1278 Wilderness Curve
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 llWG/(," ' Est. Value = 133,0C:u Date ,i
Site Address 1278 WILI'rs y';p;y;., f:i'c.;4'!•; OFFICE USE ONLY
On Slte Sewage
Lot •'1 Block 2 Sec/Sub.W iLLiFh!'t:•S P!?HD~ Occupancy t~`3 ~4-1
MWCC System Zoning "I
Parcel No. On Site Well (Actual) Const V-N
Q Name 1,1Z~*,1'N -PLDE Et:, ,,UH, i City Water (Allowable) V-iq
\G
W " ~ PRV Required K * of Stories
~ Address 3i~ GAI.AXi E f,~": 72'
0 City ~Z~'YLE VALI..i.lphonB Booster Pump Length
Depih 601
Q ` SAC;F S.F.Total
Name
~ Q Addres5 Footprint S.F.
P City Phone APPROVALS FEES
~ W Engr./Assess. Permit 082.00
Name {i6. *,~Q
W y~
~ Planner Surcharge
~ z. Address 341. GO
g Z City Phone Council Plan Review
W Bldg. Off. SAC, City 100.00
I hereby$ cknowledge that I has+e read this application and state that the Varianoe SAC, MWCC 5,50'00
5 SO.UIJ
informatfon is correct and agree to comply with all applicable State of Water Conn.
Miwnesota Statutes and City of Eagan OrOinanc?S. Water Meter 67.00
-c•-'
Signature of Permittee Road Unit 325.00
A Building Permit is issued to: UZMUN-PELE R50N', ! NC Treatment P1 204•00
on the express condition that all work shalt be done in accordance with all
applicableiSlate of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL ~ ~750
Building Official_ ' -
xE-A,.,rrvaIE FOR sASFMTr FnvzsEI-PLArr REvIEam Io/ > > /s$
S~`J~LEL"";1A~3 PURS 895-5955 CITY OF EAGAN JCHIN FLINN-OWivER 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
866-0730 PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date ,19
Site Address OFFICE USE ONLY
~ i•,. On Site Sewage OccupanCy 1
Lot Block Sec/Sub. '
MWCC System Zoning
Parce) No. On Site Well (Actual) Canst
a Name City Wate? (Aliowable)
W PRV Required * oi Stories
3 Address
o + , Booster Pump Length
City Phone
Depth
°Co Name S.F. Total
.
~ Q Address Footprint S.F.
P City Phone APPROVALS FEES
¢ En r/ASSess. Permit
pj W Name 9 ~ Address Planner Suroharge
~ W City Phone Council Plan Review
Bldg. OH. 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 WaterConn.
Minnesota Statutes and City of Eagan Ordinances.
Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official TOTAI
• Pormit No. Permit Hoidsr Date Tslephone it
Plumbing
1,44
4""'';
H.V.A.C. EleCtriC ~ %-Y/.~
Softener
Inspection Date Insp. Comments
Footings I r
Footin
s II
Foundation O ~
Framing
r
Roofing
Rough Plbg.
Rough Htg.
Isul. jol
Fireplace
Final Htg.
Final Plbg.
Btdg. Final
CertOcc. ~ S r Covtl-
Temp. LP
Deck Ftg.
Dbck Final
Well s'j Q'
Pr. Disp.
• , - , PERMIT q
• ' PLUMBING PERMtT RECEIPT #
CtTY OF EAGAN J ~
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE ~ PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block = Sec/Sub ~ Res. y . New ~
Muit. Add-on
~ Name Comm. Repair
~ Address Other
c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
O. FIXTURES TOTAL
Water Closet - $3.00 $
Name
Bath Tubs - $3.00
3 Address Lavatory - $3.00
p City 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 8 CONDO - RES. RATE APPLIES 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 PERMI7)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - S 10.00
• Private Disp. - $10.00
• . . " Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE: STATE S/C: -
FOR: CITY OF EAGAN ~fv: ~ GRAND TOTAL• -
~ • -p • --~,°G.r~u:~,t~.,~x ~ / ~ - I ~ - e' ~
• . . PERMIT #
' • ' ; , MECHANICAL PERMIT RECEIPT # ~
• CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
SiteAddress BLOG.TYP WORKDESCRIPTION
Lot - Block 1 Sec/Sub Res. ~ New
~ Name Mult Add-an
` Address Comm. Repair
c City Phone • ~ Other
Name FEES
~ RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City ` r Phone -(RES. HVAC INCLUDES A/C ON NEW
I CONSTRUCTiON)
GAS OUTLETS (MINIMUM - 1 PER PEkMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air ~ M BTU APT. BLDGS. - COMM. RATE APPUES
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
Vent CFM R STATE SURCHARGE PER PERMIT - .50
--f- (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ` `BEYOND $1,000)
Other
FEE: : ..c,A.
S/C: SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
PERMIT #
, , .
PLUMBING PERMIT RECEIPT tk
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: '
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot _ Block ~'q ec/ub Res. New
Mult. Add-on
~ Name " A."r A Comm. Repair
d
S Address Other
c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
MO. FIXTURES TOTAL
Name Water Closet - $3.00 $
` Bath Tubs - $3.00
~ Address Lavatory - $3.00
p Ciry Phone Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1°y6 OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$t.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whlrlpool - $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 Sottener -$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:
CASH RECEIPT
. ` ~*a.~E"
CITY OF, E?GAN
' 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
~
oarE
RECEIVED
FROY
AMOUNT $
& DOLLARS
iao
O CASH ~ CHECK
FM
. `
, ,
FUND OBJECT AMOUNT
P
~ -
Thank You
BY
*r YYhile-Payers Copy
Yellw*-Postl^9 CoVY
R~ Pink-Fila Copy
• ~ b,, _
.
(Ctr#ifira#t of (Orruvanry
Citp of eagan
Drprarimpn# of 1Wdin9 Jca.pprtimt
Thrs Certificate issued pursuant to the requirements ojSection 306 ojlhe Uniform Building
Code certifying lhat at the ttme of issuance thrs stiucture was tn compliance witk the various
ordin4nces of t/te City regulaang building construction or use. For the following.•
Use Classificarion Bldg. Rrnut No.
u,,;~ o~a Tra ~ Vn
OccuW~~Y ~'P~
Owner of Building Addres 15126 Cac'L`:LE 1:VET aME Vs'iLI: :BuiMinB Addma I.ocality T31 rR2, WIT.EhIESS i."+1r
Date: -
Bw7ding Ofricial
POST IN A CONSPICUOUS PLACE
~
~'-1548
CITY OF EAGAN Permit No: Date:
yo b~0 6 0 5ize:
3830 Pilot Knob Rosd Meter No:
P.O: Box 21199 Reader Mo:4 Date:
Eagan, MN 55121
C:,zmv,n-P4jderscn Const.
Owner. W erness on s
Site Address: ~'~d~~ess Gtirve L3I- B.. Plimb
Plumber
550 0 od _ 2oning: 1`l
Conn. Chg: ~
Acct Dep: 15 - Qapel No. of Units:
. Permit Fee: oQua
Surcharge: 5011d I agree 1o comply with the Clty oi Eagan
Tr. Plant Ordinances. .r
Meter.
MiSC.: nr,Trrr By.
WATER SERVIGE PERMIT
CITY OF.EAGAN Permit No: Date:
~ 3830 Pilol Knob Road Meter No: Size:
P.O. Box 21199 . Reader Na Da1e: '
Ea9an, MN 55121
I Owner.
y ilderness ~e V erneaa on a
Site Address:
Plumber Johnson O r+ /Qajnw p~ eliT~ 11Y
~
~
Conn. Chs: 550.9Qnd Zoning
~
Acct Dep: 15,0006 No. of Units:
Permil Fe., 10.00md
Surcharge: ~ 5024 I ayrse to comply wllh the Cihr oi Esgan
' Tr. Plant Z~ 022d Ordlnances.
Meter. 67 0Og'
MiSC.: P V Ry'QI'ZF°:' - BY
WATER SERVICE PERMIT
. ;j
~ CITY OF EAGAN Permit Na Date: 6~. 4 Q$
3830 PiloL Knob Ro6d B/ P No: Date: 6- 3-- P:-
P.O. Box 21198
! Eagan, MN 55121'
~ Owner.- llz-r11•
Site Address: € 7 1W erneas CLirve
E Plumber. 3ohnson FxclPeine P1uT',sS.r,-
MWCC: r`n. R~pd
Zoning• t
i City Chg: •~~~p`~ No. oi Units: '
Acct Dep:
~ 1 agree to camply wlth the Gty of Eagan
~ Permit Fee: - Ordinances.
~ Surcharge: ,
Misc : By
i
SEWER SERVICE PERMIT ~
' -
CITY OF EAGAN N! 151 13
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHONE: 454-8100 ~y
BI1ILDING PERMIT Receipt# 0 7
Tobeusedfor SF DWG/GAR Est.Value $133,000 Date .IUNE 3 ,1988
Site Address 1278 WILDERNESS CURVE OFFICE USE ONLY
Lot 31 elock 2 SeGSub.WILDERNESS PONDS On SRe Sewege _ Occupancy R-3 M-1
MWCCSystem X_ zoning R-1
Parcel No. On Site Well _ (ACtuapCOnst V-N
a Name OZIiIiN-PEDERSON, INC Ciry Water X_ (Allowab(e) V-N
W PRV Required _X- # of Stories
= Address 15136 GALAXIE AVE
;
0 City APPLE VALLE7~15hone 431-5000 Booster Pump _ Length 721
Depth 601
, p Name SAME S.F.TOtal
~ a Address Footprint S.F.
~ City Phone APPROVALS FEES
~a Engr./ASSess. Permit 682.00
wW Name 66.50
~i Planner Surcharge
x . Address 341.00
~w City Phone Council PlanReview
a Bltlg. Off. SAC, Ciry 100.00
I here6y acknowledge that I have reatl this application and state that Ihe Variance SAC, M WCC 550.00
information is correct antl agree to mpl with all a plicable State of Water Conn. $50.00
Minnesota Statutes and City of E. a Or anc . Wa[er Meter 67.00
Signature ot Permittee Raad Uni[ 325,00
A Building Permit is issued to: ZMUN-PEDERS C INC Treatment Pl 204.00
on the express condition that all work shall be done in accordance with all
applica6le State of Minnesota Statutes and City of Eagan Ordinances. Parks
8uilding Official TOTAL 2,8$5.50
` ~I ~
BLDG. PERMIT NO. I S l I~
7~0'1!' 3 IO (%k- 07 ~i I ~?1CQ
01-3210 Bldg. Permit " (D6,a
013422 Plan Check 34 1 00
01-3445 Surch./Adm. 1 33
013446 SAC/Adm. 5 Sd
~ 01-2155 Surcharge (p5 I ~
75-3860 Road Unit 305 OcD
20-2275 SAC 5 144 SU
~ 20-3865 Water Conn. 5 SD 00
~ 20-3868 Water Trmt. y cU
~ 20-3716 Water Meter cio
~ 20-2252 Acct. Dep.
~ 20-3713 Water Permit
\
20-3743 Sewer Permit
79-3866 Sewer Conn. 00
28-3855 Park Ded.
TOTAL 3 g5 50
CASH RECEIPT
' • CITY OF EAGAN •
' 3830 PILOT KNOB ROAD
EAG , MINN OTA 55122
c.~ OATE 19 ~
FPOM ~ r . ln,CJe~~~c-.
/
AMOUNT $
J
8` DOLLARS
im
? CASH ? CHECK
ran
,
FUND OBJECT
1 )U,1
Thank Yo
BY
K
Yelbw-POStirg Copy
N'~ ~4677 `~"~e'm ~°y
Pink-file Copy
rnis,1souPS,„o~a~o?o?~b~
~e ^ 'nths fmm .
~ " 3 4 " 2 t,c2jc~6~
Requ t Dat Fire No. flouph-in Insyectinn
C~ Reuy~~ ! []Reatlv Nuw ~~I NotitV. ~nspec-
~ f7 ~ es ?NO ur When fleady
Licensed Electrical ConVactor 1 hereby request iospecllon of aEove
? Owner elecvical work instal led eC
Street Adtliess, Box or Route No CIry
eclion o. Towni Name or No. flanBe No. Cnunly
0lQ.t 2'~A
Occupa(PflIN7) Phone No.
/A
Power S{u~pplier / Address
/?.4~60~- 6s~
Electrical ConVactor ICOmpany Nanrel Contractor's Licrose No.
~a-~"~.~~ co o v~~sz-s
Mailinp~A Aress (Conuaclor or Ownar Makiny Instailationl
1 z-!.~z .r- y/L6:s
Authon ed Signawre ICon actodOw r Makinp InstallaliuN Phone Number
~ ~ va5- Y«y
THIS INSPECTION REQUEST WIIL NOT
MINNESOTA STATE BOAPD OF ELECTRICITY
Griggg-Midway Bidg. - floom N•191 BE ACCEPTED 9Y THE STATE BOAND
1621 Universitv Ave.. 51. Pau1. MN 55104 UNLESS PRDPEB INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
al/F&' REQUEST FOH ELECTRICAL INSPECTION ee!-/ooooi-a`s/
~ See instractions lor comoleti~q thls form on back ot vellow copv.
jl~ ~~~~yy
E 3: 2 '"X~~ Below Work Covered by 7his Request
d Feo. Tvoe o/ 8uiltling Aootiancws Wired EquiVment Wired
Home Range Tenqmrary Service
Duplex Water Healer Liyh[iny Pixtures
Apt. Building Dryer Electnc HeaLn
CommerCial Bldg. Fumace Silo Unlonder
Indusirial Bldg. Afr CorMitioner Bulk Mflk Tank
Farm omet neci v ejnor Isnn,dfy)
M r Succify ther Oth.r
ampute lnspection Fee 8elow
N Fee Service EntrenceSize b Fee Feeders/Subieeders N Fee Gir uits
U to 200 Amps 0 to 30 qm s 0 to 30 Am ~
\ Above 200 qmps 37 to 100 Amps 31 to 100 q -
Swimming Pool Above 100_F.m s Above 100_Amps
Transiormers Irngation Booms "J Partial~"Other Fee
Signs Speciailnspection
Remarks TOT
RouBh-in le 7 I.tha - .I
. Inspec~ar, peroby
rv~ ertiiY ~het the above
Final .3 ins0eccion has bean
l meAe.
tliis request roW 18 mantha trom
~ 602304,3 -v ~~-r ;
RequeMAate - Fire No. Rough-in Inapectbn
RequirtdP ? Reatly Now~VJill Nmify Inspedor
Q~ I'~ S Q Yes ? No When Reatly?
Ilicensed contractor ? owner hereby request inspection ot above electrical work at:
Ja - .Wdress (Street, Boz or Faute rvo.) Ciry
lc..)r J ~ v Elyr, +,,J
Seclion No. • Towrehip Name or No. Renge No. Cou
+ V7-?4
Occupartl (PRINn Phone No.
1F,ntkAV9 Qtl~c.L~rLS-- /1'J.EL S~s-S9$~'
Power Supplier Atltlress
D4k- EzEe>~ c. 3oe a~o~%Sf. .~m~~J~a,.J ~.soa
Electrical Conirecror (Company Name) Contaclor§ License No.
1-615.
Mailing AtlCress (COnUacWr or Owwr Maklrg Inata ation) .
;3 eS1 TZOJ 6E I),be F . l~ iho E a- LS r nrc. SS 3 3
ANhotlEetl SlBnel ConVacio~4nsflallation) PM1One Number
1401/6 o _
MINNESOTA STA7E BOARD OF ELECTRICITY THIS INSPECTION flE0UE5T WILL NOT
Grlggs-Mitlway Bldg. - ROOm 5-173 BE ACCEPrEO BV THE STATE BOARD
1821 Unlverolry Ave., St Paul, MN 5510C UNLESS PROPER INSPECTION FEE IS
Phone(61R)612-OB00 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION r: ee-ooam-07
! O P~ See insiructions for complefing Nis tarm on back of yellow copy. t~L_
O L1 ~
0230 X" Below Work Covered by This Request
e Add Rep. TypeofBUilding AppliancesWired EquipmeniWired
Home Range Temporery Service
Duplex Water Heater Electric Heating
Apt. 8uilding Dryer Other (Specify)
Comm./Industrial Furnace
Farm ~ Air Conditioner
Olher (specily) Comraqor9 Remarke: 01~EL
~V / 7C~bYr7
Campute InspecNon Fee Below:
# Other Fee # ServiceEmranceSize Fee # Circuits/FeeOers Fee
Swimming Pool 0 to 200 Amps Z a l0 10o Amps
Transfofinefs AbOVe 200 _ Amps Above 100 _ Amps
SIgf15 lnspedor~ Use Only: TOTAL V
Irrigalion Booms ?
Special Inspection ~
Alarm/Communication
Oiher Fee
I, the Electriral Inspector, hereby Rough-in Date
cert"rfy thatthe above inspection has ~
Final D t'~
been made. ~
OFFICE USE ON W -
This request voitl 18 months hom
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN ~ Os-
`9 ~ 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 69y 1a3 1 D v
Site Street Address /02 7f- G LAY~.&61 unit#
Property Owner Telephone # (4.&1) V-1~A- 96 24
Contractor w, T"~ ~'A',~ ~ Telephone # (~l) ~65 -/.35ld
Address 316 °JI) o~r[(~t City State-kJ2,6L_ Zip A51-:L3
The Applicant is: _ Owner Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_WaterTurnaround (add $121.00 if a 5/8" meter is required)
Other:
Water SoRener ?Water Heater $ 15.00
_V/_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but oniy an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
M R/-) v 6 7"e-VehfS
ApplicanYs Printed Name Applican s Signature
MAY 0 6 2004 D
ey
~N -\~d RESIDENTIAL
6-11 BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651 •681-4675
New ConsWction Reauiremenh RemodeVReoair Reauiramenb
• 3 re9istered site surveys shawiig sq. ft, ol lol, sq. 8. of hause; and all raofed a2as • 2 copies of plan
(20% mazimum bl coverage allawed) . 1 set of Energy Calculatians far heated addrtions
. 2 copies of plan showing beam 8 window s¢es; poured faund desgn, etc.) • 7 site survey krezterior additions & decks
. 1 set of Eneyy Calculations . Indiwte if home served by seplic system tor additions
• 3 copies of Tree PreservaGon Plan if lot platted after 717193 ,
• Rim Joist DeWJ OOfions selection sheet (bldgs wiN 3 or less uniLs)
DATE , /G I02 VALUATION 8k-0 oc:> o~
SITE ADDRESS V2-l 'h w i \ (3.e C' u r v Q. _ MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT'Te.crer~.4
STREET ADDRESSAq _CITY STATE_ZIP
TELEPHONE # 42Q 14L0L9 CELL PHONE # FAX #
PROPERTYOWNER r c' \k TELEPHONE# 4FJZ 2LD-1 4
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
~S~'
Energy Code Category
_ ~q~INLSOTA RUI.FS 7670 CATEGORY 1 MI ' O ~Y'I UL 672•
(4 submission lype) • Residential Ventilatlon Category 1 Worksheet Su6mitted . N nerey,~ULOde ~I~forl{~7~t Sub ittetl
J 1 G CUU[
• Energy Envelope Calculations Submitted
Plumbing Contractor: _ Phone # By
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fce: $90.00
_ Water Heatcr _ No. oF R.I. Baths
No. of Baths
Mechanical Conhactor: Phone #
Mechanical system includes: Air Conditioning Fee: $70.00
HeaC Recovery Systcm
Sewer/Water Conhaetor: Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with oll applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnoture of Applicanf lr~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
I _ _
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. AIt - SF
13 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex p 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 37 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy 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) FinallC.O.
_ Foorings(deck) FinaVNo C.O.
_ Foorings (addition) _ Piumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Flamin8 _ Siding Srucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulafion _ 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
Totai
1988 BUILDING PERMIT APPLIC9TION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS ~ ~ /
INCLUDE 2 SETS OF PLANSt 3 CERTIFICATE ~OF SEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HIIILDING PEAMIT IS ISSUED.
MULTIPLE DWELLINGS AENTAL QNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.t
1 SET OF ENERGY CALCULATIONS
CO!-AtERCIAL
INCLUDE 2 SETS OF ARCHITECTUHAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: SFD Valuation: DOc7 ~ Date: May 18, 1988
~
Site Address 1278 Wilderness Qjnre OFFICE USE ONLY
Lot _jl Block _2 On site sewage_ Oecupaney R-3IM~~
MWCC system a, Zoning ~-1
Parcel/Sub WI1 fiPYTPGC vnnclc On site well Aetual Const 1/ N
City water r Allowable V-N
Owner 02nun-pedPrsnn. 7nr_ PRV required U of stories
Hooster Pump _ Length ~
Address 1 51 3h C',A1 axi e n.uP Depth
S.F. Total
City/Zip Code Apple Valley, MN 55124 Footprint S.F.
Phone ' 431-5000 APPROVALS FEES
Contractor 0zrm,n-Px3arcnn.Tnr_ Engr/Assess Permit 69,7.00
Planner Surcharge G6•Sa
Address l 51 -iF cal aY; P n,I.a Couneil Plan Review ~i y/, 00
Bldg. Off. '-~s/9 SAC, City oJ 00
City/2ip Code "iP vail P47 _ nna. SSt,)a Variance SAC, MWCC oo
Water Conn r,cp,o3
Phone nzi_snnn Water Meter ,I,~
Road Unit
Arch./Engr. Treatment P1 7L%1~X
Parks
Address Copies
1 ~ F Y~~ (
City/Zip Code TOTAL
Phone l!
a VAL-u,aTioN
;
~ .
GARAC,F Zµ 4 3Z = '?68 Xly = 0 7 52A
~N~usr 4ak 38.~ I5Z~
lLl k rf ~ ~(o
C, x ro = D)
4xy _ ~~l
z J
19Zy x 6Z : I ~ 9z~
I 31sGo
~ r
5;?•UU+ ~
C 6~.
~ %41 °IIU+ ~
,J U,
I ~~.'i~_i•`.U~;:
!
~ Ozmun - Pedersoii, IncorPorate'd
Average "U",Computation
Job Site Address
Legal Description:
Lot_-_!5iBlock 7., Addition .~iLpL~.~~S O{4P6 Date
AVERAGE LINEAL FEET OF
EXPOSED WALL AREA ASOVE GRADE
Main Level
Lineal' ft of framed wall above qrade~-vx height of wa].1 2t)= I~p~. C7
Second level
Lineal ft of framed wall above grade ~ x height of wall
Vaulted Area
Lineal ft of framed wall above grade2~ x height of wall
Rim Joist Ar@a ~i
Lineal ft of rim x height of rim
Lower level
/ Lineal ft of framed wall above.grade-~ xheight of wall4s =`~J~J•v
~ I,ineal ft of framed wall above gradex height of wall =~•U
Lineal ft of masonry wall above grade x hgt.above;grade_~_= q I•cU
Total 4zall ar.ea,above grade including windows and doors
WINDOWS: Brand and Type
Area x "U" value
(D~ /,~44-2- (i,-7 sq.ft. X ~~U " .41 =
/ O ~.(a sq.ft. 124.P) x"u" _ _7
-•L sq.ft.~x "U" _
- ~ 2 sq.ft. 5• x~~ - 24
'GO (O, sq.ft._-Ilo. . x ~~U~~ - l52- ~42 g.4 sq.ft. x (P,F2 -1
y~, rLC~_ -I I sq.ft. 213 xA=
sq.ft. x "U" _
sq.ft. x "U" _
sq.ft. x "U" _
sq.ft. x "U" _
sq.ft. x "U" _
sq.ft. x "U" _
sq.ft. x "U" _
DOORS: Area x"U" value 215'~ ~~2 ~~2
sq.ft 21~P4:1 U., 2F5 3
P~!~her.sq.ft ' E~ •'t- x ~~U" ,31 =LD-41_4
sq.ft.-_x "U" '4-1 =
5° 20~ ~
sq.ft. x llUFl • 13 = 2•~IO
~22 . 2O '3
OPAgUE WALL CONSTRUCTION:,Area x"U" value
Framing members sq.ftx"U"•~~ _
Framed wall sq.ftx
Rim Joist Area sq.ft 2.0 x"U"•b41 =
Masonry wall • sq. ft x"U" , ID7 14-
=
I2a, ~
Total wall area including windows ana Doors a. 2iU~~•~ b 270- bP
' Total(U) Values b. 2'~~(O = Avg."U"
Divided by total wall area a. Z~gq-7j.9
AVERAGE "U" Minimum .11 or less for 1& 2 family dwellings
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1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
<Pp ~ 7 L -'z)fA1SN wl r p'U I S G! - c7 !N ~
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOA CORNER LOTS - CONTRACTOR/HOMEOWNER MQST 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 OE PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF ^aPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
~ To Be Used For :~-;J; `ya,~ Valuation: Date: ~0~~0lBC
1
~G OFFICE USE ONLY
' Site Address 17,7113
Lot 3 Block Z On s3te sewage_ Oceupancy
MWCC system Zoning
Parcel/Sub WIL PMfffla PONM On site well _ Actual Const
City water - Allowable
• Owner p PRV required ~ II of stories
Booster Pump _ Length
' Address Depth
S.F. Total
~ City/Zip Code Footprint S.F.
. Phone APPROVALS FEES
' Contractor ~/.al~ Engr/Assess Permit
, Planner Surcharge
Address, Council Plan Review
' B1dg. Off. SAC, City
City/Zip Code Variance SAC, MWCC
Water Conn
Phone ~ cS3 Water Meter
Aoad Unit
Arch./Engr. Treatment P1
Parks
Address Copies
I TOTAL
City/Zip Code i
Phone #
,::e
;t1
, APFLICATION FOR PERMIT iNDM: PAYMNr OF FEE AT TIME OF
nrPticazzaa ooLs NM coN- ;
STSISTIP. APPR('iVAL OF PII7MIT. ~
~
~ SEWER AND/OR WATER CONNECTIQN : INsPBmoN OF sEum ANDiOR w+7ER :
r ; iNsrncuTTONS wna Nar ee scEnca.m ;
. ; iZrrn. emMur w,s aEEv r,rrxovFn. ;
*tirtrt+rwfrk~~e~:a+rwe+~~+:s:r~tssr+.fkx•
CItV oF CC9gar9
(PLEASE PRINT
1) PROPERTY ADDRESS: I~7,t- 14)tA" ~
rFr;ar• DFSCRIPTION:. . . . (l.3, Jspr-sf e.Gt' . ~Q n
Lot B ock S division or Tax Parcel ID
IF EXISTING STRL~CTURE, DATE OF ORIGINAL BUILDING PERMIT ISSDANCE:
Mon Year
PRESENT ZONING/PROPOSID DSE:
Q COMA7ERCIAL/RETAIL/OFFICE 'Z~_R-1 SINGLE FAMILY
Q INDC'STRIAL ~ R-2 DL~PLEX (3tmv Units)
Q INSTITUTIONAL/GOVERRNNEENT R-3 TOWNHOC'SE (Three + Units) ( Units)
Q R-4 APARTMENP/COPIDONIINIUM ( Onits )
.
2) NP,P1E:
, ADDRESS: P.f ;cf A klsA~
CITY, STATE, ZIP: 2~z e-4 z?Z2' -2oi, .rSY07.S`
PHONE: {~f/-f~f<d
For City Use
3) NAME= Pl erums License:
~ ACt1V2
ADDRESS:
~a:r.,o i r~, ~1 . 7"'?' --•EXpired
CITY, STATE, ZIP: Not recorded
PHONE: MASTER LICENSE # 06 L- h v-~M 2- Staf Initi
4)
[VAME:
ADDRESS :
CITY, STATE, ZIP:
r PHONE:
5) s ~ . y •a~, .ao- ~e
[:RCONNECTION TO CITY SE4dER EM CONNECTION 7+0 CITY WATEF2 a OTfEE2
6) W5re7wq
* THE GOLD COPY OF THE PERMiT WILL BE SEP7r DII2ECSZ,Y TO PUSLIC WORKS 7D F74CILITATE MIER PICK-UP. *
,*t PLEASE ALLOW 7W0 WORKZNG DAYS FT)R PROCFSSING. SCMIDONE EROM TfIE CITY WILL CONrACT YOU IF THERE *
* ARE ANY PROBIFTIS.
~x*******,r*,r****~+*+**~****+*****,r~*~:*,e***x*~~**:~****~**************,ex,~*~*****+***~~*****r***,r*~~t
r
FOR CITY USE ONLY - ~
PERMIT # ISSUED ~~,7~ 1
Pd w/Bldg. Permit FEES:
$ S /Q.5-b SEWER PERMIT (INCLUDE SURCHARGE)
$ $ ID S d WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OIITSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
$ 5- `2) '67 $ WAC
$ ~-o ^ /,r7'i $ SAC
$ $ TRCNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ TOTAL
-7 7
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK 4VITHIN POBLIC
Q ROADWAY" MLST BE ISSOED BY THE ENGINEERING
[VO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY;
TITLE:
DATE:
,
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S Date ~
EAG.AI`I ENGIN~ERI~ G ~ [1`1EERIN'G DEPT.
' . ~ ~
11RED
Ozmun Pederson I~ .erson, Incorporated
_ ~
Custom Homes ar~d Rem )mes and Remodeling
A le Valle , MN PP Y 431-5QOQ -
FOR:
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SF SH EET F.
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4,111
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED
Phone: (651) 675-5675
Fax: (651) 675-5694 DEC U 1 2011
Use BLUE or BLACK Ink
Permit* /0 ?
Permit Fee: 5-06
Date Received:
Staff:
2011 RESIDENTIAL PLUMBING PERMIT AP
_PLICATION
Date: 11122 I I I Site Address: I Z1 Ci lit); ICAO/int-55 (UYV
Tenant: c \Cs Yrc\IA,CA ney'
J
Suite #:
RESIDENT / OWNER
Name: clQ,i'1r 5 3Ll-e' J" Phone: I •1.4 S 2 ' /510-1-9
Address I City / Zip: 123 S Loll c eprc.s5 Coary C -1 ittky es/ 2.3
CONTRACTOR
Name: P I It2i Ct I lPdS License#: 6-Fj LI JS5" P
Address: )141'05 kU gTkS akN E City: Ph by 1 ifj62
/
State: MA) Zip: 55A-7-2 Phone: q52- y Lig- '34-1/
Contact flif ;dlr./ h Ma.."1'7r) Email:
TYPE OF WORK
New X. Replacement Repair Rebuild Modify Space _ Work in R.O.W.
_ _ —
Description of work: 071rirr (nd S 1-eF _
PERMIT TYPE
RESIDENTIAL I
Water Softener
Water Heater
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)
TOTAL FEES $ S�-'
J :
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.gooherstateonecall.org
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 approval of plans.
x Coir -j /ia+v r)
Applicant's3rinted Name
Applicant' g gnature
!"
#$%&'()'*+*,
-./$%'"&0-123$45$,+
-./$%'63/7-.189:;<B9
=*%-'!>>3-51<?@99@?<9B
-./$%'#*%-+(.&1--./$%
C$%-'855.->>1''9?QL''O$45-.,->>'#3.D-''
8'7"#$% &&88U())**+ &&B*#),3+,==&4+)=
456 789V!U;:98U9'78&
<=,
=->F.$0%$(,1
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6,=$3*A*+ ?C&3&F3,&B*+)C=D63=
G,+=1=&G), !'!&9&J$$1A2+$@
H+*+.
/0123,&I,, 8
5KA3L,K,+=&&M,&MK,&3,01*3,&=K%,&),,$3=&*+&2##&>,)3K=N&5O&2#,3*+.&C*+)C&A,+*+.=&3&*+=2##*+.&"2@&3&"C&
#(//-,%>1
C*+)C=P&$2##&O3&O32K*+.&*+=A,$*+N&G2##&O3&O*+2#&*+=A,$*+&2O,3&*+=2##2*+N
G23>+&K+-*),&),,$3=&23,&3,01*3,)&C*M*+&78&O,,&O&2##&=#,,A*+.&3K&A,+*+.=&*+&3,=*),+*2#&MK,=&QF*++,=2&/2,&
"&9&"2=,&I,,&S!TS78'NU:&8V87N!8V:
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"#K*+.+&FZ&&::!U8X2.2+&FZ&&::7U'
QW:U\]&!8'9W788Q\\7U\]&U'!9;::8
5&M,3,>@&2$%+C#,).,&M2&5&M2L,&3,2)&M*=&2AA#*$2*+&2+)&=2,&M2&M,&*+O3K2*+&*=&$33,$&2+)&2.3,,&&$KA#@&C*M&2##&2AA#*$2>#,&/2,&
O&F*++,=2&/21,=&2+)&G*@&O&X2.2+&J3)*+2+$,=N
(AA#*$2+D4,3K*,, &/*.+213,5==1,)&"@ &/*.+213,
For Office Use
a ! t
0, ® Permit#: / 57A 45 IV
EAGANPermit Fee: /6 J 'a
-•x 1. ..4
Date Received: )/- ' it
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 >;) 0 f /018 Staff:
buildinginspections(@cityofeagan.com
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: Nick Lavely Phone: 952-221-7512
Resident( 1278 Wilderness Curve Eagan MN 55123
Owner Address/City/Zip:
Applicant is: Owner Contractor
Type of WorkDescription of work:
Reroof of 47.74 SQ replace with Owens Corning Duration Shingles.
Construction Cost: 19034.87 Multi-Family Building: (Yes /No X
Company: Krumm Siding and Roofing Contact: Starlla Cody
Contractor
Address: 1424 Hwy 64 City: New Richmond
Phone: 715-246-6090 Email: starlla@krummsiding.com
State: WI zip: 54017
Lead Certificate#: NAT-106915-2
License#: BC324493
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:dans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non public if •u • •vides cigc reasons that would •emit the Ci to conclude'that the' are trade secrets,
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.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 appr. .I if plans.
xStarlla Cody r th
Applicant's Printed Name A. • icant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154245
Date Issued:03/05/2019
Permit Category:ePermit
Site Address: 1278 Wilderness Curve
Lot:031 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-310
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 -
Nicholas Lavely
1278 Wilderness Curve
Eagan MN 55123
(952) 221-7512
Sandau Construction
9025 Hwy 101 W
Savage MN 55378
(952) 403-9100
Applicant/Permitee: Signature Issued By: Signature
RECEIVED
MA? 01 2019
Jeff,
This letter states that there was no OSB removed or replaced by JOQ
Enterprises Limited. At the address of 1278 Wilderness Curve, Eagan,
MN 55123. P1iP ' T ft i5S- S'lw
Steve Spaulding Juan Ornelas
Production Manager Owner
Krumm Siding and Roofing JOQ Enterprises Limited
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160337
Date Issued:03/03/2020
Permit Category:ePermit
Site Address: 1278 Wilderness Curve
Lot:031 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-310
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 -
Nicholas Lavely
1278 Wilderness Curve
Eagan MN 55123
(952) 221-7512
Sandau Construction
9025 Hwy 101 W
Savage MN 55378
(952) 403-9100
Applicant/Permitee: Signature Issued By: Signature