4214 Wexford Way
INSPECTIUN RECORD _ [~~t I CITY OF EAGAN PERMiT T1fPE:
383
0 Pitot Kn4b Road Perm4t Number:
Eagan, Minnesota 55123 p~~ IWQW; t i J 13 / y~
~ (612) 681-4675
f
' SITE ADDRESS: APPIICANT:
4:1 !4 lJf xFi1Rt) 41AY F T140k1--()M lIri11[: : f11P1AM l
13Y.xF{1f~f) (612) 464•4644
4
PER47 %%qTYPE: TYPE OF WORK:
~ - ~
~4 f' (i t? [ 1 Ml li F R A}I l p 6 -
f _
I IIi~UkA~ I~~t FIMAL
F
1~ I it~ P~. A t: t
I
Nfl1ARkss pRV S i, W CONT11AC TOR - RAY HA[Y PR84
I
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7%
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(gtr#t#ira#t of (Orrupanry ;I
. titp of (Eagan
_ DP}iNTbllPtiZ of Nltdbfltg j116{1P[11IIt1
77ris CerUficate ixsuedpursuant ta Me requirements ojSection 306 ojlhe Unijoim BuiWing
,
Code cerujYinB thal at !he dme ojiuuarsce thfs strucuere was in compfiance with !he various
ordinancer ojrhe Ciry regulaurtg building rnnmuction or use Forlhe jo(lowing:
the 0,,jr,p, SF DWC &dg.Paut;,Na 1017 ~
O=Vwxy rya R-3 M-1 ZonintDaUin PD R-1 7y1.c,,,„ V-N '
0~0(..MTHORSON PROPERTIES IU,,m 4466 WEDGWOOD DR
Add~ 4214 WEXFORD WAY L,y;ry L1. 82. WEXFORD
_ p
~~'INi~ .~n~~~ ~ Il' ~ SEP 11, 1992 ~y i
VOST W A CANSPICVOUS PUCE 'I
I
~I
~
6"S 3 1,36 93o/ q~ iv17vyF 1v1~7 ,
8ao~y,- -a ~G0 ,~~5 mo
Repuest Da Fire No RougRin Inspeceon
Requrt ? G Reatly Now ill Nolily In~r
s G Na Wh ea0y
I yd~icensed contractor i] owner hereby re es inspection ot ve eleclrical wot-al,~
Jop AGEre s ISVee1.1BO. ar out No ) Qly /
4
Secuon No. Township Name or No. Range No Coun
Occupa PR&n L. Phone N
Pawer Suppher Atltlress
Ei t¢ai Conlra tor iCOmpan Name~ Con tlor's ¢en e I~O
U
Mdiing AWr 54onttaclor Owner Making In5lallaliyn~
~
L ~ls~~ - -
Auch r¢etl S~qnat re~Contr aclou0wner Making Install ronl Pno u er -
MINNESOT STATE BOARD OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT
Grlgga-MlCway BIEg. - Hoom S-173 BE ACCEPTED BV THE STATE BOAFD
1821 University Ava. SL Peul. MN 55104 UNLESS PROPEP INSPEGTION FEE IS
Phone (612) 642-0800 ENCLOSED '
REQUEST FOR ELECTRICAL INSPECTION °'P"%~s e~oooo1-oe
See in5tmqion%lor complating Ihis lorm on back ol yellow copy 739
~y ~
32136 ? ~
W "X° Be/ow WorV, Covered by This Request /0 7~G
p.w tld Rep TypeoButltling ApplianceSWiretl EqwpmeniWued
Home Range Temporary Service
Duplea Water Heater Electric Heating
Apt Building yer Other (Speciy)
Comm./Industnal Fumace
Farm Air Conditioner ' -
OiM1erlsyealp ConVactor5 Pamarks
Compute Inspecbon Fee Below:
k Other Fae # ServiceEntranceS¢e Fee x Qrcmts/Feeders Fee
Swimming Po01 0 to 200 Amps ~ IL)JO to 100 AmpS
Trenslormers Above 200 _ Amps A6ove 10Q _ Amps
Signs Inspeclar5 Use Only 7Q7A
Irrigation Booms .60
aTA~- lUl•~T~
Special Inspection ~ 4CJ
Alarm/Communicatwn THIS INSTALLATION MAY 8E O DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, ihe Electrical Inspector, hereby Rough-in p ~ G q
cerllty that ihe above inspection has Fnai " Oate ~
been made.
OFFICE USE ONLY : i
This reQUast w,0 18 months Irom
Addiess: 4214 WEXFORD WAY Lot 1 Blk 2 Sac/Sub WEXFORD
These items were/mere not complete at the tlme of the final inspection.
Date; SEP 11 1992 Yes Na L TnSpector,
Final grade (6" from siding) 11~
Permanent ateps - garage 11_~
Permanent ateps - main entry ,V
Permanent drivavay
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch ~
Basemant finiah
Deck
Please verify vith the builder the ramoval of roof teat capa from the pltsmbing
system and the ahut-off of vater supply to Che outaida lavn faucet befora
freeze potantial exiats. ~
•c.n~ora
White - City copy Yellow - Reaident copy Pink - Contractor copy
Ile15PECTION RECORD ControlNo. 0793
CITY OF EAGAN PERMITTYPE: BuiLoiNe ..4
3830 Pilot Knob Road Permit Number: 001017
Eagan, Minnesota 55123 Date Issued: 0 7/ 13 / 9 2
(612) 681-4675
SITEADDRESS: Lor: i BLDCK: 2 APPLICANT:
4214 WEXFORD WAY THORSON HOMES BRIAN L
WEXFORD (612) 454-0644
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION .
FOOTINCa FRAMING
INSULATION FINAL
FIREPLACE
..REMARKS: PRV S b W CONTRACTOR - RAY HAEG PLBG
F
L
~I J
CITY OF EAGAN PERMIT C°n' 0793
3830 Pilot Knob Road PERMITTYPE: euiLoiNG
Eagan, Minnesota 55123 Permit Number: 001017
(612) 681-4675 Date Issued: 0 7/ 13 / 9 2
SITE ADDRESS:
4214 WEXFORD WAY
LOT: 1 BLOCK: 2
WEXFORD
DESCRIPTION:
Building Permit Type SF DWG
Building Work 7ype NEW
UBC Occupancy R-3 M-gi
, ConstructionType V-N
Zoning ~ PD R-1
Building Length , 64
Building Width ~ 50
~
/
. J•
~ . .
REMARKS: 7 Y
PRV S& W CONTRACTOR - RAY HAEG PLBG
FEE SUMMARY:
VALUATION ;154,000
Base Fee $828.50 MISCELLANEOUS $1.610.50
Plan Review $538.53 Total Fee $3,754.53
Surcharge ;77.00
SAC $700.00
sac a iee
SAC Units 1
Subtotal $2,144.03
CONTRACTOR: - APPlicant - ST. LICOWNER:
THORSON HOME3 BRZAN L 14540644 0001317 THORSON PROPERTIES INC
4466 WEDGEW000 OR 4466 WEDGWOOD pR
EAGAN MN 55123 EAGAN MN 55123
(612) 954-0644 (612)454-0644
•i
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicahle State of Mn.
Statutes and City of Eagan Ordinances. '
APPLICAN~ EE SIGNATURE ~tAISSUEIYBY SIG URE
PERMI7 CITY OF EAGAN
' O~ 1992 BUILDING PERMIT APPUCATION o? ~
681-4675
~
~9.;sr.~.
SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
LOMMERCIAL 2 sets of architectural & structural plans, 1 set ;of
specifications, 1 copy of energy calcs.
I
Penalty applies when typing of permit is requested, but not picked up by lastllworking day
of month i n which re uest i s made or lot chan e i s re uested once ermit is issued.
Date 7 / 7 /91- Yaluation of work
Site Address: ~e"TW-4
STREET STE t II
Tenant Name:
LOT I BLOCK _e k y 1 C.I.D. ! II
Descri tion of work: I
The applicant is: ? Owner ? Contractor ? Other (Deseribe)
Name 1irrl•. l'raI~:~J7e1,~~ Phone iy
Property LAST FIRST
Owner Address qtI ei
STREET STE M II
City ~iS~?t State /&A^/ Zip, .5'f/L7
I
Company urJoi. Phone (1l`/rV~vy
C011tf8Ct01' Address yWiU License A 131I Exp.3 - q
City ~a9a~-. State Z;p IIIZ-3
Company Phone i~
ArchitecU Englneer Name Registration N
Address II
City State Zip
~
Sewer & water licensed plumber 4,7 flkPf F~ s . Proces'sing time for
sewer & water permits is two days once area has been approved.
;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. I~
Signature of Applicant:
I
BUILDING PERMIT TYPE
~
O 01 Foundation O OS Apt. Bldg ? 09 Basement Finish O13 Public Fac.
IZ 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool & 14 i1gP4cuTtural
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 15 Miscellaneous
? 04 Multi-fam. T.H. ? OS Deck O 12 Comn./Ind.
WORK TYPE
0.31 New ? 34 Repair ? 37 Demolish
0 32 Addition 0 35 Tenant Finish ? 99 Undefined
? 33 Alterations ? 36 Move •
GENERAL INFORMATION
Const. (Actual) V-N Basement sq. ft. MWCC System `(E5
(Allowable) v- N lst F1. sq. ft. City Mater Y
UBC Occupancy -3 M-I 2nd F1. sq. ft. PRY Required Yi*
Zoning ~f s,Sq. Ft. total Booster Pump
i of Stories Footprint Sq. ft. Fire Sprinkler
Length 6y On-site well Census Code lor
Depth 50' On-site sewage SAC Code 01
APPROVALS
Planning Building ~9? Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing ? framing ? Insulation
i7 Wallboard ? Final ? Draintile ? Fireplace
Permit Fee , ,r.t,.t;m: s 154, 0oo-
Surcharge
Plan Review
License
MWCC SAC ay )e ;LO - L4 yD
City SAC 12 x zo - as _
Mater Conn. ~zL) -A ~6~ II,S'Lo
Water Meter aEIMT•
Acct. Deposit 13 xl6 - 123
S/M Permit 52xltis q:31~
S/W Surcharg. e
Treatment P1 ly x 3t = 4~I T,
Road Unit G x U= (24)
Park Ded.
Trails Ded.
Copies ~5~1~~ XIS~ ~~16a
Other Total: IST, rL.
SAC % 100 54 `i
~
SAC Units _L nq = 9
jvt _ P -
)S j~: $3~.5'HI
ZN~F~r,•~~
I6'd
19 Y2a'~z 35 .
ti B=%6 ~ 3~ I 53,
054414
SURVEYOR'S CERTIFICATE eR(AN THORSON HOMES
WEX FOR D WAY
N I
a ~
a
- 110.00 S43°57 '01'W ^ .
41 ^ '
40
' M 5 PROPOSED M 10 N Qa~ ~U, ~~yy
Sy
~ DRIVEWAY I
(~fj3,0) - 39.75 Qll~ N
` ~ 20.67 ~c~~r.OY I'1500~
w 40 , N ~a
i v' 11.67 ~ a _ ~
1433 Q~
GARAGE ^Il20Q v
N 1533 m
3 M 12.0
P H~~ D M I ~ ~
~ 0 QI i m / D
xap
. ~ ! • ~u.._C933.o~ _ m°
1500•
~ ~~8.-~~----~-44.62
-1-
I \ I N
LOT ~ ~D c°~ ;
~
~~`DRAINAGE B UTILITY
` g L EASEMENT PEfi PLAT~ .
- - ~
f9~3,o` ~ Z
123.48 S43°57'09' WgMGIATEERIIV PT
NOTEt BV401NG QIMENSIIXJS SHOWN ARE FVR FIpRIZONTAL.
9 VERTICAL LOGq710N OF STRUCTIJRE ONLY. SEE NOTE: ND SPECFIC SOILSINVESTIGATION HAS BEEN COMPLETE(
ARd1ITECTUAL PI.ANS FOR BUILDING 6 FOUNOATICN ON THIS LOT BY THE SURVEYOR. TI£ SUITA9141TY OF
DIMENSpNS, SOILS TQ SUPfUq7 THE SPECIFIC HWSE PROPOSEO IS
DEN07ES PROPOSED SURFACE DRAINAGE Nor THE RESPDNSIBILITY Of THE SURVEYOR
O DENOTES IRON MpNUMENT SET SCALE: 1 INCH - 30 FEEf
0 DENOTES IRON MONUMENT FOUND PROPOSEp GARAGE FLOOR - 9333 FEET
X000.0 DENOTES EXISTING ELEVATION PRdPOSEd LOWEST FLOOR - FEET
(000.0) DENOTES PFIOPOSED ELEVATION PROP05ED TOP OF BLOCK -cj 3 3,7 FEET
WE HEREBY CERTIFY TO BRIAN THORSON HOMES THA7 THIS 15 A TfiUE AND CORRECT
AEPRESENTATIpN QF A SURVEY OF THE BOUNDARIES OF:
Lot I, Block 2, WEXFURD, according to fhe recorded plat thereot, Dakota
Counly, Minnesttto.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY pIRECT SUPERVISION TH{S 6T H DAY OF JULY , 1992.
PROPOSEp GRApES sHOwN WERE SIGN : J M R. HI( L'L,-INC-..._.._.
TAKEN FROM THE (iRADTKi PLAN ~
FOR WEXFORD PREPARED BY
PIONEEF ENG. LAST DATED ~
6-2'92. e,:• ti 7~
~ JOHN C. LARSdN, LAND SURVEYOR '
MINNESOTA LICENSE NUMBER 19828
0
W James R. Hill, inc.
~ ~ mw m ~ y1
~
o ~o, o a~ D o~ m~ m PLANNER$ I ENGINEERS I SURVEYORS
O m Ln N {
2500 W. CTY. RD. 42 6 BURNSVILLE. MN. 55337 • 612•690•8044
. . _
5
. , nlnne..4 vL A 4 1
' BASEU OV CHA TEA V?OFVTV
MQDLL ERGY CODE - LYOJ
DLTION____~''
wdopclun Effeetlve 111/ 4
, Dhane ^at~`~kK-6`j
)wner
tite Address L~r z(.l) E1CFORD
:ontractor •.-7hone
fuilding Ctasslf-icatlon: Typt A1 (Single faaily b Ouplex)Type A2 (Residentfal
• ~ (3 stories ar ess
(Other) (Over 3 stories)
;ENERaI INFOW TION I. Building Pertmeter ft.
Wall height {ground to eave} ft.
2
3. 1. x 2. (above) gross r+all orga _;aQS.T-fc. 3. 8uilding dimenstons (L) -4-1 x(W) 5 ft.2 roaf 5 flaor area j
5. Square fcot area of rim joist - Floar joist size (2 x~ Z? )
• \T~ x Perimeter = Aim 0 st area ~'~9 Q. ft2 j
-r
6. Doors - Area
Thic ness ~n. actor -z_
Typ• of Construct on ~erirt4 [er(6_~Z ft.
Manufacturer Q
1. Total door's pertmeter ~2~1 dZ ft -
8. Wlndows: Manufatturer State approvrJ
U factor _ q-7 ;
T1fPE SIIE AR:A (F:.z) 'nJNBER dF TOTAL FEET 2
EACH UN1TS "
C~'x•_~=~_ _ N-~O ~!,.C-4zi _ ?
NC~c ~~.k%
W, bo €,.o~ XGo 9~~0 ~ ~S~..oo ;
03 Z~, ~d
71 ' _RTL\e-.
~'r_ .S/nv ~0~4, 04 1 •C4 ;
; S. e~l ~ 1 w o -7-71d ~ 1 S a(-. ~
9,~iotal ft.c Glass ,5 45 ~
l0t-Ftrepl ace area: Itidth x heiaht • ~ z FL•2 ~
11 . Eapostd faundatlon: He19ht x Perime[er x 1 G-,;~_ • Ft.2 ~
:)MPlEiION OF THIS FORM IS REQUIRED FOR AlL NEY CONSTRUCTIOY, MAJOR REMOOELING ANO BU[lDtNGS BEING
f)vEO tir+ERE Er+ERGr, OTHER THa,v THE NInIwal tOOE aLLOHAnCE. IS uSED.
. ;
~
_ _ . . . _ f
-i'rnming a•rea - 10i of gross wall area. •
jj•,-' Gross Mall area z-:!4Oq-7- _ ':•2 -
Nindav area A ft.2 t: windows • 0 4`7 'J x a,
Rim~Joist area A_ ~ypp _ft.z U rim joist U x A-
Door area A ; t., :1 door area ~ • U x A • ~
- Fireplace area A z `
Z~,o f.. U rireplace U x a= q
Expased founddtlon A ~(03 f*..' il founCatian • U r A~ C1
Framinq 3rea A 21~ pg„-7 ft.~ ;1 franir.g area oq U x A~
net Mall area A• ft. J wal l= _0 -4~ U xA • `iZ.3fc
-„-:L . . . . . . . . . . U x a ?17S2o.L~,
4. Gross wall area x 0.11 (A-1 single famiiy S du.::=x ~ alloaable U.c A/Code
(13. above) .
x 0.23 (a-2 other residencia'.;
x .23 ;Other building;`
.c .2S (~Jvei• sco~•:e:)
H ,uust De iarger tnan
a ~Z) C)x t' Ccde...__ _ d l~_ Q.~`T F. 138 :bave
5. Cailing framing area (Af) aquats 10: of c_;lina orea or thc same as)
'SA. Gross ceil ing area ~(L) -q-1 x!'a) -Z-t~ 5 • k7 q-e-. ~ tt.2
58 Jofit area (Af) - 10- ceiling area ft.2
SC. ye: ceilina area (.4c) (15a - 158) \ G,~'~ rl~ ft.2
U teiling Y Ac• x
---r-
U framin9 x A f• O~(04 x_ \~~_T~'s = ~ 4\
SD. 'QTAL U x A P
/ Z
. ' • f
6. Celling area (15A) x, 0.026 (A-1 sinyle `amily S Cuplex - code allowable U x A
x O.C33 (A-2 other resida^:ial)
x O.C6 (other)
BTUH Must be larger than 150 (abave)
A(15.a) \~~l ~.•S x V_j,odel" -0?'C~ OF (or the same as)
- ~
C~-
NOTE: Use U ani a value: obtained f~•om nps 1, 3 and 4.
,
, r n`.{ , y~ :•4~ ~
,r•_ ,.~q;. ~ ~ -:~e . , . . ~ , , .
u~; li!i.:4: ~~:7• •T.:~.t~:. ~.w.y~~~~M~~~ ~'(L~~Tit'o
..ii>ti '-'•`L....ie~.f.~ ':r. .v .l1:i~~_~t~.~'.Sr.i,,:.'{.•.t'.1•;:"!*',~±!+~ ,:i.2'i~.•
~'il..'•+ S-~.' 4;.i ~
. y~~.2r.
r,i. - ~Ci. 'F ~."r:_ l'1,~ ~jRt{~aY'' ~I~...;F.~T2~
;eAr~y~,. ' :i.° .1' . . 11~..~',Lrj
' . ~ . ~ Q~~~ ~ : . ~ " :
(nterix veit" (Wetl)
SECf20l1 K!asu;attvn 1g.0o
WAAk, ' . ?
SidtnR .~e-7 C)4 0
~ . , . Jutside air :llm .17
R TOTAL
,d. .
Inatdr atr'fitm ' .5A
c, tncartor .iit g.~4g5
SECTIOM~. ~ s~~~'SF<i..~~~~_ud A~ (Framing)U. F .
~:;c• ; IrL . ~hutt, fng Z.ole
~l1 ' Sldlng 7
. ~
Ou[sld• atr tlln
-01AL
.
InstCe air t:?A R• 69 ~
2ND uALL" Inter ior wi 1 .45 .
' SECTi'Ni insulatton \~:oo (uall
Sheathtn8 Z CDa'
E:cCeclor wll :overin6' . .
Exeurtor air tlir,. 'n ..1;
R rorAL z3 . 0 3 -
lnteriur air CI lT .63
:r.suln~lon ~q.oo
~S JQISi ir.ch saft •auu,l A=1,$8 (Rim ~ a~.
Joist)
~~th. 't;~,8 z . o `
"-E:i[eAor vall cuvertns •~Z ~ .
Sxterlor air fllm Ra
.17 .
a rorAL
; - •
~ Intarlor air C'.lm
• ' :S.o lnsula:lor.
~:t : ' 4 ~
Ce~c..~cFounJatiun Z'~Q (Fdn,) U
~ ~ x,Cartor air flln fl+'.11
s roTAL , r~, _g 5
~ I 'Fxp.>sed 3luck
~ y.• ' . ''t"~~~ • . ' . .
' ,rqCe ,
<i~ . • . • ' ~ ~ .
. . . "
~
. . . . . . .
- ~ . - utti.a.. - ;i.
,ii..~5'.,,'?'L' y4R. CIf,'i ~iT}:ti:~~~i':tE7.'.l"t.i4ife:, +.,;,_~:[L~ ~ . ~f. :'~4:a::~~;~•,g;~
lYIi:k
Pr,r'iN
i .i' ...iI' :b
„ y•~ : ~
.t'i
r .`prqi.~.S':~~ :.Cc~:i:.~ rGi: i f~!•.
.a ,:r1,: . ~y ~ . F1~ ~i „ E~~l!
y; ^ :Y~ :J~` I~._.:r'.+1~~.~~1~ % ~ • ~
A1FilM' 0.6T
. .
[nsutation L`.4 .O
,;otsc ~
Ceilinq SQ>
: ; :
O.E1 Air Film 0.61
~.t . .
. _ •
3 rotat R 4~. 0.C>
u
F! AT ROOF OR CAtHEORAI CEiLING
R Va ue R 'IALUE
FR,;MING CEIlIf16
0.61 Inslde air fil,m 0.61
Ceiling 1
Joist (stud
Insulation
A1r spue.
Root de:kiny ,
[nsuletlan
OVilt-up roof . . . .
G; : • . ` ` ~ , ; 0. 7 Outslde: air film 0
: . Ta t. l R
U i
ndow infiltraticm .5 cfm/11nea1 foot of crack
tq SlEential door tnflltration 0.5 cfm/sQuare foo; or deor and minlnuc coCe requirement
bn-residential door infiltraCipn 11.0 cfr/lineal foct oP cratk
i~ 12" conct•ete block no insulatlon =.47 R 2.1
~.~.Jg, 12" concrets block.lnsulated cores ¦.26 4 3.8
12" 1ig{ir~eight block •.32 R 3.1
12" ligntwwight bleck t?fsuiated cores - .12 9 8.3
~~;yl~fingle glass ¦ 1.13: with 4tom.window..54
~.,:;:tlaublQ 91,ass • .S6
1:triple giass ¦ .4? , .
:s}• .
=.'I11 exterior walls and ceilin gs rrust have a vapor barrier (C.10 perm ic~x.}:
w„~por sarrier must,4e on.the 1nslde (heated side) of wall. ,
r,barrieri.of thit pnlyethelene ihin f11m have no e value.
r, . .
~ [I.:'. ~ ~ . . ~ ' . . . .
1~::: . . ~ . Q. . ' '
• . ~ . . .
CITY OF EAGAN
L-Z B~ ~ MECHANICAL PERMIT RECEIPT # D
SUBD. (612) 681-4675 DATE - -
5
RESIDENTTAL
PLFASE COMPLEfE UPPER PORTTON ONLY FOR SWGLE FAMIIY DR'ELLINGS. ALSO, COMPLEI'E FOR
TOWNIIOMES/CONDOS R'HEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNTP.
0WNER: Brian Thorson homes FEES
SITE ADDRESS: 4214 Wexford way ADD ON/REMODEL (EXISTING $ 15.00
CONSTRUCTION ONL7)
INSTALLER: xleve Heating & Air Conditioning HVAC: 0-100 M B7'U 24.00
PHONE #f: 991-4211 ADDTfIONAL 50 M BTU 6.00
ADDRESS: 13075 Pioneer Trail GAS OUTLETS - MINIMUM 1@ $3 EA. 3•00
Cpl'y; Eden P ' ie ZIp 55347 SURCHARI;E $ .50
SIGNATURE: TOTAL:
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. AISO COMPLEI'E FOR
evA-R TIM EnT gIrrt nxHGS CR OT'_IER W-TI'^-F4t~'' SUI*'?_TNCS @9~?EN cFnA.Ca?'E PE ?ZA1RE .~.TOT AEQiTIRID FOR
EACH DR'ELLING UNTf. J
R'ORK DFSCRIPTTON: CONTRACf PRICE FEES
196 OF CONTRACf FEE.
STATE SURCAARGE IS $.50 FOR EACH
$1,000 OF PERhIIT FEE. $
PROCFSSED PIPING - $25.00
$
MINIMi7M FEE • $25.00
OWNER: TOTAL $
STI'E ADDRFSS:
r~~~~~~~r~.
lL'I~Mi~li SiT17'E f.i
INSTALLER: . _ °
ADDRFSS:
CTI'Y: zIP:
PHONE CI7Y SIGNATURE
SIGNATURE:
CITY OF EAGAN FOR CITY USE ONLY
, . 3830 PILOT KNOB ROAD
EAGAN, HN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # /O <o
PT.UlCBING, VEMTm DATE:
M$TDSN?'SAI.:: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMSLY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ~ ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00 3,00
REPAIR WATER CLOSET 3.00 9,~D
~ BATH TUS 3.00 nn
/ S, no
LAVATORY 3.00
OWNER NAME: KITCHEN SINK 3.00 3. nn
LAUNDRY TRAY 3.00
SITE ADDRESS: L/ - L w°~r HOT TUB/SPA 3.00
~ 1d T WATER HEATER 3.00 ~.DD
LOT:L BLGCK ~i Suiiu. ( T FLOGR uAHii`I 3.0^v
GAS PIPING OUT.
INSTALLER: ~ (MINIMUM - 1) 3.00 ~QQ
ROUGH OPENINGS 1.50 H•sD
ADDRESS: ~Id+~Co ~ ("_P__~~ ~ _ OTHER
WATER SOFTENER 5.00
CITY: ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE O
SUBTOTAL $
S~SC~
ST. SURCHARGE .50
GNATURE OF PERMITTEE
TOTAL: $ '5-3"Od
COMMELIGIAli%INDBSTRiAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
~ CONTRACT PRICE: FEES
' OWNER NAME: 1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLEK: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $ .
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
' RESIDENTIAL _
~ n BUILDING PERMIT APPLICATtON C~'f f
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4675
NewConehuctlonReaulremante HemodaVReualrNeaulremems I
• 3 registered stte surveys showing sq. tt. at lot, sq. ft. of house; arW all roWed areas • 2 copies of plan ;I
(20%mauimumblcoveragealbwe0) • lsetofEnergyCakulatbnsforheatetladaflions
• 2 coplas oi plan showing beam 8 wintlow sae5; pouretl tound design, etc.) • 1 sde survey br exlerior etlditans & tlecke
• 1 set ot Energy Calculations • Indicate M home served by septic system lur adtltlions
• 3 copies ol Trea Preservation Plan N Wt platted atter 7I1/93
• Rim,bist Detail Optbns selection sheet (bldgs wtlh 3 or less unAS)
I
DATE ~0 I~l D I Dr~ VALUAiION 9DOD „
i
SITE ADDRESS 2)I U MULTI-FAMILY BLOG _Y /N
NPE OF WORK C OU QJ^Q FIREPLACE(S) II 0_ 1_ 2
APPLICANT ~ 1~ lk- I`-v~l Ir2 II
STREETADDRESS CI~RUjj STATEMfJZIPS`J~I~I
TELEPHONE # ~bI'b?)O'q~'.~ELL PHONE # FAX # Q15I"aq d'
. I
PROPERTY OWNER 11 II1 , 02 l IC KCI-C TELEPHONE I l`t D5'5R ~ O
~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
I
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MINNESOTAIRUI.ES 7672
(d submission type) • Residential Ventilation Category 1 Workshaet Submitted • New Energy CI de Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: Phone #
Plumbing system includes: _ Water Softener Lawn Spriiikler ~ Fee: $90.00
_ Water Heater No. of R.I. Baths il
No. of Baths ~
Mechanlcal Conhactor. Phone N ~
Mechanical system includes: Air Conditioning "
Heat Recovery System
Sewer/Water Contracror. Phone # JIUN 0 7 2002
-"I~ - -I - - - -
I hereby acknowledge that I have read mis application, sTate that the information is corr~i; and agree'to comply
wiTh all applicable State of Minnesota StaTutes and City of Eaga rciinances.~ ~
Signature of Applican Q l~
I
~
OFFICE USE pNLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required I_
~ Updated 4l02
I
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Poo! ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace O 21 Porch (3sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garage O 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck [3 23 Porch (screened) ? 36 Multi
? 05 03plex ? 11 taplex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bfdg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicaM
Valuatfon Occupancy MClES 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 W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaVC.O.
_ Footings (deck) " _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HV AC
Drain Tile Other
~ Roof _ lce & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Fina]
_ 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 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
RESIDENTIAL BUILDING
Permit Application
City Of Eagan 0
J 3830 Pilot I{nob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauiremenis RemodeVReoair Reauirements 'i ORce Use Oniv
3 registered site surveys showing sq. ft. of IoL sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20%maximum lotcove2ge allowed) 1 sel of Energy Calculations tor heated addihons Tree Pres Plan Recd
2 copies o( pWn showing beam 8 window sizes; poured found desgn, etc 1 site survey for addi6ons 8 decks Tree Pres Nol Reqd
15etofEnergyCalcuWfions Addi6on-iiMicafeiFon-sdesepficsystem _Oo-siteSeptitSystem
3 mpies of Tree Preservation Plan d lot platted after 71119J
Rim Joist Detail Options selecton sheet (bldgs with 3 or less uniCs
Date'/ C)~ rC,on,str-uc-tl\ooCos[
Site Address C~t~V UniUSte il
Description of Work
Multi-Family Bldg _ Y ~'N Fireplace(s) 0 _ 1 _ 2 ~
Property Owner YPc+~If~~Gfi2_ Telephone )
Contractor r
Address k~ ~Z . ? City
~q~.d:~ V4(? ~.~p
State V ~ Zip 44~ Telephone # (16(Z)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category
• Residentlal Ventilation Category 1 Worksheet • New Energy Code Woricsheet
(Jsubmissionrype) Submitted Submitted
• Energy Envelope Calculations Submitted ,
~Licensed Plumber Telephone )
, 2003 1~
Mechanical Contractor I•nnr: Telephone )
, i .
Sewer/Water Contractor Telephone )
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 M~1
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.
-5t&k, P L 4A
Applicant's Printed N e Applicant's Signatur
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling 0 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 E#. Alt - SF
? 04 02-plex ? 10 OS-ptex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex X 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Impravement ? 36 Demalish (Interior) ? 44 Siding
S? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
33 Altera5on ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
/0` 34 Replacement 'Demolitlon (Entire Bldg) • Give PCA handout to applicant
Valuation Occupancy ~~~=UY MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
N6r. of Bldgs Length Fire Sprinklered
Type of Const 6vi Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footmgs (addition) Plumbing
_ Foundation ~ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding Stucco _ Stone
Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
~ Insulahon _ Retaining Wall
Approved By Buiiding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC O~
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies ,,0-S
Other
Total
PLUMBING (RESIDENTIAL)
Permit Application '
~ City OfEagan „
3830 Pilot Knob Road, Eagan Mn 55122
' Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. Single Family Dwellings ~
Townhomes and Condos when permits are requued for each unit ~i
Date21-l~/~ „
Site Address "'l~ I L/ ~~//ii (/1 ` Unit #
Property Owner JyWaS~ Telephone
Contractor Address ~ City
State Zip ~ Telephoue # 7p2 3 - 114V
The Applicant is Owner Contractor _ Other ~
- ~
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alte~tions To E~sting Dwelling Unit, Including $ 50.00
Adding fiMures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system Water turnaround 5/8" meter if needed -$121.00)
Other: l~` A• w~:,.~- ~l A
I
RPZ new installa:ior repair _ rebuild 30.00 ~
+ - -
_ Lawn irrigation system ~
, i
_ Water softener _ Water heater $ 15.00
replacement _ addihonal
~ n
50
State Surcharge l ' $
r
'I
Total By
LZL~ _ -
t hereby apply for a Residennal Plumbing Permit and acknowledge that the information is complete and acetirate; tha[ the work will
)e in confoanance with the ordinances and codes of the City of Eagan and with the Plumbing Codes, that I understand this is not a
permit, but only an application for a pernvt, and work is not to staR without a permit that the work wil] beiin accordance with the
approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Naine Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116161
Date Issued:10/03/2013
Permit Category:ePermit
Site Address: 4214 Wexford Way
Lot:001 Block: 002 Addition: Wexford
PID:10-83850-02-010
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 .
Audrey Flattum
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Shane P Spessard
4214 Wexford Way
Eagan MN 55122
(651) 405-6734
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
For Office Use I
I I
City Q Permit of Ea aoz VW I Permit Fee: l l a I
3830 Pilot Knob Road 03AO-9338
Eagan MN 55122 Date Received: 07j
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff:
I _ I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION v~x J
Date: y Site Address:-
Unit
Name: S v l Sd, 55- C;('l Phone: 4,12 7q-7 - L C~ j 7
Resident/
Owner Address / City / Zip: tdvzr/ lv
Applicant is: Owner Contractor
i
Type of Work Description of work: ~CC_r ?L~-
Construction Cost: C ' J Multi-Family Building: (Yes / No K
i.
Company: ~h"1,~r`'►1=,~.~ L ~ ~ Contact: ~ ~✓h ~ ~
Contractor Address:'' City: /a C./~ ✓~JI
State: kip: S S S Phone: %S r y i/'~/~c4 Email:
i
1,1
License P).6 5 Z _3 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 a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: _ Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information 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.gopherstateonecall.oro
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of 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.
X_ X
Applicant's Printed Name A p p I i c a 1gna
Page 1 of 3
ga)Jy 0.tX4rV JA)a
DO NOT WRITE BELOW THIS LI E°~
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) Exterior Alteration (Single Family)
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
Multi "C Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of - Plex _ Lower Level _ Pool _ 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 Occupancy MCES System
Plan Review Code Edition n %t LAO SAC Units
(25%_ 100%) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings , Length Fire Sprinklers
Type of Construction - i Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Drain Tile
Fireplace: -Rough In -Air Test -Final Siding: -Stucco Lath -Stone Lath -Brick
Insulation Windows
Sheathing Retaining Wall: _ Footings _ Backfill _ Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES f f
Base Fee r`[/t Ll
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
l7
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
SURVEYOR'S CERTIFICATE BRIAN THORSON HOMES /Da y-D
WEXFORD WAY
. r.
N I
110.00 s43°57 O w - ~1
cg3C.-1, ; o Qta~,
40
ray
M PROPOSED Q~'
1 DRIVEWAY ~
c~ 0
1 c133.0)
~ to
'1500 Q
- - 0 27/c
y r. ~
w i ✓ f l k.ST 4
o Q
1433
GARAGE x1120 C1
5 33 rn
M (Z.O
_ _..I / 0
M / u
P HOPUOSE D in
~ I (a
~l, - 0 1_ zaa 12.0
o `
N 01
0.7 o
` m _ -1500. N
44.62 (}t
LOT
DRAINAGE H UTILITY
` S EASEMENT PER PLOSn,
1 r
123.48 S43°57109 W X49 , ENGINEER1 PT
NOTE- BUILDING DIMENSIONS SHOWN ARE FOR HORIZOWAL,
a VERTICAL. LOCATION OF STRUCTURE ONLY. SEE NOTE- NO SPECIFIC SOILS ' INVESTIGATION HAS BEEN COMPLETEt
ARINITECTUAL PLANS FOR BUILDING Q FOUNDATION ON THIS LOT BY THE SURVEYOR. THE SUITA81LITY OF
DIMENSIONS. SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS
dd DENOTES PROPOSED SURFACE DRAINAGE NOT THE RESPONSIBILITY OF THE SURVEYOR
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 833,3 FEET
XOOO.O DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - cj 3 3,'7 FEET
WE HEREBY CERTIFY TO BRIAN THORSON HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot I, Block 2, WEXFORD, according to the recorded plat thereof, Dakota
County, Minneseta.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 6TH DAY OF JULY ,1992.
PROPOSED GRADES SHOWN WERE SIGN : J LMR. HILL; INC--._- _
TAKEN FROM THE GRADINGI PLAN 4`1
FOR WEXFORD PREPARED BY ~
PIONEER ENG. LAST DATED - ~ ~ P 17 rx~
6^2-92.,.
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
T a
-n 0
1.
H~C
aT.
mW m ~ I
- ~ a)
000 > PLARS l ENGINEERS / SURVEYORS
_ O m in N
F. W. CTY. RD. 42 • BURNSVILLE, , MN. 55337 • 612-690-6044
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123056
Date Issued:05/28/2014
Permit Category:ePermit
Site Address: 4214 Wexford Way
Lot:001 Block: 002 Addition: Wexford
PID:10-83850-02-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Shane P Spessard
4214 Wexford Way
Eagan MN 55122
(651) 405-6734
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138709
Date Issued:09/15/2016
Permit Category:ePermit
Site Address: 4214 Wexford Way
Lot:001 Block: 002 Addition: Wexford
PID:10-83850-02-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Shane P Spessard
4214 Wexford Way
Eagan MN 55122
(612) 237-7756
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141990
Date Issued:04/10/2017
Permit Category:ePermit
Site Address: 4214 Wexford Way
Lot:001 Block: 002 Addition: Wexford
PID:10-83850-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Shane P Spessard
4214 Wexford Way
Eagan MN 55122
(612) 237-7756
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA156227
Date Issued:06/20/2019
Permit Category:ePermit
Site Address: 4214 Wexford Way
Lot:001 Block: 002 Addition: Wexford
PID:10-83850-02-010
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Shane P Spessard
4214 Wexford Way
Eagan MN 55122
Sjs Mechanical Inc
20169 320th St
New Prague MN 56071
(612) 598-5876
Applicant/Permitee: Signature Issued By: Signature
r For Office Use
w ; : : : ,
' '
Permit*: / J 7 ? d---
E AGA N
•I Permit Fee: 6 v
Date Received: 5 -7
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 l TDD: (651)454-8535 l FAX: (651)675-5694 staff
buildinainspectionsacityofeagan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 9/05/19 Site Address: 4214 Wexford Way
Tenant: Suite#:
Resident/Owner
Name: Shane Spessard Phone: 612 747 6097
7
Address/City I Zip: Eagan, Mn. 55122 •
Name: SJS Mechanical License#: PM060655
Contractor
Address: 20169 32Th St City: New Prague
State:
MN Zip: 56071 Phone: 952 758 2986
Contact: Scott Smisek Email: scoff@sjsmechanicalinc.com
Type of Work New ✓ Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work: Replace Bathtub
Tankless Water Heater Lawn Irrigation(___RPZ/ PVB)
' Standard Water Heater
Description Add Plumbing Fixtures( Main/ Lower Level)
p Water Softener
Description:
Septic System
New Abandonment Connection to City Water from Well
RESIDENTIAL FEES
$60.00,.-Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 New fixtures, adding or removing piping(includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential(fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$290 for Meter and$190 for Radio Read=$540
*Sewer&Water Permit also required for connection charges 60 ad
TOTAL FEES
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.gopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeauan.com/subscribe.
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.
Scott J Smisek
x Xa
SIGOA,
Applicant's Printed Name Applicant's Si ture
Page 1 of 2
r
Lc-
____1/ in
r For Office Use
' / �1t% •�4, Permit#: / &' 6S ri21-/
• EAGAN
• ••• Permit Fee: / o- • CO C'i P61°14
Date Received: / ` 9tic_'k-
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 E'VE b�l
(651)675-5675 I TDD: (651)454-8535 FAX: (651)675-5694 Staff: ;�= (� -,O
buildinginspectionsecityofeagan.com JUN 19 2019 . -
IIS`
2019 RESIDENTIAL BUILI3Y� ' C ' - ' ' APPLICATION 4 ...11(-1-1
Date: (v '(6( Site Address: `�7 1 I LitY-C-04 4,1terE mg SSW Unit#:
Name: `iJ 1 ?5Arà' Phone: (o1 a " 7 - COT)
Resident/
Owner Address/City/Zip: WCi Li Z a Cot`d (-4,41 t OW 55; a
Applicant is: Owner Contractor
Description of work: s, \ zi- 0 `�
(.0
Type of Work ••
Construction Cost: -170,00() Multi-Family Building: (Yes /No D* )
Company: l '/'1 TLe Tool wn Lam_ Contact: q g-5 - C./ c.
Address: o�ID (c O �- 1n Pc �le-e.._
contractor City: '•' i -
Contractor '^
State: YON Zip: 5''3 7.2 Phone: Q1-'356-�C'mail: ' '(•-•r"' ASC35 - #L-�r- ,°iI c.
x o
License#: 0 G-101:\ N\ Lead Certificate#:
If the project is exempt from lead certification, please explain why:
No --t i kook_ u eos 60.I+ ;A , 'ti
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
Y' #n; , fir a,* owsIdbned to bb� > ofthe atlbn may be
a4ora:MOM_ dbQwisr�
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeanan.com/subscribe.
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.
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.aooherstateonecall.orq
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 llkv►••5 x �./
Applicant's Printed Name Ap• ant's Signature
DO NOT WRITE BELOW THIS LINEy-,) ( /,) _J tan-el /_ --6, 6_5-.
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement _ Siding Demolish Building*
Addition Move Building _ Reroof Demolish Interior
—
1‘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 _24_02 Occupancy .0if MCES System
Plan Review Code Edition , A 6,, Et r( SAC Units
(25% 100%4 j Zoning r di City Water
Census Code 1 Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Y Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFTS
T. Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: q- , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge 06/1/
Plan Review ii609
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
i/ VO
'"
RadioI
Meter Read
Copies
TOTAL 0111/
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA168099
Date Issued:04/09/2021
Permit Category:ePermit
Site Address: 4214 Wexford Way
Lot:001 Block: 002 Addition: Wexford
PID:10-83850-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Shane P Spessard
4214 Wexford Way
Eagan MN 55122
(612) 237-7756
Centerpoint Energy
1240 W River Pkwy
Minneapolis MN 55454
(763) 512-2765
Applicant/Permitee: Signature Issued By: Signature