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1336 Wilderness Run Dr ~~?sT„ ; p~'.Y''. S' _~'7~,~' ~1 r~F `~!Ry?~;; , _ y -.c----r'_'~q' . , v r : f, . . . _ i ' ~ HOUSE HEATING' TEST RECORD ' ADDRESS APT. FLOOR CITY -SUBURB 1 OCCUPANT OMMER ' HEAT LOSS DATE HTG. IHST. ,k ,&z' " SOID 8Y INSTALLEO BY Eleetrieol Mfotk Bp - Gaa Lin* Br TYPE OF HEAT GA FA N HMI STEAM SPACE HTR. UNIT HTR. OTHER GAS~DESIGN CONVERSION MAKE MAKE OF BURNER Model Mod.l S«iol ~ ' - - Max. BTU Ratiny . IHPUT MAKE OF FURNACE Model CONTROLS ! THERMOSTAT ~ H•at Pluy Vont Si:• ~ Volvo KIND OF LINER SIZE NONE Limit T,'vA p Draft Heod Reyulamr Limit Sottiny iFi Itwa 5i:e Number Fon Softinq 4hfmner Lxaffon Inside Oufside Pilor Trp. ~`~%l E` Chimner Consfrudion Pilot Make , Pilot Model ` Smoke Bomb ~ Wiriny Pilot Timiny ~ Draft Test Toy L.W. Cvt Off Door Pre:swe Liyhtinq Inat. Pressw~ Pereent C0~ Dote Tested Iroput CFH Percent OZ Con+ponr Testiny 1 - • Staek Temp. Perant CO Narne ef Tester Fonw 235 CITY OF EAGAN Remarks AddittonWilderness Run lst Addition Loc 11 eik 1 Percei 10 84350 110 Ol Owner Mlil"~ - f~rn4~~ Street 1336 Wilderness Run Dr. scate EaQan, MN 55123 " 6,(4 ~ If i Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTQR. GRADING SAN SEW TRUNK 1973 175.00 8. 75 20 70.00 A 013630 3-9-84 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK yy 198 Z 204•00 C005501 7/22/8o STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ~ 21.62 A 013630 3-9-84 WATER CONN. $280.00 4997 11-29-71 BUILDING PER. ,VISAC 1974 240.00 48.00 5 PARK ' INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ~ ' I I I I) I ri 1, 3830 Pilot Knob Road Permit Number: ' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 1 : i s 4• ' u APPUCANT: ~i. i~ ?~in~r I ~ llt 1 IIFRNP r+ION nfr PERMIT SUBTYPE: TYPE OF WORK: INSPECTION • ;;~r? i iati, ' ~:~i,~i~~~~ t r~ r i i~~, „~i~~r~ t ra . ~ i e~r?~ I ~ 1 Permit No. Permit Holder Dete Telephone +Y ELECTRIC . PLUMBING HVAC rmp.etlon Daa wp. Conwnwna FOO7INGS FOUND ZFRAMI~NG ^ ING ROUGH ~ PLUMBIN(3 PLBG AIR TEST ROIJGH HE/1T1NG GAS TESTSVC INSUL GYP BOARD FlREPUICE FlREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FlWAL i sv BSMT R.I. I BSwtT FINAL I I DECK FTd DECK FINAL I l INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: ' (612) 681-4675 SITE ADDRESS: APPLICANT: ~ i r ~ ~~F t F!1 . ; ~~r~ , . ~ • ~ i +,r,•. ~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . ,;i~;.:. i:~ i~ i. i ~ ~•;~1i - ~ PermH No. Psrmit Holder Date Telephone IF S/UV ~ PLUMBING ~ ~ ~ HVAC I ELECTRIC ~ I ELECTRIC ~ I Intpwdon ONW kap. Commsnts I Footinge I Faxidetlon Froming ~ POO" I! 3 o i.?..c s ~ lZIough Hts- W. Fweplam Final Htg. Orsat Teet Fnal Pibg. Plbg. lnspedor - Na1Ny Plumber Cormt. FAeter EngrJPlan &dg. Final Deck Ftg. DeCk Fi?rel weli o~. . EAGAN TOWNSHIP BUILDING PERMIT No 2610 Ownex .......l-7:!`..."'........................ Eagan Township Address (Presenf) Town Hell Builder . Dale Addreu DESCAIPTION Siories To Be Used Fos Front Depih Heighf Est. Coaf Permi! Fee Remarks /eL.4'U ~ LOCATION Sireei, Road or oiher Deseriplion ot Localion I Lo oc c Addifion os Tracf ~i?,~-e+c~.~-.~-~R-~ ~s--~- 19t~ • T 1336 This permit does not aulhorize the use of sireels, roads, alleys or sidewalka nor does it give the owner os hia agen! the righ! !o creafe any sifuafion which is a nuisance or which presenis a hazard !0 1he healih, safefy, convenienee and general welfare !o anyone in the eommunity. THIS PEAMIT MUST BE KEPT ON TFIE PAEMISE WHILE THE WORK IS IN PROGRESS. Thls is fo eerfify, thei ............."'..'.'.......__..................................hea permission !o erect a.................................. upon the above described premisa subjeei !o the provisiona of the Building Ordinence for Eagan Township adoptad April 11, 1955. y0~ ;.....(,7~-. CWairman of Tnwn..... Pei .~........=..-Bu'1d apeelor & 3 s O 0~ ~ OFFICE l'°lE O LY Thu requesl void IB manihs Iwm wLdanon date pnnrtd in tho bax s '9~a~v~i PLI°ASE PRINT OR NPE dl I W ~ ~W10 Re 1 Dol Rough-in mspecM1On reqmred2 ? Yes [3 N. Inspecnon OIh<r Thon Rough-In. ~ Reody Naw dl Call (You muat mll the in:petlor when ready) RZDate Rwdy. I,Ilcensed con}mdor ? owner hereby requesf inspechon of the above eleciriml work aF. Jab Pddress (Slreel, Box, or kwro 0) Gry ~ 2i Code 1 I _ 0 . Si ,93 Senian No Township Nome or No Range N. fira No Counry Oc ~ Phone N. - PawerSvpplier Pddass Q~fr~al Conhactar (Comppny Name) Conlmdor Lmense Na. a xr~c No (Plonl Elen Only) llorL@~3 -N (CommdororOwnerP arminglnsbll) l 30 l~ L a. sl', cd 55gnaNm Conlmclor r Owner Pedorm~ng Insbllaean) Phone W. -l. Ss q`? E13-OOOOlA-10 6/95 STATEBOAROCOPY. SEEINSTRUCTIONSONBACKOiYELLOWCOPY ~III ( II II II I II I I II I II II I I I I~I g27 Ql~~rvessity Ave., Rm~ E - ~i eASt. 'PauP MN T55 ~10~a5~,~~ j * 0 3 3 6 0 0 5 4 s Phon- '12) 642-0800 Home Duple: Apt. Bldg. Ofher: New Addn Commerciol Industrial Farm Remod Re air Air Cond. Hig. Equip. Water Hfr. Load Mgmt. Other. D er Ran e Elec. Heaf Tem Service "X' above the work covered by thrs request. Enter remarks in fhis space ond on the 6ack ol the whrte <opy only. Calculate Inspechon Fee - This Inspechon Request will nof be accepted wdhouf the correct lee: ers Fee ONier Fee # Service Enhance Size f;1149EAmps Mobile Home Park Stall 0 to 200 Amps Sireet Lig./TmHic $ig. Above 200 Amps Transformer/Generafor INSVECTOR'SUSEON ~~j TOT Sign/Outline Ltg. Xfmr. ~ Alarm/Remote Control daba.mrcd peaed $wimming Pool I hm cen~ ihm I I ne the dedd an dmcnb~d herc!n an the Irrigotion Boom tt,,yh-i„ peb Special Inspedion Final Dak Invesfigalive Fee THIS INSTALLATION MAY BE ORDERED DI T COMPLETED WITHIN iB ONT S. ~ ~ _ o 0 ~ S 982 ~1 2 Re uasl Dele Fire No R qh-In Inspecton RepuireE nspeclion Other Ttien Roug~ln ~Vou must call inspeclar when reatly) Reatly Now ~{.1 Wiil No~ily Inspacior " q 5 ? Yes ? No Dale Reatl I%iicensed comracror ?owner hereby request inspection of above electrical work at .bb AEtlress (Sireel, Bos or Roule No.) Qty Sechron No. Township ame or No Pange No Coun A 1 ~My~ Oc enl(PRINT) 4 k ~ Ph~ ~ Power Supplier Atldress Elect' Conlrnctor (Compeny Name) Connactor'S Licenso No c' 0 U U Maihng tlCress (Comrecmr or (linne, Makmg Inslallalion) ~ 461in Authorized SignaWre (Conhacmr/Owner Making Instellation) hone Number N 1L v 4/ - a3 MINNES TA STpiE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grlggs-Midwny Bldg. - floom 5.12e II II I III II I I I I I I I I BE AGCEPTEO BY THE STATE BOARD 1821 Unlvereity Ava., SL Peul, MN 55104 II UNLESS PROPEP INSPECTION FEE IS Phone (612) 662-0800 ~ ENCLOSED REOUEST FOR ELECTRICAL INSPECTION EB-00001-09 10. Sae insWClions lor completing ihis lorm on beck of yellow copy C3/(p 9• "X" Be/ow lh'ork Coyered by This Request ev. A Rep. ~ Type of Builtling Appliances Wired Equipment Wired Home Range Tamporary Service Du lex Water Heater Electric Heatin Apt. Building Dryer Load Management Comm./Industrial Furnace Other Speci ) Farm Air Condrtioner Other (spomly) Connactar's Ramarks' ~ - • - . Q l1 Compute lnspection Fee Below: . # Other Fee # Service Entrance S¢e Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Am s 0 to 100 Amps Transformers Above 200_Am s Above 100 -Amps SI ns Inspeclor's Use Ony: TOTAL Irrigation Booms l~JD . v 190 1 5 S ecial Ins ection d~ Alarm/Communication THIS INSTALLATION MAY BE O ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTIiS. I, tha Electrical Inspector, hereby Rough-in oate ceAity that the above inspection has Flaei Date been made. OFFICE USE ONLV ~ This raQUasl void 18 monMS ttom 0- ~ ~'93'kg 5 ReQuast ate Fire N ougb-In Inspeclion Recu e Ins eclion Olher Then Rougb-In 6- (YOU musl cell inspector w en r¢ady) Reetly Nmv ~ Will Notily Inspector ~ ? Yes No Date Reatl 71 IDRlicensed contractor ?owner hereby request inspection of above eleclrical work at. Job Adtlress Slroet Box or floute NoJ Qty / 3 Section No Towns~ip Name or Na Renge No. Coun[y 11) Occupunt(PRINTI Phone No. -t-~ 7E 7 7 Power Supplrer AtlOress Eleclncal ConVncmr (COmpany Name) ConVectors Licanse No. je7.~_~ 61- Mailing Atltlress (COnlractororOvmer Making Installapon) 0 3 ( 6 4 cj.--e .T- 6 . if . . s d 7 7 AuNOnxeO SignaWre (Com2cuonOwner Makmg Inslallabon) Phone Vumber S 0'9--"Y--- yS / - ~ v ~f/ MINNESOTA STATE BOAPD OF ELECTHICITY THIS INSPECTION REOl1EST N/ILL NOT Gtlgge-Mitlway Bltlg. - Room 5429 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., SL Faul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 602-08130 111111111111111111111111111111111111111111 . ENCLOSED. cx/ REOUEST FOR ELECTRICAL INSPECTION ~~M=="a:EEE ee-ooooi-os, l~ ~ ~ See mstmclions for compleling Ihis lorm on back of yellow copy. w~\~~ 9~f" ~f "X" Be/ow Work Covered by This Request ~ Nev. Atltl Rep. Type of Building Appliances Wired Equipment Wired ! Home Range Temporary Service Duplex Water Heater Electric Heahng Apt. Building Dryer Load Management Comm./Industrial Furnace Other (S ecif ) Farm Air Conditioner, Other (speaty) Convactor's Remarks. 4 .X+•~ Compute Inspecfion Fee Below: i'tq- # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200_Amps Above 100 _Am s Si ns Inspactors Usa Only TOTAL Irrigation Booms ' n S eaal Ins ection CEU~D_~E AIarMCommunication THIS INSTALLATIONMAY BE OR ONNEC ED IF NOT Other Fee COMPLETED WITHIN 18 MON f I, the Elecirical Inspector, hereby Ro,qn,h , certtly ihat ihe above inspection has ~ Final le / been made. <e OFFICE USE ONLY TM1is roquasl vorE IB months Imm ~ RESIDENTIAL 22 BUILDING PERMIT APPLICATION 2 CITY OF EAGAN 7S 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Naw Construction Reouiremanla RemodellRaoair Reouirements • 3 registered site surveys showing sq tl of IoC sq. ft. of house, and all roo(ed areas • 2 copies of plan (20 k maximum lot coverage allowed) . 1 se[ ol Energy Calculalions for heated addrtions . 2 copies of plan showing beam $ window s¢es; poured found design, etc.) . 1 site survey for extenor addiGons & decks . 1 set ol Energy CalcWations . Indicate d home served by septic system for additions . 3 copies of Tree Preserva6on Plan i(lot platted after 7l1193 . Rim Joist Detail Options selection sheet (hldgs wrth 3 or less units) DATE Co z~4 ' 0 Z VALUATION SITEADDRESS «~lo I~CJ<<cQ.a~r~/¢4S~~~JI ~ MULTI-PAMILYBLDG _Y _N TYPE Of WORK!&trro~ i?~su5~2- 4-c]r.P FIREPLACE(5) _ 0_ 1_ 2 SELA Fi00FING & REMODELING, IN{.. APPLICANT 4100 EXCELSIOR BLVD. ST. LO STREETADDRESS mienooio5o CITY STATE_ZIP TELEPHONE #aZ-%~Z_3 -~'0 CELL PHONE # FAX # PROPERTYOWNER U/,&t TELEPHONE# yas- 096L_ ~ COMPLETE THIS SECTION FOR "NEW^ RESIDENTIAL BUILDINGS ONLY Energy Cade Cafegory _ ytINN1S0'CA RULES 7670 CATEGORY 1 NfINNE50'1'A RliI.LS 7672 (d submission type) . Residential Ven6lahon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contraetor: Phone # Plumbing sys[em includes: Water Softencr Lawn Sprinkler Fee: $90.00 Water Hea[er No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mcch<uiiril systein includcs-: :\ir Conclitioning F~J c Il c~ Hcat Rccovcry S}•stcm Sewer/Water Contractor: Phone # UN 2 4 2002 1 '-""""'-""""""'-"""-""-""""""""""""..."""...-""-"""""'l:Iv"""""'~ M_ ~I hereby pcknowledge 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 Eagan Ordinances. Slgnature of Appllcant -------..M--- 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 ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 0 1 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-pfex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex O 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Btdg)' ? 43 Reroof ? 46 Windows(Doors ? 34 Replacement 'Demolition (Entira Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City W ater SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footmgs (new bldg) _ FinallC.O. _ Footings (deck) _ FinalNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _!ce & Water _ F+nal _ Pool _ Ftgs _ Air/Gas Tests _ Fina] _ Framing _ Sidmg Stucco S[one _ Fireplace _ R.I. _ Air Test _ Final _ W indows (new/replacement) _ [nsulation _ Retaining Wall Approved By , Building Inspector 8ase Fee Surcharge Plan Review MGES SAC City SAC Water Supply 8 Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 07- ~ / d . ~ ~ ~ ~ J - ~ ~ ~ L ~ l ~ ~ ~ \ ~ ~ ~ \ ~ 1 1 , ~ }F 9 ~ -z l~ l~ , ~ , ~ ~ ~ MASTER CARD • LOCATION /'V//~~YI~~rS ~f/I~ ~Y~ I,3.~L I/~~~ 1 OWNER STRUCTUR: AND LAND USED AS Issued To Permit No. Issued Coniractor Owner BUILDING ~pp ~~•?9~•~~ ~ PLUM8ING _F CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING 110 GAS INSTALLING . SANITARY SEWER q13 OiHER 11 , 711 OTHER • Items Approved ~ (Inifial) Date Remarks Distance From Well FOOTING SEP71C FOUNDATION ~ ~ ~ • CESSPOOL FRAMING f;~ TILE FIELD FT FINAL " ELECTRICAL DEPTH HE.4TING OF WEIL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD ~ PLUMBfNG WELL SANITARY SEWER 1 / • / ~ Violations 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{OMPIIANCE. BUILDER DOES NOT ~ OBSERVED. ~ INTEND TO COMPLY. ~ ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS Wlll BE DELAYED BY CONDfTIONS BEYOND CONTROL. NON-GOMPIIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOltOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION • REINSPECTION REVEAIED 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 significan[ conditions oLserved to be at variance with ordinances of the Town of Eagan, approved plans and specificanons, and any specific require- ments for off-site improvements relating to the property inspected. ~ AlL IMPROVEMENTS ACCEPTABLY COMPLETED . BWLDING INSPECTOR DATE COMMENTS: • r PERMIT 04ifo 'yl~J9 e. ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 9 3 3 (612) 681-4675 Date Issued: 01 / 10 / 9 6 SITE ADDRESS: 1336 WILDERNESS RUN DR IOT: 11 BLOCK: 1 WILDERNESS RUN 1ST P.I.N.: 10-84350-110-01 DESCRIPTION: (BATHROOM) Building Permit Type SF (MISC.) Building Work Type ALTERATION ' Census Code 434 ALT. RESIDENTIAL ~ ,,REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMAING OR ELECTRICAL WORK FEE SUMMARY: VALUATION $5,000 Base Fee $99.75 Surcharge $2.50 Total Fee $102.25 CONTRACTOR: - qpplicant - ST. Lzc OWNER: ALLEN CONST 16888100 0001062 BARTA FRED 9649 1J2 PENKWE WAY 1336 WILDERNESS RUN DR EAGAN MN 55122 EAGAN MN 55123 (612) 688-8100 (612)686-7677 I hereby acknowledge that I have read this application and staCe that the information is correct and agree to comply with all applicable State of Mn. L Statutes and Cirf Eagan Ordinances. _ Ad, PP~ICA /PERMI E SIGNA7URE ISSIED By, S A7UR INSPECTION RECORD CITYOFEAGAN PERMITTYPE: suiLoZNc 3830 Pilot Knob Road Permit Number: 026933 Eagan, Minnesota 55122-1897 Date Issued: 01 /10 /96 (612) 681-4675 SITEADDRESS: P•=•N.: le-sasse-lie-ei APPLICANT: LOT: il BLOCK: 1 1336 WILDERNESS RUN OR ALLEN CONST WILDERNESS RUN 1ST (612) 688-8100 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) AITERATION DESCRIPTION (BATHROOM) INSPECTION . FRAMING ROUGH IN PLBG ROUGH IN HTG FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUM8IN6 OR ELECTRICAL WORK F L ~ CITY OF EAGAN 4' 01, 7,6 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New ConshuGion Reauirements RemodeVReoair Reauirements ? 3 ropisterod bite surveys ? 2 copiea of plan ? 2 copies of plans (indudo beam 8 window s@es; poured fid. tlesign; etcJ ? 2 ske surveys (ezterior aEtldlona & dedcs) ? 1 enerpy nlculations ? 1 energy calwlations for heate0 adtlitions ? 3 wpiea of tree pieaervaGon plan H lot platted after 717193 iequfrod: Vea _ No ~ DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREETADDRESS: LOT I~ BLOCK SUBD./P.I.D. PROPERTY Name: ? , ~ 7~17 1~7 Phone OWNER StreetAddress* /~-Slo L?IA~i.;c„ii,r;i 4.2 ,lln.,fi;5 City: ,~i~„~GJ State: /W'l,) Zip: s 5/Ti3 CONTRACTOR Company: &f, Phone Street Address: w~6+~/ License /2 6~ , City: l;"1 State: ~ Zip. ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address, Ciry: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that t have read this application and state that the information is corre end agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: _ ~V OFFICE USE ONLY RECENED Certificates of Survey Received _ Yes _ No .~6 N 2 1996 Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE " • ~ ~ ~ 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool a 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous ,OaI6 05 SF Misc. 0 10 _ plex o 15 Deck WORK TYPE 0 31 New G& 33 Akerations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const (Actuat) Basement sq. ft. MC/WS System (Allowable) 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. %7% Depth Footprint sq. ft. SAC Code o/ Census Bldg i Census Unit ~ APPROVALS Planning Building Engineering Variance Perrnit Fee Valuation: $ S ocb ~ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. • Other Copies Total: % SAC , . SAC Units PERMIT CITY_QF EAGAN 383dPilotKnobRoad PERMITTYPE: surLozNs Eagan, Minnesota 55123 Permit Number: 0 2 2 3 9 7 (612) 681-4675 Date Issued: 10 / 2 8/ 9 3 SITE ADDRESS: a° 1336 WILDERNESS RUN DR LOT: 11 BLOCK: 1 WILDERNE3S RUN P.I.N.: 10-84350-110-01 DESCRIPTION: (ROOFING) B.uildingi_Permit Type 5F (MISC.) Building CJork Type REPAIR \ ~ - \ / c~-/~]c~~ REMARKS: FEE SUMMARY: VALUATION $4,000 Base Fee $63.00 Surcharge $2.00 Total Fee $65.00 CONTRACTOR: - Applicant - ST. LIC. OWNER: PATZNER CONST, JOHN 14459909 0006863 JOHNSON GARY 9190 W 123-1/2 ST 1336 WILDERNESS RUN OR SAVAGE MN 55378 EAGAN MN (612) 445-9909 (612)452-7212 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wiYh all applicable 5tate of Mn. Statutes and City of Eagan Ordinances. L- a)L-- --16 / J W l ~ APPIICANT/PERMITE SIGNAT ISSUEO B SI NATUR INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Pertnit Number: 0 2 2 3 9 7 Eagan, Minnesota 55123 Date Issued: 10 / 2 8/ 9 3 (612) 681-4675 SITEADDRESS: Lor: ii BLOCK: 1 APPLICANT: 1336 WILDERNESS RUN OR PATZNER CONST, JOHN WILDERNESS RUN (612) 445-9909 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) REPAIR DESCRIPTION (ROOFING) INSPECTION D. . D. FRAMING ROUGH IN PLBG I ROUGH IN HTG FINAL I ~ ~ REACTIVATE _ CITY OF EAGAN PEwMIT # 1993 BUILDING PERMIT APPLICATION ~(gy~~ 9 ff 681-0675 SINGLE 3 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCSAL 2 sets of architectural 6 structural plans, l set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not plcked up by last working day of month- in which request is made, 2) address 1s changed or 3) lot change i.s requested once permit is issued. Date Yaluation of work Site Address: iiREET SLITE 0 Tenant Name: (cortmercial only) IAT SLLICK SUBD. P.I.D. M W Descri tion of work: - o The applicant is: ? Owner ',~6Contractor ? Other (Deecribe) Name o sd'~ 4. Phone Property L.ST FIRSi Owner Address ~.Uh STAEEi LTE r city State Zip Company 'h ln "~`ne.'r Y~ ' Phone Contractor Address License MT46863 Exp.3 3 5 City State -M'v\ Zip 55n --o Company Phone ~ Architect/ Engineer Name Registration IF Address City State Zip Sewer i water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that tAe information is correct and agree to comply 'th 1 appli ble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BWLDlNG PERMIT TYPE ? 01 foundation ? 06 Duplex O 11 Apt./Lodging ? 16.Basement Finish ? 02 SF Dwg. O 07 4-Plex O 12 Multi. Misc. 0 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Lomn./Ind. 0 04 Sf Porch 0 09 12-Plex O 14 Fireplace ? 19 Lomm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations O 35 Tenant finish ? 31 Oemolish ? 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq, ft. C1ty Water UBC Occupancy 2nd fl. sq. ft. PRY Requlred Zoniny Sq. ft. total Booster PumP y of Stories Footprint Sq. ft. Fire Sprinkler length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ' 0 Site O footing ? Framing ? Insulation ? Waliboard 0 fina7 O Draintile ? fireplace Permit fee Surcharge Plan Review License , MWCC SAC City SAL Water Conn. ~ Mater Meter r Acct. Deposit 5/W Permit S/W Surcharge Treatmerit P1. Road Unit Park Ded. Trails Ded. Copies Other 7ota1: SAC % SAC Units L// BL ~ CITY USE ONLY RECEIPT ~ SUBD. A14 DATE: 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES - EACH N0. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal " Dakota Cty. license 20.00 = U.G. Sprinkler " home under wnst. 3.00 = Alterations ' to exiscing 20.00 = Water Turn Around 20.00 • STATE SURCHARGE .50 TOTAL °?O • ° SITE ADDRESS: ~3~~ ~iGu-~~~?~ZP~" ~-~'v OWNER NAME: INSTALLER NAME: STREET ADDRESS:-i95p,~y/~,~~Le~ CIN: STATE: /)M/ ZIP: PHONE 5- . $TvNA~~~I` FIEKMfi OFFICE USE ONLY L _ BL _ RECEIPT SUBD. DATE' 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3630 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: , all commerciaVindustrial buildings. P multi-family buildings when separate permits are = required for each dwelling unft. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM9 YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pgrmjj fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: ; L ~ BL I CITY USE ONLY RECEIPT SUBD. ~~~Q ILCV~v J'" DAT : 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 68111675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace CPL,4Cf 1,7}A-17_ _ ~U 2n14C-G Add-on air conditioning Add-on airexchanger: i.e. Vanee systsm, etc. Date: ~ FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 PyyP' poN~ ~ ~fmt ? Gas Outlets (minimum of 1 required @$3.00 each) / ~ p y 0 ? State Surcharge .50 TOTAL lJ5~ SITE ADDRESS: 1336 idILDERNESS RUN DRIVE OWNER NAME: FRED BAxTA PHONE 686-7677 INSTALLER NAME: Rorr'S MECHANCIAL, rrrC. STREET ADDRESS: 12011 OLD sxiCK YARD RD CIN: SHAKOPEE STATE: MN Zlp; 55379 PHONE ( 612 ) 445-8585 br~ ~ ~.fA ~F~P~ f ~ .s i v ~ 7 ~F EL: . s` CITY USE ONLY L BL RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are DDI required for each dwelling unit. ' DATE: COhTRAC? PP.ICE: 1 WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: $25.00 minimum fee gl 1% of contract price, whichever is greater. • Processed piping - $25.00 State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ACDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY USE ONLY ~ LBL RECEIPT#:SP~S SUBD. WLVIOjx-~~ I ~ DATE: 1011,5 S(o 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH ~Q TOTAL Shower 3.00 x = Water Closet 3.00 x = Rath TL'b 3.00 X = Lavatory 3.00 x = Kitchen Sink 3.00 :c = Laundry Tray 3.00 x = Hot TubtSpa 3.00 :c = r 3.00 x Floor Drain 3.00 x = Gas Piping Outlet ' mintmum - t 3.00 :c = Rough Openings 1.50 :c = Water Softener 5.00 x = Private Disposal ' Dakote Cty. license 65.00 = (new and refurbished systems) U.G. Spdnkler ' home under const. 3.00 = Alterations ' to existin9 20.00 = Water Turn Around 20.00 STATE SURCHARGE TOTAL ~ SITE ADDRESS: Z-3 3 e--< ~j 12 OWNER NAME: r (2 e~ INSTALLER NAME: STREET ADDRESS: CITY: .~t~'~--~^ • STATE: ZIP: PHONE C( OFFICE USE ONLY L _ BL _ RECEIPT SUBD. DATE' R - 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for. ~ afl commerciaUndustriai bufldings. ~ multi-family buildings when separate permits are pgi required for each dwelling unit. DATE: ? - / ~ - C CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON ~REPAIR • DESCRIPTION OF WORK: IS WATER METER REQUIRED7 _ YES O. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES KO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES ~>"6. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY.LER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge oi $.50 per $1,000 of pertnit fee due on all permits. i CONTRACT PRICE x 1% ~I jN STATE SURCHARGE ~ TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: ' STATE: ZIP' C~Q(r PHONE SIGNATURE: PPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: ~ .v EAGFN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERNIIT FOR WATER SPsRVICE CONNECTION Date: November 29, 1971 Number: -753 Billing Name:Wsnsmann Construction Site Address:1336 Wilderness Run Road Owner: Billing Address Plumber: Wenzel Plumbing & Heating, Snc. Location of Connection Meter Size J 8 Connection Chg. 11/29/71 ~ Rm /q/ d.y2'3 Meter No,.2/7--K3Hl0 Yermit Fee 10.00 12 20/71 ~v . 0 pd 12 20/71 s/c Meter Reading Meter Dep. IJ Meter Sealed: Yea_ Add' 1 Chg. Ul NO Total Chg. ; =yl~GV Inspected by Date Building is a: Remarka: Residence xx t4ulCiple Ko. Units Y~a. ~ ~ . : , Commercial nnt-i;' y , Industrial Hy: Other Chief Iaspector In coasideration of the iseue and delivery to me of the above permit, I hereby agree to do the proposed work ia accordance with the rules aud regulations of Eagan Township, Dakota County, Minnesota. By: Wenzel Plwnbine & Heatine. Inc. P7.ease notify the above office when ready for inepection and connection. EAGEiN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEFTER SERVICE CONNECTIQN DATE:November 29, 1971 NUMBER 913 OWNER• Wenmnann Construction Address 1336 Wilderness Run Road PLUMBER Wenzel Plumbing & Heating TYPE OF PIPE heavy cast iron DESCRIPTION OF BUIIDING Industrial Commercial Reaidential Multiple Dwelling No, of units xx Location of Connectiona: Conaection Charge -0' Permit Fee 10.00 pd 12/20/71 . .50 22077 1 sc Street Repairs Total Inspected by: Date Remarka• By. Chief Inspector Ia consideration of the issue and delivery to me of the above permit, I hereby agree Co do the proposed work in accordance with the rules and regulations of Eagan Tox-nnship, Dakota County, Minneaota By. Wenzel Plumbing & Heating, Inc. 7955 Shawnee Road, Eagan 55122 Pleaee notify when ready for inapection and connection aad before any portion of the work is covered. ~ Pe~,~t#: City of Ea~aIl 3830 Pilot Knob Road JpN 1 g 2008 I PermitFee: ct'bSb ~ Eagan MN 55122 j Dale Recerved: Phane: (651) 675-5675 - - - - 1 ~ ~ Fax: (651) 675-5694 " I StaB: ~ - . BY _ - 2008 RESIDENTIAL P_LUMBING PERMIT APPLICATION Date: Site Address: Tenant: Dawn Peterson Suite a: 1336 Wilderness Run Drive RESIDENT / OWNER Name: Eag3ri, MN 55123 Phone: 6514050966 Address CONTRACTOR Name: License Address: . City: State: Zip: Phone: 114IAIAICAD!'11 IC 11 1554w: . TYPE OF WORK _ New X~ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descrl tion of work: PERMR TYPE RESIDENTIAL /K Water Heater _ Water Softener ~ Lawn Irrigation Add Plumbing Fixtures ~ RPZ PVB) f Main _ Lower Level} Septic System -Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (inGudes $.so 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 ($70.00 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 ihat this iMormation is complele and accurate; that Ihe xrork will be in confortnance vnth the ordinances and codes of Ihe City of Eagan; Ihat I understand Ihis is not a permit, but only an application for a pertnit, and w is not to stari wi ut permit; Ihal the work will be in accordance with the appr ved plan in the case of work which requires a review and appr x J e~f T b LD x ApplicanYs Printed Name A IicanYs Signature :.r.:e.- ~ : FOR OEF,ICE USE ' Reviewed:By „Hequired inspections _Und`er,Ground Rough In _Air Test Gas Test _Final - City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 T1 Pleas Date: y Tenant: Use BLUE or BLACK Ink For Office Use Permit #: / (r)ve/ Permit Fee: Date Received: Staff: L 2013 MECHANICAL PERMIT APPLICATION submit two (2) sets of plans with all commercial applications. Z2- 3 Site Address: 3 3tto f r -e SS (2L k7)..,.--Le,./5 Dr Suite #: Resident/Owner Contractor Name: c� u pc.. .1 .S `�// Phone: % Ds- 6 Address / City / Zip: (3 3 l� �yc �/ P SSV (/ Name: L . e �� , c ( License #: Address: 1 Type of Work RESIDENTIAL FEES: City: 4- Lr'c State: 1M Zip: \S—SM `t y Phone: C- 5- ( 3 72 ( — /3S— Contact: 3S— Contact: Email: /) ill. t c 4 G '-'7. `C C, 7 05A -q194 f 1, .(-0,-, New k Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL AFurnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Exterior HVAC Unit Gas Under / Above ground Tank ( Install / Remove) $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) $60.00 Minimum (includes State Surcharge) *If the project valuation is over $1 million, please call for Surcharge OR Contract Value $ _ $ Permit Fee = $ 5.00 Surcharge* = $ TOTAL FEE x 1% CALL BEFORE YOU DIG. CaII 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.gopherstateonecall.org 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 j/.t to j -rt with t 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 Ap icant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA115270 Date Issued:09/25/2013 Permit Category:ePermit Site Address: 1336 Wilderness Run Dr Lot:011 Block: 001 Addition: Wilderness Run 1st PID:10-84350-01-110 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 . Eric Brehe 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 - Dawn Peterson 1336 Wilderness Run Dr Eagan MN 55123 Aspen Contracting/ASI 4651 Nicols Rd Eagan MN 55122 (952) 583-2641 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142457 Date Issued:05/04/2017 Permit Category:ePermit Site Address: 1336 Wilderness Run Dr Lot:011 Block: 001 Addition: Wilderness Run 1st PID:10-84350-01-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Dawn Peterson 1336 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 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA168236 Date Issued:04/14/2021 Permit Category:ePermit Site Address: 1336 Wilderness Run Dr Lot:011 Block: 001 Addition: Wilderness Run 1st PID:10-84350-01-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Dawn C & Allen J Peterson 1336 Wilderness Run Dr Saint Paul MN 55123--280 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature