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1366 Wilderness Run Dr CITY OF EAGAN > :2 1S742 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 `fi *0 PHONE: 454-8100 BUILDING Pflm& 6 Receipt # 1 7-' To be used for IWMOM Doom= Est. Value =23. 000 Date 8E! 26 , 191_ 5ite Address 1366 WILDEiWC3S RUN Da OFFICE USE ONLY Lot 3 Block 1 Sec/SubWjLDZRNZ$S WA 1 -PafC@I N0. Occupancy R-3 FEES Zoning W Name J68RY 6 TAMIE iIAAD (pctual) Const _ Bidg. Permit 234400 ~ Address 1366 t~2LDEKt1ESS RU1f DR (a,owatge) _ p Surtharge 11.50 Ciry ~N Phone 4~-%33 r oi stodes - 1 S2.Qp Length Plan Review ~ Name ALLEN C4NSlAl1CTION DWu, - snc, Cita~ Address BMW WAY S.F. Tolal Y City LACAN Phone 68-a104 S.F. Footprinfs _ SAC, MCWCC On Site Sewage Water Conn ~5 Name ` on sice weu - wacer iaecer Address titWCC SystPm i~ C'ity Phone City water _ Accl' Depos't PRV Required _ S/W Permit I hereby acknowlege that I havgoead this appliqaUon and slata that the Booster Pump - S/W Surcharge intortnation is correct and agr to comply With all applicAble State of Minnesota Statutes and City o~}agan Ordinarlce~. Trearrnent PI Signature of Permitee ~d • ' 4 IIPPROYALS Road Unit ~l~{,~N CAti81kOC.'TION ~anner A Building Permit is issu~H to: - park ped. on the express Condition fhat all work shall be done in accordance with all Co+ncil applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg_ pK_ _ Copies Building Official f . ~ Variance - TOTAL 397.30 Pamit No. PWmit Holddr Wlt T~I~pho~e # WATER SEMfER PLUMBIWG H.V.A.C. ELECTRIC w,ap.c*M o.a comaw+ts FoWings I Foundaqon Framing Roofing ~~h Plbg Rough Htg. ~ Rreplace i Finel Htg. Orstat Test I Final Pbp. plp9- lnspeda - NotilY Plumber II Const. Meter I EnprJPlan I Bldg• FinW / l oeac Fq. I ~ FwW waN I Pr. oisp. I I CITY OF EAGAN I 3795 Pilot Knob Rocd Eogan, MN 55122 N! 6599 PHONE: 454-8100 - BUILDING PERMIT Receipr # Te M uod for _ Est. Value Date , 19 Site /lddreas Ercct ? OccuPancY Lot Block Sec/Sub. Alter 0 Zoning Parcel # Repoir ? Fire Zone Enlarge ? Type of Const. W N°?ne Move O # Stories z Address _ Demolish ? Front k. Ci Phone 6rode ? Depth h. App?orals Feea 0 o~ AsSessment Permit u Ci phone Water & Sew. Surcharge Police Plon check ~W No^'e Fire SI\C u~ Address Eny. Water Conn. <W city Phone Plnnner Water Meter Council Road Unit I hereby acknowledye that I have reod this opplication cnd state thot Bldg. Off. the Informotion is correct and apree to wmply with all opplicable APC Totol StaM of Minnesota Stotutes ond Ciry of Eagon Ordinances. Sipnoture of Permittee A Building Permit is issued to: on the axprcss condition that all work sholl be done in occordance with all applicable Stote of Minnesoto Statutes and City of Eagan Ordinances. Buildinp Officiol hewM # aft Iwd remaNMm PI urr?biny Mechonicol INSPECTIONS DATE INSP. Rouph-I n Final Footings Dote Irqp. Dote Irop. Foundation Plumbiny Frome/ins. Mechanicol Final Remorks: 7- JO l GCS ~ ~i CITY OF EAGAN Remarks ' Addition Wilderness Run lst Addition Loc 3 Rik 1 Pa?cei 10 84350 030 Ol Owner?~l 1'ek'~L•4-Jonn hi~+en Street 1366 W{lderneas RLn Dr. State a a MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURf. STREET RESTOR. GRADING 1 SAN S£W TRUNK 1973 $175.00 $8.75 20 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA Pai ~ STORM SEW TRK -1I983 88,96., 2.93 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ~ 1981 107.94 59 S Sew Conn Char e 1974 240.00 $48.00 5 PAID WATER CONN, $280.00 4997 11-29-71 BUILDING PER. sAC 240.00 7368 1-30-73 PARK 'J EAGAN TOWNSHIP BUILDING PERMIT 2609 Ownes Eagan Township Address (Preseni) ......iown Hall Builder ----~~1"y~.:'.:~.._'J.-'?-----~~`~4,C~ / - Address Dale A~J.7/ DESCRIPTION 7ories To Be Usad For Fronf Depih Heighi Esi. Cos! Permi! Fee Remarka 7~/ r?-~ a~s-c ~a~ sT-a.~ c.~ A*--•~L LOCATION /Sv' y a 1 Streei. Road or o er Descripiion of Location I Lo! B ock Addition or Trac! 136 6 ~ This permit does not aulhorise the use of slreels, roads, alleys or sidewalka nor doea it give the ownes or his ageni the righf !o ereale any sifuatian whieh is a nuisance ox which presenis a hazard !o the healih, safety, eonvanience and general welfare !o enyona in the eommunifp. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGR SS. This is !o cez2ifp, lhaf.~fi-1.:._4~r:"`~.^:~t-._...G'_E^~.''."....~_.....has permission !o erect a... G~1,......... _upon the above desaribed premise subjec! !o the provisioas of the Building Ordinance for Eagen Town~p adopfed April 11, 1955. AOA&--~ -r~ Per .......................................l .'.r'-~'..-----.............._.....----~-~- Chais man Tnwn Soesd . ,g Building InspecSosf3 CITY OF EAGAN N2 19742 ` 3~830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING P~p~~~R & PHONE: 454-8100 Receipt # ~ Z~ t7CLEldD To be used for INTERIOR B'1PROVIIMEN1' Esi. Value $23, 000 Date SEP 26 , 1931_ SiteAddress 1366 WILDERNESS RUN DR Lot 3 Block 1 Sec/SubWILDERNESS RUN 15 OFFICE uSE oNLY Parcel No. ocapancy g-3 FEFS Zoning w Name JERRY & TAMIE WARD (ncwai) Const _ eldg Permit 234.00 ; AddreSS 1366 WILDERNESS RUN DR (Allowable) Surcharge 11.5 0 ° EAGAN City Phone 456-9453 a oi siories _ Lenglh _ Plan Feview 152 . 00 o Name ALLEN CONSTRUCTION oecn Address 4649~ PENKWE WAY 5 F rotai SnC, Cay °u~ - ~ City EAGAN Phone 658-8100 SF Foolprinls _ SAC,MCWCC r On S[e Sewage _ Waler Conn ~w Name W w On Sta Well Water Meter ~~O Address MWCCSyslem _ CnyWater _ Acct Oeposil aw City Phone 14 PRV Requued _ ShV Permn I hereby acknowlege that I hav ad this apph 6on d s te Ihat ihe Booster Pump - SiW Surcharga intormallon is correcl antl agr t comply all li ble State of Minnasota S[aWtes and Ciry o ag Ordin ce . 7reatment PI Signature ol Permitee APPROVALS ROad Unit A Budding PermR is issu ~o LLEN CONS UCTION Plannar - park Detl. on the axpress condition Ihat all work shall be don in accordance with all Councd applicable State of Mninnesota StaWtes and City of Eagan OrGinances. Bidg.OlL Copies 8uiidingOflicial AI ~,OIf1, 1 rnO Variance - 7oTAL 397.50 i~-~G S/ /D 5'o3f~ , J' 8 Feqiyest Dale Fire No Rough-in Inspe n _ ~ ? Reatly Now E{'WJI Notily InspeUOr Raqu es ? N. When Featly? ~ I~ icensed contracror ? owner hereby request inspection of above electrical work at: Job Atlaress (Streel. Box or Rou e No ) Qty 3 Secuon No, TownsOip Name or o Range No County Occupan PqINT~ ~ . P Ona NO l= 7/676 Power Suppier Aedress Eletlr¢ ~reclor ~Gampany Na e) Convacror5 Lsonse No. ~ o 0~99 Mmtmg Aaoress ICOmractor wner Making insian oon) • 5 Nutnon e0 SgnaWR ICOnh <I rrOwn Mabng In5lallalionl Phone ber S5 ia ~3,;2-So3 MINNE T TATE BOARD OF ELELT ITY THIS INSPECTION FEOUEST WIIL NOT Griggs-MiUway BIEg - Noom 5-173 BE ACCEPTED BY THE $TATE BOARO 1BI1 Universiry Ava.. SL Vaul, MN 55100 UNLESS PROPER INSPECTION FEE IS Ppone(6t2)6aP-0800 ENCLOSEO ? `~"T"~ eaoaoo~-0e 42/6/5/ REOUEST FOR ELECTRICAL INSPECTION ' See mslmclmns lor completing this lorm on back ol yellow copy j%~ , J- 8 "X" Below Work Covered by This Request ew Adtl Rep. TypeofBUildmg ApphancesWued EquipmentWiretl Home Range Temporary Service Duplex Water Heater Elecfric Heating Apt. Bulltlmg Dryer Other (Specity) Comm /Indusirial Fumace Farm Air Contli6oner Olber [sVecilYl Conlraclpr's R arks: Compute Inspechon Fee Below' p Other Fee B Service EmranceSize Fee # CucurtslFeeders Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps A 0_ Amps SgOS Inspecmr5 Use OnIY: ~O TO L trri9ation Booms Special Inspedion Alarm/COmmunication THIS INSTALLATION MAY BE ORDEHED DISCONNECTED IF NOT • Other Fee COMPLETED WITHIN 18 MON I, the Eleclrical Inspector, hereby R01g"'" certify that the above inspection has F,,,ai been made. ~ OFFICE USE ]NLY TM1iS repue5t v0itl 18 moNM1S IrOm /o7a.si K8'io~92-,~d' ~C Gc~ 0/5 °o ReQUesl Oale Fne rvo Rough+n Inspecnon c/ ~ % ReQUire07 ~eaay Now ? Will NoM1N Inspaclor D ?Yas j NO WhenReaOy+ I licensed comractor ? owner hereby request inspection of above electncal work at: J b Atltlress ($Veel. Box ar Raule Nod ,p , Q~ 3~ lic~.9e 55 /~uYi f vuP ct 91 Gl SecLOn No. Township Name or No Range No Cou~n}YJ ~ l ~ Y~/ ~ rC` Occupam IPRINTI Plrone No T'c qS - 4 y S Pow~e uop~ier Aearess //y,~c z2r/ Elecm I Contmc~ (COmpany Name) ! CoNrecmrY License No. ~~ccviC ,Ivcl JH C~a -203' Maibng Aaaress iCOnVacbr or Owner Making Insl611alion) a n te -Y Aui aed ignaiure iGO cron i Making~ Phom Number MINNESOTA STATE BOAPO OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Gtlgga-MlCway Bltlp. - Room S173 BE ACCEPTED BY THE SiATE BOARD 1631 Unlvenity Ave.. SI. Vaul. MN 5510G UNLESS PROPEP INSPECTION FEE IS PMne(6lP) e42-0800 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION ee-01)001-0e t ° K~ ~ 318 $ee mstmc4ons lor wmpleung tM1is lorm on Eeck of yellow copy 3~~R /Q7a51 Below Work Covered by This Request ew Add nep TypeofBYilding ~ Appliances0red EquipmentWired Home Range Temporary Service Duplez Water Heater Electnc HeaLng Apt Bmlding Dryer O[her (Specity) Comm./Indusirial Furnace Farm Air CondiM1Oner ~ Other(5yecity) C(o~oVaIXOr's RemarksL 121- 1 II IqCCT uvna ce~ ~/C~~-p ~'ea e I~r, Compute Inspec(ian Fee Below: y # Other Fee N ServweEntranceSrze Fee # Circwts/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps tZA~ Translormers Above 200 _ Amps Above 100 _ Amps $IynS Inspecror§ Use Only TOTAL~ Irriganon Booms /J ~S• ~ ~ Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORD RED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Elecirical Inspector, hereby Rougn,n ome certity that the above inspection has F,M,i oeta / been made. OFFICE USE ONLY Tnis reqoest voul 18 momlta Imm CITY OF EAGAN 3795 Pilof Knob Rood Eogon, MN 5512I N2 6599 ~ PHONE: 454-8100 BUILDING PERMIT APPLICATION ReceiPt # ,2 (116'1 To be used for ROOF WER DECK Est. Value 1,500 pare 4-13 1$1 Site Address 1366 Wilderness Run Dr Erect []C Occupancy R3 Lat 3 Block 1 Sec/Sub. W11d.R1II1 1 Alter ? Zoning Rl Porcel # Repair ? fire Zone NA _ - Enlarge ? Type of Const. c Name AYTlold L AntOn Move ? # Stories Z Address Demolish 0 Front 20 ft, o c. Eagan 55123 Phane 454-7062 Grade ? Depth 12 ft. ~ Nome ApProvala feea 0 Sam o'~' Address Assessment Permit 9.00 u~ Cit Phone Woter & Sew. Surcharge 1.00 Police Plan check GW Name ~ FZ Fire SAC Address Eng. Water Conn. <w Ci Phone Plonner Water Meter Council Road Unit I hereby ncknowledge thot I have reod this application ond state thot Bldg. Off. the information is correct and agree to compfy with all applicoble Stote of Minnewro Statutes and City of Eagan Ordinonces. APC Total 10-00 Signature o4 Permittee A Building Permit is issued to: ALnOld L Fll1tOI1 on the express condition thot nll work sholl be done in acwrdanc~e~ t~h o~ll a~ppliwble Stu/te of -Minnesota Statutes and City of Eogan Ordinances. Building Officiul /K.C.d~-C_ ~i~CT~ ~ CITY OF EAGAN Include 2 sets of plans, N1~ 1,.1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For Valuation ~-t/,SGY Date g- 7 4-/ Site AddreSS: OFFICE USE ONLY Lot O20 Block 0~ Sec./Sub. ~ Erect Occupancy Parce2 /n '~R `~-3s0 Alter Zoning Repair Fire Zone ,(J Owner: o< a.Zz.`•? Enlarge _ TYpe of Const. ~ Nbve # Stories Pddress: Deirolish Front a 0 ft. City/Zip Code: Grade Depth ft. Phone APPI3OVP.IS F'ELS Contractor: Assessments Pesmit `LA Water/Sewer Surcharge ~ Address• Polioe Plan Check City/Zip Code: Fire SAC Phone ~4• Water Conn. Planner Water Meter ~h ~g : Council Road Unit Bldg. Off. Pddress: P.PC City/Zip Code: Phone '1nTAL f ~ ~ ~ ' ' ~ .~c~v ~ ~ ~ X 2~O , ~ ~z~ ~ ~0~~-- r ~ ~-z.~ .~v`~-~ ~v~' ~ ~ ~ ~r s ~ TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT N0. The Board of Supervisors hereby grants to W~zel Pl:mbing lY Aeating Inc. of 3600 Kenaebec Lrive, Eagan 55122 a PLUf-T3I31G permit tor; (Owner) Won3tnauin Conatrucoion at 1366 Wildornos3 Ftuc1 Dri.ve , pursuant to application dated 2/?9/72 Fee Paid: 4+20•00 Dated this 3rd day of T7arch , 197 2 sc - .50 Building Inspector ~ - I 1 TOWN OF EAGAN 3795 Pilot ICnob Road Eagan, Minnesota 55122 PERMIT N0. 179 The Board of Supervisors hereby grants to Kleve Htg. & elir Cond,, Inc, of 13C75 Pionee R T; ail, Fden Praii•ie iV 55343 ~ ' a 1-tlG Permit for; (Owner) 4:onsm2sul Cons'truction at 1350 Wi1d9*ne3S ik1rt Ds•ivg, Eag2T1 , pursuant to application dated 2/29/7 % Fee Paid; $20.00 Dated this 3_r . a day of 1972 ATqrr.l; s c Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New Consuuetlon Heaulrementa HamodeVHeoair Fleaulrementa • 3 regiSered sAe surveys shovrmg sq. ft of bl, sq. tt. of house; and d rooled areas • 2 copies of plan (20°/< maumum bt coverage albwe0) . 1 set of Energy Cakufations for heated add'Abns . 2 copies of plan showing beam & wintlow s¢es; poured IounU dasgn, etc.) • 1 sfle survey lor ex[erior atlUAbns 8 tlecks . 1 set of Energy Cakulatbns • Indicate B home servad by septk system loraddttbns • 3 copies of Tree Preservation Plan M bt plaVed atter 711/93 . RimJoislDetailOptionsselectionsheet(bWgswAh3orlessunAS) DATE ~ VAILUATICN~ SITEADDRESS /~!~(D (N6,C~/lU//! lJ'l~' MULTI-FAMILYBLDG -Y _N TYPE OF WORK - FIREPLACE(S) _ 0_ 1_ 2 APPUCANT - OC) 1 • STREET ADDRESqSCIT~Y/ STATE ZIP TELEPHONE(# 0!Y'~~~C0 CELL PHONE MG/'2 ~DI' ad '7v FAX #61 S~~~7 i PROPERTY OWNER A/La TELEPHONE # ' COMPLETE THIS SECTION FOR ^NEW- RESIDENTIAL BUILDINGS ONLY n Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MI L'S7~ (J submission type) • Residential Ventilation Category l-Worksheet Submitted • N r~ o she ~Yp itted • Energy Envelope Calculations Submitled JUN 0 S ZD~Z U Plumbing Conhactor: Phone # Pltunbing system includes: _ Water Softener _ Lawn Sprinkler ee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor: Phone 1f Mechanical system includes: _ Air Conditioning Fee; $70.00 _ Heat Recovery System Sewer/Water Conhacfor: Phone # I hereby acknowledge that I have read ihis application, state ihat ihe info at'on is corrc d agree to comply with all appllcable State of Minnesota Statutes and City of Eagan Ordin e Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-piex ? 19 LowerLevel O 24 Storm Damage ? 06 04-plex ? 12 12-ptex Plbg_Yor_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33Alteration ? 37 Demolish(Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories 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 Tile Other Roof Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding S[ucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newlreplacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , ! ~ ~ 1 0 5 5- 30 ` ~6S ~?r~-~- W ~ ~ 0 ~ MASTER CARD • LOCATION 14/1 J~ nets IQun DA, 6 3' l• t,J. R_ OWNER ~ tn• !,?iLLa~r~. / STRUCTURE AND LAND USED AS 1.2 C(a.2, Issued To Permit No. Issued Con}ractor ' Owner BUILDING I-Imal g r PLUMBING ~ CESSPOOL - SEPTIC TANK WELI ELECTRICAL HEATING jor i ~ GAS INSTALLING SANITARV SEWER OTHER OTHER • Approved Ifems (inifial) Date Remerks Distance From Well FOOTING ~ ~ S~TIC FOUNDATION ~ ,g ~ CESSPOOL FRAMING ~ ~ •q-~ ~ TILE FIELD FT. FINAL 5 / ELECTRICAL ~ 0 DEPTH HE.4TING OF WE lGAS INSTALLATION SEPTIC TANK ~ - CESSPOOL DRAINFIELD 1 PLUMBING WELL SANITARY SEWER 1A/I rJ ' ~ • 1 ~ ~ ~ ~ ~ Violations Noted on Back COMMENTS: , COMPLIANCE INSPECTION REPOBTS TO BE USED ONLY IN EYENT OF 085ERVED VIOLATIONS • PERMIT NO. DATE Of INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUtLDER DOES NOi OBSERVED. INTEND TO COMPLY. O ACCEPTABLE SUBSTITUTIONS OR ? DEVIATIONS. COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYFD BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DEIAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION • REINSPECTION REVEALED CERTI FICATION -1 cenify that I have carefully inspectetl the above in which I have no interest present or prospective, and that I hwe reported herein all significant conditions observed m be ai variance with ortlinances ot the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ~ ALL IMPROVEMENTS ACCEPTABLY COMPLETED BIlILO1NG INSPECTOR OATE COMMENTS: • ~ ~ jq#jq2w ~p 1991 BUILDINC P IT APPLICATION CITY OF EAGAN `G 0 SINGLE FAMILY DWELLINGS MULTIYLE DWELLINGS COI+II4ERCIAL 2 SETS OF PIANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES STliEN: TYPING OF PERMIT IS REQUESTED, BiJT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WNICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER ti[15T DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: OL.A&4'//n Valuation: 24, ,~VQ.pU Date: ~ T Site Address GU/G4ov.?r,ii Z"ip, OFFICE USE ONLY Lot V slock ~ FEES Occupancy Bldg. Permit Z7,0 0 Zoning Surcharge /I~SJ Parcel/Sub Actual Const Plan Review 1, 2, 00 Allowable SAC, City Owner U!G/l~u f: a&L/' # of stories SAC, MWCC ~^T Length Water Conn. Address ~Ll~~?,r Depth Water Meter S.F. Total Acct. Deposit City/Zip Code 1~4t~, Footprint S.F. S/w Permit S/W Surcharge Phone exa- On site sewage_ Treatment P1. On site well Road Unit Contractor MWCC System _ Park Ded. City water Trail Ded. Address /Lwe PRV _ Copies Booster Pump City/Zip Code (-N, rl/n) SIIBTOTAL APPROVALS Penalty Phone Planner I.ot Change Council TOTAL Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # Se ater L s~ nntr. agrees that all work shall be done in accordance with 'gna re o , ontractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT xk PHONE: (612) 454-8100 RECEIPT # mul 17 A''LUHBING ~1~1~I~T DATE: RJ lI•~7-4/ ftESID~N~IAI,: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ~ ADD-ON MINIMUM 15.00 fS6-t ADD ON ~ SHOWER 3.00 REPAIR _ I WATER CLOSET 3.00 3 ~ BATH TUB 3.00 6 OWNER NAME: I L1VATORY 3.00 _ KITCHEN SINK 3.00 SITE ADDRESS: ~~DRY TRAY 3.00 _ HOT TUB/SPA 3.00 ~ WATER HEATER 3.00 LOT: ~ Rinr.K ~ SUBD. FL00° D?L9?*I 3.00 INSTALLER: GAS PIPING OUT. _ (MINIMUM - 1) 3.00 ADDRESS: ROUGH OPENINGS 1.50 OTHER n J/ WATER SOFTENER 5.00 CITY:_~/" ZIP: pRIVATE DISP. 15,00 U.G. SPRINKLER 3.000 o PHONE SUBTOTAL $ 1;) Xlz~YA ST. SURCHARGE .50 SIGNATURE OF PERMITTEE f 5"5U TOTAL: $ COMMERCIAL/INDUSTHIAL:' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDIN6S AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLZNG UNZT. . CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1$ $ AD6RESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN f 5-- 50 CITY OF EAGAN Li- B_L MECHANICAL PERMIT RECEIPT # S SUBD. (612) 681-4675 DATE / RESIDENTTAL PLFASE COMPLETE UPpER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. AISO, COMPLEI'E FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DR'ELLING UNTT. OR'NER: FE STI'E ADDRFSS: y, ADD ON/REMODEL (E)[ISTING 15.00 CONSTRUCITON ONLl) INSTALLER: RF~lgM C I L. HVAC: 0.100 M BTU 24.00 PHONE 45 y ADDITIONAL 50 M BTU 6.00 annREss: 1117~ 6 UaW l)'d GAS OUTLETS - MINIMUM 1 @ $3 EA. crrr: - U L LIZ . tJ _ zrr. suxcHARcE: s. so SIGNA TOTAL: $ /5. :56 COMMERCIAL PLEASE COMPLEI'E THIS PORTION FOR ALL COMMERCIAI/INDUSTRIAL BUILDINGS. AISO COMPLETE FOR APARThIENT BUILDINGS OR OTHER MULTI-FAMILY BUII,DINGS WfiEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DR'ELLING UNI1'. WORI{ DESCRIPTTON: CONTRACI' PRICE: FEES 1°b OF CONTRACT FEE. STATE SURCAARGE IS $•50 FOR EACH $1,000 OF PERMTT FEE. S PROCFSSED PIPING • $25.00 a hutvTHt*.rnt FEE • S25.00 OWNER: TOTAL• $ SI1'E ADDRFSS: 1'ENANT: : . . . . , SUI1'E ' : : . _ . . . INSI'AI,I.ER: . . . . . . . . . . . . . ADDRFSS: , , . . . . CI1'1': ZIP: . . PHONE CITY SIGNATURE: SIGNATURE- 1 ' EAGHN TOWNSHIP :795 Pilot Knob Road St. Paul, Minne3ota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE• November 29, 1971 NUMBER 914 OWNER• Wensmann Construction Co. Address 1366 Wilderness Run Road 3-/ PLUMBER Wenzel Plumbing & Heating TypE OF PIPE heaw cast iron DESCRIPTION OF BUIIDING Industrial Commercial Residential Multiple Dwelling No. of units xx Location of Connectfons: Connection Charge -0- Permit Fee 10.00 pd 12/7/71 12/7771 Street Repairs Total Inspected by: Date Remarks• By Chief Inspector In consideration of the issue 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 Totmship, Dalcota County, Minneaota By Wenzel Plwnbing & Heating Inc. Please notify when ready for inspection and connection and before any portioa of the work is cwered. EAGAN TOWNSHIP 3795 Pilot Rnob Road St, Paul, Minneaota 55111 Telephone 454-5242 PERNIIT FOR WATER SIIRVICE CONNECTION Date: November 29 1971 ~ Number: 754 3-1 ic1•le• Billing Name• Wiansmann Construction Site Address• 1366 Wilderness Idun Road Owner: Billing Addreas Plumber: Wenzel Plumbine & Heatine Inc. Location of Connection Meter Size Connection Chg.2 0.00 pd 11/29/71 33s'= Meter No„Ll ya~;alo 9 Pexmit Fee 10.00 pd 12/7/71 Pd 7/71 Meter Readiag Meter Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected by Date Building is a: Remarka: Residence aac (n rr- r~•-. - , t3ultiple no, Units ~?5•01 1:f-;i.1~. Commercial 11'i1PROPEr;LY Industrial gy; Other Chief Inspector In conaideration of the iseue and delivery to me of the above permit, I hereby agree to do the proposed work ia accordance with the rules and regulations of Sagan Townehip, Dakota County, Minnesota. sy: Weazel PlwnbinQ & Heating Inc. Pleaae notify the above office when ready for inspection and connection. 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Reaulrements ? 2 coples ol plan DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: If multl-famity bldg., how many units? ~ INDICATE THE FOLLOWIMG EQUIPMEM TO BE REPLACED AND BY WHOM: _ Plumbing _ Homeowner gS Contractor Name _ Mechanical _ Homeowner g[ Conhactor Name "NOte: If somebody other than the homeowner is performing plumbing or mechanical work, they must apply for appropriate permit. Only Ilcensed plumbing contractor or homeowner may complete plumbing work. STREE7 ADDRESS: 13 b~ W~ ~ CTe~r V~2 SS 1~ U 12. ~o~ 9 a v~ l a- ~ LOT: ~ BLOCK: l SUBD./P.I.D.#: Vv1I(~P.1-Y1F~,~ funt'I ~5% V- a N4me: LA/O, r C~ ! O~fv1a ro. Pnone ('io n)`/JZo PROPERTY Last Fint OWNER Sheet Address: Il rJ \4ev e.r ( fj~ C)9- G,y f0. f~ GY.. sta?e: Mzip: s Si a-3 Company: 1"~~ , Phone C(~n_ -2'03 (area code) CONTRACTOR Sheet Address: License Ii Exp. CHy StG}e: Zlp: AUG 2 5 2000 BY~_----~ I hereby acknowledge that I have read this applicafion, stote that the information is correct, and agree to compty wilh all applicable State of Minnesota Stalutes and City of Eagan Ordinances. Signalure of Applicant•. / GQM~~ OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 02 SF Dwelling O 08 06-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. AH - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuRi ? 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex ? 72 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)• ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ` Demolition permit - Give PCA handout to applicant GENERAL INFORMATION # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC(ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV PERMIT City of Eagan Permit Type:Building Permit Number:EA110029 Date Issued:04/19/2013 Permit Category:ePermit Site Address: 1366 Wilderness Run Dr Lot:003 Block: 001 Addition: Wilderness Run 1st PID:10-84350-01-030 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Walter J Ward 1366 Wilderness Run Dr Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117754 Date Issued:10/23/2013 Permit Category:ePermit Site Address: 1366 Wilderness Run Dr Lot:003 Block: 001 Addition: Wilderness Run 1st PID:10-84350-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Nicholas Meszaros 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 - Walter J Ward 1366 Wilderness Run Dr Eagan MN 55123 Meszaros Construction Llc 4386 280th St W Castle Rock MN 55010 (612) 281-6079 Applicant/Permitee: Signature Issued By: Signature M Use BLl1�or BL,4CK Ink � For Office Use � I plp�� Clty of ��a� , Permit#: �� Permit Fee: �� 3830 Pilot Knob Road Eagan MN 55122 � Date Received: j ��_-._�..-...._..P.�one:(651 j 675-5675 I I �" � Faz:"f651)675-5694 I Staff: I �� 11 O\� �----------------I (�iJ 'L'ti ./�� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �'� -�� , l � e: ��' ��" �� Site Address: '��°� ��E�� u� �� Unit#: � / �� Name: w�E�,°� �ND ��N1i�1�� J�� Phone: ��Z' � °�a�� Resident� Owner Address/City/Zip: t3�G' �s�-'��RW�s� RurJ '�R�V�f �A4�n� . MN. 55123 Applicant is: Owner � Contractor Type of WoCk Description ofwork: F;EMl3pEl. �,ou?EQ 1.EV�'� A�+� Mat� f�oaR Construction Cost: �� Q��' •, Multi-Family Building:(Yes /No X ) Company: �MPEI�IAt• N�M�.S II�1C. Contact: �►I�-� RIEMERsMA Contractor Address: Ja� w�at Ca�c►�Ty R�aa � aty: �t�bt��V IEu� state: �� zip: ��12�' Phone: �O��z��'��IEmail: RR.1��E�SMI� l RQYA�-oAKS RC�4�.Ty. ��ht �icense#: R�'..C�I�'I Z30 LeadCertificate#:�R�1 • �86� "��Sy� �2� If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) c-� v��o�Nw gy owNE� ( sa��ss�+f- io-oos46 (zo��) '�'�- 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: NQTE:Pfans and supporting documents that you submit are considered ta be public information. Portions of the infcsrmatian may be classified as non-puhlic if you provide speci�c r+easons thaf would permit the City to conclude fhat fhey are trade seerets. 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. aM�✓�y:�fl��i,er�l�fi��;1d.9�e� 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 State Building Cod st be completed within 180 days of permit issuance. X RIc..HARo , �� R��M��.sr�A X Applicant's Printed Name Appiic nYs ignature �� Page 1 of 3 � 3� � �.l��,� 5s ,��,-�� DO NOT WRITE BELOW THIS LINE � �`fi(�(nj SUB TYPES _ Foundation � Fireplaces _ Porch(3-Season) _ ExteriorAlteration(Single Family) � Single Family _ Garage _ Porch(4Season) _ ExteriorAlteration(Multi) _ Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex � Lower Level _ Pool _ Accessory Building WORK TYPES i�,Liv�3�,i Lp ✓,�. ( � �-•�GE��, 0�'-,..,,� vQ-Pi 1 _ New _ Interior Improvement _ Siding _ Demolish Building" Addition _ Move Building _ Reroof _ Demolish Interior � Alteration .�` _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation �I.T Occupancy ��C� MCES System Plan Review Code Edition �jCJ i't�S 13G SAC Units (25%_100%� Zoning � City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction �_ Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) _�"�, Final/C.O. Required � Footings (Addition) G�ar��7 �"'� J � � Final/No C.O. Required �"4�'�� Foundation � HVAC_Gas Service Test�Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:�Rough In �Air Test �Final Siding:_Stucco Lath Stone Lath Brick Insulation � Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By:�� , Building Inspector RESIDENTIAL FEES � � �i �� Base Fee �C��1y t� ty � ,��0� Surcharge �'^y�-� L<<4� •� 3��/ ✓ l� Plan Review MCES SAC ��,5�-( MG��'`�I�- ��:�I� � ��: �� City SAC �s� (� ; ��o Utility Connection Charge S8�W Permit&Surcharge �fi��r 31 M�y ` M� -`�0� Jw��.�'�• Treatment Plant �' � Copies ��6 � � �.�� '�� TOTAL �yG Al�r.� \`eV"C.1 � V,}i�(�� ,. �� ✓ti f�v�� Page 2 of 3 � � �j�,i��f� �'1,,�� Use BLUE or BLACK Ink � For Office Use ------� I � �� V(�� I Permit#: I I � Permit Fee: d�� I 3830 Pilot Knob Road i � Eagan MN 55122 i Date Received: � Phone: (651)675-5675 i � Fax: (651)675-5694 � Staff________ I __'��_J 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:� �� Site Address: �JdJ��✓,�1�_��.�-�a�c... �� Tenant: Suite#: � R�Siii�n'�tt"��it�er .. Name: � Phone: i�� ' �.� Address/City/ ��. �_%�� . �I'"��1�"�r��d�iu��i! ui��n, : � y,�r� ` Name: License#: �/�! n' �., `�'',�;�� h�tii� _; � � Address: ,.J City: � ., <��,,�r�'� � � � a �a F��, �. �,. ,p �✓' � � 7�,�'�► '"� ,��" �� State: c'��Zip: d Phone:�,�� c'�1.�'��.(�� . � � � � ,� ., ' Conta • 4'( .l_�,.,�r , _ '�� !�� ' � Email: ,''1� ��I��t'�h��``;� x `: .. � �� _New _Replacement _Repair _Rebuild � Modify Space _Work in R.O.W. � �'�� "�� ` �° �� Description of work: F =1. RESIDENTIAL Water Heater �� Lawn Irrigation(�RPZ/_PVB) Water Softener �� '( ' �Add Plumbing Fi�ures(�Main/�ower Level) � �� Septic System � �� , � ��u��r� �" °��"' �� New WaterTurnaround ��i�� — �� "�� ,,"�� _Abandonment �� RESIDENTIAL FEES: II $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes�5.00 State Surcharge) $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes$5.00 State Surcharge) "Water Turnaround(add�2�0.00 if a 5/8"meter is required) $115.00 Septic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) TOTAL FEES$ 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.orp I hereby acknowiedge that this information is comp�ete 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 appro p n X �i Applicant's Pri ted Name , , App icant's Sign �a .z t�sa �� a,i�.. '"��'r��;,� �� V'��iG'B4��: ;��'�' , , � � � �_ � � � � F � �,�u��'��rect�n� ��i�n� ;��Ur�rf�r Crc�t�r��,� , �c�ugh lr� Air Test �_G��."�e�� k ' _�,��a �� P��'�a�,t��a�� .:�$��f��z�� acfi�Re��ti r,��met�r �ti�ff. � : Use BLUE or BLACK Ink r________________i I For Office Use � C�� O�L1n nn � Permit#: 1 oZ� I�� j � r�a�aii � c�o, n� � 3830 Pilot Knob Road I Permit Fee: Eagan MN 55122 � I Phone: (651)675-5675 � Date Received: �' ��7 � Fax: (651)675-5694 I � � Staff: � �-----------------� 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date:��N `��`� Site Address: �� '��eSS ��ti �� Tenant: Suite#: � 1 _ e vJw� `�v�n �uv� � �� ' ��' t ,� ,.� �``��_' Name:� 'N4�, � �' 4 '�O1n^e Phone: T_ _. � Address/City/Zip: ��-Q �' ��- l= ` la.. � ' �� k Name: �>�---�C° W1.e��r�w-�r v c..n-� License#: ,;5a °�'1, �° ' � t S �-�'��# L-�. c�. ��,�C:o �a �' �L . .<, . Address: �4�� City: � ��Z .� state: 'N`'`' zip: '��303 Pnone: ^1�03- 32�3 - �'��-z z 3 �i �� _ . 1, ��w bf`��.�nns �J ��kw�e�ha.nvc�� . �w�, .��¢=_y " Contact:�Y l � Email: w �� New Replacement Additional ✓�Alteration Demolition � �� : �� `�a �� ° '� � Description of work: f � � �� - � ��_ �� -c- �: �. .� ,� ��tca. o,�c� $ �t � =��_. .�� h . ' � � {'� RESIDENTIAL COMMERCIAL ��€ � � - Furnace New Construction Interior improvement # � � i� — Air Conditioner Install Piping Processed � � �"" �` Air Exchan er .�� N� _ 9 Gas Exterior HVAC Unit ��.'��. �.� _Heat Pump _Under/Above ground Tank (_Install/_Remove) � � � � Other ��-` RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES Contract Value� x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 =� Surcharge'" **If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 '"'*If the project valuation is over$1 million, please call for Surcharge =� TOTAL FEE 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 unde�stand 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 ��i1��Aw� ��y�.S X �N� \��i� ApplicanYs Printed Name Applicant's Signature ._ -�.-� �.- �r.� - . z _ .� �_ ,- _ ___ t _ _ � ._._ _ . . �F . �-��C =U , � � � x _ .- �. � � �lu�� ` o �� cter r� � :� .. r� ��. : �. �A,sx �� .:a . � � � ��:�_��-�� . : _ � 41,11 CityofEaaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: ` C Date Received: Staff: L o j' / , 2015 RESIDENTIAL / PLUMBING PERMIT APPLICATION _ Date: '/ / c� / Site Address: ;744:1, j/ 1 e LA ic) 7 )1 Tenant: Suite #: eSl • n Name: Yea /2x0.14 PLCI Phone: Address / City / Zip: x.366 t L) /deftAx 5 /'« () ¢ .x a Name: CC7/144 3 f Ai- v✓%7 License #: CCS (94,29/ PM Address: 3O $ Wey=44 4 k ,4't) City: gam/ j 1 /....► State: � to Zip: 5 f, I Phone: Contact:(: -I4/ ;j Email: / A24 5 ri C• 1'1.5 .-C' r F 4 2 `Type o W0C New k Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ _ Description of work: RESIDENTIAL yWater Heater Water Softener Lawn Irrigation (_ RPZ / PVB) Add Plumbing Fixtures (_ Main / Lower Level) _ Septic System _ Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Tumaround $115.00 Septic System Water Softener, or Water Heater and Softener (includes State Surcharge) Turnaround* (includes State Surcharge) TOTAL FEES $ (includes State Surcharge) Fixtures, Septic System Abandonment, Water (add $280.00 if a 3/4" meter is required) New (includes County fee and State Surcharge) 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. - Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144046 Date Issued:07/10/2017 Permit Category:ePermit Site Address: 1366 Wilderness Run Dr Lot:003 Block: 001 Addition: Wilderness Run 1st PID:10-84350-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Walter J Ward 1366 Wilderness Run Dr Eagan MN 55123 Robert Boldt Hvac 4310 Trenton Tr Eagan MN 55123 (651) 454-7760 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA156969 Date Issued:07/26/2019 Permit Category:ePermit Site Address: 1366 Wilderness Run Dr Lot:003 Block: 001 Addition: Wilderness Run 1st PID:10-84350-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Walter J Ward 1366 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