1016 Wedgwood Lane S
1 ` CITY OF EAGAN
' . 3795 Pikf Kwob Rood Eeqow, MN 55122 - ~C,
' PHONE: 4S4-B100 BUILDING PERMIT Receipt
To be gaW im SF DWG/GAR Est yal,k $62,000 pwe July 11 1 y 83
Sate Address 1016 Wedewood Lan South Eren )a OccuPoncy R-3
Lot 11 elotk -1 S*c/gub, Wedg:ood lst Alter p Zoninp R-1
parcel # 10 83550 110 03 Repoir ? Fire Zone NA
Wm. Huttner Constructiou Enlaroe ? Type of Canst. - V
oc Nome Move ? # Stories
~ Addmss 1029 Wedgwood Lane South p~~~~~ 0 Length58
Ci F.agan 55123 Phorw 452-3488 G.ode p Depth36_Sq. Ft.
p Name ~ler ApProvols Fees
o~ 319.
~ Assessment Permit
Address -
Cit Phone Woter & Sew. Surcharge 31.00
Police Plon check 154. SO
NOm° Flro SAC 525.00
i!W
!K Add?ess Enp. Water Conn. 450. 00
<W Ci Phone Plonner ' Woter Meter 60.00
Council Rood Unit 250.00
I hereby acknowledge that I have read this application ond stote thot B~~ Off,
the informotion is correct ond ogree to,. comply with a14 a cable ^PC Totol $1794 .50
Stote of Minnesoto Stotutes and City,of Eogon Or _
Sipnoture of PermiKee • w ~ ~ ~ ~ " " `
Wm. Huttner Constxuction
A Bullding Permit Is issued to: on tha exprcss condition thn+
oll work sholl be done in accordonce with oll a lcable SA* of Mlnnesoto Stotutes ond City of Eaflon Ordinonces.
~ r--
Buildinq Offlcial '
Psrmit No. Pwmit Holder Misc. Permit No. Holder
Plumbing .3 le 5-3
H.V.A.C. -7 f ?5
w.u
Water
Disp. .
Sewer
ElsMric w pg 3S3, 'FrQoiE e(6C. :'$S-V 3
Inspettion Dats Insp.. Othar
Footinys '7~~'$ ~v
Founcktion
Framinp 1'9-3b
Rouyh PI6y.
Rouph HVA
Inwlation
Final Plbg.
Final HVAC
Final (,J p gmo k E OA" cW EL wtu~ b- pko u Ed
~ sw?~ . ~o,,~~ - 4'-~ ~~'3
Water ~~ibe Location:
YYell ,
~
Sewsr
Pr. Dbp. _
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHO N E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est. Value Date ,19
Site Address OFFICE USE ONLY
' ' ' On Site Sewage Occupancy
Lot Block ~ Sec/5ub. il''~ ' .
MWCC Syatem 2oning
ParCel No. On Site Well (Actual) Const
¢ Name "*IT City Water (Allowable)
W PRV Required # of Stories
z Address
~ City Phone Booster Pump Length
Depth
o Name ~ M S.F. Total
~ Q Address Footprint S.F.
~ City Phone APPROYAL$ FEES
Engr./Assess. Permit
yVj W Name , , .
AddreSS Planner Surcharge
v Council Plan Review
Q W City Phone
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. . Water Meter
Signature of Permittee _ Road Unit
A Building Permit is issued ta Treatment P1
on the express condition that all work shall be done in accordance with all parks
appliCabte 5tate of Minnesota Statutes artd G'rty ot Eagan Drdinances.
TOTAL
Building Ofiicial _
Permit No. Permit Holder Date Telephone #
Plumbing
H.V.A.C.
Electric
Softener
Inspection nate insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg_
Isul.
Fireplace ! S`S ~l19S.1~.tiG -
Final Htg.
Final Plbg.
Bldg. Final
Cert. OCC.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition WEDGWOOD lst ADDN. Lot 11 RI k 3 Parcel 10-83550-110-03
Owner Street 1016 Wedgwood Lane South state EAGAN NIIV 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, Sg 1981 $$.64 2.93 20
STREE7 RESTOR.
GRADING g 1981 186.48 12.43 15 149.19 A 12883
Sewer Lateral 1981 313.16 20.88 15
250,55
SAN SEW TRUNK 1981 198.50 13.23 15
158.81
SEWERLATERAL 5v 1981 197.54 9.87 20
1,67.93
Sewer lateral 1982 133.17 8.87 15
WATERMAIN
WATERLATERAL Trk 1981 262.1$ 17.48 15
WATER AREA g 1951 198.50 13.23 15 « +f
* Water Lateral b 1982 98.57 6.57 15
STORM SEW TRK
STORM 5EW LAT
*Powerline Relocatio 1982 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD I 250.00 36957 7-11-83
WATER CONN. 450.00 It of-
BUILDING PER. 8231
SAC i? t?
PARK
Reoeipt MECHANICAI PERMIT Permit No.
CITY OF EAGAN
Fee _
" Fill in numbered spaces S/C
Type or Prini /egib/y Tot . .
1. Date ~ 2. InstallationZCost
3. Job Address ~ • - :totBlk. ~ Tract
4. Owner
5. Contractor Phone ~
6. Address '
7. City ' State " Zip
8. Building Type: Residential ~ Commercial ? Institutional O
9. Work Description: New 6 Add O Alier O Repair ?
10. Describe Fuel Type -
11. No, E.quinment STU - M. Ea. No. Equiament 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 oorrect, 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
Receipt PLUMBING PERMIT Parmit No.
- CITY OF EAGAN Fee
f;
Fill in numbered spaces S/C
Type or Prinf legibty ~ Tot. 1. Date 2. Installation Cost
3. Job Address =:~'J F ~~c Lot Blk. Tractl
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ~ Commercial O Institutional ?
9. Work Description: New D Add O Alter ? Repair O
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatury Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains '
Drinking Ftn.
Slop Sink
Gas Piping Outleu
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 454-8700
CITY OF EAGAN (v°_ 14 414
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHON E: 454•87 00
BUILDING PERMIT Receipt n 7 9 oy3
Tobeusedfor FIREPLACE Est.Value $1,000 Date ll -i3 ,19-?7_
Site Address 1016 WEDGWOOD LN SO OFFICE USE ONLY
Lot 11 Block 3 Sec/Sub. WEDGWOOD 1ST OnSiteSewage _ Occupancy
MWCCSystem _ Zoning
Parcel No.
On Site Well _ (AC[uap Const
a Name KURT GRA6SNICiC Ciry Water _ (Allowable)
W PRV Required # of Stories
z Address S~ -
° City Phone 688-2125 Boaster Pump _ Length
Depth
ao Name SAME S.F.TOtal
.
~a Addf2sS FootprintS.F.
P City Phone APPROVAL3 FEES
~ a Engr./Assess. Permit _ 20.50
w W Name
tz Planner Surcharge .50
Address
a w City Phone Councll Plan Review
Bldg. Off. SAG City
I hereby acknowledge that I have read this aDPlication and state that the Variance SAC, M WCC
information is correct and agree to comply with all applicable State of Water Conn.
Minneso[a Statutes and City eof7 EIagan ~Ordinayn~ces.Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: KURT GRAUSNICK Treatmenf P7
on the express condition that all work shall be done in accordance with all
applicableStateofMinnesot~$ tatutesandCiry agaqOrdinances. Parks
~~~(J TOTAL
BuiltlingOt(icial 'f -
CITY OF EAf3AN 8231
9795 Pllef Knob aood Eagen, MN 5i1~ l~l 7~~~.
PHONl: 454-8100
BUILDING PERMIT Recelpf
T. M mad fer SF DWG/GAR Esr. Value $62,000 pafe July 11 _ 19 83
Siea Address 1016 Wedewood Lane South Erecr $j Occupancy R-3
Lot 11 eiak 3 Sec/Sub. Wedewood lst Airer ? Zonina R-1
parcel # 10 83550 110 03 Repair ? Ftre Zwne NA
?
c Nome Wm. Huttner Construction Enlarge Type of Const. V
Move #
z Addmss 1029 Wedgwood Lane South p Srories
~ Demolish ? Length 58
C. Eagan 55123 Phone 452-3088 Grade ? Depth36-Sq. Ft.-
o Name Ownei Approrala Feea
oU Address Assessmenf Permit 319.UU
u i Ci Phone Warer 8 Sew. Surcharge 31.00
Police Plan check 159.50
Fw Nome Fire SAC 525.00
~z Address Eng. Water Conn. 450.00
i W Ci phone Plannor Water Meter 60.00
Councfl Rood Unit 250.00
I hereby ocknowledge that 1 hove read this opplicotion and store ihat Bld Off.
the informotion is correct ond agree to mply with ol op tcble g~ State of Minnewro Srotures and Ci Eogan APC Totai 51794.50
Sipnoture of Pertnittea ,
A Butldin Permir is issued to: Wm. Huttner Construction on rha a g xpress condiHon thnl
oll work sholl be done in accordunce with nll licable f Minnewta Statutes ond Ciry of Eoqan Ordinan[es. .
Buildinp Offlclol r
CITY O^ EAGAty~ 2 sets of plans,
/Q 03 ~(/e~q'~ _ site plan w/elevations &
~ gUILDING PERMIT APPLICATION 1 set of energy calculations.
~ a"doo Z7-~3
Zb Be Used For Valuation Date
Site Address /D Wuf va Lo_v'L S'='~'~ OFFICE USE. ONLY
Iot I r Block 3 Sec./Sub. I"tuao~ ~Fsect ~ Occupancy
Parcel LO $'3 SSO l(c) O-al A1ter Zoning fl'l
Repair Fire Zone A/
pwner; IIilarge Type of Const.
Tz-
Address. t"ove # Stories
Demolish Front 6-01 ft•
City/Zip Code: Grade Depth 3 ft.
Phorie
FEES
APPEAsses~VALS ssm~nts Perntit
Contractor:
~f KC~I! '~I1~-
Address: ?+7ater/Sewer Surchan3e
/ DZ j u~2c~4~~G- L. w Spolice Plan Check ls
City/Zip Code: E a-n #172~ Fire SAC
{/S'6
Phorie ~SZ 3 0 8"1j pEng- lanner Water Conn.
Water Meter
Arch. /Eng. Council Road vnit 24
Bldg. Off.
Acidress: ~ ~
^ity/Zip Code:
-)ne TOTAI' 17 ' ~ ~
; ~0 2:~-0 440. 00
` 2005 RESIDENTIAL BUILDING PERMIT APPLICATION L~tGla-c{ ~I ~ 6
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWciion Reouirement; RemodeVRepair Reouvements OEfice t1se~H
3 registered site sumeys shaxing sq. tt. of lot, sq. ft. of house; and all roofed areas 2 copies of pla~- Cetf 4f $urvey Rgcd ~ Y„_,N
(ZO°k mazimum lot coverege allowed) 1 set of Energy Calculations for heated ad9itions r,jp Ttea PtCS Plaii ROCtt _N
2 copies of plan showing beam & windaw sizes; poured found desgn, etc. 1 site survey for additions & decks T[wPres ftequrced T:Y N
lsefofEnergyCalculaGons Addi!'ron-Wicateifonsitesepficsysfem OriSdBSepGeSyslem ..~:Y
3 copies of Tree Preservation Plan if lot platted afler 711/93
Rim Jasl Detail Options selection sheet (buildings with 3 or less unils)
Date Construction Cost .9So-a- w
Site Address /n e t,p W49 ~OdS ~-a-ti~/ S•
~ •~-~~ooe-.u-e~rJr~-ts~ec-.~. Unit/Ste #
,L a-•-a
Description of Work ~4=«L
Multi-Family Bldg _ Y"~ N Fireplace(s) ? 0 _ 1 _ 2
Property Owner e), n~- Co+. a.d K.G Qv.- Telephone #(lnJy) 9 p7 - i,s- 7 3
Contractor po-, r~_ 3 Lk r c 1..rc..
Address LF-7 3i Q~ dc+e- ",~aQ 'i"n_ City 9-4,a b-..-
State dyr Zip Telephone # (/v e ~-j 5P P
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Ca[eaotv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(d submission type) Submitted Submittetl
. Energy Envelope Calculations 5ubmitled
In the last 12 months, has the City of Eagan issued a permit for a similar plan b on a master plan6
_ Y _ N If yes, date and address of masTer plan: ~p
Licensed Plumber n 2~05Tel1ephone ~
Mechanical Contractor Telep`one )
Sewer/WaterContractor 1~" ep oh ne ~
BY _ _
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 the case of work which requires a review and
approval of plans.
ri- a V
Ap icl ant's 13rinted Name Applic lt's 5ignature
OFFICE USE ONLY '
Sub Types
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-piex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 08-plex I/K 18 Deck ? 23 Porch (screenlgaze6o) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_YOr_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
I~K 32 Add'Rian ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement *Demolkion (Entire 81dg) - Give PCA handout to applicant
Valuation 1") Occupancy MCES System
Plan Review 100% or 259'a
Census Code ~ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ~~[T Width
REQUIRED INSPECTIONS
Footings(new bldg) FinallC.O.
Footings(deck) 1( FinaUNo C.O.
T` Foo[ings (addition) 7 Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice& Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ S[one _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: I c/ , Building Inspector
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
. .4 EYOP7`S C'ERTIFICATE ' SIENNA CORPO~R/ATION J
yS4-3833
WEDGWOOD LANE SOUTH
o a
rn rn
q~ss
-S89° 55' 07° W 75.00- 9~3, 9
1 0 ~
~ 5 - -~5 ~
• 0 9/K. r ~
O zS"
LC) I ?jLS
~ o
- I zza ~I o
iz• Lci
11~~~e I M
I/'N I IIV~~ 1 ~ri
I
w
to W
Lo ~ I I'n
~ LO
° I LOT I I ~ o
o
DRAINAGE 8 UTILITY O
' EASEMENT PER PLAT cn ` 5- - - - - - ~ 5 I
/
~ to
X 934 1 S89055'07'475.00' 93[.oX
WIRE FENCE ON L7NE.
pDENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FIAOR FEETO OENOTES WOOD STAKE ' PROPOSED LOWEST FLAOR = 9-?9•s FEET
XO00.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION = `iy6.P FEET
(000.0)DENOTES PROPOSED ELEVATION
--iDENOTES DIRECTION OF SURFACE DRAINAGE
i hereby certify that this is a true and correct representation of a svrvey of the
boundaries of:
Lot II, Slock 3, hEDGWOOD 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 ~~f~day oP 198z,
APPROVED FOR SIENNA SIGNED: JAMES R. HILL, INC. -
CORPORATION ~ HY: /
ROBERTS ARCHITECTS BY: L~
DATED THIS DAY OP Harold C. Peterson, Land Surveyor
lgg Minn. License No. 12299
PROJECT NO. BOOK / PAGE JAMES R. HIL.L., INCi•
e1178
Pianners / Engineers / Surveyors
FtLE NO,
8200 Humbotdt Avenue South
FOLDER Bbomingtor., Mn. 55431 872-884-3029
SURVEYOR"S CERTIFICATG ' SIENNA CORPO~R(ATION/~
' ~sI/ -3S33
WEDGWOOD LANE SOUTH
0 0
M_, N K/
S89° 55' 07"W 75.00- 9,1315~1
? ° o ,
! 5 - - - - - --~5 ~
I M ~I
0
O
M
f~s ~I o N~ - I zZ' x,
/2 I Q
' ~
I'
N Y+ousC I 2 .
I w6ar~C ~
W (w.o, 939.5; L - i~-
~ I J~ ~ ~ W
.
o ~ L O 1' I I ~ o
0
(n DRAINAGE 6 UTILITY O .
' EASEMENT PER PLAT U)
1 gL - - - -J5 l
~ ~
X t!~3`_o~-S89° 55`07°W 75.00' '93t_o X
. WIRE FENCEONUNE
p UENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FIAOR f6.5 FEET
O DENOTES WOOD STAKE ' PROPOSED LDWEST FI.OOR -93T9•5' FEET
RO00.0 DENOTES EXlSTING ELEVATION PROPOSED TOP OF FOUNDATION = 9Y6.P FEET
(000.0)DENOTES PROPOSED ELEVATION
-a~DENOTES DIRECTION OF SURFACE DRAINAGE
I hereby certify that this is a true and correct representation of a survey of the
houndaries of:
Lot I1, Slock 3, 4+i.DGF;ODD FIRST ADDITION, accordinq 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 77+h day of 1982.--
APPROVED FOR SIENNA SIGNED: JAMES R. HILL, INC.
CORPORATION ~
BY: / •
ROBERTS ARCHITECPS BY. L~
DATED THIS . DAY OI•' Harold C. Peterson, Land Surveyor
198 Minn. L"icense Na_12299
PROJECT NO. BOOK / PAGE JpMES R. HILL, INC.
e117e
Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue South
FOLDER Bb0171IIlgfOf., MrL 55431 812-884-3029
~
1987 BQILDING PERMIT APPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCOLATIOAS
NOTE: 9DDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOfiNER MQST DESIGMATE WHICH ADDRESS
IS DFSIRED. NO CH9NGES WILL BE ALLOWED ONCE BIIILDING PERMTT IS ISSIIED.
MOLTIPLE DWELLINGS - RFSIDENTIAL RBNTAL D%ITS FOR SALE ITFiITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9T6 OF SIIRVEY - CHECg i1ITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COP4ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: Date: f ~-/3- 37
Site Address /~~Ib w PrD4~vooad 1F+< . OFFICE USE ONLY
a----
Lot -~-Lll Block ? J On Site Sewage_ Occupancy
MWCC System 2oning
Parcel/Sub On Site Well _ 1ype of Const
City Water (Actual)
Owner XaG~QT Gr,QA~S~-/G~l (Allowable)
# of Stories
Address yr,eGy-4 w"ocP r-.z- Length
Depth
City/Zip Code S.F. Total
Footprint S.F.
Phone g-K _ Z/ 2 S APPROVALS FEFS
Contractor Assessments Permit ~ ~ • ~J
Water/Sewer Sureharge c
Address Poliee Plan Review -4 ~
Fire SAC, City
City/Zip Code Engr SAC, MWCC
Planner Water Conn
Phone Council Water Meter
Bldg Off Road Unit
Arch./Engr. APC Treatment P1
Variance Parks
Address Copies
TOTAL ~
City/Zip Code
Phone #
I For~Offcei~llse
City of Eapn ; Pe~,~ #
I PermR Fee: ~
3830 Pilot Knob Road ~
Eagan MN 55122 ~ Date Received: j
Phone: (651) 675-5675 i Scaff: i
Fax: (651) 675-5694 I 1
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:.GS SiteAddress: jr,iL SO
Tenant: Suite
RESIDENT / OWNER Name: Phone: _(„~S i - Gg
AddresslCily/Zip: 101L
Applicant is: Owner _ Contractor
TYPE OF WORK Description of work: l,r•
Construction Cost: 1 I~ 4 no. GO MWti-Family Building: (Yes No
CONTRACTOR Name. icense
Addresx
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BIJILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 72 months, has the City of Eagan issued a pertnit 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:
NOTEr Plansand supporting documents that you submit are considered to be pubfic informa6on: Portions of
° the information maybe classirted as non-public.if you provide specific reasons that would permif ihe City to
conclude tl5af the are,fradesecrets. I hereby acknowledge that this information is wmplete and accurate; that the work will be in confortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, buf only an appliration for a permit, and work is not to start wRhout a permit; that the woAc will be in
accordance with the approved plan in the rase of wo/k which requires a review and approval of plans.
x
ApplicanYs Printed Name icanYs Sig iature
Page t of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1016 Wedgwood Lane S
Lot: 11 Block: 3
PID:10- 83550- 110 -03
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type Manufacturer
Comments:
Fee Summary:
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767 -1000
e - Water Heater & Water Softener
Replacement
Water Heater & Water Softener
Kim Renville
2200 W Hwy 13
Bumsville, MN 55337
Addition: Wedgewood 1st
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
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
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
June M Carpenter
1016 Wedgwood Lane S
Eagan MN 55123
$15.00 0801.4087
$0.50 9001.2195
$15.50
Issued By: Signature
Plumbing
EA080774
10/30/2007
ePermit
Line Size
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1016 Wedgwood Lane S
Lot: 011 Block: 003 Addition: Wedgewood 1st
PID:10- 83550- 110 -03
Use:
Description:
Sub Type:
Work Type:
Description:
Comments:
Fee Summary:
e - Furnace
Replacement
Fumace
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767 -1000
Quesetions regarding elec
952- 445 -2840
Kim Renville
2200 W Hwv 13
cal permit requirements should be directed to Mark Anderson, State Elec
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
June M Carpenter
1016 Wedgwood Lane S
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$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
Mechanical
EA080970
11/08/2007
ePermit
cal Inspector,
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1016 Wedgwood Lane S
Lot: 011 Block: 003 Addition: Wedgewood 1st
PID:10- 83550- 110 -03
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: 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 -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
Owner:
June M Carpenter
1016 Wedgwood Lane S
Eagan MN 55123
$50.00 0801.4088
$0.50 9001.2195
$50.50
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
Mechanical
EA083580
06/16/2008
ePermit
X 44 , !` ,' IE S KE P
x 9Z- �. 4984
1 �� ,1 P RMIT NO.:
`; 55121 DATE: 8- 8 -8
` '
No of Units:
'Um. Buttner tcustructian
1015 14,Adswood lin So L11 B3 Wedgorood 1
xWutrrb�M+C: Buis Anderson Plbg ''
Meter No.: Connection Charge: 450.00 pd
Size: Account Deposit:
Reader No.: Permit Fee: 10.00 pd .
1 ogres to comply whh the City of Rogow Surcharge: . 50 pd
Ordlneaas. �
Misc. ch arges : 60.0:0 pd meter
J� s r ' �� q Totoh
By
i L ' Dote . Paid:
Dote , of Insp.: "a- 7 '"S Insp.:
e, . �,+ f EAf AID ,; - t , r
w �,Knot) -. -
1199 „ ,, A1'�. 1
_<,' 55121 -+!
No. of Units:
ion e Hut .. er • us truction
A $ * , ¢ ,
Site 1 * W . g°,si s . r�z•�
Site Address: _,. s i di - on P b
Plumber: 144.4.4 pd ?/11183 3 69 i.t ..
to comply With the City et logos Connection Charge:
1 spree to Deposit:
o ,a•
Ordinances. c% -c it , Fee: e • •
1 Sure e:
t
N;1isc. r
BY' . ,�" Total:
Da l ,` Date Fold:
Insp•:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116784
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 1016 Wedgwood Lane S
Lot:011 Block: 003 Addition: Wedgewood 1st
PID:10-83550-03-110
Use:
Description:
Sub Type:Reroof & Siding
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
June M Carpenter
1016 Wedgwood Lane S
Eagan MN 55123
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157263
Date Issued:08/12/2019
Permit Category:ePermit
Site Address: 1016 Wedgwood Lane S
Lot:011 Block: 003 Addition: Wedgewood 1st
PID:10-83550-03-110
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 -
June M Carpenter
1016 Wedgwood Lane S
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature