1052 Wedgwood Lane S . . _
. cin oF E?GAN $459
` 3795 PIle1 Koeb Read Eagan, MN 55142 '
-
PHONEs 454-8100 _
BUILDING PrkMIT aeceirx #
Te bo wad We Si' DWr-/C;AF. Est. Volue $75,0Q0 dote Septenber 7 14 81
Site Address egwoo ane . out i r_j
Eroct 4 Occuponcy
~
Lot Bl 3 F"edgwood lst Alter ? Zoning R-1
~k•v -~Sst/5~
Repofr Q Fire Zone :iA
Parcel # Oak C
Enlorpa ? Type of Const.
~ Na~ hase Bullders, Inc. Mo„e StorieA
= wddress 3460 Washingtou Dr., 204 p~~~ish ? Length52_ `
~ G L.agan 55122 ~ne 454-7965 Groee ? Depth 51 Sq. Ft.
~ Na~ kmer Appeovals F.es
u~ Address Assessment Permit J.
Ci Phone Woter 8. Sew. Surchorga ~
Police Plon check ~
Fw Ncme Firo 5/1C > .
i~ /Iddress Enp. Water Conn.
<W CI Phone Plonner Woter Meter
Councfl Rood Unit ~
I hercby acknowledge that I hove reod this opplicotion ond stete that Bldp. Off.
the informofion Is correcS ond ogree fo comply with all applicoble A~ Totol ~1864.50
$tata of Minnesoto Stotutes and City of Eagan Ordinances.
Sipnature of Permittee L9ak Inc.
.
_ _ ,
A Buflding Permif is issued to: on the express condition that
oll work sholl be done in acw?donce wlth all oppliwblt 5totr4af-hltnr+e3o""fo~totutes ond City of Eoqan Ordinonces.
BuUdinq Officiol - -
Parmit No. Permit Holder Misc. Permit No. Hoidar
Piumbing 3T~
H.v.ac. D 35 ~'u.d!o-f3-~3
w.n
Water
Disp.
Sewe~
ElectriC w~-7 %W(p
Impsetion Date Insp. ather
Footinys q
Foundetion
Framinp
Rouph PI6p.
Rouqh HVAC djdql
InwlMion
Final Plb~ Final HVAC 4dw
Final ~
waur Dssaibe Locatian: t
YVall .
Sswer
.,.AN
Pr. Dhp.
CITY OF EAGAN r~
3830 Pibt Knob Road, P.O. Bcx 21-199, Eagan, MN 5512f - , 12212
PHONE: 454-8100
BUILDING PERMIT Receipt# `1~(vv
To be used tor DECK Est. value $1,500 Date JUNE 27 ,19 $6
Site Address 1052 WEUG'n1nOD LIr SO Erect ~ Occupancy
Lot 2 Block 3 Sec/Sub. WEUGWOOD ZST Remodel ? Zoning
Parcel No. Repair ? Type of Const
Addition ? No. Stories
W Name n~%NN I S nAULTON Move ? Length 2 6
= SAME Demolish ? Depth $
a Address Int Impr. ? Sq. Ft
Ciry Phone 454-5 59 Install ?
o Name SAME Approvals Faea
~ a Address Assessment Permit ~ 2 5. 0 U
~ City Phone Water 8 Sew. Surcharge 1. 0 0
rj Q Police Plan Review
F = Name Fire SAC
~a Address Eng. Water Conn.
i W City Phone Planner Water Meter
Council Road Unit
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gld . Off. 6 27 86 Tr. PI.
information is correct and agree to comply with all applicable State of g
Minnesota Statutes and City of Eegan Ordinances. APC Parks
~ .50
Signature ot Permitteel Var. Date Copies Total 4i'z F3 . -j u
A Buildin9 Permit is issued to: , DENNIS DAULTON on the express conditlon that
all wark shall be done in accordance with all applicable ,t~e of MinnesotA Statu ~etd-6ity of Eagan Ordinances.
~ '
Building O(ficial
~
I v n g ? T T g a a m T m ? ~
~ r O ~ s x r s 7 .o ~ nr a> a> ~ g
~ Q 7
n
0
z ~
_
. a
f ~
Z ~
,
. v,
~ *
CITY OF EAGAN Remarks
Addition jVEDGWOOD 1ST ADDN. Lot Z Bik 3 Parcel 10-83550-020-03
Owner Street 1052 Wedgwood Lane South State EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. •g 1981 58.69 2.93 20
STREET RESTOR,
GRADING Sg 1981 186.48 12.43 15 136.76 A013360 12-28-83
Sewer Lateral 41-7 1981 313.16 20.88 15 it it
SAN SEW TRUNK y 1981 198. SO 13.23 15 145,58 " "
SEWERLATERAL 60 1981 197.54 9.87 20
15.9 - 06
Sewer Lateral 1982 133.17 8.87 15
106.56
WATERMAIN
WATERLATERALTTIC I981 262.18 17.48 IS 192.30 1 0 12-Z -83
WATER AREA v 1981 198.50 13.23 15 145.58 11
*Water Lateral 07, 1982 98.57 6.57 15 78.86 STORM SEW TRK +
STORM SEW LAT
*Powerline Relocatio 1982 S
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD IT 250.00 38476 -7-83
WATER CONN, 45O.00 vi of
BUILDING PER. $459
SAC
PARK
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN . .
Fee ,
' Fill in numbered spaces S/C
Type or Print legiWy - •
Tot. -
1. Date • 2. Iqstallation C,ost
3. Job Address Lot7-._Blk. 3_ Tracf~'
T-
4. Owner ~ - ~F----a-.,1
5. Contractor _ Phone
6. Address
7. City State ~ <~o-,~• Zip -
8. Building Type: Residential Commercial ? Institutional 0
9. Work Description: New El Add O Alter ? Repair ?
10. Describe Fuel Type ` -
11. No. EQuioment BTU - M. Ea. No. Equipment CFM
Forced Air ' Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg. ,
Unit Heater . _ .
Mfg. ' Other
Air Cond.
Mfg.
Gas, Piping Outleu
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. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT ~errnit No. a
CITY OF EAGAN •
Fee
Fill in numbered spaces S/C 'S u
Type or Prini legibly
Tot. c,-
1. Date /'~71 2. Installation Cost O U
3. Job AQdress~Z Blk. _3 Tract ~ d
4.Owner 0644" y
5. Contractor '-XZL Phone L~2?
~
6. Address ; / j---N4~.~ 'P- ~.~--T+g.~-
7. City ~ I State Zip ~j
8. Building Type: Residential ZP-- Commercial ? Institutional ?
9. Work Description: New Q--~'Add ? Alter ? Repair ?
10. Describe '
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
~ Bath tubs 5eptic Tank
-7_ Lavatory Softner
Shower Well
~ Kitchen Sink
UrinaUBidet Other / < ~T
Laundry Tray
Floor Drains Y
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above intormation is true and eorrect, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : J~, - •._s~f: - i for i . '
Rough Final ~
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved ~,,CITY OF EAGAN 454-8100
CITY OF EAGAN
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 65121.N2 ' _ 12212
PHONE:454-8100
; BUILDING PERMIT Receiptn to V-24'an
Tobeuaedtor DECK Est.Value $1,500 Date JUNE 27 .ig 86
SiteAddress 1052 WEDGWOOD LN SO Erect IN Occupancy
Loi 2 eiock 3 secisub. WEDGWOOD 1ST Remadel ? zonin9
Parcel No. Repair ? Type of Const.
Addition ? No. Stories
w Name DENNIS DAULTON Move ? Length 2 6
Demolish ? Oepth $
o Atldress $~E
454-5859 Int.impr. ? Sq.Ft.
Ciry Phone Install ?
a
Name $ApgE Approvals Fees
e
$Q nddress Assessment Permit $25.00
~ City Phone Water & Sew. Surcharge 1• 0Q
~ a Police Plan Review
t i Name Fire SAC
Address Eng. Water Conn.
a W City Phone Planner Water Meter
Council Road Unit
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bidy.On. 6/27/86 Tr.PI.
information is correct and agree to comply with all applicable State of
Minnesota Statutes an ~ of Eaganrffrdrt+ nces. APC Parks
Var. Date Copies .50
Si9nature of Permittee $ 2 6. 5 0
Total
A Building Permit is issued to: D NI S DAULTON on the express condition that
all work shall be done in accordance with all applica le of Minneso Statu 'ry ot Eagan Ordinances.
Building Official
~ .
CITY OF EACaAN N° 8459
~ 3795 Pilof Knob Reod Eagan, MN 35122 •
` PHONE: 434-8700 ~/~/7 I
BUILDING PERMIT Recelpt #
T. M aud fw SF' DWG/GAR Est. value $76,000 pa1e September 7 , 1 q 83
Site Addreu 1052 Wedgwood Lane South R-3
Erecf %f Occupancy
Lot 2 Block 3 5K/Sub. Taedgwood lst Alter p Zoning R-1
parcel # 10-83550-020-03 Repair ? Flre Zone NA
Enlarge ? Type of Const. v
W Nome Oak Chase Builders Inc. Move ? # Stories
z Addreu 3460 Washington Dr., li204 pemoiish p Length52=4
Ci EaQan 55122 pho„e 454-7965 Gmde ? Depth 51 Sq. Ft.-
o Name Owner AVP•orals Foes
•
O'~' Address Assessment Permit
u~ C~~ Pha~O Wo1er 8 Sew. SurcFarge 38.00
Police Plan check 180.50
Uzw Nome Fire , SAC 525.00
Address Eng. Water Conn. 450. 00
<~w ci phone Plonner Woter Meter 60.00
Council Rood Unit 250.00
I hereby ackrowledge thct I hove read this applicarion ond state thof Bldg. Off.
the inlormotion is corrett and ngree to comply with oll opplicable APC Totol $1864.50
State of Minnewta Statutes and City of Eagon Ordinances. SiOnoture of PermiHee a Chase Buil e, Inc.
A Building Permit is issued to: ~ on the express tondition Ihni
ali work sholl be done in atcordance with fl i ble t or~atutes ond City of Eagon Ordinonces.
Buildinp Offtciol
~ p-~ ~q CITY OF EAGAN Include 2 sets of plans,
0 1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
To Be Used For SFD/Gar Valuation *""im- Date August 31, 1983
site Pddress: 1052 Wedgewood Lane So~~'k oFFiCE USE ONLY
Lot 2 Slock 3 Sec./Sub. Wedgwood 1sCErect X Occupancy
Parcel l ~ 3 S S C) -0 ZO - O 3 Alter Zoning
Repair Fire Zone
Ownar: Oak-Chase Builders, Inc. Enlarge -Type °f Gonst.
Nbve # Stories
Psidress: 3460 Washington Dr. #204 Deimlish Front 52-y ft.
City/Zip Code: Eagan, MN 55122 Grade Depth S/ ft.
Phone 454-7965 APPROVALS FEES
Contractor: Owner Assessments Permit ' ,36~1
Address: Water/Sewer Surcharqe 3 g
Police Plan Check / $p
City/Zip Code: Fire SAC
Phone Ehg. Water Conn. 5ib`i7
Planner Water.Meter /06
Council 12oad Unit a56
~~`.~g.: - Bldg. Off.
Address: APC
City/Zip Code: _ 0- rP
Phone # : 'IbTPS.
${>(oio53Co ~ 7e p°
2004 RESIDENTIAL BUILDING PERMIT APPLICATION (2c[EE ncL /d4lJ°y
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements RemodeVReoair Requirements
3 regislered sife surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas 2 copies of pian ~~~'6S.` Re~ ~(20°k mazimum lof cwemge allowed) 1 set of Energy Calculations for heated adoYtions ~kE8PC2s ,'iSft:RaCd .•IV,2 copes of plan showing beam 8 window sizes; poured Found design, etc. , 1 site survey for addiiiom & decks Iree Are5 Reied
isetofEnergyCalculations Addition - indirateifon-sifesepficsystem Dr~.s~te8ept~c~5lem _Y?_H'.
3 copies of Tree Reservation Plan if lot plaRed after 711l93
Rim Jois1 Detail Opiions seleclian sheet (61dgs wtlh 3 or less unils
Dafe 1 0T)ej3Vj0'0Ar, ~L4-^e S ConstructionCost
Site Address Unit/Ste #
Description of Work Oe/'a
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner f~~ ~gl~' Teiephone #
Contractor 3n~~ p` V'96°frr- -SF 2-
Address City~n~
State Zip Telephone d'4r "M Lf Z-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catezorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Wahsheet
(d submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 257o plan review
fee applies.
Licensed Plumber Telephone #
Mechanical Contractor Telephone J
Sewer/WaterConfractor Telephone#( )
I hereby apply for a Residential ilding Permit a~n ac owled~that e i nformation is complete and accurate;
that the work will be in conform kA ;=d+h *hP ^*d;^ancP 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 ork which requires a review and
approval of plans_
Applicant's Printed Name Appli t's Signatu
Certi£icatc Por:
. I
Oak Chase Buildera
4525 Uak Chaae Way '
Eagan, Fin, 55123
DELMAR H. SCHWANZ ~
LANOSURVEVORS, 1ANC. I
Reqisb(etl Unaer l,aws of Tb¢ State o1 MinnesoU
2978 - 146TH STHEET W. - BOX M ROSEMOUNT, MINNESOTA 55068 PNONE 612 423-7769
SURVEYOR'S CERTIFICATE ~
SCA[.E: 1 inch = 30 feet Elevations ahown are existinq i
Denotes set wood hub ~
Denotes proposed drainage l
l~ /Y~ t'. C I 1
v
r.~
24
zs%
;
, . ~
n
,-f-1` p~c
\M
~
i Drainage & utility
~ easement
n~~.-/~--
, - i
o
/v_-'--.
Proposed garage floor J ~ ~ ' , ' " , , ~ •
elevation . .4I
I hereby certify that this is a true and correct repreoentati•)n of
Lot 2, Block 3, WEIX;id00D FIRST ADDITION, according to ttie re.:ordcd
plat thereof, Dakota ::ounty, P4lnneaot3.
Also sho:iing the location of a proposed house d9 staked thercon.
Dated: August 31, 1983
~
M;NNESOTA REGISTRATION NO 8625
r !
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12~ 1986 BIIILDING PERHIT APPLICATION - CITY OF SAGAN
NOTE: ALL CONTRACfOHS MOST BB LICENSSD HITH THB CITY OF EAGAN
3INGL8 FANIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DWELLINGS - HfiSIDSNTIAL 9ENTAL OBITS F08 SALS QNITS
INCLUDE 2 SETS OF PLANS, CEBRIFICATE OF SQRVEY - CHSCB i1ITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COHIMERCIAG
INCLUDE 2 SETS OF 9RCHITECTUAAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE ~
To Be Used F:1 Valuation:•Date:
Site Address OFFZCE OSE ONLY
Lot ~ Block ~ v Erect -5e Occupancy
Remodel Zoning
Pareel/Sub W-~°~qyvs-y~r ( r" Repair _ Type of Const ~
~l Addition # of Stories
Owner y, rq( ~ 1-mr? Move _ Length ~
-I Demolish Depth
Address L'('~ Int.Impr. _ Sq Ft
Install
City/2ip Code (12/` t'
Phone ~ APPROVALS FBE3
Contractor Assessments Permit G~ J~
L Water/Sewer Sureharge ~
Address '0~ Police Plan Review.
Fire SAC
City/Zip Code r Engr Water Conn
Planner Water Meter
Phone Council Road Unit
Bldg Off(.27 -Yb Treatment Pl
Arch./Engr. APC Parks
Varianee Copies
Address TOTAL
City/Zip Code
Phone #
NOTE: ADDSESSfiS FOR CORNER LOTS - CONTRACYOR/HOMfiOidNfiR MQ3T DESIGNATfi pHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE 9LLppSD ONCE BOILDING PfiRMIT IS ISSIIED.
PERMIT # g alp(4 RECEIPT DATE: i l-d 9-a 1
R£SI)ENTUL f'LUM$INfl PERMiT APPLICATiON
CITY OF EkfiAN
SSSO fILOT KAOB iiD
$ABAP, MA 55122
851-6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS: ( D S.~) ~ E,b G E u6ob Lh sa
OWNERNAME:: QERN TELEPHONE#:
(AREA CODE)
INSTALLER NAME: eFi 4E TELEPHONE S'(- YJ7-95-3 --2
(AREA CO~E)
STREET ADDRESS: /'O ~C~ }L P-J
CITY: ~`cYd+t~~i oq STATE: {M ZIP: .~~~S_5-
Place a check mark next to the ermit work type
Add-on, modi£cation or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
. new installationlrepairlrebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work: ;6AV 2 E_ftocCE )I
Septic System, new/refurbished - $ 225.00
. includes County & Consulting Inspector fees
. requires MPC license
Water turnaround - existing dwelling unit, including: $ 50.00
• 5/8" meter 115.00
$ 165.00
State Surcharge $ .50
Total $ SO, SO
I hereby acknowledge lhat I have read this application, state that the information is correct, and agree to complywith all applicable Ciryof Eagan ordinances. It
is the applicanYs responsibiliry W notiTy the property owner that [he City of Eagan assumes no Iiabiliry for any dama aused by the City during its normal
operational and maintenance activities to the facilities conshucted under this permit within i pmpertylright-of-, y/ sement.
SIGNATUR OF MITTEE 1/02
V4 U MECHAIVICAL (RESIDENTIAL) ~J~
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete foc Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
Dete C) 2 i l?-j i 03
Stte Address ~ v52- V`~d ~~`'N S• ~ Unit #
o~~ t~~v 551 Z3- l q 3 4
Property Owner L~r•O.,`~. Telephone # ( (OJ 1 ) (&Ko - ~,Clps
Contractor
StreetAddress ~lQl2S INJ~'~$L-•~ 'C_Q-~~55 City
-gq Z(a
State Zip 5~~a$-CNyCSS Telephone (a r'J I):322
The Applicant is _ Owner ~ Contractor _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
~ furnace replacement
air exchanger
air conditioner
other
State Surcharge $ .50
Total uj FEB 1 8 2003 I JI$ -1)0.50
By
I hereby apply for a Residenrial Mechanical Pemut and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand tlus is not a
permit, but only an applicarion for a pernut, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in the case of work which requues a review and approval of plans.
~ \ ti L2 t"~ . r st r
Applicant's Printed Name Applicant's Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1052 Wedgwood Lane S
Lot: 2 Block: 3 Addition: Wedgewood 1st
PID:10- 83550- 020 -03
Use:
Description:
Sub Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
e- Fireplace Construction Type:
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Andrew Hoffman
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
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.
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Richard H Bean
1052 Wedgwood Lane S
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA080754
10/29/2007
ePermit
i N WATER SERVE '
e knob Road
1199 PERMIT NO =
MN 55121
a 1
No of Units:
1
• E k Case 111A
• c erk ` T?e ncl U.Ikf? 6
• ..,- Meter Info Connect Chc rge:
Suss Account Deposit:
Reader Nor. `.Pe Fee: 10. p
1 pies to ooempIy w 1Nr the Cit' of 2419°11 Surt1 u rge: .5 pd
ordiaenoa. 11+11st. Chorgas; 6 Etr
//�� Trtaii
By c'..i( • • ' • Date Paid:
Date of insp. `I - Insp
M GAN SEWER SERV1� T' -
a .4 nob Road 113
. Cl, ox, x1199 PERM T NO.:
MN 5512 �" -� �.
Zeroth,: No. of units:
" owner: Oak Cha a SWS
d e So L2 83 lied 1st
Site . Address' 145 it/AOCC� L.at!
,. plumber: Weierke reaching
9.7.83 476 100.00 pd
';: 1 agree to comply wkly the G!Y levon Con action Charge ; - „ X25. Q tI
tlrnanea. unt Deposit: , `'
;Permit Fee• `10.00'
Su�+Q►ee: . 50 : Pd
g Mdse. cia,es:'
Dote of In a e-k , Total:
Insp. - /f3 =1'' .*3 Date Paid: .e'°,� ''`—
Use BLUE or BLACK Ink
r________________�
I For Office Use I
C� � Permit#: /� � �� I
��J O� ��6�� I Permit Fee: �V � �� �
3830 Pilot Knob Road
Eagan MN 55122 � Date Received:�� / �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name�G�� ��� Phone:���^ ��� �v o �
Resident/ �'p�'o1 � "'C�.�C��(,u9�1� G,�,. S- ���r '`� ��L.�
Owner ' Address/City/Zip: (/" �
Applicant is: Owner Contractor
Description of work:_1(�Q '�il�U
Type of Work :
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Construction Cost: L ���� Multi-Family Building: (Yes /No
Company:�� I � ��G� �ti'�� ,�/'-�° Contact: ��"��"- ��1�Y �
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C'ontractor Addressl��� � D �° L" '��� � �` City:��,a�,C��`"J
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State�'�Zip:���� Phone� � _,�d� Email:�V�G�� � �l� ��
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License#: ����C� Lead Certificate#: �� f� «
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? II
�
_Yes No If yes, date and address of master plan: 'I
I
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered#o be public information. Portions of
the information maybe c/assified'as non-public if you provide specific reasons thatwould permit#he 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.qopherstateonecall.ora
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 ode must be completed within 180
days of permit issuance.
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ApplicanYs Printed Name A p c t Sig ature
Page 1 of 3
Use BLUE or BLACK Ink/j
For Office Use 11 ����
94,47
Permit#: /_( 2 L�
City Eakall Permit Fee: /� 6
3830 Pilot Knob Road ,c
Eagan MN 55122 Dale Received: (77A-
Phone:(651)675-5675 RECEIVED Staff: `;ir
Fax: (651)675-5694
APR 242017
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4/20/17 Site Address: 1052 Wedgewood Lane S Unit#:
Name: Jill & Richard Bean Phone: 612-282-2929
Resident/ - 1052 Wedgewood Lane S
Owner _ Address/City I Zip: g
Applicant is: Owner X Contractor
Type of Work
Description of work: Bathroom Remodel-See Attached Drawing
-- Construction Cost: 5996 Multi-Family Building:(Yes /No X )
company: US Patio Systems Contact: Ray Madden
Contractor
Address: 218 N River Ridge Circle City: Burnsville
State: MN Zip: 55337 Phone: 952-314-9885 Email: asnook uspatiosystems.com
License#: BC661813 Lead Certificate#: F119453-1
If the project is exempt from lead certification, please explain why:
Built after 1978
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:
NOTE:Plans-and supporting documentsthat you submit are..considered to be public information Portions of
the information maybe classified as non-public-if you provide specific reasons that Would permit theCity fo
conclude that the are trade secrets =-
CALL BEFORE YOU DIG. Call Gopher State One Cali at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. tiw w.goeherstateonecall,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 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.
Wendy Rache r
Applicant's Printed Name Applicant's Signature
Pagel of 3
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 Y' Interior ImprovementSiding Demolish Building*
_.__
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 * ` Occupancy T-w C --i MCES System
Plan Review Code Edition wet 24:),c SAC Units
(25%_100% 16) Zoning ?D City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required _
Type of Construction V 3 Width
REQUIRED INSPECTIONS
_^ Footings (New Building) Meter Size:
Footings (Deck) Final I 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
10 Insulation Windows
__ Sheathing Retaining Wall: Footings Backfill—Final
__ Sheetrock Radon Control
T, Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
—_ Shower Pan Other:
Reviewed By;I-664't M:.1`,/yfr , Building Inspector
RESIDENTIAL FEES
Base Fee X '
Surcharge -lr f" 'r''+IrNei OOf') , ,
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink/
For Office Usse� I (/01
/'7V" -3 3 0 la-- .(
City of Eagan Permit#: Q. v ,
Permit Fee: _
3830 Pilot Knob Road
cdif
Eagan MN 55122 RECEIVED Date Receive
Phone: (651) 675-5675 //
Fax: (651) 675-5694 APR 2 4 2017 staff:
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 4/20/2017 Site Address: 1052 Wedgewood Lane S
Tenant: Suite#:
Resident/Owner
Name: Jill & Richard Bean Phone: 612-282-2929
Address/City/Zip: 1052 Wedgewood Lane S, Eagan, MN 55123
Name: US Patio Systems License#: PC708206
Contractor
Address: 218 N River Ridge Circe! City: Burnsville
State: MN Zip: 55337 Phone: 952-314-9885
contact. Ray Madden Email: asnoak@uspatiosystems.com
Type of Work —New ✓ Replacement Repair Rebuild Modify Space Work in R.O.W.
.... .................... ..................
Description of work: Bath Remodel-See Attacjed Drawing
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation( RPZ/_PVB)
Permit Type Add Plumbing Fixtures( Main/ Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
•
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$
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.nopherstateonecalLorq
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.
x Wendy Rache x . ` % (
Applicant's Printed Name Applicant's Signature -
FOR OFFICE USE Reviewed.By. Date:.
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157226
Date Issued:08/09/2019
Permit Category:ePermit
Site Address: 1052 Wedgwood Lane S
Lot:002 Block: 003 Addition: Wedgewood 1st
PID:10-83550-03-020
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Richard H Bean
1052 Wedgwood Lane S
Eagan MN 55123
(000) 000-0000
Midwest Exteriors Plus Inc
6451 Sycamore Ct N
Maple Grove MN 55369
(763) 427-9696
Applicant/Permitee: Signature Issued By: Signature