4659 Wildwood St , . - „ - _
j r. . . .s. . '
~
d,,~, ~
BSW FMSH 03/15/93 GTY OF EAGAN ~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: $81-4675
BUILDING PERMIT Receipt # C 106677
To be used for sp DWG/GAR Est. value =110.000 Date DEC 31 19 91
Site Addre,qs 4659 iiILDWC)OU ST
Lot 4 Block 4 Sec/Sub, OAiC CLIPF POND OFFICE USE ONLY FEES
Occupancy a'3 H-1
Parc~l No. ~ B~ Permn 675.00
Zoning
NaR1e O C P HOlES I P1C lnctuaq Gonst Sucharge 55.00
w qddress 8609 LYNDAI.= 8 #1018 (Allowable) w-p Plan Review 438.00
~ r,jty BId)Q!lIIi4I'ON Mtd ZjP 55421 htories 31 uoer~e
phpne - 891-0127 oeP?n _ 56' snc,ciry
JOSEPH P YARI.SY COpST S.F. Total - SAC, Mcwcc
o Name .F. Footprints -
16800 S}iIBLDSVtI.i.~ BLVL! Spr~ Site Sewage _ water Conn /
~CRY FAftIDl1ULT dAl Zp 55021 pn Site weu ~ water nneier
(507) g4,4-bp3~, Mwcc sygt~
Phone
Gry wa?er X acci. oepos~~
License # PRV Required x Sl1N Permit
I hereby acknowiege that I have read this application and state that the Booster Purrp - S1W Surcharge
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and Oity of Eagan Ondiaances; Trealmenl PI
' APPFi0YAL5
Signature ol Permitee Road Unit
A 8ui1 9Permit is issuedlo, JOSEPN P VARI.EY CONST Planner - Park ped.
on the gxpress condition Ihat all work shall be done in accordance with all couwi
applicable State ot Minnesota Statutes and City of Eagan Ordinances. gldj, pH, _ cop'es ,
' Variance - ~TAL , 1,168.00
Building Otficial -
. - - -
Parmit No. Permit Holde? Date Telephone #
stw .
PLUMBING ~
HVAC
EIECTRIC
ELECTRIC
Inspection Date Insp. Comments
FooNngsl
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Frepiace
Final Htg.
o.sat Test
Final Plbg. l~
~ P . Inspector - Nptify Plumber
Const. Meter ~
EngrJPlan
Bldg. Final ~r~~~ .S' CA t 1sKf ~2•/7~2 (~S
Dedc Ftg.
Dedc Final
weli . rL ~ -
Pr. Disp.
3 c 1~
, • ;
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 681-4675
BUILDING PERMIT Receipt #
To be used for FOMW dPUL14ytrM Est. value ~ s pOJ ~ Date DEC 12 ,1 g 91
Site AddreAS 46S9 YILDilOOQ ST
LOt k 61oCk 4 Sec/5ub. ~ CLIFY PQND OFFICE USE ONLY FEES
Parcel N0. Occupancy 9-3 K-1
zoniny ~ Bldg. Pemitt 162*
n(arpg 0 C PHKf!!ES INC (qctuaq Const V-L Slrchaige 7•30
w Address 8609 LYItDALE S#lO1D (nnowabie) Y1 PW P"Iew 103.00
~Cfty BIO0lII NCTOli !!N Zp 55421 h,~s jq • ucer,se
PllOrle S$1-0127 Depm 56 ' SAC, City OO .OO
o Name .I08EPH P YARLEY CO~iSY S.F. Tota1 _ snc, nncwcc
16aQ0 $HISLDSVjLLB SLVD S.F.Foolprints 6~*~
~~df2SS On Site Sewage _ water Conn ,
(,jry FARIDAULT l1~1 Zp 53021 On Site Weil - Water Meter 9S•~
Phone (507) 334-6034 Mwcc sy5tem X Aca30.00
~ -
City Waler
# PRV Required X S/V11 Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - S/yy Surcharge '50
information is correct and agree to comply with all applicaple State ot 276.00
Minnesota Statutes and Ciry of Eagan Ordinances. 7reatment PI
Signature of Permftee APPROVALS Road Unit 370#00
A Building Permit is issued to: J~~ p V~~Y ~T - P~ Dad.
on the express condition that all work shall be done in acco nce with all Co+^cil
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pff, _ Copies
Variance - TOTAL ~6 ~ ~
Building Otficial -
Permif No. PermH Hoider Date Telephwm #
. Ai 91
PwMeiNG
b/~ 02 . 3 393 * v oa
HVAC , • 3~v ~1~ 5'l' S~
ELEc'Mic v
EUcrRi
lnspectioa Date Insp. Commsnts
Footings I
FoundaGon
Framing -:'/13 19 &lZ
Roofing
Rough Pibg. P~z
Rough Htg. 7?
ISUI.
Fireplace
Final Htg.
Orsat Test
Final Plbg. .9 plby. n or - fy Plu r
.
GonsL Meter
EngrJPlan
Bidg. Final
Qedc Ftg.
Dedc Final
Well .4t,.
Pr. Disp.
/9- Z ~ ~
SEWER & WATER PERMIT O/FFtCE USE ONLY
CITY OF EAGAN METER #~~fp919 PEAMIT DATE 12 / 13/91
3830 Pilot Knob Rd. •
Eagan, MN 55122-1897 CHIP #4 2/g J3 PERMIT # 12440
METER SIZE B.P. RECEIPT # C 016496
DATE ngC 12,, 1991 ISSUE OATE B.P. RECEIPT DATE 12 112 / 91
X- PRV _ BOOSTER PUMP
SITE ADDRESS 4659 WILDWQOD ST PERMIT REQUESTED
LOT 4 BLOCK 4 SEC/SUB OAK CLIFF POND
_XL SEWER _XL WATER - TAPS
APPLICANT:
ADDRESS: - COMM/IND X RESIDENTlAL
CITY, STATE ZIP X_ NEW ~ EXISTING
PHONE:
Lawn Sprinkler Meters are to be Instalied
PLUMBER: B J& M PLL?MBING Ahead ef- mestic Meters on Water Line.
