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4275 Wexford Way ~ . ,:---~-r_w-qi-cc•-Ti, ~ .~.r . . ` %erhfica.te vf cccuvanc~ - ~~t~ o f ~agan ~c~arta~cat a f ~r~~xg ~x~ectiax ; ~ This Certiftcatt issued pursuartt to the requirements oJ the Uniform Building Code certifying tlwt at the tinee ojissuance this s'truclurr was in cornpliance with the various ordinances of dre City regalating building eorrstruction or use. For the following: . Use Classifiation: SF DWG/GAR Bldg. Pertna No. 22604 O-xq-r TYm R- 3 M-1 zomna w,a;a R-1 Tyx coiLst. Vn o,,,nwdB,,;ming PARAMOUNT HOMES 1NL' Addmu P 0 BOX 24038. #"LB VALI.EY MN Buib;,,g 4275 WEXFURD WAY L8, bl, WEXFQRD 21~ Dmr- B.. POST IN A CONSPICUOUS PLACE . . . . INSPECTI4N R CORD CIIY OF EAGAN ERMIT TYPE: 3830 Pilot Knob Road ermit Number: Eagan, Minnesota 55123 te Issued: (612) 681-4675 . SITE ADDRESS: 1. APPLIC T: ~ ~ 1,1lL.°, f 11{rll 1•JAY I ,',r;+,ilf~ I ,~f+M; . 1 r}+ PERMIT,PBTYPE: TYPE OF WORK: ~ r~~ . „ i iiiir,l~~r ~ s ,'iM 1 hl~: {'ii~?f 1 P~~~ I 40 f 1A~ i rf 11 I1, - - - .r - - - - - - Permft No. Psrmri Holder Dats Tekphorts t . S/IN ? PLUMBING ~ HVAC fto ELECT ,~do i 9 0 ELECTRI Impeetion Date Msp. Commsft ~ 1 3 Foundation Framing ~ Roofi^g ~v- Rough Prog. BDug, Mg. 's"'. 7 2? ~ Fireplaoe ,Q v S ~v G F`"a' Hi°'" N ~ OrseR TeBt Flnel Plbq. ~bge~Insp la - Notify umber Const. Meter EngrJPlan Bldg. Final ! I Deck Ftg. Deck Final Well Pr. Disp. a-~7-,9y !Q~ r ~s ~ ~r . SEDGWICK HEATING & AIR CONDITIONING CO. HEATING Jog ,,,o 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 TEST RECORD ~ ADDRESS ~ ~Y Ljp->° ~j vi-" CITY LCq9a ?1 ~ OCCUPANT OWNER SOLD 8Y e C~~~ G?~- INSTALLED BY W~ L 41 MAKE LZ'l LAO~ MODEL SERIAL NO. INPUT G O, O DU THERMOSTAT VENT SIZE ~ !1 U eN VALVE I~G C yW Plf TYPE OF LINER LIMIT _ :~:Y}- Ct j ~6j(u-c`1 f S LINER SIZE I LIMR SETTING FILTERS: SIZE )X )l 7.S 4-~ NUMBER ~ ~ FAN SETfING r t"~ WIRING PILOT TYPE F/e c~o~i L TEST TAG IGNITION MODEL 1Ll s UGHTING INST. - - PILOT TIMING ,ro 1 ~ DATE TESTED PflESSURE 3J W L PERCENT COx 7 1/9 O 1 INPUT CFH IU U PERCENT OZ ~ C~PANY TESTING SC C+ G LllI,C o ~ STACK TEMP. 3W,_ PERCENT CO _)O~: NAME OF TESTEFi ~Q VI FORN 235 (REV. 11IEB) FORM DISTRIBIlTION: WHITE COPY - J08 FILE YELLOW COPY • CI7V 710915 _ Requas\ Dele Fre N Rouqh-in Inspection NOTICE: Vou Must Call Elactrical Inspector ~ R uiretl'+ II A Rou9h-In InsPection Z s ? N. Is Reqwree I Ylicensed contractor ? owner hereby request inspection of above electrical work at: Job Pdtlress (Street, Box or Rome NaJ Cay 4a-1 ' kk) 2 Seciton No. Township Name or No Range No. Co ly A csr Occu nl (PRIN~ Phana hJO. N Rfill~ } - - 00 Powvr Supplier Atltlress Eladrical Contractor(Company Nama) Conhac~or§ Lmonse No. Mailing AtlEress (Canlrector or Ownar Making Instellatan) Lk-C'7RI R L L Aulhanzetl Signature (COntract ner Making InslalWtion) Phone Number MINNESOTA STqTE BOFRD OF ELECTflICITY THIS INSPECTION RE4UEST WILL NOT Grlggs-MlOwey Bltlq. - Room 5-173 BE ACCEPTED BV THE STATE BOARD 1821 Univarsity Ave, St. Paul, MN 55104 UNLESS PROPER MSPECTION FEE IS Phone (612) 602-0800 ENCLOSED /(I/.~~// ? REQUEST FOR ELECTRICAL INSPECTION EBOOOOIDB / / Sea insimctions for completing ihis form on back ol yellow cepy ~ . 70915 ' `X" 8elow Work Covered by This Request , ewAad Rep. - TypeofBwldmg AppliancesWuetl EqmpmentWired Home Range 7emporary Service Duplex Water Heater Electnc Heanng Apt Building Dryer Load Management Comm./Industnal Fumace Other (SpecA ) Farm Air Conditioner Olhar(specity) Contraclor5 Remaeks. Compute Mspection Fee Be/ow: # Other Fee # ServiceEntranceSae Fee # Qrcuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps AOOVe 100 _ Amps SignS Inspeclor5 Use Only. ,Q, TOTAL S~ Irrigation Booms ~ f.~0 Special Inspection v~ Alarm/Communiration THIS INSTALIATION MAY BE ORDEflED D CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M S. ~ I, the Electrical Inspector, hereby AougMin certify that the above inspection has oate ~rj been made. OFFICE USE ONLY This requesl void 18 monlhs Irom M r00"41 a~ Raquest Dale Fire No Rouqhin Inspect~NOTICE: Yo st Call ElecincalOnspeclor RequireG~ A RougRln Inspeaion 4 es ? Na IsuReqmreE IK-licensed contractor ? owner hereby request inspection of above elecirical work at: Job Atltlress (SVee4 Box or Roule Na ) Ciry A r ftN Seclion N. Township Name or No Range No Counly Occupant (PRINT) PhoneNa T N ` - OD PowerSVpplier Atltlress Cd 'rh -FAiZ ST o Elaclrical Con[ractor(COmOany Name) Conhaclor5 Licensa No. CL- MaJing AtlAress ( Gntree r o~Owner~Mycing Instgl~atK) I ` ~ WCX)U N 550 Aulfwnzetl Signatvre (Conlr or/O r akrtg Installation) Ptwire Number 4 -s3s MINNESOTA STATE BOAflO OF ELECTRICITY THIS INSPECiION REOUEST WILL NOT GriggsMlOway Bltlg. - Room 5473 BE ACCEPTED BYTHE STATE BOARD 1821 Unlversity Ave.. St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. //JJJ 9 ~ REQUEST FOR ELECTRICAL INSPECTION 6e~oaoi-os j~ See msimdions lor compleling Ihis form on beck ol yallow copy • s p~ q lol 1 X" Below Work Covered by This Request ew Atld Rep. TypeoiBwlAing AppliancesWUed EquipmentWired Home Range Temporary Service Duplex Water Heater Elearic Heahng Apt Building Dryer Load Mana ement Comm./Industrial Furnace Other (Specily) Farm Air Condiuoner Olhar(spacify) ConVpqor§ Remarks' Compute Inspecfion Fee 6elow: # Other Fee # ServiceEnlranceSrze Fee # Circmts/Feetlars Fee Swimming Pool 0 to 200 Amps Zp 0 to 100 Amps & Transformers Above 200 _ Amps Above 100 _ Amps 9gn5 Inspecmr5 Use Only. _ TOTAL S~ Irriganon Booms ~a ~ oU ~ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE O ISCONNECTED IF NOT Other Fee COMPIETED WITHIN 18 MONT 31. I, the Elecirical Inspector, hereby Rough-in /Zia) L' certify thal the above inspection has Finat ' Oat J G.y. 0 been made. OFFICE USE ONLV TTrs reQuest voia t8 months Irom Address 4275 wExFOxo wAr Zip 55122 Lflt• 4 Blk 1 SUb WEXFORD 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THL TIME OF THE FINAL INSPCCTION. Date: Yes No Inspector: Final grade (6' from siding) Pertnanent steps (garage) 11/1~ Permanent steps (main entry) V/' Permanent driveway _LZ Permanent gas rl~ Sod/Seeded grass TraiUcurb damage ~ Porch ~ Basement finish ~ Deck Please verify with the builder the removal of roof test caps from the piumbing system and the shuboff of water supply to the outside lawn faucet before freeze potential exists. CoNact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~ White • City Copy Yellow - Resident Copy Pink - Contractor Copy SEDGWICK HEATING & AIR CONDITIONING CO. HEATiNG JOBNO 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD VV r Ac4~ ADDRESS `77-~5 CI7Y rr- OCCUPANT OWNER S,t~~A~G2 11 II SOLD BY INSTALLED BY EL4y I~t~( I nl ~ 9'Z~~J p.P MAKE L-c 1~ "V 0~- MODEL r,~3o U N U! oGl In SERIAL NO. ~ I~~~v I n•~~ INPUT H V VENTSIZE THERMOSTAT VALVE TYPE OF LINER V LIMIT ~'V^ ? LINEF SIZE 6 LIMITSEITING L-(SJ FILTERS: SIZE ~;e,', -Z6)k2S%l1MBER FANSETfING p " WIRING ? PILOT TVPE f -.5 ~ 7EST TAG IGNITION MODEL no^cWC ~I J ~ LIGHTING INST. PILOTTIMING 1~ DATETESTED PRESSURE 3 'S, ^ PERCENT COi INPUTCFH I(JG/rvr~ PERCENTOz COMPANYTESTING STACK TEMP. 3~J PERCENT CO NAME OF TESTER K' FORM 2%(REV. 11089) fORM OISTRIBUTION' YMRE COPY -.IDB FILE YELLOW COPY CfP/ PERMIT -/~S CITY OF EAGAN BUIL~ING 3830 Pilot Knob Road PERMIT TYPE: Permit Number: 0 2 2 6 0 4 Eagan, Minnesota 55123 12 / 01 / 9 3 (612) 681-4675 Date Issued: SITEADDRESS: 4275 wexFORO wav S LOl": 8 BLOCK: 1 ~ ~ WEXFORD 2N0 P.I.N.: 10-83851-080-01 1~IIIY' DESCRIPTION: Buh ding.Permit Type SF DWG Building Work Type NEW UBC Occupancy, ~ R-3 M-1 ~ Construction Ty-pe V-N Building Length ~ 82 ~ Building Width 50 . \ i ~ , % i,"~ CV`7%_L1 REMARKS: PRV S& W PLBR - STAR PLBG FEESUMMARY: vaLuATZON $150,ee0 Base Fee $814.50 MISCELLANEOUS $1,744.50 Plan Review $529.43 Total Fee $3,913.43 Surcharge $75.00 SAC $750.00 SAC ~ 100 SAC Units 1 Subtotal $2,168.93 l"QRIYMOOTQT"W9MES I N C 14327900 0002291 P'FiR'RAI'OVNT HOMES INC P 0 BOX 24038 P 0 BOX 24038 APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 432-7900 (612)432-7900 I hereby acknowledge that I have read Chis application and state that the information is correct and agree to comply with all applicable ST.ate of Mn. SE tes and Cit of Eagan Ordinances. / . t APPLICAIQT/PERMITEE SIGNATUFE ISS ED B: SIG ATUAE INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BurLozrvs 3830 Pilot Knob Road Permit Number: 0 2 2 6 0 4 Eagan, Minnesota 55123 Date Issued: 12 / 01 / 9 3 (612) 681-4675 SITE ADDRESS: Lo r: s B L 0 C K: 1 APPLICANT: 4275 WEXFORD WAY PARAMOUNT HOMES INC WEXFORD 2ND (612) 432-7900 PE~MIaAlJBTYPE: TYPE OF WORK: NEw INSPECTION . FOOTINGS FOUNDATION FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINNL PLBG FINAL REMARKS: PRV S& W PLBR - STAR PLBG - ~ I REACTIVATE CITY OF EAGAN { P.ERMIT4 993 BUILDING PERMITAPPLICATION ~~93 681-4675 ri- SINGLE & MULTI-FAMILY~ 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date /4_ 3 Yaluation of work Site Address: STREET SUITE / Tenant Name: (commercial only) IAT BIACK SIIBD.w/.,d P.I.D. A~ Descri tion of work: The applicant is: ? Owner Cantractor ? Other (Describe) Name ~ ~ Phone ' Property LAST FIRST Owner Address STREET S7E k . City State Zip Company Phone Y 32-- 7~4 e5a Contractor Address Pn Zz-!'O.y License # zT1 Exp3- J City State 44.,~ Z i p , rs Company S Phone 2 - -Z6 Architect/ Engineer Name 2k /lJ,a.GlZ L Registration # Address J zS'-[~) City State ~ rr Sewer & water licensed plumber .S&U, ~ G Processing time for sewer & water permits is two days once area has been ap aved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wit all pplicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./LodgingR.~ .0 16-BasemertC'f,inish 0~02 SF Dwg. ? 07 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. O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck 0 20 Public Facility ? 21 Miscellaneous WORK TYPE Id 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V-N Basement sq. ft. MWCC System 1'ES (Allawable) V~-n - lst F1. sq. ft. City Water YOS, UBC Occupancy R_3 M_4 2nd F1. sq. ft. PRV Required y€ S Zoning Sq. Ft. total Booster Pump of Stories Footprint Sq. ft. Fire Sprinkler Length iizr On-site well Census Code oi Depth On-site sewa9e SAC Code o~ I APPROVALS i Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard ? Final O Draintile ? Fireplace Permit Fee v.iuac;on: g ISD, DOp - Surcharge GARAGE, 3ZxZy_~6S Plan Review License zX/2= (48) MWCC SAC City SAC 2 X 6= Q2 Water Conn. ~og X I~= I I~ 328 Water Meter Acct. Deposit z9 ~ S/W Permit 159 2 x IS = , S/W Surcharge Treatment P1. HouS~: Road Unit ~08,3Z(1 Park Ded. Z,o06 XSy = Trails Ded. Copies Other Total: - SAC % 100 SAC Units I Men u e eiq i s, (612) 691-1914•fax fiet-9~88 lAwU SURbEYWtS ENrie'fCRS .....:_-_.~...-.+..:_u......~: .....~...u.... _ w,.: . • ~~~~~~~~r.~~~ w+u ~NU+[ns . LAHOSGME AftOxtECiS 625 lilghway t0 Norlhcoal Bloine, AIN S5134 1(612) 783-1980•Faz 783-1883 CeiUlicale oi Sutvey for. pARAMOUNT NoME.S ~ . Noa r+ 1 ~ \ t 4-~6 ^ I ~ ~h R q ,i°` /'0 ro~1FF`> 22 ?-i C 'G A + ~9 ~ Qo ~v~ 'evo'-~~ tia ~ Or~~ M ~ 0 ~ . o. tiM~ AM~ \ ~ ~ ~ M 4^ 4y~ t9 Q 'v N ~•/J~ / \ 9r 30 o o` a• p~,~ ~ sa 92` ~,h CK. ti• a ~ ~ o <C,~\ 'V ~14 ho w ~c3Tz4~`~7`. tL' 7 w ~ , Vp cA~. h ~ ?~'~d~r~ %1VEERYATG YDEP'E: tvUlk: GviJIf2ALI UR AIUS( VEKiFY AI.L. U1Mf.1NSIUNS ANU URIVE f'$`, ~ ~ lllu Ltl<ktllt:Alt UUkS NUl 1'UItNGttT lU SFIUW EAStMtNI ~`,JOlt~ktt IIIAN IlIU~k S1IUWIJ CNJ tZEClikuLUAFLAT. u " ° ` . 9,0 Denotes Existing Elavatlon eRopo5F _P. tl4U5E.MYA1I9N •~`9a Dertolas Propoend EiavaUon Lowesl Flour" Elevulion: 943•6 Qenolcs Uralnaye dc Ulillly Easement 7op ot Hlock ElavuUUn: S/ ~ ----Danotes Qroiriuya Ftow Ulrectlon panolea Garage Slab fleval(an: ~'Sa•~ -o- I~orwmeni .--cj- t')cnotes 4ttset Ilub BeUrings shown are nssurned I ~o-~ g,~~ocK1 1 wFXFOt2p zND aQOi--~ow j7AKC1"r'A G(XINiT~ MNNESOIA 1 hawy tu l{f y 11la1 ILu wtvgY. P4n o( HPYrI\W61.N111{NrW pY mo of WWor My JOuly'Neiripua vW 11~1 1 um July 11106444nJ l 0.1d 6u.rarw. undsr tl.4 Iorn ol Ilw Suu ol Mlolusuli. OataJ th14ZZ.a k~dry uf '0-'~^S A.G. 'Y18 51 4 F'Ic?lCc~ccEN61 2bR~N ki~h:,3Q 1~! C. ~GA23crs. 6sJ~2CG• ~!v /YS`xB _.1 9oT 93Zf~~.QD • . „ IAT BIIRVEY CHECRLSBT FOR RE6ZDENTIAL -J SIIZLDINCi PERMIT 1?PPLICATION m PROPERTY LE(iAL: 2 ~ Date of 8urvey: 2-3 DOCIIMENT STANDARDB 8' 0 0 • Registered Land Surveyor signature and company Fr'~ 0 0 • Building Permit Applicant ' Er-0 0 • Legal description M--~ • Address fl 0 o • North arrow and bar scale L•T' ~ ~ • House type (rambler, walkout, split v/o, split entry, lookout, etc.) M-10 0 • Directional drainaqe arrows with slope/qradient Y. 0~ 0 0 • Proposed/existing sewer and water services a--O ? • Street name 8`0 ? • Driveway ELEVATIONS Exiatina D • Sewer service 0r ? 0 • Lot corners 0' 00 • Top of curb at the driveway 13 0`0 • Elevations of any existing adjacent homes YroDOSeC 0~? ? • Garage floor ~ ? 0 • First floor O-~? D • Lowest exposed elevation (walkout/window) F ? • Property corners 0 • Front and rear of home at the foundation PONDING AREA3 (if npplicable) 0 0'0 • Easement line 0 6~ ? • rrwL 0 D- ? • HwL 0 C-Y ? • Pond # designation 0 01? • Emergency Overflow Elevation DIMEN6ION6 0'D 0 • Lot lines 0--013 • Right-of-way and street width (to back of curb) O--D ? • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) Er'0 ? • Show all easements of record and any City utilities within those easements ~ 0 ? • Setbacks of proposed structure and setback of adjacent existing homes DEr-b• Retai irements, if any Reviewed: nE .z) Na e / ate October 1992 14750 Galaxie Ave. Suite 104 ' Apple Valley, Minnesota 55124 (612) 432-2044 EXTERIOR EAIELOPE AV-PR?GE "II" COt1'L'UTATION DrArr n~-ER (I-222i Determine working square Pootage of each 1. Total exposecl wz11 area...... (00 so.ft. X .11 2, Total roof/ceiling area...... sa.?t. X. .026 JCZ ~ ' Total exposed wall area above floor. a. Total vrall wir.dow 2sea.. . Z i b. Total door area 'jii6 _ c. Total sliding glass door area........... 1(D d. Total fireplace wall 2rea e. Total wall frami.ng area (average 10%)... 29 D, f. Total net wall area above floor '14. 1$ g. Total rim joist area Z IZ~'i dM ' Tota1 e;mosed foundation are4 = (q ~ h. ?'otal fowzda.tion zaindo:a area............ i. Total r.et foundation area ~above grade... M0 ~ • Detezmine "U;" value of each rrall segnent a. . W) X "Un = 1~•S i I$~ n. N2, a x. "Ull .139 = S,q~lq?. C. x IIUII ,52. = 3°~,52 a. - g njJn (p - e. 'Lr10.q X "U" .096 = 'IZ ,S1bt~ f. .04,9 9. 21 ~ $ X "U" . py! h, r+ y vUii .72 = ~~r i. (,qc9 g "U" ,082 = 1 S, ~ 3. r-r'oTa.i........ 1 ~~`~,N80 If iten #3 is the san:e as, o: less than itart Sl, you have met the intent of S3C 6006 (c) 2. -1- i , _ • j Total exposed roof/ceiiing area = ~ ' Tota7. gross roc°/ceiling area J. Total sl.ylight area . . . . . . . . . . . . . . . . . . k. Total Troof%ceiling framirg area,...... 7,001 (aa 1. Total net insulated roof/ceiling a:ea. I SOS ,%4 Detezmine "U" value !'or each roof/ceiling sepnent J. X nUn k. 7C "II" .024 4 ~ 1. 186,SA X nUu .022 = 39 t$ 4. TOT.U . If total of #4 is the sai*±e as, or less than iE2, you have met the intent oi SBC C096 (c) 1.. ^o utilize the total envelcpe systan method, the values established by the sum af items #3 and #4 shall not be greater than the sum of items #l and #2. 1. + 2. 3. + 4, _ ~ ' • Materials Therrial resistance !'R" - Exterior a-ir........ " i Siditg material...... Sheathing............ Insulation............ Sheetrock............ Interior air......... S1iudY................ lLL1ll.................. Concrete blocks...... ~ -2- . tIS E Y, ,yi...~,. . . . . "l/~ b.. . :.t :><s:x........rw:r.a°i~:..~,. :.~t:'• ..y.~.. .;1 :.;aw..:,<.. °~-.i~i:'::xs;:~.:: :is::~'::;?"1;r:=:~.''~~`.'.~.~~.`•.~,..Jj: . - l' ' ' a _z> - - - - - , ka.. . . , . ~ f7i/Da+. ~ _ t_ z i ~Aii"i' ,......w.r.z . .,<..n.w.xw..~..,x..aau.....v.........., x...~.,<a<s, ...w_.....;'... .................a.,.a„ 1994 PLUMBING PERMTT (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. - - - - - - - - - NO. FIXTURES EACH TOTAL 1 SHOWER 3.00 3'- 0 WATER CLOSET 3.00 [n ~ ! BAT'H TUB 3.00 3 - a LAVATORY 3.00 Cn - ! KITCHEN SINK 3.00 3 LAUNDRY TRAY 3.00 3 HOT TUB/SPA 3.00 ~ WATER HEATER 3.00 3•- / FLOOR DRAIN 3.00 3- ~ GAS PIPING OLTfLET • minimum - 1 3.00 - 73' ROUGH OPENINGS 1.50 ~F- Sa WATER SOFTENER 5.00 PRIVATE DISP. • Dak.Cry. lic. 20.00 U.G. SPRINKI.ER • home under const. 3.00 ALTERATIONS • to aisting 20.00 WATER TURN AROUND 20.00 6 STATE SURCHARGE .50 TOTAI.: 3 ~ • o 0 SITE ADDRESS:__ OWNER NAME:_ INSTALLER: ADDRESS: 'IfL oc-D VQ~cS ~j CITY: A- / d-" ji 4x 4 STATE: ZIP CODE: J-7 a- PHONE 2) _ 44-1- CG _7 34- ~ SIGN TU O PrEIWPTEE k ~5 MV~. ......::.....>.~.y~,.,..,,~w:=r<:,o ,:~,~:::;~•r~' .n ..v.:. i . ~r.. ~ . .....i,:'.~ . . _ . . : . . . _ . •••~.:~::..~..a : ..r. . ..a ~ ~ . . f.~.i\ro.: . a , _ _ . . . . : _o......~...... w... ..r : . ....y.. ...i.:.. . vv..... :_^..s.......n....':.':. . . , s...,. ....,:s...;.,.. ,~1:£'~: €~">i'yi.: . , . . . ~ ..r.:r.>.:::e~_._,...... ...Sz.:._~. ,i_._.Y.rn..x...t.a..a...,_c.e.,•.: ^d.::;<.s.. ...:..,..,<:•:"x`:ito'i ..:j~`.= ~{~7~. ..fi.....y.. ..:..ci... i .a.. . st' ~^t~~si'~ :9E'1:<$t ,~y~•'::I~~~: .iY.J $i~'.. . <.<<. m..:.....<~..4.La~ ::.:~:,::'G~F`'~ ..,...1J ' VLi~.V... . _ . ;;....~.....~......„..v.no_ : ..n...,..:::.. , o ~ ,.Z...a cL..:...,........~.~,. a ~:3:+. . • . . ...i.. ~.w.. f1A'Fµ'.i~..~ <.~'w".~w.cH;•.<.C'C F'JR".`.:~'..kad. 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. _ NEW CONSTRUCfION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEC: 19c OF CONTRACT FEE. STATG SURCHARGE: S.SO FOR EACH $1,000 OF pERMT.T. FEE. A71NIAfUl11 FEE: 5 25.00 CONTRACT PRICE X 1% $ STATESURCHARGE a TOTAL a SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT r . ....'.EM ONLY XECEM # a : . . ~ , DAW ~u~n. ~ , . x~ 1993 MECAANICAL PERMIT (RESIDENTIAL) CTTY OF EAGAN 3830 PIIAT KNOB RD EAGAN NW 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNIT. - - - - - - - - - NEW CON3TRUCfION ADD-ON A/C ADD-ON FURNACE DATE l I /1 1ei y FEES HVAC: 0-100 M BTU 'd'j o ¢jlq g -1d0 $ 24.00 - ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1@$3.00 EACH) r'LcrA Qy ytr F, rc j, to- « ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00 STATE SURCHAF2GE .50 - TOTAL o so SITE ADDRESS:_ 71 1 O WNER NAME: ~iyd~nsv~.r ~mr~~ TELEPHONE 750d INSTALLER: SEDGWICK ADDRESS: HEATINC 6 AIR CONO111QNING Cp, MIMNEAPOIi~g~~ CITY: STATE: ZIP CODE: TELEPHONE r~.~/-`idd0 - SI NATURE OF PER ITT~ ="iY°USE`UNi:Y . . ; . . . . F, . . . . . . . , . : 3 . . : . , . .....<.q.....:::.'}.`.'~e.::...... .....e... . _ , i..nq......x:•', i;.::.."'.~~s:, f~g'.': 'Jx>.:.~~~:a-L~.~. . ~t~ T~ . . . ~ _ : . <;....,:;.'.~.r_:.~:~. .,.,.;-:•a ~ a~..:..o.....:_. ......,..w.t.:'x.:::..µ.. ~w._.,.:r._..w...... ..........,.....,..x.r,....w.»...._::i~:;,>...~.:.....,.:._.~.,;..a..~ 1993 MECHANICAL PERMIT (COMMERCIAL) CT1Y OF EAGAN 3830 PII.OT KNOB RD FAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMIIviERCIAUINDUSTRIAL BUILDINGS. AISO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: CONTRACT PRICE: $ NEW BUILDING INT'ERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF COI~+'TRACT FEE $ PROCESSED PIPI1v'G: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF PEItMi'F FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANTT NAME: (IMPROVEMEN7'S ONLY) _ ~sy -•:HT_ ~7~.~'.~~ WSTALLER: R,w7dsi ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CTI'Y INSPECTOR 2000 BtJILDING PERMIT APPLICATION (RESIDENTIAL),Jj,g- ~s. ~3 157 ~ITY oF EAGAN 3830 PILOT KNOB RD - 55122 657-681-4875 New Contfiuetlon Reaulremenla Remotlel/Reoatr Reauiremerth D J roWslarod Yte wrveys ahowing p. H. of bf, sq. ft. of house 2 copies of plan and gLI roo(etl areaa (20% maxlmum bt eovemae allowetl) 1 set o1 eneryy cdcWaMOns lor heated addiflons > 2 coplea of plans (ahow beam 8 wintlow tlzes; poured Ind. desipn; etc.) 1 Yte wney lor onteAOr oddlNOns R tlecks n 1 set of aneryy oalculaMOns ? J coples ol troe prefervallon plan M lot plaMbd o}ler 7/1/93 ~c C9 ~ DATE: CONSiRUCTION COST: DESCRIPTION OF WORK• e-Z9--,P S7REETADDRESS: C/a / 'y wPY ~t~-~-(YYI w~ ~cl,QAG(!\, LOT: ~ BLOCK: I SUBD./P.I.D. N: Name: Sa v) r~ n Q e, n PcA,Vl Phone N: ~o sl -`/S2 -s91 ~ PROPERTY ta:t Flrar ' OWNER Sheet Address: ~Je-XQC, A w ot CNy fl-t Stafe: Zip: Q ~ Company: . S ~ C~ c Phone 6 ? a 633 / a 3 ~ (area code) CONTRACTOR ' ,f Sheet Address: U ~l )z~ Ji~. Nucense u aoa 3r4q p. C~ City State: ? v// " Zip: ARCHITECT/ ENGINEER Company: Name: Telephone 0: ( ) Sheet Address: ReglsfraNon #1:; CHy Stafe: Zip: Sewerlwater licensed plumber (if installina sawar/water): Phone I hereby acknowtedye lhat I have read fhis applkaffon, alate that 1he Infortnatbn is c nect, and agree comply wNh an a plicable Stote of Mfnnesota Stafufes and City of Eayan Ordinances. Sipnalure of Applicant s~"' ~ OFFICE USE O LY ' I Certificates of Survey Received _ Yes _ No I OCT ~ 4 2000 Tree Preservation Plan Received _ Yes _ No , Not Required ' ~ OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex O 13 16-plex ? 21 Poroh (3-sea.) ? 31 Ext. Alt - Muw ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuRi ? 04 02-plex ? 10 08-plex ? 19 LowerLevel ? 24 StortnDamage ? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement so. ft. . Gpnsus Code (Allowable) Main tem UBC Occupancy _ Zoning _ nP ered MISCELLANEOUS INSPECTIONS ? Stucco/Stone City af Eagan APPROVALS Planning Building Cash Receips •iance Receipt Date 10/4/00 Tiae Printed - 14:23:13 Recaipt Nuober 1104 Permit Fee NILLIpMS FNNILY ROaFIH6 SUrChefg@ 4275 bEXFOR6 F7RY ' Plan Review 9801.2195 3.09 License BP 43137 MC/ES SAC 9001.4085 125.25 Clty SAC BP 43137 Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units I Tatal F'eceipE Rnaunt 128.25 % SAC llser HMCGRfi4 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4275 Wexford Way Lot: 8 Block: 1 Addition: Wexford 2nd PID:10- 83851- 080 -01 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Quesetions regarding electrical permit 952- 445 -2840 Mary Kivi 8910 Wentworth Avenue So ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Elec Owner: Bryan A Sandager 4275 Wexford Way Eagan MN 55122 $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA088332 03/03/2009 ePermit cal Inspector, I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature F'",4 401 .# E AG Aor Office Use ('% '` it i .m PNIermit#: 0,, ...., A .>►► ....0 Permit Fee: ''� /y- REC-irzVr�� c/Date Received: /IV r 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 i`_. (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 f_B 2018 Staff: i bu ilding inspections(a,cityofeagan.com 018 RESIDENTIAL BUILDING PERMIT APPLICATION 41 Date:;. 4 o Site Address: •‹-X 4 F. . .• Unit#: IIMINIMIN OM PM. Name: �� f ae► ! - Phone: bJ j `22/ JSQ,2 idem wn Address/City/Zip: A A e ,, . Q Al I ° Applicant is: Owner t Contractor ) f/ Description of work: �tt' Y)(' — ') C1S)-1� C�t�,G/� Construction Cost: I I .6T..) Multi-Family Building: (Yes /No 4,1/ .( . /7 e Company- ,G 42717 L 5 ee-4 S Contact: SI.' ,fes Address 7t),2, /;,2 ' 5/ Al City: %acCm6L.!) L E State:/i j-_p. Phone:kJ__24 -6 Bail: /2 er-/ 10-7c4117Y'17 1' 17 74 i C 4- f / - _f License#: AP (� 15 Lead Certificate#: 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: 'f f lans=�. ;! ox In. meats�t ok�ate a , �oa of. Po �` t, f,, ay ,' .."> ",,, .. f ' ,. vide - reasons at ... ;,hat **:', a:` �` `„ " 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.citvofeauan.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 damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance 'th 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 s;:I t •ut a py it; that the work will be In accordance with the approved plan in the case of work which requires a review and app o -I of pla / O'Lf t iC. C_ / �/ x / 4.01.4 plicant's Printed Name . plica Vs Si: a e '42.7 s Wz_ -1-4 /919S/ DQ NOT'WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) — Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous — 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New — Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof , Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation 2 Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 11 qo P" - Occupancy TBC.. - I MCES System Plan Review Code Edition in/7 2s>9 s SAC Units (25%_100% )6) Zoning R- ( City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction .. Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) >O Final/No C.O. Required — Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:—Footings_Backfill,Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final — Braced Walls Erosion Control Shower Pan Other: Reviewed By: t b (A-A- WNAC-\ A- , Building Inspector RESIDENTIAL FEES 3 Z .0 9 Base Fee / Surcharge •Af/4 .6- 5 9 r Plan Review MCES SAC 01- jJ/zD 06City SAC D G 'n l Utility Connection Charge SSW Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 For Office Use `%` P:: e: it#: 5-11 v ...• ••.. E AGA N J P `'D.V .0•••=ft...1 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections( citvofeagan.com L 2019 RESIDENTIA L BUILDING PERMIT APPLICATION Date: k"\--i- Site Address: " lZ 1 S �1 P \ \( Unit#: Name: e��e Phone: k Z Z 5°Z1 Rest t! Owner Address/City/Zip: c A) Applicant is: Owner k pp /Contractor Description of work: '(2 V o v V. Typo of Work / Construction Cost: \2\ C' Multi-Family Building:(Yes /No V ) Company: C e�� �`�� C � Contact: \Z \ ct°1 Z C- C©ntractor Address: 6`451( City: c „ c.\ State: ciV\`" Zip: 5S\2,Z_ Phone: 7-16 eV Z yEmail: License#: `6C L3-1 $o`i Lead Certificate#: 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 may be 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.citvofeasaan.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 damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciooherstateonecall.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. Applicant's Printed Name Applicant's Signature cCCY. C A \ PERMIT City of Eagan Permit Type:Building Permit Number:EA158084 Date Issued:09/24/2019 Permit Category:ePermit Site Address: 4275 Wexford Way Lot:008 Block: 001 Addition: Wexford 2nd PID:10-83851-01-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Bryan A Sandager 4275 Wexford Way Eagan MN 55122 Window Outfitters Inc 12605 Creek View Avenue Savage MN 55378 (952) 746-6661 Applicant/Permitee: Signature Issued By: Signature