950 Waterford Dr W
iTY OF EAGAN WqTO SERVICE PERMIT
3830 PYot Knob Rosd
P. Q BOx 21199 PERMIT NO.:
EMw. ~i 5 127
~ DATE:
2andoV' ' No, of Units:
Owner. ,.ons ruc on
~ Sia md?ess: a er or W;;~3'` e g•,~,~~
Plunbsr n o u.. ns` t3eatiYt-~ ~ r N°- K _ ~ C~nection
Reoder tVo.. J71°°4urf C°~}tt' .
I Osm to ~olp wph !M Clly ef aN• Su?cho
OrakwomL . ~ . ;
Mlsc. Choroft: P ~ 9
~ Totol: P meter I
By -U&-Ae) DotO Paid: ?
Date of Insp.: a Irap.; .
CITY OF EAGAN SEWU SBrVXE PERrt
3830 Pi:at Knob Road
P. O. Bax 211A9 PERMIT NO.:
E." %n, MN 55121 DATE: _ ' .
Zc. J: IVo. af Units:
OwrNr.
/lddroas:
Sste Md.ess: 9 50 'Waterford i`r -.,i.:
, Plumber. ,t
n.
~ ~ ~ °f y!~¦ Con?NCtion Choroe;
rmam M.cant Depodt; ~ c .
j Pam+it FN: " . ,
I SurcFwrpe:
' By Misc. Chorpn:
Dah of Imp.: Total:
, InW: Dote Pold:
I
r
, CITY OF EAGAN ' r, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~
PHONE: 454-8100
BUILDING PERMIT Reaipr #
TO M owd ier Est. Vclue Dote 19
Site Addreu ' Erect ? Occupancy
Lot Block Sec/Sub. ' E? Remodel ? Zoning
Parcel No. Repair ? Type of Const.
Addition ? No. Stories
Move ? Lengih
~ Name Demolish ? Depth
~ Address InL Impr. ? Sq. Ft.
City Phone Install 0
Name ApProrob Fees
~
Assessment Permit
Address
~ City Phone Water S Sew. Surcharye Police Plan Review
oe ~ j
~Z Name Ftro SAC
U13 Address Enp. WBter Conn J
~ W City Phone K Plonner Water Meter ~
Council Road Unit ~
I hereby acknowtedfle thot I have reod this npplicofion ond stofe that Bidg. Off. Tc PL
the iniormofion is oorrect and ogree to comply with oll oppliccble AP~
State of Minnesoto Stotutes and City of Eogon Ordinonces. Parks
Var. Date Copies
Siynoturc of Pertnittee ~
Total
h Bullding Pe?mit is issued to: on ths axpress condition thoi
oll work sholl be dorw in occordonce with all opplitoble State of Minnesoto Sfatutes and Clry of Eoqan Ordirwnces.
Buildinp Officiol
PKmit No. Pwmit HoFder Daa Telephone ~
PlumbBq
H.VA.C. ( ; . I. . ~ - ` ~ I ~ . : - •
Eloatric
Softow
IntWction Date Insp. Other
Footings I ~
FooUngell
Foundatlon
Framing
RooNng
Rough Plby. ".27-I,~ W C.-e .
Rough Htg. Aryu " Y N c ll1AIr7Z ~f 1L7LL~.4'E /t~
Inaul. /217-91
Flroploce
Final Mtg. tv.
Flnal Plby. K,d A' A
Finsl ' I'LIX 4
C~rt/Oce. L~-~ ~5'- i
Wstsr Desc?iba Loeation:
WNI
Sswor
I Pr. Dl8p.
RepiPt MECHANICAL PERMIT . Pennit No. '
CITY OF EA(iAN
FM
' fid in numbered spscas S/C
Type or Prfnr /epibly
Tot
1. Dsu 2. Installation Cost r.
3. Job Addrep Lot Blk. Tract
4. Owner _
5. Contrsctor • _ ' Phone
8. Addrbn
7. City State 2ip ,~~r• ;
-i
8. Buildin9 Type: Residential El Commercial ? In:titutional O ~
9. Work Description: New 12 Add O Alter ? Repair ? ;
10. Describe=' Fuel Type -n ~
{
1
11. No• Enuinment BTU - M. Ea. No. Equipment CFM 1
' Forced Air Air Handling: 1
Mfg.
Boilers Mech. Exhaust
Mfg. .
Unit Heater
Mfg. Other
~ Air Cond.
~ Mfg.
~ Gas, Piping Outlets I
~
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. I
Signed : for
Rough F inal I
Inspections: Date Insp. Date Insp. ~
This is your permit when numbered and approved. II
Approved CITY OF EAGAN 454-8100 'i
Receipt PLUMBING PERMIT Parmit No. '
CITY OF EAGAN
Fee
Pill in numbered spaces S/C •
l Type or Print /egib/y Tot. . ,
f 1. Date 2. Installation Cost
r
3. Job Address Lot Blk. Tract
4. Owner ~...i• ~ ~ti~f
Contrector Phone
--r~-
6. Address
7. City State Zip
8. Building Type: Residential 0 Commercial O Institutional O 9. Work Description: New LD Add ? Alter ? Repair ?
10. Describe '
j
11. No. Fixtures No. Fixtures ,
Water Closet Cesspool/Drainfield 1
Bath tubs Septic Tank
lavatory Softner
~ _14 Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that ihe above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rouqh F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
. ~q... . . _ . . . . a
" . . . . . r,i'_." _ - . _
CITY OF EAGAN As 17727
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ~r
BUILDtNG PERMIT Receipt # 11-~
To be used tor t• DECK Est. Value ;1,000 Date A$R 18 1990
Site Addrg~ '9~ WATERFORD DR W
I iIEDGEWOOD 1S? OFFICE USE ONLY
Lot -1` Block Sec/Sub.
Parcel No. occuPancy - FEes
Zoning
JONN M KEP$IOS - 2 S~00
W Name (Actual) Const _ Bldg. Permil
~ Address 9~ wATERP'ORD DR W (Allowable) - Surcharge
City EAGAN Phone 927-8861 x23 k of Stones
Length 4 Plan Review
Zo Name S~ oePin ~
sac. cicy
OU~ Address S.F. Total - SAC, MCWCC
~ Clty Phone S.F. footprinis -
On Site Sewage _ Nlater Conn
~Q
oName On Site Well
t= - Water Mater
~a Address MwCC Syster~ _
<W Cit Phone c;1ywater _ aool. ~Rosic
Y
PRV Required - S/W Permit
I hereby acknowlege that I have read this appiication and staie that the Booster Pump - SM/ Surcharge
information is correct and-agree to compl with all applicable State of
Minnesota Statules and City o'EaqAn Or ; ances. Treatment PI
Signature of Permitee APPHOVALS Road Unit
A Building Permit is issued to: N HMMjOs Planne? - park Ded.
on the express condition that all work shall be done in accordance with all Ccxj^cil i•oo
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg. pff. _ Copies
Variance - TOTAL 26~ ~
Building Official ~
Permit Mo. Permit Holder Date Telephone #
WATER '
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Mspection Date Insp. Comments
Foolings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
faeplace
FuW Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr.lPlan
Bk1g. Final
Deck Ftg. ~ ~F, ~!°S
Deck Final
Well
Pr. Disp.
. vt EAGAN Remarks
Addition VJEDGWOOD 1ST ADDN Lot 13 Rlk 1 Parcel 10-83550-130-01
owner street 950 Waterford Drive WEst State EAGAN NIN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1981 58.69 2.93 20
STREET RESTOR.
GRADING 591 1981 186.48 12.43 15 136.76 A 13432 1-11-84
Sewer lateral 51-7 1981 313.16 . 20.88 15
SAN SEW TRUNK 7 1981 198.50 13.23 15 145.58
SEWERLATERAL 1981 197.$4 9.87 20 1 158.06
Sewer Lateral 1982 133.17 8.87 15
106,56
WATERMAIN
WATERLATERAL Trk 7$ 1981 262.18 17.48 15
1.11-94
WATER AREA 1981 198.50 13.23 15 145-59 of 11
*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.
500.00
9UILDING PER.
SAC 525.00
PARK
This reQUes1 wid
18 mon[hs fmm
B38q67 L tJx:La~~0A ( Sv
n
HeQUest Oate Fire No, ibueh-in-Inspectio ~
11epu retl7 ReaAV N. UWill NolifY. Insoec-
/ f ' Yes ?NO Wr When qeady
~ Licensed Eleovical Conlracmr I hmaby request inapection oT abovc
Owner elaelricel wwk imtslled ab
SVeet Address, Box or Route No. CiN
`~U Cc,a~~~~d ~f`v~I.u~57- ~ ~g•4'
ecbon o. Township Name or No. Renge No. Coumy
• z tE'~ J~4
Occeu ant (PqINT) Le Nc.
e .
~o V
Power u/O'DlLier Adtlress
¢G~L'/ ~ IPf FtC Qr.v~ /Nf'~t12~ i ry~
Electrical Con[racror ICOmpeny Namel Cmvactur"s Gcense No.
o~ ~i .u 5 l~c ~ ' N e /F - °
Mailine AdJress (COntractor or Owrer Making Imraflalion)
Authorizetl Sienawre ICOntractor Owner Makine Ins~allationl Phore Navnber
SSy 2 3 Y6
YI ESOTp STpTE BpARD OF ELECTNICITY THIS INSPECTION NEQUEST WILL NOT
Griggs-Midwey Bldg. - Room N-181 BE ACGEPlEO eY THE STAiE BOARD
1821 UnivereitV A~e., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE LS
PM~.» 16121 29]21/1 ~ ENCL0.5ED.
REQUEST FOR ELECTRICAL INSPECTION EB'°°°°i°°
~ See instrwlions tor cosipleting t1 fs farm m back of yallow copv.
638967 -"X'" Be/ow Work~Cdvered by This Request
Adtl Rep. Type M BuiltlinB pPPliancea OireA EquiPmen[ WirM
Home Range Temporary $ervice
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer ElectNc Heatin
Commercial Bldg. Fumace Silo Unloader
Industriai Bidg. Air Corditioner Bulk Milk Tunk
Farm lhE~ tSWi,,fV) otncr Isocr;fyl
t n. pea:ity Other Oihe,
ompute lnspectron Fee Below R Fae ServiceEMoeMeSixe p Fea Faeders/Subleeders 0 Fee Grcwts
GG 0 to 200 qm s 0 to 30 Anys 7516 0 19 30 Am
Above 200 qmp s 37 ro 100 Artqs /er 4! 31 to 100 q
Swinvning Pool Above 100Above 700_Amps
Transiormers Irrigation Booms }ti Partial.'Other Fee
Signs Special Inspec!ion 5 '1 69 ~ ~
Be~r4s ~ t T6TA FE~ ~
m
Rouph-in ~ ~~te
Electtical
lj/ lesaa.a.. nereer
eeni+r cnet tne enuve
Final C OA~ pection hes been
aside.
- ~ -
Thbmpues[vaWlBmmlirsfro.
CITY OF EAGAN N°_ 110 51
3630 Pilot Knob Road, P.O. Boz 21-799, Eagan, MN 55121
BUILDING PERMIT PHONE:4548100 Receipt * G?~~.~-7
Te M urod fer SF DWG/GAR Est. Volue $120. 000 Dafe SEPTEMBER 30 19 85
SiteAddresa ' 950 WATERFORD DR W Erect 10 Occupancy R3
Lot1.3 Black 1 SeclSub. WEDGWOOD 1ST Remodel ? Zoning Rl
Parcel No. Repelr ? Type of Const. V
Addition ? No. Stories
KEPRIOS KONSTRUCTION Move ? Lengtn 56
W Name Demoiish ? Depth 42
~ Address 3025 HARBOR LN lntlmpr. ?
PLYMOUTH 559-3779 ~•Ft.
City Phone Inatall ?
~i Name SAME AVprora4 Faes
Address Assessment Permit 483-00
V~ City Phone Water 8 Sew. Surcharge 60.00
Police WanReview 241.50
~W Neme JOHN KINSELL Fire SAC 525.00
q~r~y 12131 62ND AVE N Erq. WaterConn. 500.00
~W City MAPLE GRV phone 559-0477 plonner WaterMeter 63.00
Council Road Unit 280.00
1 hereby otknowladge iFwf I have read this applicotion ond stote ihat gIdg. Off. 7 2 7/8 S Tr. PL 132.00
fhe intormofion is correct andgreyy fo comply with all applicable APC Stote of Minrxsota $tatutes f~pf Xa o inonces. Pe~
~ Var. Date Co ies
SlBnmum of PermiMae • p
KEPRIO NSTRU TION rotal $2 ..~R4 50
A Bullding Perml~ is iuued to: on the ezpresa conditlon thot
all work shall be dorre in acmrdance with I appliwbl St of Minnewta Statutes ond Ciry of Eagan Ordinances.
Buildlnp Offidol
CITY OF EAGAN N0 17727 -
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
1ll 1
PHONE: 454-8100 Receipt # N ~ `.2~JV
BUILDING PERMIT ^
To be used (or DECK Est. Value $1, 000 Date APR 18 ,19-90-
Site Address 950 WATERFORD DR W
1 OFFICE USE ONLY
Lot Block 1 SeGSubWEDGEWOOD 15T
.
P8fC81 N0. Occapancy _ FEES
Zoninq -
W N2me JOtIN M KEPRIOS (ACNaI) Const - Bldg. Permit 25.00
o AddresS 950 WATERFOR? DR W (Aliowable) - Sutcharge . SO
City EAGAN Phone 997_5861 x2 7 # ot storia:
Length 39x:14 Plan Review
t~ Name SANE Depth 7x13 snc,ciry
Address S.P.ToWI - SAC,MCWCC
~ Clly Phone S.F. Foolprints -
On Site Sewage _ Water Conn
~w Name On Site Well - Water Meler
33 AddfBSS MWCCSystem -
a W City Phone Ciry Water _ AccL Deposil
PRVAequired - SIWPermil
1 hereby acknowleqe that I have reatl Ihis applica[ion and s[ate that ihe Boosrer Pump - SiW Surcharge
intormation is corcect a rea Io wmply with all applicahle State ol
Minnesota S[atutes a City E Or, mances. Treatmem PI
Signature of Permitee APPpOVALs Road Unil
A Building Permit is issued to: OHN M KEpRIOS Pianner - Park Ded.
on [he ezpress condition Ihat all work shall be done in accordance with all Council 1.00
applicable Slate of Minnesola Statutes and City ot Eagan Ordinances. Bldg. Dif. Copies
A -
Buildiny ONicial l~Ij o.!l,C. I yy~ ~ Variance TDTAL 26.50
v
I /p{(,^
SEDGWICK HEATING & AIR CONDITIONING CO. resTRe~c"oRO JOBNO. ~v~'
8910 WENTWOHTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000
ADDRESS ~~~~O ~ • v CITV ~
OCCUPANT s- OWNER ~
SOLD 6Y V~U/~MLWeAr INSTALLED BY
MAKE ~ MOOEL `~6cy~~~.~/~t~"~^-~ /S1
SERIAL N~1 c 1 / L INPUT U ~V O C.~ (1 \ D
THERMOSTAT FI• (0000 VENTSIZE ~ . /~~y FER 2 fl 2nm
1~ I N'L y~^J' r' TVPE OF LINER ~ v G
VALVE O
LIMIT y I LINER SIZE
LIMITSETTING ~O FILTERS: SIZE NUMBER ~
FANSETfING ~LiI7 t WIRING G
r~
PILOTTVPE E/ ? c k TEST7AG IGNITION MODEL LIGHTWG INST.
PILOT TIMING
DA7ETESTED _
PRESSURE PERCENTCOi ST ~ f w
INPUT CFH PERCENT Oz COMPANY TESTING
STACKTEMP.-/ PERCENT CO C) NAME OFTES7ER ~
FORM235(REV.11)89) FOPMDISTRIBUMON: WHITECOPV - J00FILE YELLOWCAPY - CIN .
/
- 1985 SUILDING PERMIT APPLICA?ION - CITY OF EAGAN
NOTE: ALL CONTEACTORS MUST BE LICENSED WITH THE CITY OF EAG9N
COMQIERCIAL SINGLE FAMILY DMfELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 7 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND I
To Be Used For: S J~ ~ Valuation: ' jd:Date: !7 S
Site Address Jso GJCC4614~~ Dy- OFFICE USE ONLY I
Lot _L.;L Block ~ Li Erect X Occupancy 3
Remodel Zoning •I
Parcel/Sub IJSA Wce2 (X A nmt,y Repair ~ Type of Const
Addition !I of Stories
Owner~14*4 ~j= i)R [d.!~ Move _ Length ~-:Lp
Demolish ~ Depth 2
Address Int.Impr. _ Sq Ft
- Install
3`l-.., J~
~ L.~ -
City/Zip Code ED1 iq
Phone ~2 a le`? ( g, APPROVAL5 FEES
Contractor LgPp"Ls ~X(s`~ I~~lr+ C Assessments Permit 453,
i ~J Water/Sewer ~ Surcharge CoO,
Address,~~~ y-r/Jhg& iLA}17E Police ~ Plan Review
Fire SAC S2S.
City/Zip Code ~al4d4b:J~d Engr Water Conn -13DD.
Planner Water Meter ro
Phone Council Road Unit ZSo.
Bldg Off-~~'Yre.akment Pl 132.
~ Ii.l APC Parks
Arch./Engr. h
Variance Copies_
Address i~121 (;~g//~ v-1)F.~ TOTAL ~
City/Zip Code t2jqekE-CR6J6 y
~
Phone # sS 0 4'77
33x 28 =~j2¢x = 5 35~ 2
41 x ~ o ' 4~o x o = 328o ~
3n x 30 -~oo x44- 600
I I~ q-24
. , ~
SURVEYOR S CERTIFICATE KEPRIOS KONSTRUCTION
~ DENOTES PROP05ED SURFACE DRAINAGE
O DENOTES IRON MOMUMEN7 SET SCALE: 1 INCH fEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 92 0.3 FEET
X000.0 DENOTES EXISTING EIEUATION PROPOSED LOWEST FLOOR = 91 2,(o FEET
(000.0) DENOTES PROPpSED ELEUATION PRaPOSED 70P OF BLOCK = 9Z nl FEET.
I HERE4Y CERTIFY TO KEPRI05 KONSTRUCTION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURUEY OF TkE BOUNDARIES OF:
Lot 13 Block 1, WEDGWOOD FIRST ADDITION, according to the recorded plat
thereo~, Dakota County, Minnesota.
APaD OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SH04! 1hiPROVEMENTS
DR ENCROACHMEN7S, IF ANY, 7HEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS 147H DAY Of gEPtffABER, 198 .
NC.
SIGNED: JAM . ILL, I
. ~~~~~C ~
BY.
HAROLD C. PETERSOtd, LAND SURUEYOR
MINWESOTA LICENSE NO. 12294
SHEE7 1 of 2 SHEETS
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
85863
FILE 13j/3,~ Planners / Engineers / Surveyors
NO. 8200 Humboidt Avenue Snuth
FOLDER Bloomin9ton,Mn. 65431 612-e84-3029
4
-SURVEYOR'S, 'CERTIFICATE ' ' KEPRIOS KONSTRUCTION
1 d~7.b
. q8•~ 1~ 00On
p p .R ;W'~,°i3'°a ~ WAT~ERF~R° 59 ~-r•$ .
~ N 11°1q,05 ,'B.
4 - ~,0• m\
(o
M
ICqk ~
y E
qfl47 tl- 23. K^v ~ o,o'~ ~~1.oJy
. 1• GAR.~
/ Q33.00
c
0. PRopoSg u2 ~ \ a
o
1 N HoUS N L
S NG ~ e . - ~~•,~,0
HOUSE 1 56.0o ~4 2'3 W
~ Z,.,s
9iT5 4
~ ~>0 1t1
L °
8,
' ~
~
r~
G
z 1 ~a
5 b~Ai \
~Q
~ ' ~ \ ` E`9S~'AI`rh.,, ~ ,
„ _
~ j Q,
r~ .
; N
i ~ CD
. ~ ~ LOT 13 = ,
. . . ~ .
.
139.45 N3030'00"W .
. ~
L_ll I
Z , .
° SHEET 2 of Z SHEETS
PROJECT NO. BOO•K / PAGE JAMES R. MILL, INC.
' 85863 •
planners / Engineers / Surveyors
~ FILH NO. ~ 3 If 3~ 8200 Humboldt Arenu• South
FOLDER sloomin9son, Mn. 56431 e12-118473029
. : . . . , .
' . • EX1'ER30R fiNVf:LOF'E AVES2AGE "U" C01411UTATION .
OW[1ER ~P~~~O~T. •
SITE AUDRF55 (I.1W
CONTR7~CTOR . D11TE q_z1rSSPHONE .
Determine working square•footaye of each.
1. Total e>:posed wall area 2 0 esq. ft. X•11 ZQ •
2. Total roof/ceiling area sq. ft. X .02& -J 45- tt.-I -
, _ . - _ - ' - .
. .
A. Total wall window area Z4r7•ci d
B. Total door area
C. iotal sliding glass door area
p. Total fireplace wall area
E. Total wall framing area (average 10$)........... .
F. Total Rim joist area............ 2 d•;~ ,
G'. Total Net wall area above floor.••••••'•"
Total exposed foundation asea r
/ .
N. mnral fnundaY.ion wi.ndow area................
~ • '
1, ^.utal ..cL' iouLG..t1Gl 31'En whove gradc...........
Determine "U" value of each wall seqment.
. • a. 2 5.0to .40
b ~7.$Z x .,U., .O(O = Z.S7
_ ~ .
~ C. ~08.75 X „U.. . ~ = 3I. .
d. ~ X "U„ ~ e
e. Z~o•Q.o X,.U„ n87 _ Q3.52
• f. Zzi°o• ;o x „u,- ^ 0 ,p Cj~j
g. ZZ460> X "U:' •Q4-'L - .~'3• 1 °o •
h. X „u„ ,01 ~ .0' .
x „U- • ~(O~D = 5.~. •
3 ...................................rptzl
If item N3 is the samc as, or less tlian itcm tll, you have met the intenl' of `
c~13C 6006(c)2. ~ . , .
, . ' , .
w
~,~5 C.. •
. . . . . .
Total exposed roof/ceiling area
j. Total skyliaht area . $
.k. Total roof/ceiling frsmi.ng area (avezage 108)...... 3^ri•~O •
1. Total net insulated roof/ceiling area ~ 2-Z-O•4'b
Determine "U" value for each roof/ceiling segment.
i. ~ x °v^ $ _ 6
k. 135. (v x'u^ . 074- a 3. zl .
1. 2'7.o x"U" • 0z~ - 'Lr'l • 677
~ .............1bCd1
If total of #4 is the same as, or less than #2, you have met the intent of
SSC 6006(c)1. ,
Alternate Building Envelope DeUiqn
To.vtilize the total envelope system method, the zraluPS established '.t:.
sum of ite~ #3 ard #4 shall not be qreater than the sum os :t::~ R1 and *2.
1. 7. + 2. Z~O a J 3Z. 70
3. + 4. K~ • t/o n_ ~j~l.~J. S
Kr
• i
' I .
;
.
. . . . . -J : ,
vlllLL SECTIONS
si(~7'E:: Gs^ 15a cif opaque wall area for • _
frame coostruction Gonstruction R Value
; 1, Prior ir film 0 6
~ 2• . ~
, 3, nches soft wood
~ 4.
5. li ' • ZG
BASIC 6. Exterior air ilm = 0.17
4IIALS. . 7bt81, . . . I' ,
. . , . ~
FIG. #l TOPVIEt*T OF
FMIE TqALy 1. in erior air Pilm 0.58
. 2~ -
. 3. " .CX7
. . ' 4. d . .Ofp
5. D~ .
. 6. xterior air film " 0.17
FIG. #2 ' Total
. ----v . . Va • ~Z
1. Int rimr air film 0.68
2. 11A . DO
~ ~ 3. ~
;
4.
•tt jsrA OtA
~Pharol
Exterior air ilm ' 0.1.7
Totsl Qf' . d0
l•~<<>> . '
.
-v
~ n•~~ 't: c.~ r -~y 1. In erior air £ilm 0.68
. d L. 300
m-DAxicx
:~zl. . ' • tt. • 'o~ - . • n.
4~ . u ~•rnvt 5_
r .~-j • 6. Exterior air film 0.17 •
• i. . .
~.-f~ . . . . matal 15,
. ' . t3= , O/o(o .
SLAH ON GRADE . . .
; , -
. r ~
r . '~ry~~r <<k • . ~ -,•'a : '
~ / ` ~ • • y. i ~ . ~ 1 1 . ` 'r ~ ~f ( ~ ` ~ ~ • • . . • ~ 1 ~ ~
/tl - ~ •
~ • • ~ k , . . 2, r FIG. B4 !It o ~ .
71G. N3
. . ~ x Y -C
1L1~1~ c ll( s lit =
. p ~ . '
Indicate type, value, denth and
• ~ olacenent of.insulation. _
, -~gpOP/CEILING ,
Construction (USe for Item L) K-Valuc
I terior air film 0.61
IZ J J 2. Q,~ .S(o
~/.n't`~~ r~ ~
' a ' 1.U(lm~ 3. ~nwa-r,i u` o~
0- 1
~ ~!l_,,}'I, {I 4. Extczicr air film (sr_ill)
VII~T ~~l \rlfl~ Total
0Z1
• CLC;. FRAMING(Use for Item K)
V ented 8eat flow
1. Interior Air filai, 0.62
. up
1
3. Inches soft wood 3~Z +44
FIG. #5 4. Inches insul above framing~V
5. Air Film 0.61
•~~:~~t,.•:~01:T.~1~~~`«.i~yG~1G.f9tFS~Fn1 V ~ OO I
1. Interior air film 0-61
2. .
3.
4. Exterior air film (stil2) 0.61
Total
2 3 4" • "
-
Heat flocr up . . vented
FIG. #6 . 3 `4 I\J ,i 1. Inside air film ' 0.61
2.
• • r,a,.~
• 1 ric.,~..4oS, • 4. JJ: i.':
0.17
a ' 5: Otitside air. film
I'•,.~;;;;:~ ` Total
W .
% 1 Z
NOii-VEh'TED' NoCc: Usc &3ditional shcots if morv- ::i:'-^c.i~
n.:caea for dotail;: and calculat•ions.
' . Hest ' •
, flow up , •
FT.r,, 07
~ i . . • ~ • i ~ • • i~• • i~ .
• • ~ i • r • • a~ • ~ a~ • •
~
~ •
~ CITY OF EAGAN
APPLICATION FOR PERMLT SEWII2 ADID/OR WATER CONNECPION
A (Please Print~
1) PROPII2TY ADDRESS: 15(,~ l/if2i!,~}'l'~~ L~~-1,~-~
t,Fr:Ar• DESQUPTION: 6-, 2 /J/
(Lot Block Subchvision or ax Parcel I.D. h~~-
IF EXISTING STRC?CTURE, DATE OF ORIGINAL B[]ILDING PEIhrffT ISSL'ANCE:
(Nbnth Year)
pRRSFnrr ZONING/PROPOSID USE: R-1 SINGLE FAhffLY
R-2 DL'PLEX ('IWo L'nits )
R-3 TOWP]HOL'SE (Three + L'nits) ( Units)
R-4 APARTMENT/CODIDOMINIL'M ( Units)
CONIIMERCIAL/RETAIL/OFFICE
IDIDL'STRIAL
INSTI'IL'TIONAL/GOVII2NMENT
2) ~
,
NAME:J q,vm~ a S'
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) • ~d For City Use
~ME' ~ ~ ~ , $ • Pliunbers Licens,
ADDRESS: AEt~~
CITYr STATEr ZIP:, ST~l/6 r`Ci~ G.C M a d( ~ ~~'-Cd
PHO[~: ? MASTER LICETISE # 0 ~ ~ Recor(
5 niti
'af
41 ~ •
NAME: ~
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
5) i~ d a~ ~i
IPL CONNECTION TO CITY SEWER ~ CONNECTION TO CITY WATIIt
p OTHER (Please Describe)
6) u • • i ~
? PLEASE HOLD APPROVED PERhffT FOR PICK-L'P BY ONE OF ABOVE
CI PLEASE MAIL APPROVID PERMiT TO l, 2, lY, 4. ABOVE
(Circle one)
7) //,,j ~?~~6
FOR C I T Y U S E ON ;,Y • -
PERMIT ISSUED
FEZS: $ ~(J s-u SEi•ic.°, PER?1rT (I:ICLGDE Si3P.C`i2RGE)
$ ~~-S-~ WATER PERPIIT (INCL'JDE SliRCAARGE)
WATER METER/COPPERHORN/OUTSIDEE READER
$ WATER TAP (INCLUDE CORPORATZOy STOP)
+S SET4ER T.'-1P
-._.?GSi= -
$ ACCOUNT D .F,ppSIT - F7ATER
$ WAC .
$ SAC
$ TRGNK WATER ASSES524E:1T
$ TRlii1K SEWER ASSESSME^IT
+S LrITEP.AL BENEFIT/TRUNK SE:4~,'.R
$ LATcF2AL BENEFIT/TRUNK SQATER
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
$ AIIIOU::T PAID/RECEZ?T
DOES UTILITY CONNECTZON REQUIRE EXCAVATION IN PUBLIC RIGcIT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR 'r70RK WITHIN
PUBLIC ROADWAY" MUST BE ZSSUED BY THE
Q NO ENGINEERING DIV:SION. LIST AS A CONDI-
TION.
SUBSEGT TG THE FOI.LOWING CONDITIONS:
APPROVED BY: -
TSTLE:
DATr:
S~
1990 BUILDINC PERMIT APPLICATION
CITY OF EAGAN
Mn ?V7
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PI.ANS ~ 2 SETS OF ARCHITECI'URAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS STRUCTURAL PLA\S
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) ~ 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
- 1\
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED \ BUT/NOT PICKED UP SY LAST [dORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SE[7ER & WATER PERMITS IS TWD DAYS ONCE A PERMIT HAS BEEN COPIPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For:ZLklO1~ AAeCk Valuation: Date: /'ID-/v
Site Address q50 WalzcFcxnl `$~c.i~esfi- OFFICE USE ONLY
Lot 1~3 B1ock ~ FEES
Occupancy
Zoning
Parcel/Sub \/yCb&F3j"'h lST Qw AActual Const Bldg. Permit (v
` Allowable Surcharge
0::*ner JO~h ~1•Kep('iQS # of stories P1an Review
Length 39x /y ` SAC, City
Address'[50 ~)CIVe l.l)e5r Depth 7)c /31 SAC, MWCC
S.F. Total Water Conn
City/Zip Code ,1 ~YY~1~1 SS(a3 Footprint S.F. Water Meter
1 Acct. Deposit
Phone y,.,-.y5o)'Z531o On site sewage_ S/W Permit
On site well S/[.T Surcharge
Contractor ~oL-i~A i~ M~Se`f MWCC System _ Treatment Pl.
City water _ Road Unit
Address pRV _ Park Ded.
Booster Pump _ Copies ,va
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner _ TOTAL R6~.Sv
` Council
Arch./Engr.~iJp,p K1~~~C2 Bldg. Off.
Variance
Address
City/Zip Code YYlr0ne16ll5.n11
Phone #
1
rRVEYOR'S, 'CERTIFICATE ' KEPRIOS KONS7RUCTION
1 c•f0
+_,~~~W.R~1203p8° ~ .
wATERFORD a~R
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, ' v1o c~ p/ /PROPUSS m°,,
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HOUSE 58.~ ~
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.
139.45 N3030'00"W .
• • I
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- SNEET 2 of 2 SHEETS
PHOJECT N0. BOOK / PAGE JqMES R. HILL, INC.
' 85863 •
"3 ~ Planners / Engtneers /.Surveyors
~ FILE NO. f 37 6200 Humboldt Arenw 6outh
FOLOER e100minaton4 ti+?a 65431 012-88473029
. • ~ ~ . . , : . _ r .
RESIDENTIAL
~ ~y 1 BUILDING PERMIT APPLICATION ~
CITY OF EACAN
3830 PILOT KNOB R0, EAGAN MN 55122
651-681-4675
New Constructfan Reauirements RemodellReoair Reauiremente
• 3 agistered sile surveys showing sq. R. of lot sq. A. of house; arM all roofed areas • 2 copies of plan
(20% mazimum lol coverage allowed) . 7 set of Energy Calculatlons for heated additions
• 2 copies of plan showirg beam 8 vrindow sizes; poured found design, elc. y • 1 site survey for ezterior addNOns 8 decks
• 1 set of Energy CalcL6atioris 7- . Indicate if home served by seplic system for addifions
• 3 copies of Tree Preservation Plan if lot Olatted after 7/1193 ~.v~Ifn~
• Rim Joist Detail Oplioris selecfion sheet (61dgs wilh 3 or less uniLS) G LJ u-
L ~ Hr, I 1 O~
DATE VALUATION
Zo^oyl(,
SITE ADDRESS IrC~ MULTI-FAMILY BLDG _Y _N
TYPE OF WORK ~CLS 1(` C. FIREPLACE(S) _ 0_ 1_ 2
APPLICANT__&/1 jC`4_ ~~9' ~l (CPS ~ .
STREETADDRESS la&3 L: . SA4 DLU LL' Dr. CITY4~.L~osSTATEAM,ZIP Q t
TELEPHONE # 4L5I^Y07-g55~CELL PHONE # 6l3'75-0-gWs FAX # ~ S~ YQ7-$57.5
PROPERTYOWNER VI ~~/I~ InO(1 S TELEPHONE# ~-5~ ~S3So
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNF.SOTA RULES 7670 CATF,GORY l MINNESOTA-RLILES-7(i72
(J submission type) • Residential VenUlation Category 1 Worksheet Submitted • R~Ie~Energy Code WoilcsFeefSubmitted
. Energy Envelope Caiculations Submitted ~ I I~ .~~IIII 07 P, i: ?00Z ItI~'~I
Plumbing Contractor: Phonc #
Plumbing system includes: _ Water Softencr _ Iawn Sprinkler =$90:(39'
_ Water Heater No. of R.I. Baths
No. of Baths
Mechanical Confractor: Phone #
Mcchanical system includes: Air Conditioning Fec: $70.00
_ Heat Rccovery System
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state ihat the information is corre4an gre e to compiy
with all applicable State of Minnesota Statutes and City of Eogan Ordinan~es
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pernrits are required for each unit
Date 03 / 30 / 02)
SiteAddress qSc) W~JerGr(F "Dr 0 • Unit#
Property Owner ~ Jo h n I..Q~ 1~ ps Telephone #((Qsl)~tSd ^~5(L9
Contractor
--~A91(; & SONS PLOMB(NG
Address 12725 Nightingale St. NW City
State Zip Telephone # cP
The Applicant is _ Owner ~ Contractor _ Other
Sep[ic Sys[em New _ Refurbished Submit 2 sets of pians and MPC iicense $ 100.00
InGudes Cour..y tee. Atlditionai consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of sepGc system
_ Water Wmaround 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Water softener X Water heater $ 15.00
y ~ • ~
[1 _ A, ~ ~
replacement additlonal ~ ~ . .
~1 n~ v •
State Surcharge .50
Total
I hereby apply for a Residential Plumbing Pernrit and aclmowledge that the informarion is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand t3ris is not a
pernrit, but only an application for a pemut, and work is not to start without a permj that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
Za i Gavi ~
ApplicanYs Printed Name Appli anYs Signature
-7 0Qa9 2005 RESIDENTIAL C BUILDING ty Of Eagan~T APPLICATION ~-ro 01
3830 Pilat Knob Road, Eagan MN 55122 CaA"& ,lol~j,
Telephone # 651-675-5675 FAX # 651-675-5694 cfj~-
New CoirsWclion Reauirements RemodeVReoair Reaviremenls
3 registered sile surveys showing sq. fl. of lot, sq. fl. of howe; and all roofed areas 2 copies of plan Cra! of $urvEy:Recd :N
(20% maximum loi coverege allaxed) 7 set of Energy Cakulafions for heated adddions #F4 Pres Plgn:"Recd N;
2 copies of plan shaxing beam 8 window sizes; poured fand design, etc. 1 site survry for addlions & decks
1 set of Energ9 Calculalions Add'Aion -indicate il onsde sepfic sysfem OtFSile Septic.5yslem _ Y_t~
3 copies of Tree Preservation Plan if lol platted e%er 7l1793
Rim Jdst Deteil Oplions selection sheet (buildings with 3 or less unils)
Date 7_ Constructian Cost
Site Address 9, S D UniUSte #
~~l n S6/a
DescriptionofWork /Ad\ -~Dkf- `~z>o~^Ol G4 ak;hb'\s
Multi-Family Bldg _ Y -X N Fireplace(s) _ 0 Y 1 _ 2
Property Owner Jct, Yl KecXiDS Telephone )
Contractor
Address 95D City
State fYV\ Zip SSIa"; Telephone #((,S"f )~15a-aS 36
cetl ~SI-ay9-S`+51 Wock- 5c? y3c7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEVY BUILDING
- Minnesota Rules 7670 CategOry 1 _ M~esota Rules 7672
Energy Code Category . ResidenNal Ventilation Category 7 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted mitted
.Energy Envelope Calculations Submitted ~K ~
~ U ~
In the last 12 months, has the City of Eagan iisued a permit for a simil tplan bas on ~,r,tpst lan?
_ Y _ N If yes, date and address of master plan: 6~~"'
~
Licensed Plumber ~ o fl
/
Mechanical Contractor By ~Tele one # ( )
Sewer/WaterContractor 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 pemut, 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.
3pv),N KEvrIQS Q2t~~
Applicant's Printed Name Ap cant's Si a re
OF'FICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-pleac ? 10 OB-plex W 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB 04-plex ? 12 72-plex PIMg_YOr_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish IMerior ? 44 Siding
? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
~ 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demolkion (EMire Bldg) -Give PCA handout to applicaM
Valuation a Occupancy MCES System
Plan Review 100% or 25%
Census Code 3~ Zoning LP City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const v/3 Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
}Q Footings(deck) ~4 FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundalion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ RI. _ Air Test _ Final _ Windows
Insulation _ Retaining Wa11
Approved By: g , Buiiding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Suroharge
Treatment Plant
License Search
Copies
Other
Total
City of EaQall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
6134d- 3
1147,
Date Received:
Staff:
_/3
2010 RESIDENTIAL BUILDING PERMIT APPLICATION e d
Date: i/id Site Address: CO b✓4"7G,%� Uo%iZ O e %'i/lv `3re%)
Tenant: Suite #:
RESIDENT / OWNER
•
Name: okk.f'epr 105 Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: 3// Alti x%41
Construction Cost:
CONTRACTOR
W D /b1J L
Name: U zore57D t!os 640
Multi -Family Building: (Yes / No
Address: c---6 YV 0 >6/75/76
State: • Zip: 5 5-6/3 Phone:
License #: ?_ D Sg 4/s-1/
City: (7.6/01/A
s
2r '-/y8 g
Contact: Email:
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:
NOTE:Plans and supporting documents that you submit are considered to be public infarniation Portion
the information may be classified as non-public if you protide specific reasons that would permit the Cit
conclude that they are trade secret
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.qopherstateonecall.org
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.
Applicant's Printed Name
pplicant's Signature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
F,6undation
ingle Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Fireplace
Garage
Deck
.,,[ Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
DESCRIPTION
Valuation
Plan Review
(25% 100%)
Census Code
# of Units
# of Buildings
Type of Construction
Interior Improvement
Move Building
Fire Repair
Repair
V
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Ity
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
6. f ► it 7tT`
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
Occupancy OILS, MCES System
Code Edition 441^7 SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Length Fire Sprinklers
Width
Fireplace: Rough In Air Test Final
Insulation
Meter Size:
Reviewed By:
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC "" rO /Wight'
Other:
5,
Pool: Footings Air/Gas Tests
Siding: _Stucco Lath Stone Lath
Windows
Retaining Wall: _ Footings
Radon Control
Erosion Control
Building Inspector
Final
Brick
Backfill Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
enn-roK--
/WY 4-
114.-
k- r
/3
Page 2 of 2
Date:
CityofEaQal
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
Use BLUE or BLACK Ink
Permit#: % 3
Permit Fee:
Date Received: / 1-- L r
3
Staff:
2010 RESIDENTIAL PLUMBING jPER(' IT APPLICATION
(\,(I 0 Site Address. 9S o (4) roe !J
Suite #:
RESIDENT / OWNER
Name: 'TOL r
‹. GI ,e0S Phone: 667 - O7 /' q'S(
Address / City / Zip: 95-0 (A,14 "kf To Q Dr
CONTRACTOR
Name: &v e IL-6 (^ r) u ^^ r' ,, License #:
Address: (('---33 2- -S-44-. 1 SCity:
State: M ^- Zip: S S `f L ( Phone: !� (Z - 1 G q- 7 2-0Q
Contact: Sc -4+- Email:
TYPE OF WORK
( New Replacement Repair Rebuild _ Modify Space _ Work in R.O.W.
_ _
Description of work: bei Se A-,4,,. +-- Lj (.. 4-t-, c o o ,r. -- --c-c) -1-t t, r e j Ci S
PERMIT TYPE
ff
RESIDENTIAL f'e. Q1Act. 4s lr.
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / _ PVB) ( Main Lower Level)
„
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water
Heater, Water Softener,
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment,
or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
"Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
Water Turnaround* (includes $.50 State Surcharge)
(add $166.00 if a 5/8" meter
New ($10.00 per as built) (includes
is required)
County fee and $.50 State Surcharge)
ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
burned out appliances,
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.org
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 pla
Applicant's Printed Name
FOR OFFICE. USI
Required Inspections
Reviewed
Applicant's Signature
Under Ground Rough in _";Air Test
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 950 Waterford Dr W
Lot: 013 Block: 001 Addition: Wedgewood 1st
PID:10- 83550- 130 -01
Use:
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Fumace & Replacing 3 -ton A Coil
Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector,
952- 445- 2840Crystal Gemuenden 8910 Wentworth Ave S Bloomington, MN 55420 952- 881 -9000 Crystal.Gemuenden @Se
viceExperts.com
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
John M Keprios
950 Waterford Dr W
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA076509
01/24/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117401
Date Issued:10/17/2013
Permit Category:ePermit
Site Address: 950 Waterford Dr W
Lot:013 Block: 001 Addition: Wedgewood 1st
PID:10-83550-01-130
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 .
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 -
John M Keprios
950 Waterford Dr W
Eagan MN 55123
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:EA122305
Date Issued:05/05/2014
Permit Category:ePermit
Site Address: 950 Waterford Dr W
Lot:013 Block: 001 Addition: Wedgewood 1st
PID:10-83550-01-130
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
John M Keprios
950 Waterford Dr W
Eagan MN 55123
Norwest Contractors
8469 Zanzibar Ln N
Maple Grove MN 55311
(612) 859-8517
Applicant/Permitee: Signature Issued By: Signature