1299 Wilderness Lane
RF~LCTIV~ ~UR DDCK OS/16/90 F---- -Y .
M 687-99~1/$87~i635 CITY OF EAGAN
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for ~ r Est. Value , f~~-! ~ Date ~~~•Y S , 19
Site Address 1_~ ti~ ;v . i.;~cl~t~~SS i~t
Lot ~i Block ~ SeGSub.~`I ~=°•~~s ~~`~Q$ OFFICE USE ONLY
Occupancy R'^~ FEES
Parcel No.
Zoning ~'1
W Name ~y.,:~; YE~Li;S(}~+ ~Actuaq Const` y~~ B~dg. Permit u0~9. QQ
~ Address : 51 '1 ~ ~ 'r,. t_ ~',"I : AVL (Albwabte~ V~N ~Z. 00
5urcharge
City Phone 431-~(lOQ # o~ stories
Length ~~i~ PlanReview ~dy•~
,o Name ' ~a~ ~a~ sac,c~ry 1~•~
~4 Address S.F.Total - SAC,MCWCC 5~g-~
~ City Phone S.F. Footprints _ 4
On Site Sewage _ Wa1er Conn 5. U ~ 00
W W Name ~ On Sde Well - Water Meter
s? Addf@SS ~ MWCC System ~
~ City Water %Lti~ Acct. Deposit ~
a W City Phone .
PRV Required _ SrW Permit i'-'
I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge 1•~~
information is correct and agree to comply with all applicable State of
Minnesota Slatutes and City of Eagan Ordinances. Treatment PI
APPROVALS (~,0 ~
Signature ot Permitee Road Unit ~
A Buiiding Permit is issued to: uLr~ ~~~'~'t - Paric Ded.
on the express condition that all work shall be done in accordance with all Council _
applicable State of Minnesota Slatutes and City of Eagan Ordinances. g~d9. pry. _ Copies
Building Official Variance - TOTAL ` , ~ ~t^ .
Permit No. PermH Holder Date Telephone #
WATER ~ •~.t~ ~-~i f~.," 'L.c~ ~~j~~.
SEW~R
PLUMBING ~ / /5`
H.V.A.C. I~~~1 - ~C ` ~~`7 I
ELECTRIC ~~''I,~ ~.6' g~- 6 -g~ ~ G'~-~
Inspsctlon Date Insp. Comments
Footings I L ~ ~ /~~i`/
Foundatfon y g QS
Framing ~ ~.S
Rootin9 8l `
Rou9h PIb9
Rough Htg.
Isul. %O
Freplace $ i S
Fnal Htg. ~
Fnal Pibg. '
Const. Meter Plbg. Inspector - Notity Plumber
Ergr./Pian
Bidg. Final ~
o~ Fi9. - 90
oecic Fina~ ~s/jo 0
Well
Pr. Disp.
. , , .
` ' ~ PERMIT # ~ ~l'
. ,
, MECHANICAL PERMIT RECEIPT # f
~ CITY OF EAGAN ' - % ~ " ~i
3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE '
CONTRACT PRICE PHONE: a54-8100 For Office Use Only:
Site Address ' ' ' ' ~-~Y-~ y' 'Y ' - BLDG. TYPE WORK DESCRIPTION
Lot Block ~ `~ec/$ub Res. 4.•~ New
, . ~ . ~ s
m Name ~ 1 -tr • Mult Add-on
~ Comm. Repair
~ Add~@SS : ~ :~r.- - -
% ~ - ~thBr
c Ciy ; ~t.--~+~ Phone .
'F ~ . :-,:.--r'-.~ . FEES
Name RES. HVAC 0-100 M BTU -$24.00
c Address ' ' - ' ' ~ ADDITIONAL 50 M BTU - 6.00
p Ciry Phone ` ~R~• HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU ' APT. BL.DGS. - COMM. RATE APPLIES
TOWNHQUSE 8~ CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.OU
STATE SURCHARGE PER PERMIT - .50
Vent CFM (AOD $.50 S/C IF PERMIT PRiCE GOES
Gas Piping Dutlets # ' BEYOND $1,000)
Other ,
FEE - ~~.r.~. . ~-Gz2_-L
SIGNATURE OF PERMITTEE
S/C:
TOTAL• FOR: CITY OF EAGAN
•r~prt',~ ' r~+~~lti.,~i.'+.'~'4'~y/~5'i,~T"'.~' ~ ~'i;"~, i
{pS. =~+M~''~'~ _ _ . '.~i:
~ • PLUMBING PERMIT For Office Use Only
. ~ CITY OF EAGAN PERMIT # ~
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE PHONE 454-8100 DATE: ~ ~
Site Addrv~s BLDG. TyP~ WORK pESCRIPTION
Lot ~ Block ~ub Res. Ne+x v
~'i~,,J ' Mult. Add-on
~ , Comm. Repair
Name ' ~ pq~~
~ Address ` ~S RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
c City Phone N FIXTURES TO~L
~ Water Closet - $3.00 t $
Name ~ Bath Tubs - $3.00 ~
c Address ' ~ L.avatory - $3.00 a ~C
~ City Phone '3 ~~r - $3.00
IGtchen Sink - $3.00
UrinaVBidet - $3.00
FEES ~Laundry Tray - $3.00 ~
COMMIIND. FEE -1% OF CONTRACT FEE Floor Drains -$1.5~
APT. B~DGS. - COMM. RATE APPLIES -7 Water Heater -$1.50
TOWNHOUSE & CONDO - RES. RATE APLLIES Whirtpool -$3.00
MINIMUM - RESIDENTIAL FEE $12.00 -~Gas Piping Oudets -$1.50 ~
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT)
STATE SURCHARGE PER PERMIT .50 Softener -$5.00
(ADD $.50 S/C PER EACH 000 OF PERMIT FEE) Well -$t0.U0
~ , Private Disp. - $10.00
i f ; Rough Openings - $1.50
SIGNATURE OF PERMITfEE PERMIT FEE: ' G~'
rr~ ~
P~ U- STATES S/C: d~~'
FOR: CITY ~F EAGAN ~`~~~~~~~/`~GRAND TOTAL: ~-U•`-~n
5
SEWER & WATER PERMIT OFFlCE USE ONLY
CITY QF EAGAN PERMIT DATE
3830 PIIOt KI10b Rd. WATER PERMIT # SQ ~ SEWER PERMIT ~
P.O. BOX 21199 METER 7~~
y~ B.P. RECEIPT ~ ~ 2776
Eagan, MN 55121 /(v n2 g, p_ RECEIPT DATE 7/ S/ 8;'
METER SIZE G
ISSUE DATE ~_~P _ PRV - BOOSTER PUMP
r i ' ~ ~i
~ ~ ~ _ ' ,,r.~ ~ ;
SITE ~DRESS f ~ f ~ , ~ ~ 4 ' ^ ~ PERMIT REGIUESTED
LOT ~BLOCK ~SEClSUB ~ ~ '
. . -
' ~ i ~ , , ~ ~ _ ~ ;~./~r*G'` c;~ I~'1 ~'S~EWER WATER - TAPS
APPLICANT: ~ .
ADDRESS: J ~ - - ~ _ COMAAIIND RESIDENTIAL
CITY,'.~TATE f ~ ! . , ~ ZIP ~ :
PHONE:~ " - ~ ~ NEW _ EXISTING
' • ' ~
PLUMBER: `~~U'?~ ~1~'~'~'~+~IV1~
ADDRESS: ~ ~ ~ ~ I AGREE TO COMPLY WITH CITY OF
CITY, STATE vL~~ ~L ' ~ Z~p ~ EAGAN ORDINANCES:
PHONE:
,
OWNER: ~ ~ { . `:_-s , r;-
ADDRESS: h SI TURE MI ER ISSUED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ~
ENGINEEAING DEPT. . ' ,
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE
3830 PIIOt K110b Rd. WATEA PERMIT # i~~ S~
SEWER PERMIT #
P.O. Box 21199 METER # B.P. RECEIPT 2 ~ 7 b
Eagan, MN 55121 READER # B.P. RECEIPT DATE 7~~ ~
METER SIZE
ISSUE DATE _ PRV - BOOSTER PUMP
IG~ ~ ~i~ • ~ ~ - ti.
SITE ADDRESS ~ ~ ~ I~' s_ J~ l_ PERMIT RE~IUESTED
LOT BLOCK ~SEC/SUB ! r L~ ~ ~
~ • - •
APPLICA~T: ~ ' ! ' a ~ ~EWER _ WATER - TAPS
~'t i J
ADDRESS: ` r ~ ~ _ COMMIIND _ RESIDENTIAL
CITY, 5~'ATE ~ ZIP .
PHONE: ~ ~ - ~ ~ ' } ~ - NEW _ EXISTING
;
PLUMBER: ~ ' ~ ' ~ ~ ~
ADDRESS: + ' I AGREE TO COMPLY WITH CITY OF
CIfY, STATE ' ~ ~ ~ ~ ' ' ' ' ' ; Z~p EAGAN OROINANCES:
PHONE:
. i . .
OWNER: ~ L ~ - r ,
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERIAITS, CONTACT
ENGINEERING DEPT.
~'.,~P y, • . ~
~ CASH RECEIPT
,
CITY QF EAGA~I
3830 PILOT KNOB ROAO
EAGAN, MINNESOTA 55122
OATE ~ / ~ 19
r~rveo r~ -
~ I ~ ~ 1
AMOUNT S ~ C_:
~ , ~:r-
^
& DOLLARS
,oo
, O CASH ~1 CHECK
?on 7 ^ I i
- . < . ,t ~ i ` \ ' i [~1
~ '
FUND 08,lECT AMOUNT
Thank You
BY r
C ' ' YYhite--PeY~ CoDY
~
~-f~ c~oy
~ ~ ~ ~ ` INSPECTI~N RECQRD Control No. ~ ;
CITY OF EAGAM PERIIAIT T1fPE:
~ 3830 Pilot Knob Road Permit Number: p~~ ~
R~1/~!EIJ~2
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: R qj~ flr; r: APPLICANT:
1199 WI1.(7ERNE'.a`_i 1.ANk tl7~tl1N BLQRS IMC
4lil bf_RNE~S PQNd~ t ~1« ) ~131-6A~16
PE~~~~L~~TY~?~lqH TYPE OF WORK: ~tT~~N~rror~
. .
Ftra~ia~, Ftan~.
~
RF.MAftKs~ Kl~EI~'Y ~ 9EpARA~'ff ~'FRM~TS~ REQUIR~Q I~I~R EL~C &~1.19~1
Permit N~o. Permk HokfBr Dst~ Tafephone ~t
S/IN
PLUMBING ~ ~'Q~.,, ,yl~~.~~
HVAC
ELECTRiC ~p~~ ~ ~ 7
ELECTRIC
Inapection Date Insp. Commsnts
Footings I
Foundat+on
Framing ~--Z,p .~Z ~
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fitepiace
~ ~~~~L
Orsat Test
Ffn81 Plbg. rJ y~ Pibg. Inspecto?- Notity Plumber
?
COR51. 11A~8f
Engr./Plan
Bldg. Flnal ~ ~ ~ ~s
Dedc Ftg.
Deck Flnal
Well
Pr. Disp.
CITY OF EAGAN N~ 16738
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454-8100
BUILDING PERMIT Receipt # C-~ ~ ~
To be used for SF DWG/GAR Est. Value $148, 000 Date JULY 5 , ig89
Site Address 1299 WILDERNESS LN
Lot 3 Block 2 Sec/Sub.~~ERNESS PONDS OFFICE USE ONLY
Occupancy R-3 M=1 FEES
Parcel No.
Zoning R=1
= Name OZMUN PEDERSON (ACtuaq Const V-N Bldg. Permit 808 _ 00
3 Address 15136 GALAXIE AVE (Allowa6le) v-N 74.00
°Oit APPLE VALLEY Phone 431-5000 xolswnes surcnarqe
Y
Langth 66' Plan Review 40 . 00
, o Name SAME Depih 44' snc, ciy 100. 00
Addf855 S.F.Total -
oa snc, rncwcc 575.00
~ City Phone S.F. Footprints -
On Siie Sewage _ ~'~'a~er Cann SRO _ 00
U~
Ww Name OnSiteWell - WaterMeler 90-00
Address n+wcc sysiem 7IX
c~i ~ Acct. DepoSit 3~•0~
<W Ci11Y Ph011B CiryWater
PRVRequired - S~WPermit Z~•~~
I hereby acknowlege that 1 have read [his applicalion antl state that the Booster Pump - S~W Surcharge 1.00
inlormation is corred and agree lo comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. 7realment PI 228.00
Signature of PermiteP ~ APPpOVALS qoad Unil ~40 _ 00
A Building Permit is issued m: OZM[JN PEDERSON Planner - park Ded.
on the ezpress condition that all work shall be done in accordance with all Council _
applicable State of Mi,/nn~e_so~ta~ Statutes and WCiry~ ofyF(agan Ordinances. BIdg.Off Copies
BuildingOHicial I~I?lAll ~D1I~l III,LI Variance - TOTAL 3.250.00
~ 2 ~'013 ~ ,~a ~ ~ ~ ~ ~
Request Data Fire No. Raugh-in Inspection
RepuiredP ? Ready Now ~AI Notity Inapeclor
~ es ? No WM1en Fe9dy7
I'~licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Bm~ or Route No.) Cfly
z U//LDe.~iv~SJ' Ld.ri~ f~6.4~~
Sectlon No. Townahip Name ar No. Reige No. Counry
n!.c/~~-~
OccvPantIPRINT) Plw~ No.
/1-~ H3 /-l~0 O
Powar 5upp/ller ~ Atltlress
fjKO ~if~- ~~7GlC. ~.~izf'/%rv~~ic~
Electnwl CqnVactw (COmpeny Neme) ConvaclorS License No.
v~e,d ~L~c~iG CU _ oy//9z-~
Maili g Fddreea (Caniractor or Ownar Making Iristallatbn)
z z s O.~rb'/~ ~r2 l~ri~f RmtQ~av~~ d~i~ s-,strd ~
AulhorizBtl Signature onlracror/Owner elting Installation) Phone Num~er
~ yZ3 ~ Y/~~
MINNESOTA STATE BOAND OF ELECTRICT' THIS INSPECTION HEQUEST WILL NOT
GrlggrNltlwey Bitlg. - floom S1]3 BE ACCEPTED 8V THE ST.4TE BOARD
1821 Unlverelry Ave., SL Peul, !IN 55101 UNLFSS PROPEfl INSPECTION FEE IS
P~ona (612) 662-08~ ENCLOSED.
Q~ 3~ RE~UEST FOR ELECTRICAL INSPECTION y ee-0oooia~
'A/' ? Sae insWaions for completirg Ihis form on back oF yellow copy. G?~ P;/
/J O 50
~ 2 0 013 X" Below Work Covered by This Request
ew Add Rep. TypaofBuilding AppliancesWiretl EquipmemWired
Home Range . Temporary Service
Duplex Water Heater Electric Heating
Ap[ Building Dryer Other (Specify)
Comm.Andustrial Furnace
Farm Air Contlitioner
Olher (speciy) CanVactor9 Remaiks:
Compute Inspection Fee Below: S'V~~ ~qM 4. ,S'C
# Other Fee # ServiceEnVanceSize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps , JJ 0 to 100 Amps ,f(p~io-
Transformers Above 200 _ Amps Abov 0_ Amps
SignS Inspeclor§ Use Onty: TOTAL
Irrigation Booms "~/.s'~
Special Inspection
Alarm/Communication
O[her Fee ~
I, the Electrical Inspector, hereby Raugh-in %i ;pa 2
certifythattheaboveinspectionhas Fnal J
Da
been made. ~ b„"~ - 6.~~-
OFFICE USE ONLY ? ~
This requesl voitl 18 mont~s from
BLDG. PERMIT NO. ~ ~ ~
`_oi- 3~ t c U~z_ Z L~~~ Ic~c,~~~ ~'nc~
01-3210 Bldg. Permit ~r'
01-3422 Plan Check ~
~ JL
J, 013445 Surch./Adm.
~ ' 01-3446 SAC/Adm. J / J
`01-2155 Surcharge ~ 3 ~
75-3860 Road Unit O G~
C 20-2275 SAC 5[c-`i ~ S
~ 20-3865 Water Conn. J`~^ n
1 20-3868 Water Trmt. ~a~
~ 20-3716 Water Meter U
20-2252 Acct. Dep. ~1 n n~)
20-3713 Water Permit ~ ~ ~G
~ 20-3743 Sewer Permit J D UC~
79-3866 Sewer Conn. ~ t~ n~'
28-3855 Park Ded.
TOTAL :7, ,~Su C~~
j~~ 9g /-?ic~I2.~,i~S' ~z;~~: ; a,~,N,-r- a~~
FROM :BINDER HEATING~-"'-------~ ~ FFIX NO. :6514577116 Fe6. 13 2007 01~S1PM P3
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ALL UN7 LII~~R I~ISERT SP~ECIFICA710NS
~ ; ; ~ f
BSLDBHSLD UNER "H° in inuMb ~ in,bic~bes Habgqn lighting. ~'his model not.available
with h~at lamps. ~ ~ ~ ; ; I
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Mod~l i~Yro Yelk: ' NI ~'RP~! • 5ae I
6100 a PoW 11S ~ 1• 60 , 450 Y88 270 ~ 210 6' (a ~ i
5wdad I M 60 , 900 i72 + ~ A' a !
s i i
~Note: Add .5 am9 tor eae~ Oalogen bU~b. E4uiva GFM refels tolthe f8ct tlu~ th9 MeHUiLw~9 bbnet Wes~terll~ifi9N flkmGue~ unRs. wherea8 Otl~era usai
~ canve++tbnal frhers- /Wqb th~a aultleime whan irt9 Elo~rer Mntlal metla GY othN manut;ahaere~ HnBd'n wreiW~ES WM fluoresuM Gqfit {1 Tar each sb+9~ or
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1989 BITILDIBG YERMITT AFPLICATION
CTTY OF EAGAN
1~.~3$
SINGLE F9MILY DfiELLIAGS !lDLTIPLS DYIELLINGS COl~SERCIAL
2 SETS OF PLANS 2 36TS OF PLAN3 2 SETS OF dRCHTfECTURAL
EEGISTERED SITE 3DR9EYS BEGISTSRfiA SIlE 3Q[1VEY3 - 8 STROCTORAL PLANS
1 SET OF EAEAGY ClLCS. (CHECg i1ITH BLDG DIP.) 1 SET OF SPECIFIC9TIONS
~ 1 3ET OF ENERGY CALC4. 1 3ET OF ENERCY CALCS.
MJLTIPLE DWELLINGS AENT$L UNIT3 FOR SALB ~iTS U9IYS
BOTEs iDDAESSFS FOR CDRIQER LOT3 - CORTRACTOR/HOl+~Qi~ASR I~S"f DF.4IGNA?E IiHICH 1DDRESS
IS DFSIAED. AO CHANGES SiILL BE lLLOiiED ONCE BiIILDING PERMIT I3 ISSOSD.~
SEWER d~ 6iATBR PERMIT FEFS AND ?CCOtRiT DfiP03IT F6B3 iIILL BE IACLUDED WTTH THE BOILDINf3
PEE~lIT FEE. P80CESSING YITIE FOk 38WER bAD BATEA PEI~IITS I3 TWO DIYS ~CE A PEAMTT S6S
BEEN CAh~LET~D IRDICaTIAG A LICEN3ED PL17l~BR.
PENALTY APPLIES HHENt PERMIT IS NOT PAID FOR IN 36ME hlONTH IT IS REQUESTED.
LOT C81NGE I3 REQIIESTED ONCE PERMIT IS ISSIIED.
dUN 27 1989
To Be Used For: ~ Valuation: 4 Date: UVI~° 2~ 1
Site Address ~7~ I,l~ I ~ ~Vl ~~L° 4FFICE USS ON[.Y
Lot J Bloek ~ Oceupancy R~ M-~ FEFS
r~1-~j Zoning
Pareel/Subl,Uf~/"~~Q(I~~~ 1'fj~s Aetual Const ~ Bldg. Permit
~r Allovable V- N 3urcharge ~
Oimer ~~`~'V1 ~~1/~ ! of stories Plan Reniew y oc7
Length SAC, City oo ~
Address Depth 4y' SAC, MWCC ~.oJ
S.F. Total Water Conn ~ 0,0~
City/Zip Code Footprint S.F. Water Meter O W
Aeet. Deposit 3o,a~
Phone On site aewage S/H Permit Zo,oo
~1 On site re12 5/N Sureharge f~oo
Contractor~_/7WtU~1 MWCC Syatem ii Treatment Pl. Z2 a~
2~/_ City water ? Road Unit P.~~
Address ~U r~Xl ~ PRV required _ Park Ded.
~ I~ Booster Pump _ Copies
Citq/Zip Code ~ s~TOT~-
~ lPPR0VAI.S Penalty
Phon~~12~ ~~~r~ Planner TOTAI.
Council ~
Arch./Engr. Bldg. Off. C~'p s~ v"
Variance
Address
City/Zip Code
Phone ~
s VALUAT~o~1 ~3 ' °
,
G.4Ras~E
~oxi2= atio R.
x afl= yud P-
-f '~„a,;s~ r
L~ ~so X~S = I D ZOt~
g~'+~T,
a ~ X o = ~65sa
f 2 tiC _ `3~f
3y X 4 = 136
~ X~= ~o
b~X `
I ZZo ni4: l~c~go
I s~ F~~4~.
~
BSmT = ) Z~
12X~ = ~ ~
+ 23Z~C.~t'a = ~ / ~oo
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.
~2X ~fl'~= ~d4rp ~ 808•OU+
~ X 2.0 ; ~a ~lJ~ . @,, `%4•00+
~ t~04 • 00+
i
~X (,v, G ~ 1~9G4•U0+
~ ~ ~ ~ ~J ~3,250•UU~
X
~ 2t~ 5 ~ ~D ao~3•oU+
~ 7a~t1U+
~2c~ - a~ 404•OU+
1 I~(O x.~~=SS~~~ 1 ~~Q[~•uU+
~izso•uu:~
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, , . , _ . . _ . _ _ _ : . . . . _ . . ~ .
Qert3ticate~;For:Ozmun.-Peder.sony,Inc ~~~;Bo~R page , =:'Y
DELMAR H. SCHWANZ
L~NO SURVEYONS,INC. ,
FpiN~rM VnE~r l~w~ a17M ShN ot MinnqOt~ .
14750 SOUTH ROBERT TRAII ROSEMOUNT, M~NNESOTA 55088 812/423-1789 ~
SURVEYOR'S CERTIFICATE
, io~.oo -N 89°zz~o7~~E
5 I\~ -
S~ ~oT ; ~5 w
~ I . Scale : 1 Inch = 30 Feet
~ B I_ O~C_- 4t ~ , O
~ ~1.93~ _ 39.5z_-i O
_m ~ ~ _ Zo - ~ N
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, _m ° P,c~oOr~C-~
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~Zq.a 52.04
_o EASr ~
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-
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w~~oERN~ss ~~N~ ~o~!~-
EAGAIV ENGINLE~i~)~ ~,?,.t,'p .
i
Description: . ~ ~
Lot 3, 81ock 2, WII1~Eiu7ESS PDaInS AoDITION, according to the recorded plat thereof,
Dakota County, Minnesota.
+ , \.o~O~~gO,~~I~ ~ 15uO,,-'~~,
I hereDy eertify thM ihi~ furvey. D~en, o~ ~eport weS ~~0•~'~ ~~JJ
prepered Oy me or under my direetluperviliOn and a S~Lr~ ~••:y~t
i
t~et I am e duly Regi6le/ed Lentl Survayor under S ~ DELMAR H. • _
the lews ot tne Sun ot Minrresote. _ . SCHy1/ANZ : r
6'27' - 8525 - i T Delmer H. ScMvanz
Minneaota Replstret~on No. 8825
Deted • .
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Ozmun - Pederson, Incorporated ~
. . . - Avera p "U",Cb putation
Job Site Addresa ~ ~ ( ~ D~ `~n
Legal Description: -
• Lot
~ Block ~ Additi.on~_IQ(,`~"{~~j OV~ Date ~'2~Y~
AVERAGE LINEAL FEET OF •
EXPOSED WALL AREA ABOVE GRADE
Main Level '
Lineal'£t of framed wall above qrade~ height of wall~=I~~2
Second leveT
Lineal ft of~framed wall above grade~~2x height of wall~= ~2~(p
Vaulted AYea
Lineal ft of Pramed wall ahove grade O x height of wall O
Rim Joist Ar~a.
~Lineal tt qf rim ~J~~x height of rfm~_= ~j~(Q
Lower level •
Lineal ft of framed wall above grade 2J~ xheight of wall ~J'~_ (p~
. Lineal ft oE framed wall above grade~x height of wall
Lineal ft oE.masonry wall above grade x hgt,~boVe>gr~de~=~'
Tptal ~uall •ar.ea .above grade including windows and doors o~J ~j
WINDOWS: Srand and Type T'1_..° (/~i~'
Area x "U" value
~ 2'2 ~I' ~~1sq.ft. Z--~~ x~~~~~ 4 ~ 35
~ _ ~
~TSq.ft. X m 2p~3
,J_ . 2 -~C~sq.Et.---L__X ~~ti~~ _ ~ 23
_ /n ~is~~rh i ~ ~ q.ft. 2-•C> x ~~ti~~
Z S~ , sq.ft. X
; 2 sq.ft.--~X ~~U~~ a i~(P
~ . 'l~ _sq.ft. 2~ X ~
, sq.ft. X ~~U~~ ~
• sq.Et. X ~
sq.ft. X _
~ , sq.ft. X
• sq.ft. X ~~ti~~ _
sq.ft. X
' . ' sq.ft.. X ~~U~~ _
. DOORS : ~rea • ~ v lue ~ ~ ~ ~ 2`l
~ ~I t I sq.ft_ ?~~~~'j x~~U~~ ,-r ~
e r~ ~ ~u sq.ft ~,3 ,X ,3 _ ~
. r~ z~.P sq.ft._ 2 q~ X~~~~~~= Z~
3Q.ft. x uVu a
OPAQUE WAI,L •CQNSTRUCTION:, Area x"U" va uI~
e - ~
Framing members ~ sq. f t 2 ~,(p X~~ U~~ ,D~ 2(~c~j
Framed wall ~
Rim Joist Area s q, ft 23~ (p ~_x,. " U".O
, Masonry wall . sq.ft
12`7 x"U"~="-
,~y~
. ' ~ ~ • ~~7 ~$-2, , p~
Total wall area including '
. Windows and Doors a, ~ ~2~ b 2~~ ~
Ir
Total(U) V~lues , b. ~j•5`) = Avg. "U" ' ~,~2
Divided .by~ tota wal area a. 31 ~~j
i AVERAGE "U° Minimum .ll.or less,for 1& 2 tamily dwellinqs
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PERMIT ' ~°n o~ g 7
- CITY Of EAGAN '
3830 Pilot Knob Road PERMIT TYPE: Bui~DiN~
Eagan, Minnesota 55123 Permit Number: 000367
(612) 681-4675 Date Issued: 0 4/ 2 8/ 9 2
SITE ADDRESS:
1299 WILDERNESS LANE
LOT: 3 BLOCK: 2
WILOERNESS PONDS
DESCRIPTION:
Bu3.ldirtt~.~Permit Type BASEMEN7 FIN25H
~ui.~dLrag ~qrk Type ALiERATIOM
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REMARKS:
RECEIpT N C(,~~~j~I~ S£PARA7E PERMITS REQUIRED FOR ELEC &.PLBG
FEE SUMMARY:
Base Fee ¢36.00
Surcharge 3.50
Total Fee g.35.50.....
CONTRACTOR: - APPlicant - ST. ?.~c. OWNER:
02MUM BLDRS INC 14315000 0001044 CARTSON KEITH
15136 ~ALAXIE AVE 1299 WIIDERNESS LANE
APPLE VALLEY MN 55124 EAOAN MN
(612} q31-5000 {612)
I hereby acknowledge that T have read this app~ication an-d state that the
infiormatian is correct and egree to comp~y with a11 applicable 5tate of Mn.
Statutes and City of Eaga~ Qrd'inances.
~ _
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APPLICANT/PE ITEE SIGNATURE ISSU~BY: SIGNATUqE
INSPECTION RECORD p 2 g 7
CITYOF EAGAN PERMITTYPE: eui~oiN~. ,
3830 Pilot Knob Road Permit Number: 00036T ~
Eagan, Minnesota 55123 Date Issued: 0 4/ Z$/ 9 Z
(612)681-4675
SITEADDRESS: ~or: 3 s~ocK: 2 APPLICANT:
1299 WIlOERNESS LANE OZ19UN BLORS INC
WILDERHESS PONDS (612) 431-5009
PERMIT SUBTYPE: TYPE OF WORK:
BASEOOENT FINTSH ALTERATION
. .
FRAPIIN6 FINAL
REMARKS: RECEIPT 9 SEPARATE PERMITS REQUIRED FOR ELEC & PLBG.
~ !
~ -
PERMIT ~ CITY OF E~~'iAN .
199~ ~~lL~~~~IG PERNB~T ~1~PLICATION
, 5~1-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
!specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date ~ / ~-3- / ~ Valuation of work l~0 ~
Site Address: L~ ~-~~i:~~~
~ STREET ' STE N
Tenant Name: .~-~f1,
LOT .J BLOCK ~ SUBO. UJII.AE~RI3~aR, ADNDS P.1.D. •
Descri tion of work: SN/ L~1h9~.NT'
The applicant is: ? Owner Contractor ? Other (Deseribe)
Name a~s-.~ Phone
property ~~ST FIRSi
Owner pddress ~a~g
~ ~STREET ' ~ STE R
Cit C'~-sr~~~ State ~j~7- Zip
y
Company ~ - ~ --G%~ Phone / - •-r'o a ~
C011t1'BCtOP Address ~ /<3C License ~ODO/Ovy Exp,3 .3/ .3
City L~~ ~ State - Zip ,<~S~ay
Company Phone
ArchitecU
Engineer Name Registration #
Address
Lity State 2ip
Sewer 8 water licensed plumber . Processing time for
sewer & water permits is two days once area as been approved.
I hereby acknowled9e that I have read this apPlication and state that the information is
correct and agree to compl ith all applicable State of Minnesota Statutes and City of
Eagan Ordinances. .
Signature of Applicant:' . ~ 4!
. vrrit.e uat un~r •
BUILDtNG PERMIT TYPE ' ~
? O1 Foundation O 05 Apt. Bldg 09 Basement nish--' ? 13 Public Fac.
? 02 5f Dwg. O 06 Garage/Accessory 10 Swim Pool ? 14 Agricultural
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 15 Miscellaneous
? 04 Multi-fam. T.H. ? 08 Deck ? 12 Comn./Ind.
WORK TYPE
3I
New ? 34 Repair p 37 Demalish
dition ? 35 Tenant Finish O 99 Undefined
? 33 Alterations . ? 36 Move -
GENERAL INFORMATION
Lonst. (Actual) Basement sq, ft. MWCC System
(A1Towable) lst F1. sq. ft. City Water
UBC Occupancy ~ 2nd F1. sq. ft.. PRV Required
Zoning Sq, Ft. total Booster Pump
~ of Stories Footprint Sq. ft. Fire Sprinkler ,
Length On-site well Census'Code
Depth On-site sewage SAC Code
APPROVALS
Planning Buildingt-~',' z~- Assessments
Engineering Yariance
RE~UIRED INSPECTIONS
? Site ? Footing ? Insulation
? Wallboard ? Draintile ? Fireplace
Permit Fee w?~c;~: s
Surcharge
Plan Review
License
MWCC SAC
City SAC
Hater Conn.
Water Meter
Acct. Deposit
5/W Permit
5/W Surcharge
Treatment P1.
Road UniL
Park Ded.
Trails Ded.
Copies
Other
Total: q , ~L
SAC %
SAC Units
~t'X.'~','•'T(i,''7:}:%d ~>k~:~:Y,i>,".?'6AY>'Fk';?;t?kik:Y):i%k~Fi'nYd`l~~'M)'(•iY','S~YcS:<Y,<7k~'t
C:CI-Y OP I~:(3GFaN
f::4~iH:t:[rFi ~ JS TG:RiiINFlI.. t~!U: i 64
UA'iE:: ' 03/D:L~00 7Ti4f:~;: i.4e49a59
IDe
N~i~fE: I(I~ CriI;:LSON thC~
3ci.ii 5)001. '1':39 I~JLL4TFi1~SS L.. `i93.. i;
3~i~??_ ~00:1. l.i:?.`~.`) I+I.I_I~cfii~fiCi l_ 3?5.~4
ci.`.'ii `.?GrJ:L 1.299 WL.L+E:I"cNSS I_ 2i?..`'.i4
a
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~_ata:t rtci~ei~~i; Ar~~ci~..r+i;a ].,OUf_'„19
CR1r 4:.'.I.£i
I.i.'.,F_:~: ILi. JAN
~:ioy":•;,;;>k?,;:~r„a::s>k~k;Xak~F~k?:c;'.,.k;%k~k•;,;X~~7,«~}:g;, „m;F;X:~%ch
.ia
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? ' ' aTr oF eaGnn
3830 PILOT KNOB RD - 56122 U U~•~ ~ \
3 Cl ~ ~ ~ 651-887-4875 ~ j
HeW ca,sm~cxa,rteau~ren,enh eenwae~~Raooi~ Re~r~n_I ~-.~-`~-U v
? 3 ropl~terod tlte wrveys ftwwinp ~q. K of bt, tq. R. ol house 2 copies ol plan
and ~ rooletl areas [20% mmAmum lof covemae atbwedl 1 sef ol enerpy codcWaHOns tor hea~ed addiHOns
D 4 eoplet of PWm (slaw bamn A wlndow d:es~ D~+red htd. dasipn; e1CJ 1 ~Ife surveY tar exoerbr adtAHOne a decW
D 1 tet W aneryy CdcWalims
D S coples of tree presanaMOn pl~ H bf pbMetl atror 7/i/9~
DATE: o( - d~- I~ h O CONSiItUCTION C05f: 6~
DESCRIPTION OF WORK: ~~~~1 "lu ?~eJ ~~I e Vl C~ ~`f 5~-~~1
srr~~r ,~na~ss: ?~`i `I l.J ~ I~ P~'r~ s~5 Lc~~
LOT: ~ BLOCK: ~IBD./P.I.D. M: e ~ 4'\ t/~-~ 4 Ci L'~(~~.7 ~
Name: ~ ~ I~~C~YI 1 ( ~ Phone ~O-' ~ ~ / '
PROPERTY tast Flm
OWNER Sheet Address: ~ ~ c~ ~ ~ I a e ?~SS ~In ~
CMy ~ I/V State: r"~'v Zip: ~~a ~i
. Company: / Phone ffi:
(area code)
COMRACTOR
Sheei Address: llcense 9 Exp.
Clfy Sfate: Lp:
ARCHIiECT/
ENGINEER Company: Name:
Telephone ( )
Sheei Address: ReglshaHon ~I:
Cify State: Lp:
Sewer/water licensed plumber (H ir~stallina sawer/waterl: Ptane
I Fij~reby xknowledpe ttat I have read Mis aPP~ioaHon~ slate thaf the IMomwlbn is conecf. and a~ee fo eomply wHh aB app6cable S~ate
of nAlnnesota Stalutes cnd CMy of Eopan Ordinances. //yy
' ~ Signalure of Applkanh Q ~ ~ ~d'~~~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No '
Tree Preservation Plan ReCeived _ Yes _ No _ Not Required 3
OFFICE USE ONLY
.y 1
BUILDING PERMIT SUBTYPES
~ 01 FoundaUon ? 07 OS-plex 0 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext Alt - Muid
02 SF Dwelling O 08 O6-p~x ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
O 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Poroh (screened) O 36 Muld
O 04 02-piex O 10 OS-plex ~ 79 Lower Level ? 24 Storm Damage
O 05 03plax ? 11 10-plex Pibp Yor_N O 25 Miscellaneous
O O6 04-plex p 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
O 31 New ~ 36 Move Bldg. O 43 Reroof
~ 32 Addition O 37 Demolish (Bldg)' ? 44 Siding
? 33 Aiteration O 38 Demolish (Interior) O 45 Fire Repair
O 34 Repair O 42 Demolish (Foundation) O 46 Windows/Doors
' Give PCA handout to applicant for demolition pertnit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) ~ Basement sq. ft. Census Code 3
(Allowable) N Main level sq. fl. MC/ES System
UBC Occupancy ~~F~ sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee
~ ~ '''-1 Vaiuation: $ ~ I L7 ~
Surcharge ~'~-.~Z;
Plan Review ?~S~ S. ~t yp ~ ~ c _ / ~
License ~7 ~
MC/ES SAC 3 o y
c~~y sac !">'1 /~~>v ~ 7~ ~ S % = ~
Water Conn.
Water Meter I ~ ~
Acct. Deposit /
S/W Permit ~•r' i
S/W Surcharge p~
Treatment PI.
Park Ded. •
Trails Ded. ~
Other
Copies
Tota~: I U ~.1 `~j
SAC Units
% SAC
.
I~1Check COMPLIANCE REPORT
Minnesota Energy Code Permit #
MNCheck Software Version 2.0
Minnesota Department of Public Senrice
1-612-296-5175 1-80d-657-3710 Checked by/Date
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 2-5-2000
DATE OF PLANS: 2-4-00
TITLE:
PROSECT INFORMATION:
Carlson Addition
COMPANY INFORMATION:
Dick's Construction
NOTES:
Energy calc. for addition only
COMPLIANCE: PASSES
Required UA = 150
Your Home = 131
Area or Insul Sheath Glazing/Door
Perimeter R-Value R-Value U-Value UA
CEILINGS: Raised Truss 583 40.0 O.d 14
WALLS: Wood Frame, 16~~ O.C. 877 19.0 0.6 4$
GLAZING: Windows or poors 106 0.350 37
DOORS 20 0.350 7
FLOORS: Over Outside Air 44 24.0 2
SSMT: 3.5' ht/3.0' bg/3.5' insul. 91 10.0 ~
BSMT: 8.0' ht/7.5' bg/8.0' insul. 304 11.D 16
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building
has been designed to meet the requirements of the Minnesota Energy Code.
Builder/Designer ~~'~_r-.~ Date ~ ~
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: Ozmun - Pederson, Incorporated
~ Custom Homes and Remodeling
Apple Valley, MN 431•5000
FOR:
K~. ?~r N Z~ C H l~ ~~-~}~-r"r..F-.:~ CAFr L`.~c~n.t
Lor 3; 8 ~ac~K 1n~ !l,DEK-NE55 PoHu% A Dn ITio~/
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iv~a MEcBaxic.~. r~rr ~xssIDExTrai.~
CITY OF EAGAN
3830 PILOT KNOB RD
F~ ~~~rr EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
___.____________~___w_________w~W_~~_.._~w__w_____ ~~_______.__w...._.
~A4..'vlr' ~b~~b`y~+~/~/fj.-L/..,EGY/SB'~y,~'~/.
NEW CONSTR fCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE ~~/~i
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OLTTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExIS'rII~iG CONS'rRUCi'ioN) $ 20.00
STATE SURCHARGE .50
TOTAL ,Z o.30
srrE .~D~ss: i~. p 9 ~,/,~~.~.?~r~~z
OWNER NAME:_~ L,Aa2L~i~? TELEPHONE 5~~/
INSTALLER:~,/~ii?2,~.iL /~G
ADDRESS: _ /~.T~ J'~'.~,,,~,1~
CiTY: ~~Z~I,mW STATE: /yi~/ ZIP CODE: .T %z L
TELEPHONE Y,?"2 - 2/~S
~ 9 % -
~j ~ ' S F ITTEE
~::~9~;=i~~; .
:,::tE%t:.~?y"'"t~'~t :::~t:4:m..:cgyM:. y .5,:,~ r..r..y..~~,..riY.~s.x.:..c~.r 4:j::S,~<3auY.E:i . 3:g"g':":%"..~hr.: d~3~ ~<aw ~
~~,?;i~~~.;sI:YLNrs ~i~'N~rf €a~1'~;k`~ ~i3~3~'~AyF~'~~'~'~>~~£°~3~~~~~~~c§<t~~~~~~?~M,~TO?,,,':>~ ~.~~~~~~25~'~'~,~a ¢ .
s :e ~a .r4 ~a Y. ~ $~'s g~y:~.sy~,.lr g ~ x.>y -"`z's~ # w¢" ~ .'~.~~,.~a ¢
,~~.3 aa s s. ~&~~^eY £&°bt'~ ~kfi `^'T3. ~~~~i~ao bv~do~~~ ~ ~
~~~`Sa pg3'~'~a~,a~~ e'g`~'~+„zS~3.~~'~~.~~'%~~ ~i~~"~RtsA,. ~:~,~2~~»,^m~'~a~ 9 ~a»o-.~~'.:.~~e?~:~ ~~dg ~..o
.>»~4.'z;~.. .,rx.. .3.° ~.e.ema>A ¢
1994 MECHANICAL PERMIT (COM1~~fERCIAL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4674
PLEASE COMPLETE FOR ALL COMN~RCIALdIl~iDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE: CONTRACI' PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF ~?~~';~;fi~ FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TOTAL $
STTE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (uvBROVEMEtvTS oxr.~
INSTALLER:
ADDRESS:
CITl': STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
~ S ~
~(3$
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CNECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WNICH AD~RESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
L+•~ y~~
To Be Used For; ~eC~~ Valuation: Date: ~o' U
Site Address ~~~Q W:~c~e.~» L[~ OFFICE USE ONLY
Lot 3 Block ~ FEES
Occupancy
I;~ 2oning
Parcel/Sub ~~~~hesS ~"oN~S Actual Const Bldg. Permit
r~ a~ C, ` Allowable Surcharge
Owner / t~ 4r-lSiv~ # of stories Plan Review
Length SAG, City
Address J~ ~~~~~W~+~ Ly~ Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code r 0. a~v~ fiootprint S.F. Water Meter
r Acct. Deposit
Phone ~J ~S^J``~ ~Y R~L ~Sr(' ~I "'b~J7 On site sewage_ S/W Permit
On site well _ S/W Surcharge
Contractor MWCC System _ Treatment P1.
City water _ Road Unit
Address PRV _ Park Ded.
Booster Pump _ Copies
City/Zip Code SUBTOTAL
APPROVALS - Penalty ~
Phone~ planner TOTAL
Council
Arch./Engr. Bldg. Off. 5 1L
Variance
Address
City/Zip Code
Phone #
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DELMAR H. SCHWANZ
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n.yb~«a unar 1... o~ m. sun a Y~nn..a. ,
71750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55086 0/7/421178Y
SURVEYOR'S CERTIFICATE
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WILDERNESS LANE va3 Ja~,~
. ~~GAN ENGINE~x~1,j'" E: ~..i-
Description:
Lot 3, Block 2, fiILDERNESS PONDS ADDITION, according to the recorded plat thereof,
Dakota County, Minnesota.
~ o°~~~"~~CJ{'d IE $~~,d
~Tii/'//~
\ C .
I hereDy ceAity thet t~ie survey. plan, or repoA was Y`~ •.;1~ ~
prepered Cy me or undsr my direct supervlslon and ~'~r;
` ~'•;y`
~ ~
that I am s ouly Regletered Leno Suneyor under GELMAR fi.
tne iews ol the Stats ol Minnesota. SCHyVANZ • s ~T ~
i
/ _ ~t: - IIS25 - ;Z, ~ Ds~mer H. echwms
Dated b~2~ q :"~~.v. U Mlnnssota RsplskNlon No. 8626 .
' , ' .~c ! F Fi`~~;~
~ 3 g~ CITY OF EAGAN CITY USE ONLY
PLUMBING PERMIT
SUBD._~~~ke.o~~ (y~n.o~ (612) 681-4675 RECEIPT ~'0 ~ ~
DATE
&&SIDSNTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST _ ~J o~~ REPAIR/ADD ON 15.00
ADD ON {~~~M _ SHOWER 3.00
REPAIR WATER CIASET 3.00
BATH TUB 3.00
~ n. , t ,q~ ~ - LAVATORY 3 . 00
OWNER NAME: ~~%t(;9.(f~'t/ Q~_ ' , KITCHEN SINK 3.00
I-
~
9,~ = LAUNDRY/TRAY 3.00
SITE ADDRESS: HOT TUB SPA 3.00
WATER HEATER 3.00
FIAOR DRAIN 3.00
~ ~ GAS PIPING OUT.
INSTALLER: ~ ~ _ (MINIMUM - 1) 3.00
/ ' ROUGH OPENINGS 1.50
ADDRESS: ~ _ OTHER
DoI WATER SOFTENER 5.00
CITY: ~~~~~r~'_ ZIP: ~J J~~'S _ PRIVATE DISP. 15.00
= ' ~ U.G. SPRINKLER 3.00
PHONE ~~`5 3 _ W. TURNAROUND 15.00
A ~ ' ~ STATE SURCHARGE .50
C/~~ S.SC7
SIGNATURE OF ERMITTEE TOTAL: S I
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1X OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT,FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1X $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
FOR: (SIGNATURE)
CITY OF EAGAN
~ 15i'! tc ~ 5~ ~
2ooe RESIDENTIAL PLUMBING PeRnmr aPPUCa,TioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date Gr I~ I ~ K7
Site Street Address ~a cJ ~l ~ S S Unit #
Property Owner C~ ~S ~ 6'1 Telephone )
Contractor S~~ v~~ 5 c~
~~a'~
N 5- Telephone #((pS/ ) a~ 4- 5 9
Address 7~ 2- ~ ~/~~-t _ r' ~ City J"J State Zip S~ / d
The Applicant is: _ Owner _~ontractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC Iicense Includes County fee
$ 100.D0
Per as-built $ 10.00
Alteratiflns to existing dwelling $ 50.00
~ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are instaUing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 'rf a 5/8" meter is required)
_Other
_ Water Softener _ Water Heater $ 15.00
_ new _ replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
7otal $ ~ -S~
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 only an application for a pertnit, work is not to start without a permft and work will be in
accordance with the approve lan in the event a plan is required be reviewed an approv d. '
o -a s c~ - ~
ApplicanYs rinted Name A (sanYs ignature
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
' City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete £or: singte f'amil,v dwelliugs & townhomcs/condos when permits are required for each unit
Date~/~/ V~('
Site Address f r/ l~()tl/ V! l.. Unit #
Property Owner 1 Q~ I G~ i ~l6J1~ n_JCi Telephone t! ( )
Contractor BlNDER HEATING & AC, INC
street nddress So. St. PeUI, MN 55075 ~~ty
State Zip Telephone # ( )
~ Bond Expires:
T6e Applicani is _ Owner ~Contractor _ O[her
Add-on or alteration to existing dwelling uni[ $ 30.00
furnace _Additional _Replacement _ New
air exchanger
air conditioner
heat pump L ~ ~
~ other bvlG~'i 1(Ub'~ ~rjLer~-~ans ~ o,~,s an~. ~dr
State Surcharge $ .50
Total $ ~
- I hereby apply for a Residential Mechanical Permit and acknowledge that [he information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that f understand [his is not a
permit, but onty an application for a permit, and work is not to s[art without a permiT, that the work will be in accordance with the
approved plan in the cace of work which requires a review and approval of plans. ~
7~,C~NIG~-~'cL ~'I?'?d,QX 6~t
Applicant's Printed Name ApplicanYs Signature
~ ~540.~ .
' -~yG~~ -
2006 RESIDENTIAL F.~.IILDING PERMIT APPLICAITON
City OF Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-67~Sd75 FAX # 651-675-5644
New Cans6udia~ Ren~iemeMS RertxdeUF~wir Reaunemenls Olfce Use Onlv
3reg618redsiesirveysshwringsqfl.Ofbl.sq.fl.dhouse-.ande{frodedueas 2copiesoiplansTd++n9fopfirn~s,beams.p'r.ls Cer1o55uveyRecd _Y _N
{20%manliumlalcoveragealbrtM) . lsatofEnegyCa~ulalioristarhaetadaddEOim TreePresPlenRecd _Y_N.
2copiesdplenshov~ingbeem&wiMowsaes;pourediourvltlesign,etc. lsitasurveifwadcfilorrs&ded~s TraePresftequied Y_N
1sslofEne~gYCakulafions AJAitam-indmteAonsdesepticsystem QrsiteSep~S]r~en _Y _N
3 copies d Tree Rearva~bn %a~ 7 WI platted a~ta 771A3
Rin Jdst ~etail Optiaq sekqun sheel (buil6ngs witlt 3 a less unils)
Minnegasco mechanica3 ventiiaUOn form ,~p
9~ I ' ~1~.l,Ca - ~
Aate ~ I I~_ / ~ Conetivction Cos O~Q~~?~ w.T~A
s;re aaaress ~ 9 GV/lQ+Gt~SS I~AM~ un~u~sae n
Nb~r e • A
Description of Work ~oa,+t~a A-~
77
Mulfi-Family Bldg _ Y~ N Fireplace(s) _ D _ f _ 2
PropertyOwner l~pl n~' '~"li~~l'/~!!c- CK~"/~~~ Telephone#~ ) f~79 7'~'~ _
~ Contractor /!d/v1~ ) ~ .
i Address ~f C1ty
~ Styate Zip _~g Telep6one #~j'~) ~
COMPLETE THIS AREA pNLY IF CQNSTRIiC'E[NCs A NEW BlJILQING
- Minnesota Rules 7670 CateeaN I Minnesots Rules 7672
Errergy Code Category , Residential Ventilatron Catepory t UVOitcs~eet • Naw Energy Code Worlsheet
~~~~~^~~0~~~ Submitted Su6rtritted
• Energy Ernelopa CekulaHons SubmiCed
tn ihe last ] 2 months. has the City af Eagart is:~ed a pertnii for a similar plan based on a master pla~ ~ y~ -
_ Y _ N IF yes, date arx! address of master plan: `7
Licensed Plumber Telephone ) -
Mechanical Confiactor Telepkwne # ( }
Sewer/Water Conhactor Telephone # ( )
I hereby apply for a Residential Building Pemut and aclmowledge that the informaCion is complde and accurttte;
that the work wiil be in conformance ~vith the ordinances and codes of the City of Eagan and the State of MN
Statutes; I cmderstand this is not a pernvt but only an application for a pamut, and work is not to start without a
pernut; that the work will be in accordance ~r~th the approved plan in the case of work which requires a review and
approval of plans.
~e-F-~ N-c~i ~ ~i .~.~e.~/
Applicant's Printed Name Applic ignature
Z•Id Z6ZZ-SSb[1591 ~uz'[apowaa pteuoQoW eTZ~Ot 3~"6~ ~^li
~
° DO NOT WRITE BELOR' THIS I.TNE "
Sub Tvpes
? Ot Foundation ? 07 05-plex 0 13 z6-plex ? 20 Pool ? 30 accessory Bldg
~ 02 SF ~welling ? 08 06-plex O 16 FirepWce ? 21 Poreh (3-sea.) ? 3t Ext. PJt-~Multi
Q 03 Ot ot_ plex ? 09 07-p~ex ? 17 Garage ? 72 Porch/Addn. (4-sea.) ? 33 Ext Ak- SF
? 04 02plex ? ~0 OB-plex ? 18 Deck Q 23 Porch (screen/gazebo) ~ 36 Mu3fi Misc.
? 05 0&plex ? 11 ~0-plex ? 19 LowerLevel CI 24 StortnOamage
? 06 04plex ? 12 12-plex ? 25 Miscallaneous
Work Tvoes '
? 31 New ? 35 IM Impmvement ? 38 Demolish Interior Q 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
~ 33 Att¢ration ? 37 Demalish Huilding' ? 43 Reroof ? 46 WindowslDoors
? 34 ReplacemeM 'Demolifion (Entire Bldg) -Give PCA handout to appliwnt
~BSCfiptt071: WaterDamage~_ Ves
Valuation OrV~~ Occupancy MCESSystem
PlanReview 100%or_25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Cwist Width
REQUIRED INSPECTIONS
_ Footings(aew bldg) Sheehack
_ Footings(deck) Pin1UC.0. ~
_ Footimgs (eddition) ,ZC. FiaallNo C.O.
_ Foundalion # HVAC
_ Drnin Tiie p~~
Roof Ice & Water Final pool Ftgs AirlGas Tests Final
~ ~r~~B _ Siding _ ShucoLalh _ StonaLath _Brick
F'ueplace R.I. _ Air Test _ Final _ Wi~dows
V Insulation _ Retaining Wall
7<
/
Approved By: ~i, Building Inspector
Base Fee - -
Surcharge /
Plan Re~iew ~DLIa/~ L ~ D/ C~~ Q
MC/ESSAC ~t
City SAC ~'fl !a"~ rG.
Utili[y Connection Charge
S8W Permit & Surcharge L ! ,
Treatment Plant ~~~~8.
License Search /J
Copies /7 ~j`Y"~ ~
Othet
Tobl
E'a~`~• Z6ZZ-SSb(iS9] ~uijapowab PieuoQoW eiZ~OT Si7'6Z~~nti
DATE: ~/5/89 ,
~E. 1299 ~II.LDBRN~SS LANE, L3, B2, WILDERNESS PONDS
..._xs~ Your Sewer & Water Permit for the abo~e 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
~ CAIL PUBLIC WORKS (454-5220) FOR YOUR PERMAPIENT WATER TURN ~N.
Your Sewer & Water Permit for the abo~e property cannot be campleted for the following
reasons:
~
~
Your Sewer & Water Permit for the above property has been compieted, but the meter cannot
~ be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
conflrmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN OIV PO~ICY,
Secretary, Building Inspections Dept.
DATE: ~~s~89
RE_ 1299 NILDERNESS LANE. L3. B2, MILDBRl~SB POtiDS
~ Your Sewer & Water Permit for the above property has been complsted. It will be held at the
?Ublic Warks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
~~CALL PUBLIC WaRKS (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 Permit for the above property has been campleted, but the meter cannot
~ be issued or occupancy allowed until fu~ther notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT I~PARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
_ .~,s~ ~
~ i ~ , " " _ ,
, ~
. ~ ~ ~ , ~ . . ' .
_ , "s r~gt ~ j , . ~ . ~ , ~ ! .
i
f~~r~tfir~r~~ uf ~rru~~~r~
~itp of ~a~an
~P}t~l'~tt~t# ~ ~1ttl~llt~ .~ttS~J~tftDlt
_ This Certifacate issued pursuant to the requirementr of Section 306 of the UMiform Building
Code cerlifying lhat at the time of issuance this structure was in comp~iance wiih the various
ordinances oj the City regulaung butlding co?rstrrrction ar use. For the following.•
u~ ctess~ent~oo SF DWC'~('~AR pe~;~ ~vo. 16738
oa~,~y Tya R3/N'I1 zoot~ n~m R I rya ~ VN
Owner of 8wlding ~qN Address ~ 5 ~'~f+ .Ai AxTT? AVR ~ AV
s~ia~o~Rea.~ 1299 S LANE ~;ty, L3, S2. WII~1~SS P(I~IDS
~ , ~ ~J na~: SEP~R 14' 1989
~ ~ ~ -~'w~a~rg o~aar
POST IN A CONSPICUOUS PLACE
% % f $
'A
All
%ft.ft *�_,o k EAGA
'A *t*' 110 P
N
IVIE
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 TDD: (651) 454-8535 1 FAX. (651) 675-569 NOV 1
tu q
�i t Jons(Evcityofea. an,com
— — — — — — — — — .^— ,.....^
— — — — —
For Office Use
Permit M. 1:5 _30,e
Permit Fee,
�� ell
Date Received:
Staff: 44—
L--------
2018 RESIDENTIAL BUILDING --PERW APPLICATION
Date: Site Address: \-2 Y
Unit #-.
Name: C�Qr\COQ -e CarVVYn Phone: BI
Resident/ I
Owner , Address I City I Zip: k yn
W\\ 3eg_SS L (.02\1 CA 9 Q r -a -3) 7 -
Applicant is: Owner Contractor
11041
I yv_�-
I Description of work: %-vW e
Type of Work
i
Construction Cost: Multi -Family Building: (Yes No
Company: Contact: s-�(),
Address: (.a 9�Ku��, City:
Contractor M
State:"10 Zip: Phonec(,�Z-Sn- �Zc:> Email: OKNU Q 6_\
License #: Lead Certificate #.- V44
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:
lVC►?"E: Alans and' supporting docurrrents tha#you subrrrit are considered to bs public inl4armation. Portions of the lrrfvrr�taticttt maybet
classified as non-public it you provide specific reasons that would permit the City to conclude thatY!g 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.citvofeacan.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. V
CALL BEFORE YOU RIG. 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.
p
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 C+1-1 TV" i ) b UQ_ X
Applicant's Printed Name Appliicature
DESCRIPTION
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Type of Construction
occupancy '.'j-..fZc -,-/
Code Edition 'L,9 e
Zoning 12-1
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: Ice & Water Final
Framing _ 30 Minutes 1 Hour
Fireplace: NRough in Air Test
Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
-11r- "D
Reviewed By: 7 f 2'.
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test Hood
Pool: —Footings Air/Gas Tests Final
Drain Tile
Siding: _Stucco Lath Stone Lath —Brick EFIS
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Fire Suppression: Rough In _Final
Erosion Control
Other:
Building Inspector
Page 2 of 3
DO NOT WRITE BELOW
THIS LINE
SUB TYPES
Foundation
Fireplace
Porch (3 -Season)
Exterior Alteration (Single Family)
Single Family
Garage
Porch (4 -Season)
Exterior Alteration (Multi)
Multi
Deck
Porch (Screen/Gazebo/Pergola)
Miscellaneous
01 of Plex
Lower Level
Pool
Accessory Building
WORK TYPES
New
Interior Improvement Siding
Demolish Building*
Addition
Move Building
Reroof
Demolish Interior
Alteration
T Fire Repair
I Windows
Demolish Foundation
Replace
Repair
Egress Window
Water Damage
Retaining Wall
*Demolition of entire building -
give PCA handout to applicant
DESCRIPTION
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Type of Construction
occupancy '.'j-..fZc -,-/
Code Edition 'L,9 e
Zoning 12-1
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: Ice & Water Final
Framing _ 30 Minutes 1 Hour
Fireplace: NRough in Air Test
Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
-11r- "D
Reviewed By: 7 f 2'.
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test Hood
Pool: —Footings Air/Gas Tests Final
Drain Tile
Siding: _Stucco Lath Stone Lath —Brick EFIS
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Fire Suppression: Rough In _Final
Erosion Control
Other:
Building Inspector
Page 2 of 3
For Office Use 1
FEB 02 2019
Permit#: /
EAGANPermit Fee: /?�' / J�r
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX (651)675-5694 Staff:
aoLL,Teagan.corn L .,
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date 7)( I 1 1q Site Address 129(1 L)\ /&eIS Unit 8:
...�._�..�..�.._,m_. �...:.. �, .. '
Name: IC.-Q icek (1)5-ASO-V1 Ctiski 1I � )5-ASO—V1 Phone:1 1—& -[q81
Resident/
Owner Address/City/Zip: (29. 11cteyrALS4
Applicant is: Owner XContractor
Type of Work Description of work: Sckni l flyt$v ¶Z-ttk c
Construction Cost: WO Multi-Family Building:
nn
Company: 1 "
- Contact cc1
Contractor Address: g15-Q (Q '—' a`f G City:
State:tw.Zip: 55-03-1- Phone: (25/SIP- "Email:jGr: JC>'Zrs' f'1((ewade(r ' •
License#: r �/�2a Lead Certificate#: A)4
If the project is exempt from lead certification, please explain why:
t-trt.t,Se. 6ct `1- 0. t 1
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:
i!! Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-j blic it yy sy demm mecfflc r esaons that would permit the qty 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.citvofeaaan.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. warw.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 ap• • •
x �st x
Applicant's Printed Name Applicants • e
DO NOT WRITE BELOW THIS LINE / 77C, W i lel 6---16/1 -SS 24 _ /_ "3 --1;1--IV
SUB TYPES
Foundation — Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
X Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex — Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement ^ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window — Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Occupancy at, 1 MCES System
Plan Review Code Edition 13 1.5 SAC Units
(25%_100% ) Zoning 9 City Water
ig
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction ----6.-- Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) r Final/No C.O. Required
Foundation Foundation Before Backfill k HVAC_Service Test Gas Line Air Test,Hood
Roof:_Ice&Water _Final Pool: Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath Brick_EFIS
cInsulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
—
Braced Walls Erosion Control
—
Shower Pan Other:
Reviewed By: C , Building Inspector
RESIDENTIAL FEES
Base Fee 1 t
Surcharge r t �t
Plan Review 6
MCES SAClet ,`
City SAC
Utility Connection Charge In� P,�,�i
S&W Permit&Surcharge / V '"
Treatment Plant 910
.
Copies '(711/
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154096
Date Issued:02/19/2019
Permit Category:ePermit
Site Address: 1299 Wilderness Lane
Lot:003 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-030
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Keith H Carlson
1299 Wilderness Lane
Eagan MN 55123
Spring Plumbing Llc
11473 Kenyon Ct
Blaine MN 55449
(763) 614-7963
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154367
Date Issued:03/18/2019
Permit Category:ePermit
Site Address: 1299 Wilderness Lane
Lot:003 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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: 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 -
Keith H Carlson
1299 Wilderness Lane
Eagan MN 55123
Bradach Roofing, Siding & Seamless Gutters Inc
18267 Italy Ave
Lakeville MN 55044
(952) 892-6015
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154540
Date Issued:03/29/2019
Permit Category:ePermit
Site Address: 1299 Wilderness Lane
Lot:003 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Keith H Carlson
1299 Wilderness Lane
Eagan MN 55123
(651) 687-9981
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
•
For Office Use
C
4 a r a ri ---541/ ...��+ � �+ �� �_ a Permit#: i
._„� _ RECETV�. :
....... .„„
EAGAN ` Permit Fee:70 I
MAY 14101 5-/(-f9
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginscections a@cityofeagan.com L _——
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: Cha -\c'c4 e Car\ .. Phone: (OSI" (oY 1• % 8 I
Resident! M tJ �' 1 L3
Owner Address/City/Zip: 0—CR W k,dt�r�/'�e:SS L.a.Y'V r E UIC�GF•r1r
u
Applicant is: Owner --Contractor
a
Type of Work
Description of work: sethcue.tYY7t r V�Ayc‘ . cCs. 2. ( t UJx Ciek \ WI arkOec
Construction Cost: ' OO. CSO Multi-Family Building:(Yes I No )
Company:Air Pro O(r) ChirYAr&.( 0oCQo(5 Contact: SUYVII V- Sr-,l' reu-Cia-f
Contractor r Address:)2O( 240"122 City: cam \)alts.
State:N1Qi Zip `jt 2t4 Phone:(151 as- SL-S-2-Email: chi • ' it IA s, a rv-r1• rrlr7
License#:.BC"1531 71 Lead Certificate#: N 14
If the project is exempt from lead certification,please explain why:
I
I
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:
I
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE Nam t and supporting documents you submitare considered to be ;information.. Portions of the Information may be
classified as . .<r , , - 'reasons would ; to conclude that 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.citvofaaoan.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.
CAI_t.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 approv:f plans.
iii(x St43,1e0 Truiribtex
Applicant's Printed Name Applica Itt,nature
T 7,99 A Id ie/ s S Lit. /5 s 7
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool Accessory Building
WORK TYPES
New _ Interior Improvement _ SidingT Demolish Building*
— Addition ' Move Building Reroof _ Demolish interior
Alteration Fire Repair _ Windows _ Demolish Foundation
2 Replace _ Repair $ _ Egress Window _ Water Damage
Retaining Wail *Demolition of entire building-give PCA handout to applicant
DESCRIPTION /,, 0y
Valuation 'C/�v• Occupancy ,2 ` lMCES System
Plan Review Code Edition �.11,42-0 _ SAC Units
(25%_1000/ Zoning R-‘ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction ---V1:3–
Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final 1 C.O.Required
Footings(Addition) Final 1 No C.O.Required
Foundation Foundation Before Backfill HVAC—Service Test Gas Line Air Test—Hood
Roof: Ice&Water Final Pool:_Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
C Fireplace:_Rough In Air Test " Final Siding:_Stucco Lath Stone Lath Brick—EFIS
insulation Windows
Sheathing Retaining Wall:`Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
Shower Pan I Other:
Reviewed By:' ��61 �'7-` Y� ,Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC '
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174620
Date Issued:02/08/2022
Permit Category:ePermit
Site Address: 1299 Wilderness Lane
Lot:003 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-030
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Charlotte A Carlson
1299 Wilderness Ln
Saint Paul MN 55123--281
Haferman Water Conditioning Inc
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature