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1232 Wilderness Park Ct CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Kno6 Road PERMIT NO.: WAgon, MN 55122 DATE: Zontnp: No. of Unlts: _ T3-'~ Owrror: - 1- Address: - ' SiLe Addrc55: T w, LiT~ Z Plumber: pc3 1 agroe fo oomply with fhe City of Eegon Connection Chorge: Ordlnanan. Accourrt Deposit: _ Permit Fee: Surchorge: BY - Misc. Charges: Date of Insp.: Total: Insp.:. Dote Paid: CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: F.agan, MN 55122 DATE: Zoning: . No. of Units: h , Owner; Address: " . . . - - S(te Address: Plumber: Meter No.. ; Connedion Chc?ge: ^ . ;7" $ize: Acoount Deposit; Readar No.: Permit Fee: I agroe to eomply witb tM City of Eagan Surcharge: ~~Q V,,f; Ordlnonou. Miu. CFwroes: C~; ` - _r.~~. . Total: BY Date Paid: Oote of Insp.: Insp.: ` • * CITY OF EAGAN *t 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ y2 12889 PHONE: 454-8100 BUILDING PERMIT BATH/F.:NTRY ReceiptM Tobewedror ADUITION Escvalue $4,065 pate INaVE:tBER 18 ,t9 86 SiteAddress 1232 WILDEki1ESS PARK CT Erect ? Occupancy Lot1Q Block _3_Sec/Sub. WILDE.TtNESS PK Remodel ? Zonina Parcel No. 1ST Repair ? Type of Conat Additton )0 Na. Stories W Name STE'VS HkTTERS Move O Length Demolish ? De th o Address SA~~F Int Impr. ? Sq Ft City Pnone 452-7069 Instau ? = o Neme KELM CONST Appfo"ift Fe" Add?ess 12548 GAVOTTE AVE Assessment Permit a • 431-2591 Water & Sew. Surcharge • ~ City A • • Phone Police Plan Review ~ =QName Fire SAC ,a Address Eng. Water Conn. < W Ciry Pnone Planner Water Meter Council Roed Unit I hereby acknowledge that I have read this application and state that the Bld9 ~ 6Tr. PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Var. Date Copie Signature of Permittee TOtal . 00 A Building Permit is issued to: RELM CON'gT on the express conditlon that all work shall be done fn accordance with all appli ble Stete of Minnesota Statutes and City of Eagan Ordinances. Building Official -r - PMmN No. Pw~nit 11o1de? DeM TMophotN N ff EMefrk So1NrM? Inapeetlon DaM Imp. Co+nmmb Fooon" I 4)4 Footlnpsll Fowldatlon Frominq Rooilnq R«ugh Pbg. RouyA MIO. Inwl. Firoplwo FinM IMp. Final VWy. Sldq. FYuI Corl. Oee. Dwck Fty. Dock Fraq. w.r P.. oiw. ' :ti . ? - i'. j~:`...Ta.~. • Ci. Tr - - f . . _ r~. . . . . r. " . ' ` . ~ PERMIT If PLUMBING kRI1AIT RECEIPT # CITY OF EAGAN ~ 3830 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE: /_21'/_? flC~' CONTRACT PRICE ~ PHONE: 454-8100 Site Address • f BIDG. TYPE WORK DESCRIPTION Lot BI ck J_ Sec/Sub Res. _.X_ New ~ 1-t Mult. Add-on r, Name Comm. Repair ~o Address Other c City A4(14 Phone ' Y RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES T Al Name -e;•-ALiwater Closet - $3.00 . DO m f ~Bath Tubs - $3.00 3 Address ` _I-Lavatory - $3.00 1.00 p City Phone ~Shower -$3.00 3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE -1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPL.IES Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000•00) Well - $10.00 2 vq1 Pnvate Disp. -$10.00 ( Ow rr_i y Rough Openings -$1.50 i Sj,6NATURE F PER IT7EE! FEE: ~ STATE S/C: ~ ~ FOR: CITY OF EAGAN GRAND TOTAL• . . . . 4.Y+ =ir4.: _F.'+c~v-^(a: ~ i tr. _ _ . _ _ - .T.- ~--r -i- '^T~--•~+T-T .T... •~s+~ . 3830 Pilot Kno6 Road! P.O. Box ZG-A1 9, Eayan, MN 55121 ~ 12059 ' PHONE 454-8100 BUILDING PERMIT ReCeipt M ;1 To be us.afo. Est Value $11,060 oate JUNE S ,19 86 SiteAddress 1232 WILDERt+iESS PA..RK C'I' Erect 19 Occupancy Lot 10 Block 3 secisub. w I LDERNESS PK Remodel O zoning Parcel No. 1ST ADDITION ReDair ? Type o} Const Name STEVE lrSATTERS Addi6on ? No. Stories Move ? Length 35 S 1~'!F. Demolish ? Depth t~ o Address SA Int Impr. ? Sq. Ft City Phone 452-•452-7069 Install ? o Name CUSTOM POOLS INC Ap~~~~ ~ ~6 Address 601 FXCELS IOR AVE Assessment Permit $66.50 ~ Ciiy HOPKINSphone 933-2255 Water 8 Sew. Surcharge 5. 50 ~ Police Plan Review 43 . 25 F M5, Name Fire SAC u n nddress Eng. Water Conn. ~ ~ a City Phone Planner Water Meter Council Road Unit ~ I hereby acknawledge that I fiave read this application and state thatthe Bidg. ON. 6/5/8 6 Tr. PI. information is correct and agree to comply with all applicole State of Minnesota Statutes an C~y of Eagan Ordinap;ges. APC Parks Siynature of Permi ~-1 ~ Ver. Date Copie , Total A Building Permit is issu to: CUSTOM POOLS INC on the express condition that all work shall be done in accordance with all applicable Statep? Minnesota Statutes and City of Eagan Ordinances. Buildinfl Official . . ~~,al' PrnNl No. PwoMt Flaldn DaN TNphar • PMrnbMO IH.Y.A.C. ~ 3 j _ aa~.. imqcu- wb Imp. cannmM. FO°*tp I ~ b l.1~ - ` • ~ IFooOnp 11 Foundatlm Fnminp IRao" 1Hou9h Plbq. IRouph Hip. IMUL Fw.a.o. Fw,M Hro. IF" Pbo. Ic.& occ. IO-ek FOp. IDeck Frnq. Dooce16w l.oewaK 1Nb11 Y?. ONp. I~ J CITY OF EAGAN 3795 Pilot Knob Reoa Eegae, MN 55122 H! 4870 ~IiONE:4s4-8100 QUILDING rER/v1IT Receipt To be ~d for rar. Est. Volue 2 , t)^n Date ~/C . 19 78 gite AddresS 1232 Wilderness Faric Ct. Erect I p: Occupanry Lot Block 'I $ec/Sub. E:i1d. Pari: isr ^Iter p Zoning ~-I parcel # Repoir Q Fire Zone 3 Enlorpe ? Type of Const. V ~ Name =`e!=~'i'3Er: Cor:st. Inc. Moye E] # gtories 10!~tll .n7t. ~ Add,ess aemolish p Fnonr fpth CI Phone G/Od! ~ Df ~ ApPrarak F~es o Ncme S.-i;ao o~ Assessment ' Permit " U~ Water & Sew. Surcharge • I Ci Phake Police Plan check ~ W Name ` . . ; Firo SAC ~ x1-9 IWdross Enp. Water Conn. <W Cj p~e Plonner WoterMeter r'~'~~ Countil rk 120.30 I hereby ockrwwledge thot I hava read this application und state thot gldg. pff. ?cad Unit 75.00 fhe information is correct ond agrea to comply with ail applicdble APC Total 1'.l . r f $tah of Minnesoto Statutes ond City of Ecgcn Ordinar)ces._~: $ignoturo of Permittee s /1 Buildiny Permit is issued to: on the express conditton thot all work sholl be dona in accordance with oll appHonble Stote of Minnesoto Stotutes and Ciry of Eoflon Ordinonus. Buildirg Officiol r '«MII Deft lMmw FWMN"o Plumbinp ? -7IO 91 --Er-7vr Mechaniool , s7 8 9- E/ec , /o y INSPECTIONS DATE INSP. ~ Rouplrln find Footings O~ lnw• Dct Foundation Plumbing ~ Frame/irks. IVkchoniaol ~ Finol Remarks: f• CASH RECEIPT • CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE waculvsn "oM AMOUNT $ I b DOLLARi ioo E] CASH [:1 GHECK POR rUNG CODC AMOUNT ~ nkYou , I BY White-Payers CoPY i Yellow-Posting Copy Pink-File Copy T . ' , ~ . _ ,""f : •--•r.---~ 4 - ' , PERMIT # PLUMBING PERMIT RECEIPT ik (7 lr' y CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address - - ~ 1 LDG. TYPE WORK DESCRIPTION Lot_A/ L T Block Sec/Sub Res. New f • 4" • 1 1/ ~ Mult. Add-on ~ Name Comm. Repair ~ ~ Address Other c Ciry Phone RES. PLBG. ONLY COMPLETE THE FOLIOWING: NO. FIXTURES TOTAL ~ Water Closet - $3.00 $ Name ` Bath Tubs - $3.00 3 Address Lavatory - $100 O C ry .Z4~t5c~, , Phone (!~S ~'GtP',%~ Shower - $3.00 ~ Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE -1% OF CONTRACT FEE . Laundry Tray -$3.00 „ APT. BLDGS - COMM RATE APPUES Flopr Drains -$1.50 •TOWNHOUSE 8 CONDO -RES. RATE APP_LLES.-_ !~±Water Heater - S1 50 7 1 _ MINIMUM - RESIDENTIAL FEE ~ - $12.06-,, Whirlpool - $3.00 MINIMUM - COMM/IND FEE ~$2O.QpJ Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1lp00.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ~ SIURE f hAITTEE FEE: v STATE S/C: " ~Z) FOR: CITY OF EAGAN GRAND TOTAL• ~2- 1e) GITY OF EAGAN Remarks Additio Wi1r3@rmggG Park Lot 10 Rlk 3 Parcel in 811,2~ Owner ~~f p~Sfi•+-~ M6&L- Street 1 232 Wilderness Park Ct. State- Eagan,MN 55123 , Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1977 572.90 . 57.29 10 401.03 C005203 1-1-78 STREET RESTOR. GRADING 5AN SEW TRUNK 2\ 1973 176,o5 8 8- 20 114.45 C005203 11-1-78 SEWER LATERAL WATERMAIN WATER LATERAL 1154,34 30.29 f 11-1-78 128.03 C005203 1-1-78 STORM SEW TRK " 329-00 21 j 570FiM SEW LAT CURB & GUTTER 510EWALK STREET LIGHT WATER CONN. 250.00 I0772 7-7-78 BUILDING PEA. 4870 SAC PAR K INS~.~'ECTIQN RECC)RD I ~p~'f°~ CiTY OF EAGAN PERMIT TYPE: 3830 Pilot #Cnab Rvad Pemit Number. 00"b6fi f6/ lt1/Va Eagan, Minnesota 55123 Date issued: (812) 681-4675 SITE ADDRESS: IOt, ~ o F111)r 4r 3 APPLICANT: I I-, e<, Oar ERK~. c T Nf 1;,b1 I I t!ririMA 1.17 1 1?FRNE. `i°' !'A1t~ 1 sfi ( 6 12 ? At,.> ~ PERVITYSUP kYP~: TYPE OF WORK: 6E'3C.Irt~'TIOM °,cNE[~N~~t ~u(~t'Ft . l I' ~i141'? Mi~ l~NI~Ml.N6 ~ l~IMAI ~ i _ ` R£MAItK~~ 1,N~'LUC)I:~ J.~' 6" UEf,K ~ - . ~ s r'wnat No. Por+rre MolaMr oow TiNphons ? S14V ` PLlJMBIN~'a HYAC c~~ ELECTRiC . ~ IrNpreKOn Oote Mnp. GomnnnEs Footinps I ' foundetlbn Fm~ Roo" Raph Plbp. . ftuph Hlp- ~ Iwl. Fi~~prDe Fkial Filp. ()esal Teet ~ Vmpo&m -?kW Pkwnbw Cona. AA~? EnP'JPlan °wa ' De* F%~ Dsckf~nN i Ws1 Pr. Diep. ' i , cITr oF eac,AN ' 3795 Pilot Knob Rood Eagen, MN 55722 NR 4870 PHONE: 4548100 BUILDING PERMIT APPLICATION ReceiPt .{p Te be uaed for SF Dwell. & Gar. Est. Vaiue 52, 000 DOTe 7/6 . 19 78 Slte Address 1232 Wilderness Park Ct Erecr [k Occuponcy I Lot 10 Blxk 3 Sec/Sub. Wild. PaYk ISt qlter ? Zoning Rl Porcel # Repair ? Fire Zone 3 Enlarge ? Type of Const. V w Name S. Petersen Const. Inc. Move ? # Stories 3 Address 4701 W. 100th St. Demolish ? Front ft. o Cit Mpls. Phone 884-5144 Grode ? Depth 36 ff. p Name Approrais Fees z~ same Assessment 7 67$ Permit 143.50 _ ou Addrea u~ Ci Phone Water & Sew. Surcharge 26.00 Police Plan check ~w Name Fire 5AC 500.00 Address Eng. Woter Conn. 250.00 ~ <w Ci Phone Plonner Water Meter 60.00 Council Park 120.00 I hereby atknowledge that I have read this plic ' n a ihat gldg. Off. Road Unit 75.00 the information is correct and agree t om wi all applit ble 1174.50 State of Minnesota Statutes and Ci o gon di APC Toral Signature of Permitte ~ A Building Permit is inu d to: on the express condiHon that all work shall be done ' acco ance ' h all cppliwble Stote of Minnesota Statutes and City of Eugan Ordinances. Building Official ~-e- CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12059 BUILDING PERMIT PHONE:454-8100 rteceipta Tobeusedlor SWIM POOL Est Value $11,000 Date JUNE 5 ~g 86 SiteAddress 1232 WILDERNESS PARK CT Erect Occupancy Lot 10 Block 3 Sec/Sub. WILDERNESS PK Remodel O Zoning Parcel No. 1ST ADDITION Repair O 7ype oi Const. AddNOn ? No. Stories a Name STEVE MATTERS Move ? Length 36 x SAME Demolish 0 Depih 18 o AAtlress Int. Impr. ? Sq. F+ city pnone 452-452-7069 Install 0 i o Name CUSTOM POOLS INC npprovala Fees 601 E EXCELSIOR AVE Assessment Permit 86.50 g< Address 5.50 ` CityHOPKINSpnone 933-2255 Water&Sew. Surcharge ~ Q Police Plan Review 43 . 25 F w Name Fire SAC _z ~ i nddress Eng Water Conn. a w City Phone Planner Water Meter Council Road Unit Iherebyacknowledgeth ave read this applicatio d state that the gldg.Off.6/5/$6 Tr.PI. information is correct :e to comply ith a a pli le State of Minnesota Statutes an 1t~ oi Eagan Or n c APC Parks Signature of Permi Var. Date Copies 13 . 2 Total A 8wlding Permit is issu d to. CUSTOM POOLS INC on the express condition that all work shall be done in ccordance wtlh all applicab te Minnesota S tutes an i of Eaqan Ordinances. Building Oflicial ~T CITY OF EAGAN ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 N- 12889 'r PHONE: 454-8100 l- BUILDING PERMIT BATH/ENTRY Receipt# ~/~J 1'3 ~ 7obeusedfor ADDITION Est.Value $4,065 Date NOVEMBER 18 19 86 SiteAddress 1232 WILDERNESS PARK CT Erect ? occupancy Lot-10 Block 3 Sec/Sub. WILDERNESS PK Remodel ? Zoning Parcel No. IST Repair ? Type of Const. Addition )9 No. Stories ~ Name STEVE MATTERS Move ? Length 3 Address SAME oemolisn ? oeptn ° 452-7069 intlmpr. ? Sq.Ft City Phone Install ? a Approvals Feea , o Name KELM CONST 0 ¢ nddress 12548 GAVOTTE AVE Assessment Permit 50.50 ~ Ciry _ A. V. pnone 431-2591 Water & Sew. Surcharge 2- 50 ~ Q Police Plan Review F w Name Fire SAC _z m u i nddress Eng. Water Conn. i w Ciry Phone Planner Water Meter Council Road Unit IherebyacknowledqethaNhavereadthisapplicationandstatethatthe gldg.Off. 11 1$ ~r.Pl. information is correct and agree to comply with all applicable State of Minnesola Statutes and City oi Eagan rd' an es APC Parks / Date Copies ' SignaNre of Permittee Var. --T5-j---U-(J- Total A Building Permrt is issued to: KELM CO T on the express condition that all work shall be tlone in accordance with all appli ble Sta[e o"~ in ~ta -Sfatutes and Ciry ot Eagan Ordinances. Butlding Ofhcial -~q, 'L'A-~ 'p- e• . nth~', n f-;, 5 3L ! C) 0- Frques[ Uate Fve No. RouPh-on InsVecuon Reqmretl. ~Reatly Nuw ? Will Nnlffy Inspec- ~ ?Ves ?NO lar When HeatlY `Licensed Eleclncal ConVactor I hereby request inspectmn ol ebove Owner electncal work msialled at Sveet Address, eox or Poute No. (2 Cny ecUOn o. Township Name or No. RanBF~ No. County OccuGam IPRINTI Phune No. /z- Z - 7r~ l Power SupPiier Address Elecvical Convacmr ICOmoany Name) Cnntractoi's Lecense Nn. G/-~Kr /~~r co auo / ~ 3 Ma11inB AtlJeess IConVacmr or Owner Making Instailationl (o BR Nt /Al Au[honzed SiBn re ICon actor/Owner kiny Ins[allationl Phone Number 7 ~ NNESOTA STATE BOAND OF ELECTRICITV THIS INSPECTION qEOUEST WILL NOT F STATE BOAHD e9s-Midway Blde. - Roam N-191 UBENACCLESS EPTEO PPOPEH BY INSTHEPECTI ON 1 Umversit' Ava.. SC Peu1, MN 55104 , _ ro.o~ oo e~~• ~ '-:ftL ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ~ ea~aoooi-oa 7-3 ; ~ See ins4uctions tor tamole4na this form on back of vellow coov. / OYX / ,G J A 53 "x,Below Wwk Covered by 7his Request Home Range Temporary Service RIfis A pationcm WireE eauiv~~a~,t w,.en Duplex Water Heater Lir{htiny Fixtures ApL BuilAinc~ Dry¢r Elec(ric Heatin Commercial Bldy. Fumace Silo Unloader InAustrial Bldg. Air ConAitioner Bulk Milk Tenk Farm OlOm Ver.i V .~her ISpr.rifvl t ar SVecJy 01 ei O1hr.~ pection Fee Below p Fee SorviceEnvanee5ize it Fee Feaders/5ubleaders ~ Fn.e Cucuns 0 to 200 Am>s 0 to 30 Am s a ta 30 Am s A6ove 200 Amps 31 to 100 Amps 31 to lU0 Am s 7- o ~ Swimming Pool Above 100_Amps Above 100_Am>s Transrormers ~rngation Boon~s Pertial."Other Signs Specialinspection $ ' ~ Q s TOTAL Rem~.ks E O~~ NouB~'~^ I, the EI cvicnl Inspector, y certily the~ the above Finel r P~~~//,~~{n ~nsDec4on bas beBn a ~ 'r mada. :repuaslvolOlBmonOUlmm ~ This request void 18 months from 113 9e p P 68048 Date of this Request I, as I*icensed Electrical Conlractor ? Owner, do hereby request inspection of the above electri- cal winng installed at: Street Address or Route Nola 32 An->-tc et, City Section Township Range County Which is occupied by <,=l-~ T"az~o'tK Qa'7~• (Name of Occupanq Is a roughin inspection required on this job? No ? Yes fQ Ready Now ? Will Call ~ PowerSupplierc,JJ~Oqc,. lXa2_I'.C.,Cu.tlddress~a-~ -1t..Ins4..tic~-„ Elec[rical Contractor-;< 2w. c-aA¢,ua'k C'XR.CX~.c,Contractor's License No3qR Rs~ (GOmpany~Na`me) ~ MailingAddressf Z)'IO /ry-~E_ ~ criu.~.,~ctyr~d~, SS~/1d or~ (Electrical Can ract r or wner Making ThIS Initallatlo Authorized Signa[ure / ~~Phone No.BSy-yq70 (Elec rical Contractor or Ownar Mdrking Ms Installatlon) This inspection request will not he accepted 6y the State Board unless proper inspection fee is enclosed. minnesota state eoara ot tiectncity 3 Q G 1~`954+University Ave., St. Paul, Minn. 55104-Phone 645-7703 ~ REQ,UEST FOR ELECTRICAL INSPECTION C};,~'~CK BELOW WORK COVERED BY THIS REQUEST P 6 8 0 4 8 Type of 8uilding New Add. Rep. Check Appliances W'ved For Check Fquipment Wued Foc Home ? 0 Range ? Temporary Wving ? Duplex ? ? N'ater Heatet ? Lighung I'ixtures ? ApL Bldg. 0 ? ? Dryer ? Electric Heattng ? Commeccial Bldg. ? ? ? Pumace ? Silo Unloader ? Industrial Bldg. ? ? 0 A'v Conditioner ? Bulk Milk Tank 0 FSrm ? ? ? List List ) ~ ~ 0 Othe[s~ Othersh Othei Here f t Here 7 COMPUTEINSPECTION FEE BEL Service EntranceSize: # Fee 11 F Fe0rMSuWjdc!fVANJ& Fee Cucuits: # Fce 0 to 100 Am s. 0 t s 0 to 30 Am eres 101 t 00 mps. 31 ]0 s 31 to 100 Am eres Above 200 Amps. Above 100 A Above 100 Amps. Transformers Remote Control Circ. Partial or o[het fee Signs $peciallns ection Minimum fce E5.00 Remarks _ _ /J'VK-fYC.. ~ „ \ ' ~ 70TAL F~E{/, o~ ~ W ~Q 1, the Electrical Inspec[or, hereby t Iha e bove insp~ecction has been n de./ rl (Rough-in) Date " ~ 7G (Final) Date a7- /3 -7 This request void 18 months from" J 3~21 ReOUesi Oeie - Pire No Rough-in Inspection ' eqwretl~ ? Aeaay Now rl Will Notily Inspector ~ Yes ? No Fea0y7 I& licensed contractor D owner hereby request inspection of above electrical work aC Job Atldrew (Streel. Bos or RoWe1 No ) Ciry la3a W.lC1QrnG1S CA`-+-A ~ ay~ Section No. Townsmp Name or No Fenga No Gounry - KjqL c+ in, OccupanllPRINTI Phone Na Power SuOPher MOress Eleancal Commmor (GomOany Name) 1ConVaclor5 License No. oY3oY3-A Mailing Atltlr¢ss (Comraclor or O.vner Making Installation) tUO a13aLsc..., Lo.~ nwnor¢etl Sgna;ure tCOmractonOwner Making insianauon~ Pnone Numoer -o '7 a-G MINNESOTA STATE BOARD OF ELECTHICITY THIS INSPEGTION REOUEST WILL NOT Grigga-Mltlway Bltlg - Room 54]] BE PCCEPTEO BV iHE STATE BOARD 1821 Universlty Ave. St PouL MN 55106 UNlE55 PROPEF INSPECTION FEE IS PM1ane(61t~6C2-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ;S= =A' ea-ooom-0e ~ See instmttions iw mmpletmg this torm on Oack ol yellow mpy %.a~-? C D/ yO J36921 Below Work Covered 6y This Request ew Add Hop, TypeofBuildmg AppliancesWued EQwpmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Bwldmg Dryer Other (Specdy) Comm./Industnal Furnace Farm Air Condtlioner L OIhCr (54BCily) ConllnctOr's PBrMrkS: Compufe Inspection Fee Below: # Other Fee # SerwceEntrance Size Fae # Qrcmes/Feetlers Fee Swimmmg Pool 0 to 200 AmpS 0 to 100 Amps Transtormers Above 200 _ Amps bov 100 _ Amps Signs mspecmr's Use Oniy. TOTAL ~ -zj Irrigation Booms r~~ ~ .l Special Inspection Alarm/Communicauon THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S. I, the Electrical Inspecror, hereby Rouyn.n re certdy that ihe above inspection has F,,,aj r re been made, df- 4 zi? OFFICE IISE 3NLY Tnis request void 18 montns Imm ~ For Offce Use ~ Pertnit City of Ea~an j # ~L-?~4' j? I vo I Permit Fee~ 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received' ~ Phone: (651) 675-5675 j Stan: I Fax: (651) 675-5694 I 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: q~l I m_G Suite RESIDENTlOWNER Name: a`^( 7 owc l1!-S ' Phone: Address / City I Zip: Applicant is: _ Owner --Contractor TYPE OF WORK Description ofwork: e J/"-C Construction Cost~~ Multi-Family Building. (Yes No ~ CONTRACTOR Name: c,-Y/ L Yf• License Address/ City: c~L,n /J1,11 State: ~r^ Zi Phone: Z~~` 07 rr Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category i Worksheet . New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contrector: Phone: Sewer 8 Water Contrector: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classifed as non-pu6fic if you provide specific reasons that woufd permit the City to conclude that the are trade secrefs. 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 witho t a pertnit, that the work will be in accordance with the approved lan in the case of work which reqwres a review and approval of plans. Applicant's Printed Name Applicant's Signature Page 1 of 3 ~ '7d • ' " nnmE BUILDII4G PERMIT APPLICATION include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. 2b be used for Valuation ~ 6~GVd S i t e naaress: 1,23 ~ 3-~~ G G~~JL'PereA1~~ ~ Lot ~Q Block ~j See. Sub. ~f-7 (Z ~ Parcel Number Ohm er /7~~7~o~SC~? ~!a /IhZ /NCy TelePhone Address ~/70/ GU' %(OZ-'`~ 5~ fff'LS. 4-,55'V37 Contractor Telephone Address nrch./Eng. Telephone Address OFFICE USE Erect C/ Occupancy ~ Altez Zoning Repair Fire Zone 4 Enlarge Type of Const. ? Move N of Stories Ilemolish Front 5'Y Grade Depth 3C~ _ OFFICE USE Date of A roval & Znitial FEES {•C{n' ~ Assessment . ~ 6 Permit Flater/Sewer . Surctearge Police flan Check Fire SAC ~~a ~ ? En4• WateL Conn. Planiler 47ate~r Meter Cbuncil Rldg. Off. ~ A.P.C. TO P.I, ?'..-Qi-r,e ,.eiw.. /a'Z 5`~ ~ ' o~~ 3~'"` ' ~N?~Fl r ~a -zr/ cf-) 1061L-°"` A • 1,-"3 _r. .i:~ .'.,m: • P:;i:CIl':;Oi17 J - ' `iU 'n1.( C:l L .~.Gt 1J.il~ti J~• ~~L: ~.ip,ion, Ic~ . ~5437 I.; DEIMAR H. SCHWANZ LANDSURVEVOR Req7ctareC VnOet Laws of i0e Sbb OI MinnefoU 287E - MTH 6TREET W. - 80% M ROSEMOUNT, MINNESOTA 66068 PHONE 811 023-1789 SURVEYOR'S CERTIFICATE ' ~ ~/CO~RNFss ~ 4`41bo COURT pqRk a Zp ri. ) Reco o ~ . A? ~ 9 \G ~ \ n° ~ ' ~0 0 m n ~L ryo- i~ ~2q0 °Oy`/ yd . ryo , oo Sf ~ti N ` ' co SCALE: 1 3nch = 40 Fect LOT 10 ( 2 N°b Urair,are utilityls' m `b• eaaoment N p{~ N ~ I $8.88 NB9°57' 28"E - : hrr.:by ccrtif'y tti3t tkiia ia a truc and correct rcpr2acr.tattor. LOt 2' , Jluclc 3, ll1IJE1t'1::35 PAP,K A£DITIoP:, :cCOrdinj, to r; c:•.: 1,1 -%t t'itraof, Cuun.`.y, P'.innesuta. ,1 i so shor,in-. thc ! -)c:it.?.r n ci a propo3ed hou3c aa atik::d thc.r. 1'i, : 71 ~ ~ MINNESOTA REGISTRATION NO 8625 PERMTm Control No. 0450 1 1 ~ CIT-f OF'EAGAN 3830 Pilot Knob Road PERMITTYPE: euiLoiNe Eagan, Minnesota 55123 Permit Number: 000566 (612) 681-4675 Date Issued: 0 5/ 18 / 9 2 SITE ADDRESS: 1232 WILDERNESS PARK CT , LOT: 10 BLOCK: 3 WILDERfVESS PARK 1ST DESCRIPTION: ~ SCREENED PORCH 8uild'ing Permit Type RES. PORCH Building-Work Type NEW ~ UBC Occupancy R-3 \ / % ~ r. REMARKS: ~ Ol g~`I INCLUDES 13' X 5' DECK FEE SUMMARY: VALUATION . $6,000 Base Fee._ . . $81.00 COPIES _ _ $1.50 Surcharge $3.00 Total Fee $85.50 5ubtotal $84•00 CONTRACTOR: OWNER: - APPlicant - NESBITT DONNA 1232 WILDERNESS PARK CT EAGAN pIN 55123 (612)452-5226 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 Mn. Statutes and City of Eagan Ordinances. L ~1i~i7~~ '~Inr,n ft.e; ~1 I i~~1f APPLICANT/PER~ 1~ IICTI~~'~ I SUED V: GNATU E INSPECTION RECORD ~ Control Na. 0450 CITY OF EAGAN PERMIT TYPE: euiLoiNe 3830 Pilot Knob Road Permit Number: 000566 Eagan, Minnesota 55123 Date issued: 05 /18 /92 (612) 681-4675 SITEADDRESS: LaT: ie eLocK: s APPLICANT: 1232 WILDERNESS PARK CT NESBITT DONNA WILDERNE3S PARK 1ST (612) 452-6226 PERMIT SUBTYPE: TYPE OF WORK: RES. PORCH NEW DESCRIPTION SCREENED PORCH INSPECTION D. . FOOTING FRAPIZNG FINAL REMARKS: INClUDE3 13' X 5' DECK F- ~ L PERd:? CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 yAY i 4 RECo SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural.& structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date ~ / Valuation of work 5ite Address: /.2 3 -1- /y/ /J'41P,f' D7i4 7` ' STREET STE y Tenant Name: (coinmercial only) LOT 1,0 _ BLOCK SUBD. f~ ~ ,Q P.I.D. M &lZd W..1~.QP Descri tion of work: ~ Ck The applicant is: 'Owner ? Contractor ? Other (Describe) Name 1uF_56 / 7F- DDAIIILN Phone Property LAST FIRST Owner Address /11_39- zUi'LGne,veSS 704,e~_ Z'lzii,t STREET STE M City ~4641 State Zip ~a-- Company Phone CO ntrBCtOf Address License N Exp. City State Zip Architect/ Company _ Phone Engineer Name Registration N Address _ City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply Zwith llapplicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: L~ • OFFICE USE ONLY BUILDING PERMIT TYPE i ? OI Foundation ? 05 Apt. Bldg ? 09 Basement Finish O 13114tomm In'dlew O 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 14 Comm/Ind Add O 03 Two family ? 07 fireplace ? 11 Res. Add. E3 15 Cortm/Ind Rem ? 04 Multi-fam. T.H. ? 08 Deck FC12 Res. Porch O 16 Public Fac. . O 17 Agricultural WORK TYPE ~ 31 New ? 33 Alterations ? 35 Move 32 Addition O 34 Tenant Finish ? 36 Demolish GENERAL INFORMATION Lonst. (Actual) Basement sq. ft. NWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy ~ 2nd F1. sq. ft. PRV Required 2oning Sq. Ft. total Booster Pump 1 of Stories Footprint Sq. ft. Fire Spr9nkler Length _167~ On-site well Census tode Depth /q• On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering CONf~nE7QT REQUIRED INSPECTIONS ALgp t"~ ? Site El Footing $'Framing ? Insulation O Mallboard H Final ? Draintile ? Fireplace Permit Fee gl, Vo v,imc;o,,: s a00 Surchar9e 4,Da Plan Review ~r Lise MWCCnSAC I7X x`°?'s~ S, ~ yy 6~ City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Capies I.!~D Other Total: SAC % SAC Units ~ i < / • • •IJ f:{ I~-L~J J / • ~ ~-t- LVL.-- ~ . . ~ . , b . : i . , . t • - _ . . . . _ . . . . ! ~ ` •i ~ . ( i - -t, . , ; ~ ~ . ~ r x;i : . , . . , ..y-:_ _.r.;- . . . ..A . ~ . . _ . . . _ ~ . , ~ . . . ~ . . _ Q i_ . . . _ yk~G ..~~~.~r.. ~ ' ~ T- . I ! 9 . . . ' . . . ~ . . , 4 . .~7-0 . . i . . , . ~ . - j ; _.i_ ..f_.. , . ~ I `.,r 'I . , i . ` . ~ . . , ~aJ~~ 4SZ 7t~1.~ i.- ~ ~ , i . . . . I . y . I ~ ~ ' ~ . . . , , 1986 BUILDING PER!!IT APPLIC9TION - CITY OF EAG9N NOYE: ALL CONTRACfORS MOST BE LICENSED iiITH THE CITY OF EAG6N SIHGLE FAl•IILY DiIELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DNELLINGS - RESIDENTIAL RENTAL Qt7ITS FOR SALE ONITS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SQRVfiY - CHECB FiITH BLDG. DEPT., t SET OF BNERGY CALCULATIONS C0MSERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFZCATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND Tj-1Cq,t°-.a_n..)D To Be Used For:~ttAM,lwlcs~,a._ Valuation: ,cxst9_"°' Date: Site Address ~ Z..~Z W ~Lz)t52.T.Sc~S OFFICE DSE ONLY I.ot ~ 0 Hlock Erect yC Occupancy Remodel _ Zoning Parcel/Sub Repair _ Type of Const Addition 0 of Stories Owner Move _ Length Demolish Depth ~ Address Int.Impr. _ Sq Ft Install City/Zip Code r • ~ d.eJ, ~tv-~uJ Phone 4S Z~ ZO (~Q APPROVALS FEFS Contractor Assessments Permit ~.SO Water/Sewer Surcharge S„SO Address (aot E_ ~~~Sic9vL LvLs- Police Plan Review S/3. ZS~ Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road Unit Hldg Off 6 S_,KL Treatment P1 Mch./Engr. APC Parks Variance Copies Address TOTAL 5• S- City/Zip Code Phone NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HONEO{iNEH MOST DESIGNATE WHICH 9DDRESS IS DESZRED. NO CH6NGES HILL HE ALLOiiED ONCE BOILDING PERMIT IS ISSOED. , , . . . ~ , , . . , ; . . - . . ; , - ' ~ - - - - - - . i .G . . . . . . i . , . , . . ~ , --~7-o _ . _ i 4-2'~.- . . . , s h10 I . . . _ ' , - . . . . . . . i ~1 .V..'._ Ii' . . _ . ~ ~ i ~ ( ~ ~ ( ~ ~ • - - . . ' ~ 'j ~'~~t rJ~~?~-,_. ~-5 _o~ t 7-32. ~ . ' . . _ _ ~ ~ , - ~ - . . _ . ~ . , . . • i' ` a st 1986 BOILDIHG PERHIT APPLIC6TIOH - CITY OF EAGAN BOSE: ALL COATRACfORS MOS2 BS LICENSED i1I?H THE CITY OF EAGAN SIAGLE FAlQLY DWE[.LIAGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS MQLTIPLE DWELLINGS - RffiIDENTI9L RENT9L pdITS FOE SALS QNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORYEY - CHECB WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COHI7EERCIAL - INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ~~9U Gsoo To Be Used For: Ii #~~"~/~~N~~l•Valuation: ArES'~. Date: Site Address IZ5W1,~//LD,~rrf~E~~'.~.~ OFFICE IISE ONLY Lot f~ Block ~ Erect Occupancy Remodel ? Zoning Parcel/Sub W tx.G' ~ Repair Type of Const Addition ~ I! of Stories Owner ajrt'97UJ~- /0/9'TTEZ~5 Move _ Length Demolish Depth Address ~~-5~- NllLDt2iV~S5PJ3P_,~t' . Int.Zmpr. _ Sq Ft City/Zip Code Install Phone APPROVALS FEES Contractor ~~14'/ e-421111-<7'FoC;r Assessments Permit Water/Sewer Surcharge Address ~Z~Ng 64i/Y71-12-r A~E • Police Plan Review Fire SAC City/Zip CodeE„gr. Water conn Planner Water Meter Phone Council Road Unit Bldg Off Treatment P1 Arch./Engr. APC Parks Variance Copies Address 1OTgL S 3 vi City/Zip Code Phone # HOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOHEOiiNER HDST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOiiED ONCE HDILDING PEAMIT IS ISSQED. hovs~ ~ Z ~ ~ ~ ~"P • N ~ - - - . . I Gar+qe.. _ . . , • - -i ~ - ~ -r - - - - ~ ~ - _ _ • - .~w__.- . ~ - - - - ~ ~ - - - . - ~ A ~ . _ - . ~ - - . . . ~ - ~ - - - - - - _ _ 3.- - - - - , . ~ ~ ~ ' ' { - - - • -t~•- ' _ _ ! ~ . i o : - i - = . . ; - - • - - - • _ . _ - : - - I - - I ~ t - - - ; - - ~ - - A - , ~ - ~ ~ ~ . . _ ~ -;-=r- r . 1 - - - ~ ~ . , 7-r----'--j-. . ; - - - i ! ~ ' - - ~ ' ~ ~ ~ I ~ ~ ~ , ~ ~ .i ,r ~ ~ ~-'._~~3- ~ ~ ~ ~'-t-,-}-, . - ~ , . : ; - - - . . ~ - = - - - - ~ { ~ 11,11 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit#: 10(077D 163-0Permit Fee: Date Received: Staff: ii t `` 2012 RESIDENTIAL U-3 � w BUILDING PERMIT APPLICATION t Date: 9 t J 12 Site Address: l' A c \ vt e. SS 120X Ck Unit #: RESIDENT OWNER Name: DVety '23041 VIA" . Phone: 6S 1— .20C, -OSS `, ` Address/City/Zip: I13Z- .LJtkCiervleSS eGt`K C+ tc a.'1 1A/11\ -)Applicant t is: Owner Contractor d TYPE OF. WORK ' Description of work: Q -e r004 Construction Cost: 4>-732C/ . I - Multi -Family Building: (Yes / No kJ ) CONTRACTOR — Company: MC £(fe (,cr5 -EN,- , Contact: `n lS ? S C a b ce f c, Address: <04 lUtt..ii g 4' q6\itr 1, 0 City: k.)ek.,0 tal3V1.3,..., State: MO Zip: SS 117_, Phone: 61 2 'ZZ t '-'OO Ectl License #: tl_b-t 0 G Lead Certificate #: If the project is exempt VtC ® Vo from lead certification, please explain why: (see Page 3 for additional information) p.n)-. 19 ` ` of S i a V.er wpl In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.qopherstateonecall.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 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 State Building Code must be completed within 180 days of permit issuance. x 4O(ses C\1 \ re,fc,. 1 Applicant's Printed Name Page 1 of 3 Use BLUE or BLACK Ink � For Office Us -- --� . � �Z�� � I C��� Ol ����� � Permit#: I � � � iPertnit Fee: � 3830 Pilot Knob Road ` Eagan MN 55122 j Date Received: j Phone:(651)675-5675 I I Fax:(651)675-5694 I Staff: I I � �_____������.�����J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �ate: Z / Site Address: I Z � Z- �'�C�`��`^-e S 5 Pa r k C-� . u,,;t#: Name: [/Gt�G�/ 6 OC'_ �w�.e- Phone: �S�- Z!3(o ` �OS� ��SFCl+��1'/ �. ` �l�@I` Address/City/Zip: �Z � Z 1,.1�\c�e�►�eS S Par(K �--1-• ���ar.. � �"���55' Z 3 `v; Applicant is: Owner �Contractor ` ` ��` Description of work: ��rC � �0.�-C. ��5C�"� ��O#'���:�:: � - Construction Cost: �s�� Multi-Family Building: (Yes /No� '�< Company: CG���"C� Cv STti� �OV�S{�rucf��ontact: �AG� ` Address: �2 ��a �G�`u v''� �c� • Svi��. [�lCity: �ac�tn0.:S rTCr q L�,'f"S �+C�"t"�fi��t a:. ': State: M� Zip: SS//U Phone: �S�- �v�3 'O I��ail: Z W� (SOv�nG Ct�r�CuS�'ow�Cc a c,ft G,,.. ���.��' ���en�#: (3C� �Z 6�6� ��d ce�a���#:� N A`T - l Z( �Z y- / � w. If the project is exempt f�om 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: i���",�/�*��si��l"�"�G�1� �t��#�i�����' � �� i� ;���� �z8��rfiarrrt��is�m�,���������Lt�rli�`f��art!'�z�����;�r � +��e�d`e��t `� s+���. � � 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.aopherstateonecall.ora I hereby acknowledge that this infoRnation 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 State Building Code must be completed within 780 days of permit issuance. X ���'�- �--u� X ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3