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1030 Wedgwood Lane NDate: City of bpi 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED APR 0 1 2011 Use BLUE or BLACK Ink or.,.r' l/j Permit #: <-/76 7 6 Permit Fee: / 5J Date Recei Staff: J 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: / 030 O2-' i-rek to , iV Unit #: RESIDENT / OWNER Name: Address / City / Zip: / 0 3 0 I/ Applicant is: S. Owner Contractor Phone: TYPE OF WORK Description of work: Y { I 1 G1 . {, A( _ 0 3,, to -o Construction Cost: Multi -Family Building: (Yes / No X ) CONTRACTOR Company: ce I City: Zip: Phone: a, / Address: State: License #: Contact: GS/ (D 9 — r36 3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: g aoc i7 seined i hat you sub, ubIic'!f`yoi de thet they re cca�dered to be pubilc' vide specffic reasons- that'' CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approvedl�plan in the case of work which requires a review and approval of plans. x J tiO 1� I y, 0 Applicants Printed Name J x Page 1 of 3 • SUB TYPES Foundation Single Family Multi 01 of Plex _ Accessory Building / Zje-4300C1 DO NOT WRITE BELOW THIS LINE Fireplace _ Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Pool WORK TYPES y, New _ Interior Improvement Addition _ Move Building Alteration _ Fire Repair Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code 1. # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) 7c Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final _ Siding Reroof Windows _ Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* — Demolish Interior _ Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required x Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _ Siding: _Stucco Lath _Stone Lath Windows Retaining Wall: — Footings — Backfill _ Final Radon Control Erosion Control , Building Inspector Final Brick RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 6,4L Page 2 of 3 1 • SURVEYOR'S. CERTIFICATE , .SIENNA CORPORATION 1 • O M /o o L cLo xj Ln. q NE 5•00 0 0 Ty 0 L_ l O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND [] DENOTES WOOD STAKE X000.0 DENOTES EXISTING ELEVATION (000.0)DENOTES PROPOSED ELEVATION -� DENOTES DIRECTION OF SURFAC SCALE: 1 INCH PROPOSED GARAGE FLOOR PROPOSED LOWEST FLOOR PROPOSED TOP OF FOUNDATION E DRAINAGE • 40 FEET FEET I hereby certify that this is a true and correct representation of a survey of the boundaries of: FEET FEET Lot 7 , Block 4 , ',WEDGWOOD FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. And of the location of all buildings, if any, thereon, and all visi le encroachments, if any, from or on said land. As surveyed by me this 291"ay of 198 APPROVED FOR SIENNA CORPORATION BY: SIGNED: JAMES HILL, INC. BY: ROBERTS ARCHITECTS DATED THIS DAY OF 198_ Harold C. Peterson, Land Surveyor Minn. Licenfie.No. 12294 PROJECT NO. 81178 FILE NO. FOLDER BOOK / PAGE JAMES R. HILL, INC. Planners /° Engineers / Surveyors 8200 Humboldt Avenue South Bloomington, Mn. 65431 812-884-3029 " CITY OF EAGAN 3795 Piief Knob Road Eegon, MN 55122 • _ PHONEs 4544100 BUILDING PERMIT Receipt Te 6e wmd Mr S£ DWG/GaR Est. Value Y 54, 000 pote Marct? 3 lq ,13 5[te Addreu 1030 Wedgxood Lane Plorth Erect Occupancy U--3 Lat 7 Block4 Sec/Sub. WedQwood lst Alter p Zonin9 R-1 parce) # 10 83550 070 04 Repoir ? Fire Zone vA Enlarpe ? Type of Const. v W NOMe Eob ~1cDonald Conatructioii µove ? # Srories z Address 1212 Bluebill Bav Derrwtish ? Length SU Ci B'Vi.lle. 55337phi0f1e 435-6691 or 894-4272ode ? Depth 35 Sq. Ft. o Ot.*ner APProrals F•es Nome O oti ~fe~ Nssessment Permit 295.9 u~ Ci Phone Water 8 Sew. Surchnrpe 27 . 00 Police Plan check147.50 ~W Nome Firo 5AC 525.00 /~ddress Enp. Water Conn450. 00 <W Ci Phane Pianner Water Metar 60•00 Council Road Unit 250.01) I hereby acknowladge that I have read this opplication and state that Bldfl. Off. the information is correct ond agree to comply with oll applicuble To~a~ $1754.5~1 Stete of Minnewta Statutes q~ Cjry oj Eo~en Or ino~JncesJ~ - / ~ ~ ~ ATl~! Sipncture of Permittee A Building Pertnit Is issued to: Bab MCDOn81d C ncr _ on tha expreu condition tFoi oll work shall be done in accordante wifh qll opplieable State df Minnesota Stotutes ond Ciry of Eagan Ordinances. Bufldinp pfficial . , m Permit No. Permit Holder Misc. Permit No. Holder Plumbin9 H.V.A.C. ~ s( S s~f"o N.-E h.S Wsll Water Disp. S~wer ' Electric wasq3q3 ~~1L4 ~ ~3 -tc 1 (~ol~GZIZ 3 Inspection Date Insp. Other Footings t Foundation Freminp Rouph Plbq. - J W Q, Rouph HVAC Inwlation .71, v~ Finsl Plbg. -20-IY,? . Final HVAC .Jp Final Water ~ibe Location: YYsll ' Sewer Pr. D'ap. ' INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: , I ~ ~ . (612) 681-4675 SITE ADDRESS: APPLICANT: !~.?T: ; t{~u~t ~ ±i(,!lri1W I t,Nt N 1 i•: i . ~~..ratt f PERMIT SUBTYPE: TYPE OF WORK: INSPECTION • 11,111 IN 1•1 1 It. Z!Akk. . •.rr) Ar~Air I If?;aa i~. 1 1 F i,riI 1:•i ti io?? iyl E+i, Ai sanEif ~ L Permit No. Permit Holder Deta Telephone N ELECTRIC PLUMBING f'7 HVAC Inepection Dats Msp. Comments FOOTINGS FOUND FRAMING /r (y ! ROOFING ROUGH PLUMBING ~ /f PLBG AIR TEST ROUGH /1///~ ~n HEATING GAS 5VC TEST INSUL 7 ~ GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FiNAL HTG , ORSAT TEST BLDG FiNAI 40 'I Z' BSMT R.I. BSMT FINAL DECK Ff(3 DECK FINAL CITY OF EAGAN Remarks Addition WEDGWOOD lst ADDN Lot 7 e1k 4 Parcel 10-83550-070-04 Owner Street 1030 Wedgwood Lane North State EAGAN NIlV 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1981 58.69 2.93 20 49.90 A012349 6-13-83 STREET RESTOR. GRADING 1981 186.48 12.43 5 149.19 A012348 6-13-83 Sewer Lateral 571 981 313.16 20.88 15 250.55 " SAN SEW TRUNK 1981 198.50 13.23 15 158 . 81 " " SEWER LATERAL 1981 197.54 9.87 20 167.93 op Sewer Lateral 1982 133.17 8.87 15 115.43 A012349 " WATERMAIN WATER LATERAL TTIC 1981 262.1$ 17.48 15 A012349 6-13-83 WATER AREA 510 1981 198.50 13.23 15 158.81 " " *Water Lateral 1982 98.57 6.57 15 85.43 A012349 " STORM SEW TRK STORM SEW LAT *Powerline Relocatio 1982 15 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 250.00 34682 3-8-83 WATER CONN. 450. 00 't " BUILDING PER. SAC tv iT PARK Receipt MECHANICAL PERMIT Permit Noci I ~ CITY OF EAGAN • - , Fee Fil1 in numbered spaces S/C Type or Print legibly Tot. - ~ 1. Date ~~A 3 2. Installation Cost 3. Job Address/0.54 E06Ea"t 7 Blk. 7 Tract"' f 4. Owner z•' Ce' ~ 5. Contractor 4 /.f'dxjc": Phone/-= , . 6. Address 7. CitY r`/%Ii11 C State 122~Xi ' Zip 8. Building Type: Residential L9"" Commercial O Institutional O 9. Work Description: New B'~ Add D Alter ? Repair ? 10. Describe Fuel TYpe/~''?i/i 11. No. F.quinment STU - M. Ea. No. Equipment 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.0II 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 EACiAN 464-$100 Receipt PLUMBING PERMIT Permit No. 3 J 1~' CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prini legiWy - Tot. 1. Date "7 - 2. Installation Cost 3. Job Address Lot_7_Blk. Tract i „ • , , 4. Owner ? L/ ~ 5. Contractor < l' •~'1 PV ~ ~ ` _ Phone 6. Address 7. City f • _ , - State 2ip 8. Building Type: Residential E5 Commercial ? Institutional O 9. Wark Description: New ~ Add ? Alter ? Repair O 10. Describe 11. No. Fixtures No. Fixtures ~ - Water Closet Cesspool/Drainfield ~ Bath tubs Septic Tank Lavatory Softner ~ Shower Well Kitchen Sink Urinal/Bidet Laundry Tray Floor Drains Drinking Ftn. i SlopSink - ~ 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 454-8100 CITY OF EAGAN Np 7822 . ' 9793 Pibe Keob Rmd Eagan, MN 65123 PNONEa 431-8100 BUILDING PERMIT Receipt # To bs wad far SF DWG/GflR Esr. Velue $54,000 pate March 8 1 q 83 Site Address 1030 Wedawood Lane North Erea g]C Occupancy R-3 Lot 7 Bixk 4 Sec/Sub. WedQwood lst Alter ? Zoning R-1 parCel # 10 83550 070 04 Repolr ? Fire Zone NA Enlorpe ? Type of Const. V ~ Name Bob McDonald Construction Move ? # Scories z Address 1212 Bluebill Bay Demolish ? Length 50 B`Ville. 55337ph. 435-6691 or 894-4219kd, ? Depth 38 Sq. Ft.- ° Name OwneT AVDrorala Fees o~ Address Assessment Permit 295.00 V~ Ci PYwne Water 8 Sew. Surchorga t 27.00 Police plan checlr-47.$0 Gw' Noma Fire SAC 525.00 ~z 450.00 x~ Address Eng. Woter Conn. <W Ci Phone Pionner WaterMeter 60.00 Councll Road Unit 250.00 1 hereby acknowledga that I have read this opplication and stote thot Bldg. Off. the inlormolion is correct and ogree to [omply with all opplicoble AP~ Tofol $l~$4.$~ State of Minrxsota Statute; a~ C,yfy~~ Or irw~ TL~ O SiOnofure of Permifteo ~lL~ _ A Bu{Iding Permil Is issued ro: Bob McDonal C on the expreu condition thm all work sholl be done in occordonce with I opplicable Sf f Minnewta Statures and City o4 Eagan Ordinonws. Building Officiol CITY OF EAC'~AN Include 2 sets of plans, a 1 site plan w/elevations & BUILDING PEFt= APPLICATION 1 set of energy calculations. ~GCL-r Zb Be Used For ~nrlt- "~?V~i'li~ y~aluation 6"1111a Q Date site Address: 10F.D U7E-&0w0ok CaK£ iUorvk oFFICE usE oNLY Lot 7 Block y Sec.%sub. 11ll~w-GWD ~ Erect ~ OccuPancY Parcel tD $ 3 S SD 07 o O~ Al' Zoning ~Repair Fire Zone R~mer: EYnlarge _ Ty1~e of Const. Nbve # Stories Pddress De.rrolish Front SO ftCity/2ip Code• Grade Depth 3 8' ft. Phone # : P,PPROVAIS F'EE.S ~ Contractor: Assessments Pexmit 9'6 Address: Water/Sewer Surcharge ~ 2 = ss` Police Plan Check 7-- City/Zip Cocle: ~t-fi~/l/Sdi°LG~ i~? '~~jFire SAC c5--em Ptwne Eng' Water Conn. Planner Water Meter O ~ ~~h.~g.: Council Road Unit ~ s0 ~ Bldg. Off. s »i ' Pddress: APC City/2ip Code: C1r Phone ~1'~. o~ `i l Sd SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOBNO o 3 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 ADDRESS /0'3O Z~HG No. CIN y~ .J "OCCUPANT uL~L T7 ~~N OWNER SOLDBY ~ • ~QNd WSTALLED 9Y O J( MODEL G~OUF~ ~ O MAKE ~g (>o 0 SERIAL NO. p ~ C) Z INPUT op~ y,. THERMOSTAT F• 'b O a O VENTSRE d Gt L i,J-~. f '?~`-b'~ VALVE NPE OF LINER LIMIT LINER SIZE Y~ LIMITSETTING~ a FILTERS: SIZE 6 4- 2~X ` NUMBER~-- r~'t FAN SETfING -c 'c, WIRING I el TESTTAG PILOT TYPE ) - IGNITION MODEL s~ LIGHTING INST. . PILOTTIMING `H f ~ 1 DATETESTED Z~ ~ PRESSURE PERCENTCOz 7 SY b~ COMPANYTESTING INPUT CFH PERCENT Oz Q ~ ~ ! STACK TEMP. PERCENT CO NAME OF TESTER , FORM 235 (REV. 11/88) FOFM DISTRIOUTION: WHRE COPV - J06 FILE YELLOW COPY - LT' RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ~ 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4875 ~ q9. ~ ~ NewConstructionReouiremeMS RemodellReoairReauiremeirta - • 3 reg'slered sRe surveys showing sq, ft of lot, sq. ft. of house; aiM all mofed areas • 2 apies ot plan ' '-4 C) (20% mazimum lot coverege allowed) • 1 set of Energy Calalatiom for heated additions • 2 copies of plan shovring haam 8. window sizes; poured found design, etc.) • 1 site survey (or e#enor add'N'ons & decks . 1 set of Energy Calculations • Indicate H home served by septic system (or addNOns • 3 copies of 7ree Preservation Plan R lat platted after 717193 • Rim Joist Detail Options seleclion sheet (bidgs wBh 3 or less unfts) DATE -57 - i L-%--~~- VALUATION~~ ! V ~ SITE ADDRESS Wr~ MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK _'~ZA0-' OFIREPLACE(S) _ 0_ 1_ 2 APPUCANT ~`-e- STREETADDRES^SVl,3 UV CS_`c CITYQA-,!)~STATE "~'u~ZIPS'SkDL(P TELEPHONE # CELL PHONE # (eQ-3kR''k5rF3 FAX # PROPERTYOWNER TELEPHONE#C9S~ u~~-3SS3 COMPLETE THIS SECTION FOR "NEW°" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA"CEGORY 1 _ MINNPSO`CA RUI.FS 7672 (4 submission qpe) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Watcr Softcner _ Lawn Sprinkler ree: $90.00 Watcr Heater No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # ~ Mechanical syslem includes: Air Conditioning L42002 _ Heat Rccovery System MAY 1 Sewer/Water Contractor: Phone # By 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. Stgnature of Applicanf OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 RESIDENTIAL ~ BUILDING PERMIT APPLICATION 5 I C~ Z CITY OF EAGAN ~ U 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Canstruction Reauirements RemodeUReoair Reauirements ~ • 3 registered s@e surveys showing sq. f(. o( lot, sq. ft. of house; and all rooted areas • 2 copies of plan (20%mauimum lot coverage allowed) • i set oF Energy Calalafions forheated add'N"ons • 2 wpies of plan showing 6eam & window s¢es; poured faund design, etc.) • 1 sfte survey for eztenor additions 8 decks • i sei of Erergy Calculations • Indicate if home served by septic system for additions • 3 wpies of Tree Preservation Plan if lot platted afler 111193 . Rim Joist Detall Options selection sheet (bldgs wAh 3 or less units) DATE a/,? /ZI 2_ VALUATION ~ ZS(Z' (FO SITE ADDRESS 1030 0~ 1-+1- iU- MULTI-FAMILY BLDG _Y i/ N TYPE OF WORK Sl FIREPLACE(S) _ 0_ 1_ 2 APPUCANT Gf/.Ph/IilY Jl L-S / STREETADDRESS Ib-~5O (~.~4 ~w.4'l2 Q' vt</?- CITY~STATE~_MIP:azL TELEPHONE #IvS/-YSL 3vK 3 CELL PHONE # FAX # PROPERTYOWNER-1J~r~tl ~I-4 JN uil a !NA {'1/M-S TELEPHONE#lo5"(-Y2 -JS'S3 COMPLETE THIS SECTtON FOR "NEW" RESIDENT{AL BUILD{NGS ONLY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submined Plumbing Contractor: Phone # Plumbing systcm includes: Water Softener Lawn Sprinkler Fee: .`"b90.00 Water Heater No. of R.I. Baths No, of Baths Mechanical Contractor: Phon Mechanical sysCem includes: Air Conditioning Dr ~ 1~:r~ .00 Heat Recovery 5ystem JUN 0 7 ZOOZ Sewer(Water Contractor. Phon BY..~.,~..------- 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 Eag Ordinar~es n~ Slgnature cf Applicant l ti~ ~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 I -SURVEYOR'SI CERTIFICATE • ,SIENNA CORPORATION I , , . . , G W O pD ° qNE N~RTH ?S.Op ~ S ?703 , ~ p ,1\ o tL~v~Yims shoU..v Fy,~~ / ~o ~ ro '.B:Ero,~E 5T,£!6~'. ( ~ Lqri h2 10 ~ o~ S•zil ' ~ N .y a C6 ' p 1 1 O o LOT ~ C-.: - N DRAINAG UTILITY EASEMENT ~ i 5' pER PL AT I ~ 82O50I 0„E, S 75,33 ' - , , i ~r I ( O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 40 FEET 0 DENOTES ZRON MONUMENT FOUND PROPOSED GARAGE FIAOR = FEET p DENOTES WOOD STAXE PROPOSED IAWEST FLOOR = FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION = FEET (000.0)DENOTES P[iOPOSED ELEVATION DENOTES DIRECTION OF SURFACE DRAIt7AGE I hereby certify that this is a true and correct representation of a survey of the boundaries of: Lot 7, Block 4,'.WEDGWOOD FZRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. And of the location oP all buildings, if any, thereon, ancj,all visi le encroai 8~ts, if any, from or on said land_ As surveyed 6y me this ~~aay of AppROVED FOR SIENNA SIGNED: JAMES • NILL, INC. . CORPORATION BY: G ROBERTS ARCt[ITECTS BY : pATED THIS DAY OF Narold C. Peterson, Land Surveyor 198_ Minn. Licenge.No:. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 81178 Planners Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South , . ~ FoMER Bbomingtoi% Mn. 56431 812-884-3029 ' 1J RCtl~ ~ We+ncrurips Guide q Cocstroetan No. lnwlatioc Windows I Doon ~ II Reference II at. wau int. Wa1f Ceiling Roof Floor I Kind How Applied ee-o 0 19_ Sa- F7.1 Room Length V 0. Width % p" Fkight n1p„ Fl.1 Room Length '•'Width yaight Windows'and Doon-Cracknge and Area V/indows and Doon--Crsckage and Area WIGeh Helgpt Ne.af Llnultt An& WIEtE H~ItDt Nae[ LnY1tL Are~ N0. otDane otDan. Ilihb o[craet p.lt No. ofp.o. olpaw Ilfeb OfeAek W.f4 ' , tY \ N -j!CL- \ U O ZD C«f. &a Coef. Btu lohlvation O Inn Inbltration Clan le Glaw Exp. wsll Exp. wall Net eap. wall ' 9454 Net up. wall Int. wsll Int. wall `Flo°r ~ Floor ; CeJ. f. -l. ' Total Btu. i 7'dn1 Bw. ~ ; Required sq. ft. E.D.R. ot sq. ine. W:A. Lwder area Requved iq. k. E.D.R. or W inL W.A. Leader arta FI.l y ej~j RoomI Lenqth\',` " W;dth " He;ght N " F1.I NA Room Ikneth • Width • HeiBht W, t, Windows and Doors---Crackage aad Aros Windows and Doara--Crackage and Area W late lI~I~Ct N. ot Llnmd tt. wna SNP OfD na of0D..Ith. NiAU o[<nek q R No. of paoe of M. Ilfab ot ene4 q. t4 `Z 20" b~ 20 Coef. Btu Coef. tu 1a61tratioo O In6ltration Gltu 1 p t00 Glaaa _ Fip. wall Ezp. wall Net up. wall A%L \ Net e:p. wa11 1at. waU Int. wall Floor Floor Ceil. ~ g Ceil. Total Bta I (o Tota1 Btu. Required sq. ft. E.D.R. or aq. ins. W.A. Luder arcs Required eq. ft. E.D.R. or sq. ina. W.A. Leader ares Fl. ip IL Room I Leneth yo" Width Heieht 9'O" FI.~ -t Room I[.ength %y' ` VNidth ~V Hcight lee Windows and Doors-Craekage and Ares Windows and Doon-Crackage aad Area WIJth HeleTt Po.ot Llaulft Ara Widtn Hdppl Nao! LIn1d(t. Atan NO. otpane a(Dans Ilthts efeneY q.It N. ofDons ef.mM p(Tq otenelf q.t4 2• - v b~ ~ 20 t C«f. Btu CoeE. Btu ation + In6ltration 40 f]pp 1163 CJau Ilo O Soo CJasa ~-E:µ wsU FnP. wal, ' Net e=p. wall lllti Net exp. wall Tnt. wsll Int. wall ' Floor Floor a^Cl1l. C.d: Total Biu.. . 33, b_ Total Btu. i'Required s7. ft. ED.R or p. ias. W.A. L.eader uea Req::ircd sq. ft. E.D.R..or sq. ins. W.A. Leader arca.. r;;:;-l~+a~ _ ~15, eey ; 8~uh ~ . Neat6errtrips A Cuide Comtructwn No. Imdadon W~ws I_DoorsReferena ~ Out. Wall Int. W&8 Ceiling Roof Floor kind Hcw APP~ied er- o Yes- 19-. FI•I L%v w Room Length liV + Wifih Wa Fkight , e FlU Room L.ength Width Height Windowt and oon-Cracksge ead Area Windowe and Dooo--Crackege and Area WIEtI~ H.INu. ot Llnql (L An& W1d10 NHfht No. at 1.Inw1 t{. Ala~ N0. ot yano o[ X. Ilyhb ut Raet M. tA No, o[ pau. ot Wu 11f4b ONnCI[ M• lt• Coef. &a Coef. Btu Iofil4atioc y o Ic6ltration Glass Glayr fsp. wall Exp. wall Net exp. wall t-{ Net up. wall Int. wall Int. wall , Floor Floor - CeJ. r•1. Total Btu. Totnl Btu. Required sq. ft. E.D.R. or aq. iae. W.A. L.eader area Required sq. h. ED.R. or sq. ins. W.A. Leader area FI.I t*IRoom LengthZ "Wideh lb" HeiBht Fl.I Room ILeos~ Widt6 Height Windows and Doors-Crackage 5nd Ares Windowe and DoorsL-traekage and Area WICN Nal(nt Ne.o( LIqQA114 ARa WIAt6 H.ISOt No.o[ Llwall6 AH, Ne. of Da.e o! oan• Nght. ot cnek M. t1. Ho. of nan* ot mm 11[eV ote.Y K. f4 ` W 1 (d 8" 41 ~ Coef.' Btu ' Coef.1 tu In61[ration S L~O O 1n61tration r + Glw p b Glass _ Fap. wall aP. wall Net e:p. wall S~ Net exp. wall ; Int. wall Int. wall Floor Floor Ceil. Ceil. Total Btu. 'i Tota1 Btu. Reqnired sq. ft. E.D.R. or sq. ins. WA. I.eader area Requized sq. ft. E.D.R. or W. ina. WA. Leader area x, T Room I I.ength W "Width ~p" Heietit Fl.1 RoomlLengtF, Width Hei$ht ~ Windowa and Doors-Crackage and Arca Windows and Doors-Crackage sad Arca n0,W ~ain fteiem Ho. o: un.•I n wrw wiaon xeIiel rv> ot Lm..i tL eru O~n~ o[ P~n~ IIgM. o! erul[ [6 Nu ot p.ne oty~Ilfhb et erael[ tt 4. kb„ , • 3, o., 6kl Coef. Btu Coef. Btu In5ltration p p Infiltration GIBU SO GId55 ~ : Eap. wall E:p. waC \NSuL 3p31 Net ezp. wall Nec e:w W+H x; r 10. wall 4 W iM1 il.. ~ Int. wall F7oor ' Floor : Ced. Ceil: Total Biu. ~a Total Btu. Required s.l. ft. E.D.R or p. ins. R! I.eader area Reqai:ed aq. ft. E.D.R., or p. int. W.A. l.eader area ~ PERIVII'I' CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 7 3 2 (612) 681-4675 Date Issued: 0 4/ 16 J 9 7 SITE ADDRESS: . 1030 WEDGWQQD LANE N LOT: 7 BLOCK: 4 WEDGWOOp 15T P.I.N.: 10-83550-070-04 DESCRIPTION: l3~uildiitigP,ermit Type BASEMENT FINTSM ~.Buijding Wb~k~ Type ALTERA7ION GensuS Code 434 ALT. RESIDENTIAL t~ ~Y f Si REMARKS: SEPARATE PERMI7S ARE RE.QUIRED FOR PLBG & ELECTRICAL WORK ' FEE SUMMARY: Base Fee- $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: _ qpplicent - WELSHONS DANIEL ~ 1030 WEDGWOOD LN N ' EAGflN MN 55123 ~ (612)452-3553 ~i fiereby ackri'owiedge tha"C Z havs road this applicatIon and state zhat the ~ informatinn is cQr?recC rafld agroe tocampl,y with all applicaiale 5tate af Mn. I L Statutes and City af Eegan Ordinances. _ .k . _ _ _ _ ' . - ~ : ..w_ : APPLICANTlP EESIGNATURE I EDBV U 4104997 BUILDING PERMIT APPLICATION (RESIDENTIAL) I CITY OF EAGAN , 3830 PILOT KNOB RD - 55122 681.L675 New Construdion Reaviremerrts RemodeUReoafr ReauiremeMs ? 3 registered stte surveys • 2 copias of plan • T coplas of plana (indude beam 8 window siua; poured fid. deaign; etc.) ? 2 site aurveys (exterior eCd'Rions 8 dedcs) ? 1 energy calculadons . ? 1 eneigy ealculations Por heatatl addkions • 3 copies of tree preservetion plan M lot platted aRer 7/1/93 required: _Yes _ No " DATE: y11019 7 CONSTRUCTION C05T: DESCRIPTION OF WORK: ri~,i ' S k b STREETADDRESS: 103 0 /n/2 d~'G?oC7 4! ~n . LOT ~ BLOCK ~ SUBD.lP.I.D. PROPERTY Name: 0e(5h"5 Phone#: `fSd -355 3 owNeR ~ '~/""~rrG..~ StreetAddress:lo3o INyGUdDel L~- City: Eq dri State: Zip: 33 coNTrtac7oR Company: 5-e,/F Phone#: , Street Address: License City: State: Zip: ARCHRECT/ Company: 5-e-11C Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer 8 water licensed plumber (new construction ony): . Penally applies when address change and lot change are requested once permft is issued. I hereby acknowledge that 1 have read this appiiption and state fhat the iMortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant OFFICE USE ONLY RECEIVED Certificates oi Survey Received _ Yes _ No APR 10 1997 Tree Preservation Plan Received _ Yes _ No _ Not Required BY: A ~ CITY USE ONLY ~~c p~O S L BL RECEIPT#: SUBD. RECEIPTDATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . single family dweliings . townhomes and condos when permits are required for each unit . backflow preventer for underground sprinkier system FIXTURES ~C LO TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' mintmum -1 • 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under wnsVUdion 5.00 x = Water Softener ' for existinp dwelling 20.00 x = U.G.Sprinkler 'fordwellingunderconst. 3.00 = U.G. Sprinklet `forexistingdwelling 20.00 = Alteretions • ta exfsting residence 20.00 Water Tum Around 20.00 = Private Disposal System ' Dak Cty Ilc. 75.00 = (new and refurbished systems) Private Disposal Systems'nbanaonment 20.00 = STATE SURCHARGE .50 m TOTAL I hereby adcnowledge that I heve read this apPliption, state Nat the infortnation is wrtect, end agrea to comply wfth. ell epplicable City of Eegan ordinances. It is the applicanPa responsibility to notify the property owner that fhe CHy oi Eagan essumes no liabiliry for any damages caused by the Cily during its nortnal operetionel and maintenance activities M the fecilkiesconsWCted under thispermR within City propeAy/right-of-way/easement. . SITEADDRESS: ~636 W4-4Gjo6Pj OWNER NAME: INSTALLER NAME: TELEPHONE STREET ADDRESS: 524f X-C, CITY: STATE: ZIP: / Xi-~----~~ SIGNATURE OF PERMITTEE 2004 RESIDENTIAL BUILDING PERMIT APPLICATION _V 7 doo City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reauiremen45 RemodeVReoair Reauirements Office Use OnN 3 registered site surveys showing sq. ft of bf, sq, tl of house; and all roofed areas 2 copies af plan Ce[t 0€SuSyeyReoi N (20%rcaximumlotcoverageallowed) lsetofEnergyCakulationsforheatedaddi6ons TreePreSPIer~R~ _M 2 copies of plan showing beam & window sizes; poured found design, etc. 1 sRe survey for additlons & decks TreC Pres~egmred Y=N 7setofEnergyCalculations Add'dion-iMicafei(oo-siteseptksysfem O"iteSeptiC$ysfem r 3 copies of Tree Preservation Plan if lot platted aRer 711193 Rim Joist Detail OpOons selection sheet (bldgs wiN 3 or less uniGs Date Construction Cost SiteAddress q~ /V UniUSte # Description of VVork 6A,5 P-b~-~~ - Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Property Owner VA Nl]" Telephone # ( 65I ) gos -D6 Contractor Vc- Address 363D (.l~ P~Li'l 13 City /,i<-S2.v5,fu&, State dA7 ziP 0'~3 37 Telephone 9C24 ~8°9J `c) 7~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Vendlation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitled Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber - - - Telephone ) Mechanical Contractor _ I ~t I Telephone ) FE8 ~ r_764 Sewer/Water Contractor J 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 permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in e case of w k which requires a review and approval of plan ~ ~o, ApplicanYs Printed Name Applicant s Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1030 Wedgwood Lane N Lot: 007 Block: 004 Addition: Wedgewood 1st PID:10- 83550- 070 -04 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA081670 01/11/2008 ePermit equirements should be directed to Mark Anderson, State Electrical Inspector, $50.50 Owner: Julie A King 1030 Wedgwood Lane N Eagan MN 55123 $50.00 0801.4088 $0.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature 1sil►iN .tom PERMIT ,. tc Knob Reed NO.: �5 , IAN 55122 DATE: Zoning: No. of Units: 41 owner: Bob PxCThonald 'Cons trutctit i Address: 1110 tied :wood' La _ Pas t L7 4 �-._, wi4 ' h a r t r t' . r- r g a r . ,.. .T . T e.0.11 i m Connection Chore 4513 ta Size. a . Re Account Deposit ' ade r No:: Permdt Fee: , ■ i � p 3 r‘ (tom , p d 9 t agree to earn* + h'the City oh Eagan Sutdvai'ge' Ordinances. Misc. Charges: 60 .00 .Dr'. k�et.er Total: By i Lid �J Dote -Paid: Date of Insp.: insp.: + '_ CITY t SEWER SERVICE PERMIT 3795 : Rood — PERMIT NO • 972 riadit, AN 55122 DATE: - 4 1 6 /81 Zoning: ii+Xb M nald Conrikl6w6 1 Owner: i" i Address. 1030 Wettgwood In IT L7 B4 We wood 1 - Site Address: DC Excav -, Isarevil ...21b8._ Plumber: 3/8/81 68ifirt / 100.00 pd 1 agree to comply with the City of Eagan Connection arab: 4?5 _ 0C) pri Ordinances. Account /poi ). c tiz ee: 10 . 00 pd I , ' Su rge: .50 pd By Misc. Charges: Date ofp,? / c C \ Total: Insp.: 4 ,...; ,r,3 Date Paid: T I 1-Df OffiGe..t Ze I • I _ 1 P ermit / / o 57 City 01 EaF Il 1 as 1 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 j Date Received: S / Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: L)o I I V________________J. 2013 RESIDENTIAL BUILDING PER IT APPLIC TION Date: IV A6 J Site Address: ®3~ Tenant: Suite RESIDENT ! OWNER Name: Phon (DJ / Address / City / Zip: 16, ?0 A4 Z_iQ / Applicant is: Owner V Contractor TYPE OF WORK Description of work: t° Construction Cost: Multi-Family Building: (Yes /No CONTRACTOR Name: baAAeff- "wC"e.5 License • Address: 39 15 71 &CAAaoll City: State: Zip: Phone: 1403" 7v'f • ~ Contact Person: / /1 f_' J? , COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that wouldpermit the City to conclude that the ar V trade secrets. 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 withou permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Nam Ap c ignature Page 1 of 3