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4231 Wexford Way INSPECTION RECORD ~ "CIT`r' OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675, . SITE ADDRESS: APPLICANT: ~ ii? x r ttik P wnV PERMIT SUBTYPE: TYPE OF WORK: INSPECTION • _ . _,y, . . . L.. - I . ' I (It~l I fd1: . v s~..~ . . . . , .ti., ~ . ~ f' .fll Fl ~ 1 t~l~l 1 I N/~! , i 1' 1 I'a r f l It{: 1 Ak 11 1 14+, I'i: V L _ P.m+n No. wrnxc nola.. o.t. T.Ipfwn. • S/W PLUMBING 6Z5 Hvnc ELECTRIC *4 ~ ~~93 a O ~ ELECTRIC brapocdon Dole Map. Cammwts Foodnp I Fowdatio, ~ F`a"in° ~ r ~ P,MO pbg. Pa* Hog. s s~ 93 lsui. Fmphm -7ly Flnal Htg. Orset Test Final Plbg. Plbp. Inspeclor - Nolly Plumber Gorot. Meter Enpr./P{sn Bkfp. Finel Oeck Ftp. Deck Final YIMU Pr. Dbp. , ~ ~ INSPECTION RECaRD Y OF EAGAN PERMIT TYPE: 830 Pilot KnOb Road Permit fVumber: ~ Eagan, Minnesota 55122-1897 Date Issued: ~ ' ~ • ~ ~ • (612) 681-4675 SITE ADDRESS: APPLICANT: I k, ~r b.lplh , J. : . ~ % ; ' ? . , i . ' • t'~ i.~+ PERMIT SUBTYPE: TYPE OF WORK: ~ . . i1[eR1k I f i Mi l ir, E:F"w1(k'rl, t"0 l,: RNV k i 1, 1541+ fcl 1l++1.) ,'f Atr REVII-wED HY V10 F t a s`~~" PHR ~~~Y ~ . ~ . . . l.~ , , ~s : . . - - - - - - - - - - - - - - - - - - Permit No. Permlt Holdar Date Telephone ELECTRIC PLUMBING HVAC InspscNon Date Insp. Comments FOOTINGS 5-z FOUND FRAMING aT0 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH I HEATING OAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE I AIR TEST I FINAL PLBG I ~ ( FINAL HTG I ORSAT f TEST I BLDG FINAL I BSMT R.I. I I ( BSMT FiNAL I ~ f I DECK FTG DECK FlNAL I ~ J ? ft•u. - ~e~~~cate o~ ~ccu~anc~ y This Certifrcate issued pursuant, to the requireinents of tlu Uniform Building Code certifyeng that at the time of issuance this structure was in cprr~plianct with the various ~ ordinarcces of tlie City regula[ing building corrstruction or U*. For tlu following: SF DWG 20719 use ciusification: sie& PC,. No. Occuprncy 7ype Zooing DisVid pe Comt 4im OwnerofBui ' nC Add~eea A~ S, NWM I Buil Address itq f ~ ~i:.i;_ Due: Muldin6 Official POST IN A CONSPICUOUS PLACE Address 4231 wEXF0?tD WAY Zip 55122 I.ot • 7• Blk i Sub wEXFnun THES TEMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECTION. Yes No Inspector: Final rade 6" from siding) Permanent steps (garage) L'I'l Permanent s[eps (main entry) V' Permanent driveway ? Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish ~ Deck v Please verify wilh [he builder Ihe removal of roof~ rest caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in righl-of-way or installing underground sprinkler system. ~ ' White - City Copy Yellow - Resident Copy Pink - Conlractor Copy d 40789 '-M3 ~P7o - Raquest Dale ~ ? Fve No. Rough-in Inspeclion _ ReQmre G ReeEy No AI Nolity InSpeclor es No han Reaayl I icensed contractor O owner hereby request inspection of above electrical work at Job Atlmess (Slreel eax or qoma No Gry qc~ a Seaion No Township Name or No, Renge No. Coumy OccupentlP N I PhOne No Power uppli qOtlress ~ il~ Elenncal Co ctor IGompany Name) Lamractor anse N. / s ~Co .ractor orOwnar Making Installanon) Mailing~ ~ / L.!% mmhonietl Si aWre iGomredo~iOwner Making~llaGpni Pnone Number ~ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT . Grigge-MlEway BIEg. - Roam 5413 BE ACCEPTED BY THE STFTE 60AR0 1821 UnlvenHy Ave., SI. Peul. MN S5104 UNLE55 PROPER INSPECTION FEE IS Phone(61f~6C1-0800 ENCLOSED. r ~~3 REQUEST FOR ELECTRICAL INSPECTION ee-ooaoioe p? ~I ? See inslruclions ~ar compleong this form on beck ot yellaw capy ~L / L; ~r O ~7 18 J "X" Belaw Work Covered by This Request ~0.•~~ ~~T l J e Atlo .Rap TypeofBuJdjng AppliancesWUetl EqmpmentWired Home Range Temporary Service Duplex Water Heater Eleclric Heating Apt 8mlding Dryer Other-(Specify) Comm./Industnal Furnace Farm Air Contlitioner Other (syecily) ConVactors Remerks Compute Inspection Fee Belaw: # Other Fee # ServiceEntranceSize Fee # Circmis/Feeders Fee Swimming Pool 0 to 200 Amps ~ 0 100 Amps Transiormers Above 200 _ Amps Above 100 _ Amps Signs inspeaors use oory^UO TO7A~ ~O Irrigation Booms ! Q r Special Inspection Alarm/Communwation THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M NTRS. t r I, the Electncal Inspector, hereby Ro°9h-'" J cerhiy that the above inspection has F,nai o~e, y been made. OFFICE USE JNLV This request voitl 18 monlhs Irom l -I ~ P-QD-0t~ zoo6 RESIDENTIAL BUILDING rExMiT nrPLicaTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdion Reauirements RemodeVRepair Reauirements Office Use Oniv 3 registered site surveys showi~g sq. ft. M lot, sq. R of house; and all roofed areas 2 copies of plan showing footings, beams, joists Ceit of Survey_Recd,~;,t,~?r`~Yi;_,N (20%maximum lot coverage allawed) 1 set of Energy Calculatlons for heated additions Soils Repod" _.N 1SoIISReport ttproposedbuildingistobepiacetlondlsNrbedsoll tsitesurveyfiradditions&decks TieePresPlanRacd,,.t~~"_Y;"_N, 2copiesofplanshowingbeam&windowsizes;pouredfounddesign,etc. Addi~'on•indicatei(on-sdesepticsystem TreePresReqired: _Y_N 1 sel of Energy Calculations On~i[e Septic SAm ~.m'~~°Ymz> zN 3 copies of Tree Preservation Plan i( lot platted after 111193 Rim Joist Oetail Oplions selection sheet (buildings wiN 3 or less units) Minnegasco mechaniral venUlation fortn Date -7 / 3 / Q-7 ~1 ~ Construction Cost I O • D ~ _ Site Address C..~(~'~ttX Y'A Q.(.a- UoiUSte t/ 31 Description ot Work Ir/'R'(-C)pr 'Remp-p Multi-Family Bldg _ Y X N Fireplace(s) _ 0 _ 1 _ 2 Property Owoer ~~C ~E S 77i_ia c) Wi CZ Telephane # ( ) Contractor ~(--l/1GL/L~el'QGCCt d'L/ ~G/J;s1;7~GcC';77~i7 Address /7v. . /v City Sta[e l7) A/ Zip 0:50F,~P Telephone#((p57) 'S~3~>'• y:3~G COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CateQOry 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (q submission type) Submitted Submitted • Energy Envelope Calculations Submitted In ihe last 12 months, 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 J Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pemut, 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. ' MGr'-e-2.Y'MQ SP t vi-2J Applicant's Printed Name Applicant's Signature Cities Di ig tal Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. PERMIT CITY OF EAGAN 3/~ ~ 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: (612) 681-4675 Date Issued: SITE ADDRESS: , DESCRIPTION: , REMARKS: FEE SUMMARY: CONTRACTOR: OWNER: APPLICAN . ERMITEE SIGNATURE ISSUED 8 SI NATURe INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: . PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D. . .A ~ I PERMIT N AFECE0CITY OF EAGAN fiJ° ~~a tl~ REnc7IVA7E = 9~992-BUILDING PERMIT APPLICATION ' _QPR 19 Iq93 681-0675 SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set 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 ar lot chan e is re uested once ermit is issued. Date Yaluatlon of work Site Address: SiREET SU17E R Tenant Name: (comnercial only) IAT -1 BIACK ~ SUSD. ~LX ~,j P.I.D. M Descri tlon of work: ~ The applicant is: O Owner 19"Contractor Other (Descrfbe) Name LAST F,RS, Phoii. Property Owner Address STREEi STE ! City State Zip Company ~1,.\.... 3 Phone Contractor Address License # Exp.r'~g3 City~~r,~-^-~ State Zip SS`A -t° Company Phone Architect/ Engtneer Name Registration S Address City State Zip Sewer 3 water licensed plumber Vrocessing time for sewer d water permits is two days once area as been approve . 1 hereby acknowledge that I ead this a pli ation and state that the information is correct and agree to comp);~/with 1 a li le tate of Mi esota Statutes and City of Eagan Ordinances. Signature of AppllcanU/ OFFICE USE ONLY , BUILDING PERMIT TYPE , ~ O 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 164arAek Fin~sh ,?(02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. 0 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE 19 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V-N Basement sq. ft. MWCC System ts (Allowable) V_ N ]st F1. sq. ft. City Mater YES UBC Occupancy RM-j 2nd F1. sq. ft. PRV Required yes_ Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ~ On-site well Census Code Depth 3(Z On-site sewage SAC Code ~ Co66us hldb APPROVALS Ga*r,t*, ,,,,,,i ~ Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS O Site ? Footing O framing ? Insulation ? Mallboard 0 Final ? Draintile ? Fireplace Permit Fee veimcia,: Surcharge Plan Review 6ANA0E' ZZXZ2% `~8~lX lG= r/,'?k.IN License CWty SSAC AC ~S~ ' Z g N 38 = lOGb Water Conn. Nater Meter . Acct. Deposit f 2oyK 257 - 18060 S/M Permit S/M Surcharge Treatment P1. ~>$rr? 1 = 12 Road Unit 12 Park Ded. C]'/~L~ 1Cl Trails Ded. OyZ Copies IZ?3 X Jty= Other Total: . iS1 FLoorZ: 38k2s_ Ib64 SAC x loo 2 x iy:~_ ~ 6eb SAC Units Sy; s ~S r . ~RTIFICATE OF SURVEY • L'wvey 2. (~ou~rc. ~us. ` 8713 DUPONT 4VENUE SOVTN BLOOMINGTON,MINN. 55670 r y eaeaoea LANdSURVEYORS Survey for: ' DAHLE BROS., INC. /voy S~BSZ ~ o M ^v) \o~ > to a r ~ ' ~a~yI1r~~~ i ? ~ r ~ ~ „ ~ F~ ~ ~~i° \ r~ / r m~ . xq ai u y • ~ ce::) M) ~ 41 y,19 i NU~,i?~~ j DESCRIPTION: Z-Y By lot 7, Block 1, WEXFORD Dg , ~GI,I Proposed Grades: Top of Blocks 9,{75 Garage floor 947= Basement~floor'~-_W- DEpT NOTE: Circled elevations a;-e proposed, others are existing. Arrows denote direction of drainage. Scale: 1"=30' ' n? ° oS? n ~Q U n ~,g u- ~n1 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, frgg~~ or on said land. Dated this 6th day of April ,19 93 by ' inne t license o. 01 zh'> 79 iAT tOAPLY CELC=LINT FOA ailIDn'!'In ~ »I7.DIX0 IXST "PICaTSbN . ZY k ~ nato e1 stts7a?t ~ ~NT fT~lTfl en¦ 0~0 D • ReqSstareC =ena suryeyor aiqaature and oo~pany 8~0 0 • Suildinq perm;t 11,pplieant D 0 • Leqal descziptioa ' O D^D • llddresc 60000 0 • Horth arrorr and Daz seale • Do-o'D 0 • ltouse type (samblar, valkout, split w/o, sylit arrtry, lookout, etc.) • D~ D 0 • Disoctional drainaqf arsovs viLh slopo/qzadisnt 4. VD 0 • propostd/oxistinQ •evaz anQ vates sarvices DI0 0 • atr•et name D' O 0 • Dzivevay =zrvaTior•e tY;stinc D ErD • Sever aerviee 8" D D • Lot eorners V 0 0 • Top of eurb at the Qrivevay 0' D D • Eleyations ot any axistir,q adjaoent bomes ::ene,ta ~D 0 • Oereqe iloor V0 D • Fizsi floor ~ 0 D • Lovaat exposed elevation (valkoat/vineov) 0 D • Property eorners ~D D • Front and zenz of Aome at tAe lounQation ' P9r'DI?iG ARLAB lif aflnlie ht.l D ~D • Easement line D 8' 0 • rWL D 'g0~ 0 • i~ts~ L Pond 1 desiqr,ation D VD • tmezqeacy Ovezilov Slevation Dil2NS iOti6 • ~ D D • Lot lines 0 • Riqht-ci•vay ar,G strooL vidtls (to baek ef eurb) ~ 0 D • pzoposed Aome dimensions ineludinq any propossa aecks, ovezAnnqs qzeetcr than 21, porehes, ete. (i.e. all D D D ~ structures zequizinq permanent lootinqo) St,ov all •asemenis of seeoid and ar,y City titilities vithin ~ 0 p ~ those •asements Seibacks ot proposed strueture and setbaek ef adjaeent exioting homes ~D 0 Utainir,q 1 za izaments, if any ~ Reviwed: T~~/ 9~7 S, RIOR,EtdVk:TAPE AVEfL'1CE U y .pUTATION ' OWNER ?J/'01~ , - . ..L-N C• - SITE 11DDRESS ~ CUNTR)1CTOR ~ ~ , , • ' . PNONE FJ~r'b-La,/.~.i ' • ' Determine,working equare footage of eacFi.. ' J , . 1. Total expoaed Wall area 3c5 c~ ' Bq. rt. x. I I _ 3 3o q- ~ z- Total roof/ceiling area 123~ , • '-------e q. . ft. X.02 G A. Total wall window area.. • 2 Z 3 . g. Total door area................................. C. Total sliding glass door D. Totnl tire area.... 0 - place wall'area ~ " Total wall framinq area (average•10!).•••~~~~~~ F. Total Ri m joiat.area...: G'. Total Ne t wall a ~ • area above floor.••• , 2---- ~ 2- ~ • To , tal , exPosed foundation area - • ~ i' ; II. Total foundation window area......... 1. Total net,foundatiori area above grade.......... ' . Determine "U". value of eacll wall s gient, . d. X nUn .~R r . b.__ x ° , ~ ~ c.---``~c~ _ x "U" ~5Z - a. x "U„ . e. n , X .,U. 2 2~ S~ q ' f •----=--0 Il_,._.. x "U" n' • ° <`3 g• x nUn ' P, l . . . X nUlt . s . . x „U" • I Q J r^. y ~ 3............ ...............Total If item 03 is t}ie Saine as SoC 6006(c)2, . or less than item ql, you have met th e i n t e n t o f .rsr 150 • of opoquo wall err Cor , .,fYCSm~ conatruction COnstru' • R-Value I . 1• ~ Ztlt~s~.or air fSlm 0 68 Z. llZ.' C7'RY1NALl. .4S . . . • . = . Totel expoaed roof/ceiling area • ~ 2, j•~, J. Total'skylight area,,, ' k. Total'r ~f/ceiling framing area (average 10%).,,, 1. Total net insulated roof/ceiling area.....'..:...... . . I I •O 9 Determine "U" value for each roof/ceiling.segment. : X „U„ k. 1-2- -fa X"U" , a 27 4 ~ • • ' 31 3 `l , . . 1• • l I v~j x^u^ . o~.5 27. 7 3 4 Tota- ~ . ' If total of 114 is the same as, or lesa than H2, . , SUC 6006(c)1 you liave met ttie intent of Alternate fiuilding Erivelope Deaign 7b utilize the total envelope system method :.I sum of items 1~3 ar~d 04 sliall not be , ~le values establis}ied by, the I 9re8tar than the sum of items 01 nnd 1l2, I ~ 1. + 2. • e ~ 3. ' + 4. v I , ' . r ~ 1 i I ' 1 • , ConPtructioii(Uae for 2tem L) tt'Value l. Interior nir film 0.61 a~-"•" T`j 1 2. ' S SH E 6T 2a c k. ~ S G ~ fI I~ l(Ilj r 3• ~N~~~. se.oo qEIIT 4• Extcrior air film (still U. ~ Total 3 q. I 8 . O~ ' • U _,oz5 . ' • , ' • ed. lleut f low a"O•-----~?N~ (Vae for Item K) . uP . • 7 1. Interior Air film 2• 0.61 , • ' SIB~~ SHT~~'fFZoce. .5G FIG. #5 3• Inches soft wooa 4• I12ches insu2 abovn framin 30,00 • 5• 111r Film ' • ~ 0.61 - - ' g0~1 3G . I G V = . bZ7 G , • 1• xIlterior air film • ~ ~ 0.61 . 2' 4. Exterior air film (still) 0.61 Total it Eloty vp. vented ' . ~ . . . • . .FIG. 46 . ' . . 3 ~ r05 1~~ . . 1• Insidc t~iz fiLn 0.61 Z. •91~• tis.l~f~=~~~:1~, .3• ~JJ~-{a_: I .~1 . : 4. . ':1"'.:• . 5. Out,ide air. Lilm 0.17 ~ Total Z ' ~ NOi7-VEiTI'ED Notc: Usc ¢i;3ditional sl1cets if morr, eF,acc is llent i%cec]ecl Lor diltails and calculations. • ' ' • . floy Up • . USE ONLY sL ~ CITY OF EAGAN ERECEIPT ~ PLUMBING PERMIT SUBD. (612) 681-4675 J~ I RESIDENTIAL 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 FOLLAWING: N0. FIXTURES EA. TOTAL NEW CONST 2~ REPAIR/ADD ON 15.00 ADD ON _ I SHOWER 3.00 dv REPAIR WATER CIASET 3.00 L BATH TUB 3.00 (e~J IAVATORY 3.00 / OWNER NAME: KITCHENSINK 3.00 z IAUNDRY SITE ADDRESS: OT TOB/SPAY 33.00 .00 c00 ~ WATER HEATER 3.00 7e J FIAOR DRAIN 3.00 3a~ GAS PIPING OUT. INSTALLER: i'Z/Cf~/~r7uP (MINIMUM - 1) 3.00 DU 3 ROUGH ADDRESS: !/1"!(~/c~'P OTNER OPENINGS 1.50 ~ WATER SOFfENER 5.00 CITY:E y ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE !o O,~-GZ SU _ W. TURNAROUND 15.00 STATE SURCHARGE .50 csv- SIGNATURE OF PERMITTEE TOTAL: COMMERCIAL PLEASE COMPLETE TNIS 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: C.uivTRnCT FRiGc: SITE ADDRESS: 1% OF CONIRACT FEE. . STATE SURCNARGE - $.SO FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN . . : . . .__...M.~... , -EPT #s~~4~a° n " . , , . . . i.•"'." '°`C.• . , , . . _ . =...r_ ~.~.a... . 1993 MECHANICAL PERMIT (RESIDEN'I'IAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMFS AND CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNIT. - - - - - - - - ~ NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE ~ ~ I Tl ICA~ FEES HVAC: 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1@ 53.00 EACH) •c i ADD-ON/REMODEL (EXISTiNG CoNSTRUCI'ION) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE CflgG~ INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE '~'L~O ~ SIGNATURE OF PERM . ._....~....rc__.....: ....:............_....._.....r ~ K;:-:.,..,:.:.,.w.,.....: (M . . , . . ~ ~ .r. . _ . < . ...~..:r..;.::=:~:•.rs;t:::.~.;_<;.~,: a~:x:...; ~ ....>...:,.._::,.;,...~~.;"~:~t`.. „ . ~ . . . . _ . %::,a;g E ~ ~ . ...:.....V..,...•:..:,,~v.,_.;..<n:r.,..., ;:s.., ...tz r.a•L ,s":. y.£~,. '~q:'> ......r4: . r::.;..~..... . . ~ ' . . , .,w:. . _ ..,....'.s:~.;J3::...,..q .1.3dC: - s;hifi~::`""Ee.~ ij.i'i`; 'e)r'i x:..... , > ....o.. •nu<Z , ; ; . . . . .:.::.ro.:.., ~r:~. '•a!ii :ii...,. ~<a~~:^,`::J:,..,.: i::, . . . ~ . o ;..~~.iC>. ;:,.a:::.~ • a., ~ ~ y~ . . ~ x WA ~i$5: <,•K•~T#9`:4a~• D. ,,x';..,:.;<%;.<~:. ..,~e:;;;:, . , a...:.:,. ~(y r"~~i:•:~..:,:,.: .....w ~ ^ . 1993 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMIIvIERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: CONTRACT PRICE: $ NEW BUILDING INT'ERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CONTRACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF PERMTF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONL1) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECI'OR C OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B u I LDI N G Eagan, Minnesot8 55122-1897 Permit Number: 032018 (612) 681-4675 Date Issued: 0 5/ 15 / 9 8 SITE ADDRESS: 4231 WEXFORO WAY LOT: 7 BLOCK: 1 WEXFORD P.I.N.: 10-83850-070-01 DESCRIPTION: Building Permit Type SF PORCH Building Work Type NEW Census Code 434 ALT. RESIDENTIAL ( . , t~Lj''-:)~~j ? , . REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK PLHN REVIEWED BY JOE VOELS FEE SUMMARY: VALUATION $10,000 Base Fee $162.25 Surcharge $5.00 Total Fee $167.25 CONTRACTOR: OWNER: - Applicant - YACUKOWICZ PETER ~ 4231 WEXFORD WAY EA6AN MN 55122 , (612)725-2000 Z hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all applicable State of Mn. Statutes and City of Eag rdinances. ~ APPLICA / E E SIGNATURE I ED SIGN RE Cities Di i~ ta1 Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. , I. f , • , ~ , , • . , , , • . . „ . . . . . ~ TY; ;n : r T : . , . , . EAr,n~~ S T=R•,t;u~~ osi_ p~~•,~. r.•WTCP P ^(ltrl 2' 9r1?+. np?i _62 25 ri7~.il-t•~ ToF.~l f~~cc~~pt _.~n•,.. ~ c,n9:t~~a s6~,es frl, NPNf^. ~ . . , ~ w~X~kr,;;XX:h~zcm;zzc:: i ~ i , i • . ~ . , . . . i,~ . „ i i~~ ~ ~ ~ , , , t ~ ~ • ~ ~ ,~~i 998 BUILDING PERMIT APPLICATION (RESIDENTIAL) stolt CITY OF EAGAN / 3830 PII.OT KNOB RD - 65122 681-4695 New Construction Recuirements RemodeVReoair Requiremenls • 3 ropisterod site surveys ycopKS of plan ? 2 copies of plans (inGutle Deam S wintlow sizes; pourad intl. design; etc.) 14 2 atte surveys (ezterior addftiona 8 dedcs) ? 1 energy ralculations • 1 energy caicWations tor heated addkions • 3 copies of tree proservation plan H IM platted a}ter 7/1183 required: _ Yes _ No DATE: M 1\Y P) CONSTRUCTION COST; ~ 1 2, aoo DESCRIPTION OF WORK: mEw Po fzGt-~ AaD i-TI o~ STREETADDRESS: 47-31 I,J~X~r~D WftY , Etk(9AJ LOT: BLOCK: ~ SUBD./P.I.D. wG FoJZa Name: Y/k Gu KDW 7- PElnL ' Srt~S Phone (9 ( a- Ca81- 9 637 PROPERTY Lmt First t~' p p o h~ G 5 G OWNER Street Address:4Z3 i WExrpP.p L-~N`e Ciry State: M,n~ Zip: SSi 27, Company: .SA-ME, A Phone CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: -1- Pcy,(4E;' AL a2;Q11F Phone Name: Registration t7: Street Address: Ciry State: Zip: Sewer 8 water licensed plumber (new construction onN): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is conect and agree to comply with all applicabl State of Minnesota Statutes and Cily of Eagan Ordinances. , Signature of Applicant: OFFICE USE ONLY I Certificates of Survey Received _ Yes _ No ow"' Tree Preservation Plan Received - Yes _ No _ Not Require OFFICE USE ONLY ~ • ~ , ~ ~ BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling O 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 ition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility SF PO ? 09 12-plex ? 14 Firepiace ? 21 Miscellaneous O'" ~ SF Misc. ? 10 = plex WORK TYPE l ? 33 Alterations 0 36 Move Addition 0 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. 4/ 791 Depth Footprint sq. ft. SAC Code Census Bldg ~ Census Unit ~ APPROVALS Planning Building Engineering Variance ~ / / Permit Fee Valuation: $ Surcharge Plan Review License M S SAC Ci SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/VN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies r ;i •Total:' ,°Ao ,SAdW i` SAC Units ._.._...~~....J J ' . CER7IFICATE OF SURVEY . ~ Anfa+K 8711 OUPaNT 4yENUE SOUTM r ~nta~ _ BLOOMINGTON, MINN. 55420 888•7084 _ LAND SURVEYORS Survey for: DAHLE BROS., INC. ' 9 2f SZro ~ I\A' ~ ~ 'J , V I ~ ~ ~8• ~ =o \ P'l 'k ~ o F I ~o ~ , mU k, °j u --~I • ~ 2z. - /78 36' ~3 N ~ ~ J'o 1 7~ ~O P' y DESCRIPTION: zzv Z. Lot 7, B1ock 1, WEXFORD I Proposed Grades: , Top of Blocks 9,/75 Garage floor 9¢7= 8asement floor 93gs NOTE: Circled elevations are propos2d, others are existing. Arrows denote direction of drainage. Scale: 1"=30' tJe 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 6th day of April ,ig 93 ,7 ' by inne t License No: 01 79 OFFICE USE ONLY BUILDING PERMIT SUBNPES ? 01 Foundation ? 07 05-plex O 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Att - Mutti ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Poroh (screened) ? 36 MuRi ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex PIDg _Y ot _ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex )K 20 Pool ? 30 Accessory Bldg. ~ORK TYPE 31 New 0 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)• ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code D# of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) i Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS 0 Stucco/Stone APPROVALS Planning Building ':,ii iZ Engineering Variance CITY OF EAGAN $ ) 4(9120 CASHIER: JS TERMINAL N0: 690 DATE: 05/04/00 TIME: 14:14:21 ID: NAME: TOWN AND COUNTRY POOL & SPA 2•210 9001 3603 WOODLAND C 251.25 ' 2155 9001 3603 WOODLAND C 7.50 3210 9001 4231 WEXFORD WA 251.25 1 ~ 2155 9001 4231 WEXFORD WA 7.50 ~ Total Receipt Amount: 517.50 CR129013 USER ID: JAN ~r.*+**~**~~,r***r.****:r*+,r*,r+~,r**,r*,r***** / 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT 5- 55'122 -I 651 New CauhucMon Reaulremenri Remodel/Reoalr Reauiremenh ? J replstered slte wneys ahowinp tq. R. ol bt, sq. fl. ol house 2 coples of plan and 20 rooled areas (ZO% maxlmum tot covaraae allowedl 1 set o/ eneryy cdculaHons lor heated addlMau > 4 coples ol plans (show beam 8 wlntlow slxas: poureC Intl. deslpn; etc.) 1 slte aurvey lor extedor addlHons d decks > 1 wf ol eneryy calculotloro > 3 coples ol hee preservallon plan If lof plaMed aRer 7/1/93 DATE: 0 q - /v -O U CON5IRUCTION COST: DESCRIPf10N OF WORK: Zo ~ Xv~) ~ STREET ADDRESS: INeK¢'~,ui (,Ui~y LOT: 7 BLOCK: ~ SUBD./P.I.D. x~ Name: YK k- ow i C Z f~e-Fe. Phone C (/Sl' 611 - 9s3 9 PROPERTY a+t Flrst OWNER Sheet Addreu: 17C2- 3/ 10eKAe,( GLav Clry State: Zlp: =Z Z- 17-33 Company. r Jl9 Phone &l/- 2 zL-AZJf- (area code) CONTRACTOR Sheet Address: 9 ZY Lrre~~ ~4~~~ ucense i Exp. Clty State: Lp: _ S-.r/-S- ARCHITECT/ ENGINEER Company: ' Name: Telephone ( ) Sheet Addresa: RegishaHon Y: City Stafe: Zlp: Sewedwater licensed plumber (i( Installina aewerMraterPhone I Hereby acknowledye that I have read fhfs aPPlicafbn, state Ihat Ihe infortnatbn is cortect, and agree to comply wNh all apPAcable Sfate of Minnesota Statufea and CHy of Eaean Ordinances. , Signafure of Appiicant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No o Tree Preservation Plan Received _ Yes - No _ Not Required , ~ CERTIFICATE OF SURVEY ~ 8713 OUPONT 4yENUF SOVTN ~ asw ~ BIOOMINGTON, MINN. 55470 r aee.zoe. LANOSURVEYORS Survey for: DAHLE BROS., INC. /voh •7 78 ° . ~o ` _ ~ ~ ~ u~ ~I ~ b Ai ` 30 2p bl ~ ? . U ~ i I ~ f ~ °j ~ q --7 I r~,• l~~h Q.Z ll~ ~ 0 Y b ~ ~ ~ aF t~' ~ J t '3d ~ I~~ ~ ~ ~ ~ ¢x, 6•~ ~ p1~ io kl , ~ _ NI i J' _ ~ a~' y ti 'C7ri~e~y ~ ~ ~ ~ ~ - ~ at) 2Z y ~ ~ l! 'V 78/7 - °~O o P, 11 ` VI DESCRIPTION: ' lat 7, Block 1, WEXfORD I Proposed Grades: ~ Top of Blocks 9~,175 Garage floor 9¢7= Basement floor 9F9s NOTE: Circled elevations are proposed, others are existing. Arrows denote direction of drainage. Sca1e: 1"=30' 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 buildinqs, if any, thereon and all visible encroachments, if any, fr or on said land. Dated this 6th day of Apri1 ,19- 93 .,y inne t /License o: Ot 7 -79 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) cirv oF EAcani 3830 PILOT KNOB RD - 55122 651-681-4875 New Consfiuctlon ReaWremenh CA~ RemOUBI/RBDOIf R6CUh9rt1B11h l~ a 9 reylsWred sIte wneys showlnp sq. R ol bf, sq. It. ol house 2 coples ol plan and gll roofetl areas (4DX maximum lot coveraae allowem 1 sef ol eneryy calculaMOns tor heated addiHOns > 2 caples of plana (show beam a wlndow sixes; poured tnd tleslyn; efc.) 1 site wrvey far oxtedor addlHOns d decW > 1 sef of eneryy calculaNOna > J coples ol hee preservallon plan If IW pkN1eC affer 7/1/93 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: • ~ STREET ADDRESS: LI au~ 'we.~~.Gl w~7 LOT: 7 BLOCK: ~ SUBD./P.I.D. WeX1UYd Name: YU`LOL~ 1 c'4. ptione ~Sl ~ C, ~I, cl S'3 ~ PROPERTY war Flrst OWNER Sheet Address: Clty State: fl~N Zip: S~1 J-2- ComPCnY Oti Phone ~+S< <I~S' (area code) CONTRACTOR Sheef Address: ~ 8@ llcense It Exp• CMy Sfate: F-\ tj Zip: ARCHITECT/ ENGINEER Company: ~ !Q Name: ' Telephone 0: ( ) Sheet Addresa: ReglshaHon g: Cly State: Zip: Sewerlwater licensed plumber (If Irntallina aewer/waterl: Iv ! A PFane ( I hereby acknowledye lhat I have read thls apPticaMOn, skte that 1he InfortnaHon B cortect, and agree to compy wNh atl aPPflcable Sfate of Minnesofa Sfatutes and Cily of Eapan Ordinances. ~ Siynature of Applkanh OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ' Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) O 31 Ext Att - Multi ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Poroh (screened) ? 36 MuRi ? 04 02-plex O 10 08-ptex ? 19 Lower Level 0 24 Storm Damage ? OS 03-plex ? 11 10.plex Plbg _V or_ N? 25 Miscellaneous ? 06 04-plex O 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other • Copies Total: SAC Units % SAC ûø ý ü û þýý üûüú ùýýúøëêë òçó ÿþ þýõ úùø÷öõò ñ ò ÷öõàê þ õò ñ á úÝá ÷öõá ùó ù ú àùëø ôëàùëø úÝ ä þì ý ô ý ü ûëâ ëíßòúðé òñÞåèè ôù úù üíçåèãèâã óííò õñð õõ ëõùëøü Ú êÝ ôèûÛ â òçó ò ö ý ü áàâ ý ü áàââ ßÞ øö êü þ õõ þ ó ë þ ü ëõöê õõ øú óáþ ú ùþ öóý ü ì þè õõ é ëúü ù þþùöúü ù ûø ý ü û þýý üûüú ùýýúøëêë òçó ÿþ þýõ úùø÷öõò ñ ò ÷öõàê þ õò ñ á úÝá ÷öõá ùó ù ú àùëø ôëàùëø úÝ ä þì ý ô ý ü ûëâ ëíßòúðé òñÞåèè ôù úù üíçåèãèâã óííò õñð õõ ëõùëøü Ú êÝ ôèûÛ â òçó ò ö ý ü áàâ ý ü áàââ ßÞ øö êü þ õõ þ ó ë þ ü ëõöê õõ øú óáþ ú ùþ öóý ü ì þè õõ é ëúü ù þþùöúü ù U(9 vp L)c)b-4-. 3L1 1 Z27 —) City of EaRall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Uwe BLUE For Office Us 7 ote sl pVof Date Received: /7 I Permit #: Permit Fee: Staff: 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with fall commercial applications. Date: 5b 1 2 Site Address: 42-3 VVX, FOr4 \J\J 0-A) Tenant:zt,- -4-- t)1 -0-c. YaKotoC-b RESIDENT / O E CONTRACTOR Name:1lam+ ' SI/`7:4 i y 1f_. -owl j Address / City / Zip: 12. e Suite #: Phone: Lo 1 Z X101- 2-21 Y Name: DVj f 111)1.1-1/ Oil ail C License #: D' o2 0 S 1 Address: t b4 a V I tI £Yl : City: 00 s State: Zip: SS 633 Phone: l.f� 5 I — L13-7- 7- 9 2 jI V 2tto Contact: ALJ Email: lair 1 1 6Y) ar O1 C 11(:3 U. New --Replacement A-dditionat Alterdtrun TYPE OF WORK Description of work: OTE Reof-n out�ted and-ground=n unted tis Code• Please contact the:Mechanical:Inspe RESIDENTIAL PERMIT TYPE Furnace Air Conditioner Air Exchanger Heat Pump Other Demolition_ chtan c'a l e'qulprfi 311t iS leg for for Information on permrtl ui ed to b scree in methods. New Construction Install Piping Gas creme b, Cit COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank (_ Install / _ Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) $60.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) CPO < v6 TOTAL FEE OR Contract Value $ x 1% = $ Permit Fee = $ Surcharge _ $ 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ) Y c f h vs6 i' Applicant's Prited Name x Applicant's Signa e FOR OFFICE USE Required Inspections: Underground Rough In Reviewed E ir Test Gas Service Test, In,. for Heat HVAC Scr PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA130112 Date Issued:04/06/2015 Permit Category:ePermit Site Address: 4231 Wexford Way Lot:007 Block: 001 Addition: Wexford PID:10-83850-01-070 Use: Description: Sub Type:Residential Work Type:Gas Piping Description:Gasline Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fixtures:gas line to: gas stove and gas dryer Applicant: Brian Jacobson 13305 Penn Ave S Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Bank Of New York Mellon Tste 400 Countrywide Way Simi Valley CA 93065 The Plumbing Guys P.O. Box 2066 Burnsville MN 55337 (612) 746-5545 Applicant/Permitee: Signature Issued By: Signature r - For Office Use Permit •#: / 05-0-7 4 -�f Permit Fee: J ?i ' 6 " E CEIVE Date Received: 0-70 - C' 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 / (651)675-5675 I TDD: (651)454-8535 FAX: (651)675-5694 OCT 10 2019Staff: -�w build inginspectionsaa,citvofeacian.com BY 2019 RESIDENTIAL BUILDING-PERMIT APPLICATION Date: 10/10/19 Site Address: 4231 Wexford Way Unit#: Name: Ajit GhadgePhone: 651-808-4122 Resident/ owner Address/city/Zip: 4231 Wexford Way, Ea an, Mn 55122 _ / ) Applicant is: Owner / Contractor `� '�X k L Type of Work Description of work: Replacing 11 windows, Squaring op off on 1 window Construction Cost: $12,702.00 Multi-Family Building: (Yes /No ) Company: Pella Northland contact: Megan Wittmer Contractor Address: 15300 25th Ave N Ste 100 City: Plymouth State: MN Zip: 55447 Phone: 641-670-7051 Email: wittmermm@pellamn.com License#: BC645090 Lead Certificate#: NAT-F151782-1 If the project is exempt from lead certification, please explain why: House was built in 1991 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classifiedas non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Megan Wittmer x G�aZ�rrs- Applicant's Printed Name Applicant's Si nature 46kAd ;.- - 1403( t...).= x i 0„ � s 7, /5--0Sol r Fp- 5 `iz. coL,vweed evr +mac& L(,:ie orAl Le, + v.s.. Le ,4J kYR-‘-3 i . [47 3(a PERMIT City of Eagan Permit Type:Building Permit Number:EA172119 Date Issued:09/15/2021 Permit Category:ePermit Site Address: 4231 Wexford Way Lot:007 Block: 001 Addition: Wexford PID:10-83850-01-070 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Ajit Ghadge 4231 Wexford Way Eagan MN 55122 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (952) 479-7131 Applicant/Permitee: Signature Issued By: Signature