4368 Garden TrCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
i.+? t i,? 1•PII .. ??IhJ ,?i?
PERMIT SUBTYPE:
, --, ?7? 1, , . ,1 i !i
oN
..
;CORD
PERMIT TYPE:
Permit Number:
Date Issued:
I f ?y ) N 1,?9 ?.?
APPLICAMT:
TYPE OF WORK:
It I `,( t+ t f-' 1 1() N
F HAFI l N?,
1-
r.r..
f INAI
ftlllli'tIN[i
0:>KC,Or:
e0<7i/Q6
Pii rFRarrnH
( t, fi7iFS`: 41I NC1(1W 1
Permlt No. Permft Holder Uete Telephone N
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Inap. Comments
FOOTINGS
FOUNO
FRAMING
? n 6 w%
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
OASAT
TEST
BIDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
I
INSPECTI4N REC4RD
CITY OF EAGAN PERMIT TYPE: ?{U i i t)1+Ifi 3830 Pilot Knob Road Permit Number: 4r19 114 ( Eagan, Minnesota 55122-1897 Date Issued: 0
(612) 681-4675
SITE ADDRESS: ' ' ? ? ' ?.' •` ? `' ? •`` APPLICANT:
W ??f V .
? ? t I I?1 1ftJi , , Is I?tJ . IJ1? ? [, ? ,' , 't ;. 9?1??4 •
PERMIT SUBTYPE:
!1,: ri
TYPE OF WORK:
hl i'Al I
INSPECTION D. • D•
itl?tli„1 ? H 1! I r. ,??+„!
Permit No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspectlon Date fnsp. Comments
FOOTINGS
FOUND
FRAMING
4GtJ
ROOFING Sr ?
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
??
??
BSMT R.I. ,• ? -?/ _ _
BSMT FINAL
DECK FfG
DECIC FINAL
INSPECTION RECORD
I CITY OF EAGAN PERMIT TYPE: ;')1 11 r rac3 .
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: '' " ??'`•
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF 1NORK:
INSPECTION .. ,.
, ' l6 Ll ;75R
?
? ?
Permtt No. Permk Holder Date Telephone #
5NV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Commsnb
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Rnal Fttg.
Orsat Test
Final Plbg. Plbg. Inspector- Notity Plumber
Const. Meter
Engr.IPlan
Bldg. Flnal
Dedc Ftg.
Deck Final
WNI
Pr. Disp.
- /d ? -
irF
CITY OF EAGAN Remarks
Additio Wilderness Run 2nd Addition Lot 6 sik 3 Parcei 10 84351 060 03
owner ??ti. -? ?r' &,1 ? k)if(,Ily
E; i%Street 4368 Garden Trail State Eagan, MN 55123
.
Improvement Date Rmount Rnnual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 24A 1973 175.00 $$.75 20 PAID
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
61
;
? 1983 1 3 1111
STORM SEW TRK /
igsi -
STORM S
EW LAT
CURB & GUTTER
SIDEWALK
STREET LIGH7
WATER CONN. $300.00 7975 5^11-73
BUILDING PER.
Sac 240.00 7975 5-11-73
PARK
a
EAGAN TOWNSHIP
BUILDING PERMIT N? 2918
Ownex ------ 4_.."."_.....?r-„'°?Z-._,_.. ..•._---°°---".- Eagan Townsh?p
.
Address (Pratan!) .._........ .f.. 4.9 ..,.....?1G/ ..... '!^--- --- -- .^.°'X .............. Town Hall
Suilder .......................:. . .... ... ...... ..........................................
.. Date....a.-.....27- 7Z
Addrass ...._..._°'-°°---...__.
..... _.._.. _' ..................--..........---........----....._.....-----....__..._
DESCRIPTION
5toziac To Be Uced Foz Froni Deplh Hwghf Eaf. Coaf Permif Fee Aemarks
/
I? ?6?'y?-'^•? I
O ?? ?DO
? o2.Sd.oo
".oo ?
/ -
" LOCATION -L 9 a. 00
13e-U 3 7 9 E a c y ysr /r ?t
i
S t.,7.0 ? ? fo 3
or
1'his permit doea aot aufhori:e the une of slreels, roads, alleys or sidewalks aos does it give the owner or hSs ageni
the rlghf !o create anp sifuation whiah is a nuisanca os whieh prasenfs a hazard fo the health, aetetq, eonveaienea and
gansral welfare !o anpona fn the eommunitp.
THIS PERMIT MUST BE KEpT ON THE PREMffiE WHILE THE WORK IS IN PROGRESS
ThL is !o certifp. !hal....11 -A .c'.?:'._....?..'?.'.:!??c?-............... has permission !o ereeS a.._..'.Y._....._-- Q?............ _upoe
!be above described premise subjeei !o the p:ovisiou of the Suilding Ordinenoe for Eagan owaship adoplad Aprt1 11,
1955.
....-?.s?':.-..-. _..?t......... ??...uZ:?::---par .................??-----..._..,
?••?-'°- "' "°_' .`5 Suildinq Iaspaclor
-11
G?6 aj'
_ ` ar
? VILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, riinnesota 55122
PERIvIIT NO.: 369
The Village of Eagan hereby grants to Louis H. Peter Co.
of 1854 Grand Aneaue. Eagan* St. Paul. MNI 55105
a pl,tlMu7G Permit for: (Owner) Tilsen Conetruction Co.
at 4368 & 43'?4 Garden Trail , pursuant to application dated 7/3/73
Fee Paid: $40.00 dated this 3rd day.of July , 19 73
1.00 s c
Building Inspector
Mechanical Perraits:
Bid Tota1:
i
VILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
G7 - J - -Z
PERP7TT NO.: '2_Q2
The Village of Eagan hereby grants to _?aa31 i Itubbasd..Baa '"S
of qg !ie 0oa17.4-8
a HEATZNG Permit for: (pwner) Tiluon Cnnnfr?.Ct?^^ (.O
4222 Seqy_gi,?a Driva S
at 4374 5(4368.:Garden rAii , purauant_to application dated 7iIa/7z
Fee Paid: ?-
de,ted th18 ? 2ythdepr :1`itl? s 19
'
?Q-• ?"'"
??/' • ?? 4. '? , •. ::nqlY
W.
. . . . ' ? .?_ .
• f,..._ .y ?e' . .
'riechanical Permita: .
Bid Total:
?
0-k \Qi_? _T o m
RESIDENTIAL BUILDING (o rQ
Permit Application ?
City Of Eagan --'b
q 3830 Pilot Knob Road, Eagan MN 55122
J Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeUReoair Reauirements Office Use Onlv
3 registered site surveys showing sq. ft. of bt, sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20% mazimum lot coverage allowed) 1 setof Energy Calculations for heated additions Tree Pres Plan Recd
2 oopies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd
i set of Energy Calculations AddBion - irMkate tl orr-sife sepfic system _ On-site Septic System
3 oopies of Trce P2servation Plan if lot platted after 717193
Rim Joist Detail Options selectan sheet (bldgs with 3 or less unifs
Date r,, ,
p0
Construction Cost ? ? ? 0c)
Site Address 43GR (-,flQ I? TQL . UniUSte #
/
Description of Work
Multi-Family Bldg Y X N Fireplace(s) )< 0 _ 1 _ 2
Property owner -?lnn1 ? ?'Ioc?rraS Teiephone # (C?? ) °?4`? - q t -4-I
Contractor
Address City
S[ate Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
ne.#{ n r
JUiV ;) 3 %"'
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 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.
.J w4.rwAS
Applicant's Printed Name
Applicant's Signature
Telephone #(
Telephone #(
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuiLDZNG
3830 Pilot Knob Road Permit Number: 022126
Eagan, Minnesota 55123 Date Issued: 10 / 01 J 93
(612) 681-4675
SITEADDRESS: Lor: 6 BLOCK: 3 APPLICANT:
4368 GARDEN TR ALBRECHT CONST
WTLDERNESS RUN 2N0 (612) 455-9188
7
?
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) REPAIR
DESCRIPTION (ROOFING)
tITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-84351-060-03
DESCRIPTION:
PERMIT TYPE:
Permit Number:
Date Issued:
SF (MISC.)
REPAIR
rd/, 6
BUILOING
022126
10/01J93
il ? rl
C)? ?s????{?
PERMIT ?
4368 GARDEN TR
LOT: 6 BLOCK: 3
WILDERNESS RUN 2ND
(ROpFING)
B,u"ilding)?Permit Type
Building Work Type
r -.
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Lic. Search
Total Fee
$54.00
$1.50
Fee $5.00
$60.50
CONTRACTOR:
ALBRECHT CONST
1110 10STH
INVER GROVE HTS
(612) 455-91$8
- Applicant - ST. LIC
14559188 0902143
ST W
MN 55077
$3,000
OWNER:
CURRIE GREG
4368 GARDEN TR
EA6AN MN 55123
(612)683-0887
I hereby acknawledge that I have read this
information is correct and agree to comply
Sta t?s and City of Eagan tlrdinances.
L_
?Irt.C
APPLICANT/PERMITEE SIG ATURE
application and state that the
with all applicable State of Mn.
J
,-fi.oc,,n &J. I m?1
ISSUED 8: SI NATU iE ?
REACTIVATE _
PERMbT # "
? i(o
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATlON $G0V
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
talcs. ,
COMMERCIAL 2 sets of arcAitectural 3 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is thanged or 3) lot change i.s requested once permit
is issued.
Date (7) C` i /_?_ /Yaluation of work ??0? • OO
Site Address: 13G:?.i ?c A-Q'^- ? I 1
EiREET SUtTE /
Tenant Name: (commercial only) (U ? ?
IAT ? BIACK ? F
UBD. G 1? ll I??? qU? Tk
P.I.D. N
Descri tion of work: o U• -S 0. V_5e
The applicant is: ? Owner Contractor ? Other (o.4crtbe) .
Phone (0?`3-
r
'
'
-
r
e
,
s c
(
Name
,c - f
k P
Property ?
LAST FIiST
Owner addr-ess 3(0% r-n c?-e? ? cc?` `
SiREET CTE /
city state M? Zip SS tZ3
?Ij
Company ? 1 h r"2C' hCo Yl s? Phone C)C
License d a lU3 Exp.3 ?? S
C011tfeCtOf Address
City ? l r a(1)uP jjT 5. State j' ZiP 55 O-7-7
Company Phone
Architect/
vzrt
Eng(neer Registration #
Name
Address
Cjty State ZiP
Sewer 3 water licensed plumber . Processing time for
sewer 8 water permits is two days once rea as been approved.
1 hereby acknowledge that I have read this application and state that the information is
d Cit
f
y o
correct and agree to comply with all applicable State of Minnesota Statutes an
Eagan Ordinances. /'? /JJJ
Signature of Appl icant: _??!.? l? X.,Y?J_ri ?n
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE
Permit Number:
Date Issued:
BUIIDING
027979
06/18/96
SITE ADDRESS:
4368 GARDEN TR
LOT: 6 BLOCK: 3
WILDERNESS RUN 2N0
P.I.N.: 10-84351-060-03
DESCRIPTION:
Building,;,Permit Type
Building Gio,rk Type
Gensus Dode
?. . _ .. ,?.,5 . . .
a
REMARKS:
FEE SUMMARY:
PERMIT
S70RM DAMAGE
REPAIR
434 ALT. RESIDENTIAL
If
Ip L.
a
CONTRACTOR: - a,pplicant - sT. Lzc.OWNER:
RONEL RESTORATIONS 14323444 0002156 SAJADI A H
P 0 BOX 240744 4368 GARDEN TR
APPLE VALLEY MN 55124 EAGAN MN
(612) 432-3444
I hereby acknowledge that 2 have rea:d this application and sCaCe that the
inforlnatibn is 'catrect and agree tQ ;oqmpl}t with adS applicabLe 3tateaf Mtt=. -? Stdtutes and City of Eagan Ordinances. ?
APPLICANT/PERMITEE SIGNATURE ISSU Y: SIGNATURE
C CITY OF EAGAN
?7/ 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Naw Conslrudion Reauirements RemodeVReoair Reauiremenis
? 3 regislered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes; poured fnd. design; ete.) ? 2 ske surveys (exterior addRions 8 decks)
? 1 energy calcuiations ? 1 energy calculations tor healed additions
? 3 eopiea ol tree preservetion plan if lot platled aRer 711193
reqWred: _Yes _ No
DATE: ? I ° --7-6 CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: ? ? ?'? ??r`?`' f/?L• (?-??6?• ; /J?•
LOT (o BLOCK SUBD./P.I.D. #: ? ? ? Z
PROPERTY Name: Phone #:
OWNER F1Rei
Y3 6 P (L?"`"LI L•
Street Address:
City: State: Zip: S1/0`2
r
L 7
;?'" -
?3
CONTRACrOR ComPanY: 6O"t Phone #: .
.
Street Address: ?`6/ License # : c) l,Ff
City:?P? V???? State: ?"- Zip:
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registratio n #
Street Address-
City: State: Zip:
Sewer 8 water Iicensed plumber:
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
Penalty applies when address change and lot
correct and agree to comply with all
JUN It' J :936 1
- - - - - - ° ?
? '
.-. , ?
ctrv Or- :r:.A.r..,AN
CASHII_F;a 5 TI=RMiNAL NIO: 87
DA'1'fi:;; 0E3/21/96 TT.MI=a 0:3903
ILi;
NAMI=^ NOfiDIC PISNLiOW rr) INC
3210 9001 4368 GARUI=N TR 50.00
205 9001. 4369 GARDL'N 7fi 0.50
T'oa,a:l. heceipt Amou.r,t; :,p,;,p
CR(:1( 31. `r'9
t.ISIiR .T.Dr NAi`!CV
-Ad
. - ,. , _, PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 028605
(612) 681-4675 Date Issued: 0 8/ 21 / 9 6
SITE ADDRESS:
4368 GARDEN TR
LO7: 6 BLOCK: 3
WILDERNESS RUN 2ND
P.I.N.: 10-64351-060-03
DESCRIPTION:
; ">...,. (EGRESS WINDtlW)
6ui1d3ng,,,Permit Type BASEMENT FINISH
'Bui.lding Wor_k 7ype ALTERATION
Can5us Code ? 434 ALT. RESIDENTIAL
REMARKS:
FEE SUMMARY:
Base Fee $60.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. LIC.OWNER:
NORDIC WINDOW CO 18612461 0009023 SAJADI AHMAD
5736 NICOLLET AVE 4368 GARDEN TR
MINNEAPOLIS MN 55419 EA6AN MIY 55123
(612) 861-2461 (612)683-0823
I hereby acknowledge that I have read this a-pplS;catzon and state Chat the
information is carredt and agree to comply with aIl applicable Stete of Mn.
Statutes end City Qf Eagan Ordinances,.
-% ??_ ,l/?? ,?.? n kc2r,r,?? ?
?
, APPLIC T/PERMITEE SIGNATURE q$'S D B: IGN UR
3830 PILIOT KNOB RDN 55122
t 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
?
681-4675
?
?
?
3 regiatered sHe 6urveys
2 copies of piane (fndude beam 8 wlnMow sizes; poured fid. deslgn; eleJ
1 energy plaletlons
3 copba of tree pieservation plen H iot piened afler 7I1/93
requi Yes _ No
DATE: 24
DESCRIPTION OF WORi
STREET ADDRESS:
LOT l BLOCK -li_
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
? 2 copies of plan
? 2 ske surveys (exterior addMions 8 decks)
? i energy eslculatlone tor heated add'Aions
1 - -.
SUBD./P.I.D. #: 1 AI OA1 n,1141J 1-411/
M.,
State:
Street Address• 440[O DC?26'r 13M 1 vk-4 I
City: State: Zip'
Company: Phone #:
Street Address: fCUI(e? License #-
City:_? State: Zip
Company:
Name:
P h o n e #: La 1/3 ?'Z3
Phone #:
Registration #•
Street Address-
City:
Sewer 8 water licensed piumber.
change are requested once permit is issued.
Zip:
Penaity applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is correct and agree to compiy with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes
Tree Preservation Plan Received Yes
No
No
L (I BL
? ? t,,(?/? ?
SUBD. lil/t?( ?-
X'e- 5t3ye
CITY USE ONLY
RECEIPT#: (°
RECEIPTDATE: C11157'T
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 65122
(612) 6814675
Please compiete for. . single family dwellings
. townhomes and condos when pertnits are required for each unit
_ New construction Add-on fumace
Add-on air conditioning __ Add-on air exchanaer, i.e. Vanee system; etc.
Date: 27?-11' / 2
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) 2.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL
SITE ADDRESS:
OWNER NAME: &M2 S? Y"P? PHONE#:
INSTALLER NAME: WENZEL HEATING AND AIR C4NORIDNIN6 PHONE #:
4131 Old SiNey Memanal Hwy, #200
STREET ADDRESS:
CITY: (612) 894•9PATE: ZIP:
SIGNATURE O MITTEE
?mwB. Qe,1 ? o.K.
,: __ .
EAGAN TOWNSHIP
3795 Pilot Rnob Road
St. Paul, Minneaota 55111
Telephone 454-5242
PER141T FOR WATER 5BRVICE CONNECTION
Date: 6/22/73 (12/29/72) Number: 1228 (O-3
Billing Name:Tilsen Construction Co.
Owner:
Plvmber•Luecken Excavating
5/11/73
Meter Nw?_gS2?.,??jpPermit Feeqtn_n() .a F/79173
Meter Reading Meter Dep. •50'pd 6/22/73
Meter
-SdK,
Meter Sealed: Yea_ lAdd'1 Chg.
NO iTotal Chg.
8uilding is a:
Residence xx
F4ultiple Ho, Units
Commercial
IadusCrial
Other
Inspected by
Date
Remarka:
Site Address• 4368 Garden Trail
Billing Address
_..il5!f. iUlll
y ...,.., ..._ . . .
Ifv;P ?vrE;;?'r' !idSTFtLLED P,?IiERS.
Sy:
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tte proposed work ia accordance with the rules and
regulatioas of Bagaa Townahip, Dakota County, Minnesota.
gy:
, .
Luecken Exc. L. Galleti
Please aotify the above office ahen readq for inspecCion and connection.
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephane 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: i9/?4/77 f6/ /731
OWNER: Tilsen Construction Co.
NUAffiER 1365 ar-kftx
Address 436$ Garaen Trail ?°j ?J.,Q. -)-
PLUMBER L. Gallati £or Luecken Exc.TYPE OF PIPE heaW cast iron
DESCRIPTZON OF BUIIA ING
Industriall Commercial[ Resideatial I Multiple Dwelliag I No. of units
xx
Location of Connectiona:
Connection Charge340.00 pd 5/11/73
Permit Pee10.00 nd 12/29/72
.50 pd 12/29/72
Street Repairs
Total
Inspected by:
Date
Remarks•
By. Chief Inspector
In consideration of the issue axd delivery to me of the above permit, i
hereby agree Co do the proposed work in accordance with the rules and
regulations of Bagan Towmship, Dakota County, Minaeaota
By
L. Gallati f or Luecken Exc.
Please notify when ready for inspection aad counection and before any portioa
of the work is cwered.
MASTER CARD
Permif
No.
Issued Issued To
Con}rac}or Owner
BUILDING 29`? _?r•????
PLUMBING J?b` ??
CESSPOOI - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS WSTALLING
SANITARY SEWER
OTHER
OTHER
?
1
Items Approved
(Initial)
Date
Remarks
Distance From Well
FGOTING 7-.?f y ? SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
H EATI N G DEPTH
O F W ELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFlELD
PLUMBING
WEIL
SANITARY SEWER +..
Violations Noted
on Back
COMMENTS:
OWNER ?
STRUCTURE AND
LAND USED AS
?
RESIDENTIAL BUILDING L?
? Permit A plication
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstrucUOn Reauirements RemodeUReoair ReauiremenLa Office Use Onlv
3 registered site surveys showing sq. ft of lot, sq, ft of house; and all roofed areas 2 copies of plan CeR of Survey Recd
(20%maximum lot mverage albwed) 1 set o(Eneyy Calalations forheated addiUOns Tree Pres Plan Recd
2 copies of plan sMwirg beam 8 windrnv s¢es; poured tound design, etc. 1 site survey for addifions & decks Tree Pres Not Reqd
1 setafEnergyCalcula6ans Addflion-indlcateilon- sdeseptitsysfem _On-siteSepticSystem
3 copies ol Trce Preservation Plan'rf lot platted aker 711/33
Rim Joist Detail Options selection sheet (bldgs wNh 3 or less untls
Date ?11)_ / 31 / 0_
Site Address Construction Cost
UniUSte #
Description of Work
Multi-Family Btdg _ YX N Fireplace(s) ? 0 _ 1 _ 2
Property Owner _?JAV\3 f?Aa 1 s1?S Telephone #(c rj/)
Contractor
Address G°b c, fYOL04Exf
State A-IL A/
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Zip Telephone #(C- S? '194'- g/ 97
COMPLETE THIS AREA ONLY IF
Energy Code Category - Mimmesota Rules 7670 Cateeorv 1
• Residential VenUlation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
• ' New Energy Code Work's
?j ?-? Submitted
ie #? 5
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 pernut, 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.
Applicant's Printed Name
ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02•plex ? 10 08-plex g 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 MuIG Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demoli8on (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy 12-3 MC/ES System
L/
Census Code
_ Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length ?
Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Foo6ngs(new bldg) FinaUC.O.
? Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile O[her
Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests _ Final
? Framing _
_ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ 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
Baur]arY Surve]' For: . • AAA
Juan Macias
4368 Gatden Trail
Eagan, A8N 55123
DELMA!? H. SCHWANZ
UHD BURVEYORS. INC.
. Rp1.WW UnOw L.M d ? St.b al Mln1wela
1175050UT.w. rICiBERT TRAIL ROSEMOUNT, MINNESOTA 55088
SURYEYOR'S CERTIFICATE
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SCHWANZ
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Ddmar H. Schwan: ' )"• w.:......: °` . .
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iiqrJS,U???i? i?S•?y?' MlnnMOla Rapitdatfon No: 8625
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? o I I?? I II REQUE5T FOR ELECTRICAL INSPECTION J a
Minnesota State eoard of Electricity
1821 Universiry Ave., Hm. S- 81S. Paul, MN 55104
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Home Dup ex Apt. Bldg. Olher: New Addn
Commercial Industrial Farm Remod - Re oir
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Htg. Equip.
Wafer Htr.
Load Mgmt.
Other:
J D er Ran e Elec Hea} Temp. Service
"X" obove ffie work covered by fhis request Enter remorks in this space and on the ba<k of lhe white copy only.
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Calculate Inspection Fee - This Inspecfion Requesf will not be accepted withoW fhe correct fee:
OHher Fee # Service Enlronce Size Fee # Circuih/Feeders Fee
Mobile Home Park $tall 0 l0 200 Amps 0 to 100 Amps
$freef Lig./fraffic Sig. Above 200 Amps ve 100 Amps
Tronsformer/Generator INSPECTOX'SUSEONLY TOTAL `ro
Sign/Outline Lig. Xfmr. ?
Alorm/Remote Confrol
Swimming Pool I hereb wtli Ihot I ins acted Ihe elecfiml insmllation demribed hereln on ihe doles sMed
Irrigation Boom ?„9h-i„ p,b
eciallnspedion
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Invesiiga}ive Fee q
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V I OFFI USE ONLY This reqvest void IB monihs fmm validanan date pnn?ed in ihis box.
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? Rough-In inspedlon requiied2 ? Yes ?Na Inspedion Other Than Roogh?ln: 0 Raody Now Will Coil
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`? ?Yo? must coll ihe inapeaor »hen rcody? Dox Ready:
I, censed conhacfor Q owner hereby request inspeclion af fhe abova electricol work at:
Job Pddms (SVeet, Box, or R ure No.?
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Seclion No. Townzhip Name or No. Ronge No. Fire No. Couny ?\ ??Q? ?
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Power Suppller Pddrezs
Elecfiml Comracror ?Campany Name) ?,
as -e? -\?c..?c'? c? Commmr limnse No.
?C?i ? a Maslar lic Na (Planr Eled. Only?
Ma?l?ng Pddrma ?Conwnor Ovmer Performing Inslollafion?
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AWhonzed Signature (Cantrocwr o? Perfo? Insw on
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EB-OWOlA-10 6/95 STATEBOARDCOPY-SEEINSTHUCTION30 CKOFY LLOWCOVY
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118458
Date Issued:11/01/2013
Permit Category:ePermit
Site Address: 4368 Garden Tr
Lot:006 Block: 003 Addition: Wilderness Run 2nd
PID:10-84351-03-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Inna Bodnar
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 -
Kevin O Fox
4368 Garden Tr
Eagan MN 55123
(651) 414-1132
Intelligent Design Corp
4009 103rd Ave N
Brooklyn Park MN 55443
(612) 919-2596
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122280
Date Issued:05/01/2014
Permit Category:ePermit
Site Address: 4368 Garden Tr
Lot:006 Block: 003 Addition: Wilderness Run 2nd
PID:10-84351-03-060
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Kevin O Fox
4368 Garden Tr
Eagan MN 55123
(651) 414-1132
Intelligent Design Corp
4009 103rd Ave N
Brooklyn Park MN 55443
(612) 919-2596
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA170843
Date Issued:07/20/2021
Permit Category:ePermit
Site Address: 4368 Garden Tr
Lot:006 Block: 003 Addition: Wilderness Run 2nd
PID:10-84351-03-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Joshua Bielke
4368 Garden Trl
Eagan MN 55123
(612) 414-6495
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170936
Date Issued:07/23/2021
Permit Category:ePermit
Site Address: 4368 Garden Tr
Lot:006 Block: 003 Addition: Wilderness Run 2nd
PID:10-84351-03-060
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 -
Joshua Bielke
4368 Garden Trl
Eagan MN 55123
(612) 414-6495
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature