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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