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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~` - - - - - - - - i ~ - - ~ ~ I I QO ~ . O el ~ f • ~ ~ F~ J8` f ~ )?LoGk ? \ I a~ , L o r sz. 97 , 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