1957 Timber Wolf Tr NPERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA127612
Date Issued:10/08/2014
Permit Category:ePermit
Site Address: 1957 Timber Wolf Tr N
Lot:2 Block: 1 Addition: Meadowlands 1st
PID:10-48050-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Wade Sedgwick
7588 Washington Ave S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Richard S Jubera
1957 Timber Wolf Tr N
Eagan MN 55122
Pronto Heating & Air Conditioning
7588 Washington Avenue South
Eden Prairie MN 55344
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN 55122 N2 6145
PHONE: 454-8100
BUILDING PERMIT Receiot #
To be osed for Est. Value Dete 19
,
Site Address - rect Occupancy
Lot Block Sec/Sub. Alter ? Zoning
porcel # Repoir ? Fire Zone
Enlarge ? Type of Const.
w Neme
Move p # Stories
~ q~re~ Demolish ? Front ft.
Ci - VU112Y phone Grnde ? Depth ft.
'x Name APVrorale Feas
Address Assessment - Permit .
iz Water & Sew. Surchorge
Ci Phone
Police Pion check
Name Fire SAC
Address Eng. Woter Conn.
Ci Phone Plonne? Woter Meter. _
Council Road Unit
I hereby ocknowledge that I have read this upplication nnd stote thot gld9 pff,
the informotion is correct and agree to comply with all applicable APC Total
Stote of Minnesota Statutes and City of Eogan Ordinances.
Signature of Permittee
A Building Permit is issued to: on the express condition that
cll work shall be done in accordance with oll applicable Stcte of Minnesote Statutes and Gty of Eagon Ordinunces.
Building Officiol
I `
rNfM # ~ON ~~Yla rK~~f~M
Plumbing 3 - Q _ ~fo •
Mechonicol C 3~ Q GCJ
INSPECTIOIVS DATE INSP. Rou9h-In Finol
Footings ~ Date I Inap. Date Intp.
Foundotion Plumbing
Frome/ins. 9 3~'-~~ /61 O Mechonicul
Finol
Remarks:
cirY oF EAG,+?N
, . 3795 Pilot Knob Reod
Ea9an, Minnesote 55122 INSPECTOR NOTIFICATION
"o. - Ptien.: 454-8100 REQUIRED BY LAW
e~ty:l~ PERMIT FOR ALL INSPECTIONS
- -
Dote: Receipt No.:
5ingle I
$ite /lddress: Residential
Lot Block , Sub/Sec. '~"~'iCt"lA'Multi Res., Comm./Ind. I
'rue. Cmistr.
Name New / Aiter. /Repaf r
3 Address 13015 Cedar A.ve S. cosr of insrollarion
0
=-~le ,a ley, ~in.
City Phone: Permit Fee
Nome RR,4 Welter IieOtin`" Surchorge
.
~ Address
City ' Phone: Totol
This Permit is issued on the express condition thot all work shall be done in accordonce with oll opplicuble State of
Minnewto Statutes ond City ofi Eogon Ordinonces.
Buitdiny Official
cinr oF UGAN
, • 3795 Wlot Knob Rood
No. Easow, Minwewta 55122 INSPECTOR NOTIFICATION
Phone: 454-8100 REQUIRED BY LAW
"lur.,binj* FOR ALL INSPECTIONS
PERMIT
Date: Receipt No.:
195"f ingle . I
Site /lddress: 1 ` Residential
1 eadowlanda
Lot Biock Sub/Sec. A'I Multi Res., Comm./Ind.
".i1_l.er Construction Nome New/ Alter. / Repai r
3 Address r -301'S CRdar AV@.
Cost of Installotion
~
~le Valley, 1~~'h. :32-~3c?r~3 .
City Phone: Permit Fee
Name `idwestern MeGh8T1iCti"_ Surcharge
.
g Address )175 DeVenpOx't
City Phone: Total This Permit is issued on the express tondition that oll work shcll be done in accordonce with oll cpplitcble SMte of
Minnesota 5tatutes ond City of Eagon Ordinonces.
