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4169 Arbor Lane`CM flF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: I I+I i F I 1', I PERMIT SUBTYPE: =r UN PERMIT TYPE: Permit Number: Date Issued: 26 H; O(l.,, , APPLICANT: - TYPE OF WORK: 111 .1111, 1 11 ;i rr ? w 4 [?p1t. 1!N 1 t ) isr.? ? t I? i ra?:? 1l?. //?? s i, AM 1 ri t r! tll 11 I 1??1u i ? rlr? I I 1eI RI Ali }, '. '-; & 14 1" (•[112 1-11 IV : 1 1 ? J INS Permit No. Permk Holder Dete Telephone # SMI PLUMBING HVAC ELECT ELECTRIC Inspection Dste Insp. Commenb Footings I ?? Foundation Framing 167 . / • S ? S Rooting Hough Plbg. Rough Htg. n Isul. . ?O Rreplace Final Hig. C7 O?sat Test ? Final Ptbg. ? Plbg. Inspector - NoTity Piumber Const. Meter EngrJPlan Bldg. Final -y Oedc Fig. Deck Final Well Pr. Disp. CITY OF EAGAN ? 3830 Pilot Knob Road ; Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ` ? ? ' n1t[siil; t }ttdt. C PERMIT SUBTYPE: ? Wl. wl';MF1NN F'N?I?'I': li ?€? ti??•_, ?? TYPE OF WORK: rONr ON t I I INSPECTION { ? jjl, .. . ? . . i ?, .A ; hl ,ll) l'ti 1 ? L?M I I P1r1? I i!- f I`1 P,i i f IthMAf31!`3s `.i Fi lJ !'lf{li 1-11 hlff 1 I'i:1! ? ?L :CORD PERM{T TYPE: Permit Number: Date Issued: is±? r t iI IM" 2t, ki 1_1) 1 i ? Permit No. Permit Molder Date Telephone # SNV PLUMBING HVAC ELECTRIC 49 . 9 i/9? ELECTRIC inspeetlon Qate Insp. Commenta Footings I Foundation n Framing Roofing Rough Pibg. Rough Htg. d' isul. Fireplace F-inal Htg. Orsat Test ? I er Final Ptbg. w?Lti- /S!N Plbg. Inspector - Notify piumber Const. Meler EngrJPlan , 8idg. Final Z Deck Ftg. ! Deck Final Well Pr. Disp- 4z4., 44of a4-7? /1V7B A::?w r= ? • - , • ClTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ?:, MJf i+E i 1 i 1, ! PERMIT SUBTYPE: , TYPE OF WORK: C)!:';r.k'tr, f ttiN +<ir I 1 11 1 rdh 0:•i:•4 1 ci f / 4+ :; td F 6J t ItNE UN 11 1) INSPECTION .. . . ? . , ,. f Iff'MAFtY',: i bi 4J F"'llil< F- WF HZE i f•iiV ON RECORD PERMIT TYPE: Permit Number: Date Issued: f: ti< <;? ?:- • i APPLICANT: ( ?> 1 .' 1 ?I .' : ? i ? •? -1 Permit No. Permit Holder Date Telephone # SNV PIUMBING Hvac ELECTRI ? ? 9 A ELECTRIC Inspection Date Sn9p. Commenta Footings I Foundation Framing Roofing Rough Plbg. S - Z -Tv (s G Rough Htg. ?.Z_ ?G Isul. ? Fireplace Final rng. Orsat Test . Final Plbg. ?1Z?q J Plbg. Inspector - Notiiy Plumber Const. Meter Engr./Plan 8ldg. Finel g z ? Deck Ftg. Deck Final Weli Pr. Disp. ' CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4875 SITE ADDRESS: , ' " ?11•;ttr11: ;;. I1.'t I 15i1 PERMIT SUBTYPE: I ?l I I AMJ TYPE OF WORK: I)f ';1 lil 1' i f UN {:IllltilMr? NEW (ONF UN11) • .• • .. iM'.UtFi I ltiN i iN r?i t I( ? i i r11 f INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: C i; rtAkk';, 'ic A w 1't Hft lA t N:t 1. r- reV Permk No. Permft Holde? Date Telephone il S/W ? PLUMBING HvAC ELECTRI Q 9/ 9 0? ? ELECTRIC Inspectfnn Dele Insp. CammaMs FoocirQs i Foundation 7:7-3 iJ? 7 ?? ?? Framing Rooting Rough Pibg. (/! V Rough Htg. G D ? v ` ?r Isul. 3 ?O ZS Ki Flreplace Flnal Hig. "? f 1"•,! ? f? lJDxi/ ?i ?/'< Orset Test Fnal Plbg. LU Pibg. inspector - Notify Plumber COnst. Meter Engr./Plan Bldg. Final y L3 O? Deck Ftg. Dedc Final Weli Pr. Disp. L;- I? w ? 4,+Jo. a z C3'? ei.?tifCCat¢ nf cccuoauc? W't4 ot Cfagan ?O Of lawai" 3SAIllmd" This Certiftcate issued pursuant to the requirements of the ilniform Building Code certifying that at the time of issuance this structrire was in conrpliance witk the various orriinances of the Ciry regulating building construction or use. For tlie followircg: use ciassi s?4-PIEK ? I iAJIT) swg. v? xo. 21245 OCCUP-r Type I-R3 1 Zonmg n;sa;a PD rype const. VN owwr of auiia;ng W[149M WES Addmss 3312 151S7 ST W. RO6D'D[JNTT ARAOR LANE L26, B 1, WMM I ST HuiMog aaaress L"ity ' nau: Buildiag `Official .1 POST IN A CONSPICUOUS PLACE . *• ?'?rc'??-.. ? 0 9cate vI vccupanc4 ofi ftsim m«wmas 34?n --A* This Certificate issued pursuant ro the requirements of the Uniform Building Code cerlifying tleat al the tinw of issumice thss strrectewe was in compirance witb the various ordinances of tlie City nguhzdng buildneg constructinn or use. For the following: Use (7mafia6od 4-PIEX -M LNIT Blds. Paorit Na 21244 OMOQaf Build"a? { `? ?"?+S ?a ?? ABdress 33 ,1 Jf W ? 4175 ARt I? 1 s ? I ?J `? 1 J ? 8??3o?g O@'icial POST IN A CONSPICWUS PLACE ?.M f? . / IY C3'? ei.?iticate af Cccupancv "j of cpagaa meymtrr--eact sf Is"" 3umecom This Certificate issued pwsuant to tlre irquiriemenls of thc Uniform Building Code certifying that at the time of issuance tbis structrue was in compliance with the various ordinances of the Ciry rrguloting building constritction or use. For !he following: use ciamffimmuoo: 4-PLEX swg. Pft,on xo. 21247 or-cuPa-y'Me ZaaWs MmK, ' ow?r or s?g w4173 ? Sf W, ?IU[JT 6uilfling nadrcss ? I.ocaFity ? ? ST noic: O/UM POST IN A CONSPICUOIIS PLACE • o r •? W.'crfificate of ?c?anc? Wav of ?rt! «t .f "WM" T7tis Certificate issreed pursuant to tlu nequiremerets of the Uniform Beiilding Code certifying tlwt at tlee tarre of issuance tlus st?ucture was in compliance with the various orrliumes of ike City regulateng buifdiag construction or use. For the following: ux a.s. : 4 PIEX - ONE UNIT s?. ?t r?. 21246 O-UP-y ? R3Adl 7mimg °'.g'u FD o.vou of sudaug WHN.%M WFS Addms . A&Ww 4171 AReE? IL? L-aray . ? 09/23/Q3 - t" , Budifiw6ftd POST IN A CONSPIC110US PLACE 0 0 49 ? $ ;, o w a ? C?: Request oare F>ra No Rougn-In I edion Requ?red (YOU muet call Inspector hen reatly) Ins ecnon Other Then Hough-In ?Reatly Now ? Will Notify Inspector ? ? Vea N. Date Reatl Ik hcensed contractor ? owner hareby request mspection ot above electrical work at: Jab Atltlress (Street, Bax or Rome Na ) Qry Ll I?q pm% orL Semwn No Township Name or No. Range No. Counry mcoTr,- Occupan t(PRINT) Phona No r CU ?_k? Power SupplieF Atltlress ?- !` l Electrical Contractw (Company Name) ConUatloi s L¢ense No. r ' C.f?OOV- MaAing Atltlress nlracWr or Owner Making Installabon) . Ll ,Png 4-7s - Rcf,?D,,J KA A-? 55IJIO Amhor¢ SignaWre (COnlracmr wner M g Installatmn) t Phone Number ? ? L ?-k? -t 13 l , , MINNESOTA STATE BOAFD CTRICITY THIS INSPECTION REOUEST WILL NOT qrigge-Mltlwey Bldg. • Room -128 BE ACCEPTED BY THE STATE BOARD 1821 Unlverelry Ave., 51 Peul, MN 55100 f1 1 p O,? ?? UNLESS PROPER MSPECTION iEE IS Phene (614) 692-0800 d??0 V?V ENCLOSED O _?/??? 9 REQUEST FOR ELECTRICAL INSPECTION ?' 2 10- See inslrucTOns for compleung this fom on beck af yellow copy. -'X" 8elow Wark Covered by This Request smF?. EB-00001- 9 Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heeter Electric Heatin A t. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other(specity) ConVactar's Remarks Compute Mspection Fee Below: 0 FF # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Am s Transformers Above 200 Am s Above 700 -Am s Signs Inspecmrs Use Only: ? TOTAL Irrigation Booms ?b S ecial Ins ection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee v COMPLETED WRHIN 18 MONTHS. I, ihe Electrical Inspector, hereby Rougn-In oe?e cerlify that the abova inspection has been made. Finei oe? ? OFFICE USE ONLV This request voltl 18 manihs irom N? 04668 .V Fequest $e/ 31/ 93 Fire No Ro +n Inspection Pe Iretl' NOTICE: Yau Must Call EIecV¢el Inspector If A Rough-In Inspedion }[7 Ves ? No Is RBqmretl IN licensed contractor ? owner hereby request inspection of above electrical work at: Jab Adtlress (5[reeq Bm ar Route No ) Qry 4169 Arbor Lane Ea an Section No Tmvnship Name ar No. Fange No Counry Dakota Occupant (PRINT) Phone No. WensmannxRxa#Kgxaes Homes 423-1179 PowerSuppLer Atltlrass Dakota Electric 4300 220th St . W. Farmin ton Elec1ncal Conireclor (Company Name) Comrador5 ?cense No. Joos Electric Co. AM01895 Malling Atltlress (COnVactor or O.vner Making Installation) 2104 Great Oaks Drive Burnsville MN 55337 Aulhorrze0 Signature (ConlradortOwner Making Ins?a n Phone Number G 431-4755 MINNESOTA STATE BOAHU OF ELECTRICRV - THIS INSPECTION PEQUEST WILL NOT GriggsMitlway Bltlg. - Room S173 BE ACCEPTED BVTHE STATE BOARD 1821 Univerefly Ave., SI. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS PhoneJ612)6/2-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ( 7 ? See msYmcbons br complehng Ihe W. on back of yellow copy M • 0 9 6 6 8 "X" Below Wo& Covered by This Request oi EB-00001-OB ?a?'?v e kdd Rep TypeofButlding AppliancesWired EqwpmentWired Home X Range 7amporary Service Duplex Wa[er Heater ElecMC Heating ApL Budding Dryer Load Management Comm./Industrial X Fumace Olher (Specdy) Farm Av Condilloner Olhar (sOecM) Contracmr's Ramarks Compute lnspection Fee Below: # Other Fee # ServiceENranceSize Fee # Circwts/Feeders Fee Swimming Pool Q to 200 Amps 1$ . 1 0 to 100 Amps 54 . Transformers Above 200 _ Amps Above tnn qmps SIgOS Inspec[or? Use Only - TAL Irrigation Booms / ? $82. 50 Special Inspection AlarmlCommunication THIS INSTALLATION MAY RD PONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS., I, the Electncal Inspector, hereby Rough-m . r a certify that the above mspection has been made. Fr„ai + oa? / -[J' OFFICE lI6E ONLV ? C.?• "?J ? This request voitl 18 mon[hs irom ? 9 76 M0 Requesl Date O 31 /g 8/ Fre No 9h"in Inspecnon eqwretl9 NOTICE: Vou Must Call Electncal Inspecmr II A Raugh-In Inspeclion _ J Ves ? N. Is ReQUired. 129 licensed contrador ? owner hereby request inspection of above electrical work at: Job Addresa Sireet, Box ar Route No ) ? Qty 4 171 Arbor Lane Eagan Section No TownsNp Name or No. Range No County Dakota Occupent(PRINT) Phone No Wensmann Homes 423-1179 Power5upp6er Dakota Electric Co. Atltlress 4300 220th St. W., Frmington Eiecmcal Contractm (COmpany Neme) Joos Electric Co. Contracmr's Ucenae No AM01895 Mailing AOOress ConVador or Owner Making installaoon) 210 Great Oaks Drive, Burnsville, MN 55337 Authonzetl Signawre (COniractor/Owner Makmg Inst la ion) Phone Number G 431-4755 MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mltlway Bldg. - Roam S173 6E ACCEPTED BYTHE STATE BOARD 1821 Univereily Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (611) 642-0600 ENCLOSED. g<</Q? M 09670 REQUEST FOR ELECTRICAL INSPECTION ? See mslmcLOns lor completing this form on back of yellow copy 'X° Below Work Covered by This Request E800001-OB ?. . ew Add Hep" TypeofBwlding AppliancesWiretl EquipmemWvetl Home X Range Temporary Service Duplex Water Heater Electnc Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specrry) Farm Air Conditioner Other(spemty) Conlractor5 Aemark5 Compute /nspection Fee Below: # Other Fee # ServiceEntranceSze Fee # Circuits/Feeders Fee Swimming Pool 1 0 to 200 Amps o to 10o Amps Transformers Above 200 _ Amps Ahove 100 _ Amps SICJnS Inspeaor5 Use Only. TOTAL Irrigation sooms $82. 50 SpeGal Inspection Alarm/Communication THIS INSTALLATION MAY BE 0 CONNECTED IF NOT Oiher Fee COMPLETED WITFIIN 18 HS. I, the Electrical Inspec[or, hereby Rough-in certify that the above inspection has been made. F??ai oa?e ? 7,op ?ivs-a OFFICE USE ONLY Thrs requesl witl 18 manlhs from v4- /?s?o 669 69 ?ft ? a°° V6 Request Date Fire No Rov in Inspeciion NOTICE: Vou Must Call Electncal Inspoclor 8/ 31 / 9 3 Reqairea? It A Rough-In Inspectron XVes ? No Is Repuiretl I[Xlicensed contractor ? owner hereby request inspection ot above elec[rical work at: Job Atldress (Slreet, Box or Route No ) CM1y 4173 Arbor Lane Eagan Secbon No Township Name or No Range No County Dakota Occupant(PRINT) Phone No. Wensmann Homes 423-1179 PawarSupplier Address Dakota Electric Co. 4300 220th St. W., Farmington Elec[ncal ConVactar (Company Name) Contrector5 L¢ense No Joos Electric Co. AM01895 MaiLng Adtlress (COntractor or Owner Makmg InslallaLOn) 2104 Great Oaks Drive, Burnsville, MN 55337 Author¢ed Sgnature (ConlrecloriOwner Making InstalMfion) PM1One Number e2? 431-4755 MINNESOTA STpTE 60ARU OF ELECTFICfTY THIS INSPECTIDN REQl1E5T WILL NOT Gtlgga-Mitlway Bltlg. - Room 5-173 BE ACCEPTED eVTHE STATE BOARD 1821 Unlversity Ave., St. Paul, MN 55104 UNLESS PROPER INSPWTION FEE IS Phone (612) 642-0800 ENCLOSED - 1 Y ?'D4 r 7 7/a5 i ( ? Reqaesl Dete " FLye No. Rough-m Inspecnon Reqmre d. NOTICE: Vou Must Call Elecmcal Inspector It A Rough-ln Inspec[ian ? Yzs o Is ReQwred I licensed contractor ? owner hereby request mspection of above electncal work at J dress (Sireet, Box or Raute No ) Gry 7S O L•t SacGOn N. Townshlp Name or No Range No Counry 4'ar jaoogvlz?e Occupant(PRINT) h- Phone No. PowetSuppher ' Ptldress ?..1. Elecincal Co mctor (Company Name) .?., ?- {'?` Coniractore LdEmk I."s.. MaihngAdtlressCortrectororOwneCA?igi,nstallation) `' ?PyF ?y? : al Ja 603 FL0?1[5?. t? ° Authonzetl S/gn'al Mraclor/ ner Mekmg Installebon) ! n !'- L _ Phone Num?er MINNESOTA STATE BOARD OF ELECTPIpTV THIS INSPECTION REpUEST WIIL NOT Grlp9%M7dv.'eY Bltlg. - Raom S-173 BE ACCEPTEO 9VTHE STATE 80ARD 1821 Oniversity Ave., St. Vaul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phona(612)662-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ? See inslrucbons lor completing Ihis torm on back of yeltow copy ? 21477 -X" Below Work Covered by This Request eeooooios 4*510 e Rop. TypeofBUildin7 AppliancesWired EqwpmentWired Holne Range Temporary Service Duplex Water Heater Eleciric Heanng Apt. Bwldmg Dryer Load Managemen[ CommllndUStnal FurnaCe Other (Speafy) Farm Air Conditioner plher (spaciiy) ConVactoPS Remarks. Compute Inspection Fee Below: # Other Fee # ServiceEntrence5ae Fee # Crccuits/Feeders Fee Swimming Pool 0 to 200 AmpS 0 ta 700 Amps Transformers Above 200 _ Amps Above 100 _ Amps Si9n5 Inspeclor's Use Only TOTAL V Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certfy that the above inspection has been made. F,,,aJ Date . ? OFFICE USE ONLY This reQUest v0itl 18 monihs Iram ??v5cjl' Request Date 8/ 30 / 9 3 . Fire No Foug Inspechon R?? `?'? NOTICE: You Must Call Electncal Inspector Cro - Re4? 9?In losPad?o? I a ? o ' S I 1$licensed contractor ? owner hereby request insp tion of above ctrical work . Jab Adtlress (Slree4 Bcix ar RoNe No ) Qy 4175 Arbor Lane ? E an Secbon VJo Township Name or No Range No Counry Daketa Occupant(PRINT) Phone N. Wensmann Homes 423-1179 PowerSUppLer Atldress Dakota Electric 4300 220th St. W., Farmin ton Electncal Conhacmr (COmpany Name) CoMractor5 Lcense No Joos Electric Co. AM01895 MaAing Atldreas (COntrador or Owner Making Installanon) 2104 Great Oaks Drive, Burnsvill , MN 55337 Authonxed SignaWre (COnhactorlOwner Making Installat PM1One Number 431-4755 MINNESOTF STATE BOAND OF ELEJTRICITY THI$ INSPECTION REOUESi WILL NOT Grlg9s-Midwey Bldg. - Hoom S-173 V BE ACCEPTEO BY THE STATE 8OAR0 1821 Oniversdy Ave., SL Paul, MN 55104 UNLESS PROPER WSPECTION FEE IS Phone(612)642-OB00 ENCLOSED G??p? REQUEST FOR ECECTRICAL INSPECTION r ? See insVUCiwns for completing Ihis (arm on back of yelbw copy 10 95 6 6 `X" Below Work Covered by This Request EB-000p1-08 ?as81?9 ew Add Rep TypeoiBuilding AppliancesWired EqwpmentWired ]{ Home Z{ Range Temporary Service Duplex Water Heatef Elecinc Heatin Apt. Building Dryer Load Management Comm./Industrial X Furnace Other (Specdy) Farm Air Conditioner Olher(speafy) Conhador5 Remarks: Compute Mspectian Fee Below: . # Other Fee # ServiceEniranceSize Fee # Circmis/Feeders Fee Swimming Pool 1 0 to 200 Amps 1$ , ], 0 to 100 Amps /{/, Transformers Above 200 _ Amps Above 700 _ Amps Signs Inspacmr'a Use Ony. TOTAL Irnganon8ooms _Z) $65.50 Speciallnspection Q ?.. ?7 Or AIarMCOmmunication THIS INSTALLATION MAY BE ORDE EL?DISCONNECTED IF NOT Other Fee COMPLETED WITHIN ONT I, the Electrical Inspector, hereby Rough-m ` Date ? 2D ? ceniy that ihe above inspection has been made. Final Dal?? ??,p.= "P! OFFICE USE ONLY This request witl 18 monihs imm Address 4169 ARi3pR IANE Zip 55122_ Lot' I 26. ` Blk ] Sub WFrrzE[., IsT THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: ?I 9 Yes No Inspector: Final grade (6" from siding) f Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish v Deck Please verify with the builder the removal of roof test ca,ps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Conlact engineeting division at 6814645 before working in right-of-way or installing underground sprinkler system. Whice - City Copy Yellow - Resident Copy Pink - Contraclor Copy @ Address 4175 ARBOR IANE Zip 55122 Lot 25 Blk I Sub wmr. THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: `? ?' ??? Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) ? Permanent driveway Permanent gas ? Sod/Seeded grass TraiUcurb damage Porch Basement £inish Deck Please verffy with the builder the removal of roof test caps from the plumNing system and the shuFOff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler syscem. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy Addrtss • a» u x LANE Zip 55122 Lot _ 28. Blk I Sub THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: pq Z3 93 Yes No Inspector: f/p Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) j/ Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verify with [he builder the removal of roof test caps from the plumbing system and the shu[-off of water supply to the ou4side lawn faucet before freeze potential exists. Contact engineering division at 681-4645 l+efore working in right-of-way or installing underground sprinkler system. ? White - City Copy Yetlow - Resident Capy Pink • Contraclor Copy Address ' 4171 ARW1R TANF Zip 5512 z L•.ot• 27 Blk 1 Sub wIINM isf THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: 09/23/93 Yes No Inspector. ea Final grade (6" from siding) (/1- l Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded gtass 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 [he ouLSide lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Coniracror Copy 0 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: LoT: ze BLOCK: 1 APPLICANT: 4169 ARBOR LANE WENSMANN PROPERTIES WENZEL 1ST (612) 423-1179 PERMIT SUBTYPE: 4-PLEX TYPE OF WORK: BUILDING 021245 06/25/93 NEW DESCRIP7ION (ONE UNIT) INSPECTION FOOTING .. . FRAMING ,. IN3ULATION FINAI FIREPLACE REMARKS: 5& W PLBR - WENZEL PRV ? . - ? - -? I? ?: _ ? CI'7'Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681=4675 PERMIT ? f PERMITTYPE: auiLozNG Permit Number: 021245 Date Issued: 0 6 J 2 5/ 9 3 SITE ADDRESS: 4169 ARBOR LANE LOT: 26 BLOCK: 1 WENZEL 1ST ? a DESCRIPTION: -- r'-, _ _f_ONE UNIT) J\ 6611dfn2?}. Permit Type- - 4-PLEX ?E#uilding 4mrk Type NEW ,?`?llsC Ott3upamey?" R-3 M-1 f` CanStru?tian T'k{?,e V-M / Zaning PO / Sk+i.ldittg kengCh, ? ? Building ttidth t, -. ??• ? ? ?. ?L 58 40 ?CiL REMARKS: S & W PLBR - WEN2EL FEE SUMMARY: Base Fee Plan Review Surcharge 5AC SAC $ SAC Units Subtotal PRV VALUA7IQN $581.00 $377.65 $43.50 $750.00 100 1 $1.752.15 $87,000 MISCELLRNEOUS $1,744.50 Total Fee $3,996.65 CONTRACTOR: - APPlicant - sT. Ltc OWNER: WENSMANN PROPERTIES 14231179 0001456 WENSMANN HOME3 14340 PILOT KNOB RD 3312 151ST ST W APPLE VAIIEY MN 55129 ROSEMOUNT MN 55068 (612) 423-1179 (612)923-1179 t{` 2 hereby ackncawl+adge, that T haVe MBad this appilleatLcn and st3te thst Chs ?h aYx &ppliaablo Skate a`F Mn. information 3;s cnrrect antl agree ta cortipiy wiI Statutes and Cfty of lEayan Drd;iri$noOs. ??? - APP?ICANTlPE EE SIG17FURE ISSUED BV. SIGN RE REA,r,TIVATE PERFIsT !! ` CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION ?-°?,M• Ij 681-4675 r °A.^1111 ! -!(, SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work 7S Site Address: V/69 /ti4ga- Zqwt STREET SUITE ! Tenant Name: (commercial only) IAT BIACK SOBD. j?t P.I.D. * Wenzel Add3tian Descri tion of work: The applicant is: IN Owner Contractor ? Other coeg«;be> Name WPnsmann R_aaj.t_y Phone 423-1»e Property LAST FIRST Owner pddt'es5 3312 151st Street West STREET STE M City Rosemount $tdt2 MN Zip 55068 Compdny Wensmann Homes Phone 423-1179 Contractor Addre55 3312 151st Street West LiCenSe # 1458 EXp.3 31 4 City Rncamnnnt State Mnr Zip 59069 Company Wensmann Homes PhOne 423-1179 Architect/ Engineer Name P narIGr,-nm Registration # i79ai Addt'ess 3312 151st Street West Clty Rosemount State MN jjp 55068 Sewer & water licensed plumber Wenzel Mechanical . Processing Lime for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this app19cation and state that the information is correct and agree to comply with all applica6le State of Minnesota Statutes and City of Eagan Ordinances. o ? Signature of Applicant: ,? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch 0 05 SF Misc. WORK TYPE p 31 New O 32 Addition El 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging '.. ? 12 Multi. Misc. • ? 13 Garage/Accessory ? 14 Fireplace 13 15 Deck ? 35 Tenant finish 13 36 Move , w. ? ? 16 Basement Finish "«? 17-Sim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish GENERAL INFORMATION Const. (Actual) v- N Basement sq. ft. MWCC System yt"'S (Allowable) V- N ist F1. sq. ft. City Water ? UBC Occupancy _R 3 M_I 2nd F1. sq. ft. PRV Required y2? Zoning ?? Sq. Ft. total Booster Pump T # of Stories _ Footprint 3q. ft. Fire Sprinkler Length •5? On-site well Census Code o a Depth qo, On-site sewage SAC Code ? APPROVALS ? ? 1 Planning Building Assessments Engineering Variance REQUIRED IN SPECTION S ? Site ? Footing ? Framing 0 Insul ation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee v.luac;on: g 87 a3 ,3 Surcharge R view Plan GRE; 4y6?X '???? ? r7/36 e Licen MWCC SAC City SAC f'/vuSE? ?y°7D? j(?Sy1c?= 75 380 Water Conn. s?- Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. CoPies Other Tatal: SAC % p L° SAC Units ?_ . ? -, a-aax , GEM2-RYAM 2D. 612+423+1149 P.Bi ? a • t i TwTIO\ ' ` ? ? NMi?Gn r?? - C0MACTOR enmss ? DETERMYHE AORB28G SOIIARE POOiACE OF EA . . i i. Tetal nxQeead vail area .... 17 : sq. ft. x.1? •2, Total roof/ceiling area .._ )-4!>l j_s4• ft• x.:??O' L?L•N? ? i Yotal ezpoeed wall area abova lloor =- ?+.es.,Taza? deor axe4 ._............ _.....«.... . _. ?___...._.. . t. ?•?s?oYa'Y^?Tld?g.,gL'nsa door: aua .»««?..:._..«..«. ?;,,. • ?^ ' d_ =HrePlaCe. waiL a'?ea .«....«..?...:...».... ?.. 0 ; voeaY]t.1?r1J:,?f;aming. aim•-(?Yerag? l0Y)? . ?. ...._, •. ? : ?_ #- ??osal neL. xali a=ea ?aDova.,£looe .«__..?.........: r :? , •- '?. Tot'a]. kim icist axea.r.....?. ...!......... '. I 4etal aspwed foundatioa area <- ; .;........... ? ? . h. Sotal loundation wiadow area ...... f 1?1Zotal nat..£ooadatioa ares above gzada ........__? ?? :r-• • Dete?EtnsaS2h"a?'?"saa]S?gat. aae'!I. valt•:aes ?ent. ? ? ???9 ? P _ a, I `iz. ? °?-a °II'? • 8v ! - ! - ? . b. 38 x or - a.. ?to x ?o° ,? . Z?IY? _ - ?? • 9?' : . d. 0 I?1° Q• }? E °0° ? O?I'? "' -IR-.Q'? : , f f!50 3"lT" ' v'¢? I?' O, lo D i '. 1 I i j 1 ? ?. ? ? ? ? ? ? ? ? 1• ? ? i ? i i? i? a' i i. ? k ? g. ? a "a" „a.d/ • O ' ' i ' h_ d x +C» , ?SSI ? ,.._ ? • I : - . ? s. /SG a "a° ? . .. '.2ota1 •. . ? 3 . .......................... . . ? ' . ? .r 2! item 93 is ehn aams as, oi eoa t-'F-i'aft-icem'bl? yon Aavn met ehn inteat • ? oi S8C 6006 (e)2. ' 812+423+1149 03-16-93 03:19;21 P001 SiZB . =- .? GEN2-RYqN CO. 612+423*1149 P 0 ' i P:gs 2 ot 2 •••.? . . ? . ? . I • t ? ? , rOta7. asyossd sooftcai2log arsa ? :... j. loeal sk7SigSt asea ....................... k. 7Ata7. toot/CSiitag lzini.ng arw (swrage LOx) -• 1. Sotal aeC Snenlatad roaF/cnilin; asaa .....:... , Determiaa "C" vslns for each root/eeiltas setunt. ' ? I O I"Qtt I "Qn . O1?f'7 • ?? ' ? • ?o . . W!' . ox.l . ; . 4 ...... ............................ ........ 2oeal ; ' • .. If eotal of 64 is the same as, or lass ebaa P20 yod hava mec che iatene . I . : •4i?[atiil4x`dSlt3,].dYai??et+oRt?e9i8a i - ' ' To atilize t6e'toul.'aamlope system method, tha va2uea aatab2ishad by .• ehe sum o£ items 43 aud 04 0211 -nac'be grsater thim the sum of itena iI and 02. . I 1. + 2. • i; 4. . - •; ? 7 Po*t-k' brand tax Umremftml memo 7671 Itofono? 012+423*11" • .: . , , i i . ? S ? . i ? i? i ? i ? I i ? ? ? ! ! ! i i i? ? i ? i ?•,-t i t r i f r ( i ? t • , i . ? ?• s ' ? i . ? E • . _: E _ i : 03-18-83 03:19P1[ P002:?k?•.- A INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuiLoiNG 3830 Pilot Knob Road Permit Number: 021246 Eagan, M i nnesota 55123 Date Issued: 0 6/ 2 5/ 9 3 (612) 681-4675 SITEADDRESS: Lor: 27 BLOCK: . 4171 ARBOR LANE WENZEL 1ST PERMIT SUBTYPE: 4-PLEX 1 APPLICANT: WENSMANN PROPERTIE3 (612) 423-1179 TYPE OF WORK: NEW DESCRIPTION (ONE UNIT) INSPECTION FDOTINa .. . FRAMING .. INSULATION FINAL FIREPLACE REMARKS: S& W PLBR - WENZEI PRV ? _ _ . . _ .. . . .. . . ? t fi ? "CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT ' ? PERMITTYPE; BUILOING Permit Number: 021246 Date Issued: 06 f 25 J99 SITE ADDRESS: ?--., -_ [( O N E-Uiy I T) - B P it Ty iXdi 4-PLEX a? erm pe rrg- ,?u3?.ding ?to rk Type NEW ?U6C DoeUparrc? R-3 M-1 e Construct:Lan T?-P V-N , Zon3ng 1,.. ? PD Suilding I.ength sa Huiid3ng WiQth 40 ?J _r \ `. r DESCRIPTION: REMARKS S& W Pl.BR - WENZEL PRV FEE SUMMARY 6ase Fee Plan Review 3urcharge SAC SAC % SAC Units Subtotal 4171 AR60R LaNE LOT: 27 BLOCK: 1 WENZEL 1ST VALUA7ION $87,088 $581.00 $377.65 $43.50 $750.00 100 1 $1,752.15 MZSCELLANEOUS $1,744.50 7ota1 Fee $3,496.65 CONTRACTOR: - WENSMANN PROPERTIES 14340 PILqT KNOB APPLE VALLEY MN (612) 423-1179 Rppiicanc - 5i. Ltt; 14231179 0001456 RD 55124 WEN3MANM HOMES 3312 151S7 R03EMOUM7 (612)423-1179 57 W MN 55068 i hereby acknawledge that I i+4ve read this 3nfo.rmatiqn is. correct and agree to aomgly ' Statutes and City o€ Eag.an Qrdin$rtces• L . ._ _ . . . , _ _ ' ' _ " _ . . . .. ? ' APPLICAN RMITEE SIGNATURE ??'- - apfp;llcatian and state CF+at the w.it;hr a11 appi3.cable $rtate of Nin. , ISSUED 89: SIGNAfNRE J REACTIYATE _ PERp1IT S ' . -_ . 111 J1dL CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPLICATION MM?-?5 rr. uPiI I. -f ` SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date l 93 Valuatlon of work - 75002- Site Address: y/f{Knin2 LAN?'- STREET SUITE # Tenant Name: (cormnercial only) LOT d? SIACK SUBD. 1%, P.I.D. N Wenzel Addition Descri tion of work: The applicant is: ?Owner 19 Contractor ? Other (Descri6e) Ndme Wensmann Realty Phone 423-1179 Property LAST FIRST Owner Address 3312 151sr sT w st SiREET STE N Clty Rosemount 5tate MN Zlp 55068 COmpdny Wencmann HomPC Phone 494-1179 Contractor Address 3312 151st Street west License # 1458 EXP3/31/94 Rosemount State MN Z;p 55068 City Compdny Wensmann Homes Phone 423-1179 Architect/ Engineer Name Per Dahlstrom Registration # 17991 Address 3312 151st Street west Clt,y RosPmrnint St2t8 MN Zlp SSnF6R Sewer & water licensed plumber wenzei Mecnan?ca? . Prucessing 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: ??/?.? ??s:?-?Z? OFFICE USE ONLY BUILDING PERMIT TYPE I ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. 0 10 Multi. Add'1. 0 15 Deck WORK TYPE ? 31 New ? 33 Alteratlons 0 35 Tenant Finish ? 32 Addition ? 34 Repair p 36 Move GENERAL INFORMATION . ,. , .. : -?? 16 Basement Finish 'D 11 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) v- N Basement sq. ft. MWCC System YE5 (Allowable) lst F1. sq. ft. City Water ye-S UBC Occupancy R.3 M_I 2nd fl. sq. ft. PRV Required Zoning _p D Sq. Ft. total Booster Pump # of Stories _ _ Footprint Sq. ft. Fire 5prinkler Length T87 On-site well Census Code o z Depth yo' On-site sewage SAC Code o 3 APPROVALS ? Planning Building Assessments Engineering Variance REQUIRED IN SPECTION S O Site ? footing ? framing ? Insulat9on O Wallboard ? Final ? Draintile ? Fireplace Permit Fee v,iuacia,: goJo Surcharge Plan Review License qb 4y6 K/6/,dl = 713 G MWCC SAC c;ty sac Hou.s? ; 1y 7? ? 7 y 3 F sa Water Conn. Water Meter Acct. Deposit 8G?5/(o 5/W Permit S/W 5urcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 100 SAC Units i . . / / I , GEN2-RYRN 30. .. ! 612+423+1149 'P.01 TATIO? ? ` 1 ? ......?. .._.? ; ? CONZAAClOR AnnttEss n iKL, 12 L iJ rsorrs : DEiERMM HORRIlgG SOUARE FOOSAGE OF ? 1. 2ota1 exposad va21 area .. . I sq. ft. x.1? •2. Total roofteeiLtng area . _ ?-457 :1 ? eq. !t. x^0';L6 i YoCal eaposed vall asea abovn llaor av,.Ylotalval,fzewiadowiaxea..?_.._»........ d00r iT.BA ?....w...?..«. - ..r- ....- ... ??. ??~ .?...... ?7 , 4@ - - - t. m•tsToCa=4Xa8?,glsss. daor: ar,es ........ ? ... d_ `&: .:'-rQ'tBj !HLlPl1C4 W81?. BLEL ...........?r..:..........'?'.:: O . i(8 a. Ts: +t?oea711. ?i?1L:#aamta& aiea•-(?yerAB? l0Y)? ......... . I . ?, :tr;:Satal neL. v+1L aiea ,aDoba-410ot .... .. •- '$. 'ToC'al 'sim jcist azea...? ...!I.......... ' ' 2ota1 asposad fouadetion area . ? ? • ;........... h. Total fauadation windov area ....... i •,iY42otal aet..£aoadatioa atew above grads ..... «..^_? ' 1 ? •?• • Dete?stercfittie??svaYueag? eac7L wal.k':xgaeat. ! i i: R-94X •. : _.. I ?E ? f! r „ ? ; ? i i ? ? i- i I . . i ., ? i° . i ?C-x "Ull - " b. • 38 ' x LrP ' . 9.8?3 : ; _ . . , C 40 x "U„ .? ° - ' ll 9z- ' • : ;. . . a. O a „a" . . 76* . ? a "n" c 1 ?50' a "C" 422- ? ' • ; . g? C3 a up" „a-41 X "V^ • i L. X rlRn 3. ..... . ...............:.......:.Total . ?. i ? : . ? • . i Y It item #3 is Cbn aams as, oT Iess-Fet?aa item41p you Aavn met thn ineent of 58C 6006 (c)2. • 612+623+1149 • 03-16-93 03:194K POOI . ? .. - .._?.-''-.. C6N2-RYAH CO. 612*423*1149 P.62 i Paga 2 0! 2 1 • ? • I IOta7. aaPotad zoof/e?ilitlg azaa "?•3T_ j. soeaL sLcyligbt asea ....--• ................?:... O . k. iotal soot/esllinB &aaia8 arw Ciwrage lOly -.? l, total aet iuanlatad zaaElcnilin; atsa ....:.... ?Z 9?_ Determine "II" valns fae each roelJeeilia8 sagment. i. lT / z Yff • 0,?-+7 ?2- ' ? ' 4 ..........................................2oes1 + /. ? if total of 34 is rhn eame as* or lass than 42$ 9ou havn met tha i»tent e. ..??r. a?OP??bB(5?006(C)1. ' , . ,--kl?AitYSdhi'?-81t¢?.di?rT.q?eeYORC?eSSgf1 i . ? ' To nti2ize the'tor.a].'aavelope eystem maebod, tha vaiuea aetabliahed by the sum of iLems 43 and 04 'alull -nat -be graater thim Che eum oE itena #1 +?nd #2. ? L. + 2. ` s :L l 3. -• _+4. . . . .? -_ i PoaMe0wand1=aansmMmlmemo78/1 #aorqn? ' f IT, /Nt /?w Bawl ? lQL' ..`.? .....??. . / i ' . ? 1 • • i ! . ? ` i . ' t ? S . , i f ' • I ? .. ? ? t `• . ; .« i ? ?. . ? . ; i ; } i • ? • i ? : j ' t i i ? .? ? ' i i i . ! ? . . ? • ? . ? 0i2+?23+11?5 • ?. ? i I - ; i 03-16-83 03:19PY P002?jkc J INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: LoT: za 6LOCK: 1 APPLICANT: 4173 ARBOR LANE WENSMRNN PROPERTIES WENZEL 1ST (612) 423-1179 PERMIT SUBTYPE: 4-PLEX BUILDING 021247 06/25J93 TYPE OF WORK: NEW DESCRIPTION (ONE UNIT) INSPECTION FOOTING .. . FRAMING .. INSUlATION FINAL FIREPLACE REMARKS: 3& W PLBR - WENZEL PRV ? -1 PERMIT 'CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMITTYPE: suzLoiNG Permit Number: 021247 Date Issued: 06 J25 J93 SITE ADDRESS: 4173 ARBOR LANE LOT: 28 BLDCK: 1 WENZEL iST DESCRIPTION: - 1 (ONE UNIT) \ , Build'in`g,Permit Type -- , 4-PLEX Building Work Type NEW UBC Occupanc'?\ R-3 M-1 Construction Type V-N / Zoning PD Building Length ; ` Building Width \ --? ? ? _--- 58 40 U(P- ua`7L72 n REMARKS: S & W PLBR - WENZEL FEE SUMMARY: Base Fee plan Review 3urcharge SAC SAC $ SAC Units Subtotal CONTRACTOR: - WENSMANN PROPERTIES 14340 PILOT KNOB APPLE VALLEY MN (612) 423-1179 PRV VALUATION $581.00 $377.65 $43.50 $750.00 100 1 $1,752.15 $e7,eee MISCELLANEOUS $1.744.50 Total Fee $3,496.65 Applicant - 9T. LIC pWNER: 14231179 0001456 WENSMANN HOMES RD 3312 161ST ST W 55124 ROSEMOUNT MN 55068 (612)423-1179 I hereby acknowledge that I infarmation is correct and Statutes and City of Eagan I have read this application and state that the agree to comply with all app.licable State of Mn. OrdinanGes. ;. t-111 <-?-- PPLICANT/PE(i SIG URE - % ISSU BV: SI RE REACTIVATE _ PERMIT ,? Ij J;JAJ CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 681-4675 rr, 9:J I? -I ? 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 picke(i up by last working day of month irt which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Yaluation of work Site Address: 73 dtmoK 447vm STREET SUITE N Tenant Name: (commercial only) IAT BIACK SIIBD. Isr P.I.D. N Wenzel Addition Descri tion of work: The applicant is: Owner JN Contractor ? Other (Deseribe) Name Wensmann Realtv Phone 423-1179 Property LAST FIRST Owner Address Vl, ? , s, q+ S?'YPPY WPq+ STREET STE # Clty Rosemount State MN Z{p 55068 Wensmann Homes Phone 423-1179 Company Contractor Address 3312 151st Street West License # 1458 Exp3!31/94 City Rosemount $tdte MN Zip 55068 Compdny Wensmann Homes Phone 423-1179 Architect/ Engineer Name rer_Dahlstrom Registration #17991 Address I'li? 19iRr Ctra t C7PSf Clty Rosemount $tate Mn Zjp55068 Sewer & water licensed plumber Wenzel Mecnanical , Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this apPlication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ,., ?- ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.- ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex O 14 Fireplace 0 05 SF Misc. ? 10 Mu1ti. Add'1. ? 15 Oeck WORK TYPE ? 31 New ? 33 Alterations 0 35 Tenant Finish ? 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION r. ? ?` r. ? . .. ? E5 16 Basement Finish _-,? 11 Sw)m Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. 0 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) y-t.j Basement sq. ft. MWCC System yC? (Allowable) UBC Occupancy y. ? lst fl. sq. ft. 2nd F1 sq ft City Water PRV Re uired yt3 . . . q ? Zoning pp Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length g On-site well Census Code la 2 Depth O I On-site sewage SAC Code APPROVALS ?- ! Planning Building Assessments Engineering Variance REQUIRED IN SPECTION S ? Site ? Footing ? Framing ? Insul ation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fe v°t°°`;°": ? ' ' . s DD Surchar 9e ? Plan Review License GAnar = ; Hq d /0 /3 ? 01 f ? , 1C 6 i = 7 ' MWCC SAC City SAC Water Co H°its F ? ° 4 nn. ; / X ?? j 70 Water Meter Acct. Ueposit -"-- S/W Permi t S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC 96 lo 0 SAC Units I ' ?. , GfiN2-RYpM ZO. - - ---- . ! 612+423r1149 P.al wnxESS ?l??3 c.a,klE' 1. Toeal expoaed vall ana .... •2. Total roof/ceili.ng aren . YoCal exposed vall area above iloor . rA:_ : • i+ 2?'`' ` ? ! ? , ,I ; I ; - - - - - - - - - - - - - - . . , ; . ; ? ? aq. ft. x t ? eq. i a_ 3vw!TOtgQ N81a;,piIIdOHlB.reg-........r... 31.•_1JxCtAA- d00r. 3't0a .-..........«. -....?»..... t. 2xsSaC?'?ki?S•g7:ass. door: tHrePlaC4 tral]. atea .......-... :. ?: ?t?oea'0!. rl?].1.:{sem3ng. airea••('4}+arag? . ?_ ?? ::Sota2 aeL. waLL arca ?aboVn•.llooc » .. g. "Tota7, i3m jcist axea..,_....._.+.....-.. ' 'fotai aspoeed foundetioa area ? h. Yota2 loundatlon trtndoY area .... i '3ti:Zota1 nat..Eomdaeioa ares aDove grids •, I • . DltelDfCersth"e%^.WhWSYssea: eae'!I. aaa':segaeat. D . ., I 9z ? -?-x V?? • ,?? I ? ? . ? 6 ! • 3 , b. 38 1? °II" . LW ? • ? ? a ,?„ • 11. 9y . . ? a O a ^nll A4- T • o . e. - - a tro" d9,# -? n. I l?o a^uM . oof I¦ r : ?, 60 . . b a tto" s• . < ? i ? ! b_ x "Q . _ : • I ; 36 ............ ................. , •.2ota1 If item 41 is Chn same sa, oY Tesa ej7m-jcembl? 9oa A+vn mst thn inteat o! S8C 6006 (e)2. • • ' 812+423+1149 03-16-93 03:19?Y P003 i ? ? i- 1 i l, • • t- i ' ' . . ? I . ; ? . . _.. _... - _ .: G6N2-RYqN CO. 612+423t1149 P.e? ? Paga 2 0! 2 ? • ? . . I . . . i ; ? Totatl ucpossd soof/cai21n8 area ` ?? • ? Toeal Bkylig6t atea ... ................. r .• ? . ? ? ? ? k. ibtal mot/ceiling haaiag arw (avexago lOZ) •• 'Z • ?? 1. TOtal tlGt SAO11Idtia LOO.P/CnS1Sri= ATei ....:.... ' i . ' f F Determiaa "C" valns !or esch rooi/eeiliae fiesmeat. i ? k. I "0" . Oyt{-7 ' • 1. /'L? 3 '1T" • 07? I ? . ?. '?Z- . i ' i • I ? ' 4 ...... .......................... .......... Toea1 ? .T/;Ad ? ? ' • I if tota2 of 04 is thn same as, or Inss thau 020 yo'u twva mnt tha intant . : ; ..nr.:?of??&SG?6006Ca)1. ' . . , ! ; ?. : •?3t *ALtardl?t'i?B1?,3din??veSoAt . . ' . . ; ' To atilise the 'toul "aaveiope spatm masl+ads iha va2uea aatab2ishad by - the esm of ttams 03 and A4 s1uI1 aoC'bs graater thbm tkn sum o! iteas .. ( bl and f2. . I ., 1. . . , i + 2. - . . . . • i ? I ; _+ q. •• ? ; ' ;,k - .- t • • . } , . I . , ? ? • ? ? ; • : i . . ? • . ? Postat°brandraxtrarwrnMmlmemo7e71 ?wpea.• ' ? ; . . i M 1° /11A1? $el.l?t/? : ' I (a.l?S/11/!1V I ' I o.w. . _ _ I • ; r . ..? .- - . . ..._ ! . ? ! • S ? i. 1 _ . . . ? _ . i . . . ? . ; .... ; I' ., . . ?. . .. ? .. . . :.... .. • , _ -- _. _._ - .._ , ? . ..?.:.. _..:.. - . . . _ --_ - • . . . . -: . • ? .. i : '. '.? ' . ' . . . ' . . _ . ` • -_..: F 812+423+I14Z ?- 03-16-93 03:19PY P002lrv.- , _ . . ,-T?•?_ J INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuiLoiNG 3830 Pilot Knob Road Permit Number. 021244 Eagan, Minnesota 55123 Date Issued: 0 6/ 2 5/ 9 3 (612) 681-4675 SITEADDRESS: Lor: 25 eLocK: 1 APPLICANT: 4175 ARBOR LANE WENSMANN PROPER7IES ' WENZEL 1ST (612) 423-1179 PERMIT SUBTYPE: 4-PLEX TYPE OF WORK: NEW DESCRIPTION (ONE UP1IT) INSPECTION .. IFOOTING . FRAMIN6 .. INSULATIpN FINAL FIREPLACE REMARKS: S& W PLBR - WENZEL PRV - ? P ? . ., ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT 4175 ARBOR LANE LOT: 25 BLOCK: 1 WENZEL 13T e DESCRIPTION: - - - -- - ? \ (ONE UNIT) Builj?in§?Permit Type JSuilding Work Type ( UBC Occupanpy,,e rConstruction TyF / 2oning ? Building Length ? Building Width ? 1 qVi/"•-^ .-? ? C?? y3-?5 PERMITTYPE: aurLozNG Permit Number: 021244 Date Issued: 0 6/ 2 5/ 9 3 4-PLEx NEW R-3 M-1 V-N PD 58 40 SCi?? C?? u a ?(Kiii In REMARKS: S & W PLBR - WEN2EL FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal PRV VALUATION $87.000 $581.00 $377.65 $93.50 $750.00 100 1 $1,752.15 MISCELLANEOUS $1.744.50 Total Fee $3,496.65 CONTRACTOR: - APPlicant - sT. LIc OWNER: WENSMANN PROPERTIES 14231179 0001456 WEN3MANN HOMES 14340 PILOT KNOB RD 3312 161ST ST W APPLE VALLEY MN 55124 ROSEMOUNT MN 55068 (612) 423-1179 (612)423-1179 I hereby aoknowledge that I have read this app'lication and state that the information is correct and agree to comply with a],1 applicable 5tate of Mn. stetutes and City of Esgan Ordinances. L A, 0? , f APPLICANT/PERMITEE SIGNATURE C- ISSUED 8 . SIONA E -j VATE _ R(GCIEOVED CITY OF EAGAN „# '' 1 4 t993 1993 BUILDING PERMIT APPLICATION $3?4di?•.a-? , 681-4675 2J -------- CGAli L-I1? SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date & c7 3 Yaluation of work ? Uvti - Site Address: J//75 &BoR. LA?r.1L STREET SUfTE # Tenant Name: (commercial only) IAT ? BIACK 1 SUSD. 1%? P.I.D. M Wenzel Addition Descri tion of work: The applicant is: JO Owner N Contractor ? Other coescrsno> Name Wensmann Realty Phone 423-1179 Property LAST FIRST Owner Address 3312 151st Street West STREET STE 1` Clt,y Rosemount _$Ldte MN Zip Srntin Company Wensmann Homes Phone 423-1179 Contractor Address 3312 151Gt 4trPPt wPq+ License #,arQ Exp.?????n? City Rosemount State MN jjP 55068 Compalty Wensmann Homes Pho11e 423-1179 At'ChitECt/ Engineer Name Per Dahlstrom Registration # 17991 AddreSS 3312 151st Strett West City Rosemount State MN Zip S5(11;R Sewer & water licensed plumber wenzel Mecnanical . 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. Signature of Applicant: ?.- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 5F Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 3F Misc. ? 10 Multi. Add'1. ? 15 Deck woRK nrPE 31 New 0 33 Alterations ? 35 Tenant Finish 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION ... ? ?Q.16 Basement,Finish `0'17 Swim?Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) y,N Basement sq. ft. MWCC System vLES (Allowable) UBC Occu anc N ? lst F1. sq. ft. d F1 2 ft City Yater PRV R d i ? p y r n . sq. . equ re Zoning p? Sq. ft. total Booster Pump B of Stories Footprint Sq. ft. Fire Sprinkler Length ?F On-site well Census Code /6 Z Depth , 11c>e On-site sewage SAC Code C)3 APPROVALS /--- - I Planning Building Assessments Engineering Variance REQUIRED IN SPECTION S 0 Site ? Footing ? Framing ? Insul ation ? Wallboard El final p Draintile 0 Firep lace Permit Fee veiuac;on: g ?'37 ?vo Surcharge _ { Plan Review License G?Y?l?GE? ? ?46 ? 7/36 MWCC SAC c;cy sac Hous?; ?y7o`? x /? = ?g Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % O ? SAC Units _? ?• ? . OGM ? GEN2-RYAN i0. I 612?423;1149 P.01 i i rh:= , M?=..ItIdF. EMEi.OPE "U" C0."3 TA?IO\ ' . I ? . y176- i9?2r3??n LnJ ? ?I • i ? ? . r ? . . , - ? DETERHM Zi0RRM SOUARE PaGTAGE OF_ Uc ? : i ka `• 1. Tota). axpos¢d vall area ... I ? sQ. ft. x.1? i -2. Total raof/oeiLtng area . . ?4'?J?_ aq• ft. x I ' • Total eaposed Wall area abavn Sloor - I,?, ' a. _...r.??«+..... . ?.-. ... 1''GtElt YHlf?eiliIIa0?11 Si'C8 .. •«•• 3v +. . ' ' o-. =- -- '_. :L.-_s?ToteY door. axea .-?w«..«... _.----------- ..__...._. _ . ' . ? t. , ?8•.glass. doot: ar,ea ............_..........?,,,.. ?•t3.TaCa7::?27. ' A6 • 0 ! ' : , i ... d _ ; . ...... . ._:: aYa7. tHrePlace. we1L asea ...........?... It: .:3 I dl 20Z)' • * ' • l :. ? ....... 43srag ( : Soea?7t.?]?L••:iseming, aiea• ?rk ? ? . ;_ .........:. t.-F.'Soeal.neL_+rall.area,abova•.floo=».___. E .. _ , g. 'ToCal 'rim joisc area.r._... ................ i r ' Total aspoeed foundetion area - ;. h. Total foundatiou orindow area ..............•••••• ? . ads . , ` Y b d ? •, i i ....... __ en a ove gr atioa a ?LLjffotal nat?foaa ae• . ?![E`??I.'GI'??@ ?.?.SC7L?lg??i l9lm Wa1*':lG?@ent. Y ? I • ! 6-7?9 b. J8 A "II' . Z(a ? • • ' a. U a ° ? a. ? ?3 a lro° i , 8• O x up° . X "U^ .'?5/ • ? • ? •• ? • . t, /5G - - x "o" .??r - ?. ??'?' , : I ? ' 3 . . ! ............ .........:.......... 4otsl ?• ? . ? ? • . . ? .? ' 2! item 93 is the aaw as, ei Tea eanLeas4lr 9aa Aavn mat ehn ineenr o! • _.-II-94% S9C 6006 (e) 4. . ' 812+423+I1I9 03-t6-93 03:19;1[ -F•OOI ? ? ? •? _ GEN2-RYqN CO. 612t423t1149 P B '• . ' eaga 2 0! 2 ' - r • , . f • •' : ? ? ' . Totat 4iNosad soo[/cs111ng araa ? i J. Teeal skyiight asea ........ ...............?:...?? • ' ' i k. 7ota1 rooL/eeslin3 lxania6 araa (awrage lOx}.. I? 1. Sotnl net iuaulatad sooE/ceilint araa ....:.... /Z 9?-_ • : i tI Deeermias "9" valns for each roo!/ceiling sesment. i ' O Z„4e O .? ' • ' i 1• r • I k. I? S "Q" . Ols?f''r „ _ ' .?j • ? . • i ' • l. /Z?, Z 'b." • dL 4 ........... ..................... ........... 7ota1 /25-? ? , • .. ? If eotal of @4 is the same as, ot lnss thaa 629 yoiituvm mat cha ineant ,. ..?,r.:?of?+68a?6006Ca)1. ' ; • ? ! ? ?. . : •?ts'-?-?taza'itCi?Bu#.1?-..Tw r^rit?es?8n ' ? ' i ? . ' To uti2lze tlu 'totai'aaveSope system methed, tha vpluea aetab2lshed by ; . ? - the sum of xtems 43 aztd 04 'slull -nct •be gesater t6iea ebn eum of itees .. j #1 aad i2. I . , ? ?• •. • i 1. + 2. ? ' • ? - . . . . • ? =:. i 3 _+ 4. •-a _ ?_?^?. : ,- , • ' ? • 1 , ; • . • : I . ? ; .r ' . F Pblt-k°W871d}BXhHfISRId1W R1811107WI Ito10lm?..? I , . . . ! ? , • ? G?E7?S/11/IN i ? ? ? wa• PhISINIf .. i •? I ? . . • S i ? .. , ? . . • . -. . ? Try = _ . • ? ?1i:i ?_- - • • i ;,... -.?_.,... .. _ . . - ..... _? _. . . ? : ..-. -. : .. -.._. , : : :.. . . • ' . ._..G... _ - ? ? -- -; '"':p-94% -. . .. ? ? .- 612+L23f[148 03-18-93-03:I9PY Po0 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNH01vIES AND CONDOS WI-MN PERMTTS ARE REQLJIlZED FOR EACH,UNTf. NO. FIXTURES I EAC- ? 1 SHOWEA 3.00 2 WATER CLOSET 3•00 2 BATH TUB 3•00 3 LAVATORY 3.00 1 KITCHEN SINK 3•00 -T LALJNDRY TRAY 3.00 HOT TUB/SPA 3.00 / WATER HEATER 3•00 1 FLOOR DRAIN 3•00 ? GAS PIPING OUTLET • minimum - 1 3.00 ROUGH OPENINGS 1.50 I WATER SOFfENER 5•00 _ PRIVATE DISP. • neLcry. iic. 15.00 U.G. SPRINKLER • home under ronst. 3•00 ALTERATIONS • to edsting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE TOTAL: SITE ADDRESS: I75- OWI*IER INST. 3. DO -S00 3,00 S?oO .50 ,.SD CITY: EA-64/l-) STATE: IVA.) ZIPCODE: SSIZZ PHONE #: ( ?d2) q$2 - ?.??.? ? SI N TURE, OF PERMITTEE 1993 PLUMBING PERMTf (RESIDEiv 1'twL) CT11' OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 1993 PLUMBING PERMIT (CONMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL CONSfERCIAUINDUSTRIAL BUII.DINGS. AISO FOR MULTI- FAMILY BUP DINGS WHEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR EACH DWELLING U?::T. _ NER' CONSTRUCI'ION ADD ON _ REPAIR woiuc nESCxIPTIox: CONTRACT PRICE: $ FEE: I% OF CONTRACT FEE. STATE SURCHARGE $.SO FOR FACA $1,000 OF pp,?ITI' FEE MINIMUM FEE: $ 25.00 " CONTRACT PRICE X 1% STATESURCHARGE TOTAL SI1'E ADDRESS: $ $ $ TENANf NAME: - STE # OWNER NAME: INSTALLER: ADDRESS: CTI'Y: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN ,,ppLICANT PLEASE COMPL,ETE FOR SINGLE FAMILY DVVEI,L,INGS. ALSO, FOR TOWNHOMES AND CONDOS WHE?V pERMITS pRg REQUIRED FOR EACH UNIT', ? NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DaTE FEES HVAC: 0-100 M BTU $ 24.00 ADDTTIONAL 50 M BN ' 6.00 ? OUTLETS (MINIMUM 1 @ 53.00 EACH) ff6o ADD-ON/REMODEL (ExisTIxc coxsTRucnorr) $ 15.00 STATE SURCHARGg .50 TOTAL ?LsLSG SITE OWNER NAME: ? /PI'1Si"l'1/,Ii717 TI0?5 TELEPHONE #: INSTALLER: GENZ-RYAN PLLTmBI`'G & HEt1TING C0. A=?ESS: 14745 South Robert Trail CITY: Roselnount STATE: f ZIP CODE: 55068 TEi.EPHONE #: (612) 423-1144 ? lw MECHANICAL PIItM1T (RE5IDEIVTTAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTf• _ STTE V]_p. FIXTURES ACH / SHOvVER 3.00 00 3 .3 , oe7 00 Z. WATER CIASET . / BATH TLJB 3.00 00 3 00 oD 3 LAVATORY . , f KITCHEN SINK 3.00 3, bv ! LAUNDRY 'I'RAY 3.00 3.00 T HOT TUB/SPA 3.00 3,oc / WATER HEATER 3.00 3.00 FLOOR DRAIN 3.00 3. ao ? GAS PIPING OiTTLET • minimum -1 3.00 ROUGH OPENINGS 1.50 WATER SOFfENER 5•00 PRIVATE DISP. • neiLctr. iic 15.00 U.G. SPRINKLER • eome une« consc. 3•00 ALTERATIONS • to adating 15•00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: 42•sd OWNER INST. L CITY: EA(AiV STATE: /?!N ZIP CODE: ? PHONE #: ( 6/2 ) ?.SZ- ?'?i?s SIGNAT E F PERMITTEE 1993 PLUMBING PERNU"r (xLbupr.iN iuu.) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMAERCIAIJfNDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UIN:T. _ NEW CONSTRUCfION ADD ON _ REPAIR WORK DESCRIPTION: CONTRACT pRICE: $ FEE: 1% OF CONTRACf FEE, STATE SURCHARGE $.50 FOR EACH $1,000 OF !!?RMT!' FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: $ $ $ TENANT NA711E: - STE # OWNER NAl14E: W STALLER: ADDRESS: CITY: STATE: PHONE #: ZIP CODE: FOR: CITY OF EAGAN AppLICANT 1993 PLUMBING PERMIT (COMMERC7AL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 MECHANICAL PII2MIT (RESII CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPL,ETE FOR SINGLE FAMILY DWELI,INGS. AISO, FOR TOWNHOMES AIVD CONDOS WHE;V pERMTTS ARE REQUIRED FOR EACH UNTI', ? !St.1"7' LrOiT'J1RLTi.l1V1\T ADD-ON A/C ADD-ON FURNACE DATE lq3 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 Iv1 BTU _*00- -41 OL7TT.ETS (MINIMUM 1 @ 53.00 EACH) gQo ADD-ON/REMODEL (EXIS'nNG CONSTRUCriON) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: ?1k 9 Xi'60f' Iall& OWNER NAME: LL97?L(-27 4/YlfS TELEPHONE #; INSTALL.ER: GE?1'L-RYAN PLLTiiBNG & HEr1T2NG C0. ADE::ESS: 14745 South Robert Trail CITy: Rosemount STATE: MN ZIP CODE: 55068 TELEPHONE #: (612) 423-1144 • PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT• NO. 2 Z 13 4- 1 *2- SITE AD] OWNER WST SHOWER WATER CLOSET BATH TUB LAVATORY KTTCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • minimum - ROUGH OPENINGS WATER SOFI'ENER PRIVATE DISP. • nA.ar. uc. U.G. SPRINKLER ' 6ome under const. ALTERATIONS • w aosting WATER TURN AROUND STATE SURCHARGE ,ACH TOTAL 3.00 3f dD 3.00 / . oa 3.00 ?, o D 3.00 9. ? 3.00 3.&0 3.00 3.bo 3.00 3.00 3.ao 3.00 3, o0 3.00 G, av 1.50 5.00 15.00 3.00 15.(!0 15.00 .50 CITY: STATE: .v ZIP CODE: /ZZ. PHONE #: (41 Z) 4s 2 ? /SIoS' 2 SIG ATURE OF PERMI7TEE 1993 PLUMBING PERMi7' (x?SLUr.triLaa.) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 TOTAL: 42, SO 1993 PLUMBING PERMTf (COMIVIEI2CIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMAgRCIALlINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMTfS ARE NOT REQUIRED FOR EACH DWELLING Uf::T. _ NER'CONSTRUCTION ADD ON _ REPAIR WORK DESCRIPT'ION: CONTRACT PRICE: FEE 14E OF CONTRACf FEE. STATE SURCHARGE $.50 FOR EACH $1,000 OF "RMq FEE MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: $ $ TENANT NA11iE: STE. # OWNER NAME: INSTALLER: ADDRESS: CIT'Y: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT MECHANICAL PIItMIT (RESIl CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPL,E7'E FOR SINGLE FAMILY DWELI,INGS. ALSO, FOR TOWNHOMES AND CONDOS WHE;V pERMTT'S pRE REQUgtED FOR EACI3 UNIT, ? NFW CONS'i'RrTCFTON ADD-ON A/C ADD-ON FURNACE DATE FEES HVAC: 0-100 M BT[I $ 24.00 ADDITIONAL 50 M BTU ?.06- ? OUTLETS (MINIMUM 1@ 53.00 EACH) 90 ADD-ON/RE.'vIODEL (EXIsTTrrc coxsTRucrtoN) $ 15.00 STATE SURCHARGE .50 TOTAL SITE owrrER rrANM:_ werornccY,n f1on-,r 5 TELEPHONE #: ?/g6- I17GI INSTALLER: GE.VZ-RYAN PLLTmBING & HEATING C0. ADr,?:ESS: 14745 South Robert Trail CITY: Rosemount STATE: M 55068 ZIP CODE: TELEPHONE #: (612) 423-1144 0 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT• 1p, FIXTURES EACH ? SHOWER 3.00 3•?4 2 WATER CLOSET 3.00 ao 2 BATH TUB 3.00 ao LAVATORY 3.00 9.00 / KITCHEN SINK 3•00 -3'A° LAUNDRY TRAY 3.00 3.00 NOT TUB/SPA 3•00 WATER HEATER 3.00 3,00 ? FLOOR DRAIN 3.00 3.00 GAS PIPING OUTLET • mmimum - 1 3.00 3.00 ROUGH OPENINGS 1.50 I WATER SOFTENER 5.00 5•op PRIVATE DISP. • DaI.Cry. lic. 15.00 U.G. SPRINKLER • home unaer mnsi. 3•00 ALTERATIONS • w aosung 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 STTE OWN INSTALLER: WF-AxZc-C._. / "<EG61,4dJlGAC_.. ADDRESS: CTTY: E46•AitJ STATE: MA.) ZIP CODE: .5,5722. PHONE #: (?!Z ) 4S2 - lS?CS SIGNATURE OF PERMITTEE 1993 PLUMBING PERNIIT (RESIDENTL4J,) CTTY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 TOTAL: 44. SD PLEASE COMPLETE FOR ALL COMAERCIAL,/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMII,Y BUP DINGS VVfEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UN;T. _ NER' CONSTRUCfION ADD ON ? REPAIR WORK DESCRIPTION: CONTItACT PRICE: $ FEE: 1% OF CONTRACf FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF 3'£R11#YI' FEE MINTIMUM FEE $ 25.00 CONTRACf PRICE X 1% STATESURCHARGE TOTAL SITE ADDRESS: $ $ TENANT NAME: ST'E. # OWNER NAME: INSTAI.LER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN API+LICANT 1993 PLUMBING PIItMIT (COMMEIiCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 MECHANICAL PE3t11UT (RESIl CI'IY OF EAGAN 3830 PILOT KNOg RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELI,INGS. ALSO, FOR TOWNHOMES AND CONDOS WHH?V PERMTTS ARg REQUIltED FOR EACH TlN1T. X NEW CONSTRUC'?'IrJN ADD-ON A/C ADD-ON FURNACE DATE 7f ??193 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU ,?gg ? OUTL$TS (MINIMUM 1@ 33.00 EACH) ?e-Q 0 ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00 STATE SURCHp12Gg .50 TOTAL 9Q, 6-0 SITE OWNER NAME: lLlenSi')')Gtl7/) TELEPHONE #: ?/;)g-lI ?GI INSTALLER: GENZ-RYAN PLLfiffiING & HEATING C0. A='ESS: 14745 South Robert Trail CITY: Rosemount STATE: M?l 55068 ZIP CODE: TELEPHONE #: (612) 423-1144 0 COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN ? C, ('0' 651-681-4675 1--1 o-?D 7-1 s- Foundation Onl New Construction Interior Im rovement • SWCtural Plans (2) sets . Architectu2l Plans (2) sets • Archi[ectural Plans (2) sets • CivilPlans (2) . SWcturalPlans (2) • CodeMalysis (1)" • Certificate of Survey (1) . Civil Plans (2) • Project Specs (1) • CodeMalysis (t)" • LandscapingPlans (2) • KeyPlan (1) • ProjectSpecs (t) . CodeAnalysis (1) " • Master Exit Plan (1) • Spec. Insp. 8 Testing Schedule " • Certifipte of Survey (1) • Energy Calculalions (1) not always" • Soils Report (1) . Spec. Insp. 8 Testing Schedule (1) " • Elec. Powar & Lighting Form (1) not ahvays" • Meter size must be established . Meter size must be eslablished • Meter size must be established - if applicable • ProjectSpecs (1) 1 • EnergyCalculations (1) 1 • Electnc Power 8 Lighdn9 Form (1) 1 • Master Exit Plan (1) 1 1 • Emergenry Response Sile Plan (1) 1 • SoilsReport (1) 1 • MC/ES SAC determination letter . MC/ES SAC determination letter • MClES SAC delermination letter call 651-602-1 D00 eall 651-602-1 D00 call 651-602-1000 Food 8 beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 tor tletails. " Contact Building Inspections for sample. Permit for new buiidings or additions wili not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: vk,lCrn f G ZC?Z WORK TYPE: NEW REMODEL CONSTRUCTION COST: 24, I. L(b SITEADDRESS:`Y-Wt(?)DL (Ac?Le TENANTNAME: -fl-kr Orkft2 SUITE#:At'ItZy.??Itleq?#'FY13,'k?111 FORMER TENANT NAME, IF APPLICABLE DESCRIPTION OF WORK CZP -KL) UJI14%k c7Tt- Name: 6j4(L {R?,,?( ??7'?9 f? 209-)S_ Phone #: (((24* 1 -rr O('J- Cl?Jc5 PROPERTY Last First 04Wi ER Street Address: lgoQ ( .t,-( City: ?&ELI State: 1MW Zip: IC361 Z2 I Company': R'CW4,l Phone #: 5l ZZ,?? - tOi 3 CONTRACTOR StreetAddress: Z,-)o S CO'luki() ?tiLClF?},h?C-tC=_? ciry: In srate: zip: ARCHITECT/ ENG[NEER Company: Phone #: ( ) Name: Registranon #: Street Address: City: State: Zip: Licensed plumber installing new sewer/water service: Phone #: L I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: C fj -/? "'- - Updated 7102 OFFICE USE ONLY SUBTYPE i 01 Foundation ? 26 Public Facili ty ? 30 Accessory Bldg. 1 14 Apaztments D 27 CommerciaUIndustrial ? 32 Ext Alt - Apts. ? 15 Lodging . ? 28 Greenhouse ? 34 Ext Alt - Comm. _ 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE , 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors =i 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorizarion ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning sq. ft. SAC Code # of Stories sq. ft. Va. of Units Length sq. ft. :vo. of Bldgs. 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 C Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Building Engineering Variance ?ermit Fee Surcharge :Ilan Review \4ClES SAC -ity SAC /Vater Supply & Storage 3/W Permit S/W Surcharge rreatment Plant 'ark Dedication rrails Dedication Nater Quality 7ther -opies VALUATION $ % SAC SAC Units Meter Size rotal J C, aP3 PLUMBING (RESIDENTIAL). Permit Application City OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Piease complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit ,?ls.sa Date 03 BEECHER,JOHN Site Address 4173 ARBOR LANE Unit # EAGAN, MN 55122 (651) 687-0970 Property Owner _ Telephone # ( ) Cont:actor NQRBL?? ??????NG dsOo (612) 827-4033 Address City • State OZip Telephone # ( ) The Applicant is _ Owner $4- Conuactor _ 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 _ Adding futures to lower levels or room additions, excluding water softener and water heater $ 50.00 _ Abandonment of septic system _ Water tumaround (+ 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 State Surcharge $ .50 Total $ IS. SO 1 hereby apply for a Residential Plumbing Permit and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Code •,^t?at;I-undezstand-this-is-n t a permit, but only an applicauon for a permit, and work is not to start without a pernur, that the wor &? 11 ibeLO- '2 in a?cor?dance ? th he approved plan in the case of work which requires a review and approval of plans. J2-? i?o?blcN?n 02003 J Applicant's Printed Name A nYs Signature i_ 2006 RESIDENTIAL BUILDING PERMIT APPLICATION t6i, Zs r. I s City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements 3 registered site surveys shaving sq. iL of lot, sq. ft of house; and all roofed areas (20%mazimum bt cove2ge aibwed) 1 Soils Report if proposed huilding is to be placed on disturbed sail 2 wpies of plan showing 6eam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preserva6on Plan rf lot plaried after 711193 Rim JoistDetail Options selec6on sheet (6uildings wBh 3 w less unils) MinnegasoD mechaniral ven6lation torm Date De /1,5- / v 6 Site Address 1,511, A-i213t`e- 71 73 Construction Cost 4; 4A74?-? UniUSte # Description of Work ?Zt??1^-+cSLJL?'rt l??Lf?' C?? ?l?IGK si Multi-Family Bldg 1, Y _ N Fireplace(s) _ 0_ 1 _ 2 Property Owner 1414(ScZ_ 5 5?--z--4y4Ciy`t Telephone # ( ) Contractor P(?' L ec7Tf5R2L:-' D0/ V MR21? HU?ezrae Address (ZZOca J\( IC'DLC-85:-7 State t??5 C3i"A- QV S)v'71' City ?c??.<65?[LL? Zip 5'?-337 Telephone#6TZ) °RZ-49(a00 RemodeVReoair Reauiremenfs Office Use Onlv 2 copies of pian showing foohngs, beams, joists CeA of Survey Recd _Y _ N 1 set of Enera_y Calalalions for heated addAions Soils Report _Y _ N 1 sde suney for addNOns & decks Tree Pres Plan Recd _ Y_ N. AddRion-indicafeifon-sftesep6csysfem TreePresRequi2d _Y _N Onsde Septic System _Y _ N G 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 (4 submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan???,G 1 5 _ Y _ N If yes, date and address of master plan: Licensed Piumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential $uilding 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 Aith the approved plan in the case of work which requires a review and approval of plans. ? e_?3 M . + _ 50P? ' Applicant's Printed Name icant's Signature ? ? ?? 2007 RESIDENTIAL PLUMBING PeRnniT APPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existinq residential dwellinqs. / 5?, 6b Date ? ! 6 ! o7 -- _ Frank Galle Site Street Address 4175 Arbor Lane Unit # Eagan, MN 55122 Property Owner 6514523114 phone # ( ) Contractor Telephone # ((?iz ) 817-?1?33 ?g Rddress <<Jas Gw'Tit?? ?dC .J?ut? City W' ai StateAfA/ Zip ss?/11? The Applicant is: _ Owner & Occupant ? Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alteratians to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. !f you are installing onlv a wafer softener and/or water heater, do not complete this sec?ionG; ? J ?re move to the next section and place a checkmark next to th?} i t lli I ns a ng. ? APR I ? ? _Septic System Abandonment _Water Turnaround (add $136.00 if a 5/8" meter is required) Other: _ Water Softener -2(- Water Heater $ 15.00 _ new ? repla:.ement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ Ir so 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 p mit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is req ir d to be r iewed and approved. ApplicanYs Printed Name pplicanYs Siqnature -7 -7(?o -7 1? 2007 RESiDENTIAL MECHANICAL YERMIi` ArrLicnTioN City Uf Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone M 651-675-5675 Please comple[e for: smgle family dwellings & townhomevcnndos when pemiits am reyuired f'rn' each uni[ 'E?:40 -sz5 Date 0 5 J 0 3 I 2007 Site Address 4169 ARBOR LN Unit # PropertyOwner VALERIEBARTYZAC Telephone#( ) Contractor GENZ-RYAN (STEPHANIE) Street Address 2200 W HWY 13 City BURNSVILLE State MN Zip 55337 Tekphone# ( ) 952-767-1845 Bond #: 929298827 Expires: 8114l07 The Applieunt is _ Owner X Contractor _ Other Pire repair (replace burnwl out appliances, ductwark, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteratian to exisGng dwelling unit $ 50.00 furnace _Additional _Replacement _ New X air exchanger air conditioner heat pump other StateSurcharge D .50 J Total $ 50.50 I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not 2 permit, but only an application for a permi[, 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 aod approval of plaris. ^ I ?I'enhav?iZ 1?aDI?? 6 I Appli ant's Printed Name Appl cant's Signature PERMIT# ?q (, --? - RECEIPT DATE: 2002 RU1DENTIAI. PLUMSINfi i'EiiM1T APPWCATION crrY og Ea6Ax 3$80 PILOT KNOS RU EAHlkN, hIN 55122 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, ?aventecfor_irripation system ? UNDESSER,GARY SITE ADDRESS: 4171 qReoR uANE - EAGAN, MN 55122 OWNER NAME: : (651) 686-0320 TELEPHONE #: ? i (AREA CODE) INSTALLER NAME: N O?" `OI b YY1 {? ?t,W1,?1 ?? TELEPHONE #: (O IZ' ? 27 "zf 033 STREETADDRESS: 2QO°,$ GGII?'FGIa /}yeyiy{,e-. S0M'Y1 (AREACODE) CITY: rvl{J?S. STATE: M? ziP: 554p $ _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ W ater turnaround - existing dwelling unit (+ 5f8" meter if needed -$118) Other: _ RP2: new installation/repairlrebuild $ 30.00 _ lawn irrigation system ReplacomenUadditional: _ water soRener X water heater. , ! 15.00 r State Suraharge .50 Total " " g 155o I hereby acknowledge that I have read thls application, stata that the information is corred, and agree to comply with all applicable City of Eagan ordinances. It is the applican4s responsl611ity to notify the proparty owner that the Clty of Eagan assumes no liability for any damages caused hy the City during its normal operetional and maincenance actiwties to lhe facilities constructed under this permit within Ciry pro lright-of-way/easement. SIGNAT R PERMITTEE 1/02 1`C~ ~,~'~y7~~: ~ . ~ J K~,~ ;t• ~ . , . . . ' iti..~ ~ .q~," ,y,.. ~ r~'• ~ . .''~•~.^,x;~~^.i~ ;y , ~ . ~,1 Fe ~'~~~j'sf ~ . r .7!!'~;,. ~ ~ , ~ • _ . . .V _ . . . ' . . 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L1 Q.AG C ~ ~ a h I c n 4 ~ ~ i- ~ ~ 0 5~f~,6 S~A~ ~ ? ! ~ M ( H ~ - G~,o ~O ~i( i Q (a,o ' m 1 8 ~ 9 ig P~c ~ e ~ , 9 9, , o, 0 ~ 0 ~ ~ ~ ~ d~ _ ~ P ~ ~ l ~ , ~ r~ 2~ , S z? , 5 ~ f ~ ~ i2.~ ~ iz,y N - ~ . c, . 0 O O ~ ~ 4 1 2 ~O ~ tJ N ` . . _ , 11 ~o`J ~ DO ~5 , F~~ ~ Q.,. ~ hc.~..~ ~ - 30 . ~ NG ZER1~~ ~EPT I ; ~AS~ ~as~ ~.Lc- Q~AR~Nc~S A~,~MED ; ~ i ~ ~ ; ~ ~ , G,,,~ < G~a ; ~ - - _ _ _ _ _ ~ ~ ,4 ~3 P~Z. ~ v I~, T c~ c. p o . i ~ ~ p I E~ ~ -r~ ~ ~ ~ ~ Ld'i ~5 Z.~o 2'j AN Z~ ~51..~k 5 1 ~ ~ ~ . WENZE~- F~~S ~ ADD ~T~o I - bAK..oTA ~ou?~~Y } . M~ tit ~.lE SDTA ~ :~r . . ¦ QUIRED C fz- 4 _ ~ ~ IFICA~T~ F SU~~IE A ti~ WE~lSt~ NN ~-1oME~ ~ ~ J E i~~~ It.,tC, , • : ~,Q APPROYED 8Y I hereby certify that thxs survey was prepared b me or ~~E~ oRnwN ev y ~ !2• °J _ under my direct su ervision and that I am a dul Re istered oa~; 3 P Y Land Surveyor under the laws of the State of Minnesota. _ u ~ . - ~ A~aCiA,~D S ~yEY1N4 ~ r~,~iNE ~ ~ , Date : ~ ~a i g3 ~ ~ ~ ~f~~ LeRoy H~, Bohien DRAWING NUMSEA ~ Registered Land Surve or No. 10 , y 795 s . No. ~esa.~axxa ðî ÿ þýý ðûûü úýý üîè àÛ ñà þýö þýüûúù ó ûúùöø ù ó ã þÛã ûúùãýéý þ öýôü õôöýôü þÛ ý ûú äòýúõê ý ìÿãöññ ôîáþÝ÷ óßæêê õú þý ë îèæêäêä ôïóï öòñ ùù ûúÙ ùùý úÛ äòýúõ àä ü ý ìãöññ ãö áäßñ ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý 0512312014 11:26 Les Jones Roofing, Inc. (FAX)8528817009 P.004/016 Use BLUE or BLACK ink For Office Use Permit C q77 1 City of Evan ; -7-6 11 3830 Pilot Knob Road I Pemtll Fee. 1. 1 Eagan MN 66122 Dale Received: i" Phone: (661) 676-6676 I i Pax: (651) 875-6684 I stem 1 I - - - - 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date; oZ 3 . Site Address: UW- 41-71 - .41-73 4t75 Agag1L Un(t Name: p ,.6 AamRs soc. ~A K hone: - 4 e S sLC Address/ City/ Zip: Lf-fo AIZE10 9 I Applicant Is: Owner x Contractor Description of work: r2 ct-t v p ~ Construction Cost: - 3 2 2 *7 ! Multi-Family Building: (Yes x / No Company: AiFS jaN63 R oamy ; /NG. Contact: CNR-r x 101v0APZS0A/ Address: 4YL W. ?d city: BGOtNG,t/ Stets: Zip: ,~,l~~f2a Phone: 9'F;I - 76 7 - &W/7 License Lead Certlflcate -/A-7' 'V O S ?.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 Fagan Issued a permit for a almllar plan based on a master plan? `Yea -_No If yes, date and address of master plan:. Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor; Phone: CCALL. BEFORE YOU DIG. Cal Gopher State One Call at (661) 464.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. mmoer aoohwstateonecall.oro I hereby acknowledge that this Information Is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; that I understand this Is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will be In accordance with the approved plan In the case of work which requires a review and approval of plane. Exterior work authorized by a building permit Issued In accordance with tho Minnesota State Building Code must be completed within 180 days of permit Issuance. x_Gi'At5 4AiDE9b'0A1 x Appllcanr s Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176151 Date Issued:05/03/2022 Permit Category:ePermit Site Address: 4169 Arbor Lane Lot:026 Block: 001 Addition: Wenzel 1st PID:10-83570-01-260 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Eugene B & Valerie A Bartyzal 4169 Arbor Ln Saint Paul MN 55122--286 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature