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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 m ~ ~ QT O !tl co <F 0 gg g, n~ z g~~ o PKaoo,~.o' • : / m s ' ' N GrQC ~ N ~ z N / i " ~ / ? 8857~ Ii6o ~ I / I /~'•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 . , , . ~ . , _ . ' i •r. i, . . . , , , , ° • ? . ~ 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