4650 Wildwood StCity of kali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
2010 MECHANICAL PERMIT APPLICATION
Dater —k t 0 Site Address: (-4( QJ ) 41 .ci S�
Tenant:
Suite #:
1
J
RESIDENT / OWNER
CONTRACTOR
Name:Ctj.)A f1;X tI,IJJ-TLr Phone: (4) S t -LZ —(' 1
Address / City / Zip: Wkluirxia Si- C &co s‹.Ni
Name:
Address:
State:
Contact:
BURNSVILLE I IGATING & A/C, INC.
3451 W. Burnsville Parkway
Suite 120
Zi Phone:
Email:
License #: (-11 elSAF g a-7/ 3
City:
S2-4 9Y- OS
TYPE OF WORK
PERMIT TYPE
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes > • State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
New ^ Replacement
Additional�},�, Alteration Demolition
Description of work: 1C,, L vr�,-it /)L(
RESIDENTIAL
! v Furnace
X Air Conditioner
Air Exchanger
Heat Pump
Other
New Construction
Install Piping
Gas
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under / Above ground Tank ( Install / Remove)
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
5-5,00
TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
OR
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
Contract Value $
x 1%
_ $ Permit Fee
= $ Surcharge
_ $ TOTAL FEE
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.popherstateonecall.orn
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 t pproved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
x
Applicant's Signature
. INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: '
(612) 681-4675
SITE ADDRESS: APPUCANT:
PERMIT SUBTYPE: TYPE OF WORK:
~
INSPECTION . D.
. • . . ~ , ; f , t . ~ ! , . i
~ ~
• Permk No. Permit Holder Date Tetephone #
ELECTRIC 00
~ PLUMBING ~ ~7~
HVAC
Inspection Date Ins Comments
FOOTINGS
QS ,
FOUND gs~ t~~ r ~ - lYor ~c6Q .
FRAMING ~G ~
G'
ROOFING
ROUGH
PLUMBING
PLBG !f 1C
AIR TEST
ROUGH
HEATING
GAS SVC
TEST j
INSUL
?b
GYP BOARD
! FIREPLACE Al
FIREPLACE
AIR TEST
FINAL PLBG
/70 iFINAL HTG _ Al
~J
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FT(i
DECK FINAL
! ?
' • `
~e~~ica#e af cccupanc~
of cpaq«~ ~
~?c~na~t~acar 4q Zri[iu" 3ao"tiun
This Certifrcate issWed pursuanr to the requiremerets of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of rhe City regulating building constrtrction or use. For the following:
use cimirwwim SF DQrI aMg. ftmit No. 257 I4
OC-P-Y TYPe RIJrj I Trming Disuitt PD/R3 Type Const_ VN
OwonofBuildipsOW HM IlU Mldiess 8iOq LYNDKE HLMM
a,;Mirkg Ad&,u4650 W1LDr00D SIM L,,d;q, L 1, B 1. QAK ~.IFF POM
i _
Doe:
POST fN A C:(t1.SPICUOUS PIACE
Address 4650 wII.u,JOOD =T Zip 55122
Lot 1 Blk 1 Sub oAK a.IFF xxID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: ~j
Final grade (6" from siding)
Pertnanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcarb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potenual exists.
Contact engineering division at 681-4645 6efore working in rightrof-way or iustalling underground sprinkler syscem.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~
0~112-146
Request Date Fire No. ough-In Inspecllon fie In ection O~her Than Roughdn
(You must call inspector i n reaGy) a Reatly Now 0 Will Notity Inspxtor
2 Ves ? No ~ate Read
1 10 licensed contractor ? owner hereby request inspection of above electrical work at:
Job AtlEress (SVeeL Box or Route No.) City
,~~O lq/i//>lIiGCD S
Sepion No. Township Name a No. Panqa No, County
Oceupam (PRINT) Phone No.
%G'/l~f=,:w~ l~l .f"/ri/=7~.G~? 39~-603'f
Power Supplier Atldrass
.'~i F.GiG/f'//N~7U/? ~''1%/'~
Eleclrical Contraclor (COmpany Neme) Contrector's license No.
Meiling Adtlress (COnlractor or Owner Making lnstallalion) .
~/~e = 1.711~.t //it' ~'•~~1//,~~c ./~irU ~"6d/~
Amhodzed Signamre (COntr C or/Owner Making Installation) Phone Number
~F~, MINNESOTA
ATE Gr ggs-MltlweyTe tlg B Poom SF1ZBE/CT1111111111111111 I II 11111111111111111111 iiil iii ENICLOS PPOP ER INSPECTIONF EERIH
1821 Univenlty Ave., SL Peul, MN SSt00 UNLES Phom (612) 642-0800
REQUEST FOR ELECTRICAL INSPECTION 5""''~•~ ea-ooooi-os
10- See instnictions br compleling this iorm on back of yellow wpy.
"X" Below VYE; k Co~Vred by This Request <r
Ne Atlii Rep:Type of Building Appliances Wired Equipment Wired
Home Fange Temporary Service
Du lex Water Heater Electric Heating
Api. Building Dryer Load Management
Comm./Industrial Fumace Other (S eci ) Farm Air Conditioner Otner(specity~ ConVactor's RemaMSr
Compute Inspection Fee Below.# Other Fee # Service Enfrance Size Fee # Circuits/Feeders Fee
swimmin Pooi / o to zoo amPs rj -^0 0 to 100 Am s ;/J
Transformers A6ove 200_Amps bove 100 _Am s
Si OS Inspeclor's Use Only: TOTAL s~
Irrigation Booms
Special Ins ecfion
Alarm/Communication THIS INSTALLATION MAY B DERED DISCONNECTED If NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electrical Inspector, hereby Rough-ln, Date~ ~ .{p
been certify that the above inspection has t
made. Finai Date
OFFICE USE ONIY
This request voitl 18 montOS Imm
City of EapIl Pertnit
, 1
rt~
" I Pertnit Fee: ~ i~ I
3830 Piiot Knob Road
Eagan MN 55122
Date Received: ~
Phone: (651) 675-5675
Fax: (651) 675-5694 i Sraff
2008 RESIDENTIAL;PLUMBING PERMIT.APPLICATION
Date: { -~~U CJ Site Address: (J 62j ,
Tenant:
Suite
RESIDENT! OWNER Name: ri r)d, L(~,Vv V) (.;5kI~ Phone: 40149b-`i ,5~~
Address / City 1 Zip: QyGLr'1v-
CONTRACTOR Name: License
Address 86i°5@`~-1341~
owl City: Eiii t(rt14 §§J2'w-1339 State: Zip:
Phone: Contact Person:
TYPE OF WORK _ New ?eplacement _ Repair Rebuild Modify Space Work in R.O.W.
~ - - -
r
Descri ion of work:
PERMIT TYPE RE~JDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
~ RPZ / _ PVB) ~ Main _ Lower Level)
Septic System _ Water Tumaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water SoRener, oc.Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surchargej.
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
`Water Tumaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System NeW ($1 D.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTA
1 hereby acknowledge that this information is complete and accurate; that fhe work will be in confortnance-Wrth Ne or ' CdesWd the Ci
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without rmit; that the„wp~c.will
_ accordance with the approved plan in the case of work which requlres a review and approval of plans. ~AN 1`II LUUO
X Jc~,v~s 6 e-r _ X
ApplicanYs Printed Name ApplicanYs Sign~t - FOR OFFICE USE Rev~ewed By = e~ ~ ~ ~ ~Da3e ~ r ~
r
Requiried Inspections _tinder Gro~nf1
~ ~7 cCPf-tI~
CITY OF EAGAN PERMIT ck'0I13
3830 Pil/~ t Knob Road pERMIT TYPE: BuiLoING
cagan; Minnesota 55122-1897 Permit Number: 025719
(612) 681-4675 Date Issued 0 6 J 0 7/ 9 5
SITE ADDRESS:
46Se wzLowaoo sr
LQ7: 1 BLOCK: 1
OAK CLIFF POND
P.I.N.: 10-53575-010-01
DESCRIPTION:
,--a
8161141 rnc'. Permit Type SF DWG
iBUile3ing t3o,r'k Type NEW
r" U8C . S1Ccilp.3:ITCq~~^, R-3 M-1
- CAnstructian Ty`p~e vN
~
Zoning PD R-3
8uildirrg lengtfi ~1 40
~ 6uilding WidCk 41
Huf1'diny stosriss ` 2
~ re 1,371
*y r~` ~<~•r+~~
~ fm a~
~ " T`~~'~•~~~' '~~~~t~,~~`~~3~~~~`~~~
REMARKS:
PRV S&W CONTRACTOR - BJM PLUMBING
FEE SUMMARY:
VALUATION $113,000
Base Fee $952.25 MISC FEES $1,892.50
Plan Review $333.29 Total Fee $4.e$4•54
Surcharge $56.50
SAC $850.00
SAC % 100
SAC Units 1
Subtotal $2,192,04
CONTRACTOR: - Applicant - sr. LzC OWNER:
VARLEY CQNST JOS 13346034 0003249 OCP NOMES INC
16800 SHIELDSVILLE BLVD 8609 I.YNDALE SO 1918
FARLBAULT MN 55021 BLOOMIN6TON MN 55429
(507) 334-6034 (612)881-0127
i hero#sy acknawle'dge that I haua reatl this appiicat:i.an and stata-that thre
ittforinatiorr i:s correat and a.9Irse tes compl,y wiCh a11' apg].a.cable St+ste df'Mn. :
~ Statutes aYtd City af Eagaik Ordittances.
APPLICA T/PERMITEE SIGNATURE ISSUED : SI A U E
CITY OF EAGAN 44 ~LI, S/
3830 PILOT KNOB RD - 55722
~ 1995 BUILDING PERMIT APPLICATION (RE5IDENTIAL)
S ~
7 ~ 1 681-4675
New Conshuaion Reauirements RemodeVRe Ipa r Reauirements
! 3 registered ske surveys ? 2 copies M plan
? 2 copies oi plans (includa 6eam & window sixes; poured fnd. design; eta) ? 2 site surveys (exterior addifions S decks)
? t energy calailations ? 1 energy calwlations for heated additiona
? 3 copies of tree preservatioR plan 'rf lot plaaed after 711193
required: _ Yes X No
DATE: 5126195 CONSTRUCTION COST: Qj in,oon
DESCRIPTION OF WORK: New Residence
STREET ADDRESS: 4650 Wildwood ST•
LOT 1 BLOCK 1 SUBD./P.I.D. Oak Cliff Pond 10-53575-010-01
PROPERTY Name: OCP Homes, Inc. Phone 881-0127
OWNER 8609 Lyndale So. 061B
Street Address-
City: Bloomington State: MN Zjp:55420
CONTRACTOR Company~Ioseph P. Varley Construction, Inc. phone 507-334-6034
Street Address: 16800 shieldsville Blvd. License 0003940
Cjty: Faribault State: MN Zip• 55021
ARCHITECTI Company: Phone
ENGINEER
NaITI@. C:rnvar flimnnrl Registration #Street Address- 2332 Bourne
City; St. Paul State: MN Zip; 55108
Sewer & water licensed plumber. BJM Plumbing . Penalty applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this appiication and state that Uie information is corcect and agree to comply with all
applicable State of Minnesota StaWtes and City of Eagan Ordinances. Joseph P. VqAey8e t ction,
1
Signature of Applicank ~
OFFICE USE ONLY /Yes RI~C~bI~~VED
Certificates of Survey Received - f~o MAY 2 6 1995
Tree Preservation Plan Received Yes ~ No
,
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
,0 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
31 New ? 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCN11S System L
(Allowable) ^v Main level sq. ft. fYgr City Water c<
UBC Occupancy (.Lnvt.~ sq. ft. ~7y Fire Sprinklered
Zoning pa ~eT sq. ft. PRV ss
# of Stories x a.»T sq. ft. Booster Pump
Length Yo sq. ft. Census Code.
Depth ~L Footprint sq. ft. SAC Code al
IP CensusBldg i
f,~,~ wl Sx Census Unit /
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ cJOZ9
Surcharge
Plan Review
License
MCNVS SAC
City SAC /8, s
Water Conn.
Water Meter ~ ~x ~r ~ Z~ ~•r~ ' ~s~
Acct. Deposit
SNV Permit
SNV Surchar e
Treatment Plg x5-zel"
Road Unit ys 3S~
Park Ded.
Trails Ded.
Other y/ x t~/9, 6 7 n z1. 67
Copies = z
/b7xZ ' z3 .psYs y
Total:
13 ~y ; sa y3zxi~=
% sAC
SAC Units Y~LC/G Ql2
a12o~ ~
1NSYECTIUN RECUKll
CITYOFEAGAN PERMITTYPE: surLorNG
3830 Pilot Knob Road Permit Number: 025719
Eagan, Minnesota 55122-1897 Date Issued: 06 /07 /95
(612) 651-4675
SITEADDRESS: P'Z'N.: 10-53575-010-01 APPLICANT:
LOT: 1 BLOCK: 1
4650 WILDWOOD 3T VARLEY CONST JOS
OAK CLIFF POND (507) 334-6034
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION D. . DA
FOOTINGS FOUNDATION
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: PRV S&W CONTRACTOR - BJM PLUMBING
L
T Cr a 5 _a r ot
. .f( 2422 Enterprlse Llrivo
Msndoto Heighla, #AN 55120
PloplEm'a"t WiP manF+dls - Cn~, e1+eA+s~s (812) S8"I^1914 FA?L• 861-S48B
625 H19hwaY 10 N.E.
~ 74 Btaine, MN 55434
4t (612) 783-l884 FAX:783--1883
Certificate of 5urvey for: OCP HONIES. iNC.
aasa wn.ownao
Mp ?
OUTLOT .
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s~'~~
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6.83-Ce yp
aa 243.5 • z. o ~ w~. ti r~~ d?o t
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11' DRI AY
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'SUPV~4M.es n/O~ pp SSEE/6 co~
042s
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p
1V 37.45 7
+o.oo
ssss 0 U TL 0 T
~ a r sa.~ , a
sa802 a~oo°E A
~ 1~.aQ Ii0U5E r `'~p'~`~5£MEN~ P RQU71 Tn
ONPRO~P ER~ UNE ~ 1 k~ ` ~ ~
N`" ~"ERNArcve R E V 1 NU E D
2
BY
iA E `r
~ S
?MZAGANEN ~~Ol~IiING DEP'1: LF o
No7Fa rRaPaSEO aMES sxaw PEx SItE PuX er. acP NOYES. roc. Fl Fvn7ltltZ
erot& 9uLdMG WIADMaN3 910vix ARE Mt HORIZw+TAL Mp vrxnau. I-ocAnaM
aF sIRUI.'IUtfS pILT. 4EE utqilECIUN. PUNS NN BIIIEIMIB ANO LOY'IEST FLOOR ELE~/ATIDN: f 3-5-01
raxwrM o"oiaaHS TOP OF F'lDokELEYATION: 2 15.6
uore '+o s'[anC Smts WWsmGOknoN Hns BEeu cquw.eIM ae+ nxs i.or or nE p~~~1
SI1R%i4dt ME SuliFBlUtt Of SqL$ f0 SIiPORT '111E 9PEGFlC HWSE GARAC~ SlAB ELEVATION: ~L3~._._,
PitOP06EU 6 k07 TNE RESPOti98i.liY OF 7f1E 31JRhEYOR.
N01C 1NI5 CEFlV1CAlE WES ?q7 PUIF'ORi Tp 916W EASElIF1114 011ER 1XFN Sf DOD.00 t1ENQTES E70S7MQ ELEVA'110N
THDSE 3i{ONid Ql TM NfCORDED PLAi. ( 60(L06 ) DEN01E4 PROPOSfD fLEVATiDH
NOiC GOM11iAC1OF2 W9t VERRY DRIYfWAY dME11 04d6iE5 ORMiME N70 UIiUlY EASEUtNi
OF:WRS ORNNIkCE FLOYf UIRECifON
NOl[: 8[APoNG9 SKIWH ARf BASfD ON AN A55UME0 WITUY OEJ1DiG9 MOMI/lAD1T
--~-B-- OF7O7tX OfFShT NUB
WE HEREBY CERTIFY TO OCP HOMES, ING THA7 7HIS IS A TRUE AND CORRECT REPkESENTATlON OF A
SURVEY QF THE BOllNDARIES OF:
LOT 1. BLOCK 1, OAK CLiFF PUND
WtiKOTA OOUNTY, h11NNESQTA
IT DOES NpT PURPORT TO SHOW IMPROVEMENTS 89 EHCMROACFWEN75, E7(CEP7 AS SHOWM, AS SURVEYfD 8Y 1SE OR
UNOER 4tY DIRECT SIIPERNSION THIS 4TT! DqY OF MAY, 1995.
P.. 015_. ,f ~•a- r!5- PiO~+os-' ZPIOII ESCALE : 1 INCFI = 3O F'EET C raaa, L.S Reg. Na i9828
~g 9Dt~,33
LOT 87RVEY CHECRLIST FOR RESIDENTIAL
SIIILDING PERMIT APPLZCATION
pROPERTY LEGALS
e~oop
Dat• of survey:
DOCIIMENT BTANDARns
Id'~ 0 • Registered Land Surveyor siqnature aad company
~„0 0 • Buildinq Fermit Applicant
t,a~ ~ • Legal description
0 • Address
0 • North arrow and-3>a~scale
D 0 • House type (rambler, valkout, split w/o, split entry,
lookout, ete.)
~D 0 • Directional drainage arrows vith alope/qradient t.
L9~~ D •Proposed/existinq sever and water services
[9~ 0 0 • Street name
LY6 0 • Drivevay
ELEVATIOlaB
Exiatina
D'~ D • Sewer service
L3 ~~E7 D • Lot eorners
Q~iO 0 • Top of eurb at the driveway
D D • Elevations of any existing adjacent homes
ProvoeeQ
0'10 0 • Garage floor
~ 0 13 • Fizst floor
• Lowest exposad elevation (walkout/window)
11'f ~ 0 • Property corners
Cl D D • Front and rear of home at the foundation
PONDSNG 71REA8 (if applicable)
D: C1" 0 • Easement line
0 0 . Iawt,
0 5~ 0 • HwL
0 0 • Pond # designation
D ~0 • Emerqency Overtlow Elevation
DSlzNSI0118
F~ 0 13 • Lot lines
E~ 0 0 • Right-of-way and street width (to back of curb)
0~ D p • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permaneat footings)
~ 0 D • Show all easements of reccrd and any City utilities within
those easements
~ D 0 • Setbacks of proposed structure and setback of adjacent
existinq homes
13 0 • Retaininq requirements, if any
Reviewed: ~Q
Na / ate
October 1992
24 lF qBG 2NV F 93p 26 F 930.~2 1ayV F~ 9''~ 55 W IP~-UC' M~. e 9s b PLUG
5 T P.
~ MM 6
~ T.P 5~p' 4; u ' 102
Nr 42s~3 0~~ ~ aa ~pLVE
L
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V ` ST.P. 533~ m. g7A~ ,G e.. x e~ 7EE
g • e • 9END
22-~ 12 y3p~
Ce 10 55
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3,6~ o~ , elos B•• TAP wl 12"x8~9:
,nr =m ~
2 io PRE vE
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,Qc~ BEN ~nr m ~ e.. vALVE !IV
4'PVC mci ' 42Z 0
r . 929.93 ~j,6 LF .
LF ~ . 93075C ~ . 9'SO~ 14 Na 3 j 31 $•q5'
~"f LF 4• • LF 4" ~c P~p~S'T A L 6
4. ~ r RN. ~ 930.65 : f ELEPNON~
TNH•943.0 T P O L E LIGVA
i 3 30 LF g~ s s HY B.: x~ 6..1-TEE Q~g S N H T OP NUT HYDRANT
~K~• ~ .
L I FF . h~~/// ~O ~ 26 ~
1
50 t°° '
~~TL ~T A 0
50 FEE3 .
il cUr,;~~ '
n IN wYe
~BEND S~ SGALE es SanitazY
~y~- 4~~ 0~ ~ 14Et r~ice denoanhole. e~e~ation'
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r C. Stationin4 ot m SdownstYe em m s top of Cu 35 as
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2' CpVC S eY4 be a of
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3• $anitarY thHe er plyns • Shall tl 52 DIY • st S~ae to
shown on Shall be hasqs drant th ea entrance
' 10 . WateYmain Top nxl ite SOU 854.56
/ a.oppos
5' ggNCtil MARoad an
MY~ORAN ~ 6. £LE~ATI0 ents 48 h~~~g
laters
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' EZI'ERIOR ENYELpPE d1?ERAGE W CO![PUI'ATION
Ofil1ES: (OCP C)Mes
SIiE ADDEESS: -t 6 5 DW I LD W O O D L oT I B LK I FHL}5E Z,
CONSSACSOR: VA.RLF--Y r' DNST'r-GT- DAiE: PHONEs
DeLermine vprking aquare footage of eaah:
1. Total exposed wall area o aq. ft. x.77
2. Total roof/ceiling erea 1;~76 aq, ft. x.026 c 33. :Z
iotal ezposed wall area above floor = aZ -Z 0
e. Total wall window area oZg3. ~
b. Total door area
c. Total sliding glass area
d. 7'otal fireplace wall area
e. Total wall framing area (average 10%)
f. Total net wall area above floor
g. Total rim joist area •
. Total expoaed foundation area _ 170P
h. Total foundation windox area....................... ~
i. Total net foundetion area above grade t7~
,
Qetermine OU' value of esch wall aepent:
H. 2.8-3 % fUt - `t'7 =a3:33r
b:~x'U' ./4 =
c x' U'
d. x ~ U'
7
f, x 'll~
. e. x' U' ~ 0?
8. L x 'U~ ~
h. r--- x ' U' -
x ?US
. Jss 30
3 . iotal = ~
If item 03 is Lhe same as or less than item !1, you have met the intent of SBC
6006(c)2.
Total e:posed roof/oeiling area = N27 ~
' J. Total akylight area D
k. Total roof/ceiling framing area (average 10%) .....-771=
~ 1. Total net insulated roof/ceiling area
OVER
Determine oU' value for eac6 roof/oeiliag sepent:
: . j. s + U'
e
k. lug ~03 .
_ ,ut
q . Total = ~ S .5
~ If total of OY is the aame as or less than #2, you have met the intent of SHC
6006(c) t..
ilternate Huildlag Fnvelope Design
7o utilize the total envelope system method, Lhe values established by the sum ,
of Items 43 and 04 shall not be greater than the avm of Items /1 and !2.
3 3. a = 33..~
42.
3. 3_~!. 3 :~9•5
~
2
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) I2 Z7
CITY OF EACAN
3830 PILOT NNOB RD • 55122
651-681-4875
New ConifiucHon Reaulrertenh Remodel/Reoalt Reaulrertrenh
> J reglatered aNe wnays showing aq. fl. of lof, sq. H. d haue 2 copies o1 plan
and 21 raoletl areas (TO% mmclmum lof covamae albwed) 1 set of energy caiculatlons for heated additlons
> 2 copies ol plans (ahow beam d wlntlow ai=es; poured fnd. tleslyn: efc.) t site wrveY ror exteAor adtllHOns & decks
i 1 361 o16n6rgy calcWClbnt
: S coples of hee prewrvallon plan It lof plafled afler 7/1 /9J ~c
pq~; ~ a d CONSTRUCTION COST: v 1 C~ 8 3, 6a
DESCRIPTION OF WORK:
STREET ADDRESS: & SD p
LOT: -L BLOCK: SUBD./P.I.D. t: 6(jk CI A Pa nd
Name: ~~vt.P.kVv Pnone u: ~`S I- H~JCJ - 7 3O I
PROPERTI( Wat ~ FlM
OWNER l9 SQ
Sheet Address:
c„y Sfate: ~1.~? . Ep: ss ? aa
. compamr. p72 Phone e: 6,51- 40(o - fr~Q0
(area code)
COMRACTOR Sheet Address: Ucense # aL3q'19 ExP•
cRY e-uv~ state: lb1/i'?. Zip: SS33-7
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Sheet Address: Regishalbn i:
CBy State: Lp:
Sewedwater licensed plumber (if Installina sewerlwater): Phone
I hereby acknowtedge fhat I have read this apPUcotion, date that the tMortnafbn is ccrteet, and agree to comply wiTh all appAeable Sfate
of Minnesofa Stalutes and CHy of Eagan Ordinances.
Signature of Applicant
~D
OFFICE USE ONLY ~U E6 2000
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Recefved _ Yes _ No _ Not Required BY~----'-~
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Att - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) O 36 MuRi
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? OS 03-plex O 71 10-plex Plbg _Y or_ N? 25 Miscellaneous
? 06 04plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)• ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) O 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Gnits Length ' sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actuai) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Buiiding Engineering Variance
Permit Fee Valuation: $
SUfChefg@ CITY OF EAGAN
Plan Review
LicBnse CASHIER: JS TERMINAL NO: 678
MC/ESSAC ~ DATE: 08/16/00 TIME: 13:07:48
City SAC ~
Water Conn. ID :
WaterMeter I NAME: ALCOVE ROOFING & SIDING
Acct. Deposit '
S/W P21'(Illt 3210 9001 4650 WILDWOOD S 125.25
,
S/W Surcharge 2155 9001 4650 WILDWOOD S 3.00
Treatment PL i
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units , Total Receipt Amount: 128.25
% SAC CR136002
USER ID: JAN
CITY USE ONLY
L ~ BL I RECEIPT t`
SUBD. ~ DATE: 60;?S05
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x ~ = 3
Water Closet 3.00 x 3 = 9
Bath Tub 3.00 x 3
Lavatory 3.00 x 3 = ~
Kitchen 5ink 3.00 x
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x 3
Water Heater 3.00 x 1 = 3
Floor Drain 3.00 x 3
Gas Piping Outfet ` minimum - 1 3.00 x 3 q
Rough Openings 1.50 x 3 = y. S`o
Water Softener 5.00 x =
Private Disposal " Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations to existing 20.00 =
Water Turn Around 20A0
STATE SURCHARGE .50
TOTAL ,SD. o0
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS: 9~ ~ /ay
CITY: STATE:ZIP:
PHONE ( ) 721- 1-1172
b`f (3NA I U Kt Ut- PE`F~M I I ILE
CITY USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
7995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? ail commercial/industrial buildings.
? multi-family buildings when separate permits are ngi required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
FEE: $25.00 minimum tee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permis fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CIn': STATE: ZIP:
PHONE
SIGNATURE:
APPLICANT CITY OF EAGAN
CITY USE ONLY
L ~ BL ~ RECEIPT
SUBD. A DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Fireplace conversion (to existing fireplace)
Date: 91'S
0
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL ~ •
SITE ADDRESS:°`~.~\~
OWNER NAME:Yprp-.,~ V 0 nfU~T . PHONE
INSTALLER NAME:
STREETADDRESS: 7\~rj'~7 41
CITY: Llt 1 fJ ti)n STATE: Y)') ?J • ZIP: `5sz
PHONE
CITY USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are p.4t required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~ $25.00 minimum fee or 1% of contract price, whichever is greater.
w Processed piping - $25.00
State surcharge of $.50 per $1,000 of permit fee due on all pertnits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
- -
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (InnPROVennENrs oNLv)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
qty of Eaaaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit #: !! ; 'T 6 C,61
1
Permit Fee: ` C()
Date Received:
Staff:
IN FLOW INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: / / jeaq / / / Site Address:
Tenant: Suite #:
RESIDENT I OWNER
Name:7�J,�54 �-/ /U -le '1
Phone: 42S/ -- to O•? 'ZV�
X zJ) S -t . MIL) / Ui 1
Address / City / Zip: lib. a.),. Lb b
CONTRACTOR
Name: ,. • .
.+ 1
License #: 051 S f S O 14,
Address: p o. Lo . a a / 7 'a
City: E a sc v1
State: r% N Zip: . C/ a a Phone: (. S r- G 8 j- tit 2 S 2.
Contact: Mi$ic Scb i, ) 4-r Email: M Ire. he,t.t ,c., Al • -•"S; is; . ,,-.
TYPE OF WORK
PLUMBING (Within the building envelope)
. Sump Pump Repair
SEWER 8
Repair
WATER (Outside the building envelope)
Other.
Other.
DESCRIPTION
Description of work: r % f i) 4 t •. i i ,,-►
...., f K
I FEES
$55.00 / Each (includes $5.00 State Surcharge)
TOTAL FEE $ 3 3. O e *
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ul repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaaan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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.
Applicant's Printed Name
X 72;/7‘21° J"
Applicant's Signature
FOR OFFICE USE Reviewed By: D
Required Inspections: _„_Under Gtoi _Rough -in
•
•
*)
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: V-59 .D--
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: `-Lt:,) 61.)//((/ Od
Resident!
Owner
Type of Work
Contractor
Name:
566 - s-
���
Phone:
/
SaA.M „rnUnit #.u,.
I Address / City Zip:l)// tic-G120e d at,a_i1, m /V
fr Applicant is: Owner X Contractor
Description of work: )' ? /26O'T
Construction Cost: /5 a d 0 Multi Family Building: (Yes / No )
Company: C�� C_
p y: L O'1 c,,,,'d7 A,) Contact: a2 Io')' 50l ` l b 3 ./
Address: /26S-- f , hCLkt City: IYe/L8/4a-e..,i2-(2
AState: IGt/V Zip: 3Ze 0 ! Phone:1,0-56I')(,Q,3tmail:
License #: ZC 6,3 I / 3c, 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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
Fire Suppression 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" �y
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x C (X,
Applicant's
re.Im out,
Printed Name
x
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167669
Date Issued:03/25/2021
Permit Category:ePermit
Site Address: 4650 Wildwood St
Lot:1 Block: 1 Addition: Oak Cliff Pond
PID:10-53575-01-010
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 -
Subramania Swaraj Jammalamadaka
4650 Wildwood St
Eagan MN 55122--338
Ashco Exteriors Inc
11164 Zealand Ave N
Champlin MN 55316
(763) 225-8333
Applicant/Permitee: Signature Issued By: Signature