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1035 Wedgwood Lane N CITY OF EAGAN ; 9558 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt L) # Te w wnd ier SF DWG/GAR Est. Value $60,000 pote OCTOBF.R 2 19 84 5ite Address 1035 WEDGWOOD LN N Erect C Occupancy R3 Lot 8 Block 5 SeclSub. WEDGWOOD 1 Remodel ? Zoning Parcel No. Repair ? Type of Const, v Enlarge ? No. Stories W Name ~''~M HUTTNER CONST Move O Length 5 = Address 960 ` Demolish ? Depth 4 0 ~ City Phone Grade ? Sq, Ft. SAJV?$ Appeorols fess Name . D O Address Assessment Permit 30.00 City Phone Water b Sew. Surcho?ye Police Plon check 156.50 r'°` Name F?n SAC 525.00 ~W Address Erq. Water Conn. _ 9s0 0 ~ W City Phone Plonner Woter Meter 63LD 0 Countil~~71~T~~ Rood Unit 2 6 0_ U 0 I hereby acknowledgs thot I hcve read this applicafion ond state thot Bldg. Off. T 1~ "5' Parks the informarion is wrrect and ogree to comply with all opplicable APC Total$t, 0± 1-.-50 Stata of Minnesoto Stotutes and City of Eagor+ O~tdiwe.+ces: Var. Date Sipnoture of Permittee 1 11A /1 Buildiny Permit is issued to: on tM express tondition that oll work shcll be done in xcordonce with oll opplicable Stote of Minnesota Statufes ond City of Eaqcn Ordinances. Buildiny Offitfal ' - Psrmit No. Pe?mit Holdsr Date Plumbinp ( p rn _ -c.C (0 .3 -3 ).3 H.VA.C. j - ~ ~ , El.ct.,c LO 33 PYa,.-~ *bylL 3 .sz~ sonsne. Irypection Date Insp. Other Footings j' . ' ~ ' s Foundation 40 Framing Rouyh Plbg. ~ Rough HVAC 1 :1_S/_ Inwlation Final Plbg. ~ Final HVAC Final cortlocc. Water Describe Location: VYell - 5ower Pr. Disp. • CITY OF EAGAN Remarks Addition WEDGWOOD 1st ADDN Lot 8 Rlk S Parcel 10-83550-080-05 Owner Street 1035 Wedgwood Lane North State EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, 1981 58.69 2.93 20 46.97 A013432 1-11-84 STREET RESTOR. GRADING 1981 186.48 12.43 I5 136.76 A013432 1-11-84 Sewer Lateral 1981 313.16 20.88 15 229.68 " " SANSEW TRUNK 1981 198.50 13.23 15 145.58 " " SEWERLATERAL 1981 197.54 9.87 20 158.06 to 01 Sewer Lateral 1982 133.17 8.87 15 106.56 WATERMAIN WATERLATERAL Trk 1981 262.18 17.48 15 192.30 A013432 1-11-84 WATER AREA 1981 198.50 13.23 15 laS.Jr$ to it *Water Lateral ftj~f 1982 98.57 6.57 15 78.86 " " STORM SEW TRK STORM SEW LAT *Powerline Relocatio 1982 15 CURB & GUTTER SIDEWALK STREET LIGHT Roa Unit 260.00 #46760 10-20-84 WATER CONN. 470.00 11 ~BUILDING PEFi. #9558 11 sAC 525.00 " " PAR K INSPECTION RECORD CITY OF EAGAN . PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ~':o.~~1,1ta 1 ANr 14 PERMIT SUBTYPE: TYPE OF WORK: . .A . .A , t fi;y; r I ('S{c,1 I~ V i I~!tl 1 I ~•:I•1 I I t,t ~tll I i l 1+ 09/0> /v.i /0 .00 111- Nnl i v flt, i t,k aill tt, 1 r f. 1 Hi; ui- iIE RM 11 111 iti i w `;/1fN1 WItJ { 11 F ~ L Permit No. Permit Holder date Telephone M S/W PLUMBING HVAC ELECT ~q ~ ELECTRIC Inspection Uate Insp. Comments / Footings I !J! Foundation Framing 17- Roofing r Rough Pibg. L~ y _ D Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. NVeter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fm Fil! in numberod sp~ecss S/C ` Type or Prin[ legiDJy Tot. 1. Date 2. Inatallation Cost ' 3. Job Addresa J`• '1 :.'Lot Blk. Tract 4. Owner 5. Conuactor ' Phone B. Address 7. City . ~ Stete Zip - 8. Building Type: Residential ~i. Commercial ? In:titutional 0 9. Work Deacription: New ~l Add ? Alter 0 Repair ? 10. Describe Fuel Type 11. No• Equipffiepi STU - M. Ea. No. EQUiament CFM Foroed Air Air Handling: Mfg. Boilera Mech, Exhaust Mfg. , Unit Heater Mf9. 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 wark. tig^od' for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN ~ Fee , FiII in numbered spaces S/C FType or Print legibly T~. 1. Date ~-2. Installation Cost 3. Job Address ^ LotBik. Tract 4. Owner 5. Contractor Phone 6. Address ' i ~ - <-~i r . i J , • ~ , r' . ( ~ 7. CitY State Zip 8. Building Type: Residential 11i- Commercial O Institutional O 9. Work Description: New ~ Add O Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspaol/Drainfield 1 Bath tubs Septic Tank Lavatory Softner ~ Shower Well ~ Kitchen Sink Urinal/Bidet Other -T Laundry Tray j 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 Final Inspections: Date Insp. Dete Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN N? 9558 3830 Pilot Knob Road, P.O. Box 21-798, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt # 7~ ~ Te M wsd fe. SF DWG/GAR Est. Val.e $60, 000 pafe OCTOBER 2 , 19 84 SiteAddress 1035 WEDGWOOD LN N erect Ll occuoency R3 Lot 8 eiock 5 SeclSub. WEDGWOOD 1 Remodel ? zoniny Rl Pareel No. Repsir ? Type of Const. V Enlarge ? No. Storias ~ Name WM HUTTNER CONST Move ? Length 50 ? Add 960 WATERFORD DR W oemolish ? Depth 40 ress ~ City EAGAN phone 452-3088 Grede ? sq•Ft• N Sj,[u]E Approrolf Fee@ . ame OZU Assessment Permit .OO Address ~ City Phone Water 8 Sew. Surcharge 30 _ 00 Police Plon check 1 56 - 50 ~W Name Firo ' SAC 525_.00 'Address Enp. Water Conn. ~ _-00 ~w City Phone Plonner Woter Meter A-1_00 ' Council Road Unit ?rn 00 1 hereby ocknowledge thot I have recd this applicotion and stote that 81dg. Off. 1 O/1/H4 Parks tM inlormotion is corrett ard ogree Comply wit ~ oll plicable ~ms ~ State of MinrresoM Stotutes an i~t Ea APC Total Var. Dete SiOneture of Permittea A Building Permit Is issued to: WM HUTTNER CONST on Me express mnditlon that nll work shall be done in accordonea wifh~dl1;'opD~~~bla Sf~inneaof_~ o Stotutes ond City of Eopon Ordirwncea. Buildinp Officiol o • • w ALL CONTRAC~S MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE Ig SETS OF PLANS, ~ CERTIFICATES OF SURVEY ~F' I~~~• Q SET OF ENERGY CALCULATIONS To Be Used For: Valuation: 4Ofo0o- Date: = t _ Site Address: /03$Ltl~~g,,,ood ~,x l`l. sf • • Lot: Block: 5Sect/S : (J (Z-3 $ Erect: ~ Occupancy: Parcel Remodel: Zoning: R-I Repair: Type Of Const: ~ Owner: Enlarge: # Stories: Move: Length: ~ Address: Demolish: Depth: 40 City/Zip Code: Grade: Sq. Ft.: Phone H ~ Contractor: /-1-k77'~f ~o~rs~ ~ Address: g~ p GP_l ~1foTc~ Dr, Assessments: Permit: City/Zip Code: EZy9n S'S'/ZZ Water/Sewer: Surcharge: 3p,°' C~ Police: Plan Rev.: 15(0•~' Phone /~Z Fire: SAC: 51151= Engr.: water Conn: 420.`" Arch./Eng: Planner: Water Meter (03 ' Address: Councilc Road Unit: 2(op,5 Bldg. Off.: Parks: City/Zip Code: APC: Phone#: variance: f GA$ FURPIAGES ; M8'~: I R.A~' QVT 2~ ~MY ~ ~ ~ . 5-~, ~ LEIVND,X U. S. P R I C E B O O K MINNEAPOLIS-AC-PC ~supsrsedes 8-1•2007} Up ta 95.0%AFUE - 3ureCigh~ tgnFf3an • DuraLok Plus~AluminizedStee1 Hest F~cchanger - O3~ect VerttlNon•Diract Vent A~Way MWtf-POStfiom Wt#h No Intemal Ghanges Required - Pilter Not.furnishad -7'l~ermosiai Not.Fumished NOTE-G81MPV FURNAC£S CANNOT BE TWINNEDI ~ Output Output AIAlaw Flue llnk WelBhf Order Model No. 8tuh BWh AFUE Tpns C°nn Dimenslons 16s. No. ~ (low) (high) in. H x W x D G61MPV MODEL$ ~ _-~..._~...._-.,.r..~.~.....-_....__~__.._-.~.....~.._..__~..._..._......._..._...'_ . i G61 MPV38B-045 29.000 39,000 94.1°h 2-3 2 40 X 17Yz x 28Yz 128 - 67M21 ~ G - - 43,000 1 000 94.1 %2- 3.5 2 40 x 17 M22 _ .aa .<x t7Pi : rzdw... ~,~6 = U~~~d~3I „ G61 MPV-3 rc D , 9,000 94 3°0 2-3-9 2 40 z 21 x 2814 170 87M23 : . G61MPV-60C-090 57,000 81,000 94.6% 15-5 2 40x21z28Yz 180 67M24 . G67MPV-60C-091 58,000 84,000 95.0% 3.5.5 2 40 x 21 x 2814 180 24W47 99,000 94.3% 3.5-5 2 40x21x28Yz 788 BTMES - G61MPV-60G110 72.000- ~ G51 MPV-60C-111 72,000 103,000 95,0% 3.55 i.2 40 x 21 x 2814 198 24W42 i ~ -z. A Q-A y~ 0 N S. .0 . ~ ~ a o p No a J~ m > \ . 4 p ~ ~~Y Q o~.., ~ ~n70 n n z Q ~ 0 n m m ' RESIDENTIAL BUILDINC PERMtT ARPLICATION t a~~ CITY OF EACAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4875 New Construefion Reauiremenls RemodeVReoair ReouiremeMs • 3 registered site surveys show(ing sq. ft. of lot, sq. ft of house; and all roofed ereas • 2 copies of Wan (20%mazimumlotcoverageallowed) • lselofEnergyCalculatiorks for heated additiorr • 2 copies of plan showirg beam & window sizes; poured found design, etc,) • 1 site survey for eztenor addNOns 8 decks • 1 set of Energy Calculations . Indicate if Mma served by septic system for additions • 3 capies of Tree Preservalion Plan it lot platted after 7M193 . Rim Jaisl Deteil Options seleclian sheet (bldgs wtlh 3 or less units) DATE VALUATION SITEADDRESS ,03~~ ~~~D4-e I.LiCC1i LVw MULTI-FAMILYBLDG _Y 6-'/N TYPE OF WORK 'e4' !?~e FIREPLACE(S) _ 0_ 1_ 2 APPLICANT l~UL6y9 i)aL, CG A STREET ADDRESS ~~J 1 L1n /v / ~F /V V( CITY kLi9 LS STATE MW ZIP 336 TELEPHOME #~~Z'~~~' CElL PHONE # FAX # i%' IZ-W,;~do PROPERTY OWNER Z141S16 TELEPHONE# ky~' J76)q COMPLETE FOR KNEW" RESlDENiIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUL.ES 7670 CA'1'EGORY 1 MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumhing system includes: Watcr Softener Lawn Sprinkler Fee: $90.00 VVater Heater iVo. oi R1._B4h.6 No. of Baths Mechanical Contractor. IPhon~'#' 1 6 Z002 Mechanical system includes: _ Air Condirioning Fee-l $70.00 HcatRecoverySystem Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the infor ation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin es. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 ,(£om Dcvcloped by thc Scate of Hinnesota iuilding Codc 1)ivisioii) ` • ' TD EE SU34I?iED NITII IIUILAITIC PERTfIT APPLICATIOy ~ EXTEP,IOR F.NVF:LOPE AVERACE "U" COMPUTATION ' 01.'.`IER: _ S?TE ADDRESS:_ , CONTRACfOR: CU ~ NuWW?" C~ovrS14 DATE: 9 zP}IOIiE: ~S23a~ Dete=mine working equare footage'o£ each 1. Total exposed wall area..... sq.ft. x•~'~ ~ Lo ~ . _ Total roof/ceiling area........ . ~OZO sq.ft. x ~b~~. ~ ~•~L ~3.• Tota2 exposed vall area calculationa: . Totel exposed wall area ahove floor a. Total wall windoa'area 2-'fl b:Total door area e. Total sllding glass door area..:..... d. Total fireplace wall area.................. ' e. Tota2 wall framing area (averagelOZ) ,f70 fa Total net wall area above floor 13z;V . , g. Total rin joist area ~IJ2. ' Totai expoaed foundation area b. Total foundation windov area........r i. Total net foundation area above grade y TL. Determina "U" value of each wall segment . , • . ' : u . ~1.. • ~ .-`y-.~, .Z ' a. x Un b. % uI1~• e '3 ~ ~ , /i~ . • ' C• _ . x nUn x nOn e. 170 ' x nUn • . f, 13zj X foull S3.0~y . s. x .fUl. - h. ~ gst„h ' i. `T Z • g uU" 3. TOTAL ~T • ~ j8%b ? • . If item 03 is the sama as, or less than i[em 91, you havo mct the intent of r , ' 4. Total ex,osed roof/ceiling calculatlons: 7ota1 e;cposed zoof/eeiling area s /d Z(0'; J.-Tatal skylight azea • 1c. 'Total roof/ceiling framing area (averaye 107.)......... 70~ 1. Total siet fnsulated zoof/ceiling area Detetmine "Q" value for each roof/ceiling segment . R uIIn ~ _ . j , • , ~ Xf.un g njlt~ . y 6. ' !TOSAL Zf total of 94 is the same as, or•less than 02, you have met the intent ' of SBC,6006(c)1.. " Alternate Buflding Envelope Design_ . _ . . . . To utilize the total envelope system method, the values establisLed by the sum of items 03 aad 04 sha21 not be greater than the sum of items 91 . and S2. • , 1. + 2. ~ ~ 3. + 4. ~ ; . • i C E R Y I F I C A? I O N. I hereby certifq that I have calculated the "U" factors and R values . herein and that the building heze described meeta oi exceeda the State Of • Hinnesota Energy Conservation Act. . • ~ (Signature) . ~ (Aate) • ~ ' • . IYAI.Ii . {l l a\i..1 1407`E6 [t^e, ]U':. of ol--,yuc ++a11 arca for • ' tr.amc con::truciiun Construcrion R-Value ~ n' l L. Y~nr air I3Jm 0.60 ~ 2. + ~V , ' ~ O J nches soft ~.nnd i 4, ;1..,;1~.a'r%( • 2,p~ 5. V;; ' 175 S~IC 6. Exterior air film : 0.17 4IALL ~ Total FIG. dl TOPVIEIV QF - ~~Y(....sV...t. • .4rj . . , pRrs;E 4;Nd, 1. Intcrior air filra O.bif • 2 3.' . `~i I N 5 V L. . ~ O 0 ~ ~ • . ~ 9. Z 1 y-,~~' t~ L, p{y' _ ~ ~ ~ 5. S I Drn 6- 1, JS nxterior air Pilm FIG. t-2 Total . • ~ . J f.-. ~tii~ . ~ - . o g _ ; 1. •I teriar air Fi2m ~ 0.68-. 2. s. ' irt_'" SoFi(,uoon •..I./ 9. 25/SL S4f-+7p 6. Exterinr rir film 0.17 Tota1 ?a, 3 - ~ti • . ~.P .~f.• . ' E g „ C~'} ~ ~ - . • • ' • • A µ ' ; ~ 1. interior a3r.fi2m 0.68 .t7t;ilATICS ~t;, . ~l n 2. ~ ~ ',Z7 KCN ?.4i0 S.,AI3: p.~ • 3. IZ~~' C21-- K Zq~p. .'tt• . •p~ - Q . . 4. . • ~r.y 6. Exterior air film 0.17 Totale v 3 _ ~ . • -r---~j • . , . si.ns ow crau*.: • . . ' ' . . . • ~ . . ` . • ~(Z!~'pr !f . • ~ ~ ? ~ ~%II • ~ .',i . • y . A rrr~- , . • h 4 f'~ ~ ' • ~ ; , 6 . , _ 1 I 1 , . ~ ' ~ • ^ ~ • ~ ~ r . ~ FIG. 94 !!l k •d ~ O =IG. #3 • ~ . . ~ ' ~ a ' llf ) ~<7 • ~ ~ lIi In = . o NOTE: Yndicatn tyno, "I:" valun, dr.Pth and . • ~ . placenent oP insulation. . a ~ . • • . !s ' • , • • . ROOI'/CEIL2t]G Conetr.uction R-Valuc' Interior air film 0.61 2. GA'• IIr,~ y ` 3. lp`' P-Lv~-,N . .•}_~~'~~II 4. Ttcrior air fiLn (r.C.ill) 0I.C~? . VEtTt ~11I11~ '=t~i I'•I ti~ j~ moeal ~ G1 ~ - . . ~Ql . • ~ o t, Cente3 ~ Lcac flaw - - . up , . FIG. 95 ' . p l. Interior air film O.E1 v,~..: ~u,~~.,•a.::t.•:.~-v.r-_r.^_s__:c4...~ 2. ~a !21 L~,lty!_4 ~~r - --r 3- 11h°' 9. Er.tcrior air film sti 17 ' • 0/1 9'otal 12 Z . 1~. 2 3 ~ . • . . , lieat flov up •vented , .,FIC. 46' . ' . I112,idc air film 0.61 Z. . . ~ ~~J+h~vw. ? ' .f • . o..L~ s.' ' . . a . c d q, ait film S. outsfde 0.17 R =-f-~.'^:~'•s' ...j ~ ' ir~ . • ~~!-~`'w~ Total 1 2 • ~ ~ . : • 2i0:i-Prt:T'~. NoL•e: Use ndditional e:heets if monc sPacc 3 - ncoaoa for details and calculations. . ~ 'HenL . . 'f • , flov up ' Pir.. ~N7 ~ SURVEYOR'S CERTIFICATE SIENNA CORPORATION IVS R(~ 1?04 FD 0 ~ o ?g W ~ 1 ~ ~ 9/fo ~ .I V~LAIryAGE qNp I l~) 0~ pfR p{q~A1ET . 5 I . . o ~or i W N ~ 8l0 ~ N . z~ 10 0 ~ 1 N I ~M f ! Z ~ f 4'•a y19,o I .s- M f 1 C) - • zr , ~ . . I J ~ ~J I Z10sl 6G 93z.o 93I•a ~ /6 !5 " ~ /O M`S 7 75.~0 ~ 93ri. 9 7~3pI 0~pE o ~ yyo ~ LqNE ~ ODENOTES IRON MONUMENT SET SCALE: 1 INCH P 40 FEET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FI,OOR =.I32.0 FEET , O DENOTESWOOD -STAKE -PROPOSED IAWEST FLOOR = 9P9.o FEET XO00.0 DENOTES EXISTZN6 ELEVATION PROPOSED TOP OF FOUNDATION = 93Z.`f FEET (000.0)DENOTES PROPOSED ELEVATION. DENdfES DIRECTION OF SURFACE DRAIt7AGE I tiereby certify that this is a true and correct representation of a survey of the boundaries of: Lot 8, Block 5, - WEUG4100D £IRST ADDITION, according to the recorded . plat thereof, Dakota County, Minnesota. And oE the location of all buildings, if any, fhereon, and all visible encroachments, if any, from or on said land. As surveyed by me this _J2t~day of Ho4 198?. pppROVED FOR SIENNA SIGNED: JAMES R. HZLL, INC. CORPORATZON / J BY : ROBERI'S ARCHITECl'S . SY : ' ' DATED THIS DAY OF Harold C. Peterson, Land Surveyor 198 Minn. License.No. 12294 PROJECT NO. BOOK / PAGE JpNJES R. HILL, INC. 81178 Ptanners / Engineers / Surveyors FILE NO, 8200 Humboldt Avenus 5outh . FOLDER • BIOOMIfIgtOll~ Mfl. 55431 612-884-3029 . PERMIT ~ ~ CITY OF,EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u= Lo a N G Eagan, Minnesota 55123 Permit Number: 021800 (612) 681-4675 Date Issued: 10 / 2 5/ 9 3 SITE ADDRESS: 1035 WEDGWOOD LANE N LOT: 8 BLOCK: 5 WEOGWOOD P.I.N.: 10-83550-080-05 DESCRIPTION: , .x INCLUDES DECK Building, permit Type SF PORCH Building 4ork Type NEW ~'Building Length 12 f'Buikding b.lxdth~-i 11 ti ~ r ~ • / ~ t. 00i~ ~ OL" c~c~~l n REMARKS: SEPARATE ELECTRICAL PERMIT REQUSRED 09/07f93 -$20.00 PENALTY PD FOR NOT PICKING UP PERMIT WZTHIN SAME MONTH FEE SUMMARY: VALUATION $9,000 Base Fee $108.00 COPY $.50 Surcharge $4.50 Total Fee $113.00 5ubtotal $112.50 CONTRACTOR: OWNER: - App icant - JAGODZINSKI GARY 1035 WEDGW000 LANE N EAGAN MN (612)666-2709 I hereby acknowledge that I have read this application and state that the 3nformation is correct and agree to comply with all applicable State of Mn. Statutes and City af Eagan Ordinances. L J - A C ! MITEE SIGNATURE ISSUED : SI NATURE aEncrtvalE _ ~~~~~~~~n ITY OF EACiAN ~ "'1 I3 BUILDING PERMIT APPLICATION Ct,~!P~r( l~-,2 AUG 17 1993 681-4675 ~ ~ f g L - SIN6LE & 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 working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Quae~ Yaluation of work 5- 6w Site Address: -/o lz_-e- ,iJ . STREEi v $UITE M Tenant Name: (commercial only) TBLOCK SUSD. lsfi/7/r1W . I.D. M Descri tion ot work: The applicant is: Owner ? Contractor ? Other (oes«;x) Phone Name Ta~~zf,.slr,- Property LAST FIRS? Owner Address /o -3 s w~~~d1 4„ .~ts: SiREET STE Y City 'g7°ao'y State ,df,(l_ Zip Ssjlzz Company Phone Contra ctor Address License # Exp. City State Zip \ Company Phone Architect/ Engineer Name Registration N Address City State Zip Sewer & water licensed plumber ~ . Processing time for sewer & water permits is two days once area has been ap " d. 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: ` OFFICE USE ONLY BUILDING PERMIT TYPE ~ % ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool IR 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind. Oa Sf Porch O 09 12-Plex ? 14 fireplace ? 19 Comm./Ind. Misc. isc. ? 10 Multi. Add'1. 0 15 Deck O 20 Public Facility ? 21 Miscellaneous WORK TYPE 1!31 New ' ? 33 Alterations ? 35 Tenant finish ? 37 Demolish ddition ? 34 Repair 0 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy ~-3 2nd F1, sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint 5q. ft. Fire Sprinkler Length J•z,, On-site well Census Code c~ Depth Ic~ On-site sewage SAC Code / APPROVALS 0 Planning Building Assessments Engineering Yariance REGIUIRED INSPECTIONS 4 -5&_~~W T-oRc,{.-( aub ? Site Footing Framing Insulation ? Wallboard tFinal ~Draintile O Fireplace Permi t Fee 106.0c) Yalutim: $ `7 D(!:kD,f) o Surcharge y 041~7p Pv/teu-i, P1an Review ~ ~ license ~/z~C I Z- 13g X5Y = 745 MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit i S/W Permi t c{ 5~.~, G o 5/w Surcharge Treatment P1. Road Urit - Park Ded. - Trails Ded. Copies Other Total: sac % SAC Units ~ SURY `IEVORrS Vg~ER''iFICA"~E SIENNA CORPORATION i 1 I' 1w ~MS/ r 11I 0 ~fsa -30 ~8' RU='ESS o ~AD _ ~ `91#o__N76004ol4. 75.02. w` ~ (Lf .j ~T il,~~ af ANO< ~ ~ . l~) O pFR pA4T MfNT I o ~ N ~ - 2 f r r0 N ° N'~W:e~.o ~ Z . frMj' J~s, t s: . ~ A%k. ~ J I t.r ~ s l / 9JJ•~ 11 /0&.5- ° `S7jo5'op M Eb~40 ~ . ANE ~ O DENOTES IROD1 1+IONUMENT SET SCALE : 1 INCH 40 FEET ~ 9~I.a FEET 0 DENOTES ZRON MONUMENT FO~7r1D F1iOPOSED GARAGE FI.ODR e 9t9 p FEET O DENOTES WOOD STAKE ' PROPOSED IAFIEST FLAOR XO00.0 DENOTES EXISTING ELEVATION PROPOSED TOF OF FOUNDATION a 97L.Y FEET (00p.0)DENOTES PROPOSEC ELEVATION DENOTES DIRECPIOEI OF SDRFACE DRAINAGE I hereby certify that Chis is a trne and correct representation of a survey of the boundaries of: Lot 6. Hlock S, 'WEDGWOOD FIRST ADDITION, accordinq to the recorded plat thereof, Dakota County, Minnesota. And of the location of all buildings, if anY, thezeon, and all visible encroachments, if any, froac ot on said Zsn3. Aa ss:rveymd by aee this -L-~day of 1981. AppROVED FOR SIENNA SIGNED: JAMES R. HILL,INC. CORPORATION 8Y: 2 ROBERTS ARCNITECTS BY' DATED THIS DAY OF Harold C. Peterson, Land Surveyor 198 Minn. Licentae.No. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. e1178. Planners / Engineers / Surveyors FILE N0. . ' 8200 Humboldt Avenus South , ~ FOLDER 8bolningtOn. Mn. 65431 812-884-3029 . J~oi2ca-/ CITY OF EAGAN , EJCTERIOR ENYELOPE dVERAGE IUI CONPUTATION ONNER: _ l7 d J'Y TggaG['Z.RnG Lfi SI?E ADDRE55: 7..r'94 .Z- ,n ZI . CONTRACTOA: Se- /f DATE: PHONE: Determine rorking square footage of each: 1. Total exposed xall area 3",2~-T sq, ft. x.11 2. Total roof~c i'l"i g area sq. ft. x.026 = ~"'r~•-`~.g iotal ezposed wall area above floor = -;Z87 a. Total wall window area 5~7 D6 b, Total door area c. Total sliding glass area ~ d. Total fireplace wall area - e, Total Nall framing area (averagel0%) ~a~. f. Total net wall area above floor 1119.e7 g. Total r1m joist area 3 r Total exposed foundation area = - h. Total foundation wfndow area i. Total net foundation area above grade - Determine 'U' va2ue of each vall segment: a. 5;-Zgzk7. 0.6 x' U, . 30 b. Jb.dA x 'U' .a 67 C. x 'U' - d. - x ' U' - e. 32.oz x 'U' f. /N9.b7 X fUl n0 = 3.73 9. ;1!5. 2, x Iu I y9 n. - X fut - i, - x 'u' - 3 . Total ~ If item #3 is the same as or less than item 81, you have met the intent of SBC 6006(c)2. Total ezposed roof/ceiling area = ~ 7 g J. Total skylight area ^ k. Total roof/ceiling framing area (average tOx) 2 7,S 1. Total net insulated roof/ceiling area aSQ.2 z ~\a~ OVER • SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUZREMENTS • On or about March 1, 1984, the following energy code requirements shou2d be calculated and included with a building permit application. li Roof - ceiling assemblies - R-38 U= 0.025 Average 2. Exterior walls & rim joists - R-20 U= 0.11 Average 3. Floors over unheated spaces - R-20 U= 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier'with a minimum perm rating o£ 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. ~ - . l...l i,~1VI~.• PIINIPN?1 "U" VALUE AiVD R-F~lICTOR AT ROOF, WALL, RICI AfiD COi:CP.ETE BLOCI; Provide insulation baffles in every' ~ ROOF J(,=IL'.JG ra`ter sp2ce. . Q lt1Te"f1oR FiF- F?U%j . zO 5~8'' GYP ED, . . O lhSUTA j~oN • > ~ T O EX -jERloi RlR FILM I ~ 10-.2~- ~ . (S-TILL) ToTA& CR~= - . Q Qp tl~;~t'~ot= AtR Fl~r~t ~ laL - , g O 112" UYP" aD., : . ' •,,c - , , . . 2 lr'sulATioN sia'' ~ • ' Y_ ~ Z5~3yj~ g~l%T ~JTc'. - ~ . . l l ToTA` .r- _ , ~2 • ~ ratu ~ ~ ti~ } ~ 2 FI i~u1i loIsT : . 105 u/,Z . I! / u~ C'ifiS~r~ITE s1fl1rG. ~ . . . . . . ~ . ~.xTc1~~DR Ale FtLf1 ~ - . . . „ ~ . 11U1I _ • Un' - • . - i~ ! • To7P.1 (tt)= • Q~ " . fD,~~t-DAT~oi~t ~ ~ . 0 tN Tel7lZ Attc FiLli VAtv: C n A n 1J 01 1-)nX 45YP-n5oA~i 9.5 - u, zo ; . • • EXjE~ loz AIR FILM ~ 11 Un ~ , ToTa~ _ (r<) 'o Floors ove; unhez[ed spaces must have rt:ininum R-fac[or of R-20 (tuc.L--under Karages). Floors ov,r ou[door air (ovcrhanss) aust liave a nininom P.-factor af R-33. . , euiou me ro IR1 rncluas reon e,taac rununL . _ of trrlG.Llr us[o rCOGU[i5 ~R) (RI In[erior hii i{im (va I I s) O.GB 6rPSUm er plaster 6oard 7/8" Faterfor Air illm (valls) 0.17 Cypsum or ylaster Loard I/t^ 0.45 ' lelcrlor /,ir film (YentrE Cei11n~) 0.41 Gypsum ar nloscer board 5/8" 0.56 Eelcri.r Air f1lm (Vintcd Ccllinp) 0.61 Plyw~ooA jl8" 0.47 - Intrler Alr iiln (urn VenteA) 0.61 ?IYwoad 1/2^ 0.62 {Rterier Air Flln tllou Venteel 0.17 Piywood 3/6" 0.93 Sheathinq, reg. densltY I12" 1.37 /.lun,ini~m 5iet~a . 0.61 Shea[hinn, reQ, densitY I5/32" 2.06 Aluminum .,ith Becker 1.82 pall-Aase she:thinq 1/2" 1.14 Aluminun wiiA Backcr L Folled 2.96 117 a B Loo Sidinn (Wo0a) 0.81 Bulit-up Rools D.J7 ' 7/16 a 11 uardEaartl Sidinq 0.47 Asbesmf-cemn[ sAinai,s 0.21 - Asbestos SiAieos 1/4 lapDCd 0.21 Asphale roll roofing 0.15 Stucco (011_m 1n0 iinl5n Coa[) Aspanlt Shingles 0.14 3%4" Ifoad Sublloor o• SheatAfng D.94 Insutn[ion: 2•2 3/4" Piberolass 7.00 1/7^ Vly..ood .hoatninq 0.62 Insula[ion: J 1/7" ilberglazs 11.00 ' 112" Particla tl,.rd 0.66 Insula[fen: 6" iibergiass 19.00 t9005: BIOVInf. u00L5 . Fir. Pinc [ slmllar se/t uoodz I 1/2" 1.89 Approx. 7.--- ' . q.no . . 2 1/2" 3.12 RDPrex. 4 1/2" I3.00 . ' 3 42" 4.115 Approx. 6 I/L" 19.00 - S 1/2" 6.87 Approx. 7 1/4" 24. 00 ' Approx. 14„ . 30.00 . Avv,ox. 16" 40.00 . , . hil atner insolatfon materialf must ba . ' filled reN/ied (R ixmr) ' (R) Vermiculitc . 8" [onvete Elaek (5 L G Re9.) 7.11 1.93 • 12" Concrece Eloe4 (5 6 G Pe9.) 1.18 3.15 . 6'• LiSnt ueigh[ 2.18 5.03 . 12" Light I:elght 2.48 $.82 pr R~}n~1'If.G.:]f..1fAC:`Af.}f.f.1i . NOTE: (U) a 0.rm SQUare <<e[ U_ Al1 Wlnna.l . . ' . . . . ' WSOOms 1" to 4° SDace) .56 Puroral Double Claxing (RDL) .55 Thermo er velded 3/16" air zpacc .69 I/L" ai. :pacc .65 - 1/2" air sPa[e .$8 - ' . , (OiAer wlndows sP«ifically tes[ed un use better ratin9s) ' I 7/4 Salid core door .46 - ' " w/storm, wnod .31 w/storm, m,(al .26 - Feaie SteelDCOr Insl/C/CL 7.45R .13 ' sllelnq closs ooor, uood .65 . Mcul .J15 . ~'.t:orn ucvcaaycu uY . . TO EE SU9:'[ITTiD NII1t nUILDIvC PERTfIT JPFLICATIOV ~ / • y ' • ' . ' EXTEP.IOR F.?IVF:LOPE AVERACE "U" CO'tPUiATION * Ot.VER• . GCJ~~9~od K 1 Y• SITE ADDRESS: 1035 OOHTRACfOR: (lWs' DA1Z: PIIONE: S~SZ3o~ , Determina working square footaga of each . 1. Total exposed wall area......... sq.ft. z `2. Total roof/ceiling area....... aq.ft. z •D~~. ~ ~.SL ~3.• Total exposed vali area calculations: . Total exposed wall area above floor ' a. Total wall window' area - Zfl _ b:` iotal door area . . C• TDtdl sl3diag glassdoor area..; 0.0 - , d. Total fireplsce wall area ' e. Yotal wall framing area (average lOZ) /70 ' fa Total net wall area above floor 1327 g. Total siri joist area................................ ll4 • . . ' Total expoaed foundation.area h. Yotal foundation vindov area . i. Total net founda[ion area above grade............... Detexminn "U" value of each wall segment . . ' a. /Z O 7L uU» ~ 'l ' • Z . b. z~ X „u.. J c. 7C nU" . g~ . • a. x .,n„ X o,U,o , D ~ • l! ~ - . e. • . J f. /3zj xHwlf ll ~ x "U" . s~ . h. x ssU„ x uUn • . 3. . • aOrns. . • . ^f I 71%~ ~ • If item 01 is the sama ae. or less than item 01, you havc mct the intene of d, Total cxposed roof/eciling ealculations: • Total e:ryosed roof/eeiliag area ~ /a Z i.-Tatal skylight area - ' k. Total xoof/eeiling framing area (avesap,e 107.)......... /DZ 1. Ta[al AGC fnsulated soof/ceiling 8tl8.......•.....~...' glr4. Determine "II" value for each roof/eeiling segaent x Irop . k. ~ b2.' x.,u., soZ . z. 0y ~ ; . 4, - :sorA. i~ If total of 64 is the same as, or•less thaa 020 you have met the 3ntet?t of SSC 6006(c)1., ' • ~ . ~ P ' Alternate Building Envelope Design. . ' . . • . 9` t ' . To ntilize the total envelope system method, the values establislied by • _ the sum of Stems 03 and 04 shall not be greater than the sum of items $1 . ~ and 02. • . - 2. ~ . 3. • +4.' ~ . ~ . ~ CER'f IFiCATION I hereby certifq that I have calculated the "U" factors and R valuea hereia and that the buildlnr, hera desczibed meete oi exeeeda the State 6f • Hinnesota Energy Conservation Aet. • • . • • ~i'~~'k! ~ , `(Signature), . . 9=z~- ~~f . (Aate) ' . 1i~ . ~ i' ~ cou::tructiun Conatruction R-Valuc l . .-i-~ xrlterinr air fi)m 0.69 ~rn inehes sofr. wro-*d • ,3r , 4. 5. Sit%'~~ ' 1 d $W ~ ~ 6. Exter3or air film a 0.17 ( Total 13.za ~ FvLL'. Fsc. ai TorvrEsa eF t/z" .4 S . . FRT.t:E nAI,, 1. Intcrior aiz filra p.¢Ef z• h' 'f uff<n.t-1`I v" - ~ • . . , 3. i~;a.. 1vSvL p 4. 2 1 h-~~ t H L. ~)(p • S. I 511,\ • _v 6. Pa:terior air Pilrr O~ f FIG. $2 C1T • Rbtdl I J f- Z~~ • 9 -r- ! ' 1. •I terior ai.r film 0.68 ' z. -7'It" 34-1 a u 1 . 0 ' •~.-,•'~l ~ 3. ' t~tL'" SOF1 n I :~i - 4. '==/SL SJf47U fp5a.-:.1 ~_,r??, .11 ~N~L 6. Exterinr air film 0.17 .4( :V .~ti.:~. ~ l"~ • Tota.t ?j, ' .k:, • o' p •I•• ' ' ~s • ~i~~ •~p 1~ ' . - • . 1. Interior air film 0.68 ~ 'iil1TIC.a 2. a a~77 A't~'J• 'l,~d • c.. ~1• . 3. ,2., 3 c~oct 1,Z ~ •p: t 0 . • a. - nri 5. •w ~'=i'% ~ ' G. Ezt-crior air film 0.17 ' • . . 'lbtd7e . i. . ' U sr.ns ow cRaur•, . . ~ . • ' ' • . • ~ • . r . ~ ~ ~ . . (~-Rr .t • ~ ` : • . • • ~ ~ . ^ • w • % 44 /ff-:FIC. A4 ~ G. A3 ` ~ . . / •o ° • iu~~~ _ ,i~,=;,,r _ - NDTC; tndicatn tyno, "C" valun, dapth aa1 ~ • ~ • • . li]acenent of insulation. . v . , ~ : . R001'/CEILIt7G . Con^ tr. uc t ion R-V n 1tic ' . ' .i~}%: G~ • . 1. Interior air fil~c 0.62 ~ ~1'1' ~ •J r; 2, , 1 3. +r 4. ~xtcrior nir filia (r.Y.ill) 0.61 t, . It ~=T~~~i+ilr~~~l~l) mots~ . . ~ . _ t'ente3 flow• . • . uP ' . o . • . ' . . . ~ . . • Fzc. ~s ' • . 1. Intcrior air film O.E1 ...av u,•r.;t^.=.-2. ILL, . . - -_'':'=-s_-= r=:: - 3. ~0y,1' y,~,=~iJ~ 4. £r.terior air film sti Total • y 2. ~ Z il lil . il)I1 ! 1) IIa!?i~iL(~,J, 1 2 3 L(D . . • . " - ~ Ileat flov vp . veated• , .,FiC. 4G' . . • 3• ~ 'o Inaide air film 0.61 - 2. a..E:.~. n 4. ' ~v 'r"~~ / ~ 5 . ,~:y"'•~ ~ ~ '1 . , Outsida air film •0.17 ' • ~ Total Not•es Usc addit-ional e:)icets if more cpace is nceded for datails and calculations. . Heat ' . . i • , flov up • P7.r,. 1!7 I' z/aa CITY Or EAGAN II APPLICATICN FOR P£RA'IIT • SEWER AND/OR WATER CONNECTIODi (PLEASE PRIHT) 1) PROPERTY ADDRESS: 3 , Aex r.FrAr• DESC2IP'PICV: ~ /,v S~ (iot/Block/Subdivisicn or Tax P cel I.D. N=m>aar) ~ I"r ST?S:CP=, DATE OF ORIGi IAi, Z,iIi.~^,Ii:G ==-'_Ii TSJi,ti.c7-: PP°S= --:^~]S2F:/PF?OPOSm' LSE. I2r'R-1 Si;GL: -,PYSLY ? R-Z DiJPT~: ('PND L^'ITS) ? R-3 ZC?v-NII?C{.7cg (T!~=- + L^IITS) ( L7NI"_'S) ? R-4 [7INI?J i Q CCi-nSE°CL~L,/RE:AIZ,/O'c':'ICy ? 'DCST-aT..1L ? I\STI'i'[,'TIONAL/Ga~~nj~T 2) APPISa-vNT r~ LE;.5 fl1i) NAltE: ADDRESS: CI'rz, STAT':.', ZIP: PHOM: 3) P~~BER NAMg• ~ PLEASE PRIHi) FOR CITY USE OVLY - PLUMBERS LICENSE: ADDF2ESS: jJ cra-21 Active CZTY, STATE, ZIP: Q Expired N~~3329 0`No af «o PHONE: PLIIBER LICENSE N at~ nttia 4) 0cc[rpF1i,]T/dvER NF1PAE: (PLEASE PfilNi) ~ ADDRESS: CTTY, STA'i'E, ZIP: PHOLNE: 5) INDIG'1TE SqHICIi PF,RNIIT IS BEIA't; RFQUESTID: (RI CL'`.1NPCi'ION TJ CITY SL•~WER ~ CbNNEC;IOV 'IO CZTY WATf1? ? U"i[!ER (PLCASE DFSCRZIIE) 6) INDZG,L C:lE: ~ PI.E'aSE F?OID APPROVID PER.'VLiT FOR PICf:-L'P BY ONE OF ABCUE ~ PLZ'1SE DTAIL ROVID PII2:•LIT 'PJ 1 2, 3, 4 AEOVE (Ci e one) 7) SIGrAZLJRE: DATE: O ~ OI~iA}!~f y~ llr L!lYgx~! ~t ntOii_A i i IiYFia~:~~ at!l~4J~1-f~M~.~ f!! ~i~~l~ FOR C I TY U S E ON:,Y , PERMIT ZSSliED FEES : $ SE:^iEo nrqMr^y+ (I~ orc;_ICr~...••.,.-~- . SU..~..aRCc.) $ ;d -G7 ° WATEi2 PEFtMIi (Ii:CiiiDE StiRC:?ARGL) $ &'%~-d WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (ZNCLL'DE CORPORATION STOP) $ SE;vER TAP $ $ ACCOUNT DFPOSIT - P7ATER $ WAC $ sr.c $ TRli'VK WATER ASSESS:dE.1T $ TRli:d?C SE[dER ASSESSM°`iT $ LATERAL SENEFIT/TRUNK SE:•:ER $ LATERrIL BENEFIT/TRIINK WATER $ OTHER ' $ TOTAL $ Pu^IOL':QT PAIDjRECEI2T n L17 n~'7 DOES UTILITY CONNECTION REQUIRE EXCAVATZON ZN PUBLIC RIGiIT OF WAY? YES IF YES, THEN R"PERMIT FOR 'r70RK WITHZN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIV:SION. LIST AS A CONDI- TION. SUBJECT TO THE FOLL069ING CONDITIONS: • APPROVED BY; L=~'v!~_.IS DAT_° : City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1035 Wedgwood Lane N Lot: 8 Block: 5 Addition: Wedgewood 1st PID:10- 83550- 080 -05 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767 -1000 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - equirements should be directed to Mark Anderson, State Electrical Inspector, $50.50 Owner: Gary L Jagodzinski 1035 Wedgwood Lane N Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 Issued By: Signature Mechanical EA082823 05/01/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State :.. ert*Of EAGAN WATER SERVICE PERMIT 5777 3830 Pilot Road PERMIT NO.: P. 0,130x 22 1 DATE: 1 Eenw 55 1 No. of Units. Zoning; AEtttT --- t _ Owner: I died _ . , . Lane LS B5 Wed: "{ Address: 1035 Site Address: tar "$ 4U.E1 pr1 Plumber. C onnection Charge: p Meter No.: A Deposit: Size: Permit Fee: p Reader No.: C, of Eagan Surcharge: 3 gyp pd mete i agree to comply with the � Misc. Charges: prdinoaea• Total: s Di©te Paid: By Or Insp.: Date of Insp.: N E CITY Of: AGA CI TU+Prbt. AGA Road , BIER :EVICE EIMR fi P. 0. 21 199 PERMIT NO.: 6967 Eagan, MN :55121 DATE: — Zoning: R1 .+' No. of Units: __ Owner: W Buttner Cona�;t ' - ---- -- i Address: Site Address: 1035 Wed od Lane No ; B • gw . o . Plumber. ar 8 10 - 2 - 84 46760 ! : . 1 agfee to conigk srlift the City of gegen Connection Charge: 425 00 pd Ordinances. , t Account Deposit: • _ Permit Fee: Surcharge: By ' Misc. Mi sc Charges: s: of Insp.: Air . Dote Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA116551 Date Issued:10/08/2013 Permit Category:ePermit Site Address: 1035 Wedgwood Lane N Lot:008 Block: 005 Addition: Wedgewood 1st PID:10-83550-05-080 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 . 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 - Gary L Jagodzinski 1035 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