944 Waterford Dr W
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilat Knob Road I 7
P. O. Box 21199 PERMIT NO.: -
Eagan, MN 55121 DATE: 10-1:r- ~ 3
Zoninp: No. of Units: 1
Owner: ia;:i i ii1 t t,i e r C'
Mdross:
Stte Address: .144 iiar.erfard ??r 4 Ll,t „1 ;iedgwoad lst.
Plumber. "'vnr Plhi-
Meter No.: Connectian Charge: 7 Q,~,
Slze: Acoount Deposit:
Reader No.: Permit Fee: P~~
I 1orM !O COmpy wIN1 !hN L'i!r OF Foya11 $UrChOr'gB:
Oedimnam Misc. CFwryes:
Totul:
BY Dnte Poid:
Oate of Insp.: Irap.:
~ CITY OF EAGAN SEINER SERVICE PERMIT
f 3830 Pilot Knob Raad
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: 1a- I '_r -1
~ Zoninq: p I No. of Units: 1
~i Owner. ' ~ ~ l l l =iut t.-1 "2° C' o :i's t
4
t Address:
~ 5ite Address: "w 4 'r aterfor~: i 1"~ ~L1 -rcl:ir uin ~~t 1 er
Plumber: StaT Plbq
{ 10-~-33 38955 100.00 pa
~
1 pru to oon~phr wit6 Hie City of I:asow Cannectlon Charpe: az_5soo k.
Ordinaness. Aooourit Deposit: -
Permit Fae: I pcl
~ Surchorge: . S(T s-)d
~ gy Mist. CFwrpes: -
i Date of liup.: Toml:
J Insp.: Date Pab:
~
CITY OF EAGAN Remarks
Addition iVEDGW00D 1ST ADDN. Lot 10 Rik 1 Parcel 10-83550-100-01
Owner street 944 Waterford Drive West State EAGAN NIIV 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1981 58.69 2.93 20
STREET RESTOR.
GFiADING 1981 186.48 12.43 15 136.76 A 13431 1-11-
of
Sewer Lateral g7j 1981 313.16 20.88 15 229.68
SANSEW TRUNK 19$1 19$.50 13.23 15 8 ot 11
SEWERLATERAL 1981 197.54 9.87 20 l-qft-06 of
Sewer Lateral 6 1982 133.17 8.87 15 06,56 of 91
WATERMAIN
WATERLATERAL Trk 1981 262.18 17.48 IS
WATEF AREA 19$1 198.50 13.23 1$ u n
*Water Lateral 1982 98.57 6.57 15 78.96 +f
STORM SEW TRK
STORM SEW LAT
*Powerline Relocatio 1982 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 450.00 of of
6UILDING PER.
tl 11
SAC 575--00
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
t o t. 47 4
SITE ADDRESS: f„, . APPLICANT:
, iFRitlRil i1Pt W
PERMIT SUBTYPE: TYPE OF WORK:
t, ; ,,i 14ir,
INSPECTION . DA
~ . . . _ . , : : . . ' , . ~
~ J
-
Parmit No. ParmR Holder Qete Telephone N
ELECTRIC
PLUMBING
HVAC
Inspectlon Dete Insp. Commenta
FOOTINGS
FOUND
FRAMING
AOOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATINf3
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST I
FINAL PLBG I
I
FINAL HTG I
ORSAT
TEST
BLDG FINAL
BSMT R.I. I
I
BSMT FINAL
DECK FTG
I
DECK FINAL I
Receipt - MECHANICAL PERMIT Permit No.
" i CITY OF EAGAN _
Fee
fill in numbered spaces S/C -
Type or Print /egibly
Tot.
1. Date ' 2. installation Cost 3. Job Address Lot Blk. - I Tract
4. Owner •
5. Contractor > 'r - Phone
6. Address
:
7. City State :1'..N. Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add O Alter O Repair ?
10. Describe 4 . _ Fuel Type
11. No. Eauipment 8TU - M. Ea. No. EQUiament CFM
Forced Air Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes goveming this type of work.
Signed : for
Rooan Final
Inspections: Date lnsp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
1
Raceipt - PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee "
Frll rn numbered spaces S/C Type or Print legibly -
Tot. 1. Date 2. Installation Cost - -
n~ •
/
3. Job Address ~77
~k;'~4M~~ 1• Blk. ~ Tract
4. Owner
5. Contractor~ ffil y L~j uw 'k ~Phone --:'7-: - -
6. Address ~7
,
7. City State Zip---'•' ~
8. Building Type: Residential PT Commercial 0 Institutional O
9. Work Description: New ~ Add O Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
J
Water Closet Cesspool/Drainfield
_L Bath tubs Septic Tank
Lavatory Softner
~ Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
/ Floor Drains
Drinking Ftn.
Slop Sink
J Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed ' • , ` for
T .
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
crrY oF E?aAN 8~3f
=795 Pilat Kwob Road Ea9an, MN SSls2
, PHONEs I54.8100
BUILDING PERMIT Reuipt
Te b~ ~wd fer Sr DTelr'.•/.^.i~.R Est.Value $69,000 Dote octnu~.r 19 `~3
Stte Addreu ~ a er or r ve es
1 T3edpwood lst Erect Occuponcy
Lat Blotk Sec/Sub. Alter ? Zoning
pa~l # 10-•8a550-100- 01 Repoir ? Fire Zone i1
m. ut ner ans ruc on Enlorpe p Type of Consr.
W Name ~ve Q # Storie~
z M 1029 Wedgwood La. So.
Address Demolish ? Length
~ City Lagan 55123 Phone 452-3088 Grode p Depth -47- Sq. Ft.
°C Nome tei ApProvals FNs
0
o~ Address Assessment Permit r
u~ Cit Phone Water &$ew. Surcharfle F.5J
Police Plan check~
~ W Name Firo SAC
Addresa Enp. Water Connv 5 IDII~
~
Ct phone Planner Water Mete~
Councfl Rood Urnt
I hereby ucknowledge that I have road this opplicotion ond state thot Bldp. Off.
the inlormution is correct ond ogree to comply wlrh oll opplicable ^PC Totul
State of Minnesote Stotutes ond City of Eagan Ordinances.
Sl9noture of PermitFee , , . ` . ion
A Building Permif is iuued to: - ~ on the expreas condition Ihm
oN work shall be done in ocwrdarxe with all applicable Stote ot-Aktnrtesofo Stetutes and City of Ea9an OrCinances.
8uildinQ OfflNol ' ~
Psrmit No. Permit Holdar Misc. Permit No. Holder
Plumbinp 3qO( H.V.A.C. 14 I~jS aL1g it - i q -
w.il
Water
Disp.
Sawer
Electric p~ 3) (eq A)
IMpsction Date Insp. Other
Footinys ~-Z}$ D
Foundetion
Framing
Rou9h Plbg.
Rouyh HVAC ./Sp3 Gc/
Inwlation /s
Final Plby.
Final HVAC
Final /$l/ ~ •
water Dascribe Locstion: ,
Wall
Sswer .
Pr. Disp.
This request void Je37•S6
16 nwnths trom
w o 8 3 6 9 w o-01 C/a (D yo
Fequest Date IF ire No. RouAh"in suection
Pepuired? []Reatly Noll Noli~y Insuec-
~ Yas ?NO or When Reaey
Ucensed Electncal Con[rac[or I hereby request inspection of above
? Owner e lectrica I work insta I IeA et
Sc~eet Address, Box or Route No. Cfty
W , -
rc ' ?
ecLO TownshiV Name or No. Ranga No. County
OccupantlPqlNTI ~ hone No.
4
Powef $upplier Addre9s
lectrical Convactor (Company Name) Contrnctor's License No.
~
-Czw y ~i L 0
Mai ing AAJress (ConVacmr or Owner Makinp Installationl '
/il
~ f/r~7/i f4
Authorized Signature (Convacmr Owner Making Installation) Phone Number
y6 3-3srs7
MINNESOTp STATE BOARD OF ELECTNICITY THIS INSPECTION NEQUEST WILL NOT
Griggs-MiAway Bldg. - Hoom N-191 gE ACCEPTED BV THE STqTE BOAND
1821 University Ave., St. Paul, MN 55104 UNLESS PflOPER INSPECTION FEE IS
oe,..,e IaiII 2A7_1111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
w.
, See inetruclians for comDletin9lhis form on beck of yellow copµ Be1D Ell by This Request / 6 r o
a AAd FeD. Typn of 6uilCfng Appliances Wiretl Equinment Wiretl
Home Range Temporery Service
Duplax Water Heater Lightiny Fixtures
Apt. Building Dryer Elec[ric Heatin
Commercial Bldg. Furnace Silo Unloeder '
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other peci y OtherlSner.if,l
1,7 pedfy t er Othpr
ampute /nspectron Fee Below
p Fee ServiceEntrancaSixe d 'Fee Faxders/Suhfaetlers N Fee Circuite
0 to P0 qm s 0 to 30 qm s 4 0 to 30 Am s
Above 200 qinps, 31 to 100 Amps 31 to 100 Am s
Swimmin Pool Above 700_Am s Above 700_/amps
Trenstormer5 Irrigation Booms Partial-'Olher Fee
Perrvarks Signs Special Inspection 5
ro
38
fiou0h-in Date
al
eclaq henaby
y i
hat [he abova
Final ection has been
-4add
o.
Thb fBUUBef vOi018 mOnths Imm
OFFlCE USE ONLY This requestvoid 78 monlhs from wlidafion da' ted in this box.
~`~z ~ ~
G 4 7 L 7 5 3 4PLEASE PRINT OR TVPE
8equest D.I. RoogMn inspection rryuiredd ? No InspecAOn qher Thon RougMn_ ? Ready Now Will Call
a-9~- ~1'ou mus~ mll de inap tor whenreo dy) Dam keady:
I, ?slicensed confmdorXowner hereby request inspection of the above elechiml work ai:
lob Addrese (Street, 9ov, or RoutepN~o.) n Ciy Zip Cade
p1~f'y' ~.~'£r Kl Ur ltJ C 0.. 0../~ ss~a3"~
Seclion No. Township Name or No. Nange No. Fire No. Cwny
Orcupnm Pho,re` N(o~. ^1
Y.n i- L7OY1 i Q.• TJ.~ ^0 0 i'
Power Supplier qdd.u
Elechiml Canhacror (Compony Nomel Connactm License No. NweM Lic. No. (PIon1 Elecl. Only)
Nwiling Acfdrms lConrvocror or Owner Parforming Inswllmion)
Authorized Signamre (Connacmr or Owna Perlamirg Insmllotionl Plwmre No.
s' -.o071p
EBOOOOIA-11 8 96 nq7E 13OAl10 COPY - SEE INS7I1UC710N3 ON BACK OF YELLOW COPY '
REQUEST FOR ELECTRICAL INSPECTION 714
471T _~53 W 8'21 Un~ rstdy AwrFim. S-28,ISt. Paul, MN 55104
~ j~7 Phone (672) 642-0800
IHome Duplex Apt Bldg. O~her. New Addn
Commarcial Induslrial Ferm Remod Re air
Air Cond. Ht . E uip. Water Hh. Laad Mgmt. pther.
Dryer Range Elec. Heat Temp. Service e
"X" obove fhe work covered by this request. Enter remarks in ihis space and on the bock of fhe white copy only.
Calwlak Inspec6on Fee - This Inspeclion Request will nol be occepMd without fhe correcf /ee:
Olher Fee # Servim Entrance Size Fee A Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg./Tmffic Sig. Above 20Am s Above 100_Amps
TransFormar/Genemtor INSPECTOH'S USE ONLY / TOTAL
Sign/Oudine Lig. Xfmr. I C` ~~s~ I q0 , fi
Alarm/Remote Control lQe
Swimming Pool
I hereb certi ihm inspeued the elechnml inatollotion dascri6ed herein on rhe darez smied
Irrigation Boom Ro~Mn Dam
Special Inspeclion
Invesfigalive Fee Fin oare 'lo f5 e
7HIS INSTALLA710N MAY 8E ORDERED ISCONNECTED IF NOT COMPLETE~ WITHIN 18 M~N7H5.
« CITY OF EAGAN N~ 8531
' 7795 Ptlef Knob Reod Eegan, MN 55122
PHONEt 430.8100
BUILDING PERMIT Receipf #
Te bs wed for SF HBG/GAR Est,yalm $69,000 DO1e October 3 19 83
Sire Address 944 Waterford Drive West R-3
Erecr Occuponq
Lot 10 elxk 1 Sec/Sub. WedQwood lst Airer ? Zoninq R-1
Parcel # 10-82550-100-01 Repoir ? Fire Zone NA
Wm. Huttner Construction Eniar9e ? Type of Const. V
W Nome Move ? # Stories
; Aadreu M 1029 WedQwood La. So. Demoush ? Length 58
° p EaQan 55123 pha„e 452-3088 Gmde ? Depth 40 Sq. Ft.-
o Nams pwner Approrals Fees
v~ Address Assessment Permit 340.00
~ Cit Phone Woter 8$ew. Surcharge 34.50
Palice Plan check 170.00
SAC 525.00
Fw NO"1° Fire
Addreu Enp. WaterConn450 -00
iW CI Phone Planner WaterMeter 60.00
Cauncil Rood Unit 250.00
I hereby ocknowledge thot I hove reod this application ond stote that Bldg. Off.
fhe inlormation is correcf and ogree to wmply with all oOPliccble APC Totol $1829.50
State of Minnesoto $tatutes and City of Eagon Ordinances.
Sipnoture oi Permittee
m. uttner Construc n
A Buildirg Cermit Is issued to: on tha expresf condition thnt
all work shall be done in accordante with oll oppl' ble~S u e and Ciry of Eoyan Ordirances.
Bufidinp Official I
l0 VO IUG OF EAGAN Include 2 sets of plans,
d wnao~
f 1 site plan w/elevations &
BUILDING PII2MIT APPLICATION 1 set of ener.cjy cal.culations.
7b Be Used For y^e Iur~r~ ~V -aluation Date ~-U -9-3
Site Pddress: Z),- ZCJ~~"~- M OFFICE USE ONLY
rAt /0 Elock sec./s,ab. ~S~ter Il\ o~~ ~.•3
Parcel 10-$3SS6 - !eD - o ~
Repair Fire Zone
Ormer- Enlarge _ Type of Const.
Nbve # Stories
Address: Demclish Front ft.
Grade Depth r/O ft.
City/Zip Code•
Phone # : APPROUALS E'EF'S
Contractor: (-61X 1 Assessments Pezmi.t
Address: qu/0 'tl, Water/Sewer Surcharge
Police Plan Check
city/zip coae: Ezya,t !~J„ S S/LL Fire szac ,sa s~
Phone "TS~En9• Water Conn.
Planner Water Meter
Arch./Eng.: Council Pled Unit ~?,Sd
Bldg. Off. -
Fddress: APC
City/Zip Code:
Phone , TOTAL
SURV L.. I OR"J CEII 1I1 BCATL.:. ~{/t'K ~a/TM2T Cr,rf~ .
~
S1ENNA CORPORA7A(JbV
~IWATERFORD
o D R. W.
~
'
M ~
n=ia*ze' ab" o ' M -
~~1 ~ zs 2~° ' N89 5700 W ~61:55
o ; I
Q.,
sl`~ - ~
~ M I 20 30
~ -tu 0) I
~ w
r1' ~ yi8 0 ~
,L•
z~ o ;I-
M ~-~,.,ce G..,~~ zs• wa 0: o
~ 2 o , I
zz' Naw
,Z
wp. 9/S, 0 S b'' ' W M ~
0 T 10 j° `J I
Zm ~ ~
O
N -~'-DRAINAGE 8 UTILITY
JI EASEMENT PER PLAT ~ I N I
5/ 1 ~20 30
L--------------L-~
~
9eo,0 118.75 S8905510711 W 9ic.o
O DENOTES ZRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DEt30TE5 IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = y/k'° FEET
? DENOTES WOOD STAKE PROPOSED LOWEST FLOOR = 9/0•O FEET
%000.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION= 91--•41 FEET
(000.0)DENOTESPROPOSED ELEVATZON
DENOTES DIRECTION OF SURFACE DRAINAGE
S hereby certify that this is a true and correct representation of a
survey of the boundaries of:
. Lot 10, Block i, WEDGWOOD FIRST ADDITION, according to
the recorded plat thereof, Dakota County, Minnesota.
And of the location of all buildings, if any, thereon, and all visible
encroachments, if any, from or on said land. As surveyed by me this $th
day of February, 1983.
APPROVED FOR SIENNA SIGNED: SAME~ HILL, INC..,/
CORPORATION .
C ~
BY: SY:
ROBERTS ARCHITECTS Ha old C. Peterson, Land Surveyor
DATED TNIS OAY OP Minn. Reg. No. 12294
198 -
FAOJECT NO. BOOK / PAGE JAMES R. HILL, INC.
81178 pianners / Engineers / Surveyors
FILE NO.
8200 Humboldt Avenue South
FOLDER E3bornlneton,Ma 55431 812-804-3029
PERMI'I'
CIlrY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: Bu t Lo r N e
Eagan, Minnesota 55122-1897 Permit Number: 030130
(612) 681-4675 Date Issued: 0 G/ 02/ 9 7
SITE ADDRESS:
944 WATERFORD DR WLOT: 1.0 BLOCK: 1
WEDGWOOD LS7
P.r.N.: 10-83550-100-01
DESCRIPTION:
(eeoRoam)
d,!tc e r m i t T.Yp e s F (m ISC
"{k,-k Type flLTERATION A34 ALT. RESIDENTIAL
+r,
o~ p
A" ^ ita
P~'6'L.
1
yv. es:»"-
F~ m
€
A:m
REMARKS:
FEE SUMMARY:
vaLun7znN $2,000
Base Fee $62.25
SUrcharye o1>08
7ota1 Fee $63.25
CONTRACTOR: OWNER: - Rpplicant -
, 5kNST t3RUCE
944 WATERFORD DR W
EAGflN hIN 55123
' (612)452-0076
, - . .
° . . : ; i.' 1 B ' . x .r . . , .
ita°~~ t1A~~ ~G~~
Z hor`eby, q'cfc~iit~~tl~dqk: ~".ead '~~O~r~pan ei
a,nfarm# 4zcarn,.i;s +00~r1;~~ ~-ate of Mn.
k .
, <x. tc - • •
~tffltcI.r_~-'S I_ ° , . , _ J
~ APPLICA~ ITE~TUR I UED 8V. S~GNATURE ~
997 BUILDING PERMITAPPLICATION (RESIDENTIAL)
CI TY OF EAGAN
30130 3830 PILOT KNOB RD - 55122
681-4675
Naw Construclian Reauirements RemodeUReneir ReauiremeMs
? 3 registered si[e surveYg ? 2 copies of plan
• 2 coples of pians (indude beam & window sizes; poured fid. design; etc.) ? 2 ske surveys (exteAor addkions 8 tleeks)
? 7 enargy celwlations ?-1 energy calaladons iw heated additions
? 8 copies of tree praservatlon plan M lot plalted efter 7H/93
requlred: _Yes _ No '
DATE: u 2--711067 CONSTRUCTION COST: N#~a~ es{•
DESCRIPTION OF WORK: .ACV, 0s1\ d G p~ 'd'p ~t~~ lo a?~~ad M
STREEfADDRESS: q CctqS•~ M?J $S~t 3
LOT BLOCK SUBD./P.I.D.
PROPERTY Name: ~'MLto sara~k- Phone#: 4S2 -0076
OWNER
StreetAddress:9yWa{,47d . ~
City: ffiaaGn State: ^v\N Zip:
CONTRACTOR Company: Phone
Street Address: License
City: State: Zip:
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction onty): . Penalty applies when address change
and lot change are requested once pertnit is issued.
1 hereby acknowiedge that I have read fhis application and state that the iMortnation is correct and agree to comply with all applicable
Siate of Minnesota Statutes and City of Eagan Ordinances.
~v. Signature of Applicant:
OFFICE USE ONLY RECEIVED
Certificates oT Survey Received _ Yes _ No IMAY 2 7 1997
Tree Preservation Plan Received _ Yes _ No _ Not Required $y:
PERMIT# :J -7 I 0 ~ RECEIPTDATE:
2002 USIDENTIAL PLUM$INfi PEiiMIT APPLICATION
crrY og EAGarr
3$30 PILOT KA08 RU
EAHAP, U1V b51 EE
651-681-4875
Please complete for: single famiiy dweNings, townhomes and condos when permits are required for each unit,
backflow preventer for irzigation system
SITE ADDRESS: 94y Woc'tC„r-~- D}r W'
OWNERNAME:: OS ~JaYlAY1GIY-I TELEPHONE#:(CSI_
(AREA COOE)
INSTALLER NAME: TELEPHONE `7C.P3 -7~"(p`4(d
STREET ADDRESS: GAVIC & SONS PLUMBING (AREA CODE)
4172
CAON RAPIDS, MN 55448
CITY: STATE: ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONlALTERATION TO EXISTING DWELLING UNIT, IPICLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners aod water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
Replacement/additional: _ water softener water heater $ 15.00
State Surcharge 1~ p;~.~~t 2• 2 n'Z .50
`
TOt01 Ig•,~_r ~
I herebyacknowledge that I have read this application, state that the information is correc[, and agree to complywith all applicable Cityof Eagan ordinances. It
is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no FF~ y daused by the Ciry during its normal
operaEonal and maintenance activi6es to the tacilities constructed under Ihis perrnil within Ciof-wayleas~q ent.
tA~ t ~1&Vl C-, _
SIGNATURE OF PERMITTEE 1102
Use BLUE or BLACK Ink
For Office Use 1
j Permit Olt
j
Vl Y of Eap I Permit Fee: 1
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 1 Staff: _
---------..1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: y~ Unit
Name: ~1~2•ai •.1 RASIVIVSS Z Phone: 5517' Z-1 I
Resident/ C JJ
Owner Address / City / Zip: ` W~T~' t~'`'~ u~J
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost:
Multi-Family Building: (Yes /No
Company: TSt~&T*A~ Contact: 34&2APQ1
Contractor Address: Cie) 1 ovo., S'f' City: 11~-
Stater"' Zip: SSb~✓'3 Phone: 19D - MS- Oss
i, License w ,J A XI O Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA 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:
1 NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to j
conclude that they are trade secrets.
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.oro
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minneso S to Buildin Code must be completed within 180
days of permit issuance.
Applicant's Printed Name App ant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type: Mechanical
Permit Number: EA135511
Date Issued: 03/21/2016
of ER 1n Permit Category: ePermit
Site Address: 944 Waterford Dr W
Lot: 010 Block: 001 Addition: Wedgewood 1st
PID: 10-83550-01-100
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector,Mark Anderson at(952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota State
Fee Summary: ME-Permit Fee(Replacements) $59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Lofgren Heating&Air Brian Rasmussen
5708 Upper 147th St W 944 Waterford Dr W
Suite 102 Eagan MN 55123
Apple Valley MN 55124
952 431-5811
1 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.
Applicant/Permitee:Signature Issued By:Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147359
Date Issued:01/02/2018
Permit Category:ePermit
Site Address: 944 Waterford Dr W
Lot:010 Block: 001 Addition: Wedgewood 1st
PID:10-83550-01-100
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Brian Rasmussen
944 Waterford Dr W
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature