4115 Arbor LaneDate:
C!ty of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
APR 1 0 nu
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: I44-1
Date Received: X01
Staff:
2014/RESIDENTIAL BUILDING PERMIT APPLICATION
�/
" 0 —/ YSite Address: t. viS 1 i,jo r 1 -°•N% -e --
Resident/ o V% -e --
Resident/
Owner
Unit #:
Name:5k e re
Address / City / Zip: / /S— R -bo c Liv..
Applicant is:
Description of work:
Construction Cost:
Company:
Address:
State:
Phone: 6 i 2 c\k‘, - 37 `C7
Owner . Contractor
,coo , Multi -Family Building: (Yes x / No
Li; 87 Lay.�sso
Contact77-0 Lo C7 c ��..
{— City:
Y►'l Zip
,53-0/ Y Phone: 65-1 - 63 --,(57,11--
License
,(57,1t
License #: 6 C oc LI 0 I I
Lead Certificate #: 4,04- /i`e_ -740,
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
per.
7427
1ef
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:
r t -k Ctairi
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Phone: CS -7 .2402 - cy/ j_
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. CaII Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must b ompleted within 180
days of permit issuance.
x
Applicant's P nted Name
Applic s Signature
Page 1 of 3
1/. -4y-yaov'c.'
DO NOT WRITE BELOW THIS LINE
QOC3
SUB TYPES
Foundation
K Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
4( Alteration'
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% tyf)
Census Code
#of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
y' 1"474,111a sh
ntnterior Improvement
_ Move Building
Fire Repair
Repair
14)
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In _Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
?' HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: — Footings Backfill _ Final
Radon Control
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page2of3
NSPECTION REC4RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
?I (612) 681-4675 !
SITE ADDRESS: I ?? + .. , . APPLICANT:
I s. Itifs?lt; i ANf Ai ? I i I 1+
4atti " i_i tf.try t:??H ,a i
PERMIT, $YBTYPE:
TYPE OF 1NORK:
It i ^;f V I f'"! I r.lN I j i
INSPECTION D. • „
F
? L_
?
Pertnit No. Pern?(t Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUNQ
FRAMINCa
ROOFING
ROUGH
PtUM81NG
PLBG
AIR TEST
ROUGH
HEATING
GA5 SVC
TEST
INSUL
GYP BOAFiD
FIREPLACE
FIREPLACE
AIR TEST d ?6 G
p ?
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADD RESS•
INSPE
? ???tt: i i ta ?. ? ?
PERMIT SUBTYPE:
g H } „I I
oN RECORD
PERMIT TYPE:
Permit Number: ?r
Date Issued:
APPLICANT:
ti? t! •ii,',?:?? ;??irv; .
TYPE OF WORK:
NI ll
11; ',• i, li 4iiill I f1F 4 liNf f
INSPECTION r• • D•
I?? I IIC1
1'4 11 1
.??• i . 1 Ifif
? 1614 1; r•,r,ia I r,N I I+Af i utr ?If ra.•t r M< < uE
N I:'j
-1
?
PermR No. Permit Molder Date Telephone #
S/W
PLUMBING
HVAC
ELEC ?t
ELECTRIC
Inspection Dete Insp. Commentf
Footings I ? C
Foundation
L
Framing
Roofing
Rough Plbg.
Rough Htg.
Isui.
Fireplace
Fnal Htg.
Orsat Test
Final Plbg. PI . nspector - Notily Plu er
Const. Meter
Engr./Plan
Bldg. Final
S?liJ
312O7
?
Deck Ftg.
Deck Final
Well
Pr. Disp.
l' .. - -?--- <
.
3
IN
` CITY CSF EQGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
ON
;C4RD
PERMIT TYPE:
Permit Number:
Date Issued:
! 1 ! 0 I / "
S1TE ADDRESS:
, '1; 1 r_ N
.; il. t I I ,I
?I F(, ,,, ; APPLICANT:
' PERMIT SUBTYPE:
• ,?l'• 1 ?
TYPE OF WORK:
nt f I,f
1 Or 4
N
PE
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S
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IO D . .
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i
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Permft No. Permit Holder Date Telephone M
SNV
PLUMBING g 3 a"
HVAC
ELECT do
ELECTRIC
Inspection Date Insp. Comments
Footings I
91
?
Fountlatlon r*f 3 14),6
Framing
t
2
Fiooting
Hough Plbg. 2 ? rJ
Rough Htg. J1
IsuL q
Freplace
Final Htg. '2 _ - 7 ?
Orsat Test
Final Plbg. _?Z_,py Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
&dg. Final Z ?
Deck Ftg.
Deck Final
Weil
Pr. Disp.
_ ? ? `Z?+ - _ .
I i .
'CIT'Y OFEAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
I.li N.I 1 1'.'1
i
PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
?
,i •
TYPE OF WORK: -
INSPECTION .• . ..
• , r•?. ? , ,
IJi?
? : , {i Al:f .. 5b 41 I t1NihAt 1 (Jlt • 4jl.N.'F. i Mt:,'Ni 4 'N?.;
Permtt No. Permit Holder Date Telephone N
S/W
PLUMBING
HVAC
ELECTR * ?
ELECTRIC
Inapactlon Date Insp. CommeMs
Footings I
(
Foundation _t f 3
Framing -/z. 9 S ?
Roofing
Rough Plbg. He ' ? I IO--v
Rough Htg. 1 111-5-- • 9 ?
lsu,.
Fireplace
Fnal Htg.
<YR"
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPfan
Btdg. Flnal
Deck Ftg.
Deck Final
Well
Pr. Disp. . ?
! f?J?
' •? ` ' ??v?11 /I' ? ?
? It
CffY O'F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
! i.:! 1 t l{ i
PERMIT SUBTYPE:
:CO?RD
PERMIT TYPE:
Permit Number:
Date Issued:
r ril , APPLICANT:
?.ANt-
.1.?cG l 1 19
TYPE OF WORK:
i,; r i: i r ; , t,ja
(4i I.,
? IiF q FIN 1 I ti
INSPECTION D. O .A
+ i?:,tti 11?• . ?,rit ' ;I,,
y,?t ?; ?? ,.,. ?.•,i??.:i ? ?s : i;,
I I i s' A kl:`h - ')lr1.{ t;UNlirAl If1f. WICtV..''E! M( f:ti !'Wti+'
V1
- :Y
?
Permit No. Permit Holder Date Telephone #Y
S/UV
PLUMBING
.
HVAC a3-11T
EL_ECTR
ELECTRIC
Inspectlon Date Insp. Comments
Footings I ? S
Foundation
Framing
L
Roating 1 Z? 9 y ??? ?
Rough PI6g.
?
nwo(
Rough Htg. 1.5d ? J
i•'v j c: C
ISUI. J I? i1 STui° ? ?-.? y' iT •1
Fireplace
Ffnal Htg.
OrsatTest C +t
Final Pibg. ?,./J? Plhg. Inspector - Notify Piumber
Const. Meter
Engr./Plan
Bldg. Final
Oeck Ftg.
beck Final
Well
Pr. Disp.
?
'?' • • q ?.
4p`
1
. ?
WeL'tiftCQte nf cCClivQnC?
WU4 of Cfagan
#?e?rhaeat o? $xitbiug ?u??rection
i
This Certijecate issued pursuant to lhe requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the Ciry r+egulating building construction or use. For the fo!lowing:
Use Qassificuion: S 4-0 EX { J (W 4 jm=- ) Bldg. Permit No. 2244
O-W-Y 1Yar R311Ml Zooing Distria ? Type const. _r,n
Qwckcr of Building HRI3QKA11Ai ERA.Ai.7'Y Addnss 33 12?1 S I Sr?gr W nrSD'twrr
Building Addtrst 4OR5 rA-cM1. QEjj l.ocalit?( 41RLT79i 1 Ci`
Dae' ?IJ
B ' OfTicea!
? POST IN A C,ONSPICl10US PLACE
e
I?
;
,
,
_. . -- --- •-- ,.
Wertificate vf cccujoanc4
Witv ofi wagan
?c?art?ext sf Zuuiiag anoecri8a
Titis CeKificate issued pursuant to the nequirements of the Uniform Building Code
certifying rhat at !he time of issuanre tlus structune was en compliance with the various
?
ondinctnces of the City regulating building cunsiructron or use. For the fo!lowing:
Uu Qasuficmtion_ 1 OF 4 PLEX Bldg. Permit No. 22343
?upanry 1ype R-3 M-1 Zoning Dis? pD Type Const. Vn
Ownero(Bw" WENSMANN REALTY Add. 3312 151ST ST W. ROSEMOUNT MN 550
gWb?g Addren 4083 CASHELL GLEti LoCW;tyL5, B2, WENZEL 1St' ?
`
D..
? ?--?-?uy?
?
POST IN A CONSPICUOUS PLACE
= q
Wertificate uf cccuvanc?
Wit4 ...? cpasan ,
?,cur ? ??itbhm 3tt??ection
This Cenificate issued pursuant ro the r+equirements of the Ureiform Buifding Code
certifying that at the fime of issuance lhis structure was in complrance with the various
ordinances of the City regulating building constructron or use. For the following:
Use Qassification: 4-R'? ( I LWT) Bidg. Permit Na. ??5
Ocaipancy'L)'pe R3lrl1 7.aiing Distria PD Type Const. VN
o.mofBwld;ngWavStM FTALrY Addmss33 t 215tsr 5a, PRE
e-.og nn?+ l 15 ARBOR IAt+]L tocal ,cy Ll, 820_ WEtM iir
Dw ?
Ba4g off?
POST IN A CONSPICUOUS PLACE
?
,
,. «
, .
` '
,
t?
WerdliCQ.t¢ 0f cCC1tvQtiC?
%U? ?f Cpagau
McOartmcnt af ?w%* 3aeprecttox
This Certicate issued pursuant to tlu requirements of the URiform Building Code
certifying that ot the lime af issuance lhis structure was in compliance with the various
orrlinances of the City regulating building construction or use. For the following:
U.LLfsifintion: 4-?M Q MjT) Bldg. Pmnit No. 22346
o..m.Y TyF. R3M1 Zonina Dkrtrict pl . Type Const. ]N
o.an oc sWkiing WIIMSAM RFAI.IY Aadn.. 3312 I S 1 ST S'r w, RDS{NT
suiwi? woe?n. _4117 ARWR LW [.ohtintB_ S2. WBNM. 1ST
? Dre- ki_t
B OfBciil
POST IN A CONSf'ICUOUS PLACE
?
? 775?
52432
M
?a ?.
r - 'Fa °"
?
Fequesl Data Fire No Rough-i nspedion
ReQmred? NOTICE: Vou Must Ca0 EleIXnwl Irispedor
f A Rnugh-In Inspechon
12 / 2 2/ 9 3 i$Ves ? No is Requved.
I[3Clicensed contractor ? owner hereby request inspechon of above electrical work at:
Job AOpress (SVeet, Box or Raute No.)
?,,., .--t- - /,k0$'?5
?Sti??1 Gl.eh Cily
Eagan
Seclion No Tavnship Neme or No Fange No.[ ' CouMy
Dakota
Occupant(PRINT) Phonel•!o
Wensmann Homes 423-1179
Power$upplier Address
Dakota Electric 300 220th St . W., Farmington
Elocincal GonVador (COmpany Name) Comrador5 L¢ense No.
Joos Electric Co. ,. Am01895
Mailing Adtlress (ConVactor or Owner Makng Installation)
3980 Beau D' Rue Dri ve, EAgan, MN 55122
Authorizetl SignaWre (ConVactorlOwner Makmg I ation) P?one Number
G 688-6180
MINNESOTA STpTE BOARD OF ELECTAICfIV THIS INSPECTION REIXIEST WILL NOT
Griggs-Midway Bldg. - Foom 6113 BE ACCEPTED BV THE STATE 60Afl0
1821 Ilniversity Ave., 5t. Paul, MN 55104 UNLESS PROPER INSPECTION FEE I$
Phone(612)66b0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
(7` ?r
? I? See inslructions lor complellng ihis tarm on back of yellow copy
M 5 2 4 3 2 X" Below Work Covered by This Request
E/B/-0?0j001-08Q
New Add Rep. ' TypeoiBuiltling ' -?AppliancesWired EquipmeniWrted
X Home X Range Temporary Service
Duplex Water Heater Electnc Heanng
Ap[ Bwlding Dryer Load Managemant
Comm./Industnal g Furnace Other (Speciy)
Farm Av Conditioner
Olher (speaty) ConVactor5 Remarks
Compute lnspechan Fee 8elow:
# Other Fee # ServiceEnirance Size Fee # CircuRS/Feeders Fee
wimming Pool D to 200 Amps 10.1 o to ioo Amps 64.
Transformers Above200_Amps Abovetoo_Amps
SI JnS Inspector9 Use Only 70
?
• Irrigahon Booms 2.50
Special Inspection
Alartn/Communication THIS INSTALLATION MAY BE O D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON HS.
I, the Electrical Inspecror, hereby RougM1-in ??? is
certity ihat ihe above inspectio nh as
been made.
Fnal
Da?e
OFFICE USE ONLY
This reques[ vaitl 18 manths Imm
a- yx_ / 77-59
M -52 35k5 $Y? a°v
Request Oate Prte o Raugh-in specLOn NOTICE: Vou Musl Call Eledrical Inspector
12 / 2 2/ 9 3 Reqmretl If A flough-In Inspectian
XYes ? No Is Reqmmtl
I[klicensed coniractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Sireet, Box or Route No I /?
l)
l
?l Qty
E
?e,
?0 g3 Li0.S en agan
Seclan No Township Name or N. Range No CouMy
Dakota
Occupant(PRINT) Phone %o.
'Wensmann Homes 423-1179
PowerSupplier Adtlress
Dakota Electric 4300 22 0th St. W., Farmington
Electncel Contractor (COmpany NamB) Conl Licensa No
Joos Electric Co . AM@1895
Mailinq Atltliess (Conhacbr or Owner Making Inslallation)
3980 Beau D' Rue Drive, Eagan, MN 55122
AuNor¢ed Signaiure (COntradoUOwner Making In atio Phone Number
688-6180
MINNESOTp STATE BOARO OF ELECTRICITY/ ? C- THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bltlg. - Room 5173 BE ACCEPTED BV THE STATE BOARD
1821 Univeniy Ave., SL Vaul, MN 55106 UNLESS PROPER INSPECTION FEE I$
Phone(612)602-0800 ENCLOSED.
?? ? /O? REQUEST FOR ELECTRICAL INSPECTION
i? ? Seemslmctions for completinq thss lorm on back of yellow cnpy
52435 "J[' Be/ow'Work Covered by This Request
EB-00001-08
1775 9
e A Rep: ._ TypeofBuiltling ApplianceSWired EqmpmentWVed
}[ HOme X Range Temporary Service
Duplex Water Heater Electric Heanng
Apt Building Dryer Load Managemeni
Comm /Indushial X Furnace other (Speafy)
Farm Air Condilioner
Olher (specity) Contrectork Remarks
Compute Inspection Fee Below:
# Other Fee # ServiceEntrenceSrze Fee # Cvcuns/Feeders Fee
Swimming Pool Z 0 ro 200 Amps 1$ , 0 to ioo Amps
Transformers Above 200 _ Amps Abave 100 _ Amps
Signs Inspecmr5 Use Onty ? G TO AL
?
Irrigation Booms n()
? $ 2. 50
Special Inspection v
AlarmlCommunication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electrical Inspector, hereby Rough-m _ Dat
certify that the above inspection has
been made. oete
OFFlCE USE ONLY
Ths request void 18 moMhs irom
/ 7715- y
5 4 3 4tX°8,-6
Request Date Fre No Rough-in Inspeclion
Reqwred9 NOTICE: You Must Call EleMncal Inspedor
I( A Rough-In InspecYion
^ Yes ? No Is Fequrtetl
I X Acensed coniractor ? owner hereby request inspection of above electrical work at.
Job Atltlress (Streeq Box or Foufe No ) Gly
4117 Arbor Lane Eagan
Seceon No.
Township Name or No
Range N.
Counry
I Dakota
OccuPe PhoneMO
Wensmann Homes 423-1179
Power Suppher Pdtlress
Dakota Electric 4300 220th St. W., Farmington
Electncal ConVactar (COmpany N2me) Contractor§ Liwnse No
.7oos Electric Co. Am01895
Mailing Adtlress (COntraclor or Owner Makmg Installalion)
3980 Beau D' Rue Drive, EAgan, MN 55122
Authonzetl Signalure (COnhactodOwner Makmg I ation Phone NumOer
688-6180
MINNESOTA STATE BOAFO OF ELECTFIGTYI THIS INSPECTION REQUEST WILL NOT
Grlgga-Mitlway BIOg. - Hoom 5-173 BE ACCEPTED BY THE STATE BOARD
162111nivereity Ave., SL Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phom (612) 643-OBDO ENCLOSED
/-?j? REQUEST FOR ELECTRICAL INSPECTION
/ ? 1? Sea mstmdions lor complesg thls brm on back of yellow copy
M 5 2 4 3 4 "X' Below Work Covered by This Request
4 eaoaaoi-as
??? /77s9
?.?
ew Rdd Rep TypeofBwlding AppliancesWrted EqwpmentWired
Home X Range Temporary Service
Duplex Water Heater Eleccric Heaong
Apt. Building Dryer Loatl Management
Comm./Industfial FumeCe pther (Speafy)
Farm Av CondiLOner
Other (speafyi CoMractor's Remarks'
Co mpute Inspection Fee Below:
# Olher Fee # ServiceEnlranceSZe Fee Jk
1 Circmis/Feeders Fee
Swimming Pool g O to 200 Amps 18
o to Wo Amps 64,
4ansformers Above 200 _ Amps Ab4ve-100? Amps
Signs inscectors use oniy J TAL
Irrigation 8ooms $82 . $0
Special Inspec[ion
AlarmlCommumcation THIS INSTALIATION MAY BE ORDE ISCONNECTED IF NOT
O[her Fee COMPLETED WITHIN 18 THS.
I, the Electrical Inspecror, hereby Rough-m D.I. !
certity that the above inspection has
been made. FFai oste
OFFICE USE ONLV
Tlns requee[ witl 18 months from
2-92-636 19
ix x
OFFI E USE NLY This requast.oid 18 months from validahon date pnnkd i th .
°?'o/
4110
?
PLEASE PRINT OR TYPE 8 Q o2 ?
'
Reqoal Dan, Raugh.m mspection raqwred2 ? YinCl ?No Inapenion Other Than Rooghdn Q Ready Now 7 IICall
? - _'o (You mmt mll Ihe inxpedor when nody) Dak Ready
I, 18 licensed coniracfor ? owner hereby request inspedion of fhe above eledncal work at
lob PAdress (Sfreel, Bo., or Raole No ) Gry 2tp Code
?i l l rbnr t-a.ne- E avr 6,57/ 2
Secrion No Township Nama ar No Range N. Fire No. Counry DOL,
O.pant Phone No.
Powar $upplier fddrtss
Elairiml Conhatlor (CompanY Nome) Conlmdor bmnse N. Maxftr Lic Na (PIon1 Elen Only)
?• ? F ec`?r; C. O? 390
Maiing Mdress Conhatlor or Pmer Performmg Inzmllonon)
'3S 11 152 ii,,1 VW
NhJo UeY 1J 5530
AvMonxed SigrwNro Conkacror or Owner Pedorming InslolioeonJ Phone No
12- ?h
? ? - 1(eN
EB-OOOOIA40 6/95 STATE60ARDCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOW
IIII? III III II I III I II I II I IIII?I ??I REQUEST FOR ELECTRICAL INSPECTION ?P?r_,?
Minnesota Btate Bo?rd of Electriciry s ?
1821 Universiry Ave., Rm. S- 28, . Paul, MN 55104 '?
* 0 2 9 3 6 3 6 8* pnone (s?2) saz-0eoo g'J??19 (0 "
Home Duplex Apf. Bldg. Ofher New Addn
Commerciol Industriol Fartn tit2. ?0.C? Remod Re air
Air Cond. Htg. Equip. Water FMr. Load Mgmt Other.
Dryer Ran e Elec. Hea} Tem . Service
'S(" a6ove the work cwered by fhis request Enter remarks in ibis space and on fhe back of ihe whrte copy only.
Calculote Inspecfion Fee - 7ha Inspeclion Request will not be accepfed without fhe correcF fee:
Other Fee S Service Enhance Sae Fee # Circuih/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sfreet l}g /Troffic Sig. Above 200 Amps Above 100 Amps
Transformer/Generotor INSPECTOH'SUSEONLY TOTAL
Sign/Outline Lfg. Xfmr. ?
Alarm/Remofe Conhal ?-?
$wimming Pool I hereb cent Mat I ins edeQlh. Ilation descnbed herein on Me daros sforcd
Irrigotion Boom Rough.ln ? Date
$
eciallns
edion
p
p
Investigatrve Fea Fi
THIS INSTALLATION MAY BE ORDERED DISC ECTED IF NOT COMPLETED WITHIN 18 MONTHS.
-?? 5243 ? W
? ??a?
. . .
Request Date
12 / 22 / 9 3 ire o Pough-in Inspection
ReqmredP NOTICE Vou Musl Call Elec?ncal Inspec[or
If A Rough-In Inspection
XVes ? No Is Feqmratl
I[ilicensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Streel, eox or Route No ) C+ry
4115 Arbor Lane Ea an
Name or N. qange No Counry
= Dakota
Occupant (PRMT) Phone FJo
duaa Wensmann Homes 423-1179
Power Suppher Address
Dakota Electric 4300 220th St. W. Farmin ton
Eleotdoal ConVeo[or (COmpany Nems) CoMrador5 License No
Joos Electric Co. AM01895
Mailing Address (Contrac[or or Owner Makinq Inslallabon)
3980 Beau D' Rue Brive EA an MN 55122
Authonzetl SignaWre (COMractodOwner Making Ins atmn) Phone Number
? _ 688-6180
MINNESOTA STATE BOAPD OF ELECTRICITY / THIS INSPECTION REQUEST WILL NOT
Griggs-MiEway Bltlg. - Room 5-173 L 6E ACCEPTED BV THE STATE 80ARD
1021 Ilniversity Ave., SL Paul, MN 551014 UNLESS PROPER MSPECTION FEE IS
VhonE (612) 642-0800 ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION
? See instmcYions for mmplBLng this farm on back of yellow copy
M 52433 ^X" Beiow Work Covered by This Request
a5?'
//EB-p00?pj1-0?QJ,
S? ?/ ?`? /
?? .
ew Xtld R? TypeofBuiltling AppliancesWired EquipmentWired
Home X Range Temporary Service
Duplex Water Hea[er Electric Heanng
Apt. Buiiding X Dryer Load Management
Comm./Indus[rial Fumace Other (Speciry)
Farm Air Condnioner
Other (speafy) Contradork flemerks.
Compure Inspection Fee Below,
# Other Fee # ServiceEntrancesrze Fee # CircmtslFeeders Fee
Swimming Pool 0 to 2D0 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
S19n5 InspectorSUSeOnIy CU TOTAL
Irrigation Booms $82 . 5 0
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M TH . .
I, the Electrical Inspector, hereby Rough-in
cerlify that the above inspechon has
been made. Fm,i oa?e
OFFICE USE ONLV
This request voitl 18 montM1S hom
A4ldress 4085 CASt1E[z cT.IN Zip 55122
I.ot ' 6' Blk 2 Sub wwm. isr
THESE ITEMS WERE / WERE NOT COMPLE7'E AT THE TIME OF THE FINAL INSPEGTION.
Date:??g y Yes No Inspector: i(1
Final grade (6" from siding)
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass f/
TraiUcurb damage
Porch t?
Basement finish V/
Deck
Please verify with We 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.
Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contraaor Copy
Address 4083 CASHELL GLEN
I.dti , .5 . Blk
Zip 5512?
Sub WENZEL 1ST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: ? _;L Yes No Inspector:
Final grade (6" from siding)
Peananent steps (garage) ?
Permanent steps (main entry) ?
Permanent driveway
Peananentgas
Sod/Seeded grass ?
TraiVwrb damage ?
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing sys[em and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contad engineering division a[ 681-4645 6efore working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy 0
Address ,, ,
..
Lo't s ?
Zip 55122
B1IC 2 SUb WENZEL
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTTON.
Date: FEB 23, 1994 Yes No Inspedor:
Final giade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry) 6?{CC
Yermanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof lest caps from the plumbing system and the shut-off of water supply to
ihe outside lawn fauce[ befoce freeze potential exists.
Contact engineering division at 6514645 6efore working ia right-of-way or installing underground sptinkler system.
White - City Copy Yellow - Residenl Copy Pink • Conlractor Copy (9
.?
?.
MECHANICAL PERMIT (RESID
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675 ?
PLEASE COMPLET'E FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN pERMIT'S ARE REQUIIZED FOR EACH UNTf.
X NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FCT3ti?TACE
DATE I I- I 0-c13 I
FEES
HVAC: 0-100 M BTLJ $ 24.00
., ADDTI'IONAL 50 M BTU 6.00
I
?_.? OUTLE'TS (mIINiMLrM 1@ S3.00 Ewcx) ?l. 00
ADD-ON/REMODEZ (Exisrnvo CorrsTxUCrror) ? $ 15'00
STATE SURCHARGE .50
TOTAL 33. ?'?O
SITE ADDRESS: 4) lq (jht)v, to1"Lu r
OWNER NAME: ll?P12?;171.PLW LO'1'LL TELEPHONE #: 4&3 1!`79
INSTALLER: GENZ-RYAN PLTJmIDING & HEATING C0. '
ADDP.ESS: 14745 South Robert Trail
CTTy; Rosemmmt STATE: mLq ? ZIP CODE: 55068
TELEPHONE #: (612) 423-1144
. ,.., .
_ ?.. .
? -- -- - , :, ,
pLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTfS ARE REQUIItED FOR EACH UNTT.
i0. FIXTURES EACH
? SHOWER 3.00
00
3 3.?
00
2- WATER CLOSET .
"
"
_
I BATH TtJis w
3. ?.?
_
-S LAVATORY 3.00 4,00
_
I KTTCHEN SINK 3.00 3.00
_
1 LALTNDRY TRAY 3.00 ?.oo
HOT TUB/SPA 3
?
/ WATER I-IEATER 3.00 3.Qo
/ FLOOR DRAIN 3.00 3,00
:5 GAS PIPING OUTLET • minimum - 1 3.00 9.00
_
-
L ROUGH OPENINGS 1.50 /.co
_
I WATER SOFTENER 5,00 Soc
_ PRIVATE DISP. • neiLar. iic. 15.00
U.G. SPRINKLER • name una« oonst. ' 3.00
ALTERATIONS • to ?tine 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
oa
TOTAL:
SITE ADDRE55: 'TII / /naeoc
W., ?n-OVJr:EP.IdP-ME: W?IUSMLI/vA-) fdlln'!? -
INSTALLER: WEIVZC:-C- MEGI?Ati!/Ch-L
ADDRESS: IqS9 ?EfA/,?-LVEE ?
CITY: aA/'OqA-j - STATE: A?j ZIP CODE: SS/ Z Z.
PHONE #: ( 6!Z )
?
SIGNATURE OF PERMITTEE
1993 PLUMBIIVG PERNII'f (RESIDENTIAi.)
C1TY OF EAGAN 3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675 ,
1993 PLUMBING PERMIT (CODDIEIiCIAL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCLAIJINDUSTRIAL BUILDINGS. AISO FOR MULTI-
FAMILY BUI:.DINGS WHEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR EACH
DWELLING U:?:T.
_ NEW CONSTRUCPION
ADD ON
REPAIR
WORK DESCRIPTTON:
CUNTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE $.50 FOR EACH $1,000 OF pERMI!' FEE
MIIZIMUM FEE $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL S
SITE ADDRESS:
TENANT NAME: • ,ST? #
OWNER NAN4E:
WSTALLER:
_ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
MECHAMCAL PERMIT (1tESIDE1V17AL) .
CITY OF EAGAN'
3830 PIIAT SNOB RD .
EAGAN MN 5512Z
(612) 681-4675 `
+ , .
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLIlVGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN pERMTTS ARE REQUIl2ED POR EACH UN1T.
? NEW CONSTRUCTION
ADD-ON A/C
°.DD-O*1 F'JRNACE . . . .
DATE I 1 I O-
HVAC: 0-100 M BTU
., ADDTTIONAL 50 M BTU . , '
-_.,s oUTLETS (MU•rnKUM i @ s3.00 F-Acx)
ADD-ON/REMODEL (ExisravG corrsTxucriox)
STATE SURCHARGE ." • ?", _..:
TOTAL
;
?.
;'•
=f ?FEES
j S 24.00
' 6.00
:? ° . . . .
,
115.00
.SD ?
? .. ?f.
,.. ?i .
,
STI'E ADDRESS: 41! -5 Qn? L Q f'LQ. • '? ? 'j, ; ..; ' . . . .
OWNER NAME: l,of"?'Y.?n'OKv1 ?•:TELEPHONE #: 4=N•3-JI'79
?
INSTAL.LER: GENZ-RYAN PLTJMING & HEATING C0.
14745 South Robert Trail
i!
CITy Rosemount $TATE• ZIP CODE• 55068
TELEPHONE #: (612) 423-1144
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTf.
gXTURES EACH
SHOWER 3•00
00
3 3'dv,
Oa
7- WATER CLASET . •
BATI i TUB 3.00
LAVATORY 3.00 9, oa
? KTTCHEN SINK 3.00 ?,oo
L LALTNDRY TRAY 3.00 3.oa
_ HOT TUB/SPA 3•00
WATER HEATER 3.00 3.aa
? FLOOR DRAIN 3.00 3.00
GAS PIPING OUTLET • mi.+mum -1 3.00 `j•aO
ROUGH OPENINGS 1.50
-
T WATER SOFTENER 5.()0 '00
5
PRIVATE DISP. • naILcFy. iic. 15.00
U.G. SPRINKI.ER • eome under mnsi. 3•00
ALTERATIONS • w aaating 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
5-015-0
TOTAL:
SITE
QWw.
INSTALLER:
C..?
CITY: lZAGAA/ STATE: 1411l ZIP CODE: 'SS/ZZ
PHONE #: (,?/L) }SZ- /S6S
SIGNATURE OF PERMITTEE
1993 PLUMBIIVG PERMIT (RESIDEIVTIAL)
CITY OF EAGAN 3530 PIIAT KNOB RD ,
EAGAN MN 55122
(612) 681-4675
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMIvviERCLALINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WBEN SEPARATE PERMTTS ARE NOT REQiJgtED FOR EACH
DWELLING U'::T.
_ NEW CONSTRUCTION
ADD ON , .
REPAIR
WORK DESCRIPTION:
CONT'RAC'I' PRICE:
FEE: 19E OF CONTRACf FEE.
STATE SURCHARGE: 5.50 FOR EACH $1,000 OF pERMT1' FEE
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
$
$
TENANT NARZE: . ST'E. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN
APPLICANT
PLEASE COMPLETE FOR SINGLE FAMII.Y DWFLLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHF-N pERMTi'S ARE REQUIRED FOR EACH UNTT.
_X NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FT.JFtNACE
DATE 1 1- - I D-
FE S
HVAC: 0-100 M BTU $ 24.00
, ADDITIONAL 50 M BTU 6.00
_.?S OLTI'LETS (MINIMUM 1 @ 53.00 EACH) ? 00
ADD-ON/REMODEL (ExISTING CoNSTRUCTtoN) $ 15.00
STATE SURCHARGE .50
TOTAL ar7, 6n
srrE AnDxESS: 4_[)gf? C'Ctohe 2,l CW en
owrrEx rrAME: ?-7Cr6ryiCAnn -ULnL TELEPHOrrE #: 42L r l79
INSTALLER: GENZ-RYAN PLUrffiING & HEATING C0.
ADDi:ESS: 14745 South Robert Trail
CITy; Roseinoimt STATE: M ZIP CODE: 55068
TELEPHONE #: (612) 423-1144
MECHANICAL PERMIT (RESIDIIVTTAL)
CITY OF EAGAN
3830 PILOT gNOB RD
EAGAN MN 55122
(612) 6814675
pLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WEiEN PERMITS ARE REQUIltED FOR EACH UNTT.
NO. FIXTURES
SHOWER
2 WATER CLOSET
BATH TUFs
2 LAVATORY
KITCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
L FLOOR DRAIN
_
? GAS PIPING OiTTI.ET • minimum •
ROUGH OPENINGS
WATER SOF1'ENER
PRIVATE DISP. • neLcty. iic.
U.G. SPRINKLER • nome under oonat.
ALTERATIONS • to custing
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
STTE ADDRESS:
QWNER
EACH TOTAL
3.00 _ 3 • ?
3.00
3.00 3, 00
3.00 ?.ao
3.00
3.00 ? , o0
3.00
3.00
3.00 x.aa
3.00 9.60
1.50 /. sv
5.00 ? 00
15.00
3.00
15.00
15.00
.50
4G,OO
INSTALLER: ?FVZE4 /)/FGNLP/UlG?-L--
ADDRESS: I ?T S9 ?N,?!-GJ/V E? 2n
CITY: AC?A?J STATE: MA,) ZIP CODE: .S/Z2
PHONE #: (6a) ? lrYl2E?A?/
SIGNATURE OF PERMITTEE
1993 PLUMBING PERMTT (RESIDElV114L)
CITY OF EAGAN '
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
1993 PLiJMBING PERMIT (COMA'IERCIAL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COIvIlMERCL4LJINDUSTRIAI. BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING L':::T.
_ NEW CONSTRUCfION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1°k OF CONTRACT FEE.
STATE SURCIiARGE: $.50 FOR EACH $1,000 OF pLrRMP!' FEE
MINIMUM FEE $ 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL S
SITE ADDRESS:
TENANT NAN1E: , STE #
OWNER NAHZE:
W STALLER:
ADDRESS:
CI7'1':
PHONE #:
STATE: ZIP CODE:
FOR:
CITY OF EAGAN ApPLICANT
,F.: . ,.
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHF-N PERMTTS ARE REQUIRED FOR EACH UNTT.
? NEW CONSTRUCTION
ADD-ON A/C
:s.£?D-0N Fi..IRNP.CE
DATE I I• I b- ??
FEES
HVAC: 0-100 M BTU $ 24.00
, ADDITIONAL 50 M BTU 6.00
_.?S OUTLETS (MINIMUM 1@ 53.00 EACH) 3. Cxc)
ADD-ON/REMODEL (EXIS'rIIVO CoNS'rRUCrroN) $ 15.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: 40?' ?) cQz)hQ.Q CieP.1'1
owrrER NaME: Lucmrnann T'Fi.RpxorrE #:
qW-?179
INSTALLER: GENZ-$YAN Pr.UhmING & HEATING Co.
ADD?2E$$; 14745 South Robert Trail
CjTy; Rosemoimt
STATE: MN ZIP CODE: 55068
TEi..EPHONE #: (612) 423-1144
"nnQOe4?
OF
MECHANICAL PIItMrT (REgIDENZTAi,)
CTI'Y OF EAGAN
3830 PIIAT KNOB 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. gXTURES EACII
SHOWER 3•00
Z WATER CLOSET 3.00
3
00 °D-
UO
BHTH TU$
LAVATORY .
3.00 9.00
1 KTTCHEN SINK 3.00
00
3 3.00
.oo
1 LAUNDRY TRAY _
.
HOT TUB/SPA 3•00
WATER HEATER 3.00 3• exp
? FLOOR DRAIN 3.00 3,60
GAS PIPING OUTLET • minimum - t 3.00 3.00
ROUGH OPENINGS 1.50
WATER SOFI'ENER 5•00
PRIVATE DISP. • Dak.ccy. iic. 15.00
U.G. SPRINKI.ER • tome under conn. 3•00
ALTERATIONS • to ausiin$ 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
99, sv
TOTAL:
SITE AD]
OWNER
?
CTI'Y: STATE: Al.V ZIP CODE: 5S_J2-Z
PHONE #: (PZ) 4S2 - l.SGs
SIGNATURE OF PERMITTEE
1993 PLUMBING PERMTf (RESIDEN77AL)
CITY OF EAGAN '
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675 '
FR• W FWZAr,:C..
1993 PLLTMBING PERMIT (C014IIVIERCIAL)
C11Y OF FAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMIvvIBRCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING U:;:T.
_ ATEW CONSTRUCfION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:
FEE: 1% OF COA'TRACI' FEE.
STATE SURCIiARGE $.50 FOR EACH $1,000 OF PF.RMTf FEE
MINIMUM FEE $ 25.00 ` -"" "'
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
$
TENANT NAR1E: ' , . STE #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
PERMIT
--x'--.CITY OP EAGAN BUILDSNG
3830 Pilot Knob Road PERMIT TYPE:
"Cagan, Minnesota 55123 Permit Number: 0 2 2 3 4 5
-(612) 681-4675 Date Issued: 11 / 01 / 9 3
SITE ADDRESS:
4115 ARBOR LANE ? 15 3,?I
LOT: 7 BLOCK: 2
WENZEL 1S7 3
P.I.N.: 10-83570-070-92
DESCRIPTION:
„ 1 OF 4 UNITS
Buildiilg:Permit Type 4-PLEx
B=uilding Flork Type NEW
UBC Occupanc`y-, R-3 M-1
JConstruction T?-pe VN
/ Zoning ?L PD
/ Building Length ? 58
? euilding Width 40
;
i?
f'?j
??? t\ E s
(?
REMARKS:
S&W CONTRACTOR - WENZEL MECH PRV
FEESUMMARY: vaLuArzard S87,e0e
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$581.00
$377.65
$43.50
$750.@0
100
$1,752.15
MISC FEES $1,744.50
Total Fee $3,496.65
?qNTR???TOR: - APPjzcant - sT. Lic. ?WNEI5.
NSM N HOMES 14231179 0001458 W NSFIA N REALTY
3312 151ST ST W 3312 151ST ST W
ROSEMOUNT MN 55068 ROSEMOUNT MN 55068
(612) 423-1179 (612)423-1179
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes and City nf Eagan Ordinances. ?
f- -? .
?.,, &
APPLICAN'Y E ITEE SIGNATURE .
e
- 5 UED-BT. 51 NATURE
-
J
REALTIVATE _ ?D UILDNGA ERMIT APPLICATION
pERMIT 1`
1993 ? ? 0 C Y 2 1 1993 681-4675
- ? gl 7-? ? Y
SIN6LE 3 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. ,
LOMMERCIAL 2 sets of architectural 3 structural plans, I set of
specifications, 1 copy of snerg/ calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
s requested once permit
e i
lot chan
3
d
g
,
)
or
in which request is made, 2) address is change
is issued.
Date ,L() 1- l? Valuation of wo'rk
ite Address: QlfS &B oK LJU
STREET fU1TE #
Tenant Name: (commercial only)
IAT _7 BIACK 2_ SUBD. j
/ 0. P.I.D. N
Descri tion of work:
The applicant is: 12 Owner Z-Contractor ? Other (Deccribe)
Name tUtOv?,m4WA) P-Qj-rX Phone 4,13-07 9
Property LAST F'}T
Owner Address s-r u1
srRe¢r srE r
City QasLc-knouState Pn/ 2ip '''mdg'
Company W&vSrn rhv,il AYnE5 Phone 1?_07f
COntfBCtOf Address l!,5jL ST cv. License # /;/SSl Exp. 3/3//qy
City Osemouxr State /?r? 2jp 550 6y
Company W x?'m?V 6's Phone
ArchitecU °?
s-r9arn Registration /)49/
UflA
P?
Engfneer L
-
Name
Address
City State ZiP
Sewer 6 water licensed plumber ????g_Z ?????c At . Processing time for
sewer 8 water permits is two days once area has been approved.
i
this
ns
nesota h Statutes n and m City of
f n Mi
t
n
gR
d
d
yk
n
o
e
Sta
e
plica
ap
to comply with all
ree
correct and ag
Eagan Ordinances.
5ignature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE . I
? 01 Fouodation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc.
O 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 5F Porch ? 09 12-Plex O 14 Fireplace
? 05 SF Misc. O 10 Multi. Add'1. O 15 Deck
WORK TYPE
Pl 31 New O 33 Alterations 0 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) N(- N Basement sq. ft.
(Allowable) V_ N lst fl. sq. ft.
UBC Occupancy -zLM-I 2nd F1. sq. ft.
Zoning po Sq. Ft. total
r of Stories _ Footprint Sq, ft.
length 5$1 On-site well
Depth yo, On-site sewage
APPROVALS
Planning Building
Engineering _ Variance
REQUIRED INSPECTIONS
O Site
O Wallboard
? Footing
? Final
? 16 Basement finls;
0 17 Swim Pool -
E3 18 Coum./Ind.
? 19 Coiom./ind. Misc':
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System ?
City Water
PRY Required ?
Booster Pump
Fire Sprinkler
Census Code i_?
SAC Code ?
?
i
Assessments
? Framing 0 Insulation
? Oraintile O fireplace
Permit fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permlt
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
wtuactm: $ 8rZo v o
&Arz*&C. Nq60* X
.?---
O°s= 117c)?iC ??4 =
SAC % I dd
SAC Units ?
GEN2=RYAN, F70. I 612+42E+1144 'P.01•
V ?" n?? ?? ?:SY??, ? u. i". ? .•. ' ? ' - ` .I .-J ? a?A? ??? ? I ? r .. ' I
C
i,
:'i;`;-w.,?''`t":.;,,?: ;.,. ;.;•: ', i PA;.£ 3? /b? ?.? ?
OF E?EiOPE hVFi S? "U•' C0:"p TATIO\ (
r?cT:.RZ - .
I.P
IOLINEIt`h lN&-wS
•{ 't,4 ?'?c ` ??? BITE. ADbRF.SS , .? S ? ?
r
•^??a . ??. ;?,:..:.H?• J ? ?
_.??COH'fAAC'FORf T,
'a`??,', ^ 4t? . ;ADDAESS • ' ? PflONE ,.... i
DEIERMIN'E'WORRIFG? SOUARE FOOTAGE OF EA
?
e ?
Total ??
baed;vall area .:.. ., _ a •,r 8
aq: ft. x .11
?
. ?
e7
?btai, iooflCe3iing? 8ren 14
., X"f; b'kl,
aq. Pt
'^.i. Y?:?' .cNi.? ?` 1. ?...i)i ?i.. ?yl., .Y'. . ? ?`?' . ? ' ? - ? ' ? • ? - ?
?. ?... ..?°a S? Ya.{.n. ..i
-;•:Y .? r i
• j{` " .->cer:q-.. .:YOC?;eEp08ld malli aree abova fioor a ,
•'.F , y-+'a;?:•.{?^•.li?' ..'ASkie?.[?'?!'?08?.f?eq?Ca0W1 ?.L'EA.?..o-?.«?-«w? ?.r... • ?.a. ? ? •_
.? ?
^.•,%.{'•, 'iFi. '.'"??"?';'+?°^4:;.'?1i!?q??' dOOT AL'6A ?..n.?..' ....:....w......? ?.. ?• ......?.? • ,
J.6li0E,;,B7.esa. dDOY': 6F.ea ...•......••??r.:....... 1?^.. ?
fi?oC?l..
ifitePlacB.' Nall. BIT.eA ?F44NeuMM?• I? wNVb? ? I?i,? rv ?
`;,''??`.?'3+??i? t.;t':?:``;??7Ni?"?-?76F.i.'7.COC?.?'IL ?hi1?E?N3rig?.8Yfl&"??)/@T&?P.' In??? ?.? ? ? ? ? ?? • ?'? ? " ?
pe1l-:area?gbo've-4 1ooz.....?..?....... ...
+ : . .
,
.:.? . y?,"?:::?..,,, ,'Total'"cimjoist aeea_..-.- •-- ................:.
. `h?_. ? .?; `? ???jn ??• i I ?
?JiW??Si t C j,.?hi.l/•u. ' .???? ? .. i . ` • ?
> • 2eta1 espesad foundetion 8Y26 ° ??'
?rr? ? .w. . , . ._ . ,.. . ? ? • . ..?. ?. ? "-r-j-:-`--_ ' °' "' ; •
`rTtltal' foundatiop wiadow,,srea .......:...........,
above 'Brada . ::. :`?,. • '
? ' .??r.?3.,•? De£e??eerolYti? ????{?cvaFuea£ti`eadi ?aa?k•:seglmeat. ' ? . , ?
?s.?V?
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. 60 ;
x +vvtt ?,,•?9 a _ ?22
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...i$: item'°09 ?is !6n same ea, Te?s'FFan: iCem.81 ? yau 1?av
612+623+1149 ' 03-I6-93 03:190M
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GEN2-RYAN CO. 612+42E+1149 P.02
2 of 2
. •
TOCBa, H:L(lO$@E ;OOLJCBSLIA$ 8T88
?
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, j. Toeal skylight axea .................. I....': .•
(average lOR).• i
?
_
k. Tota1 roo!/ceiling tYat+ing area
aulated roof/cniling araa .....;..••
i ?
: i
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y. Total net ?
?
Determine "tT" valus fos eaeh roof/ceiling 6egment. i
i;
G7 8 upu C7 ? I
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Vd.+.-:fof?ib8G4atl6(c)1.
•4I?+J?terdkt's?Bu??.diagi?a}aeToge;?esign ; . ?
:
' To utilize the"total"envelope eyatem methods eha valaea eatablishad by
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Poat-IC` brand isx transmitlal memo 7871 Ralpagee o
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i
03-16-93 03:19PM P002 4A
X'CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-83570-080-02
DESCRIPTION:
4-PLEX
NEW
R-3 M-1
VN
PD
58
40
PERMIT
PERMIT TYPE:
Permit Number:
Datelssued:
4117 ARBOR LANE
LOT: 8 BLOCK: 2
WENZEL 1ST
- 1 OF 4 UNITS
B,a5ldi6g:,Permit 7ype
Building lJork Type
jUBC Qccupancy\,
/ Construction T`yp\
i'Zoning
/ Ba3lding Lengtfi ?
? Building Width
\t ? ,1
?
?y-
1 IO
BUILDING
022346
11/01/93
illi?3
I
REMARKS:
S&W CONTRACTOR - WENZEL MECH PRV
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SRC Units
Subtotal
- HPP17.Cdt1C - S I . Lll:. ?J?R
??NSRAC?T00oME5 14231179 0001458 W9Ny$Ff??N?l REALTY
3312 151ST ST W 3312 151ST ST W
ROSEMOUNT MN 55068 ROSEMQUNT MN 55068
(612) 423-1179 (612)423-1179
Z hereby acknowledge that S have read this application and state that Yhe
information is correct and agree to cnmply with all applicable State af Mn.
Statutes and City of Eagan Ordinances.
L
A, C)
II -- APPLICA E MITEE SIGNATURE ISSUED W. SI NATUR
?
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BusLorNG
3830 Pilot Knob Road Permit Number: 0 2 2 3 4 6
Eagan, Minnesota 55123 Date Issued: 11 / B 1/ 9 9
(612) 681-4675
SITE ADDRESS: Lo r: s B L 0 C K: 2 APPLICANT:
4117 ARBOR LANE WENSMRNN HOMES
WENZEL 1ST (612) 423-1179
PERMIT ?,SIBTYPE:
4-PL
$87,000
MISC FEES $1,744.50
7ota1 Fee $3,496.65
TYPE OF WORK:
DESCRIP7ION
NEW
1 tlF 4 UNITS
INSPECTION
FOOTING5 .. •
FOUNDATTON DA
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN H7G
FINAL PLBG FINAL
REMARKS: S&W CONTRACTOR - WENZEL MECH
I f-
vaLuArxoru
$581.00
$377.65
$43.50
$750.00
100
1
$1,752.15
PRV
IL
L,
REACTIVATE _
P,ERM+IT N
pC? 21 1993
s Li ? -
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
3M. ? :Y_
- "
SINGLE & MUL 1-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
catcs.
COMMERCIAL 2 sets of architectural h structural plans, 1 set of
specifications, l copy of energy calcs.
1) when permit is typed, but not picked up by last working day of month.
Penalty applies:
.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ?? / s2L l?? Yaluatlon of work
Site Address: 47n ARtkoFL L'N
67REET fU1TE 1
Tenant Name: (commercial only)
LOT 9_ HIACK o7 SUBD. ?
K
P.I.D.
w ?? 1 fl.
Descri tion of work:
The applicant is: P Owner JO Contractor ? Other (DSSCribe)
Name W6Dusm?? P CA L-'T`r Phone 4a3-?
Property LAST FIRST
Owner ?
qddress 33Ja 57 w
STREET , ffE Y
City iKoSLq" our,r _ State M N Zip -TA?069
Company Phone 4D3-109
Contractor Address 3 3/a 15/ ? 57-• w_ License d/'-/SSC Exp.3/3;19y
City ICoScmo?nrz State AIA1 ZiP -'M6?C
Company ??vsM?nvN Mz+>nE5s _ Phone
Architect/ /?
Name ft?y- Registration # 17ciy/
Eng(neer
Address
City State ZiP
Sewer & water licensed plumber ,14 ZL-?? M Ls? I?-?- . 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
te of Minnesota Statutes and Lity of
St
bl
li
a
e
ca
correct and agree to comply with all app
Eagan Ordinances.
I Signature of Applicant: L? -
?
OFFICE USE ONLY
BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex . ? 11 Apt./Lodging
p 02 SF Dwg. ? 07 4-Plex O 12 Nulti. Misc.
? 03 5F Addition ? OS S-Plex ? 13 6arage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 16 Basement Finishf'
O 17 Swim Pool
? 18 Comm./Ind.
? 19 Coiom./Ind. Misc.
0 20 Public facility
? 21 Miscellaneous
H"31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish
E3 32 Addition ? 34 Repair ? 36 Move
GENERAL INF ORMATION
Const. (Actual) V•oJ Basement sq. ft. MWLC System YES
Allowab'e) V.o%j lst F1. sq. ft. City Water "?
Y
c
S
UBC ccupancy R.3 M-I 2nd F1. sq. ft. PRY Required `
'
?
Y G?
Zoning ? 5q. Ft. total Booster Pump
/ of Stories _ Footprint Sq. ft. Fire Sprinkler
length -TS-'7- On-site well Census Code ?
Depth kn , On-site sewage SAC Code b14
APPROVALS I
i-
Planning Building Assessments
Engineering Yariance
REDUIRED iN SPECTiONS '
O Site
? Wallboard
? Footing
? Final
? Framing
0 Oraintile
? Insulation
O fireplace
Permit Fee v.iuacid,: S 270 000
Surcharge
P1anReview
6-ARA6,E; yq6"+
gG*1 4/?
? -7?3 {
License .
MWCC SAC
City
S
AC ? ?y
a
1"?Bt.tgL?: )C?''p ?CH
?y 0_
r?9
380
Conn
.
r , ,
Water Meter
Acct. Deposit
5/W Permit
S/M Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units lq-
GEN2-RYAN r'.O. ' 612f423+1149 P.Ot
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' ent7TGAt:'['OR __ ' ? ?
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ADDRESS
FOOTAGE
1. Totai expoaed wall area ....
2, Total roof/ceiling area .. 1
Total atposed wa11 area above flaor ?
,
1 ..
a_ '?u+?"Cot?L• wal,?:?windowi B,rea _......._««...
._. ?a?IItTGCB?" ?OOT• ?L0$ . ....... , ......? ..............
t, g•,•_a?oCal'.::s11?B ,??eas. door: ar,ea .?...
H_ 'fl.-.:Tot'al ffireplace. wall. ar.ea ...«...,.,.,.
e3a31:1raming, aYes -(-qyeragC'
wall- aree.abova-.flooc ..
-- 'g. 'Total Yim joist aeea........,?.?..-..-.
i ?
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? sq, ft. x
? eq. ft. x 10210 i
i
Total ex'posad foundation trea o
i
%
h. Tota1 foundatJ.oa window area ......
3.,:jjTota1 nat: £oundatioa ai'eg• abovegzada .......?...._ /?
'
:•,• . 751e?eeJ)dCernS$tie ?'W!hcvaYuMs6 eac'FL wau•:segsent.
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If item 03 is Che same as, oY ??n item Dlt you hava met tha inten ;
of S9C 6006 (c)2. ? ?I ?
612i423+1149 03-16-93 03:19¢M P001 7?PTi
j? GENZ-RVAN CO- 612+423+1149
• y ' Pmge 2 of 2
? Total espoaed zoaf/ceiling area
? ? .
,f j. Toeai akylight area ......... ..............?: .. G
k- Total roof/cciling fYaaing area (average 10x)-•_ ?_
Total net ineulatad xoof/ceiliug ares .... _
Determina "U" Value for eeCh roo!/ceiling 6egment.
J. L? g uQle
? ' 6• 5a
k. J? x
i . x fluff
' _ .. _. ?
' 4 ...................... .........?.........Total
,
It tetel of 04 is the exme as, or lees than 02, you have met tha i.ntent
:'of -i6Bo -6006(c)1. '
. : •SL-+?terx?t??Bu?.?.dtag:?s{veTorie;Design '
' To utilize the 'toCal'envelope syatem methods tha values established by
the sum ef ttems 43 and 04 shall•noc be greater thltn the sum oE iters8
11 and 02. ,
1. + 2. `
Post-it° brand tex transm(ttal memo 76711 0 of or5e• 0
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612+423+1169 03-16-93 03:19PM P002 A26
? CI"TY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMITTYPE: euxLoiNe
Permit Number: 0 2 2 3 4 3
Date Issued: 11 / 01 / 9 3
4083 CASHELL GLEN
LOT: 5 BLOCK: 2
WENZEL 1ST
DESCRIPTION:
1 OF 4 UNITS
?urildin'ga`Permzt Type 4-PLEX
Building Wnrk Type NEW
?UBC Occupancj R-3 M-1
/ Construction Type VN
? Zoning 1, Pp
Building Length Z 58
; Buzlding Width 1 40
i,- ..
0 ?
`V 1J?y ?Lf g???i? LJ
C.? ?5/33"?
11IA?3
REMARKS:
S&W CONTRACTOR - WENZEL MECH PRV
FEE SUMMARY
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$581.00
$377.65
$43.50
$750.00
100
1
$I.y 7FJ2.1.5
$87,000
MISC FEES $1.744.50
Total Fee $3,496.65
CONTRACTOR: - R p p t ic a n t- s r. L 1 G. OWNER:
WENSMANN HOMES 14231179 0001458 WENSMANN REALTY
3312 151ST ST W 3312 151ST ST W
ROSEMOUNT MN 55068 ROSEMOUNT MM 55068
(612) 423-1179 (612)423-1179
I hereby acknowledge that I have read tt5is appl'ication and state Chat the
information is correct and agree to comply with4,all epplicable State of Mn.
Statutes and City of Eagan Ordinances.
?
A 4-) AP
PZ--? MITEE SIGNATURE ?
Louyp R vl.r,? I "
-ISSUED 9Y: S NATU
REnCTIVATE _ •-- ---• CITY OF EAGAN
I c ??' ?, l?
PERMIT. # ? - 1 93 BUILQING PERM T APPLICA710N
u T 2 1 Lc'(33 681-4675--"
SIN6LE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last 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
ite Address: 4083 CRsrK0-L !'z_? -
STREET SUITE N
Tenant Name: (commercial only)
IAT `J SLOCK ? SUSD. P.I.D. N
Descri tion of work:
The appl icant is: ?1 Owner JaContractor 0 Other coeaor;be>
Name bjtnvc m&vN ?aa?,7y Phone 4a3-1I ?9
Property UST fIRST
Owner
" Z?r W.
pddress -?3 i a 151 ?+
STREET STE k
City (ICOSffyn avw-r- State luu Zip 552 (2 9
Company WtSrusmA,,LA) A >-nt3 Phone 4a3-/179
Contractor Address 33/ a !5/ ' e`r, w. License # 1'-159 Exp.3/3//9y
City Ras6?-nov&r State 14 a ZiP _5S6(-9'
Company LI.Je?s.?-?w?w I?zimES Phone
Architect/
Engineer Name PLi2 ??+-r+-c.srrcorn Registration # J J 9R/
Address
City State Zip
Sewer & water licensed plumber ?a)v-ra?L M 6Lk'.+2-1 caac . 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: W,
L
OFFICE USE ONLY
BUILDING PERMIT TYPE I ?
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish '
? 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./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
M 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition 0 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWLC System
(Allowable) v_N Ist F1. sq. ft. City Water YE3
UBC Occupancy R_3 M_I 2nd fl. sq. ft. PRY Required v g
Zoning Pp Sq. ft. total Booster Pump
# of Stories Footprin t Sq. ft. Fire Sprinkler
Length sg, On-site well Census Code /OZ
Depth yp, On-site sewage SAC Code o3
APPROVALS ?-
)
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Stte
0 Wallboard
0 Foating
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee wwecia,: gS3 7, Qo
Surcharge
Plan Review
n
MWCC
SAC r7! 3? =
City SAC
Water Conn.
//Q ?6
cI'Ca
'?jgd
Water Meter ,
Acct. Deposit
S/W Permit
9'6 S749
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
?
SAC %
SAC Units ?
i
I
R-94Y,
2, '?otal zoof/railing area I?? L eq. £t. x' Qa?
I i
ToCal ecpvse8 wall area above floor a I '.
,
?
?
Q_ Sau+?tTotd•Lmal,brwindowiarea..-...._......«.............
? '?1:?lLTO,L6?." dOOT &Y.08 . ................ ................. ..... .?............. . : .
?. g?: a?oral•.::Bxi?B ?$7.'sss. doot: ar,ea ..,...,.....'.......,... ??.. ?? '
H_ '-Tot'al tfirePlace. kall. ar.ea ..._...:...,...... !. --.,.... •_ r : ;
a. 2fr-Mota71?'a31:Saaming,area41tyeragE'lOS) ..........., I
'#..w-,-,:Total ateL. wall- aiee,above•,£loo[ ...-J ....... '
-- '8. Total kim yoist area 1...',...-?? .. I ......•• . ' ' ;
•I•
2ota1 exposad foundation area o
?• ?
h. Total foundation wiadoa area .......:•••.•••••••
? d,:i,Total net: £oundatioa area- abave gxada .......? •?,__.? '
7YeCe:AeCetdi`Iti'eti'!U%cvaYuMafi naEFi ws7*•:segoent.
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?_ - ? 9.8f3
b. 38" x „II„
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If item 03 is the same as, oY ess efian i[ew dl, you haVa met the intcnt ?
of S9C 6006 (c)2.
812+423+11a9 03-16-93 03:19dM F001
GEN2-RYAN e0. I 612+423+1149 P.01
.. --?.-.-- - .
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? l i pzg¢ 2 of 2
. ^?. • ? .
? Total esposed roof/ceiltng area ? r
j. Toeal skylighi areo .......................
k- Total rvoE/smiling fxas3ng area (avera8e 10 x)..
?. Total net ittsulated roof/ceiling aYea .....;...._
Detarmine "U" dalue for each roo!/eeiling 6e9ment-
O g nule O
, 7 •? _?. _. ? .'.? ?o
k. I? - g loull ,? py?f''? ? ,.
' • 1. /?? _ g , p7.1 a . ?.
_
4........... ?..................... ?........ '10[81
If total of 04 is the same as, or less than 020 90u have met the lnteaG
:,ofliSBo 16006(c)1. '
; •S1??terdhtisBu??.ding+?}ueTopz?esign :
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03-16-93 03:19PM P002 426
PERMIT
X CITY OF EAGAN BUILDING
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number: 0 2 2 3 4 4
•(612) 681-4675 Date Issued: 11 / 01 / 9 3
SITE ADDRESS:
tlTS 6 CASHELL G?EN
L l
WEN2EL iST ???? `0
DESCRIPTION:
; 1 OF 4 UNITS
Bu'il`di`n'g; Permit Type 4-PLEX
B'uilding Work Type NEW
,-UBC Occupancy" R-3 M-1
Construction T?pe VN
Zoning PO
J Build3ng Length 58
f Building Width 40 ? 1
?\ ,? ??
Cc CL? 00 C E a
REMARKS:
S&W CONTRACTOR - WENZEL MECH PRV
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
3AC
sac %
SAC Units
Subtotal
VALUATION
$581.00
$377.65
$43.50
$750.00
see
1
CONTRACTOR: - Applicant - sT. Lrc. OWNER:
WENSMANN HOMES 14231179 0001458 WENSMANN REALTY
3312 151ST ST W 3312 151ST ST W
ROSEMOUNT MN 55068 ROSEMOUNT MN 55068
(612) 423-1179 (612)423-1179
I'
I hereby acknowledge that I have read this appl,[cation and state that the
information is correct and agree to comply with all applicable State ofi Mn.
3tatutes and City of Eagan Ordinances.
?
T,?,? G?
.?,
APPLICANT/PERMITEE SIGNATURE
$1,752.15
$87,000
MISC FEES $1,744.50
Total Fee $3,496.65
`SLUE? Y:5 `?A ? IE ?,
RE:aCT14ATE CITY OF EAGAN
PeRMIT 1993 BUILDING PERMIT
681-4675
' OCT 2 11993
3
APPLICATION
31/? ?. 6 s-
SINGLE & MULT1- ? s of plans, 3 registered'site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of archltectural 6 structural plans, 1 set of
speclfications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
s requested once permit
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3
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or
in which request is made, 2) address is change
is issued.
Date - Z! /2 1/ 23_ Yaluation of work
Site Address: 470KE CASNELL rL&V
iiREEi tUITE M
Tenant Name: (commercial only)
ypT 6j_
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ACK o7
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4
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.I.D. N '
Descri tion of work:
The applicant is: JaOwner .M Contractor ? Other (DSSeribe)
1A-•Ty Phone 4.13-I177 -
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Name
Property
Owner LAST FIRST
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Address 33i g /5/
STREET t7E I
City I`^S,`-m^yw-r State /tt ,u ZiP -`'3a68
Company tu rn a Phone 4Q3-/171/
'
C011tf8CtOf c Exp. /
Address .33i .1 /51 W. License 6' 1 ySY
5tate Zip
R
USSMavnrr _
City
Company UUMvt.j/4-n+u AoWrt5 Phone
Architect/
Regi stration i` J Z 99/
Engineer Name
Address
City State ZiP
Sewer 6 water licensed plumber Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that 1 have read this application and state that the information is
of Minnesota Statutes and City of
t
St
e
a
correct and agree to comply with alt applicable
Eagan Ordinances.
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Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE ? 01 Foundation El 06 Duplex ? ll Apt./Lodging
0 02 Sf Owg. ? 07 4-Plex 0 12 Multi. Nisc.
? 03 5F Addition ? OB 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck
WORK TYPE
JR 31 New O 33 Alterations O 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
? 16 Basement finlsh'
O 17 Swim Pool •
? 18 Comn./Ind.
? 19 Comm./Ind. Misc.
? 20 Public facility
? 21 Miscellaneous
0 37 Demolish
Canst. (Actual) Y-ni Basement sq. ft. MWCC System
?Allowable) Y-o.J lst Fl. sq. ft. City Water vE?
UBC ccupancy M-I 2nd fl. sq. ft. PRY Required ?
Zonin Sq. Ft. total Booster Pump
i of ?tories Footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census tode /02
Depth y br On-site sewage SAC Lode a3
!
APPROVALS ? .
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
0 Footing
? Final
? Framing
? Draintile
O Insulation
? fireplace
Permit Fee
Surcharge
Plan Review
license
MWCC SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
v.trtid,: g 87400,
GA? R_ q 4#y6 4'jc 1 /6/1 = rl1134
N?_? 5-e = 1?I 78 x?' sy?# _- '7q, n0
e__?
5AC % 100
SAC Units I
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RWBS% '612+623+1149 03-18-93 03:19dM P001 ?'f8 ' ?
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1. Total net irieulated ioof/ceiling are' ••••=?.••_
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It total of 04 ia the eams as, or leso than 02, you have met the tntenC
. ..?,r. ,?of?+b8??60tl5(c)1. '
,--Si?u.?tercil¢?ts?Bu?lding:?q?ceToge.;Aesign '
o utilize tbe'toCal'envelope syatem method, Che values aetabllshed by
•- ?he aum of itema 43 a[td 04 'shall'not'6e greater thba tha sum oE ite49
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612+423+1149 03-16-93 03:19PM P002 426
rI7v 01= EA(.,APd
CRSH:CE.Re '3 TF..:RMSNAI... N!]: 541
DA rF:n 00fe7i96 ra:rF: 14-47:04
iII.
NAMEr G1"(7UC ? F:CRI::PLaCE GALLC_I'Y
3210 9001 4:117 ARI:01; I_RNE 25.(]0
205 9001 407 ARkiQ(i LANF 0.50
Tni:a'L Rerei.pt, Amnuni;: 23.50
rRr14:i3:11
USIcF l:D: NANCV
. . ? . - . PERMIT
CITYOF EAGAN
3830 Pilot Knob Road PERMITTYPE: euzLozNe Eagan, Minnesota 55122-1897 Permit Number: 028681
(612) 681-4675 Date Issued: 8$ I z 7I9 6
SITE ADDRESS:
4117 ARBOR LANE
LOT: 8 BLOCK: 2
WENZEL
P.I.N.: 10-83570-080-02
DESCRIPTION:
,-, GflS
B?iild3hgyPermit Type
Building Work Type
?CenSUS Code"\,
?
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r
i
t 3
t x ` ' y)
Lt C. J
FIREPLflCE
NEW
434 ALT. f2ESIDENTIAL
P?'r s' i w?,. ':'? r- e" ?.`!,° ?•.?,i.? ??n».r? r-^^ ty . t,'?` i
t
a? ?,,z 'n; 1? 1El? Q? U` Ci' ii
?., ?.
REMARKS:
FEE SUMMARY;
CONTRACTOR:
STOVE & FIREPLACE
1276 COUNTY
BURNSVILLE
(612) 898-1174
- Applicant - ST. LzC.OWNER:
GALLERY 1$981174 2003208 BLIXT CHUCK
ROAD 42 4117 ARBOR LANE
MN 55337 EAGAN MN
(612)688-3581
?L
Base Fee $25.00
Surcharge $.50
Total Fee $25.59
I hereby aeknowledge that I have read this aipp,l?ication`and state that the
information is correct arrd agi^ee to oamplywirM a11 applicable State of Mn.
3tatutes and City afi Eagan (3rdinances,
APPLICANT/PERMITEE SIGNATURE ISSUE ': SIGNATURE
???
?/ CITY OF EAGAN
cp 3830 PILOT KNOB RD - 55122
1996 FIREPLACE PERMIT APPLICATION
681-4675
DATE: 4 (Uktk
DESCRIPTION OF W RK: X-- INSTALL NM FIREPLACE: _ WOOD BURNING 11\.?- GAS
_ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
AREA TO BE INSTALLEC
INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
ST? TADDRESS:
LOT D BLOCK ?
APPLICANT: (circle one only)
SUBD./P.I.D. #:
OWNER
w
CONTRACTOR
I hereby acknowiedge 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.
PROPERTY
OWNER
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
Phone #: ??
Signature:
StreetAddress•c?,? --0
City:
Company:
Signature:
5tate: Zip:IV2-
5-3-. C--? Phone #: q?-1? ?\-I`Y
Street Address: id 0`14 `Az Q License #: ?°?b2o
City??s State:
Company:
Name: -
Signature:
Phone #:
Street Address* .
City:
State:
Zip:
OTHER:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 14 Fireplace
WORK TYPE
0 31 New o 33 Alterations
0 32 Addition o 34 Repair
6ENERAL INFORMATION
Census Code.
SAC Code
REMARKS: Chimneylflue must be inspected before concealing.
FEES
Permit Fee
Surcharge
Other
Copies
Total:
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
L 651-681-4675
??? t-I t?'
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets • Architectural Plans (2) sets • Architedural Plans (2) sets
• Civil Plans (2) • StrucWral Plans (2) • Code Analysis (1)
• Certificate of Survey (1) • Civil Plans (2) • Project Specs (1)
• CodeAnalysis (1) " • LandsrapingPlans (2) • KeyPlan (1)
• PrqectSpecs (1) • CodeMalysis (1) " • Master Exit Plan (1)
• Spec. Insp & Testing Schedule " • Certifirate of Survey (1) • Energy Calculafions (1) not always"
• Soils Report (1) • Spec. Insp. 8 TesUng Schedule (1) " • Elec. Power & Lighting Form (1) not always"
. Meter size must be established . Meter size must be established • Meter size must be established - if applicable
• ProjeclSpecs (1)
1 • EnergyCalculations (1)
1 • Electric Power & Lighting Fortn (1) " d
1 • Masfer Exit Plan (1) 1
1 • Fire Protec[ion Plan (1) `* L
1 • SailsReport (1) !
• MGES SAC determination letter • MGES SAC determination letter • MGES SAC determination letter
call 651-602-1000 call 651-602-1000 call 651-602-1000
** Contact Building Inspections for sample
Food 8 beverage or lodging facilities - submit plan to MN Department of Heaith. Call 651-215-0700 for details.
DATE: DAil-i . 19 ? ZCQ2. WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COST: Z4, b? + .4o
40%3
SITEADDRESS: A2nriIZ [ lI
TENANT NAME: 'frK- Pr2C02 J-1S?C ?'1T17F ZApt-'L SUITE #: 41I"7+115??{083,
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK QF- rrrl- I,.??TR?FQ at-P
PROPERTY
OWNER
CONTRACTOR
ARCHITEC'T/
ENGINEER
Narne: T4J:F UrlL60/L IQSSDC ??bra- Phone#: (p( 51 ) G(Yo-?1?iSP?
Last First
SheetAddress: , Itp4 K6cQ- l."l?
Ciry: hAL-, 6-w l ? Sbte: Vwf? Zip: 56124
Company: 11TKtr{ [tiCTICN'l Phone#: (l??I ) 2Ze?j-LOR3
StreetAddress: 2coS Coc?ICAR? EYCt•Ikf?l???
City: ?O S i Pl-X WL State: ytAt Zip: 560-?5
Cornpany: _
Name:
Sueet Address:
City:
Licensed plumber installing new sewer/water
Phone #: (
Registration #: _
State: ZiP:
Phone #: (
I hereby acknowledge that I have read this application, state that the information is corre? agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: C 4 --
Updated 1lD2
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Aparhnents ? 27 CommerciaUIndushial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Mtennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterarions ? 37 Demolish (Bldg) 0 44 Siding ? 48 Authonzation
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning sq. ft.
SAC Code # of Stories sq. ft.
No, of Units Length sq, ft.
No. of Bldgs. Width sq. ft.
Const. (Actual) Basement sq. ft. MC/ES System
(Allowable) First Floor sq. fr. City Water
UBC Occupancy sq. fr. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating ? Insularion 0 Plumbing ? Stucco/Stone
APPROVALS
Planning
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
VALUATION $
% SAC
SAC Units
Meter Size
Total
513?,Y PLUMBING (RESIDENTIAL) IS S 0
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Fanrily Dwellings
Townhomes and Condos when pernuts are required for each unit
D
[ J
a
e ROOT, FORREST ?
4117 ARBOR LANE
Site Address EAGAN, MN 55122 Unit !i
(651) 686-6650
Property Owner ? -. . _ iTelephone # ( )
Contractor ?ORB1.OM PL??ING CO,
(612) 827-4033
Address City
•
State ip Telephone # ( )'
The Applicant is _ Owner $4, Contractar _ Other
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding flMures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener X Water heater $ 15.00
x replacement _ additional
$ .50
StaYe Surcharge I
! .\ Y
Total
?
_ .
I hereby apply for a Residential Plumbing Pernut and acknowledge [hatithe.information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pemvt, but only an applicahon 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 requues a review and approva] of plans.
Applicant's Printed Name A i ant s Signature
2006 RESIDENTIAL BUILDING rExMrr arrLicnTiorr `oL? m
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauirements
3 registered site surveys showing sq. R oi b6 sq. R oi house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils RepoA if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Caiculations
3 copies of Tree Preservation Plan'rf bt platled atter 711193
Rim Joist Detail Options selection sheet (buildings wflh 3 w less units)
Minnegasco mechanipl ventilahon form
RemodeVReoair Reouirements
2 copies of plan showing footings, beams, joats
1 setof Energy Calculations for heated additions
1 site survey for addilions & decks
Add'rtion - indicate i7on-sfte septic system
Office Use Oniv
Cert of Survey Recd Y N
SoilsRepoA - _Y _N
Trce Pres Plan Recd _ Y _ N_
TreePreSRequired _Y _N
On-siteSep6cSyslem _Y _N
DateOeL_ / ^ -
Site Address ?l 7?) f?2
'f!lS 1l '?b.?,- ConstructionCost ???`,?, ?'"l`?, ??3`??000 .°O
1??c.?? 4147414--? UniUSte #
_,?£?.S-' ? `,Cb.shetl G?
Description of Work
Multi-Family Bldg (K Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner Agdayz-S ?SZ./t-? lUr4t ?c.?uffA?t_? Telephone#( )
Contractor rL' [? CcyTf5?? G't?
SGilO/V s?cf? - m
Address
State p
City
Zip _?.3? Telephone #65Z) a R Z- g(?00
AUG I 5
p
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . 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 permii for a similar plan based on a moster 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 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. Applicant's Printed Name Al?ficant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ?
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ?
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ?
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch(screen/gazebo/perola) ?
? 05 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvoes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
30 Accessory Bldg
31 Ext. Alt - Multi
33 Ext. Alt - SF
36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDOOrs
'Demolition (Entire Bldg) - Give PCA handout to appiicant
DesC?Iqt10n: Water Damage _ Yes
Valuation
Plan Review 100% or 25%
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
_ Drain Tile
Roof Ice & Water Final
_ Framing
_ Fueplace _ R.I. _ Air Test _ Final
Insulation
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
FinaVNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tes[s Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
SS,W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2006 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.
/s--5()
Date 6 I I I 0 V
Site Street Address 4111 Arbor L-vi Unit#
Property Owner Rrres+ 4ot Telephone# ((O"f') i02/0 6650
Contracfor Champioo Telephone # ( j
Address 851-365-1340 City State Zip
Eegan, MN 55123-1339
7he Applicant is: _ Owner ? Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Peras-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are insfalling an! a wafer sofrener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
"
WaterSoftener WaterHeater $ 15.00
_ new --'?replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuiid $ 30.00
State Surcharge $ .50
Tofal $ S -sV
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work wiil 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.
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ApplicanYs Printed Name- ApplicanYs Signature ?
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_ CERT~FrcArE o F 5UR S U R V E: Y ~o r
W NSMA NN H E ~ O M S /N ~ ~S, INC.
SCALE: < < APPROVED BY ~ DRAWN BY
I hereby certify that this survey was prepared by me or under my direct supervision and that I am a du1 Re istered oare:
Y g Land Surve or under the Laws of the State of Minnesota, Y
A OCIATE,D U V G SS 5 R E~'IN ~~N~ /lYC.
Date:O~fo ~ ~ss ` ~
~ LeRo , Bohlen ~ y DRAWING NUMBER
Registered Land Surveyor No, 10795
~ ~rRffi+NE?d~qP1~ no. sssn•,ez:< '
i
rxvcr~
Use BLUE or BLACK Ink
For Office Use
-
1 5) 1
City of Eapn ; Perm I
I
I Petrriit Fee:
3830 Pilot Knob Road 1 1
Eagan MN 55122 1 Date Received: I
Phone: (651) 675-5675 1 1
Fax: (651) 675-5694 i staff: t J H
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: L.~ Site Address: A &t~~
Tenant: / Suite
Re sident/Owner" Name: Phone: ^
r;y Address /City /Zip:
Name: MILBERT COMPANY INC dba CULLIGAN WATER License 063031-WC
.v
Address: 1801 50TH STREET EAST City: INVER GROVE HGTS
Contractor.-,._ ,
"
MN 55077
s State: ' Zip: Phone: 651-451-2241
rte,,.
N< Contact: BILL MILBERT Email:
Type of Works New Replacement -Repair -Rebuild - Modify Space _Work in R.O.W.
Description of work:
yr; R RESIDENTIAL
R Water Heater
t; Water Softener
Lawn Irrigation RPZ PVB)
i Permit Type Add Plumbing Fixtures Main
n• '~Y Septic System / - Lower Level)
ten;
New Water Turnaround
-Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL. BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you Intend to dig to receive locates of underground utilities. www.(Iopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with th approved Ian in the ase of work which requires a review and approv of ns.
X ' Z_r X
Applicant's rintedName Applicant's Signature
F
OR OFFICE
U
Revlewed By S qF~ to
Required Insp ections
sy UnderGrQU{nd~ bii'Rou h-ln. rYest .vGas Test n Ina `
0512312014 11:29 Les Jones Roofing, Inc. TAX)9528817009 P.0151016
Use BLUE or BLACK Ink
For Office use ^ _ I
non i a C&S
My of ME([ i Perm11#: ~ ~ ?C
I Permit Fee: s / I
3830 Pilot Knob Road I I
Eagan MN 65122 Date Received:
Phone: (661) 676.5676 I I
Fax: (651) 676-6694 I Staff: 1
I i
2014 RESIDENTIAL BUILDING PEWIT APPLICATION
Date: S' Site Address: 115, ll #+Q. L NC! 3 - 41085
L Unit
Name: o 1;,r AiIi. Assoc. (36"Ak*ir' K hone: 4 S'I- 40-S• 8 s-Irc-
ti Address / City / Zip: 'w 1, 5T
o R BO Q . f~+A NE -
Applicant Is: Owner X Contractor
Description of work: E'e 5-
A Construction Cost: '7 7 Multi-Family Building: (Yes---x- / No
Company: Xt;j 6-66Q; /NG Contact: <VAt s A?vog'LE2 J
Address: I'V/ W. 7N 10-/ZZTI~ City: AI6,-Z)A1 _
State: _ 1A/1 Zip-
Phone: 95*2 - 76 7 - 7
License l-? Lead Certificate A&41- `f 0 3 V R
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,13-11JILDING
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. Cell Gopher State one call at (851) 454-0002 for protection against underground utility damage, Cap 48 hours
before you Intend to dig to receive locates of underground ulllkles, a )necall.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
Eager; 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 plane.
Exterlor work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
Applicant's Printed Name Applicant's Signature
Page 101`3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139172
Date Issued:10/12/2016
Permit Category:ePermit
Site Address: 4115 Arbor Lane
Lot:007 Block: 002 Addition: Wenzel 1st
PID:10-83570-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Steven P Milner
4115 Arbor Lane
Eagan MN 55122
(612) 655-0825
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature