1974 Timber Wolf Tr N
* . , cirr oF EAGAN
3795 Pilo! Knob Rood Eagan, MN 55122 N2 5981
PHONE: 454a100
BUILDING PERMIT ReceiPt #
To M umd for Est. Value Dote , 19
Site Address Erect ? Occuponcy
Lot Blxk Sec/Sub. Alter ? Zoning
Parce1 # Repoir ? Fire Zone
Enla?ga ? Type of Const.
W Nome Move ? Stories
Z qddress Demolish ? Frnnt ft.
3
~
Ci Phane Grode ? Depth ft.
~ Approvais Fees
p Name
F" Assessment ~ Permit _
Address
~ Ci pho~ Water & Sew. 5urcharge
PoHce Plan check
F W Name Fire SAC
Address Eng. Water Conn.
<W Ci phone Plonner Wuter Meter
Council Ropd Unit _
I hereby acknowiedge that I hove read this opplication and stote thot Bldg. Off.
the informotion is correct and agree to comply with all appiicable
State of Minnesota Stntutes and Ciry of Eagon Ordinonces. APC Total
Signature of Permittee
A Building Permit 1s issued to: on the express condition that
all work sholl be done in accordnnce wlth a!I appliwble State of Minnesota Statutes and City of Eagan Ordinonces.
Building Official
r - ~
Pendt # Dals lwued PormkfM
Plumbing
Mechanical
INSPECTIONS QA~TE~ INSP.
Rouqh- I n Finol
FoOtingS ~ Date Insp. Dote Insp.
Foundation Plumbing
Frame/ins. Mechunicol
Finul
Remarks:
' - ~ C1TY QF EAGAN
3795 Pilot Knob Reod
Eogan, Minnemota 35123 INSPECTOR NOTIFICATION
No. Phepe: 454.8100 REQUIRED BY LAW
PERMIT FQR ALL INSPECTIONS
pate; Reteipt No.:
Single I
Site /lddress: Residentiol
LoY Block Sub/Sec. Multi Res., Comm./Ind. I
vL0':i
Name NewlAfter./Repair
e3 Address y»~ Cost of Installation
O
City _ , Phone: Permit Fee
-•o,f ect P2umbing
Nome Surcha rge
.
3 Humboldt Avr-,
~ Address
c
0
u , "1-5"31 . .
City Phone: Total
This Permit is issued on the express condition thot all work shall be done in accordonce with all appliaoble State of
Minnesota Statutes and City of Eogon Ordinances.
Building Offitial
Recaipt MECHANICAL PERMIT Permit No. CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly
Tot
1. Date 2. Installatio Cost
3. Job Address 1q'7~ N~ ~AbE Lo Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip •
8. Building Type: Residential Q. Commercial O Institutional ?
9. Work Description: New ? Add I;`lAlter ? Repair ?
10. Describe Fuel Type
11. No. Equipment 8TU - M. Ea. No. Equiament CFM
Forced Air Air Handling:
Mfg.
Boilers
Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mtg.
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 Fi al, ~
Inspections: Oate Insp. Date ' p. (i~~ vl
f--
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition Moadorl,and lst A~ddition Lot 12 eik 2 Parcei i n4g05n 1 9n 09
Owner 1-9' : L i' -~street 1974 N. TimbeY iilolf 'I`1Cai1 5tate Eagan? MN 55122
Improvement UDate Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR, f mp1589.99 1$8.99 •
GRADING
SAN SEW TRUNK T 2 25
• SEWERLATERAL 2$40.93 C006919 1 IZ 81
WATERMAIN
,t WATER LATERAL
WATER AREA
STORM SEW TRK IQ5 1971 282.92 14.15 20
* STORM SEW LAT
*
CURB & GUTTER
SIOEWALK
STREET LIGHT
Roa U i 185.00 20034 7 22 80
WATER CONN. 305.00 " 11
BUILOING PER.
5AC
PAR K
' CiTir o-r IIaGAN' SEWER SERVICE PEWIAIT
3795 Pilor Knob Road PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address: ~
5ite Address:
PI umber:
1 ogree to eomply witl+ f6e Gty of Eagan Connection Charge:
Ordinanees. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Chorges:
Date of Insp.: Totol:
Insp.: Date Poid:
ciTY a~ EAGAN WATER SERVICE PERMIT
3745 Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner,
Address:
Site Address: - -
Plumber: =
Meter No.: Connection Charge:
5ize: Account Deposit:
Reader No.: Permit Fee:
I agree to complq wifh fho City of Eagon Surcharge: '
O?dinanaea. Misc. Chorges:
Total:
BY Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
IN, APPLICATION 1 set of energy calculations.
Zb Be Used For Val tion Date
Site Pddress: ~ T OFFICE USE OfII,Y
Ipt /).--sloclc 2 sec./sub. Erect Occupancy
Parcel llt7!~id a--- Alter Zoning
Repair Fire Zone .3
Ovmer: E~~e -~°f Const.
~ Nbve # Stories
Pddress: Demolish Front SZ> ft.
City/Zip Code: Grade Depth 6`0 ft.
Phone APPROVAIS FEES
Contractor: Assessments Perndt
Water/Sewer Surcharge o2G ~
Address• Police Plan Check
City/Zip Code: Fire SAC Sas e=9
Phone En3• Water Conn. Z o~
Planner Water Meter
~h ~g. : Council Road Unit
Bldg. Off. ~~CX;~
Pddress: APC
City/Zip Code:
Phone `roTAL
This reyuest void
1 g mont~A from
Date of this Request Fire No. S 69702
I, asxLicensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal wmng installed at:
Street Addiess or Route No. City~
Section Townshi Range County~
Which is oceupied by A-
(Name of Occupant}
Is a roughin inspection required on this job? No ? YesJW_ Ready Now 0 WID C#
Power Supplier 4'UlA.LV, EA!Lf- Address
(`~/k ~ 3~6 ;.1
Electrical Contractor Con[ractor's License No. _
11 (C m0any Name) ti9'4--
,r2567
Mailing Address Jctrl[al Co a r o Owner king Thls Installatlon)
Authorized Signature to " Phone No.. ' ~O 730r
( ntractor or Owne 4 aking Th z Installatlonj
n Q~'. V This innpactiao requestwill not be eccepted by the
State Board unless proper inspectian fee is endosed.
„ Minnesota State Board oi Eleetrieity /
Griggs Midway Bldg. - Hoom N191 ~5, y EB-00001-02
7827 University Ave.. St. Paul, Minn. 55104 - Phone 297-2111 tiiEQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST S 6 9 7 0 2
Type of BuOding New Add. Rep. Ch¢ck Appliances W"ved For Check Fquipment W'ved For
Home ? ? Range Temporary Wiring ?
Duplex Water Heatex ? Lighting Fixtures ?
Apt. Bldg. El Dryer F.lectric Heating ?
Commercial Bldg. ? ? ? Fumace Silo Unloadei ?
Industrial Bldg. 0 Au Conditioner ? Bulk Milk Tank. ?
Fazm ? ? ? oList ) List )
Other ? ? ? HQIers} ~ hers}
) 1
COMPUTE INSPECTION FEE BELOW
Service Enttance Size: # Fce Sulif_kq
s: A Ciccuits: # Fce
0 to 100 Am s. ,S'0 0 to 30 Am " s ' 1 00 0 to 30 Am eies
I Ol to 200 Amps. 31 to 100 Am - es 400 31 to 100 Am eres
Abave 200_Amps. Above 100 Amps. Above 100 Amps.
Ttansformeis RemoteControlCirc. Partinlorotherfee
Signs Special Ins ection Minimum fee S
Remarks TOTAL FE Ifo
the Electrical Inspector, hereby certi t th e ii(spect' n has bee a
(Rough-in) ~ Date
(Final) Date ~J-
This request void °
18 months from
This*t void 18 months from 1-4 C~
R 96074
Date of this Request ~ ~ ~
I, as 1?I'Licensed Electrical Contractor ? Owner, do h reby request inspection oC the above electri-
cal winng installed at: /~71 J~
Street Address or Route No. !k i Cit
Section Township Range County _2
Nhich is occupied by
/ (Name of OccuDant)
`
Is a roughin inspection required on this job? No ? Yes ? Ready Nowly Will Call O
Power Supplier ~ Address
Electrical Contractor Contractor's License No. _
(CbmD ny Name) E
Mailing Address ~ ~
( letttlcal Co tact r o Ownar Making This Installatlon)
Authorized Signature Phone No. ~O 5 Llz
(ElxtrLcaLCOntractor or Owner O laking Thl Installatlon)
!
~j ~ [}j~~~~ ~ This inspectian request will not be accepted by the
~J E~9, [g~ ~ SWte Board unless proper inspection fee is endosed.
Minnesota State Board of Electricity ~A
19541Jniversity Ave., St. Paul, Minn. 55104-Phone 645-7703
' REQUEST FOR ELECTRICAL INSPECTION R 96074
CHgCK BELOW WOKK COVERED BY THIS REQUEST
Type o[ Building New Add. Rep. Check Appliancea Wved For Check Fquipment Wued For
Home ? ? ? Range:. ? Tempocary Wiring ?
lluplex Wate' e r`z LightingFixwies ?
Apt. Bldg. ? Dry ~ " Electric Heating ?
Commercial Bidg. ? Fur Silo Unloadei ?
Industrial Bldg. ? Air Condition~ Bulk Milk Tank ?
Fazm ? ? ? pList List
Othe[ ? ? ? HeielS~ H peheis~
COMPUTEINSPECTION FEE BELOW
Service Entrance Size: u Fce FeedusBcSubfeeders: # Fee C"ucuits: # Fx
0 ro 100 Am s. 0 to 30 Am ces 0 to 30 Am eies
101 to 200 Am s. 31 to ] 00 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Am s.
Tranaformers Remote Control Circ. Paztial oc other fee
Signs Special lns ection Minimum fee E5.
Remazks TOTALFE V%~~ Sa
I, the Electrical lnspector, hereby certify that the above inspection has been made.
(Rough-in) r Date
(Final)
This request void 18 months from
CITY OF EAGAN
3795 Pilof Knob Road Eogen, MN 55122 N2 5981
PHONE: 4548100 C/
BUILDIMG PERMIT APPLICATION ReceiPt #
Te be uud for SF DWG/GAR Est. Volue 53,000 pate 7-22 , 1q 80
5ire /+dd~ess 1974 N. Timber Wolf Trail Erect
[k O[cuponry _R3-
Lot 12 Block 2 Sec/Sub. Meadowlands Alter ? Zoning Rl
Parcel {k 10 Lr8050 120 02 Repair ? Fire Zone 3
Enlarge ? Type of Const. V
w Nome Blislie Construction Move ? # Smries
Z Address 644 Superior COUT't Demolish ? Front - 5n fr.
~ Ci Eagan, IV113. Phone 6rade ? Depth 50 ft.
~ Name Apprwala Fees .
0
oU Address Assessment A(z' _'Z27r Oermit 143 -50
U~ Ci Phone Wuter & Sew. SurcFwrge 9h .()(1
Police Plon check 71~75
Fw Name Fire SAC 5P5 nn
Address Eng. Woter Cann.
aW CI Phone Plonner WoterMeter ~ 00
Council Road Unit ~0
1 hereby acknowledge that 1 have read this aDPlication and state that gldg. Otf. D&C Park-7-17-80
tha information is torrect and agree to mmply with all applicable AP~ Totol 1r316.25
State of Minnesom Stotutes t ity of Eagan Ord~a ces. • , .
Signoture of Permittee/
A Buitding Permit is issued to: Rl i cl i a CnnRtriin.t,jsn on the express condition that
oll xrork shall be done in cwrd - anm h all applicable tote of Minnesota Stotures and City o4 Eagon Ordinances.
Building Officiol ° ~
AG712 ~ ,glme.e ~2
F7LOT PLAIU Scale 9 inch - 20 6eeY
r a=::
~ _ "r
- " , -
t.
i
~
i
_ ~ _ r_ - - - ~ - -
A
r --,i
tVU-'
~ ~1-k ~ $ • '~1i i I i:~ I:. j ~r~ i r _ I ~ r . ,r ' -t r` r +^~y . [::'r
t F
a
r" - r~4
44-
-,_:~~I
~ r -t
+ j ~ . 1 ~ fI { .i~'-r
44;;
t_
It# if F T
-h1 1
' 01, 5 L1.
/
1
7^
-
r
111.~.~~I P I
. ~ ~
~a II
-
1` -Ttf ~ ,.14 •T fff,
~Lr - -
t
~
~ t
#if*,~C~;
"it
TT:
IT ~ a ? ~-r ~ 1 ~
~
~_~..1.. ~
- T. -
t-
' y
Y.
T
- - --T - 1
.
~C - ~i
y rnr:+ ~i~
~
ti
f h ~ 1 ~ r *
,
r T ~ ~ I I ~ - y~,~ ~ ~ ~Ft': . .:=L~ ~ i'..: , ~ r ~-i~ i , i , i t 1 1 ~ ~ I
. 4 : + _ _ _.r{ ? -
'
i ~ i~- . i"!} a r i~ t.,.~ r.
!
i_..~1 t `l+
Must show loca:ion of streets, lot ard proposed builc!ings, giv2 iet dimensions. (Lot corners_and buitding sitc
are to he stakeri before appraisal is requested)
- 1 -
t '~-10
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsUuc6on Reouiremenls RemodellRepair Reauirements Offce Use Oniv
3 registered site surveys showing sq. k. of lot, sq, ft. of house; and all wofed areas 2 copies of plan showing foolings, beams, joisLS Cert oi SurveyRecd _ Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Calcula6ons for healed additions Tree PresPlan Recd _Y _ N,
2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey foraddi6ons & decks Tree Pres Required Y_ N
1 set of Energy Calculations Addifion - indicafe if on-sik sepfic sysfem Oo-site Septic System _ Y_ N
3 copies ot Tree Preservation Plan if lotplatted a8er 711193
Rlm Joist DeWil ppfions selection sheet (buildings with 3 ar less uniGS)
Minnegasoo mechanical ventilafion fortn
Date ~ / A ConstructionCost 'N ('rJ&D OCC)
Site Address tq-lt-k Q'S• M Unit/Ste #
N
Description of Work i~li -n>t} I fV L,'~S
Multi-Family Bldg _ YN Fireplace(s) _ 0 _ 1 _ 2
Property Owner k V SS S L0T-r PJ Nrc.. Telephone #(~j'r S' ) IOr)~'' 30~
Contractor Wk ~4 ~lN(.~ 'T~ V`7]~L-K ~1~QcfL1~VES q~V ~~~GN~S
Address City
State Zip Telephone tt ( )
COMPLETE TIiIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category i Worksheet • New Energy Code Worksheet
(J submission type) Submittetl Submitted
. Energy Envelope Calculations Submitted
In ihe last 12 months, has the City of Eagan issued a permii for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone fl )
Mechanical Contractor Telephone #
Sewer/WaterContractor Telephone#( J
I hereby apply for a Residential Building 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 the State of MN
Statutes; I understand this is not a permit, but only an applic ion for a permit, and work is not to start without a
permit that the work will be in accordance with the a Wrovedlan case of work wh ich requires a review and
pprova of plans. ~ Applicants intd ame ture
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEIV
FR p
L ~
AMOUNT $ ~
& DOLLARS
oo
? CASH ? CHECK
741
FUND CODE R1+IOVNT
Thank You s ~ ~~s?~ .
~
By
, VYhite-Payers Copy
• Yellow-Posting Copy
Pink-File Copy