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