1308 Wilderness Lane ~ . ' ' ` OY~ ~~r`3 ~ ,;J_1
• s~ ~ "'~-7~' ~ - ~
~ ~ • 1 , 1 . ' J. ~ .
Y `
. . . . . ~ . . _
' t
~
~
:
. Citp of eagan
julr~arhurtu- p# iuilding iwrrtimt
ThlsCat:J'uau =Wprrrsrraxt to [he nquiirenm& ojSertion 306 ojthe Urrijorm Building
Codec"f*S Ma[ at the time ojissuanae thLs sducamwas !n conipliance wvh the ?wious ,
onffnwtm ojMe Cuy regulaft buildi»g ovrrsrrucaKos or um For rhe jollowd,ig:
vx answ=dm g M/M aw& Pac rb. 192l7
V 1
, Owncrdmdog Addrcac
t s
BwMmAddnaa Lo+u7 •
8/22/4 1
Dnc
~ Buadm Offiml
POST IN 4k CONSPICUOUS PLACE
~
V
i~`.. . S . s .
JUN 14, 1991
DATE:
RE: 1308 WILDBRNESS I.N (GEROLD BxOTHERS CONSTxUCTION)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
, Pubpc Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CAVPUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN OH.
~
'four Sewer & Weter Permit for the above property cannot be completed for the follo"
'reasons:
Your Sewer & Water Permit for the above property has been compteted, but the meter cannot
bs Issued or occupancy allowad urnil further notice. -
COMMEpCIAL PROJECTS ONLY: Ptease pay for meter at City Hall. Meter size must be
oonfirmed by &II Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
wARNWQ: BEFORE DIQGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEYELOPMENT DEPARTMENT FOR WATER TURN ON POUCY.
~
Secretery, Buflding Inspections Dept.
�_ � .,......_.,�... ..�.-..,.......
. .-----------------
" i i For Office Use ( �
' � j Permit#: I�� � .� ���
�16� Ol ����� I r ' Fe • `�j Q Vj✓���l�i
Pe m�t e.
3830 Pilot Knob Road � ✓ ��
i
Eagan MN 55122 ' �:�'�` G`� � Date Received: � %�
��. �,..,����
Phone:(651)675-5675 I I
FaX:{651)675-5694 , M�� l � ���� i Staff: i
v����������������J
2015 RE IDENTIAL BUILDING PERMIT APPLICATION
Date: S a�/ �'�'r Site A dress: ��O� hl i Idcr n e ss Ln Unit#:
Name: �--0 1 �1�G�'I'f"1�'1 Phone: �i�'J l� o��� -�S g�P
Resident/
4wner address i c�ty i z�p: I�io� W i Id erness (,�
Applicant is Owner ✓Contractor '" �
Type Of WOCk Description of��work: `,��►��ON)'7�GZ-T1��'l U�Gi L�
�
Construction ost: '� Multi-Family Building: (Yes /No�
I� Company: �'� �D�'I C1'' � �- Q'f"�►''— Contact: M 0.1'K -r.aG�'11�D�G1'" ,
�rp�p )r►9,►nc.
Con#ractt�r Adaress: �a'535Z�cr1cl$Iv� ciry: (�asc�o�-+� nt
state:M� ip; 55D6$ Phone:�v`J' 1-329-77�mail: 't�cndn��.arklt,.lc+�40�• co n�
License#: � ��a)�' C O►'t�7'• I�ad Certificate#: �.�- y3L3g-/3 •ao5(P l
If the project is exempt from leac�certification, please explain why:
COMPLET�THIS AREA ONLY IF CONSTRUCTIIdG A NEW BUILDING
In the last 12 months,has the Cit�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:
�wer&Water Contractor: I Phone:
Fire Suppression Contractor: Phone:
NOTE:P/ans and supportinq documents that yc�u subm�t are consldered to be Autr/fc informativn. Portfi�rr,s vf
the infar�nation�nay be c�as�ifled as non=public if you pravide specifie reasons t�hat wc�t�fd pe�rmit the City#a
' conc/ude that the are trade secrets.
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.popherstateoneca(I.ora
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 jcase of work which requires a review and approval of plans.
Exterior work authorized by a bulWing permit issued in accordance with the Minnesoia State Building Code rr�st be completed within 180
days of permit issuancc. '
X S� � •Sc h ro�ec��r X •
Applicant's Printed Name ' Ap icant's Signature
�i Page 1 of 3
�� � I vv ��v� �������. v��v�� ����v �.n�� �/����
� / / ,�
SUB TYPES � 1 `��� l�� 1�"�S ri "
�Foundatian � Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
� Single Family � Garage _ Porch(4Season) _ Exterior Alteration(Multi)
_ Multi _ D k _ Porch(ScreeNGazebofPergola) _ Miscellaneous
_ 01 of_Piex _ Lo er Level _ Pool _ Accessory Building
WORK TYPES I'
New Int�rior Improvement Siding Demolish Building*
Addition _ Malbe Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Re�air _ Egress Window Water Damage
_ Retalning Wall *Demolition of entire building-gtve PCA handout to applicant
DESCRIPTION
Valuation U �� • � Occupancy ��C=1 MCES System
Pian Review _� Code Edition r1 Zo�S SAC Units
(25%T 100%�) Zoning ���� I _ City Water
Census Code � Stories Booster Pump
#of Units _�_ Square Feet PRV
#of Buildings �ength 2�? � Fire Suppression Required
Type of Construction �_t� Width
REQUIRED INSPECTIONS
Footings(New Buiiding) Meter Size:
Footings(Deck) ' Final/C.O. Required
Footings(Addition) � Final!No C.O. Required
� Foundation HVAC_Gas Service Test Gas Line Air Test
Roof:ilce&Water _Final Pool:_Footings _AirlGas Tests _Final
Framing � Drain Tile
Fireplace:_Rough In �' Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing , Retaining Wall:_Footings_Backfill_Final
Sheetrock '� Radon Control
Fire Walls ' Fire Suppression:lRough In_Final
Braced Walls �, Erosion Cor�trol
I Other:
Reviewed By: T�IM ►M'•k�y►f}- , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review '�
MCES SAC I
City SAC
Utility Connection Charge'
S&W Permit&Surcharge j
Tr�tment Plant '
Copies
TOTA�
, Page 2 of 3
~
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # UqV uO 7PERMIT DATE Ub j 14 ;
3830 Pilot Knob Rd. 12066
~ Eagan, MN 55122-1897 CHIP ~ D I 7~2 7.3 PERMIT ~ I
I METER SIZE ~~~'~Su S B.P. RECEIPT # C 13 i
I DATE JUNP 10, 2991 ISSUE DATE B.P. RECEIPT DATE 06111,
~ xx PRV _ BOOSTER PUMP II
SITE ADDRESS 1308 iJ1LDER'~ESS LANE PERMIT REOUESTED I
LOT 11 BLOCK 2 SEC/SUB W LDERNESS PUNDS
x~J-~C X SEWER X WATER -TAPS
APPLICANT: r ~-t Gl ~f ~ . ~d'1 S •
ADDRESS: ~ 7d q aSt ' w - - - COMM/IND X RESIDENTIAL
CITY, STATE p ~6-t ZtP x NEW - EXISTING
PHONE: ~~Itt S ` 3111
PARSONS PLBG & HTG Lawn Sprinkler Meters are to be Installed
PIUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: 300 1 ST ST Cr it WILL NOT be given for Deduct Meters.
CITY, STATE MONITGOMERY Zip 56069
PHONE: 364-8801 /r
~
I AGREE TO C LY WITH CITY OF
OWNER: GEROL.D BROS CIONST EAGAN AN ES I
ADDRESS: 1204 280Tti ST W
CITY, STATE NEW PRAGUE ZIp 56071
PHQNE: 445-3171 IGNATURE W_HiN METER ISSUED
II
PLOA~E ALLOW ~TWO,WORKING DAYS FOR pROCES6ING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
~ . , . . . , . , -`~`v.+ ~ : . . . . . . . . . . . , . . . .
SEWER &WATER PERMIT OFFICE USE ONLY ~
CITY OF EAGAN METER ~ PERMIT DATE 06J 3 4/1' 1
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # PERMIT # 12U6n
^ METER SIZE B.P. RECEIPT # C 1389,
DATE 'JIULIF 10, 1991 ISSUE DATE B.P_ RECEIPT DATE nfz l l 2 f'• 1
Ky' PRV _ BOOSTER PUMP
SITE ADDRESS 1308 W1LD7;RNESS I.A^lE PERMIT REQUESTED
LOT 11 BLOCK 2 SEC/SUB WILDSRNESS POiiD3
APPLICANT: j c.-i r[ X SEWER X WATER _ TAPS
ADDRESS: 170`1 w - COMM/IND x RESIDENTIAL
CITY, STATE 10--~ ZIP K NEW _ EXISTING
' PHONE:
PAASONS PLSG & NTG Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: 300 13T ST Credit WILL NQT be given for Deduct Meters.
~ CITY, STATE MONTGOMEQY ZIP 56064
i PHONE: 364~-8801
f I AGREE TO COMPLY WITH CITY OF
~ OWNER: GLR4L9 RRUS L'ONST EAGAN ORDINANCES
! ADDRESS: 1204 280TH ST W
' CITY, STATE t4l`w pRAGUE ZIP 55071
I PHONE: 445-3171 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CO NTACT ENGINEERING DEPT.
~ CASH RECEIPT •
,
GITY OF EAGAN ~
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
FPIDM Olll I~l GJ ~ ri-~~ JT .
AMOUNT $ o2 ~ /1/>
i IJC~
& oOIURS
loo
? CASH ~CHECK
i
FUND 08,IECT AMOIMNT
Thank You
, BY ~tc~_~_~~ 5~:,. ~;-?T
C 13895 ~.~.c0"
~
- ~ AURtD r rE7sSMt (x)456-0391(W)454-7233 CITY OF EAGAN ~ 19217
__a•.
3830 Rilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
.
To be used f~• 8! Di1G/1130 . Est. Value =117,000 Date .1UNE 10 , 1941
.
Site AdcWess - 1308 VItJWRIMAQ tAHR
OEFICE USE ONl.Y .
Lot .1L- Block Z_ Sec/Sub. ~ ParCel No. Occupanry , ~~1 %-1 FEES
Zoning .
W Name - ~Bf~I.Q mm ~ (Actual) Const VII _ ~ 81dg. Permit = 6990~ ;
0 Add?esS 12A1? 280Tq ST V (alov+able) Yw Surchar
City ~ pR~UR Phone * "5-3171 # or siories _ ~ • ~ ~
Length 61-_ Plan Review 434•00 ~
o Name SAME oeom s-- sac, city 100000 i
Address S.F.Tolal - SAC,MCWCC 630•0011 ~
Clty PhOnB S.F. Footprints -
F On Site Sewage _ Water Conn ' 6~ .00 j
Name 09 site wen - water nneter 9s•Od ~
~~y AddfBSS MWCC System ~ 1
<W City Phone cirywa?er Acc~. ae~s'i
PRV Required S/W Permit =-.30 00 I
I hereby acknowlege that I have read this application and state Ihat the Booster Pump - SlW Surcliarge
intormation is correct and agree to comply with all te of .
Minnesota Statutes and Qty of Eagan Ordinances. Treatment PI 276~00 ~
Signature of Permite ir.~- APPROVALS qoad Unit
~oio
A Building Permft is issued to: GMLD UM CONSZ Planner - park Ded.
on the express condition that all work shafl be done in accordance with all Couricil ~
i applicable State ot Minnesota $tetutes and City of Eagan Ordinances. gldg, pff. _ Copies
~ Buitding Official Variance - TOTJ~L 5~~4~s•~ ~
L
' Permit No. Permit HoWer Date TNkphons #
WATER
SEVYER
.
PLLAASING 3 -880!
RYAC. 1~381 Ur* ~ g 344 - 80l
ELECTRIC
Impeen«, nOe Usp. comm.na
Footings I a-
Foundaiion 14117113 Framing 7~ 8
/
Roofing
Rough Plbg. /5 - 9l 3~ -712 p
! 4 Isul. Fre~
Rough Htg- KLx-w
Final Orslat Test Final P6g. PIb9. Inspector - NoGly Plumber
Const. Meter
EngrJPlan
Bldg. FinW -s" Q s
Dedc Flg. a
oock Final 3 es ~
weu
Pr. Disp.
1;&
p 18754,~
R
ReQuest Date o oug~m Inspecuon
Fre Reqwrea? Reatly Now r`fWlNOlily Inspxtor
a` - q\ = es C No ? when Featly+
I -ensed contractor p owner hereby request inspection of above electrical work at
Job AUOress (SVeet 6ox or Foute No.) DAY
r
Secuon No Townsmp Name or No Range No Cov
4 ~
OccvpdnllPRINTl n Phone No
Power SuOp t AQtless c
~ ~t .Ai ~ ?
Eie.cmcal Comrm Company Namel _ ConlraIcmr's License No
Mpmnq Aaaiass IGO ocmrtor Owner doking Installauon,
\ .:?-I ` ~"t~c ~ ~ nn{~'..~°~
AmhonzeC SiSn ICOnuaaon Making Ins~:rory -T ne Number
7SZ°-2 ~
J~
MINNESOTA STATE BOARD OF ELECTRIC THIS INSPECTION REOUEST WILL NOT
GriggsMltlway Bltlg. - Room 54)] BE NGCEPTED BYSHE STAiE BONRD
1801 University Ave. 5t Paul. MN 55104 UNLESS PROPEF INSPECTION FEE IS
Phonel61Y1601-0800 ENGIOSED.
CITY OF EAGAN NO 192 17
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE: 454-8100
BUILDING PERMIT Receipt # ~+?2g9 5
Tobeusedfor ` SF DWG/GAR Est.value $117,000 pate JUNE 10 1991 .
-4
Site Add,,ess 1308 WILDERNESS LANE OFFICE USE ONLV
Lot 11 Block Z SeGSub. ~LDERNESS POND
ParcelNo. occupancy R-3, M-1 FEES
Zoning R-1
w N2me GEROLD BROS :;ONST (ACtual) Const un _ Bldg. Permit ~ 699.00
0 Address 1204 280TH ST W (Allowable) un - Surchar e 58.50
City NEW PRAGUE phone 445-3171 k of Stones _ 9
- Lergth 69 Plan Review 454.00
~F Name SAME Depth 52-- sn0.ary " 100.00
o,g Address S.F.rotal - 650.00
~ CIIY Phone S F. Fo0(pnnt5 _ SAC, MCWCC
On Site Sewage - water Conn 660.00
~
Fw Neme On Sne Well - Water Meter 95.00
x' ; Address Mwcc system X]L 30.00
iw City PhOne Ciry Water gx Acct. Deposn
PRV flequired x)- ShV Permit 30.00
I hereby acknowlege Ihat I have read this apphcalion and state that the Boosier Pump - SnN Surcharge .50
inlormabon is correct and agree lo comply with all w e pf
Minnesota StaWres and Fil~f Eagan Ortlmance/<o-i 7reatment PI 276.00
SgnaWre of Permitee- -z- i APPROVALS Roatl Unit 37l1 . 00
A BuilAmg Permrt is issued to: GEROLD BROS CONST Planner - park Ded.
on the express condition that all work shall be done in accordance wnh all Councii
appl¢able State oi Minnesota iatutesand Citybf Eag/a/n Ordinances. Bmg. Off _ Copies
Bmlding Ofliaal Variance _ 7OTAL :l;3 e 423.00
~c~ , _
Address: 1308 WILDERNESS I.ANE Lot 11 Blk 2 Sec/Sub WILpgr~SS PONDS
These items were/were not complete at the time of the final inspection.
a e: 8/22/ql Yes No
Final grade (6" from siding)
Permanent steps - garage ~
Permanent steps - main entry
Permanent driveway
Permanent gas ~
Sod/seeded grass ~
Trail/curb damage
Porch
Basement finish
Deck LI/
Please verify with the buildar the removal of roof test caps from the plumbing
system and tha shut-off of vater supply to the outside lavn faucet before
freeze potentSal exists. tjq~
ncrciEOO..~e
Whi[e - City copy Yellow - Resident copy Pink - Contractor copy
C
PERMIT B 1~ CITY OF EAGAN
RtACTIVr~TE 1992 BUILDING PERMIT APPLICATION
681-4675
SING!E 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested nce ermit is issued.
Date J u?nP~ /-UD- / 199a Valuatian of work QQ,
Site Address: 13op W~ 1 cLeYn Ss
STREET SUITE /
Tenant Name: (commercial only)
tox E_ ar.ocx 2 sven. W;IdeYness Pon~S p•I•D• * I bg42?S I f 002
Descri tion of work: ~ EG(<
The applicant is: Owner 0 Contractor ? Other (Deseribe)
Name t~ e_Y d 4 P h o n e _39 1
Property LAST FIRST UJ oY I< 1-I a 33
Owner qddress I 3D ~ W~ IcL&x vAP_sc l_ aviE
STpEET STE N
CityC0.oc....~ State Zip
Company Phone
Contra ctor Address License # Exp.
City State Zip
Company Phone
Architect/
Eng(neer Name Registration IY
Address
City State Zip "
Sewer 6 water licensed plumber - Processing time for
sewer 8 water permits is two days once area has been approved.
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.
Signature of Applicant: .01
OFFICE USE ONLY
BUILDING PERMIT TYPE
O OI Foundation ? 06 Dup)ex ? 11 Apt./Lodging O 16 Basement Finish
11 02 SF Dwg. ? 07 4-Plex O 12 Mult1. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SE Misc. ? 10 Multi. Add'1. ~.~15 Deck ? 20 Public Facility
O 21 Miscellaneous
woRK nrPE
O 31 New . ? 33 Alterations O 35 Tenant Finish ? 37 Demolish
O 32 Addition D 34 Repa9r O 36 Move GENERAL INFORMATION
Const. (Actual) . Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water •~i
UBC Occupancy ~ 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
N of 5tories Footprint Sq. ft. Fire Sprinkler
Length a y~ On-site well CensustiCode c~
D?pth ~ 2• On-site sewage SAC CodE
APPROVALS Planning Building -z~ sz.,1c Assessments
Engineering Yariance
REQUIRED INSPECTIONS ? Site ~ Footing ? Framing ? Insulation
? Mallboard final O Draintile ? fireplace
Permit Fee vaiwcim: S
Surcharge
Plan Review
License
MWCC 5AC
City SAC
Nater Conn.
Nater Meter ,
Acct. Deposit
S/W Permit
S/W Surcharge ~
Treatment Pl.
Road Unit
Park Ded. .
Trails Ded.
Copies
Other
Total: .
SAC %
SAC Units
(~,z9•o ) DENOT[S EXISTING ELEVATION
(930.0 ~ DENOTES PROPOSED EL[VA'fION
INDICATES DIR[CTION OF SURFACC- DRAINAGE
930.33 = FINISHED GARAGE FLOOR ELEVATION
yZ2•6Z = BASEMENT FLOOR ELEVATION
930.66 a TOP OF BLOCK ELEVA'I'ION
~,~g ,•-30' I .
~ WILDERN~55 LAN
~
~9Z6`37/ w
924•7Ji ~ p
~9L6.a9~ o
~ O
Ll =
_ 26. 7o G= 75. 6S R= 3025. ~g
~Z6.3i I _ ~ (2 2 7, a)
925.5~ o ~
w ,3p'FRONT• BU/LD/NC~
ro ~ 0` 5E7Q9CK L /NE
~3 o, c)w
9i, V3033~ z6_z
\l N za, i''g ~Z.bo~ W.
99
6ARA6E o Z
/O.oO I ~ o \ J
6j
30,37 26.00 $ ~ 93o,°J Ul
- _ ~ PRoFbSED~
I 8 HOL/66'
/
i?.~ \ I~ , ~~ti9 I5 ~ ~
ORf//N/JGE 41vo
~ ~ .~_!e c T `vT
~ ~g za ~ Y ~
,
~
v
L~ J . _
. . 30 0~ En~;A?v ENGINr:~:9.IIdGDEr'1'
1 bernb aerlll llm Is I
y y 1 Ih Is a itua nnd cotreot reptasanlnllun ol o bncl ol ImlJ us Bhawn
eud da4arfbaJ hoeon. As piapoiad byma on llils' &d Jay ol ~?NE ~g~/
I .
~ ~ Minii, nPu. rio. ~baes
CITY OF EAGAN FOR CITY USE ONLY
3830 PZLOT KNOB ROAD /
EAGAN, MN 55122 PERMIT # /~.~d
. PHONE: (612) 454-8100 RECEIPT # l3~ I
PLUlI$ING;PE$MIT DATE: S /
RE5IDE~7?'IAi::~ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST X ADD-ON MINIMUM 15.00
ADD ON _ ja, SHOWER 3.00 L.G'G
REPAIR WATER CIASET 3.00 q, oG
! oZ. BATH TUB 3.00 ~G
Y 3.00
OWNER NAME: u S s~ R I t KITCHENSINK 3.00 3.O LAUNDRY TRAY 3.00 3- 019
SZTE ADDRESS: Z-?D S L.aA/f' HOT TUB/SPA 3.00
R 3.00 LOT:H BLOCSC SUBD. ~wli~llF~PtiPS'S ~d~ ~2 FL.OOR DRHIN 3.00
GAS PIPING OUT.
INSTALLER: ~.SDAlS" (MINIMUM - 1) 3.00 ~
ROUGH OPENINGS 1.50
ADDRESS : _ ~OD !S ~ _ J OTHER
/ WATER SOFTENER 5.00
CITY: ZIP: SEa O"r'; 9 PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE
SUBTOTAL $ yS~ 00
ST. SURCHARGE .50
SIG RE OF PERMITTEE
i TOTAL:
. . ~
COMMERC:.IAL/INDUSTRIAL.,i' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
: . .
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQiIIRED FOR EACH
DWELLING UNIT.
~
CONTRACT PRICE: FEES
OWNER NAME: I 18 OF COIdiRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. I $25.00 MINIMUM FEE.
I
INSTALLER: I CONTRACT PRICE x 18 $
ADDRESS: I STATE SURCHARGE $
CITY: ZIP: I
I TOTAL: $
PHONE ~
~ (SIGNATURE)
FOR:
CITY OF EAGAN
I
~
~
CITY OF EAIGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 4~54-8100
DATERECEIPT I
MERHdNICAI..Y~itMS'~ : 9/
RESIDUTTAI,;. PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS AREIREQUZRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ~ ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
OWNER NAME: BO
SUBTOTAL: $Z~2
SITE ADDRESS: J3D 8 L{///dGfPN~°~S f-c3 C'~ STATE SURCHARGE: .50
LOT:_1L BIACt: ~Z SUBD. TOTAL: $ 7~~
INSTALLER: -~~1eSBN~ ~~g
ADDRESS: ~~O S I S SI ATURE OF P^ ITTEE
CITY: l ~ ZIP:
PHONE
CQP44E$CIAL(INbIISTRTAT.:' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ZNDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLIING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
YRUi.E.cijEi: fliiNia ° a2_.~:0
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CIT'Y OF EAGAN
19/U I 17
CATION `
CIT OF ~
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL /
(
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH HLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER lATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS, TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation: Date:
r/Q
7
Site Address /3C79 Wi~(~rn~SS~aao J17 OFFICE USE ONLY
'
Lot Block , a DL) ~ FEES
Occupancy ~ M-( Sldg. Permit 69,00
Zoning 2 Surcharge $,SO
Parcel/Sub W~jOC,~-y~eS S 0z'V~AS Actual Const V-N Plan Review q5 ,p0
Allowable V-N SAC, City 1DOIDo
Owner 'K, # of stories SAC, MWCC laS01 Op
Length ' Water Conn. ' O.Oo
Address Depth 52 Water Meter Gs,ao
S.F. Total Acct. Deposit 30,no
City/Zip Code S 60~( Footprint S.F. S/w Permit 30.00
~t` ~ S/W Surcharge , ~-,ro
Phone 'L '1 On site sewage_ Treatment P1. 2r7L, 00
On site well Road Unit 3, qp, Do
Contractor -cc' vc,Q MWCC System ? Park Ded,
City water ? Trail Ded.
Address PRV ? Copies
Booster Pump
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change ~
Council TOTAL m5 4_rX~ y
Arch./Engr. Bldg. Off.
Variance
Address
n ~
City/Zip Code
Phone #
& G"' "n agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
V~LUATlO~~.,
~ . ,
Gar~AG~
aixl2~ 2sz.
~,ca2= y~1o
S _
68yx 15- l02~0
P>24A T,
zg k2~=
I X r o' (r o)
~
`l 1~3 X l`~ = ID052
~
~6X31= ~6Dbx53= ~!2'~Id
IA P tz2 L--r?'Z-~
(x12= 12
~ 2x~~1Z ; IB
35g I
~ 1~(01f ol~ L)
od~
; _ . . . _
C-~ERO[.D BR05. CONS'T.
NGI~Y,E6flING
P..-.CQMPRNY, # 357PLflNES a 1JAND BK is8
P667 INC. L IUUU LASi 14811t BTflEET, dUflN6VILL6, MII NE80TA 6633i PH 432"'31JU0
Certificate of Survey
Legal Description :LoT BLOCJC 2, !v/LDERNESS PON05
DAK074 COUrt/7Y i /NNE507A.
• ~~z9.o ) DENO IC-S EXISTING ELEVATION
(930.0 ) DENOTES PROPOSED ELEVA'I"ION
INDICATES DIRCCTION OF SURFACE DRqINAGE
930,33 = FINISHED GARAGE FLOOR ELEVATION
922.6z = BASEMENT FLOOR ELEVATION
930,66 n TOP OF BLOCK ELEVATIQN
SCALEi 1'.30' 1~`~0 REQU~~Eo
IV
~ WlLDERNES'S LANE
i926_37J
I W
924.77~ ~ ~ - - - o
I 9Z6.a9~ ~
O
N97°~'a~ E ~ . I
_ Z6 7o L= 75.=68 ,R= 3oZ5.08
927.0)
925.5) -4- o I~ 5 30 'FRONT-BU/L D/NC~
~ 93a, ~"TB~ICK L /NE
q, I ~ y29i, (930,33~ 2&:z
20.I g iZ.oo~ 14: 99
8 6A RA6E o Z
Ne, , ~30.~~ 1 I
~ ia,oo , r
' ~ Q3o.6i - \ o \ J
w~ 228_~` I u~ 1
30.37 26.00
g ~ 93a,v
I _ ~ PRoPoSED I o
h I8 H v5E~' c~
(930,q) ~ 91
~932,t~
LO~ C s :932,2;
~ /
~ C1 W~ 1 I - IJj ~ ~ OR9/N~IGE AND
' r,-vric~rs'-EASEYr T
6$ ~ `n
yn " ~
• ~`1' ~.~e , .
. . 3p 00 ~EssGART EIVG,RTEEf#. NG DEPT
I Iiereby aerlfly ihal ihis la a trua unJ aorreat reptesanlnllon of n trocl o( Imid na ahown
and deacrlbad hTi.on. As piepared byme on ihls' 3d day o( JvNE oy~
_ I
• ~
• ' Minn, Rey. FIo. lbo85
. , .
EXTERIOR eNVELOPE AVERAGE "U'I tOMPUTATtOH~ .
ONNEf1: ~~1Qrc5~U p'S f oS l_On,S
SITE ADDRESS: W.1 62f Na.SS Lav~ . ~1~~~c~
CONTRACTOR: Geco~ ~ J?~,ro s- Co,c f oaTE: Ilj~/Db 9( PHONE: yy,s 3171
~
i DETERMINE 1IORKING SOUARE FOOTAGE Of EACN:
.1. TOTAL EXPOSED WALL AREA, a 756 ~ sq f t x"U" • ~ ~ . 3~3.16
2. TOTAL ROOF/CEIIING AREA,,,,,,,, 1695 Isq ft x"U" 02kp_ ~ .3.$~.
TOTAL EXPOSED NALL AREA CAICULATIONS: '
Total exposed wall
area above floor,,,,,,,, a Q g~ sq ft
t ~
a) Total rrall Nindow aree: i
DBL qleZea...... 157.'7 sq ft x"Ull .31 . il8,q
- glezed..... I sq ft x"U" ~ - .
b) Total door area ,,,39, d\ ~ sq ft x"U" 43
I
c) Total sliding glass door_area: ~
glazed...... sq ft x"U" e3~
glazed..... I sq ft x"U" ~
d) Total fireplace wall area g~ I sq ft x"U" ,pq
e) Total wall framing area j
(Avera9e IOf,)........... na.7 ~ sq ft x"Un 0A ' ~S•~
f) Total net wall area above ~
floor (Insulated)....... ~~57 sq ft x."U" .U0-1
g) Total rim Joist aree........ 3,2 W I sq ft x"U" • u`/
I
Total fnundatlon I
area (Exposed).......... a+$b' sq ft .
I
h) Total foundatton
wlndow area 7.1 sq ft x"U" . •3~ a.a
1) Total net foundatton
area above grade........ sq ft x"U" .07 ~
. ~
3• ~ TOTAL a) thru i)
If (tem R3 Is the same as, or less than Item fI, you have met the Intent of
2 MCAR 1.16008 A and 0.
r~..~ i
• ? ~
TOTAL EXPOSED ROOF/CEILING CALCULATIONS:
Total exposed ~
roof/caTling erea........ 61 g S sq ft
Total skylioht area...... -O - sq ft x"U" ^ ~ -
k) Total roof/ceilinq framing
A area (Averaoe 109,),.... ~68•5 s I ft x"U" ~ 3~
1) Total net Insulated
roof/cellinq area....... I S16• s sq ft x"U" ~O a
b, TOTAL J) thru 1) , 33•7 ,
If total of 04 is the same as, or less than 02, you have met the tntent~c-'--~
2 MCAIt 1.16008 A asd 0. I
~
~
ALTERI BUILDIN ENVELI PE DESIGN
To utilize the total envelope system thod; the lalues establlshed by the sum
of Items 03 and 94 shall not be gr ter en the sum of items A1 and 02.
I. + 7.. I ~
3. + 4.
I
C E R T 1 F I C A T1l 0 N
I hereby certify that 1 have calculated the "U" factors and "R"
values here(n and that the buil.dinq here.descriAed meets or exceeAs the State
of N(nnesota Energy Conservatton Act.
s 1 qnalcurc
I
6i~%61 qr
, (Date)'
, • CONSTRUCTIIN ~ R VALUE
. ` NALL fRAMING SECTION:
1 Interlor'alr fllm Q.69
p 1 . s
3 I nches so c`+ooe p„27
4 4 3 w~ .g . .
• 5 a Ge~arLaP
~ Exter or a r m •
I TOTAL R ¦
U - i/R - . 09
uALI SECTION (IINSULATED)
' '1 Interfor air film f1.hR
2 1 ' ,BD
3 . R-19 ; er f
~ 4 3y' IL~~+n a. - 1~3
A Exterlor air fll ~•17
TOTAL R ~ 9,7.4
U ~ 1/R ~
RIM JOIST SECTI0f1: ~
1 Intertor air film ' n.68
2 - I Ae _/g
C ~ 3 ' ~ `1 So oo?~ /$9
4 w"i GoMp,Qa. 1.32
5 8"~_P~iar L.o~
b Exterilor air fl?m " ~•17
~ TOTAL R- 123.9
FOUNDATION INSULATI0t1 REQUIRED: U~ 1/R -,oy
Min. R-5 on entire wall OR
Min. R-10 down to frostl depth
FOUNDATION SEOTION:
D 1 Inter;ior air fllm n.I+B
Z I0~FOwM ' J e A~P _SPaCe fD.V
a•. s ia ' i c-,,,. i _ i. arr
~ '-'Ar 4 Exterlfilm 4.17
0•'A .a. G (S i
~Q:n•.' (6 I
a. ::f 4 I TATAL R~ iA.53
U ~ 1/R - . D7
~
SLAR ON GRADE
i
~Q' I .4•.. u'•"Q'4~~
.a• I ~ ~ ~ 4~ t, • ~ ~:'a'.'.•`~
,•`,L~•q•;'1/• e ~ . . ' . Q t
~A.1`~.'~.'d• ,Q~•\1 ~1/ ^ /i..i y l~t, . ~~..i~r•~
(
, 6 ~ ~ ~1~: " ~ • • ~ ~ Q'
Heated Slabs: ~ ~ti~ ~ •
Minimum R = 8.5 ~4. , d'..
~..4. Unheated Sl'abs:,
Minimum R = 6.2 ' 4. • Q.' . ~
•
d ~p 4~' - ~ Page 3
. ~ r,~. • . ;1 ff
~ • I
, • , COUSTRUCiION• R VALUC
• CEIlI1NG SECTION (INSULATED):
Ij loterlor air fllm O.R
2 ~ 56
3 16" a sS
3 4 Exterfor air ftlm sttll n./,1
TOTAL R ~ 49,78
U ~ 1/R ~ •Oa
2 5 CEII:INf. FRANING SECTION:
1 Interior air film ~.61
2
~ . S6
AIR VENTED ~ 3 iaN
4 Interlor alr film-Astifil Q. 1
FLOW
5' 3 inches so t WooA ,3S
TOTAL.R - .l3
U - 1/R . o;t
CEILiNG SEf,T10 (IHSULATEl1)•
1' Interlor Tr fllm n.61
2
3
4 F.xterior a Im stl 1 n. 1
~ TOTAI R ~ _
U~ 1/R~
: -
I Lo Lc3 4 5
~ ~CEIUNr, FRaMINr, S CTtON:
I I. Interior a r film 11.61
VEN.TED 2
3
. 4 Exterior a r m stll 1'
S Inches ft wood
TAL R ~
110T
1/R ~
3 4 5
.r. ••:=~:.V~~':~":::~ IvJ ' 1 InsiAe alr Ilm o.FI
: -x%•+• 3
2 .
4
5 OutsiAe air ^•11
1 2 TOTAL R -
~ I U- I/R`
Page 4
: . • .
GUIDELINE TO (R) FACTORS FROM ASHRAE MANUAL
OF TYPICALLV USED PRODUCTS
AIR FILMS ~ SHEATHING 121
[nterior Air Film Walls 0.68 3/,4" Mood Subfloor or Sheathing 0.94
Exterior Air F11m Walls~ 0.11 112" Plywood Sheathing 0.62 Interior Air F11m Yented Ceiling 0.61 1%2" Particle Board 0:66
Exterior A1r F11m Yented Ceiling; 0.61 6ypsum or Plaster Board 3/8" 0.32
Interior Air Film Non Vented 0.61 Gypsum or Plaster Board 1/2" 0.45
Exterior A1r F11m Non Vented 0.17 Gypsum or Plaster Board 5/8" 0.56
Plywood 3/8" 0.47
• Plyvrood 1/2" 0.62
BLOWIN6 WOOLS Plywood 314" 0.93
Approx. 3° 9.00 Sheathing, Reg. Density 1/2" 1.32
Approx.. 4 1/2" 13 ~ Sheathing, Reg. Density25/32" 2.06
Niil-Base Sheathing 1/2q 1.14
Approx. 6 1/4" 19.00
Approx. 7 1/4" 24.00
Approx. T4" 30.00 ROOFS
Approx. 18" 40.00 Built-up.Roofs 0.33
All other insulation materials must Asbestos-Cement Shingles 0.21
be verified (R Factor) Asphalt Roll Roofing 0.13
Aisphalt Shingles 0.44
INSU~IO~N
Insulation: 2-2 3/4" Fiberglass 7.00 S-IDING
Insulation: 3 1/2" FiDerglass 11.00 Aluminum Siding 0.61
Insulation: 6" Fiberglass 19•00 A~luminum with Backer 1.82
Insulatton: 3 5/8" Flberglass 13.00 Aluminum with Backer 3 Foiled 2.96
Insulation: 9" Flberglass 30.00 1112 x 8 Lap Siding (Mood) 0.81
Insulatfoo: 12" flberglass 38.00 7/16 x 12 Hardboard Siding 0.67
Insulation: 8" Cellulose 29.00 ' Asbestos Sidings 1/4 Lapped 0.21
Insulation: 10" Celtulose 37.00 Stucco (Brown and Finish Coat)
Insulation: 12" Cellulose 44.00
Insu]ation: 1 1/2" Thermax 12.00
Insulatfan: 2" Thermax 16.00 DOORS ~
WOODS - ll 3/4" Solid Core Door .46
w/Storm, Wood .31
Fir. Pine 8 Similar Soft Moods w/Storm. Metal .26
1 1/211 1,89 Pease Steel Door Insl/N/GL 7.45R .13
2 1/2" 3.12 Sliding Glass Door. Wood .65
3 112" 4.35 I Metal .12
5 1/2" 6.81
CONCRETE BLOCK WINDOWS
~ .
8" Concrete Block (S 6 G Reg.) 1.11 A11 Windows
(Filled with Yermlculite) 1,93 J(w/Storms 1" to 4" Space) .56
12" Concrete Block (S 8 G Reg.),. 1,28 Removal Double Glazing (RDG) .55
(Filled with Yermlculite) 3.15 Therrta or Welded 3/16" Air Space .69
8" Light Weight 2,18 1/4" Air Space .65
(Filled with Vermiculite) 5.03 112" A1r Space .58
12" Light Weight 2,48 (Other windows specifically tested
(Filled wlth Yermiculite) 5.82 can use better ratings)
, Page 5
~
5~ 1 q O RESIDENTIAL
1 IBUILDING PERMIT APPLICATION ~
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Naw Construclion Recuirements RemadellReoair Reouirements
• 3 registered site surveys showing sq. R. of lot, sq. ft ot twuse; and all roofed areas • 2 copies ol plan
(20%maximum lot wverage allowed) . 1 set of Energy CalculaGOns (or heated adCiGons
. 2 copies of plan showing beam & window srzes; poured found design, etc.) . 1 site survey brextenor addifions S tlecks
• 1 set of Energy Calculations . Indicate il home served by septic system for additions
• 3 copies of Tree Preservation Plan dlot platted aker 711193
. Rim Joist De[ail Options selection sheet (bldgs xath 3 or less umt5)
6- i9-o,t ~3
DATE ~ VALUATION 94370
SITE ADDRESS MULTI-FAMILY BLDG Y
TYPE OF WORK ~ 0FIREPLACE(5) _ 0_ 1_ 2
APPLICANT Ga'Sfti~w I~oaf`~.j
STREETADDRESS 4700 /3~fjlp ic/ CITY P~ STATEAra/ ZIPt~W
TELEPHONE # Zc?- gY1-12136Y CELL PHONE # FAX #
PROPERTYOWNER Ld.4 rSC 5c4 /,64,6 ng TELEPHONE# 651-687' OSOE
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ N~{INNISOT:\ RULFS 7670 CA'1'LGORl' I MINNL•'SOT:\ RULLS 7672
(J submission type) . ResidenUal Venblation Cateqory 1 Worksheet Su6mitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includcs: _ Wa[er Softencr Liwn Sprinl:ler Pce: $90.00
Water Hcatcr \'o. of R.I. 13aths
No. oF 13aths
Mechanical Contractor. Phone k
Mcch.mical systcm incluclcs: Air Condiuoning Pcc: $70.00
Sewer/Water Contractor: Heat Rceovcry Systcm i Phone # r
---~_l,lN.2_Il.2DIl2-- ~ly
-
I hereby acknowledge thai I have read ihis application, state that ihe information is co t, and agree to co with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Y
Slgnature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 76-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12•plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ' ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MCIES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs • Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foo[ings (new bldg) FinaUC.O.
_ Footings(deck) FinaWi o C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PPLICATION
~°s~,•,";;~;zoos RESIDENTIAL PLUMBING PeRMiT a
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675I5675
NOV ~02D06
Please complete for modifcations to existing residentiai di ellings.
i
Date 4z / 9 9 !
Site Street Address Unit #
Property Owner 'p Telephone # ( )
~
Contractor 9 UhJZW ~ Vt lJC ~ Telephone #q5a)L_1?6_,°-1V
Address City I' ff / StatelW Zip52gj
The Applicant Is: _ Owner xContractor I-Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling I $ 50.00
_ Add plumbing fixtures. This fee includes instalfation of a water softener and/or water
heater at the same time. If you are instaNing orilv a water soffener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment _Water Tumaround (add $130.00 if a 5/8" meter is required)
_ Other: I
_ Water Softener Water Heater $ 15.00
_ new ~ replacement
_ Lawn Irrigation _RPZ _PVB _ne I _repair _rebuitd $ 30.00
State Surcharge $ .50
Total I '
$C~.
I hereby apply for a Residential Plumbing Permit and acknoivledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in -
accorda with the approve ~lan in the event a plan is req'uired to b eviewed and approved.
App ca t's~Printed Name I p ica 's Signature
í
ÿ
ýúú
þ
ý
ÿ þþü
ûÿÿ ù
ÿ ï
ø÷ÿÿ
ÿ
ä
ÿ
ø
ë÷ù
á ÿ ÷
ûúù
ø ÷ûúù Ü
ÿë÷ù
êôç
ÿ÷ù
áÿ
ìí
ù
ú
Û
Ý
ðù÷ âð ÿ ðð
ú÷Ý
÷ÿð ÷ÿ
ü÷ ðÿåá ðúèñ
ð
ÿ üÿù ù÷ ÷
å
á
÷ü ð ÷ÿ
÷÷Ý
÷üú
ô ÿñ
ðú ðÿå
ÿëæìîæääåäåä
÷û
÷
÷
ÿ Ú
æåãåã
Ú
ìýå
öñô
ø óò
ùù
ö
÷
ö ðû ÿï
ß
õåë
÷âôâìäø÷ÿÿ
ï ÿâóõìþ
óõì
êçìì×
÷üú
ô
â÷
ÿ
ùù
ÿ
ñ ÷ð
ÿ ÷÷
÷ ðùúô
ùù
ü
ñóÿ
ÿ
á ú ñþ
í÷
ÿå
ùù
è
÷ð
ÿÿ
ú
÷
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124978
Date Issued:07/16/2014
Permit Category:ePermit
Site Address: 1308 Wilderness Lane
Lot:011 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-110
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 .
Blake Rothnem
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 -
Randal J Schlichting
1308 Wilderness Lane
Eagan MN 55123
Veterans Integrity Exteriors
16522 Edison St NE
Andover MN 55304
(612) 328-7815
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA135795
Date Issued:04/05/2016
Permit Category:ePermit
Site Address: 1308 Wilderness Lane
Lot:011 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-110
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Randal J Schlichting
1308 Wilderness Lane
Eagan MN 55123
(651) 767-2628
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154832
Date Issued:04/15/2019
Permit Category:ePermit
Site Address: 1308 Wilderness Lane
Lot:011 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Randal J Schlichting
1308 Wilderness Lane
Eagan MN 55123
(651) 210-8586
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(641) 670-7051
Applicant/Permitee: Signature Issued By: Signature