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4699 Wildwood StDate: City of Gahan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: in9g4i7 Permit Fee: G5' 00 Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION 06" -04( Site Address: La 9 4 Id w D od 4 exel- Tenant: Suite #: RESIDENT / OWNER Name: {`) of v ; Ot h_e ell 1 Phone: 6'3 J7/7 S? Address / City / Zip: CONTRACTOR j� 'i License #: �/S C003339 Name: +- a4- f h, u I/ n a_ -S % jp \1 City: B i4 -;he. Address: 0? 30 L I- s A/E Y 717eCState: AA Zip: SS- 4 3 Lr' Phone: .e h -32k -717e_ Contact: ontact: (Jr I S Email: TYPE OF WORK New Replacement Additional Alteration Demolition y� Description of work: 1S kt//( i 4--C-1so1? an 0/ IJh.e re:d1 'i / 7 (- NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank (_ Install / Remove) Other **When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) '- burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ �O� TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% _ $ Permit Fee - If the Permit Fee is Tess than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ TOTAL FEE 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.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 pla�,r -- e f work which requires a review and approval of plans. x �% nor; s x Applican 'lif. G me FOR OFFICE USi Required Inspections: Applican wed By: Under Ground Rough In Air Test Gas Servic Exterior HVAC Screening Inspection est Date: In -floor Heat Final øôÿ þýýüûúðú ÿ ùüüýýûïüñüù áäúåå ã á þý ÿþýüû ëÿßú ùýüûø÷ ûëÿßú öÿûõôÿõóÿþò ûñðï ý îî íî ò õëñêûõïé è í èî íí öù ÿó ëçé è ð èð õôóô òñ ûû ÜÚêü ÿõþßòúõ îáððù÷ ÿæòøãòø ñðïãáã óþü÷ó óæóûûóóåõõûü÷óûûþ åò ÿúüåäè ûûà õ ÿ ÿü ÿ • -s:.`3 ~;~~~CCate uf cccupanq of Cfagan Zt"rtueut af 13xi[biag 3soccNm Tltis Certificate issieed psrsuarst to the requirements af the Unifor?n Building Code cestifying that at tiie time of issuance thu structun was in compliance with the various ordinwnces of tlre City neguiatiRg building construction or use. For tlee following: UseCLassifwation: S F D W G s1dg. FffmitNa 1354 R3 1 PD VN OCCUP-CY Type Jfl6EPH VARIE3C ~Q~1ST zoning 7 ~ HIAD, FARIBA~[]LT Orner of Building Addresa Bmlding Addess 4699wn,uom Sum L.acality~, B3, QN MIIU POK) i r ' I]/lQ/q2 i ~ ~ Date: Bmldmg Ofl'ical , POST IN A CONSPICUOUS PLACE INSPECTION RECORD I Control No. 10 0 5) . CITY~OF EAGAN PERMIT TYPE: liuiturme 3830 Pilot Knob Road Permit Number: 11111a 13b4 Eagan, Minnesota 55123 Date Issued: (612) 881-4675 SITE ADDRESS: t. 07 ;6 NI R~ck; I APPLICANT: Afiic) 9 GJ1 l lEtdtici" i VAfi1 1: Y L' OMST 305 OAY r' L! Ff Vt)N[l (601) 334-6034 PERMIT SUBTYPE: TYPE OF WORK: •.r ritir, t~fa INSPECTION D. . r~,~? E~ a~, f'NAM Y IVfr IN19l1l. AT1(!N FINAL FlRFF'1 At F r FtF'MARKrit PRV W CUNTRACiI?R !s .1 M 1'1.110 S f I~ Z} ~~~N~:~~~ ~ J 1 J~'~'~ f } I' . Pannit No. PK1nR Holds? Date Telephone a : S/W PLUMBING /m y -4177 HVAC j rf A' a- ~r/. 3j ELECTRIC ~ 9 /D ELECTRIC ~d o~ 1 Inspectlon `Da6s hnp. - CommeMs Foofi^gs ' 6S Foundatlon FmffO'9 9 z S' haf. ~.s r a~; ls 6., fruss~s Roofing 7'0 Acuk / P'1c~ J Rouyh Plbg. 10 ~ ~Z ar CG N ' ! hRoughHig. lstd. Frepiaoe Fi,al r+ig. ~ Otsat Test ~ • Finel Plbg. Pibg. lnspector- Notify Plumber ' Const. Meter EngrlPlan Bldg. Rnal D9Ck Ftg. Dedc Final Welt Pr. DiaQ. 9s ~ . a"r~~ ` 42 K 234 2 ~ /0 S~2a17 a ~st~ Request Date Fire No. ough-in Inspec[ion Gl ~ Haquired? ? Reatly Now fiOlfYill Nonfy Inspeclor AV Yes L, No Whan Reatly't VM licensed contracror ? owner hereby request inspection ot above electrical work at: Job Atltlress Slleet, BoK ar Roule No.I Ciry ~iSO i~ zd- N Sect~on No. Township Neme or No. Range No. Coun OccupantlPRl T) Phone No. Pawef Supplier Atltlress ElecVical ConVactor (Company Name! ConVactor5 License No. 4::~WO/-23? Mailing Adoress iC ct or pwne~ Mak Installalion) Av=q~M ki g In ~ P"i~umbe~ MINNESOTA STATE BOAND OG ELECTFICITY TMIS INSPECTION REQUEST WILL NOT Grlggs-MWway BIEg. - Noom Sl]3 BE ACCEPTED BY THE STATE BOFRO 1821 Univreity Ave., 51. Paul. MN 55104 UNLES$ PFOPER INSPECTION FEE IS Phone(61P)64Y-O800 ENCLOSED. /p/~~. REQUEST FOR ELECTRICAL INSPECTION 9'a, eeooom-oe~j ? See insvuctions for completing this lormqn beck ol yellow wpy. .cC~g?:/Q 8a~ / 2 3 4 2 2 -x" Be/ow Work Covered by This Request K. " ew Add Rep ` TypeolBUilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Api. Building Dryer Othec{Specify) Comm./Industnal Furnace Farm Air Conditioner Omer (syecity) Concracmr§ Remarks: Compute Inspecfion Fee Below: # Other Fee # ServiceEntranceSize Fee # Cimuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps - Amps Signs msoector5 use Oniy: (Jf . TOT L~O Irrigation Booms Xu •~l / lk~ Special Inspection ~ Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Roughtin ~ oany ~ certiy that the above inspection has been made. ~ OFFICE USE BNLV This r¢quest void f8 monms 1rom K9 r23415 °'~v Reduest Oa~e Fire No. Ra nspaction C Q Requiretl? ^ReaEy Now OWill Notify Inspector _Yes D(,NO When ReaOY? I$ licensed contredor ? owner hereby request inspection of above electrical work at: Job AEtlress (Streec Box or pome No) Ciry q64`l 1 0 wodd. ST. i-A 6&N Secnon No. i0wnship Name or No. Range No. County 04 ~aT Occupant(PRINT) Phone No. ~4 ~O~lS7. POwar SuppbBr Adtl~O% . lJ~ Q Fir~~~, Tq Elecincal Conhacro, IGompany Namel Conbdchor8 LicenSe No. 7,~T 0-epi cA a(;Z,r Mailing AEtlress IConVaclor or p.vner MaNing Installation) ~ ~3ra- ~13~r /r/wTK; Sg-og~ numonzetl SI elGOmra r n Phone /Number_~~7 .5~6 L MINNESOTA STATE BOANO OF ELECTflICRY THIS INSPECTION REOUEST WILL NOT Grigga-MiEway 81tlg. - Noom S173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave_ 5t Vaul. MN 55100 IINLESS PROPER INSPECTION FEE IS PIp. (611)6412-0800 ENCLOSED. 76;4- REQUEST FQR EL€;CTRICAL INSPECTION ~ 23415 ? See insimctions lor compl¢ting this lorm on back ol yellow ropy. K "X" Befow Work Covered by This Request e Add Rep. TypeofBuiltling AppliancesWiretl EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apl. Building Dryer Other-(Specify) Comm./Industrial Furnace Farm Air Conditioner Olher(specityl Contractor§ Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circutts/Feetlers Fee Swimminq Pool 0 to 200 Amps a to 700 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspemor's Use Onry: - TOTpL ~ Irrigation Booms /J UU ~ ~ ~ Special InSpection ~ Aiarm7Communication THIS INSTALLATION MAY 8E ORD ED"DISCONNECTED IF NOT Other Fee COMPLE7ED WITHIN 18 MONTHS. I, the Electrical Inspector, bereby Rough-in oa~a certify that the above inspection has Final oate ,~r y been made. - OfFICE USE ONIV This requesi voitl 18 monihs fmm Addxqas,: 4699 WII,DWC)DD STREET Lot 6 Blk g Sec/Sub pAK r„J,gg ppM These items were/were not complete at the time of the fina inspectlon. Date: 11/19/92 Yes No Tnqpprtnr, Final grade (6" from siding) ?1 Parmanent steps - garaga Permanent stepa - main entry LIX Permanent drivaway 61-11 Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish ? Deck ? Please verify vith tha builder the removal of roof test caps from the plumbing system and tha ahut-off of vater supply to the outside lavn faucat befora freeze potential exists. ~ wcamwn White - City copy Yellow - Reaident copy Pink.- Contractor copy RESIDENTIAL y ~ BUILDING PERMIT APPLICATION CITY OP EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 - New Conakuction Requirements RemodellReoair Reauirements • 3 registered site surveys shorririg sq. ft. of lot, sq. fl. af house; and all roofed areas • 2 copies of plan (20°k macimum lot coverage allmred) . 7 set of Eneryy Calculations for heated additions • 2 copies o( plan shovnrg beam 8 window s¢es; poured found desgn, etc.) • 1 site surrey for arterior additions & decks • 1 set of Energy Calculations • Indiwte if home served hy sepUC syslem for additians • 3 capies of Tree Preserva6on Plan if IW platted after 711193 • Rim Jaiel DeWa Options selection sheet (bldgs wNh 3 a less units) ~ DATE ZO -2-9" UZ-- VALUATION oZDF DOd ~ ~ 31TE ADDRESS MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK 3 Pc7ccff 1) iTlo,J FIREPLACE(S) _ 0_ 1_ 2 APPUCANT VfI" .1NJ~s iS 1,01?n- STREET ADDRESS CITY-f=gj6fh? STATWvIZPJ ZIP SS'/,g 3 TELEPHONE # 9KCELL PHONE # FAX #&-L- PROPERTY OWNER MAg( A-n1~ll~~~n2~S TELEPHONE # b s~`a 7-~ 1~9a P COMPLETE FOR "NEW" RE5IDENTIAL BUILDINGS ONLY Energy Code Category _ MINNF.SOTA RULES 7670 CATEGORY 1 MINNESOTA RUI.F.S 7672 (d submission type) • Residential VeatilaGon Category 1 Worksheet Submitted • New Energy Code WorkSheflt Submitted • Energy Envelope Calculations Su6mitted Plumbing Contractor: Phone # Plumbing system includcs: _ Water Softener I,awn Sprinkler ree: $90.00 Water Hea[er No. of R.I. r No. oF I3aths I ' f Pno ~iin ~C I 3 0 20G2 Mechanical Contractor: Mectivnical sys[em includes: Air Condidoning u ree: "5`7,0.00 Heal Recovery Syslem E'. Sewer/Water Contractor. Phone # I hereby aCknowledge that I have read this application, state that the information is correct, and agCee to comply with all applicable State of Minnesota Statutes and City of Eag dinances. Signature of Appficant OFFICE U5E O CertiFicates of Survey Received _ Tree Preservation Ptan Received _ Not Required _ Updated 4102 OFFICE USE ONLY . . 0 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ~11 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-ptex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex O 78 Deck ? 23 Porch (screened) ? 36 Muld ? 05 03-plex ? 11 10-plex ? 19 Lower level ? 24 Storm Damaga ? OB 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous F3 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 AlteraGon ? 37 Demolish(Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Oemolftton (Entire Bldg onty) - Give PCA handout to appiicant Valuation Occupancy Z- 3 MCIES System Census Code y3 ~f Zaning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Vri Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. Footings(deck) t4 FivaUNo C.O. ~C1 Footings (addition) _ pluulbing _ Foundation HVAC _ Drain Tile pther Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tesu Final ~ Framing _ Siding Stucco Stone Fireptace _ R.I. _ Air Test Final Windows (new/replacement) ,0 Insulation ~ _ Retaining Wall Approved By Building Inspector - Base Fee Surcharge Xqtj Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~L 2422 Enterprtse Drive . 4[ Mendotn Heights, MN 55120 I~IEEF! I,WD SURVEYOBS • QNL ENpNEERS (812) 681-1914•FOX 681-9488 g reeer ng uN0 PLMINERS • IANOSCAPE ARCHI7ECT5 625 Hlghway 10 Northeaet 1 * Blaine, MN 55434 * (812) 783-1880•Faz 783-1883 ~ ;":Certificate of 5urvey for: OCP HOI''leS. Incorporated ' House Address: 4699 Wildwood Street. Eagan. MN ~ . ~ ~ ~ ~ , .T ~ ~ • / ~~~~5 ~441 9 ':4::AN i N ~ I ' L 37sy u 4 P N S3. 2.0 ppopOSEU NW~ 233°20.~' . ~ O~ ~ . Q(tpF i QARA(iE I'Tl W o s •a2'01 20.00 ° N i+f ei-_ ~op 0' 41.88 -41t- - N - N 107.68 N 89'48'04" E 'PiR¦Ve REQIJIRED ¦90(l.o Denotes Existing Elevation ~ PROP05ED HOUSE EIEVATION ¦ 9COODenotes Proposed Eleva#Eon Bosernent Ploer E!ae+a#lon:934.35 - Denotes Drainage & Utifiiy Easement Main Floor Elevotloh:943.00 - Denotes Drainage Flow Direction -a- Denotes Monument Garage Slab Elevatlon:941.00 -e- Denotes Offset Hub Bearings shown are assumed LOT 6, BLOCK 3 OAK CLIFF POND EAGAN COUNTf, MINNESOTA 1 henby cettlty Ihet tAL iurvey, plan w report wai prepared by me or under my direct supbrvNlo'n end tMt I em duly ApltlMd l,~nd Surveyor under tha lawf of tha Steta of Minnasote, Dated this Z 1 ~ day of AUG - A.D. 19n1^~ . ROIIEFITII-~ff M L.S. REO. NO. I4691 Scale: 1'^h=30lee, ~ 90146.16 PERMIT ~ ~C°n ° 1005 CaTY bF EAGAN 3830 Pilot Knob Road PERMITTYPE: auILpxNG Eagan, Minnesota 55123 Permit Number: 001354 (612) 681-4675 Date Issued: 0 9/ 01 / 9 2 SITE ADDRESS: 4699 WILDWOOD ST LOT: 6 BLOCK: 3 OAK CLIFF POND DESCRIPTION: rBuiidirg Permit Type SF DWG Bu3Yding`,Work Type NEW - UBG QccUpdtte,y R-3 M-1 Construstian'"fiype V-N Zo-ning, PO Bui7.ding Length• 63 BuildAng'WidtM 42 i r,. ^ - ir •Cii li r . r-t } f -t o-=-^ - I•~ REMARKS: C U~OC~~~3 PRV 5& W CONTRACTOR - B J M PLBG FEE SUMMARY: VALUATION $129,000 Base Fee $741.00 MISCELLANEOUS $1,610.50 Plan Review $481.65 Total Fee $3,597.65 Swrcharge $64.50 SAC $700.00 5AC % 100 SAC Units 1 5ubtotal $1,987.15 CONTRACTOR: - Applicant - ST. 1.7C QWNER: VARLEY CONST JOS 13346034 000324 .70SEPW VARLEY CONST 16800 SHIEI.DSVILLE BLVO 16800 SHIEIqSVILLE BLVO FARIBAULT MN 55021 FARSBAULT MN 55021 (507) 334-6034 (5@7)334-6034 Z hereby aaknowled'ge that I have read this applicatian and stats that the irtformati,on is correcC and agree to camply w3th all applicabls State of Mn. Statutes and City of Ea-garr qrdinances. L ~ ` - APP CANT/PEFMITEE ATURE 4ISSY' I NATURE INSPECTION RECORD C°nt 1005 CITY OF EAGAN PERMITTYPE: BuiLozNs 3830 Pilot Knob Road Permit Num6er: 001354 Eagan, Minnesota 55123 Date Issued: 0 9/ 01 / 9 2 (612) 681-4675 SITE ADDRESS: Lor : e B L 0 C K: 3 APPLICANT: 4699 WILOWOOD 5T VARLEY COMST JtlS OAK CLIFF POND (507) 334-6034 PERMIT SUBTYPE: TYPE OF WORK: SF DW6 NEW INSPECTION D. . .A FOOTING FRAMING INSULATION FINAL FIREPLACE ~ REMARKS: PRV S& W CONTRACTOR - 6 J M PLBG r--- - ~ - PERMIT CITY OF EAGAN REAC,TIVAT6,_ 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMIIY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of speci.fications, 1 capy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date Yaluation of work d o b ~ Site Address: Z4_"? /Ll~uJ o p . STREET SU17E A Tenant Name:.(comnercial only) IAT _(0 BIACR ~ SOBD. P.I.D. N OAK CLIFF POND 10 53575 O(vU 03 Descri tion of work: The applicant is: 0 Owner ? ontractor O Other (Describe) Name Phone Property LAPVP omes, nc. FIRST ~ Owner Address 8609 Lyndale So. #101B STREET STE K City State Zip Bloomin ton MN 55420 Company Phone Joseph P. Varley onstruc ion COntfBCtOf Address License q Exp. 16800 Shieldsville Blvd. 0003249 3 31 9 City State Zip Faribault MN 55021 Company Phone 6454176 Architect/ Engineer Name Registration N Address zjjz ourne City State Zip t. au Sewer 3 water licensed plumber Processing time for sewer h water permits is two days een approve . • 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 Mi ota Statutes and City of Eagan Ordinances. Josep P. Va ey Cowstr 'o , Inc. Signature of Applicant: I OFFICE USE ONLY BUILDING PERMIT TYPE " ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging .0 16 Basement Finish 9 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addit.ion ? OS 8-Plex 11 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. O 10 Multi. Add'1. 0 15 Deck O 20 Public Facility O 21 Miscellaneous WORK TYPE (8[ 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V- N Basement sq._ft. MWCC System E5 (Allowable) v- N lst F1. sq. ft: City Water YES UBC Occupancy R--E -M- 1 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster PumP N of Stories Footprint 5q. ft. Fire Sprinkler Length `3 On-site well Census Code al Depth _71-- On-site sewage SAC Code o t APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing p Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permi t Fee votmc;m: g 1Z1,000, S. Surcharge Plan Review G,ARAGE; aO x22=yyo License 3 MWCC SAC city sac Mater Conn 4158 ~ '7328 . Water Meter ~~4~~ ~C LJI GO ~ I~A~~ Leua~ Acct. Deposit - S/W Permit 3,z3y S= 36,~ 3= BIO S/W Surcharge 6j X 9~_3 ~ Treatment P1. Road Unit Al x 9= 12 G i G xu = Cz'+) Park Ded. Zy ~i X; 6a1 Trails Ded. _ Co ies Qo Y IS = s. I 1 D 3z Otger t' a~ Ljeu.e-I l3y 53= 95 949 Total: ' - ~1,33 ~c3~ = 7 8q ' 128'121 SAC % Joo SAC Units T sX*S= 8 ~3 ~ 3y~3yH * * * ~ 2422 Enterprise Drive * Mendota Heights, MN 55120 * PIONEEF! wro sunveYOns • ONL ENpNEERS (612) 881-1914•Fax 681-9488 ~ eng neer ng ur+o aurrNens • LANOSCAPE ARC14I7EC75 625 Htghway 10 Northeast Blatne, MN 55434 * * (612) 783-1880•Fax 783-1883 Certificate of Survey for: OCP Homes, Incorporated House Address: 4699 Wildwood Street. Eagan. MN ~ ~ O ~ ~ Q ~ ~ Q0~~ W `2 Z--~ - ~ ~ ~-74 419~ . ~,~.G,~l~ jRYG%1V ~RIMC I?EP s .0 o i ~ ~ - -.t6A ~ . N . •Nv~Y I (~1 w~ , . ~ - . OD - . . . , N 953. 2.0 pROPOSE~ 2 3 c p 73 W . rn i s~ 40.99 tp W o~~ ' 4.5 o N s ej•sz'o+'~ _ f 10Qs Os ~ - - 41.66 .-d- fi - N - ry 933A o 54. 1 07.68 N 89'48'04" E poL~oMo RE~~JIRED . eoo.o Denotes Existing Elevatlon, PROPOSED HOUSE ELEVATION ¦ Denotes Proposed Elevat(on Basement Floor Elevctlon:934.38 - Denotes Drainoge & Utility Easement Main Floor ~Ievotfon:943.d0 - Denotes Drainage Flow Direction --o- Denotes Monument Garage Sla6'Elevdtlon:941.00 -e-- Denotes Offset Hub Bearings shown are assumed LOT 6, BLOCK 3 OAK CLIFF POND EAGAN COUNTY, MINNESOTA I hereby esrtity thet this survey, plan or report wai prepered by me or under my diract eupGe1rv~lslo~n aml thet 1 em duly Rpirierod land Surveya under the laun of tha Steta of Minneaota. Dated thlo Z 1 ~ dey of AuG • A.O, 19J--. ROBE T, H L.S. REO. NO. 34891 Scale: 1'°h=30 !eet ~ so1as.1s . ~ CIIT OF EAGAN . ~ ~ EITERIOR ENYFI.OPE AYERAGE OU' CO!(PU7l7I011 arxee: f H C) ME~ S c L,E-r'1 S SITE ADDRESS: __q' i _DT c, 'gLocK 3 CONiE1CiOR: VAR~~p1.lS~C.T. Dd7Es PHONE: Determiae wrkiag aquars tootage of eae6s 1. Total exposed wall area... a'rJ9~ aq. ft. s.11 a o285 2. Total roof/ceiling area 1.3 6z aq. ft. x.026 = 3$.$ Total e:posed rall area above floor : a`~ O S 8• Toti81 1f811 window area •o o a..• ~35 . Total door area 0 0 0 00.rr......... 38 ' c. Total aliding glasa ares p 3 d• Total fireplace M811 area v.• e. Total xall framing aree (sverage 10t) 2 59 ' f. Total net wall area above floor B. Total rll~ 'OiStr area , *.e :z ' Total ezpoaed foundation area e 2;t I fl• Total foundation window area......................• _ 8• 75 •f•Cfl, Total net foundetlon area above grade ~ 62 rOA" Detemine 'U' value of each xall aeseent: 5 O e. :2 35 z , u' • `F7 = D._ A g x oU' .I~ s 5 c. a'U' 49 s ~'O d, x IU' s . e. : tU' 1 097 f. . x~ U' , o~g-S = 6Fy_ g. 1!' _ x 'U' : h. ' x'U' I. e~z x 'U~ .076 1l's'o Fwftl . SO. 55 2 8~ 3 . Total : If item #3 !s the aame as or less than item /i, you heve met the intent of SBC 6006(c)2. Total e:posed roof/oeiliag area : )3 G/ ~ J. Total aky]lght area............................... k. Total roof/ceiling framing erea (average tOf) 1. Total net insulated roof/ceiling area OYER Determine I I1' vaiue for each roof/ceiling segmeats . J. x lU' : k. 137 : ou+ - o Zro = 3.5 . 1. 123 0 = lug . oaa = u . rotiei = 3 0 ,5 If total of #4 is the aeme ea or less than 12, yov have met the SnLent of SBC 6D06(c) 7.. E1Lernate 8uildiag Envelope Design To utilize the total envelope system method, Lhe values estabiiahed by the sum. of Items o3 and /4 shall not be greater than the avm of Items 11 and 02. 4.2. 3 s.5 ~ 3z0,5 s. _ a S G~ 3 D.5 ~ 3 . 2 ~ ~ ~.fc insulacion baffles in every' ' ROOF 1 UILIN6 • _ er saace. - ! . ~ ; ~ ~R) 1 o 113-rujo~ AM FjU%j .6f . . o 5/s° GYP O WSuLA-IaN ` ~•Oe ` O EXjE.1~;oR AlR F?LM ~ ~3-1 ' (S~ill~ • ' 767AL (R)=fSi G U oA9t cNIatL ' VA ~ . " ~ . 8 . Qp ~Ni~(=~ot= R~tt f1~M .68 • 9 Q 1121 ,4$ . • ~ , . ~ OO t~.~,` 10sotA7IoN siz''194bX . • ~ O . ~/~n g~,~7 X 7c /_g~ CF-DA R S1D~ ~ ~ ~ Ex;-; ia~ At~ Fl~ o To7AL (R) =2.Z4 ~ izIM.. ~°.og5 . , . V - ~ . • ~ i3 Ii~Tci'~lor' tilr~ FluI' (R).EB 2 n f- Rll1 301sT i ~s uJ~L s~~:~ ~r~ ~ . ' G cE-D Nsz. SlpjrC, ' fLM • 17 . . . o . • o, ' ' ' . ~ . _ _ T°TP= (R)=23.8; Dial L)i . oo ~ . . 50JN AT Etl Vn[.u: IN i ~ Tl9~ Airc FILt1 • 6~ ; 'S 5.o p 1r4 $uLAM C*4 o' ~ (v ait . n 7J ~.Z~ ~?~t r CG(1G. 3~1~, ~~+Z$ ~ • ~ ~ ' - a ' - ; , • _ •17 G EX~r--r,1a;t Airc FIcM ~47 6.45 ToTa.~ (~c = ~ ) ~34 3 V =.076 Floors o~•t: unhcated spaces nust have ainioum R-fae[or ot R-20 (tuck-undes garages). F2oors ov,r ou[door ais (ovcrhangs) oust Itave a aininum P.-factor of R-33. ~ L lQ_ ;..-31.. ~ CITY OF EAGAN CITY USE ONI~Y PLUMBING PERMIT tt. D a 1 f~S SUBD. J l~l~ (612) 681-4675 RECEIPT ~ COap55 DATE RBSIDBNTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMZLY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ~ REPAIR/ADD ON 15.00 ADD ON I SHOWER 3.00 REPAIR ~ WATER CIASET 3.00 Co BATH TUB 3.00 Co IAVATORY 3.00 OWNER NAME: KITC ENSINK 3.00 3 SITE ADDRESS: ~ y Gfi L~G/e a ~ ~ ~'~DRY TRAY 3.00 ~ HOT TUB/SPA 3.00 ~ WATER HEATER 3.00 2 FIAOR DRAIN 3.00 GAS PIPING OUT. - INSTALLER; /-ft- (MINIMiTM - 1) 3.00 3 fiG` ~ 3 0~ROUdH ~ OPENINGS 1.50 .j<si ADDRESS: 7 l ? WATER SOFfENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 r~~ U.G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 y3. s~ STATE SURCHARGE .50 0 ~ p SIGNATURE OF PERMITTEE TOTAL: 'J"r / COMMERCIAL PLEASE WMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE gpR: (SIGNATURE) CITY OF EAGAN CTI'Y OP'EAGAN L ~e B MECHANICAb. PERMIT RECEIPT #C d()7q l SUBD. ~(Xu~'l~7oxo'L (612) 6814675 DATE h 9~' RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DR'ELLINGS. ALSO, COMPLETE FOR TOR'NHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIItED FOR EACH DWELLING UNTf. OR'NER: L~ FEES SI7'E ADD S• ADD ON/REMODEL (E7IISTING $ 15.00 22 ~ ~IbJQotal CONSTRUCfION ONM AVAC: 0-100 M BTU 24•00 INSTALLER: L_ ADDITIONAL 50 M BTU 6.00 ADDRESS: , GAS OUTLEfS - MINIMiTM 1@ $3 EA. ZIP• SURCFiARGE $ so SIGNATuRE TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPI.hTE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII,DINGS WHEN SEPARATE PIItMTfS ARE NOT REQUIRED FOR EACH DWELLING UNTl'. WORK DESCRIPTION: CONTRACI' PRICE: FEES 1% OF CONTRACT FEE. ' STATE SURCHARGE IS $.50 FOR EACH $ $1,000 OF PERMTf FEE. PROCESSED PIPING - $25•00 $ hmvnKUM FEE • $25.00 OWNER: TOTAL: $ SITE ADDRESS: TENANT: SUTTE INSTALLER: ADDRFSS: CTfY: ZIP: PHONE CITY SIGNATURE: SIGNATURE: RESIDENT OWNER Name: /GZ -(r G tAl z ""e---c Phone: -C Address City Zip: 7('/ i/ e s Applicant is: Owner Contractor TYPE OF WORK Description of work: COW fit, i Construction Cost: 2 C 2CC Multi- Family Building: (Yes No CONTRACTOR 51 �c Z L C License ill Q� Name: (?-4//1/1 Address: f s h� City: ,Z1/4 /c State: Zip: c.5 Phone: 77 971 Contact Person: /9"`-712 lc a.._ e 5) COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer Water Contractor: Phone: NOTE: Plans and supporting the information may documents that you submit are considered to be public information. Portions of be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. City atkali Date: Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Name 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 6/j /f �C` if t Ct i» kLe „L. Sa' I hereby acknowledge that this information is complete and accurate; that the work w Eagan; that I understand this is not a permit, but only an application for a permit acco,rdance with the approved plan in the case of work which requires a review and Appli nt's Signature Use BLUE or BLACK Ink Fbr Office Use c Permit Permit Fee: /(r Date Received: CI Staff: Suite 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.orq onformance with the ordinances and codes of the City of and work not to start without a permit; that the work will be in proval of pl. ns. Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4699 Wildwood St Lot: 6 Block: 3 Addition: Oak Cliff Pond PID:10- 53575- 060 -03 Use: Description: Sub Type: Work Type: Description: Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 e- Fireplace Gas Fireplace (new) Contractor: Automatic Garage Door Fireplaces 8900 109th Ave N #100 Champlin MN 55316 (763) 571 -2525 Improvements to the home may requ concealing. PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to Carbon monoxide detectors are required by law in ALL single family homes. Owner: Marianne Clemens 4699 Wildwood St Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 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 EA092334 12/16/2009 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA121106 Date Issued:03/13/2014 Permit Category:ePermit Site Address: 4699 Wildwood St Lot:6 Block: 3 Addition: Oak Cliff Pond PID:10-53575-03-060 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Elizabeth Hess Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Marianne Clemens 4699 Wildwood St Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink �----------------- � For Office Use � ' j Permit#: �� j C�ty of�a�a� RECEIVED � ��,�� Permit Fee: � 3830 Pilot Knob Road �� 0 5 2Q1b Eagan MN 55122 j Date Received: j Phone:(651)675-5675 I I Fax:(651)675-5694 I Staff: I � �---------------G �� 2014 RESIDENTIAL BUILDING pFRnniT APp�ICATION � ,�� lD � �%1 !C� il�C�C� �S� �� Date: Site Address: � Unit#: _ �;�,�.6;; �/�(��" 1�.j A,, UL�'��- �Q�� T�� b �� i�� Name: l��l�� Phone: � �i ��Vlul��r�� , "� l Ij � � �� 'I�'��'�`'s��C1'� � ' (�( �/� (�� I'� �(� � �j� �,�� 7 � ��'�� _�' Address/Cit /Zi �V�l�1 Y U I ll{1 Y V V WI � / °�,�� L/ 1,1;6�Nm�1��6��'i�?!�yn�r � Y p' � �;� � � �� i� Applicant is: Owner �Contractor � � � � � � � �� =�;Ii� � �i n '�' '��I'�'�� '�� / � � � ��, � �,k ' Description of work: �� u,��,��'P� �' ' �� (� � �� ,,� �li� Construction Cost: JU E � � Multi-Family Building:(Yes /No ) �-�� u��y � �� 4?�I(�� '�U,�pIUi � �� Company: � Contact: � ; � ��'I'�� ' Address �� r/!��1� �V� City: �� ►^/V�.� � ��1�K.� �t1'�1'�� O � `, � �} �} r ( ;��; �HI��I��- � �1�1 �'.i''�►�� 1�..' �� L�aY ,'�� il',�,�,q �$y'�� r; State: Zip: Phone: iu'^,;,i� _ �;q � �� . [q�� { (� = � �:��W��I�� License#: �� J � Lead Certificate#: iV�� ✓'�� If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) , � � , � I �° ` �� COMPLETE THIS AREA ONLY IF CONSTRUCTI EW BUILDING In the last 12 months,has the City of Eagan issued a permit s�milar plan based on a master plan? _Yes _No If yes,date and address ster plan: Licensed Plumber: Phone: Mechanical ractor: Phone: er&Water Contractor: Phone: � '�? �°��rans� tr ''vrt�n �f4� - '" h� ''a��bmPt�xe��F�[�re"��3 ,� ,� , �N�, �� '�� ,i ��, „�4�!��of'__ ��'�I�I''I�,�"�''�''�m�'�� ,�;�� z�'�'''' '''��r�� ,� �- � —,��-��r�� r�,�� '��y �� '� ��—.�6�fl�l�� i'�� di��q �; a,�� V�, � "� i� _ _ �!��, �'hi � ��, — u�i m (�h��7.aa—, �� ,� �i � � � i�"i � 9 �_�I. .� � CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utiliry damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 approvai of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X �t»tJUo��V1 #�i�SS X �,/1,J1� Applicant's Printed Name Appli Si ure Page 1 of 3 �� ,,�� w�� S-� DO NOT WRITE BELOW THIS LINE �a-�CO� � SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) �Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ 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 mD Occupancy ��C--� MCES System Plan Review Code Edition ,t�b? SAC Units � (25%_ 100%� Zoning �� City Water — Census Code y Sy Stories — Booster Pump #of Units / Square Feet PRV " #of Buildings Length ' Fire Sprinklers Type of Construction � Width '— REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:Tlce&Water _Final PooL•_Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final � Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: ,Building Inspector RESIDENTIAL FEES Base Fee �3 � Surcharge Plan Review 9 MCES SAC City SAC Utility Connection Charge S�W Permit�Surcharge Treatment Plant Copies TOTAL Page 2 of 3