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1949 Timber Wolf Tr NC!tyofEaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: l 00134 Permit Feer 3: 00 Date Receded: Staff: INFLOW yKINFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: i (119 WO. "V1 L t ret Tenant: Suite #: Name: M e Chat- 5utoq l24 d Phone: /°'4'f l yo -s8 Address / City / Zip: 19 49 IVO T i rv02e r we, Z'S - L ('9) % EE 55/ 2 2— Name: License #: Address: City: State: Contact: Email: Zip: Phone: PLUMBING (Within the building envelope) Z,VSump Pump Repair Other: SEWER & WATER (Outside the building envelope) Repair Other: Description of work: 1 K% 5 .1d./1 f` -QC:44 S v rile PO lit Y FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x I 5 kC164c-1 Applicant's Printed Name Applicant's Signature FOR OFFICE U Required Inspection ound City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 RESIDENT OWNER TYPE OF WORK CONTRACTOR Sewer Water Contractor: Phone: NOTE: Plansand supporti the information .m x m. Q1, t` ch Applicant's Printed Name Description of work: NOV 172009 Construction Cost: dbbD L)O x Applic 's Signatur Permit q. Permit Fee: 90• 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date Received: Staff: Date: I 1 1 I (Q 4q Site Address: 1Y-1-9 1 3er L -P Tenant: Suite Name: IT Y\ S V,O l _4 Phone: (0 5I i sy R5SY Address City Zip: j CI it Ft M10 r Lob l r Applicant is: Owner Contractor Multi- Family Building: (Yes No Name: G1buo1IZ M✓C)I 4-h I ense ,)63t.a (-1'. Address: 1, U 0 Ov'CL b tr City: 0raCt,l/1 State: ON t Zip: 55 a- 15a -L t Phone: CI) 9 yi Co Contact Person: (na4 l-- -o leNVV5rfYl COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) Energy Envelope Calculations Submitted J In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plan Page 1 of 3 l ' CITY OF EAGAN . 8795 Pllot Kwob Rood Eoyen, MN 55122 N! 5299 PHONE: 464-8100 BUILDING PERMIT . . Receipt # To 6e wW fer Est. Value Dote 19 Site Address Erect 0 Occupancy Lot Block ' Sec/Sub. Alter ? Zoninp Parael # Repair ? FireZone Enlarge ? Type of Const. aWC Name Move ? # Stories ~ qddress Demolish ? Front ff. Ci phone Grode ? Depth ft. °C Nome t t r~~ r n s t Approvals Fees 0 Assessment Permit Address ~ ~ _ Ci phone Water & Sew. Surchcrge Police Plon check ~W Nome Fire SAC IWdress Eng. WoYer Conn. <W Ci Phone Plonner Wuter Meter Counci I I hereby acknowledge that I hare reod this opplicotion ond state that Bldg. Off. the information is correct and agree to comply with all opplicable State of Minnesota Statutes ond City of Eogan Ordinances. APC Totol Signature of Pertnittee A Building Pertnit is issued to: on the express condition that oll work shall be done in accordance with all applioable Stote of Minnesota Statutes and City of Eogan Ordinances. Building Officiol r Pffnl} # Date Inued p~ltt" Plumbing K1 Z- r4 N Mechanical a. INSPECTIONS OATE INSP. Rouph-In Firwl Footings Date Insp. Dcte Inap. Foundotion Plumbing 7 Frame/ins. 79 9- 2~ 7 9 MethaniCOl Final Remorks. , / CITY OF EAGAN Remarks Addition Meadowland lst Addition Lot 18 Bik 1 Parcel 1048050 018 01 / Owner ~wzZe- 1!- ~27!d,24:!~ Street 1949 N. T~hr±z' liiolf Trail State ga$~~--MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREETRESTOR. IIDP.; j 1981 1589.99 158.99 10 1589.99 C006765 10/15/80 GRADING SAN SEW TRUNK 1970 77.95 3.12 25 253.14 C006588 7-10-79 SEWER LATERAL ~!k3 1981 3156.58 315,65 10 3156.58 005414 6 6 8a WATERMAIN * WATER LATERAL 1981 WATER AREA J(I/ 1973 27 6.35 15 PAID STORM SEW TRK ~ 1971 282.92 14.15 20 PAID * STORM SEW LAT 1981 10 * services 1981 10 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 75.00 15072 7-6-79 WATER CONN. 70-00 15072 7-6-79 BUILDiNG PER. 15072 7-6-79 sa,c • 15072 - -79 PARK ' CITY OF EAGAN 3795 Pilot Knob Road Eagon, Minnesota 55122 - P6one: 454-8100 ~MIW PERMIT No. 1418 r 8 _ 4/79 1>4II~ Dote: Receipt No.: 1949 T37rber Wbl£ TI'8j.1 I+IOOrth Single I X Site Address: Residentiol 18 1 Meacbwb/Sec. _~g Lot Block Su Multi Res., Comm./Ind. I 'in. F~r C77315'fstx-ti091 Nome New/Alter./Repair. - I1,113 Highlar~ View Circ1P 3 Address Cost of Installation ° ri'ville lift8 "0-3992 Git Phone: Permit Fee ('~Z~.~~ n Nome Surcharge . ~ 14745 So. Pnbest Tirii]- g Address e u 4 2-1- 11_4 4 20.511) City Phone: Tota I This Permit is issued on the express condition that all work sholl be done in accordance with oll opplicable State of Minnesoto Statutes ond City of Eagan Ordinances. Building Official CITY OF EAGAN ' 3795 Pilot Knob Roud (rMIM~ ~M F49QJIM ~ Eogon, Minnesota 55122 ~ P6one: 454.8100 ~~TDr, PERMIT No. 1548 9-25-79 15932 Dote: Receipt No.: 1949 TlI11bW Wolf Tt'd,f 1"b]:Ehl Single Ix Site Address: Residential is I Lot Block Sub/Sec. Multi Res., Comm./Ind. I Un. AtIttI7E?.r CcB't.StLl]iCidQl Name New/Alter./Repoir. - 11913 Highl.and View CY. 3 Address Cost of Instollation 0 T~IVi1.le ~~}--~f)412 70.00 City Phone: Permit Fee Name BMZ-RYM Surcharge . ~ 1.4745 So. Tbf*x+- 'Sraf 1 ~ Address e ci '1rsE5ncAL^.t 5 rC'rti P ~ 3.... ~ 1 Q•?, ?~1, 5!! City Phone: Totol This Permit is issued on the express condition thaf all work shall be done in accordonce with all opplitoble State of Minnesoto Statutes ond City of Eogan Ordinances. Buiiding Official CITIf' JF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning; Na. of Units: _ Owner: - - Address: ~ . - Site Address: Plumber: 1 ugree to comply with the City of Eogon Connection Charge: ~C : Ordieanees. Account Deposit: Permit Fee: . Surchorge: gY _ Misc. Chorges: Dote of Insp.: Total: Insp,: . Dote Paid: C17Y• OF EA6AN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: E'.+gon, MN 55122 DATE: Zoning: No. of Units: OWner Address: `l`'G'?`c3i' T101.~ : r ' ~ ` . , ^ Site Addressr - ` - - ` • - ' Plumber: ' - `v;'r' - Meter No.: Connection Charge: ` Si2e: Account Deposit: _ ~ jj, Reader No.: Permit Fee: ' .~t, . 1 agree to cpmply wiN+ Ihe City of Eogan Surchnrge: ' Ordinances. . . ~ ~'v `t:' Misc. Charges: Totol: BY Date Poid: Date of Insp.: Insp.: I _ ~t void 18 months from / S~f 7/ '~18579 Date this Request 7 _ I, as gLicensed Electrical ContractorvOwner, do hereby request inspection gLthe.above electri- cal wiring installed at/ / Street Address or Route No.MeBdccc h7•ccls )St /add. %vt"/J' l3(u,(' J City &4c, Section Township Range Countyi,/21(tc) p- 1Vhich is occupied by b'tu. {~u,~it&? /keu; (Name of occupant) Is a roughin inspection required on this job? No ? Yes P; Ready Now ? WID Call,;R3 Power Supplier 12nKc, ta C Address F~3rm i,25 AYl. Electrical Contractor ~~ml? ~Aanti, Contractor's License No36i1 ~ (Campany Name) ~ MailingAddress So, fi~s,~, / I (Electrical Contracto~ o~ ~wner Making Thiz Installa[lon) Authorized Signature e , P?Phone No. `f73-//~/'~ ~Eiechical Contractor~r Owner Making Thls Installatlon) S~:1 fl p~ This inspettion request will not be accepted by ffie ki r.;7 E~~ SWte Board unless praper inspeetion fee is enclosed. Minnesota State Board of Electricity / ~t±*G.Llniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 ` '7"7 REQUEST FOR ELECTRICAL INSPECTION 'p] 18579 CHECK BELO ' WOKK COVERED BY THIS REQUEST 0 d Type ot Building ew pdd. Rep. Check Appliances W'verd F~or Check Fquipment W'ved For Home Range Temporary Wiring ? Duplex ~ ? 0 Water Heater ? Lighting Fiawces 9, Apt. Bldg. ? Dryex Q Electric Heating ? Commercial Bldg. Furnace ;Ek Silo Unloader 11 [ndustrial Bidg. A'v ' "tion Bufk Milk Tank ? List List Fazm ? ? ? p p Othec ? ? ? Heh Heieers~ COMPUTE INSPECTION FEE BELO Secvice Envance Size: # Fee Fcedels&Suhicedets: # Fee C¢cuits: it Fee 0 to 100 Am s. ~ 0 m 30 Amperes 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am res 'cl-6 Above 200 Amps. Above ]00 Amps. Above 100 Amps. TranSformeis Remo[eConttolCirc.: o' Partialoi othertee Signs S eciallnspection Minimum Remarks TO'fAL EL32.`> I, the Electrical lnspector, hereby certify~e a~O~' ection s been ma e. (Rough-in) v;/,~ ate~-~--2-2,50 (Final) c • L^! ~`~%~c-EDa~te ?1 15' . This request void 18 months from +I r uest void 18 months from 1-6 e a 6 ~ Dat of this Request -7 y ° R 18 592 I, as ? Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal winng installed at: 1- a / ~i -s~`~~1~ . Street Address or Route No. Kn f ~Cc-K Section Township Range County z~k" 7`.4 Which is occupied by ~c{ (Name ot Occupant) !s a roughin inspection required on this job? No ? YeslY Ready Now< Will Call ? Power Supplier 1/~441,, 69 <f (f 7tfi`c Address Electrical ContractoC>S n. , /'C L,/4 i-~ Contractor's License No. _ ~ (ComPafiY Name) ~ Mailing Address % 7 ~ ~ So:,i M ~n ~erf /r'-~j L (Elec al Contractar or Owner Making Th~ls Installa[lon) Authorized Signature {p ~ Phone No. ~L L 3 5' (Electrlcal Canlractol r Owner Making This Installatlon) ~)f~} n0 This impection request will not he accepted 6y the ~3 G;l fi~cl State Baard unless proper inspection fee is enclosed. , Minnesota State Board of Electricity t1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 7`0 ~ REQUEST FOR ELECTRICAL INSPECTION R, 18592 CHECK BELOW WOAK COVERED BY THIS•AEQUL?ST Type of BuiidiAg New Add. Rep. Check Appliances W'ved For Check Fquipment Wired For Home Range ? Temporery Wiring ? Duplex ? ? Water Hea[e[ ? Lighling Fix[ures ? ApL Bldg. Dxyei 13 Electric Heating ? Commexcial Bldg. ? Fumace ? Silo UNoader ? ]ndustrial Bldg. ? ? ? A'v Conditioner ? Bulk Milk Tank ? Fazm pLi~st pLis[ Othec ? ? ? Herers~ Hehels~ . COMPUTE INSPECTION FEE BELOW Seivice Entrance Size: n Fee 11 Fceders eedets: ~ Fce Cvcuita: x Fee 0 to 100 Am s. 0 5 Am €7es 0[0 30 Am e[es [IV , 0D 101 to 200 Amps. D pa 31 ' ies 31 to 100 Am eres / -/'O Above 200_Amps, LA4ov040@;LAmps. Above I00 Amps. Transformers "te ontrol Cira Par[ial ox other fee h Signs ~.-ciel Ins ection Minimum fee $ Remazks TOTAL FEE 3(l, ,3~''~' ~~j~ ~ S I, the Electrical Inspector, hereby cert~% this~cJ~ has been ~.1/ (Rough-in) r Date 7- a N- (Final) . Date / - - O This request void 18 months from eAGAN 3795?Ea9an, MN SS722 N! 5299 CIS~ 14,54-8100 BUILDING PERMIT APPLICATION $50,000. Receipt 15072 To 6e uted for SF DT$Lg. Est. Value Date July 6, 19 79 Site nddreu 1949 Timber Wolf Tr. N Erecr px occurwncy R- 3Rl_ Lor 18 Block 1 Sec/Sub. Meadowland Airer ? zonin9 parcel # 10 48050 018 Ol Repoir ? Fire Zone Enlarge ? Type of Const. rc Name Move ? # Stories 3 Address Demolish ? Front 58 ft. ~ Ci Phone Grade ? Depth 38 ft. ~ Name Wm Huktner CO[15t Approvals Fees Z 11913 H3 hl8nd View CT Assessment 6 28 ~9 Permit 140.50 Address g 25.00 BUTIISV e 90-39 2 Water & Sew. Surchorge Ci Phone ~0. ZS Police Plan check Gw Nome Fire SAC 525.00 Z~ Addreu Eng. Water Conn. 270.00 aw Ci Phone Planner Water Meter 60.00 Council d Unit 75.00 I hereby ockrwwledge tFat 1 have read this applicotion ond stote that gldg. Off. the infortnation is correct and agree to mmply ith tall, pplic ble 1165_75 State of Minnesota Scotutes and iry Eaga~~~~APC Total Slgnature af Permittee~ vA Building Permit is issued to: ~ HUYtII COIISt, on the express tondition that all xrork shall be done in accorda wit II a"li e 5 of Minne ta Statutes and City of Eogan Ordirwnces. Building Officlal e .~[A . ~ CITY OF EAGAN ~ l//~~, lnclude 2 sets f lans ~ ' 1 site plan w/ at BUILDING PERHIT APPLICATION 1 set of energ u a i ns.~ To be used for Valuatfon Aa=~ Date Site Address l<JH,g (.~.ra OFFICE USE ONLY ; Lot Block ~ Sec./Sub. f E' ~w X_ Erect Occupancy J~ s Alter 2oning j Parcel UAQ Repair Fize Zone ~ S Enlarge Type of Const. Owner: Move A Stories Address: Demolish _ Front ft. ~ Grade Depth Aft. ~J - ' - - Phone fi: Approvals Fees ~ I ~ 9Permit Co"ntractor: 2n Assessment_a,l' Address: /3 Water/Sewer Surcharge ~ ~ Police Plan Check 20 /~tcfusvi~~e /Yi~ 55f331 Fire SAC Phone Z Eng. Water Conn.-~ ; Planner. Water Meter i Arch/Eng.: Council Road Unit 75 i Bldg. Off. ~ Address: APC c Phone U: TOTAL ~ _ ~ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ~qq 2 v / City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWclion Reauiremenis RemodeltRevair Reauiremenls affi be u etloTSunteyR:ectl --Y:~-~ 3 regis[ered site surveys showmg sq. R. of IoC sq. ft. of house; and ali mofed areas 2 copies of plan for heated addihons Tree PreSPlan ecd 71" (20% maximum lot coverage allowe~ 1 set of Energy Calculations G ~d -N 2 copies of plan showing beam & window sizesl poured found design, etc. 1 site survey for additions & decks Tree Pres RepuiR lsetofEnergyCalculations Addifion - indicaleiion-sifesepficsysfem Dn-St.ie.$elia5 (em 3 copes of Tree PreseNation Plan if lot platled aftes 7l1193 Rim Joist Detail Options seleclion sheet (buildings with 3 or less unils) Date ~ / I I /~r ~ Construction Cost _ ?0 l/~0 Site Address "I 1 t 1Y161,°T Wd l~ 1~d ~I ~ v- Unit/Ste # DescriptionofWork f1~S~o~G w V~n I Yeplqce ll win'doYv.f'4 2 n~tf«`-iW& Multi-Family Bldg _ YN Fireplace(s) Z I~A ; Ke And ~~,1 e~KUG~ 10 (701 Telephone UU~ 1)'-( Property Owner ~ ~ i i Contractor Address V ~ Mb156144 City ~ ax tv") Zl Telephone # ( ) State ~N1.Er ~ZOG13~27 P COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 et Energy Code Category New Energy Code Workshe . Residential Venlilation Category 7 Worksheet (J submission type) Submitted Submilted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Conhactor Telephone ) Sewer/Water Contrpctor Telephone ~ I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and 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. `i;~ ; _ , Applicant's Printed Name Applicant Sig ture II OFFICE USE ONLY Sub Types ? 01 Fountlation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg Q 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 33 Ext.Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-piex ? 12 12-plex Pfbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundatron ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Type of Const Width .'.~e r•s~:~~t ts . ;'a . ~ ;.;.;,C•i~". : + REQUIRED INSPECTIOIVS~ _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment plant License Search Copies Other Total CITY USE ONLY 1 I PERMIT RECEIPT DATE: I 8008 iiESIDENTIAL MECHkNIClkI. PERB1T APPLIClETIOA cnYoF RasM 3830 Pn:or xaos sn £i46AA !!li 55122 651-8$1-4675 Please complete for. ? singia famiiy dwellings townhomes and condos when pertnits are required for each unit Date: SITEADDRESS: OWNERNAME: ~1~-.ct1CL-~ELEPHONE#: 65 fq5'4" 1a51$ INSTALLER NAME: TELEPHONE Sa 8~ Burnsville 5 ea ing , nc. 12481 Rhode Island Ave. So: STREETADDRESS: Savaae MN Fv;37g 3+2o CITY: STATE: ZIP: Place a check mark next to the pertnit work type / Add-on, modifcation or akeration to existin dwelling unit $ 30.00 r- • fumace replacement k • air exchanger ' . • air conditionew, . • other Nature of work:~~ V\ ~ rr ~ , StateSurchar e ' .50 7 Total $-50 w` SIGNATURE OF ERM E voz ~ CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: INSPECTOR " 8008 COmM"CIAI. M$CHAAICAI. PM1T Af'PLICATION C11YOg E46AA 3$30 PILOT KAOB fi.D - EA(W. Mx 55 i Es 651-661-4675 Please compiete for: ail commerciaUndustrial buildings multi-famiiy buildings when separate permits are not required for each dwelling unit DATE: STTE ADDRESS: OWNER NAME: PHONE . TENANT NAME (IMPROVEMENTS ONLI); WAS THERE A PREVIOUS TENANI' IN 'fHlg SPACE? _ Y_ N. NAME: INSTALLER , STREET ADDRESS: • CITY: STATE: 23P: TELEPHONE WORK TYpE: _ New conshucaon , _hLstyll U.G. Tank Interior Improvemant Remove U.G. Tank _ Processed Piping - SpecifyNature of Work: When insta!ling/removing underground tank, call 651-681-4675 for inspection by Fire Marsya[ and Plumbing inspectar. Fees: I% of contract price OR $50.00 minlmum fee, whichever is.geater. Underground tank removaUinstallation = min;,.,,,m fee Contract price: $ x 1% (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 A Dtiitn Cvr1t1rit(nin ~ U ~ ~ ~m a 2+'. p . , ~ . i . . . - . . ; / u DEVELOPEF'S CERTIFICATION Lot: Block: / S ub d i v i s i o n: This is to certify that - has complied with the Seller's requirements necessary to obtain - Seller's approval for a building permit. This Approval is by SeTler only. Builder must comply with all city requirements and must secure his oian building permit. Approved by Seller, Dunn ~i Curry Real Estate Management, 7nc.: /W4v 401// A) _ By---_/~". " " Aut orize Agent ate Accepted by Buyer: ay _ Date ~ 4940 Vking Drive Penlagon Ojftce Purk Minneapofis MN 55435 (612) 835-2808 ;EXTERI'OR E+6ELOPE AVERAGE'"U" COMPUTATION ~ . • SITE ADORE55: • pONTRAtTOR: ' • DATE: P OME: DETERMINE NORKIHf SQUARE FOOTAGE OF EACN: ,f . . . . . 1. TOTAL EXYOSED WAII AREA, y. ; Q q I sq 1t x"U" , . . . _ 2. TOTAL ROOi/CEILINB ANE.A;:. II(o ~ sp ft x•'U" p r - ~ ' TOTAL El(POSEO NALL APEA'CALCULATIONS: Total exposed well. area above floor.:...... ~(~f~'~ ' . sq ft ; Tota) wall window ?res: Q~s3.$LE, 91a:ed...... i - , glased..... sq ft x.~~~~ b) Total door area , siq. ft x"0' . 37 ~ 14:fI0 • e) Tota) slidln4 91ass door area: : VO&BLG', 91ued. i s ft ~x~~Ull ~ . ~ 4 •20 , qlaaed...... to tt x uuu ; d) Toul firepiaoe wall ares ' tq ft x•lpll e) Total wall fremInq area (Averaqe IOx):..........._ fq ft ¦ "Ull 12 ' _a2D. /LP f) Tota) not wall area above . ~~Vu floor (Insulated)....... ~ ~ . s4 (t x _.O fs(P - _Y149 , 9) Tota) Nm )olst area..... •sq ft x"U" . 07 'I tt,j ce Tota) /oundatlon : area (Exposed)::.:..:..... sq ft . „ , h) Total fouedatlon ; wlndav area....:'. 3 _ sq ft xl#U,1 i) Total net fouedstlon area abow grade....,.,..~ SU . sq tt x"tl" , ~O • ~ O ~ 3• TOTAL thw II If Itan R; Is the •ame as;~or Iess thaA Item 01. you Mw met tM Intont of S.B.C. Seetlon 6006•(e) I. . :I . , , • ; il . , . . . , , . i AYti.y+1 y~ ~jli~ 1 .~:r ~i,:~ y rX u ~ ? ~ .r Y. ! FY t: . ! . ~ 1 1G k: TOTAL E,%POSED.Il00F/CEI,L1ti6 CA~CUTATIDt~i ~t ~ , ~ . . . n., , ; s . ~ r Tot~l ~erp~sad ft•. ~n~~J,. C . - sq ft,'x "U'• 04 t J) Totol tkyilght'are~ `S ~ . ~ ~ i • . r) Toto l toof/coltln4 framing.' ~ I •rN (Awr~as' 1~lk1 1_ ~~Lo „_sq et M 't1" .O~ ~ A, e4 f ' , . ~ ~ : I I Tots l net Insut~ted roo//ce l linq iie• sq ft. x "U"~ g.?? .`:fOTAI J } thfY 1) 91 1/ totai of !i 1s the snv;;,ms, or, less than 9';. You ARw Mt tM latent of . ^ S.s.t. Sattlon 66n6 (t) I..:: , . . . , , • , , , . . , . . • , , . . , t~ AITENHATE, BUIl01Nli ENMEIOPE. QESIGN . ~ t To utlli:e tM total enva{opt, iystem,method, tfia vi;lues estaell?had by tM sum of Items 03 and, 04 •halt,not,be gleater than.the swi of ItMs /1 and Nt. . , ~ , , r u ,r ~ , • :;:y;r ~ . -.y. , . . i j. . 4.;~r_;„ ,..r '.:r . . . . : . . .;i ~ r 1, ' , , • ' y. ' . , ~ i . ' . , . . . . . . ' • ~ i f. Y ti ' . ' .-c . ' , . . .^i t, ' . _ 1 ' . . . , . ~~.~1 t i ~ F 'I c A' r V e w 1 henby cartlfy th~at 1.kave u1tulateA t1ti i' foetorjand 114" valws heryln and tAac ths bul ldlnq Arre descr,l " wst or exrAod he itaa of Nlnnosote Energy,tonservotl,on:Act. ~ r-. y , . . qnltur~ . . , :r . (Oite) r, r y , . .COrISTR11f.T1A~1 RVALUf HAII F~ANINf,Sf[TIOHr I.nterlor alr.film 0.69 2 41 Z'~'~6V ALI. ./1~ 5 1lz nches so t wooA • 4 Z1732 .a"5. 8.0 5. r` K Exter or a r ' m 7 at . , - TOTA R` 8. 3Co U ~ 1/R - ~a ~ ; uAll SECTIQN (INSUL~TEd) r , r•-+-~'-~-*=---~-t,1,, rfateftoriLFr, f l lni n.bR 'k S . S ' z'~ ` ,~L F Exterlo- ralr rlm n.17~ TTALR~ _ , ' . u I/a ,o(c4 . , ` . RIM JQ15T: SECTIOfI '1' ~ Interlor al'r fllm n.6p 2 . r .......,,,r~? --i 3 • ~ " ao (daL ° 6'F.xter~ o r.~m n.l 7 , . ~ . _ TOTAL R ` IA.3a . a • ' i . _ . . . . . . `.,.k . . Us NR~ .d7 ~ .p. ~ 4• : . , , ( ~0' ~4 '''`k?'N ( ~ ; , Fnuriaariori sEcrIan: lor atr~fllm n.~R e: 1 Inter 2 A. ie ~ s ' " 3 1ZK ~c:.o~c. I. 'A r ; `""''~---{4 F.xtrrlor afr il~ m 0.17 ~ s~'.~, A• a TaTaL a U~ I/R` .IO + SLAI? OTI GRA~DE., : i ~ . d •a'~. `~'•••Q '"s , a,' . " ~ . ~j,~• ' ~ •'I i ~4:.~•~ • • • . .a s' 4 • , . . , q ~`"jjr~'r~ • ~ 4 , ~ • d . . . ' 1 Q n + . , ~ ~'/T9/'f!..~ ~ ¢ . d . • • Q • , , . , •4 ,titG ~~~/~r/.~r/. , , , ' ,4' y.4•,'.,4 ' p.'•;'~~' ~ •y' . 1 ~4, o,~ Q•,. e, . , ?q~ 17 ~ L.'V;y'`'4 r ` 4• • • .a ~ .r , ' . • ' 4. . ,4'. . 4 • . ~ • . , a i~ _ . , - t4 u: + q ±p x ~ a;.'i:r~ ~ . . < b `'pl~ 4..;' ~ ' ~ r ' x $iy~ ~ ~ , : ` r,~J'~ . . , . CElllpf SECTION! (IqSUlATEO): 1 terlnr alr filn n.Fl a.f. je> ,t ~ . Exterior air ilm stlll n.41 ~ 4 , . , 1orpL rt -~l07 ~ u- I/a . ' CEI,LINf FpAMIMf 5ELT10N: 2' S 1 Intertor air f11m n.61 2 " ` cu .as AIR VEN7ED 4' nter~or a r film st It} 4.1 , x _ FLOW S. 7Sl/Zinches so c Woon 13 TOTAL R ° ZYA.1 U~ I/N°lLZ ; t. . ~ . . i.~ _ . . . . -.:CE4LItIG:'SEf.TION •(INSUlATEO): a; IkAiAt+A~ . -I- In'terlor air film n.Fl - - - , ~ 2, 7 3 4,"F.xtefior a r tlm , stl l l n. 1, TOTAL R = i ' l/1 ~r 'I1~1~ r U~ 1/R , ' .9~.V'~f~ ~ - • ~ ~ . . ' ' ` . ' . . . + k ' ~ - ' I 2 3 ~ 4 , ,5 , tf1C~iNG.iRJU1l11R SECTIOtI: • i Interior alr fllm A.RI VENT,ED 41`~ x~ter nf_alr Im sti11 Q. 1 i, ;r:;~~ 5 ~ inthes So t wooA . e TOTAI R U * .1/R , 4 S . .t ~ . . , { , , . . . , ~ i .1' .~'f , , • . A./.l .z.:- , ' ,I Inside alr fllm • f~ f ~/LJ ~ x ' _ / j,/~ 4 m ^ Out's de ar .17 TOTAL R ~ , ; U ~ I/R . . ~ ~ . . . , wW .~.i . . ' ; ' I .c ' - , . Certificate Por: William Huttner Cons*. DELMAR H. SCNWANZ . LANpSURVEVOR RpiftNW Untler Lawf o1 The Stab of Monn*fota 2976 - 146TH aTR[HT W. - BOX M pOiEMOUNT, MINMESOTA 660it PHONE 612 423-17'H SURVEYOR'S CERTIFICATE 80.00 389°2922"E ~h S ~ Drainage 90 Ea$ement z 4f r ,aA3 ~ Ih'alnage Sc utility ) easement ~ ~ ~ L T 18 . o~ I GAR ~ J AL~:. 1 i:ich ~ 4:; feet PPDPObE D , I HQUSE ~ \ i \ a °o > q, \ ~ I~?ereby certify that this is a~ true and °~4 \ "•22-• / correct representation of Lot 18, Block 1, as, \ M~;ADOWLA~ID FIRST ALnITLON, according to the °~~F ~o recorded plat Lhere of , Dakota County, Minnesota. ~ Also ghowing the location of a proposed house ` thereon. I)ated : June 4, 1979 Approved for Jc ry Re Estate Management, Inc. I3y . ~ • ~ ~ 1 - f ~,l) ~ • , . MiNNESOTA RE ISTRATION NO. 6625 7 ~ CASH RECEIPT pr CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE R6C61VgD , FRpM'- ' AMOUNT $ I - ~ Ao DOLLARS too ? CA3H CHECK '7y ' ' 1 . _ FUIVD CODE pMOVNT l% . ~ ' - , i • ~ Thank You-. B Y -p White-Payers Copy ~ 50l 2 Yellow-Posting Copy Pink-File Copy Use BLUE or BLACK Ink r For Office Use ~p Permit 1 t 4 C lion City of Ea Permit Fee: lo . a5 I 3830 Pilot Knob Road I / I Eagan MN 55122 Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: q /,1 Site Address: Ik T ~D1~ ~f pU Unit L (~S~- ~ISN-BSSg i i Name: 5 Phone: Resident/ ( 11 , ) I Owner Address / City / Zip: T ml W' (I N I Applicant is: Owner X Contractor t Type of Work Description of work: ~L Cc vF c. a+'~ S ~ Construction Cost: -7 Multi-Family Building: (Yes / No ) Company: 4,-c- ClX r, 4e-l, 0/5 I Contact: Contractor Address: 3d~ bFh City: S~ S P 1 ' SS (BSI- State: M Zip: 07 S Phone: 3 0 3 - L-) 1cro License M $L 6L1 1 2 _ Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to I conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. e_X ` /1 ~L. U X x Applicants Printed Name Applicant's Sign ure Page 1 of 3 Use BLUE or BLACK Ink For Office Use f Permit a or .7� / City Eaaall Penni(Fee: 3830 Pilot Knob Road rete Received: Eagan MN 55122 Phone: (651)675-5676 Std, Fax: (651) 675-5694 20'17 RESIDENTIAL PLUMBING PERMIT APPLICATION T -, Al :fie Date: I 1 Site Address: t �i .,v c. Tenant: Suite#: Ag kden' Ownef I tame; d C v i Phone: ji-#1 Address!City/Zip: }amet,C('? .'t 5 .1-41 (. Teti (";fi License#: P/VC . Addresu � P City. rt ' Contractor _ - _ ""' tt .; State: ,/ ). Zip; ))°'( d Phone: 6.'1?— , Lf i, t> t f Contact; S Ce( t Finail. � Al New Replacement Repair Rebuild Modify Space Work in R.O.W. -- ::- Description of work: RESIDENTIAL AWater Heater Water Softener Lawn Irrigation( RPZ II PVB) P rrnilt 371410Add Plumbing Fixtures(,,,X Main/ Lower Level) • Septic System x New Water Turnaround Abandonment 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) $115,00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage, Call 48 hours before you intend to dig to receive locates of underground utilities, www,00pherstateonecall,orq 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 Fagan, 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. Applicant's Printed Name Applicant's mature' FOR OFFICE USE Reviewed By EDate - Regal( d4nspe bions art retctl cl * Rough)f14# Air'i'est Gas Test rt l 'illeterelated'itOprIsti;31*-tet See a l+ Rea PERMIT City of Eagan Permit Type:Building Permit Number:EA178787 Date Issued:09/01/2022 Permit Category:ePermit Site Address: 1949 Timber Wolf Tr N Lot:018 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-018 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Michael & Edith Skogland 1949 Timberwolf Trl N Saint Paul MN 55122--222 Restoration Builders Inc PO Box 8043 Scottsdale AZ 85252 (612) 804-1189 Applicant/Permitee: Signature Issued By: Signature