1939 Timber Wolf Tr SDate:
Tenant:
City of Eaall
Jb
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Forbffice,.Use
Permit #:
Permit Fee:
Date Received:
Staff:
L
INFLOW & INFILTRATION PERMIT APPLICATION
?C Plumbing / Sewer & Water
8 -/-// Site Address: 19 3 9_ S vf4 •!`w, it- trill
aur . Ai 84014
Suite #:
RESIDENT / OWNER
Name: Phone:
Address / City / Zip:
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:
4,..4_,L.
tion of work: j/-/-KDESCRIPTIONDescrip �c� PC�
�Y
i C i'l( Ci-- 2C4--6 ( 4--6-61 Oak .67C
FEES
$55.00 / Each (includes
$5.00 State Surcharge) TOTAL FEE $
*
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeaqan.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.gopherstateonecall.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 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.
X Davi d /VG'4
Applicant's Printed Name
Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground Rough -In Final
CITY OF EAGAN
3795 Pilot Knob Reod Eeqaa, MN 55122 N2 5697
PHONE: 454-8100
BUILDING PERMIT Recelpt # .
L
To M. wW for Est. Volue Date , 14
~
.
Site Address Erect j] Occupancy
,~.,•l..-, ~r; l -
Lot Blxk Sec/Sub. . Alter p Zoning -
Parcel # Repoir ? Fire Zone
Enlarge Q Type of Const.
oWC Nome Move ? # Stories
3 Address Demollsh ? Front ft.
b -
Ci Phone Grode Q Depth ft.
Nome Approvals Fees
p
Address ' Assessment Permit
Water & Sew. Surchorge
Ci Phone
Police Plon check
~F °C Na~'+e Fire SAC
W
Address Eng. Water Conn.
a W Cit Phone Planner Water Meter
Council
I hereby ocknowledge that I have read thls opplicotion and state that gldg, pff. '
the information is correct and agree to comply with all applica6le
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
5ignature of Permittee
A Building Permit is iuued to: on the express condition that
oll work sholl be done in acoordance with all opplicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Officiol
~
r«mM # oaft kn.a r.,.~rr..
Plumbing '
Mechanical
INSPECTIONS DATE INSP. Rouoh4n Finol
Footings Dote Irop. Date Insp.
Foundotion Plumbing
Frame/ins. Mechanicol
Final
Remarks:
CITY OF EAGAN
j 8795 PUof Kaob Roaa Eagan, MN 55122 N2 5365
_ PHONEs 454-9100
BUILDING PERMIT Receipt #
;
Te be uaW fer Est. Value Dcte , 19
Site- Address Erect Q Occupancy
Lot Bixk Sec/Sub. Alter ~ Zoning
Parcel # Repair ? Firo Zone
Enlorqe ? Type of Const.
oc Name C Move Q # Stories
qddress Demolish ? Front ft.
Ci Phone ~ Grade ? Depth ft.
~ Nome Approvals Fees
Assessment Permit
oE Address -
Ci Phone Water & Sew. Surcharge
Police Plan check
u~
~W Norne Firo SAC
v~ Address Eng. Water Conn.
aW Ci p}ione Planner Woter Meter
Council
I hereby acknowledge that I have read this application and state thot gldg. Off.
the information is correct ond ngree to compiy with all applicoble
State of Minnesoto Stotutes and City of Eogan Ordinances. APC Totol
Signoture of Permittee
A Bullding Permit is issued to: on the express condition thot
all work shall be done in accordance with all applicable Stote of Minnesota 5tatutes and City of Eagan Ordinances.
Butlding Official
. ,
PomIf # DeM Iwd PnwMl" ~
Plumbing
Mechanical
INSPECTIONS DATE INSP.
Rouph-I n Final
Footings -p~~- Dote Insp. Dute Irnp.
Foundotion Plumbing 0 C7' ~
Frame/ins. - o-7 Mechaniool
Final ~12
Remorks:
.
~ . ~ - ,
cirY oF EAGAN
3795 Pilef Knob Road Eagan, MN 55142 N! 6573
PHON E: 464-8100
BUILDING PERMIT Receipt
Te be wed fa Est. Volue Date , 19
Site ~Address Erect ? Occupancy
Lot Block Sec/Sub. ~ Alter ? Zoning
Parcel # Repoir ? Fire Zone
Enlarge ? Type of Const.
W Nome Move p # Stories
; qddress Demolish p Front ft.
b Ci Phone Grade ? Depth ft.
cc N~ Approvals Feet
0 ot Address Assessment Permit
Ul Ci phone Woter & 5ew. Surcharge
Police Plon check
~WW ~ Nome Fire SAC
FW
/Wdra,s Enp. Water Conn.
<,Zu G phone Plonner Water Meter
Council Road Unit
I hereby ocknowledge thot I have read this application and state thot gldg. Off.
the information is torrect and agree to comply with all appliceble
Stote of Minnesota Stotutes ond City of Eagon Ordinances. APC Total
Signorure of Permittee
A Building Permit is issued to: on the express condition that
oli work sholl be done in accordunce with all oppliwble State of Minnesota Statutes and City of Eagan Ordinances.
Building Offlcial
Ponnit # Dah laa*d PermiffM
Plumbing `
Mechonical
INSPECTIONS DATE INSP. I Rough-In Finol
Footings Date Inip. Data Irnp.
Foundotion Plumbing
Frame/ins. Meclwnicol
Fincl ~
~
' u/C~a~ •
Remarks:
,c/? v~^
CITY OF EAGAN
3795 Pila Knob Rood
Ea9ae, Minnaaota 551~ INSPECTOR NOTIFICATION
No. Pheee: 4544100 REQUIRED BY LAW
- PEIGAIT FOR ALL INSPECTIONS
pcrte: Receipt No.:
Single I
Site /lddress: Residentiol
Lot '12 r ~ Block r~ Sub/Sec. f y K I Nlulti Res., Comm./Ind. I
i~
Name "av' , el ;nr' New/Alter./Repoir. .
~ Address Cost of Instollation
City Phone: Pem+it fee
Nome Surchorge '
~ Address
~ a
City Phone: Totol
This Permit is issued on the express condition thot all work sholl be done in accordance with all ppplioeble Stote of
Minnesoto Statutes ond City of Eogon Ordinances.
Buildlnp Offlciel
~,~-...,..v..sa,r~.e•-. -yw.---r ..n~,- .-r;-,._~.~,~ , , . -.r~... , _ . .r
MECHANICAL PERMIT For City Use Only
CITY OF EAGAN PERMIT #,Z, ~ 2 - fl~~ U
3830 PILOT KNOB ROAD, EAGANp MN 55122 RECEIPT # 9!E25
DATE PHONE 454-8100 DATE: 62
Slte Address BLDG. TYPE WORK DESCRIPTION
Lot ~ Blo Sec/Sub Res. ~l New Const.
Mult. Add-0n
~
Comm. Repair
Name
m Other
~ Address Z ~ ~
c Cityfkr..ti.,.~j..!:ta Phone 'Tr 1~`.l I~ FEES
RES. HVAC 0-100 M BTU -$24.00
Name ' ADDITIONAL 50 M BTU - 6.00
c Address (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
~ City ~ u<< - r PhOnA Z' TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
.
TYPE OF WORK REMODELS (INCLUDES GAS PIPING) 12K
s. GAS OUTLETS (IIIIN{MUIYI_- 1_ PER PERMIT-
- forced Air M BTU - -NEW CONST.) - 1.50EA.
Boiler M BTU $ COMMIIND FEE -1% OF CaNTRACT FEE
` Unit Heater M BTU $ APT. BLDGS. - COMM. RATE APPLIES
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE . - 20.00
~ Vent CFM $ STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Gas Piping Outlets # $ , .
Other- Ls.~ A-,c K 1"f $
t ~
' CommJind. Contract Prtce x 1~0 $ SiGIqATURE oPERMITEE -
PERAAIT FEE: 2
S/C: FOR: CIN OF EAGAN
TOTAL: .
~
CITY OF EAGAN Remarks
Addition Meadowlarad lst Addition Lot 23 Bik 2 Parcel 10 4805n 93(1 09
Ownerl'16,'J.;''~~ u..4'~ J' Street 1939 S. Timber Nolf 1Ya11 State Pag~, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING ~
SAN SEW TRUNK 1970 77.95 3.12 25
* SEWER LATERAL i 3f56.58
WATERMAIN
* WATER LATERAL
WATER AREA
STORMSEWTRK • fi 1971 14.15 20 155.66 C006523
* STORM SEW LAT 1981 1
*
CURB & GUTTER
SIDEWALK
STREET LIGHT
r
WATER CONN. 270.00 it IT
BUILDING PER. 5365- it
SAC
PARK
AZI
Tvoid 18 months from
r
Date of this Request 1 ' .R 7 9 2 S 5
I, as Ci Licensed Electrical Contractor Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No.
Section Township Range County DmQ"
1Nhich is occupied by077?~lt-A ~ ,w~ G~ F11ftZ4_
( ame ol-Occupan
Is a roughin inspection required on this job? No O Yes^ Ready Now;6 Will Call ?
Power Supplier OU671-A ~ 4 MIE&Atf- 66~dress & kMl n: C.- Z0 IIJ
Electrical Contractor ~ I, Lik L4~~ Contractor's LicensU
Yli mpany Name)
Mailing Address 0 !l~'lil4 ~~~5
( 1 trica on actor or Owner MakT Thlslnstallatl~ ]
Authorized Signature Phone No.
EI~ rical Co ractor or Owner Making Thls Installatlon)
19
STATE BOARD CppY This impectian request wiU aot be accepted by the
State Board unless prnper inspection fee is enclosed.
CITY OF EAGAN
' 3795 Pilof Knob Road ~~,~.IrZ~ RBOLrIRM
Eogon, Minnesota 55122
, Phone: 454-8100
' BEATDr, PERMIT No. 1597
• 11-6-79 16358
Dote: Receipt No.:
1939 Tfnber liblf TY'2lil SaUth Single I v
Site Address: Residentiol
273 2 rte~larhds I
Lot Biock Sub/Sec. Multi Res., Comm./Ind.
S~[! F?a'1 L°S , I1'!C.
Nome - New/Alter./Repair
- 7760 Mitcfiell Tkoad
I Address Cost of Installation _
~'~ien Prairie S 37-9502 . 00
City Phone: Permit Fee
Ray Welber ffeatin~, .5'J
` Nome Surcharge
4617 ChicWP Ave:.
Address
MrT ^ .
City Phone: Total
This Permit is issued on the express condition thot oll work shall be done in accordance with alf applicable Stote of
Minnesota Stotutes and City of Eagon Ordinonces.
Building Officiol
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT Nd.:
Eagan, MN 55122 DATE:
Zoning: - No. of Units
Owner: -
Address:
Site Addresr.
Plumber:
Meter tyo.: ~ Conrtieckion Charge:
Sixe: Account Deposit;
Reader No.: Permit Fee:
1 agree to eomply with the City of Eugan Surcharge:
Ordinances. Misc. Charges: '
Total :
BY Date Paid:
Date of Insp.: Insp.:
i~---, -
CITY GF EAGAN SEWER SERVICE PERMIT
*795 Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
; ICfO,nI.~ _
I agree to eomply with the City of Eagon Connection Charge: ~ •'~r~ 'Ordinonces. Account Deposit:
r• -
Permit Fee: -
Surcharge:
By Misc, Chorges:
Date of Insp.: Total-
lnsp.: Date Pold:
CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, Minnesata 55122
• Phone: 454-8100
.
PERMIT No. 475
Date: 9--20-79 Receipt tvo.: 1593R
Single
Site Address: 1939 Tirbe_ TMU South Residential x
Lot 2 3 Block 2 Sub/Sec. lNeWICIO1'VVI'' _ Muiti Res., Comm./Ind.
Nome ~~m Hams, Tm'
- New/A(ter./Repair
3 Address 7760 riitcf,eii Raad Cost of Instollotion
O
City Wm Prairie Phone: 937^9502 Permit Fee 20.00
Nome BUdqE+- PIU*Am Surcharge ~ Sn
~
~ 6420 F7pfng Cloui Driv+e
ddreu
a
0
~ :~Okn F'r:2
City iri.e 5~?2~ Phone: Total nn.t;r1
This Permit is issued on the express condition that all work sholl be done in accordance with all applicable State of
Minnesota Statutes and City of Eogan Ordinances.
Building Official
T~uest void 18 months from
i 79285
r R
Date of this Request LJ G.T- 6 ~
I, as ;~A Licensed Electrical Contractor Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. &J &IL G? City
Section Township Range CountyDAic,~,
Which is occupied by ~jdQ #-yy~ {'l M j~ Z U A, r
( ame a occuDan
Is a roughin inspection required on this job? No ? Yes^ Ready Now;g Will Call ?
Power Supglier a/q"ZiLb, - ( ccc 64-~dress & kWi N G Vd ~.1
Electncal Contractor ~ko N* Cf FLA`i1 ~ Contractor's Licens&Ni). / n r
Y mpany Name)
9_
MailingAddress hl O C.c v lSUUlI~;rL !-lpCS J-5-,9
( I<trlca ont~ctor or OwnerWakTht, This nstallatl~ r, y
Authorized Signature ~ I~( cfL.p 1..J.c .rr~ Phone No.~ d-2 U1
I rlcal ca roetor or ownar Making This Installatlon)
~5~~~~ ~~~~11~ This iiupection request will not be accepted 6y the
~J }7 State Board uniess proper inspection fee is encla:ed.
CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN SS124 N~ 6 5 ~ 3
PHONE: 454-8f 00
BUILDING PERMIT APPLICATION Receipt # "~~3-~_
Ta bec•rad Fer FIREPI~ Est. Value 400. Date 3-3~- , 19B.L
Site Addreu 1939 S. Tiird~ei~aolf Tr Erect ~ Occupancy
Lot 23 Block z Sec/Sub. Me~~lan~ Alter ? Zoniny ~
Parcel # Repair ? Fire Zone
Enlarge ? Type of Const.
w Name DFlld R. Ne1.4C81 Move ? # Stories
; Address S~~ Demolish ? Front fr.
b Gmde ? Depth ft.
Ci Phone -
~ Name Approvala Fces ~
0
o~ Addreu S`~ Assessment Permit 5.00
u~ Ci Phone Water & Sew. SurcFwrge •50
Police Plan check
ww Name Fire SAC
r
Address Eng. Water Conn.
Ci Phone Pianner _ Water Meter
Council Road Unit
~I hereby acknowledge that I have read this opplication ond state that gldg. Off.
the information is correct and agree to comply with all applicable AP~ Total 5.50
State af Minnewta Statutes and City of Eagan Ordirances.
SlgnMure of Permittee ~ ' a~~~~7c~i1
A Building Permlt Is issued to: D3cri a ~T~i on the express condition thot
oll work shall be done in accordance v/fith a~ll ~opp~liwnble Stote of Minn sota Statutes and City of Eagon Ordinances.
Building Offlciol °~~°~-L CG~"'9
~
CITY OF EAGAN Include 2 sets of plans,
V 1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
7b Be Used For r, sc P/a c c Valuation YO a Date .3^ eF
site Aaaress: 1939 s, T,~,6r~. Y,-a,% Eayeh OFFICE USE OAIIY
Lot 33 sloclc a sec./sub• Fo lo..)(aKds Erect occupancq
Parcel t b ~-O v o~ -Alter Zoning
Repair Fire Zone
Owner: /Uc.lse.q Enlarge - TYPe of Const.
Move # Stories
Address: / !2 3 Et S~, n.- w c i ir Tra %l DEiolish Front ft.
City/Zip Cale: 6~,~e,: SS// 8- Grade Depth ft.
~
Phone y S y - s' i 8 8 APPROVAIs F'EES
Contractor: Assessments Pennit s. O d
Address: Wates/Sec.er Surcharge ..So
'r Police Plan Check
City/Zip Code: Fire SAC
Phone En4• water Conn.
Planner. Water.Meter
Council Roacl Unit
~h'~g" ~ ~ Bldg. Off.
Pddress: APC
City/Zip Code:
Phone # : TO'PAL
Minnesota State Board of Electricity / G3S 9
University Ave., St. Paul, Minn. 55104-Phone 645-7703
WB,..r,K EQUES TFORELECTRIEAL'0'dSPECTION R 79285
ELOW W WORK COVERED BY TH1S REQUEST
Typ of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired Foi
Home ~ ? ? Range ~11 Temporary Wuing ?
Duplex ? ? Water Hea[er ~CJ Lighting Pixtures ?
Apt. Bldg. ? Dryer ? Electric Heating ?
Commeicial Bldg. Furnace ? Silo UNoader ?
Industrial Bldg. ? Av Condi[ione[ Bulk Milk Tank ?
Fa[m pList ' pList
Other
? ? ? Heiers~ ~ Heiers~
COMPUTE INSPECTION FEE BELOW\, i~
Secvice Entrance Size: # Fee .F.cedeFs~.Bpb ecs: # Fce C¢cuits: # Fce
0 to 100 Am s. [ -'ro $'Am eres 0 m 30 Am eres
101 to 200 Amps. '1!3,1 to L,DiI Am eres 31 to 100 Am eres
Above 200 Amps. ve 100 Amps. Above 100 Amps.
Transfocmecs 11 Remote Control Circ. Partial or othe
Signs S cial Ins ection Minimum e .00
Remazks ~v ~
TOTAL .
I, the Electrical Inspector, hereb y t,~~~ef~bd~ve inspection has been made. 32(, U('~
(Rouglrin) ~/e' Y~ Date O^~'7
(Final) A~• s ~ Date
This request void 18 months from ~ ~
C
• Inc:ude 2 secs oi plans.
CITY OF E.1CA.17 I
1 site plan v/elevatioas 6
BUILDIMG PERMIT APPLICATION 1$et of energy calcula[ions.~
1
To be used for Valuatfo~In Date ~r- 77
Site Address /q 3q TI r?'~ d!f N~0 If !~t ~0 OFFICE USE ONLY ,
Erect ? Occupancy
Lot Block Sec./Sub. Alter Zoning /T I
Parcel 9~/e) Repair Fire Zone ~
Enlatge Type of Const. v
Ovner: 1-o &I rxQ m 'r j Move $ Stories
Demolish Front Sla f[.
Address: - a ~ ft.
Grade Depth
Phone 6: Approvals . Fees
Contractor: pssessment .~y y permit
Address: Water/Sever Surcharge ~ 8 ~
Yolice Plan Check S'/
Fire SAC 1, as ~
Phone Eng. Water Conn.0
Planner Watet Meter"
Council Road Unit 73
Arch/Eng.: Bldg. Off.
Address: APC
roTnr. I l d• S v
Yhone 4: -
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BiJILDING PE T APPLICATION 1 set of energy calcul.ations.
'Ib Be Used Fo~rValuati on~ Date /3 C)
Site Pddress OFFICE USE ONLY
rot P .3 slocx 9 sec./sub. Erect X . Occupancy _L<z
Parcel O 06-0 6Z30 0oz- Alter Zoning 'V I
) Repair Fire Zone 3
Owner: Enlarge 7.ype of Const.
Address: MQve Stories
Damlish Front ft.
City/Zip Code: Grade' Depth ft.
Phone
APPR(7VAiS EEES
Contractor: ti Assessments Perntit
Pddress: ~(o Water/Sewer Surcharge ~r
Police Plan Check
city/zip code:. _6,:t5rf_3lj Fire SAC
aF.11CJ. FTdt2S CAIIIl. Phone 7`~ planner Water Meter
Arch //Eng . Council Rnad Unit
Bldg. Off.
Address: AFC
City/Zip Code:
Phone # : TOTAL 17 `
~OGAR CONSTRUCTION, INC.
Builders & Remodelers
1061 109th Avenue, N.E.
MINNEAPOLIS, MN 55434
DATE
ro (612) 755-6600 susJecr__43=0~,•j___~-e~~rzu~C.--
U
- -
,-f-_ . _
~
_ . - _ - -
'
------_.~c-~--} _ ~'Z.~,,L~~t~-t_~_ - ~~,-r.•-~-_~ ---r-~%`-'~`~_-L~-~-c~1.
J
_ e~..- .
- - S/ONfD
? PLEASE REPLY Fl NO REPLY NECESSARY . . ~
cIrr oF eac,AN
9795 Piiot Knob Read Eagan, MN $5133 N! 5697
PHONEs 454-8100
BUILDIkG PERMIT APPLICATION Receipt # ~To be und hr Storace Blde. Esr. vaiue 4.000.00 Dare 4 114 19_84
Site qdd,ew 1939 So. Timberwolf Trl. Ereer 0 occuponcy
Lot 23 Block 2 Sec/Sub. Meadowlands lst Alter Zontrg - - - - -
?
Porcel # 10 48050 230 02 Repoir ? Fire Zone III
Enlarge ? Type of Const. V
s Name DaVid NelSOn Move p # Stories
3 Address Same Demolish p Front 22 ft.
° C+ Phone 454-5188 Gmde ? oepth 22 it.
g Nome Hogar Constr. /+vvyoval. Fees
o~g' Address 1061 109th Ave. NE Assessment Permit 15.00
VF ci Mpls. 55439 phom 755-6600 Woter & Sew. Surcharge 2.00
~ Polita Plan check
w Name
w Fire SAC
Address Eng. Water Conn.
iw Ci Phone Pianner Wafer Meter
Council
I hereby acknowledge that I have read this opplication ond state that gldg, p ff, 1 g0
tha InformaNon is wrrect and agree ro comply-with oll oppliwble APC Total 17.00
State of Minnesoto Stotutes ond City of Eagan Ordinances.
Signature of Permittee
A Butlding Pertnit is issued M: H on the axpres condition that
oll work shall be done In accorda h nll liea ~State of Minnewta Statutes ond City of Eagan Ordinances.
Building Officiol ~
CITY OF EAGAN
3795 Pilot Knob Road Eayan, MN 55142 N2 5365
PHONEs 4548100
BUILDING PERMIT APPLICATION Rew;Pr # /53/
To be used For SF TX+'lg & Garage Esr. vaiue 37,000. Date 8-15 19 79
Site,Address 1939 Timber Wolf Trail Sotlth Erect Occupancy R3
Lot 23 Blotk 2 $ec/Sub. MeadC7NT1'drid'S Alrer ? Zoning Rl
10 48050 230 02 Repair ? Fire Zone 3
~ Enlarge ? Type of Const. V
Nome ZaCbSiari HQCI25 Move ? # Srories
z 7760 Mitchell R[aad pemolish ? Front 56 fc
~ ndare~~ Prairie 37-9502
Ci Phone Grade ? Depth 24 ft,
a Name Sc-m APOroralc Fees
0
ou Address Assessment Permit 108.00
u§ ~ Ci Phone Water 8 Sew. Surcharge 18.50
F Police Plon check 54.00
ww Nome Fire SAC 525.00
rZ
Address Eng. Water Conn. ZQD
aw Ci Phone Pianner WoterMeter60.Q~
Council 0
I hereby ocknowledge thot I have read this application and state that 81d9• Off.
the information is mrrect and ogree to mply with all applicable APC Total 1~ 110. 50
State of Minnewm Smtutes ity o ogan Ordin~~ar~//Q~s.~
Signature of Permittee ~ • u5!'""'~
A Building Permit is Zactmrzn H
issued to: on the express condition thot
all work shall be done in occorda ith I a li le State of Min sota Stotures and City of Eagon Ordinonces.
Building Of4ictal -e
7
~nfm F-_AA 422-3 r
(q,....,,.,0) MAP OF PROI :.lTl/ Mg 1' DAVID NELSON .
T~'
.nUK..w~• r,.r
Y64 O~~CYnl '1
. See at[aehed for tegal euildsr Zachman Homes 1ne.
Loc 23e1k. 2 Addltion /dlEAGt7WLRND xouse Name 17flIARW00A
Address: ~I6~1`~ 41L ~
/t739 T/M$ER )'YLCF TRA1L S d House Style SFL 1T ENTRY
EH.6E(Y M1NN. 8-Sq.Ft.House 80" 'o sq.ft.Gar.'tS05
C itv• w
FIELD NOTES Power ples P Low Areas - -
Show location of ineters Telepone poles T Highest Point
~
Private well Larger Trees NORTH
Private septic' system _
„ ,r water
, sewer
L.P. Gas
Culvert required
Curb cut required
rivewav sur a BIT,g SP~
Front yard setback 30 75,00'
Sideyard setback 1?'l7'
Att. Garage s~•0I 1
Garage left ri¢ht ~ • I
Local In~ r ~ I
City of EAG~~
I . I
Name DflLE PE7ERSDN+D1M6Rf1P ~
Phone y5'I -810'~ I I
LOT ?ETAILS ~
'size width 75"
Size depth 12~~ I
Approx. S.F. of lot 9,375 ~ g
High point
Power Poles
Telephone poles ro 12, I ggLo mIr- 921, 0 7,
Underground
Larger trees fl / ~6' o"
Street = Elev. 0.00'
a /
Lot corners
High point /
~2• ~36• 0~ '71
Low point
Gutter or Ditch I asS " 88yo I--
i I
I
Local Electric Co. pl
Name NSP ~ I
Phone 330 `ff Y'D ~$4c.T
Local Gas Co. ~ J
Name PEOPLES NPrT1lML lfts
Phone k63'7IZ1
a) Stoops (1) a~_riser $ 2oe• ~
Decks + sre~Rs $ pO• /
b) Sidewalk 6'3 s.f $ zy~4 „~~6.~ g~,~? •
Driveway byD s. f. $ ~{60- " ~ ~
Parking Pad = 's.f.$ -
Curb Cut & Permits $ o
lawn steps 9 $ o
c) Finish Grade $
d) Black Dirt F, landscaping
Sod s.f 4AS $ ~ .
e) Underground Util.£4E $ 320
TOTAL _T-
5~50. an
SAC CHARGE $
Water charge $
Park charge 3
?IRECTIONS TO SITE: '
ua.o - -
KW f...................... ' L.._.......... 10........ 7 1D........t ~ W ti tebb
r -30 -o ,
f. . C........ 10...._..f 9 .10....... 70rift
~ .
Y. S. 0WYIYM OF AOOK1L11!
O~O ~n.yO . • • ` hr Ib~ Yr~M~ ,
. . , PGtieiee 8
FHA 427-3 fRov. A-17.701
~
E:7
L._2:9~
- Dunn & Curry
Real Es1a7e Management /nc.
4940 Vki»g Drn•e
Peruagon OJfice Purk
Minnrapulis, MN 55435
(612) 835-2808
April 21, 1980
Mr. David Nelson
1913 South Timber Wolf Trail
Eagan, Minnesota 55123
Re: Proposed Construction of Second Garage on Lot 23, Block 2,
, Meadowland
Dear Mr. Nelson:
I have tried unsuccessfully to reach you by phone for the last
few days. In order that you might not act perciptiously, I
would like to advise you that we have reviewed your proposed
project and the siting of the garage and find that proposal as
submitted is unacceptable. The basis of our decision is con-
tained in Section 1. of the Meadowland First Addition Declara-
tion of Protective Covenants.
j9hile we will not accept the layout as proposed, we are open to
further di-scussion on the possibility of making an addition to
your present house. We are prepared to discuss this further
and would urge you to call me at your earliest convenience.
By this letter, we are formally notifying you of our denial of
this particular proposal. We are so advising both the builder
and the city and urge that you do not begin construction as
proposed.
We do not have any disagreements about the design and construction
of the garage unit. Our basis for denial is on location and as
a free standing building.
I
0
e 12
~ '9ay'~/~.~ N
~ ``i~ ~F/>
o~~, w
~ ~
~o
9 5
. ~
We urge you to contact.us at your earliest possible convenience
to discuss an alternative layout.
Si re y your ,
Rodney . Hardy
Vice President
Dunn F, Curry Real Estate
Management, Inc.
cc: -ir. Dale Peterson
City Building Inspector
Zachman Homes
Jerry Kimont
Hogar Construction, Inc.
- 2 -
_;23
SUBTEBBANEAN Phone:546-6938
~ ENGINEEHIN6INC.
' 7415 Wayzate Blvd., Suite I I I
Minneapolis, Minnesota 55426
g S~ry~ :ra.'v~ c A.
JnbNema MeQC+[Q(,(,f IQIi~ FQ4QN ~•rIS J bN S'~,7,Z~~
Jo6Lacation EQkN ~ QNd ~ ~ ~ ~0r /-~Qui . .
Eerfhwork
Conlrector CGent Q!ky"QN µQMptlwc` .
Arr'rve Job
Tofal
Deperf Job Travel Time I k r Chargeeble ~(1 ~S
~ k r Haun
Lab. Time
Tatel Hours
On Job Report Time L.I
Summary of Techniwl and/or Enginearing Sarvices performed, including F'ield Tesi Deta*. Loca4ions, Elevetioiu, end Depflu ere
estimafsd:
Inspected footinq trenches at Lots 23 & 24, Block 2, Meadowland, Eagan
Hills Subdivision. Fill in these areas was a brown clayey fine to medium.-sand
About_1'of fill has been placed and compacted..
Performed 2_field densitv tests. See Compaction Ouality onrrnlsESt
R_eport_ No. 1for test results. and locations,___
isuall_Y~ insoegtgd base of 10 s t & }_BlO - 9- T}1PRP lors _ha.*e_bee~
dug_down to footing level. Soil at base of these lots is a brown clayey fine
to medium sand_with_a_trace gravel.
_ At Lot_21 about 1' of soft black_o_~anic soil has been washed_in.1ay th,
rain.There is also_about 11-2' of ponded rain wat-er.
At Lot 22 about _ 3"of_ soft organic soil has_ 12een. _vash€d_in__arQUnd .the
perimeter of.... the_ excavation.
RECOMMENDATIONS:
Before footings are poured the water and the organic soils in these lo
must be removed. ~
i
DISTRIBUTION f
rrn']SUBTE RANEAN ENGINE ING fNC. i
f' ~--i~9aH- iviS;7/~-' -Field Tast Deta is estimefed pending
final leborstory tesl results.
- • ' BUBTERR,AIITEAN ENGINEERING INC. ~
MINNEAPOLIS, MINN880TA. Ph. 648 - 8988
Compaction Quality Control Teats .
Project Meadowland $aqan Hills Subdivision Report No. i
Rahn Rd. & Ctv. Rd. 30. Faq,n Mn Job Aio S-79238
Sand Cone Method ~
Nuclear ?
Other ?
Depth
s ow ~
test wol molslurt dry m~ilmwn % .
dale loeallon bO11tOry
no. Mlow till andty wm~nl 96 d~mly Vary ~lion hcamrnenddfsn.
pc~y
wrfaee ~ Pcf
7ug : 2
1979 1 See Plan -4" 124.5 8.9 114.3 121.5 94.0 APPROVED
kug. 2 .
1979 2 Below -4" 132.2 9.7 120.5 121.5 99.1 APPROVED
Noter All teats correoted for stone content, where applicable. ASTM
Indicated Percent Compaction 0°b Max. Modified Proctor Dry Density D-=7
Max.Standard Proctor Dry Densrty D-688
Dietribution:
cc Zachman Homes, Inc. OGK
cc Eagan Bldg. Insp. Le zZ+
Dept. ,z
2 t
1
.
CITY USE ONLY
L '~h7 BL ~ / RECEIPT#:
IVI~dQ~lQh(Jll / St- RECEIPTDATE: I! I7-0 0
5UBD. /l
PERMIT #
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3930 PIIAT KNOB RD
EAGP,N, MA7 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
i1XTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee $ 30.00
Describe:
Bath tub $ 3.00 X $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 100 x = $
Septic System newlrefurbished 'requires MPC Iic. 75.00 x = $
Septic System abandonment 30.00 x = $
RpZ new installatioNrepairlrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construdian 3.00 x = $
Underground sprinkler ifexisting dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $ ~
Water softener If dwelling under construction 5.00 x = $
Water softener if exlsting dwelling 30.00 X = $
Water turnaround 30.00 x $
State Surcharge .50 $ .50
TOt81 $ • SD
Reminder: Cali for inspec:ions of aiteratiars, i.e. water heatzrs, water softeners, etc.
---------,a-----agree
reby adc the infortnation is correctnd to comply with all appliwble City of Eagan o ~nences.
I he-----------nowledga------that---- I -havere-------ad Nipli cat-------s a-p-----i o--n-, ta-s---te --that
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during Bs
normal operational and 7NELSON, 8vities.tolh La!~ r~~ a Cn sfr Lcted.uadecuvs pertnit within Ciry propertyinght-of-way/easement.
SITE ADDRESS: onvio IMBER WOLF TRAIL SOUTH TELEPHONE OWNER NAME: : N, MN 55122 (AREA CODE)
sn-siaa
INSTALLER NAME: TELEPHONE
(AREA CODE)
STREETADDRESS: T NORBIOM PLUMBINQ C0.
(692~827-4053 1 STATE: ZIP:
CITY: 480b eARI-I 'L6 AI~F SA__~
MINNEAPOLIB, MN 65408
SIGN E OF PERMITTEE
CASH RECEIPT .
;
CITY OF EAGAN
3795 PlLOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 '
RECHIYED •
FROM
F -
AMOUNT $
& DOLLARS
t oo
E) CASH 6HECK
FOR
i
. ' , ~
FUND CODE AIAOUNT
/
Thank You
BY
Oy~' Y
White-Payers Copy
- ~ • Yellow-Posting Copy
Pink-File Copy
,
06,200 a OGAR
CONSTRUCTION, INC.
1061 109th Ave., N. E.
CEMENT WORK ORDER MINNEAPOLIS MN 55434 755-6600
Date
City Garage Side171' X X Apron
Address 1 n? n T D Detached ? Attached
Name ~~``'Ih T~EL='!," El Wiremesh ? 1/2" Rods fl Conduit Pipe
Telephone Office Overhead Door Size Offset
, . - Permit Obtained By Service Door Location
Permit Number Old Garage Removal By
Date Promised ~Old Cement Removal By _
Salesman ' DiIveway Sixe ~
Cement Man Blox Size and Locatlon
Cement Supplier Waterproof Backfill
Fiii Supplier r~ ?Excavation By
Gradual Steep
' Grade Flat___r__ Slope Slope__
PLOT PLAN DETAIL
-
-
I ~
f
- ! ,
~ t
~
, -
;
'r ~
v
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: JbLp7a
Permit Fee:
Date Received: 0 q-
' ?�
Staff:
2012 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: Site Address:
Tenant:
Suite #:
RESIDENT / OWNER
CONTRACTOR
TYPE OF WORK
PERMIT TYPE
Name: "e Av/€/5" Phone: ,5-7/_ f` 5=/0
-J
Address / Cit / Zi / .39 5'6- Z4 71'74 Geo
Name: ..52)'t4i /3/2-',=.�'�iy '°�j�f� License #:
Address: G/2 /7-4 , . v ' Ste` City: '0 --
State: /'Z1/1 -r Zip: 575-35--9-- Phone:
Contact:(.._ / (7€4--7 4:5";"' Email: e4 '-e f,z5— ,P3 -Aoe , o
New Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City.
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
4 $100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge)
$60.00 Minimum (includes State Surcharge)
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
RESIDENTIAL
Furnace
it Conditioner
Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas _ Exterior HVAC Unit
Under / Above ground Tank ( Install / _ Remove)
ctO
TOTAL FEE
OR Contract Value $ x 1%
= $ Permit Fee
_ $ Surcharge
_ $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before
you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x .47
Applicants Printed Name
x
Applicant' ' ature
FOR OFFICE USE
Required Inspections:
Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening
Reviewed By: Date:
CityofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use / ,
Permit #: l fj) L31-2-
Permit Fee: l 41
Date Received:
Staff:
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite #:
Name: p / 75cx/i
Phone: /-5;-z:
57Y'
Address / City / Zip:/3% ‘S2WZ%4 4✓,c/f7
61 7//1741-77
Name: �p�i h /� -t' �./:?
License #: 6.7�5--/�
Address: '7_ d1/����w S� . City: L.)rca/•=2-sem.
State: /7-V Zip: ��5 3�� Phone:
Contacted/ /9r—cv Email: g/. 5,»'z&4/ -27 7^a @. �/. G"a."7?
New Replacement — Repair — Rebuild — Modify Space _ Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / — Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ .
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.qopherstateonecall.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 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 ns.
x
Applicant's Printed Name
x
Applicant's
4°.
City of Eaan
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit#: ` v Lp
Permit Fee: /(0(P -.6
V ( 2 6
Date Received: y%" f Z—
Staff:
Aci
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
Unit #:
RESIDENT /^/
OWNER
Name: A -i _ e,) s YJ Phone:
--- �(I
Address / City / Zip: ! / 1 I °Wt. u .> 1 �- `�
Applicant is: Owner pntractor r-
TYPE OF WORK`
Description of work: I 1 -�`',,�''� CA n7/ L.„))1c)c%t,!i
17
Construction Cost:,)2 6 ------ Multi -Family Building: (Yes / Nom" ) —
CONTRACTOR
Company:// 1.///7 C 5 c lvr- b,✓i'Irlc t.,,° Contact: v i'M ,r,; `'.s
Address: 6 /.() �_ 7 (A4 ( City: / } 4/=.%'`9/ i„4)
State: r'v Zip: -5'.\---41/ -IL) Phone: 7 - ^ (5 id)%�4 '�
License #: cz- V / Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
_Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information: Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 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 bu'
days of permit issuances
.-!
x
permit issued in accordance with the Minnesota State Building Code mus • pleted within 180
Applicerft ri NaMe
ture
Page 1 of 3