1967 Timber Wolf Tr S . , ~
' • CITY OF EAGAN
~ 3795 PiloF ICnob Road Eagan, MN 55122 58 11
PHONE: 454.8100
BUILDING PERMIT Receipt #
Te bs wped foe 7 Est. Value Date , 19
Site Address Erect Q Occupancy
Lot' Block Sec/Sub. Alter ? Zoning
Porcel # Repair ? Fire Zone
Enlarge ? Type of Const:.
W Nome `;l Si'inc' C~v'1`PliL'f~Iit Co Move 0 # Stories
~ Address 1~`17?' t Demolish Q Front ft.
0
Ci nrn str i T 7 r~ Phone Grnde ? Depth h.
Approvais Fees
, ~ o Name _
Address Assessment " Permit
Ci Phone Water 8~ 5ew. Surcharge
Police Plan check
i•~ P 1 3n Fire SAC
t Nome
Address Eng. Water Conn.
Ci phone Plonner Water Meter
Council Road Unit
I hereby acknowledge thot I have reod this opplication and state that Bidg. Off.
the information is correct and agree to comply with ail applicoble
State of Minnesota Statutes and City of Eagon Ordinonces. APC TotaY
Signature of Permittee
A Building Permit is issued to: on the express condition that
oll work shall be done in occardance with all appliwble Stote of Minnesota Statutes and City of Eogon Ordinances.
Building Official
.
.
PamR # Date, lausd Permlttr
Plumbing f ~
Mechanical 3 ~1 9
INSPECTIONS DATE INSP.
Rough-In Final
Footings ~ ~ou q Date Insp. Date Insp.
Foundation Plumbing
Frame/ins. 11-9-W Mechonical
Final -$C
Remorks:
x
10~
.
CITY OF EAGAN
3795 Pilot Knob Road Eagae, MN 55122 N4 6184
PHONE: 454-8100
BUILDING PERMIT Receipt
Te be upd ior Est. Vulue Dote , 19
,
Site Address ~Erect - p Occupancy
Lot Blxk r-} Sec/Sub.!' Aiter p Zoning
Parcel Repair E] Fire Zone
Enlorge 0 Type of Const.
oWc Name ' Move ? # 5tories
Z3 Address Demolish 0 Front ft.
b
ne Grode ? Depth ft.
Ci Pho
~ Name • ~ • . ApProvols Faes
0
~U Address Assessment Permit
G Phone Water & Sew. Surcharge
Police Plan check
~ W Narne Fire SAC
L Address Eng. Water Conn.
Ci Phone Plonner Wuter Meter
Council Road Unit
I hereby ocknowledge that I hove read this npplication ond state that gldg. Off.
the information is mrrect and agree to rnmply with all opplicable
State of Minnesota Statutes ond City of Eagan Ordinances. APC Totol
Signoture of Permittee
A Building Permit is issued to: ~ on the express condition thot
oll work sholl be done in accordance with oll applicable State of Minnesota Stctutes and City of Eogan Ordinances.
Building Official
PermM # DaH lanad Pmdlfw
Plumbing •
Mechonical
INSPECTIONS DATE IMP• Rouph-In Finol
Footings Date InsP- Dote Inap.
Foundation Plumbing
Frome/ ins. Mechanical
Final Q` 3~Remorks:
' CITY OF EAGAN
' 3795 Pilot Knob Rood
Ee9an, Minnesote 55122 INSPECTOR NOTIFICATION
/0' PhO1N7 454'8100 REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Date' ~ Receipt No.:
Single I
Site Addrcss: Residentiol
~ ~,,,tr• ~
Lot Block Sub/Sec. 1 Multi Res., Comm./Ind.
.
Name - New/Alter./Repuir. -
~ LJ~7 Ull
; Address ~J Cost of Instollation
1:j,1lSVa
City Phone: ` • ' - ' ' Permit Fee
Nome f~m ~ - _ " • Surchorge ~ .
.
~ Addreu
City Phone: I Totol
This Permit is issued on the express condition thot oll work sholl be done in occordance with all oppliwble Stote of
Minnesota Stotutes and City of Eagon Ordinonces.
Building Official
cirr oF E?G,?N
3795 PiloF Knob Read
Eayan, Minnesote 55142 INSPECTOR NOTIFICATION
No. Ptiem: 454-8100 R EQU I R E D BY LAW
PERMIT FOR ALL INSPECTIONS
a.i1@
patef Receipt No.:
,9`' r , iT'i Single I
Slte Address: "7 ~O. Ti^:;;ez*"O1. . Residential
1( 2- "{pc,rt.or;landa I
Lot 81ock Sub/Sec. Muiti Res., Comm./Ind.
-urzshi-:, -r
Name New/Alter. / Repoir
- 1017 E . 15 ~ ~c1',
Address Cost of Instollotion
~ 3urnevil, e, Z 5: -
City Phone: Permit Fee '
LakeYj.11P
Nome Surcharge
.
~
Address 7ioute 2
~
a^
City Phone: Total
This Permit is issued on the express condition that oll work sholl be done in accordance with all appliooble Stnte of
Minnesoto Stotutes end City of Eogon Ordinances.
Buildinp Official
CITY OF EAGAN Remarks
Addition Meadowland lat Addition Lot 16 sik Z Parcel 10 48050 160 02
owner V I-,= Street 1967 S. T1Rber Iblf 1'rail gtate l:agAn, MDl 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR, gj mp. 1589.99 ,
GRADING
SAN SEW TRUNK c 77.95
* SEWERLATERAL y.,:•; 3156.58 C005534 9 25/80
WATERMAIN
* WATER LATERAL
WATER AREA •i '
STORM SEw TRK L 1971 282.92 14.15 2
* STORM SEW LAT 981 lO
*
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 188-52 517180
WATER CONN. 305. 00 18852 5 7 80
BUILDING PER.
SAC
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
..~-3830 Pilot Knob Road Permit Number: `t i 40
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: APPLICANT:
i It Wlll 1 1 R 14
PERMIT SUBTYPE: TYPE OF WORK:
, .
INSPECTION .
, . ' ~ w-' '
tll MII'. t I;I 1 i! .I';'fili tti t'II:I ~'0fi ! i,l 1 tl+,
J
L
Permit Holder Date Telephone ii
sEwEw
WATER
PLUMBING
HVAC
Inspection Date Inap. Commants
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE / J ~
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL I
I
il
SEWER SERVICE PERMIT ~
CITY OF EAGAN
3i 95 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address: '
Piumber:
1 agree to eomply with the City of Eagan Connection Charge:
Ordinanees. Account Deposit:
Permit Fee:
Surcharge:
BY Misc. Charges:
Date of Insp.: Total:
Insp.: Dote Poid:
WATER SERVICE PERMIT ~
CITY OE EAQAN
3795 Pilot Knob Rood PERMIT NO.:
Eogon, MN 55122 DATE:
No. of Units:
Zoning:
Owner. -
Address:
Site Address:
Plumber: Connection Charge:
Meter No.:
Account Deposit:
Size:
Reader No.: Permit Fee:
I oyree to compiy with N+e City of Eagon Surchorge:
Misc. Charges:
Ordinances.
Total :
By Date Paid:
Date of Insp.: Insp-:
CI'I'~ OF EAGAN Znclude 2 sets of plans,
1 site plan w/elevations &
4)~,
BUIIAING PERMIT APPLICATION 1 set of energy c.al ations.
To se used For ,~~~GUL~ • valuation'3
`7\S~IJff t3 ute ~ UU
site Address: 1/r6 21 2.,-4-~f> oFFICE uSE otu.Y
. Lot J4_ slocx _:Z sec./sub.'HX Erect r _ Occupancy
Alter
Pamel f(~-780~i0 ~G~ ' zoning
Repair Fire Zone
Raner:+/~-...,~, La- Enlar4e _ 7yPe of Const.
Nbye # Stories
Pddress• Dennlish Front ft.
City/Zip Code: Grade Depth 33 ft.
Phone # : APPI20VALS FEES
Contsactor ~^.L,,_ L"ZJ;,`ssessments ~ Pexmit ~02 $ rap
Water/Sewer Surcharge ~A
Address: d11 _ (S7 - Police Plan Check
m'
City/zip Code: ~ ~}?~,~,,,._.SS33-7 Fire SAC "a6-
water Conn.
Phone
Planner Water Meter
Council Road
Arch./Ehg.: ~ A"" Bldg. Off. '1l0
Address: _ 7( 3o ^-jy* /Y~cf* APC
City/Zip Code: CL~!uG~LQ,~.y
~
Prione ~/37_as79 ~ 'iUTAi,
This reqfiest void
18 months from S Date /ofis Request Fire No. O~
I, as` nsed Ele f'ical Contractor Owner, do hereby request inspection of the above electri-
cal wiring installed at.
Street Address or Route No.
Section Township Range County
Which is occupied by
(Name oi O t)
Is a roughin inspection required on this job? No ? Yes ccuO Ready Now ? Will Call P/
Power Supplier Address
Electrical Contractor~ENDRI CK EIxxr'e~HIC Mgg7o5tractor's icense No. _
MailingAddress 1454TPEMOCK L~NF,
e tpr hIS Installatloa)
Authorized Signature GHRV K!9=TZ4.2',.•503f3 Phone No.
(E ec i af1n m<or or O~Ywner.~:' Making This Installatfon)
Sg'%VE This iinpection request will not be eccepted by the State Board unless proper inspxtion fee is endosed.
Minnesota StaY Bo9rd of Electricity
Gri~s Midwa Bld Room N191 EB-00001-02
, 182'YUniversity Ave., St. Paul, Minn. 55104 - Phone 297-2171 ~b 6~ ~
REQUEST FO ELECTRICAL INSPECTION 73501
CHLCK BELOW WORK OVERED BY THIS REQUEST
Type ot 8u0ding New dd. Rep. Check Appliances Wired Foi Check Equipment Wired For
Home ? ? Range ? Temporary Wiring ?
Duplex ? 0 0 Wa ter ? Lighting Fixtuies
AQt. Bldg. ? ? ? Dr ? Electric Heating ?
Commeccial Bldg. ? ? ? F, Silo Unloadei ?
Industrial Bldg. ? ? ? A on Bulk Milk "fank ?
Farm ? ? ? List List
Othec ? ? ? ~e1ets~ Oehersl
) H
COMPUTE INSPECTION FEE BELOW
Se[vice Entrance Size: # Fce Feeders&Sub(eedets: # Fee C¢cuits: # Fee
0 to ] 00 Am s. to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 1 to 100 Am eres 31 to100 Am res
Above 200_Amps. Above 100 Amps. Above 100 Am s.
Transformeis RemoteConuolCirc. Paztialorotherfee
Si ns Special In~1spection Minimum fee $5.00
Remarks
~!f TOTAL FEE
1, the Electrical Inspector, hereby certify tha abov n~ectlon has beerymade~ fr gd
(Rough-in) ~le i~
(Final) J),pte lv
This request void - - - ' „
18 months (rom
This reques' oi 18 months &om
Date of . s Request 4 616 3
I, as icensed Eleciric Co actor er, do hereby request inspection of the above electri-
cal wiring installed at: ~7
StrewAddress or Route No. I/9/O City
Section Township _ Range County
Which is occupied by
(Name of OtcuOa - /
Is a roughin inspection required on ' job? No ? Yes Ready Now ? Will Call t~
Power Supplier Address
Electrical Contractor KENDRICK Ft PrvmuuN x-+SqWor's ' ense No. _
Mailing Address 1 45"40Y.~'MNpCK LANE
r r iu~t~y~Ll}f~j,lnstallatlonj
Authorized Signature C~ARV Tt~xrr~nvrnr ,,,,7J Yhone No.
(Electrical Gontrac o f,~ This impection request will not be acceptad by the
(,~,j Stete Board unless proper iFtspectian fee is enclosed.
Minnesota State Board of Electricity 1893S
1954 UMversity Ave., St. Paul, Minn. 55104-Phone 645-7703
. 'REQUEST FOR ELECTRICAL INSPECTION ° A
CHECK BELOW WORK COVERED BY THIS REQUEST S ca 163
Type oi Building New Add. Rep. Check Applisnces Wiwd For Check Fquipment Wired Fox
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? Water Heatec ? Lighting Fix tures ?
Apt. Bldg. Dryex ? Electric Heating ?
ComMercial Bldg. ? Fumace - Silo Unloadei ?
Industrial Bidg. 11 Air Con oner Bulk Milk Tank ?
i
List List
O h* ? ? ? 9theis# Others~
riere Here l
COMPUTE INSPECTION FEE BELOW
Service Entcance Size: # Fce Fceders&Subfeeders: u Fee Cucuits: # Fce
D to 100 Am s. 0 to 30 Am eres 0 to 30 Am eces
101 to 200 Amps. 31 to 100 Am res 31 m 100 Am eres
Above 200_Amps. Above 100 Amps. A6ove lOQ_Amps.
'Iransformers RemoteCantrolCirc. Partial or other fee
Si ns Speciallns ection Minunum fee $5.00
Remaiks . ~ ~i p~ TOTAL FEE
1, the Electncal Inspector, hereb}S cectify that the above inspection has been made. .oCJ
(Rough-in) Date
(Final) Date
This request void 18 months from
SEDGWICK HEATING & AIR CONDITIONING CO. HEariNG JOBNO. S-
8910 WENTNIORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 887-9000 TEST RECORD
ADDRESS I~dl~ ::El M ~j,qJ() I l T~ S CITY ~
OCCUPANT ~O ~ YTP Y` C~~-j, ' OWNER ~"7 -'r
SOLD BV INSTALLED BY 242 ~
li"'C MODEL 661 WV 3blJu~ LJ
MAKE
SERIAL NO. ? 47 U a INPUT ~ 6 a o O
p o 6
THERMOSTAT VENT SIZE - - ~
VALVE b~o-t-l/[?'1. ~ pFLINER~ L1 L
LIMIT LI SIZE y
LIMI7SETfING ~ . ~ FIL RS: SIZE .SGC a NUMBER
FAN SETTING !nq 'L ~r WIRING !S lJ R?or YA 1
PILOTNPE TESTTAG
IGNITION MODEL { ' ` LIGHTING INST.
PILOT TIMING ~ k fTk ~ DATE TESTED I 2- ( 3~ r /
PRESSURE PERCENTCOp 1 .
COMPANV TESTING 5T ~ ~ 4? , r' v
INPIJT CFH PERCENT Oz 6 w
STACK TEMP. f 3 7 PERCENT CO D NAME OF TESTER
FORM235(REV.HI89) FORMOISTRIBUTION: WHITECAPV -JOBFILE YELLOWWPV-CITY
Q~~JI ~4 CITY OF EAGAN Include 2 sets of plans,
~ I 1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
2b Be vsed For ; re valuation ~S3.2- --c ma~ei,'n.QuDate
Site Address: ~ 9 b) S. I~r~6.e~ wcj~- T(<<; ( OFF'zcE USE ()7,Trvv
-r-
Lot _10L slocac _.2_ sec./sub. k-' occupancy
Parcel Alter Zoning
Repair Fire Zone
Qaner: PCre cAa Ro~. ~ Enlar9e _TyPe of Const.
Move # Stories
Pddress: 7 q L `J S. -t's mb e-c wc• Demolish Front ft.
City/ZipCode; [;~x oC~ r SS1ZZ Grade Depth ft.
Phone #:_L( SLl. 8 L 71)
P.PPROVISLS FEFS
Contractor:
Assessments Permit
Address: Water/Sewr Surcharge
City/Zi l.
P Code: ~I~c I I ~ lrn N Fire~ sAC
Phone y~ 3_ i3 q p En9• Water Conn.
Planner Water Meter
Arch./Eng.: Council Road Unit
Bldg. Off.
Pdclress: APC -
City/Zip Code:
~ s .s_!
Phone TOT
CITY OF EAGAN
3795 Pilot Kno6 Read Eogan, MN 55124 N2 6184
PHONE: 454-8700 p~76fcr/~f
BUILDING PERMIT APPLICATION Receipt {k ~
To 6e u,ed for FIREPLACE CHIMNE)fst. Volue 532. Dote 9-17 , 1980
` 196'7 S. Timberwolf Tr.
Site Adpdress ` Erect ~ Occuponcy
Lot Block ~ Sec/Sub.M-4-'u'`4A 5 t Alter ? Zoning
Parcel # ~D ~U ~o j~p a 3- Repair ? Fire Zone
Enlarge ? Type of Const.
m Name Rorisld Rohx' Move
3 Address 1967 S. Timberwolf ? # Sro.te: _
Demolish ? Front ft.
Ci Phone 454-8674 Grode ? Depth fr.
°
~
o Nume Milce J017pssil Approvals Faes
Z~ Assessment Permit 5•00
Address
~ ci Lakeville,~Mrphone 423-1390 Water & Sew. Surcharge .50
Palice Plon check
Fw Name Fire SAC
Address Eng. Water Conn.
aw Ci Phone Planner Water Meter
Council Road Unit
I hereby ocknowledge that I have read this applicatiori ond state that gldg. Off.
the information is correct and agree to comply with all appliwble APC Totol 5.50
$tate of Minnewta Statufes_gnd City o~EaWg`a~Or~ances.
0
Signature of Permittee ~ ~Q
A Building Permit is issued to: M11te JOYITISOR on the express condition thM
ull work shall be done in accorda~e~with all applj~.ablg Stote of Minnesota Statutes and City of Eogan Ordinances.
BuildingOfficiai ,
CITY OF EAGAN
3793 Pilot Knob Raad Eagan, MN 55722 ~~~111 N? 5811
BUILDING PERMIT APPLICATION PHONE: 454-8100 Receipt
Te 6e wed for S F Dwl¢ est Vulue 45.000.00 Date 5/7/80 .19_-
r
Sire Address 1967 So Timberwolf Trail ~ Erect }fj occupancy R3
Lot . 16 Block 2 5ec/5ub. Meadowlands w Alter ? Zoning Rl
Parcei # 10 48050 160 02 Repuir ? Fire Zone 3 _
Enlarge ? Type of Constv
z Name SmshinP ('Ontrut.t;j;Ori Co Move ? # Stories
W
Z Address 1017 East 157th St Demolish ? Front 54 ft.
ft.
~ Ci Phpne 435 6535 Grade ? Depfh 39
o Name -D^n .7nhncnn $amo Approvals Fees
Permit
8~ Address Assessment 32800
~ Ci Phone Water 8 Sew. Surchorge
~ Police Plon checl64-DD
~w Name Th].117.k1 P1833~SE]:Y1Ce Fire SAC 59S
~Zp pAddress TOIQ WBSt 145th St Eng. Water Conn30-r+ . 00
<w Ci Phone Plonner WaterMetefid.00
Council oad U it
I hereby ackrrowledge that I have read this opplication and state that gldg. Off.~
the in4ormotion is correct and agree o com ly with all applica6le AP~
State of Minnesota St s and City Ea n Ordirwnces.
Signature of Permitt.y
2- ~pYl~IY-, on the express condition that
A Building Permit is-issued to: S n il i Y7 j
all work shall be done in accord c ith all appli tate of Minne a Statutes and City ot Eogan Ordinonces.
' Building Officiol
• " ~~~8t~
_ • ` ~
r~~-~F::.c~..>•~.-'Q'°~~t._z,c333c~--c.rr...-i+it•«cr.~...;.~ :r..~~, :cc-:._,.y: n;-f .
(grrtt#irtttt nf Orrupttnry
uf (Eagan ~ l
3~r~rttrtsncni nf ~uilDin~ ~n~}~rrtimt \
~
Tbir Cntifiratc istued pnriuaru to tht requirrrrsenu of Sation 306 of the Uniform Bui7drng
' Codt mtif png that at thr pme of irtuarat tbis torutture auas rn romPliance with tlx vasioru ~
~ - \
F ordinaruac o/ thc City ngpJoting building ron rlrnttion or ate. For the follmoing: I /
(
o.ci.m~em SF DWG eidae~.~NO. 5811
OcwP.YTYq R'3 iYV~Couwcqm V Firt7 3 iminBD'utnct R.1
C..ofBwd, Sunshine Construe.Add. 1017 E. 157th St., Burnsvi ~
li e ,,,d.,1967 S. Timberwolf 'r ,r Meadowlands
By:
BwldintOltaW Daw: 7-31-80
{
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. ~
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,
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vtxoa:s ti;n rooRSaoo:+ WzNcoc+s .tivn oooa_ s~RJx~•c ?,a
SIZE C?.nCK ' P_'e.'\ IeL(:Oi2c. R0. 5T7.E C!L\Cti~ :1 lil.ixli r.Y
ISIZF.
FYJ4 pf i? '.::f:• ~ NT, . tiCL. t'pL. .i,
. mC. ' STJ T1 "C 3T!J
. ' IHFIL • S 7 I9FIL ~ 757
GR.. uALI. 1 . CR. NALL
CLASS Gf.ASS
NET NALL . a ~ VeT 6• • t. •
CzILI':G
. CE2LINC ...oC £
. Ft.oox FLooR • (/~d } ~ i7 U
• FIEAT LO55 +•LI., iZ'.~'; Y.EaT LO55
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kzn; LOSS ~ Lt.
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10
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~ CTJSS ! 1 fD I%'.~ I^ r ~ ~ cL:.SS r-'D ~ T
r-~: c/~. I I I n 4~
NET RA1.L ':ET ~ ._L ~ . .
CE1LL::C .
Ff.COR ,
i!EAT L^SS ~ L'. 1j_AT LOSS I L:
t , ; ~ I - ' / ' i i; f
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, . . , ,
CERTIFICATE OF SURVEY
~
~ 9.~ ~
' S 850 ~8'49" E ' (gr*+
-78. 00' 9Q
~ z p~' Sb
s~------ -0 5 s
~ LOT 16 ~ DENOTES UTILITY 9
o I B LQC K 2 DRAINAGE EASEMENT
n I o
N PROPOSEp 0
710N ~
w
' C~ r
` q , ? oiR' 26 ~ w
M 9 -
28PRO OSED Elevationa Bhorm ar0
a I N GAR HOUSE r%° 12 m oxisting gradea and
z I o
~ a are asaumed datum.
~i 9 I Z
I s
~JA A
SL_ " ,~t
00 - I5.
o
7a.oo' ti -
S 85°28'44°E C~ SQUTH si-o 11.4 TI MBER 92'3 WOLF TRAIL
I hereby aertify that this ia a correat repreaentation of a survey of:
Lot 18, Blook 2. Meadowland First Addition, Dakota County. Minnesota,
aaoording to the plat theroof on file and of record.
and that I am e duly registared land surveyar under the laws of the State of E'.inneaotn.
0
1?atefl thie 30th dey of dgri.l, 1980 Gene L. Jacobsan,: nn. Reg. No. 7734
DR. BY GLJ SCALE - I" = 40' p DENOTES IRON MON BEARINGS ARE ASSUMED DATUM.
Preparod fori
GENE L. JACOBSON
Don Johnson LAND SURVEYORS
sunshioe Coustruction
1017 157th 3traot LqKEVILLE, MINN. 55044
aurnsville. t*inn. 54337 PHONE 469 - 4328
CITY nF FAGAN
CASHiER: 5 TERMINAL NOe 309
DATEs 01/06l33 TSME: 12:35:45
II~ e
NAME. ALLIED FIRESTDE INC
3210 9001 1367 TMBRWLF TR 60.00
ZiJJ 9001 1967 'iMFR14LF TR ,0.50
+
To+,al ReceiFt Amount,; bt].SD
CR j. C! 1630
USER ID: NANCY
-SO CITY OF EAGAN PERMIT
3830 Filot Knob Road PERMIT TYPE: B u z i. C) z r! c
"Eagan! Minnesota 55122-1897 Permit Number: 03433(l)
(651) 681-4675 Date Issued: Pr 1! 0 5/ 3 9
SITE ADDRESS:
1967 TIMBF.ft W01..1' TR S
LOT: 16.BLfJGY.: 2
MCADOi.JLFlND5 1;`f"
p.T,N. e 10-48050--160-02
DESCRIPTION:
Lir.r'Z.ldino; Permi.t 7ype FTREPLAL'1:
B11 ildEnS3 -401'r k Typs IVEW
f-GensuS Gode~ 434 HLT. RES'CDEPdTIF%L
i ~
%
l
t I
^r r~( _,.Ua . .
V'V
`~l * f'
"
~
_S1 _ ,
REMARKS:
cH rmMFV~F I_ur N usr Se I -rasPt.crFO s FFO P + corvcErairrar. ,
FEE SUMMARY:
Base Fee $60.00
Surcharge 5Pr
7ota1 Fee
_ "r- , ST. I_I
~ CONTRACTOR. . ~ P P 1' n1 OWNER:
~ FIREE3TUE CORNEW, INC 16331042 20090911 TO(2f2INT JUWN
~ 27.+t0 N FRIRVTEW IiVE 19fi7 TTM17BER WOLF TR S
I HUsEVtiLLE hiN 55113 EAGAN MN 55122
~ l67.21 633-1042 (859.)688--8167.
( I hereby acknowledqa thrat I riave r~ad this aPOlication artd Rtrate that the
information zs r.orrect anc# aaree Y.o csamply with a1.L apni.icab!.e State ot Mn.
Statutes and Ci'tu at EaWaii Ordinanc.es.
L -
APPLICANT/PERMITEE SIGNATURE ED BY: SIGNATUt
~ .
-9rl
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 P[LOT KNOB RD - 55122
(651) 681-4675
Date:~ I` C y
Description of Work: ~ Construct new fireplace _ Alteralinns to existing
install eas itrsert onlv _ Install gas line onlv
Other
Job address: b-61-
Lot: ~ (.0_ Block: Subdivision/P.I.D. ~ 0 LA
Applicant (circle one only): Owner Contractor Perntit Fee: 60.~0
Name: U c r I Yl I J d~~ Phone a6z__6;9~44~_/
PROPERTY Last First
OWNER Q ~I I
Street Address: + f~2/jy v' 1 I(d `~1~~ (~6~1 f ~ ~
~
City ~ a U C.1 Y~ Staie: Zip: S s~~ 02
Company: 2 S~ Q( Q l ofN e~ j ~ P ~eSlLY Phone
FIREPLACE
INSTALLER StreetAddress: J g~~ LI~ f~ II
City ~ ~/1 ~n , C9 Sta[e: Zip: ,'7
Company: Phone if:
GAS LINE
INSTALLER Street Address:
City State: Zip
l hereby acknowledge that I have read this application and sCate that the information is conect
and agree to comply with alI applicable State of Minnesota Statutes and City of Eagan
Ordinances. ~
~
Signacure
A.
OFFICE USE ONLY
BUii.DING PERMIT TYPE
? 14 Fireplace
WORIC TYPE
? 31 New ? 33 Alterations "
? 32 Addition ? 34 Repair
GENER4L INFORVi.4TION
Census Code. 434
SAC Code 01
RENIARKS
Chimney/flue must be inspected before concealing.
, 43c, .50
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomeslcondos when permits are required for each unit
Date /j l fI l ~S
Site Address ZLiL7 Unit #
Property Owner 4 Telephane #(69
Contractor
8910 Wentworth Ave.
Street Address CitY
State (952) 881-900%p Telephone # ( )
Bond Eapires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing~lli~ 1m pv 0 70 $ 30.00
X1
? furnace _Additional _Replacement _ New
air exchanger
air conditioner
_ heat pump
other
State Surcharge $ .50
Total $ Jd. ~D
I hereby apply for a Residential Mechanicai Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry 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; ttiat ihe work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans. ^
SEDGWICK HEATING 6 AIR CONDtTIONING LLC
ApplicanYs Pri~OWentWOftFt AVB. ApplicanYs 5ignature
Minneapolis, MN 55420 61
(952) 881-9000
2005 COMMERCIAL MECHANICAL PE$MIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for: commerciaVindustrial 6uildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if appiicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor E
,vnan~ie~:TA .viav";u^,n:3
Stree[Address 4• ~f7~ AtL'8
State Zip _ . Tel'epli'one #=~~i )
Bond Expires:
The Applicaot is _ Owner Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove `*see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
"When installing/removing underground fank, caff forlnspection by Fire Marshal and Plumbing lnspector
Permit Fees: $70.50 Underground tank installationhemoval
550.50 Minimum (includes State Surcharge)
or
ContractValue $ x 1% _ $ PermitFee
$ Sta[e Surcharge
lf oermit fee is less than $1,000, add $.50
If ep rmi[ fee is more than $1,000, surchazge
is 5.50 for every $ 1,000 owed.
$ Total Fee
I hereby apply for a Commercial Mechanical Permit 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 work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name ApplicanYs Signature` '
r
Approved By: , Inspector Date:
Aequired Inspections: - U.G. _ R.I. _ Air Test - Gas Service Test - Infloor Heat _ Final
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
R<GEI V ED
FRpN1
AMOUNT $ I
& DOLLARS
t oe
C3CASH CHECK
FOR
. ~
FUNO [ODE AfAOUNT
Thank~You
B Y i~
White-PaYers COPY
Yellow-Posting Copy
Pink-File Copy
C4T( ei EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address: ,
Plumber:
1 agree to comply with the City of Eagan Connection Charge: <`
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Dote of Insp.: T' Total:
Insp..
h ' Dote Paid:
PERMIT
Permit Type: Mechanical
City of Eagan
Permit Number: EA106087
Date Issued: 08/09/2012
Permit Category: ePermit
Site Address: 1967 Timber Wolf Tr S
Lot: 16 Block: 2 Addition: Meadowlands 1st
PID: 10-48050-02-160
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
Comments:
445-2840
Joy Post
1408 NORTHLAND DRIVE
ME - Permit Fee (Replacements) $55.00 0801.4088
Fee Summary:
Surcharge-Fixed $5.00 9001.2195
Total:
$60.00
Contractor: Owner:
- Applicant -
Sedgwick Heating & Air Conditioning John Torrini
1408 Northland Drive, Suite 310 1967 Timber Wolf Tr S
Mendota Heights MN 55120 Eagan MN 55122
(952) 881-9000
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
2012-08-11 11611 /10:39 11 1/ 1 1 1 1 I'""" "1 1. 1/ 1
\.0 I.r 111 r.V.111
» 651975 5694
Clly of Kail
3830 Not Knob Road
Eagan MN 56122
Phone: (061) 678.5675
Fax; (061) 876.6694
r11* MIR nnl-V /n-nnir
1-
V 11111311/1111111
use IMAM or BLACK Ink
For Office U.a
Pern,Hitt.M/t De;_
Pam* Fia; -' 1 OlJ
Dote Received:
Slat
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date? g 1 i. (a Sib Address: ISI. IA . .&4 • -c r- ( .
RESIDENTIAL FEE$:
660.00 Maga Water Heater, Water Softener, or Water Heater =I Softener (Includes $5.00 State Surcharge)
680.00 Lawn Irrigation (includes 65.00 State Surchergs)
660.00 Md Plumbing Flxturss, Sepik System Abandonment/ Water Turnaround' (Include, $5.00 State Surcharge)
'Water Turnaround (add 6189.00 If a 518" meter Is required)
$106.00 $eolic System New ($10.00 per se built) (Includes County fee and 65.00 State Surcharge)
TOTAL FEES $
CALL BEFORE Yum, Can Gopher State One Cali at (641) 454.0002 for protection against undwground Willy damage.
Call 48 hours before you Intend to dig to receive locates of underground utilities. wietrimphandatamora
1 hereby aelmouledge that !de lnbrmallon Is comply and accurate;wet be In coatamanor wt h the ordinances and codes of the CNy of
�
01
a000ntenos wit the wowed plan In the ease duo* which requiters a mi4pproval
ew and aI-0e irh-- -
wowed
X \Ot
Applioanre Printed Name
2012-04-s0 +IrrAo 6519755694
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113045
Date Issued:08/28/2013
Permit Category:ePermit
Site Address: 1967 Timber Wolf Tr S
Lot:16 Block: 2 Addition: Meadowlands 1st
PID:10-48050-02-160
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John Torrini
1967 Timber Wolf Tr S
Eagan MN 55122
(651) 688-8151
New Exteriors By Sma Inc
10701 93rd Avenue North, Suite E
Maple Grove MN 55369
(763) 315-8900
Applicant/Permitee: Signature Issued By: Signature
i
�to��
' • t Use BLUE or BLACK Ink I,
f . r__���_��...�������i �'�.
1 For Office Use � j
• � . /��� �3 �
V��� Ol L���11 ������ � Permit#. �
� �`TJ. �� ,
� PeRnit Fee:
3830 Pilot Knob Road � �-!7 ��
Eagan MN 55122 JU�"` ' 7 201� � Date Received: r �
Phone:(651)675-5675 � �� ��� I
Fax:(651)675-5694 BY: _ � Staff: ��-�Y I
I �
��������������.���J
2014 RESIDENTIAL BUILDING PERMIT APP�IC�►TION
Date: � �� Site Address: C%6�'� � �h� �0�� �1'L��� � Unit#:
f� -� ,�,
Name: �q,'TT I tt-�,}�h,� L�S�'t � �' Phone: �J`�J-6 � "���
Resitlenti ,�-. i ,� ,��1
(hvner Address I City I Zip: �� 6�" j����f' �'6 6� 1(�1 � -S . �Ct Q�n I�' a! �$�'S/
Applicant is: Owner � Contractor
�,,� / I
T e of Work Description of work: �✓l.���� �Ct:'� �C�V
Yp
Construction Cost: Multi-Family Building:(Yes /No )
P Y �� �C�Y, � �'� �
Com an : �'�, �e�Nl�„ J� contact: �'I,AeZ� Cs���t�—
Contractor Address: J � �- ludt city: � ��-'�'� ��/12- �
State:�2ip:��C�2� Phone: �J� �'� �Em I: 1'�U4�E].t��4%"�-�i��l�l��'�i • (t�'Z+T�
�
License#: �ead Certificate#: �
If the project is exempt from lead certification, please explain why: (see Page 3 for additionat information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING '
i
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? �I
Yes _No If yes,date and address of master plan: I
Licensed Plumber. Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
A►OTE:Plans and supporting doc[rments#ftaf you submit ar+e cansidered ta 6�pKrbf,ic fre#rm���hn. Pot�tions of
tire informatfon may be classif'ied as nan:p�tblic if you provide sp+e�c�fFrc reasons that wvu�d prerm�t fhe Cfty#o
conclt�ale#i►at#he ar�h�de secrets.
CALL BEFORE YOU DIG. Call Gopher State One Ca0 at(651j 454-0002 for protection against underground utllity damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.caopnerstateonecall.ora
I hereby acknowledge that this irrtortnation is complete and accurate;that the work witl be in conformance with the ordinances and codes of the City of
Eagan; that t 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 Minnesota S tQ uild' g Code m be.�ompleted wl �n 180
days of permit issuance. /
x �H� 1Z' ���r�—' X p � r'
Applicant's Printed Name Appl�cant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150383
Date Issued:07/05/2018
Permit Category:ePermit
Site Address: 1967 Timber Wolf Tr S
Lot:16 Block: 2 Addition: Meadowlands 1st
PID:10-48050-02-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
John Torrini
1967 Timber Wolf Tr S
Eagan MN 55122
(651) 688-8151
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166355
Date Issued:01/04/2021
Permit Category:ePermit
Site Address: 1967 Timber Wolf Tr S
Lot:16 Block: 2 Addition: Meadowlands 1st
PID:10-48050-02-160
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John & Patricia Torrini
1967 Timberwolf Trl
Saint Paul MN 55122
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature