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1930 Timber Wolf Tr N . CITY OF EAGAN N~ 6568 3795 Pilo! Knob Road Eogan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # _ To be wsd fo? Est. Volue Date , 19 Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zon(ng Parcel # Repair ? Fire Zone Enlarge Type of Const. oWe Name Move ? # Slories Z Address Demolish ? Front fr. 3 ~ Grode ? Depth ft. Ci Phone ~ Approvcls Fees Name ~o Address Assessmerit - Permit ~ Ci Phone Water & Sew. Surchorge Police Plan check ~ FW Name Fire SAC Address Eng. Water Conn. a W Ci Phone Plonner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the informution is correct and agree to comply wlth oll applicabie Stote of Minnesotn 5totutes and Ciry of Eagon Qrdinonces. APC Totol Signoture of Permittee A Bullding Permit is issued to: on the express condition that all work sholl be done in accordon¢e with oll applicable State of Minnesota 5tatutes and City of Eogcn Ordinances. 8uilding pfficial Panntt # Dah hned PxmittN Plumbing Mechanical JZ5 --2S 3- 7 - ,y - - zAktA INSPECTIONS DATE INSP• Rough-In Fincl FooTings Date Insp. Dote Insp, Foundation Ptumb3ng ram /ins. Mechnnical Final . Remorks: '~tii 7 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fae Fill in numbered spaces S/C Type or Print /egibly Tot. 1. Date st 3. Job Address ti~`1 Lot Blk. Tract 4. Owner ~ /'-1 lr~ L 5. Contractor c~~?/4~/. ~l : i ; `•,~i / ~Phone 6. Address ~ ~ •j 7. City tate /11 ZIp , 8. Building Type: Residential ~ Commercial O Institutional ? 9. Work Description: New ? Add O Alter ? Repair O 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Draintield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this tYpe of work. Signed , . tor . Rough Final • Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spacesl S/C Type or Print /egib Tot. 1. Date 2. Installation /st 3. Job Address ot Bik. Tract 4. Owner ~ ' fl:°11 (:r' 5. Contractor Phone 6. Address ' ' - 7. City State Zip 8. Building Type: Residential 0 Commercial ? Institutional O 9. Work Description: New 0 Add O Alter ? Hepair ? 10. Describe Fuel Type 11. No. EguiRment 8TU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg, Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to Comply with all ordinances 2nd Codes governing this type of work. Signed : for ~ Rough Final ,Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 vt" ..~;i'~*° ~ ' - ~ " .19l°'' , " i-" ' ' ' ' ~`s`~__-:ry ...~~v ::~~c=s ~n ,•j i C~rrfi#irat.e uf 'arruvttnry ~ Citp of (Eagan ~r BP.pttrtm,mt of Builbing 3nfippriimt Tbi.t Certif icate issutd pxrtuunt W the requirements o f Scction 306 o f the Uni f orm Building ?~.I Code urti f ying that at the time o f itsuance this rtrruture was in com plianu with the variou.r `~.ordinanccs o the CitY rr8ulatin8 bui(din8 conssructran ar usr. For the fo!lou7n f 8: Single Family Dwg./Garage 6568 U~e Ga~6nfim &dg. Pemut No. ~ ~ ~ ;j r Or.F+@xm.7TYPe- R3 TYPe CmwucUoaVLFrcZone NA Zoning Districi R1 Blilie Const• Addrom 644 Superiox St., Eage.n ; o,,,,er os B„um„s A 30 N. Timber- ,~,,;,Y Lot 3, Block 2,MeadoAlands 1~1 ~ valf Tr~,, ~ June 299 1981 r•- ofncal D.ce: ? ~ ~,.I +6.~~ ~'I - IOi~ IM COMB~ICUWi 'LAC[ . ~ ~rb ~ ~ ~l~~S ;`ro. y~? a,~ ~s V~9~ . ~ ' ~e~ L '~i~"9 Receipt PLUMBING PERMIT Permit Na. • CITY OF EAGAN Fee Lr Fill in num6ered spaces S/C Type or Prini legibly Tot i ~1. Date 2. Installation Cost . 'y, ' 3. Job Address Lot Blk,:; i..~ Tract 4. Owner ' • % ~ . ~ 5. Contractor Phone 'i ' - - ~ 6. Address 7. City State Zip 8. Buitding Type: Residential ? Commercial ? Institutional 0 9. Work Description: New O Add O Alter ? Repair ? 10. Describe 11. No, Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory 'Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above infarmation is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date p This is your permit when numbered and approved. Approved CITY 0 EAGAN 454-8100 CITY OF EAGAN Remarks Addition Lot 3 Blk 2 Parcel 10 48050 030 02 Owner ' Street 1930 Ne_ Tisher 1ilelf Tr_ State M$aIl+ I'1N 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. IDp. 1589.99 158.99 1 1431.00 C007153 7-10-$1 GRADING SAN SEW TRUNK 1970 77.95 3.12 25 ~ • SEWER LATERAL 3156.58 281+7. :>3 C007153 740-81 WATERMAIN * WATER LATERAL 8 10 WATER AREA 1973 95.27 6.35 15 STORM SEW TRK ~ 1971 282.92 14.15 20 * STORM SEW LAT 1981 10 * sermices 198 10 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 23870 3-24-81 WATER CONN. 335.00 23870 3-24-81 13UILDING PER. 6568 SAC PARK CITY CF EAGAN WATER SERVICE PERMIT 3795 Pitot Knob Rood PERMIT NO.: Eagon, MN 55122 DA7E: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Metes No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I ugree M eomply with the Cify of Eagan Surchnrge: Ordinances. Mfsc. Charges: Total: By Date Paid: Date of Insp.: Insp.: WATER SERVICE PERMIY CITY OF EAGAN pERMIT NO.: 3745 Pilo: Knob Road DATE: Eagan, M1J 55122 No. of Units: Zoning: Qwner: Address: $ite Address: Plumber: C,annection Charge: Meter No.: Account Deposit: Size: Permit Fee: Reader No.: Surcharge: 1 ogree !'o eomply wit6 the City of Eagan Misc. Chorges: Ordinances. Total: Date Paid: ay I nsp.: Date of insp.: SEWER SERVICE PERMiT CITY OF EA'GAN pERMIT NO.: 3795 Pflot Knob Road DA'fE: Eogan, MN 55122 No. of Units: Zoning: Qwner: Address: Site Address: Plumber: Connection C { agree to eomplY with tl~e CitY ot Eagan F?ar9e: Account Deposit: Ordinanoes. permit Fee: Surcharge: Misc. Charges: BY Total: Date of Insp.: Date paid; Insp•: , '-r,!PRT czTY oF EAc,Au Include zsets of plans, 1 site plan w/elevations & ~~~oa r~ BUILDING PE1~ffT APPLICATI~I 1 set of energy calculations. ~tl Be Used Fbr / Valuation 07jeoi a00 Date Site Pddress dFFICE USE ONLY Int Blocx sec./sub. ect X ^ Occupancy Parcel 1//f 4) '5-D Ae~ O ~ - Alter Zoning ~ ~ REpair Fire Zone Oamer: Enlan3e Type of Const. Address: Move # Stories Danolish Front S'r- ft. City/Zip Code: Grade Depth ~y ft. Prmne APPIt0~7ALS FEFS Contractor: -e S Y , Assessments Pesmit Taater/Sewer Surchatc~e Address: police Plan Check S- ` City/Zip Code: Fire SAC S-aA Phone Eng' Water Conn. ,33s °O ~ Planner Water Meter ~ • Arch./Eng. Council RAad Unit Bldg. Off. Address: AFC City/Zip Code: D Phone # : ~ oZ / 0' ~ This reQUest voiA Z. ,ss 18 rtanlhs from ~ ~ -Jry ~ ,Qql L3, g Z IhF,00o J A A O o!S:t Zo.ft A Reques[ Dale ~ Fire No. Rough-in Inspeciion ~ Requ~red? Heatly Nuw Q Will Noliky.lnspec- ~-mL 3 ~ T ?Yes ?No tor Whe5 n ReadV Licensed Electtical ConVactor 1 hareby requast inspection of ebove ? Owner eleclrical work in5lalled et: Street id~s~ Q or ft-ayte N ~ e City ~ IV 7 %u ,~l ecLOn o. Townshio Name or No. R ge No. Coonty I NT) Phon Nu. ? d~ Powe up lier ~ , Address ~ Ele ri al onVa¢(pl~lTsompa y Name) CoMractor's License No. _ f 6 3 -FS1-3 MailmB Address (C Vactor or Dwner Makiny InstailatioN ~ 3c~_a 3 3 7 Authori ure ICo racIor/ Making InstallaGun) Phpn~(JUm¢e~ - L^ ~J G .J ' MINNESOTq STATE BOAflO OF EL TRICITY THIS INSPECTION REQUEST WILL NOT GriB9s-Midwey 61d9. - Room N•791 gE ACCEPTED 9Y THE STATE BOAPD 1821 University Ave., St. Peul, MN 55104 UNLE55 PROPEFl INSPECTION FEE IS Phane (812) 29]-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION IEa-ooooi:oa'I ' See inshuc[ions tor comDlaHrro this fwm on beck of vsllow copy. V A ~ R "X" Below Work Covered by This Request Add RaO: 'Tflpe of Builtlin9 Aooliencea WireA Equinmen[ Wired Home Range Temporary Servi • Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Elec[ric He2Un Commercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Buik Milk Tank Farm oin sprc~ v oi n. Isnedryi t el sucu y O oiner NOMDUne lnspectron Fee Below p Fee ServiceEntrenceSize fi iee Feeders/SUbfeeders N Fee Circuita 0 to200qm s 0 to30Am s 0 to30Am s Above 200 qmps 31 to 100 Amps 31 to 100 Am s Swinmin Pool Above 100-Am s Above 100_Amps Transiormers Irrigation Booms Partial-'Other Fee Signs Special Inspection $ SZ/ TOTAL Nemerks / A ` Naueh-in. Oa^t}e / I. xha mal pJ^~~ Inspector, hereby certily that tha nbove Final inspectian has been mede. Tla ropuest voi0/8 monlln Irom +°lj&uest void 18 months from Date of this Request Fire No. p 34927 I, asLicensed Electrica-Ttracror ? Owner, do hereby request inspection of the above electri- cal wmng instatled at: Street Address or Route No. .L430 CityS~~pr. Section Township Range ~ County ..~~(1 . Which is occupied by_ Y ~ (Name of Occupant) °Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call)K Power Supplier lYd-i~'.U'~A rQk~l`tk~- Address Electrical Contractor Jac-~ I ~ A?~`3 Contractor's License No. _ o pany IVa~) Mailing Address ol~ lactri 1 ntrac r or Owner king This Installation) Authorized Signatur Phone No. ( trlC~l Contractor or O er Making his Ins[allatfon) ~(~~.{~0 tJ ~ 7~1W This i ~spection request will not 6e accepted hy the E'J _ LY3 State Board unless praper inspeetion fee~is enclosed. mfnnesota State Board of Electricity : ~ Griggs Midway Bldg. - Room N791 EB-00001-02 Lniversi[y Ave., St. Paul._Minn. 55104 - Phone 297•2111 REQUEST FOR ELECTRICAL INSPECTION 34927 CHECK BELOW WORK COVERED BY THIS REQUEST b Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired FmHome ? ? Rangc Temporary Wiiing ? Duplex Water Heatei ? Ligh[ing Fixm:es ? Apt. Bldg. ? Dryei ~ Electric Heating ? Comme:cial Bldg. 0 ? ? Furnace Silo UNoader ? Industrial Bldg. Ll ? ? Av Condilioner ? Bulk Milk Tank ? Lis[ List Othei D ? ? p Hehersl p Herels~ COMPUTE INSPECTION FEE BELOW Servire Enhance Size: x Fee Feeders&Subfeeders: # Fee Circuita: # Fce 0 to 100 Am s. S 0 to 30 Am res 0 to 30 Am eres 101 to 200 Am s. 31 to 100Ameres 31 to 100 Am eres Above 200_Amps. 11 Above 100 Amps. Above ]00 Amps. Transformers 11 RemoteControlCirc. Partialoro[herfee _yb Si ns Special lns ction Minimum fee Remazks ~y0 TOTAL F J3 • Jb I, the l~t tp r h by certify ih abov ectCon has been ma e. (Rou n (Final) ~ Date This request void ' 18 months from Minnesota State Board of Hechicity ; Griggs Midway Bldg. - Hoom N791 E9-00001-02 18 Nniversiry Ave.. St. Paul. Minn. 55104 - Phone 297-2111 ~ REQUEST FOR ELECTRICAL INSPECTION ~C CHECK BELOW WOAK COVERED BY THIS REQUEST 6 9 7 5 Type of Building New Add. Rep. Check Appliances Wued Foi Check Equipment Wired Fm Home ? Range ? Tempoiary Wiring El Duplex ? ? ? Water Hea[e[ ? Lighting Fixtures ? Apt. Bldg. Dryer ? Electric Heating ? Commexcial Bldg. ? Furnace ? Silo Unloader ? Indus[rial Bldg. ? Au Conditioner ? Bulk MJk Tank ? Fazm ? ? ? pList pList Othe ? ? ? Herels) Hehe13 r ~ . COMPUTE INSPECTION FEE BELOW Service Entrance Size: ~ Fee Fceders&Subfeeden: # Fee Circuits: # Fee 0 to 100 Am s, 0 to 30 Am res 0 to 30 Am eies 101 to 200 Am s. 31 to 100 Am eres 31 ro 100 Am eres Above 200_Amps. 11 Above ] 00 Amps. A6ove 100 Amps. Transformers 11 Remote Control Circ. Partial or o[her fee Si ns 11 Special Ins ection Minimum fee S5.00 Remarks TOTAL FEE I, the E c ~T er~ certify t e ab i ~pection has been made. g, (Rough- te (Final) P Date 3 -l 9'-& A This request void 18 months from r~kiest void 18 months from ~ ~ ~ ~ ~ ~ Date f's Request ~ Fire No. I, as Licensed ectric(a C t actor DOwner, do hereby request inspection of the above electri- cal ~diring installed at: ~r- - Street Address or Route No. ~ tiCit ~ U SecUon Township ~ Range County~ Which is occupied by 9I14~ , (Name of Occupant) Is a roughin inspec 'on requt ired on this job? No ? Yes ? Ready Now d Will Call ? Power Supplier Address.. Electrical Contractor gmjc~ Contractor's License No. _ Company Name~ Mailing Addreu ~ ~ ~ Electrlca ontro o o ner Making 7nls Installati ) Authorized Signature Phone No e~~ ~ (E rita Contractor or ovvh'V Making T Is Installatlon) ~ L L?~ p~j ~~L~ ~ Q O!~iUThis i pection request will not be accepted 6y the _ State Board unlas proper inspection fee is enclosed._ ~ CITY OF EAGAN 3795 Pilm Kno6 Roed Eagan; MN 53122 N2 6568 PHONE: 454-6100 BUILDING PERMIT APPLICATION Receipr .}k To be uud fer SP' 17NTC/GP,R Est. Value 40,000 Date 1921_ Site Address 1930 N. Timbexvmlf Erect 0 Occupancy- R3 Lot 3 Block 2 Sec/Sub. MeadO471and4 Alter ? Zoning Rl Parcel # 10 48050 030 02 Repair ? Fire Zone NA Enlarge ? Type of Consf. V w Name Rl i 1 i c fYma+niri-i nn ('n _ Move [3 # Stories 3 Address 644 SLmerior Ct.. Demolish ? Front Sti ft. cEagan Phom 454-1438 erode ? Decrh 24 te. ~ ~ Name ADVr~is Fees 0 o~ Address Assessrdd6t.3-1,$~l- Permit 115.50 Water & Sew. Surcharge 20.00 Ci Phone F Police Plon check 57-75 ww Nome Fire SAC 525.00 f Address Eng. Water Cann.335.00 <W Ci Phone Plonner WaterMeter60.00 Council Road Unit 185,00 I hereby ocknowledge that I have read this opplication and state that gldy, pp, the informotion is corred and pree to wmply with oll dpplicable State of MinnesoM Statutes a/ iry of Eagon Or ' nces. APC Total Signature of Permittee 2AA9 ' A Building Permit is issued to: B1111E CO StY'L1C'tl.Ori on the express condiHon thot oll work shall be done in accord ce w =b/leam ~ Mi~ ta Statutes and City of Eagan Ordirwnces. Buildin9 Officlal 2004 RESIDENTIAL BUIIJDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ~ 4o Telephone # 651-675-5675 FAX # 651-675-5694 C 9x-".J. x_~~ New ConsWCtion Reauiremenb RemodellReoair Reauirements O~ice`UseCJ~v 3 registe2d sRe surveys showing sq. ft of b4 sq• ft of house; aiW all mofed areas 2 copies W Plan ey,Recd (20% maximum lol coverage allowed) 1 set of Energy Calalations for heated addifions ~~Pres PlaP Recd =Y ''t? 2 copies of plan showmg 6eam & window sizes; poured found desgn, etc. 1 site survey for addiUons & decks Tree A+es Requited~ c, _Y _N lsetofEnergyCalalations Add'dfon - irMicateiion-sitesepticsystem on ~9,-78@S_H~Ste„t„,r 3 copies of Tree Preservation Plan if lot piatlad after 117193 Rim Joist Detail Optiom selecfion sheet (bldgs with 3 or less un'As Date / Cons[ruction Cost ~l~i0O0.oo Site Address UniUSte # ~7~~•` ~f 3 Description of Work Multi-Family Bldg _ YZ, N Fireplace(s) ~ 0 _ 1 _ 2 Property Owner Telephone C~o'~ )6 98 Z Contractor 5Q Address Cih' State Zip Telephone ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . ResidenGal Ven6lation Category 1 Worksheet • New Energy Code Worksheel (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone Sewer/WaterContractor Telephone#( D ~ APR I hereby apply for a Residential Building Permit and acknowledge that the informatio ~ com te; that the work will be in conformance with the ordinances and codes of the City of e State of MN Statutes; 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. ApplicanYs Printed Name Applicant's Signature OFF'ICE USE ONLY Sub Types 'r z ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 11~ 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 08-plex ? 16 Deck ? 23 Porch (screen/gaze6o) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ~ 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows(Doors ? 34 ReplaCement "Demolitlon (Entire Bldg) - Give PCA handout to applicant Valuation J~~v Occupancy MCES System Census Code ~ Zoning ~ City W ater SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const VA) Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. , Footings (deck) ~ Fina]/No C.O. ~ Footings (addirion) _ Plumbing Foundation _ HVAC Drain Tile Other Roof Ice & Water Final Poo] Ftgs Air/Gas Tests Final ~ Framing _ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. _ Air Test _ Final _ Windows ti( Insularion _ Retaining Wall A proved By: Building Inspector Base Fee a`s- Surcharge Plan Review y„~.~,~y~ MC/ES SAC a~ City SAC l Utility Connection Charge o S&W Permit & Surcharge I Treatment Plant License Search Copies Other Tocal ~awG~ati,rv t`' 9aa, tPLOT PLAiJ s~ ;e~• - , ,,,~i, - M , . . I ' - - - - - - ~ - E~ ~OQ ~ ' 1 l r , c"3 , ~S~ /C,~2• 5 ~ i I,. :r ~1 .~i ~ . .i. .i ! ~ I ' ~ ' r ~ ~ , , r i - . . . ~~~I ~ . . .1 . ~ " i - - r F - i . : ~ ~ : . _ . i i ' ~ . ~ r..~ ~ . ~ - - 7 ~ - _ , . i . . , ; z , . . , _ ; 4d T L , - - - - i ~ l : V.~ { ~ ~ ~ , ~ ~---~-f--' , { , ---~-r i - - - - . , ' . I I r: a' LC.Z i i 1 . - - - ~ . . . . . ~M c, t.~r ind nrop~s^d buildirn lS i nIV^ ;frf . ~~ii i;rfr.n•;ifqir,ii,. !I in rcriu(,,:;tr.(l.) . . , , - :93a Qimr3~.-wo/F <Pa;iPLOT PLAN -30 ~ ~ - - f1 - r a - „ 1 E3 '16.2•5 ~ ~ : y /6.2' ~4t -1 iti, F7, i i. ~ 1: ( I - ` - i I 777 77 f r i t ' . 17777 ~A ~ , ~1 f c l ~ - -I . r. ( •;3~" ~ ` j - f~ f I T. ~ i '1. 1 . I : . . . iocrdiun nf st4;,•ts, !oland proposr.cf buildinqs, qivc IM dimr.nsions. da^ n f V,_.,~/lr ~..obYrPJY6~'i~'~1J~ - 1 cu~-~~v=sio*q° !!'3BADOt,?GA~//~ Tn3.s 4_s to eer '_ftr - - ~ . l.eas comp I s.au -,=itl7 the 5e~_crp< rz•:oi.r:r_rements . geile°"s ap-,. ov;,I. `'or ; hta,.?cHimc rcm:.. ,e -F' , , .'?r ~ TaitiS [1~P.'')T!)`ra~R. 2'' l4'~ ~.d`'.lF.'."~' (~~"l7.. t,t1.:.l.fl.i 1'll !'O;~ ~ll`~,' it".I.I` n~ : C1L`y Y'E,q32Y'PIIit.'T.'!".S O.14o 'if3U., , ..>,7r.4rE: O'VJ'Yt buPldI'' c;:7iCt", , , Api):"OVed by CF.`l1{•1'a 10iT72°i i..Pi'•i.'r ".f`?i. ESt:i.ic. ry'i<'.il:it;£'mo:1'[.~ ?01~•~ ~~T 2 MNNk -l°f04- " s ~ iltii.r LICCf!r,'e;Cd 1)y BUyE;'9`,: .c. R ~ PV ~ Da Y e Cvq'f S w r i b r ~ o~. rT~ ~ i ca~ ~ ~LT Af FFO~AL- ~S e~-,,:.:;:r;,r c5~;,r:• r~r.,. "4,`LL Y`.'}~}` . CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ I e ooLuws ,oo ~ CASH ? CHECK FOR FUNO CODE 0.tA0UNT Thank You 6Y ~ 1 ~ White-Payers CopY Yellow-Posting Copy Pink-File CoPY . " . . . . . Use BLUE or BLACK Ink • . � . � Foromceuse----_____i � � Clt of �a aIl , . ; Pe�,��: � � � . i P I �S- �S 3830 Pllot Knob Road � eRn t Fee; I . i Eage� MN 55122 ' � j Date Received: i Phone: (651) 676-b676 i , Fax: (651) 67b�5694 i Stati: i � . � � � 2011 RESIDENTIAL BUIL�DING PERMIT APPLICATION oac�: � /2 /� Slte Address: /9�D ��,bQN 1-"� Ti� , u�,ic#; Name: ' d'//�j�2� ��/{-�-L- � Phone:�`�- ��l- �P��. RESIDENT/ -, OWNER Address/Ciry I Zlp; `�'..3D � �l�fb �j=-�1�d��!' /�, ��/ 5--�.� Applicant is: .Owner �Contractor . TYPE OF WORK Description oiwork: �E.?,(.'�U L.—� ��Cs� ��/'L > TO — Construction Cos�/�� / •av Muid•Famfiy B ilding: (Yes /No,,� l • � Company:'I�<�'► �r�� 4/2�1�'� �9�/Z. Contact: S/+��-C S��mG/G�-ca � r" Address: � � CONTRACTOR ��° �( ��J�— '4� � Ciry: I�� L.S State: ��Zip:� i��2.� Rhone: • .��-'��5�c�.�� Ucense#: �� d�� Z; �.ead,,Cettlflcate#: �� T-`?2� 7.� � � If the project is exempt frvm lead certlflcaUan, please e�lain why ($ee Page 3 for additional information) � � � .. , . - r� ,�� COMPLETE THIS AREA 0,_N�IF CONSTRUCTING A NEW BUII.DING In the last 12 months, has the City of Eagan Issued a permit for.a slmllar plan based on a master plan? _Yes �No If yes,date and address ot mastar plan: l,Jcensed Plumber: • Phone; I Mechanical Contractor. ' Phone: . I ' Sewer�Water Contractor: � � Phone: � I NOTE:P/ans and supporting documents that you subm/t a1�!e Cqr1sldeted,to bs publ/c lntorrrratlon. Portlons of the lnformatlon may be�ciass/fle�i as�nor�•Qub/!c/fypu pt+pvl�fe�p�!(!c reasons that would permit the Ctty to . .coriclud�''that:ftie .are'trad�.secr.ets:'�:� - � CA�L BEFORE YOU DIG. CaU t3ophe�Statv Ona Cillle!(aS1)464-0OOY(ot prpleCUon e981nst underground uUltty damage. Call 48 hours betore you Inte�d lo d19 to recefve loc8taa of unde�r0und.utUltigs, y�t,appherslateone,�all ora ,.. . . I hereby acknowledg�thal U�is Intormadon Is Compiel9 and aCCurate, that the worfc w1U be ln eontormance rvfth the ordlnances and codes ol tne Ciry or Eagan; thal I understand thls !s not s permit, but oNy an appiicaUon for e permit, Sf►d„wprk Is,not lo start wilhoul a permlt; lhal th$ work wiil be in accordance with the approved plan In the'case of wotk whlch�equirea e reNew end approval of.plans, Exterlor work authortzed by a buiiding permlt Isaued fn aceordance wlth the Mlnnesota State Bullding Code muat be compieted wlthin 180 days of permft Issuance. • . X �/L�V� ��rd!�1 /i-,tG3 �.v r" �f/ �. X �'_�-� Applicant's Printed Name Appllc t's Slgnature ^ Page t o(J PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153534 Date Issued:12/28/2018 Permit Category:ePermit Site Address: 1930 Timber Wolf Tr N Lot:3 Block: 2 Addition: Meadowlands 1st PID:10-48050-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Lisa A Ouren 1930 Timber Wolf Tr N Eagan MN 55122 Hero Plumbing Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153535 Date Issued:12/28/2018 Permit Category:ePermit Site Address: 1930 Timber Wolf Tr N Lot:3 Block: 2 Addition: Meadowlands 1st PID:10-48050-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Lisa A Ouren 1930 Timber Wolf Tr N Eagan MN 55122 Hero Plumbing Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA158188 Date Issued:10/01/2019 Permit Category:ePermit Site Address: 1930 Timber Wolf Tr N Lot:3 Block: 2 Addition: Meadowlands 1st PID:10-48050-02-030 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). 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 - Robert Yanz Iii 1930 Timber Wolf Tr N Eagan MN 55122 Edgell Construction, Michael T 14141 15th St S Afton MN 55001 (612) 490-2851 Applicant/Permitee: Signature Issued By: Signature