1234 Wilderness Park Ct
EAGAN SEWER SERVICE PERMIT
MNot Knob Road PERMIT NO.:
.gnn, MN 55122 DATE:
Zoninp ` No. of Units:
OwnQ?: _ )4L~ P('f'- "~"••'rl f oT' ya -
Add?ess:
Sit@ Addross:
Plumber:
I aqroe fo eamRfp wft Hhe City of Eegae Connection Charge:
Ordinances. Account Deposlt:
Permit Fee: '
Surcharge:
BY Misc. Chorpes:
Date of Insp.: Total:
Insp.: Date Paid:
!AGAH WATER SERVICE PERMIT
. uot Knob Roed PERMIT NO.:
jan, MN 55122 DATE:
Zoning: No. of Units: ~
Owner: r -
Address:
Site Address: '1,^ . i 1 r'-~Y"IE•G$ - r" IV~• 7
Plumber:
Meter No.: Connection Charge:
Size: Aooount Deposit:
Reoder No.: Permit Fee: -Nn Y•i.
1 ogroe to ooMplY wlfh fhe CMy of Eogon Surcharge:
Ordinonas. Misc. Chorges:
Totol:
By Date Poid:
Date of Insp.: _ Ins
p..
. • ~ CITY OF EAMN .
3795 Pike Koeb Rooa eos.n, MN 55122 N! 4877
PHONEt 45-i100
BUILDING PERMIT Recetpt #
.,•r~. pll. 2, i}{x:; 7,''l0
To M wwd for ~:ar. "t Est. vulue Dote 19
Site /lddress '°``"i °erraess rar ur Erect
OccuPancY
,
Lot Blxk Sec/Sub. Alter ~ Zoniny
-'?J~Ci (i rc 03 Repoir p Fire Zone ~
Porosl
Enlorpe ? Type of Const. v
r'eter~eci
ee Name ' Move Stories 2
Addrom pemolish 0 Front 6f, ft.
Ci Phone Grode ? Depth ft.
~ Name - r•. Approvah rueo
Su Assessmenf Permit • . "
~ Ci Phone Woter 8 Sew. Surcharge
~ Police Plon check
PW Name Firo SAC • `
s~ Address Eny. Wnter Conn. vj ~v
. dG
<W Ct Phone Planner Water Meter
Council ad . 75. OC
I hereby acknowledge thot I hove read this application ond stote thot gldg. Of{, i~•, 1~%O .CiCI
the informuTion is correct ond ayree to comply with oll opplicable 121 s. 5
State of Minnesota Statutes and City of Eayan Ordino~xes. ^PC Total
Signoture of Permlttce
A Building Permit Is issued to: on the express condition tfiet
all work shall be done in acaordonce with oll opplicable Stote of Minnesota Stotutes ond Gty of Eagan Ordinonces.
Bulldiny Official '
f .
.
Iwlf 7t Yeb 1umd MWMfM
Plumbinp Q
Mechanitot /ZSy
c _ - K
INSPECTIONS DATE INSP. RaqFfln find
Foori.,9s oare lnw. oat. [n.,.
FoundaNon Plumbinp . .
_Frane/Ins. Mechoniooi
Final '
~
Remarks:
J
• . • CITY OF EAGAN
, 3795 Pibe Knob Reed
. . Eoyaw. Miwwesoh 55122
Pheas: 4544100
PERMIT No. 1254
8,/21~~;`~s 1i2~3
Date: Receipt No.:
1234 Vdlderness Park Gourt Sirple I X
Site /lddress: Residential
I
Lot y 81ock 3 Sub/Sec. _v'11 1 St Multi Res., Comm./Ind.
~ ~ven Petersen new
N~ New/Alter./Repcir
4701 1~. IIUt'i ~t•
~ ~?eu Cost of Instollotion
h',pls. 55437 884-51~I4 2(?.
City Phone: Permit Fee _
Genz-Ryan .5C:
Name SurtFarye
.
14745 6o. Robert Trai?
~ Address
i.:, ; Er.:oLnt - `
+ il46
City , Phone: Total This Permit is issued on the express oondition thet oll work sholl be dwm in accordanca with all appliaable State of
Minnesota Stetutes ond Clty of Eagon Ordinonces. Buiiding Officiol
• CASH RECEIPT •
~ CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE le
R<Ct1 V 6D
PROM
AMOUNT $ I
& DOLLARS
oo
? CASH ? CHECK
rOR
FUND CODE AMOUNT
ankYou
_n - BY
White-Peyen Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt ~
To be used for i't%Gi. Est. Value =100QQ0 Date 04.:TJ"WE 7 ,19
Site Address 1234 5fil,M-'VESS ?=XRK C1' OFFICE USE ONLY
Lot g Block 3 SeclSubWYLDRSJ1ESs ~ARY 1~ on SRe Sewaee Occupancy
MWCC System Zoning
Parcei No. On Site wen (Actuaq Const
Q Name Ll?t1NIE EE]tKHSIU City Water (Allowable)
# Address 1x3(+ ~~.~3L~'~I$S$ ~,A•~T~ PRV Required * of Stories
0 City. ~~~J PhOne ~~-77~5 ~~ter Pump Length
Depth
, p Name CUSZ'O~ ~I..~ ' 1'C S.F. Total
~ ~ Address 6al R ::X:.'U.`iTOR AVE Footprint S.F.
P City Phone ~3~'22is APPROVALS FEES
~a Engr./Assess. Permit i~~6•~
W W Name S.~G
~ Planner Surcharge
_ z. Address
c Z City Phone Council Plan Review
11 W Bldg. Off. _ SAC, Ciry
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
iniormation is correct and agree to comply with all applicable State of WaterConn.
Minnesota Statutes and City of Eagan Ordinances.
Water Meter _
5ignature of Permittee Road Unit ~
A Building Permit is issued to:_ L'x2,,T0t' en.QLS! -INC Treatment P1 _
on the express condition that all work shall be done in accordance with all perks ~
applicable State of Minnesota Statutes and City of Eagan Ordinances. i11.~
Building ONicial TOTAL _
Permit No. Permit Holdar Dst* TNephone, x
Plumbing
H.V.A.C.
Electric
Softener
Inspection Dete, Inap. COmments
Footings I r - ~j
Footings II
Foundation
Framing
Roofing 'of
Rouqh Plbg. =0 Gt : -c •
Rough Htg. ,dr
IsuL
Ftreplace
Final Htg.
Final Plbg.
Bldg. Final et,
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN Remarks
Additio Lot ~ Blk 3_Parcel 10 12 0 090 03
o111f1e? r r t s«eet 1234 Wilderness Park Ct. s,,Te Eagan,rN 55123
Improvement pete Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING 1971 176-05
SAN SEW TRUNK ~Q
1 8.80 2 113.46 C00$230 3-22-79 SEWER LATERAL
WATERMAIN
WATER LATERAL
WATERAREA 128.02 C005230 3-22-79
STORM SEW TRK 245.10 C00$4 2 10 $0
STORM SEW LAT
CURB 8i GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 250.00 10986 7-25-78
6UILDING PER. #4877
sac 500.00 10986 7-25-78
PARK
C-V
E_ 7 5 51 9
Request Date Fre No. Rough-in Inspection
Reqwreal' ? flsady Now ?WJI Nony Inspector
? Ves ? No YJhen Reatly4
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (SVeet, Box or Raute No ~ Cny
Section No Tavnship Name or No Ranga No Cou
Occupant(PRINT) Phone No.
L 77.35
Pawer Sapplieo Atldress
Elecinc o ctor (COmpany 1 me) Conlractor5 Licensa No
ailin Address (COnhactoror0 er Makng Installahon)
SS~/.3 0
Aut onze i nalure ~COnVac Making Inslallation) Ph
one e Number
~
MINNESOTA STATE BOAHO OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Gtlgga-Mitlway BIEg. - Flaam 5193 BE ACCEPTED 9YTME STATE BOARD
1821 UnlversiTy Ave., 51. Paul, MN 551p0 UNLESS PROPER INSPE(,TION FEE IS
Phone(612)602-0800 ENCLOSED
/p/~,REQUEST FOR ELECTRICAL INSPECTION ee-00001-07
~ ? See insVUClions br wmpleting ihis fortn on back ol yellow copy. Ot'~~ Lq
E,. 795 51 -x" Below Work Covered by This Request
e Add Rep. Typeol8wlding AppliancesWired EquipmeniWvetl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm /Indusirial Furnace
Fartn ' Air Conditioner
Other (spemty) ConVactor5 Pemarks:
Compufe lnspection Fee Below: '
# Other Fee # ServiceEmranceSize Fee # Circuits/Feeders Fee
Swimming Pool Q 0 to 200 Amps 0 to i00 Amps
Transformers A6ove 200 _ Amps Above 100 _ Amps
SignS Inspecmr5 Use OnN, ?TOTAL
Irrigation Booms
Special InspecLOn Alarm/COmmunication
Olher Fee ~
I, the Electrical Inspector, hereby Rough-in `
certiry that the above inspection has F„al o~Ie~~~ U
been made.
OFFICE USE ONLY ~
Theiraquest vai0 18 months Iro.
~ This request void 18 months from / a 8 8' /
' P 68045
Date f this Request 1, as Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
-Street Address or Route No. ~C;tyi~~ esn,
'
Sec~h'on Township Range Coun[y
~Which is occupied by n
T~-~`~ f-~K&Id4174L...
' (Name ot Occupant)
Is a roughin inspection required on thi/s job? No ? Yes ? Ready Now ? Will Call ?
Power SupplieriQ-eL-~'~- allAddress ~a/ o'~~V 'l'~~~c-<-•~~/e,~
Elec[rical Contractor '11'~ ~-d-b`-~''~/Contractor's License No.`3~
-5
(COmpany Name)
Mailing Address ,;Pn 70 /4t'.
(Electriw rac Ownar MakMgThislnslall tn) ~ SSzJ{3
. '-~ture~~ ~L~~i-_49-s-Phone No. d~SS~ yy7 0
"`actriwl Contrector or OSGner Making T~IS Inztallatlo~)
This irnpection request will not be accepted 6y the
~ State Board unless proper inspection fee is enclosed
~
mmnesota State tsoara ot tiectncity ~ a~~j~
1 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
~qOREQUEST FOR ELECTRICAL INSPECTION P 68045
C ECK BELOW WORK COVERED BY TH1S REQUEST
Type of Building New Add. Rep. Check Appliances W'ved For Check Fquipment Wired Fo[
Home ? ? ? Range 11 Temporary Wiring
Duplez ? ? ? Water Heater ? Lighting Futures
Ap!, dldg. ? ? ? Dryer ? Electric Heating ?
_ Commercial dldg. ? ? ? Fumace ? Silo Unloadei ?
ndustrial Bldg. ? ? ? Av Conditwnet ? Bulk Milk Tank ?
~ E] 0 0 pList I} List
Othei ? ? ? Hehers p
) Hehers)
COMPUTE INSPECTION FEE BELQW,
Seivice Entrance Size: # Fee Feqd r Su er : ee Ciicuits: # Fee
0 to 100 Am s. 11 0j A 0 to 30 Am eres
101 to 200 Amps. 31 100 e 31 to 100 Am eies
Above 200_Amps. Above 100 Amps. Above 100 Am s.
V7'ransformers Remote Control Cire. Partial or other fee
S~ ns Speciai lns ec[ion Minimum Cee $5.00
Remarks T07AL FEE
I, the Electrical Inspec[or, hereby certify tie ab~ r i been made. .bCJ
(Rough-in) Date
(Final) ~ ~Date
This request void 18 months from
"This`]%wst void 18 mon[hs from 7_3,~S-01-3 Da,tte of this Request September 18, 19'78 «~K
R 2110 6
1, as M Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 1234 4Tilderness Fark Ct, C{ty Eagan
Sec[ion Township Range County Dakota
Which is occupied by Svend Feterson Construction
' (Name of O<cupant)
-'Is a roughin inspec[ion required on [his job? No ? Yes 29 Ready Now ? Will Call eg
Po\w~er Supplier Dakota F.lectric Assn. Address 821 3rd St. , Farmington, MPI
• g 5c77.~
Electrical Contractor Ken Sorenson ELectric Contractor's License No.3L533
(COmOany Name)
MailingAddress8070 12th Ave. So. Bloomin ton 149 55420
(Electrical C 1 tor O er Making ThIS Installatlon)
Authorized Signature e No. 854-4470
(Elactrical Contrac or o wner Making Thls Installatlo n on
A21 RD ,g+op~ This inspection request will not he accepted by ffie
~J State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
_'fUniversity Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION ;R 21106
CHLCK BELOW WORK COVERED BY THIS REQUEST
Type of BuAding New Add. Rep. Check Appliances W'ved For Check Fquipment W'ved For
Home 0 ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water H ? Lighlmg F'uctures ?
Apt. didg. ? ? ? Dryet EfecVic Heating ?
Commercial Bldg. ? ? ? Fuma Silo Unloader ?
Indusirial Bldg. 0 Air Co tion Bulk Milk Tank ?
Farm ? ? ? p~~i~ 1 SS List
Other ? ? ? Herefs7 Sp05 Rthers~
ere
COMPUTE INSPECTION FEE BELOW
Servire Entrance Size: # Fce Feeders&Subfeeders: # Fee Circuits: # Fee
0 to 100 Am s. 0 l0 30 Am eres 0 to 30 Am eres
1 0 200 Amps. ;H;Remote 1 to 100 Ampeces 31 to 100 Am eres
Above 200_Amps. bove 100 Amps. Above 100 Amps.
~ TransPormets Con [rolCirc. PartialofotherCee
Si ns cial Ins ection Minimum fee $S.OjD-
Remuks
a'
Complete House tlirin TOTAL FEE ,.50
1, the Electrical lnspector, hereby ce at t~~y~a eInspection has been made.
(Rough-in) . _ '7. ~ Date - 'd0"
(Final) • Date a, 7- 7
This request void 18 months from
cirr oF encaN
3795 Pilot Knob Road Ecgon, MN 55122 Nn 4877
' PHONE: 4548100
BUILDING PERMIT APPLICATION Receipt #
To ba used fo.SF Dwell. 8 Gdr. Est. Value 72r000 Date 7/10 19 78_
sim Adaifss 1234 W erness ar Sr
Erect ~J Occuponcy I
Lot Block Sec/Sub. Alter ? Zoning R1 W'P Parcet {p 10 84250 090 03 Repair ? Fire Zone 3
Enlarge ? Type of Const. V
w Name Sven Petersen Move ? # Stories 2
; Addre 4701 W. 110th St. Demolish ? Front 66 ft.
b p 884-5144 S. Gmde ? Depth 37 ft.
Ci Phone
p ,saQyu APVrovals Fees
Neme
oU Address Asussment 7 10 Permit 172•50
V~ Ci Phone Water & Sew. Surcharge 36.00
Police Plon check
~ Name Fire SAC 500.00
Fw
Address Eng. Water Conn. 250.00
<w Ci phone Plonner WaterMeMr 60•00
Co,,,,c;i Road Unit 75.00
I hereby ocknowledgLth at I hav e read th' op ation on tate that eid9. oft. Park 12(~,00
the information is ect ond agree c Dly wi oll plic 1213.`~
State of Minnesota and Eagan rd" APC Total
Signature of Permi
A Building Permit is issued to: on the expreu condition that
oll work shall be done in accor ce with nl licoble State of Minnesota Statutes and City of Eagan Ordinances.
Building Officiol ~ ~ ~-?~i
_ CITY OF EAGAN
° 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 N? 15694
BUILDING PERMIT PHONE:454-8100 Receipt x Z SS 1 S C/i
To be used for POOL Est. Value $10,000 Date OCTOBER 7 ,7988
Site Address 1234 WILDERNESS PARK CT OFFtCE USE ONLV
Lot 9 Block 3 Sec/SubWILDERNESS PARK 1S On Site Sewage _ Occupancy
MWCC System _ Zoning
Parcel No.
On Site Well _ (Acluary Const
¢ Name_j,.QNN1E_$E$KEBILE CiryWater _ (Allowable)
z Address 1234 WILDERNESS PARK CT PRV Requiretl _ # ot Stories
;
° City EAGAN phone 454-7735 Booster Pump - Len9th
Depth
a 0 Name CUSTOM POOLS, INC S.F.Total
oa Address 601 E EXCELSIOR AVE FootprinlS.F.
: City HOPKINS Phone 933-2255 pppROVALS FEES
ww Name Engr./Assess. Permit 106.00
~ i Planner Surcharge
x~ Address
a w City Phone Council Plan Review
Bldg. Otf. SAC, City
I hereby acknowletlge that I have re ~t is appbcation a s[ e hat the Variance SAC, MWCC
inlormabon is correct and agree t~omply with all a i le State ot Water Conn.
Minnesota Statutes and City oan rdi ances
Water Meter
Signature ol Permrt-- Road Umt
A Building Permrt is issued ~o CUSTOM_Pi7OL$,_INC Treatment Pl
on the eapress condition that allworkshall be done m accortlancewith all
applicable State of Minnesola Statutes and Ciry of Eagan Ortlinances Parks
BuddingOlficial aMgAuk-IMV, TOTAL 111.00
.'"r
'
`Le~-y'`~"s~
~F' ffi €row\9'61 =~54 Ma.~ Ctia22Y60" u.1lts--- ~ . ' ~{(1_~CAlM~.~ilbr 6~~ ~
(gerfifirtttP of k"Orruvttnry. $1
~r
Citp of (Eagan ~
Drpnrimrnt nf Nuilbing Jns}+rrtimi !
Tbif Cntifitatc ittuu! Purtuant ao tbr rryuinmrnu of Sntion 306 of the Uniform Building r ~
Coda cntif png that at the timr o f ittnance tbit ttrutturt wut in rorrs pliantr wit6 thc rariout
ordinarsnt af thr City rrgulating building torsttruttion or utt. For fbr fo[louanb:
U. c~mum SF' Dwlg & Gara9e a~a~. r~., N. 4877
v R-1
~
OmymryTYR TYPCm+uuctbn FinZan w,~~~
o.K,orMwaiii, S. Pet2L5PX1 CAnst„aarm MumeapOliS, MN
1234, ' derness Pk,Q6 Faqan, M y.
] Ba
i
' By March 13, 1979 =g~J
mw:
I 4 ~
~ •i.~.. -a.~. L`v__.•i: ~ p~g
t. ~ ^ • t ~y
Jjk•'~Jy`~.~i'~1...~~~1..~-/~L.•~.l~~1~:~
1•a -
PERMIT# RECEIPTDATE:
2002 itESIDENTIAL i'LUMBINfi F'EiZMIT APPI.ICAT[ON
CITY Of EAfiAN
S$SO PILOT KNOS RD
EA6,4N, MN 55122
651 -6$ t -4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: I LS4 I &I 10 'f,( nifS 92-?K l•~? 1.( Y~ - -In OWNERNAME:: A) YIix PY-I I~ t~ TELEPHONE#: b5i IAIo
T- (AREA CODE)
INSTALLER NAME: pl • P, I' f2P WD1rtS TELEPHONE#: (A- II.34-O
STREET ADDRESS: .~pap ],-)rdd R r) (AREA CODE)
CITY: Pzl0,,,jn STATE: ZIP: ~SI Z~
_ SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water sofleners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener 1 water heater
D ~ c®
JUN 7 ce, State Surcharge $
Total By $
I hereby acknovAedge that I have read this application, statethat the infortnation is correct, and agree to complywith all appliwble City of Eagan ordinances. It
is the applicant's responsibilityto notify the property owner that lhe City of Eagan assumes no ' bility for any da ges wused by the City during its normal
operational and maintenance activities to the Bcilities constructed under this permit wl ~n prope~lright- f- ay gg7e_ryt.
SIG TU E OF PERMITTEE 1102
''S%~/YL-h'r /.205 Pr,racJrr,~ ~.9rrC Gn.~, 161_0~
' ~ f,' 7-s2~/-Z
~ nnTe
HUILDING PRRMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
To be used for Valuation
Site Addresc: /a8i LacvY`-'
L p ?:',~tiL~".S f f; I'- s9 !JD
Lot Block ~ Sec. Sub. Parcel Number
/o ~y',2.5 U p 90 0 3
OwnercS~ i~L-TGh'fL-'~t! ~pUitl.f~ //L/ Telephone
Adclress ~70 / ,4v`' ~ i~_S-6- .
/Y/lL S . Sc; Y 7'7 .
rontractor Telephone
Address
Arch./Eng. Telephone
Ad3ress
OFFICE USE
Erect Occupancy /
Alter Zoning
Repair Fire Zone ~
Enlarge Type of Const. f~
Move H of Stories 7
fler,iolish Front I- ti
Grade Depth 3 )
OFFICE USE
L)ate of A roval & Znitial FEES j,
assessment rezmit / ~02 ~2
P7ater/Sewer Surcttarge ~Police rlan Check
o -
SAC ~ O
~
Eng GlateT Conn. n2S-0
Planner t•1~ r, Meter JaU W
Council ~ -
Rldg. Off. x
A.P.C. TOTAL I r?-~ 3, ,~D
CcrLiCic;:.'i.o Scr:
. _ Sv^nc: 'ctcrcor.
47`,1 l•Jcflt 11.Ah St.
. BlooninL;tun, ji437 ~ B1c: 3'/10?
DELMAR H. SCHWANZ
LANDSURVEVOR
Raqifteretl VnCBr Lews Of The Staia ol Minnafola
2978- 166TH STREET W. - 60X M ROSEMOUNT, MINNESOTA 65068 PHONE 612 423-7769
SURVEYOR'S CERTIFICATE '
i
ti
".5 P~o
o A20 s9 2' P
~0~
'o
~
LOT 9
\oe~~ ~ ~
c
26° I a $
°r'. d a
9% o ~T.SCA LF.: 1 inci: = 4, ^c,: c
y / os a
c~~o /O o a c,~ 1
i
~ p O 99 ~ '!oo \
~
Drainage & utility e?t3emunt
og g .
~59 ~kg
I hereby certity that this io a true and C9I2'::~'~ ~a ~ -
ation of Ik)t 9, Plock 3, l1I:d'0Fu"JES3 'AZX JULT I,",
according to the recorded plat thereof, Dakota i
h'inncaote.
Ft2.3n ahrna: ng the location of a propoa3d houoc ,s~ ct•,k-.c
' thereon.
Dated: tiay 16, 1°78.
,
. ~
,
MINNESOTA REGISTRATION N0.8625 •
(;ertl:'ioate I'uv:
- - Svend ?etersnn
47.,l wear, it;.tr. st.
. . . . Dloonizieton, Mn. : ;q37 7 f12
DELMAR H. SCHWANZ
LANGSUHVEVOR
ReqistueG VnEer LAws of TM Slala of Minnesot•
2878 - 146TH STREET W. - 90x M ROSENIOUNT, MINNESOTA 66068 PMONE 612 423-1789
SURVEYOR'S CERTIFICATE
i
ti
a
~ .h Yso
A2e s
\O9 F? ik 'S
LOT 9
26~~ a g v
*
~
d
e
" O~ O// `E~ V9 p0
06~ g ' 't
""~a~~•eU), r,r_rtl°Y r•. t•. :;.:R~:.
;!.i~~n 9, loCk WT:.i''F+t2E;i:: :'A::r' A:
8:'COT'dl.I:'r. C') t.hC 1'P.CGT'd(;,ll pl;:'. ?Nr:')C;.: ~.".i:'.r./•
~~LYIT;CSUt:i..
31'oW.LIg Y.f1C ZOCfitl:it: :)F .1 pT'Oi;):c3i1 ~1JL15fJ :L~ :C-IiS~~G
±hereon.
'Jated: 'lay 16, 1972. ~
~LC/~"-.'~ ~ . •
,
~
e;:/ v ' ' ' ~ ' . ~ .
c
1 - i
MINNESOTA REGISTRATION NO 8675 /
~ .
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 16 q 4
1
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS It OF UNZTS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONAEACIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS OCT O 6 1988
- ~ lee-~ -
To Be Used ror: Valuation: Date: X~/`
Site Address ~1,773v' `(/,/~,PiLt Sf //1// OFFICE USE ONLY
Lot J Block 3 On site sewage_ Occupancy
LMWCC system Zoning
Parcel/Sub ~~~-EOCS t~~ On site well Actual Const
/ City water Allowable
Owner Go.c'.611C- ,(J~N.e.ltC~f>i/6 PRV required # of stories
Booster Pump Length
Address Depth
S.F. Total
City/Zip Code Footprint S.F.
Phone APPROVALS FEES
Contractor P~l jG Engr/Assess Permit /OG,OD
~ Planner Surcharge ~O
Address Council / Plan Aeview
Bldg. Off. SAC, City
City/Z3p Code ~/~y~ ~5 3S/3 Variance SAC, MWCC
„ Water Conn
Phone Water Meter
Fioad Unit
Arch./Engr. ?2 C- Treatment P1
Parks
Address ~ Copies
I TOTAL I I I. 0 O
City/Zip Code
Phone Ik
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4701 wepc ii:,cr sc. . . . 4;:;::• ~
:lonnington, "tn. »437 i' _ ~102,. ~..•:~::~^~i';_~:.
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~ DELMAR H. SCHWANZ
lANGSUNVEVOR ~
p49n401W UnOn LOw$ of The StAtO ol M,nmwta
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2978 - 146TH qTREET W. - 80X M ROSEMOUNT, MINNESOTA 66068 PMONE 612 4231769
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SURVEYOR'S CERTIfICATE
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Dated: ';ay lo, 1472.
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~ MINNESOTA REGISTRATION NO 8676
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CITY OF EAGAN
L ~ B MECHANICAL PIIiMIT RECEIPT #
SUBD. (612) 681-4675 DA1'E /D ~19
c9S
RESIDEIVTIAL
PLEASE COMPI.BTE UPPER PORTION ONLY FOR SINGLE FAMILY DR'ELLINGS. ALSO, COMPLEi'E FOR
TOWNHOMES/CONDOS WHEN SEPARATE PIItMITS ARE REQUIRID FOR EACH DR'ELLING UNTT.
OWNER: FEES
SITE ADDRFSS: ADD ON/REMODEL (EXISTIIVG $ 15.00
193 601 LDEf:,lf ess )n 'RN° g Cj , CONSTRUCI'ION ONM
nvsTni.LEx: Slai ne, NtaA, n J~ ie CoriJ HVAC: 0-100 M BTU 24.00
PHONE t-lEc
Z s1 - (,a ADDITIONAL SO M BTU 6.00
ADDRESS: ~j5io~ CFiYI tRl4L NrC. GAS OUTLEI'S - MINIMUM 1@ S3 EA.
crrsr: PC zIP: 5 5 3 04 : suRCanxcE: $ so
SIGNATURE TOTAL• $
GAs L-o&- FlREP~qeE
COMMERCIAL
PLEASE COMPLEI'E THIS PORTION FOR ALL COMME1tCIAI/INDUSTRIAL BUILDINGS. ALSO COMPLEI'E FOR
APARTMENT SUILDTNGS nR OTfIF.R MUI.TI-FAMii,v RiTri.r.nv(:c WuFN cFV_susTF. nVuMrr- f.RF. Nl1T 12 Fl1TTTRF.71 FQA
Eacx nwEt.taNC urrrr.
wojuc nFSCRIrriort: corrreACr riucE: FEEs
196 OF CONTRACI' FEE.
STATE SURCIIARGE IS $.50 FOR EACA
$1,000 OF PERMIT FEE. $
F'ROCFSSED PIPING - $25.00
$
MINIhr[rM FEE - S25.00
OR'NER: 7'OTAL• $
STI'E ADDRFSS:
°:.::a..::_ . : , . .
TENANT: .
.
SUITE . . . . . . • : _ ;
. : .
.
- ,
. .
INSTALLER: •
_ . :..r ....r.
ADDRESS: t' °.:r'
. .
, . :
J:.r°............
. . . . ..r;
CTTy: ZIP: P : c. , . .
PAONE C7TY SIGNATURE
SIGNATURE.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1234 Wilderness Park Ct
Lot: 9 Block: 3 Addition: Wildemess Park
PID:10- 84250- 090 -03
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Insert
Description:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
Applicant/Bermitee: Signature
PERMIT
City of Eaan
Construction Type:
Census Code: 434 - Occupancy:
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Andrew Hoffman
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Owner:
James H Howe
1234 Wilderness Park Ct
Eagan MN 55122-1749
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
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.
Issued By: Signature
Building
EA086566
10/02/2008
ePermit
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411,1/
City of Ea�afl
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit*: I b W� ol-
Permit Fee: 105 , 25
Date Received: b130117—
Staff
j30!t2-Staff:
J
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: Unit #:
1
RESIDENT I
OWNER
Name. »4.7tA/L
Address / City / Zip: 40139 I.✓/ 11)ca41c�S
Applicant is: Owner Ycontractor
Phone:
-?6
TYPE OF WORK
Description of work
Construction Cost Multi -Family Building: (Yes 1 No )
Contact: //0--41-444-4—
Address: / 37.56, ,7i'1& - !JJ` ' City: pl bie 4
CONTRACTOR
Company: �L" YA/ � ,374'7( -
State: Zip: 5-6,3
,3) J
License #: Be- 4,3? 3 S5
Phone: 4S/ „2d --3t/
Lead certificate* A/'& — /1502 79—/
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
lr 1 /✓O /04-7—
�L ,U S%'�•� �C-� "
COMPL
ETE THIS AREA ONLY II 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. CaII 48 hours
before you intend to dig to receive locates of underground utilities. r' ^'^
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: .t 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 Min
days of I5nit issuance.
X
Apnts Printed Name
Z•d
L 1.00 -91•V -£9L
t be completed within 180
X
Appl
luewenoadwl enlen ewoH
Page 1 of 3
d6L.:IOZt-0£6nV
Use BLUE or BLACK Ink
�________________�
I For Office Use I
� � Permit#:_��� � 4 I
Clty of ����� ; . . b-�� �
Permit Fee.
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 � Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
�� Name: � � �'Y� � ��( � � � � �' Phone:
Res.ide�ntl �-7 ���� � �,
,OWn�r Address/City/Zip:_ �_l���� � d a � �
` Applicant is: Owner !�Contractor
Type Of WoYk - Description of work: �Sla�►1'
`C
Construction Cost: �J��� Multi-Family Building: (Yes /No✓
Company: ��C'`f� -��� t��ll�J Contact: �4 �7YL0 �Y���
Address: �J^�c,�� ��Y���� �V City: �C,}'�'�.�V�klv-`.
Contractor
State:�Zip: �l.Lop Phone:�oS J-Z�3S-�(o`�EmaiI�IG"6`r�V���c.C����1.�lL�#�
'' License#:_�����'l� Lead Certificate#: r
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 supparting documents fhat 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 thaf 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.popherstateonecall.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 S uildin Code must be completed within 180
days o ermit issuance.
x V ' 0 x
ApplicanYs Pri ed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162557
Date Issued:07/20/2020
Permit Category:ePermit
Site Address: 1234 Wilderness Park Ct
Lot:009 Block: 003 Addition: Wilderness Park
PID:10-84250-03-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
James H Howe
1234 Wilderness Park Ct
Eagan MN 55122-1749
(651) 278-7862
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175490
Date Issued:04/06/2022
Permit Category:ePermit
Site Address: 1234 Wilderness Park Ct
Lot:009 Block: 003 Addition: Wilderness Park
PID:10-84250-03-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
James H & Kymberly S Howe
1234 Wilderness Park Ct
Saint Paul MN 55123--174
(651) 278-7862
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature