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1304 Wilderness Run Dr CITY OF EAGAN Remarka Addit Wilderness Run 3rd Addifion Lot 5 plk 1 Paroel 10 84352 050 01 io~~,,~~~ ~ owne~~.!~61. ~ (•n Le, streec 1304 Wilderness Run -b'r ~ scate Ea an MN 55123 Improvement Oate Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK Aoxi 1973 $175. 00 $8.75 20 PAID SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA r coimnection 7 STORM 5EW TRK y STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT 3(0 4 -83 WATER CONN. $320.00 7967 5-11-73 9UILDING PER. sac 375.00 7967 5-11-73 PARK ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 SITE ADDRESS: I~. APPUCANT: . ~i.I I w t^ i,; I W 1;rl ; II + . t PERMIT SUBTYPE: TYPE OF WORK: i; i Iy(A INSPECTION r. • D. I ~ ,I ~ . . . „~~n~~e'~~ c~~n~A~E~ '3~,'±;ri1 .:1«~{i}m.."r.~,sdi3,~~n Ull.~.~#..wii~4`t.~.~+ai~iit~o- _ ~ 31W ~f • „i _ _ _ _ ~ _ ~~J Permit No. Pennit Holder Dete Telephone k ELECTRIC I PLUMBING HVAC Inspoctlan Dats Insp. Comments I r-OOTINGS I FOUND ~ I FRAMING I I I ROOFING I ~ ROUGH I PLUMBING I PLBG AIR TEST I ' ROUGH ~ NEATING GAS SVC TEST INSUL I GYP BOARD I FIREPLACE FIREPLACE AIR TEST FINAL PLBG f INAL 4iTG ORSAT i TEST I BLDG FiNAL I I BSMT R.I. • I BSMT FINAL I DECK FTG I ~ DECK FlNAL I I I ~ I _ I - I - - - - - - J ~ EAGAN TOWNSHIP BUILDING PERMIT N° 3004 Ownex ......_.b!!~-Q:~.u Eagan Township Addresa (Presenf) .1.7.-~.~..Y:. ..........Town Hell suiiaa: . a_ /i - 7,9 ae:o Address DESCRIPTION Stories To Sa Used For Fzon! Dep1h Heighl Eet. Cos! Permit Fee Remarks [ ~ ,3~«-n. ~ 8-• Sb r LOCATION Streef, Road or oiher Descripii~o/nof' Locafion I Lo! Block Addition os Traef ~-30 q '~'r v.~..a..a-~ This permit does not avihorise the use of slreefe, zoads, alleys os sidewallcs nor does it give the ownes ox hie agent the righito create anp situafioa which 5s a nuisanea or which prasenfs a hezard !o the health, aefetp, eonvenience and general welfare !o anyona in the communify. THIS PERMIT MUST BEpK~EPT O~N THE PRE~MI WHILE THE WORK IS IN PROGA SS. This ia to eeriifp. !hel.. ._~t....hea permission !o ereci a.-.- . . .1.4. . . .._upon . . . the above dascribed premise eubjec! !o the proviaiona o! the Building Ordineace for Eagari' Towaship adopied April 11, 1955. ~ ?'~4.:...... Per Cheirmnc... ~n. Board ~ Suilding Impecfor s-/ ~ VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO,: The 4illage of Eagan hereby grants to The Snelling Co. of 1400 Concordia Ave., St. Paul 55104 a HEATIt1G Permit for: (Owner) Iraelee Conetruction _ at 1304 WildErness Run Dr. , pursuant to application dated 10/2/73 Fee Paid: $20.00 dated this 5th day o£ october , 19 73 • .50 s/c Building Inspector iKechanical Permits: Bid Totalc YILLAfiE OF EAOAN SEWER SERVICE PERMIT 3795 PilotNnobRood PE,RMIT NO. 2044 Eogon, MN 55124 DATF:. July 9i 1973 Zoning: R-1 No. of Units. ~ o.Vncr: Irmelee Canstruction S' = J II Address: 1304 Wilderness Run Drive Si[e Address: ~ Plum6er: WeTla@1-P-1umb1Ag-&-k168ting-InC. I agrea fo comply with the Village of Eaqan Connecuon Charge:375•oc) Pd 5111, Ordinances. Account Deposit Permit Fee: 10.00 pd 7/9173 Surcharxe: .50 pd 7/9/73 By: Misc. Charges: --Dace of Insp.: Total: Insp.: Dace Paid: V' ~ 6 V 2005 RESIDENTIAL BUILDING PF.RMIT APPLICATION ~~pm3 City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construdion Reouirements RemodelRteoair Re4uirements Office Use Oniv 3 2gistered site surveys showing sq. tt. of lot, sq. tl. of house; and all roofed areas 2 copies o( plan CeAaf Survey ReW _Y _ N (20%maximum lot coverage allowed) 1 set of Energy Calcula6ons for healed add'Aions Tree Pres Plan Recd Y_ N. 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 sAe survey for addflions & decks Tree P2s Required _Y _ N 1 set of Energy Calculalions Addifion - intlicate d on-sde septic system On-sile SepGc System _ Y_ N 3 copies o(Tree P2servation Plan if lot platted afler 711193 Rim Joist Detail Options selection sheet (6uildings with 3 or less units) Date 0 5 1/7! Coostructi;o~n Cost~ sl~ D~) oo Site Address ; 1A(X Q SS V\ ~~J(~i J G Unit/Ste # E S Description of Wark er 1GCI~~ 11 607jr, CJ S 6,_f114h ~~/y1_ S 2,- Multi-Family Bldg _ YX N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner IV Ci~~I _E) e.Y'G MQv\ Telephone#((r`J!) 99 q ''-I7Se/ Contractor C('p V;Ui V'Y\ p~ n Address City /v . 5~ • I'av ~ State A~,k) Zip S 5~ v~ Telephane #(651) '7 -7 U- S S 7 O COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilalion Category 1 Worksheel • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical 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 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_requices_a.r ' and approval of plans. n}, ~I QI I he~ nch 1 1~1 ti;AY z o zoo5 ~ Applicant's Printed Name Applicant's Signature E~~ OFFICE USE ONLY Sub Types ? 01 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Muiti ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvemenl ? 38 Demalish Interior ? 44 Siding ? 32 Addition ? 36 Move Building O 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Oemolition (Entlre Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Baoster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows lnsulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total c)33~~ RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 ~ New Constructian Reauirements RemodeURewir Reaufrements • 3 registered site surveys showmg sq @. of lot sq. ft. o/ house; and all roo(ed areas • 2 copies of plan (20%, maximum lot wverage allowed) . 1 set of Energy Calculations for heated aAditions • 2 copies ot plan showing 6eam 8 window sizes; poured found desgn, etc ) . 1 site survey lor ezterior additions 8 decks • 1 set of Energy Calculahons . Indicate if home served hy septic system for additions • 3 copies of Tree Preservabon Plan if lot platled aRer 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION SITE ADDRESS AN ea/1/UF MULTI-FAMILY BLDG _Y L-f+l-- TYPE OF WORK ~L91601577-1~~S~' 6%C n~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT~~L/.llf~[',esG~ ~CJ~tf;~i STREET ADDRESS 3~Sa/ 4~60 ~s9-L~J CITY G~CI [J/ STATEAUZIP _~iS :Z~a7 TELEPHONE # ~51-890 CELL PHONE # FAX # ~f3 PROPERTYOWNER U11X6,~/C~W- TELEPHONE# 16,5-1- -'15-yy6 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'1'A RUI,F,S 7670 CATEGORY 1 b: S~. r~t6 LLrl9 W's 7 (d submission type) . Residential Ventilation Category 1 Worksheel Submitted . Energy Cod wq~{kf~ e t bmitted ,~UL 1 ~ `V"~ • Energy Envelope Calculations Submitted Plumbing Confracfor: Phone # B Plumbing systetn includes: Water Softencr Iawn Sprinkler Fee: $90.00 Waler Heater No. of R.I. Baths No. oF Baths Mechanical Contractor: Phone # Mcchanical systcm includcs: Air Condi[ioning Fcc: $70.00 Heat Rccovcry Systcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable STate of Minnesota Statutes and City of Eaga r inance/s~ Signature of Applic nt u-e OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 AI[eration O 37 Demolish (Bidg)• ? 43 Reroof ? 46 Windows/Doors 0 34 Replacement 'Damolitian (Entire Bldg only) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foo[ings (new bldg) _ FinaVC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation H V AC Drain Tile Other Roof _ Ice & Wa[er _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ .4ir Test _ Final _ Windows (new/replacemen[) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MG/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Pfant Plumbing Permit Mechanical Permit License Search Copies Other Total J.6. Parreato, Inc. Or. 11035 176-22 , F. C. JACKSON y LAND BURVEYOR \ NE618TQR[U UND[R "W! OI YTAT[ Or MINN6bTA ~ LIC[N6[D !Y OROIMANC! OF CITY OP MINN[APOLI/ 9818 EAST SSrN STREET Pn. 4-4661 *ucbepor'g 4'LertificAtc V/~lJry/rJI':- ~ N.s9s9ss°w ~ r 7• o¢ - ~ i ~ 0 ~ a ~o' h s J V ~ 110 ~ 0 ~ ~ 1 ° !aN ~ ~ =6 .R r ~"~.Sc.d~~ : ~ ' sf0 [ o Usr» "~--s Srn,~j I hereby certtfy thet the above ie a true and correct plac of a aurvey of: Lot 5 Slcok 1, Wildernesa Run Third Additton. Daka[e County, Minneeote. . / AS SURVEYED BY Mfi TMI6- _ llih _.DAV or_AP L1 _,.o. 1973 ~ s' SIONE0.- • > ' F. C. JACKSON. MInneso? Reaierp~rion. No. 3600 MASTER CARD /~30 y LOCATION /11 s OWNER STRUCTURE AND ^ LAND USED AS Issued To Permif No. Issued Coniractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL NEATING 4 Z 2 GAS INSTALLING SANITARY SEWER ~ p[tLl OTHER k/AA 1,2 OTHER Approved tiems (Initial) Date Remarks Disfance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING f}~/4y2 TILE FIELD FT. y L FINAL ELECTRICAL DEPTH HEATING 7 OF WELL GAS WSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER ~ Violations Noted on Back COMMENTS: r. . COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVENT OF OBSERVED VIOIATIONS PERMIT NO. DATE OF INSPEGTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE a NON-COMPLIANCE. BUIIDER DOES NOT OBSERVED. INTEND TO COMPLY. ACCEPTABLE SUBSTITUTIONS OR ~ DEVIATIONS. GOMPLETION OF CERTAIN IMPROVEMENTS WIIL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLIOWS: ? REINSPECTION REQUIRED DATE OF REINSPERION REINSPECTION REVEALED CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest preunt or prospective, and that 1 hava reported herein ail significant conditions obsarved to he at variance with ordinances of the Town of Eagan, epprovad plans and specifications, and any specific require- ments for off-site improvements relating to the propeny inspected, ? ALL IMPROVEMENTS ACCEPTABIY COMPIETED 9UIlOING INSPECTOR DI.TE COMMENTS: ~ , ~ 11 PERMIT CITY OF EAGAN 3830 Pilot Knob Road • PERMITTYPE: BUILDING 028296 Eagan, Minnesota 55122•1897 Permit Number: 07119196 (612) 681-4675 Date Issued: SITE ADDRESS: 1304 WILDERNESS RUN DR LOT: 5 BLOCK: 1 WILDERNESS RUN 3RD P.I.N.: 10-84352-050-01 DESCRIPTION: R E R O O F Buil'di'ng Permit Type SF (MISC.) ;Building Work Type REPAIR r Census Code"---~ 434 ALT. RESIDENTIAL 'i c- c REMARKS: FEESUMMARY: vflLuATZOn $6,e0e Base Fee $112.25 ' Surcharge $3.00 Total Fee $115.25 CONTRACTOR: - Applicant - sT. LIC.ONtN~R: VOIGHT CONST, BRYqN 14632163 0006251 L VIRGINIA 3557 UPPER 143R0 ST W 1304 WILDERNESS RUN DR ROSEMOUNT MN 55068 EAGAN MN (612) 423-1296 (612)454-9643 T hereby acknowledge that I have read this application ahd state that the information is correct and agree to comply with all epplicable State of tAn. StaYutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE IS BN SIGNATURE 'YD . CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construelio Reouirements RemodeVReoair Recuirements ? 3 rephlercd ske surveys ? 2 rnpies of plan ? T copke of plane (InGude Deam d wlndow s@es; poured Md. dealgn; elc.) ? 2 site surveys (exterior add8ions 8 decks) ? 1 energy calculationa ? 1 energy celeulations for heated additions ? 3 copke of tree prosenation plan H Id pletled efter 7l1/93 requfrod: _ Yn No DATE: ~ ~ 7 ~ CONSTRUCTION COST:w ~I DESCRIPTION OF WORK: t"A STREET ADDRESS: t.,r, 10y nJ LOT S BLOCK SUBD./P.I.D. PROPERTY Name: Phone OWNER Street Address• City: Istate: 10~'~ zip• !Z:,71?3 coNTwucroR Company:OF-y~ 7)- [/vl6/f~ Phone 46 3-27/6 T n Street Address: fL)7) License ~City: l~/yl~?Ui71~ State: Zip• ARCHITECTI Company: 4,11/~ Phone #ENGINEER ' Name: Registration Street Address- City: State: Zip: Sewer 8 water licensed piumber: Penalty applies when address change and lot change are requested once pertnit is issued. I hereby acknowiedge that I have read this application and state that the information is correct and gree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE n 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition a 08 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE 0 31 New o 33 Alterations o 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MClWS System (Allowabie) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of 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 Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies ToWI: °k SAC SAC Units EAGAtd TOWNSHIP 3795 Pilot Knob RoEd St. Paul, Minnesota 55111 Telephoae 454-5242 PERNIIT FOR WATER SIIRVICE CONNECTION Date: Julv 9. 1973 Number: 1242 1304 i erness Fcun rive Billing Name: Irmelee Construction Site Owner: Billing Address Pltmmber: Wenzel Plumbing & Heating INc. Location of Connection Meter Size--5/f - Connection Chg. p 5/71/73 aG -~73 Meter No,,~1e2QoaBf/ Permit Fee 0.00 d 7/9/73 .50 pd 7 9 3 s/c Meter Reading Meter Dep. Meter Sealed: Yea Add'1 Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residence Xx i4ultiple No. Unita $25•00 RE-INSPECTIOld FE'~ FOR Commercial I{11?ROPcrtll' INSTAILF_D fi:.TERS. Industrial By: Other Chief Inspector In conaideratioa of the iaeue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of fiagan Townahip, Dakota County, Minnesota. By: Wanzal Plnmhine & He8t3tle INC. Please aotify the above office when ready for inspection and connection. . RESIDENTIAL BUII.DING e7o Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New ConsWdion Reauirements RemodelfReoair Reauiremenls OKce Use OnN 3 registered site suneys showirg sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies ol pWn Cert of Survey Recd (20% mazimum lot coverage albwed) 1 set of Energy Calala6ons for heated addilions Tree Pres Plan Recd 2 copies of plan shovring beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd 1 set of Eneyy Calculations Add'Rion - indicate ifonsde septic system _ On-site Seplic System 3 copies of T2e Presenation Plan if bt platted after 7/1193 Rim Joist Detail Options selecUon sheet (bldgs with 3 or less units Date -Z / 3 / (-)s Construction Cost Site Address / UniUSte # Description of Work Property Owner V'r CA i n Telephone k( Contractor nZi 4 Address :2/.:p /("1 City z State Zip ~~~Oay Telephone # '-a COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code Category . Residentlal Ventilation Category 1 Worksheet . New Energy Code Worksheet (Jsubmissionlype) Submitted Submitted • Energy Envelope Calculatlons Submitted Licensed Plumber 7eleph'one )'I LJ Mechanicai Coniractor Telephone VI Sewer/Water Contractor Tele yhone #I ) L~ ~ - 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 appiication for a permit, and work is not iu stait 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. ' Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Attera:ion C 37 Damuii;h (Bldg}' i 43 F.eiuoi ? 46 'vVindows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bidg) _ FinaUC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundarion H V AC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ AirTes[ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total 731 510 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephoue # 651-675-5675 . .r.c ..~r~,:,.,,. „ . - . . . . . , Please complete foF. sin'gle family dwellings & townhome§/condos when permits are required for each'unit - , . _ - .i.• , . , . . _ Date L / 02 Si[eAddress 13b'( ~U: (d'eSS /L.L fie~ Unit# PropertyOwner Na_KG Telephone#(~OSI) 79 L(-'4 7C? 1-I Contractor Street Address 12253 NICOIIBt AVBOUB SOU1I1 City Telephone:8 State 52-746-52 ' 11p Telephone # ( ) 74 2 Bond S 6 7 Expires: ~ L~ V L The Applicant is _ Owner ?Contractor _ Other ' Add-on or alteration lo existing dwelling unit $ 30.00 1,~ furnace _Additional _Replacement _ New air exchanger air conditwner heat pump other State Surcharge $ '50 Total APR 2 7 2006 g 30. SO I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurace; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not ro 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. /C~, 4)e,-e~G . - / GL-_ ApplicanPs Printed Name Applican' Signature 2006 COMMERCIAL MECHANICAL rExMiT nrrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Pleue compkte for. commercial/industrial buildings multi-family buildings when separate permiu are not requirod for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor CC~ Street Address fi,.. City 1 State Zip f:. Telephone # ( ~ ) . r Band Expires: The Applicant is _ Owner _ Convactor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permlt FeeS: 570.50 Underground tank insmllation/rcmovel 550.50 Minimum (includes $tnte $urcherge) or Con[ractValue S x I% Permi[Fee $ Sta[e Surcharge If oermit fee is less than 51,000, add 5.50 If eP rmit fee is more than $1,000, surcharge is T.50 Cor every SI,000 owed. , $ Total Fee ! hereby apply for a Commercial Mechanical Permit and acknowledge that the informa[ion is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan'and with the Mechanical Codes; that 1 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. Applicant's Printed Name ApplicanYs Signature Approved By: , Inspector Date: Required Inspections: _ U.G. _ R.I. - Air Test _ Gas Service Test - Infloor Heat _ Final ~ 93. V6- 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagau 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consirucbon Reouirements RemodellReoair Reawremen6 Otfice Use OnIY 3 registered site surveys showing sq. ft of lot, sq. ft of house; anG ali roofed areas 2 copies of ptan showing lootings, beams, joists Cerl of Survey Recd Y N (20%maximum lot coverage allowed) 1 set of Energy Calcula6ons for heated addiGons Soils Repal Y N 1 Soits Report it proposed butlding is ro be placed on tlistur6ed soil 1 site survey for additions 8 decks Tree Pres Plan Recd Y_ N. 2 copies of plan showinq beam 8 wmdow sizes; poured lound design, etc Addrtion - indcafe if on-sife septic sysfem Tree Pres Required Y_ N 1 set of Energy Calculabons On-si[e Sep6c System _Y _ N 3 copies of Tree PreservaUOn Plan rf lot ptatled after 711193 Rim Joist Detail Optlons selechon sheet (bmidirgs with 3 or less unils) ~ Minnegasco mechanical ventilation fortn 'MMIV Date '~Construction Co tdO7 SiteAddress )S04 t~i~)-nnlESS 2anJ l~fZ. UniUSte# ~ Description of Work ffl/}',6"nm &Tw 1ar j(e-6Q°~'!?A1 Multi-Fnmily Bidg _ Y ~ N Fireplace(s) 0 J~ 1 _ 2 Property Owner ,/Qj VYl/t YV Telephone tt ,V ),FT q' Contractor y~l GCGt'.f ~/}p ~ LOY~1$~ IA(~j.f 8!f ' Address 1:~OVL ('4F(j-5Ollf CitY~r~AN State _Mq, Zip ~ 1 ZZ Telephone d~rz )(1, 3(0 • SLSS COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules Energy Code Category Residential Ventilation Category 7 Worksheet • New gy Code Worksheet (Jsubmissionrype) Su ' d mitted . Energy Env Calculations Submitted In fhe last 12 monihs has the City of Eagan issued a permit fo imil n based on a master plan2 _ Y ~ N if yes, date and address of master Licensed Plumber, eJ Te one #((dZ) Z~Z ' 75(,o Mechanical Contractor Telephone # ~ 11 Sewer/Water Co ador aD t~,~a~ r A~L Telephone #((~(L) ~ I hereby apply for a Residential Building Pennit and acknowledge that the information is complete and accurate; tha[ 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 pennit, but only an application for a permit, and work is not to start without a pennit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name App icanYs Signature DO NOT WRITE BELOW TH[S L1NE Sub Tvpes ? Ot Foundation ? 07 OS-plex ? 73 16-plex ? 20 Pool ? 30 Accessory BId9 ~ 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screenlgazebolpergola) ? 36 Multi Misc. ? 05 03-plez ? 11 70-plex ? 19 Lower Level 0 24 Stortn Damage O 06 04-plex ? 12 12-plex ? 25 Miscellaneous WorkTvnes ~J?~v(/l-~~''"~(~' ? 37 New O35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ~ ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Alleration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors i ? 34 Replacement 'DOmolition (Entlro Bldg) - Givo PCA handout to appllcant Descfiption: Water Damage _ Yes Valuation ~A /2 e,9 v Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ~ Width REQUIRED iNSPECTIONS Footings (new bldg) _ Sheetrock Footings (deck) Final/C.O. Footings (addition) ZC. Final/Nlo C.O. _ Foundation ~C HVqC Drain Tile Other Roof Ice & Water Final _ Pool Ftgs Air/Gas Tests Final -~L Framing _ Siding _ Stucco Lath _ Stone Lath _Brick Fireplace _ R.I. _ AirTest _ Final _ Windows ~ Insulation _ Retaining Wall ~ Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC / City SAC Utiliry Connection Charge S&W Permit 8 Surcharge ,Q n,~ ~~~-Ly v Treatment Plant License Search 70 Copies Other Total 2007 RESIDENTIAL PLUMBING PeRnniT APPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please com lete for modifications to existin residential dwellin s. Date c, -3 1 eq Z I c;) / Site Street Address 1,5~OLz Unit # Property Owner t---rj `f/Llc Telephone ) Contractor 7:)o~~ Telephane # ~lZ) L~'IZ -75~~ Address g 7~ ~J~ ~7 5_T ~ •Citv .kG/z/ZD Statej~_ Zip 55~ The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor Septic System _ New ~R'efurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built 5 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alterations to existing dwelling $ 50.00 Add plumbing fixtures to main level lower level. This fee includes installation of a water softe er and/or water heater at the same time. If you are installing onlv a water sofrener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $136.00 if a 5/8" meter is required) . Other.. Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $.5-0--50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I u r nd thi is nOt a permit, but only an application for a permit, work is not to start without a permit and work will be in ccordan e th tF~ p ved plan in the event.a plan is re uired to be reviewed and approved. O ~ ~LG(-C! !l~ ApplicanYs n ed ame Applicant' Signature 4166 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit#: Permit Fee: Date Received: Staff: �� ,e� 2010 RESIDENTIAL BUILDING PERMIT APPLICATION �-^� Date:MAL? AL? --S, z,T '�`.i Site Address: 1 \��.11--�.�J � �1). �*JK ,'A�►� . JJ 12 Tenant: Suite #: RESIDENT / OWNER Name: k G , i 1• Phon45,)Ctq� —41184 Address / City / Zip: i Wa"(.y)h 5c -RU. ST X i A c l"( 4 5`,(Z � Applicant is: )(Owner Contractor TYPE OF WORK Description of work:�T f � p(A £c .-1-1%)5ERT ri Construction Cost: 2'�'� t too Multi -Family Building: (Yes / No rte ) •TECONTRACTOR Name. tA T) License #: Address: City: State: Zip: Phone: Contact: Email: COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans an supporting documents that you submit are considered to be public information. Portio sof the information'maybe classified as non public if you provide specific reasons that would peri>itthe pity 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.gooherstateonecall.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 !ans. Applicant's Sig ature t C Applicant's Pi4nted Name Page 1 of 2