4278 Wexford Way
B4ol ~ $ ~
i
- GcMi'ca.#e vf CccuPanc~ ,
7liis Certiftcate issreed pursuant to tlu44aitrnuats of the Unifoiln 6.lQing Codr
certifying tliat at tlte tinu of issuance this structurr wcu in compliance with 'the various ,
oidinancts of du City r+eg"g buelding constnation or use. For the following:
um sM& eeffnit No. 95303
O-Wo-r Toe Zm Dburia Bl ryve cong. YM
O.r¦er erauiwisa DA}$?t -sm. Adbas GX16 SwPneT Q aNN s, BLMM ~
Buiidin6 AddRSS427B-L194ii1'n11 V%V Localir~ 90 ti 1 tarm 'm
~ .
Bmldie~ ~Tsi~l
PO6T Ml A CONSPIaIOUS PLACE
r'
p ~ti ? ~6 •
ti
v;ei.•tcficate af cccuvanc~ WU4 of ftegm
as
77iis Certificatt issucd pursuant to thc rrquinnunts of thc Uniform Building Code
t
. ce?tifying that at the timu of issuance this strrrctur+e was in compliance wirh the various oidinances ojthe Ciry rrgulating building constrvction or use. For the following:
uw a.arwafm: SF II,t; eiaE. Ptrmit r?o. _25303
O-V-r'tYne -831'MI zmi amin $a rya cow. VN ~
O.ieer d 8uildimg DAIM P MS _ Aaa-9304 U * n s'°$-orNAM
BuWioa Addi=42XLV319YrI1 V1V I„s1a+ 9~ A1 t.1R4Llr1r~19 'f~r
Darc:
SuM"Offind
P067 IN A CONSPICUOUS PLACE
~
INSPECTION RECORD
CIT'V OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: 0
(612) 681-4675 ~
SITE ADDRESS: APPLICANT:
, ~ ~ . • .
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
i
~ ' ~
~ Permk No. Permk Holdar Date Talsphone #
~ ELECTRIC 00
•PLUMBING
HVAC
MspwHpn nins,.p. Commants
FOOTINGS FOUND FRAMINO
ROOFINCi
ROUGH
PLUABINO -
PLBG
AIR TEST
ROUGH ZrJ„~ /
HEATING a r~
GAS SVC
~ST y.zr.
INSUL
GYPBOARD
FIREPL/1CE
FIREPLACE
AIR TEST
FlNAL PLBG
FlNAL HTG
ORSAT
TEST
BLpG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
t .
DECK FlNAL ~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date issued: F/9c E-It,
(612) 681-4675
SITE ADDRESS: APPLICANT:
i?t xFnran wnY
I I~ . I~~I, f~ f;i, f ! ) !f';t l~i I
PERMIT SUBTYPE: TYPE OF WORK:
tf
INSPECTION .
~ iii~ r~~. . i ~ rar',f
~ ~
Permtt No. Psrmft Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspeedan Dab Irlsp. Commsnb
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
( HEATING
GAS SVC
TEST
( INSUL
( GYP BOARD
I FIREPLACE
I
FIREPLACE
AIR TEST
FINAL PLBG
F1NAL HTG
ORSAT
TEST
I BLDG FINAL
BSMT R.I.
~ I
BSMT FINAL
DECK FTG
DECK FINAI
~
~
- - - - - -J
1 r7oco
o s 5 5 7 5 Fo o a=d $S~- 0-1-1
R uest Dat Frta No Rough-ln In's~ec ~ ReqWreC Inspecti0n Olher Tp~n Roughln
5/ (VOU mu t call in ector when raatly) ~ Raotly Nax ~WII NoLiy Inspeclor
~ Yes ? N. Data Reetl
IA licensed contractor Downer hereby request inspection ot above electrical work at
Job Atltlress lSlreet. Box or Rowe NoJ Ciry ~
7 43
~ ~
Seqion No. TownsM1ip Name or No. Ranga No Count
Occvpanl(P T) Phone N.
-~l.Ce
Power Suppli ~e/ a~ _ Atldress
Eleclncel vactm (COmpany Nem I ConUect Ucense No
IdaJing Atltlross (C rector or Owner Making Ins a alion) '
/ )e ~ /
AulhonzeC Si aWre (COnlraclorl0~ng InstallaUOn) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY TMIS INSPECTION REOUEST WILL NOT
Gdggs-Mldway Bltlg. - Room S-128 I I I I I I I I I I I I BE ACCEPTED BY THE STATE BOARO
1821 Unlveralty Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Pho2ef121542-0800 ENCLOSED.
' EOUEST FOR ELECTRICAL INSPECTION 6 ~
EB-00007-09
See in5tmdmns lor wmplBtinB this lorm on paCk 01 /ellOw [opy. ~41, ~ 9~Q~/
"X" Below Woik Covered by This Request I~'~P
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm./Intlustrial Furnace Other (Specif
Farm Air Condihoner
Olher (specity) Comraclor's Rematlcs
Compute Inspection Fee Below:
k Other Fee # Service Entrance S¢e Fee # Circuiis/Feeders Fee
Swimming Pool 0 to 200 Am s 0 to 100 Am s
Transformers Above 200-Amps ve 100 -Am s
Si nS InspeclorsUSeOnly ~ TOTAL
Irngation Booms 3^~ g ~
Special Ins ection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee ~SQ COMPLETED WITHIN 18 MONT S.
I, ihe Elecirical Inspector, here6y RpOBh-i" oate
ceAity that the above inspection has
been made. F~~a~ Lv?~ ~?e'_ r/
OFFICE USE ONLV
This reQUesl vmd 15 monihs from
Address 4278 WEXFTIHD WAY Zip 5512 3
Lot^ 20 Blk 1 Sub wEMxn zNID
THESE ITEMS WERE ! WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
,
Date: (p 9j~" Yes No Inspector.
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TtaiUwrb damage
Parch ,
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn fauce[ before freeze potential exists.
Contact engineering division at 681-4645 before working in rightrof-way or installing underground sprinkler system. A
Whice • City Copy Yeilow - Resident Copy Pink - Contracror Copy
~ CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 025303
(612) 681-4675 Date Issued: 0 4/ 0 3/ 9 5
SITE ADDRESS:
9278 WEXFORD WAY
LOT: 20 BLOCK: 1
WEXFORD 2ND
P.I.N.: 10-83851-200-01
DESCRIPTION:
Buildinq Permit Type SF DWG
Building Work Type NEW
, UBC Occupancy R-3 M-1
Construction Type V-N
Zoning R-1
Building Length 68
Building Width 34
Building stories 2
Square Feet 1,977
REMARKS:
PRV S& W PLBR - STAR PLBG
FEE SUMMARY:
VALUATION $151,000
Base Fee $618.00 MISCELLANEOUS $1.892-50
Plan Review $531.70 Total Fee $9,167.70
Surcharge $75.50
SAC $850.00
SAC & 100
SAC Units 1
Subtotal $2,275.20
CONTRACTOR: - Applicant - ST. LIC. OWNER:
DAHLE BROTHERS INC 18886866 0001647 DAHLE BROS
9304 LYNDALE AVE S 9304 LYNDALE AVE S
BLOOMINGTON MN 55420 BLOOMINGTON MN 55420
(612) 888-6866 (612)888-6866
I hereby acknowledge that I have read this application and state that the
inform V on is correct and agree to comply with all applicable State oP Mn.
L Stat e and a a rdinances. ~
• ` /.Q~
APPLICANT/ RMITEE SIGNA7URE ISSUE : SIGW/rURE
1NSYECI'IUN KEC;UKll
' CITYOFEAGAN PERMITTYPE: BuILDiNG
3830 Pilot Knob Road Permit Number:
025303
Eagan, Minnesota 55122-1897 Date Issued: 0 4/ 0 3/ 9 5
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 20 BLOCK: 1
4278 WEXFORD WAY DAHLE BROTHERS INC
WEXFORD 2ND (612) 888-6866
PERMIT SUBTYPE: TYPE OF WORK:
SF DW6 NEW
INSPECTION D. . D•
FOOTINGS FOUNDATION
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FTNAL PLBG FINAL
REMARK3: PRV S& W PLBR - STAR PLBG
F ~
~
L
CITY OF EAGAN ~ •
3830 PILOT KNOB RD - 55122 15303 995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 v
New Construetion Reauirements RemodeVReoair Reauirements
? 3 registere0 site surveys ? 2 eopies af plan
? 2 copies of plans (InUude beam 8 window saes; poured Ind. tlesign; etc.) ? 2 alte aurveys (ezterior additions & dedcs)
? 1 energy calculations ? t energy calwlatlona Tor heatad addiGons
? 3 copies ot tree proservation lan R lot plattad after 7l1193
required: _ Yes No
DATE: CONSTRUCTION COST: C? ~ DESCRIPTION OF WORK: LE~~I tiTIZULT~ n~
STREET ADDRESS:
LOT BLOCK I SUBD./P.I.D. wbeFDIZ D L~JR i~DDl~f
PROPERTY Name: "h4t+-Id Phone
OWNER
Street Address-
City: State: Zip:
coNrw?cTOR Company: 0A+IIx (32ot-D. Phone
s. I ~
Street Address: 93u¢ LYrJpiqLE 14v~. License 4-1
City: 8IJ4cM lr3 C,-7T7J jQ State: ~&t Zip• 65 47-0
ARCHITECT/ Company: 5H-MC Phone
ENGINEER
~ Name: Registration
Street Address•
City: State: Zip:
Sewer 8 water licensed plumber: :J (i"IrR R~wM fb1 QLC7r~ Penalty applies when address change and lot
change are requested once permit is issued.
t hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all
applicable State of Minnesota SWtutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY / ~ IG 7.
Certificates of Survey Received Yes C~rO ~'~,Tree Preservation Plan Received Yes No
OFFICE USE ONLY I..,rk,~
r•
~
h
~
BUILDING PERMIT TYPE
a 01 Foundation o 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish
Ak02 SF Owelling ? 07 4-piex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition o 08 8-piex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 = plex ? 15 Deck
WORK TYPE
ffl/- 31 New o 33 Alterations o 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) lrl~ Basement sq. ft. zoy MC/WS System cy-
(Allowable) Main level sq. ft. i,z3 7 City Water -7c-
UBC Occupancy 9-3 . z N-' sq. ft. 9 94P Fire Sprinklered
Zoning P-/ sq. ft. PRV _x_
# of Stories 2 w13s.~r sq. ft. Booster Pump
Length ~3 sq. ft. Census Code. l°/
Depth 3 y Footprint sq. ft. 9 77 SAC Code
a Census Bldg /
-J sn°° z Census Unit /
APPROVALS 41 "ir5
Planning Buiiding Engineering Variance
r
Permit Fee Valuation; $ O°O
Surcharge
Plan Review
License
MGWS SAC dNr sx 7. s=// ;~o~ /
2
CitySAC z~x3a = lo~`/ e'3s y ou
~
Water Conn.
Water Meter
Acct. Deposit
5/W Pertnit /--7,?e
SIW Surcharge Z37 sy ~°Treatment PL l A~`
Road UnR /a e /6
Park Ded.
Trails Ded. 3- f y~
Zy~%~~ . r,vGY -7m
Other y r
Copies 2'` ~ y f L~
<Su~L> =cf/v> -719 XAv
Toral:
%5AC
SAC Units ~
~97- ,qc /30 ~
~ _
r SPERTIFICATE OF SURVEY•
Z"R'
8713 OUPONT"AVENUESOUTH
BLOOMINOTON. MINN. 68420
888-7084
LANOSURVEYORS
o-5 ° ~ 96/S ~ fS,97 - 96/S
m v n ~ ~i1~~YJ ~ . /Yar!
o ~ (D
a
r ~ ,ns ~ a Y ~ _
~E ~ G) 0 ° ~6'~ - - - -(5 ~
Q N (D fL
~
f -5 !D N N O 2
m 'o ~o m
~ c'r < ~ N
r o ~ fi 0 ° w
o a n.-
N ~ 'S 7 ~ W V1 ~
cG fD N O
N d n W Cl ~
' O ~ oi T. ~
7 v 7 m 0
N D M O N ITI ~ .7GIJ J'!~- - "1
~ m n°o ~ T F 0 11
~o
~ o O1•a 4t1 A ~ ~
= a ° f25~s
~~~~a o Zw ~
/
~ ~ m o ~ ~ S ~ ~B 9S6 S I ~ ~
0
ah -5 ~ ~ 0~ ~ 9s6 0~ A9 _ ~ °i/5 N
o. ~ fD o ° °z
C) ~ x~
n ~ ~ ~O w
a~ fa IV N ~km, N w ~
~ a
~ 'li ~ 9 S ? ,67 ~s~ I
.
o ~ (D //.S ~ .
0
-s ~ ~ E A Ca A Nk°'
~ ° REVI,EVUED
gsf(3 v-4 =94/..~G Ll~
sr_
----k`--_.
D ~ ~4yd
Ca~
L-ii
G'O~'f r
L~AG.41V ~1~T IIVEER%ATG flDEpT.
f°~oG°3o~Io (~'E0
We hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any,
thereon and all vIsible encroachments, if.any, fr or on said land.
Dated this 28thday of March ,1995
- - by ( l?
(f inneso cense o. 9018
30/-¢/
LOT BIIRVEY CSECICLIST FOR RESIDENTIAL
BDILDING pERMIT 71PPLICATION ~
PROPERTY L£fiALs
< ~ ~ •
Dat• o! 8urveys _
DOCIIMENT BTANDARna
4 0 • Registered Land Surveyor signature and company
13 • Buiiding Permit Applicant
2,1 0 • Legal description
0 • Address
0 • North arrov and bar acnle
0 D • House type (rambler, walkout, split v/o, split entry,
lookout, etc.)
~ 0 • Directional drainage arrovs with slope/gradient t.
~ 0 Proposed/exictinq sewer and vater aervices
~ 0 • street name
D~ ? D • Drivevay
ELEVATIONB
Lxiatina
[f' ~ 0 • Sewer aervice
iYL ? • Lot corners
~ 0 • Top of curb at the driveway
0 D • Elevations of any existing adjacent homes
proflo9ed
013 D • Garage floor
~D ? • First floor
67/D ~ • Lowest exposed elevation (walkout/window)
n 0 • Property corners
I,~D D • Front and rear of home at the foundation
P_ONDINa 71REA8 fif aflolicablef
~ ~~p • Easement line
0 B~ ~ • NwL
~ • HWL
0 H~~ • Pond N designation
D B~ ? • Fmergency Overflow Elavation
D2lSENBIO1f8
B~D 0 • Lot lines
0 • Riqht-of-way and atreet width (to back of curb)
B' D 0 • Proposed home dimenslonB including any proposed decks,
overhangs qreat4r than 21, porches, etc. (i.o. all
? structures requiring permanent iootings)
20 0 • Show all easemeats of record and any City utilities vithin
those easementa
0`13 13 • Setbacks of proposed structure and setback of adjacent
a 2'~0 ~ existing homes
Retaining wall raqu rements, if any
Rivieved:
Na e / ate
Oetobar 1992
. t 50
•
t6+05.85 MH STA. 17+28.15
10
21 ,o,
S=1+2032 , 19~HY 6, DIP.CL 52 ~RAI/yq~e E
S=o+BO ~
" -
Q
' INV=942.56 INV=940.36 8"x6"TEE 1
CS=953.6 ' ~ . GND.EL.947.70 U
~ =951.4
CS
TNH L.950.54 MH.STA. r92
$"-11 1/4' BENG 1 MH ~ STA. 18+65.02
' 5=0+50 I 8 13.71117
~ ~ INV=938.33I
C5=949.1 8"-11 1/4', 22 1/2' BEND /
~ \ ' I 46.8' i ~S=0+45 5-0+5? /
;NV=937.57 / '
~NV=936.55
4.4 CS=947.5 / CS=946.9 / MH
t~ , 1~ ~ , 08 ~l,li ~ ~1 ~ ~ 19."~~ ij~~'3i
5 1524~
D . .c • ' ~ ~ \ .!il I STA. 8739 S=1+18 IN
,
157_'7 _06- INV=939.91 C
.
CS= 950.6
12 < - ~S+
~ _
ThCE CITY OF EAGAN DOE NOT GUAi'~+EE
TWE ACCURACY OF ILITY LOCATk01~~S ~ \s
AV~D/OR ELEVATIOP! . THIS DATA IS ~ `o ~8=22 1/ZBEND
i INFORi~ATION P POSES ONL~ CAM•D- STAO*5O -
PERSOWS UBIN IT SHOULD VERIFY THE ~ MN ~STA___
/ INFOaj7JIAl'ION i, THESITE. S=1+83 2~6 9-j 25+0i.26 c
/ INV=936.34
~ CS=946.7 8„x8,"EE ; MI
925
~ 8"-22 ' %2' _ 4
15'-1^.COPPER BEND II itiiv-y388:
~ . . MN 'C 51A. 1Utti'd:~J4/
~ 7 5.19 R
8° 45', ~
'O 22 1 j2' S=O
INV=9':
IEXFOR. WAY BE"°S
CS=9z
.
~gEa~
-a84
~tE=~5o- :
~ . _
_ 12_ -
6LUz~. . .
.
9 54. 89 : 951.41 947. 63
, My RE-"-- MH RE=95-i-2fi ~vtFl RE=9$~r-$8-
, 1V 6 LD10 BLD='-:T J ~ 8, BLD12V'
13.00' . 12.90' l 12.80'
1
.........:.....j.... .
s, M.
x, N:
.
12' STM. . ~ PROPOSED GRA
~rSWR: XING
~2 '
~ i-~.• DIP, CL.52
3~ ~ P~~ ~AI~,TER MAIN: ~ -7.5' MIN. C01
~ ; ~'q2Jg ~ : /3gr ~ :
~ . . . . . . SD~ a; P . . . . . . . . . . . . . . . . . . .
vc . . .
13 ~02, g:7
230'-8PVC
...1... ..........I .
: ~
THE CETY OF AGAhI DOES NOT'GUARANTEE ~
i THE F.CCUR CV OF UTIUTY: LOCATIONS i .
AKID/6fi ELE.ATIONS. THIS D'ATA IS FOR
. . .
I .t..........
1 F.~~i;.9AT101~ PURPOSES -':ONLY . Ai . . i
, Pc.FiSQi,,!c' U`.iUG ]T SHOULD :V[R:FY THE
i IK'F0R{!lIA710111 ON THE SITE. : I
i ~
~.....i.... . .
~ . .
. . , m . ~a:.. : m
°rn°:
0).
~ II ~ , II~~ ~ , I 0)
~
- DRHIE BROS. TEL No.612-888-6128 Mar 26.95 17:02 No.006 P.01
' Pod&. F37( NOtB 7672 imFm.zp~ TM 3s3
~
ie C166 ~
lwl
PC7. ~E>'~ `~ws D14r1LF BiPr9.
~
imm. oe~P
:0(vwa: O°~ C]^.~ ?'ysaw
~
, .
~ I
HXTERIOR HNVE[APS qygRAOE•U" COMPUTATION
OWNFK: ~al~po~lbUacnou
SI'Ifi MllR[L4s: 4278 WnCurd way,
00llIRAG7ow l2AIAXiR 3ltlC.
D1i78RL11N& WQRKINO $QUANII FOO'I'AOL+OP BAdI:
1) 10TAL1S7CPQ4liD WAl1.AREA..._.... 706tl.00 p(ta'U° _ 0.11 =r 337~
Z) 'I'OTAI.ROOF/CEQ.INOARIA,.,,_.... _ 12-46.00 aqllzRl" _ 0.026 e~ 32.14
3) TOTiU.67LFO8ED WALL ARAA CAI.(a11A770NS'
Tohl oqroned ryp
tfGMbOV0fl00f.......... p'~l
o) ToW mll windnw erm:
287.I6 aq(ti'U" _OA21 a _ 121A2
DAO fqN:"U" _ OAO,. _ ODO
b) Tolel duor ama......... 37.76 aj fl='U" 021 - 7.93
e)TadetldloE~p~xroc -
DBI- -RYced-........ - dDAD sqftz'U' O.W . 1b.00
_Liumd.... _ 0.011 iq fl s'U' U.00 ~ 0.110
d) ToW fGepYm rvall aree....._.... 0.00 p ft x Rl" -OLO OAO
c) 7bm1 %vll Inmlob eree -
ag 6x"U' OAD = 1995
~ 7bu1 nol wnll "alovu
llaor(1otu4Md)___...,.__ 1995.09 aqhY'U' _ 0.06= 79Ep
X)70ta1 rim jnietue- 316A0 mq ft x'U" 0A7 . 13.04
ToW btWdwibu
sroe (GWnaod) 160A0 sq fi
6) 7bL1 Lquciation
w+6dow4toe 0.110 oqhxRl' _ 0.00- OAO
~ Ta1o1 nal lwadstiw
a.wabwo6nde............. - 160AU aq0:'U' OAR. 12.16
3) 707'A4 a) thm ° L::269.91
tf item I3 6 'ho same w, w leu than Mcm+Fl, Yuu 6ave met Me inknt of2 MCAk 1.16008 AaoA O.
Pup I
DFlHLE BROS. TEL No.612-888-8128 Mar 28,95 17:02 No.006 P.02
1) 'IIDTAL H7(1'dSE33 ROONJ(,;EII.INO Cq[,CULATInN5:
Total ompp,ed
rooUoetlingarea........... . 1276.00 eqh
j) 1bta1 akylight anw. U.W sq ft x"U" 0.00 = OAO
k) Total rooUceling fr6ming `
area (Average 109b)............ 123.60 sy ft x"U" O.Q'i = 3.71
I) Total net insulated
moVuciliag axw 1112.40 ny ft x"U" 0.02 = 2217
4) 1,OI'AI.j) ihro L TS~ i
It totat of #4 is the sanno as, or luss than #21 ynu havc mat the inicnl of 2 M(JAR 1.16008 A aad O. I
I
Al•7Ii1tIVA114 AUILDINO F.NVSIAPL llTSIGN
To utillze the tnw) euvekope ayntnm awthod, the 4alnns eslabllahed by the som of iteeu #3
and #4 shell nat !w greslcr 1Len the sum o[ itorna #1 and ak2,
1) _ _337_48 + 2) 32.14 ~ 369.62
3). _ 2699.1 + 4) 25,96_ ~ 2",86
CERTIFICAT1pN
I hewby corliCy thal l have calculxled thb "IJ" (actors and "R" valucs Lercin aud that iho
boildipg 6crtl descn'bed meefs or eccecds the SW ta of Miofwsnta Rnr.rgy crwaloo
Act.
~~U~e
r~4 1P4- 44.
(t7int mnro) -
~!-r~'-~-- - -
(Date)
Page 2 ~
i
i
I I I i. u I
• .DAHLE BROS. TEL No.612-888-8128 Mar 28,95 17:02 No.006 P.03
F-Im-was
iazo x 1.75 sq ec =
1426 _ x 2.33 sy ft =
1432 z 2.92 wy n ~ -
1438 z 33Q sy ft e_'- -
1444 Y 4.06 aq ri e--
1450 _ x 4.67 syfl ~
1456 x 513 ny [t ]Z~ sidegte 2 z 6b7 sq H- I
1462 x S.B.i sq k~ 19' eidallte x 9.78 cq [t = 13.34
I468 x 6A7 ey ft= ?A• 1240 OctaB^n
: 4AD sq h q I
1474 : 7.(10 sy n A-- 26" z 36" IIlongptad Odabon ` z 6,00 aq [l . I
72" 1/2 K°u°d
2020 Y x_w sq n x 14.11 aq ft = _14.13
2426 : s ai sy n - - -
w 'rornr. 2a~as
= 12 x a.» sq {t = - pQc>xs
2038 . a x 5.00 aq tt = 20.00-
~
?Ad4 x 5$3 aq ry a . 2-6; 6-8 Steel UoOj x]6.67 eq [l =
2030 5 x 6.67 sq ft._ 37 l.5 2-8 z 6-8 S[ce] Daor _1 Y 17.'78 aq tt = 17.78
~ s 730 aq [a _ _ 3-0 i 6-8 Steel Doc~r 20.00 aq h= qpDp
2062 _8 x 8 33 ey [l d 66.64
2068 x 9.19 aq ft - 'lDTAi, d 37.78
7074 x 10A0 W ft _
2420 x 3.00 sy ft ~ I
2726 x 6.00 aq ft = 5-0 s 6-8 Slidmg x 3334 aq R•
2432 x 5.00 ey A= . 6-0 x 6-8 SIIdfng 1 x 40.00 e9 tt° 40.00
2438 --4 x 6.00 eq ft = 24.00 8-0 x 6-8 StidinB x 53.:i4 aq [t -
2444 x 7.00 eq H= 9-0 z 6-8 Sliding i 60.00 eq fl = -
2450 4 x 8.00 sq fi = 32.00 5-0:6-8 Atrlam : 33 i4 eq ft
20.56 2 x 9.00 sqft = 18.OU 3-016-8Atrium x 20A0 sqfl =
2462 4 x 10.00 aqR = qp.Up 6-0x6-8Atrium x qppp aq {t e-- I
2468 x I1.00 6yft 8-0x6-8AVium x 53.34 aq ft a--
2474 z 12IX1 aq fl =
2620 x 3.23 aq lt m 11)TAL o _4UA0
2626 _ Y 433 aq hm_-.
2632 _ x 3.42 xy [t _ - -
26-iR _ x 630 aq fl a2644__ x 7 SB eq It
2b50 _ x 9.67 cq ft
2656 _ x 9.75 ay ft a
2662 _ x 10.ES.9 aq fl . -
7668 _ x 11.92 aq ft =
2674 x 13.00 ey 11 -
3Z32 z 6.67 aq ft = I
32a8 - x 8.00 sq fI
37A4 x 8.75 aq ft = I
3762 x 13A11 sq [I - 76.00 ~
7V1'AI. 259.99
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~J 1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KIYOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AI.SO, FOR TOWNHOMES AND
CONDOS WHEN PERMTI'S ARE REQUIRED FOR EACH UNTI'.
- - - - - - - - -
x NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE ~I2S I~S
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH) 3. 00
ADD-ON/REMODEL (ExISTTivc coNSTxUCrtoN) $ 20.00
STATE SURCHARGE .50
TOTAL 27 <S C.~
SITE ADDRESS: JZ 7Y lA?t kCo rr~ Wa ~,4
O WNER NAME: Oc; k t.e, lg rw5 2,L TELEPHONE 9f'~((
INSTALLER: LA, I,
ADDRESS:_ / d'L 1 i.A-J 1 5.}.
CIT'Y: S Pr V caL, k STATE: Z,IP CODE: 'a
~
4. 2
TELEPHONE#: ~'lD d3t 1
' ~L{
SIG A7I RE OF P MITTEE
C~"C'1'' i7SHOl!tLY
.
;.:$L
.
t<::.....:,:.- _
. . . . .
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.::.,;,..:.::.:.::.....::~:r ;;,:;..,>.M,:.:.,.., a. .
1994 MECHANICAL PERMTT (COMMERCIAL)
CI'TY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL 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 CdN'I'RAGX' FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF ~'EE221+I1T FEE.
e. . FOT'...i
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLl)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
L BL ~ RECEIPT
SUBD. S~'
DATE:
10
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x ,P,-7
Water Closet 3.00 x , o
Bath Tub 3.00 x ov
DJ
Lavatory 3.00 x L~ 12,
Kitchen Sink 3.00 x 3, 0 0
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x 3, ou
Floor Drain 3.00 x , 69 o
Gas Piping Outlet ' minimum -1 3.00 x 31 Ov
Rough Openings 1.50 x Z? _ Z/. 5-0
Water Softener 5.00 x =
Private Disposal " Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations ' to existin9 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL 00
SITE ADDRESS: 7~ Wc--X
OWNER NAME:
INSTALLER NAME: /'Xi
STREET ADDRESS: ~75~ y~ol~ P~~
CITY: Z-~IG/PvSTATE: ZIP:
PHONE (
Zf(3~~
CITY USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are p.~ required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
APPLICANT CITY OF EAGAN
. , PERMIT 0,eo58a Z/- C/
CITY OF EAGAN 4 7 / 6 v / 9 < , -
3 8 3 0 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permii Number: 027797
(612) 681-4675 Date ISsued: 0 6/ 0 5/ 9 6
SITE ADDRESS:
4278 WEXFORD WAY
LOT: 20 BLOCK: 1
WEXFORD 2N0
P.I.N.: 10-83851-200-01
DESCRIPTION: '
Building~Permit Type DECK
'Building W'ark Type NEW
~ Census Code 434 FlLT. RESIDENTIAL
a f~ ~l
f~
/
1\ ~ ~
' . .
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
Total Fee $45.50
CONTRACTOR: - Applicant - ST. Lzc.OWNER:
ADVANTAGE BLDRS 14880141 2004301 GANNON MIKE
1275 MACKUBIN ST 4278, WEXFORD WAY
ST PAUL MN 55117 EAGAN MN
(612) 488-0141
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to camply with all applicable State of Mn.
~ Statutes and City of Eagan Ordinances.
n
~~r,n `~a~.r~.l
APPLICANT/PERMITEE S NATURE ISSU~E~. SIG TURE
CITY OF EAGAN •~~.'f~ ! i
jtqqqq 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Conslruelion Reauiremenls RemodaVRepair Reauirements
? 3 registered site surveys ? 2 eopies o( plan
? 2 coDies of plans (include beam 8 window sizes; poured fnd. design; etc ) ? 2 site surveys (exterior additions 8 decks)
? 7 energy calculations ? t energy wlculations for heated addilions
? 3 copies of lree preservation plen If lot platled efler 7/7/93
required: _ Yes No
DATE: L: L~ I~L~~ CONSTRUCTIOW COS
r ~ L
DESCRIPTION OF WORK:
i~~'-/ ~
STREET ADDRESS: ~a7,6"' ~-P-n v'd CA yi-q
LOT BLOCK SUBD./P.I.D. 1L22 %K F&CO AjdA'D n
PROPERTY Name: Gic~Ah e n Phone
OWNER
Street Address, `179 ~ ~A~/
City: 2-,~GI62n State: ~ Zip:
coNTw?CroR Company: HC~?i~v~-I-14G z' c," Ick-~ Phone '17~
Street Address: 1~7s ~~Jf~:n SI License #:a oov3 0/.6
City: S'. 819JState: Mq/" Zip:
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address-
City: State: Zip:
Sewer 8 water licensed plumber: . Penalry applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY Iri1G~ r~~~~ ~~D
Certificates of Survey Received _ Yes No iu u
Tree Preservation Plan Received _ Yes No
OFFICE USE ONLY p •r _ - ,
BUILDING PERMIT TYPE ~
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 = plex 9 15 Deck
WORK TYPE
6( 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ` ~4
Depth Footprint sq. ft. SAC Code ~L
Census Bldg
Census Unit ~
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4278 Wexford Way
Lot: 20 Block: 1 Addition: Wexford 2nd
PID:10- 83851- 200 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Repair
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Rainbow Cleaning Restoration
6360 Sunfish Lake Ct
Ramsey MN 55303
(763) 506 -0200
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Michael T Gannon
4278 Wexford Way
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA082464
04/04/2008
ePermit
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
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Use BLUE or BLACK Ink
r
I For Office Use ~j
Permit
City of Ea
~Il
R I Permit Fee: I
3830 Pilot Knob Road l I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone: f~ 1 D 3 /a
Resident/
Owner Address / City / Zip: /%/1/ 3
Applicant is: Owner Contractor
Type of Work Description of work: I Od
Construction Cost: I Multi-Family Building: (Yes / No
~
Company: tj~(r~ aoor Contact:
Address: ` lop! LT 40"-- City: _AVL~ kzc
Contractor 0-01
State: Zip: Phone: o~-
License Lead Certificate
( If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
i
F 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:
I 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
I conclude that the 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.oopherstateonecall.ong
rance ge that this in rmation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
rstand this is n t a permit, but only an application for a permit, and wor k is not to start without a permit; that the work will be in
e approved plan n the case of work which requires a review and approval of plans.
orized by a bu' ding permit issued in accordance with the Minnesota State Building Code must be completed within 180
uance.
x
pl cant's Printed me Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA125768
Date Issued:08/04/2014
Permit Category:ePermit
Site Address: 4278 Wexford Way
Lot:020 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-200
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.
Tony Boerner
2090 County Road 42 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 -
Michael T Gannon
4278 Wexford Way
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA125873
Date Issued:08/06/2014
Permit Category:ePermit
Site Address: 4278 Wexford Way
Lot:020 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-200
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.
Tony Boerner
2090 County Road 42 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 -
Michael T Gannon
4278 Wexford Way
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140113
Date Issued:11/28/2016
Permit Category:ePermit
Site Address: 4278 Wexford Way
Lot:020 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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 (WS &/or WH)$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 -
Michael T Gannon
4278 Wexford Way
Eagan MN 55122
(651) 503-5512
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140113
Date Issued:11/28/2016
Permit Category:ePermit
Site Address: 4278 Wexford Way
Lot:020 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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 (WS &/or WH)$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 -
Michael T Gannon
4278 Wexford Way
Eagan MN 55122
(651) 503-5512
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature