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1293 Wilderness Curve T , _ -~,va, g- . , . . ~ (gextifiratie of (Orrupauril s ~Citp of Cagan DrpawtMt af liae'atg 3wrnimt Tkis Cerlificaie lssued pursuanl ro Me mquirements of Section 306 of rhe Uniform Building Code certijyrng tbat a1 the time of issuance this slnrclure Kns rn compliance wrtb the Narious andinances ol the CYly re8uladn8 buitding construclion or use- For the following.. unauafi,rio. SF 17G1G/GAR W !limit xo. 2(X)9I 0--7'TM R31A11 7.,.* awid Ri 'I}peCow VN ow,,,F&Adm S PEffi2M OQM IK' A&t= 1024 PAW ViPSI i'IR- MS 1293 WII,DEMSS a1RVE i,,d4 L13. B2, WIIMMSS PC1NID6 - Daic 5/ 14/q2 % aumina offid.r POST IN A CONSPIWOUS PIACE ~ ~7v~'N"4 -r-"~`r~~!#fA7¢'~l:t'~6q~6,TA941T~i^T+feri~em~R~l4* . ,.p....r.. . _ . . ~ i CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 E-120C91 PHON E: 681-4675 BUILDING PERMIT Receipt # - To be used tor s F~/G" Est. value $16 3,000 Date rEE 10 19 92 Site Address 12Q3 WILDERNESS CURVE ~ Lot 13 BlocC ' 2 Sec/Sub. WI LAERNESS PONDS OFFICE USE oNLY FEES . ParCel N0. Occupancy R-~ t~-1 g60.00 Zoning ~ P~ N~TIe S PETERSEN COliS7 IHC (Actual) Const y-K SumhaW 81.50 W~~ 10214 PARK VIEN CIR (/ulowab?e) v~N ~ R~,~ SS9.00 ~ C~ Z!I ltNEAlOL.I S Pl~V zP 55431 Leof~Shtories s.~ Phone 884- S l 44 o~,u, ~ sAC. city 100.00 cvA~ S.F. Total - SAC, MCWCC T~ ~ Name S.F. Footprints ~/~ddf2SS On Site Sewage _ water Conn 675.00 city ZjP On Site Well X Wa1er Meler 95.00 Mwcc system 3p,pp ~ Phone x accl. oe~it Vce~ # 000 1 769 ciry water PRV Required x S/W Permit ~ I hereby acknowlege that I have read this epplication and state Ihat the eooster Pump - S1w Surcharge •SO intormation is correct and agree to comply with all applicable State of 3~~~ Minnesota Statutes and City ot Eagan Ordinances. Treatment PI Signature of Permit& APPROYALS Road Unit 380•00 A Building Permit is issued to: S PET£QSSt: CON$T I NC Planner - Park Ded. on the express condition that all woric shall be done in accordance with all Council applicable State of Minnesota Stalutes and City of Eagan Ordinances. gldj. pM, _ Copies BuildingOffiCial Variance _ TOTAL 3~g~b'~G PermK No. Permit Flolde? Dats Telephone # Ii/W `PUJM8ING 3 5 4G2,3-// rivAC ELEcraic Ol~?oZ ~ G s~- 9~ ELEc-Mic Inspection Date Insp. Commsnts Footings I lz,)e Foundation Framing . Q 9 Z ~S Roofing y~,y/p ~ Z Rough Plbg. Rough Htg. _ „ Z ~ Isul. v 5'/ 1 L. y-2 d-9z r Firepiace y~~ uJ Final Htg. r~ _9 2 Orsat Test Final PI6g. 727 Z Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan eklg. Fwiai /~Yl4.z oeck Fcg. Dedc Final weli Pr. Disp. - -rz 2s SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN ? METER 7~~~ PEFMIT DATE 02/12/92 3830 Pilot Knob Rd. 12536 Eagan, MN 55122-1897 CHiP # m~ -9 ~ '21 7O~ PERMIT # METER SIZE k B.P. RECEIPT & DATE FE$-10. 1942 iSSUEDATET_2-Z~,7~ B.P. RECEIPTDATE 02/10/92 X PRV - BOOSTER PUMP ! SITE ADDRESS 1293 WILDERNESS CURVE PERMIT REOUESTED LOT 13 BLOCK 2 SEClSUB WILDERNESS PONDS x SEWER X WATER - TAPS APPLICANT: CQMM/1ND RESIDENTIAL ADDRESS: CITY, STATE ZIP x NEW EXISTING PHONE: Lawn Sprinkler M ers are to be Installed PLUMBER: Ahead of Dome c Meters on Water Line. ADDRESS: 14745 S ROBERT TR Credit WILL N be given for duc, eters. CITY, STATE ~$'ez/Y 0 JrV7- ZIP 55068 ; j PHONE: g / /q I AGREE TO COMPLY WITH CITY OF OWNER: S PETERSEN CONST INC EAGAN ORDINANCqS ADDRESS: 10214 PARK YIEW CIR CITY, STATE MINNEAPOLIS HN ZIP 55431 PHONE: 884-5144 NATURE WHEN METER ISSUED ~ PLEA~1~~LbtW TWd W'ORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. = i f , , . 9 . . . . . . , . . 79 SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAdAN METER # PERMIT DATE 02 /1 Z/ 92 3830 Pilot Knoli Rd. 12536 Eagan, MN 55122-1897 CHIP ~ PERMIT # METER SIZE B.P. RECEIPT # O r DATE FEB 10. 1922 ISSUE DATE B.P. RECEIPT DATE 02 / 20/92 , X PRV - BOOSTER PUMP $ . SITE ADDRESS 1293 WILDERNBSS CURYE PERMIT REQUESTED LOT 13 BLOCK 2 SEC/SUB ti1ILDERNESS POAIDS X SEWER X WATER _ TAPS APPLICANT: ADDRESS: - COMM/1ND 1L RESIDENTIAL CITY, STATE ZIP X NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: W-ti4-6- Ahead of Dome c Meters on Water Line. ADDRESS: 14745 S ROBERT TR Credit WILL N be given for Dedu"eters. CITY, STATE S~~r Uc~/YT Zip 55068 - PHONE: '~1 'S S/ I AGREE TO COMPLY WITH CITY OF OWNER: S PETERSEti CONST INC EAGAN ORDINANCES ADDRESS: 10214 PARR VIEW CIR CITY, STATE MINtiEAPOLIS MN ZIP 55431 PHONE: 884-5144 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ; SEWER PERMfTS, CONTACT ENGINEERING DEPT. ~ CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAp EAGAN, MINNESOTA 55122 ' DATE ASCENED AMOUNT E 8 DOLIAHS ~m ? CASH ? CHECK 1 - l FUNO OBJECT AMOUNT Thank You , BY ~ 017216 YeqOw-flosting Copy V-,FY PMdt-Fi1B C.opy ~ r y ~i~o 5 2 ' 0 s/ 3 / y ~ .XA Bequest Oate Fira No. JRovgh-in Inspeclion Y . Re ired? ? Reetly Now/~ WIII Notity Inspector ~ ' Ves ? No ~ ~ W~an Reatly? I licensed contractor ? owner hereby request inspection of above electrical work at Job Adtlress (Slreet. Box or qoule No. CiliyT -3 ~ ~ L~ ~ Sedion No. Township Name or No. Range No. Coun Occupam ~P NT~ Pho(n~e NQo. / O~S ~AV, C7 V G G . Pow r Supplier Atla~s H ~ ElacVical ConVaclor (Com ny Name) nhatlor's Li ense No. a 93 s~ ~ Mai ing Adtlress (Contrector or Owner Making Instell Ip Aulhor 4$ naWre GonV riOwner Making In tallaho Phone Number , - G M NESOTA STATE BOARD OF ELECTHICITY THIS INSPECTION REOUEST WILL NOT Gtlgga-MlOwey Bltlg. - Foom S-110 BE ACCEPTED BV THE STATE BOARD 1821 UnlvBralH A,e.. SI. Peul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phooe(612) 602-0800 ENCLOSED. REOUEST FOR ELECTFlICAL INSPECTION " ~ ~ES-ogZoio~ / ? See nstuqons for completing this form on back ot yellow copy. 9 1_ 0 6 2 2 ~ "X" Be/ow Work Covered by This Request ew dd Rep. TypeolBuilding AppliancesWired EquipmenlWiretl Home Range Temporary Service Duplez Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Fumace Farm Air Condilioner Otner (s0ecily) Gomractor§ Remarks'. d-u.a.2 . Compure Inspection Fee Befow: Q' d Other Fee # ServiceEnlranceSize Fee # Circuits7Feeders Fee Swimming Po01 0 to 0 Amps 0 to Amps Trenstormers Above 20 _ Amps Above _ Amps -7 Signs mspecror§ Use omy: ~ TOTAL Irrigation Booms Speciallnspection AlarmlCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M HS. I, the Electrical Inspector, hereby Rougnin ~e ~QX~ certity that the above inspection has Final f oa~e a y been made. OFFICE USE ONLY This requesi void 18 monihs Irom CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 Fdo20 0 91 BUILDING PERMIT PHONE: 681-4675 ReceiPt # 0 ~ n L~ t.7~' To be used for SF DWG/GAR Est. Value $163, 000 Date FEB 10 , 1 g 92 Site Address 1293 WILDERNESS CURVE Lol 13 81ock , 2 SeGSub. WILDERNESS PONDS OFFICE USE ONLv FEES PBfCeI NO. Occupancy R-3 M-1_ Zoning R-1 eltlg. Pertnk 860. 00 Name '5 PETERSEN CONST INC (nctuap consi 1L-IL Surctiarge 81.50 ~ AdfJfPSS 10214 PARK VIEW CIR (alowabte) Y.N pLan qyview 559.00. Z F o15tories 0 Ci(y MINNEAPOLIS MN Zp 55431 Le~tn 68~1 ucerse S.DO Phone $84-5144 Oepth 38;' sac, City 100.00 N21Tle SAME S.F.TOtal - SAC,MCWCC 700.00 ~ S.F. Footprints _ r~ Address On Siie Sewage _ Waler Conn 675.00 ~ CRY ZP On Site Well - Water Meter 95. 00 Phone Mwcc system X C 30.00 8 Atct Deposit ~jce~ q 0001769 uywater ~ 30.00 PRV Requirad S/W Permit I hereby acknowlege that 1 have read this ication and state thal the Booster Pump - SiW Sumharge - Sn informalion is correct and agree to co with a plic le State of Minnesota Statutes and City of Eagan inance . Treatmenl PI 300,00 di- APPROYALS Road Unil IRfl _(1(1 Signature ot Permit A Building Permit i5 issued to: G pFTPRCFN !`,OMST INC Plannef - Park Ded. on the ezpress condition thal all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City ot Eagan Ordinances. gldy, pff, _ Copies Builtling OUici01 nun R o,d 1 l'y,~ Vaiiance - TOTAL 3,816.00 ` Address: 1293 WII.DERNESS C[TRVE Lot 13 Blk z Sec/Sub WnDEp These items wera/were not complete at the time of the final inspection. 5/14/92 Yes No Date: Final grade (6" from siding) Permanent gteps - garage ? Permangnt steps - main entry ~ Permanent diiveway f/ Permanent gas Sod/seeded grass ~ Trail/curb damage ~ Porch ~ Basement finish i.~ Deck ~ Please varlfy vith the builder the removal of roof test caps from the plvmbing system and the shut-off of water supply to the outsida lawn faucet befora~ freeze potential exists. .~.~o.... White - City copy Yellow - Resident copy Pink - Contractor copy DATE: FEB 12, 1992 RE: 1293 WILDERNESS CURVE (S PETERSEN CONST INC) X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. - Your Sewer & Water Permit for the above property cannot be completed for the following reasons: _ Your Sewer & Water Permil for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. _ COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) betore issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. RESIDENTIAL 5),Jrlg BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 ~ NewConatructionReauiremenle RemodaUReoairReauirements • 3 registered site surveys showi`g sq. R. of lot, sq. ft. of house; and all roofed areas . 2 wpies of plan (20%maximum lot coverage allowetl) . 1 set of Energy Calculations for healed additions • 2 wpies of plan showirg beam & window s¢es; poured found design, etc.) • 1 site survey for ezterior additions 8 Eecks • 1 set o( Energy Calculalions . Indicate if home served by septic system foradditions • 3 copies of Tree Preservatlon Plan if lot platted after 711193 . Rim Joist Defail Options selection sheet (bldgs with 3 or less unils) DATE 2=,Q/" d.~ VALUATION 1 SITE ADDRESS,-~ 5.3~LI ij--h EoE'o.1 FSS C'V12 t/E MULTI-FAMILY BLDG _Y Li1Q TYPE OF WORK fIREPLACE(S) _ 0 2 APPLICANT ~i~ Lc> ~S i 7i r».€3F 2 0o f- ~t,~ STREETADDRESS~.2360 X~t~/JE2~~~6F C'i/? CITY/`ccea/sV I&£STATE~ZIP TELEPHONE # ~-,FYG-o»CELL PHONE # Of o(- y~y'o1~S/ FAX # F SoZ -Fl,(& "07 7j PROPERTY OWNER 'If4/4F TEIEPHONE# O,r,/` yofX3 COMPLETE ?HIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNI:SOT:1 RUI.BS 7670 CA7tiGORY 1 MI "ET7~ (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • ergy~Cdde Worksheet itted . Energy Envelope Calculations Submitted , Q 12002 Plumbing Contractor: Phone # B _ Plumbing system includes: _ Water SoRener _ Lawn Sprinkler P'ee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Conhaetor: Phone # Mechanic:il system includes: Air Conditioning Pee: $70.00 Hea[ Rccovery System Sewer/Water Contractor: Ph e - - I hereby acknowledge that I have read this application, state that the inf r correct, and agree to comply with ali applicable State of Minnesota Statutes and City of Eagan / Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 EM. Alt - Multi O 03 Ot 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 ? OS 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 0 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 _ Av/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retauung Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total : • 1992 BUILDING PERMIT APPLICATION • ' CITY OF EAGAN REQUIREMENTS: ~ SINGLE FAMILY 2 SETS OF PLANS, 3 REGIST ED SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SEfS OF ARCHITECTURAL $ STRUCTURAL PLANS, 1 SEf OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTY APPUES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE .QB LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORfJER LOTS - COIVTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. ~ To Be Used For: Valuation: Date: Site Address i- i' a~'- << ;r~; ~ i~ i~ n~~ ~s j'a ~ / 12 9 A FFICE U E ONLY L~ EE / Block Occupancy R3 M-) Bldg Permit ~o~.oo Parcel/Sub ~r/: Zoning R- 1 Surcharge f, 5 Actual Const V-N Plan Review 5 9, o0 Qwnerc=.~f f~?=~: ~ p~~ : Allowable v_N License Fee ,a a # of stories SAC, City /oo o0 AddresskZ; Y" ?f.~'fc ~ nI c"r r Length ~ SAC, MWCC 1300'0 Depth 38 Water Conn. City/Zip S.F. Total Water Meter Footprirrt S.F. Acct. Deposit Phone Y~ 5/W Permit On-site sewage S/W Surcharge Corrtractor On-site well Treatment PI. MWCC System Road Unit Address City water -T Park Ded. PRV Trail Ded. City/Zip Booster Pump Copies SUBTOTAL Phone License i'"' APPROVALS Penalty Planner Lot Change Council TOTAL Arch./Engr. Bidg. Off. p S z-;r-~z Variance Address Ciry/Zip Code Phone # Sewer/WaterLicens~qdContr. ' Processingtime for sewer/water permits is twa sys once area as en approve . agrees thiat all work shall be done in accordance with (signature ermittee all applicabie State of Minnesota Statutes and City of Eagan Ordinances. VALUAT1oM ~ . , ~a ARqGE X2y- 17~g Z. = ( Z f3~ T rl2 S~c f 5 = ilo~ 8~75 3O~`3b = Jaao 2Xto~ DL~ Z ; ' 13/S ~ !ys y) o ~ , B'6o•uo~ ~ST Fl.oo rZ ' [31 •50+ 559.OJ~ r srT= r3~~ 2,31-5•50+- .SX~= 2~ ~J~ ~ ^p~~~yr iif;J•l]l~~ 134(, x 53= '71338 1~1•50~, [5sa•0()+ z,si5.50+ Z r~ D~oe~¢ 3, s t c• o o x I W x~V r 33~ i3x3~ ~ 3qo q ~c z6 r ZS~ r~l r ly : 40 xs3= 162~S~rs° oR /~.3,Aoa ~ Certificate For: ~ 4 ~ss` 3G~ I Svand,Peiersen Canstructi.on . 4701 'Aest 110th Street . i . ~ Bloomington, MN 55437 i DELIMAR H. SCHWANZ lANO 9URVEYOR9. INC. Raqlitaroa UrEer Uws ol The 3tab ol MlnmeWo 14750 SOUTH ROBERT TRAIL IiOSEMOUNT, MINNESOTA 55088 812/123-1789 SUHVEYOR'S CERTIFICATE ~ NS`3Ga~„ ~ EAST ' 14•6 Scale: 1 inch = 30 feet t ~ 25.53 A 3 o= Spike Get building offset<. NN X922, 3 = Existing' elevation' Proposed elevation 'VON ~ oo N 1 I, Propbsed garage floor elev. 966 Proposed top of block elev. 966,33 Lowest; level elev. ; 96Z {s L P°P°sb~{ f 7Z q~ds ! ~ 1•f n" ~ f-P cPK. C"qr 'e -q7S.9 J, r„~. ' \\!11 ~ ~%1 oye ~ p0 / ~IF~,j ~4 ~ .f 47q, /S~ ~ BY at~ ~ I1~I~ DEPT ~z a ~v O~ ~~5p~' I I G i~. Q , Lot 13,- 91ock 2, nILDERNESS n~ ~ I POt~DS, accoridnn to the recordPd plat thereof, Dakota County, Minn- Ao ~ J sota. . qsG.~ ~67f~7 \ q96.3=' . . ; . 9/9„ ~ T, Wrll, Also showing the location of a F-SS ~ ` 9y13 \_i proposed house as staked therebn. ~ , f..., ac4.7 ' yor:',S(~•~i, a ~KCEf.'A /Q~O ~'l`~ I" :?y ' I ^ If 1 hereby eeAHy thet thfa survey, plan, or report waa '•;~~.f prepered by ma or unCer my direet supervislon and = GF, thet I am e duly Registeree Lsnd Surveyor under _CyANZ the lewa of the Stata o1 MinneaDta. - gE25 ~-19'•. 'Q~ Delmer H. Schwenz ' Deted 01-28-92 s'~n~,t~'~^~,`~" IMinneeote Regbtration No. 8825 Contractor ticense 0000I769 S. Pelersen Cans 8$4-5144 Si#e Address L 13 B2 Y9lderness Ponds Fu5 1, 1992 t Total exspased rall area 3068 0.11 =31.48 2 Total roof/Ceiling area 1276 0.025 33.175 7ota1 370_656 Total tirall area abore floor A Total rindor area 204 0.31_ 65.28 B Total Door area 38 0.123 4.564 C To#al sliding Glass area SQ 0.72 16 D 7ota1 fireplace area 14 0.128 1.792 E Total framing area (ar.l O%) 306 0.114 36.414 F Tot_ ne# rall area above floor 2200 0.045 99 G Total rim jois# area 2$6 0.047 12.032 Total exposed foundatian area 107 H Total foundation Yindorr area 21 0.32 0?1 f To#_ net faundation abore grade 3E 0.14 12.04 7ota1 254.142 To#al exposed ronflce9linq area 1276 J Total skylight area 16 0.3^< 5.12 K Tot_ roorfceilinq fram9ng 0 099) 127J 4.049 62475 L Total net insulated rnof/ceiling area 113= 0 J193 21.8476 To#al 33 _21 S 1 ~5q, ~g~.3~ L- CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT RNOB ROAD EAGAN, MN 55122 PERMIT # PRONE: (612) 454-8100 RECEIPT 01~ ~B,;HG~~~ DATE: S 9a- PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/COAIDOS WHEN PERMITS AEE REQIIIRED FOR EACH IINIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 .3~ REPAIR WATER CLOSET 3.00 BATH T[TB 3.00 u~ ~ LAVATORY 3.00 OWNER NAME: (f&~ KITCIiEN S INK 3.00 3 ~ IAUNDRY TRAY 3.00 SITE ADDRESS:~93 &eti-ar-q__ HOT TUB/SPA 3.00 WATER HEATER 3.00 ' iOT:~_ SLOCK •2 SUBJ. FLOOR DRAIN 3.00 3 INSTALLER: GENZ-RYAN PLUMBING & HEATING C0. GAS PIPING oUT. ~ i (MINIMUM - 1) 3.00 3 ~ ROUGH OPENINGS 1.50 twnRESS: 14745 South Robert Trait oTxEx WATER SOFTENER 5,00 CITY: Rosemount, MN ZIp; 55068 _ PRIVATE DISP. 15,00 i-:ONE 612 423-1144 U.G. SPRINKLER 3.00 - SUBTOTAL S y9 s° ST. SURCHARGE .50 SIGNA E 0 PERMITTEE dv TOTAL: S :J 0 ' ~UHME~tG~AI«jTL7~F75~~T~lF;n,`LA; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BIIILDINGS AND M[TI.TI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING IINIT. CONTRACT PRICE: FEES OWNER NAME: _ 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT; % BIACK _ SUBD. $25.00 MINSMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN L~ B ~ ~c Y~c.ai r~rr xEcEEPr # ~os a.sa- SUBD. I~ OAMOn~ ~~,,,,oP (612) 681-4675 DATE RESIDE]V17AL PLEASE COMPLEi'E UPPER PORTTON ONLY FOR SINGLE FAMII Y DR'ELLINGS. ALSO, COMPLEfE FOR TOR'NHOMFS/CONDOS WHEN SEPARATE PERMITS ARE REQUIRID FOR EACH DVVELLING UNIT. OWNER: FEFS SI1'E ADDRESS: ADD ON/REMODEI, (EJIISTING $ 15.00 / ~ CONS1'RUGTION ONLI) INSTALLER: GENZ-RYAN HEATING HVAC: 9-100 M BTU 24,00 PHONE 423-1144 ADDTfIONAL 50 M BTU 6.00 ` ADDRESS: 14745 South_Robert Tail GAS OUTLEIS;MINIM[TM 1 Q $3 EA.=,3 j-~' 40 cffy: ~ Ros t' - _zIP: 55068 SURCHARGE: ~ $ .50 SIGNATURE: TOTAL: $ 3 9 S~~ COMMERCIAL PLEASE COMPLET$ THIS PORTTON FOR ALL COMMERCWJINDUSTRIAL BUILDINGS. AISO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI•FAhIILY BUILDINGS WHEN SEPARATE PERMMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf. WORK DFSCRIPTION: CONTRACT PRICE FEES 1% OF CONTRAGT FEE STATE SURCAARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPTNG - $25.00 $ , !tiIINSMTlM FEE -;25.00 OWNER: TOTAL: $ SI1'E ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: C177': ZIP: PHONE CT11' SIGNATURE SIGNATURE Use BLUE or BLACK Ink For Office Use 1 1333 I ~ Permit I City of Wan Permit Fee: 3830 Pilot Knob Road I , 1 I Eagan MN 55122 Date Received: J ~ Phone: (651) 675-5675 I~ Fax: (651) 675-5694 l Staff: L----------------1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION DateQ : -1 3 6 Site Address: r1~t,~S C C y~ Unit Name: ) V L A ry- LLt 1 mLq n Phone: LOS 1 ' ~3 `1.Q"J Resident! City x(40 Owner Address / Ci /Zip: (S t Applicant is: Owner Contractor Type of Work Description of work: C(M,01ek BOY)CAM& L_ 0~ jj Construction Cost: 1 Multi-Family Building: (Yes / Nov } Company: r U LC(,l rUr Contact: A VA ALP Contractor Address: d -city:` r State: _ Zip: Phone: ~.1,~ I Ar~ ~ln4- ~ 9V W License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of i the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. 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. ALA.. enMWn' x I rk x Applicant's Pri ted Name Applicant's ignatu Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA118573 Date Issued:11/04/2013 Permit Category:ePermit Site Address: 1293 Wilderness Curve Lot:013 Block: 002 Addition: Wilderness Ponds PID:10-84275-02-130 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 . Ashley Harrington 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 Guterman 1293 Wilderness Curve Eagan MN 55123 Cedar Creek Construction 23383 Redwood Ct NW St Francis MN 55070 (612) 564-6888 Applicant/Permitee: Signature Issued By: Signature