1589 Wexford Cir
~I • ~ ~ ~ ' .
' i .
~ - . ~ ~ •
Wertificate nf Cccupanc~
(Fiti) of Wasan
2e0artmtnc of 13si[bitg ain#oection ,
- Y
s .
This Certificate issued pursuant to the requiremenrs of the Uniform Building Code ~
cenifying that a1 tlee time of essuance this structure was in complionce with the various
ordinances of the Ciry regulating buFJding construction or use_ For the fo!lowing:
' Use class;fical;ow SF DWG/GAR siag. Per,,,n No. 22537
p-UP-y Type R- 3 M-1 z,,;oS p;,61 R-1 1yp~ Com,_ Vn
owim orek,;wing GEROLD BROS CONST Am,vs 1704 280TH: ST W.. NEW PRAGUE 56071
Baiwing Aedress 1589 WEXFORD C1R Ucwiry L27, Bl, WEXFORD 2ND
i ~ • .
Dw: ~ L
Posr iN a coNSPIcuous PLncE
INSPECTION RECORD
' CITY OF EAGAN PERMIT TYPE:
3830 Pjlot Knpb Road ~ Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT;
i" I ft
I ~ 1 111 i • I ' ~ „'I
PERNIIT SUBTYPE: TYPE OF WORK:
INSPECTION
i~~ ~~~,r~.~ ~~,ta t
I ti•t ~ ! f I<~ i~ tl: l
i:~~ , ni r:~F-
. ~
~ ~
, Permft Na. Permit Holder Date Telephone #
SNV
PLUMBWG
~
HVAC
ELECTR
ELECTRIC
Inspection Uate Insp. Comments
Footings 1
V
Foundation
0
Framing
ri
Roofing
Rough Pibg. r/g
Rough Htg. f,~l ~ Y. G ~7 P/ ~
Isul. 1
Fireplace
Final Htg. a7 9(f /I ~
Or58t Test
Final Plbg. ~4J? Plbg. Inspector - Notify Plumber
~_a..
Const. Meter
Engr./Plan
Bldg. Final ~ Z
Deck Ftg.
Deck Final
Well
Pr. DIsp.
9,~
-20
Il\1`SPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: N'~
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
i u r :
PERMIT SUBTYPE: , TYPE OF WORK:
INSPECTION DA • DA
i '
. . . . . . . . .
. . . . ' . ~
. . . . . _ , . .
s . . .
~ . . .
. , _ ..I ~ . . ~ . . . . . , . . _
n;
'
. , , _ . 1,
Parmit No. Pertnit Holder Date Telephone #
ELECTRIC
PLUMSING
HVAC
Inspection Date Insp. Commants
FOOTI NGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG ~Gd L
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
85MT FINAL
DECK FTG
DECK FINAL
REQUEST FOR ELECTRICAL INSPECTION ~ uoq1
~ See inshudions tor completing Ihis form on back oi yellow copy. ~L~
5 2 5 2 9 'X" Below Work Covered by This Request
e Rtld Rep. TypaofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
DUplez Wataf Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Indusirial Furnace Other (Specify)
Fartn Air Conditioner
Olher (spxity) ConVaclor5 RemaM1S'.
Compute Inspection Fee Belaw:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 - Amps 100 _ Amps
SignS Inspector5 U. Only: TOTAL
Irrigation Booms r a
Speciallnspection _
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S. I, the Elecirical Inspector, hereby Rou9n;n
1
certify that the above inspection has F;,,ai Gte
been made.
OFFICE USE ONLY
This request voitl 18 monlhs fmm
!f~ `51 98 a-k>
Paquest Date Fire No. Rough-In Inspection NOTICE: Vou Musl Call Electrical Inspector
Fequire ? I~ A Rwgh-In Inspeclion
Z. _q s? No is aaaw'a.
I icensed contractor ? owner hereby request inspection of above electric or t:
Job Atltlress (SVeet, Box or Rwte No.) Ciry
Section No. w
onship Name or No. Range No. Co nty
d
Occupant(PRINn Phone hJO.
rxil-
Power Su plier Atltlrew
Eleclrical traclor (COmpany Neme) ~ Comratlor§ License No.
"y
w 1
Maili tlrass (ConV c[or o n r Making Installation)
L O Pre MJ~ ~ V
Authorize ~act wner Meking Inslaliati n) Pnorre Number
MINNESOTA TATE BOAFD OF ELECTflICI THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey BIEg. - Hoom S173 BE ACCEPTED BV t71E STATE BOARO
1821 University Ave., St. Paul, MN 55104 UNLESS P0.0PER INSPECTION FEE IS
Plwne (612) 862-0800 ENCLOSED.
Address_ _1589 wExFOxn cix Zip 5512 ?
Lot • ZZ Blk 1 Sub WExeoxn 2tvn
THESE I'TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: ,;Z 4 ~ Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Pemtanent driveway
Permanent gas ~
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish ~
Deck
Please verify with the builder the removal of roof tes[ caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
' City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 3<1 4.
: l J Telephone # 651-675-5675 FAX # 651-675-5694
New Cons4uction ReauiremenLS RemodelReoair Reauiremen4 ~ficellse,f~n1Y
3 registered site surveys showing sq. R af bt sq. R of house; and all roofed arws 2 copies of plan ~R ~ G~-~' ~GJ
(20%maximumlotcoverageallowed) iselo(EnergyCak,ulationsforheatedaddNbns P h.~t t'~'
2 copies of plan showing beam 6 windarr s¢es; poured found design, elc. 1 sRe survey for additions & decks Pres u
7setofEneigyCakwlations Addition-indicafetlon-siteaepdcsystem
3 copies of Tree P2servetion Plan H lot platted after 711193
Rim Joist Detail Options selection shcet (bldgs witli 3 or less unNs
Date Construction Costk S D O
T
Site Address I$~ j~ Q-W~,YVnd C~ n c L -e)Cu~ n/Yl n• UniUSte #
Description of R'ork ir"o Y c AJ J I I p h
Multi-Family Bldg _ Y ,/N Fireplace(s) Q 0 2
Property Owner V r i Q n F, t> 9 ¢ n a Telephone #(6$' 1 )+-I S 2-_6' 1 14S`
Contractor AL .-n o sT A n 4 T~ i p 4 C o n s( 1 IY) o r n 1¢ n a n c-o
Address 13 8 0- I o 2 s rC CityZG~N •
State /Y) n Zip S.5 0 77 Telephone #(y 11 )~:t $ p- 6(4 7 0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Iviinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code CategOry . Residential Ventilation Category 1 Wa'ksheet • New Energy Code Worksheet
(^/submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Teleph ~
Sewer/Water Contractor Teleph
JUN 0 S 2004
I hereby apply for a Residential Building Perxnit and acknowledge that the i ormation'is complete and accurate;
that the work will be in conformance with the ordinances and codes of the State of MN
Statutes; I understand this is not a pemut, but only an application for a pemut, 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.
I h iI I - kn V Na u ce
Applicant's P' ted Name ApplicanYs i ture
OFFICE USE ONLY
f ,
Sub Types ,
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage x 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 P.orch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
9,32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
~0 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entlre Bldg) - Give PCA handout to applicant
Valuation fJ Z7 Occupancy MCES System
Census Code ~ Zoning ~ City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. ~ PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width ;Z
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
Footings(deck) ~ FinaUNo C.O.
~ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Finaf
-0 X- Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
?I Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge (o
Plan Review e3,
MC/E3SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
gg,
Total ~ ~ .
i
Permk Number
REScheck Compliance Certificate CheckeA By/Date
2000 Minnesota Energy Code
Generated by REScheck-Web Software .
PROJECT TTTLE: Fitzgerald Addition
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DA1'E: 06/04/04
DATE OF PLANS: 6r1-04
PROJECT DESCItIPTION:
Addition to rear of existing house 14'x 17'
DESIGNER/CANTRACTOR:
Almost Anything Construction
1380 102st. E.
Inver Grave Heights
Mn. 55077
COMPLIANCE: Passea
Marimum UA = 3166
Your Home UA = 1858
413% Better Than Code (UA)
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R- !ue R- a e U_Facta U&
Flat or Sciseor Truss existiag:-Flat or ScissorTruss--- --r1-95 --52:0-0.6-- 30
Cat6edra] in addition: Cathedral 266 38.0 0.0 7
Flaor l: All-Wood JoistI'russ over Outside Air 238 30.0 0.0 8
6" Wood Fratne, 16" o.c. eacisting: Wood Frame, 16" o.a 27420 19.0 0.0 1596
Door 1: Solid 39 0.130 5
Glasa Sliding Door: Glass 32 0.320 10
Vinyl clad lowE Argon: AbovaGrade, Other 292 0320 93
6" Wood Frame, 16" o.c. addition: Wood Frame, 16" o.c. 405 19.0 0.0 18
Glass Sliding: Glass 54 0.320 17
Vinyl ciad IowE Argon: Abovo-Grade, Other 42 0.330 14
Basement Wall I: Masotiry Block w/ EmpTy Cells 1037 13.0 0.0 58
Wall height: 9.0'
Depth below grade: 8.0'
Insulation depth: 8.0'
• CqNSVltIH3 !HU MitAS 6~Rap B~'DS. Co~r/STd't/G'7"i~/
_ PIAHHlns ond ~nNn lunv~vons 3tbo7/,O/
. ~~AIN6sK. zo~
nnrRatr, iNC. f6. 8 1000 EA9T i4em SipECi, 9URN9VILlB, MINNElOiA D6!!7 plt ~32-DOOD
CERTiFICATL OF SURVEY
i Descrlption: [or z7 aac i
DQKOT,4 C~i~.v~ il~~%N~.t%ESv ~N
t271..r.~.) ' bCNOTHS EXI§TINQ ElHVA710N
(1774,7) pENO7ES PROP08ED P-LEVATION
iNDICATES DIFlECTION OF 8URFACE pRAINA(3E
1'75-,610 F!NIBE1ED QAHA(3E FLOOR EIEVATION
9L6.62 = BASEMEN7 FLOpR EI.EVATION
.3Z5~~,L = TOP OF FOUNDATIDN ELEVATIDN
sonLe ,o• Bevch/A44R,r : rNH .4 r wE.rFORV w.vr r wc.+-~ clgecs
~LG?. • 95932 •
f 'JIi
- )
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~r ~
~~+7',
~
IV ~~/~!Y nn
el/~ 1;,p~1 GI~FUM1~/
G p ~ CIRCLE
• y ~39:7~. _ %o ~
< ~ . ( 71y+: - .T 1 Nj~,
p
I \ 'lp A'P Qp e o ~O
30 ,h4., \O
~
Aic T~io
9c, 3ti`P/ ' m~°•.~~Lss
~ ~d~ D~:'FRONT'B!//LD/N6
Wreack ~~A1,5
~
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/ LO
~ / ~~D o ~y V
B~ r~ ~i
I L~~.. ~l 111,
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QD ~ 0 ~9 /
RESIDENTIAL CWe 7,~_
BUILDING PERMIT APPLICATION Qpldo.'_
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4875
New Construction Peautrememe flemodeVHeoair Beauiremente
• 3 reg[stered ske surveys showing sq. M. of bt, sq. N. of house; and all roofetl arees • 2 coples of plan
(200% maximumbtcoveragealbwed) • 1selofEnargyCakuletbnsforheatedaddttbns
• 2 copies of plen showing beam & window slzes; poured toun0 desipn, etc.) . 1 sna survey tor ezteuor addRbns & decks
• 7 set of Energy Cakuletions • Indicate if nome served Dy septic system Por additlons
• 3 coples ot 7ree Preservalion Plen tl bt platted afler 7/1/93
• Rim,bistDeteilOptbnssel~tbnsheet(DkigswMh3orlessuntts)
DATE VALUATION ~tIJ
SITE ADDRESS SF1 UV C L.{. MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK rO `Cl FIREPLACE(S) _ 0_ 1_ 2
P'n
' '~r
APPLICANT COn
l~~ `
STREET ADDRESS T , i S CITY D TATE 1A~IP ` J C)ZD
TELEPHONE # t Q ~ a~-(~''CELL PHONE # FAX #
PROPERTY OWNER.~1*~tM ~~Z G P.~G I o C TELEPHONE # UG~I ~~f 5 G~-S77,~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULFS 7670 CA'I'EGORY I MIN-NESOTA RULFS 7672
(4 submission rype) • Rasidentiat Ventilatton Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contracfor. ___Phone #
Plumbing system includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Conhactor: Phone #
I hereby acknowledge that i have read this applicaflon, state that the Informaflon is c~ ct,ff,,a p~~p~ c ry
with all appllcable State of Minnesota Statutes and City of Eagan Or ' es.
Signature of Applkant -
,v--.~--~--- -
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex O 13 16-plex 0 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling O 09 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Aft- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4sea.) O 33 Ent. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
O OS 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
0 06 04-plex ? 12 12-plex Plbg_Yor_N O 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addftion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to appllcant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addirion) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Frarning _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit `
License Search
Copies
Other
Total
_ , . .
PERMIT
CIYY OF EAGAN ~~~~pzNG
3830 Pilot Kno6 Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number: 0 2 2 5 3 7
(612) 681-4675 Date Issued: 11/ 17/ 93
SITE ADDRESS: ~
1589 WEXFORD CIR
LOT: 27 BLQCK: 1 Ct'it/Llp
q
~~118~ 3
P.I.N.: 10-83851-270-01 WEXFORO 2N0
DESCRIPTION:
Bmid nq;~Permit Type SF DWG
Ef uikding t3o rk Type NEW
BC DccupanC~ R-3 M-1
Canstruction T e V-N
~ Zoning ~ R-1
Build3ng Length ~ 72
Bu,tldin9 Width ~ 39
~ Ov1 a .
~
REMARKS:
5& W PLBR - pAR50N5 PLBG
FEE SUMMARY
VALUATTpN $180,000
Base Fee $919.50 MTSCELlANEOUS $1,744.50
Plan Review $597.68 Tote1 Fse $4,101.68
Surchsrgs $90.00
SAC $750.00
SAC ~ 100
SAC Units 1
Subtotal $2,357.18
CONTRACTOR: - applicant - s-r. LIc. OWNER:
GEROLO BROS CONST 17582842 0001115 GEROLq 6R0S CONST
1704 280TH ST W 1704 280TH ST W
NEW PRAGUE MN 56071 NEW PRAGUE MN 56071
(612) 758-2842 (612)758-2842
I hareby acknawledge that T have read this applicatian and state that the
infnrmation is correot and agree Co comply wiCh a11 applicable, State of Mn.
SCatutes and City af Eagan Ordittances.
L L
APPLIGANTlPERMITEE SIGNAT ISS~ ED EP(. S GNATU E
REALTIVATE _ RECENED CITY OF EAGAN `
PEPYHT 993 BUILDING PERMIT APPLICATION l• i~~
1993 681-4675
-
~GLE 8 MULTI-FAMI~ 2 sets of plans, 3 registered site surveys, 1 copy oF energy
calcs.
COMMERCIAL 2 sets of architectural E structural plans, l set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when perm9t is typed, but not picked up by last working day of manth-
in which request is made, 2) address ia changed or 3) lot thange i.s requested once permit
is issued.
Date / 12-- Yaluation of work ~ 0_10
Site Address: - J-' ~ LgM /s~ ~EYLIa''°~ -
fiREEi fU17E 0
Tenant Name: (commercial only)
IAT d-~ SLOCK SUBD. WEx i~bPJ ilot p•I•D• M
Descri tion of work:
The appiicant is: Owner Z-Contractor [3 Other co«or1W
Name rn i1oCQ &1s"r- Phone
Property -LAST FIPST
Owner pddress 17L~`-
Si0.EET aTE y
City 11~aJ ~t'ILtr~(oGC,~ Stdte k"Wi Zip S~~p7/
Company ~layt- W> A&v- - Phone
~
Contractor Address License # N!S Exp.
City State Zip
Company Phone
ArchitecU
Engtneer Name Registration #
Address
City State Zip
Sewer & water licensed plumber A(z<,&Q5 Processing tlme for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE ,
. _
~
? 01 Foundation ? 06 Duplex O 11 Apt./Lodging ~O 16''Basement Finish
X02 SF Dwg. ? 07 4-P1ex ? 12 Multi. Misc.' 0 lT Swim Pool
O 03 SF Addition ? 08 B-Plex ? 13 6arage/Accessory O 18 Comn./Ind.
? 04 4F Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'i. ? 15 Deck ? 20 Public Facility
? 21 Niscellanecus
WORK TYPE
0,31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
0 32 Addition O 34 Repair 0.36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. NWLC System YES
(Allowable) -V- - lst F1, sq. ft. City Mater ,Y~,
U8C Occupancy 0 2nd F1. sq. ft. PRY Required
Zoning R-1 Sq. Ft. total Booster Pump
/ of Stories Footprint Sq. ft. Fire Sprinkler
Length 7/=g" On-site well Census Code o/
Depth 38 6" 4n-site sewage SAC Code ol
~
APPROVALS ~
Planning Building Assessments
Fngineering Variance
REDUIRED INSPECTIONS '
? Site ? Footing ? framing O Insulation
? Wallboard ? F9na1 ? Dra1nt17e ? Fireplace
Permit Fee v1u.cion: $ ~ p V~ CCJC.,7t1 Zn,.n~'t.~q'~; Surcharge ~qRn,G ,~o N 2 I ii = 6LiS
Plan Review 21).(>?xy2= IIG2
License ~ x iq = f9._ Z X ~b = 32 MWCC SAC
City SAC ~ x z~z i 119uKsy=
Water Conn. ~
Mater Meter ES m-r~ 6'}9 x I6 - o 384 ~'yy4~6.J
Acct. Deposit +
S/W-Permi t 11,x 30 ~ 330
S/W Surcharge 26Y q2= 10~2
Treatment Pl. ~ 7l, f~1 i(
Road Unit ~ X 13= '78
Park Ded. ~saox IS'= Z2~So~
Trails Ded.
Copies . Sd ~ST FLuaR;
Other
1ota1 : $sm i = l.Sao
SAL % {OQ ~'x2~zF IS"
SAC Units kx 82 4S~
~ .
1527 %5q
RoQ~ flR(4lqS and ~ppp ~UIIYfYOIIf #607/.O/ "
p N GINEERB~IQ~. ar~. u7 cOMPAHY, INC. ~.8
1000 EA81 1481h BTHERt, BURHSVIt,LE, MINNElOTA 56337 PN 432-3000
CERTIFICATE OF Sl1RVEY
Legal Descriptlon: [oT z7, BL.oC~/f_w4f'rFr~/zp ZN.p ,QDZ!/T/ON
DAKOT~GOUN7Y d/l/Nri/E4JT~J
(2Z1.a:s) DCNOTES EXISTINQ ELEVATION
(97¢.7) pHNOTEB PROP08Ei? ELEdAT10N
9NDICATES DIRBCTIUN UF BUHFACE DRAIMA(iE
' 375,00 ~ FIMISHED QARAGE FI.OOH ELEVATION
?66:.64_ ~ BASHMBNT FLOQR ELEVATION
779,33 ~ TOP OF FUUNDATION ELEVATION
ecne,e , r a sa VuuCAIivp9RK : rNN e r rWrA%W w.qr W&-w~ clAtu
6LGK e 95'932
L
WExFORU
N CfRCLE
151.74 ~ %lD
(?b~,~ ~ \ ~
$ . R '')o R.. ~~ikl
Jv
30 \0 .
I ~i ~ $ ~ ~ ~ ~~r, ~y\•~
o°
~ , r'~jR~;~~\~ •G~ \ 1.~/~ ~'0,~8~2,sS
:J
14. 30A-T FRO,vr Bv1401ni6
S&TB.44W LJNE
.
y~-1-
~h;NiJ
~ LoT
.
~r .
~ v
30
T
s ~
7Q. 14
(9730j N 89"xV (?7 7.7)
EAGAN EPTGIIVEERING DEPT.
I hereby aertify that this ie a tirue and aorreet repraeentation of a bract ot
1n as shoan and desoribed liereon. As prepared by me thie fo day of
(~~1~1lB~t ~ 19.~,L. •
Minn. Reg. No.A B$
LOT BIIRVEY CHECICLSST FOR RESIDENTIAL
SUILDINO ERMIT 71PPLICATIOH
m
~ PROPERTY LEGALS 2
Date of 8urveys
~ DOCIIMENT STANDARDS
8~[1 ? • Registered I,and Surveyor siqnature and company
D~-b ? • Building Permit Applicant
B-'0~~ • Legal description
0 B' ? • Address
v 0 • North arrow and bar scale
0 • House type (rambler, Walkout, split w/o, Bplit entry,
lookout, etc.)
• Directional drainage arrows with slope/gradient 8.
0 9' 0 • Proposed/existing sewer and water services
? • Street name
B' O ? • Driveway
ELEVATIONS
Existfnc
D ~ ? • Sewer service
Q~~~ 0 • Lot corners
H' O~ • Top of curb at the driveway
D ? • Elevations of any existing adjacent homes
Procosed
~~C] 0 • Garage floor
~ D ? • First floor
0~ ? ? • Lowest exposed elevation (walkout/window)
0 • Property corners
H~ • Front and rear of home at the foundation
PONDINCi AREAS tif apolieablel
D ~ ? • Easement line
0 C~ 0 • NwL
? 0 • HwL
13 Er ? • Pond # designation
D 6~ 0 • Emergency Overflow Elevation
DIMENSIONS
~ D ? • Lot lines
C'?? • Right-of-way and street width (to back of curb)
0 D • Proposed home dimensions includinq any proposed decks,
overhangs greater than 21, gorches, etc. (i.e. all
structures requiring permanent footings)
? • Show all easements of record and any City utilities within
those easements
E~ • Setbacks of proposed structure and setback of adjacent
existing h
0 C~D • Retaini w rements, if any
Reviewed:
N me 11-7 / ate
October 1992
i
EXTERIOR ENYELOPE AYEMGE "IP' COMPUTATION ,
)taNEll:
iITE ADORESS: • IS89 Uj"rc-~) C~s< (a.
6erd~1~) &a C DATE: II `13 PNONE: ~Sd'd-d'_YZ
:ONTMCTOII:
0 DE7EPMINE WORKiMG SOUARE FOOTAGE OF EAtH:
t. TOT1LL E%POSED wAll AREA,,,,,,,, sq ft x"U" •
TOt11L ROOf/CEILIN6 AREA,,,,,,,, sq ft x"U" - 04Q,~,'
3. TOTAL EXPOSEO WALL AREA CALCULATIONS: . Total exposad wall
•ros above floor........ sa ft Q
• t ~
s) Total wall Mlndar area: ' J
at,:ea...... sa tc X"W, ~ 30. . 9l, 5 oc
~
2
S) Total door area • sq ft x"IP' o :57
C9
c) Total slldlnq aisss door area:
e> C_ 9lazed...... ~ sq ft x "U" ~ 30\,-
q aze sq ft x 3- •
_
d) Total flreplace wall area ' sq x Vmm
~
e) Total wat 1 framtng area
~.7 sq ft x "U "
(Avera.9a 1of,)........... 3
f) Total net wsll area above
floor (Insu?ated)....... a`i sp ft x"tl" - o`/~ ' qX, S
9) Total rln Jolst area...... /-73 C. a s4 ft x"U" ,6,VZ_ •
Total fnundatlon
area (Exposed).......... ~ y 3 sq ft
h) Total foundaelon
wlndow srea sp ft x"U" •
i) Total net foundation ~~f ~/D 3
araa a6ova grade........ L-l 3 _ sq ft x"U" '
TOTAL thru t) as-3
If Item 93 Is tha same ss, or lass than Itnm /1. you have met the intent of
2 MCAR 1.16008 A sad O.
Pa;e 1
4. TDTAL EXPOSED R60F/CEIU HG CALCUlATI0N5:
~ Total exposed sa ft
~ roof/calltnq •rea
I. j) Totat skylluht area -
j k) Total roof/celilnq framtn9 sp ft x"U" • O 2 ti • a, s
0 area (Averaaa lnx)
i
Totat net Insulaied sq ft x"~" • O~ $ ~
roof/cellin9 +rca.......
. y• TOTAL J) thru 1)
If total of 04 Is the s" as, or less than 12. You have met the intent of
2 HCAR 1.I6008 A sed O.
(
IIITERHATE BUILDIHC ENYEIOPE t1ESIGN
greatert than the sun? u of items l ll h andb~2the sun~
not be system
temsZl3 t~d t a shsll envelope
of i
1. + 2. ~
3• • -
• C E R T 1 F 1 C A T 1 0 N
1 hereby eert(fr that 1 have calculated the "U" factors and "R"
ralues hereln and that thc bulld(nn hera described ments or exceeds ths State
~ of Minnesota Energy tonserwtton Act.
I ~GLvL
T`S qnature
(Oate} page 2
- • ~ ...c. .
:ML'.'; MCOLi+TiJNS ~
• ~ . YALUE U YALUE
• • Insldr ats film ,68
HAI,L if I4 lnterior ra:l •45 (Yall) L' . a .
SEC7ION *.asu.act..n 19 • p°
SheatAlnS • &Z- •
- Sidinq •
Jutstde air film .I7
I aTOTAL ~(,53
.E9 .
Instde air film
L
Q m,~p tnte::or Y.it .45
~ SLCTION ' 4" ¦cud R' 4.39- (Fsamtng) U. k.
G.s7
~ I Sheathing ' LZ
0 f v(o
Stding • LI
Er
~ Outside air tilia .17 .
. .
~ 4 :oraL 9. ~f
2 .
~ Inslde a1r film Ra .68
1 2ND YALL Intettot vall
: . R .
SELTI7[i Insulotion _ (Vall )
g Sheathing
~ EAterior vall coverina
txtertor air film i ..ii
y~ - R 70?AL
N
lnterior. air f11a• Rz .68
~
aLy Ir.s:la;toa (Q.DO , ~ .
JOIST. 1% 1r,ch soic Yuw! R*1.88 (Rim U.~[.
~ Joist)
Sheathing
Exterfor vall coverin; . &i • 04 3
Ezterlor .tr film !R .iT . . . .
I - a rorAt Z Z• 9l0
ln[ertor ai: [:l:a R= .6E
- u ~ insula:tor.
Founda'ton I~2 $ (Fdn.) U •
Extertor at: :fln R• .17 '
:i . roz
6 TOTAL q~ 3
I r ~ .
l ! --fxputed Bluck
- . PF1'~ E 3
, . ~
=E:LItK 11Tt1 YENTED ATiIt S?ACE A80YE •
R : U UE .
fNAMIt~ ' LEIItNG
~ 0.61AirH1m 0.61
Insuletion 5a
. 3 S Joisi
5!_ CeilinQ , 5!0
O.E1 Air Film 0.61
f/[e . f 3 Total R S3, 78
`1
.02I U • 1E . b/8
F~aT RO~P OR CaTHEORAI C:iLiyG
a ue R YAIUE
fR;MING tE1lIHG
0.61 Instde air tilm 0.61
CetiinQ '
~ Jo1st (stu
, Insul3tion
A1r spate
Rocf decktny
, Intulatfon
I , . Bu11t-uA roof
0.17 Outslde air fitm 0.17
Total R -
U
lindor tnfi]tratic-I .5 cfm/lineal toot of crack -
tesidential door infiltration 0.5 tfm/square foot or deor and minirw eode reauirdnent
Jon-nstdential door infiltration 11.0 efai/ifneal foct of erack .
lb 12' concreu block rro insulatian =.47 R 2.1 .
ip 12" tontrete block lnsulated tores a .26 i 3.8 .
Jb 12~ liyht~+eioht block j2 R 8.3
;p 12 li9ntreiiht block insuiated eores . .
J stngle glass ~ 1.13: rith storci wTndovr .54 -
1 doubte 9lass ¦ i5 .
1 triple glass = .41
lll exterlor walls and teilings cust have a vapor yarrier (C.10 perm x.3x•).
:apor barrier cust be on the inside (hea:ed side) of wtl1. .
iapor barrters of the polyethelene thin film Anve rro Il salue.
~ -
~qCo E ''4- .
PERMIT CITY OF EAGAN
'3830 PrlotKnobRoad PERMITTYPE: auxLaxNs
Eagan, Minnesota 55122-1897 Permit Number: 030845
(612) 681-4675 Date Issued: 10 / 0 3/ 9 7
SITE ADDRESS:
1589 WEXFORD CIR
LOT: 27 81.qCK: 1
WEXFORD 2ND
P.I.N.: 10-83851-270-01
DESCRIPTION:
~ ~ INCROUND POOG
l ~1ino" ermit Type SWTM POOL
iltlYkf~ WT y p e NEW
434 A'LT. RESIDENTIAL
Y
~
Oseol ..~~'-y~
°s a
i ~
' ' . F e .
REMARKS:
FEE SUMMARY:
VALUATSON $12,000
Base Fee $187.25
Surcharge $6.00
ToCal Fee $193.25
`
CONTRACTOR: - Applicant - OWNER:
VpLLEY POOLS INC 18941480 FITZGERALD BRIAN
651 CLIFF RD 1589 WEXFORD CIR
BURNSVILLE MN 55337 EAGAN MN
(612) 894-1.450 (612)452-5145
A C1d~\~~~ M01*1160~lv}tP~M1k~ i~4 lAS'iI~IX`r~i'UY4'~ 3TII3].~'StID^.I~IT~p~T~kL~i1~X'rC" ~~tr~• ~~~~~.~iY~~4[~~~~^S*, ~ Y°.'..
' TM
-Kct 4jrr.~}e~'.
4
t7f
il o~, R m, i~ I~r~
APPLIC NT/PER ITEE SIGN ' ISSUED 6YI SIG TU REJ
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL~jJ`~°? ~
CITY OF EAGAN n'`
3830 PILOT KNOB RD - 55122 ~~L/~ 1~1.e~~
681~675 lf~q/~ ~
/
New Construction Reauirements RemodeUReoair ReauiremeMs
? 3 registered sita surveys ? 2 copies W plan .
? 2 wpies of plans (include beam 8 window saes; poured fnd. design; etc.) ? 2 ske surveys (exteriar adtlitions & dedcs)
? 1 energy calculatlons ? 1 energy wlculatlons for heated atlditions
? 3 eapies of tree preservation plan if tot platted after 7H/93 required: _Yes _ No -
DATE: CONSTRUCTION C05T: /Z da~
DESCRIPTION OF WORK: &&1-~+-4 --u~-~ ~.~mMm.~ 19%~
STREET ADDRESS: ISr,9
OT 27 BLOCK / SUBD./P.I.D.
PROPERTY Name: GTZCa~,2AGD ~'A-n~ Phone s°~ 5 t 5Ef
OWNER usr nner
Street Address: ~ ~s ~ •
City: E~+s ~/i State: n/h Zip: ~S ~H
CONTRACTOR Company: 24/9/Cu.. Phone#: S~v -
7
Street Address: / 5' c~~ P~ , License
City:State: 17~ Zip: -5~5-3.37
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licer.aed plumber (new construction only): Penalty applies when address change
and lot change are i equested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is c rect and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No Tree Preservation Plan Received _ Yes _ No _ Not Required
mi
OFFICE USE ONLY ~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. X 17 Swim Pool
? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 _-plex ? 15 Deck
WORK TYPE
X 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair , ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code O i
Census Bldg 1
Census Unit _t)
APPROVALS
Planning Building Engineering Variance
PermitFee Valuation: $ M~.r70
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies Totai:
% S~ R . . j`,.
r 1
5AC'~Mt's ~ V
' "'-~..r...._.. ,
.'~.-,,.,,,,.a.... .
~ . .
, -
coNSV~T~qa e~~u pi~ns 6~Rn.a B,pas. Co,+/s'7.i'uc~'icLv
100E FLqNNlAf and ~ANb iUHV~Y08S #(,07/.O/
CNQ~IryCERING. QK, zo7
Co~nrr~NY, iNC. 7,
1000 [A8? I46Ih SiREET, bURNSVIILE, MINNElOTA DS!!i pll ~l2-3000
CERTIFICATE OF Sl1FiVEY
kgai Descriptlon: LOT 27 BLOC~ -/p~t/,p ADD/T/ON
DAKO7,4C~iUNTY AI/N~l/ES07,Q
('7C, - bCNOTE3 EX1§71NQ ELEVATION
( 97¢.7 ) UENOTE3 PROP08Eb ELHVATION
INDICATES DiREC710N OF BURFACE DFIAINACiE
_z";S,co ~ F!NWIEp i7AFiAGE FLdOR EIEVATION
f4t, - f2 9 a BASEMHN7 FIOUR ELEVATION
-97S,3.3 a TOP OF FOUNDATION EI.EVA'T'ION
acnLe ~ t• • ao' BgA1CNi?44RK : rNN 4 r wE,rFORa wq), f' wgwAaw ci,PCzs
ECGV ~ 9593 Z
rZ`-
lJ
28" ' ) WEXFtiRp
N 7 -74 CIRCLE
,
F
1(r ~ 9! ~ J~O ~1, J ~'~ti/\
I,v J Y V tj_
30
1'
n ~ b~ g~ 9~ g•
`O -O
~iF. ~ ~~a'~'.~ S ..'p~'a,~•~
I ,,,,,r---~ i~ o
C~go ~ SCP
~ ~ 1 c`~Q ~a~ OFT. FRO~VT BU/LD/A/6
s6re44x L rv~
~
;e / q , ~?h ~~~1
oy
I LO
I 1.~~„~ i
/
30
I ~ . ~ 9!+! ~
10
?LMH 5? 3
. . aT' V f • ~ , a.r 3>:. ~ - .P
MECHANICAL PERMIT (RESIDENTTAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMI'LETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH LJNIT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE 93
FEES
HVAC: 0-100 M BTU $ 24.00
ADDTTIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 Qo $3.00 EACH) /'2. OO
ADD-ON/REMODEL (ExtsT[xc CoNSTxxucnor) $ 15.00
STATE SURCHARGE .50
TOTAL y~
srrE ADDREss:1 Cl.ecleo-
OWNER NAME: l;Ekold RfoS TELEPHONE 7.5L- 2J?2~2
INSTALLER: Pg s D NS T l9 h` ~9
ADDRESS: 3o D ZS / 5~vM,
CT!'Y: g0 N/ D0'I B~L. c/' STATE: ZIP CODE:
TELEPHONE 76 SIG ATURE OF PERMITTEE
. .
. i: q,. '
:'^;:;';ys..•'::i.
Y b ``37.~sx3 ~ ~ ~ r w''~ h "R ~ g~. S . ~~~v~ - k , j ` ~3 ~
a~s ~x F ra s £ 4,~3z i s ,wn~c £ a~ c~"~'+r 4
MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. AISO COMPLETE
FOR APARTMENT BUII.DINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: CONTRACI' PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF P FEE $
PROCFSSED PIPING: $25.00
MINIMUM FEE: $25.00
FEE.
STATE SURCHARGE $.50 FOR EACH $1,000 OF
TOTAL $
STI'E ADDRFSS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMExTS oNL1)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CTI'Y INSPECTOR
aY ~Til}c~`~. R Sx
,:c~'~ x r
;lij~ ~ ~ &x.a . a'¢a ~ : . . : e ue•. . , ` l~xXe'F::&~„
«..,~..a,..: z........`.w°".~.s c....,. 9Yba. ~ . - . ~
1993 PLUMBING PERMIT (RESIDENT7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTf.
NO. FIXTURES EACH TOTAL
SHOWER 3.00 3
-l?_ WATER CIASET 3•00 9
~ BATH TUB 3.00
LAVATORY 3•00 ~
~ KITCHEN SINK 3•00 ~
LAUNDRY TRAY 3.00 3
~ HOT TUB/SPA 3.00
WATER HEATER 3•00
-3
~ FLOOR DRAIN 3.00 3
GAS PIPING OiTTLET • minimum • i 3•00 ~
3 ROUGH OPENINGS 1.50 y Sr9
WATER SOFTENER 5•00
PRIVATE DISP. • DaiLc,y. sc. 15.00
U.G. SPRINKLER • nome ooa« const. 3•00
ALTERATIONS • to austing 15•00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: V ~o~ C~ .c clT° ~
^ ~
OWNER NAME: l ~ c_ x- O`c~
WSTALLER:
ADDRESS:
CITY: IVOAi~ O!n ~ STATE: ~it/ ZIP CODE: 6~~v
PHONE (G/2)
~i
LE-OF P MITTEE
SIGNATLLP
^xr- ~r n~i t^ r s.g~rc~ . rg w4.".'.s ~S` g s~,~
L et~
Se_ c i s ~4af`." ~
a. ,»s w~P,' ,..w... c`.,... . . . ~ ,..,...~w ~ M.
1993 PLUMBING PERNIIT (COMMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-0675
PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMILY BUPLDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING U;::T.
_ NE'W CONSTRUCfION
ADD ON
REPAIR '
WORK DESCRIPTION:
CONTRACT PRIGE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCIiARGE $.50 FOR EACH $1,000 OF P.E"pr FEE
MINIMUM £EE S 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NA114E: STE. #
OWl`'ER NAME:
WSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
CITY USE ONLY 2ni ~ ~ g~ ~ RECEIPT#:
S116D. RECEIPT DATE:
PERMIT #
2000 PLUMSING PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGPN, MN 55122
651-681-6675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer (or urtderground sprinkler syslem
FIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee $ 30.00
Describe:
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet * minimum -1 3.00 x = $
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tra 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished ' requires MPC lic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new instailationlrepaidrebvild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construdion 3.00 x $
Undergroundsprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If tlwelling under constructlon 5.00 x = $
Water softener if existing dweiling 30.00 x = $
Waterturnaround 30.00 x $
State Surcharge .50 $ .50
TOtal $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- Eagan - ordinances - . -
I hereby adcnowledge that -I hava read this application, state that the infortnaiion is cofrect, and agree to comply wdh - all - applicable City - of -
It is the applicanPS responsibility to notity the propertY owner that the City of Eagan aswmes no liability for any damages pused by the Ciry during its
normal operetional and maintenance activities to the facilities constructed under this pertnit within City property/right-of-way/easement.
SITE ADDRESS: d/ w-Q X66 1'J C i're- L -'Q- iM h
OWNER NAME: : Q' Q n f!t z 4. 0 1C) TELEPHONE S1 LI ~ zI.S
~ (AREA CODE)
INSTALLER NAME: J a i r~ TELEPHONE S J y-5 .01 1 (AREA CODE)
STREET ADDRESS 1 ~ e~ o r o C r-2
CITY: Rn STATE: Yn ZIP:
.
SIGNATURE OF P P EE
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirr oF EAcaw
3 13 5 3830 PILOT KNOB RD - 55122 1~1~. SO
851-681-4675 vi/
NawConfiucMonReauiremenh Remodei/ReoalrReaulremeMs Cn~I~ lo-q-UC
D 3 reylstered Wte wrveya flwwinp fq. R of Iot, tq. ft. 01 house 2 Copies OI Plan
and 9 rooletl areaa (20% maximum bf covemae ollowed) 1 sef of energy cdaAaHOru for heafed adNMana
? 2 coplea of plGns (show b6Cm & wlndow tlZei; pourea md. aea9n; etC.) 1 slfe auney for extedor GddlHOna & decka
D I sef of aneryy copculatlona
D 3 coples of hae preservallon plan H lot plCMed aHer 7/1 /9J
DATE: I~-2- al O D b CONSTRUCTION C05f: 6, 010 C)
DESCRIPTION OF WORK: ~ I I7 1 SA o 7' U o 5,0 vYl 'e nr a?q 'o q•
STREET ADDRESS: l_j 89 - W.a v fic rrJ C 1 Y' e, L..o tr c o., lY) ~7 S 3!,~
LOT: 21 BLOCK: ~ SUBD./P.I.D. f: ~FX'CU~ YA 2Y~d
Name: Fio-encl ol Br 1a n Phonec 6Sl-'-15~-3`1 NS-
pitOPERTY lasf FIM
OWNER .
Sheet Address:_ _l_S 8'9 -k1-ex Fo v+cl C 1 r
Clly Stafe: /77 n Zlp: 'SS! 2
- Company: ALvn o s1" A ti u~ ewnT T Phone k: o~ I. 230 6Ll7 O
(area code)
CONiRACTOR
Sheet Address: I 3 B O- IO 2 s T lJcense # 9 O! I Exp. o 0
City iL =ZA/ v e vi orr+ o v -e WTs state: '011n, v, zip: -S 5' 077
ARCHITECT/
ENGINEER Company: Name:
Telephone If: ( )
SA°eef Address: Regishaflon
Gty State: Lp:
Sewerlwater licensed plumber (H insmllina sewer/waterl: Phone
i hereby acknowledye Mwt I have read this applkatbn, state thot 1he WrtnaNon b cortect, and agree to comply wHh a0 apPHcable Sfate
of Minnesota Stafiites and CiFy of Eagan Ordinances.
Signalure of Applicant V~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required QCj' 0~ 2990
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation 0 07 05-plex O 13 16-plex ? 21 Porch (3-sea.) ? 31 Ezt. Ait - Mutti
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 03 01 of_ plex O 09 07-plex ? 18 Deck 0 23 Porch (screened) ? 36 Multi
? 04 02-piex ? 10 08-plex ~ 19 Lower Level ? 24 Stortn Damage
? 05 03-plex ? 11 10-plex Plbg _Y or_ N? 25 Miscellaneous
? 06 04-plex ? 12 12-plex O 20 Pool O 30 Accessory Bldg•
WORK TYPE
~ 31 New ? 36 Move Bidg. ? 43 Reroof
32 Addition O 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration 0 38 Demolish (Interior) C3 45 Fire Repair
? 34 Repair 0 42 Demolish (Foundation) O 46 Windows/Doors
• Give PCA handout to applfcant for demolition permit
GENERAL INFORMATI N
S4C Code ~ # of Stories sq. ft.
No. of Units C Length sq. R.
No. of Buildings ~ Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code y35~
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy - sq. ft. City Water
Zoning - sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building "if 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
% SAC
~ For Office use I
City of Ea~aIl ; Pe~,t#: g~~1 ;
OCT 3 n 2008 ~ PermaFm:
3830 Pflot Knob Road j i
Eagen AIIN 55122 I Date Received: ~
Phone:(651)675-5675 By ~ i
Fax: (651) 675-5694 I steff: ~
1----------------'
2008 MECHANICAL PERMIT APPLICATION
Date: C) 5 SRe Address: 15 ~-c- l e._
Tenam: ^ rt~-. ~7, i L. suHe#:
RESIDENT ! OWNER Name: ~ . ~ T. -k L ~n ~r~\J Phone: h 5 i
Address 1 City / 7p: - 861 W-Y-('o rc) Lic Z-c_ a,. M S S~ 2'Z
CONTRACTOR Name: -'o 'tV~'3':~~~' Licensen:
Address: c~1T CG?c?'''~:~k~4~I3C'X!~ .t~~a
1g1 Fs E::xsi 4~tst a r
City: ygpqsg MN 55407 State: Zip:
Phone: rj12) 724-699
rdact Person:
TYPE OF WORK _ New _ Replacement _ Additional _Alteration _ Demolidon
Descrlption of work; Z7 t c._c.e_ i v r~ w~
NOTE: Bofh roo/ mounted and ground mounted mechanfcal equipment Is required to
be screened by Clty Code. Please cortfact fhe A4echanlcal lnspector or one of fhe
Planners for irttormatian on ermitfed screenfn mefhods.
RESIDE,'~';,AL CCA~F?ERC7.~L
Fcnn..u ~ i. rQ ~ _~!r.e: Ccnstn:c!icr. _!a'eticr 1mpr^vcmcrf
I~1F inarr
'"1 VNIU_^'t"IIVII.'C_I InstaiiFipinq . Processetl
r~..
njr cXCry o,,..,.i.., uvnn
~...,o. - -
- - ' HVAC units must be screened
_Hea; t-ump i~.;.+e.l A4CVe groU.^.d T2.^.R `Ins:a!I! Remc~~e)
Other W hen instailinglremoving tank(s), call fa inspection by Fre
Marshai and Ptumbi Im lor
t7ESiDEiVi'iaL FttS:
$50.50 Minimum Add-on or afteration to an existinq unit (includes $.50 State Surcharoe)
$90.50 Fire repair (reWace bumed out epWiances. tluctwork, etc.{ (includes $.50 State Surcharge) S~
: 50 ?07ALFee
COMMERCIAL FEES:
$70.50 Underoround tank installationlrempval OR Contract Value $ x 7%
$50.50 Minimum (includes State Surcharae) Pertnit Fee
- Ii Pemit Fae is less than;1,000, surcharge is $.50.
- It Nertnit Fee is > $1,000, surcharge Increases Dy $50 tw each = y SUte Surenarge
fni,:~0:aiviii,Fee (1.6.ao9, :Fa57.,.,.su,c.arye).
C T0TAS, FEF
i n?,?nv a`iennwlpMo }haf thie irdnrmpiipn ic r~Nqte aM aocuraio: ihat ttw woAc will be in ance with ttw na codes oi ihrt Cilv of Eaoan- that
!nr - c_n.an u M1n~ •.ery.~~
. _ ,
- F rt nniv m.. n..nirvf nn e ro..nit >nR .unrL nnt fn 'f ' t o nam~ieIhot n = nAan~o un•4 fFr~ e
. . _ ..r. _ _
pian m tne case oi worc rmich requires a review antl apprwal m pans.
- ~ a.~.... ~c~
r~ppiicani s rrinie~i iiume i~pp Ca ~ i s Sigi iure
FOR OFFtCE USE R iewed By: Date:
Required Inspections: Under Ground ftongh In _Air Test Gas Service Test In-8oor Heat Final
City of Eaton
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use 07
Permit #:
Permit Fee: 0
Date Received: f
Staff: Y�7
2012 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date:
2- Site Address: I '3 8 \
Tenant:
r
f]
Suite #:
Name: r c.^ i` 2 e r4 Phone: G 5 1- LI 5z- 5 1 '*
Address / City / Zip: 1553 t1 W ,c -6, C` r-cko
Name: S +�-`t��.\ .. .t A)¢,License#:
Address: ) $ 1 S '-i \ cc. S T < Sv t City: 4`l . n .` c a 1i o 1�
State: Mr. Zip: 5 B 4-.0Phone: 6 Z -7Z -4-t$94
Contact: i1 Email: Ctrl^e - k Iry r o •--a ti - CC.1 ^'t
New Replacement Additional Alteration Demolition
Description of work: ? la - L Cco'r`t2-+19 13 i3 336- 5.0 To -)
RESIDENTIAL
Fumace
(-Air Conditioner
Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Exterior HVAC Unit
Gas
Under / Above ground Tank (_ Install / Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
c1J
TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1%
$60.00 Minimum (includes State Surcharge)
*If the project valuation is over $1 million, please call for Surcharge
= $ Permit Fee
= $ 5.00 Surcharge*
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against
you intend to dig to receive locates of underground utilities. www.gopherstateonecaliorg
I hereby acknowledge that this information is complete and accurate; that the work will be in
Eagan; that I understand this is not a permit, but only an application for a permit, and work is n
with the approved plan in the case of work which requires a review and approval of plans.
x
Applicant's Printed Name Appli
derground utility damage. Cali 48 hours before
rmance wit
art without
and codes of the City of
work will be in accordance