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4695 Wildwood St CASH RECE IT CITY OF EAGAN . 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 , • ~ DATE - ~r 19~ L WcFaveo rwau ; AMOUIYT $ 8 DOLLARS ~ lm ? CASH \4j CHECK wn ~ ? / o~ j , v y FUND OBJECT AMOUNT V ~ Thank T ou ~=y BY Whit-PaYers CoPY Yelbw-flostin9 CoPY Pink-+-lle Copy • cn ~LpG. PERMIT N . ~ 01-3210 B dg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-21`55 Surcharge 75-3860 Road Unit ~ . 20-2275 SAC 20-3865 Water Conn. 0 o 20-3868 Water Trmt. ~ Q D 10 - 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL ~l ~ arr oF EAGaW 3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 58121 PHONE:454-8100 ~ - ~ BUILDING PERMIT Receipt # r- I" To be used for gr ry~.+,iGAR Est. Value ~97 9 Wu Date 1l 1" : I ig C~b Site Address 405 WILDWOOD ST OFFICE USE ONLY Lot 1"; Block 4 Sec/Sub. 0AX CLIFF i';;h'D OnSFteSewage Occupancy MWCC System ` Zoning PD Parcei No. On Sfte Well (ACtual) Const v"N Ml'TCaER COMM1E.~ CiryWater ~ (Allowabie) Y"4 W Name 14 AddreSS ~BOY 3 '~t PRV Required of Stories o City ~ ST CI.ITT? PhOnB 25L-o~~F, 2 Booster Pump Length 36} Depth 701 °G Name 5AHF S.F.Total o ~ i Address ' Footprint S.F. P City Phone APPROVALS FEES Engr.lAssess. Permit 562.~0 ~ W Name Planner Surcharge 48' 5U g Address 281•00 ~ W City Phone Councii Plan Review 100~ 81dg. Off. SAC, City • Variance SAC, MWCC S50• dV I fiereby ackrsowiedge that I have read this application and state that the information is correct and agree to comply with all applicable State of WaterConn. 550•1XI Minnesota Statutes and Cify of Fibgan Ordinances:Water Meter b7•~0 Sipnature of Permittee 325.00 Road Unit , A Building Permit is issued to: liRYI . C;EI: CUMt Ala IE5 Treatment P1 204'00 on the express condition that al I work shal I be done In accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL 2 Building Official CASH RECEIPT . CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 i r- DATE 19 FIEcerveo I FROM AMOUNT J $ ~ , . & DOLLARS iao ? CASH CHECK Foa . + - . • FUND OBJECT AMOUNT ~ CY c~c~•J ( _ ~ C. y> 1 I ~ c-7~~ ~ -~.J C) (D Thank You BY • ' - l White-PaYers CAPY Yelbw-PO8ti^9 CoPY Pink-File Capy CITY OF EAGAN , . ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for SF TQWNHflUSE/GAREst. Value Date ,19 Site Address OFFICE USE ONLY Lot ' d Block Sec/Sub. OnSReSewege Y Occupancy MWCC 5ystem Zoning ParCel No. On Site Well (Actual) Const a Name City Water X (Allowable) Z Address PRV Required of Stories ~ Booster Pump Length ° CityPhone Depth ' .o Name S.F. Total ¢ ~ ~ Address Footprint S.F. ~ City Phone APPROVALS FEES ¢ Engr./Assess. Permit 5) T~ W W ame W ~ = Pianner Surcharge x ~ Address ~ c) Council Plan Review s = W City Phone Bldg. Off. SAC, City I hereby acknowledge that 1 have read this application and state that the Variance SAC, M WCC information is correct and agree to comply with all applica6le State of Water Conn. Minnesota Statutes and City of Eagan Ordinances_ Water Meter ~ Signature of Permittee _ Road Unit A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. 767.517- Building Oflicial TOTAL Parmit No. Permit Holder Dats TeIsphone ~r Plumbing ~ ~ 2dtt ~ i .~G • ~ , H.V.A.C. Electric Softener Inspection Date Insp. Comments Footings I ~ site lan blue int Footings II Foundation Framing Roofing 'is5 - j ~ Rough Plbg. Rough Htg. igui. 1~~ Fireplace ~~-~=i > 5-~ila~ f t ' ~x~ Final Htg. Final Plbg. J Bldg. Final Cert.Occ. ' Temp. LP Deck Ftg. DAck Final Well L.D p. PERMIT ii PLUMBING PERMIT RECEIPT # CITY OF EAGAN JF7:~ ~ 3830 PiLOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot ¢lock ~ See/Sub Res. New " Mult. Add-on Name ? ~ t-1 4~4 Comm. Repair ~ G vfi ( 4,4 .t' ~ Address Other Phone y' RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - ' FIXTURES TOTAL ` u -i ? L~ Water Closet - $3.00 ~ Name Bath Tubs - $3.00 c Address '2N4? .Su,v Gc1v o.~ i1, , r, iLavatory - $3.00 0 Ciry' _ Phonet ~Shower - $3.00 r ' Kitchen Sink - $3.00 c FEES UrinaliBidet - $3.00 r • COMM/IND FEE - 1% OF CONTRACT FEE ___Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Orains -$t.50 TOWNHOUSE & CONDO - RES. RATE APPLIES A-Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/1N0 FEE - $20.00 -9--Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 --Rou9h OPenin9s - $1.50 ~ SIGNATURE F PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• ~ U PEFiMIT # • ~ r' . , . , MECHANICAL PERMIT • . ' CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: lkuquSt 3J1 , 1988 CONTRACT PRICE PHONE: 454-8100 Site Address e 13 4 BLDG. WORK DF~~~TION Lot Block Sec/Sub Res. New oak Clitf Porida Name Genz-Ryan p&H Mult Add-on 14745 South Itobert Trail Comm. Repair co Address Other c Ciry R°sMoutnt' HN Phone 423-1144 55068 Name Bru er Caaapanies, Inc. FEES ~ RES. HVAC 0-100 M BTU -$24.00 c Address One Sutrwood. Drive ADDITIQNAL 50 M BTU - 6.00 0 CiH St. Cloul, M phone 1"252"6262 (RES. HVAC INCLUDES A/C ON NEW 56302 CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air 100 M BTU 29• APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Ges Piping OuUets # ~ 1• BEYOND $1,000) Other 25.50 FEE ' S/C: ' 70 SIGNATURE OF PERMI EE TOTAL 26..00 FOR: CITY OF EAGAN 71- PERMIT i? _ PLUMBING PERMIT CITY OF EAGAN RECEIPT # ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE 451-8100 Site Addr"s~ , BLDG. TYPE , WORK DESCRIPTION y LOt BIOCk eC/SUb Res• New '.1 Mult Add-on ~ ' m Name /'7.. , r , 5 4 4' . Comm. Repair .S Address/<2cY ~`f ~ _~r• Other c -RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL 4%'; y Water Closet - $3.00 ~ ~ Name.~~C Bath Tubs - $3.00 c Addr 4 Lavatory - $3.00 p City Phone45~74' .Shower -$3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$i.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI'n (ADD $.50 S/C IF PERMIT PRICE GOES Z Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 ; r • ~G ~ Rough Openings - $1.50 ;e.-c',~~- 4..q SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• ~ s. (Jltrfi#iratr uf (Orruvttnry ' Citp of (tagan Er#rartntrtc# o# liuildittg JWprfion Tltis Cenificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying lhut at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For tlie following: Uu Qa~aifiaooa glds. Ponnit No. o-n,ay Ty,a 331141 J Zo„ng okuict Tya comL VId Owner of Buitding Lf~ C~H . ~ ~~15' ~ . . . ~'•I~~ &rlding Addren (iF•c: 'n", = TsiM . . r Loohty 13, B4y Ul,i't~ {L.i.~'' PQ.,4 1 . . RIe: 'vWM 4• 19% Bulldmg O&W f POST IN A CONSPICUOUS PLACE CIT9' OF EAGAN Permit No: Date 17 -88 1 3836 Pfle! Knob hoad Meler No: Lle 7 ya cZ $~l S P.O. Box 21199 Size: ~ Reader No: 0-fB ?a. S,2 Date: Eagan, MN 55121 Owner._ Site Address. 409 5 t.ril Avnc~c, I 13 R4 Qak CI r}f Plumber Conn. Chg: ~ ,~r,d Zoning: Acct Dep:No. of Units: 2 Permit Fee: i 1) oC?n(l Surcharge: - Stlnd 1 agree to comply with the City ol Eagan Tr. PIanC 2114 _ 0f}nd Ordinances. Meter. Misc.:_ •,nT-TA~T1 Br WATER SERYICE PERAAIT r. ~ CITY OF EACLAN Permit No: Date: 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Oate: ; Eagan, MN 55121 ~ Owner. 'r~:.rrar :o2j,aniefi ~ SiteAddress: 4695 Wil.dsroad Strect L13 234 t}ak Cliff Poacis ~ Plumber PZ vsoonth PL.nh 1-^ Conn. Chg: S50 • ~ Zoning: ' ~ Acct Dep: No. of Units: ~ Permit Fee: 10• N2!-! Surcharge: •50gd I agree to comply with the City of Eagan Tr. Plant 2 04•00vt' , Ordinances. Meter. 0; 7- 00nd Misc.: r~~* TF.nTnn-... BY ~ WATER SERVICE PERMIT L . r CI r1f OF EAGAN. Permit Na Date: 3830 Pilol Knob Road B/ P No: -"l ` Date: i P.O. Box 21199 Eagan, MN 55121 trutger Companiea Owner. ~ SiteAddress: 4695 Wildvood Street L13 Bb Oak Cliff Ponds i Plumber. P ym°uth i-lumbinp, ; MWCC: 550.(~pd Zoning• i No. of Units: City Chg: Acct. Dep: 15•04nd I agree to comply with the City of Eagan Permit Fee: 10.00pd SOpd Ordinances. i Surcharge: . iI gY I Misc.: ~ SEWER SERVICE PERMIT I ~ - . . : 1988 BOILDING PERMIT APPLICATI0N - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL IINITS FOR SALE UNITS # OF UNITS X INCLUDE 2 SETS OF PLANS, CERTIFICATE OF 3URVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS; 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS r S~ la(~Iluation: l~ To Be Used For` : i 9 a 40 Aate : I 8- v 8 Site Address W 1,-D W oo 0 OFFICE USE ONLY Lot 13 Hlock ~ On site sewage Oecupancy ~(-j ~"-L MWCC system v Zoning po ParcellSub Oa~ L~i F F Po,~, y) On site well Actual Const City water ? Allowable Owner Pa rz0-r4 F-%2 C~o ~.ar.i t ~€S PRV required of stories Booster Pump Length Address 2, 0 . 1'~Io x 3 5~ Depth S.F. Total City/Zip Code S'[ Li-bv D h1 N'74,3oZ- Footprint S.F. Phone /--1 Z- ZS Z- tv Z 6 Z APPROVALS FEES Contractor 9 v-.,74.E-jz- Gor. C!AN1 r- S Engr/Asseas Permit Y~ Z Planner Sureharge yy,S~ Address S or-q r- Council ~ Plan Review ZL_ Bldg. OPf. . 7/11 SAC, City ! 4 O City/Zip Code Variance SAC, MWCC SS ? Water Conn _5'(10 Phone Water Meter Road Unit z~ S- Arch.lEngr. M~p~cz-S'T~o~h S~Qv~Yoe,S Treatment Pl z~Y Parks Address 7$0l S.~ N?J Y 51 ~t fZD ~ 1~ + I O Copies TOTAI. 4 7&-9 T, S-'70 City/Zip Code M p c. S/'"l 0 4- 3 Z Phone # 1~~,' 0 y ? . y0 . 1- zz~- yJ.S = ysX iy ~ /y~~3d Z~kLf ~5 = iays~. Yy 3~/,S~ 9fa fy k 3~ s ~ ,r ~oy /Ik z = ?z k yy, - J, s X~= 9-E- r y= 3 g~, ' ° CITY OF EAGAN N? 15 3 7 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 BUILDING PERMIT PHONE: 454-8100 Receipt# 66-6 To be used for SF. Tfi' /GAR Est. Value $97,000 Date JULY 21 ,jg 88 Site Address i~ 4695 WILDWOOD ST OFFICE USE ONLY Lot 1:_Block 4 Sec/Sub. OAK CLIFF POND OnSiteSewage _ Occupancy R-3/M-1 MWCC System X Zoning PD Parcel No. On Site Well _ (Actuap Const V-N a Name BRUTGER COMPANIES CiNWater X (qllowable) V-N w PRV Required X # of Stories z Address P 0 BOX 399 ° City ST CLOGD Phone 252-6262 BoosterPUmp _ Length 36' Depth 701 ~Name SAME S.F.TOtal 0 o~ Address FootpiintS.F. U< ~ City Phone ApppOVALS FEES ~a erir/ASSess. Permit 562.00 "w Name 9 48.50 Planner Surcharge i~ Address 281.00 aw City Phone Council PlanReview a Bidg. Off. SAC, City 100.00 I hereby acknowletlge Ihat I have read this application and state that Ne Variance SAC, M WCC 550.00 information is correct and ee to comply with all applicable State of Water Conn. 550.00 Minnesota StaWtes and oi ga O Water Meter 67.00 Signature of Permiltee Road Unit -U3_,_Q0- A euilding Permit is issued to: BHUTGER COMPANIES Treatment P1 204.00 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks 2,687.50 BuildingOfficial_~~~. TOTAL REQUEST FDR ELECTRICAL INSPECTION ee-oovo~oi-os 39090 ' See insvuctions lar comoleting this form on bxck of vellow copy. Y/j /l~/ E 9"xBelow Work Cavered by 7his Request Frid flep. T'pe.oihtlilding ApplianceaWired EpuiumentWired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt BuilAing ?ryer Electric HeaLn Commercial Bldy. Furnace Silo Unloader Industrial BIAg: Air Conditioner Bulk Milk Tank Farm Othnr Decity mer (5n11, -,(y) thar SUedfy Other Oth.r ompute Inspection fee Below p Fee Se,vice EntreneeSiia fl Fae Fenders/SUbfeeders t Fee Circults Jy U to 200 qm s 0 to 30 Am s 0 to 30 Am. s Above 200 qmp31 to 100 qmps 31 to 100 Am Swimming Pool Above 100_Amps Above 100_Ampa Transrormers Irrigation Booms PS Partial/Other Fee Remarks Signs Special Inspection $ ~o SJ TOTAL E~ ~ ~ c,.r, Rough-in ~ . he EI rica -nspectof, hereby /1213 'fy thet the above Final ( ~;)~9.^ 1/ specUOn has been f mBde. Thie roqueat roitl 1B montne fmm " This roquest void /J y 18 months trom E 39090 Hepuest Dale Fire No. Rao ed,?lnsoeaion Oqerdy Nuw~Will No~ify InsDec - Yes ONo tor Whr.n ReaAy Ucensed Electrical Conlractor 1 herebV request inspection ol above Owner elecVical work instelled et: Sveet Atltlress, Box or Houte No. City ~G 45' LJ I G O t~oa ~ ecuon o. Township Name or No. Range No. Cownly dicJ D 7~5+- OccuOant IPflIMI Phone No. a ~ ~'~~£S >Sa -(p zG~ Fower SupVlier Address b Ko vxr- <c 4e-7~,~ ,~S Electrical Convactor ICompany Namel Convactor's License No. a217-Sra,e- gb6arnie-- aY~~ P- Mailine AdJress IConVactor or Owner MakinN lnstailationl a $4 SU Authorizetl Si awre IContrac~or Owncr Making Installationl Phnne Number P90 - 3 ss MINNESOTA STATE BOANO OF LECTPICITY TNIS INSPECTION flEQUEST WILL NOT Griees-Mitlway Bldy. - Room N-191 BE ACCEPTED BY THE STATE 90AND 1821 Universitv Ave.. St. Paul, MN 56104 UNLESS PPOPEF INSPECTION FEE IS oi.....e iwioi an,_nann ENCLOSED. CERTSICATE OF SAVEY for BRUTGER COMPANIES, INC. 0 c~ 9P ~ 7K ~X i E oQ ' N,7a o ~a o i e a a w~ 569 Z 'O ~ OH o 0 ,/6 ~ oti ~ P ¢ZS~ `.~e k~ 2- ~ x a ` R4 N 74 4 Z~ N Lot 13, Block 4, OAK CLIFF POND, Dakota County, Minnesota. Scale: 1" = 30' o Denotes Iron Bearin s Ar= Assumed We here6y certify that this is a true and correct re0rexntaiion of a survey of MM i.gT the boundaria of the above deuribed land and of the location of all buildings, III LAND SURVEY088. I1VC. if any, thereon, and all visible encroachments, if any, from or on said land. As wrveyed this 23rd day o}. SEp~E/AG21 , 1gBB, 7801 Sunnyside Road & Hwy.10 o ~ av~. _ M;,,,,. R,y. No. /0949 Mounds i/1''ew, Mi~717e5'01a 56//7 Land Survs or Tel: (612) 786-6909 bb No. Bonk - Pape 24-0 ~ , APFLICATION 1=0R PERMIT ~~TE' pA3~Nr OF FE~ kT TIME OP ' . . s APPLICATION D06 NCQ' !..'ON- i*. . ' R STIRSTIE APPRCNAL OF PFdthffT. : r ~ + SEW ER AND/OR WATER CONNECTION t~~~ ~~~/OR w+TER ~ - y II15'PALLATIONS WIId+ N71' flE °PFf]IR.TR7 ~ . . *y (!NCiL PII7MffT FtAS BE@I APPROVID. 'w r+~kxx~~x~wWrtxw~~a~~*i~aat+:s»++t+e~K 5 . city oF Gcicjan (PLEASE PRINT 1) PROPIItTY ADDRESS: T_FGAT• DESCRIPTIONS. . . . . . ~3 .S .L~ . . . . . . . . . . . . . . . . . . ZLot k Subdivision or Tax Parcel ID IF EXISTING STRC'CTURE, DATE OF ORIGINAL B[JILDING PERMIT ISSUANCE: Mnt Year PRESENT ZONING/PROPOSID OSE: Q COPM'E2CIAL/RETAIL/OFFICE [21R-1 SINGLE FAMILY Q INDC)STRIAL ~ R-2 DUPLEX (',Swo Units ) a INSTITUTIONAL/GOVERPIIENT Q R-3 'POWNiOL~SE (Three Daits) ( Lnits) Q R-4 APARTMEBPP/CONIDOMINILM ( Cnits) 2) ~ NAME: ru-f'C~i- (°o ~9w ADDRFSS: m~vL Su N L.vOt.~ ~l^ CITY, STATE, ZIP: V - almu~ '0141 PHONE: G;z- For City Use 3) ' :3• NAME: y ssrm ufZ. J~[~ Ta-c~ Plumbers I.icense: Active P,oDREss: 9a9o 2,4~,4rd-c~ 4•• AJ _ 4 . Expired CITY, STATE, ZIP: /ytyvc. Not recorded PHONE: 4/93- r~ q7~ MASTER LICENSE # jO'/,~ 665-. St Ia nitial- 4 ) a~- NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) ~ , a . o .i [~ftONNECTION TO CITY SEVER Q-CONNECTION TO CITY WATEE2 ~ OTHEE2 6) ***,r~*******~.~~~*+~***,~+****,r***********~**************.****~~*****+*~**~****~~*,r*~*****+*********~ * THE GOIp ODPY OF TfE PERMIT WILL BE SENT DIRECPLY TO PUBLIC WORKS 'PO FACLLSTATE ME1'ER PICK-UP. i' *t PLF.ASE ALLAW TWO WORKING DAYS FOR PROCFSSING. SOMEONE FROM THE CITY WILL CONfALT YOL IF TfIERE * * P,RE ANY PROSLF.N1S. ~ ~*r* ***r**,t**~+***~***~+~+**~*+*****«***,r*,~+* **,t*******+,r***~+x,r*x,r**,rx*,t ***~*~~~++,t **,t***~*; . FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ I~ •.5~~ SEWER PERMIT (INCLLDE SURCHARGE) $ $ WATER PERMIT (INCLL~DE SURCHARGE) $ 1,7`~rd $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ ?rSrO ' G-n $ WAC s 1o so - $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRCNK SEWER $ $ LATERAL BENSFIT/TRUNK WATER s- $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ TOTAL S- RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY; TITLE: DATE: O _/~//O Q I ~ 2007RESIDENTIAL BUILDING rERMi'r arrLlcnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 RemodellReoairReauiremenLS - Office USeOnN _ New Canslmction Reauiremenis 3 registered site surveys showmq sq. ft. of IoC sq. ft. of house; and all roofed areas 2 wpies of plan shmving fooGngs, 6eams joists CeR ot Survey Recd -v =N (20% maximum lot coverage allowed) lsetofEnergyCalculafionskrheatedaddihans SodsRepat . 1 site survey for additlom & decks Tfee Pres Plan REW _Y _ N. 7 Soils Report N proposed building is to 6e piaced on disWrbed so1 2copiesofpianshowing6eam&windowsizes;pouredfounddesign,etc. AddiUon - indicetei(on-sifesepticsysfem Q~~~P~System _Y,._N 1 set of Energy Calculations 3 copies oiTree Preservalion Plan rf lot platted after 711193 Rim Joist Cetai! Opfions selec6on sheet (6uilNngs with 3 ar less units) Minnegasco mechanical ventilatlon form Plans are considered ublic information un{ess ou state the are trade secret and the reason. 7 Construction Cost ) Date yG~~~ Site Address UniUSte Description of Work ~ - ro,y Multi-Family Bldg _ Y oL N Fireplace(s) _ 0 _ 1 _ Z Property Owner -t 5,.,3,y,/ Telephone # L/? / - ~ Contractor IV ~Sfc 117 city Address 1201 F C4/i~ State dkZip 5~33 ~ Telephone #(~7SZ)~)5'`/ -yy'KZ- FnergyCoddee LETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 Minnesota Rules 7670 Cateaorv 1 N~ Energy Cotle Worksheet ory , ResidenNal Ven6lalion Category 1 Worksheet Submitted Submiried . Energy Envelope Calculations Submitted Inthelastlmons, has ihe City of Eagon issued a permii for a similar plan based on a master planZ ' Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Coniractor Telephone ~ I hereby apply for a Residential Building 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 State of MN Statutes; 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 hich requires a review and approval of plans. ApplicanYs Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Oemolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors - ? 34 ReplaCement •Demolitian (Entire 81dg) - Give PCA handout to applicant D@SCI'IptlOn: WaterDamage_Yes Valuation Occupancy MCES System Plan Review 100% or 25% ' Census Code Zoning Ciry Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered , Type of Const Width REQUII2ED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings(deck) _ FinaVC.O. _ Foo6ngs (addition) _ FinaVNo C.O. Foundation HVAC Drain Tile Other Roof Ice & Water ~ Final _ Pool Ftgs AidGas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: . Building Inspector - Base Fee Surcharge Pian Review MC/ES SAC City SAC Utility Connedion Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total For Office Use Permit 1,~ City of Ea are d R I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT/ OWNER ame:l Sc,~ o k 4L Phone: Address / City / Zip: c % Gr 'F le ' / A:'~ Applicant is: Owner Contractor TYPE OF WORK Description of work: ~J w~ C~~~ tk ?,tv25 Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: c2/? -S " 5 6 , License Address: City: 4~ t' i ta`y~`Ill% State: Ad Zip:3 `3 7 Phone: Contact Person: .vc %2 - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (11 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 ith the approved plan in the case of work which requires a review and approval of plans. Applicant' r nted Name Applica is Signature Page 1 of 3 OF 7o -r I For Office O/ Permit 6 City of Ea au 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Date Receive : Phone: (651) 675-5675 r~ n Fax: (651) 675-5694 c . 2 / ` c7 C~U~ Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address:- Tenant: z rr Suite RESIDENT / OWNER Name: 2trrs -r ' Phone: 4037- ~9 &-/S-8 Address / City /Zip: `tom 144 C114, ayer.~,•,t~ zli3j 45 Applicant is: Owner X Contractor TYPE OF WORK Description of work: RI/ Ill J1,0 ~&J Construction Cost: /`l> 62l2 Multi-Family Building: (Yes No ' ) CONTRACTOR Name: License e20V St' ° z Address: City:_~v¢.4 ui I kg- State: A Zip: 5-S-33 7 Phone: 95 a1 -744 3 4' Contact Person: r 95 'a5'S" SCo COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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, v t M `H" x Applicants Printed Name Signature 1 of 3 Page g 41 p 1o9 ' l~i ld cv-o C371- SUB NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (3-Season) Storm Damage Single Family _ Garage Porch (4-Season) Exterior Alteration (Single Family) _ Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) _ 01 of _ Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES _ New Interior Improvement _ Siding Demolish Building* Addition _ Move Building Reroof Demolish Interior Alteration Fire Repair - Windows Demolish Foundation - Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%_ p Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: Ice & Water Final Pool: Footings Air/Gas Tests Final Framing Siding: -Stucco Lath Stone Lath Brick Fireplace: _Rough In _Air Test Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: , Building Inspector (l' RESIDENTIAL FEES Base Fee C/ o Surcharge OKOC r Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ~vBR~ CERT -ICATE OF S VEY for BRUTGER COMPANIES, INC. .sr i ~ N J 14,74°41 12 "t,w , •cp a w Q C14 ~t ! P P x 552 err 74 131 *-j 5l6, ~Z N V1-7~0 Lot 13, Block 4, OAK CLIFF POND, Dakota County, Minnesota. Scale: 30' o Denotes Iron Bearin s Are Assum We hereby certify that this is a true and correct representation of a survey of NMVMST the boundaries of the above described land and of the locrt~noof o„l buiiilldin a. LAND SURVEYORS, INC. if any, thereon and all visible encroachments, if any, As surveyed this Z3rd day of• Se Amk-e .190. is~Jw 14947 7801 Sunnyside Road & Hwy. 10 t°$a r Minn. Rog. No. Mounds View, /Ylinnesa/a 55//f Tel: (612) 786-6909 Job No. Book - Pape City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4695 Wildwood St Lot: 13 Block: 4 Addition: Oak Cliff Pond PID:10- 53575- 130 -04 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 PERMIT City of Eaan Construction Type: Occupancy: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - $88.50 $1.50 Owner: Jerry A Lowe 4695 Wildwood St Eagan MN 55121 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 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 Issued By: Signature Building EA089226 05/18/2009 ePermit            ÿò û  ú þýý  ü ü     ûýý ïñúÿìóû þî ï  þ îþ ü  þýø  ùø÷öõó  Þ  ó öõß   õó  Þ  â ùÜâ öõâ ø ù  ßøë÷ áëßøë÷ ùÜ á ô    ý Þöþó ø  êúëþþ ã ý ÿ   ëôñóùÝè óÞðåéÿéîÿ ÷û  ùø  ôçåéãéã  öñõ ø ôó õõ  òÜáö øë÷ÝÞ Û ö ó Þ öþîýãóù ø  êâßþþ û  âß ñãð ý   ÷ö   ê    õõ       ë      ëõö  õõ ÷ù   â  ù ø  ïö û     é õõ è ëù ø  øöù ø           ùûû  þýý  üûÿüûû     úýý ùÿî ÷ñú  òîóêê  æòæâæ ò  þýö  ÿþýüû úù óøÿýüû øýüû úù ø÷úùöûõ ôÿ óÿóòîÿûü ñ ðÿøï õûøíõììõøðÿøõøþøõë êøúúûêøêøõ  ý ûëóêøêûêøë óøþõéøøøðÿøþüúêõüìõë ïçç òëæå ëåæ õú  ÿøìøèÿççë ë æ èÿàòâë  ô óû  ö òñ ûû öúøÚøøüú óÿüöó àæ ú  öíä÷ææ òä÷ææ  áàæ ßàâââ ìøþüúì ìíøìûûììêøõøøøõûüúìûûþ  êä ÿóüêîøë ûûù øõ ÿø ÿü ÿø PERMIT City of Eagan Permit Type:Building Permit Number:EA110427 Date Issued:05/10/2013 Permit Category:ePermit Site Address: 4695 Wildwood St Lot:13 Block: 4 Addition: Oak Cliff Pond PID:10-53575-04-130 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, 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 - Jerry A Lowe 4695 Wildwood St Eagan MN 55121 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA113768 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 4695 Wildwood St Lot:13 Block: 4 Addition: Oak Cliff Pond PID:10-53575-04-130 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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 . Rick Schwab 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 - Jerry A Lowe 4695 Wildwood St Eagan MN 55121 Eagle Siding 1301 East Cliff Road Suite 117 Burnsville MN 55337 (952) 746-3046 Applicant/Permitee: Signature Issued By: Signature