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1337 Wilderness Run Dr . . , , . ° . PERMIT ~F ~ ~C__ MECHANICAL PERMIT RECEIPT M ~ 30 ~J CITY OF EAGAH ~ S~g9 3630 PILOT KNOB ROAD, EAl'iAN, MN $5122 DATE CONTRACT PRICE: PHONE 454-6100 For Office Use Only: Site Address " BLDG. TYPE WORK DESCMP710N Lot Block ~ Sec/Sub Res. New Name Mutt Add-on ~ m Comm. Repair Address ' c City Phone Other FEES ~ Name ' RES. HVAC 0-100 M BTU - $24.00 c Address ADDITIONAL 50 M BTU - 6.00 Ocib 1 Phone ! ) (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/INO FEE - 196 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 3 CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD a.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other .FEE: E S/C: - TOTAL• ' ~ " FOR: CITY OF EAGAN AL ~ CITY OF EAGAN Remarks Additlon j^lilderness Run lst Addition Lot 10 Rik 2 Parcel 10 84350 100 02 owner Richo rd d SL<n n L~y~.~c 1 street 1337 Wilderness Run Dr. State_ Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING 5AN SEW TRUNK 1973 S175. 00 8. 75 20 PAID SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA P id iLh W ter t STORM SEW TRK y 198 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT SEW CONN 1974 $240.00 $48.00 5 PAID WATERCONN. 320.00 7504 2-27-73 BUILDING PER. 2_27_73 5AC PARK I CITY of EAGAN N° ~''3331 BU LDINPERMIT / 3795 Pilof Knob Roed oWa•s ~r"........... Eagaa, Minnesofa 55122 Addrasc (Pracen!) 454-8300 Builder . . Ds ........-7....;~.. Addreas 1 DESCRIPTION Sloriet To Be Uaed For Front Depfh Heigh! Eat. Cos! arm ! se Remasks /-2 7041 (9,.~ LOCATION L ~ Sireel. Road or olher Deseripifon ot afi I Lo! Sloek Ad lion or Tract 100 7 Thia permii does not auihori:e the use of sireela, roads, allays or sidewallu nor doea it give the owaer os hia agent the righi !o ereate any eituation which is a nuisance or which presents a hazard !o the heal2h, safefp, eoavsnlsnee and general welfara !o anyone in the communify. THIS PERMIT MUST BE KFfPT ON THE PA SISE ILE THE WORK IS IN PAOGAESB. n Thls is !o cerlify, ihai..... ~{!/..GL~lF'I.t:~-... ~.~A).~.~........------- has parmisaion !o ereet a....-" L2A. ..l . v.~uyoa ihe ab ve describ pre ' e subject to the provisions of all applicable Ordinances for lh~Ciiy a an ~ .!~_j..--, Par ./G~C~..%..Y...1~.. / ayor Suildinp Irmpeclor ~ EAGAN TOWNSHIP BUILDING PERMIT N° 2944 Ownex '....'_~_.~.1------------------------ --------J-- Eagan Townahip Address (Presenf) --------?~f.'u.'.~^..f`.«~...... .~S.'.`.t Town Hall Builder Date - '7 - 7 3 Address DESCRIPTION Sfories To Be Used Fos FrLo/n!. Depih Heighf Esi. Cos! Permi! Fee Rema:ka ~ 7 7 7-C~ ,~dq ~J 6`, o-d /a / ~ ;t 2L- 1 ~G•.rU ~U/ ~~;Lr LOCATION Sireei, Road or olher DeacripSion ot Locafion I Lo! Block Addition or Traet 1337 -70dZ"- /g~ . I /D ,z 4~J / This pe:mit does not auihorise the use of slreels, roads, alleys or eidewelks nor does it give !6e owner os IIis agen! the righ! 2o ereate anp sifuafion which is a nuisenee or which presenSs a hazerd 20 the healih, aefefy, eonvenience and general welfare !o anyone in the eommunity. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROG SS. Thia is !o cesiifp, ~ Shaf...:f~. .`J..has permission !o ereet a !he above described premise subjeei to the provisions of the Buildiag Ordinanee for Eag~ Town hip adopled Apsil 11, 1955. .---.-~f-:~.-...~!. :__O~ . . per . ..~?-^-?~...._.G'f..-.`~.~ ....p........................... ""-'----"g _ Chairman of nn oarHuildin Ins eelz 1o~15Y yga o ~ ~ 24260 D a~• . 6`b~~ g~e ~5 a" Request Oate Flre'NO Rough-in Impeclmn ~J ~J ~ Raquired? (ReaDY ? W~II Nolity Inspeciw l~L 6 ?Yes o WhenROaGy'+ I licensed contractor ? owner hereby request inspechon of above elecirical work at: Job AtlCress (Sireal, Box or Routa NoJ Cny /33'~ WIc-DFK1.ieSS 2v'N D2tu~ F,46f~4-xi Sectian N. Township Neme w No Range No ' Counly b IC 0 "r-y4 Ottvpent (PFItJn Phone No ! E2 ~Z y L(1-j DN EIZ USCo "06 YS Power Supplier Addmss Elecincal CanVaclor (COmpany Name) Coniractor5 I-rcense No 1 C 14 `FS MaAmg AWress (ConVaclor or Owerer Meking Installetion) /9s s~ wEZ; 20,4 6 F-,-¢G~9- N Aul ed ignaWre (COntracl ne akin nstallaeon~ Phone Number ' ' MINNESOTA STATE BOAND OF ELECTNICT' TMIS INSPECTION REOUEST WILL NOT GNggs-A1ltlway Bitlg. - Noom &173 BE ACCEPTEO BVTHE 5T.4TE BOARD 1821 Univarelty Ave., SL Paul, MN 55104 I1NLE5$ PROPEF INSPECTION FEE IS Phona (612) 8024800 ENCIOSED REOUEST FOR ELECTRICAL INSPECTION ~ Ejaoom-o7 ? Sae instmqions lor compieting this torm on Gack ol yellow copy ~,~cp~Q °l F,24260 X' Below 4tir,,; ravered by This Request ew Atld Rep. TypeofBwlding AppliancesWired EqwpmentWued Home Range Temporary Service Duplex Water Heater Electnc Heating Apt. Buildmg Dryer Other (Specify) Comm./Intlustrial Furnace Farm Air Condihoner Other (speaty) Contrector5 Ramarks: C Pz.+r--+T it A L Compute /nspection Fee Below: # Other Fee # ServiceEniranceSrze Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps ~ 0 to 100 Amps .00 Transformers Above 200 _ Amps Above Amps Signs Inspeao.s Use anly TOTAL / Irrigation Booms . l J~~v ~ S' Sa Speaal Inspection Alarm/Communication Other Fee .S~ I, ihe Electrical Inspector, hereby Rouqn-in oate certif that the above ins ection has ° y P Flnal oate been made OFFICE USE ONLY Tlus repuest wd 18 monihs Imm ~ CITY of EAGAN N~° 3260 " BUILDING PERMIT 3795 Piloi Knob Road Owns: .......d.`.".`.'_ ^..........!SY.:...... Eagan. Minnesola 55122 Addrasc Iprasent) ...J..'~~....~J...Z....~L'.?......1._`~C.`~'.~....................A... ~.4`:...~^-~. X0"- ~ 454-6100 Buildet J- ` - 7 Addrese Dale DESCRIPTION SiorieTo Be Uced For Froni ~ Depth I Heighf Esi. Cos! Permit Feel Remarks - - LOCATION Sireet, Road or oiher Deseripiion of Location I Lo! Block Addilion or Trac! / 337 --LJ- 9«..., .d9-, 1~. #I This permif does noi auihorize the use of sfxeeis, roads, aIleys or sidewalks nor does if give the owner os hfs egeaf the righf !a create any aifuafion which is a nuisance or which presenis a hazard fo the healih, safety, eonveaienea end general welfare fo aayoae in the community. THIS PEAMIT MUST BE KEPT OfN/ THE PAEMISE WHILE THE WORK IS IN PROGRESS. , This is to cerlify, ihal..... .-----..:?:....Y-S_.~~ .................has permission !o erec! a--.•---.........~': _upon the above described premise subjeCS 10 the pxovisions of all applicable Ordinances for the Cify of EagaR Per .a~-ek 43 M,Yy or Buildin Iaspeetor ~ / CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERPdIT NO.: :71 The City of Eagan hereby grants to t•sidlar.c3 nifcx. r?itct. of 6442 Penn Ave. So., 14P1s. 55420 a iuit c~r~n Permit for: (Owner) Richazd RDeland at 122:7 pTildorness °u^ n,.Pursuant to application dated 3/7/74 Fee Paid: $S.pq dated this lith day of March , 19 79 . .50 s/c IIuilding Inspector Mechanical Permits: Bid Total: ~O -z ~ / . VILL.AGE OF rAGA1V 3795 Pilot Knob Hoad Eagan, Niinnesota 55122 PIIMIT Y0. 329 The Village of Eagan hereby grants to KlBqe Aeatiae & A/C Co, of 13075 P3oneer Trail, Ecien Prairie, 5$343 a HEATTNG Permit for: (Owner) Weasmazm Ca¢tBtTUCtion at 13311 wildernesa Run Road , pursuant to application dated 3/27/73 Fee Paid: $20.00 dated this 29th day of Maroh ~ 19 73 .50 a C Building Inspector Niechanical Permits: , i Bid Total; , d &J, . VILLdGE OF EAGAN 3795 Pilot Knob Road Eagan, Diinnesota 55722 PERI4IT NO.:_118 The Village o£ Eagan hereby grants to Wenzel Plwnbing & Heating of 360o Kermebec Drive Eagan 55122 a v~~lun Permit £or: (Owner) Wen=ann Constructton at 1337 Wildmmesa Run Hoad , pursuant to application dated 3/26/73 Fee Paid; -s2p_pp dated this 28th day of Maroh , 19 73 .50 s/c - Building Inspector-- Niechanical Permits: Bi3 Total: YIILAOF OF BA04M 3795 SEWER SERVICE PERMIT Viloe K~wb Rood Eapan pE~I.~. NQ 2016 Zoning.: MN R-1 $SIY2 DATE: 3~28 3 No. of Un1[s: ~ owner: Wensmarui Constrncti__ ~ Co__ Address: s;te ndamss: 1337 Wilderness Run Iirive rlumber: Wenzel Plumbing & Heatin 1 agno to comply wiM M° Vll~ ^F Connectlon Charge:7~v ~d 2/2~ Ordinancp. Accwnt Depoeit: Permlt Fee: 10 Op nd 7/~A z Surchar6e: _.5p ixi 3/28 /73 BY: Misc. Chargee: Date o( Insp.: - Total: Insp.: Date PWd; RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN O~ 3830 PILOT K65 B ~RD~EAS AN MN 55122 New Conetructlon Beaulremenro pemodeVAeoslr Reaulremante • 3 regisleretl ske surveys showing sq. tl. 01 bt, sq. tt. ol house; and II roofe0 areas • 2 copies of plan (20°i> maxinum bt coverage albwed) . 1 set of Energy Cakulalions for healed addHbns • 2 copies oi plan shaxing 6eam 8 wn0ow saes; poured lound design, elc.) • 1 site survay tor ezlerior additions 8 tlecks • 15etolEnergyCakulations . InUiptetlhomeservedbysepticsystembra00flions • 3 copies of Tree Preserrdtbn Plan tl bt plattetl after 7/1l93 • R'un Joi51 D012i1 Optbns selection Sheet (Oltlgs wrth 3 or Ie55 unit5) DATE cS"a?`-(Jo~. VALUATION $LSCD, SITt~q4D~D~R Pi MULTI-FAMILY BLDG _ Y AN NPE~DF WK QZ'F 1~E,d1Q Q/~°~f ~31 St~. Y1,0-~~~I~~'1e FIREPLACE(S) _ 0k 1_ 2 ~ v APPLICANT STREETADDRESS CIN_~i//'25Ur%/. STATEIW ZIP~=z TELEPHONE #M 7J"S~d' CELL PHONE # 6/a D(XIp Fnx a psa 7aZ-99aS PROPERTYOWNER~4,^& TELEPHONE# l~V V5i^O69D COMPLETE THIS SECTION FOR uNEW,, RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I M[NNESOTA RULES 7672 (J submission type) . Resitlential Ventilation Category 1 Worksheet Submitted • New Energy Code Workaheat Submitted • Energy Envelope Calculations SubmitteA A Plumbing Conhactor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor. Phone # Mechanical system includes: _ Air Conditioning Fc.;.- 100 _ Heat Recovery System ~ QT M Sewer/Water Contractor. phoq MAY 2 3 ZOOZ f? - I hereby acknowledge ihat I have read This application, state that ihe informatfonYis corre -andngree~o comply with all appliCable State of Minnesota Statutes and City of Eagan Ordinances. SignafureofApplicanf [9&" OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ? 01 Foundation ? 07 05-ptex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06plex ? 16 Fireplace ? 21 Porch (&sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (45ea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi ? 05 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addilion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demoiish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (EnHre Bldg only) - G(ve PCA handout to applicant Valuatton 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 W idth REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tilc Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Freming _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insula[ion _ Rctaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S8W Permit 8 Surcharge , Treatment Plant Plumbing Pertnit Mechanical Permit License Search Copies Other Total , 4 J . EAGAN TOWNSHIP DALE S. PETERSON Burlding & Utility lnspector PUBLIC WORKS DEPT. WILLIAM H. BRANCH 3795 PILOT KNOB ROAD SuperintendentolPuUicWarks EAGAN, MINNESOTA 55122 pHOrve 454-8700 ~ o ~ Q'A ~ 3a' ~ . ~ - MASTER CARD LOCATION ~r OWNER STRUCTURE AND LAND USED AS ~ Issued To Permit No. Issued Con}ractor Owner BUILDING 0 PLUMBING' CESSPOOL - SEPTIC TANK WEtI ELECTRICAL HEATING GAS INSTqLLING SANITARY SEWER OTHER OTHER I Approved Items (Initial) Date Remarks Distance From Well rOOTING 7-s"z SEPTIC FOU N DATION C ESS POOL FRAMING TILE FIELD FT FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALIATION SEPTIC TANK CESSPOOI DRAINFIEID PLUMBING WELL SANITARY SEWER Violations Notad 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. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATI ON - I certify that 1 have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions oU5arved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to [he property inspected. O ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: ~ za J , ~ ~ ~ GAR~~F ~ ~ c+ . Q J ~ ~ l L,~~ l~ Al 71~ S S ~ U/V Lv? iv - a~k-2.. AR, '7"_ MASTER CARD iocanora /q4ernr-SS 1nan r /33 7 1' ~v •J- bJ~2 1 OWNER /LJQ 0 h ' STRUCTUR: AND LAND USED AS X Issued To Permit No. Issued Coniractor Owner BUILDING z.,2 ~ PLUMBING CESSPOOL - SEPTIC TANK ~ WELL ~ ELECTRICAI HEATING GAS INSTALLING SANITARY SEWER OTHER fA /~y -r OTHER Approved Items (Inifial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING `3 TILE FIELD FT. FINAL ELECTRICAL DEPTH HE.4TING .3d~7'S OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING / WELL SANITARY SEWER ~ ~~ar? l . Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVEHT 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 CONTROI. ? NON-COMPIIANCE. 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 the abwe in which I have no interest preunt or praspective, and that I have reported herein all si8nificant conditions oL'served to he at variante with ordinances of the Town of Eagan, apprwed plans and specifications, and any specific require- ments for off-site improvements relating to [he property inspec[ed. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: EAGFN TOWNSHIP 3795 Pilot Knob Rosd St. Paul, Minaesota 55111 Telephone 454-5242 PER14IT FOR WATER SERVICE COAINECTTON / Date: 3/28/73 Number: }igg 1142 Billing Name:Wensmann Construction Co. Site Address: 1337 Wilderness Run Drive Owner: Billing Addreas Plumber: Wenzel Plumbing & Heating Location of Connection Meter Size Connection Chg.320,00 pd 2/27/73 437814 Meter No.22529981 Permit Fee10.00 d 3/23/73 Meter Reading Meter Dep. . 0 Pd 32 73 Meter Sealed: Yea Add'1 Chg. , NO Total Chg. Inspected by Date Building is a: Remarks: Residence ax t2ultiple Ho. Units Commercial 1MPROPERLY i81ST;-',LL'cD i-iETL-tcS. Iadustrial Hy: Other Chief Inspector In conaideration of the isaue and delivery to me of the abwe permit, I hereby agree to do the proposed work in accordance with the rules and regulatioas of Eagan Township, Dakota County, Minnesota. By: 'denzel plumbing & Heating Inc.~ Please notify the above office when ready for inspection and connection. ~ MASTER CARD LOCATION w/ild~vhest Alr. O.r, / e OWNER ar~ )Zhd STRUCTURE AND w ~ LAND USED AS n Issued To Permrt No, issued Coniractor Owner BUILDWG PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL H&ATMOG , & 4 7 M~ota~D t GAS INSTALLING SANITARV SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD F7. FINAL ELECTFICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRA W FIELD PLUMBING WELL SANITARY SEWER / -T Violations Noted on Back COMMENTS COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE Of INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ~ NON-COMPLIANCE. BUIIDER 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. ITEMIZED AND DESGRIBED AS FOLLOWS: ? REInSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION - I certity that I have carefully inspected the above in which 1 have no interest present or prospectrve, and that I have reported herein all si8nificant conditions observed to be at variance wiih ordinences of tha Town of Eagan, epprwed plans and specifications, and any specific requira ments for off-site imprwements relating to the property inspected. ~ ALL IMPROVEMENTS ACCEPTABLY COMPLETED 9llILO1NG INSPEGTOR OATE COMMENTS: ~ 23 2006 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 New Construction Reouirements RemodeVReoair Reauirements OKce Use Onlv 3 registered site surveys showing sq. ft. of bt sq. fl. of house, and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Real _Y _N (20%maximum lot coverage allowed) 1 set of Energy Calculations for heated addilions Tree Pres PWn Recd _Y _ N. 2 copies of plan showing beam & window sizes, poured fountl design, etc 1 site suroey for atlditions & decks Tree Pres Required _Y _ N lsetotEneqyCalculalions AddRion-rndicateifon-sifesep6csysfem OmsiteSepGCSystem . _Y _N 3 copies of Tree PreservaUon Plan rf lot platted after 711193 Rim Jo'rst Dehad Options selectian sheet (buildings wiih 3 or less units) Minnegasco mechanical ven0laUon form 5' - ~ Date -T-., !06 Construction Cost Site Address ~ f-e . Unit/Ste # 4331 1..~ ~r~~~ne55 %?Uh ~~1; -T / i Description of Work 1/-., f l 6iu n(`~Jc ry1 Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner AI yQ LUU'~ e, Telephone #(~jSI ) y~,S6 - n69p Contractor Ito GhGI,USU.res rll~- . Aaaress awa3 Otc9 NW~ ~ Nuo c,ty Nev-) 6p'q.4a n State Zip Telephone #(65) ) 6., ~ -I I ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Mmnesota Rules 76'72 Energy Code Category , Resitlenlial Ventllation Category 1 Worksheet . New Energy Code Worksheet (4 submissian type) Submitted Submitted . Energy Envelope CalCUlations Submitted In the last 12 months, has the City of Eagan issued a permita i~qytryqY,~in based on a master plan? _ Y _ N If yes, date and address ~ry~ss~~ti;~~ \\Il Licensed Plumber Telephone ~ Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone J I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace 21 Porch (3-sea.) ? 31 Ext. Alt - Mufti ? 03 01 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 (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding e8-- 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant DeSCfiptlon: WaterDamage_Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code L/ 3~ • ' 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) FinaVC.O. _~Lc Foo[ings (addition) ~ Fina]JNo C.O. Foundarion H V AC Drain Tile Other Roof Ice & VJater Fina] _ Pool Ftgs Air/Gas 1'ests Final _X Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Retaining Wal] Approved By: , Building Inspector , - Base Fee Surcharge ~ Plan Review I2~ v~~ ~ y cr~v . MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge ' Treatment Plant License Search Copies Other Total a9~y / ~ to ; . Q ~ J ~ I ~ ~ ~R ? L ACDRO CERTIFICATE OF LIABI!!TY INSURANCE oP10 oArE(wWppnYn) PATSOIZ 06 30 OS THIB CERTIFICATE IS IS9UED AS A MATTER pF IMFORMATION ONLY ANO CONFER8 NO RIGHTS UPON THE CER7IFICATE The Jamaa H. Oava].d Company HDLDER. THI3 CERTIFICA7E o0E8 NOT AIAEND, EXTEHO ClR 1360 asst Nlath 6treet, 0600 AL7ER7HECOVERAGEAFFOROED BYTHEPOUCIESBELOW. Clevelaad aH 44114-1730 . Phoaee800-466-9468 Fax:716-241-4520 INBURERSAFFORDINGCOVERAGE NAIC0 INEUREO iNSURERA: retnl.r. rmp cy. rn ~iea 25674 pnrfo snclg euree, Inc. Irvaure~Ae: Chazter Oak Yira xne Co 75615 ALG LOGTIp~p INSURERC. 700~720tEapt HiBehiaad Rd. INSVaEno: n6acadoaia OH 44056-4117 IN9URERE: V'OVERAQES THE Ppt1CIE8 OF INSUWWpE L19iQp gp,pyy rypyp gEEM ISSVEU 70 THE INSURED IuuED neOVE cOR THE PoIICY PEAIao RoIGTE[f NOtW RNSTNIDMG Nn' RliWNFA1E7lf. T6iMaR CDNDffOn Os afr CDNt+ACT OR OTHER DOCUMffrrt wrtM nESVECi TO WHICN THi9 CERrs~~E Mv gE ISSUEO OR I.wY PHtTNN. TME Di6WANCE AFFOMEO BY THE POLICIEg OEKfil9Ep HEPEM 19 9UBJECi i0 KL TNE TERMS, FJ(CLVSION9 NA CONOITp/l9 OF SUCH POLIGES. AOdiEflAlE 4Mrt9 SMDwN IMY HAVE OEEN RFOUCEO eY FAID GUIM6. 77x iYPEOF PO INSURANCE MtE oAM y ums OEXERALWBIftY FACMOCCIMENCE S1,000,000 A E M"icc~~~ueam Y-BLS-291D0360-TIL 07/OS/05 07/05/06 e~~sES e.o~x.,.e+~+ s 500, 000 ~7C?oCCUr+ tAE.oElwl+~yana~en) 110,000 rErtspnN.iAwKUUm $1„000,000. 6¢rrtrtKwGCftc.ATE s2,000,000 OEN'LAOOREOATEPIIfiMpA.APRIESPER. PRODIk`TS-CORiYOVAGG s2,000,000 POUCy JECT LOC AllIOMOBILEL41BlIfY C01.19NED 9INGLEUMn SZr~~0.~0~ 8 E AN1'AVTO CAP291D0359-A06 07/05/05 07/05/06 (Ea°~~'^) B A4lOwNEDAUTOS CAP291D0347-TX 07/05/05 07/05/06 wowrwuav ~ 9tlIEaUIIDAVY03 (PorFas°^7 HIRED A1R09 . . BODRYttUUnv 3 NOH-0Vr1ED AUr03 (Por emUan) PfiOPERIYD.ul&GE s IPeracaaww) LJAaaRY AUTpONLV•EAFCCIDENT $ uiYNrto EAACC S OTHE0. T1! nV10ofLLY: AGG S EXCEl9fU1MIItE1-LA LY18MY EACHOCCUNIiEIiCE 11 OCCUR F-1p.nAql,lApE FGGREGAiE f s R OEOVCME i REifIff10N S ! WORKM COYPlN6ATIONAIO R TpRYLIMfIS ER A °ROYMUMRM ~om1121"290e 4-1 07/05/05 07/OS/06 ELEACHACGOFIrt s 500000 A 14MnnMnexawME' r o.,ro.ruu5nee Irxm) 07/05/05 07/05/06 E.LDISFA.SE-E4EIMA 5500000 c~"r'~rrrovrsunse.i. E.LDI9FA4E•POLICVUAYT t 500000 onHen DEBCPlf10M OF OP"ATqML I LOCATIOl1! 1 VEIIICLE! I ElICLUBqM! MDEOlYlMDpR{(MENT I$iEC111L M10V1810M8 oPOrkere Comyeaeation io applicable ia sll etatea axcepC Ohio. CERTiFlCATE FIO'LOER C/W CE W4TION xxxXlCxE WULDAMYOFTMEABOVEDE9CR9EUPOUCE89ECANCElIlCplFORlMEE%PMW MreT11ERrtEOF,n1Eie8UMGniOUnlRWIILEMDEAVORTO~ 30 oArswwrfex NOTIGE TO TNE CERTIGICAtE NOLUER MNIEp 10 TMC LlA, WT FNLURE TO DO 90 9MLL ~S! MO OOUGMqN dl LUBLRY OFANY It1Im UFON TNE N191wFR 98 AGlMT! OR neweexrrt•rrvea. ~11IfIqR NFIFElENMTpb ( C ACORD 25 (IOOiIOB) (D ACORD CORPORATION 1908 ~ . ~ IMPORTANT If the certificate holder Is an ADDlTIONqL INSURED, the policy(ies) must be endorsed. A stalement on this cerOficale does not confer rights to lhe certificate holder In lieu of such endorsement(s). H SUBROGATION IS WAIVED, subject to the terms end coneltions oi the poticy, certain policles may require an endorsement. A statement on this cerlificate dces not confer rights to the cerlificale hdder in lieu of such endorsement(s). UISCLAIMER The Certificate o/ Insurance on the reverse sitle of this form does not constltute a contract between the iSSUing insurer(s), authorized representatlve or producer, and the certiFicale holder, nor does it affirmatively or negaUvely amend, exlend or alter ihe coverage afforded by ihe policies listed thereon. ACORD 25 (200710E) City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink FtOra Permit #: eZ267c,2_, Permit Fee: 42c:30 /3 // hh Date Received: /-' w Staff: 1 2010 RESIDENTIAL BUILDING PERMIT APPLICATION eat& d /—/3 Date: l(1?,k W Site Address: / %? ( fderyltJj 1U11 6five r XaiyKwv QO Tenant: Suite #: RESIDENT /OWNER Name: v' e+ X a 1k 4 onA ago /fit tory Address / City / Zip: 13 3 ("/ ti lief ✓iflf Applicant is: \// Owner Contractor V1djPhone: l2 Pot; 3,17 1)r. TYPE OF WORK Description of work: moble Lovirr 56( Construction Cost: 1400 Multi -Family Building: (Yes / No V ) CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information tertians of e tnformatron may biota as non-public ifyou provide specific reasons that would pen t the. City to = conclude that thej:are trade secrets:. ., CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x,1)er Xu f�o0a,p Applicant's Printed lme DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final x Framing Fireplace: _Rough In _Air Test _Final /" Insulation Meter Size: Reviewed By: 2 Siding Reroof Windows Egress Window _ Storm Damage _ Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: 1 35 Permit Fee: 0 �• afi Date Received: S 1 e1-pi-e Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/" Owner Name: 3t(t ry t V CC Phone: Address / City / Zip: 4�?7 tk)1 r de -(Y e__s5 y) bc,Lie Applicant is: Owner )Contractor n Description of work: _� K C 1TL.U} Construction Cost: A .:,e)(::7`J Multi -Family Building: (Yes / Company: 0 (/ Vl 5 1 Fi 'Z.�f X +G'4LJ Contact: 1 OIL Address: S 70 WCZOI la Vl 5P ib2 City: Wc704.6.Lc State:,/__ Zip: Cs (2—`i Phone: ($) 1-1- 11 1F License #: V 2-?, Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public, if you provide specific reasons that would permit the Cityto conclude that they are trade secrets..; CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota S days of permit issuance. x /b '[u Applicant's Printed N me x Applicant's Si • ature g Code must be completed within 180 Page 1 of 3