4128 Arbor Lane?: .
CITIf OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
r1
PERMIT SUBTYPE: ,
w r?'; b? R M M t? rl r?
TYPE OF WORK:
ii I ; i t1.1,
I ?lltKf
( Isfi .- 6JI N : t'i p( Isl
?
ON RE C ORD
PERMIT TYPE:
Permit Number: ?
Date Issued: " . ' i `c
Pennk No. Pertnit Holder Date 'Iielephone ik
S/VY
PLUMBING
HVAC
ELECTRII?
ELECTRIC
Mspscfion Date Inap. CommerKa
Footings I
Foundation
Framing
Roofing
ROUgh Plbg.
G
Rough Htg. 11- J ?J .?• i
Isui.
Freplace
Final Htg. yl
?o'
Orsat Test ?
Flnel Pibg. ? PI6g. lnspector - Notily Plumber
Consl. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Fnal
Well
Pr. Disp.
? ? /a f 3 d'
-,--.?,
ON
0 CIT''f OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
f
PERAAIT SUBTYPE:
?
I rt M F
:CORD
PERMIT TYPE:
Permit Number:
Date Issued:
l?1F 11!?14l1r?f'? F?Ir+l?l!
r r ? i , I + i
TYPE OF 1NORK:
,1 1, , I 1'11,.
t? +?r ?i E?ntrr??;?
INSPECTION . . ..
, ? I t+lf? I 11'1 1i
I I
? ?
r-
1r
Permit No. Permit Holder Date Telephone #
S/VN
PLUMBING
HvAC o y
ELECTRIC Z. $4,02
ELECTRIC
Inspection Date insp. Comments
Footings I
Foundation ? e? •c .?,? g 3 a ?'
Framing
Roofing
Rough Plbg.
- /4?' !/lSG1/g-L
a--Z 7- G1G l?
Rough Htg.
isui.
FireplaGe
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector- Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final z/ p
Deck Ftg.
decic Final
We1i
Pr. Disp.
'?/?,?? 3 ?
, - L
' CIT'tr OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION D. ..
f ;.I1NF
4 ld 1' I Ft R W F fl :' t 1 }r I fi Q
IN
ON
:coRD
PERMIT TYPE:
Permit Number:
Date Issued:
? ,a ? :"? :, ? t; ? ??, ; APPLICANT:
4 1114L , ti !•. . , ,i, r?
fF
?
PermR No. Permit Holder Date Telephone # i
SNH
PLUMBING
67
HVAC I? 9 ? I
ELECT ? ?Q
ELECTRIC
lnspectlon Date Insp. Comments ?
Footings I
?
Fountlatbn c ?
Framing ,`?, ?
Roofing
Ro„gr' Pi°g. a-9-V3
- c
/0-2, 7
Rough Htg- 1 ? //0 3 ? , `? - ? ? ? ? .
Isul.
Fireplace
Fnal Htg. _/ _
Orsat Test
FnaiPlbg. !Z-7? 4 bg.Ins peCtor-Notify PI m bef/
Const. Meter
EngrJPlan ,
Bidg. Final
Deck Ftg.
Deck Finfll
Well
Pr. Disp.
L2,s/ 'W / 71'6 /7 3 Ji 6`-a w
, . INSPECTION
CiTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: ; , r ;
'f J3a ,. N r_
I PERMIT SUBTYPE:
; k i.urt
PERMIT TYPE:
Permit Number:
Date Issued:
i.?1 14' - MA raH Ei 0 PrF< <,
,I . , I . I , - .
TYPE OF WORK:
i , ? i , • ,
N i- 41
(1 lll 4 IINt fS?
.lii)")0+. 1 ,,/tih! IN+;
!?! Il i i+r! t! rJ(?!
i F?I ?1? 1
I ;lirt' ; , PI
?
It - I;JI N.' Y 1 1'1 fi l :I
-1
Permk No. Permk Halder Date Telephone A
S/W
PLUMBING
HVAC
ELECTRIC ?'?2. D / S ??2„
ELECTRIC
Inspectlon Date Insp. Commerft
Footings 1 47
Foundation
Framing AOAI
Roofing
Rough Plbg. 4 G
ROUgh Htg. i1 3 _2?. / .? . ?
Isul.
/y 3
1417
? ?
I
Fireplace
Final Htg.
Orsat Test
?
Finai Pibg. Pibg. Inspector - Notity Plumber
Consl. Meter
EngrJPlan
Bidg. Final
DBCk Ftg.
Deck Final
Well
Pr. Disp.
?.,...._ 'a/??q.? ?
?? • A
e' ...
OFertificate of Cccupanc?
Wt4 of cpagan
TcpwtiacKt of Issiiihxg 34#0ccrion
This Cert?fcate issyed p4rsuant to the requirements of the Uniform Building Code
cerri, fying that at the time nf issuance this structurr was in cornpliarece with the various
orrlinances of the Ciry regulctting buildiag cortstrucriore or use. For the following:
UseQassifiption: A-REK-LL QF li UNT_r-a Bldg. Pertnil No. _92 189
OccupancY 7ype RiM I Zonina District PD 7)rpe Const. VN
owwror B,im;ogWEN.4,flltaz HM5 Adm= 3312 151 S rqr w, tOSENxmrr
auibing Aamm 4132 ARBOR LANE Lominl.2k. 152, WNM.
?; ?
e? ar,?;W'
POST IN A CONSPICUOUS PLACE
r
?
Cfertificate of Cccupanc?
Wit4 of Cfagan
Teparr=enc of 13riIbi" auoecnox This Certificate issued pursuant to the rrequirer»ents of tlte Uniform Buitding Code
certifying thai at the time of issuance this structure was in compliance with the various
o?rtinances of !he City riegulating building conslructiore or use. For rhe fo!lowrng:
u-cla?;ewiot:?rREX 0 CF_4 L1A= Bldg. Pemnt No.
00-P-Y TYPe B3411 Z.oning Disuict pn 'lype Consi. sm
Owmero(Buildina klF'N4+1AANBOWS nearm 33 17 15 IST ST W. RLyW1NT
Buildin6 Ad&ess 4 1 2``' t' FM? TANF. l.ocaliry T 77 $Z' kmT1FT.
T- ,_.?mi ?r
? '`)BuildingVc?f/
POST IN A CONSPICl10US PLACE
• ..
Wertificate of CccupancV
ccit4 of Cfagan
Tevarrment of laxffh* avoection
77tis Certificate issued pursuant to the requirements of the Uniform Bui[ding Code
certifyrng tfeat at the time o,f issuance lhis structure was rn compliance wirh the various
ordinances of the City ngulateng buelding corestruction or use. For the fodlowing:
Use Classifiaaiac 4-pL3X (IF? 4 [=) Bldg. Permit No. ')) 170
Omuponcy Type R3A11 Zoaing Distria ?Q Type Const. VIJ
owner of suikiug G1F@*HAW E124ES TWi ne&ess 3419 I S I CT
ST W, I??TT
Bni 'ng Addtess 4134 ARBOR IANE I.ocality T.7 I9 i;_1RA17.R.f -
Darc-
? 6uilctiog Olficial
POST IN A CONSPICUOUS PLACE
?? .. ?
.?-•? -?.?#
WeL`ttfiCQt¢ df CCCIilpQItC?
IK" of Cfagan
?artiarut of $xi[bing ?x??ection
This Certificale issued pursuant to tht requirements of the Uniform Building Code
certifyireg that,a! the tinee of issuance this structure was in compliance with the various
ordinances of the City regulating building constructiore or use. For rhe fo!lowing:
Use Classificttioa: 4-_PT. .X( I 1N T) Bldg. Peimil No. 22 IS I
Oc-PancY Type SA/M?I _ Zaniog Distria Pn Type Const. NK
Owrcr at Buildina $WD ,HM PIM Aderesc 3317 15231 ST W? ACISFSIIIl+IL ----
Buildiop,Addracc 4130 AliM T11NW l.odiry „173TR2? WRNlFJ.
Daze: 12,606?
Building Official ?
POST IN A CONSPICUOUS PLACE
'?? 0
4 ? a?i
?,,
?
Requesl Oete FlrB.No,-, Rougl-in Inspection NOTICE: You Must Call Elecb¢al Inspector
12 / 0 3/ 93 Reqmred?
XYes ? No It A Fouqh-ln Inspection
Is Reqmred
IPX licensed contractor ? owner hereby request inspechon of above electrical work at:
Job ACtlress (Street, Bax or Rou1e No I Pry
4134 Arbor Lane Eagan
Section No Township Name ar No. Range Na Counry
Dakota
Occupan[(PRMT) Phonei'!o
Wensmann Homes 423-1179
Pdwer Supplier Address
Dakota Electric Co. 4300 220th wt. W., Frmington
Electncal Conlrador (Campany Name) Contraaor§ License No.
.Toos Electric Co. AM01895
Maihng Mtlress (CqMrador or Owner Makmg Installation)
3980 Beau D' Rue Drive, Eagan, MN 55122
Authon¢etl SignaNre (ContradonOwnar Making a Phone Number
? 688-6180
?
MiNNE50TA STATE BOARO OF ELECTHICITY THIS INSPECTION REOl1E$T WILL NOT
Griggs-Mltlwey Bldg. - Hcam S-173 BE ACCEPTEO BV THE STATE BOARD
1821 Unlversily Fve., St. Paul, MN 55104 UNLE55 PROPEH INSPECTION PEE IS
Phone (612) 642-0800 ENCLOSED
/ 4 QJE REQUEST FOR ELECTRICAL INSPECTION ? ee.oooo?-a
I? See inslrudwns for compleling Ihis torm on back of yellow topy
2 410 -x" Below Wark Covered b This Request `r
Y :.&s
ew Add Rep. TypeofBwldmq AppliancesWued EquipmeniWired
X Home X Range Temporary Service
Duplex Water Heater Eleciric Heattng
Apt. Building Dryer Load Mana9emem
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Olher (spealy) Conhactor5 Remarks
Compute lnspec6on Fee Below.
# Other Fee # SernceEniranceS¢e Fee # Crtcuits/Feeders Fee
Swimming Pool 0 l0 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs InspectorY Use Only: TOTAL
Irrigation Booms a. o 182 . 50
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
O[her Fee COMPLETED WITHIN 18 MONT ?
I, the Electncal Inspector, hereby Rough-m , ?te
certdy that ihe above inspection has
been made. F„nai oate
OFFlGE USE ONLY ?
This reques[ void 18 monihs from
1?75 2 9
Request Date
• Flre No
• Rough-in Inspection
Requrtetl? NOTICE: Vou Must Ca0 Electncal Inspector
0 A qovgh-In Inspeclon
12 Q 3 9 3 :kes ? N. Is Reqmretl
I$7 hcensed contractor ? owner hereby request inspection of a6ove electncal work at:
Job Atldress (StreeL Box or RoNe No I Ciry
4$ 4132 Arbor Lane Eagan
Sechon No Townsh?p Name or No Fange N. Counry
Dakota
Occupant (PRINT) anooe rio
423-1179
Power Supplier Atltlress
Dakota Electric 4300 220th Farmington
Elecmcel ConMaclor (COmpany Name) Conirec?o?§ Ucense No
Joos Electric Co. AM01895
Maibng Atltlress (Convacmr or Owner Makmg Installalion)
3980 Beau D' Rue 'v EAgan, MN 55122
Aulhonzed SignaWre (ConVacrorfOwnar Making tnstal tion) PM1One Number
-- ?
688-6180
_
MINNESOTA STATE BOARO OF ELECTNIdTY v V
Griggs-Mldv.ay Bltlg. - Room 5-173 ?
1821 Ilniverslry Ave., St. Vaul, MN 55104
hone(612)6924800 THIS INSPECTION flE4UEST WILL NOT
BE ACCEPTED BV THE STATE BOAFD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
? ? See insrcucbons for completing fiis form on back ol yellow cnpy
,409 09 "X° Below Work Covered by This Request
dTMe
EB00001-08
rR 0
e- ntld Rep. TypeoiBuilding - AppliancesWrted EquipmentWired
X Home X Range Temporary Servwe
Duplex Water Heater Electric HeaM1ng
Apt Building Dryer Load Management
Comm./Industrial g Furnace Other (Specdy)
Farm Av Condlhoner
Other (speclfy) Gontracror§ Remarks'
Compute Inspection Fee Below:
# Other Fee # Service EntranceSize Fee # Circuns/Feeders Fee
Swimming Pool 0 to 200 Amps 1$ , 0 to 100 Amps (!} .
Transformers Above 200 _ Amps Above 100 _ Amps
SIgnS Inspedor§ Use Only TOT L
?
Irrigation eooms J
2
d 82 . 50
Special Inspection Y0
?
Alarm/Communication THIS INSTALLATION MA E OR R f?ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN NT
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. R°°9n,m 171l
F,?ai ate
?a?e
OFFICE USE ONLY
Tpis request vaid 18 monlhs Irom
xi2yy ya--- Alra /
4 0 8?3.,? ?t,
Request Oate ' Fre No Rough-in Inspeceon
Reqwr¢d? NOTICE: Vou Must Cail Eledncal Inspeclor
If A Rough-In Inspectian
12/03/9
3 X Yes ?NO IsRequved
I IRlicensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (SVeet, Box or Route No )
4130 Arbor Lane Cdy
Eagan
Sechon N. TOwnship Name or No Range N. Counly
DAkota
Occupant(PRINT) Phone No
Wensmann Homes 423-1179
Power Suppher Adaress
Dakota Electric 4300 220th St. W., Frmington
ElecNCal Cmlracror (Company Name) CoMractor5 License No
Joos Electric Co. AM01895
Mai6ng AdOress (Contrac1o( or Owner Making Inseill26on)
3980 Beau D' R i Eagan, MN 55122
Aulhorrzetl SignaWre (Conirector/Owner Making Inst IlaOOn)
Phone Number
688-6180
1
MINNESOTA STATE BOARO OF ELECTFlICRY iH15 INSPECTION REOUEST WILL NOT
Griggs-Mitlway Bldg. - Room 5-113 ? BE ACCEPTED BYTHE STATE BOARO
1621 Univereiry Ave., Sl Paul, MN 55106 UNLESS PROPEfl INSPECTION FEE IS
Phone (612) 642-080 ENCLOSED
/C?/9 2 REQUEST FOR ELECTRICAL INSPECTION
?? 0? ? See mstmclions tor compleLng ihis form on back ot yellow mpy
, H ,52408 "x" Below Work Cavered by This Request
? E8-0?00v0?1-0/8
?
A'.....t
ew Add Re'p. Typeof6mlding ApphancesWired EqwpmentWired
X Home X Range Temporary Service
f7upiex Water Heater Elechic Healing
Apt 8uilding Dryer Loatl Managemant
Comm.llndustnal X Furnace Other (Speciry)
Farm Air Conditioner
Other(speaty) ConVactor5 Remarks.
Compute Inspechon Fee Below:
# Other Fee # ServiceEnlranceSize Fee # CircmtslFeeders Fee
Swimming Pool X 0[0 200 Amps 0 to 700 Amps 64,
Transtormers Above 200 _ Amps Above 700 _'Amps
SIgnS InspecbYS Use Only TOTAL
Irrigahon Booms Q? $82. 50
Special InspecM1On
Alarm/Communication THIS INSTALLATION MAY E ORDERE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN TH . (
I, ihe Electrical Inspector, hereby
certify that the above inspection has
been made.
are
Rouqn-m LIPWA
F,nai oaie
OFFICE USE ONLY
This request voitl 18 manths trom ?
M 52407,5r?za,a a, ?J
aquesl Oate H. N. qough-in Inspeciwn ryp7ICE: Vou Must Call Eleclncal Inspector
12 / 0 3/ 9 3 ReqmreG' 11 A Raugh-In Inspechon
R
it, Yes p No eqwretl
Is
I 2 licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, BOZ or Foute No.) Qry
4128 Arbor Lane Eagan
Section No Township Name or No Range No Counry
Dakota
OccupaM (PRINT) PM1One PJO.
Wensmann Homes 423-1179
PowerSupplier Adtlress
Dakota Electric 4300 220th St. W., Farmington
Eleclncal ConVedor (Cqmpany Name) Coniractor's License No
.Toos Electric Co. AM01895
Mailing Atltlress (Con[racMr ar Owner Making Installahon)
3980 Beau D' Rue Drive, Eagan „ MN 55122
Authonxetl SignaNre (COntraqOAOwner Making In Iatmn) Phone Number
688-6180
MINNESOTA STATE BOAHD OF ELECTflICITY THIS INSPECTION FiEQUEST WILL NOT
Griggs-Midway Bltlg. - Haom S-1]3 BE ACCEPTED 8Y THE STATE BOARD
1821 Universlly Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phom (612) 6424t800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
0- See instmc[ions for completmg ihis form on back of yellow copy
,? 5 2 4 0 7 -x' Below Work Covered by Thrs Request
Es-ooooi-aa
> ??TW
ew Add Rep. ' TypeofBudding ? AppliancesWrted EquipmentWired
g Home Range 7emporary Service
DupleX Water Heatef Electric Healing
Apt. Bwlding Dryer Load Managemem
Comm./Industrial X Fufnace plher (Specdy)
Farm Air Conddioner
Other (specM) ConVaclor§ Remarks
Compute Inspection Fee Below:
# Oiher Fee # ServiceEnlranceSize Fee # Cimuits/Feeders Fee
Swimming Pool D to 200 Amps 1 0 ta 100 Amps 64
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspecror5 Use Only TOTAL
Irrigationeooms Xa.O $82.50
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERE OISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 THS
I, the Elecirical Inspector, hereby
certify that the above inspection has
been made. Rough-in
Fmai
J
oa?e
OFFICE USE ONLY _,' ?-? • " •' , ?-'
This request voitl 18 mon[hs hom
760y? 2 ? 36 - ?050
? ??
Fequest Date Fire No. Rouqh-In Insp ion ReqWreE Inspecbon Other Than Rough-In
? (YOU musl call mspecbr en reaEy) ?Reatly Nmv ? Will Nollty Inspeqor
? Yes No ate Rea
IEd licensed contrector ? owner here6y request inspection of a6ove electrical work at:
Jo0 Atldress (Slraet, Box ar flovte NoJ Qty
Sec[en No Township Neme or No. Range No. Cau
n
t
y
??
--
--
??
OCCUpant(PRINT) ?
L% ??? N Phone N.
POwer Su pller Adtlress
^
Elacitlcal Contractor (COmpany Name) Conuactor's 4cenu No
Cc,rr? ' C, a-
Mailin Atltlress (Con ctor or Owner Makmg InsWllatbn) ,
a
i? ss
,
Authonz IgnaNra (COntractarl0 oer Making tsllalion) Phone Number
4a3-? ?31
MINNESOTA STATE BOARU OF EiVC?fNICITY THIS INSPECTION PEQUEST WILL NOT
Grlgga-Mitlwey Bltlg. - Noom S128 BE ACCEPTED BV THE STATE BOARD
1821 Unlvenlty Ave., St. Peul, MN 54106 EUNLSS NCEOSEDOPER INSPECTION FEE IS
Phone (612) 604-OB00
yaY412, REQUEST FOR ELECTRICAL INSPECTION ff4?c".`? es-ooooi-os
? Sw+ instrucilons for completing this lorm on back ol yellow copy
0 36 ?
. "X" Be/ow Work Covered by This Request k'i - .?
Ne Add Rep Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buildin Dryer load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Olher(spectly) Contracror's Remerks
Compute Inspechon Fee Below: O iF F
# Other Fee !( Service Entrance Size Fee # Circuits/Feedars Fee
Swimming Pool 0 to 200 Am s 0 to 100 Am s
Transformers ' Above200_Amps Above-iOQ-Amps
Si ns iosPactors usa oniy '/?7 TOTAL
Irrigation Booms iYi O
?
?
S eclal Ins ection ?
Alarm/Communication THIS INSTALLATION MAY BE OROERED DISCONNECTED IF NO7
Other Fee D COMPLETED WITfiIN 18 MONTHS.
I, the Electncal Inspector, hereby Rouyn-in oe?e
certity that the ebove inspection has
been made. Final r oa
OFFICE USE ONLY r
This request void 18 momhs trom
Address 4130 AuM?t LAM Zip 5512 2
'Lot - ' '-23 Blk 2 Sub wa4zQ.
THESE ITEMS WERE ! WERE NOT COMPLETE AT THE TWE O^ THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcutb damage
Porch .
Basement finish
Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
ContaM engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
Whitc - City Copy Yellow - Resident Copy Pink - Contractor Copy
Address 4132 ?1RBpR LANE Zip 5512 2
L.ot 24 Blk 2 Sub wEtuzQ.
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'[ON.
Date: 5ylq Yes No Inspector:
Final grade (6" from siding) Ll"'
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder ihe removal of mof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
ContaM engineering division at 6814645 before working in righbof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractoc Copy
Address 4128 A.RBO?t TAIC Zip 55122
Lat- 92 Blk 2 Sub
THESE ITEMS WERE !WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: Yes No Inspector:
Final grade (6' from siding)
Permanent steps (garage)
Permanent steps (main entry) ?
Pe:manent driveway ?
Permanent gas ?
Sod/Seeded grass ?
TraiUcurb damage
Porch
Basement finish ?
Deck P/'
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contraclor Copy ?
Address 4134 aRaox tnrE Zip 5512 z
Lot •. 21 Blk 2 Sub wFN'LQ.
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: A? Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway t/
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch V
Basement finish
Deck
Please vetify with the builder the removal of roof test caps from the plumbing system and the shuhoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Residem Copy Pink - Contractor Copy
PERMIT
? CIT.Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SiTE ADDRESS:
P.I.N.: 10-83570-220-02
PERMITTYPE: aurLoxNG
Permit Number: 022180
Date Issued: 10 / 14 / 9 3
4128 ARBOR LANE
LOT: 22 BLOCK: 2
WENZEL
DESCRIPTION:
REMARKS:
PRV
FEE SUMMARY:
l ? IX
N??
.-? (1 OF 4 UNITS)
Ber"ilding, Permit Type 4-PLEX
Building Wnrk Type NEW
UBC Occupancy,, R-3 M-1
Construction Tjrpe V-N
i Zoning PD
? euilding Length 58
( Building Width 40
1 ?
_-
.
S& W PLBR - WENZEL PLBG
Base Fee
Plan Review
Surcharge
sac
SAC %
SAC Units
Subtotal
VALUATION
$581.00
$377.65
$43.50
$750.00
100
$1,752.15
$87,000
MISCELLANEOUS $1,744.50
Total Fee $3,496.65
%NSMAN?FlTFb-hIES - ppp1114231179 0081458 1ARM?X HOMES
3312 151ST ST W 3312 151ST ST W
ROSEMOUN7 MN 55068 ROSEMOUNT MN 55068
(612) 423-1179 (612)423-1179
I hereby acknowledge that I have read tMis appliaatio•n and sCa'Ce that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinannes.
?
?/L// /,a??.., `?
APPLICAN PERMITE NATUFE
T ?l?c.¢ Ra pc,l.l tti-,q
ISSUED Y: S NATU E
R,EACTIVATE _ CITY OF EAGAN
PiRMIT fECEMED 1993 BUILDING PERMIT APPLICATION
., ?_1- ? 6 1993 681-4675
SINGLE Q MUL71-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. ;
COMMERCIAL 2 sets of architectural 6 structural plans, l set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last worktng day of awnth-
uested once permit
e is re
h
t
l
q
ang
c
o
in which request is made, 2} address is chaoged or 3)
is issued.
Date ?It) / 6 Yaluation of work
Site Address: ABoK ZN
LiREET iUiTE /
Tenant Name: (commercial only)
lAT Q OL SIACK Q yt
SUBD. Y.I.D. N .
? ?
Descri tion of work:
The applicant is: C& Owner Mt Contractor O Other cotsoriee>
Phone 4"Z.3 --! I 7 F
??
?f m vMIN l?..Ly
Name
Property LA5, FIaST
?
Owner 5`"( to-
Address 331a 151
STREET tTE y
Lity ?oSL?-novW-r- State MN Zip 55069,
Company oj 6vC mA-rvN 140 mkE's Phone 423- 2 17 q
Contractor Address 3310L 151 )t c'T tJ- License NiL/5 Exp: /311
City POSE»,ovhrr State 9nl IiP _'s-s0('9
Lompany tOteNSm A?v?j gM rn &5 Phone 423-117 9
ArChitect/
Name P? ???LZn?ai,,.+ Registration M 1790//
Engineer
Address 33+a. IS/ tk)
City poSks'fyiouw -r State IUA) Zip 5-5-0 (a '
Sewer 6 water licensed plumber WL22? 1"«µA%"i c 4- • Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
of Minnesota Statutes and Lity of
t
bl
St
e
a
e
correct and agree to comply with all applica
Eagan Ordinances.
5ignature of Applicant: w
OFFICE USE ONLY
BUILDING PERMIT TYPE ,. . = ..°?
? 01 Foundation ? 06 Duplex ? 11 Apt./lodging ? 16 Basement,finish"
0 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? OS 8-P1ex ? 13 Garage/Accessory O 18 Comn./Ind.
0 04 SF Parch ? 09 12-Plex ? 14 fireplace 13 19 Comm./Ind. Misc.
? OS SF Misc. ? lO- Multi. Add'1. ? 15 Deck ? 20 Public facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) V_?A Basement sq. ft. MWCC System Yr5
(Allowable) v_ N lst F1. sq. ft. tity Mater ?
UBC Occupancy ?t-3 M_? 2nd F1. sq. ft. PRY Required
2oning Sq. ft. total Booster Pum p
1" of 5tories footprin t Sq, ft. Fire Sprink ler
,
_
Length ? On-site well Census Code 70
;Z
Depth On-site sewage SAC Code pl
APPROVALS J-'
1
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS "
11 Site ? Footing ? Framing O Insulation
? Maltboard ? Final ? Draintile [I Fireplace
Permit Fee I v.w.c;p,: g dr). OD a
Surcharge
Review
Plan
GA Ay4bd'x ?r7 136
licen
C
SAC
cWt tlvu?u?o?' ?sy/?
,
v s
ac
Water Conn. ,.?
Water Meter 6?/4/v
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
SAC % ? 00
SAL Units -T
GENZ-RYAN ?=.0. 612+423+1149 P.01 '
? ?--' , • ___-_ -- _ i ... r:.: _ ?- /??' ??., ` ? ?
? PSTaP,IOR rYR'EiOPE C0:'r3UTATION
i
i ?
L.a N-i;:-
ou=r?x ln??KS ,./
. j
??/ IS
SITE ADDRESS yye ?EL_ L N . 1•
CONTRACTOR
, ?`• PHONE ;
,ADORESS ?
,
?
DETBRMLNE WOP.KIP'G SOUARE FOOTACE OF Fr\ .
?
1. Total e!cposed uall area ... gQ- ft. x.1?
2, Total roof/Ceillng area . a 4• £t, x
Total etposed ws11 area above flaor
I ,
:
. s_ 'a?k:Total• wa1l?:windvw1 area ........._........... =? ? i
(looT, axaa ....,.,.......................... . .. J. ......... ^_„?? : , ?
:? -?i:`_a?oCsl'.Ys]:i.?8•:g].ass. door. ar.ea ......._..............._._,,• ?---- f
Tot'aJ, IfirePlac's. wa7.1. ar.ea ........:..........?......,....._..,- Q •
?. ?: ??Toea7L wa31:;f?a?aing: atsa °(-veragQ' lAX)I .-• : ? : -_ ? O I .
, r_ ';f-rF,'.Total .neG_ wall- aiea,abdve-:floo[ ......._ .. .. , !
axea _..........?..-...-.b.. ?..........,._------- , i
-- `8. 'Total kim joist ..
..i . i
' Total e-cposed foundation area
i `
. : ?
h. Tota1 foundation window area ....... ..•••••••••••
! i.:.:JoCal net.foundatioa aYew above grade ..........__._ ??_?_ i
_•.,.iYe'ce:AcCerkrie?':C??SVaYueml`ear-'fiwaxr•:seg I ment. ! 4':
I ?
a. / 92- c -g IIIIu b' .-`J
a 9,??j f
b. g ,lIIl,
d-- k
C. ?p x„o„ /J - 9
• ?
gIlu,. ,
a. 0
nVn
E. 1 ??o xi,Ull ,
- ; ;
? x Itu,l
s• -". ? ; ;
' b c7 x flUff
?
lfull
?
?
i
3 . .....................:.........Total
• ? I
If item 03 is the same as, or Ie'ss eFian item #11 yau have met the intent ;
of SBC 6006 (c)2. I
g-94p6 612+423+1149 03-16-93 03:19oM POOI 1f'?B
GEN2-RYAN CO. 612+423+1149 P.02
? ' Pmge 2 af 2
• ?
• " .? i
, ,?
?
R
? , ,
?
i i
TotaJ, 0:tp056d roof f ceillng area
?
G'
: I I
...
j. Total skylight area .................... ..
e?lOT.)..
(avera
i
f i
_ /?
g
ng area
Yad
k. Total rvoE/ceiling
araa .........
eilin
f/
d ?
?
_
g
roo
c
l. Total nek insulate
i
Determine "U'l value for eaCh roof/eeil3ng segment. ?
i
a. C-7 x 1101! C.7 a I '
J ' ' ?
gIIUII
k
._
g ifun
?
i
....Toca1
y
4 ...... ................................
?
?
- f
If totaZ of #4 ia Che same as- or less than 02l you have met the i.ntenC
,,,,r. ;,af??SSC•?6atlb(c)1. ' ?
:..?tr_,.?itern'kte=]3u?.1d3ng:?v.eToge?Aesign ?
' 70 utilize the toCal'envelope syattm method, Cha values established by
i
;
tecs
- the sum of items 43 and 04 'shall'rtot be greater than tite suia oE .«
?.
dl and #2. • ?
+ 2•
..
?
4.
?
--- --
?
. ,
' , i
. i
i
i .
Posl-II" brand (ax transmltlal memo 7871 A o1 pages p?
TO ??1? am /nrex
00, wc? mosN °°
aPi, P oneX
ax I FaK d
I
-2-
R-94%
I
I '
? i
•- i
4 i
• ;
. .
. : i
1
; i
?
?
, '
612+423+1149 03-16-93 03:19PM P002 #26
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
4130 ARBOR
WENZEL
PERM4T PxI1BTYPE:
TYPE OF WORK:
DESCRIPTION
BUILDING
022181
10/14J93
MEW
(1 OF 4 UNITS)
INSPECTION
FOOTZNG .. INSPECTIONTYPE
FRAMING .•
INSULATION FINAI
FIREPLACE
REMARK5: PRV
?
I
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Datelssued:
L07: 23 BLOCK: 2 APPLICANT:
LANE WENSMANN HOMES
(612) 923-1179
S& W PLBR - WENZEL PLBG
7
J
? •: CIrtY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-83570-230-02
PERMIT
6,?: /?/ q _5 7 i? /Y-93
PERMITTYPE: BuzLozrvG
Permit Number: 022181
Date Issued: 10 J 14 / 9 3
4130 ARBOR LANE
LOT: 23 BLOCK: 2
WENZEL
DESCRIPTION:
REMARKS:
C3 ?,
y` , ?('},
'?,,?, /` ? ?? ?f ?.1
v' .. - ? ?!?==.? ? 4?
(1 OF 4 UNITS)
6aW'ild3Wg Permit Type 4-PLEX
Ru:tlding 'Wark 7ype NEW
?'UBG Qcoupanejk,, R-3 M-1
Cnnstruct9:on "Cqpe V-N
Zon3ng Po
Sui.tding Length ? 58
Bulldiilg WsSftfi 40
*
v'f;%;
\`
l.
t
PRV 5& W PLBR - WENZEL PLBG
FEE SUMMARY:
Bese Fee
Plan Review
Surcharge
SAC
5AC %
5AC Units
5ubtotal
VALUATION
$581.00
$377.65
$43.50
$750.60
100
$1,752.15
$87,000
MISCELLANEOUS $1.744.50
Total Fee $3.496.65
?9NTRAC?TQRM - APpl3cant - sT. Lzc OWNER?•
NSMAN 0 ES 14231179 0001458 WENSMA N HOMES
3312 151ST 5T W 3312 151ST ST W
ROSEMOUNT MN 55068 RQSEMOUNT MN 55066
(612) 423-1179 (612)423-1179
I here6y acknowlodge that I hauo read thi4?aPpLiratiom att;3•5ta"Ge that the
in'rarmatian is co•rrect and agreo ta comply witYr ah aRplztsabl? S'?Otel Of Mkt.
Statutes ancl Ci,ty af Eagan Ord3ttanaes.
?t?'
? APpLI T/PERMITEESIGN R17/Y
? f?t) I1 oi[l I
ISSUED S NATU E
REACTI4ATE,_ rr-_??0??? CITY OF EAGAN
pERMiT i/ 1893 BUILDING PERMIT APPLICATION $3,'?? 4•,o':
93 681-4675
SINGLE 6 MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. ;
COMMERCIAL 2 sets of architectural 5 structural plans, l set of
specSfications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month•
s requested once permit
3) lot change i
d
.
or
in which request is made, 2) address is change
is issued.
Date %0 / (o /92 Valuation of work
S1te Address: 4130 /tKQa° Z>.t
STREET fUITE /
Tenant Name: (commercial only)
IAT BIACK ? SUBD. 9t Y.I.D. M
&) fl.
Descri tion of work:
The applicant is: Owner Lontractor 0 Other co.sc?ibe>
Phone 423-1174
K
bj
B225 r-,Fnvni
Q3t-
Name
Property LAST fIRST
?
Owner cT W
Address 331.1 15/
SiREFT f7E 0
Lity KOSE)-,uuwr State MA1 Zip 5506Y
Company 60LCvS aS Phone 4Z3"/17 9
Contractor Address ??3 f a 751 W. License d I`JS? Exp. /3t /'/
City o4Ornov7'rr State Mw Zip 55o6$'
Lompany wLYIS rn,a-rvN "I (E's Phone I23-109
Architect/
Name L'R. IA?J-?-STPo„'+ Registration f 1399 1
Engineer ?
51_ Uj
Address -?3la )51
City RoSGw? ou r-r State "Mx) Zip 06
Sewer 6 water licensed plumber 4Jr--'-n? . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this aPplication and state that the information is
licable State of Minnesota Statutes and City of
ll
app
correct and a9ree to comply with a
Eagan Ordinances. , A
Signature of Applicant:
?----
OFFICE USE ONLY
BUILDING PERMIT 7YPE
O
01
Foundation
?
06
Duplex
?
11 .
Apt./Lodging .
?
16
Basement Finlsh
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim•Pool
0 03 SF Addition ? OB 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 fireplace ? 19 Comn./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
F 31 New O 33 Alterations ? 35 Tenant finish E3 37 Demolish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INF ORMATION
Const. (Actual)
All
bl ?V-y?
v Basement sq. ft. MWCL System
Y Yes
(
owa
e) lst F1. sq. ft. City
ater -
UBC Occupancy 9•3 M.1 2nd F1. sq. ft. PRY Required
2oning Sq. Ft. total Booster Pum p
i" of Stories Footprint Sq. ft. Fire Sprink ler
Length S On-site well Census Code /o Z
Depth un, On-site sewage SAC Code
APPROVALS ?
i
Planning Building Assessments
Engineering Yariance
REDUIRED IN SPECTIONS '
O Site [3 footing ? Framing 0 Insulation
? Wallboard ? final ? Draintile O Fireplace
Permit Fee v.iuscia,: g$7 aa z,
Surcharge
Plan Review
/
6p??A6E1 rb
'P ///
y
License _
Xl?
?
?' /? °
?1?6
MWCC 5AC
City SAC ?
HOUSC; /y')p L
?---? k?5 /.?1 =
75
3b'D
water Conn. ,
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
^ GEN2-RYAN Z:'0. I 612+423+1149 P.01
f?" ' _ -r-?-- i nr.:= ?-` /?? !'?-?
PITSP.IO•^, EM'ELOPE hV?':-.?' °U" C0:"PVUTION
L ,a '
ow!rER W??vsH.. ,..! ?'?`?•:? ?
SITE ADDRESS ? 461-- ? IS 7-ou
CONTAAC'POR
? ADDRESS PRONE I
i
DEx6ItMINE WO°1CIAT•G SOUARE FOOTAGE OF EA - ?
1. Total esposed vall area ... ,y ?7? ?`q• ?t. x?_
2, Total zoof/reilAng area . 14Z;l I sq• ft, x^pVb = ?
I ?
Totsl eaposed wa11 area above floor
. a. 'a?klTetal we12::windo4i area .................... ? .. .• _ , '
. ? '
.......... ...................... .... ??.. ........ ?_
...??
r "?i:'s:Tota1'.::sl14{n$;glass. door. ar.ea ...... ..... .......... -40
, d_ '0.-?"Tata?,;EirePlace. wall. area ...............«.. ;.....,....•_s : I? ,
e. ;e:?,?Total?wall:?taming,a'rea°(4yeraSQ' 107)I .....;: _. Q
',t.-?,:Tata1 .neL. wall- niea,ebove-:£looz. •....- - • • . -, 'Total -rim joist azea ...,
...-.-....,?... .i'. ........ .^------ .
' Total exposed founda[ion area
h. Tota1 foundativa window area ....... .••••••••?•• 7
i i.:??Total net: £oundation aica- above grzda .......... _.______? ;
_ ?'te?A?CernSYne??J.'?!icva?u?s?aacliwa?Y•::?gIIent. ! ?
... .
?? ?/- •
a • ? ?,?C? .
?b. 3Y g,iu,l tl yk, ? ? Cr
c. ? x aDu 2?! ? /J • ?
r
d. d
. ?
f ? x Ifull
E. I 1?c? x "Ut'
'
g• ? x liun 6
y7J?? . .
• ? x flUff , ?.51 s t? ,
h_
• i, /? ? X IfOn ? ??j • ??s,.2? .
?
.Total
3 . ........ ....................
• - h t the 1n[ent
P.-94'6
i
t
i
i
i
i
1•
i
i
(
i?
i
!
?
?
i
?
E
?
If item tl3 is the same as, or Iess [fi'an item dl, you ave me ;
of SBC 6006 {02.
612+423+1149 03-16-93 03:19?M P001 #'GTi
' GENZ-RYFlN CO. 612+423+1149 P.02
'•? • ? Page 2 of 2
. ? •
4 ' I
5 (
Total esposed roof/ceilin$ area = ?
j .... ...?. . d
•" '
, Total ekylight sxes .......•••.•.
lO
} , ? i
j
F
..
k. Total roof/ceiling lzatiing area (average I
Total net irtauiatad roof/ceiling area .........`
Determina "U" calue for each rooElcailing segment. i !
?
I ?
J. v g„Qlt?
i
k. J4'? x „v?? , ?Z47 ? _ ? • ? ?
g uulf
... ...Total
.
.
4..... .. ............. .
... ........ .
;
If total of 04 iA the esame as, ot less than 02l yoti have met the lnkenC , .
; •yt?.?.iterd?.tA?Bu:?ldin??aeTog?;Aesign ?
• To utilize the total"envelope syatem meehod, the values establtshed by
s
f it
ec
• the sum of items 49 and 04 shall'nat'be greater than the sun o -. i
dl and #2.
+
.. ? ?
? i
. . .
_• i _ + 4_
I
?
' i
'
Post-It" brand Isx tranSmltlal meffio 7671 Aotpages ?? I i
I
Oep1. - - Vhana M
Fs[ FeK N - - j • i ?
..__..-. _.-..-?-_?,-.? .•_._'- ? . ?
. 5 ?
?
• , ?
, i
i
I R-94'6
612+423+I149
1
03-16-93 03:19PM P002 A26
INSPECTI(JN RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: Lo r :
4132 ARBOR LANE
WENZEL
PEJMdTPYBTYPE:
TYPE OF WORK:
DESCRIPTION
BUZLDING
022182
10/14/93
NEW
(1 OF 4 UNITS)
INSPECTtON
FOOTSNG .. .
FRAMING
INSULATION FINAL I
FSREpLACE
REMARKS: PRV S& W PLBR - WENZEL PLBG
f- - . . . . . _ . _ _ .. _ . ...?.-?
;
PERMIT TYPE:
Permit Number:
Date Issued:
za sLocK: 2 APPLICANT:
WENSMANN NOMES
(612) 423-1179
? PERMIT
.
CITY OF EAGAN BUILDING
? 3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number: 022182
Date Issued: 10 / 14 / 9 3
(612) 681-4675
SITE ADDRESS:
4132 ARBOR LANE
LOT: 24 BLOCK: 2
WENZEL
P.I.N.: 10-83570-240-02
DESCRIPTION:
REMARKS:
?. i
(1 OF 4 UNITS)
Building,Permit Type 4-PLEX
Building Glork Type NEW
,-'UBC Occupencyti R-3 M-1
%'Construqtipn Type V-N
j?? Zoning PD
Building Length , 58
Building W3dth 40
. ?
?-PRV S& W PLBR - WENZEL pLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
WN?RAArvNTi?OMES
3312 151ST ST W
ROSEMOUNT MN
(612) 423-1179
VALUATION
$581.00
$377.65
$43.50
$750.00
100
$1,752.15
$87,000
MISCELLANEOUS $1.744.50
Total Fee $3,496.65
nppiicanr. - aI. Lit,
NEp
14231179 0001458 W?NS-f?A?P]N HOMES
3312 151ST ST W
55068 R03EMOUNT MN 55068
1(612)423-1179
I hereby acknowledge that S have read this epplication and sCate that the
information is correct and agree to comply with all applicable State af Mn.
Statutes and City oF Eegan Ordinances.
L
?
APPLICAN?/PERMITE?IGN R
-Nltifi bd,(.I
ISSUED B SIG ATURE ?`
r---:
?ERC'i•IYATE
Ap.MIT #
1993
;
CITY OF EAGAN
1993 BUILDING PERMIT
sa1-a67s
APPUCATION ? 3,.'•?G (..1? ?
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. ;
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last workfng day of month.
s requested once permit
d or 3) lot change i
dd
i
h
_
ange
ress
s c
in which request is made, Z) a
is issued.
Date %0 /9_ Yaluation of work
Site Address: y? 3 ? ?? ?•
fTREET , fU1TE #
Tenant Name: (commercial only)
IAT Q q BIACK , Q_ SUBD. P.I.D. *
Descri tion of work:
The applicant is: V1 Owner TI Contractor O Other (Dsccribe)
iv Phone 423` I 17 9
J
1 eAt
L
-
t
&M ri, AvK
Name
Property LAST fIRST
-ul-
Owner 5 % W
Address 331 a )5J 1
STREET STE /
City RaS6l? auw-r State MAJ Zip 55069'
Company (J&wSm ANN t?mL3 Phone 4 3-1179
Contractor s
Address 33I Q /Sf 'l License #? J?fSSC Exp.3L3cL9V
City oS(Enouwr State MN Zip o6
Company r?nl 14 rnEs Phone 423-117?
Architect/
Registration f 11991
Name PM(L hr+4tsm2nm
Engfneer ?
?
" ? w
Address 33f.1 15/
City (?oS? o ?rrr State ?xi Zip 'SSG6S?
Sewer & water licensed plumber lx)&Y? rnr??IC-A&, • Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
licable State of Ninnesota Statutes and City of
ll
h
app
a
correct and agree to comply wi
Eagan Ordinances.
?
-
Signature of Applicant: a--
OFFICE USE ONLY
BUILDtNG PERMIT TYPE
.?
? OI Foundation 13 06 Duplex 13 11 Apt./Lodging O 16 Basemeot Finish`
? 02 SF Dwg. ? 07 4-Plex 13 12 Mu1ti..Misc. O 17 Swim Pool '
0 03 SF Addition ? OB B-Plex ? 13 Garage/Accessory ? l8 Comm./Ind.
? 04 SF Porch O 09 12-Plex O 14 Fireplace ? 19 Cowm./ind. Misc.
? 05 SF Misc. ? 10 Multi: Add'l. ? 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
fd'31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish
O 32 Addition 0 34 Repair p 36 Move
GENERAL INFORMATION
tonst. (Actual) Basement sq. ft. ?S
MWCC System
Allowable)
S lst Fl. sq. ft. City Mater
UBC ccupancy za ? 2nd F1. sq. ft. PRY Required t
Zoning Pn Sq. ft. total Booster Pump
f of Stories Footprint Sq. ft. Fire Sprinkler
length ? On-site well Census Code ia z
r
Depth ?e p On-site sewage SAC Code ^3_
APPROVALS ?
i
Planning Bu9lding Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? Site
O Wallboard
? Footing
? Final
? framing
? Draintile
O Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
ctty sac
Water Conn.
Mater Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Oed.
Copies
Other
Total:
v.tuat;o,: s`? 7, oa o
G A t2_A 4r'E ,? yL{ 6 0 K'?? ?
HoLL S'V-: : t '4 -70 to xhy??
= 713G
?.-----
SAC % /M
SAC Units ?_
? .
l.??
-
,
?s
o?+!
SITE ADDR£55
CONTRACTOR
i
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pDDRESS _
1.
2,
•-• s-
..
• ?-
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1 fl
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DETBRMINE WOF1tI?'G SOUARE FOOTAGE OF
Total exposed vall area ... ?7?? 84• ft, x?_ ° l87.
e4• ft. x , ?.?-
I --Q-- ,
Total roof/ceil9.ng 8ree ....
? i
Total ezposed wall area above floor =
1 92- r . :--g ilIIli b7
°
„
l 9•?U
?-
y. 38 g II
'
?lo x „ult , 2? ? /J • ?a-
c. ,
d 0 % „p,l, ra
. ?
?iti„
e 115"a x „uff o
.
g. C7 g nQn
h_
G:7
g
njjn
'auk':TotaL waJ.3.*:windowt area -...-?•.._•.•••--•. .............
`?7:.^_S2?G.f?" ft00r 'dY.Ba ....?.?........ ................. . .. I.. ... .... ?_ ^ Q
?-v
door. at.ea ..?...??.. ........... ?
'
....,........
;firePl.ace. wall. area ........:.......?..
;a: w'all::#r:_aming:
I .. ._ :
,?<<,-.Tatal -neL. wall- aies,aboVe-.flooz......_ J
`g. 'ToEal kitn joist axea _. ._....._.---.--• • • • • • • "'
•I. -•
Total exposed f.ourtdaCion area
I
,.
h. Tota1 foundatlon windoW area .....,,
-!U:.:ffoCal nat: £oundation area- above grade ......... ?...
i
fie'[e?A?CernlYtie vaYumni eac'kL wal*•:se i g?ent.
i
t
?
i
?
?
i
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r
?
i ,.
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?
Total '?? •?
3 . ........ ............ ....... .
? h 1 tent
GENZ-RYAN .?D. ? 612+423+1149 P_01 I
x ?
ACr},,..:7- "U" C0:"3yTATI(
?.? 1113 Z .L1OIC,
;?;?;,/ l5ro,ev ??t
I'
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,
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If item 63 is Che same as, oY eI'ss [Fan item 11, yau have met t e n i
oE SHC 6006 (c)2. I
R=94e6 612+423+1149 03-16'93 03:190M POOI lI2B
• ' GENZ-RYHN CO. 612+423+1349
? i
• ' p?g¢ 2 af 2
I
I .
Total esposed sooE/celZing grea
..?.... ? .
j. Toeal skylight axea ............ ........
k- Total rooE/eeiling lxaeing area (average LOX).. ,?l?J
1, Tatal net irisulated roof/ceiling araa ..........
Determine "U" value for each rcollceiling segmant.
O S uDie C7 . ? .
k. g Itnll ?
g rvi? . G7? 1 _f o ?, ?Z
- ?
i
4........... .......... ...................Total y /
.
If total of #4 is the Rame as, or lesg khan 42# yois h2ve met the i.ntent
,.nr. ??of??5B??60tl6(c)1. '
,-•,?ti,.?ltteraB'uUdiag1}veTogg ;Design :
' To ut3lize the total"envelope syaterA melhod, tho valuee establlshed by
• the sum of ttema 43 apd 114 'sUall'not'be greater thbn tbe suci of itecs
A1 and 92. ?
?. + 2. -• 1 3. --+ 4- " ^-
-.?
PoBt-II" brand fex tranSmiflal momo 767110 of peges ? C?!.
° A40fJ/ - /Wff-C BeV(.V4
t
_2..
I R-94%
i
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612+423+1149
P.Bf ?
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03-16-93 03:19PM P002 #2b
PERMIT
? CITY'OF EAGAN
3'830 Pilot,Knob Road
Ea'gan, Minnesota 55123
(612) 681-4675
4134 ARBOR LANE
LOT: 21 BLOCK: 2
WENZEL
SITE ADDRESS:
P.I.N.: 10-$3570-210-02
DESCRIPTION:
PERMITTYPE: BuiLoiNG
Permit Number: 022179
Date issued: 10 / 14 / 9 3
UNITS)
4-PLEX
NEW
R-3 M-1
V-N
PD
58
40
00 l? cc-?CSI?.q a n
-? (i oF a
Building,Permit Type
Building G1ork Type
'-'UBC Occupancy\,
/ Censtruction Type
? Zoning _
/ euilding Length
i Building 4lidth \
.'
--
Y
REMARKS:
PRV
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAC Units
Su6total
S& W PLBR - WEN2EL PLBG
VALUATION
$581.00
$377.65
$43.50
$750.00
100
1
$1,752.15
$87,000
MI9CELLANEOUS $1,744.50
Total Fee $3,496.65
TJENTAANTVTAbTiES u Hpp1114231179 0001458 IJEFfSFfA'NN HOMES
3312 15157 ST W 3312 151ST ST W
ROSEMOUNT MN 55068 ROSEMOUNT MN 55068
(612) 423-1179 1(612)423-1179
I hereby acknowledge that I have read this epplfoatinn and stato fhat the
information is correct and agree ta comply wi.th all applicable 3tate of Mn.
3tatutes and City of Eagan Ordinances.
L
i??? ?j 1E,-?)= _. .
APPIICAM/PERMITEE SIGNATURE
I
?N.A I 11'?
ISSUED BY: SI ATURET?
REACTIYA7E _ -'- ? ,,- CITY OF EAGAN
,?Fw?tIT??r U-j'?"g??UED 1993 BUILDING PERMIT APPLICATION $3??f14,(,?
/? 'n?93 681-4675
?
5IN6LE 5 MULTI-FAMILY 2 sets of plans. 3 registered site surveys, 1 copy of energy
calcs. ;
LOMMERCIAL 2 sets of architectural h structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is thanged or 3) lot change 1s requested once permit
Date / U /62_ /q3 Valuation of rork
59te Address: AMoK Lnc
STREET fUlTE M
Tenant Name: (commercial only)
I,pT ? $yOCiC ? SUBD. sF- P.I.D. M
il .
W st ! ' A-b
Descri tion of work:
The appl icant i s: El Owner [&Contractor ? Other coe.ortee>
Name Phone 423-1179
Property LAST FIRST
Owner r
Address 331a 151 ST WEs7
SiREET LTE M
City POSt`Yviouhrr" State K1 Zip 55U(asll
Company bJ z?vsY„rv „v rh6s Phone 4?S--117 9 _
Contractor Address 331 a I 5/ sr tm? 1.+?• License N_/ySff Exp. 3/3t i
City K oC?nouwr 5tate AU Zip SS062'
Lompany ti c_crvs rn,4w,) N-e„, & s Phone 423- I n9
Architect/
Engineer
Name
Address
PEV- '??Ls-rLn,-.,
33! 3- 151 ir 5'F'
Registration 111 17991
LtJ
City 0_0S6yhavxrr State Mr1 Zip 57:S'06r
Sewer 8 water licensed plumber ??-
sewer 8 water permits is two days once area has ?P_?? wvbv'tA c- -• Processing time for
been approved.
1 hereby acknowledge thaP y have read thiStatenofnMinnesotahStatutesnandmCitynofS
correct and agree to com 1 with all applicable
Ea9an Ordinances.
Signature of Applicant: ? r?
OFFICE USE ONLY
BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Additlon ? OS 8-Plex ? 13 Garage/Accessory
O 04 5F Porch ? 09 12-Plex 0 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 31 New O 33 Alterations ? 35 Tenant finish
32 Addition 13 34 Repair O 36 Move
GENERAL INFORMATION
O 16 Basement Finish.
13'17 Swim Pool
? 18 Comm./Ind.
O 19 Coaam./Ind. Misc.
? 20 Public facility
? 21 Miscellaneous
E3 37 Oeawlish
Const. (Actual) y- N Basement sq. ft. MWCC System yE5
UBC ?Allowable)
ccu
anc N
? lst F1. sq. ft.
2
d F1
ft City Mater
i
d ?
PRV R
p
y n
. sq.
. equ
re
Zoning rp Sq. ft. total Booster Pump
# of Stories Footprint Sq. ft. fire Sprinkler
length ? On-site well Census Code ?
Depth Hor On-site sewage SAC Code
APPROVALS ?
I
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTION S '
? Site ? Footing ? framing ? Insulation
O Wallboard ? Final ? Draintlle ? Fireplace
Permit Fee v.i,ecid,: g g7? pJp
Surcharge
Plan Review
';y,6*X
License t
CWty SAC noti5?; ?Y r76'0 x%0sy?,O .-'l_? 3Y0
IJater Conn. l a
Water Meter
Acct. Deposit
S/W Permit ?
5/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other -
Total:
SAC % Il10
SAC Units f
..
? .
aize tmnREss
CODITRACTOR
L
R=94%
GENZ-RYRN .,O-
Or EDR'Ei,OYE hCce.:'.S? •.Un
. A ? / ? ?
I
ADDRESS pRONE.
1. Total exposed vall area ....
2, Total roof/ceili.ng area . ?
OF
?
?
sq. ft. x.
,
I ?
„
?
„
i
?
i
sq. f t. x^pa.b = 3. 3CP' :
? .
xotal etposed aall arpa above flaor
a. ':a?>k?.'Cata1 wall?ewindowt 6.xea _........._..........
cloor, ar.aa ...... <............ ................... ?'..?...,......?_ ?? ? ,
doat. ar.ea ..?...?.«..............?.,,,• - ? ? -
f_ '9.?n'Tot'aJ. IfireP7.ac`e. wall. ar.ea ........:..........•. a...,.... ._...--•-----?' ,
?. ;e: ?»,'Tota]L via3l::ftaming. aYea °('qver2gQ' 1A7.)I ..... _? ? ?
?_ :?? ?,:Total neL. wall- aiee,abo've•.klber ....... ..... _;
_.._...r_.y-..-.b.. ? •.•••••• _--------- , ?
-- 'g. 'Total Yim joist axea ..
..i i
Total exposed foundation.area
?
h. Tota7, foundation windoW area .......?•••••••••• ? ' '•
? ?,:s?ToCal net: £ouadatioa area- above grzda ........ • ?. • •_? ' i
-- t ..
I ' !
•,• . 7Sece:A?CernlYrie d:L'??cvaYu?mg? eacli wa];f•:segment. ! ? ? '=
7.
? .. ? 92- c --A IIIIu 76 . . ? ?
o. a. ?L??-( C1
x „a„
?
?. f1 p 11tlfl
?.I a 4 r
e. ?
f. ? 1JrC7 Riluer
-? - i t
x nun
g• ? I
b- g ituot , 9.?'.,`".,/
[7
X ItQit
? t
.Total ? •? i
3 . ......... ........... .......
• ' ;
If ltem 13 is tha same as, or Ie's's eFlan item 71, yeu hava met the f.ntene ?
of SBC 6006 (c)2. i
612+423+1 149 03-16-93 03:190M P001 SE'Z?
I 612+423+1149 P.01
?
I--' -' _•' Pr'.i.=
•r
. GEN2-RYAN CO. 612+423+1149
pmg¢ 2 of 2
' • I
. ' .
Tota3, esposed rooE/ceiling area = ? f
•'
, Total skyl3ght axea ........ .1 .............
k. T4ta1 roof/CGiling fxacaing area (average lOX).- /??
?
J,. Total net irisulated Toof/ceiling aYea ..........
Determina "U" v81ue for each icof/tailing segment.
G7 g udu C7
k. 1-o4 x „u„ , ?;?g-7 ?'_ ?•?
?.. /2.?U x ituts 32--4 ........................... ....?.........1'otal
y `
If total oF 44 is the same as, or less than 029 you have met the i.neent
<:,,r. ;,af,+5EQ,6006(c)1.
,-•trr.c.?itern'?Lt'e?Nu:L].dinw. M}v.eTope;Design :
i
' To utilize the'total'envelope syatem method, tho values established by
• the sum of items 43 artd 04 shall-ttot'be gceater thhn the sun oE itens
11 and P2. l. f
::. .' 3. -±
Poel-1!" brand tax Iransmittal memo 7E71 • olpages ?
?
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I R-94°5
612+423+1149
?
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03-16-93 03:19PM P002 ?26
PLEASE COMPLETE FOR SINGLE FAMILY DWELLIIVGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTT.
NO. FIXTURES EACH
? SHOWER 3•00
G
WATER CLOSET 3•00 o
BATH TUB 3•00
+ LAVATORY 3.00 =Op
? KITCHEN SINK
LAUNDRY TRAY 3•00
3.00 2,00
3100
HOT TUB/SPA
WATER HEATER 3•00
3•00
? FLOOR DRAIN 3•00 '
GAS PIPING OUTLET • minimum - 1 3.00 Oo
? ROUGH OPENINGS 1.50 . SO
WATER SOFTENER 5•00
PRIVATE DISP. • Dek.cry. uc. 15.00
U.G. SPRINKLER • 6ome under tonst. 3•00
ALTERATIONS • to oosung 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: -3$' 60
STTE ADDRESS: ?/a? xdn4__?
OWNER NAME: /ti?bn44-?." 4V Al9?
?
INSTALLER:
CITY: STATE: ZIP CODE: SS/a?-
PHONE #: ( lv fo o2 -
?Q/LP/I?
GNATURE OF PERMITTEE
1993 PLUMBING PERNIIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 68113675
?;.:. • ...,'
??• . ... _ . _. ,..
1993 PLUMBING PERMIT (CObIINLERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMNffiRCIALJINDUSTRIAL BUILDINGS. AISO FOR MULTI-
FAMILY BUP. DINGS WI-IEN SEPARATE PERMTTS ARE NOT REQUIl2ED FOR EACH
DWELLING U: - ;T.
_ IVEW CONSTRUCfION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE 1% OF CONTRACT FEE.
STATE SURCHARGE $•SO FOR EACH $1,000 OF pERMTf FEE
MINIMUM FEE: S 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE a
TOTAL S
SI1'E ADDRESS:
TENANT NAA1E: S'TE, #
OWNER NAME:
W STALLER:
ADDRESS:
CITY:
PHONE #:
STATE: ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH TOT?
SHOWER 3•00 ? 00
WATER CLOSET 3•00
BATH TUB 3.00 10 „7Q
LAVATORY 3.00 91DD
? KITCHEN SINK 3.00 _3Od
? LAUNDRY TRAY 3.00 ?,Od
HOT TUB/SPA
WATER HEATER 3•00
3•00
?
FLOOR DRAIN
3•? ?
GAS PIPING OLJTLET • minimum - t 3.00 YC?
ROUGH OPENINGS 1.50
WATER SOFTENER 5•00
PRIVATE DISP. • DeiLciy. lio. 15.00
U.G. SPRINI{LER • nome under mnst. 3.00
ALTERATIONS • to a6sting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: . 5`1 SO
SITE
?l
OWNER NAME: GfIbI,QlvZrt/n'?? A""'Z!.d
INST.
CTTY: STATE: A'i%11 ZIP CODE:
PHONE #: (,k2) Vbl2
71 /a/L??/'/ o[ • ?_eiG?
SYGNATURE OF PERMITTEE
1993 PLUMBING PERNIIT (RESIDEIVTIAL)
C7TY OF EAGAN
3830 PIIAT HIVOB RD
EAGAN MN 55122
(612) 6814675
? r . .. . ..
??.
1993 PLiTMBING PERNIIT (COMMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMAg,RCLALJINDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMILY BUI'_ .->INGS WF-IEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING U:-,T.
_ NEW CONSTRUCf10N
ADD ON
REPAIR
WORK DESCRIPTION:
CONT'RACT PRICE: $
fEE: 1% OF CONTRACf FEE.
STATE SURCIIARGE $.50 FOR EACH $1,000 OF p£RMM FEE
MNIMUM FEE: S 25.00
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
TENANT NAIVIE: STE. #
OWNER NA117E:
WSTALLER:
ADDRESS:
CTI'Y:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
..? . ..
.. j ,, .,:•:'_ ?..<..:.,?q,<.,..<..,:;.:,«a::«x.. ^-,.?:q?;.?:s::s:r.as:?;:???.:..?,:g,,;°'4>e?`
•; : <:. ._?L , . ..:...., . . . r<..'?..... .?S`,.. e .: ... . ... < l,:..:w: ,4` ?::?:YS'
?....,. . ............ :...:?:....:•:.::.. ....,.,,«,. .<..??". ,,,:, <...:?,.<r< .<:,;. .??..:.??::? ?;:??;?'::'-:<;S
?.. , ,:: :,. ?? .................•?. <.z.,...i ..,..?::?. ,.Fd, > :?::??`,?,.,•;???..
...... " .. ... .... ..........r.n;.•:.'y` '('
m.
.. . .. ?. .....:.... : ?.?.
? .... . . . :, ?.r
'. ..?A. :? . .. ,,. . >?:;?z:.?.::,.::;«>.<.,w??,??.:?:?;:;.:?? M.?E?aa.??,?s??t:?::?.>:?? : ,,4•...... ... .. .
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
1993 PLUMBING PERMIT (RESIDEIVTIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 6814675
NO. k'IXTURES
I SHOWER
WATER CLOSET
? BATH TUB
- LAVATORY
? KITCHEN SINK
/ LAUNDRY TRAY
HOT TUB/SPA
? WATER HEATER
FLOOR DRAIN
? GAS PIPING OLJTLET • minimum -
ROUGH OPENINGS
Z WATER SOFI'ENER
PRIVATE DISP. • DakCty. Iic.
U.G. SPRINKI,ER • home under cormi.
ALTERATIONS • to ousiing
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
EACH
3.00
3.00
?
?olDr ?O
3.00 ?
3.00 9, o0
3.00 .00
3.00 D
3.IX1
3.00 3,00
3.00 . 00
3.00 .
1.50
5.00
15.00
3.00
15.00
15.60
.50
,9,7,Sa
STTE ADDRESS: 'el/gal Ghjq-42? xQ'/?"?
OWNER NAME: zVDiyU2a-z2B/l'l?12? Z o -
INSTALLER:
ADDRESS: /9S9 a?
CTR': !o ir?J? STATE: /27/II ZIP CODE:
J'?S/oS
PHONE #: (jy/o2) 445-67
?irr V. QL??
SIGNATURE OFTERMTI'TEE
I.. Y , .
.
?t78A:.. ... .? .... . ,..
1993 PLUMBING PERMIT (CONIIIERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMTfS ARE NOT REQUIRED FOR EACH
DWELLING U. ,T.
_ IVEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF COATRACT FEE.
STATE SURCHARGE $.50 FOR
MINIMUM FEE $ 25.00
CONTRACf PRICE X l%
STATESURCHARGE
TOTAL
SITE ADDRESS:
EACH $1,000 OF PERMPf FEE
$
$
S
TENANT NA114E: STE #
OWNER NAME:
INSTALLER:
ADDRESS:
CIT'Y:
PHOA'E #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
..... ?..?!??;? . ,,. •: .;c?... . ;,;? .. ±:
,:... A . :..:::....:.::.,...:;.:::.?.:
??.;-:?;°
> .:... ...: ....... y}
?':?: .. ... - . . .A.i?.ii.?p....:: (
??m(z•:ii.:'
x . . . .. -. .. S.^"'...::. ? . ..a .:..::... ..:......:..c<..?:...Y: ? >.s,. e?'.''cy;:a ,a;? •"i>'a?aa??:.
a ., ...q. .. .. ..-.. .a ... ..>....:K...:";...aY.?.c:.::.?Ai .
??,.... .:.,. : .? ...:... ... ....::... .v.:.:.?.,:..?,.:.:..
?e ?..:¢:..r;:Y,i •:gt:,:???`?;e48.` ..Y'.???£?'??."Sv"r'::ii?y;:??_<
......... . .. . . ,..:...,r.....,..:..:.?:'.;c.:%'v'ee;.io>.::;,,,.n;.:..:>.,.. t;. ..a:n;?.2
.. .. . . . . .. . .... . ,.... • .. ?si:":Fs-: ?xsi'
:.. . . ..?. . .EtE:?? .......,.. ,.e....: ...v..>.::?,..:.,.,?
.. ,..... :>.
? . . ..:...?. i..:. ., '' • ., . ?,?<?G)ua.?.,'i?P;::c.?:.?':.a::,>,..<,.:¢.:):%:>:Fx?<?::<?:9'r?x::x::e?):?'?.ii n
1993 PLUMBING PERMIT (RESIDENTIAL)
C1TY OF EAGAN
3830 PILOT IQVOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTT.
NO. FIXTURES E&M
SHOWER 3.00 -5-00
? WATER CLOSET 3•00 a' ao
BATH TUB 3.00
00
3 o"00
LAVATORY •
? KITCHEN SINK 3.00 '3 -D D
LAUNDRY TRAY 3.00 .31 DD
? HOT TUB/SPA
WATER HEATER 3•00
3•00
'?1--
FLOOR DRAIN 3•00 _?106
3 GAS PIPING OUTLET • minimum -1 3.00 91DD
ROUGH OPENINGS 1.50
--
WATER SOFTENER
5.00 _S'i
00
PRIVATE DISP. • Dee c,Y. iic. 15.00
U.G. SPRINKLER • eome uneer mnsi. 3.00
ALTERATIONS • to edsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: '5?71 ?Q
SITE ADDRESS: -112 lf/A.Ad'I xd/_)'?
OWNER NAME: ?G?(iYZ??YJ'ld/j?/rZl lVa7'Le,?
INSTALLER:
ADDRESS:
CTTY: Lo Q-4lUl? STATE: ZIP CODE: SS/a?
PHONE #: ( G/o2 ) ??o? ' /Slo ?
? ? ? ??
IGNATURE F PERMITTEE
1993 PLU11iBING PERMTT (CONMItCIAL)
CTTY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMIlMERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUI'_ DINGS WHEN SEPARATE PERMTTS ARE NOT REQUII2ED FOR EACH
DWELLING U: ,T.
_ Nb'w CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:
FEE: 1% OF COhTRACf FEE.
STATE SURCHARCE $.50 FOR EACH S1,D00 OF PERMII' FEE
MINIMUhf FEE S 25.00
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
$
$
$
TENAIVT NA111E: STE. #
OWNER NAME:
W STALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
STATE:
ZIP CODE:
APPLICANT
PLEASE COMPLE'TE FOR SINGLE FAMII,Y DWELLINGS. ALSO, FOR TOWIVHOMES AND
CONDOS WHEM pERM1TS A1tE REQUIRED FOR EACH UN1T.
X NEW CONSTRUCITON
ADD-ON A/C
A.D.^.-OPvT FL'RNACE
DATE io- 21-93
F'EE5
HVAC: 0-100 M BTU $ 24.00
, ADDTI'IONAL 50 M BTU 6.00
_.?S OUTLETS (MINIMUM i@ 53.00 EACH) b. C:O
ADD-ON/REMODEL (Exisrarc coxsTRUCrior) $ 15.00
STATE SURCHARGE .50
TOTAL 30 50
SITE ADDRESS: 419 g CUbV'7- LOnU--'
owNER 1vAME: U.?LnSrrCt n nl1ana.n-) TFi .F.PxorrE #: 4a 3- i i9 9
INSTALLER: GENZ-RYAN PLUMBING & HEATING C0.
ADD :ESS: 14745 South Robert Trail
Cpry; Rosemount STATE: MN ZIP CODE: 55068
TFT"F.PHONE #: (612) 423-1144
n rt?h
MECHANICAL PIIiMIT (RESIDENTIAL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWF_i.I.INGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTI'S ARE REQUIl2ED FOR EACH UNTT.
X NEW CONSTRUCTION
ADD-ON A/C
?D-ON FURNACE
DATE io- ar7- 93
FEES
xvAC: aioo M BTT.r $ 24.00
, ADDTTIONAL 50 M BTU 6.00
_.-,S OLTI'LETS (MINIMUM 1 Qa 53.00 EACH) 9•?
ADD-ON/REMODEL (EMsTnvc coxsrRUCrtor) $ 15.00
STATE SURCHARGE .50
ToTat. 33.5u
srrE .e,nDREss: 4130 CLxt?D? La 0-1.
owrrER NAME: V'J(f n s mQ n n 4r)'? 'rELEPxotvE #: 4a 3- i i j q
INSTALLER: GIINL-RYAN PLUrffiING & HEATING C0.
ADDRESS: 14745 South Robert Trail
CI'j'y: Rosemount
STATE: M ZIP CODE: 55068
TEL.EPHONE #: (612) 423-1144
r1,tJ1 ,_41 r ir ly/.x.Jtn
MECHANICAL PERMIT (RESIDIIVT7AL)
CITY OF EAGAN
3830 PIIAT %NOB RD
EAGAN MN 551Z2
(612) 681-4675
. . ?
I
?
y
MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
' EAGAN MN 55122
(612) 6814675
PLEASE COMPLE'TE FOR SINGLE FAMILY DWEi,LINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIE2ED FOR EACH UNIT.
Y NEW CONSTRUCTION
ADD-ON A/C
ADD-Oi?T FURNACE
DATE ICY -7- 93
MS
FiVAC: 0-100 M BTU $ 24.00
ADDTTIONAL 50 M BTU 6.00
.
,
_.?S OUTLETS (MINIMUM 1@ 53.00 EACH) 9.cc)
ADD-ON/RE.ODEL (Em5TuvG CoNSTRUCTtoN) $ 15.00
STATE SURCHARGE .50 '
TOTAL 33.5v
srrE a,DnxEss: 4f 30 Cut.? La ru
OwNER NAME: l,lJe?"1SmQnn ? MLEPxorrE #: 49 3
INSTALLER: GENZ-RYAN FLLmING & HEATING C0.
ADDP.ESS: 14745 South Robert Trail
CITy Rosemount S"I'pTE• MN ZIP CODE: 55068
TELEPHONE #: (612) 423-1144
.?
l
•
' '? ..
x rrEw coxsTRucriorr .
ADD-ON A/C -
ADD-ON FURNACE '
DATE ? !C)-c97- 93
,F.
HVAC: 0-100 M BTU
ADDTTIONAL 50 M BTU
` ._nS OUTLETS (MINIMUM 1 @ 53.00 EACH)
ADD-ON/REMODEL (EXIS'ru1G CoNSTRUCrroIV) '
STATE SURCHARGE
TOTAL
FEE.S
.: a 24.00
6.00
.. !?•? i ,.?'±*,. .. ? .: .
.. ,; '
- a 15.00
r M.
?. .? 1NU
. 33.5v
,
,
srrE a,DDxESS: 4134- Ctn-hg? Lanu--? owi•rER NAMIE: l,UenSrnann -4errw TELEPxorrE #: 4-93-1179
INSTAI.LER: GENZ-RYAN PLUMBING & HEATING Co. "', . ? '
ADDP.ESS: 14745 South Robert Trail CTTy: Rosemount STA'TE: M ZIP CODE: 55068
TELEPHONE #: (612) 423-1144
t
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
,,E?4 (? y s- 651-681-4675
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets
• CivilPlans (2) . StmcturelPlans (2) • CodeAnalysis (1)"
• Certificate of Survey (1) . Civil Plans (2) . Project Specs (7)
• CodeAnalysis (1) •' . LandscapingPlans (2) • KeyPlan (1)
• Project Spea (1) . Code Analysis (1) '• • Master Exit Plan (1)
• Spec.Insp.BTestingSchedule . CertificateofSurvey (1) • EnergyCalculations (t)notalways"
• SoilsReport (1) . Spec.Insp.B,TestingSchedule (1)" • EIec.POwer&LightingForm (1)no[always"
• Meter size must be established • Meter size must be established • Meter size must be established - if applicable
• ProjectSpecs (1)
l • EnergyCalculations (1) d
1 • Electric Power & Lighting Form (1)
1 . Master Exit Plan (1) 1
1 • Fire Protection Plan (1)
d • SoilsReport (1) y
• MGES SAC determination letter . MC/ES SAC determination letter • MClES SAC determinahon letter
call 651-602-1000 call 651•602-1000 call 651-602-1000
Contact Building Inspections for sample
Food & beverage or lodging facilities - submit plan to MN Department of Health. Cail 651-215-0700 for details.
DATE: INZ2 IG i2W- WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COST: 40
SITEADDRESS? ?(-?j(L Ld}v.lE
TENANTNAME: "(1'F- AfPnQ Y} C Sflh1 db-1. SUITE#: w- i.{14t2$i%32,it 4130
FORMER TENANT NAME, IF APPLICABLE
DESCRIPTION OF WORK 12E- 1ZWt- l.?l'T(?2
Name: ^(? 40?()Q Z&--A:5- Phone #: ( ?i ) 'nt ZJr7 - q32)?)
PROPERTY Last First
OWNER
StreetAddress:(tvl.?A"?pp W
City: State: (A1.rl• Zip: -5'c? S6122
Company: 1 1 TA-u.f ???'1Lt,tC.?1 o nl Phone #: (6 61 ) Z.Z.S - l oc1 -?>
CONTRACTOR
SffeetAddress: 2UC> S. CUV.SCOQ;'? L-KG+,4-r.1C-tE
Ciry: sb.s{- . Pq.(q,L- State: (\A,nl. Zip: 5S016
ARCHITECT/
ENGINEER Company: Phone #:
Street Address:
Licensed plumber installing new sewer/water
City:
State:
Name: Regishation #:
Zip:
Phone #:
I hereby acknowledge that I have read this application, state that the informatlon is corre , and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant: ------
?. ?
Updated 1102
OFFICE USE ONLY
SUBTYPE
? Ol Foundation ? 26 Public FaciliTy ? 30 Accessory Bldg.
? 14 Apartments ? 27 Commercia]/Industri al ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr G 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code
SAC Code
No. of Units
No. of Bldgs.
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floar sq. ft.
sq. R.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Building
? Insulation
Engineering
sq. ft.
sq. ft.
sq. 8.
sq. fr.
MC/ES System
City Water
Fire Sprinklered
p Plumbing ? Stucco/Stone
Variance
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
VALUATION $
% SAC
SAC Units
Meter Size
Total
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Construction Reouiremenis
3 registered sile surveys showmg sq. fl of bt, sq. tt oi house; and all roofed areas
(20 % maximum lot coverage albwed)
1 Soils RepoR'rf proposed building is to be placed on dis[urbed soil
2 coies of plan showmg beam & window s'¢es; poured found design, etc.
1 set af Energy Calculafions
3 copies of Tree Preservation Plan H lot platted ailer 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Mmnegasco mechanical ventlation form
W?,zsr is
RemodeVReoair Reouirements Oifice Use OnN
2 wpm of plan showing footlngs, beams, joists Ced of Survey RerA _Y _ N
1 setof Eneroy Calalations for heated additbns Soils Report _Y _ N
1 site survey Eor addAions & decks Tree Pres Plan Recd _Y _ N,
Addifion -indicafedon-srtesepticsystem Tree Pres Required _Y _N
OnsfleSepficSystem _Y _N
Date6-/ Construction Cost 3 y/ 00Q
Site Address 4r?X?-? UniVSte #
t 3 3 .3- - 2 4/11y'e?7
Description of Work ?IttG1? 51 ??N? Lc1?Xl?-?JS ?'?
Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner A-adc yZ6 Telephone # ( )
Contractor PL' L CC5Tf5??
16
SC-'il0lU 5,?7Z_---17C
? -
Address (Z "?1' City 7??%?.ClSift LL?
State /tl o>-Ed?tt?3 U i`a- Zip Tefephone # 96-Z) aF? 2-Q?,0o
'4v
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesob Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission Type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
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.
?? e_?, M , ICC7-,04 + _ SJP-- ?
Applicant's Printed Name icant's Signature
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urder m~ direct subervision ~and ~hat i~ a:n a uu~u ::°ATE J . - _ -
Land Surveyor un~er the laws of the ti~ut;r of ~"~~i:;r:e~~"... ~ ~
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Datr: ~ isf - T - i
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negi~tereu La.nu '~urve~~~ _ ~"G 4 ~p~q( p(j~~y? NO. IBSA iB%T9 . ' : . .s-.2Tr-.,..e,....r,-.~:.+..var..--... " . _
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4128 Arbor Lane
Lot: 22 Block: 2 Addition: Wenzel 1st
PID:10- 83570- 220 -02
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Total:
Contractor:
Ductworks Heating & Air Conditioning LLC
5320 Triton Drive
Golden Valley MN 55422
(763) 521 -0070
ME - Permit Fee (Replacements)
Surcharge -Fixed
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
Owner:
Roger R Stam Tste
4128 Arbor Lane
Eagan MN 55123
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA077523
04/30/2007
ePermit
0512312014 11:27 Les Jones Roofing, Inc. (FAX)9528817009 P.0091016
Use BLUE or BLACK Ink
1 For Office Use I
I I
City of Ea an i Permit#: I Permit Fee: "71- -7 1 15 3830 Pilot Knob Road 1 I
Eagan MN 66122 Date Received:
Phone: (651) 676-6675 1 I
Fax: (651) 676-6694 1 Staff.,
1
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address; N12$' 4130-V/$2-913r1 -Q(3di2 LA.,4C unit
N Name 8 r*,F ,Amseas Assoc. A6Ahw~'hone: SI-4oS-~S~~
Address / Clty / Zip: "11 (o AQ$p p .
i
Applicant is: Owner X Contractor
Description of work: bat d v~ .~AJD /~EOG.Qf.~ BG)r
Construction Cost: 4 3 7 9 7 r Multi-Family Building: (Yes X/ No
ti Company: AE G Contact: CMer s, y-,vaa rLS0A/
Address: 4YI 144 _ Cm,: ~Gdo ~yl ~
State: lAd . Zip: 'V24) Phone: 95A - 76 7 - 011
b ,
License Lead Certificate M _ Wm-
If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a 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:
CALL BEFORE YOU DIG. Call Oopher 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 utilkles. www.oonharstateonecall.oro
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 pormll Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
x C*i2rS 4#DiWS0A1 x "17 .
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA163815
Date Issued:09/14/2020
Permit Category:ePermit
Site Address: 4128 Arbor Lane
Lot:022 Block: 002 Addition: Wenzel 1st
PID:10-83570-02-220
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Tommy Tstes L Ellingson
4128 Arbor Lane
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171223
Date Issued:08/05/2021
Permit Category:ePermit
Site Address: 4128 Arbor Lane
Lot:022 Block: 002 Addition: Wenzel 1st
PID:10-83570-02-220
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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:
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 -
Tommy L & Gayle Y Tstes Ellingson
4128 Arbor Ln
Eagan MN 55122
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA171224
Date Issued:08/05/2021
Permit Category:ePermit
Site Address: 4128 Arbor Lane
Lot:022 Block: 002 Addition: Wenzel 1st
PID:10-83570-02-220
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Tommy L & Gayle Y Tstes Ellingson
4128 Arbor Ln
Eagan MN 55122
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature