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1364 Wilderness Run Dr CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NTO 12271 PHONE:454-8100 <BUILDING PERMIT Receipt # 7o ba used for 3TSEA PORCH Est Value $9,000 Date JULY 14 i9$6 Site Address 1364 WILDERNESS RUN DR Erect OX Occupancy R3 Lot 4 Block 1 Seasub. WILDERNESS RUN Remodel ? Zoning Parcel No. j$T Repair ? Type of Const Addition ? No. Stories Name DAVE & SHARON BOAT16LAN Move ? Length 14 ~ = SAME Demolish ? Depth ' Z 4 o Address Int Impr. ? Sq. Ft City Phone 454-6420 Insta~l 11 o Name PATIO ENCLOSURES INC Approvab Fees ~s Address 6219 C~BRIDGE ST Assessment Permit • ~ ~ity ST LO[Age PK 922--6545 Water 8 Sew. Surcharge • ~m ~ Name 920-1575 ~olece SPlan AC Review ~ n Address Eng. Water Conn. < W Cicy Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that the Bldg. Off. 7/9/86 Tr. PI. information is correct and agreetqcomply with all applicable State of Minnesota Statutes and Ciry pf lEagan Ordinances. APC Psrks ~ Var. Date Copi 5ignature of Permittee • Totai • A Building Permit is issued to: PATIO ENCLOSURES INC on the express condiUOn that all work shall be done in accordance with all appltcable State of Minnesota Statu~te~s and City oi Eagan Ordinances. -`-11 r Building Official ~ PwmN No. PKmit HoWW Di1r TiNphone k PNrmbMiy H.Y.A.C. Ebeblc SoRdnM I Impection Dsb Imp. Commuh Foodngs 1 !V ~ 6 [J Footlnpsll Foundatbn Framfny RoMNnp Rouyh PIbg. Rouyh Htf. , leaul. FNrplace Final NEg. FInM Plbp. Bldp. FinM CN1. Oee. o.* Fro. o.ck Frng. DNaIA~ Loe+itloa 1AIN PC. DisP. CITY OF EAGAN Remarks Addition W lderness Run lst Addition Lot 4 eik 1 Parcel 10 84350 040 Ol Owner e • reet 1364 Wi 1 derness Run Dr. state EaQan, MN 55123 Improvement pate Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ad 1973 $175. 00 $8. 75 20 PAID SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK 348.00 C006746 5-2$-80 S70RM SEW LAT CURB & GUTTER SIOEWALK STREET LIGHT 107,94 21.59 5 PAID WATER CONN. $300.00 5469 3-14-72 BUILDING PER. sac $240.00 7336 1-24-73 PAR K : ` EAGAN TOWNSHIP BUILDING PERMIT 1~~ N? 2656 Ownex ~ . ~ EaBen Townahi ' P Address (Preaeni) ~ ~.~l .....r~----..-'-_ 3 - Town Hall Builder .---`;ti................................................. Dale ..:7V!`~/7.2.-................... . J Addresa DESCRIPTTON Siories To Se Used For Fron! DeQth Heigh! Esi. Cos! azmi! FeeI Remasks ~ 7 '"E S, S~"~/ ~ ~3 , c.~..a~ /o / r J vLOCATION g3.,iv Sireei, Road or olher Descripifon oi Locetion I Lo! Bloek Addilfon or Trae! I 4 / This permit does not aulhorise the use ot slreeta, roads, allepa or sidewelks no: doea !t give the owner or hie egeet the righ! !o creaSe any aituafion whieh is a nuisance or which presenis a hacard !o the heallh, safelq, convenleaee and general welfare fo anyone in the eommunify. THIS PERMLT MUST SE KEPT ON THE PREMISE WEIILE THE WORX IS IN PROG~ESS. ; This is fo eerlify, lhai.'I..*-..::rcr.:....:.. --------.hes permission !o erec! a..,~[ ...................."'upoa the above described premise subject io the provisions of the Building Ordinance for Eaga~i Township adopled Aprfl 11, 1955. ' ...............--~-.1.-L~..Q.r.t-`.-..'_.....J.~......... Per ~ Chairman of Tnwn Board Buildin Ina !or CITY OF EAGAN 1~, . = 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 O 12271 PHONE: 454-8100 BUILDING PERMIT Receipt# ! Tobeusedtor 3-SEA PORCH Est.Value $9,000 pa1e JULY 14 SiteAddress ' 1364 WILDERNESS RUN DR Erect L~ Occupancy R3 Lot 4 Block 1 SeUSub. WILDERNESS RUN Remodel ? Zoning Parcel No 1ST Repair ? Type of Const. Addition ? No. Stories a Name DAVE & SHARON BOATMAN Move ? Length 14 W Demolish ? De Ih-4 o Address S~E Int Impr. ? SqPFt. Ciry Phone 454-6420 Install ? a PATIO ENCLOSURES INC Approvais Feee o Name $a nddress 6219 CAMBRIDGE ST Assessment Permit $74.50 : city ST LOU~nePK 922-6545 WaterBSew. Surcharge 4.50 Police Plan Review ~w Name 920-1575 Fire SAC _z u a Address Water Conn. ¢ i Eng. a w Ciry Phone Planner Water Meter Council Road Unit Iherebyacknowledgethatlhavereatlthisapplicationandstatethatthe gldg. ott. 7/9/86 Tr. Pl. information is correct and agg?leja ~aiall applicable State of Minnesota Statutes and Cit 60r Ihances. APC Parks Signature oi Permine q Var. Date Coples i Total $79•00' A Building Permrt is issued to. PATIO ENCLOSURES INC on the express condition that all work shall be done in accordance with all applica St of~Mino` ta tatut and CitY of Eg9an Ordinances Building Oflicial T047N OF EAGAN 3795 Pilot Rnob Road Eagan, Minnesota 55122 PERNIIT N0. 196 The Board of Supervisors hereby grants to Wenzal Plwnbing & Heatiag, InC. of 3600 Kennebec Drine, Eagan 55122 $ PLUPIDING Pe:mit for: (Owner) Wensmana? Conatructiaai ar 1364 W11de2'[1889 Ruri DT190 , pursuant to application dated 4/10/72 I'ee Paid: v`M20.00 Dated this ljth day of ApT'il , 197a. o c .50 Building Inspector / 1.~~/7, TOWN OF EAGAN 3795•Pilot Knob Road I-lagan, Minnesota 22 <.PHR?IIT, !A. lk . ,~Z ~e,,.$oar3~•of Supervieore hereby grante to ~ eT i 1 ' k cf . 13075 l+ioeaor Trd.l, ~n~Ai•. ~"~~r ~ a HEATINd Permit for: (Oroner) Weasmann Conatructiaa ~ at 1~2~j & 4317 Lodxemle 3ch361i Wildern pursuant to application dated ~Hun Drive w, 7/7z Fee Paid: 60pQ Dated this 20phoday of AyQ.il , 1972-. ' 1. 0 s/c Building Inspector ~ ,Vn ~ 430. S o 2fi85 RESIDENTIAL MECHANICAL PERMIT APPLICATION G(, City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwelhngs & townhomes/condos when permi[s are required for each unit Date Site Address ~M eS 5 i~ i.c ?1 ~ uoit # Property Owner kGj, ( ~ VF[ ~ Telephane # (~s 1) Contractor Streef Address Ciry ivDNRD HEATING & AIR CONDITIONING State 410 WEST LAKE STREET Zip Telephone ) MINNEAPOLIS, MN 55408 Bond 612-824•2656 Expires: The Applicant is _ Owner ~Conhactor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ~ furnace _Additional %yReplacement ' air exchanger airconditioner _New _Replacement other ~ StateSurcharge ~ ~Q6 $ .50 0 ~ N~,3ti Total $ ~.o~...~ I hereby apply for a Residential Mechanical 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 with the Mechanical Code • derstand this is not a permit, but only an application for mit, and work is not to start without it that the wor w' be i cordance with the approved pl in the case oFwor ich quires a review and approval of ns. Applicant's Printed N e Applican 's Signatur 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagao 3830 Pilot Knob Road, Eagao MN 55122 Telephoue # 651-675-5675 Please complete for. commerciaVindustnal bwldings multi-family buildings when separate permits are not required for each dwelling unit Da[e Site Street Address Unit fk Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below fnterior Improvement _ Install Piping _Processed _Gas Nature of Work: *`When installing/removing undeiground tank, ca!/ for inspecfion by Fire Marshal and Plumbing lnspector Pet'ndt Fees: $70.50 Undergmund mnA installatiun/removul $50.50 Minimum (includes Stale Surcharge) or Contract Value $ x 1% Permit Fee • If eP rmi[ fee is $1,000 or less, add $.50 State Surcharge If ermit fee is over $1,000, add $.50 for every $1,000 eP rmitfee ~ Tatal Fee 1 hereby apply for a Commercial Mechanical Permi[ and acknowledge that the informa[ion is complete and accurate; [hat the work will be in conformance with the ordinances and codes of the City of Eagan and wrth [he Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name Apphcant's Signature Approved By: , Inspector Date: RESIDENTIAL BUILDING PERMIT APPLICATION , CITY OF EACAN r f 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reouirements RemodelfRenair Reauirements • 3 registered site surveys showing sq. ft of l06 sq. ft ol house, and all mofed areas . 2 copies of plan (20 % maximum lot coverage allowed) . 1 set of Energy Calculations (or heated addi6ons • 2 copies of plan shovring beam 8 window sizes; poured found design, etc ) . i site survey for extenor addihons & decks • 1 set of Energy Calculations . Indwate if home served hy septic system for atlditions • 3 copies of Tree Preserva6on Plan if lot platted after 711193 • Rim Joist Detail Options setectbn sheet (41dgs with 3 or less wrts) m DATE VALUATION SITE ADDRESS ,L ir/f'~5" , ci-? _MULTI-FAMILY B L D G _ Y _ N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT 4~fz , STREET ADDRESS CITY TATE~1yZIPrS"S-/ TELEPHONE #ekS"/- b9Y-~ELL PHONE # G'/,1-- jnm!'-?B$/qx # d~A~ I PROPERTY OWNER TELEPHONE # COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSO"CA RliI.ES 7670 C:\"1'LGOI2Y 1 biINNLSOTA RLJLCS 7672 (d submission type) . Residential Ventilation Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor. Phone # Phmlbing systcrn includcs: _ Watcr Sohcncr _ I.awn Sprinklcr P'cc: $90.00 Water Heater No. of R.I. Balhs ~ No. of Baths Mechanical Contractor: Phone # Mcchanic:il sys[ein inclttdcs: _ Air Condiuonine 70.00 Hca[ Recovcry' St stcm Sewer/Water Contractor: Pho I hereby acknowledge that I have read this application, state that ihe inf ati is rr to comply with all applicable State of Minnesota Statutes and City of Eagan i n s. Signature of Appllca - - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex 0 13 16-plez ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 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. Alt - SF ? 04 02-plex ? 70 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage 0 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Impravement ? 38 Demalish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof O 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Staries Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foo[ings (new bldg) _ FinaUC.O. _ Foorings(deck) _ FinaWi o C.O. _ Footings (addition) _ Plumbing Foundation H V AC Drain 7'ile Other Roof _ Ice 8Water _ Final _ Pool _ Ftgs _ AirlGas Tests _ Final _ Framing _ Sidmg Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ W indows (new/replacement) _ Insularion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8, Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ ~G SG ~ ~ ~ 1 v ~ Z ~ ~ . ~ h ~ c-I 7 4 3a ~ y • MASTER CARD • LOCATION U/" ?~~ss ~a//~6 OWNER ee ~e ~7`P de STRUCTURE AND SG L ~ W. _ LAND USED AS Issued To Permit No. Issued Coniractor Owner BUILDING y~~~ S-~y-7Z~t/c~l,yrvla/'l PLUMBING ~ CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING ~ GAS INSTALLING SANITARY SEWER OTHER OTHER • Approved Ifems (Initial) Date Remarks Distance From Well FOOTING ~po' 7 SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HE.4TING ~ 3•~ OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL iDRAINFIELD PLUMBING I~ ~~G'~ l y WEIL SANITARY SEWER i-s- ~.?~~y ' ~ ;-r3• • 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 Gjj/ 15 NO EVIDENCE OF NON-COMPLIANCE NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. 142 ~ 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 FICATION - I certify that I have carefully inspected the above in which I have no in[erest present or prospective, and that I have reported herein all significant conditions oUServed to 6e at variance with ordinances of tha Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the pioperty inspected. ~ ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: • ~ 23 - a 1986 BIIILDING PERHIT APPLICATION - CITY OF EAG9N POTE: ALL CONTRACiORS MOST BE LICENSID iiITH THE CITY OF EAG9N SIBGLE FAMIILY DiiE[.LINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS Mf)LTIPLE DWELLINGS - ASSIDENTIAL RENTAL ONITS FOR SALE ODiITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SOR4EY - CHEC[ WITH BLDG. DEPT., 1 SET OF BNERGY CALCULATIONS COMAIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 3.seas..? a.?~cwf~o/ To Be Used For: Valuation p0 Date: Site Address Lot T Block ~ Erect ~ Occupancy ~ Remodel Zoning Parcel/Sub Repair ` Type of Const Addition ~ 0 of Stories Owner i),dve d~ro.? ,l~0,4 r~rt7Vi? Move Length ~ Demolish Depth 2 Address ,[1 G'~ i,>,%?pnV./~>s bOii.n/ D.Y', Int.Impr. Sq Ft Install City/Zip Code Phone ~/,~o APpROVAIS FEES Contractor ~~•o F,,y/{~, Assessments Permit 7~ SO Water/Sewer Surcharge ~ Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone 9aa•~sys - 9aa-rs7s Council Road Unit Bldg OffZ ~r-~1 Treatment Pl Arch./Engr. APC Parks Variance Copies Address TpTAL 00 City/Zip Code Phone 0 NOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER IiDST DESIGNATE AHIC9 ADDRESS IS DESIRED. NO CHANGES NILL BE ALLOWED ONCE BOILDING PERMIT IS ISSIIED. O A?E t Sh ARoN 80R40)" _ 136y 4JilcleRNess /(4Av AA. e a& aAr, m,l ssiza PAT10 ENCLOSURES, INC. 6210 CAMBRIDGE 8T. Si. LOUIS PARK, MN 55418 922•6545, 820-1675 Nc Se.r/~ ~ ;7- .1 -fe dy LJlLdeR Ness Runt oR. ~ ~ i ~ i i I i I ~ I .zn• ~ 'z.e- a; ~ I i I 3? - -'c- ~ ~v,•,"' I CXSi•N9 . I ,.v ~_/f, i./ ~y'X1?.~ I I ~ , • • • I I ZAKE . .a EAGAN TOWNSHIP • ~ 3795 Pilot Knob Road St. Paul, Minnesota 55I11 Telephone 454-5242 , PERMIT FOR SEWER SERVICE CONNECTION DATE: March 27, 1972 N[MIDER 955 OWNER• Vensmann Construction Co. Addrese 1364 Wilderness Run Drive PLUMBER Wenzel Pllunbing & Heating TypE OF PIPE heaw cast iron_ DESCRIPTION OF BUI1A ING Industrial Commercial Residential Multiple Dwelling No, of units xx Location of Connections: Connection Charge '0' Permit Fee 1 0.00 pd 4/28/72 Street Repairs Total Inspected by: Date Remarks• By Chief Inspector In consideration of the issue and delivery to me of the above petmit, I hereby agree to do the proposed work in accordance with the rules and regulations of Sagan Township, Dakota County, Minnesota Sy Wenzel Plumbing & Het.icing Inc. Pleaee notify when ready for inspection and connection aad before any portioa of the work is covered. EAGAN TOWNSHIP 3795 Pilot Knob RoEd St. Paul, Mianesota 55111 Telephone 454-5242 PERNIIT FOR WATER SERVICE CONNECTION Date: March 27, 1972 Number: 793 7-1 Billing Name: Wensmann Construction Co. Site Address: 1364 Wilderness Run Drive Owaer: Same Biiling Address Plumber: Wenzel Plumbing & Heating Inc. Location of Connection Meter Size Connection Chg. 300.00 pd 3/72 Meter Nooel;u Permit Fee 10.00 d 4/28/72 Meter Reading Meter Dep. .0 pd 2 /72 Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected by Date Building is a: Remarks; Residence xx i5ultiple fio, Units Commercial Industtial gy; Other Chief Inspector In consideration of the iseue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules aad regulations of Bagan Townehip, Dakota County, Minnesota. By: Wenzel Plumbing & Heating Inc. Please notify the above office when ready for inspection and connection. PERMIT # RECEIPT OATE: MIDHNTIAL PLUM$IftH PEfibI1T lkPPLICATION CITY OF EA6AN saso Pu.or xxos au £RHkF, MN 851 EE 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system LAHTI, KAI I SITE ADDRESS: 1364 WILDERNESS RUN DRIVE EAGAN, MN 55123 OWNER NAME: : (651)405-9751 TELEPHONE (AREA CODE) INSTALLER NAME: NORBLOM PLtIMBING CA TELEPHONE STREETADDRESS: (612) 827"40.~ (ARFACODE) 2905 GARFIELD AVE. SO. CITY: STATE: ZIP: MINNEAPOLIS. Place a check mark next to the ermit work type New residential dwelling unit under construction and not owner/occupied $ 90.00 V/ Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • waterturnaround ~ Nature of work: 1"ZD vicfi ?v(l-f(iY' r ua tfX' Septic System, new/refurbished - $ 225.00 • includes Ccunty & Consulting In,pector fees • requires MPC license State Surcharge $ .50 Total $5D .22_ Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this applica8on, stale that the informatlon Is cortect, and agree W comply with all applicable Cityoi Eagan ordinances. It is the applicant's responsibility to notlfy the property owner that the City o( Eagan assumes no lia6ility for any damages caused by the City during i45 normal operalional and maintenance activities to tFie faciii6es constructed under fhis permil wiNin City property/nghLOf-way/easemenl. SIG OF PERMITTEE Updated 1lOt C/la~a- . ~o 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 . NewConsWCAOnRequiremenis RemodellReoairReomrements OffceUseOnlv 3 registered site surveys shovnng sq ft of lot, sq R of house, and all roofed areas 2 copies of plan showing footings, heams, joisGS Certof Survey Recd ^ Y_N (20 % maximum lotcwerage allowetl) 1 set of Energy CalculaLOns for heated additlons Sails Report Y N i Soils Report if proposed builtling is to be placed on disturDed soil 1 site survey for addiUons S decks Tree Pres Plan Recd Y N 2cnpiesolplanshowingbeam8windows¢es,pouredfounddesign,etc. Addrtion - indicafeifon-sifesepficsys[em TreePresRequired Y N 1 set o( Energy CalculaUons On-site Sepllc System~_ Y_ _ N' 3 copies M Tree Preservahon Plan d lot platted after 711193 Rim Joist Detail Ophons selechon sheet (bmldings with 3 or less units) Minnegasco mechan¢al ven6lahon farm Plans are considered ublic information uniess ou state the are trade secret and the reason. Date ! AS, / -~0,-~~~~-/GY~+~ ~J Construction Cost ~Xi/~• SiteAddress /c3cpYW/e/I&5S K-L/,tJ UniUS[e # & Descriptiono(Work/~~Si~}LL /}~A~il y%oalZ / J 1 174 400~ Multi-Family Bldg _ Y)~ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone k ( bs_n Contractor Address 0Qqo C~ City scTte J-tAJ ziP o0e, Telephone#(6'1--} 338-COG'~~° COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category , Residenfial Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted . Energy Envelope Calculations Submitted In }he lasi 12 monihs, has ihe Gty ot 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 - vFF Telephone ~ Mechanical Contractor - ~ Telephone ~ Sewer/WaterContractor u MOV 9,7 2007 U Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work-is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires.a review and approval ofplans. - (~YlQ~ 0,_~ &"-4 Applicant's rinted Name Applicant's Sign ure ðÿ ÿ þýý ðûïûü úýýüðî øýý þ õý ñ þýö þýüûúùø ÷ ò ýûúù ûúùø ÷ öø÷õùô ùóý ò ý òñíýùú ð þïý î ôù ìô ëëô ïý ô ü ô ê é øøù ÿé é ô ý ùêòé é ùé ê ò üôè ïý üúø éôúëô ê îæñåæêê õú þý ë çýæñåæêäêä çýñÿê ôó öòñ ùù óô ùóôþ ì ý âóýë ààã ëìêöñà õý Üçúãö ãöñ áàñßà ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý