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1671 Norwood DrCASH RECEIPT CITY QF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE R6C CI V 6D FROM AMOUNT ? 17 & DOLLARS 7oo E]CASH Q CHECK rOR ? White-Payers Copy Yellow-Posting Copy Pink-File Copy ,. . { cirr oF EA"N 3795 rtlot Knob Rm1 Eogaw, MN Sl12= ?ft? / PNOME: 454-8100 BUILDING PERMIT Reeeipt # _ :3 4-7 3 3 Site /lddrcss 1671 Norwood llTive Lot 2 Block Z Sec/Sub.Brittsny lst parce, # 10 15000 020 02 ? Na,T,a Tollefson Builders, Znc. ? 1655 Noxtii'ood Dcive Address Ci Eagan 55122 phone 454-6873 Erect 1] Alter ? Repoir ? Enlnrge ? MO1Q ? Demolish ? Grode ? OccupaMY R--3 Zoniny R Firc Zone NA V Type of Const. # Stories Length 74 Depth 34 Sq. Ft. ? Owner o Ncme Approrals Foes O' Addrass Assessment Permit 2• u? C? Ph Water 8? Sew. Surcharge 48.50 ? Police Plan check 2112.00 kW NO^1° Firo SAC 525.00 ?? Address Enp. Woter Conn?+50.00 tW Ci phone Plonner Woter Meter 60. 00 Council Rood Unit 250. 00 I hereby acknowledge thot I hcve read this opplicotion ond state that the intormotion i ll ii able orrect ond a ree t om l ith gldfl. Off. g p y w opp s o o c o c State of Minnesota Stotutes and City of Eagan Ordirances. ^PC Totol > 1969 . 5? Siqnature of Permittee To lefson Builders, Inc. A Building Permit is issued to: on the exprcss wndition thno all work shall be done in acoor once ith oll opplioabla Stote of Minrxsoto Stotutes and City of Eoflan Ordinonces. --?-. t 1 ? ,_- Buildinp pfficiol Y?CLL % 10?/0 - Permit No. Permit Holdar Misc. Pwmit No. Holder Plumbinq 3 3025 C-.IkAz- H.V.A.C. < t C It / ( Wsll Weter Disp. S?vwr ENetric WO?D(b.'Z ? E 6<< q-I -?? Impectioa Dm InsP. Otha? Footings 3-3{ b, 6L- Foundetion Fnminy Rouyh Plbg. ?? ? d- Rouph HVA ::?_/ ,? z4f Inwlation Final Plbp. Final HVAC Final ? Wear Describe Location: 11Vrll Sewer • Pr. D'up. - r Reoeipt - - ' CITY OF Fi!l in or 1. Date - ? 2. Insta 3. Job Address 4. Owner Permit No. Fes ' S/C Tot. - Iw- TractZ' - 5. Contractor Phone 6. Address t r 7. City .:.1---•'-w' ' State Zip 8. Building Type: Residential OCommercial O Institutional O 9. Work Description: New El' Add ? Alter ? Repair ? 10. Describe Fuel Type - '? 11. No. Equioment 8TU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. an ng: r Boilers Mfg, Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved . CITY OF EAGAN 454-8100 - .- ? - Receipt PLUMBING PERMIT Permit No. -? -- CITY OF EAGAN - . Fee Fill in numbered spaces S/C - Type or Print legibly ToL 1. Date ? 2. Installation Cost !J/1 l I ' / -` / • .?r'/ 3. Job Address 7/!?/?! ` -"Lot41t_Blk. Tract • _ . 4. Owner 5. Contractor % ?1L???!/i?rv Phone 6. Address L/ 741 c?1 7. CitY ? t-'J °f7lJC? ? State ?r1 IV 2ip 8. Buifding T ? ype: Residential ? Commerciat ? Institutional O 9. Work Description: New UY- J Add 0 Alter ? Repair O 10. Describe 11. No. - Fixtures Water Closet No. Fixtures Cesspool/Drainfield ' Bath tubs Septic Tank Lavatory Softner / Shower Well Kitchen Sink Urinal/Bidet Other ? -?--- Laundry Tray _L Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances aad /cades governing this type of work. Signed : Z. Rough Ffnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-189 (612) 681-4675 :SITE ADDRESS: i}? LJIIUf? 11H !,I ? I I 9P! PERMIT SUBTYPE: I1 \Si LUr,ION ?LU??? PERMIT TYPE: Permit Number: 7 Date Issusd: tl 1 0 4. IC ; . APPLICANT: th;rl i ...'a.' !;'.;:t TYPE OF WORK: ,,i ,, 2• 11 i « 11h H" /Nti/t+r k' ! 1 F L J V t Mr1F1K?.: 1'i Ahl RF Vl I tif 17 1'1 Y f kA l ii td0VAt* 17YK . Permit Holder Date Telephone N PLUMBING HVAC InSpection Date Insp. Comments FOOTINGS ? 4 O O FOUND FRAMING ROOFING F10UGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST ?S > > cl?vt ?? -? ?? INSUL i GYP BOARD FIREPLACE fIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTiVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL ?ECK FTG DECK FINAL -Ai?- CITY OF EAGAN Remarks Addition RRTTTANY Lot 2 Blk 7 Parcel 10 15000 020 02 Owner Street 1671 NO.C'WOOCI DT1V@ State Improvement ' Date Amount Annual Years Payment Receipt Date STREET SURF. , (? 1982 2819.87 563.97 10-11-83 STREET RESTOR. GRADING SoAO 1981 428.73 28.58 ?r 342.99 A012908 10-1143 SAN SEW TRUNK 73.07 A012908 10-11-83 :r SEWER LATERAL ,T17 1981 5040-87 _..33 .06 4Q3g.7Z ?? -, t? . _ WATERMAIN * WATER LATERAL 1981 WATER AREA .5 ! 210.00 _ A02908 ? STDRM SEW TRK iggl 492.50 32, $3 I 05 3940 ?1 A012908 -20-11-83_ * STORM SEW LAT 1951 _ CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT WATER CONN. ?l 50.00 BUILOI NG PER. 782 SAC PARK No.: !o somply with !hs City of Eagan CITY OF EAGAN 3795 rilat Knob Road Eaysn, MN 55122 Zoninp: , Owner. Address: Site Address: °iorwr.c,<.' Plumber. : ` ` • - 1 egree to eemply wilh f6e City of Eagow Ordinaneos. Bv Date of Insp.: WATER SERVICE PERMIT PERMIT NQ.: DATE: Connection Chcrge: Account Deposit: Permit Fee: Surcharge: Mlsc. Chornes: Total: Dote Paid: SEVNER SERVICE PERMIT PERMIT NQ.: DATE: No. of Units: Connedion Charye: Actount Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: Date of Insp,: Insp,; I BUILDING PERMIT N° 7827 Receipt Te be wed fer SF DWG/GAR Ert,yalue $97,000 Dme M arch 10 , I 9-B3_ Sita nddress 1671 Norwood Drive Erecf g) Occuponcy R-3 Lor 2 Blxk Z Sec/Sub.Brittany lst Alrer ? Zoning R-1 Parcel {k 10 15000 020 02 Repair ? Fire Zone NA Enlarge ? Type of Const. V m Name Tollefson Builders, Inc. Move p # Srories z Address 1655 Norwood Drive DemoHah ? Length 74 Ci Eagan 55122 Phom 454-6873 Grade p Depth 34 Sq. Ft.- ? OWiler Approvals Feof p Name ? Z U Addreu r:.., eL___ Name _ AddrCSs I hereAy acknowledge that I have reod this ap0licotion and state thaf the inlormolion is correct ond ogree fo compiy wifh all opplicable Stofe o4 Minnesota $tatutes and City of Eagan Ordinonces. Assessment _ Wafer 8 Sew. Police - Fire Erp. Planner _ Councfl _ Bldg. Off. _ APC Permit `*?'+• vv SurcFwrge 48.50 Plan check 212.00 SAC 525.00 Woter Conn450.00 Water Meter 60.00 Road Unit 250.00 Torol $1969 . 50 Slgnofure of PermiMee T011 I A Building Permit Is issued To: 0fSOri Bu11dET'S? IriC. pr? the expresa condiNOn Ihwr oll work sholl be d ne in accorA?)pnce ith all oppliwblo State of Minnesoto Statufes and Ciry of Eagon Ordinancea. BWlding OtfiNol ? r,,?71/k? CITY OF EAdAN 3795 Pilef Knob Rmd Eagan, MN 55122 PHDNE: 4548100 ? REQUEST FOR ELECTRICAL INSPECTION r' See inslructions br compleUn9 this tqm on back of yellow copy. '.X1" BelZork'eo' ? ved by This Request EB-00001.04 u. New AAtl ReD. Tyoe of Buileing Applinnces Wired Eyaioment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fiztures Apt. Buiidin9 Dryer Electric Heatin Commerciai Bldg. Fumace Si!o Unloader Industriai Bldg. Air Conditioner Bulk Milk Tank Farm ? lher Isnecifyl [ er 1 ueci y Oiner Compute Inspection Fee Below ' q Fee Servica Entrence Siae k Fee Feeders/Subtaeders # Fee Circuita 0 to 200 Am 5 0 to 30 qmps 0 to 30 Amus Above 200 Amps 31 to 100 Amps - 31 to 100 A s Swimminq Pool Above 700_Am s A6ove 700_/am s Transrormers Irrigation Boon-?s ' Partial-'Other Fee Signs Special Inspectlon $pp Remarks , , .i TO LFEE 1. th?`E111rroe1 Inspecbq heraby certify tMt the above inspection hos been mede. This reyuest void La ?13 ,;;z ' 3 sb S q 18 nionths from W066210 Request Daie Fire No. Rough-in Inspectian ` Re u,retl? Ofleady Now TJill No?ify Insper.- 3 [}?J Vus ?NO ?or When qeady ? LicanseA ElecVical CanVactor I haraby raquesi inspection oi nbove Owner electrical work instelletl aY Street Address. Box or oute No, City ? ' ec ion o. Township Name or No. - j i, o. Coynry Ocr.upantlPRINTi Phone Ne. Power SupOlier Address T? Elecir' ?al Cnnvactor ICom any Namel ` Contracmr's License No. C 0?1?03- Mailinp A Jrass (COnVacmr or Owner Makine In tallntion) ? ? Aufhorized SiBna nVactor Ow r MakinB Installa[ionl ?o? Phone Numbar - W9 MINNESOTA STATE BOAND OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bitlg. - Noom N-191 BE ACCEPTED BV THE STATE 90qqD 1827 University Ave., St. Paul, MN 55104 UNLESS PPOPEfl INSPECTION FEE IS e1___ 1e.11 1n, I.« ENCLOSED. (?rr#ifirtttr of (orrupttnry Citp of (Eagan Dr}tttrimrnf of Buililing Jnnyrrfiim Tbir Catificate irtutd pursuaru m thc reyuiremenu of Section 306 o/ thr Uaiform Builrling Code cati fying rhat at tbe timr of itJrutrue tbit rtrurturt wut in rom pliance wirh tht vuriout ordinanrcr of thr City ngulating building ronnruction or ufr. For tbr folloevinb: vxc1.:t.u. SP DWG/GAR Nas.hmnNO. 7827 O-O?YTY? TyP^CouWC4mV_FiRzo-a NA zom, a,ma R'I I671 Norwood Drive ,M•RLot 2,Block 2,Brittany lst Addrm By: p« September 12, 1983 '2? .o., ?. . ?«..?wa,. ..,?. ,.?s<. rzlv nF r_AraN CASHTE:fic S TEF:MIiQAL. N0: 796 Dr17E? 09J014/913 t'f.ME: 15:51a06 ILs r. NAMC;, 7OWN AND COLINTf;Y F'OOL & Sf'A 3210 9001 1671 NOGiWUfM DR 224.75 205 7001 077. NORWOULi Dk 7.50 Tota7. RF;+ecipt Amnunt: 232.25 CF:CI97i.84 U5ER 7:D: NANCY FERMIT CIT?Y OF EAGAN t 3834Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: guzLozNG Permit Number: 033136 Date Issued: y y/0g f g g 51TE ADDRESS: ssTS NnRwnno DR LOT: 2 BLUCK: 2 BRITTANY P.I.N.: 10-15000-020-02 DESCRIPTION: IN-GRqUND ermit Type 6*rk Type r ?, w ,:6e" ?'a?•?i`'a ?a?r ' i rE .e + :,aa =Lt s . v ? ,a?i SWIM P001. NEW 329 NQNBLD6 STRUCT. ?v REMARKS: PLAN REVIEWED BY CRAIG NOVACZYK. CAII 445-9840) RFGARfITN[; FIFfTBTCAI PFRMTT ANt7 TNSPFCTTONS_ FEE SUMMARY: VALUATION $15,000 8ase Fee $224.75 Surcharge $7.50 Tatal Fee $232,25 CONTRACTOR: - flpplicant - ST. I.IC. OWNER: 4,051) WN & COUNTRY PpOL & 5PA 12221233 SpECIAL MCBRSDE []AVE 8 LINCOLN flVE 1671 NORWOqO OR PAUL MN 55105 EAGAN MN 55122 222-1233 (651)905-8956 2. kt?.F.eh:Y° aCkr?avEledg? "?k ` ?n'?tsrr?aCiar?-`is`,car.r=?ct= APPLICANT/PERMITEE SIGNA RE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681.4675 New Construttion Reauirements RemodeVRenair Reauirements ? 3 registered sRe surveys ?2 copies of plan ? 2 copies oT plans (inGude beam 8 window s¢es; poured fid. dasign; etc.) ? 2 site suneys (aRerior addkions 8 deeks) ? t energy calcuiations ? 7 energy calwlations for heate0 a0tlitions • 3 copies of tree preservation plan if IM pWUetl aRar 711193 required: _ Yes _ No ? DATE: S '(q CONSTRUCTION COST; 1 S?ow DESCRI IONOFWORK: ?NJI?Il?rF??? oG Zr-hrt?wcd S l :aM%?+ A?1 ST TADDRESS: ?io'II /vo.?u???,c-? ??C.• _ LOT: 2 BLOCK: Z SUBD./P.I.D. 4/l?-?uPk4 Name: Ar- 6A;A2i Quve? Phane #: 10S-- b' 9SCo PROPERTY Lwt First OWNER StreetAddress: i (o `f I ?0tiwc:L,vl City L- f}GA/J State: Zip: J?*- v i 'o Company: JowN 4 Py•-L t Sp,E} Phone V5f -Z2z -/L`3 3 CONTRACTOR Street Address: f Z? Lt,-GVIN &E License # City SLI,¢&,{, State: ^h1N Zip: .rJ'! 4.r ARCHIT'ECT/ ENGINEER Company: Phone #: Name: Regisuation #: Street City State: Zip: Sewer & water licensed plumber (new construction ony): . Penaity applies when address chang and lot change is requested once permit is issued. i hereby acknowledge that I have read this appiication and state that the iniortnation is correct and agree to comply xrith all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature af Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation O 06 Dupiex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex 0 04 SF Porch ? 09 12-piex ? 05 SF Misc. ? 10 _ plex WORK TYPE ,k 31 New O 33 ARerations 0 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actuai) (Allowable) UBC Occupancy Zoning # of Stories Length i7epth APPROVALS Pianning O 11 Apt./Lodging ? ? 12 Mufti RepaidRem. X ? 13 Garage/Accessory 0 O 14 Fireplace ? C] 15 Deck ? 36 Move 0 37 Demolition Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. sq. ft. sq. ft. Footprint sq. ft. Building MC/WS Sy. City Water Fire Sprinki PRV Booster Pui Census Co( SAC Code Census Bld Census Uni Engineering Basement Finish Swim Pool Pubtic Facility Miscellaneous ? ?a9 D v Permit Fee Surcharge Plan Review License MCIWS SAC City SAC Water Conn. Water Meter Acct. Deposit SMI Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: S /5?000 % SAC SAC Unks _. ?. ilders Ine. ? Or,1I380 ? JACKSON - SURVEYORS 183-74 , , NH.1(TiR[O UND[R LAYY{ pi fTAT[ OI YINMCtOTA 3616 EAST 55ih STREET, MINNEAPOLIS, MN 55477 72736&i % e: f = S?. *UCI3[?+OI's C[LtITlLBtt t _ ?.. G ??J `\, - - _ L'r.rr??:fis.- -!'•7ri'.?:j L-'u`=-,?,:,.... /4`^ ?j • j'y L't,;?` 1? o'? , a I-) 'j _ 1D? , Z 7? J, ii N ' ? p \ ?j' ` \ 1 , ` i •'( ? a? ' N ?p p1j 1i • ' ? '', 1 vi ? pII ? 3r' 1 ItEREBY CtRTIFY TMAT TMt ABOV[ IY A TRUE ANp CORNlCT PLAT OF A SURV[T OI i I L Lit 2,92ock 2,Srjitany, llaki[a C3unty,i1innesota, Ptopoetd Csrag¢ Floor Elev. 101.5 Prop:,eed Firat F13or Eiev. 104,5 Przop3sed Basement Fl?por Elev. 97.5 r A! {U/eV[Y[O BY M[ TMI?-_Z.SCI1._OAV pF Feb. _A.o._ CITY O[' rAC',AN Iriclude 2 sets of plans, 1 site plan w/elevatians i BUIIDZNG PCfC-IIT APPLICATION 1 set of eir sgy calallatlam. C?0. C` S ' '11D Be [laed Fur valua '«n 9 7, GZl7? nate -5 Z3 Site AWrm8 OFFIfE USE ONLY la: a Block ? ?.?5?. ,i- -'3 ??, . POrOB1. #: I L 150 O CO 020 G 2> AltEr ZOnll14 taepair F'ire Zone Q?w?CS Fnlarge _ 7ype of Const. 11ddre88: lbve A Stotie.4 - lish Fm ft. CitY/Zip Oude• _ Grade ? ?P ? ft. Phone M: Oantracm Jlddreses CitY/2iP PtYOne /: Astitt./F7r.j. s Addiues: • at5f/Zip Cude: Ih0r1B #: Water/Sewer Studkarge k ' Pnlice Plan C]ieck ,2 12 a?t Fixe SAC 7- Erig. Water Cotu1, Planner Water Metet Cnuncil iioad Unit Bldg. Off,4 Ai'C 'lrri`AL ? I q l0 c{ i?('"? eo 5-(2 ? d ? 7q? g ` ?allefr;on Builders Inc. Qr,I1380 183-74 JACK5t7tV. - SLIRVEYC3RS _ . . . ;; . : . ? .. r, - ? ` , . ; .;. .- . .: ABfi1iTFR[O UIiDtR I.AWt L1F 8TAT[ Of YINIi[lOTA 3616 EAST 55ih STREET, MINNEAPOLIS, MN 55417 727t9464 . ,.:' . , . - . . . . ' . . ??. . ? , . '??. ? ??,°: 1??-?.J? ?ii &uctupor'g Ccrtitiiate s = ,,? r o r7 ?? •' s: -j e .. / r z 6= /tir ;.j . At f! !' q ? ?'._"'}?-? ? t ? ?? , N i N N ? `z y? • ? •?? i ' ?o,?? •, N; ? ? ' a , h ? ?? ? .?• ? ? ? ? ? ??II ? ??-1°__?3^'s« . ? ??`? ? ?.,; ? ?2G,o' ,°;` i /?-" ?o G.°.. >??- L, cd L 1 NEREYI' C[RTIFY TFfAT TML ABOY[ IB A TRUE AMO GORplCT P"T OF A SUMYK OF Lot 2,B1oek 2,BrIYtany, , llakota Caunty,Minnesota. lYropoeed Garage Yjc+ax__Elev, 101.5; F'ryp^aed Firat F1oor Etev. 204.5 : Proposed Baeement Floar Elev. 97:5. ' , 4& ? . .. . . ? ? .?. ? ? , - F. G. JI?KSON. ?MIMN? ?tTM7I01t: NO.;?b600 . ?? . . . . . - . .. ' ?? Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. +- y s r S ? f •, ?f /J , 5 ? N .? ? - _ - • . _ ?; Cv??-? :- , PI9IJ LZJFIT?'R ? ` E -v117, r-?^c*;xF:?c*? n-0^'? ADn"?i?EC?3 IIF ? ?nD??P9TB . ,;U" ce.aiUsai:ZC3 t , ? a . . L•i.'"?1? r,:Z2 e:,, r':rG3L;3 un.p,*, . . . mSiiQT? ?^e r'a C?> T^:,?`,'_'! . . .. +?.li. ? .. Qe F"e.. 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Use BLUE or BLACK Ink r-----------------� I For Office Use � �(� I � � Permit#: � " � City of ���a� - i �U�a i � Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �� � Site Address: �� � � `���"'�V�ca� �6P` Unit#: Name: � t���o�°' � � �G L• V'1 Phone:ce����S�� ReSiCl�tl�, � t� Ow�le�' Address/City/Zip: �G�c,c.�,� ���7( ��c�„v� f. )r•— � Applicant is: Owner �ontractor Description of work:�.� (!�� Ty�e �f WOrk `, ) �o -ti,X, Construction Cost: t � � � ("'—�'' Multi-Family Building: (Yes /No� Company: �`�r-�S�c-. �C� Contact:�c��e C�l o��C�3�,�1 S Address: � �� �v �b City: v����v� �� COilttll��Q�', ��, � � �" �'� p��� � ���, Stat�Zip:�� Phone����(3�Email: , i��,�" g� n'� ,y License#: ��j�� Lead Certificate#:1���� ��3' ( If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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�nd�t�pp�rfing�tcrcu►ner��s�h��a,�au sub�r#�ar.��onsiaiered t���z p�rbfic informa#ican. Pc�rtfons n� : #ite ir�formation r�ay ibe'�t��,sa��'al as rrvr�,�p.�i�7i�rf�rq�u�ra�r�de�,����f��i��a�c�n�fha#wr�ul�1°�ermit the C��Y fo �. ; dr��clrrde� ��t1�ey are��raa�'e��e��t�. 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. wvuw.qopherstateonecall.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 sota State B 'Iding Code ust be com leted within 180 of permit issuance. Ul� ���2(/4,,�l��,/ � X� A plicanYs Printed Name A plica t's Signature Page 1 of 3 I—For Office Use Permit#: �(--/ 1 Permit Fee: off Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections( citvofeagan.com 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 06/23/2020 Site Address: 1671 Norwood DR Unit#: Name: Booker Hodges Phone: 612.275.5030 Resident/ 1671 Norwood DR owner Address/City/Zip: Applicant is: Owner Contractor Type of Work Description of work: 20 SQ Vinyl Siding Tear off wood siding Construction Cost: 12,800 Multi-Family Building: (Yes /No ✓ ) Company: Minnesota Window and Siding Co contact: James Pope Contractor Address: 8609 Lyndale Ave so4. /2 =J/1 -011-7-2City: Bloomington State: mn Zip: 55420 Phone: 952.292.4660 Email: spreeman@hotmail.com License#: CR609812 Lead Certificate#: R-I-74543-19-00367 If the project is exempt from lead certification, please 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? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submitare 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; 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.citvofeagan.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 underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ctopherstateonecall.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 of plans. xAnn McCarty Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171080 Date Issued:07/29/2021 Permit Category:ePermit Site Address: 1671 Norwood Dr Lot:2 Block: 2 Addition: Brittany PID:10-15000-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Booker T Iv Hodges 1671 Norwood Dr Eagan MN 55122 (612) 275-5030 Lofgren Heating & Air 5708 Upper 147th St W Suite 106 Apple Valley MN 55124 (952) 431-5811 Applicant/Permitee: Signature Issued By: Signature