1533 Wexford Ct
. . INSPECTI4N REC4R
CITY OF EAGAN PERMIT PE:
3830 Pilot Knob Road Permit Numb
Eagan, Minnesota 55123 Date Issued: ~ ' . ~ ;
(612) 681-4675
SITE ADDRESS: APPLICANT:
~ , , • , i~ ~ i ! ~ , i,ra ~
i~. ~li~•~~ ~Fl~.~~ 5~~.~~,
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE D• O / •
• r I 1 i . i i, iI'~ t:i~.
_ _ ' _ - - _ -w~_ ____~~~4 ? 1.'[ -.-u. _ _
Pwmi[ No. PMnIR Fblft Do" TiNpIwnM •
SIW
PLUMBING
HVAC 7 ~ ~ 49
ELEcTRic lr 8 9j o~
ELECTRIC
Imp~cqon Drla kap. ConwnNrts
F°°aW '
Foundation
F`aming
Rooli,g
~o PR)9-
raa+Dn Hig• 71119 3~ 3 . C
.
~3 y2 4Xss
FeW
Orsel Teet
FmW Plbg. 7J ~ Pt9- inspector - No1MY Plumber
C.onet AAeter
EnyrJPlan
Bldg• FinW
DeCk Ftg.
DeCk Rnal
YYeY
Pr. Diep.
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE: F r+u
3830 Pilot Knob Road Permit Number: ~
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 +
SITE ADDRESS: APPLICANT: !
t ~i I ~l ~cl r
• ; ~s a Fnl7n r l ;f oI t 0 1 i tli, I Ni
i:, . . , , ~ . i • ~ , I. ,.1•. i
PERMIT SUBTYPE: TYPE OF WORK:
~;I I I ,k , , I t .I
INSPECTION .
~ ! r . ~ r,'.ltl A! ! 1~r!
I
Permlt No. Permk HoldK Dab TNaphone X
ELECTRIC °p
y3~f/~3~
PLUMBINIM
HVAC
kupwtlon Dub Insp. Commmw
FOOTiNGS
FOUND
FRAMING 3^ Y,Q /1
! L~
ROOFING
ROUGH /~f
PLUMBING j 1
PLBG
AIR TEST
ROUGH
HEATiNG
GAS SVC
TEST
INSUL (f ^
GYPBOARD
FlREPLACE
FIREPLACE
AIR TEST
FINAL PIBG
~ FINAL HTG
ORSAT
TEST
Iv S, .
BLDG FINAL s.
BSMT R.I. .
BSMT FINAL
OEpC FTG
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ~i~~ r 1.~> ~ Nc
3830 Pilot Knob Road Permit Number: 0 297 10 ~
Eagan, Minnesota 55122-1897 Date Issued: 04/ 10 ~ Q? ~
(612) 681-4675 i
SITE ADDRESS: "APP,LICANT: ~
LC?T o 9 EiLOI' I. .
I~. w[;XFORD CT
?J1':3ik'(-+t) i 1 . t R3 - 14 >'W
PERMIT SUBTYPE: TYPE OF WORK:
Nh,N
IN
?
INSPECTION •
Permk No. Permit Ho Dab ToIaphona A
EIECTRiC
PLUMBIN(3
HVAC
inspeetlw Dale Nwp. Commw+ts
FOOTINGS
FOUND
FRAMIIVG
ROOFlWG
ROUGH
PLUMBINQ
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
I
FlNAL HTG I
ORSAT I
TEST I
BLDG FINAL I
BSMT R.I.
I
I
BSMT FlNAL I
DECK FTG I
I
DECK FlNAL e Pr ~ II
"1 ~ ~
INSPECTION RECORD
CITY OF EAGAN ~ PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Ea an, Minnesota 55122-1897
9 Date Issued:
(612) 681-4675 SITE ADDRESS: i r ~ APPLICANT:
i1~ I iI <<4;
PERMIT SUBTYPE: TYPE OF WORK: ~
• O' I ~ r~t fIl~iitl(1N
INSPECTION D. ON TYPE D,
I
~
~
~
I
F
L
~ I
PermR Mo1dK Date Telephone t
PLUMBING
HVAC
Iropection Data Inep. Commenb
FOOTINGS
FOUNO
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC .
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FlNAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IHRIGATION
METER
FLUSH
MAINS
conioucnviTv
TEST
HYDROSTATIC
TEST
BSMT R.I.
~
BSMT FINAL I
DECK FTG
DECK FlNAL
~
_ . ~
f
C~;c~ti~cate n~ ~ccu~anc~ ~
~ ~~~g 3V#0eCfi"
. ~
- This Certifcate issued prersuant to the requirements of the Uniform Building Code
certifying that at the time of issuunce this strucrure was in compliance with the various
orrtinances of the City ngulating building construction or use. For the following: ~
'
Uae Classificuion: SF DWG 20743
Bldg. Pvmit No. I
~Y TYPe Zoning Distria ~y lQbZT1m.- I
Owar of Buildiag 163 1, MEKM Address
f ~
B ng Addtics ~ Locality
~~_{L~l ~ ? y~~
nve:
s~m" oerwiZ
~
P05T IN A CONSPICUOUS PLACE
d 51 54 cyao54
~ s 9 6 C2 _
Request Date Fire No, +n Insoe<Iion
P rteE9 ? Aeaay Now ~II NaLty Inspeclor
~-~-o ` ~ s C No Whan Reetly?
I,~ensed contractor E) owner hereby request inspection of above electrical work aC
JOb Atltlra45(Slrael B0r Or ROUta No.) Qty
. I S33 W¢KPort~ C-t- F-a~q
Sedion No TownsM1ip Name or No, Fange Na. Counry
Occupem (PRINT) Phone No
W S kc=~o ry'j-
Power Suppiier Adtlress
'D0.koica 9.-Qa.t-tri' c r n1 t n
Eleclncai Convactor (Company Name, Com aa5 Lmense No.
-S-r C~ e o~ lq 2
MaiLng A oress ICOnlrac:or or Owner Making InStalla:ronl
I~ 4 S~`1 Pboo" %3e S Sa.a~c~
Nutbonxe0 5,nature IConUdctou6xnar 1 Instai twn) Pnona Number
oc e o -3SSS
MINNESOTA ST T BOAPO OF ELECTRIQTY iHIS INSPECTION REOUEST WILL NOT
Gtlggs-MlCwey Eg. - Room 5-173 BE RCCEPTED BY iHE STATE BOARO
1821 Univcrsity Ave., St Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS
P1rone (612) 642-0800 ENCLOSED
REDUEST FOR ELECTRICAL INSPECTION EB-00001-08/
p30 3-~a° ? S m W c0on5 lor c0mpl9ling Ihrs brm on pack ol yelbw copy
Below Work Covered by This ReQuest
51 R 5 4
ew Atl0 Rep TypeofBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplez Water Heater Electric HeaUng
Api.Bwiding Dryer O[her-fSpecify)
Comm./Indusirial Furnace
Farm Air Conditioner
OUer isyentyl Convactar5 Remarks
Compufe Inspection Fee Below:
Other Fee # Service EmranceSrze Fea B CiraM1S/Feeders Fee
Swimming Pool 0 to 200 Amps ~ 0 to 100 Amps
hanslormers Above 200 _ Amps ve 1~0 _ Amps
Signs Inspenw9 use Onty: m TOTAL
Irngation BoomS ~g SO
Special Inspechon
Alarm/Communicaeon TMIS INSTALLATION MAV RDE qONNECTED IF NOT
Other Fee 50 COMPLETED WITHIN 1 HS.
I, the Electrical Inspector, hereby R°uyn,n e ~
cernty that the above inspection has F,rai oaie
been made.
OFFICE USE ONLY
Tms request vob 18 montns from
_ AEQUEST FOR ELECTRICAL INSPECTION
4 41 ° 191 ~ ;"82;e~ iversary Ave.rRm. 5-128, SL Paul, MN 55704 ~s
Phone (612) 642-0800
Homa Duplex Apf. Bld . Other: New Addn
Commercial Indushial Farm Remod Re air
Air Cond. Hfg. Equi Wafer Hh. Load Mgmt Ofher.
D er Range Elec. Heat Tem . Senice
°X" above fhe work covered by this request. Enler remarks in this spoce and on rhe back oF the white copy only.
Calculate Inspection Fee - This Inspeclion Requesf will not be accepted wifhouf the <orrecf (ee:
Other Fee # Service Entrance Size Fec N Circuits/Feedere Fce
Mobile Home Park Stall 0 l0 200 Amps 0 ro 100 Amps
Street ltg./TraAic Sig. Abova 200_Am s e 100_Amps
Transformer/Genemtor INSPECTOP'S USE ONIY TOTAL
Sign/Oudine Ltg. Xfmr.
Alarm/Remote Control
Swimming Pool I here mn I,ns d er n dew~bed hermn on tha dwos norcd
Ifn9atiOn BOOm RwgMn Do~e
Speciallnspeclion
F., oob g
Investigative Fee J
rwe weTnI I nnnu eMnv oe noneoen rnernuuerrrn m unr rnuoi crcn wtruiu a AennlTUR
G G~~7 OFFlCE USE ONLY ihis rcquest void 18 momhs Bom wlidalron daM prinled in thu box.
110- ~hi lil I II~I III II I I II I I I IIIII II I I IIII~ y~ a'~ '~~5~~
04 4 1 1 81 5 ~ PLEASE PRINT OR TYPE
Requen Dma RougMn inspecoon required2 ? Yee ? No Irmpecuon Olher Than RougMn. ? Neady Naw Will Cali
' y ~t'ou m~u wll ihe inspecror when reody)
DoH Rendy.
I, ~licensed conhactor ? owner hereby request inspection of ihe above elechical work at:
Job Addmss (Sheci, Bos, w Rouw Gy Zip Code
l° 3 2 N C~- Rp-?
SSia~
$x~im No. Township Nama a No. Range No Fire No. fam No
Power Sopplrer Addrns
Elxrcicol Conrc«br q^~pany Name~ Conhaaor Lcea.~e No MosMr Uc N. (Plom Elecl. Only~
?GZY o r DaS/ "
Moilin Addrm IContracbr «O.me. Perfor ng Inaqlkrion)
~Sf'Yj'I i (Giaz/ ~ ,53~.3
' Sl 6
Au rttd SignaNre o ha r Perforining Insiallanm) Phwic No
~ lGrr~ y9~
E A-I 1/96 ererc wneon rnov _ eee weTVUrnnue nu eecr ne vai ~ nw rnov
~j`~/°~T/97 REQUEST FOR ELECTRICAL INSPECTION
4 J~° 4 3 5~~ M8218Unive~ta~ ABOarRm. 3e 28,iSt. Paul, MN 55104 i
Phone (672) 642-0800 ~
Wome Du lex Apt Bldg. Other: New Addn
Commercial Inushial Farm X Remad Re ir
Air Cond. Htg. Equip. Woter Hlr. Load Mgmt. Ofher:
Dryer Ran e Elec. Heal Tem . Service
"X" above fhe work covered by this requesG Enfer remarks in this spa<e ond on IM1e bnck of the while copy only.
Remodel Basement
Calculafe Inspecfion Fee - 7his Inspec(ion Requesf will not be accepFed wilhoul fhe mrrecf fee:
Other Fee & Service Entrancc Size Fee # Circuils/Feeders Fee
Mobile Home Park Stall 0 10 200 Amps 0 to 100 Amps
Sheef Ltg./Traffic Sig. A6ove 200_ Am s Abpy.elW Amps
Transformer/Generator INSPECTON'S USE ONLY TO L
Sign/Oudine Ug. Xfmr. 40.50
Alorm/Remote Conhol
Swimming Pool
I hne ~atl ihat I ins ~ ~cribed heretn on Ihe dm-
Irri ofion Boom RwgMn paro
Speciallnspecfion
Ftml Do
Invesfigalive Fee
THIS INSTALI ATION MAV AF ORIIFRF n1.S CINNFCT IF NOT Cf1MP1 FTFf1 WITHI 1N MONTHR
OFFICE USE ONLY This req~axi wid 18 monihs (ran wlidoiion dak prinled in Ihis bon.
111111111~11111111111111i11 IIIIII 111~9~~~ ~,5~~
CA2
~ 4 3 7 4 3 5 L~ PLEASE PRINT OR TYPE ~16?
R,m•t Done u~Mm~,~ W~ ~~-~on ,,ui~aae ~ Y. ? N. Ivpecrion Olher Tnon RougMn: ? Reody Now~w.n caii
3/ 17 / 97 ra o ~~~pmm,.,nen ,rody) oine zoaey
I, ~ licensed conhactor 0 owner hereby requesl inspection af Ihe above electrical work at:
bb Addrev (Srceel, Bv, « Roule No ) Ciy Zip Codc
1533 Wexford Eagan
Seclim N. Township Name a No I Xaiqa N. fire N. Couny
Dakota
Occvponi Plwnc No.
New Home Counseling 456-0674
Power $upplier Addreu
Dakota
Elecviml Connoctw (Canpony Name) Cannaaar licena ho A+nsMr fic. N. (%am Eletl OnM
Joos Electric CA 00961
lAmmirs, nda. Jca,meset« « 0. Pisi-Forem, in:bii
3980 Beau D' Rue D've, Eagan, MN 55122
Aulhorized $ignoNre J(Conh~ IX Chner Pedormine Inslallab0n~ 1 Phwna No.
688-6180
EBfJ0001 AI 1 8/96 A`lre~ Anewn rror - sc iusmu . nr_ nu wecK nc roi i nw r.nav
Address i5II wFxEDRr. MRT Zip 5512 2
Lbt ' • q Blk Z Sub WEXFo-RD
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector: jz146-
Final grade (6" from siding) ~
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass
TraiUwrb damage
G
Porch ~
Basement finish ~
Deck
Please verify with the builder the removal of roof rest caps from the plumbing system and the shut-off of water supply to
, the outside lawn faucet before freeze potential exists.
Contacl engincering division at 681-4645 before working in right-of-way or insmlling underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~
PERMIT
-CITY OF EAGAN sz~ ~
3830 Pilot Knob Road PERMIT TYPE: g U I LDIN G/j
Eagan, Minnesota 55123 Permit Number: 0 2 0 7 4 3
(612) 681-4675 Date Issued: 0 4/ 2 9/ 9 3
SITE ADDRESS:
1533 WEXFORD CT
LOT: 9 BLOCK: 2
WEXFORp
P.I.N.: 10-83850-090-02
DESCRIPTION:
Building Permit Type SF OWG
Building Work Type NEW
UBC Occupancy R-3,M-1
Construction Type VN
Zoning R-1
Building Length 77
~ Building Width 34
~
• ~ , : , ~ . , ~ , ~ ;j .
REMARKS:
RECEIPT # S&W CONTRACTOR - PRV
FEE SUMMARY:
VALUATION $145,000
Base Fee $797.00 MISC FEES $1,744.50
Plan Review $518.05 Total Fee $3,887.05
Surcharge $72.50
SAC $750.00
SAC 8 100
SAC Units 1
Lic. Search Fee $5.00
Subtotal $2,142.55
CONTRACTOR: - Applicant - S7. Lrc. OWNER:
WESLEY CONST 14520587 0001386 WESLEY HOMES
6966 KENMARE OR 3861 144TH
MINNEAPOLIS MN 55438 ROSEMOUNT MN 55438
(612) 452-0587 (612)452-0587 ~
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
- Statutes and City of Eagan Ordinances. J
_ &
APPLICAN / RMITEE SIGNATURE ISSU BV: SIGNATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 0 7 4 3
Eagan, Minnesota 55123 Date Issued: 0 4/ 2 9/ 9 3
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 9 BLOCK: 2
1533 WEXFORD CT WESLEY CONST
WEXFORD (612) 452-0587
PERMIT SUBTYPE: TYPE OF WORK:
SF OWG NEW
INSPECTION r. .
FOOTING FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: RECEIPT # S&W CONTRACTOR - PRV
~
F
~
nLl'1Y 1 ! 1I~ L ~ V ~ ~ ~ V ~ ~I"~M/l~ •
PERMIT N ~:~((~E~~E~p 1993 BUILDING PERMIT APPLICATION~~3 ,SJS'7 Q~
681-4675
` APR 16 9993 lJl /t-
SINGL- 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 3 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 ance permit
is issued.
Date Yaluation of work
Site Address: 1~933 ~X'xF Cr1-L) CG ~ r 2`
STREEi SUITE /
Tenant Name: (commercial only) IAT ~ I BLOCK FSUBD. P.I.D. M
i~V L' T ~ n-p
Descri tion of work: ~ rl/ oZ, U'JL ~N'Ur c_LZ )C4 M/ 4- ~
The applicant is: ? Owner CB Contractor ? 0 her (Describe)
Name Phone
Property LAsT fIRST
Owner Address
STREET STE Y
~ City State Zip
Company Phone 4452- o 5zr5- -7
Contractor Address 3~~-6 License #
City R-USi^ MU/A7~i State MN Zip
Architect/ Company Phone
Engfneer Name Registration N
Address
City State Zip
Sewer & water licensed plumber 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: 17/
OFFICE USE ONLY
BUILDING PERMIT TYPE '
? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement finish
ig 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 16 Comm./Ind.
O 04 SF Porch ? 09 12-Plex ? 14 fireplace 0 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
V31 New ? 33 Alterations ? 35 Tenant Finish 0 37 Demolish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) v- N Basement sq. ft. MWCC System ~Es
(Allowable) V- N lst F1. sq. ft. City Mater yE5
UBL Occupancy R-~ 2nd F1. sq. ft. PRY Required Yc
Zoning R-I Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ~ On-site well Census Code
Depth ,3~}.• On-site sewage SAC Code oi
~,b~da,
(32-W
APPROVALS ~,e, ,,.K,;f, ~
Planning Building Assessments
Engineering Yariance
REGIUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard 0 Final O Oraintile 0 Fireplace
Permit Fee wiusc;a,: S
Surcharge
Plan Review (yqRAVE; 3Z x Z2 7 70t{
License t:zX z = (2q)
MWCC SAC -
City SAC 680
X 16= /Ogeo
Water Conn. 6tr(,= 3~ ~
Water Meter
Acct. Deposit zex3~= IoGN
S/W Permit
S/W Surcharge
Treatment Pl. IST FIJOR~
Road Unit
Park Ded. f 4
Trails Ded. 26938 = loby
Copies ~X6= ~6
Other 60 1 S `
Total : I I I u yc SY = 1
SAC % Ib~ ZNO FL.00?t1
$1, << s ~
SAC Units I z8K3B= IvbV ~S`I=
144, 8'12
N . 0'L
2422 Enterprlee Drlvo
Mendoto Hclphts, AIN 55120
pIONEEp VND SURVEfOR9 • dNL CNGINEERS (612) 681-1914-Fax 681-9486
* v,NO rur'° i'ucas • iuroec~ s
* ph~ ~ua ~r'~he 825 Hlghway 10 Norlheaet
glolne, MN 55434
* * (612) 783-1880•Fax 783-1883
;
' Certificate of Survey for: WESLEY HOMES
House Address: 1533 EXFORD COURT EAGAN, MN
ylodel Name: 2-STQRY
i \
. \
~
;
si.
9?JYj?+
9
.
10
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~ q43,~ ~ q44.i7
n q4A ~ ~
~ qaR3i
~.oo r~ ~ q~ ~ t ^
~ ,0 rC
J~"] ~ PIlO~NN ~ I anM1l tl .
1 Y$,~T _ ~ic~u..ma ~ ~ 960,04
I. . ee
i^ ! , e q
~
' i.o1 ~ crortw~r '
q5 \ uw iun` I
40.
ao, V 69.2 q4j.)0
11 I 9tI q4gq~ AB~1734 94q.15 \
70.OO
I `dJEX~ORO C011R~ p M~ DD
i
~
I ~ _ r
1 ~
~I II1,~~la%3 B~1 %~~NRIRTG DEPT
~ NOTE: CONTRACTOR MUST VF_RIFY ALL DIMENSIONS pa J~° AIo ~EQU~~ED
I
I , 900,0 Denotea Exlsting Elevotlon pF20POSED HOUSE. _E~VATION
-c~ Oenotes Proposed Elevatibn Lowest Floor Elevatlon:_1±1
Denotes Drainage & Utillty Easement
----Oenotes Dralnage Flow Dlrectlon rop of 81ock Elevatlon: ja_eA
-o- Denotee Monument Garage Slab Elevotion:gs,g.so
--a-- Denotes Offset Hub 9earings ehown ore asaumed
LOT 9, BLOCK 2 WEXFORD
pAKOTA COUNTY. MINNESO7A
1 tiveby cudty Ihn thlt surwY, Phn or nPOi 1 wo1 p11Por~d bv me or under my dintt 1uPervltlon md thet 1am tluly Re04uretl land 9urvevar
under tho Iowt ol ihe 9utt of Mlnnewu. Daled Ihb~TK d0V ol A rR I L A.D. tp ~
~
SC~J,~,P' llucha~}014st - ! roa^
4oeenr D. 6 it eo. No. 14891
LOT BQAPLY C3ZCKi,I22 t0A azsSDLt7Z'IAL
~ iIIILDI n1{xI! a1lLiCLTI01i
I1tOFLRTY .IPGA•
~
aate et Js
boeffiNT 9T1lTfl 4f%¦
8~b 0 • Reqistered LnQ inzveyor siqr,a=us• ana oompu,y
Q~y 0 • auildinq permit Applicant
OrD D • Leqal deseziptioa
0~"D 0 • l?ddrass
0 0 • North arrev arie bar aeai• •
8'"O 0 • !louse type (ramblar, naikout, spiit w/o, split antry,
lookout, etc.) '
~ 0 • Direetional drainaqe arsova vitA aIopo/Qradient
0 • proposed/existinq aevsr ar?a nter sasvieas
0 • stzeet nams
D 0 • Dzivevay
=zrvarioNe
ZYist;na
D e0 • fevez service
~ D 0 • Lot cozners
d 0 D • Top of eurb at th• dsivevsy
~D 0 • Elevatior,s of any axistinq aEjaesnt bomes
froeosee
$ 0 D . G°raqe iloor
¢ 0 D ~ First floor
~ D ? . Lovest exposed •levation (valkout/vinCov)
E~ D 0 . pzoperty eoraers
Front and ssez oi Aome at the toundaLion
P9FDING ARLaB [if tenlieablo1
D ar D • Fnsemer,t line
D EI' D • WL
D C~ D • tts; L V '
D p , Por,d 1 desiqr~ation
Laerqaney Oveztlov Slevation
~ DS!!LN620N6 •
D • Lot lines
~ D ~ Riqht-ot-vay and street width (to baek oi eurb)
proposed Aome dimensions incluQinq any ysoposed aeclu,
o v c z h a n q s p r s a t e z t A a n. 21, p o r e Aos, ote. (1.0. all
strvetuzes sequisinq pormanent footinqs)
DID D • show all easements of seeord and any City ntilitios viihin
those •asements
Ir D D • betbecks oi proposea struetuse and seLback et adjacsnt
D _ a/D ~ axisting homes •
Retair,in 1 s isemer,ts, ii aay
• Rsvi.ved• /
USE ONI:,Y
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. . . : . AT~.....
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
-
i0. FIXTURES EACH TOT~
~ SHOWER 3•00 3•
WATER CLOSET 3.00
/ BATH TUB 3.00 3.0-0
~ LAVATORY 3.00 • cro
KTI'CHEN SINK 3.00 •.3 ~
LAUNDRY TRAY 3.00 3•
~ HOT TUB/SPA 3.00 3.0-2
i WATER HEATER 3.00 3•0-0
/ FLOOR DRAIN 3.00 3.
~ GAS PIPING OUTLET • minimum - i 3.00 3~c7-0
ROUGH OPENINGS 1.50 • S O
WATER SOFTENER 5.00
PRIVATE DISP. • Dat.cry. lic. 15.00
U.G. SPRINKLER • eomo unaer mmt. 3.00
ALTERATIONS • w ao:ung 15.00
WATER TURN AROUIvTD 15.00
STATE SURCHARGE .50
TOTAL: W~7 OL
~
SITE ADDRESS:
OWNER NAME: ~ Sc ~ ~Yo.~Er
INSTALLER: Lly6u- ~rc~.PSo~.~ ?'~~Bc
ADDRESS:~J GO
CITY: C7-,= 2 STATE: Z~_^- ZIP CODE:
PHONE ( 74 9
c
1~-
S GNATURE OF PE ITTEE
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~
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1993 PLUMBING PERMTT (COMA'IERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMAERCIAIJINDUSTRIAL BUILDIIdGS. AISO FOR MULTI-
FAMILY BUI'_.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING L'"::I'.
_ NEW CONS'I'RUCfION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF COI`TRACT FEE.
STATE SURCFIAFtGE $.SO FOR FACH $1,000 OF PERMPf FEE
MINIDiUM FEE: S 25.00
COIv'TRACT PRICE X 1% a
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENAri"f NA2*1E: STE #
OWIr'ER NAN1E:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CIT1' OF EAGAN APPLICAIr'T
4 CTTY OF EAGAN CITY USE ONLY
L--i- B MECHANICAL PERMIT RECEIPT #~~1~
SUBD. (612) 681-4675 DATE 5 r~ 9~
RESIDENTIAL
PLEASE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FAMILY DR'ELIdNGS. AISO, COMPLEI'E FOR
TOR'NHOMFS/CONDOS R'HEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
OWNER0 ~S L L IVO ,C L S ADD-ON A/C ADD-ON FURNACE ?
SITE ADDRFSS: ADD ON/REMODEL (EX[STING $ -15.~00-
3'/a-sc r-e k b CONSfRUCf70N ONLl)
nvsTnLLFR: 56-,gS6 A!' 1 HVAC: 0.100 M BTU 24.00----)"
PHONE ,4DDITIONAL SO M BTU .-6.o.,°--
ADDRESS: 74: K-vACD4 Lt G"L-' ~ GAS OU1'I.EI'S - MIPTIIriUM 1@ S3 EA. 3-3-0
CT11': o.N rl ~ ZIP: SURCIIARGE $ .SO
SIGNATURE TOTAL: S 27,5''Q
• -~WORIC~
COMMERCIAL
PLEASE COMPLEI'E THIS PORTION FOR ALL COMMERCIAL/INDUSTRW. BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUII.DINGS OR OTHER MULTI-FAMII Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNTf.
WORK DESCRIPTION: CONTRACI' PRICE: FEFS
l% OF CONTRACI' FEE.
STATE SURCAARGE IS $.SU FOR EACH
$1,000 OF PERMIT FEE. $
ADQCW-ECrT PiPTNG t'fc Ipl
S
MINIMUM FEE - S25.00
OR'NER: TOTAL• $
SI7'E ADDRESS:
TENAIVT:
SUITE
`z INSTALLER:
: , . . :...<:.:.r: .
ADDRFSS:
CITY: ZIP:
PHONE C1TY SIGNATURE:
SIGNATURE.
PERMIT
" C~I1'Y OF EAGAN
~ 3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: BUILDING
0 2 9 5 7 9
(612) 681-4675 Date Issued: 0 3/ 10 / 9 7
SITE ADDRESS:
1533 WEXFORD CT
LOT: 9 BLOCK: 1
WEXFORD
P.I.N.: 10-83850-090-02
DESCRIPTION:
Building P.ermit Type BASEMENT FINISH
Building Work Type AITERATION
Census Code 434 ALT. RESIDENTIFL
j \
\
~
RENiARB(S:
FEE SUMiVi,ARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. LIC OWNER:
NEW HOME COUNSELING INC 14560674 2006044 GRIMME 608
156~6 WEXFORD CT 1533 WEXFOR? CT
EAGAN MN 55122 EAGAN MN 55123
(612) 956-0674 (612)452-8615
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.
L Statutes and City ofi_E-a-gan Ordinances. J
/
APPIICAN / RMITEE SIGNATURE ISS D 8Y SIG ATUR m`~-
4Ca9519 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) -1 $SO. so
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681 -4675
New Construdion ReaWrements RamodeUReneir Reauirements
? 3 repistered ske surveys • 2 copies of plan
? 2 copias of plans (inGUde beam & window aizes; poured (nd. desipn; etc.) ? 2 ske surveys (eMerior addkions 8 dedcs)
? 1 energy calculations ? 1 eneigy celculetions kr heate0 addkions
? 3 copies of tree proservetion plan H lot platted after 7I1193
reQuired: _ Yes __y, No •
DATE: 3- 4- 9 7 CONSTRUCTION COST: A n n r n x. 7 6. 0 0 0.
DESCRIPTION OF WORK: -Einish lower level office, stairs. bath, hall and
STREETADDRESS: familv room includino kitchen/bar area.
LOT _q_ BLOCK ~L SUBD./P.I.D. 1.1 o v f A
PROPERTY NBme: Bob and Deb Grimme PhOne#: 452-8615
OWNER ,w„
Stfeet AddrBSS:-1533 W e x f o r d C t.
Clty: E a o a n Stete: M N. Zjp; 5 51 2 2 ^
CONTRACTOR COmpeny: New Home Counselinq, Inc. PhOne#: 456-0674
Street Address: 1 5 66 W P x f n r d r r_ License 2 0 o E~cL4 n
City: E a g a n Stete: M N. Zip: 5 512 2
ARCHITECT! COmpe?ly: P 1 a n o r e p a r e d b v B u i 1 d e r PhOne
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only): M a t t h e w D a n i e 1 s , 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 infortnation is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OPFICE USE ONLY 321
Certificates of Survey Received N/pYes No Tree Preservation Plan Received Yes No Not Require
OFFICE USE ONLY '
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging a 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 _ plex ? 15 Deck
WORK TYPE
0 31 New ;Y/33 Afterations o 36 Move
? 32 Addition o 34 Repair o 37 Demolition ,
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ~
(Allowable) . Main level sq. ft. ' City Water ~
UBC Occupancy sq. ft. Fire Sprinklered
Zoning - sq. ft. PRV
# of Stories ~ sq. ft. Booster Pump
Length sq. ft. Census Code. ~i 3N
Depth ' Footprint sq. ft. SAC Code o i
• • Census Bidg i
Census Unit o
APPROVALS • '
Planning Building 4n8 Engineering Variance
Pertnit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
V L f 8L ~ CITY USE ONLY
RECEIPT
SUBD. ~ OATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH ~Q. TOTAL
Shower 3.00 x i -
Water Closet 3.00 x
Bath Tub 3.00 x =
Lavatory 3.00 x
Kitchen Sink 3.00 ;c
Laundry Tray 3.00 ;c =
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 _
Floor Drain 3.00 _
Gas Piping Outlet ' minlmum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. Iicense 65.00 =
(new and refurbished systems)
U.G. Spfinkler " home under const. 3.00 =
Alterations ' to extsttng 20.00
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL ao•.SD
SITE ADDRESS:
OWNER NAME: :&beJ4 Grimvylo
INSTALLER NAME:-'htNA'-') ~ar~i S ZNC .
STREET ADDRESS:~s•~'a (~i"ni&GO j Wq /
CIN: ~l ~Sen~niin~ STATE:--dAf-_ ZIP: ';~SO6y
PHONE (612
71 •
OFFICE USE ONLY
L _ gL _ RECEIPT
SUBD. DATE
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. w all commercialfindustrial buildings.
w multi-tamily buildings when separate permits are = required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED9 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER^a TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: E25.00 minimum fee or 1% of contrad price, whichever is greater. State surcharge of $.50 per
$1,000 ot permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
^ui i E AG^v :ESS:
TENANT NAME: _ STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
. PERMIT •
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BuiLDiNc
Eagan, Minnesota 55122-1897 Permit Number: 029710
(612) 681-4675 Date Issued: 0 4/ 10 / 9 7
SITE ADDRESS:
1533 WEXFORD CT
LOT: 9 BLOCK: 2
WEXFORD
P.I.N.: 10-83850-090-02
DESCRIPTIOtd:
- INGROUND POOL
Building Permit Type SWIM POOL
Building Work Type NEW
Census Code 434 ALT. RESIDENTIRL
~
i
~
, , ' r .
~ -
REMAR6tS:
FIEE SUYVIMARY:
VALIlATION $12,000
Base Fee $187.25
Surcharge $6.00
Total Fee $193.25
COidTRACTOR: - Applicant - OWNER:
VALLEY POOLS INC 18941480 GRIMME BOB
651 CLIFF RD 1533 WE%FORD CT
, BURNSVILLE MN 55337 EAGAN MN 55123
(612) 894-1480 (612)452-8615
, 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
L Statutes and City of Eagan Ordinances. ~
~
C r
PPLICANT/PERMITEE SIGNATURE ISSUED B: SIGN E
~/Q/'~//'~ 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~~93 a5
pc ~ r~ , ~ CITY OF EAGAN
5830 PILOT KNOB RD - 85122
681-467b
Naw Construction Reauirements RemoAeVReoair Reauiromertls
? 3 registered s%e aurveys ? 2 copies of plan
? 2 coples of plans (Indude beam & window saes; poured fiC. tlesign; etc.) ? 2 aHe surveys (erterior addftions R Eecks)
• 1 energy calculations ? 1 energy ealaletions fir heatetl additions
? 3 eopies of tree praservation plan 81ot ptatted eRer 711/93
requfred: _ Yes _ No •
DATE: CONSTRUCTION COST: ~a, CJO O
DESCRIPTION OF WORK: -s.6 J)Gli ~ ~inin , -
STREET ADDRESS: ~j-l 3
LOT _~7 - BLOCK a SUBD./P.I.D.
PROPERTY N8m@: _G,e:inmE .e& KOe% Phone#: '9~4
OWNER
StreetAddress:
City: Ei~E.vti State: IiIIA) Zip:
CONTRACTOR Company: _24eZ15-u Phone
Street Address: License
Citv~. C~~.~2risU.lr, State: ^7 Zip: J-:§-c~ 37
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction onty): . Penatry applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read ttiis appliption and state that the infortnation is co and agree to wmply wRh all applicable
State of Minnesota Statutes and Cily of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY REL-,EIvED
Certificates af Survey Received _ Yes _ No NPR p lggt
Tree Preservation Plan Received _ Yes _ No _ Not Required BY
OFFICE USE ONLY
,
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ~ 17 Swim Pool
? 03 SF Addition ? 08 B-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace n 21 Miscellaneous
0 05 SF Misc. ? 10 _-plex a 15 Deck
WORK TYPE
~ 31 New ? 33 Alterations o 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ~
Depth Footprint sq. ft. SAC Code 0/ •
Census Bldg ~
Census Unit (L_
APPROVALS
Planning Building rIm Engineering Variance
Permit Fee Valuation: $ /o?, DDO.00
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/V11 Surcharge
Treatment PI.
Road Unit
Park Ded. Trails Ded.
Other
Copies ~
Total:
% SAC
SAC Units
~ * . 2422 Entuprls~ Drlw
Ms~dolo Halqhls, All4 63120
PIONlmF1 ~HO wn,lraa • aw u~ue+ccns (612) 6D1-1914~F'ox se1-9486
.r...-.,_...__.
p~Thpe r ~~s 090 r Ma+ncn 925 Hlghway 10 Northacel
Blolns, MN 654~1
* ~ 1r (e~s) ~e3-ieao•Fox ~aa-~eea
' Certificale of Survey for: WESLEY HOMES
Houae Addresa: 1533 WEXFORD COURT EAGAN. ~1N
7 ?ylodel Nome: 2-STO$Y
~
• ~ ~ ~
I ^
'Ntf2•
a
9
. `
I , \
1 I
~ r \
i
~ r
10 ~?'/~'~1Et~
'g)0,6. 15 ~p
' • ~ qt4.s7 y~,~,N. NT. w z
6211114W IW 04e
77io ?077VM oF
~ ~,ri_ -n.~;~ fl~ ~ f
~qA4
-c-.:m`
~ y .o M
~
YO I ef
~0 •e~ ~i v~•• ~
i^ L . e 4 et. ~
~ ~~~ir39nlla .
I.o1 ~ ~ op+s~~r
49.
69.2 441 ie ~ i
l5[ra~.l(r.~l1V ~ 41 p ~ 4 B'Y7'34 941.25 ~
COUR, ~
RO
i LR1~ V~~ VU ~~JEXFO
,00
~ BY y `
~ DATE
BUILDING INSPE , ION;.
~ EAC;IAN IN INEERINC3 I}F:P1
N(1TF• CONTRACTOR MUST VEFIFY ALL DIMENSIONS P R_V_ Ft 1=nt 1i ri =n
' PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 4 3 5
(612) 681-4675 Date Issued: 0 7/ 0 7/ 9 8
SITE ADDRESS:
1533 WEXFORD CT
LOT: 9 BLOCK: 2
WEXFORD
P.I.N.: 10-83850-090-02
DESCRIPTION:
REROOF
Building Permit Type SF (MISC.)
Building Work Type ALTERATION
Census Code 434 ALT. RESIDENTIFlL
,
~
, .
~ . .i
%
REMARKS:
FEE SUMMARY:
VALUFlTION $6,000
Base Fee $112.25
Surcharge $3.00
Total Fee $115.25
CONTRACTOR: - Applicant - sT. LIC OWNER:
WALKER ROOFING CO INC 17292325 0004229 GRIMME ROBERT
1701 36TH AVE S 1533 WEXFORD CT
MINNEAPOIZS MN 55406 EAGAN MN 55122
(612) 729-2325
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicab].e State of Mn.
Statutes and City ofi Eagan Ordinances.
/ J
- i _
APPLICANT/PERMITEE SIGNATUFE SSUED BY. SIGNAT
3~~~199BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACiAN
3830 PII.OT I{NOB RD - 65122
681-4675
New Construction Reauirements RemodeVReoair Raouirements
? 3 registered sRe suneys i/~ 2 eopies of plan
? 2 copies of plans (inGude beam 8 window sizes; poured lnd. design; etc.) ` ? 2 sRe surveys (axlerior add'Rions E decks)
? 7 energy wlculations 1 energy wlwlations for heated aCd'Rions ? 3 copies of tree preservation pian N lot platted aRer 7/11N3 -required: _Yes No ' '
DATE: ~ - I - - / ~ CONSTRUCTION COST;
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: BLOCK: SUBD./P.I.D. ^
Name: ~lilo mpv(,Y Y l Phone
PROPERTY L%St Fint ~
OWNER
Street Addre E
:
Ciry 1 State: MA/ Zip:
2~ZS
Company: Phone k: lc~t"-
CONTRACTOR , ^
Street Address: Licrnse # `rt ~
City 1 1 ~~`S State: m Zip: LJCC)qar)
nxcxIrECri
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction ony): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the iniortnaC is rrect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
~
~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Muiti Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch O 09 12-plex O 14 Fireplace ? 21 Miscellaneous
IN' , 05 SF Misc. ?'f 0= plex ? 15 Deck
WORK TYPE Ic~ VbO ~
? 31 New 1$" 33 Alterations ? 36 Move
D 32 Addition ? 34 Repair ? 37 Demolition
GENEi2F,L INFC :h7AT!CN
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft: PRV
# of Stories sq. ft. Booster Pump
Length sq.ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
~
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: % SAC
SAC Units
LIY5 Ve RESIDENTIAL 3 3
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
NewConsWctionReouiremenla RemodellReoairReauiremems I -n
• 3 registeretl site surveys showing sq. ft of lot sq. IL af house; and all mofed areas . 2 wpies ot plan (20%maximum lot wverage albwed) . 7 sel of Energy Calculatioris for heated addiUons
• 2 copies of plan showirg beam 8 window s¢es; poured found design, etc.) . 1 site survey for erterior addiGons 8 decks
• i sel of Energy Calculatlo2v . IMicate H home served by uptic system for aEdihans
• 3 topies of Tree PieservaGon Plan if lot platted after 717193
• Rim Joisl Delail Options selection sheet (bldgs wBh 3 or less uniCS)
DATE VALUATION
JOB SITE ADDRESS (.S 33 Wek Cnr,l
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? l `
PROPERTYOWNER Ul~yri~j?.~P
TYPE OF WORK P..eoISI 3 1.%A - "J5 (5aY11e- le~l~ FIREPIACE(S) _ 0 1 2
APPLICANT ~II-tiru-MoT_Los~Tti,d PHONE#_Z,3-aj3 it Gl)
ADDRESS n vi: h h ZIPCODE~SSo~ _
PAGER # 2ft-t-PHONE # - - FAX # 7G3- ,jy-yft3V
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATLGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Confractor. Phone N:
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler rce: $90.00
_ Watcr Hcater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: Phone N
Mcchanical System Includes: _ Air CondiUoning rce: $70.00
_ Heat Recovery System
Sewer/Water Contractor. Phone N
All above infortnation must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with al( applicable State of Minnesota Statutes and City of Eagan Ordinan s.
SlgnatureofAppllcant ~l~~
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Stortn Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories 8ooster Pump
Nbr. of Units ~ Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings(deck) _ FinaVNo C.O.
_ Foo[ings (addrtion) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ AidGas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insulation _ Windows(new/replacement)
Approved By , Building Inspector
Base Fee
Surcharge
Pian Review
MC1ES SAC
Ciry sAc
Water Supply 8 Storage
S8W Permit 8 Surcharge
Treatment Plant
Plumbing Permit .
Mechanical Permit
License Search
Copies
Other
Total
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date~/ l//plZ~/'~ /
Site Street Address Q' Unit #
Property Owner S~[ /e /7 r) 7elephone #
Contractor T{PA2 Telephone #(a,~-h~c~a?
Address Li2 City ?r i.1li1~S P State 7) Zip ~
The Applicant is: _ Owner ~ Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
~ Water Softener _ Water Heater $ 15.00
-X replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
u
~ 04
ApplicanYs Printed Name Ap icanYs Si ture ~ U
;
`135aq ~ 15.50
`
zoos RESIDENTIAL PLUMBING PeRnniT aPPLicATioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date
Site Street Address ~~eY~YO'(L~ C'~ -
Unit #
PropertyOwner-F:~o0 GflVyilY\~ Telephone#(b5j)
contractor of ~QW U Ir -S ~ Telephone # (FiSl ) ~i{oS -134 0
Address _ ~70 ~~dd ~GI ' City State _jM_Lj_ Zip 55(LL3
The Applicant is: _ Owner ~ Contrector _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
~ Per as-built $ 10.00
~
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing onlv a water softener and/or water
heafer, do not complete this section; move to the next section anpIS Ff~k~~
appliance(s) you are installing
_Septic System Abandonment MAY 3 2006
_ Water Turnaround (add $130.00 if a 5/8" meter is required)
Other
Water Softener -N'Nater Heater $ 15.00
_ new ~:Preplacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
~
I f
' Total $ /S 5-(J
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes, that I
understand this is not a permit, but only an application for a permit, work is no4 to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to b ieweyved and approved,
kf ( S (r-Q
ApplicanYs Printed Name Applican s Sig ure
~J-Sa
Use BLUE or BLACK Ink
For Office Use
r I
I
j Permit#: ~ I
My of Eatan I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 i Date Received: Z r I
Phone: (651) 676-6676
j Sta8'
Fax: (661) 675-5694
2013 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 15 3 Wex.fel_%cekC--_. -unit ; w
l .
' Name: R06:LC1- + ~ hr.•~. ~r~wtw~e. Phone: O1L- P-42 40,90
I c+,
~eglt9e~~/ r i' it
Address /City /zip: 153~
APPlicaht is: _Owner Contractor
GA Fri i
";'f'I.S:=in Description of work: Ski R 32 ~Co wl`k~. I ~b~/tii s w IA
Construction Cost: . Z Multi-Family Building: (Yes / No
d Company: C-tih l\"S fr Contact:
{j Address: ,Z.. City: ~rc-►~
Co~,tmaota~, 3 7
State: YWW Zip: Phone; S 1-
i -T- 1 `k21 1
i ~1A t d
License e?C..-5 ta,~ lead Certificate
If the project is exempt from lead certification, please explain why' (see Page 3 for additional information)
k/-e s
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
-Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone: !g .
Mechanical Contractor: Phone: z
Sewer & Water Contractor: Phone.
. 19 • • i .I , ~"G:~~a' ..t:,..~;., ,I, r C:;Ir ; ~ ~;rr . i ~.10 , :at•; , ~;a .;,dd.. ~'I f..' 2p~ ~i j;~:
aa~~
til~e~~~rf +ilyratfr:~rrur}~ ri ~I . r ~I .,~,,.?4'. ~,,,i r~11.,<:'•~.
S i?rl~r."C,. ~P11"'^." i~:+r i1.;~n::.... r....r.,::(:;... ,:Y,....,rl.`+:i.... x.;i?~',
"r.,..:CALL BEFORE YOU DIG. Call Gopher. State One Call at (661) 454.0002 for protection against underground utility. damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www gopherstateonegpll.oro
I hereby acknowledge that this information is complete and accurate; that the work will be in 'conformance with the ordinahces and. codes of the City of
Eagan; that I understand this Is not a permit, but only on, application for a permit, and worst 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.
Extetforwork authorized by A.building permit issued in accordance with the Mlnriesota Statb Building Code mutt be completed within 180
days of permit issuance.
x tc e-A X
Applicant's Printed Name Applicant's Signature
Page 1 of 3
P0/Z0 39vd 91X3 wasn0 S-n3NN00 TOGZ86PT99 PO:TT 6TOZ/ZT/60
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117800
Date Issued:10/23/2013
Permit Category:ePermit
Site Address: 1533 Wexford Ct
Lot:009 Block: 002 Addition: Wexford
PID:10-83850-02-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Robert A Grimme
1533 Wexford Ct
Eagan MN 55122
(612) 940-2690
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r-----------------�
I For Office Use �
, ' ��7� 7� �
� Permit#:
�� �� �lt �� ; � � � �
� � � , . I
' � Permit Fee: �. �
" �...
383Q Pilot Knob Road � /� �/
Eagan MN 55122 � OCT � � 2�i�t I Dafe Received: �v'�7��'7`'"r
Phone: (651)675-5675 � ��° � � � �
� �,, ` � I Staff:
Fax: (651)675-5694 ,F`r`:_._.. _ � �----------------�
2014 RESIDENtIAL PLUMBIWG PERMIT APPLICATION
Date: � ��� l-' Site Address: � � ��
Tenant: � -'; �-� '� � Suite#:
.. . ���.�,�
` 1 t
: ' Name: � 4 ����l�. Phone: �
� ���i���IC3�t�f'C1�i'
� \ � Address/City/Zip: l� � �� �� C-� � J l � �
� '� . �-�,., , -
�� �� �
� � Name: /� � � ; �License#:�Q �`� 1" 9� �.� ,. �
� � ,�, ,,� n �
� Address: � � � � City: �JI,I 1_1L ��.�''� -- �
������ � fi
� :� � C� � �� �
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� State:��Zip: �-'� 1 �D Phone: I����l�llZ__ (U �� �
� ° Contact:` L� Email: ���
�
� � New �Replacement _Repair _Rebuild _Modify Space Work in R.O.W. �
� �`��f��rlc — — �
� Description of work: �„���£�
RESIDENTIAL ;
� � � �
� Water Heater � ��
� � �Water Softener �
�awrr trrrgatiort(_RPZ/_PV8) �
� ����"����` � Add Plumbing Fixtures(_Main 1_Lower Level) �
� Septic System �
� New Water Turnaround �
� � � Abandonment _ �
��.����.� —
� ,,��. ��� ��.�,n.,�
� RESIDENTIAL FEES: ��
� $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.0o State Surcharge) ;
� �
� $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge)
� $50.�0 Add F'fumbing Fixtures Septic Svstem Abandonment, Vilater Turnaroun�"(inciudes$S.QO State Surcharge) �
� *Water Turnaround(add$200.00 if a 5/8"meter is required) �
a
� $115.00 SeptiC SYStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) (�� �
�
� TOTAL FEES �
�� � � � � . n-��b,� �
CALL BEFORE YDU DIG. Call Gopher State One Call at(651)454-0002 for protection against un�erground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstataonecall.ara
1 hereby acknowledge that this information is complete and accurate;that the work will be in confoRnance 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 tt� work will be in
accordance with the approved plan in the case of work which requires a review and approval of ns.
x � �
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Applican s Printed Name Applic n s Signature
FQ1����t�� ����1[���B�� �����.....�.;,, `
����rr��r���zr�s� "� �,,,,:��c���rczc�r�c� ..�.�,,.,,1����h #� .�.�,,:��'��s� ,�:..�..,.,.��'�� � ����;
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