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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