4290 Wexford Way
• ~ w..
WeL'tifiCQte df CCC1tpQuC~ .
~ 400) of Cfagan
ze0ortNttnr ef 13miiiixg axdoecriox
T/tis Certiftcate issteed pursuant to the requiremtRts of the Ursiform Buildeng Code
ctrtifying that at tlu tinu of issuance this structure was in compliance wirh the various
orrlinances of the Ciry regulatrrtg building constructiorc or use. For the follawing:
Use Qassifiotioo: .S F DC Bldg. Pemtit No. 21070
Oowpancy Typc R3/141 Zonina District PD Type Const. VN
o.reroreWww 1]AFIIE SCIIMS IlNC Ad&v3 4304 LYNEKE AVE S, WIK:IN
sWMing Aeama 42% wEtFrM tanv L=a1itr 7m17, 81, iJEXF1RD 2M
- Date:
, 13uildime
PO.ST IN A CONSPICUOUS PLACE
~
. INSPECTION RECURD
`CIT- OF EAGAN - PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675 ~
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION
! . ~l., ! . I . . I . . . .
~ f I
L L
- - - J
Permn ao. wrmn ?wkl.. wt. T.Npnone •
. SJ1N
PLUMBING D
Hvnc ~ g5Y1' 30
ELECT a I y cf5
ELECTRIC
ksp.ctbn o.e. lnsp. CammN+ts
3
F°°""~ i s
Faxwation
Fmm*V p
Roo*V
Rou^ Mg.
R°o H9~ -f q~L
FWepiwe yjj
h
oMOTem l s~4 u/,8
F"a P'°g_ Z~ 9 Plbg. inspacW - nary Pkxnber
consc. Me?er
EngrJPian
BId9• Final j
J
Deck Ftg.
Deck Finei
VYeM
Pr. Disp.
-1~
C~ 1 3 1,(/7
Fe0uesl D ta Frte N Pough-In Inpseclron RepmreE Insp¢ciwn Other i Rougndn
(YOU us Call m9pect?wh NO me0y) ~ q¢dEy NOw ~ Will NoLly Insp0C10r
Yas Oate ReaCy
I licensed contractor El owner hereby request inspection of above electncal work at:
Job AOtlress ISlreet Box or Route No ) Cpy
02 ~'10 GL ~ ~ , cz~~
SMion No TownsM1ip Name or No Range No Counry n ill, Occupanl(PRIN Pbone No
Power $upplip - Atltl~ess
/I
%.X
Eleclr ConhaCtOr ~ComOany NamO~ / Cqntraclofs ¢n5e No.
MadinG Atldr s IConlldCAr Or OwnBr Mdkm9 InStalldtiOn
Amnonzed 5 naWre (ConttactonOwner Ma;4 Installation) _ Phone Num~er
MINNESOTA STATE BOAflD OF ELECTRICITY TNIS INSPECTION REOUEST W ILL NOT
Gdggs-MiEway 81Gg. - Room S173 BE FlCCEPTED BY THE STATE BOARD
1821 UnWerelty Ave., St Paul. MN 55104 UNLE55 PROPER INSPECTION FEE IS
Ghone(6II) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ~`wT E&OOOOt-OB
r 7' q ? See msimctions for compleunq this lorm on Oack oi yelbw ropy ,,4
~ 12 ~ 6 1 ~'X" Below Work Covered by This Request `~r
ewAdd Rep. ' TypeofButldmg AppliancesWiretl EquipmentWired
Home Ran9e Temporary Service
Duplez Water Heater EleCtriC Healing
Apt Building Dryer Load Management
Comm /indusirial Furnaca Other (Specity)
Farm qir Condrtwner
Olner (syenry, ComrectorY Remarks:
Compute Inspection Fee 6elow
k Other Fee # ServiceEntrenceSize Fee 8 Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Translormers Above 200 _ Amps ACOVed00 _ Amps
Signs linsGacmrS use on1y. 7p7pk
Irrigation Booms X gs'S~
Special lnspec[ion ~J ~
Alarm/COmmunication THIS INSTALLATIO BE D D S NECTED IF NOT
Other Fee COMPLETED WIT 0
I, the Elecirical Inspector, hereby pO°eh+h aie~_~ y f
cenify that the above inspechon has F,nai ? oa~e
been made.
OFFICE USE ONLY
This request voitl 18 months Irom 1
Address 4290 WEXFYIR] W v Zip 55122_
Lot ..i?. Bik i Sub wFxHnun 9wn
THESE ITEMS WERE / WERE NOT COMPLETE AT THC TIME OF THE FINAL INSPEGTION.
Date: Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (garage) V"
Permanent steps (main entry) ~
Permanent driveway
Permanent gas v Sod/Seeded grass
TcaiUcurb damage ~
Porch
Basement finish ?
Deck
Please verify with the builder the removal of roof lest caps from the plumbing sysrem and ihe shut-off of water supply to
the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before wocking in right-of-way or installing nndetground spcinkler system.
White - City Copy Yellow - Resident Copy Pink - Comracror Copy ~
PERMIT ° L°3~
~ CITY OF EAGAN 31~/Y
'3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 3 0 7 0
(612) 681-4675 Date Issued: 0 3/ 0 9/ 9 4
SITE ADDRESS:
4290 WEXFORD WAY
LOT: 17 BLOCK: 1
WEXFORD 2ND
P.I.N.: 10-83851-170-01
DESCRIPTION:
Building'Permit Type 3F DWG
Building lJork Type NEW
UBC Occupancy, R-3 M-1
Conetruction Type V-N
/ Zoning PD
~ Building Length 58
Building Width 34
Building stories ~ 2
•
~ :
6 r-' ~1
~`_;L~_: ~ / \_J:1 ~-:\~:L.L• ~L ~
L,
REMARKS:
PRV S& W PLBR - STAR PLBG
FEE SUMMARY:
VALUATION $133,000
Base Fee $755.00 MISCELLANEOUS $1,828.50
Plan Review $490.75 Total Fee $3,940.75
Surcharge $66.50
SAC $800.00
3AC % 100
SAC Units 1
Subtotal $2,112.25
CONTRACTOR: - Applicant - s7. LIC. OWNER:
DAHLE BROTHERS INC 18886866 0601697 DAHLE BROS INC
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
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
- ~ ~
A LICANT/PEFMITEE SIGNATUFE' \ 4ISSU D BV.TURE
.i~ )
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 3 0 7 0
Eagan, Minnesota 55123 Date Issued: 0 3/ 0 9/ 9 4
(612) 681-4675
SITE ADDRESS: Lo r: 17 B L 0 C K: 1 APPLICANT:
4290 WEXFORD WAY DAHLE BROTHERS INC
WEXFORD 2ND (612) 888-6866
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION . DA
FOOTINGS FOUNDATION
FRAMING ROOFING '
INSULATION FIREPLACE ROUGH ZN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: PRV S& W PLBR - STAR PLBG
II'~ ~ . . . ~
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
a~'a J v ~ ~ 681-4675
a4 u
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work \Z-01'Vt,0 ~
Site Address: W.
STREET SUITE !t
Tenant Name: (commercial only)
LOT BLOCK ~ SUBD.~~~~ P.I.D. #
~
Descri tion of work: S ~-Y 'Cn-,
The applicant is: ? Owner Contractor ? Other coescrtbe>
Name Phone
Property LAST FIRST
Owner qddress
STREET STE if
City State Zip
Company Phone
Contractor Address \-"1"-~`°-~°- 4~%icense # Exp.
Cityl~ t~-~- State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber ~ ~-~L Processing time for
sewer & water permits is two days once area has been ap roved.
I hereby acknowledge that I ave ead th' a ' ation and state that the information is
correct and agree to comp wi a a e_State f'nnesota Statutes and City of
Eagan Ordinances.
Signature of Applica :
OFFICE USE ONLY
BUILDING PERMIT TYPE ,
O 01 foundatfion ? 06 Duplex ? 11 Apt./lodging El 16 Basement Finish
0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Coimn./Ind. Misc.
? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck ? 20 Publfc Facility
? 21 Miscellaneous
WORK TYPE
& 31 New ? 33 Alteratians ? 35 Tenant Finish ? 31 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V,y Basement sq. ft. ~ MWCC System ~
(Allowable) i~/ lst F1. sq. ft. 11~2 City Water
UBC Occupancy k'= NI~ 2nd Fl, sq. ft. y 3i PRV Required
Zoning PL) Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
length 5-R On-site well Census Code
Depth 3 V On-site sewage SAC Code ~
Census Bldg /
APPROVALS Census Un9t
Planning Building Assessments
Engineering Yariance
REQUtRED INSPECTIONS
?.Site CO I footing p" Framing I~1'Insulation
? Wallboard C'7"Final ? Draintile ? Fireplace
Permit Fee vatmtsd,; g ) 33 006
Surcharge e-{'`
Plan Review 36 G°d•
Lise
MWCCnSAC z/ yo
City SAC
Water Conn. /(~~bk~5, 7y7yy
Water Meter
Acct. Deposit ~
5/W Permit 3~.53 Z i.
S/W Surcharge ~
Treatment P1. Z ~ Q
Road Unit
Park Ded. 2~F?6 - 93~ ~Sy- SOS`/`/
Trails Ded.
CoPies
Other
Total:
SAC %
SAC Units
, MFlR 07 '94 14:01 CRRLSON qND CRRLSON 612 881 0135 T0: 612 681 4612 P02
, CERTIFICATE OF SURVEY
=4"f R. L'd"J%PM. ;VW4.
8713 OUPONT AVENUB SOUTM
BLOOMINGTON, MINN. 75070
~ 968-2084,
i
IAND SURVEYORS
Survey fpr,•S
~'(~~'AHIE BROS., INC.
3\9~,(N" ~ 15,'.4lE;
4
,yi,. / y r 9d3 ~ `7
.77
[ 14 g6~
,2 ~ ~ , I ~Xfo~o
I 95Z
~
~ I M
949.
i': I ~ ¢Src x 9¢5a ~ ~ GP/rle.° \ `I47-
.,1.\
~ `
~ G-A-41 ` ~ - o • = 9a7F\
h ~
REVIEWED 941#-
D E S C R~ P T 1 cAt~A~. 3~ y EAGAN ENvI~ER~NG DEP''.
lot 17, Block 1, WExFORD 2ND ADDITION
O
pl -11
o oMo G~~.~~.
a~• Proposed Grades:
Top of Blocks yspS Garage floor 9.50 ° Basement floor ~
i .
~
NOTE:
Circled elevations are proposed, others 8re extsting.1
Arrows denote direction of drafnage. I
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 buildtngs, if any,
,i thereon and all vlsible encroachments, if any, from or on said land.
Dated this 7th day of March 119
naeso icense o. 29~
. LOT lDRVLY CHECICLSBT !OR flE82DENTI7IL
~ SIIILDIN pLRMIT l1FPLiGTION ~
pROFERTY I.EGALt ~
~ Date o! Auzvep =T~z~L9 5~
DOCIIKENT BT1Nefnna T
W~D 0 • Registered Lnnd 8urveyor s39nntuze and company
e'0 0 • Building Permit 1lpplicant '
Br D 0 • Leqai daacription
6~ 0 0 • 1?ddreas
Q~ 0 0 • North arrow nnd inr-rcM
L--b 0 • House type (rambler, valkont, split v/o, split entry,
lookout, •tc.)
[rD 0 • Directional drainnge arrows with slope/gradient i.
0,~'0 0 • Proposed/existing sevar and watez services
D-- D 0 • Street aame
0--0 0 • Driveway
zLtvAxioNs
Lxistina
8~~ 0 • Sewer service
0~ 0 0 • Lot corners
• Top of curb at the driveway
D[3~ 0 • Elevations of any existing edjaeent homes
prooosaa
9K0 D • Gnrage floor
D~0 D • First floor
[J" 0 0 • Lowest exposed alevation (aal)cout/window)
Q~0 0 • Froperty corners
0 0 • Front and zaer of home et the ioundation
pONDINC ARE71B (if aoolioable)
0 ld~0 • Ensement line
0 DI" 0 • rtwL
O r0 • xwL
0 - 0 • pond 0 designetion
D0 • Emergency overflow Elevation
D2MENBIONB
D~ 0 0 • Lot lines
0 0 • Right-of-way and street vidth (to beck of cuzb)
D~ 0 0 • Proposed home dimensions incluCing any propoaod decks,
overhangs qzeater than 21, pbrches, stc. (1.e. all
strueturts sequiring permanent footings)
~0 D • 6how sll ensementa of record and mny City ntilities within
those easements
~0 0 • Setbncks oi proposed strncture and setbeck oi edjecent
existing homes .
D -H0 • Retninin v e ementa, if any
Reviewed: , 70
Na % 7ete
October 1992
:14-~'i 1 . ~Ti Y:~~ e. • ,w.~ ^ ' !
Y.. ~ ~ . y
~,~.q~.,~l. ~'.1 \:^i~ xi'„f~s='?•~l..'.~7...4.~~~..:`I' 1.,...'.i:, ,.~im~it~~A'..n~.i;`~~~~.F'i ~
~ ~Ilr : . ~ ~•'~Qv`Opr i ':~~'Y :T~~:Y, j' e '~i~ c i;.
HYD
19 ' 7'-6" ~DIfj;CL 52 ~UARASiITE&4:
, , . E C171f 0-`EAC~f~ ~ •
~ "x6"T~.E - 0 .
• ' A710~1$'`
8 Y~ ' ~
. GND.EL.947.7•~f ~C ~+CCflRA~
. , ,
65:~1~~ ELEVA~'IOW~~bSES
4~ ~ V~-6-~1(?
' BEND . ; ; MH.. 51'A.,i8+ l0
g 13:71 L ~ YJ€1iVC~;
5=0+50 ~~oNo~ E si~:
V=938.33 8"-11
, , ~ ~ ; % ; ;
/ ~ ' ' • ' '
,g=9491
~ S=0+45 S=o+57
=93 6.55
> > INV~93~:57 INV
~ 4.26\'~
CS=947. , 1 CS---=946.9 MH gTA. 24+2
6 7•1 1 R ;
! 1
, f ~ , ~ , , , , ; ! ;
INV=936.25
_946 '
CS .6 _
~
- ~ ,
! , i'
' •"'oo
; ;
MH STA. 23+67.06
~
1/4•s ~ 5. 7.20 R
/2' BEND • %
S~ ~OT l66 1~ j . ;
~ I 1 7
1 I
G,V: ~ MH. ~ STA. ~ ~ . {NV=935.70 1 1 ~
" . . ~ e
1+93 9, 25+07.26 ~S=946 .2
936.34 sxa„TEE'
:946.7:_,---' : I . MH .22+69.60="-; .
,
~ ; 7J 70
_ _ • 4
1 /2'
2.2
BEND . , S~0±84~.
" I COPPER E INV~934.82 " ~ ~
CS=945.5 '
ICE W/CURB • ~ ; '
~ Tp ISLAND, 60 C
11 • ~ /^I i _ J L__ - % C
g=0+ 6 5 ENDS t 1 S=0+05 .
INV=934.64 , v ~ INV=933.99
CS=934.3 bS=~,944.9
~MN ~ STA: 21+69.63_
. .n • ,
3 5.64 R:
~
. ,1.... . H
~
S=Q-F'~ O , i ~ ~ F, • ~ ~ ~
'Nv_9~3 91 ~E-INS~ALL SALVAGED \
~
52
~ CS=943.7• -g"G.V:'~~.,;4:~~ -
~1EE
' , » N S°~+06 ~~8~x6
20+89.94 , . GND.EL:944.7(t ~ I
.B~E =933.42~ ~
INV
g" .45' i ~ ..CS~944.4 ;~2
` z,+_ z_=8
. . . . . .
~ 2z ~ /2 ` Is= sTA
BENDS INV=935,:60~' ` . 2 8:07.,:R . . . : . . ~ . . . . . . . . . .
' . C5'=944;0, . t . . i . . . ~ . . : : : :
' • . ; , . ; .
•
• MH Rt=943.66
. 7 ,BLD=1.0.95 ~ • : MH RE=945.61: :
• . .4,
•MH RE=g43.96 MH :RE=946.00
: ^ • 2 BLD=12,g1 5 •BLD=10.95
~ . . . . . . . . . M• •F~E=94~.5fi~ . . . . : . . . . . . . . . : . . . . . . . . MH :RE=946.5
. ` 3 BLD=11. 75 : • : s L =10. ~
• • v .y.....:.. : N~
y
• • : • : ~ ~
: . . . . . . : . . . I . .60.-81~C,....... ! . . . . . : . . . . . . . . . : . . . . . . . .
• : SDR: 35 O ~ . • I ~ ' • . . . .
~ . ~ . 3.5P%
• 100PVC, ~ 100'~8"PVC, • i I : :
1:00~ SDR: 35 ift 1.0(3% I • .
SDk 35 ' ~ • . . . . ~ :
; : . ~ : : ; . • F 62•'-8°PVC, ~
SD.R 35 0 1.pi
~ ~ ....:.........:...t............... ~15' s4ul.
CI7'Y; SINR. ~ XIIVG' . . . : . . . . . . . . . : .
OF qGR~ pOES fVOPCG
TWE 'ARIIV1'EE 4
I.
YHE ACCUR GY OF. U71UTY LOCAjIONS
• ~ : 1 : AR1D/OR :ELEVqYIOMS. • .
• ; • • . . . . I . . . . : . .RSOfV$ V~~ MATIQI~ . P
U~P Y$ v~ _ ~AT~, lo F0~ : . . . . . . . . . . . . . : .
Ca1V~0 0 .Oi~~~(• ~ ;
. =YI•Ai;DTI;-2 • .
BRI~ORMATI0~ IT $HOULD V~; ;
~ w N THE;SITE. L • . ; :
i..p 1 ~ _ ' : ; ; f I • ' : :
.ii.~~.....Q^j.rI ~ i i= • : .
C4
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=DOLAN ~~-C~0 r~. ~ 24~±C~0~ ; . ~ 25+0
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2ND.
Cities Di ital ualitv Control
The following image represents the best
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Every effort was made to capture the content
from the original page.
, . ~ . . ~ .
• ~ ' E RIOR EtdVtiIAPE 1VElLqCE "U"•'~ .PUTATIO[7
OWNER_ ~4 ! / 7 F cO~ •
.u c:
SITE JIODRE g '4 ZG~Q j• .
' CbNTRACfOR Gc.~~n: ~ ' ~ . . , . . . . , : ; •
, ~.S ' . ,
on
TE ~
. . -------~_PfiOt~ ~
• Datermine workin a
. 9 quare footage of eacli. .
.1• Total expoaed wall erea
c~-
' 2• Total roof/ceiling area .....,-rB4. f t. x.•I I~-•• 3 3'7: o q-
1 23 L
._--Bq. x.o2G
~ ft.
• • . . - . , ~ 3'L .0 3
A• Total wall window area....... B• Total door area...... 2'L 3
C• 4bta1 slidin
D. Total Eire 9:91ase door area....
, . E. Total wapl°ce wall'area ~ ~
F. Total ~ml framing area (average 10!).........------
ioiet. area...:. ' -2- 2 S
G• Totul Net wall area ub' 3 .
ove floor.••••.......... ~
, ~ .
~
• . c tt .f, . , • . . .
Total expoeed foundation area.-
1.1• Total foundation window area.... 1•
I• Total net,foundatiori area above qrade...........
- ~1 8
` Determine "U",value of each wall s gcent,
. r~~ g nUn ~ .
b•g fou„ J .
. . ° , ~ ~ • .
. c.=- x nUn .r.:. .
= (,0 .
' d g nUn . •
. . . e • .
e .
X "L C)
. f •--'3 oX «Vn ~
9
9• X n U
n
. ~1. X nUn . .
s
x „U
' • I o
3............ .............Total v 2,~
If item N] is tlle.saine.as
SBC 6006(c)2, . or less tl,an item ql
. you have met the intent of
jrr ISO. of Opoquo wnll arr• tor '
tr.eFinc"2`'b"nntruction
Conatruction
R-Value
~ ~ 1• Z~-c][1Qx eir 1E11m
I ~ 2.
_ RYINALL .4S
i _
Totel expoeed roof/ceiling area M
. j. Totel' ekyliglit area,
k. 7btal roof/cellin
9 framing area (average 10%),,,
. 1. Total net inaulated.roof/ceiling area „ I 2
. . . . . . • .
- ll•Oq
Determine "U" value for eacli roof/ceilin
j. . . 9 . segment.
, • • x eVn
~ ~
~ k' 1 12- -S X"U" , 0 2'1 G •
' . • ~ 3 . 3 . ,
. . • . 1• • ( I c>~ x "U^ .oZ5
2 7 7 3
' 4 • •
.......................Totai - 3 f .l 2
If total of 114 is t]le same as, or le
SfIC 6006(c)1. sa than 02, you liave met the ititent of
Alternate IIuilditig Eiivelope Desigii + 4'o utilize ttie total envelope gystem met}iod
aum of items 1?3 ana pq s~~all not be greater,t]i'ae t}leuaumeofaitems ed b
~ Y,the
~ • fll and q2, ,
1.
+ 2. ,
3• e .
-
1 + 4. . .
v
~ •
I '
~ i
~ . . ,
C01t5TRUCTION R YALUE
WALL fRAMING SECTION: -
1 Interior afr Fllm 0.68
2 ~/'L > r
A 3 nches eo t wood
5 ~invik~,•~
r'Nalr> LtV -cil,itl=~
F Exterlo m
- T07AL R - •
U ~ 1/R~
~ WALL SECTION (INSULATED)
1 Interlor afr fllm .68
Z
3 ?;.~~i ~~thr•r i~.-v i,•,
FExterfor a r fflm p,~~
TOTAL R -
u - I/n
RIH JOIST SECT101l:
1 Interfar alr fllm 0.68
C 2 '1 9
4 r..
, ~ ~
5 r•k'•11 L:( i';,I '•ill ~l! /-i l
- 6 Exterior afr i m 0.17
. ~
FOUNDATION INSULATI0t1 REQUIRED: TOTAL R -
Min. R-5 on entire wall OR U- I/R - .r?r
p, A•:•,4• Min. R-10 down to frost depth
:
,a. FOUNOATI01! SECTION:
Interlor alr fllm 0.68
A • Z ' , . •
• . I ~
•.'Ar
a• n. y G Exter or a r i Im p, 7
•
. a• y : n • ; •i'~;, Iv%~~7~ ~ ~
: '.ra
.
TOTAL R = I`
u - t/n
SLAA ON GIIADE
d ~4 . 4" ' a ~
~•,f,4•
N:4 ~ ' ..u a~ a~'. . A ~y ' V , • d
u Q Heated Slabs: .•,CX a'.<1
E •v 'a~ Minimum R = 8.5 q~
MM ted Slabs:imumR~6.2 Page 3
• . CUNSTRUCTION R Ml,I( CEILING SECTION (INSULA7ED): "
I Interlor alr fllm
AIR 2 ceu~rs 3 v
fllm still 0.61
TO7
U1/R
F 109 CEILIHG FRAMINf SECTION:
I Interlor elr fllm 0.61
2 51 . ~
AIR VENTED q Pci Paiqi f I ''m'~ `o ~i
FLOW 5 nches so t wood u,
- (e• f~ TOl'AL R ~
U - I/R ° rl•!f^l
CEILING SEf,TION (INSULATED):
ASM I' (nterlor alr fflm 0.61
Y
G ' 4 Exterior a r f m stil 0. I
TOT R ~
U - 1/R
~ 2 3 4 5
CEILINr, FRANIHR SECTI011:
1 Interlor alr fllm 0.61
VENTED z
3
. A °x.!erio, a r film (stlll) 0.
S Inches so t wood
TOTAL R -
Ua 1/R °
3 4 5
1 ,Inside alr film 0.61
- j .
I,VJS Outside alr film 0.17
2 TOTAI R ° -
L•
U- I/R ~
Page 4
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1994 MECHANICAL PERMTT (RESIDENTIAL)
CTI'Y OF EAGAN •
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
~ NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE IN3ERT
DATE _L} 1-4 A4
FEES
HVAC: 0-100 M BTU $ 4.0
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH) 1.00
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00
STATE SURCHARGE G)
TOTAL 7, C7
SITE ADDRESS: -Q2~"-lU LtJ-exrortA f..Uc..it
OWNER NAME:_ Du !n 14, TELEPHONE
INSTALLER:Ua.1 I„c ,n Zi. c
ADDRESS: -?I 1 1 lnJ 12 ~l'~ S}.
CITY: S ot,1 c,.~_ip~ STATE: (V\, ILJ ZIP CODE: SS •-7 W'
TELEPHONE 0~-qD -.43a1
S/A/~ TURE OF ERP MITTEE
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1994 MECHANICAL PERMTT (COMMERCIAL)
~ CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL 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 CONTRAC'T FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERMIT FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONL1)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIG1'ATURE OF PERMITTEE CITY INSPECTOR
' MY U5E::#JNI.:Y
. :,:.:a.:.:.: .
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1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AL.SO, FOR TOWNHOMES AI`TD
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTI'.
NO. FIXTURES EACH TOTAL
/ SHOwER 3.00 3, Ov
3 bVATER CLOSET 3.00 " q, ov
~ BATH TUB 3.00 O,J
LAVATORY 3.00 / 2, o
~ KITCHEN SINK 3.00 2< o v
~ LAUNDRY TRAY 3.00 9, o v
HOT TUB/SPA 3.00
~ WATER HEATER 3.00 `ir Dv
/ FLOOR DRAIN 3.00 3, 0(2
GAS PIPING OUTLET • minimum - t 3.00 3 i 0&
ROUGH OPENINGS 1.50 4" h J
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cry.lic. 20.00
U.G. SPRINKLER • nome unaer wnst. 3.00
ALTERATIONS • to ecisting 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL: SOt OV
SITE ADDRESS:129U
OWNER NAME:_,4:~)~rl,~/P i~
INSTALLER:-~-1/~
ADDRESS: 317-5 U li~o11 CITY: Z2,'ir~ o~ STATE: ZIP CODE: SS
PHONE
SIGNATURE OF PERMITTEE
.
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1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLE'T'E FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
NLW CONSTRUCI'ION
ADD ON
REPA.R
WORK DESCRIPI'ION:
CONTRACT PRICE: $ ~
FiiC: I9o OF CONTRACT FEE.
S'PATIi SURC}IARGE: $.50 FOR EACH $1,000 OF PERM FEE.
MINIA1UA1 FEC: $ 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAA4E: STE. #
OWIVER NAME:
INSTALLER:
ADDRESS:
CITY: STAT'E: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
CITY USE O\LY
I L ^ ; BL RECEIPT ' ~ ~l vd 1
SUBD. RECEIPT DATE: T-a 3- R 9
MECHAIVICAL PERMIT #
1999 MEcHArrtcAL PERMrr (REsiDErrr[AW
C11'Y OF EAfiIkN
S$SO PILOT KNOB RD
E4fil4N MN 55122
(651) 681-4675
Da[e: ~ - °~a - q ~j
Complete this section anlv if you are installing HVAC in a single family dwelling, townhome or condo under
consnuction and not owner /occuoied.
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge .50
Total $
Complete this section aiilv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
~ New _ Alteration Repair _ Other
Reminder.• Call 681-4675 for inspections.
_ Fumace _ Air conditioning
_ Airexchanger ~ Other G~S I'nc
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
SITEADDRESS: ~~~~"JD `?ex-~o~t' ~i~~~i
OWNER NAME: PHONE ' 07 6 6
(AREA CODE)
INSTALLERNAME: 5-7~~eco •c!G G r SP~~.~eS PHONE#: (oId 7185
SIREET ADDRESS: [~a/y. (AREACODE)
5'~ SL?
CI7'Y: ~ ~,6Ce STATE: /V~il/ ZIP: ~551 7 a
SIGNA`IURE OF PERMITTEE
CITY USE ONLY
L BL RECEIPT
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR MECHANICAL PERMIT
1999 MECHANICAL P£RMfC (COMMEftCIi4L)
CITY OF EkfiAN
3$$0 PILOT KNOB fiD
£A6Ab1, MN 55122
(651)6$7-4675
Please complete for: all commercial/indusUial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank (Minimum Fee)
_ Processed Piping (Minimum Fee)
"NOTE: When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal
and plumbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
CONTRACT PRICE x 1%
PERMIT FEE
STATE SURCHARGE (5.50 per $1,000 of,permit fee due on all pemuu.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE -
(AAEA CODE)
TENANT NAME (IMPROVEMENTS ONL1):
INSTALLER:
ADDRESS: PHONE -
(AREA CODE)
CITY: STATE: ZIP:
SIGNATURE OF PERMITI'EE
L 1-7 BL ` CITY USE ONLY RECEIPT C 1<' ~3 0 9 ) 3
SUBD. RECEIPTDATE. 5~31~~Q
PERMIT# L"I
2000 PLUMHING PERMIT (RESIDENTIAL)
CITY OF EAC,AN
3830 PILOT KNOB RD
EAGAN, PM1 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
F backflow preventer for untlerground sprinkler system
FIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee $ 30.00
Describe:
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - i 3.00 x = $
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry trey 3.00 x = $
Lavatory 3.00 x = $
Septic System newlrefurbished ' requires MPC lic. 75.00 X = $
Septic System abandonment 30.00 x = $
f2PZ newinstallationlrepairlrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Undergfoundsprinklef if dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $ a
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under construedon 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water tumaround 30.00 x _ $
State Surcharge 50 $ .50
Total S o.
Reminder: Call for inspections of aiterations, i.e. water heaters, water softeners, etc. 1
I -----b------n o--w - ledat av--ge --t-h I h---e re ad lhis a pphc ----at-io--n-, s-ta---te -[h at ---•th--e - mfo rtnat --c--rred----, nd agree - a ----------toom--c----p--ry- w--ith-all ----app---ble-- C--i~ty--of--Eagan--------ordinan------ce-s-
herey ackion i sohca-.
It is the applicanYS responsibility to notify the property owner that the City of Eagan assumes no liabildy for any damages caused by the City dunng its
normal operational and maintenance activities to the facilities constructed under this permit within City properrylrighbof-way/easement.
SITE ADDRESS: q~ -ir tD ~ c (ro /'d "
OWNER NAME: : Qi/i 4O o-f b 7 TELEPHONE elffl
(ARBA CODE)
INSTALLER NAME: ~ car D~G- TELEPHONE ~
/ (AREA CODE)
STREET ADDRESS: /"0
-
CITY / fjjKiw~.' STATE: ZIP:
~
~
SIGNATURE OF PERMITTEE
' RESIDENTIAL
BUILDING PERMIT APPLICATION
GTY OF EAGAN '-7 U 0/ 1
3830 PILOT KNOB RD, EAGAN MN 55122 v
1
651-681•4675
New Construction Reauirements RertrodeUReoair Reouirements
. 7 reyisieretl site surveys showing sq Y ol'ot, sq. tt of house, and all roofea areas • 2 ropies of plan
(20°'o rnanimum lot caverage allowea) • 1 set of Energy Calculations for healed aadiuons
• 2 copies nl plan showing heam 3 winOCw sizes; poured IounO design, etc 1 • 7 ste survey for exlenor additions 8 tlecks
• 1 se1 of Energy Calculations • Intlicate rf home served 6y septic sys[em'or adaNOns
• 3 copies of Tree Preservahon Plan J bt Dlatted aker 7l1193
• Rim Joist Cetail Ophons selettion shee[ ihidg5 with J or less units)
DATE VALUATION -T,,20(1l') ~
SITEADDRESS ~ MULTI-FAMILYBLDG _Y _N
TYPE OF WORK !Lts S S i c S'I FIREPLACE(S) _ 0~ 1_ 2
i-j r ~,h cc rJ. as 1q New
APPLICANT I~ 1rP Si~Q P(~C~) 1r (~/~l I~' r4III e(f[ .fl~aC/~le
STREET ADDRE55 ZR`5_(`/ I,U• I'ILVy I.3 CITY~J3ur sU,//Q~ STATE~I~LZIP S`S33'
TELEPHONE # gs~M-~~J~ ~ CELL PHONE # FAX #
PROPERTYOWNER OJ1 1 l ~r ~()I/I TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
EnergyCodeCate9orY - lIIVA"L'SO'l'.A RCLhS 7670C . I lttl'-I~ ~~'~i ~1(IV:
submission rype) • Residential Ventilation Category 1 Io~Rs`[hee~t Submitted New A@ y;Gd m'A el Su itted
. Energy Envelope Calculations Su ~ Itted F~ I~Y O AG
IIII SEP 1 3 1002 ,N RA cc u
~.1L1 _19 94 8-28
Plumbin9 Contractor: Pkinnc .~u ~ 1
~up-----_ -
Plucnbing system includes: Watcr Soltcner - I.<nvn Sprinl:ler Fee: $90.00
Water Heater No. aF R.I. Baths
Na ol"13aQis
Mechanical Contractor. F-Ir Q- S 1 P L° oyjdai/' I Phone #
NIccha11ical sy.stcm includr>: Air Condiuonitill" Pcc: S70.00
I-lcal Rccoccy SysLcm
Sewer/Water Contractor: Phone #
I hereby acknowledge that i have read this application, state that the information is correct, and agree to comply
with all applicable Sfafe of Minnesota Statutes and City of Eagan Ordi nces. C /J
Signature of Applicant __1Ll~•~"/.
/
OFFICE USE ONLY
Certi6cates of Survey Receroed _ Tree PreservaUOn Plan Receroed _ Not Required _
Updaletl 4I02
OFFICE USE ONLY ' .
? 07 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace O 21 Porch (3•sea.) ? 31 Ext. Alt- MuIU
? 03 Ot of J plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) 0 36 Muiti
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N 0 25 Miscetlaneous
? 31 New O 35 Int Improvement ? 38 Demoiish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entlre Bldg only) - Gfve PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bidg) _ FinaUC.O.
_ Footings(deck) J FinaWi o C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ F[gs _ Au/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~ ForoRroetlse I
Dty 0f il ~1_apn11 j Permit#cw
i i
I Pertnd Fee, D I
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received:
Phone: (651) 675-5675
Fax: (651) 6755694 I Stafl:
I 1
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant:
Suite
RESIDENT I OWNER Name: Phone:
AddresslCity lZip: y~D 11~4'Fn26
Applicant is: _ Owner -4 Contractot
TYPEOFWORK Description of work: Construction Cost: Multi-Family Building: (Yes No ~
CONTRACTOR Name: /,4Kr ,,y f{ ,f7 14G License o?oSo 33e
Address: _ 7SyS /'/~GSdu~r/
City: /7/~~Fi/_45z State: Zip; ~sya3
Phone: li/d d~0/ 7a 7 Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential VenNlation Category 1 Worksheet . New Energy Code Worksheet
C8t@gOry Submitted Submitted
(4 Su6mFssion lype) • Energy Envebpe Calculations Submittetl
In the last 112 months, has the City of Eagan issued a permit for a similar plan based on a master planl
,Yes _No If yes, date and address of master plan:
Lfeensed Plumber: Phone:
Mechanical ConVactor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporTing documents"that you"submit are eonsldered to be pu6fic InformaUon. Portions of
the intormation may be classified as non-public if you provide specif/c reasons that would permif the City to
conclude.thet the are trade secrets.,. -
i hereby acknowledge that this infortnation is complete and accurate; that Ihe work will be in con/ortnance with the ordmances and cotles of the City of
Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a pertnit; that the woAc will be in
accordance with the approved plan in the case of work which requires a review and approval ot plans. '
M x .
ApplicanCs Pnnted Name
Ap s Sig
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144043
Date Issued:07/10/2017
Permit Category:ePermit
Site Address: 4290 Wexford Way
Lot:017 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
William A Larson
4290 Wexford Way
Eagan MN 55122
Bloomington Heating & Air
640 W 92nd St
Bloomington MN 55420
(952) 884-3552
Applicant/Permitee: Signature Issued By: Signature