4120 Arbor LaneINSPECTION
I CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
t I. ?r;trt;tI P 1 Ardt
I ILS f1. 1 i
PERMIT SUBTYPE:
? ; , , . , ,
GH- 1 N
:CORD
PERMITTYPE: Permit Number: ' '? ? ? ? ? •
Date Issued: :?, I F1 r. /14
114 f, i ,,, i, APPLICANT:
TYPE OF UVORK:
r4'? t-!
I ti +t;a i l,A
r"rrtnI
Permit No. Permlt Holder Date Telephone #
S/W '
PLUMBIPiG
HVAC
ELECTRIC
ELECTRIC
Inspection Date Inap. Comments
Foatings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace !a ? y !o ?d yy? ??
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Finai
Deck Ftg.
Deck Final
Well
Pr. Disp.
.
. CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION REC4RD
PERMIT TYPE:
Permit Number:
Date Issued:
? SITE ADDRESS:
t.i} hl.'4 1 i', i
1 i? ?: i u' ti! 1?? I
Ikt;t7W l tattF
? PERMiT SUBTYPE:
Wk W-P11lYd4 H(?!9f
1(•', 1. 1 '! ' i j I,
TYPE OF WORK:
. I :: I I ': I;
?1 f 4J
1 i?? ?1 11rd I t?:c
INSPECTION D • .A
I, ? . I I 1 ., i Iit H
?
M/?trK •, :•.?,l? ?'??N fkA?; 11?#? ?.?? Nr't 1 Mf i it I•I?:v
Permit No. Permit Holder Qate Telephone k
S/W
V14 L
47
w4limii-- P16 .
ELECTRI a? ?0 9 9 po
ELECTRIC
Inspsction Date Inap. Comments
Footings I
Foundation
Framing 7 . 1
Lc/
Roofing
Rough Plbg. _
y/
2 _ 2?r L/? Oot/
Rough Hlg. ?
Isul.
Fireplece _ P
Final Htg. ?.
Orsat Test
Final Plbg. 9 Plbg. Inspector - NOtify Plumber
Const. Meter
EngrJPlan
Bidg. Final
Deck Ftg.
DeCk Finel
weli
Pr. Oisp.
-? -? ?
?
I t+ .
? ClfYlDF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
ON
PERMIT TYPE:
Permit Number:
Date Issued:
? S{TE ADDRESS:
1 1) T
I !1 fi f
PERMIT SUBTYPE:
?,!, itI t%I t
1-J ` M'S. P1 A N IV 110 MI
TYPE OF IIVORK:
Mi?F1
?. ?IF 4 111 NI I
INSPECTION
? . .A
?: . • ..
,:Ii , , . , .
: i fi
I , Auti:"i ; W„u l:;tOMFftlIC I uN .. ?.tt N., f i mi i ia. ????v
i
?
Permit No. Permit Holder Date Telephone #
S/W
?tt?vlBTItlG VI? ?. 4l i 4 4a
+4?
ELEC Rl ? ' ?v 9 °?
ELECTRIC
InspecUon Date Insp. Commerft
Footings I U,)4
Foundation
Framing
Roofing
Rough Plbg.
i cy
Rough Htg. ?I Z?' 93 -uG lJ?? ??
Isul.
Fireplace
Final Htg.
7?/u
Orsat Test
Final Plbg. _Z _ 1jQ
/v PJbg. Inspect4r- Notify Plumher
Gonst. Meter
Engr./Plan
Bldg. Final -2???
t
?J
Oeck Ftg.
Deck Final
Well
Pr. Disp.
?LGU ?2!du?/ _Zl!(7??I ? W? - - -
,. - -
_ CFiTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
?.rr- rv ?s n? ?e i?•? r? f i e? ra f
TYPE OF WQRK:
a " . I. I ,
v? wT
I ni- $1 iIMt I•,
INSPECTION
? i • . ¦A •
? ? D
? SE,: 1
{ ?r1CtK?? St;.l,f ? «N(ftA('`i()Ft -- WtN.,i l, MM , FI
ON RECORD ?
PERMIT TYPE:
Permit Number:
Date Issued:
PitV
?
Permit No. Permlt Holder Uate Telephone #
SMI
-WWA-
ELECT 5'a 5' /v
ELECTRIC
inspection Date Insp. Commenta
Footings I /q/y2
Foundation
t
Framing f
Roofing
Rough Plbg. 2 , 11 Z-?/ ? ?-f • G L. F?
Rough Htg. i
Isul. 21
Freplace
Rnal Htg. ??/ ?
J i' !t
N
Orsat Test
Final Plbg. -y 9 Plbg. Inspector - Notify Plumber
Const. Meter
Engr.lPlan
Bidg. Final
Deck Ftg. ?
Deck Final
weli
Pr. Disp.
Y b
- C1`r 1( OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
' SITE ADDRESS:
, PERMIT SUBTYPE:
!
TYPE OF WORK:
N )? 1.J
1 CIt R l?tV f'1 `i
INSPECTION D• • D•
I i
rt,;?
I :i ft k s
1:1114
i'C?N f)t?ti' t E?ii • 4!P N.:'F i
-1
ON
JcoRn
PERMIT TYPE:
Permit Number:
Date Issued:
r ctT . 13 ti, M : APPLICANT:
I ANf
?
-?
Permit No. Permit Holder Dete Telephone #
S/W
P&JIME1+"
ELECT
ELECTRIC %
Inspectlon Date Insp. Commenta
Footings I
Foundation
C
Framing
Roafing
Fough Plbg. 1- 27 - V`J- L' ? ,14
Fough Htg. 2z 9j?
Isul.
Freplace
Final Htg. _ ? .
Orsat Test
Fnal Plbg. ?y y
Iv Plbg. Inspector - N01ify Plumber
Const. Meter
Engr./Pian
Bidg. Final X?/y ?
Deck Ftg.
Deck Final
Well
Pr. Disp.
n
# ? ? ?1!
?• i s
K."eL`ttftCQtC of cCCIivQIiC?
WU4 of Wagatt
?eparhaext of 13Ki[bixs axopectivu
This Certiftcate issued pursuant to the requirements of tlre Uniform Burlding Code
certifying tieat at the time of issuance this structure was in comp[iance with the various
ordinances of tlse City regulati?eg buildirig corutructioR ar use. For the following:
use c?mincat;on: 4 PIFX (1 OF 4 tNIIS) BMg. Permit No. 22332
Ocapancy Type MA{ 1 Zaning Diwict FD Type Consi. VN
owner of euaaing WIIMM REALIY nearem 3312 151 ffT ST W. ROM=
suilding nm. X4120 ARBOtt IANE t,?ity L14, B2, W@ffiL 1SQ
- > / D.,:
1?re?
POST IN A CONSPICUOUS PLACt _
%. N
M ? y4 1
?
?e?ti?icate n? ?ccu?anc?
6" ot Cfagan
meoarhncuf ? ????? ??V"A"
' This Certifccate issued pursuant to the riequirements of tfie Unifarm Building Code
certifying that at the time of issuance this structure was in co?npliance with the various
? ordinances of the Ciry regulating building construction or use. For tJte following:
1 OF 4 PLEX 22333
. use clawiecafion: swg. Pcnnit rvo. VN
( occupa-r TYve WhNSMRNWTjWT?1t1iCt S i ti = .i?"' r ; i?vs"?UNT
Owner of Building Address
• s
• I Buil¢ing Addmss I.ocality
Date:
Boildh?g Dfficial
POST IN A CONSPICUOUS PLACE
_.s_.
?? • 2,:.....
??]? ?..?.,??
W,ertificate vf Ccculpanc?
wft? oq Cfagan
- ZeV a?eut of 13xi[hing 3xi3oechnn
This Cerrifrcate issued pursuanl ta the requirements of 1he Ursiform Building Code
certifyiRg that at the time of issuarrce lhis structure was in compliance with the variaus
ordinances of lhe City regalating building construction or use. For rhe following:
use cWssirwation:4 - P L E X siag. eern,ii No. 72't'?
?0-P?Y T)'Pe R3.4i1 Zoning Diw'itt Pn Type Const. VN
OwnerotBuilding Add-ss 3312 ?ST W, [tr1lEMi'r w
BuiWing Addcessl.acaliry r 1rWsNM
, ., . ?
?y???? ?: T_
? BwI?OS `!^??,...
? POST IN A CONSPICUOUS PLACE
i
i •' ?-_
? 6.,.,?•- -•? ' - - ? ?! ' .ti ?
Wertificate of Ccruoatcc?
Wit4 of Cf agan
moartment of $?ciUbi»g ?u+??rection
This Certifcate issued pursuant to the requirements of the Uniform Buitding Code
certifying thal at the tinie of issuanee tltrs structune was in cornpliance with fhe variaus
orrtinQrtces af the City rrgulatiMg building canstruction or use. Far the fo!lowing:
Use Classification: ?f? I UMl Bldg. Perm+t No. 22339
OocupantY 7}rpe R 311M 1 Znning Disaict VD Type Const. Va.
owwr oe guiia;g UENSHAN,, uFer 1v nan- 3!j !?! 5-lSj-S£ W RSa
$ui6ding Address 4 176 eAarn T sur Loca?"y L 13„--B2, G-W-W-lsr
o-dce:
s offiCi2l
POST IIV A CONSPtCUOUS PLACE
Address 4124 ARBOR LANE Zip 5512 ?
L.ot ` 16 Blk z Sub w?'c?.lsr
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 3109 Yes No Inspector. /v4
Final grade (6" from siding) ?
Pertnanent steps (garage) ?
Permanent steps (main entry) l/
Permanent driveway
Permanent gas
Sod/Seeded grass v'
TraiUwrb damage Y
Porch t/
Basement finish j/
Deck ?
Please verify with the builder the removal of roof test caps from tbe plumbing sys[em and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
Address
Lpt 13
ARHOR i aM
Zip 5512?
Blk 2 Sub wENZEt.lsr
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: ?L- CF - Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas r/
Sod/Seeded grass
TraiUcurb damage ?
Porch
Basement finish r/
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contaa engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Convactor Copy 0
AddCes§ 4123 AREOR LANE Zip 55122`
L.ot 3 Blk 2 Sub
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ? qrg Yes No Inspector:
Final grade (6" from siding) i.-'"
Permanent steps (garage) L %/ ,+ib
Permanent steps (main entry) ?
Permanent driveway l/
Pertnanent gas i""
Sod/Seeded grass
TraiUcurb damage y?
Porch ?
Basement finish i.?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - Ciry Copy Yellow - Residcnt Copy Pink - Contractor Copy &
Address 4120 AREOR LANE Zip 5512 2
Lpt ., 14 Blk 2 Sub
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: a? Yes No Inspector: ?
Final grade (6" ftom siding)
Permanent steps (garage) t/
Permanent steps (main entry) ?
Permanent driveway Il
Permanent gas
Sod/Seeded grass
TraiUcurb damage V/
Porch
Basement finish
Deck
Plcase verify with the builder the removal of roof test caps from the piumbing system and ihe shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engincering division at 681-4645 bcfore working in right-of-way or installing undergmund sprinkler system.
White - Ciry Copy Yellow • Resident Copy Pink - Contractor Copy ?
oyn-// y'Y /?/5/
M 52454
Request Dat
Kire No
? Po -in Inspeclion NOTICE: You Muat Call Elecincal Inspeclor
/ /
I
01 94
flequiredl
II A Hough?ln Inspecvon
?I Ves L No Is fleqmretl
I? licensed contractor ? owner hereby request inspection of above electrical work at.
Job Adtlress (Strret, Box or Route No ) , City
4120 Arbor Lane Eagan
Section No
Township Name or No
Range No.
County
I Dakota
OcwpaM (PqINT) Phone PJo
Wensmann Homes 423-1179
PowerSuppher Adtlress
akota Electric Assoc 4300 220th St. W., Farmin ton
Elecmcal Coniraclor (COmpany Name) Convac[or? Lmensa No.
Joos Electric Co AM01895
Mailing Address (COnVactar or Owner Making Installalion)
3980 Beau D' Rue Drive, Ea an, MN 55122
Aulhonxetl SignaNre (COninc[odO.vner Makin allallo Phone Numbe?
C.? - 688-618G
MINNESOTA STATE 80ARD OF ELECTpIC THIS INSPECTION REOUEST WILI NOT
Grlggs-MldwaY Bltlg. - floom 5-113 BE ACCEPTED BYTHE STATE BOARD
1821 UniversRy Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Vhone(612)642-0800 ENCLOSED
a/?Q/r?+4Z REQUEST FOR ELECTRICAL INSPECTION
I See mslmctions for complehng this foom on back of yellow copy
M, .52454 "X"; 8elow bYork Covered by This Request
ee-ooooi-oa ?
19151
New Aiid Re - TypeoBwlding ApplianCesWved EqwpmentWired
Home X Range Temporary Service
Duplex Watet HeatOr Electnc HeaLng
Apt 8wlding Dryer Load Management
Comm./Industrlal g Furnace Other (Specify)
Farm Air Condrtioner
Other (speafy) Contmo[or's Remerks
Compute lnspection Fee Below
# Diher Fee # ServiceEntrance5rze Fee # GircwtslFeeders Fee
Swimming Poal 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above WO _ Amps
SignS Inspector§ Use Onry TOTAL
Irrigationeooms $89.50
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE ED DISCONNECTED IF NOT
Other Fee COMPLETED WIT 1 MON f
I, the Electrical Inspector, hereby Rouqn-in ? oa1
certify that the above mspechon has
been made. F,,,ai
r oa?
OFFIGE USE ONLV ?
This request voitl 18 monihs imm
?ro 5%i: / yis /
? 2453
Request Date Fl e No flough-in spedion NOTICE; Vou Must Call ElecVical Inspectar
2/01/94 Reqwred'+
$IYes
?NO If A Rough-In Inspec0on
IsReqmred
I[0 licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Streep 6ox ar Foute Na )
• 4122 Arbor Lane CAy
Eagan
Seclion No Township Name or No Range No County
Dakota
Occupent(PRINT)
Wensmann Homes Phone Poa
423-1179
PowerSUppher
Dakota Electric Address
4300
220th St. W., Farmington
Elecincal Contrector(COmpany Name)
Joos Electric Co. Contracmr5 Lmense No
AM01895
Maihng Address (COn[rdGOr or Owner Making Installation)
3980 Beau D' Rue
Drive,
Eagan, MN 55122
Authorized SgnaNre (CoMractorlOwner Making Install n) Phone Number
688/6180
MINNESOTA STATE 90AflD OF ELECTRICRY THIS MSPECTION iiEpUEST WILL NOT
Griggs-Midway Bldg. - Hoom S413 BE ACCEPTED BY THE STATE BOARD
1821 llnivernly Ave, St. Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS
Phane (612) 642-0800 ENCLOSED
g/??/? ,/ REQUES7 FOR ELECTRICAL INSPECTION
_ ?
`"py? ? See insvucHions for mmpieLng fhis farm on back of yellow copy
I?(. . 5,? 4 5 3 X" Below Work Covered by This Request
,ow, 4
EB-00001-OB
99/5/
Naw Add Rep Typeof6wlding AppliancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwlding Dryer Load Management
Comm /Industrial g Furnace Other (Specdy)
- Farm Air Conditioner
Other (speciiy) Conlraotor'e Femarks
Compute Inspection Fee Below.
# Other Fee # SerwceEntranceSrze Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to ioo Amps 1 74-
Transformers Above200-Amps Aboveloo_Amps
Signs ^
inspecmr's Use Only TOTAL
Irnga4on eooms ?
???e $89. 50
Speaal Inspection
Alarm/Communication THIS INSTALLATIO AY BE O ER CONNECTED IF NOT
Other Fee COMPLETED 18 . f
I, the Electrical Inspector, hereby R°°9n-'"
OF
certify that the above inspection has
been made. oWe?
OFFICE USE ONLY
This request witl 18 months hom ??
?/ F
?
v
5
2452 /?- i `?
? °
(tly? /
Request Date Flr No Rough-i paciwn NoTICE You Musl Call Eleclncal Inspector
2/ O 1/ 94 Raqmretl' If A Paugh-In Inspec0on
, p Yes ? N. is fteqmretl
IER licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atldress (Street, Bax or RoNe No J Qry
4124 Arbor Lane Eagan
Seclion N. Township Name or N. Range No County
Dakota
Occupant(PRINT) Phone N.
Wensmann Homes 423-1179
Power SuppLer Address
Dakota Electric 4300 220th St. W., Farmington
Elednwl ConVador(Company Name) Con[tactorS License No
.Toos Electric Co. AM01895
Mailmg AOtlress (COntrector or Owner Making Inslallahon)
3980 Beau D' Rue D ive, Eagan, MN 55122
ANhor¢etl Siqnalure (Conimctor/Owner Making Inst ion)
.
?'J. Phone Number
688-6180
MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grigge-Mldway 81tlg. - Roam S-173 BE ACCEPTEO BV THE STATE BOAFD
1821 Universi[y Ave., St Paul, MN 55104 UNLESS PROPEF INSPECTION FEE IS
Phone (612) 692-0800 ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION
? S9e inslRrt.Yions f?mpiehng ihis form on back ot yellow copy
M 5 2 4 5 2 "X" Below Work Covered by 7hl5 Request
???" EB-00001-OB
19/S/
e Add Rep. Type of Building AppliancesWired EquipmentWrted
Home X Range Temporary Service
Duplex Wa[er Heater Electnc Healing
Apt. Building Oryer Load Management
Comm /Industnal X Fumace Other (Specdy)
Farm Air Conditioner
O[har(specdy) Conlractors Remarks
Co mpute Inspection Fee Below
# Dther Fee # SerwceEnlrance5ize Fee # Cirouits/Feeders Fee
Swimming Pool 1 0 to 200 Amps ], 1 to 100 Amps 74.
Transformers Above200-Amps A6ove10o-Amps
S19n5 Inspeclo05 llse Only. TOTAL
trrigation eooms ?? ,?/ $89 . 50
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8E O DISCONNECTED IP NOT
O[her Fee COMPLETED W I 18 T S. ?
I, the Elecirical Inspector, hereby Rou9n-in ? oa ,7 Q
certrfy ihat the above inspection has
been made. F,,,ai ? py?y l? q.
OFFICE USE ONLY
This request void 18 mon[hs irom
pil5l
^? 9 °°
ReQUest Date
ire No
2/ O 1/ 9 4 R h-in Inspechon
Re,?iired? NOTICE: Vou Musl Ga0 ElecVicallnspeclor
1f A Rovgh-In Inspecban
?I?es ? No Is Reqmred
I EXicensed contractor ? owner hereby request inspection of above el ectrical work at.
Job Address (S[reet, Box or Rou1e No )
4126 Arbor Lane Ciry
Eagan
Sec[ion No Township Name or No Farge No County
Dakota
Occvpant(PRINT)
Wensmann Homes PhonelVo
423-1179
Pawer SuoGlier
Dakota Eleactric Atlaress
4300 220th
St. W., Farmington
Electncal ConVaclor (Company Name) ConVaclor's 4cense No
Joos Electric Co. AM01895
MaAmg Address (COntraqor or Owner Making Inslallation)
3980 Beau D` Rue Dr've, Eagan, MN
55122
ANhorizetl SignaWre (COnVflctorlOwner Making Inst tion)
d Phone Number
688-6180
MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION PEQUEST WILL NOT
C.riggs-Mitlwey BIAg. - poom 5193 BE ACGEPTED BV THE STATE 60ARD
1821 Univeralty Ave., St Peul, MN 55104 l1NLES5 PROPEF MSPECTION FEE IS
Phone(612)64Y-D800 ENCLOSED
IV
K 3 3
Request Dale
y
I Pve No Rough-In Ine ion Requ retl
(YOV must
cell Inspeaor en
re etly) Inspeclion Other Tiran [lough-In
? Reetly Now ??Z,I, Will Notity Inspedor
No
Yes
? D
ete Reatl
I p licensed contractor ? owner hereby request inspection of above electrical work at:
Jeb Atltlresa (Strael, Box or Roula No I
a A
b
'
?
? Cny
?
r
or
I
- e' a c?
Sacuan N. TownsNp Name or No. Renge No Cou?nry
W???
Occupanl(PRINT) Phane No
Power Suppller Atltlre9s
Elecmcal ConVactor (Company Neme)
r j-
?
C
l
C
u
t
- GonvactoYS Licensa No.
0
11_
?e
v
a n,
r
v?
yuc? oy
\ 100
Mailing Atltlress (ConVactor or Owner Mak g,InsWllaOOn)
e e
qN
Aulhorized SignaWre (Conlracin00wnar
? Meking etallallon) Pho)ne Num
ber ?
/y
? -
3
:?
?
C?
-I
U
1
MINNESOTA STATE BOARD OP ELECTHICITY THIS INSPECTION REQUEST WILL NOT
GriggsMlOwey BIEg. - Noom &128 BE ACCEPTED BY THE STATE BOARO
1821 Unlvarelty Ave., SL Paul, MN 55104 VNLESS PROPER INSPECTION FEE IS
Vhana (812) 692-0800 6 ENCLOSED
0lr1REQUEST FOR ELECTRICAL INSPECTION
0033581 / See Inslmchons tQr completing ihle lortn on back ol yellow copy
? "X" 8elow Work Covered by This Request
R'?,B?
Ne Add Rep. Type of 8uilding Appliancas Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater Electric Heatin
Apt Buildin Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Offier (spBaly) ConUectors RemaM1s
Compute Inspection Fee Below:
# Other Fee # Service Entrence Size Fee # Circuits/Feedere Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200-Amps Ab6va?100 -Am s
SI f15 Inspedors Use Only:
G TOTAL
Irrigation Booms U
S ecial Ins ection / iJ'LJ
AIarMCommunication TXIS INSTALLATION MpY BE(ORDERE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18'h1QNI
I, the Electrical Inspector, hereby
A
h R°°9n-in oace
cert
y t
at the above Inspection has
been made.
Final
i
OFFICE USE ONLV
This repuest voitl 1B mon1h51rom
Address 4122 ARBOR LANE
Lot - is Blk
SUb WENZEL 15T
Zip 5512 0?
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECPION.
Date: Yes No Inspector:
Final grade (6" from siding) I/
Permanent steps (garage)
Permanent steps (main entry) ?
Permanent driveway V/
Permanent gas
Sod/Seeded grass
TraiUcurb damage IX
Porch /
Basement finish j/
Deck
Please verify with the builder the removal of roof tes[ caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 651-4645 before working in right-of-way or installing underground sprinkler system.
WLite - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy 0
PERMIT
CI•TY OF EAGAN
3830 Pilot Knob Road
' Eagan, Minnesota 55123
(612) 681-4675
PERMITTYPE: suxLoiNG
Permit Number: 0 2 2 3 3 2
Date Issued: 11 / 0 8/ 9 3
SITE ADDRESS: ?
4120 AR80R LANE ?
LOT: 14 BLOCK: 2 \ q
WENZEL 1ST ?\\V
P.I.N.: 10-83570-140-02
DESCRIPTION:
REMARKS:
1 OF 4 UNITS
Bul ldirSg, ,Permit Type 4-PLEX
Buildin CJork 7yPe NEW
.-UBC Occupancy-, R-3 M-i
? Construction T`ype VN
Zoni.ng PD
i Building Length ? 58
; Building Width 40
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S&W CONTRACTOR - WENZEL MECH
FEE SUMMARY:
Base Fee
Plan Review
Surcherge
sac
SAC %
SAC Units
Subtotal
?EN-sAA
NATAN Es
3312 1515T
ROSEMOUNT
(612) 423-1179
3T W
MN 55068
VALUATION
$581.00
$377.65
$43.50
$750.00
100
$1,752.15
PRV
$87,0@0
MISC FEES
Total Fee
canc - oi. LiL
14231179 0@01458
$1,744.50
$3,496.65
WTNSKFINN REALTY
3312 151ST
R05EMOUNT
(612)423-1179
5T W
MN 55068
I hereby aaknowlsdge that I have read Chis appY'3cation and staCe that t'he
informatian is correct and agree to comply with all applicahle State of Mn.
Statutes and City of Eagan Ordinances.
L
APPLICANT/P RMITEE SIGNATURE ?
ISSUED V: S19NA7DW
REACTIVATE'_
Yt-RMIT # .
y ,?3Z
G3L '?i ?v
0 C T 2 0 1993
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLICATION
.3?y6. ?'S
SIWGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, i 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 changed or 3) lot change is requested once permit
is issued.
Date f0 ?'?Yaluation of work
Site Address: 4100 k,682 ZANe
STREET SUITE Y
Tenant Name: (commercial only)
IAT ) 4_ BLOCK ? SUBD
Id Y.I.D. *
? ?
Descri tion of work:
The applicant is: ER Owner Ea Contractor ? Other <oescr;x>
Name ll.Jewsm,mv,) ??T9 Phone 9Z3-1179
Property LAST F,RST
Owner Address 331a isi s s-r 60
STREET STE M
City 04osa.,c?rv-,- State MN Zip 65U68
Company wi!9%6mfl,uN Es Phone 4a3-1179
Contractor Address 3319 /Sr I-r rr_ w License #/y58 Exp. 313 119 V
Ci ty Po?6)"ouuT State fi'1N Zi p 56W6
Company Gt/,--y,s,r,AW u l?ern?s Phone
Architect/ r1
Engineer Name ? tF 6HzSrtto:-n Registration N 0991
Address
City State Zip
Sewer & water licensed plumber to?7? /vl -n?ic-AL . Processing time far
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this a lication and state that the information is
correct and agree to comply with all applicagRe State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
v
OFFICE USE ONLY
%L
BUILDING PERMIT TYPE '
11
01
Foundation
?
Ob
Duplex
?
11
Apt./Lodging
?
16 A
Basement Finish
0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool
E3 03 5F Additian ? 08 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
[3 05 SF Misc. ? 10 Multi. Add't. El 15 Deck ? 20 Public facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish
32 Addition ? 34 Repair 0 36 Move
GENERAL INFORMATION
Const. (Actual) v-m Basement sq. ft. MWCC System y?
(A1lowable) v- ?y lst F1. sq. ft. City Water
UBC Occupancy ?-3 M_I 2nd F1. sq. ft. PRV Required y?
Zoning p p Sq. Ft. total Booster Pump
N of Stories Footprint Sq. ft. Fire Sprinkler
Length ,SQ On-site well Census Code a 2
Depth y°, On-site sewage SAC Code ep3
APPROVALS
I
Planning Building Assessments
Engineering _ Variance
REQUIRED INSPECTIONS
O Site
0 4lallboard
? FDoting
? Final
O Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/M Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
v.tmt;m: $ 0 71 Oo O
y y6 -1?61# , ')13,1,
H°.i I Li F70 '4'x
SAC % I?
SAC Units 1
-r--
GEN2-RYHN e.0.
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? ExxbRIO•", g?'?'ELOPE hCcc?:?= "U"
DIdt7ER W?KSln.,e.lnl '?•`?;`F,?
SITE ADDUSS?ZE.C,
cnNrxACTOR L o, iq. Z, ?U
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R-94%
612+423+1149 P.01
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ADDRESS PHONE I
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DEtERMINE F`0°.KIa'G SOUARE FOOTAGE OF EA '. ?
1. Total exposed vall area ... s4• ft. x?_ F ! 8 , 2, xotal roof/eeili.ng area . m4• ft• R.Q,O
Total eaposed wall area above floor = I? ,
s_ ':a?k52'atal wa1l::window_ area ....................... ! ...... _?
? 1:^_1ffdCel' f}OOI. &Y.0'd ................ ................. .... .I.. ... .... ^_ ? p
••TS
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t. ?S;glass. door. ar.ea ......._.. ......... .?
.
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..._..._.,---.?....? .....
'8• Total Yitn jvist area... •
I
•••
Total a:cposed foundation area
h. Total foundation window area .........
i 3,._?Zotal net: foundation area- abave grzde ......., ...•:_
' -
:• ., - pye'te??CeiniYrie d:L!1?]NBYllEaf': ear'tL wa?t':seglcient.
o ?
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Sf item 03 is the same as, or ess efia`n itQm 'J1, you have met the lntant
of SBC 6006 (c)2.
612+423+1149 03-16-93 03:19t]M
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GEN2-RYAN CO- 612+423+1149
. i Page 2 of 2
Total esposed soof/ceiling area = ? r
J. Total skylight area ........ . ........... ..': . ? .
•
k. Total rooE/ceiling fYaoing area (average lOx)..?
1. Totai net ineulated roof/ccilxng araa .... _/z,
Determine "U" Value for each rcoffceiling segment.
G7 % uIIn C7 . ?
k. 14? R??n?? ?z4'7 y U
' ?.. ?7 ? x IIUII ? 01
I
mi
b ..........................................Toeal /.
If total of 04 is the same as, or less than 020 you hava wet tha S.ntanC
,.??r. ;?of??&BC ?6006(c)1. "
; •.4r_.??ktera'kt"eB'uading::E:s}veTope;Design :
o utilize the'total'envelope syatem method, the values established by
the sum of items U3 attd 04 shall'not be gieatar thbn thn sun oE itees
01 and #2. ?
+ 2
-• i 3 -_± 4
.. ?..
PoaPIP° brand fax transmitlal memo 76711 P otpa9es "
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612+423+1149
P.02
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03-16-93 03:19PM P002 A26
PERMIT
?CITY OF EAGAN
' ?3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMITTYPE: guxLorNs
Permit Number: 022333
Date Issued: 11 /@ 8/ 9 3
SITE ADDRESS:
P.I.N.: 10-83570-150--02
4122 ARBOR
LOT: 15 BLOCK:
WENZEL 1ST
LANZ t2t')
? it IOJY
DESCRIPTION:
REMARKS:
? ?.
r #??
??l i:?3li!
r? 1 OF 4 WNITS
8t?ilding?Permit Type 4-PLEX
?uilding W»rk Type NEW
rIf16C Ocduparib-y\?' R-3 M-1
i" Co,nstruction Tqpe VN
Xal`tln9 ''. PD
i 8 u11 din9 length,
r Bu3lding Witlth
?
S&W CONTRACTOR - WENZEL MECH
FEE SUMMARY:
Bass Fes
Plan Review
Surcharge
SAC
SqC %
SAC Units
Subtotal
VALUA7IQN
PRV
$87,000
MISC FEES
Total Fee
58
ae
$581.00
$377.65
$43.50
$750.00
100
1
$1,752.15
$1,744.50
$3,496.65
CONTRACTOR:
WENSMANN HQMES
3312 151ST
ROSEMOUNT
(612) 423-1179
L
- Applicant - sT. Lzc. OWNER:
14231179 0001458 WENSMANN REALTY
ST W 3312 151ST ST W
MN 55068 ROSEMtlUNT MN 55068
(612)423-1179
I hereby aCknowl.edge that I h•ave read th3s dpp?ii,coti6fl "zt 5tate tb"rat Che
informatian is carrect and agr.6.0 to eomply 1xi?,h 611 apPrdi•Geble 5tAte of h4tt,
StaYuCes end C3ty o-f Eagan Ordfttences. .
APPIICANT/PERMITEE SIGNATURE
ISSUED B .Y IGNATU 0
?
REACTIVATE _ CITY OF EAGAN
? PERMIT #/ 1893 BUILDING PERMIT APPLICATION
0 C T 2 0 1993 681-4675 /
? ? ? 7 ?O • ? `?
012,
U
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date .rC)_ / 7-3 Valuation of work
Site Address: J/aa
STREET SUITE M
Tenant Name: (commercial only)
IAT J,Z SLOCK SUBD.
?^ P.I.D.
!
Descri tion of work:
The applicant is: EL Owner E Contractor D Other (Describe)
Name a/bQsmau,u k6rw? Phone ?1a3--/i?5
Property LASi FIRST
Owner Address 513/a I51 't4- s-r W
STREET STE M
City QoSe}nouw-r State MV Zip 550('rr
Company lUaNsrn,nwW Yneg Phone
C011tf8CtOf Address 33/ a !51 ? 5? W License # Exp.
City PLc) S6-*onovnn- State Mx1 Zip 53?369
Company GUi5wsm rrWu A?->+,EYS Phone
Architect/ ti
# )?9q1
i
t
R
P
h
Englneer on
s
ra
eg
?.?SL
fh11trzam?T
Name
Address
City State Zip
Sewer & water licensed plumber CU 6-hrtEl- //9&m?4? c*c . 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
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of 0.pplicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
O 02 SF Dwg. ? 07 4-Plex [3 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex [3 14 Fireplace
O 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
19 31 New O 33 Alterations ? 35 Tenant Finish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
? 16 Basement Finish
0 17 Swim Pool
? 18 Comn./Ind.
? 19 Comm./Ind. Misc.
? 20 Pub11c Facility
? 21 Miscellaneous
? 31 Demolish
Const. (Actual) v-N Basement sq. ft. MWCC System yt3
(Allowable) v-u lst F1. sq. ft. City Water ^
UBC Occupancy •3 M-I 2nd F1. sq. ft. PRV Required ' b
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ,5g On-site well Census Code laz
Depth yo? On-site sewage SAC Code o3
APPROVALS ?
1
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTION S '
O 5ite ? Footing ? Framing ? Insul ation
? Wallboard C-1 Final 0 Oraintile ? fireplace
Permit Fee vatuac;on: g S7,O0o '
Surcharge
Plan Review
6vARAC.E?,
yy6`?'k?6/A
License
Mwcc sAC
c;t
sAC
F/ouSE
c
y , ?
Sy 7? 3 ko
Water Conn.
Water Meter
Acct. Deposit
S/W Permit ?
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Lopies
Other
Total:
SAC % )00
r
SAC Units
?
?
:
R-9496
GENZ-RYqN :O.
: °,nu
612+423+1149 P.01
ql?..' i
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0[???? ?L?/?L? I? ??w?i;?`
SITE ADDR£SS YY? Z?- N I S?OR\ "7t?l.??J ' ?
CoNTAACTOR
ADDRESS PHONE I
i
DETEFMINE WO°1CI4TG SqUARE FOOTAGE OF EA . ?
1. Total exposed vall area s4• ft. x.
2, Total roof/Ceili.ng area I a9• ft. x??.b
I I
Total axposed wsll area above flaoc
n. 'a?+?"TataL wall::windawf area ......._.._..... ..... ? ..... _?
:- ?:±a1Ta"s?- door. anaa ....,..... ..... ....... .......... .... .?........... -_ ?
*. nS ,g7.ass.doon aF.ea ......,..._............. ,?„
d_ ?-.-r"Tat'al ?Fir?Plac'e. wa11. ar.ea ........:......... !. -.?.•... ._.... ? ? ,
?. Te= A"Taea]L vallJtaming, area ^(.qyeragQ' 107.)i ......._ _ ? JD
y_ '#? ,.:Total .neL. wall- niee,gbove•.£loor. -..-- • • .. _ , ,
-- '8. 'Total kim joist atea .. _.-.-?..r.....,.. .? • ........ ,
I
Total exposed foundation area
i
?...........
h. Tota1 foundatton window azea .......
! i,:.:,ToCal nat..fouadatioa area• above grade ...,......_._
:•,• . 7Se'ceiAeCer6Yrie%M?'hcvaYue:-si`i ear'ti watI.:segaent. !
?
it 67g ?
?
b. Jg` x ,lIIl,
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d. 0 A IlUII ? I a
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x
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i. /5!a ]( if pn
Total
3. ...............................
Zf item 03 is the same as, oY TergtF.an 1[em 81, yoa have met ehe i.ntent
of SBC 6006 (c)2.
612+423+]]69 03-16-93 03:190M
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GEN2-RYAN CO. 612+423+1149
1 . . i P_0F
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Tota3. esposed soolF/ceili.ng area
' ?
..... ! f
, Total skylight area ...._..•..•......•?....
j
?
Total rooE/cailing fxap3ng area (average 109)-•
k j I
I
/z
.
1, Total neC insulated roof/ceilxng araa .......••
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neteradna "U" velue for each rool/ceiling segment. ? i
n x itolt v
J.
k ;
.
g flulf
......... Tota1
4 ................ ?................. - !
?
If total of t74 is tha eame as, ot leas than 429 yoa have mat the in[anC .
. ; i
; -}Tr_.?tern?te?Bu$J.din?:?veTog??Aesign !
' ?
i.
' To utilize the'total'envelope eyatem method, tha values established by
es
E it
e
the sum of ttems 43 artd fl4 'shall'nat'be greater than the sula o .? i
A1 and P2. ' ' ' ' •
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P,-94% 612+423+1149 03'16'93 03: 19PM P002 426
? CFTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT ,
PERMITTYPE: BuzLoiNc
Permit Number: 022334
Date Issued: 11 J@ 8/ 9 3
SITE ADDRESS:
P.I.N.: 10-83570-160-02
4124 ARBOR LANE
LQT: 16 BLOCK: 2
wErvzEL a.sr
CE 161o 4e y
N?1A3
DESCRIPTION:
t.? i oF a uNZrs
Bw1Iding? Permit Type
?uS.Idin•g 'Uqrk Type
r116C 4ceupanc'y.,
CabStt'UCti.aYf T?pe
Zoni:n9
/ Sw,i2dihy, Lent?t?r . }
( Buildirig Widt-h
?•?` Lil'/
e.'MvAGURrxaN
Q(Tv
REMARKS:
S&W CONTRACTOR - WENZEL MECH
FEE SUMMARY
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAC Units
5ubtotal
CONTRACTOR: -
WENSMANN HOMES
3312 151ST ST W
ROSEMQUN7 MN
(612) 423-1179
$581.00
$377.65
$43.50
$750.00
100
$1,752.15
PRV
$87,000
MISG FEES
Total Fee
58
40
$1,744.50
$3,496.65
APpiicant - sT. 'rc. OWNER:
14231179 0001458 WENSMANN REALTY
3312 1513T ST W
55068 ROSEMOUNT MN 55068
(612)423-1179
i hereby ackncxwledge that T kr.a,vs read and stAto khmt the informat-ian is earrecC and ,sgr)eB tb Camply•wS6 all ap#aI3'?akle I SLatH bf titn, ?
5tatutes a•nd City of Eagan Qrcrinanoes. F?
APPLICA PERMITEE SIGNATURE ? ISSUE BY. SIG E
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuzLosNG
3830 Pilot Knob Road Permit Number: 0 2 2 3 3 4
Eagan, Minnesota 55123 Date Issued: 11 / 0 8/ 9 3
(612) 681-4675
SITEADDRESS: LoT: ss BLOCK: Z APPLICANT:
4124 ARBOR LANE WENSMANN HOMES
WENZEL 1ST (612) 423-1179
PERMIT SUBTYPE:
4--PLEX
0.-PLEX
NEW
R--3 M-1
VN
PD
NEW
DESCRIPTION 1 OF 4 UNI75
INSPECTION
Fp07INGS D. .
FQUNqATION .A
FRAMING RQOFTNG
INSULATION FIREPLACE
ROUGH TN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: S&W CONTRACTOR - WENZEL MECH
PRV
---
?
V ? . ?. . ' '
? ? . .!. _ .. _ . . .. _?
TYPE OF WORK:
REACTIVATE _
RERMI7 !Y . i???ENED
.? ?3(?, (? C T 2 D 1993
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLICATION
? ,-3 y S?-
------------
SINGtE & - --
ets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date / 'jo / q-:? Yaluation of work
Site Address I`' f)f2.Ae2 LN
STREET SUITE k
Tenant Name: (commercial only)
IAT ? SIACK ? ?fi
SUBD. P.I.D. M
0
Oescri tion of work:
The appl i cant i s: B Owner El Contractor ? OtheY (Deccri6e)
Name h)c?vs,m *ua cftz&I Phone 4a3-1 17 9
Property LAST ?IRST
Owner 3=?
Address -:?31
STREET STE M ,
City L S&rn avW'r State M Al Zip ??b$
Company W457?m}hvN /-a'ntfs Phone 4,*)3-1179
Contractor Address .?31a 151 ? Sr W License #/YSk Exp.3 /3119J
City „ Qos?+wxr State /wN Zip -SSV68,
Company I,UaW3r,AanJ f?oms Phone
Architect/
Engineer Name Pa? l,ANt?s-rRo», Registration N R7991
Address
City State Zip
Sewer & water licensed plumber WkrvzAg- Az?icr4L. . 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
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
•?
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? il Apt./Lodging ? 16 Basement Finish
O 02 SF Dwg. ? 07 4-P)ex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comn./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace 0 19 Comm./Ind. Misc.
O OS SF Misc. O 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
O 21 Miscetlaneous
WORK TYPE
?31 New ? 33 Alterations . O 35 Tenant Finish 0 37 Demolish
32 Addition 13 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) v-I.1 Basement sq. ft. MWCC System YA
(pllowable) y-M lst F1. sq. ft. City Water YES_
UBC Occupancy R- m_I 2nd F1. sq. ft. PRV Required YC>
2oning pD Sq. Ft. total Booster Pum p
1 of Stories ? Footprint Sq. ft. Fire Sprink ler
Length ? On-site well Census Code toz
Depth ?i On-site sewage SAC Code _03
?
APPROVALS i
Planning Building Assessments
Engineering Yariance
REQUIRED IN SPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee Wlutim: $ S 7oOO
Surcharge
Plan Review
License L/'q6?VA6, 4t ?.
MWCC SAC
City SAC
Water Conn.
Hotlsc ,
- -
1'-+`]O?y(
'?
9'??O
- /
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units 1
?
?
P,-94%
GEN2-RVAN ?O. ? 612+423+1149 P.01
p7CTjz1IO?: M'Ei.OPE "U" C0:"3 i TATIO\ ;
SIT6 ADDRESS
I? '?'7 L. c? Z - I 5 l /-? ?J ?? 1?i ,•
?oNTRACTOR L 07
,ADDRESS YRofm
i
DETERTIINE WOPICIF.G SOUARE FOQTAGE OF Eel . ?
1. Total exposed wall area Sq, ft, x. 1 L ° ! 87, ? ?
2, Total roof/eeili.ng area . ?-4Z>-7__I_ _ s4• £t. x ,DV? °
?- -i i
Total eaposed wall area a6ove floor = I ;
?
a_ 'a? k?:7'ota-1 wald.:windowi area _......_._......... I- -_.------
....... ............................ J.. ... .... ^_ ? :
;g?asa door. ar,ea ........... ......... ??
f_ 1A.-r'ToYal ffireP7.ace. wall. ar.ea ,.......:...,..«...?........,. ._...._ ? - ;
e. ;e:.t'Tota9t_va3l::ftam3ng, a'rea••(§yerage' 109.)I ........_? M Q
?_ #? ;,:Total .neG. Wall- nies,aboVe•.floor. -•.--"I• . • • "' • '
. ....•.••
.. 'g. 'Total kim 9oist acea
.I .
Total exposed foundation area
h. Total foundation window area ..............••.•• ---- ?? -- '
i -!G:JjTotal nat: foundatiou area- above gzzde .......? .._• ._ ??? '
:•,•.15e'[e?AcCernSYtied!C??iNaYu?s?earliwa];Y-:se&ent.
1 1? c•;--g nDn b/•? ?
b. 38 x„u„
C. x „o„ /1•9z- .
?
d. d % 'Jp,,
R lt(In
e. I ?5c7 xl,U,t
g? L"7 g nun
• ' D :
:
h ? x ffUlt
x lfpll
=--.--r
3. ........ ....................Total Y ..-? .d
.
• - the 1.ntant
1 ?
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i ?
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i.
, .:
;
;
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If item ,?3 is the same 2s, or Ie s C1an itea dl, you have met ;
oE SHC 6006 (c)2. ?
612+423+1149 03-16-93 03:19dM POOI ?26
GENZ-RYAN CO. 612+423+1149 P.02
2 0£ 2
. ' ? .i i
• i
?
?
Total esposed roof/ce1ling 8rea = '
I(
•
j, Tatal skylight eYea ........I ......... ?.........
(average109)..
i
_
ng area
k. Total rooE/cc3ling fxata
aulated roof/ceillng eraa ... ....•_
i
n
?. Total net
Determine "U" Value for eaCh YCOP/Ceiling 6egment. i ?
i
?
C7 8 nQie C7 ?
J.
x
„tT„ , ?,zg7 ? ' ? • ?
k
/? '
• ?
.
x uUu
- '
i
i
'
........ TOC8l •
rF......?....?.?..?..................
i
i ?
. f
i
=f total of #4 is the same as, or less Ghan U2j you have met the l.nkent •
?
,.nt. :;.cf?+SSC ?6005(c)1. j ?.
,--}Tr?terdkte?u#.lding:?}veTope;Aesign !
i !
i.
' To utilize the'total"envelope syatem method, the values established by
r
s
f it ?
e
a
- the aum of items 43 and d4 srall'not'be greater than the sum o .? i
dl and ?2. , ? ' . ?
1. +
4.
-.._ •
•
--?
I
?
,
?
Poat-I!° brand fax lransmRlal meri'io 7671 Fo of pages ? ?l. ' i
i
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I R-94°,6
i
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612+423+1149
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i
03-16-93 03:10M P002 #29
XCITY OF EAGAN
3830 Pilot Knob Road
•Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMITTYPE: BulLnxNG
Permit Number: 0 2 2 3 3 0
Date Issued: 11 / 0 8/ 9 3
SITE ADDRESS:
P.I.N.: 16-83570-130-02
4126 ARBOR LANE
LtlT: 13 BLOCK: 2
WENZEL iST
(a ?
c.i2 I
?°'#193
DESCRIPTION:
REMARKS:
68
40
412 'L'? 62_7?7(:(2j '.-'? (?JJ L'J
1 OF 4 UNITS
B,uilding;Permit Type 4-PLEX
uilding Wo`k Type NEW
g
-UBC Occupancy-, R-3 M-1
,
! Construction Typ; VN
i Zoning Pp
% Building Length ?
?
8uilding Width
.,
?i .
a
S&W CONTRACTOR - WENZEL MECH
FEE SUMMARY:
Base Fee
Plan Revisw
Surcharge
SAC
SAC %
5AC Units
5ubtotal
VALUATItlN
$581.00
$377.65
$43.50
$750.00
100
$1,752.15
PRV
$87,000
MISC FEES
Total Fee
$1,744.50
$3,496.65
WNTRACTOR: - Applicant - ST. LIC. OWNER:
NSMANN HOME3 14231179 0001458 WENSMANN REALTY
3312 1516T ST W 3312 151ST ST W
ROSEMpUNT MN 55068 ROSEMOUNT MN 55068
(612) 423-1179 (612)423-1179
S hereby acknowledge that I have read this application antl state that the
information is correct and agree to comply with all applicahle State of Mn.
Statutes and City of Eagan Ordinanaes. '
AQ
APPLICANTtPERMITEE SIGNATURE ISSUED V: SIG E
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: Lo T;
4126 ARBOR LANE
WENZEL 1ST
PERMIT SUBTYPE:
4-PLEX
TYPE OF WORK:
DESCRIPTION
BUILDING
022330
11/08/93
NEW
1 OF R UNITS
INSPECTION
FOOTIN6S .. .
FOUNDATION DA
FRAMSNG ROOFZNG
INSULATION FIREPLACE
ROU6H IN PIBG ROUGH IN HTG
FINAL PLBG FINAL
I REMARKS: S&W CONTRACTOR - WENZEL MECH
PERMIT TYPE:
Permit Number:
Date Issued:
13 B L 0 C K: 2 APPLICANT:
WENSMANN HOMES
(612) 423-1179
PRV
IF_
REACTIVATE _
PERMIT• N
CITY
C (??OF EAGAN
L,
1 93 BUILDING PERMIT APPLICATION
,??
0 C T 2 0 1993 681-4fi75
,.?.
FH_
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
CdlCS.
COMMERCIAL 2 sets of architectural & 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 changed or 3) lot change is requested once permit
is issued.
Date ,/ Valuation of work
Site Address: 41a& Azzcr2 lav -
STREE7 SUITE M
Tenant Name: (cammercial only)
IAT I 3 BLOC& 07 FSUBD. crY P.I.D. If
Am-
Descri tion of work:
The applicant is: 12 Owner EKContractor ? Other (Destribe)
Name w 5 u Phone 423°/!79
Property LAST FIRST.
Owner t
st-c..1
qddress 33' ?) >5/
STREEi STE M
70l?9
City KoS64navnrr State MN Zip 53
Company WLQ.,SmAW N /YOm?s Phone 423-iI??
Contractor ?
Address 331.1 I51 License #>4/5S1 Exp.313L/2`L
City PoSEnovwr State /4til Zip '2306 19
Company 6tJLqQ5°N MES Phone
Architect/ # 1799i
i
t
ti
R
-
P
h
Engineer ra
on
eg
s
Name
f}-i4ts
r2wmn
&?-
Address
C9ty State 2ip
Sewer & water licensed plumber C-??-*±» /1'1?,?,?,«?? 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
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
v
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ? 16 Basement Finish T
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind.
O 04 Sf Porch ? 09 12-Plex ? 14 Fireptace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
g 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) \1? Basement sq. ft. MWCC System Y?S
(Allowable) v_? lst F1. sq. ft. City Water
116C Occupancy fz-3 rn-1 2nd F1. sq. ft. PRY Required c
Zoning 1-+? Sq. ft. total Booster Pump
# of Stories Footprint Sq, ft. Fire 5prinkl er
Length S On-site well Census Code a Z
Depth ? On-site sewage SAC Code 6 3
APPROVALS ?
/
Planning Bui7ding Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee v.itiae;a,: S g 7E O d p
Surcharge
LicenReview
(?jr4r2ACrE;
A6 /
:/2?3
o
MWCC 5AC
City SAC
ter Conn
W ,
.;
'?'
?
? ? ? ?_7(7
E
.
a .
l
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
7ota1:
SAC %
SAC Units ?
^ GENZ-RYAN ?,O-
? . . ' --?-?--
?``j RTtT?RIOF. ?\'tELOPE hV£i1.-1E ^Ull
f
OTMR
612+423+1149 P.01
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SITE ADDRkSS z? '?nf ?5T"a,2? ?'?r5??? ; i
coxxctacToR 1--c i 13 S ??,c rc Z LU -? z?- 15 T- Ab-tL;' -J ;
t
I ADDRESS PHONE
1.
2,
._. II.
? f-
. ?-
i
P.=94%
: i
DETERMLNE tii0°1tI*'G SDUARE POOTAGE OF FJ+ • ?
Total escposed uall area ... 3q. ft. x.1
Total roof/ceili.ng area . s4• ?t. x_tD°
i
Total exposed wall area above floor
'a?k?Tatal wel,l::windowi area _...?........... , ...... -_.? ? ;
aiTat? &oor, axea, . -?'- - • ^•'
doot: ar.ea.......?... ' ....... ^, ? .
sfireP7.ace. wa11. ar.ea ........:......?...?. .,.?..•• ._......?---?- ;
;k> ?,'xotali wall:_#raming- atea °(s}yer8gf? 107.)I ?'_' . ._
'?_ „-.Tatal .neG. wall• area,above,£loor •...... -I• . •.. ..
. ....,......•••••
'g. 'Total kim joist area
I
Total e!cposed foundaGion area
i
h. Tota1 foundatxon window area ....... ?••••••••••• --- ??--
d. •iTotal net .£oundation area- above grade ............_ ?? `
i
?
>
?
i?
?
ti... . I -?
fi?ce Ac?Cerni3tie d!]'?{?cvaYu?a?`? eae'& waJ;t•:seg?
I ent. ? . .
i
?^ ? ••,.. ,
b. ?V x nQr, e, ?? 1 P /'to ' f
C.
?o
x
„oll , Ir3 1
97--
d. ? % Ilpn
? -- i
0• ? ?'f/ x IteVill ? IV?/.?
:
f. 11?C7 R iluet
g
[?
g
nUn i
i
b- C7 x nUrl
i
7t lfpn
,
?
Total Y•a`?? ? i
3, ........ ..........:........
•: : ;
If ltem 03 is the same as, oz I??an icem 81? you have met the 1.ntent :
of SBC 6006 (c)2.
612+423+1149 03-16-93 03:190M P • 00t ?'2Fi
• GEN2-RYAN CO. 612+423+1149
• - i Psge 2 oE 2
• •' . ? •
TotaJ, esposed roof/ceiling area
I
....'...•?- ?? -- '
J Total skylight area ...................
k. Total rooE/cciling fzataing area (average 10T}.._ 1'tlY -
Total neC irisulated ioof/ceiling araa ....
Determine "U" value for esch rcoP/ceiling segment.
J. C7 S nIIie C7 . ?
k.?l.•?'Z -- R ,??n , ?Z'?f''] y 6, -za
g uUII
4 ..........................................Toca1
If totel of #4 is the same as, ot less than 020 you have mat the inkenC
,.nr ,,of+=SBC,6Cn6(c)1,
: -?T__?teraaterBu#?.dio??s}v.eToge?Aesign
' To utilize the 'total'envelope syatem methads the values established by
• the sum of items 43 and #4 shall'not be greater thhn thc cun of 1CC49
A1 snd 02. • i
+ 2. `
L.
-• ? 3 __+ 4. . .
_ ? .
PoBt-II"brand fax tranSmltlal mmmo 7611 p of pages rc?
P.02
t
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00 Ca ?
Oepl. Mona 1?
az FeaN ? . I
. ?
..__ -. _.-..-.-?_.-. .--•- 5
I
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IP.°94% 612+423+1169 03-16-93 03=19FM P002 428
.
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WFF-N PERMITS ARE REQUII2ED FOR EACH UNTT.
NEW CONSTRUCTION
ADD-ON AJC
.4L`B-ON FURNACE
DATE ( I -1 a-C)'?j
FEES'
HVAC: 0-100 M BTU $ 24.00
, ADDTI'IONAL 50 M BTU 6.00
_.?.5 OUTLETS (MINIMUM i@ 53.00 EACH) b•C?U
ADD-ON/REMODEL (E)aSTtrrc coNSTRUCTtON) $ 15.00
STATE SURCHARGE .50
TOTAL Jp,'S o
SrrE ADD1zESS: 4190 CLnb?, LLIrj-
OwNER NAME: LlJCQKmOnrl TE
r-FPHONE #:
INSTALL.ER: GENZ-RYaN PLUMBING & BEATING Co.
ADD :ESS: 14745 South Robert Trail I
CITy; Rosemovnt
STATE: MN ZIP CODE: 55068
TELEPHONE #: (612) 423-1144
?
A
MECHAMCAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII,OT KNpg RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOIvES AND
CONDOS WfiEN PERMTTS ARE REQUIRED FOR EACF-I UNTT.
NO. FIXTURES
SHOWER
Z WATER CLOSET
T BATH TUB
LAVATORY
! KTI'CHEN SINK
? LAUNDRY TRAY
HOT TUB/SPA
? WATER HEATER
/ FLOOR DRAIN
"Z GAS PIPING OLTTLET • mi,,;m,m • i
ROUGH OPENINGS
WATER SOF!"ENER
PRIVATE DISP. • DaiLCry. Lc.
U.G. SPRINKLER • home under oonst.
ALTERATIONS • ,o ?ting
WATER TURN AROUND
STATE SURCHARGE
SITE AD]
OWNER
C TOTAL
3.00 '?,av
3.00 G. aa
3.66 /_.oo
3.00 9. o0
3.00 3.UD
3.00 3.00
3.00
3.00 ov
3.00 ?
3.00 ua
1.50
5.00
15.00
3.00
15.00
15.00
.SO
WSTALLER: ?F?VZL?L. /Y/45LlYAN/G,4(,
ADDRE3S: ? / S % ?ffAI.JNEE 20
CTI'Y: ?GA N STATE: /'/N ZIP CODE: sS122
PHONE #: (?/Z ) J 52 ' l SGS
SIGNA RE OF PERMITTEE
1993 PLUMBING PERNIIT (RESIDEN774,L)
C1TY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
TOTAL: Z•so
1993 PLUMBING PERMIT (CONII?4ERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 682-4675
PLEASE COMPLETE FOR ALL COMAgRCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING Ui:;T.
_ NEW CONSTRUCIION
ADD ON
? RiiPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: l% OF CONTRACi' FE&
STATE SURCHARGE: $.50 FOR EACH S1,000 OF pERWr FEE
MINIMUM FEE: $ 25.00 ?
CONTRACT PRICE X 1% $
S3'ATE SURCHARGE $
TOTAL ' $
SIT'E ADDRESS:
TENANT NA111E: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CIT'Y:
PHOATE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
MECHANICAL PIItMIIT (RESIDEIV'17AL) ;
CITY OF EAGAN ' ,
3830 PILOT g1VOB RD
EAGAN MN 55122 '
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLIlVGS. ALSO, FOR TOWNHOMES AND
COND05 WHF-N PERMITS ARE REQUIItED FOR EACH UNTT. ? NEW CONSTRUCTION
ADD-ON A/C
ADD-JN ?TRiidACE
DATE I I- f c`?i-4 ? i
FEESI
HVAC: 0-100 M BTU $ 24,00
ADDTTIONAL 50 M B'TU 6,00
_.?.5 OUTLETS (MINIMUM 1@ 53.00 EACH) 3•cD
ADD-ON/REMODEL (ExrsTING CoNSTRUCnox) $ 15,00
STATE SURCHARGE .50
TOTAL
STTE ADDRESS: 4 ta Q a-)t_b? Lon&
OwNER NAME: o.=et"15 r'nQ nn q67?2.Q/'.1/ TRi .RPHONE #: (-{ i 3-1 1 rl ?
INSTALLER: GIIVZ-RYAN PLUMSING & HEATING C0.
14745 South Robert Trail
CTT'y; Rosemownt STATE• M 'ZIP CODE: 55068
TFT FPHONE #: (612) 423-1144
nr ip(.de'fY i
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIF2ED FOR EACH UNTf.
T?O. FIXTURES EACH
? SHOWER 3.00 3.&c,
? WATER CLOSET 3.00 ?
'
L BATH TtJt? 3.i30
-3 LAVATORY 3.00 9.00
/ KITCHEN SINK 3.00
I LAUNDRY TRAY 3.00 3. oa
HOT TUB/5PA 3.00
?- WATER HEATER 3.00 3.bo
1 FLOOR DRAIN 3.00 3.00
?- GAS PIPING OUTLET • min?mum - ? 3.00
3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00. , .
PRIVATE DISP. • DeLcey. uc 15.00
U.G. SPRINKI..ER • home under const. 3.00
ALTERATIONS • to eASring 15.00 • -
WATER TURN AROL3ND 15.00
STATESURCHARGE
TOTAL:
.50
39..so
SITE ADDRESS: 41 ZZ 42do/e LAJ
OWNER NAME: ?ENSM1-lNAV h`07W6Z?-S
INSTALLER: PciV ZCG... IV,-r:-C/,LAAJ/G4 C--
ADDRESS: IySy .t>6fAG?iV EE KL?
CTT'y; q(oRN STATE: ZIP CODE: S5?2Z
PHONE #: ( 6/Z) 45Z' /S? S
SIGNATURE OF PERMITTEE
1993 PLUMBING PERNIIT (RESIDENTIAL)
CTTY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
1993 PLUMBING PERMTT (COMMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS Wf-EN SEPARATE PERMTfS ARE NOT REQUIRED FOR EACH
DWELLING U::;T.
_ NEW CONSTItUCI70N
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACI' PRICE: $
FEE: l% OF CONTRAGT FEE.
STATE SURCHARGE:.S•50 FOR EACH $1,000 OF "ItMl7' FEE.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SIT'E ADDRESS:
$
$
$
TENANT NAME: STE #
OWNER NAME: •
INSTALLER:
ADDRESS:
CITY: STATE:
PHONE #:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
MECHANICAL PERMIT (RESIDENTIAI,)
G'iTY OF EAGAN
3830 PII,OT HNUB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPI,E'TE FOR SINGLE FAMTLY DWEi.LINGS. ALSO,
CONDOS WHETT pERIvTTT'S pRE REQLJIRED FOR EACH UNTT.
?
FOR TOWNHOMFS AND
C NEW CONSTRUGTION ADD-ON A/C i
ADD-CN FURNF,CE ' DA'rE _ 1 l-1?-q3
FEESI
HVAC: 0-100 M BTU $ 24.00
ADDTTIONAL 50 M BTU 6.00
S` _.-6 OUTLETS (MINIMUM i@ 53.00 EACH) g.?C1
ADD-ON/REMODEL (EMsTIvG corrsTxucriox) $ 15.00
STATE SLTItCHARGE - .50 '
TOTAL ?3,5U
I
sTTE ADDRESS: qlgu CZ-tc.bo? Wn;L
OWNER NAME: HrY6"I?n TEi.EPHONE #: /4oq3-I 1 "10)
I
ADDP.ESS: 14745 South Robert Trail
CITy; Rosemount $Tq"j'E; M ZIP CODE: 55068
TEi.,EPHONE #: (612) 423-1144
t'lYlw ?-
- ?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLING3. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH TOT?
I SHOWER 3.00 3•?
_
2. WATER CLOSET 3.00 L, vo
2 BATEi TU$ 3•00 L•&-v
? LAVATORY 3.00 9.o'D
HITCHEN SINK 3.00 3.00
7- LAUNDRY TRAY 3.00 251o0
HOT TUB/SPA 3.00
/ WATER HEATER 3.00 3.ob
/ FLOOR DRAIN 3.00 3. afl
L GAS PIPING OUTLET • minimum • t 3.00 9. [»
_ ROUGH OPENINGS 1.50
WATER SOFTENER , 5.00_ .,
PRIVATE DISP. • n?.cty. iic. 15.00
U.G. SPRINKLER • eome under consL. 3.00
ALTERATIONS • to aasung 15.00 -
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: Q,j • SOb
SITE ADDRESS: 4124 496C/Z Lti
OWNER NAME:---9i E 6z.?
INSTALLER: "iV Z ILL NECL/AatJlGLF C-
CITY: L ACoAAl STATE: mx-? ZIP CODE: .SS ZZ
PHONE #: ( lpl2 ) 452 - /,5-(o -5- _
- 6;
SIGNATURE OF PERMITTEE
1993 PLUMBING PERMIT (RESIDE1vTlAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
? . _
1993 PLUMBING PERMTf (COD'MIItCIAL)
CITY OF FAGAN
3830 PIIAT KNOB RD
EAGAN MN SS122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMI?MRCLAUUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP:_DINGS VJHEN SEPARATE PERMTIS ARE NOT REQUIItED FOR EACH
DWELLING L'i::T.
IVF.'W Co
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 14E OF CONTRACT FEE.
STATE SURCfIARGE 530 FOR FACH $1,000 OF PERMPI' FEE
MINIMUM FEE: $25.00 CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
$
TENANT NAIVIE: ' STE. #
OWNER NAl?ZE:
WSTALLER: ADDRESS:
CITY:
PH011'E #:
FOR:
CITY OF EAGAN
STATE:
ZIP CODE:
APPLICANT
.n
, v - ?,.,:i?•, . . . ,
MECHANICAL PERMIT (RESIDIIVI7AL) I?
CITY OF EAGAN
3830 PII.OT KIVOB RD j
FAGAN MN 55122
(612) 6814675
PLEASE COMPLE'TE FOR SINGLE FAMII,Y DWEL.LIIVGS. ALSO, FOR TOWNHOMES AND
CONDOS WIMN PERMITS ARE REQUIRED FOR EACH UNTf.
NEW CONSTRULTION ?
ADD-ON A!C
A:?'J-ON FURPl?.CE
DATE I I 1oGl3 ,
'i FEES
,
, . <, . iHrva,c: aiaa M sTU ? $ 24,00
, ADDTTIONAL 50 M BTU j . (,pp
3.?
_<?S OUTI.ET$ (MINIMLTM 1 @ 33.00 EACH) .
, n
a.DD-orr/REMODEL (EXIsrBVC corrszRUCrroiv) $15•ooF
STATE SURCHARGE °.50
, p
TOTAL
,
r
SITE ADDRESS: q 1 ab Ca? LO rLQ. .:
OWNER NAME: LCeosi7urln 4or72uJ • TELEPHONE #: as 3-I1'7Q
?
INSTALLER: GENZ-RXAN PLUMBING & HEATING C0. °
ADD°.ESS: 14745 5outh Robert Trail
CI''y: Rosesnoimt STATE: ? {ZIP CODE: 55068
TELEPHONE #: (612) 423-1144 °
;? ?I
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. AL50, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
IO. FIXT[JRES
I SHOWER
2. WATER CLOSET
2. BATH T-iJ"ti
_"3 LAVATORY
1 KITCHEN SINK
? LAUNDRY TRAY
HOT TUB/SPA
1 WATER HEATER
1
- FLUOR DRAIN
F GAS PIPING OLJT'I.ET • minimum • t
ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • neLcy. sc.
U.G. SPRINKLER • 6ome under eonsi.
ALTERATIONS • to ctisting
WATER TURN AROUND
STATESURCHARGE
TOTAL:
STfE ADDRESS: 9'/Glo L{,tL310K 4-
nwi.?ER NAt.MF;??S?1AAI.V A
EACH TOTAL
3.00 3. ?
3.00 . o0
j.^v'J ?. UD
3.00 9. o0
3.00 3,00
3.00 3. uo
3.00
3.00 3,00
3.00 3.00
3.00 15.00
1.50
5.00
15.00
3.00
15.00
15.00
.50
? ?D
INSTALLER: k)r-A) Z eE:_L /'lgGN.4 AVLG.4 C-
ADDRESS: I IS9 71,1.4WN EC )(?D
CITY: EL}GAAJ STATE: ZIP CODE:
PHONE #: ( 4/Z ) -45-z- /3?b S
SIGNATURE OF PERMITTEE
1993 PLUMBING PIILNIIT (RESIDIIVI74,L)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
1993 PLUMBIING PERMIT (CONIIITERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(622) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIALIINDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UN:T.
_ IVEW CONSTRUCfION
ADD ON
REPAIR
WORK DESCRIPTION:
CONT'RACT PRICE:
FEE: l% OF CONTRACT FEE.
STATE SURCFIARGE $.50 FOR EACH S1,000 OF PERMrr FEE
MINIMUM FEE: $ 25.00
CONTRACI' PRICE X l%
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAN4E:
INSTALLER:
ADDRESS:
CI1'Y:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: Lor: iq BLOCK: 2 APPLICANT:
4120 ARBOR LANE FIRESIDE CORNER INC
WENZEL (612) 633-1042
PERMIT SUBTYPE:
FIREPLACE
TYPE OF WORK:
NEW
DESCRIPTION (GAS)
BUILDING
024683
10/06/94
INSPECTION ., . DA
ROUGH-IN FINAL
F ?
L . J
? CITY.OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.Z.N.: 10-83570-140-02
PERMIT
4120 ARBpR LANE
LOT: 14 BLOCK: 2
WENZEL
c,P- 3913 2,
PERMIT TYPE: 8us Lp=NG
Permit Number: 024683
DaTe Issued: 10 / 0 6/ 9 4
DESCRIPTION:
(G A S )
B,W,jlding'-.Qermit Type
?uilding Wpr?k Type
/
t
h1
ry r,??
FIREPLACE
NEW
0 / p?r.- (
EJ?1? ` _" ? ? ? ?°?7 LJ L
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.56
Total Fee $25.50
CONTRACTOR: - Applzcant - sT. LIC. QWNER:
FIRESIDE CORNER INC 16331042 0001068 QUIGGLE ARWIN
2700 N FAIRVIEW 4120 ARBOR LN
ROSEVIL.LE MN 55113 EAGAN MN 55123
(612) 633-1042 (612)687-9579
T hereby'acknoaledge that I haye read thIs,app?}icatibn and staCB thaf the
information 3s cnrreCt and agrae to comply:with eli appliGable State nf Mn.
5tatutes and City of Eagan Ordinances. ?
L _ u
APPLICANT/PERMITEESIGNATURE ISSUE .PIGN???RE ??
?
?
CITIl OF EAGAN
1994 BUILDING PERMIT APPLICATION .? 1,?n
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys,' 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans; 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request 9s made, 2) address is changed or 3) lot change is requested once permit
is issued.
I
??p c?s . CC7
Date 10 C7) / Val uati on of work 51 ? i
Site Address: ?- D.O 0_--1poTL, k,G1,?
STREET SUfTE N
i
Tenant Name: (commercial only)
LOT BLOCK SUBD. {,' Q P.I.D. #
Descri tion of work: ?'?lS?`?C1'1 C''s' S ? \YQ4 ufx'?- :V-?r
The applicant is: ? Owner ? Contractor ? Other coescr;be>
Name CL5_I.kDir1 4 &,C3Q.r\.4 Phone
Property LasT FIRST
Own@I' Address LAt2o QJ'? ?-
STREET STE #
-
551?
3
a
City
0.Ao?.? State yr
r. Zip
-
Companya1k1.pd Hta-k-N- (---)1b Phone a90-CF158
C011tY8CtOr Addressra._)W Q•2??vv.e.LA::> ?--?- License # OoS Exp.
c7fy, 5ti.dtE 1`-N r-=' ?r?iji 55I1-3
Company Phone '
Architect/
Engineer Name Registration #
Address '
City State' ' Zip
u
Sewer & water licensed plumber ` 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
c4rrect and agree to comply with all applicable 5tate of Minnesota Statutes and City of
Eagan Ordinances. '
Signature of Applicant: V"'--
s??
OFFICE USE.ONLY
BUILDING PERMIT TYPE
? 02 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 S-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 5F Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
O 31 New ? 33 Alterations ? 35 Tenant Finish
0 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
11 Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. tatal
Footprint Sq, ft.
On-site well
On-site sewage
Building
Variance
? Foating
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
.,_
riau ncVie"ri
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatuscs?
?
< :t
? - -? z ??
vjw'?
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
t I_ (" -?) c- 651-681-4675
L? `T
J--10 3 .°7 S
Foundation Onl New Construction Inte'rior Im rovement
• Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) . Strucfural Plans (2) • Code Analysis (1)
• Certificate of Survey (1) . Civil Plans (2) . Project Specs (1)
• CodeAnalysis (1) . LandscapingPlans (2) • KeyPlan (1)
• ProjectSpecs (1) . CodeMalysis (1) . Master Exit Plan (1)
• Spec. Insp. & 7estlng Schedule " • Certiflcate of Survey (1) • Energy CalculaGOns (i) not always"
• Soils Report (i) • Spec. Insp. & Testing Schedule 0) " . Elec. Power & Lighhng Form (1) notalways"
• Meter size must be established • Meter size must be established • Meter size must be established - if applica6le
• PrqectSpecs (1)
1 • EnergyCalculations (1)
1 • Electric Power & Lighting Form (1)
! • MaslerExi[Plan (1) 1
1 • FireProtectionPlan (1)" y
1 • Soils Report (1)
• MC/ES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC determination 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. Call 651-215-0700 for details.
DATE:
SITE ADDRESS:
2602 WORKTYPE: _ NEW _ REMODEL CONSTRUCTION COST:
S?;
TENANTNAME: -Tt1E 6-R_f7?02 l4S?C S'TeJF= Z.o - SUITE#?L{12(04120y??1?.?,-+?(G??.,•
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK_B?
Name: ?1'F 1?.?2 ?'?4']?_ • ?i?/G Zd?z? Phone#: CJh qoCD- ClNg2
PROPERTY Last First
OWNER ?f ,
SfreetAddress: ?['y W-ciR I/-1i'lL-
City: ?-Y}(,-tq-r'l State: _
? _.
Company: ITiR'r.? C6 i,SSS'2S
CONTRACTOR
ARCHITECT/
ENGINEER
(At?j
Zip:
Phone #: ( ?l"? ? ) 2L5- l04' 3
StreetAddress: 10D S- C.OiQkCD2.1? ey-C1,WN1.[&C
City: S) Sa. PqL, l^ State: MA Zip: r'J`-.•(r7j
Company: _
Name:
Street Address:
CiTy:
Licensed plumber installing new sewer/water service: Phone
Regis4ation #:
State:
Phone #:
? Aus 1 9 ?c3z
_Zip:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. 'l
Signature of Applicant: C. /)
, Updated 1102
OFFICE USE ONLY
SUBTYPE
? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Aparhnents ? 27 Commercial/Ind ushial ? 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 ? 42 Demolish (Foundarion) ? 46 Windows/Doors
? 32 Addirion ? 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 Floor sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Building
? Insulation
Engineering
sq. ft.
sq. $.
sq. ft.
sq. ft.
MC/ES System
City Water
Fire Sprinklered
? Plumbing ? Stucco/Stone
Variance
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
SNV Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
VALUATION $
% SAC
SAC Units
Meter Size
Total
?+ ???_? 2006 RESIDENTIAL BUILDING rEiuvnT nrrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New ConsWC6on Reauiremenis
3 registered site surveys showing sq it M lot, sq. ft of house; and all rooizd areas
(20% maximum lot coverage allowed)
1 Soils Report 'rf proposed building is to be piaced on disturbed soil
2 copies of plan showing beam & wmdow s2es; poured found design, etc
1 set of Energy Calcula6ons
3 copies of Tree Preservation Plan it bt platted aRer 7l1193
Rim Joist Detail Op6ons selecNon sheet (bui6iings with 3 or less units)
Minnegasco mechanicalvenfilationtorm
RemodeUReoair Reouirements
2 wpies of plan showing foolings, beams, joists
1 set of Energy Cakulations fw heated addi0ons
1 site survey for addiFrons & decks
Addition - indicate if on-s'rfe sepfic system
0 / / 25 /. / S
Otfice Use Onlv
CertofSurveyRetd _Y _N
SoilsReport _Y _N
Tree Pres Plan Reoi _Y _N,
TrcePresRequired _Y _N
On-si[e Septic System _ Y _ N
Date ?? I ? ?p ) .? ?,
? ?? ??,
Construction Cost ?
Site Address 13, A_(Zl3C_X_ 4A7`F?---? UnitlSte #
2- z 2 L1 ?746:
Description of Work ?c52M[SUL-?-t l?Ar'?g- f?????1? 5? P??? ?/Nl?R?JS • ???7'?'?-?5
Mutti-Family Bldg ? Y _ N Fireplace(s) _ 0 2
PropertyOwner A-XZf12yZ6 Telephone # ( )
ConYractor ?o/tqeelae
Address ( Z Zc>O City
State 111aw.{t3a,i"?q- ZipTetephone#ITQ,) 2-9?,00
a
AuG i 5
?
L?Y
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672
Energy Code Categofy . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar pian 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 azid 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.
J? L'3 M, 1Cv71-61\1/f- ,. 5t)14??,_ ?
Applicant's Printed Name icant's Signature
?ut 200'7 RESIDENTIAL MECHANICAL PERMTI' APPLICATION
, City Of Eagan
Wo raot xnon Rosa, Eapn Mtv 55122 ?AR 4 6 20(17
Telep6ane # 55I-675-5675
Please complcte for. single fsmily dwdlinga .@ townhomes/wndos when permits ere required for each unit
D
t
a
e
IInit #
5ite Addresa
S e r N' S
r
t
o
?(S?- Z?' ?f 7
Tdepho=45 ()
roper
y
ww
Contractor ZX?\?&s g `
A cit9 kil
Street
ddress
Ssaoe T?n ? Telephone# (? ??'? 02l - O
BOIId iJ: r\ 1 G? CnnL/ l llV l J EIpM}CS: ? ?? ..
ThtlylpRt9nt18 _ OWOC[ Y COnuaciDi _ Oft f
Fire repair (replace bnroed oat apptisnoea, ductworlc, dc.) S 90.00
This fee applies wheo e)densive mecharrical repaos are made to a twibcig.
Add-an or altaation to exwung dweL'mg osk $ 50.00
fumace _Additional 41keplacement _ Ner+
air exrhanger
? air conditioner
heat Pump
other
State Snrcharge
$ .50
Total
,
I heieby apply for a Residemial Mechamcsl Pe:mit aud aclmowledge tLat ihe informah?'on is'complete and acc.vrate;lLat the work will
be in confomvnce with tLe ordinaoces and oodcs of tffi City of Eagan and with the Mechatnpl Cods; tLat I andQStand ttns is n# a
peunit, but onty an apptica4wn for a permit, and wodc is not to slart widYOUt a permit; that do wodc will be in acxordauce with die
appmved plan in tle case of work which requaes a review ard approval of p1affi. .
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l 10TS !3 I AND ~6 LOCk S B , , , !b, BLDCk 2,
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T 1~/ENZEt FtRST ADD1 ~OI PD 1 T/OId,
~ k DA OrA COL~~TY ,
M1 NIYE SOTA
CERTI FIC AT,~ O F 5 L1 R~/E' ? tJ R 1/ E Y foY
1NE NSM A N N I 5 NG I-OME 'S NC.
~ / APPROVED 9Y SCALE: I hereby certify that this survey was prepared by me or' IORAWN 8Y
under my direct supervision and that I am a duly Registered DATE:
Land Surveyor under the laws of the State of Minnes~ta,
AsSOC~AT~D SURV YING dJV ~ ~ NG E ' ENGiAIE159I1VG, 1NC.
Date:~~.f~„ ~ iS9 DRAWING NUMBER
LeRoy H Bohlen ~
Registered Land Surveyor No, 10795
~ p~yT NO.IBSA~IB%24 ~ "
0512312014 11:27 Les Jones Roofing, Inc. TAX)9528811009 P.0101016
Use SLUE or BLACK Ink
^ y
For Office Use I
j Permit ~ g` g 3 j
City of Eqan ( r 1 Fee: 15-71.-7_45
Perot t
3830 Pilot Knob Road
Fagan MN 65122 Date Received: (1
Phone: (651) 675-5675
I I
Fax: (661) 67MB94 i Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: S11 Site Address; 4120- q1 Z.'2 - qI2$-q 124 ~ -a LAAi ko""' Unit
Name: yo m-E Aizaoas As hoc. ~e-Ar x,A-- #4 hone: to Sj- 4O-S- `a_5' C
r.' Address /City IZip!
_ H~9RBoQ . Ggf`faF
Applicant is: Owner X Contrector
Description of work: F-VA-4 b VC AWA /LEDc.3ce
Construction Cost: ` 3 -2 Q r X
Multi-Family Building: (Yes / No
Company: ArS ToNg3 q~ofiallr &mc. Contact: d::'mat r A-NDE72so&/
Address: 9 Y / IN. go"' orAzzm- City: &e416lA61-22A1
r' State: Mn/ Zip: - ,~,f <`2a Phone: 95-A - 74 7 - AW _
License D Lead Certificate .VA-7- qO 3 'PR
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:
r
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 uglltles. www ooaherstateonscall.ora
1 hereby acknowtedge that this Information Is complete and accurate; (hat 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 VA be In
accordance with the approved plan In the case of work which requires a reYlew and approval of plans.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 980
days of permit Issuance.
,Crs AV06I20-t7,J x roz' de, e
Applicant's Printed Name Applicant's Signature
Page 1 of 3
City of Cappu
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
FEB 0 12016
Use BLUE or BLACK Ink
For Office Use (� a
Permit #: 1 't. ' "1 1
Permit Fee: (C1 • 00
Date Received" 1-1 (10
Staff:
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 1/27/16 Site Address: 4120 ARBOR LN
Tenant: Suite #:
J
Name: CORWIN QUIGGLE
Address / City / Zip: 4120 ARBOR LN, EAGAN, MN 55122
Name: K&S HTG., A/C & PLBG. INC.
Phone: 952-484-1947
License #: 43 6 8 9
Address: 4205 HWY 14 W City: ROCHESTER
State: MN Zip: 55 9 01
Contact: HEIDI BROWN
Phone:
Email:
507-361-2332
HBROWN@KSHEATING.COM
New XX Replacement Additional
Alteration
Demolition
Description of work:
RESIDENTIAL
XX Furnace
XX Air Conditioner
Air Exchanger
Heat Pump
Other
New Construction
Install Piping
Gas
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under/Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge = $ 6 0 . 0 0 TOTAL FEE
COMMERCIAL FEES
$60.00 Permit Fee Minimum includes State Surcharge
$70.00 Underground tank installation/removal
*If contract value is GREATER than $2,010, Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
Contract Value $ x .01
=$
_$
=$
Permit Fee
Surcharge*
TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x RICK KEEHN
Applicant's Printed Name
Applicant's Signature