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1982 Timber Wolf Tr S4°6 CityofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 CC r L Use BLUE or BLACK Ink For Office Use Permit #: 100/30 Permit Fee: SS cV ) Date Received: 91,54/ Staff: INFLOW & INFILTRATION PERMIT APPLICATION 70 Plumbing / Sewer & Water (rA Date: 17— (3 Site Address: Tenant: Suite #: Name: Address / City / Zip: Name: Address: State: Zip: Kein Phone:/5 l 1q08/ (9 i; bp4r ())D1 -c Iri Contact: Phone: Email: PLUMBING (Within the building envelope) Sump Pump Repair Other: License #: City: SEWER & WATER (Outside the building envelope) Repair Other: Description of work: r -e row --k 1 r1 e_ S L v) ry p FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.gopherstateonecall.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 rk which requires a rev'ew . d approval of plans. x a 0 ty) Applicant's Printedame x Applican Required lrispections Under Groun CITY OF EAGAN q~$7.T 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N°~ - , PHONE: 454-8100 BUILDING PERMIT Receipt # « To be usedtor F1REPLACE Est. value $2,040 Date APRIL 21, 1986 Site Address 1982 SU TINBER4IULF TR Erect ? Occupancy Lot 04GBlock 01 Sec/Sub. MEADOWLAND iST Remodel ? Zoning Repair ? Type oi Const Parcel No. Addition ? No. Stories ¢ Name GREGORY RGPP Move ? Length = SAME Demolish ? Depth o Address Int. Impr. ? 5q. Ff City Phone 454-8861 Instau O: = o Name SA'~t~' Approvals Fees o Q Address Assessment Permit $32. 5U City Phone Water & Sew. Surcharge 1•ou Police Plan Review F Z Name Fire SAC x Z Address Eng. Water Conn. a W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and statethatthe gldg. Off. Tr. PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ord)nancps. APC Parks Signature of Permittee Var. Date COpi2S ~jj. Total A Building Permit is issued to: 'u:2EGOR:C iZUPP on the express condition that all work shall be done in accordance with all applicable State of Mifinesota Statutes and City of Eagan Ordinances. Building Official - PsrmN No. PemiH Holder Dsts TMephons 8 Piumbiny H.V.A.C. ElecMc SoftMer Inspectlon Date Insp. Commenb Footlnys I Footinys II FoundsNon Framiny Roofiny Rouyh Plbp. Rough Nty. Insul. Fireplace Final Hlg. Final Plby. 81dy. Final Cart. Occ. Dack Fty. Deck Frmq. Well Pr. Dkp. • CITY OF EAGAN ` 3795 P(lot Knob Road Eagan, MN 55122 N2 6767 PHON E: 454-8100 BUILDING PERMIT Receipt # Te bs wed fw Est. Value Dote , 19 Site Addre ss _ Erect ? Occuponcy Lot Block Sec/Sub. Alter ? Zoning Parcel Repoir ? Fire Zone Enlarge ? Type of Const. W Name Move ? #k Stories Z Address Demolish ? Front ft. ~ Ci Phone Grode Depth ft. ~ Avprovals Feee ; ~ O IVOTe ou Addross Assessment Permit ul Water & 5ew. Surcharge ~ Ci Phone Police Plon check Nume Fire SAC W W ~W Addross Eng. Woter Conn. tW Ci phone Planner Water Meter Countil Road Unit I hereby ocknowledge thot I hcve read this application and stote that Bldg. Oft. the informationija correct ond agree to comply with all applicable 5tote of Minneyota Statutes ond City of Eagan Ordinonces. APC Totol . Signature of Permittee A Building Permit is issued to: on the express condition that oll work shall be done in accordance with all appliwble State of Minnesota Statutes and City of Eagan Ordinantes. Building Official Pusk # oaft Inud P~IMM Plumbing Z '7- 2 ~ Z Mechanical 12 SQ 7-0:1 7- 2r~ ~QS T U ~S 8 = z - Fre s }-c~(l ~ ,F Q. r INSPECTIONS DATE INSP• Raugh-in finol Footings Date p. Dote Inap, Foundation Plumbing 7 I ,V-8/ 1 Fromefg) Mechanicol T~T Fina! Remarks: CITY OF EAGAN Remarks Addition Meadlowland lst Additioa Lot 44 Blk 1 Parcel 10 48050 044 01 Ownerrarc(~pl a! Street 1982 S. Tiabez Molf i~''a11 State_ Ma9m• MN 55122 J ; Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. Illp.T 1589.99 1511.99 114 1. OO AOI.O 14 8- 1-SZ GRADING SAN SEW TRUNK " 1970 77.95 3.12 25 40.63 0 6 5-1.1-81 * SEWER LATERAL $2841.93 4 S- 1-$1 WATERMAIN * WATER LATERAL WATER AREA i 95.27 6.35 15 STORM SEW TRK AG 1971 282.92 14.15 20 127.38 010166 5-11-81 * STORM SEW LAT * services CURB & GUTTER 510EWALK STREET LIGHT Road Unit 185.00 25822 7-16-81 WATER CONN. 335 . 00 " T~ BUILDING PER. (](j SAC 525.00 PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: N14 `r '-Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I I pli~t; 14111.1' (R `ti i ~!lii ~ i 7 i- 1 I { irj• 1 p~~ III .-1:: ~7 tl :~.,(~.II f ! . • i . . . a ~ I i: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D• • D• F. . . . . . . . . . . . . . . . ~ . . . ~ . . . . . . . . ~ L Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspection Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PIUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK fTG RECK FINAL , _ ' ` r ~'1 ~ fw-~ ~ CITI OF EAGAN SEWER SERVICE PERMIT 3795 Wlor Knub Roed PERMIT NO.: Eo9on, MN 55122 - DATE: Zoninp: No. of Unlts: Qwner: • o llddress: 51te /lddress: Plumber: , I pree te eonmOiq whh tM Cihr oF Eason Connedion Chorye: Ordinanoa. AocourM De posit: Pertnit Fee: Surcharpe: BY Misc. Chorpes; Date of Insp.: Total: • I nsp.: Dute Paid: • - GTY OF EAGAN WATER SER",'iCE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: ' Owner, Address: Site Address: Plumber: Meter No.: Connection Charge: - • " Size: Account Deposit: Render No.: Permit Fee: I a9ree b eomphr wit6 tha Cihr of Eoqan Surcharge: Ordinanep. Misc. Chorges: Totel: ey Dote Pcid: Dote of Insp.: Inap.: , CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 ~ 6767 PHONE: 454-8100 ~ BUILDING PERMIT APPLICATION rteceiPr {p 7o be oted for SF DWG/GAR Est. Vnlue $52,000 Date TLIy 16 , 19_$7_ 5ite Address 1982 So. Timberwolf Trail e,ect CI Occupancy R__- Lot 044 Block ol Sec/Sub. MeadOWlAIldB 1 qlter ? Zoning Parcel # 10 48050 O4Lr Ol Repair ? Fire Zone Enlarge ? Type of Const. w Nome Joffi I~honey Const. Move ? # Stories 3 Address ~iOr ISke, MN 55372 Demolish ? Front 50 fr. 0 Ci Phone 447-3360 Gmde p Depth 40 fr, Name Oymer APProvula Feea Zp 8' Address Assessment Permit 79rff ~ Ci Phone Water & Sew. Surcharge 26. Police Plan check 144.50 ww Name Fire SAC 525.00~'" 00 ia Address Eng. Water Conn. 335. aw Ci Phone Plonner WuterMeter 60•oo counc;i Road Unit 185.00 I here6y ocknowledge that I hove read this opplication and stote that gldg. Off. fhe information i5 correct and agree to tAmp~y-w+ h oll apDlicable AP~ T~Qi -$1564•J~ Stote of Minnesota Smtutes an ~City "f Eag5~0 inanc s. Signature of Permittee A Building Permit i: issud • John Mahone S on the express condition that oll work shall be done in ccordonce wi all app i le f innesot Statutes and Clty of Eogan Ordirwrrces. Buildirg Official CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & S~y, wG BUILDING PERMIT APPLICATIODI 1 set of enexgy calculations. ) G To Be Used For Valuation ~m QOQ Date 3 r~ ~ site zaaaress: li/ ' oFFzcE usE orLY Lotb~ aloc-x J sec. /sub. ,~cK a L,.,..0 Erect occupancy ~ Parcel # : /D 01f c( Alter Zoning / Repair Fire Zoxie A/,¢ Owner: Enlarge -Type of Const. n ~ Move # Stories Pddress: [ Deimlish Front ~ a ft. City/Zip Code: ~S 3 7 2 Grade Depth O ft. Phone - 3.3 6 C7 APPROVAIS FEES Contractor: C~p..ti~.z f Assessmnts Pexmit ~ g 9~ Pddress: v Water/Sewer Surcharge Police Plan Check City/zip Code: Fire SAC Phone En4• Water Conn. 7 3e- Planner Water Meter ~ p ~ - Arch./Ehg.: , Council Road Unit °~j Bldg. Off. , Pdclress: ~ ppC City/Zip Code: Phorne # : ZO'PAL ~ 5 ` ~ ~ . CITY OF EAGAN N p 11827 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8700 Receipt # / ? 7o be used for FIREPLACE Est. value $2,000 Date APRIL 21, 19 86 1982 SO TIMBERWOLF TR Site Address Erect ? Occupancy Lot044 Block Ol Sec/Sub. MEADOWLAND 15T Remodel ? Zoning Parcel No. Repair ? Type of Const Addition ? No. Stories a Name GREGORY RUPP Move ? Length i . SAME Demolish ? Depth o Address Int. Impr. ? Sq. Ft. Ciry Phone 454-8861 Install f3 o Name SA-ME Approvals Fees $ ~ Address Assessment Permit $32. 50 City Phone Water & Sew. Surcharge 1.00 1321 Police Plan Review Name Fire SAC ¢ i Address Eng. Water Conn. a WCiry Phone Planner Water Meter Council Road Unit Ihereby acknowledge that I have read this application and state thatthe gldg. Off. Tr. PI. information is correct and agree to comp with all applicable State ot Minnesota Statutes and Ciof Eagan ina s. APC Parks ~ Signature of Permittee Var. Date Copies Total / A Building Permit is issued to: 'GFE4 ORY RUPP on the express condition that all work shall be done in accordance with all applicable S ' nesota Statute an i o( Eagan Ordinances. 8uitding Official ~ ~.C'I':..._...e_ ...i. . . 1'.l';-.i1 ...~.~f•'g' ' , Lie' . , . . . . - DELMAR H. SCHWANZ ' LA„JDSVRVEYOR ~ ' Rp~t1e~W UnOe~ LAw1 Of TM St+b of Mmn6s01A . 297E - 1467H STNEEt W. - BOX M ROSEMWNT, MINNESOTA 66066 PMONE 612 4211769 ' SURVEYOR'S CERTIFICATE J i~ ~ ~ s ~ 1 - r y 1Y L - u y6 - " [ ` 1af Qy f!/Lf.1 v~_aI Ca G- . '~i~~?~^'/ .n'LY1.. T D-~. D. a ~(~'La...t~.d lr I heret,; !f^t3:*y 1r.1~. ±h4.9 <i `.T'UG ftflfj cor^ec. Z•epresentation Uf L:t 44, Blcck i, accordin3 to the f'd.... 7 f:_i1~. ..,:C,!.~~ I•:.'.T;nt:50t.ii. . • -';i: E': : J1' . 1 ' i ~ ~ . . . . . . A.pp;cvro f'or ~.^n r:'•.irr;; fRea? ii::tatr Vand;e:m<~nL, Inc. ~4C.Cdit.-LGtvtq . . • MT M' me:Il V i/ ' ~ % ~t~(' ~ . ~J• / . op,W!ec LGY C+W`JT`,* .95 . ~l0 7, S. f 0~ 4 ~~'`~7~~t-.,/vv7'..! . - . ' MINNESOTA PEGISTqAT10N NO. Y826 - - ~ . ' q.. rn ! . . , . . . . - . . , . . _ ' . . . , . ' . ?otal exposed roof/ceiling area = >`~u 4~, 0 j, Total skyliqht area................... , , k. iotai coof/ceiling Eraming area (average,i0%),.. ,q 2, l. Total net insulated roof/ceiling area..... P Determine "U" value for each roof/ceiling segment. ~ J , - K uH k X IV, * 0.00 x 'lul, 0 0 ' 4 ................9 ,...,,..,Total = ! OG~ If total of 14 iS the same as, or tess than ?2, you Mave met the inten~ of SBC 6006{c}1, ~ Alternate Buildin9 Envelope Design To utfliie the totai envelope system method, tne values estabtished by the sum of items 43 and 94 shall not be greater than the sum of items A1 and 12. 1, iC-c~c! + 2, 61 = 3S£s-a~' ~4 ~1 a a _ = 2 S7 7 s •--7 3-e3=? % ' 4. - 5804 Melody Lane . 6963083 - - Buinsville, Minnesota. , WEP]A CO. PLAN SERVICC ED ANUEP30N . . - , ' APGMITECTVRAL D681GNING AND PLANNING . OffICB: . 1129 Cliff Road Oftice: . " - , . Bumsviue, Minnesoce 8964636 , . . . . . ~ . . ° . EXTERIOR ENVEL'OPE AVERAGE "U" COMPUTATiON OkNER _ S(TE ADDRE55 CONTftACTOR DA7E PHONE 6etermine working square footage of each. 1. Total exposed wall area .....,_1~Z_4, 5q, ft, x_ ,17 : i~.cr? ; 2. ToEal roof/ceilfng area sq, ft, z~'05' • 7ota1 expo>ed wall area above floor • ;?WC'.:no ~ a. Total wai:1 window area fZZ-6'L b. Total door area „ r z a'o c. Totai sliding glass door area q c o;y, d. Totat fireptace wall area.,,,,.. e, Total wall framing area (averaqe 10%)...,,., q~A G' f, Tota1 net wall area above ftoor g, Total rim joist ar~~a ~,.7 ~ Total exposed foundation area h, Total foundation window area...,...... i, Toal net foundation area above graole , ~ r+ Determine "U" va}ue of each wall segment, - , a.--f -7-L -GZ X °un ' . b. (7..~"i- ....~X nUn ~:.L. ~.fl~. . . t, Q G~_.v. RHun d. X tiull , e. Xnu 11 ,rt ~ Ll ~,g f, l 31l 4 Ga x„U" .0'7 ./.:7s! _7 L X Ru^ ' h. X clUu X nun c_ ~ 7 ._.r._.:_ . 3,,,.........~0:Z....... ,..,,....Total <~'..7 If itCtin 13 is the same as, or less than item /l,,you have met the intent of S8C 6006(t)2. . ~ t PERMIT ~ CITY OF EAGAN BUILOING 3830 Pilot Knob Road PERMIT TYPE: 028342 Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Date Issued: ~ 7~ z z~ 9 6 SITE ADDRESS: 1982 TIMBER WOLF 7R 5 LQ7: 44 BLOCK: 1 MEADOWIANDS 15T P.I.N.: 10-48050-644-01 DESCRIPTION: (WTNDDW REPLACEMENT) ~Uiildbhw Permit Type SF (MISG.) Qa 1dttyg~G4erk Type REPAIR ~ i~ertsz)s CcltFe 434 ALT. RESIDENTIAL ~ ~ a, ~d~ L ~ „ avfi~P~S. 4 ~ i. 5a~rvr 31 xv^f W YP g;, '~.pg~e. R'~* ] ~hn rvr 3a npE~: ~s~z 4 4 ~ p~~ 1,^~y~f"3•'~ v^'•yT '"m6 ~ REMARKS: FEE SUMMARY: VALUATTON $8,000 Base Fee $137.25 Surcharge $4.00 Total Fee $141.25 CONTRACTOR: - Applicant - sT. I.zC.OWNER: FIRST CHOICE EXTERIORS INC 15531918 0904266 BAKER LUANN 2405 ANNAPOLIS LN N 240 1982 TIMBER WOLF TR S PLYMOUTH MN 55441 . EACrAN MN 55122 (612) 553-1918 (612)454-8861 ° T hereFsy ,eiakc.hrctw7.vdqe that'I hav"e reacf"this applicaLian aerd, ~taGe tha~C ~Gha <itf'For~st`~4ki-`is ~°bY~°~Ct'~n31 agreCC cflmpl~+ With~aYl-dpR?icab].e $tats, of Mn, ~ i .e aF ` t ' . c _ J I I~~II ~ APPLICANT/PERMITEE SIGNATURE ISSUED BI 51 TYATURE' k CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 ~ 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construcllon Reouirements RemodeVf?eeair Reauiremenls ? 3 reglsterod ei[e surveys ? 2 copies oi plan ? 2 copks ot plans (Mdude beem 8 window sixea; poured fnd. design; etc.) ? 2 ske aurveys (exterior additions & tlecks) ? 7 energy calculat{ona ? 1 energy cekulations lor heatad adtlkions ? 3capbs of kee preservaHon pten R bt plalted after 7/1/83 required: _ Yes _ Ho DATE: 7- CONSTRUCTION COST:~ JS ~ DESCRIPTION OF WORK: ~~PL~C E ~i ~?d2sul..5 STREETADDRESS: LOT ~ BLOCK SUBD./P.I.D. PROPERTY Name: Phone OWNER Street Address• City: State: Zip• SS/~ Coiv7RaC7oR Company: r~s~ ~oi cc Phone Street Address: z449-5' License City: AYfhO~~l~ State: ZiP. ARCHITECT! Company: Phone ENGfNEER Name: Registration Street Address• City: State: Zip: Sewer & water licensed piumber: Penatty applies when address change and lot change are requested once permit is issued. 1 hereby aoknowiedge that I have read this applicaHon and state that the information is correct and agree to comply with ali appiicable State of Minnesota Statutes and City of Eagan Ordinances. Signature oi Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Pian Received Yes No OFFICE U5E ONLY p aw. q BUILDING PERMIT TYPE a 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dweiling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscelianeous ? 05 SF Misc. a 10 = plex ? 15 Deck WORK TYPE 0 31 New ? 33 Alterations ? 36 Move 0 32 Addition o 34 Repair o 37 Demoiition GENERAL iNFORMATION Const. (Actual) Basement sq. ft. MGNVS System (Aifowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Sooster 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 Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Gopies Total: % SAC SAC UnRs 7986 BIIILDING PERHIT APPLICATIOH - CITY OF EAGAN HOTE: ALL COBTRACTORS MQSY BB LICENSED 1iIT8 THE CITY OF EAGAN SIAGLE FAlIILY DWELLINGS _ INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLS D{iELLINGS - RESIDfiN'PIAL RENT9L UdITS FOB SA4S ONITS INCLUDE 2 SETS OF PLANS, CEHTIFICATE OF SURVEY - CB6CB WITH BLDG. DSPT., 1 SET OF ENERGY CALCULATIONS COIR7ERCIAt INCLQDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE HOND ~To Be Used For: )~&-AG,•ycCZ Valuation: 2000 Date: zI 7- J~to Site Address d& OFFICS USE ONLY Lot Block Erect _ Occupaney Remodel 2oning Parcel/Sub Repair _ Type of Const Addition # of Stories Owner ~p~j~i~~=.~,~~;,f~f~da 1Ly~'?~~ Move _ Length Demolish Depth Address Int.Impr. Sq Ft Install ~ City/Zip Code F14-C,14ri Phone APPROV9LS FEES Contractor ~ - Assessments Permit Water/Sewer Surcharge Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road IInit Bldg Off~ Treatment P1 Areh./Engr. APC Parks Variance Coples Address TOT9L City/Zip Code Phone # NOTE: ADDSESSSS FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER BOST DESIGNATS WHIC$ ADDRfiSS 13 D6SIRfiD. NO CHANGFS SIILL BS 9LLOWED ONCS BUILDING PEAMIS IS ISSDED. 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) (,0Iq CITY OF EAGAN 3830 PILOT KNOB RD • 55122 651-881•4675 ructl on R ir m RemodNlReoalr Reaufremenls N w ? 3 regisfered sRe surveys showing sq. H. of loi, sq. k. of house 2 copies of plan . and ~I roofed areas (207, maximum lot coveraae allowed) 1 set of energycakulallons lor heated cddribna * 2 coples of pians (show beam a window sizes; poured ind. design; efc.) 7 sfle survey for exTerlor addXions 6 decks > 1 sei of energy cakulatlons ? 3 copies of hee preservaBon plan Hlot platMd aMer 7/1/93 DATE: / A1 f -7 CONSTRUCTION COST: cG DESCRIPTION OF WORK: !/'1'---'4Cd0 "C STREETADDRESS: LOT: au-q- BLOCK: ~ SUBD./P.I.D. Name• &A~'f -ZPhone#: PROPERTY L°st Fkd OWNER Street Address: 19,PA wO UF 7Z9 City 4"0-'67'4.t1 State: h''i ii/ Zlp: S`5'J:t Z Company:/7~esr Gfi{oici- ~xT~~cro.~s Phone#: G/z SS3-1!/1P ~/~w (area code) CONTRACTOR Sheet Address: a2~O.i ~.?.alif/Jv~ rs ~i~.?.E ltcense # yaGG bcp.~ zo oC~ City x xZi'icr-tTZ! State: A:'.~'C/ _ Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer 3 wafer Iicensed plumber (reaulred for new eonshuctlon onlv): penally applles when address change and lot change is requested once permN h issued. I hereby acknowledge fhaf I have read ihis appilcaHon, stafe that fhe infor n is conecf and agr co all applicahl STafe of Minnesota Statutes and CMy of Eagan Ordinances. Signature of Applicant: ` ( OFFICE USE ONLY l~ Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No Not Require i il - - - . ~ OFFICE USE ONLY BUILDING PERMIT TYPE , ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex 0 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. 5AC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Pianning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC S7ATE OF MINNE30TA - ~ Du DEPARTMENT''OF COMMERCE 133 EaA 3eventh 3k : 3L Paut, MN 55701 (651) 246-6319 BVILAINGC0NTRACf6R II}#42f'i6 ! BL7ILDER CORPORATION Expires: 03/3112A00 LARI€1C D FROF:MIUN 7 xrgcF due b'y313irzaao ' F7RSf CHOICE EXT INC . 2405 AN27APOLIB LN NO / 3(JISE ?AO PLYMOUTH MN 33441 •0000 CM-00663 . Uvo G~-Tr- ~ _ ¦ 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ~ 651-681-4675 Reauiremenh ? 2 coPfes Of plan DATE: U -6C~ CONSiRUCTION COST: DESCRIPTION OF WORK: ~~(zc~.,c(rL 1,~~p.(,(S If mulH-famiry bldg., how many units? INDICATE THE FOLLOWING EQUIPMEM TO BE REPLACED AfVD BY WHOAA: Plumbing Homeowner Q ConTractor Name ~ Mechanlcal _ Homeowner g,r Confractor Name rv1c furnliCP/ *'NOte: If somebody oTherthan the homeowner is performing plumbing or mechanical work, They must apply for appropriate permit. Only Ilcensed plumbing coniractor or homeowner may complete plumbing work, STREETADDRESS: /!U2 7!5~ ~A? MIJ SS(a`p-' LOT: U'Iq BLOCK: 0 SUBDJP.I.D. U Oi L. n t~ Name: .~Z7Q kQJ` kLL?a Phone IOSI 58~ ~ pROpERTy tast Firer OWNER Sheet Address: ?Yl hP.rL.( )d K IC• City State: ,42Q ~l Zip: / Company: Phone (area code) CONiRACTOR Sheet Address: License # Exp. Clfy State: Zip: \ AUG_Q. $m I hereby acknowledge ihat 1 have read ihis application, state that the intormation is correct, and agree fo comply wilh allapplicable Sfate of Minnesota Staiutes and Cffy of Eagan Ordinances. Signature of Applicant: ~ , OFFICE USE ONLY ` BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mutti ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)" O 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Demolition permit - Give PCA handout to applicant GENERAL INFORMATION # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV ~ Fr J-s_L, l a4'`Q n - - - - - - - - - - - - - -waL is---- - - _ _ - - - CcY~~--~_-- - - - - - ' - - ' ~ - - - - - - - - - Jf. CITY USE ONLY L BL I RECEIPT SUBD. RECEIPT DA7E: 10-11-on PERMIT# T~J.7ll~ 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN ..3830 PILOT IINOB RD . , . , EAGAN, MN 55122 651-681-4675 . Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwellin - migl, niynym fee $ 30.00 Describe: /L ~ ~t'i 7h Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet * minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ SeptlC System newlrefurbished ' requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 X = $ RPZ new installationlrepaidrebuild 30.00 x = $ Rough openin 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is underconstruction 3.00 x = $ Undergroundsprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under consWCtion 5.00 x = $ Water softener if exisdng dwelling 30.00 x = $ Waterturnaround 30.00 x $ State Surcharge .50 $ .50 TOt81 Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is corceC, and agree to oomply with all applica6le City of Eagan oNinances. It is the applicanYs responsibility ta notiTy the proparty owner that the City of Eagan assumes no lia6ility for any demages caused by the City during its normal operational and maintenance activities to the facilRies constructed under this permit wittiin City property/right-of-way/easement. SITE ADDRESS: er 40d L/- 7,~ OWNER NAME: : TELEPHONE (AREA CODE) INSTALLER NAME: TELEPHONE 7' 67Q 2 / (AREA COD'E) STREETADDRESS: ~ L~~ /F c.°? e/ ~ CITY: ~G STATE: / ~ ZIP: ~L l7r j : BY SIGNATURE OF PERMITTEE ~ 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) ~ z ~ ~ CITY OF EAGAN ~ U 3830 PILOT KNOB RD - 55122 651-681-4675 . ReaulremenB ? 2 copies of plan DATE: ~ - ~ - ~ CONSTRUCTION COST: 2 DESCRIPTION OF WORK: ~~0a4Rr- /~',ta~rrer~~v Ii multi-family bidg., how many units7 INDICATE-THE FOLLOWING EAUIPMEM TO BE REPLACED AWD 8Y WHOM: ~ Plumbing _ Homeowner g,s ConTractor Name /'c ~~k ~ v?,v~ • _ Mechanical _ Homeowner gl Conhactor Name "Note; If somebody other than the homeowner is pertorming plumbing or mechanical work they must apply for appropriate permii. Only Ilcensed plumbing coniractor or homeowner may complete plumbfng work. STREETADDRESS: I9By jl~L ~4U~ M~. 5~/Z3 LOT: ~ BLOCK: ~ SUBD./P.I.D.#: MeJOWI011h I•CP Name: Phone & r1 S~96 ~ PROPERTY Last Flrst OWNER StreetAddreu: /9e L 77N3e+G~ 7 '%"¢~L Clly )~F4~4-) 5tate: ZIp: -57S-/23 Company: % / <`7~?«-'c.c L~ S „6 Lj ,-z s Phone 43-/ Y6 -O . (area code) COMRACTOR StreetAddress: Z9 71~~-=~s ?/~oc~ LicenseN ~6 3-~Z Exp. 0/ Ciiy ~GA-J State: 2ip: 57Y-4Z3 RECEIVED C'~T 0 i 2000 BY: I hereby acknowiedge thaf I have read this application, state that the information is cortect, and agree fo comply wilh allapplicable State of Minnesota Staiutes and City of Eagan Ordinances. Signature of Applicant: ~ ul - - - - - - - - - - - - - I FqrOffe,e` Use Pe Clty of Ea~an j rtnit# I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: -d j i ~ Phone: (651) 675-5675 i Fax: (651) 675-5694 i Staff: ?zf 2008 RESfDENTfAL BUILDING PERMIT APPLICATION Date: 2 0Site Address: 1) )81 iQ ~~?iG 50 7enant: Suite RESIDENT/OWNER Name: V Phone: Address / City / Zip: LI~-Zr' Applicant is: _ Owner ~~ontractor TYPE OF WORK Description ofwork: 12e a~ Construction Cost: 47 P7JD- Mul[i-Family Building: (Yes No ~ CONTRACTOR Name: I~C.(~5TH12~ ~C77~T ~ S~yL?~tr' License#: 130- sQ`/19 / Address: ?eQ ' City: State: Zip: S S 3 S Z Phone: CPI Z- ~ Y'M ' v(3 7 Contact Person: COMPLETE THIS AREA ONLY iF CONSTRUCTING A NEW BUiLDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residentia4 Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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 iiocumenfs thaf you submit are considered to be public information:;,Po{tiotts`of' - ~the lnformation"riray be classified as~nnn-public;if you provide speciiic reasons that would permit'the City :to conclude that the are tra'de secrets. 1 hereby acknowledge that this information is complete and aaurate; 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 staA without a permit; tha[ the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~L"'C l~tTC?! cG S~jt-t& te _15N6 - x /l ,Y" P u''rl / X App icanYs Printed Name App c fs Signature Page 1 of 3 Date: City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Loi-fs(K Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 1 T1 -Tr Unit #: J Resident/ Owner Name:GIV Nl f 0 OU Phone: 01%- 2?- &3 Address /City /Zip: I62 11 X\.. Applicant is: Owner Contractor � Yl1� iUV C 1T al i ' MIA() 1 �C 21 l Type of Work Description of work: TQ,1, VDff Y d f \4d v�41 "' G`, ♦ i O. 0� Construction Cost: A ill �� kj c 0U9 -ruck-fvo � a,id re , Act 1.S1 multi -Family Building: (Yes No ►_ ) Contractor Company: 5e-ia.- Tllo YJ and)nd Qerri cie1<inl `t,o tact: - i'1Z,7Jo t` " Address: cnoG/L:1x_C.OISKOv— t.1 Pj1UcJ City: S. • Lo5 Park- State: •. - . Zip: et] %�`' Phone: 96-Q---- 91s-- -7a-to ��h „,, /{-t- License #: �--1 U) Cj c -C_ Lead Certificate #: A t - s6 3 4 - t If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY In the last 12 months, has the City of Eagan issued a permit _Yes No If yes, date and address of mast- :. . IF CONSTRUCTING A N LDING for a si • ” - : an based on a master plan? Licensed Plumber: Phone: Mechanical actor: ewer & Water Contractor: Phone: 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 they are trade secrets. CALL BEFORE YOU DIG. can 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.nopherstateonecall.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 approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be c• pleted within 180 days of permit issuance. x Of2eV Th WJ Applicant's Printed Name x Appli Page 1 of 3 Gity of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN 1 1 2.015 /Nor Office Use Permit #: \ I5 9 Use BLUE or BLACK Ink Permit Fee: 1 aQ Lo Date Received: I 111 Staff: J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Name: 274,e4L FLop JJ Phone: 95-2-25-0-103 Address / City / Zip: /98 Z % 4 1 t1U,1 i%� '5, /, Applicant is: Owner Contractor Description of work: //e J ,C.- Jr• 1 h ✓\) Construction Cost: / o 0 C., Multi -Family Building: (Yes / No L ) Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: T9 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: Fire Suppression Contractor: Phone: 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.gooherstateonecall.oro 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 approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesot-Site Buildi Code must be co • •lete "thin days of permit issuance. T)P P -y C Fla s)6,,t) Applicant's Printed Name Ap'plicant's Signature Page 1 of 3 115-95 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Flex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ .100%4 Census Code # of Units # of Buildings Type of Construction _ Fireplace _ Garage Deck Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) / Lower Level _ Pool Alt 0,14- _ Interior Improvement _ Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) _ Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water Final _ Framing Fireplace: Rough In Air Test Insulation _ Sheathing Sheetrock Fire Walls Braced Walls Reviewed By; Occupancy Code Edition Zoning Stories Square Feet Length Width Final _ Siding Reroof Windows Egress Window Exterior Alteration (Single Family) __. Exterior Alteration (Multi) Miscellaneous _ Accessory Building _ Demolish Building* Demolish Interior Demolish Foundation Water Damage "Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final/C.O. Required IFinal / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall: ! Footings Backfill ! Final Radon Control Fire Suppression: Rough In Final Erosion Control Other: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Ng' 3Jdd 1NIdW 1X3 Iia L9Z9T98Zt9 Page 2 of 3 69:ET 9T0Z/9T/90 Gity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office UseUs/yn Permit #: 1 J' 1 51 Permit Fee: 105 • as Date Received: - f - 15 Staft7 (may t 2015 RESIDENTIAL BUILDING PERMIT oaf APPLICATION Date: —`'i'ce/6- Site Address: C� t //"Ig& �l L ,c-e:a4 Unit #: J Name c\ ll.il.T 1 r(2050 Phone: I JZ' W - 3 Address / City / Zip: NICE 11 L1b8. & �(� Wit (Z1A4 4 Applicant is: Owner Description of work:c Construction Cost: ! I&O Contractor Company: Address: -7q00 X6662 &W. NG City: 001916-4.6 State)"j/U Zip:_ _Pal,L Phonek "V(0 -kgs .>lr'a i afi ( ti 3t47Z,- 2... W//USS IN wa 0°6ui4.65 Multi -Family Building: (Yes / No /`VL - Contact: Cf-ipoouFAL License #: AC CO Lead Certificate #: If the project is exempt from lead certification, please explain why: 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: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: 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.gopherstateonecall.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 approval of plans. Exterior work authorized by a building permit issued in accordance with the Minneso ate , il>, g Code must be completed within 180 days of permit issuance. x Applicant's Printed Name A•:: icant's Signature Page 1 of 3 41111115 City of Eagan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MA 282016 r Use BLUE or BLACK Ink For Office Use Permit #: 'S 14° 1 Permit Fee: Date Received: Received: Staff: 19() 2016 RESIDENTIAL BUILDING PERMIT APPLICATION 1982 Timber Wolf Trail S, Eagan, MN 55122 Ll' i1 Site Address: Unit #: j c,.10 Name: Daryl Floden Phone: 952-250-8033 Address City zip: 1982 Timber Wolf Trail S, Eagan, MN 55122 Applicant is: ✓ Owner Contractor Description of work: Deck Replacement Construction Cost: $ 2,000.00 Multi -Family Building: (Yes / No ✓ ) If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor. Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 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 approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be of Ieted within 180 days of permit Issuance. )(Daryl M Floden Applicant's Printed Name Applicants Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex DO NOT WRITE BELOW THIS LINE DO NOT WRITE BELOW THIS LINE Fireplace _ Garage Deck Lower Level _ Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ WORK TYPES New — Interior improvement Addition — Move Building — Alteration __._ Fire Repair Replace_ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% �) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Foundation Roof: _Ice & Water Final Framing Fireplace: Rough In Air Test Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: _ Siding Reroof Windows _ Egress Window S Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* _ Demolish Interior _ Demolish Foundation _ Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required /. Final / No C.O. Required HVAC — Gas Service Test Gas Line Air Test Pool: Footings Air/Gas Tests _Final Drain Tile Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings _ Backfill Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL QM0 Xci3yo Page 2 of 3 C DELMAR H. SCHWANZ (j7cJ . LAND SURVEYOR • RsyistatW Uneter Law 01 Tlws State at Minnesota 2974 - 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 66046 PHONE 612 423-1760 dt SURVEYOR'S CERTIFICATE (5.GO r i F v11 4I1 t t Li 1 v� -r i r r i u •. 1) /.115 I : (�C �. �' �'/6 Pa•Z%-ci -�— 30' j---- r tC, v 7 >r. j :r.ch 31' i'e • -6(.4--("7 0-61-_ D, v ,z1.41 r heretf;' cert3 :'y Inal. this 1:, a `.rue and correct representation of Lot 44, P!cci: 1,, ?ArY.ALA'17 ?7,'ST r:I.'_')"IST!!, according to the re.. . r;J" j �;ii. t. �" '')�'� D!240+, is70,1-:: • i'=�rn sot.a• .. t"J 5ItI c, /.4t,r,<��fr. ApprcveJ for "".nn Y "urrj Feat tat& Vends rn<•nL,, n . t'y _ 6 i b "6 Mr VI I 1151 r ,/4(1 l' eq. I - ,or MINNESOTA REGISTRATION NO. 6626 PERMIT City of Eagan Permit Type:Building Permit Number:EA155317 Date Issued:05/09/2019 Permit Category:ePermit Site Address: 1982 Timber Wolf Tr S Lot:044 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-044 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 - Daryl M Floden 1982 Timber Wolf Tr S Eagan MN 55122 Mon Ray Inc 7900 Excelsior Blvd, Suite 140 Hopkins MN 55343 (763) 544-3646 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161193 Date Issued:05/11/2020 Permit Category:ePermit Site Address: 1982 Timber Wolf Tr S Lot:044 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-044 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Daryl M Floden 1982 Timber Wolf Tr S Eagan MN 55122 (952) 250-8033 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161194 Date Issued:05/11/2020 Permit Category:ePermit Site Address: 1982 Timber Wolf Tr S Lot:044 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-044 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Daryl M Floden 1982 Timber Wolf Tr S Eagan MN 55122 (952) 250-8033 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175249 Date Issued:03/22/2022 Permit Category:ePermit Site Address: 1982 Timber Wolf Tr S Lot:044 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-044 Use: Description: Sub Type:Fixtures Work Type:Replace Description:Kitchen 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. All tiled shower bases require a water test. 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 - Daryl M & Jeanna Floden 1982 Timberwolf Trl Eagan MN 55122 Pattim Llc 400 Lyman Blvd Chanhassen MN 55317 (952) 220-4568 Applicant/Permitee: Signature Issued By: Signature