? Polioe _ Plan Qieck 9,S 7y Fire SPC S25'•6u Eye . Wdter Conn. 3$S. oe Planner Water Metex ?a oG Cnuncil Roaci Unit 1g,r, o0 Bldg. Off. It APC TOTAL J ,M 'Moliefsoa 3uildero 'Iac.. • - t f?';tlr 1117A JACKSON -0 ; _ _ - uwo sua„tym -727-9484 . ? ` , .::• ?.- - F • .. . . . • . - • . . .RMNT[P!D YM01 L11rS OW KAT[ Or MIIIMqpT' . , , . / . R' . . . LIaNQp !Y OROtNAWhou Or Qf1' OI . . . ? . ; 3e1e ewar asrw srRaEr 55617 ojr.L lqj bucbcpot's 6cctf " , ? s' . ? ? ? ' ? r ? --_.._6;__ ? , o •, 6,' .? S ? I, ? • _ _ ?o v? ? cI?1 ? ; Q> f.... I McwcBr eeRn?v rHuT 7M9 AOovB -?A7RU[ AMD OORRiCT RA/ p? A sNA ?? - ?7 \ % 4QQ,Il= 8xirtlag Hlevatioos . ?. , . .. _=Draioige 5 Utility BaFemeau _Lf 7, 1 - . . / , ' ?____-?7• v? Tlltilla$f . . . , .. ?r Propatsod Garaga Blav.?108.0 - Lot ll,block 2.9rit[anr, , Dalcota Cauotp'ition. Psopossd daseeent Slsv. 101.0. , • ,..? Psoyond F4ai.._rlaoz. 81mv.. 109.3 . S ? . . , . . . ;?? .. As swwvtvso Mr Mt THw 24th_wr w' 4oAt. e. ? 1980 • ? a '€ ?a ^? , <' ? ? ?; C JIx _P J ' S w J ???' ? ? ( T 4W? 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I?, f I -• ? . ??-t ?TAI_ 1 h Ct1?....., ? r , '?.. ? ?. • • ," ?r 0 » ,•. ,.. ?. r ,_ ,. . .•-: _, ., . ;,; , , ,.?, .,.,, f ,.: , . . ....... _. .. : ? . . _ _. .., . _ . _ -- -° ?-- _ _. , . . _ 1999 BUILDING PERMIT APPLICATION (RE8IDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 (651) 681-4675 New Construdion Reauirements • 3 registered site survays ? 2 copies of plans (indude beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies ot tree preservation plan it lot platted after 7l1193 requiretl: _ Yes _ No DATE: DESCRIPTION OF WORK: RemodeVReoairReauirements 0-^, U"`°?vVqv? 33??`? r ? 2 wpies of plan ? t site surveys (erterior additions 8 dedcs) ? 7 energy wlculations for heated addRions CONSTRUCTION COST: 'Ioao t STREETADDRESS: I(oI7 ,(1e?ao4i DL LOT: BIOCK: ?- SUBD./P.I.D. #: ? ? ? ?? ? " / Name:_ A4 E1 S&)q ,QF/ S j Phone #: PROPERTY Last First OWNER Street Address: 1E I-7 ldOe-i..roOo u r?? 4S-G- b 70 Z City ,%- ?J. ?r19?hJ State: Zip: Company: CONTRACTOR Street Address: . ., „., ?ity I Bloomington, MN 554 . _nn 4 ARCHITECT/ ENGINEER Company: Street Address: City Sewer 8 water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. State: Phone # _ License # Doo 3% 9 9 Exp. Zip: Phone #: Registration #: Zip: . Penalty applies when address 1 hereby acknowledge that I have read this application, state that the information is correct, and State of Minnesota Statutes and City of Eagan Ordinances. ti Signature of OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No - Not Required comply with all applicable ???? ? _-, ?.4• !' ' I i ?• ? ? - - -- r ,??! ? ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-piex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE O 31 New ? 33 Alterations ? 36 Move ? 32 Additiorr ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Ailowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering . Census Code SAC Code Census Units Census Bldg MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee Surcharge Plan Review License MC/ES SAC Ciry SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Capies Total: Valuation: $ •' % SAC SAC Units 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for, single farnily dwellings & townhomes/condos when permits are required For each unit o C?...?. r8o3 y Date a Site Address vO ,^ (/,- ) O[)j ? r I l-)L' Unit # Proper[y Owner C-_ l Telephone # ((95 5(0 - C)? C7 ? Contractor c11 ? INC , ITl[VGCEit 21214 EATON AVE Street Address e;ty FAR . State Zip Telephone# ((051 ) U(OD-(p0ac) Rond #: Z Z oo -?- ' I S Expires: ? U D?p The Applicant is _ Owner ? C ontractor _ O[her Add-on or alteration to existing dwelliug unit $ 30.00 furnace _Additional - r+... _Replacement ? New• _ - . -?... airexchanger airconditioner 3 ? heat um - P P ?"?'0 _ other State Surcharge $ .50 T , $ 30.50 ote I hereby apply for a Residen[ial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the CiTy of Eagan and with the Mechanical Codes, that I understand this is no[ a permit, but only an application for a permit, and work is not to start without a pertnit; tha[ Ihe work will be in accordance wi[h the a ved plan in the case f work which requires a review and approval of plans. ? I ,.(2,,?? C 0 , „Js=A L,1 ' ant's Pr' t ame Applicant's ' nature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1617 Norwood Dr Lot: 11 Block: 2 Addition: Brittany 01st PID:10- 15000- 110 -02 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: CitySide Exteriors 1623 Norwood Dr. Eagan MN 55122 (651) 379 -9899 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Jason W Eisenbeis 1617 Norwood Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA086233 09/22/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1617 Norwood Dr Lot: 11 Block: 2 Addition: Brittany 01st PID:10- 15000- 110 -02 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935 -9669 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Construction Type: Occupancy: Owner: Jason W Eisenbeis 1617 Norwood Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. $88.50 0801.4085 $1.50 9001.2195 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. Issued By: Signature Building EA087968 01/13/2009 ePermit a,u\`-\SCD ll�S"aS Use BLUE or BLACK Ink I For Office Use Permit#: /'/1/91 / 4‘. City of IIftIll 3830 Pilot Knob Road 107,47;',7,,* ". -) ' Permit Fee: ' J DS`�.. Eagan MN 55122 Date Received: Y'll' /7 Phone: (651) 675-5675 AUS 1 1 2017 Fax: (651) 675-5694 Staff: -7 _, 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (5- S-ll Site Address: 110 ll not(A)tea, r Unit#: Io Name: JGSCS(\ - - Q1�OC)C,Ck Ek Sr✓�be5 Phone: (.o9 t-LtS1,-©-1 c>1 Resident/ ' a Owner Address/City/Zip: \ \Z nUcw_x` 0 c- -Vz_cr&ct.c\ rl SS \d 1 Applicant is: Owner ' Contractor JJ cec�>(...)ve cam\ reQ\ac.e c.Q\7roy S Scvaes .sCg„c\5 Type of Work Description of work: u\ l Construction Cost: SSC.) Multi-Family Building: (Yes /No >e) Company: 6,.ne°\ c-X vic)r S Contact: \r` pRc.)CNSV y1 iI Address: 'SU11 ftCcS\\&\ Prue- S City: \'"j`()oc cS\5\ L+YI Contractor 1 State:WC\ Zip:SS O Phone Wil-\,\1) Email: \c`c\csc\.be, Q c`4A •C..yk-1; License#: (7---1. oci(oS'GL'l Lead Certificate#: . .. %\. t.%** -a If the project is exempt from lead certification, please explain why: 1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes "?:5 No If yes, date and address of master plan: 1 Licensed Plumber: Phone: IMechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: : NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as nonpublic if you provide specific reasons that would permit the City to _,,,_ ,,_... ......,.., ... .. conclutle,that they.aretratle 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x \( n\Ul1SG n x N Applicant's Printed Name Applican s Signatu Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161317 Date Issued:05/18/2020 Permit Category:ePermit Site Address: 1617 Norwood Dr Lot:11 Block: 2 Addition: Brittany PID:10-15000-02-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jason W Eisenbeis 1617 Norwood Dr Eagan MN 55122 Hero Plumbing Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA164058 Date Issued:09/18/2020 Permit Category:ePermit Site Address: 1617 Norwood Dr Lot:11 Block: 2 Addition: Brittany PID:10-15000-02-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jason W Eisenbeis 1617 Norwood Dr Eagan MN 55122 (651) 230-4423 Hero Plumbing Heating & Cooling Inc 10900 Hampshire Ave S Minneapolis MN 55438 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature