1354 Wilderness Run Dr
CITY OF EAGAN ' ` • 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT ReCeipt ~
To be used for Est. Value Wt~ Date -7 ,19 n~'• '{1• t-f' OFFICE USE ONLY
Site Address • ' Lot ' Block ` SeC/Sub."iL~. Kt'"' 1`'7 OnSfteSewaye Occupancy
MWCC System Zoninp
Parcel No. On Site well (Actual) Const
a Neme TU~' ~3l'Sh City Water (Allowable)
= Address 1354 T I•~i:' '•<<l'N DI= PRV Required * of Stories I
0 City ''AG"M; PhOn@ " 14' Booster Pump Length ~I
Depth
. o Name SC 'UE, 1 s" 5.F.7otal
o~ Address ~`JKi l i'F'E r, 1 c,,!° !:T Footprint S.F.
City Al'i LLFYphone 4'j1'4215 432-7bU4 APPROVAL5 FEES i
~ a Engr./Assess. Permit 1 4'
y~W Name 3.Uu
~ Planner Surcharge
_ ~ Address
~ W City Phone Council Plan Revfew
Bidg. Of}. SAC, City
I hereby acknowledqe that I have read this application and state that the VarianCe 3AC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
Water Meter _
Signature of Permittee Road Unit
6I1-E;E" 1PiC
A Building Permit is issued ta-___ Treatment P1 ;
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Building Official _ TOTAL ~
Permit No. Permit Holdar Date TeIsphone
Plumbinp
H.V.A.C.
EleCtrlC n LO./l~ ~j ~ G ~
SoRener
Inspoction Dato Insp. COrtlmenb
Footings I
Footings II
Foundation
Framing
~
Roofing
Rough Plbg. L s - ~4
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg. r3 Q S.
Deck Final
Well
Pr. Disp. I
~
CITY OF EAGAN Remarks
Addition Wilderness Run lst Addition Lot 7 pik 1 Parrei 10 84350 070 Ol
Owner-r'r^D-t'? ` k u ~L ~ karPn street 1354 Wilderness Run Dr. swte Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
ZLISAN SEW TRUNK 1973 175. 00 8. 75 20
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK ^ 1981 248.41 16.56 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT 1981 107.94 21.59 5
WATER CONN. $300.00 5548 4-4-72
BUILDING PER.
sac 1974 240.00 48.00 5
PARK
CITY OF EAGAN rJO- 1 4 8 8 9
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receiptu
To be used for DECK & Est. Value $6.000 Date APRIL 27
PORCH ,19-$8
Site Address 1354 WILDERNESS RUN DR OFFICE USE ONLY
Lot 7 Block 1 Sec/SubWILDERNESS RUN 15T On Site Sewage _ Occupancy
.
MWCCSystem _ Zoning
Parcel No.
On Site Well _ (Actual) Const
TOM BUSH Ciry Water _ (quowable)
a Name
i 1354 WILDERNESS RUN DR PRV Required _ u ot Stories
Address
° City EAGAN phone 454-7483 BoosterPump _ Length
Depth
¢ Name SULEE, INC S.F Total
0
o a Address 8082 UPPER 129TH CT Footprint S.F.
City APPLE VALLEYphone 452-5215 432-7804 pppqOVALS FEES
~w Name Engr./Assess. Permit 74.00
~ i Planner Surcharge 3.00
i- Address
aw CityPhone Council PlanReview
BItlg.Off SAC, City
I hereby acknowledge ihat I have read this applicatio and state ihat the Variance SAC. MWCC
mformation is correct antl agree to comply with al apphc le State of Water Conn.
Minnesota Statutes an City of Ea n Ordinance ~
Water Meter
Signature ol Permittee _ ~
Road Unit
A Builtling Permit is issuetl to SULEE INC Treatment P1
oniheexpresscondihonthatallworkshall edoneinaccordancewithall 50
applicable State of Minnesota Statutes a~'nyyd~ Ciry of Eagan Ordinances. ~ks .
Building Official~ ~Jxt~ ~1. TOTAL 77.50
r l 7-/
~ J
TOWN OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122 '
PERMIT N0. 202
The Board of Supervisors hereby grants to Wenzel Plumbing & Heating InC.
of 3600 Kennebec 2twad Drive, Eagan 5$122
a PLMIN0 permit for: (Ocaner) Glensmann Conetruction
at 1354 W3laerness Run Road , pursuant to application dated
5/2/72
Fee Paid: 20,00 Dated this 4th day of Mav , 1972.
.r0 8/C
Building Inspector
7_ ~
,z. %
61.
T04JN OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT N0, 210
The Board of Supervisors hereby grants toKLEVE Heating & Air Comditior4ng Co.
of 13075 Pioneer Trail, Edon Prairie_y MN 55343
a Heating Permit for: (Owner) Wensmenn Coastxuction
at 1354 Wilderness R1n Dx'1Ye , pursuant to application dated
5/30/72
Fee Paid: $20.00 Dated this sth day of June , 1972.
.$0 e%
Building Inspector
This ~equest voed N~i/00 J o
18 nwmhs /rom d~~ ~ ~ 4 p
D 6 6 214
Fequest Uato F e No. Fouph-in InsVecuon
Requrted~ oRCady Nuw ~ Will Nouly
_ Ins
?VCS ?No tur Wh~~n fleadvpec
E] Licens¢d EIeCVical ConVactor I hereby wauest insoection ol ebove
AOwner elec~ncnl wmk instelled et:
Sveet AdAress, eoi, or flome No. C'tv
13 Sq -l.v~cx~eNz-S~s A?
eclwn o. Towns.ip Name or No. Range No. Count
Occupa~t IPRINTI Phone No. ~
Power Supplier AdI
Electncal Cnnvactor ICompany Name1 Cnnnar,tor's Licrnse No.
Moiling Address (Contraclnr or Owner Makmq Instailavon)
Au~h ed iBnawre IComractodOwner akiny Ins nllationl Ph nn Number
/ ~ 8-z
THIS INSVECTION NEQUEST WILL NOT
MINNESOTA STATE BOAND OF ELECTRICITV
GriBBS-Mitlwoy Bltlg. - Poom N-191 BE ACCEPTED BV TME STATE BOAND
UNLE55 PROPER INSPECTION FEE IS
1821 Universitv Ave.. SL Pzvl. MN 55104
o~.nn., tFt9l Ra9.Nln0 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
See ins~rvcb~ s Im comolaGng lhis lorm on bnck ot Vellow copy. ~ ~3,5d(~
"1(" $e/ow Work Covered by Ihis Request
214 ' °
fidd NeO. TYPO oi BmlEmg APVlioncea WuaJ Equiument Wired
Home Fange Temporary $ervice
Duplex Water Heater Liyhtinq Fixtures
Apt. Bwlding Dryei EleCtric Heatin
Commercial Bldy Fumace Silo Unloader
InduStnal Bldg. Air ConditiOner Bulk Milk Tenk
Fdrm Onner Peci v .iberlSneciivl
mo" ~ 1P,! IM1Cr, fJml',
ompute lnspection fee Belaw
p Fee SorviceEntranea5ixa n Fae Faxda,s/Subfeedcrs n Fex Cbcwts
Uto200Am s Oto30qm s Otn30An s
Above 200 Amps 31 to 100 qmps 31 to 700 *Am s
Swinuning Pool Above 100_Am s Ahove 100_Amps
Trans(onners Irtigahon Boon,s Partial."Other fee
Signs Speciallnspection
Aerrarks TOTA
pv c~. r, o U .o
Roue"-m
tna ~
Inspector, he,oby
Final certify thnt Me nbovo
.
msuoction hes been
~ matle.
Thle repuest vo1018 monRu Irom
}
e EAGAN TOWNSHIP
BUILDING PERMIT IN? 2667
Owner ..__.~~'?n^c---... V........-'---....--- Eagan Township
Address (presen!) ~ Town Hall
<J
Huildes
aate
Aaa:e.s
DESCRIPTION
Siories To Be Used Fos Fron! Depih Heigh! Ee1. Cos2 Permit Fae Aamaiks
C~3~ °~a
O
~C ct.t~ ~ ~ 02 LOCATION ~ S•~
Sireel, Roed or °olher Daseripiion oi Locafion I Lo! Block Add!lioa or Tract
,
.6~'L-
This permit does not auihorise the use of sireefs, roads, alleys or sidewalkc nor does it give the owner or his agent
the zight io ereale any sifuafion which is a nuisance or which presenls a haaard !o the heallh, safely, convanienee and
general weltare !o anyone in the eommunify.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGAES . C
:....~L~
This is io eariily. Sha!-_:ZL---- ~-ic:4-.has permissioa !o erect a........ ' - . . . .
April 11,
1955.
. . ..:..".1......._`"`"`.::""."'................. Per
h . . .
Ceirman ot T~wn Board~ Suilding (mpecfos d3
RV s? 4~ ~0~ e-~o
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWC6on Reauuements RemodeVReoa'v Reauirements ORice Use Onlv
3 registered site surveys showing sq. ft. of lol, sq. R of house; and afl roofed areas 2 wpies of plan showing foo6ngs, beams, joats Cerl of Survey Recd _ Y_ N
(20 % mazimum lot coverape allaved) 1 set M Energy Calalations for heated addi6ons Soils RepoA _ Y_ N
1 Soils Repwl if propwed buildinq is to be Dlaced on disNrbed soll i sKe survey far addi6ons 8 decks Tree Pres Plan Recd _ Y_ N,
2copiesofplanshovnngbeam&vrindowsizes;pouredfaunddesign,etc. Addition-indicateilomsifesepticsystem TreePresReqmred _Y _'N
1 sel M Energy GalcuWtions On-site Sep6c System _ Y_ N
3 copies of Tree Preservatlon Plan i( Id platteO aftu 711193
Rim Joisl Detml Optiore sdecGon sheet (buBdings xdh 3 or less units)
gnnegasco mechanical ven6Wtion (orm .
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date~./ 7 Z / G7 Consiruc[ionCost^/ 15o4• oc)
Si[e Address UuiUSte #
Description of Work az~~: /~Oa2-
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwoer ,5'~L~Telephone#(aSI) 3TJS- ~-/7Z
Contrector 7145itA'ue ~~c4 -
-7uSA~s
Address ZGrJ~ ~ Cih'
State-3 7 .O,4"AC- M/v Zip Telephone#('~/) 06 )-4~7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Resitlential Venhlation Category 1 Worksheet • New Energy Cotle Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calwlations Submitted
In the last 12 months, has the City of Eagan issued a peimit for a similar plan based on a master planB
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone ~
Sewer/Water Conirador Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in wnformance 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 ApplicanYs Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ' ? 30 Accessory Bldg
? 02 SF Dvrelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AIt - SF
? 04 02-plex ? 10 OB-plex ? 16 Deck O 23 Porch (sueen/gazebo/pergola) ? 36 Multi Misc.
? OS 03-plez ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 72-plex ? 25 Miscellaneous
Work Tyoes
? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 ReplacefnBn( 'Demolitlon (Entire Bldg) - Give PCA handou[ to applicant
D85CfipilOll: Water Damage _ Yes
Valuatfon Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump '
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinkiered
Type of Const Width
REQUII2ED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ Final/C.O.
_ Footings (addition) _ FinaUNo C.O.
Foundation H VAC
Drain Tile Other
Roof _ Ice&Water _ Final _ Pool Ftgs Air/GasTests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagaa
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial bwldmgs
multi-family buildings when separare permrts are not required for each dwelhng unit
Date
Site Street Address Unit #
Tenant Name (if applica6le) Previous Tenant Name
Praperty Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Wark Type
New Construction _ Underground Tank _ Install _Remove '*see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
'*When installing/removing underground tank, cafl for inspection by Fire Marshal and Plumbing lnspector
P¢I'Ollt FC¢S: $70.50 Underground tank mstallation/removai
$50.50 Minimum (includes State Surcharge)
or
ContractValue $ x 1% _ $ PermitFee
• If pemut fee is $1,000 or less, add $.50 ~ $ Sta[e Surcharge
If permit fee is over $1,000, add $.50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the mformahon 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; that I understand this is
not a permit, but only an application for a permit, and work is not to start withou[ a permit tha[ the work will be in accocdance wrth
the approved plan in [he case of work which requires a review and approval of plans.
ApplicanPs Prin[ed Name Applicant's Signature
Approved By: , Inspector Date:
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan ~ 3 ~
/ ~f 1 3830 Pilot Knob Road, Eagan MN 55122 'v
Telephone # 651-675-5675
Please complete for. single family dwellings & rownhomes/condos when permits are required for each unit
G
Date 7
/
Site Address I~?4 V VI iI I~.^-~-' Unit #
Property Owner ~ - nd e,)e Telephone #
O'Connor
Contracror Ptumbtng, Heating ei Cooling
Street Address 1904 Vermillion St. (ss~~ui~~v7 Citv
Nastings, MN 55033
State Telephone # ( )
Bond Ezpires:
The Applicant is _ Owner ~ Contractor ` Odier
Add-on or alteration fo existing dwelling unit 5 30.00
~ furnace _Additional ~Replacement
air exchanger
X airconditioner _New lReplacement
Tr
other
State Surcharge $ 50
.
Total $ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accura[e; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start wi[hout a permit that the work will be in accordance with the
ap"~ayed plan in [he caswork which requires a review and approval of plans.
~~~,7~N
1 C,,~ ~ ~c~. 7I 6 n5 ?C~~ -ZC1-6 lJ U
o
o
Applicant's Printed Name Applicant's Signature MAY U 3 2011
By - -
' MASTER CARD
• LOCATION Vd.Aao
OWNER
STRUCTURE AND i
LAND USED AS
~
Issued To
Permit No. Issued Conirador Owner
BUILDING 7 y y_7 _
PWMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER ~
OTHER D
OTHER
. Approved
Items (Initial) Dafe Remarks Distance From Well
FOOTI NG SEPTIC
FOUNDATION CESSPOOL
FFAMING TILE FIELD FT.
FINAL
ELECTRICAL
~ DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL I
SANITARY SEWER ~1 ~
•
.
l •
-r
• 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-COMPLIANCE. BUIIDER DOES NOT
OBSERVED. INTEND TO COMPLY.
~ ACCEPTABLE SUBSTITUTIONS OR ? COMPLETION OF CERTAIN IMPROVEMENTS
DEVIATIONS. WILL BE DEIAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REInSPECTION REQUIRED DATE OF REINSPECTION •
REINSPECTION REVEALED
CE RTIFICATION - I cenify that I have carefully inspected the abova in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to he at variance with ordinances of the Town of Eagan, epproved plans and specitications, and any spacific require-
ments for off-site imprwements relating to the propeny inspected.
F] ALL IMPROVEMENTS ACCEPTABLY COMPLETED .
BUILOING INSPECTOR DATE
COMMENTS:
~
~ z~
.
~1 r
\ 3`
40~
~ l~PR
WAIVER QF HEAAING C~
S~
REQUEST FOR UTILITY IMPROVEMENTS 2y ~
I/F!e hereby request of the Village Council, Village of Eagan,
Minnesota, utility improvements on and over property owned by me/us as
follows: (Mention type of improvement, e.g. water, sanitary sewer, etc.)
Sewer Connection Charge
The location of said utility improvements shall be generally as follows:
1354 Wilderness Run
Lot 7 Blk 1
c 3895
I/41e hereby waive notice of any and all hearings necessary for the
installation of said improvements and further consent to any assessments
necessarily levied by the Village of Eagan for such improvements.
I/We further agree to grant to the Village of Gagan any easements neces-
sary for the installtion of such improvements.
It is further understood that this request shall be reviewed by the
Village Council of The Village of Eagan or its agent and I/we will be given
reasonable notice as to whether this request is possible under present
utility planning as to timing, location, etc,
Dated: 7 <=~y~~~s~ ~ xe~ i'equest accepted by Date
Village of Eagan '
Request referred to Village Engineer: D,te
Copies: 1. Village
2. Village Engineer
3. Applicant
. j
, 7988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ~
;t~7 l4H G ` .
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOB CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIAED, NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS 0 OF UNZTS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COhAtERCIAL
INCLUDE 2 SETS OF ARCHITECTUAAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Po k-c L. c c/j Valuation: 61~ Date: S/e g
Site Address /-3lvi ILI Ernv esS F'N GbDO- OFFICE USE ONLY
Lot ~ Block ( On site sewage_ Occupancy
MWCC system Zoning
Parcel/Sub . UtL DEX2H42k9 AlIJ isr f4twat On site well Actual Const
7- City water A1lowable
Owner /om 8:45h PAV required of stories
Booster Pump _ Length
Address /3Sy Cr/,'/~e.-ness t~., v~•. Depth
S.F. Total
City/Zip Code SS'i -z-3 Footprint S.F.
Phone 4-5-4 - 7 V$i3 APPROVALS FEES
Contractor 57,lPt° Z-.. Engr/Assess Permit
Planner Surcharge 3,60
Address ~l4,0-e ),Z $'tl C f Council Plan Review
Bldg. Off. h~4rzWAC, City
City/Zip Code Variance • SAC, MWCC
Water Conn
Phone 5'5-Z-> Z~s o.- y;z - 7S'vy Water Meter
Road Unit
Arch./Engr. Treatment P1
' Parks
Address Copies
I TOTAL
City/Zip Code
Phone li
Cities Di i~tal Qualitv Control
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EAGFN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minneaota 55111
Telephone 454-5242
PERNIIT FOR WATER SERVICE CONNECTION
Date: April 7, 1972 Number: 806 !N•
ensmann Construction for
Billing Name: Thomas Busch Site Address: 1354 Wilderness Run Ilrive
Owner• same Billing Address~same
Plumber: Wenzel Plumbing & Heating Inc.
• Location of Connection Meter Size Connection Chg. 300.00 pd 4/4/72
.s3s s~ ~3
Meter Nos~P:~9a/`~>a Permit Fee 10.00 pd 5/4/72
. p 72
Meter Reading Meter Dep.
Meter Sealed: Yea Add'1 Chg.
NO Total Chg.
Inspected by
Date
Building is a: Remarka: '
Residence xx
i u.
~
Idultiple Ho. tTnits ~•.,.J^ :(~i ~t~:,i„---~ l~' ,
dli CG
Commercial
Industrial Hy:
Other Chief Inspector
In consideration of the iesue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Towxtship, Dakota County, Minnesota.
By:
Wenzel Plumbing & Heating Inc.
Please aotify the above office when ready for inspection and connection.
EAGAN TOWNSHIP
:795 Pilot Knob Road
St. Paul, Minneaota 55111
Telephone 454-5242
PERMIT FOR SEJER SERVICE CONNECTION
DATE: Apri1 7, 1972 NUMBER 25t 968
Wensmann Construction for '7
OWNER: Thamas Busch Address 1354 Wilderness Run Drive
PLUMBER Wenzel Plumbing & Heating TypE OF PIPE Heaqy Cast Iron
DESCRIPTION OF BUIIDING
Industrial Commercial Residential Multiple Dwelling No, of units
xx
Location of Connections: Connection Charge -0-
Permit Fee 10•00 pd 5/4/72
.50 s c
Street Repairs
Total
Iaspected by:
Date
Remarks•
By
Chief Inspector
In consideration of the issue and delivery to me of the above pexmit, I
hereby agree Co do the proposed work in accordance with the rules and
regulations of Eagaa Torinship, Dalcota-County, Minneaota
By
Wenze]. Plumbi.ng & Heating Inc.
3600 Kennebec Drive, Eagan 55122
Please notify when ready for inspection and connection and before any portion
of the work is covered.
2007RESIDENTIAL BUILDING rm~ffnPFucaaoiv
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstruGion Reouiremenfs RemodeVReoair Reouirements OffceUse Only
3 regislered site surveys showing sq. R of lot, sq. ft of house; and all roofed areas 2 copies of plan showing foolings, beams, joists Cert of Survey Recd _Y _ N
(20% mwimum lot coverage allaved) 1 setof Energy Calculations for heated additions $oils Repod . _ Y_ N
7 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additbns 8 decks Tree Pres Plan ReW _ Y_ N.
2 copies ot plan showing beam & windm sizes; poured fouiM design, etc AddBion - indicafe tl on-sife sepiic system Tree Pres Reqmred. Y_ N
1 set of Energy Calculations On-site Septic System _Y _ N
3 copies of Tree Preservafion Plan if lot piatled after 711/93
Rim Joist Defail Oplions selecLon sheet (buildings with ~3 or less units)
Minnegasco mechanical veniilation fOrm
Plans are considered ublic information unless ou state the are trade secret and the reason.
c(~
Date Construction Cost *W/0
Site Address UnidSte #
Description of Work
Multi-Family Bldg _ Y~ Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone #(~i~)
-z+ Cootractor
S~
,0.5-F-
Address City ~l 9'KU~
~
State ~ Zip ? J'405~ Telephone
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Miunesota Rules 7672
Energy CAde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitted Submitted
• Energy Envefope Calwiations Submitted
In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone J
Sewer/Water Coniracior ' Telephone #t )
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurafe;
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 ofplans.
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 ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Eut. A!t - MulYi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex O 11 10-plex O 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
? 32 Addition ? 36 Move Building ? 42 Demolish Founda6on ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCOment 'Demolition (Entire Bltlg) • Give PCA handout to applicant
DeSCrlpti0n: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or Z5% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings(deck) ' _ FinaUC.O.
_ Footings (addition) . _ FinaVNo C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ptgs Air/Gas Tes[s Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: , Building Inspector '
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search '
Copies
Other
Total
02/01/2013 16:05 9529855282 DRAINPROPLUMBING PAGE 02/02
City otEapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Inli
L
For Office Use
Permit #:
/09 0145
Permit Fee: LC 0 Ov
Date Received: - ► 3
Staff: Jc
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: 2' !A' I3 Site Address:
ivt
Tenant: iG(401le A !-t•1ev
1'354 WI!'uti D r.
5512_3
Suite #:
Resident/Owner
Name: MiC-(At.11?. Alit 4 Phone: 65( 2_.23 ! 4-Q 7
1 A)
Address/City/Zip: t35II" v`�; I de'1'1Cs5---Ruh ,I)r, E- 6-" 55(23
Contractor
r -LI C, License #: 1 C 00 0 9'67
Name: O r4:c✓1 rG ? 11-)"^•6:::, i' )
Address: U 5 l✓ 2061-(3,5
` ' w' City: u I I tt
State: M KJ Zip: 5 0 4" 4 Phone: 952- 52- 4-6 6 RR q
Contact: Email:
' l u (,b'e't" -140 @ t4.j t1. C o KA
Type of Work
PLUMBING (Within the building envelope)
Sump Pump Repair
SEWER & WATER (Outside the building envelope)
Repair
Other:
Other:
Description
Description of work: re -dire A 5 u wci, P v t4,17 0s-+ S C�A.�c(e "Fro tn,,.
5 enc,. r.e - d'iNeeCk
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ 0 . 0 0
*
'Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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 d approval of plans.
Dey 61-a LAirSo'
Applicant's Printed Name
pplicp. is Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: __Under Ground _Rough -In Final
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA111591
Date Issued:07/02/2013
Permit Category:ePermit
Site Address: 1354 Wilderness Run Dr
Lot:007 Block: 001 Addition: Wilderness Run 1st
PID:10-84350-01-070
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Jason Larson
25 S Sutton Lake Blvd
Jordan, MN 55352
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Steven Altier
1354 Wilderness Run Dr
Eagan MN 55123--185
Jay's Plumbing
25 South Sutton Lake Blvd.
Jordan MN 55352
(612) 868-4102
Applicant/Permitee: Signature Issued By: Signature