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1306 Wilderness Curve A!lfw • . • ' , (ger#ifirafr o# (Orrupanry titp of (Eagan ~rpartmntf u# ludditcg Jhuaprrti.utt This CerWficate issaed pursuant to the requirements of Secteon 306 of the Unijorm Building Code certifying rhat at the dme of issuance this structure war in compliance with the various ordinances of the City regulating building construction or use. For 1he followrng., um cLsufbCaaoe Bldg. Flrmic No. 0-Da-Y TyPe _ ~ Zoniog Ilislrict Type Const. V OweetotBmlding .I~ at tfSo", Addrcyq :fis~ ~NOC`. A:t'' D A.V. ewimn$ amrm `r")'`'?`~'SS Lowity L4, B l, W'IIDMMSS PQZS n.a: JLM_ 24, 1987 su"ng official POST IN A CONSPICUOUS PUCE c' bti/~D~? ~CG~~/~T' a r= L" ~Tj~Z ~'~'Lo ~ ,~i'Z a ^rS /'7,~"~`~GwRGfa?t J Ple~ise send copy for water meter to: Genz-Ryan • ' 14745 S. Robert,Trail Rosemount, MN 55068 Copy for sewer and water connection goes tolStar Plumbing Thank You Ruscon Homes, Inc. PPF' , CASH RECEIPT . ' CITY OF EAGAN ~ ' 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 • ' TE 19 . ~ RECEI V ED FROM AMOUNT $ _ xr- & ooLLwws 1 oo ~ CASH Q CHECK FOR fFUND COGE AMOUNT Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy BLDG. •P$RMIT N0. 01-3210 I, ,9ld~ Permi t 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit ' 20-2275 SAC ~ 20-3865 Water Conn. j.,20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. . 11-3855 Park Ded. ~ TOTAL - ~ ---T-- . • 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 ,19 Site Address OFFICE USE ONLY Lot BloCk SeC/Sub. , On Site 5ewage _ Occupancy MWCC System _ Zoning ParCel No. On Site Weu _ Type of Const City Water _ (Actual) a Name (Aliowable) W iF of 5toriea ; Address Length 0 City Phone Depth S.F. Total , p Name Footprint S.F. ~ ~ Address APPRQVALS FEES a P. City Phone Assessments _ Permit Water/Sewer Surcharge ¢ oW Name Police _ Plan Review x~y Address Fire _ SAC, City Q Z Engr. _ SAC, MWCC c W City Phone Planner _ Water Conn. Council _ Water Meter I hereby acknowledge that I have read this applicetfon and state Bidg. Of(. _ Road Unit thatthelnformationiscorrectandagreetocomplywithallappliCable APC - TreatmentPl State ot Minnesota Statutes and City of Eagan prdinances. Varlance _ Parks Copies Signature of Pe?mittee T07AL A Building Permit is issued to: ' on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea Building Official ' Ptrmlt No. Permit Holder Dste TNoDhons it Plombing H.V.AC. , Electric Softener Insptetion Data Inap. Comments Footings I ~a Footings II Foundation Framin ~ 9 Roofing Rough Plbg...y. ~ Rough Htg. Isul. Fireplace Final Htg. Q Final Plbg. Bldg. Final ~(/c~c~ /c~c ~~ro.,ti -f'ru rs nr Cert.Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. PERMiT # . , PLUMBIN(#PERMIT RECEIPT # • CITY OF +~AGAN ~ 3830 P160T KNOB HOAb, EAGAN, MN 55122 DATE: p~.~ C•' ~ CONTRACT PRICE: Y ~ S•c C~ PHONE: 4~0-8100 Slte AddreSS r i;.SLDG. TYPE ~ WORK DESCRIPTION Lot ~ Block ~ Sec/Sub , es. 12 ew Mult. Add-on (D Name ~ Comm. Repair ~ Address K Other c Ciry 1 ry Phone "t RES. PLBG. ONLY - COMPLETE THE FOLLOWING: FIXTURES ~'COTAL • r 1-Y--Water Closet - $3.00 $ ~ . - - ~ . Name ' ~ ___Bath Tubs - $3.00 - ° ~ 3 Address ! ' ;--s Lavatory -$3.00 / u u p Ciry Phone ~ ~ ~;-J_Shower - $100 v _J._Kitchen Sink - $3.00 ~ FEES " Urinal/Bidet - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE _~-Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPUES L_/_Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES ~/_Water Heater -$i.50 c) MINIMUM - RESIDENTIAL FEE - $12.00 _..L_Whirlpool - $3.00 C) MINIMUM - COMM/IND FEE -$20.00 ~Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (AOO $.50 S/C IF PEflMIT PRICE GOES Sottener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 --~-413ough Openings - $1.50 _ SIG ATURE OF PE MITTEE ' FEE: -7F ' 3C) sTaTE s/c: FOR: CITY OF EAGAN GfiAND TOTAL: ~~~U . PERMIT # . , MECHANIC/1L PERMIT RECEIPT # . CITY OF EACAN , 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: '2c -.CONTRACT PRICE PHONE 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot 4 Block f Sec I Sub - E_ 7 RBS. ~ New ~ ~ Name - -ZYIIA? Mult Add-on m w Address ~ ~ ^ i Comm. Repair c City Phone` - `L Other ~ Name~-~~ - ~ FEES c Address( RES. HVAC 0-100 M BTU -$24.00 p City Phone -77 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air I _Z M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 -It Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYONO $1,000.00) Gas Piping Oudets # Other ~ FEE ! S/C: SIGNATURE OF PERMffTEE TOTAL• - • a-' FOR CITY OF EAGAN Dste: ' n n 7 . OF EACAN Pennit No: CITY . 3830 PNot Knob Road Meter No: = Size: °Cr ~ P.O. Box 21199 Reader No: ~ Date: rP.7- g Z- ~ Eagan, MN 55121 ' i Owner SieAddress: 'J~,~ i.;i~,,~r:~esF _ ?i'_.+'.rner>e ~'or,e;~.° ~ Plumber ':~r ~'~-umh9_n^ Conn. Chg: 1' Acct. Dep: Permit Fee: ry yt -~t~,T~1C - GAS ~ic. Su rcharge: t c with the City? of Eagan Tr. Plant - r nc Meter. - Misc.: By WATER SERVICE PERMiT . . . ~ . . - . _ ' Date: CITY OF EAGAN Permft Na 3830'pilot Knob Road Meter No: Size: P.O. 86x 21199 Reader No: Date: Eagan, MN 55121 , ;?S•~o'i .'~7r._s : Owner. ;,~~eSG z~,,P T,,~ B1 i1i13erne.ss PoitCs Site Address:' Plumber. Star P u~sbi..n.^ 525. Jti%r~: Zoning: Conn. Chg: ; Acct. Dep: 1~. ~-~p+'_ No. of Units: Permit Fee: 1 ` ' 00- Surcharge: ° 5`~^`~ 1 agree to complY a?i!h ihe Citp oi Eagan Tr. Plant i . ~ . `~rjn'' Ordinancea• Meter. f~? i~4fi Misc.: BY WATER SERYICE PERMIT ~ - I~ CITY OF EAC-AN ~ SEWER SERYICE PERMIT ~ 383Qf1101KrtobRoad 9776 PERMIT NO.: P.O. Box 21199 DATE: 49 c, ~ Eagan, MN 55121 Zoning: No. of Units: ~ Ftracan Hooes i Owner. j Address: Site Address: 130~ ij;ilderness t'ur•~~ " ! F tsr '?2u~?~in? ' Plumber. • ! v-'. 2 ~ ~ I agree to comply wMh the Cit~l of Eagen Connection Charge: 5 15 , t~qvc.~ Ordinances. Account Deposit: ~r C~11)rd ; ~ Permit Fee: ~ Surcharge: ~ Misc. Charges: ' ~ ` Date of Insp.: Da ei.Paid: ~ Insp.: la' CITY OF EAGAN No- 13439 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1 PHON E: 454•8100 BUILDING PERMIT Receipt# Tobeusedfor SF DWG/GAR Est.Value $120,000 Date APRIL 8 19 87 Site Address 1306 WILDERNESS CIIRVE OFFICE USE ONLY Lot 4 Block 1 Sec/Sub. WILDERNESS PONDS OnSiteSewage Occupancy R3 MWCCSystem X Zoning R1 Parcel No. On Site Well 7ype of Const City Water -2j_ (ACtuaq V a Name HJELLE & ASSOC (Allowable) y w # of Stories = Address 1 530 PENNOCK AVE o A.V. 432-1433 Length 55 City Phone oepth 36 S.F. Total , p Name SAME Footprint S.F. 0Q Address APPROVALS FEES ~ CityPhone Assessments _ Permit 563.50 Water/Sewer Surcharge 60.00 Ow Name PHILLIPS PLAN Police _ PlanReview gR7 _75 V= Fire _ SAC, City 7 00. 00 _0 Address Sp`ME Enqc _ SAC, MWCC 5 5.00 ~zW City Phone Planner watarConn. 525.00 Q _ Council _ WeterMeter 67_!l0 I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit 305.00 thattheinformationiscortectandagreetocomptywithallapplicable APC _ TreatmentPl 1Rf1_f)Q State M Minnesota Statut nd City of Eagan Ordinancea Veriance _ Parks Signature of Permittee Copies 7oral 2 7 5 A Building Permit is issued to: HJELLE & ASSOC on tha express condition that all work shall be done in accordance with all ap lic e of Mi esota Statutes and City of Eagan Ordlnances. Building Official .D .`j/9G ~ 7 a S , Request Date ' ' Fire No: Rough-in Inspection Reqvire 9 ? Reatly Naw Lwmi owtiN Inspectar es ? No When Reatly? 10 7censed contractor ? owner hereby request inspection of above electrical work at: .bb ACdress (Street, Box or Roule No.) City 3O Io f/(//Ll7t;'/I/flG~.~S ~c~ R!/<r ,t~~iqit/ Sedion No. Towmhip Name or No. Ranqa No. Counry Occupent (PflINn Phane No. ,4,6 Z /,E ly/ O /~.,7 O Power Supplier PAtlress Ele ' I Ca w Com Name) ~ Cortmctor§ license No. n o 0 MeiliigAtltlres ontra rorOw MaMnglne tio 5 ^ AN Si ( Mr • r akrtg hvslallation) Plpne NumOer ~ MINNESOTA SL1 OAND OF ELECTRICRY THIS INSPECTION REOUEST WILL NOT GriggsMi - Noom &1l3 BE ACCEPTED BV THE STATE 60ARD 1827 Univerat Aw.~ $C Peul, MN 5510C UNLESS PflOPER INSPECTION FEE IS MqM (612) 662-0900 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION eaoooo, o7 ? Sae InaltuIXioire id wmpletiig ihis lorm on back of yalbw mpy. ~ 4 7 a 4 5 , X" Below Work Covered by This Request ew Add TypeofBUiltling AppliancesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer O[her (Speciry) Comm.flndustrial Furnace Farm Air Conditioner O[her (specily) Conlraclor5 Remarks: Compufe Inspectian Fee Below: # Other Fee # ServiceEntranceSize Fee # CircuitsiFeeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Ahove200-Amps Aho t00_Amps Signs Inspeaor5 Use Only: TOTAL ~ Irrigation Booms 0 ~ Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in a certiy that the above inspection has Finai oet 6een made. 177 ~ r OFFlCE USE ONLY ~ Tha repuest vdtl 18 rtanlhs ham This r, puesl voitl `/5/p ~ J~ 18 mo. ths from CJ ~ - fleq s[ D'dA.~ ' Fire P1o. Pough-in Inspection •l o fleamr ~ReaAy Now ~II Notify. Inspec- W!p2 9~0 ~ es ?NO ~or When Reatly ff~L-ensed Electrical Convactor I here0y repuest insDeetion ol above ? Owner elecbicel work instelled at: Sireet Address, Bax or Rovte No. C itv st§cjson o. ownship Name or o. anBe o. Coun~y Occupent (PqINT) , Phone No. Pow r Sup ' r 61 ACdress Elactri al Con actor IComvany Namel Con racror' icense No. f.Pp,r~i.~v MailinB AdJress (Contrector or Owner Making Instailationl n re (COn racto wner aki g Instaltation)o.e N mber MINNESOTA STATE PjC!D Of ELECTPICITY THIS INSPECTION NEQUEST W.IIL NOT Grippa-Midwey Bldp. - Room N•797 BE ACCEPTED 9Y THE STATE 90AND UNLESS PNOPEN INSPECTION FEE IS 1821 Univereitv Ave.. St. Veul, MN 66100 Vhone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION e-ys-ooooi-o,sC Sae instructions lor comoleting this lorm on beck oi yellow copy. /~~~J C'~l t~ s 0 "X*' Below Work Covered by This Request Wo4Addj Bep. Type oi Builtlln9 Avoiinncea Wired EquiVmenl Wiretl Home Range Temporary Service OUplFx Water Heater LightinqFixtures Apt. Building Dryer Electric He2~,n Commercial Bldy. Fumace Silo Unloader Irtdustrial B{dg. Air Corid+tioner Bufk Milk Tenk Farm tner aec; v lnnr Ispedtyl t er ueufy ther Other - ompute lnspection Fee Below p Fee 58rvice EntmnceSize N Fee Fee1ers/5ubleeders N Fee Circuits 0 0 to 200 qm s 0 to 30 qm s 5600 0 to 30 Am A6ove 200 qm s: 31 to 100 Amps / lyQ4 31 to 100 q y Swimming Pool Above 100-Am s Above 100_Am s Transiormers Irngation Boorr~s Pdrtial.'Other Fee Signs Special Inspection S r! ~@ Pemarks TOTAL E~E! Jw~ qouph-in r Data I, the Elecvical 1,7 . Inspactor, he~abyterlily ~hen t the above Final e 1e ~ inspec[io hea bee. mede. fMs reqveal voltl 18 montM tmm ' • • . 3EZAPPLICATION - CZTY OF S9GAN , SINGLE FANIILY DWELLINGS IHCLDDE 2 SEfS OF PLAAS, 3 CERTIFICATES OF SiJEVEY, ''1 SST UF_ENEEGY'CALCOLATIOHS 60TE:.•ADDBESSES FOH COHNEE LOTS CONTRACTOH/HOMEOi1NEE MIIST DESIGHA=S WHICH ADDRESS :IS DFSIRfiD: ;.AO CHANGFS HILL BE ALLOWED OACE BDILDI6GPHRMIT,IS'ISSDSD. MOLTIPLE DiiE[.LINGS - aESIDEN'LI9L RENTAL OPITS FOR SAI.E-IIHIiS , . INCLUDE 2 SETS OF PLANSt CERTIFICATE OF Si1RYEY., CHECB WITH HLDG DEPT , . . :t3.' ,c. . ~"a ~}'I'•~, i ...e_..,. '1 SET OF ENERGY CALCULATIONS . " ~ . ..t~'~ ~ 6• ' 3 . , . . ~ . . : : ' . . ; , , . . COP4MERCIAL ' INCLUDE '2.SETS OF, ARCHITECTURAL & STRUCTURAL PLANS, ' 1SET.OF SPECIFICATIONS AND 1 SET OF " . , , ' ENERGY CALCULATIONS, ' $2,000 LANDSCAPE BOND ' qTo Be Used Fors S!n I~~ •'paluation : ~ Date• --yk=~ Site Addt~ess T u ~ VU OFFICE IISE OPLY Lot ~ Block ' On Site Sewage Occupancy ~ 3 D[ MWCC System v" Zoning 211 Pareel/Sub Wl e '~/1(J~ On Site Well : Type of Const ~ City Water ? . (Actual) _v' Qwner L-~S 6f~ /1 e_i, (Allowable) Ir # of Stories ' 9ddress 7~/ ~O~ ~-i(/P5 e7• - Length 75 . ; Depth 3Co City/Zip Code ~CQqL7m. S.F. Total 1 ~ Footprint S.F. ~ Phone APPROVALS FEES ' Contractor c Assessments Permit - 5~~•'• ~ ~ Water/Sewer Surcharge ('o: . . ! Address O k' Police Plan Review 28(.~- j Fire SAC, City . City/Zip Code Engr SAC, MWCC, cI? Planner Water Conn ` 52:S!• ,Phone``, Council Water Meter' 1fl=1: - ~ v/ 'T J Bldg Off . Road Unit Arch. /Engr G~ APC Treatment Pl ( SO Variance Parks ' Address . / I ~30 Copies . ~ : TOTAL , City/Zip Code Phone # 71 t ~ 1 ~i „ ' r , y ~Y ~J R 1 . y'...r -1 . . . t . . . . . . _ . . ' . ' . . . . , . ! . . . . . . . . e . . . . . . ' . r . . . d... ` . . . . - . SO ( 'goo , 2Ix (4 -s?i~x~~~ »0 -S-z to 2~5 X 2r'c_ x t2 = co Cc 00 ' ),S& x 44- = 522(o¢. i,q_ x 23 - ~2'z 56s•~u+ ~ 50•00+ ~ 181 •'Iti+ ~ Fi27•UU+ ~ 5%5•Uti+ 67•OU* 305•UU+ 18 U•00 + 2,607•25•T p ~ e ~?Sr.oM HOME~ 3 A.OI~E CpHSULTIH6 EH6lHEE9S bg AVC- /q ~ E~G1NEEti1NG PLANHEAS and IAHD gllRVEYO!{S ~ ~ COMPRNY, INC. : ~ 1000 EAST 146C S7REET, 8t]AHSVILLE, YIHH£SOTA 84=37 PH 432-3000 Cer~z}Z CcL~e S'ZLrYe c~ F L99a1 37t4CT-le2ion• LOT BLDcK W/LDEKN655 VaNpS, DAK07"A CDUN7Y, MINNESOTA (l~•~D DENrJTES EX/STIN6 ELEI/AT10N (yW. SO DENOTES PROPOSED EC E l/,4T/ON r-~ LNp)G4TE5 DIkECT/ON OF SuRFACE DRAlN46E qkV$.$3 = F/N/SNED 6A9A6E FLOOR ELEVAT/ON L T 30 oO C36'2~ N8 ¢.oo' oo"E 10 367 96+ 144.13 ~ ~r_~~ /9`15•5 ~ 1e ~ ~ ~ 94Ga t . sraLE : 3& I m N ~ -t~~y ~°o_ `r :SPO .Q ~1 0 1 9g o V~ ~ (i1 I4,X 4 tA 0 ? I ~ C`7?49~ S. ~ N ~s(94s.~ `,y- 1-j0p" E 30' F/CONT SU/LD/N6 I L ~ N bo A~ ~ ~ SETBACK L/N~ 5I / ~ I / . ora4rNAGE .auo U7IUTY EASfMEN'r I hereby cart3fy that thia ia a t:ue and correct representation of a traet of zow d: of lan~~ shoxn' and deaeribed heraon.• An preparad by tnn on this Y +1987. OOIP . - . , . . ..u~~ .r a a~fll\ JL' A Y 11~G F'}11LLIP5 PbAN St;PWe '7830 w. usm suwt , * ^pplg'=y,;Iypy, MN 65124 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATIO 04JNER SITE AODRE55 CON7RACTOR DATEPHDNE ~ Determine working square footage of each. 1. Total exposed wall area -knrl 0.sq. ft. x 2. Total roof/ceiling area 411 lo sq. ft. x •021,= 29,p1 Total exposed wall area above floor = zl..o'~Z a. Tatal wall window area 31 O-y b. Total doar area 22). ' c. 7ota1 siiding glass door area . 432- - d. Total fireplace wall area........................ e. Total wall framing area (averagel0%)...:........ Zt5•Ilo f. Total net wall area above floor -19 3l0 ,4+-~ g. Total rim joist area 'Z Rg Total exposed foundation area = ILoO i2$ h. Total foundation window area..................... - 1. Taal net foundation area above grade ltw.2F~ Determine "U" value of each wall segment. a. 310.q x "U" b. 38 X„u„ , i 3q = 51 18 c. I~Z xlill., , 5 = Lo1p d. X "U" e. Z15.1 to xllu" .09[0 = 7_CC) 11 Ia5 f. 1936 •4 q X itust ,043 e•_ Z~ 8 xllu,o .04 l= I I, 3 h X „ull i. Ilo0.Z8 x ltuil 3 . ......:...............Total = 2 ,O If item 43 is tfie same as, or less than item H1, you have met the intent of SBC 6006(c)2. • . Total exposed roof/ceiling area = IIiLp_ Total gross roof/ceiling area =111Lu . j. Total skylight area k. Total roof/ceiling framing area _ Ilt,lo 1. Total net insulated roof/ceiling area....... 16o y,y. . Determine "U" value for eacli raof/ceiling segment. . j,. _ X ftut, k. 111 , lo X4tUto ~ 02'{ = Z, loR ~ 7. t o oy A x~lull ~ dz2 = zz. 09 a l.l.l IQ .........Total If total of #4 is tfie same as, or less tfian #2, you have met the intent of SBC 6006(01. To utilized the total envelope system method, the values established by the sum of items N3 and fl4 sfiall not be greater tiian the sum af itens B1 and #2. 1. + 2. = 3. + 4. _ MATERIALS 'Plierm. Resistance "R" ' Exterior Air Irl Siding Material .k 5 Sheathing 2,010 Insulation _La1 Sheetrock ,4 5 Interior Air Studs Rim. 1, 8Q Conc. Blks. I.Zf~ , • 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3~~ I S 3830 PILOT KNOB RD - 55122 651-681-4675 NewConsWCUonReauiremeMS RemodaURaoalrReaulreme~rtsll'~~ D 3 ragbtared ske suneys showing aq. R ot b; sq. R of house 2 copbe of plan and ell roofed areas 120% mazimum lot coversae allowecll 7 set of enarpy ealculatWns lor heaqd addkbne ? 2 copies of plans (show beam & window sizes; poured Md. design; etc.) 7 sib suney for axteAor addltlons 8 decks ? lsetofenergyakulauona D 3 upies of tree preservation plan H bt platted aflar 711193 DATE: i I I 2-q Z oI °I CONSTRUCTION COST: DESCRIPTION OF WORK: ~TA - (LE Rx-0 F- srREerannREss: 1 3 o(D - Lk ) ' f -RArlii~E ss ug- L'~e~ LOT: BLOCK: I SUBDJP.I.D. «,..&Afl A- YU-A,p I9C7 I'\ CU;o Name: D o~G A-"f l Jf~lj Phone#: 6S(-/Sa-7/So PROPERTY Last FIM OWNER ? Street Address: ~ J 0b-W<~(l~nNE s s ( i. n v1E7 C(ty F"h-+J State: Zip: Company: Phone 6~~ -B 6 8- S(D S~ (area code) CONTRACTOR Street Address: ),:DL O 0 D-~ (L:~:: Ay-E License # 3 S( b Exp, o O ctty L~ f c~„ ' f(s state: L'^ zip: t:~~o Y~( ARCHITECTI ENGINEER Company: Name: Talephone A: ( ) SVeet Address: Registration City State: Zip: Sevar 8 water Ifeemed plumber (newconetrucfion onNl: Telephone Penelly epptles rfien address ehange and bt ehange Is requested once permH k Issued. 1 hereby aelmowledge that I have read 1his application, slate that the infonnetlon is corted, greei ompty wHh all applicable Sfate of Minnesofa Statutes and CR of Eagan ONinancea. ~ . Signalure of Applicant - OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE Li;iE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex O 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia O 32 Addition ? 36 Move Bidg. ? 40 Gas Insert O 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.• ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Aliowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES 5ystem Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: Surcharge Plan Review License I MC/ES SAC I I City SAC Water Conn. Water Meter i Acct. Deposit S/W Permit I ' S/W Surcharge . , Treatment Pi. Park Ded. Trails Ded. ° Other Copies I I TotaL• SAC Units % SAC ~ I ~ 1 C a z/aa , CITY OF EAGAN r ~APPLICATION FOR PERtiIIT SEWER AND/OR WATER CONNECTIODT (PLEAS£ PBINi) 1) PROPER'I"1 ADDRESS: (30b TFf;i, nES=TI`rzcv: Lo'fi y L 1 1 p~e55 ah 5 (Lot/Block/Subdivision or Tax Parcel I.D. Ntmiber) ir EiI="_'=;G S77IICZT:2E, DrlT' GF CRIGi dAL :AiILCL`;G FEF:•ST .T.SSZ:?NC°_: J PP,=Sr~~ : -7^`T-'LF:/F.-w0°CSED US': 181 R-1 SiVGL.t: iPMSLy 17 R-2 DUPL= (?tir'O Wi ITS) ? R-3 TOWNHOi;SE (TfRE:" + UPIITS) ( iNITS1 El g_4 papR1l'^F'`:T/CrnIDCi%L1PiILi'1 ( GTiIITS) ? CQMME~'FCIAL/RETAII,/OFFICE ? LML'STRIr'1L ? INSTITOTIOIQAL/G04'E,'T2NNIEIV'P Z) AppLIGAN'T (PLEASE PRINT) NF4~: Ruscon Homes, Inc. ADDRESS: 14530 Pennock Ave. CITY, STATE, ZZP: Apple Valley, Mn. 55124~ PHONE: 432-7 433 3) Pil~,IBER (PLEASE PAINI) FOR CITY USE ONIY NF~'~: S+ar PLumb~~g PLl1H8ERS LICE45E: ADDRESSc 9018 Mound Springs Ter. Q active CITY, STATE, ZIP: Bloomington, Mn. 55420 Q Ezpired . aic. Q Not of Record - PHOi9E: 884-4149 PLUMBER LICENSE 3329M arr initia 4) OCC.'UPAiTr/(;1,•7NER (PLEASE PflINi) nN,IE: Les Bokrt e.r. AonREss: t.~ 3l (Q A(res , ezTY, srATE, zzP: ~ k4 Pxo:E: 45~L-- R62- 5) INDICATE WItICH PEPy+1IT IS BEIIv'G, RDQUESTED: ~ roNNECI'ION 'IO CITY SEY7ER Q CONNIBCPIGN TO CZTY SVATER _ ? (7PFE2 (PLFIA.SE DESCRIBE) 6) ~:DIG,,:: 0`~:I ~ p,~+ ? PI.EASE F?OLD APPROVID PERMIT FOR PICn-UP BY ONE OF 11BC7LL'E Iri' ~ ~?LEaSE ;~1F1IL APPFK]t,'ID PEfYtIT Zt7 2. 2. , 4. ABOVE ' (Circle one) . . 7) SIC2=L'ZE: DATE: ~ R aaea+t~a ~o s~ ! w~~a.r~ ae : Kos.~a s oi ~rss:a~ i~ w:: f..~_+R~:s:~ sr a~ ~i e1~~~••-m....> F O R C I T Y U S E O N L Y PERMIT ISSUED ° ~ F~,. ~S: $ Z62 SE;•iB n~~%tT i m (I _ 'ICI,'.;D: q,,o~u -r . _ ..~..,...?r.sc.) $ fG WATER PERi`1IT (INCLUDE SURCEARGE) $ ~ C'Z) WATER METER/COFPERHORN/OUTSIDE READER $ WATER TAP (INCiUDE CORPORATION S:0?) $ SEWEF Tzn $ ~S CT "Z> ACCOUNT DEPOS IT - SEtd£R $ 0 ACCOUNT DEPOSIT - WATLR $ ~ z S « c~ WAC $ ~ '2 S SAC $ TRUNK ?VAT°R ASSESSi-tEDIT $ TRli:IK SES4ER ASSESSMENT $ LATEP.AL BENEFIT/TRUNK SESdER $ LATERAL BENEFIT/TRUNK WATER $ I ~ ~ • ~ ~ - OTHER U $ ~ L~C/ ~ Cr U TOTAL $ AP40UNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE L] NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO TfIE £OLLO:JING CONDITIONS: APPROVED BY: fqL~.~t~ TITLE: D.aTE: W t Use BLUE or BLACK Ink r For Office Use 1 "7 City of Ea~~~ I Permit # I /057-')S' I I Permit Fee: I 3830 Pilot Knob Road I 5 7 I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I i I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone: Resident/ l~l~ Aw Owner Address / City I Zip: F Applicant is: P~/ Owner Contractor Type of Work Description of work: f,(, d rC/ Construction Cost: Multi-Family Buildin : (Yes / No Company: Contact:I Contractor Address: G' City: `~~~J State:. 4L2 Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) CO LETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I 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 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 a 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 ermit; at the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exteriorwork authorized by a building permit issued in accordance with the Minnesota State ildin de mus b ompleted within 180 days of p mit issuance. X k~krl~Al 'o_ L X-" Applicant's Printed Name ppli n ignature Page 1 of 3 Use BLUE or BLACK Ink r————————————————� I For Office Use � ' � Permit#: ��,� I Cit� of �� ; � Permit Fee: 3830 Pilot Knob Road � �� 1 � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 i Staff: i 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6�}3'�� Site Address: �� o `� � ��n k css �L�.��,� Unit#: : Name: �, �� .��a��t "�-� Phone: �� l -i{�a• T �j O Residentl �.� �� _ �� , ': C?W17�1" ' Address/City/Zip: � En-,�.� sS' C.�,�.v�.�.e�� , :: Applicant is: Owner Contractor � ' .. Description of work:_�l_ �� - ��-�rl c�t�� u.s€_ � �u�a-,� Tjrpe��f 4Uork : °, Construction Cost: �� Multi-Family Building: (Yes /No ' , 7 � �� ' � -:: / , , � �,�,�� t. =' Com an �C�.v��n.'� 4 � L�,�.s �4�e � ��, p y: Contacfi �S'o�J ° �"t�a- - 31 J`� �,��c� �� ,,:: q � ' � , Address: �'a-h5`b-� ��e�an.eM �-�^ City: l._k�.ui�t CQntraCtQr . '' State: � Zip: SSO� Phone:��'�`�ps� EmaiL ''? License#: C�L. �1�i �l L� Lead Certificate#: , If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �, I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I 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: � N{)7`E":Plans�iid su�,p�t�irngr d, �,merr�fha�. ctu�u�Fi��r`��'e��r�stder�d tc�be publ��nf,orm�f�vn. ��i�c�rrs vf �.t��nfcr�matr�r��rt�'��ib��ct�'"s�'�i,�d a��a�a��r��ti�t��r��pic�Yitl�sp�cafi�r��a�c�n��t wcruld��,rt�i��h�C`r'#y tp n it u� � � i�II'' ", ' da�llllk�k ' ,:_.f ' '��s a 1 I I�r�}��i��. �F��.��r�: f��e�r�lJ�;�,,�.{�i,,�iL+�:;'�. � .�. i � 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.4opherstateonecall.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 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. � �;.,, X �_'�7)L:-�'lJ� �C�/L��G �►-� X —� �— _�,. ApplicanYs Printed Name ' n't tl ignature Page 1 of 3 � �� _ , Use BLUE or BLACK Ink ,. �------------------ � For Office Use � ` i Permit#:.� e�___�5� 1 j `�� O� �A�� Permit Fee: �d- �� 3830 Pilot Knob Road I Eagan MN 55122 j Date Received: �� j Phone:(651)675-5675 1 Staff: � 1 Fax:(651)675-5694 � � ��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � ��: ' ��`�"1 st�aad�: \��G� G� ��C��E;r r`1,e5S ` ,!Y V`� u��t#: � ' ��' � � ,� Name: ��,.�`(.��_'�Y G� �1��1 Phone: �� Address J City/Zip: ��;�(1� �� iC� � v " Applicant is: Owner � Contractor , � r 'l � � � � Description ofwork: tl� ` �%�� ' l 1 ��V�; ��'� 1 ��'II'�� , � ,l. \� � `� �` � ��s l l�'1^�-- � r�--� '�-- , t �, Construction Cost:� � �� Multi-Family Buildn�:(Yes /No Y) , �( = y $ Com an� ,�,,,��`tc. � � C ��.'� ��L�� r �aata�t. �1�.%� �.' �'� � • ` � P ,:,� �� - � � l �'t��"�� ` Address:��L;� � �, �� .�,�� C� �� City: ��,!',��" �'1��/�`t�� . ,_ ,, \ � �_. � ,1, 1� C�is-�'� , . ' ��-: State: iU �Zip: �`�`� hone:7��' ��</ EmaiL l;�i i �i�3`Z''��(��l,�/�/C�%��-�`l V�� C�i� ` y.; 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 perqnit 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: �';��`� �� ,�'��? ��►� � �� t� �a �lt�� ,��,��# � � � �� : �� oa,� �� ,:��. �: �y � �,�` � � �� : �_ ��._, CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orp I hereby acknowledge that this information is complete and accurate;that the woric will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit, but o�ly 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 vuork vuhich requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota StaJ��uilding Code m be compl within 180 ; days of permit issuance.�, � , �� ,�, � , ,, � X`�� ( j ,,�� X �� , ��,,: � ��1'�,. Applicant's Printed Name pp icant's Sign ture Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA160763 Date Issued:04/10/2020 Permit Category:ePermit Site Address: 1306 Wilderness Curve Lot:004 Block: 001 Addition: Wilderness Ponds PID:10-84275-01-040 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or 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 - Daniel L Dorgan 1306 Wilderness Curve Eagan MN 55123 (651) 295-6954 Hoyt Exteriors Inc 15112 Galaxie Avenue Apple Valley MN 55124 (651) 246-4801 Applicant/Permitee: Signature Issued By: Signature