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1270 Wilderness CurveCity of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For OfficeUse V//11 / / Permit#: 9e‘Oev Permit Fee: 'JJ - Date Received: /0 o2/ -/b Staff: rn L 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: JO -02.../ / U Site Address: /a 7 0 I 1 ?Q/ rnesss C,.rv_. Tenant: Oa) Suite Suite #: RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR n Name: 1„ , z. �1 ) r- / License #: 0 (O 3/0g-Pfr) ? ( A Address: (20 ,-41 ./gj/e,/v City: a �'l 1*� M/ OSa y n State: 01 P ) Zip:J S 673 Phone: �05 - 2 O( (5- `c�- Contact: ee' i Email: . Z �i a .i i : 411 . Ma i7 4 CCT}» TYPE OF WORK New X, Replacement Repair Rebuild _ Modify Space _ Work in R.O.W. _ _ _ Description of work: PERMIT TYPE RESIDENTIAL Xi Water Heater _� Water Softener Add Plumbing Fixtures(_ 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) - 00 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.gopherstateonecall.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 permit; that the work will be in accordance with the approved plan in the case of work which requires a review and of plans. x Applicant's Printed Name a - Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground _Rough -In _Air Test _Gas Test _Final, ..-,.o,..,--._....s,.-R,.~.. _ ~ _ . . . . ~ ~ CASH RECEIPT ~ . ~ r l : CITY OF EAGAN . ~ ` - 3830 PILOT KNOB ROAD ~ r EAGAN, MINNESOTA 55122 ~ ~ DATE 19 r' ~RECENEO :.j / AMOUNT $ & DOLLARS ioo ? CASH p CHECK cM FUND OBJECT AMOUNT ~ . W } Thank You : BY White-Payers Copy Y r Yellow-PosUng CoPY 1 n 4.: a> Pink-File CaPY ~ _ . . _ . BLDG. PERMIT N0. I. , ~ ` j I (L ~ L?'~ % 01-3210 Bldg. Permit >c1 7 U 01-3422 Plan Check - - (X~ 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge '--~j ~jg~-3860 Road Unit r 20-2275 sAC ?0-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter (o~; cx- 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewez Conn. :~f,-3855 Park Ded. TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt# To be used for Est. Value Date ~"'AY 3 19RS Site Address 117ii ?r I I,?;r mI;tiS Gi.'Mi OFFICE USE ONLY On Site Sewa e Occupancy F'-3 ~;"'"i Lot Block 2 Sec/Sub. g MWCC System ~ Zoning ParCel No. On Site Well (Actual) Const V`"14 Q Name :LN-FF;{?FbiSLlN, IniC Citywater x (Allowable) V*'N W ~ PRV Required X # of Stories = Address 15136 GAL.+A1E AVE 691 ~ City A'PPL~ VALLG)Ohone 431-5G-uu BoosterPump Lengtn Depth 58, , o Name SAB~lE S.F. Total ~ Q Address Footprint S.F. ~ City Phone APPROVALS FEES ~ac Engr./Assess. Permit 696•~ W W Name ~jq,ap ~ Planner Surcharge _ g Address 349.00 ¢ Z Cit Phone Council Plan Review aw Y ~Q~.QD Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 5W•00 inforrnation is correct and agree to comply with all applicable State of Water Conn. 5 -50? M1 Minnesota Statutes and City of Eagan Ordinances. Water Meter ,:•j; Signature of Permittee Road Unit 325•00 ~ A Building Permit is issued to: *I N1' Treatment P1 204•00 on the express condition that all work shall be done in accordance with all appliEable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL a' i `0-0 Building Official , • 3'`~ ` ` CASH RECEIP'T • ~ ~,~,,,~t CITY OF EAGAN ~ . R, 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ~ DATE ~ S 19 RECENED ~ t•. ~ l ~ , I FROM A1 AMOUNT $ t_- 8 DOLLARS ,oo ? CASH "\1 CHECK wA i i %-~`"'t,f / ~ s,+~ ( . ~ ~ FUND OBJECT AMOUNT O ' ` c ~ ~ G ' ' C Thank You , ev rN, A • , VA wnae-ayers copy Yellow--Posting Copy • , Pink-File Copy . ~ . . . ~z ~..w CITY OF EAGAN • ,t ~ ~ ~ . ; 3830 Pilot Knob Road, P.O. Box21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value s~ 3~ Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const ¢ Name City Water t• (Allowable) W z Address PRV Required ~ of Stories 0 City Phone Booster Pump Length Depth , p Name S.F. Total ~ Q Address Footprint S.F. ~ City Phone pPPROVALS FEES ~ a Engr./Assess. Permit WW Name ~ W Planner Surcharge z U0 AddresS Council Plan Review Q W City Phone Bidg. OH. SAC, City Variance SAC, MWCC 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 Water Conn. ' , Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit ` A Building Permit is issued ta 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 TOTAL - Building Official _ Permit No. Permit Holder Date Telephone # Plumbing H.VAC. Electric Softener Inspection Date Insp. COmments Footings I Footings II Foundation Framing 7/3 Gc1 Roofing Rough Plbg. ~-0 Rough Htg. ~ " ' ' ISUI. Fireplace Final Htg. ~~q,~k rNSPEznor.~ ~ E Final Plbg. r AM uNDC.~R PRr~N4 Bldg. Final Cert. Occ. M=~ ~ Z~vo Rin1 Temp. LP L1+A=c.._ Deck Ftg. • L. Q. R,pcc $eqn1: Z- IZ ~M=~ Deck Final Well Pr. Disp. . . PERMIT # PWMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address % j BLDG. TYPE WORK DESCRIPTION Lot BJock SeciSub Res. New Mult. Add-on ~ Name Comm. Repair ~a Address c--Other c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: DIO. FIXTURES TOTAL Water Closet - $3.00 S~ ("•t'- Name ~ Bath Tubs - $3.00 „ •l--- 3 Address t Lavatory -$3.00 p City Phone Shower - $3.00 ~ Ki?chen 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 0• TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50 r^.'•r MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 t Gas Piping Outlets -$1.50 lSTATE 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: STATES/C: FOR: CITY OF EAGAN GRAND TOTAL: . PERMIT # MECHANICAL PERMIT ' RECEIPT # ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: t~"4'` ~y CONTRACT PRICE: PHONE: 454-8100 gite Addyess BLDG. TYPE WORK DESCRIPTION Lot a(' BI ck 3ep/Sub Res. New j T? Name Mult. Add-on Address Comm. Repair ~o ' ` ' c Ciiy Phone 7 Other FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address" ADDITIONAL 50 M BTU - 6.00 p Ciry Phon~ (RES. HVAC INCLUDES A/C ON NEW CONSTRUCT{ON) GAS OUTLETS (MINIMUM - 1 PER PEkr/llT) - 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 $ MtNIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM STATE SURCHARGE PER PERMIT - .50 PERMIT PRICE Gas Piping Outlets # BEYOND $1 00) GOES Other FEE: S/C: ~ v SIGNATURE OF PERMITTEE TOTAL: & FOR: CITY OF EAGAN ~ . e r ? Ter#ifiratt of Mrrupttnry Citp of (tagan Ep.pttrimm# o# Building ~ttsprrtinm This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classifiwtion Bldg. Permit No. Occupancy Type 'Z3/M I Zoning District Type Const. a ' tiVF ~ ,~'~'Ir' . . ~ Owner of Bw7ding Address Building Addfess _ _ . I.aca6ty nate: k-ri.~.TST 19 i 1w, swicUng otrc;al POST IN A CONSPICUOUS PLACE _ .r - Date: CITY'OF EAGAN Permit Size: OC d 3 ~S 3830 Pilat Knob Road Meter No: Date: ' P.O. Box 21198 Reader No: Eagan, MN 55121 Ozmun-i e''erson, Inc. Owner. i274 tdilderness Curve L"'' R' `'?j-lc?crness "~~'s Site Address: Johnson rxc, Peine °lumhing Plumber. pJ_ Conn.Chg: 550Zoning: ~ Acct. Dep: 15 No. of Units: Permit Fee: l i~ r'~D~ 50nd I agree to comply with the City of Eagan Surcharge: Tr. Plant 04 . OOpd Ordinances. , i Meter. ~ Misc.: i'rV BY WATER SERVICE PERMIT t ~ ~q CITY OF EAGAN Permit No: Date: gize: 3830 Pilqt Knob Road Meter No: Date: p,p. Box 21199 ° Reader No: Eagan, MN 55121 ersor.; Inc. s.erneas Owner. c.erness uc`ve , . , _ < < ; Site Address: nson ,,,?c e e tlr L':-~a`-. ; a ; Plumber. 55~J.0'~rL Zoning: Z Conn. Chg: ji>~G No, of Units: ' Acct. Dep: jo.. Permit Fee: agree to complY with the City of Eagan Surcharge: , , i~~~d Ordinances. Tr. Plant Meter. rrQ?'IE'r , BY Misc.: WATER SERVICE PERMIT Date: } CITY C1F'EAGAN Permit No: ~ Date: 5. Ch['~ 3830 Pilot Knob Road B/P No: i ; P.Of. Box 21 199 ` j Eagan, MN 55121. -Pe<iere.an: Znc ` r s; ~ i Owner. ~ I.1 r`. s J470 W1ldernesa ~n%e ~ u~,.r, Site Address: Txc /rQlne ,':t f Plumber: ' Zoning MWCC: t~4 A No. of Units: City Chg: I agree to comply with the City ot Eagan Acct. Dep: Permit Fee: Ordinances. , Surcharge: By Misc.: SEWER SERVICE PERMIT _ CITY OF EAGAN (iJ2 14 9 3 8 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # j To be used for SF DWG/GAR Est. Value $138, 000 Date MAY 3 ,19 8$ Site Address 1270 WILDERNESS CURVE OFFICE USE ONLY Lot 29 Block 2 Sec/Sub. WILDERNESS PONDS On Site Sewage Occupancy R-3 M-1 MWCC System X Zoning R-1 Parcel No. V-N On Site Well (Actuaq Const City Water X (Allowable) V-N oc Name OZMUN-PEDERSON, INC 3 Address 15136 GALAXIE AVE PRV Required X # of Stories Booster Pump Length 69' o City APPLE VALLE ~hone 431-5000 Depth 58' .0 Name SAME : S.F. Total ~ Q Address Footprint S.F. P City Phone APPROVALS FEES M Engr./Assess. Permit 698.00 W Name 69.00 ~ Z Planner Surcharge ~ g Address Q W City Phone Council Plan Review 349.00 Bldg. Off. SAC, City 100.00 I hereby acknowledge that I e read this a ation and state that the Variance SAC, MWCC 550. 00 information is correct and gr e t caEnpl t II applicable State of Water Conn. 550.00 Minnesota Statutes and t E an Or Water Meter 67.00 Signature of Permittee Road Unit 325.00 A Building Permit is issued to: OZMUN-PE SON INC Treatment P1 204.00 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statu+tes and City of Eagan Ordinances. Parks I 1 11~9Af,l I I 11 ~ TOTAL 912.00 Building Official T ATl This request void 18 months from E 1,3430 Re.quest Uate Fire No. Rough-in InsVer.tion Req ired? ~Ready Now ~Will Notify. Inspec- 3 Yes ? No tor When Ready ,J~J,Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route NoCity C) ecLOn o. Township Name or No. Range No. County OccuGant (Pp Phone No. V ~ Power Supplier Address Na Contracior's Licens~e No. Electrical Contractor (Cany ~ V ~fC2i G Gt~ <~y i i ~ Z J ~/~'/1lZL' b~ Mailino Address (Contractor or Owner Making Instailation) 6 d L2,s Gr,"AY' Author' e ~gnatur (C ntractor wn r Making Installation) Phone Number THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midway BId9• - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 Universitv Ave.. St. Paul. MN 55104 Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Mw EB-ooooi-os ( x ~ See instructions for completing this form on back of yellow copy. s.. E 1-3 4-3 0 "X" Below Work Covered by Thrs Request ~avw Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Terriporary Service Duplex Water Heater Lightin,y Fixtures Apt. Bui Iding Dryer Electric Heatin Commercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm otnp.rSpecify Oiher IsG,ecityl t er Suecify Other Othi;r ompute lnspection Fee Below # Fee Service Entrance Size q Fee Feeders/5ubfeeders tl Fee Circuits !,z On 0 to 200 Amps 0 to 30 Am s 12- a0O 0 to 30 Am s Above 200 qmpy~ 31 to 100 Atiips 57-- 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation eoorris j"b Partial,'Otbf-r e Remarks Signs SUeciailnspection ! M' V-7 ~Z T AL Rough-in Date the Electrical r certi y that the above Final ~1e inspection has been V- made. fhis request void 18 months from RESIDENTIAL BUILDING PERMIT APPLICATION ClTY OF EAGAN ~ 3830 PILOT KNOB RD, EAGAN MN 55122 ~v 651-681-4675 New Construct(on Reaulrements RemodellReQatr Repuirements ~ • 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) . t set of Energy Calculations for haated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior addRions & decks • 1 set of Enargy Calculations . Indicate 'rf home served by septic system for additions • 3 copies of Tree Preservation Plan 'rf lot platted after 7/1 /93 • Rim Joist Detail Options selection sheet (bldgs wfth 3 or less unRs) DATE 11, ;,L3 12-- VALUATION c, ~ SITE ADDRESS I/Z~MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT CZ N S 7~-~C~t (ZU sr'V STREET ADDRESS c;`. 0 VVr-5-LL. l N~)S~_cmr STATE 9144IP TELEPHONE # CZ) j CELL PHONE # FAX # ~ ~ ~ ! ~ • ~ 2-~~ o PROPERTY OWNER TELEPHONE # ~o 5 / ~0 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULF.S 7672 (4 submission type) • Residentiai Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ~ Phone # .Y------------ ' Plumbing system includes: Water Softener ~ Lawn Sprinkler Fee: $90.00 Wafer Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: ~ Air Conditioning e: $70.00 Heat Recovery Systiem LphWW ~ Sewer/water Contractor: 4p 5 2002 I hereby acknowledge that I have read this application, state that the ia- rr , agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 0$ 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex 17 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-piex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Levei ? 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 Altetation ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demo{ition (Entire Bfdg anly) - 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 W idth ' 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 u Fina1 Framing _ Siding Stucco Stone _ Fireplace e R.I. _ Air Test _ Final _ Windows (new./replacement) _ Insulation _ Retaining Wall , Approved By , Building Inspector - Base Base Fee Swrcharge 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 s' s A. 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ~FF SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs 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 QNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONIMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRtJCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: SFD Valuation: 13gi D Da Date: Niay 2, 1988 Site Address 1270 Wilderness Curve OFFICE USE ONLY Lot 29 Block 2 On site sewage Occupancy MWCC system v-- Zoning R-I Pareel/Sub Wilderness Ponds On site well Actual Const V-N City water ? Allowable V-N Owner Ozmun-Pederson, Inc. PRV required t7**"# of stories Booster Pump Length 'Address 15136 Galaxie Ave Depth S.F. Total City/Zip Code Apple Vallev. MN 55124 Footprint S.F. Phone 431-5000 APPROVALS FEES Contraetor Ozmun-Pederson. Tnc. Engr/Assess Permit 6913,00 Planner Surcharge 9 oD Address 15136 Galaxie Ave Council Plan Review oD Bldg. Off. SAC, City 1D0,00 City/Zip Code Apple Valley, NIIQ 55124 Varianee SAC, MWCC O 0 Water Conn 5 OD Phone 431-5000 Water Meter 69 .00 Road Unit 3ZS'UD Arch./Engr. Treatment P1 Oy,oD Parks Address . Copies 1 TOTAL City/Zip Code ' Phone # VqLILJ, ATIoN - ~ , GARA I ~'/Zx z2 ~ Z5'3 9'/z X -7 6, ~ 89~ ~ ~y= 12ti~p 8 ASE M~NT ~ ~5~° ~LC~,,Z lGx 35 = 560 i Ct x 9 40 - Z z6 -1Zs = 650 3 ~ ~y= ti2 131o x62= ~31ZZo Z Nc~ F'i. aotz 15x 9 = 13s ~ Z6~~5~ ~ 65a ~u~;j 1- l ZY Z. ~ o ~ 139 1 u3 +j tJ ~ i- i ~ , . -RR.V. REQUIREp ~ Hav "i.A . . . _ . : C --=--~a'- - - ~;r • i ~ t ' b~llv~ i ~1 ~ !s i t W' ' ? r H L6 C~~q a 4 ~ 7W` ~~nn.1,1~- \ • ~ l ~ ~1 ~ s ~J i ~ . ~ ~1 721VBi:6.Y , ~ ~ Ij~•,~~~ ~'~(.I ~.y~ct 4- ~ J , . t~*~ ~ I A. ~ S4o I I~i•p i t I ' : ~ . _ _ _ _ . . . r i ~iAR~cE FLeur- ete/. 952.0 1 ~ i I 450•o I ~r I ~ I P T;o` - ~ ' ~ ? _ ' - E"~, ~~L~~ I ; y'o ! - - - - - - - - K- } a~.j< •::s + aqs _ fs I ~J i ~ k, . 'ie ~ ~ y ~ N:,• ~ > ~t: r ~ ,.'y i- - - - - z .'?~3 r~'2 . I ~ ~ ~ i if. ! I a:i. ~ i Lx"y ~ - I 1? ~ ~ ~ . . ~ . a ~ S• ~ ~ .;i v%l~j ~ 's . . - - . . . _ , D E S 9990 ~ i ~ 6RA y ~ EXISTiN~ ~ ~ * SITE PLAN ` p~oppS~ G 2ADES . ~ O i \ v EAGAN ; ~t~rtxa?r?r~~ratav~xs ' R E V I E W E D "~~?~S+~S-~.,,,~ -7 _R[t ~ Ozmun - Pederson, Incorporated . Average "U",Computation Job Site Address_ f Z47 O L(>/ Legal Description: Lot_22~- Block Z Addition_~(,~i~-i?r-r~`rvi~r Date AVERAGE LINEAL FEET OF EXPOSED WALL AREA ABOVE GRADE Main Level . Lineal ft of framed wall above grade/,5,j x height of wall ('~5 -,2 Z-~lr-,c. Second leveT Lineal ft of framed wall above grade/ZZ-~ height of wall (3, _/p ZG, p Vaulted Area Lineal ft of framed wall above grade x hei9ho~f wall = Rim Joist Art!a Lineal ft af rim / 2). _S) .~.0 Kn]LLx height of rim__L_= Lower 1eve1 - Lineal ft of framed wall above grade~,Oxheight of wa118,5-Lineal ft of £ramed wall above grade, x height of wall = Lineal ft of . masonry wal l above grade~x hgt abotre grade== p~-, 0 Tptal wall ar.ea .above grade including windows and doors WINDOWS : Brand and Type_ A Area x "U" value p SQ.ft._ ~'Z, 4-. $ u(Jn~= 37, 9 r"7 ~sq.ft. x U,l ~ ~N 1~.._.sq.ft U~~ ~ sq.ft. 5'7,G x U ~~23,G sq.tt. x ~~U,l ~ lF s sq.ft._ o x it U.1 sq.ft. 30 3('., 7,'Z- sq.ft. 7, 7 X:: U~: sq.ft. x "U" - sq.ft. x "U" _ sq.ft. x "U" _ sq.ft. X 18U.0 _ sq.ft. x "U" _ sq.ft.. x "U" - DOORS : Area x"U" value ~ r~~•'~" / Z Z, o a e rineti-; r- IA.yr` 3vx8 nuvn z-3 xd' sq ~'t -7 z_. X,lUll ~c:3't7' 7 -3 r-F t=L sq.ft 3~.d x "(7i ~ I ~ _ ~y • ~ • 1 - S~ iLiD~ 7t sq.ft. c.4, f~ x ::U: 7 ~7 sq. ft. x "U"~~=---~ • ~JS„~iC~ J/.D_JJ OPAQUE H1ALL CONSTROCTION:.Area x"U" value Framing members sq.ft Z.4 75 3 X°u° .n~// = 22, s 3 Framed wall sq.ft Z,Z'Z' ' x"U"° p .r, Rim Joist Area sq.ft L ~~..`i x"U= Masonry wall , sq.ft_ p,o x"U", IL7-= . p~' , L9~~" Total wall area including Windows and Doors a, p' b ~j" - Total(U) Values b. Avg."U" e ~ Divided by total wal area a.-7 AVERAGE "U" Minimum .ll or less for 1& 2 family dwellings _ - ~XTERIO~z; p.IR FILM .17 ~ THII-!!p 2.UCo ~ 5~/2~ ~F'T' VJOOD (o .8~5 U2' v`!P• SD I I~ttE W oR ~i i~ `F I ~NI , co S C'" TdTA L u = ~/rz U = 91 F-D lP~~ P~TT I N~ 111.. I°l • Do vYP- ~D• .45 I1=1TERIQIZ pJ Iz- r-I LM •(00 u, a~/ u. ~ • D~ 3 TzIM : JdisT Ap-en, f~., EX7'r--V-1or-~ P,ltz FI LM . I-7 gI I 1-?~'t'EW ofz: id-i R F 1?-M ,(08 , : - e O ~ u U - • _ . . _ ~ . . Wk.~L DrTERialZ PIF- FI LM , 17 - • ° y' ,Z' c.oN~1~E-rE ~~I~ 2.45 Iµ"u~Tiou ~.vo ~ - +I~l't'Eaia•r-.. al~ Fi.~M .toP~ 'Ij -rcl"rl&.L a. _ °I • 33 - ;i U. u- .107 - ~ a + ~ ~ _ . , . . . . . _ . . I . . . ~I . r.._ . . ~ ~ . . . ~ ~ . ~ ~ i ~ ij ; - ' - ` - ~ _ , . f ' l ~ ~ , ~ ~ _ , , . , 5 ~ . . . ~ 1 r ~ c. . ` . . _ ~ . ~ ~ . . . , . . ' . . i ' \ I ~ ~ - ~ . . . _ i~ - . , _ rI ~ ; - ~ - . . . ~ . . _ G ~ ~N_=~ ~ _ ~ ~ - ~ ~1 ~ ' - ~ ~ ° ' ~ p 1Q ~ ~ ~ ~ ~ ~ p ~ ~ ~ ~ ~ ~P ` ~ ~ ' - -t1 ~ ~ ~t -R ~ ~ ; ~ ~ 0 Q r~ ~ Z ~ p ~ ~G r cp- i ~ p ~ ~ i 7; J , U,~ ii ~ i ~ , ~j . _ J , _ _ ! o ~ ~~~p6 0 ~ ~ N ~ ~ N s c. . ~ ~ ~ ~ ~ . . ~*x~xxxxxxxxxxxxx~~xx>xxxxx~x~xxxxxxR NOTEAPFLI~ATION FOR PERMIT PA~r OF FEE AT TIME OF . * APPLICATION DOES NOR' (.'ON- .*k STITLTrE APPRGJAL OF PEE2NIIT. * 'S E E R A N O R W E R C O N N E IQ N * INSPFSTIIX~1 OF SES~2 A[~ID/OR WATER o I:~_ ' * INSTALIATIONS WII,L NOQ' BE SCIDULID . . * I![J1ZL PII2MIT HAS REFSI APPROVID. ~ **,t*t,t****,t,t*,r**#,t,r*,r:*,t,tt*,rt,r*,r,r,tt**+ C~ citv of cagan (PLEA.SE PRINT 1) PROPERTY ADDRESS : /~L? . . ~~Z r~ c S~ e~-v r Y-'' LF7GGAL, DESCRIPTION: . 114 `40f.J-,?~,SJ' Lot Block S ivision or Tax Parcel ID ) IF EXISTING STRLiCT[JRE, DATE OF ORIGINAL BLILDING PEF2MIT ISSUANCE: Mont Year PRESENT ZONING/PROPOSID USE: Q COMNIEFtCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL ~ R-2 DLPLEX (Tao Units) ~ INSTIT[JTIONAL/GOVERNNIENT R-3 TOWNHOLSE (Three + Units ) ( Units ) Q R-4 APARTMENT/CONIDOMINILM ( L'nits ) . 2) ff.,13 y . ? r NANE: J d17 ADDRESS: T CITY, STATE, ZIP: ~/S , 7'i7 PHONE: ,z/z For City Lse i 3) ° ~ : NAME: -2_~ ~ >n.~, ij Plumbers License: Active ADDRESS : ~v_ Expired CITY, STATE, ZIP: vv' Z>:-z Not recorded ` PHONE: MASTER LICENSE # Sta Initia 4) ~ : u~~ • ink rm--.II f, 1vAN1E : 6q cAP s Z N ADDRESS : v 'e-. CITY, STATE, ZIP: x'/~o~ ~t{ V PHONE: m ~ • m ~ ~ ~ • ''o . . t a~a 5) ~CONNECTION TO CITY SEWER ~ CONNECTION TO CITY WATER ~ OTHER 6) * THE GOLD COPY OF THE pERMIT WILL BE SENI' DIREC.'TLY TO PUHLIC WORKS T0 FACILITATE MEIER PICK-UP. * PLF.ASE ALLrOW ZUU TiVORKING DAYS FOR PROCESSING. SOMEONE FROM TfM CITY WILL CONrACT YOU IF TfiEEtE * * ARE ANY PROSLENIS. * . FOR CITY USE ONLY ~ PERMIT # ISSUED - Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OLTSIDE READER $ $ WA.TER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ f.5 Cf ~t ACCOUNT DEPOSIT - SEWER $ ACCOL NT DEPOS I T - WATER $ 55 o • D n $ WAC $ If ,~U ' ~ $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ 20 $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ 7 $ TOTAL - ~3.475- ~~co-7 RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES TF YES, THEN A"PERMIT FOR WORK 69ITHIN PUBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY; TITLE: DATE : PERMIT City of Eagan Permit Type:Building Permit Number:EA130353 Date Issued:04/20/2015 Permit Category:ePermit Site Address: 1270 Wilderness Curve Lot:029 Block: 002 Addition: Wilderness Ponds PID:10-84275-02-290 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Description:Replace Roof 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 - Mark Grin 1270 Wilderness Curve Eagan MN 55123 Estate Claim Services Llc 934 Cromwell Avenue, Suite 2 St Paul MN 55114 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA131359 Date Issued:06/16/2015 Permit Category:ePermit Site Address: 1270 Wilderness Curve Lot:029 Block: 002 Addition: Wilderness Ponds PID:10-84275-02-290 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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: 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 - Mark Grin 1270 Wilderness Curve Eagan MN 55123 Estate Claim Services Llc 934 Cromwell Avenue, Suite 2 St Paul MN 55114 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature