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1287 Wilderness Lane I;XL3 T..CST T'i''.:~GG_I FOR?C'L::CURE TO CITY OF EAGAN rr:;+.:T~i4~:•s - 3308 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N0 vtL -Y ~ PHONE: 454-8100 - BUILDING PERMIT Receipt # ' To ba used for /CA4 Est. Value $1 5cS , UUU Date tiARClI 5 19L7 SiteAddress ~ • 1 Ls~~;"``;:'~ E,AtiE Erect ~ Occupancy x3 Lot ( Block ~ Sec/Sub. ,iILi)EkPiESS Pfj,rllS Remodel ? Zoning R1 Parcel No. - Repair ? Type of Const y Addition ? N0.3tories 4c Move ? Length 83 W Name 4~ = 1~.{ IVf;~tl.li;.~ IiLVJ Demolish ? Oepth 3 Address Int Impr. ? Sq. Ft o City i.IJF Phone 894-41 CU Install ? o Name Approrals Fees o~ $ 67i.5u ~ ¢ Address Assessment Permit ~ Ciry Phone Water & Sew. Surcharge 7 • ~fl Police Plan Review 33b.75 ~ W Name ire SAC 62 5. 0, Address ~S y5 2 5. Uu 0= K~ Eng. Water Conn. $ W City Phone Planner Water Meter 67.00 Council Road Unit S •''(1 I hereby acknowledge that I have read this application and state that the Bldg. Off. Tr. PI. 1 bu . uli information is correct and agree to comply with all applicable State of • Minnesota Statutes and City of E gan Qrdinances APC Parks ~ Var. Date Copie Signature of Permittee ~ / - Total ~ ' f , ' ` ' A Building Permit is issued to: LLS (:N-A-t!O:IE I tdC on the express condition that all work shall be done in accordance with II applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Building Official PormN Na PNmN NddK DNe TNMphom M PIuA+biny ~~1:.•'%~' ,~-f.~IfG'LC7L- 6C ~IT7 H.V.A.C.. EMetric ,?f:t-vow~ Impactbn Da% Imp. Commsnb Footlnpsl Foodnys 11 Foundatbn Framfny RooNnp Rouyh Wbp. Rauqh Hty. d ao/ 'O/ a Insul. Firoplace FMaI Mtp. ~,s0 ,6 Finsl Plbp. Bldy. Ffnal 1'C~ Cat. Occ. ?r4 Dack Flq. ;Ckq1/ t/rr ~ Dack Frmy. v w.li PcY" o l' - N - Pr. Dlap. •F ~ ;+f, ^ nwn..~~nc~•I^wiYT,@j "4F?. . !ec+s,iA 'T°;~~!'--~?,w.,r;' ;.~s..°_~Mlkt, , ~n:.r.y~a- r,:;'K . . i PLUMBING PERMIT For Office Use Only • ' CITY OF EAGAN PERMIT # ~~~h 9 CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # PRICE PHONE 4548100 DATE: Site Address B BLDG. TYPE WORK DESCRIPTION Lot /I- Block Sec/Sub Res. ,2S New Mult. Add-on Comm. Repair L Name pther Address a st ~ c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ~ --T T qS NO. FIXTURES TOTAL '75_ Water Closet - $3.00 $ Name I_ Bath Tubs - $3.00 ~ Address Lavatory - $3.00 City Phone Shower - $3.00 _I Kitchen Sink - $3.00 UrinaVBidet - $3.00 FEES Laundry Tray - $3.00 COMMJIND. FEE -1% OF CONTRACT FEE Floor Drains -$1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APLLIES Whirlpool -$3.00 MINIMUM - RESIDENTIAL FEE $12.00 ~ Gas Piping OuUets -$1.50 MINIMUM - COMM.IND./FEE $20.Q0 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener -$5.00 Well -$10.00 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) ~ Private Disp. -$10.00 Rough Operrings - $1.50 OF RMITfEE PERMIT FEE: p2/ biffNATUAE STATES S/C: .,5 v FOR: CITY OF EAGAN ~ . . Io ~n.t ~GRAND TpTAL : 1(_ ~ . f . , PERMIT q = <L' J%- " • • ' PLUMBING PERMIT RECEIPT # - ' ~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAM,-~IN 55122 DATE: CONTRACT PRICE: PHONE: 4 4=8100 ~ - Site Adoress lc2EZ [J1 R BLDG. TYPE WORK DESCRIPTION Lot `f Block ~ Sec/Sub Res. , New i Mult. Add-on ~ Name Comm ~ Repair ~ Address Other ~ 'S c Ciry' Phone RES. P . ONLY - MPLETE THE FOLLOWING: 1 N . FI#URES TOTAL Water Ctoset~3~8 $ cs I i~ S,- Name~ Bath Tubs - ~a~o 3 Addres`~ Lavato-ry-$3.00 p City •41,1/'\,Phon '24 1 c: P3 Shic4ver - $3.00 / - Ki~chen Sink - $3.00 FEES Urinal/Bidet - S3.00 COMM/IND FEE - 1% OF CONTRACT FEE Tray - $3.00 APT. BLDGS - COMM F~ATE APPLIES - ams -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES ~ -$t50 MINIMUM - RESIDENTIAL FEE $12.00 _~.Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20;00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERM17 (MINIMUM - 1 PER PERMIT) (ADD $.50 S1G IF PERMIT PRICE GOES rSoftener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 : _ • . a / 1 1~ SIGNATURE OF PERMITTEE ~ FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• 0 . . . . PERMIT # • • • ~ • • ' PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNO9 HOAD, EAGAN, MN 55121 DATE; CONTRACT PRICE ` ~ PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub _ Res. ~ New m Name ' Mult Add-on ! Address Comm. Repair c City Phone - Other NO. FIXTURES TOTAL ~ Name Water Closet - $3.00 $ ~ 3 Address Bath Tubs - $3.00 p City Phone -~L.avatory - $3.00 f Shower - $3.00 ~Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 146 OF CONTRACT FEE I Laundry Tray -$3.Q0 MINIMUM - RESIDENTIAL FEE -$10•00 ~ Floor Drains -$1.50 MINIMUM - COMM/IND FEE - 20•00 ~ Water Heater -$1.50 ' STATE SURCHARGE PER PERMIT - •50 _-Z-yyhirlpool - $3.00 (ADD $50 S/C IF PERMIT PRICE GOES I_Gas Piping Outlets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: ' STATE S/C: FOR; CITY OF EAGAN GRAND TOTAL• •~r,,._ _ PERMIT # ' ' • MECHANICAL PERMIT CITY OF EAGAN , RECEIPT # - 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: % CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Biock ~ ec/Sub Res. ~ New , ~:DRICi~:.~ON HTG & A.C., INC. Mult Add-on Name ~ D ~ Address Comm. Repair c City , Phone Other FEES ~ Name DESIGN-A-Home RES. HVAC 0-100 M BTU -$24.00 c Address Rid e F31vd. ADDITIONAL 50 M BTU - 6.00 p City Eagan Phone 394-4100 (RES. HVAC INCLUDES A!C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 145 OF CONTRACT FEE Forced Air M BTU t u APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE 8 CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Neater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 A PERMIT PRICE GOES Gas Piping Oudets # ~U BEI'OND $1 000) Other FEE: S/C: SIGNRTURE OF, PERMITTEE " TOTAL: ~ FOR: CITY OF EAGAN ! • CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 56122 DA JE~ 19 RECEIYED FROM I{ AMOUNT $ I & 40LLARS ~ Oo ? CASH CHECK FOR / ~~^r--- FUND CODE AMOUNT Thank You f3 Y White-Payers Copy Yellow-POSting Copy Pink-File Copy BLDG. PERMIT ;i0. -~S7 01-3210 Bldg. Permit 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. ~ 20-3868 Water Trmt. f20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CASH RECEIPT ~ • 1 , • ~CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 + . • DATE 19 R6C EI V BD RROM AMOUNT $ I & ooLLwRs ,oo ? CASH ? CHECK rOR FUND GODE AMOUNT Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy ~ . . . .~„r . 1 Ter#tftrttft uf (Orrupanrm titp of (tagan arpar#mrnt o# lwmg Jwpr#iun t This Certificate rssued pursuant to 1he requiremenu ojSection 306 of the Uniforns Building . • Code cerlifying that at the time of rssuance this structure was in compliance with the various ordinances oj the Cfty regulating buflding corrstruction or use. For the following: ~ Uie Closdfimuon R3 DNG/GAR ~ ~t No 13308 Occupaay Type Zaaing Disuia R1 Type Caut. v OwwrofBuddins Nii WHOLESALE LUMBER Addm 913 YANKEE DOODLE ROAD - ~ Bwlding Addm 1287 WILDERNESS LANE LDWity Lb , B2. WILDERNESS PONDS Dak: SEPTEMBER 1, 1989 J awlding ot6ad POST IN A CONSPICUOUS PLACE SENDER:' ' I also wish to receive the • Complete items 1 andlor 2 for additional services. • Complete items 3, and 4a & b. following services (for an extro • Print your name and address on the reverse of this form so fee): that we can raturn this card to you. 1, ? Addressee's Address • Attach this form to the front of ihe mailpiece, or on the back if space does not permit. , • Write "Return Receipt Requested" on the mailpiece next to 2. El Restricted Delivery the article number. Consult postmaster for fee. 3. Article Addressed to: 4a. Article Number 4b. 5ervice Tyoe ~ _C~ ~r~ ? Registered ? Insured Certified ? COD l ~ ~j ~ ~ ~,~~fQ ~t~-~ ? Express Mail E3 MRetu ercrhand eipt for ~ w 7. Da e of elivery q~- 5. Si ature (Addres ee) J ressee's Address ( nly if requested • " ~ is {~j~1) 6. Signature (Agent 3 Q 1992 PS Form 3811, October 1990 *u.s. aPO: 19e0-273-aai DOMESTIC RETURN RECEIPT r United States Postal Service ; `~~pQQ( is, ~ ~ P M ~ Official Business ~w' 7' J U H r ~s92 - PENALTY FOR PRIVATE USE, 5300 Print your name, address and ZIP Code here . , ~ 3F3.~0 Pilot Knob Road Eagan, 2dN 55122-1897 _ ~ ; j ~ y..~-- • Permit No: , . ~~3 4 ~ ~'3 Date: 5 . 4 - ? : CITY OF FAGAN S~Z~, 3830 Pi~t~t Knob`~oad Meter Na pa~ I - p,0. Box 21199 Reader No: r Eagan, MN 55121 Owner. SiteAddress: 1-~ er.:ess in e Plumber. " Conn. Chg: 5' 5 '30p~1 Zoning: Acct. Dep: 15 .0Opd _ No. of Units: Permit Fee: 1i~ OOpd )r;;pd I agree to complY with the Cit~? of Eagan Surcharge: ~upd - Tr. Plant Ordinancas. 1~n• Meter. Misc.: By " , WATER SERVICE PERMIT CITY OF EAGAN SEWER SERVICE PERMIT , 3830 PN.at Kno"oad P.O. Box`21199 PERMIT NO.: ~)-7 7 lagan, MN 55121 DATE: i Zoning: No. of Units: i Owner s Address: ~ c.er_ness o. •--s wi ernese _:a-ne '5>. Site Address: Plumber. ~authta~m T.' tr" n~ ~ . t, pc. 3-5-.7 S? S .00 Pt~ I ayree to comply with ifie City o1 Eagan Connection Charge: 1e-oopd + . Ordinances. Account Deposit: 1 Permit Fee: , 5.~~d ; 5urcharge: ~ By Misc. Charges: Date of Insp.: Total: Ingp : Date Paid: CITY OF EAGAN Permit Na ~ d~93 Dat~ 5- 4 ' 3830 Pllat Knob'Rcad Meter No: 34 7 j4KS/ / 3 SiZe; P.O. Box 211,99' Reader No: D-<~ /~T.,Q Dat~ Eagan, MN 55121 Owner. `'Sl4.n-a-}loi,iu, Iii.c. Site Address: 12 ~7 :7ilcierness Ixir.e LC~ *32 'i?:;erness 'on.r ; Plumber sozithto°,n1 ~ Conn.Chg: >7-5•'%~", : • a al ain~i;'. .,r~ ~B a,ccc Dep: " ~efore ?gg?ng ~ g: of ~ntits:, t~ 1 PermitFee: Surchargec -~t I~„q~pWly with the Gity f Eagan Tr. Plant ~ • Ordinances. . Meter r- 0 1iR~ Misc.: g , WATER SERVICE PERMIT ~ CITY OF EAGAN 0 ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 N_ 13 3 0 8 PHONE: 454-8100 BUILDING PERMIT Receipt# 7obeusedtor SF DWG/GAR Estvalue $158,000 Date MARCH 5 1987 SiteAddress 1287 WILDERNESS LANE Erect ~ Occupancy R3 Lot 6 elock Z Sac/Sub. WILDERNESS PONDS Remodel ? Zoning RI Parcel No. Repair ? Type of Const y Addition ? No. Stories oc DESIGN-A-HOME INC Move ? Length 83 w Name Demolish ? Depth 49 3 Address 12443 RIVER RIDGE BLVD Int Impr. ? Sq. Ft. ° ci», B' VILLE phone 894-4100 InsMll ? o Name Sp'ME Approvals Faes Address Assessment Permit $ 677.50 ciry Phone Water & Sew. Surcharge 79.00 Police Plan Review 338.75 ~w Name Fire SAC 625.00 Address Eng. Water Conn. 525.00 a w Ciry Phone Planner Water Meter 67.00 Council Road Unit 305.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.Ofi. Tr.PI. 180.00 information is correct and agree to comply with all applicable State of Minnesota StaWtes and ty of gan Ordinance , APC Parks L Vac Date Copies Signature of Permittee Total $2,797.25 A Builtling Permit is issued to: DE' GN-A-HOME INC on the express condition that all work shall be done in accordance with II applicab~t of Minnesot St es antl CiEagan Ordinances. Buiiding Oflicial HOUS HEATING TEST RECORD ADDRESS w~~+s---~ ppT._FLOOR QTY ~SUBURB4 OCCUPANT OWNER HEAT LO55 DATE HT~G/. INST. SOLD BY INSTALLED BY -:CLJv Elechical Wark By Gas Line By TYPE OF HEAT GA _ FA ~C_HW _STEAM _SPACE HTR. -UNIT HTR. _OTHER GAS DESIGN CONVERSION MAKE ~lllC`~~'`~,Y MAKE OF BURNER Model C<IZ~ -42 Madel Sxial i''t/4, 3•,2a Mox. BTU Raring INPUT /we~, MAKE OF FURNACE i Model f/ CONTROLS THERMOSTAT/'/Heat Plug Vent Size 3 " ValveSF/Al-"Ll KINDOFLINER CLI7-55 SIZE1~ NONE Limit ~~7 ~ Drak Hood Regularar Limit Setting Filters Size Numbsr Fan Seftin 9- Chimnay Location Inside 14- Outsida Pilot TYpe Chimney Construdion CfG4~4?; /S Pilo1 Make 4.1 Pilot Modal Ir' " / Smoke Bomb Wiring Pilof Timing Draft Test Ta 9 L.W. Cut Of4 Dou Pressure ~Lightin~gr/Inst. Prossure percent C02Date Tested Input CFHT_Percent OZ Company Tesf' ft E,l Smek Tem l/-F/ P• ~ PercenT CO Name of Tester - ~il' • ~/1lTi~YA Form 235 ~ This request voitl ~~~/~7 10 rronNs Irom D 7 4 79,L `$l 7 Requesf Odte+ I I Fire No. flouPh-in InSUer,[ion ~ ~-5-13-87 fle4uired? ReaAy Nuw>[XWill NoLfy InsOec- x$,]Yes 0Nn [ur When ReadY aLicensed Eleclrical Convactoe I hereby repuesl inspaction oi ebove ? Owner electrical work instelled at: Street Address, Box or PoaIe Na. City 1287 WILDERNESS LANE EAGAN ectmn o. Townshi0 Name or No. fl,,nge No. Counry DAKOTA OccuudntlPftlNTI DESIGN-A-HOME Phone Vq4-4100 Pawer Supplier AOdress DAKOTA ELECTRIC FARMINGTON Eleclrical Contractor ICOmpany Name) Convac~ors License No. C& M ELECTRIC, INC A-042214 MailinB AdJress (CoMractor or Owner Makine Instailation) P.O. BOX 328; LAKEVILLE, MN 55044 Auth ize Sipnature ICOnrtac r inB Installafionl Phone Number I 469-3233 MINNE TA STATE BOARD OF ELECTqICITV THIS INSPECTION NEQUEST WILL NOT Grige Wway Bldg. - Noom N-791 0E ACCEPTED BY THE STATE BOAND 1821 Universitv Ave.. St. Paul. MN 55104 UNLESS PpOPEN INSPECTION FEE IS Phone (672) 642-0600 ENCLOSED. 7 REQUEST FOR ELECTRICAL INSPECTION Es-ooooi-os y? See inslractiens lor compleling Ihis lorm on baek ot Yellow copV. h D _ 7479 "R"' Be/ow Work Covered by 7hrs Request Add xea. rvoa oi aidiame AOVlioncea WireA Equiuniant Wired evi Home Range Temporary ServiCe Duplex Water Heat¢r Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bidy. Fumace Silo Unloader Industrial 81dg. Air ConAitioner Bulk Milk Tank FdlRf th", Pen y Oiher fSpecifyl t rsr Sueci y Ot cr OThi.r ompute lnspection Fee Below N Fee ServicaEntranceSiae k Fee Feedere/5ubianders N Fex Circuits 0 to 200 Am s 0[0 30 Am s 2.0 0 tn 30 Am Above 200 qmps31 to 100 Amps 2 1 0.0 31 to 100 Am s Swinuning Pool Above 100-Amps Above 100_Amps Transformer5 Irrigation Booms Partial.'Other Fee Signs Specialinspection $ Rema~ks y 7, 5 TOTAL ~ .OG Houph-in ~ "i, the Elae he.eDY rtify il~et the aDOVe Final hes been ede. mis repuest rolE 18 monlhn trom F+~ 69A' 461, Certified Mail Receipt ~ No Insurance Coverage Provided Do not use for International Mail ~o:n«• (See Reverse) S. to~~ ~ Sir [ 8 No. a ~ °ti PO., State 8 ZIP Cotle Po ge Q .p Cetlilietl Fee Special Delivery Fea Feslricte0 Delivery Fea o Return Receipt Showing M ro Whom & Dale Delivered rn ~ ReWm Receipt Shmving Io Whom, ~ Oate. 8 PdEress of Oelivery ~ ~ TQrAI Postage ~ p & Fees m Posimark or Date M LL a5 -~d ~ a SfICN PUST1IGE SfAMPS 70 AR7ICLE 70 COVEN FIRSf CNSS POSfAGE, CERTIFIEU MAIL FEE, RNO CHAHGES FOH IINY SELECTEO OPTIONAL SERVICES isee fmnq. 1. If you wam ihis receipt postmarked, stick the gummetl s[ub to ihe nght ot the retum address leaving the receipt attached and presen[ the atlicle a[ a post oifice service windav or hantl it to yaur mral cartier (no exira charge). y d 2. It ynu tlo not want this rPCeipt postmarketl, s[ick the gummetl stu6 [o the right of the reNm q adtlress af the article, date, tletach and retain the receipl, and mail the amcle. 0 3. H you want a reWm receip[, wriffe the certified mail num6er and your name anA address on a m relum receipt caN, Porm 3811, and anach i[ lo the iront of the article by means of the gummed d ends if sDace permits. Otherwise, aftix ro the back of article. Entlorse fmnt of article HETURN c NECEIPT REGUESTED atljacent to the number. 4. If ynu wartt delivery resMCied to the adtlressee, or to an authorizetl agent oF the adtlressee, Q~ entlorse RESTBICTED DEUVEBY on the ironi of the anicle. aD ~5. Enter fees tor the services requestea in ihe appropnate spaces on the imm ot this receipt. If ~ retum receipt is requested, check the appiicable blocks in item t of Porm 3811. 6. SaVe this feceipt and p2seni it if you make inquiry. r. U.S.G.P.O. 1%a-270-153 d : 1330g, 1986 BOILDING PBIRII? APPLICATION - CITY OF SAGAN HOYS: ALL CONTRACfOHS MOSf BB LICENSSD {iITH 'YHE CITY OF EAGAB SffiGLfi F9MILY DiIELI,INGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DiiELLINGS - RffiIDENTIAL BENTAL MTS FOR SALS ONITS INCLUDE 2 SETS OF PLANS, CBRTIFICATE OF SQRVEY - CHCsCB WITH BLDG. DSPT.* 1 SET OF ENERGY CALCULATIONS COMAIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 158, po0 To Be Used For: Valuation: /$Q Q~ Date: Site Address Wl~[!(,'SS zh. OFFICS QS6 ONLY Lot _zo_ Block L;~ Erect ? Occupancy lz 3 JRemodel Zoning fZ•I Parcel/Sub ~.~r~c~rnPSS ~Ohc~3 Repair _ Type of Const ---477- Addition _ # of Stories Owner Move _ Length 83 Demolish Depth 42 Address Int.Impr. _ Sq Ft Install _ City/Zip Code Phone APPHOPALS P6ES Contraetor Tkaw - w- " 1~lt . Assessments Permit 6,77 , ~ ~Water/Sewer Sureharge Address Police Plan Review Fire SAC City/Zip Code Tk,rrgvi ,k mN Engr Water Conn S t Planner Water Meter (oT Phone 9q-LIz (~Io Council Road Unit °J~• Bldg Off Treatment P1 Ioi7. Mche/Engr. APC Parks Varianee Copies Address TOTAL ~Z S^ City/Zip Code Phone # HIOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER !lQST DESIGNATfi WHICH ADDRSSS IS DESIRED. BO CHANGFS iiII.L BE 9LLOHSD ONC6 BOILDIBG PSIH4IY IS ISSOED. oo-b 2 = G~x oz 1_ Z 1~c ol E~OBE NGiNE~ii1NG CCHSU t j PtANNE9S ond6lAH0 SiURVEYOl1S E COMPf~NY, INC. U ~ 1000 FJ~ST 146N S7REE7, BURNSVILLE. 11IHNE:OU 5S337 PH 432'300U (JOT ur,~,-,F V~(tLDC-2i.1C.SS I~c,,tDs - ~ r ~ 9 •o o in / o ~ ' S. y6.5~ o r4.tS 00 10 ~y26•'~ n.67 ~„~5E yk°° 5` (41i,41 ~yV.~~~a~ ~F 9/9 7V ~ a / y47 ~ C1 (911_9) ~ ~ ~ k\°^d p e L~T ~ ~ c~i • ~ / • ~ j~~ 1 A US A7.00 0 oe' ~ ~~92s~, penotes ex~sfir~9 e%vaf;on ~ p~~• bo (9zb,s) ~enotes propoBed e%rqf%on / ~nd~ccr7~eg urf'cice vro/n09e / 92~,ss :ToP of f''nished C~arn?e ~/ocr I hereby cartify that thia ia a t:ue and carrsct reprtaeatatioa of a traeZ of Sand a: showri and dcacribed hereon.• AQ prspared by me on this Z,,-aar of Hina. 1lea. No,~~ ~ EXTERIOR ENVELOPE AVERAGE "U" CONPUTAT1011 0:4lIER:~~Si.qr~-i~-~or-~z.+s~.c.. ~ SITE AODRE55: 12((7 WI~DI~«1~SS Ll~AJ~ CONTRACTOR: DATE: Z-3-g7 . PNONE:9q-q/OO . DE7ERM1?IE Fi0RK111G SQUARE FOOTAGE OF EACN: l. T07AL EXPOSED 61A1L AREA,,,,,,,, 3//~'(o sq ft x"U" 'll =,357~,~I 2. TOTAL ROOF/CEILING AREA,,,,,,,, sq ft x"U" •026 e 3/.g3 7. TOTAL ERPOSED IJALL AREA CALCULATIONS: Total exposed wall area above floor~7tsq ft a) Total wall wlndow area: 1:)6L 9lazed...... 29&.5 Z sq ft x "U" . + 121.,S7 glezed...... sq ft x nUu a b) Totat door area 37,0/ sq ft x"U" y9/ e) Total sltding glass door area: I~$L glazed...... ~,dD Sq. ft x~~u" .~9 = .ZO - glazed...... Sq ft X nUn e d) Total fireplace well area sq ft x"U" e) Total wall fraMing area (Average 10$).......... Z 7 y sq ft x"U" , Oo . /.4 f) Total net wall area above floor (Insulated)....... 2,0/Z,&7sq ft x"U" • = QQ,SD g) Total rim Joist area...... 205 sq ft x"0" . pe/ Tota) foundatlon srea (Exposed).........._LS~v sq ft h) Total foundatlon wtndow area 2, U0 sq ft x"U" . SS = ./O 1) Total net foundatlon area above grade........ 15-41 sQ ft x"U" ~/d ~ /S, 3• TOTAL e) thru 1) a 3~•S!c If item p; is the same as, or less than item P1, you have met the Intent oF S.A.f,. Sectlon 6000; (c) 2. . •4. TOTAL EXPOSED ROOF/CEILING LALCULAT10115: Total exposed roof/ceiling area........ /aa jj sq ft j) Total skyliaht area....... /0,0 ;sq ft x"O" k) Total roof/eellinq framtng , bZ area (Averaoc 109..)...... /ZZ sa ft x"U" ° Z.ySI - 1) Total net insulated Z~,c~ z roof/ceillnq area....... /4q(p sq ft x"U" • O ° a TOTAL J) thru 1) 28.?~ ~ IF tota) of d`h Is the same as, or less than P2, you have met the intent of S.B.C. Section 6006 (c) 1• ALTERNATE BUILDING ENVELOPE DESIC,N To utllize the total envelope system methvd, the values established by the sum of ftems d3 and F4 shall not be greater than the sum of Items HI and B2. 1. + 7.. ° 3, + 4. ° C E R T 1 F I C A T! 0 N ' I hereby certlfy that I have calculated the "U" factors and "R" values herein and that the bulldlnn here descrihed meets or exceeds the State of N(nnesota Energy f.onservation Act. i at re 2-3 97 (Date) ~ - CONSTRUCTION R VALUE 4lALL FRAMING SECTION: 1 I.nterior air film 0.69 2 . 415- 3 5y," (nches soft wood 4 25/32 sn~. r~z~ z. oL 5 _ S~vS,vi os 6 Exterior air fil m 0, 7 TOTAL R = U= I/R=~~ • ~dALL SECTION (INSULATED) 1 Intertor atr fiim 0.68 -{2 t/z" 7-4Rl'w0LL.- .5~ 3 /9.ew b ZS;2 ~/US. BKD 2.06 5 SSDSN(~ D 6 Exterior air film - O.i7 T07A1 R s 23 / U = 1/R = -oy RIH JQIST SECTION: ' 1 Interlor alr fllm 0.6$ 2 s'"zr.DsN~ /9.~ SoF7 wcoD SdP 2N5. 8/tD , 2.O(o rr~ta v l, os 6 Exterior air ~ilm 0.17 TDTA R s Z 6 A~(, u = I/a FOUNDATION SECTION: A'• 1 Interlor aIr fllm 0,68 ~'a• Z ~ „LY~l~o~YsT/PENE" ZsQ_ ' 4 Extertor air fiim Q.17 ' 4 TOTAL R = 9.~3 U a IIR - /O SLAB ON GRADE - C' ~4 •`,d ~n•~ ~i• •Q~ : A ~ta'.' •d ~ ~ a~'. > , d ,4 . Q: , , . . d 4 . q., ~ ' • ~ ~ . 4. Q,• , ~ ' • I 9• . Z..4. : 4, . , • • G : Q~~ ~ ,~'i..10~~~•~.~.~• ,4 CONSTRUCTIOP7 R VALUE CEILING SECTIOtJ (.INSUlA7E0): 1 Interior alr film 0,61 . 2 Z 7a2Yc?l- 3 ~'T$1awN.Titr~[ec yp va A 4 Exterlor air ftlm stlll) 0.61 TOTAL R ~ U a 1/R CEILINf fFRAMINf SECTION: 1 Interior air film 2 1z" G12YW/hG ys AIR VENTED 4 Intertorwa r fllm s ti11 0~ FLOW 5 311" Tnches sof[ wood TOTAI R U= 1/R= OZ CEILING SECTION (INSl1LATED): 1 ' 1 n te r I o r a i r f t 1 m 0.61 2 3 4- Extertor air film stlil Q. 1 TOTAL R = U° i/R= ~ 2 3 4 5 CEILING FRAHIPIG SECTIOFl: VENTED 2' Interior alr film 0.61 3 4 Exterior air f(lm s[ 1 0. 1 5 inehes soft wood TOTAL R = . U= 1/R= 3 4 5 : , ~;:•LL, qb-'~r ( 4 1 Inside air film fl.61 ...u.. : : ~ - Z 3 4 5 Outside air film n.17 TOTAL R = _ U= 1/R= 2/84 CITY OF EAGAN , PF, APPLICATION FOR PER~IIT , SEWER AND/OR WATER CONNECTZON - (PCEASE PRINi) 1) PP.OP~T'1!'`~ ACD?. :SS: 1..7 Y% ="I. DPSCRI?TIC.V: (LOt/Block/Su,ivisicn or Ta.% earcel I.D. NL:,xr) ~ I'r' S^==r*a. Deli:. 0_° Cc2TGiAL ;UIL:L`:G pr R-1 Si;Q.: FA"~SLY ? R-2 CUr I~z..'Y (T,,.-o L':12'TS) ? R-3 1C:,.-NV=cg (2PT= + i.::I^c) 1 L:Yi=c) ? c2-4 Ac:,ic?'_M:T/CC:SJG-tT`;I;::~I ( [7iii_S) p CCi fiEP=%I,/RE^.AII?CF'F..~r""'-. ? ~1'Ct;ST.'~iI. ? L1:STIT-L:PIC:LAL,/GGVE-2:~n1E?;r 2) A??_T~`G`T iPLEasE PRi41) N~:•~ - P~D~SS: C='=`-'. S:: ZIP: / ~ . 3) Pjt,°.Tz.,? . `,x f (PLEASc PR14),i) I FOfi CITY I15E O4LY NP.•. f4 n fl /1 n FLDRESS: PLUHBERS LICEtiSE_ ~ C ~i Activt CITY, STA'', ZIP: Espired Not of Record ' PHCNE: PLU3N'~BER LILE4SE arr initia 4) OCC-'C1PpNi/C!;T.'M _ (PIEASE PRINi) NF1~"~: ADDRF-c~S: CIT'L, S"inTE, ZIp: ~ PMVE: 5) IINbIC~,TE W!(ICH PER'•lIT IS BEItiC, Rf.C2CTE=: Can.TZm 'Io CITY SaiE.q ~ C'G'D1AIF1,^_PIGJT To CITY wpTER - ? dilIER (PLLA.,~' DFSCRIBE) 6) L",DZC:,:: C:.c.: . ? P*.-r:%SE F?OiD APPROVID pER,ti+3T FOR PICIi-UP BY G:YE OF AP.c'V E ~ PIFi'l5E :*AIi. APPROVfD PMffT T'J 1, 2. 0 4 A6oVE (Circle one) _ . _ _ ~ 7) siCZaT.-RE: , n.,~: ~~.-Y2 • ~ ~ . ~ . ~ • ~ • . . > ~ ya~ ~ . ~ ~ ~ a~~.~ ~l Clili0.l~JS i~ ri1 es l~a~ca r+s~ ~ s r isaa:a ialft.+~tAysf~ a a~! ~aE~~ FOR C I T Y US E ON;,Y PETZ`'IIT ISSUED Fv $ ny`•2---~ .°~a7~^ ~ ~ ~.._r. .S: IG~ . S2) S~:iE.p . ~I.IC~LuL. JU.o.r~.~;.~..~r^ GJ $ WATER PERPlI': (I2:CL'uDE SliRCHARGL) $ WATER METER/COPPERHORN/OUTSIDE REaD:R $ WATER TAP (INCLUDE CORPORATION STOP) 5 SE:dEQ TAP S ~S • c`-a ~r^ci::i'r :.._ocl= ACCOUNT 1]EPOSIT - GlATER WAC +S ~n 1 CS-`ZS .S a C $ ' TRliVK 4QATER ASSL55??E:;T $ TRliNK SET.•TER ASSESSbi::iT $ L;TE?.~AL BE:iEcIT/TRU`IK SE:•:ER $ LATERrIL BEVEFIT/TRUNK i'IATz'R $ f XC .C3 C) WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL ~d a? S E. $ f ~ `7 7, U e . . AbIOL:~T PAID/gEC°I?T # 71 DOES UTZLZTY CONNECTION REQUIRE EXCaVATION ZN PUBLIC RIGHT OF WAY? L, YES IF YES, THEN A"PERMIT £OR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE C7 NO ENGZNEERING DIVISION, LIST AS A CONDI- :ION. SliBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ZL TZ:LE: • DATE: ~ so i 4-ccitVoFaagan MUNICIPAL CENTER MAINTENANCE FAqLITV THOMAS EGAN 3830 PILOT KNOB ROAD 3501 COACHMAN pOINT Mayor EAGAN, MINNESOTA 55122-1897 EAGAN. MINNESOTA 55122 PHONE: (612) 681-4600 PHONE: (612) 681-4300 PATRICIA AWADA FAX: (612) 681•4612 FAX; (612) 681-4360 PAMELA McCREA TIM PAWLENTY CERTIFIED MAIL THEODORE WACHTER . CouncA Members June 25, 1992 iHOMAS HEDGES Ciry Atlminlnstrotof MR & MRS THOMAS CHEVALIER EUGEN Cv~ C'Ok ERBEKE 1287 WILDERNESS LANE EAGAN MN 55123 Re: Lot 5, Block 2, Ailderness Ponds Addition Draittage Correction & Debris Removal Dear Mr. & Mrs. Chevalier: The two property owners to the north of you have expressed concerns reqarding drainage problems and the resulting erosion and sedimentation that appear to be coming from the runoff of your lot and other properties in the Wilderness Ponds development. An inspection by City forces recently revealed that the unprotected gravel portion of your driveway located on Lot 5 needs to be regraded to ensure that the drainage is directed around the northeast corner of your house and eventually into the pond to the south of your residence. Please refer to the attached Certificate of Survey submitted with your building permit. We understand that when you constructed your access driveway, it was with the intent that it would be a common driveway for not only- your property but also Lot 5 through a future extension along the north side of your house. The area requiring regradi.ng is located on Lot 5 and,. as such, is not your responsibility and will be provided by City forces in the near future. However, a recent inspection has revealed a considerable amount of wooden debris that will be in the way of performing this corrective drainage work. Therefore, if you have any interest in salvaging any of this material, I would request that it be removed by July 6. After that time, if it still exists, the City forces will remove this material as necessary to perform the corrective grading. IAlso, we would appreciate it if you would recognize the benefits associated with maintaining the intended drainage patterns and provide a watchful eye to ensure that it remains functional as oriqinally intended. I'd like to thank you for your anticipated Icooperation and understanding in allowing the City to address this Idrainage problem by helping those who are affected by these THE LONE OAK TREE THE SYMBOL OF STRENGTH AND 6ROWTH IN OUR COMMUNITY Equal Opportunlty/AfflrmaHve Actlon Employer I 1 • Page 2 If you have any questions or concerns regarding this proposal, please feel free to contact me at your convenience. Sincerely, Thomas A. Colbert, P.E. Director of Public Works TAC/jj Attachment: Certificate of Survey Lot 6 cc: Thomas L. Hedges, City Administrator (W/O Enc.) Arnie Erhart, Superintendent of Streets/Equipment (W/Enc.) Craig Knudsen, Engineering Tech (W/Enc.) . Sya7,5 MEMO TO: FILE FROM: CRAIG E. RNUDSEN DATE: JUNE 24, 1992 SUBJECT: LOT 5, BLOCR 2, WILDERNESS PONDS FLAG LOT DRIVEiQAY Due to drainage concerns with the adjacent subdivision of Wilderness Run 3rd Addition, it is necessary to ensure the proposed driveway of Lot 5, Block 2, Wilderness Ponds is graded to ensure runoff flows to the south. This can best be done by maintaining a higher elevation along the north edge of the entire driveway and should be as a condit'on of the building permit. E. Knudsen ngineering Technician CEK/jf . A:J1eu'.-..:._ 2.~::_.? . . ~~~.w\ NCr~I.~~~kN Q I-~-m~ ~"O~~ COHSUITlli6 ENC31NEf95 fieoK b9, PA~E ~ ENGiNEft~1NG PLAN1~Efl5 ond IAHU ~11AVEYORS COM[~ANY, INC, < IO00 EAST 146c1 STRET_T, 6uFiN5VILLE, YINHESOtA 5-'37 p4i 422-3000 C~r~~Z}Z Cu~~ ~SL~'r'Ye lL(, E ~ t_~^( W 1 l~~EtZ I~l C S S t~C ~LDS o.~` ~ ~s 8a 36'A17' r~ rz.o 4z- VAS a,1l / / ~vz•e e ~v. / Zri i~ % PRD ~ / ? '-ry4 fe~` Iw p19.$ o S ~91i41 0 0- / 5a'5CvJ' Q15~i°' 90b.57 lq3:v \ c~25~J ~ ~ l~ i g r ~0f42l "7 0 ° ~ 447 , (~n.7) ~ ~ ~,~~o ~ CT I ,47 L S'Clll,E 1 =4fi co ~ ~sz6.s) Denotes P~po9ed e%vnf%on nd~co~eg d~rec'7`~'cn o~' e u r faC2 Drv lnon e 926,83 =Tr of' f'~~~isf~ed C7or~a9e cr / certfy tdeecribed ihereonue As d Prrorrect ~P red by p me s n t thii n_z a+Ycof f land as F~?,Pv19 f1-7. Hinn. Kra. No:, lGosr~ ~3Ja7 S' -10 S= RESIDENTIAL BUILDING Permit Application City Of Eagan V-N 3530 Pilot Knob Road, Eagan Mu 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New ConsWClion Reauirements RemodeVReoair Reouiremenis Offce Use Onlv 3 registered site surveys shaxing sq, tl. of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cetl ot Suney Recd (20°h maximum bt coverege allowed) 1 set of Eneigy Cakulatlons tor heated additions _ Tree Pres Plan Recd 2 copies of plan showirg beam 8 windax sizes; poured found design, etc. 1 site survey for additbns 8 decks _ Tree Pres Nol Reqd 7 set ol Eneryy CakulaUons Addjtlon - indkate ilon-sde sep6c system _ On-site Sepfic System 3 wpies of Tree Preservation Plan if lot platted after 711193 . Rim Joist Detail Options selection sheet (bldgs wilh 3 or less units DateConstructionCost ~ I SiteAddress UniUSte q Description of Work Multi-Family Bidg _ Y X N Fireplace(s) _ 0 _ 1 _ 2 Property Owner _ ~EmC Telephone # (~x) t Contrac[or --)~L)U-NU3Q Address City Ti" c State ~l Zip Telephone #ky5\) '-%q 14 ( G~4_ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission rype) Submitted Submitted • Energy Envelope Calculations Submitted n~ D ~ Licensed Plumber Telephone ~ v 13 , 770 Mechanical Contractor Telephone ~ APR 5 Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building 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 State of M1V Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permir that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. oZ- ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY . , Sub Types ? 01 Foundation C3 07 OS-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AIf - SF ? 04 02-piex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 38 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level Y 24 Storm Damage ? OB 04-plex ? 12 12-plex Pibp_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demollsh (Bldg)` 6/43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolftlon (Entire Bldg) - Gfve PCA handout to applitant 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. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Fina] _ Framing Siding Stucco S[one _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ñ ÿ îò ÿ þ ý ÿþýüý ûÿÿ üðë ÿ ê íø÷ ëíîí ù üûú ùø æ÷ à ÷û ù ø÷ ùø æ÷ öæòù û à û ïðûù Üþ üÝû ÷é ù÷á ÷Ýû÷ ÷ ú÷ êó ÷þùþ ý ó÷ó÷ þ ùêà ó÷ó ù ó÷ ê à ÷úã÷ ÷÷Ýû÷ú þó ê äëëêëêë øû üû÷ ÷þ äêâêíâ ì û ïýê ÷þõ ùôó ùù ÷ Ùàá ÷ íø÷üöÿíëîø÷ õ ù ÿ þ õöíí èîïåï ÷ú þ á÷ ùù ó÷ ÷÷ þ÷ù ùù úü óõ ü û à óÿ þ ð÷ ê ùù æ÷üþ û÷ û üþ û÷ ñ ÿ îò ÿ þ ý ÿþýüý ûÿÿ üðë ÿ ê íø÷ ëíîí ù üûú ùø æ÷ à ÷û ù ø÷ ùø æ÷ öæòù û à û ïðûù Üþ üÝû ÷é ù÷á ÷Ýû÷ ÷ ú÷ êó ÷þùþ ý ó÷ó÷ þ ùêà ó÷ó ù ó÷ ê à ÷úã÷ ÷÷Ýû÷ú þó ê äëëêëêë øû üû÷ ÷þ äêâêíâ ì û ïýê ÷þõ ùôó ùù ÷ Ùàá ÷ íø÷üöÿíëîø÷ õ ù ÿ þ õöíí èîïåï ÷ú þ á÷ ùù ó÷ ÷÷ þ÷ù ùù úü óõ ü û à óÿ þ ð÷ ê ùù æ÷üþ û÷ û üþ û÷ PERMIT City of Eagan Permit Type:Building Permit Number:EA131792 Date Issued:07/08/2015 Permit Category:ePermit Site Address: 1287 Wilderness Lane Lot:006 Block: 002 Addition: Wilderness Ponds PID:10-84275-02-060 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Thomas J Chevalier 1287 Wilderness Lane Eagan MN 55122 (651) 687-9240 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143245 Date Issued:06/08/2017 Permit Category:ePermit Site Address: 1287 Wilderness Lane Lot:006 Block: 002 Addition: Wilderness Ponds PID:10-84275-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas J Chevalier 1287 Wilderness Lane Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA146502 Date Issued:10/30/2017 Permit Category:ePermit Site Address: 1287 Wilderness Lane Lot:006 Block: 002 Addition: Wilderness Ponds PID:10-84275-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas J Chevalier 1287 Wilderness Lane Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature