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4259 Wexford WayPERMIT City of Eagan Permit Type:Building Permit Number:EA128198 Date Issued:10/29/2014 Permit Category:ePermit Site Address: 4259 Wexford Way Lot:004 Block: 001 Addition: Wexford 2nd PID:10-83851-01-040 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 - Chaitanya Anand 4259 Wexford Way Eagan MN 55122 Amana Construction Inc 1237 107th Lane NE Blaine MN 55434 (612) 636-3441 Applicant/Permitee: Signature Issued By: Signature . INSPECTION RECORD CITYIOF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 1 Date Issued: (612) 681-4675 SITE ADDRESS: APPUCANT: I ' tt; i,! 111lI tlA1 I1t0h I I:I:ollll I". tNf 711?ht 100~1) •I ~ PERMIT~SUBTYPE: TYPE OF WORK: i;:w i ~ ti f 1 l, I 1~,;.t t I N;; I ~ t~ 1'i f'I fir 1 I ~ it I - - - - - s - - - - - - - - - - - - J 1 ' PWMtt No. PsrmN Holder Dste TNephora A . SI1N ~ PLUMBING HVAC ELECTRI ELECTRIC Inspsction Date Imp. Commsnts Footirqs l i F«,ndation Framing ~ - ~ -g 3 S I Roofirp Rwo Plbg. Rwo Htg- ga Is,l. ~ Fmoa- Fimi m9. tg-43 Orsat Test 57 Final Plbg. *APD . ns tor - i~j+ Plumber Consl. Meter Engr./Plan eldg. FvmM .~3 3 DeCk Ftg- DeCk Fkial WeN Pr. Disp. ~ x y y ~ ~ . . . . - INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: ' ~ ~ % ~ ' ~ (612) 681-4675 SITE ADDRESS: ~ ,oi APPLICANT: .j ; i1i li idi :{;iti ~ , PERMIT SUBTYPE: TYPE OF WORK: ! i i!~~• i t • . ~-10;lt l N I•I I;t, NFMAt . :,1 I`Ai7A11- !'f I M1 APF 1•I U11IkC 11 ! I?k AMY I'i IIPIttIWl~ 1-1' ; i i i Ii~ I iIliil•{ ~ L 1 w?mn No. Pormn Hodar oaa T.lepnone # , i s/w PLUMBING HVAC Ii ELECTRIC I ELECTRIC I Inspection Date Insp. CommsrMS i Footings I I I I FoUrdepbn I Fmrrdng ~y17 0;~ I~ Roofing Rough Plbg. 3 R°"g?' "'9. is,i. II Ffreplace I I Flnsl Htg. ~OrBet Test ' Fnal Plbg. Plbp. Irrepecdor - NOtity Plumber Con6t. Meter Engr./Plen Bldg. Flnal Dock Fifl• Dedc FkW Well Pr. Diep. . ~ . ~ wemlicate af cccupanq Mtl) nf Cfagan , This Certiftcate issued pursuant to the requirements of the Uniform Building Code certrfying that at the time of issuance this structun was in compliance witlt the various o?dinances of the City regulatiag building constructioR or use. For the foUowing: ux ctassifbmion. 425Q WEUM WAY eag. ramic rb. 2 I 545 OccuwncY TYve zoning Uistria AV~E EMM Owner at Buildin4 Address ~ , Idm f s ~ g Address , Lacality Btltldlllg Official POST IN A CONSPICUOUS PLACE PH~04157 ! Requast ~e Fre No ugh-m Inspection NOTICE: You Must Cnll Elecmcal Inspecbr ? epm Ii A RoagM1-In Inspecuon _J es ? No is Reqwratl icensed contractor ? owner hereby request inspection of above electrical work at: Job Atldress (Slreet, Box or Roule No ~ pry Section No iownship Name or No Range N. Couny ~ Oxup RINT7 Ptione No. Powar plie A tlGress Elaclncal Conlrador (ComOany Nam Cqnvador icense No ~ Do 9 Maihng Atldress (Co Ira~ or OHner Making Iretallatwn) Authonzed ignature (COniractor(OvrtierMaking Installatron) Phone Nu er f~ O~lO3~o MINNESOTA STATE BOARO OF ELECTRICITY TNIS INSPECTION REQUEST WILL NOT Grigqs-Mitlway BIOg. - floom S173 BE ACCEPTEO 8V THE STATE BOARD 1821 Unlveroiry Av¢., St Peul, MN 55104 UNLE55 PROPER INSPECTION FEE IS Phone(fi12) 6024800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee aooo1 oe p~ ? Sea insVUCtrons lor comple~ng ihis Porm on back ol yellow copy ~j+ ~ I~I O 4 1 5 7 "X" Belon~ Work Covered by This Request AddiReON R TypeofBuiltling AppliancesWiretl EqwpmenlWrad Temporary Service Duplez ter Eleciric Heatmg Apt Building Loatl Management Home EAirConditidner Comm./lndusirial Other (Specily) Farm Otner (speciry) ConVedaS Remarkr Compute Inspection Fee Below: # Other Fee # Service Entrance Size fee # Circuns/Feetlers Fee Swimming Pool 0 to O O A Amps ~ 0 to 100 Amps ~ Transformers Above 200 _ Amps Above 100 _ Amps Signs finspedor5 Use Oniy. TOTAL U Irrigation Booms LLD ' G 70 ~ Special Inspecllon Alarm/Communication THIS INSTALLATION MAY DISCONNECTED IF NOT OlherFee ~ COMPLETED WITHIN 1 THS.^ f I, the Electrical Inspector, hereby R°"qn-m C certify that the above inspection has been made. F,,,ai oai OFFICE IISE ONLY This request witl t8 manihs irom Address 4259 wM-o?tD wnx Zip 5512 2 L.ot .4 Blk I Sub wEXFORD 2rID THESE IT'EMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: ~ Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway v Permanent gas Sod/Seeded grass l/ TraiUcurb damage Porch i/ Basement finish Deck Please vcrify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply ro the outside lawn faucet before freeze potential exisis. Contact engincering division at 681-4645 before working in right-of-way or installing underground sprinklcr system. White - City Copy Yellow - Residem Copy Pink - Contracior Copy ~ r PERMIT ItN C IiY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: /u G Eagafl, iNinnesota 55123 Permit Number: 021545 (612) 681-4675 Date Issued: 0 7/ 2 2/ 9 3 SITE ADDRESS: 4259 WEXFORD WAY LOT: 9 BLOCK: 1 WEXFORD 2N0 DESCRIPTION: Building Permit Type SF OWG Building Wo,rk Type NEW .1UBC Occupancy, R-3 M-1 Construction Type V-N ~ Zoning ~ R-1 ~ euilding Length 66 Building Width 47 ~ - - ~ REMARKS: S& W PLBR - STAR PLBG PRV FEE SUMMARY: VALUATION $179,000 Base Fee $916.00 MISCELLANEOUS $1,744.50 Plan Review $595.40 Total Fee $4,095.40 Surcharge $89.50 SAC $750.00 SAC 8 100 SAC Units 1 Subtotal $2,350.90 CONTRACTOR: - Applicant - sT. LIC. OWNER: DAHLE BROTHERS INC 18686866 0001647 DAHLE BROS INC 9304 LYNDALE AVE S 9304 LVNDALE AVE S BLOOMINGTON MN 55420 BLOOMZNGTON MN 55420 (612) 888-6866 (612)888-6866 I hereby knowledge that I have read this application and state that the informatio is cgrr c and agree to comply with all applicable 3tate of Mn. Statutes a ;.C.- Eagan Ordinances. - ~ r APPLICANT/P ITEE SIGNATURE (ISSUE- D B1rGNATURE - INSPECTION RECORD CITY OF EAGAN PERMITTYPE: BuiLDiNG 3830 Pilot Knob Road Permit Number: 021545 Eagan, Min nesota 55123 Date Issued: 0 7/ 2 2/ 9 3 (612) 681-4675 SITE ADDRESS: Lor : q 8 L 0 C K: 1 APPLICANT: 4259 WEXFORD WAY DAHLE BROTHERS INC WEXFORD 2ND (612) 888-6866 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION D. . FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S& W PLBR - STAR PLBG PRV F- _ ~ L ' 2EACTIVATE _ H E ((~`~'El ~ v E D CITY OF EAGAN PEP'r . 9 9 9~93 1993 BUILDING PERMIT APPUCATION 681-4675 - SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date -7 /`~z Valluation of work 1Z`r ~~a Site Address: SIREET SUITE 0 Tenant Name: (commercial only) LOT + BIACK ~ SUBD. Descri tion of work: The applicant is: ? Owner Contractor ? Other coeseribe> Name Phone Property LAST FIRST Owner pddress STREET STE Y City State Zip Company Phone Contractor Address ~Llcense # \l941 Exp. City State ZiP Architect/ Company Phone Engineer Name Registration N Address City _ State Zip Sewer & water licensed plumber Processing time for sewer & water parmits is two days once area has been ap oved. I hereby acknowledge that ~h ave read this a i tion and state that the information is correct and agree to com Yy wi plic SEate-,of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican : OFFICE USE ONLY 1 BUILDING PERMIT TYPE ~~4~ .,,R, a ? 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 16,_Ba3'r@inen.,t,Eini.s*s ~K02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 0 17 Swim Pool O 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex 0 14 Fireplace ? 19 Lomm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility O 21 Miscellaneous WORK TYPE '0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish 'O 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V-n1 Basement sq. ft. MWCC System `/E5 (Allowable) v- N lst F1. sq. ft. City Mater _Y~tzt> UBC Occupancy 93 M-t 2nd F1. sq. ft. PRY Required c5 Zoning R-i Sq. Ft. total Booster PumP d of Stories Footprint Sq. ft. Fire 5prinkler Length -67- On-site well Lensus Code ~ Depth gy)_ On-site sewage SAC Code ~ APPROVALS I Planning Building Assessments Engineering Variance _ REQUIRED INSPECTIONS ? Site ? Footing ? Framing 0 Insulation ? Wallboard ? Final 0 Draintile ? Fireplace s Permit Fee - veimt;a,: $M OOo Surcharge Plan Review ~aARA6E% 32X2 Zc License 1 2 K z= (24 ' MWCC SAC City SAC 6 gp X Ib = /6g9o 6StitT~ . ~ ~ Water Conn. 3y x 32 oSa Water Meter Iy X;Lo = Z 00 Acct. De osit S/W PermPt S/W Surcharge I yy3x/5= 21, 64.~ Treatment Pl. IST Fi,ooR; Road Unit Park Ded. zX2x6 = Zy Trails Ded. BSmT= l443 Others I'Aix6%i s~. iotal : )yr?r7 X S4% SAC % ~ 00 ZNa ~i,o0a' `aUo) SAC Units 34 K3Z.~ ! o 8,q s xisa iv ZriZ- 30~ IZZyxSy= 66,09F ? rl ' CERTIFICATE OF SURVEY . ®ru:'= B113 DU VONYAVHNUE BOUTH BLOOMINOTON, MtNN. 65470 ~ 888•4084 LANDSURVEYORS .i-a - Survey far: y I J I/~ A12 DAHLE BROS.. INC. o 1DESCRIPTION: ~o lot 4, Block 1, WEXFORD 2ND ADDITION l ~ /S ~ a ~ : ~~n'(~• i ~I~V'a~~? . ,ca30, _ 9sa ~ / / Proposed Grades: Top af Blocks 959z Garag` f3oor ,~SS? ' V Ba 10~ ~ r -9 0,7 / 0 \ Sp I GIRIArG D~pq NOTE: Circled elevations are proposed, others are ~ r~ , ,ro existing. o ~ L Arrows denote direction of c~ Drainage. ~ 0 I ~P,~j poGo~Io E~~ ca ~~o o~ We hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon and all visible encroachments, if.any, fr or on said land. Dated this 16th day of Julv ,19 93. i by , inne ta icense o. 9018 zey s9 LOT BURVEY CHECRLI6T FOR RESIDE:.:.AL ~ ' BUILDINa PERHIT APPLICATION ~ m 2 ~ pROPERTY LEOAL2 ~ m t Dnte of Burvey: pOCUMENT BTANDARDB ~ p p • Registered Land Surveyor signature and company 3- 0 0 • Building Permit Applicant Y 0 0 • Legal description ] p~ ? • Address p • North arrow and bar scale 110 0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) [[3--0 0 Directional drainage arrows with slope/gradient p p, ? • Proposed/existing sewer and water services p1 ? p • Street name p~? ? • Driveway ELEVATIONB Existina 0 ~ D • Sewer service 9-1 ? ? • Lot corners p pi 0 Top of curb at the driveway p pip • Elevations of any existing adjacent homes Yroaoaed p/[] p • Garage floor p~ p ? • First floor 0-- p? • Lowest exposed elevation (walkout/window) jy D p • Property cornezs (Yp ? • Front and rear vf home at the foundation pONDINd AREA9 (if npDlicable) D 911~ 0 • Easement line 0 D-0 • NWL o ra- o • HWL 0 0' 0 • Pond A designation 0 G~0 • Emergency overflow Elevation AIMENBIONB [~p ? • Lot lines e0 0 • Right-of-way and street width (to back of curb) ? p • proposed home dimensions including eny proposed decks, overhangs greater than 21, porches, etc.' (i.e.. all structures requiring permanent footings) ? • Show all easements of recozd and any City utilities within those easements iY 0 0 • Setbacks of proposed structure and setback of adjacent ~ existing homes ? p' ? • Retaining requirements, if any Reviewed• G N me / ate October 1992 . ~ , ~ . ' EXTERIOR ENVELOPE AVVRO.GE LOHPUTA71011 / fiRfE'l: _ tk~o'f~-~ ~c~DEL • $ITE ADnaE55: Lo'r y~ ,BLp~,K f La~~ ~N~ ADDIT9oa CONTRACTOR: M e DATE: PHONE: _~S-(oala(o ' riETERHINE IIORKIIIG SOUARE FOOTAGE OF EACH: 1• TOiAL EXPOSEO IIALL AREA,,..,, gq ft x"U" 11 2. T07AL ROOF/CEILING AREA,,,, 'I~j~ , - sq ft x "U" ,026 3• TOTAL EXPOSED 11AL1 ARE.4 CALCULATIQNS: Total exposed wall area above floor,,,,.,. (~v ea ft a) 'fotal Wall window area: r I . D~ qlazed...... 2 ^ •~O !Q ft x "U" Jh1/ 1LrLL qlazed,,, _ Sq f[ X b) Total door area . sq ft x"U" iZl e) Total sllding qlass door area: glazed...... sq Ft x"U" .v~ --Y- ~ G~ 9lazed...... sq ftx d) Total flreplace wall area sq ft x"U" v el Total wall framTnq area (Averaae 10°')........... sq ft x~~U" Z~YlGFf- f) Total net wall area above floor (Insulated) 2~M sq ft x"U" • :5 a IC~1.7 9 g) Total rlm Joist zrea...... _ 24- 1 sq ft x"U" -~L • 10,2~ Total foundatlon nrea (Exposed).......... G' sq ft h) 7ota1 foundatlon , windoa area......,.. L sq ft x"U" I) Total net Foundatlon area above qrade....,.,,_~y sq ft x"U" e0 74ro . TDTAL a) thru 1) Ii Item aj Is the same as, or less than Item pl, you have me[ the Inten[ of 2 MCnR 1.16008 A and p, Page L d+. TOTAL EXPfiSED ROOF/CEIL111f, CALf.VlAT10N5d Total expoeed I ; roof/celllnq area........ sq ft J) Total 7kylloht area....... sq ft x"U" - . k) Tota) roof/celllnq framinq -1 area (Averaae In9,),,,,,~8, /U sq ft x"U" 1) Total net Insulated roof/celltnq erea.......sq ft x"U" 4• . TOTAL thru 1) ~ If total of 04 ts the same as, or less than R2, you have met the Intent of 4 NCAIt 1.16008 A and 0. AlTER11ATE BUIIDIIIf. ENVELOPE DESIGN To utlllze the total envelope syetem method, the values establlshed by the sum o/ Itnme fij and A'4 shall not be 7reater then the sum of iteme dl and 02. ~ • ~3~"3 15 + 2. 3. -2.-7 q, 7 / + C E R T I F 1 C P. T I P N 1 hereby certify that 1 have calculated the "U" Factors aad "R" values hereln and that the Aulldinq here de~crih~d eets or exceeds t e-3tate o/ Ninnesata Enerqy Coneervatlon Act. ~ ( i , r S qnature V ~ `~L~-~~ ~Z4?,~ Print name L'` (Da[e) Pag•~ 2 t r , , . -C0115TRULTION' R VALUE 41ALL FRAN{NG SECt10N: I Interlor alr film 0.68 Z 't 12~, A j 117- n< <,.,o ~ wood . 4 " ' S 6 xter or a r m TOTAL R - U ~ 1/R- :D1 • WALL SECTION (IHSULATED) 1 Interior alr fllm p,68 2 3 L P,DQ 5 ' ~S f+ xter or alr film TOTAL R - ~J-3.Q3 u -I/R - .043 RIM JOIST SECTIDN: 1 Interlor air flim 0.68 2 ~tio 4 5 ~ C 3 5 ~ _ h Ex[erior air film p, 7 TOTA R 7 FOUNDATION INSULATI0f1 REQUIRED: Min. R-5 on entire wall OR U- 1/R •.Q~ o, p•;•,e• Min. R-10 down to frost aepth fOUNDATION SECTION: 1 Interlor alr film 0.68 •'p : ^ ' Z a•. 3 I?' 0~,1 C i_be- ~ a Exter or a r i m p, ~ e •n. •a• ~ (S ~ Q:e~. -,,./~•.I (F d' ••~~'Q TOTAL R ; U SIAfl ON GRADE .1,4' 1''. ' 4i •Q,~• ••'.d c%; L • ~ ~ . ~ n r' : ~ . ; •a;. . \4 .v ' A "a VI'•• Q~r4 ,•a a'.4~' / ~ , ' . 4 .4, E . • Heated Slabs_ ' p~ ' , . . , v o• . Minimum R 8.5 ' 4. A; ;•-4- Unheated Slabs: : 4? .d' ~ ~ • Q ' ~ . : Mi nimum R ~ 6.2 Q . a , • , 'q, • : , • 4"• - • ~ Q,d Page 3 y , . . ' %CONSTRUCTION R VALU[ CEILINr SELTION (INSULATED): 1 Interior alr fllm 0.61 6IR 2 CHUTE 3 >O Exterlor afr fllm still 0,1 TOTAL R - u - i/a - ,OZZ log CEILING FRAMINf SECTION: 1 Interlor alr fllm 0.61 2 AIR VENTED 3 - ` FLOW a Intertor air film stillj~ 5 inches soft woo~l -'TOTAL N !y~ U ' 1/R - .02:7 [EILING SEf,TION (IHSULATED): 1' Interior a(r film 0.61 2 4 Exterior air ilm sttll 0. 1 G 3 _ TOTAL R - U- 1/R-- t' ~ D 2 3 4 5 CEILINf, FRAHIlIf, SECTION: 1 Interior air film 0.61 VENTED z 3 . • A£r.!erto• air ilm still 0.61 S Inches so t Nood TOTAL R = U ~ 1/R - 3 4 5 1 Inslde alr film 0.61 3 . i S Outside afr film D.I7 ~ I 2 TOTAL R - _ L• U = 1/R - ' Page 4 ~ CITY OF EAGAN PERMIT ~c~~/~ -3830 Pilot Knob Road PERMIT TYPE: g i ~ dz~N~G Eagan, Minnesota 55123 Permit Number: 023145 ~ (612) 681-4675 Date Issued: 0 3/ 2 3/ 9 4 SITE ADDRESS: ~ 4259 WEXFORD WAY LOT: 4 BLOCK: 1 WEXFORD 2ND P.I.N.: 10-83851-040-01 DESCRIPTION: Building_Permit Type BASEMENT FINISH Building Wo'rk Type ALTERATION . : . REMARKS: SEPARATE PERMITS ARE REQUTRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: - Applicant - sT. Lxc. OWNER• DAHLE BROTHERS INC 18886866 0001647 AHLE BROS INC 9304 LYNDAIE AVE S 304 LYNDALE AVE 3 BLOOMINGTON MN 55420 LOOMINGTON MN 55420 (612) 888-6866 (612)888-6866 I hereby acknowledge that I have read this application and state that the infiorm " n is correc and agree to comply with all applicable State of Mn. Stat es nd City f a ces-,- - ~ APPLICAN !P RMIT ESIGNATURE ~DF~~:SI NA Yr''~'~- / INSPECTION RECORD CITY OF EAGAN PERMITTYPE: auzLoiNG 3830 Pilot Knob Road Permit Number: 023145 Eagan, Minnesota 55123 Date Issued: 0 3/ 2 3/ 9 4 (612) 681-4675 SITE ADDRESS: LoT : 4 B L 0 C K: 1 APPLICANT: 4259 WEXFORD WAY DAHLE BROTHERS INC WEXFORD 2ND (612) 888-6866 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION D. . FRAMING INSULATION ROUGH IN PLBG FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PIUMBING OR ELECTRICAL WORK F L J CITY OF EAGAN ~ 1994 BUILDING PERMIT APPLICATION 681-4675 - SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Zz- Ya]uation of work ~o~ 0= Site Address: w°-:I STREET SUITE M Tenant Name: (commercial only) LOT T BLOCK ~ SUBD.~~~ Z~ P.I.D. # Descri tion of work: 7~"'S^^--~~ The applicant is: ? Owner CrIcontractor ? Other (Describe) Name Phone Property LRST ?IRST Owner Address STREET STE p City State Zip Company Phone Contractor Address CA `-~t~-~•- ~ S~ License # V~A, Exp. City State Zip Architect/ Company Phone Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber ' Processing time for sewer & water permits is two days once rea has been approved. I hereby acknowledge that I ve r ad this ap li ation and state that the information is correct and agree to comp wit 1 a State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican : OFFICE USE ONLY 4x ~n.w •!y . - BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0 16 Basement Finish ? 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comm./Ind. ? 04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 19 Cormn./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New 0 33 Alterations O 35 Tenant Finish O 37 Demolish O 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWLC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Censys Code y 3 r Depth On-site sewage SAC Code a~ Census Bldg i APPROVALS Census unit T Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? .Site ? footing 0 Framing El Insulation ? Wallboard 0 Final ? Draintile ? Fireplace Permit Fee v.iu.cio,: S Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. - Copies Other Total: SAC % SAC Units . •>5;;,=?,r:;,:,?.:, . . •..t,. ~F. . fiUBD ' . . 1993 PLUMBING PERNIIT (RESIDIIVI7AL) CTTY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTT. - - - - - - - - - - NO. FIXTURES EACH TOT~ / cupwF'R 3.r.10 -3 00 ~ WATER CLOSET 3.00 9,ov BATH TUB 3.00 f ov IV_ LAVATORY 3.00 / ~.Qo KITCHEN SINK 3.00 o 0 LAUNDRY TRAY 3.00 o 0 HOT TUB/SPA 3.00 WATER HEATER 3.00 ee7 ~ FLOOR DRAIN 3.00 3• oa GAS PIPIIv'G OIITLET • minimum - t 3.00 o,2 3 ROUGH OPENINGS 1.50 Kl i 4 WATER SOFTENER 5.00 PRIVATE DISP. • DatCry. ha 15.00 U.G. SPRINKLER • nome unaer oon:i. 3.00 3,02 ALTERATIONS • to ~ti,g 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 - , TOTAL: S 3. Oo SITE ADDRESS: 3-c~) I/1/Px OWNER NAME: INSTALLER: ADDRESS: CITY: J,~., STATE: ZIP CODE: PHOhE ( ) vl~.~~ ~ ~ SIGNATURE OF PERMITTEE ~ , _ . ,,;-_.:~:~..•:>fi7SE';ONLY . . . . . . : . . . . >s:~;; _ ...<:<. . . L BL ° ° . : .._....::.::.tiy(......!,":. ai.J . •..n:.. _~....:1.: 4 . . , ~ .i:.`i~,,:i:.~~:. <..'.q.: .........a. ~?:..P:.(':::.... ....,•.:r. 4;r., _.:x::.:...> ....:...:..:...*:'s:._:,:(:.:~':.<.'•..o:y.::...,..,,.i: h~.._, :s'>:C"i~;.""r.::>:c:~:~.~':.;;',::>`~ . . . . . . . . ,.~..::'..m~.•.-:::%:':'>';.x: > ~..:..:.Q..y;.<•.::i . . . . . . . . . • _ ~ `s:;.~~~'~:;;;~'.'rC%~'.,;" „ . .....y.~. <v::> '4r..,.::a~y: ^jf~;. $[TBD y>: ,...a . . . o^. , r~.~:::e..'.::''< ...::.:.~.:......~............r~>,.c:.:.,:~:j:~..S; H~:~~". r. ~ , a sJ...~...., .....:.~...~~,a w.;'w...~>:,Y .:i2:1%kF•~'l;~qnp:.: m..._.~_..,..m.__;:..::~:::..~~,_:...,~,......._..x.,_,.....,..~..,~::..n......... 1993 PLUMBING PERMTf (COMMERCIAL) CITY OF FAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAl/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUI: DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING U. T. NEK' COAiSTRUCTION ADD Oh REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACf FEE. STA7'E SURCfiARGE: 5.50 FOR EACH $1,000 OF PERMfl' FEE. MINIMUAf FEE: S 25.00 ~ CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENAIVT NAA1E: STE. # OWNER NAIVIE: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CIT1' OF EAGAN APPLICANT ' - OW.tJSE.i'fIVI.Y , . . L:'.: BL`.' ; . : . CpTn . > . _ . . . . : . • . _..~~i~. . - , . . . ` > . : : : : , > . . . ~r . . . , - susn. , . . . . : . ..~:,:,.~w.. .w . . 1993 MECHANICAL PERMIT (RESIDENTIAL) CIT-V OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. - - ~ NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE CI -2-7 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 C 53.00 EACH) -3• to ADD-O?v'/REMODEL (EXISTING CONS7RUCTION) $ 15.00 STATE SURCHARGE .50 TOTAL ~-"1• SITE ADDRESS: OWNER NAME: TELEPHONE INSTALLER: ADDRESS: ~ l l l !~J \2 3T CITY: ~.cc_.- STATE:~-4\?,t . ZIP CODE: Tl8 TELEPHONE -?G c~o SIGNATURE OF PERMITTE OW usE omX . . _w_. _ . _ . . .,,e;~-; : ~ . . $L . . . . . , • < . . , rV . - , . •DA u. . ~ . .a...._ ~ 1993 MECHANICAL PERMIT (CObNERCIAL) CTTY OF EAGAN 3830 PII.OT KNOB RD FAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMAERCLAUINDUSTRIAL BUILDINGS. AISO COMPLETE FOR APARTMENT BUILDINGS OR OT!-IER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: $ NEW BUILDING IN7'ERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF COIr'TRACT PEE $ PROCESSED PIPItiG: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF PERM3T FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANTT I`'AME: (IMPROVEMENTS ONL1) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR nv ' RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 ~ NewConstrucUanReaulrementa RemodellReoairReuuiremenh • 3 registered sile surveys showirg sq. ft. of lot, sq. ft. of house; arM all roofed areas • 2 copies of plan (20%maxunum lol wverege allowed) . 1 set of Eriergy CalculaGOns for heated addiUons • 2 copies ol plan showing beam 8 window saes; poured found design, etc.) . 1 site survey Mr extenor additions 8 decks • 1 set of Energy CalculaEore • Indkate if home served by septic system for additions • 3 copies af Tree Preservation Poan il lol plattetl after 711193 • Rim Joist Detail Options selection sheet (hldgs with 3 or less umts) DATE cI - ZD - 0 2 VALUATION Dba SITE ADDRESS 4 ZS°I WG X~1,v- i,l bvay MULTI-FAMILY BLDG _Y "N TYPE OF WORK + IQV1 FIREPLACE(S) _ 0_ 1_ 2 txts-hie-LI dc APPLICANT ~bvi~~? "!'-h av1 STREETADDRESS )-445U gI,tvVlSvlllt_ Pkj,tn.! CITY BwVvl.S~STATE Ni.JZIP SS36ca TELEPHONE 0 %2 - 440 - "11Sp CELL PHONE # FAX # PROPERTYOWNER al4h JQVI,~~.~t ~ TELEPHONE# ~S1- 1~8(a~~IBZIo COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSO"1'A HULES 7670 CATEGORY 1 MINNESOTA-RULESl7672 (d submission lype) • Residential VenGlation Category 1 Worksheet Submitted ' 1' • SNg ~yrV;6odg 1Nork~heet Submitted -<<~~< • Energy Envelope Calculations Submitted BY Plumbing Conhactor: Phone 11 Plumbing system includes: _ Water Sottener _ L.awn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Aaths _ No. of Baths Mechanical Contractor: Phone # Mech:unic:il system includes: _ Air Condiuoning ree: $70.00 Heat Recovery System Sewer/Water Confractor: Phone # I hereby acknowledge ihat I have read this application, state thai the information is correct, and agree to comply with all applicable StaTe of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OWl Ag~ ~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ~ ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex X 18 Deck ? 23 Porch (screened) O 36 Multi ? OS 03-ptex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12•plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding IY 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair /O 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs / Length Fire Sprinklered Type of Const 'J/ A-) Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. 1( Footings (deck) ~ FinaWi o C.O. _ Footings (addirion) _ Plumbing Foundarion HVAC Drain Tile Other Roof _[ce & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Srone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By T_ Z , Building Inspector Base Fee Surcharge Plan Review ~ o MGES SAC s~ Ciry sAC Water Supply 8 Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total E ~ • CERTIFICATE OF SURVEY t~w~w.Z'• cea~kore. ~ue. e7ia auroNYwveMVe eourH BLOOMINOTON. MINN, OEI]D r asaaw4 LAHDEURVHYORS .ca Survey for: IG y 'l DAHLE BROS., tNC. ~'63~38, t~ 9 ° ? " . / 56 • ~ C- ' DESCRIPTION: `o lot 4, Block 1, WEXFORD 2ND ADDITION s n l f ~ • ~ . ti Sca1e: ~a~~^~ d-CCv- / Proposed Grades: se g p 0 ToD of Blocks 9S9z .G u . B 10 oy / 0 ZA GA N GINE RI G oo~ s-QS e_3~ 936j NOTE: Circled elevations are proposed, others are > =s` o a ~Lr existing. nrraws denote directlon of Drainage. ~ °lbo P.R.V. 64EQ116RED We hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the locatton of all buildings, if any, thereon and all vlsible encroachments, if,any, fr or on said land. ,pq Dated this 76th day of Julv .19 93• , r by nne a ~cense o. z.a9 s 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constmction Reaviremenis RemodeUReoair Reoviremenls Officetlse OnH 3 regislered sde surveys showing sq. fl of lot, sq. ft. of house; and all mofed areas 2 copies oi plan Ceii of SurveyRecd::.:: _YN (20% macimum bf coverage allowed) 1 sef of Energy Calculations for heated addtions Iree P.res.Pl&n.Rec.tl ::::_Y°._N 2 coqes of plan showing 6eam 8 window sizes, poured found design, eta . 1 sAe survey for addNons & decks Tree;Freg.Reqwred':; Y ` N lsetofEnergyCalalations Addfion - ndrcateiloo-sileseptrcsystem Oo-sileSeplicSystem ~:Y:_-N 3 copies of Tree Preservalion Plan if lot platled aRer 711193 Rim Jois1 Detail Options selectan sheet (bldgs wilh 3 or less units Date -JA_/ Construction Cost Site Address Y259 WC-3660 l.J kl UniUSte # Description of Work LL;\ Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 V~ l _ 2 ~ Property Owner Telephone #kp11 )U%O' 452 Contractor 5 \&~k n U U lL Address '~`154P City State Zip Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 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 Mechanical Confractor Telephone ~ f 1,'11 NOV 1 2004 I' Sewer/Water Contracfor Telephone )iI il I L JI I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; 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 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 pl n in the case of work which requires a review and approval of plans. , )C>F1) ApplicanYs Printed Name App 'cant's Signa re OFFICE USE ONLY , Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 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 Ect. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch(screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage 0 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addftion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Aiteretion ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (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 Wdth REQUIItED INSPECTIONS _ Footings(new bldg) _ FinallC.O. Footings (deck) _ FioaUNo C.O. Footings (addition) _ Plumbing Foundation _ HVAC Dmin Tile Other Roof Ice& Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace R.I. AirTes[ 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 & Suroharge Treatment Plant License Search Copies Other Total ~v~ 0 o ` 2004 RESIDENTL4L BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 l~ t o New Construction ReauireIts Remodelrt2epair ReauiremenLS Office Use Onlv 3 regisle2d sRe surveys showing sq. R of IoL sq, ft of house; and all roofed areas 2 copies of plan Ced of Survey Recd ~_Y _ N (20%mazimum lot coverage allo,ved) 1 set of Eneqy Calculatlons for heated additions Tree Pres Plan Recd _Y _N, 2 copies of plan showing 6eam 8 window sizes, poured found design, etc. 1 site survey for additions & decks Tree Pms Required _ Y_ N 1 set of Energy Cakulations Addition - indicate d on-sRe septic sysfem OrrsRe„Seplic System _ Y_ 4 3 mp'ies o( T2e Preservation Plan'rf lot platted aftu 7/1193 Rim Joat Detail Options selection sheet (bldgs with 3 or less unils Date Construction Cost ,7 v ~.L.., ~ Site Address ~Ca p UniUSte # . Description ot Work Multi-Family Bldg _ Y)C N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone #65)) 86 o ~ Contractor ~ F~ ~ ' ~V"("r~. ~ /~t-~L~/~ ?l ~ / Address c~"~ Sf J~7"C1L~.~-~ City State /2ULA1/Q01a i 7/ / "Ig2akip Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Careeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission rype) 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 # ( ) Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( j I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; 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 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 pl in the case of work ' l~ires-a-reura,e nd approval of plans. LjIS FEB p? 2005 ~ Applicant's Printed Name , plicanYs Signature " By OFFICE USE ONLY Sub Types . . ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 79 Lower Level ? 24 Stortn Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N O 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteratlon ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (Entire Bldg) - Give PCA handout to appliwnt 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) _ FinaVC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Founda[ion _ FIVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Fryming _ Siding _ Stucco _ Stone _ Brick _ F'veplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S8W Permit & Surcharge L Treatment Plant License Search Copies l. Il u" ~ \7 Other Total o0 ~ 70 r d 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conslmction Reouiremenls RemodeVRepair Reomremenls Office Use OoTv 3 regislered stle surveys showing sq fl. of lol, sq fl of house, and a0 roofed areas 2 copies of plan Cerl o(,Survey Recd _X,N (200b mauimum lot coverage allowed) 1 sel d Energy Calculahons (or healed additions Fje2Pres Pizn Recd-.:~ YN. 2 copies of plan showing beam & wmdow sizes; poured found design, etc 1 site survey for additrons 8 decks Iree'Pres:Required°;s, iset ofEnergyCalculalions Adddion - mdicateiion-sitesephesystem Ort-sile5epticSystem~ ..._y _N 3 copies of Tree Preservation Plan rf lot ptatled afler 7/1193 Rim Joist Delail Options selecllon sheet (bwldings wdh 3 or less units) Date ? / ~33 / Construction Cost J # Sit nit/Sle c Address A Description of Work Multi-Family Bldg _ CN Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone #(~~~j Cootractor e n~ y/~.~ d? ~ r• c7 City Address e-C State Zip (6~_Vog _ Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minneso[a Rules 7670 Catesorv 1 Minnesota Rules 7672 En Category Residential Ventilahon Category 1 Worksheet • New Energy Code Worksheet [(e,rgy sub Comissde ion type) • Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar olan? _ Y _ N If so, 25% plan review fee applies. ~ [s 2 ~ D v Licensed Plumber lephone ~ MAY 2 5 7006 Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( ~ I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurz that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of n Statutes; I understand this is not a permit, but only an application pr a permit, and work is not to start withot permit; that the work will be in accordance with the approved pla n the case of work which quires a review ~ approval of plans. J" Applicant's Printed Name .,Spplicant's Signature OFF[CE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration 0 37 Demolish Building' ? 43 Reroof ? 46 Windows/0oors ? 34 Replacement 'Demolition (Entire Bidg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Boosier Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ FinaUC.O. Foatings(deck) _ FinaUNo C.O. Foolings (addition) _ Plumbing Foundation _ HVAC Drain Tile OUier Roof Ice& Watcr Pinal _ Pool _ Ftgs AidGasTcsts Final Framing _ Siding _ Stucco _ Stane _ Brick Fircplace R.I. AirTest Final _ Windows Insulation _ Rctaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~ Pertnit p: ~ City of EaiaIl ~ Permit Fee: 3830 Pllot Knob Road i i Eegen MN 55122 1 oate Roceive~~l,t ~t~~_~fl~ ~ Phone: (651) 6755675 1 Fax: (851) 6755694 1 Stafr: i i----------------- 2009 MECl1AIdICAL PERMIT APPLICATION D9t9: $Ite AdAronn_ Tenant: KAY JANSEN swteu: 4259 WEXFORD WAY RESIDENT / OWNER ~ EAGAN, MN 55112 Phnne: E 651-905-9130 CONTRACTOR Nam _ License Jl: MIDLAND HEATING AND AIR Addr 413 WE5T60TH ST MINNEAPOLIS,MPI 55419 State:_ . Zip: City: 612-869-3213 - Phor._ ;on: TYPE OF WOHK - New L Replacement AddRional _ Alteration _ Demolition ~~.mW*1 :.rc h.w J„0. NOTE: OaEh rpol monrtNd ard pround moumed mlchenka/ equtpm.sat fa roqLired to b*lwwn-odby CRty C~L ~a contWNw 1f6c6~,pM.a! (nspector or one of the PMar?erlr IAtoCmdMlon +ori n?fttetf s n meiboda . f1ESiDEN77AL7.:.:._: PEHMITTYPE )/-Fumace _ New Construction Interior Improvement F r Alr Conditioner _ Install Piping _ Proc=ssed _AirExchenper.--.....•.:..:.... _ Heat Pump _ Under / Above ground Tank L Install Remove) " When irretalHnghOrtioWng tank(s); caM for inspection bq Fire pther Marshal and Plumdng Inspector RESIDENTIAL FEES: $50.50 Mlnlmum Add-on or alteration to an existing untt (includes $:50 State Surchar441 -Z'" $90.50 Fire repalr (repace bumed out apptiances, aucnwrk, etc.) (Includes. •.~.5p State Surcharge) • : . . . _ . . . . ~ . . . . _ . .Q; . - ~ ."`-TOTAL FEE'. : ' COMMERCIAL FEES: $70•50 Underground tank installation/removal OR Contrea vaiue $ x 155 j50.50 Mjpimum (includes State Surcharge) ~ • • • - . - • ' PermftFee!"!: - It PermR fgg ie IeY then 51,000, awcharpe la $.50. - If Pertnlt E@g Is > =1,000, surcharge Increases by $.50 Mi each .t t 1 P a State SurCharge §7.000 PermN Fee (i.e. a 57,00142,000 Pemi11 Fee requires a $7'.00 'surcliarge).... . . _ ' : ~ ' . : , ' . _ -TOTALFEE • I hereby acknowleCpe thet ihle Infortnanon le oomplete aM acarate; that the work will be In coMormarwe wlm me orNnancas and codes or tne ctty or Eegan; that I untleiatantl thle le rot a permR, but on fln ep{dication for e pertnit, eM work ie not to sterl witt~ut e pemitt; Mat Me work will be.iq aGcadance with the epproved Wan 1n m aae m c wnicn reyuire a reaew a~,e epprwal m parm. I ~ ' x . . X 7D AppllcenYs rlnted Name AppllcanYe Slgneture 7'..a.r. , ~ , . . " pwNMMd gy; prte. ,Ii}' laosilibha: _Undet'Qiit6tx9 =rdUpfr'in' _,Alr°Ten' -Ciad S9rv[Ce Teat -In-tloor Heat ,Pinal {d' x .p. . , . _ _ . ~ oo City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4259 Wexford Way Lot: 4 Block: 1 Addition: Wexford 2nd PID:10- 83851- 040 -01 Use: Description: Sub Type: e- Reroof Work Type: New Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Amek Construction 9555 James Ave S #228 Bloomington MN 55431 (9523 888 -1200 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Keith K Jansen 4259 Wexford Way Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Building EA087260 11/03/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA124058 Date Issued:06/19/2014 Permit Category:ePermit Site Address: 4259 Wexford Way Lot:004 Block: 001 Addition: Wexford 2nd PID:10-83851-01-040 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 . Khue Le 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 - Chaitanya Anand 4259 Wexford Way Eagan MN 55122 Amana Construction Inc 1237 107th Lane NE Blaine MN 55434 (612) 636-3441 Applicant/Permitee: Signature Issued By: Signature 443 Lafayette Road N. � �� -� : ��T �� (651)284-5005 St. Paul, Minnesota 55155 1-800-DIAL-DLI www.dli.mn.gov . �� TTY: (651)297-4198 CERTIFICATE OF APPROVAL PERMIT TYPE; ELV INSTALL .__..__..__.. ��_ ___.,`� SITE: � Addres . 4259 WEXFORD WAY City: EAGAN, MN ____------- Approval is based upon the requirements set forth in the 1VIinnesota Statutes, Chapter 326B.184 and Minnesota Rule 1307.0035. This approval is for permit work performed by ARROW LIFT ACCESSIBILITY under permit number ELV1503-00214. If you have questions related to the issuance of this permit call: (651)284 5071 Department of Labor and Industry Construction Codes and Licensing Div. Elevator Safety Section 443 Lafayette Road N. St. Paul,MN 55155 443 Lafayette Road N. � ��-�� ,� � ��: �� (651)284-5005 St. Paul, Minnesota 55155 � 1-800-342-5354 www.dli.mn.gov 7/7/2015 APPROVED FOR USE CHAITANYA ANAND 4259 WEXFORD WAY EAGAN, MN 55122 RE: PERMIT# ELV 1503-00214 Proj ect: C DENCE Location: EAGAN, MN 55122 Address: 4259 WEXFORD WAY � � __��- Dear Sir/Madam: - Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry, Construction Codes & Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, CONSTRUCTION CODES & LICENSING ��' `�:..-�'.�.�.�.�.�� Brad Underdahl State Elevator Inspector cc:City of Eagan Building Official, BO, City of Eagan ARROW LIFT ACCESSIBILITY E1FormCE2R This information can be provided to you in alternative formats(Braille,large print or audio). An Equal Opportunity Employer