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1969 Timber Wolf Tr N CITY OF EAGAN 3795 Pilot Knob Road Eagen, MN 55123 W2 5652 ~ PHONE: 454-8100 BUILDING PERMIT Recetpt # To be uml for Est. Volue Dote , 19 Site Address Erect ? Qccupancy ' Lot Black Sec/Sub. Alter ? Zoninfl Parcel # Repair ? Firo Zone Enlarge ? Type of Const. ~ Ptame Move p # Stories 3 Address Demolish ? Front ft. ° Gmde ? Depth ft. Ci Phone ~ IYome Approvols Fees ,o au Address Hssessment Permit U§ Water & Sew. Surcharge Cit Phone Police Plan check Name Fire SAC h v~ Address Eng. Wcter Conn. <W Ci Phone Planner Wuter Meter Council I hereby acknowledge thot I have read this application and state thot Bldg. Off. the information is correct and agree to comply with all appficable State of Minnesota Stotutes and City of Eagan Ordinances. APC Total Sfgnature of Permittee A Bullding Permit is issued to: on the express condition thnt all work shall be done in occordance with all applicable State of Minnesoto Statutes and City of Eagan Ordinances. Building Officiol . , r.euM # Daff, l..o.a • r«.illT.. Plumbing W ~ a 01, Mechanical .4A.-L44po INSPECTIONS DATE INSP. Rouph-In Finol Footings ~ Date Irap. Date Insp. Foundation Plumbing Frame/ins. - Mechanical C)U Finol Remarks: „ ~ o~ 9' 8 u ~..-v~~°~~.~.o-~~c~•-, ~~c- .,aL , . ~ CITY OF EAGAN 3795 Pilae Kwob Rood ' loge". Munnesot+ 55122 INSPECTOR NOTIFICATION No. phone: 4544100 REO.UIRED BY LAW PERMIT FOR ALL INSPECTIONS Dote: 4 ~ f Y Receipt No.: 5ingle I Site Address: ' Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. .r, ~ . N1a?+ie ~ New/Alter./Repoir ~ Address ~ ~ ~~'''a~ •~vc-. ~o. Cost of Instollotion City Phone: Permit Fee Name . ~IPlt,~~ ~ . Surtharge ~ Address . ..'iC8r:c vc - ~ . City Phone: I Total This Permit is issued on the express condirion that all work sholl be done in xcordance with all appliooble Stote of Minnesota Statutes ond City of Ecgan Ordinonces. Buildlnp Offlciol . , cirir oF U"N . 3795 Pilot Knob Reed Easan, Mienesota 55122 No. Phowe: 454-E100 INSPECTOR NOTIFICATION REQUIRED BY LAW ~ PLUMBI:i,": PERMIT FOR ALL INSPECTIONS Dote: Receipt No.. _ Single I Site/ladres5• Residential Lot Block 1 Sub/Sec. iBSdOW1f1I1us Multi Res., Comm./Ind. I Nar~e ~ New/Alter./Repair ` 13015 Ce~r ".ve . r ~ Address ' Cost of Installation City Phone: Pe?mit Fee Name 'AdW@8t8I'n Surcharge ' . ~ Address 1175 Davenport Ave. ~ . CiMy ' " j ~ Phone: ~ - ~ Total • ' This Permit is issued on the express condition that all work sholl be done in accordonce with all oppliooble State of Minnesoto Statutes ond City of Eagan Ordinonces. Buildi?g Official CITY OF EAGAN 3795 Pilot Kno6 Raod Eogon, MN 55122 N2 6263 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used Ur Est. Value Dote , 19 Site Adrress ~ Erect Octupancy Lot Blxk ~ Set/Sub. Alter ? Zoning Parcel # Repoir ? Fire Zone Enlarge ? Type of Const. W Nome Move 0 # Stories Z Address Demolish p Front ft. 3 o Ci Phone Grade ? Depth ft. ~ Ncme Approvals Fees Address Assessment Permit F ~ Ph~ Water & Sew. SurcFarge PoliCe Plan check It, W Name Fire SAC /lddress Eng. Water Conn. <W G Phone Planner Water Meter Countil Rood Unit I hereby acknowledge that I have read this opplication ond stnte thot Bldg. Off. the informotion is oorrect ond agree to comply with oll opplicable State of Minnesota Statutes and City of Eagan Ordinances. APC Totol $ipncture of Permittee A Buflding Permit is issued to: on the express conditlon thct oll work shall be done in acrnrdonce with cll applicable State of Minnesota Stotutes ond City of Eagcn Ordinances. Buiiding Official I r«mk # core hm.ed ?«v.in.. - . Plumbing Mechanlcal ~ INSPECTIONS DATE IMp• RougMln Final Footings Date Insp. Dote Inap. Foundation Plumbing Frame/ins. Mechanical Final Remcrks: Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee - " Fill in numbered spaces S/C Type or Print /egi6ly • . Tot. 1. Date 2. Installation Cost 3. Job Address ~Lot Blk. Tract i 4. Owner 5. Contractor Phone - 6. Address ' - - ~ 7. CitY State Zip 8. Building Type: Residential ? Commercial ? Institutional 11 9. Work Description: New D Add ? Alter O Repair 0 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory x Softner Shower Well 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 Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition Meaaorrland ist Addition Lot 23 Bik 1 Parcel 10 48050 02 01 Owner-1, t street 1969 N. Timlbe= Viblf 'P='a31 State Ea9an, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR, ) mp. 1589.99 158.99 1589.99 C005602 10 15 $0 GRAOI NG 5AM 5EW TRUNK 1970 77.95 3.12 25 43.74 006703 /14/80- * SEWER LATERAL 3156.58 WATERMAIN * WATEFi LATERAL WATER AREA I-1 1973 95.27 6. 5 15 44.47 006703 2/14/80 - STORM SEW TRK 1971 282.92 14.15 20 41.52 006703 /14/8Q? * STORM SEW LAT * CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. 305.00 it If BUILDING PER. 71 It SAC tr it PARK CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Rood • PERMIT NO.: Eagon, MN 55122 DATE: • Zoning: No_ of Units: Owner. Address: Site Address: ti Plumber. 1 egroa to eomply with the Ciry of Fpgan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: - Totol: - ' . Insp.: Date Paid: c'T- GF EAGAN WATER SERVICE PERMIT 3 i.. Pilof Knob Road PERMIT NO.: Eogan, MN 55122 DATE: Zoning: No. of Units: Owner: - Address: Site Address: Plumber: Meter No.: Connection Chorge: $12e; Account Deposit: Reoder No.: Permit Fee: 1 agree to eomply with the City of Eagan Surcharge: Ordinonees. Misc. Charges: Total: gy Date Poid: Dnte of Insp.: InsP•: U11y oF EAGAN . Inclu3e 2 sets of plans, $56 S~ 1 site plan w/elevations & Bi7IF.DING PERMIT APPLICATION 1 set of energy calculatibns. ` ~ y.~ - G '1~0 lie Used For VaLuation Date J7- Site AddreSS OFFICE USE ONLY Lot a'' .3 slocac ~ sec./suU. M4o"4-r. Fxect , Parcel ILJ ~/.~O~~S'/j /J~3 O Alter Zoni.ngn~ KI Repair Fire Zone Owner: EnlaxcJe 7. _ ype of Const. AddX'2SS: /30<~T- MDve # Stories ish Fmnt - ft. a-tY/Z1P Code: Grade DePth 3g ft. Ptorie APPHf7VP,LS ~g Contractor: ~`7s~ -4 AssessRpnts J Perntit Address: FJater/Saaer gur~ha~ge a az ~ Police Plan Check- (o -:M- City/Zip Code; Fire SAC S- .2 esr Phone EnJ. Water Conn. Os- ~ Planner Water Meter (op~- Arch./Ehg. Council Road Unit / SS Address: Bldg. APC City/Zip Code: Phone # : ;1,OrAL This reques[ void 7 / ~ 18 months from OyeofthisRequest 4-17-1980 Fire No. ~ I, as]M Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri- cal wiring installed at: ~a3 6 / Street Addiess or Route No. 1969 At Timber Wolf Trail City ~gan Section Township Range CountyDakota Which is occupied by Joe Miller Constructioxi (Name of Occupant) Is a roughin inspection required on this job? No ? Yes]U Ready Now ? Will Call M Power Supplier Dakota CtY. Address Farmington Electrical ConVactor Q$ T}lnm~ qnn Fl antric Co. Contractor's License NoP ~62 (COmpany Name) Mailing Address 12201 PR+ka Rlyd - M+kA. .5idi (Electrical Cont clor or Owner Ma~i n9 7his Instaliatlon) Authorized Signature Phone No933-2521 (EleCtrlcal Co TaCtor or owner Making Thls Installatlon) n~i~ ~ ~~~D C@PV This insDeetion request will not ba acceptad by the ~~1 .S lr~l State Boerd unleu proper inspection fee is enclosed. P mmnesota State uoara oT tlectnaty I J Griggs Midway Bldg. - Room N191 0 2 University Ave., St. Paul, Minn. 55704 - Phone 297-2111 FjEQUEST FOR ELECTRICAL INSPECTION $ 58566 CHECK SELOW WORK COyERED BY THIS REQUEST ype of BuOding New Add. Rep, Check Appliances W¢ed Foi Check Equipmen4W'ved For Home 70 ? ? Range ? Temporary Wiring ? Duplex ? ? ? Wa Aale, ? Lighting Fixtu res Apt. Bldg. ? Dr , Electric Heating ? Commercial Bldg. ? ? ? F~o""~ Silo Unloader ? Industrial Bidg. ? A" onBulk Milk Tank ? Lis Lis[ O hec ? ? ? ~ieheIS~ Reheigf COMPUTEINSPECTION FEE BELOW Service Enuance Size: # 17Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 A O G . 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above 100 Amps. Txansformers Remo[eControlCire. Partial or other fee Signs Special lnspection Minimum fee $5.0 Remarks T07ALFE 3,3 34-00 I, the Electdcal Inspector, hereby certif the vinspection has been made. (Rough-in) ~ ~~Date /V 7~..5-4) (Final) Date T}tis request void ~ . , 18 months from cin oF eacaN 3795 Pilef Kno6 Road Eagan, MN 55723 N2 5652 PHONE: 4548100 BUILDING PERMIT APPLICATION Rewict ro be moa rw SF Dwl Gara vai~ 44 000.00 oore 1/20 is-SSL sire nde~~ 196 N. TiLaberwolf Trl'Erect ~ ~u~ncy Rq Lot23 BI«k1_ Sec/Sub. Alter ? Zoning RI ansn Mt n Repair p Fire Zone TTT Parcel # n.e-~--~-e~ Enlarge ? Type of Const. V rc Name .Tn?anh Mi 1 7 pr W Move ? # Stories ; Address 13015 Cedar AVE?. S. Demolish ? Front S2 ft. b Cl leValley,MN phone 432-8003 Gmde ? Depth 38 k. o Name cam+ AVVrovala Fees Address Assessment ermit 125.50 Ci Phone Water & Sew. Surchorge 22-00 ~ Police Plan check 62.75 w~ Na~ Fire 5qC 525.00 ~ Address Eng. Woter Conn345.00 <w Gi Phone Plonner WaterMeter60•OB Council R1.Ut1i.t 185.00 1 hereby ocknowledge that I have read this apPlication ond state that gldg. Off3/-]A80 the informotion is correct cnd agree to comply with all opplicabie 5 ..r Stote of Minnesota Sfatutes end City o4 Eagan Ordirwnces. APC Totall 2$5_2 l Signafure of Permittee A Building Permit is issued ta: jy112r mef'v_ on the e~cprea cordition tMt oll work sholl be done in axordan t apPlieal~ to-efLMinnewta Statutes and City of Eagon Ordlmnces. Building OfHciol ~ ~ ~ ~ . L ~ - ~ - - - - - . ~ , . f . ~ ~ ~ C~rrtifirttt~ of (~rr~t~rttnry of eagan ]RP}IMrIri1PlIT IIf %TtldlttiJ NB}1Ptfi1lt[ - Tbir Ccrti firatc irrued pxrtuaat !o rbc nquiremrna of Sation 306 0( dx Uni Jorm Building Codi rMi f yiag tbat at tlx ti+ru of iJmarue tJns ururtura war in comPlianrr witb tix varioWr ordinaruri af rhe City ngulating bri/ding connrurtroa or xir. For tix folloudrtg: ` ~ . • . ~ ~Cbdfi~ SF DWG/GARAGE % 5652 ; R. o-v~ Trw R3t~,PC.~ V F. zm. III zow, omn« Rl a.„f~.. Joseph Miller ,,,,,q, 13015 Ceder Ave.S.,Apple V' &Mft Add. 1969 N. TimberwolfL.Tr,,. Meadowlands 7-29-80 i \ &.~ft om~a 4- • ewnnc~ rua . 3 . i ..O .~y' .~i ~M •A~i ( y r WSAM i cirr oF eacaN 9795 Piloe Knob Rood Ea9an, MN 55122 N9 6263 PHONEs 454-8100 BUILDING PERMIT APPLICATION Receipt To ba used`ier FIREPLACE Est. Value 1'001.*Dote 10-3 ,1930 Site Address 1969 Timberwolf Tr. N. erecr In occuPoocy Lor 23_ siock _I Sec/Sub. Meadowlands qiter , ? Zonin9 Parcei Repoir ? Fire Zone Enlorge ? Type of Canst. w Nome l)aviri B. 1]anGhPrgar Move ? # Stories Z Address 1969 Timberwolf Tr. pe,,,orsh ? Front ~ Ea anMn ~+52-4592 Ci g ° PFrone Grade ? Depth ft. ~ Name Avvr"als Fces 0 ~ o< Address Assessment Permit 5.00 Water & Sew. Surchorge .50 q Phone Police Plan check FW Name Fire SAC Address Eng. Water Conn. aw Ci Phone Plunner Water Meter Council Rood Unit I hereby acknowledge thot I have read this apPlication and state thot gldg. Off. the information is eorrect ond agree to wmply with all opplicable Stute of Minnewta SMtutes ond City of Eagan Ordinonces. APC Totol 5.50 Signature of Permittee A Building Permit Is issued to: DBVld B. D2I1Sb2Y'E2T' on the axpress condition that all vrork shall ba done in acmrdo with all oppli~wtb~le State of M~inrcesoto Stmutes and City of Eagon Ordinances. Buildirg Offldul ~~~C~? CI''Y OI~' EAG~'1[~ Include 2 sets of plans, 1 site plan w/elevations & BUILDING PEi2NIIT APPLICATION 1 set of energy calculations. 7.b Be Used For c Valuation~/~ fl Date /v- ~-8 0 Site Address: /"9E 9' /;m,4.7-,ni/ /Y OFFI(E USE ONLY Lot d73 Bloclc / sec./sub. z7~~cl~rect OccupancY Parcel Alter Zoning / Repair Fire Zone Owner: ~.4~ ; ID Enlarge - 7'ype of Const. Nbve # Stories Pddress: %~'jL 9 j~/Dem11Sh Front ft. City/Zip Cocle: N sS/z z Grade Depth ft. Phone ~Jr2- APPROUALS FE,g Contractor: Assessimnts Pezmit Address: ~ Waber/Sewxer Surcharge Police Plan Check City/Zip Cede: Fire gpC Phone En9• Water Conn. P1anner Water Meter Arch,/Ehg,; Council Rflad Unit Bldg. Off. Pddress: ppC Cih'/ZiP. Code: . ~ Phorie TOT e~~ ybaaur6flQtf ' . . Ot1A11 tt C4N!'y Joe killer Conat, Co. '.4 . DEIMAR H. SCHWANZ IIowqanO1+nOF4dII o/TMMabNYl~* . i aw -MM rMU. w. _ wx r MMraia... a...+diWA eam .NO«e ns 4211.1s. aa-. EUNVEVOR'iCENTI?ICA7E .F*,,' .$$f,2 7s _ p = Spike 8e .Iath Elevations shown are eaisting. Pro~Po e~,(3arage Floor Elev.. , D Z.aT .t : . . KNK SCALR: ] inoh x 30 fset , ~ , E'CL7?f'FT1q~T 1'~~ 11 30 ~0Dralnrge ~ utility *aegment ~ I hereby cortfty that thi• la • true and aorreat representwtlon of Lot 23, Bloak 1. KEADMLAND 1 FIA3T ADDI;lot TION, ?ccor33ng to ths. 'Q~p y~d Q~ ! M recorded Dakota a C . f ~ 75. p6 !V 8' - ~ . . r 2 ~ M. 'i Datede Jude 27, 1979 Approved for Duen & Curry iisal h:staLa t4anagement, Ina. 13y' ---V R@V{.3fq: {)PoFi_/$:°(j i1QUGE:. Revised February 21, 1980 to show elevations. ~ at , . .~'~'y~%~~ F. .-i~' ~/i./. ,t'? MINIYESOTA qEGi!sRATK1N M/J p625 ^,,l .4' ' , , ~ • EX.TC1tI0R EhIVELOPE AVERAGE "U" C011PUTATION ~ 041t1ER ~ ' SITE ADORE55 v CONTRAC70R ~U~ MlL-L.~TL _ DATE S~ I I ~ PIIONE Detenntne working mquare footaqe of each. ~ l. Total exposed wall area J 8 ZGJ.~-_ sq, f[. x .11 • ID . 2, Total roof/ceilin9 area s9• ft. x .05 ~ Total exposed wall area above floor • a. Total wall window area........................... ~ b. Total door area c. Total sliding ylass door arta 9~4 , 7otal fl rcplace wall area.....,, N ~ d e. Total wall framing area (avera9e 10S).,.......... -L L19 j~~~ Z f. 7ota1 net wall area above floor g. Total rlm'joist arca U , Total exposed fo(inJatlon area --7 h, Total.foundotlun windox area i. Toal nct foundallon arca a6ove gradc , Uetermine "U" value of each aall sc9men[. ~v„ ._?o,~Z ~•----3~~~ _ z .55' ~ _ ZI.~ d. 1•.4f~+ X „~~~__N~(} • fJla- E._ X nU11_-1J~ f.___.._I_ x uUn z „u,, 0•4 . __N~?_ x„iJ„ N pr ~ ' n. ~ 3 .....................................Total If ite+n 13 fs Uic santc as, or )ess than 1tr.m Il, you have met the intent , , of S6C 6006(c)2. , . 1. I ~ r t • Total exposed roof/ceilin9 area = Total 9ross roof/ceiling area • ~ ~ . . . F'~ j. Total skylighc area . k, Total roof/ceilinc fraining arca , 1. 1ota1 net insulated roof/ceiling area..... . Deternine "U" valur. for each roof/cellin9 se9ment. • ' z "U„ . k. 5"X u„ 4 ..................................Total ~ If total of 8'4 is the same as, or less than a2, you have met the intent of : SBC G006(c)l. : To utilized the total envelope systcm methoA, the valucs established by the ; sum of ltems tl3~and NA shall not bc greatcr than the sum nf itens Vl and 92. , ~ • + 2._ 3.--30~_ _ + a.__ 3Z-.~ • 33~7. . . . , r , , . ' • . . PLAQ LINEAL FT,~ ~XpO5E0 WALL. ~ BL...~G{~ ; Co .5~}- ID.S i- ~.5"~ = 23•5~ + 24-~ Zq- = 111. , W,O~ ~ . . FULL C, 38 t~~+24+2~}+ (~,stt~.s+3 = 140 . Fv~l.2 ~ 1Z1M= - 140 Skj~)aSED WALL AZEA k.N EE. ~ I 1 I.~ x S: 55~ . S VN,0 , % )C T~- ul. L 140 X- £3 = i d 20 Fu l.L Z'~ k 8= F, P, I y ~ FZIM ~ 1404 146) To7AL = IPz9,2 j SQ,Ft~ FKPoSPD GEIL(?JC{ Y, z4) 4 ~.~0•5 ~~,.s) = 9~2+- C~S,zS+z4•~S=.loa~.. ~ W >,fS i~ Doo~S -3 _ ? - 1 ~ ~ (o ld~(~~ l ll ` f~4 ?A'1'10 S ~G- 1/ 3g, (P 14 1 ~ g5 M'4 UKJi+-S _~1 ~ - Wn i,L `i;C.' i :OP7> • , !:C1TI7: UsC 15\ .UC.c)pjquC w.ll nCCn LUC . R-VnlUO Con~:fsuc:t ir>n .IYaino' . ; ~ i.lr----------- (?..4n 7. 31}. inchcs sof~t ~:~~,o~l a. 6, 0. 17 Extur~or ntr Cilm GASIC ^ _ > Y7f1LL ~ ~ _ ~ Total $,'i'.3 -----0 U m .12 . . . FIG. dl TOYVIEII OF 0. 6Fl FRNik tIALL 1. InCr.rior nlr fiha--.--,-~~~qs • 3. . J~ • ~ ' a• 1 TQ s. 6. Fxtcrior. nlr film _ ---~v - Total I4-. ~ ~ FSG. q2 r ,-.----_Q 1. 7nYcrtgr nlr_l___ Q.G0 RIN~'2. _..L~0 3. L• QG 0/ ~ a. _ L~k-_ ;,cc~s~:~~.•~c w_ , s. SLDL~L~.------------ ~ O - _'~!~c:al O.l.'7 -~C,'~ ,1 5 7'oCa1 t.._~_------p u, , b (10 , . . • crl.or nir ff.t-m Int- - - i; , d p•^ 2' i; ;~?.TICtI C • ~~~u. . ~o: _.-.p . ~ 4: p, 17 ~ •n' Pxtcrior nir ftl:~ ~ ~ - . . - 'Cotal ~ Z,~~j . , . . . SIJ~H Otl GHADF; , , _ ~ ,-----'-'1 • ' r `L ~ i rf( ~ ~ ~ • i • • u I'~~~~C I~~ I. ~l a•. ~ ~ 11' Ti r /L % . • ~ • ' • /~1~ • ~ 1 ~ ~ t<< PtC. 04 ° a~lit' Y1G. ds InAicato tyno, "R" value, denth and. . l placenent of naulation. • ~ ' ' .s 51' AN a. cz I : , • , ~ _ . , ' . . . , ' RppF/CLILING . y , l~~ • R~Vnl_ t _~o ' Cnnrlruction ~ . • ,67: ntr film0 51a'- = o-~c m ~ ~ Il l~ l.xt.crior St' fll (.l:ill D Tac~,i 31 vvlq U S C 0 I L B P~TS~ ( R. ~~,fl~ I N ~ A~ L Venced lleat Ilow . , up , ~ 0.61 ~ _ 1. film . Intcrior air ~ • ' z. ~I.O ^ 4P o~.~ 3 .ne 4'.~/~q•.l^!c' , . 3. (s; Z. X --_`-~61 _ ! ~ . 4. G>_tur.i.oi_Aii~,11m S Zf...IS ~ - - .1'olnl ~j ven[r.d !'.ccc flov up • , , ,FIG. 0.61 ••3 `-O r Insl.dc ni.r fl.lm I ~ ~ ~ ~,.7 p"~ V ~ . . J------' ~ ~ ~Y..~ i 1 . . S • - a i ,,~.,9:.c•a~,:• J . S, l Lr:lae--- socai rn ~y:.y~`_ . . • ' , , 01 z~ . . . . . 11oCrt Urr, nddtttonnl chcets i2 more . GPaco : -J r,ccacd foL details nnd CII1culAl'~ona.• • . t:o:i-vet;iuw ' • . ~ tt~a:: ~ . ' ~ ' • . . ciou ut, ' . ~ . CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 REC61V6D FROM AMOUNT $ I EDOLLARS +oo E] CASH ? CHECK 1 FOR .23 / C) FUMO COD6 AMOUNT Thank You . B Y UVhite-Payers Copy Ysllow-Posting Copy Pink-File Copy CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RtC61VSD FROM AMpUNT $ I e~ ooLLwRs ~oe ? CASH ? CHECK PUND CODE AMOUNT Thank You By White-Payen Copv Yellow-Postinp CopY Pink-File Copy PERMIT City of Eagan Permit Type:Building Permit Number:EA117152 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 1969 Timber Wolf Tr N Lot:023 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-023 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Mitch Husnik 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 S Cordes 1969 Timber Wolf Tr N Eagan MN 55122 Homestyle Builders & Developers Inc 37 Walden St Burnsville MN 55337 (952) 994-3980 Applicant/Permitee: Signature Issued By: Signature