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1975 Timber Wolf Tr NCity of Eaaali 91 3830 Pilot Knob Road L Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 a Use BLUE or BLACK Ink For Office Use Permit#: / 003 9 Permit Feer 90 ® D Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7)2:2-)11 Site Address: I el 7G IQ `-T (heA- U30\ � l r Unit #: J RESIDENT / OWNER TYPE OF Name: fn t a`c3 Q `4'�Q-.Y�1S Q, Ore../i'6� ✓1 Phone: e..o -271 -ci-79-1 Address / City / Zip: 19 7g N ! r mbp_c•co L) ecec r) frii) 56 122 Applicant is: X Owner Contractor Description of work: nq .Pd *9- � f�l 'U1 di (\ u.) i na 61 6' 0�.'e- w/T 6rArAe r suci i -n J -Co structica.,Cost: 2L.p�,� Multi -Family Building: (Yes / o.> ) Company: Contact: Address: City: State: Zip: Phone: 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: Phone: Sewer & Water Contractor: Phone: Mechanical Contractor: NOTE: Plans and supporting documents that you submit are considered to be pub//c lrttcrnrradon. Portions of the information may be classified as non-public if you provide specific reasons brat watr/d 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. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 1 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 1 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 approv, 12.,n -vs Q� C)t' Q.r1�- PL4 r- /4 Applicant's Printed Name ap canrs ignature Page 1 of 3 ~ . cirr oF EAGAN 3799 Pilot Knob Road Eogan, Mld $5122 N2 6192 PHCN E: 454-8100 BWLDING PERMIT ReceiPt # _ To be amd for Est. Value Darte , 19 Sita Address Erect ~ Occupancy Lot Block Sec/Sub. Alter ? Zoning parcel # Repolr ? Fire Zone Enlorge Q Type of Const. W Name Move ? # Stories Z Address Demolish ? Front ft. 3 ~ Ci Phone Grode ? Depth ft. ~ Name Approvols Feea 0 Address Assessment - Permit ~ Ci Phone Water & Sew. Surchorge k k Pollce Plan chec Name Fire SAC Address Erg. Water Conn. <W Ci p~~ Plonner Water Meter Council Road Unit 1 hereby ocknowledge that I have read this application and state that gldg. Off. the information is correct and agree to mmply with all applicable State of Minnesota Statutes nnd City of Eagon Ordinonces. APC Total S(flnature of Permittee A Building Permit is issued to: on the express condition thot oll work shnll 6e done in accordance with all applicable Stute of Minnesota Statutes ond City of Eagan ardinances. Buiiding Official PanM # Oe% bn~d PMni!!M Plumbing / /C' Mechonicol 0 (o ~ INSPECTIOIYS DATE INSP. Rouph-In finol Footings Dote Irap. Date Insp. Foundation Plumbing Frome/ins. Mechanicol • Finol t~ Remarks: ~ 4"~- a4e- CITY OF EAGAN Remarks Addition M1a_?A,0ri1n*±e3 1a* AdA4*i0ll Lot 25 Blk 1 Parcel 10 48050 025 01 owneri =`I ' ~ , Street 1975 P. T3Mber Wolf Tza11 state EAqaM• MN 55122 Improvement Date Amouni Annual Years Payment Receipt Date STFiEET SURF. STREET RESTOR. 11~p. 1589.99 158.99 1431.00 C006948 12 1$ 80 GRADING SAN SEW TRUNK ~OY 197 77.95 3.12 25 * SEWERLATERAL 4"` iggi 3156.58 315.65 lU 2840.93 12 18 0 WATEFiMA1N * WATERLATERAL 19$1 jO WATER AREA L' 1973 95.27 6.35 15 STORM SEW TRK C-1) 1971 282.92 14.15 20 * STORM SEW LAT 1981 IO * services 1981 10 CURB & GUTTER SIDEWALK STREET LIGHT R 185,00 20990 9 22 80 warERCorurv. 305.00 20990 9 22/80 BUILDING PER. 6192 SAC PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE; " r•''' 3830 Pilot Knob Road Permit Number: 0 1 4 w-'-E-agan, Minnesota 55122-1897 Date Issuec(: (612) 681-4675 SITE ADDRESS: APPLICANT: I M p#' R. Fdr1 fF T R f4 i , , ? PER(IAIT SUBTYPE: TYPE OF WORK: ~ . ~ INSPECTION . ~ ~ Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspectian Date Insp. Comments FOOTINGS FOUND FRAMING RQOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS 5VC TEST INSUL GYP BOARD FIREPIACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL c. EAGAN SEINER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to eamply with the Cify of Eugan Connection Charge: Ordinontes. Account Deposit: Pertnit Fee: Surcharge: gy Misc. Charges: Date of Insp.: TotaL• Insp.: Dete Paid; c .,o fAGAN WATER SERVICE PERMIT 3795 Pilof Knob Rond PERMIT Np.: Eogon, MN 55122 DATE: Zoning; No. of Units: Owner. . Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account beposit: Reoder No.: Permit Fee: 1 agree to eomply wilh the City of Eagan 5urcharge: Ordinonoes. Misc. Chorges: Total: BY Date Paid: ~ Dote of Insp.: Insp,; ~ CITY OF EAGAN . ~ 3795 Pilof Knob Raad Ea9an, MN 35122 N2 6192 PHONE: 454-8100 7O~q~ BUILDING PERMIT APPLICATION rteceiPt # ~ " To be used•for SF DWG/GAR Est. Value 51,000 pate 9-22 , 1980 sire Address 1975 No. Timberwolf Tr. Erea 43 o«uvo„cv R3- Lot --2J- Block 1 Sec/Sub. Meadowlands aire. ? Zonin9 R1- Parcel # 10-48050 025 Ol Repoir ? Fire Zone 3 Enlarge p Type of Const. V z Nome Willilm Blanchette Move ? # Stories ; Address 13713 Heather H111S Demolish ? Front 52 ft. A4hne 432-3767 Grode ? Depth 40 ft. ° Burnsville, p Name APOravols Fees Ballie AssessAlOnt a_l R_Rn Perrnit 142.00 o~ Address V~ Ci Phone Water & Sew. Surchorge 25. 50 Police Plan check 71.00 jxa~ Name Fire SAC 525.00 Address Eng. Water Conn.305.00 Ci Phone Planner WaterMeter 60.00 Council Road Unit 185.00 I hereby ackrawledge that I hove read this opplicotion and stote that Bldg. Off. the information is correct and agree to wmply with all plicable APC Total 1i"i13- 50 State of Minnesoto Stotuta; a~^ Af~~ s. Signature of Permittee ~ ,/~l N A 8uilding Permit is issued to: W111iAII1 Blanchette on the express condition thot ail work sholl be done in accordance w h aIl oppcpplay -Sta-re of nesota Statutes and Ciry ot Eagan Ordinances. Buildirg Officiol _ CITY OE'' EAGF+N Include 2 sets of plans, / ?I Y I 1 site plan w/elevations & K-~ 1 B(Tlid)ING PERNIIT p,pPLICAT10N 1 set of energy calculations. V ~S/ o-o-c7 Zb Be Used For . S~ valuation - Date Site Address: ' 7 ~ -;v , OFFICE USE ODII,Y Lot ~y Bloclc Sec./Sub. w.,,Z,,,Erect X pccupancy Parcel 4 y9D6d /~,~ur I9/ Alter Zoning L~- / Repair Fire Zone ~ Owner• Enlarge _ Type of Const. i/ Move # Stories Address: f 3 7/ 3 Demlish Front ft. City/Zip Code: 3C/ y m 3 f "17`, Grade Depth y~7 ft. Phone tl 3~ 7 7 APPROUALS FEEg Contractor: ~ n ,,,A ~ Assessments ~gSd Permit Address: Water/Sewer Surcharge ~cr I Police Plan Check 00 CitY/ZiP Code: Fire SAC j-~ r~- Phone En4• Water Conn. 3 0 Planner Water Meter (a p~ Arch:/Eng.: Council Rnad Unit Bldg. Off• Adciress: APC City/Zip Code: Phone TOrAL uerclilcate ior: ~ Dunn & Curry For: Blanchettes Painting DELMAR H. SCHWANZ LANDSURVEYOR aYirtMW U"N Lswl el TDo 541s o/ MinnMOb 2m- 145TM fTil![T W. -BOX M ROCEMOIJNT, MINNE60TA 66M PNONE 6171017N q^^0 E4M SURV EYOR'SCERTIFICATE 2.31-Obc - - - - 3!. t q . ' Drainage & utility I 3CALE; 1 inch - 30 Peet easmffient 3 ODenotes proposed finlshed grade Propoeed garage Ploor 1-r'~ ib 32 A.~y - - ~ ' elev. - 981.5 ft. 15.67 11I I 11 6,4k. • !lS7 ~ N m~S 26. Q I hereby certify that this is a true 98/.3 1 m and correct representation of Lot 25' ~ BloCk 1, MEADOWLAND FIR4T ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. - ~ Dated: July 16, 1979 0 ~qb 7l.24 q~q.lo ae Revised Sept. show 11, 198posed ho m q1°~ ~ 9'19. c a i~ Approved Por Dunn & Curry R al Es a Management, Inc. by: ; /•t ;,(af~, MINNESOTA REGISTNATION NO.M16 . EX'I'ERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER D~V 1 f7 ~ bL11TN ~ F w~ f3 lt S i J~ SITE ADDRESS CONTRACTOR DATE 5 •LG - SO PHONE Determine working square f'oota€;c of each, 1. Total exposed wall area...... Z310.1Z sq, f[, x .1$5= 4qZ,'7, t~ 2. To[al roof/ceiling area....... q$(p,0 sq, fC, x .04= Total exposed wall area above floor= Iq Yq ,O a. Total wall window area . L~ b. Total door area c. Total siding glass door area......... d. Total fireplace xall area........ e. Total wall framing area (average 10%),,,,,,,,,,,, f. Total net wall area above floor,,,,,,,,,,,,,,,,,,,,.~~~~~ C. g. Total rim joist area............. Z4 3. 0 4 ~ Total exposed foundation arna= ~3.0 gr h. Total foundation door area...... i. Total foundation windou area (incliides•stiding•doors)..... ~ j. Total net foundation area above grade $ 3.0 k. Total wall framing area (average 10;C),,,,,,, 1. Total net wall framing area ' Determine "U" value of each wall segment a._ I(o2. ~ x'1U„ . a 3 = &!t --)9 b. X„U., . 14, = s.z g c. X"Ull d. X"Ul. ~ c._1*1Y.4 X.,t~.. 9 f. l(005 Ci X^ll- g • P.q 3 .04x"~~" . O"1 = 8 .o L ~ SfP Ic-7c ~ h. - X11U„ p ~ ?f) i. 4.0 i• 3.0 ti k. X"U„ 1. ~ x,IU,. 3 ...........................................Tota1 If item #3 is the same as, or less than item t11, you have met the intent of SBC 6006 (c)2. Total exposed roo[/ceiling area = Q 3(.r,C.) m. Total skylight area - n. Total roof/ceiling framing area (average 7X)....... [e S• S Z o. Total net insulated roofJceiling area t{'Z Q,4 Q Determine "U" value for each roof/ceilinF; segnient, M. - X"U" _ - n. !a S. SZ x.'U" . O 4 4 = Z. Sl o. ed 7 O.4 FC x„U,, .O 3 Z.. = Z.'1 . sC S 4 .................................Tota1 = a O. 1 3 If total of 114 is the same or, less than (f2, you have met the intent of SBC 6006(c)1. Alternate Buildinp, Envelope Design To utilize the total envelope system method, [he values established by the sum of items il3 and #4 shall no[ be rreater than [hc sum of item lll and 1i2. 1, ± 2, - 3. + 4. _ ANDEF250N WINDOhl UNITS > Sq. F't. Sash F z~ Unit Qpening R U Lin. Ft. Crack 9 S Basement Unit 3.11 1.92 .52 81-0" C135 5.81 1.92 .52 101-4 7/16" C14 6.88 1.92 .52 11'-6 13/16" C15 8.71 1.92 .52 131-6 9/16" C235 11.62 1.92 .52 20'-8 7/8" C29 13.76 1.92 .52 23'-1 5/8" C25 17.42 1.92 .52 27'-1 1/8" G{235 14.25 1.92 .52 22'-1 7/8" Q{24 16.88 1.92 .52 24'-6 5/8" LL *IX25 21.38 1.92 .52 28'-6 1/8" 0 C335 17.43 1.92 .52 20'-8 7/8" C39 20.64 1.92 .52 23'-1 5/8" C33 26.13 1.92 .52 27'-1 1/8" g ~ C235-2 23.24 1.92 .52 41'-5 3/4" ~a a C29-2 27.52 1.92 .32 46'-3 1/4" . ~ C25-2 34.84 1.92 .72 54'-2 1/4" 0 r15-CP25-C15 34.84 1.92 .52 54'-2 1/4" P3tio ibor 1 6068 38. 1.92 .52 181-11" r~ Pease 30 x 6$ 20. 7.10 .14 19'-4" Pease 28 x 68 17.7 7.10 .14 18'-9" ~ ~ i Side Lite 7.7 1.92 .52 151-8" LU *iJot st-uxiard 0 t: ~ ~ Ibuble viazeu Lr- .5b T'riple Glazed R- 1 78 R-: 2.3w2 WEAIILMSHj IELD H,INDOWS [F7IT SQ FI' OF G[:.SS ' UNTT SQ FT OF GLASS ' UNIT SQ FT OF GLASS LRdIT SQ FT OF GLASS UNIT SQ.FT.OF QASS 16x16 3.55 20x16 4.43 24x16 5.32 28x16 6.21 32x16 7.09 16x20 4.46 20x20 5.56 24x20 6.68 28x20 - 7.8 32x20 8.9 16x24 5.34 20x24 6.66 24x24 8.0 28x24 9.34 32x24 10.66 16x28 6.22 20x28 7.76 24x28 9.32 28x28 10.88 32,c28 12.42 16x32 7.13 20x32 8.89 24x32 10.68 28x32 12.47 32,c32 14.23 16x36 8.01 20x36 9.99 24x36 12.0 28x36 14.01 32x36 15.99 16x40 8.89 20x40 11.09 24x40 13.32 28x40 15.55 32x40 17.75 '4;x44 9.8 20x44 12.22 24x44 14.68 28x44 17.14 32x44 19.56 :48 10.68 20x48 13.32 24x48 16.0 28x48 18.68 32,48 21.32 IHIIT SQ PP OF GLASS LRdIT S4 FT OF GLASS UNTT SQ FT OF CLA.SS PATIO DOORS 16-32-16x28 12.42 20-40-20x28 15.54 24-48-24x28 18.64 UNIT SQ.FP.oF QASS 10-32-16x32 14.23 20-40-20x32 17.81 24-48-24x32 21.36 hP57R 24.56 16-32-16x36 15.99 20-40-20x36 20.01 24-48-24x36 24.0 hP67R 35.89 10-32-16x40 17.75 20-40-20x40 22.21 24-48-24x40 26.64 WP87R 48.55 16-32-16x44 19.56 20-40-20x44 24.48 24158-24x44 29.36 "-32-16x48 21.32 20-40-20x48 26.68 24-48-24x48 32.0 :iQ.F1.UF SQ.FT_OF SQ.FT.OF SQ.FT. OF aQ.F~i'. OF .VIT CLF.SS INIT QASS Wi IT MASS U[vIT C3LPSS UNI: Qu1S.`'- C11-1628 3.1 Q1-1628 6.22 C31-1628 9.32 C41-1628 12.42 C51-1628 15.54 C11-1632 3.55 C21-1632 7.13 C31-1632 10.68 C41-1632 14.23 C51-1632 17.81 C11-1636 3.99 C21-1636 8.01 C31-1636 12.0 C41-1636 15.99 C51-1636 20.01 C11-1640 4.43 C21-1640 8.89 C31-1640 13.32 C41-1640 17.75 L51-1640 22.21 Ci1-1644 5.88 C21-1544 9.8 C31-1644 14.68 C41-1644 19.56 C51-1644 24.48 C11-1650 5.55 C21-1650 11.13 C31-1650 16.68 C41-1650 22.23 C51-1650 27.81 C11-1658 6.42 C21-1658 12.9 C31-1658 19.32 C41-1658 25.74 C51-1658 32.22 E1I 1668 7.54 C21 1668 15.14 C31-1668 22.68 C41-1668 30.22 C51-1668 37.82 C11-2028 3.89 C21-2028 7.76 C31-2028 11.65 C41-2028 17.87 C51-2028 21.74 C11-2032 4.46 C21-2032 8.89 C31-2032 13.35 C41-2032 20.48 C51-2032 24.91 C11-2036 5.01 C21-2036 9_99 C31-2036 15.0 C41-2036 23.01 C51-2036 27.99 C11-2040 5.56 C21-2040 11.09 C31-2040 16.65 C41-2040 25.54 C51-2040 31.07 C11-2044 6.13 C21-2044 12.22 C31-2044 18.35 C41-2044 28.15 C51-2044 34.24 C11-2050 6.96 C21-2050 13.89 C31-2050 20.85 C41-2050 31.98 C51-2050 38.9 C11-2058 8.07 C21-2058 16.08 C31-2058 24.15 C41-2058 37.05 (51-2058 45.06 C11 2068 9.47 C21 2068 18.88 C31-2068 28.35 C41-2066 43.49 (51-2068 52.9 C11-2428 4.66 C21-2428 9.32 C31-2428 13.98 C41-2428 18.64 C51-2428 23.3 C11-2432 5.34 C21-2432 10.68 C31-2432 16.02 C41-2432 21.36 C5 1-2432 26.7 C11-2436 6.0 C21-2436 12.0.- C31-2436 18.0 C41-2436 24.0 C51-2436 30.0 C11-2440 6.66 C21-2440 13.32 C31-2440 19.98 C41-2440 26.64 C51-2440 33.3 C11-2444 7.34 C21-2444 14.68 C31-2444 22.02 C41-2444 29.36 C51-2444 36.7 C11-2450 8.34 C21-2450 16.68 C31-2450 25.02 C41-2450 33.36 C51-2450 41.7 C11-2458 9.66 C21-2458 19.32 C31-2458 28.98 C41-2458 38.64 C51-2458 48.3 C11-2408 11.34 C21-2468 22.68 C31-2468 34.02 C41-2468 45.36 6 1-2468 56.7 U R WFAZHFRgIIEi,p YTQIDCWg Double Glazed .56 1.78 (Continued) 'IYiple Glazed .43 2.32 SQ.FT.OF SQ.ET.OF SQ.FT.OF SQ.FP.OF SQ.F'P.OF ~ UNIT C3ASS [AIIT GLFtiSS [$iIT GLASS U6IIT Q.A.SS [JNIT GLIISS C11-2828 5.43 C21-2828 10.88 C31-2828 16.31 C41-2828 21.74 C51-2828 27.19 C11-2832 6.22 C21-2832 12.47 C31-2832 18.69 C41-2832 24.91 (51-2832 31.16 C11-2836 6.99 C21-2836 14.01 C31-2836 21.0 C41-2836 27.99 C51-2836 35.01 C11-2840 7.79 C21-2840 15.55 C31-2840 23.31 C41-2840 31.07 C51-2840 38.86 C11-2844 8.55 C21-2844 17.14 C31-2844 25.69 C41-2844 34.24 C51-2844 42.G" C11-2650 9.71 Q 1-2850 19.47 C31-2850 29.19 C41-2850 38.9 C51-2850 48 11-2858 11.25 C21-2858 22.56 C31-2858 33.81 C41-2858 45.06 C51-2858 56.. .:11-2868 13.21 C21-2868 26.58 C31-2868 39_69 C41-2868 52.9 C51-2868 66.1, . ~ ~ k;h4kCiAi;SY,CY,i* i;S+i',:~,(yXY,{Y'n"'xn:i';,`i'):': : :;.Y,l)e rrsY OF- [A,r,:,t1N C.:FlSH:C1-Rz .7S Tcfil'i:f.NAI... Nil^ i'E?S? 1ATEc 0504/9E; lIMG,:s 14:1E,:,59 ~ N(».Aif-:;: NFr'1R`(5 3210 :..3i001. 075 I .LMCiI'_I'( NOI... 87.25 ai.'v;,, 9001 075 7:1:MrsEii Mf.11, ?'.?'.)C] T0t:.t.i. I'incia7.Ci4, Anrt7i.!Ilt,'' 89.25 Ctif_79:i.E3H 1..1SfCl'i II1^. 11?d R PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 032014 (612) 681-4675 Date Issued: 0 5/ 14 / 9 8 SITE ADDRESS: 1975 TIMBER WOLF TR N LOT: 25 BLOCK: 1 MEADOWLANOS 15T P.I.N.: 10-48050-025-01 DESCRIPTION: (ROOFING) 6uildingPermit Type SF (MISC.) Bu3ldingW'O.rk Type REPAIR i` Census Gode 434 ALT. RESIDENTIAL , ~ ~ V. ' ?1./ . 1 .Jlc ~ ~ j ~ `a. j~'bJ ~ j r/ { i /r ` w ~ l `7 1. ~l l~-~ ?:1 3.,:=1 J REMARKS: FEE SUMMARY: VALUATION $4,000 Base Fee $87.25 Surcharge $2.00 Total Fee $89.25 r . CONTRACTOR: - Applicant - sT. LIC.OWNER: NEARYS 14403605 2011721 ORENSTEEN MICHAEL 4800 W 143R0 1975 TIMBER WOLF TR N SAVAGE MN 55378 EAGAN MN 55122 (612) 440-3605 I Ftere,by acknowledgs that I have read' this a,ppiication and st.ate that the. information is correcC and agree to comply uitli a23 applicsbte SCeCa of,Mn:;. Statutps and.City of,Eagan Ordinanbes. ~ .i ..r° ~ ~ APPLIGANTlPEPMITEE SIGNATURE ED('. SI NATUFIE V 1998 BUILDING PERMIT AP'PLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 681-4675 New Construdion Reauiremen}s RemodeVReoair Reauiremenls ? 3 registered sita surveys ? 2 copies of plan ? 2 copies of plans (inGude beam & window sizes; poured fid. design; etc.) ? 2 site surveys (exterior addttions 8 Gecks) ? 1 energy calculations ? t energy calwlations fcr heated addkions ? 3 copies of tree preservation plan H lot platted after 711193 required: _ Yes _ No DATE: CONSTRUCTION COST; J4400 DESCRIPTION OF WORK: rlzr~/ O'~'~ 'JS /"e fOd~ STREETADDRESS: /F75, ~d?~~ ,~~5., wv I~ l~'. IOT: pZr BLOCK: SUBD./P.I.D. T MI~~~U I~ Name: I ,MOhlQqA ~ iA1Lld ~ Phone PROPERTY Last F t O WNER A0 StreetAddress: If 7~ l4, Tl- City E-4 S~•-? State: ~ Zip: j~) 2 Z- d Company: Phone CONTRACTOR Street Address: ~ / ? ~ L-l License City State: Zip: - -~5 ~ o- ARCHIT'ECT/ ENGINEER Company: Phone Name: Registration Street Address: Ciry State: Zip: Sewer & water I+censed plumber (new construciion onty): . Penally applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the inTormation is cortect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Appliqnt: RECEIVED OFFICE USE ONLY Certificates of Survey Received ~ Yes _ No ~ BY: Tree Preservation Plan Received _ Yes _ No _ Not Required , OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace O 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 75 Deck WORK TYPE ? 31 New D 33 Alterations ? 36 Move ? 32 Addition 0 34 Repair ? 37 Qemolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MGlWS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire 5prink{ered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump tengtfi sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance 0"0 Permit Fee 7 a? ~~b Valuation: Surcharge C4. o'v Plan Review License MGNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: g9,a~ % sAc SAC Units 130 : IT) 76,0 2007 RESIDENTIAL BUILDING PERMIT APPLICATION t) ~ S G~ City Of Eagan V 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reouiremenis RemoddlReoair ReowremeMS Olfice Use OnN 3 registered site suneys showmg sq, ft. of la, sq. ft. uf house; and all roofed areas 2 coqies.o n sharing footings, 6eams, joisls Cert of Survey Recd _Y _ N (2D%maximum lot covereqe allowed) r ~j alcula6ons for healed addNom Soils Repat _ Y_ N 7 SoOs RepoR rf proposed 6uilding a lo be placed on d'aWrbed sdl U s~ s ey tlditions 8 decks Trce Pres Plan ReriJ _ Y_ N, 2 copies of plan showing 6eam 8 wintlow sizes; poured found tlesig Addifion - irM~ Aon-site septlc sysfem Tree Pres Required_ Y_ N 3 pes M Tgree PCalwlabons reservafion Pian if lot platted after 7l1193 JU L O 9 ZOO7 . On-5ile Sepfic Sjstqn _ Y_ N Rim Jast Delail Options s5ectian sheet (6uiltlings with 3 or less units) h4nnegasco medianiral venUlatlon form 4-tl- eawzd E'4araz- are cansidereti pubEic in*arsnafian unl~~s yru stafe they are trade secref and the reason. Date 7 / S l~C/U' Construction Cost SiteAddress ~~`/S .~,sa UniUSte# Description of WorA /~'-14%/~//L°d'I Multi-Family Bldg _ YX N Fireplace(s) _ 0X 1 _ 2 PropertyOwner 7olPdC// Telephone#(Z/,?) pO~ ~ Con[ractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Resitlential VeMilation Category 1 Worksheet . New Energy Code Worksheet (4 submissiontype) Submittetl Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the Cify of Eagan issued a permit for a similar plan based on a master plan2 _ Y _ N If yes, daTe and address of master plan: Licensed Plumber Telephone ~ Mechanical Contracior Telephone # ( ) Sewer/WaterContractor Telephone#( ~ 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 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. ~ ,,or~wApplicant's Printed Name pplicaii s Signature , . . . , , ' . . . , DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS OEplex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Mul6 ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 OS-plex 18 Deck ? 23 Porch (screen/gazebolpergola) ? 36 MuRi Misc. ? OS 03-plex ?11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex ? 25 Miscellaneous Work Tvnes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior O 44 Siding 0 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Oemolition (Entire Bldg) - Give PCA handout to applieant D@SCflpti011: WaterDamage_Yes Valuatlon ~ Occupancy MCES System - Plan Review 100% or _ 25% ~QT)GG Census Code Zoning P42 City Water SAC Units - Stories Booster Pump ' # of Units - Sq. Ft. PRV ~ # of Bldgs Length Fire Sprinklered ~ Type of Const ~ Width ~ REQUIRED INSPECTIONS Footings (new bldg) Shee[rock ~ Footings (deck) _ Final/C.O. _ Footings (addition) At FinalMo C.O. _ Foundation HVAC Drain Tile Oiher Roof _ Ice & Water _ Final _ Pool Ftgs AidGas Tests Final _ Framing _ Siding _ S[ucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ lnsulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review •y~ MC/ES SAC City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatment Plant License Search Copies Other Total ~ C • • • ~ .;:L;"~~?.~Le :'_~r. ~~,~~v"-Cen~~n~~ ~ ;'7l~~?~ ~ ~ l DELMAR H. 5CHWANZ ' LANpSUHVEYOR ~ ReplLLeretl Untler Laws oi Tha Stala oi Minnesots 2878- 145TH STHEET W. -BOX h1 qOSERliOUNT, MINMESOTA 55068 PHONE 872 4Z3-1769 SURVEYOR'S CERTiFICATE JJ • ' { ~ ` ~ , ' ~ I v^ 1 z ~ HoKSe ~ \ G~ar, 7. ~ : • ~ ~ \ I I ; •7 \ 14 4z a r z Y ~ S I I ez r - - ~ JJ • ~ . . '1~:.Vr, Fyj• ~~'S~,'~ ~ ~ iiCA:,'.. : I iCif,:h 30 i GF. i. rt,: ; het°eb;r cerY,s_fy t:ki_t t1 t t ~ r;, ^t i~.. > is r_:c ar. rrc~ r~::r;;,^onta! ,iou ol' w 14, .uinck 2, M`:.ADC`dL,,.ll "r'i"R,:, :W`i'Sur;, ;xecorc3.nF; tr> ',he rer.ordc<i plt thereof, T)ako*::, i.`oLni;; , ",1nreoot<<. Dated : ,iu1y 17, 1970. . Hj?pL'JVZCl fUY' i)1t1111 1 ~.'L1Y'T'_y Re:~). !',"it-.)ite iJi£1Tl:LnC.'.Clr?Tlt, T!]f:. b y • ~ ~ tvtlNMEuOTA REGISTRATION N0.8625 ~ , i PERMIT City of Eagan Permit Type:Building Permit Number:EA113218 Date Issued:08/30/2013 Permit Category:ePermit Site Address: 1975 Timber Wolf Tr N Lot:025 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-025 Use: Description: Sub Type:Reroof 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. Carbon monoxide detectors are required by law in ALL single family homes . Michael Orensteen 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 - Michael D Orensteen 1975 Timber Wolf Tr N St Paul MN 55122 Applicant/Permitee: Signature Issued By: Signature 41,11 C!tyofEaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use 1 Permit#: , 3 Permit Fee: /03. Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: iter Name: i Address / City / Zip: / /tili S 1 �� n Phone: eSI) ..2 70-5 -`D 7 73 ko t i ,, , L r (1' 7 %ice: I Applicant is: Owner Contractor Description of work: 5)A:r,o -�ra�„ T © 1' Iia. S e G Construction Cost: 7 0 d Multi -Family Building: (Yes / No ) .Con or Company: 5 q.c..✓a• — (�cii1 Se!✓tic k LtfContact: t r y Address: 3 3 x 0 or/-- '— 1 ` , , City: PSSQA-s-7 G "II - p/ State: State: f4 Zip:g3—C)68 Phone: (q)�7a-S Email: s '.e - 1 - f • << License #: G a a d Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA has the City of Eagan issued If yes, date and address of ONLY IF CONSTRUCTING A NEW BUILDING a permit for a similar plan based on a master plan? master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE ns ands iQ m ung d e tha �i ar i'ic:tsr gi e m n� ®rr or the inform tion rrt class pion a if yod provide sp m wore he o � ° - `t►at they are t ade -_meg CALL BEFORE YOU DIG. Call Gopher State One CaII 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.qopherstateonecall.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 approplan in the case of work which requires a review and approval of plans. Exterior wo days App • i d su • "ce y a building permit issued in accordance with the Minnesot /d M 1 Applican 's ' •gnature nt's Pri ted N ildi • C • .must be completed within 180 Page 1 of 3 Use BLUE or BLACK Ink (� Eaan For Office Use City of Permit#: l-i 3,—a R.j G2 e)-0 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 MAR 0 8 2017 3- -17 Phone:(651)675-5675 Date Received: Fax:(651)675-5694 Staff: J 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all co —m -mercial applications. / i T7S / /f71 0"G.007/ ' /7-Ct/ / �✓C Date`: /---V �I � Site Address: Tenant: Suite#: j � G %%' Name: , • I,/ 1� (1 �C�-� Phone: /6 I �U'570 � / Address/City/Zip 5 ? ///� ��d-er' U/���'Z�/1 , mo ` of * e, Name: (--/ _ /i ' 77f7 License Address: yy-���� /61/2 vaitizey- , -,,.,,,„.- .:4v.=��, �-�.1 �"?�' 7 � City: %j��0 /,/� State. Zip: Phone: /tee% � d �i<; . Contac ♦ 4 Email: L f '/ �j/' i New Replacement Additional s X Alteration Demolition fmo% Description of work: � % r COMMERCIAL/�/ - RESIDENTIALerte/ % i �%% /' New Construction Interior Improvement Furnace _Air Conditioner Install Piping Processed / py / , -oo-w _Air Exchanger Gas Exterior HVAC Unit /.- / Heat Pump Under/Above ground Tank (_Install/ Remove) Other IC RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge $100.00 Residential New, includes State Surcharge =$ � TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee _$ —Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE 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---P Applicant's Printedof work which requires a review and approval of plans. 1,--5—,4(.- / ckcre" 7/ ,cz., me Applicant's Signat� j ® � '% ',- =,✓ -moi � ✓ Use BLUE or BLACK Ink .- For Office Us`ee I I / �, /City of Eaaall :::ee. U ` -V 6) 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 L 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 3 /l 6 /I 7 Site Address: ^")7 S I ; ,A,31),..,tn,) 7l"( 1 rte..,\ I\)C2Crh- Tenant: / Suite#: Resident/Owner Name: f i c,\Aee. Q`r�vLS�"c�-.& Phone: 16 S/ - Z7 )- c-710 Address/City/Zip _(C.-7S ,,nv1NectiJC-1, 4, 1r,.:i\ Iv g-a. w m i Z� Name: iVG„S;)\ \A- I -'L v- License#:f 61'16Z410 , Contractor a Address: )CD---) I U f,••b- )-55 %� ) •3/1/r -)City: �.Ov.1 iZG �Lj State: n&) Zip: CS-1 3 Phone: A ) 7 91 <6/D-4, a�..1.� lh., ,, . Email T r+ ,C • -mow Contact ,� �rcX� Type of Work —New j Replacement _Repair —Rebuild —Modify Space _Work in R.O.W. i Description of work: I RESIDENTIAL 1 Water Heater Lawn Irrigation ( RPZ/_PVB) Water Softener i Permit Type k Add Plumbing Fixtures( Main/_Lower Level) Septic System I t New Water Turnaround , t i fr Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) ( i $60.00 Lawn Irrigation (includes State Surcharge) I $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) I $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 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.clopherstateonecall.orq 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 aper val of plans. ��x 1n l e,"cdt_ ` . x Applicant's Printed Name App cant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-in Air Test Gas Test Final Meter Related items: Meter Size Radio Read Manometer Staff: Use BLUE or BLACK Ink For Office Use City of EaaanQ"ai y Y`i"�. Permit#: /'1.35365 N 1 SY 3830 Pilot Knob Road Permit Feed Eagan MN 55122JO2016 Date Received: � i —/7 Phone:(651)675-5675 Fax:(651)675-5694 Staff: 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Dat'//S-7f ) Site Address: / / 7S77/)1 j^ 14/O/F7r'01/ fVO 1 Tenant: Suite#: } -%i Name: �A{_, O� u ! €.'7 Phone: p - '' / °!7 T rn_ ' &e 7 7—r / 410 � • ,n'U 5-S f % . Address/City/Zip: 0�3 -> ,-.,,--- .,-„ v /% ��� Name: F/4IL N----e.."---74//15 License#:(PR Ob �- y% i � -%4 i44� Address: q��� � �7?d�IT7� nte-442'City:6-0/de.,,9 V4 %��/j// ! � Stat Zipc ! 1` 7 Phone: �ICO����j �, ` * 1 Contact �/6C f'lto1L Email: l 4TD °C7 /Q'/1.-�ti�7�j/?�r evoq ,���j,/ New R Replacement Additional Alteration Demolition Vii %/ p /, j .'i ce c / ice/ r . � Description of work: / ,.__.i. 4 /? G- 0.- ,,,,„,„,,,:,. „:,. , ' 4-r; �. . % j 11 i .� � ' --,:' a 3 ' •' r, i s e a- ita < Vt# Ft 3 ;s! � � RESIDENTIAL COMMERCIAL ,_, -, , ,* -,,,,,x,- ,-;--,„, ,-,,, ,--- , ; r � Fumace New Construction Interior Improvement *- jam/ Air Conditioner i / Install Piping Processed � � �' %% Air Exchanger / //-- 9 Gas Exterior HVAC Unit fie j // Heat Pump Under/Above ground Tank (_Install/ Remove) 2` %— i� %iii� Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge $100.00 Residential New, includes State Surcharge "nue =$ 6/0 TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee =$ Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE 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 plplan /inn the case of work which requires a review and approval of plans. x �' -d-Zi®oZ 1 7Z4T,Se.74- xApplicant's Printed Name Applicants Signatur )% •-- °' /i ”� ' � /moi . _..€=€d • "'- Nass%� tj0 46'ff- �-' �y ., a , x',:a . .int s - ,.'€' :i/ a-- /tea,01- .,;:�/iri c -v/ � - / / / i �„-, - - < i' iy €a#.eta: s a %� i s s :' /� a !//tea .t* Y1Cr %`r> -t € a; +;/. PERMIT City of Eagan Permit Type:Building Permit Number:EA165054 Date Issued:10/15/2020 Permit Category:ePermit Site Address: 1975 Timber Wolf Tr N Lot:025 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-025 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: 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 - Leann Carlene Mcdowell 1975 Timber Wolf Trl N Eagan MN 55122 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature