1025 Wedgwood Lane SCity of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
`7V s
Use BLUE or BLACK Ink
For Office Use
Penrod #.
Permit Fee:
Date Received: ��
Staff:
J
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11/ /
l Q id ' Site Address: /69./
e 3 i~ �G�'4 l� C� c 7' v
Tenant: Suite #:
RESIDENT / OWNER
Name. 4h / %�eG �'. Phone: -- — �r2,'
v'^'" �,
Address / City /Zip: /,9,ii '!/ . ill9M'`t e 1 / 1/ S •
d
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: lb DCJ7' P t/ - i
Construction Cost: 59j 1 Multi Family Building: (Yes
CONTRACTOR
Name: Burfget _ License #: t 6o 7
_ Exteriors
Address: 8017 Nicollet Ave S.
_City:
Bloomington, MN 55420
State: P11: (952) 887-1613
—
F: (952) 887-1659
Contact:
COMPLETE
In the last 12 months, has
Yes TNo If yes,
Licensed Plumber:
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
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 specffid reasons that would permit the City to
conclude that they are trade 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 .clopherstateonecali.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Ckiki4A SSI /h
Applicant's Printed Name
Applicant's Si
CITY OF EAGAN
3795 PItet Kwo4 RooA Eayow, MN 55122
•
s ~ PHONEs 454-8100
BUILDING PERMIT Receipt #
To bs rad fer Est. Volue Oate , I_9
Stte Addrcu Ercct ? Occuponcy
Lot Block Sec/Sub. Alter 0 Zoning
Pamel # Repair ? Fire Zona
Enlarya p Type of Const.
W Name i Move p # Stories
~ Addreu Demolish ? Length
Ci phorb Grode ? Depth Sq. Ft.
°C Nome APprovals fees
0
Addfen Asscssment Permit
U~ Water E~ Sew. Surcharfle
Cit PFane
Police Plan check
W Nome Firo SAC
L Address Eny. Water Conn.
Ci phorm ptonner Water Meter
Council Rood Unit
I hereby ocknowledge thot I hove read this applicotion and state that Bldq. Off.
the informotion is correct ond agree to comply with all opplicable ^PC Totol
Stote of Minnesoto Statutes and City of Eagan Ordinancec.
Slpnature of Pertnittee
/1 Building Pernit is issued to: on the exprcss cordiNon that
oll work shall be done in occordonce with all opplicable 5tote of Minnesota Statutes und City of Eopcn Ordinances.
Bulldinq Official
Permit No. Permit Holder Mise. Permit No. Holdar
Piumbiny
H.V.A.C. 3
Well
Water
Disp.
Sewer
Electric ~'~O~ Z- ~?hi.+LK~. -13~'~ `
Irupaction Date Insp. Other
Footingg
Foundation
Framinq ~
Rouph Plbp.
Rough HVAC /
Inwlation
Final Plbq.
Final HVAC ~d 4 ~ ,
Final O •
yyaftr Deseribe location:
VUell .
Sowsr
r
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 , • ~
BUILDING PERMIT Receipt # To be used for - -CK 6 Est. Value ;7.000 Date .1UN 14-~
Site AddrVs 102 S Gfi00D l.tl $
Lat 14- Block Sec/Sub. 1~~~D 1ST • OFFICE USE ONLY
PBfC@I NO. Occupancy _ FEES
Zoning
W Name YI?RD MASER (Actuat) Const _ Bldg. Permit 40.00
3 AddreSS 1025 iiEDGY00D IM S (wlowable)
-
o C' N _ Surcharge 3. SO
ty Phone 586-6~2b M of Stories
Length _ Plan Review
Zo Name ~?HE oeP?n - snc, ciry
Address S.F. Total - SAC, MCWCC
~ City Phone S.F. Foolprints -
On Site Sewage _ Water Conn
W W Name on Sice weu _
w We1Bf MetBf
AddresS MWCC System
a W City Phone ciry water _ Acct. oeposil
PRV Required _ SIW Permil
I hereby acknowlege that I have read this application and state that the 6ooster Pump - S/W Surcharge
intormation is correct and agree to comply with all applicabte State of
Minnesota Statutes and City of Eagan rdinances. Treaunent PI
Signature of Permitee f APPROVALS Road Uni1
A Building Permit is issued to: WA" ""aA Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council _
applicaWe State of Minnesota Statutes and City of Eagan Ordinances. gldg, pry, _ Copies
Building Oflicial YN' ji . 1 , Variance - TOTAL 43. so
Permit No. PermN Holder Date Telephone k
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
InepecNon Date Insp. Commemts
Footings I ~Al z
FoundaGon
Framing
Rooling
Rough Plbg.
Rough Htg.
Iwl.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Pibg. Inspector - Notily Plumber
Const. Meter
EngrJPlan
81dg. Final Deck Ftg.
Deck Final
wen
Pr. Disp.
CITY OF EAGAN Remarks
Addition WEDGWOOD 1St ADDN Lot 14 BIk 4 parcel 10-83550-140-04
Owner Street 1025 Wedgwood Lane South State EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 5%11 1981 58.69 2.93 20 0-20-82
STREET RESTOR,
GRADING !ill 1981 186.48 12.43 15 161.62 A011578 1-2 -82
Sewer Lateral 1981 313.16 20.88 15 271.42 if it
SANSEW TRUNK 1981 198.50 13.23 15 172.04 " "
SEWERLATERAL 1981 197.54 9.87 20 177-80 it of
Sewer LateraZ 6 1982 133.17 8.87 15 1
WATERMAIN
WATER LATERAL 'j'Tif 1981 262.18 17.48 15 2
WATER AREA 5go 1981 198.50 13.23 15 +1 11
*Water Lateral 1982 98.57 6.57 15 n
STORM SEW TRK
STORM SEW LAT
*Powerline Relocatio 1982 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, 420.00 n n
BUILOING PER.
SAC n n
PARK
Reoeipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fi!l in numbered spaces S/C
Type or Print legibly
Tot.
1. Date 2, Installation Cost
3. Job Address Lot i Blk. ` Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial O Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
11. No. F,auioment 8TU - 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 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 464-8100
j
Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prini legibly
Tot.
;
1. Date - 1- 2. Installation Cost
3. Job Address • Lat Blk. v Tract
4. Owner < ~ !
5. Contractor Phone .
6. Address ' ~ ~ ' G ' ` ` ? %
7. City State ~ • Zip
8. Building Type: Residential Commercial O Institutional ?
9. Work Description: New ~l Add ? Alter ? Repair O
10. Describe
11. No. Fixtures No. Fixtures
~ Water Closet Cesspool/Drainfield
/ Bath tubs Septic Tank
~ Lavatory Softner
~ Shower
Well
~ Kitchen Sink
Urinal/Bidet Other
~
Laundry Tray
' Floor Orains
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: Oate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
~CITY OF EAGAN
3795 Pilo! Knob Raad Eoyan, MN 55122 NO 7401
= PHONF: 454-8100
BOILDING PERMIT ReuiPt # ~v
Te 6e wad fw SF DWG/GAR Est. Value $68.000 Dote?SlY 23 , 19 R2_
1025 Wedawood Lne ~L+tt+ Erect P Occupancy R-3
Site Addreu
Lot 14 elxk Sec/Sub. We419N'OOd lst Alter ? Zoning R-1
Parcel # 10 83550 140 04 Repair ? Fire Zone MA .
Enlarge ? Type of Const. V
oe Name Move [3 # Stories
~ Address 11913 Highl8tld View Cit. Demoush ? Length 58
ci urnsville phan~ 454-3833 Grode ? Depth 40 Sq. Ft.-
p NQ~ ~eY ApOrovola iees .
ZF' Assessment Permit 337.00
o" Address
u~ Woter 8 Sew. SurcFwrge 34.50
Ci Phone -
Police Plon check 168.50
I Nome Fire 5qC 525.00
qddreu Enp. Water Conn.420.00
Ci Phone ?lnnner WorerMeter 60-on
_
Councfl Rood Unit 740_00
I here6y acknowledge that I have reod this cpplicotion and state thot Bldg. Off. the inlorma[ion is correct and a ee t Comply with all lico e T.ptal $178$ 0Q
Stote of Minnesota Statutes a,C f Ecg~O ' nAPC
.
Siqnoture of Permittee
A Building Permif Is issued to: WA• HI o i on the express wnditlon thnt
all work shall be done in ocwrdance wit 1 appli I$tote of Minnewt $tatutes o~d Ciry of Eepon Ordinances.
Buildinp Officiol - ° ~
CITY OF EAGAN N~ 19252
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING P DRMIK & PHONE: 454-8100 (ieceiPt # 0, I~~07 q
To be used for SCREENED PORCH Est. Value $7, 000 Date .IUN 14 , 19 91
Site Addrv,s 1025 WEDGWOOD LN S
LOf BIOCk 4 SBC/SUb. ~DGWOOD 1ST OFFICE USE ONLY
PBfCBI N0. Occupancy - FEES
Zoning
w Name WARD MASER (ACtual) Const - Bldg. Permit 90.00
~ Address 1025 WEDGWOOD LN S (pllowable) -
° City EAGAN Surcnarge 3.50
Phone 688-6426 a of stories _
lenglh _ Plan Review
Name $AME Depth - SAG City
oa
Address S.F. Total
~ - SAC, MCWCC
~ QISy PhOn2 S,F. Footprints -
On Site Sewage _ Waler Conn
~w Name On Sile Well - Water Meter
z~ Address Mwccsyscem -
~i Acct. Deposit
iw Cily PhOne CiryWater -
PRV Required _ SMI Permit
I hereby acknowlege that I have read ihis application and state that Ihe Booster Pump - S/w Surcharge
inlormation is correct and agree to comply with all applicable State of
Minnesota StaNtes antl City of Eagan rdinances. Treatment PI
Signature of Permitee ~~e~ D, IE APPROVALS Road Unit
A Building Permit is issued to: WARD MASER Plannar - park Ded.
on the ezpress condilion that all work shall be done in accordance with all Council -
applicable State of Minnesota Statutes and City of Eagan Ortlinances. gidy, pff, _ Copies
Building Oflicial Variance - TOTAL 93.50
Cowtc~
!O D••~~ ~°e~ ~ t" S, ~ CITY OF Include 2 sets of plans,
~r
~ el~~~~1 site plan w/elevations &
BUILDING PERMLT ~I g O 6 1 set of energy calcula a.
'Ib Be Used For ' wuation ~ Date 7-O~'
Site Address : / p Z S ({1c -ccq ~u~~ L. k S o~ OFFICE USE O1VI,Y
Lot ~ slocx ~ sec./sub. "d wcce~ Erect _Y occupancy 3
Parcel 1 0 3 s s a o y 2O~ ~
Rapair Fire Zone
Owner: Enlarge Tyne of Const:
Move # Stories
Pddress: Demolish Front 5% ft.
City/Zip Code: Grade Depth y n ft.
Phone APPROVAIS E'EES
Contractor: pW Fvssessments Permit ' 3,3
_
Address: LD~"Water/Sewer Surcharge gy-I
Police Plan Check 6 8-;3Z
City/Zip Code: i r„wl~e Fire SAC o~S
Phone 1{~'~- g3~ En9• Water Conn. oZO
~ Planner Water .Meter (o G
Arch./Eng ; Council Road Unit a yb
Bldg. Off.
Address: APC
City/Zip Code: .
Phone 7UTAL 17~~, O d
SUFLIIEYOR'S. CERTIFICATE .
,.r ~ , . . ~
tar A
- LO9 10 o ;~-~°50'00`'E
62.49 Qyp, ~
\ " -
~ N 16050'OG'E S/ 1-
4471 i( / DRAINAOE AND Jg ~ LITY ;.i i7 li ~ V P'ER PLAT £MENT
~ 5( LoT 14 ~ ~
,
o I OD
? - .
~ Pv7..o ~ tM .
W
°to ( d'
to O
. H.~.,• O
. i - -10-
O ~ a "N t^ )
. c) 00 yn.o ~ -
co ~ ty~ I
~ -J I - Qf7d ' J
511 % ~5 .
~ L_
0
9yi,c - 7500 ~ 9ys~s .
M S 8905507"W m
-
WEDGWOOD LAf11E SOUTH
O DENOTES IRON MONUMENT SETSCALE: 1 INCH = 40, FEET
= 9Y7.° FEET
0 DENOTES IRON MONUMENT FOUND PRAPOS£D GARAGE,FLAOR _9y~•p FEET
p,DENOTES WOOD STAKE PROPOSED IAFIEST FIAOR - .3 FE
' ET
%p00.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION =~L,T_
(000.0) DENOTES PROPOSED ELEVATION
DENOTES DIRECTION OF SURFACE DRAIlJAGE I hereby certify that this is a true and correct representafion of a sun+ey of the
bbundaries of:
Lot 14, Block 4, ' WEDGWOOB FIRSP ADDITION, according to.the recorded
plat thereof, Dakota County, Minnesota. _
•And of the location of-al1 buildings, if any, Ehereon.-and.all.visible epcroac~unen~s,
if any, from or on said land. A5 surveyed by me this 1Stllday of March 198~,
AppROVED FOR SIENNA SIGNED: JAMES R. HILL, INC.
,
CORPORATION
BY : BY : C/ ~/r! / , ' ~ l /~.fi i?
ROBERTS ARCHITEGTS . L~d Surveyor
DATED THIS DAY OF Harold C. Peteison,.
198_ Minn. License.NO: 12294
PROJECT NO. BOOK / PAGE JAMES R. `HILL, INC.
81178
Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt AVenue Soutb
FOLDEA Bbomington, Mn. 55431 812-884-3029
. a 1991 BUI LDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MfJLTZPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTEREA SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER HUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used ForsC0-e°yITG~Avaluation; 90(po Date; i`' RECO
Site Address 10 l ~1/Pdo no h4r7,o OFFICE USE ONLY
Jf r~ so "m
Lot ~ Block FEES
Occupancy Bldg. Permit ~D
Zoning Surcharge 3,Sd
Parcel/Sub Actual Const Plan Review
n,~ Allowable SAG, City
Owner ct 5 P';V: # of stories SAC, MWCC
/ / Length Water Conn.
Address IDaS W'e r9XWDOd~c3nP Depth WaterMeter
' S.F. Total Acct. Deposit
City/Zip Code G c?~(p l~3((Q Footprint S.F. S/w Permit
CWo«< S/W Surcharge
Phone On site sewage_ Treatment P1.
~ry On site well Road Unit
Contractor wA e R, MWCC System _ Park Ded.
City water _ Trail Ded.
Address PRV Copies
Booster Pump _
City/Zip Code SIIBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
Council TOTAL
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone
"4' dAM~ agrees that all work shall be done in accordance with
(Signature f Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
JEYOR'S: CERTIFICATE .
Lr: T 10 . $:820501001'E
62.49 ,
\ N 4
N 16°50E Si
4471( 1 ORAINAGE AND 15 ~
: I,,7 ~ UTILITY EASEMENT
/ PER PIAT
I ii J
~ 5f .LOT 14 ; ~ i I OD
S ~ o i ?
.
w t"O'
O
~ o
. 1 . N.rsc 0
O N t^ 9
b
i N ~ y -
g~ 15 .
1 L-~---_j I
0
75.00 ~ 91/ r3'
M S 89°55'07°W M
WEDGWOOD LANE S4UTH
FEET
=
Q DENOTES IRON MONUMENT SET SCALE: 1 INCH = py 40).~~ FEET
O DENOTES IRON MONUMENT FOUND PROPOSED GARAGE,FLAOR _ 9'fC - 0 FEET
p DENOTES WOOD STAICE PROPOSED IAWEST FL.OOR -
FE6T
_ `ff7 3
xppp.0 DENOTES EXISTING ELEVATTON PROPOSED TOP OF FOUNDATION
(000.0)DENOTES PROPOSED ELEVATION _
D£230TE5 DSRECPION OF SURFACE ~RA2i7AGE -
I hereby certify that this is a true and correct representation of a survey of the
boundaries of: .
Lot 14, Block 4, 'Y7EDGWOOD FZRST ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
and of the location of all buildings, if any, thereon, and all visihle encroacTunents,
if any, from or on said land. As surveyed by me this °h day of M?TCh 1982.
APPROVED FOR SIENNA SIGNED: JAMES R. HILL, INC. /
,
CORPORATION / ;IeY:
ROBERTS ARCHITECTS . HY:
pATED THIS DAY OF Harold C. Peterson, Land Surveyor
198 Minn. License_No: 12294
PROJECT NO. BOOK / PAGE JpMES R. HILL, INC.
e1179 .
Ptanners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue South
eoi.nEx B(oomington, Mn. 65431 812-884-3029
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
~ cinr oF Eacaiu *//3,75
3830 PILOT KNOB RD - 55122
651-881-4875
New ConshucHon Reaulremenri q~- I--Z6 c~ Cq Remodel/Reoadr RearlremaMs
J~
n J regbtered sIte wrvaye ahowinp aq. IL of bl, aq. H. of houae g~g_O U Z coPies of plan
and 21 roo(etl areas (~76 mmdmum lot cove~a dbwed) 1 set of energy calculafions tor heatetl pddi9ons
> 2 capies of plarn (ahow beam 4 window sizes: poured fnd dasign; etc.) 1 site survey (or exteAOr addNlona 3 deeks
> 1 aef of energy calculatlona
> 9 copiea OI hee DreservaHon plan il lot plotted aRer 7/1M3
DATE: CONSTRUCTION C05T:
DESCRIPTIONOPWORK: ~ecl-C~~ ~PTGh1'
SiREET ADDRESS: S L- s
',,_I IS
LOT: ~ BLOCK: SUBD./P.I.D. q:
Name: Phone u:
PROPERTY last Flrst
OWNER
Sheet Address:
CHy State: aP:
. Company. Phone
(area eode)
CONTRACTOR
Sheet Address: ~ 611f' 40-3 ucense # O/0 7Exp. _
Cify ~JT A, State: ?~'J/~/ Zip: SS_37l
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Sheet Address: Regishaflon M:
City State: ZIp:
Sewer/water Iicensed plumber (M Inslallina sewerlwaterPhone L
I hereby acknowledpe that I have read thk apPlication, stafe fhot 1he Infomnation Bcortecl. and agree to compy wHh aA apPdcablO State
of Mlnnesota Stahites and Cily of Eagan Ordinances.
Signafure of AppllcanY.~
OFFICE USE ONLY
Certificates of Survey Received _ Yes - No Tree Preservation Plan Received _ Yes - No _ Not Required
l~ ~
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan av
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstNdion Raauiremenls RemodeVReoair RenuiremenGS Ofrce Use Oniv
3 registered site suneys showing sq, ff, of lot, sq. ft. of hause; and all roofed areas 2 copies of plan Ced of Survey Recd Y_ N
(200k meximum lot coveraga allowed) 1 set o(Energy Calculatbns for healed addNons Tree Ptes Plan ReW Y. -N,
2 capies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Required Y _N
1 set of Energy Calculations Addfi'on - indkate if on-sife septic sysfem On-site Sepllc System _ Y_ N
3 Copies of Tree Preservation Plan rf lot plafled atter 711193
Rim Joist Defail Options selection sheet (buildings wiN 3 orless units)
Date c3l~ (D J ) Construction Cost ` /o
Site Address / JQ~ ~ix~-dQL~,(_o o~=) -S ~ UniUSte #
~A)0 U d Ls n z .S, S
Description of Work ~)xYX.C~
Multi-Family Bldg _ YV-N N'ireplace(s) ~ 0 _ i _ Z
l
PropertyOwner ~~Q.,~ Telephone#(fj} )C(O~~- MM
Contractor w 1'lC.
Address (nD U~ City
Stste Zip S~J `a~ Telephone #C~ub ' uoE)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
EneFgy Code Category , Residential Ventilalion 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 )
Mechanicai Contractor Telephone # ( )
Sewei/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
Statutes; I understand this is not a permit, but only an application for a permit, and work s '
permit; that the work will be in accordance with the approved plan in the case of work whi ~qui e01e~ ` d
approval ofplans. + FF~ 2 4 2005 ~
- J
Applicant's Printed Name p licant's Signature BY
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1025 Wedgwood Lane S
Lot: 14 Block: 4 Addition: Wedgewood 1st
PID:10- 83550- 140 -04
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
PERMIT
City of Eaan
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA075347
10/03/2006
ePermit
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952- 445 -2840. Cindy Lilienthal 2 1210 Eaton Ave Farmington, mn 55024 651- 344 -4253 cilienthal@controlledai r.net
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
Applicant/Permitee: Signature
- Applicant -
$0.50
$30.00
$30.50
Owner:
James L Kroonblawd
1025 Wedgwood Lane S
Eagan MN 55123
9001
0801
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1025 Wedgwood Lane S
Lot: 14 Block: 4 Addition: Wedgewood 1st
PID:10- 83550- 140 -04
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Kaufman Sheet Metal Roofing
2521 24th Ave S
Minneapolis MN 55406
(612) 722 -0965
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
James L Kroonblawd
1025 Wedgwood Lane S
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA087255
11/03/2008
ePermit
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
alit,,cw,, RAGAN WATER SERVICE PERMIT
4
iiiweicnob Road PERMIT NO.; 4313
irdiSo"`MN 55122 DATE: E/25/r2
Zoning. RII No. of Units: 1
Oar Wm Huttner Construct ion
Address:
Site Address: 1025 Wedgwood Ln L14 • B4 `Wedgwood i
Plumber: Fuss Anderson Plumbing
Meter No.: Connection Charge: 420.00 pd
Size: Account ■ Deposit: t
Reader No.: Permit Fee: 10.00 pd
1 ogres to comply . the City of Eagan Surcharge: • 50 'pd
Ordinances. Misc. Charges: 60.00 pd meter
Total:
By /�i�� Dote Paid:
Date of lnsp.: �� Z lnsp.:
CITY EAGAN SEWER SERVIC PERMIT
3795 •P .Knob Road PERMIT NO.:
Agin; MN 55122 DATE: /25/82
Zoning: RT I No. of Units:
Owner: r 4. 1
Address: 1 1.11111111111
Site Address: 1117 Weripyooti T2ri \ T.14 R4 Wpcigrng`�c! T
Plumber: Russ Andertn r bang '``
7/23/82 31088 00.00 pd
I agree to comply with the City of Eagan Conn ion or 25.00 pd
t Ordinances. Acco posit:
1 Permit Fee: 10.00 pd
' Surcharge: .50 p d ;
By Misc. Charges: ___, Dat Total:
Insp.: f...../— I-7 Dote Paid:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145672
Date Issued:09/19/2017
Permit Category:ePermit
Site Address: 1025 Wedgwood Lane S
Lot:014 Block: 004 Addition: Wedgewood 1st
PID:10-83550-04-140
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James L Kroonblawd
1025 Wedgwood Lane S
Eagan MN 55123
(651) 994-1085
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature