4350 Garden TrCITY OF EAGAN Remarks
Addition Wilderness Run 2nd Addition Lot 9 Rik 3 parcel 10 84351 090 03
.-3-9 6arden M?'?ia stace Ea9an, MN 55I23
owner vl c' _, street t?
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
S7REET RESTOR.
GRADING
SAN SEW TRUNK 1973 $175.00 $8.75 20 PAID
SEWER IATERAL
WATERMAIN
WATER LATEFiAL
WATER AREA
S7aRM SEW TRK
STORM SEW LAT
CURB & GUl-fER
SIDEWALK
STREET LIGHT
WATER CONN. $260.00 10225 3-20-74
9UILOfIVG PEfi.
s,ac 400.00 10225 3-20-74
PARK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:'
, ?Gi•
PERMIT SUBTYPE:
PERMIT TYPE: I;+I I i+? 1 H6
Permit Number:
Date Issued: o /44
`40' i N'"s t' APPLICANT:
it i:R fl,.e
TYPE OF WORK:
r; .. . ?; i i,•r? ; ? u??? i t•i?, ?
INSPECTION DA .
. .•
?
F
L
_S
?
Permit No. PermN Holder Date Tdephono i
ELECTRIC
PLUMBING
HVAC
Inapectfon Date Insp. CommaHa
FOOTINGS
FOUND
FFiAMINGi
ROOFING
ROUGH
PLUMBINC3
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, 1y1N 88121
PHON E: 454-8100
BUILDING PERMIT
To be used for ` ? • ? •' r f
Eat. Value ?1.000
1SQ-tID
Recelpt
Date 2 ,19 ?
Site Address Lot Block Sec/Sub.
Parcel No.
a Name •
W
? Address
` •
Clty Phone
Name "'?Y !.At,.:
? Address
CitY Ll.iCL Phone '+4 7- S"A4
? W Name
Address
H W
City Phone
I hersby acknowiedpe that I have read thla applicatlon and state that the
Informatlon Ie correct and apree to compty with sll appllcable State oi
Mlnnesota Statutsa end City of Eapan Ordlnancee.
Slqnature o} Psrmlttse
.r
A Bulldlnq Permit ia issued to:
on the expreea conditlon that all work ahail be done in accordance with all
appllcable 3tate of Minneeota 3tatutes and Clty of Eepan Ordinancea.
Bulldinp Oiflclel
OFF ICE USE ONLY
On SRe 8ewaQe Occupancy
MWCC 3ystem Zoninp
On 8ite Well (Actuaq Conet
Clty Water (AllowBble)
PRV Requlred * ot Storlee
Booster Pump Lenqth
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
2 4' 0("
Engr.lABSeas. Permit
Plenner 8urcharge
Council Ptan Revlew
Bldq. Off. SAC, City
Varlence SAC, MWCC
Weter Conn.
Weter Meter
Roed Unit
Treatment P1
Parka
TOTAL ?
I I Permit No. I Permtt Holder I Dat* I Telsphone * I
H.V.A.C.
Electric
Softener
inspaction Date insp. Comments
Footings I
Footings II
Foundation
Framing
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Oca
Temp. LP
Deck Ftg.
Pr. Disp.
Receipt I ( ?? J? MECHANICAL PERMIT Permit No.
CfTY OF EAGAN , fee ?• ? '-?
FiII in numbered spaces S/C
Type or Prini legibly Tot r; ?U
1. Date !?? 15 -?`} 2, Installation Cost
I ! T . t lk
3. Job Address Lot `- Blk. 0 Tract ?
4. Owner /'(9 wt SQ V rei ?
5. Contractar ' Phone
6. Address
7. CitY State / W `y Zip `,-5123
8. Building Type: Residential Q Commercial ? Institutional O
?
9. Work Description: New ? Addt Alter ? Repair ?
10. Describe Fuel Type
11.
No. Equjpment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
ndlin
:
H
Mfg. g
r
a
Boi lers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Qutlets
12. I hereby csrtify ihat the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
" CITY OF EAGAN 96r?3
•• 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
? BUILDING PERMIT Recefpt #
_ Ta be uaed Far Est Yalue -Dote _ ()BER 29_, 19 84
No.
4350 GA,RDEN TRAIL
slock 3 sec/sub. WI Q RU
ce Name pAUL D. SAVRE
Z Address SAME
9 City Phone 452-245
? Name _
Address
1- ritv
Name _
Address
City -
Phone
1 hereby ocknowledye tFwt I hnve reod rhis opplication ond stote that
the inlormation is corretf ond ogree to comply wifh oll applicable
Stute of Minnesota Stotutes and CitJy of Eogon Ordino s.
Sipnature of Permittee "" ??!
A Building Permit is issued to: PA D. SAVRE
all work shall be done in occordorxe with oll applicoble State of Mfn
Buildfnp Officiol
Erect ? Occupancy x ?
Remodel ? toning
Repair ? Type of Const. V
Enlarge ? No. Stories,
?
Move ? Length
Demolish ? Depth ?-
Grade ? Sq. Ft.
App•ova h Fess
Assessrtunt
Woter & Sew.
Police
Firo
Eny.
Clanner
Council
eia9. orf. 10 2 9 8 ?
APC
Var. Date
Permit Y"" • J"
Surchorge 5.00
Plan check
SAC
Woter Conn.
Water Meter
Rood Unit
Parks
Total $85.50
I
on the express tondltlon lhoi
ota Statutes ond City of Eapan Ordinances.
. Permit No. Permit Holdsr Date
Piumbirq
H.VA.C. `J (j rl C:' ?U n ?L(
eleccric
sascme.
Inspection Date Insp. Other
Footings
Foundetion
Framiny ?
l? f
Aj(
Rouyh Plbg.
Rough HVAC
Insulation
Final PI6q.
Final HVAC
Final ?
Cart/Occ.
Water ??l? Locetion:
VYell
Sewer
Pr. Oisp.
.
YILLAGE OF EAGAN
3795 PiIM PAeb Road
Eaqon, MN 55122
Zoning:
Owner: .
Address:
WATER SERVICE PERMIT
PERMIT NO.: 1543
UATE: 7/18/74
R-1 No. of Units: 1
Site Address: 4350 Garden
Plumber: Peters Iley-ROc
Meter
Slze:
Reader No.:
1 ogree to comply with the Villoge of Eagan
Ordino c
By
Date of Insp.:
Connection
Account Depoalt
Permit Fee: 10.00 pd 7/18/4
Surcharge: •SO.pd Misc. Charges:
Total:
?ate Paid:
Insp.:
nLu?oe oF EnoaN SEWER SERVICE PERMIT
3795 Pi11Kpa!•Road PERMITNO.: 2302 .
Eoyan, MN 55124 DATE: 7/18/74
Zoning: R). No. of Units: 1_
Owner: Tilsen Construction Co.
Address:
Si[e Address: _ 4350 Garden Trail
Plumber. Pptersma Tiev-Roc
1 ograe to comply with ffie Village of_ Eagan Connection Charge40(1.00 pd 4/3(
O.dinances. Account Deposit:
Permit Fee: 10.00 pd 7/18
Surchazge: ' 50 pd 7/3.R.
By:
Uate of Insp.:
Insp.: -
Misc. Charges:
To[ul:
Dxre Paid: -
CITY OF EAGAN Ni? 9653
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 /
PHONE:454-8100
BUILDING PERMIT 2eceipr #
Te 6a wed !er ADDITION Est. Value $10. 000 pate OCTOBER 29 1y 84
SiteAdtfress 4350 GARDEN TRAIL
Lot 9 61ock 3 Sec/Sub. WILD RUN 2
Percel No.
Is IN,,. PAUL D. SAVRE
; Address $AME
b City vhone 452-2457
SAME
o Name
Address
? City Phone
rc
Name
io Address
Z
.
a- City Phorie
I hereby ackrwwledge thot 1 have read this application ond stote thaf
the inlormation is correct apd ogree to comply with oll upplicable
Stote of Minnemta Statutanid Cily of Eogon Qrdinon s.
Slpnoture of Permittee
A Building Permit i: issued to: PAUV, D. SAVRE
nll work shall be done in accordonce wi}h d nouoliwble Sfnlfo}`Mini
Erect ? Occupancy R3
Remodel ? Zoning ?-
Repair ? Type of Const. V
Enlarge ? No, Storiet5
_
Move ? Length
Demolish ? Oepth ?
Grade ? Sq. Ft.
Approrab Fees
Assessment'
Water 8 $ew.
Police
Fire
Erp.
Planner
Council
Bidg, Off. 1 O/Z 9 I
APC
Var.Date
Permit Y"" "'"
Surchorge 5,00
Plun check
SAG
Woter Conn.
Water Meter
Rood Unit
Parks
7otal $85.50
on the express condition Ihot
Statutes ond Cify ot Eagan Ordirances.
Buildinp Offlciol
,
orkroloALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
*,94:5? INCLUDE ? SETS OF PLANS,
Q CERTIFICATES OF SURVEY
11 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: qIOtv? Date:
Site Address: 4350 (T,.,lde' -k r-, `
Lot:g Block: 3 Sect/Sub: A)jj/f RLy„ -,)-- Erect:
Parcel #: Remodel:
Repair:
Owner: po-,,--k S 0.Vre- Enlarge:
Move:
Address: y-35a C? y.,cQe? T'Yn, l Demolish:
City/Zip Code: Grade:
Phone # : 44 S o2-:;L 'i 1
Occupancy: 7- -3
Zoning: R-I
Type Of Const: Q
? # Stories:
Length: ZG
Dep th : 22
Sq. Ft.:
Contractor: av yNpw, - S a?? ?
Address: Assessments:
City/Zip Code: Water/Sewer:
Phone #:
Arch./Eng: /VONL
Address: _
City/Zip Code:
nt,.,? o ? •
Police:
Fire:
Engr.:
Planner:
Council: ?
Bldg. Off.: /d
APC:
Variance:
Q ?
Permit: ? 50
Surcharge: 5 , °-°
Plan Rev.:
SAC:
Water Conn:
Water Meter
Road Unit:
Parks:
?
CITY OF EAGAN N2.. 15 0 4 0
3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121
-?
PHONE:454•8100 g3q?°j?
BUILDING PERMIT Receipt # O
Tobeusedfor FIREPLACE Est.Value $1,000 Date MAY 1$ ,79 88
Site Address 4350 GARDEN
Lot 9 Block 3 Sec/
Parcel No.
e Name ROSS GRIMWOOD
; Address 4350 GARDEN TR
° City EAGAN Phone 452-0484
o Name GARY LAYEUT I
00 Address
? City PRIOR L,AKE phone 447-5364
Name
City
I heraby acknowletlge that I have read ihis ap0lication and state that the
information is correct and agree to comply with ail applicable State of
Minnesota Statutes antl C f gan Ordi "ances! -
Signature of Permittee __
A Building Permit is issued to:_ ROSS_GRIMWOOD_
on the express contlition that all work shall 6e done in accordance with all
applicable State of Minnes{o?ta Statutes a/n?d City of Eagan Ordinances.
Builtling Ofticial?_ll?? AL
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem _ Zoning
OnSiteWell _ (ACtuaqConst
Ciry Water _ (Allowable)
PRV Required _ # of Stories
Booster Pump __ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit 24.00
Planner _ Surcharge _____ .50
CounCil _ Plan Review
BItl9. Off. SAQ CitY
Variance SAC,MWCC
Water Conn.
Water Meter ________
Road Unit ___ _ _
Treaiment P1 _ _
Parks
TOTAI z4.50
9- 3- J,
w : //;7.
czTi or FaaAN
3795 r-ilot Iu:oa P.oaa
I;ugai7, P'Iinne:,ota 55122
PERNST NO.: 602,
The City of Ea.oan hereby grants to Neil 6 Hubbard Heatina & A/C Co.
of 99 No. Snellino, St. Paul 55104
d_ggAmZUr: Permit for: (Owner) Tilaen Conatruction Oo
1358 Coamos Lane, anci 4350 4357, and
3?asaF; ca.aeo mrail , pursuant to application dated _ 11/8/74 .
Fre Paid: Spp.ep dated this LO&&_day of may 19 74
_ 2.00 a/c
Mechanical Permits:
3i:: Total:
i
y350 IbAd..Qr-, aA c
l oTf 351 o4o 03
lo . 2, tr
CI^1Y OF Ei1GAN
3795 Pilot I{nob Road
cagan, Minnesota 55122
FERMZT NO.: 505
The City of Eagan hereby grants to L. Ii. Peter Oo.
0 1
1£354 C,rand Ave. St. Paul 55105
a pyT1bW=b1G Permit for: (Gwner) Tilsen Construction Co.
1377 Amaryllis Lane and
??' -4350 CardR^ '?'+'p; ? , Pursuant to app2ication dated 9/11/74
Fee Paid: _$an_nn dated this 13th day of Sept. ? 1974
1.00 s/c
Building Inspector
N:acrsnical Permits:
Sid Total:
X . ,.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT C003 qff
PERMITTYPE:
Permit Number: Buz?orNs
0 2 5 5 5 3
Date Issued: 0 5/ 10 / 9 5
SITE ADDRESS:
4350 GARDEN TR
L07: 9 BLOCK: 3
WILDERNESS RUN 2N0
P.I.N.: 10-84351-090-03
DESCRIPTION:
(ROOFING)
Building`Permit Type
Bwilding War,k., Type
\
e? -
-' -
'
?t
REMARKS:
FEE SUMMARY:
SF (MISC.)
REPAIR
0_,
VALUATION
Base Fee
Surcharge
Total Fee
$43.00
$.95
$43.95
$1,900
CONTRACTOR: - Applicant - ST. LIC. OWNER:
ALBRECHT CONST 14559188 0002143 GRIMWOOD ROSS
1110 105TN ST W 4350 6ARDEN TR
INVER GROVE HTS MN 55077 EAGAN MN 55123
(612) 455-9188 (612)452-0484
?
I hereby acknowtedge that I haue read this applicartinn a:nd state that: the
information is correct and agree to comply with all appticable State of Mn.
Statutss and Gity of Eagan prdi:nances. `
APPLICANT/PERMITEE SIGNATURE
^,? R??:?. I ?
?f?,: IGN RE
I
?
?
?
CITY OF EAGAN
4 43.-b
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-d675
3 registered site surveys
2 copies of plans (indude beam 8 window sizes; poured fnd. design; etc.)
1 energy calculations
3 copies of tree praservation pian 'rf lot platted after 7N193
required: _ Yes No
DATE: ? ? ?S / q S
DESCRIPTION OF WORK:
? 2 copies of plan
? 2 site surveys (exterlor edd'Riona & dedcs)
? 1 energy calwlations for heated additions
CONSTRUCTION COST: "I I OO , (D <D
64?"c -f ('2- C'OO$F
STREET ADDRESS:
LOT ? BLOCK SUBD./P.I.D.#: ?a!?lr? C?Q ?????- ?•
PROPERTY Name: ?`-n f'+YY\u.,)A 9--OSS Phone#: L(Sa - Oq&A
OWNER """0
Street Address- ?{ 3 S U -TC0. \?
Street Address,
City: ?- State: Zip: ?
Sewer & water licensed piumber: (\j/? . Penalty applies when address change and lot
change are requested once permit is issued.
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.
Signature of Applicant:
C" OFFICE USE ONLY
Certficates of Survey Received _ Yes _ No
Ciry: 'Sag e,v\- state: zip: S S 12 3
CONTRACTOR Company: Alv-eC ki Co'nsh Phone #: L4 SS`9 t gs
Street Address: ?? LO 1 VS? ?- Si w` License #: 0a' 1 q 3
City: !? ?1 State: Zip•-SS O-2-7
ARCHITECTI Company: Phone #-
ENGINEER
.-?
Name: Registration #•
Tree Preservation Plan Received Yes No
.
,
1988 HOILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 150 q O
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUBVF(t, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL IJNIT3 FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.t
1 SET OF ENERGY CALCULATIONS
CONAIERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: T?,?"CP?QC-? Valuation: Date: `TY1. 1' p,
Site Address
Lot Block ? On site sewage
MWCC system _
Parcel/Sub On aite well
/? (? City water
Owner s C9-Y?IYVIW66CX PRV required _
Booster Pump _
Address ?f 3 S6 GQ yr,Qew ?ra?r ?
City/Zip Code E? A QH ?S J,;? 3
Phone /{S D- - p qgq APPROVALS
Contractor ?A 1^G L q w e 64 y. Engr/Assess
Planner
Address Couneil
(? Bldg. Off.
City/Zip Code r 1^cor LRK-(?- Variance
Phone ti47 -536q
Arch./Engr.
Address
City/Zip Code
Phone #
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
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RECEIP7#: //05,
RECEIPT DATE:
1999 PLUM$iNH PERMIT (fiEBIDENTIAL)
crrY oF ErtaRx
3$30 PIL4T KNOB iiD
F-A6RN, MN 55122
(85I) 681-4675
Please complete for: ? singla family dwellings
? townhomes and contlos when permits are required for each unit
? backflow preventer for untlerground sprinkler system
FIXTURES
Shower
Water Closet
Bath Tuh
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drairt
Gas Piping Outlet ' minimum • 1
Rough Openings
EACH
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
30.00
3.00
30.00
30.00
30.00
75.00
x
x
x
x
x
x
x
x
x
x
x
x
x
?
TOTAL
W8i81' SOftenef " tor dwellings under rAnstructlon
Watef SoflBnef ' for existing dwelllnp
U.G.Spfinkler ' fordwellingunderconst.
U.G. Sprinkler ' for existing tlwelling
Alteratlons • to existine residence
Water Turn Around
Private Disposal System ' MPC iic.
(new and-refur6ished syslems)
Private Disposal Systems ' Abandonment
RPZ (new installation/repair)
Reminder., Call 681-4875 for inspactians of water heaters,
? water softeners, alteretions, etc.
30.00 =
=
30.00
STATE SURCHARGE
TOTAL
.50
301so
------...---•......------•...---------- -...... ------------------- ------------------ ------.._...----._.......•••-.......--
t hereby acknowledge that I have read lhis application, stale that the iniormatlon Is corcecl, and agree to wmply-
wiN all applipble City of Eegsn ordinances.
It is the appiicanfs responsibiliry to noti(y the property owner that the City of Eagan assumes no Ilabiliy tor any damages caused by the Ciry dunng its normal
opereUOnal and maintenance' l withln City property/right-of-wayleasement.
GRIMWOOD, CATHRYN .
SITE ADDRESS: 4350 GARDEN TRAIL
EAGAN, MN 55123 .
OWNER NAME: (ssi) 452-0484
INSTALLER NAME: (V R13/ 0Wl ?L„L1 /f/1 P?I nJ(,? TELEPHONE #: ?,'? 7-'?D,j 7j
STREET ADDRESS:
CITY: STATE: ? ZIP; S O8
CDlPERMIT FORMS/RPLBG PERMIT (RES) • 1999
MASTER CAftD
LOCATION
OWNER
STRUCTURE AND
LAND USEO AS
1.& e'
17 -3 ??-
Permi}
No.
Issued Issued To
CoMracfor Owner
BUILDING ? of?
PLl1MBING ?
CESSPOOI - SEP71C TANK
WELL
ELECTRICAL
HEATING
V. ?
GAS INSTALLING
?
SANITARY SEWER i
?
OTHER ?
OTHER I
Items Apqoved
(Initial)
Date
Remarks
Distance Fiom. Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD fT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION I
SEPTIC TANK i
CESSPOOL
DRAINFIELD
PLUMBING
WELI
SANITARY SEWER ,
Violations Noted
on Back
COMMENTS:
EAGAN 190W14SHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephane 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATS: Marrh 90. 7974. NCIMBER 2180
.r?I35o a
OWNER: Tilsen Construction Co, p,3dress -43" Garden Trail 9? W•?
PLUMBEj=9&&hJc?xi==k3=x1&xx• TYpE OF PIPE heavy cast iron
DESCRIPTION OF BUILUING
Industrial' Coffierciali Residential ` Multiple Dwelliagi No, of units
xx
Location of Connectfons:
Connection Chargeann_oo na '??74
Permit Fee 10.00 pd 12/29/72
JP
Street Repairs
Total
Inepected by:
DaYe
Remarks•
Bq
Chief InspecCOr
In consideration of the issue and delivery to me of the above permit, I
hereby agree eo do tfie proposed work in accordance with the rules and
regulations of &agan Township, Dakota County, PYinneaota
Sy.
?Bev-roc
Please notify when ready for inspection and coanection and before any poreion
of the work is covered.
PERMIT #
N8I97
RECEIPT DATE:
fi£SIDENTLAL PLUM$1N& PERMiT APPIICATION
crrY oF E,e?sm
S$SO PII.OT KN08 RD
EAfiAN, hsLV 551 EE
651-651-4675
Please complete for:
> single family dwellings
> townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
/ i-a1 _vr
SITEADDRESS: cJix-6 l9'Q.C?t.?n_i I UC.Ll_
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
CITY: :U,vQ?24dtle, 6? STATE: ZIP: 40?
Place a check mark next to the permit work tvpe
.!
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
Ail ereby acknowled9e [hat I have read Ihis application, state that the information is correct, and agree to comply with all applicable Cityo( Eagan ordinances. It
the applicanPS responsibility to notify the property owner ihat ihe City of Eagan assumes no liability for any damages caused by the City during its normal
pera lional and mainlenance activities to Ihe hacilities consWCted untler this permit within City property/right-of-wayleasemen[.
SIGNATURE OF PERMITTEE
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modficetion or al±era:ion ,e existin dwelling uni[, inciudiny: $ 50.00
' • abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
2nr
?
Nature of work: -
Septic System, new/refurbished - $ 225.00
1 • includes County & Consulting Inspector fees
1 • requires MPC license
?
1
i
State Surcharge
$ 50
Total $ ? , ?
Updaled 1101
?pS?S ?IiC?OO? TELEPHONE #: 14 <-/-??'G
(AREA CODE)
4ipk City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?-----------------
? For Oflice U;e
? Permit N: ?
I ?
i Permit Fee: ;
? Date Received: ? ' h • ?C? j
I Staff;
2009 RESIDENTIAL BUILDING PERMIT APPLICATION Ci I???NI-4
Date: Site Address: ? 3S 0 ? - ?-cC?
Tenant: Sulte #:
RESIDENT / OWNER Name: ILc 5 5 G r1, w, i% o o cp Phone: Ga S! -?5,?. -D ?$4
Address/City /Zip: 4t 3 SD ?-Y-
Applicant is lv_?'Owner _ Contractor
TYPE OF WORK Description ofwork: p.e rYto ?j k i?,Aw, ^- re''""d UL' c>? ?vJ?0ae K,0
Construction CosY. ,900 Multi-Family Building: (Yes No.X--)
CONTRACTOR Name: ri i License #:
Address:
City: State: Zip:
Phone: ContactPerson:
C LETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
innesota Rules 7670 Cate or t Minnesota Rules 7672
Energy Code . Re d ntial Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submin Submitted
(l? SubmisslDn type) • Energy Enve Calculations Su6mitted
In the last 12 months, has the City of Eagan issued a per for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Ph ne:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submif are considered to be public information. Portions of
the information may be classilled as non-public if you provide specific reasons that wou/d permit the City to
concfude thaf the are trade secrets.
I hereby acknowledge ihat this informa[ion 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 ihe work will be in
aCCOrdance with the approved plan in the case of work whlch requires a review and approval of plans.
X? C7 :%' CJ Y" t yh Cc,'t'}O d %
U?
Applicant's Printed Name ApplicanYs 5ignature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
? Single Famlly
_ Multi
_ 01 of _ Plex
_ Accessory Building
_ Fireplace _ Porch (3-Season) _ Storm Damage
_ Garage _ Porch (4-Season) _ Exterior Alteration (Single Famlly)
_ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multl)
_ Lower Level _ Pool _ Miscellaneous
WORK TYPES A?Yy
- New / - Interior Improvement
Addition Move Building
?Alteration _ Fire Repalr
Replace
DESCRIPTION
Valuation
Plan Review
(25%_ 100%_)
Census Code
# of Units
# of Buildings
Type of Construction
Repair
?
?
,i?/?'y?,?(n.l7??t ???o?y-t_.d1?/L.DN `'??U l+?q?
Siding Demolish Building•
Reroof Demolish Interior
Windows Demolish Foundatlon
Egress Wfndow _ Water Damage
'Demolillon of entire building -give PCA handout to applicant
Occupancy aL,--
CodeEdition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
_ Footings (New Building)
_ Footings (Deck)
_ Footings (Addition)
_ Foundation
Drain Tile
Roof: Ice & Water Final
... YC Framing
Fireplace: _Rough In _Air Test _Final
? Insulation
Meter Size:
Rev(ewed By:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
? Final / No C.O. Required
? HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
(6???.
v v
lvq.(vt??'a& ?vi 0
tJ REQUEST FOR ELECTRICAL INSPECTION ' EB-00001-04
'Se! insVUCtions for compleling this torm an beck a/ vellow copy.
l?
?A270 "X" Below Work Cave rrd by This Request ?
Naiii Hdd Rep. Tyoe of euilEinq AoPliancns Wired Entjipment WireA
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. 8uildinc7 Dryer - Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Mi Ik Tank
fA?m OtheF pecifY .Iher ISUeuFy)
LIIP.! SpCCI}y OLM1Of 01F(j,
ComputelnspecUOn Fee Below
p Fee ServiceEntranee5ixe k Fee Feeders/Sublaeders ? Fee Circuits
0 to 200 Am s 0 to 30 Am s - ? 0 tn 30 Am s
Above 200 qmps 31 to 700 Amps 31 to 100 A s
Swimming Pool Above 100_Am s Above 100 Amps
Transtormers Irrigation E3oorns Partia6`Other e
$igns Speciai Inspection 5
R¢marks
Rough-in i Ontz
? ?
he EI riwl
Inso or, hereby
c i?y ?hai the above
I Final j f!J (
S.',• ' Ir'-. .1".? ^7 .Y/y
C?' ection has baen
ade.
ftiia request voiC 18 monttu irom
r?
-Ad
5? REQUFST FOH B.ECTpICAL tN?ECTION ' „ Ea-ooooi-w
0 S. i?L+.e?ions tw comple[i" ?this formon back ot Yellow coDV.
An7Q?j n`? '""X`" Be/ow Work Cave?by This Request r
PVeNAdd1M0.1 Typ¢ of BuiWiig 1 Appliances WireA 1 E9uiP?nt Wired I
Air
O F.
. ServicsEMranceSize k Fee Feepeo/gubiaedere N Fee Circuits
0 to200 Aaws 0 to30q Oto 30Am
F Above 200 Amps 31 to 100 Amps . 31 to 100 Amps
Swimmi Pool Above 100_Am ? Above 100_Amps
Trarmfafiners Imi tion Boorr.s Partial•'O
' I I Signs ? I iSpecial Inspection ?S
Remarks .. .
This eOuest bid ?' ?? 5 5 I 0
18 monMs Trom
A 079601. L 0 1 /b-c) ?6 - rn?
__?___- ____ .....__. ? ..-... ...?..._.....,.. y c-
rted? oReatlNuw Q Wi11 Nolitv. InsPe
' ?yes [l N. tor When Peadv
? Licensed Eleariwl Cmtractw I tyrebv reauest irepoction of ebove
? Owner eleetricel wmk irotalletl at:
Streei AAdress, Box or Route No.
? ?
T
?'
d
` C ity
?4
r?
u,
7a r
f 350 ?)
ecuon o_ Tawnshi0 Name or No. Nu. C
ounty
7 T
/? y_
-LQ/EQ I ct/
Oc INT)
) T OL?nt PA S0 v re- Phone No.
Pawer SJu?pplier 1- J
?2ictif'4. ?"lcc'Tr,'c Address
Elecvical Con12c10f ICon4
a
,
W Namel - C?ntracmr's License No.
?
?
{
OV`- rLLY' -
Mei?li/na Address (C?Onvacmr w Owuer Naki,q I?qilation)
Y-.3:SQ r,?Arde,n I1-4
r?
Authorized $igreture IContrecin/Owner Makinp Installa[ionl Phone Number
1) '/
T52 -,Z'?`$7
MINNESOTA STq7E HOARD OF EIECTItICRT THIS INSPECTION REQUEST WILL PIOT
Grigys-Mid"y Bldg. - Iloam N-787 BE AGCEPTEO BY THE STATE BOARD
1827 Universih Ave.. St. Paul, YN 55104 UNlFSS PROPEA IWSPECTION FEE IS
PLnre 161212972117 ENCLOSED.
This request voitl
months (rom
18 Y-);) q -?)
A 4 9 7 q 7 L51 A) 3 0,( j rQc,?. a-
?c (9.?1
Renuest Dale
J
?y
^ l ? Fire No. Rouph-in Insper,tion
R
eau 7 O
Ves N.
?Re:?dY Nuw ill Notifv InsPec-
tor When ReatlY
? Licensed Electrical ConVacior
I harebV requasl inspection ol abuve
? 0y+'ne, elechical work instulled at
Street Atldress, 8ou or Foute No. City
ec ion o. Township Name or No. qange No. County
Occ am lPRINTI Phone Na.
uz, 2s?S
Power SupPlier Address
EI I Cnmractor (COmpany Nnme)
'
? Contrar,tor's Licrmse No.
^
o c,: C
L.t.f m Yv
/l
MailmO AdJress onVa «rt or Owner Making Inst IatioN
E? .
Autho led pnamr Co ractod . er Mak inB Inst. Ilacionl Phone Number
' ,
MINNESOTA STATE OA OF ELECTRICITY THIS INSPECTION REQUEST WIIL NOT
Griggy-Midway Bld .- oom N•791 BE ACCEPTED BY THE STATE BOARD
1827 Universitv Ave., St. Peul, MN 55704 UNLESS PNOPEfl INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA122095
Date Issued:04/24/2014
Permit Category:ePermit
Site Address: 4350 Garden Tr
Lot:009 Block: 003 Addition: Wilderness Run 2nd
PID:10-84351-03-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Beth Janohosky
207 150th Street W.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Ross D Grimwood
4350 Garden Tr
Eagan MN 55121
(651) 452-0484
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA133036
Date Issued:09/18/2015
Permit Category:ePermit
Site Address: 4350 Garden Tr
Lot:009 Block: 003 Addition: Wilderness Run 2nd
PID:10-84351-03-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ross D Grimwood
4350 Garden Tr
Eagan MN 55121
(651) 452-0484
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA135803
Date Issued:04/05/2016
Permit Category:ePermit
Site Address: 4350 Garden Tr
Lot:009 Block: 003 Addition: Wilderness Run 2nd
PID:10-84351-03-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ross D Grimwood
4350 Garden Tr
Eagan MN 55121
(651) 452-0484
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
11,°1'
C!tyofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
L
/ 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
/
Date: c/ 1 c1 l 2 v 1, Site Address: 3 Co 6- C¢ vT v
Tenant:
Name: V b S S Y t w! o Q
Address / City / Zip: �a 4- Gti er`
Suite #:
Phone: 6S1-y5e4t$i
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
New %( Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
r Loo 0-A '3.).)-N
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
_ Water Softener
It•e pi CJI/
A Add,..Plumbing Fixtures ( Main / X Lower Level)
Water Turnaround
4-
0)e) t -v -2 r
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $ ( O , LD O
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gopherstateonecall.org
1 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.
x Ro55 60O'od
Applicant's Printed Name
x
Applicant's Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA158975
Date Issued:11/13/2019
Permit Category:ePermit
Site Address: 4350 Garden Tr
Lot:009 Block: 003 Addition: Wilderness Run 2nd
PID:10-84351-03-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ross D Grimwood
4350 Garden Tr
Eagan MN 55121
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160704
Date Issued:04/06/2020
Permit Category:ePermit
Site Address: 4350 Garden Tr
Lot:009 Block: 003 Addition: Wilderness Run 2nd
PID:10-84351-03-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Ross D Grimwood
4350 Garden Tr
Eagan MN 55121
(612) 554-5222
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160705
Date Issued:04/06/2020
Permit Category:ePermit
Site Address: 4350 Garden Tr
Lot:009 Block: 003 Addition: Wilderness Run 2nd
PID:10-84351-03-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Ross D Grimwood
4350 Garden Tr
Eagan MN 55121
(612) 554-5222
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166895
Date Issued:02/10/2021
Permit Category:ePermit
Site Address: 4350 Garden Tr
Lot:009 Block: 003 Addition: Wilderness Run 2nd
PID:10-84351-03-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Ross D & Cathryn M Grimwood
4350 Garden Trl
Eagan MN 55123--175
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172812
Date Issued:10/18/2021
Permit Category:ePermit
Site Address: 4350 Garden Tr
Lot:009 Block: 003 Addition: Wilderness Run 2nd
PID:10-84351-03-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Ross D & Cathryn M Grimwood
4350 Garden Trl
Eagan MN 55123--175
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature