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4222 Wexford WayCity 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: nom_ Permit Fee: Date Received: Staff: 2010 MECHANICAL PERMIT APPLICATION Date: a-d"t2 IC' Site Address: y� �? 2 W e 5- - D/ Tenant: Suite #: RESIDENT / OWNER Name: t -r #t. 7f c t-- Phone: 45/-(pf3'-/9 7.5' Address / City / Zip: 4/7.2 (42e rd L9.-7 eff. et --s---. f `Llni 2-0-1P Z CONTRACTOR Name: ,C,-JP.5 � /�� f A z G License* 0/6 3 y Address: 4 Z(7 iGVy /L/ -,City:el--zQ�-/-+P�- State: /14/t -f Zip: , .��0( Phone: "..0%. 7— v -,:- V3 a..5/ Contact: Ale; pe O✓OGe-2H Email: kL rown �/GS/iCs+g'ry. COQ TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: _fZi .T, -pz-t t e-- AV- C---- NOTE oof rtdtrnte rad grouno drrt coma the Mechanical � r111i ® y y rated mechanc it equipmentfsre€1uired t• - eener tib y 'r, Inspector, for info mon on ! screentng ( hods PERMIT TYPE RESIDENTIAL X" Fumace COMMERCIAL _ New Construction Interior Improvement 7C Air Conditioner Install Piping _ Processed Air Exchanger _ Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank ( Install / _ Remove) Other **When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $ ,J Si 0 t ? TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% _ $ Permit Fee - If the Permit Fee is less than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit _ $ TOTAL FEE 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.nopherstateonecall.orf 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 Ie: r/k-- K eP �ih-✓L Applicant's Printed Name x �t✓-�_ - Applicant's Signature INSPECTIUN REC4RD Control No. ClT1( OF EAGAN PERMIT TYPE: "UriDcwQ 3830 Pilot Knob Road Permit Number: #40p 11 . Eagan, Minnesvta 55123 Date lssued: 06/~'? 1%~' ! f (612) 681-4875 ' S1TE ADDRESS: La r, 3 sL a GKAPPLICANT: 42~2 wfxfo*o wAv aaHte mooTNins lMC ' . . we xrano (six) 48e-.66615 - ,,,,~~,•s~,) , . • ~ ".t-~•. PERMIT SU9TYPE: TYPE OF WORK: . ~ r Lf4E3 at' w ! ~fU~ IMkM FRAMIM~i , y ~ llKSliCAr YON f'IMAI '''`~~,+~V? ~ 111 r~~P L" IF I~. i REMA1tRSc P1tV S t M FOMTRACYOR -SfiAR Pl.sO l ~ . , 00 ~ v Gy Vs ~ ~ a ~ (V n tv N ~ ~ ~ - ~ ~ ~ ~ • ; ~ ~ ~ . INSPECTION REC4RD i CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: , III , I :IiA1 PERMIT SUBTYPE: TYPE OF WORK: ,I: l;i f 1 1,:1 INSPECTIOPJ • . i ; ~.i1 1 i'Al, IN ,!ii ~1,; 11 1,,~i11, Fi r ra t, 1 1;6 I I ra:tii --T. - 1:1 MAitKI A '.I PAkFk11 I'f itplf i 1i ll1i1i;.f I! !41l: i11J; I i"r5ftlNI, ip;; F:I 1 1 IIrI1.A1 i+li'.. I ~ L ~ Pertnit No. Pertnit Holder Date Telephone M ELECTRIC /ff 9g ~ P UMB~G ~ P4, Inspeetlon Dste Inip. Comtmnts FOOTINGS FOUND FRAMING ~lia ` ROOFIN(i ROUGH a~/w~ PLUMBINC 1~c/ PLBG AIR TEST ROU(3H HEATINa GAS SVC TEST INSUL ~d 0 ~ ~vJ GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PIBG FINAL HTG ORSAT TEST 8LDC3 FlNAL BSMT R.I. 65MT FINAL DECK FTG I DECK FlNAL I I I ~ ~ I OL 1 ~ Ttr#t#ira#e ,a# (Orrupanry Citp of Cagan lomuttrw n# %QWg iwprtim T7rls Cerd*ate LrsuMPws?rant b llie seqalmar[s ojSeclion 306 ojllee Unljaonn Buildf?i8 Codt at+i{/ying dw at IIu Ott of ixsaanc+t fhfs sductwe mas fn coWliance wirk the mrious ~ . °^dmnm of tiw ah' &-gubft buflft c»+rwruxton or usa For the{nlJowir4g: uncy.wmao. ~ ~ Fmok tim ~ 811 omp,,yTyp R3/M I t,ny ar,;a R I Typ cwm VN ~ ~ ow.er ot ww"nAgrE EROS. Add,s Q304 Yt~II14T F. AVB S- BLM'~ IN swj~q Ad&. 4Z2 wRKr-M r'ay 13,Rg. wmmrxm % ; Daw 09/04/42 PO3T IN A OONBPICUOUS PLACE f Address:4222 WEXEnRD WAY Lot 3 Blk y Sac/SubyEXFpgD These items were/wara not complete at the time of the fSnal inspection. pate: 9/9/92 Yes No Final grade (6" from siding) r'/ Permanent stapa - garage Ll Parmanent s[epa - main entry 4/1 Permanent dYiveway / Permanent gas Sod/seaded grass Trail/curb damaga Porch Basement finiah Deck Please verify vith the builder the removal of rooP tesC caps from tha plumhing system and the shut-off of vater supply to tha outaide lavn faucat bafore freeze potential axists. ~ U+aesww~ White - City copy Yellow - Resident copy Plnk - Contractor copy , 0-16 S 3 71 F , Reque Wle Rre o Roughln twn Reqmretl Inspection OIherThan Rougbin ~ (Vou mu 1 I inspector when reatly) ~ qeatly Now ~ Witl Nolily Inspector q ? Yes ? No ~ata Reatl I r~jicensed contractor ?owner hereby request inspection of above electrical work at: Jo0 Atltl ess (Slreeq Box or Route No ) Ciy Wr--xro,Po i.?.4 Y "~<f ,s ni Section No Township Name or Na Fange No. County Occupan (PRINT) PM1Ono No Pawer Suppber Aatlress Eleclncel ConVaclor (Cqmpeny Name) Conlraclols License N. „Wuaa,o ~~G~r,Pic Cc) C~oo 7Se? Mailing Atltlress COmracmr or Ownar Makinq Installation) /6,7 /~~s~.SC,tfqL.L iPc( SA3K6ii Mv Aulhonietl Sign ure (Canlrac1o00w r Making Inslallation) Phone Number MINNESOTA STATE BOARO OF ELECTqIC1TY THI$ INSPEGTION REOUEST WILL NOT Gtlggs-Mldway Bldg. - Hoom 5-128 BE ACCEPTEO BY THE $TATE 8OAR0 1821 Univareity Avo., SL Paul, MN 55100 UNLESS PFOPER WSPECTION FEE IS Phone(81Y)W2-0800 _ FNGOSFn REOUEST FOR ELECTRICAL INSPECTION Ea-00001-09 c `See uisiructwns lor cam0leting tM1is form on back ol yellow copy "X" Below Wo;k Cc+vered by This Request ev Add Rep. Type of Building Appliances Wired Equipment Wved Home Range Temporary Service Duplex Water Heater Electric Heatin Apt. Building Dryer Loatl Management Comm./Industrial Fumace Other (Speci ) Farm Air Contlihoner Other (specily) Conlmclor's (iemarks r Compute Inspection Fee Below: Fh # Other Fee # Service Entrance Sze Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ' 0 to 100 Amps Transformers. Above 200_Amps Above 100-Amps Signs lnspedor's Use Onty: ^ TOTAL ~ ~ Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDEREA-0 CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S. f I, Ihe Elecincal Inspector, hereby RO°9h-1O certify ihat the above inspection has F~~ai ' p ~ G_G been made. { OFFICE USE ONLV ~ This request vpd 18 monihs Imm INSPECTION RECORD I C°n 0699 CITYOFEAGAN PERMITTYPE: suiLoiNG 3830 Pilot Knob Road Permit Number: 000811 Eagan, M innesota 55123 Date issued: 0 6/ 2 4/ 9 2 (612) 681-4675 SITEADDRESS: Lor: s BLOCK: z APPLICANT: 4222 WEXFORD WAY DAHLE BROTHERS INC WEXFORD (612) 888-6866 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTIONTYPE . .A FOOTING FRAMING INSULATION FINAL FIREPIACE .,REPIARKS: PRV S& W CONTRACTOR - STAR PLBG F L PERMIT ` Con` o"o. 0699 ~ CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: euiLoins Eagan, Minnesota 55123 Permit Number: 000811 (612) 681-4675 Date Issued: 06 / 24 / 92 SITE ADDRESS: 4222 WEXFORD WAY LOT: 3 BLOCK: 2 WEXFORD DESCRIPTION: Building Permit Type SF DW6 Building,Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning R-1 Building Length , 68 Building Width ` 28 , Building stories ~ 2 , . - i. ~ • ' . , , -i,-. ii . - REMARKS: PRV S 6 W CONTRACTOR - STAR PLB6 FEE SUMMARY: VALUATION $156,000 Base Fee $835.50 MISCELLANEOUS $1.610.50 Plan Review $543.08 Total Fee $3,767.08 Surcharqe ;78.00 SAC $700.00 5AC % 100 SAC Units 1 Subtotal $2,156.58 CONTRACTOR: - Applicant - s7. I.ICOWNER: DAHIE BROTHERS INC 18886666 0001647 DAHLE BROS 9304 LYNDAIE AVE S 9304 LYNDALE AVE S BLOOMZNGTON MN 55420 BLOOMINGTON p9N 55420 (612) 888-6866 (612)888-6866 I hereby acknowledge that I have read this applicat3on and state,;that the info ation is correct and agree to comply with all applicable State of Mn. S atu s a of Eagan Ordinances. ~ I - APPLI A /PERMITEESIGNATURE ISSUEO'ATU IE~ BY. I . 7ERFIIT 'C- CITY OF EAGAN t ' 1992 BUILDING PERMIT APPLICATION ° 681-4675 r~~ g t Q RECO, SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of,ienergy calcs. COMMERCIAL 2 sets of architectural b structural plans, 1 set of 1 specifications, 1 copy of energy calcs. ' Penalty applies when typing of permit is requested,,but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date Jv?F Valuation of work Site Address: 11)a4lmd LlJaf STREET U . STE / Tenant Name: LOT ~ BLOCK ~ SUBD. (ti'eX4P.I.D. / I Descri tion of work: )F ~ s~ The applicant is: ? Owner ,0 Contractor ? Other (DeseNbe) Name _7)s Ii Rrd 5 Phone Sff ~~,Q"GG Property LAST FIRST ~ Owner Address STREET ' STE / City State Zip ~Company I) l3ru S Phone g?4~-6f(-L Contractor Address ~3o y .lvhJ4 License N ooa 641 Exp. 9 Y City ~~oum..,s joh State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip I Sewer & water licensed plumber -S%G,- 1)11-M~.'KV . Processing time for sewer & water permits is two days once area as been< proved. ,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: BUILDING PERMIT TYPE • ~ , ~ . ? 01 Foundation ? 05 Apt. Bldg O 09 Basement Finish O 13 Publ.'fc Fec. ' 0 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 14 Agricultura'. ? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 15 Miscellaneous ? 04 Multi-fam. T.H. ? 08 Deck ? 12 Comn./Ind. WORK TYPE [2 31 New . ? 34 Repair ? 37 Demolish ? 32 Addition ? 35 Tenant Finish ? 99 Undefined O 33 Alterations ? 36 Move • GENERAL INFORMATION Const. (Actual VN Basement sq. ft. MWCC System ~ (Allowable~ i V lst F1. sq. ft. City Water y_ UBC Occupancy 9-3 2nd F1. sq. ft. PRV Required ~ Zoning FSq. Ft. total Booster Pump f of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth 2c,33 On-site sewage SAC Code o/ APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS Q Site p Footing 0 Framing p Insulation ? Mallboard El Final ? Draintile p Fireplace Permit Fee ~Fv.a.c;m: s Surcharge ,r~, - 3s, - ~ : r Plan Review 0 License ~Z~~~ _ y3z MWCC SAC ; City SAC Z - 72- Water Conn. qfl Water Meter Acct. Deposit 162 S/M Permit S/M Surchar e •r" aysG ` Treatment P?. qnn, r,') '2 looi Road Unit r~~, ir,sk z• 23 Park Ded. ! k 53 = 3 y~ y3 Trails Ded. ~ Copies Other Total: g,7 4.r1 ~ SAC % vo . 20~1 7 ~ SAC Units ~ 1'0 k ~is , ' CERTIFICATE OF SURVEY . , .c~aa~r R ceut~irc. ~a~e. ~M~ , 6713 DUPONT AVENUE SOUTH ` - BLOOMINOTON, MINN. 65420 r ~ aee.zo8a LANOSURVEYORS Survey for: DAHLE BROS., INC. 'N\ \ ~ /o~o \ ~ ~ • V / 4v~\~9iR p• Oi t / h ^ o Aa' ~ V 0Y ~ Vr ~a 0 I~ ^0b 1 Ni ~ ~ y , ~ n o io ~ ~ y zo.33 ~ ~ 1 ? / ~ ~ (~v c~1-eN: i~3.0,l DESCRIPTION: FAGAN 'ENGINEERIIdG DEP1 lot 3, Block 2, WEXFORD " Proposed Grades: Z;.2~oMovo U u~vo~E r'D' Top of Blocks 9V,9~ Garage floor 9,395 Basement floor 93z~ NOTE: Circled elevations are proposed, others are existing. Arrows denote direction of drainage. We hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon and all visible encroachments, if.any, fr or on said land. Dated this 9th day of June ,1992 . - by inneso icense o.• 0 8 z~7-6,3 EXTERIOR ENVELOPE AVERAGE !'0" COMPUTA710N CN~!r Z: $ITE ADDRE55: 9 „rG~ CONTRACTOR: DATE: ZQ pHONE: DETERMINE VIORKING SOUARE FOOTAGE OF EACH: 1TOTAL EXPOSED VlALL AREA,,,.. sq ft ."I'.~.. 2. TOTAL ROOF/CEIU NG AREA,,.., If n~'7 sq ft x"U" ,ppb 3• TOTAL E%POSED IdALL ARE.4 CALCULATIONS: Total expased wail area above floor,,,,.,. dv 5q ft a) Total wall window area: _ qlazed...... .sq ft x~~U" IVL,!(O qlazed,,,. sq ft x "U" e b) Total door area sq ft x U ~ 21 ° 7.93 c) Total slldlnq qlass door area: ~L glazed...... sq ft x "U" r40_ ~ a ylazed...... sq ft x "U" . d) Total flreplace wal} area sq ft x"U" e) Total wall framinq area (Averaoe 10`')........... 212.50 sq ft x"u" d71 °=11'.~Z _r f) Total net wall area above floor (Insulated)....... t/ sq ft x"U" w ~j = .7 9 g) Total rim Joig[ area...... _ V9 sy ft x:'U" ; m Total foundation area (Exposed).......... sq ft h) Total foundatlon . wlndow area sq ft x"U" sAO_ = I~ 1) Total net foundation area above grade.......... (Z!24_ sq ft x"U" e7ro . 12,4(!/ TOTAL a) thru 9 If Item !+3 is the same as, or less than ftem pi, you have met the intent of 2 MCAR 1.16008 A and 0. Page 1 4. TorAL ExvoSED aooF/cEiLi?ir CALCUlATI0H5i Total exposed roof/celllnq area........ sq ft J) Total skyllaht area........ sq ft x"U" ~ k) Total roof/cellfnq framing area (Averave 1n9,),,,,.. 110,70 sq ft x"U" OZ-7 . I) Total net Insulated ~~p ' roof/cel l fnq area....... lOlt•t],30 sq f[ x"U" QZZ .-5-v 4• T07AL j) thru 1) G~,7U If to[al of 94 Is the same as, or less than N2, you have met the intent of 2 MC?.It 1.16008 A and 0. AL7ERNATE BUILDIMG ENVELOPE DESIGrI To utllize the total envelope system method, the values establlshed by the sum of items 93 and #4 shall not be greater than the sum of items NI and e2. 1, + 2. 3• + a. ~~7J ~ 3U~ f C E A T i F! L P. T~ 0 N I hereby certify [hat I have calculated the "U" factors and "R" values hereln and that the Aufldtnn here descrih d eets or exceeds [he"State of Mtnnesota EnerCy Lonservation Act. n ,rl ..(-L`"-~.I Iqnature 3\ AQ(.-vl-~ Print name ' . cU > - ~~r f ~q2 (Oa[e) P3v 2 1112" sidelite Z x 6.67 sq ft = 13,34 14" sidelite x 7.78 sq ft = 24" x 24" Octagon x 4.00 sq ft = 24" x 36" Elongated Octagon _ x 6.00 sq ft = TOTAL DOORS 2-6 x 6-8 Steel Door x 16.67 sq ft = t 2-8 x 6-8 Steel Door x 17.78 sq ft ~ 3-0 x 6-8 Steel Door x 20.00 sq ft = ?1> 00 TOTAL PATIO DOORS 5-0 x 6-8 Sliding x 33.34 sq ft = 16-0 x 6-8 S.liding I_ x 40.00 sq ft = 8-0 x 6-8 Sliding x 53.34 sq ft = 9-0 x 6-8 Slidinq x 60.00 sq ft = 5-0 x 6-8 Atrium x 33.34 sq ft = 3-0 x 6-8 Atrium x 20.00 sq ft = 6-0 x 6-8 Atrium x 40.00 sg ft = 8-0 x 6-8 Atrium x 53.34 sq ft = TOTAL . . WINDOWS 1420 X 1.75 sq ft = 1426 x 2.33 sq ft = 1432 X 2.92 sq ft = 1438 x 3.50 sq ft = 1444 x 4.08 sg ft = 1450 x 4.67 sq ft = 1456 x 5.25 sq ft = 1462 x 5.83 sq ft = 1468 x 6.47 sq ft = 1474 x 7.00 sq ft = 2020 x 2.50 sq ft = 2026 x 3.33 sq ft = 2032 x 4.17 sq ft = 1I2038 x 5.00 sq ft = 00~ 2044 x 5.83 sq ft = 2050 x 6.67 sq ft = 2056 x 7.50 sq ft = 0112062 4 X 8.33 sq ft = ~3 ~2 2068 x 9.17 sq ft = 2074 x 10.00 sq ft = 2420 x 3.00 sq ft = 2426 x,4.00 sq ft = ' 2432 x 5.00 sq ft = 2438 x 6.00 Sq ft = ~.Oa 2444 x 7.00 sq ft = U/12450 ~ x 8.00 sq ft = 32.~r7 112456 Z x 9.00 sq ft = J~1,00 bw " 2462 ~o x 10.00 sq ft 2468 x 11.00 sq ft = 2474 x 12.00 sq ft = 2620 x 3.25 sq ft = 2626 x 4.33 sq ft = 2632 x 5.42 sq ft = 2638 x 6.5,0 sq ft = 2644 X 7.58 Sq ft = 2650 x 8.67 sq ft = 2656 x 9.75 sq ft = 2662 x 10.83 sq ft = 2668 x 11.92 sq ft = 2674 x 13.00 sq ft = 3232 x 6.67 sq ft = 3238 x 8.00 sq ft = 3244 x 8.75 sq ft = PERMIT Ck-6i 2H ~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 026900 (612) 681-4675 Date Issued: 12 / 2 2/ 9 5 SITE ADDRESS: 4222 WEXFORD WAY LOT: 3 BLOCK: 2 WEXFORD P.I.N.: 10-83850-030-02 DESCRIPTION: Building Permit Type BASEMENT FINISH Building Work Type ALTERATION Census Code 0434 ALT. RESIDENTIAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAI WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - OPATZ LARRY 4222 WEXFORD WAY EAGRN MN 55122 (612)683-1978 I hereby acknowledge that I have read this application and state Ghat the infiormation is correct and agree to comply with all applicable Sta,te ofi Mn. Statutes and City of Eagan Ordinances. L ~ ~D.~ T11.,~- APPLICAIVT/PERMITEE SIGN U R E ISSUED B SIG TU E-4 ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 6 9 0 0 Eagan, Minnesota 55122-1897 Date Issued: 12 / 2 2/ 9 5 (612) 681-4675 SITEADDRESS: P• I• N. : 1e-8385e-e30-e2 APPLICANT: LOT: 3 BLOCK: 2 4222 WEXFORD WAY OPATZ LARRY WEXFORD (612) 683-1978 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISN ALTERATION INSPECTION D. . . FRAMIN6 INSULATION ROUGH IN PLBG FINAL REMARKS: A SEPARATE PERMIT ZS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK F- I' ~ L j(0 CITY OF EAGAN ~q ~ fl qj)0 3 830 PILOT KNOB RD - 55122 '''G 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construetion Reauiromenis AemodeVReoair Reauirementa II ? 3 regiateied site surveys ? 2 mpias of plan II ? 2 coDies of plana (Indude beam 8 window eaes; poured fid. desipn; etc.) ? 2 eite surveys (exterior adtlitions 8 decks) li ? 1 eneryy calalations ? 1 ernrgy plalations tar heated additions ? 3 copies M Vee preservetion plan if bt Dlatted after 7/7193 II required: _ Yes No ' ~ • I~ DATE: /9' qS CONSTRUCTION COST: /0, DD~ u DESCRIPTION OF WORK: STREETADDRESS: Z6-Xii),~ 1.r/4 7 V LOT BLOCK ~ SUBD./P.I.D. PROPERTY Name: C) Pl1'TZ Phone OWNER u°* M^ Street Address~~2al (A)1--XFVvL4 (a/A 7 II City: EA-01AV State: AIV Zip: CoNTRACTOR Company: Phone I~ Street Address: License ~Ciry: State: Zip- I ARCHITECT/ Company: Phone ENGINEER . Name: Registration i~ Street Address, City: State: Zip. II q Sewer & water licensed plumber: Penaity applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state Mat the ' 'o 's-ae and agree to i',compiy with atl applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: II OFFICE USE ONLY II Certifiptes of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No - - II OFFICE USE ONLY ~ - ~ BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex a 11 Apt./Lodging 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility o 04 SF Porch o 09 12-plex a 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 = plex ? 15 Deck WORK TYPE 0 31 New 33 Akerations ? 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code ~L Census Bldg i Census Unit ~ APPROVALS Planning Building Engineering Variance ~ Permit Fee Valuation: $ Surcharge Plan Review License ' MCNVS SAC City SAC Water Conn. Water Meter Acct. DeposR S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °,6 SAC SAC Units CITY USE ONLY L ~ BL ~ RECEIPT .5~299r~ SUBD. C~ DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH M.4. 7S?TAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 _ Hot Tub/Spa 3.00 ;c = Water Heater 3.00 _ Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 :c = Rough Openings 1.50 _ Water Softener 5.00 x = Private Disposai ` Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 = Alterations ' to existing 20.00 = ao 00 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL v?D `SUi7 SITE ADDRESS: aa OWNER NAME INSTALLER NAME: STREET ADDRESS: °20D'V~5 ~~AQ CI1Y: STATE:I~I~!'/ • ZIP: PHONE (C//c~-) ~1J- :Zr 73 OFFtCE USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ~ all commercial/industrial buildings. ~ multi-famiiy buitdings when separate permits are = required for each dwelling unit. DATE: 44ll'l,,6 CONTRACT PRICE: ~ TT WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REDUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. VNIL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINI:LER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per • E1,000 of Rgn]]l 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 OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: ~ RESIDENTIAL BUILDING PERMIT APPLICATION 3830 PILOT KNOB 1-6 14675 N MN 55'122 5 ~ New Construction ReouiremeMS RemodellReoair Renuiremenp II . 3 registered site surveys showing sq. fl. ol lol, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lol coverage allowed) • 1 set of Eneyy Calculations for heated additions q • 2 copies of plan showing beam d window sizes; poured found design, elcJ • 1 sde survey for extenor additions & decks • 1 set of Energy Calculations • Indicate if home served by septic syslem for add'Aions • 3 copies ol Tree Preservation Plan'rf lot platted after 711193 . Rim Joisl Defail Options selection sheet (bldgs wflh 3 or less units) ' DATE ~ I I- VALUATION -:749 Oc a~~11 SITE ADDRESS MULTI-FAMILY BLDG _Y _ N TYPE OF WOR FIREPLACE(S) _ I 1_ 2 Geder Valley Exteriors, inc. ~ APPLICANT 9920 ZIII9 3he61 Coon Repids, MN 55493 STREETADDRESS CITY STATE_ZIP Idi%kLL PHONE # FAX #-IIn3 ~SS~ ~~'Z U TELEPHONE #-I UI--I 5T0 PROPERTY OWNER TELEPHONE #(,aSI- LQJ- I"[ -7 0 ~ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY ? Energy Code Category _ MINNLSOTA RULES 7670 CA"fLGORY l _ MINNL:SO'1'A RUI1?S 7(i72 (dsubmission type) • Residential Ventilation Category l Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: Plionc # Plumbing systcm includcs: _ Watcr Soltencr I.uwi Sprinklcr rcc $;90.00 Watcr Hcatcr No. of R.I. 13aths i _ N0. OI BAlIlS „ Mechanical Contractor: Phone # Mcchauical systcm includcs: _ Air Condilioning P'cc: $70.00 Hcat Rccovery Systcm b Sewer/Water Contractor: Phone # CB3 - I hereby acknowledge that I have read this application, state ihat t e nformatio is ly with all applicable State of Minnesota Statutes and City of Eagan r n sSlgnature of Applicant orricL usL oNi.Y Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ I 11 Updated 4/02 11 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 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 Demoiish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning 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) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbuig Founda[ion HVAC 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) _ Insula[ion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Water Supply 8 Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total a~a8/ q0,60 j Pertnit ~ I ~ ~ j I pertnit Fee: 3830 Pilot Knob Road i i Ea an MN 55122 ~ Date Reeeived: Phone: (651) 675•5675 j Staff: j Fax:(651)675-5694 I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: *2[d-Site Address: - l ~ Tenant: Suite RESIDENT / OWNER Name: iLarrU ~ j:z-_ Phone: JUL- IQ&,3- lg Address / Ciry Zip: Applicant is: _ OYmer ~ Contractor TYPFyUF WORK Description of work: ~ Conshuction Cost: Multi-Family Building: (Yes _ I No v • R` -GQN7FiACTOR Name: d License#: • Address: ;CV Ciry: ~ ~ IU.~X)(~'Pr State: MN zp: S cJ~~~ Phone:~Sl"I~t 1•"t~~O ContadPerson: 1~LICNen COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventliation Category t Worksheet • New Energy Code WoMsheet Category sudnmea sutmined (J submisslon type) • Energy Enveiope Calculations Submitted In the last 12 months, hes the Ciy of Eegan IssueA a permil tor a Slmller plan besed on a maater pien? _Yes _No If yes, date and address aT master plan: Licensetl Plumber: Phorre: Mechanical ContreMOr: Phone: Sewer 3 Water CoMreMOr: Phone: _JfKJTE:~g~ ~'~7tt}.. . . . _ _ - pm~~~~~:'. ;,~~'r. i hereby acknowledga that ltds inlormatlon Is camplete antl aocuraze; that Me work w1A be in eoMOrtnance wNh the ordinancas and codes of the City ot Eagan; that I understand this is not a pertnit, but onty an application for a permlt, and work is not to starl without a pertnit; thal the work will be in accordance wi[h the approved plan in Me case of work which requires a review and approval of plans. x ~G xc ApplicanYs Pri te N e Applicant s Sigr~M1 re Page 1 of 3 ~-Fo-r --Office--Use ~ I 411~ Clty Of ~apIl I Permit# ~ PermitFee: %U ` v 6 ~ 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: '17-Zy /)Ix F~rz D WA y Tenant: {rY~~~Q Suite#: RESIDENTlOWNER Name: V! .¢Larrt/ d)2G'fZ Phone:4~f Address / City / Zip: 'YZZZ. ((k`DRrl `Z)_~rL/ Applicant is: _ Owner X Contractor TYPE OF WORK Description of work: aD/,1~ ed Conslruction Cost: Multi-Family Building: (Yes No ~ CONTRACTOR Name: et~fl1~/S,M/"i1/ ,/~fJ/r/C ~OOS License#: Address: /7ZdZ;6,-2~zS AlDD 4a4~e_ City: ~CCGY2vt State: fYI/7 Zip: Phone:- 6Qa(2 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Venblation Category 7 Worksheet • New Energy Code Worksheet Category Submitted Submitled (4 submisslon type) • Energy Envelope Calculations Submitted In the last 72 months, has the City o1 Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Piumber: Phone: Mechanical ContraMOr: Phone: Sewer & Water Contractor: Phone: NOTE: P/ans and supporling documents that you su6mit 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 conc/ude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that ihe work will he in confortnance with the ordinances and codes of the City oi Eagan; that I understand ihis is not a permit, but only an application tor a permit, and work is not to start without a permit; that the work will be in accordance with ihe approved plan in ihe case of work which requires a review and approval of plans. x ~TEG6/~N/~HT x / . ApplicanYs Printed Nama "nYs ignal re ell Page 1 ot 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? OSplex ? 16-plex ? Accessory Building ? Pool ? Single Pamily ? 06plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 01 _ Plex ? 07-plex ? Garage ? Porch (4season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screeNgazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? LowerLevel ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding O Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation O Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%100%~ Zoning CityWater Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tlle Other: Roof: _Ice & Water _Final Pool: _FOOtings _Air/Gas Tests _Final Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _Air Test _Final Windows Insulation Retaining Wall Reviewed By: . Building Inspector ° - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ° - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ° - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4222 Wexford Way Lot: 3 Block: 2 Addition: Wexford PID:10- 83850- 030 -02 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Pella Windows & Doors Turnkey Sales 15300 25th Ave N #100 Plymouth MN 55447 (763) 745 -1400 PERMIT City of Eaan Construction Type: Occupancy: 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. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - $88.50 $1.50 Owner: Larry J Opatz 4222 Wexford Way Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA088211 02/17/2009 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4222 Wexford Way Lot: 003 Block: 002 Addition: Wexford PID:10- 83850- 030 -02 Use: Description: Sub Type: Work Type: Description: e - Water Heater New Water Heater Meter Size Meter Type Comments: Fee Summary: Contractor: Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365 -1340 Kris Oien 3670 Dodd Rd Eagan, mn 55123 Manufacturer PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Larry J Opatz 4222 Wexford Way Eagan MN 55122 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Plumbing EA091976 11/10/2009 ePermit Line Size City of Eap Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Date: 6) 1' -1 7 0\ Applicant's Printed Name Site Address: Permit Permit Fee: 7 /v Date Received: !p A A 7Q09_ Sta 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Suite RESIDENT OWNER TYPE OF WORK CONTRACTOR Name: 4,k Phone: Address City Zip: Applicant is: Owner K Contractor Description of work: Construction Cost: re, \C c9D Multi- Family Building: (Yes No Name: ik-C Address: TO 4 t City: License VA State: Zip: S t Z`' f Phone: (Ok Z 6 `t a6g ontact Person: Ar7 Energy Code Category (J submission type) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted Minnesota Rules 7672 New Energy Code Worksheet Submitted 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: NOT Flans and supporting documents that you submit are considered to be public information i ortions o the information; classified as non publicf you provide specific reasons that would permit tli City t o onclude that they are trade secrets. 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 w• i not to start witho •ermit; that the work will be in accordance with the approved plan in the case of work which requires a review and appr SUB TYPES Foundation Single Family Multi 01, of Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25 100%4) Census Code #of Units of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice Water _Final Framing Fireplace: Rough In _Air Test _Final X Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit Surcharge Treatment Plant Copies Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair V TOTAL DO NOT WRITE BELOW THIS LINE Porch (3- Season) Porch (4- Season) Porch (Screen /Gazebo /Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building give PCA handout to applicant 1 5 (MoN POA MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final C.O. Required Final No C.O. Required HVAC Other: Pool: Footings _Air /Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Radon Control Erosion Control Building Inspector )TV /q Page 2 of 3 2'7 -63 DESCRIPTION: Lot 3, Block 2, WEXFORD Proposed Grades: Top of Blocks 94 Garage floor 939s Basement floor 9,327: 1 inneso NOTE: Circled elevations are proposed, others are existing. Arrows denote direction of drainage. 8713 DUPONT AVENUE SOUTH BLOOMINGTON. MINN. 55420 888.2084 Scale: 1 =3O' We hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon and all visible encroachments, if,any, fr. q or on said land. -Dated this 9th day of dune ,192. Energy Code: Location: Construction Type: Glazing Area Percentage: Climate Zone: Construction Site: 4222 Wexford way Eagan, MN 55122 Compliance: 17.9% Better Than Code Project Title: Larry and Karen Opatz REScheck Software Version 4.2.0 Compliance Certificate 2000 Minnesota Energy Code Dakota County, Minnesota Single Family 15% 2 Owner /Agent: Compliance. Passes Maximum UA: 418 Assembly Gross Area or Perimeter Cavity Cont. Glazing UA R -Value R -Value or Door U- Factor Ceiling 1: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" o.c. Window 1: Above Grade:Wood Frame:Double Pane with Low -E Window 2: Above Grade:Wood Frame:Double Pane with Low -E Door 1: Glass Door 2: Solid Wall 2: Wood Frame, 16" o.c. (Z, Floor 1: All -Wood Joist/Truss:Over Outside Air Fumace 1: Forced Hot Air 82 AFUE Air Conditioner 1: Electric Central Air 13 SEER Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building ha requirements in REScheck Version 4.2.0 and to comply with the mandatory r Name Title Werd Your UA: 343 Designer /Contractor: Bob Kissel) Dahle Bros Inc PO Box 241221 Apple Valley, MN 55124 952 -435 -1900 dahlebros@a comcast.net 1480 38.0 2902 21.0 192 178 96 38 269 21.0 0.0 224 38.0 0.0 0.0 0.0 n designed to meet the 2000 Minnesota Energy Code ents list i e REScheck Inspection Checklist. ig a ture Date 0.290 0.260 0.280 0.390 44 134 56 46 27 15 15 6 Project Title: Larry and Karen Opatz Report date: 09/02/09 Data filename: C: \Program Files \Check \RESoheck \opatz.rck Page 1 of 1 CllyofEa�all nE0-1]WiE 3830 Pilot Knob Road OCT 3 0 2009 Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: 130.ob Date Received: Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION L€( ? / E ` ) ®(�"` . (a._. �f ( j -.. o (1 Date: Site Address: Z-�--Z- �* "" ` Tenant: Suite #: RESIDENT / OWNER Name: +r'y b 'L Address / City / Zip: Applicant is: Owner --Contractor Phone: TYPE OF WORK CONTRACTOR Description of work: 1Lk)ttu4 Construction Cost: c Multi -Family Building: (Yes / No _ ) r."+ c. t' "` °-ticense #: Address: --1.:' (.N S : City: 4�-- �l ...� to zip:v Phone: (OVa- -z>6.7) _ ‘ice).4) contact Person: 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: Phone: Sewer & Water Contractor: Phone: Mechanical Contractor: MOTE: Plans and supporting documents. that you submit are considered to be public informationPortion ' ... the information may .". as non-public'' if you provide specific reasons that would permit the Cites 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.00pherstateonecail.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 ; . not to sta;;• Jt a ;ermit; that the work will be in accordance with the approved plan in the case of work which requires a review and appr. 'al of .Ian Applicant's Printed Name //ate a (,)�,��f 04-1 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building Fireplace rage Deck Lower Level WORK TYPES _ New _ Interior Improvement /Addition_ Move Building _ Alteration _ Fire Repair Replace_ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ) Census Code #of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width / V Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In _Air Test _Final Insulation Meter Size: Reviewed By: !ice Siding Reroof Windows _ Egress Window q1/) Storm Damage _ Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required �inal / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests Siding: _Stucco Lath _Stone Lath Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control , Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 CERTIFICATE 4F SURVE`, (#: LAND SURVEYORS 4azeio n C wine. Areca. 8713 DUPONT. AVENUE SOUTH BLOOMINGTON. MINN. 55420 888-2084 . uri// ✓ice/ii/ /m?" °" 4;1' Survey for: �.� DAME BROS., INC. Scale: 1"=30' DESCRIPTION: Lot 3, Biock 2, WEXFORD NOTE: Circled elevations are proposed, others are existing. Arrows denote direction of drainage. We hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon and all visible encroachments, if,any, fro or on said land. Dated this 9th day of June ,1992. inneso 27763 cense 'o.• •0 Use BLUE or BLACK Ink 1 For Office Use I I I City Permit 1 of Eatan 1 Permit Fee 105 3830 Pilot Knob Road Eagan MN 66122 i Date Recelved: Phone: (651)676-6676 Fax: (651) 6765694 Staff: J 2013 RESIDENTIAL, BUILDING PERMIT APPLICATION Date: Site Addrss: ZZ~ Gck os (,f}~ Unit: Name: G-arn1 0'oa-±Z Phone: ~S6®- i:; a u i ~ZZ trln i Z i=- ,J, ja t! r Address) City /Zip: Applicant is: Owner Contractor a . r nr! I Lat/~r~e-F .Qx~' S ~ rk: K• R O 4al9Zll if Description ofwo I° ';1y, ~'II: •!rJ Construction Cost: / Z Multi-Family Building: (Yes / No 5I Company: C /.3 C V4$1W X~Ieri6' s Contact: lV~ ! Its ;~~"1i'J~ AL. Addre ss: Jl ZS ~i . r~f9 C1~lJ4./ ,L City: I. r i;;~:;•';;,,,:;'p;-~i;i;,gpr?;"til~il,~~l~r(~i state: zip; phone: I~ Jlt3°•C7- 7 7 s ('+ili-i i>. ~r.._II'•:.liljjtlJggr ij License Q( SQ~r'riYo Lead Certificate 't!/~Xy !fT/'-Z If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) _ ~CS 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: .,.~;;;,,,;,,,,,,,;,,~,~.i:n,,,:,,~:. ,„tl r . rt..: t :.;u.. a:,a,'' , t,•1i.:~.~;;~ , i„ h•,,,1,:~~.. e,' i ~.,ri+(• ,r~ ::,::.."''f...,l .9S r , P ~ 1 r, . r'.,„ . ; : •v,b.:: Ci a , y t3; r1" ,~;:r'~: b:•.in,~,i;: .t ~ r; I ;1: rr I ~,,•rrl?::', i6:.,1 :.,.fir , ~11 b. L, :{,~•1~;!I~~;'~`r:~' J ' W CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 45x-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oooherstateon~,'gAI oro I hereby acknowledge that this Information is complete and accurate; that the wont 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 ~%Akc r- 1 Y~\ x Applicant's .Printed Name Applicant's Signature Page 1 of 3 b0/Z0 39vd 31X3 WO1Sf10 S1-13NNOD T06Z86PT59 6T:5T 6TOZ/bZ/60 PERMIT City of Eagan Permit Type:Building Permit Number:EA121055 Date Issued:03/11/2014 Permit Category:ePermit Site Address: 4222 Wexford Way Lot:003 Block: 002 Addition: Wexford PID:10-83850-02-030 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 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 - Larry Tste J Opatz 4222 Wexford Way Eagan MN 55122 (651) 249-9560 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:Building Permit Number:EA167405 Date Issued:03/12/2021 Permit Category:ePermit Site Address: 4222 Wexford Way Lot:003 Block: 002 Addition: Wexford PID:10-83850-02-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Larry J Tste Opatz 4222 Wexford Way Eagan MN 55122 (651) 249-9560 Weatherguard Construction Co. Inc. 10860 60th St N Stillwater MN 55082 (651) 439-4320 Applicant/Permitee: Signature Issued By: Signature