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622 Wildflower Way NW DAY/DATE: .iJ L(rE/.1 . ADDRESS : TIME: ~ n~ FTG. FINAL HTG. I` DECK F . ~ FINAL PLBG. FOUNDATION ~ FINAL/C.O. FRAMING FINAL/DECg ROOFING 1DDITION INSULATION FIREPLACE R.I. HTG. POOL I 4J..1' R.I. PLBG. GARAGE X ~ OTHER ~1Jy1.~~ ~ ! L~/~ FoR ~r' / . ,~i ~Z • • CASH RECEIPT ~ CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 oare 19 U ~ aECeweo ~z'I - . L; '{j~ U /L AMOUNT $ C: 8 DOLLARS im ? CASH 0 CHECK ~Y ~'V . _ ? ~ ~L ~ wa FUND OBJECT AMOUIYT L Thank You . BY Whke--PaYws CoPY ~ • l . Yelbw-Posft (`•aPY Pink-FNe Copy . + CASH RECEIPT • ~r CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE raArveo ~ - FNOm AMOUNT & DOLLARS 100 O CASH fl CHECK . FON i , FUND OBJECT AMOUNT Thank You BY ' WFlite-FeyereCopy Yelbw-PosWg Copy PiMc-File Copy rio cc CITY OF EAGAN 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt # To be used for SF D+1C:/G1Jk Est. Value VIO,~O~ Date NGi+ ,19 b,; Site Address 622 Q7A1'FL(*EF VAk OFFICE U3E ONLY Lot 37 Block 3 Sec/Sub. CnUNTli'"-' HQLLOW On Ske Sewage Occupancy MWCC 5yatem 1 Zoning Parcel No. On Site Well (Actual) Const P".ETaCK Bi1I1.DBRA City Water (Ailowable) V^,~ a Name z 9j43 BJ!'~ L'v PRV Required of Stories Address o City L,AKBVILLg Phone 4L1-3351 BoosterPump Length q , Depth , o Name sAME S.F.7otal Footprint S.F. ~ ` Address ~ City Phone APPROVALS FEES ~ a Engr./Assess. Permit 5~14• ufl V W Name 45.00 ~ W Planner Surcharge z~ Address 267.00 ~ Z Cit Phone Council Plan Review y t"~ Y Bldg. Off. SAC, City 00100 I hereby acknowledge lhat I have read this application and state that the Variance SAC, MWCC 5.%•oo information is correct and agree to comply with all applicable State of WaterConn. 550•00 , Minnesota Stalutes and City of Eagan Ordinances. ti Water Meter ~ignature of Permiltee - Road Unit 22 S.OL1 •Ar Building Permit is issued to:.--~';~rSC1' BUILDEHS Treatment P1 204•00 ..o the express condition that all work shatl be done in accordance with all a~plidable State of Minnesota Statutes and City of Eagan Ordinances. Parks 8yild+ng Official ' - TOTAL 2 * CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING RERMIT Receipt # To be used for• PIIIEpLACB Est. Value i QQQ Date JIM 14 Site Ady{kss 622 .YILDI?I.DWR VwY LOt 37 BIOCk 3- SeC/SUb. ON1MY HAi_i.OW OFFICE USE ONLY PafCel N0. Occupancy - FEES Zoning _ W Name SYIAai l31?Y'1NAi8011 (Actual) Const _ Bldg. Permit 23.m o AddreSS 622 HILDlI11IiER YAY (Allowable) - Surchar9e City Phone # ot stories _ _ Plan Review Length Name - LEPIl18KI (1QlRAACTI IlIC Depth - SAC, Ciry 0~ Address 6265 i STg S? N S.F. 7otal U~ City MULL Phone 739-0569 S.F. Footprints _ SAC, Mcwcc F On Site Sewage _ Water Conn W W Name on sice weii - w Water Meter t ox~ AddrBSS MWCC 5ystem _ <W City Phone City Water _ Acct. Deposit PRV Required - S1W Permit I hereby acknowlege that I have read this application and state that the Booster PunV - g11N Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Qrdinances. Treatment PI APPROVALS Signature of Permitee Road Unit A Building Permit is issued to: LEpiNSKI COHTRAM11G Planner - Park Ded. on the express condition ihat all work shall be done in accordance with all Council - applicable State of Minnesola Statutes and Cily ol Eagan Ordinances. Bldg. Off. _ Copies Building Official - Variance - TOTAL 23.30 Permit No. PermR Holder Date Telephone # WATER SEWER PLUMBING H.VA.C. ELECTRIC Inspectfon Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. isul. Fireplace ~ / Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Finai Dedc Ftg. Deck Final Well Pr. Disp. - , CITY QF EAGAN 17768 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used tor DEM Est. Value $1+000 Date APR 27 , 19 90 Site Address 622 MILDFLUWBR StAY OFFICE USE ONLY Lot 37 B?ock 3 Sec/Sub. COUNTRY EiOLLOW PSfC@I N0. Occupancy - FEES Zorting W Name ~I~ LZ~ ~THI~N fActual) Cons1 - Bidg. Permit ZS•~ ~ Address ~LDFLOWR WAY (Albwable) - Sp Surcharge ~ 0 City EAGM Phone 687-0820 # of Stories ~ Length iPlan Review fo Name s~ ' oepin snc. ciry ~OAddress S.F. rotai - snc. Mcwcc ~ City Phone S.F. Foo[prints - On Si1e Sewage _ Water Conn ~ yVj W¢ Name On Site Well - Wa1er Meter _z'5 Address MWCC System - < W City Phone City Water _ Acct. Deposil PRV Required - SM/ Permit I hereby acknowlege thal I have read this application and state that the Boosfer Pump - SAry Surcharge information is correct and agrea to comply with ail applicable State of Minnesota Statutes and City ot Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit BRIAN OR LINDA MA?NISON planner A 8uilding Permit is issued to: - Park Ded. on !he express Condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Olf. _ CoPies Variance - TOTAL 25~~ Building Official Permit No. Permit Holde? Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Oate Insp. Commenis FooGngsl Foundation framing Rooting Rough Pibg. Fiough Htg. Isul. FireplaCe Fnal Fftg. Final Ptbg. Cons1. Meter Plbg. Inspector- Notify Plumber Engr./Pian Bldg. Final Deck Flg. Deck Final f^,C~ 3 D~'~ Well Pr. Disp. CITY OF EAGAN : ~~3~~§830 Pilot Knob Rosd, P.O. Box 21 •199, Eagan, MN 55121 rR 75 PH ON E: 454•8100 BUILDING PERMIT Receipt ~r To be used for Sg I-'uGI=AR Est. Vatue MOW Date !'=Ow 17 ,19 ~j;` Site Address 622 WILDFIXWR WAY OFFICE USE ONLY Lot BloCk 3 Sec/Sub. "OUNTPY 30LUn1 On Slte Sewage Occupancy MWCC System ~ Zoning Parcel No. On Site We11 (Actual) Const cc Name PIf.I'S.H ^ 1lUiLUBItS CityWater X- (Allowable) V-e z Address 454.1 bi %:.CiI LAN PRV Required i0 of Stories ~ o :.A?~w~IIL4o 453-3381 Booster Pump Length ~6 ` City Phone S1' Depth , p Name y~ S.F. Total ~ 4 Address Footprint S.F. ~ City Phone APPROVALS FEES 5 4~a~ Engr./Assess.. Permit W W Name - 4~pp r W Planner Surcharge Address ,pp u Z City Phone Council Plan Review a W BId9. Off. SAG CitY 1~. ~ 00 I hereby acknowtedge that I have read this application and state that the Variance SAC, MWCC - SS~~~ inlormation is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. 67.00 Water Meter Signature of Permittee Road Unit 325•00 A ~~;~~~_~:a~~! Treatment P1 204.00 A Building Permit is issued to: E on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL z ~ ~2 • ~ BuildingOfficial___________- . Permit No. Permft Holder Date Tslsphons # Plumbing H.v.ac. Electric Softener Inspection Dste Insp. Comments Footings I Footings II Foundation Framing .~p Roofing Rough Plbg. _ j j/ 9•~~ G' ~ k Aough Htg. t ii~s Qy ~ v`' Isul. Fireplace Final Htg. Final Plbg. Bidg. Final Cert.Occ. g CS Temp. LP Deck Ftg. Deck Final Well Pr. Disp. • . PERMIT # • MECHANICAL PERMIT RECEIPT # CiTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: P ONE: 454-8100 Site A ress 44!" ' ' " BLDG. TY,PE WOR DPSC ION Lot Block Sec/Sub Res New . ~ Name A I. Mult. Add-on ~o Ad ~ ~ C - - Comm. . Repair . ~ c City f! f ^ ! Phon S Other FEES , e • 7 L Name RES. HVAC 0-100 M BTU -$24.00 c Addr ss ADDITIONAL 50 M BTU - 6.00 DES A/C ON NEW p Ciry Phone CO STRULTION) P~ GAS OUTLETS (MINIMUM - 1 PER PERiYIIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent T_ CFM (ADp $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # - BEYOND $1,000) Other $ FEE S/C: ~ SIGNATURE OF P RMITTEE r- ' TOTAL: FOR: CITY OF EAGAN , . . PERMIT # - g ' PLUMBING PERMIT ' CITY OF EAGAN RECEIPT # , 3830 PILOT KNOB ROAD, EAGAH, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address < BLDG. TYPE WORK DESCRIPTION Lot Block SeciSub Res. New Mult. Add-on ~ Name Comm. Repair ~o Address Other : c Ciry : Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ~ NO. FIXTURES TOTAL , Name ` ' J`~ ~ • ? I Water Closet - $3 00 --L-Bath Tubs - $3.00 c Address ~ ~ • ' = Lavatory - $3.00 ; p C{ry Phone 4E ~Shower -$3.00 ~-Kitchen Sink - $3.00 ~ FEES Urinal/Bidet - $3.00 rt, COMM/IND FEE - 1% OF CONTRACT FEE ~Laundry Tray -$3.00 F' APT. BLDGS - COMM RATE APPLIES ~ Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES ~Water Heater -$i 50 ~ MINIMUM - FiESIDENTIAL FEE - $12.U0 Whirlpool - $3.00 ~ MINIMUM - COMM/IND FEE - $20.00 i-Gas Piping Outlets - $1.50 - STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 K BEYOND $1,000.00) Well - $10.00 R Private Disp. - 510.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE j FEE: P STATE S/C: FOR CITY OF EAGAN GRAND TOTAL• ~ 1N SYEC:`1'lUN KEUUKll CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: 'I.IL k WA'! ri • . . ~ ~ t, ! ~ I~ ~ „ ~ , ~ • . ~ ~ ~ . , ~ . ~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D. . DA ~ ~ . i iR~tc ftf MAi.P . i i.,~~ i i',. ~ ~ i:; . • i ~l r r'~~ f-A4.t 4 q4 H izl.bAf+tllPlii I:i.lCiNii A!. t'1-FiM1 1 AN1i IN`:,I'd L I IirPa • ~ J Permit Holder Date Telephone # PLUMBING H VAC Inspectlon Uate Insp. Comments FOOTINGS 17, & FOUND FRAMING 3 ROOFING ROUGH PLUMBING PLE3G AIR TEST ROUGH HEATING GAS SVC TEST INSUL ZB• e 7 GYP BOAfiD FIREPLACE FIREPLACE ,p AIF TEST Z'~ 7B FINAL PLBG FINAL HTG ORSAT - - - TEST BLDG FINAL 7 DOMESTIC METER IRFIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TFST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ''~?°F? Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ;.icR wav PERMIT SUBTYPE: TYPE OF WORK: , . . • ' ~ ~ . . . . I . . INSPECTION DA • D• ' ~ ' ~Z;, •i ~I i'• il~ IN~~ i:un? r•i (~,~ia;, L~ ~ Permit Holder DetB Telephone N PLUMBING HVAC Inspectfon Date Insp. Comments FOOTINGS FOUND ~ FRAMING ROOFING G ~w I ROUGH I PLUMBING PLBG I AIR TEST I ROUGH HEATING GAS SVC I TEST INSUL GYP BOARD i FIREPLACE I _ I FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYOROSTATIC TEST BSMT R.I. BSMT FINAL rECK FTG K FINAL _ . _ . . ` ,s . a e.• . . o . , ~ ~ - ~ . (terfif iratir of Mrr~vanry . titp of eagan lgppartmett# o# luilamg Jitaprriinn This Cernficate issued pursuant to the requirements of Section 306 of the Uniforrn Building Code cerlifying fhat at rhe tinre of issuance this structure wsrr.s in compliance wilh the varrous ordinances of tite City regulating building constructivn or use. For the following: u. abfiaaa, SF M/C~R swe. I-ermit nb. 15875 0-„puwy, rype" R3/M! Zonimg Dis&wt R 1 Tya C-, Vtd o,,,na or HUdding PMEM BOIIDER.S Addfm 9543 BIRi}I TAM, IAKEVII,iE DWiding Addrm 622 ~LQ~IER WAY Lomuty L37, B3, 00[R+TIRY EMClW n.k; .TAPXIARY 30. 1989 ' euilmns ofrwaf 7- POST IN A CONSPICUOUS PLACE . . ' . " . ~ "k~~ 1~ ~':'x-~-'- ".t'' ' - ~ ' ' ' - i CITY OF EAGAN = Permit No: '"1A-e -I'A" Date: 12/6188 ~ 3830 Prlot knob Road Meter : RQ Box 21199 SLL 3( 02 g~ Size: ~ 121 " 2 Date: L~ - Eagan, MN 55 0-0~, Owner. j)IZ,, Site Address:-622 iilLnF;,()kt~;K WA'i,; 37 , B3, COUNTRY HOLL Plumber. MATTNFW DANIELS Conn. Chg: _ t 5 50. p0 pd Zoning: R-1 Acct Dep: L00 nd No. of Units: 1 Permit Fee: - 10 00 Fd 5urcharge: 0 nd I agree to comply with the City oi Eagan Tr. Plant 2p~~ ~p pct prdinan es. Meter. 67 cu~ pd ~J ~ MISC.:-av~ ~~~Itl orn B / _ y WATER SERVICE PERMIT ~ - ~ CITY OF fAGAN° Permit No: ~ Date: 12i501 38::0 e ilot Knob Road Meter No: Size: P.O. Boa 21189 Reader No: Date: EBgan, MN 55121 Owner. `p s eTSCH ELDP.S Site Address: 522 WI~PLOWEY wA'?'. . , • . ° - • Plumber. MATTHI-I"ii tJAM1 EL5 Conn. Chg: 5"D•oo Pa Zoning Acct Dep: 115•00 p° No. of Units: ' Permit Fee: Surcharge: • S0 pd 1 agree ta comply with the City oi Eagan Tr. Plant 'AU Ordinances. Meter. 67•00 vd Misc.:_ BY WATER SERVICE PERMIT Cil'M AF.i AGANx Permit No: ii21LZ Date: :21t?188 • L 3830 Pllot Knob Road B/ P No: ~ i" ` Date: P.O. Bdx 21199 Eagan, MN 55121 Owner. ~~CT~~H ^OP:;=,T Q2 W?LC3:'LOkt.F. 4rF•'~ L2,17, B3, ::t~r;:~7{?z `.1i,~'-..I,`'., ' Site Address: Plumber. ^'-AiT4Eq DANIELS kiWCC: QQ Fd Zoning. R- 1 ~ City Ch9: 1'k'00 pd No. of Units: ACCt. Dep: ` 1' X0 ^d r Permit Fee: I agree to comply with the City of Eagan rcharge: ~ Dd G~~ Ordinances. SuMisc.: By SEWER SERVICE PERMIT r NO CO WITHOUT ENG APPROVAL CITY OF EAGAN 3830 Pllot Knob Road, P.O. Box 21•199, Ea9an, MN 55121 N? 15875 BUILUING PE iRMIT PHONE: 454-8100 Receipt # <~G ,-C a 7o be used for SF DWG/GAR Est. Value $90,000 Date NOV 17 ,19 88 Site Address 622 WILDFLOWER WAY OFFICE USE ONLY Lot 37 Block 3 Sec/SubCOl1NTRY HOLLOW OnSiteSewage - Occupancy R-3 M-1 . MWCC System _X- Zoning R-1 ParoelNo. OnSiteWell _ (ACtuaqConst V-N a Name PIETSCH BUILDERS Cirywater X (nnowable) V-N w PRV Required x u of Stories ; Address 9543 BIRCH LN 0 City LAKEVILLE phone 461-3381 BoosterPump _ Length 48' Depth 51' , p Name SAME S.F.TOtal ~ Q AddrBSS Footprint S.F. : City Phone pppROVALS FEES W w Engr./ASSess. Permit 534.00 Name 45.00 Planner Surcharge i ~ Address 267.00 a W City Phone Council Plan Review a BIdg.Off. SAQCity 100.00 I hereby acknowledge thet I have read this application antl state that the Variance SAC, MWCC 550.00 information is correct and agree to comply with all applicable St Water Conn. 550.00 Minnesota Stetutes and C!y-ofi gan Ordinances. 67.00 Signature of Permitte - Water Meter Road Unif 'i 7 S_ l1f1 A euiming Permit is issuetl to:_pIETSSJH_$U7LDERS TreatmeM Pi _104..0 O on ihe express cond ition that all work shall be done in accordance with all applicable Slate of Minnesota Statutes and City of Eagan Ortlinances. Parks Building Official_A"rn\r" _ TOTAL 2, 642.00 - CITY OF EAGAN NO 17768 z. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8700 Receipt # ~b:,7 TobeusedFor DECK EstValue $1,000 Dace APR 27 , ig90 ~ Site Address 622 WILDFLOWER WAY Lot 37 Block 3 SeGSub. COUNTRY HOLLOW OFFICE USE ONLY PflfC21 N0. Occupancy - FEES Zoning - w Name BRIAN & LINDA MATHISON (Actual)COnst _ BIdg.Permit 25.00 o Address 622 WILDFLOWER WAY (Allowable) - O Cit EAGAN Phone 687-0820 # oi Stories Sumharge .5 Y Length 1~F ~ . Plan Review fo Name SAME Deplh 161 SnG ciry Address S.F.TOtal ~p - SAC,MCWCC " Cily PhOftB S.F. Footprints - On Site Sewage _ Waler Conn ~Q $u~ Name On Sile Well - Waler Meter AddfB55 MWCC System _ aw C11y PhOnO City Water _ Acct. Deposit PRV Required - S/W Permil I hereby acknowlege that I have read this application and state that the Boostar Pump - SiW Surcharge intortnation is correct and agree to compty with all applicable Slate of Minnesola Statutes and dy o~ Eagan Ordinafn ys. Treatment PI Signalure of Permitee ~~~'w{'1 ^ APPROVALS Road Unit . A euilding Permit is issued to: BRIAN OR LINDA MATHISON Planner - park Ded. on the ezpress condition Ihat all work shall 6e tlone in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bidg. Off. Copies j 11 ,L~I Variance - TOTAL 25.50 Buildin9 Official ,~tkiA 4l 4 ~ ~ CITY OF EAGAN ryQ ,19255 41 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 " PHONE:454-8100 BUILDING PERMIT Receipt # To be us d for ' FIREPLACE Est. Value $1,000 Date .7UN 14 , 1991 Site Address 622 WILDFLOWER WAY LOf 37 BIOCk 3 SeC/SUb. CDUNTRY HOLLOW OFFICE USE ONLY Parcel No. occupancy - Feeszoning - W Name BRIAN MATHAISON (qctuaqConst - 8ldg.Permit 25.00 ; Address 622 WILDFLOWER WAY (Allawa6le) 0 City EAGAN Phone N ol5tories _ Surcharge . 50 Lenglh _ Plan Review o Name LEPINSKI CONTRACTING INC p¢plh - SAQ City Adtlress 6265 15TH ST N S.F. rotai ur City OAKDALE phone 739-0569 S.F. Footprims _ SAC, MCWCC On Site Sewage _ Water Conn F1.1; Name On Site Well - Water Meler Address n+wccsysier~, ~cl. Deposit iCity Phone City Waler - PRV Required - S/W Permit 1 hereby acknowlege that I have read this application and state that ihe Booster Pump - S/W Surcharge information is correct and aqree to comply with all applicable Stale of Minnesota StaNtes and Cily of gan Oriances. Treatment PI Signature of Permit6e APPqO4ALS Road Unil A Building Parmil is issued to: LEPI CI CONTRACTING Planner - park Ded. on ihe expres5 condilion that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Otticial fiN 1;.~~~ Variance - TOTAL • 7U ~ BLDG. PERMIT NO. oc~.t% . ~ 01-3210 Bldg. Permit ~ ~ - OC) ~ 01-3422 PlanCheck 013445 Surch./Adm. l~ J ~ 013446 SAC/Adm. J ~ 01-2155 Surcharge y ~ L 75-3860 Road Unit - 0zs ~ 20-2275 SAC S'y y ~U ~ 20-3865 Water Conn. C o 20-3868 Water Trmt oc ~ 20-3716 Water Meter 20-2252 Acct. Dep. ~ 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. O U OC) 28-3855 Park Ded. TOTAL c, ~ /,97/ri!/8'S` 9c103 E 8 6 4 0 34 39 49,9 ~ - ~ ~-P~? °v Request 0ate Fire Pb. Roug spection ? ~ Requityi Ready Now ~.Will Nolity Inspedor ~Yes ? Na When ReaCy.+ 1 I$rlicensec( conhacior Q owner here6y request inspection of above electrical wwk at - Job Adtlrese (Street, Box or Route No.) City W IL FLa R, w Y ~ t & 14 Seclion No. I Tavnehip Name or No. Farge No. Counry Ulco-tk, Occupam (PRIN'n Pfiona No. DaU 6 f°rG c cr~ t- Power Supplier Atltlress O L f" it'- iH GT- 0 /w Elecincal ConVactor (Compeiry Name) - - - ConUactor9 License No. 6 : c. ``o4-C/ .2yr~ Mailing Atltlress (CoMrector w Owner Meking Installation) ;L o Y Authorizetl Sgneture ontrector/Own¢r Making natelletion) P~ane Number /?°t^, MINNESOTA STATE BOAAO OF ELECTFlICRY THIS INSPECTION REQVESi WILL N07 Grlggs-Midway Bltlp. - Room 5173 BE ACCEPTED BY THE STATE 80AR0 1821 Uplverally Aw., St. Paul, MN 55106 - UNLESS PFOPER INSPECTON FEE IS Phone (612) 602-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ~ Ee-oaom-m ? See instrudlona fur compleUng ihis torm on tack of yHlow copy. E 8 6 40 3 'x" Below*ork Covered by This Request e Atltl Rep. TypeofBuilding AppliancesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater lElecthc Healing Apt. Building Dryer ther (Specify) Comm./Indusirial Furnace Farm ' Air Conditioner other (sPeciry) convacmr§ aemarks: W I f~, l I}yr ( ~j Compute Inspection Fee 8elow: N E, l/J H Lf LA S ~ . # Other Fee # ServiceEntrance5ize Fee # Circuits/Faeders Fee Swimming Pool 0 to 200 Amps I,QQ JJ2 O to 100 Amps 61Q Transformars Above 200 _ Amps A6ove 100 _ Amps Signs Inspeclor§ Use onty: L r f"V Irrigation Booms ~ pC/ )Y f ! ~ Special Inspection AIarMCommunication Other Fee I, the Electrical Inspector, hE2by Rough-in csrtify that the above inspection has Final been made. ~ OFFlCE USE ONLY Thie requast vaid 18 monlhs From 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 5 / ~ ! ~ Site Street Address a i 16f Unit # ~ . PropertyOwner Telephone# Contractor ~ A 11 Ajl l,~ , . Telephone# (Io~a)~ ngbO Address ~1'4- -309- Al t~ Sk~J City HUA~ State ~ Zip 553XJ The Applicant is: _ Owner V Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ replacement _ additional V/1"Lawn Irrigation System RPZ new repair _re6uild $ 30.00 State Surcharge $ 50 Total $ ~v~O I hereby apply for a Residential Plumbing Permit and acknowledge that the information is compiete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a pian is required to be reviewed and approved. 1 pF t~11JIS W ~tvF-~ ApplicanYs Printed Name ApplicanYs Signature PAY ~ n j~~ 0 5 Z004 ' " ~ ~ 1988 BUILDING PERMIT APPLICATIDN - CITY OF EAGAN SINGLE FAMILY DWELLINGS 1 .6 q ~ INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs 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 IINITS FOR SALE UNITS # OF ONITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: Date: A-~IdLr Site Address Z12 ;r<?,Z LLe~L~i4 DDOOFFICE USE ONLY 90~ Lot ~L Bloek ~ On site sewage_ Occupaney MWCC system ? Zoning fZ- I Parcel/Sub On site well Actual Const V-N City water JC Allowable V- N Owner /~~jti,.._ PRV required of stories Booster Pump _ Length yT Address Depth S.F. Total City/Zip Code • Footprint S.F. Phone APPROVALS E'EES Contraetor Engr/Assess Permit J34oO Planner Sureharge y5,pp Address Council Plan Review 6•0 b 0 Hldg. Off. ~ II Ilo SAC, City 100,0 City/Zip Code t' ?3-',0 - Variance SAC, MWCC 0 1 Ov Water Conn 5S0,Op Phone :qdl- 3'To Water Meter 6 ov Road Unit 2S0a Areh./Engr. Treatment Pl Zi-P ,C;11> Parks Address Copies j TOTAL City/Zip Code ! Phone Ik VALuA7l(3k\) z2xZy~ S2- r6,x i4= 39Z ~s?vr~' 74~u3y geY 3 2-y ~ 1 30Li x~3= iG~Sz ~ouSC $`a?'~-r = 13,,41 r 1~~ Xyq= ~5121 i gg y(a 5 Gi~TSCN Bu~~~RS cnri.s~l~.il~lo cnonlcens # /893.0/ pNGlN6E(i1NG rLniu1Ens otid in~~n iunvEVOns CoMPnN4'~ INC. L 1000 LAST 1461to SillEEl, IfU11115VILLE, ?1111uESOIA 543377 PII 4223000 ~C~ r-~` z~'i c cz r e c~ S tac. r- xr-e ~ LOT 37, BLOGK J. CovNTRY HOLLDIy . DAKOTR COvNTY, M//V/VESoTA W1LDFLOW62 W/1V N88°5"o'ao"E ni u.sr a ~ezL,a~ o R 2~ , ~ ~7.~ ~-P-~ L= er,DZ ENGIPdEERING AEPT I ~ SET~qGC L/NE 0 ^sz4,o' ~ I 3•C 1 ELEYAT/ON ~.ao z I M , ~~23,0~ I n~ ry1 C824, o ) OENOTE$ PROPOSEp '^r1 N d9'P~6E ~•I ~BL4;o~ ~ ~ 1_ ~ ~ lU e.eo ~ 27 00 .n o i- ECE l/f1T/ON t~82¢0~ ~ 25.66 ~ ~ \ PR poSEa ~I z" , i ~s--- /NDICATES D/,PECT/ON SV2FACE OR41A146E I . od, ~'1 ! V ~ ~ I r. ~ ~ .u ~v ~ ~ 38.00 °1 ~ ~ B2~i:33 = F/N/5'HED 69.P.96~' ~ (&t4,o~ "t~ ~'coO.e 5.1EV97'MA/ W3:0. ~8L4,o~ ~ I ! x\ ~ ~~z3,o1 1 ~ez3s) ~ _ _ . ' 15 ~ 7 , ~ I DR9/NA6E ANO 13 I UTIL/7Y EA9EME1VT G2 ~ ~BZ4 0~ o / I 4. 35 00,~ Lvqy' a Z! N ~b po i oVo RE0 ~~ED 1a'nd rasYaho+rniaiid tdcscribed ihereonue ~ed{~~cat,ract epared byrrne6nntthiiti daysvtot /~/o MQ6 ~ 14 ' , ~ :,f 1111u1. ?l~b• lio' /^aS . ~yX DATE GUOv_ EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER szxE nnnxsss CONTRACTOR~/~/~ /sji,~(,.~[1Jfd ADDRESS PHONE DETERMINE WORRING SQUARE FOOTAGE OF EACA. 1. Total exposed wall area 3~ aq: ft. x 1(L m a~, 2. Total roof/ceiling area sq. ft. x~(e Total expoaed wall area above floor a. Total wall window area ~ b. Total door area c. Total sliding glase door.area 39.9~ d. Total fireplace wall area e. Total wall framing area (average lOx) 77 f. Total net wall area above floor J369•3a g. Total rim joist'area / 3q-6-t Total exposed foundation area = cPO ' h. Total fouadatlon window area 1. Total net foundation area above grade JPn_- ' Determine "Q" value of each aall aegment. 8. Aw- q~ x„II„ b. 3xItIIs, , l,lo . . a. s 2 C. 39.Q~ x „u„ a. g toolt , v3 - D e, g nUn , D( f. 1310q-30 x „II„ ~vy__ g. 13 q-s8 girot, . o y . h. x 'ro" • Z~ i. 90- S z x „u,. , /b 3 . ...............................Total 6 a - If item #3 is the same ae, or lese than item 1l1. you have met the intent of SBC 6006 (02. -1- , Yage. G at '1 ~ ~ - . . . . . . . ' Total expoaed roof(ceiling area Total skylight area 02 k. Total roof/ceiling ...framing.....area.....(.aver....ag..e.3..07>) 1. Total net inaulated roof/ceiling area Determine "II" value for each roof/ceiling segment. ~dO~CP'~ % nU° ~`JJ . 0-U - k. 135' x troll i. /J9B x ,tvt, 4 ..........................................Tota1 If total of #4 is the same as, or leae than 02, qou have met the intent af SBC 6006(c)1. Alternate Building Envelope Deeign To ut3lize the total.envelope apetem method, the values establlehed by the aum of items A3 and 9E4 shall not Be greater than the sum of items #l and $2. + 2. :75i 119 a OC-/ /i / :57 . . 3. i/g. + 4. _Z_ PERMIT ~ CITY OF EAGAN pERMIT TYPE: 3830 Pilpt Knob Road B U I L D I N G Eragan~ Minnesota 55122-1897 Permit Number: 033251 (612) 681-4675 Date Issued: 0 9! 16 / 9 s SITE ADDRESS: 622 WZLDFLOWER WAY LQ7: 37 BLOCK: 3 COUNTRY HOLIOW p.I.N.: 10-18275-370-03 DESCRIPTION: _ 3 SEASIJN V ;~n§~;Permit Type SF pORCH i2ding Wkrk Type NEW ' e 0%,U 8~ Cpde y=s,., _ 434 ALT. RESIDENTIAL g~ y2 Ft ' N p s A ~ .n ...d ' •ps' rtil ' a P t w9Y v . €"s"-M ~ ;tEn ez Tn s b ~ c^y i*n r "3 r r t#" a T a h dtb. §qa 3llb ;.p t J'-aG rr €1 YI ~ ~ REMARKS: PLAN REVIEWED BY CRAIG NOVACZYK. CALL 445-2840 REGARDTNG E1.ECTRICAL PGRMIT AND IN5PEC7IONS. FEE SUMMARY: VALUATION $9,000 Base Fee $149.75 Surcharge $4.50 Total Fee $154.25 ~ CONTRACTOR: OWNER: - Applicant - MATHISQN sRaxN 622 WILDFLOWER WAY EAGAN MN 55123 . (651)430-5914 ~-rereby j.acltnaw1-ed94 -Chat I; tia~/e r"ead "dpp2icatxcrrr an`d stiCe, tllot tY7e f.s orirrect ancl agree CQ co:~rpk~+ with ,~lk: app~,~~abl~ St~te of hin. E~gah Qre~irt~nce~z , - ~ ~ti 9AA l~C7'T~y ~ APPLICANT/PERMITEE SIGNATURE CNSUED BV: SIGNAT RE ~ i iA... C:L'TY f.il'' 41:AG;AN C.'A!:iH]:El;:i S T!:::6<Ml'NAI.. NLI;; 865 DA"fr„ 091J.FiSf; i7:Ptl-: 150024 . I I~ c ' i. NAM! : L..l:NryA R MA'ili.T..>ntt 3c'l,f.l 90[31 f,i'r HSL..BI=l..f..iWi:_h' ~.h.<') 75 ' ^c:l.t=i5 90,09. tic?rr? Wl:l._I1F'1_C.}b.lE_fi 4.50 ~ Tp'I;a:L Rr.:!rE!1.pt, Amr.]i,tY}i; ^ CF.f.:J9'74 :1..'i3 1.54„?:, lJ.'.iili!:i? I?tg NANf;y , „ I I I ~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIATG) CITY OF EAGAN 1 3830 PII.OT KNOB RD - 65122 : • • e814e75 New Cans2vstiar RpAL imments RemodeVReoair Reauirements (1 11 _ ( QA_JLY~-'l.(1J ? 3 fegis¢sred site suiveys • 2 copies of plan ? 2 eopies o4 plans (inGude haem 8 window sizes; poure0 fid. design: eta) ? 2 site surveys (ezlerior adORions 8 decks) ? 7 energy calwlations ? 1 energy calcuWtions for heated addkions ? 3 copies of Vee presenation plan if IM platted after 771193 required: p Yes _ No DATE: CONSTRUCTION COST; RIPTION OF WORK: L~/t 1L~ ~o~ oh! ~~1~lyC~ X I EG u~ ~ ic! STREET _DDRESS: lo ZZ LVILDFLau)Eh I.UNY I.AT: F3LOCK: SUBD./P.I.D. 090gY' ~ 4?0_641+ Pl`( Name: r0~415~9,-' Phone#: 6/J'l-ogeo f'}oYnc PROPERTY 1.est First OWNER J / Street Address: (022 j~1 /siLU~. f= ciri EavP.~ state: M~1 Zip: S~5 a 23 Comaany: Phone CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone Nazne: Registration Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction ony): . Penafry applies when address chang and lot change is requested once pecmit is issued. I hereby acknowledge that I have read this applicaBon and state that the infortnation is cortect and agree ta wmply wRh all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 04LV~ U• `/~'~fi~-~'v-a~~ f pM @ ~od~ QFFICE USE ONLY Certificates of Survey Received _ Yes _ No ~Tree Preservation Plan Received - Yes - No _ Not Requ OFFICE USE ONLY - . . , BUILDING PERMIT TYPE 13 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish O 02 SF Dwelling ? 07 4-plex O 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 &plex ? 73 Garage/Accessory ? 20 Public Facility CT 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscelianeous ? 05 5F Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move 'SJ 32 Addition ? 34 Reoair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Aliowable) Main level sq. ft. ~l % City Water UBC Occupancy sq. ft. " Fire Sprinklered 2oning sq. ft. PRV # of Stories / sq. ft. Booster Pump Length /'f' sq. ft. Census Code. = Depth 16, Footprint sq. ft. _ SAC Code e,7""- Census Bldg o; Census Unit ~ APPROVALS Planning Building (11i~ ~ Engineering Variance ~ a- Permit Fee Valuation: Surcharge Plan Revew Li~;c~ MCNVS SAC pU 0 - , City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PL ~ Park Ded. Trails Ded. Other Copies - . ~ . ~ Total: " °k SAC SAC Units . ~ . PiE7SCH ~u/~G~,eS ~N6~(iING [nnS~1~.lUto tliul~ItEns #/89~,0/ r~niuiEns and LOIIU gUIlVEYO(IS G1 CornnnNY, itvc. 1000 C.AST I461tl 51I1EE'1, tlUiIIISVILLE, 4111111ESOIA 55337 1'Il ~32-Dp00 C4f'Z r~* LDT 37, .BLOCK CovNTR)' yOLLDYV • U/~KOTf~ COvNTY M/NNES07;q L1//LDFLOWE„Q WAY ~;~21. ooi 8Z%e ~ r g N6B°so'aa"E n, , n.., . ~ 0 ~9Z/ 8' s• ~ ^ p . _ . ~ R, ~ l y _ <;~`"•-,i.r~-~;:'':i:iG; a^;.:;~•i, (82Z.~j ~ 3d' FRONT Bu/L1~/NG a I jj .5ETB9CX LiNE BZ -~~i CS23:o~ 015NO7ES &7X1ST1N6 ~rao 24~ 3 ~@L4o~ ~ ~~l ELEI/.9T/D%l/ ry p~~.~ M ~~230~ I~ ^ O iVl ~ (az4;o~ ~ p I p6-1V07E5 PRaPO.SED ~ W zz \ E[EI/yT/oN ~ ~8Z3,8 ~ PRppoSE s,,y f ~j . C~ a /ND/CATES D/RECT/0/V rN, ~ ~ v ; I OF S~~PGACE PR4/N46E (gz4.o~ 36,00 \j i I B24.33 = F/N/9HE0 G/~.P/!6E FcOO.p E"CEIiAT/ON I 1a2~ S\~ ' ' I I 37 - ~ I D!'91NA6E 4/v0 1 LO UT/L/7Y EA9Eiti1EI/T 51 A ' s~ JI1 ~gZ9,o) o / I Q'• 35 ~ BZ~.9 • N 7b° z1, no' P g...R.8 V. RiE,+ U'RED ert by certity thet tliie Sn n t:ue end cvrrect rnpres~ntation oC a tract of d•s ahoxn' arid deearibcJ herevn•. Ae prepartd by lna nii th1.s 1¢4N' day n! . ~I!~MBE~ ~ 19 • t-.: f jllflfl. n.a lio, /doRS PERMIT CITY OF EAGAN PERMIT TYPE: 3830 Pilat Knob Road B U I L D I N G Eagan,Minnesota55122-1897 ' PermitNumber: 033096 (612) 681-4675 Date Issued: 0 9/ 01 / 9 8 SITE ADDRESS: 622 WILDFLOWER WAY • LOT: 37 BLOCK: 3 COUNTRY HOLLOW P.I.N.: 10-18275-370-03 DESCRIPTION: REROOF/SKYLIGHTS . BUi`7.d1'6'g±PermiC Type STORM DAMAGE Bu/ilding Wdrk Type ftEPAIR .G' ensus Cade434 ALT. RESIDENTIAL r F/ . j,„....~ ~ t , ir : tis..5r . - ~.Yf'..,C.,. . ~+r.\ i i 1:4'.. • ~ ~ ...i - ~ . . , - . V REMW~~TNG ROOF AND SKYLIGHTS DUE TO STORM DAMAGE. FEE SUMMARY: CONTRACTOR: OWNER: - a p p 1 i c a n t- MATHISON BRIAN 622 WILDFLOWER WNY EAGAN MN 55123 (651)430-5414 I here-by acknowledge that I have read this application and statg thaC the information is correct and agree to comply with all applzcable State af Mrn. Statuxea and City of Eagan 6rdinances. J . _ 'I -ga APPLICANT/PERMITEE SIGNATURE SSUED BY: SIGN URE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAI.) CITY OF EAGAN ~-3 a n L 3830 PII.OT KNOB RD - 55122 681-4675 t New Construction Reauirements RemodeUReoair Reauirements ? 3 registeretl s@e surveys ? 2 copies of plan ? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) • 2 sRe surveys (exteriar adEitione & decks) ? 1 energy caleulations ? 1 energy calculations tor heated addkions • 3 wpies of tree preservation plan H lot platted after 7/1193 required: _ Ves _ No DATE: Z;5 CONSTRUCTION COST; DESCRIPT 014 OF WORK: (~EI LK'~ 1~T ( STojZN1 ~~D STRE T ADDRESS: (OZ2 Wlof~~V-;5p, wf~Y 3'l. LOT: ~ flLOCK: 3 SUBD.lP.I.D. (200 NT(:Y ~OLLD~ 5c~?-14 I 0Cj2-~-O AD Name: I V{ P~T~15t~r1 ~r+l F~/~I Phone PROPERTY ~ Last F'rst OWNER ''q ~~q StreetAddress: (a22 WIL~~Wa~ wp~~( c;t,, pP6A0 scate: mr-~ z,p: Company: Phone CONTRACTOR SReet Address: License # City State: Zip: ARCHITECT/ ~ ENGINEER Company: Phone N: Name: Registration Street Address: - City State: Zip: Sewer 8 water licensed plumber (new conshuction only): . Penally applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this appiication and state that the infortnation is norrect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No _ Not Required B~'~ OFFICE USE ONLY ~ . : BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dweliing ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pooi ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE 0 31 New ? 33 Afterations ? 36 Move ? 32 Addition (J 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review Lil:eli;iP . MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposft S/W Pertnit S/W Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Totai: % SAC SAC Units Y • ~ • , a, • ~ ~ ~ ~ 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SET5 OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SIIRVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET DF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. :,0: CY,AivGE iS RSQJESTSD ^v.~CE 'rcRtilT IS iSStiEU. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: h Valuation: 4--X~ Date: / IO Site Address L22 NJjLPFLej,(/"' } OFFICE USE ONLY Lot 37 Block 3 FEES Occupancy Zoning Parcel/Sub CUU1J]~~ UUdL[l Actual Const Bldg. Permit `,T, Op r ~I Allowable Surcharge O~oner ~7J4f~~ LIl~Dh .84 PTA ISOhj # of stories Plan Review / Length ly' SAC, City Address ~L~T!/FLO/,c7~'~ l/UQY Depth 161 SAC, MWCC 5.:. Totai Watar Gonn City/Zip Code ER(~.>A~~ ~Footprint S.F. Water Meter Acct. Deposit Phone On site sewage_ S/W Permit On site well S/W Surcharge Contractor /'J(~/rv E~ MWCC System _ Treatment P1. City water _ Road Unit Address PRV _ Park Ded. Booster Pump _ Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code (J&Xl!/NG'S PREv10KyL ZNS~E1-~"E.b Phone # aoui i wns Q4TE JOB a A . / e1 pi'~ f ! Es, l 1 onrvcw.r 2 j ~ ~ e r ~,.UaE.~ ~ I 1 DECN / / I rA' _ SCALE: f !X1' ~ SCAIE: DATE DRAAINDI: PLATE NQ FILE NO. - 1991 BUI!I XIT"AP ICATION CITY OF EAGAN i= SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS C019dERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WNEN: TYPING OF PERMIT IS REQUESTED, BUT NDT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: 03560• dd Date: ~ Site Address 6~~ f-Uj~df,(6~uF/> wa~ OFFICE USE ONLY Lot Block ~ EEES ~ Occupancy Bldg. Permit ~ p~ Zoning Surcharge •5- Parcel/Sub C,tr4~r1~~ ~At~,pLJ Actual Const Plan Review Allowable SAC, City Owner BR,IRn) A),47A0 Ln^,) # of stories SAC, MWCC I,ength Water Conn. Address G 2~ w~Lcl F~owf,p w w4 Depth Water Meter S.F. Total Acct. Deposit City/Zip Code Footprint S.F. S/w Permit S/W Surcharge Phone On site sewage_ Treatment P1. On site well Road Unit Contractor 4c^P'iivS,F: MWCC System _ Park Ded. City water Trail Ded. Address /S 7hSTlf PRV _ Copies 55~2 Booster Pump City/Zip Code D.ako'ALs' M nJ • SUBTOTAL APPROVALS Penalty Phone 7-3 9 OS6 q Planner _ Lot Change Council TOTAL Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # agrees that all work shall be done in accordance with (Signatu of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ' ' l1C~i U~cIC 1989 HIIILDI6G PERMIT IPPLICATION CITY OF EAGAN t SINGLE (oas FAMILY DiiELLIIiGS 3 C0184EHCIAL ?EtS OF PLANS 2 36TS OF PL?NS 2 SEfS OF lACHIiECTURAL e'3.r.(3ISSERED SITE 3URYEY3 SEGISYSRED SITE 3IIAPEl3 - i 3lHDCfQltAL PLINS 1 SET OF ENERGY CALCS. (CHECB iiIT6 HLDG DIV.) 1 SST OF SPECIFICATIONS ! SH7 or BWBGT CILCS. 1 SET OF EIiEBGS C9LCS. MOLTIPLE DWELLINGS AENT?L DNITS FOA SlLB ONITS 1 OF OBITS lR=t= tDDRFSSE4 FOH CORREH LO?S - COPTRACfOA/SOMEOWNEB !lOST DESIGPAiE iiHIC6 iDDRESS IS DESIRED. AO CHANGES WILL HE 1LL01iED ONCE HOILDING PERMIT I3 ISSDED.. SEiiiR i ii?TER YERKTf FEES iRD iCCOB?7T TiEPOSIT F6E5 VII.L Sfi INCLDDED WITH 3`HE HQ2LDINa PERMIT FEE. PAOCFSSING SIME FGR SSHEH AAD W9TEA YERHIlS IS Ti10 DAYS ONCE d PERMIT HAS BEEN (OMPLElED INDIC,TING l LICENSED PLUlMER. PENALRY APPLIES WHENs PERMIT IS NOT PAID FOA IN 3AME MONfH IT IS AEQUESTED. LOT C6ANGE IS REQUESTED OHCE PERMIT IS ISSUED. rz~,oT/tilb ~DtDeMjT ONLy To He Used For: Dre-K &rfiAC6 Valuation: Date: Site_Address WJLVF'Lowtrz LIJA`~, OFFICE 05S ONLT ~„o'r Bloek 3 Occupancy FEES 2oning N Parcel/Sub ~,,p~i~'7~fZY 77nudE.1 Aetual Const Hldg. Permit l Suroharge Qimer ~/Z}p,nl Y_ f1'?~1So..l ;of storiea P1anReview Length 59C, City Address /022 (&L-nayajffK u(AY_ Depth sac, Hwcc r S.F. Total fiater Conn City/Zip Code ~wt'~A~.1 Footprint S.F. liater Meter Acet. Deposit Phone Z00r7 I-0a2/-,,, oR On aite aexage 3lii Permit On aite well S/W Surcharge Contraetor HWCC SyaLem _ Treatment P1. City water _ Hoad Onit Addresa PAn required _ Park Ded. gooyLer punp; _ Copies City/Zip Code sUBTOTAL ipPgpyAyS Penalty ~ Phone Plsnzsar TOTAL Couneil Arch./Engr. Bldg. Off. 23 Variance lddress City/Zip Code Phone 9 1 • . , Augur,t 22, 1989 AU6 2 3 1989 City of Eagan 3830 Pilot Knob Road Eagan, MN. 55122-1897 Attn: Joe Merchak Dear Mr. Merchak Enclosed are Two (2) copies of an npplication for a yerrnit for installation of decl; faotings along wit.h t,iie as-s,UC1a+•Cd drawings to construct a future dFcli. Per our conversion en 8/15J89 t.lierF wiil be nu u'ilarge fo r the perrnit sizice the house was recently buiit. I will appl.v for a buildina perrnit brfc>i•e t:t-:e deck will br built. (Please see the attached prints.) Upon your approval, please return the signed perrbit to install deck footings. to my home at 622 Wildflower Way, Eagan, MN. 55123. If you have any questions concerning this project, please call me at 612-463-5366 (Day r.urnber. ) Sincerely, V~ji2~ Brian Mathison Resident BVM/bvm Attachment Ref = O 1 ADDITIONS . - ' OATE JOB Y . . ~ . . . ~ . . i I 1 , = r ~ ~ / p11YE Y I r I I , I 1 ~ I/1I I ! r re,_,. 1 ' e f MCK ! I ' ( I ! • f ~ ~ ' ~ ~ N SCALE: 1'.100' . AUG G 2 1569 ~ SCALE: DATE DRAWN: - PLATE NQ FILE N0. iw - RECORD OF COMPLAINT DATE: 7/30/91 COMPLAINT TAKEN HY: N. SEVERSOrr NAME: BRIAN MATHISON ADDAESS: 622 WILDFLOWER WAY PHONE NO.s 435-4666 COMPLAINTi pROBLEMS WITH CONC2ETE GARAGE FLOOR. r ACTION T6KEN: COP44ENTS: 6t,"~ "'Z TE OF H LD ING: SF DWG/GAR LEG4L DESCRIPTION:~lOT 37, aLOCK 3, CoUNTRY HOLLOw ~ , SIGNEDs . APFLICATION FOR PERMIT *NXE" pAYMEM OF f'EE AT TIME OF y - ~ APPISGTSON OOES [JCJP CON- .'k i. . - x SfI1LIlE APPRCSJAL OF Pf3lFIIT. ~ SEWER AND/OR WATER CONNECTION : INSPwmON cP mqm Am/OR W+TM _ ~ t IISSTALI.ATIONS WIIS, NOT BE ercnrrcn * ~k[!NPIL PERhffT HAS HEW APPROVID. , t:~~f++r:tf~~ri~w~kx:at++iaa+~ra.wK~ttr t CItV OF czC1CjcP9 PLFA.SE PRINT 1) PROPII2TY AODRFSS: . 6 a C{~ %fG~I~ I/ r,Fr:Ar• DFSCRIPTION: . . . . . 374W /IYlIY?/-fA+cy:tJ (Lot B clck/cLiVision or Tax Parcel ID IF EXISTING STRL~CTLRE, DATE OF ORIGINAL BUILDING PERMIT ISSDANCE: Mont Yeaz PRESENT ZONING/PROPOSID L~SE: ' Q COMP~EE2CIAL/RETAIL/OFFICE I~ R-1 SINGLE FAMILY Q INDOSTRIAL ~ R-2 DOPLEX (TWo C'nits) Q INSTITUTIOI3ALlGOVEMZNT ~ R-3 TOWN30L~SE (Z°nzee + Units) ( Lnits) Q R-4 APARTMENT/CONIDOMINIUM ( C'nits) 2) ' °'_'s NAME% ADDRESS: 17S~0 e- CITY, STATE, ZIP: raAIC, PxorE: For City Ose 3) NAIVE: ~/i-~ti1~~,U JJC)»1PlSf~G ~ Plumbers I,icense: Active ADDRESS: 5 a ' r,~ Expired czTY, STATE, ZIP: ~~km2,~~ me ~ Not recorded PHONE: MASTIIt LICENSE #~3L~9rlf~ St Ia~~'itia~ 4) NAME: Ct139c- QS : ADDRFSS: CITY, STATE, ZIP: PHONE: 5) s , a •a~• • ~e ~~e • f'~zCONNECTION TO CITY SEWER [M.CONNECTION TO CITY WATER MoTfER 6) /a-.,- SR *****************~************************~~*************x * * THE GOLD COPY OF 1HE PFRMT WILL BE SELIt DIRECTLY TO PL~SLIC WORI{S 10 FACILITATE NIETER PICK-UP. a ~ PLEASE ALSAW ZSVO WORKING DAYS FOR PROCFSSING. SOMEONE FROM THE CITY WILI, CONPAGT Y(xJ IF TfIEItE * *:t ARE 71NY PROBLIIM5. ~ Y'/[9f'k*'k*'/t'k]F*~nk'k'kA"/['k******J('k****Y[******akk9(9(*****A'7f'/f'/ci'****'~c'k******#'*******iC*1(************~['k 4'***'k'/['!r/i'k9[*y TOR -CITY USE ONLY PERMIT # ISSOED ~ Pd w/Bldg. Permit FEES: $ ~ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ Z7 ~ D S WATER PERMIT (INCLLDE SURCHARGE) $ CP / $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER $ $ WAC $ $ sAc $ $ TRLNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCAARGE $ $ OTHER: $ T/ q/ 1 $ C5~ ~ TOTAL RECEIPT RECEIPT DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ED YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q ROADWAY" MOST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: { , December 5, 1988 PIETSCH CONST 9543 BIRCH LN LAKEVILLE, MN 55044 REs 622 WILDF'LOWEE WAYt L37, B3, COIINTRY HOLLOW WARNING: BEFDRE DIGGING, CALL LOCAL DTILITI6S - TELEPHONEt ELECTRICp G9Sp ETC. - REQUIRED BY LAW XX Your Sewer and Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOA YOUR PERMANENT NATER TURN ON. _ Your Sewer and Water Permit for the above property cannot be completed for the following reasons: _ Your Sewer and Water Permit for the above property has been completed, however, the meter cannot be issued or oecupaney allowed until further notice. CONIMERCIAL PROJECTS ONLY Your Sewer and Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. Please come to City Hall to pay for whatever size meter you will need for this project. The size must be confirmed by either our Publie Works Dept. (454-5220) or Bill Adams (Plumbing Inspector - 454-8100) before issuance. Sincerely, Jan Severson Secretary JS ~ Foi OTfce Use I City of Eap ~ Pwmlt ~ Permi[ Fee: 3830 Ptlot Knob Road j i Eagan MN 55122 1 Date Aeceived: ~ Phone: (651) 6755675 1 n, - ~ Fax: (651) 675-5694 i 5~ff: 2008 MECHANICAL PERMIT APPUCATION J~ MAY ~~-?008 oece: GJ --0 ` see naare~: (112 2 i,l ) i? cJ-{=1 n vVe t~ L( )~'-cc4 I {,iy---- Tenant: QI~/.l YlYlP S 1~i n evrxx.v) S~i1Te'~:-~~ ' RESIDENT / OWNER Name: D1('.I.VlYl2 C`~ i v~a k-n rA n-) Phone: Address / City / Zip: CONTRACTOR Name: P!Y1qi-CX k)'1PfI'Y`! hjPrYfI. I LC-CJ License Address: 21 2-8n,4 / 2,5Z City: I)1Vi y 6- 1'/1ve H'I-s State:WW zp: 55v/!O Phone: Contact Person: mewy-deki TYPE OF WORK - New -4Replacement _ Additional _ Alteration _ Demolitlon Description of work: . NOTE: Both roo/ mounted and ground mounted mechanlca/ equlpment !s requlred to be screened by City Code. P/ease contact the Mechanlcal lnspector or one of the P/anners for In/ormation on rmitted acreenin methads. PERMIT TYPE RESIDENTIAI COMMERCIAL ~ Fumace _ New ConsVUCllon _ Interior Improvement Air Condllloner _ Install Piping _ Processed _ Air Exchanger -Gas _ Exte(or HVAC Unit • HVAC units must be screened _ Heat Pump Under / Above ground Tank - Install Remove) ptry~ W hen InstalMplremoving tank(s), call ta Inspedion by Flre - Marshal and Plumd In or RESlDEN71AL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace bumed out appliances, duclwork, etc.) (ncludes $.50 State Surcharge) $ `b• J 0 TOTAL FEE COMMERC/AL FEES: $70.50 Underground tank installation/removal OR Contrect Value $ x 7% $50.50 Minimum (includes State Surcharge) Pertnit Fee - If PertnN E@@ is less than $1,000, suroharga is $.50. - It PermN fa ia > 51,000, surcharge increases by $.50 for each State Surcharge $1,000 Permfl Fee (i.e. a$1,001•$2,000 Permit Fee requires a$7.00 wrcharge). $ TOTALFEE I nereby acknoWedge Mat mis Inrormatlon is aomdete antl xGirate; that me wak will 6e in coMortnarroe with the orclinanCes antl codes d the City of Eapan: that I untlerstarW tliis is rat a pertnd, but ordy an applicatlan fw a pertnit, and woAc Is not to start without a permk: Mat the work will6e In aooorttance wlih the apprwetl plan in the case M x+ork which reqWres e revlew and approval d pens. ~ x . ~ ApPlican s Hnted Name pllca ta ignalure FOR OFFICE USE , Revlewed By: Date: Required Inbpecqons: ' Under Ground Rough 16 _Air Test _pas Service Test In-floor Heat Fnal Use BLUE or BLACK Ink For Office Use Com— I (� :::: City of Eaali : c� 3830 Pilot Knob Road /D I Eagan MN 55122 Date Received: Phone:(651)675-5675 buildinoinspectionst cityofeauan.com Staff: L- J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION 17 (-t. Unit#: Date: Site Address: � C ick,/e Name:AU- i Jj11 XPi Phone: '1/6-02: - ?�► :Ati*M644MA-ttgZ'! VSArit: _ r Owner Address/City I Zip: AR:�f L1/Gf °/ski(' 061-(1 Gt C / ) Vfi'. i x a:" Applicant is: Owner ✓ Contractor r L Descriptign of work:ir'I irCif d'/ t' lS-111 c' l t cI�S ►+-�5 �/ /CE��✓Q — / Lii 1` �/ ttblck�Pd^ laAphe,a.1 u 61,11 7MfewftwcJJLt1 )L Construction Cost: PRCI, t1 Ljl Multi-Family Building:(Yes /No �y v r ria f' / $ 3 ' u.t4 ',: Company;. t S 5iC(il't<1 Qzt„( 4f Li_C Contact:,]jrr Z1/i5 J s t Addressgf/ �� Wet,/ -41'Id U(fU)JAs Cil{ City: C DlWiC�e rbVt StateZip:L� ho "1`., 1 k ./"�?� /� P ne(t�7-7�f?�t0 3S�Email: �i ra->�� G� 1� -`;..%:1C( q:(1�Y1') J License#:4$ O O,G—7 I Lead Certificate#: 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: n s e a d d } 3 � a�+ i tio#i y be as no � 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.citvofeacian.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.nopherstateonecall.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 s . without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and ap' • =I of plans. Applicant's Printed Name 'r.plicant', Sig .=ture Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA167734 Date Issued:03/26/2021 Permit Category:ePermit Site Address: 622 Wildflower Way Lot:37 Block: 3 Addition: Country Hollow PID:10-18275-03-370 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michelle Louise Fernandez 622 Wildflower Way Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature