1230 Wilderness Park Ct
-r E?GaN SEWER SERVICE PERMIT
; Pilot Knob Rood PERMIT NO.;
Eagen, MN 55122 DATE:
Zoninp: No. of Units: ,
Ownar.
Address:
Site Address• 2'~t1 Y3i1r ~ rrnh^ t----~--~~-~-~--
P1 umber:
.
1 ayrre fo oomPifr with th° Cit1' °f EOs°n Connection Chorge: 37 5 -
~~~nem Account Deposit:
Permit Fee:
Surchorge: .
By ~ Misc. Chorges:
Date of Insp.: Total:
Insp.:- Date Pald:
EA"N WATER SERVICE PERMIT
eilot Keob Roed PERMIT NO.:
Eavan, MN 55142 DATE:
Zoning: No. of Units: ~
Owner: - n7c1~4~cUUU1~ _
Address:
1230 r .T
Site Address:
Plumber:
1. 5' a 5 3 7 2`. Connection Charpe:
Meter No.:
Size: Account Deposit:
Pem+it Fee: • ` xxi
Reoder No.: '
wiMi !M Cily o~' Ee9on Surthorge:
1 e9ne to oow b
~ Misc. Chcrges:
Ordinawees. ,
Total:
BY Date Poid:
Dcte of I nsp.: I ^sp"
CITY OF EAGAN '
i ` 3795 Pilot Knob Road Eegen, MN 56121' NS 4343
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be ussd for ; .q;.: , .z._ ' d A r t _ : - _ Dcte 19
Site Address Erect Q Occuponcy
Lot Block ' Sec/Sub. rae" Alter ? Zoning
Parcel Repair ? Fire Zone
Enlarge ? Type of Const.
~ Name Move
W p # Stories _
3 Address Demolish ? Front ft.
o -
Phone Grode ? Depth ft.
Ci
~ Name Approvals Fee:
O
o~ Address Assessment Permit • ' _
Ci Phone 5' • u7 Woter 8 Sew. _ Surcharge '
V~
Police Plon chetk _
W W Name Fire SAC
Address Eng. Water Conn.
Ci Phone Planner Woter Meter b()• ~
12
Council 1 1'/7' 1r. k. :~~y~_ r,
I hereby acknowledge thot I have read this opplicotion ond state thut gldg. Off.
the information is correct ond egree to comply with all applicable
State of Minnesoto Stotutes and City of Eagan Ord;nances. APC ~f Totul
Signature of Permittee
A Building Permit is issued to: on the express condition thot
all work shall be done -in accordance with all applicable State of Minnesota Stotutes and City of Eagan Ordinances.
Building Official ,
hrsk # aN bwd psMlM
Plumbing O ~ - 7 7
Methunicol 7
- ~
INSAECTIONS DATE INSP.
Rauph-In fhld
Footings Dote Irap. DoFe Irop.
Foundotion Plumbiny -
Frome/ins. MecMniCOI
FinCl ~
Remnrks:
CASH RECEIPT ~
CITY 4F EAGAN
3795 PILOT KNOB ROAD
~ EAGAN, MINNESOT.A 55122
DATE 19
RCCQIVRD
RROM
AMOUNT $ I
s ooLuRs
+oo
? CASH ? CHECK
frOR
FUND CODQ AMOUNT
~
D
, . B Y
~J
NUMERICAL FILE COPY
Rspipt MECHANICAL PERMIT Permit No.
cirv oF EAc,e?N
FN
Fill in numbened spaces S/C
Type or Print /egibly Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner '
5. Conuactor Phone
6. Addre:s
7. City State Zip
8. Building Type: Residential 0 Commercial ? Institutional O
9. Wark Description: New O Add ? Alter ? Repair ?
10. Descxibe C` Fuel Type
11. No• Epuipment BTU - M. Ea. No. Eouiament CFM
Forced Air Air Handling:
Mfg.
Boilers •
Mech. Exhaust
Mfg.
Unit Heater
Mfg, Other
Air Cond.
Mfg.
Gas, PSping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinanoes and codes governing this type of work.
Signed : for
Rouyh Flnal
Inspectians: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Ls~~ ~~3~ ~
~ ,
i
I
~ '
~ , .
.
i
CITY OF EAGAN Remarka I
Addition Wildezmess ar Lot Blk 3 Parcel 10 811270 110 03
ownerlzl L'v.' kir.i-(7./I1 m.,Aqtreet 1230 Wilderness Park Ct. state
o'
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1977 2144.98 214.50 10
STREET FiESTOR.
GRADING
5AN SEW TRUNK 7D~~1973 176.05 8.8o 20
SEWER LATERAL
WATERMAIN
WATER LATERAL I 1972 454.33 30.29 1
WATEFi AREA
STORM SEW TRK 4i981 328.00 21.87 - 15 328.00 C00538 6 6 80
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LfGHT
WATER CONN.
ot 'd G -
BUILDING PER. -4
SAC
PARK
~
^INSPECTION REC4RD
CITY OF EAGAN PERMITTYPE: ' I n"`' ~
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 ~
SITE ADDRESS: 4~ ~ I
APPLICANT:
,41 ii i I f1f RNf lIAFtt r f E•l, otll-f V,,FN
M1 1I1 PPtf F'Altk (61 7-) 4110 - r:'F•I;
PERMIT SUBTYPE: TYPE OF WORK: i
r,r rs`RArtnla
INSPECTION D. • I
~ I
' ~
PermR No. Ptrtnft Holde? Dab TNephafe i
ELECTRIC
PLUMBING
HVAC
Inspwtlon Deto Inap. Comrtwnh
FOOTINGS
FOUND
FRAMING
ROOFIWG
aouaH
PLuMSiNa
ptec3
AIR TEST I
ROUGH I
HEATiNG I
GAS SVC
TEST I
INSUI I
I
(3YP BOARD I
FlREPLACE I
I
FIREPLACE I
AIR TEST
FlNAL PLBG I
FINAL HTQ I
ORSAT I
TEST I
BLDG FINAL I
BSMT R.I.
BSAAT FINAL I
DECK FTG
DECK FlNAL I
I
~
- - - -
~
ciTr oF eacaN
c ' 3795 Piloe Knob Road Eagan, MN 55722 NO 4343
PHONE• 454-8100
BUILDING PERMIT APPLICATION $55,000 Receipt #
To be used for Sino. Fam ikl e d Att Cnra pate June 3, , 1977
Site ndd.ess 1230 Wilderness Park Ct, e,ecr ?5 occupancy I
Lor- 11 Block 3 Sec/5ub. Wilderness Park qirer ? Zonin9 Rl
Parcel # Repair ? Fire Zone _
Enlarge ? Type of Const.
z Name p8U1 D7CbOLOUR~1 Move ? # Stories
Z Address 1241 Wilderness Park Cr. Demolish ? Front ft.
3
0 Cit E Phone 452-2228 Grade ? Depth ft.
Approvals Fees
m Name n t1 w
p
or' Address Assessment Permit 188,00 _
0~ Water & Sew. Surcharge 27.50
~ Cit Phone 445-5707
Police Plon check
ww Name Fire SAC 475.00
x? Address Eng. Water Conn. 230.00
t~
¢w Cit Phone Planner WaterMeter 60•00
Council 5/17/77 PBik Don 120.00
I hereby acknowledge that I have read this application and stete that Bldg. Off.
the information is correct and agree to comply with all applicable 1060.50
Sfate of Minnesota Stotutes d Cit of Eogan /n7rdinances. APC 5/-~94; 77 Totel
Signoture of Permitte~ ~ `J~' ` ~ ?
~
A Building Permit is issued to: Paul Ox6ortft gh on ihe express condition that
all work shall be done n accorda ce wi all opplicable $tote o4 Minnesota Statutes and City of Eagan Ordinances.
cr~
Building Officiol ~FR
~7'
wth t void 18 months from ,C"~
,p ~so7
Request l
I-, as 0 Licensed Electrical Contractor D Owner, do hereby request inspection of the above electri-
'cal wiring installed at:
litreet Address r Route No. IZ'3 6 w! ldE,~C~tl~SJ ,4k'~{• (~.11 ityglQ~Ja
~ ~ ~ -
Section township Range County 17Al2ZZW
Which is occupied by P1'k4 L OX liotfo cryN
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yes W Ready Now ? Will CallX
Power Supplier Dq 46nQ C4•e&cTi Address ~/Q07' n'97'7-1-4
Electncal Contractor mA`r~ ele EIEC~' C Contractor's License
(COmpany rvame)
Mai]ingAddress /2-7 P~- ) 714) Ad,I yr,
(Ele Ical on a tor or Ownar Making This Installatlon)
Authorized Signature Phone No. A 'js~
ectrlcal Contractor o Ow aking TM5 InStallaUon)
S~~`~E ~R~ COPY
Minnesota State Board of Electricity e~'e' 1
954 University Ave., St. Paul, Minn. 55104-Phorw 645-7703
QUEST FOR ELECTRICAL INSPECTION 19O'7
IDuplex K BELOW WORK COVERED BY THIS REQUEST
e of Building~New Add. Rep. Check Appliances Wi=ed For Check Equipment W'ved Fot
e ~ ? Range ? Temporary Wuing ?
? ? ? Wa[ex Heatec ? LightingFixmres ?
. Bldg. ? ? ? Dryex ? Electric Heating ?
Commercial Bidg. ? ? ? Furnace ? Silo llnloader ?
Industrial Bldg. ? Av Conditioner ? Bulk Milk Tank ?
Faim ~ ? ? ? Lis[ List
Other ? ? ? Hehels~ $ehers~
7
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feedeis&Subfeeders: # Fee C'vcuits: # Fee
0 to 100 Am s. D to 30 Am eres 0 to 30 Am exes
101 m 200 Amps. 31 to 100 Amperes ~ 31 to 100 Am eres
Above 200 Amps. Above 100 Vimps. N'• Above 100 Amps. ((o
Transformers Remot Con[rol Ctic: Par[ial oc o[her fee ~
Signs Special,Ins 6ctloti Minimum fee $5.00
Remarks TOTAL FEE
I, the Electrical Inspector, hereby certify that the above inspection has been made.
(Rouglt-in) Date
(Final) Date - / 3"_7 -3,
This request void 18 months from
',~s tlquest void 18 months from _
f'~
• /
~ / P
Date of this Request _ 72 1908
•
I, as ? Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wirinb installed at:
StreetAddrss rRouteNo 1L34 Zt/i1~~NF$ /~D/qcl CityJ,*44 A)
Section Township Range County 124416t)q
Which is occupied by 1" W l,i d y/,g GA 0 u S~
(Name of Occupant)
IS a roughin inspection required on this job? No ? Yesx Ready Now ? Will Call
~
Power Supplier Le. ~I Address
Electrical Contractor f!/ /Q f 7-94,e 61F GT • Contractor's License NAZI"
(COmpa Name)
Mailing Address l} 1/7 A!/c. S'A dA;pf
(Elecirl I Con act r ~ Owne Making ThIS Installatlon) rG
Authorized Signature one No. 3Srs
ec[rical contiactcV~f O er ng ThIi Installatlon)
STATE OARD COPY
~ Minnesota State Board of Electricity
.1~J54 University Ave., St. Paul, Minn. 5G794-Phone 645J703
~ REQUESl' FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED &Y THIS REQUEST 1908
Type of BuBding New Add. Rep. Check Appliances Wired Fo[ Check Equipment Wued For
Home . ? ? Range Temporary Wiring ?
Duplex ? ? Watei Hea[er .lCf LighGng Fixtures ?
Apt. Bldg. ? Dryei ~ Electiic Heating ?
Commercial Bldg. Fumace Silo Unloader ?
Industrial Bldg. A'v Conditioner ? Bulk Milk Tank ?
Farm ? ? ? QList pList
9[her ? ? ? Hehers~ Hehers~
COMPUTE [NSPECTION FEE BELOW ~ f t
ervice Entrance Size: # Fee Feeders&Su det,ti: S,y Fee C'vcuits: # Fee
- 0 to 100 Am s. 0 to;30 Am' re - 0 to 30 Am eres / i0l00
101 to 20 Amps. 31'fo 100 A' eres \ 31 to 100 Am eres
Above 2 mps. Above~J00 Amps. Above ]00 Amps.
Transformers Remote Con ro1 Circ. Paxtial or other fee
Si ns Special lnspection Minimum fee $5.00
Remaxks
TOTALFEE
I, the E]ectrical Inspector, hereby ccat~~ a ve fnspection has been ad
(Rough-in)_ i Date
(Final) ~o 17,r f Date !G^'
This request void 18 months fromv w/ti~~i~
B3i ~
T'his request voi S i (.~7 ~ f `
18 mon2' s from S 914 7 6
Date of thi` Request !U ~24 Fire No.
I, as P Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal wiring installed at:
aaO ~/J ~
Street Address or Route No. -~~f /i1ii~'21~Itc40 pCU~~ lAZ~t.! Citya!!~
Sec[ion Township Range County
Which isroccupied by!LLl~~ ~ ~
(Name o} Occupant)
Is a roughin inspection required on this job? No PT Yes ? Ready Now ? Will Call`~'
Power Supplier Address
Electrical Con[ractor lm e~_r_fYP-r _ ~ y~~9 U
Contractor's License No. _
(COmpany Name)
Mailing Address $-S-Y37_
lectrl o actor or Owner Making This installatlon)
AuthorizedSignature~ PhoneNo. c/
(Electrical Con ctor or Owner Making This Installatlon)
~ y~p~~~ This inspectian request will not he accepted by the
~ State Board unless proper inspection fee is enclased.
minnesoza acace noam or cIeccncIry
Griggs Midway Bldg. - Room N791 EB-40001-02
-"1821 University Ave., St. Paul, Minn. 55704 - Phone 297-2111
REQUEST FOR ELECTRICAL INSPECTION ~
^ CHE%K B£LOW WORK COVERED BY THiS REQUEST S 91476
Type of BuOding New Add. Rep. Check Appliances Wued For Check Equipment Wired For
Home ? ? ? Range Li 7'emporary Wiring El
Duplex ? ? ? Watei Heater ? Lighting Puctuies ?
Apt. Bldg. ? ? 0 Dryer ? Electric Hea[ing ?
Commercial Bldg. ? ? ? Fumace ? $ilo Unloader ?
Industrial Bldg. 0 ? ? Au Conditioncr ? Bulk Milk Tank ?
pList }1 pList
O hei ? ? ? Hehersf Heie~s~
COMPUTE INSPECTION FEE BELOW
Servire En[rance Size: # Fee 11 Feeders& Subfeeders: # Fee Circui[s: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 240 Amps. 31 to 100 Am eres 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. Above ]00 Amps.
Transformers RemoteContiolCirc. Partialoio[herfee 'C . O
Signs ecial lns ec[ion Minimum fee $5.00
- Remazks
TOTALFE /Q,O~
~
I, [he Electrical Insp o~ fty that [he above inspec[ion has been m . /6~5'p
(Rough-in) Date
(Final) Date
This request void o
18 months Crom
MIDLAND HEATING 6--,11(~
Diwsion o/ Nielsen Heaung & Air Condruonmg, lnc.
4 2 Penn Avenue S th • Ph ne: 869-3213
ADDRESS /`~U ~~`~/.°~.5 ~,~F R CI Y SUBUR
OCCUPANT OWNER
HEAT LOSS DATE HTG. 1.
SOLD BY.~ e=s 17 /C!. C~ ~ INSTALLED BY
Eleehieal Work By Gas Line By ~ ~ ~ Q• ~ C,L
TYPE OF HEAT GA _ FA HW -STEAM SPACE HTR. _UNIT HTR. _OTHER~
GAS DESIGN CONVERSION
MAKE ~ MAKE OF BURNER
Modei Model
91 Serfal Max. BTU Raticq
INPUT MAKE OF FURNACE
Model
~ TROLS
THERMOST Heat lug Vant Size - /
Vaive IND OF LINER_yiF~ Nl1YF
Lfmit ~ Draff Hood Raquloror
Limit Ssttin9 ~ Filtxs Siza Number
Fan Settin9 Chimney Locatien Inaide x Outefde
Pilot Type ~ ~rr/G -li'f'Ji Chimmy Construction
Pilot Make
. Pilot Abdei ?~P ~ ~ $moka Bomb Wiring
Pibt TlminQ Draft _Tsst Tape~e
L.W. Cut Of( - Dow Prossuro Liq tiny InaL
Pressura ~ParceniCQ2 DotaTearsd ~
InputCFMPercent O2 ?~J CompanyTasting
Stock Temp. Parcant CO ~~J Name of Teater ~
Form 235
/
Date :
BUILDIiIG Pcffi~IIi P,PPLICATIO!'d
:OT l ~ BLOCK ~ l1DDITIO"r7 12ALk
"?.^.:iiL E SECTIOP] NNI1i3ER IP UidPLATTED
or P;u:car. 3 0 liv/G/]~RNES~ J~A,Pk Gau,eT
'•0:;-:'d~: ~ OCCUPANCY ~~~.2_-----
-
. - . . ,..T.:;O (:OS? 70
~T•„~~ UL OX13o.PU U G N TELEPHOAtE No.
_,n~z:,sc /,J l// ~/L DFRNFss ~,fRk C /,PGL ~ -
coir=~nc,oR- JJ,PEN 7G A~ TELEPHOtdE TdO. LI yS -S70 7
r.imREss
tv'ote: Include site plan, building plans, and energy calculations cTith t115.r,
application
Signed
go, OFFICE USE
~
JALUilTIOid
r.Ta'R
'.=-L:R !S.^.TER
~YJ
?IIIS.DI[dG PPFtGIIT FEE
3~TRCHS.RGE FP:E -7 ~9- ~ -
PI;E1ti CE7:CIt FEE
PAFtK DEDICATIOid FEE
OTF.F.R
. _ . ' S
A^: .^:?.Q',711L.S : n
i:S~iIF,YdT CLERK ll'~BUILDIIJG DEPT. POLIC£ DEFT. _
V'
PARK DnPT
...:`_iER f SrF7ER D3PT. FIAD AR.PT. .
22 0.4~`
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lZ.3o r.v~crF~N~'ss PF.Kh CT.
,
I
S i PERMIT
CITY OF EAGAN
3830 PilotKnobRoad . PERMITTYPE: BurLozNe
Eagan, MinnBSOtB 55122-1897 Permit Number: 0 3 0 3 8 9
(612) 681-4675 Date Issued: 0 7/ 0 S/ 9 7 ,
SITE ADDRESS:
1230 WILDERNESS PARK CT
LOT: 11 BLOCK: 3
WILDERNESS PARK
P.I.N.: 10-84250-110-03
DESCRIPTION:
REPLACE WINOOW
Buildin9,Permit Type SF (MISC.)
Building Wo,rk Type ALTERATION
Census Code 434 ALT. RESIDEN7IAL
~
~
. /
.
i--
~
J IV'
J ~
REMARKS:
FEE SUMMARY:
' VALUATION $1,100
Base Fee $37.50
Surcharge $.55
Total Fee $38.05
CONTRACTOR: - Applicant - sT. LIC. OWNER:
RENEWAL BY ANDERSEN 15717816 2004063 KLUG CHARLES
17'00 BUERKLE 1230 WILDERNESS PARK CT
WRITE BEAR LAKE MN 55110 EAGAN MN
(S12) 430-7255 (612)454-9092
I hereby acknowledge that I have read this application,and state that the
infiormation is correct and agree to comply with all applicable State o~ Mn.
Statutes and City of Eagan Ordinances.
L ~
( JCJ~~.I'
APPLICANT/PERMI7EE SIGNATURE ISSUE : SIGNATURE
%
CITY OF EAGAN
CA.~'~HTER: S TF_fiMINAL N0: 74
PATE: 07/03/37 TIME: 15:14:16
ID:
NAME: ELDER-IONES
3210 3001 1?_30 WILDEf:NESS 37.50
2155 3001 1230 WILDCRNESS 0.55
~ .
~
Total Feceipt, Amount,: 38.05 ,
CROrf3354 •
USEF IDr NANCY
~mm~mm~;~mm~~~~rz~s~~zmm~~m~z:sm~zm~~~z~z~xc~c~zczc~
. . . . - ' l~1
. . t..d ' I~.. . r.l . i ~ ,
'p . i .
.M . • , . . . • .
t • 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL~
~ a3 ~ R CITY OF EAGAN
~ 3830 PILOT KNOB RD - 55122
687-4675 New Canstruetion ReauiremeMS RemodeUReoeir Reauiremenb
? 3 registered sRe surveya ? p cppieg pf plan
• 2 copies of plans (induda beam & window saea; pourctl fid. design; eta) ? 2 ske surveys (exterior additlone S decks) .
? t energy calalatlons - - ? 1 eneigy calwlatlons for heated additlons
? 3 copies of trae preqervation plan if lot platted aRer 7/1/93
requirod: _ Yes _ No . ' '
DATE: v-i 'C) q-7 CONSTRUCTION COST: I O8 'rJ • a-~ DESCRIPTION OF WORK RS-:: PLRCE 1 W tNCOw ktJ ttpf-~E wrtN COM'P~7E W lN DOW
wt'T1t~Nk ExIS"fINC-, (~PCTItt~1C'~S.
STJ2EETADDRESS: 10 --ki0 W lL('>~RNESS Qg'Rk. G"-T .
LOT BLOCK ~ SUBD.lP.f.D.#:
PROPERTY Name: _KLuG) C~"Vl~~LC'S Phone#: tfg• yS4•9D9a
OWNER ~
Street Address: 1210 City: -E-} G A'N State: Zip:
CON7RACTOR Company: JReNE-w Ati. ~j ~1'fYc~~t~1 Phone -7 Sll~
Street Address: •-f 3e-° Rv E•NE License a~o L~
City: I-,12 \D l.eY State: MIJ Zip: 50-I3 a
ARCHITECT/ Company: T4 Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address change
and lot change are requested once pertnit is issued.
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:
OFFICE USE ONLY
Certificates af Survey Received Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY , i
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool
? 03 SF Addition o. 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch o 09 12-piex ? 14 Fireplace ? 21 Miscelianeous ? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# af Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
- Census Unit
APPROVALS
Planning Building Engineering Variance
Pertnit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
PaMc Ded.
Trails Ded. . . . . ,
Other
Copies Total:
% SAC
SAC Units
CITY USE OiNLY
PERMIT#: ~CJr 10~ RECEIPTDATE: 71)#'OI
RUII}ENTIAL MECHANICAL PFdtMTT ~PPLICATION
crrY oF Ews"
3$80 PILOT KNO$ $D
F.4Hi4N MN 55122
651-691-4675
Please complete for. ? single family dweliings FJUL townhomes and condos when permits are required for each unit Date: 2 0 COD1
SITE ADDRESS:
OWNER NAME: TELEPHONE
(AREA CODE)
INSTALLER NAME: LP k(l?- -TELEPHONE i05( 4Z_t)- (f LJ LI
(AREA CODE)
STREET ADDRESS: Kcl',-)c .f% T 7 ,i _
CITY: STATE: ZIP: SSGIr~S
Place a check mark next to the permit work type
New residential dwelling unit under constructionand not owner/occupied $ 70.00
~ Add-on, modification or alteration to existinq dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: 0,P r q(' Q. r( ,l n~PvC 11 C
State Surchar e $ 50
Tatal $~~_D ~
Reniinder: CaU for inspections. 1
SIG T'iJRE OF PE I"ITEE
Opdated 110 1
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ezt.Alt - SF
? 04 02-plex ? 10 OB-ptex ? 16 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 36 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
O 34 Replacem¢nt `Demolltion (Entire Bidg) - Give PCA handout to appliwnt
DeSCYiptiOn: WaterDamage_Yes
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 Sldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Sheetrock
_ Footings (deck) FinaUCA.
_ Foorings (addirion) FinaUNo C.O.
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Frazniag _ Siding _ Stucco Lath _ Stone Lath Brick
_ Fueplace _ R.I, _ Au Test _ Final _ Windows
_ Insularion _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC -
Utility Connection Charge
S8W Permit & Surcharge
Treatrnent Plant
License Search
Copies ,
Other
Total
2006 RESIDENTIAL BUILDING rEUMrT ArrLicnTiorr City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Gonstruction Reovirem=nfs RemodeVFteoair Requirements INfceUse OnN
3 re9iste2d stta surveYs showin9 sQ. ft of IoL sQ. K of house; and ali roofed areas 2 wPies of Plan showin9 footin9s, beams, 1'oBts CerbFBviveY -Reoi `
(20°k maximum bt coverage allowed) i setof Energy Calwhlions fw heated addNons Tree'P2s P-n Recd '==Y~= N,
2 wpi>s ot plan showing beam & vrindmv sizes; poured tound design, eta 1 sile survey tor addNOns & decks Tree P_es Requ red:~ L,,t~_ Yr_,=-.~ N
lsetofEnergyCalculalions Add'Awn - indicaleifom-sites=pfksyslem On_site'SeplicSystem~.;~,~-_LY~<iN
3 copies of Tree P2serva6on Plan'rf lot platted after 711193
Rim Joist Debil Op6ons seledion shset (buldings with 3 orless units)
Minnegasco mechanipl ven6lation form
Date _-7 /1Z- Construction Cost~,
~p_ ~
1W K Unit/Ste #
Site Address /h~'~~AllLQE4y€5s p
Description of Work
Multi-Family Bldg _ Y~. N Fireplace(s) _ 0_ 1 _ 2
Property Owner ~~ry/t~tFS ~ Teiephone # 6$1 ) ~ - / .3z g
Contractor 11144cyac~JT Fx7X;P4a&
Address ~(p!r<ls r(Jz& W? e~-, City sr- P,f u~
State &M Zip P Telephone # (4/7_) t_??- Qe(,.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota RuJes 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residen6al Ventilation Category 1 Worksheel • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calcula4ons Submitted
In the lasf 12 months, hos fhe Cify of Eogan issued a permif for a similar plan based on a masfer plan?
_ Y _ N If yes, date and oddress of master plan:
Licensed Plumber Telephone # ( )
Mechanicai Contractor Telephone #
Sewer/Water Contractor 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 MN
Statutes; I understand this is not a permit, but only an applicafion 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 ofplans.
Appficant's Printed Name Ap icp anYs Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107971
Date Issued:11/07/2012
Permit Category:ePermit
Site Address: 1230 Wilderness Park Ct
Lot:011 Block: 003 Addition: Wilderness Park
PID:10-84250-03-110
Use:
Description:
Sub Type:e-Reroof
Work Type:Reroof
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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 -
Charles S Klug
1230 Wilderness Park Ct
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114931
Date Issued:09/20/2013
Permit Category:ePermit
Site Address: 1230 Wilderness Park Ct
Lot:011 Block: 003 Addition: Wilderness Park
PID:10-84250-03-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Elizabeth Hess
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 -
Charles S Klug
1230 Wilderness Park Ct
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140961
Date Issued:02/03/2017
Permit Category:ePermit
Site Address: 1230 Wilderness Park Ct
Lot:011 Block: 003 Addition: Wilderness Park
PID:10-84250-03-110
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Charles S Klug
1230 Wilderness Park Ct
Eagan MN 55123
(303) 990-0833
Carter Custom Construction & Fireplaces
3276 Fanum Road, Suite 400
Vadnais Heights MN 55110
(651) 653-0190
Applicant/Permitee: Signature Issued By: Signature