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4287 Wexford Way ~r . . . . . ~ , ~ Wertificate of Cccupanc~ CM4 of ~agan ~ #?oartmat of s$xili* au6oectiua ~ This Cenificatt issued purseuint to tlte requiremenrs of the Unifor?n Building Code ~ 9 certifying that at the timt of issaance this strnctun was in conepliance wrth the various --=J onfinvnces of tlu Ciry rrgulating building coristruction or use_ For the following: ose ciasif»w;oo: SF DWC ebg. Pcn,rit Na, 24005 / i OocupancY 7ype R3/r112 Zoninb District pp Type Consi. VN i `4weerofBuiWingDAFRE BEW. INC. Addneu 9304 I.INDAIE AVE S. EMM suwing Aaam 4287 WEKFM WAY L I 1, B 1 WEXM ?NID ~ ENW: _ Budding OfficW I Po.sr IN a cbntsPrcuous PLAcE i v ; INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: , Eagan, Minnesota 55123 Date Issued: ,,'ts /94 (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .A . ~ ,rr.~j I nrI I I N . II 1 N I'I I;I 1 ~I i1?iI?{ t M I{ i~~ I i I IJ111 f 1 15t, t I plj{I I ;~i ri:~~~•F 1, r-P V li f' l 1:i: I.Ft E I i.?, ~ J J Permit NO. PormR HoIdK Dat~ TNephons 1t . ~ PLUMBING HVAC ' 8 ~ 9 sso• ~30 Et..EC % ~d' y ao ELECTRIC Inspoction aRe lnq,. Comm~nts Footings I ~ Q !~V ~io1tLlJG~ C~/~ F°unde`n°" Freffft Rooring PAKO Pts- 9 ~ R°o ft is„i. , Fmplace ~ F~nal Hig. Ao Orsat Tesl IVICS Fh?al PIb9_ -0.~ ~ Plb9• inspector - NotffY Plumber Const. Meter Engr./Plan ! I Bldp. Flnal 1 I Deck Ftg. Deck FMuI ~ Well Pr. Disp. , a ~ ~ ' ~A r; U RESIDENTIAL ~ ~ ~ C) C) BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 4- a~ ~ I 651•681-4675 New ConsUUCtion Reauirements RemodeYReoair Reauirements • 9 regislered sde suneys showirg sq. R ot lot, sq. ft. of house, and all roofed areas . 2 copes of plan (20°/, mazimum bt coverage albwed) • 7 sef ot Erergy Calculations fa healed addiUOre • 2 copips of plan showirg beam 8 window sizes, poured faund design, etc ) . 1 site suney fa extenor additipis & decks • 1 set of Energy Calculahons • 3 wpies of Tree Preservation Plan if lot platted aRer 7!1193 • Rim Jast Delail Opfbns selecfbn sheet (bldgs wiN 3 or less units) DATE 9-Z,3-Xb O 1 ~VALUATION (EXCWDING LAND) .l& C)~ D o o JOB SITE ADDRESS y A_F_7 (A) W oi~ IF MULTI-FAMILY BUILDING, HOW ANY UNITS? PROPERTY OWNER TYPE OF WORK ` FIREPLACE(S) _0 _3 APPLICANT OL, ~ L HONE# ADDRESS 3 - O T 0 JYl n ^ ZIP CODE sS~ 07 7 PAGER # CELL PHONE # 61;k-a JVo -6v>o fAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY i ' Energy Code Category _ MINNFSOTA RUI.FS 7670 CATEGORY 1 (check one) - - Residential Ventilation Category 1 Worksheet Submitt - Energy Envelope Calculations Submitted LJ MINNESOTA RULFS 7672 ~ j - New Energy Code Worksheet Submitted By Plumbing Contractor: Phone Plumbing Systeiu Includes: Wa[er Sottener lawn Sprinkler Pee: $90.00 Wa[er Heater _ 1` o. oF R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical S}stem Includes: Air CondiUoning Pee: $70.00 Hcat Recovery System i Sewer/Water Contracfor: Phone # I All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicanf ' / `I 0_'L~j Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1l01 I OFFICE USE ONLY ? 01 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling 0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage O 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ?y 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex t~ 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous 1~e 31 New ? 35 Int Improvement ? 38 Dertrolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bidg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair ? 33 Alteration ? 37 Dertalish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'DemolfUon (Entire Bldg only) - Give PCA handout to applicant d Valuation o2l)~ ~ Occupancy /D L `"--3 MC/ES System Census Code Zoning City Water SAC Units l3 ~ Stories Booster Pump Nbr. of Units ~ Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const ~ -N Width REQUIRED INSPECTIONS = Foorings(new bldg) FinaUC.O. Footmgs (deck) ;It, FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Other ~ Framing _ Pool _ Ftgs _ AidGas Tests _ Final Fireplace _ R.I. _ Air Test _ Final = Siding Stucco _ Srone Insulation Windows (new/replacement) Approved ByBuilding Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply 8 Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other i Total I d o/ ~ a 6 .s 11 kil 9-l - % 46?0 Reque d Oale Fire No. R gh-In Inspec eqwretl I pe[lion OVier Than Roughln y~ (YOU mus~ cell m mrf~w'.en ready) eatly Now ~ W NaUty Inspec~or - ~ ~ ? Yes y No Dale Rea IIMhcensed contractor ? owner hereby request inspection of above electncal work at: Job Atltlress (Sheet, Box or Raule No.) Qty Z.li-1 IAII;-'X IAJ Section No. Township Name or N. Range No. County Oc[upant(PflINT) Phone No. kc2rtn Uoto~o~Yl ~'SC-S?ff7 Power $upplier Address Electnnl Conlractor (Company Name) Gonlrectofs Lmanse No. (h C.'t'3- Fil@.~'~4r~G1 CQOZ2-6<4 Mai6ng AtlEress (COnhactor or Owner Making InstalWtion) SCOS 27th So ~S m'V 7 Authorrzed Signalure (ConVacror/Owner Mekmg Instellalion) Phone Numbe~ -7Z-i-5'9i96 MINNESOTA STpTE BOARD OF E ECTflICITV THIS INSPECTION REQUEST WILL NOT Pho e~~614) 6A2-0800 p~m 5428 I.II ~I I I~ I II II II II I I II BE ACCEPTED BY THE STATE BOARO 1BY1 Unlvarsity Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE I$ ENCIOSED. ~ c3.3-3 REQUEST FOR ELECTRICAL INSPECTION /ee, /poooi-os ~~9 ps Poo $ee mstmctions lor coinplelmg Ihis lorm on back of yellorv copy "X" Below Work Covered by This Request e Add F+ep. Type of Building Appliances Wiretl Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heatin Apt. Building Dryer Load Management Comm./Industrial Fumace Other (Specrfy) Farm Air Conditioner Oiher (specity) Conl2[lors RemarksCompufe lnspection Fee Below: # Other Fee # Service Entrance Size Fee N Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200_Amps Above 100 _Amps Si OS Inspeclor's Use Only TOTAL Irrigation Booms A Speaal Inspection Alarm/Communication THIS INSTALLATION MAY BE OR ED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elecincal Inspector, hereby Rougn+n oaie certify that the above inspection has been made. F"a~ d OFFICE USE ONLY ~ This requesl vatl 1B monihs Imm 9~09 C~ 6 5 5 2~il~ ~8"5 Peauesl Deta Fre Raugn-In Inpsection Repmrea InsoWion Other Tnan augnln '(VOU mU c811 infpBdorwhan reetly) 0 qeaGy Now Will NDTNy In50nt0r Yas ? No Date Reaa 1.~7~licensed coniractor D owner hereby request inspection of above elechical work at: i Jao Aatlress ISVeeL Bo+ ar Rowe No.~ Qry SattiOn No TownShip Name or No Range NO G~unry OCCUpan;l INT~ Phone No. Power Su P r Adtlress Eleclncal Gon • tor (COmpany Namei Connactor5 L¢en o / _QQ/ Mai~tlress ICOn:rac or Owna~ Mekmg Inslallalian) futhonzec Sig Nre iCOntmctouOwner Making Installati ~ Ghone NomOer MINNESOTA STATE 60ARD OF ELECTFICITY THIS INSPECTION FEOl1EST WILL NOT Grlggs-MiEway Blag. - Room S177 BE nCCEPTED 8V TME STATE BOARD 1821 UNremtly Ave.. SL Vaul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(612) 6C2-0800 ENCLOSED REOUEST FOR ELECTRICAL INSPECTION eaooom ae p ?$eo insuuci~ns lor compleUng this form on back ol yellow copy ~19 CU ~ 5~~ "X" Befow Work Covered by This Request e Adtl Rep TypeofBmlOing AppliancesWired EquipmentWirad Home Range Temporary Service Duplex Water Heater Electric Heating ApL Bwldmg ~Oryer Load Manegement Comm./Industrial Fumace Other (Specify) Farm Au Condilloner Othar(5yeatyj Contractor5 Remarks: Compufe Inspection Fee Below. A Other Pee # ServiceEntranceSae Fee # Circwts/Feeders Fee Swimming Pool 0 to 200 Amps ~ a to too Amps (p Translormers Above 200 _ Amps tsbve'1 Amps Signs finspecmr5 Use Omy TOTAL ~ SD Irrigation Booms S Special Inspection / Alarm/Communication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. p I, the Electncal Inspector, hereby Rougmin oat certiry that the above inspection has final fl -Defe been made. f ~ ~ r OFFICE USE ONLY ? Thia reQUest mw 18 months Irom Address 4287 wEXF'ORO WAY Zip 5512_2 I.ot ' ']I Blk I Sub wE3T'oRD 2DID THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIMG OF THE FINAL INSPECTION. Date: 9 a 7 c~ Yes No Inspector. Final grade (6" from siding) Permanent steps (garage) ~ Permanent steps (main entry) Permanent driveway ~ Permanent gas ~ Sod/Seeded grass ~ TraiUcurb damage Porch ? Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing undcrground sprinkler system. ~ White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy , ~ PEIZIVIIT a~~s3 ~Cvo F E AG~?Id ~-~y/SSI~ 3830 Pilot Knob Road PERMIT TYPE: g I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 4 0 0 5 (612) 681-4675 Date Issued: 0 6/ 2 9/ 9 4 SITE ADDRESS: 9287 WEXFORD WAY IOT: 11 BLOCK: 1 WEXFORD 2ND P.I.N.: 10-83851-110-01 DESCRIPTION: Building Permit Type SF OWG Building Work Type NEW UBC Occupancy R-3 M-1 ~ Construction Type V-N Zoning PD ~ Building Length 79 8uilding Width 38 ~Building stories 2 , , . ~ REMARKS: PRV S& W PLBR - STAR PLBG FEE SUMMARY: VALUATZON $171,000 Base Fee $888.00 MISCELLANEOUS $1,828.50 Plan Review $577.20 Total Fee $4,179.20 Surcharge $85.50 SAC $800.00 SAC $ 100 SAC Units 1 Subtotal $2,350.70 CONTRACTOR: - Applicant - sT. LIC. OWNER: DAHLE BROTHERS INC 18886866 0001647 DAHLE BROS INC 9304 LYNDALE AVE S 9304 LYNDALE AVE S BLOOMINGTON MN 55420 BLOOMINGTON MN (612) 888-6666 (612)888-6866 AA nowledge that I have read this app lication and state that the is correct and agree to comply with all applicable State of Mn. i Or inances. PE ITEE SIGNAT I SUED BY: SIG TURE FI, ~ INSPECTION RECORD CITYOFEAGAN PERMITTYPE: euzLoznG 3830 Pilot Knob Road Permit Number: 0 2 4 0 0 5 Eagan, Min nesota 55123 Date Issued: 0 6/ 2 9/ 9 4 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 11 BLOCK: 1 4287 WEXFORD WAY DAHLE BROTHERS INC WEXFORD 2ND (612) 888-6866 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION-TYPE, . D• FOOTINGS FOUNDATION FRAMING ROOFIN6 INSUlATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: PRV S& W PLBR - STAR PLBG F ~ L I ' CITY OF EAGAN ~ 1406.5 1994 BUILDING PERMIT APPLICATION f 681-4675 l•`~ ~ . T' 4 I FSINGLE & 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) lat change is requested once permit is issued. Date `i`1 Valuation of work Site Address: STREET SUITE k Tenant Name: (commercial only) LOT 1~ BIACK , SUBDW y~Q` Z~ P.Z.D. li Descri tion of work: The applicant is: ? Owner ontractor ? Other (Describe) Name Phone Property LAST F,RST Owner qddress STREET SiE # City State Zip Company t w-`^l{-- t~-GS Phone Contractor Address CV7>~`'~ License # ~(,14'L Exp. City State Zip Architect/ Company Phone Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been appro d. I hereby acknowledge that ave ead t is a pl ' ation and siate that the information is Lyc correcti and agree to comp y wi 11 lic e State innesota Statutes and City of Eagan Ordinances. Signature of Applican : t OFFICE USE ONLY ~ • ~ BUILDING PERMIT TYPE O 01 Foundation 11 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish Cd 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory ? 18 Camm./Ind. 0 04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. 0 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility ? 21 Miscellaneous woRK rrPe P 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair 0 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System ~ (Allowable) Ii. lst F1. sq. ft. /y/y City Water UBC Occupancy R 2 1,2nd F1. sq. ft. ,rs, PRV Required Zoning {~p Sq. Ft. total Booster Pump M of Stories ~ Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth ~ On-site sewage SAC Code „ i Census Bldg i APPROVALS Census Unit / Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ?.Site ~ Footing O Framing ,C1 Insulation ? Wallboard Final O Draintile ? Fireplace Permit Fee v.iuacson: S 404 Surcharge Pl an Review /Dbg ~n-h 3 z =~Oy6 License / y CWty SAC Water Conn. ~ g8 Water Meter Acct. Deposit S/W Permit Ay/e/XGS S/W Surcharge Treatment Pl. Road Unit ' Park Ded. Trails Ded. C Z~~ op ies Other ~`f.~_ Total : iss k z SAC % l/,$'lkSy ' SAC Units LOT SURVEY CHECRLIST FOR RESIDENTIAL J BIIILDING PERMIT APPLICATION 0 ~ ~ pROPERTY LEGAL: 7~ ~ w W< m Date of Survey: DOCUMENT BTANDARDS /y~ ~ 0 ? • Registered Land Surveyor signature and company p= p? • Building Permit Applicant p~ ? 0 • Legal description p~ ? ? • Address Q~ 0 0 • North arrow and bar scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ~D ? • Directional drainage arrows with slope/gradient t. [~p ? • Proposed/existing sewer and water services p~~C1 ? • Street name 0' ? 0 • Driveway ELEVAT20N6 Existinq Q"? ? • Sewer service 0" 0 ? • Lot corners F?? • Top of curb at the driveway • Elevations of any existing adjacent homes ProooseQ I~ p ? • Garage floor ? ? • First floor ~ 0 0 • Lowest exposed elevation (walkout/window) 0 • Property corners D?? • Front and rear of home at the foundation PONDING AREAS (ff avelicable) p`? ? • Easement line GY? 0 • xwL 0,' 0~'0 • Pond # designation ? Ca' ? • Emergency Overflow Elevation DIMENSIONS 0~ 0 0 • Lot 1 ines C'I' ? D • Right-of-way and street width (to back of curb) D' ? 0 • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all / structures requiring permanent footings) LI 0 0 • Show all easements of record and any City utilities within those easements 0-~0 ? • Setbacks of proposed structure and setback of adjacent / existing homes DU?'• Retaining w requi ements, if any Reviewed: ~ Na e / D te October 1992 S=0+65 ' - 22 1/2•. INV=934.64 ENDS CS=934.3 1 v ; S=0+05 1- , ; INV=933.99 ; _ - - • - '1 CS=944.9 1j ; It ~ . ° , S=0+10 MH ~ STA. 21+69.63 INV=933.91 3 5.64 R CS=943.7 ~ RE-INSTALL SALVA MH ~ STA. 20+89.94 28'-6" DIP,CL 5; 7 5.19 R „ xa,. S=0+06~~. ~`•-8"x6"TEE 22 1/2' V8 EE INV=933.42 GND E1.944.7;' 10 BENDS ,-'"5=0+23; CS=944.4 12 INV=933.60 MH ~ STA. 21+24.83 ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CS=944,0 2 8.07 R / . . . . . . . . . . . . . . . . . . . . . . : . • • . • • • ~ _ 1 ~~~~~~v~i~1.~Ail':~ r...~•~~11"~ : Uill.l~~'; :7t~i~'il~.,,. • : ; : • ~ ,;,Ir,;~y QF l • • • • . SEE,RIGHT ~ . c J• • • • . . 1 ~1.'~.1 ~L';i`ri. ~1 ' ~ : . . . . . . . . . : . . . . . . . . ' . . . . ' . . . . . . : . . . . • . : . . : : . ' . . • . - . =951.21 ~ MH RE=947.88 12•22 r :8 BLD=1•2.49 MH RIL=943.66 ~ ' . . . . . . . . . ..,7 81D-10.95 ~ EXIS:TING Gf20UN0 ~ ~ ~ ~ ~ ~ ~ : • • MH RE=943. ` ~ ~ : . ~ : : • 2 BLD=12.' ~ ~ • y r ~ • ~ . . . . . . . . . . ~ ' • 3 BL r12' STM. . : PROPOSEO GRADE ~ SWR. XINC ' , : . • ~ : ~ . • . ~pIP, CL52 ATE~ viAIN: ' 7.5' MIN. COVER ~12 STM. • : : ; :SWR. XING: • : ' : h. . . . . • . . . . • ~ ~ ' • . . : . . . . ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ . . . . . : . . . ~ . . A . p'~ 40'-F3"PVC, ; ; ~ ~50 -8 F a 2.5 ~ . • SDR 35 @ 4.15t . . SDR• 35 ~ ~ . I • p\(C ' ~ ~ ~ • ~ SDR:35• ' ' . 100.-8,. . ; 29 ' SDl2 '35 I ~ ' • ~ . . . : ~ ; ; • , : I : ' • • I ~ I : I : • , , - ' , MH ~ STA. 21+69.63 ' '3 5:64 R y v , -9 ~-RE-INSTALL SALVAGED HYO. 8°-45', 11 1/4' BENDS j' 8"x 8° TEE 1 I ` ~ 1+89.94 1 1 ; 8'. G.V. - , ; , , - - = STA.21+24.83 0 26 eo ' i 10 % ; I \ REMOVE TEMPORARY GRAPHIC SCALE IN FE % I 'HYDRANT, CONNECT TO EXISTING WM. t tnch = 5o tt. ~ REMOVE EXISTING 8" x 6" REDUCER v BENCH MARK TNH FIR POINT & SUMAC ; 11 l ~ , ELEVATION = 934.9 TNH FIR POINT & THOMAS I ; ELEVATtON = 926.5, . -c~ ; NOTES: 'c' u° ' SANITARY SEWER SERVICES SHALL BE 4" DAND SHALL BE STATIONED UPSTREAM FR( r I A SANITARY SERVICE INVERT ELEVATION IS . D 1EF SANITARY SEWER SERVICES W/RISERS SH, _Ct,YOF~,U1;1'-y4~ pTlOOS WITH 4 CLEAN OUTS AS RER DETAIL. ~OC R .~~GURA~y Qr, ~~~8 !~xiN ts p,qyD WA1ER SERVICES SHALL BE 1" COPPER, 1 O~AnpES ?H ' ;OR ELE~~TI S L~_y s •;AA~S u%G SNO'~~!' CURB STOPS ARE LOCATED @ PROPERTY .1AT10tA 00 TH~ ~Ct EXTENU ALL SERVICES 15' PAST PROPERI . . ~ . . . . . . . . . . . . • r_xis 1114 c ~ MH ~RE=943.96 GROUND: 2 •BLD=12.91~ 57 . . . . . . - . 9-4'r ; EXISTING GROUND CONNECT TO - : : . EXISTING WM; _ . ' ..~.5,': ~ WM XING ` . ~ . • i; 7.5':MIN. COVER 8" DIP; CL52 • : : WATER:MAIN .t. 8", p C30NNECT TO ' "50•'77 1.Q07 : . EXISTING SDRj ; 720'_8~ ~ SAN. SWR. . DlP~ CL . . . • R,;. . . . . . . . . . . . ~ . . . . . . . . : . • 2 ~ ~ :~.89~ . . . . : . . Ex. ' . . : . . . . I : : :.i ~ ~ . : . :8" b1P ~ =89y. , . . . : . . . . . . . N . . . . . . . . . : . . . . . . . . : : . . ' ~ , , : VERIFY LOCAl10N & OEPTH,. . . . . . . . . . . . . . OF EXISTING PIPE • • ' . . ~ . ~ . Z I. W ; • p~y ~ 1a; Opl •1:~:!~ • ' .'..1,-.i~i~~,'-~ ~P D^ uQ~.i OCN~' • (n ln . r O . . : . . . . . . .r I o . . . . . . : . . - -'1GY ~•F~ (F~ l1~ r~r. ~ ' . ~ -~..~:J,.. • ~~iI.EVFtYIONS. DF 7HlS 6 N,t'> ~ ~I ~ • lt~.~~°I:~,:~ a~, PIIRPOSES z ~ .`.~~~pt l~ SHOULD H~ p`r t :J ~C ~ . . . . . . . . VIIVG SI . . . . . . . . . . . . . . . . . . W . . . . . . . . : ";~v:~ Q~.'. . . . 5+00 ,..2'.`•w SHEET TITLE SANITARY SEWER & WATER MAfN N PLAN dt PROFlLE STA: 9+00=13+50'~' . ~ y, ,.t,' pY . .~r. ,..~r~~ ' •-t„ . 'r' •9 .~i,.,r,a~.~p} ~ ~ ~ ' '.q -4•~,'j; F, .L' i~ ; ' ,'.y~~1~ . ' 'i~ - ~ 4,l y . ~ . , . . 'i~• ~'.f~:. : ~~~1 i;, ~ ' . ' . ` r 1. ~ = n; °s~ ...,.n........:.~a.:__:.u_~=.:...~"_.._ . . .,...,t!~.. _ . " .,z._ Y,~t ' EXTERIOR ERVELOPE A7ERMGE "U" EOHPUTA710t1 LX,7 T--cS $ITE ADI)RE55: ~ltXFOx-IJ COrlTRACTOR:~~k-~LEy,'~ IIVI... DATE: PHONE: DETERHIFIE 410RK111C SOUARE FOOTAGE OF EACN: i 1. TOTAL EXPOSED LIALL AREA, ~Q sq f t x "U^ 11 2. TOTAL ROOF/CEILIIIf, AREA 1z"~ sq ft x"U" 026 3• TOTAL EXPOSED WAIL ARE.4 CAICULATIqNS: Total exposed wall area above floor,,,,,.,. ~f(~ sq ft _~J_ . t a) 'iotal uall o-+indoo-/ a-ea: qlazed,,,,.. 253- Sq FQ x"U" qlazed...... sq ft x "U" a b) Total door area sq ft'x "U" c) Total slidlnq glass door area: . ' plazed...... sq ft x ~~U" 9lazed...... sq ft x~~U" e d) Total flreplace wall area sq ft x"U" _ .l----- e) Total wall framinq area (nverane10").......... s4 ft x~~U" ~ a I f) Total net wall area above , - . f t floor (Insulated)....... sq ft x "U" g) Tota1 rim lotct area...... sy ft x:'U" ~ Total foundatlon . area (Exposed).......... I( sq ft ' h) Total Foundatlon • window area....... sq ft x"U" I) Total net foundatlon -7 J area above qrade........ sq Ft x"U" • I L,~'{p 31 TQTl4L a) thru I) If I[em p) fs the same as, or less than Item P1, you have met the Intent of 2 MCAR 1.16008 A and 0. Page 1 ' 4. TOTAL EXPOSED ROOF/CEllllif CALCUlATI0R54 ' Total exposed raof/celllnq area.........Z sq ft ' J) Total skyllaht area....... sq ft x"U" ~ k) Total roof/ceillnq framfng ? area (Averaae 1n9.),.....sq ft x"U" 1) Total net Insulated -11c~ ~,~u dz~ ~ roof/cetllnq area....... sq f [ x "U" . TOTAL J) thru 1) ~ If total of 14 Is the same as, or less than P2, you have met the Intent of 2 HCaIt 1.16008 A and 0. ALTERfIATE BUILDINf ENVEIOPE DESIGtI To utillze the total envelope system method, the values established by the sum of Items B] and N4 shall not be greater than the sum of ltems NI and 02. +2. 3• '~i~~~~ + 4. C E R T 1 F!_ P. T! 0 N I hereby eer[Ify that 1 have calculated th "U" factors and "R" values heretn and that the bvtldinq here descr- h d meets or exceed3 the State of Hinnesota Eneray Conservation Act. ' 1' ~ ~ / ~ 2 Iqnature (Pririt name 9~- (Da[e) Page 2 . :f:M VSE`ONLY . . . . ~ . : - : . . . . , . ~,.,:.Si. . . . ~ ..`.~i.,.9 , . . . . , . „ . . ~ , . • , . . ~ ~.c~..:•.:,~ ' , ~ < . . SITBD. . - • : . _ : . AAw.' ~ . . . . 1994 MECHANICAL PERMIT (RESIDENTIAL) CiTY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ~ NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE ST - t- Ci A FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1@$3.00 EACH) 3•`DO ADD-ON/REMODEL (ExISTING CoNSTRUCI'ION) $ 20.00 STATE SURCHARGE .50 TOTAL 7. S d SITE ADDRESS: "iZ97 C1J.~ ~v f~ t,(Jr,.~ OWNER NAME:il„k(, Br~S l.tic TELEPHONE nS(=C,C,6 1NSTALLER:(.//A,L( Q, i Q,~,,e 7,,t__ ADDRESS: 7 1~ ~ W L7 CITY: Se STATE: W-l I-) ZIP CODE: S S:Z 7:j TELEPHONE SriU - 't 3J ( • G~l ~ S G ATURE O' PERMITTEE CT"1'"_USE:t7NC.Y . ~ . :~.~:n....... . . . b . . : ...:....:....:E.,,...l. tr;~ . . ..,.,:.;:...,...>'.,:'~~r::'r.:.. .x:z~ . : , > . ~..T•~...... a..<~. ...........................q_:..; <::.Y.rS:.:w'• 3.~v., . _ ......n.. ..~v..: ...y..F...~ . :i...,..~i .;.oc..`..:~: .E',C';~:': <%w:t' ~~"fi:.". `.:`:':'..:...>.¢w..i..:,...~::":r:~i'~:... . . ` : . ,.....~i~.. . .....n . : i...~ ;~'j f, .......;.i1 .....y..a ~ . i...: . .....n r:.a.o.... .o......a:.. . . ~ ~ ~ . . . : .r ~ .~~~:'L ..wms3.::? r.i:i::l:.~ ....:!°::o'!:: A~ ~,;;,,;;,,,,,,,'r.,.. SUBD...... _S.p.w...p3... . . . ..o,...:~.~ ki:Y:(". . ..x.......,,..,,....,.r,:...z.<.«.;~:~,.z.::~..M:...:......:x r<,.:~.::.::....>:.:.::..:,::,,:~::a<;.a..::>..F..::..~:~,.::.:... 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. - DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CONTRA.GT FEE $ PROCESSED PIPING: $25.00 MINIA4UM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF PERIvfiT FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENT'S ONLl) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR . . CTTY:USE°:ON7;.X ,~,r<~a+~ . . v::. .o... AJ'i _ : _ 1': ••n~Ea:.,` ~:r.::'.~~:.i.<._,_?~j>7:ic:SCr.:.. ' . . K'..:. . . , ~ . . ~,<.s ~ . . . • ~ ' , _ : . . ~ - ~:o..::.' . o . . . - . ..a . .....o,....:..:q.:, _ ~ . ,.:....o . ..•_c'.^.` . . ..t.. . ~ ..~.'.,..:.e . ..~...e.........'!.. . . .u . . . . o,. . . , . ._;i•:~a~ ::.i';'j. . . . . .l i~.Z. . ..s.:. . ...:i•. . > . . .~....:u.a~~.... . .n : ?P.'Zl::°,-' . . . . ~ . _ _...a.~ . . . . :~.3:::' i~;YP.:..< . . . . .....::y15• .:.i.. a':: !v. i::f~: ~(~~'~kV~'~ ...F":k.:":• y •~....~?C.::..~... ~Q.::::_::: ......::@a:'.:.3::.. . c,. , ~ ' , a..:i..•.o.<..:.::<_.v... . . . . . ..~a....~'.i'.........:.... >`.:cf.ro.:. . .........~~........sN.F,..ec.~.~:~.k.,,.,....,,.~....... .F. ~Fn,. ;=;..x.~;: - [ ~s.~!'aL.::m:.o-:n::::.. ..n.... . ~,~~i.+~ ~ t....::. • . .,.r.vrv s....,r.._...,.i'r.uh..:...dii 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. - - - - - - NO. FIXTURES EACH TOTAL / SHOAVER 3.00 3, a"7 _-3 WATER CLOSET 3.00 y,~ v ~ BATH TUB 3.00 G, o~ ~ LAVATORY 3.00 % O ~ KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 3, o~ HOT TUBlSPA 3.00 ~ WATER HEATER 3.00 , v J FLOOR DRAIN 3.00 )(0 GAS PIPING OUTLET •minimum • i 3.00 3. DL~2 ~ ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • neLay. u~ 20.00 U.G. SPRINKI.ER • home unner wnst. 3.00 ALTERATIONS • co a&uog 20.00 WATER TURN AROUND 20.00 y ,5 STATE SURCHARGE .50 TOTAL: ~ rJ~ ~Ir7 SITE ADDRESS:_ H 7 9/ P JC 7 0rV l/lCt c/ OWNER NAME:~G~~7/o INSTALLER: ADDRESS: 75V ~j~p Cl ~/~'/vs'~ CITY:_ I_`~cvG~ P•n STATE: zIP coDE: 5 5 > PHONE ( ) G G1 ~ J SIGNATURE OF PBRMITTEE c mS,SAU ~ . ~ . ..xk: y: : . . .~r.r...~:..~~.. . ::.~S~ .c. . ..:c . . . .'Gi:.:..a' . L~` ..`-r.^.'_. ~ Aj . NN:S. ;~~e•b:„" ~ ~ r•rF~:T3:'..tiivi.^..::.:;~iy°~:~..,_ . ~ . . yR . _ _ ~ . ey i . . ~'!F~ iP f.~,'a$,~3,.~%.°.,"''; : %t ~ n >:6Sn:fi:'.~.. ::.A~... ~ ,:,_:.,,:..:.;._,.~:~:r^":z s,...;.:::t`~g`#c:?]:":.:.'~'~.`gam.3:iF.x.,_e•:o<..,,, .t.yj , <.,~,:::..~..H. - .r'.'..~'~",x. - c. : .vm..k~'t~S.~i~'i1i ~x.•. y'fiE ~ : :,Si='i..sr.C;. t . _,......<:„•E....s...!:ti..t....K._....~..a:o.:.'.::d.:.'o . , v.~.:.,.;..::. c`i:S:,.<: Y~ "R:~~ .r..>:,,il'.:.:..~f%:.:._.P."~~.:wa;i`3;:,'(:.%;~. .«k~',x :.:..:.:.:...:~2E':,,...;.. . ...u...,.,.,..,.w.c,::.:::.:,..,...~..~xi:: wti.xi.a.mcs:ok.~:.~.:.>i;-~...a::.e.:r.5.......;......;::.sa:; 1994 PLUMBING PERMIT (COMMERCIAI.) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 ~ (612) 6514675 PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. _ NEW CONSTRUCTION ADD ON REPAIIt WORK DESCRIPI`ION: CONTRACT PRICE: $ FEE I% OF CONTRACf FEE. STATE SURCHARGE: $.50 FOR EACH S1,000 OF FEE. MINIMUM FEE $ 25.00 CONTRACT PRICE X 1% $ STATESURCHARGE $ TOTAL $ SI1'E ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CI11': STATE: ZIP CODE: PAONE FOR: CITY OF EAGAN APPLICANT CITY USE ONLY c~ L ~ BL RECEIPT ~ZJ79~z SUBD. ( C~ DATE: & aa95 901tv6.3.3S 49195 1995 MECHANICAL PERMIT (RESIDENTIAL) (p~llr~t• '¢o~D " CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning ' Add-on air exchanger, i.e. Vanee system, etc. Date: FEES ~ Minimum Fee: Add-on/Remodel (existing residence on $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge ~ TOTAL 1. N SITE ADDRESS::7'~~ 64~~46, 4izzz OWNER NAME: A6Gro PHONE INSTALLER NAME: 20%EG f~/~~G STREET ADDRESS: 112~r'~ CITY: STATE: ZIP: PHONE ( ) ~11i~~ ~ ~ CITY USE ONLY L BL RECEIPT SUBD, DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 68113675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are pgi required for each dwelling unit. DATE: CONTRACT PRICE: N/ORK TYPE: NFW CONSTRUCTION INTERIOR IMPROVFMENT DESCRIPTION OF WORK: FEES: * $25.00 minimum fee gl 1% of contract price, whichever is greater. ~ Processed piping - $25.00 I STate surcharge of $.50 per $1,000 of pgrmj~ fee due on all permits. COPITRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR PERMIT # 'Y~ (0 v RECEIPT DATE: RESIDENTIAL PLU14I$INfi PEftMIT APPLICATION crrY oe F-As,vv S$SO PILOT KNOB RD EA6AN, MN 55122 651-681-4675 Please complete for: : single family dwellings > townhomes and condos when permits are required for each unit % backflow preventer for irrigation system SITEADDRESS:-q;~ R 7 -W.~ -5'5- I a OWNER NAME: TELEPHONE y S 6-S78z (AREA CODE) INSTALLER NAME- TELEPHONE (AREA CODE) STREET ADDRESS: CITY. STATE: ZIP: Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • waterturnaround Nature of work. Ja c:,.q~ X~~a ~C1ti~e~ ~ Septic System, new/refurbished - $ 225.00 • indudes County & Consulting Inspector fees • requires MPC license State Surcharge f~ ~ ~ $ 50 n r~ ~ ~ n Total qpR 2 5 2001 ~L~ I g Reminder: Be sure to schedule inspections of alterations, i.e. water hea , er softeners, etc. B ~ I hereby acknowledge that I have read this application, state that[he informahon is correct, rttlagre`e to complywith all applicable City of Eagan ordmances. It is the applicanPs responsibiliry to nohfy the property owner thal lhe Qly of Eagan assumes no a lity for any damages caused by the City during i[s normal operational and maintenance activities to the facilities constructed under this permit within C ro erty/righPOf-wayleasement. OH SIGNATUR F PERMITTEE Updated 1101 Mouajan ; pemd"~ ~ I Pertnit Fee: __9D~ ~ 3830 Pilot Knob Road . i pate Recawe& U a Eagan MN 55172 ~ Phone: (651) 675-5675 i Stam Fex: (651) 675-5694 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION °1 &01~ sne naaress: qZS1 I,~ U WXirl oate: Suite 0: Tenart: RESIDENT/ OWNER Mame> anone: Address / C3y / Zp: AppGcant is: _ Owner _I Cantractor TYPE OF WORK Description of work: 4 (2' ~ 2(AF 5Q Construc6on Cost: Muld•Famity Buildinp: (Yes No4l-(j ~ ~a~~y CONTflACTOR Nema: License S: i Address: City: Srfl11,kT'' _ scace:.~ za: 55 Phone:G61•'11,1•q&YJ ~,~Pa~~: ICnrnr~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _Minrresota Rules 7670 G?tecorv 1 _ Minnesota Rules 7672 Energy Code . amidenud veftl0an.c=007 i w«Weai • New EreW code waowmw category Submttted suanmee (J submissfon type) • Energy Fmebpe Ceiadauoro SubmiCad . in uhs bast 12 monehs, has tha CitY ot Ea9an issued a permH for a simller plan baxd on a maater plmn4 _Yes _No If yes, date and address of master plan: Licensed Plwrtber: Phone: Nachaniwl Contractor: Phone: sewer a wazar Convactor. Phone: ~ ixrwy aduw«~mge mm adc imo~matlon is wnpete aiw amaace: maz me awk wao 0o m como~manoe wtth me a~simr~es arw oo0es a me ary m a~ '~dandWce ~;m are~ ~ pm~b n+e~e~e~ wak wrocn~ aaprovai a p~ns. m~art ,~rowu~ e pam+il; m uro woit wm oa m x M- N-w,MucA x N02~ - APPUcaM's Prinud Name APD~icanPs Sigreuue Pflge 1 of 3 \ \ ~ ~t - ~ r Survey for: DANLE BR05., INC. Q ~ ~ 4N' i?' "f - . - - - ~_.7 ~ A.~~r~~~7~~~~~~ DESCRIPTION: Lot 11, 81oCk 1, WEXFORD 2ND ApDi?IqN , til , 1419 5 We hereby certify thatthis rs a true and correct representation of a survey of the boundaries of the land above described and of the Iocation of all buildings, if any, thereon and ali . ~ ~ ~ y•j~ visible encroachments, if any, fram or on said land. Dated this 16th day of May, 1994. c \ a 9 (~t`!? , \ ~ w7 v( 0 CARISON & CARl54N, INC. ioe=-. LAND SU#tVEYORS ? l~~r,,•1 ~ ~ Kq~G. ~.'~a`~~ ~~.P~',~~,' 1 ~9'~' . ~0 i?'~~~ / Z*°C1~° ' ~ l 3 ;1r r y~,:,~' ~ ~ taµr3~• {'~9~~~ by larry R; Couture, Land Surveyar q'Ig Minnesota License No. 9018 P .y y, ~r ~ ' \ 4 Proposed Grades : Top of BloCks 95z L Garage fIoar f,,/3 Basement floor Qi~!~~~?',_ 7~19 NOTES: ~aii^`~ ~'p ?f~° , r 9~0~ `Circled elevations are proposed, nthers are existing. Arrows denote direction of drainage, Bench Mark tap hydrant between Lots 12 and 13, Block 9, t E1=947.02 L wa ~ _ R.V. P.R- ~ . - y E E BY a uI D ~ EAGAN ENGINEERIN DEP' ARLSON , &ARLsoN iN~c. EA G p N ¦ - au. . ~ ~ R F. qi g'WEo , BY Lar,o suRvfraRS ~ , PERMIT City of Eagan Permit Type:Building Permit Number:EA122335 Date Issued:05/05/2014 Permit Category:ePermit Site Address: 4287 Wexford Way Lot:011 Block: 001 Addition: Wexford 2nd PID:10-83851-01-110 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 . Greg Stein 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 - Timothy J Jacobson 4287 Wexford Way Eagan MN 55122 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use / Cityof Eapll Permit#: /'/zt-4..s--- c, 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Phone: (651)675-5675 Date Received: Fax: (651)675-5694 Staff: L 2017 MECHANICAL PERMIT APPLICATION n Please submit two (2)sets of plans with all commercial applications. Date: .3----- --1--11 Site Address: Ta.8 7 O90ci Tenant: Suite#: I Name: T/M _II C/3SQ LI Phone: (ol Z 9— 6.15 I I Resident/Owner Address/City/Zip: Lia 8 l,c.)ax'4? id Ld Name: )<. -)/,,k /--1-t.. i `'- `'z -7'Z P License#: Contractor Address: � 6, f30xl7 City: Z44-'/< vrtJ ; +t. g5-Z -9 jS /Iq� State: Zip: Phone: 1 Contact: Email: ---5-C/-LC i�� ``D e, �� d/ i New 4 Replacement Additional Alteration Demolition Type of Work Description of work: -fT,-�- - - `'1 A-/c, i NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. 1RESIDENTIAL COMMERCIAL s Furnace New Construction Interior Improvement ..4Air Conditioner Install Piping Processed Permit Type ) _Air Exchanger f Gas Exterior HVAC Unit Heat Pump _Under/Above ground Tank ( Install/_Remove) Other I I RESIDENTIAL FEES s I $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES I Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee ? _$ Surcharge Surcharge= Contract Value x$0.0005 L.If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 1 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. x CJ * 14v.11e, x _//1 Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA152291 Date Issued:10/09/2018 Permit Category:ePermit Site Address: 4287 Wexford Way Lot:011 Block: 001 Addition: Wexford 2nd PID:10-83851-01-110 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Timothy J Jacobson 4287 Wexford Way Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature