4227 Wexford Way
~ . .
INSPECTIUN RECORD ~ COntrolNo.
.
~ CITY OF EAGAN PERMtT TYPE: Put~~100"
3830 Pilot Knob Road Permit Number. 14 4')
Eagan, Minnesota 55123 Date Issued: 09/15192
(612) 881-4675
i SITE ADDRESS: r~ r n~~~i APPLICANT:
~ 4.721 urxtiopn aAr NetiCr;AnAo caNSr cO tJrC
wr xt inpil l6l:) 1h7--:qIti -
f PER4~Ti1a.~ T TYPE: TYPE aF WaRK:
I ftt11
I
F t101 1014 A41I MH
- ~ ;
+r:
Ii1Sut A1'lilM FINAt.
~ ?tA~PIACE
f
~
~ Rl~M~IRK!ic REC'f IN7 # S14H P!nR - il.'RRY'$i PL1lA. Pmp _
x
~
LL
r- : . .
f~ .
f~
~
110
0
~
r., .
;
~ _ • s ~ - ' , y~ ~ +~t ~ ~t,
. , . , . . . , . . - ~ 1. ,_':l r • ~sF , j~ ° . . . .
..._-~~.~_-.i-~ ~s.~..i,~i.t•._
' . . . . .r..i ' . . Aell ~
')HOUSE HEATING TEST RECORD
AaoRESS ~ -
, ~rT. fLoOR cJTr wwas
OCCUPANT 011!!ER 2~'t'•~~P f~,.
HEATLOiS..~._-.DATE#ITG INST.
SOL D aY
INSTALLEO OY
E!•axis.l w..k 6y Grs Lin. bq
TYPE Of NEAT G/1 FA Hw iTEAAI SPACE kTR. UNIT NTR. OTNER
.GAS 0 SIGH CONVERSIOM
MAKE MAKE Of dURNER
M". l ' _
~ . l L1oM1 f,
S«t•I ~;`l=? ( M.a. BTU Ronng ;INPUT r~}Z MAKE OF FURNACL'.
Wdol
CONTROLS
TMERMOSTAT M«t PI„o v.wt s;s.
VoI.• KIND OF LINER ,q SIZE ~ NONE
Liimt ? 5~ Oreh Moel ~'-•~st~'~ RNulstor
Limit SeMing fihe?• Sise Zc:+x _ti wuiwbr iFon stt;ng airwner L.e.ti.w (n.iM at.id. I
Pilet Trpe Chimner Censtrvetion L
Pii.r m.k. Spillaqe
Pilat AAode1 r4 V^
Swoke 9em?
PUot Timing Qeh Tesr To#
L.W. Cuf Oif Dor Pressow• Li*I+/fnt Inst.
Preuwe - - Pereent C0~ Dot~ Tesad ~ 2"
iMvt CfM -P~reent OZ Gw"ny Testino
Sftek T.nne: pwaent CO N.me •1 T..~« :
Certificate af Compentency_ #
h
.
%ertificate of Cccupancv
CM4 of Cfagan
' This Cenifrcate issued pursuant to the requirements of the Uniform Building Code
certifying that at !he time of issuance this structure was in compliance with the variaa
r orWnances of the City r+egulating building construction or use. For the foUowing:
SF I7WG 1449
uae classiecation: aldg. r«ma Na _
p-upa-y Type I~/MI Zoning Disuict Ri Type cam VN
NEDO('1M OON.ST OD ' 1814 NURMAtE ffi.VD,Zl70CN RAFTD6
Owner of Building Addresa _
Bu;~g naercss 4227 i$I WAY 1-4caliry Ib, B1, WWW _
.
nsu: 12/17/q2
Bui{dieg Official
POST IN A CONSPICUOUS PLACE
45058
ZI~ A9l
ReQuest Dat Fne No. qoughre-inE9Inspedan
? Raetly Now ill No4N Inspeclor
. i Yes C No When Peaay'
10 licensed contractorao6wner hereby request mspection of above electrical work aC '
Jp0 rlWres5lSlreat Box or Fout¢ No I Gty 4~17 1~4)ex,4rd tA-vu
Section No Township Name or No Range No Counry
OccupantlPRINTI Phone No.
W4
aowa, s.ocl,a, naa,au
Electncal Convacmr ICompany Namel ConVactor5 L¢anse No
orn owhe4~
MaiLnq NtlOress IConVactor or pwner Makmg Ins[allatron)
0 V e-
autnanzea S.gnaiure ICOnvactonOwner Maiing Installaeon, Phone Number
G
MINNESO A STRTE D OF EL ICITY TMIS INSPECTION REOUEST WILL NOT
GnBBa-Mldwey BIEg - Noam 5113 BE ACGEPTEO BY TME STATE BOAFO
1821 Univeraly Ave.. 51. Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Ppone (812) 644-0600 ENCLOSED
,5111 ~,//C~ - RE~UEST FOR ELECTRICAL INSPECTION
( ?$ee instruchons lor compleung iris farm an pack oi yellow wpy.
r,~
5 O5Q " -'7C" Be;ow Work Covered by This Request
e ACd Re0' TypeofBwlding ApplmncesWred EqwpmeNWireG
Home Range Temporary Service
Duplez Wa~er Heater Eleciric Heating
Apt. Building Dryer Other (Specity)
Comm.llndustrial Furnace
Farm Air Conditioner
Otner syaciryl Conhacmr's RemaBS 4 rn/~ / ~
Compute Inspection Fee Below: e cd. r L.
k plher Fee F ServiceEniranceSrze Fee # CircurtslFeetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps '
Transformer5 Above 200 _ Amps Above 100 _ Amps
Signs imspecmrs use only 70j~~
Irngahon Booms p~
Special Inspechon ~O •
Alarm/Communicahon THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in ~ oate,r~y i
ceru that the above ins ection has y~
N P Final ~ Dete
been made. p i
OfFICE USE ONLY
This reQUesl wid 18 month3lmm
K 626~6 1O&5;ai
ReOu si Oate " Fre N RougRin Inspeclion
RKui
ls ' = No ?ReatlY No~ilhen Notity
I~"S, iiansed contractor ? owner hereby request inspection ot above electrical work at:
bb AEOreu (SUaet BoK o, o ~ Qy9~
' 9 RouleN~ ~O r d Q~ r 4 cf ?
$ecliOn No TOwn5M1i0 NemB IX NO Rarge No. Counly
a kofq
ccupanilPRIN`T) / Phone No
'LGI Rar^G~ ~00.S~NV IrGVI
Power Suppher y/ 1 MErass
ct
ElecuKai ConVactor (COmpany Nra~me) ConUactor5 Ucense No
r _ c1,e_ d-f ~`-/U3`~' ~
Matling Atlaress iCOnVactoi or Owner Making ~n lanation,
n A1 /
~ (lt ~V
P~one Number
AWhon d ignal o ractonOwner ailauon)
? -.s0 d c~
MINNESOTA STATE BOAPU OF ELECTNICITY TMIS INSPECTION REQUEST WILL NOT
Grlggs-MlOway BIOg. - Room S173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. 51. Veul. MN 55104 I1NLE55 PFOPER INSPECTION FEE IS
Vpone1612~642-OB00 ENCLOSEO
REQUESTFOR ELECTRICAL INSPtclwrv f ~i/
•
62686 Sae inslrutlions for compleling t~is brm on Dack of yellow ropy
Below Work Cavered by This Request ~
AppliancesWued EqmpmenlWrted
e Atld Rep. TyOeofButldinq Temporary Service
Home Fange ~
Duplex Water Heater Electric Heating
ApL Bwlding Dryer Olher (Specify)
Comm.llndustrial Furnace
Farm Air Conditioner
Other (syemfy) convacm.s aemark s. O D
/
Eompute Inspection Fee Below: a, 3/- B d
p Qtper pee N Serwce Entrance Sae Fee A CircwtslFeetlers Fee
Swimming Pool 0 to 200 Amps ~ ,O 0 to 100 Amps
Trensformers Above 200 _ Amps A6ove 100 _ Amps
Si9nS Inspenor§ Use Onry: OTAL 3 O
Irrigation Booms ~ Special Inspection
AlarmlCommunicauon THIS INSTALLATION MA ORD lSCONNECTED IF NOT
Other Fee COMPLETED WITHIN NT q
Rou9h~in ~ e Da / J-
I, the Electrical Inspector, hereby ,
certify Ihat the above inspection has Final been made.
OFFICE USE ONIV
This repue5l vmd 18 months Imm
•Addrass: 4227 WpKEDrlp WAy Lot 6 Blk 1 Sec/Sub WEXFpgp
These items were/were not completa at the time of the final ins ection.
Date: 12 17 92 Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent stepa - main entry
Permanenc driveway
Permanent gas
Sod/seeded grass ~
Trail/curb damage ~
Porch ?
Basement finlah
Deck
Please verify vith the builder the removal of roof teat capa from the plumbing
system and the ahut-off of vater supply to the outside lavn faucet before
freeze potential exists. ~
rtmnww.
White - City copy Yellow - Resident copy Plnk - Contractor copy
INSPECTION RECORD I C°" 1060
CITYOFEAGAN PERMITTYPE: suiLozNc
3830 Pilot Knob Road Permit Number: 001449
Eagan, Minnesota 55123 Date Issued: 0 9/ 15 / 9 2
(612) 681-4675
SITEADDRESS: LoT: e BLOCK: 1 APPLICANT:
4227 WEXFORD WAY NEDEGAARD CONST CO INC
WEXFORD (612) 757-2926
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION . .
FOOTING FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: RECEIPT q S&W PLBR - JERRY'S PL66. PRV
F
i,
~ I -
v CIT PERMIT C°n` 1060
OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 001449
(612) 681-4675 Date Issued: 0 9/ 15 / 9 2
SITE ADDRESS:
4227 WEXFORD WAY
LOT: 6 BLOCK: 1
WEXFORD
DESCRIPTION:
Building Permit Type SF DWG
Building Work Type NEW
UBC Occupanby ,R-3 M-1
' Construction Type VN
Zoning R-1
Building Length 70
Building Width 42
,
r
~ i,_ i-„p •
REMARKS: •
RECEIPT
O~ 5&W PLBR - JERRY'S PLBG. PRV
FEE SUMMARY:
VALUATItlN $121,000
Base Fee $713.00 MISC FEES $1,610.50
Plan Review $463.45 Total Fee $3,547.45
Surcharge $60.50
SAC $700.00
SAC % 100
9AC Units 1
9ubtotal $1,936.95
CONTRACTOR: - Applicant - sT. LI OWNER:
NEDEGAARD CONST CO INC 17572926 00020613 NEDEGAARD CONST CO
1814 NORTHOALE BLVD 1814 NORTHDALE BLVD
COON RAPIDS MN 55448 COON RAPIDS MN 55448
(612) 757-2926 (612)757-2926
II hereby acknowledge that I have read this application and'state that the
information is correct and agree to comply with all applictible State of Mn.
Statutes and City of Eagan Ordinances. I
~A~ l,(< /V1C~t.,L51Zt,LY~~ f 1~OUII I1,D1~ ~ m.ll
APPLICANT/PERMITEIJ SIGNATURE I UED B' SI NATUR
PERMIT ~v CITY OF EAGAN
,&^kEAC?TlATE / ~ L/ 1992 BUILDING PERMIT APPLICATION
f ~ ..9 681-4675 ~
I ~L~t Q-~R
SEP i REGU
SINGLE 5 MULTI-FAMILV 2 sets of plans, 3 registered slte surveys, 1 copy of energy
calcs. p
COMMERCIAL 2 sets of architectural & structural plans, 1 selt of
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 ance ermit isl.issued.
Date 9_ / _141 / _ i99oZ Yaluation of work
Site Address: ~ac2'2 (.c,Ost°yCnr~ (d,~[i! I~
STREET SUITE X
Tenant Name: (commercial only)
IAT 1(L BIACK I SUBD.
Descri tion of work:
The appl icant i s: ~ Owner R Contractor ? Other (Describe)
Name Phone ~
Property LAs, F,aST ,
Owner Address
STREET STE R ~
City State Zip
l,
Company 624,4 ILLA Phone '7!'S 7~ a9 a(,
i 9
Contractor _
Address ~'U p ,~liJ~ License # Exp
.
1 II s~_
City (,C' il'0 ~ State ~i1~ Zip ~
1'
Architecti Company ~ = Phone 'J~0c 57!5~
Engtneer Name Ilt/ Registration N I,
Address I'
~
City State Zip
Sewer 8 water licensed plumber Procu
'essing time for
sewer & Mater permits is two day once ar a has been approve .
I hereby acknowledge that I have read this application and state that the in~fvrmation is
correct and agree to comply with all applicable State of Minnesota Statutes ~and City of
Eagan Ordinances.
5ignature of Applicant:
I~'~
OFFICE USE ONLY
BUILDING PERMIT TYPE -
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. D 17'Swim Pool
? 03 5F Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace 0 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
;d 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition 0 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) v-N Basement sq. ft. MWCC System 't5
(Allowable) v-N lst Fl. sq. ft. City Water ~
UBC Occupancy R-3 M_1 2nd F1. sq. ft. PRY Required ~
Zoning R-~ Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ~ On-site well Census Code oi
Depth y 2, On-site sewage SAC Code ~
APPROVALS
Planning Building Assessments,
Engineering Yariance
REQUIRED INSPECTIONS
? Site ? Footing O Framing ? Insulation
? Mallboard ? Final ? Draintile O Fireplace
Permit Fee g 12 pOv ~
Surcharge GA2AGE: ' Isr F~i.ooR;
Plan Review
License
Mwcc sac ~ r3 6Yv
City SAC Zy/'Z '~2`'J • 1X7= t
Mater Conn. 6 X ~ 2~ 72 ~
Water Meter 1 71
Acct. Deposit 688 X i6= 11008
S/M Permi t ~-,m r ~ .
S/W Surcharge 3~X 3~ ~ 36g I 2~ 1.,~
Treatment P1. i
Road Unit 12X 1 4=9~ ~
Park Ded. ~ x~J _
Trails Ded.
CoPies J8 ~r
Other
Total : ov X {5 : 2y, oo~ ~
SAC % (00
SAC Units ~
I
COh1M. NO.
R[SIDENTIAL AFCH:[TECTUF?AL hlARh;ETING
^<91i> REVEF:ECTfiCL.E
PLYMOUTH, MP! 55441
61 i-J44-J75b
Minnesota State Energ;: Code Calculations
Based en Chapter- `i af the Madel Fnergy Code
1933 Edition Adapted 1/1184
Owner: F'ECCCMM. Rl73:
Sit2 Addre_s: I..,OT Ip SLtx-k LJ8>CF02D
Contrarf.or: ~ PaFDEGAFIF,D F'hone:
bldg. Cla=_s: A1 A1 fcr ;ingle Family;'Duple:;
A2, re=_idential . _ stories
C•:er _ staries
Other •
6EP1EFtAL INFORMATION ,
PJate; The section designations ("5ection A", "Seciion E" etc.) are for
convenience in calculations only, and are not related from one set of
calculations below to the ne;;t.
1. Bidq. 4Ja11=_. Perimeter b1a11 heights, = Area
ground to eave
Section.A : 78 9 = 624
Section R: 196 q _ 1764
Secti on C: r._> p = C)
Section D : r, r) = r~
Grass I.tal1 Aree. _ «.ga
Puilding di.mensians rloor ar
Cei 1 inq
LEngth Width = Area
Section R : 24 75.91 = 1821.84
Sectior, B : r-) p = C)
Sect; or, C . p 0 = o
Section fl : p 0 =
Total fleor ar ceiling area = 1821.84
v. laim Jai=.t Pertimeter = 274
Flonr jai=_t 2 by (8", SO", 12 or 16")i: 10
F.im Joist AreFk _ ^29..__1_
11. Doors ~
Area: 4; T'hicf.nes=. (inche=): c,
Perimeter iFeet?: Ci "
Type of cons±ruction:
5. Tatal docr'= perimeter; C)
c. Windonis
Manufacturer: MAF.{.'IN U factar:
State approved:
Type Heiqht Length Num6er = Total
(inr_hes) (Inches) of glass SqFt
units
CSMT 24 60 S 60
CSMT 28 60 11 129.3'
C.S'MT 28 48 7 65.33
SL 12 72 ? 12
0 . r,_t r 1 0 tl
O ' t_! C) C1 r i
0 C) 0 Q ti
0 0 C> i) r)
0 n CI C) 0
0 0 p 0 i)
i> I) r; rl
0 rj i) Ct
l) 0 ! 1 0
7. 4Jindow glass area (SqFt) = 265.56
Type Height 1_ength Number = 1"otal
(feet) (feet) units SqFt
8. Patia Door: p q li ~i
9. Rtrium: 6.85 3 ? 143.85
10. Fireplace area
Width: C> Height: U
Total Sq Ft = U
il. E::Nosed Foundatinn
Height area P.; 0.08 F'erimeter area A: 196
Sq Ft area A= 15.68
E;:posed" Foundatian
HeiGht area R: ii Ferimeter area B: 0
Sq Ft area P= t.t
12. SqFt Li factcr U,; A
C,ross wall area 2338
mi nus
Windaw area 265.66 0.31 92.35
Pat.io.doar area 0 0.31 i)
Atrium area 143.85 0.31 44.59
F.im joist area 228.33333333 0.041 4.36
Door area 42 0.31 13.96
Fireplace area Ci i; p
E;po=ed Foi.cnd. 15.58 0.24 2.2
xFraming area 238.8 0.095 22.64
Equal s
Totals for net wall: 1453.6766667 0.043 62.51
Totals forgross wall area: 237.56
* Framing area is 10% of groes wall area
13. Lross vtall area factor belo4i = U:: A per code
Factor is .ii for A-1 single family duple::
.23 for A-2 and other residential.
.23 for ather buildings
.29 for nver 3 stories
Factor i=_: 0.11
PTUH = 262.68 MUST PE i OP. _ ~ 237.56
(calculated aho~~e)
14. Gro_s ceiling area = 1821.84
15. Ceilinq framing area (lu% of ceiling area) = 182.184
16. Joist Area (10% of ceiling area) = 182.134
17. Net ceiling area (6ro=_.s ceil. area -,loist area) = 1639.656
18. U ceiling: 0.021 Plet ceil. area =34.41277
14. U framing: 0.024 Joist area = 4.372416
20• Total af item 18 item 19 = 39.80519
21. Gross cei 1 i ng area f actor bel ow = U?: A per code
Factor is .026 for A-1 single family R< duple:; .
.03; for A-2 and nther residential
.CiS for other buildings
Factor is: 0,025
RTUH = 45.546 MUST PE ` OR = 8.80519
(calculated above)
a
U VALUE CALCOLATIONS
2 X 6 / BUILTRITE
R VALUE U VALUE
Inside ait film .68
VALL Interior vall .45 (Wall) U= 1=
SFX.TION Insulation 19.00 R
Sheathing 2.06 .043
Siding .67
Outside air film _17
~ R TOTAL 23.03
Inside air film .68 •
SiSID
Interioc wall .45
SECTION Stud - 6" 6.50 (Fcaming) U= 1=
Sheathing 2:06 R
Siding .67 .095
Outside air film .17
R 7OTAL 10.53 •
Interior air film .68
RIr1 Insulation 19_00
JOIST 1k inch soft wood 1.88 (Ri.m Joist) U= 1=
Sheathing 2.06 R
Exterior vall covering .67 _041
Exterior air film .17
R 10TAL 24.46
Interior air film
.68
EMN. Insulation 5.00
Foundation (12 ' Block) 1.28 (Foundation) U= 1=
Extecior aic film ,17 R
R 70TAL 7.13 .14
CEZLING WITH VENrED ATTIC SPACE ABOVE
R VALUE R VALUE
FRAMING CEILING
0.61 Air Film 0.61
, 36.00 Insulation 44.00
/
. ~
4.38 Joist
~
/ .56 Ceiling .56
~ 0.61 Air Film 0.61
~ 41.55 Total R 45.78
.024 U = R _021
. CATHEDRAL CEILING
R VALUE R VALUE
ETiAMING CEILING
0.61 Inside air film 0.61
.56 Ceiling .56
14.375 Joist(Space£) -
- - Insulation 33.85
. - Air Space .50
.67 Roof decking .67
.06 Felt .06
.44 Shingle .44
0.17 Outside air film 0_17
16.88 1bta1 R 36.86
.059 R = U .027
Windov infiltration .5 cfm/lineal foot of crack
Residential door infiltration 0.5 cfm/square foot or door and minimxn code requirement
Non-residential dooc infiltration 11.0 cfm/lineal foot of crack
Ub 12" concrete block no insulation =.781 R 1.28
double glass = .52
triple glass = .31
All exterior walls and ceilings must have a vapor barrier (0.10) pecm max.).
Vapor barrier must be on the inside (heated side) of vall_
Vapor bariers of the polyethelene thin film have no R value.
HY-LAND SURVEYING, INC. 1NVO?CENO. ~326
F. B.1 NCO.
~K'~ z -iu'
' LAND SURVEYORS O Dl1101lE Ir01f MOIIYtf1Mt
8$GMMCRED DNDSSLARB OF STATE OF U@tNSBOTA e Denotac Wood Flub Sat
Fa E:ewmion Only
NEDEGAARD CONSTRUCTION 7845Br°°k1yn ID°d- &vokip°Pak'1fimnesota 55445 s000.0 Dr+otrs Esist6q Ekvmian
56Q-29~ O Denoiss Ptopoaad Ei~vation
. ~ ~ E+ Donofm SurfaCS Droinoqg
/ 90,7 PropoNd Top of 9lodc
j ~ %40,2 Proaosed Cwmqe Fioor
932,0 Propoaed Lowst Floor
; ~ , ' ~ '414 Type of Buildinp -
(`1
\ % IOp
_ . ~ N ~ ' \~I~J 9 C13 'C~ DQ-`~4vnGn~~
A 9 ~ ~
i
~ S-S-wkL E'
93
rv 29,4., yI 9355 -a
.12' -o• ' ~/939'3 r.SAGM 2RTQ%R1APRIHa DEP'"
io ~
RES~llEpCF
I ~~y ~ pROpoS~ ~ j l ~
- ~po y tF
n 8 z-o I~
~ . _s
~ ~ . 93B.If N T36,q9 Q .
~'oo l b Z~ ' ~~VE ~ ~
' ~L.S N~~ 29.4" ar ! i,l O
Lot 6, Block 1, WEXFORD ~I3'4Z-- wo,Z---•38.'~__,~ ___j ,a x
A2 ~ ~
939.7 O ?o~~c_~-.~
~ i ~ j o ' r.
~ - ~9 G~o~'o nc
v
~
Th. awr....n,.MS ahorr~, a. hom p.es of i.cana or fMamrmon wwia.a br / ;
W yR.
1IOtrMby owtly ttrt tlrs ts a tnraM onrmet n0mbn of a wWy ot the . .
b0uldrntof Lua6CYS tl~eel0~d Mtl aK! t!r lo,of aU btdltltnpa anQ nr ~ed
' 09 OncRNAMnwft ff+^W.+mm aan =M Wnd. . Milton E. Hyland, MiKn. Rec} Na 20262
grvmybpyusym Rth cmwpf SantamhPr 19 49
L- * _ BL / CITY OF EAGAN CITY USE ONLY
~ PLUMBING PERHIT
SUBD. .l (612) 681-4675 RECEIPT /,5~''80 7[)
~ DATE ° /<3 9.9-
RESZDSNTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST ~ REPAIR/ADD ON 15.00
ADD ON _ ( SHOWER 3.00 ,06
REPAIR WATER CLOSET 3.00 00
3.a a
f BATH TUB 3.00
05 S IAVATORY 3.00 .oo
OWNER NAME: _ N~~,4 ~NSlv~t~cY •On~ ~ KITCHEN SINK 3.00 3"50
SITE ADDRESS:__ `UGYyD~`z HOTN TUB/SPAY 3.00 ~
''3.00
I WATER HEATER 3.00 3.00
1 FIAOR DRAIN 3.00 3.co
GAS PIPING OUT.
INSTALLER: S lr U (MINIMUM - 1) 3.00 3,o6
ROUGH OPENINGS 1
ADDRESS: I~l3 ~ NO~ 1 h.,c~~(.2 OTHER .50
CITY: botJ ~v~ Zip: WATER SOFfENER 5.00 ,~oo
PRIVATE DISP. 15.00
PHONE 7s~S - ya - U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
STATE SURCHARGE .50
SIGNATURE OF PERMITTEE TOTAL: S ~D•o a
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITT: ZIP: TOTAL: $
PHONE
FOR: (SIGNATURE)
CITY OF EAGAN
CTI'Y OF EAGAN
L LP B MECHANICAL PERMIT RECEIPT #iDlf7f46)
SUBD. ( 1G0'~ (612) 681-4675 DATE /o
RESIDENTIAL
PLFASE COMPLEfE UPPER PORTION ONLY FOR SINGLE FAMII.Y DWELLINGS. ALSO, COMPLECE FOR
TOR'NHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRID FOR EACH DWELLING UNIT.
owNER° Nede aard Construction ADD-ON A/C ADD-ON FURNACE ?
SITE ADDRFSS: ADD ON!ltEINODEL (E7QSTING $ 15.00
4227 lJexford Way CONSI'RUC['ION ONL1)
INSTALLER: Dependable Indoor Air Quality, Inc AVAC: 0-100 M BTU 24.00
PHONE ADDTCIONAL 50 M BTU 6.00
AADRFSS: 2619 Coon Ra ids Blvd. GAS oUTLEis • MINIMUM 1@ $3 EA. 6. G a
CI'i'Y: / oon apids, Z: 55433 SURCHARGE: $ .so
SIG ATURE: gj~ TOTAL: $
/ NO PERMIT REQUIRED FOR DUCTWORK ONLY!
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMI75 ARE NOT REQUIRED FOR
EACH DWELLING UNI7'.
R'ORK DESCRIPTION: CONTRACf PRICE FEFS
196 OF CONTRACf FEE.
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMTT FEE. $
PROCFSSED PIPING - $25.00
$
MIrIIMUM FEE - $25.00
OWNER: TOTAL: $
SI1'E ADDRESS:
. .
T'ENANT: : ' .
s.°i:.
. , sI
_ . .
-
, r .
SUITE ak:
'INSTALLER:
.
ADDRFSS: ~S
CTI'1': ZIP: j}
PHONE CI'fY SIGNATURE.
SIGNATURE:
LOT -Ze BLOCK ~ SUBD.
RECEIPT # 9 '
~
CITY OF EAGAN
UNDERGROUND SPRINHI.ER SYSTEM PERMIT ~II
1993
il
Date: MX`! 111, 1593
_ Commercial pmject
_ Residential project !I
7y- Existing residence II
Area/address to be sprinklered: WF-CHoP-D u/"
Installer: I,U?rI-L-t pE-c,K l awniE~~ I~
Street address: 4ZZZF wEXr=oR-D wrt,i
City, state & zip: C')C\-Cart-r.i M o SS 1 ZZ - z~ 3 ll
Telephone (06(o
Owner name: ltilON-LL-y 4- NA-NCy Pccr- ~
Street address: 42"Z-+ wecFar-D wIRq
City, state & zip: _ iE-~GA-IV , M1./ ss"~ 2z--ZS~ 3
U
Phone(6 8(o-S39S
Irrigation contractor, if difl'ereat:
Phone
I hereby acknowledge that I have read this application and state that the information is correct and agree
to comply with all applicable Ciry of Eagan ordinances.
~ Z3-73 ~
W Signature ermi ee li
PV 0 ~
~
New service required )U I
Fee due: $1S. S D Calculated
~
il
CTTY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PROCEDURE
1993
1. Plans must be submitted to the City's engineering department for approval before
installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit
may be required.
2. Once plan is approved, it will be presented to the City's plumbing inspector for sizing
of the meter.
3. Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercial proiect: $ 25.50 plumbing permit.
$ 50.50 water permit fee only if new service is installed.
$100.00 per tap if installed by City. Please consult with
engineering department regarding feasibility of City
installation (City will only install taps up to 1").
b. Residentia] proiect: $ 15.50 plumbing permit.
$ 50.50 water permit fee if new service is installed.
$695.00 per connection - WAC.
$324.00 per connection - water treatment plant.
c. Ebsting residence: $15.50 plumbing permit -(not required if backflow
preventor previously installed) however plan must still be
presented for approval and an application must be filled
out.
4. Once meter size is determined, building inspections clerk typist will contact utility
billing clerk for cost and notify installer of all costs associated with project. If new
service lines are not required, one check may be written for meter and permit costs.
ro meter will be sold before all sewer and water inspections are rnmplete on a new
service--(engineering department will advise utility billing clerk when meter can be
sold). Receipt wil] be coded to 20-3716 (meter portion only) with pink copy
forwarded to utility billing clerk.
5. The installer is to contact building inspections division at 681-4675 for inspection of
the inside water line and backflow preventor. The public works department may be
reached at 681-4300 for water turn-on and set and seal of ineter. Inspection hours are
8:30 AM to 3:30 PM, Monday through Friday. Requesu for AM inspections should
be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon that day.
CITY OF EAGAN Page 1 of 4
, - PERMIT
• TO WORK WITHIN CITY PROPERTY/RIGHT-OF-WAY/EASEMENTS
~1. Location QZZ-l- We(Fop-p wA-l
2. Nature of Work V r.~D~p~„VLOVND 5 P R~ u K.L~R Sy37'r~,y y~~ ~
3. Indicate below items to be affected and include a sketch or plan of vork to be done.
Curb & Gutter Street Surface
Trail/Sidevalk Trees:
Pond/Netlands Public
Traffic Control Devices/Signs Private
Drainage Utilities
Structures/Buildings Other c/ o,
4. liethod of Installation or Construction Tj-lETJGM ~ THgr.i RUR.f pOL-y l~'uEt
5. Vork to start on or after: S ilo 43 and shall be complated by: 4P 3a 43 unless an
extension granted to: by:
DATE STAFF/DATE
6. Ai11 detouring of traffic be necessaryT /v p If necessary to detour traffic,
describe suggested route:
_ DETOURS: The Director of Public Works shall be notified in writin¢ at least 72
hours in advance of any detour being established, changed or discontinued.
NAME OF APPLZCANT Wnt,C.y PEC,r_ PHONE !0 8(0 - Sj~S
PLEASE PRINT
annxESS 422-7- wEXrcr-8 ww14 E'OoCG mN ss~2z-zs~3
STREET CITY STATE 2IP
NAMI: OF PARTY OR ORGANIZATZON PERFORMING WORK L4./v1 LLy pe-Gr-
' CONTACT PERSON: G?a1 LCy A~G'/~ EMERGENCY (24 HR. ) PHONE (af3(~-S3~S'
ADDRESS ¢227- l,?e-XFO~p weF-l p346+4w/ enn i./ SSIZZ _ DAY PHONE -57-3-k5-
STREET CZTY STATE ZIP
The undersigned herevith accepts the terms and conditions of this permit by the City of Eagan
. as hezein contained and agree to fully comply therevith to the satisfaction of the City of
Eagan.
Signed: Title: H~u~p~owN02. DATE: 5/16/1"3-
r
FOR CITY IISE ONLY AUTHORIZATION OF PERMIT
FINANCIAL SECURITY: AMOUNT: TYPE:
(Cash,bond,LOC,etc.)
Fae: Receipt No. Permit No.
In consideration of agreement to comply in all respects with the regulations of the City of
Eagan covering such operations, and pursuant to authorization duly given by said City of
Eagan; permission is hereby granted for the vork to be done as described in the above
application, said work to be done in accordance with special provisions as hereby stated:
APP BY: DT. OF PUBLIC WORKS
- , -f
TE
ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SZDE AND ON LL "SPECIAL PROVISZONS" TO BE COMPLIED
WITHI THE DATE WHEN HORK IS COMPLETED HUST BE REPORTED TO THE EAGAN CITY ENGINEER.
Permit No. Page 2 of 4
- PERTINENT REGULATIONS
Safety
1. Traffic shall be allowed to pass and to be protected at all times. If it is not
possible to allow traffic to pass, a suitable detour must be provided and plans
submitted to the Director of Public Works 72 hours in advance.
2.. Barricades shall be erected in a manner which will provide suitable visibility in all
directions. All barricades shall be in good condition, and all signs shall be of such
size and legibility to provide adequate warning to oncoming traffic. At least two 7"
flashing amber lights shall be mounted on each end barricade with one on an advance
warning sign.
3. Excavations must be shored or sheeted when necessary to prevent under-mining of
roadway, trailways, utilities, or for safety reasons.
4. Guys or stays shall not be attached to trees on right-of-way or private property
w:ithout written permission.
5. Flagmen shall be furnished by the party or organization performing the work whenever
the work being done creates a hazard either to the traffic using said road or the
personnel engaged in the construction, or when directed to do so by the City.
OPERATIONS
1. Permit on Job--Permits or copies shall be kept on the site of the work while it is in
progress in the custody of the individual in charge, and shall be exhibited upon
request made by any City official.
2. Provisions and Specifications--Thesegeneral provisions, specifications and Std. Plate
P-1 shall be considered as forming an integral part of each and every permit issued for
operations within Eagan. The work authorized by this permit shall be done at such time
and in such manner as shall be consistent with the safety of the public and shall
conform to all requirements and standards of the City. If at any time it shall be
found by the City that the work is not being or has not been properly performed, the
permittee, upon being notified by the City, shall immediately take the necessary steps,
at his own expense, to place the work in condition to conform to said requirements or
standards.
3. Execution--The permittee shall use diligence in the execution of the work authorized
under this permit in order not to endanger or unnecessarily obstruct travel along any
road or trailway. Operations shall be so conducted at all times as to permit safe and
reasonable free travel over the roads and trailways within the limits of the work
herein prescribed. All safety measures for the free movement of traffic shall be
provided by the permittee at his own cost.
4. Conformity to Laws--The installation shall be made in conformity with all applicable
laws, regulations and codes covering said installations. All installations shall be
made in conformity with regulations of governmental agencies for the protection of the
public.
a. The applicant shall furnish a bond or financial guarantee in the amount to be
determined by the City which is required to ensure adequate & timely completion
of repair. This bond or financial guarantee shall remain in effect for 2 years
subsequent to completion of street repair to pxotect the City from defects in
material, workmanship or non-compliance with City Standards or specifications.
' Permit No. Page 4 of 4
12. Vehicles or equipment traversing roads or trailway surfaces shall not utilize studded
or chained tires, caterpillar traction, or any other form of traction which will result
in damage to the surface.
13. Clean-Up--Street, trailways and affected right-of-way shall be scraped clean at the end
of each work day and swept clean after construction is completed and left in a neat and
presentable condition.
14. Trees and Vegetation-Burning or disking operations and/or the use of chemicals to
control or destroy trees, brush and other vegetation is prohibited without prior
approval from the City.
15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and
maintained satisfactorily until the turf is established.
The undersigned hereby declares he/she has read and will comply with all the PERTINENT
REGULATIONS as stated above and relevant City Ordinances.
DATE: ~4~ SIGNED: L(j,
Aevised 4/93
LTS#1-PERMIT.FM
M _ GRAPH SCAIE ~ Q=1' or 1' = 10'
~
S stem Pla IIl SPRINKLFp eySMM PINAMETEN-
Y 9 @ s o i
4,
~ z- Maln Smic une Type:
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~ io so so ~o 50 so 70 80 so iao 110 120
PERMIT # -slJ l U~ RECEIPT DATE:
o~
8008 USIDEPTIi4L PLUlYIBINfi PEfiMIT APPLICf4TION
crrY oF EaGM
3830 PILOT KAOB RD
fJkHkN, MA 551EE
651-6$1-4695
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
bacMlow preventer for irrigation system
SITEADDRESS: 7aA7 Ulek-~O/`a WCIil
OWNER NAME: : W G II ~~P~ G K TELEPHONE
(AREA CODE)
INSTALLEk NAME: (()01-74eO q- ,6lct y/OCK TELEPHONE Sp- SSd -gE, S'I
STREET ADDRESS: ~s0 9 ~ (~l y/ 3 (AREA CODE)
,
CITY: dUV'i95Ui~lle-) STATE: IIII/1I ZIP: 53337
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
~ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
= Water tumaround - existing dwelling unit 5'/n8" mnete~r if nlee`ded -$118)
Other: K U 0V'"
_ RPZ: new installation/repair/rebuiid $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
Total $ .5-0, Sa
I hereby acknovAedge that I have read Ihis application, state thal the information is correct, and agree lo complyvrith all applicable City of Eagan ordinances. It
is the appliranl's responsibiliiy to notify tha property owner that the City of Eagan assumes no liability tor any damages caused by Ihe City during its nortnal
operalional and maintenance activities to the facilitles constructed under this permit within Ciry r ertylpght-of-w /ease
SIGNATURE OF PERMIT-6~ 6 1l02
RESIDENTIAL
• ' BUILDING PERMIT APPLICATION
CITY OF EACAN ~~4~
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstructlonReauirements RemodellReoairReauiremants ii
• 3 iegislered site surveys showing sq. N. of l04 Sq. ft. of house; and all roofed areas • 2 cropies of plan (20%mazimum lot wverage allowed) . t set of Energy Calculations for heated additions
• 2 cropies o( plan shawing beam & windax saes; poured found desgn, etc.) . 1 site survey torextenoraddiUons 8 decks i,I
• 1 sel of Energy Calculations . Indicate if home served hy septic system for additions
• 3 copies of Tree Preurvation Plan if lot platted after 7/1/93 11
• Rim Joist Detail Op6ons selection sheet (bldgs with 3 or less units)
DATE 5 ` z VALUATION =T~ (r~`~~~
SITE ADDRESS MULTI-FAMILY BLDG _ Y ItN
TYPE OF WORK ~U7_0 e~ y'"i O-cJ fIREPLACE(S) 11 0_ 1_ 2
APPLICANT /Z~1/1~xxeE4?ealo '642S I
STREET ADDRESS -78 S 7, C~~jLv~ry~ ji?C STATE'~/`ZIP
TELEPMONE # Z'~-CELL PHONE # ~~a ~J~ ~ FAX # 95'~,'• ~"~a~°
PROPERTYOWNER TELEPHONE# .
----N ft~~~-------------~i-----------------
COMPLETE THIS SECTION FOR NEW RESIDENTIAL BUILDINGS O~NLY
Energy Code Category _ MINNISOTA RULFS 7670 CA'1'LGORY 1 MI\`NI:SO'I'~A 12UL1S 7672
n
(J submission type) • Residenlial Ven[ilation Category 1 Worksheet Submitled • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
il
Plumbing Contractor: Phonc #
Plumbing syslem includes: Watcr SoCtener _ I.awn Sprinkler rO2
W
atcrHcaler No, o1'RI. 13adis MAY 0 7 ~
No. 01 Batlts
- ~
Mechanical Contractor: Phone # o.. ~
~
Mechanicsd system includcs: Air Conditioning . .
Hcal Rccovcry Systcm
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state that the infor tion is orrect, an gree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi ces./ ` o
Signature of Appllcant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex O 13 16-piex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi
? 03 01 of _ piex ? 09 07-plex ? 17 Garage x 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-piex 0 10 08-plex ? 18 Deck ? 23 Porch (screened) O 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 O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
'~r, 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation ~UO Occupancy MC/ES System
Census Code y 3 y Zoning City Water
SAC Units (97 Stories ~ Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr, of Bldgs 4' Length Fire Sprinklered
Type of Const ^/N Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
Footings (deck) -rX FinaUNo C.O.
Footings (addition) _ Plumbing
Foundation H VAC
Drain Tile Other
Roof _[ce & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Fina]
Framing _ Siding Stucco S[one
Fireplace )L R.I. ~/Air Test Final _ Windows (new/replacement)
~ Insulation ~ ~ _ Re[aining Wall
Approved By I?- , Building Inspector
Base Fee
Surcharge f~-
Plan Review
MC/ES SAC L V p
~ I Lv 5 0
cry sAC p
Water Supply & Storage D 1~
S&W Permit & Surcharge
Treatment Plant
n
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
MRY-10-2002 14:05 P.02i02
PermiL NUmbCf
MECclieck Compliance Report
1999 Minnesota Energy Code --9
MFCcheck Software Version 32 Rclease 1 Criecked By/Datc
TiTLE: Peck
COUNTY: Heiuiepin
STATE: Minncsota
ZONE: 2 .
CONSTRLJCTION TYPE: Single Family
DATE: 05/10J02
COMPANY 1NFORMATION:
Plekkenpol euilders
COMPLIANCE: Pfl55C5
Matiimu[n UA = 1] 4
Your Home - 110
3.5%Better Than Code
Gruss Glanng
Area or Cnviry Cont. or poor
Perimeter R-Value R-Value -Factor UA
Ceiling S: Raised or F,nergy Truss 224 38.0 30.0 3
Wall 1: Wood Frame, 16" o.c. 792 19.0 0.0 38
W indow 1: Above Gradt, Wood Frame, Double Pane with Low-E 140 0.350 49
Slab l: Unhcnted, 4.0' insul. 30 10.8 20
Proposed and Maximum U-Factor AverAges
Proposed Maximum
Average U-Factur Allowed TJ-Factor
Abovc-Grade Windows and Glass Doois 0.350 0370
Includes Foundotioii Windows> 5.6 ft2
COMPLIANCE STATFMENT: The proposed building design described here is consistent with the building plans,
specificat;ons, and other calcu ' ns submiaed with the permit ap li ation. The proposed buildin hes been
dcsigned to meet the 1999 esot Energy Code re ren ECc k Version 3.2 ele e I.
Buildet/Designer Datc
~
TOTAL P.02
RESIDENTIAL
BUILDING PERMIT APPLICATION
~ CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 '
651-681-4675
Hew Conakuctbn peaulrementa NemotleVReoaU Neauiremenle ^
• 3 registered sAe surveys snowing sq. N. of lot, sq. N. ol trouse; an0 &I roofed areas • 2 copies ol pWn
(200/6 masimumbtoDversgeBlbwetl) • lsetolEnergyCalculalionslorheatetladtlttions
• 2 copies of plan showing beam & wiiMow s¢es; poured tound deslgn, etc.) • 1 s8e survey for e#erbr add'Aions 8 decks
• 1 set o1 Energy Cakulatbns • Intlicete H home served Ey septic system for addNOns
• 3 coples ot Tree Preservation Plan H bt platted atter 7/153 • Rim Joist Detall Oplions selectbn sheet (blUgs with 3 or less unfts)
~
DATE 4 J It ne VALUATION
SITE ADDRESS 422 ~ W~ Y., FD rGL V\fGi.VI MULTI-FAMILY BLDG _ Y - N
NPE OF WORK GILGI`, FIREPLACE(S) _ 0_ 1_ 2
APPUCANT wa~ ~ ~1 ~d Nanr,,,,
~
STREETADDRESS 4z2~ WEcFoP.D Wv4%-1 CITY toS:~x14-tJ STATEMOZIP4:;'S
TELEPHONE # (a SI -&8(o-53atCELL PHONE # FAX #
PROPERTYOWNER Wa-~~ ~ Gc-nol Na r'lGvi P2r'lL TELEPHONE# ~(0~~ ~ S
~
11
COMPLETE THIS SECTION FOR ^NEW,, RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672
(d submission type) • Residential Ventilation Category 1 Worksheet SubmitteA • New p~~r o ~~ig~ t$ b' ihed
• Energy Envelope Calculations Submitted ~ ~ ` ~ ~ ~
,!UN 0 6 200Z ~ I
Plumbing Conhoctor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler BY
Water Heater No. of R.I. Baths
No. of Baths
Mechanlcal Conhactor. Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Wafer Conkactor: Phone #
I hereby acknowledge that I have read this application, staTe ihat the Information is correct, and agree to comply
wim all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant ~nU/1 I/
------°----------------°-'---...__'-_.._----------------__r..----------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 07 Foundation ? 07 OSplex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex 0 10 08-plex ~18 Deck ? 23 Porch (screened) ? 36 MuRi
O 05 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 (Inlerior) ? 44 Siding
32 Addilion ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (EMire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code 2oning City Water
SAC Units ~ Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ~ Length Fire Sprinklered
I
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaVC.O.
~ Foo[ings(deck) X FinaVNo C.O.
_ Foo[ings (addition) ~ Plumbing
Foundation HVAC
Drein Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/reptacement)
_ Insulation _ Retaining Wall
Approved By Tv , Building Inspector
Base Fee
Surcharge
! n
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
, r • ~
- HY-LAND SURVEYING, INC. INVOtGE N0. ~3 _
F. 6. NO.
SCALE I" _ ~
LAND SLJfilEYORS o O~not~s i
umeen
IIND~I.A~18 G~g SfATE OF !@iNZ80TA a Danotss b Set
88~
NEDEfAARD CONSTRUCTION 7845&oolci}mffivd. &ooiclyaPalc,1Smx~ ,gr1q5 For Emnly
r000_O Drwt~s glevc}ian
5bD]964
O Dwotm PenPOaed Elavatian ~
. ~ 6diftab -4*+ Dwot*s Sisrfaea Droirwqe ~
/ 940,"? Proposae Top of 9lodk
1 ~
ProPosed Goresqe Fioor i
~ ` ` V •'a 932,0 Propoaed LoMest Floor t
A
TYPe of Buildirq _ •
~ j ~ ~ ` ~•49._ ~ ~ ~U ~ ~ L~.
S@w~~-~
I/~ y
F~ J t
C- B0.5a~,~„+~ ~
„
` ~ ~ IV1~U7Y ~ ~Br~C 9}5~,
93 9 /
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p , I to /
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I 5 j~~~p'' rK R RoooSed
ES Q ' ~
y /00 ~ N o CF- I y\a' 1
I
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145878
Date Issued:09/27/2017
Permit Category:ePermit
Site Address: 4227 Wexford Way
Lot:006 Block: 001 Addition: Wexford
PID:10-83850-01-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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 -
Wally A Peck
4227 Wexford Way
Eagan MN 55122
(651) 686-5375
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(952) 345-6057
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170214
Date Issued:06/23/2021
Permit Category:ePermit
Site Address: 4227 Wexford Way
Lot:006 Block: 001 Addition: Wexford
PID:10-83850-01-060
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Wallace A & Nancy L Tstes Peck
4227 Wexford Way
Eagan MN 55122
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature