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
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riVEYOR'S CERTIFICATE 'SIENNA CORPORATION y~Z
ysy-3lra 3
X-< S8201
50' ,f
- , v - 75.60 E L_f
/ -
N
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~
5i LOT is
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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
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ui (L)
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_ ~ ~ ~ ~r~' ~ ~
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~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
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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
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so 7,
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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
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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