1649 Norwood Dr
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?Y11i'
CASH RECEIPT ?
-?
CITY OF EAGAN
3830 PILOT KNOB ROAD
q?AGAN, MINNESOTA 55122
DATE..- t9
+
RECEI V ED "
PROM -4
AMOUNT $
& DOLLARs
7oo
? CASH ? CHECK
FOR
,
BY .
71
White-Payers Copy
Yeliow-Posting Copy
Pink-File Copy
Thank You /
BLDG. PERMIT N0.
!
01-3210 B1?g
Permit
.
01-3422 Plan Check _
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2I55 Surcharge '
17-3860 Raad Unit
20-2275 SAC C •":
20-3865 Water Conn. r?--
20-3868 Water Trmt. ?
20-3716 Water Meter ,
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. ?. ,
11-3855 Park Ded.
TOTAL . ?' ? ?
MACMaIE Fott aECK-Katv RMMM 8I 14I81"
MW HMM(?H 688-6196 CITY OF EAGAN
3830 Pilot Knab Road, P.O. Box 21-199,
PHON E: 454-8100
BUILDING PERMIT
To be used for Est. Value
Site Address
on si
Lot Block Sec/Sub. MWG
Parcel Na On Si
Ciry Y
° City
, o Name
z
0 ? Address _
? Ciry
¢
F W Name
_g Address_
u
i W Ciry
I hereby ecknowl
that the informatic
State of Minnesa
5ignature of Pei
A Buflding Permlt i;
all work shall be dc
Buildine Official -
--?.,. .
MN 55121
?
Occupancy
_ Zoning
y_ Type of Conat,
_ (Actuary
K3 ?
APPROVALS FEE8
Phone
Assessments
Permit ?
Water/Sewer
Police Surcharge
_ Plan Review
Fire
Engr. SAC, City
_ SAC, MWCC ?
Phone Pfanner Water Conn.
Council _
Water Meter
I have read this appliCation and state Bidg. Off. _
_ Fioad Unit
tandagreetocomplywithaltappt+cable APC - TreatmentPt
R and City of Eagen Ordinancea Variance _ Parks
GoPies
,.,.. TOTAL
r on the expresa condiNon that
Permit No. Permit Holdar Dste Telaphone #t
Plumbing
- (
H.V.A.C.
Electric
Softener
Inspectlon Date Insp. Comments
Footings I ??
Footings II
Foundation 2
Framing
Roofing
Rough Plbg, f_1Jjy ff
Rough Htg. ?
Isul.
Fireplace
Final Htg. ? %f 07 At ? AP?,k
Final Plbg. 1
Bldg. Final 7 S" % ? -
Cert. Occ.
Terrtp. LP
Deck Ftg. y j
Deck Frmg. // Gi? .?aT ?c6Pe"-
Well
Pr. Di p. ?i7 S (r ,(? ..6w
-- ?
.;
, - = PERMIT #
. MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PIIOT KNOB ROAD, EAGAN, MN 55122 QATE:
CaNTRACT PRIGE: PHONE: 454-e100
Site Address .2 " BLDG. TYPE WORK DESCRIPTION
LotBlock _ ,^ 5ec/Sub `` ResNew
r -? 1
Name " Mult. Add-on
°-' Comm. Repair
?o Address ' •
c City I: < ). ,.,i Phone , =s- sa Other
Name - Z FEES
? •' RES. HVAC 0-100 M BTU -$24.00
3 Address ? ?7 ''r ADDITIONAL 50 M BTU - 6.00
p City Phone ?' (RES. HVAC ENCLUOES A/C ON NEW
- GONSTRUGTION)
GAS OUTLETS {MINIMUM - 1 PER PERMITJ - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1a/o OF CONTRACT FEE
Forced Air ? M BTU .? APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE R CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON
Unit Heater M STU REMODEIS - 12.00
Air Cand. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM (ADD $.50 SiC IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other -
FEE:
S/C: ? -SIGNATURE OF PERMITTEE
TOTAL: ?-?? F?CaR: CITY OF EAGAN
. PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Site Address 4G Y !U &/A"w 1
Lot Block 2
Name 6
<?g Address ' ` :' T +
c Ciry ,Phone EZ
3 Address
O C4 ne 4_U-!/<
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
FOR: CITY OF EAGAN
PERMIT #
RECEIPT # L?7 9
DATE: $4 - 2X4LP??z
WORK DESCRIPTION
Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING
NQ. FIXTURES ZOTAL
-L_Water Closet - $3.00 S ='
_LBath Tubs - $3.00 '
?._Lavatory - $3.00 - . ?' '
Shower - $3.00
=Ki?chen Sink - $3.00
?
Urinal/Bidet - $3.00
-I-Laundry Tray - $3.00 ? v 0
._..,1-Floor Drains - $1.50 / !5 v
--L-Water Heater - $1.50 / Su
Whirlpool - $3.00 :7-Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.60
Well - $10.00
Private Disp
- 510
00
.
.
2?_Rough Openings - $1.50 f • ` '?'
FEE:
STATE S/C:
GRANO TOTAL• L y L L
?
? • ?:!
f9.erfif irttfe uf Mrru?aury
Citp of Cagan
lorpm-tmmi nf guddt" 3wprum
This Cerlificate issuedpursuant to the reqaire?nenrs of Sectean 306 af the Uniforrn Building
Code certifying that at the ltme of issuance this structure was in compliance with the various
ordinances of the City regulaiing building conslruc[ion or use. For the following.-
Use CLaifiwtion -A.• gldg. RrNt-No._
0-up-cy Tyw 'r Zagag DisW Type
OwnerofBmlding Addrm _'fii i"_''i_.ti?.if' ."?:"'i.• r1.G'.
eudding Aedrcss ? ??1t3sC??D tzauLy T, B2, l
o.w: '•:.?Y ?9, 19ry7
a,;wing offiall
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Remarks
Addition RRiTTANY Lot S F Rfk 2? Parcel 10 lsoon o50 02
Owner ? Street 1649 Norwood Drive 5tate
61 ; i -{Lj,1..
Improvement I Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING _ a6, _ `2 $ /S
SAN SEW TRUNK
156-51
10-45
* SEWER LATERAL
?
-336
L
WATERMAIN
* WATER LATERAL
WATER AREA ?J
STORM SEW TRK 32 . 83 &
* STORM SEW LAT 1981
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN,
BUILDING PER,
SAC
PARK
"'r "K`xR" SEWER SERYICE PERMIT
Pilot Knob Road
Box21199 PERMITNQ.: C
in, MN 55121 DATE: ^-? 4-° 7
?g: = •I 1
No.ofUnits:
0e to comply wlth the Ctty of Eagan Connection Charge:
iances. Account Deposft: -
Permit Fee:
Surcharge:
Misc. Charges:
af Insp.: Tota{:
Date Paid-
i
CITY qF EAGAN Permit No: ?-` 743 pate: 5--14--37
3830 Pilot Kncli Road Meter No: Sixe:
P,O. Bax 21199 Reader No: Eagan, MN 55121 ???'
DwnPr ?'0.110-J6O_: <'.Ie5'S.
Conn. Ch 525• 00
g? 15 , 4t? Zoning:
Acct. Dep: - ? No. of Units: ?
Permit Fee: - 10• 00pd
Surcharge: _ -5?P y I agree to comply wlth the Clty ot Esgsn
Tr. Piant I?2-0124 Ordinances. ?
Meter. fiT nl1 d, ?
BJI
WATER SERVIGE PERMIT
CITY OF FI.GAN Permit No:
3830 Pilot Knob Road Meter No: d
P.O. Box 21199 Reader No: D s 97
Eagan, MN 55121
OWnor Tallegson -uldrs._
Site Address:
Plumber._
Conn. Chg: _
Acct Dep:_
Permit Fee: _
Surcharge: _
Tr. Plant-
Meter.
525.0
Date: '- ,'+
Size: C ?
Date: ? ?
_:1P', S
_ w _
I agree to comply with the City of Eagan
Ordinances
By
WATER SERVICE PERMIT .
CITY OF EAGAN N° 13 3 7 2
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
BUILDING PERMIT PHON E: 454•8100 Receivt # 70 7/
Tobeusedfor SF DWG/GAR Est.Value $8Zr000 Date MARCH 25 ,1987
Site Address
Lot 5 E
Parcel No. _
11549 NU1tWUOll Utt
OFFICE USE ONLY
On Site Sewage Occupancy R3
MWCC System ? 2oning R 7
On Site Well 7ype W Const
City Water ? (ACtuaq V
(Allowable) V
fF of Storiea
Length 70
Dep[h z$
S.F. Total
FootDrint S.F.
APPROVALS FEES
Assessments Permit $ 440.50
Water/Sewer _ Surcharga 41 _ 00
Police PlanReview 220_25
Fire SAC,CI[y 100_00
Engr. _ SAC,MWCC r+qS 00
Planner Water Conn. 525 00
Councll _ WaterMeter G7 00
Z Sec/Sub. BRITTAAIY 1ST
a Name TOLLEFSON BLDRS INC
3 Address 12617 FAIRGREEN AVE
o City A•V- phone 431-1100
¢IName SAME
0
oa Address
0? City Phone
?a
W w
Name
zz Address
0?
a Ciry Phone
w
I hereby acknowledge that I have read this application and state BlOg. Ofl. _ Road Umt ??Tn S 00
thattheinformationiscorrectandagreetocomplywithallapplicablel APC _ TreatmentPl ?.?_4n 00
State of Minnesota tat 9q?and City of Eeg n Ordinances. Variance _ Parks
,/)?/ Copies
Signature of Per 'y??. ? ?'?...tTOTAL $? 75
A Building Permit is issued to: TOLLEFSON BLDRS INC an the express condition that
all work shall be done in accordance with all applicabl S_ ? tate of Minn o? ta $tatutes and City of Eagan Ordinancea
Building Official (4?
? ,
_3IW??' 7 REQUEST FOH ELECTRICAL INSPECTION ea-o?oSoai-os
' Sae instruetiens lor tompleGng ihis form on beCk o/ yellow copV.
7 -l Q C "X" Below Work Covered by This Request
NwMAAdI ReD.I Tvoe of Builtlina 1 Aoolinntea 17ireA Equiumenl Wired I
Farm
M Pae ServiceEnbenceSize tr Fee Feeders/5ubfexdars % feo Circuite
^ ?to200Am s 0 to30Am s 0 to30Am
Above 2 0 qm ?s 31 to 100 Amps S?"= 31 to 100 A s
Swimmin Pool Above 700-Am s Above 100_Amps
Trensformers Irn ation Booms Partial-"Othe
I Signs ( I iSpecial Inspection A $?? oI TOTAL F?E?,
MBmsrks -+'C?"`
'a ? I. Me Elecir e1
Inspector, ?eraby
F ..,.inaxl ?. cerHly that the above
iction has been
tratla
mis repueat voltl t8
This repuest void
? m9h2'1 86 5 12:,,)
7t-' 0 °,L `Y
Hequest DatA'
~ Fire No. R0u6h•in InsOec?ion
Req iretl?
[]Ready Nuw?Will N?ufy, Inspec-
?or Wh
N
?es ?NO en
eedy
pj Lipensed ElecVical Contractor I hereby request inspection ol above
? Owner elechical work imtelled at:
Sveet Address, Box or Route o. ?
? CitV
?L??
ecuon o. Township Name or No. flange o. Counly
Os:,.u°an11PRINTI Pho o,
Fowe Suppli
er er
Aadress
Elec cal Conhactor lCOmpany Namel ConVactor's Licensey?
/7)
-
?
ng AJress (Co niractor or Owner Meking InstailatioN
Author' SiBnatu ntract Qw Making Installalionl Number
i.
MINNESOTA STqTE BOARD OF ELECTRICITV THIS INSPECTION HEQUEST WILL NpT
Gligpe-Midway Bldp. - Noom N-187 BE AC EPTEU BY THE STpTE BOARD
1821 UniversityAVe.. St. Veul, MN 56104 UNLESS VXOPER INSPECTION FEE IS
PFenw 16121 642-O8O0 ENCLOSED.
PERMIT t!
RECEIPT DATE:
8008 RnIDEPTIAL PLUMBINfi PEftM1T APPLICATION
CITY OP EA6RF
3$30 fILOT KROB RD
£RHRA, blft 5518E
651-8$1-4875
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventerfor irrigation system
SITE ADDRESS: Il` O irW Ood Dr
OWNER NAME; : TELEPHONE #: IDS454-367,oc)
(AREA CODE)
INSTALLER NAME: }H, P. p I n-Unroy r-6 TELEPHONE #:yQ'316/- 134D
STREETAGDRESS:-S[o?7-0 601N)' Ab (AREA CODE)
CITY: STATE: M/N ZIP: / Z
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels 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: .
- n?. - m ?
_ RPZ: new installation/repair/rebuild I NJV 2 0 21002 g 30.00
_ lawn irrigation system
?'',?---- ---- -?
ReplacemenUadditional: _ water softener 1 water heater $ 15.00
State Surcharge $ .50
$15 -
,?D
Total -
I herebyacknowledge that I have read this application, sfate thatthe infortnation is wrrect, nd agree to complywith all applicable Cilyof Eagan ordinances. It
used by the City during its normal
is the applicanPS responsibiliry to notity the property owner that the City of Eagan assunrylirybility fo,? any??a71W9
operetional and maintenance ac[ivitles to the facilities coastructed under this permit wf n C?ty?rop,?rtxlright f apep(yy J A OF PERMITTEE /1 1102
? . 1337Z
1987 BOILDING PEAMZT APPLICAYION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IIQCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SST OF ENERGY
HOTE: ADDRESSES FOR CORNfiR LOTS - COHTRACTOR/HOMEOiiNEE MIIST DESIGBATB WHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERHIT IS ISSOSD.
MQLTIPLE DiiEI,LINGS - RFSIDENTIAL RENTAL ONITS FOR SALE OHITS
INCLUDE 2 SETS OF PLANS, CERTIFICAT6 OF SQRVEY - CH6CK iTITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONIMERCI9L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
8z,?
To Be Used For: L Valuation:Date:
Site Address y? lL OFFICE QSE ONLY I
Lot Block 2` On Site Sewage_
MWCC System ?
Pareel/Sub On Site Well
City Water ?
Owner
9ddress
City/Zip Code
Phone 9PPROVALS
Contraetor ? Assessments
4later/Sewer
Address Police
Fire
City/Zip Code i'??1 .
? Engr
? Planner
Phone Council
Bldg Off
Areh./Engr. APC
Varianee "7•7-.-7`I
Address
City/Zip Code
Occupancy K3
Zoning 1Z1
Type of Const
(Actual) ?.
(Allowable) :9--
d of Stories
Length '!O
Depth ?$
S.F. Total
Footprint S.F.
FSBS
Permit 50
Surcharge ¢I.
Plan Review 1y20, zs
SAC, City ?0.?.
SAC, MWCC sZS"
Water Conn 52S •
Water Meter
Road Unit ?05-
Treatment Pl I Yr>•
Parks
Copies
TOTAL 24,03?
Phone #
5B ..;,.
° ?.. `.=..
S-7(° x
?
9 tco r(4?)
i
?
.? CITY OF BUILDINa DEPARTMEIIT
EXTERIOR ENVII,OPE AVERAGE "Ulf COMPUTATION
, (To be suhmitted with building permit application)
One or Two Family Dwelling Owner
All Other Site Addreea
Contractor /bG40'?,O4J Date Phone
LINEAL FEET OF ?"
EXPOSED Y?IALL ?EET ft. above grade = 11 ?p 34, oo
TOTAL E7L°OSED WALL AREA SQ. FT.
0?AQUE WI:LL COD'STRU-?TIOt+: "U" Value x Area
Detail rKq mE flUit i 043 x s2.
reference Gowa. °Uit_ , pqg x sq,
Je?m tiull . 040 x sQ.
from
attached nUu X SQ.
sheets npu x SQ.
WINDO'NS: "IIll Value x Area
FT. O 3.3$. 46,55 (U)(A)
F"i'•_1(- e,4 = //.Z2(U) (A)
FT, /4Z.76= 25.7f (U) (A)
F'T. _ (U) (A)
FT. _ (U) (A)
FT. - (U) (A)
Piake & Type IixfL. . HfIT "U" , q'Pj x SQ. FT. ?24.loS 59 gr, M(A)
of It IIUII
x
Sq.
FT. _
_ (U)(p)
u u ?qJn x SQ. FT. - M(A)
n v npu x SQ. FT. - (U)(A)
DOORS: "Ull Value x Area
t•Iake & Type 57&EL IAfiUL, "Ull .14 x SQ.
it of ATfIVHr ?f'ATin °On . 4s x SQ.
n n nUn
x 3Q.
a n _ nUn x SQ.
TOTALS I(D39s00 SQ.
AVERAGE "Ulf
TOTAL M(A) VALUES 195. 0/ _
- //3
DIVIDED BY TOTAL PiAI,L AREA /(p34,00 -
AVERAGE "Ulf 0 r less for 1&2 family dwellinge
ROOF/CEILINCi:
TOTAL AREA: 1749
FT. 6 •00==?(U)(A)
FT. 111,00 - (U) (A)
FT. = (U) (A)
FT. - (U) (A)
1-7. 14;5. ol (U) (A)
Detail reference IVUll ?Oz/ x SQ. FT. 17¢9 = (p• Z(U)(A)
from uUn x SQ. FT. . (U)(A)
attached sheete. IOUVO x SQ. FT. _ (U)(A)
Describe onenings l?Uvl K gQ, FT, _ (p)(p)
in roof. IIUII 8 3Q, FT. - (II)(A)
TOTAL (U)(p) VALUES DIVIDED BY T7AtUt7 i'_LL, SQ.ft 3&IZ CVr?l,>
3(v.1Z ? c ?
• OZ?
TOTAL ROOF/CE EA 1717
AVERAGE flU? ,025 r ventilated rooYe. '
n tJop-K
!??
I sox (48+48+- 3st?8) _
T(PS.oo-k
Cow& ?
.&7 x ?4a + 9-S ?- a8 fi3e>) .?-
LM ToIST
. 8s X ?48+`48 t3gt38? _
1.t9 DouO
,7aX 3(0 =
3(a x
4$ x 3&, _
zo x 48 =
14 x 48 =
Zox bo =
L4)(t,co _
DoaPLS
?C z =
°° x 4 =
g,33, x 4 =
/v,oo x Z ;
34stL• wfL-S.c. = 35.00
$% STc.. SaR- = Z !, o0
.5¢ 47Rwnt 0. z. = 70. ao
(p°- AATIO = 42,00
Ver ? wm.l- Ea??.s
('?ieoys wtltCr
4ESS Cowe,
u P,
Wpw'S
qEeT'1
1, l0 34 00 ?-
/Zj, (oS?--
!!v 34; o0
IIS. z4
/42,7fo
?z4.?S -5Sv.6S-'
/fv8.a?
35 ?
S 00
9,00
I z,oo
?3
3Z.oo
33. 3z.
ZO.Oa
.oo
3Z x48 = Is??
?oX zZ,= !38
??sx 9 = 59
zX? ? !Z
1749.co
?-
?. . '• --WI,L SECTIOH--
Determining "Ull valuea at Roof, Wall, Rim# And Conc. Hlock
RO0F/CEILIN4
1.) Interior Air r'ilm
2.) 5/811 ayp. Bd.
3.) Insulation
4.1
5.) Exterior Air Film
(STILL)
R VALUE
0.61
.56
4S.Op
.61
nUv = 1/R= •dZr iOTAL (R)= ¢(p.7$
WALL
6.) Interior Air Film
7.i ill ayp. sa.
8.) Insulation
9.) VaN FxvILT -glTE
10.) Masonite Siding
11.) Exterior Air Film
(R VALUE
o, 68
.45
17,00
Z•o4
0 7
.17
1/R- TOTAS, (R)= Zi.OI
?
RIM
12.) Interior Air rilm
13.) Insulation
1$.) 211 Fir Rim Joiat
15.) h'' $w[,T R #TE
16.) Masonite Siding
170 Exterior Air Film
R VALUE
0.68
j9.00
1.88
Z.64
.17
nUu = 1/R= .O?.D TOTAL
? W=,0,44
FOUNDATION (R) VALU$
18.) Interior Air Film 0.6$
19.)
20.)
21.) 12" Concrete Block 1.28
220 R/&ID IwGVG, g.oo
230 Exterior Air Film .17
IIpn = 1/R= .098 TOTAL (R)= /O.IS
C(TY OF EAGAN
?. .
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*lOTS: PAYMFTTl' OF FEE AT TIlM C=
aPrLIcATIorr noFS Wr mrSrr=
APPROVAL OF pFT2FIIT. .
INSM)Criotv oF Sf.WM Arm/Ct M=
TT1S•1'Ai T,ATTON$ WIIJ Tx11' $F, .SCHED--
ULFS) UDTTIL PFI2PffT AAS BFI?SQ
APPROVID.
--------------------
P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIpTION: ? f r:f-f- L Lsion or Tax Parce
IE' EXISTING SIRCCiTJRE, DATE OF ORIGZNAL BIIILDING pE.RMIT ISSL'ANCE: '
{Mon YearJ
PRFSENP TANING/PROPOSID LTSE:
[] CODZERCIAL/REPAII,/OFFICE ?R-1 SINGLE FAPIILY
? INIDCSTRIAL Q R-2 DL'PLE?C (1tVo L?nits )
? INSTIZT,'TIONAL/GOVERN61EN'P ? R-3 70WMOC?SE (Three + Units) ( Dnits)
. ? R-4 APARTMENT/COmOMiD1IL'M ( Units )
2) ••ia v
NAME' ?gl?! S','? ?.?eL?? ? I?ac,??,r5,?. ?
ADDRESS :?.
CITY, STATE. ZIP:
PHONE: 9<i t?, --? 6 n n
3) u
NAbE:
ADDRESS:
CITY. STATE. ZIP : ? ?,S °m a•_..?'?' ? /'7'! /? - ?'.3-b ? ?
i
PFiONE: MASTII2 LIC.c."SER
4) ...uv:.o r,v.i5: - --
NAME: i--
P,DDRESS:
CITY, STATE. ZIP:
PHONE:
Plumbers License:
? Active
Expired
Not recordec
St?tial
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153249
Date Issued:12/04/2018
Permit Category:ePermit
Site Address: 1649 Norwood Dr
Lot:5 Block: 2 Addition: Brittany
PID:10-15000-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
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, 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 -
Jacobi L Ludwig
1649 Norwood Dr
Eagan MN 55122--272
(612) 760-6283
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature