1984 Timber Wolf Tr S ~
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUI1_DIfVG PERMIT Receipt#
To b2 used for ' Est. Value Date ,19
Site Address OFFICE U5E ONLY
4 Block Sec/Sub. ' On Site Sewage Occupancy
Lot
MWCC System Zoning
ParCel No. On Site Well (Actual) Const
!
Q Name City Water (Allowable)
'
w PRV Required # of Stories
z Address
o . Booster Pump Length
City Phone
Depth
, o Name S.F. Total
~ Q AddreSS "J Footprint S.F.
cc
City ' Phone ~ APPROVALS FEES
Engr./Assess. Permit
~ W Name Planner Surcharge '
~ g Address
Q W City Phone Council Plan Review
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
Water Meter
Signature of Permittee ' Road Unit
A Building Permft is issued to: Treatment P1
on the express condition that al I work shal I be done in accordance with all parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
TOTAL
Building Official
Psrmit No. Permit Holder Date Telephone #
Plumbing
H.V.A.C.
Electric
Softener
Inapection Date Inap. COmm@nts
Footings 1
Footings II
Foundation
Framing
Roofing
Rough Pibg.11
Rough Htg.
Isul.
Fireplace ~ /a
Final Htg.
Final Plbg.
Bldg. Final
Cert. OcC.
Temp. LP
Deck Ftg.
Deck Flnal
Well
Pr. D)sp.
:t
cirr oF EAGAN
3795 Pilot Knob Road Eogan, MN 55122 N! 6663
PHONE: 454-$100
BUILDING PERMIT ReceiPt
To ba uaed for Est. Value Date , 19
Site Atldress ' r Erect 0 Occupnncy
Lot Btock Sec/Sub. Alter ? Zoning
parcel # Repair ? Fire Zone
Enlorge ? Type of Const.
W IVame Move ? # 5tories
3 Address Demolish ? Front ft.
0 - ^ Ci Phone Grode ? Depth ft,
w Name Approrols Fees
,o
Address Assessment Permit
f" Ci phone Water & Sew. Surcharge
Police Plan check
UW Name
FZ Fire 5AC
7:C5 Address Eng. Water Conn.
a W Ci Phone Plonner Water Meter
Council Road Unit
I hereby ocknawledge that I hcve read this opplication and state thot Bldg. Off.
the informotion is oorrect and agree to wmply with all opplicable
5tote of Minnesota 5tatutes and Ciry of Eagan Ordinances. APC Total
Signature of Permittee
A Building PermiY is issued to: on the express condition thot
oll work shall be done in accordance with all applicable State of Minnesota Statutes ond City of Eagan Ordinances.
Building Offitiol
.
Penak # Oote lawd IomNMe
Plumbing -2D"~ 2 p t
Mechanicol a ~ - - ~c_g /k l
9lE,:!A('i`cct1 Sc'lq~~ C ~
INSPECTIONS DATE INSP.
Rough-In Final
Footing5 ,6~ Date Insp. Dote Insp.
Foundotion Plumbing
Frame/ins. Et' Mechanical
Finai -
Remorks:
Receipt PLUMBING PERMIT Parmit No.
CITY OF EAGAN
Fee
Fi!l in numbered spaces S/C
Type or Print /egibly
Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: ResidentiaJ O Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
ICitchen Sink
Urinal/Bidet Qther
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
= Inspectians: Date Insp. Qate Insp.
This is your permit when numbered and approved.
. ,Approved CITY OF EAGAN 454-8100
Reaeipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill rn numbered spaces S/C
Type or Prini legib/y Tot
1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract
4. Owner
5. Contractor ' - - Phone
6, Address r, r
7. City State Zip
8. Building Type: Residential ~ Commercial O Institutional ?
9. Work Description: New E3 Add O Alter ? Repair O
10. Describe • ' Fuel Type 11. No. Eauioment STU - M. Ea. No. EQUiament CFM
~ Forced Air Air Handling:
Mfg,
Boilers Mech, Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
G2s, 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.
Signad : . ' for
, Rough Final
Inspections: Darte Insp. Date Insp.
. This is your permit when numbered and approved.
• Approved CITY OF EAGAN 464$100
CITY OF EAGAN Remarks
Addition Meaaowiana ist r?aattian Lot 43 elk 1 Parcel_]n 48.05n 043 01
Owner Street 1984 S. Tinlbel WOlf 'Ptat11 State Ea9an, 14N 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. mp • 158.99 14Z.OO AOZO GZ -I0-81
GRADING
SAN SEW TRUNK << 40.63 A010165 5-11-81 1970 77.95 3.12 25 * SEWER LATERAL
284O. AOZO GI -10--81
1991 3156 58 3115-65
WATERMAIN
* WATER LATERAL
WATER AREA 973 95.27 6.35 15 38.12 A010165 S-11-81
STORM SEW TRK f- 1971 282. 92 14.15 20 127.38 010165 5-11-81
* STORM SEW LAT
*
CURB & GUTTER
SIDEWALK
STREET LIGHT
Ro 9-1R-81
WATER COIVN. _ 1
BUILDING PER. 6663
SAC
PARK
CIT7 OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eogan, MN 55142 DATE:
Zoning: No. 04 Units:
Owner:
Address:
Site Address:
Piumber:
1 ogree to eompir wiFh !h* City ef Eogae Connection Charge:
Ordinanees. Account Deposit:
Permit Fee:
5urcharge:
By Misc. Chorges:
Dote of Insp.: Totol:
Insp.: Date Paid:
WATER SERVICE PERMIT
Cilry 0-r EAGAN pERMIT NO.: .
'3795 Pilot Keob Road ' DATE:
Eogan, MN 55122 ryo, of Units:
Zoning: .
pwner:
Addreas:
Site Address:
Plumber:
Connection Charge:
?yleter No,:
qccount Deposit:
Size:
Permit Fee:
Reoder No.:
ith eha City of Eo9a~ Surchorge:
1 a9~ to eomply y+ Misc. Charges:
Ordinoncb~. Total:
Dcte Paid:
By I nsp.:
Date of Insp.:
CITY OF EAGAN Include 2 sets of plans,
~ 1 site plan w/elevations &
gUILpING pERMIT APPLICATION 1 set of energy calculations.
- Y7 O00
To Be Used For Valuation Date -
Site Ptldress: / / OFFICE USE ONIY
rAt ~ slorat ~ sec./sub. Erect ? occupancy 2'3
Parcel 4 ~ O p Alter Zoning l? I
Repair Fire Zone 3
- Enlazge _ lype of Const.
Owner• ove # Stories
M
p~~. • ~1 3-7 Delrolish _ Front ft.
City/Zip Code: Z Grade Depth ft.
-~~t S 5-37
Phone APPROVALS FEES
•
Contractor: Assesssments /J9 8/ Permit 130-ao
4Vater/Sewer o Surcharge ,2v so
Address: polyce P1an Check 6 90 e
City/Zip Code: Fire SAC 5'3 S. a n
gzq. Water Conn. -A 3 , ou
Phone Planner Water Meter /„p,AO
Council Road Unit i k S~ ,r o
Arch•/En4•~ Bldg. Off.
Address: p,pC -u ~
City/Zip Code:
Phone TO'rAL
6o(30 L~3,
This requ:i' void
18 months%um 2553 P_
Date of t's ftequest LC1YlQi A Fire No. u3942`+
I, as LdLicensed Electn al Contractor O Owner, do hereby request inspection of the above electri-
cal wiring installed at:
~g d~ 50 W rJ7/~i~
Street Address or Route No. X~
Section Township Range County
Which is occupied by . ` •
(Name ot Oc<upanq
Is a roughin inspection required on this ~ Yes ? Ready Now [D Will Call @""'
PowerSugplie[ Pcw&l C64464V Address qv,
Electrical Contractor Contractor's License 0.
(CO ny name)
Mailing Address 2--
(&<1tric I Contrac or O er Nking Thls nstallaqoa)
Authorized Signature f Phone No. ~,4L ) ~
( 1 1 Contractor oi ner a q This Installatloo)
$V U[~ aThis inspectian request will not 6e accepted 6y the
State Board unless proper inspectian fee is enclosed.
minnesota state noara ot tiectncrty
Griggs Midway Bldg. - Room N191 EB-00001-02
~ 1821 Universiry Ave.. St. Paul, Minn. 55104 - PFwne 297-2111 .2553s1-
'R~t3
~ UEST FOR ELECTRICAL INSPECTION
CHECk BELOW WORK COVERED BY THIS REQUEST a 39422
Type ot Building New 6Ad. Rep. . Check Applianca Wired For Check Fquipment Wittd For
Home ? ? Rnnge ? Tempoiary Wiring ? Duplex ? ? ? Water Heater ? Lighting Firztures El
ApL Bldg. ? El ? Dryer ? L• lectric Heating 0
Commercial Bldg. ? Furnace ? Silo Unloader ?
Industrial Bldg. 0 Air Conditionex ? Bulk Milk Tank ?
Fazm ? ? ? List Lis[
Othex ? ? ? ~eher4 Hehers#
COMPUTE INSPECTION F BE ~
Seivice Enhsnce Size: s& bfeedeis: # Fee Cvcuits: ~ .ee
0 to 100 Am a. 30 eres 0 to 30 Am eres !
101 [0 200 Amps. ~ - t 4Amperes 31 [0 100 Am eres
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers RemoceContcolCirc. Partialof otherfee
Signs Special Ins ection Minimum fee ES 37i
Remaxks TOTAL F N.
f
I, the Electrical Inspector, hereby ce hat ion has been ma e.
(Rough-in) 9 Date 6^,'3'kl 992-5Z1
(Final) Date1a / 7'j/
This request void
18 months from
CIT1f OF EAGAN N°_ 14 4 91
3830 Pilot Knob Road, P.O. Box 27-799, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt # 7Mc?
To toa used for FIREPLACE Est. Va1ue $1,000 Date 14`141 ,19-tV7-
Site Address 1984 SO TIMBER WOLF TR OFPICE U5E ONLY
Lot 043 81ock 01 Sec/Su6. MEADOWLAND 15T On5ite5ewage _ Occupancy
MWCCSystem _ Zoning
Parcel No. on Sice weu
- (ACtuap Const
a Name STEVEN ZUEHLKE Ciry Water (AUOwable)
PRV Required _ # of Stories
~ Address S~'ME
~ Cily Phone 452-7745 BoosteiPump _ Length
Depth
, p Name DIVERSIFIED MASONERY S.F.rotai
oa Address 1401 CHATEAULIN LN FootprintS.F.
U~ City B'VILLE phone 431-1141 pppROVALS FEES
Engr./Assess. Permit $20.50
w W Name .50
HZ Planner Surcharge
i - Address
Q W City PhOn@ Councii Plan Review
81dg.Off. SAQCity
I hereby acknowledge ihat I have read this application and slate that the Variance SAC, MWCC
information is correct and a9ree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
~ a~~o`A ~A` • Water Meter
Signature of Perminee
ROad Unit
A Builtling Permit is issued to: D VE ED MASONERY 7reatment Pi
on the ezpress condition ihat all work shall be done in accordance with all
applicable State of Minnesot StaNtes and City of gan Or inances. Parks
BUiltlingOffiCial TOTAL $21.00
~
CITY OF EAGAN
9795 Pilot Knab Road Eagan, MN 55142 N! 6663
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt # ~y7~
To be ueed fer $p' Dpp¢./ (}gp, Est. Volue 49.0M Date 116v lR , 1981-
Site Atdress 1984 S TimUerpOlf Trfl31 Erect ti Occuponcy R'-3
Lot 43 Block 1 Sec/5u6. MeadOWlRlld ° Alter ? Zoning R'-1
Parcel # Repalr ? Fire Zone 3
Enlarge ? Type of Const. 0
w Nome John B_ Mahoney COnSt. _ Move ? # Stories
3 Address Ronte 1j HO% 239 Demolish ? Front 52 ft.
o C. P1j.02' 1.91SQ Phone 447-3360 Gmde ? Depth 39 ft.
~ Name Same APMo,rals Feea
~ 0 v Address Assessment Permit 13
~ Ci Phone Woter & Sew. Surcharge y+.54
Police Plan check 69.00
ww Nome Fire sE,c 525.00 "
r
Addreu Eng. WaterConn.~5•~
aw Ci Phone Plcnner WaterMeter6o .00
cou„c;i Road Unit 185.00
I hereby ocknowledge that I hwe read this applicotion ond scote thot gldg. Oft.
the information is correct and agree to comply with oll applicabie AP~ Total $13~.$~
Stote of Minnesata Statute s and ~City of Eagan Ordirwnces.
Signature of Pertnittee
A Building Permit is issued to• JOt1R MBhoney on the express condition that
all work shall be ne in occqLdan ewith~a` applicable State of Minnesota Stotutes and City of Eagnn Ordinances.
i
8uilding Offitinl ~
PERMIT# ~ 11-O J 7 RECEIPTDATE:
2002 RUIDEIVTIAL i'LUMBIN6 PEiZMIT APPLlCATION
CITY OF EAfiAN
S$SO PILOT KNOB RD
EAfiAN, MN 55122
651-681-4875
Please complete for: single family dwellings, townhomes and condos when pertnits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS:
~ St
OWNER NAME: TELEPHONE G~" 7627
( REA ODE)
INSTALLER NAME: 5;~= A!.*!L L-Y.s~5;;V- TELEPHONE ?/S ~g~sieer7
STREETADDRESS: 1,:777~~ h ~ (AREA CODE)
ii
CITY: A'i.,,aSa., STATE:l•v • ZIP: S;~61
SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower leve{s or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
Water tumaround - existing dwelling unit 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: ",--K water softener _ water heater $ 15.00
State Surcharge $ ~ 50
I
~ g~
TOt'dl
1 hereby acknowledge that I have read this application, state thatthe informatian is correct, aad agre complywith all applicable Cily of Eagan oMiaances. It
is the applicanPs responsibility ta notitythe property owner that the City of Eagan assumes n'' ty for any d s u by the City during its normal
operational and maintenance activities to the Bciltties construded under this permit n' ' properlylright-o ay/e e
IGNANRE OF PERMITTEE 1/02
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t . qN:iNrp UnOk~L~w~at th~ itY(~ of Minnnotm . . .
!?7~ -116TH iTREET N. +='#OX M 11066MOU"T; IINNItEl01'A f60lt Mipq~ .l1! u7-17~! aT
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herel~y oertify that thi~ ~s a Lrue an'd, abrrect . rep't~ea~nLatit~:1 ot
Yat 43, .Block 1, MLflDCWLAND F;IFt3T :ADDTT,,XG~, ~t~eaoY+di'tig, to th6 ~
: recorded p]at Cfisi±eoE', F~aktA a" C`oilnty, 6ta. ,
DateB: JulY 17, 1979 t< ;
Curry Re41 Esxsite t+tan'agemerit, lno: .
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CITY OF EAGAN
CASHIER: JS TERMINAL NO: 691
DATE: 08/28/00 TIME: 07:25:48
~
ID:
NAME: CATASTROPHE RESTORATION
3210 9001 1984 TMBR WLF T 111.25
2155 9001 1984 TMBR WLF T 2.50
Total Receipt Amount: 113.75
CR136526
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
~ cirv oF eacaiu
3830 PILOT NNOB RD - 55722
851-681-4875
New ConshucHan ReaulremeMa Remodet/Reoalr Reauiremenh
a 9 reglafered aite wrveys ahowlnp sq. H. of bt, aq. R. of house 2 copies of plan
and g(( rooled areas (7A94 mmclmum bt coveraae albwem 1 sel of energy calcutallons for heated adtlllioni
> 2 coplea of plana (ahow beam & wlndow sl:ea: poured fnd. deslpn: eic.) 1 site wrvey for extedor additlona & tlae W
> 1 sbt of enefpy CCAcWCMOni
> 3 coplea of hee preservaHOn plan If bt plaRed pHer 7/1/99 K `
DATE: CON5fRUCTION COST: ,J OOO . ~
DESCRIPTION OF WORK: Y 2.• KVc=p
STREET ADDRESS: ~SC~I /.~r- D• t4
LOT: q3 BLOCK: ~ SUBD./P.I.D, g: Wdf1wId k4.S Ijt
Namw-~ 1j' nlSoA~ Phone Y: lo (Y~i~ '~~74~f
PROPERTY laat Flrst
OWNER
SheetAddress: MA 1-+m6Lg- wvl.~ fL~~
ciry ~wJ srcte: nP: Ssl
. Company: Phone
(area code)
CONTRACTOR Sfreet AdchressfAPYIKr n` 4 Qtp. LlCense ~ ~`rxP•
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone Y: ( )
Sheet Address: Regishaflon q:
CNy State: up:
I
SeweAwater licensed plumber (if installina sawer/water): Phone
I hereby acknowledye thaf I have read Nde apdioaNon, atafe thaf the intortn°1b^ 1s carecT. and ee to comply wNh aU aPPgcoble State
of Minnesolo Stalutes und City of Eagan Ordinancea. +
Signafure of AppllcanY.
OPFICE USE ONLY
Certificates of Survey Received _ Yes _ No '
Tree Preservation, Plan Received - Yes - No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-plex O 13 16-plex ? 21 Porch (3-sea.) 0 31 Ext Alt - MuRi
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF
? 03 01 of _ plex ? 09 07-plex 0 18 Deck ? 23 ?crah (screened) 0 36 MuRf
? 04 02-plex O 10 08-plex O 19 Lower Level ? 24 Storm Damage
? OS 03-plex ? 11 70-plex Plbg _Yor_N ? 25 Miscellaneous
? 06 04-plex O 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
31 New ? 36 Move Bidg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair 0 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowabie) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn. '
Water Meter
Acct. Deposit ,
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies
Total:
SAC Units
% SAC
~
7987 BOILDING PERMIT APPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
INCLDDE 2 SETS OF PL9NS, 3 CERTIFZCATES OF SQ6VEY, 1 SET OF ENERGY CALCQLATI09S
ATOTE: ADDRESSES FOR CORNEE LOTS - CONTRACTOR/HOMEOANER MIIST DESIGHATE NHICH ADDRESS
ZS DESZRED. NO CHANGBS WILL BE ALLOWED ONCE BUILDING PEAMIT IS ISSIIED.
MOLTIPLE DiiEI,LINGS - RFSIDENTIAL RENTAL Q14iITS FOR SALE ONIYS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECg iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMlERCI9L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: Date:
Site Address OFFICS OSE ONLY
Lot Block On Site Sewage Oecupaney
MWCC System _ Zoning
Parcel/Sub
On Site Well _ Type of Const
City Water (Actual)
Owner ile-n9 '--7nuyi )u ZicGh I k ~ (Allowable )
# of Stories
Address Eaq Trnhpy (.po)5~ Tr . Length
Depth
City/Zip Code S.F. Total
~ Footprint S.F.
Phone 4,52 - 7 74,-~j APPROVALS FffiS
Contractor--',~er~~~Pd `7Yia:soYlCru. Assessments Permit 0
r'r Water/Sewer Surcharge J-Q
Address Jl(D h n+P0. LC) i A a T7 ~ Police Plan Review
Fire SAC, City
City/Zip Code'~uYnsu~~~C Engr SAC, MWCC
5533 7 Planner Water Conn
Phone Council Water Meter
Bldg Off Road Unit
Arch./Engr. ~Ki Chnr~ L~uY~'OJL APC Treatment Pl
Variance Parks
Address Copies
TOTAL ~
City/Zip Code
Phone 4k
~ru~o~ttl
DIVERSfFIfD
MASONRY
INC. Richard Burton
1401 Chateaulin Lane 431-1141
Burnsville, MN 55337
PROPOSAL SUBMITfED TO PMONE DATE
Y~ Z - 77
STREET JOB NI1ME
CITV, STATE AND 21P CODE lOB IOCATION
/
JOB NO. JOB iHONE
We hertDy submd speulicalions and estimbles for.
s-{s ~ o K~. P e &..A ~r
d o
6/PR~ ou4i Gje.-cQ"lo~.~ - G.?~i au~- lao~ /no fY
bro~4 C--Lz;
c.: ~
3 D 1,? i /ke A., /Z. u e.., d- 6wr
O( i0. '~Nl~ GQ///L ~'1 ~ YJ/IG.~L ?P~C~Ci/
. ~ ~low~.-et 320 Aei f~....s~.~
UP liCD}109P hereby to turnish material and la6or - complete in accordance with above specifications, for the sum of:
dollars 3
~ / ~-S• ,p ) Payment to be maGe as lollows:
CAS~ ? d~ Gd G~7~ ~
MI mabrial Is gu+rMtaeE 1o Ee as speciM1M. AII wart to be completeE in a workmanlihe , ~
msnner xcorEing to abnOorE Dr+~i«t. Any +Itention or Odiation Irom above specilic.. AuthOni¢d
4ona invdvln{ utq cosb Mill M neculeE only uoon wnnen o.eers. ana .ni eecome an $igndtw¢
exha CharQC ovei antl abovf Ihe estiTlle. All Atr!lmenif mnlinBanl upon SUike[. acuEenti
or Oebri aM^d our <onlrol. Owner to orry lire, tomaCO anE otMr necmury in:u.ana. Note: This Dropoul may be
Oar worRers an luny covaraA Ey Worlimen's Compenvtion Insurance. withAraWn by u5 it not attl0t~ wilhin ~ ~ days.
AttppWn(p al prApnsal -7ne above prices, specifications
and conditians are satislactory and are hereby aaepte0. Vou are authorized SignaWre
to Eo the work as specified. Payment will be mede as outlineC above.
Date ol Acceptance: Signature
CASH RECEIPT ,
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
wacerv`o
FROM
AMOUNT $ I
aooLLwRs
eo
[]CASH ? CHECK
Foa
FUND CO~E AMOUNT '
Thank You
BY
~
White-Payers Copy
Yellow-Posting CoPY
Pink-File Copy
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1984 Timber Wolf Tr S
Lot: 043 Block: 1 Addition: Meadowlands 1st
PID:10- 48050- 043 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Plaza Homes
13396 Huron Ct
Apple Valley MN 55124
(952) 891 -6028
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
$90.00
Karen R Coss
1984 Timber Wolf Tr S
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA084558
07/23/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1984 Timber Wolf Tr S
Lot: 43 Block: 1 Addition: Meadowlands 1st
PID:10- 48050- 043 -01
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Fee Summary:
Contractor:
Pronto Heating & Air Conditioning
7501 Washington Ave. S
Edina MN 55439
(952) 835 -7777
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
$50.50
Karen R Coss
1984 Timber Wolf Tr S
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA088325
03/02/2009
ePermit
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
$50.00 0801.4088
$0.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117774
Date Issued:10/23/2013
Permit Category:ePermit
Site Address: 1984 Timber Wolf Tr S
Lot:043 Block: 1 Addition: Meadowlands 1st
PID:10-48050-01-043
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 .
Jarrod Stenzel
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Karen R Coss
1984 Timber Wolf Tr S
Eagan MN 55122
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature
!"
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)BB$+%/, S4.0I+ .. '=+J,/ >0.5<<>.*'#A '=+J,/ >0.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159226
Date Issued:12/03/2019
Permit Category:ePermit
Site Address: 1984 Timber Wolf Tr S
Lot:043 Block: 1 Addition: Meadowlands 1st
PID:10-48050-01-043
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 -
Karen R Coss
1984 Timber Wolf Tr S
Eagan MN 55122
(847) 612-7385
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
r For Office Use //�-,
o t e r � Permit#:
t4% r0EAGAN rr /��
�•«^ ^��� Permit Fee:
ECE
'vE Date Received:
3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810
(651)675-5675 I TOD: (651)454-8535 I FAX: (651)675-5694FEB o 4 2�Zo Staff:
buildinainsoectionsCa�cityofeaaan.com
2020 RESIDENTIAL BUIL' b APPLICATION
Date: 2/4/2020 Site Address: 1984 Timber Wolf Trail S Unit#:
Name: Karen Coss Phone: 847-612-7385
Resident/ 1984 Timber Wolf Trail S
Owner Address/City/Zip:
st
Applicant is: Owner 6 Contractor �( j -_
Descriptionof work:
tub to tub, prefab walls, Ivt flooring, moving ceiling can and vanity light
Type of Work
Construction 8180.00 8180.00 Multi-Family Building:(Yes /No )
Company:wUS Patio Systems h � -y - wj Contact: Amy Sawicki
Contractor
Address: 7300 Washington Ave S city; Eden Prairie
State: MN Zip; 55344 Phone: 952-314-9885 Email: asawicki@usbathsystems.com
BC661813 F119453-2
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
House built in 1984
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:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the Information may be
classified as nonpubllc if you provide specific reasons that would permit the Cly to conclude that they are trade secrets YM
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cltvofeaaan.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.rtopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be l jconformance ith the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, an. • k Is not o .rt without a permit; that the work will be in
accordance with the approved plan In the case of work which requires a review and appr e • o plans
xAmy Sawicki x 4 AL)
Applicant's Printed Name Ap. cant's i ignature
DO NOT WRITE BELOW THIS LINE 1 ✓I e Ll T I\rn b oa Wol( Tie. S - / .e&/
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family)
_ Single Family'_ _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi — Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding ^ Demolish Building*
_ Addition — Move Building _ Reroof �_ Demolish Interior
Alteration _ Fire Repair _ Windows Demolish Foundation
— Replace .___ Repair ' Egress Window — Water Damage
Retaining Wall 'Demolition of entire building—give PCA handout to applicant
DESCRIPTION /
...a___w
Valuation Occupancy X t(l ,, MCES System
Plan Review �` Code Edition i:, 1y SAC Units
(25%,__100% J�) Zoning f City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
-
#of Buildings Length Fire Suppression Required
Type of Construction ,f Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
—
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test_Hood
Roof: Ice&Water Final Pool: Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test _Final Siding:_Stucco Lath Stone Lath Brick EFIS
)(; Insulation Windows
(' Sheathing Retaining Wall: Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By:
/IL , Building Inspector
I
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review rrii ,6
MCES SAC "1
City SAC 0 itiM464.1
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant ‘9°
Radio Meter Read 0/104
\.fCopies ,
TOTAL
Page 2 of 3
EAGANr For Office Use (6_♦0ao �;q1I0°b �
::::e 'Z
b 6EC E IVE :
D "1"1/
Date Received: 'f20
3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 FEB 0 4 2020
(651)675-56751 TDD: (651)454-85351 FAX:(651)675-5694 Staff:
buildinpinspectiQnsOcityofeacian.com
BY
2020 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 02/04/2020 Site Address: 1984 Timber Wolf Trail S
Tenant: Suite#:
Resident/Owner
Name: Karen Coss Phone: 847-612-7385
Address/city/Zip: 1984 Timber Wolf Trail S/Eagan/MN/55112
Name: US Patio Systems License#: PC708206
Contractor
Address: 7300 Washington Ave S City. Eden Prairie
Zip: 55344 Phone: 952-314-9885
State: MN
Contact: Amy Sawicki Email: asawicki@usbathsystems.com
Type of Work —New ✓ Replacement —Repair —Rebuild _Modify Space —Work in R.O.W.
Description of work: tub to tub, delta valve and toilet
Tankiess Water Heater
Lawn Irrigation( RPZ/—PVB)
Standard Water Heater
Add Plumbing Fixtures(! Main/—Lower Level)
Description Water Softener
Description:
Septic System
New Abandonment Connection to City Water from Well
Abandonment
RESIDENTIAL FEES
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential(fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+ $290 for Meter and $200 for Radio Read =$550
*Sewer&Water Permit also required for connection charges
TOTAL FEES$
CALL BEFORE YOU MIG. Call Gopher State One 611'4'41)(651)454.0002 for protection against underground utility damage. Call 48 hours before you
Intend to dig to receive locates of underground utilities. www.nooherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www,citvofeapan.comisubscribe.
I hereby acknowledge that this information Is complete and accurate; that the work will be 11 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, an• w: is not t.•st without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appr•va I f•lans.
Amy Sawicki x J` `W 1
Applicant's Printed Name Ap•licant's(ignature
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