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1036 Wedgwood Lane S CITY OP EAGAN • . - , y 379S Pllot Knob Road Eopee, MN 55122 ~ PHONE: 454-8100 BUILDING PERMIT Receipt # Te be uaed foe Est. Vnlue Date , 19 Sjte Addreu Erect ? Occupancy Lot Block Sec/Sub. Nlter ? Zonirg Purui # Repoir ? Flre 2one Enlarys ? Type of Const. W Name Move Stories Z Address pemolish ? Length ~ Ci Pfione Grade ? Depth Sq. Ft. p Nome ApVrovals Faes I~ddreu Assessment Pe?mit ~ Cit p~~~ Woter 8 Sew. Surcherge Police Plon check ~„W F Nome Fire SAC Addr+ess Erq. Wofer Conn. Z Pionner Wnter Meter Ci Phone Cauncil Road Unit ( hereby ocknowledge thet 1 hove read this opplication and stofe that gldg. Off. the information is correcf ond ogree to comply with oll opplicable 5tate of Minnesota Stofutet und City of Eogan Ordinances. APC Total Sipncture of Permittee /1 8uilding Permif is issued to: on the express condition tFat all work shall be done in occordonce with all applicable Stute of Mlnnesota 5totutes and City of Eayen Ordinonces. Buildinq Offictnl Psrmit No. Permit Holder Mist. Psrmit No. Holder 3D~P~ S.~.cO~'~ 7-19-~'2 Enspection ~7 & ,/0 -$'Z eSp TgdocoZ. Date Insp. Other , Foundation Framing Rough Plbp. . Z Rouph HVAC Inwlation Finsl Pibp. ~ ' " • Final HVAC Final ~ F • Weter ~bescrlbe Location: YYall Sewer Pr. D'np. CITY OF EAGAN Remarks Addition WEDGWOOD lst ADDN. Lot 6 Rik 3 Parcel 10-83550-060-03 owner screet 1036 Wedgwood Lane South State EAGAN NW 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. Sg 1981 58.69 2.93 20 STREET RESTOR. GRADING 5.01 1981 186.48 12.43 15 149.19 A011757 12-2 -82 Sewer Lateral 1981 313.16 20.88 15 250.55 " " SANSEW TRUNK 5 1981 198.50 13.23 15 158.81 " " SEWER LATERAL 1981 197.54 9.87 20 to Sewer Lateral bql 1982 133.17 8.87 15 115.4,3 WATERMAIN WATERLATERAL TrkSIg 1981 262.18 17.48 15 2 WATER AREA 1981 198.50 13.23 15 158.81 *Water Lateral 1982 98.57 6.57 15 $,4 STORM SEW TRK q, STORM SEW LAT *Powerline Relocatio 1982 15 CURB & GUTTER 51DEWALK STREET LIGHT ROAD UNIT 240.00 #30176 5-20-82 WATER CONN. 420.00 it 9UILOING PEfi. 7287 sAC 525.00 PAR K Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee FiII rn numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost - ~ , . 3. Job Address `Lot Blk. Tract 4. Owner 5. Contractor J J Phone 6. Address j ~ 7. CitY State Zip - 8. Building Type: Residential Q Commercial ? Institutional ? 9. Work Description: NewJa Add ? Alter 11 Repair 11 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 Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No, CITY OF EAGAN Fes Fill in numbered spaces S/C Type or Prini /egibly • Tot. 1. Date 2. Insiallation Cost 3. Job Address Lot Blk. • Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional O 9, Work Description: New ? Add O Alter ? Repair ? 10. Describe Fuel Type 11. No. Eau!^!?'??.^.t 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 1 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 `s-.' " i7?t 's t p l . ' RESIDENTIAL BUILDING PERMIT APPLICATION / ~ ~ 3830 PILOT KNOB RD 55122 I 651-681-4675 New Construction Reaulrements RemodellReoair Reauirements • 3 registered site surveys showing sq. It of lot, sq. H. of house; and all roofed areas • 2 copies of plan (20%maximum lot cove2ge allowed) . 1 set of Energy Calculalions tor heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exlerior adtlitions & decks • 1 set oi Energy Calcula6ons . Indicate'rf home served by 5eptic system for adtlitions • 3 copies of Tree Preserva6on Plan A tof piatted after 71V53 • Rim Joisl Detail Options selection sheet (bldgs with 3 orless units) DATE ~:YCL 23~& , VALUATION (EXCLUDING LAND) - WL ~v JOB SITE ADDRESS Z C) 3 (E G(lecQraP Wndr~_ ~Qil ~ So IF MULTI-FAMILY BUILDING, H'O/W yMANY UNITS? PROPERTYOWNER RPGr ~i~ y-ip,l(Q ifPE OF WORK c1.KS~)t1 GtS ' ~Ejc~ 2h~)hJ'Er! a4RUW Mf'AC FIREPLACE(S) _0 1~'1 _2 _3 APPLICANT i e[x PHONE# ADDRESS ZIP CODE SS~-33~ PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUlLDING ONLY - FlLL OUT COMPLETELY Energy Code Cate9ory _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Suhmitted _ MINNESOTA RULFS 7672 - New Energy Cade Worksheet Su6mitted Plumbing Contractor: Phone Plumbing Systsm Includes: _ Water Softener _ I,awn Sprinkler P'ee: $90.00 Water HeaCer No. of R.I. Baths No. of Baths ~ Mechanical Contractor. Fi't 0 1'0~e' L.d{^!? 90` Phone # Mechanicd Systcai Includcs: Air Conditioning Z' e: $70.00 Hcat Recovery 5ystem Sewer/Water Contractor; Phone # All above information must be submitted prior to processing of applicatlon. ~1' J I hereby acknowledge fhat f have read fhis application, state fhat ihe information is correct, and agree to comply with all applicable State of Minnesota StatuTes and City of Eagan Ordinance Signature of Appllcant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 CITY OF EAGAN Np ' 7287 9795 Pilof Knob Rmd Eogan, MN 55111 - . iHONE: 454•8100 BUILDING PERMIT Receipt Te ba wad far SF DWG/GAR Est. Value $79, 000 Date Ma`7 20 19 82 Site Address 1036 Wedqwood Imne South Eract (B Occupancy R-3 Lot 6 Block 3 $et/$ub. WEd4w00d lst Alter ? Zoning R-1 parcel # 10 83550 060 03 Repair ? Flre Zone NA Enlarge ? Type of Const. V a Nome Wm• Huttner Construction µove p # Srories W ~ q,bress 11913 Hiahland View Circle Demoiish p Length 60 C; Burnsville pF,o„e 454-3833 Grade ? Depth 41 Sq. Ft.- O Na~ ~1er Approrelf Foes 0 t Addreu Assessment Permit 370.00 ~ CI Phone WoterBSew. Surchorge 39_50 Police Plan check185_00 GW Name Fire 5AC 525_00 vo Addreas Enp. WaterConr4 20.00 i W Ci phom Pionner Water Meter 60 _ 00 Council Rood Unit 740 _0f1 I hereby acknowledge thot I hove read this application and state that Bldg. Off. the inlormotion is correct and ugree to wmply with oll opplicable AP~ Totul $1839.50 State of Minnewto Stotutes and Ciry of Eogon Ordinances. Sipnature of PermiMee A Building Pertnit Is issued to: io on the eupresf conditlon thnt oll work shall be done in ocmrdunce with, I op licc reof ot Statutes ond Ciry of Eegon Ordinances. Buildinp Officiol >ta~~1~ ;~CF EAGAN Include 2 sets of plans, site plan w/elevations & BUILDING PE1*7IT APPLICATION 1 set of energy calculations. Zb Be used For 1"10a1_uation 72 Q'r9i5 Date Site Pddress ID 5(0 Edck wood -CFF'ICE USE ONLY Int B1oC7c ~ Sec./Sub. ~rect X OcCUpancy Parcel I b $ 3 SSc~ o Coo 3 Alter zoning Repais Fire Zone pwner; Ehlazge Zype of Const. _ ~~s- Nbve # Stories Demnlish Fmnt O f~- City/Zip Code: Grade DePth y/ ft. Phone APPROVAIS FEES Contractor: W m w,(~ fl uW (Pax5~ Assessrents Pennit Pddress: T4ater/Scaer Surcharge 39 ~ 7 Police Plan Check ,_~r cm City/Zip Code: u ruful~~2. {~K 5533~ Fire SAC Sa~ ~g. Water Conn. yad' o0 Pho~ Planner Water Meter Council Road unit 7yp ~ Arch•/`tr-g•: Bldg. Off. Addxess: APC City/Zip Code: Pnone mrAr. ~3 R • ET 0 RESIDENTIAL BUILDING Permit Application 5q City Of Eagan T ~ ZQ .7S 3830 Pilot Knob Road, Eagan MN 55122 / Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdion Reauirements RemodellReoair Reauirements Otfice Use OnN ` 3 registe2d site surveys shaxing sq. ft. of bt, sq. fl. of house; and all mofed areas 2 oopies of plan Cert of Survey Reoi (20%maximum lot coverage allowed) 1 setoF Energy CalcuYations for heated addiUons Tree Pres Plan Real 2 mpies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd 1 set of Energy Cakulations Addition - indicste if on-sife septic system _ On-site Septic System 3 copies of Tree P2servation Plan if lot platted aRer 711193 Rim Joist Detall Options selection sheet (bldgs with 3 or less units • , t• , •+~1`fI a i / ^ Date (~e Construction Cost Cn 04~ Site Address rQ 3[a Y~~ c. e waad Ln. S UnitlSte # ' Description of Work %ar O(r,f Vi- iRSTCt,I! Conctef"e fe~ ~ ~ c~ee~c~ 61ioi,ve ~ - • Multi-Family Bldg Y ~ N Fireplace(s) _ 0_ 1 _ 2 ' Property Owner 01'ehard CheY'i Redf iC lG Telephone#9k' 9 70,3 y f Contractor C r T / Hdd/j i~i (L/n~ 5_' L /7l' Address ayi9 O~ ~!7//e /VG City F(j State M /1/ ziP,650/% Telephone#(IW) 4113 , 9909 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 W sheel • New Energy Code Worksheet (Jsubmissiontype) Submitted ~ Submitted . Energy Envelope Calculations . ~ . ~s \7 - , 'a • : V Licensed Plumber O 03 Telephone ) Mechanical Contractor Telephone ) Sewer/WaterContractor / Telephone#~ ) "ZI-11 w I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. IIJ9tSDtil ApplicanYs Printed Name Applicant's Signature - OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ~ 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Att - SF ? 04 02-piex ? 10 OS-plex 7406!ft~ ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-ptex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types 13"Wft, Q..E • ~O '~~j~ jL pra..Qj ) ~ ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ~ 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/DOOrs ? 34 ReplaCement `Demolition (EnHre Bldg) - Glve PCA handout to applicant Valuation ~OD00 ~ pccupancy MC/ES System Census Code 434 2oning P City Water SAC Units Stories Booster Pump Nbr. of Units b Sq. Ft. PRV , Nbr, of Bidgs ~ Length Fire Sprinklered Type of Const V•~J W idth REQUIRED 1NSPECTIONS Footings(new bldg) FinaUC.O. ? Footings (deck) FinaUNo C.O. _ Footings (addition) Plumbing _ Foundation HVAC _ Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ? Framing _ Siding Stucco Stone Fireplace R.I. Au Test Final Windows (new/replacement) ~ Insulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ( ( 715 PLUMBING (RESIDENTIAL) Permit Application City OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date4f/ Site Address I(7Q( 0 w`ln~l D kt,~ Unit # Tele hone # Property Owner A;7 P Contractor C- Address City g3rv-`.' 1-J ~ IV I~ State \ ~ ~v Zip Tclephone # -(7(03 The Applicant is _ Owner r Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County ke. Additional consultant feas may appiy. Alte ions To Existing Dwelling Uniy Including 50.00 ~ Adding fxtures 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 _ Water softener _ Water heater $ 15.00 _ replacement _ additional ~ _ II State Surcharge $ 50 Total ' BY- - - _J I hereby appty for a Residential Plumbing Permit and acknowledge that t e information is complete and acwrate; that the worl: will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is noi a permi[, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance wiih thc approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name JWVsignature : •~VU'U 1Y C~ !I UO W9a~ ~~G~ U OU-41~(r.1~~ , uIENNA CORPOFtATZ0N . o oo ~,^O ~q569 o ?.5v. L ~ ,9 r~, .,~z (~j / r n'.. • ~v~/~~ • W:oe yt~n ~ qa ~ C,~ 1 /(D . LOT C~ f ~ -d yORAINAQE 41(UD UTILITX Og EASEIhENT PER PLAT N\ 1- I - -s . S89055'07"VV 130.20 WIRE FENGE ON LIME SCALE: 1 INCfI = 40 FEET o 'pENO'AES IRON MONCIMENT SET ~FEET Q DE[dbTES IRON MQNUlUENT FbUIiD yR~pOSED LOWEST £LO(~R FEET ~ DE~70TES W60D STAKE _ J3S; 3 FEE~%'XpOp.O DF.NOTES EXISTING EI.EVATTON PROPOSED ''OP OF FOUNDATION (OOO.O)DENOTES Pd20POSED ELEVATION ~a - DENOTES DIRECT]CON OF SURFACE DRFIIP7AG$ I hezeby certify thaY this is a tsue and correct representation of a survey of the boundaries of: ' Lot 6, Block WEDGWOOD FI1'tST A.DDITION, accarding to the recor.ded plat thereof, Dakota County, Minnesota. And of the location o£ all buildings, if any, thereon,and ~a~ oflsi;le en,crOdi98~.ts, 1 if any, fsom or on said land. As surveyed by me this pppRpVEp FpR SIENNA SIGNEDc JFIINES R. HILL, INC. CORPORATEON 9Y : ~ RUBERTS AR.CHITBC'.CS . BY - pATED THIS DAY Or Harold C. Petezsan, Land Surveyor Minn. License.No. 12294 198~ Paae?,~ECv No. T cc i ~sa~~ ~Db~l~l~~ f~a (}-~Q~fLa 0~9(~0 e1178 6~B~~a~a~cr~ / ~ngine~rs / ~u~deyors f~0~i~9d~e • f8~p~ ~um~olc98 Avenue SouBP9 , • FQLTJE~B (i~9001PJYP1§~$Ofde MG9. ~3~314 692-ea~@-soa~ t ' . - : , _ _ - • - { , EXTERIOR ENVELOPE AVERAGE "U" COMPUTATIUN OWNER: SITE ADDRESS: . Lpfi 6 UoNk CONTRACTOR: ^ DATE: PHONE: ^3/ 9 Z DETERMINE WORKING SOUARE FOOTAGE OF EACH: . 1. TOTAL EXPOSED WALL AREA„.,,,,,, Z330 sq ft x"U" . l7 °,~QCo.l01 2. TOTAL ROOF/CEILING AREA,,.,,,,, 7_26sq f.t x"U" ,p~ _ ~ j. TOTAL EXPOSED iJi4lL AREA CALCULATIONS: Total exposed wall area above floor,,,,,,,, (p sq ft a) Total wall window area: Q2vg~ gtazed...... sq ft x ~~U" `lo glazed,..... sq ft x "U" _ 6) Total door area sq ft xZ'7 c) Total sliding glass daor area: 'QQ (1 (JLC- glazed...... sq ft x o~U" , ~ ~ _ ~P•ZC~ 9lazed...... sq f t x "U" - - d) Total fireplace wall area AZ sq ft x"U" , ZJ e) Total wat,l framing area (Averaae lOq).......... sq ft x "U" ~ (Z f) Total net wall area a6ove floor (Insulated)...... ~ry°OZ" sq ft x"U" xS3 g) Total rim joist area...... sq ft x"U" Total foundation area (Exposed).......... 2, s'] sq ft h} Total foundation ~ 1 Q window area............. sq ft x"U" z•z- T) Total net foundation area above 9rade........ Z 5"3 sq ft x"U" ( D ° Z, • U 3 TOTAL a} thru 1) If item N3 is the same as, or less than item H1, you have met the tntent of S.R.C. Section 6006 (c) 2. ~ i . 4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed / roof/ceiling area.... ....JAI,~ sq ft ~ . i e Total skyliaht area....... sq ft x"U" k) Total roof/ceiling framing area (Avera9e 109,)...... I q7-~ 54 ft x"U" D Z ° 1) Total net insulated a L roof/ceiling area....... Z ~P sq ft x „U„ is, 7/ Z -5- 7 4. TOTAL J) thru 1) ~-b ,-S~ If [otal of "b is the same as, or less than N2. You have met tlie intent of S.B.C. Section 6606 (c) 1• ~ ALTERNATE BUILDIPJG ENVELOPE DE516N • , To utilize the total envelope system method, the values estaOished by the sum of items N3 and H4 shall not be greater than the sum of items N1 and 12. 1. + 2. 3. + 4. C E R T I F I C A TI 0 N I hereby certify that 1 have calculated t~'ie "U" factors and "R" values herein and that the building here.described mee or exceeds the State of Minnesota Enerqy Conservation Act. . ~ S natur fj v " (Date) ~ _ • WAI.L SECTIONS _ . ~ - - NOT6•c'D:w 1-o o of opaqu^ wall area ior fra;xe construction Construction- R-Value~ - ~ i 1. I terior film 0.68 , ~ ~ . 2. ~ 2•• . 3. ~ 3 Yzi.nches soft wooci 3 4 ~ ~ . . . . 2.04 5. I z~. ~7 ?.~l -.(a L ~ _ BASIC • 6. Exteri.br air film ~ 0:17.' " WALL.. ~I Total - ' - r . , d.. FIG. #l TOPVIE34 OF . ~ F_T27U-4E HALL . . . l. Interior aiYLfilm 0 6E3 ~ 2. _ . ) ' : _ 3. aU~ ~ Bea.rr ws. . ~ , ~ • , 4. L ~5'/ 3 z t aL-S i3 0 i 6. Exterior air film 0.7.7 Total y FIG. #2 ~~j /!{•QO ` - 2nterior air fYlm 0:68 3. . I ~/z's~~rxC+eoo l. ~ - Y 5. r+ i~Seral' ~ ~1 1 , 6. 'Exterior air f-ilm 0.17 7 lOtal' , ' /l..,,m7 : 1. Interior air film 0.68 , ' • . R _a ~n 2- lE- it E! 3. il' • 'rj' - Q ' 4. - _ ' 4\ ' L S. - ,c~r •r' ~ ~-r" - - _ 6. Exterior air film 0:17 . . • . . _ • _ = Total --11.-r` ; ~ ~03 c. (~L.(O . I, . ~ ~ SI,RB OfI GRAllS . I _ . ' ; ~ . . ` . . L;_c4/(( FZG. $4 IG. #3 . , ~ • ~ _ ~ - NOTE: Indicate ty,ne, °°`value,-denth and _ ~ • : placcricnt of,insulation. - . . _ - ~ ROOF/CEILING - . " ' ~ ~ ~ ~ . • ~ ~ ~ ~ - ' - ~ " . - • ~ R-Value Const Uct_°n . l~ . - . , . 4i 1: Interioi ai.r 'ilm 0.61 ~ ~ 2. ,~,_.,nITNo~AG S"O•u*~ ~ e 3.. 4.'' Exterior air ! ilm (sti11) Total . vEaiT ~~Il(~ . - . oL . te3 ~L+ p¢YUJP% : up ' • ~ ~ - - - I ~OyL' ~~r I ~1S • '`t ' ~ , . - i 3~/z,`SaFCtcsnoD 4.3Y ~ F7G. 47• 7~ D _ ~ . . • - , Interior ai.r film • . - - - rS.:ic?n~~~~F~ L' •M:"iP~ii•il~)_:i1~F'=_ - 3. 79 4. Er.teri " ~~1 t-i1m (still - Total n i:l l . ' - ~~1 ~ ~ 3 4- _ . . ~ = _1.-~--2 ~ I:eat floc7 up . , . ven[ed , . - R... FSG. #6 - . . . . ~ . 5. . o . 6i - - ~ Inside air fi].m 2. ~ - r>!~%"'~• 9. film 0.17 5, putside air. `(y~ Total i Notc: Use additional. shcets P more ~pacc.is . ~ , needed for details aud calcul~tions. T~V-~,T,c'D • , ' . Hent _ . • • flov up, ' . " . FIG. 47 ~ ~U.C~o ~ ~-al-g g 1999 FIREPLACE PERMIT APPLICATION C1TY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4575 Date: S.Q (1 ! • ~~~l, N anserl' Description of Work: r~ Consh-uct new fireplace ZC Gas _Masonry _ Alterations to existing ~ Install gas insert only _ 7nsta1l gas lirre on~ _ Other J p~ ~ W w c4 Ln.~,~ s Job address: Lot: (a Block: ~ Subdivision/P.I.D. u~q~0G-D& l~ Applicant (circle one only): Owner Contractor Permit Fee: $60.50 Name: RtO- j P 1` e ~ 1!C ~ Phone#: PROPERTY Last Fust OWNER 1 Street Address: /~--?rl2 ~~P(~[f~ d d h af! ~ u City ~ C( State:PV. Zip: Company: IYLSi~&honoe#~ O70' ~?S~ (aiea code) FIREPLACE INSTALLER Street Address: z b ~ State: ~ Zip: 33 City t4r Company: Phone (area code) GAS LINE ~ ~ INSTALLER Street Address: J City State: Zip: ' 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 apd)City o Ordinanc s. ~ ~ Signarure RECEIVED SEP 2 0 1999 BY: \ amot,,AGAN WATER SERVICE PERAMT 2794 otiCoob Rood PERMIT NO.: 4233 Rogow MN 54122 DATE: 6/10/82 Zoning:. PTT No. of Units: 1 Owner: Wm Hut Contetruction Address: ;; , Site Address: 1036 Wedgwoo4 ne So 1,6 B3 Wedgwood I Plumber: Russ Anderson Plumbing Meter No.: Connection Charge: 420.00 pd Size: Account Deposit: Reader No.: Permit Fee: 10.00 pd i agree to comply with the City of Begets' ` Surcharge: . 50 pd Ordinances. Misc, 60.00 pd metier Total: By D6te Paid: � Dat of Insp.: 7 ,/_ J Insp.: CT � ' ,d 9 EAGAN ., SEWER SERVICE PERMIT 8.i „ Pilot Knob Rood PERMIT NO.• 5166 igon,. ! MN 55122 DATE: 6/10/82 P11 No. of Units: 1 Owner: Wm 11uttn er Construction Address: t Site Addres 103E Wedgwood e..So L& Rl Wedgwood I Plumber: ibiss Anderso , Plum g 5/2s/82 1. 1 100.00 pd I agree to comply with the j E n ,Connect �, \', e: 425.00 pd Ordinances. ` : Acco De • \ .e po 1 10.00 pd Su rarge: J .50 pd BY ( V ci Misc. Charges: D of Insp.. e __'T '} �� J _1 To41: Insp.: Date Paid: Use BLUE or BLACK Ink r----------------- I For Office Use 1 Permit la~~ j City of Eano~a~ Permit Fee: bS'y 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit 01 Name: Phone: 6 ~2 -1--717 !~T Resident/ Owner Address/ City/Zip: a i Applicant is: Owner Contractor Type of Work Description of work: S Construction Cost: mo Multi-Family Building: (Yes / No Company:/ U A5 I /N_1,/4r Contact: X/ Contractor Address: City: State: W Zip: Phone: 7 2 `~l ` 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? I _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: I NOTE: Plans and supporting documents that you submit are considered to be public information. Por t ions of the information may be classified as non-public if you provide specific 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.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 Building Code must be completed within 180 days of permit issuance. x 5r 2K x App it cant's Printed Name Applicant's Signature Page 1 of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bU7'3N(9&'V'7NG'V9 H--'C3//*.&1 -=/$M0/I<&8&"01<*&,&T0#=0+,&UGbU(N''&:''7N(7:9 T0#=0+, &&GP'''N'' "(%*41I9<BJAB' #(,%.*G%(.1KL,-.1 8&&)AA#+$0,&&8 D<,<B0#&),*</1<,D+$M0/*&S&D<*O+<#* 7:('&F=,@&D0*&F&2<17'3!&2<*IB*&0,<&- D1<L+##<&SZ&&99773W0I0,&SZ&&997(3 R!97\[&(!G8GYYY 5&M</<>@&0$%,B#<*I<&M0&5&M0L<&/<0*&M+1&0AA#+$0+,&0,*&10<&M0&M<&+,O/K0+,&+1&$//<$&0,*&0I/<<&&$KA#@&B+M&0##&0AA#+$0>#<&-0<& O&S+,,<10&-0=<1&0,*&F+@&O&W0I0,&E/*+,0,$<1N )AA#+$0,C4</K+<< &-+I,0=/<511=<*&"@ &-+I,0=/< PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA157781 Date Issued:09/06/2019 Permit Category:ePermit Site Address: 1036 Wedgwood Lane S Lot:006 Block: 003 Addition: Wedgewood 1st PID:10-83550-03-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Philippe Girard 1036 Wedgwood Lane S Eagan MN 55123 (858) 922-9010 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature