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4663 Wildwood St , REACTIVATE FUR DECK - 7/92 INSPECTIUN RECURD I Control No. •L':MY OF EAGAN KEgMIT pIETENPOL 890-1365 PERMIT TYPE: eu 1? i t~" 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Qats Issued: (612) 881-4675 SITE ADDRESS: LQr 3S HLoL x: 4 APPLICANT: 466`s IJtLUWOOq ST VARLF.X CQMST J0S OAK C I I fi WONiQ (607) $34-6034 PERMIT SUBTYPE: TYPE OF WORK: NE6i iNSPECTION i E)~1 { 1 N~~ ~RAMiMq t Pi',+?I A7 I(a" PINAt t- I r: t F'! ACf . Kt NARK• t f'RV - _ _ ft A4+1 ~ ~1_ _ _ ~ - 1{ )i~ _ _ > . J~~ a- SS'.]S~•i ~~':t Permh No. Permft Molder Date Telephone # S!W ~is~G~~ /8 Sa : PLUMBING HVAC ELECTRIC a 3~ / 2 ~ 3"a ELECTRIC tnspeation Date Insp. Commerris Footings I Foundation 3-2l,~2 Framing ~ Roofing Rough Rlbg. , G Rough Htg. Isul. ! Fireplace Ffnai Htg. Orsat Test ir t. Final Plbg, Plbg. nsp or - No P mb~r COnst Meter EngrJPlan Bicig. Finel / v Deck Ftg. Deck Finai g ~ Well • Pr. Disp. CASH RECEIPT t ~ ~ _ . , CITY OF EAGAN 3830 PILOT KNOB ROAO ~ EAGAN, MINNESOTA 55122 DATE - ~ J 19 i~ WCENED 'a" , I . 1 • ' :~L ~ 7 . f_ ! 1 ' AMOUNT S 1., ~ n & DOLLARS ,oo O CASH P-6HECK k~ L FUNO OBJECT AMOUNT Thank You BY " 017P26 YeNO~r-PosOkg Copy V-~` % P'vJc--Fila Copy ' ~ C~~er#ifir~#~ ~af (~rru~~nr~ tttp of (Eagan ' ppp1'bitm pf %d[btm.3ttSwP1'ttDri 77ds CerAificate lssudd pvrsvant $a Me reiquiranents of Serlion I06 of Me Uniform Brdlding - Code cernfying thal ot Me lime of issuance rhis strucrure xns in complianoe wilh Me ?nrious ~ on*rranoes of Me Ci1y negklaAing buildtng caistruction or use For 1he following. u,e anaTodo. SF DWG/G& e4 lkmit No. 52 OCMV--Y rd! 11 ~ 7.,*piwict PD 7ype C,= VN o.m at e.uK OC:P Iow A&m„86090 LYmALE A`lE S, Sf M'IN &MiM Ad*= 4663 4IIIDXCA SIREET Lmay L5, B4. QAK aIFF PCM) Dm 6/3/Q2 POST IN A CONSPICUOUS PLACE 1 , , . ,r . ,..,..r„~: „ ..,-,..,,r • o,..-,~» _ , , , • -P. . ~,w.. SE ER ATER PERMIT OFFICE USE ONLY CIT~ OO~GAN METER # PERMIT DATE 03/18/92 3830 Pilot Knob Rd. CHiP ~ PERMIT # 12613 Eagan, MN 55122-1897 METER SIZE B.P. RECEIPT # C 017826 DATE MAR 18+ 1492 ISSUE DATE B.P. RECEIPT DATE 03 17 92 V x PRV _ BOOSTER PUMP SITE ADDPRESS 4663 WILDWOOD ST PERMIT REQUESTED LOT S BLOCK 4 SEC/SUB OAK CLIFF PUND X SEWER x WATER _ TAPS APPLICANT: ADDRESS: - COMMIIND ~ RESIDENTIAL CITY, STATE ZIP X NEW _ EXISTING PHONE: ~ Lawn Sprinkler Meters are to be Installed PLUMBER: B J& M PLBG Ahead of Domestic Meters on Water Line. ADDRESS: 943 PAYNE AVE Credit WILL NOT be given for Deduct Meters. CITY, STATE ST PAUL MN Zip 55101 PHONE: 771-4177 1 AGREE TO COMPLY WITH CITY OF OWNER: JOSEPH VARLEY CONST EAGAN ORDINANCES ADDRESS: 16800 SNIHLDSVILLE BLVD CITY, STATE FARIBAULT 2;N Zip 55021 PHONE: 334-6034 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ~^;.~'R"~e'^,: _ , •Rr..~-...-,...~r•+++ei+'•pswn%~+r,rrZ?T-.e.. ~ . . _ _ r . . . . . . SEWER &,AT PERMIT OFFICE USE ONLY CITY OF E~GAr METER # ys 9 71~ 95~ PERMIT DATE 03/18192 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # 9/ 6 3~ 9 PERMIT # 12613 METER SIZE B.P. RECEIPT # C 017826 DATE MAR 18, 1992 ISSUEDATE ~~1171 ~ B.P. RECEIPT DATE 03/17/92 s x PRV _ eDOSTER PUMP SITE ADDF4ESS 4663 WILDWOOD ST PERMIT RE(IUESTED LOT 5 BLOCK 4 SEC/SUB OAK CLIFF POND R SEWER X WATER - TAPS APPLICANT: - COMMIWD X RESIDENTiAL ADDRESS: CITY, STATE ZIP ~ NEW - EXISTING PHONE: ~ Lawn Sprinkler Meters are to be Installed PLUMBER; B J & M PLBG Ahead of Domestic Meters on Water Line. ADDRESS: 943 PAYNE AVE Credit WILL NOT be given for Deduct Meters. CITY, STATE ST PAUL MN ZIP 55101 PHONE: 771-4177 I AGREE TO COMPLY WITH CITY OF OWNER: .TOSEPH VARLEY CONST EAGAN ORDINANCES ADDRESS: 16800 SHIELDSVILLE BLVD GITY, STATE FARI$AULT MN Zlp 55021 • PHONE: 334-6034 SIGNATUR N METER ISSUED ` r ~ PLEASE tALL,OW' TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMtTS, GONTACT ENGINEERING DEPT. % Address4 4663 WII,ixAYJpD SIF2EET Lot 5 Blk 4 Sec/Sub p[K C,IFF pCkD a These items were/were not complete at the time of the final inspection. D : 6I3I92 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway ~ Yermanent gas 6p D Sod/seeded grass yo" Trail/curb damage Porch Basement finish Deck Er-71 Pleasa verify vith the builder the removal of roof test caps from tha plumbing system and the shut-off of water supply to the outside lavn faucet before freeze potential exists. ~j a~ PECIRLOMrtR White - City copy Yellow - Resident copy Pink - Contractox copy 's C-C C~-~,e~zz ~ ~ J40355 z Fequest~a~e G Fire M. ' Rough-in Insp ReqVes No ? PeadY Now ~VJill Notity Inepactor Whm ReatlyT IA licensed contractor ? owner hereby request inspection of above electrical work at: JoD Adtlress (Street. Box or Route No.) City 4/~6 GV, tiIZ! - 6~ Section Nsl Township Name or No. Rarge No- Coun ~A /C#T OccuDdnt~PRINT) Phom No. ~ 11 /iL CO/VS/. aowe's~ooire~ nddress ~ EleMncal ConVaclor cOmpany Name) ConVac[or§ Licensa No. l e ~Lc-~U ~ O /~2 3p Mailing Atltlress ICOnVaclor or OwneeMaking Inslellalion) 34,t, &4117e~, Aufionzetl Signalu o~Vaclo~r, aking 1 Pho. Nfinniber MINNESOTA STATE BOARD OF ELECTFlICRV THIS INSPECiION REOUEST WILL NOT Grlggs-Mftlwey BIEB. - R~m 5•1]3 BE ACCEPTED BV THE STATE BOARO 1821 University Ave., S[. Paul, MN 5510C UNLE$$ PROPEfl INSPECTION FEE IS Plwne (612) 64E-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION .,,A' ~'+,-6. ee-ooom-oe See msVUClions for wmpleting Nis lorm on back oi yellow copY "X" Belok Wark Covered by This Request _J 4,0355. e Atld Rep. TypeolBuilding AppliancesWired EquipmentWiretl Home Range Temporary Service Duptex Water Heater Electric Heating Apt. Building Dryer Other(Specify) Comm./Industrial Furnace Farm Air Conditioner . Olher ~syecify) Con[ractor§ RemaBS: Compute Inspection Fee Below: # Other Fee S ServiceEmrance5ize Fee # Cirouits/Feeders Fee Swimming PDOI 0 to 200 AmpS 0 to 100 Amps Transformers Above 200 _ Amps mps Signs lnspectorg Use OnN: Irrigation Booms g~ 0 ~ Speciallnspeciion Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WRHIN 18 HS. I, ihe Electrical Inspector, hereby pouqn-m a oare~~ 9r~ f/ certify that the above inspection has ~~4 been made. 'e OFFICE USE ONLV r This request vuitl 18 monihs from d 09956~? ~ - Request Date Fire No, ough"n Inspection Re uiretl4 "eetly Now C'/dlll Notiry In or '7 U'-q7 ] Ves "lo Wnen ReetlY? ansed contractor ? owner hereby request inspection of above electrical work at: .1 ~ Job Atltlress (Sheet Box or Foute No.) Cily G 44W Seaion No. Townsni0 Name ar No. Renga No. Counry ,a-,~ r,¢ Occupant(PRINT) - Phone Na. Po er Supplier Atltlress Ele v¢al Comracror ICOmpany Name) Comrector§ License No. 1- ~~G ~ C 609~ Mai ing Adtlress ICont clm or Owner Makin nstallation~ Am ' a Signawr Co amo Owner axing Instenation) Phone NumOer MINNESOTA STA BOAHD OF ELECTRICITV THIS INSPECTION REOUEST WIIL NO7 GrIgge-Mitlway Bitlg. - Room fr173 BE ACCEPTED BY THE STATE BOARD 1821 Univeraily Av6., 51. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612) 602-0800 ENCLOSED. REOUEST FOR ELECTRICAL INSPECTION ee410001-0e ? See instmclions for comelefing ihis lorm on back of yellow copy, ' y ~ J ZZ - Q~ 9'6 2 "X" Below Work Covered by Thrs Request ild ew Atld ep, TypeotBUilding AppllancesWired EqulpmentWired Home Range Temporary Service Dupiez Water Healer Electdc Heatinq Apt. Buildinq Oryer Other-(Specity) Comm./Industrial Furnace Farm Air Conditioner Other(speciyl ConVacmrS Remarks: Compute Inspection Fee Below: # • Other Fea 8 ServiceEnlrancaSiza Fee # Cimuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transiormers Above 200 _ Amps Above 100 _ Amps SIyf15 Inspector5 Usa Onty: TOTAL Irrigation BOOms fS0 Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORDER ONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Electrical Inspector, hereby Rough-in oaie certify that the above inspedion has F;nei oata been made. OFFICE USE ONLY Tnis request wia te manIDS irom . . . DATE: MAR 18, 1992 RE: 4663 WILDWOOD ST (JOSEPH VARLEY CONST) ~i_ Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3507 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (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 6e issued or occupancy allowed until iurther 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 DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secre[ary, 8uilding Inspections Dept. RESIDENTIAL / 71. BUILDING PERMIT APPLICATION 2- CITY OF EAGAN -7 3830 PILOT KNOB RD, EAGAN MN 55122 651-881-4875 New ConeCUCtlon Neauiremente BemotleVNaoalr Peguirementa • 3 registere0 site surveys showing sq. R. of lot, sq. It. of house; and II roofetl areas • 2 copias ol plan (20%mar'vnum bt coverflge albwed) . 1 setof Enerpy Cakulatbnsfor heated addRions • 2 copies of plen showug beam 8 window sizes; poured fountl design, etc.) • t sRe survey for eberior adCilbns 8 decks • 1 set of Enefgy CalCUlations • Indkate tl twme 5ened by sepiic syslem for adtlitions • 3 wpies of Tree Preservation Plan il bt plelled after 7/1l93 • Rim Joisl Defall Optbns selecNOn sheet (bldgs wAh 3 or less untts) q DATE `1'f~ / VALUATION SITE ADDRESS Y& (X 9J bQ1 /(.T LgJ=Z%1 4- MULTI-fAMiLY BLDG _ Y --\-A TYPE OF WORK relroZ) FIREPLACE(4X'2) 0_ 1_ 2 APPLICANT P!2-!Ir STREET ADDRESS WR M%nYl D.~1~~ Av-e S IN~STATE2~VZIP 0~ TELEPHONE !i (M'7n`Zg-O,3bY CELL PHONE # FAX # PROPERTYOWNER P.tn Li-n I TELEPHONE#US-1r U6_1363` COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RLILES 7670 CATEGORY 1 7oSubmifted ~ ~ (J submission rype) . ResideMial Ventilation Cetegory 1 Workeheet Submitted rO • Energy Envelope Calculations Submitted JUI 3 Plumbing Conhactor: Phone # Plumbing system includes: Water Softener lawn Sprinkler By 0 ~ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhacfor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 ~ Heat Recovery System Sewer/Water Conhacfor. Phone # I hereby acknowledge that I have read this application, state that the informaflon Is correct, and agree to comply with all applicable State of Minnesota Statutes and CiTy of Eagan ia nces SignatureofAppli t OFFICE USE ONLY ' Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4I02 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex O 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plax O 10 OB-plex ? 18 Deck O 23 Porch (screened) ? 36 MuRi ? OS 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Yor_N ? 25 Miscellaneous ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Adddion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Raroof ? 46 WindowslDoors ? 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 Bidgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) FinallNo C.O. _ Footings (addidon) _ Plumbing _ Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Suppry & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PER1V1A ~Trr Control No. 0051 1 1 CITY OF EAGAN 3830PilotKnobRoad PERMITTYPE: BuILpING Eagan, Minnesota 55123 Permit Number: 000052 (612) 681-4675 Date Issued: 0 3/ 17 J 9 2 SITE ADDRESS: 9663 WILDWOOD ST LOT: 5 BLOCK: 4 OAK CLIFF POND DESCRIPTION: B`63lding_ permit Type 3F DWG 8uilding Wo_rk Type NEW UBG Occupanay, R-3 M-1 Gnnstructian Type V-M Zonirtg PD 6uildirtg iength 40 Building Width 58 r' , , u . _ ~ , _ REMARKS: pRV c, o t ~~ac~ 3/) FEE SUMMARY: VpLUATION $45,000 Base Fee $617.00 LICENSE SEARCH $5.00 Plan Rev3ew $401.05 MISCELLANEOUS 11,610.50 3urcharge $47;.50 Total Fee $3,381.05 SAC $70@.00 5AC 8 100 SAC Units 1 Subtotal $1,765.55 CONTRACTOR: - Applicant - ST. D.WNER: VARLEY CONST JOS 13346039 0003 49 0 C P HDMES INC 16800 SHIELOSVILLE BLVD 86090 LYNDALE AVE S FARIBAULT MN 55021 BLOOMZNGTON MN 55420 (507) 334-6034 (612)881-0127 I hereby acknowled-ge that I have read this applicatian and sCate that tha informatipn is eorrect and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ord3nances. ~ Ul A PLICANT/PERMITEE S URE iSSUED Y: IGNA TUFE INSPECTION RECORD ControlNo. 0051 CITYOFEAGAN PERMITTYPE: BuiLoiNG 3830 Pilot Knob Road Permit Number: 000052 Eagan, Minnesota 55123 Date Issued: @ 3/ 17 / 9 2 (612) 681-4675 SITE ADDRESS: LoT : 5 B L OC K: q APPLICANT: 4663 WILDW000 ST VARLEY CONST JOS OAK CIIFF POND (507) 334-6034 PERMIT SUBTYPE: TYPE OF WORK: Sf DWG NEW INSPECTION . k . FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: PRV ~ - L CITY OF EAGAN . 1992 BUILDING PERMIT APPLICATION 681-4675 , 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 af specifications, 1 copy of energy calcs. Fenalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date 6'11 //Y/ Valuation of work 5`--,9- E~lJ 9S .~00 Site Location:__~~O ~ SiREEi STE k Tenant Name: LOT ~ BLOCK ~ SUBD. P.I.D. N D Descri tion of work: The applicant is: ? Owner Contractor ? Other (Describe) Name d C r° -z-f 6-J' ~.v(:L- Phone l- nl,R_ 7 Property LAST FIR57 Owner Address Y6 n/ l;~~G~/{GC rd ti~- /IJ /d~' STREET STE A C i t y ,,~Gna!tri:c_J/,in.4J State A~ /0 s'Y-Y Company "Phonej~s 000 32 b(S Contractor Address /6~00 ~/f/F-DS'Lllc 1, (5 ~Ii~License # ~ Exp. 9-31-9_9 City State //V/0 Zip-92) I:;_> ~ Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber PL- Utir(-7 //V~q- . Processing time for sewer & water permits ts two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applic~a,b_le State of Mj~~rterei~a Statutes and City of Eagan Ordinances. ~ Signature of Applicant: . OFFICE USE ONLY ILQING PERMIT TYPE ? 01 Foundation ? 06 Garage/Accessory ? 11 Res. Add./Porch ? 16 Agricultural pf 02 Single Family ? 07 Fireplace ? 12 Comm./Ind. New ? 17 Building Move ? 03 Two-family ? 08 Deck ? 13 Comm./Ind. Add ? IS Demolition ? 04 Multi-fam. T.H. ? 09 Basement Finish ? 14 Comm./Ind. Rem. ? 20 Miscellaneous 0 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac. WORK TYPE In 90 New ? 93 Remodel ? 96 Move ? 91 Addition ? 94 Repair ? 97 Demolish ? 92 Alterations El 95 Tenant Finish ? 99 lJndefined GENERAL INFORMATION Occupancy 0 /19-/ Basement sq. ft. 113 z MWCC System X Zoning lst F1. sq. ft. ))3 2- City Water Const. (Actual) ~ 2nd Fl. sq. ft. PRV Required , (Allowable) _y~ Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ~70_ On-site well Census Code 7~ Depth g On-site sewage SAC Code O APPROVALS Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS rkrSite ,ff Footing )a?Framing -U,Insulation ,9 Wallboard ~ Final ? Draintile ? Fireplace Permit Fee v.imc;p,: a g,s 000 Surcharge y9, sU Plan Review ~o~,p~ ~-ist License 5,00 3~x38 MWCC SAC 700 City SAC lrJo zo~, g'~>S8~ Water Conn. lo2S Water Meter s Acct. Deposit 30 133Z S/W Permlt 30 S/W Surcharge ,5-0 Treatment Pl . 300 Road Unit -380 Park Ded. Trails Ded. Copies 4/ Other Total: SAC % SAC Units • ' Pionaer Enslnaerins 6819498 P.01 2422 Enterprise Orive Mendolo Heights, MN 55120 PIOMEEIR 4nNO sueVEroes • aHL cHCwUas (812) 887-1814•Fax 681-9488 * enginvering ~C) "NENS • uND3CAPE AR041tECis 625 Highway 10 Norkhmaet ~ 9loine, MN 55434 * (812) 783-1880•Fox 783-1893 Certificate of 5urvey for: OCP Homes, I1'1C. House Address: 4663 Wildwood Street. Eagan._ MN T N23ooD~,~ So0 „ 0 o ~ 936.8 _ .(99 a ` DRIVEWAY . o _ ~O _ ! n`? 938.3 70 C 937.5 ~ _ o--. 22.33 10.00 ~ ~ GARAGE ~ 0 o N N EAGAiV cn O 12.67 2.0 & a 0 ' ^ Q d RFY;E;NED s b N . o $ O ~ „ Q ~n °LI7 G Y___ ` o PROPOSEO HOUSE p~p~,m E:.._.__ z ~ o-_-- 38.00 -C' 10 r'Je N 04601 '00" E 10.00 r= =J 933.5 y ~ s a te S ~ S EAG 230 3&9 `~~d ~,.t~IC~TR~~ERIk1iG DE»^r 000, kv • 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION 4g~ Denotes Proposed Elavation Lowest Floor Elevation:932.8 = Denotes Drainage & Utility Easement Main Floor Elevation:g41.42 Denotea Drainage Flow Direction --o- Denotes Monument Gorage Slab Elevation:938.80 s Denotes Offset Hub Bearings shown are assumed LOT 5, BLOCK 4 OAK CLIFF PaND • DAKb7A COUN7Y, MINNESOTA I heraby o0rti}Y thai thit aUrvay, ptan Or rgport w~eqs ~oroparod bv mo or under my direct eupeer.v~isivn rnd that I am duly AeAistorad Lend Surveyor undv the lews of !ha e<eee of Minnawte. Oeted thleu}L dDy 0f KA P. Clri A.O. 19 / • SCQle. 1inch= ZOeet nOBE L.s.nEO.NO.fa891 1 CIiT OF EAGAN EY7ERIOR ENYELOPE IYERAGE OUI COltPU7ATION oWxes: _ PE ) i F L) Pn L ~ O C P 40 MQS SIi'E ADDRESS: rrS.3 WILE~~WCOp ST1?LF. F7- CONT6AC?OR: VA RL~ .Y n~.i ~T DexE:_ '3'1/2/f'~j PHONE: ` 07'~~~-~03y --~^T- Determiee Morking aquare footage of eac6: , 1. Total exposed wall area ~ 3 3q. ft, x .17 2. Total roof/ceiling area 1 3~ aq. ft, x.026 Total ezposed vall area above rioor = 19/4. a. Total wall windoW srea b. Total door area c. Total aliding glass area d. Total fireplace wall area e. Total xall framing area (average 10%) ~ f. Total net wall area above floor g. Total rim joist area Total e:poaed foundatioa area = o~ 6~ h, Total foundation window area 7.1 I. Total net foundation area above grade ;2 A 1 Determine IU' value of each vall segment: a. /$7 k 'Uf .~7 b. _ .¢p x U c,~x'U' = d , x OU' - e. L°ff x'U' 1B_5 f• x - ~QS = 6; 3-7 B• 10 x ~U' S.-46 • h, U ' x ' 1. ~ : +Uv _ a~ .07 3 . Total = a4-5 If item 03 is the same as or less than item 01, you have met the intent of SSC 6D06(c)2. Total exposed roof/ceiling area = I3 O`I ' J. Total skyllght area ~ k. Total roof/ceiling framing area (average 10%) 1. Total net insulated roof/ceiling area OVER • ' • Determine IU' valve for each roof/ceiling sepent: : ~ . ~ x ' u' k. J x Out . oa~ = 3, . 1. 117FS xOut =~5. 9 4. Totel = a9- If total of /4 ia the aame as or less than 12, you have met the intent of SBC 5006(c)1._ A1Leraate Building Envelope Design To utilize the total envelope ayatem method, the values established by the sum of Items 43 end i4 ahall not be greater than the aum of Items *1 and 02. a5g , I + z. 31t r 24?a1 1 3, . 4. ~ 1 2 ~ ~ predide 'insulxtion baffles in evety' ' RooF ' C`I`ING ~ : zant,ez s?.ce. . ' ~,~1 Vi . . ~ ~ ~ iQ It~Te~~oN P.tR FI~`1 .6! G) WSUtAj?oN ".OG C'4i • . . , b7 ~ EXj6R;ot~ AlF FILM ' ~ ' (STIIL~ ' T°TAL (R)=OA : ~ . u=.oZM ~ 14AtL VAi . . S . . QQ Ir1r-P-101- R?R fiLn 06$ p Ih° q5 I0SC,LATIori Siz''lqM • ° ~ . Q cF~PAR I to . u Ex;~11!o1M kre. FlLr1 ' 47 ~ ~ • ~ ' . 4~ ' ToTRL (R) =2Z't ~`'OfS. • ~ 12 (9) vatc (D 1i1TEl'•lor. Htr~ FiuI .fi8 ' . ;s ~1 ~ ~ ?3 5'Z 1N5UL•,7ic;+ 2I n R thr1 S01S7 Zsf3z 5O~:~~iT~ j.`~ .ej . . . ~ ~ p eXTF-n»R p,M flLrt • 17 ~ . • . • ~ . ToTP= tR~=23. S; o° ' : . ~ • ' - . '°O ° 50VDATI00 V =.04t;k ~ • • ' QINTEVtDR Auc F U4 (n) VAt.uC i . e Nsuu~~ r, , ! o be•. ~.Za '1 ~~X CGt'IC'~ ~ n a n ?o r--- .J7 p ExjErtoz Atrc Fu.rw -f7 i a d ~TS ~ . I • - Rs ` -roTpL (rc)= 13a3 =.D~6 Floors ova; unhezted spaces must have sinioua R-faetor of R-20 (cuck-under garages). Floors owr outdoor air (ovcrhangs) oust liavc a nlniraum Y.-factor of R-33. ~ CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # a 'B~I~G€?<;~':~~ DATE: 0 9d-- z.:.<.:.::..<,::,,.:. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE TNE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON I SHOWER 3.00 REPAIR WATER CLASET 3.00 bT' BATH TUB 3.00 ~ ~ LAVATORY 3.00 OWNER NAME: ~ LAjJ[1DRY TRAY 3.00 3°= SITE ADDRESS: -l J wr IJwUoU S~rQe+ HOT TUB/SPA 3.00 ~ ~ 00, k rn n ~ WATER HEATER 3.00 LOT: f BLOCK SUSD. - t' FLOOR DRAIN 3.00 L T'I,/ 1 GAS PIYING OUT. / INSTALLER: J•+v"l~ l~ ~ (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: 7`~3 Fall[YI.Y _ ~~ACAS_- OTHER WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 ~ PHON SUBTOTAL S -l ? ST. SURCHARGE .50 SIGNATURE OF PERMITTEE j U TOTAL: $ Tal A~a PLEASE COMPLETE THIS PDRTION FOR ALL COMMERCIAL/ZNDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1$ OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMZT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN PERMIT N CITY OF EAGAN S~1 REACTIVATE 1992 BUILDING PERMIT APPLICATION F 1 681 -4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of arch9tectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. 3tll 4 2 ItECp Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date 7 / Z / ;z Valuation of work ,41Ar~,214 6s Site Address:/rliz-QulaaIJ ST STREET SUITE M nant Name: (commercial only) IAT ~ BLOCK SUBD. ,r i - /P . P.I.D. if VCJ~"~q~ Descri tion of work: DEcic The applicant is: lS) Owner ? Contractor ? Other (Describe) Name _ /21C7-En/PV1- - Phone ~9o=~36S Property LAST F1R5T Owner qddress _ 5&~~ ~~~orvooo sr STREET STE N . City> C,p6,9 ,r/ State 41.r/ Zip SS-/zz- Company Phone Contractor Address License # Exp. City State Zip ArchitecU Company Phone Engineer Neme Registration # Address City State 2ip Sewer 8 water licensed plumber . Processing time for sewer & water permits is two days once area as een approved. . I hereby acknowledge that I haVe read this application and state that the information is carrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: i OFFICE USE ONLY r , BUILDING PERMIT TYPE ' ? 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 5F Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex 0 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ,13 15 Deck ? 20 Public Facility 0 21 Miscellaneous WORK TYPE . 0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37.Oemolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst fl. sq. ft. City Water . UBC Occupancy 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump N of Stories Footprlnt Sq. ft. Fire Sprinkler Length On-site well Census Code y3 i Depth On-site sewage SAC Code APPROVALS Planning Building Assessments, Engineering Variance REQUIRED INSPECTIONS , ? Site L7 Footing ? Framing ? Insulation ? Nallboard p Final ? Draintile ? Fireplace Vermit fee ' C r,i„at;p,; g Surcharge Plan Review License MWCC SAC City SAC Nater Conn. Mater Meter . Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. CoPies Other Total: SAC % 5AC Units r ?OC]? + . C-t co V pl gCZ? W n ~r!~ Pl~naer Enslnoarinv 6019489 P.01 y C - N . . . d 2422 Entgrprise Drive Y ~ o~,o,!•iL Mendola Neights, MN 55120 ~iiNEER (e~z) eai-~s~a•fox ss~-saee O LCNO SURVE`/bR5 ~ CINL ENGINEERS pJ - nearEng LANO PIANNEPS . LANO5CAPE ApWhCl4 625 Highway 70 Norlheost Blalne, MN 55434 ` 'k * * 1(512) 783-1800•Fax 783-11383 Certificate of Survey for. OCP Homes, Inc. House Address: 4663 Wildwood Street, Eagan.._MN ` ~ fIV \ o0 ~:2 89~,a 1) S ~ DRIVEWA,Y ~ cv ry 4 938.3 70 fJ 93~"~ ~ o---_ ~ / N ~ 22,33 T0.00 ~ ~ GARAGE M Q ° ° ~I~GA1~ ~ O ~z.b~ 4z.o ` p f2 ~ FViE!%V~ T) O ~1 ~ C) `O 5.0 r- .6 rJ Ln ~r Ln o PROPOSEp HOUSE r- J b OQ ~ r- 5,'1'i c:_.._ _ y_,..., ~ a- ~ ~ ~ ~o--'- _ 38.G0 10 ~ N 04°O7'p E 10.00 I 4 933.5 + _ s ~3 &9 ~,~~x~v 03' pd r° - ~ y~~ RI:7: 01,.,11 )1 ft •900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION • on. Denctes Proposed Elevation Lowest floor Elevation:932.8 - Denotcs Drainage & Utility Easement Main Floor Elevation:941.42 Denotea Drainage Flaw Direction -o- Denotes Monument Garage Slab Elevation:938.80 -E3 Denotes Dffset Hub BBarings shawn ore assumed LOT 5, BLOCK 4 OAK CLIFF PUND OaK07A COUNTY, MINNESarA I herebvi certliY thpt thi6 eurvey, ptan or report w~eqs ~orepared 6y mo or undar my dirett euDerviaion and 1ha! 1 am duly Pupia[srad Lsnd Surveyor untler the Isws of the Slete af Minnesvta. Deted Shivdey Ds _KAkG~ A.O. 19-qL-. Sca' e. ~ jf1Ch=20 CP~ pOBC .m1 1.5. RE~. 5 891 CTI'Y OF EAGAN L s B MECHANIC.tL PERMIT RECEIPT # SUBD. (612) 681-4675 DATE 41 -l RESIDENTIAL PLEA.SE COMPI,ETE UppER ppRTTON ONLY FOR SINGLE FAhIII.Y DWELLINGS. AiSO, COMPLETE FOR TORNHOMES/CONDOS R'HEN SEPARATE PERMTi'3 pRg ggQiTIREp FOR EACH DR'ELLING UNTf. OWNER: /l,t Lo,, ' FEES SITE ADDRFSS: ADD ON/REMODEL (EIIISTING $ 4W w CONSTRUCTION ONLl) INSTALLER ~ l HVAC: 0-100 M BTU 2 r0l PHONE alt: Xu _ s'I L'3 ~d/ ADDI1'IONAL 30'M BTU ..6A9- r ADDRESS: UL ' cfo GAS OUTLEI'S - MINIINUM 1 @ $3 EA. C1TY: ° N N ZIP:. Sa-O ~ ry SURCHARGE $ .50 SIGNATURE: TOTAL: $ COMMERCIAL PLEASE COMPLEfE THIS PORTTON FOR ALL COMMERCWIINDUSTRIAI, BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMII'S ARE NOT REQUIRED FOR EACH DWELLING UNTI'. WORK DESCRIPTION: CONTRACT PRICE: FEES 196 OF CONTRAGT FEE. STATE ST1RCIiARGF. iS $ 41? F(?R FACA $1,000 OF PERMIT FEE $ PROCFSSED PIPING • $25.00 $ MINIMUM FEE - $25.00 OWNER: TOTAL: $ SI1'E ADDRFSS: 1'ENAIVT: SUI1'E INSTAI,LER: ADDRESS: C11'Y: ZIP: PHONE CITY SIGNATURE: SIGNATURE l I f ) I L B CITY USE ONLY R£CEIPT ~ ~ 1L` ~ SUBD. OWL 01,4 POhG~ RECEIPT DATE: PERMIT # ANa 9 1999 PLUMSIN6 PEgMiT (RESI)ENTIAL) Cf!'Y OF i:AfiAcA S$SO fILOT KPOB {iD f.Al6AN, MN 55122 (651) 6$1-4675 Please complete for: D single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer Sor underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 ' x = $ Gas i in outlet ` minimum - 1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alteretions to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RP2 new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower • 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler it existin dwellin 30.40 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ WBtef Softenet if dwetlln underconstruction 5.00 X = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x _ $ State Surchar e .50 $ .50 TOtal $ Reminder: Call for inspections of alteretions, i.e. water heaters, water softeners, etc. t hereby acknowledge that I have read this application, state that the information is mrrect, and agree to comply with all applipble City of Eagan ordinances. It i5 the applicanPs responsibility to noUfy the property owner that fhe City ot Eagan assumes no Iiability for any damages caused by the City during its nortnal operalional and mainlenan activities to the facilities constructed under this pertnit within City roperty/right-of-way/easement. SITE ADDRESS: L TELEPHONE OWNER NAME: : AREA CO E) . fNSTALLER NAME: 6 W TELEPHONE UC rZ 2C.J3 (AREA CODE) STREETADDRESS: CITY: STATE: ZIP: , SIGNATURE OF PERMITTEE RESIDENT / OWNER Nam c V, Pi Phone: ,/-- d"`1 ®° /e4S-- Address / City / Zip: 344_,_ Ac _ / . iri1!► _' CONTRACTOR Name: /A, /— /4 '_ & sot. 1 J License #: &4l 9 9 7 4/x; Address: a7 i M "a 9 City: S 4e/Z, ate: lV / Zip: J 42f Phone: %5- �' 2 7 Contact Person: h ob , TYPE OF WORK New y Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: _ PERMIT TYPE RESIDENTIAL Water Heater / Water Softener Lawn Irrigation Add Plumbing Fixtures ( RPZ / PVB) (_ Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $136.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ �J �� City of Eapll Nov os 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675 -5694 Permit #: Permit Fee: 2008 RESIDENTIAL / , �d PLUMBING PERMIT MIT APPLICATION ( Date: 1 0 1 Site Address: it 4 4 3 L d l rY Tenant: dl.,14,2 Ath x tni ge-hr9 6Ct 121)40( Applicant's Printed Name App an s Signature gigge 6 Date Received: Staff: 1 Suite #: I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wi 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 acco dance with the approved plan in the case of work which requires a review and approval .f plans. Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test ' Gas Test _ FOR OFFICE USE 11,11i Clay of Eapli 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 a4r95( Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Receiv Staff: INFLOW & NFILTRATION PERMIT APPLICATION Plumbing 1 Sewer & Water Date: Site Address: Tenant: Suite #: *Permit fees will NOT be reimbursed by the City of Eagan. if you plan to submit I/I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.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.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. x n/v1k-c 2 c L,; )+i Applicant's Printed Name x A licant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground Rough -In _Final RESIDENT / OWNER? Name: ��-� e . �� Phone�J—` 6-1z)---- ) �0,- Address / City / Zip:- V, Z3 f4/,,�70--- %�—o -' 4 `4 4 CONTRACTOR Name: 14 e.%sqr. Ptwr^6in3 S'ervic-c 4-'71License#: 0 5 5 /S PA Address: P.0. S o x a a 1 1 a City: �- q& q v\ State: 117\ N Zip: 5 S I & Phone: (r) S j -, Co g ( - $ a S ,. Contact: I r `; kA &_ Email: Il i !'ie Q h e S S i q °►\ p) .-, r. S i ilg. , cop. - TYPE OF WORK PLUMBING (Within the building envelope) SEWER 8 WATER (Outside the building envelope) IL Sump Pump Repair Repair Other. Other. DESCRIPTION Description of work: RD I h3__ S c-, w• n .,, irs,p i S c c tr cp_ FEES 0 N- $55.00 / E h (includes ►1 2'r' c....‘ r\ , i 4 I- 1S +'v c i 4 w) $5.00 State Surcharge) (Rev. 6-30-10) TOTAL FEE $ SS• 0 v *Permit fees will NOT be reimbursed by the City of Eagan. if you plan to submit I/I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.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.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. x n/v1k-c 2 c L,; )+i Applicant's Printed Name x A licant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground Rough -In _Final PERMIT Permit Type: Plumbing City of Eagan Permit Number: EA105058 Date Issued: 06/22/2012 Permit Category: ePermit Site Address: 4663 Wildwood St Lot: 5 Block: 4 Addition: Oak Cliff Pond PID: 10-53575-04-050 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Josh McGuire Comments: 1424 3rd St N Minneapolis, MN 55411 612-604-4285 PL - Permit Fee (WS &/or WH) $55.00 0801.4087 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: Owner: - Applicant - Benjamin Franklin Plumbing Lila A Pietenpol 1424 N 3rd St. 4663 Wildwood St Minneapolis MN 55411 Eagan MN 55122 (612) 604-4285 X61 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink ~ For Office Use ~ I j Permit City of Ea ail I o~~ I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I 2013 RESIDENj`TIAL BUILDIN PERMIT APPLICATION Date:/ / G Site Address: 7 Unit Name: Phone: Resident/ Owner Address / City / Zip: z Applicant is: Owner Contractor r ay Type of Work Description of worc.~.`/ &-egz Construction Cost: S-a0C) Multi-Family Building: (Yes / No Jam) Compan . Contact: Contractor Address: 7~ llfs St City: L Z~~4 WAY State: M- Zip: IZL/ Phone: q-777 License m Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.org 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 Stat uilding ,fiode must b pleted within 180 days of permit issuance. / x C~ ~ CZ 4K x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA161279 Date Issued:05/15/2020 Permit Category:ePermit Site Address: 4663 Wildwood St Lot:5 Block: 4 Addition: Oak Cliff Pond PID:10-53575-04-050 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 - Gary L Hansen 4663 Wildwood St Eagan MN 55122 (651) 454-1172 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175268 Date Issued:03/24/2022 Permit Category:ePermit Site Address: 4663 Wildwood St Lot:5 Block: 4 Addition: Oak Cliff Pond PID:10-53575-04-050 Use: Description: Sub Type:Fixtures Work Type:Alteration Description:Bathroom(s) Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$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 - Gary L Tste Hansen 4663 Wildwood St Eagan MN 55122--338 Street Plumbing Inc 12107 12th Ave S Burnsville MN 55337 (612) 419-9926 Applicant/Permitee: Signature Issued By: Signature