4215 Wexford Way
~ l
, . .
,
Wertificate of cccuvanc~ ,
CM4 ofi ~agan
Zqartmettt of 8ai[bing 3uapectiun
,
~
This Cerlificate issued pucsuant m the requirements oj 1he Uniform Bui(ding Code
i
certifying iha1 ai the time of issuance this structure was in compliance wuh the various
i
ordinances ajthe City regulating building construction or use. For the jo(lowing:
uua.ie~dm SP rtr eldg. Pa+nil Na 2479a Occupancy Type F3tm I Zoning Distrwx R ~ Typc Consi ~
0wrcr413wldin8SM Ggplasco Addrtss 1'Mf17 S~F~RTRPACC APMG {)AT7RV
Building AdAmss 42.13vo~'~?.~ •~v~ wdln l a i r. ~
~ ~ (-J Date: 'L f '
~ Building Olfirial -j
POST IN A CONSPICUOUS PLACE I
~
0 - 0519 5
`lequasi Oeta Fre No oughln In:,p c Reqwretl InspecJOn Other Than Roughln
6/ 0 5/ 9 5 (~ou musl cell i eCtor when reatly) ~ ReaCy Now CkiM1fill Naufy Inspeclar
~ Yes ? No Da~e Reatl
I~licensed contractor ?owner hereby request inspection ot above electrical work at:
JaD Atltlress IStree6 Box or Routa No.) Ciry
4215 Wexford Way Eagan
SBqlon NO Township Nama or No, RangB No Coundy
Dakota
OCCUpant(PRINT) Phon¢ No.
Sons Construction 452-4721
Power Supp6er AEOress
Dakota Electric
Elactrical Comrector (Campany Neme) Comreclor's licensa No
Joos Electric CA 00961
MeiLng Atltlrass (CONeactor or Owner Makng Instelletion)
3980 Beau D' Rue Drive Ea an MN 55122
Amhodzed Signamre (ConlretlorlOwnar Making Inst Phona NomOer
C _ 6g8-6180
MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT
Grlggs-Mltlwny Bltlg. ~ Room S-128 9E ACCEPTED BV THE STATE BOARD
1821 Unlverslty Ava., SL Geul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone161P18CY-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION iq y~ B-ooooi-os
/6 /.J 1 J-~(~~ See inshuclions br compl¢Ilnq Ihis tortn on beck ol yellow copy
~
"X" Below Work CyVered by This Request
J
New Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater Electric Hea4n
Apt. Building Dryer Loatl Management
Comm./lndustrial Fumace Other (Speci ) Farm Air Conditioner
Other (specily) ConVaclors Remarks:
Basement
Compu[e Inspection Fee Below:
# Other Fee /1 Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 700 Amps
Transtormers Above 200 Amps Above~700 _Am s
$I n$ mspecmrs Use Oniy: ' TOTAL 1 O
Irrigation Booms °L A O -J~
S ecial Ins ection 0
Alarm/Communication THIS INSTALLATION MAY BE ORDEHED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Roul
certify that Ihe above inspection has F~~e1 c Da~
bsen made.
OFFICE USE ONLV Thls reQuesl v0itl 18 months trom
//I/Llly 33 93q
0 05 009 1 / jN°i'
Requosi Date Fre 1Rougn-In In$ 6Ton iieqmretl Inspeclion Other Than Rougb-In
l le 08- ll (YOU t E mspector when ready) ~ Reatly Now ~ Witl Nolify Inspeclor
~ ~ Ves ? No Dato Rea
IERlicensed contractor ?owner hereby request inspecnon of above electrical work at:
JoD Ftltlrass (SVee1, Box or RaWe No I City
4215 Wexford Way Eagan
Sec:iCn No Township Name or No Range No Covnty
Dakota
occupdnllPRINT) Phone No
Sons Construction 452-5355
Power Supplier Atltlress
Dakota Electric 4300 220th St. W., Farmington
Elocmcel Convac:or (COmpany Name) Contraclor's L¢ense No
Joos Electric CA 00961
fdailing Atltlress (Con:rac;oror Owner Making InstallaGan)
3980 Beau D' Rue Drive, Eagan, MN 55122
Aut~on gnelure (COnlraclorf0~ g Installebon) Phona Number
688-6180
G gs Mitlw 5 BItlg.B Foom SF EB TRIGTY T
III VII NII I III I I~II u~l II I IINI ~ A ETON PEE 5
21 Unrverspy Ava., SL Peul. MN 55104 UNLSS PROPER NSPEC 1IIIf ~I
Phona (612) 642-0800 u! ~ IIII ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION ~ ee-ooooi-os
10o Soe insimctions lor completrng ibis form on back ol yelbw copy. 313 9-3 9
Q 059 009 "X" Below Work Cov@red by This Request
New Atld Rep Type of Building Appliances Wued Equipment Wired
Home X Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industnal Furnace Other (Specif )
Farm Air Condinoner
Other(speafy) Contractor's fiem.rks
Compute Inspecfion Fee 8elow:
# Other Fee # Service Entrance Size Fee k Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 Amps ve 700 _Amps
Si9f1S Inspectors Use Only. TOTAL
trrigation Booms $84.50
S ecial inspection
Alarm/Communication THIS INSTAILATION MAY BE ORDERED DISCONNECTED IF NOT
Othe~ Fee COMPLETED WITHIN 18 MONJ f
I, ihe Electrical Inspector, hereby Rough-in od /
certify that the above inspection has a~
been made.
OFFICE USE ONLV
This request voitl 18 months imm
Address 4215 wEXFoRD wnY Zip 5512 3
Lot ^ i Blk t Sub wEXFoan
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI70N.
Date: 6 I a-'7 9S Yes No Inspector. ~
Final grade (6° from siding)
Pertnanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas ~
Sod/Seeded grass
TraiUcurb damage
Porch ~
Basement finish vl~
Deck ?
Pleasc verify with [he builder the removal of roof test caps from the plumbing system and the shuboff of water supply ro
the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 bcfore working in right-of-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Coniractor Copy
INSPECTION RECORD ~
CiTY OF EAGAN ' PERMIT TYPE:
3$30 Pilot Knob RoBd PeRnit Number. ''i •
Eagan, Minnesota 55123 Date issued: I41 94
(612) 681-4675
` SITE ADDRESS: APPLICANT:
r.lrti ~ ~~r~ ~ ~~ci•. 1 I:~~~ 1 I ~~N ,
~~i ,r~~~~i~ ,•.i ~ ~1_K:~~ ~f1rl y. ~
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .A . .A
~ ~fii i t f:• 1,i~;i~~~, i!
I t1',111 !i ( I IJh1 f 1!, f{' ~/~I 1
1(y F'l ISlt I itlll~?~ 11'4 11 Ito
, 41`4 Ai ri iiI,
~
LL
1
• PsrmR No. Psrmft Holdar Dats TiWphom i
S/VY
. PLUMBING , C / 30
HVAC
ELECTRIC
ELECTRIC
Inspectbn DaM Insp. Comn»nta
Footings 1 1-451
Foundatbn
Framing
Rooting
~ Pl~ d ~ 6 - W
Rough Htg.
w
Isul.
Flreplaca ~ V'lf'l uJ1C ;
Fnal Htg.
I
orsat Test Ct 2?1 I
Flnel Plbg. Pibg. Inspector - Notily Plumber I
Const. Meter
EngrJPlen
Bldp. Fnal
Deck Ftg.
Dedt Final
WeH
Pr. Disp.
A-~-
~
INSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
:~t~.t1 c•~ i
SITEADDRESS: t ' . tr I 0 ; A s+t 1?E r , APPLICANT:
hf"ilfrlk I,IAY
, , , ~ , ? ' !
PERMIT SUBTYPE: TYPE OF WORK:
~~~~i~l1 IPI I f . !!~r•~I
~ J
Rormk No. Pwrtnk HoIdK Dift TNephorn f
ELECTRIC
PLUMBING
HVAC
Insp"tlon ap. Commenb
FOOTINGS
FOUNO
FRAMING
G
ROOFING
ROUGH
PLUMBING
PLBG
R TEST
/U -9~
ROUGH
HEATINO
TEST VC
INSUL
(iYP BOARD
FIREPIACE
FIREPLACE
AIR TEST
FINAL PLBG
G- ~
FlNAL HTG ~
ORSAT
TEST
BLDG FINAL
BSMT R.I.
83AATFlNAL 6/?~
l7
DECK FTG
DECK FlNAL
~ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ~ J~•~'~ f~' ~
(612) 681-4675
SITE ADDRESS: 1 APPLICANT:
, ii I r?rel~ ~?AY ~~r~ ~~~ri , i t ~r~ ~~r,
PERMIT SUBTYPE: TYPE OF WORK:
. .
• , , ' , ~ ~~<<i
s
L_._ J
PermR No. PwnR MoldK Dab Tsl~phat~ t
ELECTRIC
PLUMBINa
HVAC I
Mspoctfa+ Dete kap. Commanh I
FOOTINGS I
FOUND I
FRAMING
ROOFING
ROUGH I
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
QYPBOARD
FlREPLACE
FlREPLACE
AIR TEST
FlNAL PLBG I
FINAI HTC3 I
ORSAT I
TEST I
BIOG FINAL I
I
BSMT R.I. I
BSMT FlNAL ~ I
~ti;(,8rs ~%vC. L O G uv~'TTS/Z. - I
DECK FTO
DECK FlNAL
t
I
I
I
~
INSPECTION RECOIZD
CITYOFEAGAN PERMITTYPE: auzLozNc
3830 Pilot Knob Road Permit Number: 0 2 4 7 9 2
Eagan, Minnesota 55123 Date Issued: ' 10 / 31 / 9 4
(612) 681-4675
SITE ADDRESS: Lo T: s B L 0 C K: 1 APPLICANT:
4215 WEXFORD WAY SONS CONSTRUCTION
WEXFORD (612) 452-4721
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION .
FOOTINGS FOUNDATION IFRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: PRV S& W PLBR - R C PLBG F I ~
I
L I`i J
PERMIT
CITY OF EAGAN ro~3~~
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 024792
(612) 681-4675 Date Issued: 10 / 31 / 9 4
ITE ADDRESS:
4215 WEXFORD WAY
LOT: 3 BLOCK: 1
WEXFORD
P.I.N.: 10-83850-030-01
DESCRIPTION:
Building Permit Type SF DWG
6uilding Work Type NEW '
i UBC Occupancy`., R-3 M-1
~ Construction Type V-N
i Zoning , R-1
Building Length ~ 72
Building Width 38
Building stories 1
~ Square Feet 2,440
v
i
REMARKS:
PRV S& W PLBR - R C PLBG
FEE SUMMARY:
VALUATION $182,000
Base Fee $926.50 MISCELLANEOUS $1,828.50
Plan Review $602.23 Total Fee $4,248.23
Surcharge $91.00
SAC $800.00
SAC % 100
SAC Units 1
Subtotal $2,919.73
CONTRACTOR: - Applicant - sT. LIC. OWNER: SONS CONSTRUCTION 14524721 0002608 SONS CONST CO
12092 SAFARI PASS 12092 SAFARI PASS '
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 452-4721
II
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable Sta~e of Mn.
Statutes and City of Eagan Ordinances. i~
~
APPLICANT/PERMITEE SIGNATURE ISSUED : SIGNATURET~
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
~ 681-4675 R
~ .
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site veys, 1 copi of en rgy
calcs. ,
COMMERCIAL 2 sets of architectural & structural -d-set
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.
Date / o Valuation of work ~I
Site Address: n et,.A~ PSTREEi SUITE
Tenant Name: (commercial only)
LOT 3 BLOCK ~ SUBD.u/FyFSl2) P.I.D. J
Descri tion of work: /U ~ G! c, r+
The applicant is: ? Owner LKContractor ? Other (Describe) ~
Name J s 3' (t~ Phone
Property Lnsr FIRST
OWf121' qddress / Zo
STREET STE k ~I
City State jt1/L1 Zip S'T/1'
~i
Company S 1,04 $T Phone
'3/- 91
Contractor Address ! y0 9 z P4 f{ License # 240oo' Exp3
City ~).~;~lz U~~~4 State Zip SJ 1 Z
Company ~~L bES/Gil Phone Y~0 ~.5~~'9 ~
Architect/
Engineer Name ct L4w7cti Registration N
Address
City State Zip
G
Sewer & water licensed plumber /J(r Processing time for
sewer & water permits is two days once area has been approved. Q~
I hereby acknowledge that I have read his application and state that the informat!ion is
correct and agree to comp with al plicable State of Minnesota Statutes and Ci'ty of
Eagan Ordinances.
Signature of Applicant:
Iv
OFFICE USE ONLY
BUILDING PERMIT TYPE
a
? 01 Foundation ? 06 Duplex O 11 Apt./lodging O 16 Basement Fini'sh
p 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 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.
? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck O 20 Public Facility
? 21 M9scellaneous
WORK TYPE
09 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION Const. (Actual) Z -,IAq4 Basement sq. ft. 1,70~ MWCC System ~
(Allowable) lst Fl. sq. ft. Z 7J/ City Water x
UBC Occupancy 12nd F1. sq. ft. - PRV Required _x
Zoning Sq. Ft. total Booster Pump
H of Stories Footprint Sq. ft. z,y yo w~i~°'e Fire Sprinkler
Length 72- On-site well s• Census Code
Depth 8 On-site sewage yf~~'SIiC Code ~
-70 Census Bldg _L
APPROVALS ' Census Unit
Planning Building Assessments
Engineering Varfance
REQUIRED INSPECTIONS
O.Site cUT Footing 0-Framing ~ Insulation
? Wallboard 0_Final O Draintile ? Fireplace
Permit Fee veiuacia,: $ 132,000
Surcharge
Plan Review
License / `'~<<,.- ~sMr (F,.,,s,•~o)
MWCC SAC -
City SAC zx iz , s~ ° zs ~ L'F z= »i
Water Conn. • i,,3L
Water Meter /y IJ X 7z ~ z x•=. -~j =<zs>
Acct. Deposit /3.(o7X Yo.s ° SrY f+eFW ~s~/YS3.~/$•6~=~zmaj
$/W PeY'mlt ,s-..i.~~t~.U~ = i Fw,~,,,a~< 1o.v~.13.i7) <ivi>
S/W Surcharge , z o F,- zG 7K sy=
Treatment P1. X
J70 ojb-)
Road Unit ~ 77, ,~s y =
Park Ded. Trails Ded. ' 93 Y71(
Copies ~
Other /Y.33F18.~7 = z~~
Total: l71z6, r. .vl? 17.17
yox ~r,
F 3/•t - 620 9
SAC % ..c7,,~j= C~)
SAC Units Z,rZ,&,
z
.7s,rh •~/(v= ~o=&avi' ~ f'lLoo
. -77,~i~~z- /B/, ~/7/
2422 Enterprise Orive
* * * Mendota Heights. MN 55120
* PIONeeF7 i,,HO SMVE„M CM EW„EER$ (812) 881-1914 FAX: 881-9488
~m/we wear ne LANU 0.AWER4. lANO3CME AROIIIFCI3 625 Highway 10 N.E.
* * * Blaine, MN 554J4
* (812) 783-1880 FAX:783-1883
Certificate of Survey for: SONS CONSTRUCTION
4215 WEXFORD war
AO
~ 93LB 930.3 ~
D d ..H
EAG E ERING DEFT\ O MH. O~
~ T .
s ~b
o~
r'yM~ 2s c~3
C.B. ` .
/
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C ~
~ 0c~~Dt 921.5
3 ~ ~ ~yF
a a
` ~'e ,~v ~ ag• o ~3
/J~P~ g 9249
\ ~~0 0^~j Q(~'~ 926. ~-Ae(928. I 9\ oP
/ vy ~ Q \ M i4~3
20gT ~ ~~4~ G ~ ~~2~'~s3J.
2~ A@~ ~Lk,~ pOJ`~ le ''b ~ 928.2
914.9 ~ 1 Q~' t~ 929.8 ~ a.
N 4,~.q) 923.7k
~ 9 N~pA. h C.B.\
\
931.5
~
925.11 ....-SS \ ve~ q 9 ENCH MARK
925.3 TOP OF PIPE
E• F~' s 17 ELEW-929.65
o,s,,~ ~
r_ V I E b'J r. D &SF 933.11 o
o
BENCH MARK
TOP OF PIPE ~ q~~ 929.3
)ATE__ LEV.=932.35
L /
PROPOSED CRADES SHOWN PER GRAUING PLAN BY: PIONEER '
NOTE: CON7RACTOR MUST VERIFY ALL DIMENStON AND URIVEWAY OESICN. 7HI5 CERTIFlCPTE DOES NOT PURPORT TO SHOW EASEMENIS
OTHER THAN 7HOSE SHONN ON 7HE HECOROED PLAt.
NOTE: NO STEQFIC SOILS INVESTICATON HAS BEEN COMPI.ElEO ON T115
LOT BY RIE SURVEYOR. 1HE SURABILITY OF SOILS TO SUPPIXiT THE qEARINGS SHOMN ARE ASSUMED
SYECIFlC HWSE PROPOSED IS NOi THE RESPON519NTY OF THE SURYE1bR. '
°o CMDo~o
x ooo.oo Denotes Ezisting Elevotion PROPOSED HOUS
( ooo.oo ) Denotes Proposed Elevation Lowest Floor Elevation: 7-j_-y
, Denotes Droinage k Utility Easement ~
Denotes Droinage Flow Direction Top of Block Elevatlon: 933"
--0- Denotes Monument Q -i
B Denotes O(Iset Hub Goraqe Slab Elewlion:
f
LOT 3 , BLOCK 1 WEXFORD
DAKClfA COUNTY, MINNESOTA
llrd Ihlr :u',iv. plun •r
, r.yoil nu. ~veyu~irJ bv m~ cr imJer mv Jev.'l .u{•m~ie'un 1 Ihnl 1.~ni d.it~ inoi~ler~J1~u.J-1im,•I
I ,.f m- ..i"'.. .,i kii ...,.i„ 277H .i.v .,r SEPT. 4 / IGNE PIONEER EN NEERI , F.A
Scale: 1 inch = ao feet B~ '
John C. larson, .S. Reg. No. 19828
~ 672 94305.00
' LOT BIIRVEY CHECRLSST FOR RESIDENTIAL
~ BIIiLDZNG BERMIT 71YPLICATION
pROPERTY LEGALS ~
~ Date of 8urv
DOCIIMENT BTANDARDs
B`D 0 • Reqistered Lnnd Surveyor signature aad company
1;,--b 0 • Building Permit Applicant
P13 0 Leqal description
• ]Iddress
0 • North arrow and bar acale
~YO 0 • House type (rambler, valkout, split v/o, cplit entry,
lookout, etc.)
4v,0 0 • Direotional drainage arrows with clope/gradient
D 0 Proposed/existing aewer and water services
0 • Street aame
V0 • Drivavay
LLEVATIONB
Laistina
2"10 0 • Sewer serviee
0~ 0 0 • Lot corners
0 • Top of curb at the driveway
pi3-
0 • Elevations of any existing adjacent homes
prononeC
IY 0 0 • Garage floor
L}~ 0 0 • First floor
ID"'.O 0 • Lowest exposed elevation (Walkout/window)
fl~ 0 • Property corners
0 0 • Front and rear of home aL the foundation
49NDING !?REAB (if avvlicablel
D 0 0 • Easement Iine
0 D 0 • NwL
D 0 0 • HwL
D 0~ ~0 • Pond # designation
D fY D • Emergency Overflow Elevntion
DIME1C8IOIi8
L9~D 0 • Lot lines
0~ D 0 • 8ight-ot-way and street width (to back ot curb)
B,-~0 0 • Fzoposed home dimensions including any proposed decks,
overhnnqs greater than 21, porches, etc. (i.e. all
structures requizing permanent iootiags)
D" D D • Show all easements of record nnd any City utilities xithin
thoae ensements
Z~113 0 • Setbacks of proposed structuze and aetback of adjacent
/ existinq homes
a 0
H~ Retainiaq w requirements, it any
Reviwed: ~
Na e / ate
OCtobeZ 1992
I ' 1+50 HUM
3 MH STA.4+S!- S7WITTRY SE
8 20'RT. SDR zb
S-0+58 FwTen seRvi
INV-919.0 SEE
CS - 929.0 R P 23510 eX'MAm Al
v
a2.s'
3 MH ~ STA. 0+37
4 20 RT.
,
6 J
~ 8° VC
. >
10' `
r--- _ -
i ~ ~ i "i42 2~
~ B~DIP
~
~
~
f ,
81-900BEN D
CLEAN-~
21
CL.52 OUT 8°GV 31 I~ WATER SERVICE
I FOR IRRIGATION
131.9 (CS - 9~.4 )
134.3
i S - 0+53 I -
' WV-919.1
t CS - 929.1 2351 U
SEE R.P.
1
' T 1"tt~. C: . ~9 OP'
~ f.. i :
THE F,C:;iJi:,ACY Or U71Lf7`,'
f:r0/0,ti SLEVl;TIONS. 7HI3 U.;T#'. i^ ~=02
E1~t1:;~`F~itON PURPOSES A~1D
?E-Ri1V11:J USIfUG IT SHOULD 'i;~~
~Z~ ;la510N ON THE SI i c.
50 0 50 100
SCALE IN FEET
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SHEET TITLE
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1994 PLUMBING PERMTT (RESIDENTL4L)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-0675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
~ SHOWFR 3.00 -3• -
WATER CLOSET 3.00 ^
~ BATH TUB 3.00 ~
~3 LAVATORY 3.00 q. -
KITCHEN SINK 3.00 3. -
LAUNDRY TRAY 3.00 ~ -
~ HOT TUB/SPA 3.00
WATER HEATER 3.00 3_ -
_L FLOOR DRAIN 3.00 3
~ GAS PIPING OLTTLET • minimum • 1 3.00
~ ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • DakCry.lic. 20.00
U.G. SPRINKLER • nome unaer conn. 3.00
ALTERATIONS • to adsting 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: 4215 Wexford Way
OWNER NAME: Sons Construction
INSTALLER: R C Plumbing
ADDRESS: 5910 Chester Ave
CITY: Northfield STATE: Mn ZIP CODE: 55057
PHONE ( 612) ahl_pnqh
rc+CJ
/tb
SIGNATURE OF PERMI EE
. .,.:..,~:~:stt:•>». z .Y ..,.r. ..zsF::r . ~
.
...:......e.~~~(..:..:a,kd~d'~~
-pi
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1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
_ NEW CONSTRUCTION
_ ADD ON
Rk,PAIR
WORK DESCRIPTION:
CONTRACT PRICE: a
FEG 19c OF CONTRACT FEE.
STATG SURCHARGE: $.SO FOR E4CH $1,000 OF P
LERW, FEE.
11fINIAfU111 FEE: E 25.00
COIVTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NA114E: STE. #
OWNER NAME:
1NSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE ~
FOR:
CITY OF EAGAN APPLICANT
~
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1994 MECHANICAL PIItMIT (RESIDENTTAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SWGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES ANTD
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
~ NEW CONSTRUCTION
ADD-ON .4/C
ADD-ON FURNACE
FIREPLACE IN ERT
DATE Io~ a'Z g
FEES
HVAC: 0-100 M BTLT $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ~ 69•06
ADD-ON/REMODEL (Exls'rING CoNSTRUCTION) $ 20.00
STATE SURCHARGE .50
TOTAL
,
/
SITE ADDRESS: , '7~ZI5
OWNER NAME: ~50rk~^~(~~,( ('IY~ 'IELEpHONE sy7i:~
1NSTALLER: GINZ-xYAN PLUrIDING & HEATING COMPANY
ADDRESS: 14745 South Robert Trail „
CITY: Rosemount STA'I'E: MN ZIP CODE: 55068
TELEPHONE 423-1144
TUR OF E TTEE
~CITY OFEAGAN PERMIT 38~0 PilotiCnob Road PERMITTYPE: euzLozNG
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 7 6 9
(612) 681-4675 Date Issued: 0 6/ 0 7/ 9 5
SITE ADDRESS:
4215 WEXFORD WAY
LOT: 3 BLOCK: 1
WEXFORD
P.I.N.: 10-83850-030-01
DESCRIPTION:
Building Permit Type BASEMENT FINISH
Building Work Type ALTERATION
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBIN6 OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Lic. Search Fee $5.00
Total Fee $40.50
CONTRACTOR: - Applicant - s7. I.IC. OWNER:
SONS CONSTRUCTION 14524721 0002608 SONS CONST
12092 SAFARI PASS 12092 SAFARI PASS
APPLE VALLEY MN 55129 APPLE VALLEY MN 55124
(612) 452-4721 (612)452-4721
T hereby acknowledge that I have read this application and stailte that the ~
information is correet and agree to comply with all applicablelState of Mn.
L Statutes and City of Eagan Ordinances. il -j
~ ~A 1-
APPLICANT/PERMITEE SIGNATURE ISSUED B :'IG URE
1NSYN;C;`l'lUN KL+'C:UKll
CITYOFEAGAN PERMITTYPE: euzLozNc
3830 Pilot Knob Road Permit Number: 0 2 5 7 6 9
Eagan, Minnesota 55122-1897 Date Issued: 0 6/ 0 7/ 9 5
(612) 681-4675
SITEADDRESS: P•=•N.: 1e-e385e-e3e-e1 APPLICANT:
LOT: 3 BLOCK: 1
4215 WEXFORD WAY SONS CONSTRUCTION
WEXFORD (612) 452-4721
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH ALTERATION
INSPECTION D. . D•
FRAMING INSULATION
ROUGH IN PLBG FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
F-
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L
I! ~
II
~ CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) II
681 -4675 I~
New Conshuelion Reauirements Remodel/Recair Reauircments i
? 9 registerotl site surveys ? 2 copies of plan ~
? 2 eopies of pWna (inGude beam & window sizes; poured fitl. design; Mc.) ? 2 sHe surveya (enterior addilions 6 Oecka)
? t enerpy alwlations ? 7 energy ealwlations for Mated adddions
? 3 wpies W troe preaervation plan if lot platted eRer 7H/93
requirod: Ves _ No
DATE: (pI a'1 4 S~ CONSTRUCTION COST: J II
DESCRIPTION OF WORK: ~cl SQ /~n t rt r -t ) rl ! Sk II
STREETADDRESS:
LOT ~ BLOCK SUBD./P.I.D.
1 I'
ii
v
PROPERTY Name: S d h5 Phone ~y7~
~ OwNert Street Address•
ji
City: /dWIe `U4'A State: Zip:
C o N T w? C r O R C o m p a n y: u me.- Ph o n e
Street Address: License #:I`
U
City: State: Iip:
I
ARCHITECT! Company: Phone II
ENGINEER
Name: Registratio III #Street Address, I~
City: State: Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued. I~
I hereby acknowledge that I have read this appliption and state that the infortnation is correct and ag ii to wmply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: IIOFFICE USE ONLY ' III
Certificates of Survey Received _ Yes _ No I~
Tree Preservation Plan Received _ Yes _ No II
- - - I~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging m:LA6 Basement Finish
0 02 SF Dwelling o 07 4-plex ? 12 Mufti Repair/Rem. 0 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 _-plex ? 15 Deck
WORK TYPE
0 31 New -d:L33 Alterations o 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ~
Depth Footprint sq. ft. SAC Code
Census Bldg ~
Census Unit O
APPROVALS
Planning Building Engineering Variance
Pertnit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
i
CITY USE ONLY
L ~ BL ~ RECEIPT
SUBD. ~ DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL) ICITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required fo'r I each unit
New construction Add-on furnace
~ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
FEES I? Minimum Fee: Add-on/Remodel (exisHng residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00 II
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 I'
TOTAL o7D S~"
SITE ADDRESS:
OWNER NAME: So/~~s C oNjY/~U~71 da`' PHONE
INSTALLER NAME: G~D S NT5 ~ iO /c i N G- II
STREET ADDRESS: 32~~ 13 ~S T w_ I!
CITY: ddst /7 o u^'T STATE: ~A- ZIP: 5_5f'o
PHONE (/lti 3- 3Sd
i
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are p~ required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: $25.00 minimum fee 2[ 1% of contract price, whichever is greater.
Processed piping - $25.00
State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP•
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
u
ii
CITY USE ONLY
L ~ BL ~ RECEIPT
SUBD. DATE:
ii
1995 PLUMBING PERMIT (RESIDENTIAL) ii
CITY OF EAGAN u
3830 PILOT KNOB RD ii
EAGAN, MN 55122 °
(612) 681-4675 ii
ii
Please complete for. o single family dwellings
? townhomes and condos when permits are required for'each unit
./ft.Zl.N ' ~ r.•-y'~ ~c ?17h1W ~,/iX.~eI'I
rl
FIXTURES EACH NO. ~ TOTA6
Shower 3.00
Water Closet 3.00 x
Bath Tub 3.00 x 3~
Lavatory 3.00 x = ~i-
Kitchen Sink 3.00 x !f
Laundry Tray 3.00 x
Hot Tub/Spa 3.00
Water Heater 3. x = 'f
Floor Drain .00 x = i!
Gas Piping Outlet " minimum - 1 3.00 x
Rough Openings 1.50 x = l~
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 20.00
U.G. Spflnkler ' home under const. 3.00
Alterations ' to existing 20.00
Water Turn Around 20.00 ii
STATE SURCHARGE .50
ii
3d7AL
P'0 I~
SITE ADDRESS: 4215 Wex f o rd l+laY I
~
~OWNER NAME: Sons Constructi on
u
li
INSTALLER NAME: R r P1 timhi ng
STREET ADDRESS: 5910 Chester Ave il
ii
CITY: North£ield STATE: Mn ZIp: 55n057
il
PHONE ( 611 461-2096 ii
STGAAT
CITY USE ONLY L BL RECEIPT
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ~ all commercial/industrial buildings.
~ multi-family buildings when separate permits are ~4t required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
- PHONE
SIGNATURE:
APPLICANT CITY OF EAGAN
PERMIT ~~~~oy-
~ C1TY OF EAGAN i,/10jl
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 025816
(612) 681-4675 Date Issued: 0 6/ 15 / 9 5
SITE ADDRESS:
4215 WEXFORD WAY
LOT: 3 BLOCK: 1
WEXFORD
P.I.N.: 10-83850-030-01
DESCRIPTION:
Building Permit Type DECK
Building Work Type NEW
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: - Applicant - ST. l.IC. OWNER:
SONS CONSTRUCTION 14524721 0002608 SONS CONST
12092 SAFARI PASS 12092 SAFARI PASS
APPLE VALLEY MN 55124 APPLE VALLEY MN
(612) 452-4721 (612)452-4721
I hereby acknowledge that I have read this application and statU that the
L information is correct and agree to comply with all applicable ~itate of Mn. J
Statutes and City ofi Eagan Ordinances.
1 ~~(ftl ll ~ o i,fA I
APPLICANTfPERMITEE SIGNATURE I SIGIWURE-
INSPECTIUN KECUIlll
CITYOFEAGAN PERMITTYPE: auzLorNs
3830 Pilot Knob Road Permit Number: 025816
Eagan, Minnesota 55122-1897 Date Issued: 0 6/ 15 / 95
(612) 681-4675
SITEADDRESS: P•i•N.: 10 -e3 e50-e3 e-0 1 APPLICANT:
LOT: 3 BLOCK: 1
4215 WEXFORD WAY SONS CONSTRUCTION
WEXFORD (612) 452-4721
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION D. . DA
FOOTINGS FINAL
F I ~
~ ~
L
~ CITY OF EAGAN
3830 PILOT KNOB RD - 55122 j(~ O•~~
C1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New ConsWetion Reouirements RemodeVReoair Raouircmenta
? 3 registered site surveys ? 2 eopies of plan
? 2 copias at plena (InUutle beam d window sizea; pouretl fid. design; etc.) ? 2 ske surveye (exterior mddkions d dedcs)
? 1 energy calalations ? 1 enargy calwlations for heated aEd'Nons
? 3 coDies of hee piaaervation plan H lot platted after 7l7/93 '
required: _ Yes _ No
DATE: CONSTRUCTION COST: ~i
DESCRIPTION OF WORK: 14~ Y l~2 (
STREET ADDRESS:
LOT BLOCK SUBD./P.I.D.
I~
PROPER7Y Name: <'r4~M E Phone I
OWNER "s'
Street Address*
City: State: Zip: II
CONTRACYOR Company: Phone#I -7'51;Z -y7al
Street Address: /c;209j s/~'FdN~~ I~~S License #
City: State: I Zip.
ARCHITECT/ Company: Phone II
ENGINEER
Name: Registration
Street Address
P
City: State: 2ip:
Sewer S water licensed plumber: Penalry applies when leddress change and lot
change are requested once permit is issued. 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 SWWtes and City of Eagan Ordinances.
Signature of Applicant: ~
II
OFFICE USE ONLY n~ar pM[~DD
V
Certificates of Survey Received Yes No III•, ,
- - ry B
Tree Preservation Plan Received Yes No
I~
OFFICE USE ONLY ~ ' , , ~
d
,
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Muiti Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 = plex cB=15 Deck
WORK TYPE
zn~--31 New ? 33 Alterations ? 36 Move
a 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ~f3 f
Depth Footprint sq. ft. SAC Code ~
Census Bidg /
Census Unit o
APPROVALS
Planning Building Engineering Variance
u
Permit Fee Valuation: $ ~ Z 00 ~
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
2422 Enterprise Drive
* Mendota Heights. MN 55120
~ FSIOIOIL~l~Fi ~ A,,,,~„~ . Q,~ ~5 (8/2) 881-1914 FAX:681-9488
* eng near ng urm ^uwsas• wmsc~wc ~rmmccrs 625 Hlghway 10 N.E.
* * * Blaine, MN 554J4
(612) 783-1880 FAX:783-1983
Certificate of Survey for: SONS CONSTRUCTION
4215 WE%FOFtD WAY
I' 1 • 11
AO
. J
31.9 93Q3 ~
% y
EAGAN ENG MH. • ~
INE, ERTN DE PT-a o mH. O~
.
0~0 ~ " ~ Nt~ ~tr
2 50,~ ° ~ , s~~\ b
~s 3 ~
C.B.
C `0
90.5
3 Gy
01
Ala
/0 \ ~ 3~'S D9
2 fi 9I OP
Q. ~ 9249 . >ENCH
s
~
14.9 92929.8
9 N \23.71c D F \ 931.5 C.B.
925.1 js/o4eD 925.3 ~'l7ry TOP OF PIPE
(j 'Al LT,~(~. q4 1.7 oo / ~CK 4 ELEW929.6 5
7
933.1,~ 3i
. . ~j . >
. . _ % s_ q~f,lJ 28.9
- BENCH MARK ~ n7 ~
`~'..18 ~ TOP OF PIPE ~ a/ 929.3
~ . • c~,_,_ ` ELEV.=932.35
L /
PROPOSEO CRADES 410WN PER CRADINC PLrW BYt PIONEER
NOIE' CONTRACTpt MUST VERIFY ALL OIYENSION ANO ORIVEWAY OESICN. TIIS CEHTFlCATE DOES NOT PURPOftT TO SHOW EASENEN?5
NOTE: NO STEQFIC SOILS INVESTICATION HAS BEEN COMPLETEO ON 1HI5 oTHER 1HAN IHOSE SHONN ON iHE RECOftDEU PUT.
LOT BY THE SURVEYqt. THE SUIlA81LITY OF SOILS TO SUPPOR7 THE BEARINCS SHONN ARE ASSUMED
SPECIFIC MOUSE PROPOSEO IS NOT 7HE RESYONSIBNiY pf 7/1E yUpyfypR,
4 n
t.aafJ ~.~t ~ !
Wo
x o000o Denotes Ezisting Elevation PROPO D HO SE-FLFY~
( 00000 ) Denotes Proposed Elevation Lowest Floor Elevation:
~ qol 0 2007RESIDENTIAL BUILDING rmffArrucAaav
City Of Eagau /
3830 Pilot Knob Road, Eagan MN 55122 c jn.Q-U'v
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWcfion Reouirements RemodeVReoair Reouirements Offce Use Onlv
3 registe2d site surveys showing sq. fl of lot sq. ft. of house; and all roofed areas 2 copies of plan shovring foofings, beams, joisfs Cert of Survey Recd _ Y_ N
(20% maeimum lol coverage albwed) 1 set of Eneryy Calala6ons for heated addi6ons $oils RepoR _Y _ N
1 Soils Report if proposed building is to 6e placed on disNrhed soil 1 sile survey for additions & decks T2e Pres Plan Recd _ Y_ N_
2 wpies of plan showing beam & window sizes; poured found design, etc Addifion - indicafe if on-sde septk system Tree Pres Required _ Y_ N
lsefofEnergyCalculalions On-siteSepficSystem _ Y _N
3 copies of Tree P2servation Plan i( lot platled afier 7/1193
Rim Joat DehaH Options selection sheet (buildings wBh 3 or less uniLs)
Mmnegasco mechanical ventilation fortn
Plans are considered ublic information unless ou state the a trade secr t and the reason.
Date ~s l 67 ~ ) Construction Cost
Site Address UnitlS[e #
Description of Work e/4-)(f - 6 eC~
~
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( )
~
l~~r,~ ~slo~'1 x~eZ/~s 2 0
Contractor
Address~~y] City &Me.L t'0llC_° 1
State Zip S6 C Telephone #(~$r ) - 5 r2
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minneso[a Rules 7670 Cateaorv 1 _ Minnesota Rules 7672
Enefgy CodB Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet
(Jsubmissionrype) Submitted Submitted
. Energy Envelope Calwlations Submitted
In ihe last 12 monfhs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
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 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.
&1< y Ae 1dyl
Applicani's Printed Name Applican s Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
0 02 SF Dweliing ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
0 04 02-plex O 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvqes
? 31 New 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Altera6on ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt
D¢SCrIptlOfl: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ Sheetrock
_ Footings (deck) _ FinallC.O.
_ Footings (addi[ion) _ FinaVNo C.O. .
Foundation HVAC
Drain Tile O[her
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ S[ucco La[h _ Stone Lath _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----
~ For Ofiice Use I
~
City of Ea~an I Permitk ~
~
4b~ I
~
•~O
PertnitFee:
3830 Pilot Knob Raad ~ I
Eagan MN 55122 I Date Receivi~~ ~1-20QQ ~
Phone:(651)675-5675 ~ I
_ ~
Fax: (651) 675-5694 ~Stafl_
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: "1 n1 1-5 kA l vd V/OA
Tenant: Suite
RESIDENTlOWNER Name: Phone: lQc~I "1'V4 01014
Address ! City / Zip: ~Q /2 S 6-?J6W
CONTRACTOR Name: l ~ UNINuO f/-a License 0~01
Address: [Y~ ~ )(~U~Or~ ~~D l.>(A•
Ciry:Ta-ird" State: 'V I'V Zip: SE~35Q
Phone: ID I0- 9102 -qI0,':)- ContactPerson: 1Gsm
TYPE OF WORK ~ New _ Replacement Repair Rebuild Modity Space _ Work in R.O.W.
lmoyl
Descri tion of work: (
PERMIT TYPE RESIDENTIAL
Water Heater _ Water Softener
~ Lawn Irriga(io _ Add Plumbing Fixtures
~ RPZ / PVB) ~ Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) v
TOTAL FEES $ _3G. S
I hereby acknowledge that this infortnation is complete and accurate; Ihat the work will be in conformance with the ordinances and codes oi the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and vrork is ot to start without a permiC that ihe work will be in
accordance with the approved plan in the case oF work which requires a revlew and approval of s.
x JaJw. Lu,cu,. x
ApplicanYs Printed Name A cant's S gnature
FOR OFFICE USE Reviewed By: iDate:
Required Inspections: _Under Ground _Rough-In _Air Test _Gas Test _Fil al
3°
RESIDENT OWNER
Name: t V
I,v1 if Phone: l.Y51 "I"( "`1 810
Address City
Zip: Salo 0 C.C.S
CONTRACTOR
e a
Name: e License 01.01 IL/
PL Vet,
Address: OS S. SL ±Eri L
City: J ('S'cda.,1' State: Al 0 Zip: 5
Phone: 1 o 8/ I I Contact Person: c JtAs n
TYPE OF WORK
New Replacement Repair Modify Space W
Description of work: 1 U t 1'7?'S
�Rebuild
))06(A)Y1 ire). tom+" 1
PERMIT TYPE
RESIDENTIAL
Water Heater Water Softener
Fixtures
Lower Level)
Lawn Irrigatio Add Plumbing
RPZ PVB) Main
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water
Heater, Water
(includes $.50
Fixtures, Septic
(add $165.00
New ($10.00
Softener, or Water Heater and Softener
(includes $.50 State Surcharge)
(includes $.50 State Surcharge)
State Surcharge)
State Surcharge)
TOTAL FEES 3
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
State Surcharge)
System Abandonment, Water Turnaround*
if a 5/8" meter is required)
per as built) (includes County fee and $.50
appliances, ductwork, etc.) (includes $.50
burned out
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Name
gnature
Permit Sgg D
Permit Fee:
6
Date Receive 2 y,____2009
Staff:
1
J
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: Q1 Q x
d
Tenant: Suite
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 of 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 s.
x J I5A.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110211
Date Issued:04/29/2013
Permit Category:ePermit
Site Address: 4215 Wexford Way
Lot:003 Block: 001 Addition: Wexford
PID:10-83850-01-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Raymond E Deeb
4215 Wexford Way
Eagan MN 55122
Elite Home Services Of Minnesota
217 Old Hwy 8
St. Paul MN 55112
(651) 631-2000
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
I For Office Use I
Permit 33 5J City Of l Eap I Permit Fee: LO 15
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: ey_na Phone: (c2Sl ^ 9 LI
R ~~Ay3
esident/
Owner ~ Address /City /Zip: I2 ! S W e)CFOR.c)
Applicant is: Owner Contractor
Description of work:
Type of Work
Construction Cost: _ (S Multi-Family Building: (Yes / No
Company: CsN x'12 Co +y ►'R Ac'i1 w1 G Or- Contact: ~1~e v~ G rJ~ YC
Address: 2Z3 W6K 1=0R0 ~nl ~Ay City: Contractor
State: M-) Zip: 5TI Z"Z Phone:617-40-131*mail: ~-@WA q~er C-0#JTRAC'1 NG. caS
License tic (opt 0 Fr20 Lead Certificate rN
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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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 the 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.ong
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. r
x S`/I-r_ V 2. t-J L_ IN ~A Q tit w- x
Applicant's Printed Name Applicant's Sign re
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