1048 Wedgwood Lane S
. cirir oF EAGAN
, 3795 PIIe1 Kwo6 Rood Eogae, lY1ld 58122 8,974
, PHONEZ 454-8100
BUILDING PERMIT' RecelAt # _I - 1
Te be usea fer SF DWG/GAR Est, volue W,pOQ Dare _ May 7 Fi , t9 83
5;te Addreu 1048 Wedzaood Lane South Erecr ga Occupancy
Lot -1 3 Block3_ Sec/SubWedRwood 18t ^Iter p Zoning ~-1
Pnrcel # 10 83550 030 03 Repoir p Firc Zone
Enlorge ? Type of Const. `7
W Npmg I~Fm HiitrnAr f:nnatnintinn Jy~pyQ #$tories
z
Address 11119 LTarigvnnri T.ana Snrith Demolish ? Length_62_
Ci phone 452_-Ingg Grode p Depth40 Sq, Ft.
~ Name OwneY Apprmals Fees
~
~ Assessment Permit 340.00
ou Address ,
u~ Ci Phone Water $ Sew. SurcFarQa 34. SO
~ Palice Plon check 170.00
WW Name Fire SAC 525.00
h
Address Enq. Water Cohn4dfl _(lCl
<W Ci phone Pianner Water Meter 60. 00
Council Rood Unit 250.00
I hereby acknowledge that I have read this opplicotion ond state that Bidg. Off.
the intormotion is correct cnd ogree to comply with oll applicoble APC Totol $1$29.50
State of Minnesota Statutea ond City of Eagon Ordinances.
Sipnature of Permittee .
lft. uttner onstruction
A Building Pertnit Is issued to: on the express condition thwt
all work sholl be done in accordonce with oll oppficobl6,-Stote of Minnesota Stqtutes and City of Eepen Ordinances.
Building Officfal
.~q .Ad
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aepIoH •oN ZIwied -*siW aaploH l!wjed •oN iiwled
CITY OF EAGAN Remarks "
Addition WEDGWOOD 15T ADDN. Lot 3 Rik 3 pa{cel 10-83550-030-03
Owner Street 1048 Wedgwood Lane South 5tate EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, 1981 58.69 2.93 20
STREET RESTOR.
GRADING Q 1981 186.48 12.43 15
Sewer Lateral 1981 313.16 20.88 15 to to
SAN SEW TRUNK 5 1981 198.50 13.23 15 1 it of
SEWER LATERAL 19$1 197.54 9.87 20 167.93 ot tt
Sewer Lat?ral 1982 133.17 8.87 15
WATERMAIN
WATER LATERAL TrkS 1981 262.18 17.48 15 09.77 A012640 8-23-93
AREA 5ilo 1951 198.50 13.23 15 it
*VJater Lateral 1982 98.57 6.57 15 85.43 A012641
"
STORM 5EW TRK
STORM SEW LAT .
*Powerline Relocatio 1982 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
RO T 250.00 36027 - S-26-83
WATER CONN. 450. 00 " "
BUILDING PER.
SAG
PARK
6neyY ~falc,. S.?#~ as ~OZ
CITY OF EAGAN Inc sets of plans,
site plan w/elevations &
BUILDING PERNIIT APPLICATION 1 set of enerqy calculations.
~ -
Zb Be Used For ~~Valuation ~ 6 O Date
Site Address: ~ee~t L" S. i.i, /s+ OFFICE USE ONLY
I,ot 3 slocx sec./sub. GU g 4„Q~ ~;rect ~C occupancy
Parcel ~ D 3S SC) p30 O a ~ter Zoning 44
Repair Fire Zone
Oaner: Enlarge _ Type of Const.
Nbve # Stories
Address: Demolish Front (aa ft.
City/Zip Code: Grade Depth yp ft.
Phone APPROVALS FEES
Contractor: Assessaents Pennit
Address: l/);~~ ~L L 1. S• Water/Sewer Surcharge 3 y-~
,
uo Police Plan Check
City/Zip Code: an ST/Z.a- Fire SAC
Phone ~4• Water Conn. t/~ D~
Planner Water Meter %rJ ~
Arch./Eng.: councii Bldg. Off unit Q?~~o~
.
.9c]dress: APC
City/Zip Code:
Phone TOTAL
cirr oF EAcaN
' 3795 PIIM Kne6 Road Eagan, MN SSl'' N•° 8074
PNONF: 454•8 f 00
BUILDING PERMIT Receipt #
To ba wad /er SF DWG/GAR Est. Value $69>000 oate Mav 26 tq 83
Sire Address 1048 Wedgwood Lane South Erect ~C Occupancy R-3
Lot 9 3 Btock 3 Sec/Sub.Wedgwood lst Alter ? Zoning R-1
Parcel # 10 83550 030 03 Repoir ? Fire Zone NA
Enlorge ? Type of Const. V
w Nome Wm. Huttner Construction p,bve p # Srories
; Addreu- 1029 Wedewood Lane South Demolish ? Length 62
b C; Eaean 55123 pporve 452-3088 Grade ? Depth 40 Sq. Ft.-
p Name Owner Approrals Fees
u~ Address Assessment Pefmit 340.00
34.50
~ CI pha~ Water & Sew. Surchorge
Police Plan check 170.00
Ww Name Fire SAC 525.00
~W
x,~-~ Address Enp. WaterConn.450•00
iW Ci Phoro Planner WaterMeter 60.00
Council Road Unit 250.00
I hereby ackrwwledge that I have reod this applicotion and state that gldg. Off.
the inlormofion is corcect and egree to comply with all applicable AP~ T~o~ $]_82fj.$0
State of Minrxsoto Stotutea and City of Eagon Ordirwnce:.
$Ipnoture of PermiMeo
m. u ner ons ruction
A Building Permif Is issued to: _ an the express conditlon Ihai
all work sholl 6e done in occordonce with ull appliw6le Sfote of M'An o a Statutes ond Ciry of Eoyan Ordirwnces.
Buildin0 Officiol , r
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knab Road, Eagan MN 55122 o ~
~ Telephone # 651-675-5675
Please complete f= single family dwel{ings & townhomeslcondos when permits aze required for each unit
Date '3 l c30 / Q`/
Site Address 10Y2 Unit #
Property Owner -171(7,li ,JnCj Telephone # D/P75-
~
Contractor
Bumsvilie Heating & AIG, LLC
Street Address 12481 Rhoda Igland 1lve. Se. City
State Sevage, MN 55378-1122 Zip Telephone #(~1,5Z y a;os
Bond Egpires: 6 o 7
The Applicant is _ Owner Conhactor _ Other
Add-on or alterarion to existing dwelling unit [13Y30.00
furnace _Additional G' Replacement R 0 2 2004
air exchanger
airconditioner _New ~Replacement
other
State Surc6arge $ .50
Totai $ w v
I hereby apply for a Residenrial Mechanical Permit and aclmowledge that the information is complete and accurate; that the work will
be in confonnance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand tkus is not a
permit, but only an application for a pernut, 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.
~/1?Cr 3YeS/KCJ'ZCcf'/ (
ApplicanYs Printed Name ApplicanYs Signature
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan Cj
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. Single Family Dwellings
Townhomes and Condos when permits are required for each unit
DateVD / 03 r
Site AddC¢SS FERGUS, KATRIN I Urilt #
1048 WEDGEWOOD LANE SOUTH
EAGAN, MN 55123 ~
(651) 365-0675 Property Owner i Telephone # ( )
~ J
Cantrxctor NvRBL.VM TLVM~ING W,
(612) 82T-4033
Address City
•
State ip Telephone # ( )
The Applicant is _ Owner Y- Contractor _ Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
InGudes County fee. Additlonal consultant fees may apply.
AI[erations To Existing Dwelling Unit, Including $ 50.00
_ Adding fiMures to lower levels or room edditions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installatlon _ repair _ rebuild $ 30.00
_ Lnwn irrigation system
_ Water softener X Water heater $ 15.00
x replacement additional
$ .50
State Surcharge
Total I~L~I~~ , 1IS
I hereby apply for a Residential Plumbing Pernut and aclmowledge that the inforci!lat(on is completa"a`nd accurate; that the work will
6e 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, but only an application fot 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 wMch requ'ues a review and approval oFplans.
Je_~ r~oCUUVY-\
Applicant's Printed Name icanYs Signature
CLAIMVOUCHER-REFUNDREQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: PATRICK G FERGUS
ADDRESS: 1048 WEDGWOOD LANE S
EAGAN MN 55123
LOCATION: 1048 WEDGEWOOD LANE S
RECEIPT #lDATE: 28422 6/13/02
REASON FOR REFUND: OWNER'S REQUEST PERMIT 51587
VALUATION: $2,000
TYPE OF REFUND:
Plumbing Pernut 9001.4087 $
Mechanical Permit 9001.4088 $
Building Permit Fee 9001.4085 $ 69.00
Plan Review Fee 9001.4222 $
SAC (MC/WS) 9220.2275 $
SAC (City) 9379.4681 $
SAC (Admin) 9001.4246 $
Water Connection 9220.3865 $
Sewer Perntit 9220.4532 $
WaterPemut 9220.4507 $
Account Deposit 92202252 $
Water Meter 9220.4509 $
WaterTreatment 9220.4685 $
Surcharge 90012195 $
Oveipayment 90012250 $
Curb Box Deposit Refund 9220.2253 $
Conshuction Meter Dep Refund 92202254 $
Other $
TOTAL $ 69.00
I declace undei the penalries of law that Yhis accounC, claim, or demand is just and that no part of it has been paid.
8/23/02
SIGNATURE DATE
- - - - - - - - - - ~~~o! 2.ooZ
. .
- - . u1l.Sk_ -L~d__ - ./_Y_JQ_t~G_e._ _t~t¢. 4~u.iCaC.ia, f~Grw~?i t ul_P - - -
- - l~errn,'/'_~'- Glis~zoa~--
- ,Qc~.eaZtd~4-fe~ar-+a4 ~.il t~iS - /l2af.~!'-
U -
- - tol~e a_s~_
- - -~~-~c^-~~-- - - - _ . - -
- -
- -
- -
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- . AUG 22 2002
- - 77
'p-
RESIDENTIAL
BUILDINC PERMIT APPLICATION 0. U
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
J 851-881-4875 ~Q~
New Constructlon ReouhemeMS ` ' 9emodeVNensir Reaulrementa
• 3 registared site surveys showing sq. N. W bt, s~.Yt. ot house; and all roofed areas • 2 coples M plan
(20%maximumbtcoverageallowed) ~ . 7s fEnargyCa~ulalbnsforheatedaCtlioons
• 2 copies of p~n showhg beam & window Sizes; paured found design, etc.) • 1 s' survey for exterior adtlL'rons 8 decks
• 1 set ol Energy Calculetions \ • In icate N home served by septk system far atldmons
• 3 COpi63 oi TreB Pre88rveNOn PIBn fl b~ p18tlBtl after 7/17~3
• RUn,bislDatailOptbnssele'sheet(bldgswdh3or 7 DATE bv VAL ATION
SITE ADJREo w eA 0 L-vt S. MULTI-FAMILY BLDG _Y ~Y. N
TYPE OP WORK FIREPLACE(S) _ 0 11_ 2
APPLICANT k l1 L va \ c~l- r
STREET ADDRESS v ~ e V300 L C~ aSTATE ''~N ZIP ~25 y
TELEPHONE #~'p51 -505-00SCELL PHONE # ~ Fnx a
12- =37y-s
PROP'ERNOWNER NAY /J- '6 TELEPHONE# ~ s1-3~E_-0675
COMPLETE THIS SECTION FOR NEW" SIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RLiLES 7 70 CATEGORY p~q` ~
T~~ r
(J submission type) • Residential Ventilation C egory 1 Worksheet Su itted • n~i¢y~de Wo kshe bmittad
• EnergyEnvelopeCalcul ionaSubmittetl JUN 0 6[UUZ
Plumbing Conhactor: _ P one # ~
Plumbing system includes: _ Water oftener _ Iawn rinkler Fee: $90.00
_ Wate Heater No. of .I. Baths
No. o ~ Baths
MeChanical Contractor: Ph ne ~k
Mechanical system includes: _ Air Itonditioning Fee: $70.00
_ He Recovery System
Sewer/Water Conhactor: Phone
I hereby acknowledge that I have read thi application, state ihat the informatlon Is correct, and agree to comply
with all applVCable State of Minnesota St tes and City of Eagan t~dia a
SignatureofApplicaM - -
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
, Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 pSplex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling 0 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
Q 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) O 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex ;2r, 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? OB 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
O 31 New O 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
y- 32 Addition 0 36 Move Bldg. O 42 Demalish (FOUndation) 0 45 Fire Repair
0 33 Alteration 0 37 Demolish (Bidg)* ? 43 Reroof ? 46 WindowslDOOrs
O 34 Replacement *Demolition (EMire Bldg onty) - Give PCA handout to applicant
Valuation pccupancy MGES System
Census Code y~y 2oning , City Water
SAC Units Stories Booster Pump,
Nbr. of Units Sq. Ft. ' PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ~ W idth . , , . ~
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
7X 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. - Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675 I l3 s
New Construction ReouiremeMS RemodeVReoair Reauiremenls
. 3 registered site surveys shovring sq. ft. of lot, sq. 8. of house; and all roofed areas • 2 copies of plan
(20% mazimum lot coverage allowed) • 1 set of Energy Calculalions (or healed additions
• 2 copies of plan slmwing beam & vnndow s¢es; poured found dasign, etc.) • 1 site survey for exterior additions & decks
• 1 set W Energy Calculations • Indicate if home served by septic system for additbns
• 3 copies oi Tree Preservation Plan it lot platled after 7l7193
• Rim Joist Detail Options seleclion sheet (bldgs with 3 or less units)
(l oD
DATE 1 VALUATION -I ~7~
JOB SITE ADDRESS 10L19 _t Q, ~ O\i) c~o d. ~v~ . 7• ~0.0. c~-~ Il~v~ • 5 5 I a„~j
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER K*~' I L Eo r q u S
TYPE OF WORK TQr,,r roc~JP FIREPLACE(S) _ 0_ 1_ 2
APPUCANT To0 1 i'v~%O_ C6riShv' IcJ-1 0r~ PHONE# g5_~2 '21/
ADDRESS ~OD I.r~ ~1~~ ~~oorn~~~c+~-o~ ZIPCODE S.S~IaO
PAGER # CELL PHONE # 75~C4I~ 59LIFS6r FAX # gSa~ -901'?J1(o ~
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Coniractor. Phone
Plumbing System Includes: _ Water SofLener Lawn Sprinkler Fcc: $90.00
Water Heacer No. of R.I. Ballis
No. of Baths
Mechantcal Contractor: Phone #
Mechanical System Includcs: _ Air Conditioning Fee: $70.00
_ Heal Recovery Syslem
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanc . ~
SignatureotApplicant
Certificates of Survey Received _ Tree Preservation Pfan Received _ Not Required _
Updated 2002
G(f~0-` 7 •Her 771
-SURVEVOR'S CERTIFICATE
• $IENNA CORPOIRATION N
\ So ,yjy,4'/
N85059117"W ' ~ .
L
198.26
~Yzs lr,
m
ao ~ ~ ~ io d i D ~
~t~.o1 N ~ iTl
A3 Q`r A NO I O
~ •D` P~e ~ N:P~ 0
• ' (n ~ O
ti oePV`` n,qzza- ~ 10 C
LOT 3 30 ,
V ~ 169,6 G
/ S /0$~3
i ~
~ T2~•s , 5p
/ ~ o\
c~aC, Za `
5 ~3,4g`2 t
to - \
M ir ir.
o IA
N M
f'
Z U+ {A lJ
~t l J c; b. tf
Q DENOTES IRON MONUMENT SET SCALE: 1 INCH ° 50,,.FEET
a DENOTES IAON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9z7.0 FEET
0 DENOTES WOOD STAKE PROPOSED LOWEST FLOOR = 919•0 FEET
XO00.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION= 7t7.3 FEET
(000.0)DENOTES PROPOSED ELEVATION
pENOTES DIRECTION OF SURFACE DRAINAGE
i hereby certify that this is a true and correct representation of a
survey of the boundaries of:
Lot 3, Block 3, WEDGWOOD FIRST AODITION, according to
the recorded plat thereof, Dakota County, Minnesota.
And of the location of all buildings, if any, thereon, and all visible T~
encroachments, if any, from or on said 1and. As surveyed Hy me this~
day of Cq , 198Z.
ApPROVED FOR SIENNA SIGNED: JAMES . HILL$ INC.
CORPORATION
BY: BY: Q~S
ROBERTS ARCHITECTS . Harold C. Feterson, Land Surveyor
DATED THIS UAY OF Minn. Req. No._ 12294
198_
PROJECT NO. BOOK / PAGE JANiES R. HILL, INC.
51178
Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue South
FOLDER Bbotnington, Mn. 55431 812-884-3029
PERMIT# 4 1 RECEIPTDATE:
2002 RESIDENTIAL PLUMBINfi PEftM1'I' AP#'LICATIOIV
ct1'Y oF EAsArt
3830 Pnor Kivos itu
EnaAN. MN 55112
651-6$1-4675
Please complete for, single family dwellings, tuwnhome& and wndos when permits are requited for each unit,
backflow preventer for irrigation system
SITEADDRESS:
OWNER NAME:: TELEPHONE#: 651 3e5 ~ 067ei
(AREA CODE)
INSTALLER NAME: ~ST' ~.1ION UN~L ( c.sw~ TELEPHONE --'S -3F~ 9Z~
(AREA CODE)
STREET ADDRESS:
CITY: /-4D5o-a-r STATE: A i ZIP: S/A,11/
SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit 5/8" meter if needed -$118)
Other:
RPZ: new installation/repairlrebuild $ 30.00
_ lawn irrigation system
X water softener _ water heater $ 15.00
Replacemendadditional: /T
State Surcharge D~~~ 50
JUN 2 0 'IUU °
TOtel
-
Iherebyacknowledgethatlhavereadthisapplication,statethattheinformationisconect,anda reetocom ' Ilapplica6feCiryofEaganordinances.lt
is the applicanYs responsi6iliryto notitythe property owner thatthe City of Eagan assume bility for any damage used by the City during its normal
ent.
operational and maintenance activities to the §cilities cOnstructed under this pemi hin propeao! f-w a"-
IGNATURE OF PERMITTEE 1102
_ ' \ C.. ~ ' -
RESIDENTIAL
' BUILDING PERMIT APPLICATION
CITY OP EAGAN ~ '_7 0, 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Canslruction Reouirements RemodellReaair Recuirements c ~
• : regrsterea eite surveys showing sq, fl. eCcC sq. R. of house; and all roofed areas • 2 copies of plan
20°'a maximum lot coverage allowed) . 1 set of cneyy Caiculations `or heated atldilions
. _ c00ies of clan showing beam 3 windew srz_s;,poured found design, elc,) . 7 sire survey `or >x:enor additions d decks
• 1 szt of Energy Calculations . Indicale'f hcme szrved by septic system for additicns
. 7 ccpies of i ree Preservation Plan if lot piaVed a.'er 717193
• Rim Joist Oetail Options selectwn sheet (6idgs witi 7 or less units)
~
DATE VALUATIO!~
SITE ADDRESS ~OYt7 ° ~ L,ahe_ So MULTI-FAMILY BLDG _Y ZS N
ii
TYPE OF WORK bv.:QL~. ~o`P~I~~~ ~ PIREPLAC
APPLICANT
STREETADDRESS o?04 G(),5S74 9wol.5.`L ~ CITY min/.+ 7 STATEMA/ZIP
TELEPHONE CELL PH01'# 6A4'~.20FAX
PROPERTY OWNER Q TELEPHONE
? ~'•,y „
COMPLETE THIS SECTIO~ FOR NEW RESIDENTIAL BUILDINGS ONLY
Ener Code Cate9o ~i ~ ~(IV'~ •
9Y rY \[INNI:.tiU'f iR[iLGS 767(, ',.1"1'LGORY l
submission type) • Residenti: ~ Jentilation Category Worksheel Submitted • New ~C@e ~or~sh~t ~ d
• Energy C ,velope Calcula6ons SL mitted
JUL 12 2002
;
Plumbing Coniraetor: Phone
Plumbing systcm includes: _ Water Softencr _ I,awn Sprinl:ler y . •
Water Hcatcr vo. oFR.I. Baths
No. of Baths
~ ,
, ~
Mechanical Contractor Phone #
Mcchanic,il syStctn i!.c;ludc;: Air Coudiuonin, Fcc: S70.00
Hcal Rccovcn' Sy'stcm
Sewer/Water Cor;ractor. Phone #
I hereby ackrlowledge ihat I have read this application, state that tl %informaticn is correct, and agree to comply
with all apF~icable State of Minnesota Statutes and City of Eagan CrdinanJ es.
Signature of Applicanf
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY - , ' • -
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchrAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 70 OS-plex )K18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 43-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding
?i, 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (EnHre 81dg only) - Give PCA handout to applicant
Valuation ~ Qi'~ Occupancy t~z ~ MC/ESSystem
Census Code N9N Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const VIA) W idth
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
~i Footings (deck) FinaVNo C.O.
_ Footings (addition) Plumbin
Foundation g
- HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs AirrGas Tests Final
_ Framing _ Siding Smcco Srone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _ Retaining Wall
- .
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
cay sac
,
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies , a 5
Other
Total
cu'- i-iui~.~.~ :AVEYOR'S CERTIFICATE ysy-3~;-~
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O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 50 FEET
• DENOTES IRON MONUMENT FOUNA PROPOSED GARAGE FLOOR = 9270 FEET
? DENOTES WOOD STAKE PROPOSED LOWEST FLOOR =~~Yv FEET
X000.0 DENOTES E?(ISTING ELEVATION PROPOSED TOP OF FOUNDATION= lt7•3 FEET
(000.0)DENOTES PROPOSED ELEVATION
DENOTES DIRECTION OF SURFACE DRAINRGE
I hereby certify that this is a true and correct representation of a
survey of the boundaries of:
Lot 3, Block 3, WEDGWOOD FIRST ADDITION, according to
the recorded plat thereof, Dakota County, Minnesota.
And of the location of all buildings, if any, thereon, and all visible
encroachments, if any, from or on said land. As surveyed by me this ~
d a y o f MAEC" , 198L.
APPROVED FOR SIENNA SIGNED: JAMES R. HILL, INC-
CORPORATION
BY: 6Y:
ROBERTS ARCHITECTS Harold C. Peterson, Land Surveyor
DATED THIS DAY OF Minn. Reg. No., 12294
198_
PAOJEC7 NO. 800K / PAGE JAMES R. HILL, INC.
81178
Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue South
FOLDER Bbotnington, Mn, 55431 812-884-3029
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Road PERM11 NO'' ! • 866 � , `
55121 DATE:
•
No. of Units 3
Hunter Const
Connection Chorea 4 50..00 pd
Account; Depose —
.Reader No:: Permit fee 10 : 09 pd
tit the City of 164010 Surcharge * 5 Dd
; , Misc Cho . ' pd mete } •
a J : . 3
Ct1 EAGAN iEWEit SERVICE PT
a m ; Knob Road
t.:::i� 2199 PERMIT NO S9 Y'r
rIeTP. 1/ i31 f3
Zoning: if 1 ,No. of Units: aJ
: , • uttriSr'
Address: { °'
site /idress: 4 W dt i+C3t f $c 3 133 t ed wood lst
Plumber. ..
Ia0.Q4 pd
5 — 83 36423_
• to coat wtek tits of Ea C onnec t • ,, . r -. • $' 5 . f? 0
tb�iaoaees: i Q Accou • ... t: r
/ 14 sir ..
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BY :o :; !a.>� =
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ins Peid
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132768
Date Issued:09/02/2015
Permit Category:ePermit
Site Address: 1048 Wedgwood Lane S
Lot:003 Block: 003 Addition: Wedgewood 1st
PID:10-83550-03-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 -
John R Lick
1048 Wedgwood Lane S
Eagan MN 55123--193
Great Lakes Window & Siding
14690 Galaxie Ave
Apple Valley MN 55124
(952) 891-3400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150921
Date Issued:07/30/2018
Permit Category:ePermit
Site Address: 1048 Wedgwood Lane S
Lot:003 Block: 003 Addition: Wedgewood 1st
PID:10-83550-03-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
John R Lick
1048 Wedgwood Lane S
Eagan MN 55123--193
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature