1265 Wilderness Curve .
, _
CASH.REg.EIPT
~ "rn
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 ~
DATE ~ ~ ~t I 19
RECENED
FROM
1
* AMOUNT ' $ ; ` ~ ? ~
r J
7
& DOLLARS ~
ioo
~ ? CASH q CHECK j
~
i
L)
~ ~-vt4~j~{_~--
d`?
r` ~ G cU J~ G
,
FUND OBJECT AMOUNT
~
Thank You
BY
White-Payers CoPY
Yellow--Posting Copy
Pink-File Copy
„E
C'R".' . . . . .
BLDG. PERMIT N0.
01-321 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
.
01-3446 SAC/Adm.
01-2155 Surcharge
J.f-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
~
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. r' ` , •
Af-3855 Park Ded.
TOTAL
CITY OF EAGAN '1' ~
,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 c.
PHONE:454-8100
BUILDING PERMIT Receipt#
To be used for SF WIW-IGAR Est. value $116•000 Date APRIL 1, ,19A8
Site Address 1265 T4II.UERNE3$ CURVZ OFFICE USE ONLY
Lot 7C BloCk 2 SeC/Sub. ~~A~ES$ ~NAg On Site Sewage Occupancy R-3
MWCC System X Zoning K-1
Parcel No. On Site Well (Actual) Const VT1
ac Name LLOYn HJgLLE & AS3OC I t9C • City water p (Allowable) Vn
3 AddreSS 14530 P$N110GlC AVRTII.TL PRV Required X # of Stories
,P City APPLE VALL6XPhone 432-1737 BoosterPump Length 65,
Depth 48,
o Name SME S.F. Total
~ Q Address Footprint S.F.
~ City Phone APPROVALS FEES
~ s Engr./Assess. Permit 626.00
~ W Name MABiG 6iAGELf PRD$E
= Z Address 14530 P81411ACR AVE Planner Surcharge 158.00
u Z Council Plan Review 311.00
Q W City . APPI,g VALI.E~6hone 632~'2C144
Bldg. Off. SAC, City 100.00
I hereby acknoWledge that I have read this application and state that the Variance SAC, MWCC sSO•OO
infor{nation is correct and agree to comply with all applicable State of WaterConn. 5u1,M
Minnesota Statutes and City of Eagan Ordinances. . Water Meter 67-00
Signature of Permittee Road Unit 325.00_
• A Building Permit is issued to: LLOro HJELLE Treatment P1 204.00_
bn the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. 2=743,00
BuiTding Official TOTAL
t
r..-
r
CITY OF EAGAN
3830 Pilot Knob Road, P.O. B.ox 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value 'T ~~~•~'r'l Date ' ,19
Sife Address OFFICE USE ONLY
~ ~ S F!'~' On Site Sewage Occupancy
Lot Block SeGSub. MWCC System Zoning
Parcel NO. On Site Well (Actuaq Const
¢ Name Ciry Water (Allowable)
W PRV Required # of Stories
3 Address
~ City Phone Booster Pump Length
Depth
, o Name S.F. Total
~ Q Address Footprint S.F.
tE City Phone APPROVALS FEES
~ W Engr./Assess. Permit
Name
W W
~ Planner Surcharge
_ za Address ~ Z Cit PhOne " Council Plan Review
aw Y
Bldg. Off. SAC, City
I hereby acknowledge that I have read this appiication and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances.
Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: Treatment P1 -
on the express condition that all work shall be done in accordance with all parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL
Building Official
_ Permit No. Permit Holder Date Telephone #
Plumbing 1='~.; E 7c.~~~~
. C'~
H.V.A.C.
Electric ¢r'
Softener
Inspection Date Insp. COmmellts
Footings I
Footings II
Foundation
Framing
Roofing ~
G~, /li,S
Rough Plbg.
Rough Htg. 3
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP a 4
Deck Ftg.
Deck Final
Well
Pr. Disp.
~,'-~-~..rsw•fis,~9~•^~~'vr• d . . ..m ~ ..,r, . . . +m1w.- . . - . - ~r- . , . . . .
_ . . . . : . . : . . . . , .
PERMIT # 9'~~
PWMBING PERMIT RECEIPT fk
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: APril,, 2$, 1988
CONTRACT PRICE: PHONE: 454-8100
Site Address 1265 W1 BLDG. TY&X WORK DES~CR{}PTION
Lot 20 Block 2 Sec/Sub Res. New
wilderness Ponds Addn. Mult. Add-on
Name Genz-R n p&H Comm. Repair
Address 14795 South Robert Trail Other
~c
c Ciry ROSonCuAt, m Phone 423-1144 RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
55068 NQ~ FIXTURES LQTpo
" Water Closet - $3.00
Name _/-Bath Tubs - $3.00 ' dD
a~
3 Address Lavatory - $3.00 5, ao
p Ciry Alap] a vat 7av_ lRnPhone e32_7 d3a Shower -$3.D0 6.1• -
- Kitchen Sir* - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE ZLaundry Tray -$3.00 vo
APT. BLDGS - COMM RATE APPLIES -/-Floor Drains -$1.50 V
TOWNHOUSE & CONDO - RES. RATE APPLIES -/-Water Heater -$1.50 "JD
MINIMUM - RESIDENTIAL FEE - $12.00 Whiripool - $3.00
MINIMUM - COMM/IND FEE - $20.00 ~Gas Piping Outlets - $1.50 '35
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE G S Softener -$5.00
BEYOND $1,000.00) , ~ j Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE F`F'ERMI FEE:
J STATE S/C: • 5~
FOR: CITY OF EAGAN GRAND TOTAL: ~~'vb
. . : _'r., .
PERMIT
• , , MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: April 28, 1988
CONTRACT PRICE: PHONE: 454-8100
Site Address 1265 W der BLDG. TYPE WORK DESCRIPTION
Lot 20 Block 2 Sec/Sub Res. Xxxxx New xxxxX
Genz-R n P&H Mult. Add-on
~ Name
~e Address 14745 SOUth Rober Trail Comm. Repair
c City KosemOunt. MN Phone 423-1144 Other
55068
Name Llo H elle & Associates FEES
~ RES. HVAC 0-100 M BTU -$24.00
c Address 14530 Pennock Lane ADDITIONAL 50 M BTU - 6.00
p Ciry Apple Vdllev, Whone 432-1433 (RES. HVAC INCLUDES A/C ON NEW
55124 CONSTRUCTION)
- GAS OUTLETS (MINIMUM - 1 PER PERMI~ - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air 100 M BTU 24 APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # $ 1• BEYOND $1,000)
Other $
FEE: 25. _
S/C: ' S SIGNATURE F PER 1 EE
26.0 0
TOTAL:
FOR: CITY OF EAGAN
_ _AGAN Permit No: Date:
3830 Pilot Knob Road Meter No: .3,?3 70 6 7 Size:
P.O. Box'21199 Reader No: f~.o, ~~Date: .c~~
Eagan, MN 55121
Owner. Llove, I?je11e "omes
1'?65 '?ilderness Ctir.ve 1.21 TTil(lerness nc,n,'s
Site Address:
Plumber. Star ?'1 VVAKNI Conn. Chg: r) 50, 0(" ? nin R7
Acc t. Dep: 1 5fi~pl 'gging 71!, ~y~%1-9-As: ,
Permit Fee: nTGOHONE - ELECTR;C - GAS ~EtC.
Surcharge: a~rQ~~ mply with the City of Eagan
Tr. Plant • Y ~r~l(~~n~~s.
M eter.
MISC.: By
WATER SERVICE PERMIT
,
CITY OF EAGAN Permit No: Date:
3830 Pflot Knob FLoad Meter No: Size:
P.O. Box ~1199 Reader No: Date:
Eagan, MN 55121 •
r l,.yc jeL,-e '?ornes ;
Owner. ~
SiteAddress: 1~65 TTi1.3ernegt; Citve r? '.`?l~ter?tt~ss Po~~s ~
Plumber. °t'r ?'lanhirt - Conn. Chg: :3`' Zoning:
Acct Dep: C`;v' No. of Units:
Permit Fee:
Surcharge: I agree to comply with the City of Eagan
Tr. Plant Ordinances.
Meter.
Misc.: BY
WATER SERVICE PERMIT
; CITY.Of EpGAN Permit No: Date: °4'
~ 3,830 Pilot Knob, Road g/p No;
P.O. Box 21199'~ Date:
; Eagan, MN 55121
T ~
i Owner. i,;i ~1ie ?;o!".es
! SiteAddress: j'_) S WiZdernesa Curr~
~ Plumber:_ ^i Ar 1
~
~
~ MWCC: =~:t'',~1(~r;' "
Zoning•
City Chg: - ,
, No. of Units:
~ Acct. Dep: ~ ` •
Permit Fee. i"• 1 agree to comply with the City of Eagan
~ Surcharge: • ~ Ordinances.
' Misc.: By
SEWER SERVICE PERMIT ;
I -
CITY OF O.AGAN ~ Na 14761
3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121
~ PHONE: 454-8100 S 1~~
BUILDING PEAMIT Receipt # v`
To be used for SF DWG/GAR Est. Value $116,000 Date APRIL 1, 19 88
Site Address 1265 WILDERNESS CURVE OFFICE USE ONLY
Lot 20 Block 2 Sec/Sub. WILDERNESS PONDS On Site Sewage Occupancy R-3
MWCC System X Zoning R-1
Parcel No.
On Site Weil (Actual) Const Vn
ac Name LLOYD HJELLE & ASSOC., INC. Citywater X (Allowable) Vn
z Address 14530 PENNOCK AVENUE PRV Required X # of Stories
3 Booster Pump Length 65'
o City APPLE VALLEYphone 432-1737
Depth 48'
, o Name SAME S.F. Total
~ Q Address Footprint S.F.
~ City Phone APPROVALS FEES
l'- ¢ Engr./Assess. Permit 626.00
"W Name ~K NAGEL/PROBE
~ Z Planner Surcharge 58.00
Address 14530 PENNOCK AVE
L) 0 Council Plan Review 313.00
a W City APPLE VALLEYhone 432-2044
Bldg. Off. SAC, City 100.00
I hereby acknowledge that I have'read this application and state that the Variance SAC, MWCC 5 0-00
information is correct and ree to comply with all applicable State of Water Conn. 5.0_-_00
Minnesota Statutes and f Eagan Ordina s.
fl WaterMeter 67,_00
Signature of Permittee ~~Road Unit
A Building Permit is issued to: LLOYD HJET.T.E Treatment P1 ~n~zV~
on the express condition that all work shal I be done in accordance with all
applicable State of Minnesota Statut s and City of Eagan Ordinances. Parks
TOTAL 2,793.00
Building Official
This request void
18 months from f7
D 9 2 9 8 8.,,/- cgo r
Request Date $ Fire N. Rough-in.InsUection
~ Requir ? oReady Now~ll Notify, Inspec-
~
s ? No tor When Ready
Licensed Electrical Contractor I hereby request inspection of above
? Owner electrical work installed at:
Street Address, Box or Route No. City
/ o'Z 5' CN/ ~
ecuon o. Township Name or No. Range No. Counry
Occupant (PRINT) P Phone No,
~4 :~2
Power Su ier Address
~~9~'~~~ ~%~G~%zG~/ ~,d~3/o~ ~ ~~?°`7 ~ • ~
Electrical Co actor (Com any Name) Contractor's License No. ~
Mailing ress (Contractor or Owner Making Instailation
~ Authorized Sig tu e Contr r/ wner Ma ng Install ' n) Pho~Cmber
i
d
MINNESOTA STATE BOARD QJAELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N.191 BE ACCEPTED BY THE STqTE BOARD
1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION .r.. ee-00001-06
See instructions for completing this form on back of yellow coFy. 9~1
C
p g 2988, _ "X" Below Work Covered by This Request
evw Add ReD• Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Liyhtin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tank
Other SPeci Y Other (SUer,ify)
Farm
t er Specify Other C11her
ompute lnspection Fee Below
# Fee Service Entrance Size t! Fee Feeders/Subfeeders # Fee Circuits
I t 0 to 200 Am s 0 to 30 Am s QO 0 to 30 Am s
Above 200 Amps 31 to 100 Arnps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Booms Partial- "OtFee
Signs Special Inspection S fQ
TOT F Rerrx~rks ~ ?
Rough-in the E tr'
7~ Inspector, hereby
certify that the above
Final r D te s inspection has been
made.
This request void 18 manths trom
p _
y ~
~ (ger#if trtttt o# Orrupttnry .
Citp of (Eagan
Drpttrfmmt nf lixilding Jus,pPrtintt
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the follo?Ving.•
F ~ .
1.
Use Classification Bldg. Pemut No. L-~~~v Q
j?
Occupancy Type Zom/~ng D!1a~istrict +~t ,TyQe^Const:
' 7 ~~,,EJ L~ Y, ~~51 3!~`uLo L~ ~ r!;e_~ '.~1:ilr~Y?;~9 G.1a`Jo
Owner of Building Address
'..)Building Address I.ocallty
c S/11 .d,l ~-u~
Delt:
Building Ofticial
POST IN A CONSPICUOUS PLACE
~OLAqD ~tqo.o o
2007 RESIDENTIAL BUILDING PERMiT ArrLicATioN ~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodellReoair Reauirements Office Use OnN
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joisLs Gert of Survey~Zecd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions S~oiis Repoit~
1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for addi6ons & decks ?~ree Pres Pfan, ecd
2 copies of plan showing beam & window sizes; poured found design, etc. Add'rtion - indicate if on-site sepdc sysfe r~ee Pres:Required,.~~
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form o C T 1 3 2007
Plans are considered ublic information uniess ou state the are trade secret and the reason.
Date 07 nstruction Cost ~(to
Site Address ~ Z(n L_ 0 L>'L s J Unit/Ste #
Description of Work
Multi-Family Bldg _ Y x N Fireplace(s) 0 2
Property Owner ~C-2i3 r-LA~ Telephone # ( &.S/) 6'(F(v 'Z00 Z/
Contractor l~UU1'I-?(~ _
Address Z'Z7~ CA~P ~ City -Si
State i"l~- Zip ,S,57Telephone #(0-1 ) 2- S/ - G 4i °
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate~orv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City 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 p ' and work ' not to start without a
permit; that the work will be in accordance with the approved plan in the ~s ork ich requires a review and
approval of plans.
~v1.11- >
Applicant's Printed Name plicant's Signa e
, RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 /5 7_ -4s
651-681-4675
New Construction Reauirements RemodellReaair Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks
• 1 set of Energy Calculations ' • Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 711/93
• Rim Joist Oetail Options selection sheet (bldgs with 3 or less units)
DATE k" ~ VALUATION 7,, TS 7` -7 V
SITE ADDRESS aL~ Lt) ~ Ll_.t44" Ci,QUt MULTI-FAMILY BLDG _Y (XN~.
TYPE OF WORK1(Z d~~ ~iP~2d6~ _ FIREPLACE(S) C01- 1- 2
APPLICANT "0 ie-S
STREET ADDRESS Iti ~ L~ ITY iJc ATE~'1 _f~ZIP_;>.~".~?7
TELEPHONE # ~ CELL PHONE # V FAX # rS'- l/
PROPERTY OWNER /J L~ TELEPHONE
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RLTI.ES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _ Phone #
Plumbing system includes: Water Softener Lawn Sprinkler ` Fee: $90.00
Water Heater No. of R.I. Baths,,
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditioning Fev. $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 ? 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 (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered `Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (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)
_ Insularion _ Retauung 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
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS V 741
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS
CONIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
RfG'Q MAR 2 9 ~988
To Be Used For: L Valuation: Date:
Site Address 14 (os OFFICE USE ONLY
Lot -240 Block Z.. On site sewage Occupancy R- 3
MWCC system ~ Zoning R -t
Parcel/Sub wI(.DF2u~~ ph'v[~'j On site well Aetual Const WN
~ City water ~ Allowable V-N
Owner PRV required # of stories
Boost~er ump Length
Address Depth
S.F. Total
City/Zip Code Footprint S.F.
Phone ~3Z,.' n37 APPROVALS FEES
Contractor 1"~lwz Engr/Assess Permit Z~d0
Planner Sureharge SB,O V
Address ~~S3U~~l~~~L~- • Couneil Plan Review 3 ~ 00
~J Bldg. Off. 3/31 SAC, City 00,00
City/Zip Code &VL~7 Varianee SAC, MWCC c~0
Water Conn St7,oo
Phone Water Meter 61 - ck)
Road Unit 325i00
Arch./Engr. Treatment P1 204,00
Parks
Address l~ /low E/Q-.~-k Copies
TOTAL '7%3. ~
City/Zip Code ~ ~ SSIZ, S 371
Phone # 43Z'ZU41~. / 432- 3cx~c~
. VA LtkATi o KI
.k
30x 22= (oL~C~ X ly= 9240
~
yC 32. = G,yo
1620 X 13 = Z~Oba
zLIO
z.r)
N
~
z x
7-YI 14 1(~ Li u ~
ti .
;J i.1 l, ~
UU -r
,°~~.jr• ~ ~ U 0
2 U Ll +
t) U
. L, /oYd #J e,/le.
RO E3 E 2~~
CqNSUITiHc3 ENOINEEAS
ENGINEVIING ptaI+tMns nnd LANd ~uavEVons COMPANYI 1NC. -
~ ~1000 E/l5T 1461n STAEET, BURHSVILLE, NIfIIIESOt.I 553,37 PH 4=2'3000
C4ff P'-Z if &CCxZC o~ ar'e
~
.~~C r'zan:
• N 80° ~i
LOT 20, BGOCK 2, W/ULSRNESS
Rat/D.S, QNKOTR CoUNT,Y M/Nh1E6574
~ D~lt\10~ EASEM~~ `~i°
Al 84,d oo' oo'' E ~
~ Lv_T_ ~
I
SCAIZ 30,
• / 1
1 tn
VENOTES EX/57_/N6 f9v~~)
Ec.E
a I
C ) DEiIIOTE S PRoRoSED N 9ti67) ` - ~
ELE 09 T/ON
0
W ~ I
INDlG9TES D/~ECT/dn/ o=
oF SvR~'ACE ORA/NA6E ~ ` , I
= F/N/SI-46D B.4.e4F~E ' S,vV,O \ (944A) I
~'LOO,e E~EVfJT/Ol~l p~cK ~ (925•)
35~?~
(93-1.5~ 44.00
o ~
13.0 PROPOSED ~40,
. 15.0 ' NoUSE 333 ~939.A~
7.67y~
N ~ CARAGti t~ (
65 '-pp ° v~ N /p.67 5.0
(q~,o) r3.83 /9.33 'o q41.
37s~ (9a~i.~~ 941. 33~
3a' rkoNr 81111-D/A16 (~~,o)
SET6AC~ L/~t/F wo, / 5
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~ .
1.3
(939.6) pt7,I 56° 2'S27l~l
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. lv 61028 , co
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~
T heriby cartiiy that thia ia a t:ue end corrsct W&eentation of a tract of
land as shoxn' and deecribcd heraon.• Ae prepared by me nn thii ' day vt
`l?Ae4g 10
Ninn. ~I~a~ No.
PHILLIPS PLAN SERVICE
T 10700 Lyndale Ave. So.
Bloomington, 1VIN 55420
EXTERIOR ENVELOPE AVERAGE "U" COMPl1TATI0N Suite~106
;
041NER .D tLU_L'- ~S-KL' '
s ' SITE ADDRESS L et o VLo4k. ~11
CONTRACTOR DATE ' PNONE .
. . . ,
Determine working square footage of each.
. . .
1. Total exposed wa11 area 0 sq. ft. :x.
2. Total roof/ceiling area sq. ft. 'x .0Z6
Total exposed wall area above floor = ZL21~.
a. Total wall window area 7 ,
b. Total door area ~S
c. Total sliding glass door area 3'3
d. Total fireplace wall area...................
e. Total wall framing area (averagel0%)............. 7 q X
f. Total net wall area above floor L4$~ ' g. Total rim joist area
Total exposed fvundation area = /33
h. Total foundation window area.......
i. Toal net foundation area abave grade 13D. r
determine "U" value of each wall segment. d. ~i77 X uUn = n' ~ L
b. 75- x liuil
~ 3.3 X IIU„
.
d. - X lfuli _
e. Z~ty X efull ,10 - 21,f7
.
~
X tiuil
9• 1.LJ.y X -v' . ON
- 11 • 2 r X 11u11 ,573_-
x „u„
• ~
3............i ..........................Tota1
If item #3 is the same as, or less ttian item #1, you have met the intent
of SBC 6006(c)2.
_ ~ .
Total exposed roof/ceiling area
Total gross roof/ceiling area
~
j. Total skylight area
k. Tota1 roof/ceiling framing area I"13,
1. Total net insulated roof/ceiling area....
. Deter~nine "U" value for each roof/ceiling segment.
~ X liull
J• - .
k_ X „u„
xloull Il
4 ..................................7ota1 If total of #4 is the same as, or less ttian #2, you have met the intent of
SBC 6006(c)Z.
To utilized the total envelope system method, the values.estabiished by the
sum of items #3 and #4 sha11 not be greater than the sum of iter.ts #1 and #2.
~ + 2.
3. + 4. _
.
. • ~ . . .
- PHILLIPS PLAN SLRVICE
, 10700 Lyndale Ave. So.
Bloomington, MN 55420
EXTERIOR ENUELOP LVERAGE "U" COMPUT TION Suite ~ 106
0WNER ' . 44
. ~ .
.
' SI?E ADDRESS
CONTRACTOR DATE ` PNONE
~v D ~~L~E , , • _
. . . , ,
Detern?ine working square footage of each.
. . . . . . . _ .
1. Total exposed wal l area . . . . . ~i'190 sq. *ft. x
2. Total rooflceiling area sq. ft. 'x .DAr = r~~
Total exposed wall area above floor
a. Total wall window area 7
b. Total door area '7~-
c. Total sliding glass door area z 3
d: Total fireplace wall area..................
e. Total wall framing area (average 10%)............ 7 q1S
f. Total net wall area above flnor I ~Sl ' g. Total rim joist area ~1.-qy
Total exposed foundation area = 133
i
h. Total foundation window area..................... S,,~
i. Toal net foundation area abpve grade 13D~ r
Determine "U" value af each wall segment. a. G77 X lluii
,
b. 7S- X iiusi
C 33 X Io, J
,
d. - X fouti
e. Zq~ Xfluts
f . X slull
g. _ X „U„ oy
.
h. 2 f X „u.i , 53
x liu„ o-7 = 9,
3 ......................................Tota1 = .
If item #3 is the same as, or less tiian item #1, you have met the intent
of SBC 6006(c)2.
- - . . . , -
.
7ota1 exposed roof/ceiling area I-7 'SAJ,~
Total gross roof/ceil ing area = 1'1 •
j. Total skylight area k. Totai roof/ceiling framing area 173•'1
1. Total net insulated roof/ceiling area....... 1 5 UU
. Deter~nine "U" value for eacti roof/ceiling segment.
X lfutt
k_ X „u„
X"U"
4 .................Total If total of #4 is the same as, or less than #2, you have met the intent of
SBC G006(61.
To utilized the total envelope system mer,tf~the an theUSUmeofabitertse~lhandh#2.
sum of items #3 and #4 sha11 not be greate
~ + 2. _
3, + 4. _
, .
. . . .
*xxxxxxx~x.xx.x.~Rxxxx.xR~..F.,..
. APFLI~ATION FOR PERMIT PA7TETP OF FE AT TIME OF ;
_ - « * APPrIcrMoN DoEs Nar cor2- *
.*k STIM APPRGJAL OF PERNIIT.
SEWER AND/OR WATER CONNECTIQN * I~~~ ~ ~ ~/OR WATER *
1~:;. J * iNsTALLATTOxs wIM taom sE sc.mnrEo *
. • * I!NfIL PFI2ASIT HAS SFES] APPROVID.
,t,?***,t*trt**wtr**:,t,t,r::***+**,t**,t,r*****s
Lcity oF eagan
(PLEASE PRINT
1) PROPERTY ADDRESS:
LE)GAL DESCRIPTION:. . . . . . . ZU ~ WIU)92kfMS
Lot lock S vision or Tax Parcel ID
IF EXISTING STRLiCT[JRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
Mont Year
PRESENT Z0IVING/PROPOSID USE: . r
~
Q CONIIYERCIAL/RETAIL/OFFICE , R-1 SINGLE FAMILY ~
~ INDL~STRIAL ~ R-2 DLPLEX ('iwo Ljnits )
=INSTI'1'CJTIONAL/GOVERNMENT ~ R-3 TOWNHOUSE (Three Units) ( Lnits)
Q R-4 APARTM ENT/CONDOMINIUM ( Lnits)
.
2) 0,0"1 Zikl NAN1E: LtOVD I-Id GLE ` &sm• c- •
P,DDRESS :
CITY, STATE, ZIP: 1-7
PHONE: ~Z- F?3-7 .
For City Lse
3) NAME: 50? (PG Pliunbers License:
r~
ADDRESS: ~ I Ut~t.D SFPIILC2T Active
' Expired
CITY, STATE, ZIP: S-~5 zo. Not recorded
PHONE: MASTER LICENSE #
St Initial
4) DRI
NAME: U-Nc)
ADDRESS :
CITY, STATE, ZIP:
PHONE :
5) e ~ut ~ a~,• ~a . i a+~
~ CONNECTION TO CITY SEWER COIVNECTION TO CITY WATER ~ OTHER
6) . ~.r
*
*
* TfE GOLD COPY OF THE PERMIT WILL BE SERr DIRECPLY TO PUSLIC WORKS TD FACILITATE METER PIGK-LP. *
* PLF.A.SE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM Tm CITY WILL CONTACT YOL IF ZTIEftE *
* ARE ANY PROSLEMS. ~
,
/
/
:FOR CITY USE ONLY
PERMIT # ISSL?ED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT ( INCLL1DE SURCHARGE )
$ `5-2) $ WATER PERMIT (INCLUDE SURCHARGE)
$ D $ WATER METER/COPPERHORN/OLTSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ ACCOLiNT DEPOSIT - WATER
$ $ WAC
$ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
;-o $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ TOTAL
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES -IF YES, THEN A"PERMIT FOR WORK WITHIN PLiBLIC
Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
-
r
,,Q?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117127
Date Issued:10/15/2013
Permit Category:ePermit
Site Address: 1265 Wilderness Curve
Lot:020 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-200
Use:
Description:
Sub Type:Reroof & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Windows/Doors: If altering the opening size, a framing inspection is required.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Kristin M Flaa
1265 Wilderness Curve
Eagan MN 55123
(651) 686-2821
Sandau Construction
9925 Lyndale Avenue South
Bloomington MN 55420
(952) 403-9100
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA126726
Date Issued:09/08/2014
Permit Category:ePermit
Site Address: 1265 Wilderness Curve
Lot:020 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Renae Frienwald
2200 Hwy 13 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kristin M Flaa
1265 Wilderness Curve
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
419 D� �
r
For Office Use
; Permit#:
Yo 3
E AG N
•.__
Permit Fee: fa
Date Received: t -/9
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 APR 1 0 2019
(651)675-5675(TDD:(651)454-8535 J FAX: (651)675-5694 Staff:
buildinginspections(c�citvofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
co. Phon e(414%—z8Z1
Name: Krcs
Resident/ ` ,I
Owner Address/City/Zip: kl(DS- VV l ' C‘te-V"t\QSS Cr kv L
Applicant is: Owner Contractor c
Type of Work Description of work 'M • D YCPo =1%44 ,1— 1 F rt J""'`,
Construction Cost: 81 G
. Q Multi-Family Building: (Yes /No X )
Company. Cor'Sfact:-/6 1� �3C.O�O(
AddressLSV
' Z Z3 O " s+• CityA/MLJ —
Contractor ,
State\1 Zip:5(0 LO Phone: Email• re /peel IfKCZ7 •T•COA%
License#:&4 3/973 Lead Certificate#:Nor- ?cry 9-Z.
If the project is exempt from lead certification, please explain why:
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: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 s rt without a permit; that the work will be in
accordance with the ap r ed plan in the case of work which requires a review and approv f pla .
f`S ,�l4�Ci
A ,cant's P ,ted Name Applican s ignature
Il - - -
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159142
Date Issued:11/22/2019
Permit Category:ePermit
Site Address: 1265 Wilderness Curve
Lot:020 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-200
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 -
Kristin M Flaa
1265 Wilderness Curve
Eagan MN 55123
Golden Valley Heating & Air
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162882
Date Issued:08/03/2020
Permit Category:ePermit
Site Address: 1265 Wilderness Curve
Lot:020 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-200
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kristin M Flaa
1265 Wilderness Curve
Eagan MN 55123
(651) 600-4352
Kaufman Sheet Metal Roofing
2521 24th Ave S
Minneapolis MN 55406
(612) 722-0965
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164453
Date Issued:09/29/2020
Permit Category:ePermit
Site Address: 1265 Wilderness Curve
Lot:020 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-200
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kristin M Flaa
1265 Wilderness Curve
Eagan MN 55123
(651) 686-2821
T J Exteriors Inc
16150 Dutoit Rd
Carver MN 55315
(952) 448-4312
Applicant/Permitee: Signature Issued By: Signature