1250 Wilderness Curve
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681,-4675
SITE ADDRESS: APPUCANT:
PERMIT SUBTYPE: TYPE OF WORK:
Lf
,
INSPECTION D• • DA
. r, 1 i!!t(*': ~ t,
I - _ ~
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
EIECTRIC
ELECTRIC
Inspectlon Date Insp. • Comments
<
Footings I 6
Foundation C ALI
Framing
Roofing
Rough Pibg. _ a
Rough Htg.
l5ul. 6,1~43 t- rc¢~ G-.~~ 3 s~
F~replece
Final Htg.
OrsBE Test
Final Plbg. Plbg. InspecKor - Natify Plumber
Const. Meter
EngrJPlan
Bldg. Final
cri
Deck Ftg.
Deck Final
Well
Pr. Disp.
, S
Wertificate nf ccc"anO
. ~
wit~ of Cfagan
ze0artment of 13uithiag a»epectiott
, .
~ . . . .
` This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regu[ating building construction or use. For the following:
` Use Classificati : SFDWG Bldg. PerFnit No. 20584
~ Occupancy Type R3' Zonm District R, Ty e Const ~
, . _
FtVlorW ~tsra~r: ~Mv~ va , ~ .
- Owner of Building - Address ~y~t
i
,m, ~~.~J iVa~uo
'ng Address Locality ~
Date- 08/.M7Q3
. "
' Building Official
, POST IN A CONSPICUOUS PLACE
y x7;
Address 1250 wU-nERNEss r-'[nzvE Zip 5512 3
i I - 10
Lot 24 Blk 2 Sub wrrDERNEss PorDs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: 9 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass ~
Trail/curb damage
Porch
Basement finish ~
Deck ~
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists:
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
Request Date Fire No. Rough-in Inspection
Required? ? Ready Now 0 Will Notify Inspector
-i Yes No When Aeady?
I;'~licensed contractor E) owner hereby request inspection of above electrical work at:
G
Job Addre Street. Box or Route No.) City
fss ~ S Uv"1Je_,-AVe_55 tJ' Ov t /f~•
Section No. Township Name or No. Range No. Coun
9
Occupant (PRINT) Phone No.
L~ilGtiJ!
Power Supplier Address
r
Electricai Comra or ICompany Name) Contractor's License No.
t~-~.~ '/710 "
Mailing Address (Contractor or Owner Making Installation)
v C> ~/+"dL
h
Authorized Signature nt ctor r Making Installation one Number
MINNESOTA STATE BOA D OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S•173 BE ACCEPTED BV THE STATE BOARD
1821 University Ave., St. Paul. MN 55104 UNLESS PFOPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR;ELECTRICAL INSPECTION es-00001-08
See instructions for co ypleting this form on back of yellow copy.
lo.
69621
Below Work Covered by This Request ~~4~~
ew Rep. Type of Buiiding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex ' Water Heater Electric Heating
Apt. Building Dryer , OtheF.(Specify)
Comm./Industrial urnace
Farm ir Conditioner
I tr (specify) ? Contractor's Remarks:
Compute /nspection Fee Below:
# Other Fee # vf6e Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool to 200 Amps If, - 0 to 10 ps ~
Transformers Above 200 Amps Amps
SignS Inspector's Use Only: TAL
irrigation Booms
i
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE NECTED IF NOT
Other Fee D COMPLETED WITHIN 18 MONTHS.,
I, the Electrical Inspector, hereby Rough-in /'A Date
certif that the above ins ection has
Y P Final Date ~
been made.
- OFFICE USE ONLY
This request void 18 months irom
~qaoo ~sO. 5 6
~S39G
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION-_
CITY OF EAGAN ~^1 r ~ ~ C 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
-1
Please complete for modifications to existing residential dwellings. 41 _ Date
Site Street Address D ~vZL F-S.S e- &elev e~ G,mcl l2i ev Unit #
Cc. 1I/ & 1z
Property Owner ~~ZI2 Y L-pA/DN C-2 Telephone
Contractor a rI" '_w « Telephone # ( )
vAddress City State Zip
The Applicant is: _ Owner _ Contractor _Other
Alterations to existing dwelling $ 50.00
~ Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. If you are installinq onlv a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Tota1 $ 5-0.SD
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, b t only an application for a
permit, work is not to start without a permit and work will be in ac ance with the approved plan in
the event a plan is required to be reviewed and approved.
~~'?~!2 ~ L~~~ r~ ly ~t ,
Applicant's Printed Name Appli t's Sig ature
~
t9.
~/3 - ~
2005 RESIDENTIAL BUILDING PERNIIT APPLICATION., ~c,,,~,a
City Of Eagan ~I 1j ;;'~HY 1~ 766 I' ~
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeURepair Reauirements Office Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N,
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required;: _ Y' N
1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _.Y N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
/
Date U 5 Construction Cost
Site Address 42512 4' l2 d' G- Unit/Ste #
~'it 5S a.
Description of Work
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 2
.s ~
Property Owner _nwly 62 Telephone # 5;70 Iz-1 -7
Contractor /y/4 L,C Z .4L00Z c`~ b y-Iy 42
Address Cih'
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateizoEy 1 Minnesota Rules 7672
Energy Code Category . Residentiai Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission e) Submitted Submitted
~'p
. Energy Envelope Calculations Submitted
Have you previously constructed a buiiding in Eagan with a similar pian? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephone # ( J
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, agd work is not to start without a
permit; that the work will be in accordance with the approved plan in th of work which requires a review and
approval of plans.
Applicant's Printed Name ppl' ant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bidg
? 02 SF Dweliing ? 08 06-plex ? 16 Fireplace 0 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 ? 10 08-plex ? 18 Deck 0 23 Porch (screen/gazebo) ? 36 Multi Misc.
0 05 03-plex ? 11 10-plex 111~ 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
~W 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 6>mg Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) ~ Final/No C.O.
_ Footings (addition) Plumbing
_ Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
~ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
~ Insulation _ Retaining Wall
Approved By: , Building fnspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total ,
RESIDENTIAL
BUILDdLNG PERMIT APPLICATION ~
CITY OF EAGAN ~
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 ~
New Construction Reouirements RemodellReoair Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20°/a maximum lot coverage aliowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks
• 1 set of Energy Calculations . Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 711/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE lG -ZS^ ~ Z VALUATION
SITE ADDRESS IC\-p 1(VWsS C Ckv v''Q MULTI-FAMILY BLDG _ Y
TYPE OF WORK --A- 9--- 'vlo C.~~ FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT C o\A22~--
STREETADDRESS ~SSS tw~¢~~t',S~C~ ~~vc~w1 ~ STATE M~ ZIP ~~3 I
TELEPHONE # 952~55~ ~1'Ze'z'CELL PHONE # FAX # ~tS2~'ggN~~C~~~
PROPERTYOWNER ? ~~~`7 L-<vl CJ'e P^ TELEPHONE# Ca5l- `~S& -6021S
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 _ MIN WPRLfiSW7R
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • Ne ergy Code Worksheet S itted
• Energy Envelope Calculations Submitted J UN 2 5 Z002
Plumbing Contractor: Phone # By
Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
i hereby acknowledge that i have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-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. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Foorings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ 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 I
Copies
Other
Total
T . ~ PERMIT a 3 q/0 I
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road
Permit Number: ' '
Eagan, Minnesota 55123
(612) 681-4675 Date Issued: " ~ '
SITE ADDRESS:
1. ? !h ~.•:I I I CJ f'~t S l, U..'~~ ~
i f:)T; l.. C) K
' w i , rJ Ic :3 i.,! C)
15 DESCRIPTION:
~
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REMARKS:
FEE SUMMARY:
r! , _ c:~ ,
, , i_ v r-, r 0
%i 15 b ti) rI 1.; I-
C
S 11 h t,: o "i`: a 1 b c,
I
CONTRACTOR: , . 1_ ~ G OWNER:
f
f'...I:VF_F.", `„'f,`.w CC?i~!`al 8 1:r6 E'y '.}00 f;b
t'r i - 1. I
r., ,I H 1t 0 , T V f- w;
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. . ~,~..4i.. e, ti3. r3 N: t i;i f t ° ~cl t" £at r"$ 0, 4 c; `-a ' . . , . . . _ . ,
/ n
~ y,..,,> ~J~A ~ ~
APPLICANT/PERMITEE S NATURE ISSUED BY• SIG ATUR
~ - - ~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
~j -l F ~
i_ 2 %7 1.,17: i_ O r= f t i••~ t~ i~ l.; ~..t. L i~ 1, l r_-: 6J i: n: aS -
1."i 1 i i i i~l lf: 7' l) i%l 1..'
PERMIT SUBTYPE: TYPE OF WORK:
S~ i' 0 1; (is I`.f E J",J
INSPECTION DA • DA
F, Q 0 i J: I'l. G R; i i'r; ;,I "
7 f,l ;i l,i I f-Y T 10
1;,J [:r L ii i'i
~
REACTIVATE _ CITY OF EAGAN
PERMIT-#; ` 1993 BUILDING PERMIT APPLICATION
t 681-4675
C~ 31
SINGLE & MULTI-FAMILY 2 sets of pians, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 3' Valuation of work
Site Address;
STREET SUITE ~
Tenant Name: (commercial only)
LOT `i BLOCK SUBD. P.I.D. o '
Descri tion of work:
The appl i cant i s: ? Owner ? Gontractor ? Other (Describe)
Name ' Phone
Property LAST FtRST
Owner
Address X
STREET STE !t
City _ State Zip
~i v'e-Company Phone
" S~"• ~
Contranctor Address License # a Zi-txp ~
~
C i ty S t a t e Z i p
Architect/ Company Phone
Engineer Name Registration #
Address
City State ZiP
? .
' 9 time for
Sewer & water licensed plumber Processin
sewer & water permits is two days once area as ~een app o ed.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with ali appiicable State of Minnesota Statutes and City of.
Eagan Ordinances. .
Signature of Applicant:
OFFICE USE ONLY
. . r
BUfLDtNG PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging .~16 `Ba~emer~,~inish
~ 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ~ 0 17 Swim Pool
03 SF Addition ? 08 8 Plex ? 13 Garage/Accessory ? 18 Comn./Ind.
? 44 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~ 31 New O 33 Alterations O 35 Tenant Finish 0 37 Demolish
? 32 Addition ? 34 Repair 0 36 Move
GENERAL INFORMATION
Const. (Actual) y- N Basement sq. ft. MWCC System 1_/E_5
(Allowable) v- lst Fl. sq. ft. Gity Water yE13
UBC Occupancy 2nd F1. sq. ft. PRV Required ~
Zoning ~-t Sq. Ft. total Booster Pump
# af Stories Footprint Sq. ft. Fire Sprinkler
Length: On-site well Census Code /0
Depth On-site sewage AC Cod p
APPROVALS e
Planning Building Assessments
Engineering Variance
REQUfRED INSPECTtONS
D Site C) Footing O Framing ? Insulation
? Wallboard O Final O Draintile ? Fireplace
Permit Fee vetuati«,: g ~ o 0 C)OO
Surcharge Q,
Plan Review 32 •,c 2j3 ; 896. license 64 MWCC SAC
city sac ~ 9 q 8 x t~.= 13$~8 I
Water Conn. yg X 3g ig6 2. ~
Water Meter
Rcct. Deposit 2`Y. (z ti ia)
S/W Permit 2
S/W Surcharge
Treatment P1 . 15'gq X 15- 23 910
Road Un i t ~ST ~~-oQt2; ,
Park Ded.
Trails Ded.
Copies . ~
Other
Total : 2 N~ ~"-~c~~q o
SAC % ~D~ ~xc~qw 1+~°~p
SAC Units
I ~1 Xi~"11z~~ ~ ~ r) 5,0040
L4
I38~ X 19~,1~'
REACTIVATE _ CITY OF EAGAN t~
PERMIT-#, 1993 BUILDING PERMIT APPLICATION $
P
it 4 - 681-4675
vi~.~ 3 31
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: i~~.~~,~~,1~
STREET SUITE *
Tenant Name: (commercial only)
LOT ~ BLOCK ~ SUBD. P . I . D . ~k .
Descri tion of work:
The appl i cant i s: ? Owner O Contractor ? Other (Describe)
Name ' Phone g~F9' --/3~S
Property LAST FIRST
Owner
Add re s s
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: '
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
r) f- I,'. - , j ~ „i , :'.ti~ , [ : ~ iw 0 i~,I~
~r l. J , [ .i ..T
C~~ 1 2 ii F,
PERMIT SUBTYPE: TYPE OF WORK:
~ F t) CS L W'
INSPECTION •A • 'A
i' i i I:I 1 I':' i: ; I"
.C rl ti U 1,. A I.I: N i I P+': A
77:_
e . . , . , . . ; . . - . , . . • _ . , . . , e , v. e _ . , .
F7 . . . . . , , . . , . . . v . . . . _ , . .
, _ , - . . . . . .
e
, e_ e . . . ,
e „ .
OFFICE USE ONLY
BUILDtNG PERMIT TYPE ~
+!~t? ,
r . 9,.
? 01 Foundat i on ? 06 Dupl ex O 11 Apt./Lodg i ng 16 Ba„,emeni n i sh
,§d 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ~ 0 17 8wim Pool
? 03 SF Addition ? 08 8-Plex 0 13 Garage/Accessory 0 18 Cortm./Ind.
O 04 SF Porch ? 09 12-Plex 0 14 Fireplace 13 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck O 20 Public Facility
O 21 Miscellaneous
WORK TYPE
fX 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 tiemolish
O 32 Addition 0 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) y- N Basement sq. ft. MWCC System yZ3
(Allowable) Y- lst F1. sq. ft. City Water y~-
UBC Occupancy 2nd F1. sq. ft. PRV Required ~
Zoning Sq. Ft. total Booster Pump
# af Stories Footprint Sq. ft. fire Sprinkler
Length ~y~- On-site well Census Code /0
Depth (OP-0" On-site sewage AC Cod p
~20u,~
APPROVALS
Planning Building Assessments ,
Engineering Variance ~
REQUIRED INSPECTIONS
? Site 0 Footing ? Framing O Insulation
? Wallboard 0 Final 0 Draintile ? Fireplace
Permi t Fee veluat;«,: $ ;Zo t? c)00
Surcharge C~q-n;~.~., 3 2
Plan Review u 28 89( .
License q x 1-Z
MWCC SAC Sz M-S- ~ .
C i t SAC a q8
Water Conn. yq X 3g ~ ~ g6Z n,~`
Water Meter
Acct. Deposit ?-Y. a
S/W Permit Z. 14.1J
S/W Surcharge
Treatment P1 . ~ I Sq q XI5.~ 2391 D "
Road Unit Sj. F`QOf~; ,
Park Ded.
Trails Ded.
Copies •
Other 16`o N
Total:
Z N,~ 1''-r..~o~ o
SAC % ~ox(4 9= 1q'7U
SAC Units _L 6x)qy,~ ~
~0 "20 .
I W X(.2)p~1) r) 5; ~t~~
- - - - - I 3~~ X 19~' 1 °
ic
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pESG..R:1 PT t r~til
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WILQER~.IE~j~ Po~ D51
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t3A;5EME~T Et~. 94ea . 2
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I hereby certify that this survey was prepared-by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the Laws of the State of Minnesota.
Dat e : / iy" ..0iC . !l
Le oy H Bohlen
Registered Land Surveyor No. 10795
. ' ' . •
LOT Su'RPtY CSZCILIlT !OA 312iSDZltTZ11L
BQILDIxO tillll2T UPLICITZON
28.4.pLRTY LZa~L= ~ •
Dit• Ot iutTeyi
92cID'SLv'!' tT1trTD14rQ
~0 0 • Reqist•z•a sar,a survoyor aiqriature and ampany
~ 0 0 • 8ui'lding parmit 1lppiieant _
0-13 0 • Legal descziption '
0 0' 0 • Addrtss 0 0 0 North arrow and bar scai•
~ D 0 • House type (samblsr, valkout, split t?/o, split atitzy,
lookouL,~tc.) '
~ D 0 • Directional drainaqe arrovs vith a2ops/qzadiant 4.
D O' 0 • Proposed/sxistinq ssvsr and wtez strvicss
W0 0 • 5treet name
Pr 0 0 • Driveway
=LEvATioWs
~~.83 D 0~0 • Seuer service
D~ 0 0 • Lot corners
D 0 • Top of curb at the drivevny
D' 0 0 • Elevations of any txisting adjacont Domet
~ D 0 • Garage ilocr
L'~ D 0 • Fizst fioor
G~ 0 0 • Lowest •xposed •lovation (walkout/window)
D D • Property eorr,ers
1~ D D • Front and reaz oi bems •t the toundation
p02.'DING !?REl?B (it <RDSiCible)
• Easement line .
0 ~ 0 • xWt,
0 Dr 0 • xk•L 02r 0 • Pond # desiqr,ation .
D 0" D • Zmerqency Ovarflow Elevation
pt~N6zoxs .
~ D D • Lot lines .
D 0 • Right-ot-vay and stze:t vidth (to baek oi eurb)
~ G 0 • Proposed bome dimensions inelydinq_any propossa atcks,
overhanqs qroater tban 21, porebes, etc. (i.s. ail
structures reqvirinq permanent Zootinqs)
~ D 0 • Show all •asements of secozd and any City utilities vithin
those sesements
D 0 • Setbacks of pzoposed structure and •etbsck of sdjacent
•xirsting ho s
n D • Retaini s sments, if any .
• Revieved: 67
Nam
Lo oxZ-
L
. y> .
V~~ , .
14750 Galaxie Ave. Suite 104
Apple Valley, Minnesota 55124
(612) 432-2044
EXTERIOR ENVELOPE AVE,'RAGE "U" COMPUTATION
NbSTz-- Dr.AnT NUOMER
Detexmine working square footage of each
1. Total exposed wall area. . . . . . . ~?)j sq. ft . X .11
,
' 2. Total roof/ceiling area...... IC~O'S sq.ft. X .026 Total exposed wall area above floor
a. Total wall window area ~?~~~615
b. Total door area
c. Total sliding glass door a.rea........... *7
d. Tota1 fireplace wall area
e. Tota1 wall framing area (average 10%)... 'NO.a Total net wall area above floor g. Tota1 rim joist area
Total exposed foundation area = 95*
h. Total foundation i•aindow area i. Total net foundation area above grade... 'Z ~Z C'
Determine "U" value of each wall sepanent
a. S`~~jG!5 nUn
b • X utT" 11~9 = 5.1949
C. x iiUir .52 d. ; X "U" .68
= ~
T
e. ~4 4. b X nUrr .096 = 32,'! 11, ,
f. 2.t~GoZ 1"7 5 X "U" ,043 - ~ lq. qqg
g, Z Sl ..72 X "Ull .041
= 1 c~
h. X rrU'? . _52
i. to X nUn .032 3. ToTa.L . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If item #3 is the same as, or less than item #1, you have
met the intent of SBC 6006 (c) 2.
,
-
Total exposed roof/ceilirg area = i(o C)5
Total gross rocf/ceilirg area
j. Total skylight area .m.~~
k. Tota1 roof/ceiling framing ar.ea. ~ f~0, 55
1. Total net insulated roof/ceiling area. I a.t Li t4,5
Determine "U" value for each roof/ceiling segment
~ .s...~• x ifUrt _
.
k. X irUir ,024
.
1. x ?'U~~ ,p,~? ,t~1~ .~'-1~'~
4. TOTAL ..........................n-..1,an.
If to
tal of #4 is the same as, you r.ave
met the iAtent oi SBC C0.06 (c) 1, :
To utilize the total envelope system method, the.values
established b~ the sum of items #3 and #4 shall not be
greater than the swn of items #l and #2.
1. + 2. _
3. + 4. _
~ Materials Thermal resistance "R"
Exterior air.........
Siding material.......
Sheathinp ;
Insulation...........
Sheetr.ock............ `
Interior air.........
Studs
Rim
Concrete blocks......
-2-
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1993 PLUMBING PERNIIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
NO. FITURES 'ACH ~OTAL
SHOWER 3.00 3.~ v
~ WATER CLOSET 3•00
BATH TUB 3.00 4 . ~
~ LAVATORY 3.00 /a • o-12
KITCHEN SINK 3.00 3 • cr-tc>
LAUNDRY TRAY 3.00 3. ~
HOT TUB/SPA 3•00
WATER HEATER 3•00 3. FLOOR DRAIN 3,00 3. ~
GAS PIPING OUTLET • min?mum • 1 3•00
ROUGH OPENINGS 1.50 _5 v
WATER SOFTENER 5•00
PRIVATE DISP. • Dak.Cty. lic. 15.00
U.G. SPRINKLER • eome under oonsc. 3•00
ALTERATIONS • to adsting 15.00
WATER TURN AROUND 15.00 5 0
STATE SURCHARGE .50
TOTAL: 0 0
SITE ADDRESS: O /-Zi
OWNER NAME:
INSTALLER: ~ ~
~
ADDRESS: /2'e
CITY: S 4' ot'- e-e- b- ° STATE: ZIP CODE: ~
PHONE 1-7
GNATURE OF PERMITTEE
. 4
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1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMBffiRCIAL,/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUPLDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UNiT.
~ NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPT'ION:
CONTRACT PRICE: $
FEE: 1°k OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF FEE.
MINIMUM FEE: $ 25.00
CONTRACf PRICE X 1% $
STATE SURCHARGE $
TOTAL $
I
SITE ADDRESS:
TENANT NAME: ~ STE, #
OWNER NAME:
INSTALLER:
ADDRESS: `t- 1~
CITY: 5 4- 4,-_,. ~-P STATE: ~ ZIP CODE: ~S~ ~ I
PHONE
~
FOR: ~
CITY OF EAGAN APPLICANT
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1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - -
~ NEW CONSTRUCTION
ADD-ON A/C
~ ADD-ON FURNACE
DATE M6 Z -l q 3
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH)
ADD-ON/REMODEL (ExISTING CoNSTRUCTION)
STATE SURCHARGE .50
TOTAL
~
SITE ADDRESS: 1.r'~0 U~'/a5;i~'
OWNER NAME: TELEPHONE a C,
INSTALLER: 0a tS 4cft'hklc~ L
ADDRESS: I LtjE-1
CIT'Y: ~ n5vw b STATE: ~n ZIP CODE:
TELEPHONE avc)
SIGNATUR OF PERM E
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1993 MECHANICAL PERMIT (CONIlVIERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL,/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUII..DINGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
-
DATE: - ~ CONTRAC'T PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF 9M;XgAg FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENT'S ONL1)
INSTALLER:
ADDRESS:
CIT1': STATE: ZIP CODE:
TELEPHONE '
SIGNATURE OF PERMITTEE CIT'Y INSPECTOR
2007RESIDENTIAL BUILDING rERMiT APrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodellReoair Reauirements Office Use OnN `
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Ced of Survey Recd _ Y T N
(20% maximum lot coverage allowed) 1 set of Energy Calcula6ons for heated addiUons Soils Report ' ; Y_ N
1 Soils RepoR if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Ptan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. Addfion - indicate if on-site septic system Tree Pres Reguired Y_ N
1 set of Energy Calculabons On-site Septic System Y_.N
3 copies of Tree Preserva6on Plan if lot platted after 711193 A-7"y' f
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ven6laGon form Aon.
~I {
Plans are considered ublic information unless ou state the are trade ~nd tke Date IZ_ / -2 3 / 2 2 Construction Cost Site Address J ~-X-Li2 c'-~i ?J F 5 5 0- 14 4?..(- Unit/Ste #
Description of Work 4?Z 0 v L tt<4 c-, tv4-1- L-'
Mutti-Family Bldg _ Y N Fireplace(s) _ 0_ 1 _ 2
Property Owner ;~(~N/{ % L. ~'!k?,,~~;/~~ t Telephone # U .
Contractor
Address City
State Zip Telephone # ( )
COMPL.ETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet ,
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
, In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plurnber Telephone # ( )
D
• , . , ° ~ hone #
2
Mechanical Contractor NflV 2 ~ 007 Telep ( )
Sewer/Water Contractor Telephone # ( )
. I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will ~be in confiorix?ance°wrth the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understan~Ahis~-is ot a permit, but only an application for a permit, and work.is not to starf without a
pertnit; that t&,r k will be in accordance with the approved plan in the case of work which requires a review and
appro o plans.
o~ ~ / ~r?~ 1 -1*"N/7 IY F~
Appl" nt's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
,4 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 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
0 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
0 31 New ? 35 Int Improvement ? 38 Demolish Interior 0 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
P( 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
0 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
D@SCI'Iqt1011: Water Damage Yes ~
G~G f-
m
Valuation ~2 ~ Occupancy MCES System !
Plan Review j~ 100% or 25%
Census Code ~f 3~l Zoning City Water
SAC Units Stories - Booster Pump
# of Units Sq. Ft. --PRV
# of Bldgs Length Fire Sprinklered -
~
Type of Const Width
REQUII2ED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck). FinaUC.O.
_ Footings (addition) Fina(/No C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
~ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. Air Test _ Final _ Windows
_ Insulation _ Retaining Wall,
Approved By: 4/0 , Building Inspector - -
-
Base Fee _30
Surcharge ~
~.~~,~Y
po,
Plan Review A z
MC/ES SAC
City SAC Utility Connection Charge - I
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other :
Total
Use BLUE or BLACK Ink
I-----------
l For Office Use 1 I
rte. I
1
Clty of Eap I Pernik#:
I Permit Fee:
3830 Pilot Knob Road 1
Eagan MN 55122 I Date Received:
I
I
Phone: (651) 675-5675 l
Fax: (651) 675-5694 j staff. I
L
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I 3 Site Address: (AM 1'i 161 rnogs CJuLy-y Q- Unit
I Name: t~V IT~ ( y1A l 1 Phone: U f a- 3U-- O
I Resident/
Owner Address/ City / Zip: - / C ry~, 3 3
Applicant is: Owner V Contractor
'
Type of Work Description of work: n+
Construction Cost: 11 V` cc • tb Multi-Family Building: (Yes / No V/ )
Company: Cat Y l , ru L ~ ~ ~ontaC#,
Contractor Address: ! V ~ t
State: M V 1 N Zip: Phone:
CC -
LV
AO4
License 5,30 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
9 NOTE. Plans and supporting documents that you submMare considered to be public information. Portions of
I the information may be classified as non-public if you provide specific reasons that would permit the City to
L conclude that they are trade secrets.
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.org
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 Code must be completed within 180
days of permit issuance.
x_afte:)Yfl6J._[bf(1nc~m - x
Applicant's Printed Name ! Applicant's Signatur
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129761
Date Issued:03/12/2015
Permit Category:ePermit
Site Address: 1250 Wilderness Curve
Lot:024 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-240
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
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 -
Terry E Lindner Tstes
1250 Wilderness Curve
Eagan MN 55123
Cedar Creek Construction
23383 Redwood Ct NW
St Francis MN 55070
(612) 564-6888
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176985
Date Issued:06/09/2022
Permit Category:ePermit
Site Address: 1250 Wilderness Curve
Lot:024 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-240
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Terry E & Kathryn A Tstes Lindner
1250 Wilderness Curv
Eagan MN 55123
(612) 868-0430
North Country Installers Inc
12881 Yellowpine Street NW
Coon Rapids MN 55448
(612) 412-3095
Applicant/Permitee: Signature Issued By: Signature