1922 Timber Wolf Tr N
. CITY OF EAGAN
3795 Plloe Knob Rood 6ogen, MN 53122 N2 5607
PHCHE: 454-8100
BUILDING PERMIT Receipt #
Te be aod fer Est. Value Date , 19
Site Addrcss Erect ? Occupancy
Lot Block Sec/Sub. Alter p Zoniny
Portel # Repair p Ffre Zone
Enlorfle ? Type of Const.
W Name Move ? Stories
~ Address Demolish p Front ft.
° Ci Phone Grade p Depth ft.
0: Name ADDrovals Fees
,o
Address Assessment Permit
~ Cit Phone Water & Sew. Surcharge
~ Police Plan check
~ Name
~u W Fire SAC
qddress Eng. Wcter Conn.
<W Ci Phone Planner Woter Meter
Council
I hereby acknowledge Nwt I have read this application and state thot Bldg. Off.
the information is correct and ogree to comply with all applicoble APC Totol
Stote of Minnesota Statutes and City of Eagan Ordinances.
Signoture of Permittee
A Building Permit is issued to: on the express condition thct
all work shall be done in occordonce with all opplicable State of Minnesota Stotutes ond Ciry of Eugan Ordinances.
Building Officiol
# n~. b...a r«.+n:..
PI umbing
Mechunicol
S G "3 0
~ S / a
INSPECTIONS DA E INSP. Rouph-In Finol
Footings •ap Date Irup. Date Insp.
Foundotion Plumbing
Frnme%wm. O Mechonical
Final
i U
Remorks: ~_r~ $U _ . ~~J~~t ~,C~~~•~ ~ -
CITY OF EAGAN Remarks
Addition 44~1111dCW and 14tAdAitio*+ Lot 1 eik Z Parcel 10 48050 010 02
Owner , _.Street State E9az1• MN 55122
1922 N. Timber liolf Trail
Improvement Date Amount Annuai Years Payment Receipt Date
STREET SURF.
STREET RESTOR. TIRP, , 158.99 10 1589.99 006788 1 1 80
GRADING
SAN SEW TRUNK c` 25 ' 1 4/80
* SEWERLATERAL 0 3156.58 C005524 2
WATERMAIN
* WATERLATERAL 10
WATER AREA ? 44.47 C00670 216180
STORM SEW TRK 1971 282.92 14.15 20 141.52 C006700 2 6 SO
* STORM SEW LAT 19$1 lO
* 10
CURB & GUTTER
SIDEWALK
STREET LIGHT 182 00 17738 1131/80
WATERCONN. 3OS.60 17738 1 31 8
BUILDING PER.
SAC
PAR K
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. It
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS• APPLICANT:
' ItII~ 1 ftli.i(P.,
t ~ I 1 MHFFt I401 TR N
•~i ,yi~t~~ ii ;ti!t'~ I . 1 ~ . ~ ~ ~ .
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D • D
i I IJ~\I
~•inl~t A '.t t'r1ic/11 I I'I 1<M 1 I 1'.. !:t l)11I I?I 11 I'iI' r+Ya , I L i 1 11, t t l1l i1l !'t 1IMIc i w4, lt:i(rt;
I ~
L J
Permft No. Pertnk Halder Datt Telephone #
ELECTRIC
,
PLUMBING
HVAC
Inepection Date Insp. Comments
FOOTINGS
E
FOUND
FRAMING I/ jh
vC
ROOFING
ROUGH
PLUMBINQ
PIBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
7
GYP BOARO
~
FIREPLACE 1
I
FIREPLACE I
AIR TEST I
FINAL PLBG I
FINAL HTG l
ORSAT I
TEST I
BLDG FlNAL
I
BSMT R.I.
BSMT FINAL
DECK FT(3
DECK FINAL
INSPECTI4N RECURD
CITY OF EAGAN ' PERMITTYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
~+.SITE ADDRESS: APPLICANT:
, i i MHf Ir WnI I tR N ~~i. , i ; r~~~ .i
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D• • D'
~ ~
- - - - - - - - - -
Permlt No. Permit Holder Date Telephone N
ELECTRIC ~
.
PLUMBING
HVAC
Inspectian Date Insp. Commenb
FOOTINC3S
FOUND
FHAMING l$A11 K2c~
"f ~ /1' J ^ f CC
ROOFING •7" ~ `~"~~G
?
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
uTr oF EaGaN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: No. of Units: ~
Owner. ,..;t.,. : -
Address:
Site Address: I.
Plumber:
Meter No.: Connedion Charge: '•~~~I''~
Size: Actount Deposit:
Reoder No.: Permit Fee:
I dgree to aomplp wifh the Ciry oi Eogon Surcharge: ' '
Ordinonces. Misc. Charges " - 1: Total:
By Dote Paid:
Date of lnsp.: Insp.:
CI7'Y OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 egree M eomply wjth the City of Edgan Connection Charge:
Ordinances. Account Deposit:
Pennit Fee:
Surcharge:
By Misc. Chorges:
Dute of Insp.: Total:
Insp.: Dote Peid:
• ' i'erti Picate for :
Bur'fard Conat. Inc.
Y.O. Box 21218
Fagan, Mn. 5) 1 ' 1 ~
DELMAR H. SCHWANZ
lANDSURVEVOF
. R"ittuod UnCe+ Laws of The Stata o} Mlnn*sota
2M - 149TH :TREET W. - BOX M R06EM0UNT, MINNESOTA 56088 PNONE 072 428-1769
SURVEYOR'S CERTIFICATE
1! 1 1rwr) - 4l' f',~;.•
. \
4,9~0 ~
/ ~ ; .
O p .
~ p y~ y X
s*a. Q'r f I ~S \ r,
ryb' /l e• j~ , 'x\ °
~ / 2s3 oFI /~c
"
~ L 0 T~ 'b I ~ ~ 19°
~ Drainage & utilitv/
easement ~ ~ /
o \ / OO
c~~ , ~ ~ 4j• _
Approved :Qr ~:unn dc Cu: ry Real
ry Fstatf Mana.ge-ment, Inv.
by :
po
x hsreby aertlfy that this is a true and c,)rrect representation of
' Lot 1, Block 2, MEAD(3WLA4D FIHST ADDI'i'ION, aaoording to the rscorded
plat thereof, Dakota County, Mi.nneaota.
Alao ahowing the Iocation of a gr:~pnded houae thereon.
Uated : July 3, 1979 ii,)use not staxed as oP thi$ dite.
Revised houee : January 23, 1980
Houise staked January 24, 1980 ,
ZL
MiNNESOTA REGISTRATION NO. 8826 ~
L .
2[7-~'t/~ O7 ~ OFFICE USE NLY Thiz requezt void 18 monllis {rom volidolion dote pnnledin thix 'bo/x.~ ~
J f . ~071~'9~a o~
PLEASE PRINT OR TYPE Q~. y I~ ~~`'O ~ 41,
Request D te Rough-in inspenion required2 Yes ? N. InspMlon OtherThon Rough-In: 0 keady Now 0 Will Call
3 lrG (Yoo must call l the inspenor..hen ready) Oate Ready:
I, licensed conhador ? owner hereby requesf inspedlon of }he obove eledricol work af:
Jab PAdress (Streef, Bor, or Noute No.) Cip Zip CodeI
/Q I 2Z f~~z(r~I~ [.72.
SecFon No. Tawnzhip Name or No. Raige No. fire No. County
DO E.'O
O¢upant Phone No,
vL zL~ r+*~ G ~'ir- ~'r3G !
Power Supplier Pddress
sv
Ete ncol nfro ~Company Name) Cantrocror License Na. MaaNr Lic No. (Plam Elen. Only)
[ic" 41-' G~oZ.Y
Mailing hddrns (Conlracror ar O.mx PaAonning InsMllolion)
9 . cJ sg G
Au 'zed SignaNre (Conh Owner Pedorming I allanon Phone No.
SS'G 20
E9-00001 -10 6/95 STATEBOAPOCO UCTIONSONBACKOFYELLOWCOW
I I REQUEST FOR ELECTRICAL INSPECTION `f7-
II~I I F2 II Minnesota State Board ot Electriciry ,
1821 Univereity Ave., Rm. 5-128, t. Paul, MN 55104
* 5 W74 7 7 s Phane (6121.642-0800
Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Re air
Air Cond. Htg. Equip. Wafer Htr. Load Mgmf. Ofher.
D er Ran e Elec. Heat Temp. Service
"X" abwe the urork mvered by this request. Enfer remarks in this pate and on fhe back o{ fhe while copy only.
c!/,`~ C A~ z r r?s ~yo.~
Calwlate Inspection Fee - This Inspection Request will not be accepled without Ihe cortect iee:
Olher Fee 3Y $ervice EMrance $ize Fre # Circuits/Feeders Fee
Mobile Home Park Stall 0 fo 200 Amps 0 fo 100 Amps /
Sfreet Ltg./Trafiic $ig. Above 200 Amps A6ove 100 Amps
Transformer/Generator INSPECTOR'S USE ONLY TOTlp,/L .o
Sign/OuNineLtg.Xfmc ~[r0~~ `o•r~
Alarm/Remofe Conhol
Swimming Paol ~ hereb ceni ffiar 1ins ecred 1he insra d ribedRere on Me dares stmed
Irtigation Boom ftwghln
Special Inspedion
Investiga}ive Fee Fin.I ~W '
THIS INSTALLATION MAY BE ORDERED DISCONNECTFabj1EltID7 L N 18 MONTHS. 4
CITY OF EAGAN
• 3795 Ptlot Kno6 Raad Fagan, MN S5722 N2 5607
PHON[: 4546100
BUILDING PERMIT APPUCATION Reeeipt ;73 v,
to ee uted fer SF Avlg/Garage Esr. vaiue 47, 000 ome 19-80-
Sire Address 1922 N. Timberwolf Trail Erect R3
2 adowlands first ~
Lot ~Ixk See/Sub. Me Alter ? Zoning
paroel # 10 4$050 010 02 Repair ? Ftre Zorre III
Enlorge ? TYPe of Const. V
~ Name Burford Construetion Inc Mo„e ? # Sfories
~ Address 3435 Washington Drive pe,,,oiis, ? Front 50 n,
Ci Eagan"vlN 5512~hone 454-3237 Grade ? Depth 40 it.
~ Name S2Stt2 ~+PM~b Feea
ou p~rew Assessmentl 29 0 pe~ir 133.00
ug Water & Sew. Surcharge 23.50
Ct Phone
roiire Plan check 66.50
~W Nome Fire SAC 525.00
Address Eng. Woter Conn. 305.
<w CI Phone Planner Wa1er Meter 60.00
Cxi,,,,di Rd.Unit 185.00
1 hereby acknowledge that I have read this application and stote that gldg, pff, l 0 g0
the infortnation is corred and-ugree to comply with nll applicable APC Total 1.29$.00
State of Minnesoto Statutes and City of Eagcn Ordinonces.
Signature of Permittee
A Butlding Pam,ie is iswed to: Burford Const . on the express condicion that
oll work shull be done in accordance iih utl, p co le of-Mirne Statutes and Ciry of Eagan Ordlnances.
.
Buildlrig Offidal . t'"'~ °j'
A
CITY ~~E' FAGAN Include 2 sets of plans,
1 site plan w/elevations &
&7ILDING PE13YLiT APPLICATION 1 set of energy calculations.
Zb Be Used FbroF~ Valuation Wo Date I~d6
Site Address 7~1t OFFICE USE ONI,Y
Lot slock Z sec./sub- ~r.~EYect o~r,cy
Parcel J0 yv5"Cf li//1 ,1- Alter ZonirxJ
itepair Fire Zone ~
Owner: 42 CejN 6T20 6 -7~02J .T. G., Ehlaz'9e _ 7]rpe of Const.
Address: -7, S' 3 5' lnlAt~NN~7z?~ Nbve # Stories
Dsnolish Front £t.
City/Zip Code: L~/qfj Grade Depth .yn ft.
Phone
APP%)VAIS FEEg
Contractor: SXYG~ Assessments Permit /.33
Aclaress: water/sewer Surcharge~ 0?,3.~-o
Police Plan Check 66 City/Zip Code: Fire SAC s.?5
Phone En9• Water Conn. 3n5 -
Planner Water Meter / n
Arch./EYig.: Council Road Unit )8
Address: Bldg. Off. ~~:?l~..:..,C.,,.;, yoa
APC
City/Zip Code:
Phone TMAs,
~
9/77 REV. - i
i
EXTERIOR EA'VEIAPE AVERAGE "U" COMPUTATIONS
I (to be aubmitted with building permit applicationa
~ '
•l~y?pe "A° BuildingaContractor BURFORD CONST. INC.
Type "B'l BuildingA ' Site Address
!o..N aQ tak
PLAN ~
Date ° Phone~S~f- 3J 3 7 Other_
LINEAL FT. OF
EXPOSED f+JALL od•,) FT. ABfJVE GRADEQ 1-753.5
-
' TOTAL EXPOSED WALL AREA SQ. FT.
~
OPAQUE WALL CONSTRIJCTION: "U" value x area e ~ 37.TCo(U)(A)
IL"Gon1<.. I?U°0.4z1 x sq. ft. ~0.4
Detail Zx`" nUux.Sq. ft. (o,79 (U)(p+
reference GANT?L6VER IfUllO.Orb x sq, ft. 31• Sz'~~ ~U)(A
from P.aAhia wa~.~- uU1~o.o7 x sq, ft.
attached /o nn. ---uUuo.~az x sq. ft. ~3.~1 il•05 SU SA
aheets flUIx sq. ft.'~'74 (U~(A
o ,,.e, AD4. uUuo.tQ x sq. ft. (v)(A
~ -
~ oUuo.o x sq. ft. ~i •l °f 1 = "I.o~.? ~U)(A)
j -~-Q-
ld°io mwt. ts x sq. ft. 10.22 ° l•lDI2_ (U)(??)
WINDOWS: nUo value x area WE,qitu R eQ6~a't~InK-u<.. ~a fia~uA~ (v)(A)
Mak@ & type a
n ~ u iv~szh OlQno.lel x sq. ft..l44 -to ~`~•2~ (17)(A)
(0° weoo Pano 0.53 x sq. f t. '~4, O ~ 9•L, o R~ (U (A
„ sq. ft. _ ~U~~A~
1
u ! n uUn x sq, ft.
u I u ,~~n x sq, ft. _ (U)(A) .
nvu X Sq. ft. a .~U)(A~ :
eq. ft. ° (~1)(A
DOORSI: "U" value x area "ttilE.ema --rirv (U) (A)
Make & type "U" x sq. ft.
u u 3~ CO~Z °U°p.091 X Sq. ft. Zo.o~ _~•aZ (v)(A)
tf Z%, foo "U°~x sq. ft. 47.°0! = 1,1°0 (U)(A)
u ~ o aUn x sq. ft. _ (t1)(A)
u ' n nUu x sq. ft. _ (U) (A)
nUu g sq. ft. = ~U)(A)
~
TOTALS 13R>c:,.4z Sq.Ft.?loZ.54 (U) (A)'
TOTAL (U)(A) VALUE3 DIVIDED BY 2(°Z•f4 AVG. nUn
'fOTAL 4JALL A.REA VIW,4y 0.14~oA(o(o3
REQUIRED AVG. "U" ~ • ~ ~
ROOF/CEILING:
TOTAL ARE.4: ~OfrL- sq. ft. ca.
Det811 °unp.o34 X sq. ft. 931.Fzln_= 3z.•CvFF_ (U)(A?
reference "U"o.o x aq. ft. 70• t4 g z. ~I (U)(A)
from . ~ ~~Ust x sq. ft. _ (u)(A)
-,ttached "U" x,sq. ft. _ (U)(A)
sheets "U" x sq, ft. -
~ TOTALS 1COZ Sq.Ft.35,13 (U)(A)
'fOTAL (U)(A) VALUES DIVID.:D BY AVG. "U"
TOTAL ROOF/CEZLING A.REA 1002 O.o3So59b
• REQUIRED AVG. "Un o.04-
TOTAL ENVJIAPE CALCUL4TE0N :SETHOB '
DESIGN:
WpLLS ~ x TOTAL '4.4LL. AREA ' _
ROOF/ = x TOTAL ROOP/CEILING AR:iA °
CEILIPIG TOTAL
~ CTUAL:
SJALLS x =
ROOF {CEILIA'C x
' TOTAL
! i ACTUAL. DESIGN
t -
I
9/77 REV.
i
j EXTERIOR ENVEIAPE AVERAGE e~i ~gPUlications) _
(to be submitted with building p PP -
i_ • BURFORD CONST. INC.
i !
Aype "Al' Buildings Contractor
Type "B'i Building6 ' Site Address
Io,N 3i' tcc PLAN ~
Phone Other
Date
LINEAL FT. OF ~,3Co X~
EXPOSED WALL I Z 01 FT. A$OVE GRADE= 17s3.5
~ TOTAL EXPOSED WA•LL AREA SQ. FT.
I~
OPAQUE WALL CONSTRUCTION: "U" value x area
"Unp.Qzl X sq. f t• 12S.4-4! = 37,7(p (U)(A)
IZ"Gon~<.. FS~.Y- n ln.Z9 ~U)~A
~ x Sq. ft. °it•iz
Detail ~~cnz uU~~~~ ~ z.ss (U (A
reference GAy,r~vER "U"o.o~ x sq: ft.31•~, z c 5,- (U2~A
from ! e~Ahi~ vaw._~--_ ~~Uno.o'I x sq. ft. 7s3.aco ^ 1
nUII ~3z x sqo ft. °,3.7 1_ ° 1!•~."'~ Svi
SA
attached 10 /o-+~• g' l ~ I,U°o.ol3 x sq. f t"6?4.
slieets i~ wL~ m U(A.
~ °in ~r.~ uVuo. t4 x sq, ft. 04_ (U)(A)
nUno.o x sq. ft. oil.°11
' lo°io EsZwt. wo~. nUu~.?s x aq, ft.
WINDOWS: nU" value x area Wsq-rµUa s~tca~ s~S" Ints-uc:. ~
Make & tYPe ~raeah Ifv~~o•X sq. ft.`(v)(A
n ~ n o uU° 0.53X sq. £t.
fn .+eoc~ Pano D¢~ ~U~ (pA~
h X Sq. £t. (U ~AJ
u i u nUu x sq. ft. n CU)(A)
il ~
n u U x sq. ft. U A)
.u ~ nuUu x sq. ft. - ID
lqVfl~ (U)(A~
x eqo ft.
,
DpOBS: "U" value x area 714E.2ma ~l'la~ X sq. ft. ~ (U)(A)
Make & ty
11 pe nUnp.O°f1 X sq. ft. zo.ol = 1•az (U)(A)
u n Z~ 10o nUao• x sq. f t. 17.~61 = t, 1cb ~UXA)
ui o nUu x sq. ft. .~U}(A)
uUu x sq, ft. -
nUu x sq. fe.~~~ ~Z1)~A)
n 1 TOTALS I] c>.4Z Sq.Ft.7laZ.54 (U)(p)'
I I
2(oZ.
TOTAL (U)(A) VALUE3 DIVIDED BY ~4 ° 0.14~oq(cfa3 AVG. "U
TOTAL hTALL AREA 11°a'r~•4Z
REQUIRED AVG. "U" 0•1~!>
ROOF/CEILING:
TOTAL ARn.4: 10CrZ- sq. ft.
Detail S~ 1'U!'o.o3t x sq. ft.931.4+In s 3Z.•CvZ (U)(A
~ i ` _ . n n @ 2. °cl . ~Areference '7°io Fiz~n. AUU~. U o.o x aq. ft. 70. 4 (U
from x sq. ft.
~ -
liUiii x sq. ft. (U)(A)
;,ttached ~
sheets "U" x sq. ft. - (U)(A)
' TOTALS IGxo_ Z ~S9.Ft. 35, IT~ (U) (A)
TOTAL (U)(A) VALUES DIVID:.D 3Y 3513 ° O•o3Sas9c AVG. "U"
TOTAL ROOF/CEZLING .60EA 1002
REQUIRED AVG. "U" 0.04-
.,,,.~„p` •+~-,--•-•...~e~. -arl,. -
ROOF/ = x TOTAL ROOL'/CEILZNG•A2:A °
CEILIPiG TOTAL
CT[JAL:
R71~.r.~~ X a
~:YRf^Z. Iq= x =
TOTAL
;y -
614Y ` OFEAGAN PERMIT otm.11&
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 026932
(612) 681-4675 Date Issued: 01 /05 /96
SITE ADDRESS:
1922 7IMBER WOLF TR N
LOT: 1 BLOCK: 2
MEADOWLAND iST
P.I.N.: 10-48050-010-02
DESCRIPTION:
(BEDROOM)
B:uilding-Permit Type SF (MISC.)
,BUilding Work Type ALTERATION
' Census Code 0434 ALT. RESIDENTIAL
j'
~
.
\
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICRL OR PLUMBING WORK
FEE SUMMARY:
VALUATION $19,000
Base Fee $274.75
Plan Review $137.38
Surcharge $9.50
7otal Fee $421.63
CONTRACTOR: - Applicant - sT. ltc OWNER:
HENJUN DESIGN 9UILDING S J 19306878 0000606 VELDMAN STEVE
4263 SUNRISE RD 1922 TIMBER WOLF TR N
EAGAN MN 55122 EAGFIN MN 55122
(612) 930-6878 (612)688-8361
ET herwby acknowledge that I have resd this applicati4n and state that the '
information is correcC and agree to compiy wit'h all applicable State of Mn.
~5tatutes an City of Eagan Ordinances.
L i4 . . . . _ _ . . . . . . . _ -
P ICANT/PERMITEE SIGNATURE ISSUED B: SI ATUR
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: suzLoiNe
3830 Pilot Knob Road Permit Number: 026932
Eagan, Minnesota 55122-1897 Date Issued: 01 / 0 5/ 96
(612) 681-4675
SITEADDRESS: P•I-N.: 1e-48e5e-e1e-e2 pppLICANT:
LO7: 1 BLOCK: 2
1922 TIMBER WOLF TR N HENJUN DESIGN BUILDING S J
MEADOWLAND 13T (612) 930-6676
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) ALTERATION
DESCRIPTION (BEDROOM)
INSPECTION D. . DA
FRAMING ROUGH IN PLBG
ROUGH IN HTG FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
F
i3 . . . . . . ~
F I
L . . . . . . .
, ~ • CITY OF EAGAN
3830 PILOT KNOB RD - 55122
~1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ,
681-4675
New Construdion Reauiromente R.modeUReoair Reauirements .
?"3 regislerod efta surveye ? 2 copies of plan
2 copies of plans (Include beam 8 window sizea; poured fnd. deslgn; etc.) ? 2 ske surveys (exterior addkions S decks)
?.1 energy caleulations ? t energy ealculaUans for healed addRions
•'i; 3 caPias of tree preaervation plan N lot piatled aRer 7/1/93 .
mqulrod: _ Yes X_ No ' .
L-L2 E~60
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: qe~ '0~ AD
STREET ADDRESS: tc) ZZ" M° f i-A T' rn 6e-7 W e ~ M'4L
r
LOT BLOCK Z SUBD./P.I.D.#: f~EA~oaJLA~v~ ~ J~Anb•
o m +A-V
PROPERTY Name: SPL~hlG Phone 6ff L
° OWNER FOBT
StreetAddress- 1~ZZ NoI ~rrrru-J otynt L~
City; FAaetiJ State: Zip: SSiL L
CONTRACTOR Company: Gs.-l' u?i, I1PS~ia6'ld Phone#: 93D-C~~17~f'
Street Address: -1213 Svh~'d-° ~ License
City:~ - State: /~IhJ Zip:,C~
" ARCHITECTI Company: Phone
ENGINEER
„ Name: Registration
~ Street Address•
City. State: Zip:
5ewer 8 water licensed plumber: Penalry applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is and agree to comply with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
!
~ Signature of Applicant: ~
OFFICE USE ONLY Ir'~ECEEMED
CertNicates of Survey Receivad _ Yes _ No JAN 0 2 1996
Tree~Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
, ~ .
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace o21 Miscellaneous
~ 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New -Aa~--33 Alterations ? 36 Move
? 32 Addition ? 34 Repair a 37 Demolition
GENERi4L INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code o i
Census Bldg ~
Census Unit C)
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ . o
Surcharge
Plan Review
License
MC/W5 SAC City SAC
Water Conn. / d
Water Meter
Acct. Deposit
S/W Permit ~ i v ~bbrnoN '
S/W Surcharge
TreatmentPl.
• Road Unit ~
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units '
~
~ CITY OF EAGAN PERMIT 7 PERMIT TYPE:
3830 Pilot Knob Road B U Y L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 026931
(612) 681-4675 Date Issued: 01 / 0 5/ 9 6
SITE ADDRESS:
1922 TIMBER WOLF TR N
LOT: 1 BLOCK: 2
MEADOWLAND 13T
P.I.N.: 10-98050-010-02
DESCRIPTION:
Building--Permit Type GARAGE/ACCESStlRY
Auilding Work Type ADDITION
' Gensus Code ` 0438 ALT. GARA6E
r
w
,
,
Si ' F 1
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBZNG WORK
FEE SUMMARY:
VALUATION $8,000
Base Fee $137.25
Surcharge $4.00
Total Fee $141.25
CONTRACTOR: - Applicant - ST. LIC OWNER:
HENJUN DESIGN BUILDING S J 19306878 0000606 VELDMAN STEVE
4263 SUNRISE RD 1922 TIMBER WOLF TR N
EAGAN MN 55122 EAGAN IAN 55122
(612) 930-6878 (612)688-8361
ii hereby acknowledge that I have read this application and state thaC the
';irtformation is correcC and agree to comply with all applicable 5tate of Mn.
i`Statutes CiCy of Eagan Ordinances.
LICANT/PERMITEE SIGNATURE ISSUED e SIG YURE
INSPECTION RECORD
CITYOF EAGAN PERMITTYPE: auiLozrvs
3830 PilOt KnOh R08d Permit Number: 026931
Eagan, Minnesota 55122-1897 Date Issued: 01 /05 /96
(612) 681-4675
SITE ADDRESS: P. I' N. : 10-48050-010-02 qppLICANT:
LOT: 1 BLOCK: 2
1922 7IMBER WOLF TR N HENJUN DESZGN BllILDING S J
MEADOWLAND 15T (612) 930-6878
PERMIT SUBTYPE: TYPE OF WORK:
GARAGE/ACCESSORY ADDITION
INSPECTION • rA
FOOTIN6S FRAMING
FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY EIECTRICAL OR PLUMBING WORK
F ~
;
I I
` . . . . . . _....J
L
` CITY OF EAGAN
3830 PILOT KNOB RD - 55722 `t
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
10.5 ' 681-4675 ~
!^w Irons n-~ion Reauirementa RemodeUReoair Reauiremenls
-
11
? 3 registered eRe eurveys ? 2 copies of plan
?2 copies ol plans (indude beam & window sizes; poured fid. design; etc.) ? 2 sNe surveye (eaterior addRions 6 decks)
?1 energy calwletions ? 1 energy calculations for heated additions
? 3 copiea of Iree presenaNOn plan H bl platled efter 7/11193 1
required: _ Yes , r,- No " .
DATE: !i CONSTRUCTION COST:
DESCRIPTION OF WORK: `-tp'nc'°Z 41012+b(L
STREET ADDRESS: 10) 2-2- ~ °f ~ r ' `-,j Ge-I e ~ rn'ArL
rf
LOT _7 BLOCK 2 SUBD./P.I.D. ~ ~~~~WLAND ~ b•
. om~ a r~a
ii pROPERTY Name: Phone l0 o`J,~, ~
OWNER ' us~ ~~^s*
StreetAddress: EmPercJoLD fYr ~
~ City: ~~f State: 1~h^o Zip: S.SiZ z-
93D-(~.Y7X
° coNTRaCTOR Company: Ss.l •~~f~u?h 115~Gg 66) Phone
i~
Street Address: 3 Svn/'~-u ~ License
,i City: fn9j4yv State: Zip:
. nrtcHlTECT? Company: 5fi,,~c Phone
ENGINEER
° Name: Registration
Street Address•
~
City: State: ZiP:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is ct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
~ Signature of Applicant:
~ OFFICE USE ONLY RECCNEDD
Certiflcates of Survey Received _ Yes _ No JAN u
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
.j
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex ~,13 GarageJAccessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
? 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
0 31 New ? 33 Alterations ? 36 Move
Gq~- 32 Addition a 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq, ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 41j.0_
Depth Footprint sq. ft. SAC Code ~i
Census Bldg i
Census Unit U
APPROVALS
Pianning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit 2 3 x/ y- S=~%j x/(~
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
~
;
bc).
74- 50
ZZ
< < 40
P),jo o,fion
3 '
~ I
~ ~ - -26 - - -
~
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,
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4
• . ~ h
rsurford Const. .Inc.
P.O. Box 21'-13
ragan, Mn. 55121
DELMAR H. SCHWANZ ,
. {.AND SURVEYOA
Rpill4rW UnOO L4w1 o1 Th*S[iH of Min110wU
2974- 14S714 BTREET W. -BOX M ROSEMOUNT, MINNFSOTA,860B8 PHONF 6121231769
SURVEYOR'S CERTIFICATE
, SCAL•E: 1 lncn = 40 feet
,3 / ti992 ~ ~P ~I4 -
o^i`~
AP
0
y ~PQ~oC"g f \X~rr \
ti
~ L o Ro
Drainage & utility/
easement ~
~ j'0 y
- ~
~ ~ ~ti~' ppproved :ur ihunn 3c Cu:,rY Real
Estate Management, Inr.
by:
/ 9p
/
I.hereby.aertify tha.t.this is a true and correct representation of
I;ot l, Biock 2, MEAD047LA`ID F~n~~oaION, according to the rscorded
. plat thersof, Dakota County,
. .
Also showing the locaLion of a proAosed house:therson.
;;Dated: Ju2y 3, 2979 Houee, not atalted as oP this date..
n Revised 'kiouse : Janusry 23, 1980 House staked January 24, 1980..
, . t ,
yY` vj,
REGISTRATIONN0.8826 t~j
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157014
Date Issued:07/31/2019
Permit Category:ePermit
Site Address: 1922 Timber Wolf Tr N
Lot:1 Block: 2 Addition: Meadowlands 1st
PID:10-48050-02-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Steve A Veldman
1922 Timber Wolf Tr N
Eagan MN 55122
(651) 261-8654
Hammered Solutions Llc
16064 Excelsior Dr
Rosemount MN 55068
(612) 298-6620
Applicant/Permitee: Signature Issued By: Signature