2223 Wyndemere LaneINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: f 11. D I Nt.
3830 Pilot Knob Road Permit Number: R
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: r ' fa ` `' 1 1 " " 1 APPLICANT:
i •.I A. .I. IsI .rt r
IIYNDUMt RI I AN IF Ea I .cr!`! IANI NE
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR.
3.1111,£; 1I'1 ! 1 ?tr? i l nllrF
PC MARKS: A SEPARAfF PFR141 F Vq RFQ1IIkF0 VOR ANY PtUMt31.Nti OR F. I FCTRICAI WORIP
L
Permit No. Permit Holder Date Telephone #
ELECTRIC Q,70 Mgt
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL M fi
/t1l1?tOQl_tLS
Qr
tJ
BSMTR.1.
- s
?
,.
7h) 7hW SAJOJ?D Ae--OOcj Shr=!
motr waves N is Pw'
.
BSMT FINAL - j ? t*v& rt?Ot/i ariez5
?t1b -vwrA-L _ _ rtwLmuc
DECK FTG i d?t?vlNlar A,1 AA1?PWJ$- 411-, ?I C?Lr ?Q,?
DECK FINAL
bew-
WO
?'h
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS•
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
• 101
1'(NDF fq! k t
PERMIT SUBTYPE:
I t H I fit I APPLICANT:
i ANF X14 1
TYPE OF WORK:
rd I ?. t
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
11'x'. ?1 S'tl? i I P..!+
Itll l i f? ! Nri
11 1 MARE"Ix , h u PI HI? s, .1 M. 1't If,$ I. RV
Permit No. Permit Holder Date Telephone It
SNY
PLUMBING
HVAC 0 O
ELECTRI /?? 9a QD
ELECTRIC
?roll
y
.?dv
Inspection Date Insp. Comments
FootingsI
Foundation / . 5 ) t ( / L1
[G' /
Framing S . ?? 3 S ? S3 T/ c
?hP?T i P
Roofing S / ? 4se l ; -A# J/4,,t-q
Rough Plbg. - /' ?ow
JJ ac? C7
Rough Htg.
/is Cl/
Isul. S `O-P-3
Fireplace 5- l '7- 9 3 V L J o
Final Htg. jj
Orsat Test _ "4
Final Plbg. 29- Plbg. Inspector -otliy Plu r
Const. Meter 7-Z fo- 93
Engr./Plan
Bldg. Final ?! S
Dock Ftg.
Dods Final
Well
Pr. Disp.
?1 W ?_/?
W
ve?catc 0 Ccc"anO
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use cussiGatiow SP DWG Bldg. Permit No. 20512
ROM
Type ZoeDisdid Typcon. owna of Addrm 8604 LMWZ AVE S. H MaM
?? 0 r .. P HQrFS II?T'
B _ 2223 WWVDOE LAI+>E yL 11, BI, OAK CLIFF FM
08/04/43
? ?--- I?ase:
Boildig o8kid
POST IN A CONSPICUOUS PLACE
p70
Z ? 7
?//9/p?-
REQUEST FOR ELECTRICAL INSPECTION b°T,% EB-00001.09
see instructions for completing this form on back of yellow copy. 5550 0
"X" Below Work Coy% .y This Request
New Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
A
Other, ((specify) Contractor's Remarks: ?NSF? y.A,
Compute Inspection Fee Below. O
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps j0
Transformers Above 200_Amps Above 100 -Amps
Signs inspector's use only: N TO AL?y
Irrigation Booms U , Gd
`
"
'
Special Inspection ?
!
Alarm/Communication 1 SCO CTED IF NOT
THIS INSTALLATION MAT-RE OFj 06
Other Fee COMPLETED WITHIN NT '?
I, the Electrical Inspector, hereby Rough-in Cale r
Y
e
certify that the above inspection has
been made. Fmm
f tZ
o
?/,1/ v
OFFICE USE ONLY
This request void 18 months from
Address 2273 WUMDIERE LANE Zip 5512?
Lot il Blk I Sub om n.TDT Pao
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 0804/93 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow --Resident Copy Pink - Contractor Copy
0
97-070 SSoo
;) I ?D
Request DateQ
_ /Q 9
K' Fire N6. Rough-In Inspection R Inspection Other Than Rough-In
(You
[ call inspect en mady) O Ready Now ff Will Notify Inspector
. ®
Yes E] No Date Rea
I Klicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
?a Gv ,v f2 /YI?2F ,>!? F?A6/1N
Section No.
T
ownship Name or No.
Range No.
County
I I c2okoT
Occupant (PRIM)
Se.a?vvE /yl?DSO.S? Phone No.
Power Supplier Address
flt .4 .reA?2/$1 /x/6'70 ie/
Electnoal Contractor (Company Name) Contractors License No.
?,OrT/¢ ?LFGT/1/G 640I;L3?
Mailing Address (Contractor or Owner LMaking Installation)
"<2- e
Authon/zeds Signature (Contrac[udOwner Making Installation) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-128 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., SL Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
L 01168
.ZZ14 a
Request Dale
J i e) p ?, p Fire No. -in Inspection
squired?
'
O Ready Naw ,Will Nobly Inspector
Wh
R
d
?
7 j
(Ies ? No en
ea
y
I.Zlicensed contractor D owner hereby request inspection of above electrical work at:
Job Acoftm (Street. Box or Route No.) Oty
Section No. Township Name or No, Range No. County
K4172
Occupant (PRINT) Phone No.
,G So?- 33y -15`0 31/
Power Supplier
/?r Address
t'
f??•//Jr1A t'
/ a` J?
Electrical Contractor (Company Name) Contractors License No.
c,4 0 1237
MaiLng Adtlr I tractor or OwvMakinq Instatla9on /,
??? SOP
/ evc
tie
L /iL
Authorand Slgnatur ontractor1Owner Makm nstaltabon) hone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grlggs-MlCway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 862-0800 ENCLOSED.
r• ?? ?y? REQUEST FOR ELECTRICAL INSPECTION
ill See instructions for completing 'his form on back of yellow copy < 7
. d 01168 X" Below Work Covered by This Request ?F
New Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Healer Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olner (specify) Contractor's Remarks.
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps - I !ZJ O to 100 Amps rIa
Transformers Above 200 _ Amps Above M -Amps
Signs Inspector's Use Only: ry TAI„
sQ
TO
Irrigation Booms
X ?
;{
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN ONTHS.
I, the Electrical inspector, hereby Rougn.in oafs .!??
T
certify that the above inspection has
been made. Final oats
,y
OFFICE USE ONLY
This request void 18 morns from
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P<I.N.< 10-53b75-1t0-01
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
22?3 WYNOEMF_Rc LANE
LOTS I,I BL.OCK: 1
0hl< CL I FF PUI'10
12!.,000
DESCRIPTION:
-i,uiId zig Permit type SF DWG
' Bug ! d I ncl ;Wor p 1/p:-•. i?f_W
UGC Occupancy R--3 M-1
Cone tr unI ion l-ypn V N
Toning PD
RuiIding Lrngi:h 3
nuile1ng WidU! 15
L'
REMARKS:
F: W PLBF1 - B i Fri PI r,G I'RV
FEE SUMMARY-
Rase Fee
Plan R,, viUw
SLlrnharge
SAC
S+4C un.its
SuID L0L.l1
`.fA L U A f1. Dh.
1;13.0`)
6+0.64
0!7
1. i9 4^,
1 9 8 6 ,95
Cf3 ?,?9
111.:3 CELI ANL0US
IuLa I F- c"
71^ 0
31.15
CONTRACTOR: i. n a n C, - s T .. L I rOWNER:
VAR, LFY C 0 N S T .70S 133160SI 0003299 0 C P HOMES INC.
',6^Ti rg 3NIE1 OSVI I I t. lit VD 'n'FN9 LYXDP.I I
FARIDAULT il11 5S0 zl! 1 BLOOMINGTON MP' 5S>1',0
(!?0T) 339-6031 (51".'.)581-01?7
1 ° 1.
1 herr;uy ,-c',nowlecigc, ih.:c heave rend i.his -pptica.;_0a ,.+Id _ ;.h.'l nr
Snip I rlon iv. n01r°?-t ., f`•. y +itY. II hl -%,1? - o' a.I
31.,-t?I tes ??o CI ty c) t- Eagan Crdi. ri, ric.z
I AVk 7 ( ?1A21 T
A PLIANT1PERMI EE SIGNATURE
?t i' -fiNIA 'ISSUED BY: 4,pi SIGNATURE
REACTIVATE
PE`Rf i # ,
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION ?g
681-4675
VAR 1 8 REco
cad-:?? 3-14
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.
a
Date Valuation of work g/) 00
Site Address: oZ vp,IQ _?T CJ (7 .0 7Eifil?-7eE ! I
STREET SUITE #
Tenant Name: (commercial only)
?l
l
O /
10
3575 /10
LOT
I B
LOCK
SUBD.
lNew DgeiiGAGn
*
P.I.D.
I
Description of work:
The applicant is: ? Owner ? Contractor ? Other (Describe)
Name mes, nc. Phone 881-0127
Property LAST8609 Lyndale So. IFIDIB
Owner
Address
STREET STE 9
City Bloomington State MN Zip 55420
Company Joseph P. Varley Construction Phone 507-334-6034 -
Contractor Address 16800 Shieldsville Blvd. License OQ03249 Exp;3/31/93
City Faribault State MN Zip 55021
Company Phone
Architect/ Grover Dimond
Engineer Name Registration #
Address 2332 Bourne
City St. Paul State MN ZiP55108
Sewer & water licensed plumber BJM Plumbing Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this ap lic and state that the information is
es ota Statutes and City of
Mirr
correct and agree to comply wdi
a
s
St
r
o
tr
ti
ep ar a
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
Iff 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'l
WORK TYPE
X 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
.. , , R .
? 11 Apt./Lodging t1 Aasen*Finish
''
}
Y
? 12 Multi. Misc. ? m Pool
7
1
5W
? 13 Garage/Accessory ? 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish ? 37 Demolish
? 36 Move
GENERAL INFORMATION
Const. (Actual) V-N Basement sq. ft.
(Allowable) V-N 1st F1. sq. ft.
UBC Occupancy R ?M I 2nd F1. sq. ft.
Zoning P Sq. Ft. total
# of Stories _ Footprint Sq. ft.
Length ?c 3 On-site well
Depth 1% On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing
? Wallboard ? Final
MWCC System YES_
City Water YES
PRV Required ? 5
Booster Pump
Fire Sprinkler
Census Code /oi
SAC Code 0_
?
hs?s bld .?-
?
Sus ttiHi ?
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
Permit Fee V.luacion: S 12 J1 oD0 ,?
Surcharge
Plan Review G/•1RAGE? 20XIOZ y00,g16 -6g00
License
MWCC SAC 8SMT: i
Z2 /2K!-J,? -908
City SAC
Water Conn lb.
? )</6s
(SG)
Water Meter 2dX y1 c ???
Acct. Deposit G K S = (30
S/W Permit
S/W Surcharge lSrFL o2'
' J?AaXlS= it?53
Treatment Pl. - /
Road Unit 66nrr Ir7y 3
Park Ded. 2X6 r IL
Trails Ded.
Copies
ass XSN= c/ y, 970
Other
Total:
1 ZD/3oo
SAC % 100
SAC Units __T-
r.
' Y • Y `
SO
1k PIONEER
Qne near
2422 Enterprise Oriva ' '
Mendota Heights. MN 55120
612) 681-1914•Fox 681-9488
• LANoacmr. M041ECTS 525 Highway 10 NarUleaat
Blaine, MN 55434
1(612) 783-1880,Fax 783-1883
Certificate of survey for: OCP Homes. 111 C.
House Address: 2223 Wyndmere Lgne
V gi
0
G
h
4ya. 4a.s0 /1
4s.
.
g41.o ? i
?U1 o
oboe
s
WYNDEMERE LANE
P. 61
\ ?v
? 940.(0 •, ? s
?'ja tS
m?o,
,? 4t•6 \ ` cP? ,
?? 11 qF>.z a d% ?•,
/ 'a'? y' \
\ \ v •4y ? A4? 44.3/ o
X4'°41• ? ?h, ?. ? ? .l.
87,70 C1T
102.86
'k0 00" E 2
14 $
NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS
a ooo.a Denotes Existing Elevation --
a(M> Denotes Proposed Elevation
=-- Denotes Drainage & Utility Easement
Denotes Drainage Flow Direction
-o- Denotes Monument
_a- Denotes Offset Hub Bearings shown
PROPOS ED HOUSE ELEVATION' '
Lowest Floor Elevation:15-4 8h
MAIW WLmA Elevotion:_10yr.
Garage Slab Elevation:.,
are assumed
LOT 11 , BLOCK 1 OAK CLIFF POND
DAKOTA COUNTY. MINNESOTA
I haeOY vanity that We WlWY. Plan of Now, was prepared by me or under my direct wwNlrion and that I am duly RaaittMt4 LOW SurvWa
under the lave of the State of Mtnnnota. Dated thh 17 Yf1 day of MA 2Cf1 A.O, Ia
am
• 1 larh.
LOT •ORPEY CaECZLiET FOR RESIDENTIAL
arimNO PERMIT?APPIL
ICATIOONII
/
n
I
--
?
PROPERTY Ll3ALi _ (I 1L C?
r
a
? r
Date of survey1 3 -f7-9S
DOCIIKLNT RT vna4na
¦
¦ 0
0 D
D Registered Land Surveyor signature and company
Building Permit Applicant
¦ D 0 Legal description
D ¦ 0 Address
¦ 0 0 North arrow and bar scale
® 0 D House type (rambler, walkout, split w/o, split sntry,
lookout, etc.)
1
D D
D 0
0 Directional drainage arrows with slope/gradient =.
¦
0
0 Proposed/existing sewer and water services
t
S
reet name
0 0 - Driveway
ELEVATIONS
i
ti
E
D
0
0
- s
x
ae
Sewer service
¦ D D Lot corners
¦ D 0 Top of curb at the driveway
¦ D 0 - Elevations of any existing adjacent homes
proposed
1 D 0 - Garage'floor
¦ D 0 First floor
¦ D 0 Lowest exposed elevation (walkout/window)
¦ D 0 Property corners
¦ D 0 Front and rear of home at the foundation
'
D
0
• POA
DING AREAS (if apclicablel
Easement line
D 0 NWL
D 0 -HWL
D 0 Pond 1 designation
D 0 Emergency Overflow Elevation
¦
0
0 DIKENSIONS
Lot lines
0 - Right-of-way and street width (to back of curb)
¦ D 0 Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
¦ D 0 Show all easements of record and any City utilities within
those easements
D D Setbacks of proposed structure and setback of adjacent
existing homes
D 0 D Retaining wall requ M oments, if any
Reviewed: -- -3-
?13
Name
/ Date
CITY OF EAGAN
1 EXTERIOR ENVEWPE AVERAGE 2U' COMPUTATION
!i MINERS -0C F1 H M S
SITE ADDRESS: a (29 2 W Y 163 F 14 R F IOT 11. RLFC
CONTRACTOR: VAR LF-Y r DAS S r T. DATE: PHONES
Determine working square footage of each:
1. Total exposed wall area ... :Q q) O sq, ft. x .11 = ;Z 3
2. Total roof/ceiling area ... 1:3 40 sq. ft.. x .026 s 3 5.
Total exposed wall area above floor a ' 8Q Q
a• Total wall window area ............................ Qi 3
b. Total door area ................................... ?3SS
c. Total sliding glass area ..........................
d. Total fireplace wall area -
e. Total wall framing area (average 10%) ,.......•..•.
f. Total net wall area above floor «.•,...........•••
g. Total rim joist area ..............................
Total exposed foundation area = X ?2 Q
h. Total foundation window area., ................. **..*
I. Total net foundation area above grade .............. 0
Determine OU' value of each wall segment:
a. 19O x'u' •`f7
b. R x'U' .1-4 = r
C. -go x out
d. x out
e• x out
.097 = 17
f. f S2 x'U' _ .OAS = / I
9. 150 x 'U' .095
= 6
h. x out
i. 24.0 x out , 07G = O
3* .....................................155 ......... Total a a Z 8
If item f3 is the same as or less than item /1••youu have met the intent of SBC
6006(c)2.
Total exposed roof/oeiling area a 13-10
J. Total skylight area... ... ** ............. 0.00.00..'
k. Total roof/ceiling framing area (average 10%) .....? 4
1. Total net insulated roof/ceiling area .............. 121 6;
OVER
Determine •u• vary=
J. z tug ------? _
k. 39 x ' ut_ a,_? _ . n3
??71 /? X Iut 0oZo? = aC?
p
Total r. "; 4 . .............................................• have met the inten t of BBC
If total of /4 is the as as or leas than t2, You
6006(c) l..
?lternate Building Envelope Design
TO utilize the total envelope system method$ the values established by the sum.
of Items i3 and /4 shall not be greeter than the sum of Items /2.
,. a 3 .2. 35
2
/ ; 1
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1 51711 ?17
? //0/9-0
BUILDING
027258
04/09/96
SITE ADDRESS:
P.S.N.: 10-53575-110-01
DESCRIPTION:
2223 WYNDEMERE LANE
LOT: 11 BLOCK: 1
OAK CLIFF POND
6 1Uild3n -,permit Type
Building WSo-rk Type
Census Code
r
E
i
BASEMENT FINISH
ALTERATION
434 ALT. RESIDENTIAL
s
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: - Applicant -
MATTSON JANINE
2223 WYNDEMERE LN
EAGAN MN 55122
(612)296-6160
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 Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMIT 'SIGNATURE ISSUED BY. SIG ATURE
CITY OF
EAGAN
3830 PILOT KNOB B RD
RD - 55122 4ff
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) w-681-4675 `
Remodel/Repair Requirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies or plans (include beam & window sizes; poured Md. design; etc.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 711/93
required: Yes No
DATE: ?/? . CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT 0-
-LL- BLOCK SUBD./P.I.D. #:
-lfly-(atria, d
PROPERTY Name: ?l % /SJn/ fiA Ni /r Phone #:
OWNER / FMIT
Street Address*
City:
CONTRACTOR. Company:
Street Address:
_?? ?Y,2 -
State:z? Zip:
City; State:
ARCHITECT/ Company:
ENGINEER
Name:
Phone #:
License #:
Zip:
Phone #:
Registration
Street Address-
City: State: Zip:
Sewer & water licensed plumber: /?9 t Cf?" Penalty applies when address change and lot
change are requested once permit is issued.
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 EC - VED
Certificates of Survey Received Yes No 1100 Q /p X996
Tree Preservation Plan Received Yes No ------------
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ?
? 02 SF Dwelling ?
? 03 SF Addition ?
? 04 SF Porch ?
? 05. SF Misc. ?
WORK 1YPE
06 Duplex ? 11 Apt./Lodging ,16 Basement Finish
07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
09 12-plex ? 14 Fireplace ? 21 Miscellaneous
10 - plex ? 15 Deck
? 31 New XK--?Alterations
? 32 Addition ?. 34 Repair
GENERAL,,; INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SIW Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
? 36 Move
? 37 Demolition
3
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft,
sq. ft.
Footprint sq. ft.
Building
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. s!
SAC Code
Census Bldg
Census Unit
Engineering Variance
Valuation: $
% SAC
SAC Units
AbL_
Ir , City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651)676-5694
-----------------
I For:Otfice usQe 7 2"
j Permit#: =i 9/ /J
.?
I Permit Fee:
Date Received: t/v
I Staff:
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: s d a Site Address: 3
-2-z
Tenant: GL f/t/ ?
, J
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Sit k`/ Suite #:
RESIDENT / OWNER Name: . el k4-'601- --e-- ?'S0 L? Phone: 657- 00
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Address / City / Zip:
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Applicant is: _ Owner X Contractor
TYPE OF WORK Description of work:
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Construction Cost: Multi-Family Building: (Yes No)K)
CONTRACTOR Name: j?LL? ?y"?°r ?? l??-S License #: -2-0 SS
Address: l 3 4°?c?l1C? ??/?
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City: fX Lam. v5 state: Ziip:
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Phone: y -y2_7 - 9,? y7Contact Person:
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COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
_ Minnesota Rules 7670 Category 1
_
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • 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?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE., Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classed as non-public if you provide specific reasons that would permit the City to
,t conclude that the are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x x?? ?C--
Applicant's Printed Name Applicant's Signature
Page 1 of 3
� City ot6a
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675-5694
PERMIT TYPE
COMMERCIAL FEES;
$70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
Applicant's Printed Name
- If ?Amid Eee is less than $1,000, surc Is 150.
- If Perrnit f is > $1,000, surcharge inaeases by $.50 for each
$1,000 Permit Fee (i.e. a $1,001$2,000 Peme Fee requires a $1.00 surcharge).
a Signature
Use BLUE or BLACK Ink
Pernik it
Permit Fee: .
Date Received:
2010 MECHANICAL PERMIT APPLICATION
Date: Site Address:
Tenant Suite ft
RESIDENT / OWNER
TYPE OF WORK
New Replacement Additional Alteration Demolition
Description of work:
RESIDENTIAL
-4 Furnace
Air conditioner
� Ak Exchanger
Heat gyp
Name: 11491 r1 �, / &r -I¢L License t
Address: ,tea �%,./.:2 City: _.._,
Stab: i././V zip: 53°,7/o Phone: G..s /
Contact iei'11f3,f .ore ' , (/Email:
COMMER C IAL
New Construction Interior Improvement
Instan Pip ng Processed
_ Gas Exterior HVAC Unit
_ Under / Above ground Tank C._ Ink / _ Remove)
" When instaliitglrernoving tanic(s), caf for inspection by Fire
Marshe and Pkumdng Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit ( includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appNwices. *raw*, etc.) (includes $.50 State Surcharge) $ ad TOTAL FEE
Contract Value $ x 1%
$ Permit Fee
$ Surcharge
$ TOTAL FEE
CALL BEFORE YOU DIG. Cora Gopher State One C H at (651) 454 -0002 for protection against unchwyound utWty damage. Call 48 hours
before you Intend to dig tosscelve locates of underground utiNss. www 000herstateonecail.oro
I hereby acknowledge that this irdomtallon is towhee and accurate; that the work vAll be kh amformance wt h the oranwices and codes of the cry of
Eagan; that I understand this Is riot a permL but only an reeticalion for a permit, and work is not to start $thotd a pent*: that the work we be ki acc oroance
with the approved plan In the case of wale wINch requires a review and approval of plans.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA124730
Date Issued:07/09/2014
Permit Category:ePermit
Site Address: 2223 Wyndemere Lane
Lot:11 Block: 1 Addition: Oak Cliff Pond
PID:10-53575-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Thomas Joshua Peine
780 Iglehart Ave
St. Paul, MN 55104
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Janine Mattson
2223 Wyndemere Lane
Eagan MN 55122
(651) 890-3782
Urban Pine Plumbing & Mechanical
780 Igelhart Ave
St Paul MN 55104
(651) 888-2275
Applicant/Permitee: Signature Issued By: Signature