1004 Wedgwood Lane S cirr oF E?GAN
3795 Pliot KnoO Reod Eegen, MN 55122
PHONEs 451-8100
BUILDING PERMIT Receipt
To be uaad for Est. Value Dore , 19
S+te Address Erect ? Occuponq
Lot Block Sec/5ub. Alter p Zoning
porcel Repair ~ Flre Zona
Enlarqe ? Type of Const.
19 W NQm " Move ? ~k Stories
; Address Demolish ? Length
~
Ci Phone Grade ? Depth Sq. Ft.
~ Approrals - Fees
Name
u~0 Nddress Assessment Permit
r Woter & Sew. Surchorge
G~ Police Plan check
FW NOn'1° Fire SAC
~z Address Er?p. Woter Conn.
~ W Ci phane Plonner Woter Meter
Council Rood Unit
I hereby acknowledge thct I have reod this application ond state that gldg. Off.
the information is wrrect ond agree to camply with all opplicable
State of Minnesoto Stotutes ond City of Eogon Ordinonces. APC Totol
Signature of Permittee
~
A Building Permit is issued to: on the express condition tfiwr
all work shall be done in accordance with oll epplicoble Stote of Minnesatn Statutes and Ciry of Ea9on Qrdinances.
Buildinp afflciol
Permit No. Permit Hoider Mise. Permit No. Holder
Plumbing ,,)-D b C9?-WJQ
H.V.A.C. -t3
Well
Water
Disp.
5ewar
elect.ic Wa 43 ~~Z~~ (-7-53 CL4~rti '
~osq 3~l Y ! ~ •c Z-3 -?S3 Inspection Date Insp. Other
D~
4Plbg.
,
Rouph HVAC
Inwlatfon
Final Plbp. 73, ~
Final HVAC
Final
Water Describe Location: '
Well
I
Sewer
Pr. Dbp.
CITY OF EAGAN ~t 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 `Y 125~7
" - /
BUILDING PERMIT PHONE: 454-8100 Receipt # !
To be ussd fo? DECK Est. value $3,200 Date SEPT0413Lrt $ 19 86
Site Address 1 004 WEDGWOOD LN SU Erect 19C Occupancy
Lot_~~ Block Sec/Sub. W~%~'4-dUUJ 1S~i' Remodel ? Zonina
Parcel No. Repair ? Type of Const.
Addition ? No. Stories
W N e Xh'~Jli~ :•lOLINE Move ? Length 14
3 Ad s Demolish ? Oepth 9
o Int Impr. ? Sq. Ft
City Phone 454-0933 Install ?
~ o Name 5AN « APProvah Fe"
i Address Assessment Permit 4•~ ~
~ City Phone Water & Sew. Suroharge
~ ~ Police Plan Review
F = Name Fire SAC
Address Eng. Water Conn.
i W City Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and stetethatthe gldg. Off. 9/a/86 Tf. PI.
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Fagan O ina e. APC Parks
Signature o( Permittee Llc, (i[-C.Q Var. Date Copie
Total ~
A Building Permit is issued to: KE-V f N ~1101.I ; J c; on the express conditlon that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
PemM1 Na PermR HWdkr Di" Telaphom #
PlumMny
H.Y./1.C.
ElacMc
Soltener
Inapectlon Dab Insp. Comments
Foodnya l
Footinys 11
Foundatbn
Framiny
Rooflnp
Rouyh Plby.
Rouph Htp. 11
Imul.
Flroplses
F{nal Nty.
F{nal Plbp.
&d9. Final - ~ 47 7 zf- /?6 o n `lv.v~ ~
Cart. Occ.
,Deck Ftp.
Deck F?mp.
WNI
Pr. Disp.
CITY OF EAGAN Remarks
Addition WEDGWOOD lst ADDN. Loc 1S Bik 3 Parcel 10-83550-150-03
{lwner Street 1004 Wedgwood Lane South 5tate EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. Sgy- 1981 58.69 2.93 20 4. 0 A012227 -8
STREET RESTOR.
GRADING 1981 186.48 12.43 15 149.19 A01222 -23-83
Sewer Lateral 1981 313.16 20.88 15 250.55 " "
SANSEW TRUNK 1981 198.50 13.23 15 1 8.81 n 't
SEWERLATERAL gf~ 1981 197.54 9.87 20 16T.93 it It
Sewer Lateral 6 1982 133.17 8.87 15 n5.43 A012233 "
WATERMAIN
WATER LATEFALTrk 19$1 262.1$ 17.4$ 15 QQ . A01222 -2 -8
WATER AREA Sli) 1981 198.50 13.23 15 158.81 " "
*Water Lateral (Rq 1982 98.57 6.57 15 8.4 A012233 -2 -8
STORM 5EW TRK
STORM SEW LAT
*Powerline Relocatio 1982 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 420.00 BUILDING PER. 790
tt
SAC 25.00
PARK
INSPECTION REC;URD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ~A il (N r• f
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: APPLICANT:
(ANF SY lih.l~~~
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
:i (~:ii'i~ • I 1-! F.~i<1! lii1~ ; ~ i Ilill~~,i ,l;~ .1,l1~~!
~ J
Parmit Haae. Dats Teiepnone s
SEWER/
WATER
PLUMBING
HVAC
Inspectlon Dete Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCTwirv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ~ i•
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
~ ~ III I, .i ~I-IF I r?r+E N( i, t 10
i„ss7l
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION DA • DA
~ ~
permit No. Permit Holder Dats Telephone #
SM!
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapectbn Dete Insp. Comments
Footings 1
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Tes1
Finel P16g. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bidg. Finsl
Deck Ftg.
DeCk Finei
Well
Pr. Disp.
~
Receipt q = ' - PLUMBING PERMIT Permit No. CITY OF EAGAN Fee
~ FiII in numbered spaces S/C •
Type or Prirri /egibly ToL
1. Date 2. Installation Cost
'
3. Job Address
Lot Blk. Tract
4. Owner /
5. Contractor Phone
6. Address
7. City i~ ~State Zip
8. Building Type: Residential Q~ Commercial ? Institutional ?
9. Work Description: New L$" Add 11 Alter ? Repair O
10. Oescri be
11. No. Fixtures No. Fixtures
Water Closet Cesspoal/Drainfield
8ath tubs Septic Tank
~ Lavatory Softner
~ Shower
weii
Kitchen Sink
Urinal/Bidet Other.
~ Laundry Tray
~ Floor Drains '
Drinkiny Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : I " - Pl -
- for
Rouph F Inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt•f-' MECHANICAL PERMIT Permit No. `
CITY OF EAGAN
Fee ~
frll rn numbered spaces S/C
Type or Print legibty Tat. _
1. Date 2. Installation Cost
, 3. Job Address ~''fEo6W~~~~ Lot I Bik. ~ Tract
4. Owner
5. Contractor Phone
6. Address
:
7. City - r•' , , ~ State Zip . V
8. Building Type: Residential E~ Commercial ? Institutional ?
9. Work Description: New TI Add ? Alter ? Repair ?
10. Describe Fuel Type
11. No. Equinment STU - M. Ea. No. Equipment CFM
- Forced Air Air Handling:
Mtg,
Boilers Mech, Exhaust
Mfg.
Unit Heater
Mfg. Other
~ Air Cand.
Mfg.
~ 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 : r for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
CITY OF EAGAN
- 12587
a a 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121Np
PHONE: 454-6100
BUILDING PERMIT Receipip
7obeuaedlor DECK Est.value $3,200 pate SEPTEMBER 8 19 86
SiteAddress 1004 WEDGWOOD LN SO Ered 4X Occupancy
Lot 15 siock 3 SeGSub. WEDGWOOD 15T aemodei ? zanin9
Parcel No. Repair ? Type of Const
Addition 11 No. Stories
w Name KEVIN MOLINE Move ? Length 14
Demolish ? Depth? n
o Address SME Int. Impr. ? Sq. Ft.
Ciry Phone 454-0933 Install ?
¢
o Name Sj1ME APProvals Fees $a address Assessment Permit $44.50
~ City Phone Water R Sew. Surcharge 2.00
~ a Police Plan Review
_ = Name Fire SAC
~ i address Eng. Water Conn.
a W City Phone Planner Water Meter
Council Road Unit
Ihere6yacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Off. 9/8/86 Tf. PI.
information is correct and agr to comply with all applicable State of
Minnesota Statutes and Cityagan i APC Parks
Var. Date Copies~
Signature of Permittee . Total +~4 b 7U
A Building Permit is issued to: K N MOL INE on the express condition that
all work shall be done in accordance with all applica of nesot Sta es a d Ciry of Eagan Ordinances.
Building Ofiicial ---r
CITY OF EAGAN
7793 Pilet Knob Raad Eogoe, MN 53122 NO 7750
° PHONE; 454-8100
BUILDING PERMIT Receipt # ~c.
To M wad fer SF DWG/6AR Est. Volue $68.000 Dote .78nnnrv E 1 q--m
Site Address 1004Wodgmnod TA++E' -r`^-'Ith Erect M Occupancy R-3
Lot 15_ Blxk 3 Sec/Su6. WedfSwOOd lBt Alter ? Zoning x-1
Porcel # lU 93550 1SU 03 Repoir ? Fire Zone _ NA
Enlarge ? Type of Canst. 0
m Neme Snnshine Construetion Go. nnova o 7k swrie:
W
; Address 1507 C1amBOII Ct. oemolish ? Length_4tfL
U c; Eauan 55122 Phone 454-7485 crode ? Depth--4&-5q. Ft.-
p Nome Oilillller Approvals Fees
O
o~ Addreu Assessn+enr Perrnu 337.00
u
~ Cit Phone Water 8 Sew. Surchorge 34.50
Police Plan check168.S0
~w Nome Fire SAC 525.00
Addreaa Eng. Water Conr420•00
<W Q Phone Plonner WaterMeter60•00
Council Road Unit 240.00
I hereby ackrawtedge that I have read this opplicotion and state that BId9• Off.
fhe informotion is wrrecf ond ogree to wmply with all applicable APC Totol $1~85.~
Sfate of Minnewlo Stotutes and City of Eagan Ordinances.
Siprwture of Pertnittea .
A Bullding Permil Is issued ta: S111t8I11 E COII8CT0 t30II CO. ~ the express conditlon thm
oll work sholl 6e done in accordaoce with nllr icoble mte , in o Stotutgs ond City of Eagan Ordlnances.
Buildirq Officiol
~ ~ f~'U yyyo ~
HCAUSE HEATING TEST RECORD
ACORESS /V ~ ' APT.-FLOOR-GTY SUBURB~
OCCUPAN7 ;edt ~0. OWNER -L~
HEAT LOSS ATE HTG. INST
SCLD BY 4' IN57ALLED BY
Elsctrical Wark By Gas Line 8y S'¢- M' 1~1
TYPE OF FiEAT GA FA -,Z-HW _STEAM _SAACE HTR. -l1NIT HTR. -OTHER
GAS DESIGN , CONVERSION
MAKE 't MAKE OF BURNER
Mod.l U ~ °2 Abdel
s~„i ~ x5 z' Y 05 D Max. aru aa,i.n
INPUT MAKE OF FURNACE
Mod•I
CONTROLS ~
TMER~405TA ~W Tg(~O tiwt Ptuy Ywt Sta~
Yalw ,„Ip KSt1D OF LSKCR o~ S1ZE VOKp
~tGt~, uw
LwS or _ Otaff HYOd v ^II~
umu S.atoy t 7o Fik.rs
Fm Sunm4 lt OhImo.y t.x.wtaw 3~td.5 g~G+s.td.
ellot Tyw Co°wmct!°°
Pibt llokw
Pita Yod.t ~ Wws*
' paft T~st Taa
P'3ut T{min4
L.Y. CW Ofi " r Daar Pruwt~~~~LiQAtWQ LW.
Proswn 3•S Puwt CA Da» T~at~d - 467 _D
Lpip M o P~rwt02~3~
Smclc Tomp. 30`{ Axaat G G° Nu~ of T~sw
F. 71S
pF FAGAN Include 2 sets of plans,
~T 1 site plan w/elevations &
BUIIDING PE13ET APPLICATICN 1 set of energy calculations.
7.b Be Used ForMs,~.~~...~~ va,~tuatio~ (n8odd Dare
Site PdclreSS do'~ pFFICE USE OP3I,Y
Iot Ir alocac 3 sec./sub. Erect x occupancy
Paroel 156 o_?D Alter Zoning
p gepair Fire Zone
Owiier: ~a.....~-4',.. ~~b+~~-~~,•-..~~ Ls- Enlar4e _ Zype of Const.
Nbve # Stories
Addxess: /5a7 - L~~•-µ - Darolish Front (P__ fte
City/Zip Code: 531 2'4-- Grade Depth ~ ft.
, Phone `I-7YRS APPRO~IAI.S ~'S
Contractor• c~,w.a c~.J Assessients Permit 3_3
~ i4ater/Sewer Surcharye 3
Address: Police Plan Check / leR' ~
City/Zip Code: " Fire SAC ~~5~
Water Conn. O
Phone ~ Water Meter ~
A ~~-ffm ROdCl UIllt. ~~,,~fQ °
Px'ch./Eng.: p,,. '~r Aa"-„, ~-OURCll
' Bldg. Off• '
Addrnss: /ooo APc
City/Zip Code:
Phcne y3 ~-zo yy MrAL
F+, l+ s-~3
030, i
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings &[ownhomes/condos when permits aze required for cach unit
Date 0 & / / *5 / 0 5~
;tk Unit #
Site Addresszvo T` s,
PropertyOwner Telephone#((o5~) 7/a~
Contractor r3~?`-t--
Street Address 16 50 City t,.-,
~t~ ys~
State Zip "3~7 Telephone# ~~Z a ) d O
Bond Eapires:
T6e AppGcant is _ Owner ~ Conhac[or _ Other
Add-on or alteration to eaisting dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
~ air conditioner _New _Replacement
other
State Surcharge $ 50
Total $ n Q: ~
I bereby apply for a Residential Mechanical Pemilt and acknowledge that the information is complete and accurate; tha[ the work will
be in conformance with ihc ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pemnt, but only an application for a permi[, 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 wtuch requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature 1
S i C
JUN I 4 2005
L.
~y-
,~,~y..~~
V2~004 RESID~ BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWdionReauiremenis RemodeVReoairReauirements
3 re9islered sile surveys showing sq. N. of lot, sq. ft of house; and all rookd areas 2 wpies of plan
(20% mazimum bt coverage allowed) 7 set of Energy Cakulations for heated addiGOns
2 copies of plan showing beam & window sizes; poured (ound design, etc. 1 site survey for addiUons & decks
1 set of Energy Calculations Add'N'on-indkate'rfon-sitesep8csystem
3 copies of 7ree Preservatlon Plan if lot platled afler 711193 .
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date -61L / ~ / V~ Construction Cost 2Yg(7od'"'
Site Address Zdnq
- -fy' -fd/Y~l7Y O h ~O UniUSte # ^
LV'P W DOG~ L0.n 2 J.
Description of Work 1~~ ~rA p~$ y`L~~~ (I(~/ YlS2Y~ ?'Ltf't tZ C 1/h N
Multi-Family Bldg _ Y)C N Fireplace(s) _ 0 lf'1 _ 2
Property Owner P(]~± 0 I ,i (~,1 z, Telephone k 95~ `7S7 ~ /~~J
Contractor lO P s j 0 - ff p ~ ~jk % 110 M 0-
Address,~y~ City ~Gf /^{a SU
State T7 ( NJ _ ~ Zip ~S 3~ 7 Telephone q(q52) CCY1~I~'-~J~S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residen6al Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelopa Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ O I~c~~~p~n
fee applies.
FEB 2 2 2005
Licensed Plumber Telephone # (
Mechanical Contractor V`LC~41L al eG(rf~ i'")70LH P Telephone #(95
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 permit, but only an application for a pernut, 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.
/ i l 9
PA,fJt'd ~SI<I
Applicant's Printed Name ApphcanYs Sign •e
S~~g~ ~is sc~
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date ~
, Site Address ~ a=2ux;IXY~-$~ Gt> ~j Unit #
Property Owner a~--Telephone #~7)
Contractor 72~~
Address City
State Zip ~ Telephone #
The Applicant is _ Owner Contracror _ Other
Septic System New _ Refur6ished Submit 2 sets ot plans and MPC license $ 100.00
Includes County fee. Additional consukant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fiutures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5/8" meter if needed -$121.OO)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener 97~vater heater $ 15.00
,,~eplacement _ additlonal _
n--~FE-r? fl ,'1 . 1
~u
state surcharge i ~ JUN 1 3 Znn~ I$ .50
i
Tora~ By~- $
I hereby apply for a Residential Plumbing Pemut and acknowledge dhat the information is complete and accurate; that the work will
be in confonnance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an applicauon for a pernrit, and work is not to start ' %t; hat e- w c will be in accordance with the
approved plan in the case of work which requires a review and approval o
Applicant's Printed Name ignature
SURVEYOR'S, CERTIFICATE5IEM~a COFTOPATION
WEDGWOOD m LANE m SOUTH
X920.7r•C• X9P8,4T.G. X926.0 T.C.
930.6X S 89°55'07~~W 75.00 X9Ya.e ~
- -
l~Y ' o . -
' \ .
~1 1) _ . ' _ ~ ~ O 1
r
W
' O r+~;n Q''' S-, ~ b
4 'a3" <
N 5 ~5
,
.(r.,•~q~'-,, 1829.31 ~X927.32
_ 930.26X
k, 24.00~~
GA R. v zsze a~~
.00 1(829.31 m
h m 40 X9PB.3I ~
14.00
~
PROOS ED
W il HOUSE `O
N I ~
m 46.00 J9_O0~ Ln
k 923:0 X928.0
~ Otr4 ( 9Y6.8I 182661 - I a O l .
o_
. (r1 V ~I• $ Ip O ~
LOT 15 1a) -J
' I
5 ~DRAINAGE & UTILITY IS
1 ~ EASEMENT PER PLAT~~
~ L---------~ ~
~ -X
X 9/ReX S 89055'07"W 75.00 ""B.~
REV. 12-30-82 FOR SUNSHITdE W~RE fENCE ON LINE
CONSTRUCTION CO- TO SHOW
PROPOSED HOUSE, AS STAKED,
AND EXISiING ELEVATIONS. 0 pEPIOTES IRON MONUMENT SET SCALE: 1 INCH = SO FEET
~ DENOTES IRON MONUMENT FOUND PROP0.5ED GARAGE FIAOR 929•5 FEET
El DENOTES WOOD STAKE ' PROPOSED IAWEST FrAOx = 926.6 FEET
XO00.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION = 929•8 FEET
(000.0)DENOTES PROPOSED ELEVATION
.t- DENOTES DIRECTION OF SURFACE DRAIt7AGE I hereby certify that this is a true and correct representaEion of a survey of the
boundaries of:
Lot 15, Block 3, ' WEDGWOOD FIRST ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
And of the location of all buildings, if any, thereon, and all vigi,pleeacroai Bz ts,
if any, from or.on said land. As surveyed by me this ~*Pday of ~A'
APPROVED FOR SZENNA SIGNED: JAMES R. HILL, INC.
CORPORATION
~ -
BY: I
ROBEATS ARiCHITEGTS _ BY=
DATED THIS DAY OF Harold C. Peterson, Land Surveyor
198_ Minn. Licen5e.No: 12294
PROJECT NO. 600K / PAGE JqMES R. HILL, INC.
81178 82276
91/40 Planners / Engineers / Surveyors
FILE NO. 8200 Hum6oldt Avenue South
For.nEx. Bbomington, Mn. 55431 812-884-3029
t.
-Sl~ PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: 6 u z Lo z wG
Eagan, Minnesota 55123 Permit Number: 024412
(612) 681-4675 Date Issued: g g/z 2/g q
SITE ADDRESS:
1004 WEpGW000 LANE 3
LOT: 15 BLOCK: 3
WEOGW000
P.Z.N.: 10-83550-150-03
DESCRIPTION:
(Gas)
B,Filding'.Permit Type FIREPLACE
Build'ing Wo'c.k Type NEW
'
~
I, )
, 1
~ -
,
` f
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge .50
Total Fee $25.50
CONTRACTOR: - Appiicant - 5T. LIC. OWNER:
FZRESSpE CORNER INC 16331042 0001068 KANNENBERG 6ARY
2700 N FAIRVIEW 1004 WEDGWOOD LN
ROSEVZLLE MN 55113 EACrAN hIN 55123
(612) 633-1042 (612)452-3479
Z hereby aaknpwkedge that I have read thfs appiicatian and state Lhat the
' information is correct and agree to comply with all applicable State nf' Mn.
SCatutss end''City pf Eegan Ordinan-ces.
L J
Aac,R o~r~.? n,.1f
APpLICANT/PERMITEESIGNATURE 'ISSEDB SIG TUR
CI T1( OF EAGAN
1994 BUILDING PERMIT APPLICATION
JL441-1 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last warking day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address:~~r [.X__rjO~3 La"~ ~
STREET SUITE N i
Tenant Name: (commercial only)
LOT _M BLOCK h SUBD. tiP.I.D. #
ev~
Descri tion of work: ~ W "I" (,9i)= Q/nd The applicant is: ? Owner Contractor ? Other (Describe)
Name `e ~ Phone4-~~ -3
Property LasT FIRST
Owner Address ~ULYr W26ePa,Q~ \ Q_/h~
STREET STE #
c;ty stace YN•/T-~ z;P 5c~~)]a3
Company ~-tJ- L1D Phone 1933-iDI1Z (896-6"3~
Contractor Address a_-)C0 Tf-1r\,V.L'01~~License # \OLkF) Exp.
City -2~~Pl>>lL~ State 1'1-
Architect/ Zip
Company Phone
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant: •
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: D U r 1 01 N s
Eagan, Minnesota 55122-1897 Permit Number. 0 :3 40 6 7
(651) 681-4675 Date Issued: '.1:5 SITE ADDRESS:
147G1!I WCUEWODI7 LANE 5
LOT: 15 BIOCK: :3
weocwoon isr
P.I.N.: 30-83650-7.50-03
DESCRIPTION:
T-O. & REROOF
lr_jn C)perm;t TVp,2 STOFtd DAISA6F
?ii ldi nq !Ji rk Type REPASR
~s: ~~„i-, forl~• ~ 434 AI T. RESTflEN7IAl
i
J `
.
~
~ l a
~
~ ? , ~ , ` ` -
4 =
REMARKS:.
f.U. 3~ REIdC70F6F1CK POftCii, fi0U5F.. ANIl [iARAGV'
FEE SUMMARY:
CONTRACTOR: nppiicnnc STe L[c, OWNER:
S[LA ROfJF:CiVG & RL=i'40DElING 18238046 04701060 KAMyEN8ERG lULZANli
4100 FXCFL:iSOR BLVD . 1004 WEOGWOOU L,9i4tS
ST LOUIS PARI: mP; 55A16 EAGAN ,"4N 55123
l0i.',-2) 873-29116 fb511452--3775
l Lnr'rby .c;:-~i~b~lciclc? 1.h..Y. 1 O.iv- r~~d.f 'Y.:.:; ,il)p .o,'i In-i,-i_, 1 li'ti')'-, Lilt(i dui.c,; i'.n 1...r11 l~ i.- up 1)..•c. h.::r,i:`. :,'I ,•'t
5t:atuY.ee ~ndC}4.y i`r L~anun f7Fd:.n~~aeur..
L J
APPLICANT/PERMITEE SIGNA7URE I UEO BV: SIGNATURE ~
. . ~5
1986 BOILDING PERMIT APPLICATION - CITY OF BAGAN
AOTS: ALL CANTRACTOHS HOST BS LICENSBD WITH THS CITY OF BAGAN
SINGLS FAFIILY DWEI.LIIaGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY9 1 SET OF ENERGY CALCULATIONS
HOLTIPLS DHBLLIHGS - HBSIDENRI6L BENTAL QNIT3 FOH SALE ONZTS
INCLUDE 2 SETS OF PLANS, CEETIFICATE OF SQR9SY - CH6Cg iiITH BLDG. DSPT.,
1 SET pF SNERGY CALCULATIONS
COMIl+IERCIAL .
INCLUDE 2 SETS OF ARCHITECTURAL & STRQCTURAL PLANS,
SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANASCAPE BOND y~
t" '~.Zaa , OC7
To Be Used For: Valuation: Date:
Site Address 1004 (006fk)mi-~ LAni~ oOFFICE USE ONLY
Lot 1~ Block 3 Erect ~ Oecupancy 3
~~r~/ Remodel Zoning
Parcel/Sub ~F~(tsr ~tdfNr-H~n/ Repair ` Type of Const
, Addition # of Stories
Owner Move ` Length ~
Demolish Depth yo
Address (004 (,vz.o6usooo l,amj~- So int.Impr. _ Sq Ft
Install
City/2ip Code fd±QA-^) SSI Z 3 -
Phone Lv L APPROV9LS FSES
Contraetor Assessments Permit
Water/Sewer Surcharge -=,p0
Address Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone Council Road Unit
Bldg Off~ Treatment P1
Arch./Engr. APC Parks
Variance Copies
Address TOTit. ~
City/Zip Code
Phone #
AOTE: ADDBESSBS FOR CORNER LOTS - CONTR9CTOR/HOMEOiiNEB HIIST DESIGNATE WHICH ADDAESS
IS DESIRED. NO CHAN6FS StILL HE ALLOiiSD ONCE BQILDIHG PEAMTf 13 ISSUED.
Wx Iq'~ 19~~k IZ.~'-;2~Sz . ,
IOK10' loox ~O~ . .
3~ 5Z , ~o
'3URVEY01315 CEFiTiFICATE • . . . "
siENNA ooxPORnTTON
U
I .
~
V• i
4
. .v.
WEDGINOOD m LANE ° . SOUTH
x9rs.7-r.c. x9za.4r.c. x;Pee.o r.c.
sJO.sx S 89`55'07"W 75.00 xsta.e '
~ ~ 5~a.•:'':~~',F o
~ o r :Q.. o
, N ~a..,:~:. 5
, ~6"=u' ' i ~
l4-' 4 h`'':: 19^9..91
950.2$ i~`{ f .•...;o::~!:- •/9.OOi,X92T.d2 . ,
O 24.~
LC5 o'~ • ".QR. P (929.31 YJ
~ X9YB.4 < < c-I- m e00
~ ~ +n b h92B.3 h
~ t. 14.00 b • Y
I r
~ PR POSED M W
ui
HOU E/
,
46.00 ff) .
k ~
~ 92E6.0/ O
b 19 Y .8 p 5E~ 2 1'
C) ~i~$ . 4oW11 a ' N ~ i .
~ ttl-0" IS'-b" 0 .
~ I I .
' ~
~ I LO T I Zo.~
,
v i DRAINAGE 8 UTILITY 5 a .
EASEMENT PER PI.ATNZ'~
. i L.~___.......r..._...~~~.~ ?
x "~e? S 89055'07"W 75.00 - ;
:sv. 12-30-82 FoR SUNSHIIdE
~
:ONSTRUCTION C0. TO SHOW WIRE FENCE ON LINE
'ROPOSED HOUSE, AS STAKED, •
,ND EXISTING ELEVATIONS.
Q UENOTES IRON MONUMENT SET SCAI.E: 1 INCH = 30 FEE.'T -
A DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FIAOx - 929•5 FEf.'T ? DENOTES WOOD STAKE ' PROPOSED i.owEST FLOOx - 926.6 FEET
FEET ' j,~~
X000.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATZON = 929•8
(000.0)DENOTES PROPDSED ELEVATZON
DENOTES DZRECTION OF SUR£ACE DRAItIAGE • }
hereby ceztify that this is a.true and correct representation of a survey of the
oundaries of:
Lot 15, Block 3, 'WEDGWOOD FIRST ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota. - 'i:
nd of the location of all buildings, if any, thereon, and all vi~le encroschments, ;e•`•
f any, fzom or on said land. . As surveyed by me this Z9YPday of "Q~a 196?r I:'
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
KNOBRD - 55122
3830 P 60T ' 4
cJj
~
New Construction Requiremen[s RemotleVReoair Requirements
? 3 registered site surveys ? 2 copies oi plan
? 2 copies of plans (inciude 6eam & window sizes; poured fnd. desi9n; etc.) ? 7 site surveys (exterior addi[ions & deGcs)
? t energy calculations ? 1 ener9y calculations for heated additions
? 3 copies ot [ree preserva[ion plan if lot platted after 7l1193
required: _ Yes No
DATE: CONSTRUCTION COST; Co~59
DESCRIPTION OF WORK:vv_- I e.~l t)Aoxg-C~G11.~4,9~l-- d"
STREET ADDRESS: I u-A
LOT: ~ BLOCK: ~ SUBD./P.I.D.
N:une:--- ~ Phonc
PROPERTY eirst
oW:vLit
Sircet Address:- C?d~_-
c~ r~
City State: ~IGJ
12- ~
~ 4
cORll):II14':____ PllOllf Sa
cov'rtzAcrolt ~~FING & REMOOELING, INC.
Street Address:4100 EXCELSIOR BLVD. License #OW 10 Esp.
ST. LOUIS PARK, MN 55416
Ciiy ID #OU01Q50---- State: _ %ip:
ARCHITECT/
ENGNEER Company: Phone -
\anu:--- Ree sh'atiou
Street Address:--------------------------------------
City State: - Lip'
Sewer & water licensed plumber (new construction only): Penalty applies when address
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the informat'on i correct, and agr e to comply with all applicable
State of Minnesota Statutes and City ot Eagan Ordinances.
X
Signature of Applican
OFFICE USE ONLY V\, _
Certificates of Survey Received _ Yes _ No ~
Tree Preservation Plan Received _ Yes ^ No _ Not Required
I/
CITY USE ONLY
i PERMIT RECEIPT DATE: 1 y C)
RESII}ENTIAL MECHANICAI. PEiMTf APPLICATION
crrY oF EatsAx
3$30 PILOT KNOB RD
LAfiAA 1NR 55122 651-6$1-4678 IfJ1Tap 6 p~i ppkpQ
Please complete for; ? single family dwellings
townhomes and condos when permits are required for each unit
Date: ,2 - -17- j) /
SITE ADDRESS: / D
OWNER NAME: _j~~ flaL~ TELEPHONE 7 /.2 f
(AREA CODE)
INSTALLER NAME: S6 Ca/! n-5lIE TELEPHONE 9So~'' ~ a ...3
(AREA CODE)
STREET ADDRESS: ~D F~d 0- J/,,p1-yy_a"-d al~
CITY: STATE: ZIP: ,$~T.~7
Place a check mark next to the ermit work t e
New residential dwelling unit under constructionand not owner/occupied $ 70.00
jv' Add-on, modification or alteration to existin dwelling unit $ 50.00
• furnace replacement
• air exchanger i
• air conditioner
• other
Nature of work:
State Surchar e $ .50
L Total $ D
Reminder: Ca11 far inspections.
SIGNATUR€-0F.-PER~ ~ ~E-~•--
S l, ~
FEB 14 2001
By._ _
41'City orstaft
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit Fee: (o 0
Permit #:
Date Received:
Staff:
INFLOW &_INFILTRATION PERMIT APPLICATION
Plumbing I Sewer & Water
Date: 5791/ 1/ hZ- Site Address: / Deo/ 1.4,447e ,4 5 -
Tenant: Suite #:
J
C�
RESIDENT/ OWNER
Name: ?krattat f K� �1 Z. Phone: , � Z 70r O "ani
7
e V 14-100,e4440•P1.,4,5 , e;414-.0,
Address / City / Zip: / 0,6V
/t"') /t% 5772
CONTRACTOR
Name: 6e-1 .. License #:
Address: City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK
PLUMBING (Within the building envelope)
Sump Pump Repair
SEWER & WATER (Outside the
Repair
building envelope)
•_.��
0 "� T
Other:
x Other: /X 404.
4244140
DESCRIPTION
Description of work: Y ri Li l a k t 4 d (' tI074.)
S (.4.,..0
e 4 ri4tiA TS didnele.
0 14.1-s
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
s:0 -"
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeacian.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.00pherstateonecall.orq
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 'cation 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 ca - of wo 'ch requires a 'ew and approval of plans.
x
Applicant's Printed Name
x
Applic is Signature
FOR OFFICE USE
Required Inspections:
Rough -In _Final
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105588
Date Issued: 07/20/2012
Permit Category: ePermit
Site Address: 1004 Wedgwood Lane S
Lot: 015 Block: 003 Addition: Wedgewood 1st
PID: 10-83550-03-150
Use:
Description:
Sub Type: e-Siding
Construction Type:
Work Type: Siding
Description: House
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure
Comments:
maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Patrick J Plautz
1004 Wedgwood Lane S
Eagan MN 55123
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118967
Date Issued:11/13/2013
Permit Category:ePermit
Site Address: 1004 Wedgwood Lane S
Lot:015 Block: 003 Addition: Wedgewood 1st
PID:10-83550-03-150
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Nathan Franta
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Patrick J Plautz
1004 Wedgwood Lane S
Eagan MN 55123
Reuter Walton Construction Inc
2919 Knox Ave S
Suite 200
Minneapolis MN 55408
(612) 823-3489
Applicant/Permitee: Signature Issued By: Signature