927 Waterford Dr E
CITY OF EAGAN WATBt SERYICE PERMR
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eegeri, MN 55121 ` DATE: ' .
Zanrnp: No. of Unirs:
Owrnr: '
/4ddress:
SiM Add?'ess: ~ a T
Plumber r `'Il °
Meter No.• ~ D Q?pr . i.l j?c.
SReader No."
1 ey~w 1a ooniPly wqb flr Ciry of
oe1+n.eaw. ~~1~0NEIsc. ;w,
BY ~E~ 1R~ Paid:
Dare u,a,.:
CITY OF EAGAN SEyyER SOyICE PERMR
3830 Pilc?t Knob Raad
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 pqTE;
ZO^i^g: No. of Unlts:
OMfIMr•
AddICSS:
SItQ ^CbfOSS: ~ 1;1 a 1 s. ! - . . . . . ~
Plumber.
I yeM h oe~oyr wNh tIM Gly rf i"¦ ConnscNon Cha?pe:
OrdiwneeM. Aaaourit Dapoeit: ' c•, i{)•; '
Pemdt Fee:
Surchorpe:
BY Misc. Charym
Dote of Inap.: Total:
I^sP•: DoM Faid:
I
CITY OF EAGAN Remarks
AdditiDn WEDGWOOD 1ST A.DDN Lot 1 Rlk 2 Parcel 10-83550-010-02
owr,er street 927 Waterford DRive East scate EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 1981 58.69 2.93 20 48.97 A013432 1-11-84
STREET RESTOR.
GRADING Sq/ 1981 186.48 12.43 15 136.76 A013432 1-11-84
Sewer Lateral 1981 313.16 20.88 15 229.68 " "
SANSEW TRUNK 1981 198.50 13.23 15 145.58 " "
SEWERLATERAL 1981 197.54 9.87 20 15$.06 of
Sewer Lateral 1982 133.17 8.87 15 106.56
WATERMAIN
WATERLATERAL Trk 1981 262.18 17.48 15 192.30 A013432 1-11-84
WATER AREA g 1981 198.50 13.23 15 145.58 r' "
* Water Lateral 1982 98.57 6.57 15 78.86 " "
STORM SEW TRK
STORM SEW LAT
*Powerline Relocatio 1982 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDING PER.
SAC
PARK
~~,•x-:;fi=~ i v~.~~ CITY OF EAGAN
3830 Pilot Knob Rvad, P.O. Box 21-199, Eagan, MN 55121 r._ 121)3
- PHONE: 454-8100
BUILDING PERMIT Receipt # ~ 7
7o be used for Sl' J~IV~GAR Est Value $ a.0a ,OOU Date JUNE 16 19 66
SiteAddress 927 i'7ATEi2F'ORD D:Z E Erect CK Oceupancy
Lot I Block ~ Sec/Sub. ~~EDGTn00D 1ST Remodel ? Zoning
Parcel No. Repair ? Type of Const
Addition ? No. Stories
-z Name BU1tDS..I''.N Move ? Length
z 963 EJ Z RG I N IA Clemolish ? Depth •
3 Address Int. fmpr. 0 Sq. Ft
° City S 1.' 'AUIIAone -#$~--8#~5 - y5"G-651r~~ ?
o Name C-Ili Approvals Fees
0 a Address Assessment Permit 453.00
r Ciry Phone Water 8 5ew. Surcharge 54.00
Police Plan Review 226.50
F W Name Bi "L 24CCR[lm Fire SAC ~0 d
~ n Address 1133 PRLACl~: aVE Eng. Water Con n. 500.00
6 W c;ty L;`I` i 11Ukone ~90-2350 Planner Water Meter 6T• Sa
Council Road Unit 290 . Oi]
1 hereby acknowledge that i have read this appiication and state that the gldg. Off. 6 6 a Tr. PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
Var. Date Copie
$ 2 , c, . 0 C
Signature of Permittee Total
A Building Permit is issued to: LL= BOi3J:it:t1 on tne express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Buiiding dfficial
ti
Permfl Np. PermN Holdw Dab TNephone k
Plumbinq ` -7 Z
H.V.A.C. _ d-5_
ei~a~ ~j j =3Y S S 13 ~
saf«~.
Inspection Daie Insp. Com b
Footlnysl
FootMgs 11 ~ '(Ib
04 FoundaHon 11 lp ~ ~p f~•
Framiny ~ - ~ ~
Roofing ~
Rouph Plbg. ~ • pZi - ~ ~ _ ~ 1i17
IRouyh Nty. , 'y
I Insul.
IFI?splam
I Final Htq. II~i7 g~ ' N
Final Plby.
Bldq. Fihal 1,0'774(o - cert. occ. 30 -'57- p~
r~ w u- v r~ /7
IDsck Fi9.
Decic Frmq. 11 ~10419
DsscriW Lxation:
WNI
Pr. Dbp.
cz,
PERMIT #
PLUMBING PERMIT RECEIPT # CD~~OC' 3
' GTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE y~`•-
CONTRACT PRICE PHONE: 454-8100
Site Address BLDGyTYPE WORK DESCRIPTION
Lot i Block ^T. \ Sec/Sub ~
` Res. New
m Name Mult Add-on
~ Address Comm. Repair
c City Phone Other
N0. FlXTURES TOTAL
Name Water Closet - $3.00 $
c Address Beth Tubs - $3.00
p Ciry Phone - Lavatory - $3.00 Shower - $3.00
FEES Kitchen Sink - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00
MINIMUM - RESIDENTIAL FEE - $10.00 ~ ~undry Tray - $3.00
MINIMUM - COMM/IND FEE _ 20.00 Floor Drains -~1.50
STATE SURCHARGE PER PERMIT _ Water Heater -$1.50
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Pip ng Out ets -$1.50
BEYOND $1,000.00) Soitener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
1
SIGNATURE OF PERMITTEE FEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
, . . PERMIT #
. • MECHANICAL PERMIT RECEIPT #
' CITY OF EAGAN 1
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Add~ess 1 ~N \ f BL.DQ. TYPE WORK DESCRIPTION
Lot Block ~L Sec/Sub l~ _ ;
~ % ~i
Res. New
~ Name Mult Add-on
~ Address Comm. R ir
c City Phone ~
Other
Name FEES
c Address J& RES. HVAC 0-100 M BTU - $24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00 .
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
,c GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000-00)
Gas Piping Outlets # ~
Other
FEE '~5 l -
S/C: SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
CITY 4F EAGAN 454-81 00 -
DEPT. OF BUILDING INSPECTIONS
Cormction Notice
Located at
I have this day inspected this structure and
these premises and have found the following
violations of city codes governin same:
;
2 /
yLc / C
~
• <
, ,,.,1' T-, ,
When corrections have been made, please
call 454-8100 for inspection.
Date
Inspector City of Eagan
DO NOT REMOVE THIS TAG
20 V- 3 4 0 OFFI US ONLY This requestvoid IB moMhs from validafion doR pnMed in Mia bm. _
. i/C/95
~
Pf~~eCE PRINT OR TYPE
Reqoest Dak Noogh-in inspection required2 ? Yes ? No Inapetlion Other Than Roogh-In: 0 keady Now 0 Will Coll
q pou musf coll Me Inzpector when reody) Dak Ready:
I, X licensed coMrador owner hereby requesf inspedian of the obove eledrical work at
Job Pddress (SVael, eor, or Raute No.) Ciry Zip Code
ot'~ E 0.r1
Setllon No. Township Name or Na. Range No. Fire No. Caunry~CL
pa~~ Phone No.
~
PowarSupplier ~ Address ~
Z I Conrcacror (CompenY Nome) ~ Comronor licema Na. Mashr pc No. (Plam Elen. Only)
ie,
Maili Addresa (Conlmtlor r er Performing Insbllofia ~
Au 'zed SignoNre (CoMmdor or Owne, Perfarmirg InswllaNani P No. F~
EB- A- 0 6195 STATE OAHOCOPY-SEEINSTRUCTIONSONBIICKOFY0.LOWCOPY
I II In) REOUEST FOR ELECTRICAL INSPECTION ' 41! II M
innesota 5tate Board of Electriciry 1821 University Ave., Rm. 5-128, t. Paul, MN 55704
* 0 2 0 8 3 4 0* Phone (812) &42-0800 9,c ,Home~ Duplex Apt. Bldg. Other: New Addn
'Commercial Industrial Farm Remod Re air
Air Cond. Htg. Equip. Woter Hfc Load Mgmt. Other:
D er Ran e Elec. Heaf Tem .$enice
'X' above }he work rovered by fhis request. Enter remarks in this space ond on the back of the white copy only.
Calculate Inspection Fee - ihis Inspecfion Request will not 6e accepted without fhe correct fee:
Olher Fee # $ervice EMrance $ae Fee # Circuih/Feeders Fee
Mobile Home Park Stall 0 fo 200 Amps 0 fo 100 Amps
$heet Lig./Tmffic $ig. Above 200 Amps Above 700 Amps
Transformer/Genera}or INSPEC7oR'SUSEONLY TOTAL
Sign/Outline Ltg. Xfmi.
Alorm/Remote Control a6~ C
$wimming Poal
I hercb cem thol I ins ed ihe elMriml insm a on the dahs sqred
Irrigafion Boom Raughln Dab
$pecial Inspedion
Invesfigative Fee Final t ML
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IP NOT COMPLETED WITHIN 18 MONTHS.
This request voia C-J~ /~~~i` l S6 ~ S
18 rtwnths (rom v
~ 0 9 3 8 48 S3-
Reques.t Dat Fire No. HoapM1-i soer.tion
Peqw 7. E]Ready Now ill No~ify, InsDec-
3,n V es ?No ~or When Reatly
icen tl Elect( a1 Contraclor I herebv reques< inspection of above ? O a
wner elechical work insullad aC
Sveet Address. Boz or Route No. City
a . e,
ecuon o. Townshi0 Nam or No. RunBe o. County
~
Occupant (PpINT) Phone No. S o D 6N
Power $upplier Atldhess
Elecvical Contractor ICOmpany Name Conirar.ior's License No.
~ s Zd
Mailing Address IContractor or w er MakinB lnstailationl
Auth r' $i aWre (nhactod0 ner king Installa[ion) Phone Nmnber
MINNESOTA STATE BOARD OF E CTNICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway BIdO. - Room N-191 BE ACCEPTEO BY THE STATE BOAHD
1821 llniversily Ave., St. Paul, MN 66104 UNLESS PNOPEP INSPECTION FEE IS
Phane (872) 297.2117 ENCLOSED.
g- /?j4~ REQUEST FOR ELECTRICAL INSPECTION ee•oocwi.oa
w:
, See instruetiona tor compleling ihis fprm on bsek of yellow coPV. o 11 X" Below Work Coveted by This Request
AAEHome- uiitline ~+POliancea Wiratl Equipment Wire3
Range Temporary Service
a Water Heater Lightiny Fixtures
ing Dryer Electric Heatin
l Bldg. Fumace Silo Unlouder
Bldg. Air Conditioner Bi4k Milk Tank
v Other ISt~ecifyl
cify Ot er ' Othi.r
ompute Inspection fee Below
p Fee ServiceEntrenca5ize p Fea Feaders/Sublextlera N Fea Circuits
/:{.a* 0 to 200 qm s 0 to 30 Am s 0 to 30 Am s
Above 200 Am ~s 31 to 100 Amps ~ O 31 to 100 Am
Swinvnin Pool Above 100-Am s Above 100_Am s
TranslormerS Irngation 8oorris Partial%Other Fee
Signs Sueciallnspection Remarks Tg,TAL FE ~
Rough-in Dn .
r' / I, the Elecnical
Inspecbr, hereby
Ocerfiiy that the above
iinal ~ ,e/ inspecY ¢n
~(p meea
7hbreyuestvoitltBmonlhsirwn ' . p
ONE-TINiE HOMEBUILDER CITY OF EAGAN -
3630 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 N2 1212 J
BUILDIN6 PERMIT PHONE: 454-8100 Receipt # ~36 y ~
Tobeusedtor SF DWG/GAR est.value $108,000 oate JUNE 16 ~g86
SiteAddress 927 WATERFORD DR E Erect C~ occupancy
wt 1 eiock 2 secisun. WEDGWOOD 1ST Remodel ? zoniny
Parcel No. Repair ? Type of Const.
Addition ? No. Storles
a Name LES BORDSEN Move ? Length
z Demolish ? Depth
o Address 963 VIRGINIA Int Impr. ? Sq. Ft
Ciry ST PAU7phone 489-8475 Insrall ?
o Name SAME Approvals Fees
$a nddress nssessment Permit $ 453.00
" Ciry Phone Water&Sew. Surcharge 54.00
Police Plan Review 226.50
~w Name BILL MCCRUM Fire SAC 575.00
~j3 nddress 1133 PALACE AVE Eng. WaterConn. SOQ.00
Q W C;ry ST PAUlp,hone 690-2350 planner Water Meter 63. 50
Council Road Unit 290.00
Iharebyacknowledgethatlhavereedthisapplicationandstatethatthe Bld9 On 6/16/86 Tr.PI. 1$6.00
information is correct and agree to comply with all appliceble State of
Minnesota Statutes and Ci of Eagan Ordinances. APC Parks
Signature of Permittee 'J ~~~3.~'~ Vaf. Date Copies ToNal $ 2,318 . OC
ABuilding Permit is issued to: LES BORDSEN on the express condition that
all work shall be done in accoidance with all applicabl Minnesota Stat tes a 7C'-ity`of Eagan Ordinances.
Building Oflicial
/C-,
1986 BQII.DING PERMIT APPLICATION - CITY OF EAGAN
DiOTEs ALL COPTRACTORS MOS'! BE LICENSED iiITH T9E CITY OF E6GAN
SIBGLE FAMILY DHELLIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DSiELLINGS - HESIDENTIAL RFti'PAL i1NITS FOR SALS IINITS
INCLUDE 2 SETS OF PLANS, CERTIFIC6TE OF SOR9hR - CHECB SiITH BLDG. DEPT.v
1 SET OF ENERGY CALCULATIONS
COHHiERCIAt:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
; ~HT OE' S[~ECIFICATZOIvS T~ivu i`sEi uF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: ~ex,~e-Fnm~4~ Valuation: 1O6~` Date:
Site Address 921 wr{re.KFa~o DRGUE._Q.. OFFICE USB ONLY
Lot ~ Bloek 'Z Erect _ Occupaney
Remodel Zoning
Parcel/Sub kEp4hxb6 Z~I{3wrrtpiy Repair _ Type of Const
Addition 8 of Stories
Oxner Move _ Length
Demolish Depth
Address Int.Impr. _ Sq Ft
Install
City/Zip Code ST;PptJ,N1, ?1'7
Phone APPROV9LS FEES
Contractor Assessments Permit
Q~ Water/Sewer Surcharge
Addr?aa Up~ U~aki piyfl Police v~ Plan Review ~
Fire SAC S7~ _
City/Zip Code gT.&JLrfl~n)_ Engr Water Conn
Planner Water Meter
Phone Couneil ~ Road Unit
Bldg Off ~ Treatment P1
Arch./Engr. ('~~Q~m APC Parks
p Yarianee Copies
Address 1133CALia!'AUf: TOTAL ~
City/Zip Code ST~P~~C.,
Phone 7k 735-j
I
/
NOTE: ADDRESSSS FOR CORNER LOTS - CONTRACTOR/HOIiEOWNER lIUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGS3 iiILL BS ALLOWED ONCE BOILDIAG PERFIIT IS ISSQED.
2cD Or = Z v o X• 4-A - 12't>-7 0
Z-T ~c 7,0
~ ~O x S~jz '313Z0 ~
g~c l4= ll'z k sv3 ~1~1~ ,
t 4 x Z`a Z~t~..x ?-z z 47 04
~4 ED
744 = 3',~,4-40
F~ ~ ~Z = aCo~c 44= y2zV
8 ~c ~ z = ~ (o ~ ~Ue y ~1zZ~/'
/07Z Z~o ~
, •
`J'URNEYOR'S` TIFICMTE LES BORDSEN
. x szz.a rL
922.9 ~ •?/~D
p
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S R
~ep~e
OPBrr~MN~s UN
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a o RQqD
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N?o
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30 I Y ~ ,DI 80/ ~
in
W '01 3g~
10
~ N LO T ~ o
N 30
=
"
sas.s 930ox N
~ Q I 9 N 28.0
Z 928-7x 8A Q a 2 e3oi
Z 1 B'~o. a, Prto jV szne ~ W
w i m DRI Y Q O
% 269 ~ LL a
N M \ 1n I ~
v
W Q D
~ O
~ a ezr.ox 80 ~
Ql vi \ m W 8.0 n a
O nZ ~y a\a'\ \N
K=o
8.~ X926A N
I J\ ; io 0)
9252X_ 2QO
(10
- J 30 925.3=~19•~ ~ _ 924b 922J
33.52 xsza.s
1 36.31 " eyn,30
i
f J ~ z91T.8 921.1%11 824.8 116.32 ~
(z) S 83°30'58 W \
' - 91Tb% E
gXISTItdG HOUS
L lI 1
DENOTES PROPOSED SURFACE DRAiN/1GE
O UENOTES IRON MONUMENT SET ' SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT fOUND ('ROP05ED GARAGE FLOOR =924..& FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = qi 9,1 FEET
' (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 92~•'L- FEET.
I HERE6Y CERTIFY TO LES BORDSEN THAT THIS 15 A TRUE AND CORRECT
REPRESENTATION OF ll SURVEY OF THE I30UNDARIES OF:
Lot 1, Block 2, WEDGWOOD FIRST ADDITIOPJ, according to the recorded
plat thereof, Dakota County, Minnesota.
APlD OF THE LOCATION OF A PRDPOSED BUILDiNG. IT OOES NOT PURPORT, TO SHOI•! IPIPROVEMENTS
OR ENCROIICHMENTS,.IF ANY, THEREON. A5 SURVEYED BY ME, OR UNU[R'MY DIRECT SUPERVISION,
THIS 13TH DAY OF MAY , 1986.
SIGN[D: JAt4 R. HILL, INC.
r/P
BY: "
NAROLD C. PETERSON, LAND SURVEVOR
P11NNESOTA LICENSE PIO. 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
86644 170 /07 pianners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue Sou1h
FOLDER B)oomfngton,Mn. 55431 012-884-3029
c~C~t~ , Yl'1b .
~12
F~RSTFloort 19xZo'ZPA 2~8=110
Iyx Zo' Z~J Z,~+33~o+2go*llo - 91 Z,sq1Fr.
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i4x2o=ZgA
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R-lumEnRL s~nFC.~2 zat?Zta+iy+s+
~Z*zs+3a = 148 ~WCALFt
-roTAL- cWEM-Fr,
Rkm J'«ST A REfl SOo l,NLAI- Fr. Y, ~T1 = 231 sq., r-r,
qW*+ZA-r)W AZOUE.Gar*"- isZLJNLac.FT,x 1,33 = ZoZ,,,IGs9,ST
Fl,oo2 AP.£A +CcUunw cFrUct.V,kJnElLGnznGE.> = 1,248 St•FT:
WuNOOQ ARF-A = 268,11-%,f:r.
Dccpt RA*A = aa,zs sisr
CvuNN, RRE.A ~s6cowoFtaea~6z~~+c.~+~) = 1144H St.pr
L1./' ILL 1 w, htA CGao6s, ~iftGSS ~ppes WIN 3 ZXVO StF.
wRu. Ptv.F-A (aer) = Z;l99,~Ss~~;
wA« akEsa cFvzam„x) 1070 or-wftLLKWr = z49 ,96 ,;r
vAuL-L,Q, cLS Rg*-,a 6b,3x'4)XZ = 291 svr.
AREa X u = uPt
~
Foun~?~AT~da /t&%I~GQf??~E.. (wer} CR~uI.S~ncE, 37,2yx 0~4. = ~31Z
F~~~3~.m~t' 1~4,92x 51 = 8~i,1c~1
R~•nSa~T 231x,o3y = ~~SS`I
wRU,s (tiLT) zyqq,~sx 0a3 = 101,~184
WALLS C Ffm~m'tiu.l ZW~ A0 x. 09 Z = 22,9960
Win~naws ~F poc~2S ~DOOQS~ 3~o,'Tyf ~t~.w~"'oow5~ ~~~,oaz = 14? ,
TorRC. 370 ,S77
UXA R~o~r~~ _(~as~C2~,z5.~) = sZZ.l3~ 7 3~os~1 bl~
r•
. • ~f.2f~`+ ~SS CRC.CUCJ'~TIONS C1wT,Li~S
Fi2ST~'rleo~ ~JAULT 2qy s~,Frx .023 = 6.16Z
~~~vcJ CCmQ CEAuk-yo RkO kIV.11LkJ CUuNG 1y06y x42y = 2.5,53~0
~12.ST ~-CApfL VAULT FRAMJA-IG 29 ,y x.oZ% a23
SECUutZI W-t4Q CE.IC.I" fRND ICIItHWCEJUA.Y. fRRmjLG
l6(0•yx,o31 = 3296
T'OTA(„ 3Ce.y 19
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~
~ I~ST FLAOt2. CRRWL ~~RCE. 2~Sq,,~f' X~03
'PitSr FL602 CtLA" 5i:,PcF.(£eflm INC>> 2s x, oco = 1. ~8
FLooK A3ov(, ruc~uNa~R. G?~~~E. L~zs~x ,03~ _?Z,o~t~o
FCaoQ A6ovE. TvcJwNmp. GARAGL <Fiwwm) 33,Co x,oc-,s = 2, ? 84
-rarNL 2y, 3~n
UxA
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( aawm~n~~
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T y~
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R, m Sc~sT ~
a~eF?vn , ~O8
i usu~. 2y,o ,h'A4cx
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R?R FiIM . Il d~c°"'c'&'k'
8~~CoNC,3L~c, l.l~ _ w~NOO~u AREA
Rik CIlm ,(,8_ Il sq.,FT 9 ,4W 0= 111 ~62Z U maa<
Tovw.. R =
1. 3=o'x~=8,~ Gl~ss 2o,25x ,414 = 8~3~33 i
6ur406TW, AeovILGaaoe. 2, ~ o'X~-~" GC~ass y0so x,W
Cr.nw~E, 3, 3~ox(m' 8p ~o ?4.2.Sx ,`Z.~
~R ~~Lrn , il y~ Z=a X~=B" m~*~c. ~s.~x ,33 =~.12y
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d
1 f,%nc,%o IA:faVL. S,o w„joowbsornL t W,02
PHRFiIi^n 1'oTAl.V= 1411(03
ro„~~~t = (o,9(o
u=}; = ,o~ ~
• . ' -CT
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(FRRMi,UG~ ~
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ozai - V=~ - ,o
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C I TY O F E A G A fV PAYMF'Kr OF FEE AT TIhJE pg k
* nnPLIcATIorr mEs Wr C90rr= *
APPROVAL OF PEI2MT. *
APPLICATION FOR PERMIT
* INSPFX.TZON OF SEYM AbID/OI2 WA'IfR ,*f
. : ' * 71Smnr,T nm7pp]$ WII.L NCYl` BE- 5CAED- ~
SEWER AND/OR WATER CONNECTION ~ULID UNTII. PEPbUT APS BEEAi
~ APPROVED. *
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- ~~******:tx*~a~**x~*,tf*t***:srt**~r**:i
P ease Print
1) PROPERTY ADDRESS: LEGAL DESCRIPTION:~
/ ~ '
_ Lot Block Subdivi ion or Tax Parcel ID )
If' EXISTING STRL'CILTRE, DATE OF ORIGINAL B(!ZLDIDIG pERMIT ISSL'ANCE:
PRFSENP ZONING/PROPOSID L'SE; (Dbn Year
n COI1"1EItCIAL/RETAIL/OFFICE R-1 52NGLE FAMILY •
INIDL'STRIAI, ~ R-2 DDPLEX (7.Wp Units)
Q INSTITOTIONAL/GpVERI+A7ENp CD R-3 TOWNHODSE (Three + Units) ( Llnyts)
~ x-a aPAzTmE:Nr/conmorurncm t nnirs)
2) 'zc-s
xoDREss: > >
CITY. STATE, ZIP:
PHONE: ~
-0575
3) • u r 5•
r,
NANEOoGni7Fi M HANICAL For City Use
Pltm~bers License:
ADDRE55: 3Bpp gENNEuEC DRiVE, EAGAY, htiNN. 55122 ActiVe .
CITY. STATE, ZIP: Expixed
Not Tecorded
PHONE: MASTER LICEDISE# 001445M2
~al
4) ~a• • • i~- ~
NAME: LP_s d>tirclSe
_ ADDRESS: , .
CITY, STATE, ZIP:
PHONE:
'S) + ~ ~ • : n • w •
~ CONNECPION 16' CITY SEFVER CONNfXTION RU CITY WATF3t ~ pT(~ ;
6) • [J PLEASE $OLD APPROVED PERMIT FQR PSCK-UP BY ONE OF IiBWE
/ PI,EASE MAIL APPROVFD PERMIT TO 1, 2, & Q, ABCvE
(Circle one) mrlr7 ) ~
i-
o- 1>~ t : i M:r. . • U • I' ~ • J I:A• . D YJI• •,~i• a'• • ' Js
' 'tl0~ I 1 1 ' JI: • :1" • 1. ~ • i ~
FOR CITY USE ONLY PERMIT $ ISSDED ,
Pd w/Sldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE) .
$ ~~1_50 $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPGSIT - SE44'ER
$ $ ACCODNT DEPOSIT - WATER
$ $ WAC
$ 0o $ SAC
$ $ TRUNX WATER ASSESSMEDiT
$ $ TRL'NK SEWER ASSESSMEIVT
$ ~ • LATERAL BENEFIT/TRUPdK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ TOTAL
RECEIPT ~ RECEIPT ~
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGftT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHZN PUgLIC
Q ROADWAY" MUST BE ISSUED By THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
iCity -~O,«~
Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX 4 651-675-5694
Nevr Construction Reaui2ments RemodeVReoair Reauiremenb O(fice Use Onlv
3 registered site surveys showing sq. ft. of lot sq. ft of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N
(20°h maximian lot coverage allmved) t set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N,
2 copies of plan showing beam & window s¢es; paureA found design, etc. t sile survey for addNOns & decks Tree Pres Requi2d _ Y_ N
i sel of Energy CalculaGons Addifion - indicafe ff on-sde septic system On-sNe Septic System _ Y_ N
3 copies of Tree Preservatbn Plan'rf lat plafled afler 711193
Rim Joist Defal Dptlons seleclion sheet (bugdiigs wBh 3 or less units)
Date Construction Cost
Site Address !5! 22 4,4Tfx rU~o IV 4" UniUSte #
Description of Work (//,vy~ ~~~Jiyd- ',So4T /fASC,-OL
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner Telephone #
Contractar -seoW(,
Address 7 111)1,2t r ( 14R/~ City lao~c.~~ ~-ci
State Zip Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv ] Minnesota Rules 7672
Energy Code Category . Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted .
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ 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 Building Permit 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; 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 wil] be in accordance with the approved plan in the case of work which requires a review and
app of plans.
f r
~ lc~~ri<o~a
ApplicanYs Printed Name App icanYs Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116454
Date Issued:10/08/2013
Permit Category:ePermit
Site Address: 927 Waterford Dr E
Lot:001 Block: 002 Addition: Wedgewood 1st
PID:10-83550-02-010
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 .
Jim Mcevoy
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Patrick J Hurley
927 Waterford Dr E
Eagan MN 55123--198
Norwest Contractors
8469 Zanzibar Ln N
Maple Grove MN 55311
(612) 859-8517
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141939
Date Issued:04/06/2017
Permit Category:ePermit
Site Address: 927 Waterford Dr E
Lot:001 Block: 002 Addition: Wedgewood 1st
PID:10-83550-02-010
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 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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Patrick J Hurley
927 Waterford Dr E
Eagan MN 55123--198
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature