4655 Wildwood StDate:
City of Etall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
crirsovs
Use BLUE or BLACK Ink
For Office Use
Permit #: I OW
Permit Fee: $ 5S• �v
Date Received: '7-13 1/
Staff:
2010 MECHANICAL PERMIT APPLICATION
Site Address:
t
-I �I osS" w, Q9c
`'( � �
Tenant:
RESIDENT / OWNER
Name: G ; &1(4,1
Suite #:
Phone: S7- Qo1
Address / City / Zip;
CONTRACTOR
Name:
Address:
State:
Contact
THE SNELLING COMPANY, INC.
1400 CONCN RD 04
ST. PAUL, V
zip: 651-646438410w
License #:
City:
Email:
TYPE OF WORK
New Replacement Additional
Alteration Demolition
Description of work:
NOTE: Roof mounted and ground; mounted
Code." Please contact the Mechanical Ins
mechaal equipment is
req
uireto be screened by City
pector.fonicr information on!.per mittedd screening methods.
PERMIT TYPE
RESIDENTIAL
umace
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
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State --Surcharge)
$95.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
$
TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal
$55.00 Minimum (includes State Surcharge)
OR
- If the Permit Fee is Tess than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
= $ Permit Fee
$ Surcharge
_ $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gopherstateonecail.org
I hereb
Eaga
with t
x
t this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
is not s = `.af• only an application for a permit, and work is not to start without a permit; that the work will be in accordance
case of . ' ' . ich requires a via* and approval of plans.
Applicant's Printed N
x
Applicant's Signature
FOR OFFICE USE
Required Inspections:
Reviewed By:,
Rough In '_Air Test _Gas Service
Exterior HVAC Screening Inspection
Date:.
Test In floor Heat " Final_
d~K STJ1R1li1 LUi= NB4T #16240) • ~ . . ~~~'"F~ a" . . . , . ~,..,..,~;;r,;-.....a
CITY OF EAGAN '1~ ~~/~5S i
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ;
'
BUILDING PE~%~..=ION og ReCeipt
i
To be used ror ~Est. value $33+000 Date MAR 1 19 41 `
Site Ad~ress ~r 4655 YILDiii000 ST f
Lot Block Sec/Sub. OFFICE USE ONLY
~
ParCel N0. R3 I4-1
Occupancy -RZ3 FEES i
Zoning ~
304.00 ~
JIIMSS b AIi11Kt?A DIEDItICA -v-a
W Name (ncmai) const Bldg. Permit
0 Address EDINA I~R ~ 27~ IAlbwableJ - SurCharge 16.50 1
City Phone r oi scories ~y ~~th Plan Review 4
tp Name s~ x DepM - SAC, City ~
Address S.F.7otal - SAC, MCWCC ~
~ CI~I PflOlle S.F. Footprinls
On Site SewaQe _ Water Conn '
W "
~¢W Name on site weii ~ water Mecer =
W MWCC System ~
~Z Address .
<U, City Phone ciry water Acct. Deposit
, PRV Required _ SIW Permit I
I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge ~
information is correct and agree to compiy with all applicable State ot
Minnesota Statutes and City of Eggan Ordinances. Treatment PI ~
~
Signature of Permitee APPROVAIS
Road Unit
~ ~M DUMOM 4
A Building Permit is issued to: Planner - Park Ded. ~
on ihe express condition that all work shall be done in accordance with ail Councit
applicable State ol Minnesota Statutes and City of Eagan Ordinances. gldy. pry, _ Copies ~
320.3Building Ofticial Variance - TOTAL ~
1
Permit No. Permk Holder Date Tslephone N
WA&FER
r
SEwER '
PLUM8ING o~ ~
H.VA.C.
ELECTRIC
kupecHon Date Insp. Commwb
Footings I
foundation
Framing
Roo"
Rargh PIb9•
Rou9h Htg.
Isul.
Fkeplace y 13 ~
FnW HN.
FknW Pwy.
Const. Meter Plbg. Inspector - Notify Plumber
EngrJPlan
BId9-Final ~"111~,'Jf G~O~r~Cf °O«
Oeck Ftg.
Dedc-Rnal
Well
Pr. pigp.
r _ g«'1~ ..,Y.~; .T.7~
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
, PHONE:454-8100
BUILDING PERMIT Receipt #
To be used for Est. Vaiue • • Date ' , 19
Site Address ~ OFFICE USE ONLY
Lot Block Sec/Sub. ~f P-1
Occupancy FEES
Parcel No.
Zoning
- a ~ fJ "t
¢ Name (nccual) const Bldg. Permit
W
~ AddreSS (Allowable) Surcharge
City Phone S2=b 2 t~ 2 x oi stofies
Length Sg ~ Plan Review
, p Name Depth 7l SAC, City
ou~ Address S.F. Total - SAC, MCWCC
~ City Phone S.F. Footprints _
On Site Sewage _ Water Conn
r
W W Name On Site Well Water Meler
MWCC S stem ~Y
W City AddfBSS Phone CGty Water Acct. Deposit
<
PRV Required _ SMI Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - giW Surcharge
infortnation is correct and agree to compiy with all applicabie State of
Mmnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature oi Permitee APPROVALS Road Unit
A Building Permit is issued to: CC" Pr , Planner - park Ded.
on the express condition 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 Official Variance - TOTAL ' ~
Permit No. Permft Holder Date Telephone #
Wr17'ER K9
SEWER
PLUMBING 1041
9
H.V.A.C. L' ~ Pv~-'SI• - ~ ~ ~ d
~
ELECTRIC H~`A'
Mspection Date Insp. Comments
Footings I /
Foundaflon
Framing
Roofing 7 %
Rough Pibg.
Rough Ht9. S13
Isul.
Freplace r a ^ ~
Final Htg. Q vL1 P 1 l 1~. ~ MCIkE
Final Plbg. IHAN U n --A--PMIT I 5F-X fhOcN
Const. Meter Plbg. Inspector- Notity Plumber
Engr./Plan
Bldg. Final
Dedc Ftg. `i ~ .S Q f
Dedc Final ~
Well
Pr. DtsP. /J ^ 1- ! 2i 6
N 6 w L. ) N i- i 1
s' D cN 3- I -9l
;:7C f2 '7 f-1 e CoM Pl.ET701J C F7H I j
P Q a_\e-C T -_1Dbe\. .
PERMIT #
. d , MECHANICAL PERMIT
• ' CITY OF EAGAN RECEIPT #
- • 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~'•Pr. il
CONTRACT PRICE: PHONE: 454-8100 Site Address °
BLDG. TYPE WORK DESCRIPTION
Lot Block T' Sec/Sub Res. New '
~iC`,enz-Ryan P&H Mult Add-on
~ Name
~ Address 14745 South Pol>ert Trail Comm. Repair
~er
c Ciry;z•,;:e:oouctC, A4~T Phone 423-1I44
55068 FEES
Name RES. HVAC 0-100 M BTU -$24.00
c Address On d i il ADDITIONAL 50 M BTU - 6.00
p C~ty ^loud ~ HI~I Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
1 56302 GAS OUTLETS (MINIMUM - 1 PER PEHMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air 100 M BTU 24.00 APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
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 CFM (ADD $.50 S/C IF PERMiT PRICE GOES
Gas Piping Outlets # 1150 BEYOND $1,000)
Other
25.50 FEE
S/C: 1 50 SIGNATURE OF PERMITTEE
TOTAL• 6100
FOfi: CITY OF EAGAN
, . . . . . . . . . . a . . . . -'r
E' PERMIT #
' . PLUIIA8IN PERMIT
CITY OF~AGAN RECEIPT 1i
3830 PILOT KNDB ROAb, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: ~54-8100
Site Address ~ - :BIDG. TYPE WORK DESCRIPTION
Lot Block , SeciSub Res. ~4_ New ?
' Mult. Add-on
~ Name ;Comm. Repair
ig Address iOther
c City Phone c' - IRES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTUFiES TQTAL
Name ~-N/ater Closet - $3.00 S t~ -
~ ; --%,_Bath Tubs - $3.00
c Address
3 ' °`.ri-Lavatory - $3.00
p Ciry ;--AI) Phone - - ki__1-Snower - $3.00 i Ki!chen Sink - $3.00
FEES e: Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE .:-~_Laundry Tray -$3A0 _7. C L
APT. BLDGS - COMM RATE APPLIES -LFloor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES -1-Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - S300
MINIMUM - COMM/IND FEE -$20.00 ,--A-Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) VVell - $10.00
~ Private Disp. - $10.00
__,~-Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE: ~-t L-
STATE S/C:
FOR: CITY OF EAGAN
GRAND TOTAL•
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. 4 31 f r,
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: i; APPUCANT:
I t l I~ F3 f. f) I K_ ~t
,~!i~, i(~ (;,`~1,~ ,.li~ ,i~~„~ ,J~;;~i.il' i~i;•1
PERMIT SUBTYPE: TYPE OF WORK:
i t• ! I r! i ~ ~ , iti~i
INSPECTION D. ON TYPE DA
~ ~
Permit Holder Date Telephone M
PLUMBING
HVAC
~ Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH ~
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG -
FINAL HTG
ORSAT
TEST
BLDG FINAL
DaMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONOUCTIVIN
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
~
SEWER & WATER PERMIT OFFiCE USE ONLY
CITY UF fAGAN PERMIT DAT~ , • ~ ~ ~
3830 PIIOt KflOb Rd. WATER PERMIT # SEWER PERMIT #
P.O. BOx 21199 METER #~y~ B.P. RECEIP7 # ~ 13
Eagan, MN 55121 PZAK-M # 6 34 444Z~3 B.P. RECEIPT DATE ~ !3
METER SIZE
ISSUE DATE F - PRV -BOOSTER PUMP
-94
SITE AaDRESS PERMIT REGIUESTED
f,. .y .
LOT 3 BLOCK SECISUB
SEWER ~-WATER - TAPS
APPLICANf: '
ADDRESS: - COMM/IND ~ RESIDENTIAL
CITY, STATE ZtP
PHONE: 1 ~ NEW _ EXISTING
PLUMBER:
ADDRESS: ~I AGREE TO COMPLY WRH CITY OF
EAGAN ORDINANCES:
CITY, STATE ZIP -
PHONE:
OWNER:
ADDRESS: SIGN CI~F f UED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DERT. ,
SEWER & WATER PERMIT aFFICE USE ONLY
CITY OF EAGAN PERMtT DAT~;
3830 Pilot Knob Rd. WATER PERMIT # SEWER PERMIT #
P.O. BOX 21199 METER # B.P. RECEIPT # `
Eagan, MN 55121 READER # B.P. RECEIPT DATE
METER SIZE
ISSUE DATE _ PRV - BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
LOT _~IBLOCIt SEC/SUB
,
APPLICANf: ' SEWER WATER - TAPS
ADDRESS: - COMM/IND ~ RESIDENTIAL
CITY, STATE ZIP PHONE: ' y NEW _ EXISTING
It
PLUMBER:
ADDRESS: I AGREE TD COMPLY WITH CITY OF
CITY, Sj7ATE ZIP EAGAN ORDINANCES:
PHONE:
OWNER:
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
' . "3!y
~
o
(~.cr#ffi~~tr uf (Orrupanry
~
Citp of (Eagart
i9P}a~'q1Pt[f Af %aUto JttpPttim
T7iir Certific~ate irsued pursriaW [o Jhe r+equiremexts of SecJion 306 oJlfie Unijorm Building
Cafe cerlifJ'inS lhat at fhe tinre oJissuaxce lhisslructure rHrrs in wmpliance with the vurious
ordinances ojlhe Ciry regulaAing bur7ding rnnouaion or use For Mejollowing.
um cimswmai, 7CWNRn1SP. ~ Pamit 14M 18755
O=-p°cyT7W R3/1Rl jouivg peuict TL Tjpe C=,v VN
owner ac eMI&e JAIJES 8 AMMTA DIMq" 6329 K.iER IAtE, F.DINA
~ 4655 WIID6J0~ STf~T ,,,o,~ L3, B4. QAK Q.II+F PCCI~
7
, 8uaeinS oe-,o.t
POST fN A CONSPICUOUS PU1CE
DATE: 4/38/89
RE. 4655 WILDWOOD STREET, L4, B3. OAK CL1FF PONDS
xx'3
Yoig Sewer & Water Permit for the above property has been completed. It will be held at the
P 151ie Works Garage (3501 Coachman Raad) until the meter is picked up. BE SUAE TO
ALL PUBLIC WQRKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons~
~ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEYELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Buitding Inspections Dept. ,
. . . .
DATE: 4/28/89
RE. 4655 ti11LDW00D StREET L4, B3, OAK I-IL1FF PONDS
.
Xx_ YourOwer & Water PeRnit for the above property has been completed. It will be held at the
W blic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
LL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer 8 Water Permit for the above property cannot be completed for the following
reasons:
~
~Your Sewer & Water Permit for the above property has been completed, but the meter cannot
F, be issuetl or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at Cityr Hall. Meter size musi be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
_ • i
" 1989 BUILDING PSR[M APPLICATION - CITY OF EAGiN SINGLE FAMILY DWELLINGS ~ 1104
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRFSSFS FOa CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGNATE WfiICH ADDRFSS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS I33UED.
MITI.TIPLE DWELLZNGS aEHTJ1L UNITS FQR SALE IINITS # OF UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
Cq+IMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Se Used For s Townhouse Valuatioa: ? ° . Wr*W
83te Address 4655 Wildvaood Street OFFICE DSE ONLY
1l3,ooa~
Lot 3 Bloek 4 Occupancy F;-3 M-~ FBC3
Zoning ~
Pareel/Sub Oak Cliff Porids Actual Const Y-N Bldg. Permit (o$C~•DO
Sc~
Allowable y-ty Sureharge S6.
Owner Brutqer Caqpanies,Inc. # of stories Plan Review 343.0C)
Length ' SAC, City loo,oo
Address # 1 Stiinwood Drive Depth SAC, MWCC 00
S.F. Total Water Conn - ,OD I
I
City/Zip Code St. Clcud, Mn. 56302 Footprint S.F. Water Meter 170,00
Aeet. Deposit jo,a? ~
Phone 612-252-6262: On site sewage S/W Permit Zo. ou
On site well S/W Sureharge I.
D~
Cuntractor Br.utger Canpanies,Inc. MWGC System V, Treatment P1. ZZB,OO
# 1 Sunwood Drive City water ? Road Unit 6,
Address PRV required Park Ded.
St. Claud, Mn. 56301 Booster Pump Copies ~
City/Zip Code TOT~ ,
612-252-6262 ~pROVej'`
Phone Planner
Council
Areh./Engr. Midwest Iand Survevors Bldg. Off. ~ 3~Z`)
Variance ,
Address 7801 Wunnvside Rd. # H.10 Couneil j
~
City/Zip Code N1pls, Mn. 55432
Phone # 612-786-6909
NOTE: SeWer & Water Permit fees and aecount deposit fees xill be included in the building
permit fee. Processing time for seirer and water permits is tWO days onee a lioenaed
plumber has applied for a permit at City Hall.
v~~UA-T iD~J f - _
. , .
.
~
.A ~ ~ . . . . . .
~
~o x 22= yyo X 15= GGDo
3y%2 = g9~
z x 1 y = Za
q2.s x ly = i 2cmo
H o
loo = 93400
i1 29 sv
RESIDENTIAL
BUILDING PERMIT APPLICATION
'
3830 PILOT KNOB RDN 55122 170. 0Q
651-681-4675
New Canstructian Reauirements RemodellReuair Requirements
• 3 registered site surveys shaxing sq. ft. of lot sq. ft. of house; and all roofed areas • 2 copies of plan
(20°k maximum lot coverage allowed) • 1 set of Energy Calculafions for heated addilions
• 2 copies ol plan showing 6eam & window sizes; paured found design, etc.) . 1 site survey for exterior addiGons 8 decks
. t set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 117193
• Rim Joist Oetail Options selection sheet (61dgs wiN 3 or less unils)
DATE &14 ,Q~~ TD l A VALUATION (EXCLUDING LAND)~~j(1(1
JOB SITE ADDRESS yCO.SS 14/1 -I(X C-~- •
IF MULTI-PAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER 13f ic,1-vt SElL u.lfe
TYPE Of WORK 'vP T F' Y- v S1i FIREPLA~CE(S) _0 C-l _2 _3
APPLICANT ~l~~i?l~~.Fr'PS/QC40YYIp~'~AIII~~PHONE# ~IS~-~~O'O~S,~
ADDRESS D V 7Tlt,j/ Y~G1IY~SUlIIPa~'Z~CODE .J`5337
~J
PAGER # CELL PHONE # FAX #
.
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Ener9y Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plwn6ing SysCcm Includes: _ Wa[er Sottener _ I.amn Sprinkler ree: $90.00
Water Hea[er No. of R.I. Baths
No. of Baths
~&'-a2!:~
MechanicalContractor: 6L S1,[fJQ &1Py1PY lIPA!/i~i'Phone# ~Sd-k
Nlechunical Systcm Include,: _ Air Conding Fee: $70.00
Heat Rccovcry System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
i hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
- Signature of Applicant ~
\ -~--6'~k-
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplaca ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multl
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
0 04 02-plex ? 10 OS-plex ? 18 Oeck ? 23 Porch (screened) ? 36 Mufti
? 05 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
~
Type of Const Width
REQUIRED INSPECTIONS ~
_ Footings(new bldg) FinaUC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addi[ion) _ Plum6ing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY OF EAGAN N~ 16240
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
~ PHONE:454-8700 f ~
BUILDING PERMIT ~ , F. Receipt #
To be used for TOWNHOUSE Esc Value $113 , 000 Date APR 3 , 1 g.$9--
Site Address 4655 WILDWOOD ST
Lot 3Biock 4 Sec/Sub.OAK CLIFF POND OFFICE USE ONLY
Parcel No. occupancy R-3 M-1 FEES
Zoning R-3
w Name BRUTGER COMPANIES, INC (ACtuaqConst ~!-N eldg.Permil 696_00
~ AddreSS 1 SUNWOOD DR (Allowa6le) V'N Surcharge 56,670
0 City ST CLOUD Phone 252-6262 sot5wries - 343'
Length 581 Plan Review .00
, o Name SAMF. Dapih 7- SAQ City 100.00
gQ Address S.F.Total - SAC,MCWCC 575.00
~ City Phone S.F. Faotprints -
On Site Sewage _ Watar Conn 590.00
ww Name On Site Well - Water Meler 90.00
1-7 MWCCS stem ~
Address y acct. oeposit 30.00
aw City Phone cirywacer
PRV Required _ S/W Permit 20.00
I hereby acknowlege that I have read this application and state [hat the Booster Pump - SNJ Surcharge 1.00
intormation is correct and agree to comply with all applicable State ot
Minnesota Statutes and G*, agan Ordinan sr Treatmenl PI 228.00
Signature of Permilee / APPpOVALS Road Unil 340 _ nb
A Building Permil is issued to: BRUTGER COMPANTE$ , 7NC Planner - park Detl.
on ihe express condition that all work shall ba done in accordance with all Council -
applicable State of, /M~innesota Statutes antl Ciry of Eagan Ordinances. gldy, pry, _ Copies
9uildingOtficial LI_1N1 k31~~ 1 A~ Variance - TO7nL 3,049.50
(wotuc sTA tMEa P"iMIT #16240) CITY OF EAGAN
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 N°- ` 18755 ' PHONE:454-8100 (
BUILDING PERMIT Receipt # C Z !
COMPLETION OF
To be used tor TOWNHO SE__ Esc Value $33, 000 Date M?.R 1 , 7g 91
Site Address 4655 WILDWOOD ST
Lot 3 Blo~,: 4 Sec/Sub. OAK CLIFF POND OFFICE USE ONLY
PefCBI NG. ~ Occupancy R-3 M-1 FEES
Zoning R=3
w Name JAMES & ANNETTA DIEDRICH (ncwaqconsi ~N BIdg.Permit 304_00
~ Address 6329 MTi.T.F.R T.N (Allowable) V=N Surcharge 16 50
City E?INA Phone 927-9274 ;roisiofies
458 812-2- Length 581 Plan Review
, o Name SAME Dapih snc, ary
00Address S.F.7otal -
u< SAC,MCWCC
~ Cliy Ph011B S.F. Footprinls -
On Site Sewage - Water Conn
~w Name on sae wen - waier Meter
zs Addfess MWCCSystem
as Cit Water XX AccL Deposit
<w City Phone Y
PRV Requiretl xx S/VJ Permit
I hereby acknowlege that I have read this application and stale ihat Ihe Baosier Pump - SnN Surcharge
inbrmation is correct and agree to afal ith all applicable State of
•
Minnesota Statutes and r~ c. Trealment PI
~
Signature of Permitee APVROVALS r" Road Unit
A Building Permit is issued to: J~ AN&-M DIEDRIQI Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Min~ne~sota Statutes and City of Eagan Ominances. gldy, pff. _ Copies
Building0fticial_~~,~i~~~1T ~ Variance - TOTAL 320.50
Address: 4655 WII,D4XOD STREEf Lot 3 Blk q Sec/Sub pAK r-~,IFF ppND
These items wera/were not complete at the time of the final inspection.
4/30/91 Yes No S
Date:
Final grade (6" from slding) tx~
Permanent steps - garage ~
Permanent steps - main entry ?
Permanent driveway .y~
Permanant gas
Sod/seeded grass
Trail/curb damage ?
Porch ~
Basement finish Deck
Pleasa verify vith the builder tha removal o£ xoof test caps from the plvmbing
system and the shut-off of watar supply to the outside law faucet before
freeze potential exists. lq9~
:cmeowu
White - City copy Yellow - Resident copy Pink - Contractor copy
1 6'.~3'~ 8 2, - ~~o g
~ Fire N0. h-in Inepeclion
Requasl D te
uiretl? ~ ? ReaW Now dW~NiiotlN InsPector
~ ? Ves o When Ready9
I nsed contractor ? owner hereby request inspeclion of above electrical work aCJoe arees et, eox a Roure No.) ~ cM
i ,
$eclion No. Township Name or No. Ranga No. Counry
pCC m (P NT) Phrne No
PowerSupplier AEAress
Ekc1' COn aclm(COmpen ) . CoMr Li No~
V /
Mail rew (Con or o Oxnarking s~all Iion)
~ J-
Authorize gna{ure (COmracto. r a ng mstailelion)„ Plwne Number
'
MINHFSOT STATEBOAflDOFSlLE fllCl ' THISINSPECTION'REOUEST~WILLNOT
Grlygs-Mitl y Bltlp. - Room~ BE ACCEPTED.BYTNE STATE BOARD
1B3t Unir tty Ava.• St Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS VMne (512) 613-0800 ENCLOSEO.
~//~/g~ REQUtST FOR ELECTRICAL INSPECTION eaoooo,-oe
~ . I
~ ~s
~ See instmctions for compte[ing this form on back of yellow copy. ~ 6 3.4.8 2 "X" 8elow Work Covered by This Request
ew W uilding AppliancesWired EquipmeniWired
Range Temporary Service
Water Heater Electric Heating
Dryar Other (Specity)
strial Furnace
Air Conditioner
6on1redor5 Remarks:
Compute lnspection Fee 8elow:
# Other F ee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming POOI 0 b 200 Amps ~ 0 to 100 Amps ~
Transformers A6ove 200 _ Amps A Amps
SignS InspeclwS Use Only: D TOT(1L_ ~
C// \
Ini9ation Booms r\1
Special Inspectlon
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rougn-in - Dare
cert that the above insPectlon has ~
~Y Finai oa~e
been made.
OFFICE USE ONLY i
This requBS[ wia 18 moMhs Irom
~ 0 3 0 31`,c
Request Dafe Flre No. oug ' Inspedion
q
y ? ? Reatly Now Will Notiy Inspecror
~ ~ ~es s ? No en Reatly7
I licensed contrador ? owner hereby request inspection ot above electrical work at:
Job Address (Gtreel, Boz ar Route NoJ Ciry
I G ,Pala+rt0 T
Sectian No. Township Name Or No. fiange No. Counry
Gar 3 o.-jo d 7?9-
Occupent(PRINn Phone No.
G/~ C-eni B l- L 57-7 -!o alo ~
Power 5upplier Aad/ess
.C'tl ~B~Y~/G ~A'JlitJ
Elecvical ConVactar (COmpany Nartre) CoMractor5 License No.p
ZE'l/_! J ' /cl /C-
Mailing AOdmes (Canredar ar Owrier Makirg Insta11a0on)
A" lo
AutMrized Signetur Contraclor/Owrrer Naking Instellatio Plrone Number
4?90 - 3 SS ~
MINNESOTA STpTE BOAqO OF ELECTRI(bit THIS INSPECTION REQUEST WILL NOT
Griggs-NlAvey Bltlg. - floom 5773 BE ACCEPTED BYTHE STATE BOAFiO
1821 Unlvxairy Ave., St Peul, MN 5510i UNLESS PROPER INSPECfION FEE IS
Mona (612) WS-0800 ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION Eaoroma~
400- See I7Mudions lor completing thls form on beck ot yelbw copy.
F03031 "X" 8elow Work Covered by This Request
e Adtl Rep. TypeoBuiltling AppliancesWired EquipmemWiretl
~ Home Range Temporary Service
Duplex Water Heater Electric Heating
Api. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Comrada4 RemaMS:
Compute Inspection Fee Be/ow:
# Other Fee a ServiceentranceSize Fee # ClrCUits/Feeders Fee
Swimming Pool / 0 to 200 Amps D to i0o Amps
Transfortners Above 200 _ Amps ~ Above 700 _ Amps
Signs Inspector§ Use Only: TOTAL 15V
Irrigation Booms
Special Inspection
Alarm/Communication
O[her Fee
I, the Electrical Inspector, hereby Rough-in ' oe
d-
certify that the above inspection has F,nei oM
been made.
OFFICE USE ON W
This repuest wiE 18 months fin.
. ..J . .::fIC_. .
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nic.l ?n'I,r;d3i!J,r; a1^ROeI d'?:...,..., . =
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. NIIkE ~ CARRoGL
nO Q e #3486 'o/
~ons,~~.Tino (11[IIfIfEAS
E r~ni+~iEns ena LnIin iunvEVOns
NGINEE(iING
COMPANY, INC, .
~ 1000 LAST 1461h S1A£ET, BUfl115vILLE, u1NtlESOtA 56337 PII 4'`2'3000
AS BUILT SURVEY
~
~e...,~a I L'ts crL,p 2 i czt: LOT 3, 6cocK 4, oA.e cc i~` Pon~v,
DAK07A GOUN?Y M/NNESOTfI.
6ARAE~ FL002 E'GEI/~9T/ON = 939. ¢5
!~L'qLKOVT E7~l~AT/ON = 933 ~
~
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= ZD
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N BS°
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N `\aO•9o
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a p °
Fi.eLgplqCE ~ NJ
~ 22.00 ~
o~ ~ ~S \Q
~r
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/00, 00
/ ~4
T heriby aartify that t1,ie in n true end corrict reprraGntatian of a tract of
land aa ahown' and daecribed lierean.• Aa preparad by me an thia day of
Pr~~ f 19~L._,.•
oREQU~~ rr~~
~
Hinn. n.6. No? so
. ,
~
1991 BIIILDING PE!MYIA4P6'PtCATION ,
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (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 WfiEN: TYPING OF PERMIT IS REQUESTED, 8UT NOT 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 IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE W1iICH 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.
aMpLErZ~- uNFIrr15riEb FiausE ~ 1ffCD MAR 11941
To Be Used For: Valuation: 33i&00! Date:
Site Address L16 SS" C?ctw, v C~ OFFICE USE ONLY
Lot ?J Block FEES
Occupancy Bldg. Permit 3 014, 0,-;~
Zoning Surcharge 16,5~
Parcel/Sub 0 AK CLIFF PON'D Actual Const Plan Review
4 Anver,n M- Allowable SAC, City
Owner -Ta,In„ .i # of stories SAC, MWCC
Length Water Conn.
Address C,302'~ M1C-LEl2 L'qNE Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code $S//ZL/ Footprint S.F. S/w Permit
S/W Surcharge
Phone `,27 iJ12 Z' On site sewage_ Treatment Pl.
On site well Road Unit
Contractor ~sA rvi MWCC System _ Park Ded.
City water _ Trail Ded.
Address PRV _ Copies
Booster Pump _
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
Council . TOTAL ~
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code ~ S"j tUCTLI(ZL G{2/61NAl-L STARTa uNl)ER 8l'#/6:24a
Phone #
agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
FERMIT
CITY OF EAGAN
3830 P" ot-Knob Road PERMIT TYPE: Bu z Lo T N e
Eatan, Minnesota 55122-1897 Permit Number: , 0 3 3 2 7 6
(612) 681-4675 , Date Issued: 0 9/ 16 J 9 8
SITE ADDRESS:
4655 WILDWOOD ST
. LOT: 3 BIQCK: 4
OAK CLIFF POND
P.I.N.a 10-53575-030-04
DESCRIPTION:
T.O. & ReRnoF
BxW-1id'1rRYk,Permit Type STORM DAMAGE
R~411c-jr5g W%rk Type REPflIR
~"C~~rtSttS Code~''~~ 434 ALT. RESIDENTIAL
~
. , . a:a~~ n
vr
T
im~`2*Y 4n'Y•"xi.~a• gapl
rya ~v
P`
~
~
, ~rig -}.~~~~"~3` p
~t~'T C I¢a Y*A 'j "aS.°.8 i:I t d,.« "~c i3 u 4tiuit h{:9
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - sT. LIC. OWNER:
6AftC IND DDOR WSNDOW STORE 14409730 8680 AHERN RANDALL
17001 FISH PT - RD S.E. 4655 WILDWOOD ST
PRIOR LAKE MN 55372 EAGAN MN 55122
(612) 440-9730 (661)882-1953
T her~7~Y" dCkl~tt.G,+.Lgdgs thaC I have reod 'C:hls -appXloAt3ori a'rreF StaL?a that Che
lf~ a9~teot ansl'agr'ee to carqpl~ Ar$th 'a,11 - apRlibable 5,tate 6f hln.
. $tatutis And 0-ity `.of "E-agarF'_ordinarxczeg. .
,m ; r.... . _ _ - .
kLqBUED BY: SIGNATURE
APPLICANT/PERMITEE SIGNATUFiE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
?t ~2 ~ 3830 PILOT IU4-"OB7 RD - 55122 nl- ~
J
"
681
New Construetion Reauirementy RemodeUReoair Reauirements
• 3 registered sde surveys ? 2 mpies of plan _
? 2 oopies ot plans (inUude beam & xrindow sizes; poured fid. Eesign; etc.) ? 2 site surveys (extenor addkions 8decks)
? 1 energy calalations ? t energy alalations for heatad addkions
? 3 copies of tree preservation plan if lat plattad after 711193 . required: Yes No
DATE: ~~j~9b' CONSTRUCTION COST;
DESCRIPTIO WORK: 1g;4e O'FL Q.afA~ ~
STREEYD ADRESS: ~ ~
LOT: ~ BLOCK: ~ SUBD./P.I.D. '
Name: /'T/'t 6'/l/ Phone az- / qs3
PROPERTY 1-azs Firn
OWNER
Street Address: ~
~~o.ss L~~tc~llD~ ~t'
City CiX q,, State: Zip: 33/Z2-
C'o
C/
Company: L Phone y~/O~/73Q
CONTRACTOR n~ C ~
Street Address: ~ l ~DI KC~ cJ•~ License k
Ciry T/'COI~ State: Lf'LRJ. Zip:
ARCHITECT/
ENGINEER Company: Phone ii:
Name: Registration tt:
Street Address:
Ciry State: Zip:
Sewer 8 waier licensed plumber (new construction only): Penalty applies when address chang
and lot change is requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the inTortnation is Correct and agree to compty with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT T1fPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basemeni Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscelianeous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE I
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 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. Gensus Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
CeRSUS Unit
APPROVALS '
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S1W Permit
S/W Surcharge
Treatment PL
Park Ded.
Trails Ded.
Other
Copies
TotaL•
°,6 SAC
SAC Units
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KIIOB ROAD
EAGAN, MN 55122 PERMIT #A ~
PHONE: (612) 454-8100 RECEIPT # /D03
, ~B.DATE: o'~ 9
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMESJCONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNZT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
ND. FIXTURES EA. TOTAL
NEW CONST RL-4 i• ~G4" A/$¢~ mT ADD-ON MINIMUM 15.00
ADD ON _ ~~~~''~l/~ • ~ SHOWER 3.00 2!EC-)
REPAIR _ Z WATER CLOSET 3.00 1900
2-^ BATH TUB 3.00 ~LDO
,3 LAVATORY 3.00 41-049
OWNER NAME: KITCHEN SINK 3.00 100
LAUNDRY TRAY 3.00 ?p O
SITE ADDRESS: `G(aJ~ ~i-~~~(J/~F~Y? HOT TUB/SPA 3.00
~ T WATER HEATER 3.00 D 0
LOT: ~ BLOCK SUBD. FLOOR DRAIN 3.00 3100
GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00 ~
.3 ROUGH OPENINGS 1.50 ~a
ADDRESS: p~~ _ OTHER _
~-lJ S WATER SOFTENER 5.00
CITY:~ ~~•~~~Y ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE -
yG 5U
~ SUBTOTAL $
ST. SURCHARGE .50
NATiTRE PE TTE
TOTAL:
GDMMEIt~aIAL INIfIISTBT~T.3 PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND
1..,,
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
IAT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
I
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4655 Wildwood St
Lot: 3 Block: 4 Addition: Oak Cliff Pond
PID:10- 53575- 030 -04
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:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
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.
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
Greg Snyder
4655 Wildwood St
Eagan MN 55122- -338
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA090389
07/29/2009
ePermit
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
41,b`
City of Eaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 1 2 4j / {�
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
/30232
105 .x5 --
Date Received: / - a C' -1 G
Staff:-'
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
Unit #:
5nY
Ow e .
Name: balmily Phone: &S) - 30 7 -34/ D
Address / City / Zip: Li 695" 10-411044,64y''
Applicant is: Owner X Contractor
ype �Po irk
TtO
Description of work:142L-•4 (f'-4
Construction Cost: `l'53, • Multi -Family Building: (Yes / No X
)
ctor
?' `{
// )f
Company: L. ahe' ( 'S`�/`u cfilt Contact: Q V , i1/
o
Address: 'L?? / 3/ 2--t'* City: drone -�1
_
c `
State: JW. Zip: 5j' jG9j Phone:6(2- 722--) 108 Email: alba,►�^�,C,l 4-1,`4Z.,t`V--
License #:r'3Y 1 Lead Certificate #:
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and sup a g r ocuments tl at ;%®� u ®gyp • 'dere ® ®�• • • • rrndfro . •
tlr forma n maclassifiedso of , • ^ p �
•' de at tl r refit a �_b -
�•
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.
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.
xla�, S.
Applicant's Printed Name
x
Applican 's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145787
Date Issued:09/25/2017
Permit Category:ePermit
Site Address: 4655 Wildwood St
Lot:3 Block: 4 Addition: Oak Cliff Pond
PID:10-53575-04-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Wendy Lane
4655 Wildwood St
Eagan MN 55122
(651) 307-3610
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162168
Date Issued:06/30/2020
Permit Category:ePermit
Site Address: 4655 Wildwood St
Lot:3 Block: 4 Addition: Oak Cliff Pond
PID:10-53575-04-030
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kristen M Henry
4655 Wildwood St
Eagan MN 55122
(952) 513-7706
Glowing Hearth And Home Llc
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162168
Date Issued:06/30/2020
Permit Category:ePermit
Site Address: 4655 Wildwood St
Lot:3 Block: 4 Addition: Oak Cliff Pond
PID:10-53575-04-030
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kristen M Henry
4655 Wildwood St
Eagan MN 55122
(952) 513-7706
Glowing Hearth And Home Llc
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature