4267 Wexford Way
- . • . INSPECTION RECORD
GITY OF EAGAN PERMIT TYPE: '
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
~ 420 111,, ,
PERMIT SUBTYPE: TYPE OF WORK:
?
INSPECTION „
~
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I Pwmit No. PsrmR Ho1Wr Date Telaphone #
r ` S/yy
. PLUM8ING
HVAC
ELECTR ,
ELECTRIC
Inspwtion Date kap. Commnnts
Footinga I Z P
F°uni:la',°^
F`antingi
Roonng
Rough Plbg. ~
Rotigh M9. ~ 23 - eIV ~f
Isul.
Fireplace
Finel Htg.
Omat Tes, ~u/Qr
Finet Plby. PI6g. In6peCtof - NotNY Plumber
!
Const. Meler
E.nqrJPlen
&dp• Final
Deck Ftg.
Dadc F'mal I
I
Well I
Pr. Disp. 44*
+ • ~
-6% • • ~ _
I
Verfificate vf cccupanc~ ~
witv of ~agan
zerartwcRt . f sNmfng a»0ecti.n
~
Tkis Cenifecaie issued pursuant ro the requireneents of the Uniform Buildrng Code "
certifying that at tlu time of rssuance this strrtctrerr was in compliance with the various
ordinances of the Ciry rcgu/atireg building coastrerction or use. For the followirrg:
Use Clwifcation: SP ac Bldg. Permit No. 22961
OC-P-7 TM R3, rl 1 7.oiuns Duuiet PE/ n l Type Canst. VN ~
; o.,,,(e,udig C R PARTRIDGE HM-ES Ad&m 13809 SIAV5ET LAKE DR. B"%IM
' B,a;,8 ,w"267 WEGM WAY Locw;ty L6, B i, WF.XM 2NID
D,, AUGUST 11. 1995
POST IN A CONSPICl10US PLACE ~
y
c
$ ao~y
a- 7s
Requesl Oata Fre N Rough-in Inspedion NOTICE: Yau Musl Call Eleclr¢al
I9~pector
3, a$ 9 Pequiretl? ? It A h-In Inspe iwri0"
~ Ves ? N. s rte0
Ilicensed contrector ? owner hereby request inspection of above el rical w at:
~'9~
Job AtlCress fSlreet, Box or Faute No ) Clry
Sechon No. Townsnip Neme or No. Range Na Co my
Oant(PRINT) I Phone o.
Pawer Supplier Adtlress
i
Elecvical ConVactor(Company Name) Conttacmr5 License No.
Mading Adtlress (COnVafyyf`IIx~neryU~~~51a1~ipr'
INC. CA00381
{il ES tL fi
3100,$25TH 61. W., FQTN., MN b6Q2~
Aulhonzatl SignaWre (CO torlOwner mg Inslallation~ Phone Number
MINNESOTA STATEBOAHD OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT
GriggsMitlwey 61Ag. - qoom 5-173 BE ACCEPTED 8V THE STATE BOARD
1821 Universky Ava., SL Paul. MN 55100 UNLE55 PROPER INSPECTION FEE IS
Phone(614)602-0800 ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION al.
EB-00001 -08
q ? See InsVUCtions lor rompleliig Ihis form on back ol y¢Ilow copy ~
L 2 J 1 5- ""X" 8elow Work Covered by This Request ~
ewAtltl Rep. TypeolBuilding AppliancesWired EquipmemWireG
Home Range 7emporary Service
Duplez Water Heater Heciric Heaung
ApL Building Dryer Load Managemeni
Comm./InduStrial Fumace Other (Speaty)
Farm Air Conditioner
Olher (speciry) Conlractor's Remarks:
Compute Inspection Fee Below:
# Olher Fee # ServiceEnlrenceSrze Fee # QrcwtSlFeeders Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Transtormers Above200_Amps ove100_Amps
S19fIS Inspenor5 tlse Onlyw L sO
Irngation Booms TOTA
rarR,L S
Special Inspection
Alartn/Communication THIS INSTALLATION E O D OISCON~TECTED IF NOT
Other Fee COMPLETED WITHI NT
I, the Elecirical Inspecror, hereby Rou9n-in
certify Ihat ihe above inspechon has . oa~ ~y
been made. Finei - A'G
OFFICE USE ONLY
This request witl 18 months imm
Address 4267 wmopD wtat Zip 55122
L.ot 6 Blk ~ Sub wEXFoRV 2rID
THESE ITEMS WERE / WERE NOT COMPLETE AT THG TIME OF THE FINAL INSPECI'ION.
Date: AUG il, 1995 Yes No Inspector. ~
Final grade (6" from siding) t/
Petmanent steps (garage) ~
Permanent steps (main entry) ?
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps From the plumbing system and thc shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contacl engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contracror Copy ~
, . PERMIT
+~ITYOF EAGAN ~
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number. 022961
(612) 681-4675 Date Issued: 0 2/ 2 2/ 9 4
SITE ADDRESS:
4267 WEXFORD WAY
LOT: 6 BLOCK: 1
WEXFORD 2ND
P.I.N.: 10-83851-060-01
DESCRIPTION:
Buildinq.Permit Type SF DW6
Building Work Type NEW
UBC Occupancy, R-3 M-1
~ Construction iype V-N
j Zoninq ~ PE R-1
, Buildinq Lenqth 64
Buildinq Width ~ 40
Buildinq ^,tories ~ 2
-i
~~LIL u
REMARKS:
PRV S& W PLBR - VALLEY PLBG
FEE SUMMARY:
VALUATION $167,000
Base Fee $879.00 MISCELLANEOUS $1,828.50
Plan Review $568.10 COPY
Surcharqe $83.50 Total Fee $4,154.60
SAC $800.00
SAC t 100
SAC Units 1
Subtotal $2,325.60
CONTRACTOR: - Applicant - sT. Lzc. OWNER:
PARTRIDGE HOMES C R 18829122 0009369 C R PARTRIOGE HOMES
13809 SUNSET LAKE DR 13809 SUNSET LAKE DR
BURNSVILLE MN 55337 BURNSVIILC MN 55337
(612) 882-9122 (612)882-9122
I hereby acknowledqe tFiat I have read this application and sLatP i.haL' the
infiormation is correct and aqree to coniply with ell applicablr StaLc oi PIn.
Statutes and City of Eaqan Ordinances.
~rwfl R.~~ f,l.l rh~lf
APPLICA 7/PERMI7EE SIGNATURE ISSUED B. SI NATU
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 022961
Eagan, Minnesota 55123 Date Issued: 0 2/ 2 2( 9 4
(612) 681-4675
SITE ADDRESS: Lo i: e a Lo c K: i APPLICANT:
4767 WEXFORD WflY PARTRIDGE HOMES C R
WEXFORD 21VD (612) 882-9122
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION .
FOOTINGS FOUNDAI'ION
FRAMING ROOFING
iIVSULAI'ION FIREPLACE
ROUGH IN PL66 ROUGH IN HTG
FINAL PLBG FTNAL
REMARKS: PRV S& W PLBR - VALLEY PLBG
- - I
• ~ 2122 Entaprise Orive
* Mendota Heighls. 1AN 55120
y* PIONEER (612) 681_ 1914•Fox 681_ 91883
W40 SUHVFTONS • UNl ENGWEEPS - - ' r • . . lM1U Plu1NLR5 • IANDSCAPE MQIII[C6~ , sZS Hlyhwuy 10 Nor lhcosl . .
* E:n~ineering o,a;,,e, MN 55134
* ~ * (612) 783-1d80•Fa+c 783-1883
~
Cei lilicaleolSuivay(or: C. R. PARTRIbGE NOMES
NclRill
0
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a
~ :x a., . ; ~
S.813 .`55'24"E `
M M ~ ~ ~
N 30 N ~ _244.61 .
~ w x; i9.se%~; 953.~ 48.0
~ ~ ~ - - - - - - - - - ~
Q Q lo F 1 Nq ~r~ DRniKAF~G d( uTI LITYEA56MENT PER. rU1T='~ jf \~0
~ I \ xo x 9sc •4
rn r ~
O M ~ r1 r y, 3~.0 q o, / 6 ~
I o
o O~
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L /
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RENI~\NED',. , %D Z
eY F:AGAN EIVGIlVEERYN DEFT.
flAIr4 7- -is•9y poG°o~Io
PIONEER EN541JEERIN4
PROPOSED GRADES SHOWN PER 6RADiNG PLAN BY:
NOTE CONTRACTOH MUST VERIFY ALL DIMENSIONS AND DRIVEWAY DESION.
NOTE NO SPECIfIC SOILS INVESTI(iATION MAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR.
THE SUITABILITV OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE NESPONS181LITY OF THE SURVEVOR.
TNIS CERTIFICATE DOES NOT PURPOHT TO SHOW EASEMENTS OTNER THAN THOSE SHOWN ON THE RECORDED VLAT.
. 9000 Denotes Exlsling Elevotlon pROP05UQ +1916F ,~1 EyAiION
•Zu Denoles ProposaJ ElevaUun Luwesl Flour Elevulion: 951, I_
Dcnulus Uruinoge Ac Ulilily Eosernenl Top o( E31ock Elevul(on: 951Z
Dunoles Druinuye Flow Ulreclion Garage 51ab Elevaliun: °I58.8
--,r- Denoles Adonurnenl
Uunulcs Ullsel IIuG Beatinys ahuwn ute ussurned
I_U I 6, C3LOCK I WEXFORD 214f) AbDITfON
DAKGTA COUN f Y. ?IINNE SO I A
I ImebY caUly Ihat ihii gwwY. plrn a lqwl wu p"rq 4Y RW W~r mY ~lKI WppNr~r/MlYn a~111w114u JWY NoprNUW luW Swvryo,
w.du aI., Nw2 ul Jw 51au ul Atlunewu. UuW Ihls~~ JaY ul h u. A.D. 191- .
5~y4 PtoNGERE~ RIN
B,
c:c~~ej_1e~~?~~~o,.o~ otf,U 1.4,Oqso.r.. ~.s.--G6-/w.-i9ez~
go7 93315.0I
.
• LOT BIIAOEY CSECICLIST FOR REBIDENTIAL
~ 9IISLDING ERMIT PPLICJ?TION ~
~ YROPERTY LEGAL•
~ Dat• of 8urveys a
DOCIIMENT BTANDARDB
0 • Registered Land Surveyor signature and company
fY O 0 • Building Permit Applicant '
~0~~0 • Leqal description
0 Cd' 0 • Address
0 • North arrow and bar acale
LY ~ ~ • House type (rambler, valkout, aplit v/o, split entry,
lookout, etc.)
MH~] 0 • Directional drainage arrows vith alope/qradient t.
0 : Proposed/existing sewer nnd vater services
~ 0 Street name
il"t 0 Driveway
ELEVATZONS
Exiatina
D 6" 0 • Sewer service
V? D • Lot corners
~~F] 0 • Top of curb at the driveway
B~ 0? • Elevations of any existing adjacent homes
Proposed
v 0 • Garage floor
? • First floor
? • Lowest exposed elevation (walkout/window)
0 • Property corners
v? • Front and rear of home at tne foundation
PONDING I1R£AS (if aDplicable)
U @'/ D • Easement line
0 0 • rTwL
0 fd-/ 0 • HwL
• Pond N desiqnation
D Q~ 0 • Emergency Overflow Elevation
pixExs=oNs
B"/D 0 • Lot lines
0 • Right-of-wny and ctreet width (to back of curb)
0 0 • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent fobtinqs)
CR' 0 0 • Show all easements of record and any City utiliiies within
those easements
D~ • Setbacks of proposed structure and setback of adjacent
/ existing hozoV
D 9" 0 • Retaini e rements, if any
Reviewed•
Na e / te
October 1992
c~1b~1
cOMh1. RIO.
rtr_,,znt:_rrriryi_ nr;r:HIn::r..ruRF,i_ riARr::r::-r.uNr
2010 r.E..Vn_r•:i_ c;tF,cc_E
Pl_Yh101.J"fti. IHIV 5544]
612-544-57`.'.i6
I°Iinnctso'I:.:z ;:il:aL:= Enrdr-yy Cncle Cc:iLr:u:L<al:iori:s
BaLSF)CI c!n C;hapter 5 of tl-ie I°lodel E:neryy Ce:,dt
1481 Er.lii:ion Ac(ay:,tr::d 1/1!84
Ovaner : MOPFL_ COhthl„ PJi).
S:i. i:.c Aclcire,:; s:;
Coni.:racP.ur-;, C;,.f;.l`'(-lfi'fPC.I:D(iilii: h-101"IR_`: ]P.IC F'hr.inc+,
IS:tdu. i;lr:is=_.: i-l:l A1 for Sing:le (=amily,'Di.iple::
A.^_, residc:ml.'ial. . =_.Fcari.e:rs.
flver- =__1_t:,r-io-_,,:,
OCt'iEer
GliiNl:=f?i-1L .fNl-[]P;MIa'1'IClN
Nrt.c_.,: _fhe =_ec:t.ior'i dc.,.=.::iynal'ion.=_. ("ciectiun r1", "Fiection B" etc.) are 4ur
r.:r.irrvc:n:i.oncc_s .n calcu:taCinns on(y, and are not r-eliii{:F?CI 'F'Y-OIO uriea <:.et of
r.:ra.Ir:ii7.a.C.AC.,nR I:ac.lr.n•a tn 'Che naz;;l..
1. Et.Ldci. 6Ja7.0. F'er-:imel:car- F, bJal l heighi:=>, = Ar-era
gr nund to eave
bcac_'t t on A : l `T:'; ':7 = 1_iE,
Secti.r:in E+ : 1443 f3 = 113-4
Sec'I.ion
:;t:!IGi;7.l.ir1 li „ r7
Gru_=.s Wa:t:l Areaa 2741
0. 1'?ui .I r.l:[ r'iq cli mu=nw3 on=: f=:l nor i.ar
i_ ua I.L i. n g
Le.nc:l'l'h ldidi:h = Area
ijc= _ 1409.0
. ~..i:ir'n~i i1 , '1lil Y:~l.i„;~:~ ~ ;.•t.~ ~ ~
~c'Cic,r~ I't
ScacL-i.on C . :i 0 = p
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. _ .
Tot.al flour e>r r_r'iling ar-eea I499.E9
Itin ,Io:i<.:1. P'c=r:irnf:tiar- 32:1
F1uor _ioani. by (8", l;y", .L::_'" or lf_-,")): 1"'.
fR:im Joisl- Are,a =21
1. Daar-.s
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I'ur-i.mo'l_ur ( f'ea.r.i.? : 'J
Type ui r_ons'L-ruct.iun:
5,. Tc,t:al iloor's pi=rimeter: 0
6„ Wirir.lt:iwi,
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f'r'::pu_.o-_d ITC,uuicl. J.°.,.idd 0.11 1,9•1
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I~t. iJ ~..~:~:i:l.:i.nn:, !~.0','1 , IVot r.:ci:l. area --26,64522
11. l I Ti":,,N:i ,p: 0. (I:<::q Joi sL. arr-pk 1. .;E=i':,3.:'.
,`o.., l'oi_n.t uf :i:i:.urn..l;:', „ .i Cpm tV 00.020:711
:'.I.. f=;r nc.s, ee:.i 'I. i ny <;urvm foc tc,r hE..,'l cm l! , F} per cuM
(JllpI`;
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1_;'i UI I I•IUf;'I' Isl= . f71? - 30, 078 14
001r.UlraCerl adhu,,•i...i
CITY OF EAGAN $ 4
~
1994 BUILDING PERMIT APPLICATION ° • "
L ' 681-4675 /
. . v
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 2, / _Z__ Valuation of work
Site Address:L+2_.~2
STREET SUITE R
Tenant Name: (commercial only)
LOT ~ BLOCK ~ SUBD. P.I.D. #
Descri tion of work:
The applicant is: ? Owner Contractor ? Other (Describe)
Name c~ Phone 2'1
Property IAST FIRST
OwneY Address
STREET TE #
City State Zip
Company t . ~ S Phone 66 Z-- l~ ZZ
Contractor Address ~_-2100f\~-~ License # Exp.:7i ";5f.
CityState lMl/1 Zip 5=~~3
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber 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 w' all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ~ G-
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
pff 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Camm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility
O 21 M9scellaneous
WORK TYPE
El 31 New ? 33 Alterations ? 35 Tenant Finish 11 37 Demolish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) V0 Basement sq. ft. 1~ MWCC System
(Allowable) lst F1. sq. ft. i3'W City Water ~
UBC Occupancy 3 2nd F1. sq. ft. fo PRV Required
Zoning ~f Sq. Ft. total Booster PumP
# of Stories 2 Footprint Sq. ft. Fire Sprinkler
Length ~ On-site well Census Code O i
Depth On-site sewage SAC Code ~
Census Bldg ~
APPROVALS Census unit ~
Planning Building Assessments
Engineering Variance
REOUIRED INSPECTIONS
? Site brFooting ~ Framing M~Insulation
O Wallboard a Final 0 Draintile ? Fireplace
Permit Fee veimc;r• p0to)
Surcharge t=., h'S ac,.
Plan Review - ~ 4 = p d
License to.sx/y : 91
Mwcc sac 5k 2 z 3 /9~k 32 = 62y
City SAC 1/5k z= 70,* z, /o
Water Conn.
Water Meter 18, 54-
S= 3?3, ~S ~SS,I~/6 ~p
Acct. Deposit
S/W Permit
5/W Surcharge ~
Treatment Pl. 94/18,1~s
Road Unit
Park Ded.
Trails Ded.
Copies
~otal : )loBXSy ~ 5 9~ S32 SAC %
SAC Units
• Or3'YUSE'C)Ni:Y
y,. , - .....y .r:,rxa,.,~.:tera:~:
::::..:.:..:.F~ .a...:::...~. ~w
1+
. . . .r;.._.....:~~., . .....:......:;:q.,...:p,... y
,
~ ~ ~
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1994 PLUMBING PERMIT (RESIDENTIAL)
C1TY 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 PERMTTS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
i SHOWER 3.00 3-
WATER CLOSET 3.00
BATH TUB 3.00 ~ -
LAVATORY 3.00 ~ -
~ KITCHEN SINK 3.00 3-
LAUNDRY TRAY 3.00 3-
HOT TUB/SPA 3.00
~ WATER HEATER 3.00
I_ FLOOR DRAIN 3.00 3 -
~ GAS PIPING OUTLET • minimum - 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cry. lic. 20.00
U.G. SPRINKI.ER • nome unaer consi. 3.00
ALTERATIONS • to aristing 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL: ~I 1 -
SITE ADDRESS:_ Yh-I Wex Fo ,d
OWNER NAME:
INSTALLER: Vp\1c\i si`~ % Co T c.
A.DDRESS: t9Ip C''e<<k L_
CITY: STATE: V'l - ZIP CODE: ~S 3 i~
PHONE
SIGNATU OF PERMITTEE
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1994 PLUMBING PERMIT (COMMERCLAL)
CITY OF EAGAN
3830 P1IAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRI:AL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WI-IEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
_ NEW CONSTRUCfION
_ ADD ON
_ REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEC: l% OF CONTRACf FEE.
STATC SURCHARGE $SO FOR FACH $1,000 OF f~F
RMI'f FEE.
TIINITIUA9 FEE: $ 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWIVER NAD4E:
INSTALLER:
ADDRESS:
CITY: STAT'E: ZIP CODE:
PHOr'E
FOR:
CITY OF EAGAN APPLICANT
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1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3530 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMII,Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
~ NEW CONSTRUCI'ION
ADD-ON A/C
:A]aD-ON F! TP.NACE
FIREPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU $ 24,00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING CoNSTRUCCtoN) $ 20.00
STATE SURCHARGE .50
TOTAL -Z
STTE ADDRFSS:'-'t~---\s_\
OWNER NAME:C_Q~ ~C>s.~C~,~~,sL TELEPHONE
INSTALLER:
ADDRESS: 9m ka NL _
rilma S
CI'TT': STATE: ZIP CODE:
TELEPHONE
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SIGNATURE OF PERMITTEE
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1994 MECHAIYICAL PERMIT (COMMERCtAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
- - - - - - -
DATE: CONTRAC_r PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF FON~'ItAC,T FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF 1''ERMTT' FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME:
jJwf`
TENANT NAME: (uMPROVEMErTTS oNLY) _ A #M~j 4+1~vA EPT,
Tun
INSTALI.ER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~r_~.5~
. ~ • CITY OF EACAN U
3830 PILOT KNOB RD - 55122 ~qllecl q'~~b(
651-681-4875
New CauhucXOn Reaulremenh RertaCel/Reoalr Reaulremenh ~
n J refllatered sIto wrveYs ahowiny aq. B. ol tot, aq. lt. ol house 2 coplea of plan
and yff roofeC areaf (7DX maxlmum Iot coveraae allowe~ 1 aet ol enerpy calcWatlons lor heated addiMOns
> 2 coplea ol plans (ahow beam b wlnWw slxas; poured fnd. deslyn; etc.) 1 site survey tor extedor addlHOns R decb
> 1 set ol eneryy cdculatlons
> J coples of hee Oreservallon plan If lot platted aRer 7/1/93
OATE: (,~~~~~oc~
CONSTRUCTIONCOST: -~z
DESCRIPTION OF WORK: OL~e-gha ce- `x : s'f :),9
STREET ADDRESS: yL6 7 ~i 7~'~re! LUn J
LOT: 6 BLOCK: I SUBD./P.I.D. Y: 2 rJ~~ ^ v 38S/ U6d t
Name: Phone g: l rl Y~ ~~Z
PROPERiY Lclst flmt
OWNER
She9t Address: ? 6 7 wexla.crL?. ~
Cly state: zip: S-S % Z Z
Company: SePhone M:
(area code)
COMRACTOR
Sheet Address: Llcense # Exp.
CNy State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone N: ( )
Sfreet .4ddress: RegishaHon
City Sfafe: Lp:
Sewerhvaler licensed plumber (H Instalflna sewer/waterl: Phone
I herebY acknowledye that I have read Mia applicaNon, spate ihaf the infortnatbn B corteef, and agree fo comply wNh an appOcable State
of Mlnneaota Statutea and CHy of Eapan Ordinanees.
b
Sipnalure ol Apptlcanf:
OFFICE USE ONLY
Certificates of Survey Received Yes _ No ' I SEP 1 2 2000 ~
Tree Preservation Plan Received Yes No _ Not Required
- - 9 ~
OFFICE USE ONLY
, • . .
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex ? 13 16-plex O 21 Porch (3-sea.) ? 31 Ext. Att - Multi
? 02 SF Dwelling 0 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF
? 03 01 of _ plex O 09 07-plex p 18 Deck ? 23 Porch (screened) ? 36 Mutti
? 04 02-plex ? 10 08-plex ? 19 Lower Level O 24 Storm Oamage
? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
t~ 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
f7 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to appticant for demolition permit
GENERAL INFORMATION
SAC Code ~ # of Stories sq. ft.
No. of Units / Length sq. ft.
No. of Buildings ~ Width Footprint sq. ft.
Const. (Actual) S- Basement sq. ft. Census Code V3
(Allowable) f A/ Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning ~ sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building ux Engineering Variance
PermitFee CITY OF EAGAN
Surcharge
PlanReview CASHIER: JS TERMINAL NO: 718
LiCense DATE: 09/22/00 TIME: 11:56:22
MC/ES SAC City SAC I D : ~
WaterConn. NAME: STEVEN G BIERBAUM
Water Meter '
Acct. DepoSit 3210 9001 4267 WXFRD WAY 60.00
S/W Pefmit 2155 9001 4267 WXFRD WAY 0.50
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
TotaL• ~
L Total Receipt Amount: 60.50
SAC Units CR137814 ~
% SAC USER ID: JAN
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v~ mkv~ $.88- 55~24'E t?~-
~ 3O u ~ .Z_44. 61 11
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W ,yc so1.~ 41.33 ^
- ,953.~ 48.0
~ ' N-1 - -
~ ~,10 ~ t Nfl ~T~ DRAI?(A66 kUT1LtTY6A5EMENT PW- I'CZT^ '-7
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'n p• ~ ~ ;r ~ o~ ~.-~."~'~-$9 y~ 0 p~~ • 9 2
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S EAGAN EVGINEEftIN DEPT.
-is_,.?.~.~.... PoR.1~0 ~~~UR~ED
VROPOSED GRADES SNOWN pER CiRADING PUN BY: PIONE~R E~EII*IEETZ~~EI
HO7F. CONTRACTOR MUST VERIFY ALL OIMENSIONS ANO dR1YElYAY DESION.
MOTE; HO SPECfFIC SOILS IHVESTIGATION MAS BEEN COMPLETED ON THIS lAT BY THE SUPVEYOR.
THE SUITAHILITV OF SOILS TO SUVPORT 7HE SDF.CIFIC HOUSE pROPOSEb IS NOT 7ME pESpONS/BIL7YY Of 7HE SURVEYOq.
iMIS CER7IFIGA7E DO£S MOT PURPORT YO SMOW EASEMENT$ OTMER 7HAN TM96E SNOWN ON 7HE flEGORPED PLAT.
. ouoo Denoles Exlslirig Elevailon PHpPn5ED +~OUSE ~I.EYATIOFI
•ru peiloles ProposeJ EIevoUun Luwe9l Fluw Elevutioiu 9S1• I
Dunoley Uruinaga dc Ulility Easemeni Top of F31ock ElevuUon: °I59.Z
Uunufns Drufnaye Flow Uliectlon •
-<r- Desioles UAonument Garuge Siob Efevoliun: c159.8
--c~- Ucnvte:s U![sel Ilub Beatinys aliown ute ussurrted
f_U-I- 6, E3LOCK i WExFoRe zuc ADDITION
DAKOYA C(A1NIY. WNNESqlA
1 h~~MiY cvtU~ d~t ~hfl swwY. pbn a,pwI wu p"Iq 4y m~ wW~~ mY JMnt ~uy~w~./4lvn ~.rl N.~~ 1 M~. J~ly N•p~qaN l~..J Sv.v~ro.
vuJ~~ I6e Lw. uPdh~ Suu ul Ninnnplo. OaIeJ lAlt~ WY ul U A.O. 19L
StG?~ j PIOKeEREN RIN
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1-.~" ~Olfn~ <1
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Ab~ ~
City of EapIl j Permit #
~ Pertnit Fee:
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received. ~
Phone: (651) 675-5675 i I
Fax: (651) 675-5694 i Starf: i
I p l ~J2008 RESIDENTIAL BUILDING PERMIT APPLICA UG 2 7 2008 ~
Date: Z Z
u O(1 Site Address: w
Tenant: Sui
RESIDENT/OWNER Name:_Ste/e C)I'ef(6um Phone:(eS71- yya- 1i7y
Address / City ! Zip,qx0~ l@k)C~arj lQ 1"3tJ
Applicant is: _ Owner X Contractor
TYPE OF WORK Description ofwork: "g
Construction Cost: Multi-Family Building: (Yes _ I No
CONTRACTOR Name: 6nL CLf111 ~tiun JG? Vl(_-07-S License
Address:'Xlya m(nwcChc( A?k S-
City: Mt0&P¢cVDIC.1 State: MO Zip: QMCXP
Phone: VJta ' Contact Person: &,n/l,.( p f171Qf"S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
Submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents fhat you submii are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons fhat woufd peimit the City to
conclude fhat the are trade secrets.
I hereby acknowledge that Mis information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the Ciry of
Eagan; that I understand this is not a permit, but only an apphcatwn for a permit, and work is not to start wRhout a permR; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval ot plans.
X xC&QOn.~
ApplicanYs Printed Name App icanYs Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132378
Date Issued:08/11/2015
Permit Category:ePermit
Site Address: 4267 Wexford Way
Lot:006 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & 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 -
Steven G Bierbaum
4267 Wexford Way
Eagan MN 55122
(651) 405-9182
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature