1309 Wilderness Run Dr
I ~ COPY A-OFFICE
COPY C-CUSTOMER LATION CREW pACIFIC PALM POOLS BY
COPY9---£XCAiVATaR MINNESOTA PACKAGE PRODUCTS, INC.
6922 56th Ave. No. Dr. No. St. Paul, Minn. 56109 770-1313
GENERAL INSTALLATION INSTRUCTIONS
PACIFIC PALM POOLS
n
CUSTOMER NAME DATEIL-v
Q-c~~~ h • r ~
A D D R E SS~ P H O N E rT7
POOLSIZE TYPE DATE SOLD
Diagram pool si e in relation to hole, garage, driveway, etc. (Allow 3-inch variance)
~
1'7N A Cofao~e. tcc,.+.~ ~
3c., V`c' pve~ yo'~° ~,r C.
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1. Indicate deep end by (X .
2. Mark location of filter and/or heater by X.
3. Indicate approximate elevation of pool in relation to permanent fixture on property.
A. Elevation
4. Will trees, clothes poles, power lines or any other, obstruction be encountered during installation?
YesNo
~
If yes, explain:
I
5. Does customer wish to retain any or all of dirt from pool excavation? Yes No
If yes, explain:
6. Indicate and explain any special instructions not covered above. (Example: Placement of backfill for walls,
patios and fill dirt, etc. Customer agrees to added charge if dirt is handled more than once.) -
7. Pacific Palm Pools recommend that the customer construct a retaining wall as soon as possible after pool is ~
completed. Yes__,)~__ No
If yes, explain: i,v~. - i ~ F- A4
8. Directions to job site
Customer agrees and understands that any changes or additions in the above outlined installation which occurs
after excavation has begun may require an added charge.
This charge shall be computed on a cost plus 30% basis.
Seller Signature ~ ~ Customer Signature
CITY OF EAGAN Remarks
Addition Wilderness Run lst Addition Lot 18 aik 2 Parcel 10 84350 180 02
OwnerFli~:+nrd P^r4r14 finr'r lCu Street 1109 Wild n sc Rin D. State Fagan. MN 55123
Improvement Date Amount Annual Vears S Payment Receipt Da[e
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 $175.00 $H JS 20 PAID
SEWER LATERAL WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT 4-~ ' -
WATER CONN. $300.00 542 3-1-7
BUILDING PER.
snc 1974 240.00 48.00
PARK
~ EAGAN TOWNSHIP
BUILDING PERMIT N0 2647
, .
~
Ownex Eegan Township
Address (Preseni) Town Hall
Builder
Da:e ...`.~.~7.............................
Addreas
DESCRIPTION
Stories To Se Ueed For Froni Dapih Heighf Esf. Cos! Parmi! Fee Remarka
/ o a-o
„2 ~ . ~~2.~y ~ .3G~
a
LOCATION /.~-4..So
Street, Road or ofher DesoripHon o! Loeation I Lo! Slock Addifion os Traei
/ 3 a :z Q~--r-L. ~ ~
This permif doea not aulhorise !6e use oi BtiB0t8, roade, alleqa or aidewalks nor doet it give !he oaaer or his agent
the righ! !o creeSe eny aifuaiion whiah is a nuisanee or which presenfs a hesard !o the heallh, safetp, eonvenienee and
ganeral weliare !o anpone in the eommunity.
THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGRESS.
~
T6is is !o eerfify. has parmission !o ereef a.....-"...... upoa
_
the above described premise subjeef !o the provisions of the Building Ordinance for Eeg ~n Townehip adopiad Ayzil 11,
1955.
n J ~
~i....'................!I :aC................_.-......_~` Per Q
~ Cheirmen of Tnwn Board ~ l/ Buildi !ns aelo 15
,
` CITY of EAGAN N~°_ 4048
BUILDING PERMIT
3795 Piloi Knob Road
Ownex . . .
J Eagaa, Minnesota 55122
Address (present) 954•8100
Huildar ..a.... Dale ~ ~
~ y,~ .
Addreef ..lp.g.~_.
DESCAIPTION
6loriea To Be Used For Fron! Deplh Haight Eaf. Cot! Permi! Fea Aemerks
ayoG ~
~ LOCATION
SSreel. Road or olhes Deteripfion ot Loceiion I Lot Block Addifion or Trec!
~.30 5~o~,~o~ 1~ a wl~~,~, ~
This permit does not aufhorize the use of sireeis, zoads, alleys or sidewalks nor does it give the owner or hG ngan!
the right 2o creafe enp siiuaiion whieh is a nuisance or which precenis a ha:ard fo the healfh, eafetp, eonvsnlenes aad
ganeral welfare !o enpone in the communiiy.
THIS PERMIT MUST BE KEPT O THE PRE SE WHILE THE WOAK IS IN PAOGA~E~rg~S. p
This is !o eeriify, ihel.~l.Ll%n.!~..~_hasperm3ssioa !o ereet a..._upon
the above described premise subjeci fo the provisions of all applicable Ordinanees for the Citp of Eegan
.1`.-_..,1... . . Per ......~.l.l. .rC~:CP_.l_..ecSF.!i:4..~...._'_'.................-, i i
~Ma or BuildinQ Ina~-"
' Eagan Township pEAMIT NO. YC .j.~.9._._.
Dakola Counlp, Minnesoia Dale
Application foi Bnilding PeYmit
Type of building ox work conlemplafed. Cirele eorreei descriptions.
Residenfial Commezciel Induslrial 0iher.. 'Z ~i - -
uild Enlarge Aller Repair Inalell Move Wreck Oihes-------
Dimeasiona.....!...---'-----.... Cosl-.---------
C
Details or remarks---~b~ __i'~ i.:'~~----.--~-
Locafion
Number Siree! Belween whaf cross sireeis Siao Esi. Valuaiion
1=309 LVr~4~{t~~SS ~[sn ne^.
Lo! Bloclc Addiiion Rearrangement or Txac!
a /~•Z.
Ownex ~Q!ua~~y L, -YOS~c~c
Addcess 1i------R4h....... V5-=~-'---------'
~nn nes Address
o'~~ lc~~ ~~.ccCS ~~j ~
Y n s~~ T'i' i. ~I
Conlracfor l -........-'-------.-------'---------P~- - - - .l
- i
The undersigned hexeby mekes apnlication far a permi! 10
do work es herein apaeified, agreeiag So do all worlc in siriei
accordance with 2he 6uilding ordinenae adopled Apxil 11, 1955
Tofal fee collecied. by !he Eagan Township Soard of Supervisors.
Pexmit fees aTe not
refundable.
...._~.!,.:~4.."...' .
Signed
. ~
TOWN Or EAGAN
3795 Pilot Knob P.oad
Eagan, Minnesota 55121
PERI•IIT N0. 22L
The Board of Supervisors hereby grants to Iileve HeaLins & Air Cond. Co.
of 13075 Pibneer T7C'ailp Eden Prairie. MN 5531I4
a HEATINl3 Permit for: (Owner) tJens[nann ConsEtuctipn
at 1309 wildar•nesa Run Drive ~ pursuant to application dated
7/21 /7 2
Fee Paid: $20.00 Dated this 26th day of Jv],y , 19-7_2.
.50 8 C
Bu`_lding Inapector
. • • . 61112.-ji
ToWN or EacAN
3795 Pilot Rnob Poad
Eagan, rlinnesota 55121
PERI°lIT PTO. 239
The Board of Supervisors hereby grants to ~~zel P1wMbit1P, & Her1t111g InO.
of 3600 Rennebec Drive, Eagan 55122
a PLTMING Permit for: (Owner) Wmtsmann Construction
at 1349 Wlldarneee RU.'3 Drive , pursuant to application dated
7/20/72
Fee Paid: v'20•00 Dated this 26tih day o£ ju2w' , 1972
.50 s/c ~
BciSding Inspector
2006 RESIDENTIAL BUILDING PERMIT APPLICATION "
City Of Eagan ~ ~
~ 3830 Pilot Knob Road, Eagau MN 55122 ~
Telephone 4 651-675-5675 FAX # 651-675-5694
New Construction Reouirements RemodeVRepair Reauirements Office U5'e`Onlv
3 registered site surveys showing sq. ft, of loC sq. R of house; and all roofed areas 2 wpies of plan showing foolings, beams, joists Ceit of Survey R,ecdi={r
(20%maximum lot covera9e allowed) 1 set of Ener9Y Calculations for heated additions SoilsRePoif
1 Soils RepoR If proposed buiiding is to be placed on disturbed soil 1 site survey (or add'Nons & decks Tree Pres'Plan
2 copies of plan showing beam & window sizes, poured found design, etc. Adddion - mdirafe ilon-site sepfre sysfem Tr"eeFres Required'.-"f ~7Y~-N
lsetotEnergyCalcuiaLons On~3ite§epticSysfem'_;;,,~ N
3 copies of Tree Preservafion Plan il lot pWtted after 1!1/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical venLla6on form Date z Z/ 07 Q Cons ction Cost
Site Address ~ Unit/S[e #
Description of Work C3 tr/~ " J
Multi-Family Bldg _ Y!N Fireplace(s) _ 0 _ 1 _ 2
ProperTy Owner Telephone #(~v~~ yS~ - JS d(~ `
Contractor
Address S CL,..p City
State 1774/ Zip f; / Telephone # ( (o5j~ [.~y % - !o
COMPL.ETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculatlons Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber ielephone J
Mechanical Contractor Telephone )
Sewer/WaterContractor 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; thatthe work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
ApplicanYs Printed Name a Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes ,
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) O 36 Multi Misc.
? OS 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundalion ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement ' 'Demolition (Entire Bldg) - Give PCA handout to applicant
D@SCI'Ipfi0I1: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ Sheetrock
_ Footings(deck) _ FinaUC.O. '
_ Footings (addition) _ FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search -
Copies
Other
Total
. • RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ~
651-681-4675
NewConstructionReouirementa RemodellReoairReouirements ` 10
• 3 registered site surveys showing sq. ft. of lot. sq. fl of house; and all mofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • 1 set o( Ener9y Calculations lor heated addi8ons
. 2 copies of plan showing beam g window sizes; poured found design, eta) . 1 srte survey for extenor addAions 8 decks
. 1 set of Enerqy Calculahons . Indicate d home served 6y septic system for addibons
. 3 copies of Tree Preservation Plan if lot platted aker711193
• Rim Joist DeWil Options selection sheet (bldgs vnlh 3 or less units)
DATE g, ~l 1v02- VALUATION t )DI OvU`
~I E A S I~~n9 t~/ldern~~~ ~r MULTI-FAMILY BLDG _ Y ~ N
TYPE ~ORR ~p~/Id FIREPLACE(S) _ 0A1_ 2
APPLICANT 4kQfj;2C
STREET ADDRESS QQt}71111~4& AIJP 9. CITY&f&0~& STATE/' ZIPS223Z
TELEPHONE # I~ ~b7 d9~ CELL PHONE # a°JD-f.LY~9 fAX #~~j~
~
W t~
PROPERTY OWNER AQAr U~'~PA &6d&W TELEPHONE # I~I !/S~: `
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNE50TA RULLS 7670 C:1"CGGOI2Y" I N[INNI:SOTA RliLES 7672
(J submission type) . Residertha! Venhlahon Category 1 Worksheet Submittetl • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor. _ Phonc #
Plumbing system includes: Water Softener LawTi Sprinl:ler r~pPee 5~0:00-
_ WaCer Hcatcr _ No. of R.I. Baths ''1 I,
No. oF 13adis U9 Sc P 1 7 2002
Mechanical Contractor: Phone # I L" I
Mcclianic:il systcm includcs: Air Conditioning ~"y. rcc: _g70.00 i
Hcal Rccovcry Systcm
Sewer/Water Contractor: Phone #
°
I hereby acknowledge that I have read this application, state that ihe information is correcT, and agree to comply
with all applicable State of Minnesota Statutes and City of Eag Ordinan s. Sfgnature of Appllcan~rj~k
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY .
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelting ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
0 06 04-pfex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (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 Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footines (new bldg) FinaUC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addi[ion) _ Plumbing
_ Foundation HVAC
_ Dram Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs AidGas Tests Final
_ Framing _ Siding SNCCO Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ lnsulation _ Retaining Wall
-----------------------------------------------------------------------------------APProved BY , Building inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~ owc,~7
, /~-a-
/
.
,
i
. V~
h
MASTER CARD
• LOCATION kVdd c / A P Sf ~i/ h ri /~O / ~c '•Z' ~C f
i
OWNER N~C h S IYI s.
STRUCTURE AND C
LAND USED AS OJF DM/ ~
Istued To
Permit No Issued Contractor Owner
BUILDING 7,2 aw/
PLUMBING .'3r . '
1
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING z2q
GAS INS7ALLING
SANITARY SEWER _9s7
OTHER , ~1
OTHER
• Approved .
Items (Initial) Dafe Remarks Distance From Well
FGOTING SEPTIC
I
FOUNDATION CESSPOOL
FRAMING ~-Z!~ TILE FIELD FT
FINAL
ELECTRICAL
n DEPTH
HE,4TING 730, OF WELL
GAS INSTALIATION '
SEPSIC 7ANK
CESSPOOL
DRAINFIELD
PLUMBING ~'1• '
WELL
SANITARY SEWER
i
i
/
• Violations Noted
on Back
COMMENTS.
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
•
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONST•',UCiION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT
OBSERVED. INTEND TO COMPLY.
~ ACCEPTABIE SUBSTITUTIONS OR
DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUIIDER WILL COMPLY
WITHOUT DELAY.
I7EMIZED AND DESCRIBED AS FOlLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION •
REINSPECTION REVEALED
CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed io be at variance with ordinances of the Town of Eagan, approved plans and specificacions, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR DATE
COMMENTS:
•
23
MASTER CARD
LOCATION l//C"~~~~
OWNER 64,~
STRUCTURE AND
LAND ~C~ ~ ~
USED AS
issued To
Permif No. issued Con}ractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
EIECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Approved
Items (Initiai) Dafe Remarks Distance From Well
FGOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TIIE FIELD FT.
FINAL
ELECTRICAL
DEPTH
HE,4TING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD .
PIUMBING
WELL
SANITARY SEWER
Vio!ations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO, ' DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
NO EVIDENCE OF NON-COMPLIANCE NON-COMPLIANCE. BUILDER DOES NOT
~ OBSERVED. INTEND TO COMPLY.
~ ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
NON-COMPLIANCE. BUIIDER WILL COMPLY
WITHOUT DELAY.
l7EMIZFD AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CE RTI FICATION - I cenify chat I have carefully inspected the above in which I have na interest present or prospective, and that I have reported herein
all si9nificant condiiions observed to be at variance with ordinances of tha Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating [o the property inspected.
? AlL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR OATE
COMMENTS:
~
z a
v ~
EAGFN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minneaota 55111
Telephone 454-5242
PERPUT FOR WATER SBRVICE CQNNECTION
Date: March 27, 1972 Number: 795 /9 J
Billing Name• Wensmann Construction Co. Site Address• 1309 Wilderness Run Drive
Owner: Same Billing Address
Plumber• Wenzel Plumbing & Heating Inc.
I,ocation of Connection Meter Siz Coaaection Chg. 00.00 pd 3/72
Meter No.7~.'ii9 ~ Pexmit Fee 10.00 Pd 7/26/72
'5ugT77'26767 2 s/c
Meter Reading Meter Dep.
Meter Sealed: Yes Add'1 Chg.
NO Total Chg.
Inspec[ed by
Date
Building is a; Remarks:
Residence xx
~,:.on
t4ultiple Iio, Units . ~:~~-j;~;,~LU I:iL1ERS.
i~C„ t.•..u.Li
Commercial
Industrial &p:
Other Chief Inspector
In conaideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Tocroship, Dakota County ?Minnesota.
By~LL.~+.G.r.-~.. t? i...J e ~
Wenzel Plutnbing & Heating Inc.
Please aotify the above office when ready for inspection and cons?ection.
EAGljN TO14NSHIP
3795 Pilot Knob Road
St. Paul, Minne3ota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTiON
DATE: March 27, 1972 NUMBER 957
OWNER:wensmann Construction Co. Addresa 1309 Wilderness Run Drive
PLUMBER Wenzel Plumbing & Heating TRpE OF PIPE heavy cast iron
DESCRIPTION OF BUIIDING
Industrial Commerciai Residential Multiple Dwelling No. of units
xc
Location of Connections: Connection Charge -0-
Permit Fee 10.00 pd 7/26/72
Street Repairs
Total
Inspected by:
Date
Remarks•
By.
Chief Inspector
In consideration of the issue and d'elivery to me of the above pexmit, I
hereby agree to do the proposed work in accordance with the rules and
zegulations of Eagan Tormship, Dakota County, Minneaota
By
WPnz.l plumbine & Heatine Tnr.
Please notify when ready for.iaspection and coanection and before any portion
of the work is covered.
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan _l
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please compleie for single family dwellings & townhomeslcondos when permia are reqwred for each umt
I Date / 09 / d v 1n y~
SiteAddress ~~09 ~~l'Gr~'?GSJ' !/G _ Uni[#
Property Owner C. .46uS4 Telephone #(6S/ ) YSSI- 95-0 o
Contracmr c- '
Street Address ~ZZS-3 N~ CA ii2e,4 4~ `T City ur.7 rH
State 01*.A) Zip .5'S / L.3 Telephone gJL) ~yG ~
Bond !i: G ci y 3-~ Expires: g L~as
The Applicant is Ovmer Contracror _ Other
I Add-on or alteration to existing dwelling'unit 5 30,00
~ fumace _Additional /.Replacement
air exchanger
airconditioner _New _Replacement
other
$ 50
S[ate Surcharge D
Total S
I hereby apply for a Residential Mechamcal Permit a~~owledge tia the mformation is complete and accurate; that [hc work ~~~ill
be in conformance with the ordinances and codes of the C~ ~~f Eagasl and with the Mechanical Codes; that I understaiid this is iiot a
pzrrrut, but only an apphcation for a permit, and work is not oL ~ wi[hout a permit; that the work will be in accordance widi [he
approved plan in the c e of work which requues a review and ap ova] oF plans.,
.4pplica 's Printed Name Applic s Signature
PERMIT
C'rty"ol Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA076474
Eagan, MN 55122 ~ Date Issued: 01/22/2007
(651) 675-5675 Clty of Ea~aIl
www.ci.eagan.mn.us
Site Address: 1309 Wilderness Run Dr
Lot: 18 Block: 2 Addition: Wildemess Run Ist
PID: 10-84350-180-02
Use:
Description:
Sub Type: Exterior-Single Family Dwelling Conshuction Type:
Work Type: Windows/Doors-New/Replacement
Description: three windows
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments• 7/1V07 Beissel Window has made 3 attempts to contact the homeowner for inspections. On 7-16-07I had also left a
~ message for the homeowner to contact me regarding getting an inspectioa They have not retumed my call. I am dead
dating this permit. I have put the paperwork from Beisel W indow in the parcel file for this address. pf
Fee Summary: BL - Base Fee $88.50 0801.4085
Valuation: 3,000.00 Surcharge - Based on Valuation $1.50 9001.2195
-
Total: $90.00
Contractor: - Applicant - OWR¢1':
Beissel Window Siding Leroy C Bushman
1635 Oakdale Ave 1309 Wildemess Run Dr
W St Paul MN 55118 Eagan MN 55123
(651) 451-6835
I hereby acknowledge that I have read this application and state that the information is correct and agree to compty with all applicabie State
of Minnesota Statutes and Ciry of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
~ BEISSEL
WINDOW Q SIDING Telephone: (651) 451-6835
1635 Oakdale Avenue, West St. Paul, Minnesota 55118 Fax: (65I) 451-0531
Date: July 2,2007
City of Eagan
Building Inspection Permits
3830 Pilot Knob Road
Eagan, Minnesota 55122
Dear Inspector,
Following is the list of Permit Numbers that we have been unable to contact in
order to do Final Inspections. Please delete them from our outstanding permits
listing. Please find enclosed documentation of the attempts made to contact these
customers. Thank you for your assistance in this matter.
Permit EA076474 at 1309 Wilderness Run Drive, Eagan, MN 55123
Sincerely,
Noel Kujawski
Administrative Assistant
JUL 0 5 2007 D
Family Owned & Operated Since 1950 By
www.beisselwindows.com
- - - - - - ~
~ BEISSEL
WINDOW a SIDING Telephune: (651)151-6835
1635 Oakdale Avenue, Wes[ S[. Paul, Minnesata 55118 Fas: (651)451-053I
May 30, 2007
To our Beissel Window & Siding Company Customer;
When a Building Permit is purchased from the city it is necessary to have a final
inspection completed by a City Inspector. We have completed the project at your
residence and have tried to contact you by phone in order to set a date for the final
inspection. We have not received a response and would like to take this final opportunity
to contact you in order to complete arrangements for a final inspection date.
The City Inspector must have access to the property in order to do the inspection. The
inspector will also be checking for smoke detectors in each sleeping room. Whenever a
permit is pulled from a city they reserve the right to check for code violations and will
not final a project without the smoke detectors being in place.
Please contact Noel at 651-451-6837 in order to complete arrangements for your
inspection. Thank you for your co-operation. We appreciate your business and would
like to help you complete this final phase of your project.
Sincerely,
Noel Kujawski
Executive Office Assistant
Beissel Window & Siding Co.
Family Owned & Operated Since 1950
~ EQiOffice Use G' I 41111lo I
I
Clty Of EapIl I Permit ~
I
3830 Pilot Knob ROad j Permit Fee: I
Eagan MN 55122
~ Date Received: ~
Phone: (651) 675-5675 I //•~Fax: (651) 675-5694 I Stah
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ~?_7" o~) Site Address: 1 X~]V( I1jEfY1.Q,SS ku-n Of•
Tenant: Suite
' `
RESIDENT/OWNER Name: ~1~~IQ~ ~ lx,Qi 6u511hYlCA4 Phone: S'~_.IJLJ
Address / City / Zip: ,LL
CONTRACTOR Name: ampion Licensetl:
Address: 651-365-1340
3670 Dodd Rd. #100
C'ty: - 6agan, P.RPJ ~5133 ~~-,.a._o State zip:
Phone: Contact Person: TYPE OF WORK _ New ~/Replac ent Repair Rebuild , Modify Space _ Work in R.O.W.
Descri tion of work: (PERMIT TYPE RE~IDENTIAL
~ WaterHeater WaterSottener
Lawn Irrigation Add Plumbing Fixtures
L-- RPZ PVB) C_ Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge ihal this inlortnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the Cny of
Eagan; ihat I understand ihis is not a pertnit, but only an application for a permil, and work is not to start without a permit; ihat the work will be in
accordance vnih the approved plan in Ihe case ol work which requires a review and approval ot plans.
X.Sa~S Cl . I~I p uPr X k
Applicant's Printed Name ApplicanYs nature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: _Under Ground _Rough-In _Air Test _Gas Test _Final
35~ I~
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115516
Date Issued:09/26/2013
Permit Category:ePermit
Site Address: 1309 Wilderness Run Dr
Lot:018 Block: 002 Addition: Wilderness Run 1st
PID:10-84350-02-180
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Matt Czech
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Leroy C Bushman
1309 Wilderness Run Dr
Eagan MN 55123
(651) 303-3639
Pineview Builders Inc
2201 Lexington Avenue N, Suite 100
Roseville MN 55113
(651) 489-3696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141257
Date Issued:03/02/2017
Permit Category:ePermit
Site Address: 1309 Wilderness Run Dr
Lot:018 Block: 002 Addition: Wilderness Run 1st
PID:10-84350-02-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Leroy C Bushman
1309 Wilderness Run Dr
Eagan MN 55123
Dakota Water Treatment
17484 Goodland Path
Lakeville MN 55044
(952) 953-4643
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151256
Date Issued:08/15/2018
Permit Category:ePermit
Site Address: 1309 Wilderness Run Dr
Lot:018 Block: 002 Addition: Wilderness Run 1st
PID:10-84350-02-180
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jacklyn J Matzke
1309 Wilderness Run Dr
Eagan MN 55123
(612) 760-0834
Twin City Fireplace & Stone Company
6521 Cecilia Cir
Minneapolis MN 55439
(952) 232-1840
Applicant/Permitee: Signature Issued By: Signature
...
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ii
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For Office Use .. q-b
,
, Permit ff: / ./,6,- 7e1
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* i 0
rZECEIVZ L) Permit' Fee:
EA
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 SEP 0 6 2018
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinoinspections( cityofeacian.com
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -\1- izo\ Site Address:
Unit#:
Name:
Phone: (DV1.-J ICA-NalC\INCLO: VI\(1"\f....\42,-- J
i Resident/
1 '-- 2 Owner Address I City/Zip: V- OCii %... 4 (le Q.,- iiit Qt. -a arN, I tz:)5x - - i
Applicant is: Owner 7,-Contractor
crt-KNie: `K...)cka.,- ‘..431-3,„S,..-)4cti.3-9 LA (e.,..1/..--*.. cix. v\,,t \,„,e 4 1 Li t_cti—S0
1 1 ,
i Description of work: oeu,onct. cX.A...2ic Cie-u-k..,01 ,i,kir-kr\Of AX-ic--kc ,?..ef,Xios( '''sflt:uVk CS Ll, trk 1\-Q6(-)
Type of work 1
4400-\
, a Construction Cost: 'L 4,,4-4-'N.
i Multi-Family Building:(Yes /No )
I I en
t t
Company: Ch\CIort,-.4 \:-)C,C\--C,‘5 Contact 'NINO&
,--,,, , vt-,,,
I I Address: \\U2 114N Vs•JZ.1146(*Y \J-A
City:
1 Contractor 1 I
8*3 • .--- -1 q52.-CS 52-62- ,
I State: , Zip:''' ,3'*3 Phone:
Email:73 urninnixre„Chterre\I Obt_ki' ..y:SfYlil.C4,4
License#: Lead Certificate#:
--t— — ---.1
If the project is exempt from lead certification,please explain why:
_ --
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:
it
Licensed Plumber: Phone:
Il Mechanical Contractor: Phone:
Sewer&Water Contractor:
Phone:
Fire Suppression Contractor: ._, .,_ Phone:
NOTE:Plans and supporting documents that you submit ate considered to be public information. Portions of the infommtion may be
t classifledasibn:pubci__Juil I rovide -.:, lac reasons that would.- it the Cl to conclude that the are trade secrets
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeanan.comisubscribe.
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.
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.oupherstateonecallorg
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.
x CiU,I)Ncv:X.C ,Sr VNI cv 6 orx
Applicant's Printed Name nt-ii„.t/ii., - t--- -
App ts Signature
•
41, etri / 4.
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
pSingle Family Garage Porch(4-Season) Exterior Alteration(Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
rAiteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall "Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 41 (3 qq,
Occupancy --1-12-6- MCES System
Plan Review , Code Edition (An 2.6)(5.- SAC Units
(25% 100%N) Zoning 12-"rl 1t-I City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings -17-E5--- Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Hood
Roof: Ice &Water Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes_i Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
f
Reviewed By: ( ñ7 /1i2 I-- (wit-- , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154636
Date Issued:04/04/2019
Permit Category:ePermit
Site Address: 1309 Wilderness Run Dr
Lot:018 Block: 002 Addition: Wilderness Run 1st
PID:10-84350-02-180
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 -
Jacklyn J Matzke
1309 Wilderness Run Dr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature