1042 Wedgwood Lane N
. cirir oF EAG?N ~y
, 3743 Mlot Knob Read Eagen, 11AN SS12Z .0 /tj 5 4
PHOHEi 454.8100
BUILDING PERMIT Receipr # ~~~--2
To be wod foe SF DWG/GAR Est. Value 70,000 Date April
Stte Address 1042 Wed&wood Lane ?Iorth g_3
Erect 7[~. Occuponcy
lot 9 Block 4 Sec/Sub. Wedgwood Ist Alrer ? Zoninp R`1
parcel # 10 83550 0.90 04 Repoir ? Fire Zone iNA
Enlorps ? Type of Const. Vn
ec Na,T,e rIavflover Construction Co.,. Inc.. Move ? # 5tories Svlit
~ Address 17720 Jaliscu Ct. pcrnol;sh p Length '46
Ci Lakev111e pFone 435-6259 Grode ? Depth 48Sq. Ft.
Dwner Approvob F.es
Name
ol /lddress Assessment Permit 343.00
ul Cit p~~ Water 8 Sew. SurcFwrge 35.00
Police Plcn check 171. SO
~W Name Fire 5/,C 525•00
Address Eny. Water ConnG?5n Up
t W Ci phorm Plonner Water Meter 6.0 T00_
Council Rood Unit
I hereby ocknowledge thot I have ?eod this opplicotion and stota tfiat gldp. Off.
the intormotion is correct and ogree to wmply with oll opplicable APC T~a~ $1r334.5~
Stote of Minnesota Stotutes and City of Eogan Ordinances.
5iqnoture of Permittea
_.ay Iower Const. Co. , Inc. ~ ~ e~~~ ~itlon thn~
A Building Pem+it is issued to:
oll work sholl be done in acaordonce with oll appliooble State of MinnesqEo Stqtutes and Clty of Eapan Ordinances.
. ~
Buildinp Offlciol
PKmlt No. Permit HoltMr Misc. Permit No. Holder
Plum6iny 5 -3, g' "Jit & -27-V3
H.V.A.C.
w.u
w.ee.
Disp.
Sower
ewccric
Inspection Date Insp. Other
Footings
Foundation
Fnming
Rouph Plbg. 1 - ~a
Rouph HVAC •?3 u/ ~
Inwlation
Final Plbg.
Final HVAC
Final IPreter Desc?ibe Location:
ell wer . D'ap. ~
INSPECTIUN RECORD ~
CITY 4F EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
ui.# t AM N IIr1NAI (i
~t: i:~~~i~~„E• E ~.1 ~ .
PERMIT SUBTYPE: TYPE OF WORK:
~ , . I ~ I ~ . . ~ . . ' . .
INSPECTION DA • D•
I 1 I e;~ ~
F
L
~
Permit No. Psrmk Holder Date Telephono M
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspsctton Date Insp. Commenta
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace 0-%l•93
Finel Fltg.
Orsat Test
Flnel Pibg, Plbg. Inspector - Notify Plumber
Consl. Meter
EngrJPlan
Bldg. Fnal
Deck Flg.
Deck Final
wen
Pr. Disp.
CITY OF EAGAN Remarks
Addition VffiDGWQOD lst ADDN Lot 9 131k 4 Parcel 10-83550-090-04
owner stTeEt 1042 Wedgwood Lane North state EAGArI MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. SS 1981 58.69 2.93 20
STREET RESTOR.
GRADING 5$ 1981 186.48 12.43 15 149.19 A012512 7-26-83
Sewer Lateral 51-1 1981 313.16 20.88 15 250.55 " "
SAN SEW TRUNK 5 1981 198.50 13.23 15 158.81 " "
SEWERLATERAL 10 1981 197.54 9.87 20 167.93 tv it
Sewer Lateral Cyll 1982 133.17 8.87 15 115.43 A0125 2 1 7-26-83
WATERLATERAL Trk 1981 262.18 17.48 15 209.77 A 12512 7-2 -83
WATER AREA 510 1981 198.50 13.23 15 158-81 " "
*Water Lateral L 1982 98.57 6.57 15 "
STORM SEW TRK ~
STORM SEW LAT
*Powerline Relocatio 1982 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
RbAD UNIT 250.00 44-
WATER CONN. 450.00 „ n
BUILDING PER. 4
SAC
525.00
PARK
Receipt MECHANICAL PERMIT Permit No.
. C1TY Of EAGAN .
Fee
Fill in numbered spaces S/C
Type or Prinr legibly Tot. ,
1. Date 2. Installation Cost
3. Job Address 6t 81k. ~ Tract '
4. Owner ' 5. Contractor " Phone
6. Address
I^
f 7. City State ' Zip
8. Building Type: Residential C~ Commercial ? Institutional O
9. Work Description: New In Add ? Alter ? Repair ?
10. Describe Fuel Type
11, No. Eauioment 8TU - M. Ea. No. Enuiament CFM
' Forced Air Air Handling:
Mfg.
8oiters Mech. Exhaust
Mfg.
Unit Heater
Mtg. 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 Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved C17Y OF EAGAN 454-6100
Receipt - PLUMBING PERMIT Permit No.
CITY OF EAGAN •
• Fee
Fill in numbered spaces S/C
Type or Prini /egibly To#. `
1. Date 2. Installation Cost
; -1
3. Job Address Blk. ~ Tract 4. Owner
5. Contractor - Phone
6. Address
7. City State - ! - Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New ~ Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic 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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
, CITY OF EAGAN ~T
9793 Pilef Kno6 Raad Eogan, MN 55122 lr ? 7954
PHONE: 434-0I00
BUILDINCa PERMIT Receivt #
To bs uted fu SF DWG/GAR Est.Volue 70,000 Dote Auril 26 1983
Site Add.ess 1042 Wedgwood Lane North Erect R-3
~ Occupancy
I.or 9 Block 4 Sec/Sub. Wedgwood lst qirer ? Zonin9 R-1
parcel # 10 83550 090 04 Repoir ? Fire Zone NA
Enlarge ? Type of Const. Vn
~ Name Mayflo¢er Construction Co., Inc. Move ? Srories Split
z Address 17720 Salisco Ct. Demolish ? Length 46
C; Lakeville pF1Ofe 435-6259 Graee ? Depth 48 Sq. Ft._
g Nome OWReT Approrals Fees
o~ Address Assessment Permit 343.00
U§ Phe~e Worer & Sew. SurcMrge 35.00
F Police Plon check 171 . SO
Fw Nome Fire SAC 525.00
~-z,U Addreas Eng. Water Conr445f1 _ M
~W q pham Plonner WaterMeterFn nn
C.ouncil Road Unit 9Sl1 !lQ
1 here6y ocknowledge thnt I hcve reod this opplicotion and stote tFwt Bldg. Off.
the inlormotion is correct ond ogrea fo comply with ull applicable APC To[ol $1834.50
51ate of Minnesotn Stotutes and Ciry of Eogan Ordirances. Sipnoture of Permittee
ay lower Const. Co., I c.
A Building Permit is issued ro: on tho express cwditlon thnr
all work shall be done in cccordonce wlth all opplicobl State of Mln tes and ity of Eagan Ordinonces.
8uildinp Offlciol
, CITY OF EAGAN Include 2 sets of plans,
1 site plan w/el.evations &
BUILDING PEPNIIT APPLICATIOIq 1 set of energy calculations.
Zb Be Used For S F b
&.f Valuation 70 1- Date
site Aaaress: Ic~1~ iA~-4La uX-rd At,ua i/D . or~zcE usE ors~Y -
i,ot ~ aiocx i--~ s~./sun. tUcQ w- o~~~~ - 3
Parcel fC~ $3S5~ pQp O ~~r Zoning ~
nct,azr Fire Zone _
Oo-mer: Enlarge - TYpe of Const.
Nbve # Stories
Address: Dennlish Front ft.
City/Zip Cocle: Grade Depth ~ ft.
Phone APPROVATB FEES
. ~
Contractor: MA~F(-OU/ iEQ c_IO 11f3-- (2) 1 ~ CAssessments Pernut ' 5 Y3
Address: l~ rT?Q L(Sc D GT f Water/Sewer Surcharge 5z8
~ Police Plan Check ~
y Fire SAC
Ci.ty/Zip Code : L.{~ U I L L ~1,
Phone # : Eng • Water Conn. .S~
Planner Water Meter ~
Arch./Eng.: Council Road Unit
Bldg. OCe5s: f~
APC
/Zip Code: e TMAI, 'T -}tj ~
~ ' _ _ _
I FOf OffICR U58 I
41 ~
City of Eap j Permit I
~ m TI
I Pertnit Fee: ~ l~ ~
3830 Pilot Knob Road I ~
i
Eagan MN 55122 ~ Date Received: i
Phone: (651) 675-5675 ~
Fax: (651) 675-5684 i 5taff: ~
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: w bPsite Address: 'II Y.,Ir1OdG{ 1-m- N•
Tenant: Suf[e
RESIDENT / OWNER Name:_!~~/w lM91 /'k(mn Phone: 9I vill'~~b
Address / City / Zip: M/ W,6A Lh A]
Applicant is: _ Owner X Conhactor
TYPE OF WORK Description of work: WLw
Construction Cost: 7100' Multi-Family Building: (Yes K-)
CONTRACTOR Name:A ~'1Mn UID/S, LL-c- License#: ~~~q6D7
Address: uJ lhS~ ~jrml
City: WA$}f/ State: Y?4n Zip: S~b$d
Phone: "IJg qAI 1blb ContactPerson: U`L 61; 19a WN
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Catesaorv 1 Minnesota Rules 7672
Energy Code . Resideniial Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Subnitted
(4 SllbmlSSion type) • Energy Envelope Calculations Submitted
In the last 12 moMhs, has the Clty of Eagan issued a pertnR for a simllar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plsns and supporting documents that you submit are consldered to be public informat/on. Portions of
the informatlon may be classtfled as non-public if you provide specHlc reasons that would pennit the City to
conclude that the are trade secrefs.
I hereby ackrwwledge at this iMormation is complete and accurate; that the work will be in coMormance with tlhe ordinances and cades of the Ciry of
Eagan; that I unde d this is not a parmit, but only an application for a permit, and work is not to wkhout a permR; that the woAc will be in
roved plan in the case of work which requires a review and approval ot plaris.
accordance wkh
1~
x X
ApOWant's Printed Name ApPIManYs Sigrmture
Page 1 of 3
Yo '1-0
~
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION 470
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Cons4vctim Rmuiremen6 RemodeVReoair ReauiremeO(ficeUse Onlv
3 registe2d site surveys showing sq. ft of bt sq. ft of house; and ~II roofed areas 2 mpies of plan Cert oiSuney Recd ~•.Y N
(20% maximum lotcoverage allowed) i set of Energy Calculations for heated additions TTCBFreS Plan R¢O 6 xLY N.
2copiesofplanshowingbeam&windowsizes;pouredfounddesign,efc. lsilesurveyforaddifions&decks TmePresRe'qaired Y _N
1 set of Energy Calwlations AddBion - iridicate'rf on-s8e septlc sysfem On4WSeptlc System ~'_Y
3 copies W Tree Preservatlon Plan'rf bt plattad afler 7!tl93
Rim Joisl Detat Opdons selection sheet (bldgs wifh 3 or less uni45
Date Construction Cost
SiteAddress I~~ ` `~eW~,Q~a~(X.t~i ~ Unit/Ste p
Description of Work CL (_t `e )(li `I I
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner 9n~v a- &ryy~a Mc,Ca vnn Telephone#(~j
Contractor 1..1 ,4 1 -
Address h City l.~ U
State ~N Zi~Z I~ Telephone # ((p~) '
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category I _ Minnesota Rules 7672
Energy Code Category . Residendal Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submilted SubmiBed
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N if so, 25% plan review
fee applies.
Licensed Plumber Telephone # ( )
Mechanical Contractor 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 permit, but only an application for a permit, and work is not to start without a
permit; that the vi+ork will be in accordance with the approved plan in the case of work which requires a review and
approva] of plans.
Im ic- --(,(N n~J
ApplicanYs Printed N e Ap cant's Signature
CERTIFICATE OF SURVEY
91 •7
WEp~wOoD
09.5 R_97 O0 S 7?o3Q 9a.q L qNE
~
77 • 16 Y ry 6~_S9 6
ooa m
a9 S O ~ ~ o~W ~ !
o ¢ ¢ oi
7
5
22 ? /
N GAR. 24 6
4
. ~ , 9 PROPOSFD
, . \ HOUSE S
\ ry T
N 40 dr 2` 4l
c~ ~ o° ti / O
LOT 9 o
w Elavntiano shown aro exlsting
~ P 2 grades and are assumed datun.
ZZ.
~ z
5U5,
113 3
Y hareby oertifq that thio is e corroct rGpreaontation of a survey ofi
' L<st 9. Bloak 4. G9EDG'r700D F1RST ADDI'PIOlY. Dakota Couaty. [Sinnoeoto, nocording to
' tha plat thoreof on file and of ieaord.
~ and thrit I am a dul,y regiaterod laat2 aurveyor undar the ]aao of tho Stato of 511nrreeota.
' Datecl bhis 7th day of 2tsroh, 1983 (30ffi L. JsaobsQyr~ .7784
DR. BY GLJ SCALE - I" = 40' o DENOTES IRON MON. BEARINGS ARE ASSUMED DATUM.
prepsred fore
Jokm vicLorin JACOBSON SURVEYORS
t"_2yflaover Conatr.
17920 Jelieco Court LAKEVILLE, MINN. 55044
Inkovillop e13.nn. 65044 PHONE 469 -4H?8
~
. . .
~ 8-ISL~
SITE ADDRESS
tONTRACTOR MAy FlawE 06wST. Co. MTE to 8- 19-8z PHDME _
~ Determine workSng sQuare foota9e oi each.
1. Total exposed wall arm ZoZy•q sq. ft. x
2. Total roof/ceiliny arca IOIa$ sq. ft. x •0~4 ~ z.~z
_ Total exposed wall area above floar
' a. Tota1 wall wlndo?t area b. Total door area
c. Total sliding gTass door area 7 44
' d: Totat fireplace wall area
e. Total t+all.framing area (average lOS)...:........ _1g;3-$$
f. Tota1 net xalt.area above floor !3 8Lt.9 Z •
q. Total rim joist area 14 O
Total expased foundation area ~ 9 Z•'~ , ~
i
h. Total foundatton xinda+t ana ~
1. Toa1 net foundatlon area above grade
Determine °U" value of eac6 wall segment. •
e. I rfI.2 X'U' q0.11.0
b. "k O x ~Up .139 _ a S.z .
c. 4 y x Nu~ . 5 - z Z
~
a. = x •u• .
-e: 153.88 X "U" • I p • 1S•38 "
f. 1384.9 Z x"u• Oy S - bZ.3z -
g. Iq0 X "tl" •04 ' S•lo
' h. X "U.
I. 92•~I x pu• . qto9 - `~3.~_
3 OZy :4 ......Total ' Zy 8.0~
If item 13 is the same as, or less than item /1* you have met the intent
of SBL 6006(c)2. .
Total exposed roofiteiling ares ~ ?0(~8 `
~s • . _
Total gross roof/ceil ing area
8
Tota1 skyligbt area
. k. Total rooficeiling framing area lolo
t. Total nei insulated roof/ceiling area....... 9 5
Determine "U" value for each roof/ceiling segment. "
. J. ~ x pUr J t 1 ' ~ . . .
, - k. • lolo x "U" ,o3S • 3.11
ei 5A ZB.~oZ
X "U" . D3 -
. _ . : .
, ....,2 . , ?OLoB • .
. . . ..Totn1 .
4...:.....,.,..............
. .
r~.". • .
• If tolal of /4 1s the smne as, or less than #2. you have met the intent of
SBC CA06{01. . J z To utilized the total envelope system method, the valuts.estabtished by the
sun of items i3 and #4 sba11 not be greater than the sum af items !i artd 12.
. . . _ • • , . . i .
1. . + 2. '
3. • t 4. '
f' f-t.
. . wA.iERJA+N . . ~~1~• Beai~tanoe ~g~
Ezterior Air ' • ! 17
- SiQie~ Mstsrial •45
Sd~at!?i~ !.'Sz
Insalsiion
8elettoty[ • qS -
IalOriax Air . ~08
StMds y, 38
Ria 1 88
Cono. H2ks.
~ . . . . . , .
. ' '
PERMIT
_,-!,-'CITY'OF EAGAN
3830 Pilot Knob Road PERMITTYPE: euzLoiNG
Eagan, Minnesota 55123 Permit Number: 021946
(612) 681-4675 Date Issued: 09 /13 J93
SITE ADDRESS:
1042 WEDGW00D LANE N
LOT: 9 BLOCK: 4
WED6WOOD
P.I.N.: 10-83556-090-09
d
DESCRIPTION:
r (MASONARY)
Buildirlg Permit Type FZREPLACE
Buildinq I:Jork Type NEW
1~ 4
0i.~r~ F ~
REMARKS:
FEE SUMMARY
8ase Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: BqtIVNER: - pPPDONALD
t
1092 WEDGWOOD LN N
EAGAN MN 55123
(612)454-9317
I hereby acknowiedge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE IS D BY: SIGNATURE
REACTIVATE _ GI t Y Vt CAtaA1V
PEwMIT # ' 1993 BUILDING PERMIT APPLICATION
~ 681-0675
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural ptans, 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.
Uate 13/9-3 Yaluation of work ~ Z0 C20, (D J
Site Address: 1D4 Ll/eAQ~et?nJ L,
SiREET SUfTE N
Tenant Name: (commercial only)
IAT ~ BIACK ~ SIIBD. P.I.D. N '
Descri tion of work: nCd 2
The applicant is: Owner O Lontractor O Other (Describe)
Name RQc-uly1 ' I>nn),oLb t Phone y54-~3i7
Property LA5* 'FIRST
Owner Address - I pq ~ I2tr[~ Wo v2 L.h, P? %
STREET STE /
7
c;ty ~0..~,~. State ~N ztP Z,~
Company S G M'e-- Phone
C011tf8CtOC Address License # Exp.
City State Zip
Architect/ Company Phone
Engineer Name Registration M
Address
City State Zip
Sewer & water licensed plumber ~ Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE . • • . ,
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16.Hasement Finish
? 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
0 03 SF Addition ? 08 8-Plex 0 13 Garage/Accessory ? 18 Corten./Ind.
? 04 SF Porch ? 09 12-Plex P:Z14 Fireplace ? 19 Coimn./Ind. Misc.
E3 05 SF Misc. 13 10 Multi. Add'1. ? 15 Deck O 20 Public Facility
O 21 Miscellaneous
WORK TYPE
0 31 New O 33 Alterations ? 35 Tenant finish ? 37 Demolish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster PumP
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REtiUIRED INSPECTIONS ~S .Q1...e-,
0 Site ? Footing u O Framing O Insulation
O Wallboard ? Final ? Draintile ? Fireplace
Permit Fee wtuas;a,: S
Surcharge
Plan Review
License
MWCC SAL
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded. -
Trails Ded.
Copies
Other
Total:
sac x
SAC Units
- - ~
2007 RESIDENTIAL MECIiANICAL rERMiT nrrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellirgs & townhomesleondos when permits ure reyuired lor rach unit
nate 0 3/ aC J 1 2007
Site Address 1042 WEDGEWOOD LANE Uoit#
PropenyOwner BRENDAMCCANN Telep6oue#( )612-802-5920
Contractor Genz-Ryan Plumbing & Heating
Street Address 2200 W. Hwy 13 City BURNSVILLE
State MN Zip 55337 Telephone# ( ) 952-767-1845
Bond 929298827 Expires: 8/14/07
The Applicant is _ Owner X Contractor _ Other
Fim repnir (replace burned out appliances, duclwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
X fumace _Additional X Replacement _ New
air exchanger
X air conditioner
_ heat pump n~ C(r` w ~ n
other
MAR 2 8 2007
State Surcharge $ .50
Total S 50.50
I hereby apply for a Residential Mechanical Permit and acknowledge Ihat the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and witti the Mechanieal Codes; 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 io accordance with the
approved plan in the case of work which requires a review and approval of plans.
"'4e lltia ci
Applic t's Printed Name Applic t's Signahue
/ is sa
2007 RE$IDENTIAL PLUMBING PERMIT APPLICA.TION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please com lete for modifications to existin residential dweliin s.
Date 0 3/ 2 7/ 0 7
Site Street Address 1042 WEDGEWOOD LANE Unif #
Property Owner BRENDA MCCANN Telephone ) 612-802-5920
Contractor Genz-Ryan Plumbing & Heating Telephone# (952 ) 767-1845
Address 2200 W. Hwy 13 City BURNSVILLE State MN Zip 55337
The Applicant is: _ Owner 8 Occupant ~ L'scensed Plumbing Contractor
Septic System _ IJew _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 700.00
Per as-built $ 10.00
Fire Repair (replace burned out fbdures, etc.) $ 90.00
This fee a lies when eutensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fictures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. !f yau are
Instaf/iag anlv a water softener andfDr water heafer, do not complete thfs section;
move to the next section and place a checkmark next to the aliace~Njs)ou~ ~a~ D
installing. p LS V~ ~ D
_Septic System Abandonment MAR 2 8 200
_Water Turnaround (add $136.00 if a 5!8" meter is required)
Other:
Water Softener X Water Heater $ 15.00
_ new X replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Tatai g 15.50
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and cades of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and ap roved.
'St~0hQnIQ, bd~i i'e4A &'"2 'E-J
Appiica t's Printed Name Applica Ys Signature
i z SAW , *WATER SERVICE PERMIT
;,45,..... ' 'r Knob Reed .. PERMIT NO.: - 4T I l
55122 DATE: - ` t . 3
1. § 1 T No. of Units: d�
av*e ,
, ti ,. .V f°Tntiter Cnn et•inri?°-f",r1 e "
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Site
pi 'CoutbtOW13 P�.)Pip; x .' ; id 4,
Meter No.• •O Connection rgh ;
Size: i Account Deposit: _0
Reader` tt,.. , Permit' Fee ;
1Q.00
1 ogres to eompiy with the City of Eagan Surcharge: ff
t> . UU * = met $ ,.
Misc. Charges: ' . ,"
R
a f Dote Paid: • ,r,
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Dote of , Insp.: ,f €' 7 .4 Insp.:
O (DP ORGAN I SEWER SERVICE PERMIT
3795 Mot Knob Raod
St g40; MN 55122 ` PERMIT NO.:
Zoning; PI DATE: t: --$..$
Owner: Ma flower ` No. of units: 1
Address: instruct - in — Co — Iric
Site Address: 1042 Wed_ o. d
'• 9 S
Plumber: Sou htoxt>; " B4 'ed ood I
�
4/27/83 35493 `t
1 agree to comply with the City of Eagan i Q • ` pd
Ordinances.
Account �0
Deposi .
Permit Fee: 6 .1,0. CO d
BY Surcharge: 050 d
Dote Mis t. Charge {
Insp.: -- `- 'r \ Dat 11
Jan 22 2013 10:30PM BRUCKMUELLER PLUMBING INC 6516882160 page 1
*City
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
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Permit Fee: ! ''C . C
Date Received:
Staff:
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INFLOW & INFILTRATION PERMIT APPLICATION
✓ Plumbing / Sewer & Water
I- A3-1,3 l oWa aiedgeivfi4,144ele, {?1dri'h
Tenant: Suite #:
Site Address:
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*
Name: 13r'endct 7T), CeZnn Phone: 61g - g'O- 54ao
Address / City / Zip: 10 -/a->PiUVBS Z ne'VC.� 551,v -3
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Name: !�/'4,4(J�/✓tG� % / 3.fne. License #: 6 Cn / g' j 1- f �1'Y)
Address: gi: a fieri ') ; y111a' i �t J dell t to City: Uri .f, a r)
State: irl A) Zip 53-7, I Phone: (P 51-6,Z4, - CF. egg tie
Email: hruck% veJler!?hii. rnbing0;. cowlh
Contact: gr'i r. t.�!,1L
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PLUMBING (Within the budding envelope)
Sump Pump Repair
SEWER & WATER (Outside the building envelope)
Repair
Other:
Other:
il. u IC
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R.i $I 514 1 digJ
i I ,
. aT:�hl ¢6f4 01
rri�
Description of work: a f i , 5a rn p u mf) pip/fig i p iv re cis- ,
/
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FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE S 610 'vU
'Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityoreacian.com/4tflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali
48 hours before you intend to dig to receive locates of underground utilities. www.aooheratateonecall.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 approved plan in the case of work which requires a review and approval of plans.
x Ju1/eigrarkinaejleir
Applicant's Printed Name
x
Ap Icanrs Signature
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165996
Date Issued:12/07/2020
Permit Category:ePermit
Site Address: 1042 Wedgwood Lane N
Lot:009 Block: 004 Addition: Wedgewood 1st
PID:10-83550-04-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brenda A Mccann
1042 Wedgwood Ln N
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166787
Date Issued:02/04/2021
Permit Category:ePermit
Site Address: 1042 Wedgwood Lane N
Lot:009 Block: 004 Addition: Wedgewood 1st
PID:10-83550-04-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brenda A Mccann
1042 Wedgwood Ln N
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169706
Date Issued:06/07/2021
Permit Category:ePermit
Site Address: 1042 Wedgwood Lane N
Lot:009 Block: 004 Addition: Wedgewood 1st
PID:10-83550-04-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brenda A Mccann
1042 Wedgwood Ln N
Eagan MN 55123
(612) 802-5920
Metro Roofing & Remodeling Llc
8401 73rd Ave N, Suite 55
Brooklyn Park MN 55428
(952) 210-6097
Applicant/Permitee: Signature Issued By: Signature