1017 Wedgwood Lane S CITY OF EAGAN
. ' 3795 Nlet Kno` Road Eo4ae, MN 55121
' PHONEs 454-8100
BUILDING PERMIT Receipt #
Te 6e wad fe? Est. Value Dote 19
Site /lddrcu Erect
? Occupancy
Lof Block Sec/Sub. Alter ? Zoning
Parul # Repoir ? Flre Zone
Enlorfla ? Typa of Const.
W Name Move
' ? Stories
z /lddress Demolish p Length
G pi"ans Grode p Depth Sq. Ft.
o Name APPro.als Fees
u' Addreu Assessment Permit
~ Cit phone Water 8 Sew. Surchorpe
G Police Plon check
°C Nome
~ Z Firo SAC
ll Address Enp. Water Conn.
Ci phorm Plonner Water Meter
Council Rood Unit
1 hereby acknowledge that I hove read this application ond state thot gldp. Off.
the iniormotion is correct and agree to comply with all oppliccble ^PC Totol
State of Minnesoto Stotutes and City of Eogon Ordinances.
Siynoture of Pertnittee
A Building Permif is issued to: on the express condition that
all work shall be done in occordance wlfh oll applicoble State of Minrusoto Stotutes ond City of Eoqon Ordinonces.
Buildinq Offfciol
P~rmit No. Permit Holder Misc. PKmit No. Holde?
Plumbing a2 l
H.V.A.C.
Woll
Waftr
Disp.
Ssrwr
EMdrie WOSOQD~ ~-Mll~ ~~/3'~?2
Inweetion Dsts Insp. Other
Footings ~
Foundstion
Framinp _ 43 ,9,,-i~
Rauph Plba - - ~
Rouqh HVA
Inwlation -343
Final Plba
Final HVAC
Final
Waftr Deseribe Location:
MYell .
Sower
Pr. D'ap. •
CITY OF EAGAN
3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100 ~
BUILDING PERMIT Fieceipt ~
To be used for 3A5~~,"T Est. Value :1 o5W Date UCTOBEii ib gis
Site Address 107 iTEDG~WD LN ~ OFFICE USE ONLY
Lot Block S Sec/Sub'?,`:.:;~;,tJ()i3D 1S'' On Site Sewage Occupancy
Ib
.
MWCC Syatem Zoning
ParCel No. On Site Well (Actual) Const
a Name DAX`t ~ELSOT! City Water (Allowable)
i sl~ ~?53~0 ~~I~ PRV Required * of Stories
~ Address ~ Booster Pump Length •
° City Phone -'70-11116 (Y)
Depth
.0 Name S.F. Tota1
v ~ Address Footprint S.F.
~ City Phone APPROVALS FEES
~a ' Engr./Assess. Permit 34•~
w W Name ~.t1O
~ W Planner Surcharge
_ z., Address
Q= Cit Phone Council Plan Review
a W Y Bldg. Off. SAC, City
1 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 ol Permittee Road Unit
A Building Permit is issued to: -riANI - EL NLLSnN Treatment P1
on the express condition that all work shall be done in accordance with all .-.wC
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL - J'
BuildingOfficial
Permit No. Permit Molder Date Talephone it
Plumbing
H.V.A.C.
ElectriC
Softener
Inspectlon Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. - 3,4
Rough Htg.
Isul.
Fireplace
S -
dl-
Final Htg.
Final Plbg.
Bldg. Final f Zy' ~5'
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well 75VAY; • z
zl-
Pr. Disp.
PERMIT #
PLUMBING PERMIT RECEIPT # ~
CITY OF EAGAN - -
3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: '
CONTRACT PRICE PHONE: 454-8100
Site Address ! ` ~ ~ L-'~I- , ~ ¢LDG. TYPE WORK DESCRIPTION
Lot !'9 Block ':j Sec/Sub ftes. X New
~ ~ Mult Add-on
m Name Comm. Repair
~ Address Other
c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name -L-water Closet - $100 $
Ba1h Tubs - $3.00
# Address ~Lavatory - $3.00
p City r ~ L Phone L-4~4 = --5hower - $3.40
k~1 C M'Kitchen Sink -$3.00
FEES Urinal/Bidet - $100
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND.$1,000.00) Well - $10.00
Private Disp. - $10.00
1 ) Rough Openings - $1.50
SIGNAtORE OF PERMITTEE ~ FEE: 1 "
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
CITY OF EAGAN _ ! 94~t}
3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 ,
PHONE:454-8100 ~
BUILDING PERMIT a~«+~r #
Te 6~ uNd Mr U~'~'''~ Est. Volue $y00 pme AUGUST 20 ~ ~q b4
1Q17 WEDGWOOD L[~NE SO ~ occupency
Site Adc$e~s E~~ D Erect
Lot d Block ~/Sub. Remodel ? 2oning RI
Parcel No. Repair ? Type of Const. S7
Enlarge ? Na. Stori 2
a; Name p~IEL J. NELSON Move O l.ength
Z Address S demalish ? Depth -r~
~ - ( H] Grade ? Sq. Ft.
City Phone
5~1~ APProvals F~es
i~ Name
~ Auessment Permit S 16 0
Address . S O
City Phone Wcter d~ Sew. Surchar~e
~ Polite Plan check
~
~W Name Fin SAC
Address Enp. Woter Conn.
tW City Phone Plonner WaterMeter
Councii Rood Unit
I hereby ocknowiedge thot I have read rhis applicotion ond state thot Bldg. Off. 8 19~84 Parks
the inlormation Is correct ond ogree to comply .with all opplicable APC Total $ 16 _ SO
State of Minnesota Stotutesicnd City of Eagan Ordinonces. + Ver. Date
~f /
Slpnaturc of Permittee `
A Buflding Permit Is issued to: -DANIEL J. I~r,LSON on th~ express condltlon ehoi
oll work sholl be done in acoo~dante lfr~th o~l opplipoble tate of Minnesota Statutes ond City of Ea9on Ordinances.
Buildinp Officiol ~C~ `C ~ ~ ' ~
. ~
Permft No. Permk Hoklar Dato
Plumbiny
H.V.A.C.
Eleetric
Softaner
InsWction Da In . Othe?
Footinga ~
Foundation
Framing
Rough Pibq.
Rough HVAC
Inwlation
Final Plby.
Final HVAC
Final
Csrt/Oce.
Water Dftcribe Location:
YYell
Sower
Pr. Disp.
CITY OF EAGAN Remarks
Addition WEDGWOOD lst ADDN Lot 16 Blk 4 Parcel 10-83550-160-04
owner streec 1017 Wedgwood Lane South State EAGAN M 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1981 58.69 2.93 20 49.90 A012334 6-16-83
STREET RESTOR.
GRADING g 1981 186.48 12.43 15 149.19 A012334 6-16-83
Sewer Lateral 1981 313.16 20.88 15 250.55 " "
SAN SEW TRUNK 1981 198.50 13.23 15 158 . 81 " "
SEWER LATERAL 1981 197.54 9.87 20 167.93 it
Sewer Lateral 1982 133.17 8.87 15 115.43 " "
WATERMAIN
WATER LATERAL Trk671 1981 262.18 17.48 15 209 . 77 A012334 6-16-83
WATER AREA 1951 198.50 13.23 15 158.81 " '
*Water Lateral 1982 98.57 6.57 15 85.43
STORM SEW TRK 91
STORM SEW LAT
powerline Re ocatio
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 420.00 it tt
BUILDING PER. 7736
SAC 595-00
PARK
~
Receipt ~PLUMBING PERMIT Permit No.
CITY OF EAGAN -
~ j
fill in numbered spaces S/C
Type or Prinr /egib/y Tot.
1. Date - 2. Installation Cost
3. Job Address Lot~Blk. Tract ' •
_
4. Owner S. Contractor ' - ' Phone -
6. Address
7. City ' State Zip -
8. Building Type: Residential, D Commercial ? Institutional O
9. Work Description: New D Add O Alter O Repair O
10. Describe
11. No. Fixtures No. Fixtures
- Water Closet Cesspoa1/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
' Kitchen Sink
Urinal/Bidet pther -
Laundry Tray
Floor Drains -b _
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 454-8100
Reoeipt,= ' MECHANICAL PERMIT Permit No. '
CITY OF EAGAN
Fea
~l Fill in numbered spaces S/C
Type or Prini /egibly Tot ~ -
----r--
1. Date 2. Installation Cost
3. Job Address /7 Lot16_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 Fuel Type
11. No. Eauioment 8TU - M. Ea. No. Equipment CFM
Forced Air Air Handling:
Mfg. "
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with 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
r CITYOF EAGAN N° 9434
' 3830 Pilot Knob Road, P.O. Box 27-799, Eagan, MN 55121 ~
PHONE: 4548100
BUILDING PERMIT ReceiPt #
To ba wad Ier DECK Est.yalue $ 9 0 0 pote AUGUST 20 _ jy 84
1017 WEDGWOOD LANE SO ,-3r R3
Site Address Erect u' Occupancy
Lot 16 Block 4 Sec/Sub. WEDGWOOD 1 Remodel ? Zoning Rl
Paroel No. Repair ? Type of Const. V
Enlarge ? No. Staries
W Name DANIEL J. NELSON Move ? Lenqth 24-
Z Address S~F' Demolish ? Depth -IT
~ City Phone 370-8116 (W) Grade ? Sq.Ft. S~E Avprovals Faes
o Name
A~res$ Assessment Pertnit $ 16.00
0
City Phone Water & $ew. $urcharga .5
F Police Plan check F„~w, Name Fire , SAC
Address Erg. Water Conn.
~W City Phone Plonner WaterMeter '
- Councii Rood Unit
1 hereby acknowted90 thot I Mve read this opplication and siote thaf eiay. Off. 8/19/84 Parks
fhe inlormotion is torrect a agree to y ly~vr' . a aDPli ble
$tote of Minnesotn Statutes d Ciry o 6 q~5 r in ces. APC Total $ 1 fi. SO
~ Var. Date
$Ipnature of Permittee
A Building Permit Is iuueA It• D NIEL J. NELSON on tha expreu wndition Ihat
all work shall be done in accordonce ' oll ppli le tota of Minnewta Statutes ond City of Eagan Ordirronces.
Buildinp Officinl
~7J )
- ' CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 N? 15736
PH O N E: 454-8100
BUILDINGPERMIT Receipttt ~Y
7o be used for BASEMENT Est. Value $1, 500 Date OCTOBER 18 ,7 g 88
Site Address 1017 WEDGWODD LN S OFFICE USE ONLY
Lot 16 Block 4 Sec/Sub. t'1EDGWOOD 15T on Site Sewage - Occupancy
MWCC System _ Zoning
Parcel No. pn Site Weu
_ (ACtua1) Const
a Name DANIEL NELSON City Water _ (Allowable)
w
= Address SAME 452-0460 (H) PRV Requiretl - # of Stories
0 City Phone 370-8116 (W) BooslerPump _ Length
Depth
, a Name SAME S.F.Total
~Q Address FootprintS.F.
¢ City Phone pppROVALS FEES
~ z Engr./Assess. Permit ~ 34.00
~w Name
~ W Planner Surcharge 1 .00
~ Address
Ci~ Phone Council Plan Review
aw Y
Bldg. OH. _ SAQ City
I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC
intormation is correct and agre compl Hit I ppfQState of WaferConn
Minnesota Stetules and City o an Or e.
Water Meter
Signalure of Permittee - Road Unlt
A euilding Permil is issued to:_DANIEL_NELSDN-- Treatment P1
on the express cond ition that all work shall ba done in accordance with all 50
applica6le State ol Minnesota S utes and City of Eaq~ Ors. Parks .
J/ $
Building Oflicial TOTAL 35.50
~
CITY OF EAGAN
7795 Ptlet Kno6 Raed ' Eepon, MN 55122 No 7736
VHONLi 434-8100
BUILDING PERMIT rteceipt # J3S 1..5~
re be u.ae fer SF DWG/GAR Est. volue $56, 000 pme December 21 , 1 q 82
Siro nddreu 1017 WedRwood I.ane South
16 4 Wedgwood lat Ere~ ~ acu~ncv R-1
Lot Blxk Sec/Sub. Alter ~ Zoning
Parcel # 10 83550 160 04 Repo+r ? Fire Zone NA
Enlorye ? TvPe of const. V
W Na,,,a Wm. Huttner Const. Move ? # Sro.ies
; Addross 11913 Highland View Cir. pe,,,,iish ? Lenyth 50
b Ci B'viile. phoM 454-3833 Gmda ? Depth 40 Sq. Ft.-
p Name OwneL Approrala Fees o~ Address Assessment Permit 301.00
Ul P~~ Water & Sew. Surcharge 28.00
Police Plon check 150.50
t!w Name Fire SAC 525.00
Address Enp. Woter Conn420.00
iW Ci Phone Plonixr WoterMeter 60.00
Council Rood Unit 240.00
1 hereby acknowledge that I have read this opplicotion nnd stote ihat Bldp. pff.
the informotion is correct and agree to wmply with all opplicobla APC Total S1724.50
Stote of Minnewta Stotutes and City of Eogon Ordinances.
Signoture of PertniMee
A Bullding Permif Is issued to: CQpstrV-(:!D?n on the ezpreu condition Ihm
oll work sholl be done in occordance with oll o Iicoble Stote n ta utes ord ity of Eugan Ordinonces.
Buildinp Officiol
ITY OF EAGAN Include 2 sets of plans,
1 1 Sertificate of Survey=&
Y~UILD~ PERMIT APPLICATION 1 set o£ enerqy calculations.
Be Used For Valuation ~'9PO w Date D'i (p
Site Address 17-')17 W'F~)LV,1QQD ~4 5 OFFICE USE ONLY
Int ~ Block ~ Sec./Suh.4IbD6E(tibo~ Erect X occupancy R-3
Parcel A1ter Zoning l2-1
Repair Fire Zone
Owner: En7.arge _ 7ype of Const. 71
Address: h (/UCA(~ IAI~')'ll) I: A S MO~ # Stories
~ ~ n Derolish Front 2¢ ft. i
City/Zip Code: gQs% ttk) VU1~ SSl 22 Grade Depth ft.
Phone ~f J~_ -h~YCOC~ 439n--RIlla
APPROVALS FEES
Contractor: ~ C L F Assessments Pesmit .
?aater/Se,aer Surcharge ~
Address: Police Plan Check
City/Zip Code: Fire SAC
Phone ~3. Wates Conn.
Planner Water Meter
Council Road Unit
~~'~g'' Bldg. Off. f//j/Y
Adclress: AFC
City/Zip Code:
Phone # : TO'I'AL
~Ne.~.~~ La~C 5[n.re ds
CITV pF EF,LAN ~e~_ Include 2 sets of plans,
1 site plan w/elevations &
tl~ ~ BU PE13~2LT APPLICATION 1 set of energy calculatioils.
Rb sed Ebr S. ~m ; Valuation Date %Z-zo ~Z
site .v,dddress C4~'ICE vSE ONLY
Lot slocx ~ sec./sub. S~ t ~ occupancy
Paroel rltes zoru.rig
Repair Fire Zone
_ ype of Const.
Oaner: Enlan3e 'I
Move # Stories
Address: Danolish Fmnt 15~ ft.
City/Zip Code: Grade DePth 4`d it.
Phone
~ P,PPF20VALS ~S
Cbntractor: Assessnents Pesmit °y 3 O/
[aater/Sewer Surcharge-~
Address: ~ ~ a D l poli~ Plan
Check /cT0
City/Zip Code: u Yvr 5 ai IlP 5-5- 3 3 7 Fire sAG
~i Water Conn. </A D
Phor~ -3d 33 p~r Water Meter GO
Council Road Unit a~
~'~./~J.: Bldg. Off.~ . ~
P,ddress: APC
City/Zip Code:
a ~ sG
Phcne TpTAT' (_7
_..~..y,..:~...... _....__,W...._ . . _ - _ . . - _ _ .
'l 3 243 70. O~
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagsn
3830 Pilot Koob Road, Eagan MN 35122
Telephone # 651-675-5675 FAX # 651-6755694
New Cons6uclion RewaemeMs RemodeVReoa'v Reauiemenk Olfce Use OnN
3 rep"slered site surveys shaNing sq fl. W lof, sq. of hwse; and ell rooled areas 2 mpies of plan showing toalings, beams, jdgs Cet of Swvey Recd _Y _N
(2(196 maxinum IW mverege abwsd) 1 sel of Energy CalculeBrns fa heated eddBbns Tree Pres PFan Recd _Y _ N
2wpiesafpl3nshmrngbeam&windowsizes;poiredkurMdasign.elc. lsitesurveyfnaAcftm &decks TreeResRequied _Y _N
lsetdEnegyCabulations MoYtun-indwkifonstesepticsy9em On-etleSeptic5yslan _Y _N
3 copies d Tree Preservalion Plan d bl plelted aRer 7H193
Rin bsl Deteil Optiom selecton sheet (buildings wdh 3 or less unils)
Minucgasco mechanical ventilation focm
Date S/ F5 1aoo6~/ n ConstrucNonCost ~
,A~d. 7 7 6- ~
Site Addreas ~CS~ 0'0 O/ ~~'Nl.e CJ l~LJ-f/'h Unit/Ste #
4' a- 3
Deacription of Work f
Multi-Fsmlly Bldg _ YV-~N Flreplace(s) _ 0_ 1 _ 2
Property Owner Telephone#(bSl )
Contnctor d
naare:s 3S 7 Gwe city
3tate 7dp Telephone # C/010 )~~'7 - S y$ 1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEIN BUILDING
- Minnesota Rules 7670 Cateaorv I Miffiesota Rules 7672
Energy COde CatBgOry . Residendal Venrolatlon Category 1 Nbrksheet • New Energy Code Worlsheet
(Jsubmissionlypa) Su6rtMted su6mitted
• EneryY Emebpa Cakuletiorcs SubmNted
In the last 12 months, has the City of Eagan issued a permit Por a similar plcn based on a masier planZ
_ Y _ N If yes, date and address of masier plan:
Licensed Plumber Telephone # ( )
Mechanical Confractw Telephone )
Sewer/Water Conhactor Telephone # ( )
I hereby apply for a Residential Building Pemtit 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 pemvt, but only an application for a permit, and work is not to start witfiout a
permit; that the work will be in accordance with the approved plan in the case of work which reqtrires a review and
approval of plans.
A&I r1, Y1')ec, i n. c, r. G~("imd-
ApplicanYs ' ted Name Applkant's 5 gnature
50
2006 RESIDENTIAL PLUMBING PERMiT aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ~ I -my I /
Site Street Address l'U /)i7 f~! La c- Unit #
Property Owner Telephone # ldyl-
Contractor C /wrI p/D/(/ Telephone #(~SR)
Address _Za~,,j /;5t,~4 dtl City State/~Yx), Zip,5-z
The Applicant is: _ Owner ZContractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alteretions to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing onl a water sofrener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are instailing.
_Septic System Abandonment D
Water Turnaround (add $130.00 if a 5!8" meter is required) APR 12 2006
Other:
x Water Softener _ Water Heater $ 15.00
_ new ~ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ fr"_~;-o
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is compiete and accurate; that the
work will be in conformance with the ordinances and codes 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 t reviewed and approved.
7(-- EYSX
A icanYs Printed Name 4ApicaAsignatur
RESIDENTIAL
U I BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 t~
New Construction Reauiremenb RemodeVReoair Requlremenls
• 3 registered sile surveys showing sq. k. of lot, sq. ft. of house; and all raofed areas • 2 copies of plan (20°h mazimum lot coverege allowed) . t set W Energy Calculations for heated add'Aions
• 2 copies of plan showiig beam & windax skes; poured found design, etc.) . 1 site survey for exterior addNons 6 decks
• 7 set of Energy Calculations . Indicate if home served by septic syslem for additions
. 3 copies of Tree Preservation Poan if lot platted aRer 711193
• Rim Joist Oetaa Oplions seledion sheet (hldgs witlh 3 or Iess units)
DATE s - I - C)~~' VALUATION ~ c5 . 4(O a ~
SITE ADDRESS LYl S MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK e"C7~~ I r~.t Uvt- ~ FIREPLACE(S) _ 0_ 1_ 2
~ -
APPLICANT I ~TaCQVelVY 200HQV9 & SllVRg, RMC.
STREET ADDRESS 49 Soa1ti Owasso Bivd. CITY STATE ZIP
- Little CanaUa, MN 55117 G
TELEPHONE # 4g4-1~~~ FAX # 4!?
t,
PROPERTY OWNER l L~IV1 LI ~f'N~Gt in 1r~ TELEPHONE # I ' U Jg~
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNLSOTA RULrS 7670 CATEGORY I MINNPSO"
(dsubmission type) . Residential Ventilation Calegory 1 Worksheet Submitted • N r~qoo~VRrl~ep U4 itted
• Energy Envelope Calculations Submitted L5 I~
MAY p 2 i'T_')
Plumbing Contractor. Phonc #
PlucnUing sys[cm includcs: Water SoRener _ lawn Sprinklcr
Water Heater No. of R.I.13arlis
No. of Baths
Mechanical Contractor: Phone #
Mcchanical systcm includcs: Air Conditioning Fcc: $70.00
Hcat Recovcry Systcm
Sewer/Water Conhactor: Phone #
I hereby acknowledge ihat I have read this application, state that the informa, 'on is correct, and agre to comply
with all applicable State of Minnesota Statutes and City of Eag Ordina
Signature of Applic
OTP'ICF, IJSE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updafed 4/02
f ?
`SURVEYOR'S, CERTIFICATE • SIENNA CORPORATZON ,
. • l cL'~.` 14,h~e?' t
! ys'4-3,3'33 ~
C9s~,s $2°so'oo'1E 75.61 y _
h
1 5 ORAINAGE AND i ,
i ISTILITY EAS£MENT 5` N
PER PLAT
~
:S J ro 1- LOT Is I N
OD
I3J
W.
LO I'n
. j_ o Lr)
. O
~ ~ ~ ~
, 5 5
L !
0
L944) S 89055b7°W 75.00
~ M .
WED.GWOOD LANE SOU7H
Q'DENOTES IRON MONUMENT SET SCALE: 1 INCH 40 F'EET
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FIAOR - 9f8. FEET
'Y~S;c+ p'EET
O DENOTES WOOD STAKE ' PROPOSED IAWEST F7AOR =
XO00.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION = 9W~3 FSET
(000.0)DENOTES PROPOSED ELEVATION
rt- DENOTES DIRECTION OF SURFACE, DRAIPIAGE .
I hereby certify that this is a true and correct representation of a survey of the ,
boundaries of:
Lot 16, Block 4, " WEDGWOOD FIRST ADDITION, according to the recorded -
plat thereof, Dakota County, Minnesota.
And of the location of all huildings, if any, thereon, and all vis'bl,ee~yncroachments,
if any, from or on said land. As surveyed by me this Zgday of 1J~~- 198Z.
APPROVBD FOR SIE[ANA SIGNED: JAMES R. HILL, INC.
CORPORATION
BY:
ROSERT$ ARCHITECTS BY'
DATED THIS DAY OF Harold C. Peterson, Land Surveyor
198- Minn. Licen6e.No: 12294
PFtOJECT NO. BOOK / PAGE JpMES R. HILL, INC.
Pfanners / Engineers / Surveyors
FILE NO. 8200 Hurriboldt Avenus South ,
FotnsR • Bborinington, Mn. 65431 812-884-3029
- • . . _ : . _
_ 1988 BUILDING PEAMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER M[IST DESIGNATE WEiICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OE SORVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
FiP, L--'~
To Be Used For: Ov'J- Valuation: Date:
Site Address 10 (7 LEDbuJ(7Qll I-A S OEFICE USE ONLY
r
Lot Block u On site sewage_ Occupancy
MWCC system Zoning
Parcel/Sub ° On site well _ Aetual Const
City water Allowable
Owner E~ 1,'~{ `n; ~ PRV required _ # of stories
Booster Pump _ Length
Address (O(',j OEJ7/,wDpD (-A, S Depth
S.F. Total
. City/Zip Code SS (Z-5 Footprint S.F.
Phone ~iSZ-D~IoO IDRh-370-811~~1 APPROVALS FEES
~ , -
Contractor Engr/Assess Permit
Planner Surcharge /.0-~
Address Council Plan Review
Bldg. Off. SAC, City
City/Zip Code Varianee SAC, MWCC
Water Conn
Phone Water Meter
Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies
~ TOTAL
City/Zip Code
Phone #
r ~
i- 75-' - ~
- - -
~
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ORESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 Please complete for modifications to existing residential dwellings.
Date -7 1 ~10(0 /
Site Street Address 1017 Unit#
e
Property Owner JiGcA-L Telephone # (~51)
Contractor ~ ~/il I.IX,S 5pv; KV- L v Telephone #((luil) O CO 0J"~
Address City State t~?iC ) Zip ~
The Applicant is: _ Owner AContractor _Other
Alteryra~.t,ions to existing dwelling $ 50.00
'GFA Add plumbing fuctures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment J'
_WaterTurnaround (add $125.00 if a 5/8" meter is required)
-Other:
~
Water Softener Water Heater $ 15.00
_ new _ replacement
? Lawn Irrigation _RPZ v_/_PVB _new _repair _rebuild $ 30.00
SWte Surcharge $ 50
150
Total $ ,30, ~
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 codes 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 approved.
Applicant's Printed Name Applicant ignature
~
yy WATER SERVICE PERMIT
WO Kilo¢ Road _. PERMIT NO.: 5 ` ' 5
� ►#N 0122 • DATE: 7/3/`
Zoning
FT 2 No. of Units: 1.
O wner: 7•?sn alut tner Cotistruetinn
Address:
Site Address: 10 17 WertPwnnc'. T.pne Sn I,) 6 R4 WWrigwnnt T
Plumber: Russ Anderson Plumbing
Meter No.: - Connection Charge: 420_00 rd
Size: Account Deposit:
Reader No.:
Permit Fee: 1n •00 '
• 5 ° 1141 _
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges: 60.00 pr' met
Total:
By Date Paid:
Date of Insp.: /D Insp.:
iTY OF lAGAN SEWER SER P
8'�9? PO Knob Road ,: PERMIT
PERMIT NO.:. _5 71
Eagan. `MN 33122 -- - - - - -- - 3/1/',
Zoning: A r
___ = Units: 1
Owner•. a-
Address:
Site Address: s
Plumber: :. ...
12/21/82 33$95 100.00 pd
1 agree to comply with the City of Ea ... , Connect!. Charge: f ► .
Ordinances. 7. Account Deposit:
Permit Fee: / —*
By - Surcharge: _ . 5 0 pd
/r - isc Chorg
Dote of / - .: - Tota •
v
Insp.: — / v. Date Paid:
Use BLUE or BLACK Ink
For Office Use
64
j Permit 1 j
City of Eap
1 Permit Fee:
3830 Pilot Knob Road I 1,3
Eagan MN 55122 I Date Received:
I I
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: I
~ I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: r ePhone:
Resident/
Owner Address / City / Zip: /O / psr' CIcO L L -
Applicant is: Owner %4-Eontractor
Type of Work Description of work: 17 e- c
Construction Cost: Multi-Family Building: (/Yes No
Company: 54P42 fe T~.tU~`1 Q¢s l ~4n't. Contact:
Contractor Address: ecrZ~ C City:
State: L rt Zip: 53(2AC-) Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you subn~'t ar xeonsidered to be public info a`t o'y o o
rte, J b . w~ x F.
the informatioir"ilia ybe clased as non 'public ,f you prov`ie sp ecifrc reasons thaum . e C" to
conclude that they are t ode secrets: ~
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. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the 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 Minnesota State Buil C st be completed within 180
days of permit issuance.
X Z&
Applicant's Printed Name Applicant' i n ure
Page 1 of 3
Use BLUE or BLACK Ink
r--------------
_�
I For Office Use �
��6Ol �1Q Qn � Permit#:���/ �� �� j
� �J � jl � ,r-�,�,,
3830 Pilot Knob Road i Permit Fee: ��1� ' V� �
Eagan MN 55122 I
Phone: (651)675-5675 � Date Received: �
Fax: (651)675-5694 I �
� Staff: �
�-----------------�
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: Site Address: �/�/7 G�J��'��`''���'� L f✓, �
Tenant: Suite#:
°��� � � ��' � Name: Phone:
'; �@53��t�'��W#iP.�'' �'
' Address/City/Zip:
Name: Lc��l•� L c,�v�� !'`� A� License#:
� � � � �� Address: �7 � �U fjf.,,�,� 3 5� City: C7'.4 y��/� C•��j
� ,�ta��ra�#�►r��:,: ,
' State: w�� Zip: g�/a i `/ Phone: �/2- 7S��/'77 �o
r'� �� Contact: C.-a i1� 'e-- Email:
New Re lacement Additional Alteration Demolition
T�p,�.,�r�{�p��, . � Description of work: ^" � �� — - ��
�� �: .,
NOT� Ror�f���c��d gro�iid t�cit�+�i t��a�� er}�ip��l;is�c�1�d�1�s�r��d��;�,,;
C��..�I�.'i�SS Ct>ll'�C��18{I�l$�1'1,�1'�iL`�����f8��€!1"'�'It1�t�t�'1`F��QTi.tA�i j�'ffiE��fl��C'a�B�!'tF�!,�;��t�$��� ..
RES/DENT/AL COMMERC/AL
Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
��TMi��'����` —
Air Exchanger Gas Exterior HVAC Unit
_Heat Pump Under/Above ground Tank �Install/_Remove)
Other
RES/DENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum, includes State Surcharge
$70.00 Underground tank installation/removal =$ Permit Fee
"If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 -� Surcharge*
If the project valuation is over$1 million, please call for Surcharge =� TOTAL FEE
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.
� � G
7C �C�f1�_:.t �%/` X ���
Applicant's Printed Name Applicant's Signature
�.- � , � � „,.;- .
��}I�Q��1G�U�� <
Rec{�rired"�nspe�c��t�s ' , #�e�iet�te�i'By t?�ts
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