4242 Wexford Way
z . INSPECTION RECORD
"CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT: {
,I1 r~0 1 1 : IN T 1IfIMf 1 N('
PERMIT SUBTYPE: TYPE OF WORK:
, I
INSPECTION .
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• PormR No. PrrmN Ho1dM DNw TNephons t
S/IN
PLUMBING
HVAC
E~CTRIC k/~~
ELECTRIC
InspwUon Ds» hMsp. Commonts
FootkW I
Foundation
Fmming y/~6
Roo"
Rmo Plbg.
Rmo Hte- y~a~ p rlJ,~
ls'r. ya~/ uJd'
Freplace
Flnal Htg,.
Orsat Test
Fhial Pb9. Plbg. Inspecta - Nodly PlurrYber
of J «
COnst Msler
FnprJPlen L'If~
e'°°. FWw' l . -g
oeak Ftg.
Dock FhW
weli
Pr. Diep.
3 ~8 ,Q1Q ~
~-~-~r
~
wemlicate of Cccuoancv _
W" o f Cfagan
206x#Wrut of eai[bing 3860atiM
This Certificale issued parsuant to the requirements of the UneJ'orm Building Cade
certifying that at the time of issuance this structure was in compliance with the various
, ondirtnnces of the Ciry regulating buifding cortstruction or use. For the followireg:
usecl.ssisauoo: SF UC Bklg. Pmnia Nm 20526
0-up-Y TYve 7.~@jpg nisa;? ,~y~,~,,,t
l.l'1l. L~4U:RS ~
Owrer of BuildinB pddmss
r s WEXFM
B A°8 Address I.oaliry
~ ~ < , . ~ ~C• .y U//
~ ~ Datt:
9uilding
POST IN A CONSPICUOUS PLACE
~
3 ? b;2-
Request Dale' Fire No / Adugh-in Inspection ~y~
ReQwretl'+ [wneetly Now ? Will Nolify Inspectar
?Yes No WhenReatly+
I'licensed contractor ? owner hereby request mspecuon of above electrical work at
Jcp AtlOress IStreet Box or Roola N. j Qry
y ~-a • k EAGA~
Secnon No TownsNp Nama or No, Ranga No. County
k
OccuOaN (PRWT) Pbone No
pNizptmt") 79oo
PowerSuppher Atltlress
A 6 "rL 5 a~
Bec:ncal Gonvacmr iCOmpany Name) Con[racto~'s lwense No,
r ajoEiz LE C C6~
MBiling AtltlrB55 (CoNfgCtOr or OwnBr MBkinG In5[Blld!i0n)
829A A- IDN •7
Aulnonzec SignaWre ICanl actor/Owner Making Inslallatronl Phone Number
-b 2
MINNESOTA STATE BOARO OG ELECTRIQTV THIS INSPECTION REOUEST WILL NOT
Gtlg9s-MlEway 91Eg. - Room 5-173 BE ACGEPTED 9Y THE STATE BOARD
1821 Unrverelty Ave., SL Vaul. MN 55100 UNLES$ PROPER INSPECTION FEE IS
Phane(61Y) 6d2-0800 ENCLOSED
~/~0/&X REOUEST FOR ELECTHICAL INSPECTION /EB-00001-08
? See insimctions lor com0le:ing Ihis lorm on beci ol yellow copy a~0/'S
d 17 2$a f~ "X" 8elow Work Covered by This Requesf
e Actl Rep. TypeofBuilding AppliancesWiretl EqmpmenlWired
Home Range Temporary Service
Duplez Water Heater Electric Heaung
Apt. Building Dryer Other (Speaty)
~Comm./Indusirial Furnace
Farm Air Conditioner
omer(suecdy) Convacmr'S Femarks
Compute Inspectian Fee Below,
e ONer Fee # ServiceEniranceSize Fee # Cvcuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transiormers Above 200 _ Amps ve 100 _ Amps
Signs inspedors usa Only TOTAL ~1..
Irrigaiion Booms
Spacial Inspection
AlarmiCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspectot hereby Rooqn-m oaie
certify ihat the above inspection has Fioei oa9 _y3
been made.
OFFICE USE ONIY
This requesl vai0 18 months Imm
RaQUe9 Oate Fre Roug i I s0ection
Reqw [ Ready Now V.blill Notiry Inspeclor
111 c.. Na When RaetlYo
R I L
IE&icensed contracror D owner hereby request inspection ot above electrical work at:
Jo0l4ECress (Sireal 8ox or Route No.) pty
D-y otzA A A6PrJ
Seclion No Townsnip Name or No Rarge No. Councy
O CupanIIPRINiI PpOnB N0. T
- V
Powar SuppLer Adaress
- 00
Eiecv¢ai Comrector ICompany hamel Conlracior'S 4cense No.
' E LT-- C-T iz k. - O
fdaiung Aooress IGOr,trector or Owner Making Installetion,
C '37%
AWmonzetl SgnaNr nvac nOwne Manmg Insiallaii m Phone Number
~1`TD' (siT•`d-
MI NESOTA STATE BO/.RD OF ELECTRICITY TNIS INSPECTION REOUEST WILL NOT
GrigBe-MlCwey 810g. - Foom 5-173 BE ACCEPTED BY iHE STNTE 60AR0
1821 pniversity Ave.. 5t Peul. MN SStO< UNLESS PROPER INSPECTION FEE IS
Phone161t) 602-0900 ENCIOSED.
r17301 REQUEST-FOR ELECTRICAL INSPECTION ee-0oqo~-aa
? See ufstmcuons for complating this larm an beck of yello~v copy 3„{ ~i,
"X" Below Work Covered by This Request
ew Add Rep. TypeofBuilding AppliancesWired EquipmenlWiretl
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Buildinq ( Dryer Other (Specity)
Comm./Industnal Furnace
Farm Air Condi6oner
Omer (syeaty) ComractorY Remarks
~
Compu7e lnspection Fee Be7ow:
# Other Fee # ServiceEniranceSae Fee # Circwts/Feeders Fee
Swimming Pool I 0 to 200 Amps 0 to 100 Amps
Translormers Above 200 _ AmpS 100 _ Amps
Slgns inspeclor§ use Only: TOTAL Jp
Irnganon Booms • ~ ?
Speciallnspection «
Alarm/Communication TMIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON S.
I, the Electrical Inspector, hereby ROigi i cerufy that the above inspection has been madeOFFICE USE ONLY
ThiS reQUesl voitl 1B monihs Imm
Address 4242 wEXFORD WAY Zip 5512 ?
L,ot - ;e Blk 2 Sub wmoxv
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector: S
Final grade (6" from siding)
Permanent steps (garage) VI"
Permanent steps (main entry)
Permanent driveway
Permanent gas f
Sod/Seeded grass ?
TraiUwrb damage '
Porch
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply lo
the oufside lawn faucet before freeze potential exisCs.
Contact engineering division at 681-4645 before working in right-of-way or installing undergmund sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~
Cities Digital 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.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
~:1•; 1 w~-xr u ,a~I WnY r) nrtn~Juunn no,'j 1 r! c
PERMIT SUBTYPE: TYPE OF WORK:
I ; nwr, ~,tL w
INSPECTION D. . .ATE INSPTR.
1 001 P! f i~1~~r,•!c
rj,:,uinliu0.' rni_
i T,
r+F MnRi<::: W ri n; -~;7 nra P i c riv
F
~ -
PERMIT ~K 3a's~
'A~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number.
(612) 681-4675 Date Issued: y ~ , ~ • / ~ i ,
SITE ADDRESS:
wi xroau I,i nv -
rL oci;
I'JF X f U;t'1
I' - 1 1•:. I0 8:11150 1°74I 41
DESCRIPTION:
~ ~ .iy .?rin~L 1yp_
Cn. I.. 4Jo1;, ly(~:• i"lln' '
' . ~ ~ i ?y;ir l/ I.I
~ Jq
~
• . .
~ 7~ . . .
REMARKS: ~
, ~ w 111 1,1r ni; :i„( i,(v
FEE SUMMARY:
vni uni i niu 0 m(1)
$7'„..,0 r~,(.i1 1. "in,
A C
S A C'.. 1(n 4)
' n~- ilrl i i 1
CONTRACTOR: ~ppl ir., ni 'OWNER:
I'LRAlIOUI`! 1 0ri I r. 11J 1/909 'i9'41"7l PARAMOUid t I101'!f 5 7 NC
F.I'I'I I V:ll I EY 6 0 6']1 '•I APPI i VlVLL( Y MN .`I 51
. ~ , ,
APPLICANT/PERMITEE SIGNATURE I SUED BY. SI NATU E/
REACTIYATE _ CITY OF EAGAN ~y3 y',~lro~ 5~
PERMIT ~ 1993 BUILDING PERMIT APPLICATION p
4204 2 ~ 681-4675 jj~V t, t; R€CD
SINGLE 8 MULTI-FAMILY 2 sets-o# plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, l 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 Valuation of work ~~..7C~CJ
Site Address: Z Z " A l~ ,
STREET SUIiE I
Tenant Name: (commercial only)
LoT sLOCx Z susn.~~~ P.I.D. *
Descri tion of work: i The applicant is: ? Owner Contractor ? Other (Describe)
Name Phone
Property LA5r FIRST
Owner Address
S7REET STE M
City State Zip
Company ~ Phone ,!!~/3 z~qn
COt1tY8CtOf Address el9 2- 4( [~1 .5-' License # z-z-i( Exp!~
City _ i State Zip
ArchitecU Company Phone S1'3Z
Engineer Name il/,a Gi- Registration #
Address /~4-7 -6'0
City _ State Zip-~z
Sewer & water licensed plumber ~ Processing time for
sewer & water permits is two days once area ~ias been approv
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with 1 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: A- -
OFFICE USE ONLY
,
BUILDING PERMIT TYPE
? 1 Foundation ? 06 Duplex ? 11 Apt./Lodging4"' 0000 lfi'Ba'Senln Finish
2 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility
0 21 Miscellaneous
WORK TYPE
X31 New ? 33 Alterations ? 35 Tenant Finish ? 31 Demolish
0 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System YF-5
(Allowable) V-q lst F1. sq. ft. City Water ~
UBC Occupancy R 3 M_I 2nd F1. sq. ft. PRY Required k 5
Zoning R-I Sq. Ft. total Booster Pump
M of Stories Footprint Sq. ft. Fire Sprinkler
Length -6 R TS~ On-site well Census Code /0I
Depth On-site sewage SAC Code
Ca.v~~ub b~c~"?c
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing ? Framing 0 Insulation
? Wallboard ? Final ? Draintile O Fireplace
Permi t Fee votmc;on: S ~~26, ODO
Surcharge
Plan Review CiA2AC>E; Zq XZ2 = (o38
License
MWCC SAC 53/yXSj/q X'/z= 7)
City SAC 8 sN17; ~
water Conn. 0.16t=1• , /021 Xlfo= 93~p
Water Meter ~X U = (A y)
Acct. Deposit S3jyy~V^ ~
S/W Permit ~
S/W Surcharge (oKi3CT~-vis2 S~2.e1
Treatment Pl. X 6y =
Road Unit ~ X Ip c bo
Park Ded. (5 3e a)
Trails Ded. 13Z
Mers IS'r F"-~>+z ~'1'l3~IS=Zlv~S~IS N~
Total : G
SAC % 10o I'~zXqyz~ i y
SAC Units ~
I rl (br~ x sq =9
-'~a ~
2422 Enterprlse Drive
~ * * * Mendoto Heights, MN 65120
# PIONIEeR (612) 681-7914•fox 681-9488
Y LAN6 SURVE~'Oa5 6 CIN4 ENOINEQi3
eng near ng ~ PLANNEHS - lu+osc~P[ utpnhCTS _ 625 Hlghway 10 Northeast
t glolne, MN 55434
* * * (812) 783-1880sFOx 783-1,883
Certificate of Survey for: Paramount Homes, InC.
House Address: Wexford Way. Eacian, MN
/
i
~
J /
1- = 'z~5•9°
- , 2 94e.o
q400-
~ 1.9
~~c.,? qr~~ ~
DRIYEWAY I
J • I 9~, i
~ 5j ~ ~94 ~ J 949 ,s Js
94~. 10.75 1e.3-I o zo.»
966 p 6I
1 " 13.34 ' W"GE ~
~ I L 8.00 RWqqq',4"
PROPOSED HIX1SE I v M
~ 12 COliRCE BASEAIENT II to
Do
39 50 ln Q
N N 10.75 ~ N 69'41'08' W e23.00 JL ~ Q
' tr) I M 9.75 Z
00 ~ ~ 45.q4~~ I
Q
' N
I ~
i j L~~
20
211G111ErRIR1-
A G°owo G~H G)~U~ULi~~' ~
. eaoo Denotas Existing Elevatlon $5.00 pROPOSED HOUSE ELEVATIOK
.cpoo.o Denotes Proposed Elevatton S 89'41'08" E Lowest Floor Elavation:943.05
Denotes Drainage & Uttlity Easement Top of Block Elevotion:951,16
- Denotes Drafnage Flow Dlrection
-o- Denotes Monument Garoge Slab Elevotlon: 950:83
-n- Denotes Offset Hub Bearinga shown ore assumed
LOT 19, BLOCK _2 WEXFORD
DAKOTA COUNTY. MINNESOTA
I nerMy c.nilv eh+i thb svrvy, pl.n or r.aon w~as oyroParod by mo or under my dinct suootvuian end eh.t 1im duly qopiucrod Land Survovor
undv the Iowa of the State ol Minnesota. DetYd thig".-.-'..G day of ARGd A.D, 1B
nevIs60 3-0-93 Ro6tD rlwS77t~.04 EV..EVRYv~J ~ ~
4EJ15e03-~8-43 '+ss c#qn146,0
Scqle• 11I~cII°30keA ROBERTB.SfKCtt . EG .14891 '
LoT 19 QLOC,tZ~ l.l)~C~S~
14750 Galaxie Ave. Suite 104
Apple Valley, Minnesota 55124
(612) 432-2044
E=RIOR EDPIFd,OPE AVERAGE "U" COMPUTATION
NAYE '1 A~zA-M ~Ut~,J,- PL?.P? \T,T,SErR
Determir.e worY.irg sauare footage of each
1. Total exposec wall area....... ZSO i sq.f't. X .11
2. Total rroof/ceiling area...... 1~83 sq.ft. X .026 1 Total exposec wall ama above iloor =ZZ~_
a. Total vrall tirindow area . . . . . . . . . . . . . . . . . 2 21
b. Total door area 0\, bQ.,
c. "_'otal sliding glass door area........... 3p,
d. Total fireolace wall a-ez -
e. Total wall framing area (average 10°),. 7 Z~ ,
Total net wall area above £loor......... I'I o
g. Total rim ,joist area Fci,)
Total exoosed four.dation area = l o0
h. Total foundation window area............
i. Total net ±'oundation area above grade...
Deternine "U" value ol' each vrall segnent
a. 221 X uUii ,
b. l2\, (,~2b X. "Ull ,139
c. p~ g tiUli .52
d. x. "U" .68 = - :
e. 22'l,q "U" .096 = Z1.8'I
i. 9101-i.`i'ZX- nU" .04,~
g, 1~9 X [fUll ptil = Y~,15
r.. - x "U" .52 = -
i. I oo Xl[Ull .082 = S,_Z
3. `IC)'!'?.L . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If iten #3 is the sar.;e as, or less than item #1, you have
met the intent of SBC 6006 (c) 2.
_i_
+ .
Total exposed roof/ceiling asea =
Total gross rocf/ceilirg area =
J. Total slylignt a-rea . . . . . . . . . . . . . . . . . .
k. Total roof/ceiling franing area.......
1. Total net insulated roof/ceiling ~-rea. 1511:I
Determine "U" va.lue for each roof/ceiling segrnent
J . X nUn
1'. ~(o8, [7 nUll .024 = 4•05 ~Z-
1. ~ s I9 .'L X "U" .022 -1
4. 7-10T.4L
If total of #4 is the sane as, or less than #2, you 2-ave
met the ir.tent on SBC CQ96 (c) 1,1
To utilize the total envelope syste*n method, tne.values
established,by the stun of itens K3 and N4 shall not be greater than the sun of ite*ns #1 and P2.
1. + 2. _
3. + 4. _
I Pdaterials Ther,nal resistance "R"
Exterior atr.........
~ Siding material......
She2thirg ,
Insulation...........
~ SheetrocY............
Intericr aL^.......
Studs
Hirr
Conc:ete blocks......
i
-2-
I
SE ~NL:Y
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1993 PLUMBING PERMIT (RESIDIIV77AL)
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 TIOT~
f SHOWER 3.00 3-
2 WATER CLOSET 3•00 40-
i BAT'H TUB 3.00 3-
a LAVATORY 3•00 1.0`
~ KITCHEN SINK 3.00 3
~ LAUNDRY TRAY 3.00 s-
HOT TUB/SPA 3•00
_L WATER HEATER 3.00 3-
~ FLOOR DRAIN 3.00 3--
.7 GAS PIPING OUTLET • m;nimum - , 3.00 lr- ~a
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Dekciy. lic. 15.00
U.G. SPRINKI.ER • nome uneer mut. 3.00
ALTERATIONS • io aoscing 15.00
WATER TURN AROUND 15.00
STATE SURCfARGE .50
TOTAL: 35~- d
SITE ADDRESS: 42 4"Z i.,J . &J
OWNER NAME: Pll.n,ld".fi %~.f
INSTALLER: Sc%u~ P{5:~ ?
ADDRESS:4-pno
CITY: i0r, a- G1~.~ ,e e STATE: ZIP CODE: 5 Ss 7z
PHONE (~iz 4-
~u-?
S A E ERMITTEE
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1993 PLUMBING PERMTf (COMAZIItCIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD
FAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMAERCL4LJINDUSTRIAL BUILDINGS. AISO FOR MULTI-
FAMILY BUI' DINGS WHEN SEPARATE PERMITS ARE NOT REQUIl2ED FOR EACH
DWELLING UNT.
_ NEW CONSTRUCI70N
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1'Fc OF CO1vTRACT FEE.
STATE SURCFi,4RGE: $.SO FOR FACH $1,000 OF pF•RMYf FEE
MDN1MUM FEE: S 25.00 ~m.•"T. M
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SI1'E ADDRESS:
TENANT NAA'IE: STE #
OWl\'ER NA11'IE:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHOT'E
FOR•
CITY OF EAGAN APPLICANT
. , . .
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1993 MECHANICAL PERNIIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SIIVGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
- - - - - - - -
~ NEW CONSTRUCTION
ADD-ON AJC
ADD-ON FURNACE
DATE ILK
FEES
HVAC: 0-100 M BTU 24.
ADDITIONAL 50 M BTU 6.00
GA5 OUTLETS (MINIMUM I C$3.00 EACH)
D
ADD-ON/REMODEL (EXISTING CONS7RUCTlON) $ 15.00
STATE SURCHARGE .50
TOTAL
STTE ADDRESS:
OWNER NAME: a E3 TELEPHONE z~
INSTALLER: ~
ADDRESS: -7 a • c.~ r?>
CITY: STATE: ZIP CODE: 5_r/ 2- Z
TELEPHONE
~
SIGNATURE OF PERMITTEE
<.<. _ MMEONLY
.
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1993 MECHANICAL PERMTT (COMMIIiCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675 .
PLEASE COMPLETE FOR ALL COMRERCLAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE
PERMITS ARE Iv'OT REQUIRED FOR EACH DWELLING UNIT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1 °lo OF CONTRACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF ~ERMTT' FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENAI`T NAME: (IMPROVEMEN7'S ONL7)
W STALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
. RESIDENTIAL
- BUILDING PERMIT APPLICATION
CITY OF EACAN O
~ 3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
Naw Construction Reouiremenh RemodeURemir ReouiremeMa
. 3 registered sde surveys showirg sq. R. of lol, sq. N. of hause; and all roofed areas . 2 copies of plan
(20°h maximum lot coverage allowed) . 1 set of Energy Calculations for heated addihons
• 2 copies of plan showing beam & wirWow sizes; poured found design, etc.) . 1 site survey for eatenor addibons & decks
. t set ot Energy Calculations . Indcate if home served by septic system Por additions
• 3 copies of Tree Preservation Plan A lot platted after 711193
. Rim Joist Detail Options seledion sheet (hldgs wiU 3 or less unAS)
DATE ~ I Ct l,~[ VALUATION L~('~
J
SITE ADDRESS a M~ILTI-qF~AMILY BLDG _Y _ N
TYPE OF WORK ir ~F CZC U~FIR~P (ACE(S) _ 0 ~ 2
APPLICANT )SI V' Fglie [.G j/ Vl Py- ycl r P..,S J' t'
_ss~3'J
STREET ADDRESS 3F,,4; rL_CQ)FI fAJ t4 CITYa[nVKUr I10 STATE2114/2I1'
TELEPHONE #~5~-R~l~ -Q`ISTI CELL PHONE # FAX #
PROPERTY OWNER r nd~_Ma I Gt LI TELEPHONE #/95~-" yS(0 "97P~/
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNES0"fA RULLS 7670 CA'1'@GORY l MIh'N4:S(Y1:A NULLS 7672
(dsubmission type) • Residential Ventilation Category 7 Worksheet Submitted . New EnergyCode Worksheet Su6mdted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Pliouc #
Plumbing systcm includcs: _ Watcr Softcncr [intin Sprinklcr Fca $90.00
Watcr Hcatcr No. of R.I. liatlis
No. ol'13atlis
Mechanical Contractor: I -ImY~Q 41 l& &)Y VI er Phone # 7 S;~
D4cclumical systcm inchidcs: Air Conditioning Fcc: 570.00
Hcal Rccovcry Systcm
Sewer/Water Confractor: Phone #
I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Onances. ~
Slgnature of Applicant /~W
orrici: USL ONI.Y
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level O 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 ? 46 Windows/Doors
0 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MCIES Sys?em
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Founda[ion HVAC
Drain Tile Other
Roof _ Ice & Warer _ Final _ Pool _ F[gs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Re[aining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
51661 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681•4675
New Constructbn Beaulrements pemodeUHeoalr Neaulrements
• 3 registeretl sile surveys showing sq. it. ot lot, sq. fl. of nouse; and aIl roofetl areas • 2 copies ol plan
(20%maximumbtcoveragealbwetl) • 15etofEnergyCakulatbnsforheatedadd'Abns
• 2 copies a plan showing beam & window sizes; poured found design, etc.) • 1 site suNey for exterior atltlAions 8 decks
• 7 set of Energy Cakulallons • IrMicate H homa servetl by septic system for adddbns
• 3 COpies ot Tree Pr95Brvatbn Plan 0 lot platt6d afler 7/1193
• Rim Joist Detail Optbns selecibn sheat (bltlgs wRh 3 ar less unfts)
DATE VALUATION `'0~/O c55 ~6 . S7
SITE ADDRESS WE0K/-`-ok d N//{ y MULTI-FAMILY BLDG _ Y _ N
NPE OF WORK li~(E Wa o F FIREPLACE(S) _ 0_ 1_ 2
APPUCANT X9L CD Vf Roa (-.Avc 4.yD (S~ DiL?4
STREETADDRESS L-Dt-N?.sL,_r 18/vD Su,lL l3o~CINEoE1?PR4, k!" STATE/` Al ZIPSS~y~
TELEPHONE # 9S2-5v9-S03s CELL PHONE # FAX # /S-85'
PROPERNOWNER Ti10T ii N414n/72 TELEPHONE# ~S/-yS~-9Y`IY
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CA1'EGORY 1 MI p $~Qp j~~I 6
submission type) • Residential Ventilation Category 1 Worksheet Submitted • ~N I~r~~ Wosih~~ 8 itted
• Energy Envelope Calculations Submitted JUN 1 2 2002
Plumbing Conhactor: _ _ Phone # gY- 4
Plumbing system includes: Water Softener _ Iawn Sprinkler Fee: ~~$90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Conhacfor. Phone #
tilechanical system includes: Air Conditioning Fee: $70.00
Heat Recoverv System
Sewer/Water Contractor: Phone ri
I hereby acknowledge that I have read this application, state that The information is correct, and agree to comply
w(th all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signalure of Applicant
- -
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-ptex ? 18 Deck ? 23 Porch(screened) ? 36 Multi
? 05 03-plex ? 11 10.plex ? 19 Lower Levei ? 24 Storm Damage
? 06 04plex ? 12 12-plex Pibg_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 ? 46 WindowslDoors
? 34 Replacement 'Demolitlon (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain "I'ile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ A'v Test _ Final _ W indows (new/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
- - - - - - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit R Surcharge
Treatment Plant
Plumbing Permit
Mechanical Pertnit
License Search
Copies
Other
Total
YLUMBING (RESIDENTIAL) p
00M Permit Application
Cit,y Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date ~ l )S l 03
~ - ~
Sif¢ Add7C55 MALAND, ELIZABETH ~
4242 WEXFORD WAY Unit #
EAGAN, MN 55122
Pro ert Orvner (651) 456-9494
P Y . 1'elephone 11( )
Con[rac[or NORBLOM PLt11iABlPtt3 CO,
Address (612) 827'40M Citv
•
State ip Telephone # ( )
The Applicant is _ Owner ~ Contractor _ Other
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Addltlonal cqnsultant fees may apply. Alterations To Existing llwelling Unii, Including $ 50.00
_ Adding tiMures to lower Isvels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5/6" meter i( n=eded -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Law:: irrigaticn syster.i
_ Water softener x Water heater $ 15.00
X replacement _ additional
R`1 ~ 7 n ~
State Surcharge $ 50
~ . i
Total $ 15.
I hereby apply for a Residential Yiunbing Permut and acknowledge that the information is complete and accurate; tha[ the work will
be in confonnance wieh the ordinances and :ode> of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application for a petnut, and wurk is not to start without a parmit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Signat-ure
-
4*. City of Eagan
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use /� /
Permit #: /0 0(1)6 ] '7
Permit Fee: I `1/7 . 6
Date Received:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION Cj V-
Site Address: *Z W CGfb W vtY Unit #:
Gi
Name:
Address / City / Zip: Jct
Applicant is: 1- Owner Y Contractor
Phone: (6 a`Ct t 6 7
Description of work: ADD ON Ds F-• ord s 6i.P tcd OM orfsr,aa bac.'"
Construction Cost: /0/ S.°O
Multi -Family Building: (Yes
/ No )
Company: ��„v ytlC Contact:
\ CA.._ i
sa_
City: V\OALL
t
State: «%JJ Zip: SS (. Phone: (0S(lQ 0 WO/
Address:
qL. Cc
License #: & a.53 jog
Lead Certificate #: 1 If}s(` ' a S53 S” 1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
lbAsir 13c r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Phone:
Phone:
Mechanical Contractor:
Sewer & Water Contractor:
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.aopherstateonecall.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 f Lc'tSe-C
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
b6 ->rap -.6( Cipictt
�l W DO NOT W ITE BELOW THIS LINE
tic)
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
Fireplace
Garage
Deck
Lower Level
/()D-(5,
Porch (3 -Season)_ Storm Damage
— Porch (4 -Season)_ Exterior Alteration (Single Family)
_ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
Pool Miscellaneous
Interior Improvement
Move Building
— Fire Repair
Repair
(25%_ 100% ,)
Census Code
# of Units
# of Buildings
Type of Construction \ f „
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
Framing
Fireplace: _Rough In _Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
Egress Window
_ Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final/ No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
001-
/L(Or (0o
Page 2 of 3
t4c j)1) /(2‘2_0(1
2422 Enterprise Drive
Mendota Heights, MN 55120
(612) 681-19144Fnx 681-9488
625 Highway 10 Northeast
11 Blaine, MN 55434
(812) 783-18805Fox 783-1883
*PIONEER LAND SURVEYORS' CCM. ERS
ertg Long LAND PLANNERS • 14NDSCAPE ARCHITECTS
*
Certificate of Survey for: Paramount Homes Inc.
0
House
Address:
WE)(S ORD
Wexfo a E an
/
ti+6,;1/1-S1) ./'
`14'6.b
—1;5 riel(,)VS‘
064 r•" -\---a.#
20
.r .r
1 4£ 4.. "? 141
ORIVCt4AY
1k�i
•St 14.33 1986
��
ro
Mayo
e 0000 Denotes
•(go— o.o Denotes
erm.-_:= Denotes
- Denotes
--0-- Denotes
--ti Denotes
0
0
13.34 GARAGE
20.17
PROPOSED HOUSE
12 CO'iRSE BASEMENT
ff 114as 50
10.75 N 89'41'08- w
23.00
•
r3.Q:
1 %rei +D i t
19
0
5
4113.t. '14
f
.,s1 <f1 I- /22�
5$ e 0/C J//196/
{ fJtt ''-V
11. ^:
lotek
3s•
$SGA �d ENGINEERING DEPT
J
75.y 1A.-/
•
S
75
La A
g 144,T
0i
ao
ui rr
03 00
`"'" 1) -rO fres 57A) / -t_."
p .t'-Aooand
Existing Elevation 85.00
Proposed Elevation S 89'41'08" E
Drainage & Utility Easement
Drainage Flow Direction
Monument
Offset Hub
Bearings shown are
PROPOSED HOUSE ELEVATION
Lowest Floor Elevatlon:943.05
Top of Block Elevotion:951.16
Garage Slab Elevation: 950.83
assumed
LOT 19, BLOCK2 WEXFORD
DAKOTA COUNTY. MINNESOTA
! hereby certify that this survey, plan or report was prepared by rte or under my direct tupetvhion end that i am duly RoQittared Land Surveyor
under the laws of the State of Minnesota. Dated thisday of (A 4RL4 A o 19 13'
NEV1St50 3-0-13 446E:40 0/Xi5 t .t,..EVA-1/0/)1
JIs ED 3 -/9 -`33 tis c cif 4104
rr1�P� 1i .. ifl1.
•
pruRKR ' A. i c tL's..tfgG. 14691 '
llti.;/Dec. 15. 2011N 8:44AM M:TIM LEMKE CONST 65160290128 No. 763-559-8816
..c/2,114.1-- 1;/ //6) O 0 6 1
No.0519 pP. 2/001
ORDER CONFIRMATION
MINNEAPOLIS GLASS
14600 28TH AVENUE NORTH ORDER NO ORDER DATE ORDER CONF. PAGE
PLYMOUTH, MN 55447 USA 334355 1211/11 1211/11 1
PHONE (763) 559-0635
FAX (763) 559-8516 CUSTOMER PO NUMBER
S
11 BETH MALAND
1 4242 WEXFORD WAY
P EAGAN, MN
651-456-9494, CELL 651-235.6485
T
O
Operated By, GINGERT
4242 WEXFORD WAY
S
O 498995
L TIM LEMKE CONSTRUCTION
D 1924 COVENTRY COURT --
MENDOTA HEIGHTS, MN 55116 USA
T 651-602.9001
0
SALES CONTACT MEASURED BY SHIP VIA REQ SHIP DATE SHIP DATE
DICK TROMBLEY ROB CARLTON INSTALL RESIDENTIAL 12/7 OR 12/9 12/13/11
ENTRY ITEM ID CODE UNIT QTY ORDERED TOTAL SQFT UNIT PRICE EACH PRICE EXTENDED
ND FILLERS REMOVABLE ON 1 SIDE UL AWAY
OLD GLASS UNDER DECK — 2 PCS 60 X 27 APPROX**' W
CONTACT TIM FOR ACCESS 651-271-6181
1 50500 TEC375 51" 3/8 X 27" 1/4 Sgft 2 20.22 0.00 0.00 0.00
TEMPERED CLEAR 3/8"
TEMPERED FLAT POLISH 4 EDGE(1/2/3/4]
2 50500 TEC375 39" 3/4 X 27" 1/4 SO 1 7 7 0.00 0.00 0.00
TEMPERED CLEAR 3/8"
TEMPERED FLAT POLISH 4 EDGE [1/13/4]
3 50500 TEC375 83" 3/4 X 27" 1/4 SqR 1 16.33 0.00 0.00 0.00
TEMPERED CLEAR 3/8"
TEMPERED FLAT POLISH 4 EDGE (1//3/4]
4 22 SB X Ed 16 0.00 0.00 0.00 0.00
SETTING BLOCKS -1/8'
City of Eagan
PERMIT
41'
C!tyofEaa
Permit Type: Building
Permit Number: EA105922
Date Issued: 08/06/2012
IIPermit Category: ePermit
Site Address: 4242 Wexford Way
Lot: 019 Block: 002 Addition: Wexford
PID: 10-83850-02-190
Use:
Description:
Sub Type: e-Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Blackwolf Exteriors, Inc
824 Yellowstone Dr.
River Falls WI 54022
(715) 426-4008
- Applicant -
Owner:
Elizabeth N Maland
4242 Wexford Way
Eagan MN 55122--256
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.
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA110704
Date Issued: 05/23/2013
Permit Category: ePermit
Site Address: 4242 Wexford Way
Lot: 019 Block: 002 Addition: Wexford
PID: 10-83850-02-190
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Heater
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.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:
PL - Permit Fee (WS 8/or WH) $55.00
Surcharge -Fixed $5.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
- Applicant -
Owner:
Elizabeth N Maland
4242 Wexford Way
Eagan MN 55122--256
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.
Applicant/Permitee: Signature
Issued By: Signature
Cit of Eaa.an
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK ink
DEC
1m3
Perrriit Fee:
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:. :97'/T—i 3 Site Address: 40(42 A%'' D 4,,9y
Tenant: 5t Z/3ETf /`%Gyle
RESIDENT / OWNER
TYPE OF WORK
CONTRACTOR
Name: ' Phone S7- 95- —
Address / City / zip: `7 214,2 LTJ &xi� („).4v �U /%Al
5-5
Applicant is: Owner DC : Contractor
Description of work: ZJ/!t/G "'A)
o0/ G._
Construction Cost Go ! 7 0 -
Name: We -G6/4/6--7 r /;9 ,,i )eir cense #:f C!6 l74lq
...� ...
Address,731,3Fditie. a5ecoe--,e city: ,€rr✓<S
State: tf/1 Zip: S �� C9CO2% `j',3Y'6.7�
p � Phone.
Contact:/49)///J 3 �/ Email:
Multi -Family Building: (Yes
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:
Phone:'
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
NOTE: Plans andsupparting documents that you sabot are cons�dere
the. information, mai be classif ed as hon kir you provide specific
or r: ade.that'they are trade secrei`'
Phone:
Phone:
liv InfoYi
at a oui
CALL BEFORE YOU DIG. Cal 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 it 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 p
x
ApplicaVSt's Printed Name
x
Applicarff s Signature
Page 1 of 2
4111
CityofEaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office U
Permit #:
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
ZA"
Date: 04/06/2016
Site Address: 4242 Wexford Way, Eagan, MN 55122
Unit If: 119-61
// o' i `I'
111mo ��
Resident/
Owner
Type of Work
Name: Elizabeth Maland Phone: (651)456-9494
Address / City / Zip: 4242 Wexford Way, Eagan, MN 55122
Applicant is: _ Owner X Contractor
Description of work:
Roof top mounted solar PV system, 6.76 kW
Construction Cost: $10,900
Contractor
Multi -Family Building: (Yes _ / No
Company: Able Energy Co. Catt Roose
Contact:
Address: 265 Mound View Road River Falls
City:
54022 (715)629-9335
State: WI Zip: Phone: Email: catt@weknowsolar.com
X
License #: EA006412 Lead Certificate #: EL -100243 -MA
If the project is exempt from lead certification, please explain why:
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 X No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fins Suppression 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 Calf at (851) 454-0002 tor protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.org
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 t. 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 Min .. ►Li I • ng Code must be completed within 180
days of permit issuance.
x Ceti Roose
Applicant's Printed Name
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Page 1 of 3
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DO NOT WRITE BELOW THIS
SUB TYPES
Foundation
Single Family
Multi
01 of Piex
WORK TYPES
New
AddlUon
Alteration
Replace Repair
Retaining Wall
Fireplace
Garage
Deck
Lower Level
Interior improve
Move Building
Fire Repair
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/P
Pool
INE
rlor Alteration (Single Fa
(Multi)
Siding
Reroof
Windows
Egress Window
Accessory Buliding
Demolish Building*
Demolish interim.
ish Foundation
*Demolition of entire building - give PCA handout
DESCRIPTION
•
Valuation / I)) qc-) c) Occupancy TiZC-
Plan Review C - Edition lin vi 201 S—
(25% 100% )c: )
Census Code
# of Units Square Feet
# of Buildings Length
Type of Construction V /5 Width
Stories
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings ( • • Ition)
Foundation
Roof: Ice & Water Final
)41 Framing
Fireplace: Rough In Alr Test Final
insulation
Sheathing
Sheetrock
Fire Walls
Braced Wails
Shower Pan
Reviewed By: 6.%
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppress
pplicant
Meter Size:
Final / C.O. Required
J Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests Final
Drain Tile
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: Footings B ckfill Falai
Radon Control
Fire Suppression: Rough In Final
Erosion Control
Other:
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
T • • . ant Plant
Copies
TOTAL
of 3
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Mechanical
Permit Number: EA149572
Date Issued: 05/29/2018
Permit Category: ePermit
Site Address: 4242 Wexford Way
Lot: 019 Block: 002 Addition: Wexford
PID: 10-83850-02-190
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
ME - Permit Fee (Replacements) $59.00
Surcharge -Fixed $1.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
- Applicant -
Owner:
Elizabeth N Maland
4242 Wexford Way
Eagan MN 55122--256
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.
Applicant/Permitee: Signature
Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159135
Date Issued:11/22/2019
Permit Category:ePermit
Site Address: 4242 Wexford Way
Lot:019 Block: 002 Addition: Wexford
PID:10-83850-02-190
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Elizabeth N Maland
4242 Wexford Way
Eagan MN 55122--256
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172490
Date Issued:10/04/2021
Permit Category:ePermit
Site Address: 4242 Wexford Way
Lot:019 Block: 002 Addition: Wexford
PID:10-83850-02-190
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 -
Elizabeth Nasby Rev Trust Maland
4242 Wexford Way
Eagan MN 55122
Blackwolf Exteriors, Inc
2039 Michael Lane
River Falls WI 54022
(715) 426-4008
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175322
Date Issued:03/28/2022
Permit Category:ePermit
Site Address: 4242 Wexford Way
Lot:019 Block: 002 Addition: Wexford
PID:10-83850-02-190
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Elizabeth Nasby Rev Trust Maland
4242 Wexford Way
Eagan MN 55122
(651) 456-9494
Clearwater Plumbing & Heating
19260 Mushtown Rd
Prior Lake MN 55372
(952) 440-3779
Applicant/Permitee: Signature Issued By: Signature