4152 Arbor Lane?. -
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
[ZECURD?
PERAAIT TYPE:
Permit Number:
Date Issued:
ctu i t 111r.,,,
vt;?iritn {
? SITE ADDRESS:
t i; ?I: I I
1.01
?rRt3iiR t_ ANt
l PERMIT SUBTYPE:
i ;TYPE OF WORK:
INSPECTION
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APPLICANT:
l.JI fJ ,MrlP!iV lw,4l `.
(6"1,>) it..'-.4 •- IJIW
1> {{ 11
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Permit No. Permk Holder Dete Telephone #
S/W
PLUMBING
Hvac ? ,
. /? 9? ??•//S?
ELECTRI QgGII •
• Q/?TI' '? ?
ELECTRIC
Inspection Date Inap. Comments
Footings I
I
Foundation
v
Framing
1a ?L 3
S
Rooting
Rough Plbg.
Rough Htg. /O G
8 241 711
ISUL
!
Flreplace
Final Htg. ?
Orsat Test f/
Final Plbg
.
? v
d qt7S P?bI? ect?6 oti ?
g. ?F! 'fy
P umber
Const. Meter
Engr./Plan
Bidg. Finai
Deck Ftg.
Deck Fnal
Well
Pr. Disp.
?"C/ /?GSIL' ?•fId/J G?.? ?
/
- CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
I • PYl:?ik.ll+
' ?' r1 ." I 1
PERMIT SUBTYPE:
TYPE OF WORK:
Nr I?
UF',+'RfE` I iON 1 ?il 4 IIN1'f :
INSPECTION .• • .A
1 E•J".UI 1+ 1 1?iYl ! ifd{tl
r ? 1' ( ? 1 f41 ,
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O
PERMIT TYPE: l"' }' I' r'?ty
Permit Number: 41 " I t' A n
Date Issued: 4> s{ ! .' ; ; ,
I fJ l . ;. 1 B, APPLICANT:
I IIM! ill ,I ,??t :?!;! i??+?'•7!
?
Permit No. Permk Holder Date Telephone N
S/W
PLUMBING
HVAC " ONI V
EI.ECTRI ?
ELECTRI d9G/ ?T /?? p??
Inspection Dete irt p. Comments
Footings I
Foundation !?//`k
Freming
Rooflng
Rough Plbg. _ w -?d ?J j3yL,L ?-6
?r (Y
Rough Htg•
Isul. `U/?S C 3
Rreplace /07'F- 41
Final Htg. N/
oof
Orsat Test ?? ?•
Final Pibg.
7 j .nr!
6(T Plbg. Inspector - Notlty Plumber
Consl. Meter
Engr./Plan
Bldg. Final 4742
Deck Ftg.
Declc Final
Well
Pr. Disp.
- - - - 1= ? A /U/_
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Car4f L«( ? / l-ZAwAd/ 1 /3/ri3 f"'
, •L"1TY'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675 SITE ADDRESS:
' t4 ! t I
PERMIT SUBTYPE:
,
TYPE OF WORK:
f)E',I`KTt' I 1f)1V
I :I I I I iI ; wI ?
N t 1-1
I lk F 4 IIM I F`y
INSPECTION . • D
?Ii 111 A) I+iN ? ?PIAf.
L 1'liFiT" Al.ftIR. LJl NiFI MI 1 14q-N1r AI
I F- -1
PERMiT TYPE:
Permit Number:
Date Issued:
APPLICANT;t
Permft No. Permft Holder Date Telephone a
S/IN
PLUMBING
HVAC ? 9 /Cr 9? a '
ELEC I
ELECTRIC
Inepection DaLe Insp. Commenta
Footings I
?
Foundation //V{??2
( ?v
?(
•-.t
Framing
Roofing
Rough Pibg.
IU (?
R°ugh "`y. o-/ ?e-?l3 04
G
isui. ??. 2./-s 3 ?
Freplace
Flnal Htg.
Orsat Test
a
Fnal Plbg. Plbg. Inspector - Notify Plumher
Const. Meter
Engr./Plan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
P--1
k'
CITYOF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
? SITE ADDRESS: I„ f
i riNt
IIl 1J. f t
? PERMIT SUBTYPE:
,
?
N
PERMIT TYPE: ' . " I ' i, I
Permit Number: 0-' E Ity I
Date Issued:
4 fil II, V APPLICANT:
t C. 1." 1 4 .' i• 1 J Iti
TYPE OF WORK:
IV t LJ
?iE ? I, ? i ! 1 ?i'I 1,,[?i +a IIh11 I
{tirYt I iJf,
(
; r?,I',III r1 1!??II i I!'?i;ll
P
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lIN1kHt 1 ??l, 11: 0 I t MF` H AN lt,At
Permft No. Permit Holder Date Telephone #
SNV
PLUMBING
HVAC
ELEC RIC ? ?D /??3 00
ELECTRIC
Inspection Dete insp. Gomments
Foptings I 9l? ,?;S ,/ f ?
Wd?
Foundation
Framing
Rooflng
Rough Pibg. ,L?P/L,
< Co ? - V
RoughHtg.
isul. ?.y
Fireplace
Fnal Htg.
OrsatTesl ??p??j
[
Final Pibg. Plbg. Inspector- Notify Plumber
Gonst. Meter
Engc/P1an
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
?
•.?, ..
W"erfiffcate nf cccupanc?
WUV ot @*an
a .? gaigm"
This Certificate issued parsuant to the nquirements of the Uniform Bui g Code
certifying that at the tinte of issumice this structun was in compliance with the variaus
oirlinances of the City ngrrlating building constnrction or use. For the following:
Use Clasificatioo: 4-PLEX Bldg. Permit No. 21803
O_T__Y TYK R M '
7jmft DbWid ??`_-
??? ?
4155- , ,
B i Addnm L-dity
nmC
eaildoig offi.;al
POST IN A CONS$L10US PLAGE
1
Wemficate of cccupanc?
??? ? ???
zt"rtmtnt of 13sma" 3*6"Cass
This Certifzcate issued pursuant to the requireinents af the Unifarm Building Code
certifying that at tlie time of issuance thu structuie was in compliance with the various
orriinances of the City regtrlating buildutg corrstruction or use. For the followirig:
21804
u? ci?ie?eoo: 4? ewg. ? ro.
0-vancr ? R-3/141 Zmins DiMia ? ???.S?DUR?-
Owoer of Building ? M`S Ad?
'/'ngAddess 41-%- ?Q '?`M 7M L.ocality FI • WENZEL
_9
Daft. -
-? Buikhft'Off?
POST IN A CONSPICUOUS PLACE
.?
..,?
?ertificate af ccc"anc4
Witv of Wagan
ID"artmeur of 13ritbbtg 3af?:Pcction
This Ceniftcate issued pursuant to the requirements of the Uniform Burlding Code
certifying tliat at the time of issuance this structure was in comp(iance with the various
orWnances of the Ciry ?egulating building construction or use. For the followtng:
use ct,ss;&,uoo: 1 OF 4 UN I TS alag. Pemn rvo. 21802
oo?.?y rype R-3 M- l zo,,;os njw? PD TYPe Const. V-N
owworsuim;og WENSMANN HOMES Ad&= 3312 1515T ST W
e,,;wing Aaar= 4152 ARBOR LN Locad;ty L23, B1, WENZEL
Daw. DECEMBER l, 1993
POST IN A CONSPICUOUS PLACE
-- f `
? ? .
W"eMlicate of Cccuoancv
(Fhj of 4tagan
?? ? ?? ?oft-tion
?n-
This Certificate issued prersuant to the requirements of the i/niform Building Code '
cerrifying that at the tiete of rssrurnce this structune was en compliance with the various
ordinances of the Ciry ngulatiRg buildrng construction or use. For the following:
use ckss;ficadw. 4 PIEX (1 UNiT) W& Pemiit No. 21801
Occupancy TYve 1 zoning oiavia FD 'tYpe conn. VN
owsm of swwi-g?rN EYIqlS Ad&cw 3312 15157 ST W, ?tSbff
&"g Ad&ess 4154 ARBCFt LAi? Locality I24,, BI, WNIFZ.
Bilding
Offioiit-
POST IN A CONSPICUOUS PLACE
Address a i ss aaPna iarE Zip 55122
L.ot 99 Blk i Sub
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 111#?3 Yes No Inspector: r-P
Final grade (6" from siding) t,/-
Permanent steps (garage)
Permanent steps (main entry) ?
Permanent driveway if
Permanentgas
Sod/Seeded grass
TraiUcurb damage ?
Porch ?
Basement finish
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 exisis.
Contac[ engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ?
While - Ciry Copy Yellow - Resident Copy Pink - Contracror Copy
Address 4156 tReox IANE Zip 5512 2
Lot , , 2 i Blk i Sub wFNm.
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Ali3 Yes No Inspector:
Final grade (6" ftom siding) ?
Permanent steps (garage)
Permanent steps (main entry) j?
Pertnanent driveway
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage ?
Porch
Basement finish
Deck
Please verify wi[h [he builder the removal of roof tesi caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engincering division at 681-4645 before wotking in right-of-way or instaliing underground sprinkler system. ?
White - City Copy Yellow - Residenl Copy Pink - Contractor Copy
Address
L.oi - 2 3
Zip 5512_
Blk 1 Sub
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: DEC 1, 1993 Yes No Inspector:
Final grade (6" from siding) r?
Permanent steps (gazage) ?
Permanent steps (main entry)
Permanent driveway ?
Permanent gas
Sod/Seeded grass
TraiUcnrb damage ?
Porch ?
Basement finish VI"
Deck
Please verify with the bui(der the removal of roof test caps from ihe plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exisu.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contracror Copy w
Address 4154 ARao?t uQE Zip 55122_
L.ot • 24 Blk 1 Sub wEN'LEI.
THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: // 9 ? Yes No Inspector:
Final grade (6" from siding) j?
Permanent steps (garage) ?
Permanent steps (main entry) v/
Permanent driveway ? ?
Permanent gas r/
Sod/Seeded grass
TraiUcurb damage ?
Porch ?
Basement finish ?
Deck ?
Please vetify with the builder the removal of roof test caps from the plumbing system and the shu[-off of water supply to
[he ou4side lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler sgs[em. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
l?
M
U 9 612
!,0?3 QI
?'o? do
Request Flre No. Ro -in Inspeclion NOTICE: Vou Musl Call Electncal Inspeclor
1Q
•
1/12/9 3 retl?
Re XVes 0 Na Ii A Rough-In Inspectian
Is Requiretl
I[Xlicensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (SYreet, Bne or Rouie No ) Gty
4152 Arbor Lane Eagan
Sedion No Township Name or No. Range No Counry
Dakota
Occupant(PFINT) Phone No
Wensmann Homes 423-1179
PowerSUpplier naareas 4300 th St. W. , Farmingt
Dakota Electric ?8??x??$?x?t?xRta?x?xs x?a s?a
Eleclncal Conlractor (COmpany Nama) ContracNrB License No
Joos Electric Co. AM01895
Matlmg Address (COnlractor or Owner Making Installation)
3980 Beau D'Rue Dr, Eagan, MN 55122
ANhonzed SignaWre (ContraclorlOrvner Makmg Insta 1 Phone Number
688 6180
MINNESOTA STATE BOAPD OF ELECTPICIN TNIS INSPECTION REQl1E5T WILL NOT
Grigqe-Mitlway BIEg. - floom S173 BE ACCEPTED BVTHE STATE 90AR0
1821 limverelty Ave., St Veul, MN 55/04 l1NLESS PROPER MSPECTION FEE I$
Pnane(612)642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
?i? 5?•i ? 1. $ee mshuclions for compleling ihis form on back of yellow copy
IC4 K
IPI ?? 9 612 -"X° Below Work Covered by Thrs Request
00001 Oy
ew Add Rep. TypeofBwlding ApphancesWired EqwpmentWired
X Home Range Temporary Service
Duplex Water Heater Electnc Heatmg
Apl. Building Dryer Load Managemem
Comm./Industrial Fumace Other (Specry)
Farm Air Condihoner
Other (specAy) ConttactarY Remarks.
Compute Inspection Fee Below'
# Other Fee # ServiceEntrance5ae Fee # Cirowis/Feetlers Fee
Swimming Pool 0 to 200 Amps 6. 0 to 100 Amps
Transformers Above 200 - Amps Above 100 _ Amps
Sigf15 InspectorS Vse Only
q TOTAL
IrrigationBooms ?
/ ?v ?82.5?
Special Inspedion ??
Alarm/Communication THIS INSTALLATION MAY BE OR SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electrical Inspector, hereby Rough-in a,e` 6_/.
certify that the above inspection has
been made. F,nai oale
OFFICE USE ONLY
This request void 18 months irom
.ii/ /G7
//Li//_ CY
M/09"614 JrW Q
' eo
a ?
?
Request Dete _ ,(e Ab Rou -m Inspeclian NOTICE: You Must Call Elecincal Inspeclor
10 12 9 3 R?,r??
es ? N. If A Rough-In Inspeclion
Is Reqmretl
I:9 licensed contractor ? owner hereby request mspection of above electncal work at:
Job ildtlress (Street, Box ar Fioute No.) Ciry
4154 Arbor Lane Eagan
Sedion No Township Name or No Range No County
Dakota
OccupantfPRIM) Phone N.
Wensmann Homes 423-1179
Power Svpplier Atltlress
Dakota Electric 4300 220th St. W. Frmington
Eleclncal Conttactor (Company Name) ConhacMrb L¢ense No
Joos Electric Co . AM01895
Mailmg Atltlress (COnirecior or Owner Making InstallsUan)
3980 Beau D' Rue Drive, Eagan, MN 55122
ANhorizetl Siqnature (COnVacforlOwner Makmg Ins ion) Phone Number
---- ?- --- 688-6180
MINNESOTA STATE 60ARD OF ELECTHICfTY /v/
Gnggs-Mitlway eltlg. - Room S-1]3 /
1821 Univere'rty Ave., SL Peul, MN 55106 ??
Phane (612) 602-0800
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED 9YTNE STATE BOAFD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
/ fj??/f?? REQUEST FOR ELECTRICAL INSPECTION
? jt? See insimctions lor wmpletmg ihis form on back of yellow cOpy
M 09614 •X" Relow Work Covered by This Request
000 1 8?
e Atld Rep. Typeofewidmg AppliancesWiretl EqwpmentWrted
X ome Range Temporary Service
Duplex Water Heater Eiectrm Heatmg
Apt. Bwiding Dryer Load Managemem
Comm.llndustrial Furnace Other (SpeGfy)
Farm Air CondRioner
Diher (specity) Conlrador's Femarks
Compute Inspection Fee Below:
# Olher Fee # ServiceEntranceSrze Fee # Qrcuits/Feeders Fee
Swimming Pool 0 to 200 Amps 1 0 to 700 Amps 64.
Transfofinefs AboVe 200 _ Amps Above 700 _ Amps
SIgnS Inspector5 Use Only.
Irri9ationaooms 8.f ?l 2.$0
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITMIN 18 MO
I, ihe Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in oac b
F,nai ( Da e /,
4CV
OFFlCE USE ONLV
This requesf voitl 18 moNhs from
13
;
%
• 0
6
Request Oale
, 10 / 12 / 9 3 Frte No Rough-in Inspection
Requiretl+ NOTCE: Vau Must Call Elecincal Inspector
If A Rough-In Inspechon
}?}s(es ? No Is Reqmretl
I$7 licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (StreeL Box or Route No I Ciry
4156 Arbor Lane Eagan
Seciion N. Township Nflme or No Range No County
Dakota
Occupant(PRINT) Phone No
Wensmann Homes 423-1179
PawerSupp4ar Adtlress
Dakota Electric Co. 4300 220th St. W., Farmington
Electncai Contractor (Company Name) Contractor's License No.
Joos Electric Co. AM01895
Mading AtlOress (COnirador or Owner Making I nstalla0on)
3980 Beau D' Rue Drive, Eagan, MN 55122
AuthonieG Signalure (COnVacior/Owner Making Instzll Phone Number
688 - 6180
MINNESOTA STATE BOARD OF ELECTRICIT' G THIS INSPECTION flEOUEST WILL NOT
Grigga-Mltlway Bltlg. - Hoom 5473 BE ACCEPTEO BV THE STATE BOARO
1821 Universny Ave., SL Paul, MN 55104 l1NLE5S PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
RE?UEST FOR ELECTRICAL INSPECTION
/ ? See rrySWGions ??t completing ihrs lorm on back of yellow copy
09613 X" Below Work Covered by Thrs Request
?EB[-00001-OB
? ,?9
ew Add Rep-
TypeofBuilding
AppliancesWiretl
EquipmentWired
}{ Home Range Temporary Service
DUplex Water Hea[ef EleCtnc Heabng
Apt. Bwldmg Dryer Load ManagemeM
Comm /Industrial Furnace Other (SpecRy)
Farm Air Conddioner
Omer (spoay) Comrector4 RemarksCompute Inspection Fee Belaw:
# Other Fee # ServiceEntranceSrze fee # CircmtslFeeders Fee
Swimming Pool 0 to 200 Amps 18 o to 100 Amps 64.
Transformers Above 200 _ Amps Above 100 _ Amps
SgnS Inspecmr's Use Only qq TOTAL
IrrigationBOOms ?? $82.50
Special Inspectwn
Alarm/Communirahon THIS INSTALLATION MAY 8E ORD DISCONNECTED IF NOT
Other Fee COMPLETED WIT MO S f
I, the Electrical Inspecror, hereby
cerhty that fhe above inspection has
been made. Rough-In
Finai oata
oa?a
/
OFFICE USE ONLY
Thrs re0uest voitl 1B months irom
- ic1i
a ors?
?00? 1231
-
1,,4
L/
ReQUest Date Fire Rough-I nspectlon RequlreC Ins eclion Olher Than Rough-ln
Q- aa s+y (YOU must cell inspectOr hen reedy)
? Reatly Now ? WAI Nohly Inspector
? Ves
No Date Rea
I?licensed contractor ?owner hereby request inspection of above electrical work at:
Job AMress (Stteel, Box or Poute No ) Pty
41SB o oa_ Cc
Sectlan No. Township Neme or No Range N. Counry
1 1 1 DAK?+o,--
Occupanl(PRINT) Phone No.
I`'? ocs
Power SUpplier Atldre53
? ?+T
Elecmcal
C
oniractor (COmpany Name) Conirectors 4cense No
(
1
L.OY, epzo G I -i i _ CA (Doq aa-
Mailing Atltlress ?COnt ?o? or Owner Making InsWllation)
, U, L3e LO 55Ot04
Aulhonz SignaWre (COntroctotlOwner Making Installation) Phone Number
? V a3-? r 3l
?
MINNESOTA STATE BOAFO ?F LECTPICITY THIS INSPECTIDN FEQUEST WILL NOT
Grlgga?MlEway BIUg. • Roam? -128 ?j BE ACCEPTEO 8Y THE STATE BOARD
1821 UnlvarsitY pve, St Paul, MN 56104 UNLESS OPEFl INSPECTION FEE IS
Phore (612) 802-0800 ENCLOSED
, Z ra--- ., 154 5Z G ,K I
? uye1l?,?a 44a0110
Requesl Date Fva No. Rou -inlnspecbon
I Re urted'+
9
NOTICE You Must Ca0 Eiecmcal Inspecror
It A Rough-In Inspection
10/12/93 C}?Yes r N. Is Reqwred
IX] licensed coNractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Streat, Box or Route No.)
4158 Arbor Lane Cdy
Eagan
Secbon N. iownship Name or No Range No
County
7 Dakota
Occapant(PPINT) Phone No.
Wensmann Homes 423-1179
Powlr Supplier Atldress
Dakota Electric Co. 4300 220th St. W., Farmington
Elecincel Cqnlyddor (COmpany Name) Coniractor5 Licenso No.
Joos Electric Co. AM01895
Mtihng Atldress (GOnlractor ar Owner Making Installabon)
3980 Beau D' Rue Drive, Eagan, MN 55122
Authonzed SignaWre (COnbactor/Owner Making Insl ion) Phone Number
688-6180
MINNESOTA STATE BOARD OF ELECTFICRY THIS MSPECTION REQUEST WILL NOT
Griggs-MiEway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 Univenlry Ave., SL Paul, MN 55104 VNLESS PROPER INSPECTION FEE IS
Phone (812) 642-0800 ENCLASED.
REQUEST FOR ELECTRICAL INSPECTION es-oooo,-oa
? See instmchons for completmg thrs brm an back of yellow cropy ?4 ?? P"'
f? 09611 -"X° Below Work Covered by Thrs Request t,.
ew Adt itep. ,_ Typeof8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electr¢ Heanng
Apt. 8uilding Dryer Loatl Management
Comm.Andustrial g Furnace Other (Speciiy)
Farm Air Condihoner
Other (speafy) ConVactors RemaBs
Comp"ute Inspecfion Fee Below:
# Other Fee # ServiceEniranceSize Fee # CircuitslFeeders Fee
Swimming Pool ]. 0 to 200 Amps 0 to 100 Amps 64
Transformers Above 200 _ Amps Above 100 _ Amps
Slglts Inspedor's Use Only TOTAL
(
Irrigationeooms ) $82.50
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE ORDE ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspedor. here by Ro°9°-'n 42 f °we
certrfy that the a6ove inspecllon has
been made. tte
f
OFFlCE USE ONLY
This request wid 16 monihs irom
REQUEST FOR ELECTRICAL INSPECTION Ee-00001-09
u 0 392 31? See mstmctlons br cromplenng tMS form on back of yellow copy ?1414`?A Jp?'y??O
? "X" 8elow Work Covered by This Request ??
e Add Rep. Type ot Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heatar Electric Heatin
Apt. Building Dryer Load ManagemeM
Comm./Industrial Furnace Other (Specify)
Faim Air Conditioner
Other (speaM ConVaclois Remarks
OF F PF
=AIL.
Compute Inspection Fee 8elow:
# Other Fee # Service Entrance Size Fee N Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Am s
Transformers Above 200-Amps Above 100,-Am s
SI n5 Inspector's Use Only TOTAI
Irrigation Booms `U?
5 ecial Ins ection
AlarmlCommunication THIS INSTALLATION MAY BE ORDE ISCONNECTED IF NOT
Other Fee <J COMPLETED WITHIN 1B MONTHS.
I, the Electrical Inspector, heraby
certity that the above inspection has
been made. R0°9h-in
F?nai oeta
oa ? 9l ?
f?
OFFICE USE ONLY ?
This requesl voitl 18 monlhs irom
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDZNG
021802
08/27/93
SITEADDRESS: LoT:
4152 pRBOR LRNE
WENZEL
PERMIT SUBTYPE:
a-aLex
TYPE OF WORK:
NEW
DESCRIP7ION 1 OF 4 UNITS
INSPECTION
FOOTING D. .
FRAMIN6 .A
INSULATION FINAL
FIREPLACE
REMARKS: S&W GpNTRACTOR - WENZ£L MEGHANICAL
? . . _ . . . _ __. .....
23 BLOCK: 1 APPLICANT:
WENSMANN WOMES
(612) 423-1179
PRV
? .? <,-
i:
,.
?
_ ?J
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
k?L?
021802
08/27/93
SITE ADDRESS:
P.I.N.: 10-83570-230-01
4152 ARBOR IANE
LOT: 23 BLOCK: 1
WEN2EL
DESCRIPTION:
i oF a uNx-rs
Building_Permit Type 4-PLEX
Building Wp?rk Type NEW
%UBC Occupancy-, R-3 M-1
,
? Construction Type VN
2oning
? PD
Building length
? 8uilding Width
?.
58
40
L`-J?4
? U
REMARKS:
S&W CONTRACTOR - WEN2EL MECHANICAL PRV
FEE SUMMARY:
Base Fee
Plan Rev3ew
Surcharge
SAC
3AC %
SAC Units
Subtotal
CONTRACTOR:
WENSMANN HOMES
3312 1515T
ROSEMOUNT
(612) 423-1179
VALUATION
$581.00
$377.65
$43.50
$750.00
100
$1,752.15
$87,000
MISC FEES $1.744.50
Total Fee $3,496.65
cant - 5T. LIC
14231179 0001458
ST W
MN 55068
OWNER:
WENSMANN HOMES
3312 151ST
ROSEMOUNT
(612)423-1179
ST W
MN 55068
? I hereby acknowledge Chat I hav'e read this appl, ication and state that the
information is correct and agree to comply with;all applicable StaCe of Mn.
Statutes and City oP Eagan Ordinances. i
APPLIC? ? .
A PERMITEE SIGNATURE / v ISSUE Y: SIGN
REACTIVATE _
PUth1IT' # .
cmr oF enGaN
1993 BUILDING PERMIT APPLICATION
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 af 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 SC / 1(_ /913 Valuation of work 75 6x'
ite Address: 4/5z LAwE
STREET SUITE #
Tenant Name: (commercial only)
IAT ? BIACK ? SDBD. 1!5t P.I.D. k
Wenzel Addition
Descri tion of work:
The applicant is: ? Owner Contractar ? Other (Deacri6e)
Name Wencmann RPaltv Phone a-)Z-11-79
Property LAST FIRST
Owner 3312 151st Street West
Address
STREET STE tl -
City Rosemount State MN Zip 55068
Company wensmann Homes Phone 423-1179
Contractor Address 3312 151st Street west L9cense # 1458 Exp.-1„/-1i i9
C1ty RocPmrnint StatE MN Zip rr;n68
COrtlpdny Wensmann Homes Phone 421-1179
ArchitecU
Englneer Name pA,- nar,iRegistration ll L700,
Address j3,n lml aes?
City Rosemount StBtE MN 21p 55068
Sewer & water licensed plumber wenzei Mecnanicai . 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
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
A (,/
?
?/
Lignature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch El 09 12-Plex ? 14 Fireplace
? 05 Sf Misc. 0 10 Mu1ti. Add'1. ? 15 Deck
WORK TYPE
p 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
? 16 Basement Finish
? 17 Swim Pool
O IS Corren./Ind.
0 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) y- tit
- Basement sq. ft. MWCC System lfi3
(Allowable) ,v-T lst F1. sq. ft. City Water L-n-1:
UBC Occupancy 113 M-I 2nd F1. sq. ft. PRY Required 6:S
Zoning p p Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length 58, On-site well Census Code )o'Z
Depth yo, On-site sewage SAC Code v3
?`{?
,
APPROVALS / ?
I i L[/1Q L-C
Planning Building Assessments
Engineering Variance
REGIUIRED IN SPECTION S
? Site ? Footing p Framing ? Insul ation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee veimc;a,:
5urcharge
Plan Review G.anAC,-CLicense
MWCC SAC ?°??'•
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
S 9'7 oou
?1uGS.F, }C ?/6?SF
147?s, F X?54 J.Sr
= 7l 3 k>
,
_• '79, 3?s?
.
SAC % )01)
SAC Units _t
612+428+1149 P.BL
GEN2-RYpN SO.
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PF.A=
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R7C7'sRIOr EVELOPE "U" CO"p TATION' •
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SITE ADDRESS ?. a?
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coxrxncroR
,
? PHONE I
,ADDRESS ?.
?
'
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DExBItMINE 410RIIIT?G SOUARE FOOTAGE OF EA . '
, ?
1. Tota1 exQesed vall area eq• ft. x.1? 8 f
2, Totai roof/ceiling area .. 1?5-7 I aq. Pt. x&;.b
i
Yotal ezpoeed wall ared above f1o ?
a. '?ukYtot&1 wall::windowi &xea _...?....._«...-..... .•...... .... ? . ' ?
; .
door• atiaa .....?.............................. ?.. ........ ?_,??- : , t
L`. ?•: a?ar?l'.:?1].?S,gl.hss. door. area ......... ........... ??.,,,
IfirePlace. wall. ar.ea ...«...:......... !. -...... •_.r : O ; ?
; ,?r;,:Tatal.neL. wall- aiea ?abo?e•,£loot -..__- ?. •. • • • • • ? • • , ?
•• 'g. 'Tot"al kim joist aiea._....w-....-..b....!........... ' i
? . ,
' Total esposed foundation area l .
.:........... --?--
.
h. Total, foundation window area ......
'
?
?
i •d.:sffotal nat..fouttdation aYea- above grade ..•.....? ..._ ?? v ?? `
:??• • 6e'te?A?tesnVitie?'dt??cosYugaf, naeFE sra];k':se i ent.
?
s
? ..?..
x„II„ ?
e 6??
r R2 ?
?
-
?.
-
al
•
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y? a ?] Gl {)y f
' tl.
i
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-40 x IlUll
t I
.
d. 0 g+?a,? a . ?
e. ??3 xliti,l T?r d9? ' ? /2..03 ' I
f . x f,u„ , v? I p _ •? ? ' . ;
R 11UII r71.yI • ? . I •
b? V X Ifvll ??5? a? • , :
I
?!
• ;, /5!n X °Qu
?
i
.Total ,
3 . ........ •.................
=f LtOm d3 isthe same As, aY Ie3s rFian item el, you hava met the lntant
oE SeC 6006 (c)2.
ge9495 612+423+1149 03-16-93 03:19l1M P001
lI2Ti
. ? ' GEN2-RYAN CO. 612+423+1149
? i Yng¢ 2 04 2
, ? .
Total esposed sooE/ca1ling graa
I
' j. Totai skylight area .......................?: k. Total tooE/ceiling fxataing area (aeerage /?
J„ Totgl nEt irisnlated soof/ceiling area .......... _
Determine "Ull value for each rcoi/Ceiling segment.
G7 % unir G7 . ? .
k. J? x tJ7*7 ? ?_ 'a • ?v
.
' I. I7- x R l'Uil n? -
i
' 4.......................................... Total
If eotal of 64 is the eame as, or leas than 42t yod have met tha l.ntant
,.?,r. ,?of?+bB??60tlfi(c)1. '
: •41r-±-Alterdhte?Bu#?.diag:?}v.eTop.e?Uesign '
'
• ?o utilize tha'tocai'envelope syatem method, tho values eseablished by
he sum of itams 03 actd 04 'shall-not'6e greater thka tha sum oE iteaa
#1 aad 02. + 2. °
+ 4. ,._
--- • ?
F'o8t-V brand tex hanSmltlal memo 7671 A olpages ? QI,
/"f g F-,,.V m
Co. U&15M/W
Oepl. no 9 ._
a[ F /
/
_Z..
R-9d%
P.0f i
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612+423+I149
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03-16-93 03:19PM P002 425
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
4154 ARBOR
WENZEL
PERMIT SUBTYPE:
4-PLEX
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
LOT: 24 BLOCK: 1 APPLICANT:
LANE WENSMANN HOMES
(612) 423-1179
TYPE OF WORK:
DESCRIPTTON
BUILDIMG
021801
08/27/93
NEW
1 OF 4 UNITS
INSPECTION
FOOTING .A .
FRAMING ..
INSULATION FINAL
FIREPLACE
REMARKS: S&W CONTRACTOR - WENZEL MECHANICAL
?
?
PRV
?
a
i ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
021801
08/27/93
SITE ADDRESS:
P.I.N.: 10-83570-240-01
4159 ARBOR IANE
LOT: 24 BLOCK: 1
WENZEL
DESCRIPTION:
1 OF 4 UNITS
Building, Permit Type 4-PLEX
Building 41ork Type NEW
?"UBC Occupancy-> R-3 M-1
; Construction Typ
e VN
r' Zoning ._?
,
? PD
Building Length 58
,r Buiiding Width 40
() FfS TLN
REMARKS:
S&W CONTRACTOR - WENZEL MECHANICAL PRV
FEE SUMMARY
Base Fee
Plan Review
Surcharge
SAC
sac %
SAC Units
Subtotal
VAIUATION
$581.00
$377.66
$43.50
$750.00
100
$1,752.15
$87,000
MISC FEES $1.744.50
ToCal Fee $3,496.65
CONTRACTOR: - APPlicant - ST. LIc. OWNER:
WENSMANN HOMES 14231179 0001458 WENSMNNN HOMES
3312 151ST 5T W 3312 151ST ST W
ROSEMOUNT MN 55068 ROSEMOUNT MN 55068
(612) 423-1179 (612)423-1179
IL
I hereby acknowledge that I have read this
infiormation is correct and agree tn comply
Statutes and City of Eagan Ordinances.
L
APPLICAM/PERMITEE SIGNA7UR
i
application and state that the
withryall applicahle Stete of Mn.
CITY OF EAGAN
REACTIVATE _ H,'_'C ??,-I-V JED
PERMI7 B993 BUILDING PERMIT
A?6 1 7 681-4675
APPLICATION
'
SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structurai 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 $7_S000iV
Site Address: 4154 &A LikVE
STREET SUITE M
Tenant Name: (commercial only)
IAT Q L/ BIACK _?L_ SIIBD. I 1+601Tr ON F• I• D. *
Wenzel "'°^?^'a^''"=?
Descri tion of work: o-F
applicant is: O Owner ? Contractor ? Other (o?crt?)
Ndme Wensmann Realty PhOnB 423-1179
LAST F1RST
AddYess 3312 151st Street west
F STREET STE M
Clty Rosemrnunt $tdLQ MN ZlP S5(1hR
Company Wensmann Homes Phone 423-1179
r Address 3311 91Gt s,- Pr WPF} License # 14ss Exp.zi-11iAa
City Rosemount State MN ZiP 55068
COmpdny Wensmann Homes PhOne 423-1179
Architect/
Name Per Dahlstrom Registration # 17991
Engineer
Address 3312 151st Street west
C'Ity Rosemount State MN Zip 55068
Sewer & water licensed plumber wenzel Mecnanicai 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 infarmation is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
X
?
Signature of Applicant:
-
V
OFFICE USE ONLY
BUILDING PERMIT TYPE I .
? 01 Foundation ? 06 Duplex p 11 Apt./Lodging
? 02 Sf Dwg. ? 07 4-Plex O 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
31 New ? 33 Alterations 0 35 Tenant Finish
? 32 Addition ? 34 Repair p 36 Move
GENERAL INFORMATION
? 16 Basement Finish
? 17 Swim Pool '
? 18 Comn./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) V- N Basement sq. ft. MWCC System YCs
(Allowable) v_0 lst fl. sq. ft. City Water Y 3
UBC Occupancy R-2? rn_I 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length 8 On-site well Census Code 6 2
Depth N v, On-site sewage SAC Code o}
?s?`s k,??
?
APPROVALS LLvt
? i
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTION S
? Site ? Footing ? Framing ? Insul ation
? Wallboard ? Final ? Draintile 0 Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
c; ty sac
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
v.tuecim: S E', `), 01) ?')
Ca(AIZ44 6 5, F. x'? 1?/SF ? R13?
Houst', I LjJo s, r, x45`zlAF z- 1753X° -
SAC % LU0
SAC Units _i
GENZ-RYAN 'O. ' 632+423+1149 P.01
i ?
I PP.:=
V%q:iG[t Vfl..^/1f?1 N - - -
• ?5 r ?
sirE ADnxEss
cormoroR Ll l,s ?f ? R ?e L
?
ADDRESS PAON6
i
'
DETEAMINE WORICI2.G SOUARE F00'CAGE OF EACR.
1. Total exposed vall area ... ?7 sq. ft. x??
2, Totai roof/ceiling area .. 145-7 '4• ft• R_Q??O
?
Totgl eaposed wall ared abave flaor = I ;
._. a_ '??M'??aY?•le aal?::windowi &Yea _.........««..... .? IL ? i
door. axaa ....,.,......... .. ............... ... .. ........ .?,?_ . .
t. ?`:'a?aCa7':.s11?8•?gl'ass. door. a?ea ......».. ..?......... ??^ _
....?...«.,.,. ._...- Q ,
? . d 'g-.-.:.Tat'al IfirePlede. wa11. ar.ea ...............
e. ;?: ?'ToeS]t a*a1L?aaming> erea -('qyera@?' )
lOZ .
, :_ :?_ ??.Tatal.neL. we11- area ,abo've•.£loox .1 . .... .. .:
-..-- to
-- '$. 'Total xiM 9oist axea.?..»+-.....r ..................... - ,
I
' 2ota1 e!cposad foundation area
?
h. Total foundatxop window area .......:........... e9 .
} 3,,,,Tota1 net: foundation atee• above gza8c •... • ••. • ?.__?,? ?
:•.• . 1Sete?'1?Cen3Ytie ti???S?cvsYuea£? eattt wa?:k':eeg?ent. ? ?
,
--g nAu e (O / • ?_
„
„ ?
.
b. 38 g u
;
% nnli b v
7[ nUn ai C? ? r 9- 0-5
e• .
f. 1 1.?C7 R "u" e'C> i
$. G g nUn ,,7]??/ • ?
-
b_ X uIIn
.?
X
3 ........
. ....: .... .Total r .O
...
. ..... ... ,
?
. - the ineent
R-94%
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k-.
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1
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Lf l.tem d3 ie the same as, oY es eFen icem 171s 9ou hava met ;
of S9C 6006 (c)2. • ? ?
612+423+1149 03-16-93 03:19fiM P001 ?2-6
' GENZ-RYAN CO. 612+423+1149
•' i Yagx 2 of 2
/i Tokal espo568 soaf/ce111n8 area
?....?:.
? ?• ?
j. Tatal Bkylight sxea ........ ov ........
k. Tatal roof/cmiling fracdng area (average IDx)..
?. Total net insulated soof/ceiling eraa ... :...._
netermiee "U" valne for esch zooi/eeiling 6egment.
d S loDie
k. toun
g uun
i
' 4 ......:.........4................??.......Tota1
? I! [otal af 64 19 the same as, or lea8 than 02g qD'u have mat the intent
V?,r. ,rof?+bEC??60tl6(c)1. '
; •4I?-?tert?tA?ul?.diagt?}v.eTope.;Aesign '
i
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?
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• ?o utiliza the'tatal'envelope syetem method, the values establlshed by he aum of items 43 ana dd 'shall-uot'he greater thbn tha sum of itees
• I '
#1 and 92.
l. +
4?
? ? . ' .
Poat-I!° brand fex transmltlal memo 7H71 Rotpnyee ?(?L
WV7nJ /I?/N "
DOpt. Ptnno Y
yx R M
1
-Z.
R-94%
6I2+423+1149
:
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03-16-93 03:19PM P002 42h
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INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: zi BLOCK: 1 APPLICANT:
4156 ARBOR LANE WENSMANN HOMES
WENZEI (612) 423-1179
PERMIT SUBTYPE:
4-PLEX
TYPE OF WORK:
pESCRIPTION
BUILOING
@21804
08/27/93
NEW
1 OF 4 UNITS
INSPECTION
FOOTING „ .
FRAMING .A
INSULATION FINAL ?
FIREPLACE
REMARKS: 5&W CONTRAC70R - WENZEL MECHANICAL PRV
F
i
L _
?
- -j
*CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
(`;/?? ?2"
BUZLDING
021804
08/27/93
SITE ADDRESS:
P.I.N.: 10-83570-210-01
9156 AR80R LANE
LOT: 21 BLOCK: 1
WENZEL
DESCRIPTION:
,-11 1 OF 4 UNITS
8,u3lding)_Perm1t Type 4-PLEX
Building Work Type NEW
,'UBC Occupancy\ R-3 M-1
? ConsLruction T'\y'pe VN
/ Zoning PD
Suilding Length ? 58
j Bu3lding Width 40
t ? \
Cj?,? `? C ' ;lr,
C.?C??1 ,L???? ?
REMARKS:
S&W CONTRACTOR - WENZEL MECHANICAL
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
sAC units
Subtotal
VALUATION
$5$1.00
$377.65
$43.50
$750.00
100
1
$1,752.15
PRV
$87,000
MI5C FEES
Total Fee
$1,744.50
$3,496.65
CONTRACTOR:
WENSMANN HOMES
3312 15157
ROSEMOUNT
(612) 423-1179
- Applicant - ST. LIC
14231179 0001458
ST W
MN 55068
WENSMANN HOPIES
3312 151ST
ROSEMOUNT
(612)423-1179
sr w
MN 55068
I hereby acknowledge that I have read this
information ia correct and agree to comply
Statutes and City of Eagan Ordinances.
L
APPLICANT/P ITEE SIGNATURE ?
applicatfon and state that the
with all applicable State of Mn.
?
?
ISSUED YSIGN E
REACTIVATE _ '7;?rrCITY OF EAGAN
PEP,MII #' ,. 1993 BUILDING PERMIT APPUCATION
AUG 17 1993 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 af 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 Yaluation of work 7h 000.
Site Address: 415G AeAoe LAwE
STREET SU1TE M
Tenant Name: (commercial only)
IAT o? I
SLOCK r
SUBD. ?? /kOrno/v
P.I.D. k
Wenzel mc=b&4003111?l
Descri tion of work:
The applicant is: ? Owner Z Contractor ? Other (oes«;be)
Name Wensmann Realtv Phone 423-1179
Property LAST F1RST
Owner AddPe553312 151st Street West
STREET STE !I
Cjty Rosemount State MN Zjp 55068
Company Wensmann Homes PhOne 423-1179
Contractor Address 3312 151st street west License #1458 Exp.3/31/94
Clty RosPmnnnt $tdt2 MN Z1p5506A
Company Wensamnn Homes Phone 423-1179
Archftect/
Engineer Name pP,- i)ahlctrnm Registration #»A9i
AddYess 3312 151st STreet West
City Rosemount Stdte MN Z;P 55068
Sewer & water licensed plumber wenzel Mechanical . 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 U5E ONLY
BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex O 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 5F Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex 0 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
17 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
O 16.Bas?e?t Fin e
? 17 Swim Pool •
O 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) v-ni Basement sq. ft. MWCC System yC3
(Allowable) v -nI lst F1. sq. ft. City Water ?y c
UBC Occupancy R-3 rM-I 2nd F1. sq. ft. PRV Required ?
Zoning p p Sq. ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length 56, On-site well Census Code 16 Z
Depth On-site sewage SAC Cade v;
C"5z",
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
0 Insulation
? Fireplace
Permit Fee -- veiuae;on: 7. O D o _
Surcharge
Pl an Rev i ew
Ga,2 36 J??
License
MWCC SAC ?
?au.5v; jy7D 5,F x?sy?5r ='??°
City SAC
Water Conn.
Water Meter '
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % 00
_
SAC Units I
,GEN2-RYAN F,O. 612+423+1149 P.01
I !
P]CT?P,IO£ ??t?'£i.OPE .?;? "U" C0.`3 TATIO\ I
t
. OWtiER
SITE ADDRESS
'
. corrrxACToR taa-mg
r
i
? ADDRES5 PHONE ;
• ' i
DET6RMLNE ZiOP1tIN.G SDUAAE FODTAGE OF EA i
'
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'•
1. Tota?. cxQosed vall area ... ??''?" Bq• ft• x?_°
.. ?
2. Tote1 roof/Ceiling area ., ?-QVI I aq. !t. x^?
.
Total exposed wall area above fleor
!
'
.. a. '??,z:ToYal• veJ,1::windowi 6.rea _...??.._...... I
i
AxAa ..._.... .... .................
. . t
doot, ac,ea ...... 4
' ..
8_ '87.`rt"Tot'al IfirePlace:. wall. ar.ea ...«...:.,...,
; .
f
?,:TotallafallJ taming, a'res-('qyeragQ' MY I ? .
,
?_ ?? ..:Total aieL. vall- aiee,nbcve•_flooe UO
•• g. 'Tocal kim 9oist area._......._._.«.
.
,
' Total eMpos@d fouadaCion area .
R=94%
?
h. Total favndatton windaw area ......
?,_??Total net.£oandation areg-a6ovegzada....... .•.••_
`
?
ent.
:?.• • I'iete'j)eCetnS3iie?'!IY!IzcvaYu8:m6 eae'ki wall•:se f
192
n.
a. -
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........:. , ;
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If itam 03 is the same as, oY IeTSS tFan 3tem G1, you hava met kke lntent ?
oE S9C 6006 (c)2.
612+423+1149 03-16-93 03:14M P001 ?b
' GEN2-RYAN CO. 612+42E+L149
. . i Yage 2 of 2
? .
J? I Total espoaed rooE/ceiling araa = P45 7
/ J. Taeai skylight aree .....:............•....?:... O
k. Total roo!/ceilins ltiac3ag area (average lOx)..?/?
Tota2 net inaulatad toof/ceiling area .....,...•
Deterudne "TTll Value for each roo!/ceiling eegmant.
O g nIIte 01 --
k. g „nI$ . OZ*7
gihtu , px. J ? e? ZS.
4 ...... ?....?.?..??.............. ....... TO[8S i°II 4?/eLSJ?! _?J
Ii total of 04 i9 the same as, ot lesg than U2, 9od have mat the 1.ntent
; •}??_s-Alterd?.t?ecBu?Idingi?}aeTog?.?esign '
'
o uti2ize the'totai'envelope syetem methad, the values established by
-The sum of itema 03 and 04 'shall'not'be graater thbn the sum oE iteas
11 gnd #2. ?
1. + 2. • n
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--=;.- ? 3.
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612+423+1149 03-16-93 03: 19PM P002 3?2k
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
4158 ARBOR
WENZEI
PERMIT SUBTYPE:
4-PLEx
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
LoT: 22 eLocK: i APPLICANT:
LANE WENSMANN HOMES
(612) 423-1179
TYPE OF WORK:
DESCRIPTTON
BUILDING
021803
08/27/93
NEW
1 OF 4 UNITS
INSPECTION
FOOTING .. .
FRAMINCa ..
INSULA7ION FINAL
FIREPLACE
REMARKS: S&W CONTRACTOR - WENZEL MECHANICAI PRV
? ;. J
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number.
Date Issued:
BUILD'IN'G'
021803
@B(27/93
SITE ADDRESS:
P.I.N.: 10-83570-220-01
DESCRIPTION:
4158 ARBOR LANE
LOT: 22 BLOCK: 1
WENZEL
1 OF 4 UNI75
8,u3ldinga_ Permit Type 4-PLEX
Building W'ork Type NEW
rUBC Qccupancy-, R-3 M-1
? Construction Type VN
Zoning ?._ PD
? Building Length ? 58
6uilding Width 40
? J
<<-
?
k , a f? a
s y /' \
?' ?L/I
REMARKS:
3&W CONTRACTOR - WEM2EL MECHANICAL PRV
FEE SUMMARY:
Base Fee
Plen Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$581.00
$377.65
$43.50
$750.00
100
1
$1,752.15
$87,000
MISC FEES $1.744.50
Total Fee $3,496.65
CONTRACTOR:
WENSMANN HOMES
3312 151ST
ROSEMOUNT
(612) 423-1179
- Rpplicant - ST. LIC
14231179 0001458
ST W
MN 55068
WENSMANN HOMES
3312 151ST ST W
ROSEMOUNT MN 55068
(612)423-1179
I hereby acknowledge that I have read this
information is Cnrrect and agree to comply
Statutes and City ofi Eagan Ordinances.
L
? APPLICANT/PEFMITEESIGNATURE
application and state that the
withl;all applicable State of Mn.
1. -
?
ISSUEDB SIGN
yREACTIYATE _
•?ER'r7IT #
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
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 warking 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 7S.o
ite Address: Q/SS "R LbnrE
STREET SU17E M
Tenant Name: (commercial only)
IAT ? BLOC& ? SUBD. 1!Lt P.I.D. M
Wenzel Addition
Descri tion of work: o
The applicant is: ? Owner ;R Contractor ? Other (oes«;ne)
Name Wensmann Realtv PhOn2 423-1179
-
Property LAST FIRST
Owner Address 3312 151st Sr.reet west
STREET STE Y
Rosemount State MN jjp 55068
City
Company Wensmann Homes PhOne 423-1179
Contractor Address 3312 151st Street west License # 1458 Exp.3/31/94
City Rosemount State MN Zip 55068
Company Wensmann Homes PhOne 423-1179
Architect/
Engineer Name PPr nar,iGr,-om Registration N 17991
AddPess 3312 151st Street West
Ciiy Rosemount State MN ZjP 55068
Sewer & water licensed plumber Wenzel Mechanicai . 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 Mlnnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundatian ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public facility
? 21 Miscellaneous
WORK TYPE
C? 31 New p 33 Alterations 0 35 Tenant Finish O 37 Demolish
32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) v-m Basement sq. ft. MWCC System Y?"s
(Allowable) v-ti lst fl. sq, ft. City Water 77?-
UBC Occupancy R-3 M-1 2nd F1. sq. ft. PRY Required ?/ES
Zoning
PD
Sq. Ft. total _
Booster PumP
d of Stories Footprint Sq. ft. Fire Sprinkler
Length 58, On-site well Census Code /e-Z
Depth yu , On-site sewage 5AC Code 03
L
(al'S"S 61j
APPROVALS _
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTION S
0 Site ? Footing 0 Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAG
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
v.Luc;a,: g 87 OOO
GP,aavE,, yyGS,F, kV/l6?Se
HvLks-G yr?o X459 /5F ?'?9, 3so
ti
SAC % I oU
SAC Units f
'?- ,. . .
'7` k?TB
(At!tER W&_AvSi
SITE ADDRESS--i
' r.nNtAACTOR q)
y
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ADDRESS
GEN2-kYqN e'.O.
OF, E:tVELOPE AVVU.S? "U" Cf
lST
cc A v_-8c= k' L a rt ;E5
PftoNE
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DETBRMIN'E WORKID'G SOUARE FOOTACE OF F1? . '
1. Total exposed vall area ... ?7 sq. ft. x° f 8?
I??7 4t. x _
2. Total roof/reili.ng area .... .-Q- ?
i
Totgl eaposed aall eres above floor
a. ?u?lTetaL wal,brwindowi 6.xea _...?......«.......- ......
? . '?1:_S2xqi9?" ?OOr &x9d ....,., .., ..... ................. .... ..... .........
t. ?•: a?aCa7'::s]:1?S,g?ass.door, ar.ea .«...?.. ..-........•.?,,,••
8_ '?.?•;'Tot'a7. IEirePlace. wa11. ar.ea ........:......«..!...?.,•..••_• ; O :
2. ;s: ?t'7'eta']Ls3?t1::£uaming, aiea•°('?yera@C' 109.) ._....._.., I
wail- eiee .aboVe•,£loot ....... ..
.. •g. 'Tot'al 'rim joist area .......... .
I
Yotal exposed fouudstion area
h. Tota], foundatlon window area ...... ....... ?
{d.,:a,Total aet..foundation area- above grade ......-?._,.:_? ;
:F.= • IYete:Ac'Cet&Sie%':I1!hc.veYuF_mfi natli craj:,t':se?meat. !
I
? 6, -7.
b. 3o x „ti,l 9y
o.
,
d. ?' %nVu? _?- I e O
. -?
e• ?e x IIUIr r E. 1?5c? x„Utl F^?ao 6 D ?
C7 g fiUn
$• i }-?
h_ ]( ItUN I ??? ° v '
?
-
i. uDFO .
? •d
3. ........ ................. .Total
, .
you ave met ehe ineent
If item 63 is•the same as, or ess eFn ttem 01.
oE SHC 6006 (c)2.
612+423+1749 03-16-93 03:190M
I 612+42E+1149 P.OL
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P 001
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. . + ' GEN2-RYAN CO. 612+423+1149
. . . ' P.O?
Page 2 of 2
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Total e:cposed sonE/ceiling area
;
j eV
Total skylight axea .......................?.... ?---
(avarage lOX)-•
i ,
?
ag area
k- Tota1 rooE/ceiling fxaa
sulated roof/ceiling araa .....;...•_
i
n
?. Total net
. .
Determine "U" Value for each roof/ceiling eegment.
i
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-^---?-?_ I
g ??vu . D?'7 ? ? ' ..'.7. ?
k
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1. / 1
vu ? -
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....Tata-I
r1........... ?.....? ..............
? - E
If total of 04 is the same ask oc lesss than 02, yol1 have met tha l.ntenC
Z.r?4. e?of??SBL??6006(c)1. ' { '
j
o utilize the'total'envelope syetSm methad, tho values eatablished by
f iteas
• ?
? {
. •?he aum of itema 43 azld 04 shall'tlot'be greatar than the sum o •
91 and 02.
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+ 2.
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Pos!-It" brand fau Iransmfllal memo 7B7I A olpage¦ i rjl I . • ? ?
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612+423+1149 03-16-93 03:19PM P002 42G
PLEASE COMPLETE FOR STNGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
FIXTURES
i SHOWER
Z WATER CLOSET
2 BATH TUB
_1 LAVATORY
( KITCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
/ WATER HEATER
FLOOR DRAIN
3 GAS PIPING OtTTLET • minimtim -
ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • DaiLCry. lic.
U.G. SPRINKLER • home under mnn.
ALTERATIONS • io ocsting
WA'TER TURN AROUND
STATE SURCHARGE
SITE
OWN
.ACH TOTAL
3.00 - Ia0
3.00 oa
3.00 _.oa
3.00 9.00
3.00 3.00
3.00 -;.oa
3.00
3.00 3.b0
3.00 3, oa
3.00 9, o0
1.50
5.00
15.00
3.00
15.00
15.00
.50
WSTALLER: W 61Z,EC.- &2GL/.4.V/GLJC-
CI7y; c4264-A,) STATE: MN ZIP CODE:
PHOIv'E #: (?ti/Z )
?
SIGNATURE OF PERMITTEE
1993 PLUMBING PERMI'1' (x?b1vLriL&-)
. CIT'Y OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
TOTAL: 9 sb
?:; .:: ...
1993 PLUMBING PERMIT (COMMERCIAI.)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP_DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIItED FOR EACH
DWELLING U",:T.
_ NEW COF757"RU'fION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 19k OF CONTRACT FEE.
STATE SURCHARGE $.50 FOR EACH $1,000 OF p'ERM?'[' FEE
MINIMUM FEE: $ 25.00 "" ""
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL S
SITE ADDRESS:
TENANT NA]1iE: STE. #
OWiv'ER NAME:
INSTALLER:
ADDRESS:
CITY:
PHOA'E #:
FOR:
CITY OF EAGAN APPLICANT
STATE:
ZIP CODE:
? ?
PLEASE COMPLETE FOR SINGLE FAMILY DWFLLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIltED FOR EACH UNTT.
? NEW CONSTRUCT'ION
ADD-ON A/C
ABD-ON FJMNACE
DaTF, 9- Io-g3
FEES
HVAC: 0-100 M BTCT $ 24.00
ADDTTIONAL 50 M BTU 6.00
_rS.S OUTT.ETS (MINIMLTM 1 @ 53.00 EACfi) ?
ADD-ON/REM0DEL (EXISTIlVG CoNSTRUCrioN) $ 15.00
STATE SURCHARGE .50
TOTAL a?=?
srrE AnDREss: 415b Arbcr (one-I
OWNER NAME: wel'9r0nr"1 40r"MW TELEPHONE #: 433-I 1-79
INSTALI.ER: GENZ-RYAN PLUMBING & HEATING C0.
ADDTIESS: 14745 South Robert Trail
CTTy; Rosemovnt STATE: MN ZIP CODE: 55068
T'ELEPHONE #: (612) 423-1144
,At`1r1.QJde4?v
MECHAMCAL PIItM1T (RESIDIIV'I7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
10, FIX1'URES EA..CH TOT?
2 SHOWER 3•00 L•°n
_
2. WATER CLASET 3.00 ?.ao
BATH TLTB 3.00
3 LAVATORY 3.00 9.?q
--7- KITCHEN SINK 3•00 -3•=
1 LAUNDRY TRAY 3.00 3.ba
1 HOT TUB/SPA 3.00 3. °D
WATER HEATER 3.00 3.0a
-1- FLOOR DRAIN 3•00 •1•?
L GAS PIPING OUTLET • minimum - i 3.00 3.oa
_ ROUGH OPENINGS 1.50
WATER SOFTENER 5•00
PRIVAT'B DISP. • DakCry. lic. 15.00
U.G. 3PRINKI.ER • eome uneer consL. 3•00
ALTERATIONS • to ads[ing 15.00
WATER TURN AROUND 15.00
STATE SURCIiARGE .50
SIT'E
OWN
WSTALLER: U/ 'vZC--L_
CITY: STATE: I?iV ZIP CODE: SS/ZZ
PHONE #: (612) SI NATURE OF PERMITTEE
1993 PLUMBING PERMIT (RESIDENT'IAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
TOTAL: 3q• ?0
1993 PLiJA'IBING PERMIT (CObII14ERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMIIviERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUII2ED FOR EACN
DWELLING U: ,:T.
_ NEW CONSTRUC170N
ADD ON
_ REPAIR
WORK DESCRIPTION:
CONTRACf PRICE:
FEE: l% OF CONTRACf FEE.
STATE SURCHARGE $.50 FOR FACH $1,000 OF pERMIT FEE
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
$
TENANT NAl?4E: STE. #
OWNER NAME:
W STALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN
PL.EASE COMPLETE FOR SINGLE FAMILY DWELZ.INGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIl2ED FOR EACH UNIT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FUkNqCE
DATE ?? IO-q3
ES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
_riS OUTLETS (MINIMUM 1@ 53.00 EACH) 3.?
ADD-ON/REMODEL (EXISTIIVG CoNSTRUGTioN) $ 15.00
STATE SURCHARGE .50
TOTAL
STI'E ADDRESS: 4I58 i2,AbDl' Wnf,;
OWNER NAME: lJlXl`l5(nClnn 449rY$c?/ TELEPxorrE #: 4a3-l l-lc?
INSTALL.ER: GENZ-RYAN PLUMBING & HEATING C0.
qDDRES$; 14745 South Robert Trail
CITy; Rosemotmt STAT'E: MLq Z1P CODE: 55068
TF.T FPHONE #: (612) 423-1144
-J'1
MECHANICAL PIIiMIT (RESIDEIVI7AL)
CITY OF EAGAN
3830 PILOT SNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIIZED FOR EACH UNTf.
--------------- - - - -
NO. FIXT'URES EACH
? SHOWER 3•00 -A•O°
2 WATER CLOSET 3.00 G, o0
7- BATH TLTB 3.00 L.oo
:3 LAVATORY 3•00 9•or
KITCHEN SINK 3•00 3•010
LAiJNDRY TRAY 3.00 3.0a
HOT TUB/SPA 3•00
t WATER HEATER 3.00 3.00
1 FLOOR DRAIN 3.00 3100
1 GAS PIPING OUTLET • minimum • t 3.00 3.00
ROUGH OPENINGS 1.50
I WATER SOFI'ENER 5.00 5.ab
PRIVATE DISP. • narcy. icc. 15.00
U.G. SPRINKI.ER • Gome undtt const. 3.00
ALTERATIONS • to ?un8 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: 44 S°
STT£ ADDRESS: 4ISZ p126ok Q
OWNER NAME: VJj5;V5M,9N&_,' "mE.S
INSTALLER: WEit/ZCL- Nga?.9rt1lGAC- -
ADDRESS: ?clSq 594WtiE? ?
CITy; ?,9N STATE: IIIA-) ZIP CODE: SS/ Z Z
PHONE #: (blZ ) 452- 1S6S
41'64??
SIGNATURE OF PERMITTEE
1993 PLUMBING PERMIT (RESIDIIVT7AL)
CTIY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 6814675
1993 PLUMBING PERMIT (COMMERCIAI,)
CTTY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMIIvIERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUI' DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING U:17.
_ xEwcoNsrRUCTIorr
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE 1°h OF CONTRACf FEE.
STATE SURCHARGE $.50 FOR
MINIMUM FEE $ 25.00
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SIT'E ADDRESS:
EACH $1,000 OF rpMPa' FEE.
$
$
$
TENANT NAN1E: STE. #
OWNER NAME:
W STALLER:
ADDRESS:
CI1'Y:
PHONE #:
STATE: ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
PLEASE COMPLETE FOR SINGLE FAMILY DWEI.LIIJGS. ALSO, FOR TOWNHOMES AND
CONDOS VVHEN pERMIT'S ARE REQUIl2ED FOR EACH UNIT.
NEW CONSTRUCI'ION
ADD-ON A/C
t,DD-Qlv FITRI+iP,CE
DATE 9"- 'O-cO
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
_.iS OUTLETS (MINIMUM 1@ 53.00 EACH) '3•00
ADD-ON/REMODEL (EXIsTIlVG CoNSTxUCrioN) $ 15.00
STATE SURCHARGE .50
TOTAL al.SU
SITE ADDRESS: 41 5a Ar bDr tC11"?
OWNERNAME: 11Y'n5/Y1Gtn rt 4D(TP,0 TEI,EPHONE#: +a3'1F19
INSTAId.ER: GENZ-RYAN PLUMING & HEATING C0.
ADDRESS: 14745 South Robert Trail
CTTy; Rosemourit STATE: M ZIP CODE: 55068
TELEPHONE #: (612) 423-1144
'jLnnP.&"n_)
MECHANICAL PERMIT (RESIDENT7AL)
CITY OF EAGAN
3830 PIIAT %1VOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES
Z SHOWER
2 WATER CLOSET
1 BATH TUB
3_ LAVATORY
_
( KITCHEN SINK
! LAUNDRY TRAY
HOT TUB/SPA
? WATER HEATER
FLOOR DRAIN
1 GAS PIPING OLTTLET • minimum - I
ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • Dak.Cry.lic.
U.G. SPRINKLER • 6ome under consi.
ALTERATIONS ' to adsting
WATER TURN AROUND
STATESURCHARGE
TOTAL:
SITE
OWN
INST
EACH
3.00 L , ov
3.00 ! .0o
3.00 ls-an
3.00 9.ao
3.00 3.a•o
3.00 3,00
3.00
3.00 3.oz?
3.00 ?.aD
3.00 ?
1.50
5.00
15.00
3.00
15.00
15.00
.50
2>t
C1ry; F?46A&J STATE: / IN ZIP CODE: 5S10Z
PHONE #: ( 6(2 ) ?52
SIG TURE OF PERMITTEE
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
et t Fu • R/?w Z EC_
PLEASE COMPLETE FOR ALL COMAMRCIAIJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP__DINGS WHEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR EACH
DWELLING U:4:T.
_ NEW CONSTRUCIION
ADD ON
REPAIR
WORK DESCRIPTION:
COA"!'RACT PRICE: $
FEE: l% OF CONTRACf FEE
STATE SURCHARGE: $.SO FOR EACH $1,000 OF PERMTf FEE
MWIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE A.DDRESS:
$
$
$
1'ENANT NA111E: STE .#
OWNER NAME:
INSTALLER:
ADDRESS:
CI1'Y:
PHONE #:
S1'ATE:
ZIP CODE:
FOR:
CITY OF EAGAN
APPLICANT
1993 PLUMBING PERMIT (CONIIKERCIAI,)
C1TY OF EAGAN
3830 PII.OT KNOB RD
EAGAN NIN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWEL.LINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN pERMIT'S ARE REQUIRED FOR EACH UN1T.
? NEW CONSTRUCITON
ADD-ON A/C
ADD-ON r JRNai,?
DAT'E 9/10/93
FEES
HVAC: 0-100 M BTU $ 24.00
ADDTTIONAL 50 M BTU 6.00
_AS OUTLETS (MINIMUM 1@ 53.00 EACH) 3?00
ADD-ON/REMODEL (ExtsTIlVG coNSTtUCrior) $ 15.00
STATE SURCHARGE .50
TOTAL cZ7 .SO
srrE ADDxESS: 4i54 Arbch Lora)
OwAtER NAME: L9en,<ma-n 44Dm.P,? TELEPxorrE #: 4a 3-11 -1 9
INSTALLER: GENZ-RYAN PLUMBING & HEATING C0.
ADDP.ESS: 14745 South Robert Trail
CjTy; Rosemount
STATE: M ZIP CODE: 55068
TELEPHONE #: (612) 423-1144
MECHANICAL PERMTI' (RESIDEiVTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
`T
%_{Q3,-I ??_
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets • ArchitecWral Plans (2) sets • Architectural Plans (2) sets
• CivilPlans (2) . SWCturalPlans (2) • CodeAnalysis (1)"
• Certificate of Survey (1) • CivilPians (2) • ProjectSpecs (1)
• CodeAnalysis (1)" • LandsrapingPlans (2) • KeyPlan (1)
. ProjectSpecs (1) . CodeMalysis (1) " • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule " • CeAiFlcate of Survey (1) • Energy Calculations (1) not always"
. Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) no[ always"
• Meter size must be established • Meler size must be established • Meter size must be established - if applicable
• Project Specs (t)
1 • EnergyCalculations (7)
1 • Electric Power & lighGng Form (1)
1 • Master Exit Plan (1) 1
! • Emergency Response Site Plan (7)
1 • SoilsReport (7) 1
. MGES SAC determination letter • MGES SAC determination letter • MCJES SAC determination letter
call 651-602-7000 call 651-602-1000 call 651-602-1000
Food & beverage or lodging facilities - submit plan to MN Department of Health. Cail 651-215-0700 tor tletaus.
" Contact Building Inspections for sample.
Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
DATE: lhtkcl _ Ig 21Y?2 WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COST: Zl?
4 ?sa
SITEADDRESS:
TENANTNAME: -Il-tlce 6-J9&N/L WY%?) SUITE
FORMER TENANT NAME, IF APPLICABLE
DESCRIPTION OF WORK (zC - 9-w ip 1>I7(54k o?'t'
Name: THT-- WrQPY Oi-?£ !Y. . STNE, 2??a_ Phone #: 6l qg' q05- q3EIS
PROPERTY Last First
OWNER 'r' (
SheetAddress: ?1Id ???)QJ Ls,i
City: EqC.-l a-n( State: Wl,t?• Zip: ?122,
Company: 1((?-is l..l.?lS?Q C cC?l Cu '_( Phone #: ((P51
CONTRACTOR ??." ?? "
StreetAddress: uaJ S- t_.FJJUCE)Q.-_-'
City: Sp , S ai. State: VVl n(. Zip: CiGC97 ?i
ARCHITECT/
ENGINEER Company: Phone #: ( )
Name: Registration #:
Street Address:
Ciry: State: Zip:
Licensed plumber installing new sewer/water service: Phone #: ()
I hereby acknowledge that I have read this application, state that the information is correcagree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
' Updated 7102
OFFICE USE ONLY
SUBTYPE
01 Foundation ? 26 Public Facility ? 30 Accessory Bidg.
l 14 Apartmenu 0 27 Commercial/Industrial ? 32 Ext Alt - Apts.
l 15 Lodging . ? 28 Cneenhouse ? 34 Ext Alt - Comm.
! 25 Miscellaneous 0 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
-j 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
_! 32 Addirion ? 36 Move Bldg 0 43 Reroof ? 47 Repair
, 33 Alterations O 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning sq. ft.
SAC Code # of Stories sq. ft.
No. of Units L,ength sq. ft.
Vo. ofBldgs. Width sq. ft.
Const. (Actual) Basement sq. ft. MC/ES System
(Allowable) First Floor sq, ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
-, Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone
APPROVALS
Planning
Building
Engineering
Variance
'ermit Fee
3urcharge
?lan Review
,MC/ES SAC
.3ity SAC
Nater Supply 8 Storage
3/W Permit
31VI/ Surcharge
Treatment Plant
:'ark Dedication
Trails Dedication
Nater Quality
:)ther
?opies
VALUATION $
% SAC
SAC Units
Meter Size
Totai
?558g
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION ?
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc singlc family dwellings & townhomes/condos when pcrmits are required for each unit
Date I / ,??lP / D- l
Site Address Ll / v/B Me ??1/? (,V (• Uni[ #
Property Owner l/ // & tk //'C ./i? ? Telephone # ( (P-?j / ) 4t?
Con[ractor
r
Street Address
State 4
l City
Zip Tele one
Bond k: ?"/ ??? / ???q Expires: O
The Applicant is _ Owner ? Conuactor _ Other
Add-on or alteration to existing dwelling unit
D
furnace -Additional Replacem r? I
? ??
JUL 2 'j 11i14 S 30.00
air exchanger
airconditioner ,X/?
_New 1Replacement B
other
State Surcharge $ .50
Total $ ? ?
I hereby apply for a Residential Mechanical Pemut and acknowledge that the information is compiete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an applicarion for a pemvt, and work is not to start without a permit diaLtlhe work will b' accordance with the
ap oved plan in th case of rk which requires a review and approval of plana '
?,Vl ?j S?1 /L S
ApplicanYs Printed Name Applicant:s Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commercial/industrial buildings
multi-family 6uildings when separate pemtits are not required for cach dwelling unit
Date
Si[e Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Con[ractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applieant is _ Owner _ Contractor _ Other
Work Type
_ New Construction _ Underground Tank _ Install _ Remove "*see below
_ Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
'When installing/removing underground tank, cal! for inspection by Fire Marshal and Plumbing lnspector
P¢I'mit F¢¢5: $70.50 Underground tank mstallation/removal
$50.50 Minimum (includes Smte Surcharge)
or
Contract Value $ x 1% Permit Fee
• If nemut fee is $1,000 or less, add $.50 ? $ State Surcharge
If pernrit fee is over $1,000, add $.50 for
every $1,000 ermi fee $ Total Fee
i nereby apply tor a Commercial Mechanical Permit and aclmowledge that the inforntation is complete and accurate; that the work
will be in confortnance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a pertnit, and work is not to start without a permih, that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicanYs Printed Name
ApplicanPs Signahue
Approved By: Inspector
S?
CITY USE ONLY
D• ? ?? g? ' RECEIPT#:
SUBD. BY?{?c+I I S.i RECEIPTDATE: II? I?DO
PERMIT # 4?bq b
2000 PLUMSING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EACAN, tM7 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
EACH #
TOTAL
r?n ? unc.?
Alterations to existing dweliing - minimum fea
Describe:
-
$ 30.OC
Bath tub $ 3.00 x = $
Ftoor drain 3.D0 x = $
Gas piping outlet ' minimum • t 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = S
Lavatory 3.00 x = $
Septic System new/refurblshed • requtres Mac ?ic. 75.00 x = $
Septic System abandonment 30.D0 x = $
RpZ new installationlrepaidrebuild 30.00 X = $
Rough opening 1.50 x = ?
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Undergroundsprinkler ifexistingdweiting 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water tumaround 30.00 x ---
> _
' $
$
State Surcharge .50 -> -
> ---
-> ??
S d
? To4al --> --> -- .
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--------- ----•----°---------
---•----- ------------------------------------ -------------------------------------
?I hereby adcnowledge fhat I have resd lhis application, state that the infortnation is corteG, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsihility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this pertnit within City property/right-of-way/easement.
SITEADDRESS: ??S-? /r"/?B(/.? //?
OWNER NAME: : /I/D/1/?'1?J1? ??JS?? TELEPHONE #: ??t ? ?dr /?7?
( EA ODE)
INSTALLERNAME: ?T/`IP /IdDTL/?' TELEPHONE#: G,? ????SS -
(AR CODE)
STREET ADDRESS: ?°?^ /?i?f2-!?//S ,D,? -1??
CITY: ??C I?D/!T/1r STATE: /?/"v ZIP: S? l
?, ,
SIGNATURE OF PERMI ??
PERMIT # S P LAD RECEIPT DATE: ??-
8008 MIDENTIAL PLUM$Iftfi PER4I1T !!PPLICATION
crrYor EAsM
3830 Pu.or icivos gn
SA6AN, biH 55188
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS:
OWNER NAME: :JpE Nil'9Y.6Z` TELEPHONE #: liz`> I'"/J (-}, J
INSTALLER NAME:
STREET
ciTV:
ziP: O4?9 19
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license)
includes $40.00 County fee ' $ 100.00
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fiutures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ W ater turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild ? R17 $ 30.00
?
?? ?
_ lawn irrigation system q(/G 082002
?
i?Y
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
TOtal $ ff,
I hereby acknawledge that I have read this appliption, sNate thatthe information is correct, and agree to complywith all applicable Ciryof Eagan ordinances. I[
is the appllcanPS responsibility to notify the property owner that the City of Eagan assumes no lia6ility for y damages causedpytlie City during its normal
operational and malntenance aclivitles to the facilitles wnstructed under this permit ' in City prope ht-of-w ?/ e F.
. S
SIGNATURE OF P TTEE 1102
Z,259a 4/
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
/5-So
Date 91 I I 0 `'
?
Site Street Address , ?J ? I! /p.IvO_o2 t,?) • Unit #
Property Owner veflr)' IV W1'"i'lk Telephone #((?1)
Contractor' +GI'???? r'`""a? Telephone# ((?jl )"+a '"??
Address 9l?• 162& City krn IAAA-1- State& k?_ Zip?
The Applicant is: _ Owner _ Contractor _Other
Alteretions to existing dwelling I U1' ?@ ? o T ?
_Add fxtures to rooms, excluding water softener and water h '?aI1?rAUG 19 2004 ?
_Septic System Abandonment LIU
_ Water Turnaround (add $121.00 if a 5I8" meter is required) pY
Other: $ 50.00
_ Water oftener - ? Water Heater
replacement additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
7otal $ ??. ??)
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
?',? ?,is`h -a l (S Ctum 4?Co
ApplicanYs Printed Name Applicant's Signature
75-q79
2006 RESIDENTIAL MECHANICAL PER1bIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please compiete for. single family dwellings & townhomes/condos when permits are required for each uni#
30,50
I
'
ZO
C
Date
I /
/
"
LI I?
? /?
nc
Site Address
V ?/'
(v ' Unit fi
r"-
Pro
ert
Owoer veannl
? ve?W Y a??
v-I i LTelephone #&'5I)?CI
y
p
. .
?TcnZ
Contractor
J
4'" A 1
S
dd
C
(
Euk-n(?? Vi I I l
? Cit
treet A
ress O
r?
? iV V ?• y
-
Zi
St
t G/?? Tele
houe # (n)/ l!/7 looo
p
a
e p
?y
Bond #: W (mq U9Ex ires: 91140
p
The Applicant is _ Owner Contraotor _ Other
Add-on or alteration to esisfiqg dwelling unit $ 30.00
? furnace _Additional /N?eplacement _ New
air exchan
r •
ge
? air conditioner
heat pump
other
State Surcharge $ .50
$ ED
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the infortnation is complete and accurate; that the work will
6e in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
,9-of work which;iquires a review and approval of plans.
approveo plykin the cas
?
pplicant's Printed Name Applint's Signature
-?- I? y 3 2006 RESIDENTIAL BUILDING rExMIT nrrLrcnTiorr
?E,zst.1s
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
New Construction Reauiremenis
3 regisiered site surveys showing sq R of lot, sq. R of house; and all roofed areas
(20 % maximum lot coverage aliowed)
1 Soils RepoA if pmposed buildinq is to be placed on dstur6ed soil
2 copies of plan showing beam 8 window sizes; poured found design, etc.
1 set of Energy Calcula6on5
3 copies of Tree Preservation Pian'rf lot plaHed after 7l1793
Rim Jorst Defail Options selecfion sheet (buildin9s with 3 or less uniGs)
Mmnegasco mechaniqlventlationfortn
/ / 5- / (D o
?ate Oe Construction Cost , , ? I ; Y , ?
_
Site Address AZ &?- 4A7-EZ- UniUSte #
5?a A-1I s 41 S? -36,oe L 81-
Description of Work (&Q4,cSUL?'1'
Multi-Family Bldg 7" Y_ N Fireplace(s) _ 0_ 1 _ 2
'rlJl7 ? ?
Property Owner 4a/?ja?f 5??/xr 4cJ y4t Telephone # ( )
Contractor ?c7TE52-?2 u
e,-?
? " Mt
C-'?-D O/U s?O'C-63
Address ('zZUC? J?fCOL^L p
?- ? S5v'7f' City
State Zip -3 1_. Telephone#q7-Z) GLDO
RemodeVReoair Reouirements Office Use Onlv
2 wpies of plan showing foohngs, beams, pusGs CeR of Survey Recd _Y _ N
lsetofEnergyCalculationsforheatedaddNons SoilsRepod _Y _N
1 sRe survey for addifans & decks Tree Pres Plan Recd _Y _ N,
Add'rfion - fndicateifon-sffesepticsystem Tree Pres Required _Y _N
Onsite5eptic5yslem _Y _N
v
?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
submission type) 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 will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pertnit, 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.
JRw??3 M. K`e:7-&,44- - Su'i' ? -a
Applicant's Printed Name icant's Signature I
Cities Di ital uality Control
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Every effort was made to capture the content
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0512312014 11:26 Les Jones Roofing, Inc. (TAX)9528817009 P.0061016
Use BLUE or BLACK ink
For Office Use I
tl:
City of EaRan ; PerI
I l7 1
I Perrnlt Fee: -5 l + ~
31330 Pilot Knob Road
Eagan MN 55122 1 oats Received: I
Phone: (661) 676-6676
1 I
Fax: (661) 6765684 I stag:
1 I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date; et 3 Site Address: t'1152 - it ~ gLrs A LA vo- Unit
Name: o l AR-was. 6 SaG. JE AwNE lei hone: 6 SI - 4 o s - 8 s~t~
Address (City /71p: 4l t V(, j4
1Z (Z .
Applicant Is: Owner X Contractor
Description of work: r-'t o vE
r
Construction Cost: 3 9 7. Multi-Family Building: (Yes X / No
t
Company- Ae
NG Contact: 4We4 s A-tiO SOA
Addreae; U/. 8d X2 7 " City: Aaalg'e&b ~
State: _ (lam Zip: Phone: _ 9'SR - 7b 7 - IIIII
License 4 ago Lead Certificate M VAT- `f o 3 7.7 _
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. Cali Gopher Stale One Call at (681) 464-0002 for protection against underground utility damage. Gall 48 hours
before you Intend to dig to receive locates of underground utilities. MMUmpherstateonecall.om
I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will be In
accordance with the approved plan In the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit Issued in accordance with the Minnesota state Building Code must be completed within 180
days of permit Issuance.
x_ cimis 4 00-0AI
Applicant's Printed Name
Applicant s Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138995
Date Issued:10/04/2016
Permit Category:ePermit
Site Address: 4152 Arbor Lane
Lot:023 Block: 001 Addition: Wenzel 1st
PID:10-83570-01-230
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Steve D Johnson
4152 Arbor Lane
Eagan MN 55122
(612) 799-1979
J Carver Construction Inc
1345 Schletti St
St. Paul MN 55117
(651) 645-5488
Applicant/Permitee: Signature Issued By: Signature