1655 Norwood Dr
JO
Use BLUE or BLACK Ink
For Office Use I
Permit
I
City of Ea~d~ ,
I
.
3830 Pilot Knob Road I Permit Fee.
Eagan MN 55122 i Date Received: w
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: - I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: b Site Address: _ t ("Ss- W-d4 &t-~
Tenant:
Suite
RESIDENT / OWNER Name: Phone )14.5 -93 1 -7
Address / City / Zip: SS ~L. a Yv~ Y-) , SS a
Applicant is: Owner Contractor
TYPE OF WORK Description of work: o~ l,t U~d t e~Y1 L~~ Q
Construction Cost: Multi-Family Building: (Yes / No -xj
CONTRACTOR Name: License
Address: City: ~iYt BC~~1G~
State: h Zip: s O1 Phone: 7 94- Ado 4
Contact. Email:
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval lans.
i
X UALA /W X
Applicant's PrinteU Name Applican s Signat
Page 1 of 2
? CASH RECEIPT
s
? CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DAT? ? ` 19
RiGG V ED\ -
FROM
AMOUNT $ . l
. _i .-
RS
?oo
? CASH ? CHECIC
?
/
FUND CODE ? AMOUNT
i
--
' - '-
-
'
- 1
f...-- ' --- C.
.?
-r .
Thank You
BY
? ,
5273 White-Payers CoPY
1 Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
3795 P" Knob Raod
. Eagoe, MM 55122 N2 5326
?
PNONE: 4 100
4\A
' BUILDING PERMIT r?, Receipt #
? ?
To be utod for Est. Volue Date , 19
Site Address Erect ? Octupancy
Lot Block Sec/Sub. ' AILer ? Zonir?g
porcel # Repoir ? Fire Zone
Enlarge ? Type of Const.
Nome Move ? # Stories
W
; Addreu Demollsh ? Front ft.
b
Ci Phone
Grode ?
Depth ft.
ne
0 Nome Approvals Fees
Assessment Permit
?? Addreu
Woter & Sew. Surcharge
~ Ci Phone
Police Plan check
?
? N
? ame
Fire
SAC
Z
?? Addreu Enp. Water Conn.
<W Ci Phone Plonner Water Meter
Council
I hereby ocknowledge that I have read tfiis application ond state that gldg. Off.
tfie infortnation is rnrrect and agree to comply with all opplicable
State of Minnesota Stotutes ond City of Eogon Ordinonces. APC Totol
Signoture of Pertnittee
A Building Permit is issued to: on the express condition thot
oll work sholl be done in acrnrdance with cll opplicoble Stote of Minnesota 5tatutes and City of Eugon Ordinances
Building Officiai
r
Pwnit # peb hqed rerol}fr
Plumbing
Mechanical 9 /O 7 G'j ?, //
INSPECTtONS DATE
- INSP.
Rouph-In
Finnl
Foofings ? Dote Irap. Date Irap.
Foundotion Plumbing 4-V• )9
Frome/ins. Mechaniwl
Final
Remarks: Jp
?
?rZ2^ ?V 1??? ?? ? ? ?
CITY OF EAGAN
' 3795 Pilot Knob Road
? Eagan, Mlanesoto 55122
Phone: 434-3100
,
_ PERMIT No.
Date: Receipt No.:
?`- -W'sOf' 1)ZlVr-, SinglB I
Site Address: Residential
Lot Block Sub/Sec. _ Multi Res., Comm./Ind.
Name New/Alter./Repair. 3 Address - ?_ • Cost of Installation _
O
Ciry Phone: Permit Fee
? Nome ' - _ Surchorge
T ,
? Address
CitY Phone: Tota I This Permit is issued on the express condition thot all work sholl 6e done in octordance with all applicable Stote of
Minnesoto Stotutes and City of Eogan Ordinonces.
Building Official
CITY OF EAGAN
3795 Pilot Knob Road
Eogan, Minnesoto 55722
Phone: 454-8100
PEUMf3ING
Date: 10 j 3 0/79
Site Address:
Lor
PERMIT
1655 Norwood Dirve
2 Brittanv. ?st
Block Sub/Sec. _-
No
1541
Receipt No.: 3 s 4£?
Singie I
Residential
I
Multi Res., Comm./Ind. _
Name `L'ol.lefson ?ildrs.
New/Alter./Repair. ; Address F+:C, ' vc?'.< e ?1VE? . ,
Cost of Installation _
City Phone: Permit Fee '
Name }?V2lI:
Surcharge
.
P Address 14745 Su' "I-hPrt
e
0
V .
City ' Phone: Tota I
This Permit is issued on the express condition that oll work shall be done in accordance with oll opplicoble State of
Minnesoto Stotutes and City of Eagan Ordinances.
Building Offitiol
CITY OF EAGAN Remarks /?? ? l. % ' -l`f :?i- .1 - ?r??i?T-!f!,??'L - -i?7c?
/addition BRITTANY Lot 4 Blk 2 Parcel 10 15000 040 02
Owner Street 1655 NOTWOOd D2'1VB State
' ??i • ? ? V
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 0 1 82 2819. 8 5?v 3. ?0 /? 3 5- /d 11f ?
STREET RESTOR.
GRADING
Sao- 1981
428.73
28.58
fAn
o/ G 3 S 7
0/7 lx?r
SAN SEW TRUNK r? ?`Z, qZ OI??
P AO ?7 ??
* SEWER I.ATERAL --5/1 1981 5040-97 336.06 I 3 Q•(a.2 -7
0/ 3 /O / S
WATERMAIN
* WATER LATERAL 1981
WATER AREA -4-19 1981 300-00 30-00 /SD. O O A? 0 /( 3 9 /O .9J^
STORM SEW TRK 1 1981 492.50 32 .$3
, -A' o? d•3S 0 3,5- /0 /] JPJ'
* STORM SEW LAT 1981 _
CURB & GUTTER
SIDEWALK
STREET LIGHT
road i
WATER CONN. 270.00 11
BUILDING PER.
5 39 6
SAC
PARK
cirY o' EAGAN WATER SERVICE PERMIT
3745 Pilof Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE: ls /r, ?`•
Zoning: No. of Units: l
Owner. Lt i
Address:
Site Address: S 1•:G11w9C: Dr i_l. ;.St
P(umber. • ' ?.a- j
AA
eter No.:
Connection Charge: -, s „ G -
?, -., {•'T
Size: Account D
it
epos
:
Reoder No.:
Permit Fee:
1 agree to eamply with the City of Eogon Surcharge:
Ordinanees. Misc Char es ,?, • ..,-? ? ?
By
DoYe of I nsp.:
Total: g
Date Paid:
I nsp.:
3743 Pilot Knob Rood PERMIT NO.:
Eogan, MN 55122 DATE:
Zoning: _ No. of Units;
Owner: ?
Address:
Site Address: _L` "o .rnr,:] 11r` LSt
Plumber:
}
; ?.
I agree to tomply with the City of Eagan Connection Chorge: S_•?C ?? .
Ordinancea. Account Deposit:
Permit Fee: '
Surcharge:
BY - Misc. Charges:
Date of Insp.: Total: -
Insp.: Date Paid:
' CITY OF EAGAN
9795 Pilot Knob Road Eagan, MN 55122 N-O 5326
PHONE: 450.8100
BUILDING PERMIT APPLICATION Receict
Site Address l07
Lat 4- Block
Parcel #
TO1
W Name
138
; Address
o n? 7 0
o Name Sam
?
Address
~ Ci Phone
r?
ww Name
f
_1, Address
I hereby ocknowiedge that I have read this application ond state thot
the information is correct ond agree to comply with all applicable
$tate of Minnesota Statutes. and City of Eagon Ordinances.
Signature of Permittee
A Building Permit is issued to: , llefson BY
all work shall be done in occord' e with)oll pQpli ble .
Building Official
? Sec/5ub. BrittdTly 15t
Erect gpc Occupancy R3
Alter ? Zoning RI
Repair ? Fire Zone 3
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Fronf 76 ft.
Gmde ? Depth 44 fr.
Aeoeevela Fees
Assessment Permit 1/4.LU
Water 8 Sew. Surchorge 36.50
Police Plon check $7•00
Pire sAC 525.00
Eng. Water Conn. 270.00
Planner Water MeMr 60•00
Council RCad UI11t 75.00
Bldg
Oft
.
.
APC
Totol 1,
227.50
on the express wndition that
Statutes and City of Eagan Ordinances.
rylinnesou State Board of Electricity
19Wniveroity Ave., St. Paul, Minn. 55104-Phone 645-7703
. " REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
/ G
S 30619
Type of Building New Add. Rep. Check Appliancea Wired For Check Fquipment W'ved For
Home :U ? ? Range IU 4• Semporazy Wiring 11
Dup(ex ? ? ? Watec Heater ? Lighting Fixtures 3m
Apt. Bldg. ? ? ? ? Electric Heating ?
CommercialB(dg. ? ? ? Fumace (2) -U4,04 SiloUnloader ?
Industrial Bldg. ? ? ? A'v Conditionar (2) Cola.8.0 Bulk Milk'fank ?
Farm ? ? ? L'gt
1 D1sU. D18h.4.0 List )
Other
_
?
?
? y
p
Hehers) r
re p
y
Heieisl
COMPUTE INSPECTION FEE BELOW:
Secvice Entcance Size: # Fee p4*det's&SubFaedets: S Fee C¢cuits: # Fce
0 to 100 Am s. 0. tD30 A'm ces 0 to 30 Am fes
101 [0 200 Amp?. .? Cto 100 Am res 31 to 100 Am eies
Above 200_Amps. Atiove ]00 Amps. Above 300 Amps.
Transformers RemoteControlC'vc. Partialorotherfee
Signs Special Inspection Minimum fee $5
Remarks Jeff. D. TOTALFEE 58.50
I,the Electricallnspector,hereby
(Final)
This request void 18 months from
has been made. ?
nate l1- -7 - 7101
vate 7 _,L,_Pd
6 This-rquest void?8 months from 77
- ?? ? ` lNr
30619
Date of this Request 10-31-1979 ?
I, asAM Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
?
Street Address or Route No. 1655 Norarood Drive CityFaFan
Section Township
Range i Counry Dakota
Which is occupied by To11e£son
Is a roughin inspection required on this job? No ?
Power Supplier Dakota Cty. Address
Yes Ek Ready Now O Will Call Fxc
Farmin„Aton
Electrical Contractor O.B. Thompson Electxi c Contractor's Iacense NoA37962
(ComDany Name)
Mailing Address _ 12201 Ivltka Blvd., bItka, „55343
(Electrtcal Contractor orOwner Making TMS Installatlon)
Authorized Signature Phone
(ElectHCa1 Controctor or ownar Making TNS Instailatlon)
This inapectivn request will not be accepted by ffie
Stata Board unless proper inspecfion fee is endosed.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
"? /1° l f,9 ? 3830 PILOT KNOB RD, EAGAN MN 55122
?? ?? 651-681-4675
New Construction Reauiraments
• 3 registe2d site surveys shrnring sq. R. of lot sq. fl. of house; and afl roofed areas
(20%maximum lot coverage allowed)
. 2 wpies of plan showing heam & window sizes; poured found desgn, etc.)
• 1 sel of Energy Calculatbns
• 3 wpies of Tree Preservation Plan if lot platted after 711193
• Rim Joisl Dehail Optbns selection sheet (61dgs with 3 or less unils)
DATE I D l 241 D Z
Phone #
SITE ADDRESS I IoSS 1JDrrvD0d Dr, jL1A0.V-k MULTI-FAMILY BLDG _Y _XN
TYPE OF WORK PGLk-- FIREPLACE(S) = 0_ 1_ 2
APPLICANT
r
STREET ADDRESS ! L 5(@D YI iYU t1)u(?
TELEPHONE # qS 2'S88 -21o0CCELL PHONE #
JV???C STATE -Mg ZIP 5$33'7
FAX# °l42 7844-0171
PROPERTYOWNER TOYYI QY%ADQaD Le.r?^"^ TELEPHONE# I05I"'4'S2,1317
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNESOTA RUL1S 7670 C.,"1'EGORY 1 MINNESO'CA RULES 7672
(J submission type) • Residenfial VenUlation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbfng Confractor:
Plumbing system includes
Mechantcal Contractor:
Mcchanictl systciti inclucles:
Sewer/Water Contractor:
_ Air Conclitioning
Hcat Recovery System
?
2 ?_ zaU2
Pee: $90.00
!S r-7 o ? b-o
Pec: $70.00
Phone # ?r?
I hereby acknowledge that I have read this application, state that the information
with all applicable State of Minnesota Statutes and CiTy of Eagan 04iqances. ;
Signature of Applicant
OFFICE USE ONLY
_ Water Softener
_ Watcr Heater
_ No. of Baths
RemodellRepair Reauiremenb "4 - (? ?-
. 2 copies of plan
. 1 set of Energy Calculatbn,a for heated addi[iom
. i sde survey for extenor additions & decks
• Indicale if home served by seplic system kr additions
Phonc #
L,awn Sprinl:ler
No. of R.I. Baths
VALUATION 135-44 30v
sct, and agree to
_----?:
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
;
? 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.) il O 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF
? 04 02-plex ? 10 08-plex )K 18 Deck ? 23 Porch (screened) ? 36 Multl
? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
>e, 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ?? 44 Siding
? 32 Additian ? 36 Move Bldg. ? 42 Demolish (FoundaGan) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` O 43 Reroof ,? 46 ' WindowslDoors
? 34 Replacement •DemoliUon (Entire Bidg only) - Give PCA handout to applicant
Valuation 119? ;i,0d0 .d?ccupancy MC/ES System
Census Code A-2A I
Zoning
l2- ? City Water
SAC Units 6 ? Stories BoosterPump
Nbr. of Units v Sq. Ft. PRV "
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const U'!4 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) / FinaUC.O. Q
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ p]umbing
_ Foundation I-VqC
_ Drain Tile Other
/Roof Ice & Water
? F
i Final Pool Ftgs Air/Gas Tests Final
ram
ng Siding Stucco Stone
_ F'veplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement) y
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
W? •?
?? ? ?
RESiDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements RemodeUReoair Reauirements
. 3 regisrered site surveys showing sq. ft. of lot, sq. fl. of house; and ali roaW areas • 2 copies of plan
(20°o mazimum lot coverege allowed) . 1 set of Eneryy Calculalians for heateE additions
• 2 copies of plan showing 6eam 8 window sizes: poured found desgn, etc.) . 1 site survey for exterior additions & decks
. 1 set o( Energy Calculations • Indicate if hame serveG by seplic system for atlditions
• 3 co0tes of Tree Preservation Plan if lot platted aRer 7/1193
• Rim Joist OeWil Op6ons selection sheet (bldgs wM J or less units)
DATE /D IIf/2 a VALUATION
SITE ADDRESS 1?9 -5) NGY W OCid MULTI-FAMILY BLDG _ Y _ N
iYPE OF WORK j:;`2a r C.R 6 ? odC FIREPIACE(S) _ 0_ 1_ 2
APPLICANT Mic???.1e5? 1tm?caOT
STREETADDRESS CITY STATEMN ZIPE''3%
TELEPHONE #CELL PHONE # 6/2a50->yCv FAX # y6 - 0 % i J
PROPERTY OWNER ?`? aV? \Ort?, Lech0? TELEPHONE #?51-`f5? ?93 l ?
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ \(INNL•'SO'l'.\ RL'11:S 7670 CATEC,ORl' 1 iblIti:VESOT:1 RCLt:S 7672
(d suhmi5sion type) . Residendal Ventilafion Category 1 Worksheet Submittetl • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contraetor: _ Phone #
P1umUing sys[ecn includes _ Water Softener _ Iawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Saths r
10?`-?.
No. oF Baths `'7 I: rp,
If ?I
ll
;? ? ??r 1 8 P007
Mechanical Contractor. ,,
i
Phone #
'
Mcchanical 54'tilClll IRCIU(Il'S: _?,
All' COII(IIIIOTLtln TCl`: 570.00 L_
-- xcacR«overy sy5<<m ----- ?
Sewer/Water Contwctor. Phone #
I hereby acknowledge thaf I have read this application, state that the information is correct, and agree to comply
with all applicable State of Mi nnesota Statutes and City of Eagan Ordinances. ?
Slgnature ol Applicanf ?
OFFICE USE ONLY
CeRificates of Survey Received Not Required ?
Tree Preservation Plan Received
_
_
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool ?I ? 34 Accessory Bldg
? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ?I ? 31 Ext. Alt - MWti,
? 03 Ot of _ plex O 09 07•plex ? 17 Garage ? 22 Porcfr/Addn. (4-se ? .) ? 33 ExL Alt - SF '?
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screened)II O 38 Mum
? OS 03-plex p 17 10-plex ? 79 LowerLevel ? 24 Storm Damage ?I
? 06 04-Plex ? 72 12-Plex Plbg_Y or _ N ? 25 Miscelianeous 'I
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? I ? 44 Siding
?
32 Addition
? 36
Move Bldg,
? 42
Demolish (FOUndaGon)?
I O
45 i
Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)• ? 43 Raroof 11
? 46 W indowslDoors ii
? 34 Replacement 'Demolition (Entire Bldg only) • l
Give PCA handout to eppli cant
Valuation Occupancy MC/ES
Census Code Zoning Ciry W a
SAC Units Stories Boostei
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sp?
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O. (I
_ Footings (deck) _ FinaVNo C.O. ?
_ Footings(addidon) Plumbing i
Foundation HVAC
-
_ Drain Tile pther I
Air/G "a
Roof Ice & Water Final Pool Ftgs s Tests _ Final
_
_ Framing _ Siding Stucco Stone
_ Fireplace R.I. Air Test Final Windows (new/replacement) II 'I
_ Insularion Retaining Wall
i
Approved By 9
-____
---- -------- ------
--- , Building Inspector
-------??__._____--------------------°-________-
_
i
Base Fee
5urcharge ?
Plan Review '
?
MC/ES SAC I
City SAC ?
i I
W ater Supply & Storage i l
S8W Permit & Surcharge l
'
Treatment Plant ! ?
Plumbing Permit ! I
Mechanical Permit
License Search
; I i
I
Copies
Other ? I I
Total
I '
ii
I
? . . , . . ?i,il' . . .
,
r _ --.. .
? • 4? ' __- . f
^ . : 1
.:
?.
Occupancy
Zoning
Fize Zone 3
Type of Conat.
1i oE Stor3ee
Front
Depth
IP e? ' BUILDING PERMIT APPLSCATZON
V
2rwlude 2 seta o£ plans. 1 eite plan w/elevationa and 1 set of energy calculationa.
?l.3iOJa ', o
To be used for -j 1/4?lfa-luation
.
Site Address:
Iat Slock Sec. Sub. Parcel Nmnber
y /5f ?'?-?r?,?a,?
Owner J? ?o J Telephone
Address ' G o "E .+.??? .. • . ..___.__. __ _._ .<_.._....,.
Contractor ?? ? `« ? ??Yi-??? U?? Telephone
AdBxess
' J ??^ ,'7^??'? /?? .. ..
Arch./}nq.. Telephone
Address
OFPICE U9E
Fxect
Alter
taepair
Enlarqe
rtove .
Demolish
Grade
OFFICE USE
Date of A roval & Initial
Asaessment 7 q3l7 ?
water/Sewer
Police
Fire
Eng.
Planner
pouncil
Sldg. Off.
A.P.C.
Permit
Surcltarge
Plan Check
SAC
Wates Conn.
C:?`/ ? ? ? _ .
DATE
FEE3
?
TOT"
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Cities Diaital Qualitv Control
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TiIlefaon Builders Inc. Or.1:C52
L@3-57
? F. C. JACKSON
LAND SURVEYOR
RlOI6TERQO VNGER LAWB OF BTATi OF MINNB60 TA
LICBNBlC HY ORDINANC[ OF C1TY Or MINN6APOLfS
8818 EAST SSrH STREET 55417 l:] 1484
Jbutbepor'i Certificatc
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1 HEFEBY CHRTIPY THAT TX[ A?Y6 19 A TpU6 ANG ODXNlCT PLAT OR A$UBV6Y M
/
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Lot 4,Block 2,BriCCuny,Dakota County,Hianesota.
AS BURVEYED 0Y Mi TH18-L<0_._OAY
.luly q o 1979 _
;
SIGNi
F. G. ACKSON, MINn6907 ats7rswTwN. No. 3800
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n CITY U5E ONLY ?(?Q
L ? BL d" RECEIPT#:
SUBD. RECEIPT DATE:
1998 PLUMBING PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MSI 55122
(612) 681-4675
Please complete for: ? singie family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTIJRES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping OUtl2t " minimum -1
Rough Openings
Water Softener ? Por dweilings under construction
Water Softener ' for existing dwelling
U.G. Spfinklef `for dwelling under const.
U.G.Sprinkler "forexistingdwelling
Altef2tions * ta existing residertce
Water Turn Around
Private Disposal System ' MPC iic.
(new and refurbished systems)
Private Disposal Systems'Abandonment
RPZ (new installation only)
EACH # TOTAL
3.00 x =
3.00 x =
3,00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x _L =
3.00 x =
3.00 x =
1.50 x =
5.00 x =
20.00 " x = ..
3.00 =
20.00 °
20.00 =
20.00 =
75.00 =
20.00
20.00
STATE SJRCHARGE .50
TOTAL 26' "-0
5
---------------
- ordinances.
----------- --•-----p--------------------------------- ---------------------------
• all - applicable City M ° Eagan -
- is - corted, - and - agree -to - comply - with -
- that the - informaHon -
I hereby acknowkdge that °I -hav-e rtad- this - aplication - , state -
It is the applicanPs responsibility to r" -'"- ----'umes no liability for any damages caused 6y the City during its
nortnal operational and maintenance LEMM, DEBRA nit within Ciry property/right-of-wayleasemeot.
1655 NORWOOD DRIVE SITE ADDRESS: ? EAGAN, MN 55122
' (612) 452-9317
OWNER NAME
INSTALLER NAME: NdQ.?;IANA I?I?tA?'"? ?f?GI TELEPHONE#: ?2 '
STREETADDRE55: Z ! 0-45 C_.aA'g-FIE-z-r;?
?-
CITY: MIIOf.JiCtPOl..IS STATE: lVS1.?- ZIP: 65!tO8
? ----
SIGNA'
CD/PERMIT FORMSIRPLBG PERMIT (RES) - 1998
CITY OF EAGAN
7?? ? EARLY UTILITY CONNECTION PERMIT
OS ?Z,
Address Subdivision/Parcel 61
I hereby request pezmission from the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way. I'
understand that the City has not yet completed, inspected and/or accepted
tne sewer and/or water lateral. 'I agree not to use, test, or connect these
3aidividual services to any interior plumbing and understand the require-
mfent to cap the sewer service to prevent any unauthorized use.
In accepting this permit, it is agreed that I will hold the City and its
agents harmless from any damage that may occur due to this early connection.
It is understood that no Occupancy Permit will be issued or water allowed
to be turned on until the City utility system has been declared operational
by the City Engineer.
Signed by - Plumber:
Owner:
Developi
Builder
Dated: // - .?
CITY OF EAGAN
7?? ? EARLY UTILITY CONNECTION PERMIT
?S lz?
Address Subdivision/Parcel 61
I hereby request permission from the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-vay.. I'
uZderstand that the City has not yet completed, inspected and%or accepted
tiie 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 the sewer service to prevent any unauthorized use.
In accepting [his permit, ii is agreed that I will hold the City and its
agents harmless from any damage [hat may occur due to this early connection.
It is understood that no Occupancy Permit will he issued or water allowed
to be turned on until the City utility system has been declared operational
by the City Engineer.
Signed by - Plumber:
Owner:
suilder.( \AN6
G
Dated: // -- ?? - ?7 72
Toll¢fson Build¢rs, Inc.
CUSTOM DESIGNED HOMES
7655 Norwood Drive
Eagan, MN 55122
September 12, 1985
Mr. Tom Hedges
City of Eagan
3830 Pilot Knob Rd.
P.O. Sox 21199
Eagan, NiN 55121
Dear Mr. Hedges,
Phone (812) 454•8873
In response to your letter dated August 27, 1985 regarding
our model home/construction office, T simply wanLed to inform
you that I am in the process of applying for a conditional use
permit. Upon receipt of the abstractors certificate I wiil be
submitting all necessary requirements to the City of Eagan.
Sincerely,
olmUw(/ wt?'
?
Carrie Sybrant
CB;pn
oF
3830 PILOT KNOB ROAD. P.O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE, (612) 454-8100
August 27, 1985
MR CARL TOLLEFSON
TOLLEF$ON BUILDERS
1655 NORWOOD DR
EAGAN MN 55122
Re: Model Home/Construction Office
Dear Carl:
BEA BLOM9UIST
Maya
THOMASEGAN
JAMES A. SMITH
JERRV THOMAS
THEODORE WACHTER
Council Members
THOMAS HEDGES
qry Adminishofor
EUGENE VAN OVERBEKE
Glty Clark
The City has recently received complaints from residents of
Brittany lst Addition about the use of the 1655 Norwood Drive
residence as a model home/construction office.
According to our City Code 4.60, page 86-1, "A construction head-
quarters cannot be used for that purpose within 30 days after
final City inspection of 85% of the total number of dwelling units
in such plat." Since Brittany lst Addition is now 94% complete,
the model home/construction office can no longer be used for that
purpose unless a conditional use permit application is presented
to the City and the proper public hearing is held to consider such
use.
Relocating your model home to one of the new Brittany Additions
that is less than 85% complete is permissable according to the
City Code.
The City has been asked to enforce the ordinance by the residents
and before any official notice is given, the City would like a
letter of intent regarding either 1) application for conditional
use permit to seek a home occupation or 2) relocation o£ the model
home/construction office to another site by September 20, 1985.
Your cooperation on this matter is greatly appreciated.
Sincerely,
Thomas L. Hedges
City Administrator
cc: Dale Peterson, Chief Building Inspector
Bea Blomquist, Mayor "
Tom Colbert, Director of Public Works
TLH/kf
THE LONE OAK TREE. .. THE SYMBOL OP STRENGTH AND GROWfH' IN OUR COMMUNIN
.
FOIPdTS pF r:ONSI6ERATIOh.t ?Z?1 13 ?
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c nfTilnaf'rta.l np:.r-.Ytinn w ithirt a. rag.ide nl:i._al a.f??a .
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4. F_;::rp=_.I!F ¢r??n.?hfic ff`i:.Ri rolis i:ri.lr7tinli .philc 1-- = :.nri l!13,1ti11G Ppc-p l c.
rrBafi e.`?t f-otti:_•lY filGit rl 1 flCCld_, ttY atog.. F`f-F=.S.ntl: f:ItE•r?a %{f`B
c: rh i 1 dren tri...± 1 I VF anij F'LA'i? iilij tt-i i ri ?,ne hl ork rif ±i-ic- f•11IC`rl.. HOF?tE :
Cf?PJSTRiiC:TIptd nFFICF_. As parant= itau hava witrwe=e.ed r,7n=rrt.ict ir,n
Fur--orine l rJri -.i l ng :,+ L;..re=s ivu >pyad_. fhrr-Uriu bliiE 3r e:. U.'I hhni.lh
k n no,!I urJgp or c nncern +or ±he =.a+F, h;' n1' ?' iJf' i_h ilrir?el?i.
5. a_in on_,-_?.?.i,in? ?;,?ot-ICu(?5 iJ=.F. f(-iUI 1 i.llqii ?.c1f':' Vdltile t311!iili_I tn e.9.c!-I
othai- in the par t%ing lnt r-r iri fr-.r?1 r?{ tl, ? (li1 [) EL IIIn1F'f-CRd (F'IJ1 _TIi:fJ
IIrFICE. -i5 fiiqllaOUdl'IUf" i,,.)e fl .. -wl tllg=_.Pd :tI"'i,auRiuf, 4= F 1i_i..wcr, i.ivfl,ur'
tfi,?.t ?ta.'.jN e.5n f?u,_Crtnu,??hyslrti.l z.h tlniF=. 1 1ti3 i= n- ifI?IBI' afl Ph tr-
our ne i uhbnncood nor dea.i r•a.bl e frq, our rri i I dreri hn he?.r nr !,.!i tn e =_=_ •
Tf'?ff i r pr?nblBRiS ha_vu i-jc,vc 1-pud a.g ?. f?cgul 1 n{ 11ic 1 ar qF htJfRbE.l-.
of i:?Fh ir_1P=. ±h...t a.rr p=.rl:ed on the str=_.rn± iri +ronnt of thF hlOC'?Fl_ Ili_)h?F:
C:01 .1?=:1'RUCTI"td iiFF1CF. Thi=_. prnblerri i= Made nrc,rn 0 iii=i _ ult k !t1 rn lFmrae
rnri9.}fllc- tic-n v uhic le=_ "d_,u blF pa r.6::,' i l= tr, e a.iot?b::a r= r;_in 1 1".=_ide t`-
pirb; liP buildiny P1d17F. nr' OCFip{ Iil}oI`Ria,tlOCi.
r. Ff'?quetlt I m I.oIt 3.rid p fnp zf'f.. ::j ?.fii.?c Fi+.^ = nrriJfp?1 .?t 2
? 1`•+?? .a.h1
i.ir.f, 1.J;.r1 r,-.od ['f-. a.- the !"e=Ui t nf cq r= a.rid trur _1:= p:r4iing or drik-inc?
puFl` h11e CUfb ikfir1 ofihn It1F qra-=.s. This. d-.ffidOin js. fl}n_h rii-±uf1 SFCn ?,f
16.4 o hdorwood Dr. whFre vPh1c1P5 8.}teffipt tp turn rirbutiij a.nd
5Uh8BqUpfltly qn rivaf' trlu cUrb.
9. Llftrr' 3.fi!1 cjtflefC[ifi,tr?J
'rtlr?fi RiP.t?f-i?+.l grF n+toll fr?i
- ?tid 1 fl t:hI_.
ar..-. ?.nd rra;,.t:. ?.n unp lFN.E.an 1 appaa.Fa.nco p,ilt I rh i: u 1 4 iiTta_ tu 1 y r 1 L:.nFd
lip by tha hnmFOV:m?r=..
.. I_ln=_.1 i gh±l :•.:.pPu...r...nrF of thF F'ark i f-ng Lof, I I t tr1'.:.?.fid
con=_.truction vehicle_, deprucia.te- naiGhboncood property vallia=,
iii, bJith fuvi undFt,,alopFd lnh=. in tho originnl Bri#t:.ro Addi±ion=., thF
area i= morF than ?4% Cpmpleted. 7t,i=. ±hen, accnrdinQ to City
Ordin...nrF rFquirFs anY buildFr tn movo hi=_ con=_.tructinn „pFra.rirn_. tn
;..nr-thFr a.raa..
THFREFIiF..E, TFiF I_ifdDFR"IGhdE[) FIO!'1F044FIEF:'= F:FIOhllIFf1C> l"flriT' "(OLLEF'=,il•I'c
F:FQliEST FEFORE THE ?C?!,!ISrR'r C011P1I=:S;I011 E:E DEfiIFC?.
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ARTiCLr II
? PROTECTIVE COVGNAN1'S ANP FL•'S7RTCCIONS
FOIt UU1I11INC AiU USL
Sectlon 1. Nu buildin;; or other structure shall be pe:mi[[ed to be
constructed, or maintained upon any building Lnt unless [here hes been com-
pliance aith tlie ptocedures se[ fortL in Article III oF this Declatation.
Section 2. No 6uilding or other structure slial] be useJ for purposes
other than residential.
Sec[ion 6. No motor home, camper, boet, motorcycle, snovmobile, all
terrain vehicle, racing car or any form of recreational vehicle or unlicensed
vehicles auch as tractors, cemen[ mixere, contractor'e eupplies, ete.. whether
motorixed or not, shall be stored on any lot aubject to t}ieee covenan[e unleea
ouch vehicle is etored inside the gara};e or Iiouae on thet lot, or otherviae
atored or parked eo as to be unable to be seen from the public atreet adjoining
euch lot, except cons[ruction equipment far a reasonable time during cons[ruc-
tion of homes.
Section 7. No mo[or velitcle sliall be parked on a street anywhere vithin
the subdivision subject to these covenants overnight for a period exceedLng
five (5) consecutive deys or such lesser period as ie prescribed by law or
ordinance.
Section 10. No lot ehall be used or mainteined as a dumping ground for
aoy materiale including, but not limited tu, reiusu, trasii, garbage, junk
motor vehiclea oz othcr waste. Said itnms ahall be kepC in sanitary garbage
or tzassh containers coacealed so as not to be visible from tlie atreet.. AL1
incinera[ors ur ocher equipment fur the etorege or diaposal of euch meterial
shall be kept iq a clean and sanitary condi[iun and operated in a aanner chat
smoke or odur will aut be objectianuble. ?
Section il. No structute of a temporary cliaracter and nu trailer, moblla
home, vehicle, baaement, tent, sliack, gatage, barn or otlier ou[building sltall
be used at any time as a dwelling, eitiier temporarily or perwanen[ly, and no
trailere, commercial veliiclrs, tanks, mobLLe tiomes, or comnercial equipment of
any kipd eliall be located, stored or parked upon any building lu[ unless locrted,
parked or etored vithiu the buildiugs on tha premises.
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WOODED
LOTS
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132630
Date Issued:08/26/2015
Permit Category:ePermit
Site Address: 1655 Norwood Dr
Lot:4 Block: 2 Addition: Brittany
PID:10-15000-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas G Lemm
1655 Norwood Dr
Eagan MN 55122
(651) 452-9317
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139173
Date Issued:10/12/2016
Permit Category:ePermit
Site Address: 1655 Norwood Dr
Lot:4 Block: 2 Addition: Brittany
PID:10-15000-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas G Lemm
1655 Norwood Dr
Eagan MN 55122
(651) 452-9317
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139792
Date Issued:11/08/2016
Permit Category:ePermit
Site Address: 1655 Norwood Dr
Lot:4 Block: 2 Addition: Brittany
PID:10-15000-02-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 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: 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 -
Thomas G Lemm
1655 Norwood Dr
Eagan MN 55122
(651) 452-9317
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA145589
Date Issued:09/15/2017
Permit Category:ePermit
Site Address: 1655 Norwood Dr
Lot:4 Block: 2 Addition: Brittany
PID:10-15000-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas G Lemm
1655 Norwood Dr
Eagan MN 55122
(651) 452-9317
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature