1964 Timber Wolf Tr N
CITY OF EAGJ?Nl
3795 PUot Knob Raod Eagan, MN 55122 N2 5493
. ' PHONE: 4544100
BUILDING PERMIT Receipt #
To 6s ussd feR Est. Value Dote , 19
$ite /lddre55 Erect
? Occupancy
Lot Bixk Sec/Sub. 'Alter ? Zoninp
Parcel # Repair ? Fire Zone
Enlorfle ? Type of Const.
W Name Move ? # Stories ~
Addrm Demolish ? Front ft.
, .
Ci Phone Grcde ? Depth ft.
~ ame Approvols Fees
hl
Z~ Assessment Permit
o Address
u~ Ci Phone Water & Sew. Surcharge
Police Plan check
bw W Nome Fire SAC
~
Address Eng. Water Conn.
<W Ci Phone Pianner Water Meter
Councl l
I hereby acknowledge that t hnve read this cpplicotion and state thot Bidg. Off.
the informotion is correct and agree to comply wlth ull applicable
Stote of Minnesoto Stotutes and City of Eagnn Ordinonces. APC Total
Signature of Permittee
, •
A Building Permit is issued to: on the express condition tfiot
oll work shafl be dor?e in occordonce with oll opplicoble Stnte of Minnesota Stotutes ond City of Eogan Ordinonces.
Buildlrq Officiol
. .
r.r.R Dote lar.a P.n.Rr«
Plumbing 579 7~;,27z-v '4
Mechanical `F % -T90 S 9 o-n~ .
INSPECTIONS DATE INSP. Roph-in Finol
Footings - 1) Date Inap.`%k Dote Irup.
Foundation Plumbing g.~ 12- 6-
Frome/ins. ,o?G ) ~'d Mechanicof'f
o '
Final
Remarks:
.
CITY OF EAGAN
. 3795 Pilaf Knob Roed
EO9O°, M1n~s~ Ss1~ INSPECTOR NOTIFICATION
~O• Phone: 454-5100
REQUIRED BY LAW
FOR ALL INSPECTIONS
~A= PERMIT
~r,
19"
Date: ' Receipt No.:
Single I
Site Address: -"'134 =Jr.). 'j "c Residential "i
Lot Block Sub/Sec. 'C='1"Kands Multi Res., Comm./Ind. I
Nome - New/Alter./Repair
.
3 Address ()44
Cost of Instollotion
O
~
-~+51r-14.3:_
City ~ Phone: Permit Fee
Name --a^onal Control Inc. Surchorge ^
.
~ Address ' LyT1GalC .4Ye . :
CiTy Phone: Total
This Permit is issued on the express condition thot oll work sholl be done in occordance with all applicable Stote of
Minnesota Stotutes ond City of Eagon Ordinonces.
Buildlng Officiol
CITY OF EAGAN Remarks
Addition MswndewlanA 7a* Ilddition Lot ln Blk Z Parcel 10-4$050 100 42
owner Gyb , 1 l ? ~ ~ i' , ' Street 1964 N. T3aiber Nolf '!'L'a11 State Eag~ , MN 55122
Improvement R Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. JAJ ]11P. . 99 5158.99 0 1431 . 00 C007128 5-1-81.
GRADING
SAN SEW TRUNK 1970 77 95 3.12 25
* SEWER LATERAL ,y;/2 983156 58 315.65 10 2840.93 C007118 4-23-81
WATERMAIN
* WATERLATERAL 1981 10
WATER AREA
STORM SEW TRK ` 282.92 14.15 20 141,52 ..-COO-6678- 10- - 9 1971 * STORM SEW LAT 1981 LO
* Services 1981 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 75.00 16653 11 4 9
WATER CONN. 270.00 11 14 79
BUILDING PER.
115493
SAC
PARK
Reoeipt r'~ L~ PLUMBING PERMIT Permit No.
CITY OF EAGAN
y Fee
Frl1 in numbered spaces S/C
Type or Prrni legibly Tot.
1. Date,~; ~ k; , 2. Installation Cost v,
TR
3. Job Address/7/"/ £'IA l C! Blk.;_ a_'Tract
4. Owner L
. ~
5. Contractor/`JrLL%Ef` G Phone 6. Address
/~-lFkt f v"'`
l
7. City~J~ State /-~f rJ Zip.
8. Building Type: Residential k~ Commercial ~ Institutional ?
9. Work Description: New p Add O Alter O Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Wel l
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for '
Rough Final
Inspections: Date Insp. Date I
This is your permit when numbered and approved.
Approved CITY F EAGAN 464-8100
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesofa 55122
Phone: 454-8100
PLUMBTNC, _ pERMIT No. 1556
lZ 29 79
Dote: ' ~ ~ Receipt No.:
Single
Site Address: 1964 NO. Ti![1h6Xwolt 'I'r. Residentiol Lot Block 2 sub/sec. _WYleado-l:Iands Multi Res., Comm./Ind. I
Name B1i11e ~'-OII3tY'. New/Alter./Repolr. ; Address 644 6UUexIUr C't. Cost of Installation
City Ea4gn _ Phone: 4 5 4-14 3 f' permit Fee r r.
Name ProiE'ct Plbc= Surcharge ~
P Address 9743 Fiilmhnlr't
e
City Phone: 'Z Totol
This Permit is issued on the express condition thot all work shall be done in occordnnce with oll opplicoble State of
Minnesota Statutes ond City of Eogan Ordinances.
Building Offitiol
CITY !rF EAGAN SEWER SERVICE PERMIT
37+45 Pilot Knob Roud PERMIT NO.:
Eogan, MN 55122 DATE:
` No. of Units: 1
Zoning:
Owner. -
Address:
- -
Site Address:
Plumber:
f ~i
~ nr nQ
1 agree tc eomVh ~ the City of Eo9cn Connection Chorge: .
Account Deposit:
Ordinanees.
Permit Fee:
Surchorge:
Misc, Charges:
By
Date of Insp.: Total :
~ Date Poid:
I nsp..-----
WATER SERVICE PERMIT
CI'T1f AF EAGAN pERMIT NO.: ,
3795 Pilot Knob Road
Eagan, MN 55722 DATE: -
-
No. of Units:
Zoning:
Owner:
Address: wn1.~ tsV_
Site Address:
Plumber: ;
Meter No.: Connection Charge:
Account Deposit: ~ _ .
Size: - - • '
Permit Fee:
Reader No.: :
I agree M oon?PlI with the City of Eagon Surcharge: `;,u l?,~a~~:T
AAisc, Chorges:
Ordinoncea. Total :
Dote Paid:
By ~1--- _ Insp.:
Date of Insp.:
• r'°'~ ~,y,'~w. ,rs''~"a,.
Ok-
Trrttfira#P af COrrupanrg
citp of (Eagan
~?flPN y~ttrtm~nt n# Nitilditug Insperfimi
T
cntt o f Section 306 o f the Uni form Building
Tbis Ccrtr f iratt issued pursuant co thc 'rcquirem
~ 'nf issxaruc tbir structurc u~al in compliancc urith the varioat
Code ccrtifyr S that at the tinu o
~ orda+u+ncrs of the Cuy ngu'Ut=ng bu"dtn8 C0"nruction o? xjc. For the f ollau7ng: y
L
SF DW/GAR eias. rer„nt No. 5493
uw cbmweld- 3 ZO-M Dutnn
t
o~'' n°` ~~ve c~~ V FiR ~ 644 S ior Ct, an 55123 1 4 uan~ B lilie C.bnstsuc .,,,d,.. ds
~„W or w 1964 N. TimbervaOlfL10,B2, MeaclOwl ar~ r+
V ~ Buidia~ AdMs ~ ~
-
Wu: 3 19-81
B~1d1„~pftW
r 1' I v ~
.o.T . ~ ..,.C¦
'MW
~ ° - J~ ' ~ ,~t~~1, Jl'ti ~ J L.~~ ~.,~..~'~1'i?„~?J"1.~ j ~ ~.r _ . _ , a
o~
, CITY pF EAGAN /)S"~ N Include 2 sets of plans,
Y 1 site plan w/elevations &
BLIILDING PEE44IT APPLICATION 1 set of energy calculations.
Zb Be Used Fbr Valuation .0--v-6 Date /D 7' 77
site naaress !9/+J/I/C'l -,1j'tgaZA- OegLr ~*-AVz oFFicE usE orA,Y
I,ot _Lv slocx 2 sec./sub. ~'lnAdc~Jw~u Erect occupancy ~P3
Parcel Alter Zoning /pl
Repair Fire Zone
Owrser: ~ t i L ~ e ~c~ S~ ~J Enlar4e _ TYPe of Const. c/
Nbve # Stories
Address: C. c(q e Deelish Front 6 ;-v ft.
City/Zip Code: eJ !ZS / Z 3 Grade Depth 1:5'0 ft-
Pnone -f 43r, APPFt~VAIS
Contractor: ~ 'C'~C_, Assessnents . . Permit /-y13
[aater/Seaer Surcharge a Gr
Fddress: ( f%CG police Plan Check
City/Zip Code: & 06-) Fire SAC ~Sao ~
PYione YS - N ~ Eng' Water Conn. JL/D
Planner Water Meter /cB zz
Arch./Ehg• : B uncil - Road Unit ~
dg. Off.
Pddress: APC
City/Zip Code: - ~ ilSq {^YOo °sOt~G
Phone TdfAL il -li 7..5
~t~ P
Thisre9ueslvoiA (o - I 3 P `O,O(/
18 nths from ~ M~o ~ ~O
3 ~t
Requesi Da e Fire No. Rough-in InsPection
1 A pui tl? ~Reatly Now ill NotitV Inspeo
rp( ~ es ? No .r When Ready
icensetl Elec[rical Contrac[or I hereby reques[ ins0ection ot above.~ ~
? Owner electrical work installad a<:
Sireet Address, Box or Route No. City
~
e voo u. Townsni0 Name or No. Range No, Couuty
Occupa 4pINT1 Phone No.
~~36oq
Power upplier Adtlre,
~
Elachic on racmr any Namel onlracmr's License No.
P13 9SS-3
Mailin Address (Con ctor or Owner Makiny nstailationi
SS3 3
Authorized Si atu 7ntrac r n r king Instal tionl Phn e Number
r~o -3/as
MINNESOTA STATE BOANU OF ELECT CITV iH15 INSPECTION REQUEST WILL NOT
Grigga-Mitlwey Bldg: - Boom N-797 BE ACCEPTEO BV TME STATE BOAHD
1821 Univarsity Ave., St. Paul, MN 55104 UNLESS PflOPEH INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSEO.
i se REQUEST FOR ELECTRICAL INSPECTION Ea.ooaoi.o
! 7J' See insiructiOns lor complatin9 thib fOrm On back of yellow copY.
A,"; i-A 7 ""X" Be/ow Woik Covered by This Request s
Atl Xep. ' Type ot Building Applioncas Wired Equipment Wired
Home Ranye Temporary Servf
Duplex Water Heater Liphtiny Ff"ztures~
Apt. 8uilding Dryer Electnc Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner ~ Bulk Milk Tank
Parm ouhr. soec, y oin., isuo,H,i
t er pcr.ily O er Other ~
Compute Inspection Fee Below LLc
p Fee ServiceEntrence5ize # Fee Fendersub(eaders d k131 Ci its
0 to 200 Am s 0 to 30 Am ps 30 Am )
A6ove 200 Amps 31 to 700 qmps 100 qm I
inunin Pool Above 100_Am s e 100_Am s
ormers Irrigation 8ooms dl-`Other Fee
Signs SUecial Inspection SAemarks 1
Roueh-in Date
e ElacLical
Inspactor, hereby
~ certily [hat [he above
Final inspection has been
I F mede.
Tltls raQUest vmtl iB months fmm
est void 18 months from
This ~
, ` lZ- 1~-79 i R 96066
Date of hu Request
I, as ~Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal winwg installed at:
Street Address or Rou[e No. I!b / City`
Section Township Range County
Which is occupied by C41,n 1
(Name of OccuOant)
Is a rougitin inspection required on this job? No ? Yes$(, Ready Now ? Will Call'Id
Power Supplier pe" Address +
Electrical Contractor - dK4 Contractor's Li ~3~02,
( ( ompany Name) y,~33+
Mailing Address 'L~ 7
lectrical o act r rOwner M Ing This lnstallatlon)
Authorized Signature Phone No. 11 0 -3 M~
(Elec ~z, ontractor or O~~w////ne~ akfng Thl Installatlon)
6a ~~~@p7~ ~y ~ This inspection request will not be accepted 6y the
m~ State Boerd unless proper inspeetion fee is enclosed.
Minnesota State Board of Electricity
~19~4 i1niversity Ave., St. Paul, Minn. 55104-Phone 645-7703
`hEQUEST FOR ELECTRICAL INSPECTION R 96066
CHECK BELOW WORK COVERED BY TH1S REQUEST
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired Fm
Home ? ? Range Temporazy Wiring ?
Duplex• ? ? Water Heater Lighting Fix wces ?
Apt. Bldg. Dryec Elec[ric Heating ?
Commexcial Bldg. ? Fumace Silo Unloader 0
[ndustrial Bldg. D 0 ? Air Conditioner Bulk Milk Tank ?
Farm ? ? ? pList y1 pList J}
Other ? ? ~ HeherS) Heiersf
COMPUTE INSPECTION FEE BELOW
Secvice Entrance Size: # Fee Fceders&Subfeedeis: x Fee K
cuits: # Fce
0 to 100 Am s. 0[0 30 Am eres Am tes
]Ol to 200 Amps. 31 to 100 Ampeies ~ Am eres
Above 200 Amps. Above 100 Amps. ~Amps.
Transformers RemoteControlCirc. otherfee
S' ns Special lnspection
fee &SW
Remarks E ' i,j ~
1, the Electrical Inspector, hereby certif~dhe ~ as been a
(Rough-in) Date
(Final) A~ ')Date_
This request void 18 months from
~ oid L ° ,~a. l~a,o3~
18 m ~ from ~
Date of this Request Fire No. 69707
I, as 0 Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
SUeet Address or Route No. ~&LAPPOY
0 ~Ad~J~ City
Section Township Range County
. Which is occupied by
~ (Name oT Occupant)
Is a roughin inspection required on this job? No 0 Yes ? Iteady Now ? Will CallX
Power Supplier L~L.'~ IFQ2V Address _~TiMrt.Iw~4?`dtly~_
~er~.~°7'~+~i.._ cc~
Electrical Contractor ontractor's License~No. _
Gompany Name) ~
Mailing Address
Cq-
, (EleX1 Con tororOwnar Mak g This InStallatlon)
Authorized Signatu Phone Nu, o
Ket-fPrcal Gontractor o ner Mak q Tnis Installatlon)
~ his inapection requast will not ba accepted 6y the
4
wte Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
Griggs Midway Bldg. - Hoom fV791 n0 EB-00001-02
niversity Ave.. St. Paul, Minn. 55704 - Phone 297-2111 ~/6 J
QUEST FOR ELECTFi1CAL INSPECTION
CHECK BELOW WOKK COVERED BY THIS REQUEST 6 9 7 0 7
Type of Building New Add. Rep. Check Appliances Wved For Check Fquipment W'ved For
Home ? ? ? Range ? Temporary W'ving ?
Duplex ? ? ? Water Hea[er ? Lighting Gixtu[es ?
ppt. BIBg. Dryer JK Electric Hea[ing ?
Commeccial Bldg. ? ? ? Fumace ? S8o UNoadec ?
Industrial Bldg. ? El ? Av Conditionex ? Bulk Milk Tank ?
Farm _ ? ? ? List List
Othei ? ? Ej ~ehers~ Rehers~
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fce Feede f Cucuits: # Fee
0 to 100 Am s. 0 ro ea 0 to 30 Am eces
101 to 200 Amps. 31 [o I Am es 31 to 100 Am eres
Above 200 Amps. Above 1 Amps. Above 100 Amps.
Tianstormeis RemoteControlCirc. Partialoro[herfee
S" ns S ecial lns ection Minimum fee 55.0
Remacks TOTAL F ,6(j Qs
I, the Electrical lnspector, hereby certify that the above inspection has been m .
(Rough-in) Date
(Final) 77-7 , _ . 1,, Date
This request void °
18 months from
Thissve*id 18 months from / & 4/.0 3
~~6059
Date f his Request 10 ' a/ -1 1 R
I, asLicensed Electrical Contractor OOwner, do hereby ce uest 'nspection of the above electri-
cal wiring installed at:
Atvtk e-r,v~
Street Address or Route No. ERb Y/J l.d..~ CitY V
Section - Township Range County
Which u occupied by /aGtxc.t ~-N1"9 J
(Name of OCtuOant)
Is a roughin inspection required on this job? No ? Yes ? Ready NowA Will Call ?
Power Supplier L5Ld.1-- CA-.uf Address
~y~. 'IZC~. J 3~'~.L I
Electrical Contractor. Contractor's License No. _
ompan~ Name) ~
Mailing Address 3 o1O el-
ectrical tn or r Owner akln9 ThIZ Installation)
Authorized Signature M-~w- Phone No. F9 0 XS-
(EI cR aclc I CW~hactor or Owner aking T s Installation)
t~TE B~ARD Cop~f This inspection request will not be accepted by ffie
l~ State Board unless proper inspeetion fee is enclosed.
r" cirr oF encnN
- 3795 Pilof Kneb Raad Eagan, MN 55124 N2 5493
PHONF: 454-8100
BUILDING PERMIT APPLICATION Rece+vt
Te ba usea for SF EWlg & Garage Est. Value 53,000. Date 11-7 _ 19 79
Sm Address 1964 No. Timber Wolf Trail Erecr ~ Occurwncy R3
Lot 10 , Block z SeclSub. Ynadowlands Alter ? Zoning Rl
Porcel # Repair ? Fire Zone
Enlarge ? TYPe of Const. V
rc Name B17.112 COriStYt1G'tt.0i1 CA. ~w ~ Stories
W Addr 644 SUp2riOr COUY'k pe~olish ? Fmnt 50 ff.
~ Ci ~ Eagan 5512pLne 454-1438 Grode ? Depth 54 ft.
p Nome Sai12 APMOVOh Fees
Addrew Assessment Permit •
Water 8 $ew. Surcharge 26.00
Ci Phone 71. 75
Police Plan dxck
ww NO'"e Fire SAC 525.00
~
x0 Addreu Eng. Water Conn. 270. 00
<"Z' CI Phone Plonner WaterMeter 60•00
• Council ad Unit 75.00
I hereby ocknowledge thot I have read this opplication ond state that gldg. Off.
the information is correct ond ugree to tomply with all applicable A~ Total 1r171.25
StaM of Minnesota Statutes and City af Eagan Or ' ances. ~
Signoture of Permittee
A Building Permit is iuued to: Blllle C~nStTUCt"i011 CA. on the express condition that
all xrork sholl 6e done in acco ith ofl ppiimble State of innewta Statutes and City of Eogan Ordinances.
Building Official
Minnesota State Board of Electricity I G~ 0 3
V54 Uyiversity Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL WSPECTION R 96059
CYIECK BELOW WORK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Appliances Wired Foc Check Fquipment W¢ed For
Home ? ? ? Range ? Temporary Wving ?
Duplex water Heate~?'r ^ 4 Lighting Fixwies ?
Apt. Bldg. ? Dryei ? Electric Heating ?
Commercial Bldg. Fumace ?Silo Unloader ?
Indus[rial Bldg. ? Av Condi[ioner ? Bulk Mllk Tank ?
Farm . ? ? 0 Lpist "st
Other 0 ? ? thers~ eiers~
COMPUTE INSPECTION FEE BELOW
Service EBtrance Size: # Fce Fcedecs&Subtceders: # Fee Cixcuits: u Fee
0 to 100 Am s. 0 t Am s 0 to 30 Am eres
101 to 200 Amps. 31 t;A s- 31 to 100 Am res
Above 200 Amps. Abo - ` A s Above 100 Am a
Tcansformers Re eCo o Partialorotherfee
Signs Special lnspection Minimum fee $5.00
Remarks
T07'AL FEE
I, the Electncal Inspector, hereby certify that the above inspection has been m e. 2.p G
(Rough-in) Date
(Final) 77-7 Date 0/e ~ 3a - ?
This request void 18 months from ' ~
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
LL+71 9 ~
Please complete for. single family dwellings & townhomes/condos when permits are required for each unit
Date/~/
Site Address~~g~~ ~b Pf'u1 U~ r 7-7e- • Unit #
# pJ -
aq,NI Gep~ ~ Telephone 116
Property Owner ~-T
T
Contractor `{trt,~.,~ 4-c~ 1j, vZT-70[
S[reet Address -47o_ City y~
State Zip "~5 Telephone #
Bond Expires:
The Appticant is _ Owner -r Comractor _ Other
Add-on or alteraGOn ta existing dwelling unit $ 30.00
furnace _Additional ~eplacement
air exchanger
~airconditioner _New _Replacement
other
State Surcharge $ .50
T°tal nrmwp $I hereb y apply for a Residential Mechanical Permit and acknowledge that the curate; that the work will
be in wnformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; ffiat I understand this is not a
pernut, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the
approved plan in the case of work which requires a rev'tew, and approval of plans.
~t kie t1A-
Applicant's Printed Name Applicant's Signature
2004 COMMERCIAL MECHAIVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not requited for each dwelling unit
Dacja,/_c5' / `
site s et Address iqitoq TpL, Unit k
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephoue 40~ I)Li S Z-
Contractor ~
StreetAddress City ~mC
State ip Telephone # ((a JZ ) 9' 4/3 4,q
Bond Ex ires:
The Applicant is _ Owner COther
Work Type
_ New Construction 2fin k Install Remove '*see bel ow
Interior Improvement Proc sed _Gas
Nature of Work:
i
"When installing/removing underground tank, call ior inspection by Fire M hal and Plumbing Inspector
Permit Fees: $70.50 Undergruund tank ins[allation/removal
$50.50 Minimum (includes State Surcharge)
OC
Contract Value $ x 1% _ $ Permit Fee
• If permit fee is $1,000 or less, add $.50 ~ $ State Surcharge
If uermit fee is over $1,000, add $.50 for
every$1,000 ermit fee $ Total Fee
I hereby apply for a Commercial Mechanical Pernvt and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 woik will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
& ,t Kv rj io-
Applicant's Printed Name ApplicanPs Signature
ApprovedBy: Inspector Date: ~ IS-- 6/
I ~ f
'~7
`)";f1i:'10P:Elt ° S C-F'R<il' i ! (i7'IO7i
i _
Thin 5s -'cc> ceri:5.fY `hm-'
@'f:S CJITL-0..iE•cl 6•i'd.j:f3 i:77i.', ;;:c•:.~.i;'i"4r v...:fill;Y'('7TiC11i`~ I1CCt: ;;Y?"`:' . 0:7',:':'r•
1_:r~Y(7~iil.d. fo".r° <`i
TSe--*-s Approval i,5 by S~~l.l.er rsnly. rtaiide°° mtsst ;-~7mi~i5- ,•;irl: n: ~
C19:}' Y"t,'+~'"2I:~.Y°€',7C!CT:f:4 771r?. PP3i3sq, `%,r•t'ESTC C3LJ71 ?71122C~1.:':1; 3,: Tt!l:
Approvccl i,y Seller, T?imn ~'`,,'.;"Ty Peal ,state Man::4;erien,:, EnL.:
~v 1~b9P~h -I~Y~/YII a~i ~~,Q,VvI (Q ' lb' ~
Alrt;,orized. A,cnc:
Accepte# i;y Buyer;
P, y
Da
~
4q=?n i;;':ti,p F'rn?r.,?r,rr 0,,fl`ire I°r:r'k
'
- :~ite=>ae:xpte:is
:?ti?- s`.~i. _~C3.'.. r ~:i. -~.,,',ti
i -....'ro . " " 6i~. ` . ,
,Go r ia,. ,61c) c,c z.~~~o~~.~,c~ ~ o' I~Ir
PLOT PL41V ~ Scale -1 inch - 20 feet
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NiuSt st~OVd ior,atictl eF strese:s, ict and propused buildfngs, give Iot dimensions. (Lc! cnrr:ers anci udiiding s:[F
bG70fE 8rlpi'3i5Hl I:i fLC~llf'..`+fCCi.l .
~ . ~
" EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER _2 L : l , G
SITE AOORESS %c((c q hrn
45~-+34b
CONTRACTOR ~,74('ILC aLrL re DA7E /i~-j 7•77 PHOME 45'Z
Determine working square footape of eath.
1. Total exposed wall area 17 I•L~- sq. ft, x .ll • cz."
2. Total roof/ceiling area 113~ '10 sq. Pt. x ,05
Tota) exposed v:all area above floor s 7/( 19-71-
a. Total wall window area 11 9.sd
b. Total door area ,
c. Totai sliding glass door area qc) o L
d. Total fireplace wall area,.....,.......,....,.... -
-
e, Totai wall framing area (average 10%).,..,,,,.,,,, L
f. Total net wa11 area above floor
12 43 0.?
g, Total rim 3oist area ~pc,.op
Total exposed foundation area
h. ToCai foundatior, window area.,....,.............. J
i, Toal net foundation area above gra(ie L•~..
Determine "U" value of each wull segment.
a. i r g* ~ X u U° • ~~i~
b. 37 Ri z "u"
. . C. X a Um ~ l) t 22'~~ .
i
a. x ^u° .
e. .l7B,rL X "U° - i7 • 24c,-?7
1. 1C431(f(/ . x pV 1,q ; 07 ¦ y~7
g, I 00,04) X "U° ,"~v • ~.•e~
y ~
"Vp •
h. A
i.• ~l-SZ' XnLim : 47 . 2~f.S7
3,,,......~7.~~: LS ...................Tota1
If item 13 is the same as,. or less than item il, you have aet the intent
of SBC 6006(c)2.
~
Total exposed roof/ceiling area De)
j. Total skyliqht area
k. Total roof/ceiling framing area (average
1. Total net insuiated roof/ceiiing area.......... . ICI~
Determine "U" value for each roof/ceiling se9ment.
j. X HUI, ~
k. X "U" •
t. li3q-cD _ z °u° <01~ = SZ-ys^
4 Total • L,~,~Z..~
!f total of 44 is the same as, or less than 12, you have met the intent of
SBC 6006(c)1,
Alternate Buiiding Envelope Oesign
To utilize the totat enve'ope system method, tne values established by the
sum of items 43 and B4 sha11 not be greater than the sum of items fl and 02.
1, 3 Oz=ti/ + 2, 91~
3. 23L sZ- + 4. fT ~71 H3•~7
$804 Melody Lane 8963063
Bumsville, Minnesote.
WEPJA CO. PLAN SERVICE
ED ANDER30N
' " . /WCHITECTUML DE8IGNING ANO VLANNING
pffice:
1129 Ctif} Road Offica: . .
Bumsville, Minnesota 6964636
i
l:::CT`r C)P Ftr;c.>d
('Afi'i.L[Cft+ ..I;:r ~mi,s7^'i^;
T)fi'iEi:r, 03.!21J99 •'.tf'';: °1J:s•:,.12
~!^.~i< [.i 1112t(.`~71:6';JLI ['p ''A"7'''fCS •,;r
-~f.i0~i. ;`3E.4 ~~f_''I';: t~IrR r.:-~ ,.-'f3.2S
.?-I.t.`' 9.:111 1964Mhi lQ.l'_.I:: T ;ii.,1_19
1'pi;7.l. R{..Celpt AR.i:iitfii;:. 1 : .7`
CR:!.4.7;.:
l!S:i:r,: ::nt Jp'tl
. . . . t „`Y5, , „)f;, IZ'. , , ;)dw.". , ot. 0". . , A °(i,':F
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ~ 7 cs
L7S 651•681-4675
New Conshuctlon Reauiremen}s Remodel/Reoatr Reaohements
D S regtsfered sHe surveys ahowing:q. R. of lot, sq. fl. of house 2 copies of plan
and QII rooted areas (20% maximum lot coveroae allowed) 1 set of energy calculaifona tor heated addNions
? 2 copies of plans (show beam d window slzes; poured tnd. design: etc.) 1 sffe survey for exterfor addltions 6 decks
? 1 sef of energy cakulatfons
? 3 coples of ee iresenatfon lao M~ platled affer 7/1/93
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: +v . Y 6
STREET AQDRESS:
i~^n.be r wo i F JC V n1
LOT: 1 U BLOCK: 2)- SUBD./P.I.D. Q ci
~ Phone
Name: S ~1
PROPERTY L n Firrt
OWNER 1 ~ ~ ~ rl Street Address: ?flh 1 i iri j-)r
City w~n State: mn Zip:
Compony§~~~.~LLJd~L1 C. ~Y Phone
/ (area co ) ~7
CONTRACTOR Shee L 1 I I 1 p~~~ f~`j( I~y.)~} r ucense # xp-
t dress: / 1
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
TeleQhone area code
Stree'fi Address: RegistraFion
City State: Zip:
Sewer & woter Ilcensed plumber (reaulred for new conshucflon onlvl:
~Penalty applies when address ehange and lot change is requesTed once permR Is issued.
.I hereby acknowledge that 1 have read this apptlcaMon, staFe thof the informatlon Is tortect, and agree to co ply wlth all applicabl
State of Mtnnesofa StatuFes and Cify of Eagan Ordinonces.
~ ~
Signoture of Applicard:
~
. OFFICE USE ONLY RECFIqv~'' D
Certificates of Survey Received _ Yes _ No SEP 2 0 1999 ~
Tree Preservation Plan Received _ Yes _ No _ Not Required
~J
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.
? 03 1 of ^ piex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-piex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 5torm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr 0 39 Gas Line Oniy ? 43 Siding/Soffits/Fasc+a
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
O 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove 0 45 Fire Repair
C'- 34 Reoair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bidgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPRQVALS
Planning Building Engineering Variance
Permit Fee L 2-S Valuation: $
Surcharge
Plan Review
License
MC/ES SAC ,
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge Treatment PI.
Park Ded.
Trails Ded. '
Other
Copies
Total: I L(
5AC Units
% SAC
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
,
EAGAN, MINNESOTA 55122
OATE ;tq
RQCi~ROA 'vc>"k-r TCC&~~I~~ { .
AMOUNT $ ,D~ IC~V
ReOOLLARS
o
~ CASH ~GHECK I
&ct1 5laq707
F -t-nsE
PVNO C006 MMO T
Ol ::Z l 0 ~ oz~
LoF Ioi Blo~k~~ MFadei~ aac~
Thank ou /
BY vL~..
N? 28961 White-PaYen CoW
. YNlow-Posting CopV
CASH RFC9IPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
R6C BI V ED
FROM
AMOUNT $ I
8 DOLLAR$
ioe
CASH ? CHECK
FOR
FUMO CODE AMOUNT
Thank You
B Y ?
- 1 '
White-PaYen CuPY
Yellow-Posting Copy
Plnk-File Copy
Use BLUE or BLACK Ink
r-----------------
I For Office Use rr11 I
Permit V j
City of Eap I Casa ; G
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: r~
Phone: (651) 675-5675 I
Staff: ;
Fax: (651) 675-5694 1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Typeof Work Description of work: G
~C
Construction Cost: 7,'36L4, Multi-Family Building: (Yes / o
Company: I ~ - tF} I C-E IL~r oc ontact:
Address: Z-q k) h ~I' city: j~ 1~6 Z
Contractor ,
State: Zip: Phone:
G
License , Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
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.aoaherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minneso to V a must completed within 180
days of permit issuance.
0 in,
x
40
Applicant's Printed Name' plicant's ' na ure
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA125838
Date Issued:08/05/2014
Permit Category:ePermit
Site Address: 1964 Timber Wolf Tr N
Lot:10 Block: 2 Addition: Meadowlands 1st
PID:10-48050-02-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Dan Neubauer
41531 237th Ave
Lecenter, MN 56057
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Daniel L Gebhart
1964 Timber Wolf Tr N
Eagan MN 55122
(651) 452-3609
Blue Sky Mechanical Llc
41531 237th Ave
Le Center MN 56057
(612) 756-2255
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174702
Date Issued:02/14/2022
Permit Category:ePermit
Site Address: 1964 Timber Wolf Tr N
Lot:10 Block: 2 Addition: Meadowlands 1st
PID:10-48050-02-100
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel Lee Gebhart
1964 Timberwolf Trl N
Eagan MN 55122
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature