4671 Wildwood St
IN5PECTIUN REC4RD I COntrol No.
- CITY OF EAGAN PERMIT TYPE: plali Dima
3830 Pilot Knob Road Permit Number: 001601
Eagan, Minnesota 55123 Date Issued: 1I / e 9/ 9~
(612) 681-4675
SITE ADDRESS: t o ti 7 SLn r. t ~ p APPLICANT:
4671 W1LOiJ4Pq .~"+T VAR4EY CONBt JOl6
Ollii CL IF'F POND (607) 394-6034
PERMIT SUBTYPE: TYPE OF W4RK:
rA
Fnnf iN~~ f1iAMiNH
ik40lf. AT I'IN F1MAL
F1NFP1A~t~
r~~ { ~ x , r r' c . _ f ' • ~ .
i.-~ ~tY~~ ~5~~ ' ~ i • ~1~ ~ +a
~tr,~ ' ~.a...j.~'~ w t '4 I M~ ~ .
Lti~:a~.t; ~~t~.?- ; ~ ~L-L . ~ # . e.' ' - . . . ~ .
P'WmR No. P1rmft Moldsr Dab Teleplwrn 9
S/IN
, PLUMBING -%-71- 111-71
MVAC
ELECrRtc
ELECTRtC ~#6'/
Inapactbn Dne Insp. Cammants
Ftofings I
Foundation
Fra„~ cr#zr4k lla"sp z&v, -
Roofin9
Rouph Pibg.
r,
Rou9h Ht9•
Fireplace
FWW Htg.
Orsat Teet
Rnal Plbg. Plbg. Inspector - Notify Plumber
Cortst. Meter
EngrJPlsn
Biag. Finai o~-a Y- ~ i~GJ
Deck Ftg.
oe(* Final wai
Pr. Dlsp.
N1r' ~ '
P~~ • . , ' . . ,
Wertificate nf cccupanc4
Ctiti) of Cpag«n
2t#artwellt 0f 6KithiItg 3Ao-lwdion
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliarece with the various
. airlinances of the City regulating building construction or wse. For ihe, foUowing:
SF DWG 1601
Use Classification: Bldg. Pamit No. V-N
OccupancY Type 7pn ing District 11meACaeau-8609 N(; ND 1.~
Owner of Building Address
. , r
i Biulding Address L.ocality
DECEMBER 28, 1992
1 Date:
Bai45ng OlTxial
POST IN A CONSPICUOUS PLACE
Addresa: 4671 WILDWOOD ST Lot 7 Blk 4 Sec/Sub OAK CLIFF POND
These items were/were not complete at the tima of the final inspect on.
Date: DECEMBER 28 1992 YB$ Na Q0-
Final grada (6" from siding)
Permanent stepa - garaga
Parmanent stepa - main entcy
Permanent driveway
Permanent gas
Sod/seeded grass
Tratl/curb damage
Porch
Basement finish
Deck
Pleasa verify vith the builder tha removal of roof test caps from the plvmbing
system and the shut-off of vatar supply to tha outaide lavn faucet before
{j
freeze potential exists. ~Q6
c.amwio
White - City copy Yellow • Reaident copy Pink - Contractor copy
87 C2a-
Pequasf ~ate / Flre No. in Inspection
(/y/ ired? ~Ready Now L7 Will Notity Inspector
r r~ ? Yes Wlaen ReatlY?
I.;;tlicensed contractor ? owner herehy request inspection of above electricel work at
Job Atltl255 ISVeet. Box or Route NaJ Ciy
~7/ /A/! lolwe / o~ .5-7
Seclion No. I Township Name or No. Parge No. County
T
Occupanl(PRl T PhO. No.
Power SuppAdOress ~
'hL
L
Elecmcal Comracmr ICompany Name) C3mtactor5licanse No.
~L~tlhi v ~ lJl2 ~
Maning Adtlress IGOnVaclor or Uvner aNing Installa
Z /i ~I o~' ~D U
Aut~orizetl SignaWr vatlor9 nar kin al n Phon7e Numbe~ ~
S~
MINNESOTA STATE BOARD OF ELECTiiICITY TMIS INSPECTION REQUEST WILL NOT
Grlgqa-MlCway Bidg. - Room &173 BE AGCEPTED BY THE STATE BOARD
1821 Unlvertily Ave.. St. Peul. MN 55104 UNLESS PROPEF INSPECTION FEE IS
Glwne (812) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ~,EB-OWOf-08
? See instmttions lor completing this lorm on back ol yellow copy. 7
p
K~`~ O6 X" Below Wo~jr CoveFed by This Request
ewAtld Rep. 7ypeofBUilding AppliancesWired EquipmentWired
Home Ranqe . Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Other-(Specify)
CommJlndustrial Furnace
Farm Air Conditioner
Olher(specity) Conirector§ Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Enirance Size Pea # Circuits/Feeders Fee
Swimming Pool 0 to 200 AmpS 0 to 100 Amps
Transformer5 Above 200 _ Amps A6ove 100 _ Amps
Si9n5 Inspecmrg Use Only: TOTAL /O
IrrigationBooms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDdREP-MSCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1, ihe Electrical Inspecror, hereby Rouyn-in oate
certify that the above inspection has F;,,ai oate
6een made.
OFFICE USE ONLY
ThiS requesl voitl 18 monRi3lrom
W&O .9
(ie esl Date Fire No. Rough-i action
R uir 6 Reatly Now ~ill NoGty Inspecbr
~ ^`7 - 9~ ~YBS G No W~en FeatlY?
I,~Xlicensed contractor ? owner hereby request inspection of above electrical work at:
Job naa~.. Bveet. Bak or Boole N/ ,~~W4 C'
Section No. Township Name or Na Panga No, Coumy
l0a ~t'6T
OccupantlPRINT Phone No.
33v-,~r-03Y
Power Supplier AOtlress ~
.d /~G/~11u r~ ~ Imal
Eiecmcal Contraclor ICOmOany Name7 ContracMrS License No.
2 3f
Mfliiing Address ICOnVactor or Owner Making Installation,
Au orizea ' re iCOn ~ Inst la( P~one Nu~b^ r+
MINNESOTA STATE BOARD OF ELECTPICITY THIS WSPEGTION REOUEST WILL NOT
Grigge-MlOway BIEg. - Noom S-1]3 8E ACCEPTEO eV THE STATE BOARD
1821 University Ave.. SL Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
P~one(612)642-0800 ENCLOSED.
REQUESTFOREIEgTRICAIINSPECTION ~~`-~~ee
? See insttunions lor completing this lorm on oack of yeilow mpY. y
d 01151 "X" Below Work Covered by This Request y
~~~ti
ew Add Rep. TypeolBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elecnic Heating
Apt Building Dryer Other (Speciry)
• Comm.Andustrial Furnaca
Farm Air Conditioner
Otner(sVeatyi Comracmr's Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEmrenceSize Fee # Circufls/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps 00 _ Amps
Signs Inspecmr§ use omy: TOTAL ~
Irrigation BoomS J^ ~
Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IP NOT
Other Fee COMPLETED WITHIN 19 M HS.
I, the Electrical Inspector, here by Rough-in
certiry that the above insPection has . d
Final i / oata 1_~~^~7
been made.
OFFICE USE ONp
Thls requesl voitl 18 moMhs trom
CITY bF EAGAN Pr RM1Trr1 + Control No. 1170
1'i
~C
3830 Pilot Knob Road PERMIT TYPE: B u[ L 0 2N G
Eagan, Minnesota 55123 Permit Number: 001.601
(612) 681-4675 Date Issued: 10 / 9 9 J 9 2
SITE ADDRESS:
4671 WIIDWpQD 5T
LOT: 7 BLQCK: 4
OAK L'LIFF POND
DESCRIPTION:
iid'ifi.g Permit Type SF pWG
4u
~ 13u2lding LJork Typs NEW
, U8'C' Oceupanc:y R-3 M-1
! Cqnstruc'Gion ~°l~pe V-N
ZonXng P0
% t3uilding Length 42
BGi1d5t4y 4Jidth 56
a'
i
r r
c I f"-.^ r--" r_( t ~
f !
`tf
REMARKS:
FEE Sl1MMARY:
VRLUNTION $99,000
Base Fee $635.00 MISCELLANEOUS $1 610.50
Plari Review $412.75 ToY_al Fee $3,407.75
Surcharge $49.50
SAC $700.00
SAC % 100
SflC Wnits 1
Subtotal $1,797.25 .
CONTRACTOR: - Applicant - sT. I1 OWNER:
VRRLEY CONST JOS 13346034 000324 0 C P MOMES INC
16800 SHIELCISVILLE BLVD 8809 IYNDALE S 101-F,
FARI6AUl.T MN 55021 BLOOMINGTON MN 55420
(507) 334-6034 (612)881-0127
I hereby acknowledge that I Mave read rhis aRplieativn and srate that tFie
information 3,s correct and agree ta Comply witH all appla,ca6le State of Mn.
Statutes an-d CiCy o'f EagBn Ordinances:
L `
~lrst~R•¢i f 11~~tf
AP LICA RMIT SIGNATURE -ISSUED SIGNATUFTE
CITY OF EAGAN $
REacnvaTF _ 1992 BUILDING PERMIT APPUCATION ~ tr o
681-4675
I
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, I copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in ahich re uest is made or lot chan e is re uested once ermit is issued.
Date /2~ Valuation of work eOn n
Site Address: ~ L) 71 C.2 L ~ Q p p J~~
STREET 5UI7E X
Tenant Name: (commercial only)
IAT _~7_ BIACx ~ SUBD. OAK CLIFF POND P.I.D. 0 10 53575 070 0 4f
Descri tion of work: New Residence
The applicant is: 0 Owner EYXontractor ? Oth2P (oesertbe)
Name OCP Homes. Inc. Phone 881-0127
Property LA51 FIRST
Owner Address 8609 Lyndale so. #iois
STREE7 STE N city -@'Feemingten State MN ~ Zip 55420
Company loseph P var y fnnctriirtinn Phone 507-334-6034
COntf8Ct0r Address J_yggq ShinlAsville 674ri.. License 4pnaZa4 E.xp..3/31/93
City State MN Zip q;roi
Company Phone 645-4170
Architect/
Engineer Name Grover Dimond Registration i
Address 2332 eourne
City St pa"1 State MN Zip 55108
Sewer 8 water licensed plumber . Processing time for
sewer & water permlts is two days once area has een approved. I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree ta comply with all applicable State of Mi a Statutes and City of
Eagan Ordinances. oseph struction Inc.
Signature of Applicant: ~
OFFICE USE ONLY
BUILDING PERMIT TYPE ~ = " • O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging - 0`16Baselent Finisti
-002 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind.
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Camm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
~ 21 Miscellaneous
WORK TYPE
?Z31 New ? 33 Alterations ? 35 Tenant Flnish ? 37 Demolish
Ll 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V-N Basement sq. ft. MWCC System YE5
(Allowable) v- N lst F1. sq. ft. City Water
UBC Occupancy _R 3 h,~.1 2nd F1. sq. ft. PRY Required YI-
Zon1ng ~ Sq. Ft, total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
length 14e"'On-site well Census Code
Depth 6 On-site sewage SAC Code oi
APPROVALS
P1anM ng Building S lAssessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site ? Footing • ? Framing ? Insulation
? Mallboard ? Final ? Dralntile ? Fireplace
Permi t Fee v.iuoc;m: g ~'1 o00 -
Surcharge .
Plan Review GARaaE; xAa.s ux4(x(6= yy
License 3y `
MWCC SAC x y2 ~ ~t12g
City SAC 7 'A (4)
Water Conn.
water Meter
Ac+_t. Deposit
S/N Permit IsTPL-oo(z~ 1291 19 365
5/W Surcharge '
Treatment P7. c36Mr=
Road Unit 2~aX-~ ~
Park Ded.
Trails Ded. a}ctt = 2y
Copies
Other I 3yl ~ ~ rj)10~3
Total:
SAC % 100 R k?S~Z
SAC Units 4_ '
INSPECTION RECORD Control No. 1170
CITY OF EAGAN PERMIT TYPE: B u x Lo z N r,
3830 Pilot Knob Road Permit Number: 0 016 0]
Eagan, Minnesota 55123 Date Issued: 10 / 0 9/ 9 2
(612) 681-4675
SITE ADDRESS: Ln Y: 7 BLo c K: 4 APPLICANT:
4671 W7l.DW00D ST VARLEY CONST J05
QAK CITFF PONp (507) 334-6034
PERMIT SUBTYPE: TYPE OF WORK:
5F DWG NEW
INSPECTION . „
FOOTING FftflMTNG
INSULATION F'INAL
FTREPLACE
~ -
f -
` P.02
~ * * ' i f • 2422 Entarprise Oriva
.k ~ Mendoto Heighta, MN 66720
* PIONEEq LANp WRNCWAs , a~ ~WMjs (612) 881-1914•Fax 881-9488
* en neerine UN • ~
625 kighway 70 NortheasF
* Blatne, MN 58434
(872) 783--189o.Fax 783-1883
Certificqte of Survsy for: QCP HOI"71ES, Incorporated
House Address: A6Z1 Wildwood 5treef. Eagan; MN
/ -4' Y 6N s703t'oo" w ~
100_OQ (D
d r ~
0~'~ w A ~W ~ J
S98 It ~ i 21.6~ P 1 .~R 10 t {p ~ --A
z g F-
~ ~ ip W,r g~~ $ +a°°
Y x y3s~r 10.
, N ~.25 q 30
~ 10.80
9 ~ 7R4~ C~ .
8N
\ U
t3Y E$RIidCi DEPr
U"o lt'~10~~ tnl LS Q UR
. 900.0 Denotes Existing Elevation PROP05ED HOUSE ELEVAl10N
. oo.~ Denotes Proposed Elevation Lower Leuei Elevatfon:931.82
- Denotes Drainage 8t tJtility Ecasement Main Levet Elevatinn:940.71
Denotes prainage Flow Direction -
--o- Denotea Monumant Gorage Slab Elevation:938.10
-e- Danotes Offset Hub Bearings shown are assumed
LOT 7, BLOCK 4 OAK CLIFF POND
otdcora couxTv, MINNESOTA
i MrEbY cYrtity tAat thm turwy, plan or re{iqri was ropered bV ml! orw~der mydlrect pu ~on end thet 1 am chety q9gistarvd Land 8urypy0f
YrWer the lews ot the $cate of Minnesow. Ueted fhlsdey of A.D.
19~,
Ma?, ta-s-`lz Yo sr~~ Ex~sr~,.~ eLe.is. ~
5cale. 1 I~°~O~ R08ER 'S~C .S.REO-NO.1<891
~ I-HouR Fu2t-Re3KTlvr e~u~lsTnu ~y.-.F~n Gx7--X~04 014u5 urTNiN 7H/?t~
90148.19 '%r TC/ LrNE r~-i "0 62v9,71 ifii6-srrt'7.) - %2~"n Ta 5oy
R=97% ' 10-08-92 02=46PM P002 #33
'r
. S CIIT OF EAGAN
~ . EE7ERIOR ENYELOPE lYERAGE 'U' CONPIf7'A7ION
ow,+E.: . c r H.v-> Es .[>,4, L~y
~
SITE ADDRESS: ~.7 I cJ 1r-oDOQ,,' LOT 7
CONTFACSOR: DlTE2 PHONE:
Determiae vorlcing aquare footage of eaob: !
1. Total exposed wall area 2 S S;:2 aq. ft. z.11 = :Z 6D. g i
2. Total roof/ceiling area aq. ft. x.026 = 35 • a {
Total ezposed xall area above rioor
~
a. Total Wall window area 3 O . 6 ~
t1• Total door area ~
C• Total aliding g2ass area •...................r....• 45 z~
d. Total fireplace wall area ~
e. Total wall fraroing area (average 10%)
f. Total net vall area above floor _ I 93 .
g. Total r3m 3oist area JfaO •
. Total ezposed foundaLioa area = 3 8 ~ i
;
h. Total foundation window area ~
i. Total net foundation area above grade 3!~ D ~
20 ~
DeLermine 'U' valae of each wall aegment: ;
e. 308. 6 x lu+ .37 = }!-4.18 i
b. 729 x fU` , ) -,F _
c. Z_x'U'
d. - x oUt a i
. e. !94 x 'U' .o97 = T ~
f. 1 ~93 x IU'
8. 1AO x lU' .~~2 = 0.72
h. x 'U'
r0 x'U' 0
-76 = .35
.............l55......... To ;
3 . as g. ~a
,
~
If item 03 is the same as or less than item 01, you have met the intent of SSC
6006(c)2.
Total ezposed roof/ceiliag atea = ~ 3 5 4
J. Total akylight area
S
k. Total roof/ceiling traming area (sverage 10%) ).3
l. Total net SnsulaLed roof/ceiling area f a 19
. !
OVER j
i
' Determine 'U' value for eacb roof/ceiling aegments
. ' :
• ~ x OU, _
k. I,35 z Iu,
) q : @u@ .0~2 z a~
i. ~-7
0 . Total
If total of 14 ia the aame as or less Lhan 02, you Aave met the intent of SBC
6006(c)1..
lllternate 8uildiog Envelope Deslga
7o utilize the total envelope system metihods the values established Dy the avm,
of Items 83 and 04 shall not be greater than the aum of 2tema /1 and /2. ~
2So. 8. z. =
3,
,
i
2
. ~
ptovidc insulzcion baffles in evety' RO OF l(,E IL(N6 ~
~ ra~t,c: s~ace. (R) VF
. . ? Q ?WTE7,loh r1R FILM .61
IhSULAj?DN ".00
O EXjER10 AtF FILM
~ I ~ T°TAL (ft)=fS
~ o~e
~
~ WAtL '
. . ; . ; (it) va!
irq 7r-r10t- AiR FILM .6$
GYe' $lA. ,q5
M~, ~ U"SUTA"(IoN Siz~1t%ft
, • 9Q ZS%3zn gW1~7 mc • . 1.~A
• . ~Y ~ . Q CE.DA R
I t' . u EXI00 F+t?. FlLr'1 017
ToTAL (R) =2.Z~°
1ZIM~ . v=•of5.
(9) Va<<
. (v) Ii1TE.I'-lor. Air~ Flul
• ' ~ j3 ~3 5 IrsU~%~Yic;~ /1• ~
' wr 0 1 n tz 1ZU~ry .SoisT I t6~
?sJsz 1. 3
, e . ~ c~l~~ 5io~r6 ' , ~
. . . O . WF-nIDR NIL FILM
• 17
. . . o . •
. ,,e .
• • ToTA~ (R)=23.8~
' ~ • -•°o ' . . faVDATio•l V =.ot;k
. (R) vnLu:
' p tNje17-19R Alrc FiLli .6~
•r,, ~ . ~5 ~.,~c.o p i~lsul.~(a.p3~F.6.
~
" D• g. ' "
~ . . D. • _ , .
~ . . 47 Q EXjcrto2 AIR FILM A7
e
. 6.45 ToTaL (rc)=i3a3
~ ~ ./5•5
Floors ove; unhezted•spaces inus[ have aininua R-fac[or of R-20 (tuck-under garavV )o076
Floors ov, r outdoor sir ovcrhan s) oust liave a ainiraum P.-tactor R- '
( S of 33.
.
,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
IN 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex 0 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
13 31 New ? 35 Tenant Impr ? 39 Gas Line Onfy ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
~ 34 Repaii ? 38 Demolish (lnterior) iN 42 Rereof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq, ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bidgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
PermitFee I ~3•a~ Valuation: $
Surcharge Lf , v v
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter ,
Acct. Deposit _
S/W Permit
S/W Surcharge '
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
rotal:
SAC Units
% SAC
~
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN ~ WW
~ f 3830 PILOT KNOB RD - 55122
657-681-4875 ~ °l
tlew Conshucfion ReaulremenN Remodel/Reoalr ReavIremeMs
> 3 registered ske surveys showing aq. k. ot lot, sq. H. of house 2 copies of plan
and all roofed areas (207, maximum laf coveraae allowed) 1 sef of energy caleulafions for heaTed addiHons
? 2 copies of plans (show beam t window slzes; poured fnd. des(gn; etc.) 1 sNe survey for extedor addMions 6 decks ,
> 1 set of energy colculaflons
? 3 copies othee preservaHOn plan H lof platted alfer 7/1/93
DATE: CONSTRUCTION COST:
n/y7
DESCRIPTION OF WORK: P- O('f"
STREET ADDRESS: Gt/ cP o e
LOT: T BLOCK: SUBD./P.I.D. C~ i Q LI Gti
Name: PR 1 2o Phone#: -E95/~ 6776_
PROPERTY Las1 Ptrst
OWNER
StreetAddress:_ 4167! G?,'/d 4„,~60,4 s~
City 1-'4~,¢N State: &K- Zip:
Company: / /
~ ~ C- i h~- Phone (o1z 707-6 9~5 V
(area code)
CONTRACTOR
SheetAddress: /a 2 y? /U%col/~f ~oP,S. License#-2o16~i3X3 Exp.3-~'V
city state: ztp: 5S3 ?-7
ARCHITECT/
ENGINEER Company: ~ Name:
Telephone area code ( )
Streefi Address: RegishaNon
City State: Zip:
Sewer 8 wafer Ilcensed plumber (reauired for new constructlon onlv
~Penalty applles when address change and lof change is requested once permff Is issued.
I hereby acknowledge that 1 have read thls applicatbn, state thaf ihe InformaHon Is correct, and agree to comply wBh all applicabl
Stafe of Minnesota Statutes and City of Eagan Ordinances.
SignaFure of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No `
Tree Preservation Plan Received _ Yes _ No _ Not Required
BL ~ CITY OF EAGAN CITY USE ONLY
SUBD. PLUMBING PERMIT
(612) 681-4675 RECEIPT
DATE 11-1~-~/~2
&88IDEDiTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. AL50, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL .
NEW CONST _)fl REPAIR/ADD ON 15.00
ADD ON SHOWER 3.00 ~
REPAIR WATER CIASET 3.00 Y
~ BATH TUB 3.00 3
/ 3 IAVATORY 3.00 Y
OWNER NAME: ~JG:e~ul KITCHEN SINK 3.00 3
LAUNDRY TRAY 3.00 4
SITE ADDRESS: HOT TUB/SPA 3.00 -3
~ WATER HEATER 3.00 3
/ FLAOR DRAIN 3.00 3
r / GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00 ~
ROUGH OPENINGS 1.50
ADDRESS : 1~Y`~ Ta N wc +c . OTHER
97 I WATER SOFTENER 5.00 S
CITY: ZIP: J'/O1 _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE ~71~ W. TURNAROUND 15.00
STATE SURCNARGE .50
SIGNATURE OF PERMITTEE TOTAL: SG.~
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AL50 FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRfiD FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIM[IM FEE.
INSTALLER: GONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
FOR: (SIGNATURE)
CITY OF EAGAN
. ~
CTI'Y OF EAGAN
MECHANICAL PERMIT RECEIPT # C 0 3/'75"V
SUBD. ~ (612) 6814675 DATE //--13
RESIDENI7AL
PLEASE COMPLEfE UPPER PORTION ONLY FOR SINGLE FAMILY DWE[d.IIdGS. AISO, COMPLEI'E FOR
TOWNHOMES/CONDOS R'HEN SEPARATE PERMTfS ARE REQUIRED FOR FACH DWELLING UNIT.
ORNER: ~ ADD-ON A/C ADD-ON FUBNACE ?
STfE ADDRESS: ADD ON/REMODII. 0E7CI91ING $ 15.00
41, ~ tt,d~ CONSTRUCTION ONM
INSTALLER: Q ~ HVAC: 0-100 M BTU 24•00
PHONE aY: ADDITIONAL SO M BTU 6.00
dDDRFSS: GAS OUTLEI'S - MINIMUM 1 Q $3 EA.
CT11': ZIP• SURCHARGE $ J"
SIGNATURE: TOTAL: $ Sa
NO PERMIT ?tEQUIRED FOR DUCTWORK ONLY!
CONEMERCLAL.
PLEASE COMPLEfE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS R'HEN SEPARATE PERMTfS ARE NOT REQUIRED FOR
EACH DR`ELLING UNTf.
WORK DESCRIPTION: , CONTRACI' PRICE FEES
1% OF CONTRACf FEE
STATE SURCAARGE IS $.SO FOR EACH
$1,000 OF PERMTf FE& $
PROCESSED PIPING • $25•00 $
MINIMUM FEE - $25•00
OWNER: TOTAL: $
SITE ADDRESS:
1'ENAIVT:
SUITE
INSTALLER:
ADDRESS:
C11'Y: ZIP:
PHONE CI1Y SIGNATURE:
SIGNATUAE:
~ ~21~
2006 RESIDENTIAL MECHANICAL rExMiT a,PrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
-Please complete foc singie family dwellings & townhomes/condos when permits are required for each unit -
Date I / I`7
Site Address H( 0 7 Unit #
Property Owner -v6 r,(, Tetephone # ( (aS 1 ) ~ ~I O - ~ 304
+ Contractor Wohlers Southside Htg. & Air, Inc.
~ 6950 W. 146th St., #106
5treet Address Apple Valley,MN 55124 Ciry
(952) 431-7099
State Telephone # ( )
- ~
Bond KL_ 054~7Q87 Expires: 08_a5-C)40
T6e Applicant is Owner ~/-Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
~ furnace _Additional ZReplacement _ New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
af
Total ~1%~ N ~OO~
I hereby apply for a Residential Mechanical Permit and acknowledgehe i~Po~ rmation is complete and accurate; that the work wilt
be in conformance with the ordinances and codes of the City of Eagan~with the Mechanical Codes; that I understand this is not a
permit, buronly an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plzn iif tFYe case of work which requires a review and approval of plans.
Ci-,C~ LM~~~cJv~ ~
Applicant's Printed Name Applicant's Signature.
~-Sg 1I 2~~ ~~S.So:
MS'RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 Please complete tor modifications to existing residential dweilings.
~ate I l
Site Street Addraea 6 2 I i1d0jen d~l unit 0
Property Owner kan( 'JQ CQ h Telephone Skl145zl- ft
CarHnctor Wk~) ~kZ Lt,rrV t Tetephone # ~qQ Ytq~~
Address l'- ' ity ~C State~ Zip ~
The Applicam is: _ Owner _ Contractor _Other
Alterations to axisling dwalling a 50.00
r., Add plumbinp fixtures (exGudes water softener andicr water heater-complete next
section if installirtg these appliances).
;
,
_SepUc System Abandonmenl V
_ Water Tumaround (add $125.00 rf a 5/8" meter is required) ~
_OU?er. I
_ Waler Soflener Water Hester a 15.00
new _ replacement
_ l.awn IrrigaNon _RPZ _PVB _new _repair _rebuitd S 30.00
81ate $urcharye a .50
Total y l ~ ~
1 hereby apply for a Resideniial 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 1 undersland this ' t a permit, but only an apptication ior a
permit, wark is not to sta ithout a permit and work II be in accordan 'th the approved plan in
the event a lan is require be reviewed and approv d.
' 1~G'v
Applicant's Printed ama Appfi 's Signat e
Use BLUE or BLACK Ink
I'I r - - - - - - - - - - - - - - - - -
I For Office Use 2 ) / I
Permit v ~J v
City of Ea an 6 I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
I I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /t`~ l7 i7 Site Address: 4t - Unit
...-.......~a_._._..._.._..-_~,. Name: y" Phone:
Resident/ i II C
Owner Address/ City /Zip:
t- ldtiu o~ J
4
i "Applicant is: Owner
Contractor
Type of Work Description of work:
Construction Cost: ~j 2.~5 Multi-Family Building: (Yes /No
~Company,e Contact:
i
Contractor Address:, City:
State: A"\,~ Zip: (Z~ Phone: 9~" Lt
License ~ 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 maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they 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.gopherstateonecall.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 State Building Code must be c pleted within 180
days of permit issuance.
` L e
x~ J 4 L_ S ,S ~f G 1~ x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146545
Date Issued:10/31/2017
Permit Category:ePermit
Site Address: 4671 Wildwood St
Lot:7 Block: 4 Addition: Oak Cliff Pond
PID:10-53575-04-070
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: 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 -
L Lani Jacobsen
4671 Wildwood St
Eagan MN 55122
(651) 454-9003
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature