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1276 Vildmark Dr111110611114/2011 08:19 FAX 6517652541 41,110 CitpfEatau 3830 Pllot Knob Road Eagan MN 55122 ( f7 f �S d Q Date Received: -;— i' Phone: (651) 675-5675 1 off: 114-1 — Fax: (651) 675.5684 2011 RESIDENTIAL �BUILDING PERMIT APPLICATION C� • 1 11 Site Address: /R71, , V,7df az- L Or. Unit 0: Name: �os'1 amfnris Phone: L/ / • 4-70- t - l a0c Address / City / Zip: IOC._ V / �(il C� Date: Carter Custom JUN 1 4 2011 gun Use BLUE or BLACK Ink Penult*' 41721 Penult Fee: <2 1L( RESIDENT OWNER TYPE OF WORK Applicant is: X Owner Contractor Description of work: d ? 4.1 h %7[�i aGldi T7 Construction Cost 7 C1 Company: 0(.1%/e/2,- �e Lt .91r4 1 00454 " 'Z Contact:0 ' CONTRACTOR )deA.._ Address: 1z1~r. u t goad city: d State• co f72L/zip: � Phone: CO• � ��� 0 g2lg' License* � 0 0 �01,6,�Lead Certificate #: .!� .. If the project is exempt,from lead certification, please explain why: (see Page 3 for additional information) Multi -Family Building: (Yes / No Z COMPLETE THIS AREA ONLY IF CONSTRUCTING A Lim BUILDING In the last 12 months, has the City of Eagan Issued a permit for a similar pian 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: 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 utirdies. www. cloctherstateonecall.ora 1 hereby acknowledge that this Information Is complete and accurate; that the work wail be in conformance vAtti the ordinances and codes of the City or Eagan; that t understand this Is not a permmit, but only an application for a peri; and work is not to start without a permit: that the work will be in accordance with the approved plan In the carte of work which requires a review and approval of plans. P Applicanl5fPrinied Nacre nfs Signature Page 4of$ For Office Use ,�i i i ra Permit#: /5..../ . 7)D 0 EAGAN � 0 Permit Fee: /C..5" `7 ,,► Date Received: 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651)675-56751 TDD: (651)454-85351 FAX: (651)675-5694 Staff: buildinginspectionsCcr7,citvofeacian.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4 i/ 6 Site Address: C6 i _A u,■ -rt e�� Unit#: Name: % C11 Phone: 61)14. 7)2--, Resident! // Owner Address/City/Zip: 1.2-7/7t 1d i �� Pr/ den r )k/(/V/ 5c12-3 i i Applicant is: Owner Contractor i Description of work: P-erLc Root • Type of Work Construction Cost: Aga Multi-Family Building: (Yes /No ) ( Company: Contact: Contractor Address: City: State: Zip: Phone: Email: .....' License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: • Phone: i 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-®ublic if ®u rovide s®ecific reasons that would ®emit the Cit 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.cityofeauan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. bAppj-11icnt'Printed N me Applicant's Signature PP 9 SUB TYPES Foundation Fireplace )( Single Family Garage Multi Deck 01 of Plex _ Lower Level Accessory Building DO NOT WRITE BELOW THIS LINE WORK TYPES New / _ Interior Improvement Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ Pool Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous (9 0f f76 'tn-�'& pyle7 (trky, / 17% -7 4 Addition / Move Building Alteration ' Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation 7, S' 0 Plan Review (( (25%_ 100% )6) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile x Roof: X Ice & Water X Final yFraming L Fireplace: _Rough In Insulation x, Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant 04/,,.,00 7 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests Siding: _Stucco Lath _Stone Lath Air Test Final Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copiesf26An, o 0 TOTAL id o (VP"' Ifs'- 7 / " �~y r 17- Vovoilr Page 2 of 3 C!tyofEaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN 6 2011 C(E�{ rr754 Use BLUE or BLACK Ink Permits: 9 Permit Fee: $9a C�.J Date Receiived: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t# II /J j Site Address: 12 7 io 'lei VV1 / k Or iv( J Unit #: RESIDENT / OWNER Name: pc . --1- C k 147C 0 S Phone: ' �.� V y ' Ur/ Address / City / Zip: , '6'Yk DI'/VC Applicant is: Owner Contractor TYPE OF WORK Description of work: ( O 0 Construction Multi -Family Building: (Yes / No ) ) CONTRACTOR Cost: Company: C, CA rAl( C4,54ov'') (OnstMolt iIlk% Contact: 1VII '11 Address: 3 2 -) % fv ` Anti, ) `a City: V 4OY►Gi ,S 144i3 h State: IA PO Zip: S Y 110 Phone: 'S O 1 of 3 0- � s J License #: ra 0 & 3'A 0 (06 Lead Certificate*: 121'1- 31) 3 5 D" 1.1- (Xj75 C- if the project is exempt from lead certification, please explain why: (see Page 3 for additional information) in the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are consicileed to be public informs t%n Portions of the information may be classified as non-public if you provide specific reasons that would p it the City 8rr conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 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 witho 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 . tars;. Appl ca s �ture x $ (;y' --err Applicants P ted Name Page 1 of 3 CITY OF EAGAN ~T 3830 Pilot Knob Road, P.O. 8nx 21-199, Eagar~, MN 55121 1~I 99 9013 PHDNE: 454-8100 - BUILDING PERMIT ReceiPt # a To be u"d foe t=AR STORAGE Est, yalue $ 3, 0 0 0 pate AP? IL 2 6 , 19E4 Site Address 1276 V I I,DDi.AI? K U t`Z Erect ? Occuponcy R3 Lot 1.2 Blxk 1 Sec/Sub. '1LD RUN 3 Alter ? 2onin9 Parcel No. 10 - 8 4 3 5 2-12 D- O 1 Re " poir ? Fire Zone Enlqrye Type of Const. oc Name T. PAT CT,Fhi"Pd5 Move ? 5tories ~u r' " 1 S' ' a Address ' r DemoUsh p Length ~ City Phone 4' 4-LBOB Grade p Depth Sq. Ft. 1'_' Approvals Fees ~ Name otj Address Assessment Permif J ul City Phone 4 5 4- 6 7 4 E Woter & Sew. Surchorge ~ Police Plan check W W Name Fire SAC H Address E~. Water Conn. <W City Phona Planner WaferMeter CounCil Road Unit I hereby acknowledge thot I hove read this opplication and sture that gldg. Off. the inlormofion is correct and ogree to comply with oll opplicobla 40.) Stote of Minnesoto Stotutes ond City of Eogan Ordinonces, APC Totol Sipncture of Permittee C .1, ,,+c A Building Permit is issued to: ' ' on the express condition thai oll work shall be done in accordorxp' with all cpplicoble Stote of lv~nnesoto Statutes and City of Eogon Ordinonces. Buildinp Officicl ~ . Permit No. Permit Holder Misc. Permit No. 1io{der [H. lum6ing V. A.C. Well etet Disp. Sevuer Electric Inspaction Date Insp. Other Footings Foundation Fwming Rough Plbg. Rouyh HVAC ` insulation Final Plbg. Final HVAC Final Water Describe Location: weu sawa? Pr. Diap. CITY OF EAGAN ; 6163 3795 Pild Knob Rood Eogan, MN 55122 PHONE: 454-8100 BUItDfNG PERMfT Receipt To be waa fe. CANCIPY Esr. vaiue q Son.af) _ Dare ,19 33 Site Address 1276 Vitdmrrk Drive Erect [Z7( Occuponcy R`3 Lot lZ Block i Sec/Sub. ~Tilderness Run 3rd Alter ? Zonin9 ---_R`1 _ Porcel # 10 84352 120 01 Repolr ? Fire Zone NA Enlorfls ? Type of Const. Vn W Na~ T. Pat Cleme7a9 Move Q ~j'.' Stories 9 z q~~ess 1276 Vildmark Lrive pe,,,olish p Length-25 Ci Eagan 55123 phone 454-6746 Grode ? Depth 15 Sq. Ft. at Namo Owner APvrovols Fees Address Assessment Permit 11 _ 5O ~ Ci phane Weter 8 Sew. Surcherge - 5Q iwwl Police Plan check Nome Fire SAC Address Enp. Water Conn. Ci pfom Plonner Water Mefer Council Road Unir I hereby acknowledge fhat I have reod this applicution and stote that gldg. Off. the informotion Is correct and egree to wmply with oll appiiceble ~PC 1,~a~ y12, i~t~ Stote of Minnesoto 5totutes and Cry-of Eagon Ordirwnces. Sipnature of Permittee ~ A Building Pertnit is issued ta: T. PP-t Clemens on the express candition thnt oll work shall be done in accordonce with oll ,applicabls State of HSinnesota Statutes and City ot Ea9on Ordinances. Buildinp Officicl ` 1 Permit No. Permit Holder Misc. Permit No. Halder Plumbing H.V.A.C. Well INater Disp. Sewer Electric Inspection Date Insp. Other Footingc Foundation Framing Rough Pibp. qougb HVAC Inwistion Final Plbg. Finel HVAC Final Water Describe Location: Well 5ewer . Pr. Disp. CITY OF EAGAN Remarks Addition Wilderness Run 3rd Addition Loc 12 Blk 1 Parcei 10 84352 120 Ol Owner 11 'L ' Street 1276 Vildmark Dr, State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 175. 00 $8. 75 20 PAID SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 346 - 9 3 16-49 nnection 8 3 STaRM SEW TRK --Z 346.23 C00$400 G j0 $0 STORM SEW lAT CURB & GUTTER SIDEWALK STREET LIGHT 1981 107.94 21.59 5 -636 WATER CONN. $320.00 8797 8-17-73 BUILDING PER. #3585 212 5-75 sAC 8797 8-17-73 PARK cirY oF E?GAN N• ~ $16 3 3793 ?ilef Kwob Roed Ea9on, MN SS122 PHGNE: 454-8100 BUILDING PERMIT Receipt # Te be rad fer CANOPY Est. Value $500.00 Date .Ttlne 17 lq 83 Site nddrcu 1276 Vildmark Drive Erect NX Occu R-3 Lot 12 Block 1 Set/Sub. Wilderness Run 3rd Alter p Zoninp ~~Y R-1 pafcel # 10 84352 120 01 Repoir Q Fire Zons NA Enla~e ? TYpe of Const. Vn ~ Na~ T. Pat Clemems ~,ro ~ # 5tories ~ Addmn 1276 Vildmark Drive pe„wHsh ? I..ength 25 Ci Eagan 55123 phone 454-6746 Grode ? Depth 15 Sq. Ft. Nome Owner Approvals Feei c~i Assessment Permit 11.50 € Address v~ CI Phone W°ter S Sew. Surcharpe •50 ~ Police Plan check oc NO'T° Firo SAG /lddress Enp. Woter Conn. <W Ci p?one Plonner Water Meter Council Rood Unit I hereby otknowledye tFwt I haw ?eod this opplicotion ond state that Bldy. Off. the informotion is oorrect ond o ee t co 1% w' hII appliccble A~ T~o~ $12.0~ State of Minnesota Stotutes an~ C' y o r ~ces. ~ . - Slynoture of Permittee A Building Permit is issued to: T. Pat Clemens on the express conditlon thni oll work sholl be done in occordance with o~t : totutys cnd Ciry of Eopan Ordinances. Bufldinp Official ~ CITY OF EAGAN Include 2 sets of plans, - ~ ~ 1 6ertificate of Survey• & BUILDING PERMIT APPLICATION 1 set o£ energy calculations. Zb Be Used Fbr Cqg fTo~E Valuation Date Site Address P/4_ OFFICE USE ONLY Lot 1a Biocx 1 Sec./Sub. kA -Ru? 1) 3'-'Erect occupancy Paroel # : q3 S a Alter zoru.rg ~ Repair Fire Zone oHmer: Enlarge 1L Zype of Const. AddreSS = MOve # stories Demolish Front ft. City/Zip Code: S S'/2- S- j kq,f Grade Depth p.2 ft. ' Prone ysy-- G 7 yG / AIy ~a APPRfJVALS FEES Contractor: Assessments Pernu.t 3 9 [aater/Sewer Surcharge l r~ 1 Address: Police Plan Check City/Zip Oode: Fire SAC Phone Water Conn. Planner Water Meter Arch./Eng.: Council R,oad Unit Bldg. Off. Address: APC City/Zip Caie: Phane TOTAL Q h/~a+nti~yl~ 'C Ros ~ ~or~ r' ~ d d t y ~ a 1 4r a . 7~5 CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. 7b Be Used For &AR ` Valuation Date 2"- Site Pddress J~ _Z OFF'ICE USE. ONLY I,ot l0`2 slocx / sec./suti. ?w) Erect oocupancy - 3 Paroel 3-5~ ~ 2-O c) 1 Alter Zoninq /J Repair Fire Zone O+mer: ~ U/~~ e-L~O~Ei?S Enlarge _'Iype of Const. Mve # Stories Ackiress: ~226 (//GDi'/QA Qd, Delrolish Fzvnt ft. City/Zip Code: Grade Depth ft. Phone APPROVALS ~ Contractor: % ~wAssessnents Permit 7~- iqater Sewer Surcharge Pddress: Police Plan Check City/Zip Code: Fire SAC gng, Water Conn- Phore Planner Water Metex' Council Road Unit Arch-/IIxJ•: Bldg. Off. Address: APC ~ City/Zip Code: DOTAL Phone LJ, , VILLAGE OF EAGAN 3795 Pilot ISnob Road Eagan, Minnesota 55122 PERP9IT NO.: 394 The Uillage of Eagan hereby grants to ~ward Kramer o£ Route 2, SCacy, HRt 55079 a pkUMBiNG Permit for: (pwner) Tom Clemans at 1276 vildmark Drive , pursuant to application dated 9/20/73 Fae Paid: $20.00 dated this Zlet day.of Sept• , 19 73 -~0 s/a Building Snspector Mechanical Permits: t3id Total. ' VTLLAUE OF F.AGAPJ 3795 Pilot Knob itoad Eagan, IAinnesota 55122 416 P9§M#4'dN6S=er The Dillage of Eagan her#vt2r2diit§4EY' MN 55079 H€ATYNG o f Tcm Clmmens a 1276 Vildwark DrivePermit for: (0wner) 9/20/73 at S20.00 ~ pu~Mtnt to applica~lq'dated 73 Fee Paid: dated this day of , ~9 Building Tnapector Mechanical Permits: Bid Total: f ~ EAGAN TOWNSHIP / BUILDING PERMIT N° 3108 Ownex L.~Pl-~Kt. Eagaa Township Address (P:.gen:) -----...,~'i..YY.........~.J.!!-Dn 919/, Town Hall Builder /f a!G ~17.3..... Dale ../..7..>---~ Addsese .................?R~`---...----........................................-.---- ~ ~ DESCRIPTION Sforieal To Be Used Fos Fron! Deplh Heigh2- Esl. Cos! Pesmi! Fee Remazks / 7~ yb LOCATION Sfreel, Road or ofher Descripiion of Localian I Lo! Bloek Addilion or Trac! ~6 / ~ YX /A / k/~ :3 This permit does aot authoxise the use of streels, roads, alleps or sfdewalks nor does it give the ownes or his agenf the righlfo creale anp siluafion whieh ia a nuisaaea os whieL pzesents a hasard fo the healih, safeiy, tonvenienee aad general melfare !o anyone in the eommunifp. . THIS PERMIT MUST 8rE,~K, P~T ON E PREMISE WHILE THE WORI{ IS IN PROG"dg ..........._......---....._upon This is !o cerrifY. lhat.~eF~.~..!E?_..~,~e~KAlkQ ...................hasPexmiscion Yo ereet a---..... the above deseri6ed premise subjed !0 the provisions of the Building Ordinance for E~B an Town p adopled April 11, 1855. ~ ~ , ~ iC~ ° ...e.M-- Per p~wa Board Buildin Ias eetor f ~ . CITY OP EAGAN AT 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1~1 ~ 9013 PHONE: 454-8100 ~ BUILDING PERMIT Recdot # 4~1 ~a~ Te M uwd for CAR STORAGE Est. Value $3,000 Date APRIL 26 , 19-$.4. SiteAddress 1276 VILDMARK DR Erect ? Occupancy R3 Lot 12 elock 1 sec/sub. WILD RUN 3 Alter ? Zoning R1 Pa.cel No. 10-84352-120-01 Repalr ? FireZone N/A Enlarge N Type of Const. V W Name T. PAT CLEMENS Mova p # Stories = Address SAME Demolish ? Length 1$ 8 City Phone 454-6746 Grode ? Depth 22 Sq. Ft._ SAME Avororola Fees o Name t- Assessmenr Permit $ 3 8. 5 0 o~ Address 1 Uf City phony 454-6746 , Water85ew. SurcFwrge .5~ Police Plan check Uw Name Fire SAC ~Z zo Address Enq. Water Conn. u ,X W City Phone Planner Water Meter Countil Road Unif 1 hereby ocknowledge that I have read this applicotion ond state thet gldg. Off. the information is torrect and ogree to Comply with all opplicoble AP~ Totol $ 40.00 Stote of Minnesota Stotutes and qty of Eagon Ordinances. Sipnature of Pertnittee A Building Permit Is issued to: T. PAT CLEMENS on tha expreu conditlon lhnt olI work sholl be done in acwrda wifh a oODliwbIe 5{EFe~yf 1 esota Sfatutes ond City of Eagan Ordinances. Building Offlcial p , . - CITY of EAGAN N° 3585 BUILDING PERMIT 3795 Pilo! 8nob Road Owns: ..,~..G 1.P<.?K.1. Eagan. Minnesola 55122 Address (Presenl) ..~e2..l..~.....~~,i~l.G.~.K.,~ 454-8300 auuae: ~piR~t/aF:.~.._j.1..,.Cd.Q~.v~c!~`r..-,/ v.Li'I.C Dals Addreu~x:.~.71-•......./.K~~.n. ......11r:.......~1.yq A..o~./r.fu.-.. ~ `'r~'~ / DESCAIPTIOIi 7ories To Be Used For Fron! Depih Height - Eel. Cos! Permi! Fea Awuks ,2o x33 /`"od L`6~ O~ Z : LOCATION 3lzeel, Aoad or oiher Deseziplion of Locafion Lo! loek Addifioa or Traet ~ ~ 03- This permit doea aot auShorise the use of sireels, zoads. alleys or sidawalka nor doee it glve the ownes or hSs agen! the righ! !o creale anp sifuation which is a nuisence or which preseafs a hazard !o the heallh, eafelp, eoaventencs and geaesal welfara fo anqone in the eommunilp. THIS PERMIT MUST BE,y ~KEPT.Y.L5 ~y THE P M7ISE WHILE THE WOAK IS IN PAOGRESS. / Thls ia !o certify, lha2.,~~!A.O....9..~----- .-~~-4.....l.!:!C...has parmisaion !o eree1 a ....~d _upon the above descri ed pxemise subjeet {o the pxovisions of all applicable ces for ihe. o! Eagan. .~.L.r~ PerCV`T..zui(,.R~C... .441 Mayor Suildinp Impeclor ~ I Y` Eagan Township PERMIT NO. ~ ' Dakote Couniy, Minneso2a Date%!l.~l._~~ .l~,c. .75..._. Applicatioa Ior Bailding Peimit Tppe of building or work eonfemplaYed. Circle eorrect descriplians. Resideniial Commercial Iadusfeial Olhes-_..--------------- r---"""`--""'---'""" ~ Euild Enlar9e Alfer Repair Install Move Wzeck Oiher---------- Cosl---------`--'-------...-- De2ails or remarks........................... Localion Numbex &lree2 Befweea whak cross s3reets Siao Esl. Valuafion Lo! Blocti AddiiEon Reaerangemen2 or Traef Owner . /rl...i?s"............ Address Coniraclor - - - ~ - .._..:~5......~~...~b The undersigned hese ~ma es applaeahon for a permi !o ~ $ do work as hexein speaified, agreeing !o do all work in sfrieY Total fee colleefed. aeeosdanee wifh ihe buildiag ordinance adopled April 11, 1955 by Yhe Eagan Tow ip Board of Supervisors. Permil fees ara nof ' sefundable, .~z'<-- 5igned 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 C~ 3• 31 New Construdion Reauirements RemodeVReoairReauirements Office Use OnM1i 3 registered sile suneys showing sq. R. of lot, sq, ft, af house; and all roofed areas 2 copies of plan C%rt of Survey ReW _ Y_ N (20% maximum kt coverage allowetl) 1 set of Eneqy Calculations for healed additions Tree P2s Plen Recd _ Y_ N; 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 sile survey for addilians & decks Tree Pres Required _ Y_ N 1 set of Energy Calculations Addition • indicafe i(ahsite sep6c system Ops@e Sepiic Sysfem Y_ N.. 3 coptes af Tree Preservatian Plan if lat platted after 711193 Rim Joist Detail Options selecfion sheet (buildingswith 3 or less uniLs) Date ~ l Z r l 05 Construction Cost ~~,~Vw Site Address /27Ca (%f ldyyyqpy[, jjfL. Unit/Ste # DescriptionoFWork (Leu+cuc. c(~k7 ~use.ofcrb-~ - (N57F9z~L 14`X -7J~g(rPg*ot 'I~3E;1Z )N5"79J-1-)N4- A/;hi 14CM'0C4_ 4O *t1LCl.3 L iCL-ejt op..?i,16- Multi-Family Bldg _ Y)( N Fireplace(s) _ 0 _ 1 _ 2 Praperty Owoer pt~-T (2j.-oh?1 ef'v5 Telephone #(~5 f)Oy' 6 7 yl~ Contractor M'7e/qYv\ (fdkR- (L.2j)Ato(__ 'f 1ZR.N'~tri~cLln/(r Address /}Ol$ Oo, Ra~. lI City ~UKidSWtLE State {i9,4/ l Zip ~i J77 Telephone #(&2 3V ".W{p COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissionlype) 5ubmitfed Submitted • Energy Envelope Calculations Submilted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Coniractor Telephone ~ ~ Sewer/Water Contracfor Telephone ) I MAR I hereby apply for a Residential Building Permit and acknowledge that the information k omplete ura e; that the work will be in conformance with the ordinances and codes of the City of E an and the State of Statutes; T understand this is not a permit, but only an application for a permit, and wo wit out a permit; that the work will be in accordance with the approved plan in e case work whi quires a review and approval of plans. coRFy 5914D ApplicanYs Printed Name p li ant' ature OFFICE i3SE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuRi O 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 PorchlAddn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 tower Level ? 24 Storm Damage 13 06 04-plex ? 12 12-plex Pibg_Y or_ N30 25 Miscellaneous Work Types ? 37 New ? 35 Int Improvement O 38 Demalish Interior ? 44 Siding O 32 Addition ? 36 Move Building ? 42 Demolish FoundaGon ? 45 Fire Repair 0 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bidg) - Give PCA handout to applicant Valuation I 1~~~ ~vo Occupancy U MCES System Census Code -qa`I Zoning R-1 City Water SAC Units Stories Baoster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. ` _ Footings(deck) ~ FinaVNo C.O. t _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _[ce & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final ~ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: A , 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 pc+i ~2-~1v3 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilat Knob Road, Eagan MN 55122 /C) 9~ r Telephone # 651-675-5675 FAX # 651-675-5694 lD New ConsWCtion ReauiremenIS RemodeVReoair Reauiremen4s Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. H. of house; and atl roofed areas 2 cropies of plan Cert of SuNey Recd Y N (20% maximum lolcovewge allaxed) 1 sel o( Eneigy Calculations fw heated addifions Tree Pres Plan Recd _Y _N 2 mpres of ptan showing beam 8 windax sizes: poured found design, etc. 1 Site survey tor additions 8 decks Tree Pres Not Reqd Y N 1 set of Energy Calculations Add'Aon - indicafe if oo-sRe sepfk sysfem Oo-site Septic System _ Y_ N 3 wpies of Tree Preservafion Plan'rf lat platted after 7f1193 Rim Jaist Detail Optlons selectlon sheet (bldgs with 3 w lass units Dute 0 / a l /0 ~ Construction Cost SiteAddress ~ 2}~y V1 1 UM41 6r1(~ K/r UniUSte # Description of Work ~L c~ ~(1 l~ ~I Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner YQ~' cwm-~ r\s Telephone ) Contractor vi/~AdoV+( ('pncPpj3 Q+ nio., 1 nc-• Address qqD 1,06 QG IL 1~ - # ) I + City aVUh State mN- Zip ~V Telephone #((9Sl ) a U C' G~ U~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . ResidenUal VentilaUOn Category 1 worksheet • New Energy Code Worksheet (J su6mission type) Submitted Submitted . • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan-withp ~imilar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber lU1% ,l~ ~ i ~ Telephone ) Mechanical Contractor Telephone ) V ? Sewer/Water Contractor =-Telephone # ( ) 4 " I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work wi11 be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. SatVh 6:221112r LAW Applicant's Printe Name ' ApplicanYs $ignature OFFICE USE ONLY , . Sub Types ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) O 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 0 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applfeant 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 REQi1IRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing _ Foundation HVAC _ Drain Tile Orher Roof _ Ice & Water _ Final _ Pool _ Ftgs _ A'u/Gas Tests _ Final _ Framing _ Siding Stucw Stone _ 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 ~ SHARE~llILDING PRODUCIS INC. W172N73050DivisionRoad Germanrowq WI53022 (262) 677-1919 1 - (262 677-9065 Faz INSTALLATION P«SEREADALLINSTRUCTlONSBEfORE/NSTALLqTION. SHIPPING NOTICE FOR BEST RESULTS, CLEAN EXCESS ~2V /1 L. 7Tg> s'+~ MORTAR FROM STONE SURFACES Stone O STONES MAY SHIP DURING INSTALLATION. OO NOT ACLOW iO DRYOVERNIGHT. Cnout BEFORE COMPLETELY 1. Surface Preparation scratcb DRY. THIS MAY - InstallManufacturedSMne COBt RESULT IN AN INITIAL, Veneerdfrectlytoclean SLIGHTLY, WETTER (unpainted and unsealed) brick, MeTal blxkorconcretesurtaces.For I,ath AND DARKER wood tonswction, use exterior pywoodforsheathing.056 - APPEARANCE. should not be used. AppIY 75 t~"' Ib. felt buildirg paper or equiva- 15# Felt Y~ ~ -0~~ iernover sneacwns.Laasii STONES WILL DRY paper seams 4". Then attach the Exterior lath to each stud 6• on center-verticaly, penetrating Pl},a,.ooa TO THEIR PROPER the studs a[ least one inch. On metal shids wrth extenor pM+'ood, ela~ wim e~;u and ~I,-tap- (no OSB) COLOR W N ping screws. 8e sure to attach the lath with the cor- rect side up (horizontally-the smell cups should be Typical Wall A55em61y 7 TO 10 DAYS. pointlrg upward). lep lath at least 4' at all seams. 2. Scratch Coat Applicatron 5. Grouting the Joints Marry installatlons (unpaintcd or A(ter all the stone veneer has unsealed brick, concrete blxk be¢n applied to the surface fill or poured concrete) do no[ a grout ba3 wrt1+ mortar ancl as require a scratch coat However, in decoratire e cake, fili the lathed surtaces shoWd be ain~ ~ween the stones with covered wiN a thin coat of mortar Whlle groutin3, 6e wre - mortar and allowed to set to cover arry noUCeable broken • appropmately 30 minutes prior or cut stone edges. to u~swlhny stones. Mortar mix " consists ofone parttype N' cemeM and two parCS mason sand. Ma with enough ` water to achieve a workable consistency. The same rtwrtar mixture is used for scrauh coating, setdn9 the 6. Striking the Joints stone and grouting the joints. Sexcew en the mortarjoiMs come firm (approx. 45 $t0liC ~OUt utes), use a wood or metel kin9 tool to rake out the Before InstallMlon, lay out a mortar to the desired quantity of stone near the work pth. The preswre wili force area. This yvu you an overview mortar iMo the (oints to of size, shape tezture and color roughty seal the jomt edges. of stones allowlry You to careful not to work the MIn6 artanye the stones in the most o soon. Thls will ceuse the pleasmg desgn. Stones are not mortar joiMS to smear. necessanly peckaged xcording to opdmum IayouL 7. Frushing Brush the mortar JoinMSvyith e App(/G8t1011 n small whisk broom w brush to smooth arxl dean awayy •BUtter' the stone by applying Ioose mortar. BNSh O~r~K Alry an even, 1/4 inch thick kYer of mortar tS l/O17~ d1C mortar to me tack of ine scor~e• face o/~he stone. Use Press me stone ermry Irrto place clean water to ?emove y~4 anowing a,e mortar benind we any remaining mortar , none seuzezes oue sliynar spots. Loose mortar and all sides. Use a gentle, wiggle ~u should not action while appMn9 me ~ne be allowed fo setup ov¢meght. to inwre a good bond. . mWSOnry wrfaces should be dampened prior to instal- 8. COMpletJon latlon w thM masture is not drawn !rom the mortar masonry sealer cen be epplied premafurely causirg improper curing and adhesion. HaFpllcation ~n ~sired, a hi~ queliry Install the c°mrs ance g oftththe e wa I frm on erry stor~e veneer wrtace, and workin9 P. I5tall the ha especialy on Nose e~ed to th¢ top down. This aids in keepirg the stone face severe freezing and W~n3, dean ot mortar. CleaA stones 2s n¢[essery~ rxceaNe rj~~,JMAR ~ r l dur7ng mstalltion. Do noeallow mortar on masture, « c«,dinons wnicn ston¢ suffeee to dry o/ s¢tup OY¢mlghA could diuor or staln the stone~ i i I. V'Ihen necessary, stones ean W- «rt arW sheped Follow reccoended a mawnry hammer, mawnry saw or nipprs. vositlon ions for your cut edges away 6om view when possible. Trimmed selected concrete sear. 1 7 ZOO4 I~~ ~I ed9¢s are easib concealed M 9routir~9. ~o ~w~ ' 103/1812064 12:56 2626779065 SBPI PAGE 03 J. . C141M.11MMOU 03.18A4 detall 2,7,3 CAST NATURALSTONE Exterior Sheathing weather Re*istive Barrier Mortar (grart) MorGar (5cratch coas) Metal Lath (Attach to stuck. Use 2" fa5tners 6"o.c. vertically on each 5tud.) ~ ~ ~ Galvardzed Roof Roofing Finish Material Roof 5tructure (per design} STONE VENEER ! R00F FLASHING NoLa DraMhPPv"<dM9hreBu1ft PmdeL0.Yc reaYOwT" meYlCtlm aemrblleso* °M1bP1uIIS6 ?~qd~efq 4c asuew ro roapneY~lky tor bcalbJW+O CPds tarqMr~0.lu~Yp ~eahods areawelction m~fsub ieed SMII c ~aooucrs n~c. W l72 N13030 Divisim Roed Gemuuurown, WI 53022 (262) 677-1919 (262) 671-9065 Fax ,03l1812004 12:56 2626779065 SBPI PAGE 02 ; 03.18,04 detall 2'Ih CAST NATURAL$TONE Exterior Sheathing i Weatlar Rc515tive Barrler MorGar (grout) Mortar (SCraYCh coat) tvlctal Lath (Attach to 5tuc5. U5e 2" fa5tnars 6"o.c. vertically on each stucl.) „ . . . t p . . i . . ~.Or . . . ' ~ r.4k' ~ . , ~ 4p FirriSh Grade STONE VENEER / 0 GRADE wW PswMS~P°~^~~Y51rAeul~ry~k ~bg~pdmem~~ub. SwrcH~~dhp Proictakr. sana~ ro ieepweeuiry fm bml b~AdMa cab conPln.'4u+iNyV mafMde or cweu~ecJon merortW ~aed s ~c ~ocucrs ~c. w~n tvtsoso n~~~~~ xo.e c~~m.m. ~n ssozz (262) 677-1919 (262) 677-9065 Fu 2626779965 ' 03/•1812004 12:56 2626779065 SSPI PAGE 01 S Lb~NG PItODIlCI'S INC. W 172 N 13050 Divisioa Rqad ONE VE1VEER ~~wn, wt 53o22 www.ShareBuildingProducts.com ((~,ez 2s 6 ~s Pa ~c 9 l 1'O: ~d FAX # FROM: FAx # 282-677•9065 PHONE # 262-677-1919 bATE: # OF PG$. iNCLD. COVElZ ~ SUBJEC7: -4, ~ d / ~ 2004 RESIDENTTAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ~r7 0 Q~ ~3 Telephone 4 651-675-5675 FAX # 651-675-5694 NewConsWCUonReauirements RemodellReoairReauirements EMi ~'t~R 3 regislered sRe surveys showing sq. h o( IoL sq. ft of house; and all rooted areas 2 copies of pWn Cpf ~-",'a" N. (20Ya maximum lot mverage allowed) 1 set of Energy Calculations for heated addNOns 7`~`~{[~ s< ~`~x N. 2 copies of pWn showang beam & window sizes; poured found design, etc. 1 site survey for additions & decks ra~g 1sefMEneigyCalculafbns Addfion-indicatei/on-sifesepticsysfem 3 copias W Tree Preservation Plan'rf bt plafled after 7!1193 Rim Joist Detal Options selection sheet (bldgs with 3 or less unils ?afe 3 116/! ~ r f Construction Cost 0000 Site Address lv2 7~a V~ IOI 1_ *,_uAa# DescriptionofWork 5+1L39 6Sfone-) Wok- K a(re~,jy jt~, ne- e Multi-Family Bldg _ Y Z* Fireplace(s) _ 0 _ 1 _ 2 ~~a 7~ I e- Telephone # ( (0Q } 4-S (o 7 ~ Property Owner C Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - ;n esota Rules 7670 Cate ogyr 1 _ Minnesota Rules 7672 Enefgy Code CategOry . Residenlial Ventilafion Category 1 Worksheet • New Energy Code Worksheel (J submission type) Submitted SubmiUed • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber ielephone #(~-)L-- - - Mechanical Contractor Telephone #(II'' i)f 1 I ~~ar~ . Sewer/Water Contractor Telephone i 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 MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit• t~the w k ill be in accordance with the approved plan in the case of work which requires a review and prova o p C (f t1'1C11S pplic Ys Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex O 10 DS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? OS 43-plex ? 11 1 D-ptex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pi6g_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entfre Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning Gity Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) FinallNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Smcco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ 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 Pfant License Search Copies Other Total /176 ~ . r~ ~ : Q O T N MASTER CARD LOCATION ~/,f/d! a rk ~.~z 76 ~~R 3 OWNER owt ba ?/~eri iy,% do Clie MO 11 S STRUCTURE AND LAND USED AS Issued To Permit No. Issued Contractor Owner BUILDING PWMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING 416 GAS INSTALLING SANITARY SEWER I OTHER OTHER I Approved ` Items (Initial) Date Remarks DisTan[e From Well SEPTIC t FOOTING •lr~'~ FOUNDATION CESSPOOL PRAMING TILE FIELD FT. i7" _ 7 a FINAL ELECTRICAL ra~ DEPTH HEATING y`^~)3 OF WEII GAS WSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD ~ ~ PLUMBING WELL ~ SANITARY SEWER ~fj - Violations Nated on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS Of CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. a ACCEPTABLE SUBSTITUTIONS OR ~ DEVIATIONS COMPLETION OF CERTAIN IMPROVEMENTS . WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS fOLLOWS: ~ REINSPECTION REqUIRED DATE OF REIN5PECTION REINSPECTION REVEALED CE RTI f ICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that 1 have reported herein all significant conditions observed to he at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific reQUire- ments for off-site imprwements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED 6ULLDING INSPECTOR OATE COMMENTS: ~3 J Y~ A£ ~L ~Jp ~..,.4~ ~ 0 0 . . . . ' . . . COW A-OFFICE W ~ , CAPY.B--INSTALUTION CREW MIPIMESOTA PACKA64 PitW+~1~lyCTSjINb. ' . . . . ' PV C-CUSTOMER ~IMMINB POOIj DIYlSIYi~ , . 3191 Viking Dr. No. ~1. Pau1,+ Min1~. i~St09 , 770-1818 , ' c, GfNERAi lMSTALLAtIQh) MSiR!!C'1'fONS ~ „ . ppCtF~C CUSTOMER NAM 4lAT9~~" ADDRES / ~ I K ~ ' F ' sR ~ PHQ(VR~a,U: ,I POOL SIZ7YP DATE,50lA" . U Di~gram p site in relation to house, garage, driveway, ete (Ulow'34nch barlanci) ~ r r 10m L~c~`_' 1 1 f n , . , . V r`t` Pn Pr, 1, ! ~°S 1117 , i. tndicate deep end~fy-0(?._,~ ; 2 Mark tocation of fitter and/or heeer y X. 3. lndicate approzimate elevation ot pool in refatlon to pekmSrjerd;fiXdM an propeRy. A. Elevation 4. Will trees, clothes p es, power fines w arry other obstnictron b9-enccunte?ed during lnstallati3nt t . Yes No • . . lf yes, explain: , • , . ' . . .A . ~ . . . . 4: . . ' ' 1 . , . . . . 5. Does customer wish tn retain any or all of dirtf?om poQi axcavattat? Yea ~ , if yes, explain: a i !an. , 6. Indicate and explain any special instructions q~ot covered ab6v8. (fmampte-; Placement ot!Dbckflll tor walis, r , + patios and fill dirt, etc. Customer agrees to ad~ded dtletgR tf ditfF81~rtQted mote tltan dnt9•1 ~Q~ ~ t ~ - - Customer agreas and understands that any ohanges or adddions;in the above outltned installation; whieh Occurs , after excavation has 6egun may require an added chaPgll. 0 This charge shatl be computed on a cost plus 30o basls ~ ~ ~ Seller Signature ~1e~a- • ~ ---....,5 .....a ~ ' MASTER CAftD LOCATION ~/~(o~~'~ ~ -J OWNER STRUCTURE AND LAND USED AS / Issued To Permit No. Issued Contractor Owner BUILDING ~AV3- PIUMBING CESSPOOL - SEPTIC TANK VJELL ELECTRIGAL HEATING GAS INSTALLING SANITARY SEWER OTHER I OTHER Approved Ifems (Initial) Date Remarks Distante From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL EI_ECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Batk COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVENT OF 085ERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE OELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION - I certify that I have carefully inspected the abwe in which I have no interest present or prospective, and that I have repor[ed herein all significant conditions observed to be at variance with ordinances of tha Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvaments relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILOING INSPECTOR DATE COMMENTS: VILLAGE OF EAGAF! WATLt@ SERbICC PFRPAIY rek\trr No 1332 3795 Pilot Knob RoaA 10/23/73 Eagun, MN 55122 n; R_1 n. ol U-u(a 1 Lnni~i4 ~ Thomas P. Clemens Addirsn si~~• ~~ddre,~~276 Vildemark Drive - Hun,b plwnbing & Heating Inc.. ~7efr~e l-nnnerliun C 320.00 pd Mv~er Nn q" nunt U(•po"t. Prrimt F'l•r: 1o.00 PCl 1 nqree ro comply with the Village ol Eagon tiurch:irp,e'. .50 pd Ordinances. , klw 'I'ot.d: . ' _ 85 Uufe Paid 11:~h• nl Ins~, ~ _ - ~ ~ ti? ' , e~ GL~ <<r-~ ~2 r A e ~ ~ e-~,~~ - 4e, . ~ vn~o~ oR Eaaaa 3795 Pilof Knob Road Eagon, /py 55122 ~onink ~?ff(q ~'~~~1~ce Uwnc R-j ~q HMIT NO.: 210p ~ r. 7 F. qddrrss~ Th0Jhd3 p. ,u Nn. af Uhite:...___, Slff' AfidYPStl: ~ Plumber _ --122g_y~. ~ ~-~i --"cii+~ --~'7eazel pl~g_-----L<'.~._-~ ^oncoa. "h 'ha Villo9o o~..S_j~~~ ~b9 comPIY Eagen Cunnecn' Accou on Charga31~ _ ~"c1Dl HY: Pe nt Depoeit; 3 +~mir Fee: 10.0 Lateoflnsp.' Surcharge: _v~-- d Insp.: _ ~ Misc. CharSe Totai; sl~d-t UatePyd: Use BLUE or BLACK Ink 1 For Office Use Eapu 77City o[ Tie, ` CFO -. _-� �-. � Permit Fee: 3830 Pilot Knob Road r Eagan MN 55122 FEB 0 2 2018 Date Received: oZ 3 Phone: (651)675-5675 Staff: Fax: (651) 675-5694 2G'17 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1/30/2018site Address: 1276 Vildmark Drive 1 Tenant: Suite#: Resident/Owner Name: Real-Time Leasing Phone: 651-238-5200 Address/city/zip: 4490 Erin Drive Eagan, MN 55122 Name: Metro Heating & Cooling License*: PM058051 COlttractor Address: 1220 Cope Avenue East City. Maplewood State: MN Zip: 55109 Phone: 651-294-7798 Contact: Carley Email: carley@metroheating.com Type of Work —New ✓ Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: Replace existing water heater RESIDENTIAL ✓ Water Heater Water Softener Lawn Irrigation( RPZ/_PVB) Permit Type Add Plumbing Fixtures( Main/_Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $60.00 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. )(Carley Ferrie Applicant's Printed Name Applica 's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinginspectionsOcitvofeagan. com r For Office Use� Permit #: /c(o� l/ ! -7j Permit Fee: / O - Date Received: Staff: 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 46 > ® Site Address: , a- (- V i `C.rr Air -it 'b • Unit #: Resident/ Owner Name: k O-n Z,h o e- Phone: (p (2-) (0(O 6- 5 a -a 3 J Address / City / Zip: \ a-1 V 1 \art,a-t- K ©r- . Applicant is: Owner Contractor Type of Work a Description of work: Q-e- - re - Construction Cost 1S i 0 00 Multi -Family Building: (Yes / No X ) Contractor Company: b t-T 4)e_A - v i d-- S Contact:@551) -1 5 S r 5 p (o (o Address: P7a'\ O - acK3-4-r- b1voli • City: Pt Ct r' l_.A-f--e- State: M►4 Zip:55 3b (A Phone 6-0-1C . S81' Email: License #: bC, Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor Fire Suppression Contractor Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of the Information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.citvofeaoan.com/subscribe. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.nooherstateonecall.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 armit; 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 Pit,A& iA`P on._.OGtArt- Applicant's Printed Name x v V �--o- Applicant's Signatu PERMIT City of Eagan Permit Type:Building Permit Number:EA167342 Date Issued:03/10/2021 Permit Category:ePermit Site Address: 1276 Vildmark Dr Lot:012 Block: 001 Addition: Wilderness Run 3rd PID:10-84352-01-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Katherine Wittenberg 1276 Vildmark Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA178899 Date Issued:09/08/2022 Permit Category:ePermit Site Address: 1276 Vildmark Dr Lot:012 Block: 001 Addition: Wilderness Run 3rd PID:10-84352-01-120 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Katherine Wittenberg 1276 Vildmark Dr Eagan MN 55123 Bob Boldt Hvac 4310 Trenton Tr Eagan MN 55123 (651) 454-7760 Applicant/Permitee: Signature Issued By: Signature