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4258 Wexford Way INSPECTION RECORD CITY QF EAGAN PERMIT TYPE: I 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 , . . , SITE ADDRESS: APPLICANT: I: riRr~ 1 .3 n ~ ~ , ; ~ . i ~ , ~ PERMIT SUBTYPE: TYPE OF WORK: !If ~ I l I 1 i I~II ~~t ~ II! 1 f~'~' 11 I i 1 I INSPECTION , t ~ ~ ~ ~ • ~ i ~ J 1 I PennR No. Pwmk Holder Dsw TiNphone il ELECTRIC PLUMBIN(3 HVAC Inspwtlan Dab bap. Commaib F0071NGS FOUND FRAMING ROOFINQ ROUGH PLUMBINCi PLBG I AIR TEST ROUGH J HEATINQ GAS SVC TEST INSUL I GYPBOARD I ( FIREPLACE I I FIREPIACE I AIR TEST FINAL PLBG I I I FlNAL HTG i ORSAT I TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG 4 DECK FlNAL _.-a.~.~.~...._. . . ~ _ : : - • ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: "t 3830 Pilot Knob Road Permit Number. 0 7 A f{ : Eagan, Minnesota 55122-1897 Date Issued: 0"8 (612) 681-4675 SITE ADDRESS: I ' ' 10 }j ~ / APPLICANT: t. n r: t 4 -r~ 1 (11 ? I.1t XF[tf219 WAY , y' "~lt I~ ti~+141 • t f1~ I ! I! ~ ~i~ I' 'N1~ " , j 1.' 1 - t s 1 1: :W PERMIT SUBTYPE: TYPE OF WORK: - ~ , ii. I INSPECTION . !~i~t t I 1MW. ; irlltJlIll I i i'pt 1 1?Nh11 04 1, 1.-(it-11 ! td!+ ~t4 ':111Ai inW 1 Ikl.1''1116:i ~,iil~?1 I N 1'l 1't~; 1'~~I~~ilt I t~t 11 I~i r •i ~ ra r~ t r~ i i rt n a ;.r 1+1:',f,1 • !'I f;;' I•I I~E9! 1 tI 1'1 I;r, I I ~ ~ ~ 1 Pormft No. Permit Floidw Dats Tslephone N ~ ELECTRIC l! 9 ~ PLUMBING Gip9l~ ~"(}~(p?~ HVAC Inspeefion Date Insp. Comments FOOTINGS FOUND ~v FRAMING ~ ~~`J II ROOFING I ROUGH PLUMBING I PLBG AIR TEST ROUGH HEATING GAS SVC TEST ~ INSUL w-.-/ G JL f6 GYP BOARD ' FIREPLACE ~ FIREPLACE AIR TEST FINAL PLBG 7_ L? - FINAL HTG cr ORSAT 8/0~~~ TEST ~p -iLDG FINAL I i t39MT R.I. : SSMT FINAI I t,CK FfG =CK FINAL - - - ~ • . 4 ~ ~ _ s . . . . _ . . , t r f , '1 Werdficate of Ccculpanc~ ~ "an This Certeficate isss~# pursuant to the nqmirc+nents of the Uniforne Building Code cenifying t/wt at the tinee of tssuance lhis structwr was in cornpliance with the various ordinances of the City irgulatiieg building catstruction op use. For the folMweng: ~ Cbndkabm- S F DWG? GAR ~ BmE. Pftmil No. 27482 - - - OocrpMCy 7ype 8- U 7.wint oi~hict lype Con.t. VARIETY HOMES Ad&vu 13340 C6DAR AVE., APPLS VALLEY, MN 4258 i1SXFORD iiAY I-aliq L34, Bi. WBXFORD 2ND 55124 oow , g+wa.e ar~ ~ POST IN A CONSPlaIOIIS PU1CE , ~ f 285m201 $E~~LY This rcqiul void 18 months Iram wLdaeon daM pnnled in this bo; C 7 PLEASE PRINT OR TYPE j~ red7 s ~ No Inepecnon Oiher Thnn Rough-In: ~ Ready Naw WiII Gall eb Rough-in inspedion mqw tYou mua wll ihe inspelor wf(n ady) Oo2 Reody. lic sed controdor ? owner here6y reques} inspedion ol ihe above elecirical work ot: ab /ddress (Strevl, Boa, or Route No Zip Cade WQ 5 on No. ownship Name ar No. Ra e No. Fire No Counry/ OavpV6_rj PhNrT Po b~ Mdreu EI nv¢ior Compan mc~ ~y-- r Lwn Mmter Lic. No. (%vm EIW. Only) f ~ Mai re» (C Im or r Owne Pe nq NInol /ry C n Owner eAormi" Insia on~ Pb9e~11p. c.. 0 ( EB-0006IA-10 6/95 STATEBOAqDCOPY- UC710NSONBACKOFVELLOWCOPV I II I I il II . REQUEST FOR ELECTRICAL INSPECTION 5~ Minnesota Slate Board of Elechicity 1821 Oniversiry Ave., Rm. S- B, t. Paul, MN 55104 * 0 2 8 5 2 ~ 1 0 * phone I612) 642-0800 0 3 Home Duplex Apt. Bldg. 01her: Naw Addn Commeraal Industnal Farm Remod Re air Air Cond. Hfg. Equip. Water H}r. Load Mgmf. Other: D er Ron e Elec. Heat Tem . Service "X" above the work covered by this requesL Enter remarks mthis space and on the bock of the white copy only. Calculate Inspe«ion Fee - 7his Inspechon Requesf will not be accepted wifhout the wrrect fee: Other Fee # Service Enhance Size Fee # Cirwih/Feeders Fee Mobile Home Park Smll 0 to 200 Amps 0 to 100 Amps Street Liq./TraHi< Sig. Above 200 Amps Above 100 Amps Transiormer/Generotor INSPECTON'SUSEONLY TOTAL $ign/Oufline Ltg. Xfmr. Alarm/Remofe Conlrol ~J $wimming Pool I hervi cetli thot I ins nbed he an Ma da'ee imied Irfigafion Boom Raughln ~ Dol p Speciol Inspedion ~ o L Final Invesfig Date ative fee THIS INSTALLATION MAY BE ORDERED DISCONNE NOT COMPLETED WITHIN 18 MONTH . AddICSS 4258 WEXFORD WAY ZIP SSIZ ? IAt 23 Blk 1 $ub WEXFORD 2ND THGSE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPGCTION. Date: - `/~P Yes No Inspector. ~ Final grade (6" from siding) ? Permanent steps (garage) ? Permanent steps (main entry) f~ Permanent driveway ~ Permanent gas v- Sod/Seeded grass i/ TraiVcurb damage ~ Porch ~ V Basement finish Deck ~ Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of watcr supply to the outside lawn faucet before freeze poten[ial exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Residcm Copy Pink - Coniracror Copy PERMIT m0b&51`' CITY OF EAGAN 51915P ('0 3830 Pilot Knob Fioad PERMIT TYPE: e u z Lo z rv G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 4 8 2 (612) 681-4675 Date Issued: 0 5/ 0 8/ 9 6 SITE ADDRESS: 4258 WEXFORD WAY LOT: 34 BLOCK: 1 WEXFORD 2ND P.I.N.: 10-83851-340-01 DESCRIPTION: ' 6uilding.Permit Type SF OWG ~Building Work Type NEW UBC Occupancy- R-3 U-1 Construction Type V-N /Zoning ~ R-1 Building Lenqth 54 Bu3lding Width 53 Building stories 2 6guare Feet ~ . 2,116 V`sus.Code' 101 1- FAM. DETACH Cen \ REMARKS: S& W PLBR - PLUMRITE PLBG FEE SUMMARY: VALUATION $167.000 Base Fee $1,222.25 MISCELLANEOUS $1.923.50 Plan Review $611.13 Total Fee $4,740.38 Surcharge $83.50 SAC $900.00 SAC ~ 100 SAC Units 1 Subtotal $2,816.88 CONTRACTOR: - Applicant - ST. LZC.OWNER: VARIETY HOMES INC 14311730 2003634 VARIETY HOMES 13340 CEDAR AVE 13340 CEDAR AVE APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 431-1730 (612)431-1730 T hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. ~ - APPLICANT/PERMITEE SIGNATURE ISSUED BY: IGN RE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 41 ~ 21411 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ J 681-4675 G1..~eG( J` '1 NeW Gonslmdion Reaiirements Remodel/Reoair Reavirementa ? 3 registered site evrveys ? 2 copies of plan ? 2 copies of plans (Indude beam 8 windaw sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy ealculations /or heated additions ? 3 copie9 of tree preservation pl n if lot platted aRei 7l1193 required: _ Yes No 0OO DATE: CONSTRUCTION COST: 15(7 DESCRIPTION OF WORK: STREET ADDRESS: A~-~- LOT BLOCK SUBD./P.I.D. W~ x~ f c~ Z N n ~~~14~ ~ ~i31-1~3a PROPERTY Name: vn iS Phone OWNER Street Address- ~ 33 `I 0 C~ n~`L . City: i"tmDLt v/fi~IES State: ~N Zip: s S~f 24 coNTRncTOB,. Company: krs3°"-L- Phone Street Address: License City: State: ZiP: ARCHI7ECT/ ComPanY: ~ ortN Phone 5S3-9bRO ENGINEER Name: BQ-A C) Registration Street Address• City: State: Zip: Sewer & water licensed piumber: Rk m RHrt (~lFT "7kis T,.:,c Penalty applies when address change and lot change are requested once permit is issued. Cljvplj~ 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 Applicant: OFFICE USE ONLY ~~j~'~[~Q~IC~DD I Certificates of Survey Received 'Yes _ N 1 Tree Preservation Plan Received Yes Nco - n~ ~ 1 OFFICE USE ONLY , BUILDING PERMIT TYPE - ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ~0'02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch a 09 12-plex o 14 Fireplace ? 21 Miscelianeous ? 05 SF Misc. ? 10 = plex o 15 Deck WORK TYPE ,0'31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) '1z:-N Basement sq. ft. ~ MC/WS System C7~- (Allowable) ~ Main level sq. ft. City Water oC UBC Occupancy 02,310, -i Z- 'L' sq. ft. /.3/3 Fire Sprinklered Zoning 2-/ sq. ft. PRV # of Stories 2d n,,.T• sq. ft. Booster Pump Length SY sq. ft. Census Code. /o/ Depth 73 Footprint sq. ft. 2,116 SAC Code o/ Census Bldg / Census Unit / APPROVALS Planning Buiiding Engineering Variance ~ Permit Fee ' Valuation: $ I10,~000 Surcharge 1,14,N Plan Review r~-~-~ ~os aT~ License nncNVS sAC 2'1x yO - c isz , city sa,c 1,13 yy Water Conn. Water Meter Acct. Deposit ~~p x/S s S/W Permit ? 9 S/W Surcharge Treatment PL Road Unit No Park Ded. Trails Ded. Other ~-SX z z Copies • 33 y 6 = z y~ zoo ZSx ~~_s-X 30 = y9s" Total: /X13 Z ~ zv ~v % sa,c SAC Units 04/29/1996 17:21 6124691899 WESTERGREN &'ASSOC A PAGE 01 1/19/D6 C~ert if irtt~P urv prepared tor: VARIETY H011IES, INC., ' ; LOT 34,- BLOCK' 1, WEXFORD 2ND ADDITION i ' occording to lhe~iecorded plqt, thareof. I „ BULDER: . . VARETY HOMES,'INC. , DAKOTA COUNTY, MINN6SOTA 13340 CEOAR AVENUE ~ ~ ~ ~ SCALE 1 ~ t~~~ APPLE VALLEY, MINNESOTA • , ' Pr+oNE: 431-1730 ° R E V I E N E D SERVICE ELEVATION ~ ~ , • '(pEi' Clty "Ae=Buflta"). i , -_...._,.-..~.:........_._..._._v......~. ~ ' . ~ RESIDENCE -A_ DD .R.ES_S: S 3 V~;- 942.99 . . . . 4258 Wead'ord Wey )ATE ?o _ s Eegan, Minnesota, hub'elevofion = ~~:li,' Q~ . • T . . .~,s_i` 0i0 ,9 . 7 °1 . ~ , LOT 33 y'~ ~o ` , 36 hub e%vation = 6oo~ i , Y ...Jxt 2) ~ . S, , Q, "k ~ ~ •G+~ c^,p B O C ~ 1 Aub elevofron - r ~ 1~ , ~ c,~' • Au i, V ! '~i Q V ~ ~ . .S LOT 34 i ~ orrnmrace & ururr . 6~ ~S &~AS£M£NT PfR PLAT ~0 6= \ hu~e ofion ?^~O_ ~ ~•03 d7I c~ ~ ' ~AGAI~ EN ~TEERIIVG DEP'T. BENCHMARK: s~ NOTE.' ER/FY ELEVATIONS & lAfENSlONS PRIOR TO 9.p YL.I 7fyd~l - ~ i CONSTRDCTION ~ , L.l 34 & 35. &ed{. 1 , FZ„a4~ 954.92 wl,Z) o IDenotes ir.on monument . - - - - - - - - - - ' 983.5 : enotes existing eev:--- ~ P S f P l' L~ r P lt &As s o r i a t e s, J n r. (987.0) enotes proposed elev. enotes Off-Set hub . LAND SURVEYORS G~5'l,~iJ Top of block elev, fl0 Top oi fin. garage floor 8500 210TH STREET WEST LAKEVtLLE, MttJNESOTA 55044 ~~11 ~ 7aPl'ot boaement floor elev. PHONE (si2) a69-1999 FAX: (612) 469-1899 ~Indicates direction o( surfoce droinqge ~ ra~cn a~n. ~w~ ~w swx. .u .s•uro n u~ a ura+ u. wr[c. a.~..~ a c~c. ~N af~ > M~ ~c4lR(~~~ R~ N OLL~' Ul~ l~~ N11i[II II! ~[m.~*ao nmon~~ ru 1'~ r~~c~c o~uo anv~mc wv~m n na r.w~~ ~om. u wn4fow wwc~aa M~wtO tVS~`14 ~SY[0I~¢sl 10 Mp¢[ Itl1 „(~qafN~'[Y Y IM[~u[4 w ri~w3l+O ~ fOrA.~O Ln~WU~v ~ ASI~~[0 PL,`Ia~OK W~ ~l1'Q !IO AMIV~ • oAI[o rW V~ n.r a•"' Fleld Book 241450 ~ r innesofo Ragistrotion No• 19790 Job No. ~1987 - Don R. Wesfergren . LOT SURVEY CHECKLIST FOR RESIDENTIAL • BUILDING PERMIT APPLICATION PROPERTY LEGAL: ~T' ~ DATE OF RVEY: ~'1_ LATEST REVISION: DOCUMENT STANDARDS x° ? • Registered Land Surveyor signature and company 12"~'o ? • Building PermR Applicant G],'-Irl ? • Legal description [9-' ? ? • Address W-;o ? • North aROw and scale ~ ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) a----13 ? • Directional drainage arrows with slope/gradient % ? ? • Praposed/eristing sewer and water services & invert elevation a-'o ? • Street name 4l~13 ? • Driveway ELEVATIONS EasUna e% ? • Sewer service (or Proposed) Q~'~ o • Property comers C9' ? ? • Top of curb at the driveway 0~~ ? • Elevatlons of any e»ossting adJacent homes Proposed 2-~'O ? • Garege floor Q-~'o ? • Flrst floor G7-'13 0 • Lowest exposed elevation (walkouUwindow) e-'o o • Property comers 0/O ? • Front and rear of hame at the foundation PONDING AREA fif aoolicable) ? • Easementline ? Q-' ? • NWL ? fY? • HWL ? p~o • Pond # designation o a~~ • Emergency Overflow Elevatlon DIMENSIONS t9~ ? ? • Lot IinesBearings & dimensions [r'13 ? • Right-of-way and street width (to back of curb) B ~ ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) G'-'O ? • Show all easements af record and any Cily utiiitles within those easements 8~o ? • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures O s --~O • Retaining wall requirements if any Reviewed: Name / ete January 1998 CRAIG1996MLOGPRMT.fM sHEEr •;te~ 2J . ' ~ •`O~O 29 SEE SIiEET 2405 U i ` • ' 3o ~ ~32 B' C.V. 33 a•-„ 1/4' BEND:' . ~ • ' ? i ; : , M1D.iRE-INSTALL SALVAGED MYD.),, < ~ : 36 8'-6 DIP. CL 52 8'x 8' IEE J B"a 6' TEE. CND. 952.62 S-2+44 ~ GxnvXrc xt[i p rtET iN11~A93{.9I'•. IN'/.9N.25 r"~ ~ ~ J7 CS-951.5.~i' 5 't i~~.w n ~ i r=' ` 35 s-»s4'•..'.,~.a `12f I3~21 • INV~9{299'. ~•K_ ~ NH L STA. ~dYZ^B- REMOVf TEMPORAftY MYD. CS-953.2 ~,~P I f0 RT BENCH MARK N1TM 10'-6' D.I.P. k 5~0+67 5=3+65 TNH fIR P~NT k SUMAC DRIVE ; 8'z 6' TEE INV~94I.B3'. 37' ' CONNECT TO EXISTING INV-945.94 CS=951.9 ELEVATION - 9N.90 f~ 8~ O.I.P. SNB CS-956.4 TNH FIR PqNT k 7HWA5 IANE RD. ELEVA?ON . 926.55 EXISTING 59R~+2i .•.`%S' 5-2+72 INV-940.6 \ , r - \ ` INV=944.81 ^ • ~ CS-950.6 CS=954.9 . % S-1+82 p7pf 44y. INV=943,58 SANiTAR'( SEN£R SERNCES SMAIL BE 4' PVC, SDR 26 CS=953.6 AND`§HALC- BE $TAqpNEO UPSTREAM FROU MANMOLE f4SF fNRS 8~ J ~ 74'e SANITIIRY'SfRNCE1NVERT ELEV~HON IS Ai ENG OF SNO. ~ T / 5~0+60 • / ~ ~ ~ : ~ ~~S' INV=941.83 \ r~ ~~.~..5/~IJITAfLY $ENEft SER47Cf5 W/RISEftS $HALL BE CONSTRUCTED LS=951.8 L ~ o YATH CLEAN6UT5'AS PER DE7AIL .WATER SERNCES SNALL~BE I' COPPER. TVPE 'K' g^ 1 CURB'STpPS ARE IOCATED AT PROPERTV UNE. Ex E S7A. 9+44 WEXFORD WAY . (S MH 1 LT. EXTEND ALl SERVICES IS' PAST PROPERTY UNE. . . . ~ . . . . . . . : : : : : . : : ' ~ . ' : . . . . -IT:2 t;rTvoF EaGaN+ DoEs No~GUfjlA~ri:_~:. ; . . i .~..Tr AOl'3 CCURACY OF UTIL[Tlf LOCATI ~ 970 965 N~ ~ ~ 6R«~NO . . h!~E~+~'FIOf~S: THIS aATt~..;~. [xisri : t,56.01 MH RE-1366.85 PURPOSE& 01c~`1 i : ~ a~o-,,.~ U'ING TT SHOU'`D - - _ . . . . _ . . - ' - ' ` 960: E% RE-950.60 PHOPOSEO CRADE MH' 6LD.-11.20 ...~~....v/.. . . . . , : . . . : . . . . . . . . . . . . I . . . . . . . 955 . . _ . . ~ ~ ~ . ~ . / . N1LLIAMS BROTHERS PIPELINE CRO551NG \ . . . . . . ' E7 ' . . . 75 _MIN. COVER : : . . ~ SE SH~ 950 . :...I ' . . . . R CONPNUA?ON . FO B • bip, MA 2 . . . . . , ~ 6'Pl ; COMJECT TO WA IN E%ISTING j ~ . MANHOIE . 3:P~P.:-nQ . 6-PL_.r.Q6 ....I . . . . . ~ . ~ ~ 945: _ . . 12:PL-^O 377~, SOR'35 0 I . . . . Eq$TING HA~R MAINl . PVG. . . . ' . ' , 9'pLJ . . . . . . . . . ~.1. ~...EXISTNG 8 PvC. I . ' ' ~ . . ' . . . . . . ~ . . . . . ~ ~ ~ . . . . . . . . . ' - ~ 940 . . . ~ ~ . _ N ~ ~ . ~ . COUNECi'i0 : . . . : : o . . . \ ~ . . . . . I: ' Ex1571NC 8'N1A . . . . . . . . : U i. . ~ . . . : . . . . . . " . . . . . I . ' 935 : . . , . . U. I_ . . : : . . : ' ' . . . . ' b ; . _ egjP . . . . . . i9a.. . 930 8 t RECO D PLMI ~:uLc BUiLT BY. : . . I~ RfiWt1 9 C R ° B . . ' . ~ ~ . . . ~ . . . . . . . , ' . . . . . I~. ' ~y+Qft ?~0n 10+00 11+00 1Z+01. . . IQ'I'W ~ 4.AS • , : r • i.5t~ts , , - - yllodiFiF_D h1uL7i EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION Plan # Q~P 0`i f Date Li~3~ g~ Owner Contractor ~/~aEr~ - -E S Site Address 1) Total Exposed Wall Area y¢~- sq. ft. .11 = Zcow • to 2) Total Exposed Roof/Ceiling t3z2 sq. ft. .026 Wall Caiculation Total Window Area Isl~ s4• ft 35 = ~4 Total Door Area 3S sq. ft. .07 = z•'7 Total Glass Door Area q-~ sq. ft 35 = i4.o Total Fireplace Area sq. fr. .36 Total Wall Framing Area I e,5- sq. ft. .09 = I(o -7 Net Insulated Wall Area sq. ft. .043 = , (o Total Rim Joist Area l S~ 54• fr- •04 - (.0• Z Total Foundation Area Isco sq. fc. .14 z1.43 Total Foundation Window NA&-- sq. ft. 35 3) Total )~f'l • g If item 3 is the same as, or less than item 1, you have met the intent of 2 MCAR 1.16008 A and O. Roof/Ceiling Calculation Total Skylight Area sq. ft 35 Total Roof/Ceiling Framing ( 3"~ sq. ft. .026 = 3•$ Net Insulated Roof Area I I 9o sq. ft. .022 = 2~ • Z 4) Total If item 4 is the same as, or less than item 2, you have met the intent of 2 ' MCAR 1.16008 A and O. Alternate BuildinS Envelope Design To utilize the total envelope system method the sum of items 1 and 2 shall be greater than the sum of items 3 and 4. • 1) +2) _ 3) +4) _ I hereby certify that the building here described meeu or exceeds the state of Minnesota Energy Conservarion Act. Signed / -29afv BL ~ J CITY USE ONLY RECEIPT SUBD. ~ DATE: 1996 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 TPTA Shower 3.00 x C~o Water Closet 3.00 x Bath i ub 3.00 x Lavatory 3.00 x Kitchen Sink 3.00 x I = ~~.OD Laundry Tray 3.00 x 00 Hot Tub/Spa 3.00 x - Water Heater 3.00 x _L = EOD Floor Drain 3.00 x I ° ~ Gas Piping Outlet " minimum -1 3.00 x Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinklef ` home under const. 3.00 = Alterations ' to exiscing 20.00 = Water Turn Around 20.00 STATE SURCHARGE ~.50 ' TOTAL SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREETADDRESS:3 /o CITY: STATE: ZIP: PHONE OFFICE USE ONLY • " L BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ~ all commercial/industriat buildings. 0 multi-family buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED7 _ 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 contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on ali permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: I CITY USE ONLY L BL L_ RECEIPT 7*y SUBD. ~ DATE: S16gc. 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 Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: ~ d~ ~ yl0 FFFS ? 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) q.b U ? State Surcharge .50 TOTAL SITE ADDRESS: ~5~ IA~ OWNER 11w iftv PHONE INSTALLER NAME: STREE DDRESS: ;~~~R~ ( Qhm~ "'~uy CIN: STATE:/t/ ZIP: PHONE ) JS . I _ 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 commercial/industrial buildings. ? multi-family buildings when separate permits are DDI required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: P $25.00 minimum fee 2[ 1% of contract price, whichever is greater. * Processed piping - $25.00 w 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: (innPROVenneNrs oNLv) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: aurLorNc Eagan, Minnesota 55122-1897 Permit Number: 030111 (612) 681-4675 Date Issued: 0 5/~ 9/ 9 7 SITE,4DDRESS: 4258 WEXFORD WAY LOT: 34 BIOCK: 1 WEXFORO 2ND P.I.N.: 10-83851-340-01 DESCRIPTIOfd: FUTURE PORCH FTGS ' Bullding Permit Type DECK Building War,k Type NEW Census Code ~ 434 ALT. RESIDENTTFlL \ ~ , . . ~ i.-- _ \ ' • . V'__~~ _ . ' REMARKS: FEE SUIViMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 II I I COfdTRp+C70R: OWNER: - Applicant - REISHUS TERRY 4258 WEXFORD WAY EAGAN MN (612)454-9587 I hereby ucl:now? edge that T have read thi-, app) ~ c,.i:ion orid ,taTe t.hat. tlic information is curj-^ct ond .igree to comply with ull applicable State of 19n. Stdtutcu ciid City of Eagan Ordinances. L - ~ APPLICANTIPERMITEE SIGNATURE ISSUED e SIGNA RE ~~~~~~~~~~wnuwm CITY OF EAGAN CASHIER: 7S TEFMINAL N0: 34 DATE: 05/23/37 TIMF_: 15:21:57 IL: NAME: TEFRY G FEISHUS 3210 9001 4258 WEXFOFO WA 50.00 2155 9001 4258 WEXFORD WA 0.50 Total Receipt qmoun+,: 50.50 CF074336 USER ID: tAN , 1 • " • • . , 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) (s~~ S~ CITY OF EAGAN ~ 8830 PILOT KNOB RD - 55122 Mew Construction Reauirements 681-4675 RemodeVReoair Reauirements ? 3 registered sRe surveys • 2 copies M pWn • 2 copias of plans (InGude beam 8 window saes; poured fid. design; etc.) ? 2 ske aurveys (exterior atldkions 8 detlcs) ? t energy caiculations ? 1 enerpy calwletions for heateO eddRions ? 3 coplea af Uee proaervation plan if lot planed efter 711193 requlrod: _Yes _ No DATE: ~ ~~--7 /Y 7 CONSTRUCTION COST: An,o2,,c DESCRIPTION OF WORK: 60s-k , ~~~?'-~-C P,ae- C9D STREET ADDRESS: ~ Z y 8 Wz~f' rA W~^ Y J n OT ~ BLOCK I SUBD.lP.I.D.#: PROPERTY Name: IZQ, s~~S Trr Phone#: OWNER Street Address: ~ 2 S 8 J!Z~,j City: E State: N Zip; SS / Z 2 CONTRACTOR Company: Phone Street Address: License City: State: Zip: ARCHRECTJ Company: Phone ENGINEER Name: Registration 71icensed Street Address: Ciry: State: Zip: Sew(new conshucKion only): Penalty applies when address change and nce permit is issued. 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 Applicant: Z2=L2 OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 _-plex ,~15 Deck WORKTYPE ATC • p~Ics ~oT~gs ~d~~'vc 0 31 New o 33 Alterations o 36 Move `Gs /1- 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. y3q Depth Footprint sq. ft. SAC Code Census Bldg ~ Census Unit o APPROVALS Planning Building a/Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC inlater Conn. ' Water Meter Acct. Deposit S/VV Permit S/W Surcharge Treatment PI. ~ Road Unit ` Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units - - ~ . • ~IT2 ,r~-w~h4 ~or ~fG_F~ ~1~J.GJ-~~ia.~ J j ~(zsa c.-io-xforl ujay 28' 20' - 32' 7-T i DEOKOSED lb ~ 33' - 96' CITY USE ONLY LOT BL RECEIPT SUBD. (,~)Q,~d( RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN ' 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 oate: 5- aR-97 Complete this section onlv if vou are installine HVAC in sinQle familv, townhome, or condos that are under coostruction and are not owner /occupied. • HVAC: 0-100 M B T U S 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets ( min;mum of one required @$3.00 ea.) • State Surchazge: .50 • TOTAL: Complete this section onlv if vou are remodelinQ, addine to, or reaairine eaistinQ sinEle familv dwellines, townhomes, or condos. Add-on fiunace ~ Add.on air conditioning _ Add-on air exchanger, i.e. Vanee system, etc. , Other Minimum fee applies to a11 remodel or add-ons of existing residences $ 20.00 State Surchazge 50 Total: $ 20.50 SITEADDRESS: ¢aj? ~1/ CXfO/* INGtV OWNER NAME: T'errY R-e i~SA U~$' PHONE `~'S'~"- ~1 587 J_~, INSTALLERNAME: ~UD~II~YS S,U(.CI"I"AId-6 JTIIG Irr-• PHONE#: 4'3f'-70'f ~ STREET ADDRESS: IAl;a PmnOC~i~ AvP. • CITY: P VOl qcU STATE: ~ N ZIP: SSI a .~LUcp, R, (A~,~~ SIGNA'i'URE OF PERIo1ITTEE ~ CITY USE ONLY L BL RECEIPT#: SUBD. RECEiPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) , CITY OP EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. . all crommerciaUndusVial buildings. . multi-family buildings when separete pertnits are no required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ~ $25.00 minimum fee Qr 1% of contract priee, whichever is greater. ~ Processed piping - $25.00 ~ State suroharge of 3.50 per $1,000 of eermit fee due on all pertnits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL _ SITE ADDRESS: OWNER NAME: TELEPHONE _ TENANT NAME: (tMaROVEnnErrrs oNLY) INSTALLER: ADDRESS: CITY: STATE: ZIp: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR 53S ~ a RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New Construction Reauiremenls RemodellReoair Reauirements • 3 regislered ste surveys showing sq. fl. of lot, sq, ft of house; and all moted areas • 2 copies of plan (20 % maximum lot coverage allowed) • 1 set of Ene(gy CalculaUOns tor heated addltions • 2 coDies of plan showinq 6eam 8 window s¢e% poured foond desiqn, elc.) • 1 si[e survey for exterior additions 8 decks • 1 set of Energy Calculations • Indicate rf home served 6y septic system for addi6ons . 3 copies of Tree Preservation Plan d lot platted after 711193 . Rim Joist Detad Options selechon sheet (bldgs wdh 3 or less units) DATE -2 ' c2 y U~ VALUATIONS y~ y9' 12 SITE ADDRESS 9.2,5 R(„/ec~ MULTI-FAMILY BLDG/ _ Y V N TYPE OF WORKnO.,-~ FIREPLACE(S) 0_ 1_ 2 APPLICANT Sr0LA2 ~X~P•P/~U72C STREETADDRESS 7~6 611A,s-X1i2uLA CITYe,/~lY[dP STATE,4V_/ZIP~56< TELEPHONE # 9U-E5-9,22Q ~41.1. PHONE # FAX # l~~FC-/ ^R~~/ / PROPERTYOWNER 1 c°P_PTELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINN11SO"C.1 RULI(9 7670 CA"CL'GORl' 1 >[[NV1-;50"GA RliL1:5 7674 (d submission type) • Residen0al Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Caiculanons Submitted Plumbing Contwctor: Phonc # - Plumbing systcm includcs: 4Vatcr Soltcncr [ lwci Sprinklcr I'cc: 590.00 Watcr Hcatcr No. ol R.L 13aths No. ol'l3aUis Mechanical Contractor: Phone # Nlccli.uiirl sytitcm includcs: :1ir Conditinuing Fcc ,570.00 E-[cat Rccovci7' Sgstcm Sewer/Water Contractor: Phone # - -I L] I hereby acknowledge that I have read ihis application, state ihat ihe mformation is corre -ttllmnq((ppr,2e4omTp . u~ with all applicabie State of Minnesota Statutes and City of Eagan Ordi nces/~M Signature of Applicad~~~L~}Q"~`~~~ _ OFFICE U3E ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ' ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 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 ? 70 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 lowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bidg 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. af Bldgs Lenglh Fire Sprinklered Type of Canst Width REQUIRED INSPECTIONS _ Footings (new bfdg) _ FinaUC.O. _ Foo[ings (deck) Final/No C.O. _ Footmgs (addition) _ Plumbing Foundation H V.4C Dram Tile Other RooF _[ce S Wa[er _ Final _ Pool _ Ftgs _.4ir/Gas Tests Pmal _ Framing _ Siding Smcco Stone _ Fireplace _ R.I. _AirTest _Final _ Windows(new/replacement) _ [nsulation Retaimm, Wall Approved By , Building Inspector Base Fee ///.,,a Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total I , 2,5 Use BLUE or BLACK Ink For Office Use I I I Permit O~ City of Eap~ I s 'Ilk C d I Permit Fee. I 3830 Pilot Knob Road I ✓~/C I Eagan MN 55122 Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION ell, Date: 3o Site Address: Unit Name: &/.S ys Phone: jo~~/ Resident/ Owner Address/ City/Zip: Applicant is: Owner Contractor 1XI Type of Work Description of work: -E-gyp®}C Construction Cost: Multi-Family Building: (Yes / No,K) Company: 67/,eE e7M,J.l Contact: Contractor Address: ~c5 City: State: Zip: ~yo?~ Phone: 1~5~4517~3 4Q License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I t 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: t Mechanical Contractor: Phone: Sewer & Water Contractor Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets, CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 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 Minnes uilding Code must be iss compI ed within 180 days of perm' uance Applicant's Printed Name Applicant's Sign ure Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA136776 Date Issued:05/31/2016 Permit Category:ePermit Site Address: 4258 Wexford Way Lot:034 Block: 001 Addition: Wexford 2nd PID:10-83851-01-340 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Christopher J Fimmen 4258 Wexford Way Eagan MN 55122 Dakota Water Treatment 17484 Goodland Path Lakeville MN 55044 (952) 953-4643 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA136776 Date Issued:05/31/2016 Permit Category:ePermit Site Address: 4258 Wexford Way Lot:034 Block: 001 Addition: Wexford 2nd PID:10-83851-01-340 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Christopher J Fimmen 4258 Wexford Way Eagan MN 55122 Dakota Water Treatment 17484 Goodland Path Lakeville MN 55044 (952) 953-4643 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink 1 For Office Use City of aau R.EcEIv::;:,) Permit#: /17;?// 3830 Pilot Knob Road DEC 1 8 2017 Permit Feer .00 Eagan MN 55122 -it Received: 1$ Phone:(651)675-5675 Fax:(651)675-5694 Staff: 2017 MECHANICAL. PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 12/14/17 Site Address: 4258 Wexford Way Tenant: Suite#: Resident/Owner I Name: Chris Fimmen Phone: 612-799-8997 Address/City!zip: 4258 Wexford Way Eagan MN 55122 Name: Metro Heating & Cooling License#: 20090002249 Contractor Address: 1220 Cope Avenue East City: Maplewood State: MN Zip: 55109 Phone: 651-294-7798 Carle care metroheatin Contact Y Email: iY@ 9com New SI Replacement Additional Alteration Demolition a '— 1 Type of Work Description of work: Replace existing furnace and A/C k I NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City Code Please contact the Mechanical inspector for information on permitted screening methods. ` RESIDENTIAL , COMMERCIAL i ✓ Furnace New Construction Interior Improvement 1 Permit Type Air Conditioner Install Piping Processed S1 Air Exchanger j Gas Exterior HVAC Unit 1 1 Heat Pump _Under/Above ground Tank ( Install/ Remove) Other ----.--- RESIDENTIAL . ,--.---RESIDENTIAL FEES i a $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge $100.00 Residential New, includes State Surcharge =$tQ 0.OD TOTAL FEE ICOMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee I f =$ Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 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 rl work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Carley Ferrie x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Use BLUE or BLACK Ink RECEIVED For Office Use 411!ilill DEC 182017 ��-7 /A City of Eaaall Permit#: Permit Fee: b 'd 3830 Pilot Knob Road Eagan MN 55122 Date Received: 42- Phone: (651)675-5675 Staff: Fax: (651)675-5694 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 12/14/2017 Site Address: 4258 Wexford way Tenant: Suite#: Resident/Owner Name: Chris Fimmen Phone: 612-799-8997 Address/City/zip: 4258 Wexford Way Eagan, MN 55122 Name: Metro Heating & Cooling License#: PM058051 Contractor Address: 1220 Cope Avenue East City: Maplewood State: MN Zip: 55109 Phone: 651-294-7798 Contact: Carley Email: carley@metroheating.com Type of Work —New 1 Replacement _Repair Rebuild Modify Space _Work in R.O.W. Description of work: Replace existing water heater RESIDENTIAL Water Heater Water Softener Lawn Irrigation( RPZ/_PVB) Permit Type Add Plumbing Fixtures( Main/_Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$60.00 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ((r- x Carley Ferrie Applicant's Printed Name Applicant's ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174685 Date Issued:02/14/2022 Permit Category:ePermit Site Address: 4258 Wexford Way Lot:034 Block: 001 Addition: Wexford 2nd PID:10-83851-01-340 Use: Description: Sub Type:Fixtures Work Type:New Description:Bathroom(s) 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. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$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 - Christopher J & Nicole G Fimmen 4258 Wexford Way Eagan MN 55122 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature