1166 Aquarius LaneCITY OF EAGAN Remarks
Addition WILDERNESS PARK 2ND ADDITION Loc 14 81k 1 Parcel 10 84251 140 01
OwnerI-AL- ? - f street 1166 Aquarius Lane State Eagan, MN 55123
Improvement Date Amount Annual Years ii Payment Receipt Date
STREETSURF.
15534
1
-?_ ,!;
STREET RESTOR. -
GRADING
SAN SEW TRUNK 1973 1 ?-` 7. 1 20 5 0/ oZ '.?
SEWERLATERAL
WATERMAIN
WATER LATERAL
• WATER AREA
iF STORM SEW TRK 1979
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
80.00 52514 6/7/85 _
WATER CONN. 500.00 ?t
13UILDING PER. 10364 if
sAC 525,00 "
' PARK
C1TY OF EAGAiV
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHON E: 4548100
sU1LDING PERMIT aKeiot #
To w wmd fN ? Est. Volue L; ) Date 19
Sib Address
. - Erect ?
.
OccupsneY
tat Remodel ?
Blxk - Sec/Sub. Zaning
p°rcel NO Repair ? Type of Const.
' Addition ? No. Stories
ag
Name Move ?
D
m
li
h ? Length
h
Addres s
e
o
a Int
Im
r
? pept
,
S
F
p
.
. q.
t.
Citv Phone ??- 4- 514 4 Install ?
ApprevaN FNa
Neme
At ? A?? Assessment Pern?it
? City Phone Water a Sew. Surcharge -'`
Poliu Ptan Review '? j• J U
?W Name Ffn SAC i•0 U
?? Address Enp. Water Conn. ? ?' 0.?) U
? W City Phone Plonner Water Meter 5 3. C; C
Council Road Unit 1 80. f,
1 hereby ockrawlodyt thot I haw rcad this application o?+d stote thaf Bldg. Off. Tr. PL i: ?,!?{,
the inlormotion is torrect and oyree to comply with oll cpplicable A? Parks
StaH of Minnesoro Stotutes ond Gity of Eoyan Ordinonces.
` Var. Date Copiea
5lpnotun of Pem+iffeo
. r . . Tot81
H Bulldinq Pennir Is iuued to: a+ tht •xp?ess oondinon thw j
d) work sfioll be dorn In occordoncs with oll appliwble StaM of Minnesota Stotufes ond Gty of Eopon Ordinonces. '
9uildirq Officiol ?'
Pe?mit No. Pwnnh Holdw Deb TeIsphone ?e
Plumbinp -) 2 ? <,„
H.VA.C. G-, ? ? 10? _
e"ctric 1 Sv ? ? ? 3 ? -
son.n..
Irapeetion Dats Insp. Other
Footinps 1
Footinys 11
Foundetion L
Frsming
Roofiny ?
Rouyh Plbg. . ,
RouQh Htp.
Insul. T ?
Firoplacs X/
Final Htg.
Final Plbg.
Flnal
Co?_VOcc.
Water Oftcribe loeation:
WNI
Sewer
Pr. Bisp.
Rfdipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee. '-4-
fill in numbered speces S/C
Type a' Prini /egibly Tot. . I
a
i. Date ? 2. Instaliation Cost
;
3. Job Address Lot Blk. ' Tract
4. Owner ? ._ ? . -,S?' -- • . ? • ?
5. Cantractor
6. Addrsss
7. Gty
8. Building Type: Resi
?
i
Phona - ? .
?
i
State ' - 2ip i
al 13 Commercial O Institutional ? ;
9. Work Descxiption: New
? 10. Dasaibe
i 11.
?
Add ? Alter O Repair ?
i
Fuel Type i
No, Eqyiplppi 8TU - M. Ea.
Foroed Air No. Eauioment CFM
H
Ai
dli
Mfg. r
an
ny:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mf9• Other
Air Cond.
Mfg. ,
Gu, Pipinp Outlats
12. I hereby certil
oomply with i
Signad :
tnspections: Dete
This is your parmit
Approved
he above informstion is true and correct, and I apres to
ances and codes yovarniny this type of work.
for
Raiu9h Finsl
Insp. Date Insp.
en numbered and approved.
CITY OF EAGAN 464-8100
l?r?b ?v?
Recoipt L PERMIT Pormit No. '
? I OFEAGAN Fee
Fill in numbered spaces S/C
Type or Print /egib/y Tot.
1. Dete •` 2. Insrallation Cost •
. , .. .
3. Job Address Lot Blk. Tract
)
4. Owner ' ' - _ -
?
5. Contractor Phone '
{.. -
6. Address - '
7. City ' State ' • Zip 8. Building Type: Residential ? Commercial ? Institutional 0
9. Work Description: New E7 Add 0 Alter O Repair O
10. Describe Fuel Type '
1 11
12. 1 hereby
comply,
Signed :
This is yoi
Approved
No. Equipm9ul BTU - M. Ea.
Forced Air No. Eauipment CFM
Air Handlin
:
Mfg. • • ' g
8alers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
above information is true and correct, and I agree to
res and codes governing this type of work.
for
Rough Flnal
Date Insp. Date Insp.
ermit when numbered and approved.
CITY OF EAGAN 464-8100
CITY OF EAGAN
'
WATER SERVICE PERMIT
3830 Pilot K'noe Road
s P. O. Bax 21199 PERM(T NO.:
Esgan, MN 55121 DATE:
Zoninp: P ' No. of Units:
OM1nwr
/1?ftr5s:
Sift Addreax UE •?, .c '• '-,.?.? s';? Y,
Vlurnber.
Meftr No.. Ca+nection Charge:
Size: Account Deposit: '
Reader No.: Pennit Fee:
1 NV" to o?wPy wNb !iw Ckr oi Gpw SurchorQe:
OrliMwer. Mlsc. Cho?yes:
TotoL•
By DoM Poid:
Dote of Insp.: Intp.:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Bcx 21199
Eagan, MN 55121
Zonlrp: _ -'
SEWER SERVICE PERMR
PERMIT NO.:
DAl'E:
No. of tJnits:
Owrnr: `venti PeierBen
Address:
S;ts /lddross: _: i:;?? La.iarius Lane L14 B1 W1lderneas Pfirk ^
Plumber:
:`? t' j i)0 . 1G z.,
1 yew h eawply wqh iiu CJIp Of u/es Car+?oetian Chargs:
?•.
OrdiMaeM. /?eeou„t pepowr.
PennFt Fee: ? Surc!?orpe:
BY Misc. Chorpss:
Dafe of Irap.: Totcl:
DaN Poid:
CITYflF EAGAN WATER SERVICE PERMIT
? .3830 Pilvt Knab Road
P. o: Box 21199 PERMIT NO.:
Esgan, MN 55127 DATE:
ZonirW: p I No. of UMts: s
pwner, Svend Peterser.
Adanm: IAIA DI?[IAiG
SIte Address: 1166 Ac r e'' ';'il ,??rne?es Par'. ,
Plumbe?:
AAehr No.: ' ' F - ELLC-i. , C -?tletii6n Chorps: -d
Size: S at ?,p,pWhu?Deposlt; u
-
Ll•• wr
Recder No.: KLUUMED
tY Perm3t Fee:
"
1opm !e aw)I?r +?MM iM Gry?.[mypn SurtharQe: '
OrriNwor. ? Misc. Chorpes: '• ? ? . `_; G r •
y
' Total: vc
me er
By ? Dots Poid:
Dote of Insp.: ? 4,75 Intp.:
This re9uesl wiA 18 rtnntlrs from
A 074219 Liqfa',
?-30 `6 5
Sa a C)
R¢qmst ilate
? (
- Fire No. IbupMin Inspec[ion
Required?
es ?No
QReaM Mowr ?II Natiiy InsPec-
tw WMn fleatlY
icensed Etectrical Gmhac[ar
1 4meby tequest insspxtnm ot above
Owne! 01ec4iol wuk imYlled at=
Sheet Atldress. Box Rm? Na_ City
?
ec ion Tow'chip q No. ,ge o. Cmnay
Oc upent IPRIM R. o.
gB?S/ ?f
Kyer 5 p '¢r + A ^
EI tr?cal Gont?ctm (Cunw?Y Nanc) ?
S E Cm r' s ? ? o.
v
Mail.nAd4
ress ICOntracw or Owmer ki 1 ila[im!_ ?
S?
Aufiorized Si9re?re ( / ki.p Insullatiml ///NQuN?'er//?
" -??'OF '-? ElEC7RIC17Y - ?LTF11y INSPECTION NEIIUEST Wlll NOT
MINNESOTA $TpTE BppqQ . 9E pCCEPTED BY 7HE SfAIE eOARD
Griggs-NiAway Bldg. - Ibm N-191 UMLESS PNOPEp INSPECTION Ff£ IS
7827 llniversiry Ava.. SL Paal. M `-S7M ENCLOS4D_
on....e IMJf l9'lJ1H
IEQUEST FOR B_ECfRICAL INSPECTION ee-ooooiAa
Sae, instroetims (ur eucpd¢tinq tbis tam m mek of retlas, eapr• `
A_Q74?1 q X"" Be%w Work Caveied by This Requesf 6 I g'7
Pdw,dAdd Reo- Trm ot Bui Wioo Aoolisnees M:red Eauipmen[ pired
M Fee ServicsEMSacsS¢a A Fae Fesders/Stibfacders i Fee Circmts
o w zoo Anips o ro ao Anq)s o to ao ,om
A6ove 200 Ant;F& 31 io 100 Amps 1 to 100 q
Swimning Pool A6ove lOD_Mqs Above 100_Am '
Trere,{prmers Irri tion Baars Partial'OtherF.ee_
Sigis Special Inspection g S TOTAL F?E?j
Ne?rks? ^OAd. V7/(/J.Q /A?? I ( ?••/
Rouph-in -? ? Da e \
^' Elecv
? ?IJ msnocw.. ne.ebr
Final %(.?J`
„` ();/r??
,y? rt:7p that the above
i? [ion has baeo
?
? Ir ?r r y?i !(/
7
/Ipsrepueairde78mon11slran "" "'
CITY OF EAGAN N° 10 3 6 4
3830 Pilot Knob Road P.O. Box 21•199 Eagan, MN 55121
" PHONE: 4548100
BUILDING PERMIT Receipt #
Te M med ia SF DWG/GAR Est yalue $110,000 DOte JUNE 7 1y85
SittAddress 1166 AQUARIUS LN erect 91 occupancv R3
?t 14 G1ILD PARK
glak 1 seclSuh Remodel
2ND ? 2o
ning Rl
. Repair ? Type
of Contt. V
Parcel No.
Addltion ? No. Stories
Name S. PETERSON CONST INC Move
li
h
D ?
? Lenetn
D
h 48
39
=
? qddms 4701 W 110TH ST emo
s
mtlmpc ? ept
sa. Ft.
Citv rnone 584-5144 instan ?
?
Su Adtlreea
? City Phone
a
WW Nama
?? Addreas
?u=i ? Name SAME AVMmaM fee?
City Phone
I hereby ackrwwledga thnt I haw reod
the intormation is correct ond ogree
Srota of Minnewta Stotutas and C/
Siqnmurc of VenniMaa
Asuument _
Woter 6 Sew.
A Bulldinq Parmif Is iasued to: ? -
all work shcli ba dona in xcordance with all
Buiidinp Offidal
Police
Firs
E^7•
%onnror
Council
state thnt BIdg.Off. E7 5 85
A0 ' ble APC
DOZ var. Dete
CONST INC
Stote
Permit . 0 Q
suroharge 55.0 C
Plan Revlew 2 2 9. 0 Q
SAG 525.OC
WaterConn. _ 500.0Q
Water Meter 63: 0Q
RoadUnlt 280_OQ
Tr.PI. 132.00
Parka
Copies
I Totai $2. Z42.04
_ on tM axpen ernditlon thai
ond Ciry o} Eaqan Ordinonces.
i
1r .
? z/84
3h _ a
CITY OF EAG\N
APPLICATION FOR PERb1ZT
• -' SE[•7ER AND/OR WATER CONNECTIODI
(PLEASE PflIHi)
1) PP.OPETtT`! ADDRESS: 1166 Aquarius Lane
r Fr=,L DES='I'±C`I:
(Lct/B oc}c ,. ^- vlsic or TaY ?3rce1 I.D. NL:.ber)
? ir ={I?__:G S--:7I:CT:v°, Di1Tu' 0F OnSGi:'.rli, Ei:,I"?.^•I::; ISSU:?:C::
_e
pprc= LTS:.': !' R-1 S=.G'i.: c,1tiII?,Y
? R-? CUP= M70 [,^:ITS)
? R-3 TCr,7NFMIcE (??'= - L`.]I^:S) ( L-N+I^_S)
? ic-4 ?,c_ ?m?-.?,/C':Zl.i-tr;r?•1 ( U7:Z^o7)
? CCi-^?Ci S./RE_"_`uL?Or c ICE
? ?.?UsTpz:-L
? '_'\SLI'^,'?'IC:iAi,/G;JW \.=.
z) APDLICi7n ?PLL.15[ r`nliii)
NAFtE; Svend Petersen Construction
ADCRESS: 4701 West 110th Street
CIT"!, STATE, ZZP: Bloomington, MN 55437 -
PHOLNE: 881 - 4155
3) PL`"'.M=? NA ,,?= GEN`Z-RYAHN i Pp?H FOR CITY UsE o,yLY
ADDi2ESS: 1474:1 J0. ROBM T-R,:,II#l PLUH9ER .YSE:
• Activ
cITr, sTA?, zrn: ftflSE?tOfI?ET M?! 55b5?? red
Ex
@
PHOiVE: Haicr.
423-1144" PLU4BER LILENSE p 1849M
j
ot af etord
Ge
' af? nttia
4) OCCUPANT/CT.VZ`!II2
DR11ME:
ADDRESS:
C1I"l, STAT'E, ZIP:
PHO`IE:
LYLtA?G YNli11J
5) RIbIG?i? ;0M2CH PER2•IIT IS BEZ.:C; FcECUESTED:
? C0.`1:IECtION TJ CZTY SETr]ER
? cONNnc:iev TO ciTY i,ATER.
? OTMER (PLG',SE DESC2IBE)
6) D:DZG,.:: C:LL.:
PL°.1SE fSOID APPRWID PEFtKIT FOR PICI:-UP BY ONE OF APGVE
M PIF.1SE +*'.1iL APPRCR7FD PF1Z•LIT TJ 1, 2, 3?j 4 ABCIS7E 's
(Circle one)
7) szcaTtRE: oAzE: ? /?J ?5
! R4W:0L?? i btl?.aftfA! ? o
F 0
PERMIT °- T_SSUED
C I T Y U S E O N L Y
F°T'S : $ z)(
. S?U
/-
T /?
t
S
S
$
/ S • U-?
$
$
$
$
$
$
S ? ??, o U
?!1!?!ll?fylJ?1?!!!lYCItaY •
C2."?+{nr.••t1T^ T?T'.?-..?_.. ?`_.-.'-..-.,
WATER PEF2P1?'^ (I`_.Ci?D : SuRC :Ac2Gc.)
WATER METER/COPPERHORN/OUTSl_Dv_ RE.`,DER
WATER TAP (INCLCDE COR?ORATIQ:] STCP)
SE;•iE4 TA?
--_...^.i;::_ ?'?C•S?_ - ?_..=r,
ACCOliNT DvP0SIT _ i.i%,':_^
W _;,C
SAC
TRliVX WATER ASSESS:'E:;T
TBli?;K SEP7ER y5SE55:'E:•iT
Lr`,TER+L BE:iEFIT/TRU`IiC SE:':ER
LaTEZcIL BENEFZT/TRUViC WAT°_R
OTHcR
$ TOTAL
$ 5I60
AMOL'NT PAZDjRECLl?T ; So17j?_
DOES UTZLITY CONNECTION REQUZRE EXC:,VATION I;V_pUBLIC RIGHT OF WAY?
L, YES IF YES, THEN A"PERMIT FOR WOR?i WITHI:1
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISZON. LIST AS A CO,IDI-
TTnv_
SUEJECT TO TIiE FOLLOWING CONDITZOD:S:
APPROVED BY:
TI:LE:
DAT°;
1 i"!s !fw mkJm lE = p! fJ! wfn Ra R? /! ?i? a?lg Rs wF w fo wsi* Ri P!OW !! fM M
?
- .: CASH RECEIPT ?
CITY OF EAGAN
I P.0.60 21-199
EAGAN, MIN SOTA 5511?A ?j
ie
wKearveo
AMOUNT
9
Z OOLLARS
?oo
[]CASH CNECK
• w ,?GC/ y.i "?^? -_ `
FUNO C006 AMOVNT
Pc
7? o o.,
7i v
Thank Youa2L
!
.
N_ 52732
White-Peyere CoOY
Yellow-Posting Copy
Pink-File Copy
- . _ - ?- ?? ?/ ' • ..
?
7985 BUILDING PERHIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS l7115T BE LICENSED NITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
t SET OF ENERGY CALCUL TIONS
?I I O, oOo, °p-
To Be Used For: A/1 Valuation: Date: 11?
Site Address: //,? 4? lq4,11tq,ef US G/-/ OFFICE USE ONLY
?.//LDt?W?Sro wAJ
Lot: -Z!Z Block / Sect/SubPRer< Erect
Remodel
Parcel N Repair
Enlarge
Owneky. ?E %??C',sc=,? cf 0AL45 ? i•? c?... Move
Demolish
Address 4"jp/ &el I /o-fi:'? s-?-- Grade
City/Zip Code /tf/-,G S ---------,
Phone ?v -,{ - sf 4z APPROVALS
Contractor ?',?yn L=
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone U
? Oecupancy ?
_ Zoning ?-I
Type of Const -\:Z:
Jk of Stories
Length l}5
DePth 39
Sq Ft
Assessments Permit t5a. ?--
Water/Sewer
? Surcharge 55.-
Police Plan Review 22q. s
Fire SAC 525. `=
Engr Water Conn 500.
Planner Water Meter (C3
Council Road Unit 2gp. °-°
Bldg Off6 Parks
APC Treatment Pl 22
Variance I /
TOTAL ?
OS ???
3
41to K 4 ( = IZos(,?>
S ?e? = 4v n4? ` ??40 _
2(? k qo ` lo¢o
.,
4- E)
57, o? 4 I = Z 2?f ca 0
Z(? XLS '(O?5 )(- 1 l ' ?( SZ)
Zo ? 28 - sLo ?,c ?3 = 72gc)
(o 4- 4- X 1? - `b372
I?? o(OG
3• *
4S8• +
+
%?_9• +
?25• +
500 - +
53 • +
280e }
1 32 ° +
:?242 • *
Certificate Por:
ASvend Peterson
DELMAR H. SCHWANZ
LANDSURVEVOR
Rpif\orM UnUor Lawf of Tbe State of Minnesoia
' 2876 - 746TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 86068
SURVEYOR'S CERTIFICATE
p a.a,? iN GA,vE
I°ti.k n ?`? ? a
I °-- - -
IM ? S
?•
Ia8•? --.. ?/ ?° 0?1 ? ??'.
rov N?g ?v 'f ? p ??i+
? p
O?/ ry /?/IOl off0
?a Se
? )/B-LV
0 tovNNe
? Drainage & UtSlity
? easement
LeT 14
? ?o51?u8
° 7oP
Iu
Bk: 38/38
y ol 17
PHONE 612 423•1789
SCALE: 1 inch - 40 feet
Elevations ahown are
exiating and based on
asaumed datum
o Proposed garage floor
elevation
M /l3•?e
??'" fn/ NMg
N
O
0
h
/ N 5. P EA?EnlEn'T
6586 .?:938-1q v B&.So 589-57-Z8u?
d-
I hereby certify that thia is a true
and correct repreaentation of Lot 14,
o B1oCk 1, WILDERNESS PARK SECOND
? ADDITION, according to the recorded
? plat thereof, Dakota County, Minnesota.
?
Also showing the location of a proposed
house as ataked thereon.
Dated: June 31, 1985
P
_ W/CDE,??VFSS /ZwN ?0.4D
t
? r'FC,'?l'?i•.?,
Y /
T ATION N0.8625
MINNESOTA REGIS ??
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118929
Date Issued:11/12/2013
Permit Category:ePermit
Site Address: 1166 Aquarius Lane
Lot:014 Block: 001 Addition: Wilderness Park 2nd
PID:10-84251-01-140
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 .
Chuck Glum
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 T Brown
1166 Aquarius Lane
Eagan MN 55123
Highmark Exteriors
11237 Nicollet Ave S
Burnsville MN 55337
(952) 882-8904
Applicant/Permitee: Signature Issued By: Signature
G
For Office Use 1
e i , RE�r. �,, Permit#:
/41
E AG A rsi
`+ e•+` APR 23 2018 Permit Fee: / 9 v "
.sem
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff:
buildinoinspections(c�citvofeacian.com L
1+-2-3-
7 2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: L-3- Site Address: 1\bL f16)ii F\rut ' LJ). Unit#:
BVI. �° ,i�,�
rp Name: JH loci) (4- 1 11kt. '�toko) Phone:
Resident/
Owner Address/City/Zip: \I(,C, RCv
Applicant is: Owner \)( Contractor
Type of Work
Description of work: DtCY
Construction Cost: 4.1060 Multi-Family Building:il (Yes /No )c' )
Company: a t4cc) ) 'v t. Contact: JcN+`1 M� N11')1t0 f Il
contractor Address: c15� seg(Qilt Pot KJ, City: ST,, f ASL
vj
State: zip:
r phone: c 3 Email: I!e ahc ►�Cv' oCcti
License#: pC J�1 Z4r 5 Lead Certificate#: T Ft c'C11 f 4- '
If the project is exempt from lead certification, please explain why: 'VA)
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 400uManta that you submit are considered to ubf forma"tr Portions of the info ation me*he
classified as non-public i fyou;provide specific reasons that would permit the City to" ";o . de that they arettr�de smperObstt y l
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.citvofeauan.com/subscribe.
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.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 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.
x M r kt; f vDt' x - /ea_
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE /,/ 4 A-Oai ttS 7/ . Neger e
SUB TYPES
Foundation _ Fireplace Porch (3-Season) Exterior Alteration (Single Family)
Single Family Garage Porch (4-Season) Exterior Alteration (Multi)
Multi 14 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
Valuation 41 z(Zbo:--- Occupancy j_-49....c.--( MCES System
Plan Review Code Edition inn Za/S— SAC Units
(25% 100%() Zoning "r? City Water
Census Code Stories Booster Pump
#of Units Square Feet Z PRV
#of Buildings 2 Length 1 Fire Suppression Required
Type of Construction v8 Width 2 O
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
'N'::, Footings (Deck) Final /C.O. Required
1 s Footings (Addition) }4 Final /No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: Ice &Water Final Pool: _Footings Air/Gas Tests Final
Nio 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: ( O► � /17);14. i` . , Building Inspector
RESIDENTIAL FEES60 j/ST -59 -FC-
Base Fee a . 57 • if
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Certificate for: /% .
•avend Peterson �L Bk: 38/38
+ yv� i7
14Y0 ' - // ,- utgI , L
1
DELMAR H. SCHWANZ
LAND SURVEYOR
Registered Under Laws of The State of Minnesota
M8- 1411TH STREET W.- BOX M ROSEMOUNT,MINNESOTA 55068 PHONE 612 423.1789
SURVEYOR'S CERTIFICATE
�,. u.v/e iu1 21/AvE
n �
16
00 , $T 57 E
101-k r 11 l 4/— SCALE : 1 inch 40 feet
IM t 41M Elevations shown are
4' yI existing and based on
!a8•? -�- �° a� Nu--
. �0f-1''ud assumed datum
roo /Al 14 iso ,re
?2 �tg- I0 1
14I-- "` c
n /x/rpfto tU Proposed garage floor
:1\1 �' �oNse it
fl 0 elevation e
Lp IIID 4d is e!► 1/1-116
r �y neO �' ;Iv-7W'NM 1
' N
0 ?oP/f"s Z D
Pk‘ Deck-7m y-zS_/k \
Drainage & Utility k
s easement
LO-T- f 4
I herebycertify that this is a true
� / 1. � and correct representation of Lot 14,
o Block 1, WILDERNESS PARK SECOND
,fb' ca ADDITION, according to the recorded
(�+ / a plat thereof, Dakota County, Minnesota.
f ,N.5.P. eweilJEA'T Also showing the location of a proposed
I . house as staked thereon.
--11Dated: June 31, 1985
ii, -Ol- za O
4r-
GS86 X 938- /9 Bb,So 589-•5.7- 2atAi
—• F�✓F5 m,v_ SAD
Adt7-14/9 . .1) Mr(1.-4/),--74- .71-
MINNESOTA REGISTRATION NO.8625