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1021 Wedgwood Lane S CITY OF EAGAN 3795 PIkf Ksob Roo1 Eayan, MN SS122 PHONE: 454-8100 BUILDING PERMIT ReceiPt # Te bo umd foe Est. Value Dote , 19 Site Addrcss Ercct ? Occupancy Lot Block Sec/Sub. Alter Zoninq Pamal # Repoir ? Fire Zone Enlorye ? Type of Const. W Name Move ? # Stories ; /lddross Demolish p Length b Grode ? Depth Sq. Ft. Ci Pha+e ~ Nome Approrals Fees u /lddrets Assessment Permit o u~ Woter 8 Sew. 5urcharya Ci Phone Police Plnn check Nome Fire SAC WW FW Enp, Water Conn. ~W Ci phone plonner Wnter Meter Coundl Rood Unit 1 hereby ocknowledfle that 1 have reud this opplication and stote that gldp. Off. the inlormefion is torrett ond ugree to comply with oll appliceble ~PC Total State of Minnesota Statutes ond City oi Eagan Ordinonces. Slpnoture of Pertnittee A Building Permit Is issued to: - on tha express conditlon thnt oll work sholl be done in occordonte with oll oppliooble State of Minnesota Stotutes ond City of Eoqan Ordinonces. Bulldi?q Official Psrmit No. Permit Holdar Misc. Permit No. Holder Piumbing .2& -jD S' H. V.A.C. ~ -k"'lS Well Weter Disp. Sower Electrie Fr~n C Inspection Date Insp. Other Footingt Foundation Framing Rouph Plby. Rouph HVA Inwlation /47 ~r Final P16p. . Final HVAC Final Waftr Describe Location: YYell Sewsr ~ Pr. Disp. Receipt MECHANICAL PERM17 Permit No. i CITY OF EAGAN - Fee Fill in numbered spaces S/C Type or Prin[ legibly Tot. . 1. Date 2. Installation Cost - ' I 3. Job Address !t lot~jAk. ~ Tract ' 4. Owner 5. Contractor Phone - ~ 6. Address L I I' 7. City State ' Zip 8. Building Type: Residential ~ Commercial ? Institutional ? 9. Work Description: New ? Add C~ Alter ? Repair ? 10. Describe / Fuel Type 11. No. Equioment BTU • 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 Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 CITY OF EAGAN Remarks -.11 - -/1 1 Addition WEDGjN00D lst ADDN. Lot 15 Rlk 4 Parcel 10-83550-150-04 owner~~).~',.~1'' 4l"( Screet 1021 Wedgwood Lane South State EAGAN MN 55123 Improveme t Date Amount Annual Years Payment Receipt Date STREETSURF. g 1981 58.69 2.93 20 STREET RESTOR. GRADING g~ 1981 186.48 12.43 15 161.62 C007732 6-7-82 Sewer Lateral 1981 313.16 20.88 15 271.42 C007732 6-7-82 SANSEW TRUNK 1981 198.50 13.23 15 172.04 C007732 6-7-82 SEWERLATERAL 1981 197.54 9.87 20 177.80 2 -7_ 2 Sewer Lateral ro 1982 133.17 8.87 15 124.30 C007732 6-7-82 WATERMAIN WATERLATERAL Tr~SV 1981 262.18 17.48 15 227,24 C007732 6-7-82 WATER AREA 1981 198.50 13.23 15 172.04 - 2 *Water Lateral 1982 98,57 6.57 15 92,00 C007732 6-7-82 STORM SEW TRK STORM SEW LAT *Powerline Relocatio 1982 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 9UILDING PER. SAC PARK 7'•~ . ~ Q,~t~~ ~ ~C~(/~it:- r~ ~ ...~~In.-~~1.. .~t~~--' . O ~ Receipt PLUMBING PERMIT Permit No. , CITY OF EAGAN Fee Fi!l rn numbered spaces S/C Type or Print legib/y Tot. . ~ 1. Date ` 2. Installation Cost 3. Job Address Lot } Blk. ' Tract 4. Owner ,a- r ' f- . 5. Contractor Phone • ' 8. Address 7. City State Zip 8. Building Type: Residential 8 Commercial O Institutional ? 9. Work Description: New El Add ? Alter O Repair O 10. Describe 11. No, Fixtures No. Fixtures Water Closet Cesspool/Drainfield ~ Bath tubs $eptic Tank - Lavatory Softner Shower Well ~ Kitchen Sink Urinal/Bidet Other Laundry Tray ' Floor Orains Drinking Ftn. Slop Sink Gas Piping Outlets 12. ? hereby certify ihat 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 Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 a Recsipt MECHANICAL PERMIT Permit No. . CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print IegibJy ' Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. ' Tract ~ 4. Owner 5. Contractor Phone 6. Address 7. CitY State - - Zip 8. Building Type: Residential 0 Commercial 0 Institutional ? 9. Work Description: New ? Add O Alter O Repair ? 10. Describe Fuel Type 11. No, Eguinment BTU - M. Ea. No. Epuipment 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 1 agree to comply with all ordinances and codes governing this type of work. Siqned: for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN ~ 3795 Plbt Knob Rood Eeyan, MN S5122 NO 6997 PNONEi 454-8100 BUILDING PERMIT Receipt ro ee una Fer SF DWG/GAR En. vai,x $54, 000 o,te November 3 ~ q 81 Sre Addreu 1021 W ed ood Lane 9outh Erecr XX occuponcy R'3 Lot 15 glock Sec/Sub. WedgwoOd lst Alter ? Zoning R-1 Porcel # 10 84550 150 04 Repolr ? Fire Zona RA Enlarge ? Type of Const. V rc Nome wID HuttIIe2' COABt Move ? Stories z Addrcss 11913 H1gh18IId VieW Cix'. pemoliah ? Length 4Z ~rnavi e ~om _ Grode p Depth 46 Sq. Ft.- ~ Nama ADPiovab Fees i~ Assessment Permit 295.00 8~ Address 27.00 ~n Woter 8 Sew. Surchorge iz it Phone Polica Plan check 1 T.5Nome Fire SAC 525.0Addreu E~p. Water Conn. ~Ci phom planner WoterMeter_~..QD Council Road Unit 1$S _ flfl 1 hereby ackrwwledge that I have read this opplicotion and state ihat gldo. Off. fhe inlormation is correct ond agre o co ply with al opDlifable AP~ Totol 157 .50 State of Minnewta $totutes a agon ces Signoturc of PermiRae ~ A Building Permit Is issued to: WM. on the expreu condition thn, all work sholl be done in acwrdance with oll oppliw Stat f in sota Statutes Ciry af Eapon Ordinances. 8u{Idinq OFfitial ' ~330 92gr P-,7ti CITY OF EAGAN Inclule 2 sets of plans, 1 site plan w/elevations & BIJILDING PEFMT APPLICATZON 1 set of energy calculations. To Be Used For le a~n k Valuation Date siteAddreSS !oa (,vEd~ Zczn~ Sa;.~ aFFice vsE orn.Y I,ot %S . slock ~ sec./sub. 60a-wV04 /S-~-Esect X _ occupar,c}, ~.3 Parcel Alter Zoning ~ J Repair Fire Zone Owner: Ehlarge 4me of Const. P,ddress: 1~bve # Stories Danolish Front S/ 7 ft. City/Zip Code: Grade Depth ft. Phone APPIdOVALS FEES Contractor: Assessrnnts Permit ;;?95' Pddress: [aater/Seaer surcharge ~ 7°-~ .,.I Police Plan Check ~.ci 7 r.P City/Zip Code: /~jur~r5u~ r~/c> ~%/IK~ 5-D37 Fire SPG 4'a,5- Phone Erig. Water Conn. ~ ~5-- -eY Planrer Water Meter Council RDad Unit ° Bldg. Off. Address: APC City/Zip Code: Phone Tarr.t, 2005 RESIDENTIAL BUII.DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construc6on Reauirements RemodeliReoairReauirements Office Use OnN 3 registered site surveys showirg sq. ft. of l04 sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey Recd _Y _ N (20% maximum bt coverage allowed) 1 set of Eneyy Calculations for heated adAitions Tree P25 Plan Recd _ Y_ N, 2 cnpies af plan sMw'uig beam R window sizes; pomed found desyn, etc. 1 sfle survey (or additlons & decks Tree Pres Required ; _ Y_ N lselofEnergyCalculatbre Add'Non - indicate'rfon-sgeupficsystem On-siteSeplicSystem _Y _N 3 copies of Tree P2servation Plan'rf IM platted afler 711193 Rim Joist Detail Optlons selection sheel (buildings witti 3 or less unils) Date 17 / 6-v Construction Cost $ tOb0 ,V Site Address ~ O 2( ~j tij ir weJ L 4~%c S UnitlSte # f`1 Ssl7- DescriptionofWork RCp,0.ot 0n4 EX4c,~ dtck Multi-Family Bldg _ Y ?N Fireplace(s) _ 0 ? 1 _ 2 Property Owner /4Cclr1 `y I`a K-i Telephone Gs 1) Lt?L -$1 ,o Contractor ~'7o.~Cecahcr Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv ] Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( ~ I hereby apply for a Residential Building Permit and acknowledge that the information~is comple~e~\and~accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan, and'Rhe State_of~MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start wi- o t a permit; that the work will be in accordance with the approved plan in the case of work,which e uires~-a-reinew and approval of plans. `ay+Jqh l oApplicant's Printed Name Appl can ignature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01of_plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn.(4-sea.) ? 33 Ext.AH - SF ? 04 02-plex ? 10 08-plex )81~ 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 71 10-plex ? 19 Lower Level 0 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 MiScellaneou3 Work Types ? 31 New ? 35 Inl Improvement ? 38 Demolish Interior ? 44 Siding ~ 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entlre Bidg) - Give PCA handout W applicant Valuation . G cJ;-7 Occupancy lI[-. - 6d MCES System Census Code -7 G1 Zoning City Water , SAC Units ' Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered . Type of Const i/ Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. ~ Footings (deck) ~ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By. Building Inspector Bas,e Fee Surcharge Plan Review ~ ~ ~ MC/ES SAC City SAC 7 J ^ t~r Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total • S+~r 7S ~ ~ePl~,~{s ex;il;~y ll~'~ ~3 ` c~ttk ~ IGn ~ ~ I p~ - ~ ~ I I F X i S~-i ~ q ; tr <x J I ~ ~~,1 LI rl . ~ CG~a~~ I I I I ~ s I u S \N . L S ^ Iozi riVEYOR'S CERTIFICATE 'SIENNA CORPORATION y~Z ysy-3lra 3 X-< S8201 50' ,f - , v - 75.60 E L_f / - N I I ~ Q'SU, e ~ 5i LOT is 0 i. 15 i t'r) ao /v . ~ <<~ I l10 14, ~ r. I mi ~ I M i- - U') 0 ~ I ~~u1,5C In I O i _ J V' I • 7, W~ O - J Garr~ ~ (n Y~fi;c 7• qyAa DRAINAGE AND PE I5 SI UTIR P AT ~ / ~ J 23 NT ~ L---- ~ %1111.5 ~S 89°55'07"W~ M 75.00 ° WEDGWOOD LANE SOUTH ~ 0 PENOTES IRON MONUMENT SET SCALE: 1 INCH = 90 FEET . 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = FEET O DENOTES WOOD STNCE PROPOSED LOWEST FLOOR = FEET xppp.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION = 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 15 Block G, WEDGEWOOD FIRST ADDITION, according to the recorded plat thereof, DaY.ota County, Minnesota, And of the location of all Uuild.ings, if any, thereon, and all visible encroaclenents, if any, f>om or on r;aid land. As surveyed by me tnis '---h day of ~-ct,-'..,r, 1981. APPHOVF,D F'OR 57E'~t:A SIGNED: JFC•1E5 R. HILL, ItdC- ' CORPO??4TION BY: P Od_E . R."f.__S_ H I_.. c CP~fS DA'CED PiiIS i?aY Ol' Harold C. Peterson, Land SurveYor li 198 minn. Rea. No. 1.2294 i ' - - ['ROJ[CT NO. 1300K / PAGF JAMES R. HII_I_) INC. nt l 7s {'lanners / rngineers / Surveyors t fl.T= ti0. 8200 Hilntholdt Avenuo Sontll P 1- ~minLton,R'n. ~;5431 G12-?G: ^.9 ~,`'f / PLUMBING (RESIDENTIAL) W Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please compfete for. Single Family Dwellings Townhomes and Condos when permits are required for each unit Date V / 3 , D 3 Site Address ~ U21 utd~ /4 he Unit # PropertyOwoer 6/"kfEl U'~7`~rSoh Telephone #(&V)667 99~ 9 J Contractor Address 170tA -~74 I"! City Sta[e /1 • Zip SSOy~ Telephone #(q4 02 3F 9~'2Z The Applicant is _ Owner V~Contrac[or _ Other Septic System New Refurbished Submit 2 sets oi pians and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fuctures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system i L-1 U ii _ Watersoftener Waterheater OCT ~ 32003 'ui$ 15.00 _ replacement _ additional BY State Surcharge $ 50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will he in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, hut only an application for a permit, and work is not to start without a permit; that the work will be in accordance with [he approved plan in the cas work which requires a review and approval of plans. ~k^ 5*"qe o ~ ApplicanYs Printed Name Applic Ys Signature - S'URVEYOR'S CERTIFICATE ' SIENNA CORPORATION g o"9? z r./SN-?fr'"33 L _ G) ~ S 82°/50' " ~ v - 75.60E L_(i~- ~ N ~ 5 1 LOT is ~ i 15 i . ;;f (0 i ui (L) I I 1.. - - w I I 9v8 v ~ W - ~ I I- - ~ i yo, ~I tc) i ~ O ~ Nvwse ~ I p _ J _ ~ ~ ~ ~r~' ~ ~ Q~ Garayd ~ (n ` Wf9;c 7• qygv ~RAINAGE AND SI UTITY PER P AT NT I5 zs' ~ 1 J 1 , o I `S 89°55'07"W~ eys:~ 75.00 ° WEDGWOOD LANE SOUTH O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 40 FEET * DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FIAOR = FEET ? DENOTES WOOD STAKE PROPOSED LOWEST FLOOR = FEET XO00.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION = FEET (000.0)DENOTES PROPOSED ELEVATION f- DENOTES DIRECTION OF SURFACE DRAIP7AGE I hereby certify that this is a true and correct representation of a survey of the boundaries of: Lot 15, Block G, t9EDGEWOOD FIRST ADDITION, according to the recorded plat thereof, DaY.ota County, Minnesota. _ And of the ].ocation of all buildings, if any, thereon, and all visible encroactcnnnts, if any, fi:om or on said land. As survcyed by me tni.s >>day of 1981_ APFROVED F'OR 57F'liJA STGNF.D: JA!dF.S R. HILL, INC. CCRPOFATION R Y : - - - - - - - - ..I~L/ ~l~3ErifS RY:_____.._._ D.=;LED 'Pk3IS DAY Oi' Harold C. Peterson, Land Survcyor 198 . ':-Sinrt. Re4. NO. 12294 ['(30J[CT NO. Boo?c ~PAGE JAMES R. HII_I._, INC. fltl18 Planners / rnginecrs / Survcyors 8200 Huwhotdt Ave.nuo ^outh iuol. 65431 G12-?6,_`. 79 ~ K ~ ~ . r ~ 214~~ j W tpi V.'c ~d ~ . l •t l . . . ~ DAKOTA COUNTY ABSTRACT CO. T. I. #14969-4 APPLE VALLEY OFFICE CENTRE 7873147th $treet Weat APPLE VALLEY, MINNESOTA 66124 • Phone 492-5600 or 437-6600 May 25 ,1982 , ~ Please pay the assessments on the following and return the receipt to the above address: ~ Lot 15,Block 4,Wedgweod lst Add'. $19451.29 Amount oY Assessmenta 426.6 Credit due to Sienna Corp. 1,02 . Amount enclosed. i . ' Thailk vou b ' .i 5 . .j. ~l t} . f j~'t + 5 Z 4y + k) . y t~ . ~ . ~Uy y~ F ~v 1 .?{,t~ SJ Z7 1 ~ . 1~ 1 ' ~\sl } C P. R. WEI.SHON3, Reaident L. L.1'FIYEN, Vice Preeident DAKOTA COUNTY .ABSTRACT CO. APPLE VALLEY PROFESSIONAL BUILDING 7373 147th Street West Apple Velley, Minneaota 55124 Phone 432-5600 or 437-5600 April 28,1982 ~ City of Pgan 3795 Pilot Knob Road Eagan, Minn.55122 Attention: Ann Gores Dear Ann, As per our telephone conuersation of today_I did a closing today which involved Sienna Corporation on Lot :5,'Block"3,`4 ~edgaood First°YAdditioii'. Would you please pay the assessments in'the amount of $1, 51.29 from the credit Sienna Corporation has with the city i the amount of $1,877.94. Please forward the receipt for th paid assessments to me at the above address. If pou have any q stions in regard to this please contact me at 432-5600. Than you. Truly, avv-wE,~ m . ~~t G Gwen M.Lambert. ~5 i~ c~oo >~a6 so 7, ~ t5'3 5-~ya 8' 171, an laY. ~9 ( 78. L 4 y3, no - l y`/9. ag 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)~ CITY OF EACAN 3830 PILOT KNOB RD - 55122 851•881-4875 New ConahucMon Reauiremenh yS5 6~ Remodel/ReWr Reaulromenh J I ? J refllsfered sIte wrveys flwwlny s% k. o/ bf, sq. lt of house C[ 2 copiea ol Plan antl 21 roofed areas l20% mmdmuan lof covemae dlowem (J g~~ 1 set o1 energy calculaMons for heated addlHons a 2 ooplea ol plaro (ahow beam & window sizea; poured Mtl. dealgn; etc.) 1 dfe wrvey for exteAa addlnons d decks > 1 set of eneryy ealcWaHms > J coples of hee PretervaMOn Plan H l01 plaHeO after 7/1/93 DATE: CONSTRUCfION COST: DESCRIPTION Of WORK: Ll-,f- -Ot" 4<Pr"Q'7c STREET ADDRESS: , i LOT: BLOCK: ~ SUBDJP.I.D. #I: i4jqe. 1~,00i Name: Phone PROPERTY tast Flrat OWNER Sheet Address: Cryy Stafe: Zip: . Company. Phone 71e, 3 41,12- y~& (area code) COMRACTOR 5tree1 Address: License # 7ExP• ~//l3! aty Sr Alc/ac-l stcre: NX/ nP: ARCHITECT/ Name: ENGINEER Company: Telephone A: ( ) Sheet Address: Re9lsNafion i: qty State: Zip: Sewer/water Ifcensed plumber (if instaltlna sawer/watarPhone I hereby acknowledqe that I have read this appikalbn, state thaf Ihe WomwNon b cortecT, and agree to comply wNh 00 appqca6le State of Minnesota Sfatutes and CHy ol Eagan Ordinancea Signalure ot Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ' Tree Preservation Plan Received _ Yes _ No _ Not Required Z~TS/ 4170. 2006 RESIDENTTAl. BUII,DINGPERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 N=w Construction Reouirements RemodellRevair Reouirements OKce Use Onlv 3 registered site suNeys showing sq. ft. of lot, sq. ft. of house; and all rwfed areas 2 copies ot plan showing foofings, beams, joists Ced of Survey Recd _ Y_ N (20°k ma;imum Ict coverage allowed) 1 set oi Energy Calculations for heated additions Tree Pres PladRectl Y N 2 copies of p an showing beam & window sizes; paured found design, etc. 1 site survey for additions 8 decks Tree Pres Required . _Y _ N lsetofEnergyCalculations Addition - indicateHoo-sBesepticsystem On-sAeSepfc System _Y _N 3 cropies of Tree P2servalion Plan if lot platled after 711l93 R:m Joist Peail Options selection sheet (buldings with 3 or less unds) hfinnegasco mmhanical ven[ilation form Date 9 /.202 / Q(S Construction Cost ZS zo 3• ' Site Address ,"U,21 1.C1 ~U' .a eul ood La~ e.S Unit/Ste # 2 M N ~ J _2 7 39 ' = Description of Wo 941X5s, GiJ 56 K yb ,6-1 SS y,3fr'~-83 Multi-FamilyBldg _ YFireplace(s) _ 0 _ 1 _ 2 Property Owner _~qLm "p ~j()~VL(y~, Telephone # ( C-S( ) 6~b `~l !I D Contractor W 1 ?l ((a.&1,,J ( ,p rki (2_-Q_~ Address 9 /U LO/7 ~ (0a,4_ City State m/~/ Zip ~ Telephone#((S/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d>vbmissiontype) Submitted Submitted • Energy Envelope Calcuiations Submitted in the Icsf 12 monfhs, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mecha,iiccl Contractor Telephone ) :;ewer; 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 5tatutes; 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. ~ A l ~ P.pplicanYs Printed Nam Applicant's Signature - ~ For Office Use ~ Clt~ Of EvaIl I Permit# I Pertnk Fee: - (`J I 3830 Pilot Knob Road n Eagan MN 55122 j Date Received: '7~ _ i 1 Phone: (651) 675-5675 Fax: (657) 675-5694 j Staff. 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ?-Z' 0`I Site Address: IO ZI L,44 t?-1 ~t S TenaM: Suffe RESIDENT/OWNER Name: I~~S t~.~ ti.la. Phone: G3~) 399-ti+rZ Address/CitylZip: I0Z~ (.h~icr.as~ 4~ S ~~GCC~ $5121 Applicant is: _zOwner _ Contractor TYPE OF WORK Description of work: RCA1114.c-c f'~ '1ta ~ Constniction Cost: Zd00. cx. Multi-Family Building: (Yes No _Af:::5 CONTRACTOR Name: License Address: Cify: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submilted suemiaed (4 Submi58ion type) • Energy Envelope Calculations Submitted In fhe last 12 morHhs, has the City of Eagan issued a permit for a similar plan based on a master plan7 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporttng documents that you su6mif are considered to be public ireformafion. PoRions of the information may be classified as non-public If you provide speclflc reasons ihat would permlf the Cify to conclude that the are trade secrets. 1 hereby acknowledge that this infortnation is complete and saurate; that the work will 6e in coMormance with the ordinantes and codes of the Cily of Eagan; that I understand this is not a permH, but onty an application for a permH, and work is not to start withoul a permik lhat the woilc will be in accorclance with Me approved plan in the case of xroiic which requires a review and approval of pla s- X ~4,,, 1.0pjS~ ) x Applicant's Printed N me Appli anY ' nature Page 1 of 3 For O Rice Permit T CP' City of EaQaII ~-6*) I Permit Fee. . 3830 Pilot Knob Road Eagan MN 55122 Date Received: _ Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 10V U -s4-' 1 "-r- S Tenant: Suite g 1- CI 1 r2 RESIDENT / OWNER Name: ~~-c.~~~ 1. ~c•. Phone: GS I 3 Address / City / Zip: Colt L1t AS,c ! L, S Lfio-. $S 1 Z 3 Applicant is: Owner Contractor TYPE OF WORK Description of work: Z 1 L 1. !UL;-%4 Construction Cost: $ Zoo O. cao Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING Minnesota Rules 7670 Category _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet Category Submitted Submitted (I submission type) • Energy Envelope Calculations Submitted 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 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 conclude that the are trade secrets. 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 pla s. X 4r'''1 C L X Applicant's Printed N me Appli nt' nature Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1021 Wedgwood Lane S Lot: 015 Block: 004 Addition: Wedgewood 1st PID:10- 83550- 150 -04 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Kaufman Sheet Metal Roofing 2521 24th Ave S Minneapolis MN 55406 (612) 722 -0965 If there is no ice protection inspec acceptable in lieu of inspections. PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit expired without required inspections. 4/3/2009 CE $90.00 Owner: Adam T Copeland 1021 Wedgwood Lane S Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Building EA085313 08/15/2008 ePermit on prior to final, you must meet inspector with ladder and flat bar. Pictures are not $88.50 0801.4085 $1.50 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      øíø    ý þýüýû  ÿ þþü     ûÿÿ üîÿóÿìû áöÿüÿ   á  ÿ  ø  úùø ÷ÿÿç ýÿå ÿ ö ø ÷ÿõÿ ÿ  ÷ç ýÿå ÿ Ùÿ   ÿüý üÿÿ ý÷ÿ ñ ÿë ÿñÿ  îùÿ ÿÿôý ÿ ûúýÿþÿ ý ÷ÿ ûæíã   ááá ôþ ÿ ñçÿÿæðÿ÷ýÿñÿ ãâèèá ÷û  ú îý üÿçàÿâèíèí  öõ ø ôó ÷÷ý ñ ÿýüåüýñø÷ÿý í ý ï ßÿöÿü ýÿú þýüýôõþýüýôõ æêãá îÿ ÿù ý ÿüÿîýîýßÿ ÿýî ý÷÷ýý ýÿîýîÿò ñý  ÿýýü ÿÿñ÷  îýý÷÷ýùÿúýÿ òôÿ ýúýÿ ý òþýüýÞ ýÿ è ÷÷ýä ÿ ñÿÿúüý ÿ ÿ úüý ÿ WATER SERVICE PERMIT M OF - E AN «nob Road 'PERMIT NO.: r. M 41 , 122 DATE: �� X I:IZ No. of Units: 1 Owner: Zoning: n ' Wm HuttnerConstruction .... Address: [ �' 1021 Wed. ood L;oe So L15 1 } Wed wood 1st Site Address: :cuss n.ereon = 11 ' Plumber: 335. 0 pd Meter No.: colnection Chorge: Account Deposit: Size: Permit Fee: Reader No.: ' i agree to amply with the City of Eagan Surcharge: 60.00 tad pefi e Ordinances. Misc. Charges: Total: By Dote Paid: Date of 'Insp.: �L �� insp.: . = SEWER SERY�CE MIT AN Pao PER 379040 Knob Rood PERMIT NO.: £ ii , MN 55122 DALE: 1 Zpning: RIV No. of Units: Owner: Wri But I Address: ._ Site Address: 1021 W'edtck. L. e So L1 B4 WW'.:..good 1- Russ Mderso. Plum. in , 100.00 pd mime 4 11/3/31 27494 \\,,,% n ' 1 e to comply with the City of Eon ' ,, Con • Charge: 5 n0 ._. rat, Ordinances. ! ---- 7 — .0.00 pd P _ Fee: . 51 pd Surcharge: By ` _ ' Misc. Charges: _ Total: , Date o — Z — i Dote Paid: Insp.: PERMIT City of Eagan Permit Type:Building Permit Number:EA163928 Date Issued:09/16/2020 Permit Category:ePermit Site Address: 1021 Wedgwood Lane S Lot:015 Block: 004 Addition: Wedgewood 1st PID:10-83550-04-150 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Adam T Copeland 1021 Wedgwood Lane S Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA179106 Date Issued:09/19/2022 Permit Category:ePermit Site Address: 1021 Wedgwood Lane S 1 Lot:015 Block: 004 Addition: Wedgewood 1st PID:10-83550-04-150 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Adam T & Rakia E Copeland 1021 Wedgwood Ln S Eagan MN 55123--198 (651) 399-4152 Kaufman Sheet Metal Roofing 2521 24th Ave S Minneapolis MN 55406 (612) 722-0965 Applicant/Permitee: Signature Issued By: Signature