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1254 Wilderness Curve . . , ~ C,ASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE . J 1 9 RECEI V ED FROM AMOUNT $ a ~ & DOLLARS oo 7 ` F]CASH F~ CHECK FUND CODE AMOl1NT Thank You BY ' White-Payers Copy Yeilow-Posting Copy Pink-File Copy BLDG. PERMIT ti0. 01-3210 ' Bldg. `Permit 01-3422 Plan Check 01-3445 Surch./Adn:. _ i~- 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit i 20-2275 SAC 20-3865 Water Conn. , 20-3868 Water Trmt. r ~ 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. --F- i TOTAL ~ ~ ~ v. , : , _ . , . f.,. , . _ . . . CITY OF EAGAN 1~qt 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r 2 12961 ' PHONE: 454-8100 BUIL'DING PERMIT Receipt# Tobeittedfor SF DWG/GAk Est.Value $1571OOU Date DECF.AiBER 10 19''.'; Site Address 1254 I^; I Tii)„I:`?F; SS {'.URVE Erect C* Occupancy `Z3 Lot Block 2 Sec/Sub. roVZLDE,72fv,?,SS PONDE3emodel ? Zoning -ZZ Parcel No. Repair ? Type of Const. `,J Addition ? No. Stories W Name GER:"r D & SANDRA BULf. Move Cl Length 78 3 Address 4 585 5LA`'ER :2D . ~ # 104 Demolish ? Depth 3 ~ o Int. Impr. ? Sq. Ft. ICity Phone 890-2858 Instail ? a Name LNVIRONt-IEtdTS Approvals Fees o¢ Address r 36 ;iA:41BEL DR Assessment Permit • ' ~ • ~ Cib Pnone 9 3 5`9 2 3 y Water & Sew. Surcharge Police Plan Review S ~ W Name i'P''LE Fire SAC i10 Address 263J iir BUNI~ER LAKL EiLVD Eng. Water Conn. ~ U 0 i W city i L<< Phone 7$5- 4 08 6 Planner Water Meter 63.50 Council Road Unit 290.013 I hereby acknowledge that I have read this application and state thatthe Bldg. Off.12 /8/8 6 Tr. PI. iniormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Var. Date Copies Signature of Permittee Total A Building Permit is issued to: CUSTOM EINV I 20NA1EIdTS on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ~ PermH No. Permtt Holder Date TNephone M 1~! Plumbing ~ H.V,A.t. Electric - ~1 t ~,,~1~ r ~ ~~5/cF' mjC-• ('C_ Sokensr Inspection Date Insp. Commenfs Footings 1 3 Footings 11 Foundation Framing Rooling Rough Plbg. .a 17 Rough Htg. _10-97 Insul. Fi?eplace Final Htg. Flnal Plby. X, %(!D Bldg. Final csn. occ. ric T~oN ' ~ S GL~ss ~ Deck Fty. Deck Frmg. Well Pr. Disp. , , , • . PERMIT # ' • ' ' MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: - CONTRACT PRICE: 0J PHONE: 454-8100 Site Address BLDG. TYPE ` WORK DESCRIPTION , Lot t ~ Block Sec/Sub J"Res. New ~ Name ~L " i `I ' - Mult Add-on Address ' ~ Comm. Repair c Ciry Phone " Other - Name C FEES (D Address RES. HVAC 0-100 M BTU _$24.00 _ p City Phone ADDITIONAL 50 M BTIJ 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air ++~r~ v-): ; M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # Other - $ ' FEE S/C: SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN „ . ; . : . , . . . . PERMIT # . ' . • , , PLUMBING PE~MIT ' CITY OF EAGAN RECEIPT kk 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address _.BLDG. TYPE WORK DESCRIPTION Lot Block - Sec/Sub - Res. New ' Mult. Add-on ~ Name , Comm. Repair m Address - Other c City . Phone - - RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name ` , : - Water Closet - $3.00 $ - Bath Tubs - $3.00 3 Address _ Lavatory - $3.00 p City > _~t Phone Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% 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 - Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 , + . ` ' Rough Openings - $1.50 SIGNATURE OF PERMITTE~ FEE: STATE S/C: FOR: CITY OF EAGAN GRANb TOTAL: 'TY ''c EAGAN Pprmit No: Date: 1-87 a~ Knob Ftoad Meter No: ~ Size: •'~g Reader No: 4~ Date: Owner. lustom Lnvironment 1254 '.-'~Llderness Curve L? ; 1>2 `,,'il'.er_ness Ponds Site Address: Plumber. Tl,oinnsosi Conn. Chg: 9:, i ACCt. Dep: 1 5. Ot)nc? Permit Fee: Surcharge: •~~l a r to ~ly with the Cf Eagan Tr. Plant 15 ~ • - ~ • T Meter. INL;w Misc.: B _ ~ WATER SERVICE PERMIT CITY OF EAGAN Permit No: sDate: 4 1-8 7 3830 Pilot Knob hoad Meter No: Size: j P.O. Box 21199 Reader No: Date: , Eagan, MN 55121 Owner. r~LBt~~~ Eilvironment ; Site Address: 125`+ ::ildernese CEirv~ ildemess PocidG Plumber. lhoT-qPson Piu:~b inr Conn. Chg: --s Zoning: I ~ . t)t?*u` , Acct. Dep: No. of Units: 1 Permit Fee: _ l • ~dRri Surcharge: . Ct`pd Tr. Plant 00Aa I agree to comply wRh the CRy of Eagan _ ~ s % • Ordinances. ~ Meter. Misc.: gY , ~ WATER SERVICE PERMIT , j- CITY OF EAGft 3830 Pilot Knob Road SEWER SERVICE PERMIT ' , ~ _ P.O. Box 21199 PERMIT NO.: 7 Eagan, MN 55121 DATE: 4 --1 -'z 7 Zoning: No. of Units: i Owner. Ct1stom Enviranryer.t Address: SiteAddress: 1254 6dilderness Curve I.25 B2 Wilderness Ponc?s Plumber:_~ nawt Plumbing ? 2 4a-F6 69024 100. oQpd I agree io comply wRh the City of Eagan Connection Charge: 47 5•+30pd_ ~ Ordinances. Account Deposit: 15. 1)'11u1 Permit Fee: 10 -e_1 ~~rsi- Surcharge: _ 50pd , BY Misc. Charges: I Date of Insp.: TotaL• Insp.: Date Paid: • . CITY OF EAGAN i~' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5 21 ~ v2 12,961 PHONE:454-8100 `~j~G~ BUILDING PERMIT Receipt # To be used for SF DWG/ GAR Est. Value $157,000 Date DECEMBER 10 19 8 6SiteAddress 1254 WILDERNESS CURVE Erect L~ Occupancy R3 Lot 25 alock 2 SeciSub. WILDERNESS PONDgemodei ? Zoning Rl Parcel No. Repair ? Type of Const. 11 Addition ? No. Stories m Name GERALD & SANDRA BULL Move ? Length 78 3 Address 4585 SLATER RD., # 10 4 Demolish ? Depth -4 d ° EAGAN 890-2858 Int. Impr. ? Sq. Ft. City Phone Install ? x Approvals Fees o Name CUSTOM ENVIRONMENTS 00 < Address 5438 SANIBEL DR Assessment Permit $ 575.50 ~ c;ty. MTKA phone 935-9239 Water & Sew. Surcharge 78 . 50 ~ Police Plan Review 287.75 FW Name PAUL LITTLE Fire SAC 575.00 ,4ddress 2639 NE BUNKER LAKE BLVD Eng. Water Conn. 500 . 0 0 Q W c;tyHAM LK Pnone 755-4086 Planner Water Meter 63 . 50 Council Road Unit 290 . 00 I hereby acknowledge that I have read this application and state thatthe Bldg. Off.12 /8 6 Tr. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Stat tes d Cit of Eagan Ordinances. APC Parks Var. Date Copies ; Signature of Per itte:~ Total ~ ' 2 5 A Building PermXis issu . CUSTOM ENV RONMENTS on the express condition tMat all work shall done in accordance with all ap able State of Mi n gan Ordinances. Building Official ~ ,A„_.ll Q jft.~ This request void -CJ'/aJ-9 18 rrwnths from ~ C 13 258:_.~:.<<;~J request Uate=. Fire No. Au gh- in Inspection u.red? OReady No~ll Notify, Inspec- ~ p~ es ? No tor When Ready icensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address'Box or Rou e o. City ectron 6. Township Name or No. Range No. County i Occupant ( INT) Phone No. l I ~J ~ , V 4 Power Sup 'er Address Elect al Contractor ICompany Nam Cont actor's Licens No. ,,..r~ Mailing q ress ( ntractor•or wner Makin n tailat nl Authorized Sig tur C ntra r/ ing Insta 1 Phone Number 3 N~~~MINNESOTA STA E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway 81dg. - Hoom N-191 - BE'ACCEPTED BY THE STATE BOARD - UNLESS PROPER 1NSPECTION FEE IS 1827 Universitv Ave.. St. Paul, MN 55104 " Phone (672) 64?-0R00- _ _ ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION jf% Ee-00001-05 1 See instructions for completing this form on back of yellow copy. -7 C-'_'43 = 5 8 X" Below Work Covered by Thrs Request . Nevw Add Rep. Type ot Building Applionces Wired ` Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. " Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm 'Other peci Y-lher (SPecify) , t er Suecify Other . Other ompute lnspection Fee Below ll FegServiceEntranceSize t1 Fee Feeders /S ubfeede rs # Fee Circuits U to 200 Am s 0 to 30 Am s E. 0 to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100_Amps Above 100_Am s TransformerS rrigation Booms Partial-'Other Fee Signs Speciallnspection O ~ Rerrarks TOTAL Rough-in Date 1, the Electrical Inspector, heiaby certify that the above Final ~ii1e inspection has been r„eee. This request void 18 months from 11~0m I Citp of eagan lappMl'ftUPti# Af 11llflbitVJItsVPtfWtt This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance lhis structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• Use C7assification - $ldg. f@rmit No. Occupancy Type Zoning Distrid Type Const. Owner of Building Address' Bwlding Address Locality nate: J U N.E 1987 Building Official ~ POST IN A CONSPICUOUS PLACE ~ ~ . E . , . 9 1986 BDILDING PE IPPLIClTION - CITY OF EAGIN . NOTE: ALL CONTRACTORS MIJST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMIILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS M[TLTIPLE DWELLINGS - RESIDENTIAI. RENTAL DNITS FOR SALE IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMRCIAL ` INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND l 5-7, 00O To Be Used For: Valuation: ~ Date: 1A p-q 12 y)c/8(a Site Address ~~S~ 1~i Ia~.xa.ne5s C~~rzv 2. OFFICE IISE ONLY Lot Block ~ Erect ? Oceupaney R.3 Semodel Zoning F-.I Parcel/Sub W1 Ike,!Q.res ~I 6-npS Repair Type of Const ~ Addition # of Stories Owner~~s~ DRA~,( + ~,9~p ~ Btol Move Length ~ g Demolish Depth 34 Address ~~5 ~)ct~-e?z 6~p '~*)Dy Int.Lnpr. Sq Ft Install City/Zip Code ~t~v v,,~(l'1-N S~t a~ Phone 89 O-- oZc6 S<~' APPROYlLS FEFS CcaS~?1'~ s, Contraetor BP3ja,;n Co_2V1~PV E11v)Ronme Assessments Permit \ Water/Sewer Sureharge Address I~k DR. Police Plan Review Zb"I, Fire SAC S'15 • City/Zip Code P1 1nneTon jxL„ IY11.) ~Sti 3 y Engr Water Conn '-,c~p Planner Water Meter f03, S_° Phone Couneil Road Unit Bldg Off Treatment Pl 15(0, Areh./Engr. ~0.~~ ~~TTL't APC Parks Varianee Copies Address a{,o39 N E-Loe ,81 D. WTAL City/Zip Code Ty-din ilfo Phone ~ 965 ' LJp g(a NOTE: ADDxESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGN9TE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE lL.LOWED ONCE BUILDING PERMIT IS ISSIIED. '7 s t • I 4-x 30 - 420 x I 2 ' so 40 - Z 30 g¢o ~-d 7 zO ~x 3 ' ~ ( S~ 3 ~Z- - . , _ LV /LDEWNE 55 ~ qA7 vE ~ 59 6 : . C9~?9471 ~ 9~,~.57 9 ~ ~ ~ p•~9 . ' ' . H ~ 947•0 `9 \ A,1, y~ ~ Zg.Bg r 9 ~ ~ 946.0 , - - 5 ~ DroiAa9e r Ufi/i y Csn1 / , 947• 9„ 5 / D~. QS7 9ZB.8 O o Denotes Iron h1onument X000.0 Denotes Existing Elevatioh Proposed Top of Foundation Elevation = 948•0 1000.01 Denotes Proposed Elevation Proposed Garage Floor Elevation = 9474 .4- Denotes Direction of Surfqce Drainage Proposed Lowest Floor Elevation = 9¢0• o I hereby certify that this is a true and correct representation of a survey of the boundaries of: Lot..25, Block 2, WILDERNESS PONDS, Dakota County, Minnesota. And of the location of all buildings, if any thereon, and all visible encroachments, if any, fr m or on said land. As surveyed by me this 2.+thd ;of Novembe 19 86 . ~ . . Y ; ` ~ ' r ' ' Thomas S. Bergquist j~ Registered Land Surveyor, Minn. Lic. No. 7725 EPS Suq,".` ~`E: Qa' CERTIFICATE OF SURVEY SATHRE-BERGQUIST, INC. K ~ for 108 SOUTN BROADWAV 0 WAYZATA, MN 55391 fI`ENO Jer ry BU ll TEIEPHONE 812•478-8000 OI ~ ~ IZ . . ~ . . . . . . . , . ~ - ' ~ ~ ~ . . . . . . . , . . . . . . . . , . . ~ ~ . . . . . _ . . . . . . . . . - ~ . . . . , . . . _ . - , . _ ~ . . ~ . . . . . . . . . , . _ . _ . . r ~ . . . . . . - . , • • . . - • : ' EXTERIOR ENVELOPE' AVERAGE "iJ" COMPUTATION • . i . • - OWNER ~ •_:~:C-'~RV . ~t.t:,I gqQ -Z UOS~' ~ SITE ADDRESS 5J-5 ~7v . CQNTRACTOR ~ DATE :PHONE. De.termine working -square foo.tage of .each.- ~ . . 1. ~.Total. ~e:xpose'd .wall ':area . . . 2 ~0 . sq. 'ft. x' ~ At = . ~ ~ . - 2. ~Total .:roof/ceiling-~a-rea. . 4-4,$ sq. `f:t. x .02.6= . ` 3. :Total ,floor/cantre*a sq.- ft...x OS = Z ~ Total exposed wall area above floor - . 2-6-12 a. Total wall window area . . . . . . . ~ 3Z ~ . b. -.Total door area . . . . . . . . ~ . . . . . c.~ Total sliding glass door area . 2~~ -d. Total -f ireplace . wall -area . . . . . 66 ~ ~ ' e. "~Total. wall franing .area (average 10 0) . 2-5 t : f. Total net wall area above.floor ~ ~ . g. - Total rim joist. area . . . . . . . ~ Total eYposed foundation area :h. To-Lal foundation window area . . . ~ • ~ ~ . ~i. Total:~net 'foundation area ebove grade. Determine "U"- value of each- wall segment. ~ . . . . . . ~ .a _ - , , _ . X . : . b, , . . 3~ X u« r S . . - . ~ - c ~ X iiUvi ' 33 d' ` _ • . • $n X ttUft e. Z~ X i;U?l ~p = 2~" • . . , f . X "U 1?-.~_ . g, • X nUn ~h. . X ' „U" X „U« _ . L~ f- ~ • . SUBTOTAL = 2 5~ ~ . 4. " TQTAL If • item*#14 is the. same as, or less than item #1, ~you have met. the : 'r~?tent.of'SBC 6006 (c) 2. . ~ . • ~ . . . . K . . . . . . _ , ~ ` _ . _ _ . , . , . ~ , ~ , . - . . ' • . . . . . . . . , . . • ; Total exposed roof/ceiling area Total skylight area.......... . k: Total flat roof/ceiling framin~;~area........... rj 1. Total net insulated :flat roof/ceiling area..... m. Total vault~roof/ceiling'frami.ng area. n. Total net insulated v.au? t~-oof/ceilin,a, area..... Determine "u". value ~for each.•roof/ceiling-segment j . . .::x A!.Uff . ~ k, . U11 . , 1. L~ A-1 lT x n ? . m. .;x „U~~ _ - - . n. . X . 5. . ..':T~tal . If total of j5'~is the same as, or less - than you -have •met the • 'intent of.SBC..-60Q6(c)1. . , . Total exposed -f.loor/cant. -area o, iotal -.,floor%cant: framing area (-average p. Total net'insulated floor/cant. area 3? `Deterriine "u" :.value for. each -f.loor/cant. _ se~ment • . . ' o. ~ X . ~~U~~ . - D~' _ . • . : p. 2- 6 . . . . . . . . : . . . . . . . . . . . . . . . . . : Total = - . . If :tota? of #6 is the,same as, or 'Iess than f3, you: have met the . intent of SBC 6006(c)3. - . : ALTFRr1ATE ;RUTLnING F;T;VFLOPE DESIGN ' ~`To.utiliie,_the.total envelope system method, the values;establis}:ed by '-the sum of -items-.~~4 ,-~~~5. and~ ~6: shall not be grea ~er : than the : sum -of items 41~ :42 °and 43 , . . _ 2 . . ~ . :4 5 L ' . . . . . ~ Pre a red b . . , P y Da t e : TNRU STUD , Irtt. Air .68 T}lRU INS. WALL Int. Air w'/ S.R. E SIDING S.R. w/ S.R. & SInING S.R,..~s ~,X4 - .f S t U a I n s . 19.0 -t~ , ` Shtg. , . SHTG. Siding ~62 - - Siding - Ext. Air .17 F..xt. Air .17: Total ~'R= . . Total "x« 1/R= „U,t . 2 - 1IR THRU CLG. - Int. Air ,61 'T'HRIJ CLG. Int. Air . 61 - MEMBER S.R. INSULATIOTI S.R. (58«~ ,58 : Clg. Memb. 4- 35 Ins. ) SU. p p -Ins. ( . 'i ) 3 ~ 3 I S.till Air .61 ` Stlll Air .6I TOtal "R" _ 80 Total "ijZ" , 42.4-~ 1/R ttur, _ o 1/R = +tU« 1 THRU CONC BLOCK Int. Air .68 THRU RIM Int. Air :68 C.B. JOZST Ins. 1 9.oa . ` 34jZ'M}XOpt. Ins. 6&0 ~ ? Wood , .1. 8 9 - _ ~ _ Ext. Air ` .17 Shtg. Z_o( Opt. S.R. Siding .d 2 Opt. Sid. - - Ext. Ai - r 7 .1 - . Total "R". Opt. Eri • - ' ck 1/R = _ • 2 - ~ Total "R" = 24-42 . . . l ~p = flUn • t`uLJ z . 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Rdad, Eagan MN 55122 `7 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when pernuts are required for each unit Date 7 Site Address 10?'5 Unit # Property Owner Telephone # ((p,s J ) 4X5 S ~7 c7 cP Contractor Street Address Burnsvilte Heating & A/C, LLC city State Savag9, MN 55378-1122 Zip Telephone # ( 'f~,SZ ) a ~ ~ ~~S Bond Expires: The Applicant is Owner ><:!~Contractor Other Add-on or alteration to egisting dwelling unit $ 30.00 N furnace _Additional ><~7Replacement air exchanger ~ air conditioner _New 'CReplacement other State Surcharge ~ $ .50 [noL~C~~OdL~ Total APR 0 7 2004 $ 3G ,SO I hereby apply for a Residential Mechanical Pernut 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 with the Mechanical Codes; that I understand this is not a pernut, but only an application for a permit, and work is not to start without a pernut; that the work will be in accardance with the approved plan in the case of work which requires a review and approval of plans. 14, , - (&ln~ ' pplicant's Printed Name Applicant's Signature ~ _ 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required far each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is Owner Contractor Other Work Type _ New Construction _ Underground Tank _ Install _ Remove **see below _ Interior Improvement _ Install Piping _Processed _Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) ar Cantract Value $ x 1% _ $ Pernut Fee • If nernut fee is $1,000 or less, add $.50 ~ $ State Surcharge If ~ermit fee is over $1,000, add $.50 for every $1,000 nermit fee ' $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that I understand this is not a pernut, but only an application for a pernut, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: PERMIT # 1-> 7~ ~ Z° RECEIPT DATE: 8008 USIDENTIAL PLUM$INf PEftM1T APi'LICATION crrY oF EAsArr 8$30 f'ILOT KN08 fiD EA6AN, MN 55188 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: I L 5LI W I LDEP.N ES~ ClAIZIE OWNER NAME: : SA 01w BU 1.L TELEPHONE LD5 ( 52 " 891 g (AREA CODE) INSTALLER NAME: bj;,?A 1N 'PP-O PU..lYT1L31 NC'a TELEPHONE 9 -2. -111A + tO1 I ol STREETADDRESS: _ZylyC) NI(nN\11F y\1 AVE• (AREA DE) CITY: La1Cp'Vl LLF. STATE: YUI 1 NN E,SQ'rA ZIP: CJ _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 Counry fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system Replacement/additional: ~water softener _ water heater $ 15.00 State Surcharge $ .50 S P 1 U Total uu ~ $ P-~ 3v I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with alI applicable City of Eagan ordinances. It is the applicanYs responsibiliry to notify the property owner that the City of Eagan assumes no liabiliry for any damag s sed bq the Ci dur' 'ts normal operational and maintenance activities to the facilities constructed under this permit prop ~t /ri t- f-wa as ent. SIGNATU E OF PERMI 1/02 S 65-l 7 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 a-s V~ New ConsVuction Reauirements RemodeVRepair Re uirements • 3 registered site surveys showing sq. ft. of lot, sq. it. of house; and aII roofed areas • 2 copies of plan (200% maximum lot coverage allowed) • i 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 'rf home served by septic system tor additions • 3 copies of Tree Preservatbn Pian if lot platted after 711/93 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE "C_ VALUATION SITE ADDRESS /6,e- MULTI-FAMILY BLDG _Y _ N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS 1 7~ CIN ~C x STATE~~ ZIR~y`~ TELEPHONE #;~'63 SY/ -0dy CELL PHONE # FAX # PROPERN OWNER ad TELEPHONE #~5 COMPLETE THIS SECTION FOR °NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA R F~ 767z r{~st~`~lt ~b r d (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New R rFid Caeggo~J • Energy Envelope Calculations Submitted MAY 2 0 Z001 Plumbtng Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler BY . Water Heater No. of R.I. Baths No. of Baths Mechanical Conhactor: 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 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 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 ? 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 (Inte(or) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code 2oning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinkiered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (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 Copies Other Total PERMIT eno q CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 027802 (612) 681-4675 Date Issued: 06/ 10/9 6 SITE ADDRESS: 1254 WILDERNE55 GURVE LOT: 25 BLOCK: 2 WILDERNESS PONpS P . I . N . : 10--84275-250-02 DESCRIPTION: ~ (s-sEAsaN) eu,Permit Type 5F PORCH ~J1~W1.1.~ t,4,r k T y p e hl E W 434 ALT. RESIDENTIAL F^~+ S y ~ 3 I i• ~ s3 ~ F ~ N d ~ _ f> ~p , N~.~ 5, ? ~ ~A~g~ A~E~~ 4 " ...4A ~Lw A,rwlx, .a~g ~ ~ a ~n:~: REMARKS: A SEPARATE PERMIT IS REQUIRED FqR ANY ELECTRICAL WQRK FEE SUMMARY: uALuArIoN $79000 ~ Base Fee $124.75 Surcharqe $3.50 L.ic. 5earch Fee 5.00 Tatal. Fee $133.25 , CONTRACTOR: _ ;qpplicant - sr. LIc.OWNER: HONEYWOqD BUILDERS 15802772 2003676 BULL JERRY 3320 HQNEYWpQq LN 1254 WILDERNESS CURVE . MINNE70IdKA MN 55305 EAGAN MN 55123 (612) 580-2772 , (612)452-8998 t ' g t ~ h~~re l ~~hz.s r~ , ~~"~d~"..l.F~@S.'~a" ~,a~ . ~ ~ ~ ~ ~ , s t , „ ,,.x...,.a E,.a.._..s. . _.Ra,.,~ ~ ,x a.,, . , ~ ~ - ~ : ~ ~~,,,sa: s» ~.,Jm i 3a.s, ..r.:~ r~•~ ~n, r, `~wy . 3.,p.y~~, l. ~.~5 ( x 2: f3,.SIDa£a,..w n~''..,. ..~e . . , n.f u,Y~ o . ' . APPLICANT/PERMITEE IGNATURE ISSUED B: IGNATURE s . _ CITY OF EAGAN lqf 3830 PILOT KNOB RD - 55122 oil 996 BUILDING PERMIT APPLiCATION (RESIDENTIAL) 681-4675 catf~.~ ~ - ~ New Construction Requirements Remodei/Repair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions 8 decks) 1 energy caiculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan ff lot platted after 7/1/93 required: _ Yes No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: X~ STREET ADDRESS: LOT 2S~ BLOCK ~ SUBD./P.I.D. PROPERTY Name: .Phone OWNER `"S' ` 5T " Street Address• &t,//~-LZZ2-'`~~~ &7 City: ~pState: /'-i Zip: S'3 / 2 3 CONTRACTOR Company: = d '/3v1~~J ~ 5 Phone Street Address: License S~5_Sns _ City: State: 7ux__, Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address, City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 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 IfT JCEQ~ED Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish ? 02 SF Dweiling o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory a 20 Public Facility 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 = plex o 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ~d-32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main ievel sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories ~ sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg / Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC . City SAC Water Conn. 7, Water Meter Acct. Deposit S/VN Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ; x 9'¢Z'O YV DE~~I,E ss EA G A N C~l,(RVE R E V =WE ~ ~qp~ BY DATE IZ'~ 4wS~ 5 '4,.956 , , 947.~lf .i9 , p o ~~~"I 94L' qR~ y) ~ `441. ~A-' , , : . \ 5I 4' Dioina9e IF ufi/ify E5,ff1~ , 947• 9, g / 84. 0,9 5'Ld.B o Denotes Iron h1onument X000.0 Denotes Existing Elevatioh Proposed Top of Foundation Elevation = 948•0 (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation = 947• 6 Denotes Direction of Surfqce Drainage Proposed Lowest Floor Elevation - 9¢0• o I hereby certify that this is a true and correct representation of a survey of the boundaries of: Lot 25, Block 2, WILDERNESS PONDS, Dakota County, Minnesota. And of the location of all buildings, if any thereon, and all visible encroachments, if any, fr m . or on said land. As surveyed by me this 2.~thd af Novembe 1986 ~ Thomas S. Bergquist Registered Land Surveyor, Minn. Lic. No. 7725 r~EPS 5U~`E, Q p' CERTIFICATE OF SURVEY W N SATHRE-BERGOUIST, INC. K ~ for 108 SOUTN BROADWAY 0 WAY2ATA, MN 55391 Jer ry Bu 1 1 TEIEPHONE 812•478•8000 i Z OI ~ I LOT OS BLOCK SUBD. (Z)AiJOr4~e~(~/~C~~ RECEIPT # J~~J DATE fCP 1995 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: j - / S' - 9 ~ Commercial GPM xResidential (boulevards) GPM Existing residential Area/address to be irrigated* ~-~-z~-r--Installer:~~ P&c~ Ovirner ? Plumber~~- Street address• ~ ~ City, state & zip cod P h o n e , A Owner Name -~-e~ G Street addressf -2 - S-z7l City, state & zip code: Phone / ~ - Irrigation contractor, if different than installer: Telephone o 9 y ~ I hereby acknowledge that I have read this application, state that the information is correct, and agree CV VIJI yi r,Iiy 1iVYtif aii appiIc~sbIG VIty t~1 VQgCiil ~/IiJilif,il7VCs. tt 1s LIC a~,i'Ii1L6iif1ta IGsp iiii~1~11i4y L3~ IIVtIiy . the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities Constructed under this per ' within City property/right-of-way/easement. _ 2e..4-zJe,~ " Applicant's odature Title Approved by: Date: PRV 0 Yes ? No New service 0 Yes ? No Meter Size & Cost Fees due: Calculated by: PROCEDURE FOR IRRIGATION SYSTEMS - 1995 An irrigation permit is required - please contact Protective Inspections at 681-4675. Fees Commercial project: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee onlv if new service is installed. $300.00 per tap if installed by City. Residential project: $20.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee if new service is installed. $7510.00 pei cofiiiGCii0i1 - WAv. $372.00 per connection - water treatment facility. Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not required if backflow preventer previously installed). Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of $170.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $800.00. This information is to be supplied by the designer of the system. - - - - - - - No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not reauired, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water_line and backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set and seal of fhe meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. ~***#*##**#***********k**~~~*#***#*# ~ C I T Y O F E A A i~ ~"1O~' PA'w QF FEE AT TIME OF * APPLIc.ATTOrI DoES raar coNSTITUTE * ~ APPxovAL oF PERMIT. * ~ APPLICATION FOR PERMIT . * INSPBCTION OF SF,'WEEt ADID/C2 WhZER T T.A'i'IONS WIIM NOI' BE SCHID- * ~ SEWER AND/OR WATER CONNECTION ~Mm UNM PERI"BT MUS BEM ~ ~ . • . . ~ APPROVID. . . ,i. . P ease Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: Z,S Z U) Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRLY,T[.'RE, DATE OF ORIGINAL BL~ILDING pEf2MIT ISSL'ANCE: ~ : . PRFSETTr ZONING/PROPOSID USE: (Nbn Year Q CONA7E[2CIAL/RETAIL/OFFICE Q' R-1 SINGLE FAMILY ' Q INIDL'STRIAL ~ R-2 DL~PLEX (Two L1nits) n INSTITUTIONAL/GOVERIZENT ~ R-3 TOWNiOLSE (Three + Units) ( Units) . ~ R-4 APARTMENT/CONIDOMIIVILTNl ( Units ) 2) KNOARMN2 NAME: • ADDRESS : CITY, STATE, ZIP: PHONE: 3) i: NAME. For City Lse Plumbers License: ADDRESS: Active i CITY, STATE, ZIP: Expired Not recorded PHONE: ~F-3- 50-r MASTER LICENSE# ' St~tial : 4) •a ~..i?i~+:~ E~d~LGt" l.~L~C/ i~ NANIE : ' ADDRESS: r ' ^ CITY, STATE, ZIP: PHONE: 'S) a: • : ~ - y~ - a~~ CONNECrION TO• CITY SEWIIZ CONNDCTION TO CITY WATII2 ~ OTUR : 6) nio i- ~ PT.RASE HOLD APPROVID PEf2MIT F'OR PICK-T-w BY ONE OF ABOVE PLEA.SE MAIL APPROVID PERMIT TO 1, 2 3 4, ABOVE , (Circ e one) 7) r r• nb).Num &IfA 24 • `1: • Y' 1: ~p ~ • I' . t~ • • - ~ I5' El i"s h YDI• ~ • ~I• • • • ~ ~ ~ f• U~ • ~ ' M:i•l1~~ 1 1 1 ~I D~N • :I' • ! • : FOR -CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: . $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ rL' G WATER PERMIT (INCLUDE SURCHARGE ) $ $ WATER METER/COPPERHORN/OLiTSIDE READER $ $ WA.TER TAP (INCLLiDE CORPORATION STOP) $ $ SEWER TAP $ $ /S G d ACCOUNT DEPOSIT - SEWER . $ $ ACCOLNT DEPOSIT - WATER $ ~ O O U~3 $ WAC - $ J U 0 $ SAC $ $ TRLNK WATER ASSESSMENT - $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ /,-~z o o $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: 0 0 TOTAL , o2-0~ RECEIPT # RECEIPT DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F__j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q I ROADWAY" MLST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CpNDITIONS: APPROVED BY: /do_-~ TITLE: DATE: ~ f ~ ~ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1254 Wilderness Curve Lot: 025 Block: 002 Addition: Wildemess Ponds PID:10- 84275- 250 -02 Use: Description: Sub Type: e- Fireplace Work Type: Gas Insert Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985 -6675 PERMIT City of Eaan Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Andrew Hoffman BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Pemiitee: Signature - Applicant - Construction Type: Owner: Sandra L Bull Tste 1254 Wilderness Curve Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA086945 10/16/2008 ePermit I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Date: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For office Use Permit #: 7/1 3 ?�— Permit Fee: //9c5: Date Received: /O -..£O -i_3 Staff: L 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Contractor Site Address: /-sY it)11 xis S Name: ( y gba Address / City / Zip: /9/53/ 2 / r u' 'ez. d./er Unit #: Phone: (45)$(c - % 33 Applicant is: Owner .e''''C+ ontractor Description of work: �x,ro�i!� 4- caot Construction Cost: q4/c6‘0 Multi -Family Building: (Yes / No Company: Xg erdi eX!fly's Address: 530 ge. 604 Contact: !?re.0 e4et - City: 1444/4del State: ZL Zip: p07?- Phone: 6% I524.r7 y 6gy0 License #: 131.17 c96. Lead Certificate #: N,4r- 4ioa-6 `- 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Pians and'srfpportfpg documents that you submit are considered to be p //c. /nfor>tlon1 Po or s_ of the rform_ation may be 'classified as nonlpubtic if you prom/de.speoific reasons that would p..ermitthe C:i :to conclude that 'the ° are trade secrets, CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.ciooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. Applicant's Printed Name App ant's i9 nat� Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA162399 Date Issued:07/14/2020 Permit Category:ePermit Site Address: 1254 Wilderness Curve Lot:025 Block: 002 Addition: Wilderness Ponds PID:10-84275-02-250 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Sandra Tste L Bull 1254 Wilderness Curve Eagan MN 55123 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature