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4274 Wexford Way INSPECTIDN RECORD CltY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 0'4'~ A: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: s PER , IIA~T hSUBTYPE: ;7'~YPE OF WORK: ~ tr • • DA ~ 1 N Itl A I 1 ilrl 1 I lf! I I!lt 1 ;(ltlr'll f Fa -t 1 i+l, ! fltltiil 114 II I~ 1 1I/11 1't 1:11 ICl hil}{{f F't.'\/' F L L - - - ~ . rermn No. wm,n Holasr oats rsbPnone # . S/W . PLUMBtNG ~ HVAC S p'~~~ Q ELECTRIC l g ;?'A4,~ ELECTRIC Inapecefon Dats Wup. canmana Foctings I Foundation Fren,ing / r7 ~9 I Rough PIb9_ I FouOh Ht9• ' ' Isul. Flreplace lJ Flnal Htg. Orsat Test Iree I Plbg. Inspector - Notily Plumber , I Ffnel Plbp. fe;u ~ Corist. Meter I Efw?~n Bldg. Fwmg ~ja~ly 1 1 Dedc Ftg. I I Deck Final I Well II I Pr. Disp. I ^/0 - I J Wertificate uf Cccuvanc~ WU4 of Cfagan ~art~acat e~ ~Ni[biag ~n~rection ~ This Certicate issued pursuant to the rrquirements of the Uniform Building Code , certifying that at 1ht 1i?ne o.f issuance rhis structure was in compliarsce with the various ~ ordinances of tht Ci1y r+egulating building construction or use. For the following: Use Clmiticrtioo: SF 's Bldg. Piennii No. 711911 Oaupancy 7)rpe R3M I 7ouing Dituict PD Type Const. VN Owner of Buildin6 WEU•I~ BUTM HM /lddress QW FA= , guilding Addrtss 4274 WAY I.ocalityUj, B1, WEMN) 2IVf) OW4W POST IN A CONSPICUOUS PLACE Nii~21~89~a/, Request Date Frze No. Rough-in Inspeclion NOTICE: Vou Musl Ca0 Eleclncal Inspector Reqm etl7 It A Roughin Inspeclion es s ? No Is Reqwred I L"censed contractor ? owner hereby request mspection of above elecinral work at: Job Atltlress (Straet, Box or Raute No Pty~ U.) ~o6;V41-- Section No. Township Name or No Range No. Counry~ ~IZG~/~ /T Occupant(PRINT) Phone No ` LI I_~7 Power S p7er Adtlress Electrical Conha r (Company Name) ConVactor5 License No QALE. R(~{EE~r+. jNC . ~,r.7 Meiling Atltlress (Conlreclor or Owner Making Installahon)i 6OA?DALAM _J fiPFLE~f ~FIFYC.i;doa24 AuNOnzeE SgnaWre (COntrect or er Mekmg Installa~twn) LJ p - Phone N ber q' N1-M(W MINNESOTA STATE BOAHD OF ELECTPICRY THIS INSPECTION qEOUEST WILL NOT Grlggs-Midway BIOg. - Hoom 5-173 BE ACCEPTED BV THE STATE BOARO 1821 Unlversiry Ave.(SL Peul, MN 55104 ' . UNLESS PROPER INSPECTION FEE IS Phono (612) 642-W00 ENCLOSEO ~/4 REQUEST FOR ELECTRICAL INSPECTION in~::~ ee-oooo,-oe leZ " ? See inswpions for mmpletin8 thrs lorm on back ol yellow mpy ~C524&7`000 peq I~'I 21A89 "N" 8eloiA Work Covered by This Request e Aifd R~•~. Typeofemldmg AppliancesWired EquipmemWiretl Home Range 7emporary Service tApt. x Water Heater Electric Heanng mlding Dryer Load Manag emem ./Indusirial Furnace Other (Specity) Air Conditioner speaty) ConVactor§ Remarks Compufe Inspectian Fee 8elow: # Other Fee # ServiceEntrance5ae Fee # Circuits/Feeders Fe , Swimming Pool 0 to mpS Ogg/Z 0 to 100 Amps U Transformers Above 200 _ Amps i A ve 100 _ Amps T Signs Inspector5 Use Only: TOTAL p Irrigation Booms / 7 $ 7 ~ Special Inspection U Alarm/Communication THIS INSTALLATION MAY B O ER D ISFONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. I, the Electrical Inspector, hereby Rough-in certify that the above mspection has Final Date been made. * OFFICE USE ONLY This requesl void 18 months Imm Address 4274 WEXFpRD WAY Zip 5512 3 I:oe ' 21 Blk I Sub wEXFo?tD 2rID THESE ITEMS WERE / WERE NOT COMPLETE AT THG TIME OF THE FINAL INSPECI'ION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) ~ Permanent steps (main entry) ~ Permanent driveway P"' Permanent gas ~ Sod/Seeded grass TraiUcurb damage Porch ~ IIasement finish Deck ? Please verify with the builder the removal of roof lest caps from the plumbing system and ihe shut-off of watcr supply lo the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righbof-way or installing undcrground sprinkler system. ~ Whire - City Copy Yellow - Residem Copy Pink - Coniractor Copy F . PERMIT s7~ tCITY OF EAGAN ~ 3830 Pilot Knob Road PERMIT TYPE: u r ~ D e Eagan, Minnesota 55123 Permit Number: 023231 (612) 681-4675 Date Issued: 0 4/ 0 6/ 9 4 SITE ADDRESS: 4274 WEXFORD WAY LOT: 21 BLOCK: 1 WEXFORD 2ND P.I.N.: 10-83851-210-01 DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW ,UBC Occupancy,, R-3 M-1 Construction Type V-N Zoning pp ~ Building Length N 60 Building Width qg \ Building stories 2 ~ ~J rsf=MARKS: PRV S& W PI.BR - STAR PLBG FEE SUMMARY: VALUATION $163,000 Base Fee $860.00 MISCELLANEOUS $1.828.50 Plan Review $559.00 Total Fee $4,129.00 Surcharge $81.50 SAC $800.00 SAC 8 100 SAC Units 1 Subtotal $2,300.50 Ffl77TNETSCTdhIS`f, WILLIAM PP 114523088 0001653 ILL'j&PHUTTNER CONST 960 WATERFORD DR W 60 WATERFORD DR W EAGAN MN 55123 AGAN MN 55123 (612) 723-4161 (612)452-3088 I hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all applicable State ofi Mn. Statutes and City of gan Ordinances. - 0~`~.Ui~'h, 4 ~ ±0A14 APPLICANT/PERMITEE SIGNATURE ISSUE BY: IGNG URE7~` INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuzLozNG 3830 Pilot Knob Road Permit Number: 023231 Eagan, Minnesota 55123 Date Issued: 0 4/ 0 6/ 9 4 (612) 681-4675 SITE ADDRESS: Lo r: 2 i B L 0 C K: 1 APPLICANT: 4274 WEXFORD WAY HUTTNER CONST, WILLIAM WEXFORD ZND (612) 723-4161 PEMITAUBTYPE: 7YPE OF WORK: NEw INSPECTION . FOOTINGS FOUNDATION FRAMING ROOFING INSULATION PTREPLACE OUGH IN PLBG ROUGH IN HTG FINflL PIBG FINAL ' REMARKS: PRV 3& W PIBR - STAR PIBG F , ~ L CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION - 23251 681-4675 ^ i SINGLE & MUL7I-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 af month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date .3 / '2- / 40/ Valuation of work Site Address: 11114 6L j STREET SUITE p Tenant Name: (commercial only) IAT Z- I BLOCR SUBD. t, Z`~- Il /A P. Z. D. 0 Descri tion of work: The applicant is: ? Owner Contractor ? Other (Describe) Name 90-ake'~- k an~y Phone Property LAST FIRST Owner pddress Z/OD r ac~nt STREET STE # City _ G-.,--4 44,1 State `iC Zip Company r=~ w itG! Cor . Phone S15_0-3°-10'f Contractor Address License # A65-3 Exp. 12 City State Zip S5 /13 Architect/ Company Phone Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber w : . Processing time for sewer & water permits is two days once area has bee approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with al applicable S te Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: OFFICE USE ONLY y BUILDING PERMIT TYPE ~ 11 O 01 Foundation ? 06 Ouplex 0 11 Apt./Lodging ? 16 Basement Finish B~02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 5F Addition ? 08 S-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 Sf Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE EJ 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. 1322 MWCC System ~ (Allowable) ~ lst F1. sq. ft. 13 y/ City Water ~ UBC Occupancy C4_3_2nd Fl. sq. ft. 1129 PRV Required Zoning ~p Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code ~ Depth ~ On-site sewage SAC Code ~ Census Bldg I APPROVALS Census unit ~L Planning Building Assessments Engineering Variance REOUIRED INSPECTIONS ? .Site Ca Footing G3 Framing 19 Insulation 0 Wallboard 0 Final ? Draintile a Fireplace Permi t Fee v.iuac;on• S /(,-3, 0 nn Surcharge Pl an Review 7~x ~Z ~ ~oy ~ Z 8 License Z2--Zy = S Mwcc sac ~ z o ~ 3yo ~/X y- y c;ty sac (6k 3 Water Conn. : i~L ~Z S7z Water Meter f ff67k 6 Acct. Deposit ~2y y ~~p' 9/S2 S/W Permit S/W Surcharge y,ri8,6~ ~ Treatment Pl. / Road Unit ~32 c~• 7°k Park Ded. Tra i 1 s Ded. F~ th Oers I3 ylx ~N: ? ~Y ~ yr Total: sac % ll 29~s~ - t &6 SAC Units n TRI-LAND C0. L~ SURVEYING SERVICES S I T E P LAN FOR LEGAL DESCRIPTION: LoT7-1, BLOCK%_, _1rL/E-64(Vfl_?&MA A4 ACCORDIN T THE RECORDED PLAT THEREOF COUNTY, MINNESOTA ADDRESS: y?7Y~NeXf~~ W~-~- , s. $ ~ E 137.00' ~....~.~,~.,~1Q.IT 101 p, ; I 10 $ I 22.17' p~Y Q ~v •-1'• I 8 46 JO O 10 LL-O ~ j m LLI Z , Q u: • ' ~ ,oI umlrf FAIA~IIWIr ~ 3e,we.- 9 ^ Sb• :INVa~rc1o q5~~ E ~ ' E~ , S1 ED ' EAG.~1V ERTGIlVEE ,YNG DEE~ PoRMo 2 2~ Q u',. ~ LEGENO INVERT ELEVATION AT SERVICE EXTENSION= ~ 2• o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR DENOTES PROP SEID SPOT ELEVATION ELEVATION 2 sdry„ N ~ DENOTES DRAINAGE DIRECTION NOTE' VERIFY AlL FLOOR MEI6MTS WITH FINAL HOUSE PLANS 1 hweby certify thot tAic surwy,plon or report was prepared by me or under my direct superviaion and that I om a duly 8radley J. Anson, Mn. Req. No. 15235 ; Reqisterad Land Surveyo?. under th• Laws of tAe State of Minnesota. Date , iw.. " LOT SORPZY CELCLI.28T !OR aL62DL2tTm ~ DQILD2170 PZRZSIT pLIGTiOf1 "opzgTy ~ aate et tuw.pe 29 NT !T tanf*na D • Reqistered Lana iurveyor s3qsuture ar~E oo~pany ~ D D • nuilQinq Permit 1lppliearst ' D • iaqal dosariptioa l~0 D • Addrass D • North arsov and bar-seale B' D O • 8ouse type (ramblaz, valkonL, split r/o, split antry, . Iookout, ate.) ' ~ Diseetional drainsqe arrows with slope/qraaisnL ~ D • proposed/sxistinq sevar and yattr sarvieas D • street name D D • Dzivevay ILlVA?IOIPB txi~tirv U~~O D • Sever servieo ' ~ D D • Lot cornsrs B~ 0 0 • Top of curb at the Qrivevay D 8' 0 • Flevations ot any existinq adjeeant bomes pzene..e ' D D • oataqe lloos ' 13 • Fizst tloor HAD 0 • Lovest •xposad elevation (waikout/vinEov) D • property eorners D • Front and rsas ot Aome at the lounaatien pOND2HG ARLAB fii aaalieaD1e1 a D~~ • Tasement line a a- a • ,ML . 0 D~ O • awL D e~'~ • por,e # eess~atton ' D 0' D • Emsrqaney Ovsrllov tlevation n2rtFxero~va a 0 • =.ot 1 inss D ~ RiqAt-oi-vay arse stseet viEtH (to back ot enrb) e' D Froposed Dom* dimensions incluCiaq any proposeG deeks, overhsnqs qreater than 21, pozohes, ete. (i.e. ail struetures zequirinq permanent footinqs) L--D fl • Shov all easements ot seeord and any City utiiitios vithin tAose •asements ~D D • 6etbeeks of propcsea structure and setbeck of aejaeent D _ / ~ existinq homes ~ D Retaininq v ze isemants, it any Revin.+ed: Na s / . ate ' MH ~ STA.j.6+05.85 MH ~ SfA. ' 11+28.15 11 10 : . • . , 3EN S=-0+15~~ 21 . ~ INV=944.2i' $=0+80 . j ! ; HYD , , _ 52 CS=955.5 .1 ! INV=942.58 ' 1~ S=1+32 j;~ 7'-6" 1IP,CI S ~ . CS=953.6 INV=940.36~% ' 8"x6"TEE " 7Z.BEND CS=951.4 GND.EL947.7C , , , v ~ $`=11 1BENf1 ;t ;I MH ~ „ ! 5=0+50 I%1 8 ; INV=938.33 •7 i, CS=949.1 , ' S=O+• ; S=1+04 % INV=93; INV=943.08 CS=94; CS=954.9 „ ( „ , ,1 V. 1 1 1 , I ~~T~O••`~~ =0+50 ;k ~ ~ MH ~ STA. ;15+17.06 ~.lINV=939.91 1 12 ~ , =947 .23 ; ' CS=950.6.;'";" =957.6 % ' ~ - s slq,. ~ , , , , , , , 1H ~ STA. 14+36.28 8 3 8N G. V. ~ ZL MH INV=936.34 9 8»x , to , , , , , , 8 -z: r' COPPER ~ BEND SERVICE W/CURB , STOP TO ISLAND r'~~ r. . ~i';~al i ~l'. . J; ,~('Y 0F U71L1'i`( i_UCA710ti~ S=0+65 22 1 f,!; 1: ,1 :L~V~TIO~!~. THIS ~Ai~? 13 rOF9 INV=934.64 ~ENC t[i,_ l~~ilOf~ PURPOSES O~L~ A~L CS=934.3 ~":;:~5 USING IT SHOULD VERtrY THE It\r(~:' y.iA710VL10N THE SITE. o' - ~ "5=0+10 -o INV=933.91 CS=943.7 MH ~ STA. 20+89.94 L 7 5.19 R 8„ 45. ~ . . - - ' 11 ; . .'il. "y.,~.!I.I'', ;c .t. : =11:01 MH RE=956:78 12 BLd=12.34 . . . : . . . . . . . . . : . . . . . . . : . . . . . . : . . . . . . . : I~IH /.RE=.951.21 . . : . . . . . . . . .MH RE MH RE=954;94. : . 11: BLD=12k80 : ~~IO ~ BLQ=12.22 : •8 BL ' ~ :i.r'~ 12'' STM. SWR. XING . . . . . ~:s:. ~ . . . : ~ ~ . ~ I • ` ~ ~ ~ ~ I . • . . . . j. • ~ . . . ~ . . . . . : . . . . . 88 ;8.. • % ' ; ~ ' ' , r ' . ' • 12` STM: . : PROPi ~ ~PVIC; Sp SWR.:XING . . o I • . . N ' ' ~ ~ IP;'~L:~ , ; • ; sbR 8~' p~C, AIN: 7.5' 2.~ I...~..:......I... ' : . .:5Js 2.... ~ t40', ~ ~ . . % . ; so' . 230' ,I. i:. c.. .'i: . ~ ' ~ , , , • . ~ ~ +1 . ' . ~ ' • " 1• t • , 4 • ~ ~ ~ ~ ~ I.l~. ' " ' . . 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'r /'li r.s~ ryi., , :S~''lJ. .i'{i.4 '~,tS>4^r7,h~~~~'.,i:~ .,T J.••ti• ~.}~~~d~..r`~~•s~ IA7j~~ , .~•.Awn~~sf..'r'.'.i~~. 1 'P~I , I i'' ' ' 1 „ f3~": pt ~',~t,. . ~ 'i~ •,Q.i d'n J~':,~•. !C`pt:.~ k~`u, ~v,~ . ~ ~ ~ . ~1 . • l.'Lu S.Y. . .~•SIF.iti I~i1'~~/:~~~~~ri ~ r 1-':_.? ,r..j.' y:".~ e~v f"' 'Y;r 1, f. 1•d'- j~ pd~ yry+~~7~1{+:.T[~l' ' tir :ti i:'4Y~• r,. } RC ~~,~!/cryi ~ r~,~ ~ « ~ "r • :.~1:~Jiaa~.. Y~.1"IY~L.~~'..'t~.'Ji~Li~'i1~~i~:2~_~J r~! f:'.I~e'~:tiLL2Y~~~'ih{S..L±~~_ .y.~-....i..__ . _ TO EE SU°`IliizD IJIIii IIUILDINC PLRTRT !J'PLTCATION ~ F7:TE?'.IOR F::iVF.LOPE AVFRACP "U" C(1.`iPUTATION ~ 01'.NER: SITE ADDRESS: WGK fO~c~ Wd Lol 2-1 01G4l . CAtiTRACfOR: P A _ ~ 964' u s , D TE: ~-~Z"y P}lONE: /SL 3d~11 Determine vorking equare footaFe of each 1. Total exposed wall area......... eq.ft. x 2. Tota1 rooffceiling area......... y~o sq.ft. xIOZ6 3.- Total exposed t+all area calculations: . Totnl exposed wall area above floor - 3 V(? 7 a. Total wall Windou area b:" Total door area ..-3f_ c. Total sliding glass door area Sb d. Total firep.lace va11 area ' e. Total wall framing area (average 107.) ...............3~/ f: Total net .aall area above floor ty 0 . g. Total rin joist area 3f 10 Total expoaed foundation area ~ .130 h. Total foundation vindow area i. Tor.al net foundation area above grade .............../50 ' Determine "U" value of each caall segment ~ 8. x „U„ ,y ~ ~ W.36 ~ b. 38 X,o;,,l it, 4 - . . C. 5-6 X „u,l ss . .30S . ~ X "U'.' - ~ . , . e. 3 7 ( g riUli . O 7 ~ ZLI: [`3 . r ' f. Z yo X„U„ ,aK - G• 3 Z g. .3 S60 XloUl, , nq . h, - x nUt, , SC; ~ ~ /30 X ,oU„ ,/o . /3.0 3. • Torai, 3/ . L . If item 03 is the same as, oz less than item 01, you huvc mcG thc intent of SdC 6006(c)2. • 4. To[al caposed roof/cclling calculatlons: Total e:cposed roof/ca111zg area J. Total skyllEht arca - ~ . k. Tota1 roof/ceiling framinF area (avcrap,e 107.)........... 1. Total net insulated roof/ceiling area J~ . Deterciine "II" value for each roof/ceiling segmen[ j• X IIn k. / 6 S x~lull 3,3 R„u„ 27, 602. 4. 'TOTAL ~ 32 J8 If total of G4 is the same as, or leas than 02, you have net the intcnt of SBC'6006(c)1. Alternate Building Envelope Design . • ' • • ' ' " • To utilize the total envelope system method, the values establislied by 'the sum of Itecis 03 and 04 shall not be greater [han [he sum of items A1 and G2. 1. t 2. ~ 3. C E R T I F I C A T I 0 N • I hezeby certify that I have calculated the "U" factors and R values herein and that the building hero desczibed meeta ot exceeds the State of Hinnesota £nergy Conservation Act. ' ~~l C~~ • (Signa[ure). • 3 • (Aate <^YY~:,.,::. ...,...v,:..... .z:=;: ...~.i~:e...rv :`:aw~3` 'r~~.i:~:t :'.$;s,. °.'a°. •~~L" d!± „i:..t~': M<,~. T:3.".~..:5._:'.....:...::.::.''o:+~:[~.i:YK`!}:l..v'..~8::':... a.~ ..t.rv.:. . . ~ Z",~t~'~'~`°"S.<`i•%.• ..w<.:.....;....:s 3. ~x2x: c8 #i<~a`.,.J!..~ ,:.e~~t.r<, •~x`CY... 'Gk2.~ ~ .z:S::' u%al~d'.... :<zr'rcpEr~g' ' x;~4.2~°C:~:.~'V~ il~ ':4:"2?s::.^:.~:~ti.s•"ES3S~..~':.~ari'..<3;x.;..: N~~~'.?f~`o..f.c:..,.;~,~3as...~..,.,s;~~a..x..c,~t;..~%a,~,.:...s2~....>~tFi:: i~,~a..~ ..i~:t.'s.'`'«.n~>.~ ~~~ir>~~(....icko~...~i'!. .,...S.~uS..c:•.:.wla':$::i'go.v!(9'::'~r:fiiC°~ '°l".. ".t~ r~ 'i~:'.{....,.....a.~..H.:..~k~.`i.~...,.s.<'>uu:;<sb:b;x,..~,?w.:a;ia,~:cL~.u..a~L::x;a~.S~F...F.k~:e:F.r<.xE.:6££S':v.wF,9..`i,"s~:7~'F'~~EY~~~~~£ti~";•i7`~.'`:$,...o;3a" ~ 1994 PLUMBING PERMTT (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 PERMITS ARE REQUIItED FOR EACH UNIT. NO. FIXTiJRES EACH TOTAL SHOWER 3.00 3 ~ C) ~ ~ WATER CLOSET 3.00 BATH TUB 3.00 . v O S LAVATORY 3.00 15 J L) KTTCHEN SINK 3.00 3 0 0 ~ LAUNDRY TRAY 3.00 o v HOT TUB/SPA 3.00 l WATER HEATER 3.00 1 FLOOR DRAIN 3.00 2,. v GAS PIPING OUTLET •minimmi, - i 3.00 3. c> U __21 ROUGH OPENINGS 1.50 ~i . c;-D WATER SOFTENER 5.00 PRIVATE DISP. • oetay. ue. 20.00 U.G. SPRINKLER • eome unda com,. 3.00 ALTERATIONS • co atsung 20.00 WATER TURN AROUND 20.00 STAT'E SURCHARGE .50 TOTAL: srrE EwDREss: OVVNER NA.ME: INSTALL.ER: ~ %t\-'r~-~ ADDRESS: CS O CIT'Y: STATE: ZIP CODE: SJ~ L S,~ PHONE ((o CL) ~4 S~-- Z jJ l Z SIG ATURE OF ITTEE ys:x:+ ~.r.... a.n... . y. yy p~ / ar ..l?' ~ ,.y(;'•, ..£;•'{`.,~y`•{~;'.~~"F. 'sr%¢~¢.;.,~.. ..s'..1. 1~<:`~:,';:£-i. .r..~ lfi:,; ,`t :O~ , `i~3,.i.Pi"j.~i°'r:<3~~• .g,nrq,~ .j&':('a'"' 't .`r., 7!+ a:s in~•~;•i. ~A~";:`~.'.'x,JT C:~>::Y i<'.;:~ , .7>;. 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMNIERCIAUINDUSTRIAL BUII.DINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNIT. _ NER' CONSTRUCfION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACf FEE STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. hIINIMUM FEE $ 25.00 ' CONTRACT PRICE X 1% $ STATESURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE # 0:3iVER NAP.iE• INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT . .rm..,:; y~~y ~1 ~a „e: .q .n.[:.~.~.:!::!...~...... ~ . i....... 'v. .....:e....n,.':..... b~,wl~,~l`~..~.~~.. g..=. . . ._.........,....:::~.;:;y.3;..r:r;`:,..,>.':;;~.,:.:~,. f......_...~ , . ,:~.:......a..>~.....::..,..,.;~.;:•.,,,...<:.:....,:::;..>;: , :~`.,.~,`~~:.;";:;..,,;<<;; < _ . , .............:.......:......:.....:,:::,;-:::<:~:.-;::::c.:~::~.~.;>..:_.,.:~.. ':a....... . c.... , e.:'..,: ~F'~y, ..R" <..(q .::..::~r ~ . ; ~ . , ,,•~...':.'.>':L ~ . ac.....::.>.::./Y 3:.° `~R:+ - ~ , . . . . . . . ::.:...:.:.:......r...> , ~.,s , , ~~r . . ....:.y~~ . ~ . . . . . yy~.........:.:: . . „c;rr^~'" ;"s.'s a:~~ •t...ni:~. ......~i:.; . : ..ii!::.:.... :..Yr..;.... • j\ . a,...o.b'• .~1~' . . . . . . : ...LV:..:i:..~ie.t..i: j ' " G~.~ ~ . _ . _ . . . , . . : . . , ; .€~.............~.~,~.~~~...~.m~~.~ ~.~.~.u~.~,..~.~.~~.$..m~.~.F....,..,...>..,~ ......................~...<~~':~~~::~:.-,~:~m~m~.~.€:<:. 1994 MECHANICAL PERMIT (RESIDENI7AL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. - - - - - - _1Z NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE ~5-4p I 9 V FEES HVAC: 0-100 M BTCT $ 24.00 ADDITIONAL 50 M BTU ~ GAS OUTLETS (MINIMUM 1@$3.00 EACH) lo, ~6 ADD-ON/REMODEL (EXISTING CONSTRUCI'ION) $ 20.00 STATE SURCHARGE .50 TOTAL STTE ADDRESS: Z/ a 7 Y iUo x.t o/li -308~ OWNER NAME: A/,/? /C MirnC5 TAiz-. TELEPHONE INSTAI,LER: GGQI3Fl~'~ N 1~ ~O ~C. c_ ADDRESS: CPTY: l~i~ S elyd/r~~ STATE: ZIP CODE: S`-~r'o 6f a TELEPHONE L/ 2 3' 3 gD 2 SIGNAT JRL'OF E ITTEE ..,_.:,...,.:.zza..: ~~:o-... ..>r,:,..,, . ...,-.,::x ~ ~H ,>ig.rS ri .....<~.....:.~<.....N:.n ec..... .n~:...:'°.. 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'~~i~:]ti'SS o't:~~H:c a ..............,..a....a :...:~.:L~ :.you_.....on,.3". ~ a a .g.vv.n.a.nk.. ...a. ka..~a..._..,......... ~i.'. :..3i';a "..L> .a3Z•_<y(vq. . ........3.._:.,.~ t . . a ~ ,r.....~..:.... ..a. ......cv_...:::..:>•_: . r~`:f: :.F.. a.'~i'~ ;::''V'~.:A .Sy.:'5.:: p a.>.. :..[gd:._.o l.Y).v ~.5... .k'.T .~~y~.l•x.E!iC n'/3:.. <%i::$ ):::..,~o~...:'O:a~:":o:a:.~'k::.:"~:.:i::.~°.::i:. 4 V BD.~. in....Y:t a.. . ..b:.......c:.._~.. ~tT~~.'#....,;....... ..>c.>:o:4~:or.:.y» ..:.::......:xo.....,.~.>....:.;.: ccn.:r : <p. •~.t . 02:' .:...:::.:..::.::.e,,:»;,,:,.»...:as..w..,.....,.,...,..,...,...M....a.s:::.:.un>s:.;r.r,rs:.vM,.a~i.6'i:<::^::a,x;xi:~>::'st:ss3.>:.s.u.,.w,c..,......:a;kia~~>., . 3. ...H.a,: Y::an:,:.ar):w~.€:A>r;,~>'st:S~'a,.ri.'•,,::,a.~-.;:~:.s,..,w..wi..: 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PII,OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUII.DINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DAT'E: CONTT2ACT PRICE: $ NEW BUILDING INTERIOR IlvIPROVEMENT WORK DESCRIPTION: FEES 1% OF N'T12i4:G"T FEE $ . PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STAT'E SURCHARGE $.50 FOR EACH $1,000 OF PERMT'~ FEE. TOTAL $ SI'TE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (tMPROVEMENTS otvLi) INSTALLER: ADDRESS: CTI'Y: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CTI'Y INSPECTOR 0 ~d LoT ai BLoCK I SUBD. 6~4 ~ RECEIPT # 1V ~ / DATE 1996 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: /1~ r ~ Commercial GPM Residential (boulevards) GPM _ Existing residential Area/address to be irrigated: Li -Z~ ~j , Installer: ~a~Ly Owner ~ Plumber ? Street address:- q 7--7 `-1 (,Jeone) City, state & zip code: _C24PA a v~ V~IY'j 5 S~Z Z Phone 6 /2 -4 Owner Name• Ru~a4 LuL-SL Street address: ~ Z7 y W~ &40'-~l Ld City, state & zip code: ~LN~ M r-i SSl z 2 Phone ySy -3 UO// irrigation contrador, if ditterent than installer: "-j' Telephone 1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility 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 activities to the facilities constructed under this permit within City property/right-of-way/easement. ~ 6-6-CJ~- hki^,Q, owiP/4 Applicant's signature Title Approved by: Date: PRV ? Yes ? No New service ? Yes O'No Meter Size /,1 P & Cost /J 1• Fees due: _ • Calculated byi ' /~"5 <F Id PROCEDURE FOR IRRIGATION SYSTEMS - 1996 An irrigation permit ja required - please contact Protective Inspections at 681-4675. Fees Commercial project: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee on y if new service is installed. $300.00 per tap if installed by City. Residential project: $20.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee if new service is installed. $760.00 per connection - WAC. $396.00 per connection - water treatment facility. Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not required if backflow preventer previously installed). Meter charge: If gallons per rninute are less than 25, a 1" meter will be required at a cost of $182.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $822.00. This information is to be supplied by the d:,sig„ar af the sye:em. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. The installer is to contact Protective Inspections at 681-4675 for inspection of fhe inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set and seal of the meter. inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. giT& .as 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ~ 651-681-4675 New Conshuctlon ReaulremeMs Remodel/Reoair Reaulremenh D 3 reylstered sMe surveys showlny fq. H. of bf, sq. H. of house 4 copies of plan and gJl roofed areas (40% maxlmum lof coveraae allowed) 1 fet of enerpy calculotions for healed addHfons D 2 coples of plans (show beam a window sKer, poured Md. deslgn; etc.) 1 sMe survey la exterior addtNons S. decW ? 1 set of energy calculalloro ? 3 coples of hee preservallon plan tl lot plaMed aHer 7/1/93 DATE: CONSTRUCTION COST: O( DD _ DESCRIPTION OF WORK: ,ICGL{~ Ug and STREET ADDRESS: `7 7 GJ LOT: BLOCK: I SUBD./P.I.D.k: vf KCU~W n( Name: 1C UG~ y~ ~J ~Y1 Phone k: ~Ool -`1` ~FD 1 f PROPERTY Lad faN OWNER StreetAddress: qd74 u)UkYLE' //Oa4 city l'G~G)Cff./~ stare: !/1/1 `1 ziP: 05/6Z~ Company: Phone N: l aQ :J 07" X(1/ / P (crea code) CONTRACTOR SheetAddreu: /Z7 V /D ~,1 Q),-~Id i ~ v ~/Q ~ . Ucense # t=-.Exp. 4L City State: M1 Zip: "!JqY 7 ARCHITECT/ ENGINEER Company: Name: Tnlentin_ . nn 1k• nrnn ~nrlu ! 1 Streel Address: RegisfraHon Clfy State: Zip: Sorwer i wafer Ilcensed plumber (reaulred for new conshucflon onlvl: PmnaMy applles when address change and lot change Is requested once permR is issued. I hereby acknowledge fhat I have read lhis appllcaNon, sfafe that the InformaNon Is cortect, and agree to comply wMh all appllcabl State of Minnesota Statutes and City of Eagan Ordlnances. Slgnature of Applicant: OFFICE USE ONLY RECFI~T~:t~ Certificates of Survey Received _ Yes _ No OCT 2~ 199~ Tree Preservation Plan Received _ Yes _ No _ Not Required BY: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. 0 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex 0 14 Apartments ? 19 Lower Level 0 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 O 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.• ? 41 Wood Stove ? 45 Fire Repair u .,..r.u ~ v. ?c1~n:.i1 ~iui,nli~ U 'rG fICiNIJI • Give PCA handout to applicant for demolition permit 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 - "r1Fqcvcte^-~ Length Width Footprint APPROVALS Planning Building _ Permit Fee Surcharge , Plan Review , i Licei iae I MC/ES SAC , I City SAC Water Conn. , Water Meter Acct. Deposit S/W Permit ' r S/W Surcharge ~ Treatment PI. Park Ded. ' Trails Ded. Other • Copies ~ Total: SAC Units % SAC - LOT: BLOCK: I SUBD./P.I,D W'P-jqCR & ~Lf 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ~r 651-681-4675 New Constructfon Reauirements Remodel/Repair Requirements ? 3 registered site surveys showing sq. R. oi lot, sq. R. of house 2 coples of plan and all roofed areas (20% maximum lot coveraqe allowed) 1`set oi energy calculatlons for heafed addltions ? 2 copfes of plons (show beam 8 window sizes; poured fnd. design; etc.) 1 sRe survey for exterlor additions 8 decks ? 1 set of energy calculations ? 3 copfes of hee preservation plan H lot platted after 7/1/93 ? Rim Jolst Detafl Optfons selection sheet (buildinas wlth 3 or less unlis) ct~ DATE: ( t-'Z k -90 CONSTRUCTION COST: Z3 C~0 ~ DESCRIPTION OF WORK: FP"I5k+ bSF^Z . If muHi•family bldg., how many units? STREETADDRESS: Lm7q wC~C ~(Ln wRY Name: Phone 4~ SLI PROPERTY last First OWNER StreetAddress: C~ Z 7q wC~ r-07 ~0&j City ~~P"'-' State: tN Zip: Company: Phone (area code) CONTRACTOR StreeT Address: l lo Z 0 tA tK6 G i. License #Zo,3-?757(" Exp. Clty ~IA~OP(°G state: zip: ~7S ~-7~j ARCHITECT/ ENGINEER Company: Name: Telephone 8: ( ) Slreet Address: Regisfratlon Cily Sfate: Zlp: Sewer/water licensed plumber (if installina sewerlwater): Phone#: I hereby acknowledge fhat I have read this appllcation, state that fhe information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagq61 Or inances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required ROV 2 2000 ;~v~ ~ OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 ot _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PlbgX,Y or _ N ? 25 Miscellaneous ' IR 31 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair ? 32 Addition ? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors ? 33 Alteration ? 37 Demolish (Bldg)` ? 44 Siding ' ? 34 Replacement ? 38 Demolish (Interior) ' Demolition (Entire Bldg only) permit • Give PCA handout to applicant VALUATION Occupancy MC/ES System Census Code Zoning City Water SAC Units 0 Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width INSPECTIONS REQUIRED _ Footings: New Bldg ~C Insulation _ Windows - new/replacement _ Footings: Deck FinaVC.O. _ Siding _ Footings: Addition ~ FinaUNo C.O. _ Stucco/Stone Foundation Fireplace: r.i. air test final Roof: _ ice & water _ final Framing Pool: _ figs _ airJgas tests _ fmal APPROVALS Planning Building /rY291. Engineering Variance Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply 8 Storage S8W Permit & Surcharge Treatment Plant Park Dedication Trails Dedication License Search Copies Other Total: CITY USE ONLY L I BL ~ I RECEIPT#: SUBD. RECEIPTDATE: IL"I2~nO PERMIT# 6`lm 2000 PLUNIDING PERMIT (RESIDENTIAL) CSTY OF EAGAN 3630 PILOT KNOB RD EAGAN, IdN 55122 651-681-4675 Please complete for: ~ single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations t existing dwelling - minimum fee $ 30.00 Describe: (1~%C I fli Bath tub v 3.00 x = g Floordrain 3.00 x = $ Gas pipin outlet `minimum- a 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tra 3.00 x = g Lavatory 3.00 x = $ Septic System new/refurbished 'requlres MPC Ilc. 75.00 x = $ Sep6c System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x $ Undergfound Spfinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under eonstrucGon 5.00 x = $ Water softener it exiscine dweuioe 30.00 x = $ Water tumaround 30.00 x $ State Surcharge 50 $ .50 Total $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that i have ~ead this application, state that the information is correct, and agree to compty with all applicable City of Eagan ordinances. It is the appiiwnt's responsibiliry to notify [he property owner that the City of Eagan assumes no Iiabiiity for any damages caused by the City during its nortnal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITEADDRESS: )rq-c/ OWNER NAME: : TELEPHONE (AREA CODE) INSTALLER NAME: C7~c.Ct'h ~i7r~i4 PIl1 W iajb ( a~~ TELEPHONE (0/.7 ' (AREA CODE) STREET ADDRESS: Li.O-L , c- CITY: l C-L2r c-, L4 STATE: L D ZIP: . S1 RE OF PERMITTE y I Fo-r_Offce Use G J~~ 4111~ City of Eapn ; Pe"""~ C,e DC ~ I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: i Phone: (651) 675-5675 ~ 1 Staff' ~ Fax: (651) 675-5694 i 2009 RESIDENTIAL BUILDING PERMIT APPLICATION U- z 2- v9 4 z~ v l.J ,c ~o-~ w c. p N r^,~ 5~ 3 3'1 Date: Site Address: 'f- ~ Tenank Suite tt: 12u~d.~ o r~ E Phone: RESIDENT / OWNER Name: 'S Address / City / Zip: 570" `-_c £aq Applicant is: _ Owner X Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes No ~ CONTRACTOR Name: License '20 3 q 3g 5Y Address: 1 z 2'> 7 -13u~.., s..•. State: Cn.~ ZiP: 5~.33'7 City: Phone: ~012' 230 -`f-3o ContactPerson: C-~~~<-K G~~-^^ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CatBgory Submitted Submitted 5ubmission 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 Bnd address of master plan: Licensed Plumber: Phone: Mechanical Contrector: Phone: Sewer 8 Water Contrector: Phone: NOTE: Plans and supporting documents ihaf you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons fhat would permit the City to condude that the are frade secrets. I hereby acknowledge that this information is complete and accurate, that the work will be in contormance with the ordinances and codes of ihe City of Eagan; that I understand this is not a permit, but only an appliwtion for a permit, and work is not to staR without a pertnR; thal the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X C"-, w~i< G, ~ ti. ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 I For Office Use City of Eaall Permit#: CI'S I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 1 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: LI - Z 2 - °`f Site Address: 4 2 -7 Suite Tenant: Phone: 5 f L s at - 9 RESIDENT / OWNER Name: Address / City / Zip: Applicant is: Owner X Contractor C TYPE OF WORK Description of work o o ` . Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: 1A' 00 K b \ ac-m-s License ZC, 3 5 5 ( Address: 1 'z- z 3 7 N 4® Lle T sue. ' So~+ mac,. tea., s~ : f State: Ir K Zip: 5 S"3 3`? City: Phone: ~o 12- - 2-19 0 1 r -9 o Contact Person: G rf -K G'~ v COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 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 permit 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 that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X CHr. - 4 n X Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA115561 Date Issued:09/26/2013 Permit Category:ePermit Site Address: 4274 Wexford Way Lot:021 Block: 001 Addition: Wexford 2nd PID:10-83851-01-210 Use: Description: Sub Type:Reroof 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, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Chuck Glum 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 - Randy M Ruane 4274 Wexford Way Eagan MN 55122 Highmark Exteriors 11237 Nicollet Ave S Burnsville MN 55337 (952) 882-8904 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA126580 Date Issued:09/02/2014 Permit Category:ePermit Site Address: 4274 Wexford Way Lot:021 Block: 001 Addition: Wexford 2nd PID:10-83851-01-210 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. Jenn Sondrall 6108 Olson Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Randy M Ruane 4274 Wexford Way Eagan MN 55122 (612) 919-2965 Ductworks Heating & Air Conditioning Llc 6108 Olson Memorial Hwy Golden Valley MN 55422 (763) 521-0070 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA126580 Date Issued:09/02/2014 Permit Category:ePermit Site Address: 4274 Wexford Way Lot:021 Block: 001 Addition: Wexford 2nd PID:10-83851-01-210 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. Jenn Sondrall 6108 Olson Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Randy M Ruane 4274 Wexford Way Eagan MN 55122 (612) 919-2965 Ductworks Heating & Air Conditioning Llc 6108 Olson Memorial Hwy Golden Valley MN 55422 (763) 521-0070 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA126635 Date Issued:09/04/2014 Permit Category:ePermit Site Address: 4274 Wexford Way Lot:021 Block: 001 Addition: Wexford 2nd PID:10-83851-01-210 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Jenn Sondrall 6108 Olson Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Randy M Ruane 4274 Wexford Way Eagan MN 55122 (612) 919-2965 Ductworks Heating & Air Conditioning Llc 6108 Olson Memorial Hwy Golden Valley MN 55422 (763) 521-0070 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA179089 Date Issued:09/19/2022 Permit Category:ePermit Site Address: 4274 Wexford Way Lot:021 Block: 001 Addition: Wexford 2nd PID:10-83851-01-210 Use: Description: Sub Type:Water Heater & Water Softener Work Type:Replace Description:Standard Water Heater & Water Softener 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: 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 - Blake J & Allison A Lindevig 4274 Wexford Way Eagan MN 55122 Haferman Water Conditioning Inc 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature