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1310 Wilderness Run Dr CITY OF EAGAN * 4~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ • ' PHONE: 454-8100 BUILDIN6 PERMIT Receipt AUUITIQ+1, D= 6 To be usedfor Est. value $85000 Date liQY l . 199, ' Site AdreSS 1-310 iJi LpB:dKiSi-aWN Dit OFFICE USE ONLY k.ot 3_ Block _I Sec/Su Parcel No. occuPancy L3 FEES Zoring _ ~ NamL JL?FRRY LIIA[KAN (Actual) Const _ Bldg. Permit 372tQQ ; Address 131A LRI.DEYb1gRS RuM Do (lulowable) _ 0 City PJ?C1?11 Phone `Sd-6121 +M of Stories _ surcharge --A2.sQ Lenpth ~tiab Plan Review 3? 2_ AA ~o Name oepu, U14 snC. cicy IU~ Address 101 v32AvRr_rRg 22 S.F. Tog'Ck -31M snc, Mcwcc ~ City Phone 844.89Q4 S.F. Footprints _ on Site Sewage _ wacer Conn ¢ Name - ~ ~ W On Site wei~ - Water Meter U~ AddrBSS MWCC System _ , <W City Phone ciryrwacer _ Ac`'". Depos't PRV Required - S/W Permit I hereby acknowlege that I have read thip application and state that the Boosler Pump _ S/W Surcharge informaGon is correct; and agree lo mply wdh all applicable State ot MinnesoW Statutes ankf Ciry of Eagar~Or i i ces. Treatment PI Signature ot Permitee l ~ +4PPROVALS qoad Unit A Building Permit is issued to: GE C!IAlljttR [ONST Plan^ef - Park Ded. on the express condition lhat all work shall be done in accordance wilh all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pry. _ Copies 9"BuiWing Official yar~e - TOTAL ~ . PermH No. Permit Noldar Dab Telephone N WATER SEYVEN PUAABING H.Y.A.C. ELECTRIC v a43 , aap.etlon ost. Msp. comm.M. FooWgs I Founda6on Frartwng L' Roding Raqh Plby 11 .1_ RaWh Htg. Isul. Freplaoe ~ Final Hig. Orstat Test Final Pbp. N PIb9_ lnspeGOr - NotifY Pk+mber Const. Meter EnprJPlan eidD. FmW 3~ kJ Dedc Fig. Oedc Fnal WeN ~ 1 Pr. Disp. CITY OF EAGAN Remarks Addition Wilderness Run 3rd Addition Lot- 3 aik 1 Parcei 10 84352 030 Ol Owner LS-< <L'%4•t-Ai-r-110 1-1 .agtt14-11 Street 1310 Wi 1 ciPrnPaS Run pr ~ Stete- Edcrdll' MN 55123 Improvement Date Amount Annual Vears Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ;tal 1973 $175.00 ~ $8.75 20 PAID SEWERLATERAL WATEFIMAIN WATER LATERAL WATER AREA 6)73 '11 -~jSTORM SEW TRK 41* .19$3 417.96- 27.86 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT S 1981 107.9 4 21.59 5 WATER CONN. $320.00 8359 6-25-73 SUILDING PER. sac $100.00 8359 6-25-73 PARK V. V/ ~ EAGAN TOWNSHIP BUILDING PERMIT N° 3058 Owner -.................~""'g""~'`~ Eagan Township (Preceni) Town Hall Builder ~ . ' Dele Address ' . _!-r-.-„`s~... DESCRIPTION Siories To Be Used For Fron} Depih Fieighi Esl. Cos1 Permi! Fec Remarke LOCATION / ~ S2reel, Road or olher Descriplion of Location I Lo! Block Addition or Treei 121,9 -7U This permit does not auihorise the use of sfreele, roads. alleys or sidewalks nor does it give the owner os h[s eqent the righf !o ereafe anp silualion which is a nuisanee or which prasenls a ha:ard to the healSh, safelp, eonvenienee and general welfare !o anpone in the eommunify. THIS PERMIT MUST BE KEYT ON TIiE PREMISE WAILE THE WORK IS 2N PROGR SS. Thla ia !o aerlify. .69.t.-.... has permission !o erec! a.... _upon the above described premise eubjeci !o the provisioas of the Building Ordinance for Eeg~.. Townc ip adopled April 11, 1955. '~1~ ~l.Y.'.:.......Ll...~z,tt-....."'. Per 0...~...~.......... . ChairmeNof Tnwn Boar Buildin Inc ect ' -J 0122 3 i ~ ~Xo °v" - Request D ~e rre No I Rough-in InspeMion ReQUVetl~ ? Aeady Now ? WAI Nosly InspBMOr ? Yes ? N. WM1en Reatlyi I icensed convacror ? owner hereby request inspection of above elecirical work at. Jo0 AtltlreSS (SlreeL Boe or R ute N 1 Qty Seclion No I Township Name or No. Ranqe No. Loun Ocapant IPRINT) pone No zzil~ u,ee Pawer Sopplier qtltlress Eiecv I onlracror Company N me~ ConVaclor's cense No ~ Matlr g qa less ICo Iracto, ner akmq Installati ) ~ Autn ed &gnawre IConir~tmdOwner Maxing Install n~ ' non Number MINNE T STATE BOAPD OF ELECT ITV THIS INSPEGTION REQUEST WILI NOT Grigge-MiEway Bltlg. - Hoom 5-1]] BE ACCEPTED BV THE STqTE BONRD 1821 Unlverc0y Ave. 51. Vaul, MN 55100 UNLE55 PROPER INSPECTION FEE IS PM1One (613) 6d2-O800 ENClO5E0 ~ REQUEST FOR ELECTRICAL INSPECTION •"T~~:'. ~ eeoooar-oe--- ~ Sae insimcrans lor compleling Uis lorm on back ol yellow cropy ? , X" 6elow Work Covered by This Request ~ 01223 ` e :dd Rep. TypeoiButltling ApplianceSWired EqmpmeniWvetl ~ ' Home Range Temporary Service Duplez Water Heater Electnc HeaLng Apt Bwltlmg Dryer Other (Speaty) Comm./Industnal Furnace Farm Air Contlitioner Otber (sVecilyi Canhaclor's Remar ~ Compute Inspec[ion Fee Below' a piher Fee # Serwce EnvanceSrze Fee # CircmislFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ AmDs SigOS Inspector5llse Only: of~ Irrigation Booms Special Inspection AIarMCommunica6on THIS INSTALLATION MAV BE RE S ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M I, the Electncal Inspecror, hereby Rou9n.o a ~69~ l cerhfy that the above inspection has Fmai o been made. OFFICE USE ONLY Th4 r¢quesl voitl IB monllls hOm CITY OF EAGAN Np 1985 1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDINGPERMIT Receipt#PO 1121) _ ADDITION, DEQC & . To be used for 1[1jggI0R IMPA[NFS1QdP Est. Value $85, 000 Date NOV 1 1991- SitBAiddfe55 1310 WTT.DF.RNFSS RIIN DR Lot 3 Block 1 Sec/SutH'?LDERNESS RIIN 3R oFFICE USE ONLv PBfC@I N0. Occupanty R=3 FEFS Zonmg _ w Name JEFFERY L HAGMAN (AClual) Const _ Bldg. Permn 579.00 o Address 1310 WILDERNESS RUN DR (Allowable) - Surcharge 49.50 City EAGAN Phone 454-6223 +r oi siories - Lengm Addition29?~16 Plan Review 372.00 ~o Name 6SQ~F6£ 6 lhPrH~FER 6BfIST ooPin ~k 12~c14 sac.ciry 0Q AddfB55 201 W TRAVFiFRS TR S.F.7oat"i - '4 SAC.MCWCC ~ City Rl1RNSVTI.I.F. PhOne 994-RQ04 SF.FOO1pnnI5 - On Sile Sewaga - Water Conn ~ ew Name On Si1a Well - Water Meter ~a Address Mwccsystem - iw CIf PhOnE Ciry Water _ /Kct. Deposil Y PRV Requued _ SNJ Permtl I hereby acknowle e t I have read i application and state that the eoosier Pump - SM/ Surcharge inbrmation is corre t a agree to ly wilh all applicable Slate of Mmnesota Statutes a iry o1 Eaga r' ces 7realmem PI Signature 01 PermitB APPROVALS Road Unit A Building Permit is issued to: GEORGE C MAURER CONST Pianner - park Ded on the express condition that all work shall be done in accortlance with all Councii applicable State ol M(i~nnesota SptatuteIs and City 11 ot Eagan Ortlinances. Bldg. Ofl. Copies Building Oflwial ~ 1 ln 11 1lll, ~~{J Variance - TOTAL 986.50 l ~ ' 3-- / (,rJ • JZ ~ VILLAGE QF BAGAN 3795 Pilot Knob ttoad Eagan, Mi.nnesota 55122 PEMIT N0, 376 The Village of Eagan hereby grants to Wenzel Plumbing 6 Heating Inc. o£ 3600 Kennebec Driva, Eagan, MN 55122 a_ PLUMBING Permit £or: ((X,mer) Wensmann Consttuction at 1310 Wildernesa Run Drive , pursuant to application dated 8/6/73 Fee Paid: 20.00 dated this 7th day of Auguet , 19 73 .SO s c Building Inspector Niechanical Permits: Bid Total: .3 / w•~~ + . VILLAUE QF BAGAN 3795 Pilot Knob ttoad Eagan, Minnesota 5$122 PERi4IT N0. 405 The Village o£ Eagan hereby grants to xln,ve xeatina s A/C Co. of 1gw5 Pioneer Trail. Fden Prairie 55343 a _ M„m= Permit £or: (O~mer) Wensmann Oonatruction at _1236 W41 d6xawsrt *r+*+ n*- , Iursuant to application dated 8/22/73 Fee Paid: Clip AD dated this 29th da7r of Au4uat ,1,9 73 . .50 s/c Building Inspector Nlechanical Permits: Bid Total: VILLAOE OF EAUAN SEWER SERVIC~E PERMIT 3795 Pilot Knob Road PERMI"I' NO.: Eagon, MN 55122 DATE: AugHBt 7, 1973 Zoning: $-1 No. of Units: ~ Owner: Wensmann Construction Cpo. Address SiteAdd 1310 Wilderness Run Drive caga~~ v• ~ ss: Plumber: Wenzel Plumbing & HeatinQ (~6/3 375.00 pd I ogree to comply w{th tha Villoge of Eagan Connection Charge: Ord.nonc" ' pccount Deposit: Permit Fee: 10•00 pd 8I7I73 Surcharge: By, Misc. Charges: Date of Insp.: Total: Date Paid: Insp.: 2004 RESiDER1T9AL PLUNtBiNG PERl411T APPLlCAaiORJ GIT`( OF EAGsAiV 3830 PILOT 6CFd0B ROAD, EAGAN MN 55122 651-675-5675 tj5-So Please complete for modifications to existing residential dwellings. Date !a , ~ u , 0 7 n,/~ Site Street Address /J/C7 ~i~~l(~it F'r~-v w5/~'~~i~ Unit # Property Owner H-~ ( I vl ~11) (a v C/ Telephone # - 6 Contractor~/L!'/2- !'/v~~,~/~ i ~ Tel phone# (~j "~'P'.3'/I`t? Address ~ W~ c • 1 f' =City no,K/'!!//.~ S4aYe.nl" Zip~ The Applicant is: _ Owner -,&ontractor _Other - i Alterations to existing dwelling $ 50.00 ; _Add fixtures to rooms, excluding water softener and water heater ~ Sephc System Abandonment i _Water Turnaround (add $121.00 if a 5/8" meter is required) i Other: UVaterr S~of,tener (-~Water Heater ~ ~ $ 15.00 ~ replacement _ additionai ~~6e Lawn 9rrigation System RPZ_ new _ repair _rebuild $ 30.00 - i I Sta4e Surcharge $ SG I I - - - - - Totai $ I hereby apply for a Residen4ial Flumbing Permit and aclcnowledge that the iniormation is complete and accurate; that the work wifl be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work wiil be in accordance with the approved plan in the event a plan is required to be reviewed and approved. in oplicant's °rinted Plame /~pplican~s ignat 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION ~?A~ City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 ~ ~3U • Please complele for. single family dwellings R[ownhomes/condos when permits are required for each unit Date d / c2j / U d Site Address I~ ( O V V 1 I "y lK p S ~,U~ bP-. Unit # Property Owner H(/f q im&o Telephone #(Uqo ~ Contrnctor QeU- V I StreetAddress 11W/+ Vi• City aom~{~ State I Y( V ) Zip ri- 9 1,2 Telephone Bondk: ~ 2~) a~Expires: -2i/ The Applicant is _ Owner ~ Contracror _ Other Add-on or alteration to existing dwelling unit S 30.00 furnace _Additional _Replacement air exchanger airconditioner _New Replacement other State Surcharge $ 50 Total APR 2 R 2304 i. s v By I hereby apply for a Residential Mechanical Permit and acknowledge tha e informa[ion is complete and accurate; [ha[ the work will be in conformance with the ordinances and codes of the Ciry 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 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 planA.,n Applicant's Printed Name Applicant's Signature 2004 COMMERCIAL MECHAN[CAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commercial/industrial buildings multi-family buildings when scparaic pcrmits arc not rcyuircd for cach dNrclling unit Date Site Street Address Unit # Tenant Name (if applicnble) Previous Tenant Name Property Owner Telephone k ( ) Contractor Street Address City State Zip Telephone 9 ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _Processed _Gas Nature ofWork: "When installing/removing underground tank, call for inspection by Fire Marshal and P/umbing Inspector Permlt Fees: 570.50 UndergrounJ tank instnllationlremoenl $50.50 Mirtimum (inCludes Smte Sureharge) or Contract Value $ a I% Permit Fee • If eP rmit fee is SI,000 or less, add S.50 a $ State Surcharge If ep rmi[ fee is over 51,000, add S.50 for every SI,000 ep rmi[ fee $ Total Fee I hereby apply for a Commercial Mechanical 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 Hagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a pennit, 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 Applicant's Signatum Approved By: . Inspector Date: 2004 RESIDENTIAL MECHAN[CAL PERMIT APPLICATION City Of Eagan ~ y. 1~5 o} I 3830 Pilot Knob Road, Eagan MN 55122 Telephone k 651-675-5675 Please complete Por. single family dwellings & townhomes/condos when permits are required for each unit Date Site Address I J1 o r V 601 • Unit it PropertyOwner 'IV Vi~ h Telephone C(l~j f)'-t Contracior Strect Address I"`Y 1A'"J 1~ 4~X& ~Mj ' City ~ State V i' IV I Zip Tt OR Tel phone# (U451) 141- ( Bond ~~j~`1 ~ Expires: / The Applicant is _ Owner X Con[ractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional xReplacement air exchanger airconditioner _New _Replacement other State Surcharge $ 50 Total $ I hereby apply for a Residential Mechanical Permi[ and acknowledge that the informa[ion is complete and accura[e; [hat [he work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes, that [ understand this is not a permit, but only an application for a permit, and work is not to slart wi[hout a permit; [ha[ the work will be in accordance with the appr ed plan ip [he case of work which requires a review and approval omul", I~(~4~f1 ~'c( I ls Applicant's Printed Name Applicant's Signature D ~ MAY 1 7 2004 By 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Pleaze complete for. commcrcial/industrial buildings muhi-fmnily buildings whcn separaie permits are not required for each dwclling unit Date Site Street Address Unit # Tenant Name (ifapplicnble) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Tclephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ 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 P/umbing lnspector P01'101[ F¢¢S: 570.50 UnJcrground lank insmllmion/mmoral 550.50 Alinimum (includes Slate Su¢harge) or Contract Value $ x I% _ $ Permit Fee • If ep rniit fee is $1,000 or less, add $.50 S State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 ennit fee $ Total Fee i hereby apply for a Commercial Mechanical Permit and acknowledee 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 with the Mechanical Codes; [hat I understand this is not a permit, but only an application for a pennit, 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 Applicant's Signature Approved By: . Inspector Date: RESIDENTIAL BUILDING PermiC Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conslrudion Reaviremenls RemodellReoair Reauiremen4s Off~ce Use OnN 3 registe2d site surveys showiig sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y _ N (20% maximum lot coverage allaxed) 1 set of Energy Calculabons for heated additions Tree Pres Plan RecG Y_ N 2 copies of plan showing beam & window sizes; poured lound design, etc 1 site survey for additions & decks Tree Pres Reqd _ Y_ N lsetofEnergyCalalahons Addr6on-indicafeif on-sifesepficsystem On-siteSep6cSystem _Y _N 3 copies of Tree P2servalion Plan A lot platted after 717193 Rim Joisl Dehail Options selection sheet (bidgs with 3 or less units Date VO / S / O) Construction Cost IV;DO c), 60 SiteAddress li (>_u) 5 V(j J p UniUSfe # , b_t tJ~e Description of Work 0h~51kL (~j(k°l F, 5?LA(6 Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 1 _ 2 ~ Property Owner ~ U Telephone # ((y--y ( ) 4--'11 ' (oLLj r 1 Contractor Address ~9 jti `}tAj~1 ~3 Citv State Ww Zip 5~ 3 3~ Telephone #(1\-I- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Ca[e op rv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet (q submission type) Submitted Submitted • Energy Envelope Calculations Submittad Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ) n 2 j~ Sewer/WaterContractor Telephone f n, II , ' ; 0 8 2003 ' I hereby apply for a Residential Building Permit and acknowledge that the informa is complete and iccurate; that the work will be in conformance with the ordinances and codes of the City o11 agan and the State of MN Sta[utes; I understand this is not a permit, but only an application for a permit, and work-is not-to-stact=without a permit; that'the work will be in accordance with the approved plan in the c se of work which requires a review and approval of plans. . ~p-lo c~ J . Applicant's Printed Name Applic t's Signatur OFFICE USE ONLY j - Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Exl. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc. ? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_V or _ N ? 25 Miscellaneous Work Types O 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Repl8C2m0nt 'Demolition (Entire Bldg) - 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 _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinalMo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ 1Vindows (new/replacement) _ Insula[ion _ 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 65'a ~ RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 New Conetructian ReauiramenU RamodellReoair Reouirements U O •'.:egis;erea >ite surveys showing sq. 8. cf'e6 sq tt ol house, and all rooled areas • 2 cooies of plan 120°6 maaimum lot coverage allowea) . 1 sei of Eneryy Calculaticns for heated admtions • 2 comes oi plan ;howirg beam 3mnCow srzes; poured found 7esyn, ztc.1 . 1 sde survey (or extenor adtlihons & decks • 1 sei of Eneryy Calculations • Intlicate J home serve0 oy seplic syslem for additions • 3 ropies of Tree Preserva6on ?lan rf lot :latted after 711193 . Rim Joist Detail OpGons selecuon sheet (Cldgs with 3 or less umts) DATE 9-9-0;~ VALUATION I'fp ~ S E ADD MULTI-FAMILY BLDG _ Y )C N TYPE OF FIREPLACE(S) _ 04 1_ 2 APPLICANT 90 STREETADDRESS /,~~~~%~.Of/L~}~/~/Lt! cS• CITY~~XWSTATV~&ZIPS_~ TELEPHONE #CELL PHONE # _ FAX # PROPERTY OWNER ~ TELEPHONE # ivr` y~'~ " COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Cate9orY _ M[NVESOT.A RUI.GS 7670 C:A"f_ICGORY I MINNCSC)"G\ 111:1,1:S 7672 (•i submission rype) . Residential Venulalion Category 1 Worksheet Su6mitted • New Energy Code Worksheet Scbmittetl • Energy Envelope CalculaGOns Submitted Plumbing Contractor: _ Phonc _ y - Plumbing systcin includes: ~4' _ ater Sol[ener Ia%eii Spnnkler ~e:P~l 90.00 ~Va[er Hcatcr No. of R.I. Baths ~ ' No. of Baths i~ S~P 1 C 2002 Mechanical Contractor: Phone # u Mcch.uiic;il ;vtitcm indudcs: :Air Condiuoning BY- - _~cc-=S7-1):UO~ Hc:u Rccoccn' Systrni Sewer/Water Contractor: Phone # I hereby acknowledge thai I have read this application, state that the information is corcect, and agree to comply •.vifh oll applicable State of tilinnesota Statutes and City of Eagan rdinances. Slgnature of Appllcant OFFICC USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY • AL ? 01 Foundation ? 07 OS-plex ? 73 16-plex 0 20 Pooi ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) 0 31 Ext. Alt - Mtulti ? 03 0 7 of _ plex ? 09 07•plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 tilulti ? 05 03-plez ? 11 70-plex ? 79 Lower Level ? 24 Storm Damage ? 06 04-plex ? 72 72-plex Plbg_YOr_N ? 25 P.tisceltaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? aa Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroo( p 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 Boaster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (ne« bldg) _ FinaliC.O. _ Footings(dzck) _ FinaU\`o C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Nater _ Final _ Pool _ Ftgs _ Air,Gas Trsts _ Final _ Frartting _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windoµ's (new'replacement) _ fnsulacion _ Re[aining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Capies Other Total 30 ~ - ~ D - , m ~ CIs ~ , ~ • , MASTER CARD IOCATION ~ . OWNER STRUCTURE AND LAND USED AS Issued To Permrt No. Issued Contractor I Owner BUILDING PLUMBI NG 3 76 CESSPOOL - SEPTIC TANK VJELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER / ~1 7 4 -f--~-~~3- OTHER Approved Items (fnitial) Date Remarks Distance From Well FOOTWG ~10 'Jj SEPiIC FOUNDATION !f 70 CESSPOOL FRAMING . y~.~ TILE FIELD FT. FINAL EI_ECTRICAL DEPTH HE,4TING 7-OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING , j ;0 . WELL SANITARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO 8E USED ONIY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION • CONDITIONS OF CONSTRVCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON{OMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY, ITEMIZFD AND DESCRIBED AS FOLLOWS: ? REInSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION -1 cenify that I have carefully inspected tfie abwa in which 1 have no interest presen[ ar prospective, and that I have repotted herein all significant conditions oUServed to be at variance with ordinances of tha Town of Eagan, approved plans and specifications, and any specific require- ments for off-site imprwements relating to the property inspected. ~ ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR OP.TE COMMENTS: ~ 23 , • 1991 BUI LDING P APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS M[JLTZPLE DWELLINGS CO?IIQERCIAL Z SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PE 1T'PeYA v Z• PERMIT MUST SHOW A LICENSED PLUMBER. 15 pDIDiTioN p~ nc-r n~pp~ To Be Used For: Sinqle Fami'lv Valuation: 85,000.00 Date: k0722/9P'^^ Site Address 1310 Wilderness Run D. OFFICE USE LY ` - - ~ Lot _3 Block 1 FEES Occupancy P-3 Permit $W_•oa Zoning Surcharge 4 Parcel/Sub Wilderness Run 3rd Actual Const Plan Review 3 a.pd Allowable SAC, City Owner ,ieffPry L. Hagman # of stories SAC, MWCC Length/LawAO.) .29' X~(o Water Conn. Address Sama Depth Water Meter S.F. Total 5 x,~v Acct. Deposit City/Zip Code Footprint S. . S/w Permit S/W Surcharge Phone 454 6223 On site sewage_ Treatment P1. On site well Road Unit Contractor reorg C. Maiirpr ona _ liWCC System _ Park Ded. City water _ Trail Ded. Address 901 WPG m avalars m ai7 PRV _ Copies Booster Pump _ City/Zip Code Burnsville, MN 55337 SUBTOTAL AYPROVALS Penalty Phone 894 8904 Planner I.ot Change Council TOTAL ~ Arch./Engr. Bldg. Off. Variance Address City/Zip Code Pho # agrees that all work shall be done in accordance with (Signature o Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. OCT 22 '91 10:98 TO 93453E2 FF.OP1 FFOEE EII,INEERItJG T-545 F.02 . ~~o,e6E /1~y~•e~2 ~risr. C ONSUITIMt3 EN41NElN5 PLflNNE[iS ond LAHD fUftYflYOflS PROBf NGtNEERING '`,~.~~z9 ~ COMPRNY INC. - ~ ~ 1000 EAST 1961h STREET, BURNSVIILE, MINNESOTA 55357 PH 432-3000 '"F , AS BUILT SIJRVEY Lega! aescription: z-or 9,9KOTA COVNTY', /J~/NNESOT.~I DENOTES EXISTING ELEVATION ( 929- d) DENOTES PROPOSED ELEVATIOtJ INDICATES DiREC710N OF SURFACE DRAINAGE 229• 91 = FINISHED GARAGE FLOOR E.LEVATION / SCALE : 1' = 30' I~E 3b ~ ~ .3 p / rq2~%~' 3o a~ 2 p 1~ ~ bg. ~ z N ~ 1 ~ > w w w \ me~~g2.~a' ~ / $ ~ ~ ~ ~ d~°~ N~!? llluoMotil, _ ~ ~ \ ZOT J . ~ ~ /39. 53 S69°58'03"W o a ~ SfY/T RA~L G~'n/cc I hez'eby certify that this is a true and correct representation oP,a tract land as shown and desaribed heraon. As prepared by me th1.s day Oc7~~R r 19,1`L_• ' Minn. Reg. No. /3600 GXTERIOR ENVELOPE AVERAGE "U" COMPUTATTOP] Dwner JEFFERY L. HAGMAN Address 1310 Wi1dPrnac. Riin nr Phone 454 6223 Legal Description of Property• Lot 3 Block 1 Addition Wilderness Run Date 10/22/91 3rd Site Address 1310 Wilderness Run Drive Eaqan MN AVERAGE LINEnL FEET OE . ~Ew LcwmR, EXPOSED WALL ARE71 ABOVE GRADG hiain r.evel 49.3,~ o-v 3~ 4• Cr7 Lineal ft. of framed wall above grade x height of wall 8-O = Rim Joist Lineal ft. of rim ~°p,(v7 x height of rim U = Ki•~'~ Lower Level 3 7~ Lineal ft. of framed wall above grade 49, ~j3 x height of wall 7.'7 = Lineal ft. of masonry wall above grade - x height of wal7. - _ - _ TOTAL wall area above grade including windows and doors = I25°OO~ WINDOWS: Area x "U" value Malce s TyPe !3) ccM2A 6o4-3W sq. ft. (p (o X~lu,l _ (o)(n) lvg SL~D sq. ft. A0.02 x"u" - (U)(A) -,-r F~ CGM~Co~}D sq. ft. ~ 0-0- x~~U,~ (U)(n) ~ GG O'G~+I sq. ft. OCJ x„U., _ (U)(A) Gc-Mac sq. ft. 13.32> x~~U"--- (0)(A) n) GGP-131oCa4 3~_sq. ft. AD,OOx „ _ (U)(A) (n) ' xlo8 Sc?D sq. tt. 53, 3Co X y3 Z~' sq. ft. j x 1.Ull _ (U)(A) F~ ccr-~~~F4P~ GGf~IEs~ 1z, sq. ft.~,x " TJ,~ (U)(A) (2) cctii?r„48.ILW sq. ft. x „U,l _ (U)(A) sq. ft. x ~lull _ (U)(A) sq. ft. x 'lull - (U)(A) sq. ft. X "U.. - (U)(A) sq. ft. X ~~U" - (U)(A) sq. ft. X ~,U,, _ (U)(A) sq. ft. X .1ull _ (U)(A) sq. ft. X (U)(A) sq. ft. X ,~U" _ (U)(A) 2 , 41 DOORS: Area x "U" value TYPe sq. ft. x U" - Make & - „ sq. ft. x (U)(A) 11 sq. ft. X (U)(A) sq. ft. x „U.. _ (U)(A) OPAQUE WALL CONSTRUCTION: Area x"U" value FRnMED WALL (total area less Detail refer- °~ning, framing members in wall, rim joist area & masonry) ence from attached sq. ft. x~~U" (0)(A) sheets Framinq members in vall. sq. ft. (v,L~(tlox "U"_p~]1 «~~A~ Rim joist area sq. ft. ~9~,(t'1 x"U" •G41 045 (U)(A) Masonry area above grade sq. ft. - X"U" _ (U)kA) 96 ,~b 'POTAL Wall Area Including Q ~1 /1 Windows & Doors Total (U)(A) TOTz,r, ( U)( A) vALUEs Avc. „v„ DIVIDED BY TOTAL WALL AREFl ii AVERAGE "U" Minimum X3~or less for 1& 2 family dwellings Minimum .22 or less for all other buildings NOTC: If average "U" values as calculated above do not meet the Energy Code requirements, the "Alternate Gnvelope Design" as indicated on Page 5 may be used. , GXTGRIOR ENVELOPE AVERAGE "U" COMPUTATIOD] haner Address Phone ',egal Description of Property: Lot Block Addition Date Site Address AVERAGE LINEAL FEET OF EXPOSED WALL AREA ABOVE GRADE 4.0 148.v 1251 "d ~ -o S~co, o Main Level 7'Z- U Lineal ft. of framed wall above grade ~(a_O x height of wall 2-,D _ Rim Joist Lineal ft. of rim x height of rim 'v = Z~YJ~O Lower Level Lineal ft. of framed wall above grade 20 x height of wall ~~5 = «U~~~ Lineal ft. of masonry wall above gradeot.)P.Acg- x height of wal] = Z13,c~ _ TOTAL wall area above grade including windows and doors WINDOWS: Area x "U" value Malce &`IyPe L L, sq. ft. 14, ~4 x~~U" - (U)(A) _~zl(ox(oo sq. ft. 33 g i~U~~ _ (U)~n) 4Zx IY, sq. ft. c~-,-LS x~~U~~ - (U)(A) 2-Z$x~8 sq. ft. IS,lo7 x~~U~~ (U)(A) 7g,48 sq. ft. ~r,33 x „U„__ - (o)(n) 12) qx-I sq. ft.6,28 x,1 u,l (U)(A) ImR72 sq. ft. g,cp X,~~„ _ (U)(A) (2 121o~ sq. ft. 33 x "U" _ (U)(A) 2--Z8~4R sq. ft. 18.6,7 x „v„ - (U)(A) sq. ft. X „ull - (U)(A) sq. ft. x .1u,. _ (U)(A) sq. ft. X .1u., _ (U)(A) sq. ft. X ~.U„ - (U)(A) sq. ft. X (U)(A) sq. ft. x -,Ull _ (U)(A) sq. ft. X ~~U" _ (U)(A) sq. ft. X ~~U" _ (U)(A) sq. ft. x .,U,- _ (U)(A) ~I 3. 'ZO X , 45 DOORS: Area x U" value Make & Type Z~8 ~:EfLVI,--E sq. ft. x"U" , Q = I-60 (U) (A) „ (Z) 3/0 ~ryct-iT sq. ft. OZ x "U.. ,O = 3Cr0 (U)(n) sq. ft. X 'lUll _ (U)(A) sq. ft. x "Ull - (U)(A) OPAQUE WALL CONSTRUCTION: Area x"U" value FRIIMED WALL (total area less Detail refer- opening, framing members in wall, ence from rim joist area & masonry) attached sq. ft. U„ (U)(A) sheets Framing members in wall sq. ft. x"U" •11 = 1~1 (U)(n) Rim joist area sq. ft. Z~F~,o x"U" GYo (U)(A) Masonry area above grade sq. ft. Z13o' x"U" 10 = ZI --~;O (U)(n) TdPAL Wall Area Including vaindows & Doors ,CO Total (U)(n) Z,08, 2-& 'iC)TAL (U)(A) VALUES z05•Z~'/77,f.0 = AVG. "U" , Q~(0Ir DIVIDED BY 'iCYrAL WALL AREA , I I I`c¢ CG-tB! w EC AVERAGE "U" Minimum ~ or less for 1& 2 family dwellings ~Ib~~Sr Minimum .22 or less for all other buildings NOTE: If average "U" values as calculated above do not meet the Energy Code requir~mene "Alternate Envelope Design" as indicated on Page 5 may be used. U 7UTAL ( v44 = 3~ 5, `i o4 (-f[3T-ikL t U)~A) ) 375. 90~{/435, ol I09 21~1.OJ+ Iti5~01 =',yk3`.~,DI Ir.YJ-. r~RS g wow~~ ' ~ .l IU'L n[ u1, uquu ti:l ll Uro Ji ' ~ . . ~ ~ in~~ frawln~~ un~ui6~YS ' ' • . ~ Il-Value , ' . ...}'ItA_1f11L' PIE;IOL•'IlS I4 I1;~L1_5 . ~ 'fnJ, VlcW _I:r.r.crlnr nlr ftlin _.1I.. N hi ~ ~..<•I 'siatni; llOft NOU(I --4 r I~ J~ 1 ' ~511 .dT)' 17L11 J Intec.lar air film .68 . ~ • . • . . - ~ TO"fAl R Uir 1/R . U!* .0c) , i ~ . . . . ' . . }'ItMIIiU IfAI.I_ . Extcrior alr EiLn , .17 ~ r I ' • Siding ShentlilnE Z•Q(o 3~ bate insulntlon ~ IGI o . ' i • . , i . . ' _LJ° dry irnll __45_. , i~ • Intcrlor air [Ilm 6R i TpTAI_ R u ~ 1/it ~ / • . ~ ' U , , . ' ~ . I . 111II. NTs'L.ItIICA_ 'Extcrioc air ftlm . . . Sid.lnp Sliaar.hin . '•I ' . . ~ ~ , , • . . - " ~ ~ 1 n e o f t iSAi~-. ' 1 . (10 . . • i ,~~.,r, Intertor air film T(1-fAl. R u, lIR . U 11A6UNItY _I,'AL},.,. ' • ~ : ~ ~~r` ~ ~ ~ • Exccrlar nlr fllm ' 'r ' • ~ . - - I(' , v ' ~_concre[r. Llock ^ - ' Lnsulotlon -7, t) lu[rrlor_nlr.[ilm ---.GA-- ; . ~ - - . . ~•~~2) ._-lQ4 ..!'y 1: . IlL6 ul u11uquu ll unNi • ~ ~ ~ . inr I ramin~~ piuuibora ' . , ~ li-Valnt . . •i . .._}'ItA_I[NC FIF:~111G19 IN I:;,LI_S . - _I:r.[urlnr ltr fllin _.11.. ~ i ~ SitllnE; fExtiST, i $i,elit,ki„g 25/a2Si-r-9- rr~. 2,c1~ r I~ :f4" uoft uoud (,.3A 11n c!ry uull ' .45 ~f I Intector oir film .GB L~, . ~ • . . . . - TO'CA R - CJ Ulr ]/R , U"' -1 I . j , . ~ . ~ }•untii;u i~nr_i;___ ' ' ~ l Extcrior air film ~ . .i) • ~ w I Siding • ~ ; ~ Shcathing ' I ~ 3y" batt lnsulntlon y II, 0o , . . ~ . . i ~ . k1" dry tiiall .65 ~ , . ' i • Intcrlor nlr [Ilm .6R • ' , ~ : - q•pTpt_ tt d ~ . : b u u~ Co txtc:rior nir f[lm • SiiltnB Shoar.hinF Z.Qp ~ - noft 14 f10 ini!1lnS'iM ' H,U . . • , , Iatertor utr film •64 ~ TO"fAl. R • u' 1/R ' U e oOCo ' , I ~ • ~ 1fAtillN~I:Y .~_~1LL._ ' • ~ , -..r-r'~, . : i. . , • . , ~ . , • Extcriur ntr film ,77 12" ~p concre[c hlock ' Insulo.lon - i lutr.rlo•r'-alr°fllm 6 fl ' " , . . q L-J o l~ :r._ . . . ' , ~ . . ~ ~ . • + ' " • ~ . EX1`~T ~(.A"f GL(~y ~ t~ •""~s~ Inauln[Lon 'c f~44] ,`r ~ - ~-'~-`~1'~~e~'u, ~ ; t - ~ ~ ty" nryti,nll. 7i . . ~i S In[ari~T [ilm .61 • ~ - . I • ' . ~ TOTAL R LICJ U ~ 1/R ' • U ' e ov_ ~ .ii' . . , , ~ .i. . , . , ' ~ • ~ 7 . I i~~ ~ ~ ~ NFi~.I~ rR- . Outnlde nfr ffl~ .G1 kUl~ : , • 1 . . In_u_ulul'San i - - nri„oii .__.15 , q5 1~. „ ~ ~ . ~ Intcrior e1n fll~n ~ ~ .61' ~ ~ • T07'Al. It • . . ~ : . ~ U . 1/R ll ^`-'LJ . •i • Ou[eldo atr lilm . . .I ~ . , ~ ' . ' ~ . : . ' ' Bui1LUP.t:noUn~y'---.- 1~. ---J~-~- ~ . Ineulntlon - ' f Wood deckinp ' • . • ~ ' ' - Intarlor uLt ISlin ' ,GI . , . _ _`.TOTAL k . . . ' , U ~'1/it . U . , - JF/CETt.INCt [AL AHE,\t . • , ~ , call re(arence i 6q.'ft. . . . ~ W Gvl.l~('i.- • ll •OZS ' x c im nliove. _ ExiSt STiZllc--ti~~F nUx e ' q• ~ I (n icrlbe openinge Vp, L-"-'-l------ 9• [t. (11) (A 7r_o u'r,. oai x eq. I~,g nUu --~u~ ~A roof FL~T "u" bZZ x sq. ft. ~ Io,51 (U) (A . x s9. Ik. (11) (q ° I.x eq. [t. (u)(n . x s9. fc. (n I',11. (U) (i\) V,\I.Uf:S ~ TO'fALS~,sr~. ft.-...L-7. 44_f ~IDtD IIY To,;,L I«nt•i . 37,44 _ LLuic nnen ~ ~ `t1 l ,,,10~`f' nvn. ~~u^ , OZCo CIUCE "U" ~[oc venF.lln[cd ruofe ' .l0 for nll otltcr conutrur.clon , , . , . . f f v117u,m nn r.nlciilnhed nbovu du nn[ m;;nt [Int F.nporry codv i;ayuir.:mentn, • ~ . /A~IoWAgLE ~ 3435, a x, ~ 3~~, asl kGr~b.~ : 315: ~1c~ 14~1 x . 4~4, CITY OF EAGAN FOR CITY USE ONLY f 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT a PHONE: (612) 454-8100 RECEIPT # PLUZfBING PE1tHxT DATE: RESTDENTTAI,;: PLEASE COHPLETE UPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMZTS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NE ADD-ON MINIMUM 15.00 DD 0 I SHOWER 3.00 R REPAIR WATER CLOSET 3.00 -,73 a 4 ~ BATH TUB 3.00 .~O U LAVATORY 3.00 4 a a OWNER NAME: - C' - - ~ KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS: 1316 HOT TUB/SPA 3.00 WATER HEATER 3.00 LOT:~ BLOCK _L SUBD[ii/i~~/~iN/,O~Y FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 rJ ADDRESS: ~ - ~ OTHERBA23.' lc 56'v 30 WATER SOFTENER 5.00 GITY: ZIP: S~ S~CrJ ~ _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHO E Z3 ~ ~~~C SUBTOTAL $ oZ I 00 ~ ST. SURCHARGE .50 SIGNATURE F PERMITTE TOTAL: S 4~-L • D COMMERCIALfINDUSTRIAL:. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ° ° CONTc2ACT °RICF,: F$F$ OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN EAGFN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minneaota 55111 Telephone 454-5242 PERNQT FOR WATER SERVICE CONNECTION Date: 8/7/73 Number: 1273 .3 BiL1iII$ NeIDO: Wanamann Conctrnrtion S3.t2 AadIOSS: 1470 Wildarnaca Rnn nrivg VY`ner: LTpTCT1ATT Cnnetrnrtinn r.,,_ Billing Address Pltmber: Wenzel Plumbing fi Heating IN.c Location of Connection Meter Siz Connectioa Chg. 20.00 nd 6/26/73 Meter No~a~~dis Permit Fee g2tj 10.00 pd 8/7/73 7- . p38J7/73 s/c Meter Reading Meter Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. ' Inspected by Date Building is a: Remarka: Residence xx Multiple No. Unita ~n..~~n .00 RE-I;n, 1~.~ Ti ~ON FEE r0i~ Commercial ~ , P'~rr _`:._Y 't.;: i ,;_R_cD PAETERS. Industrial By: ~ Other Chief Inspector In conaideration of the iseue and delivery to me of the above permit, Z hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Townahip, Dakota County, Minnesota. _ By: Wenzel Plumbing & Heating INc. Please notify the above office when ready for inspection and connection. PERMIT City of Eagan Permit Type:Building Permit Number:EA118948 Date Issued:11/12/2013 Permit Category:ePermit Site Address: 1310 Wilderness Run Dr Lot:003 Block: 001 Addition: Wilderness Run 3rd PID:10-84352-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Mitch Husnik 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 - Jeffrey L Hagman 1310 Wilderness Run Dr Eagan MN 55123 Homestyle Builders & Developers Inc 37 Walden St Burnsville MN 55337 (952) 994-3980 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA122591 Date Issued:05/13/2014 Permit Category:ePermit Site Address: 1310 Wilderness Run Dr Lot:003 Block: 001 Addition: Wilderness Run 3rd PID:10-84352-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Tom Gustafson 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 - Jeffrey L Hagman 1310 Wilderness Run Dr Eagan MN 55123 NMC Exteriors & Remodeling 14276 23rd Ave N Plymouth MN 55447 (763) 684-1662 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA136391 Date Issued:05/10/2016 Permit Category:ePermit Site Address: 1310 Wilderness Run Dr Lot:003 Block: 001 Addition: Wilderness Run 3rd PID:10-84352-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Jeffrey L Hagman 1310 Wilderness Run Dr Eagan MN 55123 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA136459 Date Issued:05/13/2016 Permit Category:ePermit Site Address: 1310 Wilderness Run Dr Lot:003 Block: 001 Addition: Wilderness Run 3rd PID:10-84352-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Jeffrey L Hagman 1310 Wilderness Run Dr Eagan MN 55123 (651) 454-6223 Centerpoint Energy 1240 W River Pkwy Minneapolis MN 55454 (612) 321-5597 Applicant/Permitee: Signature Issued By: Signature