1253 Wilderness Curve
CASH RECEIPT
~
- - CITY OF EAGAN
3830 PILOT KNOB ROAD
• `N
EAGAN, MINNESOTA 55122
DATE
~ . d
pECEIVED ~1•. , 7 3
..,V
AMOUNT
- & DOLLARS
~ ,oo
O CASH CHECK
FM
f
_ FUND OB,IECT AMOUNT
:i
9
l
~
Thank You
BY
Nj~ 1 ~r,F%~ , ~ Whit~Payers CoPY
~1't f Yellow-Posting Copy
l,i ?.1 Pink-File Copy
i
• :
c . . `
_n c, a_ , ~..w,.:~,s : ,u:.~. .i: a ~ a. - . . . - -aS
BLDG. PERMIT N0.
01-3210 Bldg. Permit
~ 01-3422 Plan Check
01-3445 Surch./Adm.
? 01-3446 SAC/Adm.
01-2155 Surcharge -7 Q
°~'3-3860 Road Unit CC
20-2275 SAC
20-3865 Water Conn.
;
20-3868 Water Trmt.
20-3716 4:ater Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
~L
~-3855 Park Ded.
TOTAL
CITY OF EAGAN M~ 24
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100 BUILDING PERMIT Receipt
To be used for SF ~~/(;AR Est. Value $i44r000 Date "R1L 13 ,19 88
Site Address 1253 WILaBAHESS CL:RYE OFFICE USE ONLY
23 2 b~IL?ERI+1E5S POt~lDS On Site Sewage Occupancy ~'3
Lot Block Sec/Sub. MWCC System X Zoning R-1
ParCel No. On Site Well (Actual) Const V!N
oc Name OZWIN-pEDSRSQN+ ZNC Citywater X (Allowable) Y~'4
W Address 15136 (~A1.AXIE AVE PRV Required # of Stories 1
o PPLL VALLEY 431-5000 eooster PumP Length $1
City ~ Phone ~5 ~
Depth
¢ Name SAM S.F. Total
o •
~ Q Addfess Footprint S.F.
~ City Phone APPROVALS FEES
718.t3U
~ a Engr./Assess. Permit ~
W
W y, Name
~ Planner Surcharge
_z Address ~p0
Q W City PhOne Council Plan Review 100 ~
Bldg. Off. SAC, City 5~:00
I hereby acknowhedge that~ve read this application and state that the Variance SAC, MWCC
information is correct and ree to comply with all applicable State of WaterConn. 550'00
Minnesota Statutes and Ci of Eagan Ordinances. 67.00
r, : Water Meter
Sigl~ature of Permittee ~ 'Road Unit 325•00
A Building Permit is issued to: OZHR+N-PEDERSRNo I.NC Treatment P1 -70-4-.-ff
on thgexpress condition that atl work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks 2'945.uu
TOTAL
Building Official I
. , , „ ~ . w,~ , : : _ . ~
CASH RECEIPT
. CITY OF EAGAN
3836 PILOT KNOB ROAD
~ EAGAN, MINNESOTA 55122
~
DATE ' ~ ~gtJ t
RECEIVED
FROM ~ ~ . ~1:. '`i-.. . 5
AMOUNT
~ t
w
~ - & DOLLARS ;
,w
? CASH CHECK :
S. Forr -I
FUND OBJECT AMOUNT
v~
Thank You
sv
- ,7
White-Payers Copy °
Yellow-Postin9 GoPY t
r4~i Pink-File CoPY
~ . CITY OF EAGAN
3830 Pilot Knob Fioad, P.O. Box 21-198, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est. Value Date ,19
Site Address OFFICE USE ONLY
Lot Block Sec/Sub. On Site Sewage Occupancy
MWCC System Zoning
ParCel No. On Site Well (Actuaq Const
ac Name City Water (Allowable)
W PRV Required # of Stories
3 Address
~ City Phone Booster Pump Length
Depth
, o Name S.F. Total
~ Q Address Footprint S.F.
City Phone APPROVALS FEES
u a Engr./Assess. Permit
WWW Name
~ Planner Surcharge
~ g Address
a Council Plan Review
¢ Z City Phone
w
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
Water Meter
Signature of Permittee Road Unit
~
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL
Building Official
` Permit No. Permft Holder Date Telephone #
Plumbing
,
H.V.A.C. 9d~ ,
y ~
Electric
~
Softener
Inspection Date lnsP. Comments
Footings I
Footings II
Foundation
Framing
o S.
Roofing ~ pQ
Rough Plbg.
Rough Htg.
Isul. ~
Fireplace $
Zge
Final Htg. L,
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
E N . . .~~V . -.n . . . . . . .
PERMIT #
- , ~ MECHANICAL PERMIT RECEIPT # ~
' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: '
CONTRACT PRICE: PHONE: 454-8100
Site Address
BLDG. TYPE WORK DESCRIPTION
Lot Block c/Sub
Res. New `
~ : • . y. Mult. Add-on
~ Name
Comm. Repair
m Address
c Ciry Phone ~ Other
FEES
Name
~ RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. ~ CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ' $ ~ • BEYOND $1,000)
Other $ FEE: ' - ' j~-~
S/C: SIGNATURE OF PERMITTEE
TOTAL: I- ~
k:.
FOR: CITY OF EAGAN
- . . . _ _ , . _ . . . . _ . .
Z
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN _
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block SeclSub Res. F New
Mult. Add-on
~ Name " Comm. Repair
ca Address ' -~''k•* Other
c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- NQ FIXTURES TOTAL
Water Closet - $3.00 $ 1
Name Bath Tubs - $3.00
3 Address Lavatory - $3.00
p City Phone -2-Shower - $3.00
° Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1°ib OF CONTRACT FEE =Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES ~ Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES ! Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 q--Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
• Private Disp. - $10.00
tK.;~.,' "~„a ;Y . :ri"..~`~'~-..•4 Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE: - `
STATE S/C: `
FOR: CITY OF EAGAN GRAND TOTAL•
RECORD I Control No. 'vY
INSPECTION
CITY OF EAGAN PERMIT TYPE: oultozmo
3830 Pilot Knob Road Permit Number: 00 t .'qT
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: tOTs~1 BLp,;k;APPLICANT:
WIi.DERNESS CURVE VOM RUnEN CtJflSfi, STEVE
W[L0ffi11tS5 pONpS (612) 469-6721
PERqI~TytSycB,T,YPq;IIx,',H TYPE OF WORK: n i. Y"Ar z oN
INSPECTION .
f it A MI 1 N(.l t- i IU Al
fi
PermR No. Permit Holder Date Telephone N
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectfon Dete Insp. CommeMs
Footings i
Foundation
Framing • 7-Roofing
Rough Plbg.
Rough Htg.
u S~ 2 k.~
Isul.
Freplace aJ
Finel Htg.
Orsat Test
Fnal Pibg. Pibg. Inspector - Notify Plumber
Const. Meter
O
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
` ~ ~
Date: 4 -19 R
CITY OF FAGAN Permit No: 740 Size: s t OC
3830 °iIc*t Kr.~ab Road Meter No:
P.O. tiox 21199 Reader No: Date: .
Eagan, MN 55121
~~''edersn,;. - ;c.
Owner. '
1253 lailderness Curve i~?3 T~? I:;i-10enless Poncis
Site Address:
Plumber. 101,11 °n u~b in,
550. ~~1rc,. Rl
Conn. Chg: ~
N ~ Pi!jts:
Acct. Dep:
Permit Fee: 5 ~ A,~.,+
Surcharge: - YI abre~e'~d?comply with the Cfty of Eagan
~ Ordinances.
Tr. Plant - '
Meter. 67-iDo a - /J
Misc.:
WATER SERVICE PERMIT
_ . ~
~ ~ 1~ ~
CITY OF EAGAN Permit No: Y y Date:
3830,Pilot Knbb Road Meter No: Size:
P.O. Bpx 21199 Reader No: Date:
Eagan, MN 55121 Owner.
1~ 5? ;;il :erneAS 32
Site Address:
Plumber. .?o.'czrsan i'xc l''=~inE'
i P" Zoning:
Conn. Chg:
Acct Dep: No. of Units:
20 . J • c:
Permit Fee:
Surcharge: ' 0pi I agree to comply with the Cfty ot Eagan
Tr. Plant 20 ' ",pe Ordfnances.
Meter r,7
M isc.: By
WATER SERVICE PERMIT
-.•+.~r u -1.`?_..
CIfY OF_EAGAN Permit No: Date:
3830 Pilot„gnob Road B/P No: ' Date: 1
I P.O.Box21b9
Eagan, MN 55121 j
Owner. ,-nt,n `er so:. 1a.r .
k';e.rr.ees Curve L21 Q?
Site Address: 12-#3 Wf?
Plumber. Johnse i i••r1h in~
MWCC: Zoning•
City Chg: No. of Units:
Acct. Dep: 'I agree to comply with the City of Eagan
Permit Fee: : Ordinances.
Surcharge: -
Misc.: By ,
SEWER SERVICE PERMIT
CITY OF EAGAN NO- 14 8 2 4
3830 Pilot Knob Road, P.O. Box 21 •199; Eagan, MN 55121 -
PHONE: 454-8100 2C-2 ti.
BUILDING PERMIT Receipt#
To be used for SF DWG/GAIt Est. Value $144, 000 Date APRIL 13 ,1 g 88
Site Address 1253 WILDERNESS CURVE OFFICE USE ONLY
Lot 23 Block 2 , Sec/Sub. WILDERNESS PONDS On Site Sewage Occupancy R-3
MWCC System X zoning R-1
Parcel NO. On Site Well (Actual) Const V-N
oc Name OZMUN-PEDERSON, INC City Water X (Allowable) V-N
z Address 15136 GALAXIE AVE PRV Required # of Stories
3 Booster Pump Length 81'
0 City APPLE VALLEYphone 431-5000
Depth 45'
, o Name SAME S.F. Total
~ Q Address Footprint S.F.
i-` City Phone APPROVALS FEES
Engr./Assess. Permit 718.00
F W Name planner Surcharge 72.00
= Z Address
~ Z Cit Phone Council Plan Review 359.00
°C w Y
a BIdg.Off. SAC,City 100.00
I hereby acknowledge that ve read this application and state that the Variance SAC, MWCC 550.00
information is correct an a ree to comply with all applicable State of Water Conn. 550.00
Minnesota Statutes an i of Eagan Ordin s
Water Meter 67.00
Signature of Permitte Road Unit 325.00
A Building Permit is issued : OZMUN-PEDERS , INC Treatment P1 204.00
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL 2~945.Q0
Building Official I I.R11 f~l 11
This request void 11~! / 9 ~
18 months from K <9 ~j
T 9 ~0 09 ~ 1 j ' to~~~~'~.,-
Requ4~ est Date Fire No. Rouph- inInsVertion
~ / Required? ? ~Ready Now0Wto~ll Notify. Inspec-
~Yes No r When Ready
Y ~
Licensed Electrical Contractor I hereby request inspection of above
? Owner electrical work installed at:
Street Address, Box or Route No. C ity ~ `
S,~ ~Jd`/d,~~eJ,~ C:u~vc Y~' 7
ecuon o. Township Name or No. Range No. County
k
Occupant (PRINT) Phone No.
0 /:i~
Power Supplier I Address
0-r9x a'~,9
Electrical Contractor (Company Name) Contractor's License No.
'44,o ~ ~ ~ oc-cl"W%'c &O C~ ~ /l J 2_
Mailin Address (Contractor or Owner Making Instailation)
Author ed ignatu'~r (CAontractor/ wn r Making Installation) Phone Number
I~u~~ `l Z 3 - y1-3 P
MINNESOTA STATE BOARD OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway BId9• - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
Phone (612) 642-0800
REQUEST FOR ELECTRICAL INSPECTlON « EB-ooooi-os
't , See instructions for compteting this Eorm on back o1 Yellow copy. / o
~
96009 "X" Below Work Covered by This Request
Add Rep. Type ot Building Appliances Wired Equipment Wired
Home Range Temporary Service,
Duplex Water Heater Lightiny Fixtures I
Apt. Building Dryer Electrie Heatni
Commercial Bidy. Fumace Silo Unloader
Industria) Bldg. Air Conditioner Bulk Milk Tank
Farm Other Spec, fy OthFr (Specify)
t er SUecify Other Other
ompute lnspection Fee Below
q Fee Service Entrance Size H Fee Feeders/Subfeeders ~ Fee Circuits
jfAs,,'~, 0 to 200 Amps 0 to 30 Am s 'Z ~v-C._ 0 to 30 Am s
Above 200 Amps~ 31 to 100 Amps l S`:v v 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Booms J) e Partial- Other Fee
Signs Speciai Inspection $ -
Re~rks TOT F
~
Rough-in ' I, the E ctrical
~ ns pec tor, y
certify that the above
Final ~`~j inspection has been
~ ~ , made.
fhis request void 18 months from
K~ ~4 ~
/
Request Date Fire No. Rough-in Inspection
S~ ~/_~y2 Required? ? Ready Now ~1 Will Notify Inspector
~ ~ ;kYes ? No When Ready?
IEX licensed contractor p owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.) Ciry
` 1~ W-4Z1V14'._ 61--e-
Section No. 7ownship Name or No. Range No. CouK~
Occupant(PRINT) Phone No.
h'l/ ~S6 - 0
Power Supplier Address
D6~LP~C~ G:~.cCf~LCC
Electrical Contractor (Company Name) rontractor's License No.
1 6e~ ~rC,G Gfi oo,27,S`~
Mailing Address (Contractor or Owner Making installation)
/f a so d-,t-
Authorizetl Signature ( ontra tor/Owner Maki Installation) lov Phone Number
~ {G3 - ~~Yb
c
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION FEQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCIOSED.
~'jA REGIUEST FOR ELECTRICAL INSPECTION es-ooo/o~i-/oa~
10,
K 23431 See i'structiorts_Ipr completing this form on back of yellow copy.
_ X" Be/ow Work Covered by This Request
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Othe (specify Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps ve 100 Amps
SignS Inspector's Use Only: TOTAL
Irrigation Booms ~6 •m ~•S~O
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE 0 D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO HS.
Rough-in Date
I, the Electrical Inspector, hereby i7p.z,
certify that the above inspection has Final ate G
been made. t I ~~'Y
OFFiCE USE 3NLY
r
This request void 18 months irom
- r{ x
(Itrtifirtttr uf Orrupttnry
Citp of (lagan
Erpttx#mprc# A# luilbing Jnsprrttmc
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regularing building construction or use. For the following.•
~ ,.~r•~ ":~J~.:%~3
Use Classifcation
Bldg. Pemtit No.
Occupancy'Pype Zoning Districl Type Const.
iaf n- yr -.7
Owner of Bailding Address
BuildingAddtess lacality
,
Dace: u
Building Ofticial ,
POST IN A CONSPICUOUS PLACE
2004 RESIDENTIAL BUILDING PERNIIT A.PPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouirements Remodel/Reoair Reauirements ~}f~ce-Use C~ral~+
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan Cer~~f Su"~ey Rectl'; Y ~
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tt*RPtnRecd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks PIES"R-qUi`~3
1 set of Energy Calculations Addifion - indicate if on-site septre system N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bidgs with 3 or less units
Date Construction Cost f) no
Site Address i~~ Unit/Ste #
1-3 5-5~
i
` I
Description of Work d~~ - o•~ -
02,
Multi-Family Bldg _ YX N Fireplace(s) _ 0 2
Property Owner M~o~ ~~_~e R°k e-A e e YY\ r_~, .o-k Pe r n Z Telephone S()(c> ~S C~ - 7 g tI- nl
Contractor cYvN-c3S
Address `A e ~ E) City g-&
State Zip !57~5 1 l 4 Telephone # ( 65 1) 255- -7<~-J
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CategorY 1 Minnesota Ru1es 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a buildin i,_Ea~ nwi hf aLSi ~ r plan? _ Y _ N If so, 25% plan review
fee applies. 4" I I i I
i,,,,
Licensed Plumber ~ Telephone # ( )
Mechanicai 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, 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 plaris.
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY ' -
Sub Types
0 01 Foundation 0 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. A{t - Multi
0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Muiti Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscelianeous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 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) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ 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 Inspector
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 a ~
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements RemodeAReoair Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage ailowed) • 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 8 decks
• t set of Energy Calculations • Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 7/1193
• Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
DATE VALUATION $ Q5~•~
T
SITE ADDRESS C- ~~L-- MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK FIREPLACE(S) _ 0--'1 _ 2
APPUCANT ~ . L~/ ; C-. 1 ~ 71> /")2,
STREET ADDRESS i ZZ. V"2 rV :c- LLcil S CITY STATE ft" ZIP ~ S 3 3 7
TELEPHONE # 64 r*
~CELL PHONE # FAX # q;r'J2 W' 9>~~
PROPERTY OWNER t L- P 'e- ' a `2- TELEPHONE # 6S / ' (46 - 7 V (/`~l
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RUL.ES 7672
(q submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: Water Softener ^ Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths „_a.~.._....~„
Fp
Mechanical Contractor: Phone #
Mechanical system includes: Air Conditioning Z; -?r e:, $70.00
Heat Recovery System
~-n.
Sewer/Water Contractor: -pho
I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply
with all appiicable State of Minnesota Statutes and City of Eagan Ordinanc~s.
SignatureofApplicant ~~~`~l~'"'1`
- - - - - - - - - - -
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 Bidg
? 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. Ait - SF
? 04 02-plex 0 10 08-plex ? 18 Deck ? 23 Porch (screened) 0 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 Demoiish (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.
_ Footings (addirion) _ 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 , Buitding Inspector
Base Fee '
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Ptumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
i .
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
-Ft- ~4
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: SFD Valuation: /4 000 ` Date: 4-11-88
Site Address 1253 Wildernes Curve OFFICE USE ONLY
Lot 23 Block 2 On site sewage Oecupaney
MWCC system e.- Zoning R-?
Parcel/Sub W;1 dPT-nP-,- pnnclG On site well Actual Const
. City water Allowable V•/?1
Owner PRV required # of stories
Booster Pump Length
Address 15136 Galaxie Ave Depth
S.F. Total
City/Zip Code A~~le ValleZ, MN 55124 Footprint S.F.
Phone 431-5000 APPROVALS FEES _
Contractor Ozmun-Pederson, Inc. Engr/Assess Permit ~ 8:?1,~
Planner Surcharge 1.00
Address 15136 Galaxie Ave Council Plan Review 'OQ
Bldg. Off. .AA-till3 SAC, City / O .OD
City/Zip Code Apple Valle , MN 55124 Variance SAC, MWCC O-bO
Water Corin 550, 00
Phone 431-5000 Water Meter (o7•0-0
Road Unit
Arch./Engr. Treatment P1 20 4,00
Parks
Address Copies
TOTAL
City/Zip Code
Phone #
.
I
. . JIt.- VA LUATIO N ,
,
&A~ i~AGE
Z'f X 2-q = &'7Z
6 uia'= u s
~
~
(~Srn T,
Ll6`~2~ 3D~ 13~153G%2 ~C.S = 1$3
UX1'1= 68
I 592 x t3= Z p(.9 6
m'-\+N FLOo(Z
13smT = Isq 2
1x~ - g ,
7x lq 6`1
Z `
I. Z..
O3
N ~ FL vo R.
I6'/2 Y 3o ~ 49 5
1 y 4 = (0
q _ S-1
3 ~ ~ e = 30
~I Z xyl~ Z
6~`1
1q)
I y
~
EXTERIOR ENVELOPE AVERAGE " U" COMPUTATION
Owner : Si te Address : 1 Z, S 3 In(/ C.T1E,C~„rt<'e~,5 G~~,1/~
~ Contractor: 6>ZMU1.#. ^1kEMS~ ~1•1G..Date: !J--'7-$Pj Phone: 1-5006
Determine working square footage of each.
1. Total exposed wall area Sq. Ft. x.11 = 12
2. Total roof/ceiling area 1(p ~D Sq. Ft. x.026 = 2,&
a. Total wall window area... ~ 2 S
b. Total door area . !0 2:
c. Total sliding glassdoor area ~(o
d. Total fireplace wall.... . ..........x ~ -
. e. Total wall framing area (average 10%) 3O ~
f. Total net wall area above floor fpo
g. Total rim joist area S~(o
Total'exposed*foundation area
h. Total foundation window area -
' i. Total net foundation area above grade
Determine " U" Value of each wall segment.
a• Xu~~ , 30 = vj7, 5
b. X u
c. S~o xu
d. X u _ -
e. 3010 . x" U" 2_7 8
f. ia8~7 X,. u„ , p~-3 = 81 I
g• X° u° - Q4? _ 10.I
h. X u U.u.
,
i. P-j xuUu = 2.'Z.
3. 2 70, 2 TOTAL
If item #3 is the same as, or less than item #1, you have met the intent of Sec. 6006 (c;
,
j. Total skylight area..
k. Total roof / ceiling framing areal0%.... -
1. Total net insulated roof / ceiling area
Determine " U" value for each roof / ceiling segment.
J. - X u
K. I Co4 xu~~ 0 29 ,
L. 1 ~t-7~ X,,.u ° oIq = 2F5
4. TOTAL
If total of 4 is the same as, or less than #2, you have met the intent of SBC 6006
. (c) 1. To utilize the total envelope system method, the'values established by the
sum of lines #3 and #4 shall not be greater than the sum of lines #1 and #2.
1. ~~~.(o +2, 4--2,(p = 3 7°
3. z-7 ~3. 2 +4 , 3 2~~ = 3 p 3
¦
,
oA .
ti/
N ~
~
`I'~ ~ ' N
. : . . .
, . . . ~ . . .
6-
q~4
14. Hc~~,.c: i QA Vc N"' ~Al N A rZe
< ~79 E~~T ~/`!k
V
s 1 ~1
GAP.~sd ~ L~ z ZJ
F--K
~ _ . .
I
, - ~ ~ . .
.
4qbS _ =J95~,0
% - - -
~c7•
t
Ozmun - Pederson, Incorporated
~ Custom Nomes and Rcmodeling
,
Apple Valley, h4N 431-5000
FOR: i
M
NEE OF ~
{~LoT ~ LAI~
SCA LEp DATE.
4~
. ,
.
Pr' .
PERMIT Control No. 0920
~CITY~-OF'~AGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 001247
(612) 681-4675 Date Issued: 0 8 i 10 j 9 2
SITE ADDRESS:
12.53 WILDERNESS CURVE
.,..LOTz,-.23.,. BLqCK: 2
.....WILpERNESS PONDS
DESCRIPTION:
~
~~uildiIn,zg Permit Typs BASEMENT FINISH
8u ilcti nq°! ork Type ALTERATION
~
t1BC- Qecup4rt'+~y R-3
qR q
~ L y?rm
~ D1°
3
~ h~16
V ~
~'~'re~~~°. ~?.3
,e...'a' .
REMARKS: C C,X(?
FEE SUMMARY:
Base Fee $35.00 GOPY •50
Surcharge $.50 Total Fee $41.00
Lic. Search Fee $5.00
Subtotal $40.50
CONTRACTOR: - Applicant - ST. LI pWNER:
VON RUDEN CQNST, STEVE 14695721 000702 REED MIKE
23625 JERSEY CT 1253 WILDERNESS CURVE
LAKEVILLE MN 55044 EAGAN MN 55128
(612) 469-5721 (612)456-0476
q ;I; r,ersby~9acFsno~l~dge ~hat ~ ha~e re~rf 4tFrais ;,app~.icati.ori ~n~! .-s.ta~es ;tha-t :tFie: .
corr~sct amd' agree t o comply :with akY: apep~.ic~il~~e.e
e : : ~tatutes.8 ;arad.;.~Cityi o~ Ea gan .0 rdknanc es( = e e ° e .
,
APPLICA /PERMITEE SIGNATURE,,-` I SUED B•. SIuFNATU E
- - - -
INSPECTION RECORD I Control No. 0920
CITYOF EAGAN PERMITTYPE: BUILDING e..,,
3830 Pilot Knob Road Permit Number: 0012 A 7_. .
Eagan, M innesota 55123 Date Issued: 0 8/ 10 / 9 2
(612) 681-4675
SITEADDRESS: LoT: 23 BLOCK: 2 APPLICANT:
1253 WILDERNESS CURVE VOId RUDEN CONST, STEVE
WILDERNESS POWDS (612) 469-5721
PERMIT SUBTYPE: TYPE OF WORK:
BA5EMEIVT FINZSH ALTERATIOM
INSPECTION . .A
FRAMING FINAL
PERMIT # CITY OF EAGAN
REACTIVATE 1992 BUILDING PERMIT APPLICATION
681-4675
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, l copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 1t9 2, Yaluation of work /=2
Site Address:3 ~-/P/j ryt_oSS ~~r~~
STREET SUITE A~
Tenant Name: (commercial only)
I.OT BIACK SUBD. P . I . D . o
Descri tion of work:
The appl i cant i s: ? Owner MContractor 0 Other (Describe)
3
Name 1.~,~., Phone qS'6 ~ 0~;(7/-
Property IAST FIRST
Owner Address f~`3 I<-_1exje5-.S7 C_L.,r v
STREET STE #
City a;:W-R State Zip
Company S ve Lm, 4 -4 u n. hone 619- S -7-2 /
Contractor Address e!2 License #f70,0Exp./17FI/
City lA)6 v;nl C~- state Zip
Company Phone
Architect/ Engineer Name Registration #
Address
City State Zip
Sewer b water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
` -
OFFICE USE ONLY
BUILDING PERMIT TYPE
~
0 01 Foundation O 06 Duplex O 11 Apt./Lodging ix 1646asement Finish
? 02 SF Dwg. 11 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool
11 03 SF Addition [1 08 8-Plex O 13 Garage/Accessory 018 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. O 10 Multi. Add'1. El 15 Deck O 20 Public Facility
021 Miscellaneous
WORK TYPE /P 31 New O 33 Alterations 0 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair 0 36 Move
GENERAL tNFORMATiON
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy ~ 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total 8ooster pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Plannin Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
~
? Site ? Footing [?(Framing ? Insulation
O Wallboard J4 Final 0 Draintile ? Fireplace
Permi t Fee v,t„mt;a,: g
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter .
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1. Road Unit
Park Ded.
Trails Ded. Copies sv
Other
Total: _ _-3-b 0.
SAC 9K ~C00
.
SAC Units
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675 Rbr~ '
New Construction Reauirements Remodel/Repair Reauirements
~
? 3 registered site surveys showing sq. ft. of lot, sq. B. of house 2 copies of plan
and cll rooled areas (20% maxtmum lot coveraae allowed) t set of energy calculattons for heated additions
? 2 copies of plans (show beam b window sizes; poured fnd. design; etc.) 1 site survey for exterlor addffions & decks
? 1 set of energy calculations
? 3 copies of tree preservation plan ff lot platted affer 7/1/93
DATE: )I 0 I-I 1 CONSTRUCTION COST: ~ gr 0GG
DESCRIPTION OF WORK: 'C~i~101CP &UO (C.C pCgCL 5~~~~~J ~S
STREET ADDRESS: I ZS 3 UJ)L0Q QN(,9,5S C(J2 \/e!5-'
LOT: 1 1-1_ BLOCK: SUBD./P.I.D. V v iI PXV~Q.S S~(~~~ ~
Phone (c 7Q y
Name•
PROPERTY last First
OWNER
Street Address: 2 >1/-Q SS Go 2
City ~A/ State: rl) A/ Zip: Z-3
Company: Akebcft 801LQl iv (PuT'tiffZ Phone ~,121 70 7 U 9~
(area code)
CONTRACTOR Z6,(dt38~
Street Address: IZZ'~~ 1U <<oL l27 '9'V~ s- License # Exp.
City 6U 4 /Y S V/ LL L% State: ~/u Zip: 9-S13 37
ARCHITECT/
ENGINEER Company: ~ Name:
Telephone arec code ( ) Streel Address: Registration
City State• Zip:
Sewer & water licensed plumber (reauired for new construction onivl:
Penalty appltes wheh cddres"slv-6h/on~e a d lot change Is requested once permff Is issued.
I hereby acknowledge that I have rea~ t~ application, state that the information Is correct, and agree to comply with all applicabl
State of Minnesota ~tFs ¢~~ffy of 'a~' an Ordinances.
~
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-piex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
0 03 1 of _ plex ? 08 6-plex 0 13 16-plex ? 18 Deck 0 23 Porch (screened)
0 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. 0 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration 0 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL tNFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bidgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PL
Park Ded. `
Trails Ded. ~
Other ,
Copies
Total:
SAC Units
% SAC . ~
t: t LN•? 1• !•~i 1 4 li li~L•1~• f li
?;a:TY rIF' r-::AGAN
CA,13H:r.Er4- .,ss T1:::r:Ma:Nra1... Nt:z: 946 ~
BATEm 08/11i99 T:rME4 0n42W.
I_r., ;
iJ.MiM1:=u i=1I:{(:;...F'k:Ri"i:L'T' a
320 '•.~}00:1. 1253 W:CI_.DN:RNI::S :1.67.'r.'_;i
205 9001 :l.2,`.i3 M.T.l...DERPE!1:_{:i 4.50
320 ~..~00.'. 4379 NOtJDGAf 1:„ I... 03n f~y5
205 9001 4:379 HL7ODr.,;AT,::: i._ 4.00
,
'Pi:]'R;•.. Receipt Amou7tit° 329.00
(:R:l. i.."ir c?4
t ISER :CD° .:?AN
I~1 1 1 f~ ! i t irv4•I 4 1 I:vi:• 1~ Ji
tBL ~ CITY OF EAGAN CITY USE ONLY
PLUMBING PERMIT
SUBD.(~CJ' ~ (612) 681-4675 RECEIPT
_ DATE Z- 'Z-
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL
NEW CONST REPAIR/ADD ON 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
OWNER AIAME: _ KITCHEN SINK 3.00
` LAUNDRY TRAY 3.00
SITE ADDRESS: 1--4Lti)y IC(C;r' /J.~tAe _ HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00
^ ROUGH OPENINGS 1.50
ADDRESS OTHER
5 _ WATER SOFTENER 5.00
CITY: ZIP: 5 _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE W. T[JRNAROUND 15.00
STATE SURCHARGE .50
S.~
SIGNATURE OF"pERMITTEE TOTAL:
' COMMERCIAL
PLEASE COMPLETE THIS PdRTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
GwNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE FOR: (SIGNATURE)
CITY OF EAGAN
_ ~
**x*x,x.x.xxxxxxx~..xxxxx- Rxxxxxxx_
APFLI'%.'%#ATION FOR PERMIT *NOTE= PAYMElP OF FEE AT TIME OF
, . # APrLxc.Mota DoFS tvor mN- *
STINPE APPRGJAL OF PII2MIT.
SEWER AND/QR WATER CONNECTIQN * INSPECTION OF SEWE2 ANID/OR WATER
t'* iNsrALTATiotas wnL taom ss scmcn.ID *
I?N1ZL PIIPMT HAS BFEN ApPR(7VID. *
~ ~ ,r**,r,r*,t*a,r****,r**,r*,r*,r,r+,r*,r,r**,t,r*,t**,r*
city oF eagan
(PLEASE PRINT
1) PROPERTY ADDRFSS: ~~,,~,~,-s~. l.?,~/~ .SS ~.e.e..
LDGAL DESCRIPTION: . . . . . . . . . . .
Lot Block Sub vision or Tax Parcel ID
IF EXISTING STRt'CTURE, DATE OF ORIGINAL BLILDING PERMIT ISSLANCE:
Mont Year
PRESENT ZONING/PROPOSID LSE:
Q CODMII2CIAL/RETAIL/OFFICE R-1 SINGLE FAMILY
~ INDLSTRIAL ~ R-2 DLPLEX ('ituo Units)
Q INSTITqTIONAL/GOVERIVNNENT ~ R-3 TOWNHOLSE (Three + Units) ( Lnits)
Q R-4 APARTMENT/CONDOMINIUM ( Units)
.
2) NANE: ~ ; ~l /1 ~f ~ ~ ~X c-c~. ? ~ ~ ~
ADDRESS: % Dfe-<-
CITY, STATE, ZIP: _T17 ve. y' e`'rr ~-r~'- ,~I.•~. ,3`sz~~''
PHONE : ~ff
For City Lse
3) NAME: Plumbers License:
ADDRESS: Active
Z/-
Expired
CITY, STATE, ZIP: ;j7 c}74),. Not recorded
PHONE : MASTER LICENSE # C V"M z.-
Staf Initia
4) NANE:
ADDRESS: S / .3 ~ C~~~-? ti , /~-r.e...
CITY, STATE, . ZIP: A ~ . le- i~~i `rr? .•rv ~S`~•.2 ~
PHONE: J"i~ J '
5) s ~a+• ~P . ~ a~o
E:R_qONNECTION TO CITY SEWER ~ CONNECTION TO CITY WATER ~ OTHER
s t
6) i 'a~1:T~ ~ '
* THE GOLD COPY OF THE PERMIT WILL BE SERr DIRECIZ.,Y TO PUSLIC WORKS TO FACILITATE N7F,TII2 PICK-UP. *
PLF.ASE ALIAW T+JO WORKING DAYS FOR PROCE.SSING. SONIEONE FROM TfM CITY WILL CONPACT YOt? IF THII2E *
ARE ANY PROSLEMS. *
Y*F*t~r4ciFie*irk*ir~eirt~e***kikt~F***kk**k***kkk*#YFYkkt*****t*****tk***7t**kik**iFlrtlk***k*it~r**tY~k*k~t**k~rk**~k*i*k;
. ~FOR CITY USE ONLY ~
PERMIT # ISSDED •
Pd w/Bldg. Permit FEES:
$ $ /c-- ~5m SEWER PERMIT ( INCLLiDE SURCHARGE)
$ $ S^U WATER PERMIT (INCLLiDE SL'RCHARGE)
$ ~ d D $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ 0 0 ACCOUNT DEPOSIT - SEWER
$ $ ACCOLiNT DEPOSIT - WATER
$ $ WAC
$ I,;SG~•~~ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRLiNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENLFIT/TRLNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ l 7~ ~ l• D~`'i $ ~T ~L9 Z~ TOTAL
- 77a ~z(c~
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLiBLIC
Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1253 Wilderness Curve
Lot: 023 Block: 002 Addition: Wildemess Ponds
PID:10- 84275- 230 -02
Use:
Description:
Sub Type: e - Fumace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Quesetions regarding elec
952- 445 -2840
Beth Janohosky
207 W. County Road 42
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Contractor:
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431 -4328
Applicant/Permitee: Signature
PERMIT
City of Eaan
cal permit requirements should be directed to Mark Anderson, State Elec
- Applicant -
Owner:
Michael L Peroz
1253 Wilderness Curve
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA088011
01/21/2009
ePermit
cal Inspector,
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
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114922
Date Issued:09/20/2013
Permit Category:ePermit
Site Address: 1253 Wilderness Curve
Lot:023 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-230
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Amanda Peters
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 -
Michael L Peroz
1253 Wilderness Curve
Eagan MN 55123
(651) 686-7849
Jns Builders Llc
2325 Endicott Street
St. Paul MN 55114
(651) 646-0221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA123498
Date Issued:06/09/2014
Permit Category:ePermit
Site Address: 1253 Wilderness Curve
Lot:023 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-230
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.
Eric Bruckmueller
3992 Pennsylvania Avenue
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Michael L Peroz
1253 Wilderness Curve
Eagan MN 55123
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA124319
Date Issued:06/26/2014
Permit Category:ePermit
Site Address: 1253 Wilderness Curve
Lot:023 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-230
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
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.
Jason Larson
25 S Sutton Lake Blvd
Jordan, MN 55352
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Michael L Peroz
1253 Wilderness Curve
Eagan MN 55123
Jay's Plumbing
25 South Sutton Lake Blvd.
Jordan MN 55352
(612) 868-4102
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162871
Date Issued:08/03/2020
Permit Category:ePermit
Site Address: 1253 Wilderness Curve
Lot:023 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Michael L Peroz
1253 Wilderness Curve
Eagan MN 55123
(651) 686-7849
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164787
Date Issued:10/08/2020
Permit Category:ePermit
Site Address: 1253 Wilderness Curve
Lot:023 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-230
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Michael Louis Peroz
1253 Wilderness Curv
Eagan MN 55123
Central Minnesota Renovations Inc
20681 Frost Court
Lakeville MN 55044
(952) 224-6087
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168467
Date Issued:04/22/2021
Permit Category:ePermit
Site Address: 1253 Wilderness Curve
Lot:023 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-230
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 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 -
Michael Louis Peroz
1253 Wilderness Curv
Eagan MN 55123
(651) 788-3776
Central Minnesota Renovations Inc
20681 Frost Court
Lakeville MN 55044
(952) 224-6087
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176110
Date Issued:05/02/2022
Permit Category:ePermit
Site Address: 1253 Wilderness Curve
Lot:023 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-230
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Michael Louis Tste Peroz
1253 Wilderness Curv
Eagan MN 55123
Bloomington Heating & Air Conditioning
640 W 92nd St
Bloomington MN 55420
(952) 884-3552
Applicant/Permitee: Signature Issued By: Signature