1931 Timber Wolf CtCITY OF EAGAN WATER SERVICE PERMIT
1.95 Nlot Knob Road PERMIT NO..
r., MN 55122 DATE:
Loning: No. of Units:
Owner:
Address:
Site Address:
Plumber: -
Meter No.: Connection Charge: "
Size: Account Deposit: _
Reader No.:. Permit Fee:
agree to comply with the City of Eagan Surcharge:
Ordinances. Misc Cho-es:
By
Date of Insp.:
Total:
Date Paid:
I nso.:
CITY OF EAGAN SEWER SERVICE PERMIT
VII '?ilot Knob Road PERMIT NO.:
in, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address: _
Site Address: _, ..7 --
Plumber: ;A..
?t'? .
1 agree to comply with the City of Eagan
Ordinances.
By
Date of I nsp.: _
_')0.00
Connection Charge: 4 i5 ? pg)
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
CASH RECEIPT
t.
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
R6CEIVQD
FROM
AMOUNT
& DOLLARS
goo
? CASH "CHECK
FOR_ LFUND CODE f AMOUNT
f 1-7-3
i
Thank You
By
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date
N2 5384
79
Site Address ' .._j- C--r''r`,
'
Erect
Q r,,
Occu
anc
Lot Block- Sec/Sub.
Alter
p p
y
Zoning ,
Parcel # Repair p Fire Zone
Enlarge Q Type of Const.
1% Name Move ? # Stories
z Address Demolish ? Front ft.
Li.IeL..__ ?'7 Grade 1-I Depth ft.
s Nome
,o
& Addre:
I- rite
Name
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Permit _
Surcharge
Plan check
SAC
Water Conn.
Water Meter
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit # pate brae/ pomattae
Plumbing 14-77 9 -,10 •.79 cc d ]
Mechanical IS -7 3 - jo- L
c_ lZ-7 9 2- 0 A- - 7 oL le c.
INSPECTIONS DATE INSP. Rough-In Final
Footings y^? Date Insp. Dote Insp.
Foundation Plumbing
Frame/ins. ??a3_?q Mechanical
Final
Remarks:
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
HUM M
Date:
11-6-79
PERMIT
Site Address: 1931 Tirber Wolf Court
Lot I = Block 1 Sub/Sec. I"?i!(i?? 8 -
Name ?.a[h[i n IiCales, Tmc.
e Address 7760 NLitGheU Puri
Ir
O
City Rier Prairie Phone: X37-15?)
Name rZY 1*'-Zber Ii6r3tiM
q,
Address
e
0
City Phone:
No. 1573
1n1??7
Receipt No.:
Single I
Residential
Multi Res.r Comm./Ind.
New/Alter./Repolr
Cost of Installation
Permit Fee
20.10
.50
20.50
This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
OCl?'IEsf]S'1ZCN AIR PJIR'E?
Building
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454.8100
PERMIT
Date: 9-20-79
Site Address: 1911 Ti *)e r Wolf_ om t
Lot Block Sub/Sec. _-
Name !tz zt&lmm flames, Im.
7760 MitChell Rna'
e Address
3
° City E,m Prairie Phone: `? 37-9 c 3?
. ?x3get Plu'?i.nc?
d ne
54.20 F-rr Clog t!rive
Address
e
0 -117T)
City Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Statutes and City of Eagan Ordinances"
No.
1477
15938
Receipt No.:
Single I
Residential R
Multi Res., Comm./Ind.
New/Alter./Repair. Cost of Installation
2n , nr,
Permit Fee
Surcharge
Total
done in accordance with all applicable State of
Building Official
CITY OF EAGAN $
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUIL61NG PERMIT Receipt #
To be used for Est. Value Date 19
Site Address CT
Lot Block Sec/Sub. t?ADOWLAivA 151
Parcel No.
s Name ; i
W
z Address
City Phone ` > ?--V 5"
e Name - " FIREPLACES
Address
P City Phone `
Name
City
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.
OFF ICE USE ONLY
On Site Sewage _ Occupancy
MWCC System Zoning
On Site Well Type of Const
City Water (Actual)
(Allowable)
* of Stories
Length
Depth
S.F. Total
Footprint SF.
APPROVALS FEES
Assessments Permit q • 7U
Water/Sewer Surcharge I .
Police Plan Review
Fire SAC, City
Engr. SAC, MWCC
Planner _ Water Conn.
Council Water Meter
Bldg. Off. Road Unit
APC Treatment P1
Variance Parks
Copies
Signature of Permittee TOTAL
A Building Permit is issued to: o EAT-i l- ULO F T Y"?LAC on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. Permit Holder Date Telephone #
PlumbinIq
H.V.AC.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace P?
Final Htg.
Final Plbg. 'US /?Lle! ?? I^?1
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ::")I 111 N6
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: tl ""
(612) 681-4675
SITE ADDRESS: APPLICANT:
I it 1
1 I I ry; l lJll l F 1. 7 li+ `J ! 1 L ', I NS.
FII rlliul 11 ANW., 1 1 ,, t s <•' IS2g1
N?
PERMIT SUBTYPE: TYPE OF WORK:
1?1 1. l E I l ?trd i ??A i)
Permit No. Permit Holder Date Telephone e
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE X27 ?
v C
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addition I4Padnw1And lot Addition Lot 11 Blk 1 Parcel 10 4R05(1 f111 nl
Ownerc ! N-' r_ " ' . r 1))U LI•. Street 1931 Timber Wolf Court State- Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. - ,
STREET RESTOR. RIP. ) rum 1589.99 158.99
lO
1589.99
0005566
0
IS7n
GRADING
SAN SEW TRUNK lq7n 77, 95 1- 12 2 paid C006518 9110/79
* SEWER LATERAL 1991 3156 58 3
1565 3 --31 r,6 - 98 (7009406 6/6/8()
1
WATERMAIN
* WATER LATERAL
WATER AREA
STORM SEW TRK
989.97
14.15
20
paid
C006518
91-10/79.-
• STORM SEW LAT 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
ran di I in i t 15744
WATER CONN. ,r tr
BUILDING PER.
SAC 525.00
PARK
Form FHA 422-3 /
{Aid. V. 17."10) MAP OF PF ERTY i * LL tiTh Mc5 FQ L 4f
?sa+? onc...a.+ - - - ?rsuc+++r s wurs _................................................................
-.._.
See attached for legal Euilder Zachman Homes Inc.
Lot 11 Elk. I Addition EAGAN HILLS House Name P".9fK /9_/f
Address: I9 3I TIMBER WOLF CT House Style PL /T L 1WEt
EA CAN. M INN
# Sq.Ft.House 9 0 -1 sq.ft.Gar.48D
City: M
FIELD NOTES Power pies P Low Areas --
Show location of meters Telepone poles T Highest Point NORTH
Private well Larger Trees
Private septic- sy
,r water
V
?_(' SRWAT
L. P. Gas
Culvert required
Curb cut required
we
Driveway surface-
Front yard setbac]
Sideyard setback
rage
Garage left ri,
Local Inspector
City of EAGAN
Name DALE PETERSON,
Phone 45'9 -,KIM
LOT DETAILS
size width
Size depth
Approx. S.F. of 1
High point
Power Poles
Telephone poles
Underground
Larger trees
Street = Elev. 0.
Lot corners
High point
Low point
Gutter or Ditch
Local Electric Cc
Name N SP
Phone
Local Gas; Co .
Name PEFI'PLE11 NAT
Phone 163' 7121
a) Stoops (1) 2 '
Decks x g'
b) Sidewalk 0 s
Driveway 709 s
Parking Paa
Curb Cut $ Pe
lawn steps #_
c) Finish Grade
d) Black Dirt &
Sod s•f
e) Underground U
TOTAL
SAC CHARGE
Water charge
Park charge
DIRECTIONS TO SITE:
7.... a .................... .........? ........ 1 .......70 ... ... % 0 ?
30•_x" > as to ».
s. t ........ IQ ....... • 0....... go ........ r s o.. s,%
V. a. swap~ a "NOMI .
6.3 0-+-909 /err Ian ASNOMW OM
pCoitsen 8 FHA 422-3 (Rev. 4.17701
wiliest void 18 months from
/li/f0/
R 79281
Date of this Request Se ar 71 / ? 7 9
I, as Licensed Electric Contractor Owner, do hereby request inspection of the above electri-
cal wiring installed at: L J J b JQ; -
Street Address or Route No. &3 L el l r t. ad 0-40LZ;r Li?
Section Township Range County 11KOTA.
Which is occupied by Z o7?? m,?;; 1 j'}AsS' 1/11.
(Name of occupant)
,X Ready Now $ Will Call ?
Is a roughin inspection required on this job? No ? Yes
Power Supplier Ji " O er-,, C.o -4dAddress ?Anr?s ?,.Jn ?`nal
Electrical Contractor &A.0,va- Contractor's License 'No.
(company Name)
'
Mailing Address kY1 ?ll,sot ortL ?/tl.Je MO/ S
-
(r I "cootpictor or owner Making This Instillation),
Authorized Signature / Phone No. 1.
(Elm ical co tractor or 0 per Making This Installation)
???® ??? This inspection request will not he accepted by the
State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
19 4 University Ave., St. Paul, Minn. 55164-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
V"C CK BELOW WORK COVERED BY THIS REQUEST
/G/ P'z
R 79281
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? Range ? Temporary Wiring ?
Duplex ? El Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryeru ? Electric Heating ?
Commercial Bldg. ? ? ? F6mace- - Silo Unloader ?
Industrial Bldg. ? ? ? "con" ioner ? Bulk Milk Tank ?
Farm ? ? (?. Lisi?, I
/h List
O
hers
Other j nip A t
Entrance
1 Jul to LUU Amps. I I II 31 to 100 Amperes I II 31 to 100 Amperes I / IH•'x"I
I Above 200 Arllpl.l 1 11 Above 100 Amos. Above 100 Amos.
Remarks
I, the Electrical Inspector, hereby
TOTAL F
has been made.
Date JA 3 -
(Final) _
This request
CITY OF EAGAN NO- 1416 8
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILbING PERMIT PHONE: 454-8100 Receipt it '773a
To be used for FIREPLACE Est.Value $2,800 Date SEPTEMBER 14 ,19_8 7
Site Address 1931 TIMBER WOLF CT
Lot 011 Block I Sec/Sub. MEADOWLAND 1ST
Parcel No
3lName BOB LINDSAY
z Address SAME
o City Phone 452-9544
o Name HEAT-N-GLO FIREPLACES
of Address 3850 W HWY 13
u? City B'VILLE Phone 890-8367
W
z
a
z
W
Name-
Address
City-
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 Permittee
A Building Permit is issued to: HEAT-
all work shall be done in accordance with all
Building Official
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well Type of Const
City Water (Actual)
(Allowable)
* of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments Permit 44.50
Water/Sewer Surcharge 1 Sn
Police Plan Review
Fire SAC, City
Engr, SAC, MWCC
Planner Water Conn.
Council Water Meter
Bldg. Off. Road Unit
APC Treatment P1
Variance Parks
Copies
TOTAL $46.00
ES on the express condition that
tes nd City of Eagan Ordinances.
innesotKSt
?
LZh /
CITY Of EAGAN
5795 Pilot Knob Road'' Eagan, MN 55122 N2 5384
PHONE: 450.6100
BUILDING PERMIT APPLICATION Receipt # 1
To be used for SF Dw19 & Garage Est. Value 52,000. Date 8-30 19 79
Site Address 1931 Tinlbexwolf Court Erect [} Occupancy R3
Lot 11 Bit 1 See Sub. Meadowlands
O
0 Alter ? Zoning Rl
3
l
1
Parcel Repair ? Fire Zone
Enlarge ? Type of Const. V
s Name ZacYnnan Hones, Inc. Move ? #' Stories
z Address 7760 Mitchell Road Demolish ? Front 56 ft.
° City-P9911 Prairie Phone 937-9520 Grode ? Depth 26 ft.
p Name Sam Approvals Fees
oR Address
A Assessment
0
Permit 143.5
u?
d Water & Sew. Surcharge 26.00
City Phone
Police
Plan check 71.25
W Name Fire SAC 525.00
Address Eng. Water Conn. 270.00
<"Z' Ci Phane Planner Water Meter 60.00
Council ROad Unit 75.00
1 hereby acknowledge that I have read this application and state that Bldg. Off.
comply wi all applicable
the information is correct an
APC 1.170.75
Total
State of Minnesota Statute Eagan mantes
Signature of Perm
C
adman
A Building Permit is issued to: Hams, Inc. on the express condition that
?S uses and City of Eagan Ordinances.
o}
all work shall be done in accordance with all appliwbl State of Minnes
f
O /
/
Building Official s ?'` -*' -a- e '«
CITY OF EAGAN 6 OT3g Include 2 sets of plans. ?
1 site plan w/elevations b
BUILDING PERMIT APPLICATION I set of energy calculations.,
To be
Site
C Valuation SR??r Date
used for l
Address J9 _? IAr?? F- _ x:z-
Lot _ // Block L_ Sec./Sub.
Parcel 0 2"y e4 /
Owner: .?3 C' li? YY-7/?4lls( 4`Ifrbl e e, /Nc-
Address:
_ - .mod-?7n; e tiN
Phone B:
Contractor:
Address:
Phone S:
Arch/Eng.:
Address:
Phone ii:
/ OFFICE USE ONLY
Erect Occupancy /C _3
Alter Zoning "
Repair. Fire Zone
Enlarge Type of Const. 7
Move 9 Stories
Demolish _ Front .7< ft.
Grade Depth ft.
Approvals Fees
Assessment ermit
Water/Sewer Surcharge
Police Plan Check 7 /
Fire
SAC
=
Eng. Water Conn.
Planner Water Meter /
Council Road Unit i',
Bldg. Off.
APC
TOTAL
1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS -
RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For:
& STRUCTURAL PLANS,
SET OF
?Z-to?o J1 60
Valuation:-a O I:/
Date: (-?f 17
Site Address 115l l 1 E mber WDIf (lox OFFICE USE ONLY
Lot Block On Site Sewage Occupancy y?-50
?? I MWCC System _
Zoning /,S0
IVLQ
Parcel/Sub On Site Well Type of Const
}?
L
? City Water (Actual)
Owner / O
I n
s? V (Allowable)
1/ of Stories
Address (v, 5 ! ?Y)fjiPr ? 01? ?t7??fi Length
Depth
City/Zip Code S.F. Total
Footprint S.F.
Phone "t APPROVALS FEES
Contractor Neat N G lG {'
F/'f J? ZS
Assessments
Permit /
(7 (? S
2 Water/Sewer Surcharge
Address 7???) ules'? ?h o?? uv 13 Police Plan Review
Fire SAC, City
City/Zip Code &(r)S V111 -C Engr SAC, MWCC
^ Planner Water Conn
???? ?
??
Phone
l?
Council
Water Meter
Bldg Off Road Unit
Arch./Engr. APC Treatment Pl
Variance Parks
Address Copies
TOTAL
City/Zip Code
Phone 1/
;:(a;)kn;X:)k) :?r )k:k)X:$"rX:+n):: ?FF?:r':?? k.Y.( ik?i':f:n:?';yFX<.Y.t7F.kt )X>i;J;;;t+:);; y.?$
CITY OF EAGAN
CASHIER s TEWUNAL N0: Q
GATE; 09/24/96 TIME: '.5,;40 3
1D .
NAt'i'::r 141 AR11i INC
3210 9001 1931 Ti9BRMLE CT 2'.'1.00
205 570:x. 1931. TMBRWLP CT 050
Tate! Receipt Amount.?. 25.50
CRO64792
USER ID:: NANCY
`??:7k?? ?:rnR?:k:??FY69F>kM??FW.)X)k##%:?kM h.>XM? %r')k>kdl'°F?YF)k9/.?C
- PERMIT k 14 CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 9 0 2
(612) 681-4675 Date Issued: 09/24/96
SITE ADDRESS:
1931 TIMBER WOLF CT
LOT: 11 BLOCK: 1
MEADOWLANDS 1ST
P.I.N-: 10-48050-011-01
DESCRIPTION:
(GAS)
r
BtiiYding Permit Type FIREPLACE
iuilding Work Type NEW
?-bensus Code `? 434 ALT. RESIDENTIAL
l
0e,
r
fi
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - Applicant - OWNER:
HEARTH SERVICES INC 16530242 LINDSAY BOB
6693 E SHADOW LAKE OR 1931 TIMBER WOLF CT
LINO LAKES MN 55014 EAGAN MN
(612) 653-0242 (612)452-9549
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 Mn.
Statutes and,City of Eagan Ordinances.
L.0014 RA I MA
LAPPLICANT/PERVITW SIGNATURE ?_. ISSUED B SIGNATURE
CITY OF EAGAN
J,f go 1 3830 PILOT KNOB BD - 55122
1996 FIREPLACE PERMIT APPLICATION
681-4675
DATE:
DESCRIPTION OF WORK: t' CONSTRUCT NEW FIREPLACE: _ WOOD BURNING GAS
INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE
INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
ROOM TO BE INSTALLED IN:
STREET ADDRESS: 3? T` Irmo l ??
LOT _-L BLOCK SUBD./P.I.D. TnJA P1
APPLICANT: (circle one only) OWNER CONTRACTOR
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.
PROPERTY Name: ?OGJ I yj-500 Phone #: ?sa -gsy?
OWNER n.
Signature:
Street Address:
City:
State:
Zip:
FIREPLACE Company: Phone #:
INSTALLER
Signature:
Street Address: License #:
City: State: Zip:
GAS LINE Company: 7 j ?-??`7 P?V? ? C?-? `?? Phone #: &s3 2 L
INSTALLER } 6-"f
'p- P D ,O-
Name:
Signature: ?/ r// •y-? v s?i v i-?,?,????QQ? c
Street Address: (a69-3 !25??
"Qw ?? py
City: 1., app ?`t k°S State: A,4?- • Zip: 510
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS
Chimney/flue must be inspected before concealing.
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
----------------
D20JUN I Eo't Office?Used
Permit#: I
Permit Fee:
a4v 011
1 Date Receive .
I I
I Staff:
I
- - - - - - - - - - - - - - - -
2008 RESIDENTIAL BUILDING PERMIT APPLICATION d0-1hd 'P190
Date: 1 . Site Address: t°t31 Ti MNO&C' ? CQ, ,r - 5 °. M iwt l SS UL'2
Tenant:
Suite #:
RESIDENT / OWNER Name: E ? L' So Phone: C.. t 2 7? - CX%a
Address / City /Zip: 1931 T md?t` wol( cc.r f agaw^ ; il\%1 S'Sta2
Applicant is: Owner >( Contractor
TYPE OF WORK kk
Description of work: P,?? l5 ?. k l? ' O°cc? uA t?1
C
CN?-
Multi-Family Building: (Yes _ / No
Construction Cost: !Irz oc?I
CONTRACTOR Name: tt6r'e5 License #: Iqfj$
Address: 0t-,S P>k .a
City: cr1 State: Mt'3 Zip: ?? z2
a Zi
R
J
P
- L
L
Phone: C.a 3;a Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
Minnesota Rules 7670 Category 1
_
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes X No If yes, date and address of master plan:
Licensed Plumber: F mVN2 t? +c r\ Phone: 42 'LSa ?X7 - i GGO
Phone:
Mechanical Contractor: ' `r 1 I r ,
Sewer & Water Contractor: 1Jj t? Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified a's non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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 ? it S.I.J Clio a eylsYvwiv+l x
Applicant's Printed Name LAcrr.os?, Xvc Applicants Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
' ? Foundation
? Single Family
? 01 of _ Plex
.0 02-Plex
? 03-Plex
? 04-Plex
WORK TYPES
? New
99 Addition
? Alteration
? Replacement
DESCRIPTION:
? 05-plex
? 06-plex
? 07-plex
? 08-plex
? 10-plex
? 12-plex
? 16-plex ? Accessory Building ? Pool
? Fireplace ? Porch (3-season) ? Ext. Alt - Multi
? Garage rg Porch (4-season) ? Ext. Alt. - SF
? Deck ? Porch(scmen/gazebo/pergola) ? Multi Misc.
? Lower Level ? Storm Damage
? Interior Improvement
? Move Building
? Fire Repair
Valuation Z6i tip .o D
Plan Review
(25%_ 100% _
)
Census Code 7
A
# of Units
# of Buildings
Type of Const.
? Miscellaneous
???ehe \ 2eyn-e e
? Siding ? Demolish Building'
? Reroof ? Demolish Interior
? Windows - ? Demolish Foundation
? Egress Window ? Water Damage
* Demolition (entire bui lding) - give PGA handout to applicant
Occupancy I
Code Edition 7(2L 2.°0') f'"*
Zonin g
Stories
Square Feet Z
Length r
Width 57 j1
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
_> Footings (addition)
Foundation
Drain Tile
Roof: 1Ice & Water )6 Final
Framing
1o Fireplace: R.I. Air Test K _Final
?G. Insulation /
e
Reviewed
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
_ Sheetrock Meter Size:
Final/C.O.
Final/No C.O.
?0 HVAC
Other:
Pool: -Footings -Air/Gas Tests -Final
Siding: -Stucco Lath -Stone Lath -Brick
Windows
Retaining Wall
Building Inspector
2?8X?`?•78
(Q.) b01). a-o
Page 2 of 3
REScheck Software Version 4.1.3
Compliance Certificate
Project Title: Lindsay Porch Addition
Report Date: 06/16108
Data filename: Unti6ed.rck
Energy Code: 2000 Minnesota Energy Code
Location: Dakota County, Minnesota
Construction Type: Single Family
Glazing Area Percentage: 27%
Climate Zone: 2
Construction Site: Owner/Agent: Designer/Contractor:
1931 Timber Wolf Court Wensmann Homes
Eagan, MN 1895 Plaza Drive #200
Eagan, MN 55122
651-406.4400
Compliance: 26.4% Worse Than Code Maximum UA: 53 Your UA: 67
Project Title: Lindsay Porch Addition
Data filename: Untitled.rck
6-IA3/a
Report date: 06116/08
Page 1 of 1
Ceiling 1: Flat Ceiling or Scissor Truss 248 44.0 0.0 7
Wall 1: Wood Frame, 16" o.c. 380 19.0 0.0 16
Window 1: Above-Grade:Vinyl Frame:Double Pane with Low-E 63 0.350 22
Door 1: Glass 40 0.350 14
Floor 1: All-Wood Joist/Truss:Over Outside Air 248 30.0 0.0 8
form FHA 422.3
MAP OF W?
4
-
flay.
.1 7-70)
GRTY ' MFS F
D L Ei '
-• - -
ba onc.rtpw
Y LKAW
S wr ...... ................
..........".....................
...............
See attached for legal
Builder Zachman .
Homes Inc,
Lot 11 elk. 1 Addition EAGA4r4 HILLS
Address: House Name p1.91CK/9_IP
lgil TIMBER WOLF CT House Style ?PL/7 LZ?dF[
E.4GAN, MlNAI
# Sq.Ft.House 904 # sq.ft.Gar.4Bb
-
-
FIELD NOTES Power ples P Low Areas
dhow location of meters Telepone pol es T Highest Po int
'rivate well Larger Tree s NORTH
)rivate septic system
n is water
¦, ?r cewer
gac '
.P. Gas EAGAN
:ulvert required RFEVE
:urb cut required
Sewer water stuhhed in
Driveway surface BIT kSYfh4LT'
Front yard setback 30'
Sideyard setback
a-
Garage left right
Local Inspector
City of EAGAN
Name DALE PETERSON, L7096 REIP
Phone 647-4-&00
LOT DETAILS
size width
Size depth
Approx. S.F. of lot 11,700'
High point
Power Poles
Telephone poles
Underground
Larger trees
Street = Elev. 0.00'
Lot corners °.
High point
Low point
Gutter or Ditch
0
Local Electric Co.
Name N SP
Phone
Local Gas; Co.
Name FELME'5 u,477/HA"L 0As
Phone %3= 71E1
a) Stoops (1) 2 riser $ 204;
Decks g x V $ 92.3 w
b) Sidewalk 63 s.f $ IE S
Driveway 70 s.f. $ 55'04; g`
Parking Pad - s.f .$ v
Curb Cut & Permits $ -
lawn steps # $
c) Finish Grade $
d) Black Dirt $ landsc a
ing
Sod s.f p
e) Underground Util. $ -31 ZO,o,
TOTAL . ,.
SAC CHARGE $ °f2q,Water charge $
?? 105. d3'
W. S. DWW"WW OF AQNMrJX
Pcriftm 8 F. w Mrr Arr.wrr
Use BLUE or BLACK Ink
r
For Office Use
City of Ea ion I Permit#:
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I /]l I
Fax: (651) 675-5694 i Staff: !7 7
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ' r 3 Site Address: / mot,, t✓oL/~ Unit
Name: 230 Phone: 6 112 -72-0 - a 0 "Z4
Resident/ _
Owner Address / City / Zip:
Applicant is: Owner 1/ Contractor
Description of work:
Type of Work
Construction Cost: Multi-Family Building: (Yes / No
o- ~
Company: ~V~f~CftS~ ~s~G 6-x`Te/Q_( o/ZS Contact: ~,4 ✓
Address: City: VC1Zk-n,L Rio
Contractor
State: Zip: Phone: G 5 l- 2 7 s 2
License 33 3 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
conclude that they are trade secrets. I
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.aopherstateonecall.ora
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.
x f6^ ES ))a ~-ro saw
X
Applicant's Printed Name Applicant Signature
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use I
r --U I
Permit L 2 Z 5 I
I
City of Ea Rd~ .
I Permit Fee. d ~ 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 I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: l l TI Y~- 3 F lz~_ Unit
Name: ICJ r~ YJ Phone: i 2 7 ~a Gao Z
Resident/
Owner Address / City / Zip: / 3 /t m rj g2r.~ oz Cr
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: Multi-Family Building: (Yes / No
Company: V&JZ-~4ST7 JG LJr7~2~af2s Contact:
Contractor Address: > /4, 7_4 .4 - ,S City: V LZI I L_L"-. 'J
State: IMN Zip: `.i '13,5- Phone: ~l 2 v G-
License /3, 6 E 333 3 Lead Certificate j
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:
I
Licensed Plumber: Phone:
i
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of 1
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.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.
x A;-f- A"1. J SD rJ x
Applicant's Printed Name Applican . nature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146622
Date Issued:11/03/2017
Permit Category:ePermit
Site Address: 1931 Timber Wolf Ct
Lot:011 Block: 1 Addition: Meadowlands 1st
PID:10-48050-01-011
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Robert C Lindsay
1931 Timber Wolf Ct
Eagan MN 55121
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
For Office Use
� , . . , Permit#:
14 Z1 4.(t
6-c)
, EAGAN
••• -�• Permit Fee:
REC y W i Date Received:, /
r ,„,
3830 PILOT KNOB ROAD 1 EAGAN,MN 55122-1810 LA—
(651)675-56751 TDD:(651)454-8535 FAX:(651)675-5694 FEB 152018 Staff:
buildinginspections o.citvofeacian.com
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 215118 Site Address: 1931 Timber Wolf Court Unit#:
Bob Lindsay Phone: 612-280-1275
{P Name.
• 1931 Timber Wolf Court/Eagan/55122
r o' Address f City/Zip:
f liar X '
Applicant is: Owner Contractor
•
krtr 4 Crawlspace� -- j.71/6'v�.,kt� 0,0
Description of work:
Construction Cost: 4556.45 Mule-Family Building:(Yes 1 No X
)
Complete Basement Systems Lewis Uhrich
Company: p Y Contact:
54004 Loren Drive . Mankato
��� Address. City.
� •r� MN 56001 507-387-0507 Lewis@mycompletebasement.com
,fes ,�f State: Zip: Phone: Email:
License#: BC143377 Lead Certificate#: NAT-105017-2
:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUIILDJNG
In the last 12 months,has the City of Eagan Issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
s, t014x .; tupportf documents("halt y.ou submit ere c*nsider.d to be,publicI formation Portions of the It!Po i,,Oa t
V, sfrillett a _ . `c li ! tflat`w<wld permle the City o hclude that they `t ade ser ts.�
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofearaan.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities, www.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.
xLewis Uhrich x. r
Applicant's Printed Name Applicant's Signature
(lar "R,In2tf (A)DIC C I- -
DO NOT WRITE BELOW THIS LINE 1 /16/
(/ /.
SUB TYPES
Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
i. Single Family __._ Garage _ Porch(d-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck — Porch(ScreenlGazebo/Pergola) _ Miscellaneous
01 of_Flex — Lower Level — Pool _ Accessory Building
WORK TYPES
__ New r Interior Improvement — Siding _ Demolish Building*
_ Addition Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
__._ Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation ii 6k2 Occupancy _DZ'--/ MCES System —
Plan Review / Code Edition AO/ SAC Units —
(25%_ 100% ) Zoning ?D City Water -
Census Code il/ 3 y Stories — Booster Pump
#of Units / Square Feet PRV
#of Buildings / Length Fire Suppression Required
Type of Construction .44 8 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
—
Footings (Addition) Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC`Gas Service Test Gas Line Air Test
Roof: _ Ice &Water Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath Brick EFIS
3C Insulation Windows
Sheathing Retaining Wall: Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In,Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: e-, i; , Building Inspector
RESIDENTIAL FEES
Base Fee /D .?
Surcharge
Plan Review G 7 , "
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
13/2rz�/-r'4z 1'16717RECEIVED
/93/ MAR 12 2018
Dol[][ I//N,?„LA G/
THERMAXTMSheathing
1.PRODUCT NAME 4.TECHNICAL DATA • D2126-Standard Test Method for
THERMAX`"Sheathing APPLICABLE STANDARDS Response of Rigid Cellular Plastics to
THERMAX-Sheathing meets ASTM Thermal and Humid Aging
E96
2.MANUFACTURER C1289-Standard Specification for Faced 'Speci Transmission of Materials
The Dow Chemical Company • D1623-Standard Test Method for
Dow Building Solutions Insulation Board,Type I,Class 2 and CAN/ Tensile and Tensile Adhesion Properties
200 Larkin ULC S704-11.Applicable standards include: of Rigid Cellular Plastics
Midland,MI 48674 • C203-Standard Test Methods for
1-866-583-BLUE(2583) Breaking Load and Flexural Properties of FIRE INFORMATION
Block-Type Thermal Insulation THERMAX"Sheathingproducts should
Fax 1-989-832-1465
www.dowbuildingsolutions.com • C209-Standard Test Methods for be used only in strict accordance with
Cellulosic Fiber Insulating Board product application instructions.
• ASTM D2842"Standard Test Method for THERMAX"products are combustible and
Water Absorption of Rigid Cellular Plastics must be installed in accordance with
3.PRODUCT DESCRIPTION • C518-Standard Test Method for Steady- local building codes.(OGE Approves).For
THERMAX'"Sheathing is a non-structural, State Thermal Transmission Properties by more information,consult(M)SDS and/
rigid board insulation consisting of a Means of the Heat Flow Meter Apparatus or call Dow at 1-866-583-BLUE(2.583).In an
glass-fiber-infused polyisocyanurate • D1621-Standard Test Method for emergency,call 1-989-636-4400.
foam core laminated between 1.0 mil Compressive Properties of Rigid
smooth,reflective aluminum facers on Cellular Plastics
both sides.The glass-fiber reinforcement
contributes to improved fire performance TABLE 1:SIZES,R-VALUES AND EDGE TREATMENTS FOR THERMAX'SHEATHING
and dimensional stability.In the USA Nominal Thickness Thermal Properties *Board Size Availability
THERMAX-Sheathing can be installed ,.,_„.., Edge Treatment Options
exposed to the interior without a thermal '( na`dg am} ! nal a}mm}"
barrier.In Canadian construction 0.05 * 3.3 0.58 4 x 8,4 x 12 Square Edge
THERMAX-exposed to the interior must
be covered with a thermal barrier. 0.75 5.0 0.88 4 x 8,4 x 12 * Square Edge
1 * 6,5 1.14 4x8,4x12 * Square Edge
SUSTAINABILITY DATA1.5 * 98 1.73 4 x 8,4 x 12 SquareEdge,Shiplap
THERMAX"Sheathing is manufactured1.55 39 10.1 1.78 4 x 8,4 x 12 1220 x 2440 Square Edge,Shiplap
from 100%renewable power and has a
zero ozone depleting potential. The use 2 51 13.0 2.29 4 x 8,4 x 12 1220 x 2440 Square Edge,Shiplap
of THERMAX"'Sheathing helps reduce the 2.5 64 15.8 2.78 4 x 8,4 x 12 1220 x 2440 Square Edge,Shiplap
carbon footprint of commercial buildings 3 76 18.6 3.28 4'x 8,4 x 12 122 Y x2440 Square Edge,Shiplap.:
and can contribute to LEED Credits.
3.5 89 21.3 3.75 4 x 8,4 x 12 1220 x 2440 Square Edge,Shiplap
4" 102 24.0 4.22 4 x 8,4 x'12. 1220 x 2440 Square Edge,Shiplap
*Alternative sizes available upon request.Contact your local Sales Representative.
PRODUCT INFORMATION I UnitedStates/Canada I COMMERCIAL
CODE COMPLIANCES • 2009 International Building Code(IBC) • The following designs are 1,2,3 or 4
THERMAX'"Sheathing complies with the Section 2603 hour wall rated assemblies as listed in
following codes: • NBCC 9.25.2.2 the UL Fire Resistance Directory:U026,
• ASTM E2178 Standard Test Method for • ICC-ES ESR-1659 U326,U330,U354,U355,U424,U425,
Air Permeance of Building Materials- • CAN/ULC 5704-0311 U460,U902,U904,U905,U906,U907,
leakage rates less than 0.001 L/s/m2 at a • CCMC listing 08433-L V454,V482,V499
test pressure of 75 Pa. • FM 4880—Wall-Ceiling Construction • Fire Performance Evaluation of
• ASTM E283 Standard Test Method Metal-Faced—Class 1 Fire Rated to Max. an Exterior Masonry Wall System
for Determining Rate of Air Leakage 30'Exposure High,4.25"Thick,4'Wide, Incorporating THERMAX`"Insulation
through Exterior Windows,Curtain When Installed as Described in the Tested in Accordance With NFPA 285,
Walls,and Doors under specified Current Edition of FMRC Approval Guide 2006 Edition(UBC 26.9,intermediate
Pressure differences across the • FM 4450 Approval Standard for Class 1 scale—multistory testing)
specimen.Results were<0.02 L/s/m2 Insulated-Steel Deck Roofs • FMVSS No.302—Flammability of
• ASTM E2357 Standard Test Method for • THERMAX'"products are covered Interior Materials—Passenger Cars,
Determining Air Leakage of Air Barrier under Underwriters Laboratories Inc. Multipurpose Passenger Vehicles,
Assemblies-no leakage (UL)File R5622 Trucks and Buses(Docket No.3-3;
• ASTM E331 Standard Test Method for • UL 1256—Fire Test of Roof Deck Notice 4)
Water Penetration of Exterior Windows, Constructions,Roof Deck Construction • Miami-Dade NOA 08-0320.01 Interior
Skylights,Doors,and Curtain Walls by No.120 and No.123 Insulation on CMU Block
Uniform Static Air Pressure Difference- • UL 723(ASTM E84)Surface Burning
no leakage Characteristics of Building Materials Contact your Dow sales representative or
• 2009 International Residential Code local authorities for applicable building
(IRC)Section 316 code requirements and related acceptances.
TABLE 2:TYPICAL PHYSICAL PROPERTIES OF THERMAX'SHEATHING 6.AVAILABILITY
US(per ASTM C1289) Canadian(per CAN/ULC$704) Manufactured in United States.Contact
Properties r ryour local sales representative for
('1�.. n. .� ° • availability or call 1800-232-2436.
Compressive strength ASTM D1621 25 psi min ASTM D1621 170 kPa
Flexural strength ASTM C203 40 psi min ASTM C203 275 kPa min 7.WARRANTY
Thermal resistance ASTM C518 (see table) ASTM C518 (see table) 15 year THERMAL warranty is available.
Tensile strength ASTM D1623 24 psi min. 1 ASTM D1623 170 kPa min
Visit www.dow.com/building for warranty
documentation.
Dimensional stability ASTM D2126 0.2%max ASTM D2126 0.2%max
Water absorption ASTM C209 0.1 max ASTM D2842 3.5 max
Water vapor transmission ASTM E96 <0.3 perm ASTM E96 <15 ng/Pa-s-m2
•
In Canada Technical Information dowbuildingsolutions.com
Dow Chemical Canada Inc. 1-866-583-BLUE(2583)
Dow Building Solutions
2400,215-2 Street S.W., Sales Information
Calgary,Alberta T2P 1 M4 1-800-232-2436
NOTICE:No freedom from infringement of any patent owned by Dow or others is to be inferred.Because use conditions and applicable laws may differ from one location to another and may change with time,Customer is responsible for
determining whether products and the information in this document are appropriate for Customer's use and for ensuring that Customer's workplace and disposal practices are in compliance with applicable laws and other government
enactments.The product shown in this literature may not be available for sale and/or available In all geographies where Dow is represented.The claims made may not have been approved for use in all countries or regions.Dow assumes
no obligation or liability for the information in this document.References to"Dow"or the"Company'mean the Dow legal entity selling the products to Customer unless otherwise expressly noted.NO EXPRESS WARR ANTI ES ARE
GIVEN EXCEPT FOR ANY APPLICABLE WRITTEN WARR ANTIES SPECIFICALLY PROVIDED BY DOW.ALL IMPLIED WARRANTIES INCLUDING THOSE OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE ARE
EXPRESSLY EXCLUDED.
CAUTION:This product is combustible and shall only be used as specified by the local building code with respect to flame spread classification and to the use of a suitable thermal barrier.For more information,consult(M)SDS,call Dow
at 1-866-583-BLUE(2583)or contact your local building inspector.In an emergency,call 1-989-636-4400,
WARNING:Rigid foam insulation does not constitute a working walkable surface or qualify as a fall protection product.
Building and/or construction practices unrelated to building materials could greatly affect moisture and the potential for mold formation.No material supplier including Dow can give assurance that mold will not develop in any
specific system.
A"^+Trademark of The Dow Chemical Company("Dow")or an affiliated company of Dow.
Printed in U.S.A.
Form No.t79-04015-1117 CDP
178-00808-1117 CDP
•
EAGA
ECE
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 JUN 2 ���
(651) 675-56751 TDD: (651) 454-85351 FAX: (651) 675-56 6
bu i Id i nains pectionsOcitvofeagan. com
Date:
rPermit #: For Office use /��
i
97- as
Date Received: t' 4 v
Permit Fee:
Staff:
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: Unit #:
Resident)
Owner
Name: g 6 Z-/ vA.C-,A %,c, �[ Phone: 6 / Z - 9 *&®- /sZ 7.5"
/
Address / City / Zip: /' 3 / `T .7" h P r- 4- ) c /f �+-
Applicant is: Owner X Contractor fLP (/
S il-
6-4-1V0)
Type of Work
Description of work: /l -c.,4.� : 1 ‹ .4- g P5 da t ad e el. " S��-e v �e e�
Construction Cost: (pc-, 00e3 Multi -Family Building: (Yes / No k )
Contractor
Company: Ku.Sifao+ -e --L G4> A.,ca. ! L.0 Contact: Rc>`e^— A_ e.--s
ck
Address: 010 /AJ /d<riL 1`• City: al ®p.u,,. t- e ✓i
State: -1 Ai Zip: gM31 Phone:6 /9 •S fe , /90 Email: r k,rtL, .s.;, f "i� .,a :/ .
c_0.*�
��
License #: R(.,(d.g9 4(?- Lead Certificate #:
If the project is exempt from lead certification, please explain why:
r2, ) T i A pc-7�
COMPLETE THIS AREA ONLY IF CONSTRUCTING A
In the last 12 months, has the City of Eagan Issued a permit for a similar plan based
Yes No If yes, date and address of master plan:
NEW BUILDING
on a master plan?
Licensed Plumber.
Mechanical Contractor:
Sewer & Water Contractor.
Fire Suppression Contractor.
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that, you submit are considered to be public Information. Portions of the information may be
classified as non-publicif you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you
intend to dig to receive locates of underground utilities. www.cooherstateonecall.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 nto start W1)eut a permit; that the work will be in
accordance with the approvedovplan in the case of work which requires a review and approval of
%-
Applic nt's Printed Name
gnature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace
Single Family _ Garage
_ Multi _ Deck
01 of _ Plex Lower Level
WORK TYPES
New V interior Improvement
_ Move Building
Fire Repair
/g3/ Tmb�c- WoIF C-fr •
_ Porch (3-Season)
Porch (4-Season)
_ Porch (Screen/Gazebo/Pergola) _
Pool
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
# of Units
# of Buildings
Type of Construction
Repair
raves
66
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Reviewed By:
_ Siding
Reroof
yWindows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
lac u20
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: Rough In Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162195
Date Issued:07/01/2020
Permit Category:ePermit
Site Address: 1931 Timber Wolf Ct
Lot:011 Block: 1 Addition: Meadowlands 1st
PID:10-48050-01-011
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Kitchen remodel - adding mini WH under kitchen
sink
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Robert C Lindsay
1931 Timber Wolf Ct
Eagan MN 55121
(612) 598-0190
Eagle Ridge Plumbing LLC
E7899 1020th Ave
Colfax WI 54730
(612) 388-6209
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162195
Date Issued:07/01/2020
Permit Category:ePermit
Site Address: 1931 Timber Wolf Ct
Lot:011 Block: 1 Addition: Meadowlands 1st
PID:10-48050-01-011
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Kitchen remodel - adding mini WH under kitchen
sink
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Robert C Lindsay
1931 Timber Wolf Ct
Eagan MN 55121
(612) 598-0190
Eagle Ridge Plumbing LLC
E7899 1020th Ave
Colfax WI 54730
(612) 388-6209
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165680
Date Issued:11/13/2020
Permit Category:ePermit
Site Address: 1931 Timber Wolf Ct
Lot:011 Block: 1 Addition: Meadowlands 1st
PID:10-48050-01-011
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, Mark Anderson at (952)
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 -
Robert C Lindsay
1931 Timberwolf Ct
Eagan MN 55122--222
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature