1043 Wedgwood Lane N CITY OF EAGAN Remarks
Addition WEDGWOOD lst ADDN. tot 10 Rlk 5 Parcel 10-83550-100-05
Owner screet 1043 Wedqwood Lane North State EAGAN NIN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1981 58.69 2.93 20 49.90 C008405 2-8-83
STREET FESTOR.
GRADING 64/ 1981 186.48 12.43 15 149.19 C008405 2-8-83
Sewer Laterla 1981 313.16 20.88 15 250.55 C008405 2-3-83
5AN5EW TRUNK 1981 198.50 13.23 15 158.81 C008405 2-8-83
SEWERLATERAL 4 1981 197.54 9.87 20 167.93 C008405 2-9-83
Sewer Lateral L-i 1982 133.17 8.87 15 115.43 C008405 2-8-83
WATERMAIN
WATERLATERAL T-rkS7f 1981 262.18 17.48 15 209.77 C008405 2-8-83
WATER AREA 1981 198.50 13.23 15 158.81 C008405 2-8-83
*Water Lateral 1982 98.57 6.57 15 85.43 C008405 2-8-83
STORM SEW TRK
STORM SEW LAT
*Powerline Relocatio 1982 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 240.00 33073 11-18-82
WATER CONN. 420.00
BUILOIIVG PER. 64
SAC
525-00
PAR K
i ,
Receipt i% PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
~ Fill in numbered spaces S/C
Type or Print legib/y
Tot.
1. Date 2. Ins/t~allation Cost
3. Job Address ~ Lot J r~ Bik. ,4Z_ Tract
4, Owner kY~ /:Xk-t'd-ls-+-~
5. Contractor Phone ~(6 660!Cf 2
- ~J
8. Address 72. :2-. 4 CQ~ 62,xZ 90
7. Gity 5tate ~ Zip -sZ-,~,~
8. Building Type: Residential ~l Commercial ? Institutional O
9. Work Description: New,Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tank
~ Lavatory Softner
_L 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 wit II ordinances and codes gov rning 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
e'
Reoeipt MECHANICAL PERMIT Permit No.
_ • CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print leglbly Tot.
1. Date 2. Installation Cost ~
I ~
3. Job Address Lot % Blk. -J Tract
4. Owner lclrs. , 7401 W. 1t'*., ? 10ominn+.:., '
5. Contractor le:rtinq A: p.i Phone
6. Address 1307°~-:) Pioneer mr:i4i
7. City -Ien ^ra i ri. State ----;cr.,-_ Zip
8. Building Type: Residential C~ Commercial ? Institutional ?
9, Work Description: New C7 Add ? Alter ? Repair ?
~"r<ati.~~~ Tnstalla~i~~n +~.iral ^as
10. Describe Fue! Type
11. No. FpuipmenL 8TU - M. Ea. No. EQUipment CFM
Forced Air
"iirnace, Macie2 Air Handling:
Mfg. -e Nmx"
Boilers ± - T 1'-
Mech. Exhaust
Mfq.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
~
` Gas,PipingOutlets `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 F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
~
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~ IQUi:1
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CITY OF EAGAN
- • 37!S 'ilef Keo? Read Eeqen, MM 'iSl s1
~ PHONE: 4548100
BUILDING PERMIT Receipr ~t
Te be wed for EsL Volue Qate , 19
Site Address Erect ? OccuPancY
Lot Block 5ec/Sub. ` Alter ? Zoning
Parcel # Repoir ? Fire Zone
Enlorye p Type of Const.
oWc Nome Move
~ O # Stories
Addreu Demolish p Length
C+ phone Grade ? Depth Sq. Ft.
.O Nome i . Apprevals Fees
f-
Addrei! - C T 0.ig~,n> Assessment Permit
~i ~e Water 8 Sew. Surcharge
~ Polite Plon theck
Fz NOf1C Firo SAC
~o ~fe~ Enp. Woter Conn.
<W Ci phone Plcnner Woter Meter
Cour?til Road Unit
I hereby acknowledge that I have read this npplication ond state that Bldq. Off.
the inlormofion Is correct and ogree to comply with oll opplicoble
Stote of Minnesoto Stotutes ond City of Eagen Ordinonces. ^PC Total
Sipnoture of Permittee
A Buiiding Permit is issued to: on the exprcss conditlon tho+
oll work shell be done in accordance with oll opplicable State of Minnesotn Statutes ond City of Eoyan Ordinances.
8uildinq Officiol
CITY OF EAGAN _
3795 Pibf Kno6 Rrod Eegan, MN 55142 NO 7647
` . PHONE: 454-8100 -
BUILDING PERMIT Receipt
Te es wed fo. SF DWG/GAR Est_y,l„e $60,000 Dote November 18 , iy 82
5;t, ndd.ess rn4j Wedswood Lane North Erect M o«uooncr x-3
Lot 10 Bl«k 5 $K/Sub. Wedgwood let Alter p Zoninq R-1
parcel # 10 83550 100 OS Repoir ? Fire Zone NA
Enlarge ? Type of Const. Vn
rc Nome Kevin 6 I.ozi Flackenmiller Move p # Stories
; Addren Demolish ? Length 54
b
Ci Phone Gmde ? Depth 38Sq. Ft.-
~ Nome CoYDOYatL+ CAaetiuCtlOII. Inc. Avvrorals Fees
ou Address 7538 15th Ave. SO. Assessment Permit 1~
u Woter 8 Sew. Surchorge 30.00
~ qt Rlrhf ala 554 0none 86i953ni 156.50
Police Plon check
O
Ww Name Fire SAC 525.0
~W
Address Enp. Wuter Conn. 420.00
`W Ci pham Plonner Water Meter 60.00
Council Road Unit 240.00
1 hereby ackrrowledge that I hove read this applicotion ond stote that gldg. Off.
the informotion is wrrect and ogree to comply ith oll applicable AP~ Totol $1744.50
Stote of Minnewtu Starutes a City of o Ordinonces.
Signoture of Permittea
A Building Pertnif Is issued to: Cor orate C•OIIBL C10A, IQC. on fha express condiflon thnt
ell work sholl be dorro in xcordonce with oll licoble Stgre'Al Minnewfa Statutea ond City of Eoqan Ordinances.
Bulldiny Official
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/el.evati.ons &
G~ BUILDING PEF2NIIT APPLICATIOD] ry~"` _ 1 set of ernexyy calculations.
Zb Be Used For u ~valuarion Lnare /~ov l~ /~82
Site Address: 10 `t 3~7 ~c~~U~oo~ ~Ci yte- f06 h4~\ O~FFICE USE OII,Y
Int 10 alorac sec./sub. ,edroro~~ o Erect X occupancy ~
Parcel J(~ $3 S~ n ( C~ O OvS 'xt Alter Zoning T -
Repair Fire Zone
Owner: ~QYf +1 cN C..0rJ FA ~~e - Zype of Const.
~7 Move # Stories
Pddress: ~.xhdali A?r Detelish _ Front
City/Zip Code: Grade Depth >s"~ ft.
Phone APPROVAIB E'EES
pv ~ cl' 5 '`c>..
Contractor:""C or ra.7t~O~ vu hL Assessments Pexmit
Address: "753 3 Jr/[, Aw water/sewer surcharge
Police Plan Check
City/Zip Code: ,7 /~icJ,0qrW /PA? OqZ Fire SAC
Phone En9• ' Water Conn.
Planner Water Meter
~ Council Road Unit
Arch./Ehg.: Bldg. Off. / • ,3'- D o- , - -
Address: APC
Gity/Zip Code:
Phone # :
' RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722
651-661-4675
New ConeUUCtlon Heaulremanls FemodaVNeoalr HeaulremeMe
• 3 regMeretl site surveys shaxing sq. fl. of bt, sq. R. of house; aiM gg rooted areas • 2 copies of plan
(20%maxrtnumbtcoveragealbwed) • lsetofEnergyCakulatbnsforheatedaddNbns -71
. 2 copies of plen showing beam 8 window slzes; pouretl founa tleslgn, etc.) • 1sile survey for exterior add'Abns & Cecks d
• 1 set of Energy Calculetions • lndlpte H home served by septic syslem tor atl0'rt'wns
• 3 copies ol Tree Preservation Plen N bt pletled after 711/93
• Rhn,bisl DBtall Optbns selecllon sheet (61ags wfth 3 or less uni4s) O p DD
DATE 4~. % 7~ VALUATION ~
f
SITE ADDRESS /0q3 JA/GDb[.IJOd;LLn/ A/. MULTI-FAMILY BLDG _Y ?
TYPE OF WORK /v,E~ P00r FIREPLACE(S) _ 0?1 _ 2
APPLICANT 16112n/
STREET ADDRESS 1D~3 GU`G1Z47L-UCYJl~ / N. /~I- CITY f=A6a-i?J STATEznZLP
TELEPHONE #65I454-01'13 CELL PHONE #el;12 -912 " 390 FAX #
PROPERTY OWNER :!49 V/n) ~ J AGKENIiI/LG~ TEIEPHONE # 10~~"Tsy -D~ 9~
COMPLETE THIS SECTION FOR -NEW• RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(4 submission type) • Residential Vantilation Cetegory 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Confractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Conhactor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
SewedWater Conhactor: Phone N
I hereby acknowledge that I have read this application, state fhat the informarion is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordina ces.
Signalure of Applicanf
- d----- s_OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
SURVEYOR'S CERTIFICATE - .
SIEPINA CORPORATION
e~
R
/u 3 R0.QQ se~e.e
01 i R°
6
r- r\ 8 9 Q~0
";>24„ P
~ ~DRAINAGE ANO UTILITY ~
EASEMENT PER PLAT~~{_ ~
I~
w 1 LOT 10
N p QP
~ I 0
z ~ U) ~z
N I c~ ~
~
Q q 10.00 1
~ tl
W_ _ _ 923.7k~ ` 92G0
~x 1I
X923.Z 2660 116. W H Qo 28.00 r
RO O~
f ` N 6ARAGEPXOUSEPOSED~fp Im O I'
Z ~ Y&00
x _.8.00 n m
Z5.3 ,
926.51 % 26D0 2- 4
~s
~ o•+I400 /
. 5 p ~ .y. xszs.aa
d 2.0p' 0l'rJ
9 N
\ Q ¢ - AI
o; wereRo /
REVISED 11-11-82 TO 923.` ~sE`rv.
SHOW EXISTING ELEUATIONS. ~n9kaai' 67.31 I
o ~=24 33 /
43`x824_8TC\
REVISED 11-10-82 TO SHOW
PROPDSED BUILDING FOR ~ WEDGWOOD ~
CORPORATE CONSTRUCTION, ttvc. LANE
NORTH
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = rJO /FEET
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR =`~2-7•0~FEET
O DENOTES WOOD STAKE " PROPOSED LOWEST FLOOR =924-5 FEET
X000.0 DENOTES EXZSTING ELEVATION PROPOSED TOP OF FOUNDATION= 9271•S' FEET
(000.0)DENOTES PROPOSED ELEVATION , ~ - DENOTES DIRECTION OF SURFACE DRAINAGE
I hereby certify that this is a true and correct representation of a
survey of the boundaries of:
Lot 10, Block 5, WEDGWOOD FIRST ADDITION, according to
the recorded.plat thereof, Dakota County, Minnesota.
And of the location of all buildings, if any, thereon, and all visible
encroachments, if any, from or on said land. As surveyed by me thisiZAt,
day of t-,~ay , 15l6L
APPROVED FOR SIENNA SIGNED: JAMES R. HILL, INC.
CORPORATION
BY: BY:
ROBERTS ARCHITECTS arold C. Peterson, Land Surveyor
DATED THIS DAY OF Minn. Reg. No. 12294
_
198
PROJECT NO. BOOK / PAGE JqMES R. HILL, (NC.
81178 .
82251
Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue South ,
FOLDER Bbomington, MrL 55431 612-884-3029
: . ~
S~ r k , : . ~ •
' •
; EXTfRI'OR @NItEIDRE AVEftAGE "U" Cai* iPUT~tTION -
Q~lhf Z Y,. :
SITE ADURf55. . al r-( 3 G.Jer~s'-,
~G'`~-- _
~ CON7RAGTOR r~~Ot9rti7y (~HZ stvt<~.-= . OATE ~ 1l?~L PHGNE
T-.
, . . ` ~ . .
l5etermtne worki,ng square footage of.each.
'
Total 'exposed wai9 area.. 'n sq. ft. x. _17
~
2. Total ropf/ceiling area sq. ft. z~05 _-;-~74 ,7X
Total exposed wall area above floor = 'z-U
a. Total wall window area........ . /:/1•
6. Total door area
a ~
C. Total sliding glass door rea .
d. Total fireplace wall area........................
' e. Total wall framing,aeea (average 10%) 7 77.
y f. Total net walt area above floor
g. Total rim joist area
Total ezposed foundation area
h. Total foundation window area -
i. Toal net foundation area abcve grade
_ Determine "U" value cf each wall segment. -
a. X llu„ Z ~ 70:
b X -v. . /3 `7,
C x liuii ` r- _ ~ry G c
d. X ~V,
e. 7 X 'lull , C C = !a> , :
; f• ~35 s X ilu.. o zi
f
9. ,11,0 X "U~~ ° , v i -
h. X olull - ^
/i0 x;,~„ ,L%-----~/'_O
3 . . .Total
If item q3 is the'same as, or less than item al, yOu have met.the interot
of 58C 6006(c)2. "
~ , ~ . . . H]1I.L SL'C:TiONS
NOTE: Uae 15t of a0quc wa21 ersa lot r €
• fzau:e caistruction , Construcr.ion , R-Value
' ~€o~"1-~-------~5-- .
3. ~ynches soft., woort - ~
q, v
BASIC 6. . Facteriorair film
. WALL Total
. • ,,1 ` (7 1
FIG. If1 TOPVIEF7 OF
• gguM pAyt, . ' 1. Interior air Pilm 0.68 .
-
~ • , 3.
• ~ , '7
Bxterior air f31m 0.17
7bta1 j ~
FI(i. - N2
'I terior.a it fiLm
:.•i 1~....__Q 2.
" 3.
f`r O 4. 7VJW_IAl;/rJ,2
SiLL,SGA C Y?i'
6. Exterior air film 0.17
r . ~ I 1'Otdl
"04
-
ti.. • o p . . ;
A• µ . ; - - . . .
Interior air film ' 0 G8 ~
bD2iD?~TICN . A a.• ' 2: „ C UwL t~G-d
A• . 3:
• d' • 'p' . 4.
t~u • ....~~d~ S.
=r` •h ,ti P!.._~, j`.•"" . ' 6. Extezior air film O. I7
'Total -
t_~, • • • ; tzv 2, ~3 .
SLAB ON GRADB...
, ' • . ' r r
r ~
. ' ~L,~,`ej'~i'~ . . ~ ~ . 1 •
. . - If/._ •
~ ~ ~ y •
~1~1 ~ , . r~/, V , :r ~ .i .
V , l ' " ` 6
. . . . f(i d' r • ' ' ~11.
r ~(I r , . PIG. Na
!'IG. M3
~
•NOTEc. Indicate tyoe, value; decth and
, • ' ~ ~ placenent oF insulation. .
w . • . b ' -
j~'K 4 :r~• ,
. xoor/cazasNC
. , . •
. .
con .trnction R-ValuP
Inkerior ir fllm . 0:61
2. , i » C. . . ~ .
lllf!'~ ; s•
~ . ,1' A. Fxtcr:iorair: film (stili ObI~
5 ~ „ 1
~ , ~ .
s .y. - ~%z. Fi~.'6r/t-~ /3~~ 2?
~ .
~LO t-(D
.
.-73 .
Vented $eat Plov .
,Q4-
P.~
, . .
.
' ~ - 1. Interior air film 0:61
. . M~)).IHM!e!l~i1L~1A}=~.L"/5P~„~~=C?~ti~{*VI Z. YT, - {~'C~ C-' \
- - - ~ - -
g..
' 4. Er.tr_rfur air film sti7Tr -ZrGT
i . . , Total
- - ------r U:; v ~
,
1 ~-Q2 3 ¢ ' . ~
~Heat flow up • veeted•
FIC. /6
- 3'--~ ~•5---.~ 1. In:,ide air fflm 0.61
2. .
~a 5:.. .
.
3.
4.
~ 5. Outside air film 0.17
ToWl
N0.1-VL'NTEp Nat•c: ' Ose additionnl sheets if more space is
- . aeeded for details and calculations.
. , . . HRat . , •
, . Elov up .
. . ~ . k
FT.r,. '7 ~
_
.
Total exposed roof;ceiling area = ,l0 S¢-
-
% Totai skylight area
- k. Totat rocf/ceiling framinG area (average 10%) 9 4 ~
' 1, Totai net insulated roof/ceiling area...........
Determine "U" value for each roof/ceiling segment.
J. X uUu v,. . .
=
, k. X -U-
' - ~
•
X louit
4 ..................................Total = a..c-
If total of N4 is the same as, or less than p2, you have met the intent of
58C 6006(c)1. •
Alternate Building Envelope Oesign
To utilize the total envelope system mathod, the values established by the
, sum of items N3 and N4 shall not be greater than the sum of items #1 aid #2:
l. + 2. ~
3. + 4. _
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4
i11, N WATER SERVICE PERMIT '" 3795 POrKosob Road PERMIT NO.: 4lor
Roots, MN 55122 DATE: ? / / P,',' _ .
Zoning: RI No. of Units: 1 -
Owner: Corporate Const Inc
Address:
51te 1043 Wedgwood I:n No L10 B5 Wedgwood I
Plumber: » .. - _ • 1 . " • t rt
Meter No.: Connection Charge: 420 pd
Size: Account Deposit:
Reader No.: Permit Fee: 10 _ no i pd
1 agree to comply with the City of Eagan Surcharge: 50 p'
Ordinenoes. Misc. Charges: 60.00 od meter
_ !� Total: /m"
Dote Paid:
D. e f 1 Z"' - 7 - 411/ Insp.:
CITY,.OF AN tL SERVICE PERMIT
3795 Phlnob Road PERMIT NO.: 4508
East lc, MN 55122 DATE: 12/9/82
Zoning: T:T No. of Units:' ! 1
Owner: rorperat- E t o at- Inc / ,
Address:
/
Site A ddress: 1043 1lpdgwo d \Ln V°. L10 85 Wedgwood I
Plumber: Raymond E Haeg \Plbg / '' i'' �?
11/18/82 33073 100..00 pd
1 agree to comply with the City of Eagon Charge: 425.00 pd
Ordinance. A posit:
Permit Fee: 10 _ Oil rd
By O Surcharge: _ 5Q 1,d
Misc. Charges:
Dote w► Total:
Ins... ' — Dote Paid:
ar
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116034
Date Issued:10/02/2013
Permit Category:ePermit
Site Address: 1043 Wedgwood Lane N
Lot:010 Block: 005 Addition: Wedgewood 1st
PID:10-83550-05-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Chuck Glum
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 -
Nicholas Rehberg
1043 Wedgwood Lane N
Eagan MN 55123
Highmark Exteriors
11237 Nicollet Ave S
Burnsville MN 55337
(952) 882-8904
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
Cit Of Ea of
Permit#:
OCT 0 5 2Q18 ` I
Permit Fee: 4
3830 Pilot Knob Road
Eagan MN 55122 Date Received: ��. S
Phone:(651)675-5675
Fax:(651)675-5694 Staff:
� J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/5/18 site Address: 1043 Wedgewood Ln N Unit#:
Name: Emily & Nick Rehberg Phone: 651-341-2617
Restdent% = 1043 Wedgeweood LN N
Ow[ter Address l City/Zip: g S
Applicant is: Owner X Contractor VJ A)00(, TD
Type o€Work
• Description of work: Bathroom Remodel
Construction Cost: 3750 Multi-Family Building:(Yes /No X )
company: US Patio Systems Contact: Wendy Rache
Contractor
Address: 218 N River Ridge Circle city, Burnsville
-_.-...._= state: MN Zip: 55337 Phone: 952-314-9885 Email: wrache@uspatiosystems.com
License#: BC661813 Lead Certificate#: F119453-1
7.If the project is exempt from lead certification, please explain why:
Built after 1978
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE Plans and_supporting documents thatyou submit are_considered to be public information. Portions of
the information may be-classified as non-public if you provide specific reasons that would permit the_City to--=
co clude_that the are frade_s_.ecrefs.=_-
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours �•
before you intend to dig to receive locates of underground utilities. w wv.gonherstateonecall.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 t 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 he in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesot. tate Building Code t be completed within 180
days of permit issuance.
Wendy Rachex A. #) •
Applicant's Printed Name Applican s Slgnatur=
Page 1 of 3
b 3j td,e rro o a ) L.vt 1 �
DO NOT WRITE BELOW THIS LINE /-'%/cD6
SUB TYPES
_ Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
?o Single Family _ Garage J Porch(4-Season) _ Exterior Alteration(Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
_ 01 of_Plex _ Lower Level Pool — Accessory Building
WORK TYPES
New Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building Reroof _ Demolish Interior
Alteration Fire Repair _ Windows — Demolish Foundation
— Replace Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building–give PCA handout to applicant
DESCRIPTION
Valuation `i Zia Occupancy , (i?��I MCES System ^_ _
Plan Review Code Edition ll a SAC Units
(25% 100% 20) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction y Fj Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final 1 C.O. Required
Footings (Addition) X Final 1 No C.O. Required
Foundation Foundation Before Backfill )G HVAC Gas Service Test Gas Line Air Test
Roof: Ice&Water Final Pool: Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
>C insulation Windows •
Sheathing Retaining Wall:_Footings—Backfill—Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
' Reviewed By:70 I'\ (Yr. 1C4 , Building Inspector
RESIDENTIAL FEESQV X)t) ,__ .2 --
/Ili .�,m VW? t�-e
Base Fee
Surcharge r r
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge _
Treatment Plant
Copies J etc) D-c- /•a C
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
For Office Use
City O{'EaU11 Permit#: / G d7
!1 �iU1 y 0- 0
�..-,� -r,1, �.,_ Permit Fee:
3830 Pilot Knob Road / -, i
Eagan MN 55122 Date Received;
Phone: (651) 675-5675 OCT aJ �i4��
Staff:
Fax: (651)675-5694
?V
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 10/5/2018 , Site Address: 1043 Wedgewood Ln N ,
Tenant: Suite#:
Name: Emily & Nick Rehberg Phone: 651-341-2617
Resident/Owner --
Address/city/zip: Eagan, MN 55123
Name: US Patio Systems License#: PC708206
Contractor._
Address: 218 N River Ridge Circle City: Burnsville
State: MN zip: 55337 Phone: 952-314-9885
Contact: Wendy Rache Email: wrache@uspatiosystems.com
New
Typeof Work V Replacement u Repair _Rebuild Modify Space _Work in R.O.W.
Description of work: replace shower pan, valve, surround
RESIDENTIAL
Water Heater
- Water Softener
Lawn Irrigation( RPZ/_PVB)
Permit Type 1/ Add Plumbing Fixtures(_Main/ V Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures,Septic System Abandonment,Water Turnaround*(includes State Surcharge)
'Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$60.00
CALL BEFORE YOU DIG. Call Gopher State One Cali 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.00eherstateonecall.orq
I hereby acknowledge that this Information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City o
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 Wendy Rache x • PCM2
Applicant's Printed Name Applican s Sigr�at
FOR OFFICE USE Reviewed By: \--J Date:
Required Inspections: Under Ground Rough-In_..' o Air Test Gas Test Final
Meter Related Items: Meter Size. Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA163541
Date Issued:09/03/2020
Permit Category:ePermit
Site Address: 1043 Wedgwood Lane N
Lot:010 Block: 005 Addition: Wedgewood 1st
PID:10-83550-05-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Nicholas Rehberg
1043 Wedgwood Lane N
Eagan MN 55123
(715) 321-3463
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature