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1926 Timber Wolf Tr NCity otEtan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: /00“/X 6/ o4I Permit Fee: Date Received: Staff: INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: "�ZZ/// Site Address: l q26 %\I Ti ini. (oQrkvoII- ne. INFLOW Tenant: GcA r L,11 -6a. Suite #: RESIDENT / OWNER Name: G ct '1 bt r -100,, k, Sic('Phone: 6 57 35-7/-539s— /y re60-140-,rm.) .s Address / City / Zip: 11 2 6 /\ re kv,.(toe I (-- (_ 2-Z CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the building envelope) SEWER & WATER (Outside the building %` Sump Pump Repair Repair envelope) Other: Other: DESCRIPTION Description of work: C � y SV k( pvvr.e 01/S[ L&t,.rye 41..041..011.NON (ky(bl-e +Uk lv9 fv PU fi pl k7 FEES $55.00 / Each (includes $5.00 State Surcharge) (Rev. 6-30-10) TOTAL FEE $ * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.aopherstateonecall.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 •ermit, 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 ' uires a re iew . nd - •proval of plans. Applicants Printed Name " CITY GF EAGAN 3795 Pilot Knob Road Eagaw, MN 55122 N0 5524 PHONE: 4344100 BUILDING PERMIT ReceiPt # To 6s umd For ' Est. Value Dcte , 19 Site Address Erect ? Occuponcy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repoir ? Fire Zone Enlarge p Type of Const. W Name Move ? Stories 3 Address Demolish p Front ft. 0Ci Phone Grode ~ Depth ft. 0! Ncime Approvols Fees ~ Assessment Pe rmit oU Address ug Ci Phone Woter & Sew. 5urchnrge Police Plan check F E W Name Fire SAC FW qddress Eng. Water Conn. a W CI Phone Planner Water Meter Counci I I hereby ocknowledge that I have read this application ond stote that Bldg. Off. the information is correct and agree to comply with all oppliccble Stnte of Minnesoto Stotutes and City of Eagan Ordinances. APC Total Signature of Peanittee A Building Permit is issued to: on the express condition that oll work shall be done in accordance with all applicable Stote of Minnesota Statutes and City of Eagon Ordinonces. Building Official w 1 . . ~ 1 Pemit # Deb tswad parsiefw Plumbing Mechanical Y J ~ ~ ? I scJ{p~~~ ~f INSPECTIONS DATE INSP. Rough-{n Fina1 Footings Dote Inap. Data Inap. Foundation Plumbing Frome/ins. Mechanical /~~sr + Finai Remarks: ~ ~T-/ -$O o~vtr ppp- ~ CITY OF EAGAN + ~3795 Pilot Knob Rood Eogon, Minnesota 56122 Phone: 494-8100 PERMIT No. Date: Receipt No.: Sin$fe ~ 5ite Address: Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. , cr,'r~j Nome New/Alter./Repoir ; Address Cost of Installation City ~ Phone: Permit Fee . Nome Surcharge . ~ Address . a C O V City Phone: Totol This Permit is issued on the express conditian that oll work shall be done in accordance with all applicable Stote of Minnesota Stotutes and City of Eogan Ordinances. Building Officiol Receipt MECHANICAL PERMIT Permit No.''1. ' CITY OF EAGAN ~ Fee Fill in numbered spaces S/C Type or Print legib/y , T°L ^ 1. Date 2. Installation Cost ' 3. Job Address Lot Bik.' .i Tract T 4. Owner ~ i • 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ~ Commercial ? Institutional 0 9. Work Description: New ? Add O Alter tg Repair ? 10. Describe u' . Fuel Type 11. No. Eguinment 8TU - M. Ea. No. Euuiament CFM Forced Air Air Handling: Mtg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other - Air Cond. ~ Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Fina~ ~ Inspections: Date~"3r 9Insp.~ DateS 'Insp. ~ This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8700 CITY OF EAGAN Remarks Addition Meadorland lst Addition Lot 2 Blk 2 Parcel 10-4$050 02.0 02 Owner Street 1926 N. Timber aTolf Trail State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. 1589.99 1589 99 C006792 10 15 0 GRADING SAN SEW TRUNK 12 25 * SEWER LATERAL 7~ ~ WATERMAIN * WATER LATERAL WATER AREA / 1973 95.27 6.35 1 STORM SEW TRK 1971 282.92 14.15 20 * STORM SEW LAT ~ CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 75.00 16889 12 4 79 WATER CONN. 270.00 11 I1 BUILDING PER. 105524 it n SAC it of PARK `INSPECTIDN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: f a:,i Iy`• ~ (612) 681-4675 SITE ADDRESS: 1 '4 1 (11 " ' , ti I APPLICANT: ~ a t~, 14n} t" 1f: ~ ir•i~ hJl ,i: , . . i, ,~i~~i , , . ~ i . PERMIT SUBTYPE: TYPE OF WORK: • rlt INSPECTION D• • DA I ~ ~ J Pertnk No. Permk Nolder Data TiNphone f ELECTRIC PLUMBING HVAC Inspectlon Data Map. Comments FOO7INGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG xhs DECK FlNAL ~ 9~ ~ / ~ ~ ? L ~ vtr.~ INSPECTIUN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: , E Eagan, Minnesota 55122-1897 Date Issued: ~?~;;~~/<r!, (612) 681-4675 SITE ADDRESS: ' APPLICANT: ? E~ i , ~~i ~ ~•i?ti I' tln~ r 1 s; N ' ; ~ i r~; ~ M? r~ I PERMIT SUBTYPE: TYPE OF WORK: ~ . . ~ . . i i I i . . i INSPECTION TYPE D• • D• , ~ . t-; ~Z1~1 ; 1!•. ;a/;t,h'. fl •.I ( f11tri 11 I i i•plI I 1, i,1 t±II II~1 i+ iI fliY'i i 1 t~ {fsl~ isl 1)1 11.i I ~ J L PermR No. Psrmk Holder Date Talephone N ELECTRIC PLUMBING HVAC In,pection Date Insp. Commenb FOOTINGS 23 FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIH TEST ROUGH HEATING GAS TEST VC INSUL / .i GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLB(3 FINAL HTCa ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK Ff(3 DECK FlNAL ! O l~X1"tI N01~,1Q - NAL INSP. ~v ' arir oF E?GAN ~~j~ AIR RECA1Iur 9795 Pilof Knob Roed , Ea9en, Mlnnesota 55122 Phone: 454-6100 / . rIFS,ATING PERMIT No. ) 570 ~ Dcte: 1 ~ Receipt No.: 17' . i n . 5ingle I • Site Address: 1926 M. Timbermlf Trail Residential ~ . Lot L2 Block 2 • Sub/Sec. _Meadow1ana9 Multi Res., Comm./Ind. NQrne Gili'fOTd r.Q1:StI'. New/Alter./Repair ~ Addreu ~ z~lg Cost of Instollation l:t~g8n 454- 323? lr''City Phone: Permit Fee Name GenZ T-lyaLn Surcharge . ~ ~ Address City Phone: Total " This Permit is issued on the express condition thot all work sFwll be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. • Building Officfal ~~i ~~r EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road FcQMiT NO.: Eogon, MN 55122 DATE: ZO~ing' - No, of Units: Owner; Address: Site Address: Plumber: Meter No.: Connecfion Charge: Size: Account De posit; Reader No.: Permit Fee: 1 u9nee fo oompir with Hhe Citr of Eagan Surcharge: Ordinoneea. Misc. Charges: Total: BY Dote Poid: Date of I nsp.: Insp.: cirr or EAGAN SEWER SERVICE PERMIT 3745 Pilot Knob Road PEP.MIT NO.: Eagon, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 ayres to eomplp with fhe City of Eagan Connection Chorge: Ordinonces. AcwunY De pOSit: Permit Fee: B Surcharge: Y Misc. Charges: Dute of Insp.: Total: Insp.: Dcte Poid: cirr oF eac,AN 3795 Pilet Knob Road Esgae, MN 55122 N2 5524 PHONl: 4548100 ~ BUILDING PERMIT APPLICATION Recetpr # - To bo und for SF Dwlg. & GarageEst. Value 47,000 pate 12/4/79 ~19- Sire Address 1926 No. Timberwolf Trl. Erect N 0«upancy R3 Lot 2 Bixk 2 Sec/Sub. Meadowlands Alter ? Zoning Ri Parcal # Repair ? Fire Zone TTT Enlarge ? Type of Const. 4 z Nome Rnrfnr Con rno ion Move ? # Stories z Address PO BOx 21218 Demalish ? Front SA ft. C. EagBn phone 454-3237 Grade ? Depth 43 ft. APDrovals Fees p Name Se,me V~ ~re§ Pssewment ~ Permit 23-50- ~ Ci Phone Water & Sew. $urcharge 66.50 Police Plan check~_ Gu~i Name Fire SAC y 1 L99 Addrass Eng. Water Conn. 60.00 <w Ci Phorre Planner ptgr-/v~eter CounNl ~a•Unit 7b 1 hereby ackrwwledge that I have re his opplication ond state that gldg. Off. 12 /k /'7 9 the information is correct ond a to,eomyly with ail a!i oble 1 153•00 SMte of Minnewta Srotutes noE~ ~'an Ordinonc . APC Totui + Sipnature of Permitt A Building Permit is iss to: on the express conditlon that oll work shall be done iaccorda ith all applic~bl State ot Minnewta tatutes ond Ciry of Eagan Ordinances. Bufldins Official z'~° CITy pF EAGAN Include 2 sets of plans. 1 site plan w/el.evations & _ BUILDING PERMIT APPLICATION 1 set of energy calculations. To se Used For SiN 61-f valuation -Vma.~ vate i Z-%~l1 y r Si.te AddresS: OFFICE USE ONII.Y Lot Block Z. Sec./Suh. dvi,&j4c1D:vL.aND Erect ~cupancY ~ Alter Zoning !!f Parcel gepair Fire Zone ~ Enlarge Zype of Const. Owner' Nbve # Stories 1ddress: " Demolish Front S6 ft. City/Zip ff4x Grade Depth ft. Phone # : APPROVALS F'g'S contractor: 13;~/Lf`'U/Lc~ C~N57~'r2csc_77caC.~ Assessments 1`/, Perniit /33 ~ Water/Sewer Surcharge~ Address: ~O C~oX ~/Ji~ Police Plan Check City/Zip Code: Gd4-~~ . cGL X1 4- / Fire SAC Phone Eng' ' Water Conn. ~)o Planner Water Meter Go Council Hoad Uni.t v'- ~h•~g•~ Bldg. Off. D? - P,cldress: APC City/Zip Code: ~ Phone TOTAL ~ ~ h; a4 ew;a C(3 ~Us~ 18 months trom A .052717 ,~yulJbl,s l v.,.~ ~ sf- r v. ao ReQVest Date Fire No. Rouph-in InsVection 1.~j~ Nepuired7 eady Now OWill Nolify_Inspeo y E~~ ?Yes ?No tor When Ready ~Li nsed Electrical ConVactor I hereDy requesl inapection ot ebove Owner electrical work installed at: Sveet AAdress, Box or Houte No. City 5-~. ~ ka ecu n o. TownshiD Name or No. Range No. County Occ. ant IPRINT) Phone Nn. Powe. Su00lier Adtlress Electrical Contractor IComua amel Co xrecmr"s license No. A- L Maili Address IConhactor or Owner Making Instaila~ion) e- G ~-~-K~ 9~I, I'7 rized Signuture IContr c r/Owner Making Iretalla\ionl one Number MINNESOTA 964 BOANU OF ELECTRICITY THIS INSPECTION PEUUEST WIIL NOT Grippa-Mitlwey eldg. - Moom N-181 gE ACCEPTED BY THE STqTE BOARD UNLE55 PPOPER INSPECTION FEE IS 7821 Univarsity Ave.. St Peul, MN 55104 PMne (8721297-2111 E NC LOSED. y7~~~(S. . REQUEST FOR ELECTRICAI INSPECTION es:oooot.oa u; Sea ins<ructions for eomuleii.q tRie fwm on back af yellow copv. A ~ "'X" Be/ow Work Covered by This Request NIMArldfilerill .dypa ol Builtling Appliancea Wited Equipmenl Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Buiiding Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk T&nk Farm t e peci y Other ISpecifvl t.r SVeu y Ot er Olhar Compuie Inspection Fee Below p Fea ServiceEntrenceSize q Fee Feeders/5obfaeders M Pee Circuits 0 to 200 qm s 0 to 30 Am s ~ 0 tn 30 Am Above 200 qmps 31 to 700 Amps 31 to 700 Amps Swimming Pool Above 100-Am s Above 100_Am ~ Transtormer5 lni tion Booms Partial,'Offier Fee Signs Speciallnspection 5 TOTAL 60~B NouBh-in Date 1,ihe Ele al Inspeeeoq hereby mrtify [het tM above Final te k inspection hes baen mada. Thb npueat wb 78 moniR+irom W~.s011 0 d 14, Re~~pu e% Fi No. Roug -In Ins~ ^fion Requiretl In333 ~~~eclion Other Than Rough-In ~ (Wu .us1 c~~nspec1or when ieatly) ~eaGy Now ~ WII Notiry Inspecmr ~es ? No ~ t Reatl I' licensed contractor ? owner hereby request inspection of above electrical work at: Job Atldren (Stree6 eux or Poute No.1 cl Section No. Township Name or No.. Fanqe No. Couny Occ pa (PRINT) Phone No. Gr Ur~Rh i~ S Powar Suppliar AtlEress Ele Mcal Contraclor (Company Name) Conhactors License No Mailing dtlres, s lCOntra or or O+mer Making Installetion) _ G c~ ~7~ SS~/3~Z Aulhor SignaWre (Co aclod ner M ing Ins lation) Pbone Number ~ MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT Grlggs-Mltlway Bltlg. - paam 5428 I~ ~I I I II I I II.I I IIII III II BE ACCEPTED BY THE STATE BOnRD 1821 University Ave., SL Paul Phone (6tP) , MN 55104 I UNLE55 PROPEP INSPECTION FEE IS 602-OB00 ~ ENCLOSED. ST131A REQUEST FOR ELECTRICAL INSPECTION E^B-00001-09 $ee inslrupions for completing Nis form on back of yellOw copy. ll ""X" Be/ow Work Cnvered by This Request ~ ~~V Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heatin Apt. Builtling Dryer Load Management Comm./Industrial Fumace Other Specify) Farm Air Conditioner Other(specity) ConVacrors Remarkr Compute Mspection Fee Below., . # Other Fee N Service Entrance Size Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Am s 0 to 100 Amps Transformers Above200_Amps Abov 100-Amps $I OS Inspecror's Use Only: TOTA Irrigation Booms /~fit pv S ecial Inspection Alarm/Communication THIS INSTALLATION MAY O +SCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 TH . I, ihe Electrical Inspector, hereby R°upn-la ~ LAV/ certity thai the a6ove inspection has Final bean made. OFFICE USE ONLY This request vaitl 18 monihs irom This request voi,4 18 months from 7547 Date of this Request. ~ S 1 I, as OLLicensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: 3 Street Address or Route No. I`7~C' /Vt+zt7'i. ~,>,`.'e;cL~~~?1~4.L' Cityfa-p-,--' Section. Township Range County,/'~~1.-- Which is occupied by &AZ Cii4.Vfz4<44~?r (Nama of Occupant) Is a roughin lnspection required on this job? No ? Yes'p Ready Now ? Will CaliA PowerSupplier ]~"t~ £~~;FrL Address e•..inU~ Electrical Contractor ~•r~ Contractor's License No:17~ 7 ( ompany Name) MailingAddress /'t7y5- _5~ xi~,cf f'L'..i.C / (Electrlcal Contractor ot Owner Making Thls Instailation) Authorized Signature Lc L~ i.~s 9-.1 G~...e~n. Phone No. (Electrlcal Contractor o owner Making 7his Installation) $~j'~ ~~11~ . This iMpection request will not be accepted by the E~ 0 0 t3~r y~~ State Board unless proper inspection fea is enclosed. Minnesota State Board of Electricity iver6ity Ave., St. Paul, Minn. 55104-Phone 645-7703 ~~e,`~ f-- UEST FOR ELECTRICAL INSPECTION j ~ CHE OW WORK COVERED BY TH1S REQUEST s lypeot Building New Add. Rep. Check Appliancea Wired For Check Fquipmmt Wirefl or Home ? ? Range ? Temporazy Wiring ? Dup(ex Warer Heater ? Lighting F'ucwres ? Apt. Bldg. Dryex ? Electric Heating ? Commercial Bldg. Fumace 11 Silo Unloader ? Industrial Bldg. Au Conditioner ? Bulk Milk 7ank ? List l List Favn . ? ? ? p Other ? ? ? yeheis} Rehers -rre ) COMPUTE INSPECTION FEE BELOW ServiceEnhance Size: # Fee Feeders& us # Fee Circuits: # Fce 0 to 100 Am s. L 5 c 0 to 30 ' - s' 0 to 30 Am eres P=4 101 to 200 Amps. 31 to 100 - m x s. 1 to 100 Am res Above 200_Amps. Above ] 00 A-~ s. WA6ove 100 Amps. Transformeis RemoteContmlC'vc. bc Partial or other fee Signs S ecial lns ction Minimum fee S Remazks TOTAL i I, the Electrical Inspector, hereby certi fy ~the v ms~ection has been~a (Roughin) ~Date /--St5 (Final) Date This request void 18 months from 7'l F= o ~ c5 Usa I 41~ Clty of Eaaafl I Permitlt: i Permit Fee: 3830 Pilot Knob Road / Eagan MN 55122 j Date Received: ! j I ~ I Phone: (651) 675-5675 Fax: (651) 675•5694 i Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~~0!~ Site Address: j~Z I 1 M K?-s wdp ( t Tenant: ~ q t" ~ U! r- 60 J~ 5 1~ J Sufte RESIDENT/OWNER Name:6c+`)/ U`Thq'?JSPhone 61z1 77,0'364 Address / City / Zip: 2-~ .()YVIl~ (r~O1 T ~~d 1 1 Applicant is: X Owner _ Contractor TYPE OF WORK Description of work: XSpAd u.l7 5li iW10/`C Construction Cost: o e) Multi-Family Building: (Yes No CONTRACTOR Name: / v1 d 0r1jyt ti j,^, License a: 7- p 6~6 Z~ y Address: Z G appps~ 15 V V City: K o~M91~~ State: /A Zip: ~-S 0Lf Phone:C(0g2),4' -73~1 ContactPerson: /9Q4UP_ AV COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category t Worksheet • New Energy Code Worksheet Category Submitted Su6mitted (d submission type) • Energy Envelope Calculations Submitted _ In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phane: N07E: Plans and supporting documents thaf you submit are consldereaf to be public informafTon; Portions ot the informaflon may be classified asnon-public if youprovidespecific reasons that woWd permit the City to conclude that the are trade secrets. I hereby acknowledge that this inlormation is complete and accurate; that Ihe work will be in conformance with ihe ordinances and codes of the Ciry of Eagan; ihal I understand Ihis is not a permit, but only an application for a permit, and work is not lo start without a permit; that the work will 6e in accordance with the approved plan in the case of work which requires a review and approval of plans. X /aJ 1 J AJOJ-1l ApplicanYs Printed Name ApplicanPs Signature Page 1 of 3 PERMIT# ~W 9 RECEIPTDATE: ~ ~2 2002 itESIDEN'PIAL PLUMBINfi PE$MTf Ai'FL1CAT[mN ctN oF EAsALrr 3$30 PILOT KNOB ftD eweAN, afrt 55122 651-6$1-4675 Please complete for: singie family dwellings, townhomes and condos when permits are required for each unit, backFlow preventer for irrigation system SITEADDRESS: 1" ' OWNER NAME: : C 1 TELEPHONE lU 5 I 'Y rJ 6 (AREA CODE) INSTALLERNAME: Troun -Pri) 'PIlIMbttleA TELEPHONE#: G05a_UU~-(0,9q-I STREETADDRESS: ~lg"1 f1~~YtV~An/ A . (AREACODE) CITY: ~C1~L~P UI STATE: / 1 11 V ZIP: ~ _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) g 100.00 includes $40.00 County fee Note: Additional consultanl fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fiMUres to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ ABandonment of septic system. _ Water turnaround - existing dwelling unit 5/8" meter if needed -$718) Other: _ RPZ: newinstallation/repair/rebuild 30.00 _ lawn irrigation system ~ ~'vV 1 2' 20Q2 1 ReplacemenUadditional: _ water softener ~ater heatert;.^ $ 15.00 State Surcharge $ .50 Total $ `S . SD I hereby acknowledge that I have read this application, statethatthe infortnation is correct, and agree to complywith ali a plicable Cityof Ea ordinances. It is the applicanPs responsibility lo notiTy the property owner that the City of Eagan assumes no liabilit for any damag~~us~cLby the C" d AFigIE normal operetional and maintenance activities to the Bcilities constmcted under this per t' n ry o ! d a/ s ent. SIGNA E OF PERMI 1/02 ~ B&ford Constructkon Inc. ~ P.O. BOX 21218. EAGAN, MN 55121 . . , PHONE 454-3237 EXTERIOR ENVELOPE AVERAGE °"U" COA9PUTATIOP] + ER - - SITE ADDRESS COldTF?ACTORgtjrct~~R 0 CL'~jf(7 es-s"lc DATD n6VZ2 PHOIdE_4/Sy-32.~7 Determine working square footage of each. 1. Total exposed wall area:.... 131Z, sq. ft. x.1~ = Z Z.~ 2, Total roof/celling area . ( iZO sq. ft. x.0v Total exposed wall area above floor = a. Total wa21 windolvr area (o~n~ b. Total door area c, Total sliding glass area d. Total fireplace wa1Z area , p e. Total wall framiqg asea (average I0%)... P. Total net`iaall area above floor g. Total rim ,joist area . . . . . . . . . Tota1 exposed founclation area =10 c h. Total foundation tNindow area 7. i. Tqtal net foundation area above grade . betermine "U" Value of each wall segment. . a;<o, ._x P,Uc b ~ x eTUrI . . . L+ O.~ . x P4Uti ~..ILD. . . D. 4t X "U ~g - e V . 13r,z- A 9:U9i. ~ IDZ ' I , t. L... rpa),tj..X. 5fU5Y r qy = C 7. ra ~ ~y. /nQ . X tiU!" d 04 v v . . .71.x Ue. = g 1~ " . . i , • X Piuf: " .q.-~y. e D71 _ 3...... ....Total If item #3 is the same as, or..iess than item #1, you have met the intent of SBC 6006(c)2.. . Total exposed roof/ceiling area = !1t-,Q Total skylight area k.. _ Tota.l .roof/ceiling framirig area (average 0% 11 Z. e) 1. TotaT net . insu].aLed raof%ceiling area . . : : . / DoB . A Determine "°U" value Ptlr°each roof/ceiling.segtnent. X _ -k . 1lZX - Ur,. . , - . . . ~~l '7 S ' , i. 'lvo~ X .,,U,i 4 . . . . . . . . . . . . e . . .Tota~ If total of #4 is the same ass or less tYjan {.f2;.,you havC met the' intent of SBC 6006(c)1. " - . Alterriate Building;Envelope'. Aesign To utiZize the totBl envelope system method, the values estatilished:. by the sum of items #3 and #4.sha11 not..be greatex than the sum of items #1 and #2. - , _ 1. 2•~~ 3. 2.&P7 + 4:. a @,%~7 , 'L•,d~:i?1s . ~ rt::, ~ . DELMAR H. SCHWANZ LANDSURVEYOR ReqiatbM Uatlor Laws of Tha Stata o1 MipMSOta 2978 - 146TN 6TREET W. - BOX M ROSEMOUNT, MINNESOTA 66066 PWONE 61717117q SURVEYOR'S CERTIFICATE ~ Nn;z:w i iMaeR- WoL o Z, . ~n m I p.,~.,..• .~x~~,~,- - - _ _ o ,n 1*i ~p i L N ( ~ ~ ~y ' I! ~ , ae I Proponed garaGe Floar G ! I ~Elev. o ~ C I ~ iZCrc 1••~, c:cI`Y,i=''f i.''! •.t i:h; . . . _ ~ i ~s `N 4 ~ z6' 44•~.1h1 ~cc~ri i_r,,•, i... ~.c rt.t:aTc.,„.a ~ ~i T...~:?.. ..°li.! - 7 w`Ci °Ur Tlll.i?ri C'Iy?-'j n,-id2 ';:i~Ui::J Y;)C. AI 'o zhaxxing tht, w-,)p:)acd 10c3tion of' e nou:; ~ t:h : r,:: ;~i, . 1 . ~ i ~ . . l;rav?.st-, d . ;;t~:,iA REGISTflATION N0.8825 i I , ~ (0ITY,0F EAGAN PERMIT 3830 Pilot Kno6 Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 S 7 0 9 (612) 681-4675 Date Issued: 0 6( 01 / 9 S SITE ADDRESS: 1926 7IMBER WOLF TR N LOT: z BLOCK: 2 MEADOWLANDS 1ST P.I.N.: 10-48050-020-02 DESCRIPTION: Wx7ding~Permit Type DECK Ptlitding tJ'brk Type NEW a:. ~ . q w9 tr e i~ ~ ef~I~~ i~ t REMARKS: FEE SUMMARY: Base Fee $30.00 COPIES $1.00 Surcherge $.56 ToCal Fee $31.50 Subtotal $30.50 CONTRACTOR; - appiioanc - sr. Lrc. OWNER: TRZPLE D HOME IMPROVEMENT 19730450 0007845 URBANSKI GRRY 1870 W WAYZATA BLVD 1926 TIMBER WOLF TR N LONG LAKE MN 55356 EAGAN MN 55122 (612) 473-0450 (612)456-9836 T herebY ac,kn:+awledge tFtatS.have,;.read this ap;pl4 cation Atrdi stat.~ tlh6t the information i:s ccirracC and',6grea,to compiy wi'th alt; appljcablo ttato taf Mri. Statwtes and City txf €agart Or'ditmclnCes, n' . . , _ _ . . _ _ . r NAT ISSUED BY: IG UFE APPLICANUPERMI E IG U SPECTION RECORD CITYOFEAGAN PERMITTYPE: BuzLozwG 3830 Pilot Knob Road Permit Number: 025709 Eagan, Minnesota 55122-1897 oate Issued: 66 /01 J95 (612) 681-4675 SITEADDRESS: P'I.N, ° 10-4ee5e-e20-e2 pppLiCANT: LOT: 7 BLOCK: 2 1926 TIMBER WOLF TR N TRIPLE D HOME SMPROVEMENT MEApOWLANOS 157 (612) 473-0450 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION . DA FOOTINGS FINAL d 'e. . . . Y . . r... . . . . ~ . . . . . . . . ~ . < . u_... . _ w _ " CITY OF EAGAN ' 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New ConstruGion Reauiiements Remodel/Reoair Reouirementa ? 3 registered sile surveys ? 2 eopies ot plan * 2 coPies oF Dlans (mdude beam S window eaes; pouretl fnd. design; etc.) ? 4 site surveys (exterlor edditions 8 dedcs) ? 1 energy calalations ? 1 energy ealculations Tor heated additone ? 3 copies of Lae pieaervaBOn plan H lot platted after 7/1/93 repuired: _ Yee _ No DATE: ~la S~ CONSTRUCTION COST: DESCRIPTION OF WORK: ~nr~ ,r ~ v~L / 0 fC /c,L STREET ADDRESS: /1/: lOT TF BLOCK ~ SUBD.IP.I.D. f0-`-F tP Q5 v- 0 Z 0 0 1 T p n ,~nrA o1X/'v PROPERTY Name: CAlL (ir: kis ic e, . 6-A ry Phone 41s6 ~ 21-3/k, OWNER w* F•V Street Address:/ cl 0 r, Tt ,,n uaw L t^' ti, City: ~CA C, ,9 uJ State: A;;_~,-7. Zip: 5-5-f L Z- CoNTR~?CTOR Company: % b! c D ,rna L~-~,~ Phone V 73 - 0 ` ~ fi/io. Street Address: /d°,7 D c?. ujs1-v Z41'~3 License 000 7~14-S' City: 60,4-1~ LAl(e State: - l)2 cZ Zip. ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address• City: State: Zip: Sewer & water licensed plumber: Penalry applies when address change and lot change are requested once pertnft is issued. 1 hereby acknowledge that I have read this application and that the infortnation is w and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ord' ances. Signature of ' nt: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Pian Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dweliing o 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscelianeous 0 05 SF Misc. 0 10 = plex ~-15 Deck WORK TYPE CPL-31 New o 33 ARerations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS 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. q3 y Depth Footprint sq. ft. SAC Code Census Bldg ~ Census Unit O APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ~Z" ~ Surcharge Plan Review License MCNVS SAC ~Oan~ City SAC T Water Conn. WaterMeter Acct. Deposk S/W Permit S/W Surcharge Treatment PI. Road Unit Paric Ded. Trails Ded. Other Copies o0 Total: % SAC SAC Units . PERMIT Wy/9L0 CIT'Y OF EAGAN 3-95r 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 025647 (612) 681-4675 Date Issued: 0 5/ 2 2/ 9 5 SITE ADDRESS: 1926 TIMBER WOLF TR N LOT: 2 BLOCK: 2 MERDOWLAND 1ST P.I.N.s 10-48050-020-02 DESCRIPTION: (4-SEASON PORCH) B,6i3.dzn<j 4?ermit Type SF ADCiITION <Bvild~ing Wd'~r.:k.,TYpe NEW ~ ~ 1`t+ tiY . . h:} A . .wS Gi af ~}4yw ~ m~ '••i-"p: p 4], ~ S ~p iy^§*,, REMARKS: A SEPARATE PERMI7 IS REpUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY: VALUATION $8,000 Base Fee $99>00 Surcherge $4.00 Lic. Search Fee $5.00 Total Fee $108.00 CONTRACTOR: - Applicant - sT. Lzc. OWNER: TRIPLE D HOME IMPROVEMENT 14730450 0007845 URBANSKI GARY 1870 W WAY2ATA BLVD 1926 TIMBER WOLF TR N LONG LAKE MN 55356 EAGAN MN (612) 473-0450 (612)456-9596 ~ hereby aekcfiowledge° that ~I hauererad th3s applicatian 4nd~s'tate ~Chat ~frs iflfbrniatian is Porroct ahd agree to camply with all ap}a~ic~ablt State of' in. S,tatwCtes ahd Cit,y of EaganDrdina,nces. 1Qf PIl~,DI Ll ~ APPLICANT/PERMITEE SIGNATURE ISSUED V SIG TUREf I,- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: Bu YLp x N G 3830 Pilot Knob Road Permit Number: 025647 Eagan, Minnesota 55122-1897 Date Issued: 0 5/ 2 2/ 9 5 (612) 681-4675 SITEADDRESS:P.I.N.° 1e-48e5e-e2e-e2 APPLICANT: LOT: 2 BLOCK: 2 1926 7IMBER WOLF 7R N TRIPLE D HOME IMPROVEMENT MERDOWLAND 1ST (612) 473-0450 PERMIT SUBTYPE: TYPE OF WORK: sF aonx7ioN New DESCRIPTION (4-SEA50N PORCH) INSPECTION „ . .A FOOTINGS FRAMING INSULATION FIREPLACE FINAL REMARKS: A SEPARATE PERMI7 IS REQUIREO FOR ANY ELECTRICAL WORK . _ ~ n ; • . CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (REStDENT1AL) 681 -4675 New Construction Reauirements RemodeVReoair ReauiremeMs ? 3 registered aite surveys ? 2 copies of plan ? 2 copies of ptana (indutle beam 8 window sizes; poured fid. tlesign; etc.) ? 2 ske surveye (exterior addiGOna 8 decks)? 1 energy alalations ? 1 energy calculetiona for heated additions ? 3 cxpies M Lee pretervetion plan N IM platted after 7/1193 required: _ Yea No DATE: 5-1 "7 CONSTRUCTION C05T: l ~ '5-0 0 DESCRIPTION OF WORK: .y3 c,r 0 l G~ / STREETADDRESS:' /!2G2l~ N• f:'sr1DPl1.rUI~ I2A,~ LOT BLOCK SUBD./P.I.D. fiMILM rA l PROPERTY Name: 6rt-211 z!11 A K1c V Phone 4S4- 25 3-6 OWNER Street Address- /Ea o~~ City: State: Olkl, Zip: CONTRACTOR Company: r 'p (p D i-L rno Phone Street Address: i J' 70 ty. l.t/A YzA-rri RIvLO, License 78 `~S Ciry: L0 21 C, i_n l--e ?YIo State: ?1'1n Zip. ARCHITECT! 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 permR is issued. I hereby acknowledge that I have read this applicatian and state that the information rrect and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. r Signature of Applican OFFICE USE ONLY RE CEIVF~ Certificates of Survey Received _ Yes _ No Mqy 17 1995 Tree Preservation Plan Received Yes No ~ OFFICE USE ONLY . ~ . BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex ? 12 Muiti Repair/Rem. ? 17 Swim Pool 0-03 SF Addition o 08 8-piex o 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 _-plex o 15 Deck WORK TYPE 0 31 New o 33 Alterations o 36 Move xr- 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS 5ystem (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire 5prinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. yjy Depth Footprint sq. ft. SAC Code aI Census Bldg i Census Unit a APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 6P Surcharge Plan Review License MC/WS SAC City SAC Water Conn. WaterMeter /Z 57 K ~o.s' = (3/ XST Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC 5AC Units i~6. tW m'•,. , ~ r," t 4' ~ t: V A. h At~.t: 4 > r.: Y ^i .4_':~n1~c7~ n ` Cev~i;f1Cate fqr i ~ I7liilYl.{& Cu,2'ry ~ ~ •n, t r,l'' '~~HAti89 IACa,t1.Ori:~~U~3~y~~1 ~y, 41 ~ Btu'ford •Constructjpp P.O,., Eox;21218~ ~ A F,agan, Mlnn. 55121 ' DELMAR : H. SCHWANZ ` . : . ~ 7i70 -.146TN 8TR6ET W - 60x, M. t R08EMS1YHr: MIlaNfi80TA:66088 MWNE ~72 t3L1M ~ r ` . H A r . C SUAVFVOR'SCEATIFICATE I P- . ~ y . I . ~ . . ~ : . . 1 r . . ~ . . . . . , ' 4 ~ . . . . . . ' . ' 1 ~ ~ Na2TM TiMaER WoL~~,TRA1~. , a ~ . 0. .SL"4I+F+: 1 1ttCh a 30 fe@t i~'. . . , ~.0.^'~ . , _ , N 490 z644"1A~ : . ~.O !(CP~NA4Gi~ U-rtL:iTr EAsCMe14T . + 21# P' ~ .39 I QI'~ - ' ZQZ • i . P~ - . . . . . ..Y~ ~ Y . i . . . 28 ~ . . , ' "I U). . '..P r ~ ~ • ~ ProPos@d garage i'loor . 6 oO . Elev. 4 ' . . ~ . 1 N ~ , . , - . ~ . . ' . ~ ` . , ~,o7 5 I nereby certify thxt~this ~,8 a~trup;~ ' J - - - ~ rsnd correct ropreserttation of IAt. 20 ,1, ` Block Z,°MEADOWLAND FIAST ADDITI0~1, , ' 8Q•~ N 49°z8'44"W " according to the recorded pl~st therepf„ Dakota County, Minneaqta.... ,Dated:'July 17; 1979' , „ ' Approved..for.Dunn~& Qur.ry Real Estate Management, Znc. , . , . , . , ~r , by y; Y' '~.oca~lon o.Y a hQUa -thereon. < Alaa.,sYwyjng the' propo , s¢ e ~ , , . i . . . . . . . . ' . . . . 1 ' .P.'' . ~iouee revi€~aa 1.2 : 3 79.. ~ 1 . t Ir ] ~ ' - ' R@j?'I~APA Avviial-. 14 1 i ' • ~ CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION (BASED ON 1984 STATE ENERGY CODE) OWNER: (AC~/ ArJO N flNc v IA ?(3A n1s K ~ SITEADDRESS• t CIaL ~!?'1 bercAlt)i{ % !'A# l CONTRACTOR: '02, ~(4 17 1+4»A2 J+o DATE: PHONE: Qstermine working sauare footage and overelt 'U' value of each 1. Total exposed walUfoundaHon area above grade sq. it x.11 = /7 S'SZ 2. Total exposed rooflceiling area . . . . . . . . . . . . / Z s/ sq. ft. x .026 = 3 Z °Sj 3. Total exposed floor/cantilevered area i 3 I sq. ft. x.04 = S` 2 y Determine sauare tootaae of each exposed walUfoundation area "seamen a. Total wall window area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ZOg b. Total door area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . 3`7 .-7 c. Total sliding glass area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '-7 Oe U d. Total fireplace wall area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - L) - ~ e. Totai wall framing (average 10%) - See Fig. 1 . . . . . . . . . . . . . . . . . . . 16 3, ZOD f. Total M wall area above floor (rim joist) - See Fig. 2 . . . . . . . . . . . . . /OU 7• 0/ b . . . . . g. Total rim joist area - See Fig. 3 . . . . . . . . . . ~y ~ ~ 3~ Total exposed wall area above foundation = . . . . . . . . . . . . . . . . . . 1432.06) h. Total foundation window area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . y i. Total = foundation area above grade - See Fig. 4 . . . . . . . . . . . . . . . ~`b • C~' Totai exposed foundatlon area = . . . . . . . . . . . . . . . . . . . . . . . . . . . t O61,.C> Determine 'U' value of each exoosed walUfoundation area "seaplgpt": a. zC~`'s . °I x 'u' •~~0~. = 2a~-f ( b. 3-7.7 x'U' C. -70.0 x'U' .053 = 31-7 1 ~ d. CD x'U' - U- = C'S e. 3.20 x'U' . 1 32- f. / r7U7. g0 x'U' . 0-7 _ -70. SS 9. /Z-/4.3d x'U' .069 = 0r.9(0 h. l-7• `f x'U' . Sh' _ 9,.7Y i. 9 ,~o x'U' 42. 7 = 37.$3 4. ToWI actual 'U' value for exposed walUfoundation area = / 67• S Z (If Rem #4 Is the same as, or less than item #1, you have met tha intent of the State Energy Code.) I Determine sauare fooWae of each ezposed roofleeilina area "seamen ' j. Total skylight area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ k. Total rooflceiling framing area (average 10%) - See Fig. 5/6 . /Z ,5- I. Total IIs! insulated roof/ceiling area - See Fig. 5/6 . . . . . . . . . 112-6 Totai exposed roof/ceiling area . . . . . . . . . . . . . . . . . . . . . 12-57-1 Determine 'U' value of each excosed rooflceilina area "segment": j. C~ x'U' d = CJ k. /Z S- x'u' , 02'f - 300 x'u' •UZZ = 2~.52 S. Iq_W actual 'U' value for rooflceiling area = 30. $'Z (H #5 is the same as, or less than #2, you have met the intent of the State Energy Code.) Detertnine sauare footaae of each epgsed floorlcantilevered area "sagmen m. Total floodcantilevered framing area (average 10°h) - See Fig. 6. A3' n. Total Pgt insulated floor/ceiling area - See Fig. 6 . . . . . . . . . . . . . !~~'7• g~ Total exposed floor/cantilevered area . . . . . . . . . . . . . . . . . . . . . l3 ~ Determine 'U' value of each e osed floorlcantilevered area "sea M. L~.r t O X'U' e V5-07 e 7 / n. ((7.90 x'U' o 0~0 6. Total actual 'U' value for floodcarKilevered area = 'f. 31 (If #6 is the same as, or less than #3, you have met the intent of the State Energy Code.) . Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Item #4, #5, and #6 shall not be greater than the sum of Item #1, #2, and N. 1. L Z l. 52 +2. 32.53 +3. 5~. 2 y = 21 -102 a. l6, 7. S Z +5. 30. S 2 ,s q.3 I = 202. 3S I hereby certify that I have calculated the 'U' fadors and 'R' values herein and that the building herein described meets, or exceeds, the 1994 State of Minnesota Energy Code. 4~2 ~ ~/ZS-`-~3GZ a ure 57=27-5 ate i ~ 1 2 PErEivF~. w, DEC $ l9)y 01FE A ~=p Dunn dc Cerry G~ Reo! Estate Menagemeat lnc: ~ 4940 Vking Drit•r Prntugon Offrrr Purk Minneapolis. MN 55435 16121835-2808 Mr. Thomas T. Hedges City Administrator City of Eagan 3795 Pilot Knob Road Eagan, Minnesota 55122 Re: Meadowland Park scrow fo Lot Z lock Z Dear Tom: Attached please find a check in the amount of $400.00 ' covering the monies required to be escrowed for Lot 2 Block 2 in Meadowland, First Addition. By this letter you agree to hold this money in an interest bearing ac- count until such time as the previously agreed upon pro- perties to be dedicated as part of Meadowland First Addi- tion have been dedicated with free and clear title to the City of Eagan. Please countersign this letter belok as acceptance on ' the part of the city of the above referenced funds. IL is understood that these funds will be retained by the city and returned to the owner, Cliff Road Properties, upon the acceptance of the title of the park land for Phase One. Thank you for taking care of this matter, I remain Sincerely yours, ! Rodney D. Hardy ~ Vice President i ; Accepted for City of Eagan • ta~s/~9 Y ?~e~~/G 9D~-- ii I F'or:Office,Use ~ Clty of Eagn ; Pe",t# 2-' I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: I I Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: T I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I Uf 008 Site Address: I"I Z49 I 1 Vrn Ver 1' Tenant: &c.LI Suite#: RESIDENT! OWNER Name: ~~4" l.l.Y -YI.S {--c Phone: Address / City / Zip: b er I~ I f Applicant is: X Owner _ Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building; (Yes No ~ coNTRacroR Name: } ~ e icense"t" ao~3oa3~ Address' `7a ~'95 lAz~('.Y Uc ~ ~ City: _ State: Zip: ~ Phone: Contac[Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqory 1 Minnesota Rules 7672 EI7¢fgy COdB . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted '(4 submission type) • Energy Envelope Calculations Submitted In the last 72 months, has the City of Eagan issued a pertnit 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 fo condude fhat the are frade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in co o ance wkh the ordinances and codes of the City of Eagan; that I undersland this is not a permit, but only an appliration for a permit, and wo is n. to staR without a permit; that the work will be in accordance with the approved plan in the rase of work which requires a review and approva of pla x H~~'C I I~-'~ Y IL x ..i' W Appiican 's Printed Name Applic Ys Signature ` Page 1 of 3 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNE50TA 55122 DATE 19 R6CEIV6D I,. . I1 FROM AMOUNT $ I d DOLLAR$ ~aa ~ CASH ? CHECK F OI~ FUND CODE AMOUNT Thank You U\' ~ BY I/ VYhite-Payen Copy Yellow-Postinp Copy Pink-File Copy • CASH RECEIPT . CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 40 e 45- f 9 ?7L RiCEIY6D FNOM AMOUNT $ & OOLLARi ~eo E] CASH ? GHECK FOR FUNO COOE AMOUNT Thank You BY / White-Payen CoPY Yellow-Posting Copy Pink-File Copy Certi fixate f ~r : I3urr Y".riy Rouse Location for : Hurford Construction 15nc. P.O. Box 21219 F,agan, KI nn . 5 y 1? i DELMAR H. SCHWANZ LANDSURVEYOp qpHtaW VnW, LAwS of The Stato of M-nnawts 707111 - U6TH fTRiET W. -BOX M ROiEMOUNT, MINNESOTA 660ii PMONE i12123-17M SURVEYOR'S CERTIFICATE l/ ~ NQRTH I iMBEiZ INct F TRAti1_ . • ~o SCqLE: I inch ~ 30 feet. . 80.c)--- ni 490z 8 44"UV A4a ~ C) - ^ UIZ~~ITY -'EPS:.ME VIT - _ ~ , ~3 . r ' (N , ~ . ~ V 0 i l~2e L 1 ' j Proposed garage Ploor g r El e v. ~ I c! ; 1•-~.. O ` ~ - . I +rJ I hereby certify thAt this 1s a true v~ U%1 a.nd correct representation of Lot Z, aO.o~ p Blook 2, MEADOWI,AND FIRST ALDITION, N 49 z8' 44according to the recarded plat thereof, Dakota County, Minneeota. Dated : July 17, 1979 Approved Por Dunn & Curry Real Estate Management, Inc. . by : Alao shor+ing the proposed location of a houae thereon. E!nu6e reViaeci 12-3-7 . r~._ .~.~y: • ~ ~ t tL' s ' / w ~ ir I _ T,evised Auguet 14, i u7c; ,•:.~.r ~I/ ~1 -'~~f . ~ MiNf+lfiOTA REGISTRATION NO 8626 Use BLUE or BLACK Ink r----------------- For Office Use Permit#: City of Ea�aii I 7 � . 3830 Pilot Knob Road 201$ i Permit Fee: Eagan MN 55122 ; Date Received: Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I ^^11 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address:J9Ae ;,rXV UX 744 /(/O r(.IV Unit#: Name: d/3 fal.T- _ CA-l{ tIR7�-� Phone: C �nrner Address/City/Zip: /Q2G 77 1/36(A/Olic 7kA#L A.1- C�rI4'4,h Sall-'' Applicant is: Owner Contractor ~' Description of work: ?brliii'.,dLZ Deft_ ate.P*449 wed Construction Cost: 4f7f ` /.✓C.n*1 t- Multi-Family Building:(Yes_/No>C Company: L'ew/CCI077•t4<— i0ls if n/ Contact: Fd A,1 S T C.T' City: 1/d� Address: gig 5 /�i- ,A Qg Xe �r�tltt�G� State: A Zip: SAS/lY Phone:�j' -"t,?V3Email: d"Or License#: CQ70RP/ Lead Certificate#: If the project is exempt from lead certification, please explain why: IYZ d✓ l r ^ecefS.4414 -1t* Dt s / ervrj r j WAqx L!� 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: Fire Suppression Contractor: Phone: the rnforma#i na�uiblic i%f you prot+ide spec that tl? ::are trade S@CId x.. 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.00pherstateonecall.orp 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 be completed within 180 days of permit issuance. x o�� .o @' Jae - x Applicant's Printed Name Applic nt's SignatVire Page 1 of 3 ice j eo NOT WRITE BELOW THIS LINE 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 790 Occupancy— MCES System Plan Review Code Edition /1 SAC Units (25%_100% ) Zoning 's City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required 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:_Ice&Water _Final Pool: _Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour 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 Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: _ �%!"Y) O)l F�Y , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 kv I DELMAR H. SCHWANZ li LAND SURVEYOR Registered Untler Laws of The State of Minnesota 2176-- 145TH STREET W.- BOX M ROSEMOUNT, MINNESOTA 58068 RHONE 612 427.17" SURVEYOR'S CERTIFICATE I Qs, II y. 7-z I, Prop000d garace Floor' Elcv. �. � _ �._.._. _ _._._ its .< t,p.� !'%�7.•;C;G . -t�'r'"?i.)�T';;�..fl ..f�_±.j, �.. j 1`s T Z Vy T•,..X ; I 71 t 7 .J'�. . 1.lG�v� ..� V !.C� J a �I w-,C, u Dunn is r; 4T.2_,' n 'aI �,r.-i ?t, v-..ri-Lr' '.lE i III the :)p:)sod loc:..tion o> Lt. 1' ,•,t�,:,TA REGISTf1A71ON NO.8625 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA143342 Date Issued:06/13/2017 Permit Category:ePermit Site Address: 1926 Timber Wolf Tr N Lot:2 Block: 2 Addition: Meadowlands 1st PID:10-48050-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Robert J Cahalan 1926 Timber Wolf Tr N Eagan MN 55122 (760) 900-8367 Tri County Water Conditioning Inc 325 Third Ave NW P O Box 65 Huchinson MN 55350 (320) 587-2950 Applicant/Permitee: Signature Issued By: Signature