1916 Timber Wolf Tr NPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128861
Date Issued:12/11/2014
Permit Category:ePermit
Site Address: 1916 Timber Wolf Tr N
Lot:24 Block: 2 Addition: Sun Cliff 1st
PID:10-72975-02-240
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Theodros Tesfaye
1916 Timber Wolf Tr N
Eagan MN 55122
(612) 227-2216
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
CITY G. _,:~.GAN WATER SERVICE PERMtT
3830 Pile. .~nob Roed
P. O:'Box 211&9 ' PERMIT NO.:
Eagen, MN 55121 D/1TE: -
Zoninp: ~ No. of Units: I .
Ownsr: ~'iets~l?
Addra":
Site /lddreax i;2 SuncI.iff 1
Plumber. 71 Meter No.: ~ - - ~,Qory~ein Chorpe: 50f~ . Oi~pd
51ze: `r % " ~ ; - ~'?coount Deposit: ~t~
,
Reoder No.: ~ Permit Fee: 1,,.00
,5n
1olm !o . +?qli 1M City of Eo"e Surcharye:
oediMna.a. Mlse. Cho?aes: I32. G:1pd 5/C
TotoL• F~'i _ ~Ond rneter
BY Uate Paid:
Date of I ,L'S fL,S Irqp.:
CITY OF EAGAN SEWER SERYICE PERMR
383(1 Pilot'Knob Road ~ -
P. O. 8ox 21199 PERMIT NO.:
Eagan, MN 55121 D/1TE: '
Zonlnp: ! No. of Unlts: 1
Owner: i~t~c~!; L.
Addresx
SitE AddfE55: 1916 ir. T.)1} -122
Plumber.
3177 ; .00gd
1 ym ta e"oy wieh !IM Ci1p ef Eaoo. Conneoton G1+orpe: 425 .0t} d
Ordis.nen. Acaount Depoait: C, "
Pertnit FN:
Surchorpe:
'Bv Mfac. Chorqex
Date of Inap.: Total:
; Insp.: DoM Poid:
' - - - - - _ _ _
?
CASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
RECEIVED
RROM
AMOUNT $ I
DOLLAR3
ioo
~ CASH ~ CHECK
R.OR
~
FUND CODE AMOUNT
/
/ l~. .
IV/
~
ol ' . ~
~ ~ Than BY
White-Payers Copy
Yellow-Pasting Copy
Pink-File CopY
0 v CASFi RECEIPT ~
rCITY 4F EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
REC6IVCD FROM AMOUNT $ I
ee DOLLARS
~ee
? CASH [J-C.FiECK
FOR
V
FUNO LODfi AMOUNT
Thank u
~
8Y
White-Payers CoPY
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN nC
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1~! ?
~ PHONE: 454-8100
BUILDING PERMIT Receipt #
Te be wed Mr S f' DWC;/G11R Est. Volue $ 61, ~(','l") Date APR T L
~
Site Address 1915 TIf1BFR1q0LF TR. Erect ? X Occupancy n:i
Lot 74 Block_ 1 Sec/Sub. SITNCL7 ;"F 1:T Alter rti
10-72975-140-(lI O Zoning ~1 ~
Percel No, Repoir ? Fire Zone
Enlcrpe ? Type of Const. V
ac Name & CY"i'f! TA 1nONLFOR7:'T{ Move
? # Stories
Z ? r~ 1-1 '^+ASTT9l1R1~ AVF:. S(~.
Address Demolish ? Length
° City T('14 F' 1''JP Phone 861-6199 Grode
? Depth Sq. Ft.
oc MCf'T Yti CONST. INC, Approvals Faes
,o Name
ou Address 3 n2?Fl ST.'.^2 , Assessment Permit ' 4 U
U~ _'I,!,; VA". Phone 432-4298 Wote?B~Sew. Surcharge j0•S0
r City
Police Pian check 15$.00
bw W Narr?e r2'r.~ ~ h t'-~ Fi re SAC 1) 2 5. 0 4
FW
x~ Address Eny. Woter Conn. 410 . OQ
~ W City Phone Plonner Water MeYer (3.00
Countil Road Unit `-2 f 0 , (1; 1)
I hereby acknowledge thot I hove read this opplication and stote that gldg. Off.
the intormation is correct and cgree to comply with oll opplicable APC Totol
State of Minnesota Stotutes and CFty of Eagun Ordinonces.
Sipnoture of Permittea
/1 Building Permit Is issued to: on the ezpress condition thm
all work sholl be done in acc4danCe with oll upplicable 5tate o#-AAinnesoto Statutes and Ciry of Ea9nn Ordinances.
Buildinq Offlciol Jk• I ( 1
PT~
0
_
Z
~ ull
pq
a ~
, ~
i V)
~
• „ _
U
` ~ 4 J G
it ~
~
r
a tNIA
21,
v
c Ci 3 ~ u o ° 'g ~ ~
;p Q ~ ~ ~ .~g+~ ao o > = 0 >
~ m ~ ~ ma r " C L L m d = ~
W ai O 7 ~ ? j a C C C W m @~ G
6 C LL {L U. ~ 0 c
{L IL tL ~ fA d
i. -
CITY OF EAGAN T 11 "F'2
• 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagsn, MN 55121
PHONE: 454-8100
BUILDING PERMIT Rece+a+ #
To M wna Fw Est. Val ue r ~ • v '.Dcte - . 19 •"J
~ . . ' L . . . Erect 0 OccupencY
Sita Addrett
Lot i Blcek ~c/Sub. " . Remodel ? 2oning '
Rspair ? Type of Const. Percal No.
Enlarge ? No. Storias
Mova Lsn9th
W Name J Demolish ? Depth
~ Addresa ~ _ . . r , . _ . d . ` Grade ? Sq. Ft.
435
City Phone 4'i Install cl
yi, N j,, Appeeweh FNs
~ Name u Assessment Permit
Addrest
City Phone Water 6 Sew. Surchorye
Poliu Plan Review
Neme Firo SAC
~W
Address Enp. Wabr Conn. -300s010
0:W City Phone Plonner Woter AAeter ~3 ~ OQ
CountH Rood Unit
I hercby ackrowlodps that I haw road this opplitation ond stote thot g~d9, pry, - • /~1. v U
the inlormation is correct and ogree to comply with cll applicable APC Total '
Stab of Minnesota Stotutes ond Ciry of Eayan Ordinonces.
Var. Dats
Slqnoturo of Pem+ittso .
77 ( , , ~
~ . IN i: tM • condltlo~ ~ho~
Buildinq Pem~it is issusd to: on xW'est
dl worlc sholl be done in acoordance with 411 applioable Stgft of Minnesota Stotubs ond Gry of Eapan Ordinanus.
Buildinp Offkid - "
Permit No. Pwmk HoldK Dob TeW hone ~
~unibing 3 c M - .D 4 YA-3-4-23
H.VA,.C.
Ehctric
Sottener
Impsetion Date InfP• Qthe?
Foot~ngs
Foundstion ~
Framinp LA)
Roo/iny
Rouoh Plbp.
Rouah HVA
InwljPIbg.
Finat Flnat HVAC
F{nal
c..voce.
w.a. o.wie. Loc.tion:
rwu
s.w..
v.. uisp.
~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
470 A5041NNX- ~ , .
PERMIT SUBTYPE: TYPE OF WORK:
. . . ~ ~ ~ :
INSPECTION D. . .A
fi!.
l--
~
~ -
~
Permit No. Perm Holder Date Telephona N
ELECTRIC
PLUMBING
HVAC
InspecGon Date Insp. Comments
FOOTiNGS
FOUND
dA,
FRAMING
~
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATINO
~
` GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIF TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
~
BSMT R.I.
BSMT FINAL
DECK FfG ~
DECK FINAL I
' I
~
CITY OF EAGAN Remarks J~JD Z l 6 'r -
Addition SUN CLIFP 1ST Lot 24 Rik Z Parcel 10-72975-240-02
Owner: r-'~" ?,r~ ,•/t~~<~,1K, Street~_16 i~i. Ti~erwc~If Trail State EAGl1N IrIIV 55122
Improvement Date 22030.40 mount Annual Years ° Payment Fieceipt Date
STREET SURF. 16 1 9 69.01
-
STREETRESTOR. I9$1 203.04 1~ 1015.20 C010
GRADING
SAN SEW TRUNK 197 76,54 $ colo534
--g
SEWER LATERAL 2qZ -g
• 4 1981 7 -
WATERMAIN
• WATER LATERAL 1981 10
WATER AREA 2-p -8
STORM SEW TRK 1971 322.29 16.11 20 010 --g
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit 280.00 51770 5/17/85
WATER CONN. 500.00 11 11
SUILDING PER, 10239
sAC 525.00
PARK
24L- 3 2 4 ~ OFFl E U E ONLV This reqvesf wid 18 months from mlidonon dab printed in this box. ~
2910 .~"/loU
PLEASE PRINT OR TYPE
keqoesf Dok Rough-in Insp«tian oired2 Yee ~ No speclion Other Thon Rough-In: 0 Ready Naw WHI Coll
12 - - 3 ~Yoo mosl mll ihe inspeaor wh dy~ Doh Ready:
I, license controdor ? owner hereby request inspedion o{ ihe a6ove eleclrical wark at:
Job Fddrese (Sheel, BaR, or Ne o.~ Clry Zip Code
SMion No. Township Noma or No. Rarge No. Fire No. Coeiy
/1 O
~w ~.r.r~
0¢uponl ~ Phane No. _
5
PowarSvpplier Mdress
EI I Conhu r(CO any ame) Convacfor Licrose No. Masror Lic Na ~Plam Elect Only)
~
ailirg onlmqor.or er P rfarrping InzlollaNo
/ D
Authonzed Signatun (Contmdor or 070 Pe I g InslalbMOn) PFwrw No.
. ~ 'fsKtJ
EB-UWwIA-106/95 ATEBOAIiDCOPY-SEEIN6TXUCTONSONBACKOFVELL COPY
II~I I II II I IIII IIIII RE9UEST FOR ELECTRICAL INSPECTION
Minnesota State Board ot ElecVicity
I~ 1821 University Ave., Rm. -1 8, St. Paul, MN 55104 -
* 0 2 4 2 3- 2 4 j 2 s Pnona (siz> saz-oeoo /~y'(~
1 Hame Duplex Apf. Bldg. -..o... New Addn
Cammerciul Indushial Fartn Remod Re air
A[r Cond. Hfg. Equip. Wafer Hfr. Load Mgmt. Ofhec
D er Ran e Elec. Heat Tem . Service
"X" abrne fhe work covered by this requEsL Enfer remurks in fhis spoce and on fhe back oi ffie white copy only.
Calculate InspecYion Fee - ihis Inspecfion Request will not be accepted withouf Ihe cortecf fee:
Olher Fee # Service EMranae 5¢e Fee ffi Ciraiils/Feeders Fee
Mobile Hame Park Stall 0 to 200 Amps 0 to 100 Amps , OCJ
Sfreet Ltg./Troffic Sig. Above 200 Amps Above 100 Amps
TronsformedGenemfor INSPECTOR'S USE ONLY TOT L
$ign/Ou}line Ltg. Xfmr. v
Alartn/Remoie Con}rol ~V u
$wimming Pool i hereb ~m iMt i im ened the ektldml' henin an the dabs smfed
Irrigation Boom yqugh.[~ po
$pecial Inspedion ~ P
F,~1 D. -a3 y~
Investigotive Fee
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
' CITY OF EAGAN N° 1 D 2 3 9
' 3830 Pilot Krrob Road, P.O. Box 21-199, Eagan, MN 55721
~
BUILDING PERMIT PHONE: 454-8100 Race1pt # -7')L)
To M uwd fer SF DWG/GAR Esr. Vnlue $59,000 pO1e MAY 17 1985
si<enddress 1916 NO TIMBERWOLF TR erect m oca,Pency R3
Lot 24 Block 2 ~ec/Sub. SUN CLIFF 1 Remodel ? Zoning RI
Repafr ? l`ype af Conrt. V
Parcel No. Enlarge ? Na. Stories
PIETSCA CONSTRUCTION CO Move ? Length 58
W Name Demaliah ? DaPth Z¢
~ Address 17525 ISLETON AVE Grode ? Sq. Ft.
City EAGAN phone 435-6445 Inztall O
Apprevab Feet
o tuame SAME 10.0C
~ Assessment Permit
Addresa
~ ciri Pnone WaMr E Sew. Surchorpe 29 . 5(
Police wan Review155sOC
W Name - Firo $AG 525_0(
. uG " A~~ Enp. Water Conn. ` 0 0. 0 Q
06 w Chy Phone Plonnar WmerMeter_- 63.0 C
Cqundl Road Unit- 280.OC
I hereby acknowled9a that I hova read this opplication and stcte thnt Bldg. Off. 5 17 85 T. P. 13-2, d O
tha inlormotion is corcect and ogree fo comOlY with all appHcable APC Total
Stote of Minnesmo Stotutes ond Ciry of Eogan ironces• Var. Date
Siprwturc of Permittas
A Buildinq Permit la issued ro: PIETSCH CONSTRUCTION CO m the expren corditlon tMi
oll work shall be done in accordanee with ppli ble Sta ~newm Stotutes and Clry of Ecqan Ordiwncea.
Buildinp Offieial
REQUEST FOR ELECTRICQL INS.IUCTION eB-oooo/i-oa
' See inst1uctions (or campletiM this form on back of yellow copy.
~ "'R"" Below Work Covered by This Request tr•
A
3 ]i~ :
Add RaO. Type of 9uilding Appliancea Wirod Equipment Wir¢d
Home Range 7emporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldy. Furnace Silo lJnloader
Industrial Bldg. Air Conditioner 8ulk Milk Tank
Farm Othei ueafy Ot her (SDeclry)
71her SuccifY Other Other
Compute Inspection Fee Below
N Fee ServiceEMrenceSize g Fee Feaders/Subfeetlers p Fee Circuits
Uto200qm s 0 t030Ams Oto3DAm s
31 to 100 Am s
A6ove 200 qmps 31 to 100 Amg
Swinuning Pool Above 100Above 100_Am s
ransformer5 Irri ation BooPartiaL'Other Fee
T
SiSpeciallnspTOT fE^
Aemarks r 3~
RouBh-in ~~1e I,the ieal
sPacto., ha.aby
'ertiiy that lhe abave
Final e~ inspecfion hes been
l 4 meee.
lrhi9 mquest vaid 18 monltie irom
? 4
0° *
310•00+
29•50+
155•OD+
525 ° 00 +
500 ° 00 +
63°00+
280°00+
132•00+
1 ~ 994• 50 #
a
. . , ~ ~ .
1985 BUILDING PERMIT APPLICATION - CITY 0£ EAGAN
NOTE: ALL CONTRACTORS lIUST BE LICENSED WZTN THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For:.~1!//~ Valuation: 5°I,C~U Date:
Site Address: 1119/G-Iel,e/~ OFFICE USE ONLY
Lot: Block Sect/Sub Erect X Occupancy R-3
Remodel Zoning Q-1
Parcel # Repair _ Type of Const 7V-
~ Enlarge 4/ of Stories
Owner Move _ Length ~
e Demolish Depth ~
Address ylJSO A/ Grade Sq Ft
~ City/Zip Code ~'~~iy~(J
Phone yS"~',lod~2f APPROVALS
Contractor U40• Assessments Permit
A / Water/Sewer Surcharge 'Lq S°
Address Police Plan Review
-
Fire SAC
City/Zip Code S$'Gt/y Engr Water Conn 'EOO
Planner Water Meter (o3.
Phone Council Road llnit 2g0.
Hldg Off / Parks
Arch./Engr, APC Treatment P1 327
~
Variance
Address TOTAL )j 9~y-Sd
City/Zip Code
Phone II
~ ` • • ~ ~ ~ C.R. WINDEN_d. ASSOCiATES, INt. -
~ lANO SURVErORS T*L i46-3616
1381 EUSTIS ST., ST. ?AUt# MINN, sElOi
FOR: PIETCH CONSTRUCTION
_ N
O T. Scale: 1" = 30'
A / -
O Denotes Iron
Monument
\ 10
/ •o ~s ~2 \ ~1
~ry1 90° `y''~'°`SP
YJ
90`
~
. ^v ` / ~ k
NOTE: y ~ m
o Denotes Wooden Stake F \ ~ip eg
Proposed Garage Floor El. 89783 Gs
( 8972) Denotes Proposed e`a~e Finished Ground E1. ^x (L/
--N--- Denotes Direction
Of Surface Drainage a
Vertical Datum - N.G.V.D. 1929
Lot 24, Block 2, SUN CLIFF FIRST
ADDITION, Dakota County, Minnesota.
WE NERElY CERTIfY TMAT THIS IS A TRUE AND CONRECT REPRESENTATION OF A SURVEY Of THE
60UNDARIES Oi THE LAND A60VE DESC4I6ED AND OF THE IOCATION Of ALl 6UIlDINGS, IF ANY,
TMEREON, AND All YISIlIE ENCROACMMENTS, If ANY, FROM OR ON SAID IAND.
Dorad thil-ZL.~Ldor eiAord A.O, 1985 C. R. WINDEN d ASSOCIATES. INC,
by 12 Z~~ ~
Surroror, MinMsslo Rayiuwtioa No. 772 !v
MTjye
City of Lakeville IiXTBRIOR ENVPI.OPE AVERAOE "b" COMPUTATION
;iwner~,LT`Y'!~ (.;f~S"~/~vlrG? iG. Addrese`(/io~i Phone
I.egaL Descrip[iun uF Property: Lot."_Block,C Addition Dnte
iLte Addre4s---I7I~
AVERAGE LINEAL FEET OF
E%POSED wALL AREA ABOVE !:RADE
`!aLn level ~
l,ineal ft. of framed wall above grade 3x height of wall
Rim Soist area Q. D
Lineal ft. of rim !x height of rim
Lower level ~ -
Linea) ft. of framed wall above grade 6f~ x height of wall
t,(nerl ft. of masonry wall above grade/W x height above grade
TOTAL wall area above grade including windows and doors
W1hUO1dS: Area x "U" value /
Make 6 type eie-IXA )4 A~e,9g aq. ft. 'y x"U" (U) (A)
. „ . 2Srxy.2 2 sq. ft. /9' x wvU,, .7y (U) (A)
n
:2y.~ry2-a- sq. ft. /Y g Un .S~SI' 7 SG ~A)
;24.rYZ'.Z 8Q. ft.~- x oun (U) (A)
31e~ ~1 9q. fC. leG. % ifU..~~ (11) (A)
~y~~4_a. sq. fc. x fUll (u)(n)
~ sq. ft. X loUli~- (lt) (A)
rr ~r /A:/LelG~C~tSlE,_~8$I$RtCJ6 .Lx6/~ eQ. £Yr ~ j.3 x ~~U~~~= -q-A4 (U) (A)
sq. ft. ff~."~sJf x ~~U" (11)(A)
2rgQ. fC. x "U.. (U) (A)
sq. ft. x "u, _ (U) (A)
sq. ft. x "U" (u)(A)
• - sq. ft. X nua = ^(D)(A)
u n sq. PC. R nUn (L'•)(A)
_ ~ea. ft. X-~U~ (li) (A)
'G`IfY OF EAGAN PERMIT
3830 Pilot Knob Road PERMITTYPE: surLozNG
Eagan, Minnesota 55122-1897 Permit Number: 026918
(612) 681-4675 Date Issued: 01 / 0 2/ 9 6
SITE ADDRESS:
1916 7TM9ER WC1LF TR N
LOT: 24 BLOCK: 2
SUN CLIFF 1ST
P.I.N.: 10-72975-240-02
DESCRIPTION:
(fIRE DAMAGE)
p?uild3no ,,Permit Type GARAGE/ACCESSORY
`Building W'ork Type REPAIR
' Census Code ~ 0438 ALT. GARAGE
r~
. , ~
t
t _ - !
~ . , i.i _
REMARKS:
FEE SUMMARY:
VALUATION $Be000
Base Fee $137.25
Surcharge $4.00
Total Fee $141.25
CONTRACTOR: - Applicant - s7. LIC OWNER:
BENSON CONST CORP, J 19200717 0004740 BOUNNAK MO
7020 WALKER ST 1916 TIMBER WOLF TR N
ST LOUIS PARK MN 55426 EAGAN MN
(612) 920-0717 (612)452-4824
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L At, . a- "
MAPPL RMITEE SIGNATURE IS UE Y. SIGNATg-PE-
INSPECTION RECORD
CITYOF EAGAN PERMITTYPE: eurLoiNG
3830 PilOt Knob Road Permit Number: 026918
Eagan, Minnesota 55122-1897 Date Issued: 01 / 0 2/ 9 6
(612) 681-4675
SITEADDRESS: P•Z•N.: 1e-72975-24e-e2 qppLICANT:
LOT: 24 BLOCK: 2
1916 TIMBER WOLF TR N BENSON CONST CQRP, J
SUN CLIFF 1ST (612) 920-0717
PERMIT SUBTYPE: TYPE OF WORK:
GARA6E/ACCESSORY REPAIR
DESCRIPTION (FIRE DAMAGE)
INSPECTION . D•
FOOTINGS FRAMIN6
FINAL
F . ~
L _ _ _ J
lcqli CITY OF EAGAN h
3830 PILOT KNOB RD - 55122 4
1995 BUILDING PERMIB$ 15ATION (RESiDENT1AL)
({pw Conslrudion Reauirements RemodeVReoair ReouiFerrrents
? 8 registered aite wrveYs ? 2 coPiea of plan -
? 2 copies of plans (indude 6eam 8 wintlow sizes; poured fid. design; Mc.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy celculatlons ? t enargy nlculations for heated additions
? 3 mpbs of tree prosarvation plen if bt pFatted after 7f1l93
required: _ Yes _ No
DATE: K CONSTRUCTION COST:
DESCRIPTION OF WORK:
//Lss9/~.~27LR5 fx'1t^,c
STREET ADDRESS:
LOT BLOCK SUBD./P.I.D. ?I-~~ ~
PROPERTY Name: 411D Phone
OWNER W* sweT
StreetAddress ~`j16 OV°A~711 Z2,W,0c2 kp'°`r LO-414-
14
City: '696w"V State: N'U Zip:
CONTRACTOR Company: Phone 21D- b 7/ 7
StreetAddress: :57- License#~ ~~ycl
City: State: ~M Zip.
r•.:.
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address•
City: State: Zip:
Sewer & water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby adcnowledge that I have read this application and state that fhe information is correct and agree to comply with all
applicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
yR2~
OFFICE U5E ONLY REC~ ~
Certificates of Survey Received _ Yes _ No DEC 2 6 1995
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
,
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
o 02 5F Dwelling o 07 4-plex ? 12 Multi RepaiNRem. 0 17 Swim Pool
0 03 SF Addition o 08 B-plex ~13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex o 14 Fireptace o 21 Miscellaneous
0 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
0 31 New ? 33 Alterations o 36 Move
a 32 Addition 34 Repair 0.37 Demolition
GENERAL INFORMATION
Const. (Actuat) Basement sq. ft. MCNVS System
(Allowabie) Main level sq. ft. City Water
UBC Occupancy sq. ft. F'ire 5prinklered
Zoning sq, ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code b~
Census Bldg i
Census Unit o
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation:
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
~i Meter
y~
S/W Permit
S!W 5urcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other . .
Copies .
Total:
% SAC
SAC Units
~ ForOffice,USe -
40.... City of Eapn j Permrt
i Permit Fee: 2r)- DD i
3830 Pilot Knob Road
Eegan MN 55122 i Date Received: j
Phone: (651) 675-5675 Fax: (651) 675-5694 i Steu. i
1----------------~
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~ '015'02 Site Address: ( ~ W 1 1;~ 63 '
TenaM: -,e`r% Sufte k:
RESIDENT/OWNER Name: SG/\(1 Phone:(.Q!~>)'
Address/CitylZip: I Qt U 1-1 (Y11..en.LV,`r ~ ~ ~ •
Applicant is: I)c Owner _ Contractor
TYPE OF WORK Oescription of work: -PV& F~4p
Conshuction Cos[: Multi-Family Building: (Yes No X-)
CONTRACTOR Name: ~~A]P License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONIY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilallon Category 1 Worksheet • New Energy Code Worksheet
Category Submilted Submilted
(4 SubmiSSiOn type) • Energy Envelope Calculations Submitled
In the last 12 months, has the City of Eagan issued a permit (or a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phona:
Mechanical Contractor: Phone:
Sewer & Water Contrector: Phone:
NOTE: Plans and supporting documenfs ihat you submlt are considered to be public fnformatlon. Portions of
the informaNon may be classllied as non-public i/ you provide specific reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that ihis information is complete and accurate; ihat the work will be in coMormance with the ordinances and codes of the City of
Eagan; ihat I understand this is not a permit, but only an application for a permit, and work is not to stah without a permiC that the work will be in
accordance with the approved plan in the case of work which requires a review and approval ol plans.
X kU1s2\\ )'tv\ » x dL•en.t~' f• ? .
Applicant's Printed Name ApplicanYS Signature
Page 1 of 3
From: Harvey PacK
To: Page 2 of 5 20'13-08-29 '1 50: 5~ (GMT) 1X344680105
Use BLUE or BLAc Ink
'-w I -
e
1lr.~1111eT A(11 f (~1t i[gg 1T~i I For pffice Us -
~7tG o 41 lild i Rerrnit ~ i
3830 Pilot Knob Road t
Eagan MN 55122 Permit f ee _ V a S C+C.
Phone: (65.1) 675-5675 i
Fay: (651) 67S-56S4 j Date Received~0 ~J 1
' Stafr-_-~~~ I
;
.
2013 RESIDENT A
L BUILDING
r , PERMtrDate- APPLICATION
Site Address 0 I A. r 1°~
Unit #
Name,
~,L?,A - g
Resident/
i f
Phone:
t
Owner Address/ City /Zip: 1 u
s (l'6 MCP UVV LA4
r. , Applicant 'is Owner
Contractor
Type of Work 3 Description of work "14' Q~^ p,•~ ~,s ~I/8~.~~
Construction Gost "r er rr~t G
Multi Family Buttding: (Yes / ~
Company: ! ( lu ,y y~ No w,.
t0 r~ f i~ - r~°`` GOrlt 3Ct: ' 7 t1' tS~ r
T i
ContraCtor Address: i
State: City
zip: )_-E l u a-~ F
Phone
,
License Ga ~j s
If the Lead Certificate #
project is exem
Pt fro
m lead
certpfication please explain why:
(see Page 3 for additional information}
COMPLETE THJS AREA ONLY IF CONSTRt1CT~
ING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit fora similar plan based on a master plan?
iYes
NO If yes; date and address of master plan: .
LiCensect Plumber.
Phone:
Mechanical Contractor;
y
-Phone: F .
Sewer & Water Gontractor;
- - Phone'
NOTE: Plans and support6ng documents that you submit are eonsfdered to be public Information. Portions of
the information may be classified as non-public if you Proyide sperific reasons that would permit the City to
conclude that they are trade secrets. -
CALL BEFORE YOU DIG, Cali Gopher State One Call at (851) 454-0002for protection against underground utility damage Call 48 hours
before you intend to dig to receive locates of underground u*.rldtes. www.UOpf1e stateonerall oeq
I herby acknowledge that this information is complete and accurate; that the work will be in ronformance with the ord.,-.,,,sec ood coax. If the oilyyr
E-11- that r -d.Mt r1d [his is rlot.a pernrii, out only an application fora permit, and work is ❑ot to start -without a'pemtit; 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 permif.Essued in accordance
days of permit issuance. with the Minnesota State Buiidirrg Dade must be corn pfeted within 180
H
Applicant's Printed Name x_
APPI rcant's `Signature
Page 1 of3
To: Page 8 of 13 2013-10-15 15:33:18 (GMT) 17344680105 From: Marvey Paclc
Use•BLUE or BLACK Ink -
I ;
For Office, Use
of Ea~ l Permit#.:
Permit Fee.: V
.3830 Pilot Knob. Road -
Eagan MN 551,22 Date .Receved:
Phone: (051) 675-5675,. l I
„
Fax: (651) 575-5694 t . Staff., I
2013 RESIDENTIAL BUILDING MWITA
Date: 10 Site Address: a~ t i N-6cr ~s► g r ~ f r Unit#:.
Nameri4;q+011r4$ !$P``lrz:.. Phone r
Resident! t
Owner Address/City/Zip: ~~b ~tra`oer ~sp~
3
31
Applicant is Owner Contractor
Description of work: M1„ t ow% O~lv~ ~i ( l ►~Gsd l
_
Type of Work
jf W.
s Construction Cost d Multi-Family Building. (Yes / No s
Company r!e t~_ -Contact tra~L'O
Address Ln 41^^1 City: JeIl `in'
.
Contractor r
ell!! 4t -
State: Zip.; 4 Phone:
-
k
6
License L Lead Certificate
If the project is exempt from lead certification, please explain why (see Rage V pr 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 masterplan?
a
s
_Yes _No If yes, date and :address of master plan:
s :Licensed Plumber: Phone: g
_ r
Mechanical, Contractor: Phone;. t
s
Sewer & Water Contractor: Phone: 5
NOTE: Plans and supporting documents:that rou submit: are.. considered to be public information. Portions of
the information may be classifled as nort_:.publlc:if you provide:speclfr.:c reasons that would permit the C#y to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One:Gall at (651) 454-0002 for protection against undergroond utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities.. vdwwi:Qoopheistateortecali.orca
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 r understand this is. not a permit,,,.b, ut only an application fora permit, and work is not to
start without :a permit; that the work will be .in .
accordance with the approved ptan in the case of work which requires a review and approval.of.plans.
Exterior work authorized by a :building permit issued in accordancewith the Minnesota.Sfate 1510ding.Code must be completed within 180,
days of permit issuanc~}e,
Applicant's Pri ted Name Applicants Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120166
Date Issued:01/22/2014
Permit Category:ePermit
Site Address: 1916 Timber Wolf Tr N
Lot:24 Block: 2 Addition: Sun Cliff 1st
PID:10-72975-02-240
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required 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 -
Theodros Tesfaye
1916 Timber Wolf Tr N
Eagan MN 55122
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA142515
Date Issued:05/08/2017
Permit Category:ePermit
Site Address: 1916 Timber Wolf Tr N
Lot:24 Block: 2 Addition: Sun Cliff 1st
PID:10-72975-02-240
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Theodros Tesfaye
1916 Timber Wolf Tr N
Eagan MN 55122
Air Mechanical
16411 Aberdeen St NE
Ham Lake MN 55304
(763) 434-7747
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA142516
Date Issued:05/08/2017
Permit Category:ePermit
Site Address: 1916 Timber Wolf Tr N
Lot:24 Block: 2 Addition: Sun Cliff 1st
PID:10-72975-02-240
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Theodros Tesfaye
1916 Timber Wolf Tr N
Eagan MN 55122
Air Mechanical
16411 Aberdeen St NE
Ham Lake MN 55304
(763) 434-7747
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157924
Date Issued:09/16/2019
Permit Category:ePermit
Site Address: 1916 Timber Wolf Tr N
Lot:24 Block: 2 Addition: Sun Cliff 1st
PID:10-72975-02-240
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Theodros Tesfaye
1916 Timber Wolf Tr N
Eagan MN 55122
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature