1643 Norwood DrPERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148800
Date Issued:04/23/2018
Permit Category:ePermit
Site Address: 1643 Norwood Dr
Lot:6 Block: 2 Addition: Brittany
PID:10-15000-02-060
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
James Abbott
1643 Norwood Dr
Eagan MN 55122
Janecky Plumbing Service
720 Pontiac Place
Mendota Heights MN 55120
(651) 454-9297
Applicant/Permitee: Signature Issued By: Signature
? CASH RECEIPT
?
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19 1/
eeccrven FROM
AMOUNT $ I , _
& DOLLARS
?oo
C:] CASH ? CHECK
Thank You
?-, ?BY
White-Payers Copy
Yellow-Posting Copy
_'. # ? ' Pink-File CoPV
CITY OF EAGAN
8795 Pilat Kaob Rond Eogen, MN 35122 Ng 5391
PHONE: 454-8100
BUILDING PERMIT Receipt #
Te be usad fer Est. Volue Dote - 19
Site /lddress Erect ? Occupancy
Lot Block Sec/Sub. Alter ? Zoniny
Porcel # Repoir ? Firo Zone
Enlorye ? Type of Const.
a? ;
Nome Move ? # Stories
? Address ^ Demolish ? Front ft.
nL,,.._ r- Grode fl Deuth ft.
°C Name _
o
?? Address
?- r?...
Name _
Address
Assessment
Water & 5ew.
Police
Fire
Eng.
Planner
Council
Permit _
Surchorge
Plan check
SAC
Water Conn.
Woter Meter
I heneby acknowledge thot I have read this application ond state that Bldg. Off.
the information is correct ond agree to comply with all opplicable APC Total
State of Minnesota Stotutes and City of Eagon Ordincnces.
$ignoture of Permittee
A Building Permit is issued to: on the express cond(tion tfict
all work shall be done in occordance with all applicable Stote of Minnesota Statutes and City of Eogan Ordinances.
Building Offfciol
Permir # aar. n- -a r.r.nt..
Plumbing I 4,5R - Z(S-_7
Mechonicol
INSPECTIONS DATE INSP.
Rouph-In
Flnol
Footings Dote Inap. Dote Irnp.
Foundation Plumbing - 7
Framelins. f -? ? y Mechaniwl
Final ?.Z-•;Q- 9
Remorks: ' I A^ '
_ ??, !( b t C«?t ????? 41
CITY OF EAGAN
3795 Pilof Knob Roed
Eogan, Minnesoto 55122
Phone: 454-8100
HEATING PERMIT
Dote: 2ptemer 25• 1974 Receipt No.:
Single
Site Address: 1663 ?10L07oOC3 III'?'VC Residential
Lot (I Block 2 Sub/Sec.Br LtaIIy _ Multi Res.,
t
?
e
O
0
a
Y
C
0
U
TI
M
Nome
No. 1557
16002
I _>
Tollefson Buildeza
i Address 13856 Polyoke Laqe
i City&1)~ 17 alle?t Phone:
Name Cenz Rvan Plwnbiug & iteatin.g
IiAddress 14745 South R.obert Tra? 1
City
Phone:
is Permit is issued on the express condition thot all work shall be
nnesoto Statutes and City of Eagon Ordinances.
New/Alter./Repair
IIP_'ii
Cost of Installation
?n
20.
Permit Fee
Surcharge . 50
20.50
Totol
done in accordance with all epplicable State of
Buiiding Officiol
CITY OF EAGAN
3795 Pilo! Knob Road
Eagon, Minnesota 55122
Phone: 454-8100
PLUMBING
PERMIT
Date: sePCember 28, 1979
1643 Rpr?ood Drive
Site Address:
Lot Block Z
iName Tollef9on
.
0
e
3
O
t
?
r
0
V
TI
M
Address 13816
Sub/Sec. ?`'tittsIIy
A.veaue
' City APp2@ Yalle9 Phone:
IName `=enz Rpan P1tr6iIIQ &
i Address 14745 South Rabert Tra: l.
II City Phone:
,is Permit is issued on the express condition that all work shall be
nnesota Statutes ond City of Eogon Ordinonces.
No. 1498
16089
Receipt No.:
Single I ?
New/Alter./Repair. Cost of Instailation
Mes+
Permit Fee 20.00
Surcharge • 50
Total
done in occordance with ull npplicable State of
Building Officiol
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189
(612) 681-4675
SITE ADDRESS:' 10
• . ;i??:.i-ii?i+t? IlF?
PERMIT SUBTYPE:
.. ,,.1 ,. ...
11?ISYL?;`1'lUl?l KL(.:UltlJ
PERMIT TYPE:
Permit Number:
? Date Issued:
01.0. Sz ' APPLICANT:
Ei k I t1CK z
AZi'FC N00F'1N1:
( f, I .' i ir'$ ' 0 54441
TYPE OF WORK:
rlr 1I"f 1 fiMi
r, . ..,.. .
r3t?i, A rH
?{ F 1: ro (1 F
..9 ?r i?>
? . . - .. ? . . J
Andrea Froeber
From: Michelle Kelvie <michelle@signaturehomeservices.org>
Sent: Thursday, October 27, 2016 1:28 PM
To: Building Inspections
Subject: Permit #EA139262 1643 Norwood Dr
Importance: High
To whom this concerns,
Please note we removed and replaced siding to the rear face of the home only: Permit #EA139262, 1643 Norwood Drive,
Eagan, MN 55122.
If there is anything else needed, please don't hesitate to contact me at 651-2704592 directly.
Thank you,
Michelle Kelvie
Operations / Accounting Manager
Signature Home Services, LLC
MN Lic #BC396508
P 651 731 1147
F 866 316 7169
C 651 270 1592
E michelle(�SignatureHomeServices.org
W www.SignatureHomeServices.org
1
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING kr,
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE ,
FIREPLACE
AIF TEST 'i
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 49 ?,r'? , %??"c .e;, ? ..:'s .?;. ,? •r;? '.n,?, ?? ? ">-:
Addition BRITTANY Lot 6 ' Blk ' Z ? Parce1 lp... 15000 069 02
Owner ;` screet 1643 Norwood Drive State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. LV 182 2819.87 563.97 5 2255.90 C008012 9-27-82
STREET RESTOR.
GRADING J/`ad
SAN SEW TRUNK 104. 36 A008728 12 I3 79
* SEWER LATERAL
WATERMAIN
* WATER LATERAL
WATER AREA
STORM SEW TRK I$
• STORM SEW LAT 19$1
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CON(V.
270.00'
5/7g _
8UILDING PER. $39 5/79
SAC _
15784
S/79
PA??
WATER SERVICE PERIVIIT
cirY oF EaaGAN
3795 P:lor Knob Road PERMIT NO.:
MN 55122
ko
on DATE: -
,
g
Zonin
: of Units:
No
g ,
.
Uvner: -
Address:
_
Site Address:
Plumber:
Met
r No
: Connection Charge:
.
e
Size: Account Deposit;
Reader No.: Permit Fee:
of 8ugon
e t
m
F
it6 th
Gt
1 $urcharge:
p
q
agre
a co
y w
e
Ordinances. Misc. Charges.
Total:
gy Dote Poid
Dote of Insp.: Insp.:-
CITY OF EdGAN SEWER SERVICE PERMIT '
3395 P+1ot Knob Rood PERMIT NO.:
Eagan, MN 55722 DATE:
Zoning: No. of Units:
Owner: -
Address:
Site Address: -
Plumber:
t agree ta tomply with the City of Eogon
Ordindnaes.
By _
Date of Insp.:
I nsp.:
1• ? ?
Connettion Charge: ?, ?.,."?:? •?
Acwunt Deposit:
Permit Fee:
Surcharge: -
Misc. Charges:
Tota I:
Date Poid:
CITY OF EAGAN
3%5 Pilet Kne6 Road Eagan, MN 55122 N2 5391
BUILDING PERMIT APPLICATION PHONFs 454-8100 2eceipt #
ro bo ma fo. SF Dwlg & Garage En. vai„Q 58,000. Date 9-5 , 1q79
Site Address ioej ivULwwcx uiive
Lot 6 Block z Sec/Sub. BrlttC'1Tly
Parcel .#
e Name Tollefson Bldrs., Inc.
Z Address 13816 Holyoke In
? Ci Apple Valley phone 454-6873 E? ?
Alter ?
Repair ?
Enlarge ?
Move ?
oe,,,oi;5r, ?
Grode ? ?upancy gj
Zoning Rl
Fire Zone 3
Typa of Const. V
# Srories
Front 72 ft.
Devth 2$ ft.
o Name Same Apprarols Fees
ou Address Assessment Permit 152.50
U? Water & Sew. Surcharge 29 • 00
CI Phone Polite Plan eheck 76.25
hw Name Fire SAC 525.0O
?? Address Eng. Water Conn. 270.0
aw Ci Phone Planner WaterMeter?0
Council RU2[1 UI7it 75.00
I hereby acknowledge that I hava reod this opplication and state ihat Bldg. Off.
tha Informotion is corrett and agree to comply with all opplicoble 1
187.75
?¢ ity, of Ea n Ordinances.
Stata of Minnesoto $tatutes a
nd APC ?
ToTal
?
,/
Signoture of Permittee ?n- ?`? ?
T6llefsari c'irs, Inc,
A Building Permit is issued to: ,
on the express condition that
te of Minnesota Statutes ond City of Eagan Ordirronces.
a
all work shall be done in acco nrye wit I? plicable St
,
/
Buildirg OFficial `?
? CITY OF FiG.LY?5
7
BUILDI"IG YERMIT APPLICATION
Z!5 0 V V
Tc be used for L Valuation _
Site Address bI ja q ?IVC
Lat Block o? Sec./Sub. _Rri
Parcel U =i?U? ?%?'-??.,?osXi
Wner:
Address
Phone 4
Co`ntrac
Address:
Yhane 9: "rs
Arch/Eng.:
Address: _
Erect
Alter Zoning
Repair
Enlarge YP
Move 6 Stories
Demolish Front ft.
Grade Depth ft.
Approvals Fees
Assessment
?
?a7 ?Yermit /vro?
Water/Sewer Surcharge ? 9?
Police Ylan Check 7/0
Fire SAC ??oZS
Eng. Water Conn. 22D
Planner Water Meter
Council „ Road Unit
Bldg. Off. 'i
APC _ .. .?
? Inciude 2 sets oi plans.
1 site plan v/elevations 6
1 set of energy calculations.
Date Al"s /
OFFIC USE ONLY
_1? Occupancy
Fire Zane
T e af Const.
TOTAL
Phone tF:
a v, ? ,-20
-'/ n -
- , (i
Minnesota State Board of Electricity
15.i4 University Ave., St. Paul, Mim. 55104-Phone 645-7703
• REQPIEST FOR ELrt(7TRICAL INSPECTION
CHECK BELP"V WQRK COVERED BY THIS REQUEST
/ 6 ?? e-24
S 13721
Type of Bu mg New Add. Rep. CheckAppliances W'ved For Check Equipment Wired For
Home 7U ? ? Aange ]94.? Tempoiazy Wiring ?
Duplex ? ? ? WaterHeatec ? LightingFixtwes ?
Apt. Bldg. ? ? ? Dryei ? Electric Heating ?
Commeroial Bldg. ? ? ? Furnace XV• 00 Silo Unloadec ?
Industrial Bldg. ? ? ? Air Conditioner ? Butk Milk Tank ?
pList
?s1 Lpist
lS#
e
O hei ? ? ? ].4 .
Hehe 18h.XY . H
re
COMPUTE INSPECTTON FEE BELOW
Seivice Entrance Size: # Fce Feedecs ubteedezjp # Fee Cvcuits: # Fce
0 to 100 Am s. 04w0 vn r Si 0 to 30 Am e[es u 2.
101 to 200 Ampf}. ('r 10 31 6`it1R -'piles 31 to 100 Am etes
Above 200 Amps. # bAmps. Above l00 Amps.
Transformers e eCondolC"uc. Partialorotherfee
Signs ?$pecial Ins ection Minimum fee 5
Remarks Je£f D. TOTALFE [f4..0 44•5
1, the Electrical Inspector, hereby certif fi8t the oipspection has been made:
(Rough-in) d. ?/,?P?ii.t .Q)_ Date lG r f? 7?
(Final) Date1- 30- cc)
This request void 18 months from
? This? equesl vbi?1j months from -l' 2
Date of this Rcquest 10-4-1979 S 13721
I, as Micensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 1643 Norcrood Drive CityEau'an
Section Township
Range County Dakota
Which is occupied by Tollefeon
(Nama of OccuDant)
Is a roughin inspection required on this job? No ? Yes E3c Ready Now ? Will Call Ek
PowerSupplier nAknta C+,y. Address Farra;nmto„
Electrical Contractor O.B. Thompson Electri cCo. Contractor's License NoA1'?22
Mailin Address 12201 Mtka m?lvd ?m Pdtka 55343
S
. (Electrlcal Contrector or OwnerMaking 7his Installatlon) .
Authorized Signature
% . Phone No. :(Electricai [ontra<tor or Ownar Making This Installatlon)
SUVE D^ ??? ?0?? This inspection reqPe Pwili nPt he eccepted by the
J State Board unless ro er ins ection fee is endased.
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
o?
New Construction Reouiremenfs RemodeUReoau Reauirements OtficeHseLfnlv
3 registered site surveys showing sq. ft. of lot sq. ft of house; and all roofed areas 2 copies of plan Cen?ZuNeygectl;
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated addNons TreeP(es Plan??? ? "?t N.
2 copies of plan showing beam & window sizes; poured found design, etc. 1 sile survey for additions & decks Taee-PIeR N
isetofEnergyCalculations Add'dion-indicafeilon-sifesep6csystem
3 copies of Tree Preservafion Plan H bt platled after 711193
Rim Joisl Dafail Options seledion shcet (bldgs wifh 3 or less units
,L5/ ! /
Date // / Construction Cost ? ,,5-q
_
SiteAddress (1? 7? ?xIY?? VeJ GQ?QIV UniUSte #
MN, 5.?/23
?
en ?
g
Descriptlon of Work e{?
aU_M "
Multi-Family Bldg _ Y?N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone#(&5)
Contractor 17?_&
.55
Address
3 City `e
?
j
State / !N• Zip Telephone # ( F7VI) - O
v v.?u.y q "cfnvucplltJ, 1114.
/VEW fldd`(?.rS ;? 11825 Point Douglas Dr. S.
COMPLETE THIS AREA
- Minnesota Rules 7670 Cateeorv 1 _
Energy COde Category , Residential Venfilation Category 1 Wwksheet
(J submission type) Submitted
• Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a s?ar plan? _ Y
fee applies.
Licensed Piumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # (
N If so, 25% plan review
I hereby apply for a Residential Building Pernut 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 permit, but only an application for a permit, and work is not to start without a
,in the case of work which requires a review and
permit; that the work will be in accordance with the approved plan
approval of plans.
ApplicanYs Printed Name /
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Wwlcsheet
Submitted
s
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ?'30 Accessory Bldg
q?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 O 10 08-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 [H. 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation O 45 Fire Repair
? 33 Alteration O 37 Demolish Building• ? 43 Reroof ? 46Windows/Doors
? 34 Replacement 'DemoliL'on (Entire Bidg) - Give PCA handout to appliwnt
/ JU
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Srories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ InsulaUOn _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
-70 00
- J?V
??
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
j 3830 Pilot Knob Road, Eagan MN 55122
TelepLone # 651-675-5675 FAX # 651-675-5694
New Consan Reaui2menls
3 registe2d site surveys showing sq. N. of lot, sq, ft of house; and all roofed areas
(20% merzimum lot coverege allowed)
2 copies of plan showing bmm & wimlow sizes; poured found design, etc.
i set of Energy Calculafions
3 copies of Tree Preservatlon Plan if lol platled a(ter 711193
Rim Joist Detail Optiorx selection sheet (61dgs with 3 or less units
RemodeURepair Reauiremenfs
2 oopies of plan
1 set of Energy Calculations for heated additions
1 siie survey ior addiFwns 8 decks
Add'dion - indicate if onsde septic system
?i
? .?
?
... .. a.... .. . ...... ". ....?,...
te I I ?' Construction Cost
Site Address k r woLid D r UnitlSte #
Descrlption af Work wnU 3
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
ProperTy Owner J0 C e- ck5pj.I?SSC4 Telephone # ( ?o5') 45?,- 5c° 67
Contractor
Address • • •
State 11825 Point DOUg189 Df• S. Zip
Hastings, MN 55035 City p,),?
Telephone #({p?) ?? 0U`t`'?'
?I ?v?t add ?esS ?'
COMPLETE THIS AREA ONLY IF
- Minnesota Rules 7670 Cateeorv 1 -
Energy Code Category . Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
?(Ll
N If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge th the information is co plete and accurate;
that the work will be in conformance with the ordinances and codes?-o??-L d 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 work will be in accordance with the approved lan in the case of w k which requires a review and
approvai of plans.
Applicant's Printed Name A licanYs Signature
Telephone # (
OFFICE IISE 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 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 DS-plex ? 18 Deck ? 23 Porch (screen/gaiebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage !
? 06 04-plex ? 12 12-plex PI6g_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46
? 34 Replacement 'Demolition (Entire Bldg) - Gi ve PCA handout to appliwnt
Valuation Occupancy MCES System _
Certsus Code Zoning City Water _
SAC Units Stories Booster Pump _
# of Units Sq. Ft. PRV _
# of Bldgs Length Fire Sprinklered
Type of Const Width
i,
_ Footings (new bldg)
_ Footings(deck)
_ Footings(addirion)
Foundarion
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 ?C)
Other
Total
?
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi Misc.
Siding
Fire Repalr
Windows/Doors
i.
REQUIRED INSPECTIONS
_ FinallC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC Other
_ Pool _ Ftgs _ Air/Ga's Tests Final
_ Siding _ Stucco _ Stone, _ Brick
Windows
_ Retaining Wall
Building Inspector
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
?? C? •?? 3830 Pilot Knob Road, Eagan MN 55122 ?'
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomeslcondos when permits are required for each unit
Date ID la-) l Ql--+
Site Address Unit #
Properry Owner JOU c t R) G f, vn ?-3 Ln SG n Telephone #((o5i) y5D-5 ta3-7
Contractor c Uh"VY' UEo R r
Street Address 81 a) Q E g?? t? U E CitY F;? r m ?n
State ? (J Zip ESfDCK-:?y Telephone # (tcb I ) ?-{ 'r-,C7- (003<3t
Bond #: Expires:
The Applicant is _ Owner X Conffactor _ Other
Add-ou or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
? airconditioner _New _Replacement
other
e 4q N
$ .50
State Sureharge eGQv
Total ? $
I heieby apply for a Residential Mechanical Pemut and acknowiedge that the information is complete and accurate; that the work will
be in wnfocmance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlris is not a
permit, but only an application for a pemut, 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 lans.
ApplicanYs rinted Name App ic Y Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagaa MN 55122
Telephone # 651-675-5675 ,
Please complete for: commercial/industrial buildings
multi-family buildings when separate permiTS are not required for each dweliing unit
Date / /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name 1I
ProperTy Owner Telephone # ( ) i
Contractor
Street Address City
II
State Zip Telephone # ( )
Bond q: Expires: ?
The Applicant is _ Owner _ Contractor _ Other
)I
Work Type
_ New Construction _ Underground Tank _ Install _ Remove i see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
`*When installing/removing underground tank, call forinspection by Fire Marshal and Plu Jl bing lnspecfor
P¢rmit F¢05: $70.50 Underground tank installation/removal ?I
$50.50 Minimum (includcs State Surcharge)
or '
ContractValue $ x 1% _ $ PermitFee
• If ep rmit fee is $1,000 or less, add $.50 => $ 9I State Surcharge
If oermit fee is over $1,000, add $50 for
every $1,000 oermit fee $ Total Fee
I hereby apply for a Commercial 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
not a permit, 6ut only an application for a permit, and work is not to start without a permit; that the work will be in acwrdance with
the approved plan in the case of work which requires a review and approva] of plans.
ApplicanYs Printed Name
Applicant's Signature
Approved By: , Inspector Date:
2004 RESIDEN7'IAL BUILDING PERMIT APPLICATION
City Of Eagan
?-- , -? 3830 Pilot Knob Road, Eagan MN 55122 ac4 l+-? S
??? s1 Telephone # 651-675-5675 FAX # 651-675-5694
New Constructian Reauiremenis RemodeVReoairReauirements
3 registered site surveys showing sq. ft of bt, sq. ft of house; and all roofed areas 2 copies of plan
(20% mazimum bt coverage allaved) 1 set of Energy Calamtions for heated addNOns T"
2 wpies of plan showing beam & window sizes; poure:l lound desogn, etc. 1 site survey for additlons & decks ? .M I
1 set af Energy Calculations Additlon - indicate if onsife septic system
3 copies of Tree Preservation Plan rf lot platled afier 711193
Rim Joist Oelail Options selection shcet (bid3s wtlh 3 or less uniLs
Date I O
O
Site Address / Construction Cost , 3 5v
V
UniUSte #
Description of Work ?l-
Multi-Faroily Bldg ? Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner o ? ??`C.+ J Telephone #(65? 7' j,?O` 6-65/
Contractor
Address
State Ng '
Wrned. MN 55M Zip Cit3' ?-?/ ?
Telephone #&? J/T
/ '
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventllafion Category 1 waksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar pla ?Y/ N If?,9e;"25%dJplan
fee applies. U `"L,? ?Q_
U .(?c
Licensed Plumber ? r? 2 n M f? I n? n T??ph?ne #( )
? V «titi?, c??
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
I hereby apply for a Residential Building Pemut 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 apglication for a pernut, and work is not to start without a
permit; that the work will be in accordance with the aunroved plan in the case of work which requires a review and
approval of plans.
ApplicanYs Printed Name 4plicant'ZsSiatu?
review
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 Poroh (3-sea.) ? 31 Ext. Att- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc,
? OS 03-plex O 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-ple% ? 12 12-plex Plbg_Y or _ N ? 25 MiscellaneouS Work Types
)( 31 New
? 32 Addition
? 33 Alteration
? 34 Replacem ent
Valuation 1) 56q
Y?7--
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundarion
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insularion
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
ToWI
? 35 Int Improvement ? 38 Demolish Interior x 44 Siding
? 36 Move Building ? 42 Demolish Foundation 13 45 Fire Repair
? 37 Demolish 8uilding* ? 43 Reroof O 46 Windows/Doors
'DemollSon (EntFre Bldg) - Glve PCA bandout to applicant '.
Occupancy MCES System
Zoning City Water ,
Stories Booster Pump ;
Sq. Ft. PRV ?
Length Fire Sprinklered '
Width
i
REQUIRED INSPECTIONS
FinaUC.O.
FinallNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
W indows
_ Retaining Wall
Building Inspector
?
.
C?
PERMIT# 553-7w
RECEIPT DATE:
2002 :luaIDENT1141. 'Pj3UM$uNIR PERUff A'PPLICiATIOR
Cil l I OF KA6M
S$SO PII.OT KAOB itD
EAsAv. anv 55122
851-691-4675
Please complete for: single family dwellings, townhomes and condos when pertnits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: llCl"1?) oorvrood 11r.
OWNER NAME: : SApu.e, IZA.,S mU S-SeXI TELEPHONE #: S I- y 6 a~5(,z-r7
(AREA CODE)
INSTALLER NAME:
TELEPHONE#: gna _ 410cl - b9qq
(AREA CODE)
STREETADDRESS: -54LIil- yl nVG-
CITY: Lo-!l wI (1C% STATE: MN ZIP: 5t5(Vq
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 ?
includes $40.00 County fee I
Note: Additional consultant fees may apply
. MODIFICATIONlALTERATION TO EXISTING DWELLING UNIT, INCLUDING;
_ Adding fixtures to lower leveis or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
- '.r ... ^?
'r
_ RPZ: new installation/repairlrebuild I; I
I S?Cp ? 30.00
j
Q?O?
_ lawn irrigation system
f
13 V
L/I
Replacement/additional: water softener 7x water heater $ 15.00
State Surcharge $ 50
t $5-50
To
al
I hereby acknowledge that I hava read ihis application, state thatthe intortnation is correct, and agree to complywilh all applicable Gity of Eaganordinances. It
is the applicanPS responsibiliry to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused y City durin9 its normal
operalional and maintenance activities to the facilities consWcted under this permit Hiy?Vg?(ry p?p?y/rjpht? y/e seme t
V? l ?
SIGNA URE OF PER I E 1102
;j 2 +
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Constructlon ReauiremeMs
• 3 registered sde surveys showing sq. ft. of lot, sq. 8. of house; aiM all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam d window sizes; poured found design, etc.)
• 1 set o( Energy Calculations
• 3 copias o( Tree Preservation Plan if lot platted after 717/93
• Rim Joist Detail Options selection sheet (bidgs with 3 or less uniGs)
DATE '/' -cl"v;?-
JOB SITE ADDRESS_Z?g !Z
IF MULTI-FAMILY BUILDIN ,
PROPERTY OWNER
TYPE OF WORK
APPLICANT
UNITS?
"V\-.U
RemodellReoairReouirements
• 2 copies of plan
. 1 set of Energy Calculatiom Por heateb additions
• 15itesurveyforezfenoraddNions&decks ?
. Indicate if home served by septic syslem for additions
VALUATION ?)-7> ? OG
FIREPLACE(S) _ 0 _ 1 _ 2
PHONE#
ADDRESS 1:5-'y D6G ve- ZIP CODE
PAGER # CELL PHONE #
fAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor.
All above information must be submitted prior to processing of application.
Phone #
Phone #
I hereby acknowledge that I have read this application, state that the information is
with all applicable State of Minnesota Statutes and City of Eagan Ordinance3j yr
Signature of Applicant
_ MINNESOTA RULES 7670 CATEGORY 1
- Residentlal Ventilation Category t Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
Water Softener _ Iawn Sprinkler
Water Heater No. of R.I. Baths
No. of Baths
Air Conditioning
Heat Recovery 3ystem
Fcc: $90.00
Fee: $70.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex ? 20 Pool
? 08 06-plex ? 16 Fireplace X 21 Porch (3-sea.)
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sE
? 10 08-plex ? 18 Deck ? 23 Porch (screened)
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New
x 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
OOG °o
Y?
?/ ^ N
? 35 Int Improvement ? 38 Demolish (Interior)
? 36 Move Bldg. ? 42 Demolish (Foundation)
? 37 Demolish (Bldg)" ? 43 Reroof
*Demolition (Entire Bldg only) - Give PCA handout to a?
Occupancy MClES :
Zoning ?- 1 City Wab
Stories ? Boosterl
Sq. Ft. 7 ( ?o t,.&JRV
Length 2'r `(`r FireSprii
Width 13 ?- lo "
I
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) FinaUNo C.O.
x Footings (addition) _ Plumbing
Foundation HVAC
_ Drain Tile Other
Roof _X Ice & Water _X Final
Pool
Ftgs _ Air/Gas
? Franring _
_
_ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
2 -SiCAS??
1-p ffi ^
s/
" f) 1 Ti."
?
?
?
?
44
45
46
30 Acces3ory Bldq ?
31 6ct. Alt - Multi '
33 Ext. Alt - SF
36 Multi I
Siding
Fire Repair
W indows/Doors
_ Final
, Building Inspector
--- - -- - - - ---------------------
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Or.11059
183-58A
. F. C. JACKSON
LAND BURV6YOR xf .k /Sfi ?l ?j ti ?CY.
RQ618T[R!D UND80. LAWS p/ iTAT[ Or MINN[p A
LIC[N8[O BY ORDINANC[ OF CITY OR MINN[AlOUi
9816 EAST 967H STREET 55417 727-3484
' ?-,,,?_ ?ucUepor'g CLertiticatc
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I NlREBY CYRTI?Y TNAT TN[ ABOV6 16 A TRUi AND OORRtCT PLAT OR A SURVtY Or
Lot 6,Hlock 2,Brittany,
llekota County,Mirtn.
At SVRViYlO BY M[ TNIS--19Ch_DAY 1979
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F.
F. C. JACKSON, MINNy ' 7 R[ouTnw7roN. ND. 3600
PERMIT
?CIT'Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE:
gusLnzNG
Permit Number: 033583
Date Issued: 19 / 05/ 9 S
SITE ADDRESS:
1543 NORWOOD DR
LOT: 6 13LOCK: 2
BRTTTANY
P.I.N.: 10-16000-060-02
DESCRIPTION:
REROOF
ermit Type STORM qRMAGE
&rk Type f2EPRIR
434 ALT. RESIDENTIAI,
pe?g r? ?? rv
'Y`Q 5 ?q "t??
??i???'" ? i?? ??s "a? $w i'k
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Rpplicant - sT. LIC. OWNER:
A2TEC RUOFING 18960040 20139140 RASMUSSENII OTTO
11583 RUPP RD 1643 NORWOOD IJR
BURNSVILLE MN 55337 EAGAN MN 55122
(512) 895-0040 (661)462-5637
APPLICANT/PERMITEE SIGNATl1RE
SUEO BY: SIGNATMTF
4 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EAGAN
3830 PII.OT KNOB RD - 55122 Z$
-3 681-4675
New Construdioe Reaui2men? RemodeUReoair Requirements 27-
V
? 3 registeretl site surveys
? 2 copies af plans (inGude beam & window saea; poured fid. design; etc.)
? 7 energy plculaHons
? 3 copies of tree preaervation plan iI tot ptatted after 7l1/93
required: _ Yes _ No
DATE: -q 3
LOT: ? ? 2 copies of plan
DESCRIPTION OF WORK: ?-1- K
S: & ?J )
STREET A7BLOCK:
? 2 stte suneys (exterior additions 8 tlecks)
? 1 energy wlculations for heated adddions
CONSTRUCTION COST;
SUSD./P.I.D. 40- v?-L_
Name: kQ.,rJ` ML)°J nEP1 V 7"7" c) Phone #:
PROPERTY Lest First
owrEx StreetAddress: 1&Z/,a fVb,PGDOGh& JJ8
City c'- Q!? o,1 1 State: Zip:
Company: A Z"T :g (?_ 1"- W?" j_? Phone #: ()q?- CJ(?'y-o
CONTRACTOR n /?
Street Address: / 1150 ? License # ?7 ?-?/ lml?'?/
Ciry t) E41)6 /t u S. State: Zip: ,56?`?J,`'?J -7
ARCHIT'ECT/
ENGINEER Company:
Street
City
Sewer & water licensed plumber (new construction only):
and bt change is requested once permit is issued.
Phone #:
Registratian #: _
State: Zip:
I hereby acknowledge ihat I have read this applicatlon and sfate that the
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Penalty applies when address chang
is caRect and agree
U!, .
all app6caW
Tree Preservation Plan Received _ Yes - No _ Not
OFFICE USE ONLY I ;
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch 0 09 12-pfex
? 05 SF Misc. ? 'f 0 = plex
kVORK TYPE
? 31 New ? 33 AI#erations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowa6le)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Mufti RepaidRem. ?
? 13 GaragelAccessory ?
? 14 Fireplace [3
O 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
Fngineering
MClWS Sy
City Water
Fire 5prink
PRV
Booster PL
Census Cc
SAC Code
Census i3ic
Census Un
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/4V Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
6 Basement Finish
7 Swim Pool
0 Public Facility
1 Miscellaneous
% SAC
SAC Units
CITY OF EAGAN
EARLY UTILITY CONNECTION PERMIT
Address Subdivision/Parcel
I hereby request pexmission from [he City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-vay. 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 plumbing and understand the require-
ment to cap thP sewer service to prevent any unauthorized use.
In accepting this pezmit, 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 nntil the City utility system has been declared operational
by the City Engineer.
Signed by - P-lumber
Owner:
Developer: ?
Builder: ?
Dated: 77
? ,
kkk
'Lollefs3n Buildera Inc,
Or.11059
183-58A
F. C. JACKSON
LANDBURVEYOR GCQo -<'=XI.'f ./.j •
_? J y J?; i•`" ?d H[OIBT
.
HHEO UNDCH LAWY O/ BT11TE OR MI NNi?O
o J 7' r G17
L LICiN![D HY OROINANCR OF GITY OI MINNtArttN
\ 9818 EAST 95iH STREET 55417 )2]-34.34 ,
OUCbPpOT'g CLectiHcate '
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1 HEw[BY CENi1FY TNAT TM6 ABDVR 10 A TRU6 AND OORA[CT PLAT pR A SURV[Y OI
Lot 6,Block 2,Brlttany,
Daknta C3unty,Mlnn.
A9 SURV6YE0 BY M! THIR 19th• owr w JUly JI.D. 1979
P. C. ?JAtK50N.
/
I
i?
fioN. No. 3600
Cities Di itg a1 Quality Control
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2007 RESIDENTIAL BiJILDING PERnT
City Of Eagan ,
?-- 3830 Pilot Knob Road, Esgan MN S5?
Telephone # 651-675-5675 ?X # 651-67
"aw Conehu`E°n jjeamilements C
3 regfsterea sire aneys etow*Q aa, R Mht sq. R of houee; and an moted A O
(20% maqmum lot corerage albxreO) \y
7Spi6R8pOKd pmpO'9CdDUddiflqiSl0bep13LBdandlbEn6ed
zoopfe mOan *,nng eoam awu,aow son:vareorowaaea
t set of Enerpy Cakula6ona
3 coplas af Tree presarva0on Plan if bt plathd alfer Tlt/9:4
Rim Jdst Odail Optioim selec0on sheN (bv14fngc xHh 3 alaae unas) .
A4hnegaeNmeCh8lYCalventp2tlonform
Plans are considered pubEic
syffiem
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you state they are trade secret an eeson.
Date 9 / 2 L / ?W7
eo
ConstrucNou Cwt 000
Site AddmB IL4 3 ,Z&,AY9 a .P D.. unit/ste #
C .U S`s 2_ z_
Descriptioa oF Wol'k G OAfA/r!/&'y'ia..e AeL oE 4, 4v-t.re
Mutd-Family $Idg _ Y L' ?N Fireplace(s) _ 0 JI _ 2
;yr7
Property Ownt[ ?R[ii'e /Q +.o.
o"? a!K(
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Cvntractor K t JKvr+.1 /K
Address #,fz',jf ,. City 4pVj1 ?
scace N 7rp S'W Tdephone #(6 571)-Z
COMPLETE THIS AREA QNLY IF
Energy Code Category M'°"aota Rules 7670 Cateeorv 1
• RB6ida?al VentlNr(Wn Cet9gory 1 WoACgh9gt
(J submicsion lypeJ Su6rnMed
• Enafgy Envelope Cafpilatbns Submilted
in the 105t 12 monThs, has the City of Eagon issued a permff for o similar plan based on a masier picrn3
,t. Y _ N If yes, dOte Cnd address of masier pfan:
Licensed Plumber
Mechanical Contractor
Sewer/Wptef Controctor
A NEW BUILDING
Minnesoia Rules 7672
T • New Energy CoCe WofKSheet
Submined
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Btulding Pernuit 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 S[ate of MN
Statutes; I understand this is not a permit, but only an application £or a pemut, and wark is not to stut without a
pennit; that the work will be in accordance wirh the apprvved pl-fn-flncase of work which requires a review and
approva! of plans.
rw ke-e414,01--,
App ?cant's Printed Name
Signature
?
DO NOT WRITE BELOW THIS LINE
SLb Tvpes
? ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dweiling ? 08 06-plex . ? 76 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 ExLAlt - SF
? 04 02-plex , . ? 10 08-plex 9?"78 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Mul6 Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Levei ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
_Fffr 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Damolition (Enttre Bldg) • Give PCA handout to applicant
DBSCfIpllOfl: WaterDamage_Yes
Valuation ?w 40 Occupancy lil MCES System
Plan Review 100%or 25°,6
Census Code Zoning ?-1 City Water
SAC. Units - Stories Booster Pump
# of Units Sq. Ft. "?- PRV
# of Bldgs ^-- Length ? Fire Sprinklered
?
Type of Const ? Width ---?
REQUIRED INSPECTIONS
Footings (new bldg
Footings Sheetrock -
FinaVC.O.
_
_ Footings (addition) FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framing Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall .
Approved By: . tkL L"K? , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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JUN.29.2007 11:15RM N0.746 P.1i3
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pAVIT) & AMANDA ROSENTE3AL
BACSIMFLE TBaN'9AqITTAL 3kIE8T
ro. mom:
Mike Leace Amanda Rosenthal
CUidPANY! pAI k"
cicy ofEagm 6/29/2007
FnX NUM88d: TOTAi. NO. OF PAGPS fNCI.UniNG GOvpR:
651-675-5694 3
rtiANHNUM6P.R se,NDRR's AEPERR7vC1; NUMBAR: .
651-675-5676
An_ YaUA k81'8R8NC6 NUMB6R:
Deck parrnit fox 1643 Noravood Ds.
rtorr.s/cOMMSNrs:
Deax Mike,
Hexe is the de& penr?t aad dxawitlg tbat Alex Shuda applied fox on 2/7/07. P]ease let
David ox me laww if there is any additional papenuotk az pemuts xeq*ed for ous pmPariY•
Sincetely, ub? '?
+?
Amsnda Roseathal
F3ome: 651-493-3481
s ,?5 ? e PY?k. ? ??k y?,,
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Lnc1: Pezmit applicadon and drawing of deck fpx 1643 Nonvood 17rive; Eaga", MN 55122-
1643.1VOAWOOD DRIVB, FAGAN, hiN 65142
JUN.29.2007 11:15RM
N0.746 P.2i3
2007 RESIDENTIAL BUILDING eERMU APPLIcArIoN
clty Of 6.sgan
3830 P'ii ot iCno6 Boad, Eagrn 1VN 55I22
Tdephome # 651-675-5675 FAx # 651-675-5694
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COMPLETE TNfS AREA ONLY IF CQ,NSTALlC'fl? A N? S1716L}1N?
- id??++? Rnlea 7570 sraa l MintlNiotunwW s Rulce 767?3' Energy Cade Cabegay .?denifat veraiiauon Cmeemr t walc9fmm •?1? wadahee+
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• EI12fm EIrvBIPp9 C8ICU1BtlOT8 SU6T11W ,
In the tasl 12 monihs, hcs the Ciy of Eagan Iseuad a permit for a smilar plan booed an o mastar p1un8
Y ,_ N If y8& dote antl OddFBSS af mpst2f PIQn: --
Licensed Plvrnber
Mechanical Carrhactar
Sa+vedWater Canirctctor
7elephona #i
Telephone # (
Telephone #( j ..
I herebY ePPl`l fat s 1Lesiden4iat Buildang Permit aad acknowtedge tMt tbe information is aomplete and acr,aaaa.te;
That the waeic wiil be ia eonformaace with the ordimnoes aud codes of the City of Eagam mnd the Stata of boN
Statu'Ees; [ uodeiatand this is aot a petfmit, but nnly an appLicatian for a pErmit, and work ia not ta steat without a
permit: that the cvork wi11 be in seeardance with the appuoved piaa in the caae af+wmk which requires a revi.ew and
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City of Eayll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
MO 2010
Use BLUE or BLACK Ink
For Office Use
Permit*: /"7� S
Permit Fee:
Date Received:
Staff:
2015 �' v RESIDENTIAL PLUMBING
`B.,I .NG PERMIT APPLICATION
Date: 3 -11-1 Site Address: Ildt:3 W N, ��NA
-
Tenant:
J
1
Name:
Address / City / Zip:
Name: Milbei t Company Inc dba Culligan Water
Address: 1$Q1 50th St East City: Inver Grove Hgts.,
Phone: . 651-451-224r •
Email:
6.
License #: WC64137
State: Mn Zip: 55077
Contact: William R Milbert
New Replacement _ Repair Rebuild _ Modify Space _Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ /_ PVB)
Septic System
__ New
_Abandonment
pKr_Water Softener
Add Plumbing Fixtures ( Main / Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) / O O
TOTAL FEES $ (D ,
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig'to receivelocates of underground utilities:. www.aopherstateonecall.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 wilt be in
accord nce with the approved plan in. the ca e of wo which requires a review and approval of plans. .
x �� 2� x (10t 1(ran-� w....., JJi(1_c:,��
Applicant's Signature
Applicant's Printed Name
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139262
Date Issued:10/17/2016
Permit Category:ePermit
Site Address: 1643 Norwood Dr
Lot:6 Block: 2 Addition: Brittany
PID:10-15000-02-060
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
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.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David E Rosenthal
1643 Norwood Dr
Eagan MN 55122--272
(651) 493-3481
Signature Home Services
15631 Darling Path
Rosemount MN 55068
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
.-
For Office Use a° I
Permit#:��`'�2j /'��
City of Eaaan /42:=7 � v�j
Permit Fee.
3830 Pilot Knob Road RECEIVED —71_
Eagan MN 55122 Date Received:
Phone: (651)675-5675 MAY 1 1 2017 Staff:
Fax: (651)675-5694
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
, Name: �,Th 4.61%7 Phone: /p/ 2
Reside id 4'.".
Owner , Address/City/Zip: / y Alp, (/� pR1 L/4?/ , �j�� �
Applicant is: Owner X Contractor
i'' '
...
Description of work: NST t t jE9$ Li)` 41/�do
,
fWO 6
Construction Cost Multi-Family Building:(Yes /No X )
.
n
` Company: 1m'5 'me- Pried/Hit it jLC Contact: -7;--/A7 faA1�
/ f
%a r ctor Address: 6 0d0 i�/I; f OZ1)� (2T City: fR- Avg/
e env
.. State: wN Zip:_-.), a3 Phone: lO J!�5?�� nail: n rPDN// (i�Y�?6.,4-4.7,/,/ 7
x License#: C k 6 35—?.0 3 Lead Certificate#:
If theprojectis exempt from lead certification, please explain/why:
l/003e OAS ier,/ L 14IrE/L. Tri
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
-°11OT Plans and sup p��g documents that ou s re con id ® �®fie pu it,417.4 . matron t tynstod ,
the formA' may bte classified as n pubire Y u Provide ., i s re iwould permit t
�
conclude that theya :. its: n
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.00pherstateonecall.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 fora 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 /'`t Po AID x
Applicant's Printed Name Ap icant s Signa tu
Page 1 of 3
273
// /73 inWtc- IO/'c_ DO NOT WRITE BELOW THIS LINE / 7
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration (Multi)
Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair )G Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation .1 2 co Occupancy Occupancy 1 RC- MCES System
Plan Review Code Edition MA 2°1,.c. SAC Units
(25% 100%4 ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction y(ij Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings(Addition) )0 Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: Ice &Water _Final Pool: _Footings _Air/Gas Tests Final
p Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test _Final Siding: Stucco Lath _Stone Lath Brick EFIS
Insulation Windows
Sheathing Retaining Wall: Footings_Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: r0,fl if? y , Building Inspector
RESIDENTIAL FEES
Base Fee n.•" ' .r (41? e_
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
ForOfficeUse
eE. Permit#: / 5O ‘'11-/
Permit Fee: /747) � l
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 i TDD: (651)454-8535 i FAX:(651)675-564 Staff:
buildinginspections(c3cityofeagan.com L ;
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: a-2- 13 Site Address: t l,4brw P 'art u e 1 PG ft t4 Unit*:
nx len Abbott— '14-0.5163
� n Name: p'� Phone:161 .
Resident!
�6 3O�f W 66'1) 1:)Y.'44
owner„;,,,,, Address I City/Zip:
Applicant is: ✓ Owner Contractor
Type Pf Workv
Description of work: 'C 2 tmb del b ti roovr
~;x Construction Cost 4 Go, Multi-Family Building:(Yes 1 No ✓(42,71/0-, To,1'onD
Tran 'ono 7 f2,2
Company: f-t() ontact: ‘St 45+ `12%
Address: 10 e+n Ul;t c 'Lo Weer CT, City: EA GA N
Contractor
State:KIN Zip: 55123 Phone: 6S 1357 (837 Email:
License)* C R (o 3 S Z n Lead Certificate#:
If the project is exempt from lead certification, plea 'e explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
it Yes v' No If yes,date and address of master plan:
Licensed Plumber: JA11E.0-14Y P1+Arnbrr,c1 Phone: 5 1 4514- `129'7
Mechanical Contractor: Trm PO n Phone: 6 SI 3$7 1$3'7
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE Plans and supporting documents that you submit are considered to be publicinformation. Portions of the information may be
classified as non •ubllc if :• , •vide flc -=sons that mould•- it=thie.C to voncludethittthe are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against iniderground utility damage; Call 48 hours before you
intend to dig to receive locates of undergrousid utilities. www clopherstaleonecaltorq
l hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x J rwn i bb x Yx ),iia
Applicant's Printed Name plica is Signature
CSO NOT WRITE BELOW THIS LINE // //---? I wa Dg_ / `-/co
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool Accessory Building
_
WORK TYPES
New _ Interior Improvement _ Siding Demolish Building*
_
Addition _ Move Building _ Reroof _ Demolish Interior
14 Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION _
Valuation 1 2,Doc).` Occupancy -2-12 C—I MCES System
Plan Review Code Edition 1042.015 SAC Units
(25%_100%1a) Zoning 1 --f City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V 6. Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) A Final/No C.O. Required
Foundation Foundation Before Backfill )6 HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_EFIS
X Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
)0 Shower Pan Other:
Reviewed By: J 001 /17l t . Y1 , Building Inspector
RESIDENTIAL FEES
Base Fee ifi in/4"J in icee_
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153539
Date Issued:12/28/2018
Permit Category:ePermit
Site Address: 1643 Norwood Dr
Lot:6 Block: 2 Addition: Brittany
PID:10-15000-02-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
James Abbott
1643 Norwood Dr
Eagan MN 55122
(701) 740-5967
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature