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1368 Wilderness Run Dr CITY OF EAGAN i.; 9512 I 3830 Pilot Knob Road, P.O. Box 21-199, Eapn, MN 55121 eUILDING rERMIT PHONE: 4548100 Re«+vr * T• w,"a fm SCREEN PORCH Fst, yolue $3, 500 Date SEPTEMBER 19 19 89 SiteAddrea 1368 WILDERNESS RUr] H9IVE Erwt EiX OcwpancY R3 Lot 2 Block WILD RUN Ramodel ? Zoning Parcel No. Repair ? Type of Const. Enlarye ? Na. Stories ~c Name J. JUSTAD - P. fiDDY Mrnre ? Lenqtn ~ Address SMIE DemoHsh ? Depth 4b4-b509 Grode ? Sq. Ft. City Phone ~J Name SAME AVMovob Foos ;~'4 q Z) u Aij Addren Assessment Permit ' ~ City Phone Woter 3 Sew. Surchar~ ' G Police Plan check ~uW Neme Fin SAC Address Erq. Water Conn. tW City Phone Plonner Woter Meter Council Rood Unit I hereby acknowledpe that I how rood this applicotion ond stote that gldg. Off. Perks the informotion is torrect ond ogree to tomply with all opplicoble ~ State of Minnesota Srotutes ad Gty of Eaflon Ordinanus. A~ Totsl , , : Yar. Dste / Si9notum of Pennittee I. , ~ 4 A Bufldir?g Penmit Is issued to: J. JUSTAD - P. EDDY ~~~~n condit~~ that oll work sholl be dona in accordonce ith ali o~pIiw41e St~s orynasoto Stotutei ond Gty of Eaqan Ordinonces. Buildinp Officid ~ < "-"t-( - , Pwmit No. Pwmit Holdw Deb Plumbing H.VA.C. ENetric Sohwmr Inweetion Do" Insp. OthN Footiryt Foundetion Fnminy Rwgh Plbg. Raph NVA Inwlttioe FinN Mb4 Finsl HVAC Final CKt/Ooe. Watrr Dheribe L on: NNII S~vAr Pr. Di1p. t CITY OF EAGAN Remarks Addition Wilderness Run lst Addition Lot 2 Rik 1 Parcei 10 84350 020 Ol Owner Street 1369 G1i 1 derness Run Dr. gtate Ea an MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 175.00 $8.75 ZO PAID SEWERLATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK 1981 23.20 S STORM 5EW LAT CURB & GUTTER SIDEWALK STREETLIGHT '5~ 107.94 21.$9 5 ar e 1 - 240.00 48.00 5 PAID WATER CONN. $300. 00 7033 12-19-7T-- BUILDING PER. sAC 285.00 7581 3-14-73 PAR K ' K ~ EAGAN TOWNSHIP 11~ BUILD{NG PERMIT N° 2912 Ownex Eagan Township Address (Present) Town Hall Builder .....L.k~ ~ - naea -7Z naa:BSg - DESCAIPTION Storiesl To Be Used For Fron1 Depih Heighi Eaf. Cos1 Permi! Fee Rema:ks a2 3 - _ -10 XajfgIi LOCATION Sfre , Road or ofher Descnpiwn of Locahon I Lo! Bloek Addiiion or Tzae! ~ 3G ~ 2U„~~G~.~~ ~-.ti ~ / 'ZU • / 1'his permit doea not aulhori:e the use of clroe2s, roads, alleys or sidewelks nor does ii give the owner or hia agent the sigh!!o ereale any aiivation which is a auisanee or which presenis a hazard !o fha health, cafely, convenienee and general melfare !o anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGR S. This is fo eeriify. !hal-- -7i.L!,?-?~=r........'..-z-r...?..__` /9~- hes permission !o erect a...... . . . . . . . . . . . . ........_uPoa the above described premise subjec! !o the provisiona of the Building Ordinaace for Eagan Townsh p adopled April 11. 1855. q~ rQ ,p Per ((d .............t..C::'._".._...'._.......... Chai*man of Tnwn Soard g3 Building Inspeclor ,C3 ~ CITY of EAGAN N,° 3910 BUILDING PERMIT " 3795 Pilo! Knob Road Ownes .~..C.4.~:.a.~ .........:.......L.-•~c.'G.~,L.G-............................... Ea9an. Minnesoia 55122 Address (psecani) 954-8100 Huilder ~ nees ...:.Y..-~G~...-.~ Address DESCAIPTION Stoxiec To Be Vaed For Fron! Dapih Heigh! Ea2. Cas! Permi! Fae Aemuks ' -UO ~ . G ,y c: 06 ZZ ~SY I LOCATION Streel, Road or oiher Descriplion of Localion I Lo! Block AddilSon or Tzac! 136 5~~/.Q.P~ n P o~t, A f Aw This permif does not authorise the use of slreels, roads, alleys or sidewalks nor does it give the owaer or h3s aqen! the xight fo ereate any aituation which is a nuisance or whiah presenls a hazard fo the healfh, eafety, eonvanleaes and gene:al welfare !o anpone in the eommunify. THIS PEAMIT MUST SE KEPT ON E PAEMISE WHILE THE WOAK IS IN PROG.~SS. This is to eertify. !ha!-.~1~22:--- ~.-.............hes parmission !o exect a.. ~~a.~y.y.e.~..............................._upoa the above described premise subjeci io !he pro~6Ssions of all applicable Ordinances ior the Ciip of Eagan !'''nz-....2. Per ...L.,`J..'~/~G~ :..~.-Gt~L::.4:?!?7....."'•""'-'-_" Ma~yo~r Huildinp Inapecfori(`%~ CITY OF EAGAN N9 9512 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ / PHONE: 454-8100 (./~~/G~ BUILDING PERMIT . Receipt # ~ T. ba uaed Ier SCREEN PORCH Est. Volue $ 3, 500 pate SEPTEMSER 19 ~y 84 SiteAddreu 1368 WILDERNESS RIIN DRIVE Erect Cc occupancy R3 Lot 2 Biock 1 Sec/Sub. WILD RUN I qemodel ? Zoning Hi- Parcel No. Repair ? Type of Const, Enlarge ? No. Stories m Name J. JUSTAD - P. EDDY Move ? Length W Z Address SAME Demolish Depth A City Phone 454-8509 Grade ? Sq. Ft. Avororals Fae. o Name SAME ~U Address Assessment I Permit ' City Phone ~Noter 8 Sew. $urcharge • V~ 2 G Police Plon check ~ Name Firo SAC Address Eny. Water COnn. 'W City Phone Plnnner WaterMeter Council Rood Unit I hereby acknowfedge thot I have read this apPlicafion ond state fhat gldg. Off. Parks tha inlormation is correci ond ogree fo wmply with oll applicabla APC Total ~ $tute of Minnesota Stotute a d City of Eagan Ordinonces. Slpnaturc of Pertnittee w Var. Date A Bullding Permil Is iss ed o: J. TAD - P. EDDY on the expreu condifion 1hol pll work sholl be done in atcordante ith ol plica le S te _oDM' in ewta Statutes and Cify of Eo9an Ordinances. 8uildirp O4iiciol . . . ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN ZNCLUDE 0 SETS OF PLANS, ~c~ V Q CERTIFICATES OF SURVEY Q SET OF ENERGY CALCULATIONS To Be Used or• ~&W ValuationDate: ~qLf~ S1te Address: 1460 Lot:(:~' Block:~ Sect/Sub:LJJJ Erect: ~ Occupancy: Parcel Remodel: Zoning: R-i Repair: Type Of Const: EE" Owner: Enlarge: # Stories: Move: Length: 12 Addr Demolish: Depth: Zo City/Zip Code: Grade: Sq. Ft.: Phone -Stsf. d,Sp9 Contractor: Ar.; Address: ! Le~ Assessments: Permit: 49.~ City/Zip Code: Water/Sewer: Surcharge: Police: Plan Rev.: Phone Fire: SAC: Engr.: Water Conn: Arch./Eng: Planner: Water Meter Address: Council: Road Unit: Bldg. Off.: Parks: City/Zip Code: APC: n1,,,,,o4- Variance : ~ VILLAGE OF EAGAN ~3795 Pilot Knob R.oad Eagan, NYinnesota 55122 PEffiIIT NO.: 313 The Village o£ Eagan hereby grants to Wen2e7. Plumbing & Heating Inc. o£ 3600 Ketutebec Drive., Eagan 5$122 a PIANIDING Permit for: (Owner) Wenemenn Canetructton at 1369 Wildernesa Run Drive3 Pursuant to application dated 3/14/73 Fee Paid: $20:~_ dated this 2~h day o£ March ~ 19 73 Building Inspector itechanical Permits: t3id Total: . VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, biinnesota 5$122 PERhfIT N0.:--,22 The Village of Eagan hereby grants to lgava Koating &Mr Conai*i„„ing o£ 13075 Pi~eer Trail, Fdm Prairie, 55343 a HEATING Permit for: (Owner) Wenemann Conetruction at 1368 Wildernesa Run In'ive , pursuant to application dated 3/15/73 Fee Paid: tpo_pp dated this ppnd day of March , 19 73 .50 s/c Buildi.ng Inspector Mechanical Permits: 8id Total; YILLAOEOF. G9AM SEWER SERooCE PERMIT PERMIT NO.: 3793-PibtKnobRoed DA,I,E, MarCh ZO ~973 Eapan. MN S5131 R_1 No. of Un1te: Z'O1i"g` Construction Co. Owner: W~~~ Addnse: 13 Wilderness I0=1n Dr1ve Site Addrese: eg g nC. Wenz Pl~ g Plumber: Connectloa ChaQe: 240.00 d 3 14 I co~ ro eanoh~ 'IM' 1M Yq~ Account DePodt: p o~i~„ 0.00 pd 3 permtt Fee: 50 pd 3/20 Bunharie: Misc. CharYes: By Total: Date of InaP• : Date Petd: 3~20~7 3 - Inep.: YILUIOE OF EAOAN SEWER SERooCE PERMIT ~ PERMIT NO.: 379'4n7otKnobRoad March 20 1973 Eogan, MN 55122 DATE: ZoNng: R-1 No. of Unite: owner: Wensmann Construction Co: Addreee: s~~e naareee: 13$ Wilderness Run Dri ea ~g nc. Plumber: Wenze Pl~ ~g 240.00 pd 3/14 1 aqm to comply wIM tho Villape ef [apan Connectlon Charge: Ordinonees. Account Depoelt: 10.20 Permlt Fee: 50 Pd 3Z20 .Surchar8e: Mtac. Chargee: By: Uate of Insp•: To1al: DatePaid: 3/2OZ73 Inep.: RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651 •681-4675 ~y NewConstmcnonReauirements RemodellReoairReaunemems • i:egisterea site suneys ;ho•xing sq tt. of:oi. iq 9 af house, and all rooletl 3reas • : copies of plan (20°e max imum Io1 coverage allowed) . t sel of Energy Calculancns forheated atlCitions . 2,;opzs ai plan showing 5eam 3 Ninao•x siz°s, pouretl found Design, etc ) • 1 vle survey for exlenor aatldions 8 Cecks • 1;et uf "cnergy Calculanons . Indicate if home served hy seplic sys[em lor addincns • 3 copizs of Tree Preservation Plan if lol plaltee a%er 711193 . Rim Joisl Cetad Opnons selection sheet (hl0gs with 3 or less umts) DATE 7IfS" ~D~ VALUATION ~rLznO SITE ADDRESS MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK 7-i~i-~~ ~~c_•~'U/I/_ FIREPLACE(5) _ 0_ t_ 2 APPLICANT A'j,)EK-.e-,)U,0;.qg ef,6 . STRFET ADDRESS JIZV ~)(.e Q/_ . CITYit Z/_STATEM/U' ZIpt.- TELEPHONE # 912 f91-/9/9 CELI PHONE # _ _4L1 -1C.19 77(07 fAX # PROPERTY OWNER S~~fle TELEPHONE # G~~-~/S~/-D~ 7oZ ~ COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ A[[NVL:5( )"C.A RULLS 7670 C\Tr:GORl' I MIIVVL.S'OT:A R! LE5 7672 (d submission rype) • Residentiai Ventilation Category 7`NOrksneet Submitted • New cnergy Code'vVOrksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phonc # Plumbin g systcm mcludes: Water Softener [awn Sprinl;ler Fee 590.00 Water Hcatcr No. of R.I. Ba[hs \o. of liaths Mechanical Contractor: Phone # Mcchaniral Sy'titcm includr,: :\u' Condiuunins; I'rc: 570.00 I-[cal Rccocci}' Spstcm Sewer/Water Contractor: Phone # ~ l~l IC ~ t I -----------•--------------------•----------------------•-------------------------------------I`Ir 1 hereby acknowiedge thot I have read Ihis application, state that the information is codt~at7 e to com y with all applicable State of Minnesota Statutes and City of Eagan Ordinances. B~y SfgnafureotApplicant 2 - - T/C"7 OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Recerved _ Not Required _ Updaled 3102 OFFICE USE ONLY ? 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.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (J-sea.) ? 33 Ext Alt - SF ? 04 02-plex 0 10 OS-plex O 18 Oeck ? 23 Porch (screened) L3 36 Multi ? OS 03-plex ? 11 10-plex ? 79 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 72-plex Plbg_Y or _ N ? 25 Misceilaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 34 Siding ? 32 Addition ? 36 Move Bldg. ? 12 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration 0 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Final/Vo C.O. _ Foorings (addition) _ Plumbing Foundation H V AC Drain Tile Other Roof Ice & Water Final Pool Ftos Air,Gas Ttsts Final _ Framing _ Siding Smcco _ Srone Fireplace _ R.1. _ Air Test _ Finsl _ Windows (nzw/replacement) Insulation Retainine «'all Approved By , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ r l~ ~ 31 / MASTER CARD LOCATION / OWNER STRUCTURE AND LAND USED AS Issued 10 Permit No Issued CoMractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELKTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER ~ OTHER Approved Items (Initial) Date Remarks Distance From Well FGOTING SEPTIC ( FOUNDATION ~ CESSPOOL FRAMING TILE FIELD FT FINAL ELECTRICAL DEPTH HE4TING - OF WELI GAS INSTALLATION SEP71C iANK CESSPOOL DRAINFIELD PLUMBING 7-2 WELL SANITARY SEWER Violations Noted on Back COMMENTS COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EYENT OF OBSERVED VIOtATIONS 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 SU85TITUTIONS OR DEVIATIONS. O COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND ? NON-COMPLIANCE. BUILDER WILL COMPLY CONTROI. WITHOUT DELAY. ITEMIZFD AND DESCRIBED AS FOLLOWS: ? REIN'SPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospec[ive, and that I hava reported herein all significant conditions observed to 6e at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific requira- ments for off-site improvemen[s relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE CONJv1ENT5: / / ~ " ~ EAGAN 1UWNSHIP 3795 Pilot Knob RoEd St. Paul, Mianesota 55111 Telephone 454-5242 PEffiUT FOR WATER SERVICE CONNECTION Date: March 20, 1973 Number: 1117 Billing Name: Wensmann Construction Co. Site Addrese: 1968 Wilderness Ran Thive Owner: Billing Address P1umber:Wenzel Plumbing & Heating Inc. Location of Connection Meter Size Coanection Chg. 12/19/72 437rrF- Meter No ?2529980 Permit Fee 10.00 pd 3/20/73 .50 3/27/73 Meter Readinp~_. Meter Dep. - Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residence xx ~Fr. fOR idultiple no. Units Commercial I~,~P'~OPERLY IPdS1P.L~~~ ~~,~T~P.S. Industrial By: Other Chief Inspector In conaideration of the isaue and delivery to me of the above permit, I hereby agree to do tte proposed work in accordance with the rules and regulations of Eagaa Tawnship, Dakota County,.MinaesoGa. By ~~~iGR,,•~xd.~r~G-. ~ ~ Wenzel Plumbing & Heating frc. Please aotify the above office when ready for inspection and connection. ' MASTER CARD LOCATION OWNER STRUCTURE AND LAND USED A$ Issued To Permit No. Issued Contractor Owner BUILDING ~ PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INS7ALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING bS S w~ ~ fOUNDATION . ~II 0 ~$wCIPYf FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WEIL SANITARY SEWER . ~ 8z Violations Noted on Back COvIMENTS: i4e ~~/'t L/'~ 0 /n , v r - 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-COMPl1ANCE. 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. ITEMIZFD AND DESCRIBED AS FOLLOWS: ? REINSPECTION REOUIREO DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospec[ive, and that I have reported herein all significant conditions observed 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 the pro0eny inspected. O ALL IMPROVEMENTS ACCEPTABLY CO PLETED i BUILDING 1 PEGTOR DNTE COMMENTS: 7 / / 0 cii~ 23 June 26, 2007 Steven and Diane Page 1368 Wildemess Run Drive Eagan MN 55123 Re: Boulevard Sight Distance Obstruction Follow-Up Dear Mr. and Mrs. Page: A short time ago, you received a notice from the City of Eagan of a violation of the City ordinance pertaining to the installation and maintenance of trees, shrubbery or landscaping within the street right-of-way for your property located at 1368 Wilderness Run Drive. The purpose of this letter is to inform you that a follow-up inspection was recently performed by City staff and as of the date stated above, your property is now in compliance with City Code. For the safety of the traveling public, I ask that you periodically monitor your treesPoushes/landscaping in the future and maintain them in such a manner as to keep any vegetation out of the cleaz zone. On behalf of the City, I would like to thank you for your efforts in resolving this issue. If at any time in the future you have any questions regarding the cleaz zone or other right-of-way issues, please feel free to contact me at 651-675-5641. Thank you again for your understanding and cooperation. Sincerely Tom Struve Superintendent of Streets G:\Boulevazd Obstructions\Letters\200711368 Wildemess Run Dr - Thanks.doc City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1368 Wilderness Run Dr Lot: 2 Block: 1 Addition: Wildemess Run 1st PID:10- 84350- 020 -01 Use: Description: Sub Type: e - Fumace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746 -5200 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - equirements should be directed to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 $0.50 9001.2195 $50.50 Owner: Steven D Page 1368 Wilderness Run Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Issued By: Signature Mechanical EA084811 07/31/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153551 Date Issued:12/31/2018 Permit Category:ePermit Site Address: 1368 Wilderness Run Dr Lot:002 Block: 001 Addition: Wilderness Run 1st PID:10-84350-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steven D Page 1368 Wilderness Run Dr Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature For Office Use �, • • i Permit#: /�� .0 E AG N Permit Fee: rl v-,---v Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspectionsAcitvofeagan.com L 2019 RESIDENTIAL BUILDING PERMIT//APPLICATION Date: )/o f l7 Site Address: / 3 L i cue r� t;S S K.L1 `^ Pr- Unit#: Name: s4-e Pei — Phone: Resident/ Owner Address/City/Zip: 13 6 3- W ry 25j S ytc1 K P r Applicant is: Owner +—Contractor Description of work: AC' 't-10 S Type of Work Construction Cost: 4//6Multi-Family Building:(Yes /No ) Company: 4j1,€,SZ C rO S (D/i S" n4)-1Contact: A 6- me zgroS Contractor Address: 1.ze70 /g/..5-6e; yam _. City: A Oc lA 42 -i`- *I-- State: lilA/Zip: S-366 6"Phone: (v/Z-Z$1-(Mail: //� 7/s�Yo SCon p ya�7��/ Gdw` License#: iJG 6 7l i--3 Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression 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 City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeauan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.gooherstateonecall.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. /44' 2 e-i KG-S x K Applicant's Printed Name Applicant's Signature I—For Office Use C I , ,.. ,. 4,_r Permit#:.„ ao - s6 Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections@cityofeagan.com J 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5/2-3//7 Site Address: /3e 8. IV/ /C�er,1G•cc /OM 9y Unit#: Name: 6-71-euek-1 Pe U Phone: Resident/ owner owner Address/City/Zip: /J‘'e5) / rr� /dees5 iu v. Applicant is: Owner k----Contractor Type of Work Description of work: /2-e ✓O OC Construction Cost: /t 000 Multi-Family Building: (Yes /No/ ) Company: /,/QS Zai-- s (nn cI`YU G bon Contact: /1/1ei1<-- 71— Contractor Address: /29E9 ,7 /�/$&'7 /¢GN� city: �D.'e/ 9�r? State://, Zip: 55068' Phone: l Z - Z i/-Ozrfiail: /v.1S'zAr-'s'Carr r17-41c-X0'•1 •/4 tGi- 4a ,/1-,4//, G a,=-r License#: e�67//5:3 Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression 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 City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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 j(//e---4/74 /6W?1',7�ir�._S Applicant's Printed Name Applicant's Signature