2111 Wuthering Heights RdCite of EaQall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
Permit Fee: PO()
Date Received:
Staff:
J
2011 RESIDENTIAL L PLUMBING LPERMIT APPLICATION
Date: a'� 6 Site Address: l t w� 'G� A-5 a
Tenant: Suite #:
RESIDENT / OWNER
Name: c 051n Ti ►-1+) Phone: 6751-D-35--S`l54
LAIN
11.�1 __ ``
Address / City / Zip: Al` ' J kyie-ctvt ttil R -d\.
CONTRACTOR
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email
TYPE OF WORK
New Replacement Re•air Rebuild ,X Modify Space/_ Work in R.O.W.
_ _ _ _
Description of work: � lU�'j i / r j JG i 4/ 072 %%f 4./4
PERMIT TYPE
RESIDENTIAL
Water Softener
Water Heater
)(Add Plumbing Fixtures ( Main / _ Lower Level)
Lawn Irrigation ( RPZ / PVB)
_
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $ E5
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 w•rk 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 appro of p ns.
x
35L [A sbA3
Applicant's Printed Name
App cant's Signature
411101 C!tyofEag,aii
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.5675
Fax: (651) 675-5694
2010
Tenant:
AUG 0 91EC'D
Use BLUE or BLACK Ink
Fo r
Permit # ��✓ /
RESIDENTIAL BUILDING PERMIT APPLICATIONt/ /117.% ss .
Site Address: 2l I 1 MA -1-1/6/1 Al C{ - .
.P35-0957
RESIDENT / OWNER
Name: (JD5L'ILA a 4- Joann 37 Ohl Is Phone: 1 LI59 -1-,S3
Address / City / Zip: 21 11 v V. L . t f fr [ %AAA l� s
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: ls✓e /W) Odd/ av to l added
siv.tIVY
Construction Cosi 0) OC)7 Qg Multi -Family Building: (Yes / No X )
CONTRACTORrtifame:
......_.,e( t:ddress:
License #:
Citytate:
Zip: Phone:
Contact: Email:
COMPLETE
In the last 12 months, has
No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes
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.
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.qopherstateonecall.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.
xp Q� l 1 ' 001 t<
A ca s PrInted Name
Ap? I canes Signature
Page 1 of 2
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
1 Single Family
Multi
01 of .,_. Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
T Retaining Wall
— Fireplace
_ Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
_ Repair
DESCRIPTION
Valuation az112
Plan Review
(25% 100%._'
Census Code
# of Units --
# of Buildings
Type of Construction
Porch (3 -Season)
Porch (4.Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Ai Foundation
Drain Tile
A- Roof: „Ice & Water ,,Final
Framing
4- Fireplace: 1.Rough In , Air Test ,,,,Final
Insulation
Meter Size:
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
906 ?-
Siding
Reroof
Windows
Egress Window
Storm Damage
_ Exterior Alteration (Single Family)
— Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
_ Demolish Foundation
T Water Damage
*Demolition of entire building – give PCA handout to applicant
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: _ Footings _ Backfill Final
Radon Control
Erosion Control
, Building Inspector
d2 /tiA F-3/./00
5144 fil ar 53 -� pF1/ 5
Page 2 of 2
•
EAGAN
REVIEWED
• ri,"/„911
lo•le 14,i4kor.A.‘440,...,4 •
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egd,
ING livc;n'rs-TIONSt
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At
ie
SEWER dc WATER PERMIT OFFICE USE ONLY
CITY QF EAGAN METER # PERMlT DATE 8I 1b/ 8 9
3830 Pilot Knab Rd.'
Eagan, MN 55122-1897 CHIP # 174 PERMIT # 10802
METER SIZE B.P. RECgwsr : C 3314 6
water
a U
DATE ISSUE DATE B.P. RECEIPT DATE t~~l
PRV -BOOSTERPUMP WatSITE ADORESS C& C( pERMIT REDUESTED
LOTKlg. SEC/SUB Q ~
, v~ f~ 0 d i ti S. ~ SEWER V WATER - TAPS
APPtICANT. COMM/INO RESIDENTIAL ;
ADQRESS: a f I 1 u/ ~i 1l t~~ ,,~/G fN S~ U
CITY. STA'fE ~~619N 2!P Sri 27_ - NEW if!!_-'EXlSTlNG
PHONE: '4SY- L//4
Lawn S
PLUMBER: 2 L- + Aheadofr~Doer Mcte~ters on WateSt
Line.
ADDRESS: ~n311E~ Credit WIL iven for Deduct Meters.
CIIY, STAT ~ ZIP
PHONE:
I GREE TO COMPLY WITH CITY OF
OWNER: EAGAN ORDINANCES
AUORESS:
CITY, STATE ZIP Rd~ 4' 2,a~
pHpNE; SIGNATUR WH N MET R ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGIN . RINQ DEPT.
%7
~ ~y~g"c-&'r'C zf`~/c
SEWER b WATER PERMIT OFFICE USE ONLY ~
CITY OF EAO'AN , METER # PERMITDATE 8I16/89 ~
3830 Pilot Knob Rd. CHiP # PERMIT -4 10802 ~
Eagan, MN 55122-1897 ' r ~ C 3314
'
METER SIZE B.P. REC~Mb0 II
DATE ISSUE DATE B.P. RECEIPT DATE gWf @~.~ /g '
~
_ PRV -BaOSTER PUMP wacers 8/14/3
SITE ADDRESS PERMR REOUESTED
- -
LOT, 7.BLOCK ~Z, ; SEC/SUB ~ c T iu~ ~J /
- SEWER WATER _ TAPS
APPLICANT: " ~ , ` . _ COMM/IND ESIDENTIAL
ADDRESS:
r- " ' -ro
CITY, STATE
- ZIP _ NEW ~ EXISTING
PHONE: : ` _ L v
Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Do .rt'iAstic Meters on Water Line.
ADDRESS: Credit WIL('1TtKy6iven for Deduct Meters.
,
I 21 P
CtTY, ST75d-15-65-
PHONE: AGRE E TO COMPLY WRH CITY OF
OWNER: EAGAN ORDINANCES
ADDRESS:
CITY, STATE ZIP
pHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCE8SING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
8EYYER PERMITS, CONTACT ENGINEERINCi DEPT.
CITY OF EAGAN Remarks &
Addition SeCtlOri 18 Lot Rlk Parcel 10 01800 050 78
Owner 1=.+nd Street 2111 Wuthering Hgts Road State Eagan, 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK Q ,O O
N SEWER LATERAL 3
WATERMAIN
* WATER LATERAL 1982 15
WATER AREA 5 5
* Bervicegi 1982 15
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
. ; ~
CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21•199, Eaqan, MN 55121
PHONE:454-8100
iU1LDING PERMIT Rfte+a ~ - To M wa/ iw Est. Valus : J y0',? 0 Date -t' 19
Sit@ Addr.a ~iUG `1`"S R_) E?eec 4; Occ+wncr
Lot ' Block .~5 ~..~~s.~b, -~'~:rJ~' ].i7 Rwmodsl ? Zoning
Rqnir ? Typa of Const.
Parcel No. Enlarge ? No. Stories
MOVR ? Ungth
EName Demolish ? Depth
Grads ? Sq. Ft. Pnoas 4'> 4` 6:l 1' Imcau O
Ap~rrr~h F~
Nama ,
A~~ Assessmwnt Permit ,
CItY Phone Wcter 3 Sew. $urthorye
Poliu Plan Review.
~NMne Fl
n S/~
C
Addras Enp. Woter Conn.
City Phone Planrnr Water Nleter
Cotruil Rood Unit
I F+eeeby xknowldpe tF+ot 1 how nod this opplication and sto» tl+at Bldp. Off. 4 t: ' li ~ Parks
fFw Infwmotion Is aor?ect ond ogrn to comply with oll applicoble
A~ Total
Stab oi Minntsota Statutes and Gty of Eoqon Ordinoncss.
Vsr. Oate
5ipnotun of PtnnittM , .
on tM axprta tonditbn thot ~
A 9uildinq Pennit Is isund fo•
dl work sholt be d" in acaondonn wirh dl opplioobl. 5tate of AAIrv+oaotaStautts ond Uty of Eopon Ordinonom
suildinp Offitiol L
PMndt No. PMwlit HoMlw Datr T hone s
Plwnbhp
H.VJ1.C.
EbeMe
' SoitwMr
Iraipeetion Daa IefV. OthM
Footiny~
, Fouedetion I
Framing ~ I
Roofinq I
i pOWO Pft
Rouo NV
I
Inaubtion I
Fiml PIb4. ~
I
I
Finsl HVAC '
I
Final I
i Cwe/Ooe. I
I
wm Dftwft Loeaeian: I
YMMI
Samr
Pr.
~
~ID SOcA . PERMIT k
. 1 gPLUMBING PERMiT • C ~ 3~~0 C~
~ r ~ CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 451-8100
Site Address J(IDG. TYPE WOiiK DESCRIPTION
Lot _C,__ Block SeciSub &ICT Res. New
Mult. Add-on
~ Name Comm. Repair
~ Address Other
c City Phone ' RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
~ Name Bath Tubs - $3.00
3 Address Lavatory - $3.00
p City Phone Shower - $3.00
Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Orains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPUES Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whiripool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCNARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1 Well - $10.00
Private Disp. - $10.00
Rough Openi s - $1.50
.
SI A RE OF PERMITTEE ~ FEE:
)
- ~ ~ STATE S/C: • 5 `
FOR: CITY OF EAGAN ~i TOTAL
GRAND
CITY OF EAGAN ~J~ 10082
3830 Pilot Ktwh Road, P.O. Box 21-199, Eagan, MN 55121
-
BUILDING PERMIT VHONE:454-8100 Receivt # G p <l
J
Te M uad ier GARAGE Est, yalue $7,000 pate APRIL 12
SiteAddrea 2111 WUTHERING HTS RD Erect C~ Ocapancy .
Lot 5 Block 7$ SecJSu6. $ECT 1$ Remodel ? Zoning
Repeir ? Type of Const.
Percel No.
Enlerge ? No. Stories
GORDON S ISTAD Move ? Lengcn
~Z Name Oemolish ? Depth
bAME Z Address Grade ? Sq. Ft.
b city Pnone 454-6114 Instail ?
SAME Aowo•ab Fws
~ Neme
Z~- Assessment Permit 62.50
ou
Address
u~ CitV Phone Water 6 Sew. Surchorge 3.50
Police Plan Review
Name Hro SAC
~W
i~ Addrest Enp. Wafer Conn.
~u City Phone Planner WaferMeter
Councii Raad Unif
1 hercby ackmwladgs that I haw raod this applicotion and store tFwt gldg. Off. 4/$/8 S Parks
fM inlormatian is correct ard ay ree to comply with all opplicable APC Total $66.00
Stob of Minnesoro Statutea a~n2 C~iry/Jof Eagryf 0 dces. Var. Dete
Slpnmurc of Permittae. ~
A 8uildinp Permit Is Isswd to: GORD N on the ezprots conditlon Ihat
dl work sholl be dona in aecordance with oll appli e Stote of nne atutes and City of Eopon Ordinancat
Buildlrq Ofllclol
D/roo d> 5-0 7k~'
EAGAN TOWNSHIP
BUILDING PERMIT 2259
Ownet --------'J ....p Eagan Townahip
Address (presenf) ...C~...'..`....4.r'...... ~ ' Town Hall
Builder G
Da=8
Addreee
DESCRSPTION
7ories To Be Used For Fronf Depih Height Esi. Cos! Permit Feel Aemasks
LOCATION
8lreeS, Raed or other Deserlpiion o! Localion I Lo! Sloek Addifion or Trea!
ThSs permit does not aulhorise !ha pse o sireels, roads, alleys or cidewalks nor does It give the owner or Lis agent
the righf !o ereate anp sifuation which is a nuisance or whieh presenls a ha:ard !o the health, eafeip, eonvenienee and
ganeral welfare !o anyoae in the communify.
THIS PERMIT MUST BE yg[,EPT ON THE PAEMISE WHILE THE WOAK IS IN PRO ESS.
This is !o eerfifp, thal....Xl......... ~._...-'•-°---`-..........has permisaion fo erect a1G~.~~.w.._..~...e....~^".... l oa
!he above deaeribed premise subjeaf !o the pzovisions of the Building Ordinance for Eagan Tow.-~ M p fldo !ad April 11,
1955. ~
Per ----........~.`:".'~.c.....0........'-'-.....g......."--'......._...................
U Cha~fman ot Tnwn Soerd Suildin InaPeetoz
16
PERMIT # RECEIPT DATE:
EOOE MIDENT1lkL PLIJbI$IRH PERM1T APPLICATION
crrY oF KasM
3850 PII.OT [{NOB RD
EA8AP,IBA 55122
e51-6e1-4675
Please complete for: single family dwellings, townhomes and condos when pertnits are required for each unit,
backflow preventer tor irrigation system
SITE ADDRESS: d~l l ~ ~ Ll."~Qxl ~~~A~ QCk-
OWNERNAME:: TELEPHONE#:
' (AREA CODE)
INSTALLERNAME: C-lnv&t~ ~ TELEPHONE#: a15?"
~
STREET ADDRESS: (AREA CODE)
ciTV: 10.~~ tnl~ STATE: mV ~ zia: 5S )22SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5l8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
Replacemen dditional: -)~\water softener _ water heater $ 15.00
State Surcharge $ .50
Total g
I hereby acknowledge that I have read this application, state lhatMe information is covect, and agree to complywith all applicable Ciryof Eagan ordinances. It
is the applicanl's responsibility to notify the property owner that the City ot Eagan assumes no li hili for any d ages caused by ihe City during its nortnal
operational and maintenance aclivities to lhe facilities consVUCted under this permit within C' r e ight-ot ayleasement.
NATURE OF P& MITTEE 1l02
. , ~
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED YITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation:75~1'Joao qO- Date: l(/ J~
Site Address: A//I (,UL(jdE;,(21n16 NTS 9,J OFFICE USE ONLY
Lot: OSU Block 78' SectAgob. le_ Erect Occupancy
Remodel Zoning
Parcel ll Repair Type of Const
Enlarge of Stories
Owner ~U~c'~~O/? S~ Move Length
Demolish Depth
Address~//f (.(/T/>re2lNG HTs /'D Grade Sq Ft
City/Zip Code 4116r),-/ S~-l 2_ L
Phone Z/APPROVALS
Contractor 2L( 7Z- Assessments Permit Ca2.5-°
Water/Sewer Surcharge _3,50
Address 7 iJ c`d/.?G H7--5- Police Plan Review
Fire SAC
City/Zip Code ~~G~}i? Mi? SS/ 2 7 Engr Water Conn
Planner [Jater Meter
Phone C// Council Road Unit
Bldg Off9-2-p5 Parks
Arch,/Engr. APC Treatment P1
Variance /
Address TOTAL ~fO'6y-0
City/Zip Code
Phone #
- - - - - A\ - - - - -i
, ~ ~
~
~
~ I
%%/0 i
• ~ll~ W97116R11?6 H7S 0~0 446rJiv MN S"S127. .
- - - '
. ~
' • . CITY OF EAGAN
SEWER & BATEB CONNECTION CHAAGES - 1989
E%ISTING PAOPERTIFS
SEWEB CONNECTION CAARGES 14ATER COHNECTION CHARGES
SAC ~ $ 675.00 WATE~\CONNECTION $ 580.00
Previously Pd. ~ eviausly Pd. i
Receipt 0 zceipt~ #
ACCOUNT DEP0.SIT 15.00 WgTEH METE~\ 90.00
SEWER PEflMIT 10.50 TBEATMENT SUR6HAHGE 228.00
TOTAL: $ 700.50 ./ACCOUNT DEPOSIT ~ 15.00
WATEEi PERhIIT \ 10.50
FiC~tt.Q.z,v?,-.,~,i \
~ PLUNIDING PEHMIT ~ 12.50
~ct,
C~ 3 1 y TbTAL: $ 936.00
'
\ I'
TOTAL FOR SEWER 6 WATER HOOR-[JP t 81, 636.50
o
OFFICE USE ONLY
PROPERTY OWNER:
ADDRESS:
~
TELEPHONE 0:
L:~ H:~ ADDs /U
,
: :>@ : r. u.~..~ ~,~.::r;r.; .r~;;: ' ,rt;.~;> ,r;:.: p r s~<r :a:: p ~ r~; ;e F;<~;~; ~ ; ~,~a rr'•l,~ISHCT Orl I L .
:768 5F'ECIAI. ASSESSMLNTS
5F'ECIAL H-3sFSSitir_nITF) SCARCH SUri°VnRV
i`kqRE:TY 1. D, TODAYa I)ATF: 07/21/g9 ---SPF_CIAI_ ;-I_aGB----
i-~-_-a-J- 6--7-e -s-
]i~-- -78
-
UE.S'CR. YR YF:S RATE TOTAL FNN.F'R iN. :J`11`k.-h'i
i(D,-) 040 i;'fd r _ ~F,.: 67 3Ci b,cinj, J4O.~ii~ .cJi) ii~) ;LOS,'D
1~9 Ff'-+;2EA 74 tS F3,nir% 3f3i;.0ti oo ,;O C;LCSEJ
~-r-:.17'~~ 16+32i.8ii UU , .LC.,_
5U1` i°i^ RN CI-' ^C I I JE
0 ,h. A-0 e-
-
-
CITY OF EAGqN
Atldition SeCtioR 18 Remarks -
OwnBr (I- 1.. ~,i. Lot
Street 2111 Wuthe E'Ep~~k~Parcel 10 01800 050 7$ '
LG~_`
Improvement State 8 MN $$12Z
STREETSURF. Date Amount
Annual Years -
STREET RESTOR. PaYment Receipt
GRADING Date
~ SAN SEW TRUNK . ~
¦ SEWER LATEpqL
WATERMqIN
; WATER LATERAL - .~,r-..-~..•• 1= ,
WATER AREq 82
~ Se C r~ '
STORM SEW TRK
STORM SEW Lq7
CURB & GUT7ER
SIUEWqLK
STREET LIGHT
WA7Eq CONN.
BUILOING PER.
SAC
PAqK
' ,~:..~~,ui;~iW'.d'~+ -K.-- - -Ir--
~'Y,-u
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if
{110
,LR(IONE OAN ono) C0. i STATE
N])inlREf 1
1~ :~Y I/~1 "lF!C 1ll
JUL.-l?'99(,%10`i) Oi:li D.ali0T9 CO E~VU ~1G'f 'fEL:612-891-i588 `~-~~P.OOI
?1~~~~~
Municipal Notice of Well Permit Application
Dakota County Environmental Management Depamnent
Water and Land Management Section
14955 Galaxie Avenue West
Apple Valley, MN 55124
Tel (612) 891-7011 Fax (612) 891-7031
DATE: Iuly 9, 1999
TO_ 7om ColberVWaync Schwanz Fax 4: (651) 681-4612
FROM: Water and Land Mana6ement
RE: Well Permit N: 99-H155704 Well Type: Sesied
Municipality: Eagan Environmental Specialist: Olsen
The Water and Land Management Section of the Dakota County Environmtntal Munagement Fepartment
has received the following permit application for the well described. If you requirc furUier review of the
application or if you have any questions or eoncerns about it, contatt the Environmental Specialist listed
above or our office at (612) 891-7011. If there is no response from your office within 24 T-TOURS (excluding
weekends and holidays), we will assume that you have no objections to tlie issuanee of the permit. Please
note that permit issuance is always conditioned on the permit applieanYs observance of end compliance with
all npplicable state, county, and municipal laws and codes.
Well Conhactor: unknown
Daie appticadon received: July 8, 1999
Anticipated Drilling Data: Time:
Anticipated Grouting Dete: Tlme:
Property Owner: Bruce Jahnke
Wel] Owner: Bruce Jahnke
WELI. LOCATTON:
PLS Coordinates: 1/4, ne 114, sw 1/4, se I/4, Sec 18, Town 27, Runge 23
Street address: 2111 Wuthering Heights Rd
AIN Number: 10-01800-050-78
WELL INFORINLATION:
Diameter. 4
Casing depth: 114
Towl depth: 118
Stntic Water Level:
Aquifer: Unconsolidated Sediments (probable)
COMMENTS: in basemcnt offset
, 6128917588 CiTY OF EAGAN ,TEL=6516814612 07/12'99 08:17
05/27/2009 12:46 9524401740 ALTA CLEARWATER PAGE 01
~~CIEoWED ;----------__s__;.
~
5tp of ~i al~ MAY 2 9 2009 ;
d ~ PertnltFw: ~O j
3890 Pllot Kn011 Road ~
~ I
Eeg9n MN 55122 i Dete Re~lree: i
Phone:(861)675-5875 ~ i
: . Fax:(651).6755684 i
' 2009 MECHANICAI, PERMIT APPLICATION
a-~~
Ckite: . 5 ~ Sft,~,?: uki
Suhe d:
HESIDENT/ OWNER Name: So S l.` T1 6 6-1-~5 Phone: _IOS1
. Address 1 City/ rip: l. 1 ( ( W.-• q~•
CONlAACTOR Neme: :Sbu NAZGtsCiCa.(' l>y4"46{w5 Licansefi^
nddmw: 4~-L.e-
cty;
Pnorre: crnW Persa,: ~o n
TYpEOFWORK -Pie1" I_ AddOWnel ~.Alteiatkn ,,Demolillon
O~Lonav~ofkc
IWD'MBotA.roof 1nenMea amt yro:n~ mouneed'.meGla+dCa? e voJyvrro+u ts reqw?ed to
Oe adeemed.eypy ebft. Plbw*e oonmcf rhe AbWft*9Y ela~psctos oro,re o/are .
p~rsra ?or h?farrraHotr on nMfted ~ ~ .
PEpM(T TYPE ~ RESlDFNlIAL New Coretructlon ~~_t~¢Aw tmprovament
-1~1911N ,_PtOEessed
P'iV
__AIrCpxBtla1rer
_AirExManOer -Q96 ExtetlorHVACUfIit
URdar! Above gwntl Tank L_ Irc1a0! -Reniohe)
- ~ 'gwr imwawnq.F"
?ow~ -~WorK Masna ~
RESYDEN77AL FEES:
g50.50 MJnlmum Hdd-on or altara6on to an existing unk (fncludes $50 Staoe SurcherBe)
$90S0 Fire repair (reWxe eumed om applas. ducnvuk, eee.) (trw'ludes 3.50 Smte Suichar9e)
$ TOTALFEE
COA!lNERCIAL FEES:
;70.5o Undergmund tank instaUadon/remaval OR Comract Ve1ue $ ¦ t%
y50s0 Mlolmum (fncludes State Suroharge)
n S Pertnit Fee
• n EB=Einila leite Nan f'IAOD. A+iMerpa is 5.50.
- N Efl= F9S is > 51.000. u»rcherpe hVF968ea hY $50 br each Stete SurCfielgE
$1.000 P6mdt Fea (Is. a E7.001•52,000 Pwnlp Fe¢ rtquces a E1.00 emtbmge). Q r 50 7pTAi FEE
repy adoC;eeBe maf th[s Irrtortnation Is camprete ana ecwrafe; mat tna wmtc p ba In eorrtormanoa wi ihe oiWnm~oec Wcoaes of tha qH ot ; Gaa
I uMwsterM IMS ia rmt a p9rtnil, Md oNy an gpplicolon fa a parrnll, aM wolk iB not ID ffiarl wllhout a penniC thal Iha wwk tvd be N exoNanca wlUt Ihe appmved
pl9n in tlm~° o1 Motlc whitl~ rBqUh96 a revlB+~ aM ePp~ d WanS.
x I I~CVIGq SGhUnr_ - X
n~neem•a ~,re apWIcenra
FOR OFFlCE 1l8E , . . . . . panNMel[ By: . . . ` DIIDba. .
MquYw h"scllWis:' _llrudw l~ound _ Rougl+ln,~A'vTest Gas Servite Test _In-EOar Hk¢R _Final. .
' ExDariw F1VAC SaeHnk+p Inqe'edat . .
05/27/2609 12:46 9524401740 ALTA CLEARWATER ' PAGE 02
, ~n P;
City of Bap JuN 1 2009
, ~
aaso wia Krwn soaa I~"~ Fce: ~~f •5?~ i
F8Q8I1 AAN 55722 . j Dffie Receive0:
Phone: (651) 675-5875
Fa:: (657) 675-9694 sta".
i----------- ~ -
20 9 RE$IDENTIAL PLUMBING PERMfT APPLICATION
s
oere: sne 2111 wk.~~-~-
,naareas: .
Tenam: Suite
HESIDENT / OWNER Name: c7 DS~i.. TI f~~ ~ Phone:
,aadresc i cny i ziP:
CONTRACTOR Neme: o n.-f-~. IAAal,P„
naares9: Zle oy Lti=2;&r-j Hv~ At
ciry: srate: ;aa: S S 3 5~
Phone: contEiaPerson: Ls/~ 3~! 5995 A'o~
T/PE OF WORK _ New jZlijbiwasawal Repair _ Rebuild _ Modiry Sipece _ WoAc in R.O.W.
Descrl on ol work: "OVI-
PERMIT TYPE RESI AL
Water Flgatgr `Water Softener
. Lawn IrHgatfan Add Plumbing FMUres
RPZ I_ PVB) L Main _ Lower LeveD
_SeptiCSyst9nl _WatarTumaround
New
~ AbarWonmern
RESIDENTIAL FEES:
S50S0 Mlnlmum Water keater. Water Softener, or Water Heater and Soitener (ncludes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $30 state surcharge)
$50.50 Add Plumtring F'aNres, Septk System Apandonment, Waler Tumaround' (Irtdudes $.50 State Sureharge)
^W eter Tumarountl (add $165.00 if fl 5/8" meler is nequifed)
$100.50 SgptiC Sy5t2m New ($10.00 per as buiR) (includes County tea antl $.50 State Suroheige)
$96.50 Fire Rapair (replace burned om appliences, reicfuvork, etc.) (ndudes $50 State Surcharge)
ToTAI. FEES i
admaMEtlge thet 11tiS 4AOmtSticn is complete arM 6ccurare; tl18t ME work vnll be m[orrtpmance Mih the oi dlnellCes ard mtles of tfie CIry o1
Eegan; Ihet I underymd Mae i6 not a petmil, 6W only an appllcalbn la B pWmit, end work is rtd to etart witlrout a pertnh; tliat ihe work wlll be In
accordance wl[h tha apprrned plen in the Case af work whlch requlres a reviaw aMl appravgl o( plam
. a~~ e-.Sc,,Y1l --t~
ApPllcanYa Prlntad me ApplkBnCs SneMe -
FOR OFFIC9 USE Revimed By: ~ Dam:
Requlred Inspectlona: _Untler Ground _Rough-In _Air Test _Gas Test _Fina1
- - - - - - - - - - - - - - - - - -
I For Oifice Use ~
Permit
City of Ea~~n I # 77~`"TCf'~ j
I
I r3 V. ~7/ ~
~ Permit Fee: ~
3830 Pilot Knob Road
Eagan MN 55722 I Date Received
Phone: (651) 675-5675 i Staff:
Fax:(657)675-5694
2009 RESIDENTIAL BUILDING `PERMIT APPLICATIONC`~~
~ ~ I I
Date: Site Address: I L,J A-4~WnU N t5. RA.
Tenant: l04~A ~fibhr~~ . su;te
RESIDENT/OWNER Name. "-Ji75k Phone: (oSI'a3J-SySUj
' Address/ City /Zip: tdM Vj,dv'Lnn~ iAf< ~ysy
~
Applicant is: A Owner _ Contractor
TYPEOFWORK Descriptionofwork: Cc~'~O~I}(on '+'(~_c-D"St(:~c„~ho%'~ u ~vc~r~•G~~
Construction Cost. j ) J Multi-Family Bwlding: (Yes No X)
CONTRACTOR Name: License
Address.
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Resitlential Ventilalion Category t Worksheet • New Energy Code Worksheet
CetBgOry Submitted Submitled
(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 plan7
_Yes _NO If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical ConVactor: Phone:
Sewer & Water ConVactor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions o/
the information may be classified as non-public if you provide specific reasons fhat would permit the Cityto
conclude fhat the are trade secrets.
I hereby acknowletlge that lhis informalion is complete and accurate, that the work will be in conformance wrth the o tlinances and cotles of ihe City of
Eagan; ihat I understand this is not a permit, but only an applicalion for a permit, antl work is not lo start w'tho a ermit; ihat the work will be in
accordance with the approvetl plan in the case of work which requires a review entl approv plan ~
l ~
X ~~>hL,A T" 99 It; X ~
ApplicanPs Printed Name App anTs Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3Season) _ Stortn Damage
~ Single Family _ Garage _ Porch (4Season) _ Exterior Alteration (Single Family)
_ Multi _ Deck _ Porch (ScreeNGazebo/Pergola) _ Ezterior Alteretion (Multi)
_ Ot of _ Plex _ Lower Level _ Pool _ Miscellaneous
_ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building'
Addition Move Building Reroof Demolish Interior
,"teration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ WaterDamage
_ Retaining Wall *Demolftion of ontira buflding -give PCA handout to applicant
DESCRIPTION .
Valuation Q~J Occupancy , . MCES System
Plan Review Code Edition SAC Units
(25%_ 100% ~ Zoning Ciry Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length - Fire Sprinklers
Type of Construction XZA Width
REQUIRED INSPECTIONS
_ Footings (New Building) _ Sheetrock
_ Footings (Deck) Final / C.O. Required
_ Footings (Addition) ~ Final / No C.O. Required
Foundation HVAC
Drein Tile Other:
Roof: _Ice & Water _Final Pool: _Footings _Air/Gas Tests _Final
~ Freming _ Siding: _Stucco Lath _Stone Lath _Brick
~ Fireplace: ~Rough In _~(Air Test /Final Windows
~ Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee Z 7
Surcharge
Plan Review ! ~ ~ J
MCES SAC
City SAC VV
Utility Connection Charge
ri ir~~ ~
S8W Permit & Surcharge ,n
Treatment Plant L9 t~v
Copies
TOTAL
Page 2 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2111 Wuthering Heights Rd
Lot: 005 Block: 078
PID:10- 01800 - 050 -78
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Mark Grundhoefer Construction
706 10th Street
Sartell MN 56377
(320) 333 -5487
Addition: Section 18
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801.4085
9001.2195
Owner:
Deutsche Bank Trust Co Americas Tste
4708 Mercantile Dr
Fort Worth TX 76137
Issued By: Signature
Building
EA089749
06/18/2009
ePermit
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
411,1/
City of Eaaii
Date:
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 #: c)\`"\ �Z \
Permit Fee: `5
Date Received:
Staff:
----�–
�j/20/11 RESIDENTIAL PLUMBING PERMIT APPLICATION
1 -/LJ Site Address: c9///
Tenant:
Suite #:
RESIDENT / OWNER
Name: Phone:
Address / City I Zip:
CONTRACTOR
Name: tic -cam- G 7c `-- ' License #:
Address: .21174.-"5 2/7�...."/%I/� City: TYq1,
State: ii/ti( Zip: 5-5'3.9-,:7-- v7-- Phone: 9..-: - /9 - cc-�l' 7'
Contact 47ea-7,,..L .,C Ereeil: 4". /2 -ZZ/ _5975
TYPE OF WORK
New XReplaceernent Repair _ Rebuild Modify Space Work in R.O.W.
Description of work: ' ' -p-p• /— "
PERMIT TYPE
RESIDENTIAL
Water Softener
Water Heater
.)X Add Plumbing Fixtures ( Main / _ Lower Level)
Lawn Irrigation ( RPZ / PVB)
Water Turnaround
Septic System \b S
2. \.ov•
_New
Abandonment --.11' li:ciC
� �A�\t C,.PN C'ea/_
\Kl
,
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
Fixtures, Septic System Abandonment, Water Tumarou • (includes g.. i i r - urctrarge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc_) (includes $5.00 State Surcharge) 5 OD z
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.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.
Appicant's Printed Mime Applicant's Signature
FOR OFFICE USE
Required Inspections: Under Ground Rough-ln Air Test Gas Test Final
Reviewed By: Date:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118075
Date Issued:10/28/2013
Permit Category:ePermit
Site Address: 2111 Wuthering Heights Rd
Lot:005 Block: 078 Addition: Section 18
PID:10-01800-78-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Brandon Haug
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 -
Joann H Tibbits
2111 Wuthering Heights Rd
Eagan MN 55122
Haug Contracting Group Dba New Line Roofing
3141 Fernbrook Lane N
Plymouth MN 55447
(612) 251-1152
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118270
Date Issued:10/30/2013
Permit Category:ePermit
Site Address: 2111 Wuthering Heights Rd
Lot:005 Block: 078 Addition: Section 18
PID:10-01800-78-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:no header/rough opening change - built up 2"
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Joann H Tibbits
2111 Wuthering Heights Rd
Eagan MN 55122
(651) 592-1919
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
Q E C I ED For Office Use (f
* /
` r e Permit#: � -/ l-
* E AGA N Si 2.018
Permit Fee: S /•
Date Received:
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810
(651)675-56751 TDD: (651)454-85351 FAX:(651)675-5694 Staff:
buildinginspections(aa cityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: Josh and Joann Tibbits Phone: 651-216-8771
Resident/ 2111 Wuthering Heights road
Gyi/ Address/City/Zip:
(11
Applicant is: X Owner Contractor
House d ti
Description of work: it,,7P/14),61;Lar,,147,0g61/7., �vType �3T Wtt `
Construction Cost: /00 7 Multi-Family Building:(Yes /No X )
Company: eff Allen Construction Contact: Jeff McLaughlin
f f iC 1' Address: 6 055City: l' P�C�4 L�
?p
Stater IV Zip: • Phone: 6152- .� Email: J �tev 4,0r\i1-feketl' A rn,t3:1 1. "'*
Licens . tLead Certificate#: ' �' 60641
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
M;Plans and SuPinattinb documents drat you suiriiifare considered to be public l»f'+rnat . Mins of the infotmettoo may be
classified as nyvublic if;Youfiroelde Velreasons that would alt the aty to cocottes t t they are trade semas
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.cityofeanan.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. 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.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 stn ' out a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appy f plans.
x 'J Dsk —11‘6131k5 x /
Applicant's Printed Name Ap nt's Signature
.
c_;,9I 11 itkT1162/ ._ 116-igkis kci. / //�?.
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage $Porch(4-Season) _ Exterior Alteration(Multi)
Multi Deck ` Porch(Screen/Gazebo/Pergola) — Miscellaneous
_ 01 of_Piex — Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Ty,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 Occupancy ,...4., MCES System
Plan Review Code Edition \r'1 01. SAC Units
(25% 100% ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction A Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
4 Footings(Deck) Final!C.O. Required
Footings(Addition) / Final 1 No C.O.Required
Foundation HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool: Footings Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control (jf ��1 h ik62
Braced Walls Other:
/ X11 t^/
Reviewed By: 1 2 ,Building Inspector J ;r 14414,,,tvi j,,tv rti ,
r
RESIDENTIAL FEES lic'r 7t otdi
Base Fee /
C� /
Surcharge
((A) ligp
Plan Review
MCES SAC ' Nig t j' -1`S,i-
City SAC (i_i11
r
Utility Connection Charge
S&W Permit&Surcharge ij
Treatment Plant
Copies
TOTAL
Page 2 of 3
II
, C //
CEIVED For Office Use
/a
�s s � Permit#:
N MAY s 5 1018s� S�
Permit Fee r
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildindinspections(a'citvofeagan.com L-
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Josh and Joann Tibbits 651-216-8771
Name: Phone:
.-... Address/City/Zip:
2111 Wuthering Heights road
Applicant is: X Owner Contractor
Typeo W
Description of work: House addition
' Construction Cost: ilk 15/ova Multi-Family Building:(Yes /No_X )
eff Allen Construction Jeff McLaughlin
Company:• Contact:
>
Address: 6& J I " r • ./ City: Nw P f`Z Lke
#`a;tc _ r �J
Stater Zip:5 •r Phone: L117-2 ' mail J csa1�[v‘ ,Nii'riu,1;<00,4.9 r1G.;l•cci,n
- J
Licens• v 6? )O):- Lead Certificate#: ' ' �1-i- C) 6-- 66k1
If the project is exempt from lead certification, please explain why:
P€.1-1A0 o be -, pefie ` 16:>/ 1,10,-Kee-L)
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:
Fire Suppression Contractor: Phone:
1 T Plans and;sup�ng document t yotr tett tt ate der d t.be rn anon ons ofthet atPe tube
5,'- blf�. : -.. :vid'e reasons,than+ou.
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.citvofeagan.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. 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
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 sta out a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appy /f�ppll�a{ns.
/' ' -
x �05k1'1,'.661'1C.5x
Applicant's Printed Name Ap ant's Signature
I
--_-s----- /
DO NOT WRITE BELOW THIS LINE c9 f/ l 61,4--KifitC/ 11C—( /l �= /SUB TYPES '
Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
)4`Addition _ Move Building Reroof _ Demolish Interior
f 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 P./) '11!71 1 Occupancy .Lr/PL/1.' MCES System
Plan Review Code Edition ,t A 6 SAC Units
(25%_ 100% % ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
ooffg a eok),• ,, , ,..'-~ Final I C.O. Required
kibAF tingstion) Final/No C.O. Required
Fou ation Foundation Bv,..., efore Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: Ice& a Ina Pool: Footings _Air/Gas Tests _Final
yFraming 30 Minutes y 1 Hour Drain Tile
j( Fireplace: 1[, Rough In y Air Test -Final Aj Siding:_Stucco Lath _Stone Lath _Brick EFIS
Insulation f Windows
A, Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
JC Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 11, , Building Inspector
RESIDENTIAL FEES ,tv 72A2 Xj
Base Fee ,
Surcharge rv) A-41v 7 ; "` 679; 94n-40
Plan Review
MCES SAC ) 31 x. -D .:
/ 11700
City SAC1A
Utility Connection Charge 0f. A9' 0Lj t9 0X 1 2. /
S&W Permit&Surcharge 1` / A
Treatment Plant ,f-tflh,vI jh+v . V 0
Copies 19 ,1, ( "/i
TOTAL ..�
Page 2 of 3
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18B
ECORDE
TIBBITS DDMON.
KNOW ALL PERSONS BY THESE PRESENTS: That Joann H. Tibbits and Joshua D. Tibbits, husband and wife, owners of the following described property:
All that part 'of Government Lots 5 and 7, Section 18, Township 27, Range 23, Dakota County, Minnesota, described as follows: Commencing at a point on the south line of said Government Lot 7, said south line having an assumed
bearing of North 89 degrees 58 minutes 00 seconds East, 792.51 feet east of the southwest corner of said Government Lot 7; thence North a distance of 636 feet to the actual point of beginning of the tract to be described; thence
e
_ angle right 50 degrees a distance of 193.6 feet; thence angle left 90 degrees a distance of 225 feet; thence angle left 90 degrees a distance of 193.6 feet; thence angle left 90 degrees a distance of 225 feet to the place of beginning.
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Have caused the same to be surveyed and platted as TIBBITS ADDITION and does hereby dedicate to the public, for public use the public way, and the drainage and utility easements as created by this plata
..,, In witness whereof said Joann H. Tibbits and Joshua D. Tibbits, husband and wife, have hereunto set their hands this day of , 20
i 1 {` i {/
\
Joann H. Tibbits Joshua D. Tibbits
STATE OF MINNESOTA
COUNTY OF
This instrument was acknowledged before me on by Joann H. Tibbits and Joshua D. Tibbits, husband and wife.
41
0 r7
(Print Name)
0o Notary Public, County,
< / / / \ \ �QMy Commission Expires
LOT 1 \
-__ g0• -, I Lynn P. Caswell do hereby certify that this plat was prepared by me or under my direct supervision; that I am a duly Licensed Land Surveyor in the State of Minnesota; that this plat is a correct representation of the boundary survey; that
\\\ �G�' / y j \\\ `\ _ all mathematical data and labels are correctly designated on this plat; that all monuments depicted on this plat have been or will be correctly set within one year; that all water boundaries and wet lands, as defined in Minnesota Statutes,
L 0
c- Section 505.01, Subd. 3, as of the date of this certificate are shown and labeled on this plat; and that all public ways are shown and labeled on this plat.
' 90• \ �� \
/---License Dated this day of , 20
\-\o �s, Y , / / No. 14376
pprg.—N QO Lynn P. Caswell, Land Surveyor
0.Q - - Minnesota License Number. 13057
\ :, 6=90'00, 0
O 00.
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. �{, �Q \✓\t R=5p;�� / / O STATE OF MINNESOTA
78.54 \1/ .y6
r.
s SO • COUNTY OF
' / o I --License
! o No. 14376
This instrument was acknowledged before me on , by Lynn P. Caswell.
/ a (Print Name)
Notary Public, County,
00 My Commission Expires
1
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CITY COUNCIL, CITY OF EAGAN, COUNTY OF DAKOTA, STATE OF MINNESOTA
z \ This plat was approved by the City Council of Eagan, Minnesota this day of , 20 and hereby certifies compliance with all requirements as set forth in Minnesota Statutes, Section 505.03, Subd. 2.
ON O
C7 �_: O
4 -By ,Mayor
006 n
C I
By , Clerk
I i� 1 1 / r r♦ r� r 1 1 n r,\ r� 1 —1— 1 /\ n{
1 1 11 ! 1 I I 11\1
Y L— 1 \ L J L— L— L— I \ L/ L S I 1 {\/ 1 V
COUNTY SURVEYOR, COUNTY OF DAKOTA, STATE OF MINNESOTA
1519•
s8- J hereby certify that in accordance with Minnesota Statutes, Section 505.021, Subd. 11, this plat has been reviewed and approved this day of 20_
N89'58'00"E 792.51---=
By
' Todd B. Tollefson, Dakota County Surveyor
\'--SW car. of Gov't Lot 7, �-- S. line of Gov't Lot 7,
Sec. 18, T. 27, R. 23 Sec. 18, T. 27, R. 23
Dakota Count Aluminum Monument DEPARTMENT OF PROPERTY TAXATION AND RECORDS, COUNTY OF DAKOTA, STATE OF MINNESOTA
y
Pursuant to Minnesota Statutes, Section 505.021, Subd. 9, taxes payable in the year 20 on the land hereinbefore described have been paid. Also, pursuant to Minnesota Statutes, Section 272.12, there are no delinquent taxes and
transfer entered this day of , 20
DRAINAGE AND UTILITY
EASEMENTS ARE SHOWN THUS:
(Not to Scale)
�I
- �-5
-
II
II
_ L _J L_ J_
10 -10
Being 5 feet in width and adjoining lot
i'nes, unless otherwise shown and 10 feet
n width and adjoining right of way lines
as shown on the plat.
• Denotes 1/2 inch open iron pipe monument
found unless otherwise shown.
Bearings shown are based upon the South line of
Gov't_ Lot 7, Sec. 18, T. 27, R. 23 which has an
assumed bearinc of N89°58'00"E.
•
NORTH
1 INCH = 50 FEET
0 50 100
SCALE IN FEET
%"�� *jv,
solo
NE 1/4
NW 1/4
SE 1/4
�y SW 1/4 �, --SITE
Q �.
Silver Be�
Bell Rd.
No�,�o.
VICINITY MAP
No Scale
Seca 18, T. 27 N, R. 23 W
Joel T. Beckman
Director, Department of Property Taxation and Records
REGISTRAR OF TITLES, COUNTY OF DAKOTA, STATE OF MINNESOTA
I hereby certify that this plat of TIBBITS ADDITION was filed in the office of the Registrar of Titles for public record on this day of , 20 , at o'clock M., and was duly filed in Book
of Plats, Page , as Document Number
Joel T. Beckman
Registrar of Titles
L A N D F O R M
From Site to Finish
----------------- I
a / For Office Use I
r/
n
A
� Permit #:
I Permit Fee:
I I
I I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I Date Received:
(651) 675-56751 TDD: (651) 454-8535 1 FAX: (651) 675-5694 I
Email: buildinginsgections _cityofeagan.com I Staff:
Commercial Plan Submittal: eplans D—cityofeagan.com L — — — — — — — — — — — — — — — —
2018 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of paper plans with all commercial applications as well as an electronic set of the
submittal,
bmitt d via email, CD or flash drive /� I
Date: V Site Address:
Tenant: Suite #:
Resident/Owner Name: c ► Phone:
Address / City / Zip:,j L
��
Name: irt� e � L License 06516
Address: q y o 6 fiv u, City:
Contractor //�Z \\
State: Zip: Phone: [D �.`A; 0 "—'5 9 9!5
Contact: .�. .. Email: d �' I (/l j%It �C'_� 0"� i��-C /`Cr)� �. 0 1M
New ReplacementAdditional Alteration Demolition
^S IIo� - tJ�� F,14
Type of Work Description of work: ���
1 NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
j Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
r.
Permit Type
Air Conditioner Install Piping Processed
s
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under/Above ground Tank (— Install / _ Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge = $ TOTAL FEE
COMMERCIAL FEES
Contract Value $ 3��O. (J OX .01
$60.00 Permit Fee Minimum
$75.00 Underground tank instal lation/removal, includes State Surcharge = $ Permit Fee
Surcharge = Contract Value x $0.0005 = $ Surcharge
If the project valuation is over $1 million, please call for Surcharge = $ TOTAL FEE
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.cityofoaaan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work will con an th 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 s of to t rt o t 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 ROA) A 1, i • AX
Applicant's Printed Name A licant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening
r
. For Office Use
Permit#:
EAGAN
Permit Fee: /6 • U
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginsoectionsacityofeagan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 3/ 7 I`A Site Address: g I ( 1A;1 h i i j T t5 l`
Tenant: 0,5h,t i bb( - Suite#:
E3S Int finer Name: ()06 k1 (66(t5 Phone: S / -)I(,—S.-1 l '1
v l�win t� ka ��v1, M,A ss
Address/City/Zip: j
L2Q
Name: ! $/t' License#:
Address: City:
Contractor
State: Zip: Phone:
Contact: Email:
Type ot work —New Replacement Repair —Rebuild V Modify Space —Work in R.O.W.
Description of work:
Water Heater
Lawn Irrigation ( RPZ/—PVB)
Water Softener
X Add Plumbing Fixtures( 3 Main/ Lower Level)
DescrtOtion
Septic System 1
Description: PON K
New
Connection to City Water from Well
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 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* + $290 for Meter and $190 for Radio Read = $540
*Sewer&Water Permit also required for connection charges
TOTAL FEES$
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.gopherstateonecall.org
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.
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 thi is not a permit, but only an application for a permit, and work is "ot to start without a permit; that the work will be in
accorda' with the approve. 4Ian in the case of work which requires a review and approval of pl.n..
x �' �JQJ1I.t a l b� �S
Appl/ant's Printed ame Applicant Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170483
Date Issued:07/06/2021
Permit Category:ePermit
Site Address: 2111 Wuthering Heights Rd
Lot:1 Block: 1 Addition: Tibbits
PID:10-76390-01-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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 -
Joann H & Joshua D Tibbits
2111 Wurthering Heights Rd
Eagan MN 55122
Think Stucco Llc
6600 Portland Ave S
Minneapolis MN 55423
(612) 721-2011
Applicant/Permitee: Signature Issued By: Signature