The URL can be used to link to this page

1557 Wexford CtCity of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r � For Office Use Permit #: Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner Name: ,%C-® 4 ( Phone: 6 5--i- r% 6g---6 c9cy?" Address / City / Zip: VS 4 AA/ s --7c6? 3 / Applicant is: Owner Contractor Type of Work Description of work: coo 6 Construction Cost: /S---- /e -Multi -Family Building: (Yes / No ) Contractor Company: Fe)2,6LS+aYi%~6ontact: (-'��''`-- Address: / 'd /i Cict k 4:11- �; City: / // State: I "u Zip: S /d'( Phone: ?b 3 `3 `� 7' 4 c? (0069 ? License #:96 Lead Certificate #: ' If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets, CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in confor Eagan; that I understand this is not a permit, but only an application for a permit, and work is accordance with the approved plan in the case of work which requires a review and approval of p Exterior work authorized by a building permit issued in accordance with the Minnesota days of permit issuance. Mt-kka..." Applicant's Printed Name nce wit t to start ns. tate Building • •, ignature r the ordinances and codes of the City of thout a permit; that the work will be in ode must be completed within 180 Page 1 of 3 ~ • INSPECTION RECORD ~ C1TY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: agan, innesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: . l.11= Xf it1:~? ( ~ : I!~i~ .~~rq Hr~,~,+ ~:tt 1'nN i i 1. ~ rt'.el PERMIT SUBTYPE: ~ TYPE OF WORK: +w. INSPECTION . ~ ~ , , , i ~ ~~.~•,aii ~V ~ ! ti~: ! f ;l,n:l r~ • - ` ~t;tJ I~) !~f ~ ~ II(tF I ~ t~t,' ~ ~ J rermn No. wrmn F+ow.. oel. T.MVrwn. • S/VN • + PLUMBING HvAC ELECTRIC Q ' ~,S 9,3 I ELECTRIC I Napoctlon o.ft kap. commsnts F°°ungs ' ~9 w F«,ndenon F?emirW ~Q j? ROOW9 ~o Pb9• Rouph Htg. Isul. F'mplm l s3 Rna"Mg. Orsal Tast 1 G~ v~ Flnal Plbg. Plbq. lnepecta - Mo* Plumber Const. Meler ErgrJPlan FinW DeCk Fty. I I Deck Finel 5 ~ I I Well i I Pr. Diep. I I J C3'tmficate af Cccupancv Witi) of Cfagau ~c~rtmcut of ~a~I~~ug ~a~~ratio~ This Certificate issued pursuant to the requirements of the Uniforrn Building Code cenifying that at the time of issuance this structure was in complrarece with the vartoas' ordinances of the City regulating building construction or use. For tiae following: ` u,e cuwirwAtim SF DWG/GAR Bki& Pamoft ?4x 24500 - - n oc"'P""r Tyi` 9)°11e"` a"OUL . , EAGAN t!N 55123 4466 ~ Oww of 8~lding 1557 WEXFORD CT Addmas L6, B2, iiEXFORD , Building Addres L.ocality . ! ~(MAY 26 , 1993 nu« _ Buildin6 ial POST IN A CONSPICUOUS PLACE d 8 511 '~`~O~ S 3 aa ~ ~oo Rep st ate Fve N Rougn- Inepection eetl Re ? O Ry Naw dl NoUly Inspector a es G No When Ready7 I licensed contractor ? owner hereby request inspection ot above electrical work at Job a0re s 1 tree Ba or R ie No ) Cny SeCion No, Township Nama or No Range No Coun Oc m fPijlNTl Phone lo. - ~ Powe:5u0P~p Q . AtlErass G Ele n al ConVactor ICompany Name) ConVacbrS icense N. • ~ Maili g ress (COniracloro wner Making Inslallamn) AuIDOnxetl Signalure IComra ton ner Maxinq Installalion) I Pn n mber MINNE50 5 E BOARD OF ELECTRIQTY THIS INSPECTION REOUEST WILL NOT Grlqqe-Mitlwey BItlB - Room S173 BE NCCEPTED BY THE STATE BOARD 1821 Unlvarsity Ave.. SL Paul. MN 55104 l1NLESS PROPER INSPEGTION FEE IS Phone(61Y) 642-OB00 ENGLOSED, ~/IS/!3 REQUEST FOR ELECTRICAL INSPECTION 6'"`-~?y eeaooo~ oe ? See instmclions for complepng 1his lortn on bnck ol yellow Copy d 08511 '7V' Be/ow'Work Covered by This Request ew tl0 TypeofBwltling AppliencesWired EquipmenfWVetl Home Range Temporary Service Duplex Water Heater Eleclric Heating Apt. Builtlinq Dr r Other-(Specity) Comm./Industnal urnace Farm Air Conditioner Oinar(specdy) Connactor5 RemarksCompute Inspection Fee Below: # ONer Fee F ServiceEntranceSlze Fee # CncuRwFeeders Fee Swimming Pool 0 to 200 Amps o ro 100 Amps Translormers Above 200 _ Amps 00 _ Amps D Signs 109pBCt0l5 U9B O111y: T TAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORUERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT I, the Electncal Inspectoc hereby Rou9n~ir, oe~~ yy~ certify that the above inspection has Date been made. ~ 1} ~ v OFFICE USE ONLY Thrs requast votG 18 months Irom -•V••./~t1ntC~5'. s.: . S~.'WBAi7D...C'C, ' . . I . ~ ' Zlp 55,124 I ' ~lk , ` ~ . - , ' NBXIORD .~li. . ' ' V: . • I~ , I~ICYC cd , , , . I~ ? LE7'E A'I"I'IiE'TIIvtE, d~~ [-IE F'INAf. IN5~PECI10Nr ~ • ° • ~i a D9fe: S%26f9~,,.~„' ~Ces IVai Irispecfoi. : . Ii Pe,ffriAftefi~ ~einiNH6ilE §!g~ .~fNAlll ~'3i Fij!~ . _ 1?. , ~ , . - : II ' • , e ~ ; A;.• ~ • , . ' ~ , , i ~ ~ • , ; .iti... . . . .s : v i, ^ i i . S«~e~d~~L~_t . . : ~ ; ~'.i~!K~Mbsbr~m'?N.uT~.l' yJ1Hkx ~^a n3.. •f~f~G~1~1~1~~.leYe :1 ~ i a. t . , . . . : , Po~c~i n ' ; ; , , . . . ~ ~ - , , . ` M1 ' { .a~.ir'erN..+++WCrv.sd•L~kS:I:e~MU~f~IYW.d~ i~w~ ~L~r.y. JiY`i'~ ,y, yr.• ~,Ft,°_~.~~1 Je. . ~~IFIli`tt ~fil9Ci ' " . ' • ` ` ~ . t. , - ' a . ~ ~~~I.a. _ ,_I.y.~~'i.oiYM~.uti~.~,.~Lr::i:`~1,.'Ttj i~l; .u' ..h,•L, ~fL i:ii}j , ' i P`lg~se'v~ii~~y~~iiiti~ ~6$itd ' J V ~ .•},,!,3~I ~ C~E i'~IHoti91 oI otlf ~@sf,ta irorri fhd ~"~Umbidg "sYsiem'#cid i~ie sfiG1-bH of wai'e ~"sGP~ ps h 'I' to lh8"3fi2~id21Hib'~ t~U6Li'G~~'d'f$ f~E"~olenii~l Ei2i~[a: . ~ ~ . ~ ~i • Codfe'c'i LiikiiQnj dI`viib8 at MR6d§ fmie,tvoikidg iri.righiof•d%~ bi tn'stAlile und~ un3~ n ~ B, f§!u , * sa,,nk~er;3yst'eiti: ~ ~ ~ rr ' a;,°~'il~~`C~,'~,~~ ' l~el~ow-~te'sid'e E x• i t.,- , ~ .Pliki- Conlreadi Copy ~ . ~a'~~', Y~i .I ~~,ti.~ *i i~ u~~.~l'~el~iW+'.I~~y.~.r? ,.(y v~ '•i~.. 5 i G -FI~'~ t'`ti.. 1n~ . ,i; ..j` : ,w•, ~:~w.i:'~ `..:_~.~;:SSLA ..u'~Y5:ti2~it..r'$_J 3~. '.c~k.~,~.. 'k~ Cities Di ig tal Quality 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. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I 1 5/ wE x; oun r. i TI:nR',uN i;o:±i rFi I 1~ i~ ~ i, iil'it („I ' PERMIT SUBTYPE: TYPE OF WORK: sr owr INSPECTION . D• i n n i j rt o iE! r rN sui nT1 n;,' r, t:ni ~ '^.^.lil:'I: R~Cf"IPT ' FSJ :'t t3R Y Ih`.I p. - F I " - PERMIT ;u ~7~ ~ CITY OF EAGAN PERMITTYPE: 3-~ 3830 Pilot Knob Road ,.i i I ' I , r' Eagan, Minnesota 55123 Permit Number: r~ ibi , h 0 Date Issued: (612) 681-4675 SITE ADDRESS: is5~ 1,111 x1 0 ii1) Lor: 6 rzLocK: . ~.j : x i o,a DESCRIPTION: ~ ij_ Uy Pcrmit lyp_ t,f OWG 'i ~ Work Type f?I'J fypr V'.~ -niiir,^ . R 1 i . ~i REMARKS: Itf C' 1PT ; 1;ti14 PI P12 - I2/iY PI Ii(, FEE SUMMARY: vniuniI ora !GI =19,0 o o 8rce Ne N 7`C 1' 1,• n 't " l' i r lJ j S:4 1_ 9 0 I n i d 1 I t~ y. I n n ;iIi ch,jrnc 50 "1~ C 4/S9.00 SlIC S,qC Uni!.s I ~ :iubl.otal c1 CONTRACTOR: iT %OWNER: :~1.,1W un~ Fio.<es 8 ar;u, i_ 1aS166114 0 0 0 ij 17 iuoit~;oN i;nr, I. w~ n(,rWnnn 11,2 1 'ii,r L~i unt~1Wn ni ~ (lCi/lilf 7'13 I /1G P. 1"? nN 66 ~ ~ APPLICANT/PERMITEE SIGNATURE ISS BY: SIGNATURE REACT;.VATE _ CITY OF EAGAN ~ ~ PERMIT 1~ 1993 BUILDING PERMIT APPLICA ION ~ 11 C ~ 681-4675 lJ J YAR 1 1 RECU SINGLE & MULTI-FMIILY 2 sets of plans, 3 registered site surveys, 1 copy of en~llergy 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 oncll permit is issued. Date Yaluation of work ~ - ite Address: %~J7 /./i ko~.e al dace .t'_7'- ~I - STREET SUITE M ~I Tenant Name: (commercial only) II lf IAT ~ BLOCK -Z SUBD. L(k XC/ P.I.D. * ~i Descri tion of work: ~U.ecci L?~ n. ~cc4o,r1 ~I The applicant is: 0 Owner El<ontractor ? Other (Describe) Name ~n~S~~.~/ "luc% _ P h o n e ~.S-Sl"q Property LAST ?,RST Owner Address 4~GZ Gv~ !L/~~,o~~ ~1)K' i ~ e II STREET STE # II City fJ~'cz/? State~~) Zip ~ 11 Company ~ o,eSa~.~ ~Uarnes. ~.Jn , Phone i4sff~d~l~y~ Contractor Address '¢'St~~ CU~~'~?c~~~/nn~ a.2iv~ License #dC'>l~/~~la Exp.0si City c~ana*~' v State 17)1~1. Z i p Company Phone Architect/ Engtneer Name Registration M Address I~ q City State Zip ll ii Sewer & water licensed plumber Qczc/' Z4 / ~49 . Processing time for sewer & water permits is two days onc area ha been approvedv ' i~ I hereby acknowledge that I have read this aPplication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? Oi Foundation ~ ? 06 Duplex ? 11 Apt./Lodging 0 16 Basement Finish fd 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ` ? 08 8-Plex ? 13 Garage/Accessory ? 18 Cortm./Ind. O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE 0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ; ? 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCC System YES (Allowable) V- N lst F1. sq. ft. City Water CS UBC Occupancy R_3 M_t 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster PumP N of Stories Footprint SQ. ft. Fire Sprinkler Length On-site well Census Code Depth 50 On-site sewage SAC Code ~ C'amsNs bI d , ...1._ APPROVALS n_ lSovlsw5 Planning Building Assessments Engineering Yariance REQUIRED INSPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard 0 Final ? Draintile ? Fireplace Permit Fee veiuacton: g 139 oou~ Surcharge Plan Review GARAG6.; 32k2y=768k1(& = /226g License CWty SAC g T ZZ k 26 = S`l2 Water Conn. 2 X ~L Water Meter 2 x q: /y Acct. Deposit S/W Permit (Sr (002 X?S =°I D3 v S/W Surcharge Treatment Pl. ay X31 ='7'-ly - Road Unit 35 n.I T_ (c O2 Park Ded. Trails Ded. topies Other ~ Total : ZND'~Lool~ SAC % oo SAC Units 1 2 x/Z = ~y cr- vN X SN- N3~~11~ 13 ~zs . ~ E12-474-0E^7 L'0h1F04 EXCELS I Of? )'RrD 422 F'E11 JUhf 18' 92 17:c1^ r y. Mtnntau~e _ BASE Oy r A TER• JOt ? NO ERGY COD - DLTLON_,:.._'•J' Adopilvn E[tectlve 1!l/ 4 Iwner Tt17 pHOF,NIX Phone ^a ~~'ar t te AdJress L oT ontractor~ie-~ ~~~~~~..q,~~r.• .Phprte uilding Classlficatlon: Type A1 ($1n91e Fasily 6 Du01ex) ~ Type Ax (Qesidentlal ' (3 stortes ar ess (Other) (nver ] Storip5) ENEaAI INFDRIIATIQH . Bulldin9 Perimeter vtL tt. S4,k 9 ~ s~t , uall hetght (ground tn eave)_ vr,K- z Q~ ft, ,r,4 W~ _~33 z ~ . 1. x 2. (above) gross Wdll ft. C_ ~0 . Building dimenstons {L} -46~ x(y~) ft.~ raof 5 floor area . Square fcot area of rfm jatst - Floor joitt s}ze (2 x lo ? ) 2 x Perimeter - Rim o sC area Uzit . Doors - Arep Thtc nesT~ s`-` n. actor Typt of ConSCruct on -5, erimeter 16,3z~-S~•ft• Manufaciurer~~ 1 . Total door's perlmeter {t _ . Wlndows: ManufacturerCr_~. 5tate approved fc~\K)_ ll factor_ T1fPE SIZE AREA (F:.z) !JUMBER OF TOTAL FEE7 Z EACH UNIT5 I ~ Z~o q S O -Cg, s A 0 ~ c. z.. Total ft.z Glass -121 Flrepla[e area: }itdth x heiaht . x rt.2 . Expvsed founQatlon: Height x Perimeter ~ ; x , _ . . ~ FL.Z PLETION Of TlliS I'Ofv1 IS REQUI'tED FOR ALL NEU COtiS7RUCT10•'1, FUtJOR RENODELIK ANO 6UIlDi'IGS OEII ED 1triERE EkERGY. OTFIFR T14A4 7uF Mluiuei rnnr et r nt,..irr rr ~icc.. 612-474-0677 L`(h1Ah! EY,CELS I OR 1''ARD 422 F02 JIJIJ 18' ?2 17: 45 Framing area • lOx of gross xall area. ~ Gross wall area f'••Z . windo++ area A z U wtndows • _ 43 7 x A- \Ooi- `i~o q{nq)oisi area A U rim joist • ~ 0 -4 U x A+ ~ Door nrea A `1 ft.~ ' J door aree , 04,`~ U x• A• Z,'.(~o 2 Ffreplace area A Pt. U fireplace - -8 - U x a- Expased foundatton A "I 3 -0 f*..! U Foundation ~ \ U r. A• 2 Framing area A "'z. C. ft. :t frantng area •.O U x A~ Net wall area A C~t. J wall U zA~ Og (1 ?9; '!j :A I. . . . . . . . . U x ,1 ~ O Gross wa11 ared x 0.1~1~(A-1 sin9le family S dt;.;=x ~ alloWable U.t A/COde (1J, above) . x 0.23 (A-Z other resieentta`; x .27 ;OCher buflding;; ic ZE (4ver 3 scvries) . ;!ust be larger than A \(d0 x S C4o e. •~~~'s 6 138 sbave Cefling framing area (Af) equals 10.". 13f cs;lina area or the same as) C 16~ Gross ceil in9 area •(l) -d~ xZ 9--- ft. 2 Jolst area (Af) ¦ 101, ceiling area ft.Z yet ce111na area (.4C) (15A » 758) \ ft.Z U ceiling x Acu . 0-M_\2~ x`~"~~_ U framing x A f+ p16 x_ 7QTAL U x A ~ Cetling area (i5A) x 0.026 {A-1 single `amily S duplex - code ailoaable U x A x 0.033 (A-2 other resid2•^.:ial) x O.C6 (other) BTUH MuSt be larger than 150 (above) A(1Ea1 O xLLfcqdel: .0~"C=, OF (or the same as) Cr--- !1pTE: Use U anI a vzlue: obtained from nps 1, 3 and 4. 612-474-0677 LYMAhd EXCELSIOR YARD 422 F03 JUN 19'92 17:48 n!(• .,-~p~.~~`~~h . . i~y. ~i.X i~. ~ . . . , .i . ; I :I~~.~. ~pn.y(.t. 4 } } [ I~~.~ ~/'~i~~.. t° 1 j~~{J~,~ 'At" ~4~G: .iCi.:. i{, i n~~. ~i~f,~11: • : . ~ V .:'rA~~~'! F'.~Y~ M....t~. ' . • ' .i;. S . S tneerlar wit~ ,(W+ll) U • ~ • SEC]'IOl) t~ L.. 1.,vsthinit ~ I' a, . - +1• ' l rSldlnR Q= . 04~ ~ • 1 z"Cliee slr ttlm .a , R TOTAL j Inslde air EtlM .E9 . ~ ` 'snro 'v Cs Tntu:Ior w•t? .45 -~---~~P----- , (Fr+tmtng) U• P F, '4• , StCTTAtI.,. seud R~ ~7 F. I ~n~~Chtng Z..~?~s 47 s staina , j a. Outsla• a1T 411n .17 y4,, ~ . . , , c•,: . . d ':OTAL \ ~ I 1 F, " ~i«•~'~. _ ~ . . . . . . .6.'~ Inslde alr E:lm R• ,68 ~ . 2ND uALI. T ~r- IaCqY iot wai 1 .'4s . ' ' ` , SEhTl?ti . I invul4tton ~~:~p (Ua~1 ) ~i7 ~ Sh*athtnB Z na Exeerlor vall .owrinS . . . , 7 FxCrrtac alr tllm R 70TAL •'~'~-~i ZZ• 4 Y i-, lnteriur alr U im .68 . i: : YLM :r.suln:.lon l0.•~0 ~ - ~ JQCST 1i4 inch 5of( •rcwd 4'~.88 (Rfm (J • ~ • ' J015t) 3/4 "Yl~hraih~hg . \ '••L~ ~`'~'nter~ar wall coverlns •~-7 • ' •.:-r 6xter(ar •tr tllm Rr .17 0 xr rorAt • ~ lntartor air ltl.^.+ R' ~ lnsuls:tvr, ,J;~> re.wtSFounda[iun ~•k C3 (Fdn.) ~U b? ,17 ~ xtertor •[r [fln A g ?OTAt, ~\~9.••K ~ ' -i ~ ~ . ~ I ~"Expused 3luck ~ . 512-4 r4-0677 L'r'MAtJ E}CCELS I OR YRRD 422 P04 JUIJ 18192 17: 49 ~ ~ 1r~. ( ~[a• '~f•. . .7:. _ UiM I <.,~i`,Y'1; ,t„ c llmw ~ti~r`Y.;'4~,•,.,,!..i~!'~; d ~ : • . . 4:• Afr Fi0.61 • . • •~~Y [n~ulation `~4_~ ' a ~ ~ JO I S C , .r • , ~p, CeSlinq Air ftlm 0.61 i - ------*i 3`i 49 3. _ Total R , .oU 1R+ , . u "e' • F!.4i ROOF OR CAti1EQRAl C~I.l,i~tG ~Va1ue . R. UALUE „ I , . FR:,HtNG CEILENG ' 0.61 InsidQ dir fi1,m 0.61 Cef11nq ,loist (stu Insulatian Air space Rnof dpckinq . ~ ' insulatian ~ ` Butlt•up roof 0.47 Outstde' air 111~ . . ~ . . . Totil R I U R ,Fti _ l.indor+ inflltratiCn .5 cfm/lineeJ foot ot crack tqstdentiAl door inflltration 0.5 tfm/square foo: or dcor and mtnimue code requlrerttenL. bn-residential door inflltraCiCn 11.0 cfm/linea) foot of Crack Ip 11" concrete b1oCk rw lnsulation =.41 R Z.1 1b 12" centrecQ block insulated cores •.26 4 3.8 ~ 11" 1lglitwsight bloek =.32 R 3.1 lp 12" ligntw~3ht htotk trlsulated cores =.12 4 3.3 1.;iny1e glass • 1.13; wlth;stom.Nindasr .54 - ~ double glAss • .Sb J tr1p1• glass • .41 . 111 axtertor walls and teilings must have a vapor barrier (C.10 perm rax.). :4par barrier ~qust bt on tAe in;lde (heated slde) of wall. ippOr barrltrs of tlri pblylGflalene thin f11m have rto Rvaluc. , l1AFF-15-'93 h10N 14:04 ID:JAhIES R HILL 1NC TEL IJ0:612 890-E244 q7E2 F01 eusae SURVEYOR'S CERTIFICATE BRIAN L. THORSON N (GQ ~ N o c14.ol . 4 0 exisgr, b' / H/ , E LOT )6 . o ~ b~ i eCk 9s~, ^~M / ~ ~r \ ~ l J i i n" / i Q p 900 z, yQ i Hp~ h ^ e A ~ /,D • o y o o~ N y s . o MkRK ~~o r (9S/ :9r ELEv.- s+eea ~R 3)l~/ \ 8 ~950 00 / ELEV g",82 iCqRg.9 ~ ryh 470- 96 9a 9q'~ 0- 51°57 00 947.0 ~ wEX~Rp coUR~ (~~~~~o _ O np ~I I U u o NOTE~ NO SP£CIFlC 9Q t~S~ INVESTIWTION , Q °\J ~ ~ NOTE: BULOING DIME?lSIONS SHOWN ARE faA HOA¢ONTAL ' FiAS !/tN ODI#L.LTaD ON TNf 5 VC1tT1CAL LOCATIOH OF STRUCTURE ONLY. SEE LOT IY THL llNtV[YWR• THL ARWITECTUAL PUWS FOR BUILOING B fDUN0ATI0N 3lJITMLITY Oi t01LS 7O WAVMW DIIAENl10115. TYIE *iC/IC MOUK pwpgw ~ DENOTES PROPOSED SURFACE DRAINAGE . ~THE~ TNE N~ O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 950,5 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR -,9441 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSEb TOP OF BLOCK - 95 30 FEET WE HEREBY CERTIFY TO BRIAN : L: THORSON .7HAT THIS IS A:TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNbARIES OF: Loi 6, 61ock 2, WEXFORD occordinp fo ihe recorded' plot ihereof, Dakota • County, Minnesota. IT DOES NOT PURPOFT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 5TH DAY OF MARCH , 1g93. ~ PR: M R. HILL, INC. oposco aAaoES sruwN weRe 51GNE ~ TAKNI AIOM tHE GRADMIG PLAN FOfI 1KK!'0110 PREPARED BY ~ PIOkEER lNOINEERING LAST DATED a- 2- 92 JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 James R. Hill, inc. ~ o~W~ ~°o `~W ocnD o m o~ Z > m~~ PLANNERS / ENGINEERS / SURVEYORS 11 ~ 1 ncnn ~ni rr•• nn LOT /IIAPEY CELCILIlT tOR RLBIDLNTIIIL ~ BIIILDI113 nR1RT APPL2C71TIOIi PROPERTY •XnM= 13 Z ~ WF-7,-FdRD nat• ot Survey: 3 DOecrCZrrr eTWM 4 e I~ 0 0 • Ragistersd 2anQ Surveyor siqr?atuze and oompany ~ 0 0 • Building Permit 1lpplicnnt ` or D 0 • Legnl deacziption ' 0 D D • Address t' D 0 • North arrow and baz scal• • ! D 0 • liouse typa (ramblez, valkout, split v/o, split sntry, lookout, etc.) ' 1 D 0 • Directional drainsqe arrovs vith slope/QraQient D¦ 0 • propoced/sxistinq sover and vater servicea 1 D D • Street name ~ D 0 • Dziveuay LLTOATIONB EY;stinv 0 D 9 • Sevez service • Lot corners / 0 D • Top of euzb at the drivevay D~ D • Elevatfons of any existing adjaeent Acmes ProposeC 1 0 ? • Gazage floor • 0 0 • First floor D 0 0 • Lowest exposed elevation (walkout/vindow) • D 0 • Pzoperty eorners / 0 D • Front and reaz of home at the toundation pQRDI?iG AREAB (if aeDlieaDlef D 0 • Easement line D 0 • NwL , D D • xwr, 0 0 • Pond f designntion 0 0 • Emergeney overflov Flevation DIXTN6IONB ' ~ 0 D • Lot lines • 0 0 • Riqht-of-vay and street vidth (to baek ef curb) ! 0 0 • Proposed home aimensions SneluQing any propossa aocks, overhnngs qreater thnn 21, porehec, ttc. (i.o. all structures requizing permnnent iootinqc) D 0 0 • Shov all easementa of record and any City utilities vithin those easements ~ 0 p • Setbacks of proposad structure and setback of adjaeent existing homes D D DdK • Retaining wnll s;eRuiriaments, if any - Reviewed- .3-I(o = 13 Name / Date ; ~ VSPt: L!NLY : . ~ . . . . . gz' , . : . _ :REMPT;-. . r. ~ ~ . , , ; i-.:.:...-.. : . .~~.4;:~~ . . . ~~~~~f~~ _ . <_::':..>,.~a•~ ~r,h,.a . 1993 MECHANICAL PERMTT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHO IMIES AND CONDOS WHEN PERMTI'S ARE REQUIIZED FOR EACH UNTT. - - - - - X NEW CONSTRUCTION ADD-ON A/C ALD-ON FURNACE DATE March 22, 7993 FEES HVAC: 0-100 M BTU $ 24.00? ADDITIONAL 50 M BTU 6.00 ~ GAS OLTTLETS (MINIMUM 1@$3.00 EACH) 3.00 ADD-ON/REMODEL (ExISTING C0NSTRUCI70N) $ 15.00 STATE SURCHARGE .50 ? TOTAL $27.50 STI'E ADDRESS: 1557 Wexford Court OWNER NAME: srian Thorson Homes "I'ELEPHONE 454-0644 INSTALLER: Kleve Heating & Air Conditioning, Inc. I ADDRESS: 13075 Pioneer 'rrail J CI•I•Y: Eden Prairie STATE: MN ZIP CODE: 5Is347 TELEPHONE 941-421i SIGNATURE OF PERMITTEE . . ...,,,:...w,~,..........,:.(~"X'~':;~JS~ UNll:"Y . . . >;s~:: ~C . ~8L . . s.:.:.,.. . . . . . . <:.s... .....:,~:d~ .r. ,.s.,. ...,.r. ' . . . . o._:.:...........- a., , . ...r._... : . ..r":p~. .G~ivri:: :?`~~i':"~~~.`;%•i„~"~ - . . ~...a,':dc.,~R~.,S.j:: i: . _ . ~ n..• e . .:Cn:. ..<S...a....~.. . ~bl.i.~'YiE:iEj::J:..:}:.... . r . r. .rF:~., .cP-::~. .c....,a....:.. ..o.:: . _..a... . . < m,... . . . . ..:..:....~.~e~.:.;i.,:.' . . ~,....,....~.<a:r..,_. . . • _ . •.;~z ' 'sS~~;~:\i?a'''';;':; s~ =:,.r ~ ,.r.,1 . .....::::'.:.x.:..': . i7L~?lJ.. .:t'. ;:a`.:S/2::::, .,:~~eA~'-~~' 1993 MECHANTCAL PERMTT (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMIIvIERCIALlINDUSTRIAL BUII.DINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII..Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF ~pNTRACj' FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF PER2131T FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENT5 ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR SE: ONLY ,.;.9P`1"Y.U , L-. ' BL , . , _ , ~~i1P'Jl' ~~~l.l.;,. - : . 1943 PLUMBING PERMTC (RESIDENTIAL) CITY OF EAGAN I 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHO ~MES AND CONDOS WHEN PERMITS ARE REQUIIZED FOR EACH UNTT. NO. FIXTCIRES EACH TOTAL ~ SHOWER 3.00 6-00 3~ WAT'ER CLOSET 3.00 9. o t~ a- BATH TUB 3.00 %.On f` LAVATORY 3.00 KITCHEN SINK 3.~ 3~' ~ ~ LAUNDRY TRAY 3.00 5 ~ I HOT TUB/SPA 3.00 I WATER HEATER 3.00 .3 • ~rc~ 1 FLOOR DRAIN 3.00 3. n n I GAS PIFING OUTLET • minimum - t 3.00 3. C7o ~ ROUGH OPENINGS 1.50 I WATER SOF"I'ENER 5.00 ~ PRIVATE DISP. • Dak.Cry. lia 15.00 U.G. SPRINKLER • home under mnst. 3•00 II ALTERP.TIONS ' to adsting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE •50 I TOTAL: S. SD I SITE ADDRESS: OWNERNAME: t~'ti-u%~% J~.~e~,n°''`-_ ~C..~'1 • INSTALLER: ~tL-R. ~c- ADDRESS: CITy: s ~ STATE:. V:~K_ ZIP CODE:~~I PHONE ( ) U Oc1 Z ~ w'11 4~. Llj- ' SIGNAT E OF PERMITTEE . ~...~...~::..«..........,...~.~...,;Q'k'Y' . . tT. . , . . , . . . . ...:.::-:;<:.........._<.:....... _ ~ . . . . . ;.`~°,:':'.,,=a;;:~ _..:.....x:,<........ . z . . . ~ . , ~ t>.: . . .:..'':Ei : ..,.n,., . . . .i:..- . ,.r: r . ...r.:,........r..a.<.:a.:~~.,.:..,...:>...,....~,.::..>:..:,.,..,:F;Yt'x%i'„»i~.~:.x.:..>.~.."::..:% . ......:.........:....o..._,.....A ...,..,..,.::......C.:.,.. .o ..,.:,....;;y; ; . . ....:.~.....:...r .:,_~.,.a::3•.>.::?::~..~<,,....,_:<.r:.;`: ~.~r :::.@.5~•.,'°::,, ~:.'s_j.,:..;: . : ou r . . . . . . z:..:x.>.e., ~ - .....:,...._.<.,~,~;,..:r.....;_7:..,.~.<.,...<x:r .....:...........',...,.'.o::::;::.-,.,<,.;:i..`!aa.•_$~.~. .~:<.;:qs:;::s:x..::..~..<:a.::r~.:~:`~~.1>"°;:.i.r::.•. ~D.;......_. . .c~a ; - . x ~ ~Af.Fr•.::~:<~a: ~'i .a.,..io...,r tt~.>a . . .,,~,...:x 1993 PLUMBING PERMTT (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. AISO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMTfS ARE NOT 1tEQUIRED FOR EACH DWELLING UNTT. ~ NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCIIARCE $.50 FOR EACH $1,000 OF PERMTI' FEE. MINI111UM FEE: $ 25.00 CONTRACI' PRICE X 1% $ STATESURCHARGE $ TOTAL $ SI1'E ADDRESS: TEWri1iT NA1iE: jTE. # OWNER NAME: INSTALLER: ADDRESS: CI11': STA1'E: ZIP CODE: PHONE FOR: CI1']' OF EAGAN APPLICANT RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 ~ L/ New Conefmctian Reauirements RemodellReoair Reuuiremenis . 3 registered site surveys showing sq. ft. of bt sq. fl. of house, and all roofed areas • 2 copies of plan (20 % maimum lot coverage alloweC) . 1 sel o( Energy Calcula[ions for heated additions . 2 copies of plan showing beam 8 window saes, poured found design, etc.) • 1 site survey for extenoraddi6ons & decks . 1 set of Eneryy Calwlations • Indicate if home served 6y septic system for addiUons . 3 copies of Tree Preservation Plan if lot platted after 711193 . Rim Joist DeGil Options selection sheet (bldgs with 3 or less unds) i DATE VALUATION O SITE ADDRESS 1_S7 ~ MULTI-FAMILY BLDG _ Y I_ N TYPE OF WORK FIREPLACE(5) _ 0_ t', _ 2 APPLICANT STREET ADDRESS Ot+rt doY CITY L C STATE _~~14 TELEPHONE # CELL PHONE # F8~3 PAX # 7 ~2 ~ ~17 ? (S ( Cas_.( ~l ~ PROPERTYOWNER TELEPHONE# ~gSl-F1To2.G 4str( COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY ` Energy Code Category MINYCSOTA RliLES 7670 CATCGORY I MINN 1 li, 7~ (d submission type) • Residential Ventilation Category 1 Worksheet Submitted • New ~ r ~e~olsh~e~t ~b t d • EnergyEnvelopeCalwlatlonsSubmitted ,IUL 19 22 U Plumbing Contractor: Phonc # Plumbing system includes: _ Water Softener I.awn Sprinkler ee: $90.00 Water Healer No. oF R.I. Baths ~ - i No. of Baths Mechanical Contractor: Phone # ~I Nlec}ianical system includes: Air Conditioning Pec: $70.00 _ Hcat Recovery System Sewer/Water Contractor: Phone # II I hereby acknowledge that I have read ihis application, state that ihe information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or ances. Signature of Applicant I OFFICE USE ONLY Certificates of Survey Receroed _ Tree Preservation Plan Receroed _ Not Required Updated 4l02 I OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dweiling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ezt. Alt - Multi ? 03 Ot of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 78 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 79 Lower Level ? 24 Storm Oamage ? 06 04-plex ? 12 12-plex Pibg_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 WindowslDoors ? 34 Replacement 'Demolition (EnNre Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City 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. _ Footings (addition) _ Plumbing Foundation H V AC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PLUMBING (RESIDENTIAL) Permit Application City Of Eagan °i 3830 Pilot Knob Road, Eagan Mn 55122 ,i Telephone # 651-675-5675 FAX # 651-675-5674 ~I Please complete for. Single Family Dwellings Townhomes and Condos when perntiu are reqwred for each unit II u tl Date 3 / 7 Site Address bjexo t" p1 Unit k 'I ~i Property Owner Telephone # ( GS( ) $b' - / Z~ n Contractor ,i Address City tl il State Zip Telephone # ( ) n The Applicant is L-~Owner _ Contractor _ Other ~II Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes Counry fee. Additional consultant fees may apply. ° n Alterat}ons To Existing Dwelling Unit, Including $ 50.00 M/ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system tl _ Water turnaround 5/8" meter if needed -$121.00) Other: v\- C il 11 RPZ _ new installation _ repair _ rebuild ~ - $ 30.00 _ Lawn irrigation system II~ _ Water softener _ Wa[er hea[er $ 15.00 _ replacement _ addihonal il ll $ ~~~.50 Sta[e Surcharge il I Total $ Sb -U, [ hereby apply fot a Residential Plumbing Peanit and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and wi[h the Plumbing Codes; that [ understand this, is not a pemvt, but only an application for a pemut, and work is not to start without a pe 't that the work ill be in accordance pwith the approved plan in the case of work which requ'ves a review and approval of plans. il So~ ApplicanYs Printed Name ApplicanYs Signature ~ RESIDENTIAL BUILDING Permit Application C~~Q 3/7 0 City Of Eagan " 3830 Pilot Knob Road, Eagan Mn 55122 vkv VVI.La3--nR1 Telephone # 651-675-5675 FAX # 651-675-5674 New Construd'an Reauiremenis RemodeVReoair Reowremenis Oifice Use Onl 3 registered srte surveys showing sq. ft. of IoL sq. ft. of house; and all roofed a2as 2 copies of plan Cert of Survey Recd (20% mazimum bt oaverage aliowed) 7 set ot Energy Calwlations for heated additions _Tiee Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addiGons 8 decks Tree Pres Not Reqd 1 set of Enefgy Calalations Adddion - indicate if on-sde septic system _ On-site Septlc System 3 copies of Tree Preservation Plan if lot platted after 711193 ' Rim Joist Dehail Options selecGon sheet (bldgs wAh 3 or less units ~ Date 3 Z o0 3 Cons[ruction Cost ZN 000 SiteAddress /SS? 6)exrorj (2t-~ /'n Unit/Ste # ~ ? Description of Work Iciyl 1'5 A/7 ~ Multi-Family Bldg _ Y-Z- Y Fireplace(s) _ 0 x 1 _ 2 Property Owner , v1 ~n f f Zo l~C Telephone G$ ecs4~5' g7ZU h Contracror ~ Address City State Zip Telephone # ( ) ! COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ' - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 'I Energy Code Category , Resitlential Ventilatlon Category 1 Worksheet . New Energy Code Worksheet (Jsubmissionrype) Submitted Submitted i • Energy Envelope Calculations Submitted Licensed Plumber Telephone Mechanical Contractor Telephone ) - ii Sewer/WaterConiractor Telephone #p 2° r7 i 4;4k to03 I hereby apply for a Residential Building Permit and acknowledge that the inforin1ation is co ete andlaccurate; that the work will be in conformance with the ordinances and codes of the Citpbf=Fagan=ariil-tiic-5`tat~ 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. i (7 ~JG'0 / f Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation O 07 OS-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08•plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ~ 19 LowerLevel ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Inl Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair )c- 33 Alterafion ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaC0m8nt •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 00 4? Occupancy MC/ES System Census Code Zoning City Water SAC Units Staries Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs I Length Fire Sprinklered Type of Const v~ Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ~G FinaUNo C.O. _ Footings (addition) T Plumbing _ Foundation J HVAC Drain Tile y` Other Roof Ice R Water Final Pool Ftgs Air/Gas Tests Final ~ Framing _ Siding Stucco _ Stone ~ Fireplace _j(' R.I. )(Air Test ~I Final - Windows (new/replacement) . Insulation 7~ Retaining Wall Approved By Building Inspector Base Fee Surcharge PlanReview L~ /k/YJ MC/ES SAC City SAC ~ ~ Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total 2007 RESIDENTIAL PLUMBING PeRmiT APPUCATioN ~s, CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 : 651-675-5675 n ~C, L~- I /n f Please com lete for modifications to existing residential dwellings. DateI~ I f ()I 1 20~) Site Street Address ~55"I v~/~x~'vrd Crt Unit J Property Owner Telephone # Champion ' Contractor 651-365-1340 Teiephone # ( ) Address Fanan. MN 55123 1328 City State Zip The Applicant is: _ Owner R Occupant VLicensed Plumbing Contractor Septic System _ New _ Refurbished Submi[ 2 sets of plans and MPC license Indudes County fee~ ~ $ 100.00 Per as-built 5 10.00 Fire Repair (replace burned out fixtures, etc.) 90.00~ This fee a lies when ex tensive IDlumbing repairs are made to a buildmg. _ ~ Alterations to existing dwelling S 50.00 _ Add plumbing fixtures to main level lower level This fee includes installation of a water softener and/or water healer at the same time. If you are installing onlv a water softener and/or wafer heater, do not complete this section; move to lhe next section and place a checkmark next to [he 2ppliance(s) you are installing. _Septic System Abandonment _Water Tumaround (add $136.00 if a 5!8" meter is required) Other: _ Water Softener l/ Water Heater ~ 15.00 _ new replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 ' State Surcharge $ 50 Total $_I 5 ' "J ~ I hereby appiy for a Residential Plumbing Permd and acknowledge that lhe iniormation is complete and accuratq ;tiat the work wdl be in conformance with the crdmances and codes of the City of Eagan and the plumbing codes, that I understand this is not a permd, but only an application fur a permrt, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved - PPd2o~c-~_ ~I nts S_einature A IcanYs Pnnted Namc~ _Alica Pp 9 '~0.-~ PERMIT ~c~~ 4. i ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: (612) 681-4675 Datelssued: SITE ADDRESS: r!$ xiat1) ~.r 01uc~:: ° 4Jk Xt ORI] P. i IJ. ~ .~b~ t~3~t',4l 4164J (•i,' DESCRIPTION: , °ormi L Typa tif UWG ~ ~~•i~~ ~,Jorl; Ty~ie 6J :i Iti -7 ~ , . ~ rYPn VI! ni~ nn , f! l REMARKS: Itf CI 7.!'T PI f'N R.1'.' IIAI 1I'I iiL . , FEE SUMMARY: VCI!:.^,11f)A: "''19,0!9'9 Pi1`,. I" . i n C i• v~ ~ ~d S~"_ 9 9 I o L I,'1 Surchargn $69.50 "t1C: j,/S0 .N0 S(1C ~ 12D S.4C Unit, 1 ~ ~o,bf oeal ~ 4~~.~_~99.9m ~ ( CONTRACTOR: _OWNER: noir°;or! iont:s [s;tI nN i_ 1^5~~,6~a v,aeis>> iuuR!,oN rioiai Inic aI ;6 W uC, I woun nii ^.I ; r, T" r1;1; 1 1i; -^s r.P! rN ss,v:; nG l`?, 91,1 ys1.~':t • . i il ~ . , ~ , . ~ . ~ • ' ~ ' ~ ~ ~ . . . , , i I • , i• I- J , ~ APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNATURE Date: r City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: /6) Permit Fee: Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION -/z 11 Site Address: Unit #: Name: Sea* I c{- t 147 14 Address/City p: / `5'.S` '7 AJ ex -cod C Gu t .� /Zi Applicant is: Owner VContractor Phone: 5--69-,c1d,6 Description of work: w',` ndt✓ tci //b) ! "I lb9wS CP it L it Construction Cost: 34. boo Multi -Family Building: (Yes / No ) Company: Cd tic" 14141‘16-, G'Gr� �✓ f%c., Contact: &Ale t /4c/e `E'er Address: / 77S Lj Z'L-�G fte4p 1 City: I, Ak€ fly State: ✓/ Zip: S sVy4( Phone: G S/- 2 3a -q 76e License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of/permit issuance. Gct' MGz�'�>°�, Applicant's Printed Name x f Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA109576 Date Issued:03/19/2013 Permit Category:ePermit Site Address: 1557 Wexford Ct Lot:006 Block: 002 Addition: Wexford PID:10-83850-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Scott Follese 5182 West Broadway Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Scott E Volk 1557 Wexford Ct Eagan MN 55122 Golden Valley Heating & Air 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature