4263 Wexford WayPERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA128671
Date Issued:11/25/2014
Permit Category:ePermit
Site Address: 4263 Wexford Way
Lot:005 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Jennie Wood
1424 3rd St N
Minneapolis, MN 55411
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Daniel L Hambrock
4263 Wexford Way
Eagan MN 55122
(651) 528-3926
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
, - . .
; . - . INSPECTIDN RECORD.
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
I (612) 681-4675
i SITE ADDRESS: ~oi. t, , , APPLICANT:
•~oll;Ii tdAY r~tf ~ I~ ~,~nl I~I f;leik lllhF=~.
I ~u ~ i ~~t,i, NI~ •1 ,
PERMIT SUBTYPE: TYPE OF WORK:
i i>> Ir: NI i.~
INSPECTION .
~ I I AM 1 iJli r ~
~
I hl . l fl A t 1 t i(r I I f-' t 4' I!i ~ t
~ I.till.rill 1 N f'1 Ii(i F:ilIfiill f N tt Ii,
I
I iNAI E, 1 ktl, t INAI
F!, P! r1 li h1' fr . J. Wt' t Ft f f 1 I',/ 1 I+ Mi ~ 11
IF
~
L
ae?mR No. Psrmn Rolde. oate r.lepnon. r
SlIN
` PLUMBING
HVAC
ELECTRI
ELECTRI
tnspsctbn Date Insp. CammOnb
Footings I
~tion z Y3 ~0 ' ~ a
Framing
ROO&9
Rough PIb9. _ RI
1~t 2. _ L
A°,* Mg. ~2" GL. - s 94~ - I
lsw. y~-
F"opW° Z Z iZ U• L/ 7-5 ~ I
FM?al Hlp.
Orsat Teet
Rnel Plbg. Plbg. Inspector - NoNfy Plumber
Conet Meter
ErprJPlen
Bbo•Rrwd /7
OeCk Ftq.
Dedc Finel
Well
Pr. Disp.
r'p~, • . ~sy1,~t -
~
7 ~ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 11 ' ;
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 '
SITE ADDRESS: ~ ~ ~ ~ w - ~ " ! ` APPLICANT: '
.i. . ciF xriikh WAY ;,oliF iNli
i ii I ii{, I~ .'Illi ~ r. j.' I:irts; ~<r, ~ ~ '
I
PERMIT SUBTYPE: TYPE OF WORK: ~
. f~~I'Y•! I~111+iri~,~ 1'i t'Ci I 1• ~
I I~1 .i i~ I{ 7 I irr~~ i:i~f 1 f•{~, I
I INSPECTION • D•
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Permit No. Pwmit Holder Date Tetaphona t ~
I
ELECTRIC I
I I
PLUMBING I
HVAC I
Inspeedon Dats Intp. Comrtwnb I
FOOTINGS I
FOUND I
FRAMING
ROOFING I
I
FOUGH I
PLUMBING
PLBG I
AIR TES7 I
ROUGH I
I HEATING
(3AS SVC I
TEST I
INSUL I
1
GYP BOARD I
FIREPLACE I
FIREPLACE I
AIR TEST
I FINAL PLBG
I FINAL HTG I
I
ORSAT I
TEST
I BIDGFINAL /9 97 ~ II
I BSMT R.I. I
I
~ E3SMT FINAL
I I DECK FTG
I
[)ECK F1NAL
~
I
~
~..i ~ . ti.
Certificate of Cccuoanc~ ~
~itio nf
~tNte~t o f ~Hwili~g ~~jr~criou ,
T/iis Certiftcate issutd pursuant to the requirements of the Unrform Building Code
certify~ that at 1lte ti»u af issuance Nris struciure was in compliance wrth the various I
.
w, ordinances of the City regulating building conslrucrron or use. For the following:
ux cLmirmzt;m Rp t7wr Bldg. Permit No. 29735
~
O-P-Y T~Pe RI/~ ZoWn8 District M Type Coau. VN I~I
OwKr af Buifdft N=ST~Mr 94N Address 785 SMM EAGAN
BuiWins AdMa.4 4261 WEKFM WAY [.ocaliqB 1.lEg'M 2M
I \
Date: • L-.A-G k -1 I
PosT iN a coNSPIcuous PurcE
a
,
d 7. 2 2 p.s 8/~J -~-Q z / ~~r~
~ ~-5' ~ ~
Rapuest Dale Fue No RougRin Inspection
Reqmred~ ? Reetly Now ill Noufy Inspector
Ves ? No When Featly7
Ii licensed contractor p owner hereby request mspecnon of above electrical work at:
Job AtlOress (Sneet S. or Rou;e No , Qly
c;~L W i CJQ}~ r-l~y
Seqion No Township Name or No Renge No Counry
Occupam (PRINT). Phone No
5
'
Power Suopher Adtlress AAoTi4 FG c ~J o
Electncai Convacmr(Company Name) . CpNractors Lmense No
~Olo
Mailing Aadress IConvactor ar Owner Makmg Installauonl
Authon
S~gnaWre i nlre<to•~Owner Making Inslallauonl WPM1One Num~er
yyo ~ao
MINNESOTA STATE BO4RD OF ELECTflIdTV THIS INSPECTION REOUEST WILL NOT
Grfggs-Mitlway 61tlg. - qoom 5411 BE ACGEPTEO BYTHE STATE BOARD
1921 University Ave . St Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
PhOneJ61t) 6d2-0800 ENCLOSEO.
REOUEST FOR ELECTRICAL INSPECTION ~~~eafff- 1-oe
~
See instmc0ons lor compleung t~is brm on back ol yBllow copy ~ rF~EI 4/
~
L~ 7 ~"X" Be/ow Work Covered by This Request ~ 2 1- ew Atld Rep. TypealBwltling ApplianCasWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Builtling Dryer Other (Specity)
Comm./Industrial Fumace
Farm Air Conditioner
Omer (sVeuyl ConVacrorS Remarks.
Campute Inspecfion Fee Below:
x Other Fee c ServlcaEntranceSiza Fee # CircuitslFeetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspecmr§USeOnly: ' 7pqL
IrrigationBooms 'GU -0
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE O OERED DISCONNECTED IF N0T
Other Fee COMPLETED WITHIN 18 MONT
I, ihe Electrical Inspector, hereby ao~qn-,, ` owe
certity that the above inspection has F,nei / oaee
been made. '
OFFILE USE ONLY
Tms request voia 18 momhs Irom
I 6J'4~ x`5'0 °p
V%185~~ / CY184
Request Deta Fre No RougRin Inspeclion NOTICE: You Must Call Elecincnl Inspeclor
~ Requiretl? Ii A Roughln Inspeclion
Yas ? No Is Requiretl.
Ix licensed contractor ? owner hereby request inspection of above electrical work at.
Job Atltlress ($Ireet, Box or Route No J Qty
~/1~j?~
6.3 ~L~.YFO,20 4-11V/' C14
Sectnn No. TownSNp Name or No. Range No. Counry
Occupant(PRINT) Phone Poo.
2s Zr-Sr- 9i zs-
PowerSuppLer Pdtlress
ElecYncal ConVaclor (COmpany Name) Conhactor5 ~cense No
U iv s ~,u L' ~T ~ D o0- Z
Mailing AtlOress (Conha[lor or Owner Makirg Iratellation)
Author Signe~ure Contractor/Owner Making Iretallation) Phone Number
Z/Y0
MINNESOTA STATE BOARU OF ELECTFICITY THIS INSPEGTION REQUEST WILL NOT
Griggs-MlEwey Bltlg. - floom S-113 6E ACCEPTED BV THE STATE BOARD .
1851 Onlversity Ave., St. Paul, MN 55104 UNIESS PROPER INSPECTION FEE IS
Phona(612) 642-0800 ENCLOSED.
/~(~8/~, / REQUEST FOR ELECTRICAL INSPECTION w•~ EB-00001OB
See :r^:nucnons for comple9ng this farm on back of yellow copy _ f~i_9 ~~f]
M(1.~3 5~ .70.~..-
~ X" Below Work Covered by This Request ~.,m
e Add Rep TypaotBuilding AppliancesWiretl EquipmeMWued
Home Range Temporary Service
Duplex Water Heater Electric Heanng
Apt. Building Dryer Load Management
Comm./lndustrial Furnace Other (Specrfy)
Farm Air Conditioner
Other(specify) Conlrac~orSRemarks~~~ ~s~,~"'~~ Q~
Compute lnspechon Fee 8elow: Vl
# Other Fee # ServiceEnirance5ae Fee # Circwts/Feeders Fae
Swimming Poal 0 to 200 Amps 0 to 100 Amps `z p,d0
Transformers Above 200 _ Amps Above 100, Amps
S19n5 Inspedor5 Use Only: TOTAL
Irngation Booms
Special lnspection ~'1 ~
Alarm/Communication THIS INSTALLATION MAY BE.ORDERED-DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M 7HSJ
I, the Elechical Inspector, hereby Rouqni
certdy that the above mspeciion has F111ei oa1e r-,fi,~~p
been made. y
OFFICE USE ONIY
This requesl voitl 18 monihs irom
Address 4263 wocFOun waY Zip 5512 2
I.ot 5 Blk I Sub wEXFoRn zrID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanen[ steps (garage) •
Permanent steps (main entry)
Permanen[ driveway JZ_
Permanent gas ~
Sod/Seeded grass
TraiUwrb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from Ihe plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~
White - City Copy Yellow - Residenl Copy Pink - Contractor Copy
CITYDF EAGAN PERMIT 3830 Pilot Knob Road PERMITTYPE: suzLozNG
Eagan, Minnesota 55123 Permit Number: 0 2 2 7 3 5
(612) 681-4675 Date Issued: 12 / 17 / 9 3
SITE ADDRESS:
4263 WEXFORD WAY 31X
IOT: 5 BLOCK: 1
EXFORD 2ND
P.I.N.: 10-83851-050-01 W
DESCRIPTION:
Building Permit Type SF DWG
Building Work Type NEW
,-UBC Occupancq-'_ R-3 M-1
~ Construction Type V-N
i Zoning PD
% Building Length i 68
' Building Width ~ 33
\ Building stories ' 2
i r • ' J/~~' i
REMARKS:
PRV S& W PLBR - KLUVER MECN
FEE SUMMARY:
VALUATION $185,000
Base Fee $937.00 MISCELLANEOUS $1,744.50
Plan Review $609.05 Total Fee $4,133.05
Surcharge $92.50
SAC $750.00
$AC ~ 100
SAC Units 1
Subtotal $2,388.55
CONTRACTOR: - Applicant - ST. LIc. OWNER:
MITTELSTAEDT BROTHERS 14569125 0003493 MITTELSTAEDT BROS
785 SUNSET DR 785 SUNSET DR
EAGAN MN 55123 EAGAN MN 55123
(612) 956-9125 (612)456-9125
S hereby acknowledge that I have read this application and state that the
information is correr,t and agree to comply with a.ll. appljcable State of Mn.
Statutes and City of Eagan Ordinances.
1UHIn 8.01A PPLICA T/PERMI EE SIGNATURE I SUED BY IG A7URE /
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuzLozNs
3830 PilOt KnOb Road Permit Number: 0 2 2 7 3 5
Eagan, Minnesota 55123 Date Issued: 12 / 17 / 9 3
(612) 681-4675
SITE ADDRESS: LoT : s 8 L 0 C K: 1 APPLICANT:
4263 WEXFORD WAY MITTELSTAEDT BROTHERS
WEXFORD 2ND (612) 956-9125
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION .
FOOTINGS FOUNDATION
FRAMING ROOFING
INSULATZON FIREPLACE
ROUGH IN PLBG ROUGH IN HT6
FINAL PLBG FINAL
REMARKS: PRV S& W PLBR - KLUVER MECH
F
L- I
REACTIVATE _ CITY OF EAGAN
PERMI7, 1993 BUILDING PERMIT APPLICATION ~~.3J• J•~
681-4675
SINGLE 8 MULTI-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 af energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work /97 625V
Site Address:
5T0.EET SUITE 0
Tenant Name: (commercial only)
IAT .'r BIAC& ~ SUBD. P.I.D. k
Descri tion of work: ~
The applicant is: ? Owner V_Contractor O Other (Deaeribe)
Name Phone
Property LASt FIRST
Owner qddress
STREET STE r
City State Zip
Company Phone 456-9125
Contractor Addre55 785 Sunset Drive License # 3443 EXP 3/31/94
City Eagan State MN Zip 55123
Arch(tect/ Company Phone
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber ~~.uv62 /'V~r-:?~i c%lz Processing time for
sewer & 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 wit all applicable State of Minnesota Statutes and City of
Eagan Ordinances. ~
5ignature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basemgnt Finish
02 SF Owg. O 07 4-Plex ? 12 Multi. Misc. ~ '?r 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Coqm./Ind.
? 04 SF Porch ? 09 12-Plex 0 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
0 31 New O 33 Alterations O 35 Tenant Finish ? 37 Demolish
O 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) / Basement sq. ft. / Z/e MWCC System
(Allowable) lst F1. sq. ft. i 7 i,? City Water ~
UBC Occupancy 3 / 2nd F1. sq. ft. r/ S 3 PRV Required ~
Zoning ~ Sq. Ft. total Booster Pump
# of Stories z Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code p
Depth 33,33 On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
• Site JE Footing M Framing 0"Insulation
? Wallboard ~ Final ? Draintile 0 Fireplace
Permi t Fee v.iua:;a,: S S o° °
Surcharge !s* ~dr
Plan Review 3• G?,~
License y2.3* 32.3xi6 =
Mwcc sa,c 13, s~- z= 29
c; ty sac //~S z v, ~ y
Water Conn.
Water Meter ~
Acct. Deposit ~Z?10 S/W Permit ZpS/W Surcharge 2. ~ ,
Treatment P1. -
Road Unit
Park Ded. 193 IP r, /1~3 2L
Trails Ded. 7~G .
Copies Other
13.3"X 3
l-
SAC % /(oS3,.~~X S y-_
SAC Units 8~j7Pg
~
,,,~vy.~,....,t. . . . . . : ~ , . - - - -
?;rt. s res
}iURVEYpR'S CERTI'~~AT? MITTEtSTAEOT BROS.
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NOTE i. EP`i G. l1 1 V
.
R6VIEWEID
a
NOTC NO 8P2CIfiC 901L$ IN BSTIOATION HA8 BCEN OOMPLETED, Z/s q
ON Tn18 LOT 9Y JAM94 R• MIt.t., iNC, Tf7L• SUITABIUT ~
' . SOIl,B TO $VPPORT tOE SPECIfIC HOUSE PROP09E0~
' NOT TME R23PONSIBILI TY OF J4ME$ A. MILL, INC.
- "
Uo U ll~~
DENOTES PROPOSED SURFACE DRAINAQE
~ O DENOTES IRON MONUMENT SET ; SCALE:.1 INCH - 30 FEET
• DENOTES iRON MONUMENT FOUND PROPOSED QARAOE FLOOR -4159.8 FEET
X400.0 6ENOTES EXiSTING ELEVATION PROPOSED LOWEST FlOOR FEEf
(OOO.O) DENOTES PROPOSED ELEVATION PRQPCfI.¦Fy pF ~~A n
. V
,
WE HEREBY CERTIFY TO MITTELSTAEDT BROS. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDAqIES OF:
Lot 5, Block I, WEXFORD 2NU ApD1TION, OCCOtdinq to the recorded plat thereof,'
Dokota County, Minnesoto. -
IT DOES NOT PURPORT TO SHOW IMPRpVEMENTS OR ENCRQACHMENTS, EXCEPT AS SHOWN. AS "
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 6 TH DAY OF DEC. ,1993.
PROPOSED ORAOES SMOWN WERE SIC3NED: JAMES HILL, I
TAKEN FROM TME ORADINO PLAN ~
FOR WERFORD PRCAARED BY
PIONEO 11N9INEERt1i3 ANO U+ST BY. .
- DATED 8-2-9E
13AftYR,HOii1 ND'BUiRVEYOR
MINP1SSpT+41AOS+18E NUM35R 10943
N
Wpu$ ~~DO
~ R. Hill,
inc.
3! f22500 ames
° ~~O Z 2° ' ~ ° ~ LANNERS / ENGINEERS / SURVEYORS
N ~ m y~ j
W. CTY. RD. 42 0 BURNSVILLE, MN; 65337 • 612-880•8044
at;s.:
.-.,-..n_......- . . ieuaw.~..aw.w . w~
j' SURVEYOR'S CERTIFICATEMITTELSTAEpT BROS. . ' '
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Y
N 80° 83' S2" E
10.72
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LOT 5~
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OK
os/. p) ~°e ~ ~ / ' ,
988.8 e
54.0 `+h
~OP08ED
sENOH nlnaK 7. ~p
TOP OF AIPE
ELEV-857.6Y ' i
0
858.0 9~8~"t~gYppp cMrRK '
N S~ : . - ~'rY (q59 5) t $ ~N Ev.oF.ese A4
~p '~4 0 1 /(9C7•r)
, sxe
. ' ~o SERY. • ~ wOy~~ Qrj! O'u ~ e~~~
s `56.42C•28°82'12~'~ ~'T2•64R t2;81---==~
Rw137.36 957 g~~`
ro
837,p ~ WEXFORD
SCALE,1~~¦3d
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~ ~~W~ Ho M6oo~ )ames R. Hill, inc.
o "
„ Z m ° ~ pLANNERS / ENGINEERS / SURVEI(ORS
- Z W~ ~W W
N O T ~
2600 w. CTY. qD, 42 0 BURNSVILLE, MN: b5387 • Bf2-880-60aa
. ' LOT SIIRVEY CSECICLSST POR RESSDENTIAL
~ BIIILDINO pERMIT 71PPLIC7?TION
YROPERTY LEOAL:
Dat• o! Burvep:
B' 0 O • Registere8 Land Surveyor ciqnature and company
8-~ 0 0 • Building Permit Applicant '
Er- 0 D • Leqal description
0 B~0 • A9dress
E-~0 0 • North arrow and bar ecale
0~d 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
D~0 0 • Directional drainnqe arrows with slope/gradient t.
13 0 • Proposed/existing sewer and water services
[Y,0 0 • Street name
ra'0 D • Dzivewny
ELEVATZONB
Exiatina
D 0-0 • Sewer service
,0',0 D • Lot corners
0',D 0 : Top of curb at the driveway
Elevations of any existing adjacent homes
ProvoseQ
0' 0 0 • Garage floor
~0 0 • First floor
0'0 0 • Lowest exposed elevation (walkout/window)
@~~~ 0 • Property corners
D' O D • Front and rear of home at the foundation
PONDING 7?REAS fif aoolicablel
fl C~ 0 • Easement line
a ~ n • NwL
D Q~ 0 • HwL 0 9~ 0 • Pond ! designaticn
D C~ ? • Energency overflow Elevation
amExszoxs
F<10 13 • Lot lines
~D 0 • Right-of-way and atreet width (to bnck of curb)
D 0 • Proposed home dimensione including nny proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
,lr'[3 0 • Show all easements of record and eny City utilities within
those easements
ff D 0 • Setbacks of proposed structure and Betback of a8jacent
existing
D ? • Retain re rements, if any
Reviewed•
N e / te
October 1992 ,
MINNESOTA STAT ENERGY CODE CALCULATIONS
BASED ON CHAPTER 5 OF THE
MODEL ENBRGY CODE - 1983 FDITTON
Adoption Effective
Owner 7,T Phone Date~o~/,16
Site Address 7~~ -3 &-'eZi2 (J LAno,1~
i
Cohtractor l a5/~"I>'t2L41 T ( ~j J(jO5 Phone
Building Classification: Type A1 (Single Family & Duplex) ~
Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other)
HOTE• Complete pgg 3 Ar,d d f{rs},
GENEF2AL INFORMATTON
G
1. Building Perimeter ~ ft.
1
2. Wall height (ground to eave) j ft.
3. 1. X 2. (above) gross wall area sq.ft.
4. Buildinq dimensions (L) -X (W) =-7sq.ft.roof & floor area
5. sq, foot area of rim joist - F oor joist ize (2 X)
X (Perimeter) _ _~sq.ft.
12
6, Doors - Area.
Thickness~ in U. factor (l V1'7
Type of Construction Perimeter ft.
Manufacturer
7. Total door's perimeter ft.
8. Windows: Manufacturer (NSU~~ State approved
U f actor . 7~ (O
TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL
EACH UNITS SQ FEET
9. Total sq.ft. Glass
10. Fireplace area: Width X Height = X = sq.ft. .
11. Exposed foundation: tieiqht X Perimeter~_X~_sq.ft.
COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR
REMODELING AND BUILDZNGS BEING MOVED WEiERE ENERGY, OTHER THAN Tt1E MINIMAL
CODE ALLOWANCE, IS USED.
-1- ,
12. Framing area = lo$ of groes wall area.
13. Gross wall area sq.ft.
Window area A 4n 3. sq.ft. U windowe =•?7-6 UxA = I~
Rim joist area A._~.~sq.ft. U rim joist=_I.AMI UxA =
Door area A JL~sq.ft. U door area= 'l 4 UxA = 7
Other doors area AAO sq.ft. U other doors=AI UxA =~(J
Exposed fndn A-L_sq.ft. U foundation= UxA =_17
Framing area A_39~3 sq,ft. U framinq area=,L"B57' UxA =
Net wall area A SS sq.ft. U wall= i UxA = II O
(13H) TOTAL . . . . . . . . . UxA =
14. Gross wall area x 0.11 (A-1 single family & duplex) = allowable UxA/Code
(13. above)
x 0.23 (A-2 other residential)
x .23 (other buildings)
x .28 (Over 9 etoriae)
BTUf! must be larger than or same
A x O Code°F. as 13B above
15. Ceilinq framing area (Af) equele lo$ of ceiling area
15A. Gross ceiling area = (L) x (W) - _ -(49(37 sq,ft.
158. Joist area (AF) = 10$ ceilinq area ~ 69 1~ sq.ft.
15C. Net ceiling area (Ac) (15A - 15B) ~5~>?, ~J sq.ft.
U ceiling x Ac x
U framing x A f =-tkqi 7_XI
15D. TOTAL U x A ?2(8_
16. Ceiling area (15A) x 0.026 (A-1 single family & duplex)
= allowable UxA/Code
x 0.077 (A-2 other residential)
x 0.06 (other)
~ HTUH must be larger than or same
A(15A)~X U COde ~d = OF. aB 15D abOVe
NOTE2 Use U an<1 A velues obtained from paqes 1, 3 and 4.
CERTIFICATIM I hereby certify that I have calculated the "U" factors and
"R'I valuea here.Ln and that the building here described meets or exceeds the
Stete of Minnesi>ta Energy Conservetion Act.
Date siqnature
-2-
49&
lo, (4 x (~--4 4 5-4f31,sf~l.S)~~~ _ ~07, 5--
_ 3qs~
(,Ul~i ow s
Z(UD
1~98 Z IDX 10
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I3j
- PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 7 3 6
(612) 681-4675 Date Issued: 0 9/ 0 3/ 9 6
SITE ADDRESS:
4263 WEXFORD WAY
LOT: 5 BLOCK: 1
WEXFORD 2ND
P.I.N.: 10-83851-050-01
DESCRIPTION: ' (ROOFING)
Building Permit Type STORM DAMAGE
,Building Wor.k Type REPAIR
~ Census Code 434 ALT. RESIDENTIAL
~ ~ .
- -
REMARKS:
FEE SUMMARY:
CONTRACTOR: - qpplicant - sT. LIC.OWNER:
BANNER ROOFING 18888611 20012044 WOODFIN CHARLES
6001 LYNDALE AVE S 4263 WEXFORD WAY
MINNEAPOLIS MN 55419 EAGAN MN 55118
(612) 886-8611 (612)825-2901
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
~ Statutes and City ofi Eagan Ordinances. ~
l(1 ~ktlA,~
APPLICANT/PERMITEE SIGNATURE ISSUE V: GNAT RE~
t' CITY OF EAGAN
3830 PILOT KNOB RD - 55122
` 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Canslruelian Reauirements RemodeVReoalr Reauirements
? 3 registered aRe surveys ? 2 copies of plan
? 2 coples oi plans (include beam 6 window sizes; poured Md, design; etc.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy calculations ? 7 energy wlculatione for healed addilions
? 3 eopka of tree preservation plan M bt platled eRer 7J1l93
mquired: _ Yes No
DATE: CONSTRUCTION COST:
Tig~~ as'-n~ ~ fZ~2~s~F - S-T~R.... •0nr•n~.c
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT ~ BLOCK SUBD./P.I.D.
PROPERTY Name: lA 1P Phone 8d'S - d9a I
OWNER
Street Address: y a LI3 C,16
City: State: N`^ Zip:
CoNrEtncTOtt Company: p I^R- Phone#: RX d
Street Address: License
City: /''",JNi£,,,'JLI,~; State: '`"4_) Zip: SSY~R
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address-
City: State: Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once 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:
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
46A
BUILDING PERMIT TYPE
n 01 Foundation o 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 06 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 _-plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
0 32 Addition o 34 Repair ? 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
# oi Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
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n...:;..b.......~........... ..i....,... ~.....:.n
1994 PLUMBING PERMIT (RESIDENTTAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTI'S ARE REQUIRED FOR EACH UNTf.
NO. FIXTIJRES EACH TOTAL
~ SHOWER 3.00 -3 ~ v
WATER CLOSET 3.00 `i c~
Q~ BATH TLTB 3.00
~ LAVATORY 3.00 i 2• ~ ~
KITCHEN SINK 3.00 3 o c~
LAUNDRY TRAY 3.00 o 0
HOT TUB/SPA 3.00
~ t WATER R 3.00
FLOOR DRAIN 3.00
1 GAS PIPING OUTLET • minimum - 1 3.00 'a. o v
~ ROUGH OPENINGS 1.50 L-1 • 5 ~
WATER SOFI'ENER 5.00
PRIVATE DISP. • Dak.Cry. lic. 20.00
U.G. SPRINKLER • nome under oonsi. 3.00
ALTERATIONS • to exisiing 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL: 5 0. o O
SITE ADDRESS:
OWNER NAME: S-~'cia c`~'
INSTALLER: 1-'Vw17A E\~ I)cw~
E
ADDRESS: Ud--~-
CITY: STATE: ln'\ 2 ZIP CODE: S~~ 3
PHONE (bl2 ~~{23- 3'13c~
SIGNATURE OF E MITTEE
.
L,,3.~:'~...~Bi:e~' y;,;.: Yt~°C~~I' . • ~1
SUBD~' '
1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOI2 MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
_ NEW CONSTRUC170N
_ ADD ON
_ REPAIR
WORK DESCRIPI'ION:
CONTRACT PRICE: $ FEG: t% OF CONTRACT FEE.
STATG SURCtIARGC: $.50 FOR EACH $1,000 OF ~r4ER1~3Is FEE.
DIINIDIUAI FEE: $ 25.00
CONTRACf PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NA114E: S7'E. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STAT'E: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
,
.
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1993 MECHANICAI, pERNIIT (RESIDENI'IpI,)
CITY OF FAGAN
3830 PII,OT KNOB RD
FAGAN MN 55222
(612) 6814675
PLEASE COMPI.HTE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
-
~NEW CONSTRUCTION v^
ADD-ON AlC
ADD-ON FURNACE
DATE
ES
HVAC: 0.100 h4 FTU 24_40
ADDITIONAL 50 M BTU
G OLTTLETS (MIVIMUM 1@ 53.00 EA JH) ~k=
ADD-ON/REMODEL (ExISTING CoNSTRUCt'ION) $ 15.00
STATE SURCHARGE
TOTAL -3
~
SITE ADDRESS:~a~/~
, -
OWNER NAN1E:~ % ~1.-~ S G1 e-C~7L `s- , 'IELEPHONE ~ - - .
INSTALLER:
urnsv e eat ng nc,
ADDRESS: 12481 Rhode island Ave. So.
avage,
CTT-y. 894-0005 STATE: ZIP CODE:
TELEPHONE
O/A ZVL
' S TU OF PERMITTEE
2005 RESIDENTIAL BUILDING PERMIT APPLICATION `~aQ ' a5
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Revuirements RemodeVReoair Reauirements Office Use Onlv
3 registered site surveys showirig sq. ft of lot, sq ft. oi house; and all roofed areas 2 copies of plan Cert o( Survey Recd _ Y_ N
(20%maximum lot coverage allowed) 1 set of Energy Calculations for heated addibons Tree Pres Plan Recd Y_ N.
2 copies ot plan showing beam & window s¢es; poured found desgn, etc. i site survey for addRions 8 decks T2e Pres Required Y N
15etofEnergyCalculations AddRion - indicateifon-sitesepficsystem On-sAeSepticSystem _Y _N
3 copies of Tree Preservation Plan il lot platted after 711193
RimJoistDefailOptionsselectronsheM (buifdingswith3orlessunds)
Date Construction Cast
SiteAddress 4d63 ~1er{-otd ~2qMN 55/ aa UniUSte #
Description of Work ('(aLt Lnq - oji Ae<, K(neqj)
Multi-Family Bidg _ Y k N Fireplace(s) _ 0 _ 1 _ 2
Property Owner DG„ + Sl.arora w, kr. r K Telephane )
Contractor -5o.Mes Rc.ria~ 2ecivt. ~3u;ld
Address _ IS II a. 6-,~ 1,~d~ Age, City 1(G !Ie
State rv~ N Zip SS12 1L Telephone #(`/5.2) y31-11,'76
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
E~e~gy COdB Category . Residential Ventilation Category i Worksheet . New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address af master plan:
Licensed Plumber Telephone J
Mechanicai Contractor Telephone )
Sewer/Water Contractor Telephone ~
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 plan in ase of work which requires a review and
approval of plans.
r---- ,
Sosk Ri s~r~ Applicant's Printed Name Appljo t's igna e
~
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
~1 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
/
? 03 Ot of_ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlga2ebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous
Work Types 0141(4L ) /ior YzlGPem,
? 31 New ? 35 Int Improvement ? 38 Demolish Interior Cl 44 Siding •
O 32 Addition ? 36 Move Building ? 42 Demolish Foundation O 45 Fire Repair
,Pr- 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCemenl 'Demolitlon (Entire 81dg) - Give PCA handout to appliwnt
Valuation 040 -0 Occupancy MCES System
Plan Review 100% or 25%
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) ~ FinaUNo C.O.
_ Footings (additioo) _ 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 _ W indows
y" Insulation _ Retaining WaII
/ /
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
:x
I I
I For offce use
I
Clty of EagaIl ~ Permit# i j
3830 Pilot Knob Road i Permit Fee:
Ea an MN 55122
9 Date ReceivedQ~ ~
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff ~
L_________________~
2008 MECHANICAL PERMIT APPLICATION
Date: Site Address: `4c1 tc, 3 W.~ X.-t/)? d LC) A.n
Tenant:-LQ-rnq \ (nLLrOr-, 4(9-t4tifpy'0 Gk Suite
RESIDENT / OWNER Name~~Avt n'Zkczvnn '"bvoc-lr Phone:(oSI 4oS cI0 3,-j-
Address/CitylZip:
CONTRACTOR Name: BURNSVILLE,HEATING&AIC,INC. License#: ~t ~SrJCI~p~7(~~
3451 W. umsvi e iiarkwtiy
Address: _ Siu}p 120
ciri: Burnsvilie, MN 55337
State: Zip:
Phone:"1 J~-~J 4 QUO~ Cqntact Person: Zi.l,S6Lin
TYPE OF WORK _ New ~ Replacement _ Additional _ Alteration _ Demolition
Description of work: y
NOTE: Both rooimounted and ground mounted mechanical equipment is required fo
be screened by City Code. Please confact the Mechanical lnspector or one of the
Planners for information on ermitted screenin methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
k. Furnace _ New Construction _ Interior Improvement
~ Air Conditioner _ Ins[all Piping _ Processed
Air Exchanger _ Gas E#erior HVAC Unrt
- HVAC uniLS must be screened
_ Heat Pump Under / Above ground Tank C_ Install Remove)
_ Other " When installing/removing tank(s), call for inspechon by Fire
Marshal and Plumbin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ducrivork, etc.) (indudes $.50 State Surcharge)
$ ~ CJ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- If Permit Fee is less than $7,000, surcharge is $.50.
- If Permit Fee is >$1,000, surcharge increases by $ 50 for each State SurCharge
$1,000 Permit Fee (i.e. a 51,007-$2,000 Permit Fee requires a$1.00 surcharge).
$ TOTAL FEE
1 hereby acknowledge that this information is complete antl accurate, that ihe wnrk will be in conformance with the ortlinances antl codes of the Ciry of Eagan; that
I understand this is not a permit, but only an application for a pertnit, and work is not to start witho pertnd, that the be in accorUance with the appmved
plan in the case of work which ruires a review antl approval of plans '
x C4
c~ ~t S . ti c:~a 6 0
1 x e4
Applicant's Printed Name ApplicanYs Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough In _Air Test Gas Service Test In-floor Heat Final
~ For Oftice Use ~
Perm
City of EataIl j rt ii
I Permit FeeL
3830 Pilot Kriob Road
Eagan MN 55122 ~ Date Received: ~
Phone: (651) 675-5675 Fax: (651) 675-5694 ~ Statf: ~
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: J' ZZ'~7~5 Site Address: Ll Z Cn ~ l..'2X 5~t~
TenaM: Suite
RESIDENT! OWNER Name: Dav-tle.\ ar sjl~arw~ 0jjMhrnV-V- Phone: CoJ I- 4l.1S- 9~3~3
Address / Ciry / Zip: 47-Is3 J'x ~
Applicant is: _ Owner _ Contrac[or
TYPE OF WORK Descriptian of work:
Construc[ion Cost: Multi-Family Building: (Yes No
CONTRACTOR Name: ~'ornes t~c.-~~+ 11eS~lk~ '~&Alj License#: =/9/L6?9
Address: 6T{c?O I44'0" ~ #/DO
City: Aoap- State: 171io_ Zip: f!29EE~
Phone: ~Cbl- llo?C~ Contact Person: ~ Y1/~•
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residen6al Vanlilation Category 1 Worksheel • New Energy Code Worksheet
CBtegOry Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submiried
In the last 12 months, has the City of Eagan issued a permit for a similar plan based an a master plen?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
IYOTE: Plans end supporHng documents that ynu submlt are cons(deried to be pu6lic lnformatlon. PorNons of
the in/ormatlon may be classifled as non-publlc if you provlde specffic reasons that would permit the City to
conclude that the are trdde secrets.
I hereby ackrrowledge that this informaSOn is comple[e and accurate; that the work will b&con(oance he ordinances and cotles of theCity of
Eagan; that I understand lhis is rat a pertnit, but only an application for a permit, arid hout a permtt; that the work will he in
accordance with the approved plan in the case of work which requires a review and appr ApPlicaM's Printed Name Ap li Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116572
Date Issued:10/09/2013
Permit Category:ePermit
Site Address: 4263 Wexford Way
Lot:005 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-050
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 .
John Miller
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 -
Daniel L Hambrock
4263 Wexford Way
Eagan MN 55122
James Barton Design Build Inc.
5920 - 148th St W #100
Apple Valley MN 55124
(952) 431-1670
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155761
Date Issued:05/31/2019
Permit Category:ePermit
Site Address: 4263 Wexford Way
Lot:005 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel L Hambrock
4263 Wexford Way
Eagan MN 55122
(651) 405-9033
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167531
Date Issued:03/19/2021
Permit Category:ePermit
Site Address: 4263 Wexford Way
Lot:005 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel L & Sharon M Hambrock
4263 Wexford Way
Saint Paul MN 55122--256
(651) 405-9033
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179466
Date Issued:10/06/2022
Permit Category:ePermit
Site Address: 4263 Wexford Way
Lot:005 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Daniel L & Sharon M Hambrock
4263 Wexford Way
Saint Paul MN 55122--256
James Barton Design/build Inc.
5920 - 148th St W #100
Apple Valley MN 55124
(952) 431-1670
Applicant/Permitee: Signature Issued By: Signature