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4251 Wexford Way01/19/2011 WED 8:12 FAX 6514378831 Date: City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenant: tj002/002 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION Site Address: 4251 51 VeX l tJt U WOj SC011i 'OUn J Suite #: RESIDENT / OWNER Name: �S-+ YouPhone: ` #4I Ili __ Address I City / Zip: L Address 256Vvi rd vVaL paB(A5S1lL CONTRACTOR Name: One Hai License #: , Address: ((n sT /c(rlt1i City: hO i State: rn fl Phone: > l y7�/ It Contact: Jaw I L t i 1;1 Email: l O ie' t l i 0D(\ Hann y 4 f p 1 a t i- till f 1 1 TYPE OF WORK New J Replacement Additional Alteration Demolition Description of work: ( otot` 1( fen I fiA, ac NOTA€ Roof 00tteted and ground mounted mechanical quipmentis required to be screened by City Code 'Please confect the Mechanic l Inspector for tlttormatton on permitted screening methods PERMIT TYPE RESIDENTIAL �Fumace _ Air Conditioner _ Air Exchanger Heat Pump COMMERCIAL New Construction _ Interior Improvement Install Piping Processed Gas Exterior HVAC Unit _ Under !Above ground Tank ( Install / _ Remove) **When When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5,00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x 1% $55.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is Tess than $10,010, surcharge is $ 5.00 - if the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) _ $ TOTAL FEE CALL BEFORE YOU DIG, Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aophetsta eo()ec IL.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 1 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 plan , Applicant's Printed Name App ant's Signature . . ~ INSPECTION RECURD ~ Y CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: i„, : , t, r. , APPLICANT: ~ I;I ; ~iI;fl WAY I I j . ~ I ~ i: ~ I ~'1 ~ I ,SS1u,r`~T~"7 t!' 'N'..vr~ ? . . - . .~r.aM~yn~+a•.v..~.}- P` , . j r I • -i rt f~ A ~ , PERMIT SUBTYPE: . ' TYPE OF WORK: INSPECIION D. ~ Pd'.1l 1 F1 t I!lM ; I i+l 1' ( f1~ I flli~,ll I f! Iti, Ellili 1 N 1111, 1 I Y~l~1 {~1 Ft1~ f t Nltl ~ 1 t~ Mrf) t'. 1'1'Ir' I I IF ~ I iL r PlrTR NO. POr111it HOlder Ddo TNephOfN A S/NV PLUMBING HVAC ELECTRI ~ . ELECTRIC Inapectlon Does Insp. CommMb F°°a'gsi Foundation - Z 4'- 3 -S . v.f ~ u .rs Fmnfirig Roofing ~ i% / N G-A n.a G6 - N°* Plbg. Ro,o ?to. Isul. F`epla°a 4~4 Final Htg. -~s-9 Orsat Test Fr?al Plbg. Plbg. Inepec,tor - NotifY Plum6er Conat. INele? EngrJPian eag. Fmi °11.tel? uJ Oedc Ftg. Dedc Flnel Well Pr. Disp. _ y- ~ . ? %5 i - i7~ , ~ :U'.,r~c ~ T • • ~ . . . 1. . . . * • ~ 1Q WeMficate vf cceoanc~ _ WU4 of Cfagaa ~Ment .f lawahis 3*40tedall ~ This Certificate issued pursuant to the rrquirerreents of the Uniform Building Code certifyirtg that at tlu time of issdance this strucrure was in corrrplia?rce with rhe various ordinances of the City rrgulating building construction or use. For the following: uw namr,w;on: SF T~JG Bwg. Pemit rvo. 22536 ~ aC-P-CY T"C R3/MI zmna nMia Rl TyM const. VN ow.tt a( suiw%nPTM E06 OONST nam.! 704 28QM ST WT NM PitAQ]L a,~ ~a~+951 F~17 WAY t,,~~ 2M Bti fin P06T IN A CxHNSPICX/OUS PLACE Cities Di ital ualitv 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. ~ + ~ ' / • a • a a ~ , ~ . - • I ~ ° • • r . e 1. ~ rs~r : ~ . _o ' • r~ ~ N ~ 0'• '1 ~ . ~ I • ~ i- I • P~ ~ ~ ? I , r B ? 1 0 I I I ~ • ~ ' • I r ~ ~ I ~ . ~ • ~ I ~ ~ 1 I ~ i . ~ ~ • i i ~ ' : r • ~ ~ I - . ~ • -~o • ~ ~ x ? • I ~ ~ - ~ ? - ~ • • • • • ~ - ~ I . ~ : • ~ I • • • • o . ~ ~ 0 f I I • s . / I _ a s • a ~ • • a ~ ~ • r • • a r s I - ' i ~ O ` O m ~ ~ • ' - ~ ~ • ~ • • • • ~ o • • • ~ • • ~ ? ~ • ! • I a a• - ~ - o - • • . • , s ?w• • s s I ~ e • I ~ • I ~ • B ' • ~ - ~ I ~ I I i.- ~ ~ I I I I I I I I ,i Y: cr I t- • ~ ¦ r ¦ s ~ ¦ ~ ~ ' ~ • e. ¦ • li 1. • - ¦ • c• _ - ¦ °s ¦ • 1 ~ r s ? 1 ~ • ~ r ~ ¦ • ¦ 1 1° a • ¦ i - -o ~ i 1 ¦ 1 6• t s ¦ • s. I~ 1~ 1 ¦ ~ - ' ~ ¦ ~ ¦ • a - - f ~ • ~ - ? • i • ~ ~ ~ • • • • r_ • ¦ 's. S ~ f. . ~ A - s• ¦ • , ~ : • • ~ • . • • . ~ • ~ ~ • ~ • ~ e S~• ~ • ~ - • ~ • ~ : s• - • s ~ ~ ~ ~ s • • a ~ ~ ~ ~ ~ i ~ ~ ~ . ' ~ • • ' • i • • i ~ • • f ~ ~ • s _ ~ ~ • • ~ ' • • _ ~ _-.~i M 2530 / . Request Date rte No. ough-in Inspectqn NOTICE: You Must Call Elecmcal Inspedor eqmt ~ I( A Rough-in Inspection L es ? No Is Roqmretl 112 icensed contractor ? owner hereby request inspection of above elechical work at: Job AtlEress (Strel Box or RoWe No ) Qry e Piri Wd ^ Secuon No Tvxnship Name or No Raige No. County ~ Occupen (PRINT) Ptwne h!o Z PvnarSupplier Pdtlress eLe'i f~r/~M ~ Eleclrical Contrecmr (Comp3ny Nama) ConVaclor5 ~censa No - L? Cr-TDI /Y MaNng Atltlress (Contrector or 'Qknot Making installatbn) l 3o -5 e 7 I ANtwnzep'$Ipnalure (CanV /Owner Makvg Installalion) Phone Numb- l^ Y MINNESOTA STATE BOARD OF ELECTAICIT THIS INSPECTION REQUEST WILL NOT Griggs-Mltlway BIEg. - Roam 5-173 BE AGGEPTED BV THE STATE BOARD 1821 Universdy Ave., 51. Paul, MN 55104 UNI.ESS PROPER INSPELTION FEE I$ Phone(612) 6024)800 ENCLOSEO REQUEST FOR ELECTRICAL INSPECTION ji~ See mstmctions br compleling Ihis form on back oi yellow copy 52530 -"x" Below Work Covered by This Request :3W 3 E Ne0• TypeofBuildinq ApphancesWired EquipmeniWiretl Home Range 7emporary Service Duplex Water Heater Electric Heanng Apt Budding Dryer Loatl Management Comm./Industnal Fumace Other (Specry) Farm Air Conditi0ner Olher(specdy) Contraclor5 Remarks: Compute Inspection Fee Below: # Olher Fee # ServiceEntranceSize Fee # Grcwts/Feetlers Fae Swimming Poal 0 to 200 Amps ? 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Sl9ns InspectorsUSeOnly ^~f TOTAL Irti ation Booms i ~ Special Inspection ~ Alarm/Communication THIS INSTALLATION MAY BE DIrSCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 THS. I, the Electrical Inspector, hereby Rwgh-in aia certify that the above inspec6on has Fnei o!a been made. OFFlCE USE ONLY ~ This raquest witl 18 manihs trom Address 4251 wexEO?tD waY Zip 5512 ? Lcrt • 2_ Blk I Sub wF.MRn 2DID THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECl'ION. Date: ZS1 Yes No Inspector: Final grade (6" from siding) ~ Permanent steps (garage) v . Permanent steps (main entry) ~ Permanent driveway ? Permanent gas ~ Sod/Seeded grass TraiUcurb damage Ll- Porch Basement finish I/ Deck L Pleue verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucel before freeze porential exists. ContaM engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - CoNractor Copy ~ jlerty OF EAGAN PERMIT PERMITTYPE: eui~orn~ 383C'.Pilot Knob Road Eagan, Minnesota 55123 Permit Number: 0 2 2 5 3 6 (612) 681-4675 Date Issued: 11 / 17 / 9 3 SITE ADDRESS: 4251 WEXFORD WAY `~Od~ LOT: 2 BLOCK: 1 G~ ~lI1gI~3 P.I.N.: 10-83851-020-01 WEXFORD 2N0 DESCRIPTION: Bullding,Permit Type SF DWG Building Wnrk Type NEW ~UBC Occupancy\ R-3 M-1 j~ Construction Type V-N Zoning ~ R-1 Building Length i 70 ~ Building Width 39 ~ CC,,, c REMARKS: PRV S& W PLBR - PARSON PLBG FEE SUMMARY: VALUATION $170,000 Base Fee $884.50 MISCELLANEOUS $1,744.50 Plan Review $574.93 Total Fee $4,038.93 Surcharge $85.00 5AC $750.00 SAC % 100 SAC Units 1 Subtotal $2,294.43 CONTRACTOR: - Applicant - sT. Lzc. OWNER: GEROLD BROS CONST 17582842 0001115 GEROLD BROS CON3T 1704 260TH ST W 1704 280TH ST W NEW PRAGUE MN 56071 NEW PRAGUE MN 56071 (612) 758-2842 (612)758-2842 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all epplicable State oF Mn. Statutes and City of Eagan Ordinances. APPLICAN7/PERMITEE SIGNATURE ISSUED 8 SI ATUR REACTIYATE CITY OF EAGAN PE~*t!~. 1993 BUILDING PERMIT APPLICATION . 2 5~93 681-4675 " _ ~e------ rr. 00 -r~ SINGLE 8 MULT1-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 thange is requested once permit is issued. Date /;3 Yal uation of work /gO, a-,n Site Address: ( )pxi-o"fl C.jI44 LTqEET wItE r Tenant Name: (commercial only) IAT ~ BLOCK L_ SUBD. Y.I.D. M Descri tion of work: The appl icant i s: 0 Owner Contractor ? Other (Describe) , Name ~OUAJ!~~ Phone Property L.ST FIRST Owner Address STREET tTE Y City State ZiP Lompany /tozdt z5rras ~`-oVGT- Phone Contractor Address 170`~ sT_license Exp. City State rh~ Zip 56-0 71 Company Phone Architect/ Engfneer Name Registration Y Address City State ZiP Sewer 6 water licensed plumber Rs,~') P-uraevv . Processing time for sewer 8 water permits is two days once area has been approved. 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. Signature of Appl icant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Fintsh ~02 Sf Dwg. O 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool O 03 SF Addition ? 08 8-Plex O 13 6arage/Accessory O 18 tomn./!nd. 0 04 SF Porch O 09 12-Plex ? 14 fireplace ? 19 Coiom./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Fuility ? 21 Miscellaneous WORK TYPE K31 New ? 33 Alterations ? 35 Tenant Finish O 31 Demolish O 32 Addition O 34 Repair 0 36 Move GENERAL INFORMATION Const. (Actual) Y-N Basement sq. ft. NWCC System YE5 (Allowable) V-N lst fl. sq. ft. City Mater Y&t~ UBC Occupancy R-Z m-I 2nd F1 . sq. ft. PRY Required yE5 Ioning R.I Sq. Ft. total Booster Pump / of Stories Footprint Sq. ft. Fire Sprlnkler Length 69: e" On-site well Census Lode loi Depth On-site sewage SAC Code ol APPROVALS ~ Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS O Site ? Footing ? Framing O Insulation ? Wallboard 0 Final O Draintile ? Fireplace Permit Fee wwc~~: S 1-? 00 000 ^ Surcharge Plan Review G"._~A~*~ 3Y ~Cay _ g~~ . License MWCC SAC I X 11: (1I) City SAC Water Conn. 805x l(o_ ~Zfr~Cv Mater Meter 35 x2 Acct. Deposit S/M Permit 12 33 )4 I5= ~5 S/N Surcharge Treatment Pl. 1Z 101 X1 s= Road Unit (5T rLOoQ: Park Ded. Trails Ded. CoPies 'l~i~C2= I Other Total: SAC % O~ 2N q FtaOr ; SAL Units 16 y8x~9= 139Z a.= iti 8x z= I 1'/Lx 14 = Z! ~ox ~2G 'Lo I'jtil )e 5y . . ' LOT BIIRVEY CSECRLIST FOR RESIDENTIAL . ~ HIIILDIN4 ERMIT 11PPLICATION ~ ~ 4ROPERTY LEGAL: ~ m Date of Surva : 2 pOCIIMENT STANDARDS Ca' f7 0 • Registered Land Surveyor siqnature and company B~ 0 0 • Building Permit Applicant ' B~ 0 ? • Legal description 0 C~0 • Address 6~ 0 0 • North arrow and bar scale ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) @~O ? • Directional drainage arrows with slope/qrndient ?@~ 0 • Proposed/existing sewer and water services 8~~0 ? : street name Lf ? ? Driveway ELEVATIONS Existiaa L] Cr'0 • Sewer service 0' ? D • Lot corners ~ 0 11 • Top of curb at the driveway ? 9--11 • £levations of any existing adjacent homes PzovoseC C~? D • Garage floor C1' D ? • First floor 0 ? • Lowest exposed elevation (walkout/window) 0 • Property corners 0 • Front and rear of home at the foundation PONDING AREAS (if aDDiicnble) Pt~? 0 • Easement line B~ ? ? • NWL D--? ? • HWL • Pond # designation 0 Q' ? • Emergency Overflow Elevation DIMENSIONS 2-13 0 • Lot lines 0--0 D • Right-of-way and street width (to back of Curb) ? • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) .$~~7 ? • Show all easements of record and any City utilities within those easements ? • Setbacks of proposed structure and setback of adjacent existing es 0 • Retain' a!2111" irements, if any Reviewed Name - / at October 1992 ~ ' . EXTERIOR ENVEIOPE AVEMGE "IP' COMPUTATION _ 14ME11: Sco u :ITE ADDRESS: * 6 ~ :ONTMCTOR: CGerv i ?~roS Co~-- DATE: (IlltIq 3 PROME: ~ E~p -a'U~ , DETEMIIME WORKING SOUAItE i00TAGE OF EACH: 1. TOTAL EXPOSED WALL AREA,,,,,,,, sq ft x"U" • ~ . 318,la t, TOTAL ROOF/CEIlIN6 AREA,,,,,,,, sq ft x"U" 3. TOTAL EXPOSED WALL AREA CALCULATIOMS: Total exposad wail 2 ares +bove floor,,,,..,. S~ sq ft Q • c ~ Total ?rall wlnda+ ares: J D ~ 9lazed...... sq ft x• ~~U" ~ s sq {t x "U" JI- ' S b) Toial door are• sq ft x"U° ~ c) Total sllding glsss door srea: N~SL. 9lazed...... 3a sq ft x~~U" ~ o~ ~ lO•~ J ~ ze sq t x ~ . 3 d) Total flreplace vall area - N a) Total wall traming area 9 (Averags l0A)........... sq ft x"U" r/O~o f) Tota1 net wall area above floor (Insulated)....... sq ft x"U" • 0 y G 9) Toul rlo Jolst area...... ( 3 7 sq ft x"U" . 01/ 3 ' 5-•67 Total fcundatlon Jy~ ~ area (Exposed).......... , sq ft h) Total foundatloe wtndow area............. s4 ft x "U" • 1) Total net foundation area above graN........ sq ft x"U" • . TOTAL a) thru 1) G If iteA R) Is the same as, or less than (tam f1. you Aave met the Intent of 2 MCAR 1.16008 A and O. Pa6e 1 4.: '~OTAL ExPOSEO ROOF/CEILINC CAICULATI0N5: ' ~ Total exposed ,•1 „ n ~q ~t roof/callin9 area........_.J,~U~~ Tota) skyl(9ht area - , . k) Total roof/celllna framing sq ft x"U'• ~ • OZ ~ •res (Ave nos Inx)...... - 1) Total net insulated • re) . O I S 02 rool/cellin9 area....... ?'3~.sV ft x'U ~ TOTAL J) thru If total of 04 Is the sam +s, or less than 12. you Aave met the Intent b~ 2 HCAR 1.16008 A acd 0. ALTEIWATE BUILDIHG ENVELOPE DESIGN temsZ/3 t and t ll , shall e noe be system greatert than the smn of Items ' 4~l handb02t~ sum of i 1. + 2. ~ M. ~ .3. ? . . • C E R T 1 F 1 C A T 1 O N 1 hereby cert(fy that 1 have calculated tAe "U" factors and "R" values hereln and that the bu(Idlen here deecriAed meets or exceeds the State of Minnesota Enercy Cooservetlon Act. Siqnature (Date) Pege 2 _ ~ ~ 7 :rLCE CALCULi+TiJNS . . . YALUE U YALUE • • Ins:dr a1r film .68 yALt, [nteclor va:l •45 (Vall) L' . ~ . SEC7ION !asu;ati..n oa Dy~ sneatninc •~z• . ;l - stasng ~ ;.ut.cav atr tltm .17 RroreL Z(,53 Instde atr film .E9 , Q S'f'~,') II1[e::OI Ytll •45 h. h SLCTION ' 4" •-ad R` 6-39' (Ftam[ng)U- G.s7 ~ I Sheathing .LZ 0 106 SldtnS .b( Outstde atr itlc .17 ~ J 6~ : orAL 9, ~f 2 10 Insioe •!r film R• .68 2ND VALL Interwt vall SCCT1'Ve Insulation . (Wa11 ) : . R . ~ Shea[hins g . ~ Exterlor vall coverins Ex[ertar air film i ..1 % - ~ - A ?OTAL N Interior •tr f1la R* .63 ~ JOI53. 1} tr.ch soft yuw! R=1.88 (Rim U¦~• ~ YOiSL) 1 ' Sheathing ~(oZ - Exterlor vall coverina ,tol • 04 3 E:tetior .it film It, .17. ~ . 8 TOTAL Z Z- 9~o ' i ^ i Int:rlar a:: [:im R` .66 Tnsula:lor. ~ Founda:Ion ~ ~ 2a (Fdn.) U ~ lE • [aterlor •ir :lln R• .17 • • I i TOTAL Q/a 3 ~{xpused 8lucic i ~ ~ ~ • ' PF'D E 3 . . , CE:LIWi AITN YENTED ATiIt S7ACE ABDYE • : UE LUE . FRAMItIG CEIIING 0.61 _ Mr Fitm 0.61 Insuletioe 5a , 3S Joist 15f_ Cetltnp , 5(p 011 A1r F11m 0.61 Total R X3,76 ` 1 .02f U -lE . 618 FLA7 ROOF OR CATHEDRAL CfILING d ~ R YALUf FWING CEILItIG ~ 0.61 Inslde a1r film 0.61 CeiiinQ I Jo1st (stud , Insulation , I I Atr space Roof de:kinp Insulatlon ~ Bu11t-uD root I 0.17 OutsiOe air fila 0.17 . - Totei R - U lindow infiltratici .S cfm/tineal toot of track - testEential door inflltration 0.5 cfm/square foot or dcer and miniuur. code requtrement bn-ns/dential door infiltration 11.0 tfai/lfneal `oct of crack lp 120 tonCreu block ro fnsulatlon - .41 R 2.1 . )p 12' concrese block lnsulated cores - .26 R 3.8 . lp 12• 1 i;ht++eioAt block - .32 R 3.1 • ;p 12• lipbtreiiht block inzulated cores a..12 R 8.3 , J single glass ~ 1.13; rith stom riodow .54 . 1 double ylass ¦ .SS 1 triDle glass • .41 I71 exterior walls and cetlings c,ust have a vapor barrier (C.10 pe-n c'sx.). :apor Oarrter oust De on the inside (hea:ed side) of rrrll. _ taDOr Carrters of the polyethelene thin film have no a?aluc. Pr~ E 4- - 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 -9S New Conshuction ReauiremeMs Remodel/Reoair Reaulrements ? 3 reglsfered sMe surveys showing sq. tt. of lot, sq. H. ol house 2 copies ol plan and all roofed areas f20% maxlmvm lot coveraae allowed) 13et of energy calculation3 lor healed addBions ? 4 copies of plans (show beam 3 wlndow slxes; pourod 1nd. design; etc.) 1 sXe survey for exterlor addXlons i decks ? 1 fet of energy calculatfons ? 3 coples of hee preservatlon plan H lot plalfed after 7/1 /93 ~ DATE: CONSTRUCTION COST : 7/j l J"t~ -•-'f~'~i.~~-+_~,~t~?~~, DESCRIPTION OF WORK: 3fi'f7- STREET ADDRESS: LOT: ~ BLOCK: ~ SUBD./P.I.D. Name: / 0UAf& S6077- Phone M: 1686 ^ oos8 PROPERTY last Flrst OWNER r~S~ wr!/ Street Address: City State: m~(j Zip: Zr(,. P-Iv &iz- 3-3&-6-3573 Company:+~/Z-~7"9'V'`1 'D. ?D/b+/T Co--/37 Phone#: 6-5I 1/63 (area eode) CONTRACTOR / + 5"F ~j~7 0 , F License 1k Exp. "_{~c Sfreet Address: .5 City r:::r.~IJ~ State: Zip: `5 SOc3~1Z' ARCHITECT/ ~~n~/~'" ' ENGINEER Company: Y Name: Telephone N: area code ( ) Street Address: Regfstration City State: Zip: Sewer S water Iicensed plumber (reaulred for new construcflan onlv): PenaMy appiies when address change and lot change is requesfed once permR Is Issued. I hereby acknowledge thaf 1 have read this appiicaflon, sta}e thaf fhe InformaHon is conect, and agree to comply wRh all applicabl ' State of Mlnnesota Stafufes and Cify of Eagan Ordlnances. Slgnature of Applicanf• , OFFICE USE ONLY III Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required lk~ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments fl19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ,.7~ 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code C/ UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bidgs ~ # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building % L Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review " License MGES SAC ~r.~~.,~,., . . . _ City SAC Water Conn. ,r WaterMeter Acct. Deposit S/W Permit S/W Surcharge , v-, • , Treatment PI. Park Ded. ' • ^ Trails Ded. Other . Copies TotaL• SAC Units C;1+^qp ; ' " %SAC I,'Sr-i> )'L~e MAhC" ~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD • 55122 ~ 651-681-4675 NPW conshuctlon ReaulremeMs Remodel/Reoalr Reaulrements ? 3 regMered eHe surveys showing sq. N. of lot, sq. H. ol house 2 copies of plan and all roofed areas (2maxlmum lot coveraae altowed) 1 sef d energy cakulaNons tor healed addNlonf D 2 toples of planf (fhow beam S wlndow slzes: poured Ind. design; etc.) 1sNe survey for exterbr addMione 6 deeb > 1 sef of energy calculaflons > 3 coples of hee prefervaflon plan H lot plaMed afler 7/1/93 DATE: K % CONSTRUCTION COST: ~ DESCRIPTION OF WORK: ~a STREEf ADDRESS: l Lt FJ Cr" e LOT: ID BLOCK: ~ SUBD./P.I.D. N: "U Y T .~S Name: / ~ r~ - • G d Phone Ik: PROPERTY Firn OWNER ~ Sireet Address: ~ City ~ r r < <i State: Zip: n J l/Z-J-f~G.iS~ Company: 2, ~ f Phone N: I' (area code) CONTRACTOR `j "'/i`«;O Sfreet Address: CCl 7/~ License #k li 1 S Exp. City 'It V 7 State: A7l~i Zip: ARCHITECT/ n ~ L_ Y /Z Name: ENGINEER Company: , i Telephone C area code ( ) Sfreet Address: RegistraHon M: City State: Zip: Sewer 3 water Ilcensed plumber (reaulred for new conshucHOn onivl: PenaMy applles when address change and lot change is requested once permR Is issued. I hereby acknowledge fhat I have read this applicatlon, stafe thaf the Intormaflo orrec an a ree t c =c(3 Sfate of Minnesota Statufes and Cky of Eagan Ordlnances. ' Signafure o} Appll nY. OFFICE USE ONLY Certificates of Survey Received ~C Yes _ No Tree Preservation Plan Received _ Yes - No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex 0 11 10-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea. ? 03 1 of _ T - '-r`r rv " " " - ? 18 Deck ? 23 Porch (screened) 0 04 2-plex ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex _ . - - , ? 20 Pool ? 25 Miscellaneous WORK TYPI ? 31 New s Line Only ? 43 Siding/Soffits/Fascia ? 32 Addl s Insert 11 44 Windows/Doors ? 33 Altei ~r.n_ ~~~•:~-n iodStove ? 45 FireRepair ? 34 Rep r, i roof . , for demolition permit GENERAL I"- e:,: r-• ~ „ ~ Const. (Act~ Census Code Z (Alloi ' SAC Code UBC Occupa No. of Units Zoning No. of Bldgs i # of Stories i o; ,•.~~l MGES System Length City Water Width otpnnt sq. tt. - Booster Pump PRV Fire Sprinklered APPROVALS Planning Building I/~N Engineering Variance Permit Fee aS I a~ Valuation: $~5~~~_, Surcharge ~ ,~~ruL:- ~ Plan Review 3 3 ~ ~ ~ License ~ r~ . MC/ES SAC /Z a o City SAC _ Water Conn. f Lf, Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 4~~"-~ ~ SAC Units % SAC , Cfl-~t-99 Yo.,.res J'<,3 . -AS t . VPASS ~Pos3~'0 f~u.. SHR~/!T-t~ : 3'735 S.p, t~95.5 x o.a25 F4 =9-74- µTF,*xo Gd/~{3i jActid~1S ot.1 9oFPFl 9oaW!' diut.163 I ~U0-c4a~ Zo 5,F. ( r+,a) al= STD• IaSti L G4YSS ~A14tS.. . . Low~ GC.4~s9 5~N/!E's wM,~ ~+K. ~.l = 4' Z" - - . .}-SS. 13 ? ~~~iB3 --I ~ bV/r, v,o~ , C „~l 1,.~ ~ r~~ e~ ~w w CY V LA.5 0 e~~t • CiTY CF DliILD?::G D:PA37?!GN'?' L`;'fERICR ZNNELC~ ?GG "G" COMif.7ATI0N (To be subnitced with building permit.aap?icatior.) O::e c_ 2vc Paaily Duzlling Owne: lica-rr Yuu.i(o All O:ne: Sice Addzess 4-2Fi WLxFeRO 4'hY Contractor fgy,l.,J p, Date Phone LINEAL FEET OF EX?OScD L1ALL ft. above grede = 0 ~ TOTAL EX?OSED (dALL AR-EA SQ. FT. ~ ~TJVi S W~. ,~'ZoOM A'D9 9D ` 02AQUE 4'E.LL CONST.°.UCTZOV: "U" Value X Area Detail "U" X SQ. FT. (U)(A) reference gy'te oaw9 "U" a.o44} X SQ. FT. ~238a.a °466.ho (U)(P.) from g.M "U" i.ofae X SQ. FT. 26t.0 = 11.21 (U)(P.) a[tacred Tmo..Wmoa "U" o. 12ia X SQ. FT. 69.c = 10.84- (U)(A) s`.ee:s ~az+l i,~lu. FtmC~ "'J" o.~~3b X SQ. PT. 29. = 3.z3 (0)(A) ,~eR~1wl4~,l.q-"U" o.o~4R X SQ. F?'. 25A.3 = I1.Yo (Ii)(A) W:NDOt1S: "J" Value X Arez ~8(LS Make 6?yPfl(&Flcf (y) H,Fco csr~T ~~UD.4F SQ. iT. (il)(A) Make tr Type LU:~ ij~ it "U" 0.35 X SQ. FT. L') (P) Make d Type oPer ?4rlp~J51~ Rn "U" 0.37- X SQ. r'T. J5 2.8= 1~.90 (7)(A) Make b Type "U" a, sL X SQ. FT. Rz.¢ = 20.33 (U) (A) DQORS: "L'" Va?Le X A:ea Make 6 T.YPe Wb iNsj II - sm~ 'lUll .'Y92 X SQ. ?T. ~G.S = 4-0 (U)(A) Make 6 Tppe P ~r ~~Jl. . 44 X SQ. FT. Ao.S = 19.04- M(A) Make & Type X SQ. FT. 4-1.1 13•I5 (U)(A) Make 6 Type X SQ. Fi'. _ •(G)(A) TOTALS SQ. FT. 3+35.e (U)(A) AVERAGE "U" TOTAL (U) (A) VAI,UES DIVIDED, BY TOTAL WALL ARyA ~'''5•O P,WTu09 ' AVERACE "U" .11 or less for 1 6 1 family dwellings ROOF/CEILING:((" ~ TOTAL AREA : Detail reference(tveJ c~ieac> °U" ' o.eIq3 X SQ. FT. ?21.e 54 (U)(A) fram "U" a,v2j I X SQ. FT. Z62.6 a 5.3z (V)(A) attached sheets. "U" p, oso X SQ. FT. z.~.a (U) (A) Describe openings~ D,OlR3 X SQ. Ft. ~t.y (U)(A) in rOOf. 1t6Kfi T-'lUll X$Q. FT. a (U)(A) . TOTALS l 0`15.5 SQ. FT. 3$'.8G (U) (A) TOTAL (U)(A) VALUES DIVIDED BY IOiAL ROOF/CEILING AREA AVERACE "U" .025 for ven[ila[ed reofs. , --WALL SECTION-- tetermining "Ul' values at RooY, Wall, Rim, and Conc. Block 6X~ 5.~'~v . ROOF/CEII.IN6 R VJLUE . ' S t.) Interior Air r'ilm 0.61 . 2.) q/g"Gyp,BD 0.56 3.) Insulation 50,66 4.J 5•) Exterior Air Film .bl ( STII.L ) ~ (D -uUn = 1/R~ D.o~93 iOTAL (R)'_ 5r.lob ' ~ • ' 8 . • WALL R VAI.II 9 6.) Interior Air Film 0.68 - B9. U ''f? ' . • • 8.) Insulation ~q,oo • 9•) INSJL. 2.06 10.) 5'T11~tJ 0 . io 17.) Extesior Air Film 07 ' ll . . uUn = 1/R= o,owt- TOTAT, (R)o yz.36 I'L RIM (R) VALUE 6 ~3 t2.) Interi.or Air rilm o.68 • 13.) Snsulation ~q.oa l 74 • i4 14.)1 ZXjO . I,a9 ' ~~J./ INSJL S(. 2.tlfo. • • 15 t6.) Sru~ o . • 17:) Exterior Air Film .17 . a , o . uUn = 1/R=TOTAL (R)= 23.8 O° .po . ~ FOUt7DATI0N (R) VALIIE . 18.) Interior Air Film 0.68 ~ pe A o.. 9 20. ) f*i~'q.a g..w~'(s~..t srn3 0, 6 a U 21. )!z o~~ 1• y8 a n 1.~ 22.) 23•) Exterior Air F3.lm .77 0 upu _ 1/R= d.jzjs TOTAL (R)= g.t1 . ~ i..r• }.e 0.[8 97 . ' ~v5?L 30.0 . _ P~Y sqpar(s?~.60 a.cv ,ncr. Ma F,,.H. ~Cz3T.3~ u ° .o°Se • --WALL SECTION-- Letermining "Ul' values at Roof, Wa11, Rim, and Conc. Block 0 . ROOF/CEILIN4 R VpI,UE S 1.) Interior Air r'11m 0.61 . 2.) 3411 o,aeP .9r"~ 3.) Insulation Vg.~ 4. J ' I " JHO-A'n 7.1'E- 5•) Extarior Air Film . .67 1 2 3 (STILL) • C 6 ~ uUl' = 11R= a.o>II iOTAL (R)'= 4 '-'~.41 ~ • ' 8 . ' WAI.L , R V1S.II 6.) Iaterior Air Film 0.68 9 7.) vYf • 0~ a.+5 . • 8.) Insulation • 9.) '/v`p&YWp• .~Z 1 O. ) S-ru « • to 11.) Exterior Air Film .17 tl . nUll = 1/R= TOTAT, (B)= 2o.`fz. (R) VALUE 12.) Interior Air Film 0.68 13.) Insulation 310+19 4-1,0; ~ • 14 14.) rlb1t„jaeD Ft4%E.4e- I,s9 15 15. ) • • 16.) . ' 17.) Exterior Air Film .17 - e , • "Ull = IIR- D.o~q3 TOTAZ (R)= 5(.1-4- -D -FA~t w1+t-ffR•.,,.rc~ (R) 3/ALIIE do 00 .00 . 18.) Intgrior Air Film 0.68 19. )'/v` 1 c~'t, . FS'p. O4-9 pe ¢20.) ~p .22 U~•9 21.) ~Ivp~y'~D. • ~GL S-nue e n !J 22.) z3 . 23.) Exterior Air Film .17 n (a° . . slUit _ 1/R= o. ii38 TOTAL (R)= h,~ 1 1\ \ ^Q ~ y0 o °'v s o\• a~~" 11l ~ ~ o ~ N M ~ S - a ~ ~ ~ ~ N 55° 35' 20" W ~ \ r ~le~C ; 00__-~ ~Cy 5 I \ N ~•o ~ y ' . ~P ~ ~ 1,, ~ ml I I ~j 0 0 ~ ~ o. M , r- m o , y Hus=448.8o I `Cq47.~i ~ °14-?,b ' b I 2.~t ~~n b~ ' 0 i'1.04 PROPOSED NOUSE 9SG0~ 21.67 rL - -C 14.33 I 15.76 PECTIONS DEPT fT GARAGE 409<954.35 553.2~ ~~.i $ w m51,o6 __[~j56Q ~ 2L.oo 8 12.00 ~S.a ~953,7) - m26,97 C56.33 53_4 HvB= 953.i5 5 ~SG.o~ N 956.~ 5 ' g53, , O o~ a d' t~ ' ~ o (952e1 ~°97.3~ 9sz.P: ~ o Q= 0$ OQ' i. I o 1+ $ 37 :95319~/~ WEXFORD YVQV CITY USE ONLY LOT BL I RECEIPT SUBD. RECEIPT DATE: MECHANICALPERMIT# 1999 M£CHAN1CAL ~ERMIT (RESIDEN'f1AL) CITY Of £A&AN S$SO P1LOT KNO$ fiD • EAfiAN MN 55122 (651) 681-4675 Date: Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas ou[lets (minimum of one required @$3.00 ea.) State Surchazge .50 Total $ Complete this section on& if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New Alteration Repair _ Other Reminder: Call 681-4675 for inspectrons. Furnace _ Air conditioning _ Air exchanger Other CA S L I N~ $ 30.00 State Surchazge .50 Minimum Total Due $ 30.50 SITE ADDRESS: 6- .,~P W OWNER NAME: s fd7J l/ p v rq PHONE - (AREA CODE) INSTALLERNAME: r~lnE Z,..r PHONE#: S(~ -~3~-~'s'32 STREETADDRESS: P6Aq (AREA CODE) CITY: STATE: ZIP: STOO ~ SIGNATURE OF PERMITTEE CITY USE ONLY L _ BL _ RECEIPT#: SUBD. RECEIPT DATE: APPROVED BY: , INSPECTOR MECHANICAL PERMIT#: r 1999 M£Cii+kNlCtkL PERMIT (COMM£$CIAL) C11'Y OP ERfiA1V 3$30 PILOT KNOS $D £AfiAN, MN 55122 (651) 6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATE SURCHARGE ($.50 per $1,000 of ermit fee due on all pertniu.) TOTAL SITE ADDRESS: OWNER NAME: PHONE (nnen cone) TENANT NAME (IMPROVEMENTS ONLY); INSTALLER: ADDRESS: PHONE - (AREA CODE) CI7Y: STATE: ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY 2 p- L ~ BL ~ RECEIPT SUBD. RECEIPT DATE. bI 3" I7 PERMIT # 1999 PLUM$llVCY PEmIT (ft£SIDENTIAL) CITY OF £AfiAcN S$SO PILOT KNOB RD EAfiAN, MN 551E2 (651) 681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit : backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet ' minimum - 1 3.00 x = $ Hot tubls a 3.00 x = $ Kitchen sink 3.00 x = $ Laundr tra 3.00 x = $ Lavator 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = 5 Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = S Private Dis osal S stem abandonment 30.00 x = S RPZ new installation/re air 30.00 x Rou h o enin 1.50 x = $ Shower 100 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under raund s rinkler if existin dweltin 30.00 x = $ Water closet 3.00 x $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x = S State Surchar e 50 $ 50 7otal S 30 . )`o Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowiedge ihai I heve read this application, state that the informetion is correct, and sgree to comply with ell applicable Ciry of Eagan ordinances. It is the applicanPs responsibtlity to notify the property owner tha[ the City of Eagan assumes no liability for any damages caused by the City during its normal operational and mamtenance activihes to [he facihties conshucted under this permit within City propertylright-of-wayleasement. SITE ADDRESS: 7 d~ S_~ F4/'-15 U-) CQ s/ OWNERNAME.. TELEPHONE#: (AREA CODE) 4'5-72- INSTALLER NAME. YE! 9~ L.~. ~l~c TELEPHONE r(_`f7- fAREA CODE) STREET ADDRESS: OB ~~A 3 ~ i CITY: O K STATE: kk h ~ ZIP. SIGNATUR F PERMITTEE CTTY OF EAGAN L~1_ B MECHAIVICAL PIItMTf RECEIPT # SUBD. &7&_k-1a/~~ IA/ C/ (612) 681-4675 DA7'E / RESIDENTTAL PLEASE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FAhIII.Y DWELLINGS. ALSO, COMPLEI'E FOR TORNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIItID FOR EACH DR'ELLING UNTf. OR'NER: ..57G D 71 <1 10 SITE ADDRFSS: ADD ON/REMODEL (EXISTIIVG $ I5.00 ya s~ VP X41 o2 CONS1'RUCITON ONM INSTALLER: ~ / HVAC: a100 M BTU 24•00 PHONE - ~QQ l ADDITIONAL SO M BTU 6.00 ADDRESS: ~O OlS / J(T O7/ GAS OUTLEfS - MINIMUM 1@ $3 EA. /17 . 0O rrrY: p,v o ,ee zH6,r 46 57 svxca,?jtcE: $ .so SIGNATURE: TOTAL: S -3lO • S COMMERCIAL PLEe1SE COMPLETE THIS PORTION FOR ALL COMMERCIAI./INDUSTRIAL BUILDINGS. ALSO COMPLEfE FOR APARTMENT BUII.DINGS OR OTHER MULT[-FAMILY BUII.DINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DR'ELLING UNIT. R'ORK DESCRIPTION: CONTRACI' PRICE FEES 196 OF CONTRACI' FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE $ PROCFSSED PIPING • $25•00 $ MIPiIMUM FEE - $25.00 OWNER TOTAL• $ SITE ADDRFSS: T'ENANT: SUITE t, ° . . > . . - _ INSTALLER: i ADDRESS: CTfY: ZIP: PAONE CITY SIGNATURE SIGNATURE ~ eL ~ CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUBD. ~ (612) 681-4675 RECEIPT DATE / REBZDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL NEW CONST ~ REPAIR/ADD ON 15.00 ADD ON - ~ SHOWER 3.00 ~ REPAIR ~ WATER CIASET 3.00 ~ BATH TUB 3.00 3 ~ IAVATORY 3.00 OWNER NAME: Z C O l I y0 U N KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 3 SITE ADDRESS: IV02 S I (~t/e!C /-OfZq ~oZ~ + HOT TIJB/SPA 3.00 ,3_ L WATER HEATER 3.00 ~ I FIAOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: lQ,SO.(/S fp/G' (MINIMUM - 1) 3.00 ~ ~ 3 ROUGH OPENINGS 1.50 ADDRESS: ~~DO ~S/ SOd~ OTHER i p I WATER SOFfENER 5.00 .5. G~ CITY: /"10,t/14 0G~'I CR-v_ _ ZIP: 4_!o PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE ~~O y- Sri O~ _ W. TURNAROUND 15.00 ~ STATE SURCHARGE .50 ~SIG A OF PERMITTEE TOTAL: ~d COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EP.CH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN ~ ~ 0 .40' / O°.. ~.9>~ 0 ~ 0 95,a~Q ti~Bc ~ 9~9R ~ mN I i S~o6S ~s ~ocA q B~ ~f oG Lol O\ 0 ~ 9 C 2' rrSG ~ i95:.~ ~ ~sc 9~) \~=Z 9,9y 6~ ~s~; ~o~ ~ O Cb w~So 0~~ / ,S sr oo, ; D`S3~\o ~O ~j'~, \ S6~R w J ~~i l/ S -s ~r6 30 FT. FRONT BUILDING SETBACK LINE ~ s ~I.,qs rs ~s l9~ ' ~61 n[RClY CERTIIY TN1T TMIS PIAN W17 CONSUlTINO ENOINEERS. " e ; VN(V111f0 pY MC OR UMD[R MY OiR[Ct PIRNNEpS ond IqND SURVEVONS su.cnvu io~ rnAM t ND"A~ i11 • ou~r nr.~sr~n.~_ VRVE'YOK i ' 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ~ ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consirudion Reauirements RemodeVReoair Reauiremenis Offce Use Onlv 3 regislered site surveys showing sq. tt. oF lot, sq. ft. ot lrouse; and all rooted areas 2 copies of plan Cert of Survey Recd _ Y_ N (20% maximum lot wverage allaxed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y_N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey foradditions 8 decks Tree Pres Required _Y _N 1 set of Energy CalculaGons Add'Aion -indicafe i(on-sife sephc sysfem On-site Sephc System _Y _ N 3 copies of Tree Preservation Plan if lot platted aRer 711/93 Rim Joist Detail OpUons seleclion sheet (bldgs with 3 or less uniLs Date S~ /Coustruction Cost 3 Ut t)D6 SiteAddress ya s ~ LOC_, G.,8 C.J cw Unit/Ste # Description of Work SqLv c.o Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 _ 2 Praperty Owner .~f.o Tv YtJ tilq Telephone ) Contractor (-ief7~ Id VJ~~ ~M~S .Znc _ Address 170-( a~lU}^ S"i'~ City I/ ~~/cw royUt. State ~ W Zip 67 ~ Telephone #(4sZI 7S~ - 9~14,Z COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) r Mechanical Contractor Telephone D ~F~ h Sewer/waterContractor Telephone#( CFP 29 2004 II I hereby apply for a Residential Building Permit and acknowledge that the informatLal4=iscomplete-and'a rate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand tlus 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. Applicant's Printed Nam Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05•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 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building 0 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demoiition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft, PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~ I City of EapIl I Permil # I Permit Fee 3830 Pilot Knob Road Eagan MN 55122 j oate Received: ~ j Phone: (651) 675-5675 Fax: (651) 675-5694 ~ Staff: e. ~ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION (2aj-6 d Date: A'y IDS SiteAddress: 'T?_SI ''VW (%A64a , E''>>J • SS~ ZL Tenant: Suite#: RESIDENTlOWNER Name:~L~ "r",414 ~vPhone: Address/City lZip: q2~s) WGxFORP VVk~ EA&A)J, ~""'~"1SSI~L-~L Applicantis: x Owner _Contractor TYPE OF WORK Description ot work Qv_-r-,D~)EL Construction Cost: Pw, UOL1. ~V MWti-Family Building: (Yes No ~ CONTRACTOR Name: Y~k C~-^~ License#. '~u2,J~0~~$ Address: Vjh2:{1'`rk City: Sf Seh'I_,k_ State: M"r Zip. Phone: 'jC2 1411 Contact Person: 'FiZD I1V-/_0r'"`6E4- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUII.DING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Venlilation Category 1 Worksheet • New Energy Gode Worksheet Category Submitted Submitted (4 SubmiSSlOn typC) • Energy Envelope Calculations Submitted In the last 12 moMhs, has the City o( 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 subm7t are considered to 6e publJc 7nformaHon. Por[ions of the Informatlon may be classffied as non-publlc if you provlde speclflc reasons that would permit the Ciry to conclude that the are Made secrets. I hereby acknowledge that ihis intormation is complete and accurale; ihat the work will be in conformance with the ordinances and codes of ihe City of Eagan; ihal I understand this is not a permiL but only an application tor a permit, and work is not to start without a permit; ihat the work will 6e in accordance with the approved plan in ihe case ot work which requires a rewew and approval of plans. x ~`Jl2an ,•~•`Cvrn~eR ~ X ApplicanTs Printed Name II1 ApplicanYs Signature I i ~ Page 1 of 3 l I r n ~ /liEio DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool 1110 Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi 01 oT _ Plex ? 07-plex ? Garege ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? OS-plex ? Deck ? Porch (screen/9azebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building• ? Addition ? Move Building ? Reroof ? Demolish Interior Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation ~ Occupancy fht, MCES System Plan Review Code Edition Q l7 SAC Units (25%_ 100°/ Y) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) FinaI/C.O. _ Footings (addition) FinallNo C.O. Foundation HVAC Drein Tile Other: Roof: _Ice & Water _Final Pool: _Foolings _Air/Gas Tests _Final ~ Framing _ Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.1. _AirTest _Final Windows ~ Insulation _ Retaining Wall Reviewed By: . Building Inspector RESIDENTIAL FEES: Base Fee r~ Surcharge Plan Review ~ ~jWA (V~ MC/ES SAC Ciry SAC Utility Connection Charge S&W Permit 8 Surcharge Trealment Plant Copies Total Page 2 of 3 I For O_ffice Use ~ City of Eapn j Pertnit # I PertnR Fee: ~ 3830 Pilot Knob Road i Eagan MN 55122 ~ Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 ' I Staff. L 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Z/.2 J~ lt-kX fo (-,l tA Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City 1 Zip: CONTRACTOR Name: i 46cense CJ[~S ~1o~~f1 " 1 Address: r-- flLI ?1 l 7 City: ~1 ~ (f-C V^ State: ~-\Zip: Phone: Y~72 -N J~ - n9 ~tad Person: ( VI P 1s TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild &Modity Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE RESIDENTIAL Water Heater _ Water Softener Lawn Irrigation Add Plumbing Fi#ures ~ RPZ PVB) ~ Main _ Lower Level) Septic System _ Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcnarge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Tumaround (add $136.00 if a 5/8" meter is required) $700.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) . TOTAL FEES $ I hereby acknowledge that this information is complete and accurete; that the work will be n nfortnance with the ordinances and codes of the CRy of Eagan; that I untlerstand this is not a permit, but only an applica6on for a permit, and o is not to without a permR; that the work will be in acSanm with the approved plan in the case of work which requires a review and appro el plans. x X Applicant's PrirSted am App' anYs Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground _Rough-In _Air Test _Gas Test _Final ~-go.oo a ~{870 ~ ~ Ot ELLban j PermitS: 10~10~ ~ ---J ~ T I I Pefmit Fee: 3830 Pilot Knob Road ~ i Date Eagan MN 55122 ' • I ~ Phone:(651) 675-5675 i scan: ~ Fau: (651) 6755694 ~ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION oate: aa o8 siWaaarCSs: qa151 I,JEX~ W,4y - saia r. TenaM: RESIDENTlOWNEH name: Sc-orr yoL)nG ano~: ~SI-a3R-5'~8a Address / City / Lp: AppGcant is: _ Owner _4 ConVacMr TEae~ o~F R,E Rcx~F 38 ~p TYPE OF WORK Descripuon oi work ConstrucHon Cost: Muld-Famity Building: (Yes No,~ ~ License~: ~asa~~N CONTRACTOR mme: ~ naaress: Cfty: ~y ~ 1(1~'Ya'kP~ SYaze: ~~1L ZP: Phone: ~n6~ • 1 1•"l~dV Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minne_coffi Rules 7670 Cateaorv t Minnesota Rules 7672 Energy Code • aeaidemid vertileson ceregory i wakneet New EmW caae wwwneei C"ory SuUnhed suannma (J submission type) • E"°gy E"vebp° CakWationt Sub"dW . tn the laat 12 mondhs, nas tha City o! Eegan issmd a pamR tor a simllar plan based on a mastu phan4 _Yes _No If yes, date and address of master plan: Licensed Ptumber• Phare' M2ChanICa1 COnti2ctOf: PhOfIB: Sewer 5 Water CoMractor. Phone: +r,? i txreby adu,ovAadge tat Ws iMOrmatlon is canplete aM mciaene; mffi tne work Min L. in ~r~rtne~ with n,e aMerms aed eotle.+ m vie aty at EaBan, rhat i ummurid thw is rot a permtt Du[ oNY an qVbugon for a pertnit, aM work is not ro start wNwut a pem+it; 90 the woAc wi6 be in accordanee wM+tlre epproved pim+ in tlro ease d wak whieh iequires a review antl approva! M Dlam• x ~ C~'kMN11~CJk x APPItcaM's Printed Name 4Plicant's Si9reN?e Page 1 Ot 3 ~ r~ ~l / ~ ~ C D N ~ , i~ HWL' 9D3,$~ i uu~~- 898.9L ~0 ~ ~ ~ ~ ~ ~ \i ~V 1 DRAINAGE AND UTILITY EASEMENT ; ~ 4 ~ ~ M ~ ~ tis N ~ s~ , ~ s ~s- ; Roo ~o,. S ~ w NORTH ~ o ~ NB7 2/ ;Z w ~ ~ SCALE : 1 = 30 ~ 37, S i , -ra '5 ~ i r ~ 1 . ~'e, i hi ~ i • LOT 2, BLOCK 1, WEXFORD 2ND ADDITION, ~ ~ _ _ _ ~AKOTA COUNTY, M~Ml~ESOTA. ~ ~ ~ 5 0~ ~ o p~' ~ ~ ~o ' ~ ~ s ~ y 9s3,o DENOTES EXlST1NG ELEVATION G~ - \ 9 95G,o m~ C ~ DENOTES PROPOSED E~EVATION % ,~a ~ • op INDICATES DIRECTiON OF SURFACE DRAINAGE IAtNAGE y ~9A Ge~ ``9`,~6 956-33 - FINlSHED GARAGE Fi.00R EIEVATION 9 ~.o, s, o ; ¢ . - o , o A B 9 7 94 _ BASEMENT FLOOR ELEVATION 6 S~ Mo 9p ~~a i 6 AO 'oo ~ iA ~4~ ~~-,~R sF ~j ~ 956.66 = TOP OF BLOCK ELEVATION l 9 ~ 3 ~ ~ ' ~ ~J ~9 ~ 9`s,,~ 3 ~p ti `~e,~J ~ ~ ~ S ~s :2~ ti' 0 ti ~ s~~ 6 ~6 ~ G o ~ <sr~ ' SF ~ \ OD ~ ~ ~ ~ ~ ; ~ ~ ~y~ i ` ~ ~ ~ pp ,1 ~S ~ ~ / ~ . r9~ 6 <; p,s3 ~ ~q 6, ~S~\~ ~ c9~. 9~ ~s6 ~ 2 ~.y ~ -a' ~ S~„ zoo C~ y~ 9~ BENCHMARK: TNH AT WEXFORD CIRCLE AND WEXFORD WAY. ;FORD WAY. ELEV. = 959.32 ~S M 3 . ~ 6 / M' 8 9 ~ a o'3 ti s~ ~I J w s oso ti ~ R ~ .~'S ~~'r,~sb ~ s ~ ~p_ ~s~,~ a ~ ~ ~ ~ ~ ~ I~' V> 95,6 ~R~ J ~ ~i a ~ ~ s 2s ~ ~9S ~ ~ ~ , -9) , ~ 8, ~9 30 FT. FRONT BUILDING SETBACK LINE ,zs S,, ~ 's , ~s D ~ ~ y ~ ,sta B ~ ~ ~ , ~s~ ' s~~\ ~ EAGAN ENGIlVEE ,NGINEERING DEPT. BK.Zo2, PC,6o PC , 60 ~ _ ~.W.~.,.y..~~.. _ . . . . _ . . . . . . _ . ~ M OESIGNED C ECNED SMEET REV I HEREBY CERTIFY THpT TMIS PLAN WAS l. PREPARED FOR. ED FOR: A CONSUITING ENGINEERS, pREPAREO BY ME OR UNDER MY DIRECT ;j DRAWN DATE A E PIRNNERS ond IAND SUAVEYORS surenwsaH aNp rNn I AM n ou~Y y~ Il O li IAND 3 REGISTERED - UNDEA TME LAWS Of THE ST~TE SCALE GEROLD BF ROLD BROS. - OF NI SOTA. ~r - O~ NGINEEt~ING : ~ ~ 3 ~ / J08 N0. CONSTRUC OMPAN~ INC• II-/Z~ O S % N0 OATE 8Y REMARHS 6080,0~ ~ DA „ 93RE6.N0.~ 4STRUCTION : 1 ° F L REVISIONS ~ .~d, ~^00 EAST 1461h STREET BURN~YJLLE~ 61INNESOTA 55337 PH 432-3000 ' ` 4101~ 5E © U 7 City of Ear 9 7 , Permit _ 3830 Pilot Knob Road Permit Fee: s~ i Eagan MN 55122 C~ Phone: (651) 675-5675 Date Received: Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION c Date: Site Address: 41 4w:5_ L Tenant: I0 [.L 4 d Suite RESIDENT / OWNER Name: t Phone: ~QS~t!0 p~ Address / City / Zip: CONTRACTOR Name /~CLS1~V_Na,2 ~iml3t~1, t? t1rzA1"IN~' License#: SR~S~ PM Address: i t I L t i o,V . T City: __U a6 --t L,aS State: h N zip: ,6.S033 Phone: ~ "-f LI 1-7-7 Contact Person: TYPE OF WORK New Replacement Repair Rebuild - Modify Space -__Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 accord nce with the approved plan in the case of work which requires a review and approval of plans. _tL Applicant's Pr' ted Name Applic n 's Signatu FOR OFFICE USE Reviewed-By: Date: Required Inspections: -Under Ground Rough-In -Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA149338 Date Issued:05/17/2018 Permit Category:ePermit Site Address: 4251 Wexford Way Lot:002 Block: 001 Addition: Wexford 2nd PID:10-83851-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - John P Boentje 4251 Wexford Way Eagan MN 55122 (651) 303-8359 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA172473 Date Issued:10/01/2021 Permit Category:ePermit Site Address: 4251 Wexford Way Lot:002 Block: 001 Addition: Wexford 2nd PID:10-83851-01-020 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - John P & Darcy A Boentje 4251 Wexford Way Eagan MN 55122 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (952) 479-7131 Applicant/Permitee: Signature Issued By: Signature