1285 Wilderness Run Rd
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77eis Certiftcate ismsed prrsmant to tlee nqrdnments of the Uniform Building Code
certifying tlmt at t6e t6we af issuance this stnrcmn wias in compliance with the various
oidinances of dee Ciry itgWating buildisg conslnrcdae or wse. For the followutg:
~ 21388
u~ ~ ~ sm~ ra,~t No.
~r'~Y~ 7a.m nimd ~ry~
o~ or I~ ~M1Ii'S IlC ~ 7570 5 1~:,
~ ~ 1285-MEUMESS RW RD tACEEtv . ,
{ r.
/Orlu
P05T M A CONSPICIJOl1S PLJ4CE
~
F.m,n No. wnnlt Hokl.r oet. Tel.pnone #
SMI
PLUMBING
HVAC I
ELECTRIC
ELECTRIC
Inspsctbn Deb Insp. Commmft
Footinp6 I
Foir?dation
Freming
RooHng
Rough Plbg.
Rou9h FIt9• i
Isul.
Fireplace
Finel Htp• I
Orsat Test
Fnal Pbg. Plbp. Inspeclor - NoYr(y Plumber
C.onst. AAeter
ErgrJPlen
Bldg. Final
Declc Ftg.
DeCk Final ~ /7~ss ~O•Z. 9s ~~J~„
wen ..u•e-~,Q~~. ~cec.~ y~i.k
/ •r9f/xZe
Pr. Disp.
- _ _ _ ~
a3lQ 5!0 ~
0 a1 95-2 01
Re uest Da e Fre No Rou9 -In InSpxclWn Repmretl In
G_f~ pection Olher Ttia ugh-ln
(VOU must cell inspeao`r when ready) Reatly Now WiII Notity Inspeclor
~ ? Yas N. Da~e Read
t
I~'6censetl contractor ? owner hereby reqoest inspection of above elecirical work at
Jab Atltlress (Sheel. Box or Roule No.) Ciry
4ud ~f',D G''A-Gr0~1
Section N0. To~vnship Name or No. . Range No. Covny
Occupant(PRINT) Phona No
~E ':f~~~ ysZ 61 y
Pawar Supplier qtltlress ,
ElecVical Conlraclor (COmpany Name) CpmrectoYS Licansa No
~ti° E,TA Ec~'~ RsC C/; o0lJ'J-
Malllnq Atltlress (Conttaclor or 6w•ner Making Instaliatron) ~
-7711J'~/1/!/I ?E4
AuthonEeO SiqnaNr (COmradonOwnar ldakmg Installalion) Ppone Numser
YvO=l1 z ~
MINNES TA STATE BOARO OF ELECTPICITY THIS MSPECTION REOUEST W ILL NOT
Gtlggs- tlway BIEg. - Room 5-148 I II II I I II I I I I II I I( I II 9E ACGEPTED BV THE STATE 60FFD
1821 Unlversity Ave., St. PeW, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phono(614)fiA2-U800 ENCLOSED
_ /1 q/~qJ/ REOUEST FOR ELECTRICAL INSPECTION es-ooooi-os
O~(/~ vV p-` loo Sea Instructwns lor compteting this iarm on back ol yellow copy.
"X" Below Work Covered by This Request
Ne Adtl Rep. "Type of Building Applianees Wired Eqwpment Wired
Home Range Temporary Service
Du lex Water Heater Electric Heahn
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Olher (spaciy) Conlredors Romarks:
ffor 7a
B
Compute Inspecfion Fee Below:
N Other Fee # Service Entranca S¢e Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transiormers Above 200_Am s Above 100 -Am s
Si ns Inspeclols Use Only: O 70TAL
Irrigation Booms (.(C7 ~40
i S e
cial Ins ection Alarm/Communication THIS INSTALLATION MAY BE ORDEAED DIVONNECTED IF NOT
Other Fea COMPLETED WI 18 MOINTHS.
I, ihe Electncal Inspecror, hereby Roupn-in ~ - Dete 1
certify that the above mspection has
Fuial Dala -
been made. _
OFFICE USE ONLV
This raquest voitl 18 monlhs Irom
ir.,7 ~7,7-
, o ,~04 0-TZ"
ReOU st Date Fue No Rough-in Inspection
~I - 93 Reqwretl7 ? Reatly Now ~ Wdl Notity Inspepor
- Vas No When Ready?
Iricensed conhactor p owner hereby request inspection of above electrical work at:
Joo AoEress (SVeeL Bax or Routa Na,l ciry
' /~.n c1.FL
Secuon No Townsnip Name or No. Fange No. Coumy
Ocmpam IPRINJi POOne No.
Powe upaier . Aadrass
Eie<.r~ al Convaaor ICOmpnny Name) CoNraclor5 Licepse No. CA 0 ~
MdNng Atltlres5(COnl:aclor r Ownar Making Insianauon)
/ 3 s C_ Nf ~
Autnonzetl Sgna:ure ICOnvatlovOwnar Makm Installauant Phone Numper
MINNESOTA STATE BOARO OF ELEC ITY THIS INSPECTION REOUEST WILL NOT
Gngge-MlEway Bltlg. - floom 5473 BE ACCEPTED BY THE $TATE BOARO
1821 Unlvers0y Ava.. 56 Veul. MN 55104 UNLESS PROPER INSPEGTION FEE IS
Phone(81t) 642-01100 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION j``=;Jza~ eea00/0~1ae
r~ ? See insVUClions lor completmg ihis brm on back ol yellow copy
4 3t"~ ~ G "X" Below Work Covered by This Request
ew Atltl R Typeol8wlding AppbancesWiretl EpwpmentWiretl
Home Range Temporary Serwce
Duplex Waler Heater Elecinc Heatmg
Apt 8mlding Dryer Other-(Specify)
Comm./lndustrial ? Furnace
~ Farm V Air Conditioner
Other(suanly) Contractor§ Remarks:
Compufe Inspechon Fee Below:
# ONer Fee # SernceEniranceSae Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 1,F .~jp 20 0 to 100 Amps p
Translormers Above 200 _ Amps Above 100 _ Amps
Signs Inspecror§ Use Only: TOTAL
Irngation Booms ~-6 U~
I Special Inspection y
J
Alarm/Communication THIS INSTALLATION MAV BE OflDERED DIS ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONi41S. p 5'S.J'7J
I, the Electrical Inspector, hereby Aough-in //n a~x oa
certifY that the above insPection has 1
F~~ai ~ oeie
been made. 2 i OFFICE USE ]NLV
This request Witl 18 monlhs IrOm
C 4~4 3s6
' ReQUest Oa~e Fire No. Roug~-In Inpsoction Redwr E Inspec40n Other Than Rougn-ln
r.~ ~ (vou must cell inapedor wM1en reaCy) ~ Reetly Now~~Al NoLly Inspector
~ ? Ves N. Date FeaE
IX, icensed contrector p owner hereby request inspection ol above electrical work aC
JoG Atltlrass IStreet Box or Rome No.) n piy
~1l?SS ,.1.~/ l~c~. ~~i~N
Secuon No Townsnip Name or No. Range No Counry
7.<F kaTf,~
occuog ~~~PR~NT~ pnone No
~.ee G'o/
Pawer Supolrer qtltlrass
-DAk,9I fI'
Electncal Convac;or ICOmpany Namel Convactar5 License No.
e or'4&i^s ,E%aG y'i c e n
Maihng qaare ss IG tr cto~ o~ Oaner rdakin9 InstellaLOn)
3s` C'eG~1r de So /s' 5 S o7
AuIDOnzetl Wre 1COm ton r MaKi stallauo pnone Numoer
~ 7a 1 a6
MINNESOTA STATE B04R0 OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-MiEwey BIOg. - Room 5473 BE ACGEPTED BY THE STNTE 60AR0
1821 Umvenlly Av¢. 51. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Vhone(612) 641-0900 ENCLOSED
7G RE0~T FOR ELECTRICAL INSPECTION s=""t'~~g EB~00001-OB
" ? See n clions lor complelinq Ihis lorm on Ca[k ol yellow wpy.
C~ 44356 . '
"X" Below Work Covered by This Request
ew Add Rep TypeofBuiltlmg ApphancesWirad EquipmentWiretl
Home Range Temporery Service
Duplex Water Heater Electric Hea[ing
Apt. Building Dryer Load Manegement
Comm.nntlustrial Furnace Other (Specify)
Farm Air Condrtioner
Omer (syxiyl Comraclors Femarks: '
~e4:k6ecA Servi- ei-tier
Compute Inspechon Fee Belaw: t 0 Exl 5 4-IN6 5-e1^ V/GG -(!vr Dri?
# Other Fee # ServiceEntranceSrze Fee # CircuitsiFeeders Fee
0 to 100 Amps
Swimming Pool 0 to 200 Amps / 45
Transformers Above 200 _ Amps ~ AOOVe 100 _ Amps
Signs I inspemor§ use Onry. TOTpL
Irrigation Booms - M
T~~
Speciallnspection JF~ a ,
Alarm/Communication THIS INSTALLATION MAY BE DRD'~ERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rougn-m oate
certifythatiheaboveinspectwnhas F,,,ai aie
been made.
OFFICE USE ONLY ~
ThiS request wio IB momhs trom
Address 1285 wn.oERn~'ss xuiv ROnD Zip 5512 3
L.ot ~ 20 ~ Blk 3 Sub wn.nERNEss [ujN arH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI70N.
Date: Yes No Inspector. S
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Pertnanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage ?
Porch ?
Basement finish ?
Deck
Please verify with the builder Ihe removal of roof test caps from the plumbing system and the shut-off of warer supply to
the outside lawn faucet before freeze potential exists.
Contact enginecring division at 681-4645 bcfore working in rightof-way or installing underground sprinkler system. ~
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
PERMIT
~ GITY OF EAGAN
3830PiIotKnobRoad PERMITTYPE: euiLDrNG
Eagan, Minnesota 55123 Permit Number: 021389
(612) 681-4675 Date Issued: 0 7/ 0 8/ 9 3
SITE ADDRESS:
1285 WILDERNES3 RI1N RD
LOT: 20 BLOCK: 3
WILDERNESS RUN 4TH
P.I.N.: 10-84353-200-03
DESCRIPTION:
Buildi g--_Permit Type SF OWG
Building lJork Type NEW
rUBC Occupancy\,,' R-3 M-1
Construction Type V-N
Zoning ~ R-1
Building Length ~ 64
Building Width 32
i
r F
REMARKS:
S & W PLBR -
FEE SUMMARY:
VALUATION $87,000
Base Fee $581.00 MISCELLANEOUS $1.744.50
Plan Review $377.65 Total Fee $3,496.65
Surcharge $43.50
SAC $750.00
SAC 8 100
SAC Units 1
Subtotal $1,752.15
CONTRACTOR: - Applicant - OWNER:
KIRBERGER COMPANIES INC 17842604 KIRBERGER COMPANIES INC
7570 HWY 65 NE 7570 HWY 65 NE
BLAINE MN 65432 BLAINE MN 55432
(612) 784-2609 (612)784-2604
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 Mn.
Statutes and City of Eagan Ordinances.
- ~4/P ~
P I CANT/PERMITEE SIGNATURE ISSUE BY: SIG URE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuiLDiNs
3830 Pilot Knob Road Permit Number: 021388
Eagan, Minnesota 55123 Date Issued: 07 /08 /93
(612) 681-4675
SITEADDRESS: Lor: 20 BLOCK: 3 APPLICANT:
1285 WILDERNESS RUN RD KIRBERC,ER COMPANIES ZNC
WILDERNESS RUN 4TH (612) 789-2609
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION
. .A
FOOTING FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: S & W PLBR -
L
~ J
REALTIVATE _ I ~~~~~VED CITY OF EAGAN
PERMI,T 1893 BUILDING PERMITAPPLICATION
1993681-4675
SINGLE & MULTI-FAMILY esets of plans,,3registered site surveys,~Ycopy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Yaluation of work 9Site Address: l~gS w;~cPeRtie&S OPU•V OW
SiREET ' SUITE Y
Tenant Name: (commercial only)
IAT A0 BIACK 3 SUBD. QP.I.D. M
Descri tion of work: a_zsrp i L.
The applicant is: ? Owner E?(ontractor ? Other (Deaeribe)
Name GOl'c !1!5 Phone
Property LAST FINST
Owner Address
STREET STE IF
City State Zip
~ Company Phone 79y&Z6y
COI1tt'BCtOf Address 75~J~ , License N~~ Exp. "
City ~fi~l.d,1E State Zip 55113
Company Phone "757' 200
Architect/
Engineer Name Registration N
Address //y7~v I'lT427'I,0 ST2T,~ZZ'_
City c~t~-U~IDS State Z i p Sewer & 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
Y .w• ~
BUILDING PERMIT TYPE
O 01 Foundation , ? 06 Duplex ? 11 Apt./Lodging •O 16 Basemen"f finish
002 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? OB 8-Plex 0 13 Garage/Accessory ? 18 Comn./Ind.
? 04 SF Dorch ? 09 12-Plex 0 14 Fireplace ? 19 Comm./Ind. Misc.
E3 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public facility
O 21 Miscellaneous
WORK TYPE
0 31 New ? 33 Alterations ? 35 Tenant Finish O 37 Demolish
? 32 Addition 0 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Y_N Basement sq. ft. NWCC System YcS
(Allowable) v-N lst F1. sq. ft. City Mater
UBC Occupancy p2--,; M-j 2nd F1. sq. ft. PRV Required
Zoning R_i Sq. Ft. total Booster Pump
of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth 32, On-site sewage SAC Code
APPROVALS j
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS p Site ? Footing ? Framing O Insulation
? Wallboard 0 Final ? Draintile ? Fireplace
Permit Fee vtwc;a+= S 0060r
Surcharge G AGc;
Plan Rev abk26= 676K 1l0 8/6
iew 63MT; ~
License a6x4o= lOYo
MWCC SAC
Lity SAC
Water Conn.
Water Meter ILFLo0,
Acct. Deposit
S/W Permit 656I'r
5/W Surcharge IYZX7= /0
Treatment Pl.
Road Unit IIloKS3% 56630
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % 100
SAC Units =
,
" Established in 1962
LOT SURVEYS COMPANY INCo INVOICE NO. 34240
~ F. B. NO. SS'i-fifi_fi7
LAND $UJtVEY0It8 SCALE I" = ZQ'
o Denotee Iron Monument
REGISTERED UNDER I.AW9 OF STATE OF MINNESOTA o Deno}es Wood Nub Set
7601- 79rd Avenue North 560-8093 For Excavation Only
Minneapolis, Minnesoq 55428 x000.0 Denotes Ezistinq Elevation
O Denotea Proposed Elevation
omtgaro E~ Denotes Surface Drainaqe
KIRBIItGIIt COPlSTRIJCT'IIN 9 I5.1 Proposed Top of Block
Proposed grades are subject to '314•6 PraDosed GoraQe Floor
depth of existing utilities 90 proposed Lowest Floor
in easements.
Type of Buildinq -
M ~ ~I~ r,aLGH7E~9 ~aic~Jr
O / .
- - - - _85.21----
_ fENUF_ ~
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Lot 20, Block 3, WILDE[2NNFSS RUJ 4TH ADDITIIN
n,e ony om«n.nn .Nown am rran plata or roc«id w tnt«mnion piovWwed by
dw,L ~
~
1Me hsreby cMNy thN thls ba tnis arW cortsct ropsasntatlon ol a aurvey of tM
boundwln W tM above doseflbed land and ths locetlon o( tll buiWirps and vir
IbN oncrwchrrNnU, if a* lrom a on aald land. siped
surwywbywmi. 1$th diyof Mav 19 93 Qymond A. Prasch Minn. Req. No. 6743 . .
LOT BORVEY CHECRLIST FOR RESIDET;'PZAL
SUILDING RMIT APPLI ATION
pROPERTY LEGAL: V
m
Dnte of Survey:
DOCUMENT STANDARDS
0 0 • Registered Land Surveyor signature and company
0 • Building Permit Applicant
? ? • Legal description
0 g--'13 • Address
fY 00 • North arrow and bar scale
C~0 0 • House type (rambler, walkout, split w/o, split entry,
/ lookout, etc.)
FY 0~~ • Directional drainage arrows with slope/gradient
? • Proposed/existing sewer and water services
.f~ 0 • Street name
~ ? • Driveway
ELEVATIONS
, Existinq
D Cr'll • Sewer service
9~ ? ? • Lot corners
0 • Top of curb at the driveway
? 0? • Elevations of any existing adjacent homes
prooosed
Id' ~ ? • Garage floor
@~0 D • First floor
0 • Lowest exposed elevation (walkout/window)
0 • Property corners
~ O? • Front and rear of home at the foundation
PONDINl3 AREAS (if applicable)
0 ~ ? • Easement line
~ ? • NWL
? • HWL
~ ? • Pond # designation
D~ 0 • Emergency overflow Elevation
DIMEN8ION8
~ ? ? • Lot lines
? 0 • Right-of-way and street width (to back of curb)
0' 0 ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
struc*_ures requirinq permanent footings)
ff'?? • Show all easements,of record ar.d any City utilities within
those easements
Cy- 0 0 • Setbacks of proposed structure and setback of adjacent
existing homes
? 9/Q • Retaining w *i/ts, if any ~
Reviewed•
Nam / D e
October 1992
Cities Di ital ualitv Control
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• - • . . ~ ~ ~ ~ t5 - Gc=-~-, q-
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00
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'.w •..re n... 141 °I ~
~l 1~1 ~y11 ~l~yw N. It.
N• f!. ¦ •U` -r
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fiall I?at N. I~. ~My
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N• I!. ~ 'U' _e~L • ~O.?`~
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tlaor tln~al~tN) "7.'7-~
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q. It. ¦ 'll'eeggUene • -7.g5 •
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. „ TOTAL Mh lI I~ Z.~14
If IpN p Is !M su~ a~, or 1N~ l~~s !fw ~1• Im Aaw sN
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4. TOTAL ExVOBED ROOf/CEILINO CALCULATf0"gl
ToW •iposed
roof/calling area ~r
sq i!
J1 TolOl •krlight •re& -
. . .a rc . «u" , -
k1 Tota! Poo//crtliny fr• an
•~9• (awrap lOf) ~I '
.4q /t ¦ ~_oas z, ~ ~
3/ Tot~l not insulatod
"of/cotlny •rw&
~~GV /t ¦ z 5
TOTAL j) thru 1) ZS D~
l/ totAl 0/ N4 is the safte as,
t4v l or l~~s tAan N29 You have N
~Sont o/ 6.P,C. 6Octaon L006 fc!
!
70 ALTERMpTE OUTLDINO ENVELppE pE0I0N
~fillt•
'Pstaol»hed !h0 total snvelops •rsl~
br tAe au¦ o/ iterr r NlAod, tAe tA&" tA• sur o/ ilars valu~s
M1 •nd 02. N3 •ntl M? %hall not
be yreabr
J. ~z . '2• Z~ . ZZ t-7
, -r,
4
~
C E k T( F I C A T I 0 N
rsrl'Iy that I Aaw calculated th• •'U•- fietols •nd
•nd that CA• butldiny her• described
h• 6t*t• oI Ilannesot• EnergY Conserv&tton Acl.
OT
N~~f
/ / ~ •
I4@notur@1 CHAkLE L. ERO
fDatal ~
r''• • y 7('6 4ALL YITH 2ii
, . • . -..u1~1T1C ~r:.. .,..riG
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WALL, FqAMIMG SECTION: '
_ 1 I terior alr fllm
Z
3 nches so t wooA
y '~T,•' " .
.
'STQINC"
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I Interlo? alr /lla -
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7
y
F Exter or • r m
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u ~ I/n . .043..
' RIM JOIST SECTIII?1:
I Interlnr alr /Ilm
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3 2X "
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F Ext~~~ a i, m ~0 ,
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A•; FOUNDATION SECTIOM:
'•A. ? . . I Intorlor alr-/I'Im' _ '
, s'• ~t'
'A~ G ` 2" CONCkhTh
Exter or a r ~ .
Q' 0•' ~
.a ` A '
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OTAL R •
' IJ • 1/It • .
~
PERMIT 'o 45S'
~ CIT•Y 00 EAGAN 11~~fG
3830 Pilot Knob Road PERMIT TYPE: B U I E D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 4 3 9 6
(612) 681-4675 Date Issued: 0 8/ 11 / 9 4
SITE ADDRESS:
1285 WZLDERNESS RUN RD
LOT: 20 BLOCK: 3
WILDERNES3 RUN 4TH
P.I.N.: 10-84353-200-03
DESCRIPTION:
%
Building-Permit Type DECK
Building Wor \ Type NEW
1 /-••i l-~\ ~r~,
REMARKS:
FEE SUMMARY: `
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: OWNER: - Applicant -
COLE LEE
1285 WILDERNESS RUN RD
EA6AN MN 55123
(612)452-0654
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 Mn.
L Statutes and City ofi Eagan Ordinances. J
,~aun. R ` ~
PPLIC T/PERMITEESIGNATURE ISSUEDB SIG TURE
INSPECTION RECORD
CITY OF EAGAN PERMITTYPE: au2LozNe
3830 Pilot Knob Road Permit Number: 0 2 4 3 4 6
Eagan, Minnesota 55123 Date Issued: 08 J11 J94
(612) 681-4675
SITEADDRESS: LoT: ze BLOCK: 3 APPLICANT:
1285 WILDERNESS RUN RD COLE LEE
WILOERNESS RUN 4TH (612) 452-0654
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION .
FOOTINGS FINAL
F
L
~
CITY OF EAGAN
1434C 1994 BUILDING PERMIT APPLICATION
681-4675
CR i gw
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site su AgGuedpn rgy
calcs. AUG 0 B 1994
COMMERCIAL 2 sets of architectural & structural lans, 1 set of
specifications, 1 copy of energy calc
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ` Valuation of work Z- 9 o v -
Site Address:
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK 7 SUBD. P.I.D. #
l,ll .,~'lt~r~ i ~
Descri tion of work: ILIi~3 C`IiC._
The applicant is: ? Owner ? Contractor ? Other (Describe)
Name ~~e_ LQ2_ Phone YS2-O~Sy
Property IAST FIRST
Owner Address L2~S W.tdlmtilA.44 (u.+-. Coact
STREET STE tf
City 'F lA-4;r l'fv-J State ~q '\J Zip SS/23
Company Phone
Co ntractor Address License # Exp.
City State Zip
Architect/ Company Phone
Engineer Name Registration #
Address "
City State Zip
Sewer & 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
~ .
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ,E1'15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
/a 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
N of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code 3 y
Depth On-site sewage SAC Code o1
Census Bldg
APPROVALS Census Unit i-
Planning Building Assessments
Engineering Variance
REOUIRED INSPECTIONS
?.Site O Footing D Framing ? Insulation
13 Wallboard O`Final ? Draintile ? Fireplace
Permit Fee veiuac;on: S
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
- ' Estoblished in 1962
LOT SURVEYS COMPANY, INCo F. BONO. N~ 553-6fi467 INVICE LAND SURVEYOR4 SCALE I" = 20'
o Denotae Iron Monument
REGIBTERED UNDER LAWB OF STATE OF MINNESOTA o Denofes Wood Hub Set
7801 - 78rd Avenue North 680-8093 For E atavation Only
MinneapolL, Minnaota 66428 z000.0 Denotea Exlsflnp Elevation
O Denotes Propoaed Elevation
ATY1112gOTo E~ Denofen Surface Drainaqe
' KIRDERGII2 CON51'RUCTIQJ 915.1 Proposed Top of Block
Proposed grades are subject to 914.110 Proposed Garaqe Floor
depUi af existing utilities 907 f Proposed Loweet Floor
in easenents.
Type ot Buildinp -
,
i
% r4
(D
W ~
~ o
N
9 ° y`
90.,
/O (A. s
lA IJ' n ~ RZ Pc~SED ~ • ._`y.•.
I ~ N / RESI DE~CFf
rl ~ / =9 1 v
uvivaN i38U~ ~ 8.85.,r9/65
-i
591."~ O902.4
I ~7 9ob, J •9~4,d I 8~K
/ /
'1 L I"iY ;7'
1~4
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1993 PLUMBING PERMIT (RESIDEIVT7AL)
CTIY OF FAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIF2ED FOR EACH UNIT.
- - - -
NO. FIXTURES EACH ZbT~
SHOWER 3.00 ! WATER CLOSET 3.00
BATH TUB 3.00
/ LAVATORY 3•00 3 ^T
KITCHEN SINK 3.00 3 ~
LAUNDRY TRAY 3.00.
HOT TUB/SPA 3.00 -
~ WATER HEATER 3.00
2 FLOOR DRAIN 3.00 b-~
_.7- GAS PIPING OLTTLET • minimum -1 3.00 ro
3 ROUGH OPENINGS 1.50 y.so
WATER SOFTENER 5.00
PRIVATE DISP. • Da1c.Cry.lit. 15.00
U.G. SPRINKI,ER • eome unaer mmi. 3.00
ALTERATIONS ' to edsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS:
OWNER NAME: ~ir b2v-q2~-' l_w»oa ie5
INSTALLER: /7Z, -ewt
~
ADDRESS: -L.! 2(a
CTTY: ~nd~a STATE: ZIP CODE: ~3a3
PHONE ( ) Zf2-7 -Z3Z/
SIGNATURE OF PERMI7TEE
~
PlXMSEONLY:
,
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1993 PLUMBING PERMIT (COMMERCIAL) •
CITY OF FAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMAMRCL4UINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING U;;:T.
_ NEW CONSTRUCI70N
ADD ON
REPAI R
WORK DESCRIP'I'ION:
CONTRACT PRICE: $
FEE: 1% OF CON'I'RACT FEE. ~
STATE SURCIW2GE: S•SO FOR FACH $1,000 OF p£RMYF FEE
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAA'IE: STE. #
OWItER IVA111E:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
pHONE
FOR: '
CIT1' OF EAGAN APPLICANT
F? 'IY USE ONLY ~yyy1
;
=ff~ ~L ~ , ~ f ,f' i F iWV'°~F r Y Y, ''k"i~~°!,"~~~1=1~• ~~~~a
' i ' i , < f 3 a
_ .:x.~;..
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
~ NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE g-~~-93
FEES
HVAC: 0-100 M BTU 24.0
ADDI'T10NAL 50 M BTU 6.00
GAS OUTLETS (M W IMUM 1 C$3.00 EACH) J7,oo
ADD-ON/REMODEL (ExISTING CoNSrRUCTtoN) $ 15.00
STATE SURCHARGE .50
TOTAL Vapor- 7 ~
~c-
.
SITE ADDRESS: h e 55 ~u ~pao-d
OWNER NAME: TE,LEPHONE
INSTALLER: 1T4474'n, a ~ /~'+i£
ADDRESS: Z~ Z b- Z`'°~ /~ve ,
CTI'Y: STATE: ZIP CODE:
-T
TELEPHONE
SIGNATURE OF PERh4ITTEE
C°IY:-USE'O1VLY .
.
. '
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: ...:+~Y
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. . . :
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1993 MECHANICAL PERMTT (CONII?ERCIAI,)
CTTY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAI/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMIl.Y BUII.DINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
- - - - - - - -
DATE: CON'TKACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CON7'Rr1CT FEE $
PROCESSED PIPING: $25.00
MINIh9UM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF I'FRMIT FEE.
T07"AL $
STTE ADDRESS:
OWNbR NAME: TELEPHONE
TENANr NAR4E: (IMPROVEMEM'S ONLY)
INSTALLER:
ADDRESS:
CI7-y; STATE: ZIP CODE:
TELEPHONE
SIGNATUP.r OF PERMITTEE ~TTY INSPECTOR
~7 -7 76/ 2007 RESIDENTIAL BUILDING rERMIT arPLicaTioN ~?o -b O
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 0 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reouiremenis RemodeVReoair Reauirements ORce Use Oniv
3 re9iste2d srte surveys showing sq. ft. of lot, sq, ft of house; and all roofed areas 2 mpies of plan showing loohngs, beams, joists Cetl of Survey Recd Y_ N
(20%mazimum lot coverage allowed) 7 sel of Energy Calculations (or heated additions Soils Repod _ Y_ N
1 Soils Report d proposed building is to be placed on disturbed soil 1 sile survey for additions & decks Tree Pres Plan Recd Y N
2 copies of plan showing beam & window sizes; poured found desgn, etc. Addition - indicafe i/ on-sde sepfic system Tree Pres Required _ Y_ N
1 set of Energy Calculatons On-site Septic System _ Y_ N
3 copies of Tree Preservahon Plan il lot platted after 711193
Rim Joist Detail Ophons selecGon sheet (buiidings with 3 or less uniLs)
Minnegasm mechanipl venGlafion form
Plans are considered ublic information unless ou state the are trade secret and the reason.
ygs ~a
Date ,S / ko 2 Construction Cost ~
Site Address 1:).s5 W+1 ~Qprne `S S 2.,n ZA UnitlSte #
v~ 1M.. v~ Y~a S al' ~
Description of Nork T~b 1.c~ Y Oc7 ~
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1 _ 2
~
Property Owner V arn i e vi Telephone #(&X7 )V5 y/62~
Contractor ov&t2- T" f G e Awc-P,,~) ~ L..tG , 2DC)7 20 Z-5"
Address 50-P ~a-r2cc? q,i,e .$o City m ` kAc Gw~
State ni Lre elesvk Zip SSoI ~ Telephone #(65 2-3 g'Q113 Y
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Venlila4on Category 1 Worksheet • New Energy Code Worksheel
(q submissiontype) Submitted Submitted
, • Energy Envelope Calculations Submitted
In the lasf 12 months, has fhe Cify of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in 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
e case of work which requires a review and
permit; that the work will be in accordance with the approve lan :Signature
approval of plans. ~
J~
Applicant's Printed Nanie ppl cant's
DO NOT WRITE BELOR' THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 EM. All - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
O 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex ? 25 Misceilaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Altera6on ? 37 Demolish Building' ? 43 Reroof O 46 Windows/DOOrs
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
DESCfiption: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQU[RED INSPECTIONS
_ Footings(new bldg) _ Sheetrock
_ Footings (deck) _ Fina]/C.O.
_ Footings (addi[ion) _ FinaUNo C.O.
Foundation H V AC
Drain Tile O[her
Roof _ Ice & Wa[er _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Tes[ _ Fina] _ Windows
Insula[ion _ Re[aining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Pfan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
CITY OF EAGAN Remarks
Addition Wilderness Run 4th Addition Lot 20 Rlk 3 Parcel 10 84353 200 03
Owner street 1285 Wilderness Run - State Ea an MN 55123
R
SS `
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 8 1977 1032.06 103.20 10 1032.06 C002370 10-4-76
STREET RESTOR.
GRADING
SANSEW TRUNK 1973 $163.26 $B.lEi 20
SEWER LATERAL
WATERMAIN
WATERLATERAL 1972 $584.91 38.99 1
WATER AREA -11// 1977 160.00 10.66 15
STORM SEW TRK
STORM SEW LAT
CUFB & GUTTER
SIDEWALK
STREET LiGHT
WATER CONN.
6UILDING PER.
SAC
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued: i011-11 1 11114
(612) 681-4675 N c-~
SITE ADDRESS: APPLICANT:
I +i7' I~I !•M7 , , ~I;I ; i. ~ i~l 1 : r
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION •
L~ J
.-.r__~__ , . _ •
. INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
~ Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
. SITE ADDRESS: APPLICANT:
, ! r ~ ~ I~~ ~ tJf kl~~ • tri~ t i i, ~ ~.~ri; . i r~~
! ~ ~ i i~s 1 !it . . ilVt ~I t !1 ~ , , . ~ •1 :'F.H~I
i
PERMITi SUBTYPE: TYPE OF WORK:
,
INSPECTION
1 ft'.itl F1) ! illl i I ~•1i11
f I 1~ f 7' ( p1 ~ i
PWmit No. PwmN Hoklsr DeN Telaphone 1f
. S/W
PLUMBING
.
HVAC O 9~ aj7=
ELEcrRic ~ • , 93 9J`~
ELECTRIC
mspwnon Dd. Map. Commwrs
Footings I
!
Fa,ndatlon - uxrti~'- G
Framing •%i $3
Ro0fIn9
tJ4
Rau9h PIb9.
Rough "tg.
is,i.
Rmplaoe
Rna' "ig. Z?- ,4
Orsat Test
Fnel Plbg. Plbg. Inspedor - NdNy Plumber
Const. Meter ,
Engr.IPlan
&dp. Finel 53
Deck Ft9.
Deck Fnal O
weli
Pr. Disp.
~
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173627
Date Issued:11/22/2021
Permit Category:ePermit
Site Address: 1285 Wilderness Run Rd
Lot:020 Block: 003 Addition: Wilderness Run 4th
PID:10-84353-03-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Christopher M Schumacher
1285 Wilderness Run Rd
Eagan MN 55123
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature