1281 Wilderness Run Rd
Parcel Files Cover Sheet '
Unique ID:
1281 Wilderness Run Rd
108435321003
CITY OF EAGAN
3795 Pilot Knob Rond Eayen, MN 56122 N° 4494
PHON E: 464-8100
7J~.~
BUILDING PERMIT Receipt *
To be w.d for f'inish I3ase:nent Dote ~"*oLniJet 23, 19 77
Site Address 1281 h'ilderness R*ct Rd. _ Erect p Occuponcy ~
Lot 'i Block 3 Set/Sub. V•R 4th Aiter Zoning ~ a
Porcel # Repoir ? Fire Zone 3 _
Enlarge ? Type of Const. v _
a Name r,ichard AtChesotl Move
3 12$1 tyi).derness i~un i~d, ? # Stories
Address Demolish ? Front ft.
~ Ci Phone Grode ? Depth ft.
1% Approvals Fees
Name
o' Address Assessment Permit 'a . `•l_~
Ci Phone Water & Sew. Surcharge 1.00
ul
Police Pion check
W W N°^~ Fire SAC
F
Address - Eng. Wuter Conn.
<W Ci Phone Planrter Woter Meter
Council
I hereby ocknowledge ihot I have read this npplication and state that Bldg. Off.
the information is correct ond ogree to comply with all opplicoble ~
$tate of Minnesota Stotutes and City of Eogon Ordinonces. APC Total ~
Signoture of Permittee
A Building Permit is issved tc: -Richard Atcheson on the express condition thot
oll work shcll be done in uccordance,with all appliwble State of Minnesota Stotutes and Ciry of Eagon Ordinanczs.
Bullding Official _
~~k # aN IMw~ hr~Ml~e
Plumbing
Methanitel
INSPECTIONS DATE INSP. Rough.~n Final
Footinqs Dot+ Irup. Date lerp.
Foundation Plumbinq
Frame/ins. Mecfwniool
Finol
Remarks:
I CITY OF EAGAN Remarks
Addition Wilderness Run 4th Addition Loc 21 Rik 3 Parcel 10 84353 210 03
Owner Street 1281 Wilderness Run 01~' sute Eagan, MN 55123
' Improvement Date Amount Annual Years ` Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
a' SAN SEW TRUNK 1973 163.2 $8.16 20 PAI
SEWER LATERAL
WATERMAIN
WATERLATERAL • •
WATER AAEA P id th water onnection 75
STORM SEW TRK yy~ 325.69 CooSSoo 7 22 80
S70RM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
wATER CONN. 20.00 932 8-15-75
gUILDING PER. 932 _75
sac $425.00 932 B-15-75
PARK
~
This:aquest void 18 months from ?61 0 7 S~ S~
Date of this Request -.2 - "7 ~ P 4172
1, as ? Licensed Electrical Contractor Owner, do hereby request inspection of the above electri-
cal wiring installed at: ~1 93 ~
/~r~ ,p
Street Address or Route No. /-7 2 / ~ity1L~°^zi
-
Section Township Range County
Which is occupied by Cl~~
,r.ama oa c«upanr,
Is a roughin inspection required on this job? No ? Yes PK Ready Now ? Will Call L9/
Power Supplier ~ ddress,;,~a^~~c -~s 14~-,
Electrical Contractor Contractor's License No. _
(COmpany Name
Mailing Address
(Elac ICdI nt a tor r Owner Making Thii Initdllatlon) p
Authorized Signatur ~ Phone Naz:F~4la
(Elettrlcal coMractor or owner Making Thls Installatlon)
STATE "I'S'OARD COPY
Minnesota State Board of Electricity ~EF a 7S3 q
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION 417 2
CHECii BELOW WORK COVERED BY THIS REQUEST
•'Iype of Building New Add. Rep. Check Appliances Wired Foi Check Fquipment Wired For
Home ? ? Range ? Tempotary Wiring ? ~
Duplex ? ? ? water er Lighting Fi~cmres ?
Apt. Bldg. ? ? ? Dryer Glectric Heating ?
Commercial Bldg. ? ? ? Fum Silo Unloader ?
Industrial Bldg. ? ? C ditio c ~ Bulk Mdk Tank ?
Farm ? ? ? List yJ pLis[
Other ? ? ? Here~S) HehefS~
COMPUTE INSPECTION FEE BELOW
Seivice Entrance Size: # Fce Feeders&Subfceders: # Fee C'vcuits: # Fce
D to 100 Am s. 0[0 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to I00 Amperes 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. Above ]00 Amps.
Transformers Remote Control C'uc. Partial or o[her fee
Si ns Special Ins ection Minimum fee 55.00 L
Remarks TOTAL FEE
I, the Elec[rical Inspector, hereby certify'~a the,S~, ' sQec has been made. d.
(Rough-in) w~ Date ~ "
(Final) Date
This request void 18 months from ~
~
,
- CITY of EAGAN N° 3643
BUILDING PERMIT
Owne= 3795 Pilo! Knob Aoad
Eagan. Minneso2a 55122
Addreu (present) ..:~.~.....:c~.:......:....""'__""""""_.(~.....~~454•8100
Bullder t4..`..-".'."....`.--..........................
Dels
Addreae
DESCAIPTION
7ories To Be Used Depih Heighf Eel. Cos! srmit Fse Aomarke
_ ~ ~ 2.Ca 3 ~j r~~-O ~/?5 , sb I D ~ ~,Le_ .~'-1 ~L<--v~L
,t.~/~nu-.i. ~ a 2-G / • JT~ _ i ,2~~_~7`- ~¢.<~'c_~,
LOCATION Z•-FV
Strael. Roed or other Description oi Loaafion I Lo! Bloek Add(tion or Tsee!
/ a c~i J2~.- x7e ai . 'e'-_,.-
This permit doee not auihorise the use oi slreels, roads, alleys or sidewalks nor daes it glve the owner or h[t sgen!
the righ! !o ereate enp situation which is a nuisance or which precenia a hazerd !o the 6ealih, eafetp, eoavsniencv and
general welfare !o anyone in the communily.
THIS PEAMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGRESS.
Thia is !o aerfify, !hal...... T1AtY.... 2V Y--.^~.-... ~.'.:~.has permissioa to ereot a...A.`....~..~`.:~'.:e`~:.
the above described premise subjeci to the provisions of all applieable Ordinances for the CiSp of Eagan
.........................~.:.......5l...!,:~..`".._...................... Per B"~.~0°4:;~:-~,'•'-'.............-.
Mayor uildinp leupsefor
le
cITr oF eacnN
3795 Pilot Rnob Road Eagan, MN 55722 NP 4494
PHONE: 454-8100
BUILDING PERMIT APPLICATION $1,000. Receipf # 7530
To be u.ea fo. Finish Basement Dare September 23, ?q 77
Site Address 1281 Wilderness Ren Rd. Erect ? Occupancy j
Lot 21 Block 3 Sec/Sub WR 4th Alter Zoning RL
Parce1 # Repoir ? Fire Zone 3 _
Enlorge ? Type of Const. V
z Nome R1ChgTa AtChE50n Move ? # Stories
3 Aad.ess_1281 Wilderness Run Rd. oemoiish ? Fronr fc.
~
Cit Phone Grode ? Depth ft.
~
Nome Sam Approvals Fees
p
ou Address Assessment - Permit 9.00 _
u~ City Phone Water & Sew. Surcharge 1,00
F Police Plan check
F„~w, Nome Fire SAC
Address Eng. Water Conn.
¢'Z" Cit Phane Planner Water Meter
Council
I hereby acknowledge that I have read this application and state that 81dg. Off.
the information is correct and agree to comply with oll opplicable -
Stote of Minnesota Statutes and City of Eogan Ordinances. APC Total
Signature of Permittee
A Building Permit is issued to: Richaid Atcheson on the express condition that
all work sholl be done in ordance ith oll ap licable ^Stote/o/f Minnesota Statutes and City of Eagan Ordinances.
Building Officiol
i
~ , . .~,~p~ •~,~'~'~4~ w ~ ~ , ~ } h
. . . >
; .
CITY OF EAGAN
3795 Pilot Knob Road:.`
Eagan, Minnesota 5512 „
PEFMT NO.: 749
The City of Eagan hereby grants to 9ei1 & FNbbnrd Beatine
of 99 N/ Snelling Ave.
a HEATING Permit ~for: (Owner) Tilsen Homes inc.
1375 Cleomn, 1275 12f31J at Wildernese Run Road , pursuant to application dated 10/17/75 ,
Fee Paid: $60.00 dated this 21 day of October ~ 19 75 •
1.50 s/c
Building Inepector
Mechanical Permit3:
Bi(~ To;;al: ~
A
czTr or EAr,AN
3795 Pilot I[nob Road
Eagan, Minnesota 55122
YERiti1I'P NO.: 613
The City of TMgan hereby grants to IoouiT "^eter ro.
Of 1:•:,,: ~ C,t:C : V;.. .':t.. T•pl.~ Ir~5
a cr.Lntr,r,rPermit for: (O;aner) ~'il.r.cn -'or~o~; Inc.
at 19R7 F ~iidernP4s RnnPur,uant to application dated 9/30/75
Fee F,.irl: san_nn dated bhis lst day of Oct. , 19_75.
1.00 s/c
Building Inspecter ^
I:^r•rl7cli1C.1 I ,P:dlj;9: .
FJICi TOti4.17
VILLAOE.OF EAOAN SEWER"SERVICE PERMIT
ZGZB
3795 PilotKnobRoad PERMIT NO.: lp~Zl/75
Eagan, MN 55122 DATE: 1
Zoning: Rlll No. of Units:
Owner:
Addmse:
Site Addrese: .,d 121n9 WRd
Plumber: Be -=OC
AOS flll nA
I uqree to comply with tha Villa9e ol Eagan Connection Charge:
Ordinanus. Account Deposit:
Percnit Fee: 10 00 Pd
Surcharge: 50 Pd
BY: Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
wLuce ov enceN WATER SERVICE PERMIT
3:93 Piior`Knob Rood PERMIT NO.: 1870
Eagan,MN 55 1II DATE: 10 21 75
Zaning: --R111 No. oP Units: 1
Owner: T' 1 apn Htfmng Tnr Address:
SiteAddrese:120L41{lAornnaa_-~._ T~1RZ WR4
Plumber: BQY-rOC
Merer No.a Connection Charge:320.00 pd
Size: Account Deposit:
Reader No.: 677~~ ~ Permit Fee: 1 t1-OQ-2d-
I og.aa fo c ply with the Villoge af Eagan Surcharge: - S0 pd
prdinence~~:2/ Misc. Charges: 60.00 pd
Total:
By?~QZ/?~L'L Date Paid:
Date of Insp.: ' ~ Insp.:
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
(11;1 4 3830 Pilot Knob Road, Eagan MN 55122 a 30-,!;~(j
Telephone # 651-675-5675
Please complete for. smgle family dwellings & townhomes/condos when permits are reqwred for cach unrt
Date CO(0 / C{),~ / C4`~
Site Address 1 a~61 ~vs tlWi Unit #
~`Cr1~l IA lJ SSI -a-3
Property Owner 3~~ lLto Telephone # ( jg ~j ) (p ~0 • ~+-t 3 ~I
Contractor 0, P,i 1 i.U L.
Street Address -5~-1,U City
state AA zip 5S) 2q Telepnone #
Bond Eapires: V
The Applicant is _ Owner _ Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
_ air exchanger
?airconditioner _New Replacement
_ other
$ .50
State Surcharge D
JUN 14 2004
~sm
Total By $
I hereby apply for a Residential Mechanical Permit and acknowledge that the mformation 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 1 understand this is not a
perant, but only an application for a permit, and work is not to start without a permit; that the w ill be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Ap li s Signature
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telep6one # 651-675-5675
Please complete for. single family dwellings & townhomes/eondos when permrts are required for each unit
Date
Site Address Unit #
Proper[y Owner Telephone # ( )
Contracror
Street Address City
State Zip Telephone k ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Add-on or alteration to existing dwelling uni[ S 30.00
furnace _Additional _Replacement
air exchanger
airconditioner _New _Replacement
other
State Surcharge $ 50
Total
5
I hereby apply for a Residential Mechanical Perrtut and acknowledge Ihat the information is complete and acwrate; that the work will
be m conformance with [he ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not ro star[ withou[ a permit Ihat Ihe work will be in accordance with the
approved plan m the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
/
/ D Lq'S RESIDENTIAL BUILDING
Permit Applicatioo
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion Reauiremenis RemodeVReoair Reauirements Offce Use OnN
3 registered sBe surveys showirg sq. fl of IoL sq. IL ot house; ana all roofed areas 2 mpies of plan CeA of Survey Reoi
(20%maximum bt coverage allowed) 7 set of Energy CalculaGOns for hea[ed additians Tree Pres Plan ReaJ
2 copes of plan showing beam & wirkow sizes; poured found design, ek. t site survey for additions & decks Tree Pres Not Reqd
1 set of Eneyy Calculations Adddion - indicate i/on-sifa sepfm sysfem _ Oo-site Septlc System
3 copies of Tree Preserva0an Plan if lot platted after 711193
Rim Joisl Demil Opllons selectbn sheet (bldgs wiN 3 or less unAs
Date QConstructioo Cost (0 Q(/~ ^
Site Address 12 t 1 J~ e``K ~z-,~2 UnitlSte #
~
Description of Work ~
Mul[i-Family Bldg _ Y x N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner =LOE) Telephone # b q
AMERICANSIDING&WINDOWSYSTEMSINC. AMEFNCIWeIDM0aYWDdN8Y87EM31NC.
Cantractor
Address MEND0TAHEIGKr8,MN6.i`120 City
S[ate Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateQOrv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet
(dsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone # ( )
Mechanical Coniractor z~ d te hone J
( [ 11
Sewer/WaterContractor _ 2003T lUbhone#( )
~
By
I hereby apply for a Residential Building Pertnit 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 approv d plan in the ase of work which re ires a review and
approval of plans. \x,
Applicant's Printed Name Ap ' ant Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) O 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Btdg)' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bldg) - 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) _ FinaWi o C.O.
_ Eootings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Frartting _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemeot)
_ 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 Capies
Other
Total
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN ~
3830 PILOT KNOB RD, EAGAN MN 55122 -
/7 651-681-4675
New Conehualon peaulremeMS BemodeVNaoair Reaulrements ~
• 3 registered stte surveys stwwing sq. tt. of bt, sq. tt. of house; an0 II rooled areas • 2 copies of plan
(200/6 maximum lot coverage allowed) . 1 set oi Energy Calculatbns tor heated atld'Aions
• 2 copies ot plan showing beam 8 window sizes; poured IounO design, etc.) • 1 sAe survey lor ex[erior addd'ans & decla
• 1 set ol Energy Calculetions • Indicate R home served by saptic system for addtlbns
• 3 COpies of Tree PreServati0n PI3n if bt pl2n6d atter 711/93
• Rim Joist Detail Oplbns selectbn sheet (blUgs wtlh 3 or less un'ds)
DATE 5~(-~' ~O 2- VALUATION 30 b
SITE ADDRESS ~ ~ ~ ~ ~ ) C~~~ ~~s l2u n ~ MULTI-FAMILY BLDG _ Y ~
NPE OF WORK FIREPLACE(S) _ 0_ i_ 2
APPLICANT S~~t.r.r~~tn ~X-f~r~or5
STREET ADDRESS 7y l0 ~O Q S rL c vj Ip-K 144 S CIN / f"m rt'CSTATE ZIP S~~/
TELEPHONE pf52-FkI-?Z32CELL PHONE fi FAX #
PROPERNOWNER PISi7-11- TELEPHONE#
°
COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Calegory _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 suGmission rype) . Residential Ventila6on Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Confractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhacfor: Phone #
Mechanical system includes: _ Air Conditioning
_ Heat Recovery System D U M
Sewer/Water Contractor: Phone MAY 1 7 2002
I hereby acknowledge that I have read this application, state ihaT the information is ~brrect, ancJ"aUff(§"Yb omply
with all applicable State of Minnesota Stafutes and City of Eagan Or inance .
Signature of Applican
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3sea.) p 31 Exl. Alt - Multi
? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck 0 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level L3 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy MCIES System
Census Code 2oning 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) - FinaVC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Founda[ion 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 (newheplacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review ,
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~
~ A?E/~IR_. C)koOE~QTY LH/E '-ry -
L-1
I
I A/
I ~
UniE~
7
~
(07 ~ I
\ ' I
I \ s
i
i
~'~'~r I
~~oPE.e rv `T'
LlNE
W .2~inntie..e ~.wM /~freru ~
~ I
I \
~ LoT ~.h BLQGk ~
w
M~.P Z9
~ r71oNr.._?aoaFrQ-rY _Li.NC ~
Iru.~S
~ . 1~- LOT ~4 L A`~1
MASTER CARD
LOCATION
OWNER
fy
STRUCTURE AND
LAND USED AS 0
Issued To
Permii No Issued Coniractor Owner
BUILDING ~9 3 D " 1.7 -
)r__ ~T~/~~,rr
PLUMBING /I-~T~,s,
?
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Approved
Items (Inifial) Date1,,' Remarks Distance From Well
FOOTING ~ SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL ~
ELECTRICAL
DEPTH
HEATING OF WELL
GAS INSTALLATION '
SEPTIC TANK
CESSPOOL
DRAINFIELD
PWM8ING
WEIL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT iHIS INSPEC710N
? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT
OBSERVED. INTEND TO COMPLY,
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS. COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reportetl herein
all significant canditions oLserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR pATE
COMMENTS:
~
~ q,q q
.
. . , nAxE l ;F3
BUILDING PERMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
7b be used for Valuation
Site Address : i,? ~J/ 2c')~c~Piu~-~- Qu~ ~
I.ot Slock Sec./Sub. Parcel Nwnber
.3 w,~ 4
Owner /c,c.~, .~.Y,,~o~~~r, „ Telephone
Address !52 8/
~-etei..~, ~7Yl-~- s,:S/.~? 9
Contractor Telephone
Address
Arch./Eng. Telephone
Address
OFFICE USE
Erect Occupancy ~
Alter 2Aning
g,epair Fire Zone 3 .
Mlarge Type of Const.
Nbve # of Stories
nemolish Front
Grade Depth
OFFICE USE '
Date of Approval & Initial FEES
~
Assesement Pezmit
z
Water/Sewer Surcharge /
Police Plan Check
Fire SRC
Enq, Water Conn.
Planner P7ater Meter
Council
Bldg. Off.
A.P.C. TOTAL 11~7•t~~ -
0-0
~
~ ID
~ .s~
rcyLFsvN
I
EXI sriivc- s7-11 l/{S
~
~ -
0
Z
- 3~ - - -
r/~~I~y Ruorh _ ~1}vn'0/zY
Yl v o rvl
~1~ - -
ha
- ' -
~o
0
~ - -
0
~
--3 S/NK BowG
- ruR,vr}cr;
-
T1y-
sH~cv~ q
CL vscy r - - -
- --I; -
3 - - -
° } _~cDr2ooM oeni
2- I - - - - -
3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119777
Date Issued:12/18/2013
Permit Category:ePermit
Site Address: 1281 Wilderness Run Rd
Lot:021 Block: 003 Addition: Wilderness Run 4th
PID:10-84353-03-210
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Pisith Keo
1281 Wilderness Run Rd
Eagan MN 55123
NMC Exteriors & Remodeling
15 - 1st Avenue South
Buffalo MN 55313
(763) 684-1662
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151299
Date Issued:08/17/2018
Permit Category:ePermit
Site Address: 1281 Wilderness Run Rd
Lot:021 Block: 003 Addition: Wilderness Run 4th
PID:10-84353-03-210
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 J Haring
1281 Wilderness Run Rd
Eagan MN 55122
(773) 679-8783
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156446
Date Issued:07/01/2019
Permit Category:ePermit
Site Address: 1281 Wilderness Run Rd
Lot:021 Block: 003 Addition: Wilderness Run 4th
PID:10-84353-03-210
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 J Haring
1281 Wilderness Run Rd
Eagan MN 55122
(773) 679-8783
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature