1596 Wexford CirCity of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office We
Permit #:
Permit Fee: /4 7/
Date Received:
Staff\.
2010 RESIDENTIAL BUILDING PERMIT APPLICATION I" / `fig
/V /a /Z)
Date: 10/1112010
Site Address: I I For
Tenant: Suite #:
RESIDENT / OWNER
Name: Van + Sandy Ni ll Phone: ( 12 03
Address / City / Zip: / IJ E� ' Ul) e)(�-C}� C. -6k l
/
Applicant is: ! Owner Contractor
I
TYPE OF WORK
Description of work: i k-' R e kms:. Pw4 l 4 F4.41435
Construction Cost: $ .2.000 Multi -Family Building: (Yes /
o Z.)
CONTRACTOR
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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 bepublic 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.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
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
Eaga 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
accord' nce with the approved plan in the case of work which requires a review and approval of plans.
x
Applicant's Printed Name
x
144 "Oft
Applicant's Signature
Page 1 of 2
9
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
iC Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
. Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
vo
REQUIRED INSPECTIONS
Footings (New Building)
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace: Rough In Air Test Final
Insulation
Meter Size:
Reviewed By: J [�
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final/C.O. Required
Final / No C.O. Required
HVAC
Other:
Pool: Footings Air/Gas Tests `Final
Siding:Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: Footings _ Backfill _ Final
Radon Control
Erosion Control
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
13y
CC 1
Page 2 of 2
PLANNERS aLND"URVYOAS
�rLlUISt
NGINEERI G o,117
N
COMPANY INC /-Sly (,3�rc%�
(, i(L.
1000 EAST 146th STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000
41-4,442.0/
14 -
PE,. SP.
CERTIFICATE OF SURVEY
Legal Description: Lor 34 &acx WEXFORD 2NO AOD/T/Gu;
DAKOTA GDUNTY /AM 2Z�
SCALE : 1• = 30'
(97Z,o )
g72,33 =
q6 4,2,6 =
971, 66 =
g6.4 -,Z5
DENOTES EXISTING ELEVATION
DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
FINISHED GARAGE FLOOR ELEVATION
BASEMENT FLOOR ELEVATION •
TOP OF FOUNDATION ELEVATION
LOWER GARAGE FLOOR ELEVATION
30 FT. FRoNT
SETEACK Ltnr�
<
,-
o • _
L. _i
// 80/5'
8
4/
AD171z6Sf,: 1596 WcxFoRD CltzcLE
P,FJcH MAS ' 5A/J. MH A7 CEA/TEcL io
6Y Lv7s Z7NA/Dz8.
To pz 97/.66
DRA/AO4AJ1'
UT/L/T y EASE EN
M Pk° It7 °
_tom
9\6-
-_‘t->„?‘
\6'
_'
0�\\U_a� of
3.090 J - ---C15 n✓v`
I hereby certify that this is
lana as shown and described
✓UNE , 199¢ •
a true and correct'representation
hereon. As prepared by me this
L
r / Minn. Reg.
of ,a tract r
28"/ day
No. /(2OB5
Wer#ificate af cccu.pauc~
Wit4 af Cfagan
ze*artmeat af letciti* auilocctiDn
T7tis Certefecate issued pursuant to ihe rrequirements of the Uniform Building Code
certifying that ar the time of issuance this srructure was ire compliarece with the variaus
oradinartces of the City regulating building construction or use. For the fo!lowing:
Use Ctissification: SF D"xT Bldg. Permit No. M38
Oocvpancy Type R-3 /M I 7vning Disuia PD Type Conxi. vm
OwoerofBuildiog G•.'+n BPDS• 6:NST• pddass 1704 28M .ST S, rffiJ PRAaM
&rilding Addnss 15% MMM CI-RaE' [.ocality L31 , B ~ , WEMM 2NO
f 1 ~
Daie:
~ Buiidiog Official - -
PaST tN A CONSPICtJOUS PLACE
,
11 . INSPECTION RECURD
~ CITY OF EAGAN PERMITTYPE:
3830 Pilot Knob Road Permit Number. 4~
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: APPLICANT:
~ Ili ~ii.;~i i( K i~l f ili i,l i~•. I
1 1 I ~ ~ F t~' . ~ ~ I ~ ( ~ . i . ~•1 , .
PERM{T Sl3BTYPE: TYPE OF WORK:
INSPECTION .A .
111Ihl1+1i l 1+rl~
~ I! ~ill (1 I 1
t, i~41~r11 I P3 ! i;,1, ;;~tllri!{ I pf H 1 if
f I r~:+! I! t:~~ 1 1 fJrV
1 r9i;k~F 1~~:', „~1 1~l (it~ i•AI; ,uN I~t f~~~
I ~
J
L
- Permit No. Permit Holder Date Telephone #
SNV
, PLUMBING k
. ~
H VAC \ C•c/'~.LLfy" ?1-1 S J`~ ,3lsS- O
' ELECTRI
ELECTRIC
Inspectlon Date Insp. Comments
Footings I .f
Foundation
Framing Tr
Roofing
Rough Plbg. r,G 9
0
Rough Htg.
Isul.
Fireplace
Final Htg.
<Ya/ -
Orsat Test
Final Plbg. vw Plbg. Inspedor - Notify Plumber
Const. Meter
Engr./Pian
81dg. F'rna! 7- y _ 7~
/
Deck Ftg.
Deck Final
Well
Pr. Disp.
9=7-9 .
J~~5993 11 ` / w ~J`?v~
Pepuest Dale . F o. Rou9h-in Inspeclion
Requiretl? ? Ready Now i Nobty Inspector
G ves ? No Wnen Reatly?
I01icensed contractor p owner hereby request inspection of above electrical work at:
JoD Atltlress (Sireet. Box oute No.) Ciry
-5- .
Seclion No. Township m r No. Raige W. Coun~
I'V
OccuOant(PRINT) Phone No.
as
Power Su001ier qtlOress
Elecl Ical Conlrector (COmpany Name) Contraclor's License No.
~ Q 7. 7
Mailmg Atltlress (COnV or pwner Making In allation
2FrJ 7
mm~ori a S~gnamre ~ nvaa i0wner htaxi ns~anabon Pnon Number
\
S7Z- 3~
NESOTA STATE BOAFD OF ELECTFI Y THIS INSPECTION REOUEST WILL NOT
Griggg-MlCway 61dB. - Room 5-173 BE ACCEPTED BY THE STATE BOARO
1821 University Ave.. St. Poul. MN 65104 UNLESS PFOPER MSPECTION FEE IS
Ptwne(61R) 662-OB00 ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION es-o ,
QQ I~ SeeSnsVUC(ions lor compleling this lorm on back af yellow copy.
4 .J J~ "X" Below Work Covered by This Request +1P
ew Rdtl Rep. TypeofBuilding - AppliancesWiretl EquipmentWired
Home Ranqe Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Otner(speciy) Contraclor's Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee S CircuitsiFaeders Fee
Swimming Pool 0 to 200 Amps fD 0 to 100 Amps O
Transformers bove 200 _ Amps Abova-_100 _ Amps
Si9fIS Inspecmr§ Use Only: . TOTAL ~ 8'S o-y
Irtigation eooms i~ C ~OC/lG • 1
Speciallnspection
Alarm/Communication THIS INSTALLATION MAY BE OR D"DISCONNECTEin IF NOT
• Other Fee COMPLETED WITHIN ONT ~
I, the Electrical Inspecror, hereby Rough-in oare -Y
certify that the above inspection has Finai oare • been made. ~7-
OFFICE USE ONLY
This request wid 18 monlhs Irom
Address 1596 wEXFORn CIR.,rY.E Zip 55123
L'ot' •31 Blk I Sub wEXFoxn 2nro
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final gtade (6" from siding)
Permanent steps (garage)
Permanent steps (main entty)
Permanent driveway n
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish 4-
Deck
Piease verify with the builder the removal of roof tesl caps from the plumbing system and the shuFOff of water supply to
the ouLSide lawn faucet before freeze potential exists. Contact engineering division at 651-4645 before working in rightof-way or installing underground sprinkler system. ~
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
J( , PERMIT rIL'O7 S'6'
CI7Y OF EAGAN 7-/-W
3830 Pilot Knob Road PERMIT TYPE: ~ u i ~ n x N ~
Eagan, Minnesota 55123 Permit Number: 0 2 4 0 3 8
(612) 681-4675 Date Issued: 0 7/ 01 / 9 4
SITE ADDRESS:
1596 WExFORD CIR
L07: 31 BLOCK: 1
WEXFORD 2ND
P.I.N.: 10-83851-310-01
DESCRIPTION:
Building--Permit ?ype SF OWG
Building Work Type NEW
UBC pccupancy ~ R-3 M-1
Construction 7ype V-N
2oning ` PD
Building Length 82
~ Building Width ; 32
B,yilding stories j~ 2
<
? -
REMARKS:
PRV S& W PLBR - PARSON PLBG
FEE SUMMARY
vaLuaTioN $181,000
Base Fee $923.00 MISCELLANEOUS $1.828.50
Plan Review $599.95 Total Fee $4,241.95
Surcharge $90.50
SAC $800.00
SAC % 100
SAC Units 1
Subtotal $2,413.45
CONTRACTOR: - applicant - sT. LIC. OWNER:
6EROLD BROS CONST 17582842 0001115 GEROLD BROS CON3T
1704 280TH ST W 1704 280TH ST 5
NEW PRA6UE MN 56071 NEW PRAGUE MN 56071
(612) 758-2842 (612)758-2842
Z 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 ot Eagan Ordinances. ~
~
PLICANT/PERMITEE SIGNATURE ISSUED : SI ATUR
,A .
' ' ~ CITY OF EAGAN
~
3 1994 BUILDING PERMIT APPLICATION
n 681-4675 `
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys ner y
calcs. E~~(~D
COMMERCIAL 2 sets of architectural & structural plan , l,sea afy iq94
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work ~g~Ock~
Site Address:/~'l~~
STREET SUTTE #
Tenant Name: (commercial only)
LOT ~ SLOCK ~ SUBD. P.I.D. #
Descri tion of work:
The applicant is: ? Owner Contractor ? Other (Describe)
Name Phone
Property Lasr FIRST
Owner address
STREET SiE #
City State Zip
Company Phone ~s~- z8y2
Contractor Address License #C?)0tS_ Exp.3t45'-
City > State Zip s'607(
" U
Architect/ Company Phone
Engineer Name Registration #
Address '
,I City State Z9p
Sewer & water licensed plumber A~ - Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ~ o
OFFICE USE ONLY BUILDING PERMIT TYPE
~
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
p 02 SF Dwg. ? 01 4-Plex ? 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.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck 11 20 Public Facility
? 21 Miscellaneous
WORK TYPE
p 31 New ? 33 Alterations ? 35 Tenant Finish O 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) !/N Basement sq. ft. 12y2, MWCC System k
(Allowable) Wy lst F1. sq. ft. z s City Water
UBC Occupancy 2nd F1. sq. ft. J~;z PRV Required _]p
Zoning ~ Sq. Ft. total Booster Pump f-
# of Stories a Footprint Sq. ft. Fire Sprinkler
Length -72 On-site well Census Code c-21
Depth 32, On-site sewage SAC Code o/
Census Bldg -T
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? .Site 0 Footing El Framing Eg Insulation
? Wallboard 0 Final O Draintile ? Fireplace
Permit Fee v.i,ac;d,: g jc'~Oc!:)
Surcharge ~ Pl an Revi ew , G4r.
License 1~ ~ 23,z
MWCC SAC
C i ty SAC
Water Conn.
Water Meter
Acct. Deposit ~2 L/ 2- ~,5 oe /,z
S/W Permit ea C„a
S/W Surcharge _ :;~?os 6 `
Treatment P1. - ~
Road Unit
Park Ded. 1",~l
Trails Oed.
Copi es
Other
Total : ~ S y 7 = s ~ -
~ k5'~= l~~~
SAC Units ~y~ Z c 1'29
CONSUI.TINO iNOINlERS D~ ~RDS.
~Q.QE PLANNEIIS ond IANG fU11YEYORY , qD6/~SZ,D/
NGINEE~iING Sx. z1¢
E COMPANY, INC. '
1000 EAST N81h STREET, BUHNSV4LLE, MINNESOTA 56337 PH 432-3000 ,
Y
CERTIFICATE OF SURVEY
Legal Description: D i ~ NNE~nr~
DENOTES EXIS7fNG ELEVATION
972, o) DENOTES PROPOSED ELEVATION
INDIGATES DIRECTIOPI OF SURFACE DRAINAGF
1372,33 _ = FiNISHED GARAGE FLOOR ELEVA710N
9k4,Z8 a BASEMENT FLOOR ELEVATION •
q77-, 66 m 70P OF FOUNDATION E4BVATION
LOWER (3ARAGE FLOOR ELEVAI'ION
SCALE : 1' - 30' `
2Spo AppR6GS: I596 WEXFoRD CfKCt~
90 F7: FRO+J7 ~ 8E7~1CK Uk~ P;ENcH 1'4Rr-4: SAN. MH A7 CENTWuN
i
I~y g`(tn7S 27MvDZ9.
7opo 971,66
fiN' I
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,
~'N' DR4/nc44E ANo
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I entation of,a~_. trdE
hereby certiEy that thia is a true and correct repres
1anc1 aa ehoWn and d19~ d hereon. As prepa ~ "e~d ~ by me this
il .i4 f r
-,CVv,sev 744¢ :NBVe° 'y°~ t.r.~..~ Minn. Req. No. AD&c:
~
lif CONSUlTINO ENOINEERS
cou PIHNNEfIi ond LqND 3UOVEYOHS GINEERItdG SK.Z,4
i COMPANM, INC.
1000 EAST 1~61h STREET, BUHNSVILLE, MINNESOTA 36377 PM 432 3000 "CERTIFfCATE OF SURVEY
Legal Description: Lor .7i &.oue i wEx'~rORn 2-WD ADD/T/Qt/
~OTA GDUNTS~ /yl/NNESOTA '
(110_0 ) DENOTES EXISTING ELEVATION
' (97Z.o ) DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
972•33 = FINISHED GARAGE FLOOR ELEVATION
_964•28 = BASEMENT FLOOR ELEVATION •
~ 972, 66 = TOp OF FOUNDATION ELEVATION
9-1 'l8 = LOWER GARAGE FLOOR ELEVATION
SCALE : t' - 30' Z
S'~o f1DDRESG: 1596 WEXFoRD 0fzctE
30 F7: FROUT
I& CETB4C1C LfNL` F&4fH MAP.L: 5AAl. MN AT CENJELU+/E
i~
B'I L.075 27Mi07,8.
q Wy/ \
ToP: 971,66
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EAGAN X ERING DEPT
a h
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p
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I hereby certify that this is a true and correct'representation of,a tract r
lanq as shown and described herebn. As prepa ed by me this Z8'o day ?t/~/E r 19~• ,
Minn. Reg. No. Dl6 85
U LOT SURVEY CHECRLIST FOR RESIDENTIAL
~
SDILDING ERMIT APPLICATION
m ~
o U pROPERTY LEGAL: _
~ < m Date of Survey•
DOCUMENT STANDARDS
Q~ ? p • Registered Land Surveyor siqnature and company
mr-~0 0 • Building Permit Applicant
v'? p • Legal description
Q~ ? 0 • Address
f~~~ 0 • North arrow and 3sar scale
9" Q 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
010 p • Directional drainage arrows with slope/gradient 8.
? p • Proposed/existing sewer and water services
0 13 • Street name
0.-0 0 • Driveway
ELEVATION6
Egistina
D, 0 ? • Sewer service
0~ ? 0 • Lot corners
CY D? • Top of curb at the driveway
p~p ? • Elevations of any existing adjacent homes
Proposed ~
p p • Garage floor
21~ ? 0 • First floor
p' ? p • Lowest exposed elevation (walkout/window)
? D • Property corners
C3*~? p • Front and rear of home at the foundation
PONDING AREAB (if appl3cab1e)
D Dr ? • Easement line
0 U' 0 • NwL
? C' ? • HWL
? 0'/ 0 • Pond # designation
0 0K 13 • Emergency Overflow Elevation
DIMEN8ION8
Qi ~ 0 • Lot lines
V? 0 • Right-of-way and street width (to back of curb)
0o' 0 0 • Proposed home dimensions includinq any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
H~? 0 • Show all easements of record and any City utilities within
those easements
6'~ 0 13 • Setbacks of proposed structure and setback of adjacent
/ existing homes
~ D • Retaining w 1 re irements, if any
Reviewed: • 71` 9se
N8 / Da e
October 1992
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CL'EAN OUT ~N~/~949.91
PROPERTY UNg
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• ' •~J~I~O____r 7J~rZ
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'"TOTAL ROOf/CEIlINS 1111ER~....... M 7 s9 fC % "!in
TOTAI EXPOSEO WI?Lt AREA CALCUt.A=IONSs .
Total exPosad vatl Q' 2
ana abcve (loor...,..... s4 ft 4.
' 4) 7ota1 Mal l wTnla+ area: J
~At~sed rq sq ft x. 11w, . ooi ~
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b) Torai door an~ C9
c) Tota) tTtding glgss daor area: ~ i
yiazad...... sq ft _3
Q
sq ft n 'U' d) Total f IreP1aa walI sraa sV rtt xIV'
e) Toial) wa{1 framing araa ~ "Ir" 6
(Average Sq ft x _ '10 ' N
f) Totot t+et wail ana above ~~f~
floor (InsulateA)....... tq ft x'tl" •0y4
9? total rlm Jatst rros....•. . a tQ ft xohl, ol/z."~•
Totai founNtlon f~ . a(Ea (EXP07ed).04 ~
A) Toesl foundaden windar ara..r~~~~~~~~~• ;Q ft X IV,,r - _ ~
i) 7otaT nst foun/atlon • ~(e C] *4 ft x'VI" ~ ' t
*roa abovs
TnrAc cnri t) - 3 a
. . if item R3 ts the saai as. or lass than itam ~i. rou Aave aet tM Intent of .
2 MCAA 1•16008 A aad 0. .
' .
: , , . . .
-
Lb6i28/1994 121 36 FROM,GBC / HERUD ?0 DAN GEROLD P.03
. S ~''J'. . . .
~..>~TDTAL.EXPOSED.1l00F/CEf4lMG
To[a1 exwed .J-~-sq tt
raof/ulltna Orea 4 .
. . . iq Tt x'.V1 ,~•--r~ '~'r~'~ • •
j} ;ntal skyligl~t anr....•••.,~..--- .
k) Teta) root/caittn4 franrin9~s4 f[ x'Vo OZ1~~ ~ 7
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: . raof/cailtn9 ~rsa.......~.~.~.~ 3? -
TOTAI jj thru
N. If total of « Is the sanm as* or less thsn /T. You b+`n Mt the inlant of .
Z ZICAR 1.16008 A atd 0. ' .
, • ALjE11F1AT! !llILDING [MVELORE DiSiBM
To ut111:e tfia totsl snvelape system wethodo the vatues escabllshed 6y t1+e sum
af items it?d 14 si?N11 not be 9reater thsn the swo of items !1 anA #2.
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• th~ t~t I bave wtculated tht "11" faetors ~nd "A" ~tate
1 herebr eart
values heretn and:ibai the Autialnv hero ~easrtbed seets or exceeds the
af i~irmesote fnarnY laAtet+'ation Aet.
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, . -
I t'- . . . ' ' ' ' ' . . . . '
87i01/1994 11,50 FROM 6BC ~ NERUD TD 6814612 P.B2
' '
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R=94% 612 758 4070 07-01-94 11:53AM P002 #1
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TOTNL P.83
R-94Y5 612 758 4070 07-01-94 11:53AM P003 #13
~„@7/B1/1994 06~11 FRO o B . CansL. TO 661 612 P.02
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iOTNL P.82 R-94% 440 7279 07-01-94 08:19AM P002 #t03
L~~ BL arvuseoNLv RECEIPT#: gga~Y~
h
SUBD. RECEIPT DATE: & g
1998 PLUNBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT I@IOB RD
EA6AN, 24N 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? badcflow preventer for underground sprinkler system
-
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Trey 3.00 x =
Hot TublSpa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet `minimum-t 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 X =
Water Softener ' tor existing dwelling 20.00 x =
U.Cd_ $orinklBf ' forQwelling undercnnst. 3 00 =
U.G. Sprinkler ' for existing dwelling 20.00 = Z~
Alterations ' ro existing residence 20.00 =
=
Water Turn Around 20.00
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems) Private Disposal Systems ` Atandonment 20.00 =
STATE SURCHARGE .50
TOTAL o2~.S0
I hereby adcnowledge that I have read this application, state that Me infortnation is mrred, and agree to compty with all applicable City of Eagan ordinances.
It is the appliwnYs responsibility to notify the properly owner that the City of Eagan assumes no liability for any damages caused by the City during its
nortnal operatlonal and maintenance adrvi[ies to the facilities constructed under this pertnft within City propertylright•of-weyleasement.
SITE ADDRESS: I S 7O ~~~D/.YL~2o.f ( p/L . -
OWNER NAME:
INSTALLER NAME: ~Ve- tu N i^ K S 42 C_ TELEPHONE G I~- - YI3' l S g 3
STREET ADDRESS: 6 D~ uo l/7Q l/G( Y hi
CITY: ~edC!r ittz STATE: dIJ/f ZIP:
SIGNATURE OF PERMITfEE
7
JS/FORMS BLDGIPLBG PERMIT (RESIDENTIAL) 1998
p 1 p
':YY:t;:~q+,....~,..~ ,.:•jpw~<..Y:'`(s,?5a,....wR°S.a~'ry~^.ew.o-.`3A615..roy.~'Lyvo- .~~.~~u
~",`4 S.'~ fi e'S ~ . h n,~3 8: ~,u.,y~,,•w~> .,fe
~y,...;,.....n:a~Y.~..~.an...:: .n...,K.a.. ~C.<;„:::.. ' ~:~.;..w`~'~°.. ~ti<h . .w::• v%.~d s.. . »n . ~ e~
.y.~::.5.,0:. . '
:°.i.t.."_'?k`i'A aq.i" >:^.',•'..'~.'.'~i.. .T. . ..,':~Y'~.n,'. x,ix.<:~~ ~
.ez.,~,.:h~:$j'':<.~ g'A;.». :E~:.:.. ~ . ~~:~...:°Ng'.' • . ~a <a:: d:..~:r. a.£.s<.;<:~:~~V i'i:h.¢~a.3 . L ~ ~~.i,c.~. ~~;.'~~~'a,.°". xl~o- ~t t~£ ~ .,E ~~~3~r ` .R>3~. £3
1994 MECHANICAL PERMIT (RESIDENI7AL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675 ,
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNTT.
- - - - - - - - - - - - -
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE F / f Sl
FEES
HVAC: 0-100 M BTLJ $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLET'S (MINIIviUM 1 @ $3.00 EACH) .3 5?, a_D
ADD-ON/REMODEL (ExISTiNG CoNSTRUCTION) $ 20.00
STATE SURCHARGE .50
TOTAL l5r0
srrE aDDxESS: ~~S''9 G G?~q ~ Fm ,ec? GIA2c. (e
OWNER NAME: TELEPHONE zeg;8 7 -d 96 3
INSTALLER: ~8 /~S D•v S' ~~4' cl- ~c1
ADDRESS: . 6d ~S
CTTY: ~o E/ e.gt STATE: ZIP CODE: SW~'!rv
TELEPHONE
SIGNA URE OF P ITTEE
<:,:.?~"~';;~1~~~y9~%''
w.
sT' y s.. - a i~:,~ 'ri~s ax ' °."`!•z$' x$ip y"S„ r~~r3.,v~ re h. r+,~f°;w,"44>&a4~~ z 3~ ~~ae,y.~,~~43 £'~Ec,~': 5 ".~.L'' w~`~ ~~~i£ i~o-~,,.F3&z~i,.'.
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
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 UNTT.
- - - - - - -
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF (:FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF MR ~ FEE.
.
TOTAL $
STTE ADDRESS:
OWNER NAME: TELEPHONE
TENANI' NAME: (IMPROVEMENTS ONLI)
IIVSTALLER:
ADDRESS:
CITI': STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
~----------------i
i F4~c~"~ i
i
Clty of Eapn j Permit# ~ j
,
1 Permk Fee:
3830 Pilot Knob Road c
Eagan MN 55122 ~ oate aeceived: ~ j
Phone: (651) 675-5675 i ~
Fax: (651) 6755694 I Statt: I
I 1
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 61ZIoU Site Address: 1~~l' &'ZXcDtA C:-?ft ~ ^[e'icwt IN Il~ 55i'Z i'
Tenant: Suite
RESIDENT/OWNER Name: 17iill 4 :~+zy,N 0Sh::fi1e_- Phone: V/:hi "HZx-GZE2
AddresslCity/Zip: I Sq6
Applicant is: _ Owner _k_ Contractor
~
TYPE OF WORK Description ofwork: ~~G~ }
Construction Cost: Multi-Family Building: (Yes No ~
CONTRACTOR Name: Cr24-~;~c~ IZJr~t~') ~A3$5-JGAic?1 License#: l16
~
Address: t'"l6q Kl~\ Sk, r~ . Nt:<: Yf~X .(M ~J6 01
City: State: Zip:
Phone: q52 ' 7 SF- Z Contact Person: A -j +Vx U~"u i~i
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
Category Submitted Submitted
(4 Submtssion 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 8 Water Contractor: Phone:
NOTE: Plans antl supporting documenfs that you,submiE are consideretl fo be public information. Portions of
the informatian may, be classifred as non-public-if "you provide specific reasnns that would permit the City to
eonclude,thaf the are trade secrets.s,-, I here6y acknowledge that this infortnation 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, hut only an application for a permit, and work is not to start without a permit; that tbe work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Gv-cG I C1 r J~t~
Applicant's Printed Name AWlicanYs Signature
Page 1 of 3
. . <
w..w.. F. a. a. ~ -w
1994 PLUMBING PERMTT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTI'S ARE REQUIRED FOR EACH UNIT.
- - - - - - - - - - - -
NO. FIXTURES EACH TOTAL
SHOWER 3.00 9
~ WATER CLOSET 3.00 9 3.00
s~ LAVAT RY 3.00 T
KTI'CHEN SINK 3.00
I LAUNDRY TRAY 3.00 /
! HOT TUB/SPA 3.00 ~
WATER HEATER 3.00
~ FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum - 1 3.00
_,-Z:l ROUGH OPENINGS 1.50
1 WATER SOFTENER 5.00
PRIVATE DISP. - Dek.c,y, lic 20.00
U.G. SPRINKI.,ER • nome uneer const. 3.00
ALTERATIONS • to existing 20.00
WATER TURN AROUND 20.00
S7. ~
STATE SURCHARGE .50
TOTAL: O ~
SITE ADDRESS:6 ztj'L ~,L f"`, .Cc/ Gi iQ c!P
OWNER NAME: Ri y1 eS d o sP .V 5a-
INSTALLER: O NS c~-
ADDRESS: Qo ~
CITY:~o.v ad s~c e~r4..t~ STATE:_~~ ZIP CODE: 4rv
T
PHONE (G /2) 3 G y` ~~'8"D,
SI NATURE OF PRMITTEE
a ~~+5 . s 3 1 3 9a ZS~Sk~ f3~t Q. 3~ P 3 i~~ ~ 3s YS~"Y fis4~ 7I' ~'~"x~a'~~2£'Y4 K?pZt a~ r.
t ~.J , S. l€pb4 9~ Rffi<.~.11J.wE::.~~y,^.::!'. ira :.a*.9Y 4i:..L,•y.>t<:Y..~.'w ~ > R... - . Y. . Y..<...~. § ~.S.n ~ a.'..r.~~.~ K~~~~ x~'.,>ho~..ai..6~~e~&.e~.:Y.F.o%xM:'9~S;~,L.',Y;)knsF.°,,3.~(^.",Aw°.'~~
1994 PLUMBING PERMIT (COMMERCIAL)
CI'I'Y OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMIvIERCIAL/INDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UNTT.
_ NEW CONSTRUCTIOIV
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE; $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE $.50 FOR EAC13 $1,000 OF FEE.
MINIMUM FE& $ 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITP. STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
4*
CityofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: 74e'
Permit Fee: (.-e Cp o?
Date Received: / ` 7 - w
Staff: At 4
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6' -VD Site Address: /5-776* tt" 52X (Ord Lo/ %GLS
Tenant: Suite #:
RESIDENT / OWNER
Name: �CJN i G� (b ,0F Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK
Description of work i^P/N26!/Oe D t p 41.114 deo-yr.,
i�
Construction Cost: 7S6s ulti-Family Building: (Yes / No V )
CONTRACTOR
Name: 9'/ T-%:5 ()/7.S4r-c-4L ce-e #: ,2O/'7 /$ 7Y �//'Address: 2 7 4' t44,14312,--7 &i 7 l ✓ City: �s2 34:-
State: /n"Zip: -;?/' 8 Phone: /2 T C cf /80o
Contact: /PAM/1Or04"/�4f/2 Emait 42-16 (5:714 / 1Q
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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 tf you'provide specific reasons that would permit the City #o
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www. gopherstateonecall.orq
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 p
/yij,'z/jAcanVsPrinted Name
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
✓ Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
/Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
re"
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
,Roof: Ice & Water Final
Framing
Fireplace: _Rough In _Air Test
Insulation
Meter Size:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Siding
Reroof
Windows
— Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy ,L3
Code Edition AreS%G 2o17
Zoning
Stories
Square Feet
Length
Width
Final
Reviewed By: / 44 -
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
/ No C.O. Required
HVAC
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
39.7
25.84{
TOTAL # 66.41?
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA107773
Date Issued:10/26/2012
Permit Category:ePermit
Site Address: 1596 Wexford Cir
Lot:031 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-310
Use:
Description:
Sub Type:e - Water Heater
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Renae Freinwald
2200 Hwy 13 W
Burnsville, MN 55337
952-767-1870
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel M Hill
1596 Wexford Cir
Eagan MN 55122--256
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:Building
Permit Number:EA113390
Date Issued:09/04/2013
Permit Category:ePermit
Site Address: 1596 Wexford Cir
Lot:031 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-310
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 .
Elizabeth Hess
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel M Hill
1596 Wexford Cir
Eagan MN 55122--256
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118505
Date Issued:11/01/2013
Permit Category:ePermit
Site Address: 1596 Wexford Cir
Lot:031 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-310
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel M Hill
1596 Wexford Cir
Eagan MN 55122--256
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA119023
Date Issued:11/13/2013
Permit Category:ePermit
Site Address: 1596 Wexford Cir
Lot:031 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-310
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Renae Frienwald
2200 Hwy 13 W
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 -
Daniel M Hill
1596 Wexford Cir
Eagan MN 55122--256
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
From:Genz-Ryan 952+767+1900 04/15/2014 08:18 #161 P.001/009
City of Eaaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
J
RECEIVED
APR 15 2014
Use BLUE or BLACK Ink
For Office Use l
Permit#: (52:)?
Permit Fee: t-17.
Date Received:
Staff:
ceo r (4S-1 D°
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
•
vale. -1 1 ✓ i one Maaress: I .-J ii i-' v v %...,",v`d t ta 1 ' ' Li w unit #:
Resident/
Owner
/
Name: r, k band \4 \ Phone: (05/r . 8- 01 e7
Address /city /zip: Same as Q X V
Applicant is: Owner )( Contractor
Type of Work
Description of work: ReA1Y\O(, M c. i x c-}'\
Construction Cost: Multi -Family Building: (Yes / No )( )
Contractor
1
Company: \h�(c+bp\ ttt>Y1 � n J_ Contact: Yl;rs' o -
O V� 1
Address: Z �� City CJV (( k
State: W1 Zip: 33-1 Phone: 9 5a` 161 -, gt 1
License #: PC 6 y 3 4 3 3 Lead Certificate #: , / A. ) r i
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
tCl�l 1.--1
In the last 12 months,
_No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
v y conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
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.
Exterior work authorized by a building permit issued in accordance With the Minnesota State BuildiCode must be completed within 180
days of permit issua
x o
1'1 I Pe'1-Cr50
Applicant's Printed Name
ant's Signature
CIO
Page 1 of 3
is'Ve tAK
DO NOT WRITE BELOW THIS LINE
j /3Y
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
_ New
_ Addition
XAlteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
r i'T 11- riffm dp&
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
_ Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
___*_ Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Erosion Control
Building Inspector
0
Page 2 of 3
From:Genz-Ryan 952+767+1900 04/15/2014 08:27 #161 P.009/009
Use BLUE or BLACK Ink
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone; (651) 675-5675
Fax: (651) 675-5694
Date: Lk-k5AL\
For Office Use
Permit #:
orl
Permit Fee:
�f
Y O Ur
L//&0
Date Received:
Staff:�S
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address: 1596 WEXFORD CIRCLE
J
Tenant: DAN & SANDY HILL Suite #:
Resident/Owner.
Name: DAN & SANDY HILL
Address / City /zip: SAME AS ABOVE
Phone: 651-528-0187
Contractor
Name: l(15(Di(r.J.kDn
License #: PC643433
Address: 2200 WEST HIGHWAY 13 City: BURNSVILLE
State: MN Zip: 55337 Phone: 952-767-1867
Contact: LONI PETERSON Email: LONIP@GENZRYAN.COM
Type of Work
_ New Replacement Repair _ Rebuild XXXModify Space _ Work in R.O.W.
Description of work: MASTER BATH REMODEL INCLUDING OPENING OUTSIDE WALL FOR SHOWER INSTALLATION
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / — PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures (_ Main / Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround* (includes $5.00 State Surcharge)
`Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)t
TOTAL FEES $ �pO
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
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 rt without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appro al of pla s.
.LONI PETERSON
Applicant's Printed Name
App icant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Staff.
City of Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:,/ 7� )
Permit Fee: / -1
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: f ^ 224 ' 1 Site Address: \39 C Unit #:
• ent/
caner
Name ,--,a _ , -D ,t-1 )1\ Phone: GO— C,AS - 4'79 y
Address / City / Zip: ) 5`-i (e, �rorrk C.._ -\-z\:&
Applicant is: Owner k Contractor
' pe of ork
Description of work:
Construction Cost: 4fire Multi -Family Building: (Yes / No )
Cnfract�r�
Company: �. p.,-,,..4_,,,,,,--\,,, r y&C..J+,=•�v Contact: c Z_N,ci
Address: (9) yoc Co L-.ca,^�,.;.. ` A City: C_s CCS_XY,{,-,-,
State: ).) Zip:: Phone: CVo1 4%mail: ncD ' jC:° - " -0vhCsa-- ,CS
License #: -2-)CS3-11S0 ' Lead Certificate #: jN. Al - ("j)SS-1
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
*NOTES' Plans and su ing doc is that you sub a const red `to le ® a far n t10 a 'ortionsa
the information class on- t # o p ovide specific reasons oul ermit the Cit
conclude th t#they are trade
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x 1 °ery�
Applicant's'Pflited Name
jog( t Pd C "'DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION ,w
Valuation Axe -
Plan Review
(25%_ 100%
Census Code X184
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water
Framing 30 Minutes _
Fireplace: _Rough In _
. Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Final
1 Hour
Air Test
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
It "!
MCES System
SAC Units
City Water
Booster Pump
PRV
fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
X- HVAC _ Gas Service Test Gas Line Air Test
Air/Gas Tests Final
Pool: Footings _
Drain Tile
Siding: _Stucco Lath Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
-73 ?�
9!
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA138485
Date Issued:08/30/2016
Permit Category:ePermit
Site Address: 1596 Wexford Cir
Lot:031 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-310
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Daniel M Hill
1596 Wexford Cir
Eagan MN 55122--256
Versant Plumbing Co
5601 331st Ave NW
Cambridge MN 55008
(763) 238-7403
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA145628
Date Issued:09/18/2017
Permit Category:ePermit
Site Address: 1596 Wexford Cir
Lot:031 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-310
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel M Hill
1596 Wexford Cir
Eagan MN 55122--256
(612) 615-4744
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177949
Date Issued:07/26/2022
Permit Category:ePermit
Site Address: 1596 Wexford Cir
Lot:031 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-310
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 -
Daniel M & Sandra E Hill
1596 Wexford Cir
Eagan MN 55122--256
Ashco Exteriors Inc
11164 Zealand Ave N
Champlin MN 55316
(763) 225-8333
Applicant/Permitee: Signature Issued By: Signature