1678 Norwood DrP... .. . .. ... .. . . . . . . . " ? . r . . . ? TT.'f t/^1?`?
?.w. ,
CITY OF EAGAN r t*? ?? 3 ??
3830 Pliot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8140
BUILDING PERMIT Receipt # l.
To be used for RE-BIDtA1G Est. Value $bs000 Date JUL Z , 1991
Site Address 1678 NoRWnoD DA
Lot i Block 3 Sec/Sub. ?ITTANY
Parcel No.
W Name DEDN![ .lOtII19A11
# Address 167$ NORiiOdD DR
0 City ItAGAN Phone
o Name VI1YM BARKI.EY
;? Address 67 l3TH AYE SM
City NEii BRIGHTOl1 Phone 633-8514
Name
Address
I hereby acknowlege that I have read this application and state that I
information is correct and agree to comply with all appticable State
Minnesota Statutes and Ciry of Eagan Ordinances.
/,. , --
Signature of Permite8 j ?1
i
A Building Permit is issued to: WA? RkR=Y
on the express condition that all work shall be done in accordance with
Building Official
OFFICE USE ONLY
Occupancy - FEES
Zoning _
(Actual) Const _ Bldg. Permit 81.m
(Nbwable) - Surcharge ,•oo
* or stories _
Lergih _ Plan Review
Depth - SAC, City
S.F. Total -
SAC, MCWCC
S.F. FootpnMS -
On Site Sewage _ 1Nater Conn
On Site Well - 1Nater Meter
MWCC System -
Gity Water
_ Acct• Deposit
PRV Required _ S11N Percnit
Booster Pump - gryy Surcharge
Treatment PI
APPROVALS Road Unit
Planner
CAUnCiI - park Ded.
Blc3g.OH: --
_
Copies
Variance - TOTAL 84.00
Perenit No. Permit Molder Oate Telephone #
WATER
SEWER
PLUMBING
'H.VAC.
ELECTRIC
Irtspectfon Oate Insp. Comments
Footings I
FoundaGon
Freming
Roofing
Rough Plbg.
Rough Htg.
Isul. -
Freplace
Final Htg. •
Orstat Test
Final Plbg. Ptbg. Inspeclor - Notify Plumder
Const. Meter
EngrJPlan
Bidg. Final
Dedt Ftg.
Dedc Final
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan,
PHON E: 454-8100
BUILDING PERMIT Receipt;
Ta be used for Est. Value "• ' Date_
Site Address . ?
Lot Block Sec/Sub. 1.'1' 7;AN
Parcel No.
s Name . .., .,?,,.
3 Address
° City Phone a
.O
2F
va
a
?
_ Phone
that I have read this application and state
State of Minnesota
Signature of Permittee _
A Building Permit is issued
all work shall be done in ac
Building Official
On Site Sew
MWCC 5yat(
On Site Well
City Water
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr.
Planner
Council
Bldg. Off.
APC
Variance
?-
,114D77
,19
_ Qccupancy
_ Zoning
_ Type of Const
_ (Actual)
(Allowable)
* of Stories
Length
Depih
S.F. Total
Footprint S.F.
FEES
Permit
_ Plan Review
_ SAC, City
_ SAC. MWCC
_ WaterConn.
_ Water Meter
_ Road Unit
_ Treatment P1
_ Parks
Capies
TOTAL
1)
_ on the express condition that
and City of Eagan Ordinances.
, Permit No. Permit Holder Data Tslephono ft
Plumbing
H.V.A.C.
Electric ?!'?`?? ,?k'%1 t, %? " c• ?? C%
Softener
Inspection Oate Insp. Commsnts
Footings I
Footings II
Foundation
Framing f-&47
Roofing
Rough Plbg.
Rough Htg.
Isu1.
Fireplace
Final Htg.
Finai Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg. 6s
Well '
Pr. Disp.
., . . ? .. . .
PERMIT #
_ MECHANICAL PERMIT RECEIPT # -- ? '
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100 For Office Use Only:
Site Addr,ess BLDG. TYPE WORK DESCRIPTION
Lot ? Blprc?C_ 3
: -•;, - Sec/Sub
: Res. New
,
. . , <t ._. .
Muft Add-on
? Name - ? -? .
m ,
Comm.
Repair
? Address
Other
c Ciry < Phone
L Name -
c Address -
p City Phone '
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent. CFM
RES. HVAC
APT. BLDGS. -
TOWNHOUSE 8
MINIMUM RESII
(ADD $.50
BEYOND!
FEE3
M BTU
{TU
)ES A!C ON NEW
- $24.00
- 6.00
Gas Piping Outlets #
Other
FEE
S/C:
TOTAL•
jR: CITY OF
NUM - 1 PER PERH
1.50 EA.
,S - RES. RATE APPUES
FEE - ALL ADD-ON 8
REMODELS - 12.00
_ FEE - 20.00
R PERMIT - .50
T PRICE GOES
v?
Receipt
- i 0
PLUMBING PERMIT
CITY OF EAGAN
Fi!l in numbered spaces
Type or Print legrbly
Permit No.
?
Fee
S/C •
Tot +
1. Date 2. Installation Cost • t
l?r. - ' ? L't . •
3. Job Address ? Lot Blk. ?--' Tract
4. Owner /.. ? ? ? - , . - •
5. Contractor '?? •= ?' l? Y Phone -
6. Address
1 / •
7. City State ' " • Zip
8. Building Type: Residential CI Commercial O Institutional ?
9. Work Description: New El Add ? Alter 0 Repair O
10, Describe
11.
No.
_?
'- - Fixtures
Water Closet No.
- Fixtures
Cesspool/Drdinfield
Bath tubs Septic Tank
-?
-
Lavatory
Softner
T Shower Well
? Kitchen Sink
Urinal/Bidet
Laundry Tray Other '
-
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 ali 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
CITY OF EAGAN Remarks
Addicion RRITTANY Loc 1 aik 3 Parcel jQ 15nnn mi n nx
Owner ME ILLkLD' Street 1678 Norwood nT1VC State
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 613V
STREET RESTOR.
GRAOING -, ?28.58 ? I'
SAN SEW TRUNK 1975 156.51 10.45 15
* SEWER LATERAL 336.06 15= 3.696.67
WATERMAIN
• WATER LATERAL
WATER AREA f , 180.00
STORM 5EW TRK 32.83 Ififfi 361.18
* STORM SEW LAT 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 450.00
BUILDING PER. 8622
sAC S25.00 it
PAR K
CITY OF EAGAN SEWER SERVECE PERMIT
3830 Piiot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: ?'?-? r' ?`
Zoninp: No. of Unita: "
Owr+er: - - -
/Wdress:
SIt6 AddrEss' .'!,' i:2T tT..',n;' ;5t
Plumber:
I ey.ee to emPy wlth eh. cthr of Eagnw Connection a,crpe: ?;_ n n s ri
Oedinaeea. Account peposit: I S.Oa d
Permit Fae: 10.00 ad
Surchorps: .5r1 -)ci
BY Misc. Charoes:
Date of Insp.: Totoi:
I nsp.: Dote Pcid:
CITY OF EAGAN
3830 Pilot Knob Road WATER SERYICE PERMIT
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units: `
owner: : : - ' { :,1 u r s
Address:
Site Address:
Plumber:
Meter No.: Connedion Chorge: ' •' '
Si:e:
Account Deposit: ! .? . ? ?a j?<?
Reader No.: Permit Fee: ' . n
I egroe to eomplr wilfi !M Gry of Eagaw 5urchot'ge:
Ordlnoear. Mlsc. Charpes: " r
Total:
BY Date Paid:
Uote of Insp.: Insp.:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. G. Box 21199 PERMIT NO.:
Eagan, MN 55127 DATE: ? -
Zoning: - No. of Units: 1
Owner. )i 5oct r,.
/lddtrss:
Sita Addroas: Iu'i :?UrsJOOd Dr ivc: Ll c,? .;rittan ?' tst
Plumber: - `?yan Plh?
`
?er No.: Connection Cha?ye• 450, 00pd
ze: `? ,? „•
, AcoourK Depostt: 15. 00 pd
Reoder No.: 1-2 Aermit Fee: ? i?? • UO pti
1 yrse Mconpilpimp?jIrgqWRf ?? Utlil?hnrge: . SO p?
o.riaenoa. a tt k?Fl'riGi??? ? ELtCTi?sC - C?AS? Choroes: i: d r??? er
By '
Date of
J
CITY OF EAGAN
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N eO 8822
PHONE: 454-8100
?_ • ? , ?
BUILDING PERMIT Receipt #
Te be wed for SF' llWG/G11R Est. Volue '? '''? • Q 0 C' Dote 1'1;EI2.t.iA7Y 1 l , 19 "' /}
SiteAddress 1 07,7 ^ '10iM00D DRIVr Erect Occuponcy R3
Lot 1 Btock.3 IL_sec/sLb. BTRIlTIiNy Alter ? Zoning R1
Parcel No. 1C.-1 5 o o O" O I O-0 3 --- Repoir ? Fire Zone N/A
Enlo?pe 7ype of Consf. V
oc Name TOLLEFSON ?3L?1 Move p
W # Stories
165`' 'dORWOOD ? `i
Z Address ? Demolish ? ,4
?'
Length
? City r n`°PJ? Phone 4 54-687 ^ Grode ? Depth ^41 Sq. Ft.
TOLLFi'SO`1 BLDRS. Approrab
? Name
Fees
ou Addreaa 1655 NOR4JOOD DRIVE Assessment Permit 1)
ur- City iP.rAN Phone 4 5 4- 6 07 3 Water & Sew. 50
Surcho?ya -r-
Police
V 0
0
Plan check
5 25
O O
y
jW W Name Fire •
SAC
F
?? Addrese Eng.
Wafer Conn. `? ??• ?-
? W City Phone Planner Woter Nkter G3.00
Council
I hereby acknowledge thot I hove read this oppiitation and state that gld
Off Road Unit 250.00
.
g.
the inlormotion is correct ond ogree to comply with oll opplicoble
Stote of Minnesota Stotutes and City of Eogan Ordinonces. APC Total
Sipnature of Permittea
A Building Permit is issued to: Z'C
? on ths expresa condltfon thai
oll work sholl be done in accordorxe wifh a I
oppiicoble Stote of Minnesota Statutea an d City of Eapon Ordinonces.
Buildinp Offielol
?
Permit No. Parmit Holder Misc. Permit No. Holder
Plum6ing ? N?• q^ J1
H.V.A.C. 3
w.u
Water
Disp.
Sewer
Ehwtr'c S FA b L 1 SD
Inspsction Date Insp. Other
Footings
Foundation
FreminQ * ?
Rouph Plbq.
?y w
Rouph HVAC
Insulation ?
Final Plbg,
Final HVAC Q, „
Finel
t
t
Water Dowribe Lotation:
YYetl ?
Sevwr
Pr. D'uP.
CASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNE50TA 55121
DATE 19 _
RqCli V ED
Fw?u
AMOUNT $
DOLLARS
?oo
? CASH ? CHECK
FOR '
r . . , 1 . ,. - . -
FUND CODE Af+IOUNT
Thank ou
n . ? BY -
/
YVhite-Payers Copy
Yellow-Posting Copy
Pink-File Coov
CITY OF EAGAN ?7 8822
? 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 yr ?
` PHONE: 454-8100
BUILDING PERMIT Receipt #
Te M uwd fer SF DWG/GAR Est. Value $75r 000 Dote FEBRUARY 17 19 84
51teAddrasa 1678 NORWOOD DRIVE Erect 8 Occupancy R3
Lot 1 Block 3 cec/Sub. BRITTANY Alter ? Zoning R1
Parcel No. ZO-ZSOOO-OZO-OZ Repolr ? Flre Zone N/A
Name TOLLEFSON BLDRS
Address 1655 NORWOOD DR7VE
City EAGAN Phone 454-6873
o INam. TOLLEFSON BLDRS.
Zo? Address 1655 NORWOOD DRIVE
?- City EAGAN Phone 454-6871
Name _
Address
City Phone
I hereby ockrwwledga that I have read this application and state that
the intormolion is correct and ogree to comply with oll opplicable
Stofe o4.Minnesota Statutes ond.Ciry of Eogan Ordirances.
Signature of PermiHea
A Building Pertnit Is ipu?
oll work sholl be ne in
8uilding Officiol
Enlorge ? Type of Const. V
Move ? # Stories
_Demolish ? Length 46 ?
Grade ? Depth-3A!-Sq. Ft.-
Aoorovals Fees
Assessment _
Water 8 Sew.
Police -
Fire
Eny.
Planner _
Councfl _
Bldg. Off. _
APC _
permit $ 358.00
$urcharga 37 .50
Plan check 179.00
snc 525.00
Woter Conn. 450 . 00
Worer MeYer 63s00
Road Unit 250-00
rotai $1,862.50
on tha express mndition Ihm
of Minnesota $tatutes ond City ot Enqon Ordinances.
CITY OF EAGAN N° 1 4 O 77
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt# ? ??T)(Oo
Tobeusedfor 3 SEASON PORCH Est.Value $4,000 Date AUGUST 21, 1987
Site Address 1678 NORWOOD DRIVE OFFICE USE ONLY
Lot 1 Block Sec/Sub. BRITTANY On Site Sewage _ Occupancy
MWCCSystem _ Zoning
Parcel No. On Site Well _ Type of Const
CityWater (ACtual)
DEAN & PAM JOHNSON _
(Allowable)
a Name
w S? # of Stories
? Address Length
0 City Phone 452-0139 Depth
S.F. Total
, p Name SAME FootDrint S.F.
?a Address pPPROVALS FEES
? City Phone qssessments _ Permit $ 51.50
7
WateUSewer Surcharge
_ 00
W W Name Police _ Plan Review
_g Address Fire _ SAC,City
? Engc _ SAC, MWCC
aw City Phone ptanner _ WateiConn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Oft. _ Hoad Unit
thattheintormationiswrrectand eetocomplywithallapplicable APC - TreatmentPl
State of Minnesota Statutes a dy ?an Ordinances.
y? _ / Variance _ Parks
Copies
yy?V
Signature of Permittee TOTAL $ 53.50
A Building Permit is issued to: 'AN & PAM JOHNSON on the express condition that
all work shall be done in accordance with all applicable te of M innesot atutes and City of Eagan Ordinance&
Building Official
?
CITY OF EAGAN Np 19356
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
! PHONE:454-8100 ???a8?
BUILDING PERMIT Receipt #
Tobeusedfor RE-SIDING Est.value $6,000 Date JUL 2 1g91
Site Address 1678 NORWOOD DR
Lot 1 Block 3 SeGSub. BRITTANY
Parcel No.
I W I Name DEONE .70HNSON I
o Address 1678?'NORWOOD DR
Cily EAGAN Phone
1,'l Name WAYNE BARKI,EY
g¢ Address 67 13TH AVE SW
- City NEW BRIGHTON Phone_ 633-8514
?
W w Name
?
m; Address
aw City Phone
I hareby acknowlege that I have read this application and state thal the
inlormation is correct and gree to comply with all applicable ate of
Minnasota Statutes and City of Eaqan Ordinances.
.//
SignaWre of Permitee f?
A euiiding Permit is issued to: WAYNE BARKLEY
on the express condition that all work shall be done in accordanc ith all
applicable State of Minnesola Statules and Ciry ol Eagan Ordinances.
Building ONicial
OFFICE USE ONLV
Occupancy
Zoning
(ACtual) Const
(Allowable)
:Y of Stories
Lenglh
oaPtn
S.F. Tolal
S.F. Footprints
On Site Sewage
on site weu
MWCC System
Cily Watar
PRV Required
Baaster Pump
FEES
Bldg. Permit 81.00
Surcharge 3.00
Plan Review
SAQ Ciry
SAC.MCWCC
Water Conn
Water Mater
AccL Deposit
SNJ Permil
S/W Surcharge
Treatmenl PI
APPROVALS
Planner _
Council
81dg.Off. _
Variance
Road Unit
Park Ded.
Copies
TOTAL 84.00
REQUEST FOR ELECTAICAL INSPECTION ea-ooooi-os
' Sae inslrucuons lor co4ieting Ihis form nn hack of yellow coov.
D 66175 X'" Below Work Covered by This Request
Nei,r Add Nev. rype of Buileina Aooliancae Wcrea Equiumem Wired
Home Range Temporary Service
Duple,x Water Heater Liqhtiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial 81Ay. Furnace Silo Unluader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Parm Otner peci y Otherltinar.ifyl
t.r Sucu y thcr Oihe?
Comoute lnsoectron Fee Helow _
p Fee ServicaEntranca5ixa tt Fae Fexdeus/5ubieeders M Fee Circuits
0 to 200 Am s 0 to 30 Am s 0 m 30 An s
Above 200 qmps 37 to 700 Amps 31 to 100 'Am -
Swimminy Pool A6ove 100_Ain s Above lOD_Artm
Transiormers Irrigation Booms PartiaL-Other Fee
Signs Special Inspection TOT E
ertwrks ./ ? i i.? K n D /?
flough-in D3Electr'
? `Q pector, bernby
r?ily thet the abave
Final D eil ? inspaction has been
mede.
fNa reauest vold 18 monllu Irom
This requast void?
18 nwnths Iwm d d
0 6 61
I Hequest Date ' ? Fire No. Raq ftouph-i insutcrion
urte .
?Reaey Now Q Will Notify, Inyp¢c-
?yes ?No «.r WhNn FeaAy
? Licensed Electrical Conbactor 1 hereby reQuest inspection of aCove
90wne1 electrical work instelled at:
Sveet AtlAress, Bo
x
or Route No. Ci
ty
?
J
??.?JP,/ ' ^? ??' ?
+
L rer1
ecuon o. Tow?nship Name or No. qange No. C?ovnry
?
7F?
Occupnnt(PFlINT) Phone Np.
?"
tP L •
Power $upplier AAtlress
Elec[rical Contractor ICompany Namel Con[ractor's License No,
Mailing Address ICon[ractor or Owner MnkinO Insrallution!
/G 7F /'J,????? ?> .
Authorizetl S? iure (Contractor Owner MakinB Installation) Phone Number
40'r
MINNESOTA STATE BOAFD OF ELECTPICITY
Grie9s-Midway Bidg. - Hoom N•181
1821 Universitv Ava.. St. Peul, MN 65104
Phone (612) 692-0800
THIS INSPECTION FEQUEST WILI NOT
BE ACCEPTED BY THE STATE BOAPD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
- i 1991 BUIAP"VICATION
- CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIDNS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CRECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER,
To Be Used For: i)fSia(l"Is Valuation: Oao
Site Address //, Zpj 61'WOd /J/'r I
Lot J_ Block
Occupancy
-?{ Zoning
AA?
Parcel/Sub ?.h?,Anil
- Actual Const
? Allowable
/
Owner /?4onf J64r9D)San1 # of stories
Length
Address Depth
S.F. Total
City/Zip Code Footprint S.F.
Date
OFFICE IISE ONLY
Phone On site sewage_
On site well
Contractor ? ? ? MWCC System _
?? City water
Address ? % / ?
?/? E • Gt/ PRV _
Booster Pump
City/Zip Code
APPROVAIS
Phone Planner _
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
Z-5'
FEES
Bldg. Permit ao
Surcharge J
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lof Change
TOTAL
? ?, ????? , agrees that all work shall be done in accordance with
( gnature of Contract
rIl/I
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
^ } /Vo 9)
1987 BQILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
I9CLIIDE 2 SETS OF PLANS, 3 CERTIFICATSS OF SORVEY, 1 SET OF ENERGY CALCOLATIOAS
HOTE: ADDfiESSES FOR COENER LOTS - CONTRACTOR/HOMEOIiNER MIIST DESIGiiATE WHICH ADDRESS
ZS DESIRED. NO CHANGES {iILL BS ALLOWED ONCE BIIILDING PERMIT IS ISSQED.
MOLTIPLE DWELLINGS - RFSIDENTIAL RFxiTAL OAITS FOR SALS UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SIIRVEY - CHECB KITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CO^MERCI6L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
'
To Be Used For: (?j
(jrp Valuat ion: Date:
Site Address
r OFFICE IISE ONLY
Lot ? Block On Site Sewage_ Occupancy
, MWCC System ` Zoning
Parcel/Sub i ? On Site Well Type oF Const
City Water (Actual) V-N
Owner (Allowable) V- t?l
y
Address ???p
,/'?,.:.??? ?/• ll of Stories
Length
?
City/Zip Code
- Depth
S.F. Total
?
Ph
?v,?
- c
`" Foot rint S.F.
one ? 9PPROVALS FSFS
Contractor *...
- Assessments Permit S/• Sa
?
' Water/Sewer Surcharge a, oJ
Addr Police Plan Review
• r Fire SAC, City
City/Zip Cod / Engr SAC, MWCC
" Planner Water Conn
Phone Council Water Meter
Bldg Off Road Unit
Arch./Engr. - APC Treatment P1
Varianee Parks
Address ? Copies
TOTAL ?
City/Zip Code `-
Phdne li
,
?a X/y = 16 ?
? X iS = ?600
,
'
CS
PY Clt' 1?+CJ+N Iralude 2 sets of p].ane.
1 site plan w/elevaCiar?s i
6UTTDIM PEHtAI'!' AP'P+ LI? TIaPI 1 eet of enec+gy Ca1WlAtiQ16.
To be Used kbr - a n valuati ?; ? ?s?-? Date i ? iae4
S1tO Addn969 ?'
?/
? ?Dl'1 l ie
) ,
,
Iot J,_ B10CIt ? SeC./SUb. ,
.
°rect
LV l CFFTCE USF ONLY
oo
+
/0 - /S o--n -
Punel 1,
U/0 -o
Alter ?
c4an?
Zpryj,rvq
????,;?
Qw1Bri ? Aepair
17?1arge Fire Torke
7ype of Cbnst. ?
Addxo": Move N S[ories
Dcirnlish Front f},
CLtY/Zip L17des Grade Depth 3 ft.
Phone
Oontsac.?bor:
aaa?o= 5` 'UVO? ?IVP?
atY/ZiP Oode:
Phom 0:
J1kY3i./E71c]. s
]IddsHra: +
acy/zip aoae: _
. Ft,ane r:
wacer/sawer surdtarge
1'elice _
Plan C:heck
Fire $AC .
EM• Water C.otlrt,
PlarvZr Water Meter
CYxuicil Abad Unit
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APC T??,.. _
mrai. l, x b a, 5 d
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To11Qfsou Buildera Inc.
$[91l: 1"=30' ?
• Denotes Iran
000.0 =E:isiing Elev.
-? = Drainage
=Utility S Draiaage
Easement
*LLYYiCg0Y91i C[CIfGCIIt[
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I MER6YY C[RTIFY TI
JACKSON - SIJRVEYORS
R[OIfT[R[D VNDtR LAWG OF KAT[ OI YtNNWTA
36 16 EAST 55M 5TREET, MINNEAPOLIS, MN 55417 7273484
p=c \ -31s"???`
ABOV[ IB A TpU[ AND CORM[CT rU1T OF A EUIIY[Y-OF? - ?\p ?-- ?. 1 Cr ?
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Lot 1,Hlock 3,Brittaay,
llakota County,Ninnesota.
Proposed Basemea[ Fleor Elev,
Prepnsed Garage Floer Blev.
Prapoeed First Floer Hlev.
As sURV[Y[D BV Yt TNIfi-DAY OF FBb. ? D 1"4
F. C. JACKSON. 1AIMplWA RlOIfTMT10M. MO. 3000
ities Di2ital Qualitv Control
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r
CITY OF EAGAN
T?"'? ? APPLICATION FOR PERiMIT
SEWER AND/OR WATER CONNECTIODT
(PLEASE P9INT)
1) PP,OPEFYl"I ADDRESS : 1a,C
r-Fr_aI, DESC'?c Z°TI0:7:
(Iiot/31ock/Suhdivision or Tax arcel I.D. Nimber)
ie ST.Rli'RE, m'I r' G_' CRIGi :RL : uILLL`iG PEF:.Sm 7cSL:XNC::
I FPC..:._ : 2.^=Tl/z.-.?C)°GSE) CSr.. ?R-1 SuiGZE rP`•ti:.Y
? R-2 DUPLLX ('IV,70 LNITS)
El R-3 'IChvic\HCIISE (Ti?REE + U'.VITS) ( LNITS)
? R-a ApAFY==/CCMQ`,LLVIU-m ( UDIITS;
? Ca,1,N=C7AL/RETASL,/OFFICE
? MDUSTRSAL
? INSTITUTIONAL/GDVERll"=
2) APPLICA.4T (PLEASE PRI4T)
NAiME: :72//6'E503? ?d.O/PS
ADDRESS:
CITY, ST?'I'E, ZIP:
PxoNE:
3) PLum?ER NAiME• PL?EASE PFLNT)
? ? J ?? ?? ? FOR CITY USE OHLY
.
ADDRE55: ?`?^' ?f
' ? PLUM8ER5 LICENSE:
771 Attive
CITY, STATE, ZIP: &-m
oUxJT /p, /0
'n Ezpired
'Z itR
PHO
?IE Gl Not of Re rd
i
:
PLUMBER LICENSE #
ar initta
4) OCC(,*paj.pj?/Cr,,7NER (PLEASE PFINT)
rAME:
ADDRE55:
CITY, STATE, ZIP:
PI-K}:IE:
5) INDICF.'IE WFIICII PEPMiT IS BEIiBG RfQi1ESTID:
? C0.'?INF'.Ci'ION 'IO CITY SEVIER
? CO1'NECTION 'Ib CITY YTATER
? CJI'I'.ER (PLEFISE DF.SCRIBE)
61 INDIG = C..E:
? P=E F:OLD r1PPROVm PERMIT FOR PICY-UP BY ONE OF A&7C'E
?PI.FASE MAIL APPROVID PER= 'IO 1, 2,&3 4 ABOVE
(Circle one)
7) SIC?MrL'3E: - ?.?j?Od"Cm? DATE: ?/-/j?r?/
0% R0Ii:??JVi?li!l?:aa??fs17?.-?-? . . . . ... .. . ?
F 0
PERMIT °- ZSSUED
C I T Y U S E O N L Y
FEES: $ ?o.So SE;:E? n?'oIiT_- (I`ICT_.:;DE SU°CH1;Gc.)
$ i a.?e WATER PERC1IT (INCLUDE SURCHARGE)
$ G?• "b WATER METER/COPPERHORN/OUTSIDE REr1DER
$ WATEP, TAP (ZNCLUDE CORPORATZON STOP)
$ SEWER TAp
$ ACCOUNT DEPOS IT - SEidER
$ ACCOUNT DEPOS IT - WATER
$ wac
$ sac
$ TRUNK T.VATE° ASSF'SSMEDIT
$ TRliNK SES4ER ASSESSMENT
$ LATERAL SEDIEFIT/TRUNK SESdER
$ LATERAL BEVEFIT/TRUNK WATER
$ OTHER
$ TOTAL
,gl? o ? e.
$ -s?• ? AiMOUNT PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RZGriT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
?NO ENGINEERING DIVISION. LZST AS A CONDI-
TION.
SIIBJECT TO TfIE FOLLOSdING CONDITIONS:
APPROVED BY:
TITLE:
DATE : ?s - _.?;? - F (,o
t w = w Ww wsN Ra ncM w 10JM wM aa N*Mst si+ wL48 McM 0% W:M W M
CITY USE ONLY r./
l BL Z::? RECEIPT#: I U
SUBO. ?ir -, F RECEIPT DATEpf: ? f I S- O O
PERMIT# ?l1 r? R 7
8000 PLUM$INFs PEiiMIT (fiESID£NTIi4L)
crrYoF Easnx
3830 Paor xrios ftn
EABAA, MN 55122
651-681-4675
Please complete for: ? single family dweliings
D townhomes and condos when pertnits are required for each unit
A backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i ifl Outlet ' minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Se tic S stem newlrefurbished • re uires MPC Iic. 75.00 x = $
Se tiC S Stem ahandonment 30.00 x = $
RPZ newinstaltatioNrepairlrebuitd 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under conswwon 3.00 x = $
Under round s rinkler Ifeuisdn dwenin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling undar eonslruepon 5.00 x = $
Watersoftener Hexistln dwellin 30.0? X = $ '
Waterturnaround 30.00 x $
State Surchar e .50 -> --> ---> $ .50
Total -> --> ---? ---> $ . S O
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------• •-• • •---•------------------- ------ •-•---------------------------------•-------. _...-------- -----•--• •--....------• •-•-----•----
I hereby adcnowletl9e that I have read this application, state that the information is cortect, and agree to comply witli all appiirable Ciry of Eagan ordinances.
It is the ap0licant's responsi6ility to notify the property owner that the City of Eagan assumas no liabiliry (or any damages caused by the Ciry during its rwrtnal
operaGOnal and maintenance activiGes to the (acilities constructed under lhis Dermit within Ciry propertylrighbot•wayleasement.
SITE ADDRESS: tRR ii?N\Ie? L-0-La0,Y> VYD\ 42
OWNER NAME: : TELEPHONE #: Q
(AREA CODE)
INSTALLER NAME: Mr QbIIJ TELEPHONE #: J.J8- ?I^
r\ l)?,. ? (\ .,.. e (9F15A CoBE) . . 44_ i171
STREET ADDRESS:
CITY: pIk- ? STATE: IP: ?
SIGNATURE OF PE ITTEE
?
40? Clty Of ?apIl
3830 Pllot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date:
Tenant:
Sc.wA- FR1x- 7/13/09
?-------
? For Office Use ----------
?
j PertndF: P ? ? /--7_7 ?
? Pertnit fee:
? Date Received :
I ?JC ?
I Statl: l ?
1
----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
SiteAddreu: 10$ Norw400 pr EaAC'v. M14 5S127-
Suite #:
RESIDENTlOWNER Name: LLVYI '?e-'?er3oYl Phone: 65I- 451' 017-8q
Address/ City /Zip: lko_75 ?O(WOOO Q('. ?4L? 1`hN 5??i2Z-
Applicant is: _ Owner /_ Contractor
TYPE OF WORK Description of work: -Te Q-f o f'v
Construction Cost $ 7'bsO. °p Multi-Famity Building: (Yes _/ No
CONTRACTOR Name: Az}•2C 2uc,?, nq ?' ?xs?ru??-?a+? License #: 2-0I 39 1'+O
Address: 4 l DS ZS4' A'dE ?1
City: lrDOklun Qo-rK Siate: (V1N Zp: 55sf'?3
Phone: 763-315--OR30 Contact Person: TM?? C",n&S
COMPLE7E THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 7 Minnesota Rules 7672
Energy Code . pesidential Ventilation Category 1 Worksheet T• New Energy Cade Worksheet
COtegory Submitted Submined
(J submission type) • E^er9Y Emebpe Calculations 5ubmitted
In the last 12 moMhs, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of mas[er plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water CoMractor: Pl+ane:
NOTE Pians and supporting docurnents that you submlt are considered to be public intormation. Portions of
the informaflon may be classiffed as non-pu6lfc ff you provfde specfflc ressons thef would pernrit the City fo
conclude fhat ihe are trade secrets.
I hereby acknowledge that this iMortnation is complete arM accurate; that the work wilt be in conformance with the ordinances arxl codes of the CiTy of
Eagan; that I undersland this is not a permit, but only an application for a permit, aM work is not to start wiihout a permi[; that tha work will be in
accordance with the approved plan in the case oi work which requires a review arM approval of plans.
x 1'1y1G Z( C LwL t na 5 x /1 hv(? Y,
Applican 's Printed Name ApphcanYs ignature
Page t af 3
? Clty of EaRaIl RE (D E?- ? M[E?
?JUr? I A 2009 ?
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2009 RESIDENTIAL
Date: b Site Address: 0
AL-1
Tenant•
, --
i
, ----------,
I Permit #. 3,)-
?
I ??)
? Permit Fee:
I ?
? Date Received: - ' /Q I
? SWH: ?
I
-----------------
BING PERMIT APPLICATION
Suite A`:
RESIDENT/OWNER Name: m Phone: LOa ? ?5 :;`"Id-Ll?'j
Address / City / Zip: 5ax Y lY. aE Y 1dl^?
CONTRACTOR Name: ? vsa License#: U?p 3Q3
Address: Ly?
City:_ ??CCAIkX 1 Sfate:fy?NZip: 9-S3V d,
Phone:-1,Q1-2). YU1? ""11 Qifi. ContactPerson: < \QS'ff?
TYPE OF WORK 10lew _ Replacement _ Repair _ Rehuild _ Modify Space _ Work in R.O.W.
n R ,
Descri tion of work: Ky? 7 rf?
PERMIT TYPE RESfDENTlAL
Water Heater _ Water Softener
--A'Lawn Irrigatio _Add Plumbing FiMUres
_ RPZ /?j PVB) C_ Main _ lower Level)
Septic System _ Water Turnaround '
New
Abandonment
RESIDENT/AL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'4Vater Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that ihis information is complete and accurale; that the work will 6e in conformance with the ordinances and codes ot ihe City ot
Eagan; that I understand Ihis is not a permit, but only an appliration for a permi[, and wor not to start ithoN a permil; ihat lhe work wili be in
accordance with the approved plan in the casa ot work which requires a review and approval of plans.
v
X ,1GijL?. z ", i(Gr? X 'a<?1 x?r..
ApplicanYS Printed Name ?k'pllcanY Signature
For Office Use
5
City of Eaau ] 1 200Permit
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I I
I Date Received: '/0
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL (PLUMBING PERMIT APPLICATION
Date: 5 Site Address: LeI
0 Nor ( ~ c
Tenant: Suite
RESIDENT/OWNER Name: Phone: LqJ) lS' fog
Address / City / Zip: Y lk.. ~Z~Y`C
CONTRACTOR Name: ^ VAa
License uxvio Address:
City: < M~t~Y 1 State: Zip:
Phone: IS 1 a' LQ 2 "-A1021 Contact Person: e~Q
TYPE OF WORKlew -Replacement _Repair _Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
L- RPZ / PVB) Main - Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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 wor not to start ' hout a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approv of tans.
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Applicant's Printed Name pllcant' Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground ___Rough-In -Air Test Gas Test Final
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116131
Date Issued:10/03/2013
Permit Category:ePermit
Site Address: 1678 Norwood Dr
Lot:1 Block: 3 Addition: Brittany
PID:10-15000-03-010
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Pamela J Peterson
1678 Norwood Dr
Eagan MN 55122--277
(612) 326-1919
The Fireplace Guys Llc
680 Hale Ave N #110
Oakdale MN 55128
(952) 326-1919
Applicant/Permitee: Signature Issued By: Signature
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