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4291 Wexford WayCity of Ea�ali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: liu Site Address: 4 9 I\Arcie `th' ��- Tenant: tpk Suite #: RESIDENT / OWNER Name: A. Fo s ir-t i/jj Phone: GS"l , 4s -z. O� Si Address / City / Zip: 42c\ 1 y ,c\v-d. c tn/G.., Applicant is: Owner ). Contractor TYPE OF WORK Description of work: Q -c3 o I- n +-v�o i' F.' Q.op- Construction Cost: t %, v v Multi -Family Building: (Yes / No ) CONTRACTOR --I',k` 4tc. , Name: ✓- t' / (yrs r, -1,,f) CVIINJIkb&r License#: Z©S 2-1451" Address: J� En AfilcQM Ul \ Lum..., ii. City: i)6,1oU State: ° Zip: -CS-1441 Phone: 6[7- 96rf /5443 Contact: )(.1 Lk r d Emaii: '-i-r-+. C.og'-Y•\l'utA'l,ctiN k4) , ChM COMPLETE In the last 12 months, has X No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the C1ty to conclude that they, are trade secrets. CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of ita Applicant's Printed Name X Ap i icant's Signature Page 1 of 2 . ~ , . . . ..•,~;(~y`-•,,'._ • r ~ ~ W,extificate of cccupanc~ Witij of *agan ZCVwrtwact oi sKiLbing ~u~recNun r This Certificate issued pursuant to thc r+equirerrcents oj the Uniform Building Code cMifying tkat at thc time of issuance this structure was in cornpliance with the various ordiriances of !he Ciry regrelating buildirrg construction or use_ For the following: ux caWrKZI~ SF Utz aws. rcmit No. 33644 pccupvrcy Tppe .Disaict Type Conu. O,,,,ff of B,,M . a$ J & x OUnrLRAcrM „ddms 2654 QaosSIM BLw rE, xers iAn Buiw~,.ddrm wAt L.acaliry L12, B, wWM aND , \ Dare: a - BuiWin` O POST IN A CONSPICUOUS PLACE , ~ 1 - 1\~rL ~1l~Vl\L • GI7rY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road ~ - Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 - SITE ADDRESS:' APPUCANT• i,~x ~ ~t~; • , ' ~~far~a wav PERMIT SUBTYPE: TYPE OF WORK: ; ;Mr•.~ , INSPECTION D, . D• ti ;Inl t , r);~; s 1 r,?d k r V tI wi ;I I,Y 0;?I i ;I:,1 1-I'tr1 14 <111; 1 6 ?t4r11 I'r iray i r il:~ ~ ~ tiMPEtTE fFIE PitO.1ECT. "Uk161NA1 1'ER14I1 ItplUtk HA', ARANfIi)NEp i ~ F ~ L FPermN Ho lder Date Telsphono # „ HVAC Inspectbn Data {rwp. Comments i FOOTINGS I FOUND I ~ FRAMING li ROOFING I I ROUGH PLUMBING I PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD ^ FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL J( DOMESTIC METER IRRIGATION METER FLUSH MAINS cavDucnviTv TEST HYDRQSTATIC TEST BSMT R.I. BSMT FINAI DECK FTG I DECK FINAL ~ INSPECTIUN RECORD Clrtl( OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ; . f F~ t~ ~ ~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . . ~~•;;f I c! 1't i~~; ~illit~.~' ~ r' !i 1~, ~ ~ ,PermR N Pwmk Floldu Oets TMephone / ELECTRIC ~ . PLUMBING Hvnc Sy ~ . lnsp.edon oaw lnsp. comm.nn f, n f ~ Qs~t~f /M i K FOOl1NGS t FOUND FwuAtNa RooFlNc , ROUGH PLUMBINC3 . PLBG AIR TEST ROi1GH HEATING OAS SVC TEST INSUL GYP BOARD FIREPLACE - FlREPLACE q:7 AIR TEST Rw?L ~ FINAL HTa aj~? ORSAT TEST O - BIDG FINAL BSMT R.I. BSMT FlNAL DECK FTG DECK FiNAI 7 ° _ S OFFlCE USE ONLY This request wid 18 monihs (rom validation dale pnnted in If~is box //~,a/ c~.~~~~ * 0 4 3 2 0 6 2$~K PLEASE PRINT OR TVPE / UV Reqwi Dote Rwghin iupttJan reqmredd Ym ? No Inspenhm Oiher Than R«gMn. ? Reody Naw WA1'Ooll ~ Q'(~ ~Yw musi m0 iho inspecmr wMn rmdyl r [bi R I,01icensed conho<tor ? owner hereby requesl inspeclion of fheabove elechical lab Addrev (Sheel, Box, or Rowa No ) City / ip L fx ~02 ~A G'4 ~ Sec \ - fon No. Towmhip Noma or Na Ra pa N. Fne No Cwny D Occupont Phwc No rn- /?%~scsE yS ~1- SS`l Po«er Supplic.E Add.ms ' fJ l!:' Fi j,~yr F tledriml Conrvocror [Con+pomy Name) Cwtmnor License N. Moslar Lic. Na (%om Elat Onlyj nwltme aad,au (coinocro, o, o.ne, rarkmme in.mnaeenj N G-), Y 67 l9c-c S. ANhorimd ' ~raNm (Conh fL ar PeAorming ImbOaiion) ? Phone No. /.-r' •-~ti S-FG-,35 EBOOOOIAI1 8/96 ere,c vneen rnev _ eee iuereurnn~e n~ o.r. ne .e~ i nw rnev n^7r~ REQUEST FOR ELECTRICAL INSPECTION 6 y 7 4°"~0" ` ~ M8innesota 21 Universtry Ave.rRm. S-12r8,1SL Paul, MN 55704 ~ ~ -73 Phone (672) 642-0800 Home Duplex 1. Bldg. Othcr: New Addn Commerciol Indushial F Aarm Remod Re air Air Cond. Hfg. E ui . Water Hh. Load Mgmt. Ofher. D er Range Elec. Heat Temp. Service "X" above the work covered by this request. Enter remorks in this spoce ond on fhe bo<k oF fhe whrte mpy only. bJ ~ V-42-- Q--e.LJ Calculafe Inspecfion Fee - This Inspecfion Request will nof be accepled without fhe correcf (ee: Olher Fec # Service Entrance $ize 11 Fee N Circuils/Feeders Fec Mobile Home Park 51o11 0 l0 200 Amps 0 ro 100 Amps a Sfreet Lfg./Traffic $ig. Above 200_Am s Above 100-Amps Tronskrmer/Genemror INSPECTOR'S USE ONLY TOTAL Sign/OutlineLfg Xfmr. K~~aL~ -1 i~ Alarm/Remofe Conhol F,N*L if/}7, yt' Swimming Pool « ~y/ y fb I hem cani ~hm 1 ilre eleclnml inslallotion deuribed herein on iho da~df em Irrigotion Boom Raghln S ecial Inspeclion V J Finol Da~e Investigative Fee rHis iNSrAlf.ll-AqiqM y{qy qE,PAM T F N WRHIN 18 MONTHS. Address 42e i wFXFn wav Zip 55123 L.ot' ' 12 Blk I Sub WEXFoRn 2rID THESE ITEMS WE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector. Final grade (6" from siding) LI/ 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 shut-off of wacer supply to ihe outside lawn faucet before freeze potential exisis. Con[act engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy ~ ~ ~ - PERIVIIT ` CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 PermitNumber: 029278 (612) 681-4675 Date Issued: 11 / 2 5/ 9 6 SITE ADDRESS: 4291 WEXFORD WAY LOT: 12 BLOCK: 1 WEXFORD 2ND P.I.N.: 10-83851-120-01 DESCRIPTIOid: Building_Permit Type SF DWG Building Wbrk Type NEW UBC Occupancy~' R-3 U-1 Construction Type V-N 2oning R-1 Building Length 67 Building Width 56 Building stories ~ 2 Square Feet 2,652 Cens-Ss,C.ode`' 101 1- FAM. DETACH ~ - / f i~ \ V• ~ , ~ REMARE(S: PRV 5 & W PLBR - , . FEE SUMIVIARY: VALUATION $145,000 Base Fee $1,112.25 MISCELLANEOUS $1.923.50 Plan Review $556.13 Total Fee $4,569.38 Surcharge $72.50 SAC $900.00 SAC t 100 SAC Units 1 Lic. Search Fee $5.00 Subtotal $2,645.88 CONTRACTOR: OWNER: - Applicant - , MORSE TERRY , 1701 WALNUT LN EAGAN MN 55122 • (612)454-5549 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. L Statutes and "ty ofi Eagan Ordinances. ~ el.l CIG~ APP CAN RMI7EE SIGNATURE ISUED IJY: S NA7 E 3830 tq Iq 6 1896 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~~~~G ~ ~U 681-4675 RemodeVReoair Reau{rementa 4 3 rephlerod aRe surveye / ? Y eopies M plan * 4 oopies of pbns (intlude Wom 8 win0ow $izas; pourad W. desipn; eteJ ? 2 aRe surveys (exlerlor additiona d deeks) anerpy pleutations ? t energy ulalatione tor hested additions ? 3 copies of tne prasanatbn plan N bt plaCad oRer 7/7193 nquired: _ Yae _ No DATE: ~L, ~Z/ GI 6 CONSTRUCTION COST: DESCRIPTION OF WORK: 4k/n~-: STREET ADDRESS: LOT ~ BLOCK SUBD./P.I.D. ~~AIV/,' L PROPER7Y Name: ioaof2SG Phone OWNER Street Address= City: State: APA) Zip: ~S/22 coN'rrtncTOR Company: i~~~~',~ ~Q/t'/ • , Phone ~ - ~ Street Address: City: State: - ' • 4~01 ARCHITECTI Company: phone ENGINEER Name: yr) Registration #4 Street Address* / 7d/~ 1&4-~ 6~we~- City: State: Zip: Sewer & water lieensed plumber: Penalty applies when address change and lot change are requested once permit is issued. • I hereby acknowledge that I have read this apptipHon and state that the fnfortnati is eo ~ and agree to eomply with ali applicabie State of Minnesota 5tatutes and City of Eagan Ordinances. Signature ot Applicant: ' f OFFICE USE ONLY Certificates of 5urvey Received _ Yes _ No ' NOV 2 1 1996 Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE o~-E11 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ~ 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex a 13 Garage/Accessory ? 20 Pubiic Faciiity 0 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous a 05 SF Misc. 0 10 _ plex o 15 Deck WORK TYPE 4(~31 fVew o 33 Alterations o 36 Move ? 32 Addition a 34 Repair o 37 Demolition GENERAL INFORMATION ConsL (Actual) I/,Ai/ Basement sq. ft. /e"LL MC/WS System A- (Altowable) VA/ Main level sq. ft. /F`/,: City Water X UBC Occupancy ~ ,Z-1 U - t (aCf2?'rr= sq. ft. 8»C, ' Fire Sprinklered Zoning ~ sq. ft. PRV ~ # of Stories sq. ft. Booster Pump Length ~ sq. ft. Census Cude. /0/ Depth S Footprint sq. ft. 26,92-- SAC Code 57- Census Bldg Census Unit _L APPROVALS Planning Building Engineering Variance Pertnit Fee 1 112.2> Valuation: $ /1/s006 Surchar e Z, Sa Plan Review n - /9, 3Sv License T.0n See qafc //U /-~J'f~)--> ~ ~S 12O MCNVS SAC 1~,~--,,~ rzr~v~ - `9~, ?'lZ- City SAC Water Conn. 8G(~ ~ ~ f~ l~/'l~Oo Water Meter 3 0 3~ ~ad ACCt. Deposit S or dK S/W Pertnit S/W Suroharge ~ ec Treatment PI. Road Unit Park Ded. Treils Ded. et;wr~ef ~n~'ormect me he clur~y oui ~e,•rt~if C~~Er' Otner corti-rc~c~r~r ~icer,~e hod Copies bee,t UerifteA. Total: % SAC Z . 7 S SAC Units >G /82 = 7-7q x !d X !S °f5~Z0 ~a~~~sl~A ~ 2422 Enterprise Drive Mendota Heights, MN 55120 * PIONEEA LAND SUPYEYIXIS • ' CINL ENGWEERS (612) 681-1914 FAX:881-9488 y * engineermg L1WD PIMINEflS. WIDSCME RRCHIlEtiS 625 Highwoy 10 N.E. Blaine, MN 55434 (612) 783-1880 FAX: 783-1883 Certificate of Survey for: TERRY MORSE 42-9 1 W?KFor -wc~y C.S.A.H. N0. 30 (DIFFLEY ROAD) _ N89°43'31"W 84.15 ~ 5~ ~ YDRAINAGE & UTILITY A- ~ EASEMENT PER PLAT'' +AN ~ 12 . ~ 13 938.6 I 938.9 x ,S06'x`. o / BENCH MARK 10/ 941'3 94~6 x TOP OF PIPE 945.0 ELEV.=944.55 ~3 ~ !psFC~ 61/j x 949.9 ~ 9r44.7 ~ ~P~ A ~ 9p/ fn T'C'~L 8 A c" O O • 947.8 6 0 !Sp`\ 949.7 944.6~\ q, ~p Pq O 945.9 ELEC o ~ X~~cq3g`ti ,j ¢!.l'~ ~ ~~s Cc" ,~p / / \ VO• 944.7 ~i 6~~ ~`9i 944.9 Q v i' ~ 944.8 6~,~Oi ~y~ ! 11 1~ z-- WE 4.52~~ ~ BOP C OF PA~'*~~'.'NG "~~aD~''p'd; OG 944.2 44.9 \°`74'~ 5-0323,, \ p ELEV.=945.80 ~ , 950.5 o~ Llo~e ~ NI,, ii - EXISTING 7~ HOUSE NOTE: PROPOSED CRADES NOWN PE CRADING PLAN BY: PIONEER NOTE: BUILOWG OIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAI. IOCATiON PROPOSED HOUSE ELEVATION OF STRi1CTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND FOUNDATION oiMENSioNS. LOWEST FLOOR ELEVATION: ~ 3y.o NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COIAPLETED ON TNIS LOT BY THE TOP OF BLOCK ELEVATION: SURVEYOft. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSEO IS NOT THE RESPONSIBILITY OF THE SURVEYOR. GARAGE SLAB ELEVATION: 517 '1`- NOTE: THIS CERTIFICA7E DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES E%I511NG ELEVATION THOSE SHOWfJ ON THE RECORDEO PLAT. ( 000.00 ) DENOTES PROPOSEO ELEVA7i0N NOTE: WNTRACTOR MUST VERIF7 DRIVEWAY DESIGN. DENOTES ORAINAGE AND UTILITV EASEMENT DENOTES ORAINAGE FLOW OIRECTION NOTE: BEARINCS SHOWN ARE BASEO ON AN ASSUMEO DHTUM -9 DENOTES MONUMENT -9- DENOTES OFFSET HUB WE HEREBY CERTIFY TO TERRY MORSE THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF AL- A G A~ SURVEY OF THE BOUNDARIES OF: REtl.QSlFtED LOT 12, BLOCK 1, WEXFORD 2N0 ADDITION ~ DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 2ND DAY OF OCT., 7996, "q a PIONEER E INEERING, P.A. SCALE : 1 INCH = 30 FEET / 907 96436.00 SWK John C. Larson, L.S. Reg. No. 19828 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ~ PROPERTY LEGAL: ~ DATE OF SURVEY. AW 16/r LATEST REVISION: DOCUMEN7 STANDARDS f ~ a z ~9 ? • Registered Land Surveyor signature and company P~9 ? • Building Permit Applicant ~y ? • Legal description ~y ? • Address s~,p ? • North arrow and scale Q~ ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 9-' ? ? • Directional drainage arrows with slope/gradient 96 &~-'o ? • Proposedlebsting sewer and water services 8 invert elevation GY' ? ? • Street name fY ? ? • Driveway ELEVATIONS Existn5 0'~'C ? • Sewer service (or Proposed) ~~o ? • Property comers ~o ? • Top of curb at the driveway ? P' - ? • Elevatlons of any epsNng adjacent homes Prooosed 0--~o ? • Garage floor 0-' 13 C3 • Frst floor 2' ? ? • Lowest exposed elevation (walkout/window) ~~7 ? • Property comers d? ? • Front and rear of home at the foundatlan PONDING AREA (f aoolicable) El 0-' ? • Easementline ? [lr' ? • NWL 0 ~ ? • HWL ? 17~/ ? • Pond # designation 0 S ? o Emergency Overflow Elevation DIMENSIONS C;~ ? ? • lot Iines/Bearings & dimensions ck~ ? ? • Right-of-way and street width (to back af curb) pl' ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) 0'? ? • Show all easements of record and any City utilities within those easements 4-13 ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures 13 O---rF • Retaining wall requirements, if any Reviewed: Z C me ate January 1998 crukst acaAeLocrHW. Fra ~ a 4. rV 72 _L..1 i LI % ~I SEC $hEEi 10 ;p I SEE LEFT J~ SEE LEF7 ~ ~ ~ aacJ' I ~~A! ~ MH.STA 2•]0 L. C5=v5c S ! I 5-1~31 ~J N~G' ~ • \ ' ' _ a43' :=9e..~^ / ~ `-6" D:i'c. 51 I r . \ T n:~: bih .>b' i.L •i.Z ~ C5-5556 .a i I~cW9 951 ; 36 i 8'x6"fEE ; ?e ss'o.3or'~ ~cs. j ~ c>:o~i.a< 1a ~iriiEL a 7 TNH EL950 - .34 MH.STA4~ gQ ~ STt, tB+6502 ` ~e '.3 ~i L 17 i ' ~94 ~TNH EL. 94T.0~.., , . ' ~ s--; . zz r etr,c - , ~ ~ ~s s:_,..b ; 5-0~5; 16 ~ ~ ~ 'io=9S .5; ~ ~ q. MH. STA.5r3p u : i/ C5=946.9 . MH.STA.2.62 jg,3~linL~C SiF 29rZ4 16 t'. ; ~T- b J 'l .3'.'q 5?P R;. ,g 9< ! / v I . . . r 19 . . - MM.5T4.8+39 S=C4:S 1 ..~3~J ` _ /vN ..C. 6 iNV-93625 MH.StA.2.20 J'R , ! i C5=9~to b N_ ~4, i'. ~ SiF Y - :e ~S . 12 .F~ ~m ~ o p ~ E~":,.- ~ b+ - L•1.!!" c... . S: S. E : . . d'(' LJIa'.E_ MRS7ti 9.20 MH.STA. 4.69 SEE StiEET 2402 U E./.S'; i, . STn 706 ~ ~'t 6 e=« 9.0 L MHSTAG50 10 Ji.3'~^~ = E s,A 15 a ~ _~:c I \ 5 , 7 / : ~ . _ S-Ut66 / S ,bS J-93i70 / w - .rO:..53o.Sa Z'6 ~By!25~O:1c `~._el' -5=946~ u / & (5 9^n./ .'.5 ~iE MHSTA.3•70 ~ ~ - f'IL 8 giA.77-63.b'l - , .ecSS _22 :.2. q,Y 1 ~ ;ti -1' CJPPEH 5-0.9< / sc~~;ce n:aFSy s, Ij , ~.•,-~osa ni 14 SIJF i0 ~SLFND I % !'S=945S . • ' -5: \ • I y-_„ IA. i - t~S=JafiS i22 : 2• _ SA'.:;.::. ; a' SLr v~ . . :.7 ' CS_93a~01 ' PN =953 .95 ' , ~ . ~ ~ ~ / CS=9449 O n...-rY E-E,."OL ~5 ~ L ' ' _ ^ _S 'A " '../y~'MHA_Ai 69G3 ..SI S 5'S~tCE F CV =:i. . . MH.STA.2•62CS=9<3:: NST~C_ Sa. I'.'~ED • . SiA. :0- _9 Ba / 24.8' -e"C v. r16-6' UIP.CL 52 ' 5=O;C6 ~ e"xE'tEE r ~ d 5E• :.V=933.4?.. ~GUD.E_9i:.7 41:.: . ' ~ G,., ~ ' _ G'Ji~S _ " . . : 22 C5=94<a ~ TNH$L94T.0 / . WEXFOR~ WAY 10 5E,.os /,9V=a3- 23 360 ~ ~;~~~~ti~~~A~Za 957.67 _ . t. . -95~S84 SF[ nGN, . . . . . 9V0 9 959.89 901.41 ~ 961 .§3 \ I =V: 6E. Sa7.61 -T'T-- / d.c=zr?- . ~ ' \9 ' E:963.69 9C5.63 13A0, ! 12.90' " 12.91 /1 N - H HE=~Y.6b /•A4 RE.-~.N'r..- 10 ` 955 .-~eo ~ s ' ~ V n~L~'.• • ' ~ Ex.i"\C OBOUNG 11.65, 1 9M1625 ~ PRU"r::5i.. G:A..i- 1=-- ~ f V e S v' ' ~ ' ' ' 99 944.19 , MH RE -~b~tr 4.19 ~ .BLD~.+£=3~ I IT.SS' 9a~75 ~ ~.-~u=~ _ 9 950 ~I is.zo3aa.si 'E_ ~ i _ ' `4' •'.F-~ / : I ~ i ' ~ \ 3 6L~ II.00' EnS:~:G "P,J~..L"U , ' ~ 12.75' T-"~ " ~ I .~~2 siV. _5_E nV 9 945 i 4 ' AA::.i:VA0.~ • _ Vt: ~1 lh/. \ ~ . ~ r.. . 940 ; \ r ~~s~' ,sy~ s;,- _ M.,. 9 41j --LK II I i,SDR 35 iB'31B' \ , . • . . .E t . ~ 5,57 L ~ J 4--;a.03 ~ 9 935 132 1C"i 9'P.LI.42 SCii 35 a= . . . ' ' ' ' so" z5 v a'-~rc.i.es er•s,ro:c SnF . 3.76 930 zzo_E.. o,, C. w' 1 9 • 5:.c N't.::i . ~ CS? g1.1> ~ --5~Lz 2.20 ~ , 4._.., .u~:,: s:~ 9 5-.6 ' j a 02/08/94 ~ Iw m -6 .~m oi , Q d. I~ a m ~fd RECORD PLAN , o • n ~n BUILT BY. BROWN 8 CRIS. y PIONEER 9 15T00 8 1G~'OO 7 17+00 6 1S-FOO 19+00 ZOTOO 21+0~ ZZ+OO ~ Z3~'OO Z4'~OO 25tOO-tS.~EET STATIONING) ' ~O I RF240311. CIOTY PROJECT~ 'f.~~ . . . ..,:s _o_._.. v " . ...i - a. %L_._ , . ..~..f.,....,~.., ~ ~ SANITAKY SEWER k WA'FH MAIN w EXT£RIOR ENVEI:GPE AVk:RAGE "U" CAMpUTATTOH nATS /0-//-9!0 OWNER SITE ADDRESS CONTRACTOR .I fN Cp1jg'Y, pHON£ Z3 Determine working Squace Footaqe of Each. 1. Tatal Exposed Wall Area 74oZQ Sq. Ft. X .11 • ~5~.~-0 2. Total Roof/Ce121nq Area Sq. FC. X.OZG 3. Total Floor/Cant. Area Sq. Ft, x.OS • ____'~•6~ Total Expoeed Wall Arca Above Flooc • 12~90 a. Total Wall Window Area. . . . . . . . . . b. To*_al Uoor Area . . . . c. ToC31 9-1-i-dicrg- Glnse Dac:: A-ze-~(Pfr'`~~n!`~' d. Total Fireolace ~;a? 2 Area . e. Total Wall Framiny^ Area (average 10@) f. ToCal Net Nall xrea hUove Flaor .....~iF,~, g. Total Rim Joist Ares. . . . . . . . . . . :otal _xposed Foundations Area n / E?o h, 'POY:sl Foundation W:,--,)a Area . . . . . " i. Total Nol Found<-rcion Area AHovo Grade ..Tf'n:: Determine "U" °Jnl.ue nfi r:ech Fly11 Segment. a. x .,u „ ~ ~ c 3 92 tl . x i~J . ~ ' _ ~.__..G' is7._ ~ x L' ~ _ • 3 , ~ ~ ~:~~z.r x V^ - o x ~ - z~Q.._ c; . - x " L, " K „u INE X IOU,4 U _ J( *'u " sueToT.u 7 LA2 4. TOTAL = =v-4.7+ 7 O~ if item N4 is the same as, or'less than item /!1 , you have niet the intent of SBC 6006 (c) 2. Totei Bxposed RooC/Ceilinq Aeea Z- J. rotel akylight area . . . k. Tetel llnt cooP/c6111ng,lcaming nroa . 1. Tocal nec taekted Clat roof/ceiling aree M. Total veu1C rooC/cellin@ framing area-10? n. Totol naC 1neYCed vault raof/ceiling ecen oatermina `u° value for onch rood/ceilinq eogmenc. ° U " k. °iJ• 12 LS ¦ 1e x °u" .O7S+ rv. • • U° R. Y "U« S. TOTAi: SL lt0m IS la the aame aa, or leas [hnn Stero 02, you fiave me[ the lnient ot 98C 6006 (c) 1. Total Ezposad floor/Cant. Arean 7'1- 0. Toca1 tlonrJcant, framing acea (avrg, lb%} p. Tatal nee inaulated loor/cane. araa I , Oeeermine •U' valu• 1or aach ilooc/eant, eegmaae. 0. 'Ix ~v~ a e ~ AV._ P. ~x n V v ; ~ 6. rOTAr. a ' IC Cotal ot 06 fo the aeme ae, or lena tnen 13, yau havo a„ot the ' SncenG ot 38C 6006 (c) 3. RL'rZNNA'lC 6UILDYWG EHV@LOPB P69ICH To uel~} s• Chq tat41 enVenlope pydGem ruachod, the voluos ootnOlxahod by thp ltium aL itama !A, pS ond 16 shall noa bo'9re4tee Chon the oum o[ lcems ii, 12 and 13. ~2. 3. 60 4. _ 28 ~ 4~() s . 6' PreF4cea i~ - dnt e /o-//-p~6 J CITY USE ONLY L ~02 BL RECEIPT `IO 4Ap D ~ a79~ SUBD. CO\ ~ ~ RECEIPTDATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . single family dwellings . townhomes and condos when permits are required for each unit ~ New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. - - - - - - - - Date: q 7 FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 4.0 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) / ZCC) 3G-o ° ? State Surcharge .50 TOTAL ^ 3 ~ . SJ - - - - - - - SITE ADDRESS: Ta 9I IJ 'VATO~~ CU~~ OWNER NAME: ~ PHONE#: INSTALLER NAME: .v Al'A PHONE STREETADDRESS: r. CITY: -14, vL/' CS'/w"~ fdGlGfh,~ STATE: AlN ZIP: ~5~17 SIGNATURE OF PERMITTEE CITY USE ONLY L BL RECEIPT#: SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: ~ all commercial/industrial buildings. . mulfi-family buildings when separate permits are not required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ~ $25.00 minimum fee or 1°/a of contract price, whichever is greater. . Processed piping - $25.00 ~ State surcharge of $.50 per $1,000 of ermi fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL - - SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CI7Y: STATE: ZIP: PHONE SIGNATURE: - ~SIGNATURE OF PERMITTEE CITY INSPECTOR - ~ L~ gL CITY USE ONLY ~y RECEIPT#: 7a0 (P7 SUBD. RECEIPT DATE: 'I" ~ 97 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: ~ single hamily dwellings . townhomes and condos when pertnits are required for each unit ~ backflow preventer for underground sprinkler system FIXTURES EACH TOTAL 6 60 Shower 3.00 x = Water Closet 3.00 x Bath Tub 3.00 x 300 Lavatory 3.00 x 'L_rjUU Kitchen Sink 3.00 x = _L___, jpp Laundry Tray 3.00 x ?o O Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x 3OQ Gas Piping Outlet ' minimum- t • 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construGion 5.00 x = Water Softener ' for exis6ng dwelling 20.00 x = U.G.Spflnkfef 'fordwellingunderwnst. 3.00 = U.G. Splinkler 'torexiatingdwelling 20.00 = AlterBtionS ' to existing residence 20.00 = Water Tum Around 20.00 = Private Disposal System ' oak cry iic. 75.00 = (new and refurbished systems) Private Disposal Systems'Abandonment 20.00 = 3 STATE SURCHARGE .50~ TOTAL '39 ~ I hereby acknowledga that I have read fhis application, ahate that the information is corteG, and agree to eompty with all applicable City of Eagan ordinances. It is the epplipnPS responsibiliry to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during i4s nortnal operational and maiMenance activities to the fdciRies construGed under this permit within City propertylrightof-wayleasement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: /A/ TZTz 10Ze,~~ TELEPHONE Ya V3.~~K STREET ADDRESS: /-V) /V, ciTr: STATE: /,V ~ ziP: ST~ 6~ 0 IGNATURE OF PER EE PERMIT CITY.OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: e u r Lo z NG Eagan, Minnesota 55122-1897 Permit Number: 033644 (612) 681-4675 Date lssued: 10 J 12 J 9 8 SITE ADDRESS: 4291 WExFORD WAY LOT: 12 BI.OCK: 1 WCXFORD SECOND P.I.N.: 10-83851-120-01 DESCRIPTION: B}1i.lding Perm,it Type SF (MISC. ) Bu.ilding Wo'rk 7ype ALTERATION !Census Cnde . 434 AL7. RESIDENTIAL \ . ~ i ~ r, _t l REMARKS: PIAN REVIEWED BY DALE SCH6EPPNER. (ORIGINAL PERMIT #29278). COMPLETE THE PROJECT. "ORIGINAL PERMIT HOLDER FIAS ABANDONED PROJECT". S F I I FEE SUMMARY: VALUATION $20,000 Base Fee $287.25 Surcharge $10.00 l'otal Fee $297.25 CONTRACTOR: - Applicant - ST. I.IC. OWNER: J& N CONSTRUCTION 14346373 0007569 J& N CONTRACTING 25'54 CROSSTOWN BLVD NE 2554 CROSSTOWN BLVD. N.E. HAM IAKE MN 55304 HAM IAKE MN 55304 (612) 434-6373 (612)434-6373 S hereby acknowledge that I hava read this application end sCate that the information is correct_and agree to comply with all applicable $tate ofi Mn. Statutes and City of Eaqan prdinances. , 60 APPLICANT/PERMITEE SIGNATURE (~PSUED BV: &IGNATURE- ~ fY,: Sc~Cm~C~C~;~ r,c %cm~C%cr,oBXcXc~c%c:;c~~C ~;(Xc)YY,U;qk ~)X)YY,(X(J;C %C7~(XCY,; 7:c CITY DF ERGAN CASHIEfi: S TERMINAL N0: 764 DATE: 10/12/98 TIMF_: 15:24:46 Iii ; NAMEe 1 & N CONTRACTING 3210 9001 4231 WEXFORIi WA 2g7,25 2155 3001 4231 WEXFORD WA 10.00 ti Tota? ReceiF,# Artiount,: 297.25 CF03E334 4 USEF ID: NANCY XcXc~C~C~Cr~r~r~?k~k%cXc~~C~m%c~c%c~ae~%~k~r~rtr,c~e ~e~z~cMX~~k~C~X~C~~C I ~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CI1'Y OF EAGAN 3830 PII.OT KNOH RD - 55122 ~ 336, (4-4 681.4675 ~ aq New Construction Reauirements RemodeVRecav Reawrements ? 3 regiStereC S@e SurvBy3 ? 2 tcAie4 Of plan ? 2 eopies of plans (inUude beam d window sizes; poured tnd design; etc.) ? 2 site surveys (erzterior adtlRions 8 dedcs) ? 7 energy wlculations ? 1 energy calculations for heated additions ? 3 copies of tree presenahon plan A lot pWtted atter 711l93 required: _ Yes No DATE: Z CONSTRUCTION COST; DESCRIPTION OF WORK: Rfbf4cPS ne.nm~t#a~a7~ 16,49u STREETADDRESS: LAj c:_~X1CO La)lq-~ LOT: ~Z BLOCK: SUBD./P.I.D.#: Name: Phone PROPERTY Lazt First owNER Streec Address:2~ S`-k Cxze>ss-row Vj BL-Q1t, r1E, City State: YYl h7 r Zip; ~ r(D 1--6-7lS Company: 'Jf rJ CD !"J TA~-T=;~,J <L- Phon -7 ~j CONTRAC7'OR 31 ~99 Idr, o StreetAddress: m~~j~2 License# 7 City State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: Ciry State: Zip: Sewer & water licensed plumber (new constructlon only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that i have read this application and sfate that the infortnation is rrect agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Reqwred OFFICE USE ONLY . . BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish L] 02 SF Dwelling O 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous j s' 05 SF Misc. ? 10 = plex 0 15 Deck , , . WORKTYPE :`o-' ~~'t. „i? r~%;I~' s,., ? 31 New i0 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 Sprinkiered 2oning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ' Depth Footprint sq. ft. SAC Code Census Bldg ' Census Unit 7 APPROVALS Planning Building Engineering Variance Permit Fee a97a5 Valuation: $,In~~- Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: a9 ~ ,~5 % sAc SAC Units