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1628 Norwood DrCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ I & DOLLAR$ 7oo ? CASH ? CHECK .oR l ? Thank You ['??? B Y ?. . White-Payers CoPy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3795 Pqef Kwob Rwd Eogan, MN 55122 PHONEt 454-8100 BUILDING PERMIT R??ipt # ? 7 Site /lddreu - Erect ? Occupancy ? Lot Block Alter p Zoniny Parcel # Repoir ? Fire Zone E l n orye ? Type of Const. Name Move p ?k Stori W es ; Addrcss Demoliah ? Length b Ci p}one - Grode ? Depth Sq, Ft. dy . Approrols f•es p Name _ ? ?' Address Name _ Addrcss I hereby acknowledge that I have re< the informotion is correct ond agre State of Minrxsota Stotutes ond Ci Siynotum of Permittee A Buiiding Permit Is iuued to: oll work sholl be done in occordonce Buildin9 Offic(ol wlth all applicable _ Assessment _ Water 8 Sew. ? Police - Firo - ErW Planner ? Council thot Bldg. Off. _ oble APC State of Minnesota Permit Surcharye Plon check SAC Water Conn. Wafer Meter Rood Unit Totol on the express condition thm and Ciry of Eoflan Orainonces. Permit No. Permit Holdar Misc. Parmit Na. Holder Plumbing H.V.A.C. E Well wac.. Disp. S?wsr Electric Inspectioo Date Insp. Other ' Footinys Foundation Framinp Rouph Plbp. . Rauph HVAC Inwlstion Final Plby. Final HVAC Final W?r Deteribe Lotation: YWII u Sswor Pr. Difp. • , CITY OF EAGAN 37!! Pilef Knob Rood Eegoa, MN 55121 PHONE: 454-8100 BUILDING PERMIT Slte Address Lot Block Set/$ub. ' Porcel # ac Name W ? Addrcu Ci Phone Name ? ?? Address ? ri.., oL..__ I hereby ucknowledge that I hove read this applicotion ond state that the iniormotion is correct ond ogree to comply wifh oll opplicoble State of Minnesota Stntutes ond City of Eogan Ordinonces. Siprwture of Pertnittee A Buiiding Permit is issued to: oll work sholl be done in accordonce with oll Buildlrg Off{cial Receipt # Erect 0 Occupancy Alter 0 Zoninp Repoir Q Fire Zone Enlarys ? Type of Const. Move ? # Stories Demolish p Length Grnde ? Depth Sq. Ft. Anoro vals F"o Assessrnent PeRnit Woter & Sew. 5urctaroe Police Plon check Fin SAC Enq. Water Conn. Planner Wuter Meter Council Road Unit Bldfl. Off. APC Taol on the express tondition thni )licobla Stute of AAlnnesoto Statutes and City of Eaqon Ordinonces. Psrmit No. Permit Holdsr Misc. Permit No. Hoider Plumbing ?a-? ?nZ ? • (!._,?(_ f H.V.A.C. ie,?n wau Wster Disp. EMctric MGISTf 1 -E(C( 3- (Z ` ? C+,,r?Ikp, Intpaction Date Insp. Other Footin¢t Foundation Framinp F Rouyh Pib¢ ,2,10 Ro uyh HVA ? - Inwlation Final Plbg. -? - w Final HYAC ? Ffnal Water Describe Location: YWII . Sewer Pr. Dbp. Reoeipt MECHANICAL PERMIT CITY OF EAGAN Fill in numbered speces Type or Print /egib/y ? Permit No. Fee S/C Tot. ? 1, Date 2. Installation Cost n . 3. Job Address -"'Lr6t Blk. Tract -? f 4. Owner t ?-?- 5. Contractor Phone 6. Address ? ? ' ` n `':•._?`' ,>_..l 7. City - :-?-- --+4---? State •' ? :^' . ? ___ . ` Zip 8. Building Type: Residential Q Commercial ? Institutional ? 9. Work Oescription: New El Add O Alter ? Repair ? 10. Describe Fuel Type 11. No. Eauioment BTU - M. Ea. Forced Air ' No. Enuipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outleu 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill rn numbered spaces S/C Type or Prini legibly _ Tot . 1. Date,/ -C L 2. Installation Cost f 3. Job Address %= ?' . ' . • ' Lot ( r Blk. - . ,. r.- Tract 4. Owner 5. Contractor;' T 'L. 11 h2 • Phone 6. Address 7. Citv? ?? f ri, , -- ,•- I State I L"1 Ljj Zip _ C 8. Building Type: Residential JD Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Descri be 11. No. => Fixtures Water Closet No. Fixtures Cesspool/Drainfield / Bath tubs Septic Tank J/ Lavatory Softner ' Shower Well Kitchen 5ink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets ?' •;' =- , ,. ?• y ,r _ ! . , 12. I hereby certify that the above information is true and correct,anof Ir&l 0. comply with all ordinances and codes governing this type of work. Signed : ? - for Rough Final • ? - Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: I r t EIr He, 3830 Pilot Knob Road Permit Number: °n:; 32 Eagan, Minnesota 55122-1897 Date Issued: u t J(7 F? ri r1 (651) 681-4675 SITE ADDRESS: APPLICANT: :z1. ;.tl?i??i? ;i ?i I If i + t IJA1; I f MFtI 1:U10I ;r4, , i I . 1 acE" f: ! ! 49 -=_. . , . . . PERMIT SUBTYPE: TYPE OF WORK: . i i 1'ATR REFtAf1F Permit Holder Date Telephone li SEWER/ WATER PLUM8ING HVAC Inspectlon Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ? ROUGH PLUM8ING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD 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 FfG DECK FINAL CITY OF EAGAN Remarks Addition 6RITTANY Lot 11 Bik 3 Parcei 10 15000 110 03 Owner??l? 5treet 1628 Norwood llrive State Improvement ` Date Amount Annual Years Payment Receipt Date STREETSURF. (Q3(e STREET RESTOR. GRADING ? - 2&.58 371. rj7 ° if SANSEWTRUNK 83.50 it * SEWEF LATERAL ?/ - 336.06 1 4368.77 it WATERMAIN * WATER LATERAL lQkl WATER AREA /g 240.00 if STORMSEWTRK S/ 32.83 / 42C.84 " " * STORM SEW LAT iggi CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 #2918 3-11-82 WATER CONN. 335.00 BUILDING PER. SAC 5, 9 0 PARK cirY oF eAciaN WATER SERVICE PERMIT 3795 PIfot Knob Rosd PERMIT NO.: Eugcn, MN 55122 DATE: Zoning: ? - No. of Units: Owner; Address: Slte Address: . , "; ' • . ,.. ' ? .. I. j ` ??' - Plumber: Meter No.: Connection Chorge: ? Si=e: Account Deposlt: Reoder No.: Permit Fee: ( egroe M oomplp with the Cily of Eegew Surchar9e: Ordinonaa. Mlsc. Chorges: Total: BY Date Paid: Date of I nsp.: I nsp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilof Knob Rood PERMIT NO.: Fagan, MN 55122 DATE: Zoning: - 7 No, of Units: ? Owner: =rAddress: Site Address: - ::; ' - ' ' "?- t' •:?t? Plumber. I e9ree to eompir wlth tbe Citr of Eagen Ordinanaa. Connedion Charpe: Account Deposit: Permit Fee: ' C), Surcharye: Misc. Charges: Totol: By Dcrte of I nsp.: CITY OF EAGAN . 9793 Pilaf Knob Rmd Eagon, MN 55122 N4? „ 7,526 PHONEs IS4Af00 _ ? ??f y BUILDING PERMIT Receiot # Te 6a und fe. DECK Est. Value 1,200 Date 9-21 , 1982 Slte Address 1628 Noiwood Dr Erect ? Occuponcy Lot 11 Block 3 soc/Sub. Brittany ? Alter ? Zoning Parcel # 10-15000-110-03 Repair ? Fire Zone E l T t f C n arge ? ype o ons . a Name Hai-t:V Fnng Move ? # Srories ; Address S'aiCe Demolish ? Length_ b Ci phone 452_9809 Giade ? Depth Sq. Ft.- ? id Gi S ti D 3 Avvrovah Fees nic 1 .tm av c 0I1 Nome 0 ?u Address Rt• 1 Assessment Permit 20.50 Water 8 Sew. Surchorge 1•00 • c{t W2F1C'FPY SSORRP{wne 461-3483 Police Plan check ? uw Nome F Fire SAC Z Address Enp. Woter Conn. <W ci phoM Plonner Wafer Meter Councfl Rood Unit 1 hereby ocknowledge thot I have read this opDlitation ond slate that gldg. Off. DP 9/21/ the inlormation is correct ond ogree to comply with otl opplicable APC 2l _5(1 Totai $tote of Minnesota $totutes ond Ciry of Eagan Ordinnnces. $ipnoture of Permittee A Bullding Permit Is Issued fo: on the express condition tha+ o? ewith oll a? bl State of Minnesoto Statutes ond Gry of oll xrork shall be done in occord Eagan Ordinoncea. y Building Official , CSTY OF EAGAN U? . BUILDING PERMPP APPLICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations, 'Ib Be used For flle(- lk, valuation /.) o 0 Date S-F ey"" ) o Site Pddress: a,?- /r/c'/'aJv??G' ?W( OFFICE USE ONLY Lot /L Block Sec./Sub. ? Erect ? Occugancy Parcel #: ? ?-/ rd o o-//D - 0 3 Alter Zoning Repair Fire Zone Owner: Enlarge - TYPe of Const. Nbve # Stories Ptldress: /G ? ? {+/aF,?s.??nC /?/j Demolish Front ft. City/Zip Cocle: F61'Grade Depth ft. Phone # : 4J`J- ` Contractor: 40A2rJ2,:?9 Sc yi.Jt?'? /? ld?c fr Address: ??" / City/ZiP Code: /,?r ? Si ? ?I 1.1/v? -.S5089 Phone #: v'4 Arch./Eng.. Pddress: APPROUALS FEES Assessments Permit Water/Sewer Surcharge Police Plan Check Fire SAC Fhg. Water Conn. Planner Water Meter Council Unit Bldg. Off. ? APC City/Zip Cocle: Phone # : 'mI'AL d l. S--6 CITY OF EAGAN No 7121 . 9795 Pllot Kneb Rmd U9an, MN 551I2 - PHONE: 431-8100 ?gVY3 BUILDING PERMIT Receipt # Te 6a used fer 17 ]nC/CAR Est. Value $ 93,000 Date NlarCh 11 19 82 Site Addreu 1 h'JR ?hYWOpd DYiVe Erect [t? Occuponq ? R- Lot 11 Block 3 Sec/$ub. BriLt211y 'St Alhr ? Zoning R-1 porcel # 10 15700 110 03 Repair ? Fire Zone NA ' Enlarge ? Type of Const. Vn rc Name Tollefson Builders Move ? # Srories 2 z Addrou 1655 Norwood Drive Demolish ? Length 68 ci Eaoan 55122 phom 454-6873 Grade ? Depth 26 Sq. Ft.- ? N e GAmer Appravalt _ Foef p am u?f Addreu Nome _ Mdmss I hereby acknowledge thnt I have read this apDlicotion and stote ihat the inlormotion is correct and agree to comply with oll opplicable State of Minnesota Stotutes and City of Eogon Ordirances. Sipnature of Pertnittea A Building Permit is issued to: _S'Q all work sholl be done in accordante with Buildinq Offic{ol ? Assessment Pertnit 419_nn Woter & Sew. SurcFwrge 46.50 Police Plon check 206.00 Fire SAC 525.00 Eng. Water Conn. 335.00 Plonner WaterMeter 60"00 Council Road Unit 18 Bldg. Off. APC To„i 1769.50 on the express condiNon thnt sota.Shlutes ond City of Eogan Ordinonces. REQUEST FOR ELECTRICAL INSPECTION J.Ee-00001 -03 T }? ? See insiructions tor completi•is form on back of yellow mpy. n_ 3619l, -lJ "X" Below YYiwk Covered by This Request N Add PeV. Type ot 8uilding Ap0liances Wired Equipment Wired Home Range Temporary Seroice Duplex Water Heater Lightiny Fixtures Apt. Buildiny Dryer Electric Heatin Commercial Bldy. Fumace Silo Unloatler industrial Bldy. Air Conditioner Bulk Millc Tanlc Farm ? otner ISnectNl thrsr Suecity r Oiher C'ompute Inspection Fee Below I - -- - N Fee ServiceEntrance5ize R Fee Fexders?SUbteetlers N Fee Circuits 0 to 700 Am s 0 to 30 Arn s 3?S 0 to 30 Am s 101 to 200 qmps 31 to 100 qmps St0 31 to 700 qm s ?Q Above 200 n \ Abave 100_Amps Abuve 700-A??PS nsf rrn;rs .?? 1 ? RemoteControl Circ, ts-b PartialiOther Fee Speci pe n S A Hercv? rks ??? r I `?' ,\?? • L FEE T '?' L?C rl /'1 ? HouAh-in ) ( ? ?J,???? ? 1 t e ec ncel ° 0 ? •?? nsVeclor, herehy ertitY?thet the above Pinal " 'J ispection has been T 9 ? f? f/ me e. This request void 18 .,nn hc f-, This request voitl S qQ ?j8 months hom tl 8LvioS 5 LIl ? b3? ?r ?{+a1? j s? ???f•'Z 3 Ren??es D (/ X ? ( ' ? Fire No. Rau h-In Insoectlon fi a ireA? IE]Readv Nuw? ill Notifv. ?nsoec- t Wh P Q (,? ,Yes ?Nu or en oady Gcensed Electrlcul Contracior I hereby request insuection nl above Owner . elactrical work insWlled aL Street Address, Boz or oute No. City - 5 ?yq z ?le A)m ?.? C 4 ecLOn o. Township Name or No. Rnnpe No, C nty Occcya (PPINTI Phonc No. ) .L Power $uppiier ? Address Elecuical Co vactor (Company Nnmel Cnnh r.[o?'s License o. ? f.:/or,? f, .'Yl Mailin9 Jre+s (COntraclm or Owner M aki ny Ins[ailationl ' ^ / ? '/`-)w bezi uthoriz ignature (COnvac or Owne? Ma inB InsWllaGon) Pho e N.um er ? a G =??49 MINNESOTA STATE BOAND OF ELECTflICITV TMIS INSPECTION NEQUEST WIIL NOT Grig9s-Midwey BId9• - Room N-197 8E ACCEPTEO 6Y THE STATE BOAqD 1821 University Ave., St Paul, MN 55104 . UNLESS PHOPEH INSPECTION FEE IS e1_'_ 1.11, "y-t ?'ll ENCLOSED. ? REQUEST FOR ELECTRICAL INSPECTION R` ee-ooom-oa w - ?,C ' See mshuctions for comple,tin5? this form on back ol :' yellow copv_ °? 79867 "X" Belaw Warl?,Caverbd by This Request N Add R.N. Type of euiltliny Appliances Wired Equinment WireA Home flange 7 Temporury Service 1 Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Eleciric Heatinq Commercial Bldg. Fumace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk TaN< FaflYl Uther SpuuFY Other ISperity? tha.l 1$pCflfY Onhc! Othl! Canp14te 1nsUecifo17 Fee 8elow p Fae ServiceEntranceSize # fee Fneders/5ubtaeders 4 Fee Circuits 0 to 100 qm s 0 to 30 Am s U tn 30 Am s 101 to 200 qmps 31 to 100 Amps 31 to 100 Am Above 200 qmps Above 100_Amps Above 100_AmPs Transiormers Remote Control Circ. PartiaL'Ot Signs Special Inspection ?. S d Remarks CI? ? TOTAL EE ? Roa,h-in Final ? D''te U=iP f I, the Electrical InsUector, hereby CC(?Ify l?lBL t?18 PbOVO inspection has been areae. This «:u?est void 4/0.010 . 18 months from rnls reamest voia i8nwnffistmm T 7986 -) q ne.quesi t?ate t rire No. HouPh-'?? Insoection ?y Required7 DReatly Now Q Will Notify Insper,- Z2> ((Q ?ves ?No mr When HeadY ? LicenscA ElecVical Con[ractor ' I hereby requyst inspection ot above Owner electrical work installed aL SVeut Address, eox or Route No. ^1, • '?' GL t ?, Cit v . ecbM" o. Township Name or No: Range No. County' Occop&ni(PR NT)? A e;???11 Phone No. P(\?w\erS?-?ppl s-,,s?y( I Addre? , W"`?"??K1 VVf?V\ ' /LN'W'?. y Hec ical Conhactor (Companv Name) - Convactor's Llcense No. R iitc?-t 4 Mailing AAdress (CnnVactor or Dwne(r? Makinp Installation) Auffiorizec}rSignawre (ConrractodOwner Making Installation) P, pne Nurtiber `? ? n /?? ? MINNESOTA 5 TE 80 RD OF ELECTflIC1TY - THIS INSPECTION REQUEST WILI NOT G69gs-Midwa6ldg. - floom N-191 BE AGCEPTED BY THE STATE BOAAD 1821 University Ave:, St Paul, MN 55109 UNlESS PflOPER INSPECTIpN FEE IS n!.....e I6111 '47_1111 ENCLOSEO. ' Z ,. ?ax Cl'PY Cff' FAGAN p? Include 2 sets of plana, ?`Y V -??7t 1 site plan w/elevatirns 6 p/J J FUIIa7.IVG PERArT 1 set of energy calculatims. / Rb Be Ueed ?V luation Dabe ? Sits Addrties '?>„?O-?.Lt(.ac.ec??g CFFIC'E USE LtJLY , i,ot sladc 3 sec./sub. " iCj?ect CIOCupancy ?-3 i. Pat^oel 1: i0 1 Sac?a iib o-2 a- r,lter zoniny ' Repair Fi.Te Zorke Owneri Eri1arge _ 'Iype of Oonst. .y-- ' aaa:ess: mow M stories Z? ' 7f?ZiP Obde• r?ade?sl ?Frant 8" ft. at ; ? t? ?ft. P1nne N: Oontracbc 1 ' 11ddL+eaB: , atY/ZiP Code: j Phane ? z ! llydt./D'?g.: ? . JIddirBa: + ? atiY/Lip Qada: Pl1o[te #: Water/Sawer gurcha=y 'Ve Pc?lioe Plan C7?eck ] p ?° Fire SAC C- 7) ,1-^ EnJ • Water Conn, Planner Wates Meter G Q _ CbunCil Ppad Unit Hldg. OfF ppC , 70TAL u7` ? -? 1/co RESIDENTIAL BIJII.DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements Remodel7Reoair ReauiremenGs Office Use Onlv 3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Reod _ Y _ N (201/o maximum bt coverage allowed) 1 set o( Energy Calculations for heated addifions Tree P2s Plan Recd _ Y _ N 2 copies of plan shaxing beam & window sizes; poured found design, etc. 1 sde survey for addNOns & decks Tree Pres Reqd _ Y _ N 7setofEnargyCalculations Adddion - indicatei(on-sitesepticsystem Oo-sileSepticSystem _ Y _N 3 copies of Tree Preservation Plan if lot platted after 717/93 Rim Joist Detail Oplions selection sheet (bidgs wiN 3 or less uniCs Date Ci / ^3 / o3_ Site Address l62 8 Noe-wood Construction Cost "7, 200 ' 0 e) 0 r Cd Ad h UniUSte # Description of Work ^ 1Pd r O Re roo Multi-Faroily Bldg _ Y>c N Fireplace(s) _ 0 ? 1 _ 2 Property Owner T ed L-t v?r+. Telephone #(qf Z)`fR'? Contractor Airo ca , rd•n Address State AA / J? L? Zip 6-5'3f 3 City L7J?tCd l0 Telephone #( 763) 6`? Z' d Z 2? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Su6mitted • Energy Envelope Calculaiions Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. -? 22,, ?? 1 Licensed Plumber Telephone #( ) Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, but only an application 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 approval of plans. :10-? n -F & r,- Y ?-? Applicant's Printed Name plicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 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 N6r. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED I NSPECTIONS , _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing _ Foundation HVAC , _ Drain Tile Other Roof _ Ice & Water _ F inal _ Pool _ Ftgs Air/Gas Tests Final _ Fraxning _ Sid'mg Smcco Stone _ _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (newlreplacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Builtling Inspector ? ? V CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-7897 (651) 681-4675 PERMIT PERMITTYPE: aurLuIivc Permit Number: 03A332 Date Issued: O 1/0 (i / 99 SITE ADDRESS: FaT.IV_ : 10--150 0 47-110-03 1.628 NORWOOD Dft LOT: 11 6L04;K: 3 BRITTANY DESCRIPTION: r.o. & KFaooF F?111 !.clin01_Permi.t: Type STOfrivl D61PqAGk Puildino W`brk Tvpe REPAIR %)Cen:,tjs Code ? 434 AL7. RES1DF_Ni'IAL • ? ? r- ?...\ i- _ ? ? . „ .., ? „ - . REMARKS: FEE SUMMARY: CONTRACTOR: - AGplic,rc - sr. LIC. OWNER: hC[UWE57 CFDAR 7-1MBERQUF 18051149 20147336 8lJl.GACH LTNDA 100:: CI.'LFF RUAU t; 1628 NORWOOD DR BURNSVIILF MN 55337 EPGAN MN 55122 f 67.21 £10S-17.49 ( 6^51 ) 452--0854 I herebv ar knowledne t,hj t S havp rRad this ap. plico ?ion and s?.ate ti;1at Che irito rmation i. s cnr- rer,T, o iici a4rBe '.:o eornUlv ',(d.ith a1l ao pl.icqbJ e S Ta t2 o 1- 414n. SY_atutes and Citv ot Fiaan Ordinances. IL APPLICANT/PERMITEE SIGNATURE 2 A ¢/ UED BV: SIGNAT E lqdi? -1999-BVILDING 3ti33;;L New Constcuction Reauirements PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 681-4675 RemodeVRaoair Reauiraments ? 3 registered sHe surveys ? 2 copies of plans (inGude beam & window sizes; pouretl fid. design; etc.) ? 1 energy calculations ? 3 copies af tree preservation plan H lat platted after 7/1/93 tequired: _ Yes _ No DATE: L DESCRIPTION OF WORK: f - r«0-r STREETADDRESS: ,16 2$ orwoad LOT: 11_ BLOCK: 3 SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHIT'ECT/ ENGINEER ? 2 copies of plan ? 2 site surveys (exRerior addRions 8 tledcs) ? 1 energy wlculations far heatad additions CONSTRUCTION COST; --S ??. o Z Name: Phone #: 4o'?2 6-c(- Lar? Fust Sveet Address: 1la z f5 No f wo 0 Dr_ City State: Zip: SS ?? z (? Company: f'u f.?( w¢,g? ! ;'M ? IrC70T Phone #: Street Address: 1003 )S? C License # 2 047-MG City 6c.CYNS 4?! llPi State: M/U, Zip; S`5 33 7 Company:_ Name: Street Address: City Sewer & water licensed plumber (new construction ony): Penalty applies when address ctaag and lot 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 atl appumb1 State of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Recsived Yes Phone #: Registration State: Zip: BlIILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex 13"02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex 0 05 SF Misc. ? 10 = plex WORK TYPE P < , - OFFI CE USE ONLY ? 11 Apt./Lodging ? 1 6 Basement Finish ? 12 Multi Repair/Rem. ? 1 Ii7 Swim Pool ? 13 Garage/Accessory ? 2 0 Public Facility O 14 Fireplace ? 2 1 Miscellaneous ? 15 Deck 1I ? 31 New ?33 Alterations ? 36 Move 0 32 Addition p,"34 RPpair n 37 Demolition GENERAL INFORMATION Const. (Actual) _ Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. # of Stories sq, ft. Length sq.ft. Depth Footprint sq. ft. APPROVALS Planning Building MCM/S Sy; City Water Fire Sprinkli PRV Booster Pur Census Co< SAC Code Census Bld! Census Uni1 Engineering Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SM/ Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total; - Sf??.?Valuation: $ S5 (v (a.Oa.. ?"?? % SAC SAC Units xollefeon Buildera Inc. ? Or.11295 ., 183-72A F. C. JACKS ??IN 5=?c.?; :"=3a' uNOSUaveroR ? • lROI•I 727-3484 6F n`• c „-, !V FL RH6IPTBRHO UNOHR LAWY OR BTATE MIHNBtOTl1 E f%.f 7{j LIC6NSt0 W?ORDINANC[ O/ CITY or wi?eu?oLn oU'r'?'?` e?63 ?Asr aarx STREET 'dr' ?i?/oJ.?.f m2??? j 55417 ? bucbepor'i? QLttlificatt ? • = - ?,-' i ? W r?1 1-•-- G l23 3C 14 24 - ' 1 IS ;r-nkaGE ? II ?1ryU?1 ??i ? ? .10 ??4` \ ?[fVEcMRNA ?? I? ' ICD I ? . i Z ?? ._..?.._.. Ifi I HHRiBY CERTIW TXAT TX91 ABOY6 10 A TpU[ ANO OORR[CT RAT OR A ? Lot I1,Block 3,Brittaoy, Dakota Caunty,MLnneeo[s. I5 ?o Or I Prapoaed Garl ge Floor Elev. 100.0 Prupsaed Firet Floor Elev, 100.83 Prapoeed Basaarxnt Flsor filev.92.33 6 ill w5 SURVEreO !r ME T„IS 4th_ OAY OF Marcn _A.D. 1982 10r??? . F. GI JACKSON. 14 ?n ? A R[atsrru7wN. 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V ? , ; a . ,d l . .?? ? ? v _ VX?11vry\ ? L L BL S SUBD. CITYUSEONLY 0 ? RECEIPT#: C3 7 RECEIPT DATE: 1998 PLUMSING PERMIT,(RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IINOB RD EAGAN, MA7 55122 (612) 681-6675 11 Piease complete for: D single family dwellings D townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system FiXTtiRES Er4CHi, # Shower 3.00 x = Water CloseE 3.00 ! x = Bath Tub 3.00 ' x - Lavatory 3.00 x = Kitchen Sink 3.00 1 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00' x = FloorDrain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 , x = Rough Openings 1.50 x = Water Softener " for dwellings under construction 5.00 x = ater Softener ' for existing dwelling 20.00 p, x U.G. Sprin c er " for dwelling under wnst. 3.00 U.G. 5pdnklef " for existing dwening 20.00 ' - Alterations ' to existing residence 20.00 Water Turn Around 20.00 Private Disposal System ' MPC iia 75.00 ` _ (new and refurhished systems) Private Disposal Systems'Abandonment 20.00 = STATE SURCHARGE TOTAL TOTAL ZD, c.-0 .50 ? - ------- ---- Y --°-----9 • - -----ave - - - - ? - - - -'- °------•-------------'---...-•---° -ordin-ances.- - City M - Eagan- I hereb acknowled e that I h 2ad this applicaGon, stete - that tAa iMOrmation - is - eo -° rted, - and - agree - to comply - with - all - applicable - It is the applicanYs responsibiliry to notiry the property owner that the City of Eagan assumes no liability for any damages caused by tbe City during its normal operational and maintenance activities to the facilities eonstruded under this pertnft wkhin Cily property/right-of-wayleasement. SITE ADDRESS: OWNER NAME: tNSTALLER NAME: . DBA STREET ADDRESS: ciTV: MN JSlFORMS BLDGIPLBG PERMIT (RESIDENTIAL) 1998 BULBACH, PHIILIP 1628 NORWOOD DRIVE EAGAN, MN 55122 (612) 452-0854 TELEPHONE enc ' STATE: ZIP: CITY IISE O\LY LOT A- BL ? RECEIPT #: 11 SUBD. Y1?'T F?,? RECEIPT DATE: 11 MECHANICAL PERMIT # 1999 MECHANICAL PEiMTf (RES1D£NTtAla crrY oF EAsArr 3$30 PILOT KNdBi RD + fr4fiAN MN 5$122 tss» 681-4675 ? Date: 1: Complete this sectian onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occunied. • HVAC: 0-100 M B T U $ 30.00 P.Ulll'1'1llNAL 50 Nl B'1'U ' 6.00 • Gas outlets (minimum of one required @$3.00 ea.) State Surcharge .50 Total $ i. Complete this section onfv if you are remodeling, adding to, I'yor repairing an existing single family dwelling townhome, or condo. Please indicate if it is a new item, alteration;, or repair. _ New Alteration A Repair _ Other Reminder: Ca11 681-46 75foninspectEons. ? Fumace _ Air exchanger SITE ADDRESS: I fO ? - Au conditioning Other $ 30.00 ? 3tate Surchazge Minimum Total Due $ 30.50 rA OWNER NAME: I P CY C?i f'YI YYl P PHONE #: ? ,ros?am.ansrn?s?_..?.?,„ . ;. ( c nE) - INSTALLER NAME: ?? alnt?r?76aKE - 7F- PHONE #: (AREACODE)' STREET ADDRESS: aS2??'?"'S CITY: CITY USE ONLY L _ BL _ RECEIPT#: SUBD. RECEIPT DATE: APPROVED BY: , INSPECTOR MECHANICAL PERM 1999 M£CHAIVICAL PERMIT (COMbiEfiCIAL) + CITY dF EAHA1V ` 3$30 P1LOT KNOB ftD EAfiAN, MN 551 EE (651) 681-4675 i? Please comptete for: all commercialrndustrial buildings j multi-family buiidings when separate permits are not required for each dwelling unit DATE: CONTRACT Px2ICE: WORK TYPE: _ New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank (Minimum Fee) Processed Piping (Nlinimum Fee) "NOT'E: When installing/removing underground tank, call 651-681-4675 for inspec'tion by fire marshal and plumbing inspector. DESCRIPTION OF WORK: „ FEES: 1% of contract price OR $30.00 minimum fee, whicbever is greater. CONTRACT PRICE x 1% PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLI): iNSTALLER: ADDRESS: C1TY: ii ? ($50 per $1,000 of ggm?ii fee due on all pemvts.) V r? PHONE #: - I (AREA CODE) " Y PHONE #: - i . (AREA CODE) 'i STATE: ZIP: Ij SIGNATURE OF PERMI"ITEE i; 4' -?-- ? ? I G 2006 RESIDENTIAL MECHANICAL rExMiT ArrLicaTlorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Piease complele for single family dwellings & rownhomes/condos when permits aze required for each unit 50 Date fF ( r1C7 / 0_G (W`^COn " ? C' Unit # Site Address Property Owner hwtL/1. " /," i2l Telephone # (&S/ ) Contractor STANDARD HEATING & AIR CDNDITIONING 4 StreetAddress MINNEAPOLIS, MN 55408 612 824 2656 City StaYe Zip Telephone# ( ) ?L 1 0559'191 i E g 16'ou Baod#: res: xp The Applicant is _ Owaer X T? Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _,Additional &eplacement _ New air exchanger X air conditioner heat pump other State Surcharge $ .50 $ ? 6'0 Total I hereby apply foc a Residential Mechanical PermiC 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 Mechanica 11 t I understand this is not a permi but only an application for a permit, and work is not to staR with t a e it; that th w w II in accordance with the -Ry appr d plan in the case of hich requires a review and approval o plans. kM4A) Applicant's Printed Name Applicant's PERMIT City of Eagan Permit Type:Building Permit Number:EA107285 Date Issued:10/03/2012 Permit Category:ePermit Site Address: 1628 Norwood Dr Lot:11 Block: 3 Addition: Brittany 01st PID:10-15000-03-110 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 8,430.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Tedd W Lamm 1628 Norwood Dr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170052 Date Issued:06/17/2021 Permit Category:ePermit Site Address: 1628 Norwood Dr Lot:11 Block: 3 Addition: Brittany PID:10-15000-03-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Tedd W & Monica R Lamm 1628 Norwood Dr Saint Paul MN 55122--275 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171076 Date Issued:07/29/2021 Permit Category:ePermit Site Address: 1628 Norwood Dr Lot:11 Block: 3 Addition: Brittany PID:10-15000-03-110 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or 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 - Tedd W & Monica R Lamm 1628 Norwood Dr Saint Paul MN 55122--275 (651) 269-8545 Eagle Siding 1301 East Cliff Road Suite 117 Burnsville MN 55337 (952) 746-3046 Applicant/Permitee: Signature Issued By: Signature