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1010 Wedgwood Lane N CITY OF EAGAN • TF ` 84~s 3795 Met Knob Read Ea9on, MM 55122 • PHONts 434-8100 , 7 BUILDING PERMIT RecelpF #k " Te 6e wed Ier 5F DWGJOAB Est. Volue S60,000 Dcte Septenber 21 33 1 I!JIU e gwoo ~.ane Nor Slte Address Eroct Occupancy . J ~ 4 ~ GI,-d`;WOOd 13t Lot B Alter ? Zoniny Poroel ~k * Repair ? Fire Zone . U ll u Enlorfle ? Type of Const. W Name IUZ9 e EWOO 817•? O. Move ? # Storie4 ~ Addr~ss Demolish p Length~_ ?_Q811 55125 ) v Ci phone Grode ? Depth Sq. Ft. ~ Nome Approvola Fees Address Assessment Permit _io.,010 ~ Ci Phone Woter 8 Sew. Surchorpe _.5o. 50 Police Plon check ~W NO1^° Fire SAC 525.00 6- /+ddress Enp. Water Conn. tW C{ phone Plonner Woter AAeter,.~~. Council Rood Unit ( hereby acknowledge that I have read this opplication ond stote that Bldy. Off, the informotion is correct ond ogree to comply with oll appliceble APC Total .56 Stote of Minnesota $totutes and Ciry of Eogan Ordinonces. Sipnature of Permittee , s _ _ CC10n A Building Permit Is issued to: on the axpress condition thm all work shall be done in accordance with all oppliaable State)of Minmsofe Statutes ond Ciry of Enpon Ordlnances. BuildinQ Officiol PKmit No. Permit Holder Misc. Pxmit No. Holder PlumDing scs H.v.ac. 0 U w.n wn.~ • . DisP• . S"wer Ehct?ic ~p831b5 FffbJ'~CE E~~~ Il-fS-qa Inapaetion Date Insp. Othar Footingpe q' q43 - 3-S 3 Foundation Frsmin9 Rouqh P16q. RouQh HVAC ins,inian Final Plby. Final HVAC Finsl 'b A0, Wmr Deac?i6e Location: YVell Sower M Pr. Dhp. CITY OF EAGAN y....... ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt# Tobeusedtor BASEMFN'1' Est.value :'4.00G Date I-LkRCFi 25 ,19 8i, Site Address 1010 WLDGLqUOD Li1 N Erect ? Occupancy Lot 2 Block 4 Sec/Sub. '4~'~pG44UOD LST Remodel ? Zoning Parcel No. Repair ? Type of Const Addition ? No. Stories Q DAVIL U ROTHSCHILLFR Move ? Length W Name Demolish ? Depth o Address 5~`'E 4 54- 5 5 9 7 (H) Int. Impr. ? Sq. Ft City Phone 2 5 2` 0 616 (W) Instau ? o Name STif4lE Approvals Fees Address Assessment Permit $4 4. 5 U ~ City Phone Water & Sew. Surcharge 1• 00 Police Plan Review F Z Name Fire SAC Address Eng. Water Conn. < W City Phone Planner Water Meter Council Road Unit Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.off 3/13/811 Tr.PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Var. Date Copies Signature oi Permittee ' TOtal ' .J A Building Permit is issued to: D"ID D ROT:'.SCIIIL.+..ER on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ~ 'dM0 'id INM '6-d "O '61d iI-d .300 .PS3 IQtu '6P16 ~ '641d Isulzi ,-S •61H RuId ~ ooeldwld •insul - G • ~ 9~ ~G'' '61M 46notl a -,~~y t?ofj+ ~..~0 Q p,~,~ ~J' ,,e,~ '641d 46^utl 6uyooy 6uµuria uoltepuno:1 11 t6uBood I s6upoo.4 qwWwo'J 'dwI +WO uoRmda+I H~S VIOMa CY7 / O bulqu+nld S *uO4d*Ml +WQ HPIoN NWMd 'oN NWJ*d ~ . . . _ PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 SiteAddress BLDG.7YPE WORK DESCRIPTION Lot ~1= Block 4 Sec/SubliE~'-7.f 14' Res. ~ New m Name Muft Add-on ? F i. ~ Address Comm. Repair c City Phone Other NO. FIXTl1RES TOTAL Name Water Closet - $3.00 $ = Address ' L" Bath Tubs - $3.00 p City Phone Lavatory - $3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 146 OF CONTRACT FEE Urinal/Bidet -$3.00 MINIMUM - RESIDENTIAL FEE _ $1p,pp Laundry Tray - $3.00 MINIMUM - COMM/IND FEE _ 20.00 Floor Drains -$1.50 STATE SURCHARGE PER PERMIT - •50 Water Heater - $1.50 Whiripool -$3.d0 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1,50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE V FEE ~ - STATE S/C ' GRAND TOTAL• FOR CITY OF EAGAN CITY OF EAGAN Remarks Addition WEDGWOOD lst ADDN Lot 2 Rik 4 Parcel 10-83550-020-04 Owner st,BBt 1010 Wedgwood Lane North State EAGAN NIN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 0 1981 58.69 2.93 20 46.97 214 1-30-83 STR EET RE5TOR. GRADING g 1981 186.48 12.43 15 136.76 A013214 1-30-83 Sewer Lateral sli 1981 313.16 20.88 15 .229.68 A013214 1-30-83 SANSEW TRUNK 1981 198.50 13.23 15 145.58 A013214 1-30-83 SEWERLATERAL 55- 981 197.54 9.87 20 158.06 A013214 1-30-83 Sewer Lateral 6 1982 133.17 8.87 15 106.56 A013214 1-30-83 WATERMAIN WATERLATERAL Trk571 1981 262.18 17.48 S 192.30 A013214 1-30-83 WATERAREA 646 1981 198.50 13.23 15 145.58 A013214 1-30-83 *Water Lateral Z 1982 98.57 6.57 15 78,86 A013214 11-30-83 STORM SEW TRK STORM SEW LAT ower ine elocatio CURB & GUTTER SIDEWALK STREET LIGHT AOAD UNIT 250.00 38747 9-21-83 WATER CONN. 4SO.00 it BUILDING PER. 9496 SAC n N --52 00 PARK Permit Receipc PLUMBING PERMIT No. CITY OF EAGAN -C` - Fea Fill in numbered spaces S/C Type or Print legibly Tot s, 1. Date 2. Installation Cost ~ . , 3. Job Address - : Bik. Tract 4. Owner ~ '-z~`~' • ~ l 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential Commercial ? Institutional 0 9. Work Description: New,W Add O Alter O Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closei Cesspool/Urainfield Bath tubs $eptic Tank Lavatory ~ Softner Shower Well Kitchen Sink Urinal/Bidet Other 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 agree to comply with all ordinances and codes governing this type of work. Signed: , . for Rough Finel Inspections: Date Insp. Date Insp- This is your permit when/ numbered and approved. Approved rE CITY OF EAGAN 454-6100 .*=J Raoeipt >r , I= J MECHANICAL PERMIT Permit No. CITY OF EAGAN ~ Fee - - Fi!l in numbered spaces S/C Type or Print legib/y - I•t- Tot. 1. Date 2.InstallatiCost i r~ , 3. Job Address i, ' ~ ` Lot Z Blk. q Tract'b 4. Owner r ~ ~v ~ ' ~ • 5. Contractor Phone - ` - ~ ~ ~ 6. Address 7. City ' i •k-e- State i' :v> _ Zip ` 8. Building Type: Residential L~J Commercial ? Institutional 0 9. Work Description: New L7 Add 0 Alter 0 Repair ? 10. Describe - : a.- - Fuel Type 11. No. Equi m~e t_ BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. I 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 all 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$100 Reeeipt PLUMBING PERMIT Permit No. , CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly , Tot. 1. Date 2. Installation Cost 3. Job Address "O• Lot~Blk. Tract;i 4. Owner 5. Contractor Phone 6. Address 1 ' 7. City State ' - Zip S. Building Type: Residential E) Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair 11 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield ~ Bath tu6s Septic Tank Lavatory Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Stop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN ~ _ 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 N_ 11671 PHONE: 454-8100 BUILDING PERMIT Receiptu °}'7 Tobeusedlor BAS&MENT EstValue $4,000 Date MARCH 25 1y86 Site Address 1010 WEDGWOOD LN N Erect ? Occupancy Lot z Black 4 Sec/Sub. WEDGWOOD 1ST Remodel ? Zoning Parcel No. Repair ? Type of Const Addition ? No. Stories ~ DAVID D ROTHSCHILLER Move ? Length i Name SAM 454-5597 (H) oemolisn ? oepth 3 Address IntlmPr ? SQFt ° Ciry Phone 292-0616 (W) Install ? o Name S~E Approvala Fees Address Assessment Permit $44.50 ~ ciry Phone Water & Sew. Surcharge Z• 00 ~ a Police Plan Review F Z Name Fire SAC ~a Address Eng. Water Conn. z ~ W City Phone Planner Water Meter Council Road Unit Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.Off. 3/13/8 Tr.PI. intormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Ea,9 rdinances. APC PBrks ~~4\~a ~yl~ Var. Date Copies ~0 Signature of Permittee Total A Buiiding Permit is issued t~-DAVID D ROTHSCHILLER on Me express condition that allwork shall be done in accordance with all applicabl tate Minnesota S tutes d Ciry oi Eagan Ordinances. 8uilding Official ~~~~p ~ cIrr oF EacaN N°.~~ 8496 o "3795 Pilef Knob Rwd Eagan, MN 55122 PHONE: 451-8100 ~ BUILDING PERMIT Receipt # T. 6a uesd 1or SF DWG/GAR Est, Va1ue $60,000 Date September 21 1983 Site Address 1010 WedQwood Lane North Erect n Occupancy R-3 Lot 2 Bi«k 4 Sec/Sub. WedQwood lst Aiter ? Zoning R-1 parceil # 10-83550-020-04 Repolr ? Flre Zone NA Enlarge ? Type of Const. V a Name Wm. Huttner Construction Move ? {p Srories ~ Addrass 1029 Wedgwood Lane So. Demolish ? Length 41 C; Eagan 5512$ phom 452-3088 Grade ? Depth 46 Sq. Ft.- o Noma Owner ADProrals fees oU Addrezs Assessment Permit 13.0 U~ Ci Phone Water 8 Sew. Surchorge 30.00 G . Police Plan check 156.50 - ~w Name Firo SAG 525.00 Address Eng. Water Conn. 450.00 `W q phpm Plonner Woter Meter 60. 00 Councll Rood Unit 250.00 I here6y acknowledge that 1 have read this npPlkaNon and stote thal gldp. Off. fhe informotion is correct ond agree to wmply with oll oOGlicabte $1784.50 Stofe of Minnewto Statutes ond City of Eagan Ordinonces. APC Totol Signoture of Permittee A Building Permit Is issued to: WID. HUttII2I COIIStTt1C lOII on fhe express conditian thnt oli work shall be done in acmrdonce with oll oppli I St te f M ta utes nnd City of Eagon Ordinances. Building Otfitiol ~ ' ~ 4L~~?QV~f CITY OF EAGAN ~ clude 2 sets of plans, 1 site plan w/el.evations & BUILDING PECtMiT APPLICA ON 1 set of enPSgy cal.culations. G1.Y~- v3 7b Be Used For #,~~Sec. Valuation Date 1a site z~aaress: C. or`~In~ o~zcE usE orir,Y r,ot Biocx s~. GU~ w~ I~~t ~ oocupancy .P3 Parcel (D 3 S S o- GZo - p Alter Zoning Repair Fire Zone Owner: Enlarge _ Type of Const. Move # Stories Ptidress: Demolish Front ft. City/Zip Code: Grade Depth ( ft. Phane APPROVALS F'EFS Contractor: Y& Assesssients Permit / Water/Sewer Surcharge qp Address: ^(7 C(Je~q~oc~d /n 51 police Plan Check City/Zip Code: ~a9ar~ ~~~w Fire SAC d Eng, Water Conn. NSp ~ Phone ~SZ 30~o planner Water Meter _f„Q Council _ Road Unit ~~Sp ~ ~Oh'~g" Bldg. Off %:;d~'i > Address• APC City/Zip Cale: Phone (5-0 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date 1 / L~$ ~ 0 ~e~wooQ La~e N! Site Address IO S O Unit # Property Owner G M~ pAaF/1i Telephone ) Contractor ' O'Connor Street Address Plumbing, Headng 8i Coolin8 CitY State I 7904 Yermillion St. Telephone # (l[1J~ ) l - ~ ~ ~ ~ Nastings, MN 55033 Bond es: The Applicant is _ Owner _ Confractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ~ furnace _Additional kReplacement SEp 3 0 Z004 air exchanger airconditioner _New _Replacement By other State Surcharge $ .50 Total $ ~ 50 I here6y apply for a Residenrial Mechanical Pemut 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 with the Mechanical Codes; that I understand this is not a pernut, but only an applicarion for a perarit, 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. t"~ ~ A f'< l-~ A l`/..c..ol~' 1c'N~U' ) t~ ~~-f YfY~- Applicans Printed Name Appli t ignature ~ 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION 1o338S City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsW ction Reaui2ments RemodeVReoair Reouirements Dt~ic~.UseOn~v 3 registered site surveys showing sq. S af IoL sq. ft of house; and all roofed areas 2 copies of plan CeR of SuneyRecdA 'Y _ A~ (20°/6 maximum lot mverage allowed) 1 setoi Energy Calcufations for heated additions rree P2sPlan"Recd 'Y ~N. 2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 stte survey for additlons & decks 'f~¢e Pres Required "'Y N 1 set of Energy Calculations AddRion -indicate if on-sffe septk system QA Sde SBpGc~yst~3n 3 copies of Tree Preservation Plan'rf bt platfed after 717/93 Rim Joisl Detail Options selecfion sheet (bldgs wifh 3 orless units Date 3 / 9 /_04- Construction Cost dI a DU Site Address ~ D I 0 'W e-(~G1~. WD 0(~ Gl h{ N ~ UniUSte # Description of Work f` {'W ~C YG{ n p V 1' I/1 Multi-Family Bldg _ Y ~ Fireplace(s) 0_ 1 _ 2 Property Owner GQ v u h P v4- Telephone laS I ) Q S4 - s 1 19 0 Contractor YvCY1'{li v C b~<A'lu [-h el^ naaress I G 4-61, ~in.~ v~~~ i 11t P 1~'--V~ ~ city ~ u wvS\, i i t-e~ State f~ Iti-~ a Zip ~.~5 ° lv Telephone ~152) -1`1 0-"1')S ~ COMPLETE THIS AREd ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calwlations Submitted Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review fee applies. Licensed Piumber Telephone # ( ) Mechanical Contractor Telephone # Sewer/Water Contractor Telephone # ,JJI I hereby apply for a Residential Building Pernut and aclmowledge that the informatioa, is comp e and accurate; that the work will be in conformance with the ordinances and codes of the City of liagan=and the-State-of.MN Statutes; I understand this is not a pernut, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 14z.va CkvlS-b,OKL,- ApplicanYs Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck _;K_ 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage O 06 04plex ? 12 12-plex Plbg_Y or_ N O 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Inte(or ? 44 Siding )q 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (EnNre Bldg) - Give PCA handout to appliwnt Valuation (f, /KJ (.J Occupancy ly3 MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. Footings (deck) 7X FinallNo C.O. ~ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests Final Framing _ Siding _ Stucco _ Stone _ Brick, _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulatron _ Retaining Wall Approved By: Building inspector Base Fee Surcharge ~~v_ xN Plan Review MC/ESSAC ~ }~30 l CV%~L~~ City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ciVEYORPS CEiITII-9CATE SIENNA CORPORATION N WEDG14/0 Op ~ - ~ `jz`' 3 s,7oLqN~ o ~ o ~ 3po0tfF ?o.oo M 1z~ORTH -7 ~ T 2v•y iv• zz• ~7' < P i r j ~ I ~ Ga,~ e f~ I I M I . LL.l 1 o I S%' o , 0 1~7 i ~ Y~v,o p - cv ty SerZt~ pc~-z~ ~ O ~1) 2 a _ y ii'v'r° 0r 2 f ~ Z DRAINAGE . r TILITY e 1f EAGM 1 L _ ~5 i EWED _ - ..Y_ r-- - 7- S 82°50'00" ~ DATE L~~~- J( 1 E l 7533 b,,,LDING INSPECTIOMS DEPT. Q DENOTES IRpN MONUMENT SET SCALE: 1 INCH 30 FEET Q DENOTES IRON MONUMENT FOUNDPROPOSED GARAGE FLOOR = yri-o FEET . O DENOTES WOOD STAKE ' pROPOSED LOWEST FLOOR =~Z FEET ' XO00.0 DENOTES EXISTING ELEVATION ';pROPOSED TOP OF FOUNDATION = zi•3 FEET (000.0)DENOTHS PROPOSED ELEVATION ' . - -E- DENOTES DIRECTION OF SUR£ACE DRAINAGE I hereby certify that this is a true and correct representation of a survey of the boundaries of: Lot 2, IIlock 4, 47EDGWOOD FIRST ADilITION, according to the recorded plat thereof, Dakota County, Minnesota. Y And of the location of all buildings, if any, thereon, anyda~ all vis' le encroachments, if any, from or on said land. As surveyed by me this Z9ay of 198.~r APPROVED FOR SIENNA SIGNED: JAMESaR. HILL,INC.-,. CORPORATION BY: ROBERTS ARCHITECTS BY: C l/ DATED TIfIS DAY OP Harold C. Peterson, Land Surveyor 198 Minn.LiC. No. 12294 pROJEC7 NO. BOOK / PAGE JAMES R. HILL, INC. 81178 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Av.enue South FOLDER Bbomtngton, Mn, 55431 812-884-3029 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCfion Reauirements RemodeVReoair Reaulrements OfAie UseOniv 3 registered ske surveys showirig sq. ft of lot, sq. 8 of house; and all roofed areas 2 copies of plan Cert of'Survey Recd Y_ N (20°k maximum lot coverage allowed) 1 set ot Eneyy Calculations for heafed additions Tree PreS PIan~Recd.~ 2 capies ot plan showing beam & window sizes; poured found design, etc. 1 sfte survey for addNons 8 decks Tree PresRequiretl j isetoFEnergyCalculalions Adddion - irMicateilon-aResepficsystem enslle'SepticSy~§,m ,TY:._;N 3 coples of Tree Preservation Plan ii lo[ platted after 711193 Rim Joist Dehail Options selection sheet (bldgs wifh 3 or less unifs Date 0 Const uction Cost SiteAddress JO/O WQCl Q Wr) O aN e,- UniUSte # Descriplion of Work Multi-Family Bldg _ Y x N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ofq rw ~ebk[Ki _ Telephone # (b rj I ) 45 y Contractor Address 4NE0 0(at4ma City APPO I State 1N.l~00 F~tt 196l~ ~~p Telephone ) INI I„lo. M 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 (J submission type) Submitted Submitted • Energy Envelope Calwla6ons Submitted Have you previously constructed a building in Eaga. n_witb_a.similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Ii lu , . jJ~ Mechanical Contractor l" Telephone ) Sewer/Water Contractor ' - Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, 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. JWL-Is $ Vn rz os zl A Applicant's Printed Name Applicant's 4 e L~l RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-9675 5-3-C) New Conatruetion Reauiremenh RemodeVReoair Reaulrements • 3 registered sHe surveys showing sq. ft of lot sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lat coverage allowed) . i set W Energy Calculations for heated additions . 2 copies of plan sfwwing heam & window s¢es; poumd faund design, etc.) • i sile survey for exterior addNOns & decks . 1 set of Energy Calculalions . IMicate d home served by seplic syslem for addRions • 3 copies of Tree Preservatlon Plan if lol plaHed aker 711193 . Rim Joist Delail Options selection sheel (bldgs wAh 3 or less uniGS) DATE .4 ~'JD /C)2 VALUATION 5fl00 •CX~ SITEADDRESS 101U WecyGewooCi ~.~.YU. KI MULTI-FAMILYBLDG _Y _N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT c~.CherlL MOO-F I YIC~ STREET ADDRESS "'Iq r?~i v 7 CITY L1 tF LeCj2anSTATE t liIZIP f5h 1 1~ TELEPHONE # A'6y CELL PHONE # FAX # PROPERTYOWNER ~-;~ber-} TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINN . ~l$ ~'tl 6 ~ ESO'17A RUI.F.S 7670 CATLG012Y I MINN L J 7~T2 ~ (J submission lype) • Residential Ventilation Category 7 Worksheet Submitted • New rgyC.r~de Vj(o[ksheet $u i I~itt~ed • Energy Envelope Calculations Submitted U u LUUL jI 5N J~I By ~ Plumbing Conhactor: P}ionc # Plumbing syslem includes: Water Softener , Iawn Sprinklcr I+ec: $90.00 Water I-Ieater No. oC R.I. 13alhs No. of 13akhs Mechanical Contractor. Phone # Meclianical system includcs: Air Con<litioning P'ee: $70.00 _ Heat Rccovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signafure of Applicant~. OP'FICE LTSE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 ! SUIRVEYOR'S CERTIFICATE SIENNA CORPORATION , 4k, 4/ ~ st TThrtf l-=e~tir s~ ~ N wEDGWoofl M - LqNE c12 ~ o S?7°3o-oo„E ~ NO / r---__ 7S.0p ~zs; RTy - ~ ~ ^v- •L- ~5 ~ ~ IS'. O ~ Z5~'y iv' 22• ~ . , ~9• P ~ r~ ~ z, Ga,qtjezz, ~ h ~ Ltr i O ~ sr• o L07' 2 ( 2 - ' DRAINAGE AND UT(LITY I EqSEMENT PER 51 pLAT .I ~ 15 i ~ _ _ - - : . - S 82050'00E _ - . _ I 75.33 ~ 1 , r 1 I . ~ L__.j Q DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET 0 DENOTES IRON MONUMENT FOUND pROPOSED GARAGE FLOOR = 9z3.e FEET O DENOTES WOOD STAKE ' pROPOSED LOWEST FIAOR = YL 7~ FEET ' XO00.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION - 2 ~•-3 FEET (000.0)DENOTES PROPOSED ELEVATION DENOTES DIRECTION OF SURFACE DRAIT7RGE I hereby certify that this is a true and correct representation of a survey of the boundaries of: ~ i IAt 2; Block 4, WEDGWOOD FIRST ALiil2T20N, accozding to the recorded plat thereof, Dakota County, Minneso~. ' Md of the location of all buildings, if any, thereon, and all vis' le encroachments, if any, from or on said land. As sarveyed by me this z~day of A ~ 198~? APPROVED FOR SIENNA STGNED: JAMESAR. HILL,INC. CORPORATION BY• C ~ ROBERTS ARCHITECTS gY: DATED THIS DAY OP Harold C. Peterson, Land Surveyor 198 Minn. LiC. No. 12294 pROJECT NO. BOOK / PAGE JAMES R. HILL INC. 61178 ~ Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bbom?ngton, Mn. 55431 812-8II4-3029 1986 BQII.DING PERFITL 9PPLI08 - 0 7, CITY OF EAGAN NOTE: A1.L CONTAACTORS MOST BS LICE9SED iiITH THE CITY OF E9GAN COHI+IERCIAL SIHGLS FAlQLY DiiELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRIICTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATZONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONSJ $2,000 LANDSCAPE BOND To Be Used For: (-iui5yiy~c~. _'fj~5,~c;~-Valuation: pPpptk_~4,oC0 Date: 3 hz. q(Q ~ Site Address MIO ,WFDr=cox.o~ (N A(. OFFICS IISE OHLY Lot Block q_ Erect Occupaney - / S t Remodel ~ Zoning Parcel/Sub Wewimb Repair _ Type of Const Addition 0 of Stories Owner _ ~yu(~ ) L). Rc; µa-,Ki ( [er Move . ' Length Demolish Depth Address lOl() WeCG-K[COd Cnl. A[. Int.Impr. X Sq Ft Install City/Zip Code bAfrWA1 S:S1~3 Phone qSq- 5597~~ 2VAPPROVALS FSFS Contraetor Sqw1e : Ac-Ti1.1Ct 65 CreNetq ~ Assessments Permit 44. ~ Water/Sewer Sureharge Z. Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Couneil Road Unit Bldg O££ 3 13e,~ QTreatment Pl ~ Arch./Engr. APC Parks Variance Copies Address TaTJLL - S 0 City/Zip Code Phone I! HOTE: ADDAESSES FOR CORNSH IAiS - CONTBACTOR/HOMEOWNER MOST DESIGNATS HHICH 9DDRESS IS DFSIRED. 'NO CHANGfiS WILL HE ALLOWED ONCE BQILDING PERMTT IS ISSDED. +fi} # #���e y �'+N9s W�nlAe StO 8 & Eke - Confl ct43n e # F� ifteoefet No.; Penh . 30 d 10 tomipir wlilr time City of loom Scodsorgo. Cta„es: :60,00 pd meter' . - fatal• - ,�„ -�,, �,. w .; ay �, Date Paid. tea tom„ ' � insp••,,- GJT4 EAGAN REWEIIIIERVICE PERMIT f ;$nob R011(1 , 6179 . PERMIT i s • � ' =ax 2119$ • -27-8 Eagan, MN 55121 . _ • _ Zonin¢: Wf I11ii ' I$!t ( W. of Uni • owner: crfit Address: Site Address: 1010 WedJ Wood Lane No L2 84 Wed t st Plumber: Star P1b a & 9 -21 -83 38747 'f 00.0P 1 agree to aaavh• wig the City of Eason Connects Chops: 4 ; 5 -0P 1 Ordinances, C.r' Account posit: 4 Permit Fee: i[T • JQ nd r 5urcharge :, .50 Ed By r — MFsc. Chor : Date of��'!� % Total: Insp. :` s Dote Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA114698 Date Issued:09/18/2013 Permit Category:ePermit Site Address: 1010 Wedgwood Lane N Lot:002 Block: 004 Addition: Wedgewood 1st PID:10-83550-04-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Elizabeth Hess 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 - Aaron E Day 1010 Wedgwood Lane N Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118984 Date Issued:11/13/2013 Permit Category:ePermit Site Address: 1010 Wedgwood Lane N Lot:002 Block: 004 Addition: Wedgewood 1st PID:10-83550-04-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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. 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 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Aaron E Day 1010 Wedgwood Lane N Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink � � r----------------� ' iFor Office Use ��1� � I / la� ' Clt 0� �� �Il , Permit#: , � y � � /�a°.�� � � Permit Fee: 3830 Pilot Knob Road � r � Eagan MN 55122 � Date Received: �� �� (� � Phone: (651)675-5675 I y�, I Fax: (651)675-5694 I Staff: �!'X�--� I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: .� -�,.� /� Site Address: � ,a� LC: � Unit#: �� � ��* � � � ��� Name: 4��r�,� ,��/ Phone: �r �� �i ����@�l��f�#,f� / N Owl� ��. ��, Address/City/Zip: /f�/� /.�l�c�cr�l�+dC1� l.�, � ���� � � ! � Applicant is: Owner � Contractor � � � �� f�.:m: �r:. � � � ,. ���v: �� ��,'�� : �`; / � � Description of work: ���/�� �t/Pf..� r* ��� t����fi w�r� . ��: � ° ' Construction Cost: � G �C�Q Multi-Family Building: (Yes /No ) �..� � � � � � ��h: Company: 1����� . ��,� Contact: / /�.� ����;� ����� � �'� __ Address: ,��2.2 77 ��lc,,�,��� � City: �r,�r,�,�t�l��/-/ "����Dl��t'�C#Ot' , �� ���� ` ' ��� ;� State: �,� Zip: r$��,�� Phone:�,�. 7��•,��,.�tl�mail: � � � � ;ry � �����=x License#: ��j�OG�/� Lead Certificate#: �,.5�- 7�G •- 3�d� If the project is exempt from lead certification, please explain why: �J 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: Fire Suppression Contractor: Phone: , N��'� P����nd sup rn ��t��um� ��h�� �u�irra�t are cc��`�r �� ° �� � �� ��#�� �� �. the�nf��r�at� � �ay be� �� ��d as n . � � r�#'you pr�ovar��� cific:�e�s�ris th�t,w�u/d . � #y#o � � ,� ::. � � �� . � ���. � � �: rM: ��.�� � :� � ` 5 °, t.��. v x:� .. �..:,., cor�. �ie�►��#he ars�i"�a�'��±e�re,,ts: ,_: � . �:r 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.4opherstateonecall.orp I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Build'ng Code must be completed within 180 days of perm't issuance. x P x ApplicanYs Printed Name App can s Signature Page 1 of 3 ��'�� �,(���(,��� � �• DO NOT WRITE BELOW THIS LINE �����/ SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi � Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Ac,cessory Building WORK TYPES '', ' � New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish lnterior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retalning Wall *Demolition of entire building-giv�PCA handout to applicant DESCRIPTION � Valuation `�3��}�•� Occupancy �'P C —� MCES Sysxem Plan Review Code Edition Z-� I� SAC Units' (25%_100%� ) Zoning � City Water Census Code Stories Booster Pump ' ' #of Units Square Feet PRV ' #of Buildings Length /�o Fire Suppression equired Type of Construction 1�1� Width � REQUIRED INSPECTIONS Footings (New Building) Meter Size: ', �o Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test 'Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final r0 Framing Drain Tile , ' Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Ston$ Lath _Brick Insulation Windows ' Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control ', , Fire Walls Fire Suppression: _Rough Im �I Final Braced Walls Erosion Control ' ', Other: � Reviewed By: / '� �^ 1M t K���" , Building Inspector RESIDENTIAL FEES . Base Fee J� �C I'z X 2�. �� Surcharge Plan Review ', �I MCES SAC ', City SAC Utility Connection Charge , S&W Permit 8�Surcharge �!, ' Treatment Plant ' Copies TOTAL Page 2 of 3 ��U1�1�/EY�R'�►� CER 1FICAT '� � �'l/�-/ . . SIENNA CURPORATION ! / r , . /E�/� �d�'U'=� �- ���v��. ��,.� ,,, f . �:�s �s�-.��:�� �/�/ '` '`----__ ���� ; ; . � ��� � � -�._ -1 �z�� �,���. . . S?���0�°Q"F � �0 I� °_ �''' �s•oo . , ���'/ sr -- �L�� o� I 1--... o �„� . 1 ' 1 �V� ��� � � . � 1 ..� � ! n _1 ���) � 9ty u O �]" .ZS/' JV /O' 2,Z. r � . w -. � ' n f9� � � 1 Y ,� � ;� , Ga.�� � A. ! �.[` � z tz' �� 1 �„ 1 M 1 " , �u �' 7• � . 1.�� � hjrc:� r; 0 1 � 1�-' 1 _,~- -- .�.,. � �u _� � � � � fi � . � � . :� y.�9,o .�� O � .. j ,� _ � t, �;� 1 t� r, . �, � ,� �, � L.�p1- � , N - � DRAIIYAG � � � � EaSEMENr �RUPLATY � � . � I �1 . � � _ r�� - ---� .r,� �.�. � 1� f !I • —•• --•• -_-_.._... — � _,"T,- �'�:�- �1., _.._, ch..�..�...�-..-.A-�T..�...--.r-»-..-.M•�...`_.__.. �'�, � •c•t 82��0�(�(�nE 1 � �,_t i'' ' '' .� ?5 33 � �"� � i t�'( J � : ( � �._ �� f� ��r . �' Q �DENOTES I RON MONUMEI�TT SET , SCALE; 1 IIUCH - 3f} FEET I� DENOTES IROPt MC)N[3MENT FOLJNL?� pROP05ED GARAGE FLOOFt - "���•b FEET ' � DENOTES WOOI3 STI�KE ' : pROpOSED LOWE5T FLOOFi ��'^ •� FEET �� X�OC7.O bENOTES EXISTIt1G ELEVATIOIV '�PROPOSED TQP OF FOtJ�1DATION = z�•�3 FEET (QOO.(?)DENOTES PROPOSED ELEVATIQN � -�- DENQTES DIREC'TION OF SURFACE DRAIpdAGE I hereby certify that this is a true and correct representation af a survey of the boundaries of: � � i ` Lct 2,' Block 4, wE13GWOOD FIRST A[i�ITION, according to the recorded plat thereof, Dakata County, Minneso�. } : ' And of the location vf a12 buildings, if any, therean, and all vis' le encroachments. if any, from or an said land. As surveyed by me this Z��day o£ � �W- 1987- i APPROVED FOR SIENNA � y � �� ~ � . 5YGI3E1a: JAMES R. HILL, ~INC.' . ' CORPORATION . BY: �ROBEATS ARCHITECi'S gY: � DATED THIS �_ pAY OP xaro�a e. Peterson, Land Surveyor 198� � Minn. LiC. No. 12294 PRC?JECT N�. BooK r Pa�E � JAMES �. H1LL Ih�C. ����8 � � . Planners / Engineers ! Sur'veyors FiLE NO. ,. • 8200 Humbaidt A�enus South ' _ For.nER Bk�otntngton, Mn. 55431 6'i2-8a4-3a29 CityofEaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit#: Permit Fee: / C) ) a Date Received: Staff: u 2016 RESIDENTIAL BUILDING PERMIT APPLICATION 1l Date: 6- -�� Site Address: /01© e.,t)eAr cvot,ck Unit #: iter Name: A %(l -'i at Phone: 657 ` 6/97 • 6r2 99 Address / City / Zip: /OA) &Q .L 1-0 h Applicant is: Owner Contractor tx f Y •�� ' Description of work: )/a!',-- 4vr 4 t t-,--5 Construction Cost: /7 34'=:' Multi -Family Building: (Yes / No k ) �tt • � �f CftntraCtt3` Company: 444 1&'6,01c, Contact: , b ' ` yip , Address: 9/ ``i 7 Mir._ S 1 it/ City: /14,4_ 6'<—_ State: AIA'" Zip: S s 369 Phone: %Z- 7° g 3 E-- v L mail: ,Piey/Kr � t hat-firytgrr`% (J License #: 3c_�/` gS Lead Certificate #: /X41/ —P /�tc'g- z_ If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: 'larsa y • upp •oCum ou • re°.�• • • • rnfo �, • p} orif• nw nformatron may ssirredl rt • 'pub : • • vi re s ae s that rout' • r in t r • hide v , .j ...r ade 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.qopherstateonecall.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 application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Applicant's Printed Name Applicant's Signature Page 1 of 3