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1266 Wilderness CurveCity otEaRau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit#: if 105+�� Permit Fee: D3 Date Received: [� 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: /0 1/3-f(9 Site Address: /2IA) Idel #1ef5 Cok Tenant: Suite #: RESIDENT / OWNER Name: Dc-./€ s40d ev(54'i ` Phone: 6s/ - .1-y - (// Address / City / Zip: / 2 a. 041,0,4- 4 C&,"' C E- ,--& --.--/2z... CONTRACTOR Name: R 11 P/GiglO`j License #: 66 ?3 i"fr\--- Address: 5-0q0 0 l» /T :del tA- //a Pe y e -i-- City: .G1✓c4 7 State: /144) Zip: "33 7 Phone: 6-1r.-- 2 C 7. 0 /Yr Contact: £l6 r Email: TYPE OF WORK New %C Replacement Repair Rebuild Modify Space Work in R.O.W. _ Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater ' . Add Plumbing Fixtures (_j Main / _ Lower Level) Lawn Irrigation (_ RPZ / _ PVB) Water Turnaround Septic System New _ Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.ciopherstateonecall.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 .ermit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x fiO4b £ ,4 e 1 Q0 d/ x /14 Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: ate: Required Inspections. Under Ground Rough -In Air Test _Gas Test Date: City of Eatall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenant: RECEIVED OCT 042010 Use BLUE or BLACK Ink MOO Use Permit #: / C ', v 7 Permit Fee: / , 1-2 ti Date Received: 1 —t-/-74) Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION D �, -9 Site Address: ) 2 sta W a/fAe.5_5 CL) Suite #: RESIDENT / OWNER Name: U 6A5 S✓(� e -(v -c khone: (5( L 54-4 " 2,Y) t Address / City / Zip: k7 --1,2(Q (N Q e Applicant is: Owner ? Contractor TYPE OF WORK Description of work: `'‹ CZ (6\U/ka'l (k0 "�� Construction Cost: S 0 / 0 -2 Multi -Family Building: (Yes 0 ft - /No)() CONTRACTOR Name: S H i d i (Y\ 1)0S(I rt �� Licesn e , -#:: 5q5 Y `7S - Address: 13`-( (,a J e- LO az �? LA -A-1 City: V �-C -e ✓I't v �✓cfi State: (Y) Zip: J 03 Phone: l r 145 Ce - l 55 Contact: I 11 Email:UC---Gfi_,-.S-S-1`k-e_Vf tpt ih 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: Phone: Phone: Sewer & Water 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. 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 .gopherstateonecall.orq I hereby acknowledge that this i • •> ation is complete and accurate; that the work will be in conformance with the or Eagan; that I understand of a permit, but only an application for a permit, and work is not to start accordance with the,*:� d plan in the case of work which requires a review and approval of plans. 4-1 Applicant' Printed Name x Applicant's Si ces and codes of the City of permit; that the work will be in Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition 4 Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level — Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation 761e0 Plan Review (25%_ 100%_Zr Census Code # of Units # of Buildings Type of Construction ki 34, REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final jFraming Fireplace: _Rough In _Air Test Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required .44 Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector 3 3i4y /2a4?'4,f(c- 0,0� Page 2 of 2 • . ~ CASH RECEIPT , e , ~ ~ . CITY OF EAGAN ~ 3830 PILOT KNOB ROAD ' EAGAN, MINNESOTA 55122 ;i ~ ~ DATE ~ 19 , RECEI"ED FROM AMOUNT i ~ & DOLLARS ~ ? CASH C~3 CHECK ~ ~ ' ~ ~ - ~ f ~ =e q ~ . . . . . . FUND OBJEGT AMOUNT i ~ ~ a a Thank You . ~ ~ BY + ~ White-Payers Copy Yellow-Posting Copy , . ~ . . Pink-File Copy . ~ ' . _ . ~ii'~ . . , . . . . . . . . . .rg BLDG. PERMIT N0. -7 _ A v.. . L,C ` 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm, 01-3446 SAC/Adm. 01-2155 Surcharge 7~-3860 Road Unit ~ ~ `'u 20-2275 SAC 20-3865 Water Conn. ~LUU 20-3868 Water Trmt. ~~--0 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. C : ^ ~)-3855 Park Ded. TOTAL ~ ~"I ~ . CITY OF EAGAN 3 7 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt To be used for SF DNC;/GAR Est. Value $139 ,00(1 Date APRIL 25 ,19-1$- Site Address 1266 WiLDERliESS CGIiYE OFFICE USE ONLY Lot 2~ Block Z Sec/Sub. wII.L~$R;tiESS P(3NDS On Site Sewage Occupancy ~-3 t~f-1 MWCC System x 2oning R`1 ParCel No. On Site Well (Actual) Const V-N cc Name ozrtiH-PEDUSON, IP7C City water X (Allowable) V-N z Address 15136 GALAXIE AVE PRV Required X # of Stories 1 ° City APpLE V~1LL6~hone 431--SOt?U Booster Pump Length ~1 Depth 34 a N4ime SAME S.F. Total ~ Q Address Footprint S.F. ~ City Phone APPROVALS FEES Engr./Assess. Permit 700•00 FW Name Su 69.50 A ? Address Planner rcharge 3~•~ Cit Phone Council Plan Review y y Bldg. Off. SAC, City 100.00 I herebl acknowledge that I have read this ap 6th tion and state that the Variance SAC, MWCC g~•00 information is correct and agree to mply allapplicable State of Water Conn. 550.00 Minnesota Statutes and Ciryof Eag~Ordinanqzs.~ water Meter 67.00 Signature of Permittee ~25.(~ Road Unit A Building Permit is issued to: 0ZYSUN"~~~D9R60N, INC Treatment P1 204.00 on,the express condition that all work shall be done in accordance with all appliCable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL 2,9-157% Building Official T . ~ a CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. • 't On Site Sewage Occupancy ' MWCC System Zoning ParCel No. On Site Well (Actuai) Const ¢ Name City Water (Allowable) W PRV Required of Stories Z Address il: ~ City Qhone Booster Pump Length Depth , p Name S.F. Total ~ Q AddreSS Footprint S.F. ~ City Phone APPROVALS FEES ~ W Engr./Assess. Permit Name ~ W Planner Surcharge Address ~ z ~ Z City Phone Council Plan Review Q W Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the VarianCe SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit ' ~ A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official TOTAL . Permit No. Permit Holder Date Telephone # Plumbing H.V.A.C. ~14 9 Electric Softener Inspection Date Insp. Comments Footings I Z41, 7 Footings II Foundation ~ Framing Roofing AY, Rough Plbg. Rough Htg. Isul. Fireplace 4 Final Htg. Final Plbg. Bldg. Final •~~~5_ ~s Cert occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Ad r s ' S~ ~ BLDG. TYPE WORK DESCRIPTION Lot?' Block Sec/Sub Res. New - Mult Add-on ~ Comm. Repair y ~j Other c Ciry Phone FEES Name RES. HVAC 0-100 M BTU -$24.00 c Addres5 ADDITIONAL 50 M BTU - 6.00 p City Phone~ (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMin - 1.50 EA. TYPE QF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES • TOWNHOUSE 8 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 # _ BEYOND $1,000) Other FEE: _ f.l.) ._.A=,C ~ • ' ..E y,~,~ S/C: SIGNATURE OPPERMITTEE TOTAL: FOR: CITY OF EAGAN , PERMIT # PLUMBING PERMIT RECEIPT # - - y~ ~ CITY OF EAGAN - - 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -~CONTRACT PRICF: PHONE: 454-8100 Site Address ' ' ` ~ : y.c~ BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New U" ~ ~ Mult. Add-on ~ Name Comm. Repair m Address `2 Other c City Phone a - RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N~Qf. FIXTURES TOTAL Name ,,.,,--Water Closet - $3.00 $ Bath Tubs - $3.00 ~ 3 Address .4~Lavatory - $3.00 O City Phone ~31-• ~ /_Shower - $3.00 - --L-Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1°r6 OF CONTRACT FEE ~Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPUES -LFloor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES -,/--Water Heater -$1.50 , e 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 PERMITTEE FEE: - - ' STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: . . . . . , INSPECTION RECORD CITIf OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: (012) 681-4675 SITE ADDRESS: APPLICANT: Q+i tdF'`w~; f'tlliVf; . i i ~ t ~ ; s•'i.{1 . , ~ ~~tvls~, ~ ~ ~ PERMIT SUBTYPE: TYPE OF WORK: ,:r1t 1 1114 INSPECTION DA • ¦A ~ t:tr,i! 11i f'I t~i+ I If'dh l ~ ~ Permit No. Permit Holder Date Telephone # I S/W I PLUMBING ` I I HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing ~ 6 'fL Roofing Rough Plbg. Rough Htg. I5ul. ~ Fireplace I 1 Final Htg. Orsat Test Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter Engr./Plan Bidg. Final q /G / Deck Ftg. Deck Final Weil Pr. Disp. Date: OF EAGAN Permit No: p Sizg: 3810 Pilot Knob Roadt Meter No: ' p Date: 2 L P.O. Box 21199 Reader No: Eagan, MN 55121 Owner nzT;LUn ?'ec3erson Tn Q . •ilcjernes-> ~ rolds , Site Address: «iljerness ~ Peine P1 n rxco Plumber. Conn. Chg: - i_s.oe +ggsng ~yo_ ~!~~r~v; Acct. Dep: ~ ~ Permit Fee: E1 vgr~~mpIy WRh the City of Eagan Surcharge: ~ Tr !j+ Ordinances. . Plant Meter. By ~ Misc.: WATER SERVICE PERMIT , 4-•'r,-•°" Date: CITY OF EAGAN Permit No: Size: 3830 Pilot Knob Road Meter No: Date: p,0, Box 21199, ' Reader No: Eagan, MN 55121 - ;,-,,,un. rec:erson, Inc. Owner. ~;f ~;i3~~erness {~rve I,28 ~'2 '?3laernes~ °o~ds , Site Address: nn~e plt~,bin JoF':nso" ` Plumber. , Conn. Chg: Zoning: ~ ~.;.t. pu No. of Units: Acct. Dep: Pa Permit Fee: agree to comply with the City of Eagan Surcharge: ~ . Ordinances. , Tr. Plant Meter. MiSC.: a„~r nr. M'Tt2r'_. BY WATER SERVICE PERMIT , ~ ~ Permit Na Date: CITY OF EAGAN Date: 3830'~ilot Knab Road B/P Na P.O. BOX 21199 . ^ Eagan, MN 59121 ' Owner. Site Address: {;tl e Plumber: Zoning' MWCC: 00nrd No. of Units: Ciry Chg: t r~ Acct. Dep: ~ I agree to comply with the City of Eagan 1 '~.!'"n~ . i Permit Fee: Ordinances. Surcharge: ' Misc.: By SEWER SERVICE PERMIT C F . GTY OF EAGAN No 14 8 7 7 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121 PH ON E: 454-8100 ~ ~I ' BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est. Value $139, 000 Date APRIL 25 ,19 88 Site Address 1266 WILDERNESS CURVE OFFICE USE ONLY Lot 28 Block 2 Sec/Sub. WILDERNESS PONDS On Site Sewage Occupancy R-3 M-1 MWCC System X Zoning R-1 Parcel No. On Site Well (Actual) Const V-N ¢ Name OZMUN-PEDERSON, INC City Water X (Allowable) V-N W Address 15136 GALAXIE AVE PRV Required X # of Stories 3 Booster Pump Length 601 o city APPLE VALLEPhone 431-5000 39' Depth °C Name SAME S.F. Total ,o • o Q Address Footprint S.F. U ~ City Phone APPROVALS FEES Engr./Assess. Permit 700.00 WWWName 69.50 ~ Planner Surcharge ~ ~ Address Q W City Phone Council Plan Review 350.00 Bldg. Off. SAC, City 100 . 00 I hereby acknowledge that I have read thi~ ap i tion and state that the Variance SAC, MWCC 550. 00 information is correct and e to mply it applicable State of Water Conn. 550.00 Minnesota Statutes and C Eag Ordi s. Water Meter 67.00 Signature of Permittee Road Unit 325.00 A Building Permit is issued to: OZM(JN-PED SON, INC Treatment Pl 204_ nn on the express condition that all work shall be done in accordance with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Parks 62)14 Building Official~~~.J~}.(e~ I I I'~ C, TOTAL 2,915.50 I `sp Re uest Date No. 1:16ugh•in'Rrspection Reqyered? ? Ready Now ll Notify Inspector a~es ? No When Ready? ~ I h ensed contractor p owner hereby request inspection of above electrical work at: Jo b Addr (streQt. Box ZRout~ No.)! City l' W r Section No. Township Name or No. 7No. ' County Occupan • T) ,~y~ ~ Phone No. / ' ~ i.c,r 13 Power Supplier Address Electrical Contractor (Company Name) 4ontraclor's License No. LL.AGlEi-z~ r C ~ll Mailing Address (Contractor or Owner Making Installation) c.~ /k~v Authorized natt;/ontrector(9w r ki Nstallation) Phone Number 7 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION FEQUEST WII.L N T - Griggs-Midway Bldg. - Room 5-173 BE ACCEP7ED BY THE STATE BOAR 1821 University Ave., St. Paul. MN 55104 . UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REGIUEST FOR ELECTRICAL INSPECTION EB-00001-08 ~ ? See instructions for completing Shis form on back of yellow copy. 11"a' g 39880 "X" Below Work'Cove; ^r/ by This Requesf ~~1~ew gdd• ,gp: Type of Building AppliancesWired EquipmentWired ~ Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) ~ Comm./Industrial Furnace Farm Air Conditioner Other (specity) Conhactor's Remarks: 5,~-t~ Compute lnspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL „ Irrigation Booms av Special Inspection Alarm/Communication THIS INSTALLATION MA~BE 0 E D PISGONNECTED IF NOT Other Fee COMPLETED WITHIN,. MONT I, the Electrical Inspector, hereby Rough•in ~ r Date V certify that the above inspection has Final te been made. OFFICE USE ONLY This request void 18 months from ~ This request void 18 months from ~ ~ liq 60 20 Request Uate Fire N . Rouph-in InsVection ~ Req Yes ' ? No ~Ready Now'C ~Wor IWhen'fReady e` S ~ r ~ Licensed Electrical Contractor 1 hereby request inspection of above Owner electrical work installed at: 0,.. Street Address, Box or Route No. C ity / . 26 < rC~-h cii2 ? e ecuon o. Township Name or No. Range No. County 4hr OccuGant (PRINT) Phone No. 0 Power Supplier / Address ~ ~tC ~ ~ Ele tAa] Cont~tor IC ny Namel~ 2J tractor's License No. ~L- l',~.~' a ~ ca VG~ . Mailingdress (Contractor or Owner Makin~ stailation) t', Z ~ ~ Authorized S nature on ctor/Own Ma ing Installation) Phone Number MINNESOTA STATE BOARD OF LECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 7821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. - REQUEST FOR ELECTRICAL INSPECTION « es-oooot-os ~ f i, See instructions for completing this form on back of yellow copy. ~ yC/ tv '02o "X' ' Below Work Covered by This Request lype of Building Applinnces Wired EquiUment Wired Ho, e Range Temporary Service Dupiex Water Heater Lightin,y Fixtures Apt. Building Dryer Electrie Heatin 7Insddt Commercial Bldy. Furnace Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk Tank k Farm Other SPec:ify Other (SPer.ify) er Other t er Specify Oth pection n Fee Below - p Fee Serv i ce Entra nce S iz e M Fee Feeders/Subfeeders # Fee Circuits /•f9 0 to200Am s 0 to30Am s 0 0 to30Am s Above 200 qmps~ 31 to 100 Arnps 31 to 100 Am s Swimming Pool Above 100-Amps Above 100_Amps Transformers Irrigation Booms ~k") Parti e Signs Special Inspection $ Rerrxarks T (T~L F ~ Rough-in th Electrical Inspec , y certify that the above Final inspection has been 7, jc~ made. v ~ This request vofd 18 months f rom : (Itxtiftrtttr uf Orrupttnry . Citp of (Eagan ~r}rtt~#mr~c# ~ ~uiiding .~risprrfi.an This Certificate•issued pursuant to the requirements of Secrion 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 reguladng building construction or use. For the following.• l":~;"` ` -7AS`~ ~ ' ".'C'• ~1 . Use Classifcation 'A ~ q Bldg. Permit No. Occupancy 7ype Zoning DistriM Type Const Owner of Building Address Building Address ' Lacality r Date: Building OfCiaaT POST IN A CONSPICUOUS PLACE r - - - - - - - - - - - - - - - - - For Permit City of Ea o~~ b I Permit Fee: ~ 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: I Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: ~ i 2009 RESIDENTIAL BUILDING PERMIT APPLICATION 'J l 2. ~ ~r l+v e :~.e~~ S ~~a Y 'v ~ • Date: Site Address: Tenant: e -,,V t Suite RESIDENT / OWNER Name: Phone: t Address / City / Zip: ''j Applicant is: Owner ~'AContractor TYPE OF WORK Description of work: Ql~ Construction Cost: Multi-Family Building: (Yes / No ~ ) CONTRACTOR Name: ~ ~ C-- ~'t-~-- `~-'~a License ~0 0 ~ 3 Address: .'e'" City: v", V-r- 't: State: A&Inip: Phone: T1_~ Z - 7 -1 yry C) Contact Person: V'0 , COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • 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? _Yes _No ff yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: N~OTE; Plans antl supporting~docurnents that~you submit are~ cons~al'ereal to~be public~information P~rtions of q the infor?na#ron may be classified as~non-publ~c~rf you provi~de:specific reasans that woultl perm~rt~the~ C?ty~t , . ~ , conclude. that the. are trade secrets, ' ~ , . . 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 _-ac=ce with the approved plan in the case of work which requires a review and approval of plans. r> J X X % s - Applicant's Printed Name AppyEant's Signature Page 1 of 3 i . ~J - - - - - - - - - - - - - - - ^ ~ For Qffice Use ~ ~ j Permit City of EaRan ; . o. ~ ; ~ Permit Fee. « ~ 3830 Pilot Knob Road • Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: ~ L--------------_-J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 674_4LV Site Address: Tenant: Suite , RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner -<Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes No --K) CONTRACTOR Name: License Address: gt-f City: 4!= ~tJ State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • 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? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents ttia"t you submit are considered to be public information. Portions of the information may be classified as nori-public if you provide specific reasons fhat would permit the City to conclude that the are trade secrets. I hereby acknowledge thai 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. x L/ G r0,7 Appiicant's Printed Name ~ icanYs Sig~g re Page 1 of 3 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date da Site Address Unit # Property Owner S 1 14U--[i4.'r.~ 44 Telephone # (1,51 ) 4517 08 BURNSVILLE HEATING & AIC, INC. Contractor 3451 W Bumsville Parkwa~v Suite 120 Street Address Bumsville, MN 55337 C?h' State Zip Telephone # (~~a ) gq`T' Bond 41 8 s 6 G-Z 21 A a Expires: 9-119166 The Applicant is Owner X Contractor Other Adc!-on or alteration to existing dwelling unit $ 30.00 ~ furnace _Additional XReplacement air exchanger X air conditioner _New X-Replacement other State Surcharge $ .50 Total $ I hereby apply for a Residential 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 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. Bt4+1 N d r,0 Applieant's Printed Name Applicant's Signature 0 22 05 ~ - 2005 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 for 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 _ fnterior 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) OC Contraet Value $ x 1% - $ Permit Fee • If eg rmit fee is $1,000 or less, add $.50 ~ $ State Surcharge If e~ fee is over $1,000, add $.50 for every $1,000 ermit 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 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. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: RESIbENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodellReaair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and ail roofed areas • 2 copies of pian (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 Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION "rJOOO -O~ SITE ADDRESS 12- k--P MULTI-FAMILY BLDG _ Y _ N Tli pE OF vVOFcK -7-/ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREETADDRESS Ac1 ~3 ~~G.~~o 3?v7 CITYLLA\2, Co.nSTATEMr>ZIP5~ TELEPHONE #ASA \ 4~,s~_D CELL PHONE # FAX # PROPERTY OWNER TELEPHONE # Lo 7--1 % O_ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 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 ; V'Jater i-leatter No. of R.I. Paths No. of Baths Mechanical Contractor. Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # 1 hereby acknowledge that I have read this application, state that the inform r~ ~~r~~ct~ df~ to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinanc JUN 1 0 2002 Signature of Applicant By +iT~lT~+~:...~. 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 Miscelianeous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 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 Bidgs 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 _ Retaining Wall Approved By , Building Inspector Basa FeQ Surcharge Plan Review MC/ES SAC • I City SAC Water Supply & Storage S&W Permit & Surcharge I Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total I RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ~ ot 3830 PI651-68/46 5_ 55122 0 . ~ 0 1 New Construction Reauirements RemodellReaair Requirements 'C" ~ • 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 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE o ;k- VALUATION JOB SITE ADDRESS /a66 F~?A)E-`~5 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? , PROPERTY OWNER ~ ~ ~?1~4 k/ FIREPLACE(S) _ 0_ 1_ 2 TYPE OF WORK 1- r C~~ APPLICANT t-%-c ,'164*4 sT~SL PHONE# 4/,"y~~`° ADDRESS C9q I O I~,c~a'iz~~`'.•~. L.~NE ,~b~~`~~6~~ '"A"S ZIP CODE -5:5.3464- PAGER # CELL PHONE # (llla' ~I~/` -70C~ FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet 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 Fee: $70.00 Heat Recovery System \J Sewer/Water Contractor: Phone # ~ All above information must be submitted prior to processing of application. ey 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 O Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Receive _ Not )Rquired _ Updated 2002 OFFICE USE ONLY 1 d ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-piex ? 16 Firepiace ? 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 )K„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 Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding )K 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 ~o 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 W idth REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ~ Footings (deck) -x 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 0 J70 MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other ~ Total ~ 5 x lr4 U ~ ~~ac 'qM.q, ~ 95,pb,r ' ~ ` ~ ~ .1 ~ . . I+• ~ 94li . ~ . -N~ F~R q47 S ' NDUSE r~ ~c' f,~yoR 99`~'D \ a , ~1\`• ' ` 94Q~ UN : , 4 N ~ ~ IQ ED ~ t OT I16t .---pRA~NALE . ~ . EAG:,I1 EidGIAINELFTIIG DEPT. ' t,tiz -D , -s;-----. ~vs ti KADE Ti ; .94ro 7.37. i l"F-p PD 5E i7 ci RA j7E ~ ~.~i.~ . . . P.R.V. REQUIRED ~ • L°T ~ ~ , [3 Lo~,K 2 , ~ 1 L G'E fZ N E 5.5 ~OI'V C7S J t 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET, OF ENERGY CALCULATIONS To Be Used For: SFD Valuation: I 39 Doo A.- Date: ,Apj-; 1 )f 1 ARR Site Address 1266 Wildem?GG Ct3j37P OFFICE USE ONLY Lot 28 Block 2 On site sewage Occupancy R-3 M-I MWCC system ? Zoning R-i Parcel/Sub Wl 1dAY'YIARfi Pnnds, On site well Aetual Const V-N City water ? Allowable V-tq Owner p n-ped rson, Tnc_ PRV required 4k of stories Booster Pump Length 60 = v" Address 15136 GalaxiP Avr. Depth S.F. Total City/Zip Code &=1P va11P~z, nVtnT I; S»a Footprint S.F. Phone 431-gnnn APPROVALS FEES Contractor n7min-Parlargm,r Tnt- Engr/Assess Permit ? Li o, DL-) Planner Surcharge 6q, SO Address Council Plan Review ~4/20AC, City I O p, 00 Bldg. Off. City/Zip Code A=1 Ilal i ArrMU ;519a Varianee SAC, MWCC 550,'00 Water Conn O,Do Phone 411-90nn Water Meter (0~ ,t7( Road Unit 3ZS , oa Arch./Engr. Treatment Pl Z o 4•00 Parks Address Copies ~ TOTAL City/Zip Code Phone 46 ~'A~LI ATION &A RAUE ! , Z y X 2 2 52O X` -q r 1 V . 1:aSMT; 3(c~ X 3v 1080 Z. l q - 2 8 1 'l. x 8 = % y x y I ~96 x ly= 1~~4y i IC- 2 K rl = ? `-i zA)o t ~ I Z 18 X 49 5U$ Z I I~y ~ty~~ ,Sy.~~~ ~ 3 8, ~1 dy I ~ t d -u Ozmun - Pederson, Incorporated _ Average "U",Computation Job Site Address I z, C e~;. kj//L~c--A Legal Description: Lot_l::8_Block -Z- Addition 14V/Lp6t5 Date AVERAGE LINEAL FEET OF • EXPOSED WALL AREA ABOVE GRADE Main Level Lineal ft of framed wall above grade/~O~x height of wa11 B Second leveT Lineal ft of framed wall above gradej3B x height of wa11-9---=I Vaulted Area Lineal ft of framed wall above grade x height of wall = Rim Joist Arta Lineal ft of rim ~?O x height of rim~_= ^'j ZO, d Lower level Lineal ft of framed wall above grade3 Z xheight of wall 4,5- =_1L.p Lineal ft of framed wall above grade, x height of wall = Lineal ft of masonry wall above grade~4,x hgt:.aboue:grade~= Tptal wall ar.ea.abave grade including windows and doors WINDOWS : Brand and Type VULA G4,412 GA3 e-211efieyZ 1) Q,/AGE!~j LiM&-V Area x "U" value ~ ZD S' :!7' sq.ft. 3 .S'i~ x " UL.4,s~ sq.ft. 16 Z x"U" _ sq.ft. '7,/'Ir x "U" e/o, sq.ft. x ilUii - 77,AR - d,-l sq.ft. igole x IlUll _ 271 a Z~ 2 sq.ft. '1. Z XflUti _ Z.4S ' 'Z- 3 c 4- (2 S- sq.ft. ZZ xVIU11 = 'Zo G~ G,3sq.ft. , x " U" . .4-1 = sq. ft. x "U" _ sq.ft. x "U" _ sq.ft. x "U" _ sq.ft. x "U" _ sq. ft. x "U" _ sq.f t. x "U" _ DOORS: Area x"U" value zo.--J' ' sq. ft x liUlt - Z- Z Z/, a sq. ftXflUll i/3 3 cv ~B,o~.er~ 35~3a sq.ft. 135', 710 xtoUll I j _ D sq. ft, x "U" = OPAQUE WALL CONSTRUCTION:.Area x"U" value Framing members sq. f t x "U" , 4082= bc) 3 Framed wall sq. ft ` Gj O~p x"U" , S = ~9 Rim Joist Area sq. ft Z-G,p x"U" .03 Masonry wall • sq.ft 2,:.4,0 x"U" 2 , Total wall area including Windows and Doors a. b 25-4, k Total (U) Values b. Avg. "U" Divided by total wal l area a. AVERAGE "U" Minimum .ll or less for 1& 2 family dwellings ~ , . • ~ ~ . . . , . , . . . . , • . , R-V a 1 ue FRAMING MEMBERS IN WALLS • ' ~ "ALL SrC''IUNS T~~' Ii ew ~ . • : • • . . . EGerior +UZ'Es Uae 10% + , • ~ ~ . _ . _ . _ o!' opaque g Sidin ~ -6; T'EtSL W !I ~ .._._.._.,..~.,.,~__..APA.~?'1 ~ waii area ; . . . • S'ox !'rauiin t~ Shoarhing ~ZS~ Z . Z, o 4. • IIl tl N ti eI' u ~ ~ ~ - .._.........,._._..r.. . ' re . ~ 7 S ; ~ • 3'~" soft uiord' ` ..r._._..~......_.__.... I • , • ' dr.y wall ~ • .645~..._._ ..._r.._.~.~....r._. 'Interior sir film ~ •68 - . ~ ~ . . . , . . • TQTAL R = ~ Z . d S ? : . U a.•l,R , . . . . . U,~' ~ DQZ. (L . ' : . . • . FRAMED WALL . . . . ~ - . ~ . ~ Exterior. sir.film .17 ~ S3d3ng 5 T'e;EL Mltit 1• 8~- ~ , Sheathing ZS~3'L ~ 2. D L ~..~r~_.._ . . . : , . W•batt insulation 'r~ _ ~ 4_. - • .dry wall ~ ' - . k5... Interiox air lilm . . • ~ .'68 . . . . . . . . ~ TnT,l,T. T? a Z U ° 1%R , U = ' ,,._.RIM JOI§T.AFsA... ~ • ~ Exterior sir film . . . . . 1~ T ~ • ' ~ ~ Siding 5 TEvL wlr-0'74-41' ~ . . . . . . SheaChing '2' d ~ • • • . . . ~ ' 1~" 'soft wood 1.88 . . . ' • ~ ~ ~ ~'''~,~W Tns~,1 a •~t o ~a~ ~ ~ , dD - Interior air fi m ~ _ - . 6_ . , . ,r . . TOTAL ?2 . . u .1:/R. , . , . ~ u - . O 3 9 - ' MASONRY WALL ~ Exterior sir filzi :17 _ y , ' 12" concrete blocic « 1- ' Insulation H I- D• R 104 19 _ . _ . _ . Interior sir film •68 ~ e:•~aa~:L..-~~ ...~..~..r.»~~. . . (2). ~ ~ • TOTAL k ~ 7, . ..r~ . „ , .~..,...:a.,.U.a°a~:a.~~:r~a.e~t:.......a~ dI. ww.... a 1.4. 7 , ROOF CEILING ~ Outside air film + .61 J/ ~ Insulation . 'S :L) Drywall S j - . . ' Interior sir film .61 TOTAL R^ ' U = 1/R U ~:_..s ..r- - Outside air film _ .61._....... . Insulation r ~ _ - - - 31„ Drywall • 45 Interior air film .61 . . - - TOTAL R = ' U = 1/R U = Outside a" film .17 ~ ~ , Insul`ation Wooo decking . . _ ~ / ._y... . :;,or air film ~ ' .61 - % ~ % TOTAL R - U = 1iR i0F/CGILING: )TAL AREAc sq. ft. ~tail reference x sq. ft: ~ VAO om ab ove. x sq. ft. scribe openings x sq. ft. ~ L roof x sq. ft. llUll X sq, ft. _ ,C~t)4 A), „Ull x sq. ft. = ~3 ( ) IfUll _ (r-j'(1A x sq.. ft. TOTALS s a. f t. )TAL (U) (A) VALUES ~ VIDED BY TOTAL P.OOF/ AVG. "Li" :ILItdG AREA 'ERACE - .`JS for ventiZated roofs ~ .10 for all other construction iFF:~?~/~ er• ,evz es~ ~ru •ated-`"bov.e- c~onot-meef the En~er~;y.-Cbde` requiremerits; ~the ees'~° si~;ori Page`ay,::lie 'userd:~ (3) r W~LpE2~ ~~a~ " h as;od- ~ . , , t t' ~7~ . . 8 ~ A~~ , x~, ".?1' ` 1.5 q4 NPL)SE IL ~ Vv . o ' . . . , . , ~ . ` r 4 ' ~ - 1 ~ A ' OYED - : LoT 2 8, DRAINALE . , . ~ s,'~ . ~ . . . ; . , . cAser~q•rs . ~ , , c~/Zf . . . ~ Date_.--- ..I . . EAG xJN ENGIZv~EF~NG DEPT." . . . ; , ; 4 . F . . . ~ ~ ' : EX~STINS. yRft17E," . • ' . . . . . . . , . S~ . . . . ' . . POSED 4 1ZADE.. . ~ 7,37 . ~ ~ P.R.V. REQUIRED . . . . . LoT Z 8, I3 LOGK .Z _ w 1 L DE2 NE S 5 p oND.S " PERMIT # / 1A RECEIPT DATE: USIDENTIAL PLL1IVIBINfi PERMIT APPLICATION crrY o~ EAem 3930 PaoT xxo$ ftn EA1FAN, MN 55188 651-6$1-4675 10 Please complete for: ? single family dweliings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: L2.(p(0 0i lclerqes-,- C u4e OWNER NAME: : 1 l~Y~ 11 Il~i'-~ ~1LP TELEPHONE LD51 ' bSg- 27gU (AREA CODE) INSTALLER NAME: Dr-rci n P TELEPHONE qr)r-~- LI 1001- (or'19cl . (AREA CODE) STREET ADDRESS: rL'~I) jI CITY: LA ki V/IIE STATE: MIrmeSUfa- ZIP: 515Oy 14 Place a check mark next to the ermit work t e _ New residential dwelling unit under construction and not owner/occupied $ 90.00 ~ Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: 1T1S~AA WlA}t°/t- Su~A-nOX- _ Septic System, new/refurbished - $ 225.00 • includes County & Consult+ng Inspector fees • requires MPC license State Surcharge $ .50 Total Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the informetion is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify 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 permit within City property/right-of-way/easement. . ~ SIGNA URE OF RMI EE Updated 1/01 . . . _ . . r. . ~ . „ . , . ~ _ PERMIT A GIT'COF EAGAN 3830 Pilot Knob Road PERMIT TYPE: s u ILct z NG Eagan, Minnesota 55123 , Permit Number: 022365 (612) 681-4675 Date Issued: 11/ 01I 93 SITE ADDRESS: 1266 WILpERRIESS GURVE V 0 LqTs 28 BL4CK: 2 P.I.N.: 10-84275-280-02 WII.qERNE55 PONpS DESCRIPTION: B Permit 7ype BASEMEMT FTNISM rk Type ALTERATIqN , 2„ citV oF ciagcin REMARKS: SEPARA7E PLUMBING & ELECTRICAL PERMITS REQUIRED FEE SUMMARY: Base Fee $35.00 Surcharge .50 Total Fes $35.50 CONTRACTOR: pplica nt - ST. LIC. OWNER: UNIVERSAL qESIGNS 19274111 0005808 MURPHY TIM 5416 BROQKVIEW AVE 1266 WII.qERNESS CtlRVE EDINA MN 55424 EAGAN MN (612) 927--4111 (612)688-2780 CO- e"°,3°.s ~ ~ ~I ~ ~ . ~ Y~`#7x~ m~ ~++Y~ ~ ~ s ~ s wr ~'a :r x'#t E s~'. ' ~c,~ ~ ~z`~:"~ ~2,~' ~ w~ r:?. APPL ANT/PERMITEE SIGNATURE ~ ISSUED BY: IG ATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ~~IL°ING 3830 Pilot Knob Road Permit Number: 022365 Eagan, Minnesota 55123 Date Issued: 11/01/93 (612) 681-4675 SITE ADDRESS: LpT; 28 B!. Q C K: 2 APPLICANT: 1266 WILDERNESS CURt1E UNIVEF2SAL DESIGNS WILDERNE55 PONDS (612) 927-4111 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISM ALTERATION INSPECTION • .A FRAMING INSULATTON RQUGH TN PLBG FINAL REMARKS: SEPARATE PLUP9BING & ELEGTRICAL PERMI75 REQUIRED „ .e e,., . " ~ o- "r r " 3 gP•. ~ ,~bq,• A s _ _...._.e » ...e._.. a_?..~ _ ...:...._.A.. r .....~+,~.oi:.. . . _ ,.~..._~y.:_ o,'7~re.. _ . . ~ REACTIYATE _ w CITY OF EAGAN PERMIT t~ 79D 1993 BUILDING PERMIT APPLiCATiON 14 1993 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 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 Valuation of wor ~ Site Address:~~,~~~ ~)Q1a STREET sUITE # r Tenant Name: (cammercial only) -M TMA-P,(AAQj517 MD~P4Y - T __,2,,9' BLOCK ~ SUBD. &J~t) P . I . D . M . Descri tion of work: The applicant is: 0 Owner Contractor CI Other (c««ibe). Name M002JA ~ C E'1~,{~~Ae~7- P h o n e C) Property «ST f1 ST - Owner Address STREET tTE # City State ~N 1iP SP~~ Company U!1 Phone CLicense #'~J C~ Exp. Contractor Address .i,fiUl Co BQQCX<WC..~~1k1 ~V City ~-~YS24 State toQ ZiP LL Company Phone Architect/ Engineer Name Registration # Address City State iiP Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge t at I ha e read this application and state that the information is correct and agree to omply wi all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY " BUILDING PERMIT TYPE * ' y O Ol Foundation [3 06 Ouplex ? 11 Apt./Lodging ? 16 Basement Finish E3 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. O 17 Swim Pool ? 03 SF Addition O 06 8-Plex 0 13 Garage/Accessory ? 18 Cortm./I:nd. ? 04 SF Porch 0 09 12-Plex 0 14 Fireplace O 19 Corom./Ind. Misc. ? 05 Sf Misc. ? 10 Multi. Add'1. O 15 Oeck ? 20 Public Facility O 21 Miscelianeous WORK TYPE O 31 New O 33 Alterations 0 35 Tenant finish 0 37 Demolish 0 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 Baoster Pump ~Y of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ' ? Site O Footing ? framing ? Insulation D Wallboard 0 Final ? Draintile ? Fireplace Permit Fee wiuacio,: Surtharge 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 OFFICE USE ONLY BUlLDtNG PERMIT TYPE ~ . ` O 01 Foundation 0 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. O 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Cortm./Ind. D 04 SF Porch C] 09 12-Plex 0 14 Fireplace 0 19 Comm./Ind. Misc. D 05 SE Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility O 21 Miscellaneous WORK TYPE E3 31 New ? 33 Alterations 0 35 Tenant Finish 0 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 Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump 1~ of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ` [3 Site 0 Footing ? Framing O Insulation p Wallboard O Final ? Draintile O Fireplace Permit Fee v.iLaci«,: g Surcharge Plan Review License ' MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge . , Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units . . r: ~<:~:<:.;::<. . . . . . <.:~::::::::.:;; ::.::::.:::::.~::::::::::::::::::::::::::::::;:;;;;::~::.;:.;:~;;;:.:::.,<,::•::::.::::.:<.. . k.:......... . . . . . . . . ^in:~.... , v.:. . : ::i~Gi?i;::::4iii:::.~ :.........:.:.~:n.... v::::::::::: ::.::y:\v~:::::::: :::.vL•:::::n~::::::::~.~#~~ . ~ . . . . . .:::::::::::::n~:n~ ....:::v..;; .........v.:; v: .i......v.. ............................~r . . 4........ . .......Y.:::::i::':':'~v tiv}tiJ:vi{•?i~:.ti•:.vt:ti•):i.iiii$i::.~::.~ii?ii:iiii::iii:i^:f•iiiiiii:~:iiii}:+:0.':::: • . t: •.:i.~i•iii!.y_: .:iii:::iii~ii?i?iiii:::li:b::Lii:!+.ii!?Gii:titi: ii%i^:i•iY.:{i^Ti$:•'ii:ti+•i:?i?iii+ii:ti?i•~:{i::........ u .n: • ~Y::}:T:i. v . . .......s. . r . i'~.......................::.......... . :.::..::r::. ~ : . . . . . . : : : : : : : : : : . : . : : : . . . . .::t:.~.:.......:::..............,....,............:::...............::::.:...:.........::::.::.::......:::::::.:.. . 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' . . : : u. . : •w:.:nv:::n: •t. . :•i:T:i'v'iii: . : ,r . i'i i ..i " ~~':ii:ii + :i~:?i•:i•i*ii}:ti.}}:; Y.:::?:•iYiiii:iti i: ".:::vii:•:?•:i~i . . . : . ; : . . : : n : : . : : . :::::x:.... • }}............ijrr.;.:;.. . . ..;v.i : r:i:,;+.:• ~ . . . . ~ . . . . v x: c.i..n . . . ....~............::::r:*: w:nv::: :y..x::::::::..... .ti ~ . . . vy:::::x:::r}:.....n. y. . ..ti':iii::::ir+~:~i:+` ...i•:i~i:i{{::::.~.r: f'+:::: 'J r . •:•.~:.::u:::. .r :.}r. :.:•:~+:.ii.tivin.. .....v..}..v...~........'ii:iiii}i:•ik+:: ::.:.::::::::.w:::::iii}i::r,~ii ::~...+.~y'~~~'.'~.'~~'.~~'.~~.~vir•':'r PLUMBING 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 UNIT. - - - - - - - - - NO. FIXTURES EACH TOTAL SHOWER 3.00 VVl1TEEK CLIJJE1 3.00 ~ BATH TUB . 3.00 , LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA ~ 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET • min;mum - i 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Dak.Cty. uc. 15.00 U.G. SPRIlNKLER • 6ome under const. 3.00 ALTERATIONS • co ~ting 15.00 15 . 00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 ~ TOTAL: 15.50 SITE ADDRESS: 1266 Wilderness Curve ~ . Tim Murphy. OWNER NAME:~.~ INSTALLER• Plumbing Services, Incc. ADDRESS: 1628 Hwy 10 N.E. CITY: Mpis STATE: MN ZIP CODE: 55432 PHONE (612 } 783-9080 SIGNATURE OF PERM E . . . . : . . ~ . ~ ~ : : • . . . . . . ...,.:•s.,•.:::•::.;:.:.::.: • :x.>:•::,:•r••:::•.:>:~ :::::.:.:•:.:.:aa:, f•x. • :.s+r:•~ +wr:.+ . ~r ~ ~ ~ r:::.:::::.:::~;:~ •:::?~:a~ . . . . . . . . . ~ . . t . . ;.:sr>::>S:s.:::::::::,;::: : :::::ti:::::::.y::.r::::., :.f...:r::.a... ,.:s.v:...,.,r+:;:,••;;• s :.::.....:::::::::.v::::::::::...•::::::::::::.:r..•.,., . ~....~......................,.......v..... . •`v.i•:Ji: ~ ii: : . : ::i$ ~:rinf... e..`.i.i:?riii;i:.....n..x. r. ........:....:..:.......~~•::•::•::•;;:•::~:::::::::.~:::::::r:•:~:~::~::~::•:::•::::<.:+:,•::'•r::r::•:»:•:::,;•:::te.:::;~........::::::.,•:::.~:::::.~.::::::•.:::.;.... . ........,•:`y~:ro-.:,:, . +:.}•{tir.};.y.:::.::: i:•iii}i:ti?:•{.,! :::::.~n~:..:?:•::::.i'~ ............n4iy: :w: :vv:.i•::{ry•::::::::::::~•.:~•:::::..:. : :.::::.~~~•::H.~iii:i:~'•... . 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' ~:~Sfiti:~,~i.J.i:~i'~'r'•?ii::ii:•:•:::i::iiiiiii:4::::•i?i::::~iiiii::i,>•~ti:' . ~::i?Tii$:Sv:?:?:iiii:~i:titiii::••. : ~ii:~:•iii}........ t. r....w w::: 'V~ '~~i:•riy'}.: iJ.~~~i:i:::.i:•:4}•:::::::::::.~ ::::::::::::.~::::::::::•i:•i:•i:~:i:t~i:'Y..i:':•i:.:':•ii:•i:<•:v\.tt;{u:::::.~........:::~i~•:~:•i::::.v::2.:::: r. : ' . ..::::::::.;•'l:::... ............x......:~:::::::.~:.w:: ....:n...:. w::::i::xii:::::::::::.•: :..::::::....y: v y; . . . y; l.Yw:m:: tii:i:•iii:•iiiY v'+........ v..........h n....~.•.::: ,~h•::::... . „ .........................................:;:ti•::::;:~•::•;:+•:r:•:••:. t•:x:!•>:~::.v~•:..,, . ...............:•«.r;•:::•:~:~::::•:::::::::::. ...v....,... . . .•::::.•:.;.,•:,,-:::,:t:::.;:;::•:%.;:•:,~:•::~::::•:~:<:..::.:i:~:::~::~::..~:., •:.-...,.:;:;•+:un~:•.:u•:::~::;r~:;:::;•.,:;::::t•:x•:::;.o-:,•::•::r:'f•:L:.::•::~:2~fi-::~::~fi~~s::.,... ..x: PLUMBING PERMIT (C4MMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIALdINDUSTRIAL BUILDINGS. AISO F4R MLTLTI- FAMII.Y BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCITON ADD ON ~ EcrS~a" WORK DESCRIMON: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF ffAM FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE $ TOTAI. $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CIW: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT **x~~,x~xxxxxxxxx~xxxxxx~xxRF~xxxxxx. - APFLI~ATION FOR PERMIT *NOM= PAYME7r OF FEE AT TIME OF APPI,ICATION DOES bK)T CON- * STI7UTE APPRCJAL OF PII2MIT. * S E W E R A N O R A T E R C O N N E C T N * TNSPDCPION OF Sb~t ADID/OR WATER INSTALIATIONS WIId. NOT BE SCm[JLID [!NI'IL PII2MIT HAS BEEN APPROVED. *t ~ ,t*+t,r,r**,r*t,t,t***,t*,t,r*,r:*,r****t*,r+r#,r**** ~ city oF eagan ( PLF..A.SE PRINT 1) PROPERTY ADDRFSS : 64), 1,&rw ess (!Fsvrv e-- LDGAL DESCRIPTION: . f-. 02: 8' ~ G-~i`~i~°e?^r~ e-.c°.r ~ n,Q.r' Lot Block~Subdivision or Tax Parcel I-D #j IF EXISTING STRt'CTURE, DATE OF ORIGINAL BLILDING PERMIT ISSLiANCE: Mont Year PRESENT ZONING/PROPOSID USE: ~ COMMII2CIAL/RETAIL/OFFICE 17 ~-1 SINGLE FAMILY Q INDLSTRIAL F----]R-2 DL~PLEX (TWo Units ) E= INSTIT[JTIONAL/GOVERNMENT ~ R-3 TOWNHOL~SE (Three + Units Units ) Q R-4 APARTMENT/CONIDOMINIUM ( Lnits ) 2) 019!90(0-A~R! NAN1E: ADDRESS : CITY, STATE, ZIP: 7S` PHONE : ,Pf feU For City Lse 3) NAME: Plumbers License: ADDRESS: v Active (4 Expired CITY, STATE, ZIP: 9-7d,- Not recorded PHONE: MAS'I'ER LICENSE # O o,2 0-~M z- Staf~ Initial 4) NAME: l9 C- ADDRESS : -e CITY, STATE, ZIP: PHONE: 5) s~w•~;. • a~~ r a~ Q~[JCONNECTION TO CITY SEWEFt [E[CONNECTION TO CITY WATER ~ OTHII2 6) OTe-I Ph"kcTa~ 2 -d'V- * * ZHE GOLD COPY OF THE pERMIT WILL SE SENr DIRECTLY TO PUBLIC WORKS TO FACILITATE NEIM PICK-OP. * * PLF.ASE ALIAW ZWO WORKING DAYS FOR PROCFSSING. SONIEONE FROM Tm CITY WILL CONrAGT YOU IF THEE2E * * ARE ANY PROSLENIS. * ~******************************************~r*~r~*~**************************************************i _fOR CITY USE ONLY ; f- PERMIT ISSUED - Pd w/Bldg. Permit FEES: $ $ ~D 5-0 SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLLDE SL'RCHARGE) $ WATER METER/COPPERHORN/OL'TSIDE READER $ S WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ ACCOLNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ WAC $ sAc $ $ TRLNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENiFIT/TRLNK WATER $ ~2"0 l $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ / `f ~ / • cg ei $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK 6aITHIN PLiBLIC Q ROADWAY" MLST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : ~ óó ÿ ÿþþýüûúóûúü ùýýþþüúîýþþö êô÷ ê ê ÿþ þýüûúùÜ ô÷ûúùóò ÷ùþæ ñý÷ ÷÷ ù÷ð÷ïý÷ðýü÷î ÷÷ÿþ ÷ ù÷ÿíìë þ ê þå÷ êùù÷ þôØ î ÷ðøíéù ðëèçêç êê õù þý÷ ÷øèçìçì ôóóò ñð ùù å÷ã ö÷Ýýâþ÷ êùù÷ þôááô÷õý÷æ þý îó ùùÞ úîó íìë ê ÷üú ò æ÷ ùù å÷ð ÷÷ ÷ðùúò ùù üþ åî þ ý õúå ä÷ ç ùù à ÷ðþ ý÷ ýúþ ý÷ Use BLUE or BLACK ink . r-----------------� I For Office Use I � � Permit#: ��v t�U � Clty of �a�a� � �`] � � Permit Fee: �� / � 3830 Pilot Knob Road i � � �� . •i Eagan MN 55122 Date Received: Phone: (651)675-5675 � � Fax: (651)675-5694 I Staff: � 'I I I ��----------------�� ,� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � .��'� �a� �1 Date: Site Address: Unit#: ��' „ :,: '� c ' J fj Name: � J � 1,�(G ��'�:.v'(�_'�G� Phone: + Address/City/Zip: ��Q � (��.,�,�_ �(��,(}� Applicant is: Owner Contractor , � Description of work: l�c�ti. � ..� �'� "i�n� ��c�-- . . . Construction Cost: Multi-Family Building:(Yes /No ) � �� ; ��-V�--_ Company:� /l �,,, ..Si �t ��`�C Contact: Address: �L �p 1 � W�p �,9� City: �/��1 .'�.� .. O i � State��Zip:�� Phone: V I�� Vp J EmaiL• ��f=-■C J`� �N�, �/ �> � , License#: �I��Z�S Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) '�C��l.� �� "� 4� ,�u�� v S�' " � 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: � Sevuer 8�Water Contractor: ' ' +� Phone: �. �y� . � - � . O< < . a � '��, o i�g oc°�� a �� .o �� " � o . , - � Q- ' � = o � e asr ,n _ . � � � � 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 info on is complete and accurate;that the work will be in conformance with the ordin and codes of the City of Eagan; that I understand this i a permit, but only an application for a permit, and work is not to start withou it; that the work will be in accordance with the approv in the case of work which requires a review and approval of plans. Exterior work authori y a building permit issued in accordance with the Minnesota State Buildi C e must be completed within 180 days of permit iss c x X icanY Pri d Name canYs Si ature �-�-� f/� �'�� L w�` Page 1 of 3 � �'� / ��sC.P(..p (,��1 c2.�c,.-�� C�r�� DO NOT WRITE BELOW THIS LINE � ��(� SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) � Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Muiti) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior � Alteration _ Fire Repair Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation � Occupancy x�� _ � MCES System ^ Plan Review � Code Edition ,=„Gn? SAC Units — (25%_100% �' ) Zoning -�/ City Water — — Census Code ��M Stories "" Booster Pump #of Units / Square Feet '' PRV — #of Buildings Length � Fire Sprinklers " Type of Construction � Width --' REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) �/ Final/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick �1 Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector � .1. RESIDENTIAL FEES 9p f� $irp� �ql � �� Base Fee �3� Surcharge Plan Review � MCES SAC City SAC Utility Connection Charge S�W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA160983 Date Issued:04/28/2020 Permit Category:ePermit Site Address: 1266 Wilderness Curve Lot:028 Block: 002 Addition: Wilderness Ponds PID:10-84275-02-280 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Julie K Schoenecker 1266 Wilderness Curve Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA171733 Date Issued:08/30/2021 Permit Category:ePermit Site Address: 1266 Wilderness Curve Lot:028 Block: 002 Addition: Wilderness Ponds PID:10-84275-02-280 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Julie K Schoenecker 1266 Wilderness Curv Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174077 Date Issued:12/22/2021 Permit Category:ePermit Site Address: 1266 Wilderness Curve Lot:028 Block: 002 Addition: Wilderness Ponds PID:10-84275-02-280 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - Julie K Schoenecker 1266 Wilderness Curv Eagan MN 55123 (615) 315-9808 Dean's Professional Plumbing 7400 Kirkwood Court N Maple Grove MN 55369 (763) 428-1321 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176950 Date Issued:06/08/2022 Permit Category:ePermit Site Address: 1266 Wilderness Curve Lot:028 Block: 002 Addition: Wilderness Ponds PID:10-84275-02-280 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Julie K Schoenecker 1266 Wilderness Curv Eagan MN 55123 Bison Builders Inc 10200 73rd Ave N, Suite 126 Maple Grove MN 55369 (612) 440-6000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178091 Date Issued:08/01/2022 Permit Category:ePermit Site Address: 1266 Wilderness Curve Lot:028 Block: 002 Addition: Wilderness Ponds PID:10-84275-02-280 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Julie K Schoenecker 1266 Wilderness Curv Eagan MN 55123 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature