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1663 Norwood Dr CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 Recsrv¢o FRpM AMOUNT $ I DOLLARS teo [:]CASH n CHECK FOR X,'G3 Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy BUILDING PERMIT CfTY OF EAGAN 3795 Pilof Knob Raed Eagen, MN 55122 PHONE: 454.8100 Receipt .# PO?tCH F? VAIIM $5.000 n„fP 1"U 1 . _ .. .? 1 Stte Address 1663 Norwood Drive Lot 3 Blxk 2 S??S?Brittan?* 18t parcel # 10 15000 030 OZ Robert Schiender rc Name ? 1663 Norwood Drive Addramt Ci EagaII 55I22 Phone Erect Aiter Repoir E^1Oro° Move Der.wllsh Grode ? ? p ? ? ? ? ?•-3 Occupancy Zoning 't??l Fire Zone '? Type of Const. v ,# Stories Lengih 20 Depth ?O Sq. Ft. ? Name GreQ Conwav Construction o u'~?' Address 1327 ??iarthaler Lane 55118 Apoeo Assessmen vals t Fee• Permit 50-0 •? g W. St. Paul 457-5431 Water & Sew. Surcharpe 2.50 Cit Phone Police Plan check ?W NO^'1e Firo SAC Addreu W Enp. Woter Conn. ? Ci phonb Plonner Water Meter Council Road Unit I hereby acknowledge thot I have read this opplication and stote thot rhe i fo ll otio i l ith li uble t d t gldg. Off. n rm n s correc an ogree o tomp y w o opp c ^PC $53.00 T l 5tote of Minnesota Stotutes ond City of Eogon Ordinonces. oto Sipnaturc of Pennittee ureg uo ion A Building Permit is issued to: on ths express condition tFMf oll work shall be done in occordance with oll opplicable State of Min nesota Stafutea and City of Eapon Ordinancces. Buildinq Officiol ' Permit No. Permit Holder Misc. Psrmit No. Holder Plumbiny H.V.A.C. w.u Wster Disp. Sswer Ekctric Inspection Dste Insp. Other Footings Foundation Framiny ,l-121- 3 Rouyh Plbg. Rouph HVAC Inwlatfon Final Plby. Final HVAC Final Wator Dewibe Laeation: Well Sewvr Pr. Dhp- . .?. CITY OF EAGAN •" r .3795 PIIoF Knob Rood Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Site Address Lot Block Sec/Sub. " - ' Parcel # z Name Z Address ? Ci Phone p Name it Address ? r:«,, ati- Nome Receipt # N°_ 5631 Erect ? Occupanry Alter C] Zoning Repair ? Ffre Zone ? Enlarge ? Type of Const. Move p # Stories Demolish ? Front h. Grode ? Depth ft. Aoprovala Fees Assessment _ Woter & Sew. Polite Address Eng. <W City Phone Planner Council I hereby ccknowledge that I have rend this opplication ond state that gldg. Off. the information is correct and agree to compiy with all opplicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee I A Building Permit is issued to: on the express condition that all work sholl be done in accordonce with all applicoble State of Minnesota Statutes and City of Eagan Ordinances. Building Officiol Permit Surcharge Plan check SAC Woter Conn. Woter Meter 40 . ? - Pomk # paM Pr?iefM Plumbing ? '7 Mechanical j 5 / O . 4 V O O INSPECTIONS DATE INSP. Rough-In Final Footings Oote Inap. Date Imp. Foundotion Plumbing Frcme/ins. d Mechaniwl ` Finul Remorks: ? ve-3O 414 ..ARU- / ? ? ?.a?•? LY '/?-?c ' T - - crnr oF EAGAN 3795 Pilof Knob Rood Eagan, Minnesota 55122 Plwne: 454-8100 .'71!TT Pi("T PERMIT Date: I+/I/80 Site Addreu: 2663 ??ood DriYe Lot ' Block z Sub/5ec. "Irit?? lst _ Nome iollefson nldrs. . e ? Address i ??.?` HOZ.`JDli? _:Yt . City A=le VFl,le^, Phone: ? ? 0 Nome FtedTlCk.4oI1 Heatizl.c•. Address 403? '?"'8flu d '-:ue D]'Z•. No, i ?3,q Receipt No.: Single I Residential Multi Res., Comm./Ind. I New/Alter./Repoir ne- Cost of Instollotion Permit Fee Surchorge ' 5" I City •' ' ? Phone: . _ I Tota I This Permit is issued on the express condition that all work sholl be done in occordance with all opplicable $tate of Minnesota Statutes ond City of Eogan Ordinances. 20.00 Building Official No. Dote: 5ite Address Lot t : - 4/11// ' ? .-r. 3 CITY OF EAGAN 3795 Pilo! Knob Road Eogan, Mienesoto 53122 Phons: 464-8100 PERMIT 17riVf ' r.ir?-., - Block Sub/$ec. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS No.. Non-ie New /Alter./ Repair ; Address V r Cost of Instollation O City Phone: Permit Fee Name Surchorge ? ? Address City Phone: Total ' This Permit is issued on rhe express condition that oll work sholl be done in accordance with oll applicoble Stote of Minnesoto Statutes and City of Eogon Ordinonces. Building Officio) CITY OF EAGAN Remarks Addition BRITTANY Lot 3 Bik 2 Parcel ln 3500 n.i(} 07 Owner T,)l /• ??, ', Street 1663 Norwood Drive State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. (p 1982 281. 8 6. STREET RESTOR. GRAOING 428.73 C006756 10/15/80 SAN SEW TRUNK ? 1 *SEWERLATERAL 5040.$7 C006756 10/15/80 WATERMAIN ,t WATER LATERAL QlRl WATERAREA 51 300.00 C006756 10f15`80 STORMSEW TRK 492.50 C006756 10/15/80 * STORM SEW LAT CURB & GUTTER 51DEWALK STREET LIGHT R WATER CONN. BUILDING PER. 5AC ?r tr PARK CITY OF EAGAN 37'sa? Pilof Knob Roud Eagon, MN 55122 Zoning: Owner; e a.a.,.__. WATER SERVlCE PERMIT PERMIT NO.: DATE: No. of Units: Site Address: t C , Plumber; Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to aomply with the City of Eagan Surcharge: Ordinanees. Misc. Charges: Total: By Dote Poid: Date of I nsp.: - I nsp.: SEWER SERVICE PERMIT CITY OF EAGAN 37`l5 Pilot Knob Road PERMIT NO.: Ecgoe, MN 55122 DATE: Zoning: No, of Units: rt r O . w e -- Addre s: s Site Address: - Plumber. _ I ogree fo oomply with fhe City of Eagan Ordinances. By Dute of Insp.: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Total: CITY OF EAGAN 3795 Plid Knob Rmd Eagan, MN S5141 PHONE: 434.8100 BUILDING PERMIT Receivt Te 6s uwd Sw 3 SEASON PORCH Est.Volue $5,000 DO1e ?7 l?l O 901 # April 6 lq 83 Site Address 1663 Norwood Drive Erect ? Octuponcy R-3 Lot 3 Blxk 2 Sec/SubBrittany lst Alrer ? Zoning R-1 Porcel g 10 15000 030 02 Repoir ? ITA Fire Zone Enlarpe ? Type of Const. V W Na? Robert Schiender Move ? # Stories ; Addross 1663 Norwoad Drive Demcilish Length 20 b Ea an 55122 ?? g phoM 6rade ? 20 Depth Sq. Ft.- o Name Greg Conway Construction Approvala Foes ?? Addresy 1327 Marthaler Lane 55118 Assessment 5050 Permit • `- Cit W. St. Paul Phane 457-5431 Water & Sew. Surchorge 2.50 GW Police Plon check Nume FZ Fire SAC Address Eng. Water Conn. ?W q phom Planner WoterMeter Council Road Unit I hereby ackrwwledge that I have rend this apDlicotion ond state thof gldg. Off. the inlormotion is correct ond ogree to comply with all applicable 00 $53 $tate of MinnewtoStotutes ond City of Eogan Ordirwnces. APC . Total $ignoture of PermiMee reg onway ons ry,c ion A Building Permit Is issued to: /1 on tha express rondition Ihnt oll work sholl be done in eccordonce with all appicabte Sta ZMi noto Statutes ond City of Eaycn Ordironces. Buitding pfficfol u?l rj, b,? f/?y O CITY OF FAGAN ? l`t $UILDING PERNIIT APPLICATION 3.w?-,??? ,17 0-9-° Zb Be Used se? Valuption Zt7,Lr.c Site Address: r Lot ? Block ? Sec./Sub. Parcel #: IO ?3000 C)?'D Go'L- Owner: l Pddress: City/Zip Code: ??,?+ti? SS I o2 ? Phone #: Contracta Address: City/Zip Code: Phone #: Arch./Eng. Address: City/Zip Ccde: Phone #: Include 2 sets of plans 1 site plan w/el.evations & 1 set of energy calculations. Date OFFICE USE ONII,Y Erect Occupancy Alter Zoning Repair Fire Zone Enlarge v 7ype of Gonst. ? Move r # Stories Dezrolish Front ? O ft. Grade Depth aQ ft. P,PPROUAIS FEES Assessments Sb Permit SO - Water/Sewer Surcharge a Police Plan Check Fire SAC Eng, Water Conn. Planner Water Meter Council Road Unit Bldg. Off. - ? APC TOTAL C:5 .3 `? cirr oF eaG,sN . 3795 Pilm Knob Rood Eagan, MN 55122 N? 5631 PHONE: 454-8100 ??l7/ BUILDING PERMIT APPLICATION Rxeipt # f 25 for Site Addreu 1663 Norwood Drive Erect EX Otcupancy $? Lot3_ Bixk2_ Sec/Sub. Br?-tt,»nv?_Gt Alter ? Zoning Rl Parcel # 10 15000 030 02 Repair ? Fire Zone TTT E l T t f Con V n orge ? ype o . s W Name Tollefson Bldrs. Inc. Move ? # Stories 2 ? Address 13816 Holyoke Lane pemlish ? Front ?g ft. ?-?... Gn'l o V? l i mc___ 1C; I_G.R17 1? t Grade M DePth 38 ft. w Name ?+vw --r.•""" oU Address Assessment 2 22 u Water & Sew. Cit Phone Police ww Name SamP w fire ? Address Eng. aw Ci Phone Planner Council I hereby ocknowledge that I have rend this application and state that gjdg. Off. 3/4/80 the information is mrrect and agree to comply with all applicable Stote of Minnewta Stotutes and City ot Eago rdinances. AP? $ignature of Pertnittee -U -?ti? Fecs ?Permit 202•00 SurcFwrge 45.50 Plan check 101. oc qqC 525.OC Water Corm. 305• 00 Water Meter 60.00 Rd.Uniit 1$5.00 Toml 1,421.50 A Building Permit is issued to: TO fson Bldx's. on the express condltion that all work shall be done in ocwrdanc ap o ,q ?le -S?ta-te-of/MinnesoM Statutes and City of Eagan Ordinances. Buflding Officlal - ' CITY OF EAGAN Includs,.2.aets of plans, 1 site plan w/el.evations & BUILDING PERNIIT APPLICATIIXN ,1 set of enezgy calculations. o/aY• To Be Used For? ??7aluatio Date o2l9 /,0 e-1 Site Address: OFFICE USE OfILY I.ot ,f Blocic 9_ sec. /Sub / ,Erect ? occupancy Parcel #: %0 f?DDD f/'?? /]?? Alter zonin9 ? A R2j?d1T Fire Zore Owner: ..?v??, 1 ay, ?.uJ??ii?v Enlarge -TYPe of Const. - - - MDve # Stories ?- Pddress: City/Zip Code: Phone #: Contractc Address: City/2ip Code: Phone #: Arch. /E1ig. : Pddress: City/Zip Code: Phone #: Deirolish Front ft. Grade Depth ft. APPFbDVFYC.S FEES ,Assessments t °1jj:2 ? water/Sewer Surcharge -1r$' Police Plan Check0 Fire SAC .f,2 S Eng. Water Conn. Planner Water.Meter 6 D ? Council Road Unit Bldg. Off. APC =AL l, ? 3 . 5 U mmnesota state tsoara ot nectncny Griggs Midway Bidg. - Room N191 - i821 University Ave., St. Paul, Minn. 55104 - Phone 297-2117 ' REQUEST FOR ELECTRICAL INSPECTION .CHECK BELOW WORK COVERED BY THIS REQUEST / f*p°J' S 58567 Type of Building New Add. Rep. Check Appliances Wired Foi Check Fquipment Wired For Home $ ? 0 Range 49 • Temporazy W'ving ? Duplex ? ? ? Water - ? Lighting Fixtuies ?C Apt. Bldg. ? ? ? Dryex 2 A Electric Heating ? "Commercial Bldg. ? ? ? Furna • Silo Unloader Indusirial Bldg. ? ? ? Av Co 6,0 Bulk Milk Tank ? Fatm ? ? ? pLis[ ei List lS# Heh Other ? ? ? H e COMPUTE INSPECTION FEE BF,LOW Semice En[nnce Size: s Fee Feeders&Subfeeders: #' Fee C'vcuits: # Fce 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres ? 10l to 200 Ampj. 31 to ] 00 Am eres 31 to 100 Am res . Above 200 Amps. Above 100 Amps. Above 100 Amps. Transfoimecs RemoteControlCirc. Partial or other fee ? Si ns Special lns ec[ion Minimum fee 110.500 Remarks Seff D. TOTALFEE .? 44.50 I, the Electrical Inspector, hereby certif t th `vV inspe n has beendt--- (Rough•in) ,.? Date o'ZI'qcj (Final) Date / Sr.- 6`d This request void 18 months from This request void 18 mcsnths from ? Date of this Request 4-17-1980 Fire No. Q 3000 1 I, as Rid.icensed Electrical Contractor ? Owner o?ereby request inspection of the above electri- cal wiring installed at: a /Ixf- '5ireet Address or Route No. 1663 Norwood Drive Eags.i2 Section Township Range County Dakota Which is occupied by rpnl 1 a fenn (Name oi Oc<upant) Is a roughin inspection required on this job? No ? Y,es ME Ready Now ? Will Call CEx PowerSupplier Dakota Cty. Address Fa7mingi-.nn Electrical Contractor O.H. Thompson Electric Co. Contractor's I,icense NoA37962 (ComOany Name) Mailing Address 12201 Mtka Blvd. t Mtka ?55343 (Electiical?Contractor'oi Owner_'Making This Installatlon) Authorized Signature '????'"??%'?v""" phone No. 933-2521 (ElectNCal Contractor or Owner Making TM1is Installatlon) This inspection request will not 6e accepted 6y the v tl Ls State Board unless proper inspecfion fee is enclosed. mmnesoca s[a[e ooara or eiecmcity Griggs Midway Bldg. - Room N191 01-02 T,'19210University Ave., St. Paul, Minn. 55104 - Phone 297-2111 ? ? REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST - 66547 Type of Building New Add. Rep. Chuk Appliances W¢ed For Check Equipment Wired Fo: Home ? ? Range E Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fix[uces ? Apt. Bldg. ? ? ? Dryer ? Electiic Heating ? Commercial 81dg. ? ? ? Furnace ? Silo Unloader ? Industrial Bldg. ? ? ? Air Conditionec ? 8ulk Milk Tank ? "Facm ? ? ? Lis[ List Other ? ? ? p Heie1s1 HeheTS? COMPUTE 1NSPECTION FEE BELOW eNice Entrance Size: # Fee Feeders$Subfeedets: # Fee Ci[cuits: # Fee 0 m 100 Am s. 0 to 30 A 0 to 30 Am eres 101 to 200 Amps: , Ameres 3l to 100 31 [o ]00 Am eles Above 200,_,Amps. t) Above 10 Above lO?Amps Tcansformers RemoteC S'U Signs Special In Minimum fee 15,00- _ Remazks TOTAL FE ?O fC tiS'Q I, the Electrical Inspector, hereby certify that has been made. nat'e1 /1 - // (Final) This request void 18 months from rn;s ;?;q:iegt voia 1`8 months from ' "Date of this Request 1 i- 6- Fire No. 6 6 5 4 7 I, as ? Licensed Electrical Contractor)O Owner, do hereby request inspection of the above electri- ` cal wiring installed at: Street Address or Route No. /6 Ge? CZV9A=I Section Township Range County 1Vhich is occupied by Is a roughin inspection required on this job? No ? Yes L`].' Ready Now ? Will CallV I aa? Power Supplier?? ?-?-? Addr?? Electncal Contractc,_P?, - ?-? Contractor's License No. _ (GOmpany Nama) Mailing Address Authorized Signatur? i?lilPhone No. 9 q (Electrical Cont?acto? or Owner Making Th7s Installatlon) ({?j'n?? p 7?1? ?,1?(????D (/'? L, ??llll? Thisiiapectionrequestwillnat6eecceptedbythe ?'J tJ Cf? (J?njI111 StMe Baard unless propar inspectian fee is enelosed. ?1'I`'p( REQUEST FOR ELECTRICAL INSPECLION .r«. urv 2 7 6 2 0.' Sea instrty-tlans for coinulatln9 this form on back ot yellow copV. ?'"R"Belg,°,-1Nork Covered by This Request EB•00001-03 35S ll e Adtl ep. TyOB Of Building AOOliance5 WirBd EquipmBnl Wired Home Range Temporery Service Duplex Water Heater Lightiny Fixtures Apt. Buildinc? Dryer Electric Heatin Commerciai Bidg. Fumace Silo Unloader Industrial BIdg. Air Conditioner Bulk Milk Tank Farm Oiher Peci y ther ISVecifyl -UtTTr-ff pecrtY Offier Other Compute lnspection Fee Below N Fee ServiceEntraneeS:ze # Fee FPeders/Subfeetlars # Fee Circuics 0 to100Ams 0 to30qms 7,50 0 to30Am ' 107 to 200 Amps 37 to 100 Amps 37 to 100 Am S Above 200 qmps AUove 100_Am s Above 100_Amps Transrormers Remote Control Circ. . Sp Partia V th Fee Signs. Special Inspection S T A Fenurks 7 -g L PEE Rough-in ? E? y "./ "0IJ Dat e?? • ? Inspector, heraby wrtify thal the above I Final -/ 1ea? ? i action hes been o ? IL'ii;? ? ade. This reauest voiA itf nnnths hom This requesl void J-q P, :21 E>r l41-aN_a?{? 3 S S' ? I 18 months trom ? 27620 '"Henuest ?aie Fire No. Ruugh-In Insoection / Required? Ready Now Q WiII No?ify Inspec- ML? ? I??-3 X Yts ?No tor When fleatlY ? Licensed Elec[ricai Contrector I hereby repuest inspection ol above JAOwner eleetneal work installetl at: Stree[ Atldress, e or Poute Nn. o x City /J , ? / i??.3 /YOY1NmOdf /?epi, G, n ecUOn o. Township Name or No. . anBe No. Cnanty I?uk??k OccuOant(PflINT) Phone No. YSY GZ-"i9 Power SupPlier - Atltlress . n- A«-1A r iE EIeC[rical Con Com Dany Namel v a ct o r I Canhaclnr's Lir.ense No. 1 , ? ' A c .? W Y? Mailing Atltlress ICqOn?trector or Owner Mak/in?g Instailationl n/1 /Y O?L?/OG ? /JA Authoriz 'gnawre IContractor?Own aki Install oN Phona Number Z99 ? . -6 MINNESOTA STATE BOAflD OF ELECTflICiN THIS INSPECTION PEQUEST WILL NOT Griggs-Mitlway Bldy. - Noom N•181 BE ACCEPTED BV THE STATE 90AXD UNLE55 PROPEF INSPECTION FEE IS 1827 UniversieY Ave., St. Paul, MN 55104 Ph..oe 16121 297_2111 ENCLOSED. _ 4i _ . ? V _. ? ?J L . _ . l? .i v .. . .. . J J _ ?' ._ . . ,? . _ $ -7i-o 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 A NEW BUILDING ao New Construction Reauirements RemodeVReoair Reauirements OJfice Use Onlv 3 2gislered site surveys shovnng sq. ft. of l04 sC. ft. of house; and all roofed areas 2 copies of plan CaK of Survey Recd _ Y _ N (20°h mae'vnum lot wverage ellowed) 1 set of Energy CeIcuW6ons torheated add'Aions Tree Pres Plan Recd _Y _ N, 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addiiions 8 decks Tree Pres Required _ Y - _N 1 set of Energy Calculations AddiG'on - indhate Hon-ske sepGc system On•site Seplic System _ Y _ N 3 copies of Tree Preservation Plan fl lot platled afler 711193 Rim Juisl OelaR Options selection sheet (buidMgs wlth 3 or less unRs) Date-Lo J 70 Site Address J41. 1-05' 3 /VOPwrua Construction Cost $7 000 /)r Unit/Ste # Description of Work SiA tM FO D Multi-Family Bldg _ Y x N Fireplace(s) _ 0 JX 1 _ Z Property Owner MQMZs C LLA Telephone # (Cdsl) I061-cmg Contractor Address State /lA Zip ',S,slT CiTy C.wqq? e?`epg'oae l) (9?? ?OQLS COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheet (q submissiontype) Submitted • Energy Envelope Calculations Submittetl Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( ?&/71_ `" iv d Telephone #( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and wo ka:s_ncatxa a permit; that the work will be in accordance with the approved plan in the c?se of wprk w?{ ch ieqtrires I i?vi?e, ( d approval of plans. OCT 2 Y 2005 Ap cant's Printed a e Applicant's Signature ?BLY _ OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool „ ? 30 Accessory Bldg O 02 SF Dwelling ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ent. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 054' 03-plex L] 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? DB 04-plex ? 12 1 Z-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ., ,•, ^. :... •' . , -a V , ..Y , ? 31 New ? 35 Int Improvement ? 38 Demolist?lntecjpf,l '44, Aiding . ? 32 Addftion ? 36 Move Building ? 42 Demolish Founda6on ? 45 Fire Repair ? 33 AlteraGon ? 37 Demolish Building' ? 43 Reroof q O 46 WindowslDoors ? 34 Replacement , *Demolitlon (Entire Bidg)-Gii'E?CAyianCbut?Fi''applPcant' ?-%'? '?• Valuation Occupancy MCES System' Plan Review 100% or 250/c ? i$ ?c l ?•.'?rr Census Cod'e' Zonin g '' ' ?ity Water y SAC Units Stories Booster Pump - # of Units Sq. Ft. PRV,.• ;e,;m # of Bldgs w.,:.„?•+?,' 3 Length Fife Spfinkjgecl a-.., •.`. . ,. • '? Type of Gonst.?r?.' Width q"?'` REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaUC.O. _ Foo6ngs(deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tiie Other ' RooF _ Ice & Water _ F inal _ Pool _ Ftgs _ AidGas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows ' _ Insulation _ Retaining Wall Approved By: , 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 > `pCtCj ?A 2005 RESIDENTTAL BUILDING PERNIIT APPLICATION p o City Of Eagan ? ?? ' 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 C-a93Ad New Conshuction Reau'vemenls RemodeVFieoair Reaulrements Offioe Use OnN 3 regislered sde surveys showing sq. ft of lot, sq. ft ol house; and all mafed ereas 2 copies of Wan Ced of Survey Recd Y _N (20% maximum lot coverage allowed) 1 set af Energy Cakulafans for heated additions Tree Pres PIanRecd Y.. N. 2 copies of plan showing beam & window s¢es; poured found design, etc. 1 sRe survey for addd'ans 8 decks Tree Pres Requifed - _Y _ N 7 set of Energy Calculabons Adddion - indicate 'rf on sfte sep6c system Onsite Septic System _ Y_ N 3 copies of Tree Preservaflon Plan'rflot platted after 1/1193 Run Joist Detaa Options seledlon sheel (buqdings w8h 3 or less unfls) Date 0_? / (2 /o5- ConstructionCost nn 5ite Address 1b63 /llv/`+x"d D/' UoiUSte # Description of Wark C. rto?v ?o'hn? S be?•r+, S p25,LS q?r^C ? Multi-Family Bldg _ Y4 N l ? i Fireplace(s) _ 0? 1 _ 2 c-? Property Owner Jawie j o!f f.v, n Telephone #((v51 ) ' ?"?O2g Contractor ? I:PL Address Cit3' State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF A NEW BUILDING - Minnesota Rules 7670 Catecorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Calegory 1 Worksheel • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitled • Energy Envelope Calculalions Submitted Have you previously constructed a building in Eagan with a similar plan2 fee applies. rr- Licensed Plumber Mechanical Contractor Sewer/Water Contractor 25% plan review ms ZQO, e# I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of IVIN 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 plan in the case of work which requires a review and approval of plans. Dar, L e,--? .-, Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace x 21 Porch (3-sea.) ? 31 Ext. Att- Multi ? 03 01of_plex ? 09 07-plex ? ( 17 Garage ? 22 PorchlAddn.(4-sea.) ? 33 Ext.Alt-SF ? 04 02-plex ? 10 OS-plex ,, ? /? ?J? 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 37 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Atteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors X 34 Replacement 'Demolitlon (Entire Bldg) - Give PCA handout to applicant Valuation ? Occupancy c -3 MCES System - Census Code L731/ Zoning City Water - SAC Units - Stories ? Booster Pump - # of Units Sq. Ft. ? PRV ? # of Bidgs '-" Length Fire Sprinklered ? Type of Const Width - REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. ? Footings (deck) ? Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation Retaining Wall 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 Total Building Inspector i83-57 ? . 'a m ? !1 / . / ? C . JACK50N LAND SURVEYOR ooo.c ? Efiis??7g :=/eY. RaGIsTsnav UnDlR LAWf OF lTAT6 W MINNi80T11 J " L1C[N6[O 6Y ORCINANC[ 0? CITY OF MINN[AVOLIB ? yi'`T /L: `^?D• .. ' .: zren 9618 EAST 557H STREET 5 5417 727-3484 barbepoc'sf GLextificatc ` . - ?`? ?l ??• 13 ' ? , ?_ • I •` I 15?? L x ? /O w , . `X `N41 n. 411Q! / A ? ? 00 0 O 1 M[R6DY CERTIFT TMAT TH[ AsDVt tY A TNU[ ANC OORR[CT PL11T OR A$UXVEY OR 1\ 1 ? Lot ),Alxk 2,Rrlt,an±, Dakota C:)unty,tllancauta. itu. 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City of Eagan PERMIT 41,11P titlf of hp Permit Type: Mechanical Permit Number: EA104809 Date Issued: 06/12/2012 Permit Category: ePermit Site Address: 1663 Norwood Dr Lot: 3 Block: 2 Addition: Brittany Olst PID: 10-15000-02-030 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Bruce Lundeen 2620 Stevens Ave., Fee Summary: ME - Permit Fee (Replacements) Surcharge -Fixed $55.00 $5.00 0801.4088 9001.2195 Total: $60.00 Contractor: Lundeen Bruce A dba Bruce Arnold Mechanical 2620 Stevens Ave Minneapolis MN 55408 (612) 978-8973 - Applicant - Owner: James Man Chang 1663 Norwood Dr Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature 41,111 UtyofEaftall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: 7_ (/(�" ( L. Staff: C7 /d3s? /(y -s- as 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site ddress: Unit #: J RESIDENT / OWNER . Name: AM N�' 1 *A P�one: Address ! City lZip: Applicant is: /1 / P /^ f I > l• v 3 Ao -1,4„, Ow() �t.v v.,/ Owner Contractor TYPE OF WORK Description ofwork: Cost: / ee"- i p tAT-(1 e. iS't, eConstruction eoe t/ 1 Multi -Family Building: (Yes ! No CONTRACTOR Company: AI{, Address: �� t f' PIS Contact: . 4N i L 2 S City: U- !} r`Pito. z---• ` ,5 State: /d1IV Zip:•ft �--a Phone: 6 (s`— y 1/7.g License #:30 1 Cf 7 73 0 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes ?( No If COMPLETE has the City of yes, date and address THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Eagan issued a permit for a similar plan based on a master plan? of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor. Phone: Phone: 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 they 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.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 for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minneso • S • to Building Code b = cornplet . wit in 180 dayysiof per issuancescJuii App Printed Name Vd 1099LL1S9 icant's Signature uesi}ly Page 1 of 3 eL l• :80 2 6 16 inr fe City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: OC-? Date Received: ? 3 / Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: /2'3 A/ 4A7 (10 i/€ Unit #: RESIDENT / OWNER TYPE OF WORK Name: X9N8 ei;,J A4-- s"5"/� , Address / City / Zip: Applicant is: Owner Description of work: Contractor Phone: -O('f3(8rot D/414/ ,52 Ff-/T .2 1'/9 Multi -Family Building: (Yes / No __J Construction Cost: CONTRACTOR Company: Alig-/-2 Address: /�oJ vvRT< State: /t Zip: 55/ 5�9A�1 ��c`C Contact:-4C#/J City: c / l `r Jld it) Z//2/ '771 Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 6a//798z 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: Mechanical Contractor: Phone: 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 thatwould permit the City to conclude that they 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.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 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. i/z d) Applicant's Printed Name Applicant's Signature Page 1 of 3 ` t J Use BLUE or BL.ACK Ink �-----------------� ��_,�� For Office Use � � (��} j Permit#:�,��,��1 j � t�16� �f ��.�� SEP 2 5 2015 � � � � � Permit Fee: • � 3830 Pilot Knob Road Eagan MN 55122 j Date Received:��=� j Phone:(651)675-5675 I � 1 _ � Fax:(651)675-5694 I Sta .,f��"�(J � '--------------c��, �r 2015 RESIDENTIAL BUILDING PERMIT APPLICATION ��. 1 o � A Date: / �� i5 Site Address: �66.3 NU��1!lD� c/rsl1� f.l� /�ll� $�'1�� Unit#: Name: ��M �� IrIJV � Phone: U��'��' �r��' ��S��E'tl#1 Owr�er , adaress i c�ty i z�p: lbE� �o rt�l D�D� �I�'V'� , ��v, u�'Sl�Z.. Applicant is: �Owner Contractor Typ� c�f�lllork ' Description of work: �'�� / � Construction Cost: (c �X� "� Multi-Family Building: (Yes /No ✓ ) Company: Contact: �� ,��r ';, Address: City: ' State: Zip: Phone: Email: ! License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: T3v«; �.d �'O 1� -l COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUII.DING 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: �f[1TE:Pla��ar��l s�rp�ort�rr�do�ura�nf��at yoc��ab��t are��.�''+�e�t�to=#e p�r�a�ic��a�'��t�f�t��`��'t�,s�f � the infbrm�tio�a may he class�eaf as�+�+t��u�lt�x1#�,��u p�ctvlde s��fi��asc�r��,t��f�s+ou�d pe�'a"tt��e��y to ' ' ca�rr��e�r��.are�'ad�se�r�r#s: 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.qoqherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buiiding ode must be completed within 180 days of permit issuance. x �� x Applicant's Printed Name Applica Y Signature Page 1 of 3 . • ��c3_�DYc�.�� r. DO NOT WRITE BELOW THIS LINE #'�,��p�'S+� 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 _ Egress Window _ Water Damage _ Retaining Wall "Demolition of entire building—give PCA handout to applicant DESCRIPTION �, Valuation �f Occupancy ,Z,/ G- MCES System '' Plan Review Gode Edition �o/�� SAC Units ` (25%_ 100%� Zoning �–c City Water -- Census Code y,�'4 Stories �-- Booster Pump -- #of Units � Square Feet 3�G PRV " #of Buildings a Length �y Fire Suppression Required '— Type of Construction � Width ��. I REQUIRED INSPECTIONS I Footings (New Building) Meter Size: � Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: _Ice&Water _Final Pool:TFootings TAir/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone �ath Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Finai Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FE �G� •�, /�� `j �O � 3gG1� A Base Fee / 3,'� �– Surcharge Plan Review $'f �'� MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 , _ . . .. � - . i 33•-57 '!(�� 3 133 a�,� !i: F'. C. J�4ClC.�O N � D, ¢-/ GG��:=��h� uwD �uRv�roR f- � �. . . oo�.o = �-risT�� ,:/t� y. , . REGIETERED UNDER l.AWf O� lTAT6 OF Ai1NN[�OTA �^�1 /G; �y.�Ij ' . Y �"� LIC[NSlD dY ORDINANC� O� CITY OF M1NNiAPOLI! � `�. .� � Yoi'( - 3618 EAST 55T►� STREET �5417 � . / 727-3484 `— �urbepor'g �trtificatt � za ' Z, '�" . � �� . �, a � `,� �\ � �---�� .�. � / �` �`"--��- � � . - . �` �� ''� 'i� P -`_ �� , ! , _� � � r— rl �� , —3 'ti � ` ��1 S`+ .-.'.2�., � - 1 � �, � ,c i i a ,„ w �� a�! �� ' � h , 1 tt�,,, ��a � 1. � � '1 '"+�� N / t ' i � � �� E� ' � �l� � � � ! � 3 � fj � , �+ ' �1 i,] '? D , �t � t�i � 1 � .�, 6 �' �D� � '�Q � �! � � f ��'Z � � ' �� ,Q� � � o \ � _..l—�'�� t,� Q.�i l'{j D� � 0"'„� , .l� 3 � � �\ �� ' , u � � „ . �! �.__.__� � , 1 L �-��! � � ti tl , +,` ' � '� \ .� -- -.. �� .�.3 ,� ,�` ` r l�J S/' \` J � � � I MIRESY CERTIFY TNAT TH[ AOOV[ It A TRU[ AND GORRECT PLAT OF A SURVL7 OF ,` � � 1\ ' ` � :� � ij � L.Jr ,��.JCIS ?��ritirill�� ' .�A��f.g C7UT1C;`�M�qT1C9UC3. �py�S-ilV . �� . ��. . �R��Y g�� /�� ! -,��? � "',;,��.� �� "1�(�� [Vl�ION 7 L i�. Feh. 1'a80 ,, Af iURV£YED BY ME THIS DAY OF A.D. � . S16Nt � F. C. ACKSON, M� t�csoT,y �sTRA7�, No. 3a00 �' � �