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1002 Wedgwood Lane SOct -18-11 06:40A City of EaRall 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: P - 01 Use BLUE or BLACK I4,—(_____ For Office Use Permit ft* .r.0� Permit Fee. 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: RESIDENT / I Name: UJB z OWNER Address / City / Zip: /a 0 2 Lt -9p1/2 TYPE OF WORK CONTRACTOR Applicant is: Description of work: Construction Cost: -- Owner Company: 0 Contractor _Phone' 61-/- ,_., SAJ 3 Multi -Family b Building (Yes _/ No ILL r Contact: V 0 C,/ h O v Address: r'FV) ,L_ City: _ Q„q mr�. State: O Zip: M Z. Phone: �r / -- `?j '� -05/7 J License #: 20 1 Dom' Lead Certificate #: 1 qg `3 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: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: 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 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.uortherstateonecall.orq I hereby acknowledge that this information is complete and accurate: that tho work will be in conformance with the ordinances and codes of the City of Eagan; that I understagd,.th ^ is., not .a_aermit _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 `appseved1pan in the case ofwork which requires a review and approval of plans. ExteriQrwork authorized by a building permit issued in accordance with the Minnesota State Building Code must bo completed within 180 days of Perrnit issuance. Applicant's Prir ted Name Applicant' gnature Page 1 of 3 Reoeipt MECHANICAL PERMIT Permit No. CITY OF EAGAN - Fee Fill in numbered spaces S/C Type ar Print legibly Tot ~ 1. Date 2. Installation Cost , 3. Job Address •'~~C (iV: ~i~~_ Lot/,,-,-Blk. -3 TracIr 4. Owner 5. Contractor Phone r- 6. Address . ~ ~-,7. City State,: :%jenz/ Zip 8. Building Type: Residential B" Commercial ? Institutional O 9. Work Description: New !!a Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No, Eauinment BTU - M. Ea. No. EQUiament CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with ail ordinances and codes governing this type of work. Signed : ' for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 Receipt PLUMBING PERMIT Permit No. • CITY OF EAGAN Fea - Fill in numbered speces S/C . Type or Prinr /egibly Tot 1. Date 2. Installation Cost 3. Job Address Lot ! f~ Blk. } Tract 4. Owner 5. Contractor Phone "`t~.~ ; - . 6. Address - 7. City State fZip 8. Building Type: Residential ~ Commercial O Institutional ? 9. Work Description: New Lt Add ? Alter O Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfietd Bath tubs Septic Tank ~ Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet pther Laundry Tray ~ Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I aqree to comply with all ordinances and codes governing this type of work. Signed : I for Rough Finel Inspections: Date Insp. Date Inap. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition WEDGWOOD lst ADDN. Lot lb slk 3 Parcel 10-83550-160-03 Owner Street 1002 Wedgwood Lane SOUth State EAGAN NIIV 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 1981 58.69 2.93 20 STREET RESTOR. GRADING 1981 186.48 12.43 15 149.19 AO Sewer Lateral Sll 1981 313.16 20.88 15 250,55 01 17 SAN 5EW TRUNK 19$1 19$.50 13.23 1$ 158.81 " 11 SEWER LATERAL 19$1 197.54 9.87 20 167.93 't rr Sewer Lateral 41 1982 133.17 8.87 15 it it WATERMAIN WATERLATERAL Trk5-11 1981 262.18 17.48 IS _18-83 WATERAREA 5 1981 198.50 13.23 15 158.81 it * water Lateral 1982 98.57 6.57 15 g 4 STORM SEW TRK STORM SE1N LAT *Powerline Relocatio 1982 15 CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. 420.00 n n SUILDING PER. 7749 SAC PARK INSPECTION RECURD 13830 TY OF EAGAN PERMIT TYPE: Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: , if.En0 n 1 nMr PERMIT SUBTYPE: TYPE OF WORK: . . ~ . INSPECTION . . ~ r; r I~I A4 1 : ~ u ~ Permit No. PermR Holder Date Telaphone I ELECTRIC PLUMBIN r- HVAC inspsctfon Date Inap. Commenta FOOTINGS 17 FOUND ll-g,' ~ FRAMING ROOFING ROUGH PLUMBING y PLBd AIR TEST ~i' movl%l ROUGH ~ je*9 HEATING GAS SVC TEST ~j ~ . AN cr INSUL A~ GOrr~-4 Ir Qj . GYP BOARD FIREPLACE FIREPLACE AIF TEST FINAL PLBG ly-~ FINAL HTG ORSAT TEST BLDG FINAL i~ , G~.- fi'Ic.. ~ 5-'c ~.e° S. .~•A ~C BSMT R.I. BSMT FINAL DECK FfG DECK FINAL INSPECTI4N 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~~ IMlJ(1(1tl l IINf' rp PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D. • D• i ; '~tl t (tr: ~ :i I I ~ J L Permk No. Permit Hoidor Date Talsphona N ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FQOTI NGS FOUND FRAMING ROOFINC3 ROUGH PLUMBING PLBG "I,7- y ~ . AIF TEST /v ROUGH HEATINO ew a I f~o,7 ~ GAS SVC TEST INSUL GYP BOARD FIREPIACE FIREPLACE AIR TEST FINAL PLBG FlNAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL I CITY OF EAGAN ' . 3715 PIlof Knob Rwd Eogoe, MN 55122 • ~ PHONEi 454-8100 ' BUILDING PERMIT Rece+rx # Te be wed fer Est. Vclue Dote 19 Sits Addreu Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoninq Porcel # Repoir 0 Fire Zone Enlorye ? Type of Const. W N°~ Mova p # Stories ; Addross Demolidh Q Length , b G phone ~ Grode ? Depth Sq. Ft. °C Ncme Appeorals Fees 0 u~ ~re~ Assessmenf Permit ~ Cit phorb Water b Sew. Surcharfle F Palice Plon check F W Name Firo SAG Address Enp. Water Conn. i W Ci phone Picnner Woter Meter Council Road Unit I hereby acknowledge that I hove read this application ond state that gldg. Off. the inlormation is correct ond agree to comply with oll appliccble APC Totol Stute of Minnesota Stotutes and City of Eagon Ordinonces. Sipnoture of Pertnittea A Building Permit is issued to: on the express COndition that all work sholl be done in accordance wifh oll opplicoble Stote of Minnesota Statutes cnd City of Eapon Ordirwnces. Buildiny Official }b Permit No. Permit Holdar Misc. Permit No. Holder Plumbin9 3--w? (At`'SVML 1-31 -T3 H.V.A.C. Z~ Y`6 YLE?'t9 Z"J Well Wata Dbp. SO~ . . Ewctric InWection Dm Insp. Other ootinyg I~ Foundation Framinp ~ - •,X ~l ~ oh Plbp. RouS~+ HVA Inwlaetw, Final Plbg. Final HVAC . 3 i,.) p Final Wour Deseribe Locstion: VYell ` Ssvwr v Pr. DkP. • CITY OF EAGAN ~ 8795 Pibf Kaob Raad Eagan, MN 53122 Np 7749 . ' PHONEi- 454-8700 - BUILDING PERMIT rteceipt # =09B:f Te bs wad fer SF DWG/GAR Est.Value $65,000 pare Janusri+ 6 ,1 q_IL si+e aaaress 1002 4Tedgwood Lene South Erect ~ o«uaomy x-3 Lot 16 Block 3 Sec/Sub. Wedgwood 18t Alter Zoninq x-1 Porcel # 10 83550 160 03 Repoir ? Flre Zane NA Enlarge ? TYDe of Const. v a Name SunBhine Conetruction CO. Move ? # Srories W z qddrou 1507 Clemeoa Ct. Demolish ? Length~ p Eagan 55122 phone 454-7485 G.ode ? Depth4$-Sq. Ft.- ~j Nnme Owner Approrola Foes ou Address Assessment Permit 328.00 Vl Cit Phane Water85ew. Surcharge 32•$0 Police Plan check164.00 ~w Noma Fire SAC 52$.00 ~Z Address Eip. Woter Conn.420.00 i W ci phone plonner Water Meter 60.00 Council Road Unit 240.00 I hereby ackrawledga that I have read this opplication ond state that BIdB. O(f. the informotion is correct ond agree to comply with oll applicable APC Totol $1769.50 Stote of Minnewto $totutes and City of Eogon Ordinonces. Sipnature of , Permittee A 8uilding Permit Is issued to: sUIIBhili@ CoD9C.' lp • on the express conditlon thnl all work sFwll ba done in occordcnce with oll apjifiwble~SN? ~of i sota Statutes and Ciry of Eagan Ordinances. Buildinp Officiol "r"'~' CITy pF EAGAN Include 2 sets of plans, " L 1 site plan w/elevaticros & BUILDING PERAffT APPLICATION 1 set of energy calculations. ~ 4b Be Used Fbr ` Valuation~~, p00 Date site Paaress ac a^~;.,o- OFFICE USE. ONLY Int ~ alocx 3_ sec./sub. Erect ~ occvpancy ~ Parcel AW lo/S3SS~ma,e3 Alter Zoning Repair Fire Zone O.mert Enlar9e Type of Const. Address: MOve # Stories Demlish Front Y ft. City/Zip Code: c~ SS i a2- Grade Depth ft. Phone ~f57Y- -Y g? APP1iOVALS FEE5 Contractor: Assessments PernLit 3a28 ~ Address: ?^Tater/Sewer ~ Surcharge 3a-~E Police Plan Check~/ ~ City/Zip Code: ~Fire SAC 5' aS 2311- Phone En1. water Conn, 41,7 o XX " Planner Water Meter /e0 ar~n./~. c°~'ncii ~a v~t a yo ~ Bldg. Off• Address: lc ao AFC City/Zip Code: Phone Y 3 3_ a o~ 2CY1.'AL ~ L7 _ . . : , _ . , - . . , . _ _ _ . . _ . . StJ'RVEYOR'S CERTIFICATE '''sIENNA CORPORATION ' , , I~ N WEDGWOOD ~ LANE SOUTH ~ry~p a o ~ O 'X"_ M 826=0TC_%' J(929.2TL ~ X929.47L ~ C . ~ ; ~ 3 sZb.e S 89°55'07~~W 85.16- ....n;:-`'i-.. . C8236X ~ O . O 0 ~ s ~ . IA 51 D 0~JO~~ . 0 'b "927.62X ' ~ 22.00 , 48.23 y^ O ~ I ~ ~ / ~ . ' ~ yQ\. ' ? / ' 1 3° f~eP~2T~ 1 O I a ~GARA6E id 199226111 / 7.00 1926.51 I . 921.41 ~ ~ AI 9.00/ X926A X826.0 Ipnx 15.00 a oe~D al!aa b PNOPOSED W ~V $ HOUSE a 1 \ ~ / , , \ Q 40.00 48.23 ~ ' .%6X 919.9 B ~ %920.3~ X919.9' 1923.61 t 923.61 o `CO T 16 LO, o ' ~ O I DRAINAGE AND LLTILITY EASEMENT o I 51 I 0~ & ~ fo , * ~ ~ - - - - - - - - - - - - - ~~~soi.sx 30 X ~ x S 89°55`07"W 142.55 WIRE FENCE ON LINE REV. 12-30-82 FOR SUNSHINE CONSTRUCTION CO. TO SHOW . PROPOSED HOUSE, AS STAKED, AND EXISTING ELEVATIONS. . Q DENOTES IRON MONOMENT SET SCALE: 1 INCH ° 30 __FEET ' 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR =r926.5.'FEET p DENOTES WOOD STAKE ' PROPOSED LOWEST FLOOR = 923.6 FEET XO00.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATIDN = 926.8 £EET (000.0)DENOTES PROPOSED ELEVATZON DENOTES DIRECTION OF SURE'ACE DRAINAGE I hereby certify that this is a true and correct representation of a survey of the boundaries of: Lot 16, Block 3, " WEDGWOOD FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. And of the location of all buildings, if any, thereon, an~] al}'vi ible encroachments, if any, from or on said land. As surveyed by me this29*Pday of aQC~4 198? pppROVED £OR SIENNA SIGNED: JAMES R. HILL, INC- CORPORATION n HY: ~L vV/f.~ ROBERTS ARCHITEGTS . BY' ~ DATED THIS DAY OF Harold C. Peterson, Land Surveyor 198 Minn. LicenSe.NO: 12294 PROJECT NO. BOOK / PAGE JpMES R. HILL, INC. 81178 82277 41i42 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South , FoLnea Bbotnington, Mn. 55431 812-884-3029 . „i ~ I , Wothirttrips ~ A Guide ' Comtruction No. inmlation indowit . Doon (I Aefcren« ~ Out. wall InL WaN Ceiling Roof Floor I~ kind How Appiied ~To o 19- Fl:~ Raom Length Width }ieisht' Room Lengthl'-4'_0' Width U'F{eith[ indovn and Doors--Craekage snd Arca Windows and Doon--Crackage snd Area WIGtp Ho1[~t No.of Llnull4 F~u ~--WIGth 1I.19 et Ne.et Lle~altt. Arca ef panO ' a[ 9~n. Ilghb uf v~et p. fL N. of p.n. ot meO . 11alo Ot<reet s0. fl. ~ v~ ~ ~r . C«f. &u Coef. ~Ctd ~ afilmtien • ti= S~ (nLltration Glasr ip, wall Fsp. wall ~ . let e:p, wall " ~11• Nei esp. wall nt. wall Int. wall 1"-.` Flaar . . 7.R~: L1 'otal Btu. Iequited sq. (t. E.D.R. or sq. ins. W.A. Leader area Reymrcd sq. h. ED.R, or sq. ins. W.A. Leader area Fl. k_ RoomI LenqthWldth,,Neiqht Fl.I RuomlUneth ' Width\ k`r' Height;,t Windows and Doorr-Gackage and Ares Winduwe and Doors-rCrackage end Area WICIh Aelfht Ne. ef Un.J IL Ar.. W'lita~ IIe1Rtlt ~w ef Dar* o( 9ari. lithts ot craek M. R. No. e( Unul ft. Area ' ' . Ne. f 9~oe ef D~M IItp4 et er.eY q. ? . " ~ ~ ' ~ . . .'A1: ~ l l'!' J ~ . l .~V:'_ ._aA ~1 x C~ ~ ' ' ,,.a.i t . . y..~}L ~ Coef. Btu f. Eu n6lltatieu I ,F~~> In6lUatwn ' ~ :I.ss y Glass k ip. wsll Exp. wall let e:p. wall Net esp, wall nt. w~all Int. well Floer . . . , ' Floor Ceil. 1~ " ~~~5? 'dal Btu. Tola1 6tu.. 04 lequired sq. ft. E.D.R. or sq. int. W.A. Luder ares Required aq: ft: 6D.R. or p. ine. W.A. Leadcr area `u" Fl. ~)t•i Room I l.enqth Width "i ci'. Ekisht F7. q ` ~ . 2, 0,.; RoomlLengtL 1i. " Width 0' Neight4 Windaws snd Doon=Cnekage end Area Windowa and Doors-Crackage and A. Wldlh He1M~ Ye. of Lln~~l ft Are~ WId1~ NaIgEI . NP of Llnlal IL Art^ le.Otyan• ef9aw Bfht. afenek A.I6 - Na 0D.ne o[.D.n, IItTb eteraek p.tL Coef. Btu Coef. Btu cy?ti nFlUttiop . ~'n i lnfiltretion' ilan 1,> > Glass rsp. wall Exp. K•al: Vet exp. watl Net exp. wall sit. wall - ' Int. wall- - Flaor - Floor y, r ~til. \ l G V U Tohl B.u. r Total Stu. b Required a7, fA ED.R. or q. im. W.A. I.eader Sna• Reqaired sq..ft. E.D.R..or aq. iet. W.A. Leeder erea A w'e~th.rdrip~ " A Guide `G~ostruction No. - - f- Imalation V.'indows I Doon II Referena ~ at. w.n Int. WaN Ceiling Roof Floor ~ Kind How Applied '~F e- fo Y tio 19_ ~ , 171.1 ttt%,i v;~. Room LengthVGickh' Height Fl.1 Room Lene&:>>' Width~•-k' " Heivhty~'t''3' Wiodows snd Doors-Crackage end Arta Windowe and Doars-Lrackage end Mea w14:e w.unt no. of wiate 14.1ree t+o. oe ue..1n. w.e. Ne. of Dsne of Dan. Il.lu• of o~ct p. 11. Nn. of p~o~ of paea IlfsV of snek p. ~ `E 1~~'_ ~~C'~ l. C•.. L . (~~~`F ZZ i ' i : 4:> C«f. &n Coef, wu„ =4: lohlu~tioa • - ~ • ~ - ~InfJtratioe ~ . . A Glau hr:C~ Glau p O OACS Fap.waQ Exp.rrall ut_ Net exp. wall Net up. wall Int. wall • ` - bd. wefl (Y•-: 1 nt 1eF t ' uA ll l - t'ioo. F!r.o. ~ t52. z.. CeJ. ToWI Btu. t U Tdnl E3m. rJc Reduired eq. (t. E.D.R. or eq. ine: W.A. Leader erea Rcyuired sq. h. E.D.R. or tq. ini. W.A. Luder area F1.1 ~ t ~ Room Leagth i , Width' Heiqht Fl.I Room I l.ength Width HeiQht . : • , Windows and Doors-Craekage and Aree x ~ain N~i~n~ ne. ee L1n~a114 An~ Windowe and Doora-Craekage snd Area t+a eto.n. e[o.•. ueees efc..et .a.a winLn u.isei No.oe aI..nn. e... No. of poe M DaM Ilteb of naeM q. fl. , ~ . C«f. Btu - Coef. tu V 4 In6ltration InlilUatiun CJats Glaas • . , .lfi~ Fsp. wall ` Exp. wall Nee r3 . wap . } P Net e:p. wall int. wdl Int. wall Fl°°r . ' . Floor . ; Nj CeJ. 3S l40 ~ CeJ. TotalBm. r~~n Total Btu. Required sq. (t E.D.R. ot s. ins. W.A. L.eader aree 9 Required eq. ft. ED.R. or sq. int. W.A. Leader ane R- 1j,,aaATV Room I Lengch Width Hcig6t =';1p` Fl.i Rooml Length Width Hnight Windows and Doors-Craekage and Area Windowa and Doorf-Crackage and A. RYdth Height Yo. ot LlnIal [L wrw Wiutn Neltbt Na o[ Wneal tt. wn. Ne. efDan• efOan. 11[~b eleraek q.ft. No. oI D.ne ef~D~n~ .IIgTIs e! er.c? q. t4 ~ SI I f w.ffi~ :A~ CoeE. Btu Coef. Btn Infiltwtan Infiltration F r Glan Glass S~ Emp. vrall Fsp. n•aI: Net e:p. wall ' Net exp. wall Int. wdl lnt. wall Floor - Floar S,a CeJ. t.1~j L. 1i `2, Ceil. Totsl Btu. Total Btu. ReQuirrd i.l. ft. E.D.R. of p. im. WA. Leader area v__ ~_Reqeired sq. [t. E.D.R.,or sq. im. W.A. lAader erca _ :y' ~ -A 2006 R-ESIDENZ'TAI, BUILDINGPERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reauirements RemodeVReoair Reauirements 3 registered site surveys showing sq. ft. of lok sq. tt of house; and all roofed areas 2 copies of plan showinq footlngs, beams, joisls (20% maximum lot coverage allowed) i set of Energy CalculaGOns for heated addifions 2 copies of plan showing beam & vnndow sizes; poureB found design, etc. i site survey for additions 8 dedcs 1 set of Energy Calculafions Additlon -indicafe iioo-site septlc system 3 copies of Tree Preservafion Plan if lot platted aRer 7l1193 Rim Jo'st Detail Options seleclion sheet (buildings with 3 or less unds) Minnegasw mechanical ventilation fois , I1 W Date T / 2s' / Oj6 Construction Cost SiteAddress I ()OZ 1nfEl7GEW0017 L/aCI(E S UniUSte # Description of Work gEI~;I~Cl^ 4 w, rroows /r-t NdQ(Y?E wir'ra ComPcl rffN wf/d1QhLs Multi-Family Bidg _ YN Fireplace(s) _ 0_ 1 _ 2 Property Ownec ZpC f- OC-A ~4AI.Z Telephone # (6S1 G7 ~ . RENEWAL BY ANDERSEN Cootractor 1920 COiJNTY RD. "C" WEST Address ROSEVILLE, MN 55119 C't3' ~ 5tate 651-264-4777 _ Telephone # ( ) LICENSE #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet submission type) Submitted Submitted • Energy Envelope CalculaUOns Submitted In the last 12 monihs, has the City of Eagan issued a permit for a sirriilar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone J Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and aclmowledge that the information is compiete 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 perntit, 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. ~ Tim SCNt?dV', ~ S ApplicanYs Printed Name Applicant's Signature I PERMIT ~ CITY bF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 030164 (612) 681-4675 Date Issued: 0 6 j 0 3/ 9 7 SITE ADDRESS: 1002 WED6WOOD LAN[ S LOT: 16 BLOCK: ~ WEDGWOOD 1ST' P.I.N.: 10-63550-160-03 DESCRIPTION: REPLACE WINDOWS (2) 6#~31dzrtg'-.Permiti Type SF (MISC. ) . ~ua~lcla.nq W'b,rk Type AITERATION ' CensUS G0de 434 ALT. RESIDENTIAL ~ ~ 35s~ REMARKS: FEE SUMMARY: VALUATION $1,506 Base Fee $48.50 Surcharge $•75 Total Fee $49.25 CONTRACTOR: - Applicant - sr. LIC. OWNER: ~ REIVEWAL f3Y ANDERSEIV15717F316 2094063 WALZ JOE 700 BUEftKLE 1002 WEDGWOOD LFlNE S ~rWHITE BEAR LAKE MN 55110 EAGAN MN (612) 430-7255 (612)454-9786 I hereby acknbwledge that Z have read t12is applicatifln anc} state that the infortn'a'Ciora `ir er5~r'ec:t and aqi-ee tO cnmply w1tFt a11 app7.icob.le State 4sf Mn, Statutes anEi Cicy of Elagan Ot•dinances. APPIICANT/PERMITEESIGNATURE ~ ISSUL-D Y:SIGNATU E . . . 4.. - - 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) (O CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4875 ` New Constructfon Reaulromems RemodallReoair ReauiremaMa ? 3 rogbtered site sunreys ? 2 oopies af plan . . ? 2 mpies of plana (Indude beam 8 window saes; poured fid deaign; etc.) t 2 site surveys (exieriac additlons & dedcs) . . ? 1 energy calculatlona . 1 1 7 ? t energy ealwletlons for heated eddibona " . ? 3 copies W tree preeervatlon plan A lot platted after 711/93 . . - - . ' . . . , requ"ved: =Yes _ No . . ~ . . . DATE: 6' t- q-I CONSTRUCTION COST: DESCRIPTION OF WORK: 2~."`P«1CTTFJO 4JIr-(GO-(S /rJ ~-lamE w1ru PocL/F-7-iP4 stt4T 1^41i4(-W 5 STREETADDRESS: I D~Z W~c~06~.1"~OOD ~J.1c~E. Sl~' • LOT ~ BLOCK 3 SUBD./P.I.D. PROPERTY Name: Phone 454, OWNER Street Address: I OOZ ti..,(ttp(,~gy.(OOp C,A~1E. Sd _ City: E'~* f" State: (Y\r1 ZiP; S s( 23, coN'rRAC7oR Company: 12r"w~rcr~. 6Y Arlo~~1 • Phone StreetAddress:35o'134-0- A4 E FIE LicenseZ0040530, City: State: Yh'J Zip: S5143Z-, : ARCHITECT/ Company: ~ ~ A- Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new construction anly): . Penalty applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the informatian is correct and agree to comply with all applicable State of Minnesoha StaWtes and City of Eagan Ordinances. f^~- C^ ~ Signatu2 of Applicant ~ - - OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree PreservaUon Plan Received _ Yes _ No _ Not Required ~GITI7~OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 030090 (612) 681-4675 Date Issued: 0 5/ 3 0/ 9 7 SITE ADDRESS: 1002 WED6WOOD LANE S LOT: 16 SLOCK: 3 WEDGW000 1$T 10-83550-160-03 DESCRIPTION: & REF200F/SSDING, Bufld%rt4 Permit 7ype SF ADDITION Bpj].dlng tJ64,~tTYPe NEW COdc 434 ALT. RESTDENI'IAL T R / {n v S x Y _ J M 1 M ~ i+ ~i Ci ~ ) ~ ~y ~ ,~i'~ '_lf/ ~ ~ ~ ,~-k~y A ~ .~.v3 REMARKS: FEE SUMMARY: vaLuArzoiv 5.65,000 6ase Fee $668.50 Plan Review $434.53 Sut-charge $32.50 . Total f=Ee $1,135.53 j C NTRACTOR: - applicant - ST. Lzc. OWNER: HO~flN HOP1E BLDRS 14355854 0009416 WALZ JOE 16 25 OAK SHORE DR iemz WEfJGWOQO LANE 5 LA EVILLE MN 55044 EAGAN mN (612) 435-5854 (612)454-9786 I heraby` act€ntawiedge thertt xffaue read titzs app].5Cat1o41 44i4 sCate ttrat ths information i~ corrBCt and agree to Comply w3;th a11 applicobls State of P9n. StatUtes and Git.y ufi Eag,an 4rdinances. L _ APPLICANT/PERMITEE IGNATU I SUED B: SI A7UR k_ , 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) T0 , CITYOFEAGAN 3830 PILOT KNOB RD - 55122 681-4675 Naw Construction ReaviremeMa RemodeUReoair ReauiremeMS ? 3 registered site surveys ? 2 copiea W plan ? 2 copies M pWns pndude beam 6 window sizes: poured fid. tleaign; eta) ? 2 afte suneys (exterior additions 8 dedcs) 171v ? 7 energy oelculatiorn ? 1 enerpy calculations Mr heated additiona ? 3 coples of tree preaervffifon plan B bt pletled aRer 7/7/93 requhed: _Yes _ No DATE: ./?9srY 20 l997' CONSTRUCTION COST: DESCRIPTION OF WORK: - ~di 7~ UA-) `T~ 11,I6 14S L ~F •Qoo~~ 12E- ~ ~dE STREET ADDRESS: 1. A ac 5o-,-''/ L T BLOCK SUBD./P.I.D. Wf-L~u'oo c~ FkaST .4ulc1l7I 0n1 PROPERTY Name: 1,?aL z - ~Tv~ e Z) E6.eA Phone 45;4 - 2'786 OWNER Street Address: -1oo z wCdGeuoAC/ 1d.,JC So. Ciry: EI3r ~?.J State: MA). Zip: CONTRACTOR Company: jAoCF+n) ~ome ;3u, Cc/FAs' s cPhone#: -48S'%5ts~! ?j1(>f-~- &I G I - 0 77z ' Street Address: I(Oo2cT o AI< SUoac a7,z License #:--49/b Clty:kA\<4 J, lC.c State: M.U . Zip: 6-41 ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): . Penalty appiies when address change and lot change are requested once permft is issued. I hereby acknowledge that I have read this application and state that the infortneGon is cortect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant - OFFICE USE ONLY CertiScates of Survey Received _ Yes _ No RECEIVED Tree PreservaGon Plan Received _ Yes _ No _ Not Required riAY 2 0 1997 BY: ~i - OFFICE USE ONLY , BUILDING PERMIT TYPE - 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish ? 02 SF Dweiling n 07 4-plex a 12 Muiti Repair/Rem. 0 17 Swim Pool X 03 SF Addition o 08 8-plex n 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE n 31 New ? 33 Alterations o 36 Move ,X 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) yj 1 Basement sq. ft. 910 MC/WS System r (Ailowable) O Main level sq. ft. 92b City Water UBC Occupancy ~ sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length Zz sq. ft. Census Code. ~ Depth 34, Footprint sq. ft. SAC Code Census Bidg Census Unit APPROVALS Ptanning Building ~ Engineering Van'~an^ce Permit Fee Valuation: $ (mTOo Surcharge Pian Review License MCNVS SAC r /n City SAC qz?j K Stf = L/'7 ~~7[Z Water Conn. ~ Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. qSYX I S= .3I0,04 Road Unit ~ Park Ded. Trails Ded. Other / Copies Totai: °h SAC SAC Units ~ rc l.111CdLP. o survey Fpr Ifcxaan fkmne RUildera 169/3 1197313 ]lddrr.ea: 1002 wectqewooa taw South DELMAR H. 8CHWANZ LA"e wnnvero. iua. IINNw*/ UnM Lw~ N TM e4M N MwwM~ tlfdQ SOUTM AG96RT 7NA{L ROliMOUNT, MtNNE80TA 86G!! 612/I23-17e9 4 ~ SURVEYDR'8 CEqTIFIpAtC WE~~1TQ~` L-ANL~'i [IV T' / S£39'55'07"W H5, 16 , ~ . w...»......... . r.... ~ o . •p u J I ` ~0 d~' O =~.jct_F. 1 TMCH \ \ $ 19v' FfGT i9~ pppa . 0 . Tr.(;td rIf E r+oauM[Nr U I 'Z/~~'\ \ I ~ w EXISTING w li0l1SF u ~ a \ v - U) I PRUpUS£0 AODI'CIU " ~I 30 Fnn'r 5FTDACK LINE OAAINAGE & U'fTLI'(Y FASFMEN'f5 . ~ ' S89'55'07"W 142.55 Propexiy I7escriptien: Lot 16, Dlock 3,4VIDGWOOD FiRST ADUITION, ecaondiny tu the roeoxtiied plat lhereo£, Dakota County, MinnEaota. A18o stwwing the locetion of an exisiitx) hane and a proposcd addition. t,«.,a:nun,n,rn r t: ~:5~ny w ~ s:. r:! v. i nfr*by anily Ohal tMs sumay, Ms ka nooN was Pnpsr.deym.orunoK r,qmreeeaamaenend ~i Iri'Ltv9Ali hl.\ ~ / lntl 1 am 9 duly ppblood LwM Cyw"q unMn ;:,+.;f ;~rti~ANl. ' tn. nw. wtn. a.a wMkm"m.. ,'i.... ~il/y( ~.R'. DMllyt H. d01XNMt DM~O Q4-26-97 MMnN0U IIylNnlloh No. lE76 APR-02-97 WED 04;57 PM SHAW LUMBER CO FAS N0, 4889779 P,01/02 CITY OF LRKEVILLE 7EL!1-612-985-4499 Jurt 04 96 I3:07 No.027 P.02 Sx7MOR 8NY8I.OP6 1 d, 2 FAMTL.Y RESIDBNTlAL "COOIf8001C' luETflOD $ADDRSSS: /oa x g~~Z40erry: 97 Minimum Ceilml~; Root m' p,~ C=--a ~ ~ wdb mss= Rim Jatsl: R-19 inaulallOn lowdotlam Wladoa'~ b~sniated Siles, )/2" air spea. w+ood ot vW lkama Bnf : l /4 w th amtm a boor . $TEP 1 Wlndpw & poor,tiq 878P 3 Dcf*e Futafp Totnl wlndOw & naor arra m aq. Feet WIDIDOWS (iD"inS 1bunQstion windexs): ASSBMBLY aPI7DN Oimene(mu Qnty. Aroi? FRAMB WALIr x BTANAARD FRAMR~d R 2 I X "-Y" ~'X X AbVANCEp PAA1V{IN(; X CAVl7'YAISULATION R ~I b00RS: SHEATHINC: ~ LESS THAN R-S ~ R-3 OR MOTtk Totol wta of WAIDOWS (ex~epl found~Uon wlndawr): W~dow 8 Doors 3~• 31 A l7 FAC7'OR ' , 37 Total Wa1t Arca ia Sq. Ft WeJl7otalFetlOMer He(yu Ana FromtheLbbk dde[nJuctLcmacimum D'=+~nt win40w dG dOW . iN'p fOf 1116 dedg{t qdOdB 6WOdEd sAQ lattr t21C VBEW iit bp7t b bL$OM: Totat arw ,l G 3z e 19. 9 D of w+p Slep 3 "1en1Me umu t pcnwef s+ll ^ 8ox A(wiadow 14 dow area) di bY 8Cx 8 ffotai wall ara) dmer 10o equalc the wiadow YM dow area u a peroeet otwall u Hvx C must be tas than a ea (8aac C). equaI to Baa D B9E_A_ % 10on Eoxe ~G3'z • ~O ~ V . . . $ . ~ ~ a r,, 3 CITY USE ONLY L BL RECEIPT~#: SUBD. 2MfdAAA,&~ RECEIPT D`ATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB.RD ~ EAGAN, MN 55122 (612) 681-4675 Please complete for: . single family dweilings ~ townhomes and condos when permits: are required for.-each. unit . ~ backflow preventer for underground sprinkler systgm FiXTLIRES EAGH 1d9 . TOTAL Shower 3.00 x = Water Closet 3.00 x ' Bath Tub 3.00 x ~ Lavatory 300 x - - Kitchen Sink 3.00 x . _ ' Laundry Tray 3;00 x = Hot Tub/Spa 3:00 x Water Heater 3:00 xr Floor Drain 3.00 z 1. - Gas Piping Outlet ' minimum - t • 3:00 x. - Rough Openings 1.50 x = Water Softener ' for dwellings under consWdion 5.00 x = Water Softener `for existing dwelling 20.00 U.G.Sprinkler 'fordwellingunderconst. 3.00 s= ` U.G. Sprinklef * for existing dwelling 20.00 AItEf2t10A5 'toexistingresidance 20.00: . . - _ ' . Water Turn Around 20.00 Private Disposal System ' Dak cti nc. 75.00 _ (new and refurbished sgstems) - - Private Disposal Systems ' anandonment 20i00 5TATE SURCHARGE ' ~j~ .5~0~ TOTAL ra , _i_ • I hereby ecknowledge that I have read thia epplicatlon, state that the infortnation isconect endagree to eomPN~W-fth all applicable Ciry oT Eagan oNinances. tt is the applicenPs responsibility to notlry lhe property owner tAat the~cjtyot Eagan°essumesYno Iiebiliry Tor any, .'damages caused by the Cily during its nortnal operetlonal and maintenance ecdvitles;to fhe faalities consWded,underdhispertnR,win - -.City property/right-of-way/easement. . ; - SiTE ADDRESS: /00? G~~'~c, rvo.~J ~r<r a f. OWNER NAME: ~J / INSTALLER NAME: /~/Y.GfTsr. trvC/P-' TELEPHOfJE # Gtrt~7 a 6-11 1~ STREETADDRESS: CITY: STATE: /4 SIGNATURE OF PERMITTEE 4 ~ ~ PUBLIC HEARING NOTICE CITY OF EAGAN ~ TQ. Property owners within 350' of 1002 Wedgwood Lane So. APPLICANT: Joseph and Deborah Walz REQUEST: To allow a 6.5 foot variance to the required 30 foot building setback along a public street (Wedgwood Drive) for an addition to the home. LOCATION/LEGAL DESCRIPTION: 1002 Wedgwo_od_Lane So. =~LoE:16,°Bio'ck 3, Wedgwood First Addition located _ _ east of Lexington Ave. and south of Wildemess Run Road in the SW 1/4 of Section 26. TIME OF HEARING: City Council Meeting: May 19, 1997 at 6:30 pm, City Hall Council Chambers, 3830 Pilot Knob Rd PLACE OF HEARING: City Hall Council Chambers, 3830 Pilot Knob Road HOW TO PARTICIPATE: 1. You may attend hearing and testity. 2. You may send a letter before the hearing to the Community Development Department, 3830 Pilot Knob Road, Eagan, MN 55122 or fax to 681-4694 ANY QUESTIONS: Call the Community Development Department at 681-4685 or Steve Dorgan, the Project Planner at 681-4690 with the following information: CASE 26- V-05-05-97 DEVELOPMENT NAME: Wedgwood First Addition CITY OF EAGAN E.J. Van Overbeke - Clty Clerk The City of Eagan is committed to the policy that all persons have equal access to its programs, services, activities, facilities and employment without regard to race, color, creed, religion, national origin, sex, disability, age, seacual orientation, marital status or status with regard to public assistance. Auxillary aids for persons with disabilities will be provided upon advance notice of at least 96 hours. If a ' notice of less than 96 hours is received, the City of Eagan will attempt to provide such aid. Mailing Date: Monday, May 05, 199'7 - See tYlap on Reverse Slde - City of E.agan Community Development Departrrent - May 2, 1997 , Cayo{Eagao Locati on Map ~ W~~derneSs RUn RII)Iad o 0° ` 3 a~ f, . Sub'ect Site ~ ~ 0 Variance Joseph and Deborah Walz 200 o 200 aoo Feet Case No. 26-W-050597 ~ ~ N �r wJ .M t '' A �. i.. ''' ' ' I ti-� i . ,I(Tllilifi . " ' � 1� DATE: 3/ 7,',.1 ' I Zc+in' _ ' FBI No. fnitst . 3 ' gt . � ss��� Sunshine C onstruet o i.on ', Atizirss 1012 Wedgwood. Tzi. So L16 B3 Weds roor', I pl um b er: same 420.00 pd Meter No.: Connection Charge: Size: Account Deposit: 10.00 d �, Reader No.: Permit Fee: p ( agree to comply with the City of Eagan Stircharge: 60. - 00 pd mete Ordinances. Misc. Charges: / / Total: By ,,�pirg - ■ Date Paid: Date of I nsp.: / /�©� - Insp.: SEWER SERMICE PERMIT CITY OF EAGAN , ----------- 3795 144knob Rood PERMIT NO.: 5623 Roarin /04$1 55122 DATE: I/7/S3 Zoning: PI No. of Units: 1 owrIet: Surt!ne Construriov 41 Address: Site Address: 100TW;d:w So L16 B Wedgwood 1 z , Plumber: 4ame 1/6/83 31f < 125 , 100.00 pd 1 agree to comply with the CEagan Conn n Chafegelc e. 4' 5_„ nO pd Ordinances. "" Acc5nt Deposit: • \ P fnit Fee: 10 _ 00 /Id rcharge: _ SO rel By — / 11101 ■ _ 4 / Misc. Charges: • Date pf •-.. 1 1....1111Finfrar Total: Insp.: -- – AIMAIr Do e Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA122800 Date Issued:05/20/2014 Permit Category:ePermit Site Address: 1002 Wedgwood Lane S Lot:016 Block: 003 Addition: Wedgewood 1st PID:10-83550-03-160 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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 by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joseph Walz 1002 Wedgwood Lane S Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (130) 651-2644 X777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA125815 Date Issued:08/05/2014 Permit Category:ePermit Site Address: 1002 Wedgwood Lane S Lot:016 Block: 003 Addition: Wedgewood 1st PID:10-83550-03-160 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 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 - Joseph Walz 1002 Wedgwood Lane S Eagan MN 55123 (612) 203-6103 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA157919 Date Issued:09/16/2019 Permit Category:ePermit Site Address: 1002 Wedgwood Lane S Lot:016 Block: 003 Addition: Wedgewood 1st PID:10-83550-03-160 Use: Description: Sub Type:Fireplace Work Type:Wood Burning Fireplace 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 - Colin E Robertson 1002 Wedgwood Lane S Eagan MN 55123 2nd Generation Chimneys Inc 18730 Buchanan St NE Cedar MN 55011 (763) 772-0815 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165798 Date Issued:11/19/2020 Permit Category:ePermit Site Address: 1002 Wedgwood Lane S Lot:016 Block: 003 Addition: Wedgewood 1st PID:10-83550-03-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Colin E & Katherine E Robertson 1002 Wedgwood Ln S Eagan MN 55123 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166500 Date Issued:01/14/2021 Permit Category:ePermit Site Address: 1002 Wedgwood Lane S Lot:016 Block: 003 Addition: Wedgewood 1st PID:10-83550-03-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Colin E & Katherine E Robertson 1002 Wedgwood Ln S Eagan MN 55123 (952) 297-6533 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (763) 476-1990 Applicant/Permitee: Signature Issued By: Signature