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4271 Wexford WayPERMIT City of Eagan Permit Type:Building Permit Number:EA112291 Date Issued:08/07/2013 Permit Category:ePermit Site Address: 4271 Wexford Way Lot:007 Block: 001 Addition: Wexford 2nd PID:10-83851-01-070 Use: Description: Sub Type:Reroof & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Windows/Doors: If altering the opening size, a framing inspection is required. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Bruce G Atkinson 4271 Wexford Way Eagan MN 55122 (651) 925-9161 Gates General Contractors, Inc 3500 Vicksburg Lane North, Suite 400-351 Plymouth MN 55447 (763) 550-0043 Applicant/Permitee: Signature Issued By: Signature ~ . INSPECTIDN RECORD •CITY OF EAGAN PERMIT TYPE: ' 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i r fli:l1 I Ifi i ;~I!I f i'l1Y~l ~~I . I ~:l~~ 1t1. . PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . ~ ~;~rl 1 N~~ • ~ ~~~~I 1 N~, r fI',lit A 1 111P1 i ~ ~•t ~c:d:t~, f~l~ , ti ~~i 1:1 ~ .inw ~ r ; v I, F ~ L I Fermft rro. Fem+n r+okl.. wos TNephone it r ~ ' PLUMBING HVAC . ~ S~ (,bQ ELECT ELECTRI G~ • "T / 9 / ~ Inspection Daa Insp. Commsnts Footlngs I / 7~ L ~ l~ FoUrKEB,io„ ~ N~~R~eadc~ •a~•~~1 ~ Framing Rooflng Roug^ Pibg. Rwo m9' Isul. r ~ F,.qftm D ~nal Mg. Orsat Test - Fnel Plbg. PIbG.lnapector - NotHY Plumber Conet. Meter EngrJPlen Bk1g. Final DeCk Ft9. Deck Final Well Pr. Disp. YI~~Qy , INSPECTION-RECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ° Eagan, Minnesota 55122-1897 Date Issued: f (612) 681-4675 . i SITE ADDRESS: APPLICANT: 1, 14rtY 11'. ! j; ii~ I t P ~ ~ PERMIT SUBTYPE: TYPE OF WORK: I INSPECTION .A . DA i I, ~ I rl,-,~ F ~I L J ~ Permit Holder Date Telephone N PLUMBING HVAC Inspection Date Inap. Commsnts FOOTINGS FOUND I FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL I GYP80ARD i FIREPLACE I FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST - - - ~ BLDG FINAL I DOMESTIC I METER I IRRIGATION I METER I FLUSH I MAINS i cor,oucnvirv TEST I HYDROSTATIC TEST BSMT R.I. B5MT FINAL I . ~J DECK FTG 7 DECK FINAL • ' ~ . / 4 Werdficate uf ccculpanc~ Wit4 of Cfagan Tliis iC'erticate issued pursuant to the nquire me ts of the Uniform Building Code 1 cerfifyiag dtat af tit4 timt of isst~wncc thts sr was tn compliance with the variaus o~iiwnces of the Cery regetlatiRg buildirtg c ruction or use. For the jollowing: i Use Cl"siFiorion: 6BWg. Perniit No. Occupancy Type Zoaing Diaor{ct FD• Type Const. VN ~ owner of eu,wing nSIcNM HOWs 10525 ARa[v avE, nWM iBw~ Aa~, 4271 ~O~tD WAY L7. B I, WO~OE~ 2VD 7,1 ~ , n„c. Ur , ;T- I POST IN A CONSPlCUOUS PLACE ~ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD - 55122 651 -681-4675 7A, New Conslruclion Reauirements RemodeUReoair Reuuirements • 3 registered si[e surveys slwwing sa. k of IoC sq. fl. of house: anA all rootetl areas • 2 w0ies of plan (20qo mazimum bt coverage albxretl) . 1 set of Eneyy CakulaUons fw heated additbns • 2 copies W plan showing beam & mndav sizes; poureA found design, etc.) . 1 site survey for extenor addi6ons & decks ~ • 7 set of Energy Calculalions ~ • 3 copies of Tree Preservation Plan 'rf bt platted after 711193 • Rim JoLst Delail Oplbns seledion sheet (dOgs vnlh 3 or less units) DATE 4dPtl I V,AyLUA~TIOqN (EXCLUDING LAND) I S~ O OC~ , a0 JOB SITE DDRE55 U. W 0. IP MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER R!'JC2 4-3ohi k7-ICM50A TYPE OF WORK RA sevn2e7f FIREPLACE(S) _O _1 _2 _3 APPLICANT • C 5 5-*-- CO • `3.~C ~ PHONE # (oS (-`o ODS - ADDRESS r c_s' ` ZIPCODE S S~~-I PAGER# E/2CELLPHONE# ~nSI-Z7~/-IL70 fAX# 65(~~~~'75~0 I /*RESIDENTIAL BUILDING ONLY - FILL OUT COMPL Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 I (check one) - Residential Ventilation Category 1 Worksheet Submi D Energy Envelope Calculations Submitted MINNFSOTA RULES 7672 By I - New Energy Code Worksheet Submitted I Plumbing Contrac.Ior, A/ O UJ iln U Phone 75 3' S Z 1(o i Plumbin., 5ystem Includes: Water SoRener = Latim Sprinkler I'ce: IS90.00 Wa[er Heater No. of R.I. Baths No. oF Baths ' Mechanical Contractor. Phone # I ilechanical System Includes: _ Air Conditioning Pee: $70.00 _ Hcat Recovery Systeiti I ' Sewer/Water Contractor: Phone k AII above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state ihat fhe information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 ~ OFFICE USE ONLY ? 07 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multl ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF ? 04 02•plex ? 10 08-plex ? 18 Deck ? 23 Porch (saeened) ? 36 Multi ? OS 03-plex ? 11 10-plex w79 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous )1 31 New ? 35 Int Impravement ? 38 Dertwlish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Dertalish (Bldg)' ? 43 Reroof O 46 Windows/Daors ? 34 Replacement 'Demolition (Entire Bldg onty) - Give PCA handout to applicant om Valuation oZDUO Occupancy Jo - MC/ESSystem Census Code l.~y Zoning City Water SAC Units 6~ Stories Booster Pump Nbr. of Units / Sq. Ft. PRV Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const S-~ Width REqUIRED INSPECTIONS _ Footinas(new bldg) _ FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Dram Tile Roof [ce & Water Final Other _ Framing _ Pool _ Ftgs _ A'ulGas Tests Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved Byguilding Inspector 3ase Fee 3urcharge ~Ilan Review MC/ES SAC :;ity SAC Nater Supply & Storage 3&W Permit & Surcharge Treatment Plant 'lumbing Permit Aechanical Permit _icense Search :opies )ther fotal -71Y9 ~ s~oa~ra 0 p O zs(o Al 7 3p7Ig/ Requesl Date Frte No Rough-in Inspection NOTICE: Vou Mosl Ca0 Elecmcal Inspector ~L ~ RequiredI! A Raugh-In Inspection ~ ? Yes f~1~JO Is Reqmred Ivlicensed contractor ? owner hereby request inspection of above electrical work aP Job Atltlr ss (Slreel, 8ox or No ~ Cily ~a 7/ Route/ Sect~on No Township Name or No Rang o Cou Ocwp,nant (PRINT) Phona Na tm~ Power Suppl~er AtlEress /~1 El~irA.~i Elecincal ConVaclor (COmpany Name) Controctor5 License No C~Y'o ~7 7 MaiLng AGtlress (COnlrac~ r or Owner a ng Inslallalmn) 35Sh c 'iK . 5Sa3-3 Aulr~g ure (CO todOwner M m t t nJ Phone Number Z3'1-~S3S MINNESOTA STATE 60ARD OF ELECTHIdTV THIS INSPECTION REQUEST WILL NOT Grlggs-Mltlway Bltlg. - RoOm 5-113 ' BE ACCEPTEO BYTHE STATE 80AFD 1921 Unlvarafly Ave., 51. Paul, MN 55104 ) UNLESS PROPER INSPECTION FEE IS Phane (612) W2~800 ENCLOSEo RE~UEST FOR ELECTRICAL INSPECTION 0_1 trucLOns br compleling this torm on back oi yellow copy -3 9 73 ~0 8~' 'X'-Below Work Covered by This Req uest '.w Add Rep. TypeolBwlding AppliancesWued EqmpmentWired Home Range Temporary Service Duplex Water Hea[er Eleciric Heahng Apt. Building Dryer ' Load ManagemeN Comm.llndusVual Furnace Other (Specdy) Farm Air Conditioner Other(specdy) ConVadorS RemaBs Compute lnspectian Fee 8elow: # Other Fee # ServiceEntrance5rze Fee # QrcwtslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps 100 _ Amps SIyf15 Inspector's Usa Only. ~ • _ , TOTAL~ (3 ~ ~IN Irrigation Booms ~ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR D DISCONNECTED IF NOT Other Fee , D COMPLETED WITHIN 18 MONTHS. I, the Elecirical Inspector, hereby pou9n-in D.I. certify that the above inspection has Fnai o,~e been made. OFFICE USE ONLV This request voitl 18 manihs fmm ~ ~s 5 a6ra0~ v Re st oate Flra N FouBhin Inpseclian Repumetl inspecLOn Olner Tnan RouBhln 8 / n qq (VOU mOt call speCOr wnan rea0y) C] Ready Now ? Will Notdy Inspactor ves y r ? No Date ReaCy I L, hcensed contractor ? owner hereby request inspection of above electncal work at: Job Atltlress (SireeL 9ox or Rome o I Gty Z Section No Townsnip ama ar No Range N Cou ~ Occup ~PRINT~ PM1One No G 5 /Z.a+~ ~~S i d1~2 aiat Powar upp0er ~ Atltlress - Elec Gomractor (Company Name~ Comractore License No c~1;7 5 Mailing Atldress (Conrteclor or wner Ma4ing In ai ion) 3 ~ 7~~• ~Sc Auih zed Sig wre ICOniract -O aer ak~ng s[el io Pha Numbar , 3 7- 75.35 MINNESOTA STATE BOAHD OF ELECTflICITY THIS INSPECTION REOUEST WILL NOT Griqqn-MiCway BIOg - Room 5-113 BE ACCEPTEO 6Y iHE STATE BOAFD 1831 University Ave , St Paul. MN 55104 UNLESS PflOPER INSPECTION FEE IS PhoneS1Y1 642-0800 ENGLOSED y/~,S ~REOUEST FOR ELECTRICAL INSPECTION .'{=".~"'.`p, E&00001-08 Sae msvucREns lor com1platm9 this lorm an Cack ol yellow copy , aaou9 ~ S~O~rI "X" Be/ow Work Covered by This Request d ReO. TydeofButldmg ApphancesWired Equipmentwiratl Home Range Temporery Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Fumace Other (Speci}y) Farm Air Conditioner Otner (syeory, Lomrecror's Remarks: Compute Inspechon Fee Below: R Other Fee a ServweEMranceSae Fee # Cimuns/Feeders Fee Swimming Pool ~ 0 t0 200 Amps Z?• / 0 to 100 Amps Trensbrmers Above 200 _ Amps Above_70Q_ Amps SignS Inspecmr's Use Only. TOTAL ~ D Irrigation Booms Special Inspecuon ~ Alarm/Communication THIS INSTALLATION MAY E OR R -qISCONNECTED IF NOT Other Fee . 0 COMPLETED WITHIN 18 NT I, the Electrical Inspector, hereby Rougn-in 410-,1, , f oata certity that the above inspection has Flnal ~ oa~e been matle. OFFICE USE ONLY This reque5t wia 18 months lrom CJ 74 3/4 ~0~/ Z121 Repuest Data Fea No, Rough-ln InDSecfron ReQwreO Inspedion Olhar Than Rough-In p'ou must cnn insoenor wnen reaay) 0 ReeEy Now ? Wiil Nobty Inspoclaf ? Vea ? No Oaie Reatly licensed contr r.] owner hereby request inspection of above electrical work atJob ndoress,ISi o. r e No' Ciry ~I Satlmn Nair I Township Nama or No Rarge No Co Occupant(P o, 1 O POw2! Su0Dh2t FtldR55 Eleuncal C tratlo~ mpany ) IJ CpW~aety~5 tens~ ~ o4J C_ Mamng qao(e»R~nr'qnneMakm t uon ~ ~ ~ Nulhorii2C auk9ICOnIrdtlOLO~ r M.akin91nsl II ion~ Ph e MINNESOTA STATE BOARO OF ELECT ITY iH15 INSPECTION REOUEST WILL NOT Gdggn-Mitlwey BIDg. - floom 5.1)l Z BE ACCEPTED 9V TME ST/TE BOHFD 1801 Unlverepy Ave.. SL Peul. MN 55104 UNLESS PiiOPER INSPECTION FEE IS Phone(61Y)6C2-0800 ENCLOSED. REOUEST FOR ELECTRICAL INSPECTION L~~ ogo~ye Sea instmcnons lor com0leung this lorm on Deck ol yellow wpy f q9109 ? CV equest 74340 "X` Belaw WorK S'overed by ThIs A ew Adtl Rep TypeofBuJtling /apliancesWired EquipmentWired Home Range Temporary Service . Duplez water Heater Electric Heating Apt. 8wlding Dryer Load Management Comm./In4ustriai Fumaca Other (Specify) Farm Air Conditioner Q e Olher (specily) CoNractar's FemaBS Compufe Inspechon Fee Below: n Other Fee # ServiceEntranceSae Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps $i9p5 Inspxlors Use Only~ 5,j TOT Irrigation Booms Speaal Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 16 MONTHS. I, ihe Electrical Inspecior, hereby Rou9n-io oace cerhfy ihat ihe above inspection has F,,,ei oei i been made. OFFICE USE ONLV This reqoest mal 18 monIDS irom Address 4271 WEXE'ORD WAY Zip 5512 z I.ot, , 7 Blk i Sub weMRD 2rro THfiSE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yg* -rj Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass . Trail/curb damage ? Porch v Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and Ihe shut-off of water supply to the outside lawn faucet before freeze porential exists. Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. While - City Copy Yellow • Resident Copy Pink - Contracror Copy ~ INSPECTION RECORD CITYOFEAGAN PERMITTYPE: euzLorNG 3830 Pilot Knob Road Permit Number: 022891 Eagan, Minnesota 55123 Date Issued: 0 2/ 15 / 9 4 (612) 681-4675 SITE ADDRESS: L o r: 7 B L 0 C K: 1 APPLICANT: 9271 WEXFORO WAY pAHLSTROM DESIGNER HOMES WEXFORD 2N0 (612) 455-2245 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION D. . FOOTINGS FOUNDATION FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG F1NHL PLBG FINAL REMARKS: PRV S& W PLBR - JANECKY PLBG ~ L \ PERMIT -~c CFTY OF EAGAN ,3830 Pilot Knob Road PERMIT TYPE: a u z Lo r tv G Eagan, Minnesota 55123 Permit Number: 022891 (612) 681-4675 Date Issued: 02 J15 J94 SITE ADDRESS: 4271 WEXFORD WAY LO"f: 7 BLOCK: 1 WEXFORD 2ND P.I.N.: 10-83851-070-01 DESCRIPTION: Buildinq'Permit Type SF DWG Oui].dinq Wdrk Type NEW UBC Occuponcy~ R-3 M-1 , ConsYruction Type V-N ~ Zoninq PD ~ Bui.tdinq stor.ies 2 ? i REMARKS: PRV S& W PLBR - 7ANECKY PLBG FEE SUMMARY: VHLUATION $149,000 Base I'ee $811.00 MT.SCELLANEOUS $1.828.50 Plan Review $527.15 Total Fee ~ $4,041.15 Surcharge $74.50 SAC $800.00 SAC o 100 SAC Units 1 Subtotal $2,212.65 CONTRACTOR: - flppticant - sT. L7C. OWNER: DAWLSTROM DESIGNER HOMES 14552245 0003508 DAHLSTRUM UE9IGNER NOMES 10525 AKRON AVE 10525 AKRON AVE INVER GROVE HTS MN 55077 INVER GROVE HTS MN 55077 (812) 455-2245 (612)455-2245 I 17erehy acknowledge that T have read this applicaCion and state that thie infiormation is correct and aqrre to comply wzth a11 applica6le 5tatr nt hln. Statu s and City of Eagan Ordinances. L , A L C~ NT/PERMITEE SIGNATURE ~ ISSUED B: SI NATUR v CITY OF EAGAN lxqqi 1994 BiJILDING PERMIT APPLICATION, 681-4675 . , , , ~ _$~~Q!IrL•1,~ SINGLE & 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 of energy calcs. Penalty applies: 1) when perm9t 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 ance permit is issued. Date 11Z Valuation of work Site Address: STREET SURE M Tenant Name: (commercial only) LOT _7 BLOCK SUBD.0Ak'('rJJ ZY~ P.I.D. k ~ Descri tion of work: The applicant is: ? Owner ? Contractor ? Other (Describe) Name _ _51j'?e4e'- e41' Phone Property LAST FIRST Owner Address STREET STE # City State Zip CompanyPhone Contractor Address License a!;_0g Exp. i~ C i ty State Z i p S J c~ Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber .JX"~ Processing time for sewer & water permits is two days once are s been approved. I hereby acknowledge that I have read this apPlication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ~ .;4 x BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 13 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool ? 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. 0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ,0 31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish O 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V/I/ Basement sq. ft. P" MWCC System (Allowable) lst F1. sq. ft. gN City Water UBC Occupancy 2nd F1. sq. ft. PRV Required ~ Zoning Sq. Ft. total Booster Pump S of Stories z Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code p APPROVALS Census Unit ~ Planning Building Assessments Engineering Variance RE('dUIRED INSPECTIONS ?.Site 0 Footing ~ Framing ,0 Insulation ? Wallboard Final ? Draintile ? Fireplace Permit Fee v.imcsa,• Surcharge [3t`^ 4r Plan Review >U•5 3Z - /a~~ License MWCC SAC 12, 3X City SAC S+~- ~2 4-s 341~k Water Conn. ~ z Water Meter ~ yd s-- Acct. Deposit O zr2 S/W Permrt S/W Surcharge n /153, (9s,{-~3z ~'ZZ(~~gS Treatment Pl. il Road Unit Park Ded. 3Byr z i, L 8 z3, q~ Trails Ded. s~3.~~ ' CoPies - Other I z,- Total: S" SAC % - SAC Units , 01i27i94 14:36 002 SVRVEYOROS CER1 IFICATV DAIiLSTItOM DEMON D ~ D &:AGAN ikDEPT. ~ EIVGIIVENOTfii B 4 G dr, M ( )iiB fiO.Y. ~ Pa ~A f'd etl a~ e REVIr?MED ~ 3Y NDTE s Np SP2GIFIG 801L9 lNY88QVOATION MAS BSEN OCMR.ETHD ON 7MI8 LAT BY JANIO f!. 1i11.t, INC. TME 9UITABILITY OF QqTE SOILB TO BUPPORt T{I@ BPFWIFIC NOUSE PROPO880 IB NOT TNE RE8PON8181LITY bF JAMEB R. NILI.t-INC. p G~ r- 0 0 0 ~ ~ ~ DENOTES PROPOSED SURFACE bRAINAGE R bENOTES IR4N MONUMFNT SP-T SCALE: 1 INCH = SO FEEf • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR =`f 5g.6 FEET X000.0 DENOTES EXISTINQ ELEVATION PROPOSED LOWEST FLpbR =1q6. J FEF-f (OOO.D) PENOTFS PROPOSED ELEVATION PROPOSED TOP OF BLOCK°91~~.2 FEET WE HEREBY CERTIFY 1'O pf~i {($~1 THAT THIS IS A TRUE AND CORRECT RfiPRE$EINTATION OF A SURV9 Ot TIi~ ~S OF; 1At 7, 81o'Mt 1s YClfiIkpDRO YNi? Afi"ft 48"ifp !o tlle 1'andfdid pla# tfi9tg0'fv ourAn OMNA% 4mmoni: , iT DOES N07 PUIippRT TO 8MOW IMPROVEMENTS OR ENCROA e,~HMENI'S, EXC:EPT q5 SHOWN. AS . SURVEYED BY ME OR UNDER MY DIRECT SUPERYISION THIS _ ~/:.h DAY oF-C7,*.icee.'l ,19 jl~r 51QNEp: JAM . HI BY: ~ ~J D 81JRV&Y~OR $ IdOA11MM 10949 sR.Hill,inc. E'o-, FT > y~ ENC~INEERS SURVEYORS ~i A e 42 0 BURNSVILL E, MN. 55337 0 812-890-BD44 R°97% 1 612 890 6244 01-27-94 02:36PM P002 #21 , 01i27i94 14:36 003 SURVEYOR'S CERTIAtGATf UA.HLSTIt011dI DROWN ra I o (a'~/ / I LOT" 7 ""'^y~~~~~ 1 Q~ q ~ ~ - • g~p~pqpF{1~@ppK, ~ BLBV. ~9P& ~ ~ I A ~ a14 l V \•i ~ ~------a~a~~pq~nK ELEV.~1dfa6s0 ~ 9sssco lG. 4'o ~ ~/~i/ N~D°•~9'O~ "E 1 9s8 a r ~ ~t o~~~ b~ James R. Hill, inc. o Nz 08 N"~p~ P L A I d N E R S 1 E N Q i I N E E R S / S U R V E Y( 7 R 5 N p (P m { 2509 W. CTY. Rb. 42 9 BURN3VILLE, MN. 58337 0 012-890•8044 R°97°6 1 612 890 6244 01-27-94 02:36FM F003 U21 LOT iIIRVEY CBLCICLIBT 708 IILSIDF.1'7TI7W ~ aIIILDIN pERMIT PPLIC7?TIO ~ pROPERTY I.EG11Ls ~ Dste et su Sp: DOCIIMENT 6T71NDARDB B~0 D • Registeree iaad Surveyor aiqnature and company W-0 0 • Suilding parmit ]?pplicant ' • Legal deccription D 0 • 1?ddrsss VD 0 • Iiorth arrow and bar scale D~G D • House typa (rambler, valkout, apiit w/o, split sntry, lookout, etc.) D'D 13 • Directional drainage arrows with slops/qradient 4. • Proposed/axistinq sevez and vatsr aervicea 0 • 6treet aame b3~0 0 • Dziveway LLEV7ITIONB Exiotinc a ~ Sewer service - Lot corners 1Y0 0 • Top of eurb at the driveway D--V 0 • Elevations of any existinq adjacent homes PropoieQ ~ • Carage floor . 0 • First floor 0 • Lowest expoced alevation (valkout/vindow) ~Q 0 • Property corneia 0 • Front and raar oi home at the foundation FONDING f1RE119 fif apolieablol D ~ • Easement line D ~ • NwL D P13 • HwL . D • pond i desigaaiion D • Emerysney ovsrflow Elevation DIttExszoxB II~O C • Lot lines ~~8 0 • Right-of-wny aad street wiath (to baek of curb) D' 0 0 • Proposed bome dimensions ineluQinq aay proposed decks, overhengs qreater than 21, porches, etc. (3.e. all struetures requising permanent footinqs) ~0 0 • Show all easements of record and any City utilities vithin those sasements 0 0 • Setbacks of proposed structure and setback.of adjacent exictinq ho D 0 • Retaini v e izements, if any Rsviewed: Na e / Date Oetober 1992 , , Ow?1ER: SI7E ApDRESF: -12,71 WiZkf-~024 WRy . . . • : ri • ConTanCTOa:.^,~~~=5"~"~sa+"~ M?TE: PHONE:• . • - 't""`1 pETEMIME WORKIHfi 54UARE FOOTAGE OF 6ACM:', ~:::~'.:.•t.~ i+;•,:; «r•.. 1. TOTAL kXPOSED 4ALL AREA.......1. ,~f,,g'~.(~ ' .sq fL x "U" ' • I ~ a. s , 2. 'fD,TAL ROOF/ ' GEI ' tING AREA.,r...., sq ft •x "U'r ..••'•Q~~ 37'g~ .r TOTAL E%POSED NALL pftEA CALGULATIOHS: Total O%p0lBd waIl ' \rOi ibOV6 TICO~,J~.t... ' 6q fL ••i .:v+ ' , ' a) Total 1+a11 aindow arsa: , . . qiazad..., sq ft x nUn . glazed...... sq ft X "V" f b) Total door araa s4 ft xof Uii ' i'Q~j • ,'j~If c) Total slldlnq qlass door •rea: , glazed..~... SQ ft X nUn iZGJ w'1Z. Ig7 . '3 .~...~wglazed...... Sq ft X"U" d) Total flreplacr wall area aQ~ sq ft x"U" 10{' n~ 3.7-0 Total woll framiny arra (Avarapa lOR)......,.... '7& 4' iq ft x "U" , Q2 71051•s~O f) Total not wall ara¦ 4bove , floor (insulatod)....... sq ft x."U" '5 8$ r • 40 g) Totrl rim Jolst araii.~.... 32L0~ sqft x"U" , 0 * • Total foundation • erna (Exposod).,....;... sq ft " , . . ".'h}Total foundatlun , wfndow aree..........:.. ~ sq ft x~"U" Total net foundatlon' area abova yrada:....... sq fc x"U" , t O '~~/D . , 3. ' • TOTAL a} th1'u Ifltem 03 Is tha same as, or'less. than iEam'fl;'yvu hiva met Lhe (ntent.af r 2;.23Chil 1.16008 A and 0. ' ' . . ~ Jq4. EXPOSED RDOF/CEILING CALLULA710fi5t , , • , ~ j , Tot.t expoaea 1 . . • . . • ' . . roof/pa,l 1 Ing sq f L , , . ' ~ ToCa1 skY1lghC area......,.~'~sq ft x::U" k) Tccal roof/csllin9 framing ':s.,: ~ ,,l..;,• , . ~ arna (Averepo IDx)..:.'.. -fq ft x~~U~~ , f9 r ~ 3$ ~ . , , • , : , , .•,;,y.. 1) "Total.nat (nsulated . ~ . • . , . roof/call(nq irCi..ir~~• 1~,01~ $Q,}t X Ilull .Q~j) ~•~w!i~i~f~~t~i~~~~r 4• . . . . TOTAL `J) thru If totai of• 04 fs tha same os, or less thsn f2,. you havr met the intont of 2 HCAR 1.16008,A aad 0. , ~ ~ • , . , , ~ , ' ~ . . . • ' ~ i•. ' „ . ' . . . . , - . • AITERr1ATE BUILDING ENVEIOPE DESIGN 7o utllism tha total envalope aystem mathod, the valurs established by th4 fum , of Itnms '3 and 04 thall not ba 9reatar than the sum of itema dl and #2. ' 1. + 2, . ~ +,4. • . • . . , 1 • . .r. • . . ' . ' ' ~ ~ ' J,#, • ~ . • ~ . . ' . • • • • ' , }•,i'•+ • . . ; ; , ~ C E R T I F I C A T I O N . ~rl'hsreby cereif,y, that I have ealcu,lated'the "U" faciors and ','R'! vaiuas hiraIn'end that. the bulldInq, her4, doscrihod meets or exceeds: tha ~Stato ~ cf.Hl.qnadot4 Enarpy Conservatl,on Act.. . ' . (SIqnatura ' ; ` . . / ; . I'-.°,,I,!:. , . . . . (oac.) ~ ~ . :•,5,;~;~.;~.;~,;. . . ' ..79 - ' , , . . . ~ ' 0, =c3R ' , : :...~w..-. . ;.,.....uw..._...:. . ..>.~~;..,:...,u,.:r,.:. ~ . .e:........ ~....o f.':t."t v . . . . o......~.i':...~.:..... . *iF:.:n::~": c ....:...........:::i..:..~.. ~l, . . . . . ~ ~ ......o.. ~J',~ ~rJ ~ . . ~.r..d....,. ;..:i.:....:..... ~ .n::<...... ...c., ....:.~..r.~ se. . ~ . . . .......o..-..-:...c.. ::.r:°.:~ • '.%P.'^.7':~~::I<.it`t`.n~:'. ..~....,..r:..:.~k:,:.,.._,.;:n~.._.: ..:T:".,:.:o...^...... Z,3 . y ...o.:.z~~"'S . . . :a..:.... .....:~..~.....:....:-.5.<..: .D':~ ...........LI`.`:...\.: c„f... L:...... )~..:iP:.".:.1 . . ...:::.o:: :..q•r. _ . ...:::i . .........n..: . ~§i(:... a y s ~ y. .............c:...t..t.w~........-..¢. t` o. .i<:.t~~. . >•w: $:..:.....,F.c::::.`:`.::'..._.t_.. , .......e.._.G..9_. : . _ : ' ~ ..y.a. ..~M~:.:::.:i:...:...p.c.:..:. ' :2L :...>.....:."::..:.!a:. D..,. • ; .....x.,<......,:.,.:.._,,< ~~[JB. . ........<..:.:....,..<.,...t... . , . ~_..:::.,,..,....,.::~~:~;.....z.,~.::t~.~.~A. ;:s-`...i... L ...a. ...:n...~.:.'~~a...".:~.x. ~ f,....a. . f'.'i::~. ..._:..e. . u : ~ 1994 MECHANICAL PERMIT (RESIDEIV'17AL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMFS AND CONDOS WHEN PERMTI'S ARE REQUII2ED FOR EACH UNIT. - - - - - - - - ? NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE FEES HVAC: 0-100 M BT'U $ 24.00 - ADDTTIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) v ~ ADD-ON/REMODEL (ExisTTNG CoNSTRUCi'ION) $ 20.00 STATE SURCHARGE .50 TOTAL o.~o 3TI'E ADDRESS: 4IJ7 / OWNER NAME: Vp~,s yf~DlrJc~ TEI.EPHO:`:E INSTALLER: ~ ADDRESS: HEATING 8 AIR CONDITIONiNG C0. 8910 WENTMI6RT11 AYE-S9 MINNEAPOII$ MN 55420-2853 CTI'Y: fa~.amn STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMfTTW ~3'LQCc.r ~,(yx~( • ' . , : Y . . , _:.:,..:,..<:..<:.:,:. :.:....:..:.::>:;-.::.:<.:~~.,~z,.,..,,....:~. ~ B .......R , ..g,~ . . :..::tq.3.;.:....:.' ~o~.... .::,:.,:..~.%_.::...:::.:;`3;•• ' s:~`•; ~ c.... ......,.~..;e'::i:~,.~ . ~r... L`lI'1'~i.~`:.£"i~i £.~:a::...:...:~..< > , a.... : .c.. F.t L'.,....,.., .:x 'r'Y:: ,.u. ....a ~ .e,».>.~....... ....:.:.4.~ J::a:3 ,:G:::: . ...;<.:.:>.a.. .....n:.:, . ~ . . ..w.....:.::, a ; ..i.Sii3 . > . . ...N .i . .ka.,... ro.....,....:.... }1 . ...,...C,.,.,..,.,.~..»a..:.:.3 .:............o.-...,.., .o. . :.:a........i~~..-.Y~ Ifi6,`.~:•i':`t'J%`:7. .d.F.o.-_ . .:.i. .a.....3w.....-.:..G ......r .).~N ~w~. ..x.........e.... ..~~.h.J.. '°j:.`._ °:~..~.f~':'~a j. v .k~Si. a . . na.n.r .F. ..o.._ ......a . . .ni i~. F. . ~ :......:;.:~......:...,......_..>:..~a...<.]a.a~:.::.<.f}....... _a..a... a.2~ .:.n::.::. . n... . . . . . ........ntr.:3:~.(.~ ::6ii ::'`'H."b ::!i~.: 2cv~f. ..i...~....~oi En... ..cy::.:`R:.C?...e....q~..a.....ie .v.._...rn......_<..5...°)...C..... i~fTlbi~~,:..p.~y.x , . : .;>,:o..c.:'.: x . ~c.b C . j •,::j ~ : ............:.:~:<..:,.:.R. ..............o..r,r : o s ~.~c?o-::.g ° ~ ~}S~~ ~.;o->..r..: <.s ~ .'..:c. .:..<:.:...',.y'... .o.y....'t ~ .p.:.... ....a!..~ ~ay..:::': ° i.~.w:..F.:.:. fl "•~....:..r..:..a ~...........r~a...~...e).b.::~:.~s ~~~~t.~"~:4:::... i~~V:. 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT 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: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CQNTI2AGT FEE $ . . ..uc;www:.:, PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF ~'ERIVITf FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELErnONF - , TENANT NAME: (IMPROVEMENTS oNLI) , INSTALLER: s , ~ C.'..:3 ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR . CMV Mt?M,`~ .,,._p~~„mMCa 4 '<s.3 ~ '.6:, ~ .....,...~.o: r !L'I:::• e `#.V 3 • ~Dif.': :^'l, '£"'F C "1': Sp':i°C g. . <E `o :::1CG~~`.' . ..:..c ' . ~ :<.<#<u . 6 ~c ~ ',~ii:3'.r>.°:M£ „a. y..,.,.. . . : ~ : a..>a.. ~ ¢ ;.>:!..:.Y~>::g, ~s :5`~ SiS'n 'S;;'~.~`~d`3T.?<`;'i _,@3N.;x3,wp..:£:~s.~.c::~:. ;:.~~.';fk::f~.i.i.r. F, ~Sf..%'.fv'SU.3!S v'.?:'r:~..~~.>y. , ,.e...... . " ' - ........>:,.,..,:~.«<:::.:s.. ;x.. ,.:.a~.. g.~.4 . ...,.ww..o iz. a 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 68114675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. NO. FIX1'URES EACH TOTAL ~ SHOWER 3,00 3 _-3 WATER CLOSET 3.00 ~ ~ BATH TUB 3.00 ~ - LAVATORY 3,00 / Z KTTCHEN SINK 3.00 3 _L LAiJNDRY TRAY 3.00 ~ HOT TUB/SPA 3.00 _L WATER HEATER 3.00 .7 ~ FLOOR DRAIN 3.00 _ 3 GAS PIPING OUTLET • minimum - i 3.00 3 ROUGH OPENINGS 1.50 ef ~ r"U WATER SOFTENER 5.00 PRIVATE DISP. • neLch•. uQ 20.00 U.G. SPRINKLER • home unaa coosc 3.00 ALTERATIONS • w austln` 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: SITE ADDRESS: OWNER NAME:~ INSTALLER: av-, -e- i ADDRESS• vv - CITY: STATE: ZIP CODE: PHONE SIGNATURE OF E ITTEE / f ~ . g= . ^'z ~c' , w x, , s,r. ..:,;~>.x 1994 PLUMBING PERMTT (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COIvMERCIAIJINDUSTRIAL BUILDINGS. ALSO FOR MUI.TI- FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIl2ED FOR EACH DWELLING UNTT. _ NER'CONSTRUCTION ADD ON REPAIR WORK DESCRIPITON: CONTRACT PRICE: $ FEE. 146 OF CONTRACI' FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF ;EG~ FEE. MINIMUM FEE. $ 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE # OWNER NAME• INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT PERMIT - ' CrTY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 5 7 6 (612) 681-4675 Date Issued: 0 7/ 17 / 9 8 SITE ADDRESS: 4271 WEXFORD WAY LOT: 7 BLOCK: 1 WEXFORD 2ND P.I.N.: 10-83851-070-01 DESCRIPTION: Building Permit Type DECK Building Work Type NEW Census Code 434 ALT. RESIDENTIAL REMARKS: PLAN REVZEWED BY BILL BRUESTLE. FEE SUMMARY: Base Fee $50.00 COPIES $.50 Surcharge $.50 Total. Fee $51.00 Subtotal $50.50 CONTRACTOR: - Applicant - ST. I.IC OWNEp. LEES CONSTRUCTION 19194020 2013061 Ai"krV$ON BRUCE 4633 CAMDEN qVENUE N 4271 WEXFORO WAY MINNEAPOLIS MN 55412 EAGAN MN 55122 (612) 919-4020 (651)688-6015 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 of Eagan Ordinances. - ~ PLICANT ERMITO SIGNATURE ISS E . UR CASHIER: S TERMINAL N0: 781 DATE: 07/17/96 TIME: 10:03:10 ID: NAME: LEFS CONSTRUCTION REMODEL 3210 3001 4271 WEXFORD WA 50.00 E155 9001 4271 WEXFOfiIi Wq 0.50 3430 3001 4271 WEXFOfiU WA 0.50 ~ To+,al Receipt, Artiount: 51.00 ~ CR03500i USER IU: NANCY %~%~k~~k~%~kXtXt~C~C~C~C~C~C#%cXc~CBcXc~Y#%c#%~Xcrc ~C#~%Xc~k~XXc%c%c ~C%c~C - ' . . ' 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3~s V~~ 3830 PII.OT KNOB RD 65122 Srj (-C)~ 681-4e75 New Construdion Reauirements RemodeVReoair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (inGutle beam 8 window sizes; poured fid. tlesign; Mc.) ? 2 site surveys (exterior adCitions 8 dedcs) ? 1 enargy wlculations ? 7 energy calculations for heated aAd@iona ? 3 wpies of tree preservation plan N lot plattad aRer 711193 required: _ Yes _ No %'!3p DATE: o G CONSTRUCTION COST; 3 S~Q O~ DESCRIPTION OF WORK: ~ X)1 e N D -e C K STREET ADDRESS: 4 2- 7 I wP X}= G~ t) w,+V LOT: rI BLOCK: SUBD./P.I.D. Name: bR L) C- P-- Phone PROPERTY 1.%a First OWNER Street Address: 4 Z 7~ W ~y P' p Z, .D k/ A- 7 ciTy r" stace: NI iU zip: SS ) 2 Z I a D c. Company: -e e,s C p a S~ R ~ G yla 41 ~~~one d 2 O CONTRACTOR 2 33~ l y~y Bi~,. dk p Street Address: 77 Y~ f~V c.~ '7,icense City -C1 PLState: 1+') N Zip; Z- ARCHI7ECT/ ENGINEER Company: Phone €k: Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction ony): Penalty applies when address chang and lot change is requested once pertnit is issued. I hereby acknowledge that I have read this applicaGon and sfate that the infortnation is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY EIVED Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required , OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplez O 11 Apt./Lodging O 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex O 12 Multi Repair/Rem. ? 17 Swim Pool O 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ~ 15 Deck WORK TYPE ~3 Ne ? 33 Alterations ? 36 Move 3 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 2oning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg C~ Census Unit APPROVALS Pianning 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. Park Ded. Trails Ded. Other Copies Total: °h SAC SAC Units • . 0127194 14136 003 . rEYVR98 CERTNFICATE ilAHLS'I'RQM 06010M ~a I ~ 01 yV a~ ~ I , ~oT 7 ~ o 'c' ~-oD ~ Q E,~y~' % _~~~~1 "o•$~ ~n ~A ~ Y IN: ' ~ I 1 ~ 9.Q ' ~ '4 ~zy ~ c~~~,'• e-.t~r! ~ ~ rg ~ lr ~T~ ~AX~so • P S ~$0 ~ ti D o~ James R. Hill, iric. a~ o N Z h~ z~~ q~ P L A N N E R S lENQINEERS 1 SURVEYOi~S o ~ m < 2500 W. C1Y. Rb. 42 9 BURN3VILLE, MN. 56337 * 812•890•6044 R•0'1"; I r.t^ nnn c^tt ni ,...i~ n•..'+r.rrrnnn^ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN F ) 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reouirements Remodel/Reoan Requirements ? 3 registered site survays showing sq. k. oflof, sq. ft. o/house ? 2 copies of plan and all roofed areas (70°/ maximum lot coveraae allowed) ? 1 set of energy calculations for heatetl addihons ? 2 copies of plans (show beam 8 wintlow sizes; poured fnd. tlesign; etc ) • 1 site survey for exterior atltlitions 8 decks ? 1 set of energy wlculations ? 3 copies of tr a prese ation p an if lot platted aRer 7/1/93 DATE: lL CONSTRUCTION COST.~ OV DESCRIPTION OF WORK: STREET ADDRESS. LOT: ~ BLOCK: ~ SUBD./P.I.D. \arnc__~1. J Phone PROPERTY lasi First ON'!VER Slreci Address:__ Citc SLate: ZiP: Compem:- - hone 41 -F52-~~ CONTR9CTOR ~ Strcet Address:__~J~[ irccnse k _ -_Lxp. Gt}' /rvn Statc: Zip' - ----~-2--- ARCHITECT/ ENGINEER Cornpui}':_____ _ Plionc Na+ne:_ 12egistration N: Strect Address: Ciq Jtate: 'Lip: Sewer 8 water licensed plumber (required for new construction oniv): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree to co ply with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No t 2 5 10, 9 9 I Tree Preservation Plan Received _ Yes _ No _ Not Required - i OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 02 SF Dwefling ? 07 5-plex 0 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea) ? 03 1 of _ plex ? 08 6-plex C 13 16-plex O 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demoiish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Renair 17 38 ;?;i.r.a!ish (Inte;ior) 13 12 ReiooT GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units PERMIT# yy9yp RECEIPTDATE U!f -n I RESIDENTIAL PLUMSINC ~ERMIT ~PPLICATION crrY oF EAsrN 3830 P1LOT KNOB $D EAfln1v. Df1v 55122 651-681-4675 Please complete for: > single family dwellings 9 townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITEADDRESS: VuCiylOY_cl( c4\0 OWNER NAME: : TELEPHONE (AREA CODE) INSTALLERNAME: ALA)~hc',,,_)`'' U rll?J~ TELEPHONE#: )3i ~1 (AREA CODE) STREET ADDRESS: i~ p CITY: STATE: ZIP:~ Place a check mark next to the permit work type New residential dwelling unit under construction and not owner/occupied $ 90.00 _ Add-on, modification or alteration to exlstinq dwelling unit, including: 50.00 • abandonment of septic system Q • new installation/repair/rebuild of RPZ ~7 . lawn irrigation system APR 1 ~ . water turnaround 1 2001 ~ Natureofwork:l'1/115f1 I zv~ ~ Septic System, new/refurbished $ 225.00 . includes County & Consulting Inspector fees . requires MPC license State Surcharge $ 50 TOtal $ ~56 _vil Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is wrrect, and agree to comply with all applicable City of Eagan ordinances. It is the apphcanPs responsibihty to notify the property owner that the City of Eagan assumes no liability For any damages caused by the City during its normal operational and maintenance activihes to the facilities constructed under this permit within City propertylright-of-way/easement. ~~~1~ SIGNA URE OF PERMITTEE Updated 1/07 gg 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New ConsWCtion Reouiremenis RemodeVReoair ReQUiremen6 OKce Use Onlv 3 registered site surveys showing sq. ft, oi lot, sq. N. M house; and all mofed areas 2 copies of plan showing fooGngs, beams, joists CeR of Survey Recd _Y. _ N (20%macimumlotcwerageallowetl) 7setofEnergyCalculahonsforheatedaddifions SoilsRep6d,'- ' _Y _N 1 Soils Repod if pmposed huiiding is to he placed on disWr6ed soil 1 srte survey fw addifions & decks Tree Pres Plan Recd _ Y_ N. 2 copies of plan shovnng beam 8 window sizes; pomed tound design, etc Addihon - irMicate don-site sepfic sysfem 7ree Prei Required Y_ N isetofEnergyCalculations 06-siteSep6c5ystem , _Y _N 3 wpies of Tree PreservaGOn Plan'rf lot planed after 711193 Pom Joist Detail Optlons selection sheet (buBdings wiN 3 or less uniLS) , NGnnegasco mechanical ven6lahon form Plans are considered ublic information unless ou state the are trade secret and the reason. Date 0 q / 1I l0 -q Q ConstruMion Cost /f (po , o 0 ^ Site Address ~f Z~ L W e~c-~o rC( ~ U Unit/Ste # r,~~f e^I 5I Description of Work ~1~1 z 7 10`Sed v-k,, - Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1_ 2 PropertyOwuer gGllfe + So~,k V\ SBV\ Telephone#(651 )L9Di) -6017 . Contractor R • A ' k re s s (P__ C-0 ^-y a C, Address ~ VGC7 City q vN State ?vit Zip 2-I Telep6one #(6S( ) 27 t(-/(o70 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUlLDING - Minnesota Rules 7670 Cateeorv 1 ' Minnesota Rules 7672 Energy Code Category , Resitlenlial Ventilation Category 1 Worksheet • New Energy Code Workshe (d su6mission type) Submitted SubmittTn~ • Energy Envelope Calculations Submitted S J - I rIn the last 12 months, has the City of Eagan issued a permit for a similpr plan based on a master plan_ ~~;17 _ Y X N If yes, date and address of masier plan: Licensed Plumber 'u uJ Umkh Telephone #W, 753'5Z lW Mechanical Contractor 5+llnaf&2 SkQ Mp-r`M Telephone #(763) _25q-5z 11" Sewer/WaterContractor N6 Telephone#( ~7Z=- !FW 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 the case of work which requires a review and . approval ofplans. R,.q `~r eS52Cv • SNC. ~c,. kAA pA plicanYs Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE , Sub Tvpes ? 01 Foundation ? 07 05-piex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage 1)'g, 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebolpergola) ? 36 Multi Misc. O OS 03•plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous ' Work Tvpes ? 31 New ? 35 Int Improvemenl ? 38 Demolish Interior ? 44 Siding ~ 32 Addition ? 36 Move Building ? 42 Demolish Foundation d 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacemenl 'DemoliHon (Entire Bldg) - Giva PCA handout to applicant DBSCfIpilOfl: Water Damage _Yes Valuation C042J Occupancy MCES System PlanReview 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 A!(-, Width v v REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock ~ Footings(deck) FinaUC.O. , Footings (addi[ion) ~G FinaUNo C.O. Foundation ~ HVAC Drain Tile Other Roof Ice & Water Final _ Pool Ftgs AidGas Tests Final _jC Framing _ Siding _ Stucco Lath _ Stone Lath _Brick Fireplace R.I. )(Air Test )S, Final = Windows ' 7 _ Insulation Re[aining Wall Approved By: --17L-_, Building Inspector - - - - - - - Base Fee Surcharge ~i~ Jf J Plan Review MC/ESSAC D4~~ t~rc. City SAC y~!y1 Utility Connection Charge 74,, S&W Permit R Surcharge y z,/ !IJr Treatment Plant J~ ( ?~r 29, 7ov 19 License Search • p)/ e Copies V +r Other Total Pennit Number RF.Scheck Compliance Certificate Checkai By/Date 2000 Minnesota Fnergy Code REScheck Solfware Versiou 3.6 Relea;e la ' Daza filename: Untided.rck PROJECT TITLE: Home Addi[ion &x Bcuce & Jodi Atkinson we~( '~wd uJe,~ COLJNTY: Dakota STATE: Minuesota ZONE: 2 CONSTRUCTION TYPE: Sutgle Pamily WINDOW / WALL RATIO: 0. 11 D.4T E: 09/ I 9/07 UA'IE OF PLANS: 04-I 5-07 PROJL•CT DGSCRIPTION: One story addition with full walkout basement. DESIGNER/CODtT RACTOR; Arcliitec[: Bmce Paulson, AIA Contrnetor: R. A. Kresse Co. COMPLIANCE: Passes Maximum UA = 405 Your Home UA = 373 7.9% Betler Thaii Code (UA) Gross Glazing ' Area or Caviry Cont. or poor Perimeter - V'1 C -V' 11C U-Fi1c15JL U8 Cciling L Raised or Energy Tius, 432 0.0 44A l0 Wnll I: Wood Framc, 16" o.a 678 19.0 0.0 35 Window 1: Above-Grade:Wood Feame:Double Pane with Low-L• 82 0.330 27 Buement Wall l: Masomy Block widi Empty Celis 108 19.0 0.0 18 Wall height: 8.0' Depth below gracle: 6.0' Lisulation dqpth: 0.0' Door L Solid 42 0.200 R Floorl: Slab-On-Grade:HeateJ 432 20.0 275 Insulation depdi: 4.0' Fumace L Forced Hot Air, 80 AF UE Air Conditioner 1: Elcctnc Ccntral Air, 12 SEER Proposed and Masimum U-FacrorAverages Proposed Maximwn Average U-Factor Allowecl U-Fuctor Abuve-Giade W iuduws and Glais Doms 0330 0.370 Includcs Foundation Wiudows > 5.6 82 COMPLIANCE STATEMEN"1': 'fhe proposcd building desion dcuribcd here is cunsistcnt with [he building plans, spccificalions, ajid o[her calculations submittcd widi [hc pcnnit application. The pioposed building has hcen designcd to mee[ the 2000 Minnwota Energy Cude requirements in RESdteck Versiun 3.6 Relcase la (lbmierly MECclmck) and tu comply with the maiidatory requiremmrts listed in the RESclreck Inspection Chceklist. BuildedDraigner Date ~ James R. Hill, ir~c. o~ o N~~ A Z~~ PLANNERS 1 ENGINEERS ! SURVEYORS ; N o ~m y~ -c 2500 W. CTY. Rb. 42 o BURN$VILLE, MN. 55337 ~ 612-890•6044 ge97% 1 612 890 6244 01-27-94 02:36FM F003 021 _ ' s • • . . r . . . l~ ~ • ~fj . '012'7i94 14:36 ` '003' YOf~'8 CERTIt~1C~1~'E HLSTROI??~ I~g~+G~K q I vv, qrm ~ LO T 7 0 41~~ `~i , U6E b"~ y ~ D 7+- "~rr„9 N ~ y1~ ~ / ~Q~~ 8 n I ? , aa aq~• ' p 1 ~ gTpy~p@ pH . / qq . ~ sa. »ry-.. GtHV,F yP~ l ~ ~ ~ g• ~ {~o. ~ v , ~ ~---aEN ELEV.r~e~fE lO , j. 9s,y s i ~ For OMice Use /I ~ Pertnit p: ~ Clty of ~apIl 411~ ~ I Permit Fee: 5D1 S b 3830 Pllot Knob Road Eagan MN 55122 ~ Date Received: Phone:(65t)675-5675 Fax: (651) 675-5694 ~ Stait: j 2008 MECHANICAL PERMIT APPLICATION Date: ~ O Site Address: `tCT~ I weAftYLC TenaM: y.wau ~ Suite#: RESIDENT/OWNER Name: ~b&.c ~ Phone: Address / City / Zip: aA ckvk Ue- CONTRACTOR Name: S •~0?lA~ S'h9R.~'~l~-~. License#: Address: f 0 64C ~l~t U City: State: m N Zip; s5 30 Pnonel Q 3'784 _'D yi Contact Person: Li1'Jl.l 9,V/lLl/t,c.c TYPE OF WORK - New _ Replacement Add'Rional _ Alteration _ Demolifion Description of work: NOTE: Both roo/ mounted and ground mounted mechanlcal equlpment is required to be screened by Clty Code. Please contact the Mechanical Inspector or one of the Planners for informaHon on ermltted screenln methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Fumace _ New Construction _ Interior Improvement Air Conditloner _ Install Piping _ Processed _ Air Exchanger _ Gas _ EMerior HVAC Unit ' HVAC units must be screened Heat Pump Under / Above ground Tank L Install Remove) ~ Other bArf'UW4 f4L/14W " When installing/removing tank(s), call fw inspaction by Fre Marshal and Plumbin Ins tor RES/DENTfAL FEES: $50.50 Minimum Add-on or afteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out eppliances, ducnvork, etc.) (includes $.50 State Suroharge) $ 50 o TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank inslallatioNremoval OR Convact Value $ x i% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If permjt Egg is less then $7,000, surcharge is $.50. - If P rtni Fet is > $1,000, surcharge increases by $.50 for each St8[e SufChafge $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). $ TOTAL FEE I hereGy adcrrovAedge that this inlormation is complete and accurflte; lhat ihe work will be in conbrmarke with the otdinances eM codes of the Ciry of Eapan; that I understand this is not a pertni6 Gut only an applicatbn iw a permit, arW work is not to s[art withoul a permit; that ihe work will be in accordance with ihe approved plan in ihe case of work which requires e review end approval of ~I / ~ I W~" j'- I 11 x L1Ark1h S ~'I- Q~'! e x I Applicant's rlntedName ApPli s re FOR OFFlCE USE Reviewed By:-L- Date: Requlred Inspectlons: Under Ground Rough In Air Test _Gas Service Test In•floor Heat Final I Fo O.ffi -Use I Pertnit ~ City of Ea~~n I peRnit Fee: ~ ~ 3830 Pilot Knob Road i ~ Eagan MN 55122 ~ Date Received: %-10 i Phone: (651) 675-5675 Fax: (651) 675•5694 i Staff: L-----------------~ 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENTIOWNER Name: Phone: Address / City / Zip: CONTRACTOR- Name: ' tt, ;~A(/ License Pm Address: I"I `"I LOD Fewo S mo C,ri: 51 K i~fvw State: M/V ZiP: ~330 Phone: (11 Contac[ Person: TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild ~ Modify Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener ' Lawn Irrigation X~cAdd Plumbing FiMures ~ RPZ PVB) I Main _ Lower Level) Septic System _ Water Turnaround ' New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softenei (includes $:50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) . $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge) 'Water Tumaround (add $136.00 if a 5/8" meter is required) $ 100.50 Septic System, New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ ~ " . I hereby acknorAedge that this information is complete and acarate; that Ufe work will be In wnfortnance with'Ne ' . f' Eagan; that I understand this is not a pertnit, but only an application for a permit, and work is not to start witho a ~ II n. ' accordance with the approved plan in Ihe case of work which requires a review and approval of plans. ~ , X11 ~y a1-/A A-f/V X JAN 1V 2008 . Applicant's Printed Name Appll gnature . . . . - - - - - ::¢Nw.,-.ar-y,:l.y..:C.t;,p;,:«,'_-,.q~,2rSu~r•_..u: x-; _ _ „ i S' ~t Yre.~.i FOR OFFICE,UE`:;. ~Reviewed By'~~ x'~ ~s'~~ , :u:.~~' ate..ai~€~.~r" .1'x.::,~+ `,J'~.T'a. , ~tyi aL..;m f :<<S.x i~.'~' i?'~*'~m. wt : ;yv~ ,a.'~?ff~5'Y~'~ t " (•.'`~'j'fi~,4y$; ~ . i +x::.: _ L; %'i_ c, 'u°..• .I ~v . r ~ , p,'~'. ^R ?r.r't • y~~~-"~~ mal : iced.;ln JX`' 1Reguspections•:-.;v__Under;Ground:~;-_._Rougti;ln:~•~.:-a •.4ir,Test:~~r:~..Gas~ est:~ ~ ~ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4271 Wexford Way Lot: 007 Block: 001 Addition: Wexford 2nd PID:10- 83851- 070 -01 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767 -1000 Quesetions regarding elec 952- 445 -2840 Nicole Whirley 2200 W Highway 13 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan cal permit requirements should be directed to Mark Anderson, State Elec - Applicant - Owner: Brace G Atkinson 4271 Wexford Way Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 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 Mechanical EA092374 12/21/2009 ePermit cal Inspector, City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4271 Wexford Way Lot: 007 Block: 001 Addition: Wexford 2nd PID:10- 83851- 070 -01 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767 -1000 Quesetions regarding elec 952- 445 -2840 Nicole Whirley 2200 W Highway 13 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan cal permit requirements should be directed to Mark Anderson, State Elec - Applicant - Owner: Brace G Atkinson 4271 Wexford Way Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 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 Mechanical EA092374 12/21/2009 ePermit cal Inspector, PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA118240 Date Issued:10/29/2013 Permit Category:ePermit Site Address: 4271 Wexford Way Lot:007 Block: 001 Addition: Wexford 2nd PID:10-83851-01-070 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. Renae Frienwald 2200 Hwy 13 W Burnsville, MN 55337 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 - Bruce G Atkinson 4271 Wexford Way Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature c * Use BLUE or BLACK Ink �----------------- � For Office Use � • ��"��-�/ (� C. /`— j Permit#: I Cit� of E�� R��,�:;�7�'',�� Permit Fee: 3830 Pilot Knob Road Q�� C� 2014 � Date Received: � � � Eagan MN 55122 � I Phone:(651)675-5675 I � Fax:(651)675-5694 I Staff: I � �"�: _._.`__`._ I I ��_�� ___��J 2014 RESIDENTIAL BUILDING P RMIT APPLICATION �,, , Date: �� Site Address: Unit#: � � �: � Name: i.� � �' C� Phone: �� - �� ResitlentJ QyY�1er Address/City/Zip: LtJ b '" /ZO w� � �' ' ��Z- Applicant is: Owner �Contractor �� .� ��a��= _._�:a s_� � sYrt l�l u-i�+ Description of work: ��1� N ��- ��- � �1 �►IJ 1�`�l� � �" T�� o� �G- Construction Cost: �� '� Multi-Family Building: (Yes /No� �?;� � Company: �Q � Contact: v �F�- d�l�(��'�� r Address: � , �� ,� City: �u �2;N.--g�/1 LL� State: �� Zip:�� Phone:l�z--�(�S�-' Email: S�t� ►1�r,��oa.rrz5: �'esv✓� License#: �C� C.�G I � ��o Lead Certific te#: N t9-T- 1 ��/�3 °� If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRU TING A NEW BUILDING In the last 12 months,has the City of Eagan issued a pertnit for a similar pl n based on a master plan? � _Yes _No If yes, date and address of master plan: � r Licensed Plumber: Phone: � Mechanical Contractor: Phone: � Sewer 8 Water Contractor: Phone: NOTE:Ptans rtirt�doca ts fhat yati sc�mlf ane c to� ��i�tn. P�vrtions af the infarm " `�ctassified a�nan-p , • �f , ;p�vide rs�as fhat wo " ��he City�c� ccr+rcl = � . . ,. . � CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for prote ion against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. o herstateonecal.or I hereby acknowledge that this inforrnation is complete and accurate;that the work will be n conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and rk is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv I of plans. Exterior work authorized by a building permit issued in accordance with the Minneso State Building Code must be completed within 180 days of permit issuance. �I� S� � X , ��`� �� S�2r=� ��-�-�►.o X c�,�� , ApplicanYs Printed Name ; Applic nt's Signatur Page 1 of 3 ♦ ,^ R �� 1 �`� /�� DO NOT WRITE BELOW TH S LINE SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior � Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Wi dow _ Water Damage _ Retaining Wall *Demolition of ntire building-give PCA handout to applicant DESCRIPTION ,�— Valuation Lr�'0(�� Occupancy �(LC MCES System Plan Review Code Edition `�'"i �5 C SAC Units (25%_100%� Zoning �–.�. City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction � Width REQUIRED INSPECTIONS Footings (New Building) Meter S ze: Footings(Deck) Final/ .O. Required Footings (Addition) � Final/ o C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool: Footings Air/Gas Tests _Final � Framing Drain Ti e Fireplace:_Rough In Air Test _Final Siding: Stucco Lath _Stone Lath _Brick Insulation Windo Sheathing Retaini g Wall:_Footings_Backfill_Final Sheetrock Radon ontrol Fire Walls Erosion Control Braced Walls Other: Reviewed By: � , Building Inspec or RESIDENTIAL FEES Base Fee �� _ Y� �� t �"-- Surcharge ��w �� Plan Review MCES SAC City SAC Utility Connection Charge S8W Permit�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA157370 Date Issued:08/15/2019 Permit Category:ePermit Site Address: 4271 Wexford Way Lot:007 Block: 001 Addition: Wexford 2nd PID:10-83851-01-070 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 - Bruce G Atkinson 4271 Wexford Way Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173641 Date Issued:11/22/2021 Permit Category:ePermit Site Address: 4271 Wexford Way Lot:007 Block: 001 Addition: Wexford 2nd PID:10-83851-01-070 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Bruce G & Jodi L Atkinson 4271 Wexford Way Saint Paul MN 55122--256 Nowthen Plumbing 19960 Ferret St NW Elk River MN 55330 (763) 753-5216 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178135 Date Issued:08/02/2022 Permit Category:ePermit Site Address: 4271 Wexford Way Lot:007 Block: 001 Addition: Wexford 2nd PID:10-83851-01-070 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: 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 - Bruce G & Jodi L Atkinson 4271 Wexford Way Saint Paul MN 55122--256 Ashco Exteriors Inc 11164 Zealand Ave N Champlin MN 55316 (763) 225-8333 Applicant/Permitee: Signature Issued By: Signature