4235 Wexford Way
INSPECTI4N RECORD
CITY+OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: c, ; ~ s< -c
(612) 681-4675
SITE ADDRESS: ~ i l APPLICANT:
~ Ift .t I r?Ia(~ iJAY ; II~~I .~ir! ~Ii~MI Itlr 1,04 !
~1~ ~ t~f,l~ . ~ ~ ~ r~~..1 iT~,r}•1
PERMIT~SUBTYPE: TYPE OF WORK:
I 1; t. J ~
1
DATE INSPTR INSPECTIOtJ TYPE D.
I N`.11 ( Fr I I 0 fd I t f~i A l
! 1 i i 1 1 1 f'i ~ I
i
I1 f•I, , I ' : ~ ~ i ~I ; ~ r.i 1 . , . i.. i , ~ , :c.i~ t !i'
~ ~
. PNmR No. Pormk Holder Dete Telephone #
. S/W
PLUMBING '
. .
. ~
HVAC rI ~
ELECTRIC
ELECTRIC
Inspsetfon DN" Msp. CommeMs
Footings I
t
Foundation
Framing
Rootirig
Rough Plbg.
R°ugt' Htg. -~7
ts,i.
Fht91 Htg.
Otsat Test j t I i
qAAZ
Fnel Plbg.
COtist. AAeter
ErgrJPlan
Bift. FWW 9 s3 ~ s
Deck Ftg.
Deck Fined
WNI
Pc Dlsp.
~ ~Y s1 ~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road . Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: t3'3 / I//`" -
(612) 681-4675
SITE ADDRESS: t" APPLICANT:
f0I: ?t ltl.lrl M I
itr ;CrII(~1) WAY
11r ( i)1 i i. 1. r ;~~t !=1,~4!
PERMIT SUBTYPE: , TYPE OF WORK:
it~wl t ~~~,f w II
INSPECTION DA • D•
(
?,r,~,~~,. ~,t i•Arrr~If i~f.ItiMt1 Rruurkfi1 1 I,?; I I t~ i:-- If ni 14111.1~.
~
IL
~'I'
Permit No. Permit Hoider Date Telephona M II
ELECTRIC
PLUMBING
HVAG
Inspoctlon Deb Inap. Comments
FOOTINGS
FWND
FRAMING
ROOFING ~
I
ROUGH ,
PLUMBING
PLBG ~
AIR TEST
ROUGH
HEATING
(3AS SVC
TEST
INSUI I
~ GYPBOARD I
FIREPIACE
FIREPLACE I
AIR TEST I
FINAL PLBG I
I FINAL NTG I
I ORSAT I
I TEST I~
I BLDG FlNAL
I '
I rtSMTRI.
13SMT FINAL
l
I
' i)FCK FTG
~~-if
I T~ ~ -
~
IN5PECTI4N RECORD ~
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: "r t-' ~s q t
Eagan, Minnesota 551 22-1 897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT•
.
~ il1 kF[1Rh (.IAV
PERMIT SUBTYPE: TYPE OF WORK:
.
f n4il . . . ,
~
IiP4 111 `+l I V I li I<M I t i ?+iti!I t: 1 (31'i 1 rtl ! I A 1 f 1311AN1f I)i I l lxt:I:l'1tl'
r ~[f:'fftICAI PURMTT ANi} INSP!`C?'YRN'i - 441:-2000-
~
F
~ ~
PwmR No. Permft Holder Date Telsphons A
ELECTRIC
PLUMBING
HVAC
Impwtlon Date Msp. Commonb
FOO7INGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBIN(3 I
pLgC I
AIR TEST I
ROUC3H I
HEATING
GAS SVC
TEST
INSUL I
GYP 80ARD I
~
FIREPLACE
FIREPLACE I
AIR TEST
FINAL PLBG
~
FINAL HTG I
ORSAT I
TEST I
BLDG FlNAL I
I
BSMT R.I. I
I
BSMT FINAL I
- I
DECK FfG I
I
DECK FlNAL ,
I
li
~
r y . • ~ o
~ C3'?'ei.~~cate v~ ~ccu~anc~
C~~t~ o~ ~agan
This Certificate issued purstrant to the requirements of the Uniform Building Code
certtfying that at the time of rssuance this structicne was in complrance willi tfie various
ordinarrces of the City negulating building construction or use. For the joUowrng:
SF DWG 21184 -
vse c1assir,:a6= awa. Pftivic ro.
VN
OCCUPencr T~w MACM & o8 auWct
o~ or sww~ ~ naa~ '
sl , , WKUM
B nm= Locml;cy
&rildins O eiwl
POST IN A CONSPICUOUS PLACE
;
~ ~
_ d 6 3 0 s4/S815 .11F' -*5
RaV st Dale Fire No. Roughl ns0eclion
, Repm 4 ? Reatly Now i ill Nobfy Insp <Iqy
W~an a Y O-"
es C N.
icensed comractor ] owner hereby request inspection ol above electr' I wor at~ ~
JoE1AC re (5 et. or Route No ) ) dty
4
SBdmn No TownShip Np e or No. RBngO N0. CDUmy
Oc p ntIPRINjI Pno o - ~
Pawer SuOPlier ~ Atltlress
Eiect c Comrecior (COmpany Name, C trac 5 Li ns No.
•
Mdili 0 rB55(Co Q Ct Or O 1Adkmg InStaIlB;qn)
AWM1O etl S,gneWre (Comractov0 er 1 eking Innallauonl M1o 6 u
MINNE50 TA BOIRD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Gtlgqe-Mitlwey 61Cg. - Room 5470 BE FCGEPTED BY THE STqTE 60ARD
1821 Unlverspy Ave.. SL Poul. MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phone(613) 843-0800 ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION y?'"`'~`T'~~ es ~
? Sea instroctwns lor compleling this torm on back oi yellow copy.
a 6 3 0 5 4 "X" 8elow Work Covered by This Request -4 r3
ew dd Bep TypeofBuiltling P.ppliancesWired EqwpmeniWued
Home Range Temporary Service
• ~ Duplex Water He~`aterv Electric Heahng
Apt. Building er O[her (Specify)
Comm./Industrial Furnace
~ Farm Av Conditioner
Olher (suecilyl Canlractor5 Femerks'
Compufe lnspection Fee Below:
# Other Fea # ServiceEntrence5ize Fee # Circuits/Feetlers Fee
Swimming Pool O to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abov@ 100 _ Amps
Signs Inspactors Use only. TOTAY
Irrigation Booms ~j'' [~p ~9 0G / (l
Special Inspection + d /7~ ! G -'I
AlarmlCommunica6on a y~ ~J
THIS INSTALLATION MAY BE ORDEREO DISCONNECTED IF NOT
Other Fee ~ COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Ao.9n,n oaca
ceridy that the above inspection has Fi„ai oete O3
been made. ~ f! " <
OFFICE USE ONLY
This raques: voitl 18 manihs 1mm
'jwim ~eof ral (p` oLO
P ~
RoQUe 1 Dale Fra No. o gIn Inspection Rsqulretl InspecUOn Olher Ttien Roughdn
(Y call ~nspedor hen reaAy) ~ ReeEy Now ~JIII Nality Inspeclor
~s ~ No D.I. Raetl 1
I, licensed contractor ?owner hereby request inspection of above electrical work at:
JoD Atltlress (Slraet, Bax qoute NaCiry~
Sedron No Township Name ar No enge No. C nry
~ATOK.4 .
Occupenl NT{ ~ Phone No,
`I w~ 66 6
PowerSupPlier Atlaress
Ele In I Comrecmr (Gomp y.Neme) ConVacior'e Litense N0,
I ler ~ ( ec,$r 'c. 7j-,c_.
Maiiing Atler ss (COntra or or Owner Making Inslellalmn)
I r i L{n IJ S( 25
Aulhonzetl S Vacmr/ er Install P oria Number
- 12-5_~ -l ?
NNES S D F EL C TY THI$ INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bltl oom 5-128 BE ACCEPTED BY THE STATE BOhRD
1821 Univerelty Ava., SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phona(61216G]-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION EB-00001 -09
I< ,~Y
0 U O 4, ~ See insimaions for compleUng tMS form on back of yallow copy
n1 ~rf /c(p "X" 8elQw WS+k.Covered by This Request
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. 8uilding Dryer Load Management
Comm./Indusirial Furnace Other (S ecif
; OFarm Air Conditioner
thar (speaty) Cont[acior's Remarks
Compute lnspection Fee Belaw:
# Other Fee # Servica Entrance Size Fee N Circuits/Feeders Fee
mming Pool 0 to 200 Amps 0 to 100 Am s
!1;aansformers Above 200mps bove 100 -Am s
ns inspeciots Use Oiy 41OTAL Sa
ation Booms
Q
S ecial Inspection
Alarm/Communication THIS INSTA
AY 8E ORDERED DISCONNECTED IF NOT
ATIO
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouen-in oeie
ceeity that the above inspection has Fnal ( oai
6een made.
OFFICE USE ON~V -
This request voitl 18 months Imm
Address 4235 WEaFORD WAY Zip 5512 3
Lot I - 8 Blk I Sub wmoRo
THESG ITEMS WERE / WERG NOT COMPLETC AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector: S'
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage ?
Porch
Basement finish
Deck
Please verify with the builder ihe removal of roof test caps from the plumbing sysrem and the shuboff of water supply to
the ouLSide lawn faucet before freeze potential ezists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yetlow - Resident Copy Pink • Contracror Copy ~
INSPECTION RECORD
CITY OF EAGAN PERMITTYPE: suiLorNs
3830 Pilot Knob Road Permit Number: 021184
Eagan, Minnesota 55123 Date Issued: 0 6/ 18 / 9 3
(612) 681-4675
SITEADDRESS: Lor: s BLOCK: 1 APPLICANT:
4235 WEXFORD WAY THORSON HOMES BRIAN L
WEXFORD (612) 454-0644
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION D. .
FOOTING FRAMIN6
INSULATION FINAL
FIREPLACE .
REMARKS: S&W CONTRACTOR - RAY HAEG PLUMBING
- ~
_ ~
CITIf` OF"EAGAN PERMIT
`3830PilotKnobRoad PERMITTYPE: euzLorNS ~
Eagan, Minnesota 55123 Permit Number: 021184
(612) 681-4675 Date Issued: 0 6/ 18 / 9 3
SITE ADDRESS:
4235 WEXFORD WAY
LOT: B BLOCK: 1
WEXFORD
P.I.N.: 10-83850-080-01
DESCRIPTION:
Building Permit Type SF DWG
,Building Work Type NEW
~'UBC Occupancy\,\ R-3 M-1
" Construction Type VN
~Zoning ~ R-1
Building length 64
' Building Witlth 36
, i
REMARKS:
S&W CONTRACTOR - RAY HAEG PLUMBING
FEE SUMMARY:
VALUATION $143,000
Base Fee $790.00 MI3C FEES $1.744.50
Plan Review $513.50 Total Fee $3,869.50
Surcharge $71.50
SAC $750.00
3AC % 100
SAC Units 1
Subtotal $2,125.09
CONTRACTOR' - Applicant - ST. LIC OWNER:
THORSON HOMES BRIAN L 14540644 0001317 THORSON HOMES INC
4466 WEDGEWOOD OR 4466 WEDGWOOD DR
EAGAN MN 55123 EAGAN MN 55123
(612) 454-0644 (612)454-0644
I hereby acknowledge that I have read this application and sxate that the
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes end City of Eagan prdinances.
- J
APP ICANT/PERMITEE SIGNATURE ~~ED IGNATURRV
-
OVED CITY OF EAGAN
V~lTE , L C
/ 1993 BUILDING PERMIT APPLICA ION /
PERMIT
U:, 0 8 1993 681-4675 tC
C5~ t ~ SINGLE & 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: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 6 Yaluation of work
Site Address: f/o?3S ClJexFoX b W.# Y
STREET SUITE M
Tenant Name: (commercial only)
LOT Y_ BIACK SIIBD. ,e. P.I.D. N
~X Fd L
IOwnerr of work: C~o.4~ST~2u~*Tia.? - Sf ~
nt i s: ? Owner ~`Contractor ? Other (Deacribe)
Name Phone
LAST FI RST
pddress
STREEi STE Y
City State Zip
Company '2SO.? ,c.n~'s ~,c~~ Phone
Address 44G4 /LJEal~u.ao.a /~Q~?t License #4a401317 Exp.3 3!
City 6:.g6A'd State /h,cJ Zip bs/a3
Architect/ Company Phone
Engineer Name Registration M
Address
City State Zip
Sewer & water licensed plumber /FRY A4//G-6 t4Cumr3i.v6 . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this a lication and state that the information is
correct and agree to comply with all applicagRe State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
. .
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
g 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. ? 11 Swim Pool
? 03 SF Addition O 08 8-Plex O 13 Garage/Accessory 0 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex O 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE -
R 31 New ? 33 Alterations ? 35 Tenant Finish ? 31 Demolish
O 32 Addition 0 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) N Basement sq. ft. MWCC System YCs
(kllowable) ~ lst F1. sq. ft. City Water YL__~
UBC Occupancy P. ;Nt-I 2nd F1. sq. ft. PRY Required
Zoning 1?Sq. Ft. total Booster Pump
of Stories Footprint Sq. ft. Fire Sprinkler
Length ~ On-site well Census Code /ol
Depth 3f,, On-site sewage SAC Code ~
i
APPROVALS ~
Planning Building Assessments
Engineering Variance
REQI;iRED INSPECTIONS
? Site ? Faoting ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee Surcharge
Plan Review GA2AGE: 3r~ X~'L = 6C~v
License
MWCC SAC I D X Z~ Cr~
City SAC ' d
Water Conn. fa ~l•' 3~/'
Water Meter
Acct. Deposit 4~
S/W Permit 12-3 z J 32 34~3
S/W Surcharge ~
Treatment P1.
Road Unit
Park Ded. ~
Trails Ded.
Copies
Other
Total:
SAC % loo
SAC Units I
06i09i93 13:58 002
SURVEYOf+~'S CERTIFICATE BRIAN moRsoN
y~ I W 5 0. o~
- ~S ~
8 vn~trJ
PER r I
~
NOTH, NO SPECFIC BDLLS INVE6T16ATICN
Hns BWN ooMN.EtBD OTl THIS `
IAT BY tl@ SUItYEYO(1• THE lpER D04 0~04y216~EMENT I 10 THE N ~T~~SIBLRY~ J
Q I
W
r n/ r~
LOT 8 N
M~
N
ito,
O950_5) ~ 1-_
y li
~
948, 22.01 909.7 9411e
~ ~ ~ - 6on ~QOO ~
I ~ PROP ED
-I H ~ E
6ARAOE 3913 I ~ ~ EXIST.
NOUSE
~ppq~ -I4- '
B.6V•~ 4C8 ~ 899. 7`~l.0
~ , - ~ FRoPOsFo
ORIVEWAY-11
(946,(, o ~~.r ~
94 .5 a1
o a4~$°I"~3" 71.73 NII°07'40"
M R.(SQ,2v~ .9.z QYRr I3~I~~ Di;PT
_ • ~
_NVEXFO~ W~1Y .s4s.3
NOTE: BUILDINfi pyM~pqV~81}O~NyS ~SMONN yMxE
ATIONSTAilCTURE ON~ ~E
ARGH PlANS i0R gUII~MNG
- OENOTES PROPOSED SURFACE bRA1NAGE 9 F81~IbAT~ON D~od9.
O DENOTES IRON MONUMkTIT SEt SCALE: 1 INCH - 90 FEET
• DEN07ES IRON MONUMENT FOUND PROPOSEA QARAQE FLOOR = 95 "a FEET
XOpp.O pENOTES EXISTINO ELEVATION PROPOSED L04VEST FLOOR - y¢ 3,(. FEE7
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 9 5 1, 7 FEET
WE HEFiEBY CERTIFY TO 9RIAN 7HORSON THAT THIS 13 A TRUE AIdD CORRECT
REPRESENTAT70N OF A SURVEY OF THE 80UNDARIES OF:
Wt8 ,8bdc I, WEXFORD,, aooortengtotherecadedpletihaa1af.. DAKOTA
Ceurity, Npnneeota.
IT DOES N4T PURPORT TO SHOW IMPROVtEPv1EMa OR ENCROACHMENTS, EXCE'T AS 5MOWN. AS
SURVEYED 8Y ME OR UNDER MY DIRECT SUPERVISION THIS IST DAY OF JUNE , 1993.
P1qROffSt~ipWON THE GflAWDIN6WPUlN I $IGN 94OMN . HILL, INC.
1''bA WEXfORD P~iEPAREp eY
PIONi'ER' RNMN6~RIN0 4AST DATED !
0 - 2 • 92
C. LARSON, MD SURVEYUR
MINNESOTA UCENSE NUMBER.19828
~ ~ ~ D Q> James R. Hill, inc. 13 ° W m ~ PLANNERS / ENGINEERS ! SURVEY~ORS
~ o m
2600 W. CTY. RD. 42 ~ BURNSVILLE, MN. 66337 o 812-8B0-8044
R-97% 1 612 890 6244 06-09-93 02:OOPM P002 1i28
~ LOT BURVEY CHECRLIBT FOR RE6IDENTIAL
BUILDIN PERMIT A PLICATION
m
m ~ PROPERTY LEOAL:
a < ~ Date o! Survey: r-c a4/43
DOCUMENT BTANDARDB
0''? Registered Land Surveyor signature and company
8' 00 • Building Permit Applicant
b~0 0 • Legal description
0r Q~0 Address
L~ 00 • North arrow and bar scale
Cr' • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
ar~0 0 • Directional drainage arrows with slope/gradient
0 E1' ? • Proposed/existing sewer and water services
0~ ? • Street name
[3 O ? • Driveway
ELEVATIONS
Exiating
o' Q" ? • Sewer service
F ? 0 • Lot corners
[r ? 0 • Top of curb at the driveway
C~ ? 0 • Elevations of any existing adjacent homes
procosee ,
9`~ 0 0 • Garage floor
C'J~ 0 ? • First floor
0' ? ? • Lowest exposed elevation (walkout/window)
or' ? 0 • Property corners
Q~ • Front and rear of home at the foundation
PONDINCi AREA9 (if aDOlicable)
0 0 • Easement line
? Z ? • NWL
? EK 0 • HWL
0 P-J~/ ? • Pond ~I designation
? Q 0 • Emergency Overflow Elevation
DIISEN8ION8
6'~0 0 • Lot lines
D'-~0 0 • Right-of-way and street width (to back of curb)
D~ ~ 0 • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e.. all
structures requiring permanent footings)
0~ • Show all easements of record and any City utilities within
those easements
~C9~ ~ • Setbacks of proposed structure and setback of adjacent
existing hom
? 0 • Retainin r ir ents, if any
Reviewed: ~
N e / Da
October 1992
M1 .
n tnne.~~ i A JA -1 ' ~V rn• ~
BASEU OV CHA 7ER V?OFvTy V y
~+::g~-q • _ . . - HO ERGY CODE - L9TT D[TLON----~''.._
71
' 3>l~ Adop,lun EEEec[tve, 111/ 4
Phane ^at'•~`~
Jwner
;ite address `~2 3S wex~o~ ~ ~ ,
:ontractor :-!~C'n ~ •.•ahane
:u11C1n9 Classif-icatian: Type Ai (Single Fam11y 3 OuD1ex)_ Type A2 (Residential
' (3 stories ar ess
(Other) (Over ] stories)
iENEaAI INFORHA7ION
1. 8u11Cing Perimeter 1 C~~ ft.
uall hei9ht (ground to eave) ft.
2
3. 1. x 2. (above) gross wal lofea r.
s. Buildtng dimenslons (L) -4 -t x(W) Z't_ 5 t.Z roof S floor area j
Square fcat area at rim joist • Floor Joist size (2 x~Z-? )
\ Z? x Perimeter ~ Rim o st area c~,R Q. ft2 j
6. Doors - Area
Thic ness ~n. actor z>-
Typt of Construct on ~-Pr eriaeter (L_~~ r l.`~-~ •9ft• `
hlanufacwrer
7. Total door's perfineter -Z~ el..Zei3 ft
8. uindows: Nanufatturer 1.11- co _ State approve-J
U factor
TYPE 511E AA:A (f•.Z) 4UMBER OF TOTAL FEET Z
EACH~ . UNITS i
~.c~
_ w ;20--
TY
k 9L,
wl bo z_o O 9 .-~m 15 -7 00 - ~
~ ~ .a ~.3(n 121 ZY~.,e'rG~i-
. c 4 ~
. e:; <<s ~ a.~,
9. Tota1 ft~ Glass 45 p
101- F1reDlace area: Width x heiaht • ~ x 'q ' Z4 Ft.2 ~
2
11., Eaposed foundation: Hetght x Perimeter x 1 E-,`~ ' I(-,~ Ft.
)MPLETION Of THIS FORM IS REQUIREO FOR ALL NEY COPISTRUCTION, MAJOR REHOOELING ANO SU[LDI'IGS AfIHGI
I)VEO vHERE ENERGY, OTMER THAY THE MINIMAL CODE.ALIOHANCE,,iS USED. i
- • - ' I
,.6'rnining area ~ 10Y of gross wail area.
j;•, Gross wall eree ~09`7 - ''••2
UinCow area A ft.2 I: windows • „ 4~7 'J x A~
Rim~Jotst area A 2=3 p, p ft,z U rim joist ~ ..04 U x A~
Oaor area A door area U x A • , ~
. fireplace area A o f:.Z U f ireptace U xA•
ExposeG foundation A ((03 ft.- il foundation U y p.
Framinq jrea A -2~ (D q„-7 ft.~ J franing area ock U x A• FI'?„%'[
Net wall area A r f t. j wal l= _C)U xA • rA z.,„3
. . . . . . . q~
. . . U x A /ES~_Li
i
4. Gross wall area x 0.11 (A-1 single family S dL;.;>z = allowable U R A/Code
(13. 3bove) .
x 0.23 (a-2 other resiCentia:;
x .23 !d[her building;;
x .28 (Over 3 stor;e;)
H Must be larqer than
a ~ O~~ x L' Ccde. •a Q.~-T F. 138 :bove
5. Caiting framing area (Af) aquals 10: nf c_;tino ores - or the same as)
SA. Gross ceil ing area - (L) -q'--T x('a) q-e- S ft.2
58 Joist area (Af) ¦ 10": ceiltng area `'Z q ~~<5 ft.Z
5C. Net ceilina area (.4c) (15A - 158) • \ \ G,~ K ft.2
U ceiling x R c- _ CD? \rr, x
U framing x A f• ~ O-a- (o4-x_
50. ~QTAI U x A Z ~ 1
~ J
i. Cefling area (15A) x. 0.026 (A-1 single `amily S Cuplex - code aDle U x A
x O.C33 (A-T Other residt^tial)
x 0.C6 (other)
BTUH Must be larger than 150 (abave)
a(15•a1 \ Z~ x9-(cadel= °F (or the same as)
`
C!a
90TE: Use U ani a values obtained f••om nps 1, 3 and 4. I
,
tii,~:}~P'C!{~~~^d~.J•~.~.31 ~•_.•;I:tl~:.y~{~.,,~ne .1~yd:Y~,r•4~vfn ~,U: ~.a'..~.il:i: ~(.`:~i!!~'~9~~.,'}' q~ ~T.i"~.A.~~%'~.~ M ~~.•w
.anl..7.+{~,f . t., . .,,'~i. e~~ •,~`!~r' ..R : :try.. ' q~.~ .,1 ~ ,#y'
.1.\. ~.Y.. f:. ~'Lf Jr •L 1"~t~:.i~~~.~,J't.•R.uY).~i;:l:^.!•~~..~~i:f'i•Y:Y~~~r.~~~. ~~~:~...~,i+;'3~'4~:
.~i•
:C•i~/ .i.: :I '~y' ~~AMkQ~~'.~1~~P :,~~,~'Tf~~ .f,: ~'iYV~ti' '~.j'.' ~1 '
~..1~'y~` ~~5: :1~. . ~ . :I'~~ :~~„I~.dl•'",j , '
UtALL. , r,~ ' " , q~..: ' , . t .
r+ secrioN , ,
K.nsu[xttvn
h o(e
1..51.<~`~a,thins - ,
ti
or5idtnR , (e-7~ C)4~0
Jutsidp alr :tlm .17
R' TOTAL
lnstde atr' f ilm ° E9
~R;i . , . . • ,
STIJD . . ;V G in[a:tor ail .4!i
SYCTION.:,,
6-ud R~ ~ (Framing) U . F .
~nuthtn8 Z',o(e
Sld1n;
Outsld• atr illn . .I )
l.• ~l" J~ ' ' .
•it,;'' . . ~ , .O~
m TOTAL_ ~ O'• ~O
Ins[Ce air,f:lm R¦ .68'' „ .
1ND 4ALL'
In[#rLor vril
SECT:'Ni'_, insulatlon ~ .
T:oo (uall
Sheath to 7- .
y:: • . , 8 z..oa.
Exterlor wll :ovtrin4
Exter lor air Il
r'.,„+' . . . , . ~ _ • ° 4 3
4 roTAL. Z'3 . O 3
rF'
•i;'. i', ln[tciur air UiT '7-
.63
_ ~ .
~ RIlt G,,F: ' :r.sula.toa
JOISi •'~i ~ ~
1~ ir,ch su[t vuud 9=1.88 (Rim . W.
JOiSt)
. !•.r ~4 p'Ythtath[bg
~s:.,~ ~ . ' ~
~iteror vall cuvertns .(aZ
. ~ .
r: ~ . . , ~ ~ ~
Cxterlor air fllm Rr` .17
.0 g .
R ToT,?L z4 _ 4 L
Int.rlur air [ilm R' .66
(nsula: lor. o CD
:
FounJa[iun
(Fdn.) U
stertor •(r flln Ro .17
~~.-;f. ~ C~•~ F TO?AL IPI _q 5
^S r.~ ~ • 1 ~ ( ~fsp"td 3luck
ril'qQ8 .1 .
. ,
,i.~.:...,.~ . , . ~ . ~ ,
„ . . .
i . .
'~:bv' : . . . . . . . . . . '
:f: ~
..elj'';'~;:r~~;•frh115d6%tiY; .~xa.~~~n ~ . ~,::,•~.~~a:,~
y.. ~/e'1'.~ ~t:: ; ' . ~f'
JL.
t, ~ d~r r +f
~y(~S~k~i~~'~:W,p~,~"~:~i~~:~~Fl~,{~..y.y~~r}°i;l~ i~~i~l~n~. rA~~l;~. ,i n~.c~~.'v.., l:~:~:i.•'.~.)~~'
'F~ryi~Y?.c:,-i~ ii:ir'c"'y5~ :~i.•.~;r~1~N~'•1•~~~`i~:i'.~:.y,.~~~'. ~~~,r ~;_.y~t~~~i~~~"";~~h~:~~,~1j;.''~~'ft;~ptlc~{~~: y;! ~•7~'Ir'~~~t;~7~";
lytv"iCrt;!$'::{": UIF.•r•
L u'~•~ q. r 1 I. . , . .
.
-r~: • - o:ei air ~11fe 0.61
_ _ .
•15 [nSulation..
4 4 : o
,;o t s c
Ceiling
O.ET Air Ftlm 0.61
Total R
,0 u?
F!.4T ROOf OR C.ITHEOM CEIL[NG
--1 a ue ' R 'IALUE -
fR:,MtNG CEILIttG ,
0.61 Inslde air fil,m 0•bj r
Ce111n 1
: I Joist I stud
Insulattan
Air Spau.
~ I ~
Roof de.kiny '
~ ~ Ineul~ltlon
Butlt-uD roof ~
0. 7 ` Outsfde aii f1Tm 0
, ~..qw•+T.ri~i:,~i~. ~ , . ~
- ' : ~ . ~ • TOtal R
, , .
, . . . . . . . ~ , ,i .
. ~ . , . . ' :,`u , _ .
R.
•"'1.lndow infiltraticn .5 cfm/linea) foot of crack
t'sldential door tnfiltration 0.5 cfm/sQuare foo: ar deor and mininur cade requirement
T,,.'i6n-residential door infiltratton 11.0 cfr/lineal foct of crack
1o 12" conci-ete block no lnsulation - .47 R 2.1
..;1b., 12" concrstat hlack.lnsulated cores - .26 4 3.8
12" 1ight-weight block . •.32 R 3.1
12" ligntrNfght 6i6ck ir(sulated cores - .12 R 9.3
.;:,1.;in91e glass • 1.13: wtth=stom,windc~+:.54
.tlauble glass • :S6 •
4.1: Lripl• gl'ass • .41' 4'. .
!-111 exteriar walls and ceilings Rust have a vapor 5arrier (C.10 perm max.).
w.
,:,,4por O+rrTer must,Re on the..inside (heated side) of wall. ,
~'ifpor barrfert.of thit polyetllelene thip film have no a value.
r ,
, .
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. ~'~;`?'~r:.
,~i' USE ~JNI.:Y......,........,
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. .
1993 PLUMBING PERNIIT (RESIDEIVR7AL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
- - - - - -
NO. FIXTURES EACH TOTAL
~ SHOWER 3.00
WATER CLOSET 3.00 ~
~ BATH TUB 3.00 6, -
LAVATORY 3.00 i2. -
I KITCHEN SINK 3.00 3, -
LAUNDRY TRAY 3.00 '-61' -
HOT TUB/SPA 3.00
WATER HEATER 3.00 '3• - _
JFLOOR DRAIN 3.00 Z5. -
l GAS PIPING OiTTLET • minimum -1 3.00
' ROUGH OPENINGS 1.50 .5!
WATER SOFTENER 5.00
PRIVATE DISP. • DakCry.lic 15.00
U.G. SPRINKI,ER • nome under consE. 3.00
ALTERATIONS • co aostinq 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: ~ S~
SITE ADDRESS:
OWNER NAME:
WSTALLER: ~ O-~<
ADDRESS:
CITY: STATE: ~I~ ZIP CODE: -CzD4 Z3
PHONE
SIGN URE OF PERMITTEE
4'I'Y ~S~ C1~NLX .
_
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1993 PLUMBING PERMIT (COMIMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCUVJINDUSTRIAL BUILDINGS. AISO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMIT'S ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
_ NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1°h OF COhTRALT FEE.
STATE SURCHARGE $.50 FOR FACH $1,000 OF pERMPf FEE
MINIMUM FEE $ 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENA,i'T NAATE: STF» #
OWNER NARZE:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
CrrY USE.ONLY
_ .
L?-:
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S[rsn
1993 MECHANICAL PERMIT (RESIDEN'ITAL)
CI1Y OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
- - -
~ NEW CONSTRUCTION
ADD-ON A/C
AL D-ON FURNACE
DATE July 23, 1993
FEES
HVAC: 0-100 M BTU $ 24.00 >C
ADDITIOhAL 50 M BTU 6.00
GAS OLTTLFTS (M?NIMUM 1 C e3.OD EACH) a (0.00
ADD-ON/REMODEL (EXISTTNG CON57RUCTION) $ 15.00
STATE SURCHARGE .50
TOTAL ~ D SC~
SITE ADDRESS: 4235 We;(ford way
OWNER NAME: Brian Thorson TELEPHONE 454-0644
INSTALLER: Kleve Heating & Air Conditioning, Inc.
ADDj2F$$: 13075 Pioneer Trail
CITY: Eden Prairie STATE: MN ZIP CODE: 55347
TELEPHONE 941-4211
/ /L~.so
SIGNATURE OF PERMITTEE
iCl~'Y IJSE-ONT:Y
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1993 MECHAIJICAL PF.RMIT (COMMERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMNMRCL4LJINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
D.A7'E: CCNTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES •
1% OF CONTRACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHr1RGE $.50 FOR EACH $1,000 OF ~ERMi'F FEE.
T07'AL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANTT NAh1E: (IMPROVEMENTS ONL1)
INSTALLER:
ADDRESS:
CITY: STATE: - ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
hITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B u i Lo z rv G
Eagan, Minnesota 55122-1897 Permit Number: 032041
(612) 681-4675 Date Issued: 0 5/ 19 / 9 8
SITE ADDRESS:
4235 WEXFORD WAY
LOT: 8 BLOCK: 1
WEXFORD
P.I.N.: 10-83850-080-01
DESCRIPTION:
Building Permit Type SF PORCH
Building Work Type ADDITION
Census Code 434 ALT. RE3IDENTIAL
1
REMARKS:
PLAN REVIEWED BY MIKE BARCK. CONTACT STATE BOARD OF ELECTRICITY REGARDING
ELECTRICAL PERMIT AND INSPEC7IONS - 445-2840.
FEE SUMMARY:
VALUATION $6,000
Base Fee $112.25
Surcharge $3.00
Total Fee $115.25
CONTRACTOR: - Applicant - S7. LIC OWNER:
KELLY GREEN CONTRACTIN6 18894664 2006027 MAYASICH JIM
6143 TUSCARORA AVE 4235 WEXFORD WAY
ST PAUL MN 55102 EAGAN MN
(612) 889-4664 (612)686-8143
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 Mn.
L Statutes and City of Eagan Ordinances. ~
APPLICANT/PERMITEE SIGNATURE ISSUED BY S ATURE
c
Cities Di ital uality 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.
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I I 'qCi~..r.n . . ~ ~ . . e •..r. . . ...n m.(7W........ . ' I It I .
i
(,•,l ~ 1998 BUILDING PERMIT APPLICATION (RESIDENT 7
CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 681-4675 il
Naw Construction Reauirements RemodeUReoair Reauiroments
? 3 rcgistered sRa surveys ? 2 copies of ptan
? 2 copies of plans (inGude beam 8 wind(yw s¢as; poured fnd. design; etc.) ? 2 sRe surveys (eMerior addRions & decks)
? 1 energy wlwlations ? 7 energy calculaGons for heated add'Rions
? 3 eopias of tree preservation plan if IM platted after 7/7193
required: _ Yes _ No
DATE: 7' I~" 9n CONSTRUCTION COST;
DESCRIPTION OF WORK: /JCr le e-N
S EET ADDRESS: _ IZ 3J LUeX Q)4 WL-1tiI
• LOT: BLOCK: I SUBD./P.I.D. v\uLL
Name: o { ' 1 Cl:~, A.eJj A\, I `l JY1 Phone
PROPERTY Lmt First
OWNER p
Street Address: `7Z 3~ W2 ~C ~ct' l1J Q.(4
Ciry (•C,4'1 State: 1n l\} Zip:
~
Company: ~4P,t1U l5 CQ. P~ ~ eN~-r~i ?b` Phone D ~ / `l ID (O ~
CONTRACTOR - ~
Street Address [g~~j ) u~~CL l~ 1Zti ~ U License N 7-00 1,90 7T
City i'CI.LI_.! State: m(~~ Zip:
ARCHITEC7'/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construcUon only): Penafty 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 correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. ~
Signature ofApplicant:
OFFICE USE ONLY
CeRificates of Survey Received _ Yes _ No •
~
Tree Preservation Plan Received _ Yes _ No _ Not Required
4 .~°~wiyrv+.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex O 12 Multi Repair/Rem. 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
)K 04 SF Porch ? 09 12-plex O 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
D 31 New ? 33 Alterations ? 36 Move
P( 32 Addition ? 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. ~ c
Depth Footprint sq. ft. SAC Code ~
Census Bldg ~
Census Unit D
APPROVALS
Planning Building m3 Engineering Variance
Permit Fee Valuation: $ G, ovv. -Surcharge ~SaEE~Ep ~ee.u
Plan Review
License iq S rb ~?o - 5 8 v,-
MCNVS SAC , S
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: ,'1 '
i
% SAq
.4
SAC Ufiifs
~ . _
\
r4 ~
- r?
VI
N pd~~v
~ ~ _
~ 3 _
~ ~
7 ~1
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i
- PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 8 2 7
(612) 681-4675 Date Issued: 0 9/ 17 / 9 6
SITE ADDRESS:
4235 WEXFORD WAY
LOT: 8 BLOCK: 1
WEXFORD
P.I.N.: 10-83850-080-01 DESCRIPTION:
IN-GROUND POOL
8uilding-.,Permit Type SWIM POOL
Building Work Type NEW
' Census Code ~434 ALT. RESIDENTIAL
`
\ I
G~' _:i - _ . . . ' ' . _ , • • , ,
REMARKS:
SEPARATE PERMIT REQUIRED FOR ELECTRICAL WORK
FEE SUMMARY:
VALUATION $9,000
8ase Fee $149.75
5urcharge $4.50
Total Fee $154.25
CONTRACTOR: - Applicant - OWNER:
VALLEY POOLS INC 18941480 MAYASICH JIM
651 CLIFF RD 4235 WEXFORD WAY
BURNSVILLE MN 55337 EAGAN MN (612) 894-1980 (612)686-8143
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 Mn.
L J
;';;ANT/P~R and City of Eegan Ordinances.
ITE SIG A RE f55D D V.iIGN TUR
CITY OF EAGAN
. 3830 PILOT KNOB RD - 55722
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~
681-4675
New Conntruelion Reauiroments RemodeVReoeir Reauiremente
_J
? 3 repbtered aite suneys ? 2 eopies of plan
? 2 copbs of plans (inGude beam 6 wirMow altes; poured fid. design; etc.) ? 2 site surveys (exterior eddftions d dedcs)
? 1 energy calculalions ? 1 energy caleulallona for healed additions
? 3 eopiea of tree qeaeivetion plan H bt platled eRer 7/1/93
required: _ Ves _ No
DATE: D9-/o - 9( CONSTRUCTION COST: ~9
DESCRIPTION OF WORK: ~-L ~M~n?~ ~u-~~v~%m!%~?-~ /~~r,s--f •
ETREET ADDRESS: • l •
LOT ~ BLOCK ~ SUBD.lP.I.D.
PROPERTY Name:~`~ Phone#:
OWNER
Street Address- `~a35 G~J ,u,4 Gc~~ •
City: efaega~- . State: Zip• --a-
U
CONTRACTOR Company: Phone
Street Addres License
City: State: Itil Zip- a u-
ARCHITECT! Company: Phone
ENGINEER ,
Name: Registration
Street Address-
City: State: Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is conect and agree to comply with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature oF Applicant:
OFFICE USE ONLY Rr C~ ENED
Certificates of Survey Received _ Yes No $EP I 0 1996
Tree Preservation Plan Received Yes No
OFFICE USE ONLY ,
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. p-'17 Swim Pool
0 03 SF Addition o OS 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 = piex o 15 Deck
WORK TYPE
p-'131 New o 33 Alterations o 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ~
(Allowable) Main Ieve? sq. ft. City Water ~
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# oi Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 4-;~4
Depth Footprint sq. ft. SAC Code o~
Census Bldg ~
Census Unit v
APPROVALS
Planning Building Engineering Variance
Permit Fee • ° Valuation: $ ~1, o vo
Surcharge • • .
Plan Review '
License
MCNVS SAC
City SAC
Water Conn.
Waler Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°.6 SAC
SAC Units
06%03%93 13:56 , 092
~R'S CIIRTIFICATE BRIAN THORSON
h 5 0, y)
~s I
. ` `
~
rr $ 1R
6t NO SPlC1IC 000.8 INVESTqA'iION / I
H0.7 !ON OGMPLET6d 0'N tHl9
WT pY TNE SURVEYOR, THE }WILLIAMB WpgG~NE ~qBEMENi
lUITftRJTY~DF S lv 8UR`#K ER Dp4 N0. t04p21g
Is~"0~v~°
, . ~ i. ~
~ e W -
\ J
wM
49.9
i
y li
808. /28.01 7
EOA IC00 946.8
/ ' $ PROP 86D
HouaE ~
oanaoE 94 Ousk
" ~6'bie3 -j L9_4_
~ 899, ( S1.0 ` r QL ~ PROpO8E0~
ORIVEWAr 6 r ,
71.73 Id I i° 07' A 0" 4'6'~ I
M R~rsg,~ LiIN 1tRINGI U:PT ~
I
-.WEI\FORLd WA/ ,.846.3 I
Hore: e~putia aion~ a?awn ~rwe
ATIDN c!L1~i. SEg I ;
• OEN07ES PROPOSED 5URFACE DRAINAdE e FouN rI o~na a,~u~~N6
O pENOTE6 IRON MONUMENT SEt SCALE: 1 INCH -O FEET '
0 pENpTE$ IRON MONUMENT FOVND PAOP03ED QARAQE FLOqR.~ 95/.'b FEET
X000.0 pENOTES E(ISTINa ELEI/ATION pROPOSED LOWE9T FLOOR FEE7
(000.0) DENOTES PROPOSEd ELEVATION PROPOSED TOP OF BLOCK FEET
WE HEREBY CERTIFY TO BRIAN THORSON THAT THIS 19 A TRUE AND CORiiECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: F
' I-ot8, Blvdc I, WEXFORD, ecoordlngtolhereoordedplat.thAalkf,. DAKOTA
County, Mlnneaota.
It DVES NOT PURPORT TO SHOW IMPROYBNENTS OR ENCROACHMENTS, eXCEPT AS SMOWN. A5
BURVEYED 9Y ME OR UNDER MY DIRECT 3UPERVISION ?HIS 13T DAY OF JUNE , 1993'
P++opps~~ onqpp si~pwM r?ER6 $ION : JA . HILL, INC. ~
7nR6N FRON THfi eRnd?~ Pu[N
F.OIY IMEXFlDRq P14EPAlIEO BY I•
PION6fif~' RNOINBKRINO 6A4T OAT6D ( e. c- 9e 8Y: I ij~
JOHN C. LAR$ON, Nb SU{iVEYOR i
MiNNESOTA IJCLNSE NUMBEFi.19628 I
~ z~~ ~ ~~aJames R. Hill, inc.
o~' Wp W PLANNERS ! ENQINEERS 1 SURVMR
S
2600 W. CTY. RD. 42 0 BUHNSVILLE, MN. 66337 t 812•890•8044
97% 1 612 890 6244 06-09-93 02:00PM P002 tt28
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 1 ~ ~ • ~
New Conatruction Reouirements RemodallRewit Reauiremenh
. 3 registered srte surveys showing sq. fl. of lol, sq. A. of house; and all roofeA areas • 2 copies of plan
(20%maximum lot coverage allaxed) . 1 set of Energy Calculations for heated addifions
. 2 copies of plan showirtg 6eam 8 window saes; poured lound design, elc.) . 1 site survey lor exterior atldiGons & decks
• i set of Energy CalcWations • Indicate il home served by septic system for atlditions
. 3 copies of Tree Preservation Plan if lot platted after 711/93
. Rim Joisl DeWil Optlore selection sheet (Cldgs wiU 3 or less uniLS)
DATE 9- /-0 2 VALUATION 0~IG S. V -7
SITE ADDRESS 1 2Q1Vk0,1 L.e.5`~ MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK ULellnAI FIREPLACE(S) _ 0_ 1_ 2
APPLICANT C.-
STREETADDRES Io~I D CITY~~~,r1~,&L, iD.STATE~ZIP~
TELEPHONE #?'Q _:F S. LO b CELL PHONE # Fax # 5s0_ 89s 9y~ z
PROPERTYOWNER TELEPHONE# 65I. ,~,g6,,FIV3
MPLETE THIS SECTION FOR µNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ MINNESO'PA RULLS 7670 CA"l'EGORY 1 MINNLSO'C.1 RiJI.ES 7(i72
(J submission t)pe) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _ Phonc _
Plumbing systcm includcs: _ Watcr Soltencr _ Lawn Sprinklcr ['cc :690.00
Watcr Hcater No. of R.I. 13aths
No. of IIadis
Mechanical Conhactor: Phone 1k
Mcchanic:il systcm includcs: tlir Conditioning
_ Hcat Rccovcry Systcm ~
.IIII 0 ~ ~~~7 I J
Sewer/Water Contractor. Phone Ik
9's'---T6F_d-Crc;ree
I hereby acknowledge ihat I have read ihis application, siate thaf the information is cor~eto comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. r
Signature of Applicanf / ~ -/~f/y
~ OrP'ICI: USL? ONI.Y
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4i02
OFFICE USE ONLY lG/9S- )7/.
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10.plex 0 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 Demolish (Bldg)' ? 43 Reroof 0 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Boaster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footin.s (new bldg) _ Final/C.O. '
_ Footings (deck) _ Final/No C.O.
_ Foo[ings (addi[ion) _ Plumbing
Foundation H V AC
Drain Tile O[her
Roof Ice & Water Final Pool Ftes Air/Gas Tests Final
_ Praming _ Siding Smcco Srone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4235 Wexford Way
Lot: 008 Block: 001 Addition: Wexford
PID:10- 83850- 080 -01
Use:
Description:
Sub Type:
Work Type:
Description:
e - Water Heater
Replace
Water Heater
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767 -1000
Kim Renville
2200 W Hwy 13
Bumsville, MN 55337
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Manufacturer
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:
James R Mayasich Jr
4235 Wexford Way
Eagan MN 55122
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA082235
03/17/2008
ePermit
Line Size
City of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #: M.
/SY q
Permit Fee:
Date Reeved: f /� (r `'
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICA '. N
Date: /T-1-0Site Address: / 3 S t)'4',)
Unit #:
RESIDENT /
OWNER
Name: -1: irk P1 Ay4 S: Ctt, Phone: 6s7- bt4 `0 /V3
Address /City /Zip: ya 35 lieX (J LA) �/
Applicant is: Owner V Contractor
TYPE OF WORK
Description of work: Cc_) `,r/ nvw S
Construction Cost: 34 (JCJO Multi -Family Building: (Yes / No V )
CONTRACTOR
Company: f ti(Ade 14A.ddeV7 CUr1 Sf Contact: 6?..)Ade P74e/dta
Address: % 7) 5-1--/ -Z i Cit. / City: ca Gt h
V /
State: fi A/ Zip: S E0 V Phone: 6 SL -23o -7&E
License #: °6--3 s)-7 Lead Certificate #:
License
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered tobe public information. Portions of .:
the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they are, trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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.
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 /41,74_
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA108398
Date Issued:12/05/2012
Permit Category:ePermit
Site Address: 4235 Wexford Way
Lot:008 Block: 001 Addition: Wexford
PID:10-83850-01-080
Use:
Description:
Sub Type:e - Furnace & Air Conditioner
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952)
445-2840
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
James R Mayasich Jr
4235 Wexford Way
Eagan MN 55122
Sabre Plumbing Heating & A/C Inc
15535 Medina Road
Plymouth MN 55447
(763) 473-2267
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
For Office Use I
I Jakikh-
11tt
CEa lUV Of l Permit#:_
J I
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: L,) 113
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: /Unit
Name: Phone, )65 7
Resident/ Owner Address / City / Zip: V~ 3 W `x ~ iU J_J'/o?a
Applicant is: Owner LI/Contractor
Type of Work Description of work:
Construction
Multi-Family Building: (Yes / No )
Company: Contact:
Address: ! / q City:
Contractor - 4
State: /t/ Zip: p2 Phone: ?v 7 ~1/3 - V o 0 ~ -
License c, a Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A .NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to di ive locates of underground utilities. www.gopherstateonecall.ora
I hereby ackn [edge that this inform 'on is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; tha understand this is not a p rmit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordanc with the approved plan inn thee se of work which requires a review and approval of plans.
Exterior ork authorized by a building p rmit issued in accordance with the Minnesota State Building Code must be completed within 180
days of ermit issuance.
x x
Applic nt Printed Na Applicant's Signature
Page 1 of 3