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1041 Wedgwood Lane S CITY OF EAGAN Remarks Addition WEDGWOOD lst ADDN Lot 12 Blk 4 Parcel 10-83550-120-04 Owner stTeet 1041 Wedgwood Lane South State EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 5$ 1981 58.69 2.93 20 49,90 A012703 9-6-83 STREET RESTOR. GRADING 1981 186.48 12.43 15 149.19 A012703 9-6-83 Sewer Lateral 511 1981 313.16 20.88 5 250.55 " " SAN SEW TRUNK 19$1 19$.50 13.23 15 15$.81 it to SEWER LATERAL 19$1 197.54 9.87 ZO 167.93 it is Sewer Lateral 1982 133.17 8.87 15 115.43 " " WATERMAIN WATER LATERAL 7'T 19$ 262. 8 17.48 209.77 A,012703 9-6-83 WATER AREA 1981 198.50 13.23 15 158.81 " " *Water Lateral 6 1982 98.57 6.57 15 85.43 STORM SEW TRK STORM SEW LAT * ower ine Relocatio CURB & GUTTER SIDEWALK STREET LIGHT 250-00 142-31 - -8-1 WATER CONN. 4 O.OO BUILDING PER. $o SAC 525.00 PARK CITY OF EAGAN ~ ' 3795 PIlot Knob Road Eo9on, MN SS12! ~ r PHOHEs I54-8100 ~ BUILDING PERAAIT ReceJpt # 7o be and foe Est. Value Dote 19 Site Address Erect ? Qccupnncy Lot Block SeC/Sub. Alter ? Zoning Porcel Repoir ? Firc Zone Eniarye ? Type of Const. W Name Move ? # Stories 3 ^ddress ! Demolish p Lengtfi ~ C; pha,,t Grade ? Depth Sq. Fi. a No~ Appravals Fees ,o Address Assessment Permit ~ Ci Phone Water 8~ Sew. Surchorge ' Police Plon theck Nome Firo SAC Addreu Eny. Woter Conn. Ci phone Plonner Water Meter j-z Council Road Unit 1 hereby ocknowVedge that i hove read this applicotion and state that Bidp. Off. the inlormotion is torrect and agree to comply wifh all applicable State of Minnesoto Srotutes and City of Ea9an Ordinonces. APC Totol Sipnnture of Permittee A Building Permif is issued to: on the express conditian thnr oll work shall be done in accordance with c41 app{icabie 5tote of Minnesoto Stotutes and City of Eaflan Ordinnnces. Buildinfl Offitiol . p ,1 T \ 1 d _ 2 ro M ~ ~ o ~ N n ` 3 ° + \ ~ Cl ~ G Y O ~ r a p~-, ~ O ~ £ a ~ . ~ ~Ip e ~ e p `a 2 . . d = ~ ~ W C LL Q m p o C c C C ~ S 41 d ~ LL LL Q ¢ ~ U. LL LL m ~l . I I ]L-- - - I . AMMLM Receipt " PLUMBING PERMIT Permit No. CITY OF EAGAN Fee FiII in numbered spaces S/C Type or Print legib/y - Tot ~ 1. Date = 2. Installation Cost 1 3. Job Address Lot I~ Blk. Tract' ~F 4, Owner ~ 5. Contractor • • . , J ;r phone ' • 6. Address 7. City ' State Zip ' 8. Building Type: Residential 0 Commercial ? Institutional 0 9. Work Description: New Ei Add O Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixiures Water Closet Cesspool/Orainfield ' Bath tubs Septic Tank Lavatary Softner Shower Wel I Kitchen Sink Urinal/Bidet qther Laundry Tray Floor Drains • Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify ihat 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 Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 ; Receipt • MECHANICAL PERMIT ' Ps?mit No. CITY OF EAGAN - ' Fee fr!l in numbered speces S/C Type or Print /egib/y ' Tot. 1. Date 2. Instailation Cost 3. Job Address " Lot 1 Z Blk. ~ Tract 4. Owner - , - - 5. Contractor , Phone 6. Address 7. City State - Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New C] Add O Alter O Repair ? 10. Describe Fuel Type 11. No, Equinment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. • - Boi lers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outleu 12. 1 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-$100 CITY OF EAGAN t 3795 Pilse Knob Raad Eagan, MN 55122 NO 7780 PHONFt 434-8100 - . BUILDING PERMIT Receipt # 4/ - Te ba wad Fer SF DWG/rnu Est. Voiue $70,000 Dote February 1 , 1983 Site Addreu 1041 Wedgwood Lane South Erect (N acuPuncy R-3 Lot 12 Block 4 Sec/Sub. WedgWOOd 15t Alter ? Zoning R-1 parcel # 10 83550 120 04 Repoir p Fire Zorx NA Enlarge ? Type of Const. V rc Name wm. Huttner Construction Move ? # Srories ~ nedress 11913 Hi•ghland View Circle pemoush ? Length 68 c; Burnsville pho„e 454-3833 Grode ? Depth 40 Sq. Fc.- ~ Name Owner APVrorab Fees O Addresy Assessment Permit 343.00 Cit Phone ~Nater 8 Sew. Surcharge 35.00 Police Plon check171.50 ~W Name Fira $AC 525•00 Address , Enp. Woter Conr4 50. 00 ~W Ci phone Planner Water Meter60. 00 Council Roud Unit 250.00 I hereby acknowledge thot I hnve read this opplicotion ond stote that gldg. Off. the iniormotion is torrett ond ogre to comply wlth all opplicObie APC Tofal $1834.50 Srote of Minnewro $tafutes and C of Eogon Or inan ~et-. Sipnoture of Permittee A Buildin9 Pemir is issued ro: Wm. Huttner Constru tion on the express mndiHOn Ihnt all .work shall be done in acmrdunce with all appli eState of I mnewta Statutes ond City o4 Eaqon Ordinances. Buildinq Official Charfy /osZo CITY OF Include 2 sets of plans, 1 site plan w/el.evations & BUILDING PERNII'P APPLICATION 1 set of energy calculations. r 6 0. C- Zb Be Used For Valuation OOT d Date Z 7-~ Site Address: OFFICE USE ODII.Y Lot ~ Blodc Sec./Sub. Erect OccupancY /,3 Parcel ~ g 3 sso IzO oy Atter zoning .pj - Repair Fire Zone Owner: Enlarge Type of Const. zzr~ Move # Stories Address: Dennlish Front ft. City/Zip Code: Grade Depth ft. Phone APPROVAiS FEES Contsactor: RI C.dx Assessments Permit ~~,~5: Water/Sewer Surcharge 3 S°= Police Plan Check / 7 / ~h'/ZiP ~e= ~i u ru, S ar ~'-P_ //r/~ u Fire SAC s as- ~ ~v IIig. Water Conn. SV ~ Phone T~ V- Sn 3.3 planner Water Meter &G ~ Arch./Eng.: Council Road Unit Bldg. Off. Address: APC City/Zip Code: Phone TarAL L p ~ ~ ~ 399'~f ~ rl b c) ~ 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsVUCtion Reouiremenis RemodeVReoair Reouiremenls 3 reg'stsred site surveys showing sq, ft W IoG sq. ft. of house; and all rooted ams 2 co0ies of plan (20%maximumbtcovera9eallowed) 1 setofEner9yCalculationsforheatedadditbns WSn"R~`S 2 copies of plan showing 6eam 6 window sizas; poured found design, etc. 1 site survey for add'rfions & decks 7'~~re9 ..Reqqu 15o ofEneigyCalculations Addnion- indicatei(on-silesepticsysfem -'A 3 copies of Tree Preservation Plan'rf bt platted after 711193 Rim Jolsl Detail Options selection sheet (bidgs with 3 or less unifs DateC@n_ I / ~ ~ Construction Cost {.J, aw- / Site Address L1~A7teuJC~ Lus\a,%• ~IF UniUSte # Description of Work ~ n~n r o 1(~S 1(~LsUC~I~ c7 (~t~1 •~IKt s J l~b~4 ~ Multi-Family Bldg _ Y X N Fireplaee(s) _ 0 2 Property Owner ~ ~~J~.c,~ ~VJ 1C~ Telephune # RENEWAL BY ANDRSEN Contractor 1920 COiJNTY ROAD "C" WEST Address ROSEVILLE, MN 55113 CitY State 651-264-4777 Telephone # ( ) LICENSE 920130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Enefgy Code Category . Resitlential Venblauon Category 1 Worksheet • New Energy Code Worksheet (4 submisslonrype) Submittad Submitted • Energy Envelope Calculations Submitted ~ Have you previousiy constructed a building in Eagan with a similar plan? _ Y _ N , ZS n review fee apPlies. Licensed Plumber Telephone 14. Mechanical Contractor Telephone , Sewer/WaterContractor Telephone 1 hereby apply for a Residential Building Pertnit 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 peimit, 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. T, n:bne Applicant's Printed Name 4Applicants Signature w~~ re, s«-.i iuv db. JV rtfa. ! oJ D f 14488 ttC.LYL~RAL ~3~@fVLtSdt~7jftt • re Juno'7, 2407 ' - • C'.ity of ~a.gau ' 3836 Piicrt Sno}i goed • EaBen. MN 55122 ' To Whom Tt Maq Goncern: Elder E1der tO ~ buiIdi~tg Pernaits for Renewa! by nzsen_ Ptease a]Iaw Providc this Anci date beyand 6/6l01: s~rvicc for ua inEs,~an. 'I~iR ~q~y~~ jg Qid for sny to theC`iry_ unfil at6ngv,al by Ancteersan mauager eaprasty cmloas it tn witdag I reequest this auttiorizatiau bc acccpted-expedi@ausly, . - - our bailding P_i~nit3 aaY furthcr. Plcasc catt mc If thc~ aac w~sy in the P~ssirig of cantactcd at 763-502-4706. YqmMtona., I can Ue Yaur immi-,diate attmtiott t,o fhis matier Is a . SInoeivlY. . . and R Rau tistalIation MaxcagGr Rereewai bY Andmcn CozPoratian . . ('r.: Ksrrn-F,It}e.r 7onee - .~~~..~.~4 c-7 x~, . - ~ ~ Recaived Time Jun. 1. I:01PM r • S~URg~pEU OW'S!. dk~6~'~61~4~~'6E•• SIENNA CARPO ~T_i¢W ~'crs7~ P~", 7JK , . y Sy_ 3 $33 i 30 _ 9Z,~- S 89° 55' 07"W 123.34 93~/ o' i ~ --g----- tn ~ f DRA1 A AND UTIUTY ~ 10 ~ EASE 4NT PER PLAT Ig 1 1 'o, w 0 ° 02 I ~e OD ap Q O O W 0 ~ ~ ~ . ~ ~ 0 i oO \ i U9 ` \ I 0 ~ -1_ I T,y 0 = p _pENOTES IRON MONUMENT SET SCar.E: i iNCit 30 Feer 0 DENOTES IRON MOYJUMENT FOUND PROPOSED GARAGE FIAOR ? DENOTES WOOD STAKE PROPOSED LOWEST FIAOR 27 0 XO00.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION = 93Y~_3 FEET (000.0)DENOTES PROPOSED ELEVATION \ - DENOTES DIRECTION OF SURFACE DRAItIA6E ' I hereby certify that this is a true and correct representaEion of a survey of the boundaries of: p,ot 12, Block 4, ' WEDGWOOD FZRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. And of the location of all buildings, if any, theTeon, and all vis~i~;l~e,,~e~n~croachments, if any, from or on said dand. As surveyed by me this ~~day of J_°tB,K~- 198~ _ AppgOVED FOR SIENNA SIGNED: J}1MES R. HILL, INC. CORPORATION BY: ROBERTS ARCHITECPS . HY= DATED THIS DAY OF Harold C. Peterson, Lanc] SuYveyor 198_ Minn. License.NO. 52294 PROJECT NO. BOODC / PAGE JAME47 L+ R. ~„~'LL' IN~`. 81178 Planners / Engineers / Surveyors FILE NO. 6200 Fiumboldt Avenue South , Foi.nsx • Bboming4on,Mn., b5431 812-884-3029,,~,; _ . . _ . _ . . . _ . . . . _ . . . . - ° 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNO6 RD - 55122 ~T 651-681-4675 New Conshu~Ction ReauiremeMs . gmodel/Reoalr Rea~liremWrM~ ? 3 registered sMe suneys showing sq. if, o} lot, sq. R. of house 2 copiea ot plan and all roofed areaa f20% maximum lot coveraae allowed) 1 sef of energy calculafions fot healed addNiont ? 2 coples of plans (show beam 8 window sizes; poured fnd. design; etc.) 1 sHe survey for exteHor addNions a decks ? 1 sM ot energy calculations ? 3 copiea of hee preservatlon pian 9 bt platted aNer 7/1/93 DATE: ~-3 0` 95 ONSTRUCTION COST: Z~ e DESCRIPTION OF WORK: e~ Q~ STREET ADDRESS: D e aL LOT: BLOCK: Name:t2w/'er F'~e••~ PhoneAs-i768'9 PROPERTY Last Fkst OWNER Street Address: ! 6) yI a° C( City L~ State: Yt-r? Zip: 3 Company: 1`'•~ Cmkv~ '`+pS'Y Phone#:6s"/ L+/s2 (area code) CONTRACTOR Sheet Address: Vd 57-o K License # Y 9 $ '1( Exp. 2 City ~k State: ~ Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Streef Address: Regishatfon City State: Zip: Sewer 8 water Iicensed plumher (reauired for new consfruction onlv Penalty applles when addreu change and lot ehange is requested once permN Is issued. 3 hereby acknowiedge thaT I have read Thls appllcatlon, state thef the informaflon Is correct, and agree to comply wffh all applicabl Stafe of Minnesota Statutes and City of Eagan Ordinances. ~ Signafure of Appllcant: OFFICE USE ONLY ~ZZ,~ U,`~~ f~ I\ f D Certificates of Survey Received -Y--YP-s _ No Tree Preservation Plan Received - Yes - No _ Not Required~~l OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of_ plex ? 08 6-plex ? 13 16-plex ? 98 Deck ? 23 Parch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code y 3y (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units ~ Zoning sq. ft. No. of Bldgs d # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire 5prinklered APPROVALS Planning Building Engineering Variance PermitFee biqG~ Valuation: $ Surcharge ,sd j{ Plan Review License MC/ES SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W 5urcharge Treatment PI. Park Ded. Trails Ded. Other Copies ~ Total: / 0~75 SAC Units % SAC , dEYOR95 C~RTOf ICANE SIENNA CDRPORAT Nwcf O . (U~ (0urf1 l. , • ' y sy_ 3 833 , 30 9- S 89°55'07°W 123.34 93v. o i DRAI ~ AND UTILITY I 10 EASE ~NT PER PLA7 i5 { I 1 1 oy •o ~2 1~ 1 ~ CA~ 30 CD 0 o /L J. w I ~ \ O y"~'o 2 I Io i- ~ e FQ ~ i u> ~ 'S9 ~ ~ - 15 r_ ~ ~ ~ 93G.7 0 M Q :DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FE£T _ o FEET 0 DENOTES IRON MONUMENT F'OUND PROPOSEp GARAGE £LOOR ?3 fz7.d FEEr [J DENOTES WOOD STAKE PI20P05ED LOWEST FLOOR ° XOOD.O DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION ~'`t~3 FEET (000.0)DENOTES PROPOSED ELEVATIDN DENOTES DIREGTION OF SURFACE DRAItIAGE - I hereby certify that this is a true and correct representafion of a survey of the boundaries of: Lot 12, Block 4, ' WEDGWOOD FIRST ADDZTIOt1, accordinq Co the recorded plat thereof, Dakota Connty, Minnesota. pnd of tfie location of all buildinqs, if any, thereon,~an al isi le encroachments, • if ar+y, fran or on said Yand. As surveyed by me this dy of MA.QCA 1987. NppROVED FOR SIENNA SIGNED: JAMES R. HILL, INC. CORPORP.TION ' BY: ROBERTS ARCHITEGTS . BY: DATED TNIS DAY OF Harold C. Peterson, Land 5urveyor 198 Minn. License.No. 12294 _ PHOJEC7 NO. 8OOK ~ PbGE JAMIIES R. I"IILLy tNC. e1178 Planners / Engineers / Surveyors FILE NO. 8200 ?iumboldt Avenua South . eoc.nEx Bborninpton,Mn. . 65431 812-884-3029 . . . ,~.n . . _ _ . . . . _ , Y . 3 rst s° y u'.,~'nSrg'~'f" .}+".i~~E f$ ye+a c Cy~ *w,-ri a ~ ; t ~ d, y., ~ ai f Y~ x r~~• i~ i+r~:::'. " ~a';~ =1999BUILDING'PERMIT APPLICATION (RESIDENTIAL) CITY OF FlIGAN ' 3830 PILOT'KNOB RD.- 55122 5 ~ ' s : . . . (651) 6814675 - NewConstrucEionReavirements.:.- _ ' . ..RemodeVReoairReouirements ? 3 registered sRe surveys: • 2 copies of plan, ; ' , . , . ? 2 aopies of plans (indude bearti 3 window sizes; pauredfnd. desgn; etcJ t sRe surveys (exterior addkions & decks) ? t energy calculations • ' ~ ` ' - - ' ? 1 energy calculation3 for heated additions • 3 wpies of tree preservation pian iT lot platted aRer 7J1193 required:_ Yes". _ No - - - ~ , 1 DATE: °-t)-1 e> ^G G CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT: BLOCK: ~ SUBD./P.I.D. ~ p ,1.19'C1-Q Gzl Name: Cj~~ ~ ~ IW l.U Phone PROPERTY . Lazt First OWNER I lJ~i 1 V ~ I.~ 1k . a Street Address: ; Cit7, Ef'l State:nLl -1- Company:_ r ` Phone #c ~ CONTRACTOR Horizon Exteriors 1333 Larc Industrial Blvd. - E• Street Address. 'i gurnsville, MN 55337 icense P. ? _ . ~ (612) 890-3900 Ciry . State: Zip:. ; ARCHITECT/ ' ENGINEER Company: Phone Name: Registration Street Address: • City State: Zip: ' Sewer 8 water licensed plumber (new construction only): . Penalry applies when address ; change and lot change is requested once permit is issued. j I hereby acknowledge that I have read this applicatiort, state that the information is correct, and agree to comply with all applicable ' State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant; OFFICE USE ONI.Y CeRificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1041 Wedgwood Lane S Lot: 012 Block: 004 Addition: Wedgewood 1st PID:10- 83550- 120 -04 Use: Description: Sub Type: e - Air Conditioner Work Type: Replacement Description: Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Electrical Inspector, Owner: Richard Lawler 1041 Wedgwood Lane S Eagan MN 55123 $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA078318 06/15/2007 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 an op Eer004 ICE PERMIT "it* Kam, !mild, PERMIT NO.: 45S4 gesotr 1 DATE: / 3/ F Zoning: *rZ No. of Units: 1 N oon , : T7uttner Construction Address: Site Address: 1041 Wedgwood to So L12 B4 Wedgwood 1 , Plumber: Puss Jfderson P1 umbinsz Meter No.: Connection Charge: 450.00 pd. Size: Account Deposit: Reader No.: Permit Fee: 10 00 pd 1 agree to comply the City of ; Eagan Surcharge: • 50 o Ordinances. / Misc. Charges: 60.00 pd meter Total: By , ! Dote Paid: Date o 'nsp.: v Insp.: ally OF EAGAN SEWER SERVICE PERMIT 3794:00 Ke/gb Road PERMIT NO.: 5670 Ed MI 11; tat 55122 - - -- DATE: fl Zoning: No. of U its: Owner: . Wm Ii rtner COpitt4NliZIAprt Address: 1 - ----; Site Address: 1041 1,Teclgy..iTi 20. In Sb B4 Wedgwood 1 Plumber: Rq nderson Plumbing 2/1/834231 1 agree to comply with the City Eagan Connection Charge: 4? 5.. P, pel Ordinances. \ Account Deposit: \ \ . \ Permit Fee: 4 i 0 .•-•'- ■ 1.. Surcharge: ■.■ By – , Ail Cho.- • 7 -- Date ofirp.. -0 ' Total:B Date Paid: .., . 2012-0wr8-r031I v2:1ii 1#nl rimlm 1.11.V Ulf r.ay.in » 651 975 5694 CEJ ai8app 3830 Pilot Knob Road Eagan MN 55122 Phone: (851) 675.5675 Fax: (861) 876-6896 n4A NII nn •-s4 t 1/ 11111 /11111 P 2/4 use BLUE or BLACK Ink 018 U For ce Use Permits: JC! 5q7/ Pam* Fee: 60. C Date Received: Stab; 1 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Dat.: ) oh Site Addrods; , ° (Z , TenanL - Suite #: RESIDENTIAL FES; Se0.00 Mhiim am Water Heater, Water Softener, or Water Heater AN Softener (includes 65.00 State Surcharge) 160.00 Lawn Irrigation (includes $6.00 State Surcharge) 160.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (Includes $5.00 state Surcharge) `Water Turnaround (add $189.00 If a 518" meter Is required) $106.00 Septic Svstem New ($10,00 per es built) (includes County fee end $5.00 State Surcharge) TOTAL FEES CALL. BEFORE YOU DIG. Call Gopher State One Cali at (661) 4540002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underprotmd uttimee. wym.gepherstateonecallorg Comby acknowledge that ees Information is complete and accurate; that the wax win WI be in conformance i the mammon and coda& of the City of aoo soAa with the irao-applIcetIon.Joc.a.peank-and-worltas-ani-laar +withwt.e. enalS••tlueHhe rle wlll-be,r� - approved plan in the case of work which requires a review end approval of piano_ Applicant's Printed Name x Applicant d $(gnature 20/2-04.3016:40 651975 5694 Page 1 tic PERMIT City of Eagan Permit Type:Building Permit Number:EA146864 Date Issued:11/17/2017 Permit Category:ePermit Site Address: 1041 Wedgwood Lane S Lot:012 Block: 004 Addition: Wedgewood 1st PID:10-83550-04-120 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Kevin R Madigan 1041 Wedgwood Lane S Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (952) 985-6675 Applicant/Permitee: Signature Issued By: Signature /g C�I VY For Office Use 4' * cc_ �, r ,�, E AGA N Y 1� 2018 Permit / y��10 Permit Fee: ice. G Date Received: S I��I 0 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: (4-1, buildinginspectionsa.citvofeaoan.com L 2018jRESIDENTIAL BUILDING PERMIT APPLICATION Date:I-_I�7` ) a Site Address: I O '/ (xreePj uc L_1 Unit#: Name: r—'-e✓c+^ i�"Le.. X� C.,c Phone: GS( 29-2-'176 Resident! 3 e �� ; mdL � : Address/City/Zip: 1 0�� PL Live , 1; Applicant is: )(_Owner Contractor T y ped Description of work: PIS r ty^ ,, r f. Construction Cost:2 J t' Multi-Family Building:(Yes /No ) � - Company: Contact: ' Address: City: Contt*" ' .,„ State: Zip: Phone: Email: 07, License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 1 . COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NO "flans andsupporting documents that you sub ntt d e considered to be public ifori+ta Portion ation of:t° classified as no c i ou provide„'spe aific reasons thwould permit the ty to canciu .:t... .., tey are trade se .= n a You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. 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. 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.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 I understand this is not a permit, but only an application fora 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 (dv A-(c..�,`f et x -'1,.-,- Applicant's Printed Name -) Applicant's Signature /69 '/7 /� (.6dnoc(/-' �' I / S c DO NOT WRITE BELOW THIS LINE �! SUB TYPES — Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi ,'� Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New — Interior Improvement _ Siding _ Demolish Building* (C- Addition Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation if 2fP' - Occupancy ..)--'124— ( MCES System Plan Review Code Edition W1.4 Zoic SAC Units (25% 100% ) Zoning J.1) City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length 1 Z Fire Suppression Required Type of Construction SIO Width 1 p REQUIRED INSPECTIONS Footings (New Building) Meter Size: (U Footings(Deck) Final/C.O. Required Footings (Addition) ' Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: /P u i d',,. f- /1/'`" , Building Inspector RESIDENTIAL FEES —.-A-7- CC1se457 Al 11 e.c )- 7 y Base Fee R.eDet.k not 4-- (r.lstz) R*I I I Surcharge Plan Review ( (co.) MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 : VEY0R's CCERTIFICATE SIENNA C T 61,,,, r./e) y/ GJ opt /? 'cq.. 3 X33 / �c�S (� I r `m t_ Li , r � 30 4 _ g 89°55'07 W 123.34 93s! v I ' DRAI A AND UTILITY I • 10 y EASE NT PER PLA 15 ` . y r-zy . N l d . $. 0 Alip ii...06- . I )11 V Q,. o • Orel- W dN= '' �_ y,,' i' I 710 N. ` I �N • IP \, 2 , ?CI FF \ I .i.9. 4- \N' `,` I . • '494, 15 N. .a� _ ,j 1 o . ova . O M • i 1 INCH 30 FEET U DENOTES IRON MONUMENT SET SCALE: �3y o FEET 6 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = -)22.42 FEET • 13 DENOTES WOOD STAKE , • PROPOSED LOWEST FLOOR = X000.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION y35i. 3 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 12, Block 4 , - WEDGWOOD FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. And of the location of all buildings, if any, thereon, ani all vis1rip) le encroachments, • Y� if an from or on said land. As surveyed by me this ZJ day of onion N 1982, APPROVED FOR SIENNA SIGNED: JAMES R. HILL, INC. CORPORATION BY: ROBERTS ARCHITECTS BY: A'"J' DATED THIS DAY OF Harold C. Peterson, Land Surveyor 198 Minn. License.No. 12294 'PROJECT NO. BOOK ! PAGE • JAMES II. HILL, INC. 81178 Planners / Engineers / Surveyors FILE NO. I 8200 Humboldt Avenue South • FOLDER Bloomington, Mn. . 65431 612-884-3020