4683 Wildwood StPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128516
Date Issued:11/18/2014
Permit Category:ePermit
Site Address: 4683 Wildwood St
Lot:10 Block: 4 Addition: Oak Cliff Pond
PID:10-53575-04-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
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 -
David D Davis
4683 Wildwood St
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127907
Date Issued:10/20/2014
Permit Category:ePermit
Site Address: 4683 Wildwood St
Lot:10 Block: 4 Addition: Oak Cliff Pond
PID:10-53575-04-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Lisa Nyberg
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 -
David D Davis
4683 Wildwood St
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
RESIDENT / OWNER
- Name: ?)Cr... y, �a vi S Phone: A57 . ,2 1 /7 — 23 % 6
Address /City /Zip: A7Z8"3 al, acvoJJ ST
CONTRACTOR
Name: / / • a7 - e License #: /06/ 3 3
Address: / 2 GcJ 3 3 rc - / 5 City: is,s / /Y s
State: 4°1°1 Zip: So3 3 Phone: /S/ - i�37 - 0 3 63
�5
Contact: C. } a� e.. / l ci sow\ Email: ' rvt Ck. 5 r - b 0-1( r , vvX43r 1 C �, , •-
TYPE OF WORK
New 2Replacement Additional Alteration Demolition
Description of work: a _ ,i ' ' L!
NOTE: fed and gw i l nteuntiatl
Via. the i
It char equipmet is �t+e fired be ski en d by`City
1 `I nrpectrs far inforttla tlon an pett rytt +li screuerting rl tut
PERMIT TYPE
X RESIDENTIAL
Furnace
COMMERCIAL
New Construction r Interior Improvement
Air Conditioner
— Install Piping Processed
Air Exchanger
Gas Exterior Hl/AC Unit
Heat Pump
Under / Above ground Tank ( Install / Remove)
— Other
_ _
"When instalhngtremoving tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
555.00 Minimum Add -on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge)
$5.00 State Surcharge) $ 53, . D v TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimwn (includes
installation/removal OR
State Surcharge)
$10,p1Q, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
= $ Permit Fee
- If the Pe fie toss than
Fee = $ Surcharge
,rmk
- If the awl Estg is > $10,010,
(Le. a 810,010;511,010 Permit
= $ TOTAL FEE
City of Ealan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Date: / /a /(0
Tenant Pre
RECEIVED
DEC 292010
2010 MECHANICAL PERMIT APPLICATION
/16,e ad
Site Address:
V / - 5
Suite #:
Use BLUE or BLACK Ink
Permit #: („a
Permit Fee: C>
Date Received:
Staff:
CALL BEFORE YO(! DIG. Cali Gopher State One Call at {851) 054 - 0002 for protecgon against underground utility damage. Cali 48 hours
before you bland to dig to receive locates of underground utilities. www.aoaherstateonecall.orq
1 hereby acknowl edge 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 to start without a permit; that the work will be in accordance
with approved plan in the case of work which requires a review and approval of plans. /
Applicant's Printed Name Applicant's Signature
USE Reviewed By: Sate:
petitions: Urxler Ground "— Rough In Air Test _'Gas Service Test ln -floor Neat _,Final
l ktertor HVAC Screeni In • . on
y DATE: JUL 22, 1991
RE: 4683 WILDWOUD ST (0 C P HOMES IHC)
x Your Sewer & Water Permit for the above property has been completed. It will be held at the
Publi~ Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALVUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Yo(.ir Sewer & Water Permit for the above properry cannot be completed for the following
rtasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until fur[her 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, CALI LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON PULICY.
Secretary, Building Inspections Dept.
.
t ~er#i#ir~te af (~rru#ttnr~
;
' titp ofeagan
Mrpartntrn# uf IWMmg JWertinn
Thrs Certiftcate issued pursuant to the requirements ojSecteon 306 of tlte Uniform Building
Code certifying that ar the time of issuance thrs structure was in compliance with the various
ordinances of the City regulating building constructivn or use. For the followtng:
ux cinsar~c.aoo SF DWR/GAR Bag. M,m;i i,b. 1Q435
occwaay Trx R3/M I zoning oiuria PD - Tra com. VN
p„=,f g,,;y;q (l(7 fnwS pddm, M(p i YiMAi P AVE SO 3UNNgM_
Bwkhlg naa,,. 4683 WIIDACO S= LlO, B4, UAK Q.IFF PM
,
o,te 10/24/q1
euikWa offirnr _
POST IN A CONSPICUOUS PLACE
- f _
~
~
CASH RECEIPT - -
CITY OF EAG'AN 3830 PILOT KNOB ROAD ' I
EAGAN, MINNESOTA 55122
DATE ~c~ 19~
AMOUNT 3 .
8 DOLtARS
loo
p CASH d,CHECK
Fq
t { ~
FUND 08JECT AMOUNT
Thank You .
BY 't--- `
C 14579 WN&--Payws~ ~
Yagow--~~ ~
~~k cow
SEWER & WATER PERMIT OFFICE U5E ONLY
CITY'OF EZAN METER # PERMIT DATE Ui/=1191
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 cHiP # PERMIT # lYt6o
METER SIZE B.P. RECEIPT # C 14574
ISSUE DATE B.P. RECEIPT DATE 07, 2=,1~1
DATE "Ll.. 18. 1991
-A PRV - BOOSTER PUMP
!
SITE ADDRESS -D'100D 5T PERMIT REGIUESTED
LOT I BLOCK ~ SEC/SUB UfS.k: CL: F," Pur;D
SEWER X WATER - TAPS
APPLICANT:
ADDRESS: - COMM/IND RESIDENTIAL
CITY, STATE ZIP rNEW - EXISTING
PHONE:
~ Lawn Sprinkler Meters are to be Installed
PLUMBER: s J&'! ~'L'JlSBYr,.* Ahead of Domestic Meters on Water Line.
ADDRESS: 943 PAYNE AVF Credit WILL NOT be given for Deduct Meters.
CITY, STATE ~ T PAUL iIN ZIP 55101
PHONE: '171-4177
I AGREE TO COMPLY WITH CITY..OF
OWNER: 0 C P HMS ItiC EAGAN ORDINANCES
ADDRESS: 8609 LYNIIAI..E AVE S STE: 2 o1-B
CITY, STATE 13LOOVINGTO:4 MN ZIP 5:42C
PHONE: 1-- 1,7 SIGNATURE WHEN 1AETER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # d flA PERI+AIT DATE 07/L 1 f~'1
3830 Pilot Knob Rd. p 12160
Eagan, MN 55122-1897 CHIP # _ o PERMIT #
METER SIZE Z~ tx S B.P. RECEIPT # C 14579
DATE `L ~ ISSUE DATE -9 / B.P. RECEIPT DATE 0 7122 91
A PRV _ BOOSTER PUMP
SITE ADDRESS 4b"' ';T PERMIT REQUESTED
LOT ' P BLOCK 4 SEC/SUB -)AK CI..1"r'I' PC!r::
k SEWER X WATER - TAPS
APPLICANT:
ADDRESS: - COMM/IND X RESIDENTIAL
CITY, STATE ZIP X NEW - EKISTING
PHONE: -
Lawn Sprinkler Meters are to be Installed
PLUMBER: h J& M PLUNiB11tC 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 ; 51 G 1
.
PHONE: 771-417 7
I AGFIEE TO COMPLY WITH CIT~F:6F
OWNER: 0 C P EIONIL5 ?.NC EAGAN ORDI N
ADDRESS: 8609 I,YNDALE AVE S STE 101-p•
CITY,STATE BLOOAsING'I'ON MN Zlp S5420 r4 QMfG
PHONE: ' GNAT WHE ETER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
p ~ ,y CITY OF EAGAN r
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ^-4~3 19435
PHONE: 454-8100
BUILDING PERMIT Receipt # • i " ~ ~ ~ .1
To be used for Sp M/CJ1R Est. value $94,000 Date .1UL 18
Site Address 'y 4683 XILDW0UD ST
Lat -LO_ BIOCk 4 SeC/Sub. ~ CLIF'F PO~? OFFICE U5E ONLY
P3fC@I NO. Occupanq R-g -VA--1 FEES
Zoning im-
W Name 0 C P!~'.ES IA1C (Actual) Const ~ Bldg. Permit ~3•~
~ Address SW L~D~ AYE S STi 101-B (Albwable) - Surcharge 4~.00
City sL~'~I~'Ok Phone M1-0127 # of Stones - 398•
00
Length ~i Plan Review
o Name JOSEPH YARLSY CONSTitUC'!'ION oePtn M~ snc, cay 100.00
AddfBSS 16800 SHYELDsVXLLE BL.YD S.F. Total - SAC, MCWCC 650,00
~ Cit)1 FARIBAUI+T PhOC1@ (507) 314404 S.F. Footprints -
~ On Site Sewage _ Water Conn 6~*00
U
~ W¢Name On Site Well - Water Meter 95.00
5 ; Address Mwcc syste~, x
i W City PhOne City Water ~ Aoct. DePosit 30•00
PRVfiequired ~ S/W Permit 30•04
i hereby acknowlege that I have read this application and state that the Booster Pump - S/yy Surchazge •50
intormation is correct and agree ta comply with all applicable,State of
Minnesota Statutes and Ciry of Easan Ordinances. Treatmem PI 276•00
SignBture of Permitee " <r- r- APPROVALS Road Unit 370,~
A Building Permit is issued to: JOS$PH VARM 1001111_ Plan"8r - Park Ded.
on the express condition that all work shall be done in accordance with all Ca,ncil
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. gldg, pry. _ Copies
Building Official Variance - TOTAL .3 ,269 • 50
~
• permit No. permk Hokfer Da1s Telephone #t
WATER 1 Q
SEOVER
PLUMBING a e7~ I
eAd. 9 ~
H.v.n.c. $O I - G 3 ks'
ELECTRIC
Mspsction Date ~Inzpl Comments
Footings I 23 1 p~.l
Foundation
Framing
Roofing
Rough Plbg.
7 ~
Rough Htg. U GJ
51
Isul.
Freplace 0Y~~j'
c
Final Htg. ~
Of512t Test
Finai Pibg. ir; -7 Z 9 Plbg. Inspec9a - Notify Plum6er
Const. Meter o 2• 9/ r~ ~
Engr./Plan Lo F
eldg. Finai • 3
t it tJ r ~ e e ~
Deck Ftg. f a j- o-r a i ;x 4--
Dedc Final
weli . T -
Pr. Disp. 0
~~N++o7wr'r • w . ..v1,,pysa .,q:...+aM1- ;ir„...•::n",~v.. ,b...^`wl`
CITY OF EAGAN .
454-8100 -
DEPT. OF BUILDING INSPECTIONS '
Correction Notice
Located at
I have this day inspected fhis structure and
these premises and have found the following
violions of city codes governing same:
I't'
_TrrS S
Z r~e <ohnPclur ~ ~ - ~r./o LA 4 0 00
V ^ C f' nc._,
D r
When corrections have bee ~ ade, please
call 454-8100 for inspection.
Date
Inspector City of Eagan
DO NOT REMOVE THIS TAG
8A /
p 19839 /o ,44i
Request Oate Fire No. Ro Inspection
p ] ~ tl? ~Reatly Now ? Will Notih• Inspector
Yes ~ o When Ready?
I Z(licensed contractor D owner hereby request inspection of a6ove electrical work aC
Job Atltlrass (SIreeL Bor or Rome No-) Cily
4~rF d - rA G 60A/
Seclion No. TownsM1ip Name or No. Range No. Covnty
0dt<bTa
~Qccupant(PRINT) Phone No.
' a c VA?1Le G~a?•
Power SupPlier Atlaress
/.7N /eG G gFC c K-, c
Eletlrical Comrecior ICOmvany Nami Comraaor5 License No.
fvl/?JS7w-7~i, E Lez:~"Ptucs ~IoZ 0-
Mailinq Atltlress iGOmractor o, Owner Making Inslallationl
,iii l !3/c fI -~-Co9-,4
AvlhorizeoiGOnlr Owner Makin Insl I n~ Phone /Number
/
MINNESOTA STATE BOAflO OF ELECTRICITY THIS INSPEGTION REQUEST WILL NOT
Griggs-Mitlway 91Eg. - Room S1173 BE ACCEPTED BY THE STATE BOARD .
1821 University /.re.. St. Paul. MN 55104 UNLESS PROPEP INSPECTION FEE IS
Phane(6lY) 642-0800 ENCLOSED.
~a/C>/ REOUEST FOR ELECTRICAL INSPECTION ee ooom-oe
~ . a 0, See insIryi'ions for Nynpleung IM1is form on back of yellow ropy lo S#4~~
' 19849 "X" Below Work Covered by 7his Request
ew Add Rep. Typeof BUilding AppliancesWired EquipmentWired
X Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Commllntlustrial Fumace
Farm Air Conditioner
O1herl5yecAyi ConVaqor's Remarks:
Compufe Inspection Fee 8elow:
Other Fee # ServiceEntrance5ize Fee # CircuitsJFeeders Fea
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Tran5lofinefs AboVe 200 _ Amps Ahove 100 _ Amps
S1905 Inspecmr5 Use Only: TO !L
Irrigation 8ooms y ' ~j ~
Special Inspection
AlarmlCommuniwtion THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON
I, the ElecVical Inspector, hereby Ro°9"-'" ~ oaie r~~2
certify Ihat the above inspection has Final d J 'Oft
been made.
OFFICE USE ONLY
Tnis reVbest voitl 18 monlns imm
p 9$49 p U
ReqveCst Date Fre No. Rou Inspeclion
R~[Yestl' G No 0 Reatly Now AWili NotiTy Inspec[or
When qeatly?
licensed contractor owner hereby request inspection ot above electrical work at:
Job Atltlress (SVeet. Box or Route Ni Cily
U683 wt rd ed s'Y FA 6A Al
ame or No. Ranga Na Counry
Sec~ion No. Township N
7q lr OTa
Occupant (PRINT) Phone No.
' ?o E' U•a.L/ G"o.x:T ra'7 334- 03
Power SupOlier Address
. Qt'd
Eieancai Contracior COmpany Name) Convactor's License No.
dJz/T GGe h«. OL{x390-
Maihng Atldress lConoactor a Owner Makmq Inslanation)
i xk
Au[nonzed SISn e ~Contea ar in I lan ~ Phon Number
MINNESOTA STATE BOARD OF ELECTHICITY THIS INSPECTION FEOUEST WILL NOT
Gtlggs-Midway Bldg. - Room S-173 BE ACCEPTED BY TME STATE BOARD
1821 UNVersity Ave.. SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Fhone(612) 662-OB00 ENCLOSED.
/ REQUEST FOR ELECTRICAL INSPECTION EB-0000108
i See Instmclions lor completing ihis form on back ol yellow capy
1 1983.9 A "X" Below Work Covered bY rhis Re9uest
ew Add Rep. TypeofBuildinq AppliancesWired EquipmentWired
Home Range XTemporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Other(Specify)
Comm./Indusirial Fumace
Farm Air Conditioner
Omer (syeofy) ConVectors Remarks:
,r,ompute Inspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee # Circuits/Feetlere Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Translofiners Above 200 _ Amps Above 100 _ Amps
SignS Inspecmrs Use Only. TOTAL ~
Irrigation Booms s ~
Special Inspection l~( f~
Alarm/Communication THIS INSTALLATION ROERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rou9ntn oa~e
cenify that Ihe above inspection has Final Dat
6een made.
OFFICE USE ONLY
TM1is requesl void 18 monihs Irom
Address: 4683 WILDW00D STREET Lotlp Blk 4 Sec/Sub p[~ r_rLIFF p(Np
These items were/were not complete at the time of the final inspection.
10/24/91 Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway ,
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish ~
Deck
Please veri£y vith tha builder the removal of roof test caps £rom the plumbing
system and-the shut-off of water supply to the outside lawn faucet before
freeza potential exists. ~
White - City copy Yellow - Resident copy Pink.- Contractor copy
- • CITY OF EAGAN NO 19435
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
BUILDING PERMIT PHONE: 454-6100 Receipt # G I 14S-19
To be used for SF DWG/GAR Est. Value $94, 000 Date JUL 18 , 1991
Site Address k683 WILDWOOD ST
~ OFFICE USE ONLV
Lot 10 BIocK 4 SeGSub. OAK CLIFF POND
Parcel No~ occuPanq R-3 ti-1 FEES
Zoning -ED-
w Name 0 C P HOMES INC (notuapconst ~N emg.Permit 613.00
0
Address 8609 LYNDALE AVE S STE 101-B (nliowanle) V-N surcnarge 47.00
~
City BLOOMINGTON Phone 881-0127 x m stories -
0
Len9th -a$! Plan Review 398.0
o Name JOSEPH VARLEY CONSTRUCTION Deplh 5$ snc,cny 100-0~
ga Address 16800 SHIELDSVILLE BLVD S.F.Tolal - SAC,MCWCC 650.00
~ City FARIBAULT Phone (507) 334-6034 S.P. Foolprints - Water Conn 660.00
F On Site Sewage _
W w Name On Site Well - Water Meter 95. 00
Address MWCCSysiem ~L
aw City Phone Ciry Water x_ Acq. DepOSit 30.00
PRV Required ~ S/W Permit 30_ nn
I here6y acknowlege that I §d ihis applicalion and slate that the Booster Pump - SNJ Surcharge • 50
information is covect agree tq comply wit I pplicabl tate of
Minnesota Statutes Ciry of E gan Ordin n s. / Trealment PI 276.00
Si nature ol Permi - APPNOVALS
9 ` Road Unil 37b • 00
dOSEPH VARLEY CO T Planner - park Ded.
A Building Permit is issue to:
on ihe express condition that all work shall be done in accordance with all Council
applicable Slate of Minnesota Sta~ptutes antl Ciry of Eaqan Ordinances. Bldg. Olf. _ Copies
BuildingONicial A~l,,~\ lzrtJ 11 Variance - TOTAL 3•~bN.~C
653q 7 .30 -s-0
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings &[ownhomes/condos when pemuts are required for each unit
Date
_~~~3 ~'V l C.clOa 'S7r Unit #
Site Address f(S~
Property Owner ~~N?'1 Telephone # ( ~'s I)
Contractor
ANOARO HEATlNG & AIR CDNDfTIONING C0, C;~,
Street Address 410 WECT 1 n~~ Sfi~..~
MINNEApnLI
S, MN
State _ a~s_ew• Telephone # ( )
Bond Eapires:
The Applicant is _ Owner ~ Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
~ airconditioner _New LReplacement
other.
~State Surcharge JUL Q 9 2004 g 50
Total $ JV
I bereby appiy for a Residential Mechanical Permit and cknowledge tLat the information is complete and accurate, that the work will
be in conFormance with the ordinances and codes of the ity of Eagan and with the Mechanical Code • t I understand tlils is not a
permit, but only an application for a perntit, and work i not to start withou emtit; that the wiil e in accordance with the
approv d`a th~ e o w ~e~ revie and approval of ans.
Z
Ap licant's Printed Name Applicant's Signa e
2004 COMMERCIAL MECHANICAL PERMIT APPLICATiON
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please wmplete for: commercial/industrial buildings
multi-family buildings when separate permits aze not required for each dwelling unit
Date
Site Street Address Unit #
Teoant Name (if applicable) Previous Tenant Name
ProQerty Owner Tetephone # ( )
Cantractor
, , .
Street Address CiTy
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "see belaw
Interior Improvement _ Install Piping _Processed _Gas
Nature ofWork:
"When lnstalling/removing underground fank, call for inspection by Fire Marshal and Plumbing lnspector
P¢imlt FeeS: .F70.50 ilnderground tank installation/removal
$50.50 Mintmum (includes S[ate Surohacge)
or
ContractValue $ x 1% _ $ PermitFee
• If eo rmit fee is $1,000 or tess, add $.50 $ State Surchazge
If ermit fee is aver $1,000, add $.50 for
every $1,000 e~rmit fee $ Total Fee
I hereby apply for a Commercial Mechanica] 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 with the Mechanical Codes; that I understand this is
not a permit, but onty an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved pian in the case oFwork which requires a review and approval of plans.
ApplicanYs Printed Name Applicant's Signature
Approved By: , Inspector Date:
~ 1991 BUI~~~'l~PLICATION .
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DS7ELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PIANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLZES iJHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS HADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER HITST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILUING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Residence Valuation: vjWgMj;r7 Date: ,1uly 11,1 91_
Site Address 4683 Wq7dW~~d Ir OFFICE USE ONLY
9~~ 000'
Lot ~ Block 4 k'EES
Occupancy Bldg. Permit 613•00
Zoning Surcharge '~F7Od
Parcel/Sub nak fliff Pnnri Actual Const V-N Plan Review ~ p0
Allowable V-N SAC, City IOO.oO
Owner OCP HoIYIPSTnr # of stoz3es SAC, MWCC 6750.
Length 38, Water Conn. &&0.
Address 8609 lynfiale Aye Cn #1 (I1 R Depth SS Water Meter `)$,t,1D
S.F. Total Acct. Deposit 30.00
City/Zip Code R1nnmingto^, MN qq42n Footprint S.F. S/w Permit ~7,4~
S/W Surcharge .SO
Phone $g~_~797 On site sewage_ Treatment P1. 2,00
On site well Road Unit 3qr).00
Contzactor,Josepn Varley CnngtrilCtSnn MWCC System ? Park Ded.
City water ~ Trail Ded.
Address irRpn Sh1elrigvil7e alvti PRV ~ Copies
Booster Pump _
City/Zip Code FArjhanlt, MN 55l191 SIIBTOTAL
APPROVALS Penalty
Phone _5f17-3u-fil1u Planner Lot Change
Council TOTAL .~.~9
Arch./Engr. r,rpver flimnnd Bldg. Off. ,~S ~•i~-9~
Variance
Address 2332 EiOLIY'R2
City/Zip Code St pdUTmN 5S1f1R
Phone # F45=4770
Sewe~r Water Licens~ed Contr. BJM Plumbin
-71 . ,
agrees that all r*oik shall be done in accordance with
(Si snour of Contrac`tor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
I
Z2 ~ 2a = 4yo x/S ' 66 ov
3G ~ ~o= )44~
ykz~- C9z)
2 x IZ
4-1~2fl- (s~)
I Z°I 2 y L4' /8085
ISI ~~J -
12 92.. X 5 3= 6 Sq `7 (o
~
'
0OD
~ ~ 5 ~ r•; ~
CITT OF EAGAN
EXTERIOR ENYELOPE AYERAGE 'U' COMPU'fATION
• OYNER: C~~/ /j'Ib f
Z2l G
SIiE ADDRES,S: ~6 g3 wiw wooo -r
CONTHAC7'OR: C
~/'~'J~sf UArPG~y e yDdTE:-7%/~~9' ~ PHDNE: 2 ?Z
Deteroioe vorking square footage of eacd:
1. Total exposed wall area 3e2d sq. ft. x.,, = 3 4q - S
2. Total roof/ceilSng area i3 a Q sa. rt. :.026 : 343
Total e:posed vall area above Tloor = ot.s 5 Qj
a. Total wall window area 5
b. Total door area
c. Total sliding glass area
d. Total fireplace wall area
e. Total wall framing area (average 10%)
f. Total net wall area above floor ~0
g. Total rim Soist area _I,S'Q
Total exposed foundation area : 6 '9'
h. Total foundation window area
~
i. Total net foundation area above grade
Determiee 'U' value of each rall sepent:
a. ~ 51 k ' U' 2
b. ~g x 'U' _ f 3 -
c. 992 x' U' ~5 -
d. x OU' -
e. ;a5G x 'U'
g
•----~203,02 xOU' _ D 45 =---~.5
5 x'U' =242
h , x ' U' '
i. 4G4 x 'u'
--r-------
3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . rotiel _ a 6 5
If item /3 is the same as or less Lhan item 11, you have met the intent of SBC
boo6(c)2.
Total exposed roof/ceiling area - 1.3 s20
' J. Total skylight area g
k. Total root/ceiling framing area (average 10%)
1. Total net lnsulated roof/ce113ng area
OVER
' Determine 'U' value for each roof/ceiling sepent:
• ~ S x tu' / 6 ~S
k, 132 x out ,026 - 3.-F3
1. 1 t g a ~ovt . D~a = ah
u . rocai = 3 . a
If total of /4 is the same as or less than 02. you have met the intent of SBC
6006(c)1,
lllternate Huilding Frrelope Design
7o utilize the Lotal envelope system method, the values established by the sum
of Items i3 and 04 shall not be greater Lhan the sum of Items 11 and 02.
3, 2. 34,3 -38
s. . 4. 34 . a = o. a
2
y
Provide insulztion baffles in every' ROOF 1(,~~L~~.I(~ •
ra_Cer s?ace.
lt1"jE?jnN AIR F(U%1 .61
. O Sls° UYP E~. s~
G) 1h5ULA1loN
Jll
r,, O EX jER;a(~ A1F FI~M
~ V
~ . + . l"°TAL (R)=07
V
~ • • ~ ~?All.. .
. • i . ~T~) VAi
AIrz FILn 160
. . 9 G)
. ,
. . ' Q ~;,s;d INSUlA74otv 5 jzI~~`C~~
' Q . Z%/3c! S~I-T-PJTc 1..3.~
CEDA R St~~r'G . S J
. I EX;=_-io- kr
it Fl«"1 ' 0~7
. ~ .
. • . ' To7RL (R) =2.24
Rlm . 045
. , 12
I1lTEI1ar. H~t~ Flu-I m~o
G ~S J lg.~
2 FlR R11-1 %jOlSj f L S`r
fJ'rc . . • . : ~.32
c~ F~2
. ~ . ~ slfllr% - .,g1
p exTEWOP- aBL FILM • 1 7
. . . o . •
• ~a' ' ' I, • T°TPL (1K)=23.5;
~ - . • - IJ =.0'~'~
. . °o ' . fMNDATtoO ~ .
• ' Qp tNTEill~R Auc FIU~ tR~ Vtu.u.
1 . . ?S ~ i ~t s~i.,~r,~~ 3 ~ `6 ~
s,~ .
n ' a C1jtIG. 3Ll~, 1,28
» ~ • ' ~ . _ ,
EXjcP
~lo2 AlR FiLM •-I7
dj.. -roTP~ (r~)=13.1:
AF4
I Jl =.0~6
Floors ore; unhca[ed spaces must have miniaum R-faetoz of R-20 (tuck-undcr garaoes).
Floors ov,.r outdoor air (ovcrhangs) aust liave a ninimum P,-faetor of R-33. , '
cuIcCU1+[ to (6) rnt7oRS fe011 r.;ua;.c m_+unt
_ Df iTPI(/,LL'/ USCD TCO[N1CT5
+ int..io. nc. rn. (I,.,iiil ial
O.cB 6y0sin o, plaster board 3/6" 0.12
. [alello. Air fll. (ualls) 0.17 LYPSV- or plasur boua 1/2" 0.65
Intu lor i,ir Iilw (YCnted [<ilinn) 0.61 CYPSm+ or pl.ster hear0 5J8" 0.56
Caleriv, A{r flln (v~ntee C<iIfn9) 0.61 ?IyyooA 3/6" 0.167
. Inlerlor Air iiln (nen Ycnteo) 0.61 PIywood 1/7" 0.67
Cat.rior Air filn !Ib,- Yenlee) 0.17 ?ly.mod j/G'• 0.93
snl.tnr"o. «y. er"sicr vt^ I.R
Flumimw Sidino 0.61 Sneaininnr reg. eensicr 2S/72° 2.06
et,n;o„~ uith lacker 1.82 x.11-eass ynaini.g 1/2" 1.14
Alurnioom with lacker L feile! 2.96
1/2 . b l:D Sidinn (NO00) . 0.81 lulihup Ro0ff 0.33
7/16 . 17 ifa.eDOarA SiOinq 0.67 Asbetlos-cement shinal, t 0.11
xsbestos SiAinns I/4 lapDed 0.21 Aspnalt ro11 rooling 0.15 Stucco (Orl..m and rinlsh Coat) AsD+hit Shinqles 0.44
):4" t:eee Suelloor or SAeatniny 0.0 Insulrtian: 2-3 3/4^ Fiberolasf 7.00
1/I" PITweoO heatninq 0.62 Insulation: j 1/7" iiEerglAss 11.00
' 1/I" Yarticla Yc.r! 0.66 Inauladan: 6" iiGerglats 19.00
woo:: eLovmr VOOIS
fir, pina L ilnflar folt uppds 1 1/2" 1.89 ADProx. • 9.00
t 1/2' 7.13 ADCroa. 1 1/7" 13.00
. . - ' .
) 111" 4.3S bcro.. 6 I/4" 19.00
5 1/2" 6.87 AvVroa. 7 1/4" 74.00
' Approa. 14° )O.OD . . Appra.. IB" 50.uo AII otner insvllilen materials nust 6e ' .
iltLd •erif1<0 (R Iac[er)
(R) Ye,nnicu)ite . 0° Convcu Dlock (S C E Rsp.) ~ 1.93
•
13" Cancrete Elock (S i G Pe9.) 1.79 3.15 . ' .
8" LiShrt ~ciaht 7.18 S.O)
12" Liy+t 1:eiqnc 2.48 5.82
' ~~L{LRLft~el.af._2GC~~4YifiTlf
N07E: (U) a Aru Spwre ltet
V.
(WSto.ns 1" te 4" Spacc) ' .5(1
k~vQl OauDle Llo:inq (nDL) .SS
iherrnp er we1Ge0 3116" air ,raee .69 1/4" air %D+ce
I/2" air s0aee .SB . . '
. (Other inEw.s fDecifiullY testeG un use better rytings) 1 3/4 solta core aoor .46 • r/stor-, woa .11
r/storo, ~ tal .76 . hase StcelDOOr Insl/,:/Cl 7.451% -13
Slldinq Class Deor, Yoetl .65 Neul .)I$
SINGLE E DOUHLE FAMILY AOMES
• • : 1989 ENERGY CODE REQUIREMENTS
, On or about March 1, 1989, the following energy code requirements
should be calculated and included with a building permit application.
1. Roof - ceiling assemblies - R-38 U= 0.025 Average
2. Exterior walls 6 rim joists - R-20 U= 0.11 Average
3. Floors over unheated spaces - R-20 U= 0.05 Average
4. Exterior overhangs will be considered as exterior wall.
5. Foundations (all exterior walls) - Minimum of R-5 insulation.
6. All insulated areas must be separated from the heated space
by a well-lapped or sealed vapor barrier with a minimum perm
rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets
this requirement.
A Kraft face R-19 type insulation will be accepted in the rim joist
areas. Air chute baffles are to be placed in every rafter space.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
, ~ Ploneer Enalneerine 6819488 P-03
2422 Entcrpris0 Drive
* PIONEER 6l1NDSUkVLYCh6~C1VIlENG~NEER4 Mendota Helghts, MN 55120
eng~neering~• 4~NOPLANNER9•L/1NU9C11PtlIRGMITC6T6
* I6 1 2) 63e1-1914
Certifiaate of Survay for.- OCP 90MO j NC,
. \
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C `
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~.as o \
O p~ ~ti N
s41~r~ /0 • g~~s3 ~ ~ ~ .
\ N~4 ,,4~~ ~ 10
o°o C , qY~ ~ s=
o~
y`
3y,y4
0 1 o Sh.83I~ pQ
IOD
I(~
U~
r. ~
7i+
9G.d:lSU E35JGYd'VLdaS11ETiG UL!• .
~ goo,a GPnofes exisfr'no fJevalion ~ s N F rroi~.
benotes propd~ed E/evation Lowes Foar eva ron 933•93
Denof¢s Oramoee~ UfrliY EasemPnf 7ip at 81ork flevafivn
Denofes Drain F7ow Arrows Gar'a s/vb ~/evcrtion q3&.~
~ l7erroles martumerrf o DenoTef Ot,?"sef Nu6
Beariniis sftown are os5umed Sut~eCF fd Easemen~s of Recard
Lor ~o , BL ocu 4, oAW CL 1poND
QQllD7q COUN7}'l MINNrSOTq ~~RQVa R~ A ~
I heraby eertify ehat this sur.~ey, plan or npore was re red by~~~~ ru7u7u7...rrr---fffer my dtreat aupervislon and tnat 1 em dulegiter~ n~~r
vrMar the lew~ ot tha Seate of Minneaots, bM6d thissy pf q,p, ~
~7 - /
; ^ ~Y--
Ro6Ep7 B. SiKICH L.5. Rp . NO. 14891
Sca/e:
, 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
~ CITY OP EAGAN
3830 PILOT KNOB RD - 55122
851•881-4875
NewConafiucHonReauire menN l.l}~ ~~~~~~p Remodal/Reoal .
> J replsferetl sNe wrvays ahowln0 W. ft. of W. W. H. of house G.aa o d 2 copiea of Plan
antl ,gfl rooletl areas (20]6 rtwudmum lot coveraae alloweN t sei of energY catculcHons for heated addlMan
n 2 coWes o1 plmns (show beam A wlndow slzes; poureC Ind. dedgn; etcJ 1 Ate survey tor extedor addiHons d tlecks
? 1 aef of energy calcNaHons
> S coptes ol Nee pre3srvaNon plan If lol plaHetl alter 7/ 1/93
DATE: I q IO~ CONSTRUCTION COST: ~50~
DESCRIPTION Of WORK: k5u6 DecL
STREET ADDRESS: ~'I (o ~ 3 Id1! c.Q W~ S•
LOT: ~ V BLOCK: SUBD./P.I.D. W a
Name: D 0. V lS 'P"v Ia Phone (I'S1) 4fh ~ 7t'3(e
PROPERTY last Fini
OWNER a
Sheet Address: 403 W<<K W~~. 5t
City EGr.-c,r.t,n. State: 1J Zip: jSl Z'z..
. Company: 6s.l ~ Phone t:
(area code)
CONiRACTOR
Sheet Address: Ltcenae #1 Exp.
City State: Zip:
ARCHITECT/
EIJGINEER Company: Name:
Telephone S: ( )
Sfreet Address: RegishaHon
City State: Zip:
Sewerlwa[er licensed plumber (it installina sewer/waterl: Phone M C-~
I hereby acknowledge Ilwt I have read Ihis application, sTate Hiat 1he Infortnatbn is carect, and agree to comply wNh all appficable State
of Minnesota Statules and City of Eagan Ordinances.
Signature of Applicant
OFPICE USE ONLY
Certificates of Survey Received _ Yes _ No JUN 19"
Tree Preservation Plan Received _ Yes _ No _ Not Required
t~ir
~
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Ait - Mutti
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF
? 03 01 of _ plex ? 09 07-plex IDI 18 Deck ? 23 Porch (screened) ? 36 MuRi
? 04 02-plex ? 10 OS-piex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plax ? 11 10-plex Plbg _Y ar_ N? 25 Misceqaneous
? 06 04-piex ? 12 12-plex ? 20 Pool ? 30 Acxessory Bidg.
WORK TYPE
1? 31 New ? 36 Move Bidg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
Na. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code ~
(Allowable) Main level sq. ft. MC/ES Syscem
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS 1NSPECTIONS
O Stucco/Stone
APPROVALS
Planning Building / a Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn,
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies
Total:
SAC Units
% SAC
1-'ion~sr Enelnemrina 5619488 p,Q~
in-S-1 ON 2 422 Enterpriye Drive
ER Mernfota Helghts, MN 55120
~neering.. ~w~OVIANNER9~L.~NG9CAP[11RGIIITCCT~ (612) 881•1914
Certifioa4e of Survey for- OvP 90W5 ( N(a ,
. \
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v`
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~ E JO • yq, e3 ~ ,
\ N104100
5 ? a ~
, o o ~ 4 4~~JF ~
~
a 1 m cz ~
N ~ .va ,
o ~ N
~ a o ~y:~5 0 57,8~5 b~ $S.1'4 p~MyS\
w 4,33 `t1 ` \
a ~ a 5ti.83r~ pQ
Cs.£'
e r
. s_,.
,.k j.`.~,~
I.s
.
;
t goa.o Drnofes exisf;n flevaf?'on P~~~~t~ yocisF ~LEVarION..
Y_o.o Denafes proped Flevafion L.owes^Foar eva ron 9i3•95
~~nvfe4 L7rcrinae ~ Utilry EaSemenf T'~p a, 8/aCk ~%vaiiQn i17. a ~
Denofes Drain Flaw qrr~aws Gara,oeS/vb f/evption q3&,ss
° Clertofes monumenf aOenAeIs Ort scf Nub
Bedrins s6own are assurned Su JQd fo Epsemenfs of Re+cord
LOT lo , ~LOCA/ 4 , OAI~ =~.1~F_pONO
aaW07Q CavNTr, MrNNrsoTq ~ E/A7 j~]
I haeby eert;f thot thil sv PO Rs a
Y rvEy, plin or raport wp rp red bY r tler my direct 3upervPolon end that I am duly R"eg1 ~'~ndEN@~Or
vr~der tha lews ot the State oi Mlnaeeots, batsd thls 44y of q,p 19 Di
-r 7- i
' Zg8 90~¢6.<< sCLl' ; Ir~ch, 7,~'} /d~l~
V~ ROBERT B. SIKICM L.5. Rp , NO. IAH9~
- - - - -
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
. EAGAN, MN 55122 PERMIT #
PHONE (612) 454 8100 RECEIPT # , P49IR
Z /
lI~G1~t+7TtiAS~.'~~RM~`a! DATE: /o~
R$SIAkNT~AL;,;: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
. . .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST _ ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
~ OF 1 PER PERMIT
OWNER NAME :
SUBTOTAL:
SITE ADDRESS: d'~ (/l/n/ GVud s STATE SURCHARGE: .50
LOT: 10 BLOCK ~ SUBD. ~j''K C) 6~
~ TOTAL: $
a~~
INSTALLER: rSin ~ a
- 6w
ADDRESS: ' ~ a SIGN E OF PERM TTEE
CITY:
PHONE C) a
C033t~~kZCTAI.fTNbIIS'1`1~It1L;:PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS,
APARTMENT BUILDINGS, 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.
PROCESSED PIPING = $25.00
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHAItGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN ,
G1TY UY Y:AIiAIV lUtC G11'T USC VNLY
3830 YILOT RNOB ROAD
EAGAN, MN 55122 PERMIT #
, • PHONE (612) 454-8100 RECEIPT ~
~B;NG;i,;,,P~R~I~;T DATE:
M IDmIAL:~ PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS AHEN PERMITS ARE REQIIIRED FOR EACB IINIT.
UORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ~ ADD-ON MINIMUM 15.00
ADD QN SHOWER 3.00
REPAIR _ 77 WATER CLOSET 3.00
Co. v v
BATH TUB 3.00
IAVATORY 3.00 •
OWNER NAME: KITCHEN SINK 3.00 IAUNDRY TRAY 3.00 1,0c'O
0
SITE ADDRESS:_ ~~O 3 /'//i GGC ~Db HOT T[IB/SPA 3.00
WATER HEATER 3.00 3 0 ~
IAT: / 0 BIACK ~ SUBD. ~2lG ~ F1AOR DRAIN 3.00 3•00
yy~~ GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00 3•DD
~F. Sp
~ ROUGH OPENINGS 1.50
ADDRESS: ~ OTHER
WATER
5.00
CITY: S~ lf" Zip; PRIVATE DISPER 15.00
PHONE U.G. SPRINKLER 3.00
SUBTOTAL S.3 7 S U
ST. SURCHARGE .50
C~S'IGNATURE OF PERMITTEE p~
TOTAL: $ ~MM£RCIALjiNDIISTRIAZN PLEASE COMPLETE THIS PORTION FOR ALL CO?4IERCIAL/INDUSTRIAL BUILDINGS AND
~ MULT2-FAMILY BUILDINGS {1HEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DSdELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
IAT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACf YRICE x 18 $
ADDRESS: STATE SURCHARGE $
CI1T: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
£OR:
CITY OF EAGAN
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4683 Wildwood St
Lot: 10 Block: 4 Addition: Oak Cliff Pond
PID:10- 53575- 100 -04
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
David D Davis
4683 Wildwood St
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA091122
09/14/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136294
Date Issued:05/05/2016
Permit Category:ePermit
Site Address: 4683 Wildwood St
Lot:10 Block: 4 Addition: Oak Cliff Pond
PID:10-53575-04-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
David D Davis
4683 Wildwood St
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169106
Date Issued:05/14/2021
Permit Category:ePermit
Site Address: 4683 Wildwood St
Lot:10 Block: 4 Addition: Oak Cliff Pond
PID:10-53575-04-100
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 -
David D Tste Davis
4683 Wildwood St
Eagan MN 55122
(651) 247-2396
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature