1554 Wexford Ct
INSPECTI4N RECORD
' 'CIV OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
~ ,1 I It + 1 ~~fr[1 ~ ~ ~ I I : ~ ~ ' i ilr)(ry! ~ tt•
1 , i • . . ~ . . ..i .
PERMIT SUBTYPE: TYPE OF WORK:
1,
INSPECTION .
f~i',Il1 11 I( I~~~I I I~I~)
. ~ . ' I • . . ~ . . ~ ~ ~ .I ~ . .
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a«mn no. wnen Hoia.r o.a Tebpnor» •
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~ PLUMBING
HVAC
ELECTRIC 1919 /99- c?a
ELEGTAIC
kwpwoon DNO llup~ COM"Wft
F°°e"g` i fl-7~y3 -4
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Frwning
I'lod"
Rc"o P1Dg.
Rwo Hro.
~ ~93 uced oo e rtwy.
OrsetTeet
Final Pbg. l Plbp. IrrepecEOr- NoUty PlumEer
C,ons1. Meter
ErgrJPFan
B14 FmW
Oadc P1g.
DeCk Fkrel
VNell
Pr. DiaQ.
W'"Otificate n~ cccupanc~ .
Wit4 n~
2*04rhment of is.mftg 3ammlim
This Certificate issued pursuaret to the requirements of the Uniform Buildirtg Code
certifying that at the time of issuance this structune was in co?npliartce with the varioas
orrlinances of the Ciry regulating building coristruction or use. For t6e folbwi?ig:
SF UJG 20620
use Oamirwaaon_ R ewg. F~Mnvi, rb.
0--q-r TM ir'
Owner of Building Address
BuiJikng AddrGCC [acaC ~
I /
' . `
Building OPFicial '
POST IN A CONSPICUOUS PLACE
' 1
RESIDENTIAL
BUILDING PERMIT APPLICATION ~,1
CITY OF EAGAN O v . o
3830 PILOT KNOB RD - 55122
651-681-4675 C) )
/
New Conatruction Reauirements RemodeAReuair Reauiremenls
• 3 registered site surveys showirg sq. ft. oF bt, sq. ft. of house; aM all roofed areas • 2 copies of pian
(20°h manimmn btcoverage allaved) • 1 setof Energy Calculatbns tor heated additions
• 2 copies W plan stqwirg 6eam & winAow sizes; poured tound desgn, elc.) • 1 site survey for exterior additbns & decks
• 7 sef of Energy Calcdahons . Indicate if home served by septic system foradd'Nons
• 3 copies of Tree Preservation Plan if lot platted after 1/1193
• Rim Joist Detail Options selectbn sheet (hld9s with 3 or less units)
DATE a- VALUATION
JOB SITE ADDRESS yd 0- 6a
IF MULTI-FAMILY BUILDING, HO MANY UNITS?
PROPERTY OWNER~~i ~
TYPE OF WORK FIREPLACE(S) _ 0~ 1_ 2
APPUCANT PHONE#
ADDRE55 ZIP CODE 0-a
PAGER # CELL PHONE # ~ FAX #
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
P1umUing System Includes: Water Softener Lawn Sprinkler ree: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical System Includes: Air Conditioning Tee: $70.00
Heat Recovery System
- - - -----1
Sewer/Water Contractor: Phone #
~
AII above informafion must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is corrzct, and egree tc-orri ` y
with all applicable State of Minnesota Statutes and City of Eagan Orr i ances. ~
Slgnafure of Applicanf v~
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex 0 16 Fireplace O 21 Porch (3-sea.) O 31 Ettt. Alt - Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garage O 22 PorohlAddn. (4-sea.) O 33 Ext. AR - SF
? 04 02-plex ? 10 08-plex O 18 Deck O 23 Porch (screened) O 36 Multi
05 03-plex O 11 14plex O 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y ar _ N O 25 Miscellaneous
? 31 New CJ 35 {nt Improvement ? 38 Qemotish (Interior) D 44 Siding
Q 32 Additbn ? 36 Move Bldg. O d? demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Gemalish (Bldg)• O 43 Reroof ? 46 WindowsJDOOrs
Q 34 Replacement 'Demolitfon (Entire Bidp only) • Give PCA handout to applieant
Valuation Occupancy MC/ES System
Census Code Zoning Gity Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Foobngs (addition) _ Plumbiag
Foundation HVAC
^ Drain Tile
Roof Ice& Water Final Other
- Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Smcco Srone
_ Insulation _ Windows (new/replacement)
Approved By , Building Inspector
~m~--°-----°------
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & 5torage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Address 1554 wF:XFnttD cramr Zip" 55122
L.ot . - 14 Blk 2 Sub wexF'oRD
THGSE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Da . Yes No Inspector: (,(J~
Final grade 6" from siding) tl_~
Permanent steps (garage) ?
Permanent steps (main entry) 1~-
Permanent driveway ~
Permanent gas ~
Sod/Seeded grass ~
TraiUcurb damage ~
Porch i/
Basement finish
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and Ihe shut-off of water supply to
the outside lawn faucet before freeze porential exists.
Contact engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~
s 1 9 ~ 52Z
Fequest Da e Fue No ougRin InspecUOn
r„ Reqwretl7 ? Ready Now ~,WJI Novly Inspector
C No When Raetly?
I Y, licensed coniractor ? owner hereby request inspection of above elecirical work at:
Joo Atlaress IStreel Boe or Rome No Ciry~
5S E. ~ ~
SecUOn No. Towns~ip Nama or Na, Renge No. Cou
. iLC7T A
OccupanllPRINT~ Pltone No,
Ysy-.
PowerS qtltlress ,A:-~ 1~
Uber IL L ClZI ,
Elecincal rlCOmpany Nane~~ ~ Conhactor's Ucense No.
1 ~C C/T 0 1 . z
MaiLng Atltlres5lCOn;ractor o Owner Making Ins~allation) )
` ' 1 v1G~'o L F-A SS 1 z
Awnonzetl naWre iConVecmuOwner M nslelleUOn, PM1One NumGaer y
MINNESOTA STATE BOARD Oi ELECTRICITY TMIS WSPECtION REQUEST'NILL NOT
Grigge.MlEwey Bltlg. - floom 5-173 BE AGGEPTEO BYTME STNTE BOHFD
1811 Unlvernity Ave, SL Peul. MN 55100 UNLE55 PROPEF INSPECTION FEE IS
Phone (fitY) 642-0800 ENCLOSED
REOUEST FOR ELECTRICAL INSPECTION EB-0i
L ~ See insimcvonrlor compleling this form on back ol yellow copy.
~ ;_9 "X" 8elow Work Covered by This Request
14ewl Add Rep TypeoBmlding AppliancesWired EqwpmentWiretl
Home Ranqe Temporary Service
Duplex Water Heater Elechic Heating
Apt. Builtling Dryer Other (Specify)
IComm./Industrial Fumace
Farm Air Conditioner
Olher (suenty) Comractor's RemaBS'
Compute Inspechon Fee Below: .
# Oiher Fee # ServiceEntrenCeSize Fee # Circuits/Feeder5 Fee
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps t
Transtormers Above 200 _ Amps Above WO _ Amps
Signs Inspecmr's Use Only: TOTAL
v
Irngation Booms ~
Special Inspec4on r
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee ' COMPLETEO WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rougn-in oeie _ 'y ~
certify that the above inspection has F,,,a oaie ~
been made
OFFICE USE ONLV
Ths requesl voitl 18 moniMS Imm
REACTIVATE _ CITY OF EAGAN
vERMt7 r 1993 BUILDING PERMIT APPLICATION i
681-4675 ~~~R ~ ~ REeO I
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of e~nergy
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. ~
Oate 3 ~ 29 ~ 93 Valuation of work Site Address: 1554 WEXFORD COURT
STREET SUITE M ~
Tenant Name: (commercial only) ?
IAT 14 BIACK Z SUBD. WEXFORD P.I.D. k li
i
Descri tion of work: SINGLE FAMILY DETACHED I
0
The applicant is: ? Owner ID Contractor ? Other (oe6«ibe)
Name NELSON. JOEL APJD AAY Phone 683-9343
Pt'Op@I'ty LAsr rresr I
Owner AddY'es5 4537 S. MALLARD TRAIL I
STREET STE 9
I~
Cjty EAGAN State MN ZjP 551122
i,
Company LIFESTYLE HOMES. INC. Phone 454-7866I
Co ntractor Address 1489 ALKE PARK CIRCLE LicenSe # 1288 Expll3/94
City EAGAN State MN Zip 55122
Company LIFESTYLE HOMES, INC. Phone
Architect/ snME ns AsovE "
Engineer Name Registration # ~
Address
City State Zip
Sewer & water licensed plumber THOrtPSON Pr,UUtnBZHG Processing1ltime 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. I
Signature of Applicant: II
OFFICE USE ONLY
BUILDING PERMIT TYPE * ° . .
?~~1 Foundation ? 06 Duplex ? 11 Apt./Lodging ,~,l6~as e~' Finish
I$ 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim ool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
0 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
X31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) v- N Basement sq. ft. MWLC System
(Allowable) v- N lst F1. sq. ft. City Water E6
UBC Occupancy Q-3 M-~ 2nd fl. sq. ft. PRY Required ~
Zoning R-L Sq. Ft. total Booster Pump
#t of Stories Footprint Sq. ft. Fire Sprinkler
Length 6S On-site well Census Code /Dl
Depth _ZPF?_ On-site sewage SAC Code ~
ccwdro
APPROVALS C'~-4buS
Planning Building Assessments
Engineering Variance
REOUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
p Wallboard ? Finai ? Draintile ? Fireplace
Permit Fee vaimcia,: S o,.~
Surc
PlanhReveeW 4A--A~'E 73~i
License CI%J
MWCC SAC
c;ty sac BSm?"; Ij2'~ ~ ~ ~ ~-2 0
Water Conn.
Water Meter `703 X 16 = I12W ca
Acct. Deposit ZSNc yS =)jVy S/W Permit ~rnwxiZ - C~i)
S/W Surcharge
Treatment Pl.
Road Unit 3x3x~2= (3~
Park Ded.
Trails Ded. ~u~
Copies
Other
7ota1: ~ 5 2 3 7~ lS% x2, $1K
Isr F~~2;
SAC
SAC Units ~ 65N17= ISZ3 k$4s
ztia Ft-ovn: 251 14= 350
12XN = N3°
g I o 2~, ~
ivo Yi~+%Z~~saSX5W'
saw~e ~
SURVEYOR'S CERTIFiCATE LIFE STYLE HOMES, INC.
z yoez ~ag~
/p ~ 94PIPE
9 31
~Cj
~ ~ 4--•y\
~ / ~ ~ ~ B? \
101
447.8 .0 \ •9 08q ~
/ Q O~" a' o i.s) ie ~ ~OO y
k9479 ~3P p 4\ yy
4.9 ~
.8/. IZ&4
9484
G.~ ~
>;5.42
V• -`~g ~ ~ ' ~9 V
BENCH MARK
N ~°.F S~a9.es LOT 14
c~ ~ ; p~ V2~ ~ . ~ ~ ~ ~
9e so
950.5
e9 ~ ~ / ^ o
saa.3 \ e / ~
r
i~ 945.4 S29Q \ _~F,p4j ~ ko
4
L_~? I_ I v~ H \ N
•L/~i
~ 4r
NOTE: BULD{NG DiMEN51pN5 SHOWN ARE FUR FqRiZONTAL ~
8 VERTICAL LOCATION OF STRUCTURE ONLY. SEE I~J/ ~
Aq()11TECTVAL Pl.ANS f'OR BUILWHG 9 FOUNDATIpJ Il~~
dNENSqNS.
h
NOTE: NO SPECFIC SOILS INVESTGATION HAS BEEN COMPLETEO p "y /
ON TNIS LOT BY THE SURVEYOfi. T/£ SUITABILITY OF ~
SOIIS TO SUPR7RT THE SPOCIFIC FfOUSE,PRQPOSEO IS
NOT THE RESPONSIBIIITY OF THE SURVEYOR. y? n g n ti.,~ ~S g~II ~p
1~1iil~wJLJ G_w e
+ DENOTES PROPOSED SURFACE DRAINAGE c>
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PAOPOSED GARAGE FLOOR - FEEf
X000.0 DENOTES EXISTING ELEI/ATION PROPOSED LOWE,ST FLOOR - 542 S FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSEO TOP OF BLOCK - 937-6 FEET
WE HEAEBY CERTIFY TO L I FE STYLE HOME, I NC. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF.
Lot 14 , Block 2, WEXFORD , occording to the recordend pnlat t~he(Jreof n(~
Dakota County, Minnesota. ~'olJlloVo P R2 v~Wl'SD
IT DOES NOT Pl1RPGRT TO .~'iH0`rb' IFJiPROVEMENTS OR cNCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISlON THIS 2ND DAY OF MARCH , 1993.
PROPOSED GRADES SHOWN WERE SIGNE . ES R. HILL, INC.
TAKEN FRqN THE GRADING PLAN
PiCM~lR lNi111QE~RNAORAND LAST
DATEO 6-2-92
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBEA 19828
~
~ 0 W R' A
O r= W~ O ~ A
m ~
~ ~ p > James R. Hill inc.
_ Q m v~ x y N D n` ~
r
o`" Z~ Z~ mPLANNERS / ENGINEERS / SURVEYORS
- O m C, W <
2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-890-6044
Los ScAVtY caaruzez JPoR uisaZ"xu,
~ sQZrDss"JLxzr ssszzcarsox
lRODLRTY M±*.i p~<
~
k~ nate 01 fusvey
~ boc@QNT 2T vr»ne
~ 0 • Reqistazed IanC 8urveyor siqnatuse and eompany -
0 • suildinq permit 1lppiieant ' i
G • lwgal descriptioa
D 8'"0 • Address
D 0 • North arroy ar,d baz seal• •
D~b D • 8cuse type (ramblar, ralkout, split tr/o, split sritry,
lookout, *tc.) '
D~0 • Direotional drainaqe arrors vith aiope/qraCisnt 0.
D~ • proposed/existiaq sevar and vater sarvices
0 • Street name
ir'l 0 • Dzivaway
szrvariore
tYistina
D 0,C) • Sever serviee
D~ D D • Lot eorners
0^~L1 D • Top of eurD at the dzivtvay
17~ D D • Elevations of any existinq adjaeent bomas
pre~osea
D~D 0 • 6nrage floor
D 0 • Firct floor
,@"' G D • Lowest exppsed slevation (welkout/vindov)
Propezty corners
Front and renr oi Aome at the loundation
P9A'DSrG ARLaB tiS ¦eDSiGLie!
n • Easement liae
0 D • xs+L :
0 ~0 • Kti+L Pond f desiqnation
O D tmezqency Oveztlow =levation
ai~!rxazoxs •
~ D D • Lot lines
D • Riqht-oi-vay and street vidth (to back ei eurb)
0~ 0 0 • Proposed Aome dimensions includiaq aay proposea d*clu,
ovezDnnqs Qreater than 2', porehes, atc. (l.*. a21
struetures rsquirinq permnnent footinqs)
~ 0 D • Shov all •asemer,ts of secord and any City utilitiss vitAin
those sasementc
Ir D D • Setbecks of proposed structurs and setbaek of sdjacent
existinq homes
DJY'D • Retaining yol r~qu reasnts, if any
• Revieved: 'y~~/
2ia i ~Tsw~'
~
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~
~ .1 ~ ~•~V.~a,~i~ ,4~.ai, ~a~i~~~~~1},~ a ua177~i~`~i7~
. :t .:I~J~;`r.~'j.'~(,~F~.t•~~.,t:i;:'. . . , . r.lr.,c,~~~~a$'lS.~'^' ~"f'~{ !:a~;~~Hr~. ~`H
MiyR-29-5 = MON 1 F. : !5. 6 SE NNETT F' _ 02
. . , , r
„ • _
(nl. ExanSEO ROOF/CEILtRr.,tALWL11Tlon5s
,,m,i~•„ „ ~
To(nl exposed
roo!/telllnq area........ ? I'~'~o !q ft"
/ J) Total akyllaht •rea....... ~ aq ft x"U"
k) Totei rooflcnlilnq framing ~~~'Z~» _ ~ •
arta (Average In>,)...,,. ~ sq ft x "U„ 4~ ~~3~ ~
I) 'Total net Insula ted '
„ roo//celiinq erea _ 164(o sq (t,x liust
4. ~.,TOTA)L_ J) thru i) L,-
~ ~:r, .ti.' ; i
If totel of 04 Is the same as!!or 1efs ,than,P2, you have met the lntent of
2 MCNt 1.16008 A and 0,
Vr Z"
. ~ 9 T
~ AL7ERt1ATE BUILDIHf ENVELOPE'DESIGN
. . u;.` r ~ ~ • ,
To utilixe the total envelope fystem method, 4he values estedllshed by thn fum
of items 03 end A4 shali not be greeter then the tum of Items A1 and 02."?11~
~ . c-~ ~-f L ' ' ' z y 7 .
~
• ~ ,
3. 3 53 + 4. 7`rz ' ' ~
~ ~
. t
;
. , >
. . -
• ;,.5 , • .
` ' . . . . • ~ . .
~ . ' . I
~1 ' • ' I 1•r • ,ti~ i ~ . .
1
C E R T 1 F 1 C A T 1 D N ~
~ . 'fi:.•.'•.
1 here6y eertify that 1 hava'calculatad the "U" faetors •nd "R" M1~;.;;~,;•
vatues herntn and ehat the bulldinti hera described ments or exceeds the State
of Mlnnesota Eneray Conftervrt;loo, Aet.
• , < < i I I s ~ . ~ : r ~
" . 1. i 3~7! • .wr i.~Y.
• .:~r~,K~r i, p~ ~ ~ Qf1s tUfE 4( .~'~-.-.......s....~~` .i..M:e
. .2. ~ , i4! i grr d• . . • q4.~5. ~
. : .y;
42
Cp~'-
'
~ psge T
16~4
.
. . . . . . . . . .'4`N' ~ . ~ . ~ 4: ~•t . . l•,'rfw~~~i.~... •h•L.''•~C':t!~ ' N{~:. ~ .
. . . . `~ar ~ .,-y I
NAF'-25-9 = Ml7N 1 E. _Sc. F•EF{hJETT P_ 0 =
• . . . . COIIST~. R VALt1E
NAIL FRAHING SECTIQN: S,• .
I fnterlor air flim
C. ~ lA
~
~ nc es so t wood
4 S b
~ 5 -
Ext r or a r b {
~ ~ ~ ~r;' • ' ! r TOTAL, R
j ~ ~ -Ir '
~ 'I 4i i'.f' U" i/(~
;~RI !'yj ~ ' ` t!: i' , .
:NALL SEC71oN
, (IHSUtAYEU)
~r.. ~ . , . ~ 1 Interfor elr fiim
.0 y.. c .
-_•_14 4. k i~o.~.i ~o,L ~ ~ "
~r.""'~.~5
~ +
. F' Exter or a r . p b
~ ' ~ ! TOTAL R ~ ?sl.t70 ,
t~.;~•'~ r. ; U ` I/R_` ".0
j.~I„
0.1M J015T SEC?!6N:
'1 Interfor alr fllm 7' •
2 0`k FG^ o~0a r.
3 .
4 1-t-°`s
, 5
e' i
' 6~'Exter or alr m n,17
. ,r . .
•.r.;,~•rciyr:TOTAL
~ FOUNDATION JNSUlAT10r~ REQUIRED:'
' Min. R-5 on entire wall OR " U• I/R •+p3 :
p,A• •,4~ Min. R-10 down to frost;~epth
. . . ~ , I
~ o,-, ' ~ ~ FOUNUATION SECTION: ~ g, ,
.,A Interfor alr fl)m Fq ,j
a . ~Z ~ ` 1l u 'f~:?~ ;.;i
,A r 3 {"r'."':5•,~ ~
~ _ yA .
a• A. G 4 Exter or a r flim
~ ~
; 4.~4.:-0•' / ~ , ~ ' ':4"•",i; .
A• :.I 4 , , ,~p•,',:.
, 70TAL R 7,
, . ~ . , , , ~W 'i~
; ~ U • !/,R ~ ~-e1 ;•~~'t,~P='~r'~~v' .
•w,i ~ . .ti?': .
. ~SLAfl ON CRADE
.
'Q 'i . ~ • ~O'r~: 4' '{Py;r,..
V
.l;d .Q~;' U~ •Q+ A 4
~ : • q ,°,~.•.dt;~a
0\ ~ n~I~. ~ L~[, • • ~I
' ~~.Q _ . ' .,0 i' /
i t•:'. ~ . . . d •t'
! 6 • .
Q
. ~ . : . .
Neated Sla ~
bs: t` p, ' ' ~r~.~ ~
. ~ . ~a
Minimum ~R 8 • ~C~ 'r-.;:~,~7~,.~r.~.:~
~ .
. 1 • ~ ~ ~ S I: ~ . a, • ~ ~ ~ ~ ~ p ~ ~ ~ . ~ ~:~i?yo':iy~~~:.u'~.,q i; ~I
' .i q ' i~~!'~'M~:,~~~y~~r'!~~~('~;
Q7 • %i;.".~
Unheated 51abs: ~ :
;,G. d~ar~~;:{~
'
MiMmum R ¦ 6.2
1 q :
. ;y. : 4 , . , " . ,i~a~~frr~ES~;.
4" •Q ~ ~ ~ ~ , t ~;:r .,i..
• i~
. ~4 A• , , ~^gp'f r '`~~~~tn'~yJ~~il
i b
r ~ ~ ? . ~ ( Lf" 1
Ii ~ • ~ (~i • 1 Pegei 31
~ • ~ . , ~~q ; ' ' K'•~,~ :i .
'o,~~~ , • . "~.'ti;~'.'
.Ai ~ l ..nnl,.
MF-lp.-25-93 MO N 1 E. - 57 E:EhdNETT P- Ei 4
CONSTAUCTION R YALUC
i • ' ~ ! I~'. ~ y'i('4 ' .
~i tE1lINf, SECTtON (IN5ULATED): ~
lnterlor air f11m
3 • 4 fxtertor atr fllm st1141 '
7D7AL R ~
u . > 1 / R p
CEILINC,FRAMlNR SECTIQN!
i-is'Interlor atr film
2 u,
3
AIR VENTED
FLOW ~ 4 nter~lor air film (still) n. t
, 5 nches so t wood
70TAL R . ~ r.,..,
• v .
•iil..:~,~ , ~ ,i I~i ~ ,i~ .
CEIL,ING,5Cf.SiON (INSUTATEb):
.,Ilnterlor elr il)m n.Fl j,r~ ,
~
2'~'~ ~1 ~l ~~~.SV~, s? 4R 'y~ .f
j
4F.xter ar a r, ilm s t 1 I n. !'°fi ,
~
~ ~:i~~.r, sy lc,~ ~a,. ~uc,.TU7Al R¦ ,°py~~, ~~~r~i~a,
, ~ ^ ~ ~ ' i ; V ~ • . : ~ ;y ~ ~ . °C / ~ i.
f l ~fr~ + ',~'~c~~qj•, ~ ~ Ua.I/R¦ .OLi •
/ ~ r ' ~ ' !;lL'~ , ~ y ' i . , r i~ i .:Q•
1 r' 1 ~r
CEiI{Nri FRAHIHft SELSlOIl:
i l~j Interior air fllm 0.61 - _ ~
VEN'tED z ;
3 W...._..._..._._._.~
Ex~-[erTore r n st 1 0.61 ~ ~ • ' Inc~hes soft wood 4;;',
. , e,l 7D7AL R 0
tl m f i/R p__„_
q •
3 4
¦ ~ , ~ . ~ . f 1 ~ ,~t; . a''.
:~y~~:~}thR:~~ .~~i.~, ~V ~ ~a,~l '~?+~~~i:a,.~j~?;.
i,lnside air film n.At
ri,'s':•~ 2 1.;
/ ~ I ` • r " ~ '.'''a_'' a
q
y~~
2 i~Ut4 B E 1' dl ~ ~nl V?rY, i:
TOTAL R ~ .._.....,,.si~~~~.'~`°•~,;:,~.~i~P
. ~;1~ ' E
. U m 1lR A . , ; ~
' Pagr, 41~`~~,
. ~ .
; ,:7".~r.
~ ,i,l'~'ir.a'~r'1,U4
' ' .l1:. •
. .aWl: USEONt;Y
:.......:.e..
. . . . . <I i;; ls' ~,.i~r :
. .:o.e. ,
...;.,;ar::
~~i:.:... . ....:.~..c . . ...::p
T . ::~i
...e il •
, ~ . .
_ ':~...,...~L.~. a , p.:: .
,~I~ . n .
' . . p. :..2 •i'.'~::". ta)~:a,',..:..'.
' n..~ • . f ; .3....
y y,(.. . . " . .q[
: . ...:q;.~. :`:iK~...::....'...
q~
" ...:5':°.'~ .
t. . .....3 . . ..........,l.x.:~:~::...:.. ..::.ti~%>'~.iR~ 4~~~~:.:
r..<.. o-.. . n.... . ~ . .......v .
E.
'f . . < ~i:ai.'.•'~:f.~:':`~`~:~ii%~ni
#
G~ ~.c.i.... .o•
. . . .
9.,...
Y . . . . v:::.. ...~f...
. ~y , .o. .,.i .::....:........~:.>..e;.:E:;s
. . . . . . ~
a . . . . . . . . . . ~ :
. . . ......::........._.a,.~>;J•<s...,;:~; '
, < . . . . . . . ......~:~^'a>. $:;j:s;;~"i
. . . : . . . Eg,, . _ .
. . /.f } . . .._r....
D.. , . a;.~;.•.~~~..,:<AA~. ~
,
~ ....:......_:::,..,..:.:<,:a:.,,.,,.<.....:~.:r.:;.,..4..,.,,.,..iu..~,.ha.,k.,w.~,....,x,~.,...,....,,. ...:'3~,..x~.,.....,.
. ~
1993 PLUMBING PERNIIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122 ,
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
- - - - - - - - - - - -
NO. FIXTURES EACH TOTAL
~ SHOWER 3•00 ~ Sa
WATER CLOSET 3.00 Iq , 00 o
C2 BATH TLJB 3.00 lV,ot~
~ LAVATORY 3.00 I a• oc~
KITCHEN SINK 3•00 •
LAUNDRY TRAY 3.00 ~ • oc~
HOT TUB/SPA 3•00
I WATER HEATER 3.00
~ FLOOR DRAIN 3.00 ?~.oo
GAS PIPING OiTTLET • minimum - 1 3.00 C-10
3 ROUGH OPENINGS 1.50 41 _7~()
I WATER SOFTENER 5.00 "~;qnn
PRIVATE DISP. • Dak.Cty.lic. 15.00 U.G. SPRINKI.ER • eome uneer consi. 3•00
ALTERATIONS • to exisuog 15.00
-r-~
,WATER TUR N AROU~D 15.00
~ Arv.~7~~Pc. w ll,.~v~d~ oX '~u (JD
STATE SURCHARGE .50
TOTAL: l o
SITE ADDRESS: I r'i`=~44 lX)P x4c,sa1 00 ar+
OWNER NAME: 1--,1 ke-~~arcf-r l~
WSTALLER.orn s, 1~1~Ar,bf CCl
ADDRESS:
CITY: ~t STATE: 0'1 l ZIP CODE: .3:-f4t~
PHONE
SIGNATURE OF PERMITTEE
arWvsE,rsivx,Y .
~._.~,....,~..,...;.~~~~:H~~,.._..~,,. .
...,...,..r~:::..:..
..:...;w: ~_~_m
~....~...:.~u:,.
.
.
. s.b~.'v
...:.i. ....%e. ..,.m:.:~~~'`'.e
~~::..a.. . a...r . :
f..:.:....w. ~ . , . .
. . . . . ,.>r.;.<:. . c .
, . . . . . r.::.
- . . .
• Sri._ ~`.t `i ~'•l..
~y: . . ' : . zY:' .4`G.
Sii i;v~:'.~i.n.>:: ~
. ,
: - :a. y m.« '-~..........'x°
D.
lSUB A
~,Yi: ["5`3 :'.S2 .L~~~" i~,s «S.S. R:• •.j•x t.s i ~
<:a:_:>,::....,.:s.:.:•.. t......,..,. >~.;,:.1;A,..v..:.A,.:w".:f::,:::~aa::a.:~.~,:a°'.~~:.~;~::,a.......:...a.xt3.w,...'.,..w,wz...w:'z:~~,:....:.....>.c:.:'.4;...
1993 PLUMBING PERMTT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT IQYOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMAERCIALJINDUSTRIAL BUILDINGS. AISO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
_ NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACf FEE.
STATE SURC}LARGE: $.50 FOR FACH $1,000 OF PERMPI' FEE
MINIMUM FEE $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SI1'E ADDRESS:
TENANT NA11IE: 51E. #
OWNER Iv'A114E:
INSTALLER:
ADDRESS:
CI71': STA7'E: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
- ' "~?cE if
~yt~111/~ ~
,.......w........... . . . . .
s.
> . . .
. .
.:`~'s?>.. ` . .
.
. . ~.~J . . .
~ DL. . . . •
~.:...,C.`.5
.
. . _ . : .
,.:r...
. .......ea,,.:.<.:,.-:.....>,...
. . .~....:.,r
. . , Lv"'" . . ~:.`.:.'::;i'.
. , ........:.....:....:~:e:_......: :v.'• .:~~g'!:'>~.
_ ,.::F.•: .
.
. . . . . : . _ o-:... , . ..:.:.v..:•.~,;.? ,..>......,..,v.....' .
.b . . . . . . ....J~. ;
~ , : : : . ,
D . .
< [
. , _ :.,i~-, ; f:'
~
. . . .
.>:~AT~:`::
. „
.
. . ......:'.......1~...'~...:.:..:..... .,........wwA.....,.~.a...,..........a....a..~~s:: k.r..u..>.K:..a`i..`~ & ` . . ' ~C:...:'P.~ .....M...i.(.~in':...v~.. `~.YR:i.. c~.a..a..
1993 MECHANICAL PERbIIT (RESIDENTIAL)
CTIY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMII,Y DWELLINGS. ALSO, FOR TOWNHOIMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. u
J(_ NEW CONSTRUCTION N
ADD-ON A/C I~
ADD-ON FURNACE
DATE L2_1 7 ~II
FEES
HVAC: 0-100 M BTU 24.00 n
ADDITIONAL 50 M BTU .00
GAS OUTLETS (MINIMUM 1 C$3.00 EACH)
ADD-ON/REMODEL (ExISTiNG CONS7RUCi7oN) $ 15.00
STATE SURCHARGE .50
TOTAL
3b~
SITE ADDRESS:
OWNER NAME: TELEPHONE
INSTALLER:
ADDRESS: 1177 o N• ~ ~ ~ ~~a--o
CITY: STATE: ~-J ZIP CODE:
TELEPHO
~
~u
SIGNATURE OF PERMITT
C'1"t'Y-ilSE UM:Y ,
~.a n. bY : . . . A.<`.I . : . <i:._X.:.3. .:~.~,^°..',~ir;>. ~ ~j ~~^o~:.: ..r..: ~^W~.~° :.;°~o::.,£
..o:...~..: R _
. ;,.....,.:q ,~r;~.l.
~ . ~ ;r .
~....:.....a:^- ` . . . : .
;F: y.'. ~ ..q , . .
.i
. . . .
.
. . . . . . _
u . J:, i, t,. .,~....e..,... . ,
. . . n. , _ o ......a.at.:<.. .ss.. ;_g<..,.,.:~ ~,a ?a;.. .
, .p ..ti......
."`•.S.zk:" ::r`'c
" . . .
. ? " ~ ~a$... :~•3-: ~ :4, ar
~ C:...
x.
D. f"......
~ A.... < ~A 4 ~1 •LE ;ak,i:~.ix:.^.,-.3i:'Ye.~..: ~
......................~..............,.:•'~.,..w:.a::,~:«::'.:i?~~~~...,...,....3,.u......~'sL~`F"'`w~',~'.~''.~.:«+q;:v3~,..,.....,........,..,..........'^..'~.~'„^,:.'^.3.,w,..,..,...,,.,>.:`..;;:i:~`Til..s>:~`m
1993 MECHAHICAL PERMIT (COMIIZERCIAL)
CTI'Y OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMAERCIAUINDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: CONTRACT PRICE: $
NEW BUILDING
IT'TERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
I% OF CONI'RAGT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERMiT FEE.
TOTAL $
SITE ADDRESS:
OWIv'ER NAME: TELEPHONE
TENANT NAME: (IMPROVEMEN7S ONL1)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGhATtiRE OF PERMITTEE CITY INSPECTOR
1999 BllILDING PERMIT APPLICATION (RESIDENTIAL) ,
CITY OF EAGAN % 0a
3830 PILOT KNOB RD - 55122
651-681-4675
New Consfructlon ReauiremeMs Remode(Il e ah Reguirermnents
? 3 regisfered sRe surveys ahowing sq. fl. of lof, sq. N. of house 2 coples ot plan
and gll roo(ed areas (207o maxlmum lot coveraae allowed) 7 set of energy calculaHons for heafell addMions
? 2 coples ot plans (show beam A. window sizes; poured fnd. design; etc.) 1 sMe survey for exterior addRions 3 decks
? 1 sef ol energy calculations ~
? 3 copies of hee preservafion plan R lot plaHed affer 7/1/93 DATE: a-2 9 1 CONSTRUCTION COST: ~a 0 '~70, IIgo
DESCRIPTION OF WORK: -LAffj'Lw~ Xl~plL L/P47'6 ,jL•,r^w'~^G ~a~(,
STREETADDRESS:
LOT: I 1' BLOCK: SUBD./P.I.D.
Name:
Phone
PROPERTY Last First
OWNER M
Sheet Address: l-~S L?G=X'`ana cov
cty state: Zip: 5-5 J11-7m2
Company: 'Oa[P/.~Inl ~o~( • SP~4 Phone#:
(area code) l~
CONTRACTOR oS /~Jv?v /G4 N~o S31O
Street Address: 3 r / license # Exp.
city PLr.,.o v~-1~ state: zip: SS11~ /
ARCHITECT/
ENGINEER Company: Name:
Telephone area code (
Street Address: Registration ll
City State: Zip:
Sewer 3 wafer Itcensed plumber (reau(red for new conslruction onlvl: I
Penally applles when address change and lot change Is requested once permR Is Issued. I
1 here6y acknowledge thaf I have read fhis applicaflon, sfate fhat the Informailon Is con , nd agree to ¢omply wl Nb all applicabl
Stafe of Mlnnesofa Sfa}uFes and Clty of Eagan Ordinances. '
Signature of Applica •
' OFFICE USE ONLY
REC.~T~~~D
Certificates of Survey Received _ Yes _ No AUG 0 =.199rI•~f,
Tree Preservation Plan Received - Yes - No _ Not Required ~
BY:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling 0 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging ~ 20 Pool ? 25 Miscellaneous
WORK TYPE
~ 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code 32~
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units 1
Zoning sq. ft. No. of Bldgs d
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building 52~4- Engineering Variance
m~
Permit Fee 2)Q 3 as Valuation: $/8 000
Surcharge 4.OC7
Plan Review CITIr C'
License CASI-,IEFr JS TFFPiINAL N0e 340
MC/ES SAC D4TE: 09/tG/37 TL'S°_c 12s56c42
City SAC
Water Conn.
Water Meter NAME: DOLFHIN POOL E, S°A
Acct. Deposit
S/W Permit 3210 °OOi 1554 1,11EXFOFU CT 293.25
S/W Surcharge Z430 ?OOt 1554 WEXFOFD CT 0.25
Treatment PI. 2155 3001 1554 4'EXFCFU CT 9.00
Park Ded. '
Trails Ded. Other
Copies Total:
Tuta:t Fecezpt Rr.ovni;; 302.50
SAC Units cfiiise+W
% SAC USEF ILit JAN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) /U
CITY OF EACAN
3830 PILOT KlY06 RD - 55122
651-681•4675
New ConshucHon ReauhemeMs Remodel/Reoah Reauhemerts
? 3 registered fMe surveys showing sq. tt. ol io}, sq. fl. of house 2 copfes ol plan
and QII roofed areaa (20% maximum lof coveraae allowed) 7 seT of energy calculallons lor heated addRlons
? 2 coples of plans (show beam 6 window shes; poured fnd. design; efc.) 7 sNe survey for exferlor addHlons i decks D 1 set W energy calculatforo ~
D 3 coples oi hee presenatlon plan R lot plaMed after 7/1/93
c.
DATE: a-1L' -9qr . CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRE55:
LOT: 14 BLOCK: SUBD./P.I.D. N: IJ~L ~ 1 L%f c~ II
Name: 1 vc~.~sc,n Phone
PROPERTY Las1 Flrst
OW NER Sireet Addresr.
7
Cify State: V l~ Zip:
L rL
Company: l~tiL Phone 1F: b-~ 1 6 b L, T~ b
(area code)
CONTRACTOR L(GC ( S~`~l~e~j, Sfreet Address: c~l~ ~h LicenseN2vc3?CG6 `xp. 2c.of.
l ~
City GState: Zip: a S
ARCHITECT/
ENGINEER Company: / Name:
i
Telephone area code ( )
Stree't Address: RegisfraFion M:
City State: Zip:
Sewer S wafer Iicensed plumber (reavired for new consfruction onlvl:
Penaliy appiles when address change and lot change Is requested once permN Is Issued.
1 hereby acknowledge thaf I have read this applicatlon, sfa}e fhat the Informatlon is conect, apd a ree fo comply wRh alI applicabl
Stafe o} Minnesota Statutes and CfFy of Eagan Ordinances.
Signature W Appltcant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
~_I . .
Tree Preservation Plan Received - Yes _ No _ Not Required ~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex 17 Garage D 22 Porch/Addn. {4sea.
O 03 1 of _ plex ? OB 6-plex ? 13 16-plex tst 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level O 24 Storm Damage
? 05 3-plex 0 10 8-plex ? 15 Lodging ? 20 Pool O 25 Miscellaneous
WORK TYPE
A-'~31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.• ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to appiicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code 44 -1 `'i
(Allowable) Main level sq. ft. SAC Code O r
UBC Occupancy sq. ft. No. of Units ~
Zoning sq. ft. No. of Bldgs U
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Buiiding ~ G Engineering Variance
Permit Fee S0 Valuation: $ 1. =oU,
Surcharge I
Plan Review c v r
License
MC/ES SAC ~:E'; : S
CitySAC
Water Conn.
Water Meter IL~"
~r-~,=:• ~+a ~e~-ca:~sonce~s-,.•~~:T-cr
Acct. Deposit
S/WPermit ,,,,~t ,t~~R i-r-~-... .~2~
S/W Surcharge ~,oa ;s~~~ ~;--~~~,-,n ~ n.
TreatmentPl. -~r .F,:~,,•r-
Park Ded. •
Trails Ded.
Other ~ ~ .
Copies
Total:
SAC Units 70t<l li,.ri,_ r t7.~
% SAC CF: t'~,
~JSI::Fi ?[l_ , r,,
~ a ga ~ RESIDENTIAL BUILDING i"+' f~•~ ~
Permit Application
City OfEagao t 4/03
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 r
New Construclion Reouirements RemodeVReoair Reouirements Offce Use OnN
3 registered sKe surveys showing sq. ft, of lot, sq k of house; and all roofed areas 2 copies of plan Cert of Survey Recdi Y_ N
(20%mauimum lot coverage allowed) 1 set of Eneryy Calculations for heated additions Tree Pres Pian Recd _ Y_ N
2 copies ot plan showing beam & wiiWow sizes; poured found desgn, etc. 1 site survey for addiUons & decks Tree Pres Reqd Y_ N
1 set of Energy Calculations Add'rtion - indicafe i/on-sfte sepfic sysfem On-site Septic System _ Y_ N
3 mpies ot Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Op6ons setection sheet (hldgs wrth 3 or less unifs ,
Date 12 / 29 / 03 ConstructionCost $30,000.00
Si[e Address j5SqQl!M Wexford Court UniUSte # DescriptionofWork Remodel kitchen & bathroom; replace lower level bearing wa11 with 3- 16"
microlam posts.
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 _ 1 X 2
Propert}•Owner WilLiam & Elizabeth Koehler Telephane#( 651) 688-2848
Contractor pomestic Development, Inc. (License No. 3263) p
Address 14244 Garden View Drive City Apple Valley
State P11`1 Zip 55124 Telep6one 952 ) 432-9316
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Ca[eeorv 1 Minnesota Rules 7672 I'
Energy Code Category . Residential Venfilation Category 1 Worksheet • New Energy Code Worksheet
(q submission type) Submitted Submitted
• Energy Envelope Calculations Submitted ~Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Ill I~r I`_ 2 n. _ Telephone )
j " us U
Mechanical Contractor I~l ll Telephone )
uu C 03 'I1
Sewer/Water Contractor Telephone )
ay ,
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and wark 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 ofplans. i
Ross R. Grothe 'p
Applicant's Printed Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
p~ 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
~
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ~O, 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
WorkTypes
? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) O 45 Fire Repair
l9_ 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Doors
I
? 34 Replacement 'Demolition (Entire Bldg) • Give PCA handout to applicant
9
Valuation L7 Occupancy ~C- j" MC/ES System
Census Code L'I 3 Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Unils ~ Sq. FL PRV
Nbr. of Bldgs ~ Length Fire Sprinklered
Type af Const v N Width
REQUIRED INSPECTIONS
_ Foo[ings(new bldg) FinaUC.O.
_ Footings (deck) -X FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation H V AC
Drain Tile Other
Roof _ Ice R Water _ Final _ Pool _ F[gs _ AidGas Tests _ Final
_X Framing _ Siding Stucco Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[)
~ Insula[ion _ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review ~016
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant Y ~ ~
License Search
Copies
Other
Total
. a C)b
. PLUMBING (RESIDE )
` Permit Application
OCity Of Eagan
._O 3830 Pilot Knob Road, Eagan Mn 55122 ~~•`Z~
Telephone # 651-675-5675 FAX # 651-675-5674 °
Please complete for: Single Family Dwellings
Townhomes and Condos when permiu aze required for each unit
Date /(o / 0 i
Site Address 156~- c U L~'/ ~Y Unit #
r7t- -
V
PropertyOwner )y d~ Telephone#( (o,5-/) ( R9- o2b'h~~
Contractor 64.,Lh ~ Inc.
~~1 I ~
Address l523~ C1tY'f'o (1~~'iC~.~ WnJ City m[Si i rtC,
State MI`~ Zip 'AjrL0('2 Telep6one N(6g'/) 49~5-~~3n
n
The Applicant is _ Ownec ? Conhactor _ Other I~
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
InGuCes County fee. Additional consultant fees may apply.
Alterations To EzisHng Dwelling Uoit, Including $ 50.00
? Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system 1
Water tumaroIund 5/8"p meter if (n~eeded -$121.00)
Other. V Si ~Iv~ 0(y~, Q.1.,d~-- 1^l~ LC)w- J14 nrc 1/
_ RPZ _ new installaGon _ repair _ rebuild $ li 30.00
_ Lawn irriga8on system
~
Water softener R'ater heater
$ ~
, ji'/ 115.00
_ replacement _ additlonal I ~
`il d
State Surc6arge $ .50
,
Total S .SD.~
I hereby apply for a Residential Plumbing Permit and acknowledge thet the informarion is complete and accurate; that the work will
be in confo:mance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I unde:stand,tlris is not a
permit, but only an application for a permit, and work is not to start without a permit; tLat the work will be in accordauce with the
approved plan in the case of work wLich requires a roview and approval of plans. ? . i
ElU„e. al. "W; cx) - ~ 4
Appli Ys Printed Name Applic t's Signa e
..y,
RJ
. ,
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122 ri d~
Telephone # 651-675-5675 FAX # 651-675-5694
~...e9.~~ a -
New ConsWdion fteouiremenis RemodellReoair Re4uiremenis Offce Use Onlv
3 registered site surveys showing sq. fl of l06 sq. ft. of house; and atl roofed areas 2 copies of plan CeA of Survey RecdJJI Y_ N
(20% mazimum lot coverage albwed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y_ N.
2 copies of plan showmg beam 8 window sizes; poured found design, etc 1 site survey for addi6ons 8 decks Tree Pres Required ~ _,Y _ N
isetofEneigyCalalaGons Addition - indicateilon-sifesepticsystem On-sitg.SepticSyslem _Y _N
3 copies of Tree P2serva6on Plan if lot platted after 717/93
Rim Joist Delail OpGons selection sheet (bldgs with 3 or leu uniLs
~ eo0
Date o2 l~9_ I d~ Coostruction Cost I (D
Site Address l5$y Lt3erC(-' ~IX, ~ca~f i,~,pGA~• Unit/Ste #
~
Description of Work i v.igV \6 w+.ft 1eut\ w3)q, \~A-k ~?v.e~ YJAst.- , AA~
Multi-Family Bldg _ Y~ 1`I Fireplace(s) _ 0 _ 1 _ 2
Property Owner 10~ 1` ~ww.. 16 TV y Telephone #(!r5I ) rcj1g • 2g4AS
Contractor
Address City \f- ~
State Zip SY \2=L~ Telephone #(aSo?) , 9
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 ,
Enefgy Code Category . Residential Ventilation Cateqory 1 Worksheet • New Energy Code Worksheel
(Jsubmissionlype) Submitted Submiried
• Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
1
Licensed Plumber n f2 r n V.171 ~ ~ 0 Telephone )
I1lu~~Vuu
Mechanical Contractor II n io Wa I II Telephone J
Sewer/WaterContractor Telephone#( J
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory BId9
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt • Multi
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Muiti Misc.
? OS 03-plex ? 11 10-plex 19 Lower ~L/Gvel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbg3 Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundalion ? 45 Fire Repair
33 Alterafion ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement `Demolition (Entire Bldg) • Give PCA handout to applicant
Valuation Occupancy R- 3 MCES System
Census Code Zoning City Water
SAC Units ! Stories Booster Pump
# of Units 0 Sq. Ft. PRV
# af Bldgs I Length Fire Sprinklered
Type of Const S n/ W+dth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ~ FinaUNo C.O.
Footings (addition) Y Plumbing
_ Foundarion ~ HVAC
Drain Tile Other
Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final
~ Framing~ _ Siding _ Stucco _ Stone _ Bnck
Fireplace _ R.I. _ Air Test _ Final _ Windows
~ Insulation _ Retaining Wall
Approved By: ?p 2'23-0,16uilding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2005 RESIDENTIAL BUILDING PERMIT APPLICATION II (qr •6D
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 I
Telephone # 651-675-5675 FAX # 651-675-5694
New Consirudion Reauirements RemadebReoair Reauirements Offce Use Onlv
3 registered site surreys showing sq. 8. of lot, sq. R. of house; and all mofed areas 2 copies of plan CeA of Survey Recd II _ Y_ N
(20°h macimum lot coverage allowed) 1 set of Eneryy Calcvlations for heated additions Tree Pres Plan Recd I~ Y _N
.
2 copies ol plan showing beam 8 window s¢es; pouretl found design, etc. 1 site survey for add0ions & decks Tree Pres Required ~I Y _N
lselofEnergyCalculations AddRion - indicateifon-sftesepticsystem On-siteSepticSystem, _Y _N
3 copies ol Tree P2servalion Plan if lot platted after 7/1193 I'Rim Joist Detail Optbns selection sheet (buildings with 3 or less units)
Date S l/V 1 0-7 Construction Cost 4Rj 70 °p I'
Site Address / 61:5-4 14e h 42-1- UniUSte k
'I,~
Description of Work roo~F fearo-~'~F~,ncOrerc~~' ho~~. C~llnnnJ"TR,V~~S~S,
~
Multi-Family Bldg _ YN Fireplace(s) _ 0 _ 1 _ 2
Property Owner 23/6-6- tL/z kOE-146-67R Telephonek((ris( ) 6, 8'9'-Q FI~Y S
Contractor
Address 1aa4_7 /VIC6211e-1_ c5fi, City~~~N.//}~2dUC.~P II
State Zip 5:5-337 Telephone # ( ~iSZ) 707-99~5~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i
~
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
' . Energy Emelope Calculations Submitted I~
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies. Ii
Licensed Plumber Telephone )
Mechanical Contractor Telephone ) l~
Sewer/WaterContractor Telephone#( )
~
I hereby apply for a Residential Building Permit and acknowledge that the information is complete land 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 st4rt 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. I,
KErtN ~u/G~ri~
Applicant's Printed Name Appljant's Signature
~
OFFICE USE ONLY
Sub 7ypes
? Ot Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 lowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (EnUre Bldg) - Give PCA handout to applicant
Yaluation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# af Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Ti le Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
Insula[ion _ Re[aining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
i Offi
~ Foe in7se" ~
Pe
Clty 0f Ea~~Il j rtnit#
~ PermiLFee (J I
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received. j
Phone:(651) 675-5675 i ~
Fax: (651) 675-5694 I Sfaff: I
i
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date, L'L17,ZV#9 SiteAddress:
Y ' / .
Tenant: //UilIri7-wt ~c~C.rj t~ Suite
RESIDENT / OWNER Name r~~ H Oe Phone: (pS/-
Address/City lZip. / SJz . vt~XV(6~ r C~4461- w .~/Zz
Applicant is yZ Owner _ Contractor
TYPE OF WORK Description of work: rP -~C W1 (?~I[Ae7 dCC. KS'{+yC4uy-p
Construction Cost~ MWh-Family Bmlding (Yes No
CONTRACTOR Name: ~Zl1nFi1/ License
Address: 17 S:
City State Zip:
Phone: Contad Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Calegory 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 pertnit 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 8 Water Contractor: Phone:
NOTE: Plansjand suppoKing documents that you submit are considered to be public information. Porfions of
the information may be dassified as non-public if you provide specific reasons that would permit the City fo
1> ' conclude that fhe are trade secrets.
I hereby acknowledge that this infortnation is complete and accurate; that the mrk will be in confortnance vnth the ordinances arW codes of the Ciry o(
Eagan, that I understan i is not a permit, but only an application for a permit, and mrk is not to start without ermit; thal the mrk will be in
accortlanc "th ihe ap ov, d plan in the case of mrk which requires a rewew antl approval of plans.
~ a. .
x
Ap icanPs P mted Name R pplicanPs Signat re D Page 1 of 3
JUN 1 1 2009
DO NOT WRITE BELOW THIS LINE 99
~`7
SUB TYPES
Foundation Fireplace Porch (3Season) Storm Damage
Single Family Garage Porch (4-Season) Euterior Alteradon (Single Family)
_ Multi ~ Deck _ Porch (Screen/GazebolPergola) _ Exterior Alteration (Multi)
01 of Plex Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building'
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
~ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall `Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 3000 ~ Occupancy 2G MCES System -
Plan Review ~ Code Edition a-0 2 SAC Units -
(25%_ 100%_) Zoning City Water -
Census Code ~Y Stories - Booster Pump '
# of Units Square Feet " PRV ~
# of Buildings ^ Length ` Fire Sprinklers ~
Type of Construction ~ Width ~
REQUIRED INSPECTIONS
_ Footings (New Building) _ Sheetrock
Footings (Deck) Final 1 C.O. Required
_ Footings (Addition) ~ Final 1 No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: _Ice 8 Water _Final Pool: _Footings _Air/Gas Tests _Final
_ Framing _ Siding: _Stucco Lath _Stone Lath _Brick
_ Fireplace: _Rough In _Air Test _Final _ Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FE
Base Fee / 3Q
Surcharge T
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S8W Pertnit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Cities Di ig ta1 Qualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
4--cYOR'S CERTIFICATE /LIFE srYLE HOMES,-INC.
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~O Ef~.EV~94PIPE
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sasa . ^S
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BENai w,wc
` \3 :9qg j o ~ +4l
~ N ~°F ~.EB LOT 14
,
~ ~.s 9
e6 so\1
e
~
9oa.3 \ 2a / 2
943.4
S ~ ~ O \
2 ~ .y \0
`9
L (n
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NOTE: 9ULOING OIMENSIOMS ShiOWN ARE FOR FqRIZONTAL
ARCNEIRTERUA~L PLANIS FORF STRUCTURE B OUNDATION
DIMENSqNS.
NOTE: NO SPECFIC SOILS INVESTGATION HAS BEEN COMPLETED
ON THIS LOT 8Y THE SUR4EYOR. TFE SUITABILITY OF ~
S01LS TO SUPPoRT TNE SP[CIFIC HOUSE,pqpppgED 15 ~L
NOT TME RESPONSIBILITY Oi THE SURVEYOR, - rLO
• DEMOTES PROPOSED SURFACE DRAINAGE ~x~~ ~ INE ~HEp5e~~
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 95/ Z FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR -9 4Z.8 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BIOCK - 957-6 FEET
WE HEAEBY CERTIFY TO L I FE STYLE HOME, I NC. 7HAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
` Lot 14 , Block 2, WEXFORD , according to the recorded plat ihereof
Dakota County, Minnesofa. P¦R.~/¦ ~E~~l R E~
IT DOES NOT o;,~oorRT TO SnC`vV IFlPROVEME~ITS OR ENCROACHMENT~S, EXCEPT AS SHOWN. AS
SURVEYFD BY ME OR UNDER MY DIRECT SUPERVISION THIS 2ND DAY OF MARCH , 1g93,
PROPOSED GRADES SHOWN WERE SIGNE . ES R HILL, INC.
TAKEN FRpA THE GRADING PLAN
FOR WExFORD F'REPARED 8Y
PIONM E11MECRING ANO LAST
Q4TED 6•2-92
L
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 79828
~
m~T~o o JamesR ~
~ o r J~ fn o ~ m A ~ H~~II inc.
- f-' T r D R.
omZW 0 oN~~i
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A Z
O PLANNERS / ENGINEERS / SURVEYORS
- O m ~ ~
w <
2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-890-6044
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124554
Date Issued:07/07/2014
Permit Category:ePermit
Site Address: 1554 Wexford Ct
Lot:014 Block: 002 Addition: Wexford
PID:10-83850-02-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Michael Schrader
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 -
William E Koehler Iii
1554 Wexford Ct
Eagan MN 55122
All Season Remodeling & Exteriors Llc
17344 Puma Street NW
Anoka MN 55303
(763) 444-1373
Applicant/Permitee: Signature Issued By: Signature
Date:
Tenant
CityotEttu
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
AUG 2 4 2016
Use BLUE or BLACK Ink
For Office Use g
Permit#: 1 1
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL PLUMBING PERMIT
APPLICATION PPLICATION
/ (D Site Address: � � �� lU /0i4 i 6 lL �4'
Z l s 111 1 Suite #:
Name: ,L% _ h
Address / City / Zip: V-=.3 5-1 W t�
J
Phone:th3 Th ri L - I
Name: Croix Crystal Water Treatment License #: 64997WC
Address: 3440 Yoerg Dr City: Hudson
Stale: W Zip: 54016 Phone: 715-386-8667
Contact: Jim Email: croixcrystal@att.net
New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of worts: Install Water Softener
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ /_ PVB)
Septic System
New
Abandonment
V Water Softener
Add Plumbing Fixtures ( Main 1_ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
I $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Tumaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $ LQ 0 up
CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www_dopherstateonecalLorq
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 Jim Schober
Applicant's Printed Name
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159370
Date Issued:12/12/2019
Permit Category:ePermit
Site Address: 1554 Wexford Ct
Lot:014 Block: 002 Addition: Wexford
PID:10-83850-02-140
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Benjamin Bushaw
1554 Wexford Ct
Eagan MN 55122
Twin City Fireplace & Stone Company
6521 Cecilia Cir
Minneapolis MN 55439
(952) 529-5797
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172082
Date Issued:09/14/2021
Permit Category:ePermit
Site Address: 1554 Wexford Ct
Lot:014 Block: 002 Addition: Wexford
PID:10-83850-02-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Benjamin & Natalie Bushaw
1554 Wexford Ct
Eagan MN 55122
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(952) 479-7131
Applicant/Permitee: Signature Issued By: Signature