1605 Wexford CirPERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA127876
Date Issued:10/17/2014
Permit Category:ePermit
Site Address: 1605 Wexford Cir
Lot:023 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-230
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.
Janel Behrends
122 West 3rd S
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 -
David A Schroeder
1605 Wexford Cir
Eagan MN 55122
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
INSPECTIDN RECURD
~
CIT'Y OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
JI005
PERMIT SUBTYPE: TYPE OF WORK:
, J, i,
INSPECTION .
L~
Permit No. Pertnlt Holder Date Telephone # ~I
S/W
PLUMBING
HVAC 3 a~'
ELECTRI
ELECTRIC
Inspection Dete Insp. CommeMs
Footings I ~ f ~
Foundetion
rv
Framing yZ-L '
Rooring T 9 y4l
Rough Plbg
Rough Htg. ~ .qj.;l q4
Isul.
Freplace
Fnal Htg.
i
Orsat Test
Fmel Plbg. Plbg. Inspector - Notity Plumber
W
Const. Meter
Engr./Pian
Bldg. Final
Deck Ftg. L7~f ~
Dedc Final
Well
Pr. Disp.
~-~'pz 7~% v ~ ~~,~/.v ~~`?S/ ~ 2 '
INSPECTIDN RECaRD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: ~ ~ ' ~ ~ •
(612) 681-4675
SITE ADDRESS: APPLICANT:
, +al k(~itf'tt! 1'iN I it If Nl I. IN l
tf i i:~ ~i fd~. ~ _ ~ •
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
L~ J
Permit No. ParmR Hoider Dete Telephone #
ELECTRIC
PLUMBING
HVAC
Inapectlon Date Insp. Comments
FOOTiNGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
OECK FfG
DECK FINAI
~ • r j _ ~ ~
/
wertificate of cccoancv
Wit4 of ~agan
Tepsrtareat oi 13miibncg ~a~~crtion
Thfs Certiftcate issued pursuant to the requiremeRts of the Uniform Buildrng Code
certifying that at the trme of issuance this structure was in compliance wirh the vcrrinus
orrlinances of the City regula[ing building construction or use. For the following:
Uu Classificatioo: qF DE BWg. Permit No. 22458
Ocaqpancy 7ype R3A11 Zoning Distria R i Type Const. VN
o-nLrar s,,;w;ng c10UBM CIIY OCtIST. Aamess 6970 15 I ST ST, APPIE VALTLY
eWwi,g 1605 G1E34'QM r,.'IRCi.E tocaiiry L23. B1, W@F[1RD 9ND
n,«: MAI` 17, 1994
8uilding OfFww
PosT iN a coNSPicuous Pu+cE
M12JJ~p'1~ , ,?f,~J ~ /i
Repuest Date N0. h-In InpseCibn RequireE InsDecfion O[~er Tha augM1-In
V. m cell ins0eclorwhen ready) ~ RBatly Now Will NotiFj Inspector
y Yes ? No Uate PeaOy
I)Aicensed contractor L) owner hereby request inspection of above electrical work aC . Jab Adtlress (SVgeL Box or Route No.) Cily
DS
Sedron No. Township Name ar Na. qange No. County
Occupant(PFINT) one No.
Power 5 Iler Atltlrass '
ri% tre- w ~Elecir¢al nlracmr IGOmpaoy Name) ' ( Conlractor ense No.
Mailing Atleress IGOn ador or Owner Making Installation7
Aufiori 0 Si5^ature IConhai Makinq Install on~ . Phone Numbe~ ~ /n
M1 ~ ((t! 3w
MINNESOTA STATE 80AR0 OF ELECTPICITV THIS INSPECTION flEOUEST WILL NOT GHgga-Mlpway BIUg. - Raam S173 BE ACCEPTED BV THE STATE BOAFD 1811 University Ave., 51. Paul. MN 551DA UNLE55 PROPER INSPECTION FEE IS
Phone (612) 602-0800 ENGLOSEO.
REQUEST FOR ELECTRICAL INSPECTION e~ 03000
.cli0fi5 for campleting this lorm on Oack ot yellow mpg
?
$ge rrsim
~ 12335 •X" Below Work Covered b This ReQuest
7idd" ep. TypeaiBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Loed Management
Comm./Industrial Furnace Other (5pecdy)
Farm Air Conditioner
OMer (specity) Contracbfs RemaMS:
Compute /nspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps ~ 0 to 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs inwecto.'suseonry: ~TO7A~
Irrigation Booms
Speciallnspection v
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPIETED WITHIN 18 THS. P
the Elechical inspector, hereby AO°g~-in
certity that the above inspection has Final J ( Oa~e
been made.
OFFlCE USE ONLY
Thls repuest voi0 18 monlhs Irom
Addtess I605 wEXFb1M crttaE Zip 55123
I,ot ' "23 Blk t Sub wEMRn 2m
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: Yes No Inspector:
Final grade (6" from siding) r/
Permanent steps (garage)
Permanent steps (main entry) ~ 4W
Permanent driveway f
Permanent gas ~
Sod/Seeded gass v`
TraiUcurb damage
Porch
Basement finish
Deck
Please verify wi[h the builder the removal of roof test caps from the plumbing system and the shut-off of water supply ro
the outside lawn faucet before freeze potendal exists. -
Contad engineering division at 681-4645 before working in rightof-way or installing undergroundsprinkler system. ~
White - City Copy Yellow • Resident Copy Pink - Contractor Copy
R - 90.00 ass'~'6
F I
~ Permit#:
City of ~~~~Il ' 89aa 9 ;
3830 Pllot Knob Road Permit Fee: I
I i
Eagan MN 55122 j oate aecetved' ~
Phone: (651) 6755675 i ~ ~
Fax: (651) 675-5694 I Staff~ ~
1 J
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4 z0/O 1 Site Address: ~F_Kr-orz a
Tenant: SuRe
RESIDENTlOWNER Name: l~Avi n` Mh2+D iaA r 4~- OrrL phane: 10S) ~qs;a -IIyS
Address / City / Zip:
Applicant is: _ Owner Contractor
TYPE OF WORK Description of work: _FI~AiZ G~i=F E ( ~200~7_
3'j (p(o ~
Construction Cast 1~ 5_2'z;z , oD Multi-Family Building: (Yes No Zi
CONTRACTOR Name:~~:A~1f~12(;UPr2D License#:L~A
Address: `~J ~8 HE M oe(AL Y[ V~ N
City: 4t :NQAe~c State: Cn~ Zip: ~"~D rA
Phone: Contact Person: Q. (e~Q
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Vemilation Catagory 1 Worksheet • New Energy Code Warksheet
CBfBgOfy Submitted Submitted
N SubmisSion type) • Energy Envelope Calculations Su6mitled
In the last 12 months, has the City of Eagan Issued a permit }or a slmllar plan based on a master planl
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone•
MechaNcal Contractor Phone:
Sewer 6 Water Contractor: Phone:
,
8..
s, ~ r . . . F - , .
k-g.
. u.
s? ~
3
I hereby acknowledge ihat this information is complete antl accurate; Ihat the work will be in conformance with [he ortllnances%and cotles of the City of
Eagan; fhat I understand this is not e pertni4 6ut only an application for a permit, and work is not to start withaut a permk; that ihe vrork will be in
accordance with ihe approved plan in the case of work which requires a revlew and approval of plans. '
x'" ICG1 M IL-) u CA ~'}'1 .
Applicant's Pnnied Name x
- - AppllcanYs Signeture
Page 1 of 3
PERMIT rp- ~y'6
~ CITY OF EAGAN ri_ ~ / N ~
3830 Pilot Knob Road PERMIT TYPE: Permit Number: 022958
Eagan, Minnesota 55123
(612) 681-4675 Date Issued: 0 2/2 3/9 4
SITE ADDRESS:
1605 WEXFORD CIR
LOT: 23 BLOCK: 1
WEXFORD 2ND
P.I.N.: 10-83851-236-81
DESCRIPTION:
Bp"Ilding',Permit Type SF DWG
iuildinq Wojr!< l'ype NEW
("U6C pccup:ancy~ R-3 M-1
~ Constructian Tp~3,e V-N
Zoning Buikding 4ength R-1 68
i Building Width ~ 61
Builtlzng stories 2
REMARKS:
PRV 5& W PIBR - 5TAR PLBG
FEE SUMMARY:
VALUATION $153,000
Base Fee $825.00 MTSCELLANEOUS $1,828.50
Plan Review $536.25 Total Fee $4.066.25
Surcharge $76.50
sar. $800.00
sac % iee
SAC Units 1
Subtotal $2,237.75
CONTRACTOR: - APplicant - ST. LIC. OWNER:
COLLEGE CITY CONSTRUCTION 14311211 0001209 CULLEGE CI7Y CONST
6970 151ST 5T 6970 151ST 57
APPLE VALIFY hIN 55124 APPLE VALIEY MN 55124
(612) 431-1211 (612)431-1211
T hereby acknowledge that T have read thiis appliestinn and state that the
informaYion is c rrec,T.. anci agree tn r.omply with all anplicabl.e state of MIn.
Statut s ancl Ci of Eagan Ordinances.
APF I ANT/PERMI7EE SIGNA7URE -4SSUED e: 51 NATUR
REALTIYATE _ CITY OF EAGAN . U2 1_1.,
PE'w~tlT t1995- BUILDING PERMiT APPLICATIO i~
'q4 681-4675 / FEB 14 1994 ~
r.:l,
• ~?SINGLE 3 MULTI-FAMILY 2 sets of plans, 3 registered site surveys,il copy of e'~' gy
calcs. ,
COMMERCIAL 2 sets of architectural 5 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month•
in which request is made, 2) address is changed or 3) lot change i,s requested once permit
is issued.
Date 2 /14-/ _s ! Yaluation of vork S172,500. _
Site Address: 1605 weXfora Circle, Eagan
sraeer suITF r
Tenant Name: (cortmercial only)
23 1 SUBD. Wexford-~°'2nd P.I.D. N
t,oT ai.ocx °F-~~~^`~'-~- IU-b,5I-~30-ClI
Descri tion of work:
The applicant is: ? Owne Contracto ? Other (Dascribe)
Name Phone
Property LAST FIRST
Owner qddress
STREET iTE Y
City State ZiP
Company c^llPg C'r3c_,r ~ +•c,~ Phone 4,31-191 1
/
COI1tYaCtOr Address 6e70 isisr ar a+ License #j,mq Exp.a~~„ ;T.9 T
City Apple Valley Stdte rN - Zip sstza
Company Phone
Arch(tecU
Engtneer Name Registration #
Address
City State ZiP
Sewer 6 water licensed plumber ,STP':L ~~w^'~~w~O ~ 3~2`i • Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read th bl
aeiState^ofnMinnesotahStatutesnand Litynofs
correct and agree to comply with alt applic
Eagan Ordinances.
5lgnature of Applicant:
OFFICE U5E ONLY
BUILDING PERMIT TYPE f .
? 01 Foundation ? 06 Duplex O 11 Apt./Lodging lb}Basement Finish
~ 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool
? 03 SF Addition ? OB B-Plex ? 13 Garage/Accessory O 18 Coam./Ind.
O 04 SF Porch 0 09 12-P1ex ? 14 Firep7ace - 13 19 Corem./Ind. Misc.
L! 05 SF Misc. ? 10 Multi. Add"l. ? 15 Deck O 20 Public Facility
O 21 Miscellaneous
WORK TYPE
p 31 New O 33 Alterations ? 35 Tenant finish CI 37 Demolish
? 32 Addition ? 34 Repair 0 36 Move
GENERAL INFORMATION
Const. (Actual) Vl/ Basement sq. ft. /S MWCC System
(Altowable) VAI • lst F1. sq. ft. /57/ City Mater ~
UBC Occupancy i 2nd F1. sq. ft. / 3L PRV Required ~
Ioning Sq. ft. total Booster Pump
Y of Stories z footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code /
Depth On-site sewage SAC Lode D
/
APPROVALS 7.
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS '
[3 Site (B Footing .EI Framing 0 Insulation
O Wallboard 10 Final ? Draintile ? Fireplace
Permit Fee v.i~c;a,: g S3 poo
Surcharge Qs•~.F ~ ~
Plan Review
License z y-t- ~/D MWCC SAC yp
City SAC
Water Conn. 3- yf lPyo,rl~ -
Water Meter
Acct. Deposit lYa ~b,zyD
S/N Permit ~zx~6 = ~pZ
S/W Surcharge ~
Treatment R. Road Unit
Park Ded. 3,9f 1 s z 9p3
Trails Ded.
Copies
Other 2
Total:
SAC Units (o3~xs~ ~ 3y 3Y4I
Surpelvr~~ G'ert~~`"~cat`~
SURVEY FOFI: college City
DESCRiBED AS: Lot 23, Block 1, IfSZFpBp 2ND SDDI'tION, City of Eagan, Dakot3
County, Minnesota and reserving easements of reocrd,
qgJ.9
/'1
. i , . ' ra,o.`5"~, - v \ __y~___._-_ _ _ $~,w/±`~ 1. _ ?
~ / ~ , ~ • f ~
y \
a.~~ S~~ZO~~~~ j~ ~ Qc~~'~
95& $ ~98 ~ \ 'v 958.5 45g Z
. . / ~ ~ 12 Dp
95i
x ~aD q6z.o f'~ /
o~ ~ i
tZ 00 o 2f 2~ 61.~~`"'
33
` ~4-~T #arm" zoo 96i
M pgG 962.4 = Q 959. a/
, •SS ~ $ Z400 : 961.6 ti l~/
e53.2
34a /
as 2z 00 Q 3 /
~O
L O 7"__. SQ. FOO TA GE - 18. 304 t
paLFa oV m U' L,-~:-~,~
~~~1 j. EE
3Y
Z- ®r y EAGaN Eiv mEj~wdDEPT
PROPOSED ELEVATU7N5 BENCNMARK rNH @ WerFord Wat
9, weY Q.a G..
TO(1,0f FdU1Td81fOfn s 962.7 E7ev• 940.32
Garage Floor n %2.3 _ ~
, IAT BIIRVEY CBECRLIBT FOR REBIDENTIAL
BIISLDING ~ LPPI+I TIOH ~
Sj BROPERTY LEQAL=
Dat• of Burvep:
CIIMHNT BTAND MB
P1-~0 D • Reqistered Land Surveyor signature anfl company
rYb D • Building Permit Applicant '
2i0 • Legal description
0 0 • Address
2-1Q 13 • North arrow and bar scale
L•Y~7 (3 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
G3~D ~ • Directional drainage arrows with slope/gradient t.
[3~ 13 0 • Proposed/existfng sewer and water services
H-'~0 • Street name
0~ O ~ • Driveway
ELEVATIONB
Existinq
D C-~0 • Sewer Bervice
Q~0 C) • Lot corners
D" 00 • Tcp of curb at the driveway
2`13 ? • Elevations of any existing adjacent homes
Procoaed .
@' 0 D • Garage floor
0' D D • First floor
0' 0 D • Lowest exposed elevntion (walkout/window)
II'0 D • property corners
E~? ? • Front and rear of bome at the foundation
PONDING AREA3 (if apiplicable)
fl D'~ 0 • Easement line
D IY 0 • 1awL
D 2~' O • xwL
D p-~X • Pond # designation
nV 0 • Emergeney Overflow Elevation
AIMEN6ION8
D 0 • Lot lines
~
~ ~ • Right-of-way an9 street width (to back of curb)
~ D • Proposed home dimensions including any proposed decks,
overhangs qreater than 21, porches, etc. (i.e. all
structures requiring permanent footinqs)
D~ 0 13 • Show all easements of record and any City utilities within
those easements
D-10 D • Setbacks cf proposed structure and setback of adjacent
existing homes D~c 0 • Retainin wal equire ts, if any
Reviewed•
Name / at
CCtober 1992
rUnKSitEers Fon
EztEnion EIIvLLorE ',"MAGE "u° coatrutnrtor1
wExf~~vL v) I~c~~Nrs I'~~~~u
sITE nuUliESS 1~,^D~)
CUHIMCIUR c'olleg i.v onGtn~ tipaUhiE Z( - _ F'IIUIIE 43
Uetermine working square foatage of each.
1. Total exposed Nall area sq. ft. x.il z 337 `
2. 7ota1 roof/ceUing area (~?..ad sq. ft. x.U2G 0 Total exposed xetl area above floor
a. Tota) xall wlndox area
6. lotal door area 3.~
c. Tota) sllding glass dvor area
d. Total fireplace Kall area
e. 1ota) xall ireming eren (everage 111X a[ #.nhvael 3~']_ '
,
f. iotal net rtall area above floor0. .lanQ(n~N?cu•(e)~~-
g. Total r1m ,1oist area
iotal exposed foundaNon area
ft. iotal founciatlvn Nindox area
i. Tdal net faundatlon area e6ove.grade MJ.aaa.Uia
•
determine "U" value of eaeii kall semmp.nt. TFiin ie 1/tt - U.
[t is tbe totnl o[ all ri-velues tor ell. eegmonte o£ Hnll(ndr colltnC~r
including intorior nnd exteriar air Iilm R fnotors. Uivii tbEal o'It
+ 'I itiEo 1 "U".
I'o f,nl Hnll NLidoH Azea e. X"U" tar
lotnl Uoor Area b. 3Cti X"U" J ° S~-~' .
Total Sliditig llaor Area C. ~4 X"U" i 6
'I'otnl Firoplace Wnll Arald. X`'1"
1'otal Wnll Framing area e. X"U" a?` k~
(nren n,# sEud)
~,,g6 x „u„
fotal Ilet Wnll Area f. ,
337 x ~~un
fotal flim joist aron. 9•
F'owidativn Hiudox Area. h. . X"U"
I,!t [ound. Area lass X"p"
iludous.,
;
3..(TotM P..TMAP~ Af MP.N".a!!'VA :Ypnlotal " 3 3
If ltem I13 1s the same as, or lessthan item 11. you Iinve met the interit
nf SUC f,0U6(c 2. If noE 7ncluda nnseer.nbove infio AlternnEe Buildtrtr Envolopa I~n~lr
nlou, alth an~rror for celli.ng in ~'49 to aee if average ot botii !.e enmo or less tlinn
ar y.~ atid //2 ebora.
Total exposed roof/ceiling area = aFx-a.
J. Total skylight area
k. Total roof/celling framing area (average 10%)...
1. Total M nsulated roof/ce111 g area...........
( ~ota less J. and k.~
betermine "U" value for each roof/celling segment.
a1 ekylight Area J. x loult~---
tal ceiling framing k, Q x"U" ~ "T •
raa.Joist or bohtom eLoid--`-"`-' --=s-~yZ-- •
st iiisulated area X nU" ~ G~, ~ ~f ~~a• ~
q..Total U.paluesi,roof/ceiling..,,Total
i
If total of 04 1s the same as, or less than 12. you have met the intent of
SE3C 6006(c)1.
Alternate Duilding Eovelope Design
To utilize the total envelope system metliod. the values establlshed by the
sum of ltems 13 and 14 shall not be greater than the sum of items 11 and 12.
ximum pennissible
t1l, W3LZ9 I. .F
us ciili.iig °
tal per iLis 3, a 0
)rk-sl~eet. t ¦
If this total is less than the line ahovej.you hava met the intent of 3BC 6006(c)1.
)tet- Averafye "U" is .17 or leas for 1& 2 fnm{ly chtellingsj for azposed xall aurfaces.
.22 vi, lese Sor a71 other buildingss
Average "U" ia .05 Sor ventilated roofa.
.10 for all other conatruction.
el
d
d U
CITY OF EAGAN PERMIT uZ051~7i0
~
3830 Pilot Knob Road PERMIT TYPE: B u I Lo z NG
Eagan, Minnesota 55122-1897 Permit Number: 027179
(612) 681-4675 Date Issued: 0 3 j 2 2/ 9 6
SITE ADDRESS:
1605 WEXFOf2D CIR
LOT: 23 BLOCK: 1
WEXFORD 2Np
P.I.N.: 10-83851-230-01
DESCRIPTION:
(GAS)
• ~µ~~~,t~~,t~ „Permit Type FIREPIACE
~jKjiL!t`Tx'T~S k TYRe NEW
~ Ce rrsu9 GAde 434 FlI.7. RESIDENTSAL
r ~
~
4 P4_
.6gj
rCi N tia ~K1~
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge ,$.56
Total Fee $25.50
CON7RACTOR: - Applicant - sT. LSC.OWNER:
FIRESIDE CORNER ZNC 16331042 0001068 COLLEGE CITY CQNST
2700 N FAIRVTEW AVE 14750 GALAXSE AVE 190
RtlSEVILLE MN 55113 APPLE VALLEY MN 55124
(612) 633-2042 (612)431-1211
, .T he`C~bp +~ek,t~~sWk~sfi'g~~ t~r~t.`S. have r&~"d appikc~tYan ~tl~dt s ta te th.at tfie '
r@io,to CAMply.~i`~M N[n-
~r,clirran ces;.' L
APPLICANT/PERMITEESIGNA7URE ISSUED Y.SI ATU E
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
~ 1895 FIREPLACE PERMIT APPLICATION vL•J
681-4675
DATE: j- 20 - q lc
DESCRiPTiON OF WORK: )C INSTALL Mb( FIREPLACE: _ WOOD BURNING GAS
INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER: -
AREA TO BE INSTALLED IN:
STRFFT A!?IIRESc;.
LOT ~ BLOCK SUBDJP.I.D
APPLICANT: (circle one only) OWNER _CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is correct and agree to
comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY Name: C6~Q- L+~~ Phone
I ~1 M61
OWNER
Signature:
Street Address
City: State: ~ Zj~j:
FIREPLACE Company: re5 C Gr) r r- _ Phone
INSTALLER - ~
Signature: '
Street Address: 2-qC?b License #--LC!~
City: State: fYV` Zip•.551 I~
GAS LINE Company: Phone
INSTALLER
Name:
5ignature:
Street Address•
City: State: ZiP:
~ 1-`~ .
OFFICE USE QNLY BUILDING PERMIT TYPE
14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
)K 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. SAC Code
REMARKS: Chimney/flue must be inspected before concealing.
FEES
~ 5U
rCIillli rvc ~
Surcharge _
MS- •
Other tt
Copies
50
Tafal:
II~ 1~
2006 RESIDENTIAL BUILDING rERMuT arrLicaTioN
City Of Eagan ~O
3530 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conswction Reavirements RemodeVReoair Reauiremencs Dtfia lse 6n
3 regislered site surveys showing sq. R o( lot sq. 8. ol house; and all roofed areas 2 wpies ot plan showing foo6ngs, beems, joists C9oi Survey ~ 1,'' N
(20% maximum lotcoverege allowed) 1 sef of Ene~gy CalculaGOns for heated addifwns 5als Repor~;'_Y N
r-~
15oilsReport ifproposedbutdingisYo6eplacedondisturbedsoN isitesurveyforadd'NonsBdecks Treepies~?I~i~ie~{ ^ 'Y ~N,
2copiesafplanshowingbeam&windowsizes;pouredfountldesign,atc. Addttion - indicate'rfon•sAesepticsystem TieePre'sRec red~ + xY _N
1setofEnemyCalculations , OnsileSepGt ysfsm,
3 copies of Tree Preservation Plan i( lol platted aker 711793
RimJoistDetailOplionsselectionsheet (buildings with 3 or less units)
Minnegascornechaniplvenliladonform
~ •
Date r ~ Construcfion Cost ~
Site Address ~ (iJ }P~i`l~)c-6 C Irl IInit/Ste # _
Description ot Work 4- ~ r
~C" N Fireplace(s) 2
Multi-Family Bldg _ Y
~ C
Propertp Owner lc 1^rce Telephone #(6-rj I) L4 s I H5
Contractor
ess ~~/~~~~G ~CCIkG'G? ~C/J;S~6«~!/~~ 'J (~'`f`7 ~J~~O~"i'a./ /7~! /v, City tS~llCt%Gt--e-_
SYate /121) /V/ Zip Telep6one#((57) ~3~• hJ' ~'O
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDIIJG
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 76 ' 2
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code',orksheet
(J submission type) Submitted - Submitted
. Energy Envelope CalculaGons Submitted
In ihe last 12 months, has The City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/Water Controctor Telephone ~
I hereby apply for a Residential Building Perxnit and aclrnowledge that the information is comi ete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan anc the State of MN
Statutes; I understand this is not a permit, but only an application for a perxnit, and work is no to start without a
permit; that the work will he in accordance with the approved plan in the case of work which ree . ires a review and
approval of plans. U n-~oi cl, E. LI R?-m
Applicant's Printed Name ApplicanYs Signature
L o< gL d
/ CITY USE ONLY RECEIPT#: ~G /r
SUBD. RECEIPT DATE: 4114 71,4 7
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for: ~ single family dwellings
. townhomes and condos when permits are required for each unit
. backflaw preventerfor underground sprinkler system
FIXTURES EACH ~ T TAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under wnstrudion 5.00 x =
Water Softener ` for existing dwelling 20.00 x =
U. ~ " for dwelling untler const. 3.00 =
.G. Sprinkler for existing dwelling 20.00
Alterd ions ' w existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' Dak Cty lic. 65.00 =
(new and refurbished systems)
Private Disposal Systems' Abandonment 20.00 =
STATE SURCHARGE .50
TV I AL • ~
I hereby acknowledge that I have read this applicetion, state tha[ the iniortnetion is c»rtect, and egree to eomply wdh all applicable City
of Eagan ordinanoes. It is the applipnPs responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any
damages caused by the Ciry during its normal operational and maintenence aGivities to the facilkies construded under this permk wRhin
City property/right-of-way/eesement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME: GIIVZ-RYAN PLUMBING TELEPHONE 423-1144
STREET ADDRESS: 14745 So Robert Trl
CITy; Rosemount STATE: MN Zip; 55068
l 0` 2
7GS~~ S ATU OF PERMITTEE
OFFICE USE ONLY
ty of Eaaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 1 j
Tenant:
RECEIVED
JAN 1 8 2011
Use BLUE or BLACK In
Permit #: 71 / I
Permit Fee: J
Date Received:
Staff:
2011 MECHANICAL PERMIT APPLICATION
Site Address: .` \ }T , 04"—AU Cj fC=
Suite #:
k
1
J
RESIDENT / OWNER
Name: J Vi;��,T \' ()t\ J( Phone: tgLj1 ' 14 -41145
Address / City / Zip:.A. I% r ...... 7 . 'rliVtihr 5•5,1?-' •5i?-'
CONTRACTOR
IA A
- i u ) I,f'� , ../..ii
Name: ;, )i, •1 � License #: Ji I : . '.1- v.-,
Address: ( ✓ 1\ Wil!i fa‘� f City: \VA \ \,\ li.
State: -1Ar\, Zip: 1--) vl., ) Phone:✓'•� %.1' t 1
Contact: '�X%1'�1;'4C , ;1 r1 i,(J /•IFL Email: • 41 } �:/7 ,/() 4�
�!11111.
TYPE OF WORK
New Replacement Additional Alteration
�� Demolition
Description of work: ! ► 4' ' % ,,,,;.. • 12 i!
RESIDENTIAL
COMMERCIAL
_ New Construction Interior Improvement
PERMIT TYPEFurnace
Air Conditioner
13— Air Exchanger
Install Piping Processed
Gas Exterior HVAC Unit
Pump
Under / Above ground Tank ( Install / _ Remove)
_Heat
Other
_
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbin. Ins. -ctor
RESIDENTIAL FEES:
$55.00 Minimum Add-on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge) 0.--
$5.00 State Surcharge) $S • TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation/removal OR Contract Value $
State Surcharge)
= $
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit Fee = $
Fee requires a $ 5.50 surcharge)
= $
x 1%
Permit Fee
- If the Permit Fee is less than
Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
TOTAL FEE
CALL BEFORE YOU DIG. CaII 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.uopherstateonecall.orst
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 proved plan in the
cacasee�of work which requires a review and approval of • - . r /,
X11(1C '� \r Y;i Y 4 ����,
Applicant's igna e
Applicant's Printed Name
Use BLUE or BLACK Ink
For Office Use
~~L I
City of Wan j Permit I I 1
r(r^~rr I
3830 Pilot Knob Road Permit Fee: V"I.as I
ag q I
Eagan MN 55122 Date Received: T -c 3
Phone: (651) 676-5675
Fax: (651) 675-5694 1
I Staff: I
----------------I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I '
Site Address:
C' r
Unit
Resident/ Name: I I Phone:.m I
Owner j Address / City / Zip:
Applicant is: Owner Contractor
Type of Work !Description of work: I t% r! C c~,
_ v Construction Cost: Multi-Family Building: (Yes /
} i NSvL5')
j Company: Ulle-ftt~ 1YK C Mr Contact: 71 I Pu
qi City:
Contractor Address:/
State: t l I N Zi a
p: 550La-Phone: 60,51" 029"9-3 Q
i
I I License 01%%--~2k;;? Lead Certificate #:NqT- (CSSS;) - I
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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, S of
~ the information may be classified as non-public if you provide specific reasons That would permit the City to
t conclude~that they are tradesecrets.
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.aooherstateonecall ora
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_ la. f /l ~'C4C°~ x
Applicant's Printed Name Appli ant's Signa ure
V
Page 1 of 3
r For Office Use /
+++ 11 �� Permit#:
.0 EAGAN
Permit Fee: c� 0
Date Received:
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff:
buildinoinspections c(Dcitvofeaaan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
5)
Date: r Site Address: 160 [I)e_Kc)eccP C r Unit#:
Name: V�v4'd '"liCi-Ir;dam -Gtt.f[peOg.f. Phone: Act-
ReSidentl
Owner Address/City/Zip: It)e)
MP3 6-.5702,2_
Applicant is: Owner X Contractor /j? SizF/E /
T e of Work Description of work: keret,z 2 If �r►t� i,s I l/®0 c - •
Yp
Construction Cost:icMulti-Family Building: (Yes /No )
Company: Sot vi-CxS T4 1.4....1`.4.069t.0Contact: �
C‘u&.A vs orso lk_
Address: �[ �e �J€_ City: � -�It
Contractor $ Q,,
State:M() Zip: 5'-5113 Phone: 651-336-5211 Email: a.v.0.&Scx�S4'owt•411 ""COS
4+%A.
License#:13C_6 2.7.572a. Lead Certificate#: - 105' 76-R
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: 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 conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaqan.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility d age. 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 conform-• with t'-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 i •'moo start - hout a permit; that the work will be in
accordance with the approved planlain the case of work which requires a review and approv- . pl s.
x b.-' - ,/`'L tAoGPcito
Applica s Printed Name Applies- 'Sig . !re