4298 Wexford Way ,.r,_.T-.---~------
.
We1.tificate vf cccupanc~
WU4 of Cfagan
Tcpartaccat of Snili* 3x13pcctlun
This2 Ceriificale issued pursua.ct to the nqairtmtnts oj 1he Uniform Buildrng Codt
certifying that at the time of issuanct this stnrcture was in compliance wilh the varioers
ordinances o, f rht Ciry rcgalating building carstructlon or use. For the following:
I,.
uK ci.ssir.K. SF DwG swg. Pennit rro. 2g56 I
OocvprKy Type R3AJ I ~?ai'ma Diwia ~ Type Const. _ VN
Owaer of Buiidi~ ~iUM INC Adbcss 121H ST K. TAKE MM
e61ding Aemmu 4298 WE033D i~IAY t,rw;ry L I5, B 1, WEKFOO 9M
Dow.
- 8WdW9 «M.W
POST IN A CONSPICUOUS PLACE
. ,
~ - - ~ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT•
i EF i r. ts F ~ .
i MNi1 I IRY
PERMIT SUBTYRE: TYPE OF WORK:
INSPECTION .
t
1
il:l l I t If!~ 1 1 ~ft' 1
1, 1!V Icr vI f;t I
~ J
Pormk No. Pwrtnk HoldK Date Tilephorw M
~ ELECTRIC
4
~ PLUMBIIVG o2
Hvnc
InspwUon Dm kisp. Commems
FoonNas J/d
FOUND 3~0
FRAMINd
ftOOFINCi
ROUGH ~
PLUMBING
PLB(3
AIR TEST
ROUGH
HEATING
QAS SVC
TEST /~f
INSUL% 0~~D~ l 3rHe_~°fA, fa
qc rc - 04r .acc Z 13Ti1~
~ATlI
GYPBOARD DoLa ~cur~l3/~/ LrN~S ~
• u
FlREPLACE
FIREPLACE ~ • ~
AIR TEST
FINALPLBG
FINAL HTG /C1
/f/
ORSAT
TEST
BLoG FINAL BSMT R.I.
BSMT FINAL
DECK FTG I
I
DECK FINAL
` - - - - -
/f / G~/~ Q~~5 FFlCE USE ONLV This reqwst vdd 18 manths hom wbdation dote prinkd in Ihis 6w.
`J d' / / v
III II Illl III III III IIIII1111111~~5~ a~~~ °-7
* 0 4 5 5 8 5 8 L 1c PLEAS R TYPE
QBa18S~ ~ t0 RougMn inspetlion reqoiredd Yev ? N. Inspxeon qlwr Thon RaqMn ? Ruody Now ill Call
~f lL 9 na m~,t wn ~n, ~~,pro, ~-ay~ eege o0
I, icensed contmclor ? owner hereby request mspection of ~e above el ol work 1ob Address (StreM, Bov, «Roure No,~ oy ~ z~
y~ 9 .c-x - o A w
Seclion No Tawnship Name ar No Ronpo N. fim No Cou ~ '
/4
Phaw No
4- lv/o~A~s
Powe pplie~ Ad~d
~niiv
Elanr' Conhodo~ (Campo~Namal Con L<eme No. Nnsrer lic. No. ~Mav Ebrt Onlyl
Hi`rdt LG«CTx'.c .?.vc ~j Z
MofiiN Pddress (Commci« ar Ownar Perform/~J~a!naollao ) A~
qYd/ VT~I-rr1rS ~VU f~~~0 LQOm~.~~r-aN/tiN .5'ray~"
Auth ' Sg~wNr (Cm or Perfo.ming Ins~aPmiml aw Y/00
L/~-ec
EBOOOOIAI 1 8/96 Ph STIITE BOMD COPV - SEE INSTHULTONS ON BACK OF YELLOW COVY
S°2//9 -2 REQUEST FOR ELECTRICAL INSPECTION !<1A 3
4 J-0O;0 O [E ~ Minnesota State Board of Elec[ricity
1821 Universiry Ave., Rm. 5-128, St. Paul, MN 55104
Phone (612) 642-0800
Home Duplex Apl. Bld . Ofhar: New Addn
Commercial Industriol Farm Remod Re ir
Air Cond. Htg. E uip. Water Hh. load Mgmt. Other:
Dryer Range Elec. Heal Temp. $ervice
"X" obove the work covered by IFiis requesG Enter remarks in this space and on fhe back of fhe white copy only.
los
Lo = (3Z
Calculafe Inspedion Fee - This Inspection Requesl will nof be ac<epfed wilhoul the correcf Iee:
Other Fee N Service Entrance Size Fec N Circuits/Feedcrs Fee
Mobile Home Park $tall 0 to 200 Amps 0 0 to 100 Amps Q
Sheel Ltg./Tmffic Sig. Above 200_Amps Abov mps
Tronsformer/Generator INSVECTOfl'S USE ONLY ~60 TO AL c~
$ign/Oulline Ltg. Xfmr.
Alorm/Remole Conhol
Swimming Pool I here6 cem that I in wl tc xa min the
Irrigation Boam Ro„g~„
$pecial Inspxtion `
Finai p~lo '
Invesfigalive Fee
THIS INSTALLATION MAV HE OROE D DISCONNECTE OT COMPLETEn WITHIN 7 MOM S.
'Address 4298 WEXF'ORD WAY Zip 55122`
I.ot is Blk i Sub wesFOan 2nm
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: (P /9 ~'j~J Yes No Inspector:
Final grade (6" from siding) j/
Pertnanent steps (garage) V-1,
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 water supply to
the ouLSide lawn faucet before freeze poteNial exis45.
Contaa engineering division af 681-4645 before working in righhof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~
. PERIVIIT
C6TY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 029561
(612) 681-4675 Date Issued: 0 3/ 0 7/ 9 7
SITE ADDRESS:
4298 WEXFORD WRY
LOT: 15 BLOCK: 1
WEXFORD 2N0
P.I.N.: 10-83851-150-01
DESCRIPTION:
Building-Permit Type SF DWG
;Building WBrk Type NEW
UBC Occupancy _ R3/U1
! Gonstruction Typ.e VN
2onirtg R1
, Building Length 69
~ Building WidCh ~ 48
euilding stories 2
- -StI~ua.r,e Peet 2,136
CensLs1_G.od'e~ 101 1- FAM. DETACN
,
L.l..`ll'i _A
REMAROCS:
PRV REQUIRED S& W PLUMBER: VALLEY PLUMBING
FEE SUMMARY:
VALUATION $162,000 .
Base Fee $1,197.25 MISCELLANEOUS $1,539.50
Plan Review $778.21 Total Fee $4,545.96
Surcharge $81.00
SAC $950.00
SAC % 100 SAC Units 1 7
Subtotal $3,006.46 Y-'j,%
COIVTRACTOR: - Applicant - sr. LIC OWNER:
L FESTYLE HOMES INC 14363350 0001288 LIFESTYLE HOMES INC
950 12TH ST N 12950 12TH ST N
AKE ELMO MN 55042 LAKE ELMO MN 55042
('612) 436-3350 (612)436-3330
I hereby acknowledge that I have read this application and sCate that the
information is correct and agree to comply with all applicable State of Mn.
~ Statutes and City ofi Eagen Ordinances. !i J
APPLICANT/PERMITEE SIGNA7UR2 ' ISSUED ' IG A RE
~ CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL)
681-4675
NwW ronstrudion Reauirement=_ RemodeVReoair Reauirements 44.1 ~~Jor,~ ~ CrRU-)
? 9 registered site surveys ? 2 copies of plan mULlC J
? 2 copies of plans (inGuda beam 8 vnndow sizes; poured (nd. design; elc.) ? 2 site surveys (ezterior addHions & decks)
? 1 energy catculationa ? 1 energy caleulations tor heated additions
? 3 eopies of kee preservation plan 'rf bt ptaNed efter 711193 '
required: _ Yes No ~
DATE: r~~I I~ I 1 CONSTRUCTION COST:
~
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT ~ BLOCK SUBD./P.I.D. ~
PROPERTY Name: Phone r~~n I-[ u vj
OWNER nc ~y1
Street Address• I~' 6d!
City: State: ~ Zip:
coNTRACTOr3 Company: ~ ~Phone
Street Address: License ~
City: Y0 State:
i ~
ARCHITECT! Company: C AlfiJ ~'1- Phone
ENGINEER
Name: Registration
Street Address- Q616v K~/ 2, City: Ia.~ State: (2_ ZiLi
Sewer 8 water licensed plumber: Jo~ Penalty applies when address change and lot
change are requested once permit is issued. U ~
I hereby acknowledge that I have read this application and state that the information is correct and agre o om~y with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. ~d~'
Signature of Applicant: T ~
OFFICE USE ONLY ~
Certificates of Survey Received _ Yes V No j:g ~D
, /
Tree Preservation Plan Received _ Yes v No)-
.
OFFICE USE ONLY
~ .
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
,la" 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-piex o 13 Garage/Accessory o 20 Public Facifity
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
p' 31 New o 33 Alterations ? 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) V,\1 Basement sq. ft. i3q'7 MC/WS System ~
(Allowable) V +J Main level sq. ft. iu iu City Water _
UBC Occupancy R- 3, u- i z"a sq. ft. Gi 4 Fire Sprinklered
Zoning iz-1 C,r~ ~a sq. ft. '77 a PRV vE5
# of Stories ti ~ sq. ft. Booster Pump
Length (0 el sq. ft. Census Code. ~ cI
Depth H 4' N" Footprint sq. ft. 2 i 3fo SAC Code
Census Bldg ~
Census Unit i
APPROVALS
Pianning Building IV3 Engineering Variance
Permit Fee Vaiuation: $
Surcharge
Plan Review , 18• -7 c~
License zq
MCNVS SAC r B• S u 3 y
cfa, y~
City SAC '2 • 37x y _
WaterConn. IZ A~5 ~ ZO,q55
Water Meter ISs
Acct. Deposit 1~ i 34 -7
S/W Permit C. . 2.; t z 6. s
SNVSurcharge S„ Z, 17 ~o_gs
Treatment PI.
Road Unit Z..J
Park Ded.
TrailsDed. 3~~~y `iGz
Oiher '7'' ' -7
Copies ? re 1 -3, yo3 f./
~ akI J J~ I J L~~
TOt3l: . rt+.aqF .
% SAC ~.7 Y N. c~ ~9. 5
SACUnits +75 72,q
ao ,r , S "l o
7 7- 2 (h 1 " I 1~$ z- ~
((o~~OIL~ `
, FEB-17-1957 16:46 INTER STqTE LUMRER 1 612 457 0151 F.r1/01
. , : ~ . EXTERIOR ENVELUPf AVERAGE "U" COMPU7dTlON
OYVNER 'l Cn 4 Z ~ f v Ll
SITE AODPESS
CONTRACTQR L•kE. SA 't I fd' !A.`"*CS QqTp PHONE y rL.'.s`_S s V
Oelermine working square footage of eaCh
3,zfz.z~ ~
t. Total e¦poaed wall area eq. Ii. ~.11 - ,y'?~
2. Total wol/ceiling are I yq. It. ~ .026 = ~ ~ •.9 2
7o1a1 ecpased wall area a6eve Iloor =
d. 7vlal wall window area a G S'~~
~ b. Total door area ? ~
c. Total sllding glass door area ~R` y•2 ~t
d. Tmalltreplace wall aren
e. Total wall lraming area (everage t0%),.,...........................
L Total net waU area aheve flnor
g. iolalrlmjolalarea 1 j2.b~
Tolal erposed IoundaUOn area ~3 (N
h. Total laundallon window arta
~
1. 7o1s1 nal loundatton area above grade
Oetermine "IJ" value al each wall segment.
a 3os x°u•_ ;?q _ fd8 ~1
b. SS.z.S X.U.
'._~~.1 X.U._.
a. x •U, ~ -
e. 3 z7 2.J X.u_
t. 2, X.W
x -u' ~ ~ - E.
h. ~ x -u- ~ _ • - • .
z•u- S-1 v .
3. rowi = 2 E V
11llem 07la the sama as, or less then ilem Nt, you hava mel Ihr Intenl ol O-Fit; 6706fcC2.
T010) Cip0500 fDOflCliIiOg dYBd,..` `tj' O
J. YoW skyllgF.l area
Ic.Tolalraol/cellln9 Iremin9 area (avera9el0%
)
1. 7a1s1 net Ingulaled rool/cvlHng area 1~~ ts. tio. .
Oetermine "ll" valua ot each rao(/ceiiing segmenl, ~
x-u~
k. I`t2_uo x_u.
X.U.
4 . Total
(1 101a1 al p4 IS Ihe same as, ov leae lhefl 02, yaU bave mel lha Inlenl af S9C 6006(c)1•
Alternato Building Envelope nesrgn
_.z 3b-~~ _ 3ib•~~~~
+a.
TO?aL P.01
2422 Enterprise Drive
* * * Mendota Heights, MN 55120
* PIONBEA (812) 881-1914 FAX:881-9488
* uNo sunVcra+s • nHL ENCacros
ene ~~er ne LANO PL/JINEflS. uNow~c Aiecnirzcrs 625 Highway 10 N.E.
Blaine, MN 55434
~ ~c * (812) 783-1890 FAX:783-1883
Certificate of Survey for: LIFESTYLE HOMES
4298 WEXFORD WAY
C.S.A.H. NO 30 (DIFFLEY ROAD)
N89°43131 "W 136.47
o , o
951.7 7 ;'--------15 450.0}
,o~ ?s \----~'DRAINAGE & UTILITY In ~ W
(0~ ' EASEMENT PER PLAT'15 16 N
~-UTILITY EASEMENT PER PLAT g40.4 I ~
I
y C.B.\ _Lo i --------~x 940.0S
O
~ 940.~ Ln 940.8 x l0
/10, 2
g ~ 1 eao.s
943. q s}S. 2 q42 40.712.. ~7
2$.42 _T----- ~ 51.33
STORM SEWER LINE ON 9421 ~944.1 14
PROPERTY LINE 17.67 1 PHOUSEED u I ~ ~
\ "i ~
~`o GARAGE\ ~
~ 'aa~`12.33 947.5
16 948.0 946.~ 11:67~0 2\~ (4112. 33 ~ 945. 938 zw
00 ~ .36 (QSG'O) 941 X~-'--BENCH MARK
y s TOP OF PIPE
~`a PROPOSED ~ 5'5ELEV.=947.38
o p DRIVEWAY ~ SERVICE n° I ' 948.0
~ ~{P 5 L, ~ INV.=935.7 ~ o0
O - ~
~CE ~ 15 ~
wgY ~ -
~ o (q¢6'2)
DATE 2- z ~-97 A~1 46.6 p~38°29929", 946.0
BUILDI~G INSPECTIONS DEPT. i
~ ~946.4 ~-'rj.28 \
lpA C.B. 43.86 cv 945.9 ~
~~XFORD Wq - '~'~y~S
By, _ o
,
D ~ ~~p/ 'n^
o~oVo ~.-~~`til
NOTE: PROPOSEO GRADES SHOWN PER GRAOING PLAN 8Y: PIONEER PROPOSED HOUSE ELEVATION
NO7E: BUILDING OIMENSIONS SHOwN ARE FOR HORIZONTAL AND VERTICAL LOCATION
OF STRUCNRES ONLY. SEE ARCHITECNAL PLANS FOR BUILDINC AND LOWEST FLOOR ELEVATION: '~'Z•
FOUNDA710N DIMENSIONS
TOP OF BLOCK ELEVATION:
N07E: NO SPECIfIC SOILS INVESiICRTION MAS BEEN COMPLETED ON THIS LOT BY THE 5O~J
SURVEYOR. THE SUITA9ILITY OF SOILS TO SUPPORT 7HE SPECIFIC HOUSE GARAGE SLAB ELEVATION:
PROPOSEO IS NOT iHE RESPON5191UTY OF 7HE SURVEYOR.
NOIE: TNIS CER71f1CATE UOES NOT PURPORT TD SHOW F.ASEMENTS OTHEH TNAN X 000.00 OENOTES E%1571NC ELEVA710N
THOSE SHOMN ON TNE RECORUED PLAT. ( 000.00 ) OENOTES PROPOSED ELEVATION
NOTE: CONTRACTOR MUST VERIFV DRIVEWAY DESIGN. OENOTES ORAINAGE AND UTILITY ERSEMENT
OENOTES OftAINACE FLOW DIRECTION
NOTE: BEARINGS SHOWN ARE BASEO ON AN ASSUMEO DANM • OENOTES MONUMENT
$ OENOTES OFFSET HUB
WE HEREBY CERTIFY 70 LIFESTYLE HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 15, BLOCK 1, WEXFORD 2ND ADDITION
OAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNOER MY DIRECT SUPERVISION THIS 19TH DAY OF FEB., 1997. '
NE PIONEERE 1 ERIN , P.A.
SCALE : 1 INCH = 30 FEET ~
907 95372.03 SWK John C. Larson, L.S. Reg. No. 19628
LOT SURVEY CHECKIIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
~ PROPERTY LEGAL: S 2
~
~ DATE OF iURVEP'
LATEST RE1/ISION:
~ DOCUMENTSTANDARDS
o
~
~ 0 • Registered Land Surveyor signature and company
~ 0 • Building PermitApplicant
~ 0 • Legal description
0 • Address
/0 0 • North arrow and scale
Q'~7 0 • House type (rambler, walkout, splft w/o, split entry, lookout, etc.)
e/o 0 • Direcdonal dreinage arrows with slope/gradient %
QO ? • Proposed/ebsting sewer and water services & invert elevation
~ o ii • Street name
2"~a ~ • Driveway
ELEVATIONS
/ Existina
C~ ? ~ • Sewer service (or Proposed)
ET, cl 11 • Properly comers
Q-'0 11 • Top of curh at the driveway
D" o o • Elevations of any exdsting adjacent homes
ro sed
0~'o ? • Garage floor
; U~l ? • First floor
~ 0 • Lowest exposed elevaGon (walkouUwindow)
C3 • Properiy comers
0 ? Front and rear of home at the foundation
PONDING AREA fif aoolicablel
0 Er o • Easement line
? • NWL
0 ~ ~ • HWL
0 o • Pond#designation
o d? • Emergency Overtlow Elevation
DIMENSIONS
e"~ 0 0 • Lot IinesBearings & dimensions -
~o 11 • Right-of-way and street width (to back of curb) -
[a,' o o • Praposed home dimensions including any proposed decks, overhangs greater than 2',
parches, etc. (.e. all strudures requiring permanent footings)
cr' a o • Shaw all easements of record and any City utllitles within those easements
13-~ o o • Setbacks of praposed structure and sideyard setback of adjacent ebsting structures
11 4~ ? • Retaining wall requi7R~<-
N ' Reviewed: ~
me / D te
January t996
CRA1G19i0RLDOPRMf.FM
10' DRAVJACE EASEMENi '
F E 5 AS NOiED ~ ~ ~ ` . es ea m
RIPV ELEVAPON IN FIEID I ~
1 20 19 +z' soun~ or
21 I 18 17 CB PROP Co4NCH ~ ckArl;luncAL.IF-
115 ~ oC
BM G. STn 0+a4}5 ~ 16 ~ BENCH MARK
~ 111 H . 25~R
MH $TA P.TB'.5 MH ~t STA 24i LU 79 !NM FIR POtNT & SUMAC DH;vP^
/ I 107 10 10 B 113 9.01 R
2Lq . . . ' CLEVAPON a 93L.90
CB rt STA I7+5<".62 . iNH RR POINT k iHOMAS LAKE RG.
/ 106 16 L ELEVA?ON = 926 55
23
--~n- ~c
Pc •
ORO
BH Q R7A 23+74.30
114 .
~BM1F,~E161$TA517+01.60
105 R
p r
rE STA 15a95 94 '•g~ ~
~ ~ 106 12 20
_ C9 ~t STn. J.aa 35 'rg I . \ I 14 i . , 11 fl2 aWL t MH (i STA I5i27_06 i ,
STA.18+91.36 , . . . . , . - . . . .
~ 109 12.29R t0s 6.03R ti
/ MM rt. STA. 1±•51 46
n0 !OR 7 ~ p UI[.
U CB rt STA 20-6i 92
\ I `
,oa u.ooi
/ S7A PLI-ti~~.' ~ . . _ ,
~
I / BM rk. 20t61 92 y~ / 4} • "
102 1t25~R IT ~CJI~v.~~...
\ \ i:r / 9 •ti y t.~.....~_..e..{V~bON THLUITt. .
4 ~ - ,1 ~
70 DRAINAGE
10 EASEMENT NOTE'
A!L MANNOLES ARE 48` CIF. UhLES_
OT4ERYASE NOTED.
. . ' . ' . . . . . . ' . . . - 1
943.14
~ EkISTING\ 3 .
~
~ . ' . . ~ . . ~ . . . . ~ ~ . . ~ . . . . . . . z . ...25 . . .
. . . . . . ~ 990.30 . BLDy2.'9YX
946.63 946.57;.. . \ . .
. _ . ~ MH RE=846-64 . 115 B =~:E'B' .IB . . 993.19
BL0=
--+2' F E5. W/~ASN GUARD 104
. . ~ 1rir 2DIA. fj~ RE-^'° .
13.6Sd GASPNG 14341A &D-'- 95Q049EO 9~JO PROPOSED . M Re-s~'.s:ei 950 945 945 1 ~GRADE
PR G 0 W7 RE=95b6B
~ qgo
9 ose etn~5rt 1 y' ZCY \ GRA~[ 60 955 945 OaosEo
\......e 94
~ 945 940 AD O F.%iSPNC _GHOJND EXIS?NG .h'aTER NAIN nCP.
C40551N
G
G +6EK 950 940 ~ 1.aa 935
V 0~565 940 935
2.11 SAh SEV.ER-FROPOSEC E%ISPNGSAN. SEWER SSING CRAGE CROUND 94S 9.35 CROS9NG ,aP, 935 930
yyI\~ 930
; cL'". . . . - ~
i WAiFR 4AIN-~ ~ . 1.4b
i'z~-~, ~ CROSSitiG v'
~ I
~
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01
?
L 15 BL CITY USE ONLY RECEIPT#:
SUBD. 4,( N rY ` RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
cirr oF E,aGaN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for: . single family dwellings
. townhomes and condas when permits are required for each unit
. backFlow preventer for underground sprinkler system
FIXTURES EACH NQ TOTAL
Shower 3.00 x 'S-
WaterCloset 3.00 x 3 = q-
Bath Tub 3.00 x
Lavatory 3.00 x a = ti-
Kitchen Sink 3.00 x i
Laundry Tray 3.00 x _I
Hot Tub/Spa 3.00 x ~ = 7
Water Heater 3.00 x
Floor Drain 3.00 x I = 3`
Gas Piping Outlet ' minimum -1 3.00 x
Rough Openings 1.50 x L-4-5 0
Water Softener ' for dwellings under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler ' tor dwelling under const. 3.00 =
U.G. Sprinkl@f ' for existing dwelling 20.00 =
AltEfetlons ' 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',anandonmem 20.00 =
STATE SURCHARGE .50
TOTAL
I hereby acknowledge that I heve read this application, state that the infoimetion is eorrect, end agree to comply wRh all applicable City
of Eagan ordinances. R is the applipnt's responsibilily to notify the property owner that the City of Eagan assumes no liabil'rty for any
damagas pused by the Cily during iLS normal operational and maintenance ectivilies to the tacilities consWGed untler this permd within
Ciry propertylrightof-wayleasement.
SITEADDRESS: r., CJ i
OWNER NAME: ly
INSTALLERNAME: Ual<<-.~ (p (t,~ C_e, TELEPHONE#:
STREET ADDRESS: TG C) D.. V" A - •
CITY: cL.-, STATE: W- - ZIP: SS 3 z-~
SIGNATURE OF PERMITTEE
~
CITY USE ONLY
L ~CP BL I RECEIPT
SUBD 1d~Q1 ~n~ RECEIPTDATE: ~
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . single family dwellings
o townhomes and condos when permits are required for each unit
4- New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
- - - - -
Date:
FEES
i
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
Gas Outlets (minimum of 1 required @$3.00 each) ff_~
• State Surcharge .50
TOTAL
3v.so
SITE ADDRESS: ~ ~ ~~bj w$~- OWNER NAME: 4Cs~4XR, PHONE#: -335'~}
' l
INSTALLER NAME: €DAR VALLE-;V HEATING & AIR PHONE
INVER GROVE HEIGHTS, MN 55077
STREET ADDRESS: (612) 454.11e64;
CITY: STATE: ZIP: ~
v Q=4G(,
SIGNATURE OF PERMITTEE '
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-famiiy buildings when separate permits are no 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: CITY: STATE: ZIP:
PHONE
SIGNATURE:
- SIGNATUREOF PERMITTEE ` CITY INSPECTOR ~ "
CITYUSEONLY
RECEIPT II
L BL ('I113f7qZ3
SUBD. RECEIPT DATE: ~7 3 I I~ O
PERMIT# ,I ~ ~ I U l
2000 PLUMBING PERMIT (RESIDENTIAL)'I
CZTY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122 ~
651-681-4675
Please complete for. ? single family dwellings i
? lownhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # ' TOTAL
$
Alterations to existing dwelling - minimum fee 30.00
Describe: I
Bath tub $ 3.00 x $
Floor drain 3.00 x i = $
Gas piping outlet ' minimum - t 3.00 x $
Hot tublspa 3.00 x $
Kdchen sink 3.00 x $
Laundry tray 3.00 x $
Lavato 3.00 x ~I = $
Septic System new/refurbished 'requlres MPC Ilt. 7$.00 X $
Septic System abandonment 30.00 x $
RPZ newinstallatioNrepaidrebuild 30.00 x $
Rough apening 1.50 x I = $
Shower 3.00 x $
Underground sprinkler if dwelling is under construction 3.00 x I = $
O
Underground sprinkler if existing dwelling 30.00 x $
Water closet 3.00 x I = $
Water heater 3.00 x I = $
Water softener if dwelling under eonsWCtion 5.00 x $
Water softener itexisting dweuing 30.00 x $
Waterturnaround 3000 x ----i = S
State Surcharge 50 $ .50
TOtal S
Reminder: Call for inspections of alterations, i.e. water heaters, water softene i, etc.
I hereby acknowledge tha-t I have read this application, stale that the infortnatlon is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibiliry to notdy the propeRy owner that the City of Eagan assumes no liability for any dam29es caused by tha City during its
normal operational and maintenance activities lo the facililies constructed under this permit within Ciry property/right-ol-wayleasement.
SITE ADDRESS: y=
OWNERNAME:: ~I rldleIN TELEPHONE#: lo~~ J y!'~7yd
(AREA CODE)
INSTALLER NAME: 407 TELEPHONE !~~I f.3-? S-Z;
(AREA;CODE)
STREET ADDRESS: -:~D
CITY: STATE:
'
I
SIGNATURE OF PERMITTEE
RESIDENTIAL
c~ q-7~ BUILDING PERMIT APPLICATION I
~ CITY OF EACAN 5
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 r~ do -
NewConstrucGonReauiremenb RemodellRepairReauirements
• 3 registe2d site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas • 2 copies of plan (20%matimum bt coverage allowed) . 1 set of Eneigy Calculations foi~heated addi6ons
• 2 copies of plan shaxing beam 8 window s¢es; poured found design, etc.) . 1 site survey for eztenor additions 8 decks
• 1 set of Energy Calculations . Indicate if home served by septic system for addNOns
• 3 copies o(Tree Preservation Plan il lol platted after 711193
• Rim Joist Detail Ophons selection sheet (bldgs wdh 3 or less umis)
DATE 1U-LI D Z VALUATION ~ ID~I~(aDi ~
SITE ADDRESS Z MULTI-fAMILY BLDG _Y _N
TYPE OF WORK ~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT SELA ROOFINO & REMODELING, IN(
4906 EX6€6SIOR ai vn i
STREET ADDRESS ST. LOUIS PARK, MN 55416 CITY 8TATE ZIP
TELEPHONE CELL PHONE # FAX # ~I
PROPERTYOWNER 111iY I JWa'14 Sd~ TELEPHONE# yS~! -27c7~
I I
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
- '
Energy Code Category MINNLSOTA RUISS 7670 CATEGORY 1 MINA'ESOT-:'.-RUL~:S"7Fi,72 ; y I
~s in,
(d submission type) • ResidenGal Ventilation Cateqory 1 Worksheet Submitted . New ~nerJ,gxCOde Workshel i, et Submitted
• Energy Envelope Calculations Submitted i
US I I
I~II OCT 0~ 2~0 2 I
I Ji~ LJ
Plumbing Contractor: Phonc #
P1umUing systein includes: VVater SoIlener _ Iawn Spiinkler 'I+sY-- -ree:=$90:00
Water Heater No. of R.I. Baais ~
No. of Balhs ~
Mechanical Contractor: Phone #
Mechanical sysLem includes: Air Conditioning Fee: $70.00
Heat Recovery Systcm
Sewer/Water Contractor: Phone # i
I
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin nces. ~
Signature of Applicant ~ I
I
- - - - - - - ° - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ° - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - • - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plex ? 73 16-plex ? 20 Poof ? 30 Accessory Bldg
? 02 SF Dwelling 0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt • Multi
? 03 Ot of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? Oa 02-plex O 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi
? OS 03-ptex ? 11 70-plex ? 19 lowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof p 46 WindowslDoors
? 34 Replacement •Demolidon (Entlre Bldg only) - Give PCA handaut to applicant
Valuation Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVpC
Drain Tile Other
Roof _ Ice & Warer _ Final _ Pool _ F[gs _ Air/Gas Tasts _ Final
_ Framing _ Siding Stucco Srone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (ozw/replacement)
_ fnsufatio? _ Retaining Walf
Approved By , Building Inspectar
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
W ater Supply 8 Storage
S8W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
0'7().06
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
p~t~'3~1
City OfEagan ~ -~D
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauirements RemodeVRe air Re uirem~en[s ORce Use Onlv
3 registered site surveys showing sq. ft. of IoL sq. ft af house; and all roohd areas 2 copies of plan ? Cert of Survey Recd _Y _N
(ZO% maxunum lot coverage allowed) 1 set of Energy Calculaliuns for heated additions tJ o Tree Pres Plan Recd _ V_ N,
2 copies of plan showing beam & window s¢es; poured tound design, etc. 1 site survey for addAions & decks ? Tree P25 Required _Y _ N
75etofEnergyCalculations Atldftion - indicateRon-sdesepNcsystem Oo-siteSepGcSystem _ Y _N
3 copies of Tree Preservation Plan if lot platted aRer 7l1I93
Rim Joist Defail Options seleIXion sheel (hwldings wflh 3 or less uniLS)
Date 7 / 4i~ / oS- Canstruction Cost 0 ~D
Site Address 4 'L ~ oc ar 1.,/ Unit/Ste #
Description of Work ~ GJn14c-~ -~O Q~``'i~ ~ R`-~'~'~"'j /~?i eXY S~~ ~Ck7:~,
Multi-Family Bldg _ Y/,t-N Fireplace(s) ~ 0 _ 1 _ 2
Pro er Owner ~
p ty e-- ~I-vctvi S O-~ Telephone#(CS( ) U"S `'rp
Contractor ~ JG '7 r~2~ G L'+ Gr~7 ?t~, ~
Li_h.~?,
Address Z( 7/~ ~T-c-, ?~s-~C ~(~-2 ~ City
State Vkq4-q- zip SS p5 Telepnone#(QSZ) 6(6 q -32- 22
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minneso[a Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(dsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submiried
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone ~I r ra
Sewer/Water Contractor Telephone #
kEVagand I hereby apply for a Residential Building Permit and acknowledge that the informat rate;
that the work will be in conformance with the ordinances and codes of the City of the 5tate of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
13 r -S-- 4 Q,~G
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY Im
Sub Types
O 01 Foundation O 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex 01~ 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
~ 32 Addition ? 36 Move Building ? 42 Demolish Foundatlon ? 45 Fire Repair
? 33 Alteration ? 37 Demolish 8uilding' ? 43 Reroof ? 46 WindowsfDoors
? 34 Replacement 'Demolitlon (EnUre Bldg) - Give PCA handout to applicant
Valuation - 9-10 Occupancy MCES System
Census Code ? C/ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings(new bldg) FinaUC.O.
~C Foo[ings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation _ HVAC
~ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final
Framing _ Siding _ Stucco _ S[one _ Brick
_ Fireplace R.I. AirTes[ Final Windows
Insulation _ Retaining Wall
- /
Approved By: , Building Inspector
Base Fee
Surcharge ~?~`~`G L~~~~'~
Plan Review
MC/ES SAC
City SAC ~
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
/ ~
2422 Enterprise Drive
Mendota Heights, MN 55120
PIONEEA LANO sunWrons • CINL ENCIHEFAS (612) 881-1914 FAX:681-9488
~ eng neer ng LAND R'µNEq5• UNDS~PE ARCHIlEC15 625 Highwoy 10 N.E.
Blaine, MN 55434
(812) 783-1880 FAX:783-1883
Certificate of Survey for: LIFESTYLE HOMES
4298 WEXFORD WAY
C.S.A.H. NO 30 (DIFFLEY ROAD)
N89°43'31 "W 136.47
o / o
/ 951.8
- - - - - - -
951.7 - - - -
~ , ~5 450.0
~---~-DRAINAGE & UTILITY loo ~ W
EASEMENT PER PLAT'15 ~M N
UTILITY EASEMENT PER PLAT 9,40.4 I to
y C.B.\ LO i Lo x 940.0 r .
ilt3
fjl0 940.L0 940.8 x ~n 4„'+lp tq Z
940.8
L
42 40.7
12-{~
3.
!y 2 .42 _T----- (n 33 ~
94z.~ ~
^ w i 14
STORM SEWER LINE ON 1944.7 o
PROPERTY LINE ~ 17.67 DPID HOUSE D u ~ F if)
\ \ ~ \ L4 I n ~
i
L' GARAGE ~
16 a, 46`.~ J\ o'onJ,`12.33 , 947.5
9 u1 12.33 945.79
948.0 11.67~\4.00 ~ ,~g zN
.36 ~y50.0) 946.5/ylCp.4) I X=^--'BENCH MARK
EAGA POSED 5.5 TOP OF PIPE
~ ELEV.=947.38
~ ~ PRO
p DRIVEWAY ~ SERVICE I ~ 946.0
INV.=935J I ~
E - 5 15
YSY
0 (q~
DATE ~l a6.s p~38~9~29", 946.0
BUILDING INSPECTIONS DEPT~,~,. '
( 946.4 'rJ.QB \ \ \
C.B. 4'.;-86 N 945.9
ORD W-
q~ - q'~y~s
.~_+i .s~~ ~ ~ 1 ~ ,.a . i lA i
~ C~ %7Cl l~ G l
R. 4
NOTE: PROPOSEO GpADES SMOWN PER GRAUING PLAN 8Y: PIONEER ~pROPOSED HOUSE ELEVATION
NOTE: BUILOINC DIMENSIONS SHOWN ARE FOR HORIZONTAL pN0 VERTICAL LOCATION LOWEST FLOOR ELEVATION: 4Z.
OF 51flUCNRES ONLY. SEE ARCHITECNAI, PLANS FOR BUILDINC AND
FOUNDA71ON DIMENSIONS.
TOP OF BLOCK EIEVATION:
NOTE: NO SPECIFIC SOILS INVESPGA770N NAS BEEN COMPLETED ON THIS LOT BY THE 5U, CJ
SURVEYOR. THE SUITA6ILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION:
PROPOSED IS NOT iHE RESPONSIBILITY OF THE SURVEYOft.
NOTE: 7HI5 CERTIi1CATE OOES NOT PURPORT TO SHOW F,ASEMENTS OTHER TNAN % 000.00 DENOTES EXISTNC ELEVAPON
THOSE SMOYM ON 1HE RECORDED PLAT, ( 000.00 ) OENOTES PftOPOSED ELEVATION
NOTE: CONTRACTOfl MUST VERIfY DRIYEWAY OESIGN. OENOTES DRAINAGE AND UTILITY EASEMENT
OENOTES DRRINAGE FLOW UIRECTION
NOTE: BEAftINCS SHOWN ARE BASEO ON AN ASSl1MED DANM • OENOTES MONVMENT
B DENOTES OFFSET NUB
WE HEREBY CERTIFY TO LIFESTYLE HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE 60UNDARIES OF:
LOT 15, BLOCK 1, VYEXFORD 2ND 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 19TH DAY OF FEB., 1997.
5 NE PIONEER ENGI IERIN , P.A.
SCALE : 1 INCH = 30 FEET ~
907 95372.03 SWK John C. Larson, L.S. Reg. No. 19826
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA154782
Date Issued:04/11/2019
Permit Category:ePermit
Site Address: 4298 Wexford Way
Lot:015 Block: 001 Addition: Wexford 2nd
PID:10-83851-01-150
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 -
Carl A Swanson
4298 Wexford Way
Eagan MN 55122
Bloomington Heating & Air
640 W 92nd St
Bloomington MN 55420
(952) 884-3552
Applicant/Permitee: Signature Issued By: Signature
r For Office Use //--
°°° i i i� Permit*: /.5 34 3
E AGA N Permit Fee: `c
RECEIVED Date Received: x'13'�y
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 MAY 13 2019 staff:
buildinginspections(a citvofeagan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
5/10/2019 4298 wexford way
Date: Site Address:
Linda Swanson
Tenant: Suite#:
Linda Swanson 651-454-2740
ReitidentOvititet
Name: Phone:
4298 Wexford Way, Eagan 55122
Address I City I Zip:
Big Sky Plumbing PM062467
Name: License#:
927 Scott Ln City: Belle Plaine
Contrimior
MN 56011 612-743-7917
State: Zip: Phone:
Greg greg4963@live.com
Contact: Email:
New ✓ Replacement —Repair —Rebuild —Modify Space Work in R.O.W.
Type orWinit
Description of work:
✓ Water Heater Lawn Irrigation( RPZ/—PVB)
Water Softener Add Plumbing Fixtures(—Main/—Lower Level)
DeseriPtiM Septic System
Description:
New
Abandonment Connection to City Water from Well
RESIDENTIAL FEES
$60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(indudes State Surcharge)
$60.00 New fixtures,adding or removing piping(includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential(fee collected with Building Permit)
$115.00 New Septic System(includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$290 for Meter and$190 for Radio Read=$540
*Sewer&Water Permit also required for connection charges / O o70
TOTAL FEES$ (�
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.gopherstateonecall.orq
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 vwvw.citvofeagan.com/subscribe.
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
inthe case of work which requires a review and approval of plans.
x � /. IL Pri . Name licanf nature
APP
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