ADDRESS: 943 PAYNE AVE Cradif WIL NOT be give for 7e, ct Meters.
CITY, STATE ST PAUL tl ZIP 55101
PHONE: 771-4177
I 7AFtEEf6 COMPLY WITN OF
OWNER: O C P HOMES INC E AN ORDINAfVCES
ADDRESS: 8609 LYNDALE S #101B
CITY, STATE BL40MINGTON MN ZIp 55421 PHONE: 881-0127 SIGNATU WH METER 15SUED
~ te. , Cuc~o
PL~S~ ~~LOW ~O WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTiONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
. . . , _ . . , . , _ ,
SEWER & WATER PERMIT OFFICE USE ONLY
CIT'&F tAGAN METER # PERMIT DATE 12/ 13 f 91
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP ~ PERMIT # 12440
METER SIZE B.P. RECEIPT # C 016496
DATE DgC 12. 1991 ISSUE DATE B.P. RECEIPT DATE 12/12/41
. X PRV _ BOOSTER PUMP
SITE AO&ESS 4659 WILDWOOD ST PERMIT REDUESTED
LOT 4 BLOCK 4 SEC/SUB OAK CLIFF P(?KU
XL SEWER -L WATER _ TAPS
APPLICANT: _
ADDRESS: COMM/IND X RESIDENTIAL
CITY, STATE ZIP X NEW _ EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: BJ & M PLUMEING Ahead of 6pmestic Meters on Water Line.
I.' NOT be given for De
/,quct Meters.
ADDRESS: 943 PAYNE AVE Credit WIL
CITY, STATE ST PAEJL MN 21P 55101
PHONE: 771-4177
1 A EE TO COMPLY WITH --1( OF
OWNER: 0 C P ROMES INC EAGAN ORDINANCES
ADDRESS: 8609 LXNDALE S #101B
CITY, STATE BLOOMYNGTOH !SN ZIp 55421
PNONE: 8$1-0127 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
~
+ ~ s t . _ • . . ,
!f . •'0 '
• - • • - 1 ' . ' i
'
~ Wertificate vf Ccrupanc4 s ~j~~ o~ ~agan
MeOartmtcttt 0f Zxilbbis 3tte-VCCtirtt _
This Certiftcate issue~ pursuant to rhe requirements of tite Uniform Building Code
certifying that at the tim~lof issuance this structure was ue compliance with the various
ordinances of the City negularrng building construction or use. For the following:
uu ctassircat;wn: SF IWG/GAR swg. Pawk rb. 20"
accupancY 7ype Zoning Distria ypqfmst_~~_
~ avL s
Owoer of Building Addmss
~I~Nng Address uocality 114, f
Date: WPM
Building Ofticisl i
POST IN A CANSPICUOUS PLACE
~ CASH RECEIPT
CITY OF EAGAN ~ ~3830 PILOT KNOB ROAD "
,
, EAGAN, MINNESOTA 55122 ~
DATE
SWcervfo , f"a" - - ~ ~ - -'--r . .
i '
AMOUNT a
& DOLLARS
,oo
? CASH 1.13 CHECK
FOR
-
;
t ~
; .
~
FUND OBJECT AMOUNT
Thank You
. ,
BY
C 016496 whno--Payen Copy ~
Yelbw--Postl^9 ~PY
, Pink-Fife Cqpy
1 ~
~ ~ CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 M20009
~ PHONE: 681-4675
BUILDING PERMIT Receipt # C 106677
To be used for SF DWG/GAR Est. value $110,000 Date DEC 31 , 991
Site Address 4659 WILDWOOD ST
. r OFFICE USE ONLY
Lot 4 Bbck 4 SeGSub. OAK CLIFF POND FEEs
PefC2J NO. Occupancy R-3 M-1
Zoning PD BIdg.Permit 67$.00
NNT12 0 C P HOMES INC (ncmaqConst -VLN Surclwge 55.00
Z AddfOSS 8609 LYNDALE S#lO1B (Allowable) _]-N pl~ Ravier., 438.00
# ofStanes
~ CIIY BLOOMINGTON MN ~'jP 55421 Lergm 3.~'
Phone 881-0127 Oepth --5-6' sac, ary
~ N3mB JOSEPH P VARLEY CONST S.F. Total - SAC, MCWCC
~ SF. Footprints -
~ 16800 SHIEL?SVILLE BLVD - Wa~e~Conn
Address
On Site Sewage
Cjhr FARIBAULT MN Zjp 55021 onsitaweii weterMeter
PhonB (507) 344-6034 ntWCC 5ystem X
8 Cily Water X AccL Oeposil
VceflSe # PRV Required X S/W Permit
I here6y acknowlege thal I have read this application and state that Ihe Booster Pump - S/yy Surcharge
information is corcecf, tl agree to comply with all aeplicable State oi
Minnesola Slatules and ' ot gan i nces Trealment PI
SignaNre of Permitee. APPROVALS Road Unit
A Building Permit is issue JOSEPH P VARLEY CONST Pianner - park Ded.
on Ihe express condition ihat all work shall 6e done in accordance wilh all Council
applicable State of Minnesota Statutes and City ol Eagan Ortlinances. gid9. pry Copies
Builtlinq 0lficial ~~1 RO Variance - TOTAL 1, 168. 00
CITY OF EAGAN ~Q 1 9 9 6 2
: ~ ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 681-4675 -
BUILDING PERMIT ~ ~q.~ Receipt # .r_n ~ 6 4qtv
To be used for FUUPING & FCIIAIDAITON Est. value l~-rc' Date DEC 12 g 91
Site Address 4659 WILDWOOD ST
~ Lot ~ 4 81ock 4 Sec/Sub. OAK CLIFF POND ~FFICE U5E ONLY
FEES
Pe~CBI N0. Occupancy R-3 M-1
Zoning ~jL Bkig. Pertnh 7 62. 00
Nafi12 0 C P HOMES INC (A~WaI) Const SL~I Sumlvirga 7. 50
W,~d~p,~ 8609 LYNDALE 5~/lO1B (Allowable) 3L-H p~~ p~N 105.00
~('.Il)I BLOOMINGTON MN Z'Ip 55421 Lengh'ories ~
Phone 881-0127 Depth 56' snc, c~ry 100.00
¢ S.F. Total
Name JOSRPH P VARLEY GONST - Snc,nnCwcc 65n_nn
~ p,ddress L6800 SHIELDSVILLE BLVD S.F.FOO[prinls =
On Site Sewaga H'ater Conn 660. 00
~ Cj(y FARIBAULT MN TjP 55021 On Sile Well _ Water Mefer 95.00
Phone (507) 334-6034 Mwccsys~am ~ q~~t.Deposil 30.00
8 ciry water X-
Vce~ ~ PRV Required ~ S/W Permi~ 30. ~Q
I hereby acknowlege that I~r d this application and state ihat the Booster Pump - gnN Surcharge •$0
informatwn is conect a~grea o comply with~all pplicable Sta~e ol 276.00
Minnesota Statmes and'City of qan Ordii ance . Treatment PI
Signature ol Petmi~ee l 11PPROVALS Road Unit 370. 00
A Building Permit is issued o: JOSEPH P VARLEY ONST Planner - paric Ded.
an the express condition that all work shall be done in accor nce wilh all Council
applicable State of M,/i~nnesota StatNes and City of Eagan Ordinances. Bldg. 01f. _ Copias
' 1^', n~~~ m ~J Varianca _ TOTAL Z~ 486. 00
Building Of~icial ~yll4 CCJ
Address: 4659 WII,DWO0D SIREET Lot 4 Blk q Sac/Sub p[K aIFF pOND
These items were/were not complete at the time of the £inal inspection.
Date: 12 17 92 Yes No ~
' Final grade (6" from siding) LI/
Permanent steps - garage f
Parmanant steps - main entry
Permanent driveway ~
Permanent gas
Sod/seeded grass .
Trail/curb damage ?
Porch
Basement finish
Deck
Pleasa verify vith the builder the removal of roof test caps from the plumbing
system and the shuC-off of water supply to the outaide lawn faucet before
fzeeze potential exlsts. ~
.e.a.e.w.
White - City copy Yellow - Realdent copy Pink - Contractor copy
d 1162~~,~~~~d
Fepuesl Date Flre No. W4h-ih InspeCtion
Fieduiretl? ? Reatly Now ~Will Notity Inspector
Y 7 ~Yes G Mo When ReBtlyT
Ij<iicensed contractor ? owner hereby request inspection of above electrical work at:
Job AEtlress (SVeeL Bov or Route No ) City
~'~'"9 i%dWd a~ ,~.OG.e/Y
Seaion No. Towns~i0 Name or No. Range No. Coun
l,eoT
Ottupanl iPRINT) Phone No.
GowerSupPliar qtltlress
f,~
Elacvical ConVactor ICompany Name) Convanor5 Licgnse No.
r,i(
Mailing Aatlress ICo ac or Owner kinq Instanaton
~ l,a.r /~W w4~-1/~ ~ -rLy~
AulM1On2etl &gnat onu~I Ilation, Phone NumOer
&'z -e;W7 41*3 ; ~ .
MINNESOTA STATE BOAPD OF EIECTRICITY THIS INSPECTIONAEQUEST WILL NOTa,
Grigga-Mitlway Bltlg. - Room S179 BE hCCEPTED BV THE STATE BOARD
1821 Unlvarsiry Ave.. SL Paul. MN 55100 UNLE55 PROPER INSPECTION FEE IS
Plqne (612) 642•OBpO ENCLOSED.
REQUEST FOR ECECTRICAL INSPECTION ee-oaom.oe
? See inshuctions * complePl.v§ ihis imm on back ol yellow wpy.
A4
16 2 X" Be/ow Work Covered by This Request
ew Atld Rep. TypeofBuiWing AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Watar Heater Electric Heating
ApL Building Dryer Other-(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (syecily) ConVaclor's RemarksC&ny,.~
Compute Inspection Fee Below: C~"`~• ~ ~
~ Other Fee # ServiceEntrenceSize Fee S Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Above _ Amps
Signs finspeclor5 U. Only: 4 TOT L
Irrigation eooms y~ Q ~
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M THS. I, the Electrical InspeCtor, hereby Aough-in
certiry that ihe above insPection has
Final OataJ
been made.
OFFICE USE ONIV
!
This request voitl 18 monihs Imm
S
v11 a?
2 16
ReQUest Date ' e No. ough pseciion Reqoired InSpectbn OIM1er Tnan Rough-In
• ou us ceil inspecror when reatly) qeaEy Now ~ will Notiy msvector
6/ 2 3/ 9 4 n
- M Y. ?'NO DeteReaO
IMlicensed contractor !7 owner hereby request inspection of above elecirical work at:
Job Atltlress (StreeL 0ox or Route No.l Clry
4659 Wildwood Eagan
Seclion No. Tavnship Name or No. Range No. Counly
Dakota
(PRINT) Shoules Ph~~eNO.882-0869
Gower Supplier Atltlress
Dakota Electric 4300 220th St. W., Farmington
Elaclrical Contractor (COmOany Nama) Convacmr's License No.
Joos Electric Co. CA 00961
Mailing Address ICOnVactor or Owner Making Installation)
3980 Beau D' Rue ive Eagan, MN 55122
Amnonxeo SiSnacure iComramortOwner Maang i allation Phone NomDer
- 688-6180
MINNESOTA STATE BOAPO OF ELECTNIC THIS INSPEGTION PEOUEST WILI NOT
Grigge-MiOway Bltlg. - Room 5-173 BE ACGEPTEO BY THE STATE BOAFD
1821 Univercity nve., St PaW. MN 55104 UNLE55 PROPEP INSPECTION FEE IS
Phone(6tt) 642A800 ENCLOSEO.
-J ~ REQUEST FOR ELECTRICAL INSPECTION ee-ooaoi9. e
~ Sea instmctions lor complating this form on back ot yellow copy. rr
?
Ni-2 O 6 ~ V Z
1X" Befow Work Covered by This Request (o oZ
ew Adtl Fep. TypeofBuiltling AppliancesWired EqulpmentWired
Home Range Temporary Service
Duplex Water Heater EleCtriC Heating
Apt. Building Dryer load M9negement
Commllndustrial Furnace Olher (Specdy)
Farm Air Conditioner
IOther (syBCily) Contrector's Remerks:
Off Peak Meter (Whirlpool)
Compute Inspection Fee Below:
# Other Fee # Service EnlrenceSize Fae # Cimuiis/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transtormers Above 200 _ Amps / Above,100 _ Amps
Signs Inspeaor§ Use Onq: TOTAL
Irrigation Booms $30.50
Special Inspection
Alarm/Communication TFIIS INSTALLATION MAV BE EO DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspeclor, hereby Rough-in oaie
certify that the above inspection has F;,,ai oat 'C ~
been made. ~-qOFFICE USE JNLV
T~is repuest vob 1B mon~hs Irom
/A 119/9/
p 8 419 (lel-1111 , 10
Request'i Flre No. oughin Inspection
equiretl? Weaay Now ? Will Notity mspector
=.Yes COo WhenReatly?
ILClicensed contraCtor owner hereby request inspection otabove elecirical work at:
Job Ndtlress iSheet Box or Route No.) City
C6(6 A,?
SecOan'NC Townshp Name or No. Fange No. County
lnd ttoV 74
Occupant (PRINT) Phone No.
/.l2Le CnnVsT SQ'7 - 331/ - 60 3s/
POwer SuppLer Adtlress
~ EA rX~(Y1 /?In I p.`) /Mo
Eiecmcai ConhaclorlCOmpany Name) ComractorS License No.
a4-239o-y
Mailmg Aatlress iLomractor or Ownar Making Installationl
Z /3-4-1 /F3.t 4~i Lu/d S6 G9'~
Author¢eo SlgnaO~re IConVac er Making Inslallalionj Pnone NumOer
~j=~~~
MINNESOTA STATE BOARD OF ELECiPIC17y/ THIS INSPEGTION PEOUEST WILL NOT
Griggs-MiOway BIOg. - Room 5-113 C/ BE NCCEPTEO BY THE STATE BOARD
1841 Univcrsily Ave.. SL Peul. MN SStO< UNlESS PROPER MSPECTION FEE IS
Phone (612) 662-0800 ENCLOSED.
~~~C/C/ REQUEST FOR ELECTRICAL INSPECTION ee-oaom-oe
~ 7 li, See instmctions ior comGleting fiis lorm on Oack ol yellow copy
~ ~:.~~F4.6y E Tl
"X~ 8elow Work Covered by This Request
ew~~ld Rep. 7ypeof Building ApplianceSWiretl EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
OtM1er (syecily, Contnciors Remarks:
Compute Inspectian Fee Below:
# Olher Fee # Service EmranceSize Fee joCircunts/Feeders Fae
Swimming Poo0 to 200 AAmps
Transformers P.bove 200 00 _ Amps
Signs Inspactor's Use Only: TOTAL q
Irrigation Booms u~
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Roughin f oaee
ceriify thal ihe above inspection has F;,,ai
been made. '
OFFICE USE 3NLV
This request voiG 18 moNM1S Irom
~7ss~
J40351 ~
Repuest Date Fire No. Roug ~ I, speclion
Rqy ? Reetly Now ~Jill Notity Inspec~or
3- 3- ~2 a= G No When Reatly?
Ij,'Nicensed comractor ? owner hereby request inspection of above electrical work at:
Job AGOress (StreeL Bm ar Route No.) Ciry
!{ic5I WJ:AWD 64
Section No. Township Name or No. Range No. Covn
/JK41-'1?
Occupant(PRINT) Phone No.
dLt 3-> U - ~Q 3y
kx-
Power5u0er Atltlress
f,d fd~'VI•vanV
ElecUical yCo~n~rcact{or ~lCOmpany N meI /Contracmr§ Licensa No. ( ~
/~r~~? .H.~ rLe ~/L 7
Meiiinq AOtlres on aMOr or Owndaking Inslalletion)
~ 40G ;5~r/! zSG P'
Hulnorizetl Sign ntraclon0 ing In tallaeo ) one um`
~
6
92
MINNESOTA STATE BOARD OF ELECTfiICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Mldway BIEg. - Room S-173 BE ACCEPTED BY THE STATE 90AR0
1621 Univereity Ave., SL Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS
PhoM (612) 641-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION eaooom-oe
~a, /
A ~j ? See insimclio e for compleling mis torm on back oi yellow cupy. i )~~0~ 7J SSc~
J,~~} O_ 5U: "X" Below Work Covered by This Request
-ew'Adtl Rep. Typeof8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
. Farm Air Conditioner
Olher(syeciry) - ConVaclor5 Remerks:
Campute /nspection Fee Below:
# . Other Fee # ServiceEntranceSize Fee A Circuits/Feetlers Fee
Swimming Pool 0 1020 0 Amps 0 to 700 Amps
Trensformers Above 200 _ Amps Above 100 _ Amps
SignS Inspedor's Use Only: /y r T~TAL ~
Irrig9tion Booms y~
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MOMfHS.
1, the Electrical Inspector, hereby Rough-in
certify that the above inspection has pinai ~ oa J
been made.
OFFICE USE ONLY
Thi3 rectuesl witl 18 months irom
REACTI'~,ATE CITY OF EAGAN
PERMIT N 1993 BUILDING PERMIT APPLICATION
~o0 681-4675 *a i a RECo
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 3- 11 - 905 Yaluation of work
Site Address: 46o~ uh~e~ evri" so&ab4i M?.L'
STREEt SUITE !
Tenant Name: (commercial only)
IAT BIACK I SUBDGow- 444~ ~P P.I.D. M
Descri tion of work: ih
The applicant is: ? Owner [g Contractor 11 Other (Describe)
Name ~ Ralee6 ~ ILEa Phone OEM` C704--M
Property LAST FIRST
Owner Address 4k-,0;M
STREET STE M
City FsA&A4-~ State WJ4~ ZiP
Company PhoneCGv7) a?~~-4y2,4
Contractor Address l6ttV *'k&47°PVtU.X-- .~.WM License # Exp.
City rngt!~ State r..u.l. Zip S15Oz1
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber ~ywyma6v Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state thaf the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging I~6xBase;~Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 0"171wim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
El 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
O OS SF Misc. 0 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE _
V 31 New ? 33 Alterations ? 35 Tenant finish ? 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy ~ 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of 3tories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ~
Depth On-site sewage ShC ~Code
S
APPROVALS ~ t1
°~S kk,>
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site 'EL Footing A~Framing ? Insulation
? Wallboard ~Final ? Draintile ? Fireplace
Permit Fee 's av veiuetsd,: g r----
Surcharge , gp
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
. . ; ~ ~ ' ~ LIT 1991 BLDNG APPLICATION
, CITY OF EAGAN
SINGLE FAMILY DWELLINGS MTLTIPLE DLIELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVF.YS - & STRUCI'JRAL PIANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUiATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WtiEN: TYPING OF PERMIT IS REQUESTED, BUT 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 NUST 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 &EEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
Fannu (rsHri ;:'ouKboqnaJ bNt.j
To Be Used For: R251denC2 Valuation:~7 Date: D. . 1991
Site Address 4659 WlldwOOd OFFICE OSE ONLY
ls,om
Lot 4 Block 4 FEES
Occupancy R-3 M' 1 Bldg. Permit 167-,00
Zoning pp_ Surcharge 11. 50
Parcel/Sub Odk Cliff POnd Actual Const V-N Plan Review fO S,O O
Allowable V-N SAC, City OD,DO
Owner OCP HOm85, IOC. # of stories SAC, MWCC 6sfl,0o
. Length ~ 6later Conn. 660.00
Address 8609 L_vndale So. #1018 Depth SL' Water Meter 9S,00
S.F. Total Acct. Deposit 30•00
city/Zip Code Bloomington, MN 55421 Footprint S.F. S/w Permit o.oo
S/W Surcharge ISD
Phone 881-0127 On site sewaga_ Treatment P1. 2f76,00
On site well Road Unit qO.Oo
Contractor Joseph P. Uarlev Construction Mwcc System ? Park Ded.
City water ? Trail Ded.
Address 16800 $hieldSVille Blvd. PRV 3 Copies
Booster Pump
City/Zip Code Faribault. MN 55021 SIIBTOTAL
APPROVALS Penalty
Phone 507-334-6034 Planner I.ot Change
Council TOTAL l..rQ
Arch./Engr. Grover Dimond Bldg. Off.
Variance
Address 2332 Bourne
City/Zip Code St. Paul. Mn 55108
Phone # 645-4170
Sewer/Water Licensed Con . BJM um ' Paul
Jos h P Varle Cons ruction, ~Gagrees that all voYk shall be done in accordance with
i ture of Con rac o
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
± A ' • ~ ~ ~ ~ ~ ~
V
r i .
aG ~t ya = 1v~lo
3G7K13. ~y8~
~1~12 X lS~= ~y44f`v e/~ I Soo~
4
I
I
citr oF uc.At+
~ EITERIOB ENYELOPE 6VERAGE 'U' COMPU7ATION
OMNER:
SIiE ADDRES3: 46S ! I/J { L-j-,W OOC> S
CONSBAC?OR: 4w,IF-'y C81~ISTv Dl7Es PHONE:
Determioe vorlciog aquare footage of eaoh:
1. Total exposed wall area 2, ,11 aq. !'t. 1 .11 = 35:2 -13 2. Total roof/ceiling area ID 0.;,~ aq. ft. x.026 = 01~~o
Total e:posed vall area above lloor s ;2_56 g
8• rot.81 M811 M1[IdOM area . 2 6 9
b. Total door area
_
c. Total sliding glass area
d• T0T.81 fireplace Mflll area
e. Total wall framing area (average tOf) =-r~
f. Total net xall area above floor ~
g. Total rim jo1st area ~
Total e=posed foundation area
h. Total foundation windoa area 0
I. Total net foundation area sbove grade 3 SS
Determine OU' value of each xall segment:
a. 269 k gut •-17
b. x~ U' .14 - 5
c. 4~ b x' U' .'f9 = I 4
d. x 'U'
e. -'2 57 x 'U' D
f. ;Z4 x ' U'
g. 2~f-S x' U'
- - h. o x ' U' _
i. 309 YOU' -'.~6 s 23
For.n 77 •Iss 12
:
3 . Total
If item 03 is the same as or less than item 11, you have met Lhe intent of SBC
6006(c)2.
Total ezpoxd roof/ceiling area z
I ' J. Total akylight area -
k. Total roof/ceiling framing area (average tOx) 1 ~ O
I 1. Total net insulated roof/ceiling area ~O lz)-
OVEB
Determine 'U' value for each roof/oeiliag aepeent:
~
J. x 'U'
k. Ino : lu~ •r26 .
1. ou. .022 = , d
4 . Total
If total of 94 ia the asme ea or leas than 12, you have met the intent of SHC
6006(c)1..
/llternate Huildiag Enrelope Deaigo
Zttaahall enot e be system han the aum of Items1~1 endb~2tAe aum
of Itema /3 and 04 .
351 + z. 2 h = 3~Q--
3. 327 . n. ;2 2 z.--3
2
' • • • . .
. . .
~ Frovtde insulation baffles in every' ~OF l L~~L~N(~
-za_t,er space. . R' /Rl VF
l 1
• - s iQ 111IE710K AIR FILM .61
• . p Sjs UYP Em ..s~
~ p Ir•sutAj?oN
: ~ C~ • •
O EXjER;O(~ AlF F?LM ~ ' (S71LL) • '
~ . ~ . . T5TAL (1t)=#54
: I . u=.oAA
~ . InAtC..
. . ~ . 0t) VAI.
. E . Q IN jE-ROf- AIR f1LM 16$
. : ~ ' • 9 G) 'h° OfP.' BD.'
. , . . O U'soLAT4oNsia'791b~C
, • ' _ 0 . u/3Zn 8~1~7 R?Tc -
CEDA R StD~NG . I. : ~ " . 0 ex;=rilo~ k~ FILP'1 ' 47
- , 41 - 7oTAL (R) =2.2'k
1z1 M , o`. 0+5 .
CQ %Pa<<
. . ~ It'Tcirt0r. Air. Flu1 $
S~i tNSUL~?Tloi+ J;..E~
FlR 911-1 ~DIST I id~
11,
Al - - ~ . i5 ~`fgzn. SO':~:~r~ . ~•3
. (g) CE-P PrfZ SIOjNG ~
' ~ . • Q EXjctziOR 141R fllP1 • 17
. . • ~ . _ ToT?1 (R~=23.8;
. o° . oo : fWADATOI u =.04tA
(n) vnLu;
' Q tNjel?l-Z Alrc FIu1 .(,S
y., 1 . ~S Fpp, $.o p 1~ SuL~jor~t ~F6. 1
be•. 9 vi
no . q ~ /~~a a1 ~'~X
CGf1G. '~K, ~~rC~
. •l7 p evj~c~.to2 Aire stCM A7
e
. 8~.. Ri 6.45 To1p~ (rc~=13d:
0_"0076
Floors ove: unhcated spaces nust have ¢iniaum R-faetor of R-20 (tuck-undcr garages).
Flooss oc,r outdoor air (ovcrhangs) nust liave a ainiraum Y.-factor of R-33. ,
2422 Enterprlae Drfve • Mendota HelgMS, Minnesota 55120 • (612) 881-1814
- r - - - - - - -
Ploneer Envineerins 6619486 p.02
P~~IV E R fL2422 Merpr ise Drive
LANO ~py~yORS • Ct Vt4 CNOINEER3 ta HEights, ~AN 55 } 20
^9!k eeriny r. LAMpPLwqniRS.4AN08CqPE Akw~T~Gts
(812) 681-1914
C.rt3,icat# af Surv.y for: OCp RQ ME.S INC.
ealn~1111
, NOR7N
~
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r, N S s° s9'tv l
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~N 40.0 0 40,8e
i;
Q M
yfLpe°s~~ s ~ ~ ~ ~L7
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kJ N
, , 32.0
,
~ M ~pR Q m OF-~~ % ~N ry~
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Z.3.B3
~ IDO. oa a ~!4 r ~
N8s °s9'w ~ i,~, I
3, ~
r\
~ ~ - - ^
J t'~ y ~e~ S~ ~y ii
---~-r~~.~
EACA9~1 E1~TGIPd"ERIRiG
~G°~o~Ia
. soo:o Denotes exisfin4 ElPVafron p~~os~o Nousr rA EVarrQti .
t,Fo Dertofe5 propdYed E/evalron Lawes Fo4r . eva Pan 2.T
Clenotes Orornae f Utilify E'asemenf Top o+ 8lock FJevpfion 43g•33
Denofes Drain t7ow qrrows GaroeS/ab f/evatrpn 93,4 0
o Denafes monumenf d Dena ei 0I''sef Nub
Bearins shown are as$umed Su§ed td Easements or'Record
L4T 41 BLOCAl 4 , p,qAI CL IFF pOND
DAl1o7,A CouNTy, MrNNESOrq
I hErEby cCrtily }hat tM1is curvay, plen or report wasqq rad by m or under my direet dupervidon and thet I am duly p¢gicwrad LanA 84rueyor
under !he law9 0l [he Sta[e of Minne.ow. Dated thlaay qf q p 19-1-L
~
gca/e: l ~-~h= 2(~
~n(C~,QG, T~ a BERT q, $~K M L . AEGNO. 19991
. AIL
CITY OF EAGAN
MECHANICAL PERMIT RECEIPT # C o/77/ 9
SUBD. (612) 681-4675 DATE
RESIDEIVTIAL
PLF.ASE COMPI,ETE IIPPER PORTION ONLY FOR SINGLE FAMII.Y DWELLINGS. AISO, COMPLEi'E FOR
TOR'NHOMES/CONDOS R'HEN SEPARATE PEItMTi'S ARE REQUIgEp FOR EACH DWELLING UNIT.
OWNFi.\.' F`.LJ
SITE ADDRESS: ppD ON/REMODEL (EXISTING $ -tS.DO'
tV u X CONSTRUCfION ONLl)
INSTALLER: /~m I~ ~ .1 C, HVAC: 9-100 M BTU 24.00
PHONE ADDITIONAL 50 M BTU
ADDRES& L?~.T V a K C.~ Gf~ OUTLET5 •MINIMUM 1@ $3 EA. tG a
CITY: wfx;~~,•,.-i+- ZIP:.rJ'vCo SURCfiARGE: $ .50
SIGNATURE: TOTAL: $ jc).5''u
COMMERCIAL
PLEASE COMPI,ETE THIS PORTION FOR ALL COMhfEIiCWJINDUSTRIAI, BUII.DINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII,DINGS WHEN SEPARATE PERMTfS ARE NOT REQUIRED FOR
EACH DWELLING UNTI'.
WORK DESCRIPTION: CONTRACT PRICE FEES
196 OF CONTRACI' FEE.
STATE SURCHARGE LS $.50 FOR EACH
$1,000 OF PIItMIT FEE. $
PROCFSSED PIPING - $25.00
$
MINIMUM TEE - S25.00
OWNER. TOTAL: $
SI7'E ADDRESS:
1'ENANT:
SUI1'E
INSTALLER:
ADDRESS:
CI1Y: ZIP:
PHONE CITY SIGNATURE:
SIGNATUR&
CIT1C OF EAGAN FOR CITY USE ONLY
3830 PILOT ItNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # .5
XM"RM DATE:
PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WNEN PERMITS ARE REQIIIRED FOR EACS UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST~~ ADD-ON MINIMUM 15.00
ADD ON ~ SHOWER 3.00
REPAIR ~ WATER CIASET 3.00 oG
I BATH TUB 3.00 ~3
LAVATORY 3.00 /z
OWNER NAME: J~ e- JG-?'tt/ ^ S~YbcGT( ve.~ ~ KITCHEN SINK 3.00 3°Q
,Ilf / lLAUNDRY TRAY 3.00
SITE ADDRESS: 'i~., Sq I AJ~ tU (.~30t>~k HOT TUB/SPA 3.00 ~
WATER HEATER 3.00 ~
LOT:~ BIACK ~ SUBD. gltk C(r T'r DU4 ~ FLOOR DRAIN 3.00 _3=
GAS PIPING OUT. ~
INSTALLER: ~•T ~~~~^"~I~S Cf 7(75. ~ (MINIMUM - 1) 3.00
( -f ~ ROUGH OPENINGS 1.50 S"
ADDRESS: gy'~a T~ OTHER
IWATER SOFTENER 5.00
CITY: ~ I •pG ZIP: S~ ~D r PRIVATE DISP. 15.00
~ U.G. SPRINKLER 3.00 ~
~
PHONE I - f
SUBTOTAL S S 7 , ~
ST. SURCHARGE .50
SIGNATURE OF P IT E
TOTAL: S J S -
Ci~F4MEILCIA~a~7~TI1tISTR~A~,~ PLFASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND
.
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.
LOT: BIACK _ SUSD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
( S IGNATiJRE )
FOR:
CITY OF EAGAN
2006 RESIDENTIAL PLUMBING aeRMiT aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
I Date ~7 ! cJ1 / OG
Site Street Address ~1(p51 WAdLoOOd 5-~-, Unit #
Property Owner ut Telephone #
Contractor bE ?i(.~Telephone # ((JI ) Address LV'1(0 '~bj d PA. Citv ~ blqctkn Statel~ Zip 55IQZ
The Applicant is: _ Owner ~ontractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per asbuilt $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. lf you are Insta/ling onlv a water softener anaVor water
heafer, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
~ _Water Turnaround (add $130.00 if a 5/8" meter is required)
~ Other:
1
Water Softener Water Heater $ 15.00
_ new eplacement
Lawn Irrigation _RPZ _PVB new rebuild $ 30.00
state surcharye UL 2 7 2006 $ .50
Total $ I5 6U
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete 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 permif, 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 plan is required to be reviewed and approved.
rr
,1 ~c o1 Lh n ilA o&P
ApplicanYs Printed Name Applicant's Signature
i5~
r ~
2006 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
NewConstructionReauirenienis RemodeVReoairReauirements OfficeUseDnN
3 registe2d sile surveys showing sq. ft o( lot, sq. fl. of house; and all roofed areas 2 copies of plan showing footings, beams, joists s,Y =N
(20°k maximum lotcoverage allowed) 1 set of Energy CalculaEons for heffied addiUons So~ls Repo¢~-." ° 4?„~.Yz7='jq
1 Soils RepoR it proposed building is to be placed on disturbed soil 1 site survey for add'Nons & decks Ttee Pres Pisn Recd , n Y=N
2 copies of plan showiog beam & window sizes; poured found design, etc. Adddion • indicate ilon-sRe sepUc sysfem itee Pres Reqyired N
1 sel of Enert~y Calculations Onsit~ Septic'3ystem '_w=;=?1.,=N
3 copies of Tree PreservaGon Plan if lot plaried after 711/93
Rim Joist Detail Options seleclion sheet (buildings with 3 or less unils)
Minnegasco mechanipl ventilalion form ,
Date --9-/ d`` l G G Construction Cos[
Site Address W r Id INJrfrY S r UniUSte #
Description of Work Tc~~) r C_~ )~e'~>>-~ ~J <Q <4- l,~~
Multi-Family Bldg _ Y?< N Fireplace(s) _ 0~ 1 _ 2
PropertyOwner Li zh V Telephone#(CS/
Contractor fi0'0/
Address L-1 City /~~-~o~- -
u
State Zip scSl ~ Telephone l! (64)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone J
Mechanical Contractor Telephone # ( )
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NIN
Statutes; I understand this i s 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.
/ ' / / ~2- s
App i ancl t's Printed ~ameN ApplicanYs Signature
DO NOT WRITE BELOW THIS LINE
Su6 Tvpes
0 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc.
? OS 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvqes
? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Founda6on ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant
DesCription: Water Damage _Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length: Fire Sprinklered _
Type of Const Width - - . _ ~
_ . . . _ . REQUIRED INSPECTIONS
_ Fwtings (new bldg) Sheeuock
_ Footings(deck) FinaUC.O.
_ _ Footings (addition) FinaUNo C.O.
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco L.ath _ Stone Lath _Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
-
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
, Total
xl i/
3)°, V
City of Eaa
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED
Phone: (651) 675-5675
Fax: (651) 675-5694 JAN 2 3 2012
Use BLUE or BLACK Ink
Permit Fee:
Date Received:
Staff:
m
2011 MECHANICAL PERMIT APPLICATION M l�ZZ
RL?IOY1 Site Address:4(DS'1 d ra4 5 -' et r�"u�l" f i l 41
55 -
Tenant: ) '7/\
Date: I/ Suite #: i/
RESIDENT / OWNER
Name: IA (✓ 6i , Phone: C S 1. --bo b
Address / City / Zip: L10Sq WI
cjOL�1 T.(OI ` i
Ai 5
CONTRACTOR
Name: one t ► w r 1 �it
t r License #:
��►l
Address: iciD VC1yf 1 t' l l 1 Thr. ±City: - (IJ 1 I(}�1
n
State: 1 1 1 { fry�Zip: 55Vy� —. Phone: ((S 1— (+al— 411
Contact: A)! i iI e ��l l t 1 ICU 1 Email:
1.
�y� p�''� /rte^
ane ultimo ° to 1
TYPE OF WORK
New )( Replacement Additional Alteration Demolition
Description of work: ' /
J
At q ?t rhct be
VO Roof mounted an ® ground mounted mec ant equipment is requiiro to
C d Blease con t5the Mechanical Inspector tot inf rmatio on e m t k c etho s
PERMIT TYPE
0 RESIDENTIAL
urnace
it Conditioner
Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas 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)% �%( /%'i
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ (Dv 4 TOTAL FEE
COMMERCIAL FEES: -
$75.00 Underground tank installation/removal OR Contract Value $ x 1%
$55.00 Minimum (includes State Surcharge)
_ $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 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.gopherstateonecaliorq
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 ot • start without a permit; that the work will be in accordance
with t .rj.ved la in th case of work which requires a review and approval of plans.
x
Appli' PrintedtName
02/01/2012 WED 17:28 FAX 6514378831
ONE(YIIOUR
HEATING & AIR CONDITIONING"
Always On iime...Or You Don't Pay A Dime!®
Mister
Spantyo
America's On Time Electiuran'
14001/002
If theresanydelay, itsyou we pay.!
loz
FuWtJkCs % Ii.K'fINLk'floj
FACSIMILE TRANSMITTAL SHEET
TO:
AJove.c zyK
COMPANY!
cyP EctlyAn
FAX NUMBER:
FROM: ' 4
DATE
A (04
651 675 .599
PHONE NUMBER:
TOTAL NO. OF PAGES INCLUDING COVER:
SENDER'S PHONE NUMBER:
RE:
SENDER'S FAX NUMBER:
C5) Lip t-tril
0 URGENT 'FOR REVIEW 0 PLEASE COMMENT 0 PLEASE REPLY
0 PLEASE RECYCLE
NOTES/COMMENTS:
�} 4659 w;idtwood
prima- an cl) '&(•:s
6P 4itt. tofu . G4 P6 we,
we. c L Jetw
)s ck pig gyre,
1904 Vermillion Street • Hastings, MN 55033 • Phone: (651) 437-4177 • Fax: (651) 437-8831
3595 East 260th Street • Webster, MN 55088 • Phone: (952) 461-4328
www.oconnorphc.com
02/01/2012 WED 17:28 FAX 6514378831
Ig 002/002
Ij
ftens an Prepares PVC Pipe:
> Fitting S rfaces for Bonding°;
i.,.
4rt o'iLiE
e cf. Jae aiij\
°a��_ Y4
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173974
Date Issued:12/16/2021
Permit Category:ePermit
Site Address: 4659 Wildwood St
Lot:4 Block: 4 Addition: Oak Cliff Pond
PID:10-53575-04-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Li Zhu
4659 Wildwood St
Saint Paul MN 55122--338
Paul Bunyon Plumbing Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178680
Date Issued:08/29/2022
Permit Category:ePermit
Site Address: 4659 Wildwood St
Lot:4 Block: 4 Addition: Oak Cliff Pond
PID:10-53575-04-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Li Zhu
4659 Wildwood St
Saint Paul MN 55122--338
(651) 808-8914
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature