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4243 Wexford WayPERMIT City of Eagan Permit Type:Building Permit Number:EA128603 Date Issued:11/21/2014 Permit Category:ePermit Site Address: 4243 Wexford Way Lot:009 Block: 001 Addition: Wexford PID:10-83850-01-090 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Description:Reroof w/ tear-off, approx 30 sq Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Shawn Leighton 4203 Heine Ct Eagan MN 55122 Hammered Solutions Llc 4343 136th St W Rosemount MN 55068 (612) 298-6620 Applicant/Permitee: Signature Issued By: Signature ~ ~ INSPECTION I'ECORD ~ ~ V*Y OF EAGAN PERMIT TYPE: 1 4 1' 1 N'~ ~ 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I (~i i ~ Iti i~~ I t I ~ I PERMIT SUBTYPE: TYPE OF WORK: D. , , ,~i„ei,, , t. tcili I PJ~~ ~ ii',I11 l I 10~1 1 1''~+ 7 ~ ~~iii.;1 I j' ! ' ~ ~t111~11 I I•I It 1 i rlrit 1 1 i,~~ t I tJf~l ~ ,t.~i:t f'1.': ~ ll 1 1 i:l '~/4til i l i 1'I l:l~ . I J LL ~ , Pertnft No. PnmR Holder Dab 'ItilephoM • ,rg ELECTRIC A4Brc4,,,w&j j- PLUMBING 3 . /1 HVAC • ~ 9~ ' Impwtlon Dbw losp. Commenb FOOTINGS 7 AIA ~ FOUND S-U 9 FRAMIN(3 ROOFINd To A 4 ~ ACCo.£S es. I oe.~e.~ ROUGH I I PLUMBING G 5r 4011 PLBG y~ AIR TEST •a /Q MEATING /i GAS SVC TEST I INSUL QC ~ OYP BOARD ~ , FlREPLACE FlREPLACE ..II ((~~d I AIR TEST FINAL PLBG FINAL HTG ORSAT I TEST BLD(iFINAI BSMT R.I. BSMT FINAL DECK FTG DECK FlNAL • ~ . . . ti_•.~ ~ ~ . C~;e~ cate ~cc atcc ~t«t .f ls«"Wg awa"cd.» This Cert;care issued prrrsuant to tke nequinr,reerus oj rhe Uniform Building Code certifying tlwt at ~u time of issuance this stnrctun mas in conepliance with the various orWaRCes of i*e City rrgrrlating building conanrction or rrse. For the follawing: uwa.urkwo,: SF DW swe. ramK rb. S2 25463 o.m.r ~ I Zoni.a Dhw;« R1 Tyw c«w. VN o..a or eWwft C 8 MW'6 EM INC Aee,M 3 184 E 7Mi ST, INV&t MOVE IM a.,d.g Ad6. 4243 WFXM {iAY Lmaiy L9. B I. mmm ~ Dow. P06T IN A CONSPICUOUS PU1CE t ~ ~ . %tMficate of C"anc~ ~ "as ttlkWi~t ON" ft&p«ti.N TJeis Certificate issreed pursaant to lJu rrquinments of the Uniform Building Code cerrifyirrg dmt at du time ojissuance this stnicturc was in co+rrpliance with thc various ondinances of die Ciry ngulating building can.stnrctron or usc. For the following: uwcbwrwm;m: SF I1W em& Perm: rb. S2 2546'4 ooW.-Cy Tm A-E/[T 1 zmin abuia R I rypc ccm5t. vx ow.a *t ewwiq C b M HM B[IIiS IIaC Asaie.. 318'4 E 78Ei ST, IlM MOVL+ Hrs B,;win „d*d, 4243 fiEUM W1Y Lw;,y li9 , B(, WWM e:~a.s ar~;.i POST W A CONSPIaIOUS PtJ1CE ' .-/,9~ °-~'o ReQUesl ale I Flre Na R ugh-In Insp eqwretl Inspection Othei Than RouBnln (YOU musl cel~ m dor when reatly) ~ Reatly Now ~LNOtdy Inspector es ? No Da~e Road Ijp~IfCensed contractor ?owner hereby request inspection of above electrical work at Job Atltlress (Sheat, Box or FOU1B No ) qry A - oceon Na Township Name or No Range No. Couny Occupant PRINnte PhanaNo $Sd ~?33 Power Supplier Atltlress EI mal Comractor (COmpany Name) CqnVaclors License No. s~s ~fi- ~l ~C ,d D Mailing Atltlr s'COnvactor or Owner Making Installa0on) i S/ l p° c~dlce s~-3~ Auth aed Signaluro (CanVacmtlOwner Meking Irvslallaoon) Phone Number ~ / /6 ` MINNESOTA TATE BOAPO OF ELECTAICI THIS INSPECTION REO EST WILL NOT Griggs-Mitlway BIEg. - Room SA28 BE ACCEPTEO BV THE $TATE BOARD 1821 University Ave., SL Paul, MN 55104 UNLE55 PROPER INSPECtION FEE IS 'A ~I 11111111 1~1 II Ppone (613) 642-0800 111111111111111111 FNf.I OSFf] : ~ ?~7 ~ REQUEST FOR ELECTRICAL INSPECTION ([~Ty°,.=~^~.~1 es-aoaoi-os Q/ Soe mslrucuons br compleling ihrs lorm on back ol yellow wpy Cl .l Ks~~~ T "X" Be/ow Work Covered by This Request O'`'~.u„. ~ Ne Ad Rep. ,,,rype of Building Appliancaa Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electnc Heatin Apt. Building Dryer Load Management Comm./Indusirial Fumace Other (Specify) Farm j Air Conditioner Oher (specAy) Controcia's Remarks Compute Inspection Fee Below: # Other Fee # Service ENrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200_Amps _Amps $I OS Inspacmr's Use Onry~/,~y~~ TOTAL ~ Irrigation Booms ~GJ 9s S ecial Inspedion GJ ~ Alarm/COmmunication THIS INSTALLATION MAV BE ORDCONNECTED IF NOT Other Fee COMPLETED WIT 8 O T S I, Ihe ElecUical Inspector, hereby ROUgh-in cenify that ihe above inspection has been made. F~~ o~/ j- s?' OFFICE USE ONLV This rapuest vatl 18 monNS Imm Address 4243 weXFORD Wax Zip 5512 3 Lot 9. ~ Blk 1 Sub wEMRD THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: Yes No Inspector: ~ Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) ~ Permanent driveway Permanent gas ? 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 ro Ihe outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy PERMIT Ck45220 ~ CITY OF EAGAN 13830P,,ilotKnobRoad PERMITTYPE: suxLorNs Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 9 6 3 (612) 681-4675 Date Issued: 0 7/ 10 ( 9 5 SITE ADDRESS: 4293 WEXFORD WAY LOT: 9 BLOCK: 1 WEXFORD P.I.N.: 10-83850-090-01 DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R-E U-1 Construction Type V-N Zoning ~ R-1 Building Length 60 Building Width 52 Building stories 4 - Sq'uare Feet , 2,235 REMARKS: PRV S& W PLBR - VALLEY PLBG FEE SUMMARY: VALUATION $147.000 Base Fee $1,122.25 MISCELLANEOUS $1.892.50 Plan Review $392.79 Total Fee $4,336.04 Surcharge $73.50 5AC $850.00 SAC % 100 SAC Units 1 Lic. Search Fee $5.00 Subtotal $2,443.54 CONTRACTOR: - Flpplicant - ST. LIC. OWNER: C& M HOME BLDRS INC 18507733 0004516 C& M HOME BLDRS INC 3189 E 78TH ST 3189 E 78TH 3T INVER GROVE HTS MN 55076 INVER GROVE HTS MN 55076 (612) 850-7733 (612)850-7733 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. ~ APP ANT/ RMITEE SIGNATUR ISSUED B: SI ATUR INSPECTI0N RECUKll CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 025963 Eagan, Minnesota 55122-1897 Date Issued: 0 7/ 10 / 9 5 (612) 681-4675 SITEADDRESS: P•=•N.: 10-8385e-e9e-e1 pppLICANT: LOT: 9 BLOCK: 1 4243 WEXFORD WAY C& M HOME BLDRS INC WEXFORD (612) 850-7733 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION . D. FOOTINGS FOUNDA7IQN FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FTNAL PLB6 FINAL REMARKS: PRV S& W PLBR - VALLEY PLBG F ~ L ~ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPUCATION (RESIDENTIAL) 681.4675 Naw Onstruction Reouirements qemodeVReoair Reouircments ? 3 iepbterod site surveys ? 2 eopies of plan ? 2 copbs of p4u (fndu0e Deam & window aaea; poured fnd. design; etc.) ? 2 ske surveys (erzterior addklons & dedca) ? 1 eneryy akuletiona ? 7 enerpy plculatlons tor heated additions ? 3 wpbe of Uee pmsenation pian H lot plelted after 7!1193 requirod: _ Yes No DATE: ~ a o " 1 5~ CONSTRUCTION COST: I ~I ° / O ° ° DESCRIPTION OF WORK: STREET ADDRESS: ' U ~ BLOCK SUBD./P.I.D. i,)` c~ 1CFOk-~~ f~OD. LOT C PROPERTY Name: Phone OWNER Street Address* City: State: Zip: CoN7RAC70R Company: C 4 M 140 me l1,tc/J~'1 -~~IF'hone -7 73 3 Street Address: 3t8Y c• 28.0 5T License City~eU-r Gro.iti -I4usih.ti State: I1N Zip• SSD7 ~ ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address• City: State: Zip: Sewer 8 water licensed plumber: V,f'14.. G Y PL V h, b 1 N4 Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this appliption and state that the infortnation is correct and agree to comply wRh all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY / ~I~v / Certificates ot Survey Received ? Yes _ ,Plo / Tree PreseNatian Plan Received Yes No -------~-a__~__ OFFICE USE ONLY • .,.,p ' . BUILDING PERMIT TYPE ? 01 Founda6on o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish ,.~O 02 SF Dwelling ? 07 4-plex ? 12 Mutti RepaidRem. 0 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility a 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 _ plex o 15 Deck WORK TYPE ,d--31 New o 33 Akerations ? 36 Move L 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuai) Basement sq. ft. -7,06 MC/WS System ~L (Allowable) ~ Main level sq. ft. v7s City Water ~ UBC Occupancy u-r Gfivao- sq. ft. 915- Fire Sprinklered Zoning / sq. ft. PRV yFs # of Stories C~r~ 1r sq. ft. Booster Pump Length lao sq. ft. Census Code. Depth -5,71 Footprint sq. ft. Z Z 1f SAC Code OL_ Census Bldg ~ w/~ Census Unit APPROVALS Pianning Building Engineering Variance Pertnit Fee Valuation: $ l y7~ J Surcharye Plan Review ~£vre s License 1 ~Sicc T. C MC/WS SAC ~(o3a . City SAC Z 1~ x Z z- Water Conn. ~7x ~ • ~7 l1ro Water Meter yrs x Acct. Deposit y x Il.,' S/W Permit ~ S/WSurcharge Treatment PI. Road Unit Park Ded. l. ~~S rr Yx Z~ • r , ro s Trails Ded. Other p£12- Sr e'f Copies 7.0 Total: ~ e 3 x 7 % sAC SAC Units is'X s y " ~ ~ n~°; _ 2422 Enterprise Drive Hendota Helghts, MN 55120 ~ *~~1~~dla w~o wnVErons . avu o+ararns (612) 881-1914 FAX:881-9488 ~ enp neer ng UND FLAMhli4. W105CAPE MCHtEC15 g~,5 Highway 10 N.E. * * (:Iloine„ MN 55434 (612) 793-1980 FAX:783-1883 Certificate of Survey for: C& M HOME_BUILDERS / 4243 WEXFORD WAY 1 E A G 960.1 REVIEIMFE I~ h 5i N g 63° j )nrE A NO T~NG J~ 60 USf 949.8 950.2 949.8 I -BENCH MARK ~ QW I ~a ~83 h i~ TOP OF PIPE 3 Ic ittti sso.a~ S?061ry EIEV.=949.00 A, p 950.5 3 9 l f ~ \ \ 947.6 / tu i I~O O Q. ? p Q, / p 70 I 0 (0 950.4 N t \ Q~0.Z0 J~ ~ 9~ \ 946.3 N ~ 2 0 94/~.9 6~ 949.8~pQ~3 / 30 ao ~ ~ \ \ ~ 4 ()0 x ~p~ s 33 g 00 ~ Rlu ~ ~o s5o.i ~h x / c o I 45o. I . ~N If ~950.0 949.8X p, ol. ~ h~ / K::,/ BENCH MARK 946.6 , 5/ g0 TOP OF PIPE 2Mp ` ~ ~ ELEV.=949.33- 9 9 9 / i~ 65 83 9. i ED ~B , C.B. \ WEXFORD-. DWE NOIE: PROPOSED CRhDES SHONN PER GRADINC PLAN BY: PIONEER PROPOSED HOUSE ELEVATION NOIE: BUIIDING OIMENSIONS SHOMN ARE FOR HORIZONUL AND VER7ICAL LOCATION OP STRUCNRES ONLY. SEE ARCHIIECNAL PLANS FOR BUILDINC AND IAWEST FLOOR ELEVATION: 4`'• ~ vourmAnoN oiMer+sIous, fOP OF BLOCK ELEVATION: Z•Z NOiE: NO SYEQFIC SOILS INVESTIGpTION HAS BEEN COMPLETEO ON THIS LOT BY THE SURYEYOR. THE SUITABILIiY OF SOILS TO SUPPOitT THE SPECIFlC HWSE ,,4RPGE SLAB ELEVATION: ~Y S~• I PROPOSED IS NOT iHE RESPONSIBILITY OF 7HE SURVEYOR. NOTE: THIS CERTIFlCAtE DOES NOi PURPORT TO SHOW EASEMENTS O711ER ?HAN R 000 00 DENOTES EXISTINC ELEVA110N THOSE SHOVM ON 1HE RECORDEO PLA7. ! 000.00 ) OENOTES PROPOSED ELEVATION - NOTE: CONIRACTOR AIUSL VERIFY DRIYEWAY DESICN. DENOTES DRAINACE AND Ui1LIiY EASEMENT DENOTES ORAINACE ROW DIREC710N NOIE: BEARINGS SHONN ARE BASEO ON AN ASSUMED DATUAI -1?-- OENOTES MONUMENT DENOlES OFFSET HUB WE HEREBY CERTIFY TO C k M HOME BUILDERS THAT THIS IS A 7RUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNOARIES OF: LOT 9. BLOCK 1, WEXFORD DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACfiMFNTS, F,XqEpT A$ SWOWN, AS SURVEVED 13V ME OR UNDER MY DIRECT SUPERVISION 7HI5 21ST DAY OF JUNE, 1995. (51GNED:/ PIONEER EN INEERIN P.A. SCALE : 1 INCH = 30 FEET 672 95190.00 SWK REVISED 7-6-95 HOUSE LOCATION ,John C. Larson, L.S. Reg No. 19828 i.oT 87RVEy CgECRLZST FOR RESIDENTIAL ffi BIIILDING~PERMZT APPLICATION , RO R Dat• o! Burvey: 2 pOCIIMENT gTStanaene S~0 ~ • Registered Land Surveyor aignature and company D~ O 0 • Building Permit Applicant fl ~0 ? • Legal description t3~ ? 0 • Address ~ n 17 • North arrow and bar ccale H~D D • House type (rambler, valkout, cplit v/o, sp2it entry, lookout, etc.) f7'? D • Directional drainaqe arrows vith slope/gradient t. D-D D Proposed/existing savar and vater services H~ 0 0 • Street name n • Dtivevay iLavATioxs Existins 0~- ? ? • Sewer cervice ? • Lot corners ? • Top of eurb at the driveway H~I] D • Elevations ot any existing adjacent homes Proooeed Q 0 0 • Carage tloor ~ ? ? • First floor C~ D D . L°west nxposad elevation (walkout/vindow) ~D D . property corners Front and rear of home at the foundation PONDING 71REAS (1* iDDl{ er.bl wl ~ d ? • Easemeat line 7 C'~ n • xwL ~ tY n • xwL ? • Pond # desiqnation - Emergency Overflow Elavation DIMENBI OliB ~ D 0 • Lot lines fi D? • Riqht-of-vay and stzeet vidth (to back of Curb) Y b ? • proposed home dimansions including any proposed decks, overhangs qreat¢r than 21, porches, etc. (i.e. all ~ n p , structures requirinq permanent iootings) Show all easements of record and any City utilities vithin those easements - Setbacks of proposed atructure and setback of adjacent existing homes ~ 0 0 • Retainin wal e i ments, if any Itsviewed: Name / Da e 1ctobnr 1992 ~ ••vw j7Lu xvenue Apache Office Park, Suite 296 Mihneapolie, Hinnesota 55421 f 1 (612) 633-1555 fi- 811 PLUG MH I ~ II TEMP. HYD. 10 6 W-6" D E E L.52 GND. EL. ?51.4 TNH. 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E . . g............................. . • • , f. . . : • , .............i---------- ~ ...........:.............................f......... ...................i....................._.....:.................._...... l... .....i................. ...I ..........L_._ - . .........i......................... »..i......... ...................i : : • . . . _ • EXTERIOR ENVELOPE IiNF.RCY COUIi COMPU'r-A7'ION WCIRKSIIEET 7b Determine Qarpliance with the Ftinnesota FF,necgy Code (Section 502 oE the State Amended 1983 Model Energy Code) Project Title .TA1 _Lt_ (-}o^C [X~ ~~/t>s!s Site Address 1. EXPOSED WALL CAI.CULATIONS N2FA "l1" VN.[JE ARF.A x "U" A. Opaque Wall 1. Masonry/Concrete a. x = b. x = c.~ X 2. Foundatirn wa11 (A F)nv r-. Grade) , x ,[771, _ ,9;P4 b. ~ x = 3. P7ood Frame wall a. Insulated Area x b. Framing Area (Ave. 15% at 16" oc) x i c. Framing Area (Ave. 108 at 24" oc) x = 4. Peripheral Floor Edge/Rim Joist l X b B. G].azing - 1. Wirclaas G~ x 0~~94~5 b. x = , 2. Doors - X C. Doors ~ - - - - - 1. S+bod a. Solid x = b. With s orm door x - T 2. Me Fa 1 ~/V 3. Overhead x = 4. Other x = - D. TO'PAL WAIL ARFA, sq. Et eZ) E. 7t7i'AAL of ARFA x"U" . ~?/(J ~41 Q. ROOP/CEILING CALCULATIONS A. Roof/Ceiling Insulated Area IVI-f C'C, x H. Faoof/Ceiling Framing (Ave. 15% at 16" oc) x = C. Roof/Ceiling Framing (Ave. 109 at 24" oc) --A7-7, 6L> x D. Skylight X = E. TO'PAL RODF/CEILING 1\RFA sq. Et F. TOM CF AF2FA x"U" ~~•7Y III. BUILDINO ENVBLOPE REQUIREMENTS . ~ , 7'UtN, MF11 REQ[IIRFD "U" ALLOWAAI,H (F[vn I.D 6 II.E) (F[vm V.) (Aie3 x"tl") A. Fxpogea wau: B. RooE/tellln9 - /-7A' GtJ x •UZ(G - LlG'• f z- C. TDTA[. ALLfJWVA8[.E BUIiDING FNVEIAPE ('Ibtal oE A 6 B above)... IV. ACTUAL BUILDINC ENVELOPE At'TUA1. (Area x "U") A. Exposed Wall (Fran I.E) B. PooE/Ceillng (Fran II.F) 1E~ 7S1 C. 7t7CAL NC1UA[, BUIIdING INVQAPE (Total oE A 6 B) . . . . . . . . . .J'~/, •(Nelb eode redulrewnts 1f less tMn III.C) V. R6QU[R6D "U" VALUE3 WALLs AooF/CEiLtrJc Detached ore ard two family dwellings .026 J •,lLlti-Family Residential Buildings .238 .033 (3 atories ac less in height) • All Other Obnstcuction lypea (3 shories or less) .238 .06 * All Other Constructirn 4ypes (F1ore than 3 stories) .29 .06 • Sated on 8007 heatlny deyree days (Ihls/St. Paul) AdJust 'U• ralues acco?dlnyly /or other Ixatlons CCR7'IPICATIUN I hereby certify that I have crnpleted tJie above InEormation and that it mrplles with the Mltviesota Stabe Energy Code. ignature ~Da te BCSD 3-89 CC/SA1/8574 CITY USE ONLY L ~ BL ~ RECEIPT ~'~7~/,~LL SUBD. DATE: 84 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x Water Closet 3.00 x 3 = 9- Bath Tub 3.00 x i = 3- Lavatory 3.00 x 3 = Kitchen Sink 3.00 x 3- Laundry Tray 3.00 x I Hot Tub/Spa 3.00 x = Water Heater 3.00 x I _ Fioor Drain 3.00 x 1 _ 3- Gas Piping Outlet ' minimum - 1 3.00 x 3- Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal " Dakota Cty. license 20.00 = U.G. Sprinkler " home under const. 3.00 = Alterations ' to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL 17) SITE ADDRESS: y a`I -s W c„ F--rcl l,.lA OWNER NAME: C.i v"'\ INSTALLER NAME: V R 11., R( S~ c u 7_ ~ STREET ADDRESS: n-CITY: STATE: ZIP: PHONE (u brUNA I LIF(L aF P OFPICE USE ONLY L BL RECEIPT SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: w all commerciaUndusVial buildings. w multi-family buildings when separate permits are nM required for each dwelling unit. DATE: CONTRACT PRICE: `l:C°K T`~?E: _ C.^,!:£T2UCTIOP: _ ADC ON _ ^EPAIP. DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contrad price, whichever is greater. State surcharge of $.50 per $1,000 of Rgnng fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL • SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPUCANT OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: p CITY USE ONLY D L / BL ~ RECEIPT#: SUBD. DATE: 8 a 9S 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ~ single family dwellings ? townhomes and condos when permits are required for each unit X New construction Add-on fumace Add-on air conditioning Fireplace conversion (to existing. fireplace) Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU ~ Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) 1~. a0 ~ State Surcharge .50 TOTAL SITE ADDRESS: OWNER NAME: PHONE #A5- 6' -1133 INSTALLER NAME: `06 c- STREET ADDRESS: <~A_k~ ciN: F r ; ~c- STATE: ziP: PHONE ) 1~~ Ufu`lTATORE-aFFERtJf iTT CITY USE ONLY L. BL RECEIPT SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are IIM required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: P $25.00 minimum fee 1 1°/a of contract price, whichever is greater. w Processed piping - $25.00 State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (iMPROVennENTS oNLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CRY USE ONLY l BL RECEIPT SUBD. ~ DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ' ? townhomes and condos when permits are required for each unit New construction Add-on fumace -T /1VV /aII I</1 VIIVIllly /~~Y~11~114r~v11Q1yi1.v.,V4~r~V'J{YIIvIV. Date: FEES i ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL Z6-, XJ SITE ADDRESS- OWNER NAME: k,-f PHONE INSTALLER NAME:_-preferred heating air ; 7643 Logan Avenue South ~ STREET ADDRESS:_ Richfield, MN 55423 Bus:866-7611 Fax:866-0125 ~ CITY: ~ I ZIP: PHONE ( ) ~ /Z-z-9G ,~3fJ CITY USE ONLY L BL _ RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commerciaUndustrial buildings. ? mufti-family buildings when separate permits are ~t required for each dwelling unit. DA7'E: (:ONTFtACT I'RICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: • $25.00 minimum fee QL 1% of contract price, whichever is greater. • Processed piping - $25.00 0 State surcharge of $.50 per $1,000 of pmi2 fee due on all pertnits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLI) INSTALLER: ADDRESS: CITY: STATE: ZIP• ~ PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR PERMIT City of Eagan Permit Type:Building Permit Number:EA129753 Date Issued:03/11/2015 Permit Category:ePermit Site Address: 4243 Wexford Way Lot:009 Block: 001 Addition: Wexford PID:10-83850-01-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Douglas Sterrenberg 4243 Wexford Way Eagan MN 55122 (651) 278-3002 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature