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1237 Wilderness Park Cir CITY OF EAGAN Remarks Addition~ Cl~ a Lo, 10 Bik 1 parcel 10 8112 50 100 l11 Owner/d d~ street 1237 Wilderness Park Cr. sta,e Ragan=_5 123 Improvement Date Amount Annual Vears Payment Receipt Date STR E ET SUR F. STR E ET R ESTOR. GRADING SAN SEW TRUNK ;e)l 1973 176.o5 8.8o 2 SEWER LATERAL ' WATEFMAIN WATER LATERAL WATER AREA R ECT 'JI(,ASTORM SEW TRK ..f~ 1983 368.96 24.60 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 122 6- -76 320-00 BUILDINGPER. 2 3iZZ -7-7 snc LL50.00 3122 -7-7 PARK 120-00 3106 -3- CITY of EAGAN Nj2 3972 BUILDING PERMIT Owaee ]~.c~~.yti 3795 Pilo! Knob Aoad . . . Eagan, Minnesois 55122 Address (Pre/se/a!) _./.--J 454-8100 Builder 114. . ,7 ~ . Addrats .A ~ ss9~7 , ..7fp.. ~ IQ~ ,ll, i........ Dele DESCAIPTION ~ Storiac To Be Uaed For Front DeD!h Fiei9hf Eef. Coa! Permi! Fee Rsmerks ! - e LOCATION ~ StreeS, Road or oiher Descriprion of Loeation I Lo! Block Addifioa os Tree! /023 7 I/I/ 1~ ~ This permit does nof auihorise the use ot sireels, roads, alleys or sidewalks nor doas it give the owees os his ayent tha righ!!o ereate anp sifuafion which ia a auisance or which prosenis a hesard !o the healSh, safetp, conveniance and general welfare !o anpoae in the communify. THIS PEAMIT MUST BE NEPT ON ~THEPREMI3E WHILE THE WORK IS IN PRO . This is !o eertifp. lha2..Q.-./rd'=.-r.-.:~..!...... - ..._-.haspermiscion !o erect a.. :.._u 0~ ~1 poa . the above described premis/e ~ubjeci to the provisions of all applicable rdinanc for i6e C' 2olagan . _!............y.. Per - . . G may9d ~ BuildinQ Impeelor ' Eagan Township pEAMIT x~o. . ..,Z/ . Dakofa Countp, Minnesofa Dafe ;1~-_.._... . , ~ Apglication for Bailding Permit Tppe of building or work tonlemplafed. Circle corxect descripiions. Aesidenfial Commereial Indusfrial OSher---------------------- Evild Enlaxge AlYex Repair Inslall Movo Wreck OfSer Dimensions Coat... Datails or remarks........... Locafion Number Sireet Belween what cxoss sireeis Sizo Esi. Valuation Loi Bloclc Addii?on Rearrangemeni or Traaf owner - - ~AN.G?........~R-~~•~P---------------- Addxess - . . - - - ContractorSVEND......f'.ET.~RS_En/ Address t~PLs.:..5. 3-7 The undersigned hereby mekes apnlicafion for a permit fo do wo=k as hesein apeoif'sed, egreeing !o do all worlc in siriai Total fee collecied. aecordance wiSh !he buiV ing ordinance adopfed April 11, 1955 by !he Eagan Tow 3 oas €S ervi ors. Permi2 fees are no1 refundable. L - - - 5igned So ioo a ! GcJ CLTY OF EAGP.N 3795 Pilot KnoS fioad Eagan, b?innzsota 55122 • PERNffT NO.: 699 The City of Eagan hereby grants to Project Plurmbing Co. oY Mple. _ a Plwnbing Permit for: (Owner) Svenn Peteraen at 1237 Wilderneas Park Ci;c~arsuant to application dated _ 7/76 Fee Paid: $20.00 dated this 9 day of .7u1}! 1g 76~. .50 s/c Euildir,g Inspector Mecharical Permits: Sid Total: Ler' /a /~3/lr/, ldpark ndd h , -C1.TY OF EAGAN 3795 Pilot Knob Road Eagan, b?innesota 55122 PERNffT NO.: 86t The City of Eagan hereby grants to Genz-RVan Heatine F AliimM ny o£ RoBemoiint a HF.ATItaG A/C . Permit for: (Owner) Svenn PetPra n fbnnt_ at k~37 Wilderness n~ Circ~e pursuant to application dated 7/R/7A Fee Paid: $20.00 dated this 14 day of _,Tyly ~ 19-7r - .50 s/c Bailding Inspector hlechanical Permits: Bid Total: YILLAOE OF EAOAN ac..~.n • ~ ~ Pilo_,:tnob Rood PERMIT NO 2765 379: 7/9/76 Eogan, MN 55121 DATE: 1 Zoning: RI No. of Units: Owner: Sv nn Petersen Address: Sice Address: 237 Wilderness Park CiY. L10111 WP Plumber: Pro'ect Plumbin 100.00 pd 6/7/76 #3122 350.00 pd I ogree to comply with fha Villoge o4 Eagon Connection Charge: Ordinancas. Account Deposit: 10. 00 pd Permit Fee: Surcharge: BY: Misc. Chargee: Date of Insp.: Total~ Insp.: Date Paid: WATER SERVIC~E1PERMIT yILLaGE uf-EAGAN pERMIT NO.: 3795 Pilot Knob Road DATE: 7/9/76 1 Eogae.MN 55122 No. of Un[ta: Zoning: rsen svenn Ownec ~ ar Address: Site Addresr. -1237 Wi1deIne59 Park Circie ~ Plumbe t Plumbin ~6~~~-~- r: ~~Q~ O ~ ~ ~ Connection Charge59~-Q Meter ~ y pccaunt Deposit: Size: fl io.oo P-d_ e- Permit Fee: 50 Pd uMisrchar~'e~ O ~ llage of Eagon S ~r No.: " tzwn c ChargesTatal: Date Paid: Insp.: Date , 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan nfelM) ~nl 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements RemodeVReoair Reouiremenis OKce Use Onlv 3 registered site surveys showirg sq. ft of lot, sq. fl. of house; and all roofed areas 2 copies of plan Cert ol Survey Reo! Y N (20%maximum lot wverage allowed) 1 set of Energy CalcuWhons for heated addiGOns Tree Pres Plan Recd Y_ N, 2 wpies of pWn showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y N 7 sel ol Energy Calculations AddRion - indicafe d on-sRe septic sysfem Oo-site Sepfic System _ Y_ N 3 copies of Tree Preservahon Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less uniLS) Date Constructian Cost Site Address f Z37 (rJ~ L-/)•p,Y&A.6J d/74' CK Unit/Ste # `5~-& Description of Work Multi-FamilyBldg _ Y ~ N Fireplace(s) _ 0 x1 _ 2 Property Owner /A-) j~//1V ~~`Gr Telephone p(1p~? )[.2bl - 6Zc`3/ Fireside Hearth&Home Contraccor 14399 Huntington Avenue • Address Savage, MN 55378 city State 952.736.7761 _ Telephone ik ( ) ~ ` License #20512060 , COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catekorv 1 Minnesota Rules 7672 Energy Code Category . Residential Venhlalion Calegory 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In ihe last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a masier plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ~ Mechanical Contractor Telephone J Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that [he work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes, I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan i he case of which requires a review and approval ofplans ~ t , ~ 0 g` ~w~j Applicant's Printed Name Ap icanPs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling 0 OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replecement 'Demolition (Entire Bldg) • Give PCA handout to appliwnt Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Fina]/No C.O. _ Footings (addition) _ Plumbing Foundation H VAC Drain Tile Other Roof _ Ice & 1Vater _ Final _ Pool _ Ftgs _ AidGas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Drick _ Fireplace _ R.I. _ AirTest _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total L ~ ~ i.~, ?a~t'e,t tT~ ~ ~ ~S 0 ~~..a ~.c.,tic ~ ~ Sc~ li S~U S, 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 Nen ConsWClion Reauiremenis RemodeVReoair Reauiremenis Offce Use OnN 3 registe2d site surveys showing sq. ft ol lot, sq. ft ot house; and all rooted areas 2 copies of plan CeA of §urvey Recd _ Y_ N (20% marimum lot coverege allowed) 7 set of Energy CalaWtions for heated additions Tree Pres Plan Recd -_Y _ N, 2 copies of plan showing beam & wintlow sizes; poured tound design, etc. 1 sile survey for addibons 8 decks Tree P2s Requlred -_Y _ N 1 setof Energy Calalalions Adtlifion - indicate i/on-srte septic system On-site SepEc System _,_Y _N 3 copies of Tree Preserva6on Plan M bt platted after 711193 Rim Joisl Detail Options seledion sheet (bldgs wiN 3 or less unAs Date _9_ Construction Cost 600 Site Address I~~"1 UniUSte # SSl<3-3 Description of Work n o.est J~ n S r t~tc ax~siln- ~o o~nm Multi-Family Bldg _ Y~+c N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner Telephone#((61 ) (a$I-0,;Z-ca~ Contractor L-o Address d City ,S-~_ State Zip 15- l 1'-l Telephone #((as I) ~255 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy CodB Category , Residential Ventilation Ca[egory 1 Worksheet • New Energy Code Worksheel (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan wiih a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ~ Mechanical Contract Telephone ) SEP 0 9 2004 Sewer/WaterContract Telephone#( ) By I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case oF work which requires a review and approval of plans. N v-ir~ mEc \r~ o ApplicanYs Printed Name Applicant's Signatu OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCemBnt 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framiog _ Sidmg _ Smcco _ Stone _ Brick _ Fireplace _ R.I. _ Au Test _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total W14(, RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ~44~ Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeVReoair Reauiremen4s OKce Use Onlv 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey ReW Y_ N (20%manimum lot coverage allowed) 1 set of Energy Calculatlons for heated additions Trce Pres Plan Recd Y_ N 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addNOnS & decks Tree Pres Reqd Y N lsetofEnergyCalalations Addifion - indiwtei/omsResepticsysfem On-siteSepticSystem _ Y _N 3 mpies ot Tree Preservation PWn H bt platled atter 71153 Rim Joist Detail Ophons setection sheet (bidgs witlh 3 or less uniLs Date Y Z / 16 / U 3 Construction Cost Site Address 12- ' ~ 1/Vi L-/7cY/~tr<S /'A^..%G (7i~ UnitlSte # Description of Work lSfl'~~i~C~"1' 147 Nl 5/'1 Multi-Family Bldg _ Y X N Fireplace(s) k 0 _ 1 _ 2 Property Owner rC-y 1VJ whYLrl GC Telephone S-I ) G~~ b 2 6( Contractor /1'llr-f- 10 ir-~ Ef'rLTN-N~ C'o,^rS7nu&J101,J Address 62`/o F i2T~ct A?e City CtGf~-Slow State Mj Zip 5 ti 3 3 1 Telephone 571 9/'19 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code CategOry . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (Jsubmissionrype) Submitted Submitted • Energy Envelope Calwlations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone , ~~~~5 ~ ~ anm Sewer/WaterContractor Telephone#( U~r a ` ~ I hereby apply for a Residential Building Permit and acknowledge that the informati InlYs-comple Qd--acr-urlate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. M 1 C -~-¢e-G /I v,nn ~i~rYr~ v~~ Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex X 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbgYY or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair X 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant ~ Valuation ~6w Occupancy RMClES System Census Code ~J3 y Zoning R- r City Water ~ SAC Units - Stories Booster Pump Nbr. of Units - Sq. Ft. PRV - Nbr. of Bldgs ~ Length ~ Fire Sprinklered J Type of Const -7/7- Width - REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ~ FinaUNo C.O. _ Footings (addition) Plumbing _ Foundation j~ HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs AidGas Tesis Final ~ Framing _ Siding Stucco _ S[one Fireplace R.I. Air Test _ Final _ W indows (new/replacement) ~ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies -Z S Other Total PLUMBING (RESIDENTIAL) Permit Application ~ - ~ ~ City Of Eagan 3830 Pilot I{nob Road, Eagan Mn 55122 ~E~ Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for. Single Family Dwellings Townhomes and Condos when permits are required for each unit Date 1'J / / 0 ~ SiteAddress 10z 37 LCIt(d er nGSS /Xf R ~~PCI 2 Unit# Proper[y Owner Gr erG 4C11 W d-ir W!{ t° Telephone #(~O.r/ Contractor TtC4 CelcC //vmY1i 6 CO Address 9&)/0 #a rr'eT City J l ~om i ti r,'Fc State 14" K h e 5 (9 ~g Zip JTya2 Q Telephane # FlS;o ~ Sl - 3 3 55" The Applicant is _ Owner _ Contractor _ Other Septic System New _ Refufbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 L Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround/ 5!8" meter if needed -$121.00) Other. 1~ a-t,-Q `M_C V~~ ~ Y\ _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system 1 Water softener _ Water heater $ 15.00 replacement additional f'', n FF°I ~ H A~, .50 State Surcharge ~ III~I 50 Total gy I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and aceurate; that the work will be in conformance with the ordmances and codes of lhe City of Eagan and with the Plumbing Codes; [hat I understand this is not a permit, but only an application for a pemut, and work is not to start without a permir, that [he work will be in accordance with the approved plan in the case of work which requires a review and approval of lans. ApplicanPs Printed Name Appiicant's Signature RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New Construction Reauirementa RemodellReoair RequiiemeMs • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house, and ail roofed areas • 2 copies of plan (20%mazunum lol coverage allowed) . 1 set ol Energy Calculations for heated additions • 2 wpies of plan shovnnq beam & window s¢es; poured found design, etc.) . 1 sile survey tor ezlerior additions 8 decks • 1 set of Energy Calculations . Indicate if home served 6y seplic syslem lor additions • 3 copies of Tree Preservation Plan if lot platled aNer 7/1/93 • Rim Joist Delail Optwns selecUOn sheet (bldgs with 3 or less uniLs) DATE ` l0a VAWATION LQ.t (/v V SITEADDRESS I2""5, \,3'AGC'-'(?\eSS 'YY- Uk-~a-e MULTI-FAMILYBLDG _Y ~N TYPE OF WORK Q-e- e-c3z'Yc- FIREPLACE(S) _ 0 X 1_ 2 APPLICANT ::~-7rCkC.lNe-~\ 4~f7.C?~~Lp STREET ADDRESS Sw^c~ CA..5 S,JT CITY ~ a-~- STATE ~ ZIP,2S-1 ~ TELEPHONE #~SI- c~ Ff1-Ud 8( CELL PHONE # FAX # PROPERTYOWNER "~fTELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNI:SOTA RULES 7670 CA"fLGORY 1 MINNF:507'A 12ULF,S 7672 (4 submission type) • Residential Ventilation Calegory 7 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculatlons Submitted Plumbing Contractor. _ Phonc # Pluuibing systeiyl includcs: WaLer Soltcuer Lawn Sprinklcr P'cc: $90.00 Watcr Hcatcr No. of R.I. Batlis No. of 13atlis Mechanical Contractor: Phone # Mcchanic:il systcm includcs: Air Condilioning P'cc: $70.00 I-Ical Rccovcry Systein r~H T ~ Sewer/Water Contractor: Phone # ~ n UG 1 4 2002 ~i uu I hereby acknowledge that I have read this application, state that e inforrr~ation is orrect, and agree to co ply with all applicable State of Minnesota Statutes and City of Eagan i anaes By- I Slgnature of Applicanf OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-ptex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex O 11 10-plex ? 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 'Demolitlon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MCIES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaVC.O. _ Footings (deck) _ Final/IQo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucco S[one _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MGES SAC Ciry SAc Water Supply 8 Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit license Search Copies Other Total RESIDENTIAL ~ • " BUILDINC PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 ~7 U S 651-681-4675 New Construction ReouiremenH RemodeUReoair Reouirements 5~- 3 registered site suneys showing sq. ft of lot, sq. ft. ol house; and all roofed areas • 2 copies o( plan v" 'v (20%maximum lot wverage allowed) . 7 sel of Energy Calculations lorheated addNOns • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for extenor addiUons & decks • 1 sel of Energy Calculations . Indicate it hane served by se0tic system tor additbns • 3 copies ol Tree Preservatron Plan if lot piatted after 711193 . Rim Joist Detail Optians selection sheet (610gs with 3 orless units) DATE e '0 -0 VALUATION SITE ADDRESS /a3-7 cv ,/a~n/jess `i"A/CK C/rCCC MULTI-FAMILY BLDG Y N TYPE OF WORK De~-k fIREPLACE(5) _ 0_ 1_ 2 APPLICANT C0.CYlt' _ k~avsTati ( " 6v71?~cT~?9 STREET ADDRESS l.S a/7 O/~9C4niW !-UCs CITY 6015c.v//e STATE[11,,/ ZIP -5-V0H TELEPHONE # 05;2-65*P •o~o~ CELL PHONE #6/o?-?d8• C1711 fAX #~.Sr~•6~-203 /4-`5e fa[ Ji~'" PROPERTYOWNER e~ecfi.~7 LcJ.9~a/r~~ TELEPHONE# ES/-6FJ~Oak~ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category y( WNLSO'l':\ R[iLL:S 7670 CA"CI;CORY I MINV['~~j !~I2t-~S 7 7' J submission 1 1 I~ I~~- ~ P ~ I~Y~ I~ ( type) . Residential Ventilation Category 1 Worksheel Submitted • Ne CE ergy, ' Code WorkSheeY3~ Dr Itted • Energy Envelope Calculations Submitted I p~ AUG 0 2 2002 ~Jll Plumbing Contraetor: Phone # Plumbing system includes: _ Water Softener Iaim Sprinl:ler Pee: , 90.00 Watcr Heatcr No. of R.I. Baths No. of Badis Mechanical Contractor: Phone # Mech:mic.d systein includes: Air Condiuoniiig Pec: b70.00 Hcat Recovcry Systcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read ihis application, state ihat the information is co t, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina ces. Signature of Applicanf G` - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY % ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex 91 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03•piex ? 11 10-plex ? 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 @9 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 00 0 Occupancy R1-3 MC/ES 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 Canst ~v tx Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. ~ Footings (deck) ~ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation H VAC Drain Tile Other Roof _ Ice & Wa[er _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows (new/replacement) _ [nsulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review , MC/ES SAC ~ ~ cn a City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies , Other Total Sy w11pe,}~eaa RYfl nusu p~ gnn~'klnneeota 55123 ~ ~ DELMAR H. SCHWANZ J.nNOSUaveyon ~ RpiitvW VnMt L~f Df iM5t+1* of Mmn~u 14615 SOUTH ROSERT TRAIL P.O. SOX M AOSEMOUNT, MINNE80TA 5S06D ANONE 612 473-1789 .l` SURVEVOR'S CERTIFICATE ~'80,~~37 /E ~96~32 s3 ti % r 8 ec~(1 N ~ ~ . ~ Z ~ j4 a4, ~ JO K O ~ 1~ 0 ~ S b 1 ~ aa 1 / Ay / ° z s°'` 4p ' o :TRo~I s 2 m ~ ~ I hereby certify, that this is a true and correct representatlon of a suwey of the houndariea of the following de5cribed trect of lend: Lot 10p Blaok 1, 1?IIDERN6.S9 PJ?RK ADDTTION, Gity of Eagan, Dekota County, Minnesota accosdiag to the recorded plat thereof. JLtso showing tue loeation of a proposed house and Bara6e ae staked thereon. ,Tune 3: 1976. . MINNESOTA REG157qA1'I NO. 8826 4 Survey For: • Arnold CBrlson 1255 '7ildeTness Run Road Fagan, Ltinneeota 55123 ' y t _ 1 N DELMAR H. SCHWANZ LANDSURVEVOR ROpiftenE UnEar Laws ot ihe State o/ Minnamta ~ 14515 SOUTH ROBERT TRAIL P.O. BOl( M ROSEMOUNT, MINNESOTA 55088 PMONE 812 423-1788 SURVEYOR'S CERTIFICATE J 3z za ~ a r oc~(1 ~ N NO N z . A Peooos~ o ~ a4 e'Q3~ ~ Z ~ j4 a Nb ~ = ~ 1as ~ ~1 ~ ~ \ ah / s~ 36 c;sop „ ° AP`~°.~ -o. s~acF i : ao ~ a m ~ . 3 I hereby certify that thie is a true and correct representatlon o£ a survey of the boundaries oS the folloxing described tract oS land: Lot 10, Block 1. WIIDERNES9 PARK ADDITION, City of Eagan, Dakota County~ h!innesota according to the recorded plat thereof. Also showing the location of a proposed 6ouse and garage as staked thereon. June 3, 1976. r l~ MINNESOTA REGISTRA'fl N NO 8625 D~ . ' ' . , LA TL; b_l -761 EUILnI~SG PnT°I:rT h1MSQATIr,n1 CHTCK Lot- 10 Bloclt / Add.:ti:at ~~~Gl~_~„On? ~ Parcel az3 sectioti nur,Uer StreLtvh.-'nb^r /20 7 Ot•rn, r J°,!n !C o Ad~i: ess Deve:lcrer_„~jQyi~ v t'e/tS6n AdcU-a:s ~7i?~ v? ' ?~5~37 Zcn--Orctinpx.ce M52 ZL Lot Size X Tote.l area ' PlattedUnpl.atted . Builc;ing Size X Tc:al(~~ ~ OC VLpa„.liy Ty-pV o1 CiCinJtrlC l'i011 T / CJ~ ~ Setbacks: S;,re=t sides Rear J~ Sidas ' Pardng: To'ua7. asaa ToL-al spaces _ Pa'rlciiag asea setbacl:s: Strset side Ftear Si' La-!dscape apprc-aal B n required Speoial Asse::s:.^.entsa ~ ~ 5A;; charge@ D11`0.00 tidater area: r(il~er 32 Assessed Unassessed ~ - ~ - If assesse3: Connacticn charga If uiassessed: Connection chn:ge p. 00 I Lot di;-ision: Q~ Aciditional assessments needed N t needed ? Laterals: Assessed ? Not assessed Waicer of hearing: ~ Nee3ed Not needed ? ~ Assessment clkOY 4later g Seurer Dept Auilding Dept Police Dept Fire Dept (Cor,un & Ind only) ` • MASTER CARD LOCATION OWNER I /1 N ~D . /Q ~ / L?~~/A/jl / ry STRUCTURE AND LAND USED AS ~ v G d+ • ~ T Issued To Permit No. Issued Contractor Owner BUILDING PLUMBING L L~ CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING es.oe LdE~~! v GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance from Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING ~r TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTAILATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER - ~ fJ Violations Noted on Back COMMENTS COMPLIANCE INSPECTION REPORTS i0 BE USED ONIY IN EVENT OF OBSERVED VIOlATI0N5 PERMIT NO. DATE OF INSPEGTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION . NO EVIDENCE OF NON-COMPLIANCE NON-COMPLIANCE. BUILDER DOES NOT ~ OBSERVED. ~ INTEND TO COMPLY. ~ ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION -1 certify that I have carefully inspected the above in which I have no interest Dresent or prospactive, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific repuire- ments for off-site improvements relacin8 to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR pqTE COMMENTS: .a~ RESIDEhTIAL BUILDING a Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mu 55122 Telephooe # 651-675-5675 FAX # 651-675-5694 NewCMetru+tionReauuemenh RenqtleYfteoavReaulrarenm Office UseOnN 3 regiftisC sits suneye ahowirp aq. R of Id, sa.1l of Ipuse; artd pll mofed areae 2 copn of pen _ Cen d Swvay Rew (211% muimun bt oowrepe allowed) 1 yet of EnmpY CakWaum 1or heapoC addi0ons _ Tree Prea Plen Recd 2 caPies of den ahowing beem 8 wlnMar si¢as; Wured lound Ceaign, etc. 1 sits survey for adCbons d derks _ Tree Pm NM Repd 7 xt of Eneqy Cakvmtbns Add'd'art . mdicafe Jm•sRe septic sy+lei+r _ Onaite Septlc Syaxm 3 copief d T!ee Pisaeroatlon Plen A bt plgtle0 elEU 71193 Run Jnisl Deiail Optlau eslecliwi aheel (yWge wltA 3 a Im urots ~ OD ,p I Date l,IJr 10S r ConstructfonCos 435~ D~ ~ I Site Address u n.is~j r Q. r it lG1 Ir w. UniUSte # ~ Q- M ~ DescripUon oC Worlc ~ ~ nA()W ' MuiN-Family Bldg _ Y~ N Fireplace(s) ~/(a _ 2 i Property Owner Tde hoae # ~ , p clnSl~lo$i-dlF~l ~ , ~ Coutractor Advanced Waterproofing i AddPess & Foundation Repairs, Inc. i 157891s1and View Road Clty i State Prior iake, MN 55372 Telephone tl (qSI? `1'"4 1- S 1., COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ; I Energy Code Category Minnesota Roles 76', 0 Cat_egory~ I _ ~finnesota Rules 7672 i (v submiasion lype) • Residen6al Veotllation Catepory t Waksheet . New Energy Code Workshaet ~ Submitted Su6mittad I • ~r•~ • Enerpy Emelope Calculatlons SuDmittsd i licensed Plumber _ Telephone Mechanicai Cont-ractor Telephone ) I Sewer/WOterContrdctor Tel phone.t#( ~ & 0 i Pu U o C~ ° 1 zo., I herebY aPP1Y for a Residential Building Permit and acknowledge that the information is c'oinplete and accurate; that the work wiil Ue in conformance with tl:e ordinances and code~of the City of EaganU ~and lhe State of M' Statutes; I understand this is not a pertnit, but only an application for a pe_rinit; and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of wo kr w}iscblrequires a reveew uid approval of plans. _ ApplicanCs Printed Name Applic Y Signature OFFICE U5E ONLY Sub Typss ? 01 Foundatlon ? 07 OSplex ? 13 18-plex ? 20 Pool ? 30 Accessory Bidg O 02 SF pwelting O 08 08-pleK ? 16 Fireplace p 21 porah (3-sea.) ? 31 EM. Alt • Mutti ? 03 Ot of _ plex 09 07•plex ? 17 Garage ? pp Porch/Addn. (4-sea.) O 33 ExL Alt - SF ? 04 02-plex p 10` 08&plex ? 18 Deck: ! O 23 Porch (screeNgazebo) ? 36 Mutti Misc. ? OS 03-plez ? 11 10-plex ? 19 Lowei Level ? 24 Storm Damage O 06 04-piex - O' 12 12-plex. plbp_Y or _ N ? 25 MUStellaneous Work Typss ? 31 New ? 35 Int Improvement ? 38 Demolish (Inierior) O 44 Siding ? 32 Addition p 36 Hbve Bldg. ? 42 Demolish (Foundation) 45 Fire Repair O 33 Alteration • O 37 Demolish (Bidg)• O 43 Reroof p 46 Windows/poors ? 34 R8p12C8R18n1' ' •pmWftlon (Entln Bldp) . pive PCA handout to appllpnt Valuation - ; -pccupancy MC/ES System Census Code 2oning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width ' • ht • " REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (additiort) - r ; ; . t,-, Plumbing _ Founda6on HVAC _ Drain Tile Othet Roof _ Ice & Water _ Final Pool Ftgs Au/Gas Tests Final _ Framing _ Siding Stucco Swne _ Fireplace _ R.I. _ A'u Test _ Final Windows (new/replacemcnt) _ Insulation _ Retaining Wall Approved By , Building Inspector --------------------------------v-~~~,_----____--- Base Fee . . Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Pertnit 8 Surcharge TreaUnent Plent License Search ' • Copies ' Other , Total ~ 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION S5b5o, CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date r) ~ I I I D C4 Site Street Address unic# PropertyOwner C7(&.rl&jk_ Mua~ Telephone# (Uyl) IDgi-OaR I Contractor L?1~~~d &,VY1,~"11'vA CD- Telephone#(4ja-)SFSI- Address voyo ~-(LYYI-t+ Aw•S• 4~e City State H N Zip5~2 gLo The Applicant is: _ Owner ~Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 518" meter is required) Y~ Other: Water Softener _ Water Heater $ 15.00 _ replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total $-a - _SD I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the 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 accordance with the approved plan in the event a plan is required to be reviewed and approved. D av;6 F - MlYn.a.n r-- ApplicanYs Printed Name ApplicanYs Signature 'iIjlsF] rJ~S ~ LI 3y ~i`~~~S= 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings &[ownhomes/condos when permits are required for each umt Date U / ZH / 05 SiteAddress 1237 WIL~~IZN~SS p/k~jL CIr{( LE Unit# PropertyOwner k~vN tbQf_jC1-{CN UV/a-QN)<E Telephane#( lGSI ) IO0l-O28 ~ Contractor TDTA-l. COAArM-T StreetAddress UQQo Wum_/~ kvE. N. *-foo City W VU 4PE State NIN Zip 15592--Telephone# (~63 Bond Expires: The Applicant is Owner Y_ Contractor _ Other Add-on or alteratioo to existing dwelling unit $ 30.00 ~ furnace _Additional XReplacement air exchanger ~ airconditioner _New 1/~Replacement other State Surcharge $ .50 Total $ 30•50 I hereby apply for a Residen[ial Mechanical Permit and acknowledge that the informa[ion is complete and accurate; [ha[ [he work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but oniy an application for a permit, and work is not to start withw[ 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. - ~ l 7171 Applicant's Printed Name App 'cant's Signature I I. ~ ° =----i 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaUindustrial buildings multi-family buildings e•hen separate pcrmits are not required for cach dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contrac[or _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: •`When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector P¢t'ml[ FeeS: $70.50 Underground tank installation/removal $50.50 Minimum (includes Sta4 Surchargc) or Contrac[ Value $ x 1% _ $ Permit Fee • If ep rmi[ fee is $1,000 or less, add $.50 $ State Surcharge If ermit fee is over $1,000, add $.50 for every $1,000 ep rmit fee $ Total Fee 1 hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that 1 understand this is no[ a permit, bu[ only an application for a permi[, and work is not to start without a permit; [hat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Prin[ed Name Applican['s Signa[ure Approved By: , Inspecror Date: 77ar9 „ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ~ Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements RemodellReoair Reouirements Office Use Onlv 3 registered site surveys sho,ving sq ft of IoL sq ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cetl of Survey ReW Y_ N (20%macimumbtcoverageallaxed) lselotEnergyCalalahonsfaheatededditions ShcsReport _Y _N 1 Soils Report if propased builtling is to be placed on disturbed soil 1 site survey for additions 8 decks Tree Pres Plan Recd Y_ N, 2 copies of plan shawng beam & window sizes; poured fountl desiqn, eta Add'Riar - indicate d on-site sepLC sysfem Tree Pres Reqmred Y_ N 1 set of Energy Calala6ons Onsile SepGC System _ Y_ N 3 oopies of Tree Preserva6on Plan if bt plaped aRer 711/93 Rim Joist OeWil Op4ons selecGOn sheet (buildings wiU 3 or less units) Minnegasco mechanical ven6lation form Plans are considered ublic information unless ou state the are trade secret and the reason. Date C)7 Construction Cost Site Address UniUSte # G Descrip[ion of Work Mul[i-FamilyBldg _ Y` KN Fireplace(s) _ 0 _ 1 _ 2 a~~L Proper[yOwner Telephone#(~S/)'" Contractor AU ~ Address g IlIxale5w City ~ Q State r Zip ~"Sa7Telephone # C L.e_ a;' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Cotle Worksheet (+Isubmissionrype) Submitted Submittetl . Energy Envelope Calculations Submitted In }he last 12 months, has the City of Eagan issued a permit for a similar plan based on a masier plan? . _ Y _ N If yes, date and address of masier plan: Licensed Plumber Telephone # ( J Mechanical Coniractor Telephone # ( J Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of ViN Statutes; 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; at the work will be in accordance with the approved plan in the case of work which requires a review and ap o I of plans. Applicant's P inted Name AliplicVht's Signa DO NOT WIiITE BELOW THIS LINE Sub Tvpes ? Ot Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg '1~02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebolpergola) ? 36 Multi Misc ? OS 03-plex ? 17 10.plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 1121`1~33 Alteration 37 Demolish Building` ? 43 Reroof ? 46 Wndows/Doors ? 34 ReplBCemEnl 'Demolition (Entire Bidg) - Give PCA handaut ta applicant DBSCnp[IOn: WatorDamage_Yes Valuation 5-Q0•&''V Occupancy' MCES System Plan Review ' 100% or 25% Census Code Zoning ~ City Water SAC Units - Stones ' Booster Pump # af Units T~ Sq. Ft. PRV # of Bldgs I Length Fire Sprinklered Type of Const ~ Width REQUiRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) FinaVC.O. _ Footings (addition) ? FinaUNo C.O. ' . Foundation H V AC Drain Tile Other Roof lce & Water Final Pool Ftgs AidGas Tests Final ? Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total '77a 73 2007 RESIDENTIAL PLUMBING PERnniT aPPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAPf MN 55122 651-675-5675 Please com lete for modifications to existin residential dwellin s. /'r 0 ~ SiteStreetAddress A/i ~a37 f dr1/Ae SS lioWg, unic# Property Owner Telephone # ( ) Contrector Vv P'r."w Telephane #(~py Address`~O~/'~'~ City ~ State 'f'1_ Zip=80- The Applicant is: _ Owner & Occupant n Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90 00 This fee a lies when extensive lumbin re airs are made to a buildin Alterations to existing dwelling $ 50.00 ~ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener andlor water heater at the same time. If you are installing onlv a water sofrener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $136.00 if a 5/8" meter is required) _Other. Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the 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 accordanc/e w~ith/ t'he approved plan in the event a plan is required t eviewed and ppceved. ~ G Jllr"~ Applicant's Printed Name s Si re For Office Use i Permit#: „, E AG N �.•• --.� Permit Fee: —3 D..I i 31 I-� RECi Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 r�`LLi�- (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinoinsnectionsa(�citvofeagan.com APR 0 6 ante L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION 1.4i ° Date: Site Address: Unit#: Name: Kt t t J l4,-Nl7 6-667-0-(C-TO (t,il4Yt,U t1 Phone: 1Za (9 - tib Resident/ Owner Address/City/Zip: 1Z 1 LA) ?-R 11-3K,Li rL c- Applicant is: Owner X Contractor Type of Work. ; Description of work: 14(TCItD -J-'= c t 'TKf1-51 ``�� '' � %�•1?zf;� Construction Cost: 4(.0'2100U Multi-Family Building: (Yes /No ) Company: i C tt \ == �C�rti 1 Ll ontact: J1 19 Contractor Address: 1'( 1 L L L/i l.(.. L.-VD City: LA(t,C) 1 L - • State: VC)Zip: Phone: ' t 'i ./( mail: r ei,`(.4rt,� lt�1. �t fC1_1-01 es L '1.;11I J `' Lei License#: Lead Certificate#: 4i1t? If the project is exempt from lead certification, please explain why: i A-4-TL 1`i 1` 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 beY classified as non-public if you provide specific reasons that would permit the City to conclude that they are„trade.secrets ..,. .,. ; 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.citvofeaqan.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.000herstateonecall.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 • , 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 ap• oval of.ans. �.� X VI Applicant's Printed gJame Applic• is Signature , DO NOT WRITE BELOW THIS LIN��1 IAJ td-e..�"`QsS ea r" C`,r. I � 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 / Valuation Occupancy MCES System Plan Review Code Edition ,�` / SAC Units (25%_ 100% Al Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction W 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 ile HVAC_Gas Service Test Gas Line Air Test 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 X Insulation 1< 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: 'N._ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge ) IWIlin Plan Review , 2ii MCES SAC � 1 City SAC Utility Connection Charge 6014' S&W Permit&Surcharge I0WIli1, 2- 0 Treatment Plant Copies ,i TOTAL 0 of rtAp {_ PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA149008 Date Issued:05/02/2018 Permit Category:ePermit Site Address: 1237 Wilderness Park Cir Lot:010 Block: 001 Addition: Wilderness Park PID:10-84250-01-100 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Kevin L Warnke 1237 Wilderness Park Cir Eagan MN 55123 Sieben Plumbing 18605 Fischer Ave Hastings MN 55033 (651) 343-6298 Applicant/Permitee: Signature Issued By: Signature