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4279 Wexford Way ~ i _ Wertificate vf Ccc"anc~ ' WIt4 of Cfagaa ze0arrwatt of IsKilyixg 3xoaHou I 77eis Certificate issued pursuant to thc reqnirrments of the Uniform Building Code li certifying that at tlu tinec of issuancc tleis strticture was in compliance with the various 'i ordinanees of the City regulateng buildireg construction or use. For the following: I ~ u~ ~irwwim- SF DWG/GAR BMg. permii No_ 22978 , p,,,pmcy T", R-3 M-1 z~.;ag Dmia Vn Type CoMt. Vn r owwo(&,;e;,m GEROLD BxOS CONST A46m 1704 280TH S't W_ _ HEV PRAGUE ~ 8,,;lc;,,6 Addrm 4279 WEXFOBD wAY Lci;ry L9, Bl. WEXFORD 2ND ~Gt~•-z~c oaft: MAY 26, 1994 emt onkw POST IN A CONSPICUOUS PIACE I - - - - _ - INSPECTI4N RECORD . `C1TY OF EAGAN PERMIT TYPE: . 3830 Pilot Knob Road Permit Numher: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: 4Z7 °r° • Ii i.lA •r PERMIT SUBTYPE: TYPE OF'WORK: INSPECTION . • Permit No. Permit Mloldsr Dota Talephotn N . S14V . PLUMBING i ~}y C ,3 - $Dl HVAC E~CTRI W54 ELECTRIC kupscUon Dab Nap. Commwft Footings I 2 110 Foundation 3 Franring _ S Roo*9 R-,gh Pr9• ~~7 dJ Raugh Fltq. Isul. }Av c Fi~ep18CB S/ J A,rT.~ G~-L r- 94 -AO RrieJ Fn9. 1C OrsBt Test ~ Rnel Pibg. PIb9• lneQector-No1Hy Plum6er Jv COflSl. M91Br EngrJPlsn Bldg. Final peck Ftg. Deck Finel We1 Pr. Disp. - - ' INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: _ (612) 681-4675 _ I SITEADDRESS: ~ r?t ; tit nr.R ~ i APPLICANT: ' ?.IFxr0Kn wnv ~ ~f I t?F+['t :'Pa~+ i i.' ) ~,s~ I J t I PERMIT4 SUBTYPE: TYPE OF WORK: INSPECTION . r r~r~~ ~r~~;•, i rwni P«,r,n No. P.m,n Haaer oate ra.Pn«,e : ELECTRIC PLUMBING HVAC Inspsetion dah Insp. Commsnts FOOTINGS FOUND FRAMING ROOFING - ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING Gas svc TEST INSUL GYP BOARD FIREPLACE FIREPLACE A1R TEST I FINAL PLBG FI NAL HTG , ORSAT I 7EST i_ i F+.LDG FINAL i GSMT R.I. ~SMT FINAL ~ .tcK FrG ECK fINAI - - - - ' i J 6~25~2~.~i ReQUest Oaia Fne No. RoogM1ln Inpsaction Rapwre~ Inspec0on Othar T~a ~ n O^~ (VOU must Oecior whan reaEy) 0 RgaEy NOw Will NoMy Ivpeclor VO5 ? No Dale fi0atl I icensed contracior ? owner hereby request inspection of above electrical work at: Jo0 Rdtlress tSVeet Box or Roule No t O Qty o? ~ o ,Q •C A Seaion No Townsnip Name or No. Range County `yi a~~E~Ro~,O r~Ros Ce1rsT,pVC-?-7o,APhanaNo Pawe~ ep uer Aaaress ~ 1 ec nwl o c ICOmpa11, nVaclor5 L¢ense No, Co ? CfF O 0 3S~ Maihng re iGOmranor or Owner Making Inslallauonl ~ Au onzea Sgn re IC zracto~bwr M~g Installa;qr ~ one Nv MINNESOTA STATE BOARD OF EIECTHICITY THIS WSPECTION REQUEST WILL NOT Grlggs-Mlaway BlCg. - Room 5-173 BE ACCEPTED BY THE STATE BOAFO 1BI1 Univernity Ave.. St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS PM1Ono(611) 6<Y-OB00 ENCLOSED 3/9/cE' REQUEST FOR ELECTRICAL INSPECTION °so es.oooo,-oe/ 7q~ V See nsU~ctrons Iw wmpletmg this foim on becN ai yellow copy 002512 "X" Below Work Covered by This Request ew Atltl Re , Typeol8mlding ApphancesWired EquipmentWiretl Home Range Temporary Service Duplex Water Heater Electric Heating Apf. Bwlding Dryer Load Menagement Comm./industnai Furnace Other (Specify) Farm Air Contlltioner Omer (sVealV) Contracbr's Femarks. Compufe Inspection Fee Belaw: R Oiher Fee # ServiceEntranceSize Fee # Circuits/Feetlers F e Swimming Pool 0 to 200 Amps 0 to 700 APPS 17 Transformers Above 200 _ Amps Ab ve i Amps ~ $i(]t15 lbspector5 Usa Only: ~ TOTA Irrigauon 6ooms Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORD DDISCONNECTED IF NO Other Fee COMPLETED WITHIN-18 MON S ( I, the Electncal Inspector, hereby Rou9h-in ' J Date 3/&-'7~it` certify that the above inspection has Final been matle OFFICE USE ONLY This repues[ witl 16 monIDS trom AddIeSS 4279 WEXFORD WAY ZiP 5512_ LAt 9 Blk 1 SUb WEXFORD 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 5/26/94 Yes No Inspector. Final grade (6" from siding) Permanent steps (garage) r~ Permanent steps (main entry) Permanent driveway vll~ Permanent gas Sod/Seeded grass TraiUcurb damage ~ Porch ? Basement finish ? Deck ~ Please verify with [he builder the removal of roof test caps from the plumbing system and the shut-oH of water supply ro thc outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righbof•way or installing underground sprinklec system. ~ , Whire - City Copy Yellow - Resident Copy Pink - Contractor Copy , PERMIT Cj~o ~ CITY OF EAGAN ~ 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 022978 (612) 681-4675 Date Issued: 0 2/ 2 3/ 9 4 SITE ADDRESS: 9279 ~ WEXFOl2D WAY LOT: 9 L~I.OCK: 1 ' WEXFORO 2ND P.I.N.: 10-83$51-090-01 DESCRIPTION: Buildinq Permit Type SF DWG Ruildinq Wdrk Type NEW UBC Qccupancy'-, R-3 M-1 i ConStruction iype V-N ~ Loninq ~ PD R-1 tiuildinq Lenqth ~ 61 t3uilding Width ' 41 Buildinq stories 2 ~ .i A"/.. J REMARKS: PRV S& W PLBR - PARSON PLBG FEE SUMMARY: VALUATION $164,000 Base Fee $863.50 MISCELlANEOUS $1,828.50 Plan Review $561.28 Total Fee $4e135.28 Surcharge $82.00 SNf: $800.00 SAC ~ 100 SAC Units 1 Subtotal $2,306.78 CONTRACTOR: - Applicant - ST. LIc. OWNER: GEROLLI BROS CONST 17582842 0001115 GEROlO BRO5 CONST 1704 280TIi ST W 1704 280TH ST W NEW PRpGUE MN 56071 NEW PRAGUE MN 56071 (612) 758-2842 (612)758-2892 I hereby acknowledqe that r havP read this applic.ition and stotc thaT Yhe information ie correct cand aqree t.o comply with all applicnble St:at.e oF Mn Statutes and City of Faoin Ordinances. L . J APPLICANT/PERMITEE SIGNATURE I ISSUED B: S NATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: Bu i Lo z N s 3830 Pilot Knob Road Permit Number: 0 2 2 9 7 8 Eagan, Minnesota 55123 Date Issued: 0 2/ 2 3/ 9 4 (612) 681-4675 SITE ADDRESS: Lo r: s B L 0 C K: I APPLICANT: 4279 WEXFORD WAY GEROLD BROS CONST WEXFORD 2ND (612) 758-2842 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION . D. FOOTINGS FOUNDATION FRAMING ROOFING IINSULATION FIREPLACE ROUfiH IN PLBG ROUGH IN HTG FINAL PLBG FINflL REMARKS: PRV 5& W PLt3R - PARSON PLBG - ~ - ~ r i 1 CITY OF EAGAN ~ 1994 BUILDING PERMIT APPLICATION~3~;~:,,_'~'~` ` j- 681-4675 I' _ r ? SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys,- 1 c- finergy 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 Valuation of work /h~~f Site Address:_ L.LL V STREET ~ ~j SUITE # Tenant Name: (commercial only) LOT '7 BLOCK ~ SUBD. P.I.D. # i + Descri tion of work: 1 ec,'Uc'• "~rt-,. '_L „t ce l~l The applicant is: ? Owner Contractor ? Other (Describe) ~ NameC__::,P.rr~l~i I~abS . ~C.~-S~ Phone 75'~ J~`/Z Property LAST FIRST OwReP Address k--4- S~- C-ti - STREET STE # City ~(~-_L Q.,t- State ~vLti- Zip s~c 7( Company Phone Contractor Address License # CiC-0111 ~ Exp. City State Zip Architect/ Company Phone ~ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber ~~x~_C~-, !~«~:,~Z~•c Processing time for sewer & water permits is two days once area has been a proved. I hereby acknowledge that I have read this apPlication and state that the information is correct and agree to comply~th all applicable State of Minnesota Statutes and City of ELgS"inatureof an Ordinances. Applicant: ` Z~_'Ct'v~ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 foundation O 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish p 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 Flreplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE Rr31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish O 32 Addition 0 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) _i/N Basement sq. ft. MWCC System ~ (Allowable) lst F1. sq, ft. ~z City Water ~ UBC Occupancy ~n((JJ-/ 2nd Fl. sq, ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. fire Sprinkler Length On-site well Census Code Depth y/ On-site sewage SAC Code 0/ APPROVALS eensus Undt Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ?.Site ,0 Footing ~$Framing fzl'Insulation ? Wallboard fR Final 11 Draintile p Fireplace Permit Fee vaiuac;on: d Surcharge Qs,rt~ Ist Plan Review 31/ : g~0 76 z4~j_ z3 = r9J' MWCCnSAC z- = 30 _ l3o,os City SAC 3.13 - 115,S ~28,0-6-- Water Conn. 3 5. 2~ &5 X ~6 Water Meter Acct. Deposit !r) ZSS ~ S/W Permit 3.Sx77-/ ~3,s S/W Surcharge 9X Treatment P1. -r Road Unit Park Ded. TrPils Ded. Z 3 Co ies 2N ~ (P , Other 3 Total: z7,L~,~-z _ t/s,3y SAC % SAC Units 9~y~~ysyz S3 ~iy3~/ OS. CONST. CONftl1.T1.N.O.~NO pl611f N PROBE PIAHNEOi oad 11ND fU8Y6~NGlNEEAING '7 . 76 " COMPANY, INC Tq6[T, lRNSV14L6, MINN650TA 6CERTIFICATE OF SURVEY Legal DescriQtion: LOT 9, BLOCK 1, WCXFDRD ZND AOD/T/ON DA1COTA C1JUAl7Y . M 1A/NESOTA . r (g,19 _o ) DENOTES EXISTIN(3 ELEYATION ( 947 . 2) DENOTES PROPOSED ELEVATION INDiCATES DIRECTION OF 3URFACE DRAINAGE q¢7,50 a FINISHED QARA(3E FLOOR ELEVA710N 3, IL a BASEMENT FLOOR ELEVATION 9471 83 = TOP OF FOUNDATION ELEVATION SCA~ , (fEnK'NA~9RK : TNN AT WEKFOQD WAy ANO WEXfvRp 012C4E ELEi/. = 00. 32 ~ a ~(~Y% ~ FT FRONr 8ul~.D~rIG r~ ~5 6~'•q 9y ~/~~1~ ~p~q 23J6'945~3 SET&4cK LI/JE p•~,~.~''• ~ ~ ~ s J y 50'qq3~ 8r A,'IT' \ 1~~ ~3 A~ M1 i~ I~~yyY/\~ ks~(...~ . EA GAN 1) ~ R$YP•E'llVED iB~?~1'ti'~ N~ ~ • ~ ~ I N \ \ • ` ~Q.~ \ \ ' ?J \ ~ B9 Date ~ EAGA~T E, GIIVEERIN DEFT. ~ ~ .I , G°~o 0 0 n~ G°~D OR4 /NACK5 AND UTILiTY 45749EMEN7-- o I 19ereliy 6erCify t'liat tliis i"s a tit~e an~! co~fec~ seil~~~iFn v~ a~~a~t ~3i land as shown and dascribed hereon. As prepared by me this ~ day of f~PUAR~ r 19~• R6v/SEa 2-~5-94 ~ TovF,o ~M6 J.o Fr, Wics~ty ~ • Minn. Reg* rro. 16085 ~ c , LOT BIIROEY CSEC1CL28T FOR RESIDENTIAL ~ SIIILDING PERMIT 71PFLIC7?TION pROPERTY LEGAL: ~D t• of 8urv*y: S QOCIIMENT BTANDARDB ~ 0 • Registered Land Surveyor siqnature and company 0 • Suilding Permit Applicant ' 6' 0 • Leqal description 0 0 • Address D • Nozth arrow and bnr acnle 0 0 • House type (rambler, walkout, aplit v/o, split entry, lookout, etc.) t~`~~ • Directional dzainege arrows with slope/qradient t. 0 L!" O • Proposed/existing cewer and water services 0~~ 0 • Street name O" 0 11 • Driveway BLEVATZONS Lxiatina TJ W 0 • Sewer service 0~ ? 0 • Lot corners [3~0 0 • Top of curb at the driveway ? 0 • Elevations of any existing adjacent homes YroDOSed F~D ? • Garage floor L7-D ? • First floor I~0 ? • Lowest exposed elevation (walkout/window) II~ 0 0 • Property corners 0~ Q? • Front and rear of home at the foundation ~ONDSNG 7?REAS (if 4pPlicable) 0 E7 O • Easement line 0 B-~0 • NwL 0 Q-1a • HwL 0 p~D • pond N designation 13 0-'0 • E7nergency Overflow Elevation PZMEN620N6 • Lot lines 0 • Right-of-way and street width (to bnck of curb) 8" D 0 • proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requirinq permanent footings) I~' ~ 0 • Show all easements of record and any City utilities within those easements fl 0 0 • Setbacks of proposed structure and setback of adjncent existing hom D6`0 • Retain n irements, if any Reviewed• z Nme / a e October 1992 EXTERIOR EHYELOPE AYEMGE "U" COMPUTpTION . . • , . )u?IER: ME ADDRESS: :ONTRACTOR: (-)PCib ! km5 o~5-f _ DATE: ~2II6/2 _PHONE: ZJ J~ a~2 , DETERMIME HORKINa QUAREyFO0TAGE OF EACH: 1. TOTAL EXPOSED WALL AREA,,,,,,,, ' s+ iq ft x'U" • I ` TOTAL ROOF/CEILIN6 AREA,,,,,,,, ~ alc./ sq ft x"U" Can_ ` 31, 6 TOTAL EXPOSED WALL AREA CALCUUTIONS: Total exposed wall .2 •rea above floor,,,,,,,, a 3 ,1- sQ ft Q . ~ a) Total walf winda+ area: • J sq ft x ~iUn ~31- Drz~~ 4lazed...... LJ QC fq ft x uVn . ~ ~ b) Total door area s9 ft x"U" 3 C1 c) Total slldlnq glsss door area: L _ 9lazsd...... sq ft x"U" 3'oti ~ !O. 2 ~ p aze 3 d) Total flreplace vall area sa ft x"U" ' e) Total rell framing area 9 X (Average lo>,)...........' 0~33.6 sq ft x"U" f) Total net well area above floor (Insulated)....... asQ tt x"U" •OyL. ' q6'? g) Tota) rlm Jolst area...... i ya sq ft x"U" ~ b y 3 Totel foundatlon area (Exposed).......... / 3 6 sq ft h) Tote) foundatlon windar srea s4 ft x"U" 1) Total net founGstlon area above gnde........ !36 sq ft x"U" •/03 • Jy , TOTAL thru 1) If Item 03 ls the f+me •s, or tess than Item /1, you Aave eet tl+a Intent o/ 2 HCAR 1.16008 A snd 0. . Page 1 _ , d.: 'TOTAL EXPOSED ROOF/CEILIHG CALCULATIONS:. Total expoeed roof/ceilfng ~rea........ I 1 fa ft J) Total skyllaht area....... sq ft x"U" ' • Tatal roof/celilnq frsming a1` 'ft z"U' are• (Avence 107t)...... sa 1) Tota) net Insulated • .01S roof/celllnq srea.......~ b2 sV ft x"U" • . TOTAL J) thru If total of 04 Is the sam as, or less than /2, you Aave met the Intent ot 2 TlCAR 1.16008 A asd 0. , ALTERNATE AUILDING ENVELOPE DESIGN To utlllze the total envelope system method, the values establlshed by tAe sta of (tems /j and 14 shall not be greater than the sum of Items 11 and 02. 1. + 2. ' .3. ? M. ' . • C E R T I F 1 C A T 1 0 N i hereby eertify that I have calculated the "U" factors and "II" values Aereln and that the bulldlnn here descrlhed neets or exeeeds tAe State of Mlnnesota Energy Conservatlon Act. Siqnature lqd (Date) pa , I ~ S. :.:U : . C'~'~'' . B . . . . . . . . . . . ......`~i; ' :~~ayi. . . : . . . . .i. ; . t., ...........:..:=s:-.. :.5. . . ` , . . . . . ..~,.:'f..'~.°:~.:~•.ri'~l: . . . . . ..~..-.co:~... ~ /i:.:'..,,..::.•::`:y..'i . , . ....p. £.('.-::'.'~'"•:t./.: . , ..:...n:.`,f....:. :.n,..~... • . . ..o:. ~.r .c:.. . ..~.:.:St:.~... . ~::i::.:. .;.••a......o . . . ?!..n.... x...,.._... ~ l~UBD.: Ge.~~~' -f ".-~.~.~''d: < .....,..w..w :4.:~:.¢.. , , , 1993 PLUMBING PERNIIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLIIVGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. NO. FIXTURES EACH TOT~ _L SHOWER 3.00 3 s~ WA'I'ER CLOSET 3.00 9 / BATH TUB 3.00 ~ LAVATORY 3•00 12 ~ KITCHEN SINK 3•00 ~ _L LAUNDRY TRAY 3.00 3 I HOT TUB/SPA 3.00 WATER HEATER 3.00 3 ~ FLOOR DRAIN 3.00 ~ GAS PIPING OUTLET • minimum - t 3.00 y_ ROUGH OPENINGS 1.50 SD _L WATER SOFfENER 5.00 .S PRIVATb DISP. • DaiLCry.lic. 15.00 U.G. SPRINKLER • home under mnst 3.00 ALTERATIONS • to existin8 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL:• 00 SITE ADDRESS:f ~ 7 9 ~ OWNER NAME: Ti 'o" a~E.'~ ti INSTALLER: P6~g S D.?S ADDRESS: c) CITY: C1 STATE: M.f/ ZIP CODE: SGOIo J~ PHONE SIGN TURE OF PE-AMrI7EE ~T'tY;~tJSE"f~NLY, . w.,.,<.,,....~......, .....:.:......,>.,...rM-.r~s;;;cer.. .;.,,a«.;;:~?"~. 'r. . . . .:;:.,.a,-.`..i:r:::. .,_,rNy . . BL ~:..v:,::....,,,,r.:, w:....,. <:,.,..,..,.,<... . , .:..,.<..>........<:.:.:~.~.~:Y;u:.~.,.~:~~;:::~~-:.;: ,.......c. . %•to. :.......3:_':::a..,....,~n. :.[:...v..`:.'.. . . . . ) ~......:.:.n . ~ s.. ~.:...~...r.......n........,..o..~..a.~F „3~.:~;:~:n::.~,°..`:• . L a . .:..<y.:....:....: o.. 3.L.~... ~~;'~fti~::~"::~,~: . e..: . . . . . . _y,::.:.~G>:::r..... . . . ~ Fa . o~..-... „ .:u °:z,:i,< s:3t~:m' `,:'~bv 't-,-.i ; •~_g.~' • :t . :..:e....: ~......n::' . ~e....::. ':i'.: ~.c.. ::3... .n.... _ ..,...n..e:: ~ ',3.:: 1993 PLUMBING PERMTf (COM11'IERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMAERCLALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILJINGS WHEN SEPARATE PERMITS ARE NOT REQUII2ED FOR EACH DWELLING L':;:T. _ NEW CONSTRUCIION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF COh"I'RACT FEE. STATE SURCHARGE: SSO FOR FACH $1,000 OF P£R11SPf FEE MINIMUM FEE: S 25.00 COIr'TRACf PRICE X 1% a STA'TE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAAlE: SCE # OWIv'ER NAASE: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAIr' APPLICANT I - ~:1't'S."USE ~2VT.Y .:....<.:.u........:::......,...,--~ . ..r : / : . f•;~.~;::f..:~;'':: `.::~i~.x>;;.:;;'~_:;::~ -:;,..::...,:s:.~:,,.;~:;<;;~,::,.;,, ::•:.:~.:::c5-:;~::` .c,.;..< . . . . . . . ~i;,. . . ;;r .;x.•..; . . ~ :.,..y;.,:., . ~ .....:.......:e:..:.>.~:...,.... .v.~ •::'.',._,1.~~:~~'.;1`.(~Si...,'.:V`. a. ~ . . . . . . . . . . .;.n . . . . s . a . . . . . . o.< 3 . . .;~oi o.. . ~ ....:a.. . . . . . . ...o-..r ...o..: .:/.¢?ii:::.. .e... . . . . .....:::5'..>: D. ..rr;~.i.~<: , ,ec~.:; . ...,,:AAT:::;~~< ~....:.....,t~.~~~.~'c~. a...., ..,:.....,~:..~:........"A 1993 MECHANICAL PFRMIT (RESIDENTIAL) C1TY OF EAGAN 3830 PIIAT IINOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. - - - - - - - - - ~ NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE FEES HVAC: 0.100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1@ 53.00 EACH) .'00 ADD-ON/REMODEL (ExisT[NG CorvsTxucnoN) $ 15.00 STATE SURCHARGE .50 TOTAL ~ ~ SITE ADDRESS:_ /,cJ a I/ OWNER NAME: -7/-/?'1 TELEPHONE INSTALLER: PC72 .P_SD NS Pf ADDRESS: -3D0 IS / _ SoU'7Li CITY: f~a ,v / aD we/Z~/ STATE: ZIP CODE: ~ Olo TELEPHONE a/02 S G ATURE OF RMITTEE n:yn...........i....[<....v....~~. _ . , :~':l m~....q..:x... ' } .v... '."<S`>y~p:..:...~w:Aa.y.i.~.~ : . . . Y~~1 ....a ~.'.5 . ..S.v,`:~.: r . xY ~a.....r....."""° Y...~r,f...~•dI'a.;:?;~j!~"i!.~d~~~~~'~"~ ~L . a,...,, e:...: ,.;..:,a~~ . . "f.; . ~ L...::::r :,...~;..:::....~v:•.r:^,~ ~..:~,,,..:.cx~ ,r....:.. :,<'lr%: . . ~ P . . . ..o . . . . . a.i. _ v$FnC K.~ : ~F:..:i.' eiS': . . . : e.: ` ..,v. . a_ ~:'7:"a:i:`.L:~.: j°.y`, \n'.`•>'o:.•.y':.~. i.. e . . .,:,..E..,,. . .~:..y.. ~ . ,i...... ..N c y . . ~ . ........q.......:.:.... i.~r:.:•lV.~.,'..i.. ::S.Z.~.......:n.......:~~..N.l'. '.>'a ~<Y,`.. ;...'w:'n .v. ....c.e.,. i..ae._ c..k~~.~ . h.... . / . . . • ..,::.:.y.~:,...>:. a . a.... . '.a. . n -.9....~ . ::St'.`., b ~ y:l . S~. . .:.~1.~....::..~.... , a. v , aE m n :n=E .a, .a .:•.n ,~a ~z::,,<< ._.5.. 3+` ii...:::y..,.:,,:.wria,. . r . . . ..o,.v t., x.:; . ,fic -5.•....: G..r ...d':. - ,~.'a` o,.os:..<x ~ P,i .C::ti::: ~ .L.z ~...:.,wx~:..._.~w~..,.w~...,...,...<:x:,.~.;;::.~:;.:E....~...w,..:•.:~,,.,~:..~:~:s~:::~.:....~.;~ _ .,,,...,.~~:.:s'"m~.;.,~;:~~:~wxu.w:m~~µ 1993 MECHANICAL PERMTT (COMMRCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN $5122 (612) 6814675 PLEASE COMPLETE FOR ALL COMIvfERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: CONTRACT PRICE: E NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF COIvTRACf FEE $ PROCFSSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF ~,~ERMiT FEE. . n TOTAL $ SITE ADDRESS: ' OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONL1) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY WSPECfOR , PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: e u i Lo z tv G Eagan, Minnesota 55122-1897 Permit Number: 028086 (612) 681-4675 Date Issued: 0 6/ 2 6 J 9 6 SITE ADDRESS: 4279 WEXFORD WAY LOT: 9 BIOCK: 1 WEXFORD 2ND P.I.N.: 10-83851-090-01 DESCRIPTION: Building Permit Type DECK Building Work Type NEW Census Code A, 434 ALT. RESIDENTIAL ' ~ ~ ~ . .~c REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 • CONTRACTOR: OWNER: - Applicant - CFlRLIN TIMOTHY 4279 WEXFORD WAY • EAGAN MN 55122 (612)681-0731 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 Mn. Statutes and City ofi Eagan Ordinances. ' L J PPLIC NT/PERMITEE SIGNATURE ak& ` ISSUED Bn SIGNAT, RE I~~ ~ ~ CITY OF EAGAN , 3830 PILOT KNOB RD - 55122 ~~1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Canslruclion Reauiremenls RemodellReoair Reauirements ? 3 registered sNe surveys ? 2 copies of plan ? 2 wpies o( plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addRions & decks) ? 1 energy calculalions ? 1 energy calculalions for heated additions ? 3 coples of tree preservation plan M lot platted afler 7/1/93 requlred: _ Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREETADDRESS: eIZ77 9 l..)csc`OrQ W ~cuOL 'J LOT 9 BLOCK I SUBD./P.I.D. GC7-7l~~3 PROPERTY Name: Ir-0-c- I,tJ Pnone 651 -6'73 i Cy) OWNER 1-~ 'IRST Street Address: 41779 U)e,c-~S- W°&) City: State: v~ Zip: 55iZZ coN7w?croR Company: Phone Street Address: License City: State: Zip: ARCHITECT! Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer 8 water licensed plumber: Penalty 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 Ciry of Eagan Ordinances. ~ Signature of Applicant: ~ OFFICE USE ONLY n ECEN R D p Certificates of Survey Received _ Yes _ No ,JU `0 `Sg~ Tree Preservation Plan Received _ Yes _ No __1-------------- _1 OFFICE USE ONLY - ~ Kr BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous ? 05 SF Misc. 0 10 _-plex ~15 Deck WORK TYPE `d" 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. y7~/ Depth Footprint sq. ft. SAC Code o/ Census Bldg i Census Unit o APPROVALS Pianning Building " Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies ToWI: % SAC SAC Units CONSUlTIHO ENOINIlqf GEROLp ,gROS. CONST, PLANNfOi and IAND 3UIIYfYOflS t~ df'6/B¢,0/ 4 ENGINEERING _ BK, / 97 COMPflNY, INC, 11~. '76 1000 [AtT 14 61h OTRE[7, 6URNSVILLE, MINNfIOTA 56337 pH 4432•9000 ' CERTIFICATE OF SURVEY Legal Description: L~T 9, Bc.ocK ~ wEx~ 2ND ADD/T/a,V DA,I~OT~I i'ni~~/7Y ~iJ1A/NEarr~ (3`.~_° ) DENOTES EXISTING ELEVATION ( 947, 2) DENOTES PROpOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE 7.50 ~ FINISHED QARAQE FLOOR ELEVATION 93Y_L_ L m BASEMENT FLOOR ELEVATION 94- m TOP OF FOUNDATION ELEVATION 6CALE t 1•. qo' TNNAT wEXFo,Qp byqy A^/O WEXivRp eiR44,47 6LE?. . 96n, 32 . 13; ~ ~ A r~~ ~ ~94y I ~ EXJ 3 3o PT FKnu7 HU1c.pruG q4 5eT84cK uNE , qa . ~ , mr'01 yqo"j5 ' 00 ~ w . ~ \ \ \ J ~ \w ORAINAC~ AND uTiciry EASEMENT °59' 32 E N 80 hereby certify that thie is a true and~o rreot repreeentation oP a traot oP and ae ehown nnd deBCribed liereotl, As prepared by me thie YO day oP Ff~~ARC , 19,q4. ~ , Minn. Reg, No. OB . . c)3a~~ RESIDENTIAL a~ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Conatrudion Requiremenh RemodellRaoair Requirements • 3 registered stle surveys showirg sq. fl. ol lol, sq, ft of house; and all roofed areas . 2 copies of plan (20% maximum lot coverege ailowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam 8 window s¢es; pouretl fountl design, etc.) . 1 site survey Por extenor additions 8 decks • 1 set of Energy Calcula6ons . Indica[e rf home sened 6y sepbc system for addihons • 3 capies of iree Preservation Plan if lot platled after 71V93 • Rim Joist Detail Options selection sheet (hldgs with 3 or less unrts) DATE Z VALUATION SITE ADDRESS 4277 4,EyeFo,Cb GcJ.4V MULTI-FAMICY BLDG _Y N TYPEOF WORK i~ - Poa~? ' FIREPLACE(S) _ 0_ 1_ 2 APPUCANT AlCo?E o 4,00 STREET ADDRESS t1+G5~3 fD~/?•r/E .d/rD. SwrTF 136 CITYfot,,/ P,gnk•er STATE /VA,/ZIP 4'•5'3 qG TELEPHONE # 9S-Syy-303s' CELL PHONE # FAX #Y5=7-97'/'1 PROPERTYOWNER Tir~-j 0A9I1h/ TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNCSOTA 12ULGS 7670 CATEGORY 1 MINN . 1 I~rp: 7y rF~~~~?r (Jsubmission t}pe) • Residential VentAation Category l Worksheet SubmiHed • New r~C~e Wo~shp~t 3~ d • Energy Envelope Calculations Submitted U~ 17 ZQQZ Plumbing Contractor. Phone # Plumbing systcm includcs: _ Watcr SoFtcncr _ Lawn Sprinklcr 4cr. . 90.00 Watcr Heater No. ol R.I. 13aths No. of Badis Mechanical Contractor: Phone # Mcchaniril systcm includcs: Air Conditioning Fcc: $70.00 Heal Rccovery System Sewer/Water Confractor: Phone # ° I hereby acknowledge ihat I have read this application, state that the information is correct, and agree fo comply wiTh all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant ~ O['P'ICl? USE, ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex O 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex p 17 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout ta applicant Valuation Occupancy MCIES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type af Const Width REQUIRED INSPEC710NS _ Footings (new bld-) _ Final/C.O. _ Foo[ings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile ' Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Finaf _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (new/replacement) Insula[ion _ Retaining Wall Approved By , Building Inspector - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 5t 2 z ~ V,~ -7-0. n 2006 RESIDENTIAL BUILDING rExMIT nrrLicaTiorr pl (o I 0(~ ~ . City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construdion Reauiremen(s RemodeVReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. ft o( lot, sq. fl. of house; and all mofed areas 2 copies of plan showmg footings, beams, joists Cert o( Survey Rerd _Y _ N (20°h mazimum lol wverage allowed) 1 sel of Energy CalcuWtions tor healed additions Trze Pres Plan Recd _ Y_ N. 2 copies ol plan showing 6eam & window sizes; poured found design, etc. 1 site survey tor additions 8 decks Tree Pres Required _ Y_ N 1 set of Energy Calcula6ons AddMion- indicafe ilon-sHe sepfic syslem On-sile Sepdc System _Y _ N 3 copies of Tree Preservation Plan if lot platted afler 711H3 Rim Joist Detail Options selection sheet (buildings wilh 3 or less unils) Minnegasco mechanical ventilation form Date0(.0 ConstructionCost `r~Jr SiteAddress ~{Z1~ WCycoulJ W&-1 Unit/Ste # i Description of Work o~~~ ~ q-;o AAA~ Nc~-J Multi-FamilyBldg _ Yk N Fireplace(s) _ 0 ~1 _ 2 Property Owner ~ I'1-~C1h C{ ~-ILd Telephone # (~p:~J Fireside Hearth & Home Contractor _ 14399 Huntington Avenue ' Address Savage, MN 55378 cicy F~~a 952.736.7761 ~ State Telep6one # ( ) . - Licensek20512060 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel (4 submissiontype) Submilted Submitled • Energy Enveiope Calculations Submitted In the last 12 months, has the City of Eagan issued a permif for a similar plan based on a master plan? _ Y _ N If yes, date and address of masier plan: Licensed Plvmber Telephone # ( ) Mechanical Confractor Telephone # ( ) Sewer/WaterContracior Telephone#( ) I hereby apply for a Residentiat Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 appro lan the case f work which requires a review and approval of plans. f J~ ~N l U • ~ Applicant's Printed Name Applic t's Signature DO NOT WRITE BELOW THIS LINE Sub TVPes ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? OB 06-plex D 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 oi _ plex ? 09 07-plez O 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ezt. Alt - SF ? 04 02-plez ? 10 OS-plex ? 18 Deck O 23 Porch (screen/gazebo) ? 36 MuIG Misc. ? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Slorm Damage ? 06 04-plex ? 72 12-plex ? 25 Miscellaneous i Work Tvaes O 31 New ? 35 Int Improvement ? 38 Demolish Interior D. 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair O 33 Alteration O 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replecement 'DemoliGon (Entire Bidg) • Gfve PCA handout to applicant DBSCflpfl0n: WaterDamage_Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water ' SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width • REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings(deck) _ FinaVC.O. _ Footings (addition) _ Final/No C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tesu Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Finai _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~1~+~t , II~. p3-os9 17 fPP ~ t 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagao 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when pemii[s are tequired for each uni[ nace 007- SiteAddress__4L*l 9_ W(~k&Cdvja-~j Unit q P roperty Owner "6 M 4 ~n rA%l Q Zn Telephone#((a~'jl 0-7-JA Centractor O~a, M QelQ,n {CtY Q InC StreetAddress ~(oLF(, ~j(aQnC~RyA City 1-IQh'~. ~t_ S[ate YY) f4 Zip $5,30 Telephoue# ( 7(D3) 434 77l{--7 Band Exptres: 5 2l D The Applicant is _ pwner --~Contractor Other Fire repair (replace bumed out appliences, ductwork, etc.) $ 9000 This fee applies when extensive mechanical repairs are made to a building. Addbe or alteratioo to eaisting dwelBng uoit $ 50.00 K(pmojj _ fumace ZAdditional _Replacement New ~ air exchanger air conditioner heat pump other Statc Surcharge $ .50 Tatei APR 0 6 2007 $ o,5d I hereby apply for a Residential Mecharucal Pemut and aclwowledge tha[ the infoimation is complete nnd accurate; tha[ the work will be in confomtance with the ordinances and codes of the City of Eagan and wilh the Mechauical Codes; that I undcrstand this is not a peanit, but only an application for a peimit, and work is no[ to start wrthout a permit; that the work will be in accordance with the appro plan in fhe case of work which requires a review and approval of plan_ 5to- (LAGk6 nYL r~Qr~ie r~, Applicant's Printed Name ApplicanYs Sigiature ~ For Offica Use ~ City of Ea~an ' PB~~# ~ Permit Fee: 3830 Pflot Knob Road Eagan MN 55122 j oate Receive11dMAY 2 7 2009 i Phone: (651) 6755675 / Fex: (651) 675-5694 05' Z,~ C(,t~V~-Gl~ I Staff: ~ 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 44 26, 0Z0091 SlteAddress: 7A-19 WZi[o?d W6 Tenant: Suite S: RESIDENT/OWNER Name:=- £ Sa-06-~ Phone: 612-23Z-I,99.5 , - / Address / City 1 Zip: 1/.2-79' W C Kra,d( wa~V Applicant is: _ Owner ?Contrador TYPE OF WORK Descnption of work: i3c fAp oo ri /'t n+ede1 Construdion Cost: &46D6 • cn) Multi-Family Building: (Yes No ~ CONTRACTOR Name: G•Tkb N.tqs Consl rUa~rorn Co. License#: .2 o Sq 20 93 Address: /37S0 / 67U ,5iit,4 NO "f L Ciry: S4,11 State:dql Ae~ Zip: 55377_ Phone: (oSY - 35 3- 5 87S Contact Person: 4r,r9 j~~sc 4 ~ . COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 . Energy Code . Residential Ventiiation Category 1 Worksheet • New Energy Cade Worksheet Category Submitted Submitted (4 Submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the Clty 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: Mechenicel Contractor: Phone: Sewer & Water Contrector: Phone: NOTE: Plans and supporting dxumenfa that you submB are cortsldered to be pubdc in/ormatlon. Portlons ot the Informaflon may be classNJed as non-publlc fl you provlde specHlc reasons that woufd pertnlt the Clty to conclude that the are trade secrets. I hereby adcnowledge that this infortnation is complete and accurate; that Ihe work will be in conformance wiM the ordinances and codes of Ne Cify ot Eagen; that 1 understand this is not a pertnit but only an applicetion for a permit, and work is not to start without a permR; that the work will be in accordance with the approvetl plan in the case of work whiCh requires a review and approval of plans. x 6/' t 10 rN -F X 7. &L~' Applica Prin ed Name Applican Slgnature Page 1 of 3 : . 44 7? ~Akx-f°((j M) DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4Season) _ Exterior ANeration (Single Family) _ Multi _ Deck _ Porch (ScreeNGazebo/Pergola) _ Exterior Alteretion (Multl) 01 ot _ Plex LowerLevel Pool Miscellaneoua _ Accessory Bullding WORK TYPES _ New `p Interlor Improvement _ Siding _ Demolish Building` _ Additlon _ Move Bullding _ Reroof _ Demolish Interlor _ Afteretion _ Fire Repair _ Windows _ Demolish Foundatfon _ Replace _ Repalr _ Egress Window _ Water Damage _ Retaining Wall •Demolltlon of eMire bullding - glve PCA handout to appllcant DESCRIPTION Valuatlon 3~ D~• ~ Occupancy .~~C _ 1 MCES System Plan Revlew Code Edition Vytrl 2 00"1 SAC Unfts (25%_ 100%_j Zoning City Water Census Code ~ Stories Booster Pump # of UnRs Square Feet PRV # oi Buildings Length Fire SpHnklers Type Of Constructlon Wldth REQUIRED INSPECTIONS Footings (New Building) _ Sheetrock _ Footings (Deck) Final / C.O. Requlred Footings (AddiUon) ~ Flnal / No C.O. Required _ Foundation )0 HVAC Drain Tile Other: Roof: _ICe 8 Water _Final Pool: _Footings _AirlGas Tests _Final ~ Framing _ Siding: _Stucco Lath _Stone Lath _Brick _ Fireplace: _Rough In _Air Test _Final _ Windows ~ Insulatlon _ Retalning Wall Mete? SIZe: Eroslon Coniroi Reviewed By: Building Inspector . RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC Ciry SAC Utillty Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 - ~ i Forcmica~u i ' i City of Eapn ~ Permit# I Pertnit Fee~ 3830 Pilot Knob Road ~ i 41 Eagan MN 55122 ~ Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Statr C~ L - - - - - - - - - - - - - - - - 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: (O 1 SiteAddress: to Rx ordl e-) L.~- y~^^ Tenant: Suite . RESIDENT / OWNER Name: l ra/' lzr Phone: Address / City ! Zip: c CONTRACTOR Name: License oS~OS ~ P~ Address: ~ City: State: (-th Zip: 5s3'4 Phone: Contact Person~0 TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: PERMITTYPE RESlDENT/AL -Water Heater -Water Softener t L _ Lawn Irrigation _ Add Plumbing Fixtures ~ RPZ PVB) ~ Main _ Lower Level) ~ - cl4.w ~k 1-~,~, Septic System _ Water Turnaround New Abandonment RESIDENT/AL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic Sy,stem Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $165.00 if a 5/8" meler is required) $700.50 SeptiC SyStem New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, duclwork, etc.) (includes $ 50 State Surcharge) TOTAL FEES $ I hereby acknowledge that ihis 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 permR, but onty an application for a permR, and work is not to start wdhout a permit, thal the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X x &,~,l Applicant's Printed Name ApplicanYs Signatur FOR OFFICE USE Reviewed By: ' Date: i Required Inspections: _Under Ground -Rough-In _Air Test _Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA126230 Date Issued:08/19/2014 Permit Category:ePermit Site Address: 4279 Wexford Way Lot:009 Block: 001 Addition: Wexford 2nd PID:10-83851-01-090 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Christine Deutsch Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Patrick J Silgen 4279 Wexford Way Eagan MN 55122 Kaufman Sheet Metal Roofing 2521 24th Ave S Minneapolis MN 55406 (612) 722-0965 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA179680 Date Issued:10/17/2022 Permit Category:ePermit Site Address: 4279 Wexford Way Lot:009 Block: 001 Addition: Wexford 2nd PID:10-83851-01-090 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Patrick J & Jennifer L Silgen 4279 Wexford Way Eagan MN 55122 (651) 681-7962 Evergreen Construction Company Inc 1200 Centre Pointe Curve, #175 St Paul MN 55120 (651) 209-3130 Applicant/Permitee: Signature Issued By: Signature