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1243 Wilderness Park Cir CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilcwt Knob Road PERMIT NO.: Eogen, MN 55122 DATE: Zoning: ? No. of Un(ts: ~ Owner: qven E'~ter, a~r~ Address: - i l~d'i *+?iir~c•.rr~~,., ",x-'c "1-rci.,, ; P . ~c Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reoder No.: Permit Fee: I egree to eomply wlth the Citr of Eegon Surcharge: Ordinonces. Misc. Charges: Total: - gy _ Dote Paid: Dote of Insp.: Insp.: SEWER SERVICE PERMIT CITY OF EAGAN $795 Pilot Knob Roud PERMIT NO.: Eayo,;, MN 55122 DATE: No. of Units: ~ Zoning: , Owner: Address: tz-;- CAr. 7.7 rl ~i'! -7err..c<<~~ ' Site Address: ^ Plumber: ~ rC~, 7~1 S~ci e 1 ogree to eomplY witl+ the City of Eo9o Connection Charge: Ordinanca=. NccouM Deposit: - Permit Fee: Surchorge: By Misc. Churges: Date of Insp.: Total: I nsp.: Dute Poid: cirr oF EAcAN 3795 Pilor Knob Raed Eagen, MN 55122 N2 4206 PHONE: 454-8100 BUILDING PERMIT Receipt # - !'an To be ussd fw ~ Dute 19 ' '%4? C: i 1 derne s • r. Erect ~ Occuponcy Site Address Lot 7 Block ~ $ec/Sub. ` Jerness :'nrb: Alter ? Zoning _ Parcel # _ Repair ? Fire Zone Enlorge ? Type of Const. 5 m Name ;'~i1cl !'e t t: r. Se~n Move ? # Stories 7 ; Address Demolish p Front ~ ft. b Ci 4E y Phone ~'j ~44 Grode 0 Depth it. - lx Na~ Approvals Fees o o~ Address Asseument Permit _ Ci Phone Water & Sew. Surcharge ;6.0L} Polite Plan chetk U~ FZ Name Fire SAC 47 i- ilCl Address- Eng. Woter Conn.-22Q..~h~ a W Ci Phone Plonner W ; ater Meter Counci I l~C?--~.~L~ x' I hereby acknowledge thot I hove reod this opplication and stote that gldg. Off. the information is correct and agree to comply with oll applicable State of Minnesota Stotutes and City of Eagan Ordinonces. APC Total Z~~~• 4i~ _ Signature of Permittee A Building Permit is issued to: on the express condition that oll work shall be done in accordonce with all.applicoble Stote of Minnesota Statutes and Ciry of Easan Ordinoncss. Building Officiol r r~llM~ # ah ~N~ rMwMfM Piumbirw .4-f~6'77 Med,anicol X yY 0-~ ~ INSPECTIONlS DATE iNSP. Rouph-In Fr+d Footinps Dah IrnP. Dofe Imp. Foundotian ~ Plumbt?q `.fS=)) f -1v - J' Frome/ins. AAechaniwl - Finol 1404 /s -10 - 7'\ ~ Rema?ks: ~ CASH RECEIPT ~ . CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RLCt1 VKD , RltOM AMOUNT $ I !k DOLLARS 10e ? CASH ? CNECK I . rOR F1JNG CODI AMOUNT I ~ I I aa BY oll, ~095 NUMERICAL FILE COPY CITY OF EAGAN Remarks Additton wil Lot 7 Blk ~ Parcel 10 M250 070 L01 Owner Street 1 State FaganMN 55123 -ILL Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 176,05. 8.80 20 SEWER LATERAL WATERMAIN WATER LATERAL WATER AflEA STORM SEW TRK 98 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN, 220.00 05095 -19-77 BUILDING PER, sAC 475.00 05095 1-19-77 PARK 1_ _7 Hi I I _ INSPECTIQN RECORD ~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 M . r SITE ADDRESS: } ; APPLICANT: !.'~t tJll ill FiFlf:~`~ 1'f11:f ~.1{? t If.! .~I~i ! I~~ Ni h lPJ~ Ill I IiF I'pJi , f'IIRI PERMIT SUBTYPE: TYPE OF WORK: ii~ ~r li` i ~ i~ra ~ ,,r:, {l~.i : ~ ~~fl! , I DA • D• II I i I i ~ I L~ J ~ I Permk No. Permk Holdsr Dab Talephone R ELECTRIC PLUMBING HVAC InipscUon Dete Insp. Commenb II FOO7INGS ' FOUND FRAMING ROOFINd HOUGH PLUMBING ' PLBG ~ AIR TEST I RouGH i HEAT)NG I C3AS SYC TEST INSUL _ GYP BOARD FIREPLACE ~ FIREPLACE 3 /Q f'f L(~~ AIR TEST I FINAL PLBG FlNAL HTG I ORSAT TEST j BLDG FINAL I BSMT R.I. ~ BSMT FlNAL ' DECK FT(3 ~ I DECK FINAL ~ I ~ cirr oF Er?Gi?N 'J 3795 PiIM Knob Road Eogae, MN 55122 N! 4206 ` PHONE: 454-8100 BUILDING PERMIT APPLICATION 569000 Rec@;pr To be e.W h. Sing. Fam W/ Garg. ,~OGv- Jan. 19, 19 77 Site Address1243 Wildemess Park Cr. ~ Ercct p occuPancy Lot 7 Blxk 1 Sec/Sub. Wilderness Park Alrer ? Zoning Parcel # Repair ? Fire Zone _ Enlorge ? Type of Const. 5 ]cd]Name Svend Petersen Move # Sro?tes ress 4701 W, 110th St. Demolish ? Front ft. MV1• s Phone 884- 5144 Grade ? Depth 34 ff. ~ Apprwols Fees p Name Assessment Permit 1(~,Q5n v~ Address S~e Water & Sew. Surchorge ?$,00 Cit P~~ Police Plan check W Nome Fire SAC -47 5..On Address Eng. Water Conn. Z?C1.00 ~ W Ci phone Plonner Woter Meter CouMtl Park 120. 0 I hereby acknowledge thot I have read t' tion stote that Bldy. Off. the information is correct and ogre ply i oll opplitoble APC Total 1052.5~ State of Minnesota Statutes and inonces. $ignature of Permittee A Building Permit is issued to: on the express condition that nll work sholl '8one ac rdo wi te of Minnesota Statutes and Gty of Eagan Ordinances. I Buildinp Official 0 2004 RESiDENTIAL BUILDING PERMIT APPLICATION City Of Eagan (o ~ Gl ~.f.--1 3830 Pilot Knob Road, Eagan MN 55122 ~ Telephone # 651-675-5675 FAX 4 651-675-5694 CaQ-Qs~~"a"( New ConsWdion ReauiremenLS RemodeUFteoair Reauirements Office llse OnN 3 registered site surveys shrnrirg sq. fL o11ot sq. ft ot house; and all roofed areas 2 copies of plan Cerl of Survey Reod _Y _ N (20%maximum lot cove2ge allowed) 1 set of Energy Calculations for heated addAions Jree P2s Plan Recd _Y _N 2 copies of plan showing beam & window sizes; poured found desgn, etc. i site survey for additions 8 decks ITree Pres Required,_ _.Y. =N lseto(EnergyCalculations Add'dion - irrdicafedonsitesepticsystem OnsiteSeptlcS~em __Y'_N 3 copies of Tree Preservalbn PWn M bt platted after 771/93 Rim Jast Detad Options selecGm sheet (bldgs wiN 3 or less unfls Date ~Z / / ConstrGvct(on SiteAddress /0' NeSS b69Y'fi GtH °L Unit/Ste # Description of Work Multi-Family Bldg _ Y~N Fireplace(s) _ 0 _ 1 )(2 Property Owner t iYf G l~'G/l G[ C Telephone #(6/2-) Contractor /V CJ Address Z~ /7('J/!/lGL~C - City State Zip 7 5r.3~-J Telephone k(94-~Lio COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Iviinnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residentlal VenGlation Category 1 Worksheet • New Energy Code Worksheel (4 submissiontype) Submitted Submitted • Energy Envelope Calculalions Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y !bN If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor n Telephone # Sewer/WaterContractor Telephone#( ~ Fiv 1~~n I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accwate; 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 whic~h requires a review and approval of plans. ApplicanYs Printed Name ApplicanYs Signature OFFICE USE ONLY ` Sub Types O 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 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 O 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 70-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex 0 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 Buiiding' ? 43 Reroof ? 46 Windows/Doors ? 34 RBplacement 'Demolition (Endre Bldg) - Give PCA handout to applicant Valuation O 4 rJ Occupancy ~e~MCLS System Census Code Zoning ~ City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ~tj Width REQUIRED INSPECTIONS _ Footings (new bldg) Z( FinaVC.O. _ Footings (deck) _ FinalMo C.O. _ Footings (addition) _ Plumbing Foundation HV AC Drain Tile O[her Roof _ Ice & Water _ Final _ Pool Ftgs _ AidGas Tests Final ~ Framing Siding _ Stucco _ S[one _ Brick Fireplace R.I. AirTest Final ~ Windows Insulation _ Retaining Wall Approved By: , Building Inspector - Base Fee I U~ Surcharge Sa•ov Plan Review MC/ES SAC ~~/~ff1n City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other 7otal I U f ~J 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION (osqls~ CITY OF EAGAN J U 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date -I 1 iq ! O 7 Site Street Address I a y A9 R-f- C~ Itt, t't, Unit # PropertyOwner G-(Zw~.fcl. Telephone# ( ) Contractor S`Cfc~^~~~1,aSS ~LIj '"^%ITelephone#(41VI 30-01Ld Address 11L E$b ST $4- E ( 0~ City (14ASIcA State MN Zip .SS 3/( The Applicant is: _ Owner tX Contractor _Other Alterations to existing dwelling $ 50.00 X Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment D ~ _Water Turnaround (add $121.0 'f a 5/8" meter is required) ,JUL 1 6 Z0 4 Other. ey------'""=" Water Softener _ Water Heater $ 15.00 _ replacement _ additional _ Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 ii 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 accordance with the approved plan in the event a plan is required to be reviewed and approved. J. r-.I f- ~ A LV(rcf/.~1 ApplicanYs Printed Name ApplicanYs Sigsn,ature 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION ~~~~Cfc( 7~02. /0 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. smgle family dwellings & townhomes/condos when permi[s are required for each unrt Date ol SiteAddress 1,7 Bmv- Unit# T/,Y~ Property Owner 1-e,~ Telephone # ( ) Contractor F- qTI1JL+ '~p Cfl-61,1PZ4 1 WN) S[reet Address 550~-~ g'Q. L~ City HAF,$ (:~;fLCV.B, State Zip ~3&7 Telephone # Bond Expires: The Applicant is _ Owner ~Con[ractor _ Other Add-on or alteration to existing dwelling unit JUL 0 1 2004 $ 30.00 ~ furnace _Additional _/Replacement air exchanger By airconditioner _New _Replacement other %~(.IGTWO~tK- 12~1J1510(,D"f State Surcharge $ 50 Total $ I hereby apply for a Residential Mechanical Perntit and acknowledge that the information is complete and accurate; that the work will he m 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 only an application for a permit, and work is not to start without a permit; that tha work wil] be in accordance with the approved plan in the case of work which requires a review and approval of pla~nj ~ d1I&S P;C1igL~al.i- t~-'ti ~ Applicant's Printed Name Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone N 651-675-5675 Please wmplete for. commerciaVindustrial buildings muiti-famity buildings when separare pertnits are not requirod for each dwelting unii Date Site Street Address Unit N Tenant Name (i(applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Stree[ Address Cjty State Zip Telephone # ( ) Bood Expires: The Applicant is _ Owner ~ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: *`VYhen installing/removing underground tank, call for inspecfion by Fire Marshal and Plumbing lnspector P¢rflllt F¢¢S: 570.50 Underground lank installa[ion/removel 550.50 Minimum (includes Statc Su¢harge) or Contract Value $ x I% _ $ Permit Fee • If ep rmi[ fee is $1,000 or less, add $.50 a $ State Surcharge If pe rmit fee is over $1,000, add $.50 for every $1,000 ep rmit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in wnformance with the ordinances and codes of the City of Eagan and with [he Mechanical Codes; tha[ I understand this is not a permit, but only an application for a permit, and work is not m start without a permir, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applican['s Printed Name Applican['s Signature Approved By: , Inspec[or Date: RESIDENTIAL BUILDING ~ Permit Application City Of Eagan 0-70. 7,5 3830 Pilot Knob Road, Eagan MN 55122 ~Uj/~ Telephone # 651-675-5675 FAX # 651-675-5694 r~'~d a/ New ConsWCUon ReawremenCS RemodeVReoair Reouirements ORce Use Onlv 3 registered site surveys shaxing sq. ft. of lot, sq. N. of house; and all rvofed areas 2 copies ol plan Cert of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 set of Energy Calculabons for heated addi6ons Tree Pres Plan Recd Y N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addilions & decks Tree Pres Reqd Y N 1 setofEner9yCalalalions Adddion - indicatedon-sdesepUCSystem On-siteSeplicSyslem _ Y _N 3 copies ot Tree Preservatlon Plan if lot platted afler 711193 Rim Joist Detail Optrons selection sheet (bidgs with 3 or less uniLs ~ Date n Construction Cost Site Address cjlideYrwe-ss ~'~~if4 ///c / UniUSte # Description of Work e 4Q6,qCC, /Y! Cr.t/l , Multi-Family Bldg _ Y x N Fireplace(s) _ 0 _ 1 _ 2 Property Owner c//M 204,dIY> S Telephone #(~j% )~,5~ sa~ °j Contractor Address / 57 • City UJ~57TY~--- State /577/l) Zip SS O~ Telephone &fi/ i a -V COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet (Jsu6missiontype) Submitted Submitted • Energy Envelope Calculatlons Submitted Have you previously constructed a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review fee applies. ~ _---~p ~ - Licensed Plumber Telephone ~ Mechanical Contractor f~~lI nIII SEP Za~~ I~ i) Telephone ~ Sewer/Water Contractor luu I Telephone # ( ) Bv - [ 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 wo which requires a review and approval of plans. zap Applicant's Pried Name ~ Applicant's Signa e OFFICE USE ONLY ~ Sub Types ` ? 01 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. Ait - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Exl. Alt - SF ? 04 02-plex ? 10 OS-plex 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation (9 ZIP ~ Occupancy MC/ES 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) FinaUC.O. Footings (deck) Y FinaVNo C.O. _ Footings (addirion) Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows(new/replacement) _ Insulation _ Retaining Wall Approved By -z , 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 ~ . o r : . , ~ erson ~ 2at 110th Street .,mington, Minneaota 66437 ~ . 2"1:5C-51 DELMAR H. SCHWANZ LAND SVRVEVOR R"isbratl UnCer L&ws o1 Tne SUta o1 Mmneso4 74515 SOUTM ROBERT TRAII P.O. BOX M ROSEMOUNT, MINNESOTA 55088 VHONE 812 423-1788 SUHVEYOR'S CEHTIFICATE hi3 ,fo 9a ~ ~ I ~ 34 (~<%~L?~ ~ ~ vr9~~`~v ~ ~ 0 o h(~r7r1~'` I v°~° b`.u Z Q~s ~ a ~ ~M • ~p D,~ .6~ ~ unU ~ CA/1j 70 n/ ANE I hereby certlfy that this is a true and correct repreaentatlo:: oP a aurvey of the bourtdaries of the following deacrlbed trsct of land; Lot 7, Block 1 of the recorded plat of WILDERNFSS pAF,K ADDZTION, City of Eagan, Dakota Coanty, Minnesota. ~ Also showing the locatlon of a proposed houae and garage as staked ~ thereon, C~ . Janaary 14, 1977 ~ d , . . .__.~,_~~1~`f1• % 1 C-l.~/fr J. ;^_,f r c_~ , ' - - MINNESOTA REGISTRATION N0.8675 ~ . , 0t, r- nwr.c: A~? -;7 r?IIT_.WMG S'SR~:I`,.' k;PPL'CATI'J?i :,C''. ~Y_.. P..LOCP. / 1)DDITZ0i1 Fr':.I:CP,L & 3r~C:iptl 1AtiL'.ER IF Ji,i,r,.;.r?'Pr&7 r~~nrzF:s. o: :~.,~~.r.•_. ,~_~/7,j i f ~rR Psr ~i~/K _._:_.~~C_C s:~tr..:•;~:_.`LL_!._ occ~~~n~:r.~r ~ `P 7 40 ~','3 9 ,sEn•u,. v co~~ ~ er-a ~ TEL.^sF1'10I7p, iCC. 5~ Z--"~ '7/ U,/ COP1:2;..:e.I:iOR ~ TELEPF:OPi,: YdO. A1.lU:`::iu Y2ot:- Iuc1»,r~: plana hA'1j.B:ng p2ar.s, and energy calcul-,4`lo~~ith this aL:p :i-ra aion O:FICE UaE V! A_T,UiI•i IO? - y~ll_ UO snC e,0 B]hl'vR COi7i2.••'.C?11):'i LIA2:.~ R ! TY;t2 ~ v PU2LD:[P:G FPF.Id.T.'.;' 2~ ~ s Ji CiLA F:G^ J.'EE PN1Yi C1':i.CJt Fi:; ~o2D DAnz: nEDI^'1TIM4 rrE r.TF.zR • Tom;,;,* ArasoviaLS: ASSFSS;Na:!T CLSx.KAUILDIIQG DEPT. POZICE llEPT. '.'iin':E:R ft c.LSTER D£PT. FITME DrPT. PARK DE°T. , ' • Cities DiRital uality Control The following image represents the best available image from the original page. 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N ; ~ I I . . ~ ' . . i, 't ~u ' k ~ " LL '~`L rt'`. . ~~fe S ~ ' - r'. I : „ ~ '1'k . . _ r - h ~ S . A f.• ~ ' .y .~b-Cl'.~ ".~C,n4ir r. i..~~ti t~..ii.'.:,'Z . 't~~?" ..i'~..i~ .i . . . ~ r . `r -:f- ~~.F'..e.lt - _1~ ~~~i ~ , r. • J. ,.r W ;'k.~ ' ~ ~ v'`'-•.,`.., , ' . ~ . ,r~~I' i1 ~~F • 1: . . . . . •1,4 on/ ' . ~ . ~ . . . _ . . ~ . ~ VA.. . i . ~ .~..i 5• ~t, i i i f r~ Ii CertiFicate For: , Swen Peteraon 4701. Yieyt 110th Street • Bioomington, Minnesota 66437 22:50-51 DELMAR H. SCHWANZ t LANOSUAVEVOR Reqiiteratl UnCer Laws of Tpe State OI Mmnesotd , 14575 SOUTM ROBERT TRAIL P.O. BOX M ROSEMOUNT, MINNESOTA 55088 PNONE 812 423-1788 I SURVEYOR'S CERTIFICATE 1 ~ 121,l3 , o ~ yo v ~~'¢ay.9ea ` 2 \ M N ~ /_OT 7, za.9~ 'sss~~' 2 ~"ZO BloCK .f ~xor~os~~ a 6 N V~ o~° o ~G+~~6E I J\ ~ ~y y ~ . ~ ze Q~ 53 ~ ~ M ~ o, D2q i 5E u r~c1 T hereby certify that thla is a true and correct representation af a survey of the boundaries of the following described tract of land; Lot 7, B1ock 1 of the recorded plat of WILI3ERNESS PARK ~ ADDITION, City of F.agan, Dakota County, Mlnneaota. ~ Also ahowtng the location of a proposed houae and garage aa ataked C~ thereon. ~ V ' January 14, 1977 fr~ i A. 1.•1 , MINNESOTA REGISTRATION NO 8625 ~ CI7;(OF EAGAN PERMIT ~3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 030573 (612) 681-4675 Date Issued: 0 8/ 0 6/ 9 7 SITE ADDRESS: 1243 WILDERNESS PARK CIR LOT: 7 BLOCK: 1 WILDERNESS PARK P.I.N.: 10-84250-070-01 DESCRIPTION: ' (GAS INSERT ONLY) . Buildinq Permit Type FIREPLACE Building Work Type NEW Census Code 434 ALT. RESIDENTIAL i ~ r. f ~L. REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC OWNER: FIRESIDE CORNER INC 16332561 2009091 EREHUL JIM 2700 N FAIRVIEW AVE 1243 WILDERNESS PARK CIR R105EVILLE MN 55113-0847 EAGAN MN 55123 (612) 633-2561 (612)454-5293 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 3tate ofi Mn. ~ Statutes and City of Eagan Ordinances. ~ APPLICANTlPERMITEE SIGNATURE ISSU D BT. S ATUFi CITY OF EAGAN ~ 11 3530 PILOT KPIOB RD - 55122 0 O•~ O 1997 FIREPLACE PERMIT APPLICATION 681-4675 ~ DATE: ~ PERMIT FEE: 50 DESCRIPTION OF WORK: CONSTRUCT NEW FIREPLACE ALTERATIONS TO EXISTING ~O 1NSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTfER: STREET ADDRESS: / Z+3 w t ~ ~YC At(,f~S 9 A>2.IL C~ i 2 LOT BLOCK SUBD.IP.I.D. APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY Name: ~~Q ~ ji ~ Phone OWNER Signature: Street Address: 12-¢3 W l L-D Mid L'~-5 City: Z-A (vA!°V State: ~ Zip: s-S~l Z A G FIREPLACE `J`~( Company: Phone INSTALLER Signature• Street Address:,~~ZT W~~-'y~ l.~ License #2110d Cityc ~Q \Z t-) S'\/ 1 L,1,C State: i Zip: -5:S'-337 GAS LINE Company: Phone INSTALLER Name: Signature: Street Address• RECEIVED City: State: Zip: ~ •'j ;V 1iy1 BY:~ c . } a "y • . a. L~ 1 OFFICE USE ONLY BUILDING PERMIT TYPE ? 14 F'veplace WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repa'v GENERAL INFORMATlON Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. l L~ W I~~I r For-t-ceUse ~ Eaan F:: : Permit Fee. 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 i 7l t Fax: (651) 675-5694 Staff: L---------------- - 2009 MECHANICAL PERMIT APPLICATION Date: Site Address: I ` x -t ) 1 \ ( ( ¼ f "Cb ( 1 0- \ ' u Tenant• Suite ii Y-, RESIDENT1 OWNER Name: ~1 C V\ _ C 'l Yl `,,etc' Phone: ? C%i L)5Zl Address I City I Zip: I t C\ . c t lN'; t L@ 1 r ` Le CONTRACTOR Name: C° f1 L - 1UGL t'1 License b4Ci P Address: 1,a City: ` A Y- I`l l F~ State tYlf\1 Zip: 55 3 3 3 Phone: GF 5 . 1 , I O y L Contact Person: o'(\~ e. TYPE OF WORK New ,Replacement Additional Alteration Demolition Description of work: NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for Information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction _ Interior improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under! Above ground Tank I_ Install/_ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector R 1 NTIAL FEES: $50.50 inimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $ . 0 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) $ Permit Fee - If Permit Egg Is less than $1,000, surcharge is $.50. - If rmt Egg Is > $1,000, surcharge Increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE 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 permlt; 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 i i L- Applicant's Printed Name ph nt's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In Air Test ,_Gas Service Test -in-floor Heat -Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type:Building Permit Number:EA111341 Date Issued:06/19/2013 Permit Category:ePermit Site Address: 1243 Wilderness Park Cir Lot:007 Block: 001 Addition: Wilderness Park PID:10-84250-01-070 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Nanette L Dahms 1243 Wilderness Park Cir Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use { I -Z Permit City of Ea Rdflo R - Permit Fee: 3830 Pilot Knob Road I / I Eagan MN 55122 Date Received: ' Phone: (651) 675-5675 I i J Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone: Resident/ n Owner Address/ City/ Zip: G, L( S Applicant is: Owner contractor Type of Work Description of work: ~A~L Ut Construction Cost: e Multi-Family Building: (Yes No L_~ Company: 64,,) Contact: I ± a i m A Contractor Address: 'C ity: State:_ Zip: 17 Phone: !;~a License ( Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota S e Building Code must be completed within 180 days of permit issuance. X IW6;~n~ A Applicant's Printed Name Applican 's Signature Page 1 of 3