Buildinfl Off(ciat
CITY OF EAGAN Remarks
Addition Meadowland lst Addition Lot 20 Blk 1 Parcel 7 Q 4$050 020 Q
Owner L01.,f~ ` Pi'.';1 i( 0t C jT i 111' street 1957 N. Timhez Wo1f 1'sail state Wan. MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. IRIp. 1981 1589.99 158.99 10 1431.00 C006902 9/19/80
GRADING
SAN SEW TRUNK ~ 77.95 3.12 25 43.74 A009386 9 3 80
• SEWER LATERAL -ZS-HO
WATERMAIN
* WATER LATERAL
WATER AREA 973 95.27 6.35 15 44.47 A009386 9 3 80
STORM SEW TRK 1971 282.92 14.15 20 141.52 A009386 9 3 80
* STORM SEW LAT
*
Ull
CURB & GUTTER
SIOEWALK
STREET LIGHT
WATER CONN. 305.0 20766 S $O
BUILDING PER. 6145
SAC
PAR K
INSPECTION REC4RD
CITY OF EAGAN PERMITTYPE:
3830 Pilot Knob Road Permit Number. ~ ~ . I ; -
Eagan, Minnesota 55122-1897 Date Issued: 0.4 /0:4
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
, . i. ~ , .
INSPECTION •
, , , . , , i
~ . I
-J
Permit No. Permit Holder DMe Telephone M
ELECTRIC
PLUMBING
HVAC
Inspsctlon Date Inap. Comments
FOOTINGS
FWND
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 F.I.
BSMT FINAL
DECK FfG
DECK FINAL
'iO ~
CITY OF Ei.GAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eogan, MN 55122 DATE:
Zoning: No. of Units:
Owner. -
Address: T•_ i~ f( u+i' ~
Site Address:
Plumber:
Meter No.: Connedion Charge:
Size: Acwunt Deposit:
Reoder Na.: Permit Fee:
1 agrae to eomply with f6e City of Eagan Surcharge:
Ordtnanees. Misc. Chorges:
Totol:
gy Date Paid:
Oate of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Roud PERMIT NO.:
Eagan, MN 55122 DATE:
Zqiiny; No. of Units:
Owner: -
Address:
Site Address:
PI umber:
1 egree to eomply with Nhe Citr of Eagon Connedfon Charge:
Ordinanees. Acrnunt Deposit:
PeRnit Fee:
Surcharge:
gy Misc. Charges:
Dote of Insp.: Total:
Insp.: Dote Paid:
CITy pg EAGAN Znclixle 2 sets of plans,
1 site plan w/elevations &
Bi7ILDING PE147IT APPLICATION 1 set of energy calculations.
7b Be Used For . ~crJ P ~X"/ Valuation - Date
Site Address 25--2 43r~z~~,~- ~/~,a•..P a,~c. ~ i,.^~,_L,E OFFICE USE ONLY
iot ~ v Block ~ Sec./SUb /grect x occupancy IP 3
Parcel Alter Zoning
Rspair Fire Zone 3
O.me~'~'~.Y~- Enlax'9e -TYAe of Const.
J Move # Stories
g/~
Addres pennlish Front ft.
C.i.ty/Zip Cale: 2-~/ Grade DePth ft.
Phone b~ _
APPROVALS ~S
Contractor: Assessnents Pernut /,~r~
faater/Sewer Surcharqe .1/
Address: police Plan Check i~ c-
City/Zip Code: Fire SAC 5 " - -
Phone Eng• Water Conn. _
Planner Water Meter ~
. Council Road Unit -
Arch./Eng.: Bldg. Off.
Address: AE
City/2ip Code:
rnarAL /4 q 76,. 7 5
Phone
T,,;Soid
] b months from ~ 82084
Date of this Request 9-15-1980 Fire No.
I, as OI.icensed Electrical Contractor OOwner, do hereby request inspection oTthe above electri-
cal wiring installed at:
Street Address or Route No. 1957 Ti.mberwolf Trail City EaRan
Section Township Range County Dakota
Which is oceupied by Joe Miller Construction
(Name of OccuDant)
Is a roughin inspection required on this job? No ? Yes Oc Ready Now ? Will Call Ec
PowerSuppliei Dakota Cty. Address Farmington
Electrical Contractor Contractor's License N 0 02
( ompanY Name)
Mailing Address 12201 Mtka Blvd Mtkt3. 5~,3¢j
(Elect~ICal Con ractor or Ownar Makln9 Tt11s I nstallatlon)
Authorized Signature Phone No.
(Electrical Contractor or Owner Making Thls Installatlon)
u~~~ ;p ~ b~~D Q~~~ 7his inspection request will not 6e aaepted bY the
- State Board unless proper inspection fee isenclosed.
Minnesota State Board of Electricity
EB-00001-02
WRE8arsity iMRwm Ava.StWP a u!Minn. 55104 19Phone 297-2711
UEST T FOR ELECTR.ICAL INSPECTION s 8208(~
CNECK BELOW WOKK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Appliances Wved For Check Fquipment Wired Fot
Home im ? ? Range Tempocazy Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electtic Heating ?
Commexcial Bldg. Fumace •0 Silo UNoader ?
Industrial Bldg. ? Aix Conditioaer - B nk ?
Fazm ? ? ? pList ' L ~
Other
? ? ? HeteIS1
COMPUTE INSPECTION FEE BELOW
Service EnVance Size: # Fce Feeders& Su6feeders: # Fee C'vcuits: # Fce
0 to 100 A 0 to 30 Am eres 0 to 30 Am eres 0 20.0
101 to 200 Amp jj~ in'Ro 31 to 100 Amperes 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers RemoteControlCiic. Partial or other fee
.
Si ns 11 Special[ns ection Minimumfeg.S5:60---;
Remarks Jef D. TOTAL F6E'?3
I, the Electrical Inspector, hereby certi% ft th 'ns ec ' has been maae 34 ,00
(Rough-in) Da[e _ a a-~~
(Final) ~
This request void
18 months from
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55124 N2 6145
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt
Te 6e med for SF DWG Est. Value 42,000 Date 9-5 ,19_$n
Sire Addreu ' 1957 Bear Path Tr. Erecr xM occuponcy R3
Lor ~20 Biock 1 5ec/5ub. Meadowlands niter ? Zonin9 Rl
parcel # 1() LiR(15n 090 (ll Repoir ? Fire Zone 3
Enlarge ? Type of Const. v
z Nome JoseAh Miller Constr. Co. Move ? # Srortes
3 Address 13015 Cedar Ave. S. Demolish ? Front 52 ff.
~ CI Phone-432-8nn3 Grade ? Depth 38 ff.
" Name Approvals Faes
0
Address Same Assessn* g-26-80 Pemit 120.50
~ Ci phe~e Water & Sew. Surcharge 21.00
Police Plan check 60.25
f
ww Name Fire SAC 525.00
r-
i~ Address Ena. Woter Conn. 305 00
aW Ci Phone Plonner WoterMeter 60.00
Council - Road Unit' 185.00
I hereby ackrwwledge tFwt I have read this aDPlicotion and stote that gldg. Off. D& C PaTk
the informotion is corted and agree t camply with all apalicable APC Total 27~i.75 l
State of Minnesota Siat es and ity f Eagan Ordi c s.
Signmure of Permittee v
A Building Pertnit is issued to: on the express condition thot
oll work shall be done in occordonce with all applicable tate o in u a utes ond Clty of Eogan Ordinonces.
Building Officiol
• -
~y;r-~.~~-r~?.~,-~.~,?~~~,~:~rr
1 T . _
~ • , ' ~i. -..c~e:~.,~ 5
U.11trttfirtt#r nf (Orru,pttnry
eitp of Cagan
EIrVarfmrnt nf Builrittg 3nsVerfimt ~
t.l ThiJ Cnti firate iccued purcuant to rbe requiremenu ol Seaion 306 of tbe Unifosm Bu:lding ~
Cark rrrti fyrng tbat at the time a f iuuanct thiJ nrsrture wui in rompliance with thr variour ~
oidinarsar o/ tfit City rtgHlnting brvldiag tonttruttion oi ttre. For tht follouang: w
SF DWG 6145
:'i Bidg. Pemut Na r.t o°°wwr7Ye. R3 7Ywc.wcnon V FI 3 zom'a,ma Rl
~ 0,,w.fm,„,6 Jos. Miller Const.,,dd. 13015 Cedar Ave S. A.Val,
~ v1 BO„~ dI. 1957 N.Timberwolf Y_ L20,B1,Meadovulands
d
i ~
L ) ?
By' 11-12- 0
~ Buildin'Olfitld Dow
/
f~
F~~ .
o. ?
~
Permit
~ I
Cit of Eapn ' g~57o '
I ~
I Permit Fee: 30' ~6v ~
3830 Pilot Knob Road I h ~
Eagan MN 55122 ~ Date Received: /v 3 I
Phone: (651) 675-5675 i
Fax: (651) 675-5694 I Staff: O ~
L-_______
- -
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
~
Date/Site Address:,Asz~l ~~~fWOL
Tenant: Suite
RESIDENT / OWNER Name: ~ ~e 442 C' u Phone: 6 5~ 7 (f 70
Address/City lZip:~~S 7/U~~rythe?~.~/(J~~ % 2 •e9~Q,i zZ
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
TYPE OF WORK S:5~New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descri tion of work:
PERMIT TYPE RESIDENTIAL
Water Heater _ Water Softener
~ Lawn Irtigation Add Plumbing Fixtures
~ RPZ PVB) L Main _ Lower Level)
Septic System _ Water Tumaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge)
'Water Tumaround (add $147.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, duchvork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this informaGon Is complete and accurate; that the work will be in n rtnance with the ordinances an afdes of the City of
Eagan; that I understand this is not a permit, but only an appliqtion for a permit, and s not to start wilhout a permi Ne work will be in
a a with the approved plan the se of work which requires a review and a of plans. tLL-
/'R /C/
V (?`~~ApplicanYs Printed Name Appllcant's Signature
FQR OFFICE.USE Reviewed. By Date
Reqwred Inspections _Under Ground _Rough In Air TestE Gas Test ~rp
. . .c~__
Certcate fo'r'Ix^y
' Dunn & Curry
.Joe Miller Construction
13015 Cedar Ave: So. gK-0 4-7/+1
Apple Mn. DELMAR H. SCHWANZ
I.ANDSVRVEYOR
~ qpls(veC UhAer Laws of Tbs Stab o/ Minnnob
2YY8- 146TH STREET W. - BOX M HOSEMOUNT, MiNNESOTA 56088 PMONH 812 427-17N
SURVEYOR'S CERTI FICATE 11 DEriOt@B 8@t wood hub
a,es e Denotea existing elev.
Proposed garage Ploor elev. = 885,0 Pt. 9e2.. Denotes proposed elev.
-1 Note: Sanitary 8ewer, Water
~ Sy~29'2Z' F .4~ and Stoxm Sewer in etreet.
^~c
~I
t ti~
"j ~GR1a1NR4E ~
N IUT~~_tTy
~
1
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co
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z g~~ o
PKaoo,~.o' • : / m
s ' ' N
GrQC ~ N ~ z
N / i " ~ / ?
8857~ Ii6o ~
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/~'•N 8B ~ /
8
. ~ .i,
SCALE: 1 inch = 30 feet
g83';yee
~ X
N O RT -I T~ M g E
J(o - ------_R _ w
~a.2~ L 0~ Tj
kAi
I hereby certify that this is a~rue and correct representation of
Lot 20, Block l, MEADOWLAND FIRST ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
Dated: July 16, 1979 '
Approved for Dunn & Curry Real c.state Management, Inc.
Revi$ed: July 22, 1980 to show proposed house that was stak ed.
~
Y: ~ c ,l/?;~?
b
/ MINNESOTA REG15TRATION 140.8825/
V
. ' ExtC~iioit LNVtLoI'E wrPnr,t °u^ cw+rurnrtnH
0lt1NER~---._.~___----- -
SITE AGDRESS
CONTMCTOR DhiF qlI (jj PIiOHE _
;;Qirnnlnr. wurking squere foata,)e of cach,
l. 7ota1 cxpnsed wall area _ 1~ Z9, Z Sq. ft. x .17 •[?;D'`
, .
2. Total roofJcetling area IGO~r sq. ft. x.OS •
Total c.posci tiall area above flocr
a. Total wall win.!cW arce 14-1 _
G. Tntdl dc~,r area ~
c, fatal slidin,i ylns door area
d. Totel f4rcplace w.ill area c. Totai wali frami'ny arca (avere9e ibt)...'.........
f. Total net wal} arca above flGOr
~ lc.zl 'jo;st area
Tcttl exposr,A fourJ,ttlOn area •11•~J
h. Total foun.ia N uc wirda.r aiea 1J~'1
I. Tcal r,c! (ound,!lion di'ra abuce g!AJe _ l1.--T-
Uetciv.`ne °U" value of eaCh aall Scr,n.Fnt.
a.. ..~4-1 X „U.,
5' ~ a 7 Dr L
t) . _ ~ _f._ _ . . . _ •
. j ~ _ .
z..I.~.7
_>~i_
~ . - _
x uuu ___.t!?
~
x L,~~ , r • . . ~O
_.4~~... _
9 ' u,J X "II" _.-=J~=,'_'
.
J Tot~l
If itein l3 is t!T IO r.;, ur icss than Iifrm Il, you have met tFle intr.nt
Uf SOC G(ili"t(C)?.
. . . ~ ' . . ~ + - . . .
a' . ~ ' . ~j,r.~ . ' .
7ul:tl 4'i~)f~'.Ct~ 1'OOffC('009 81'f3 ` ...~~!4/~~:' .
To:al gi v5s ruof!k e111nq area
J Ia'
` . Total sG.yli,,)ht are,r ....................o... _ ,
k, Tatal roof/;ciling fraining area _,~A~..~
1. total ncl josulatcd roof/cciling arre......,
iieten~i+,~e "v" val:,c fnr rach rcoi,'~cilln~ sc~~^ent. ~ ~
' ~ • _._.__l.~1 irt _ X „v„ ; ~ ; • _.___.N f-i
k. -----r co' •`''z „u„ .-.~Q • 54 .
c~~,~~x ~~u° _.__;~3___ • __2-~~ 1_ :
a............. roca, • ~~~1:_1
- ,
If Lotal o( A4 it :t:e sainc as, or lr,ss than Y2, you heve met thc 1ntr.nt c(
CBC G6G6(01.
To utiiltctl th: total envelope sjstorn methnd, the valucs establlshed by tM+e
sum oE it(-ios Wand M; sI,eil not 1.c 9i•catcr than the sur,+ nf itens 11 and f2.
. ,
. ..:1 ~"'..J ~ 2 5~~ 4 • ~ 1 .
, - ~ '~9 _ .
3
.
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. . . , , , , ° • ? . ~ r'1 . . ~ , . '
, • j
ST P'11y p,Aizu
,
PERMIT ~~qo~~
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u I L D I N G
Eagan, Minnesota 55122-1897 Permif Number: 025329
(612) 681-4675 Date Issued: 0 q/ 0 3/ 9 5
SITE ADDRESS:
1957 TIMBER WOLF TR N
LOT: 2 BLOCK: 1
MEADOWLAND 1ST
P.I.N.: 10-48050-020-01
DESCRIPTION:
SIDING/SOFFIT/FASCIA
B`uild'zng`-P,ermit Type SF (MISC.)
Building Wmriz Type ALTERATSON
i ~
~
> r
~
_ z _ "
REMARKS:
FEE SUMMARY:
VALUATION $10,000
Base Fee $117.00
Surcharge $5.00
Total Fee $122.00
CONTRACTOR: - Applicant - sT. l.IC. OWNER:
PANELCRAFT OF MN INC 17216628 0002179 JUBERA RICHARD
3118 SNELLING AVE S 1957 TIMBER WOLF TR N
i MINNEAPOLIS MN 55406 EAGAN MN 55122
(612) 721-6628 (612)454-7470
I hereby aekrrnwledge that T have read' this applicetion end state Chat the
information is correcC and agree to comply with all applicable State of Mn.
L 5tatutes and City ofi Eagan Ordinances.
Ro A lrn
I APPLICANT/PERMITEESIGNATURE - ISSUED V: IGNS RE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
. 3830 Pilot Knob Road Permit Number: 0 2 5 3 2 9
Eagan, Minnesota 55122-1897 Date Issued: 0 4/ 0 3/ 9 5
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 2 BLOCK: 1
1957 TIMBER WOLF TR N PANELCRAFT OF MN INC
MEADOWLAND 1ST (612) 721-6628
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) ALTERATION
DESCRIPTION SZDING/SOFFIT/FASCIA
INSPECTION • DA
FRAMING ROUGM IN PLBG
ROUGN IN HTG FINAL
F . ~
. ~
L
CITY OF EAGAN 21cw-.9 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
New Construetian Reauirements RemodellReoair Reauirements
? 3 registered sde surveys ? 2 copies of plan
? 2 copies of plans (indude beam 8 window sizes; poured fid, design; etc.) ? 2 site surveys (ex[erior addkions & decks)
? 1 energy calculations ? 1 energy calculations Mr heateC eddRions
? 1 tree preservation plen 'rf lot platted aRer 7/1/93
required: Ves _ No
DATE: Ps CONSTRUCTION COST:
DESCRIPTION OF WORK:
JASTREET ADDRESS: ^ +
LOT BLOCK ~ SUBD,lP.I.D.
PROPERTY Name: 1 1~RO Phone ~~5~ `-7L4-7C
OWNER
Street Address 155-~ ~J. City: ~ State: ry'll"J Zip: ~
coNTRAC7oR Company: ' •N Phone -7-Z (-(cb '
Street Address: , i (1! ~ ~ S License
ciry: '(V1~~..ti . rn '594iorv-)
ARCHITECT! Company: Phone M
ENGINEER
Name: Registration #ct.oo± nddross,
City: State: Zip:
Sewer & water licensed plumber: Penalry applies when address change and lot
change are requested once permit is issued.
I hereby acknowiedge that I have read this application and state that the information is correct and agree to comply with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan ReCeived Yes No
OFFICE USE ONLY ',%6 AN
M. •
Z~
Xy.
. P 1
M.- +
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 Mufti (additional) ? 15 Deck
WORK TYPE
? 31 New o 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 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.
Depth Foatprint sq. ft. SAC Code
Census Bldg
Census Unit
APPRaVALS
Planning Buildin~.~ Engireering Variance
Pertnit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
r~t„ c4C
, -
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
5AC Units
2000 BtJILDING PERAAIT APPLICATION (RESlDENTlAL)
CITY OF EAGAN
3830 PILOT KN08 RD • 55122
851-681-4675
New Conshucflon ReaWremenfs eemoaelRteoatr Reouiremems
a 3 reglsfered slte suroeYS atwwing aq. fl, of lot, aq. @. OI houae d 2 coples of plan
and QII rootetl areas (20°, maximum lot coveraae allowe~ p,~ - ~ 1 set o1 energy calculatlons for heated addi8ona
> 2 coples of plans (slaw becm d windpw slzea; poured (nd. deslgn; etc.) 1sife wrvey lor exfedor additlona & tlecb
> t set ol energy calculaNOru
> 3 coples of hee preaervonon plan If lot platted a(ter 7/1/93
CJCJe
DATE: CONSTRUCTION C05f: qO C) o
DESCRIPTION OF WORK: -e r o U~ If multt-famfly bldg., how many unitsl
STREET ADDRESS: Iq S 7 N o t-)()
p ( ~
LOi: ~ BLOCK: SUBD.lP.1. D. P~Y ~O l~t~I I L'~ ~'i r,l S ISi
Name: ~ e-a~~ `JJ Phone#: C15- +7t-1 7v
PROPERTY WSI FIrSt
OWNER
ShAet Address:
~
City _ ~a S G n Sfafe: nZip: s Sv G~
Coi»pany:~ S Phone p:
(area code)
CONTRACTOR
Sheet Address: ~5/p f y 3 License # d 2 Exp. 3- U I
CNy SG da Sfafe: -/?Zn - Zip: 78'
ARCHITECT/
ENGINEER Company: Name:
Telephone #i: ( )
Street Address: Regishatlon
City SFate: Zip:
Sewer/water licensed plumber (it installina sewerlwaGerPhone
1 hereby acknowfedge that I have read thisapplkaffon, atate tha} the intormalfon is cort , and a comply wilh allapplicable Slate
of Minnesota Stalutes and Clfy of Eagan Ordinances.
SFgnalureo} Appllcant
OFFICE USE ONLY
Certificates of Survey ReCeived t! No
Tree Preservation Plan Received _ Yes - Na ~ Not Required ~ , Ci'
.
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES •
? 01 Foundatfon ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 F_xt. AIt - Muiti
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 PorCh/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuRi
? 04 02-plex O 10 OS-plex O 19 Lower Level ? 24 Stortn Damage
? OS 03-plex ? 11 10-plex Plbg _Y or_ N? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 AddiGon ? 37 Demolish (Bldg)" ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demoUtlon permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actuai) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEQUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Pian Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: SAC Units
% SAC
C
CASH RECEIPT
CITY QF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEIVCD
FAONf
AMOUNT $ I
Ae ObLLA17S
oo
? CASH ? CHECK
ROR ~
~d• ,
FUND CODE AMOUNT
Thank You
C:1~ ci"'. BY
White-Payers Copy y
Yellow-Posting Copy
Pink-File Copy
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1957 Timber Wolf Tr N
Lot: 2 Block: 1 Addition: Meadowlands 1st
PID:10- 48050- 020 -01
Use:
Description:
Sub Type:
Work Type: Reroof & Siding
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Elite Services Inc
2414 - 117th St E
Burnsville MN 55337
(612) 282 -8108
e- Reroof & Siding Construction Type:
Reroof: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar.
Siding: When installing ventilated soffit material, remove existing material (ie: debris that could block vents) and take steps
to ensure maximum ventilation to attic. Call for final inspection after installation.
Josh Allen
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
Total:
PERMIT
City of Eaan
- Applicant -
$132.75
$3.00
$135.75
Owner:
Richard S Jubera
1957 Timber Wolf Tr N
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Building
EA087520
11/20/2008
ePermit
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Applicant/Permitee: Signature
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119317
Date Issued:11/22/2013
Permit Category:ePermit
Site Address: 1957 Timber Wolf Tr N
Lot:2 Block: 1 Addition: Meadowlands 1st
PID:10-48050-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Richard S Jubera
1957 Timber Wolf Tr N
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
� 10/6/2015 2:01 PM FROM: Fax Standard Water T0: 1-651-675-5699 PAGE: 002 OF 005
Use BLUE or BLACK Ink
�-----------------
� For OMICe Uss �
� I
Clt�' i Permit#: � j
Of E���Il o l�o � � Pertnit Fee: • � I
Eagan'MN 551 2Road �Ot 9 � i pa,�Received: �'''� �� j
Phone:(651)675-5675 Q�``,�� i �/� I
Fax:(651)6755694 i Stafl: '�{-'1 i
•-----------------�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date• I D � Slte Address: Unit#:
Name:�j C��tJ"� �I 11�� Phone:��r-y.�y�9�3
Residentl , / �
Owner Address I Ciry/Zip: i i�Y! /� Ll
� .. � ;' Applicant is: Owner �Contrector
: Type�of Wo�k Description of work: �Y� t lLT��I� �U���/n —
. � Construction Cost: �" Multi-Family Building:(Yes_/No�
.. .. Company���!i9/t�i"nl���/'��A T�"i"(���Contect:�//�te���lP���
COfltractor Address��7 �/5, ,A�Qi►�� City: V"!/'57�,
State�Zip:y �� Phone� ' Emaii:
Ucense#: E)Li U�'_7�� Lead Cerdficate t�: ��
if the project is exempt from lead certiflcation,piease explain why: •
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
1�the last 12 months,hae the City of Eagan issued a pertnit for a simllar plan based on a maste�plan?
Yes No If yes,date and address of master plan:
Ucensed Plumber: Phone:
Meohanlcal Coetractor: Phone:
Sewer 8 Water Contractot: Phone:
Fire 8uppresslon Contreetor. Phone:
�'NOTE:P/ans and supporting documenfs that you submit are considered to pe publlc intorrnatlon. Por�fons of
� the!n/om►a�1on may be classlfled as non publlc lf you provlde speclflc reasons that wou/d pem►!t fhe Clty to
� conclude�at the �are trade�secrets. �
CALL BEFORE YOU DIG. Call Gopher State Ona Call al�661�454-0002 tor proteclion agalnst underground uliliy damage. Call 48 hours
betore you Intend lo dig to recelve Iocales oi undergrourtd utilities. w,p+w.aonherstaleonecaii.ora
I hereby adcnowledge that this IntormaUon is canplete and accurafe;thal Ihe wo�C will be in contartnance wilh lhe ordinances ar�d codes of 1he City oi
Eagan;lhat I understand this Is not a permil,but only a�appG�slion for a pertnil,and work Is nW to staA wilhout a peimii;thal the wark will be in
acco►dance wUh Ihe approved plan In the case of work which►equi�es a review and apptoval ot ptans. •
Exte�tor work authorized by a bullding pertnit Issued In accordance wttH the Minnesots State Bullding Code must be completed wlthin 180
days ot permit Iseuaoce.
x x
A cant's P nted ame App ca�t's Ignature
Pege 1 0(3
�
10/6/2015 2:01 PM EROM: Fax Standard tdater T0: 1-651-675-5699 PAGE: 003 OF 005
����� `�`���� ���� �c ►� �l I 3�
�O PIOT WRITE BELOW THIS LINE `� ,��
SUB TYPES
Foundatlon _ Fireplace _ Porch(3-Season) _ Exterto�Aiteration(Single Famlly)
�Single Famlly _ Garage _ Porch(4-Season) _ ExteNo►Alteradon(Multl)
Multi _ Deck _, Porch(Screen/GazebolPergolaj _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ InteNo�Improvement i Sidiog _ Demolish Building•
_ Addition _ Move Bullding _ Reroof _ DemoNsh Inte�ior
, Alteration Fire Repsir _ Windows _ Demolish Foundation
_ Replace ,� Repair �, _ Egress Window _ Water Damage
_ Retalni�g Wall � .�/��-`�,, •Demolitlon oi enNre bullding—glve PCA handout to applteant
�`�
DESCRIPTION
Valuation Occupancy �" MCES System
Plan Review � Code Edition � j SAC Units
(25%_10095� Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buiidings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) ' Mete�Size:
Footings(Deckj Final/C.O.Required
Footings(Addition) �[ Final/No C.O.Required
Foundation HVAC_Gas Service Test Gas Line Ai�Test
Roof:_Ice&Water _Finai Pool:_Footings AiNGas Tests _Final
Framing . � Drain Tile �'�"'�
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulatlon W(ndows
Sheathing � Retai�ing Wall:_Footings_Backfili_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walis Erosion Control
Other:
Reviewed By: • � �✓{.Building Inspector
RESIDENTIAL FEES �,��„
Base Fee �y�
Surcharge ��r�'��`` �
Plan Review � �
MCES SAC �'� ,
C(ty SAC � I
ilit . ��
Ut y Connection Charge �
S&W Pertnit 8 Su�charge �
Treatment Plant �
Copies
TOTAL
Page 2 ot 9
FEB 22 2O'a For Office Use
� e r ,
:::t::', ,
E AGA N
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
'00
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections ancitvofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: RLC Onay'cri Jibes Phone: 1051 - 4/35/-7933
lAryt �' Address/City/Zip: 11') I L l IM bC�C WG(40 )ra`' 1..). , edit h 55)Z2-
Applicant
ZApplicant is: Owner )4 Contractor
.YPe
Description of work:s Y"
1.t, " -tY1QAe do 40 t�L'e dam- es". r1�6P
,fki t
• Construction Cost: Multi-Family Building:(Yes /No x )
Chrls� C("‘&41 Chrt54ta�ns
Company: Q.rl. ,�-YIC,,, Contact:
1 4630 teak Ch-a
Ct`ft1#i1C#O/" Address: r City: ������
State:fl . Zip:553(1 Phone:Q62.-47O--2ooIEmail:
License#:.1564031 l?® Lead Certificate#: JAl /1624-7_
If the project is exempt from lead certification, please explain why:
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:
NOTE:Plans and supporting documents . . ? atiOt zx,< _ *4'112'
c` as -public you provide., ".,.c reasonsthit would permit Os .. . .. nc agrat ane bader: _
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
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.
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 - work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x lflth.ePa x A' ,
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE /WO qe
'SUB TYPES I ) -•7 `h,�i0t (a-i C T g , Al
— Foundation ,_ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
r Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Flex — 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 g 7� a�. Occupancy 2E --I MCES System
Plan Review Code Edition 01,1 2a Ls"-- SAC Units
(25%_ 100%?°) Zoning ? :) City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V/33 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
_ Footings(Addition) )0 Final/No C.O. Required
_ Foundation HVAC_Gas Service Test Gas Line Air Test
_ Roof:_Ice&Water Final Pool:_Footings Air/Gas Tests _Final
s, Framing Drain Tile
_ Fireplace:_Rough In Air Test _Final Siding: Stucco Lath Stone Lath _Brick
..1 Insulation Windows
Sheathing Retaining Wall: Footings Backfill_Final
_ Sheetrock Radon Control
_ Fire Walls Fire Suppression:_Rough In__Final
_ Braced Walls Erosion Control
_ ) Other:
eviewed By: ���// /t�( �/ , Building Inspector
ESIDENTIAL FEES
Base Fee /A ,4 � I1,J y,) ie c—
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3