4710 Wildwood St
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• CASH RECEIPT
* f~,
CITY OF E~AGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECFi10~~• IVELj.
6' ~ ^ /
I
AMOVNT
& DOLLARS
loo
? CASH Q CHECK
Fpq
:
x
FUND OBJECT AMOUNT
Thank You
BY ~ f
wnite-Parom Copv
1', • • Yelbw-PostinB CoDY
Pink-Ffb Copy
BLDG. PERMIT NO. ...t,•', ' .
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm. ~ ~CJ
01-2155 Surcharge
~
75-3860 Road Unit
2p-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit 'I
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL
CITY OF EAGAN
3830 Pflot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PH ONE: 454-8100
. , BUILDING PERMIT Receipt # To be used for TOWA'HCU: L Est. Value 180,000 Date NOY 16 ,19 89
Site Address 471C W.I;.,USIt?U^ ST OFFICE USE ONLY
,._1
Lot 4 Block Sec/Sub. ~~•r~F ~Sd~; On Site Sewage Occupancy
MWCC System Zoning ~n
Parcel No. ~_h
On Site Well (Actual) Const
a Name ~RAYTr•FR CityWater (Allowabie)
z Address i•' 0POaf r 0 i PRV Required of Stories
3 Booster Pump Length JQ ~
°.c',ttY b i CL(lUU Phone 2 12-6262
OePth
, p ~fVame SA~ S.F. Total
~ Q Address Footprint S.F.
~ City Phone APPROVALS FEES
UCC Engr./Assess. Permit 4A•00
WW Name ~~~~y
Address Planner Surcharge 247.00
u~
Q W City Phone Council Ptan Review tO~J.~
Bldg. Off. SAG City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 5 50 • k) 0
intormation is Correct and agree to comply with all appliCable State of Water Conn. 550. 0c
Minnesota Statutes and City of Eagan Ordinances. b~ .0c.
Water Meter
Si9natureofPermittee RoadUnit 325.OL7
A Building Permit is issued to: rU=*A?Vi h6 Treatment P1 204. q0
on the express condition that all work shall be done in accordance with all
applicable State ot Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL
Building OFficial
CASH RECEIPT
~ M CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAIV, MIP1NE50TA 55122
DATE ~ 19
RECEIVED
F~
AMOUNT $
& DOLLARS
lro
? CASH -L1 CHECK
con .
i ,
FUND 06JECT AMOUNT
5-d--
Thank You
Bv
~
?
While-Payers Copy
YelloMr-PosGng Copy
Pink-Flle Copy
CITY OF EAGAN _
; 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454•8100
BUILDING PERMIT Receipt
To be used.for Est. Value *V'sOGU Date ,19 1-
Site Adoress 1,710 : I OFFICE USE ONLY
Lot " BloCk 2 SeC/Sub. •-1K Ci•iF~~ OnSiteSewage Occupancy
MWCC System x Zoning
Parcel No. On Stte Weu (Actual) Const
City Water ~ (Allowable)
oc Name EkRUTCBR CMFAttz L 5
z Address e~Y ~ PRV Required X ~ of Stories r~
a City ~T CUI~~' Phone Z5Z-5~'~•~ ~aster Pump Length
Depth
, o Name SA'(F. S.F. Total
~ Q Address Footprint S.F.
P City Phone APPROVALS FEES
a Engr./Assess. Permit
yVj W Name
~ W Planner Surcharge 4`"
Address 1? 7. Qp
~ W City Phone Council Plan Review
Bldg. Off. SAC, City 100 • CIO
I hereby acknowledge that I have read this application and state that the Variance _ SAC, MWCC 3%•Ov
information is correct and agree to comply with all applicable State of Water Conn. 5 w•M
Minnesota 5tatutes and City of Eagan Ordinances. 67.M
Water Meter Signature of Permittee Road Unit 7!12 3•
A Building Permit is issued to:- ' """iGt:'' ':QhPA.tI _ _ Treatment P1
_ _ 204•00
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. `,7 ).GO
Building Official TOTAL _
'
- _ ~ •
Permit No. Permit Holder Dats Telephone it
Plumbing 1, A~ ic i V
~ { ~ • ~i ~
H.v.ac. ,
,
Electric
Softener
Inapectlon Date Insp. Comm@Ilt8
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul. } IAO
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
' PERMIT #
MECHANICAL PERMIT RECEIPT #
• ' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: j=%x~ ~ ' 9
CONTRACT PRICE PHONE: 454-8100 i;
Site Address j-'`) ~ BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res New
~ Name Mult Add-on
Comm. Repair
~ Address
c City e Phone Other
FEES
~ Name RES. HVAC 0-100 M BTU -$24.00
c AddfeSS ~~e ADDITIONAL 50 M BTU - 6.00
= City 'd "'~~-Phona ~ - - - (RES. HYAC INCLUQESA/C ON NEW
CONSTRUCTION)
~ GA5 OUTLETS (MINIMUM - 1 PER PEHMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air 1 DO M BTU 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 SiC IF PERMIT PRICE GOES
Gas Piping Outlets # i BEYOND $1,000)
Other
FEE: 25.50
S/C: . 50 SIGNATURE OF PERMI
TOTAL• 26•00
FOR: CITY OF EAGAN
7
~ie~.'-,.. . . . - _ . . . . . . . . ....._..~_;.s.......,.. ,w.-.,,.._~s.. -til:..
PERMIT q
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address ' BLDG. TYPE WORK DESCRIPTION
Lot T B?ock SeciSub Res. , New
' ~ Mult. Add-on
~ Name , ; ` Comm. Repair
m Address Other
c Ciry Phone-" RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NQ FIXTURES TOTAL
Name I Water Closet -$3.00 $ ~
Bath Tubs - $3.00
3 Address -A-Lavatory - $3.00
p City Phone Shower - $3.00
/ Kitchen Sink - $3.00
FEES UrinallBidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$i 50
MINIMUM - RESIDENTIAL FEE - $12.U0 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 =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
Pnvate Disp. - $10.00
=Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STATES/C: ' , .
FOR: CITY OF EAGAN , GRAND TOTAL:
INSPECTI4N RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued: o. - ; 0t 104
(612) 681-4675
SITE ADDRESS: APPLICANT:
H7/o
PERMIT SUBTYPE: TYPE OF WORK:
,
INSPECTION .
r4
~I Q~J'.~ ' ' . .tr~,
i . .
fipl I I', AFt1 >.l 111t 1 Kt H i 01t kN.' t IM•1i. I Mii Ill i 1 1 1 11, 11 e11 1.i1FkF_
~ J
Permft No. Permit Holder Dste Te{ephone #
SM!
PLUMBING
HVAC
ELECTRIC 7'g' Q ~
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofirng
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Flnal Hlg.
Orsat Test
Final Plbg. Plbg. lnspector - Notiy Plumber
Const. Meter
EngrJPlan
BMg. Final
Deck Ftg.
Deck Final
weli
Pr. Disp.
E 19F 5 !T
T s n Iali
oF 7746 -<4 . Ack,141, . )Nsr ~ .
I
~ I
~ (Itrti#iratp of Orrupttnry
, Citp of olagan ,
pppal"tIlPltf of llt~btng jwPtttDlt `
t
This Certificale issued pursuant to the requirernents of Secdon 306 ojthe Untform Building
Code cenifying ihat at the time of issuance this structtere was in compliance wit/r !he mrious
r
ordinances of the City regulating building construction or use. For the following:
t1x classifialtion OTOWNHOUSF, mae. Ftrmtc No. 1 S$67-_
0-„in-r Type R3 /M 1 Zon;ng Dkcwo PD rym ConsL Vid
Ownff orB,,;dn BRUTGER COMPANIES Ad&,.P.0. BO% 399, ST. CLOUD
BuM Addrm 4710 WILDWOOD STREET~litYL4, B2, OAK CLIFF POND
,
;
MARCH 10, 1989
Bu'
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Permit Nor Date: 12 / 2/ 88
3830 Pilot.Kreb Road Meter No: ~!a 9~c Size: 0
P.O. Box 21199 , er No: ~;L Vs-59 Date: ~
Eagan, MN 55121
Owner. xRrTTGF!t ^nHF,z;, ~ i:S
Site Address: &71t1 4dZ i.nwocln ST _ - L4. B2 . GA'C :;itFF POND
Plumber. ni.z'ognttTN P .R(;
Conn. Chg: $5 50-00 pd Zoning:
Acct Dep: 1 5_cxt pd No. of Units: ~
PermN Fea ' 0- 00 .._pd
Surcharge: Sn Tt' I agree to comply with the City ol Eagan
Tr. Plant 204 _ 00 ; d Ordina es.
Meter. A7 _ nn nd
MISC.: oRV 4F.(~111 RF.I1 g
WATER SERViCE PE M1T
~ a
CiTll OF EAGAK Permit Na Date: '
3830-134ot Knob Road B/p No: ` Date: 11: . b P.O. Box 21199
~
Eagan, MN 55121
' 1s:;..1.
Owner. f)AK Site Address: ~ ' • , , .
Plumber: `L1710-1-4 DLBG
$550.00 pd
MWCC; Zoning. -
City Chg: ~ OL' ~ No. of Units: S
Acct Dep: 00 pd
Permit Fee: 10.00 pd I agree to comply wfth the City o1 Eagan
. T) Ordinances.
Surcharge:, , - -
- . _
Misc.: gy
SEWER SERVICE PERMiT
. R-
CITY OF EAGAN Permit No:
Date: ~
3830 Pilot Sfnob Road Meter No: Size: P.O. Box 21199 + Reader No: Date:
, Eagan, MN 55121
Owner. ~::i: LOMPANIES
' Site Address: 7 I0 idILD[+TLNJD S'I. , 1,4. R2 , Ql4K -C ,
Plumber k'I PL13G
' Conn. Chg: od Zoning: PD ~
Acct Dep: d No. oi Units:
Permit Fee: ' ~za
Surcharge: jY d 1 agree to comply with the City o1 Eagan
Tr. Plant J4 ~ Ordinances. I
Meter. `~7.(14 pd
Misc.: a• p• .s" c°, By
~ WATER SERYICE PERNIIT
F
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 No 1rj86 i
BUILDING PERMIT PHONE:454-8700 Receipt # / ~q//ry2
To 6e used for TOWNHOOSE Est. Value $80, 000 Date NOV 16 ,1988-
Site Address 4710 WIL?WOOD ST OFFICE USE ONLY
Lot k Block Z Sec/Sub. OAK CLIFF POND On Site Sewage _ Occupancy R-3 M-1
MWCC System X Zoning PD
ParCelNo. . OnSiteWell _ (ACtuapConst V-N
z Name BRUTGER COMPANIES Ciry Water _]L_ (Allowable) V-N
w PRV Requiretl x # of Stories
; Address P 0 SoX 399
0 City ST CLOUD Phone 252-6262 eooster Pump _ Length 39'
Depth 661
, o Name SE1ME S.F.7otal
~ Q Addre55 Footprint S.F.
¢ City Phone pppROVALS FEES
~a - Engr./ASSess. Permit 494.00
W Name 40.00
_i Planner Sumharge
i~ Address 247.00
aw City Phone Council PlanReview 1~0.~0
Bldg. Off. SAC, City
I here6y acknowledge that I have read this applicalion antl slate that ihe Variance SAC, MWCC $50.00
infoimation is correct and agree lo comply with all pl' able State ot WaterConn. $50.00
Minnesota Statutes and Cit n Ordin Water Meier 67.00
Signature of Permittee Roatl Unit _395_ 00
A Building Permit is issue to: R TG 9MPANIES Treatment P1 204. n0
on the express condition that all work shall be done in accordance with a II
epplicable State of Minnesota Staiutes and City oi Eagan Ordinances. Parks
Building ONicial --'-I `t TOTAL 2,577.00
l~}~~LA~
! !
REQUEST FOR ELECTRICAL INSPECTION ~ e^e-ooooi-oa
~ See inStrudions lor wmpleting Ihis fom on beck oi yellow copy.
66782
X" Be`bw Work Covered by This Request
eAdd Rep. TypeofBUilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. BUilding Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Gondi[ioner Md kW ~
Other (specity) Coniracror's Remarks:
Gbm ute Inspection Fee Be/ow:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above200_Amps Abov 0_Amps
SiJnS InspecbrS Use Only- TOTAL
Irrigation Booms
Special Inspection '
Alarm/Communication THIS INSTALLATION MAV BE O E ISCONNECTED IF NOT
Other Fee COMPLETED W 78 M
I, the Elechical Inspector, hereby Rou9n-m oalea 7
certify that the above inspection has Tn-, 47 oaie-
been made.
OFFICE USE ONLY
This request wid 18 monlhs fmm
, ~11aj01E' J~9S~f s
~ 6 2 5 3 5 xk 0&. oj
Request Dele . ' - Fire No. Raugh= / Spactian
ill Notiy Inspeclw
RaquireE4 ? Ready Now
'ie
es ? No When Haedy9
I licensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 Address (Slreat, Box or Route No.) I Ciry
f-T 9I9C.-
Sectbn No. Township Name a No. Rage No. I Coumy
oN ~ ~ oOnj. 7)AO 774'
Occupartl(PRINn Phone No.
Id" Tr".'a- C&Y" P,#AjlES ~?sa - 2G y-
Power Supplier Atltlress I
`1>Ff G I L IP'iZ~yJ i n1G
ElecVicel CoMractw (Compeny Name) ConVxxarS License No.
' cYX ti" '
Maling Addreas (Cmireclor or Owner Making Installetion) ~ .
0 Y 1
AulhonzeE Signature ( mractorlOaner Meking Instal tlon) ' I Phone Number
o -3s's ~
MINNESOTA TE BOAHU OF ELECT TY iH13 INSPECTIDN REQUEST WILL NOT
GrIgBmMiCway Bltlg. - qoom S773 BE ACCEPTEO BY THE STATE BOHRO
1821 Univerelly Ave., St. Poui, MN 55109 UNLESS PROPEF INSPECTION FEE IS
Phone (812) 812-0800 ENCLOS D.
REQUEST POR ELECTRICAI: INSPECTION ee-00001-07
? Sae inswctions in completing ihis (orm oq back of ye0aw capy.
~6 2 5 3~ X" Below Work Covered by This Request
ew Add Rep. Type of Building AppliancesWired EquipmarrtWired
Home Range Temporary Service
Duplex Water Heater ~ Electric Heating
Apt. Building Dryer 01her (Specify)
Comm./Industrial Furnace ~
Farm ' Air Conditioner 'I
Other (apecity) Convactor5 Remarks: .
Compute Inspection Fee Be/ow:
# Other Fee # ServiceEniranceSize Fee # CircuiWFeedars Fee
Swimming Pool 0 to 200 Amps J,r 'r 0 to mps y!
Transformers Above200_Amps Ah~Amps (o ~
Signs Inspeclors Usa Only: TOTAL ~
Irtiga6on Booms
Speciallnspection
Alarm/Communication '
i
Other Fee
I, the EleqriC81 InSpBCtor, hereby Rough-in . r Date/
Certify thdt the abOVe inSp2Ction h8s Flnal Oat ~ O`
been made.
OPflCE USE ONLY I
Thi4 requ&st vuitl 18 manihs (rom . I
6 8 2
M
Request Dale Fire No. RouBh nspec[ion NOTICE: Vou MustCall Eledlical InsOeclor
RequireG? 1! A Rough-M Inspection
il;l~ p N. Is Requiretl.
I censed contractor ? owner hereby request inspection of above electrical work at:
Job Address (SVaet, Box or Routa No.) Ciry
`A`I 10 u J ~O
Section No. Township Name or No. Rarge No. Counry
Occuprint (PqINT) Phone po.
m S~~.t-~elo~-
Pawer Supplier Address
Electrical Contmcmr (Compeny Name) Con~rac[or5 License No.
~ cf~
Meiling Atldreas (~COn(ttaclor ar Owner Making Installe[ion)
Authorizetl Signature (ConVaclor/Ow Maki Inslallation Phone Number
- a~
MINNESOTA STA1E BOAHD OF ELECTfi1CRY THIS INSPECTION FEQUEST WILL NOT
G/iggs-MlEway Bltlg. - Poom 5-1n BE ACCEPTED BV THE STATE 60ARD
1821 Univeratty Ave., St. Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Phone (612) 6120800 ENIXASED.
• PW'
1988 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 15 $ ~ fl
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WFIICH 6DDRESS
IS DESIAED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PEAMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS 7- # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH BLDG. DEPT.t
1 SET OF ENERGY CALCULATIONS
CONAIERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLAPIS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALWLATIONS
zo se Used For: P,rF-sX 0a.?1TIa.- Valuation: O 000~' Date: I I- y- E3 8
Site Address 4 7 G p W l LOw o a p~ OFFICE USE ONLY
Lot 4 Block 2 On site sewage Occupancy
MWCC system ? Zoning PD
Parcel/Sub O,o.IG LW'FF '{?pOp On site well _ Actual Const
City water Allowable V•r.~
Owner '(3 2 jTG IL 2 Cv MppM l IES PRV required jLoo' # of stories
Booster Pump _ Length
Address P, O. 3 ox ~3 9°I Depth
S.F. Total
City/Zip Code S'j CLo VO P^ N 15(i30Z Footprint S.F.
Phone Co P Z- Z S Z-CoZ b Z APPAOVALS FEES
Contractor 5 ~t`^• Engr/Assess Permit ~fqy,oa
o
Planner Surcharge H0,0
Address Couneil Plan Review 2w}.00
Hldg. Off. ~y~li/j4SAC, City IoO.oO
City/Zip Code Variance SAC, MWCC 00O
Water Conn p.oo
Phone Water Meter 6 .Op
Road Unit 325, 00
Arch./Engr. L42o.P14+G L7Tt.514f.~ Treatment,'Pl oa
Parks
Address ?2-p E~LkSj "RIPJ ST Copies
1 TOTAL
City/Zip Code laNdLA
Phone
~ ~ 1l' AL tn /a~`R o rJ ~
Grti~2
s , • ,
Za x2"L = L-{~to
~/60
L-!n
3t ~c ko
r 2ro
~ X 2- =
d~-
~346 X4q - ~stis~l
^n ,
I ROGER H. OLSON I
flHAL ESiqTE DEVELOPMENT OFfICeR I
BRUTGER COMPqryIES. INC,
ONE SUNWOOO DRIVE I
P.O. BO% 999 I
SAINT CLOUD, MN 56302 I
TEI. (8121 252-6282 I
~ I
A 0.
A
~ 494•OU+
~ 40•UU+ ~
247•00+ I
1179G•UU+
2,577•00*
~ CITY'OF EAGAN PERMIT PERMIT TYPE:
3830 Pilot Knob Road g u:c t.. D i MG
Eagan, Minnesota 55123 Permit Number: 022887
(612) 681-4675 Date Issued: 02/01 /9y
SITE ADDRESS:
4710 wri.Dwnnn sr
LOT: 9 BLOCK: 2
ONK CLZFF POND
P.T.N.e 10-53575-040-02
DESCRIPTION:
Bdd din~--P.ermit Typa BASEMENT FINISII
,Ou32ding' WcY1rk. T'YPe Al.7FRH'T'IUN
~
~~~F~3~~
REMARKS:
SEPARATE PERMITS ARE REQUIR[p FOR ANY PLUMBINf OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge .50
Total Fee $85,60
CONTRACTOR: - Applicant - s-r. Lzc. OWNER:
HOME ENHAIVCERS INC 18896106 0801949 KWIATKQWSKI MIKE
8609 LYNUALE AVE S 201 4710 WT.LDWOOD ST
BLpOMINGTON MN 55420 EA6AN mN 55123
(512) 884-61.06 (612)895-1830
I Neroby aeknnwledge that I havs read this ap{?licaCian and state that the
information is eaxeect arrd agrae ta ecrrrrpLy with a12 app2i:cable 5tatiR af Mn.
~ Statwtes and' GiCy Eagan Ckrdinancss. ~
1
r=1(}Ufl ~31(~,.1 111.,lJ
APPLICAN lPERMI E SIGNATURE - ISSUED Y: GNATURE ~L
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: Su T 10 N c
3830 Pilot Knob Road Permit Number: 0 2 2 8 S 7
Eagan, Minnesota 55123 Date Issued: 0 2/ B 1 f 9 4
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 4 BLOCK: 2
4710 WILDWOOU 5'i HpME ENHANCERS INC
OAK CLIfiF POND (612) 884-6106
PERMIT SUBTYPE: TYPE OF WORK:
BASEh1ENT FINISH ALTERR7ION
INSPECTION .
FRAMIN6 INSULATION
ROUGH IN PLBG FINAL
REMARKSa SEPARATE PERMITS ARE 12EQUIRED FOR ANY PLUMBING QR ELEC7'RICAL WORK
F
~
L
CITY OF EAGAN L ~
1994 BUILDING PERMIT APPLICATION
5 5D
681-4675 G-~ LQ ~t~,~ V
~
JAN 2 6 1.094
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, copy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date /Co/ Valuation of work ~ I
Site Address: Li 7(o C..f~~q-uI ao4~ Sk.
STREET SUI7E #
Tenant Name: (commercial only)
LOT 4- BIACK SIIBD. C".1 /~~e ) P.I.D. #
ft,~. tX '7~ur~GC~
Descri tion of work: Smt
The applicant is: ? Owner ? Contractor ? Otllel' (Deacribe)
Name rif.~~ ~ Kuw s [c; • /V 'k Phone
Property LAS, FIRST
Owner qddress ~)(U u4
STREET STE #
City State Z i p ~.l 1 23
Company EV4 r r-~--e-~~ Phone
Contractor Address 4 Li eC nse # ~ 9y~1 Exp, 3-5~
City State • Z i p
Architect/ Company Phone
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comp] ith all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: 62
^
OFFICE USE ONLY
,
»
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Ouplex ? 11 Apt./Lodging k 16Basement Finish
? 02 SF Dwg. ? 07 4-P7ex ? 12 Multi. Misc. 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 5F Porch ? 09 12-Plex ? 14 fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New ~ 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL 1NFORMATION
Const. (Actual) Basement sq. ft. ~ MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning 5q. Ft. tatal Boaster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code is
Depth On-site sewage SAC Code -0/
Census Bldg /
APPROVALS Census Unit OP
Planning Building Assessments
Engineering Uariance
REQUIRED lNSPECTIONS
?.Site O Footing El Framing 0 Insulation
? Wallboard p'Final ? Draintile ? Fireplace
Permit Fee v.iuacim: g
5urcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC 96
SAC Units
A P F L I CA T I O N 1= Q R P E R M IT ~NOTE= pA3TIEIP OF FEE AT TIME OF t
. ; nerLIcaTTOrr nM rxrr cocr ;
s SPI1VfE APPRCiJAi. OF PIIiFIIT.
i ~
~ SEWER AND/OR WATER CONNECTIDN INSPEGI`ION OF SE4m Am/OIt WATIIt
INSPALT.ATIO[YS WII.L NOT 8E SCIDUI.FD ~
, • ~ UNPIL PERMIT F3FlS BEFId ApPROVID. k
\ Y t e~+~~e+ext+wa,rrr~xa3x~rr+~wxea+w*watik
tCs p '
dtV or `co6~an
( PL,EASE P ZNT
i) PROPERTY AODRESS: 1-7I0 W i ~ LJ O~rI.
r,Fr;Ar• DFSCRIPTION: i C~~~1
-TLot7B~oc-7cTu~~ir~vli sion or ~ Parcel ID )
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BDILDING PFI2MIT ISSUANCE:
Nbnt Year
PRESENT ZONING/PROPOSID U5E:
Q CONA7fl2CIAL/RETAIL/OFFICE I=,-tR-1 SINGLE FAMILY
Q INDL'STRIAL ~ R-2 DOPLEX (TWO Cnits)
Q INSTIT9UTIONAL/GOVEE2NMENP ~ R-3 TOWNHOGSE (Three + C'nits) ( Units)
Q R-4 APARTMENT/CODIDOMINIOM ( L'nits)
2) NAN1E' Sr ~OvwnOi?C`a
ADDRESS: 01ic ~"p~iJ W 2CJ .U 7 N
CITY, STATE. ZIP: C'L
PHONE: 25 Z- 6 .1la Z
~ For City Use
3) i ii: o+' NAME: / ~ U.4-k P Plumbers License:
Active
ADDRESS: U 2 04` .g La. A/. Ecpired
CITY, STATE, ZIP: /Ylpp (L &?uGt.C, a, Not recordec
PHONE: yl~j3 - }y1y! MASTII2 LICENSE # `t/ :~Lp(Er
- = Staf Initia
4) NF1ME: AS Q0
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) s d a~r •~u .iat
[:I,eOIVIg1CTION TO CITY SEWER EQ.20TlNECTION 'IC) CITY WATEF2 O OTHER
6) memsm:r~ 17w
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n* TflE GOLD COPX OF THE pII2MIT WILL BE SEDIP DIRECI'LY DO PUBI,IC WORKS 10 FACILITATE METII2 PIQC-LTP.
* PI,EASE ALIAW 'IWA hDRKING DAYS FOR PROCESSING. SONJEONE EROM Tfo CITY WILL CONPACT YOU IF TY3QtE ;
* ARE ANY PROSLENLS. ;
~**~**********r*+***Y*+*~*********~***~**x**~~*,r*~****~**~*~**~~*«~*~~~~*~~~~«~~~~**~******+***~*~*;
FOR CITY IJSE ONLY .
PERMIT # ISSC'ED
Pd w/Bldg. Permit FEES:
~L
SEWER PERMIT (INCLL'DE SURCHARGE)
$ $ WATER PERMIT (INCLQDE SPRCHARGE)
$ / $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ f ~ ACCODNT DEPOSIT - SEWER
i
$ ACCOQNT DEPpSIT - WATER
$ WAC
$ L ~Z` s sac
$ $ TRONK WATER ASSESSMENT
S S TRQNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRIINK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ 26 ! $ WATER TREATMENT PLANT S[:RCHARGE
$ $ OTHER:
$ I ~ 7 TOTAL
~C"f/ 7cJ
RECEIPT RECEIPT i
DOES UTILITY CONNECTION REQDIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL'BLIC
~ ROADWAY" MDST BE ISSCED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SL'BJECT TO THE FOLLOWING CONDITIONS:
APPROVED gy; r~-
TITLE:
DATE: /-;~'Ild
L~'~
December 2, 1988
PLYMOUTH PLUMHING
9290 ZACHARY LN N ~~~W?t.~°ir.~~
MAPLE GROVE, MN 55369 t~
RE: 3581 ASHBURY RD., L28? B3, BLACKIiAWK GLEN 2ND
4710 WILDWOOD ST., L4, B2, OAK CLIFF POND
WARNING: BEFORE DIGGING9 CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC9 G9S,
ETC. - REQUIRED BY LAW
XX Your Sewer and Water Permit for the above property has been completed.
It will be held at the Public Works Garage (3501 Coachman Road) until
the meter is picked up. BE SURE TO CALL Pi1BLIC WORKS (454-5220) FOR
YOUR PERMANENT WATER TURN ON.
_ Your Sewer and Water Permit for the above property cannot be completed
for the following reasons:
_ Your Sewer and Water Permit for the above property has been completed,
however, the meter cannot be issued or occupancy allowed until further
notice.
COMAERCIAL PROJECTS ONLY
_ Your Sewer and Water Permit for the above property has been- completed.
It will be held at the Publie Works Garage (3501 Coaehman Road) until
the meter is picked up.
Please come to City Hall to pay for whatever size meter you will need
for this project. The size must be confirmed by either our Public Works
Dep£. (454-5220) or Bill Adams (Plumbing Inspector - 454-8100) before
issuance.
S erely,
~i~?~ ~2.~e
an Severson
Secretary
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#
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA112133
Date Issued:07/30/2013
Permit Category:ePermit
Site Address: 4710 Wildwood St
Lot:4 Block: 2 Addition: Oak Cliff Pond
PID:10-53575-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Renae Frienwald
2200 Hwy 13 W
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brian T Brakke
4710 Wildwood St
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r------------------
I For Office Use I
Win Permit 1
City of EaV ~s
Permit Fee. 1 J. I
3830 Pilot Knob Road 1 I
Eagan MN 55122 Date Received: ;
Phone: (651) 675-5675 I /y~ 1
Fax: (651) 675-5694 I Staff: /Y? 1
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: _ q i Lo UJ- dJ u cc~ St Unit
Name: kf) 1; I,a-r\ Phone:
Resident/ y`
Owner Address /City /Zip: c~W0~a~-~ , Mo~1
Applicant is: Owner '/contractor
Type of Work Description of work.
Construction Cost: Multi-Family Building: (Yes / Nok )
Company: Contact:
1
-
Address: City: AQQA
Contractor state: M Vy Zip: Phone: 9S -
License (am Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must b pleted within 180
days of permit issuance.
j ,
x x
Applicant's Printed Name Applicant's Signature
Page 1 of 3