4295 Wexford Way . . - w-
c~
C ` C~~ti~ica#e of ccc"anO
of cpagatt
#kpart~ext oF 8xi[b* antlpatioa
f 77eis Ctrtificate issued pursuQnt to the nquirerrients of the Uniform Buifding Code
certifying that at tkc tinu ojissuanct this structur+r was in compliance with the various
f
ordinances of the Ciry rcgulatirtg bueld'ueg construction or use. For the following:
' .
uK clusirmatom SF aJG eag, rhmit rb. 28925
o-P„" ryW R3 i l zoams ois~ Rl Type conu. VN
o- -r Mmin L7Mvr FHMMI~T Aftss 12950 1M ST N,~ PJM?
e,,;,d;,,E Addm„ 42qfi WFXFO-RD WAY ,-l;ty L 13, B I. tiiEXFOEtD 2NID
~J
z
Bm"m Off'rial ,
POST IN A CONSP1CUOl1S PLACE
~ - ~ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road f' `
• Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
~ . . • , , i , ~ ~ s, , ~
. ~iii: {r~l.`1 ~l'sf. ~
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
, i~ • ~ „r11 1 M~~
,•I~ ~ ~ ~ . t'~~l~,j~ ~ 1~.~ ;I 1 ~i
• ~ . . ~ i ~ I ~ ~ ~ ~ . 1 .
. . . ~ . . ~ . . . . ~ , ~ , , { ' . '
~ J
~ Permit No. Pwrn,n rlowsr o.ce rebpnon.,
~ ELECTRIC
s
PLUMBINC3 G y9,~` -;1.
HVAC / a? 7 (1[~-~
Inspftltlon Dab Insp. Commenb
FOOTINGS Sii ^ C/t7 i qilwe i~ Re dt
FOUND ~~//~r1G (,l.`-J
FRAMING
ROOFING
ROUGH ~
PLUMBING ~ h )-I6~"'
PLBG
AIR TEST ~ry •
ROUGH / HEATING
GAS SVC
TEST
INSUL
~
(3YP BOARD
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG 3t-~2sr-~~
FINAL HTG ~ • , ~
~ ~/s 7
ORSAT
TEST
BLDG FINAL
! 7
/
BSMT R.I.
BSMT FINAL
DEqC FTG
DECK FINAL
~~(1FFlCE USE ONIY This rxryast wid 18 momhs !rom wLdauo.~ dolein this 6oK. prinW v
O
1(111111~,
* 0 ~1 2 6 4 6 6 9* PLEASE PRINT OR TYPE ~
Reqaesi re Roughin tmpennon requmedZ a ? No Inspechon Od~er Thon Rwghdn? Ready Now ill Coll
j (You mua mll the inspoctw when ready~ Dob Reody. Q~~
I, licensed controclor El owner hereby request inspechon of ~he abov echica work aC QD
)ab Addres, (Sneet, Bw, « Rouh No ) ~ Ciy Z
./Z y s ~x~o.ea N
Secnon No. Township Nama ar N. Rorge No Fbo No. Coun
e
pant ~ %w[re ~N?o
L/'L' cJ /~LL' O~nCS 7.J SC7
Po
we pp~l/wi Addrase -I
~.C0 ~ ~ C~' C ~'C/n~?I~10%~I"
E I ConhaWr JCompo, Name) Conrcotlor license Na MasW Lc. No IPlam Ekn Only)
~ ~',[xC~. c 7.vc e~W O/4'32
Addrms [Conrcaear or Owner Ped rm~ng Inndlmsm)
0
AaiMrii S nmureConrcocror or ~P}Prfoimi~ Inuollonon' I ~0 Pho~ op
I ~~~X r+~+ao /O7J
EBOOOOIAI 1 8/96 STATE BOANf1 COPY - SEE INSTPIICTONS ON BACK OF YELLOW COPY
~p~76 REQUEST FOR ELECTRICAL INSPECTION
4 2~m't` Minnesota Sta[e Board of Electricity
1821 U iversity Ave., Rm. 5-128, St. Paul, MN 55104
Rhone ('9`.~'i) 642-0800
Home Du lea Apt. Bldg. Olher. New Addn lpi, Commerciol Industrial Form Remod Re air
Air Cond. Htg. E m. Woter Hh. Lood M ml. Other:
D er Ran e Elec. Heat Tem . Service
"X" above the work covered by this requesl. Enfer remarks in fhis space and on the back of fhe whife copy only.
~2~ ZO f6o
- Il~ C
Calculafe Inspecfion Fee - ihis Inspecfion Request will nof be occeplethouI fhe correct fee,
Olher Fee # $ervice Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps L;Pd 0 to 100 Amps (7
$treet Lfg./TraHic Sig. Abova 200_ Am s ve Am s
Tmnsformer/Generator INSPECTON'S USE ONLY OTAL
Sign/Oudine Ug. Xfmr.
Alorm/RemoM Conhol
Swimming Pool
I hareb cero thai hns e xv' ~olbno de rbed h.rein m the doias tmed
Inigation Boom Roughln pq,~
Special Inspection
Ft~a~ Dvi
Invesligotive Fee
THIS WSTALLATION MAV RF flRf1FG IC _ F/`TCIt IC /dl1T!`l11JD1 FTFfI WIT4115Y l1NTNC
Address 4295 wnFORn waY Zip 5512 3
Lot 13 Blk i Sub wmtittp Zrm
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIMG OF THE F[NAL INSPECI'ION.
Date: ~j', Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) ~
Permanent driveway ~
Permanent gas x
Sod/Seeded grass x
TraiUcurb damage x
Porch
Basement finish
Deck
Please vcrify with ihe builder the removal of roof test caps from ihe plumbing system and the shut-off of watcr supply to
the outside lawn faucet before freeze potential exists.
Contact engincering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~
White - City Copy . Yellow - Resident Copy Pink • Contracror Copy
. . PERMIT
~CITY,•OF EAGAN
3830 Pilot Knob Road PERMITTYPE: euzLozNe
Eagan, Minnesota 55122-1897 Permit Number: 028925
(612) 681-4675 Date Issued: 11 / 2 7 J 9 6
SITIE ADDRESS:
4295 WEXFORD WAY
LOT: 13 BLOCK: 1
WEXFORD 2N0
P.I.N.: 10-83851-130-01
DESCRIPTION:
Building Permit Type SF DW6
Building Work Type NEW
'UBC Occupancy , R-3 U-1
, Cpnstruction Type Vrii
, Zoning R-1
' Building Lengtih / 54
Building Wldth yl 40
~ S,quare Feet 1,686
Cs,,einsus Code 101 1- FAM. DETACH
~ t~
i ~`t :i i~.a. i~Cl' i i~l ~i~ . _ ! U .
I~ ti • ~ ' F
REMARKS:
S&W CONTRACTOR = VALLEY PLUMBING PRV
FEE SUMMARY:
VALUATION $144,000
Base Fee $1,107.25 MISC FEES $1,923.50
Plan Review $553.63 Total Fee $4,556.36
Surcharge $72.00
SAC $900.00
SAC & 100
5AC Units 1
+ 5ubtotal $2,632.88
L
CONTRACTOR: - Applicant - ST. Lzc OWNER:
LIFESTYLE HOMES INC 14363350 0001288 LIFESTYLE HOMES INC
12950 12TH ST N 12950 12TH ST N
LAKE ELMO MN 55042 LAKE ELMO MN 55042
(612) 436-3350 (612)436-3350
I hereby acknowledge that I have read this application aod state that the
information is correct and agres to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATUFE ISSUED BV. SI TURE
Cities Di ital Quality Control
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Every effort was made to capture the content
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.
r.~._r . i~..
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4. ~SE,.3S
C'ffx_., ~ ,
CITY OF EAGAN /
c9 3830 PILOT KNOS RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 C "L%(~
Nau Gonstruelion Reauiremenls Romo<VReoair Reauirements 1/2
? 3 registered site surveys ? 2 copies o/ plan ~
? 2 copies of plans (inGude beam 8 window sizes; poured ind. design: etc ) ? 2 site surveys (exterior additions 8 decks)
? 7 energy calculatlons ? 1 energy caleulations for heated additions
? 3 coples of tree preservation plan H lot pletted after 7f1193
required: Yea No .
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: 9
LOT BLOCK SUBD./P.I.D. ~
PROPERTY Name: Phone
OWNER
Street Address:
City: State: Zip:
CON7RACTOR Company: 01. Phone
Street Address: License
' City: Statef"
' ARCHiTeCTI Company: ~ Phone
ENGINEER
Name: rv ' Registration #
Street Address- I
CitY: ~aiQ~~n- State: Zip:
Sewer & water licensed plumber: ~ 01 " Penalty applies when address change and lot
change are requested once permit is issued.
t hereby acknowledge that { have read this application and state tfiat Ihe information is correct and agree to comply with all
applicable State of Minnesota Statutes and City ot Eagan Ordinances. - S..`,
Signature oF Applicant:
OFFICE USE ONIY RECENED
Certificates of Survey Received ~ Yes _ No SEP 24 I996
Tree Preservation Plan Received _ Yes ~ No
~ OFFICE USE ONLY BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
s'02 SF Dwelfing ? 07 4-plex ? 12 Mu(ti Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscelfaneous
0 05 SF Misc. ? 10 _ plex o 15 Deck
WORK TYPE ~ 31 New ? 33 Alterations o 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) vnJ Basement sq. ft. Cr3 MClWS System -
(Allowable) vN Main level sq. ft. 1604 City Water ~
UBC Occupancy 2 -3 0-1 2,1() sq. ft. G Fd Fire Sprinklered
Zoning R-i C\e2t4e== sq. ft. LR~ PRV
# of Stories z sq. ft. Booster Pump
Length sy' sq. ft. Census Code.
Depth Hv '(~Footprint sq. ft. i.4 & t, SAC Code o i
Census Bidg i
APPROVALS Census Unit 1
Planning Building m Engineering Variance
Permit Fee Valuation: $ 1114, voo,-
Surcharge g,s~„,,~,¢- -
Plan Review
License Zs.~sx z s~s
MCNVS SAC "2.75-"17 7u.7s
City SAC I-q " ) W
Water Conn. 2' • s" ,~,T
Water Meter sx L) •f4-
Acct. Deposit i&4- 993. zs zy, ?31.Zs
S/W Permit SA"" Pf'S qk3. ZT
S/W Surcharge s' Y" Z ~ o• y
Treatment PI. -S ,~D~y ~ Sy ,u ~ i o
Road Unit '
Park Ded.
Trails Ded. Z~
Other 3c y zs.zf qoq
Copies z r. s K s
(v7•S
ToWI: sYZ 11
_ i S v Ll
% SAC 983, S d)~y = 5 3, iv9,'
SAC Units
~4i'r v 73
zi.s o~,Gl~z~•
G8L u~ 3.n49 ~,S
'IOOd Wdii:EO 96-OZ-60 %96=x
7~-~c 2422 Drivc
data He 55120
* P10NEI~~ (812) 881-1914 FAX:881--9488
NFM SuaKwRe - avl [naMCe*9
*~~'1~ K1BEr" ft~ Lua PLArrr€ns. LMmsc.rE .aaiTEcis 625 Highwa 10 N.E.
* ,k 6loine. MN ~5434
(612) 783-1880 FAX: 793-1883
Certifiicate of survey for: LIFE STYLE HOMES, INC.
4295 WEXFORD WAY
S899431.31"E
11B.12 ~ F
~ 943.2
- - - _ -------1 - --17
`
I'~
i
'~I5
~ 3 DRRINAGE & UTILITY i~ 9311
EASEMENT PER PLAT ~I
~938.5 kff-r----- ~ (G34.o}
N
~ ~f-~^-~'^'~ ~tT
~ ~ - - _ _ r _ - - - - ~
r`_'% x saa.~ ~s
yp ~ 5 1 939.2
l / ~
/ rQ~ ~ 40 0 4 q ~940.13 i .82 941.0 11.00 .G) 941.6 27.59 / y~y ~ 2
sna.z 0~0 - ~ k! ~ ~
I 4 Z - --'Tx l7 0 0o,/0 26.
~
~ PROPOSEU J
r 11.7 ~ i.0% Fi0U5E
w= 'P 1A5.51 1067
2 i,fl o 11.33~ GARAGE ~
947.4 I ~ ~ ~ o,~ 945.~
22. 0
1i .62 945.6 pRi7 O5~ 15~~ BENCH MARK
BENCH MARK ~ DR1VE4VAY 1 J ~ _ TOP OF PIP
T
TDP OF PIPE S~~~ 2
EIEV.=g46•43 r ~ .l
o I _ - o ~7
Y ~ r
(Cf45'(,) ~o V,~934.0-'~RV. 944.8%a
5
945.6 x 1N
944.9 ~ ~G.Ald ENG:DV-i:E;t:Tv'G DEF'T.
~
,D 945.2 7, k5 W
N J ~
~ 57'~~ ~
A\
s
Popp\\~p/ d!~
V o
oGo
~a - ~
NDIE: PR4POSW GRAOES 5NONN PER GRaO1NG PLAN 9Y: PIOtiEER ENpNEEPinO PROP SE VSE
NOTE: OUILOINC OiME4SION5 SNOwN RNE iCR HORIZONTAL ANO YERTICAL LOCI1110N vanor,: 3S~
OF SiRUC1URES ONi-Y. SEE ARdi1TECNAI PLANS FGR 6UILGINC AND
FOUrvonnon deCr+5i0r+s. TOP OF BIOCK EIEVAInON: 4~7"7
NOiE: NO SPECIFlC SOLS WvE5TIGAl10N HAS 6EEN COMPLE7E0 ON 1HI3 LOT BY 7HE Z
SURVEYOR. 14E S1nTA&uir Of 30119 T0 SUPPORT TiE SPEC9FIC 11WSE GARAGE SLA6 ELEVATION; q J
PROPOSED IS NOT TF£ RESPONS191u1Y OF 1HE SUT'EYOR. .
NOIE: THIS CERIIFlCATE DDES HOT PURPORT i0 SHON EASEMpViS OMER 7nnN H 000.00 DENOTES EXISTING ELEVAT10t1
TNOSE SHONN ON TME aECOA0E0 PU1T. ( 600.00 ) DENOTES PROPOSED 0.EVATION
NOTE: CONTRFCTOR MU5T VfRIFY OWYENAY U61GN. DENOTES OflAINACE ANO UPI17Y EASQAENT
DENOTES ORAINAGE ROW CIREC71ON
NOiE: 9EARINGS 910vM ARE 9ASFD M hN ASSUMEO UANM 0-- DENOTES MONUMEMT
--12+- owores orrscT nue
WE HEREBY CER71FY TO LIFE STYLE HOlAES, INC. THAT 'fHIS l5 A TRUE ANU CORRECT REPRESENTATION OF P
SURVEY OF THE BOUNpARIES DF:
LOT 13, BLOCK 1, WEXFORQ 2N0 AQDITION '
OAKOTA COUNTY, MINNE507A I
IT OOES N07 PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, ASISURVEYEO BY ME OR
UNPER MY DIRECT SUPERNSION THIS 12TH OAY OF SEPTEMBER, 1998- I
SI NED: IONEER ENGINE ING P.A.
SCALE : 1 INCH = 30 FEET ~
B.
RENSED 9-20-96 CITY FEVISIONS ohn C.
95372.02 PJH ~orson, l. S. Reg. No. 19828
907
T0'd I
. LOT SURVEY CHECKUST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION ~ I
~ PROPERTY LEGAL: .3 I
DATE UR EY: ~~ql- I
14
LATEST REVISION:
DOCUMENT STANDARDS
G~o O • Registered Land Surveyor signature and company I
fr3~~O ? • Building PermitApplicant I
~/L7 ? • Legaldescription
~ ? ? • Address ~
? ~ North arrow and scale
Ea-'o ? • House type (rambler, walkout, split w/o, splR entry, lookout, etc.)
? • Directional drainage arrows with slope/gradient %
C7 ? ? • Proposed/exdsting sewer and water services 8 invert elevation ~
~ ? ? • SVeet name
? • Driveway
ELEVATIONS
Existina
er' ? ? • Sewer service (or Proposed)
e ? ? • Property corners
j
15~u ? 4 Top of curb at the driveway
? ? ? • Elevations of any exasting adjacent homes
Prooosed
i
R, ? ? • Garage floor
ff' ? ? • First floor
zr' ? ? • Lowest exposed elevation (walkouVwindow) i
? O • Property corners
I
Q? ? • Front and rear of home at the foundation
PONDING AREA fif aoolicable)
? 0,0 • Easement line i
? ? • NWL I
? C~ ? . HWL ~
? C~ ? • Pond # designation ~
? ? • Emergency Overflow Elevatian
DIMENSIONS
~ ? ? • Lot IineslBearings & dimensians
0`~ ? ? • Right-of-way and street width (to back of curb) ~
U/ ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring pennanent footings) ~
? • Show all easements of record and any City utilities within those easemenLs
• Setbacks of proposed structure and sideyard setback of adjacent exdsting stru Ires
? 0' ? • Retaining wall requiremen ' ny ~
Reviewed: ~
, N e / Date
January 1996
GRAN31997RLDGPRMf FM
1NH EL9G0.30 TNM EL950.54 MH.STA.~4.92
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•15T00 16t00 17t00 18t00 19t00 20t00 21t00 22t00 23+00 24-F00 25t00-lST2OREET STATIONINGI,1 O I O vw.
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Cities Di ig tal Qualitv Control
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SE:-1.1-1955 08:21 N.C. EENNETT LUMBER C0. 128704407 F.~31i04
~ , _ r
,-~~,':.,~.~,~~7fS' ~ 1/~ . ~ ~ ' •
l 'Iljt,~/. Y t J~ ti~ "'_1~,•
.~~SIPE,.RDOR$5S: , . ,
' CtlWTMC70R: L..' ~c Is~~l ~.~n~ 9ATE: q- t I`9(v ePHO
' DEB[EPfiIHff 6iDRRIWi; SO,UARE ff00TFGE 0F fACNi ~
307AI. EllPOSEO UAII ARIEA..:..... a9 ft tt"U" ~ o
2. TOYAQ, qOQF/CEILECiG AREA,,,,,~.. ,~01 ~ •
DQ 7t tt
TOTAL EXPOSED HAL6 AREA CALeULAYIDHS: .
ToYal ettposed wo1Y .
oron obode P1ooP,,,,,,, a29 S I
aQ PY
01 Yotut anlt wlndm+ ovoo: ' ~ . .
4Yaaed.....
aa Pe ttfluff ~ ti 46
g I oaad
' Dq ffY u "U'~ a ~
b) Yotal door ar2a
aa ge tt 'lull
r) Yo$o) altdOnq ppnos donr aree:
. •
L g7aaed...... GO nq F¢ n'lull
~ 9l1d8md...... ~ Oq gB tt n~~l
'ps
d? Total Pfreplsce aeil,oreo ~Q aq gY tt U~. p ^
~~'l bq
a.) 7vtol ac91 YrnmOng oroo ~ a-- ~
(Averoae IOR)
Dq {`C tt"U" • I u n~(p
F 7otea no4 aoll areo nbove '
Ploor QlnauBaB¢d1....... ~ 307- ¢p ft tt"Ull e, I
Q r
O 91
q) YOQ2O Plfit JolaQ OP0(D ..o... ~ 3y•4 e~ o 9q fQ tt 7 02.
tOC61l PONflAatI01f QeO
aPOO (ffapo9md).......
• Qq ~t
ki) Totol Poundaelon '
C9iP1d*w oPaO............. --A pq gQ tt itutl o ~
Q) To¢ay noB 4oufldnt0oa
PPTdO ODabe grade. , ~ ` u • ~ '
oq• fg ;x u 0
3. TO7A! al uheroe B
Pf lenm 03 Ga ¢he aame ua, or 1o94 4hon Y¢em i-
a efCC~tc 1.16008 A a,d o. , o you Auve sme tha Po~ea~ e oF
.~~.~;t~. . Puge 3
, :~p;t~,..:.,`'.'' • ' 1
, . , . • . ,:ari~r..• ::i
- ...i. ~ • . .
I
sEP-11-1996 06: 2i N, c. aENHI L'~e iBEP co: 6~28704407 F. 0z/aa
Tl'07Al, EP.Pp5E0 R06F/LEILINf CAICUL,\.
Tatad sxpoaed '
• rnoP/celOtnp ocQO.....e.. e) Iaq fB
1) Tato1 okylich¢ oroca....... ~ aq fe tt"U"
tc} Tata1 760PIC0IBIi1q gV0mIflp ~ • ~ So
oPOa (Averaoe Y09.)....9e xi"tlll ,r-
~
0) "Po¢n) noR Onaula4od
„ vcaF/ceD D Vn4 oceo. a... o.~J 3 3,.~ nq 4e 3Z "U"
q, yOTAL I} 4h D) ~
if YocoY of O4 16 ¢P+o nom-- os, or lenu than p2. yau hove nc2B the Ynt t oP
z acan 1.1600e a amd o. .
ALYERPIATE 0U19.UItICo ENVELOPE f1@SIGIJ
tn ut111a6 the to¢ol envE?ope oystem mehod, the vniucas os,.,abtishod by the Bu.
of {4mms A3 and Rh 6ho11 no4 bm gPmoter thon the num of items P11 an 02.
t'. ~ z~f z. 3 e~ s~ ~ m,3
2, ,qu"y1 ¢ y. LPv~r
. ~
T BV 0 C A Y 1 0 Pd
0 ApPmby ¢olt4lAy IIPeq6 I bovo eo0sula¢cad ehrs l't1" Poe¢oPn and 'R" .
veitces Peoroin ond 4ho¢ the bulOdtnn hePn densrlAed maoSa ar cattceed Rha 3Co2e
oS p4lnnano¢a Enmo'py ea7aorvotEon AeB.
. ~ ~ qnoture ' • •
, . .:L•. .
toaee) ,
raSe x
.
, , . . ,
, : . . . . . . , .
CITY USE ONLY
L _24 BL RECEIPT
SUBD. DATIE:
1996 PLUMBING PERMIT (RESIDENTIAL) I
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 551::2 II
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are requilr~ed for each unit
• FIXTURES EACH N-Q. TOTAL
Shower 3.00 x
V'later COosef 3.00 x
Bath Tub 3.00
Lavatory 3.00 x
Kitchen Sink 3.00
~ = I
Laundry Tray 3.00 :c
Hot Tub/Spa 3.00 x = I
Water Heater 3.00 x i -s-
Floor Drain 3.00 ~ = I s-
Gas Piping Outlet ` minimum - 1 3.00 x I = i 7-
Rough Openings 1.50 x 3 _ ..Water SoRener 5.00 x =
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under const. 3.00 = I
Alterations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE I .50
TOTAL
~I~-----------
~
SITEADDRESS:
OWNERNAME:-
INSTALLERNAME: C'j -1- I
STREET ADDRESS: Q ~ L)
CITY: ~u• 2- STATE: r- ZIP: I s s 3;~
PHONE ( ) '~`~>-a« •
STGA'ATQREOFPEFf1RTTT I
OFFICE USE ONLY
L BL RECEIPT q:
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ~ ail commercial/industrial buildings.
. multi-family buifdings when separete permits are = required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WA7ER FLOW: GPM. ARE FLUSHOMETER;i TO BE INSTALLED7 YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE.
WIIL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? ` YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINI:LER PERMIT.
FEE: $25.00 minimum fee or 1% of contrect price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
~
CITY USE ONLY
L ~ BL ~ RECEIPT ~
SUBD. ZI)
~d RECEIPTDATE: CO ~ ~I
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN "
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for . single family dweilings
. 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: 5 /127
FEES
• Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
• HVAC: 0-100 M BTU 4.0
Additional 50 M BTU 6.00
9O
? Gas Outlets (minimum of 1 required @$3.00 each) ~
? State Surcharge .50
TOTAL
SITE ADDRESS: ZI~
OWNER NAME: [--I &S-ry/6- ¢~7Y~pl PHONE#: -3-j5b
INSTALLER NAME: clejar ! CLt.C2c,7- ~O %~1 n.A ~ ff" t ~ PHONE `Y'SLI
STREETADDRESS: ~(o w CITY: 4Uet, Clo'/e- STATE: O~'IUJ ZIP: 7
SIGNATU
.2- g ,~or
cirr use oNLv L BL RECEIPT#:
SUBD. RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . all commercial/industrial buildings.
. multi-family buildings when separate permits are 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% of contract price, whichever is greater.
~ Processed piping - $25.00
~ State surcharge of $.50 per $1,000 of eo rmit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PfP(NG
STATE SURCHARGE
TOTAL
- - - - -
SITE ADDRESS: -
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: 21P:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR - •
J 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4675
New Consfructlon Reaulreme[its Remodei/Reoalr ReaulremeMs
D 3 reglsfered sMe surveys Showing fq. H. of lot, aq. R. of house 2 coples o} plan I
and all roofed areas (20% maximum lof coveraae allowed) 1 sef of energy cal,l ulatlons low heated atltlttlons
? 2 copies of plans (show beam 8 wlndow sizes; poured tnd. design; etc.) 7 sRe survey for exterior addRlons 8 decks
? 1 set of eneigy calculot4ons I I•
? 3 copfes of hee presenaflon plan M lot plaMed after 7/1/93 OO
DATE: IZ'SS CONSTRUCTIONCOST: 0 D
DESCRIPTION OF WORK: AJ
STREETADDRESS: ZSS~ I~`1eJ~~lcl CJ 14- II
LOT: BLOCK: SUBD./P.I.D. ~ M1~01 a II
~
Name: Phone
PROPERTY tast Firsf
OWNER
Street Address: L/aSS ~vt H
City State: Zip: ~J1ZZ-
S~m~ II
Compan Phone II
CONTRACTOR (area i ode)
Street Address: License # Exp.
City 44"`b-d°"r'l State: ZIp:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( ) I I
Streel Address: Registratfon #:II
~
City State: Zip:
SeWer 3 water Ilcensed piumber (reciulred for new conshucfion onlv):
Penalty applies when address change and lot change is requested once permN Is Issued.
I hereby acknowledge that 1 have read this applicatlon, state ihat the informatlon is Rect, and r e to comply with all appllccbl
State of Minnesota Sfatutes and City of Eagan Ordinances. i
Signature of Appllcanf: `
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No , ~j
Tree Preservation Plan Received _ Yes _ No _ Not Required ~ "
OFFICE USE ONLY
BUILDING PERMIT TYPE
~ ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments D 19 Lower Level ? 24 Storm Damage
? 05 3-piex 0 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE ZL G /k/ 1155 Cv /y/
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only 0 43 Siding/Soffits/Fascia
32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code 3`/
(Allowable) Main level sq. ft. SAC Code 0/
UBC Occupancy sq. ft. No. of Units o/
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee 3D Valuation: $
Surcharge y~
Plan Review CITY OF EAGAN
License CaSHTER: ,IS TERMINAI. N0; OOi
MC/ES SAC DA7Er 07/15/33 TIME: 10:43:31
City SAC
Water Conn. IL,;
Water Meter NAMEe V;ELLY w. RuNiNG
Acct. Deposit
S/W Permit 3210 9001 4295 NIEXFORi, Wq 30.00 '
S/W Surcharge 2155 3001 4235 WF_XFOfiD kIA 0.50
Treatment PI. Park Ded. . Trails Ded.
Other Copies
I
Total:
L311- Art,oi1n+,; 30.50
SAC Units % SAC
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' CITY OF EACAN
3830 PILOT KNOB RD - 55122 ~J (o o
~-r 651-681-4875 Ck~XX n n
R~ `~-~~.OC7
New CanshueMon Reaulremenh Remodel/Reoalr Reaulremenb
> J replstereC site wrveys ahowinq sq. R. 01 bf, aq. N. of house 2 coples ol plan
antl gfl roofed areas (20% maxJmum lot coveraae albwedl 1 se1 of eneryy calculatlons for heated addiflons
> 2 co{Nea of plane (stww beam A wlndow sIxea; poured tntl. deslpn; etcJ 1 site wrvey for exteAOr addl8ons 3 decks
> 1 set of eneryy calculaHons
> 3 coples ol hee preservatlon plan If lot plaltetl aMer 7/1/93
DATE: 7 ^ o-o CONSTRUCTION COST:
DESCRIPTIONOFWORK• fLeK
sTREET ADoRESS: ya5s ~,lex~~d ? ~'i
LOT: -LZ)- BLOCK: 1 SUBD./P.I.D.
Name: L)w,.~„-.,5 Phoneu: ~l~lo~S3L7
PROPERfY laet ~ flrst
OWNER I~~,SS (Jn.aC~ard
Sfreet Address:
Cify _ State: ~ Zlp: S J J L Z
Company: Phone q:
(area code)
COMRACTOR
Sheet Address: License N ExP•
City Stafe: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone g: ( )
Sheet Address: Regisfratlon Y:
Cty State: vP:
Sewer/water licensed plumber (If InsWllina sewer/watarl: Phone (
I hereby acknowledqe Ihaf I have read Mis applkatfon, sfate that tAe informalion is cort nd agree com ly wNh a1 aPPAcabie SIatE
of Minnesota SMtufes and Clty of Eayan Ordinances. ~
~ Sfynafure of ApplicanY.
~ OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No _ Not Required
i
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 F_xt. Alt - Mutti
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF
? 03 01 of _ plex ? 09 07-plex P 18 Deck ? 23 Porch (screened) ? 36 Muki
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 StoRn Damage
? OS 03-plex ? 11 10-plex Plbg _Y or_ N? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
31 New ? 36 Move Bldg. ? 43 Reroof
~ 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code d( # of Stories sq. ft.
No. of Units o Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code V3
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. Ciry Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone ~f f S, / y SP
APPROVALS
Planning Building Engineering Variance
*.++*,r+++++**+***~+..+++*****~+*****~++ PermitFee CITY OF EAGAN
Surcharge
PIanR2vi8w CASHIER: JS TERMINAL NO: 762
License DATE: 05/01/00 TIME: 0900:10
MC/ES SAC
City SAC ID :
W8t@r COf1n. NAME : KELLY OR MARCIA RUNING
Water Meter
ACCt. DepoSit 3210 9001 4295 WEXFORD WA 60.00
S/W Permit 2155 9001 4295 WEXFORD WA 0.50
S/W Surcharge ~
Treatment PI. ~
Park Ded. I '
Trails Ded.
Other
Copies ~
Totel: Total Receipt Amount: 60.50 I
SAC Units CR128646 ~
% SAC USER ID: JAN
,dd ridll~LU Jb-Uo-bU •"~~-Q
2422 Entaprise Orive
FAendoto Heiphls. MN 55170
* PtoNE1~R (812) 881-1414 FAX:881--9486
urro awmom • avL manm~i
* ~ L+++o~"R "°b1^~~ 629 Highway 10 N.E.
*eflg nBe~" 1'f~ Bfoine. MN 55434
* (812) 763-1880 FAX: 7'83-1883
Certificate of survey tor: L{FE STYLE HOMES INC.
4295 WEXfORD WAY
S89 t
~43~~+~ ~E
~q~k ol 118.12 rq~Z,d)
~11 o ~ 10 ' 943.2
- - _ 1
1 -j-
13
EASEMENY P R¶PL T 1~ 933.1
~ 938.9 - _ ^ - y- - (G 34.0~
~F-- _.-'v- ~N
Rto N r"x - x 938.1 3
~ 51 979.2 ~
40 0~
14Z 941.0_ 11.00~~'.~l 9 1.6 27.59 f ~ 1~
~j94r0.13 t~i.82
~ TX 0
~31S zs. 841.2 7jo
PR POSEO 04
7r
r 17.7 ~ ` OQp~, HOUSE J
n
w f45.5 1 ~ /a
~
I i g 11.33 G AGE 965.~
a
947.4 ~ i ~94'1.o J o.22. 0
~
ii .B2 945.6 ~
BENCH MARK
BENCM MARK TOP OF PIPE
TOP OF PIPE g y~ 2
ELEV.=946.43 rp ~ ~ - -1 . ~ rr-~ J~ ~ O
(C{QS,qo) ~934.0-
949.6 944.1~!
~ 944.9
840.2 71
~ S77°33 4
P E W i
~ti. __•-..Lr+~.m"'~~ r`.....
NOIE: PROPOSm GNAOES STIONN DEA GRADING PLAN BN PI017EETi EXdNfEPiNO p
N07E: 9UROINC OR1EN31ON5 910WN ARE FQi HWlIiONTAL AND VEHTICAL LOCA7ION ~.~A yATION: 3~~
OF STRUCNRE9 ONL'I. SEE ARCHIlECNAI PLRNS FCR BRDINa AND 0~~~.
rouNOnnon ptXr+sIons. 7pp pF BLOCK ELEVA510N: 447.7
NDIE: NO SPEGM SDLS INVESI1CAl10N NA9 9EEN COMPLETEU ON T1n5 LOT BY 7HE
yy(ry[vpa, THE 911TnEluT1' OF 30144 T0 SUPPORT 7HE SPEOfIC MOUSE GARACE SLA6 ELEVA710N: q 1,
PAOPOSED IS N07 it£ RESGWiSi9Ntt OF 1HE 9URVEYOft.
NOTE: 1HI5 CEFTIFlCATE DO[S NOT PURPORT TO SHOW GSCMQ1Tg OMER 7NAN X 000.00 OENOTES EX1411NC ELEYATION
1MOSE SHONN ON THE AECOAOED PIl1T. ( 000.00) 4ENOlES PROPOSEO 0.EVAlION
OENOTES ORA1tlAGE PND U~111Y EASQAENT
NOIE: CONTRACTOR MUST VERIFY OiCVENAY OE51CN. - pENOIES ORAINAGE FIOW OIRCCnVJ
NOTE 9EARINOS 910NN ARE 9ASm pV AN ASSUNm OANM 0- OENOlES MONIIME147
---C}- OENOftS WiSCT MV9
WE HEREBY CERPFY TO LIFE SME HOMES, INC. THAT THIS IS A TRUE AND CQRRECT REPRESENTATION OF A
SURVEY 0F THE BOUNDARIES OF:
LOT 13, BLOCK 1, WEXFORQ 2ND ADDITION
OAK07A COUNTY, MINNE507A
li UOES N07 PURPORT TO SHOW 4.IPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED 8Y ME OR
UNDER MY DIRECT SUPERNSION THIS 12TH pAY OF SEPTEMBER, 1998.
S Nm: ION£ER ENGIN ING P.A.
SCALE : 1 INCH = 30 FEE7 B , r
6 REViSEO 0-20-96 CITf REVISIUNS ~ C. Laraon, 1..5 eg. No. 1982$
C17 95372.02 PJH
16 'd
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
Z~ 23 ~ City Of Eagan v~C~C
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construtlion Reowrements RemodeVRenair Reouirements Office Use OnW
3 registered sile surveys shovring sq. ft of IoL sq. ft of house; and all roofed areas 2 copies of plan shovnng fooUngs, beams, joisls Cert of Survey Recd _ Y_ N
(20%maximumlotcoverageallowed) lsetofEnergyCalculatlonsforheatedaddibons SoilsRepat _Y _N
1 Sals Report if proposed building is to be placed m disNrbed soil 1 site survey fa addifions 8 decks Tree Pres Plan ReCd _Y _ N.
2 copies ol plan shoxing heam 8 vnndow sizes; poured found design, etc. Adddron - indicate i(orrsAe septic sysfem Tree Pres Required _ Y_ N
t set of Enefgy Calalatims On-site Sephc Systen _ Y_ N
3 copies M Tree Presenafion Plan'rf lot platted af[er 711P93
Rim Jast Detail Options selec6on sheet (buildings with 3 or less unils)
Minnegascomedhanical venfilation fqm
Plans ane considered ubiBc inffoeana2ion unless ou s4aqe ffi~ iic+2 Yrade seceeY anc9 49ae veason.
a , 0 0
Da[e _IQ_ / / b ~7 Construction Cost
Site Address W 2 9S W e xf-'o ~-.A W a~, UniUSte a
Description of Work I ert-~" a~'/~ l~-~h-n d rt
Multi-Family Bldg _ YY N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner ZliltiiliA Telephone#(GSl) G/r(n` S 32-7
Contrector
Address 0L L s City D(YYx c4 p-7-_
State /*]~T/ Zip Telephone#(9s2} gVtl12
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv l _ Minnesota Rules 7672
Energy Code Category . Residential Ventilalion Category 1 Worksheel • New Energy Code Worksheet
(J submission rype) Submitletl Submitted
• Energy Envelope Calculations Submitted
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan6
_ Y _ N IF yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone #
Sewer/Water Contractor Telephone ~
I hereby apply for a Residential Buiiding Permii and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 1 understand this is not a permit, but only an application for a permit, and s~ o~ ~i t a
permit that the work will be in accordance with the approved plan in the case of work q r r ~ and
approval of plans. ~~T fl 8 2007
Get,; 6-e c. I6
Applicant's Printed Name App icanPs Signature BY
L7
a~$4
o'
R- ~
; ;
~
of ~a i re""~~:
~ ian ~ i
i PermitFea:e9o I
I
3830 Pilot Knob Road ~
. i Date aeceiveu: i
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
20D8 RESIDENTIAL BUILDING PERMIT APPLICATION
oete: q r o 08 s;teacaress: ~a9 S(.J EKFoe o~~`/
~
suite s:
Tenant:
RESIDENT / OWNER Name: M!4 QG N'V-Fl1_~ Ru nN'n a anone: b51- q Sb- 5 323
p,ddress / City 1 T~p:
Applicant is: _ Owner )~_ContractCr
TYPE OF WORK Description of work:-F-/k~2 O~F k(~.200~= 37. ~o~o JQ'
Construction Cost: 6,77 g• 1~ d Multi-Eamity Building: (Yes No _&j
~ Iserse~:
CpNTRACTOR Name:
~
Address: ~ G
Ciry: I IC~..~eS' _ stace: ~w zP: 5`~
Phone:~vi'-1~~•"1~7 _ContactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NE BUILDING
f~'nnPsoffi Rules 7670 C~tenorv 1 _ Minnesoffi Rules 7672
Energy Code . Residentld ventietion CmAgOry1 waAoheet • New EneW caae wonaheet
ca"ory SLOrnitled . Su)miCeE
(J submission iype) • Ener9Y Emv" Ca4ailatiau Submitted .
In the lest 12 moMhs, has the City of Eeg2n f9sued a pertnit for a 9lmtlar pien ba4ed on a master P1an?
_Y¢s _No If yes, dace ard address of master plan:
LitenSCd Plumber. phow'
Noehaniral Contractor: PhoM:
Sewer & watu Convactor. Phone:
~ATWF-'
WIN
>.:Y:S.'n<+ ~
t nerebY aclmw19cIP that Ws iMOrtnatlon is canplete anci advrete: Uo tla xork NdQ be in coMamarwo vMh the adirrenoes aM oodes M the Gry ct
Eagan: that I urMer6tantl this is cat a pBmfit, but oNy an appiatlon for a Perr^It, end work is not to SteR wiUrout a pemii[: 00 the work wi0 be in
aaordance witli the epproved plan in the eaae af warlc wltich raqt+ires a review and apVOVal of GlaS•
: g- C.AetwMt&t,k _ m
ApPI(eant's Printed Name ApplicanYs Signature Pap 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108699
Date Issued:01/04/2013
Permit Category:ePermit
Site Address: 4295 Wexford Way
Lot:013 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-130
Use:
Description:
Sub Type:e - Water Heater
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kelly W Runing
4295 Wexford Way
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116356
Date Issued:10/07/2013
Permit Category:ePermit
Site Address: 4295 Wexford Way
Lot:013 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Kelly W Runing
4295 Wexford Way
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119448
Date Issued:12/02/2013
Permit Category:ePermit
Site Address: 4295 Wexford Way
Lot:013 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-130
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 .
Matt Pudas
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 -
Kelly W Runing
4295 Wexford Way
Eagan MN 55122
Pudas Landscape And Construction Llc
19150 Pheasant Cir
Eden Prairie MN 55346
(612) 423-2227
Applicant/Permitee: Signature Issued By: Signature
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• t. .6'11,00 E(,� cl-)-c�t� For Office Use
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1 ; " �T Permit#:
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ESI Permit Fee: 11.2 6-4e
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EP 0 5 2019 Date Received: v I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsOcitvofeagan.com -
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /51/ Site Address: _ , . Unit#:
Name: �e 1 ( y d" I)14 f ZC , A � v » ;f -1 Phone:
( 1
Resident!-
caner Address/City/Zip:
Applicant is: Owner Contractor
Type,of Work Description of work: ---------7
Constru '; Cost: Multi-Family Building: (Yes /No )
ompany: ierCe !�C Contact: /RC 1cn"-
Cont tor Address: 6 73 n a2.- Aco.Le a t Ye City:
4'.-.....
1
State:MA'S Zip. 10Phone.p (2//5 2 9''??E9mail:
License#: 75'4 i Lead Certificate#:
f the proct is exempt kom lead certification, please explain why: c S
Ile • IA fry 4- e (• C ' , 11 . ( . / ,e ( 'le/
COM- ETE T ilIFS ARE• ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber:. Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as.nonpublic if you provide specific reasons that would permit the City,to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aoaherstateonecall.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
accord ce with the app ved plan in the case of work which requires a review and approval of. s.
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40'
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X 1 l a-n. ! -e!-c--- l
Applicant's Printed Name .ppiicant's Signature
q. q 6- I,t)e>(Przc( luq-'1 /5- WV(
DO NOT WRITE BELOW THIS LINE
SUB TYPES
4 oundation , Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family — Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
— Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New _. Interior Improvement _ Siding _ Demolish Building*
— Addition Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair _ Windows _ Demolish Foundation
!✓Replace r1:41.-> — Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
—
DESCRIPTION
Valuation 766 b Occupancy .-1.-'QC—I MCES System
Plan Review _ Code Edition fir)Zfl1 5- SAC Units
(25% 1001)/0_g) Zoning R.— 1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
tFootings (Deck) Final/C.O. Required
Footings (Addition) 7=x Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
—
Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
—
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
) YRJ � c
eviewed By: O , ) / , Building Inspector
RESIDENTIAL FEES 1 a Peck-. p eia vnr't i ss Q 1)
Base Fee
Surcharge ge c I ;n Pt'6s-5 W '�'1 -
�
Plan Review
MCES SAC 14-el 'w--.4- 1
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
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2422 Enterpr1ee Drive
* Mendota Heights, MN 55120
*P11:114111a141 LAND wmaltits.OVI,. 014 681—S914 FAX: —9488
•��r �iAe 1 LW PLAINEAS. LMOCN AOf= 625 Highway 10 N.E.
MN 55434
it * ** Blaine.(912) 783-1960 FAX:783-1053
Certificate of Survey for: LIFE STYLE HOMES, INC-
4293 WEXFORD WAY
S89°43'31"E
{m4ksA 118.12 {q0,0)
0 ` o ,i' 943.2
4-01 1 1
01 'A7cgs
l `� e G�— RAINACE & UTILITY I ! 933`1
(450'r'" I i ' e...0.0-/ -' EASEMENT PER PLAT ‘1/
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rn t•*. -.7;.*7:11_,,:_,__ .- ,., .•-•-...— ••-.7
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Ian 145.51 1 .331
947.4945.11
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3F62 945.6 I-RIV°�AV 1540 y. BENCH MARK
BENCH MARK.� RIVEWAY TOP OF PIPE
TOP QF PIPE 1 ra. v' i p
ELEV.'945.43 Z I r — .1 �, �, . .._
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4 y 00) Qt.4 t-.� 944 s ,____. -""� ,_-
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NOTE: PROPOSED OWES SHOWN PER GRADING PLAN BY! PIONEER DIONSE R11ID pR SE ELEVATION
NOTE: MONOMACAROONS SNOW ARE FOR HORIZONTAL AND VORTICAL LOCATION a YATiVN:
OF S1RUC1UREs ONLY. SEE ARCHITECl1JAL PLANS FOR BULPINO AND _
aMtFOUNDATION OINIENSIONS. TOP OF BLOCK Et.EVAT$OAi: Q47.7
Nam NO SPEC5IC sou UNESTICASON HAS BEEN COMPLETED ON THIS LOT BY THE q 4 q,
SDRVr OI. 1I. SUITABILITY OF SOILS TO SUPPORT THE SPEC'F HOUse GARAGE SLAB ELEVATION:
PROPOSED IS NOT 11•C RESP01ISiRiu1Y OF'INC SJRHEYON.
NOTE T iS CERTIFICATE DOES NOT PURPORT TO SHOAT EASEMENT, OTHER THAN R 000.00 DEMOTES£fds1M10 ELEVATION
TNOSE SHOJI OM TML RECORROIID PLAT. ( 000.00) DENOTES PROPOSED ELEYA11OM
-_-- OCKOTES ORA IAOE AHO IUUTY EASDAt1
NOW: CONIRACYOR MOST VERIFY DRIVEWAY DEMON. UINOIES SASE FLOW DIRECTION
NOTE: BEAR 4QS SR10181 ARE VAMP ON AN ASSUMED DATUM ---=- DENOTES WIMP
-11E1--- MOTES OFFSET MO
WE HEREBY CERTIFY TO LIFE STYLE HOMES, INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 13 BLOCK 1, WEXFORD 2ND ADDITION
DAKOTA COUNTY , MINNESOTA
IT DOES NOT PURPORT TO SHOW tMPiiOVEMENTS OR ENCHROACHMENTS. EXCEPT AS SHOWN. AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 12TH DAY OF SEPTEMBER, 1996.
S Etkf.
- ONES ENGIN OP P.A,
SCALE : 1 INCH = 30 FEET B , ; r
REVISED 9-20-96 CITY REVISIONS ;. C. LOftdA, LS eq. Na. 19828
fiO7 95372,02 y ____._
IS'd
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167220
Date Issued:03/02/2021
Permit Category:ePermit
Site Address: 4295 Wexford Way
Lot:013 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
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 -
Kelly W & Marcia A Runing
4295 Wexford Way
Eagan MN 55122--256
(651) 208-5321
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(952) 930-3777
Applicant/Permitee: Signature Issued By: Signature