1968 Timber Wolf Tr S
- • T • CITY OF EAGAN
3795 Pilot Knob Road Eegan, MN 55122 N! 5901
PHONE: 4548100
BUILDING PERMIT Receipt #
Te be ute,A for Est. Volue Date , 19
5ite Address Erect ? Occupanry
Lot Biock Sec/Sub. Alter ? Zoning
Parcel # Repoir ? Fire Zone ~
Enlarge ? Type of Const.
W Name Move ? # Stories
3 Address Demolish ? Front ft.
b
Ci Phone Grnde ? Depth ft.
- - - ,
ADProvals Fee:
o Nome
~ Address Assessment Permit
~ Cit Phone Water & Sew. Surchorge
Police Plan check
~
FW Name Fire
SAC
Address Eng. Water Conn.
<W Ci Phone Planner Water Meter
Council Road Unit ~
I hereby acknowledge that I have read this application and state that gldg. Off. the information is correct ond ugree to compiy with all cpplicable ~
$tute of Minnesota Statutes und City of Eagan Ordinances. APC Total
Signature of Permittee
A Bullding Permit is issued ta - on the express condition that
oll work sholl be done in occordance with all oppliwble Stcte of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Pennil Dab Iwred Pamitfta
~
Plumbing ~ 5 Cl
Mechonical ~ 7yf Q
S ol 4 -
INSPECTIONS DATE INSP.
Rough-1n Pinul
Footings - - Date Insp. Oate Insp.
Foundation _ Plumbing
Frame/ins. MecFbnical
Final
Remarks:
ciTr oF EAGAN
3795 Pilot Knob Read
No. - Ea9an, MinnewM 55123 INSPECTOR NOTIFICATION
Pbeea: 454-8100 R E Q U I R E D B Y LA W
PERMIT FOR ALL INSPECTIONS
Dote: . ,-14Receipt No.:
~ 6 8. Single I
Site Address: Residential
Lot Block 1 Sub/Sec. Multi Res., Comm./Ind. I
Nome . u~'OI13tI`U.Ctj!`.' New/Alter./Repalr. ~ Address 111971d ~Ii@W CiI.
Cost of Instollatlon
Cify ;LSI18Y3.1l@, T'1fI'1. Phone: Permit Fee ~
Nome l-iZ Ryan .
~ Surthorge
~ Address 7 ~+5 :tobert
c
0
V Ciry ' Phone: Total
This Permit is issued on rhe express condition thof cll work sFwll be done in xcordance with oll opplicable Stote of
Minnesoto Stotutes ond City of Engon Ordinances.
Buildinq Off7cial
CITY OF EAGAN
8745 Pilot Kno6 Road
No. Eo9es, M;n~+esora 55122 INSPECTOR NOTIFICATION
Phonr 4544100 REQUIRED BY LAW
FOR ALL INSPECTIONS
' PERMIT
DGtQ: Receipt No.: 20I+SS
"'imbemolf '_I'. Single _ I
Site Addreu: Residentiol
' ~ 1 "~iz3o!~;lar:~i.; I
Lot ~ Block Sub/Set. Multi Res., Comm./Ind.
Nome Hli~tZto2` vo-~~~.ructian New/Alter./Repeir. ~ Address `~1-3 F~i°?]~821d T~T3_oP1 CI'' Cost of Instaliction
,.tiiiRVllle, ?.L*t. i3'?0-:3992
City 1 Phone: Permit fee .
:
Na~ lues .Anderson ?'1t1C^; ~:1~~: Surchor9e
~
~ Address 2012 nlg OSk Ih`,
.I':':E", •i: ' ?
City - ` ' Phone: Totnl '
This Permit is issued on the express condition thot oll work sholl be done in accordonce with oll opplicoble State of
Minnesota Statutes ond City of Eagan Ordinonces.
Buildin9 Officiol
CITY OF EAGAN Remarks
Addition Neadawtand lst AdSiticm Lor 49 sik 1 Parcel 10 49050 049 01
Owner DO / << ' L. i ',41 ",i.., -f " Street 1968 S. Timbel^ W01f Ttail State Ea9an, !'n'1 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR. mP• • 158.99 1589.99 C005612 10 15 $0
GRADING
SAN SEW TRUNK << 197 77.95 3.12 25
* SEWERLATERAL 1981 315.65 10 3156.58 A009651 021$-8 0
WATERMAIN
* WATER LATERAL 1981 lO
WATER ARfA c 7
.4
95.27
STORM SEw TRK , 1971 282.92 14.15 20
* STORM SEW LAT lggl ZO
* services 1981 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
tt r~
BUILDING PER.
5901
SAC n r ~
FARK
lNNYLU'1'lUN KLUUKl-)
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: 49 , APPLICANT:
i illi E ('R S I i~ , l i.•, ~~ii~ ~ 1(J~.
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION „ .
~
e's" ` ~ . . •
_ _ _ -~E eAo
~ '
. . ~ ~ . ~ .
L.~ ~ . ~ ~ . ~ . . . . ~
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FDUND
FRAMING
ROOFING
!
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLAGE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCriviTv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY CF EAGAN SEWER SERVICE PERMIT
3:95 Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner. Address:
5ite Addresr.
Plumber:
1 agree to cornpfp with tba Citp of Eagon Connection Charge:
Ordinanees. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Qate of Insp.: Totol:
Insp.: Date Poid:
CITY OF EAGAN WATER SERVICE PERMIT
:795 Pilot Knob Road PERMIT NO.: •
Eogan, MN 55122 DATE:
Zoning: No. of Units:
Owner.
Address: ,
Site Address: `
Plumber:
Meter No.: Connection Charge:
5ize: Account Deposit:
Reader No.: Permit Fee:
1 agroe to coe+ply with !he City of Eagoe Surcharge:
Ordj~ncn. Misc. Charges:
Total:
BY Date Poid:
Date of Insp.: I^sp"
~ G~ CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PE,'F~IIT APPLICATION 1 set of energy calculations.
To Be Used For
/ Valuation '6311 6 O() Date
site Aaaress: o~zcE U~ o~.Y
Lot ~ Elocx _L sec./sub. M/IeLd,uw ~~Erect / occi~pancy ~P3
Parcel 1 0 ye050 6'f °I p I Alter zoning ~
Repair Fire Zone
Owner: EnlarcJe _ Type of Const.
Move # Stories
Ptidress: DemDlish Front Q ft.
City/Zip Code: Grade Depth yo ft.
Phone # : APPFdOUALS FEES
CS-0
Contractor: ('"5 Assessments4M, ~ .7~lOPexmit / YO
Address: 13 4h"'?d ~aw (nr Water/Sewer Surcharge ~
Police Plan Check-______.>v ~
SAC
City/Zip Code: A f~ 5 Fire
water Conn. 3 0
Phone EJo '3 91 p~er Water Meter ov
Arch /Ehg : Council Road Unit
Blcig. Off. ' ~ 30
Pddress: APC
City/2ip Ccde•
Phone # : TCTAL
Tttis request void ;do 1
18 months fror.,a S 77526
Date of this Request Fire No.
I, as ? Licensed Electrical Contractor OOwne do hereby request ins ection of the above electri-
cal wiring installed at: ~
r ~ ~ imAbw
Street Address or Route No. SecUon Township Range County
Which is occupied hy
(Name of Occupant)
Is a roughin inspection required on this job? No ? YesIB<. Ready Now~ WillCatl ?
Power Supplier Address
c
Electrical Contractor ~ ~c ~L c c7~~C! c Contractor's Licen N~
(COmpany Name)
Mailing Address Z(y I7 5-
n lectrital Contrecto 'pF Ownar Making 7nis Ins allatlon)
Authorized Signature \!a,Phone No. ? 3
I'~ (~n1!aContrac~ar owner Maklnq Tnls Installation)
%
hi} ~6.
D This impection request will not be accepted 6y the
1r~1 State Board unless proper inspection fee is endosed.
' Minnesota State Board of Electricity
Origgs Midway Bldg. - Room N191 EB-OOOa
~-Univyrsity Ave., St. Paul, Minn. 55104 - Phone 297•2711 ~ D J^
WEGAEST FOR ELECTRICAI INSPECTION s 775
CHECK BELCIW WORK COVERED BY TH1S REQUEST
Type of Building New Add. Rep. Check Appliances Wired For Check Fquipment W'ued Fot
Home ? ? Range Temporazy W'ving ?
Duplex 0 Water ter LightingFixtuxes ?
ApL Bldg. ? Dtyex ElecVic Heating ?
Commeicial Bldg. ? ? ? Fum . ~ Silo Unloader ?
Industrial Bldg. Air diti = Bulk Milk Tank ?
Farm pList c List
O[her ? ? ? HeherS) Heiers~
)
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feedersg Subfeedecs: # Fee C'vcuits: # Fee
0 to 100 Am s. 0 to 30 Am res 0[0 30 Am eres o
101 ro 200 Amps. 31 to 100 Amperes 31 to 100 Am res y, o J
Above 200_Amps. Above 100 Amps. Above ]00 Amps.
TransSormers Remote Control Circ. Partialorothetfee
Signs S ecial lnspection Minimum fee,S . 0
Remarks TOTALF
I, the Electrical [nspector, hereby certify t~aj a ove ' spection has been .
(Rough-in) / % Date
(Final) ` Date /a -,4-- v
This request void
18 months from
' CITY OF EAGAN
3795 Pilot Kno6 Roud Eagan, MN 55172 N? 5901
PHONE: 454-8100
BUILDING PERMIT APPLICATION ReceiPt # ~9 lO! U
Te be urod for SF Dwlg/Garage Est.value 50,000.00 Date June 27 , 19_$0_
Site Address'1968 So. Timberwolf Trl. E,ea E} OccupancY R3
Lot 49 Block 1 Sec/Sub.Meadowlands Alter ? Zoning Rl
pa~~ # 10 48050 049 Ol Repotr ? Fire Zone III
Enlarge ? Type of Const. V
n Name Wm. Huttner Construction Mow ? # Stories
Z Address 11913 Highland View Circle Demolish ? Front 50 ft.
~O Burnsville 55'~~~e 890-3992 Grode ? oepth ~+0 ft.
a Nome S~e AvDrovals Fees
Auessment Permit 11.0. 50
ot Address
u~ Ci Phone Water & Sew. Surcharge 25.00
Police Plan check 70.25
~w Na^~e Fire SAC ~J25.00
Address Eng. Water Conn. 305.00
<W Ci Phone Plonner WaterMeter 60.00
Council Raad Unit 195.00
I hereby acknowledge that I hove read this application ond state that gldg. Off. 6 z7 $O
the informotion is rnrrect and agree to comply with all apPlicoble APC ~ Total 1,310.75
State of Minnewta Statutes and City of Eagan Ordinances. $ignoture of Permittee
A Building Permit is issued to: WID. HllttIl2T' on the express condition that
all work shall be done in occordance with ali apPlicable State of nesota Stmut and City of Eagan Ordirwnces.
Building Offictal
~•~r~`~ ~yL°' ``~srr~~~~. ~r~'> 'ar° ~:r" ~~`~Y~'~„'~?".~ ',~~~Y?"`~
I a`^.~.~ . . . .
irtttr nf Wrrupttnry
Citp of c~agan ~
; r. l'~ p 9 V
~@e brtmr~ti nf ~uildin ~n,~ ertinn ° ~ ~1
Ir .
Thir Certifirutc iirutd pur.ruant to the rrquirtmenu of Sation 3W) of the CInifo+m Bailding
Codr rrrtifying tbat at the time of irruante tbir rtrutturt wur in ram pliance witb the vuriaut p,• 1b'~ .
ordinanca of the f,ity ngulating building ronnrrrttian or use. For the (ollouang:
~ ~ .
~ ux a.mr.um SF DWG/GAR 5901
RZ
O=pawyTYR Wm. Huttner Const„aa, 11913 Highland~,Burnsville
:Q-~,r• ; o.z.ere~uami ,
Ra~eAdd. 1968 S. Timberwolf L..,tr I,49, B1, Meadowlands
r
~
- ~ .
~g ?~v ~ 9-30-82-
~
~1Y 114
w
F~a
DELMAR H. SCHdltAfVZ
LANDSVRVEVOR '
RplµarW UnEar Uwf ol ThsSUto of MfnnesptA
2978 - 148TH STREET W. - 80X M HOSEMOUNT, MINNESD?A 68088 PHONE al= 4I317E9
SURVEVOR'S CERTIFICATE
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1!;erAh. c:ertify that th]e le i~
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cf I~.i, 40, ti.lock- L, RFADE.`WI1aidD
6IW".'f h.:1:'ICIJ, accorc!]nF Lc t.hF
t'@Cf>['.jCC7 pla' thereof, liakoia
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MINNESOTA HEGISTRATiON NO 8625
l,~v . ' C' • « r 4 .
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~ :It .~.AUORESS:' o ut
,
~ a`. pOM ~CTOR:.: , I~ ~ DATE s r ' lMONE : ~O-3Y~L
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OETEPMINE uORKIr1G 50UAaE f00TAGE OF Ei1~H:
1. OT11L EXf05E0,`1fAll AREA, , f,t: x~ "11!' . t?
y
iAL ROOFJCE/lt.~G AREA ,
4' 1 0 s4 ft ;'•'U" .O.'~ ~ SI~00 t,
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3. TOTJ11. EX?OSEO~WALI AREA CAICULAT1oH5
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d) Toti l flfopises w~ll ~re~ fq ft K` "U'• •
= fj,~,, total. wl t, ~~?r~wlpg =tres „ ~ ; 3 ~ ~ :
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, i) .Towl not wail aros ~bove
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taw~dst len
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k) Tatal roof/ul lina Framlny _ I.~ .
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total af N'Is thi •ome as. or Is.ss th~nYou IiaWt 'tho Istant of
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~ wtlllse tM total snyeloPe SYstea Method. in• vIyes utabllslwd ey the sw
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FERMIT
CITY OF EAGAN BUILoING
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: 032707
(612) 681-4675 Date Issued: 0 7/ 2 9 J 9 8
SITE ADDRESS:
1968 TIMBER WpLF TR S
LOT: 049 BLOCKs 1
. MEADOWLANDS 1ST
P.I.N.: 10-48050-049-01
DESCRIPTION:
REROOF
Bulld'in-g Permit Type STORM DAMAGE
Buildzng Work Type REPAIR
Censu& Code434 ALT. RESIDENTZAL
,,tZ
f'
~ -t
~
. ,
i
, .
REMARKS:
REROOF DUE Ttl STORM DAMAGE.
FEE SUMMARY:
CONTRACTOR: - Applicant - sT. LzC OWNER:
RIGHT WAY ROOFING 18530049 0003999 SHEPPARD LOIS
1200 E. 79TH ST 1968 TIMBER WOLF TR 5
BLQOMINGTON MN 55425 EAGAN MN 55122
(612) 853-0049 (651)683-9606
I hereby ecknowledge that Z have read this application and sCate that the
informat3nn is correct and agree Lo camply with a11 applicab,le 5tate of Mn.
Statutes and City of Eagan Ordinances.
L . I
APPLICANT/PERMITEE SIGNATURE `J ISSUED BY. SIGNATURE
' 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EA(iAN
3830 PII.OT KNOB RD - 55122
681-4675
Naw Construetion Reouirements RemodaVReoair Reauirements
? 3 registered site surveys ? 2 wpiea of plan
? 2 copies of plans (inGude beam 8 window aaes; poured fnG. design; etc.) ? 2 site surveys (exterior adCitions 8 decks)
? 1 energy Iwlations ? 7 energy nlculations Jor heated addRions
• 3 eopies tree preservation plan H lot platted after 771193
uired: Yes No
DATE: T I CONSTRUCTION COST; 4113 ~3- oD
DE C IP N OF RK: - 1~ S-~o ~,V12
STREET ADDRESS: ` I G V 1N S
IOT: BLOCK: SUBDJP.I.D. Y~A `e C~-n W ~ Cc L~-&S
Name: ~ U UJ Phone
PROPERTY t Fvst
OWNER (~i ~ C •
Street Address: ~l~ V J
City F! Stau: Zip: J
<
Company: Phone US3-O V4g
CONTRACTOR /~?G
Street Address: ~ License # ( J J ( `1 q
City State: Mn~ Zip: -,~-s 4 as
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
1 hereby acknowledge that I have read this appliption and state that the infortnati n ip s correct and ag e to com ly with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. I
Signature of Applicant: 'v`' ~v
~
OFFICE USE ONLY 7
j~Certificates of Survey Received _ Yes _ No V
Tree Preservation Plan Received - Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ? 16 Basement Finish
O 02 SF Dwelling 0 07 4-plex O 12 Multi RepaidRem. ? 17 .Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch 0 09 12-plex O 14 Firepiace ? 21 Misceilaneous
? 05 SF Misc. ? 10 = plex 0 15 Deck
WORK TYPE
? 31 New O 33 Alterations 0 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS 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 Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S1W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ~g
REC tl V CD
FROM
AMOUNT $ I
& OOLLARS
+oo
~ CASH ~ CHECK
FOR
FVNO COn6 AMOUN7
ThankYou
BY
White-Payers Copy
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: 1968 Timber Wolf Tr S
Lot: 049 Block: 1 Addition: Meadowlands 1st
PID:10- 48050- 049 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Minnesota Rusco
5558 Smetana Dr
Minnetonka MN 55343
(952) 935 -9669
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
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.
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
Bao Vang
1968 Timber Wolf Tr S
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA088072
01/29/2009
ePermit
Use BLUE or BLACK Ink
For Office Use
I
Permit
City of Ea
I Permit Fee. 1
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~16fllq Site Address: Unit
Name: Phone:
Resident/ /
Owner Address/ City /Zip: / ~o f (Mb yfr \NC) lFr / S
Applicant is: Owner X Contractor
Type of Work Description of work: ~e - P~C)o
Construction Cost: Multi-Family Building: (Yes / No
Company: ~i~'(✓(i Contact: K$- Pi g-COJ O ((ti ~-[`a r~
Contractor Address: ; / G C,~~tL~acv,~ N\1 e- alc)6 0- City: C-( eilok
State: Zip: a 4-13 Phone: ?S 2 - v2
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 the 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.oopherstateonecall.ora
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 aut orized by a building permit tssued in accordance with the Minnesota State Building Code must be completed within 180
days of permi1,4ua e .
X_ QCyV70Mn ~c1`L x
Applicant's rin ame ! Applicant's Signat e
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167918
Date Issued:04/02/2021
Permit Category:ePermit
Site Address: 1968 Timber Wolf Tr S
Lot:049 Block: 1 Addition: Meadowlands 1st
PID:10-48050-01-049
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Bao Vang
1968 Timberwolfe Trl S
Saint Paul MN 55122--223
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature