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 ,
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x 552
err
74
131 *-j
5l6,
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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
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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