4691 Wildwood StCity of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Permit#: —\kc,.%7
Permit Fee:
Date Received:
Staff: \i )
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: \ 11A I 1 Site Address: "t l 1110)00,
Tenant: nor61,0 lit'orionbr
Suite #:
RESIDENT / OWNER
TYPE OF WORK
Name:
zhinaVPhone:
Address / City / Zip:
Applicant is: Owner
Description of work:
Construction Cost: Multi -Family Building: (Yes / No
CONTRACTOR
Name: 1)10fir ChM SUI jl I ense#:
Address: G'W / '1Y) Orli, I (
City: Coilan
Phone: p57 Jqi' )Contact Person:
DD5g31s
State: Zip: 5-627r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILD! G
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(/ submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public ini
the information may be classified as nonpublic if you provide specific reasons that.
conclude that they are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in co
Eagan; that 1 understand this is not a permit, but only an application for a permit, and work
accordance with the approved plan in the case of work which requires a review and approv
X I�
Applicants ranted Na
latioi
Pc
ance with the ordinances and codes of the City of
ndt to start without a permit; that the work will be in
s.
A
icant s Signature
Page 1 of 3
2005 PIN OAK DRIVE * SUITE 202 * EAGAN, MN 55122 * PHONE: 651-994-2028 * FAX: 651-994-6806
Window Installation Job Start Information Sheet
Job #:
Homeowner:
Address:
Phone # 1:
Job Sup Assigned
Inspections Contact #
(Z hohdi & %ro ebner
1-1ivq! (,) d Wdoel ST;
Ea 54,. , r►'t vs_
S') 3L//- Lj075-
Date:
11
Salesman Name: Pa u 1 gored o r
Salesman Phone #: y -a-a q -a q 2 sP
Phone # 2:
Start Date / - 1
Est Completion Date
Brand to be Removed
Brand to be Installed
-&'1
Peck
ula.
Start Time g,;00 ct .
(max completion 5 days)
Quantity
Quantity • ' - Sa ,s k� S Fvi 1 ()Ail .i (.2 P4410 Dors)
❑ Sashes 0 Full tear outs 121Combination 0 Fixed
Patio Door to Remove Quantity
Patio Door to Install
Changing Size Openings?
Re -Use Existing Trim? N
Current Exterior Product on Home:
5 Quantity
0 Which Line Item #
Front: 0 Vinyl XWood 0 Hardi
( P� r-� F 5 Fit J 1141-s)
0 Stucco 0 Brick 0 Steel/Alum.
Left/Right/Rear ❑ Vinyl (4 Wood 0 Hardi ❑ Stucco 0 Brick 0 Steel/Alum.
Pets/Animals? Y Will they be Kenneled or Contained? t./.-1"1"-
Is
J l" -Is Picture Framing an Option? / N
# Of Stories on Rear of Home 2 / 3
Are All Elevations Easily Accessible / N
Person Responsible for Disposal: 0 PCS Installer
Disposal Company, Contact Name and Phone #
Location of Dumpster ❑ Third Stall 0 Street
❑ Other
Location of New Product 0 On site 0 Will Call
Interior Ladder Work, 1 1/2 - 2 Story. Ceiling Heights Y
)orneolener
t,ic.nJ tlnuler bn-e a -h-e
oi� L(t wt l J41 J A11
r-tn
❑ Ally 0 Other
Same Day Delivery
Comments:`j
14 i n k 3 4-d 1k -i- •I)i t rt 7 b -e S o Att i o %-
i
Z.
PA'1in moors. PI�4—
aS-c J'rt5/9e rz i/ rd c -e Lth�I.-.s
4-4 !9__ L) •�k // p (7 S v p t r _ it;` r: r r IA) � V ars? n a•-1'-
o r2 1 'D / c e1 "Cr r' Y - wr �y a. f -t..-e_44-1',A3
3PCS Forms \Forms, Templates, Letterhead\Forms Workbook - All Fomts 9.21.09 Window Installation Job Start
11!1912010
` . ~ . , ,
(gtr#i#ir~~e of (Orruparcry
Citp of (tagan
-A af 'Jiuilding ~fn,~pprt~an
This CtWwate issuedpursuaw to the r+equirrnrents ojSertfon 306 ojthe Untjonre Building
Code cenrijyeng thar at the turre of r.auance tlus smcctur+e wns Irc rnnrpGaitcn wdtle 11re ?nrioWs
ordinancYS of the atp ngulaAinB building consvuctton or use Fer the followrnv
ux ~~/GAR ewr. eeN& 19615
O~ 'nx /r R3/M1 Z~ DWrW PD TMcmr VN
oWM or e. 06P HCMES Add= 8609 BYtIDAIE AVE S. ffiIrGIN
BW4% Addmo 469 I WII.UWWD S'TREET ~L 12, B4, QAK r'..IHF POND
5/20/q2
POST IN A CONSPICUOUS PLACE
DATE: AUG 30, 1991
4691 WtLDW00D ST (0 C P HOlES INC) .
x Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your :5ewer & Water Permit for the above property cannot be completed for the following
rea0s:
~
~
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy ailowed untii further 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.
CDNTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
7
CITY 0F E(AGAN ~ • t
3830 Pilot Knob Road, 0;~. Box 2,=tq9, Hagan, MN 55121
PH ONC 454~810A ~
BUILDING PERMIT Receipt #
To be used for Sf D'i1G/GAR Est. Value $108,000 Date AIfG 29 , 19AL
Site Address 4b91 Ylliii0an ST
Lot 12- Bloc~ 4_ Sec/Sub. ~ LIFIr p~ID OFFICE USE ONLY
Parcel No. occupancy FEES
. Zoning
W Name lActual) Const Bldg. Permit AbR-~
0 Address i - (Allowable) Surcharge 54-~
City MAXWOMN Phone # of Stories -
Length Plan Review _4114~
=o Name 3 E V ~m snC, city -40040
Address 1 S.F. Total
Ucc _ sac. Mcwcc --650L.00
City Fl1RISI1ULr Phone (307) 33446034 S.F. FoolpriMs
On Sfte Sewage _ Water Conn 6W-QQ
U~
~y W Name c~rs siie weu - waier nneie? 0s-
~ ; Address MwcC system ~
i W City PhOnB Ci1y Water ~ Acct. Deposit 31-n'1
PRV Required SNY Permit 30-01
I hereby acknowlege that I have read this application and state that the Booster Pump - SMI Surcharge - Y1
information is correct and agree to comply with all applicable 9l9te of
Minnesota Statutes and City oi Eagan Ordinlnces;. Treatment PI 176.AA
Signature of PermitBe APPROVALS Raad Unil 370.00
A euilding Permit is issued ro: 3tiSEP11 YA1tl.L?Y COMS? Planner - park Ded.
on the express condition that all work shall be done in accor iEh all Council
applicable State of Minnesota Statutes and City af Eag rdinances. , Bldg. Ofi. _ CoPies
Building Official ~ ` Variance - TOTAL 3,367.30
PennH No. PermR Holder Date Telephone #
WATER 6 ~D q
SEWER
•PLUMBING
H.V.A.C. ~ F,/~ D 9 yy s~~ . G 3 '70-
ELECTRIC Q y 3p O'S~ S
Yispeetion Date Insp. Co+nmer+ts
Foocings I
Foundation 9/ 7 G~
Framing L'1_1 ,
Rooting
R«,gn Piag. a. - v
Rough Htg.
IsuL
Fireplace
Final Htg. - S 1
Orstat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
BkJg. Final 5
Dedt Ftg.
Dedc Final
Well
Pr. Disp.
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER PERMIT DATE
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CH1P #D/71 .''A24 PERMIT # 21 2`~4
M£TER SIZE S~ k B.P. RECEIPT # ~5.1
ISSUE DATE r0 B.P. FIECEIPT DATC-ng Z`' ' y~
DATE X PRV - BOOSTEM PUMP
SITE ADDRESS PERMIT REGIUESTED
LOT ! ~IBLOCK + SEC/SUB
x SEWER WATER - TAPS
APPLICANT:
ADDRESS: - - COMM; IND X RESIDENTIAL
CITY, STATE ZIP n NEW _ EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: B J& M PLU?`"rii:C' Ahead of Domestic Meters on Water Line.
ADDRESS: 943 1'An'iE A'It' Credit WILL NOT be given for Decjuct Meters.
CITY, STATE ST PA1fL t;iV ZIP 55101
PHONE: 771-4177
I AGf`tEE TO COMPLY WITH q10-AF
OWNER: U C P FiOAiES INC EKGAN ORDINANCES C.-
ADDRESS: 8609 LYNI?ALE KVE S 3T1;
CITY, STATE BLOOMINGTON MAi ZIP 5~420
PHONE: ~-p~ SIGNATURE WH E ER ISSUED
PLE`AgE ALLOW TWO WORKING'DAYS;
; FOR PROCESSWG. CALL 454-5220 FOR INSPECTIONS. FOR STQRM
SEWER PERMITS, CONTACT ENGINEERING DEPT. ,
SE~ER & WATER PERMIT OFFICE USE ONLY
CIT OF E'AGAN METER # PERMIT D11TE (2800f LI'1
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # PEpMIT # t 2 ~44
METER SIZE B.P. RECEIPT # C' 1 511::
DATE E•.iif; 21 . , . ISSUE DATE B.P. RECEIPT DATE oe / 29 ` I
-
, k PRV - BOOSTER PUMP
, .r
SITE ADDRESS •~'•~~+iv^GJ ST PERMIT REOUESTED
LOT 1!t BLOCK "'SEC/SUB C`A`~ 'L'.FF POP:b
x SEWER WATER - TAPS
APPLICANT:
ADDRESS: - COMM/IND x RESIDENTIAL
CITY, STATE ZIP X NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: 13 ..1 ~M PL111'IBING Ahead of Domestic Meters on Water Line.
ADDRESS: 94? PAYNE AVr. Credit WILL NOT be given for Deduct Meters.
CITY, STATE 5T PAUL hjN ZIp 55101
PHONE:
771-4177 1 AGREE TO COMPLY WITH CL'LX-0F
OWNER: G P FiOl-L~.S I1\C EAGAN ORDINANCES "
ADDRESS: 8409 LYMDALE AVE S cTE 101-}3
CITY, STATE aL00MID:GT0N t4aN Zip 5542:i
PHONE: ap1-01 2; SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
~ CASH RECEIPT
, ~
~ f
CITY OF EAGAN ,
3830 PILOT KNOB ROAb
EAGAN, MINNESOTA 55122
OA7E 19c ~
FIECE~
AMOUNT S " - TF;q
& DOLLARS
,oo
p CASH XCHECK
i• ;
. ,
FUNQ OBJECT AMOUNT
Thank You
eY
. C 15170 Whhe-Paym~
Yelbrr~ostlny Copy ~
Pinlc-File Copy
' CITY OF EAGAN NO 19615
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
m i ~f 7j1
BUILDING PERMIT PHONE:454-8100 Receipt# V ~l
To6eusedtor SF DWG/GAR Est.Value $108,000 Date AUG 29 . 19 91
Site Address 4691 WILDWOOD ST
Lot 12 Block, 4 Sec/Sub. OAK CLIFF POND OFFICE USE ONLY
Parcel No. z occuPancy R-3~1 FEES
• zonirg ~R
w Name 0 C P HOMES INC (ncwapconst V-N BIdg.Permit 668.00
~ Address 8609 LYNDALE AVE S STE 101-5 (aiowaoie) V-N
° Cjty BLOOMINGTON su~cnarge 54 _ nn
PhOne 881-012 7 # of Stories _
Length 421 Plan Review 434_ nn
o Name JOSEPH VARLEY CONSTRUCTION peptn 60' snc, ciry lnn _ nn
gQ Address 16800 SHIELDSVILLE BLVD S.F.TOtal - SAC,MCWCC 6 5t) _00
~ City FARIBAULT Phone (507) 334-6034 S.F. Footprincs -
OnSiteSewage _ WaterConn fiFn_nn
~
~w Name On Site Well - Waler Meter 9 5_ O(1
3 Address Mwcc sysIem X
a W City Phone ciy waier A~~ Deposit an _ no
PRV Required S/W Permil 30_ nn
I hereby acknowleqe that I ave re this application and state t ai the Booster Pump - S/W Surcharga - Sn
information is correct a~gree 1 comply wit~ a licable ate of
MinnesoW Slatules aqd'City oi E an Ordin~s 7realment PI 276.Q
0
SignaWre ot Permitee APPpOVALS Road Unit 370.0
0
A Building Permit is issu to: JOSEPH VARLEY CONST Planner - park Ded,
on ihe express contlilion hal all work shall be tlone in acc iall Council
applicable State of Minnesota Statmes and City of Ea9 - Ordina es. BIOg. Oti. Copies
Building Olficial Variance - TOTAL 3,3b7.5.^
1o32 0 9
p 58405 ~C ~1~. ~ ~ Zl s=
Fequest Date IFire No. Rouqh~ pection
~y~ V' I R ire0? I ReatlY Now A Wihen Peatl P~tor
es f= No Y'
I Velicensed contractor D owner hereby request inspection of above electrical work at:
~~b
Job Fdtlress lSVaet. Bax or Rome No.I
L! °tl wt tdwvu-4 ST: 1=4Cdni
Section No. Township Name or No. Ranqe No. County
~ tjq ~or
OccuOantlPqlNT) Phone No.
zac VA~~s(u.~ Coa) a7 ~ -
Power Suppuer AOOress ~
/J t d Fdr2rr.. iK y/0~3
Electrical Coniracmr (COmpany Name) ConiraMOrY License No.
fWIbsz.m ~ce~~
MaiLng AdOress IConVaclOr or OWner Making InstallaTro )
-
Awhonzeo Si5^aiure ~Cont act rrOwner Makiny Mstalla/tPhone umber
-------T s'_d Z= ~8y7
^uNE50TA STAJ~ELECTRICITY iL=~~-/J - TNIS MSPECTION FEOUEST WILL NOT-
Bltlg. - Hovm S-173 U// BE ACCEPTED BY iHE STATE BOAFD
' oaul. MN 55100 UNLESS PPOPEF INSPECTION FEE IS
ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION =~~:^~ej"'+ E6-00001-OB
c-~ ry
p, Sea instmc`ions forlftipleGnS Ibis fortn on back of yellow copy.
~ "X° Below Work Covered by rhis Request
ew'Add Rep. TypeofBUilding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Ap~. Building Dryer Other(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olher Ispecity~ GonVactor's Remarks:
Campute Inspection Fee Below:
# Ofier Fee # I ServiceEntranceSize Fee # CircuitslFeetlers Fee
Swimming Pool I O[0 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
$IgOS 1nspector'sUSeOnly: ~f TOTALr ~
Irrigation Booms
Speciallnspection ~
Alarm/Communication THIS INSTALLATION MAY BE OROERED CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby ROO9n-,~ f„ 4' a+e r-
certity thai ihe above insPection has
Finai Date ~
been made.
OFFIGE USE ONIY
Tnis rBquest voiC 18 montM1S Iro.
'AddYess: 4691 WIID„OOD SIREET Lot 12 Blk q Sec/Sub OW CLIFF p«,pD
These items were/were not complate at the time of the final inspection.
D e: 5/20/92 Yes No
Tnspprfnr-
Final grade (6" from siding) ~
Permanent steps - garage ~
Permanent steps - main entry ~
Permanent driveway
Peimanent gas ~
Sod/seeded grass
Trail/curb damage
Porch ~
Basement finish ~L
Deck v
Pleasa verify vith the huilder the removal of roof test caps fzom the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. ~
IIFM1FOfVFII
White - City copy Yellow - Resident copy Pink - Contractor copy ~jj
1991 BUI1NC PERMI5PLICATION
CITY OP EAGAN
SINGLE FAMILY DWELLINGS ?lULTIPLE DWELLINGS COlMERCIAL c
%
2 SETS OF PIANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 'j'~ ~
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS ~
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 APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONC IT HAS BEEN_CO LETED.
PERMIT MIJST SHOW A LICENSED PLUMBER.
i I
To ae used For: Residence valuation: 12*90e. FAQ ~ st 9,q'g1
i
Site Address 4691 Wildwood ~oe OFFICE
Lot 12 Block 4 EES -
Occupancy Bldg. Permit 668,00
Zoning p'p Surcharge h~r4/'
Parcel/Sub Oak Cliff Pond Actual Const V-N Plan Review jqZ i00
Allowable V-N SAC, City / D ~ 0
Owner OCP Homes, Inc. u of stories SAC, MWCC 4060,00
Length y Z;~ Water Conn. rv0~00
Address 8609 Lyndale Ave So. #1016 Depth p Water Meter `M oo
S.F. Total Acct. Deposit 30,00
City/Zip Code BloomingtOn, MN 55420 Footprint S.F. S/w Permit 30,po
S/W Surcharge ISU
Phone 881-0127 On site sewage_ Treatment Pl.o?rJ 00
On site well Road Unit 3 p,00
Contractor Joseph Varley Construction MWCC 5ystem ? Park Ded.
City water Trail Ded.
Address 16800 $hieldsVille BIVd PRV ~ Copies
Booster Pump _
City/Zip Code Far'ibault, MN 55021 SIIBTOTAL
APPROVALS Penalty
Phone 507-334-6034 Planner Lot Change
~ 7 5 n
Arch./Engr. Grover Dimond Council TOTAL
Bldg. off.DfT
Variance
address 2332 Bourne
City/Zip Code S.. P.adl, MPJ 56199
Phone # y4~-4~79
S76r ter icensed C t Ra~q Rl ~ambi ng
seph arl s.r ion, Inc.
f1 agrees that all work shall be done in accordance with
ure o Contra )
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
~~}~c~, °~~-y,~t~l~ ~ ~ • .
G ATZA~r
aox22 ~ 4ya x,s - 6600
Us,nC
: 51,7~
~z
x3~- S32
15~ ~c 14s ~ 1, 000
I Sr
Us~-.~T - ~~jD K53=- ~qSvn
,
IO'7/lOD-
o R 1 Og~ ~c~o
,
CITI OF EAGAM
~ EXlERIOR E~iYELOPE ~YERAGE OU' COMP11TliION
G~CP ~l .~.vc -
a+NES: M l~ R R Y .A ~ S t=. ~ LY ~DA K GLrI ~~~N-D
SITE ADDRES4: 4t.~91 WILflW~OD STf?~r-^'
COK2'BACSOR: YARLE-Y c-ow5`T~l~T DAiE: PNONE: S
Detec9lne wrkiag square fooLage of each:
1 . Total exposed wall area eZ 5OZ44 sq. ft. x.11 =:Z7 g
2. Total roof/ceiling area 1576 aq. tt. :.026 = ~'I
Total e=posed vall area aDove floor = 1 9 s a
8• TOt.81 M811 window area so
b. Total door area
c. Total sliding glass area 1 6 O
d. Total fireplace wall area
e. Total wall framing area (average 105) I ga
f. Total net xall area above floor p A 2 9 _
g, Total rim 3oist area Y 3 7
Total ezposed foundatioa area - 41~5
h. Total foundation window area ..21?7_
I. Total net foundation area above grade 3 7 7
DeLermine 'U' value of each vall aegment:
a. k , u, .37 8Ej.8
b. v x' U' . I 4 =
c. I G, 9 x' ll' .37
= 59. a,,,_
d. x ' U' z -
e. L98 x 'U' .p97 =
i. ~~29 x'u' , 04S _ _S4. G~
S. I 37 x'U' .04a = 5.7
- h. 21 x' U' . 37 = 7• S
i. 377 Y'U' ,076 - a8, 6
3 . Total 7
If item i3 is the same as or less than item 01, you have met the intent of SBC
6006(c)2.
Total e:posed roof/ceiliag area - ~ 5 76
' J. Total akylight area............................... -
k. Total roof/ceiling framing area (average 10%) I 5 3
1. Total net insulated roof/ceiling area 14 1F3
OVER
Det°rmine •U' value for each roop/celling segments
~
x rui
=
O
OQ6
x I U, '1
•
~
x
If total Total _ 35.3 6006(c) t, of 04 is the same as or less than /2 f
. you
have met the intent of SBC
Itlternate j
Building Fnyelope pesign
To utilize the total envelope system method, the values established D I
or Items #3 and 94 shall not be greater than the sum of
Items /7 and ~2the sum
1. ~7~ • 2.
3. 27 .7 . a. 35.3 _ 31D
;
i
I
(
I
z
~
aidc insulztion baffles in every' =Ser aaace. . . , . . .
. RooF C~ ILIN6 . ~
$ ~R)
' O It~TEn(o(~ /:tR Ffl~~ VA
s° GYP. ED, •
Q
G 1t~SUCA~~oN F--~
.
EXjERIoR AIF FjLp1 p~
. • . (STIIC~ . •
P?AL (R)=
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• 41 u EX;EIZIOi kJR F(lM o~~ ~
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. T°TAL (R) =~43
' . ;s ~=M . V_. ot5.
i 1 ~ ~ 1z l?'TeNlor. tiir FlU .1,AtL I
.
. i1! ' 13 5%Z IN;U~%?7~c;+ . ~fr8
FlR ttlr1 .bisT
. r is 15 ~%K, ~T~ . _ ! t d9
. . . . ~ 51virIG 1' 3^
. . - Q ~ . EXj'cR17R hP. FlLPI $I
• ' . • . . • • 17
• op ToTR:
.
. • ' - • (Jt)=Q3. B7 i
. o~~Dq ~~t,~ V =.o•fa
~S . . OO INTEIzI',~ (h) UALUc
o' 8,:. r+5•0 ~ 1~ISUr~~3y 1'. •6~
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A v, ~
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aCbt.IC,,
~ ' ~ •~7 ~ EXjcR10~2 AIR FILM
. , . d~ . R z 6.45
>ors o%•,: ~ u=.I5.5 TaTa.~ (r<)=~3.13
iors oc.z d
unheace spaces e~ust have ainiau~ R-tactor of R-20 (tuck-undcr
outdoor air (overhangs) aust liave a
garaoV_,
niniraum P.-tactor of R-33. ~ .
1
iyuTS', WaLLS W,714iN 3' OF P12JPE2TY UHF- MuSr BF_ or" HON$ FieCfi-2r5+5T7t+~ GoTt&TKa41T18~? -uBCS"Oy(
2422 Enterprise Drive
PIONEER LANOSIJRVEYORS•CIVIL ENGINEERS ~ Mendota Heights, MN 55120
~QngIneering•'• LPNDiIPNNERS. LANpSCAPEARCHITECT4 1 (612) 681-1914
Certificate of Survey for: OCP )""7OME5 , INC.
~
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I here6V cerUfy that tbB survey, plan or repon was prepnreA by mn m un~er my direct supervision and Ihat 1 am dUly RegistereA Land Surveyor
under tbe lews o} the Staro ol Minnesota. Dated thls 20 day of V ws A.D. 19
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• ~
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454 8100 RECEIPT #-1019191
m~~Ni,L'AL,~'.~R~II~ DATE: PLEASE COMPLETE IIPPER 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 :~,C~~ 0-0
SITE ADDRESS: 1
~A STATETSURCHARGE: $a? 50
( S°
LOT:~ BLDCK SUBD. aZCd TOTAL:
INSTALLER:
ADDRESS__~ U- LI-0 SIGNATURE OF PERMITTEE
CITY: LAa~FVT\K)~~A- 0 \~'4IP:
PHONE
g~MM~_fiC7AI./~NDV$~`RTA7.':; PLEASE COMPLETE TAIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
.
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: BIACK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNAT[JRE) .
FOR:
CITY OF EAGAN
CITY OF EA6AN FOR CSTY USE ONLY
3834 YIL(3T KNOB ROAD
EAGAN MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # J` 5
WNWP9 XT DATE : !7 /O /
PLEASE COMPLETE UPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS S
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH iJNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOT,~,
NEW CONST • -
ADD ON ~ SHOWER 3.00 3a~
REPAIR 3' WATER CLOSET 3.00
~ BATA TUB 3.00 i LAVATORY 3.00
OWNER NAME: C a~S~1f t~ A 1 KITCHEN SINK 3.00
TtJB/SPA Y 33.00
~ ~ / (,(~Jtu(~U { LAUNDRY
.00
SITE ADDRESS: `7 ~
i' R 3.00
LOT: BLOCK A SUBD. LQu k ~ I('r`1 Pb FLOOR DRAIN 3.00 ~
GAS PIPING OUT.
INSTALLER: yu, (.~wi ¢ `C (MINIMUM - 1) 3.00 (4- `
G~ ROUGH OPENINGS 1.50
ADDRESS: P&-Nk.p- OTHER
+n,~ r T WATER SOFTENER 5.00 ~
fr t~ 1 ZIP: PRIVATE DISP. 15.00
CITY: a
PHONE 4 ~7 - U.G. SPRZNKLER 3.00
„ ? SUBTOTAL
~ ST. SURCHARGE .50
SIGNATURE DF PERMITTEE
TOTAL: ' !
J • So
~p3~(M~RGIALfiNDIIST&I~Ls PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE a $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: SLACK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
Use BLUE or BLACK Ink
r
I For Office Use I
Permit#:~
City of Eap I
Permit Fee. .
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: Yl ~7 I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7-S&~ Site Address: uJ( U Lt)OT)J Unit
Name: Phone:
Resident/
Owner Address/ City/ Zip: "lb L 1 L&J
Applicant is: Owner Contractor
Type of Work Description of work: ~ J, `l`am 2'
Construction Cost: Multi-Family Buildin : (Yes / No i✓ )
Company: Contact:
Contractor Address: `j (LAS City:
State: Zip: S S-(a~ Phone: 6t L '3
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 s be completed within 180
days of permit issuance. J
x l Vl l I~ X
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Jeffrey Wheeler
From: Rich Novak [richnovakpcs @gmail.com]
Sent: Wednesday, January 26, 2011 7:57 AM
To: Dale Schoeppner
Cc: Jeffrey Wheeler; Warren Hayes
Subject: Repair at 4691 Wildwood St.
pk /z/Ai T' # 741_
Dale and Jeff, below is a statement from the Crew Chief as to how the repair was completed. Please let me
know if this meets your request, and if this is whats needed in order to close this inspection.
Thank You,
Rich Novak
PCS
Forwarded message
From: Cody Wirth <wirthhkg @hotmail.com>
Date: Wed, Jan 26, 2011 at 7:33 AM
Subject: RE: water damage repair at 4691 Wildwood St
To: Warren Hayes <mhayeswhayes @comcast.net >, richnovakpcs @gmail.com
Hi
My name is Cody I am the owner of Wirth Remodeling LLC and was present the day that we repaired the
sheathing out at Groebners. We discovered the sheathing was bad and when we started taking it off we realized
the tyvek was under the sheathing on the framing. So we opened up a small hole in the tyvek at the top and the
bottom of the wall right above the blockwork so we could check the insulation and framework. I realize in hind
sight that we should have taken more pictures and now i know we need to call for an inspection for a
sheathing patch. So then we tyvek taped the two holes and replaced about 4' by 4' of sheathing with osb that
was delivered by PCS and since there was tyvek present I did not want to put another layer on the outside of the
sheathing creating a double vapor barrier. Then when the siding was delivered we installed and caulked that.
Any further questions feel free to call me @ 612 - 685 -3902 as I don't check my email very often.
Date: Fri, 21 Jan 2011 02:01:34 +0000
From: mhayeswhayes @comcast.net
To: wirthhkg @hotmail.com
Subject: Fwd: water damage repair at 4691 Wildwood St
Cody can you put in e-mail form what you did on replacing the sheeting on that job for PCS.
And e-mail it back to me.
Thanks Warren
Forwarded Message
From: "Rich Novak" <richnovakpcs
To: "Warren Hayes" <mhayeswhayes
Cc: "Chad Hoaglund" < choaglund (a� propertyclaimsolutions.com>
Sent: Thursday, January 20, 2011 11:47:43 AM
Subject: water damage repair at 4691 Wildwood St
1
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA133048
Date Issued:09/21/2015
Permit Category:ePermit
Site Address: 4691 Wildwood St
Lot:12 Block: 4 Addition: Oak Cliff Pond
PID:10-53575-04-120
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 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
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Marguerite M Orosz
4691 Wildwood St
Eagan MN 55122
(651) 925-9639
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
Oct. 19. 2016 4:11 PM
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675.5694 •
OCT 19 2016
UNor 3786; or L. ?!2 Ink •
L
For Office Use
> y�
Permit//��,,
Permit Fee: t ir" o 6'
Date Received: 1,0 -
Staff:
2016 RESIDENTIAL PLUMBING.PERMIT APPLICATION
Date: 1001)1p
1) fr
Tenant:
Site Address: `1 , q LS Ce r air) S-12,2„
J
•
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Name �" Q �,
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�i'�S Phone:
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Address/City'/2Ip: �tqj wi4
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-:;:,: �k�.�:;•;e:'�;;;��.;,;. ';:..
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Name: OS c1,�-'I,�
�� License #: PC 7082-06
J
2.19 N Piller Ride city: Qurmuil
tate.uA
State: AN
Contact:
LID. SB33-7 Phone: (1'L)ZSZ" z_cI2.01 •
V i) Email it. 00. eV$,,VLOS •.Gor'►'1
.
tirn>'ti:}:..
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tic ���'••;t{.>IR. tk... vt,y.C�� �,1 mASK,
Y _ :,,
New V Replacement Repair Rebuild Modify Space Work In R.O.W.
�(�,�.
Description of work: l l 'll (�t (1 feir
�M J� � � �
"Y` P ( l'�r� ( t'j�j'j 't(i bcr+ O.r 1\'
;'�:-•.•: >,• ,. : ,..:s
'
� <<�;:1l ai:::'S''a°-L*:: :r.w••Y;•;;'r
MMyr,it, m::1.1%.,.•,..N.S..�N•\'V
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t. <a•. t .: M .,
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RESIDENTIAL
Water
Heater
irrigation L_
RPZ / PVI3)
. . Water Softener
(L,pi4e.Q
1-""Agigi Plumbing Fixtures Main / Lower Level)
Lawn
Septic
System
New •Water
Abandonment
Turnaround
^_
RESIDENTIAL FEES:
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing Fixtures,
=Water Turnaround
$115.00 Septic System
Water Softener, or Water Heater and Softener
(includes State Surcharge)
Septic System Abandonment, Water
(Includes State Surcharge)
Turnaround= (Includes State Surcharge)
•
TOTAL FEES $
(add $280.00
New (includes
If a 3/4" meter Is required)
County fee and Stale Surcharge)
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherslateonecall.orq
I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not'to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x L end if� � bClie
Applicant's rin ed ame
`FOR:>OFPl F'l'l
Oct. 19. 2016 4:12PM
4City:gfEaan
Date:
3830 Pilot.Knob Road
Eagan MN 55122
Phone: (651) 675.5675
Fax: (651) 675.5694
OCT 19 2016
r
No.3786 P. 3/7
Use tsl_uc or BLAt,t. ink
For Office Use
Pem It#:
Permit Fee: � `
67
Date Received: f0. -
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: `ib -I 1 VVt1dA/009 54.1 SS/i.2 Unit if:
xatirt,�,.
...%�xw;<%%".Mt�
5. -.-.
• Iestdel'A
waeri
�'"""%xyy tvAy, r^q��i
Name: IOS Z Phone; Z 2929
Address / City / Zip: • -I W 04 . i -'1S ail I J 1
•
Applicant Is: Owner X'Contractor
Aliszwid:YpOt.� YKv:k Ai ,
Tvl: .Ly•
�: «4>Ti.4:k
<' x'•"e7sot t.•<� �; rw
r.;;n Ag
Description of work: I.*1rr iw " Z$ I I i 1 1. (1 f1
Construction Cost 0-1ol 3 0 Multi -Family Building: (Yes / No )
a3^';SEX. .'Y3�, •.,.-;,
R'+' dr�'k knw
1.....,:!":".s.,•04,4 -yea
,.;
' -",, :max:: •
' urc>n r�:�
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'. , rz r g
.��* ;.rs,••..;a, ;
te,If
Com an 0 S PCx (� 5 S
� , ) )� � �
J Contact Pal j M 4,QLL&y,
A r r' Q
Address: 21 g I' R(�iy ( €.. CI Ck. City: J tj (AS U�
State: MN Zip: SS 337 Phone: (G� L)�Zr IlEmail: 4SK0011— e uSpLofs S,le+ns; roti
License #: az G IS 13 Lead Certificate #:
the project is exempt from lead certification, please explain why:
' COMPLETE THIS AREA ONLY IF CONSTRUCTING
In the last 12 months, has the City of Eagan issued a permit for a similar
Yes No If yes, date and address of master plan:
A NEW BUILDING
plan based on a master plan?
Licensed Plumber:
Mechanical Contractor:
Sower & Water Contractor:
Fire Suppression Contractor:
Phone: •
Phone:
•
Phone:
Phone:
. h.: .....a. r�..H� r.?.+. +:MG.S•lgw•FY. .!<e Y> �...,;. l.1YN?5-.r/<•.tl:dY1f 'C tl'�^"<WM y
v. �... .... .:;•:::/�/�}�(
' :QF'.;;:''''s , - t),�„j ` `fir gat taag :i t� , ctil't' rale red;0 e� . nisi t�L� o sa%.
u•.. > � .�>,•„ �,t,� +? .:«%.x� . d•w"� e�..,,,,�: �:,.�.�pxcx°H^o�••. <ow:�. •• ::,E'r'• %��,
_..1,1?;:, hfDr L!" Yp „AiRr rg.4a«atimat�? i iicYlli'• t? c • g 'eG,j01 sots < .�Flttkit 4 mcg t :�"t~??.
�:QDXv�ir�%+): •nt%%�dA. .up . [�rAM,yV�Y.•t.�0%M`tNv...4�r0y.. ��w MWA4�`^M^�, rY�:WYq�s,. cP `,M4.A6 R2 �•wt ,>•,�,'j .r: �rY Nii %4.t -
.
..,M0 'a'° �i@�S6.aggi ,;,.et, 11 ' .;ice*...> � :Pa„,.70:. 14,
• ' 1. .:' , ,\S% u/. ' 'Ntg �. .� � 7 histE, 4..,M0'
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage, Ca1148 hours
before you intend to dig to receive locates of underground utllltles. www.aooherstateonecaltorq
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 end approval of plans.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 160
days of permit Issuance.
X•A`1 1 1?CCT
Applicant's Pri ted Name
x
Applicant's Sign ture
Pagel of3
Oct. 19. 2016 4:12PM
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
•'(q ( cub /d Dd S t�
_ Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation ./ '2 zra2�,
Plan Review
(25%_ 100%)
Census Code
# of Units
# of•Buildings
Type of Construction
No. 3786 P. 4/7/39.5z/
Porch (3 -Season) _ Exterior Alteration (Single Family)
Porch (4 -Season) Exterior Alteration (Multi)
Porch (Screen/Gazebo/Pergola) _ Miscellaneous
Pool Accessory Building
Siding
Reroof
Windows •
Egress Window
Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
`'Demolition of entire building - give PCA handout to applicant
Occupancy .. 'L -1
Code Edition or,n 2 C/c
Zoning
Stories
Square Feet
Length
vlWidth
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water
}' Framing 30 Minutes
Fireplace: _Rough In _
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
ShowerPan
Final
1 Hour
Air Test _Final
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final IC.O. Required
Final l No C.O. Required
,0 HVAC _ Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests _Final
Drain Tile
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill_ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Reviewed I3y: [L i'YI /Y),`k1 , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
e,
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA163972
Date Issued:09/16/2020
Permit Category:ePermit
Site Address: 4691 Wildwood St
Lot:12 Block: 4 Addition: Oak Cliff Pond
PID:10-53575-04-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Marguerite M Orosz
4691 Wildwood St
Eagan MN 55122
(651) 925-9639
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA171752
Date Issued:08/30/2021
Permit Category:ePermit
Site Address: 4691 Wildwood St
Lot:12 Block: 4 Addition: Oak Cliff Pond
PID:10-53575-04-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Marguerite M Orosz
4691 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:Mechanical
Permit Number:EA172906
Date Issued:10/21/2021
Permit Category:ePermit
Site Address: 4691 Wildwood St
Lot:12 Block: 4 Addition: Oak Cliff Pond
PID:10-53575-04-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Marguerite M Orosz
4691 Wildwood St
Eagan MN 55122
(651) 925-9639
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
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