1269 Wilderness Curve M
CASH RECEIPT
CITY (DU.EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
i.
DATE 19
(i:~'EIVED . . : .
~FHOM ! . . . . . -
k
AMOUNT $
& DOLLARS
,oo
? CASH C4 CHECK ~
FM
.
' ' . i .
FUND OBJECT AMOUNT
/
V
Thank You
BY
_ . r.~ . f;., r
~ White-Payers CoPY
Yellow-Posting Copy
Pink-File Copy
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 SF UMr,, jWC Est. Value $136, 000 Date OCi t`$a::F 5 19 F f?
Site Address 1269 WZ~~~~~S CURVE OFFICE USE ONLY
Lot 19 Block 2 Sec/Sub. WTLDF::NESS PQAli)S On Site Sewage Occupancy R- 3 K-'I
MWCC System X- Zoning R-Z
Parcel No. On Site Well (Actual) Const V-N
ac Name LLl3Yi;+ : ;?"..~~LLE City Water X (Allowable) y"~'
c. ~~~~3C°, If~C
3 Address 14530 PRNNs.'GK AVE PRV Required X_ # of Stories
0 CityAPPLE YALL$X Phone 432-1737 aooster Pump Len9th
Depth 42'
¢ N2.me $AM S.F. Total
.o
o ~ Ad~7fess Footprint S.F.
U
m
Ci1y Phone ApPROVALS FEES
¢ En r /Assess. Permit 692.00
u Name 9'
=Z Address Planner Surcharge 610•00
U=w Cit Council Plan Review 346.00
¢Y Phone
~ BIdg.Off. SAC,City 100•40
I here6y acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00
information is correct and agree to comply with all applicable State of WaterConn. 558•00
Minnesota Statutes and City of Eagan Ordinances. Water Meter 67•00
Sisnature of Permittee Road Unit 325.~
A BUilding Permit is issued to: LLO1~ ~~ELU~ ~~~SOC Treatment P1 204•00
on ther express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL '`~4~~•~
Building Official
CITY OF EAGAN °
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
" BUILDING PERMIT Receipt #
To be used for Sy M1%G/f7Ai, Est. Value $136sOW Date OCTODEK ,19 ~C
Site Address 41:,` i-'~L!?;'RNE55 GURYE OFFICE USE ONLY
Lot 1 Block 4 Sec/Sub. ~X~%'~~INYS~+ pOND~? On Site Sewage Occupancy R-3 m`'
MWCC System X- Zoning R-I
Parcel No. On Site Well (Actual) Const V-N
a Name ~~ELIA ?t ASSLICe IidC CityWater ~ (Allowable) V-N
z Address 14530 f''FNNO%K AVd PRV Required of Stories
; , Booster Pump Length 04 e
0 CityAj 1L:: VALlrFY Phone 432-1737
Depth
, p Name aA~== S.F.Total
Address Footprint S.F.
<
City Phone APPROVALS FEES
~ oc Engr./Assess. Permit
WW Name o$•0p
~ Z Planner Surcharge
_Z5 Address 346.00
¢ W City PhOne Council Plan Review
BIdg.Off. SAC,City 100•00
I hereby acknowledge that I have read this application and state that the Variance _ SAC, MWCC 550•00
information is correct and agree to comply with all applicable State of Water Conn. ssa• cxi
M inn e s ot a S t at ut e s and Cit y of Ea gan Ordinances. 67.00
Water Meter ' Signature of Permittee Road Unit 325,00
~ • ~F'LL8 ~ A~SC~f
~.1x;Yr ~ < .
A Building Permit is issued to:__ Treatment P1 ^04.00
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 i .
> TOTAL
Building Official
_ Permit No. Permit Holder Date Telephone #
Plumbing
Z/ ez I
H.V.A.C. 631)
Electric oa
Softener
Inspection Date Insp. COmments
Footings I Footings II
Foundation
Framing
Rooting
Rough Plbg. ~ p
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bidg. Final
Cert.Occ. ~Z
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT # p~
MECHANICAL PERMIT RECEIPT # C'
CITY OF EAGAN
/ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Qlock Sec/Sub Res. ~ New
Mult Add-on
Name
Comm. Repair
-ia Address Other
c City Phone ~f trd ~
FEES
~ Name RES. HVAC 0-100 M BTU -$24.00
c Addres ,~.Lt • ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMlT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
• TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. 7'T M BTU R MINIMUM COMMERCIAL FEE - 20.00
Vent. f CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outiets # ~ R~' BEYOND $1,000)
Other ,
FEE:
S/C: ~ SIGNATURE OF PERMITTEE .
TOTAL:
,
FOR: CITY OF EAGAN
-
* ~.iiik v na tioy„ w; a~. ~ - •
„
_ . W..,. . . . ,.c.... ,..t <
PERMIT #
• PLUMBING PERMIT RECEIPT #
t
CITY OF EAGAN i 1. 1
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE -
CONTRACT PRICE: PHONE: 454-8100
Site Address i 2- 01 C~ L r%° < BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. New -I"-
14 Mult. Add-on
- Name Comm. Repair
m Addre s Other
c Ciry Phone ~G7 s` RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
I1~0. FIXTURES TOTAL
Water Closet - $3.00 $
~ Name ~ Bath Tubs - $3.00
3 Address
Lavatory - $3.00
p Ciry Phone ' Shower - $3.00
~ Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE ' Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES ~ Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPUES ~ Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE - $20.00 Gas Piping Outlets - $1.50 °
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(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
SIG ATURE OF P MIT E FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: ! t-
Date: lU`"~ `~8
CITY OF E4GAN Permit No:
S
3830 Pilot Knob Road Meter No: Size:
Date:
P.O. Box 21199 Reader No:
Eagan, MN 55121
Owner. 1-j°vcl '.ft elle iiom.es
Site Address: 1~' Wiiderness Cu~~ L~-=' B2 '"r~dernes' ~~°n'~s
Star Plutnbin
Plumber.
~1.
Conn. Chg: 550. 00 cz Zoning: ~
Acct Dep: 15•oo~n4 No. of Units:
Permit Fee: _ 5,d 1 agiee to co ply with the City ot Eagan
Surcharge:
Tr. Plant ~~L` 00~ Ordinance .
Meter. '
r r -r-'nT-snr-, 1
Misc: By
hdWATER SERVICE ERMIT
'c Date: 14•-7 -88
~ CITY OF EAGAN Permit No: r
~ 3830 PilotlCnob Road Meter No: Size:
P.O.,Box 21199 ' Reader No: Date:
i
'p Eagan, MN 55121 ;
I Owner. ~:,~c'~ri A elle fl~s I
125o Wilderneas turae L19 E2 ~I~-1.derne~~ PQ*~ s ;
~ Site Address: ~
i Plumber. 'i~ ~~~~b -ng
Conn. Chg: 550• d0~~ Zoning: ;
Acct Dep: 1'~ 0('vd- - No. of Units: '
Permit Fee:
I agree to comply with the City oi Eagan
; Surcharge: _
Tr. Plant 104. 0~'~'`~ Ordinances. ~
i Meter. ~~2 flo"d
MisC.: p''t' nRI,T*TR; ;;)LBY WATER SERVICE PERMIT
! CITY OF EAGAN Permit No: ~iZ~" Date:
7 9: .t Date:
3830 P.ilot Knob Aoad B/P No:
P.O: Box 21199 .
Eagan, MN 55121
' : } ~
Owner: elie iiomes
t ,•:r,:3M1~~ilc?eTnes~ (kartvr• ' I3
Site Address: {
' Plumber: ~,taz P1=hiT1=`.
MWCC: `Sil. ~r-~~: Zoning
^ori No. of Units:
City Chg:
Acct. Dep: I agree to comply with the City ot Eagan
Permit Fee: Ordinances.
Surcharge: Misc.: gy
SEWER SERVICE PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15682
~ PHON E: 454-8100
~UILDING PERMIT Receipt # .v I 1 ~ ~
To be used for SF DWG/GAR Est. Value $136, 000 Date OCTOBER 5 1988
Site Address 1269 WILDERNESS CURVE OFFICE USE ONLY
Lot 19 Block 2 Sec/Sub. FIILDERNESS PONDS On Site Sewage Occupancy R-3 M-1
MWCC System _X_ Zoning R-1
ParCel No. On Site Well (Actual) Const V-N
oc Name LLOYD HJELLE & ASSOC, INC City Water x (Allowable) V-N
z Address 14530 PENNOCK AVE PRV Required xL # of Stories
3 Booster Pump Length 64'
0 CityAPPLE VALLEY Phone 432-1737 _
Depth 42'
°C Name SAME S.F. Total
,o
~ Q Address Footprint S.F.
~ City Phone APPROVALS FEES
O W ame Engr./Assess. Permit 692.00
W W N
~ Z Planner Surcharge 68.00
~ ~ Address 346.00
Q W City Phone Council Plan Review
Bldg. Off. SAC, City 100.00
I hereby acknowledge that I have read this application an state that the Variance SAC, MWCC 550.00
information is correct and agree to comply with all p icab,le State of Water Conn. 550.00
Minnesota Statutes and C' y of Ea n Ordi c
Water Meter 67.00
Signature of Permittee
n
- Road Unit 325.0
A Building Permit is i d to: L E E&_ ASSOC Treatment P1 204.00
on the express condition that all ork shal be ne in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks _
1 ~1'_~-R~-f 'vyy~
Building Official_ TOTAL 2,902.00
~ ~
BLDG. PERMIT NO.
~
;01-3210 Bldg. Permit
01-3422 Plan Check ~ /4
~ 01-3445 Surch./Adm. 1 ~ >
~ 01-3446 SAC/Adm. ~O
~Ij 01-2155 Surcharge
75-3860 Road Unit 3Q s
~ 20-2275 SAC ~5 `-4 41 J c.
~ 20-3865 Water Conn. 5Jo CC,
~J 20-3868 Water Trmt. 41
20-3716 Water Meter 0
~ 20-2252 Acct. Dep.
(j 20-3713 Water Permit
~ 20-3743 Sewer Permit ~ cc
-r 79-3866 Sewer Conn. 00 ` )
28-3855 Park Ded.
TOTAL / ~ C~
5~2o,f~
Request Date Fire No. Rough-in I pection
f D Requi ? Ready Now ill NotiTy Inspector
0` ~p es ? No When Ready?
I icensed contractor ? owier hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
SeCtion No. Township Name or No. Range No. Counly
Occupant (PRINT) Phon No.
~ /~SS 0 o, lG~ 3
Power u plier Address
Electric Contractor (Company Name) Co r ctor§ License No.
6 ,V- , " 14~ - ~
Mailing Address (Contractor or Owner Making Installation)
f,3B- 412
Authorized Si n t e(Co ctor/ ner Maki g Install' ' Phone umber
,
MINNESOTA STATE BOAR ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bidg. - R om &173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER iNSPECTION FEE IS
Phone (672) 642-0800 ENCLOSED.
10,,-Zlee REQUEST FOR ELECTRICAL WSPECTION o N. ee-00001-07
Ili- See insiructions for completing this form on back of yellow copy. ..-0
c~ v
"X" Below Work Covered by This Request
e Add Rep. 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) Contractor's Remarks:
Compute Inspection Fee Be/ow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool ~ 0 to 200 Amps t) 0 to 100 Amps 27 ~
Transformers Above 200 Amps Above 100 Amps
S1911S Inspector's Use Only: TOTAL
Irrigation Booms
Special Inspection ~p
Alarm/Communication
Other Fee f
I, the Electrical inspector, hereby Rough-in te ~_~r
certify that the above inspection has Final Y D
been made. " l
OPFICE USE ONLY
This request void 18 months from
.
4
(g.er#if tratp of (Orrupanry
Citp of (Eagari
DPpa1'blPttf of Illldbtug J1tHpPCttDIt
This Cemftcate rssued pursuant to the requiremenu ojSection 306 of 1he Uruform Building
Code certifyrng that at the time of issuance this suuclure was in compliance with the varrous
wdinances of the City reguladttg building construction or use. For the follawing.•
use c7.miriarion Blag. }Ermil rw. '-X-,-,
Occupancy Type R3M1 Zooing pntriq Type Caost. VN
Owoer of Hwldirg UJM Add,,,s " .'1 j l ..i _ ' • j , L :'s r~~.,1
Bw7dirsgAddrm Lonlity
ou,: FE.~ 19. 19L
eumng ofrww
POST tN A CONSPICUOUS PLACE
. . • ~ - - i~.• ~ ~
f~~
. ' . - - . . . . . . . _ . . . . , ~ . _ . . i_ o ~ >.1r-
RESIDENTIAL
BUILDING PERMIT APPLICATION
~ CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 y
New Construction Requirements RemodeUReoair Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and alt roofed areas • 2 copies of pian
(20°/a maximum lot coverage allowed) . 1 set of Energy Calculati o heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • t site survey for exterior addi ons & decks ~
• 1 set of Energy Caiculations . Indicate if home served by ptic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 7/1/93 ~
• Rim Joist Detail Option selection sheet (bldgs with 3 or less units)
~
DATE LO`- VALUATION \ C~ o
SITE ADDRESS [ Z~ I oQ.9-~r~t'1SL55 UY11-2._ LTI-FAMILY BLDG _ Y _ N
TYPE OF WORK a FIREPLACE(S) _ 0_ 1_ 2
SELA ROOFING & MODELING, ii~i: S
APPLICANT 4lnO STREET ADDRESS ST. LOUIS PARK, 55416 CI~ STATE ZIP
TELEPHONE CELL PHONE # FAX #
PROPERTY OWNER ~ d-~ 1 TELEPHONE# 43L 3~
COMPLETE THIS SECTION FOR "NE R IDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 ATEGOIZY 1 MINNESOTA RiJLES 7672
(4 submission type) • Residential Ventilation Categ 1 Worksheet Submitte • New Energy Code Worksheet Submitted
• Energy Envelope Calculatio Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Wat Softener Lawn Sprinkler Fee: $90.00
W r Heater No. of R.I. Baths
~ N . of Baths
Mechanical Contractor: Phone #
Mcchanical system includes: Air Conditioning I'ee: $70.00
_ Heat Recovery System
Sewer/Water Contractor. Phone D
- r-4-g 8~-
I hereby acknowledge that I have read this application, state that the information o rect, and r ee omply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
B
Signature of Appiicant - -4 1 ~ OrrICE L1SL ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti
O 03 01 of _ plex O 09 07-plex ? 17 Garage 0 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 0 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)* O 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 Ti(e Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Einal
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ [nsulation _ Retaining Wall
Approved By , Building Inspector
- - - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Ptant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
RESIDENTIAL
BUILDING PERMIT APPLICATION ~Vs a~
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
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 Detail Options selection sheet (bidgs with 3 or less units)
d
DATE 6- VALUATION ~ I , -S4 0
SITE ADDRESS 'W%*IderWlc-~ C°v rvL _ MULTI-FAMILY BLDG _Y eNN
TYPE OF WORK ~Ccte-O'~4 'L~ Cr0~ CLrt~( .Gv Nt?'S FIREPLACE(S) _ 0_ 1_ 2
APPLICANT SELA ROOFING & REMODELING, INC.
4100 . Vf1,13WR $LVD.
STREET ADDRESS ST. LOUIS PARK, MN 55416 CITy STATE ZIP
TELEPHONE # ELL PHONE # FAX #
PROPERTY OWNER -rA TELEPHONE #
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 M ~ s 7l(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • r e mitted
• Energy E nvelope Calculations Submitted 00
Plumbing Contraetor: Phone # Plumbing system includes: Water Softener _ Lawn Sprinkler ee:
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
- -
I hereby acknowiedge that I have read this application, state that the i formatio i ect, and agree to comply
with ail applicable State of Minnesota Statutes and City of Eagan O ances
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
0 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pooi ? 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
0 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)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee ,
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge Treatment Plant Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
411~MV oF czagan
PATRICIA E. AWt1DA
Mayor
PAUL BAKKEN
rECCYCnIUSON July 11, 2002
CYNDEE FIELDS
MEG TILLEY
Council Members SELA ROOFING & REMODELING
4100 EXCELSIOR BLVD
THOMAS HEDGES ST LOUIS PARK MN 55416
CiryAdministraror RE: REFUND OF BUILDING PERNIIT 51986
TO WHOM IT MAY CONCERN:
Municipal Center. pn June 20, 2002, a permit to reroof the residence at 1269 Wilderness Curve was issued to Sela
3830 Pilot Knob Road Construction. You were previously issued a permit for this address on May 30, 2002 (permit
Eagar,> MN 55122-1897 #50908). As this is a duplicate permit, we are refunding $209.25 to you under separate cover.
We are unable to refund the $6.00 state surcharge that was collected.
Phone: 651.681.4600
Fax: 651.681.4612 This letter is also meant to advise you that effective January 1, 2001, the City of Eagan's Fee
Schedule assesses a$50.00 fee to refund permits that have been processed and receipted. As a
TDD: 651.454.8535 courtesy, we are informing contractors of this policy and issuing a full refund, minus the state
surcharge, for a cancelled permit on a"one time only" basis.
Maintenance Facility:
If you have any questions, please feel free to give me a call at 651-681-4695.
3501 Coachman Point
Eagan, MN 55122 Slri rely,
Phone: 651.681.4300
Fax: 651.681.4360 7an Severson
TDD: 651.454.8535 Office SupervisoT
cc: Dale Schoeppner, Chief Building Official
www ciryofeagan.com
THE LONE OAKTREE
1lhe sytnbol of strength
and growth in our
community
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: SELA ROOFING
ADDRESS: 4100 EXCELSIOR BLVD
ST LOUIS PARK MN 55416
LOCATION: 1269 WILDERNESS CURVE
RECEIPT #/DATE: 29234 6/20102
REASON FOR REFUND: DUPLICATE PERMIT PERMIT 51986
- /09 59 iy
TYPE OF REFUND: °
Plumbing Permit 9001.4087 $
Mechanical Permit 9001.4088 $
Building Permit Fee 9001.4085 $ 209.25
Plan Review Fee 9001.4222 $
SAC (MC/WS) 9220.2275 $
SAC (City) 9379.4681 $
SAC (Admin) 9001.4246 $
Water Connecrion 9220.3865 $
Sewer Permit 9220.4532 $
Water Permit 9220.4507 $
Account Deposit 9220.2252 $
Water Meter 9220.4509 $
Water Treatment 9220.4685 $
Surcharge 9001.2195 $
Overpayment 9001.2250 $
Curb Box Deposit Refund 9220.2253 $
Conshuction Meter Dep Refund 9220.2254 $
Other • $
TOTAL $ 209.25
I declare under the penalries of law that this account, claim, or demand is just and that no part of it has been paid.
7/11/02
Z4 SIGNATURE DATE
,
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 [JNITS 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: ~ .&I)JI Valuation: 13G{ 000 1~ Date: EM0C'T 3 W8
Site Address OFFICE USE ONLY
Lot Iq Block Z On site sewage Oceupancy 97M°
MWCC system ~r Zoning R_1
Parcel/Sub On site well Actual Const V_ N
City water v- Allowable V-jJ
Owner f PRV required ~ 4k of stories
Booster Pump Length 6 y'
Address 1'4~~ Depth 42 ,
S.F. Total
City/Zip Code Footprint S.F,
Phone 43-z- Mf APPROVALS FEES
Contractor J Engr/Assess Permit 2.b~P
Planner Sureharge 48, *c~
Address Council , Plan Review &,o
Bldg. Off. G=jo15 SAC, City 1 OptoO
City/Zip Code Variance SAC, MWCC -55ok 03
Water Conn ,00
Phone - ' ° Water Meter 6r), DO
Road Unit 00
Areh./En r. Treatment P12.o4,oC3
14 s3b ` + -L Parks
Address ~ ,ZQ.Q7C } Copies
= Sl L TOTAL
City/Zip Code
Phone # 4,~5Z W44 / `t3Z-3~",]
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qq : y 12
? Z Y, 8t q K y 0,;~ S r7 40
.
~N t~ ~aa?a.
? 7 ~C I ~ = ~2 '12
! 2 d~-t X49 = S8~~ G
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08, PR6~ s¢
.
CpNSUlTINO EHa1NEEqs LLoYD f~J~'LLE
• nO ~ F.
ENGINEERING PIANNEAS ond lANO ~URVEYOQS „o ~QSSOC,
compliNyt INC. 784.0~.
1000 EJ?57 1461h 57AEET, BURNSVILLE, 111Nt1UOTA 5-'-3337 P}i 44 12'3000
C LZ zc 0 ~vne-y
Z&,!za~ .~..?Cr'-,22zort: LOT 191 BLOCK 2, WILDERNESS PONDS,
DAKOTA COUNTY, MI NNESOTA
l r^~"," r:
N 80 000„E
85'.00 r
i
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~ DizA~NAGE AND
- UTiLIYy ~ASE~E
N V
IS SGAIE : 1`~= 40'
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FA ~ a A ~ y~ • ~
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~`~3i y - -
I ~ DENOTES EXISTING ELEVATION
t 1
y¢4,0 ) pENOTES oROPOSED ELEVArIoN
- 1NDIC4TES D/RECTION OF
{ 37~ 5 2?03
CD 9 61 S URFACE DRA I NAGE
pP~s~ ro
o p~ NouSE 19 4 94.4; 33 ~ FI N/SNED GAtZAGE FLOOR
~ - 14.00 1 $.e3 lb,oo . E L EVAT I 0 N
30 SUIC. DI N("r ~ N ~ARAG~ ~,i~N
SETSACK LINE W ~ c,b
a 4"4 o•6~ t'12'~
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oeoo ~ .
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o ~A/rL ~
o ~ ~.44 3.39 ,1
3~• b~'
I heriby cartify that thia ia 4 t:ue and correct rnprteant1tion ot a tract of
land as •hoxn' and deacribed hernons• As prapared by mn on this 3__.,daY of
s~'PTEdtBE~ ~ 9 s8 . •
~j
4~-~'` ,
'
~
_ . . PHILLIPS PLAN SEKVICE
' - ' 10700 LyndaIe Ave. So. .
~ ` BIoomington, IViN 55420
EXTERIOR ENVELOPE E?YERAGE "U" COMPUTATION , . Stute ~ 106
OWNER
'SITE ADDRESS 14 CONTRACTOR _ DATE 'PHQNE 37.. 7-
.
. Determine working square footage of each.
. . , r ' • r•..: M...1:..'r.
1. Total , exposed wal l area 30 325 sq. ft. x
. 2. Total rooflceiling area G sq. ft.'*x ~bZt = L-16
. Total exposed wa11 area above floor = 2790 a. Total wall window area --Z99_ b. Total door area . 35~
c. Total sl iding glass door area 71,57
d: Total fireplace wa11 area /o
e. Total wall framing area (average 10%)...:........ 2-1
f. Total net wall area above flaor Z, g. Total rim joi st area . . . . . . . . . . . . . . 2So .
Total exposed foundation area = 169
,
h. Total foundation window area Ce i. Toa1 net foundation area abave grade iol/
Determine "U° value of each wa11 segment. a. Z 9~ X Hull _ M.t,
b. X tiuit ,13 = ,SS
~
c. 17S X iiu„ , 33 _ - ?A,~ ~
d. X 6,u,l = 1,
e. ZIy X „u,. ,10
'
f. 235~ Z X„U„ ,64,3
g . X loull , ON
h. (r X itu,i
i. tb z x„u,. , o-7
3 ......................................Tota1
If item #3 is the same as, ar less than item #1, you have met the intent
of SBC 6006(c)2. , -
,
} . , r
.
. ' --y
• C ~
. 1 ;
' s. ~ • . : : . .
'Cotal exposed roof/cei 1 i ng area
Total gross roof/ceiling area = t3~~ .
j. Total skylight area . L
k. Total roof/ceiling framing area
1. Totai net insulated roof/cei7ing area....... Iy 2S
. Determine "U" value for each roof/ceiling segment.
• j. X lluts #A
. k. X l,uil XISUll
4 ..................................Tota1 • If total of #4 is the same as, or less than #2, you have met the intent of
SBC G006(01. .
,
To utilized the total envelope system method, the values.established 6y the
sum of items #3 and #4 shall not be greater than the sum of itens #1 and #2.
l. . + 2. r .
3. + 4. _
. , . .
. . , ;
„ .
LOT ~ BLOCK SUBD.
RECEIPT # io 9a 9 & DATE
CITY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PERMIT
1993
Application Date: cf, y
Commercial project Gallons per minute/commercial only
~ Residential project (sprinkler systems for development projects)
Existing residence
Area/address to be sprinklered:
Installer•
Street address: w-
V/V
City, state & zip: R e, L
Telephone J-3 3 ' 1-43 s- 7' Owner name: 57 e
Street address: ~ c/ liL~l ~~l ~ Y/~/~~%~?' s~~ ~'U~°
City, state & zip: )-G A)
Phone
Irrigation contractor, if different: 4(1~~/'
Phone
I hereby acknowledge that I have read this application and state that the information is conect and agree
to comply with all applicable City of Eagan ordinances.
Signature of Permittee New service required
~
Fee due: $ I l5 Calculated by:~
..E~'.u,wt.Gi~-,U~,~"`~'~ o•/C
CITY OF EAGAN `
UNDERGROUND SPRINKLER SYSTEM PROCEDURE
1993
1. A plan must be submitted to the City's Engineering Department for approval before
installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit
may be required.
2. Once plan is approved, it will be presented to the City's Plumbing Inspector for sizing
of the meter.
3. Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercial project: $ 25.50 underground sprinkler permit.
$ 50.50 water permit fee onl,y if new service is installed.
$100.00 per tap if installed by City. Please consult with
Engineering Department regarding feasibility of City
installation (City will only install taps up to 1").
b. Residential project: $ 15.50 underground sprinkler permit.
$ 50.50 water permit fee if new service is installed. $695.00 per connection - WAG
$324.00 per connection - water treatment plant.
c. Existing residence: $15.50 underground sprinkler permit -(fee not required
if backflow preventor previously installed); however, plan
must still be presented for approval and an application
must be filled out.
4. Once meter size is determined, Protective Inspections Clerk Typist will contact Utility
Billing Clerk for cost and notify installer of all costs associated with project. If new
service lines are not required, one check may be written for meter and permit costs.
No meter will be sold before all sewer and water inspections are complete on a new
service--(Engineering Department will advise Utility Billing Clerk when meter can be
sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy
forwarded to Utility Billing Clerk.
5. The installer is to contact Protective Inspections at 681-4675 for inspection of the
inside water line and backflow preventor. The Public Works Department rnay be
reached at 681-4300 for water turn-on and set and seal of ineter. Inspection hours are
8:30 AM to 3:30 PM, Monday through Friday.. Requests for AM inspections should
be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon that day.
;
*x~xxx~x~xxxF~xxRxxRxxRx~~R.....
APFLI"O"ATION FOR PERMIT *NOIE= PAYMEM OF FEE AT TIME OF *
* APPUcMoN DoFS Nar coN- *
• k . * STITLTPE APPRGi/AL OF PFMT. *
S E E R A N Q R W E R C O N N E IQ N * TNSPDLTION OF SEF~2 AAID/OR WATII2
* nWMZATTOtas wnL rxrr sE scEX= #
. • * L!N1IL PII2NIIT HAS BEESI APPRWID. *
,t*w*,r***,t*#*,r**,t**r**,r*t**,r*****ar3r*:*,r
t ,
'
dtV,oF cagan
(PLF.ASE PRINT
1) PROPERTY ADDRESS: . . . . . . ~ Z 6
T'FGAT' DESGRIPTION: . . . . . . . . . ~
Lot Block S ivision or ax Parce ID
IF EXISTING STRUCTI)RE, DATE OF ORIGINAL BUILDING PERNLIT ISSUANCE:
Nont Year
PRESENT ZONING/PROPOSID LSE: ~ CONIMEE2CIAL/RETAIL/OFFICE 0 R-1 SINGLE FAMILY
~ INDL~STRIAL ~ R-2 DLPLEX (T%vo Lnits )
~ INSTITUTIONAL/GOVERNMENT [=R-3 TOWNHOLSE (Three.+'Uriits) ( Lnits)
Q R-4 APARTM ENT/CONDOMINIUM ( C?nits)
2) + 0~01(0-4= LVC]L'LJ i C
ADDRESS:
CITY, STATE, ZIP:
PHONE: Z- ~
' For City Lse
3) ° ~r;~+• NAME: Plumbers License:
ADDRESS: Active
Expired
CITY, STATE, ZIP: k) ,S 7D Not recorded
PHONE: - MASTER LICENSE #Staf Initial
4)
e . . 3 . , . .
LVtfl'JL' i ~-Ozldlllwm
ADDRESS: ~
CITY, STATE, ZIP: `Z4
PHONE: ~z-- /7-3 .
5) (cm ~ e i • . ~ a+m
CONNECTION TO CITY WATER ~ 0=
CONNECTION TO CITY SEWER
JZ-
6) lffr Mkh WTN
*************************?WVILL THE GOLD COPY OF THE PBE SERr DIREC.'TLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. *
* PLEI-1SE ALLAW Tn10 WORKING DAYS FOR PROGE'SSING. SOMEONE FROM TfiE CITY WILL CONTACT YOLI IF THERE *
* ARE ANY PROSLENIS. ~
t
_.fOR -CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
SEWER PERMIT (INCLUDE SURCHARGE )
$ WATER PERMIT (INCLUDE SURCHARGE )
$ WATER METER/COPPERHORN/OLiTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
$ WAC
$ G=s ' ~1 $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ S LATERAL BENEFIT/TRLiNK WATER
$ ~ j/ ` $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
G 2. TOTAL
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN PLiBLIC
Q ROADWAY" MLST BE ISSLiED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY :
TITLE:
DATE :
/ yc. _
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113047
Date Issued:08/28/2013
Permit Category:ePermit
Site Address: 1269 Wilderness Curve
Lot:019 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-190
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Elizabeth Hess
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jerome J Segal
1269 Wilderness Curve
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154975
Date Issued:04/22/2019
Permit Category:ePermit
Site Address: 1269 Wilderness Curve
Lot:019 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-190
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Jerome J Segal
1269 Wilderness Curve
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature