1290 Vildmark Dr CITY OF EAGAN Remarks
Addition Wilderness Run 3rd Addition Loc 6 sik 1 Parcei 10 84352 060 Ol
Owner ~ Street 12cit) ui 1 dmark_11r State F.aqan p MN 55123
~c..~~CG
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SANSEINTRUNK 1973 $175.00 $8.75 20 PAID
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM 5EW TRK
STORM SEW LAT
CURB & GUTTER
51DEWALK
STREET LIGHT 536 198 107.94
WATER CONN. $280. 00 10809 6-11-74
BUILDING PER.
sac $400.00 10809 6-11-74
PARK
. J
~ CITY of EAGAN N° 3316
BUILDING PERMIT
Owaar 4'~`~ 3795 Pilo! Kaob Road
' agan, nnesofa 55122
Addsau (precen!) .....f~-•.!..0:.`.:`..`.~'~,......... 454-8100
Bullder (~...2%.xa!sKn~~...........
Addrese Dala ....................r..........._.......
DESCAIPTION
Siorias To Ba Uaed For Froni Depih Heigh! Eel. Coat erml! Fsa Remsrks
~,eti--~ 53 a~ F3i ru • c~
~ LOCATION r7, ~
Sireei. Road or oiher Deaeripiion of Localion I Lo! Bloek Additioa or Trae!
/ 2W' 4~ 3 A--I
This permit does not avlhorise the uce of alreeis, roads, alleys or sidewalka nos doee !t give the owaer o: his agen!
the righ23o ereate any siluation whieh is a auisanea or whiah presanls a hezasd !o the health, safelp, eonvanleaee aad
general welfase !o anpone in the community.
THIS PEAMIT MUST BE EP~T O~NtTHE R,g EMISE WHILE THE WOAK IS SN PROGR SS.
This in !o oerlifY. !hal ~-.e : $ has permission !o erect a.... ...................._upon
the above desczibed p:emise subjeci 1o the p:onisions of al7 applicable Ordinances fos fhe Ci of Eagan
d." ....~aY O rer
Suilding Iwyectos
IA5
czTY oF KAUnra
3795 Pilot Knob Road
Eagan, Niinnesota 55122
PERNIIT N0.• cati
The City of Eagan hereby grants to Wenzel Plumbin4 & Heating INC.
ol
3600 Kennebec IIrine
a Permit for: (Owner) r- ip., (`An9+rnrtAen
at l?wn vaiAmark r1n„r+ , pursuant to app=ication dat°d g/s/7~ a !
Fee Pwid: $Ip_nn _ dated this Rrh day of a„,,,c+ 19 7Q•
.50 s/c
3uilding Inspector
N:achaizical Permits:
Bid Totalc
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
FERC!IIT NO.: cr n
The City of Eagan hereby grants to 11 CiW NR+aiing r r ra-
oi 13005 B 16th Ave rw t~Ls- 554a~,
a FffiATING Permit £or: (Owner) Irmelea cronst inc
at 1290 Vildmark Ct. , pursuant to application dated a! 2/74
Fee Pwid: $20.00 dated this Bth day of al,c~st ,.~9 7n •
.50 s/c
Building Inspector
n.2e..a.'lical Permits:
Bid Total:
nu X 0F EAGAN SEWER SERVICE PERMIT
3795 Pibt Knob Rood Y ERM IT N O.: 2310
Eagon, MN 55111 DATE: 8/n/74
Zoning: Rl . 1 .
No. of Units:
Owner: Irmalee Construction
Address:
Sice Address:._1290 Vildmark XXix= Court
Plumber: Wenzel Plumbing & Heatin Inc.
1 a9ree to eomplr wifh tM Villoga of Eogon Connection Chazge; 400.00 pd
Ordinances. Acwunt Deposit:
Permit Fee: 10.00 pd
Surcharge: ' 50 Pd
$Y; Misa Charges:
Date of Insp.: Total:
Insp.: _ Dace Paid: _
VILLAGE OF EAGAX WATER SERVICE PERMIT
3795 Pibt Kno6 Road PERMIT NO.: 1558 Eogan, MN 55144 DATE: 8/8/74
ZoninB; Rl No. of Units: 1
Owner;
Address:
Site Address: -12.90 v; lr3ma kQUrt-
Ylumber: Wenzel ~Plum--bing & -Heating Inc.
Meter No.: e43y-c 9/"f y Connection Charge: 340.00 pd
ti1ze: --s~~ Account Deposit:
Reader N o ~./r~'~~' Permit Fee: _10._00 nd
I ogree to comply wiTh fhe Villoge oi Eogon Surcharge: - 50 pd
~ Misc Charges:
Ordi3~-a
Total:
g . G~
.q. Da
te Paid:
llate of Insp.: Insp.:
~ggp~ $30.50
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
' City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for. single family dwellings & townhomes/condos when partnits are required for each unit
Date~/ 06
s,te Addre55 9~ U; I d rn~ r k ~ Un,t #
Property Owner ~ Telephone # ( &Jq) /Lav
Cantractor
StreetAddress /yqt Jr IJL.! • City Jn~`
State ODM' Zip ~ O Telephone k ) 33C7` / p;,)
Bond Expires:
The Applicant is _ Owner Contractor _ Other
Add-on or alteration to existing dwelling unit h'~7~~ ti$ 30.00
furnace _Additional eplacement
air exchanger i J,
'
airconditioner _New _Replacement
other
State Surcharge $ .50
Total ' $ 30 zo
I hereby apply for a Residential Mechanical Permit and acknowledge that the ' tion is complete and accurate; that the work will
be i onformance with the ordinances and codes of the Ciry of Eagan and ith the echanical Codes; that I understand this is not a
permit, ut only an application for a permit, and work is not to start withou er it; that the work will be in accordance with the
app o d plan in the ca w rk whi~ ires a review and approval of lans.
-'~~C-d--`~-F a i
ApplicanYs Printed Name Applicant's Signature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
: multi-family buildings when separate pertnits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (ifapplicable) Previous Tenant Name
Propefty Owner Telep6one # ( )
Contractur
Street Address City
S[ate Zip Telephooe # ( )
Bond Expires:
The Applicant is _ Owner _ Con[ractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove ""see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
**When installing/removing underground tank, caff ior inspection by Fire Marshal and Plumbing Inspector
Permi! Fees: $70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1°/a Permit Fee
• If pe rmit Fee is $1,000 or less, add $.50 $ State Surcharge
If ermit fee is aver $1,000, add $.50 for
every $1,000 e~rmit fee $ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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 wil] be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicanPs Printed Name ApplicanYs Signature
Approved By: . Inspector Date:
J.f.Parraotn 1 z. Or.10214
176-22
F. C. JACKSON # 3314
LAND BURVEYOR
j G~`e; R[OIST[NiG UND[R UW8 Or f7ATi M MINN[/OTA
T
LIC[NB[D oY ORDlNANG6 OF GITY OI YIM/UMLIs
I re~y
5816 EAST 567H STRHET PA. 4-4881
~ ttTbCpOT~S ~LLKGLB~C
~ .
- Cr e st
I
p a
~ a T . I
0
~
I HERBlY C6RTIF1' TXAT TMB A[OV6 18 A TRU[ ANC OORR67PLAT SIIRVHY OP
Lot 6,Block L,Wildercese duo ihird Addition,
Dakot¦ County,Minnesota. '
ws SUNV6YED ev we TNIs lOth__pAY or June „ p 1974
$16N[
F. C. ;CKSON. niu ~RlaisTRwT~oN. No. 36D0
, MASTER CARD
LoCArIoN "nmr k 12!FQ :3 .
OWNER ~N~IQ /rN M t~
STRUCTURE AND A~ ~
LAND USED AS f( 2 Z !S/L_( 13 4,0
Issued To
Permit No. ~ Issued Coniractor Owner
BUILDING ~ /L ? / I_~1~_
PLUMBING 74
K
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING Fj a
x 7q
GAS INSTALLING
SANITARY SEWER
OTHER I
OTHER I I
Appioved
Items (Initial) Date Remarks Distance From Well
FOOTING 7L 7SE TIC
FOUNDATION CESSPOOL
FRAMING -~5~74 TILE PIELD FT.
FINAL li
ELECTRICAL
DEPTH
HEATING OF WELL
GAS WSTALLATION
SEPTIC TANK
CESSPOOI
DRAINFIELD .
PLUMBING
WEIL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS ~
TO BE USEC ONIY 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.
O ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZFD AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CE RTI FICATI ON - I certify that I have carefully inspected the a6ove 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 ordinancas of the Town of Eagan, approved plans and specifications, and any specific require•
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
61JILDING INSPECTOR DATE
COMMENTS:
za
7'WIN CsTY TESTING ANO ENGINEERIPIG INC.
, . . . 7Village NE 612/6453601
ENCiINEER3 AND CHEMISTS rx 662 Cromwell Avenue-St. Paul, Minnewta 5eaoRr oF: EXCAVATION INSPECTION
PROPOSED RESIDENCE ~ PeoJecT: 1290 VILDMARK COURT (o-/ DATE: 4
EAGAN, MINNESOTA ee Mr Cent Farranto FURN159iE0 3908 Sibley Memorial Highway COPIES ro: agan
St Paul, MN 55122 1Turner Excavating Co
LABORATORY No. 9-5484
INTRODUCTION_
This report presents. the resu7ts of our recent_inspecY.i:wr:aACi.te&ting-af-the-foundation
soils for the above referenced project. Our work was performed between the dates of
June 21 and 24, 1974, at the request of Mr John Turner of Turner Excavating Co.
It is our understanding the proposed structure will be a single family dwe119ng with a
walkout basement. We have no information concerning the design bear9ng loads, but assume
the foundation design will be relativety light, on the order of 1500 psf. The foundation
plan is to excavate all existing fill and inferior natural soils down to the dense under-
lying sandy clay and then replace with an engineered fill to floor grade. Perimeter frost
footings would then be excavated within the engineered fill. All footings would then bear
on control1ed fill soils.
The purpose of our work was to assure that all old fill and inferior and/or disturbed
natural soils were excavated including a sufficient 7ateral oversize equal to the depth
of eaccavation below footing grade. Furthermore, it was the purpose of our work to assure
that the engineered fiTl placed was suff5ciently compact to adequately support the bearing
loads.
INVESTIGATION METHODS AND RESULTS
On June 21, 1974, we performed an initial 9nspection of the excavation. The results of a
pre7iminary soil investigation conducted at this site by Soil Exploration Co and reported
to the firm of Irmalee Construction Co on May 13, 1974, were available for our use and
inspection. Stripping operations were complete throughout the excavation except in the
sauthernmost margin and the southwest corner. A lateral oversize of 10' was maintalned
on al1 sides of the excavation. Several shallow hand auger borings were put down within
the excavation to o6serve the local subsurface soil conditions. The soils recovered
were visually and manually classified in accordance with the Unified Soil Classificat9on
System and estimates were made of their strength properties. The exposed soils within
the excavation were natural soils composed of brown to gray silty and clayey sand. These
soils correlated wlth those indicated in the preliminary soil investigation report and
were suitable from which to commence fill ptacement.
At the time of our iriitial inspection, the traxcavator was working the south and southwest
corner of the excavation. The operator was having difficulty removing the saturated
and disturbed sandy clay within this region. The vibration and movement of the machine
was pumping up water from below and disturbing the sails as fast as they could be removed.
At one po9nt, the traxcavator became completely bogged down within the spongy disturbed
soil. It was our recanmendation that stripping operations with the traxcavator be
discontinued, and we recommended the use of a dragline ar backhoe to complete the excavat5qn
AS A MUTIIAL PROTELTION TO CLIGNTB. TH[ PUGLIC AND OURi[LVLS, ALL RtWRT! /.R! IYGMITTEO A'J THC CONIIO[NTIAI PROPCRTY O! CLIBNTS. AND AIITXOR-
IZATION FON PU9LICATIOH OF BTATEM6NT0. CON0.Yf1pNS ON ZITpAC'f! INOM OR REOA0.OING OYR P[pORTB 18 RE86NVEC P[NGIN6 OUR WNITTEN hPPPOVAL.
- - I 645-3601
TWIN CITY TESTING ANO ENGINEERING LABORATORY. INC.
ENGINEERS AND CHEMISTS yoscr~
F
662 Cromwell Avenue - St. Paul, Minn. 55114
REPORT oF: EXCAYATION INSPECTION s
sst
onre: June 26, 7974
'.4TUF:Y No. 9-5`84 PAGF: fL
INUESTIGATION METHODS AND RESULTS
cont.
of inferior soils. In this manner the underlying materiat would be left undisturbed.
On June 22, we made a second v9sual inspection of the excavation. At this time all dis-
turbed so11s had been removed by the use of a backhoe. Approval was given to commence
backfi111ng and compaction operations of the engineered fill. Subsequently, several
compaction tests were taken within the fill as it was placed and compacted to final
gradea Initially, a test was performed in the low area of the excavation in the southwest
cornew. Three additional tests were taken at or just 6elow footing grade and final1y
one at floor grade. All field density tests were taken in accordance with ASTM:D1556-64
(44 Basis)o The results of these tests were compared to the laboratory moisture-density
relation of soils as designated by ASTM:D698-70 (Standard Proctor).
As shown on the attached test report, all areas tested exceeded the recommended relat9ve
density of 95%.
REMARKS
Based on the results of the preliminary soil investigation, our inspection and testing,
it is our opinion the soil foundation system for the proposed residence will adequately
support the design 6earing loads.
TWIN CITY TESTING AND
ENGINEERING LABORATORY INC
~ohn Wilzba er
~ Geologist
Thomas K Smith, P.E.
JW/TKS/rs
AB A MYTUAL PflOTECTION TO CL16NTB. TXC PYBLIC AMO OYRlCLYCl. ALL RCPGRiB FRC lYpMITTiD A* TM6 CONAOLNTIAL ?pOriRTY OP CLIiNTl. ANG AUTHOR•
IZATION FON PUBLIGTION OP BTATEMCNTY. CONCLU810N9 Op C%TqACT! FROM OR NE6AROINa OUR pQWRTS 1! qC/lRVLD r[NOIH6 OYR WRITTCH AVlROVAL.
. - , 645.3501
TWIN CITY TESTIPiG ANDENGIPiEERIPiG LABORATORY. INC.
dmm,=Fwa ENGINEERS AND CHEMISTS
662 Cromwell Avenue - St. Paul, Minn. 55114 RePORr oF: DENSITY TESTS Of COMPACTEO FILL
t
PROPOSED RESIDENCE PROJecr: 1290 VILDMARK COURT o,,re: June 26, 1974
EAGAN, MINNESOTA
:eo c: r Gena Rarranto COPIES ro:l; Vi'liage os Eaaan
3908 S°ibley Memorial H9ghway ij Turrier Excavating Co
St Paul, MN 55122
LABORATORY No.9-5484
TES`I' NUNIBER: 1
DATE TAKEN: June 22, 1974
UNIFIED SOIL CLASSIFICATION: S11ty sand, fine
(Moisture-Density Sample to mediumgrained,
Number) d 17tt10 gPdV81,
brown (SM)-1
LOCATION: SW corner of
building
DEPTH BELOW FLOOR GRADE ELEVATION: 7'
DEPTH BELOW EXISTING GRADE:
FIELD DENSITY DETERMINATION:
Method Density in Place By $d11d-C0112 Method, ASTM: D1556-64 (-#4 Basis)
Dry Density (pcf) 123.5
Moisture Content {%a) 9•0
Plus 94 Material $
LABORATORY MOISTURG-DENSITY RELATION OF SOIL:
method ASTM:D698-70, Method "A", (44 Basis)
Maximum llry Density (pcf) 128.3
Optimum Moisture 10•0
COMPACTION TEST RESULTS:
Compaction 96.5
Recommended Compactio4%) 95
xEMnR[c5: The above test locations were selected by Twin City Testing & Engineering
Laboratory Inc. Compaction exceeds recommended density in the above test area.
AS A MUT41Pl PROTECTION Ta CLIEN}S.THE PUBLIC ANO OUHSELVES,ALL REPOXTS ARE SIIBMITTEO AS iHE CONFIOENTIAL PROPLIiTY OF CLIENTS. ANO AUTXOR-
IZATION FOR PUBLICATION OF STATEMENTS.CONClV310NS OR EXTXACTS FROM OR PEGAROING OUR FEVORTS IS RESERVEO PENOING OUR WPITTEN APPROVAL
Twin G' y Te 1i g and Ei n 6ri g La6orotory, Inc.
B ~
(
645-3601
TWIN CITY TESTING AND ENGIIVEERIPIG LABORATORY. INC.
ENGINEERS AND CHEMISTS
=SpECT/O
662 Cromwell Avenue - St. Paul, Minn. 55714 ~2
_ = REaoRr oF: DENSITY TESTS OF COMPACTED FILL
PROPOSED RESIDENCE rESts
PROJECr: 1290 VILDMARK COURT owTe: June 26, 1974
EAGAN, MINNESOTA
; eo 'c. r Genr: Parrantc COPIES ro: 1' Vi1 lage of Eagan
3908 5ibley Memorial Highway 1) Turnar Excavatii,g Ce
St Paul, Minnesota
LABORATOHY Na.9-5484
TEST NUMBER: 2 3 4 5
Dn'rE'rn[cEN: June 24, 1974 June 24, 1974 June 24, 1974 June 24, 1974
i?NIFIED SOIL CLASSIFICATION: Silty sand, Silty sand, Silty Sdnd, Silty sand,
(Moisture-Density Sample fine to medlum fine to medium fine to medium fine to medium
Number) grained, a grained, a grained, a grained, a
1lttle gravel, little grave1, little gravel, 1lttle gravel,
brown (SM)-1 brown (SM)-1 brown (SM)-1 brown (SM)-1
LoCnTION: NW corner of 21'E & 9'S SW corner of SE corner of
building in of NW corner building in building in
footing line in floor area footing line footing line
ELEVATION OF TEST: On footing On basement On footing On footing
grade floor grade grade
DEPTH BELOR' EXISTING GRADE: 6° 6" 4" 4"
FIELD DENSITY DETERMINATION:
Method Density in Place By Sand-Cone Nlethod, AsIm: D1556-64 (44 Basis)
Dry Density (pcf) 126.5 131.5 132 132
Moisture Content 8.7 8.7 9.0 9.3
Plus ii4 MaCerial 9 9 9 12
LARORATORY MOISTURE-DEN$PPY RELATION OF SOIL:
mechod ASTM:D698-70, Method "A", (44 Basis)
Maximum Dry Density (pcfl 128.3 128.3 128.3 128.3
OptimumMoisture (w.) 10~0 10.0 10•0 10•0
COMPACTION TEST RESULTS:
Compuction 98•5 102 103 103
Recomnended_ Compactlon(i) 95 95 95 95
xEmnHKS:The aeove test locations were selected by Twin City Testing & Engineering
Laboratory Inc. Compaction exceeds recormnended density in the above test
areas,
AS A MUTUAL VPOTECTION TO CIIENTS.TXE PVBLIC ANO OURSELVES,A1l PEPORTS ARE SUBMITiED A9 THE CONFIOENTIAL PROPERTY OF CLIENTS. /.NO AUTHOR.
IZATION FOR PUBLICATION OF STATCMENTS.CONCLIIlION9 OR E%THACTS FROM Ofl REGAHDING OUH REPONTS IS RESERVEO PENDING OUR WRITTEN AGPPOVAL
Twin iry Tes ing and Engin er' g abora ary, Inc. .
By
ea6-sso1
-'''TWIN C141f TESTING AND ENGINEERIMG LABORATORY. tNC.
ENGINEERS AND CHEMISTS pECp~
y.mou<,,,~y y'B i
± I ' 662 Cromwell Avenue - St. Paul, Minn. 55114
MOIST'URE - DENSITY CURVE SAMPLE N0. ~ TESS
PROPOSED RESIDENCE
PROJecT: 1290 VILDMARK COURT oATE: June 26, 1974
RE"ORTED To:EAGAN, MINNESOTA GOPIES ro: 1) Village of Eagan
Mr Gene Parranto 1) Turner E.:.cavatiny f.,c
"---:.,,.AT04t'V NO, 9-5484
METHOD OF TEST: ASTM:D698-70, Method "A", (-#4 Basis)
TYPE O F M ATERIAL: $1ltY sand, fine to medium.grained, brown (SM)
MAXIMUM UENSITY: 128.3 Ib. /CII. ff. OPTIMUM MOISTURE: 10•0 %
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1WOISTURE CONTENT %a
~ ~c-~G~p~C
D ,
CIty 0f ~iaiaIl J~~ r,c.r 022008 I Permn Fce ~
3830 Pilot Knob Road,.
Eagan MN 55122 oem Received:
. ~ , . ~
Phone: (651) 675-5675 Fax:(651)675-5684 I Stsff: I
i r
2008 RESIDENTIAL BUItDING PERMIT APPLICATION
Date:~,C6. sfte Add.ess: lZqrz~l
Terrmnt: Suite
RESIDENT/OWNER Nam: o Phone~51L4"1_jqMt~_
i
Address ! City / Zip:
Applicarn is: _ Owner CoMrador
TYPE OF WORK Description of work: tear ' - Q~
Conshucfian Cost: MuIG-Family Building: (Yes No
CONTRACTOR Name: ~ftnn~ i License u: ZOI ~-I I~-I l(~
iiddress: I b l i-l0 1/1 14 LtA,? C_~ ~Tf ZO~'
ciri: Ibt `v\ a st ate:ll?~I~l~ zP:~ZO
PhoneA CJ2 - O ~y - 0 Contad Person: "
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code . Residenlial Verrolation Category 1 WaKShcet • New Errergy Code WoAcsheet
Category Submiued Suomrtted
(4 subm"ti4sian type) - • Ener9Y Emrelope CatcWalions suhmitted In the last 72 moMhs, has the qty of Eagan Issued a permit tor a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanlcal CoMractor. Phone:
Sewer 8 Water Contractor: Phone:
IV~TE: Plans'and sujtpafing documents that you submff are considered to be ptiblk lniomlaNon. PorNohs of
tlte intomiatian ritay be classified as rron-puWic If you provide specfilc reasons that wou/d permft the City ro
mnClude that the are trnde,seCiets.
1 hareby acknowiedge ttat ihis irrformazion is complete and accurate; that the wark will be in cordortnance wRh the ordinances and cades of the City W
Eagan; maz i undsmtand mis a noc apermn, but onty an appficatian for a permit, and work is not to start wifhout a permd; that the wrnk will be in
nce with the apprwed plan in the case W work which requires a review and aprw ans.
^
x x %,I a q
Ap M's Prlnte Name M s Slgn
PaAe 1 of 3
Use BLUE or BLACK Ink
r-------------------.
I For Office Use 1 1
_ Permit
City of EaV(1
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 Site Address: Unit
Name: ~~~~a k--~ lJ~, Yee-r✓l~, Phone: 19123S IS% ltJ
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Description of work:
Type of Work
Construction Cost: 2-o c) Multi-Family Building: (Yes / No
Company: l 4` ~~~5 r \Cfl a ~ f r° Contact: Qt
Contractor Address: City:
State: Kt,-f Zip~S L4 < <O Phone: Ck G 2
r License #:L-6 (+'C> Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
E
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:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x A x , '
Applicant's Printed Name App icant's Signature
' Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132721
Date Issued:09/01/2015
Permit Category:ePermit
Site Address: 1290 Vildmark Dr
Lot:006 Block: 001 Addition: Wilderness Run 3rd
PID:10-84352-01-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brian H Kemp
1290 Vildmark Dr
Eagan MN 55123
(612) 735-8843
Wellington Home Improvement
3938 Meadowbrook Rd
St. Louis Park MN 55426
(952) 933-6300
Applicant/Permitee: Signature Issued By: Signature