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1054 Wedgwood Lane S cinr oF E?cn?N 3795 Nlot Knas Road Eoqan, MN 55122 ' • PHONE: 454-8100 BUILDING PERMIT Receipt # - Te be wed fer Est. Value Dote 14 Slte Address Erett p Occuponq Lot Block Sec/Sub. /11ter p Zoning parcel # Repoir ? Flre Zone Enlcrpe ? Type of Const. W Nome Move ? # Stories ; Address DemoHsh ? Length b C; pF,one 6rade ? Depth Sq. Ft. 1 o Narne ApProvals Faes Addrcss I'+ssessment Permit ~ ~ Ci ph~ Woter b Sew. Surcharpe F Police Plan check ~w Name F FI re SI~C Address Erq. Woter Conn. iW Ci phone Plonner WaterMeter Council Rood Unit 1 hereby ocknowledge that I have read this applicotion and stote thnt gldp. Off. the informafion Is correct and agree fo comply with all opplicable Totol Stota of Minnesota Statutes ond Ciry of Eogon Ordirwnces. Siflnafure of Pertnittee /1 Building Pertnit Is issued to: on the express condition 1hm ofl work sholl be done in ocwrdonce with oll oppliooble State of Mlnnesoto Statutes and Ciry of Eoflon Ordinonces. Buildirq Offlcial i.c:~. _ - Permit No. Permit Holder Misc. Psrmit No. Holder Plumbiny H.V.A.C. w.u w~. Disp. S~vwr Elsctric ~ f (pGb p•g~-j~(o 8',td ~'Z (0 [ l Irupection DsN Insp. Other Footings "'.~/,C n • Foundetion Framing ~ Rou9h Plbq. •2 (.J Rouph HVAC Inwlation Final Plbp. Final HVAC . ~ ~ Final Water Wrcribe Loeation: VYell D 5swsr Pr. Di~p. ' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 QUILDING 'ERMIT Racelvr # To M w*d fa 3~ T_'Jr<t ~~st. Volue 1 G0 Dcte SiteAddrep L)54 NFDCWOOD Erect ;Q Oxupancy Remodel ? 2oning Lot 1 Bixk SaclSu6. !7 Parcsi No. Repair ? Type of ConK. Addition ? No. Stories Move ? Length W Name Demolish ? Depth g Address Int Impc ? Sq. Ft. b City Phone 4 4 - ~ ~ Install ? ci=.`'I0 1J7LLi4i.;F; Aaorowb Fws ~ Neme t1 i + " , ~ u Addren 3. W 4 ci_ l,: 2 , ~T Assessmenf Pertnit ~ Citv r L Phane 9'' 6- A. 7 71 Water a Stw. Surcharpe F G Poliu Plan Revlew Name Fin SAC Addrest Erq. Water Conn. x W City Phone Vlonner Water Meter Council Rosd Unit ~ I hereby ocknowitdgt thot I hcve rood this oppliwtion ond stote tlwt Btdg. Off. 7/2 6 5 Tr. PI. tht inlormntion is torrect and agree to comply with oll opplicobl• APC Parka Stote of Minnesob $totutes ond City of Eo9an Ordinonces. Var. Date ~p~e8 Siqnuture of Permittes Total N Buildinq Pernit Is isswd to: on tMw express cadlt{on Iha+ dl work sholl be Eonr in xcordonce with otl applioobb Stote of Minnescto Statutes ond City oi Eaqan Ordinonus. Buildinp Offlcial •dala yd iaMeg 1 WM :uolu3ol s9ljnoO io3sM '0*O/ijao Iould 'dQld IeUld 'B3H IfWd eamldoild ynoul 'B3H 48noa '6qid 46noy eugooa 07 euswuzi uol;opuno,j II s6ullooi I s6ulioozi A"p •dsul Dinp uo!padwl jbulqtunid 8 Ouoydolol q~p ~PIoH il~d 'W11 ~lW+*d CITY OF EAGAN Remarks Addition iNEDGW00D 15T ADDN. Lot 1 Blk 3 Parcel 10-83550-010-03 Owner street 1054 Wedgwood Lane South State EAGAN MMI 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1981 58.69 2.93 20 52.83 A 11543 10-12-82 STREET RESTOR. GRADING g 1981 186.48 12.43 15 161.62 A011543 10-12-82 Sewer Lateral 1981 313.16 20.88 15 271.42 1~ SAN SEW TRUNK 1981 198.50 13.23 15 172 . 04 " " SEWER LATERAL g 19$1 197.54 9.87 ZO 177.80 It Sewer Lateral 1982 133.17 8.87 15 124.30 WATERMAIN WATER LATERAL Trk!jx 1981 262.18 17.48 15 227.24 A011543 10 -12 - 8 2 WATEfi AREA gp 1981 198.50 13.23 15 172 . 04 *Water Lateral 19$2 98.57 6.57 15 92.00 STORM SEW TRK STORM SEW LAT *Powerline Relocatio 1982 15 CURB & GUTTER SIDEWALK STREET LIGHT 2 Ro 240. o0 1218 8-3-8 WATER CONN. 420.00 it BUILDING PER. 7427 SAC 525-00 PARK Receipt -I PLUMBING PERMIT Parmit No: I7C CITY OF EAGAN - Fee Fill in numbered spaces S/C Type or Prini /egiWy Tot. a 1. Date 2. Installation Cost 3. Job Address I;.o# 1 Blk. _3 Tract 1 4. Owner Ukiia 1ds,bt;.LoFl•iwi1 5. Contractor !'14)i•ib.l140 L4v Phone 6. Address 10041 i.ilCrt~tii u ve',7. City State • 2ip 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New El Add ? Alter ? Repair 11 10. Describe "")VL r'~-UL~.,:, 11. No. Fixtures No. Fixtures Water Ctoset Cesspoot/Drainfield Bath tubs Septic Tank I Lavatory Softner Shower Well Kitchen 5ink Urinal/Bidet Other ; Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above jnformatio'p isxrue and correct, and I agree to comply with all orjdinances and crndes galerr)ing this type of work. Signed : 't far 'Rouph Flnel Inspections: Date Insp. Date Insp. 7his is your permit when numbered and approved. Approved CITY QF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No, CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost ' 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential El Commercial O Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equi2ment 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 I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464$100 CITY OF EAGAN NO ~ 10 516 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PNONE: 4548100 5 BUILDING PERMIT Recdot # ~ Te M uwd fw 3-SEASON PORCIi6, yQi„, $8r 100 pote JULY 9 ~y85 Siteaddrese 1054 WEDGWOOD LANE SO Erect f[7 Occupancy 1 3 ~ WEDGWOOD 1ST Remodel ? 2oning Lot B~xk ec/Sub. Repair ? Type W Conrt. Parcel No. Addition ? No. Stories AUGUST DELVAUX Move ? Lenqtn ~ Name ~ Demolish Dapth Address SAME Int Impc ? Sq, Ft. crcy PAone 454-6149 insceu ? ~ Nama PATIO VILLAGE Avvoeoh F.as G 3918 W 49 1/2 ST nsse:sr~enr Permi ~ Addreft 4.50 ~ City MPLS Phone 926-2771 Warer d Sew. Suroharge ~ Police Ptan Review W Name Firs SAG mi pddreys Enq. WaterConn. ~W City Phone Plonner WaterMeter -Courxil Road Unit 1 hercby ctkrwwladpe thot I hava read thit applicotion end store thaf Bldg. Off. 7 2 85 Tc PI. the inlormation is tortect ord ogree to wmply with all aDPlicoble APC Parks Stota of Minnewro Statutes ond Ciey of Eogan rdinances. Ver. Date Copies SipnMuro of PermiMe~~ Total -.Gu- A Building Permir is issued ro: PAT'M VILLAGE m }he eapms condltion that dl work sholl be dons in occordante with all opplim e ote in tS,j nd Ciry ot Eoqan Ordinancea Buildinp Of(icial CITr OF EAGAN 9795 Pilet Rnob Road Eagan, MN 55132 N9 7427 PHONEs 454-8100 - `BUILDING PERMIT Recelpf Te M YNA I01 SF DWG/GAR Est.Value $60,000 Date Auq}L8t 3 19-82-- Sire Address 1054 Wedaovood Lane Bouth Erect gg ocwponcy R-3 Lot 1 elxk 3 5ec/SuyWe4qw00d lst fldd. Alter ? Zoning R-1 porcel # 10 83550 010 03 Repotr ? Fire Zone NA Enlorge ? Type of Const. V w Name [:ranA (laks v.l opmPnfi (b. Move ? # Stories z Addrasa 7700 145th St. Demolish p Length 50 C; ApPle Va11eY pho„Q 432-6561 Grade ? Depth 42 Sq. Ft.- o Name aner Apvrorals Faes 6. Addreu Assessment permit 313.00 1 P~~e Water & Sew. Surchnrge 30.00 Police Plnn check 156.50 w PZ Name Fire SAC 525.00 U u Address Enp. Water Conn. 420.00 MW C~ ph~ Plunner Water Meter 60.00 Countfl Road Unit 240-00 I hereby uckrwwledge thot I ha ad this opplicotion and stote thot gldg. Off. the inbrmotion is correct an ree to com with oll opvlicable - Srate o4Minnesota Statutea Cit of o Ordinances. APC Totol _..$1744 _ 50 Sipnnture of Pertnittee . A Building Pertnif Is issue Grand Oaka Devel 0rit (.'O. on the express Condition thnt oll work sholl ba done in ccordonce with pplicable Sta o Mlnnesota Stotutes and City of Ea9an Ordinoncet. Building Officlal 77 (~~7 CIZy pg EAGAN• Inclixie 2 sets of plans, J 1 site plan w/elevations & • BUILDING PERMIT APPLICATION 1 set of enefrgy calculations. c~ r- + c~°`'r' - g~ 'Ib Be Used FOr JJ.v6[£ f•smVc yr _ Valuation Date a J Site P.fd~C1re55 /OS'7 WED 6 E 6VOOD 444~ -C7. OFFICE USE ONLY' rot / slock 3 SeC./SUb.L?EOGEwmmO /ST Roo. p EY2Ct OCCL1PaTtCy Parcel l.P~ '275' GS Q 00 O~ Alter Zoning IQ y Repair Fire Zone ' Owner: G2r~-vo QJ~9-ics' Eu€co/mEN~ (o Enlarge _ Type of Const. 1L_ Address: -776p /V!;-T-V S~ M°ve # Stories Demolish Front ft. City/Zip Code: ~cE .9zcE i.vni Grade Depth ft. Phone y3 --2. - G S Go / APPROVALS FEES Contractor: Assesssnerits Permit 3J3 ~ Pddress: Water/SeHrer Surcharge '3 o Police Plan Check I~SYv City/Zip Gode: Fire SAC Phone EnJ• Water Conn. Planner Water Meter (~Q °O Council R Unit yp °g ~ Bldg. Off. Address: APC ' City/Zip Code: Pharie 'IOTAL I . (p 4 C) 2004 RESIDENTIAL BUILDING PERMIT APPLICATION ~ g y ~ S ~YJ City Of Eagan ~d 'z9io'/ 3830 Pilot Knob Road, Eagan MN 55122 ,j '1 • ~ Telephone # 651-675-5675 FAX # 651-675-5694 New CansUuction Reauiremenfs RemodeVReoair Reauirements Office Use Onl 3 registeied site surveys showing sq. (L of lot, sq. R of house; and II roofed areas 2 copies of plan Cednf SurveyYRea1 • Y_N (20% meximum lotcoverage allowed) 1 set of Energy Calculations for heated addfions TreePr25 PlakR'~a1 Y-~ N; 2 copies of plan showing beem 8 window sizes; pomed found desgn, etc. 1 sile survey for additions & decks ii`e6Fres Repuii4 Y = N isetofEneigyCalculatiais Addrtron-indicafei/on-sftesepficsystem On-siteSepficSyst 3 copies af Tree Pmservafion Plan H lot plafled afler 711193 Rim Joist Detail Options setedion sheet (bidgs wNh 3 or less units Date '7 I 2+1 oq- Construction Cost Site Address l~ S¢ c?~ ~ LN ' S` UnitlSte # ~ n.,-I Description of Work Multi-Family Bldg _ YL~ N Fireptace(s) A- 0_ 1 _ 2 Property Owner G~a G1,j Telephone #(6 SI ) G~ 7 0('7/ 0 4 eD~`c • S• (i Contractor ~j R,7'#t0 K,>1~ Address City _E?~_//y+'i <K-t~-j State ;P" /'i Zip Telephone # (bV ) Jy3- ~'"t`3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category , Resldential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmisslontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber n t'„ rl Telephone ~ lL5 l~ ~ u MechanicalContractor S III Telephone#( J l ~ 6 Y u7 p Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and aclmowledge 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 of plans. ApplicanYs Printed Name ;*e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 3&- Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ~ 23 Porch (screen/gazebo) ? 36 Multi Misc. O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types `O 31 New ? 35 Int Improvement ? 38 Demolish Inteamr ? 44 Siding J~ 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair / ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation dL2 r> Occupancy MCES System Census Code u.3't Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const J N Width REQUIRED INSPECTIONS _ 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 ~C Framing _ Siding _ Stucco _ Stone _ Brick _ Fueplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Building Inspedor - Base Fee r ~~~~L ~ ~ - Surcharge po ~ Q Plan Review 3~ 2~5 MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ,RVEYOR'S CERTIFICATE SIENNA CORPORATION ~ • , ' ` N hh . o T Sa . M "o 4O•o ~`092i / ~ ~Q ~v~ ~ roa aR ~ ~ ry~,po ~ •>,h ~ti sO ~ io / 4c,`~ //o l a° / - P' . ~ O's~~ ~ ~2on.-t~z~? oA.~ 5~~"~ ,V Q \ \ / ' ~ N s?~ ~ ~ ~ ,~s9 ` J ! 1 20S 29 ~ ~ ~ ' ~~i•' / O~O ~2 REVISED JULY 21, 1982 TO SH01J PROPOSED HOUSE LOCATION fOR o1 GRAND OAKS DEVELOPMENT COMPANY ~ X ~ 30 ~ REVISED JULY 23., 1982 TO SHOW p y HOUSE LOCATION. ~ O :DENOTES IRON MONUMENT SET SCALE: 1 INCH = 40 FEET ` DENOTES IRON MONUMENT FOUND P120POSED GARAGE FLOOR = 924.0 FEET 13 DENOTES WOOD STAKE PROPOSED LOWEST FLAOR = 921 •2 FEET XO00.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION = 924-1 FEET (000.0)DENOTES PROPOSED ELEVATION DENOTES DIRECTION OF SURFACE DRAIi7AGE EAGp~~n B~Y'~ ~ e of the i hereby certify that this is a true and correct repre.R boundaries of: 'BY Lot I, Block 3, WEDGWOOD FIRST ADDITION, din plat thereof, Dakota County, Minnesota. BUILDING INSKMUIONS DEPT And of the location of all buildings, if any, thereon, and all vi i le encroaclunents, iP any, fzom or on said land. As surveyed by me this Z2day of - 198~2- pppROVED FOR SIENNA SIGNED: JAMES R. HILL, INC. CORPORATION HY : ROBERTS ARCHITECPS BY: DATED THIS DAY OR Harold C. Peterson, Land Surveyor 198_ Minn. License.No. 12294. , PROJEC7 NO. BOOK / PAGE JAMES R. HILL, INC. ell'I8 Pianners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South ~ FoLDER Bbornington, Mn. 65431 812-884-3029 -SUFiVEYOR'S, CEFiTIFICATE "'SIENNA CORPORATION , • , N } C~ . ~ J~ o T . a`O ^ \ O%Q~ ~V 9) /Q~e~ 4 \ • s \ ~o ti°` s V O r /O O ` ; c~ ~`"?t~ ~ ~ 30 ! / 4 v tia O\ ~ is ry ~ti ~J y~ °~o~ ry 1?Q` O 31 ~ 30 ~ 05 ~ \ ~ N6~p /o'. ~j~h~,h_ iy10g0 Ar .M oC~ REVISED JULY 21, 1982 TD SHOIJ 0~ ~ PP.OPOSED HOUSE LOCATION FOR GRAND OAKS DEVELOPMENT COMPANY I 30 REVISED JULY 231 1982 TO StiOW HOUSE LOCATION. O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 40 FEET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FIAOR = 924•0 FEET 13 DENOTES WOOD STAKE PROPOSED LOWEST FLOOR = 921 •2 FEET %p00.0 DENOTES EXISTING ELEVATION PROPOSE? TOP OF FOONDATION = 924-1 FEET (000.0)DENO'i'ES PROPOSED ELEVATION ~ DENOTES DIRECTION OF SURFACE DRAIi7AGE ' I hereby certify that this is a true and correct representaEion of a survey of the boundaries of: Lot 1, 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 vi i le encroachments, if any, from or on said land. As surveyed by me this Z2day of _ 1982- APPROVED FOR SIENNA SIGNED: JAMES R. HILL, INC. CORPORATION BY: ~ ROBERTS ARCHITECl'S BY= DATED THIS DAY OF Harold C. Peterson, Land Surveyor 198_ Minn. License.No. 12294 PROJecr Ho. BOOK / PAGE JqMES R. HILL, INC. s1-17a Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South ~ For.DER Bbornington, Mn. 55431 812-884-3029 . • • C'~rrier 1. Summer design degrees . . . . .r : . . . . . . ~ NAME /T . (90, 95, 100, 105, or 770) . (If 90, 105, or 110, Item 2 N.A.) ADDRESS 2. Daily range . . . . . . . . . . . . . . . . . . . . (0 [a 35 degees) 3. Winter design degrees . . . . . . . . . . . . . (precede a minus number with M) PHONE 4. Windows single pane? . . . . . . . . . . . . . ~ . (Y or N) (If N, double pane is assumed and Item 5 N.A.) DATE 5. Storm windows? . . . . . . . . . . . . . . . . ~ (Y or N) WORKSHEET SPACE ~ - : - T. 6. Yi ~ oN s weatherstnpped. . . . . . . . . ' i - - - - ~ i ` i - ~ ) i I ~ ~ nx ~ ~ 7. Four window areas starting NaeXF- J wi[h N or NE orientation (Example: Nx25n30n20u25a# EorSE Maximum per side: 999 Sq. Ft.) ~ , I I SorSW • ! i 1 , _ War NW ~ } l _ a 8. Shaded window area . . . . . . . . . . . . . . ~ ; i i -J - , ' - - ` ~ (O or 5q. Ft. Enter 0 if not applicable. Maximum: 999 Sq. Ft.) 9. Door area . . . . . . . . . . . . . . . . . . . (0 or Sq. Ft. Maximum: 99 Sq. F[.) i I ~ . . . . . . . . . . . 10. Door weatherstripped. I ' I i I , ~ ~._I - • I - _ - (Y or N) 11. Storm doors, . . . . . . . - ' ~ - ' (Y or N) ~ I 12. First story perimeter . . . . . . . . . . . . ~ 13. Second story perimeter . . . . . . . : . . I-- _ - ' - ~ i--;- ~ 14. Thickness of wall insulation . . . . . . . . . t ~ ~ I I (0, 2, 4, or 6". For masonry, • enterMA) 75. Basement penmeter . . . . . . . . . . . (0 or linear Ft.) If0 Items 16,17 & 28 N.A.) i 16. Basement heated? . . . . . . . . (Y or N) (If N,~tem 17 N.A.) L _ 17. Percent above ade . . . . . . . . . . . . . . . I I ~ I i y ' . j.._ i ~ t ~ I (Example 5%= 5) Y-. I . ' ..._..1._ . _ ~ - - rr n Over) ~ 1 , m p -SHtcrsaACE i8. -Area of roof with exposed - - - - - - - beamsor studio ceiling. . . . . . ( (OorSq. Ft.) (If 0, Items 19, 20, & 21 N.A.) 19. Wood or fiber? . . . . . . . . . . . . . . . . . . ~ ~ (W for wood, F for fiber) (If W, Item 20 N.A. If F, Item 21 N.A.) --i--- ~ - - 20. (1 hicknes]off;ber . . . . . . i i- t .5, 2, or 3" L 21.Insulated I I (Y or N. Y assumes 1.5") I ua i 22. Area of ceiling under vanted roof or unconditioned space . . . . . . . . (0 orSq. Ft.) (If 0, Item 23 N.AJ 23. Thickness of inwiation . . . . . . . . . . . . . (0, 3, 6, 12, or 78") ~ I I ~ . , , 1 I I I y 24. Area of floors over - - ' - - ~ ' - - ~ ~ - ' , - ~ i I ~ i • I ~ I i unconditioned space . . . . . . : . . . . . . . (0 or Sq. Ft.) (If 0, Item 25 N.A.) 25. Thickness of insulation. . . . . . . . . . . . (0, 3, or 6") 26. Area of floors over open , - - ~ - , - • or vented space, or garage, . . . . . . . . . (O or 5q. Ft.) (If 0, Item 27 N.A.) - - i-- - i 27. Thickness of insulation (0. 3, or6") - i - J 28. Bas6ment area . . . . . . . . . . . . . . . ~•o o ~ i ~ i ~ ~ ~ I (0 or Sq. Ft.) 29. Total heated area . . . . . . . . . . . . . . . (Sq. Ft.) 30. Perimeter of concrete slab . . . . . . . . . ~ (0 or Linear Ft.) (If 0, Item 31 N.A.) 31. Thickness of slab insulatian.......... ~ . (0, 1, or 2") en 32. Detired summer indoor ~ tempera[ure swing . . . . . . . . . . . . . . . . ~ - (3, 4„5, or 6) 33. Desired wintei inside temperature ~ G 34. Ductlocation................. (AT = attic, BA = basement, SL = slab, CR = crawl space, CO ='conditioned space) ( If BA, SL, or C0, Item 35 N.A.) 35. Thickness of inwlation . . . . . . . . . . . . . ~ JOB N0. (0, 1, or 2". Use 2 for 1" rigid.) 6I E~TING 6.T.16. ~ o CI~1.dNG ~.T. U. EqlIA~5 V G 3~7 AT °DEGREES f E[JuA~S AT- DEGFIEES f , „ 1985 BUILDING PERMIT APPLICATION - CZTY OF EAGAN NOTE: ALL CONTRACiO$S MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: Cr4I° ?ate: 7/'~_ j---• Site Address; OFFICE USE ONLY c Lot: ~ Block ~ Sect/Sub WeJ-e Erect ~ Occupancy Remodel Zoning Parcel 0 Repair _ Type of Const Addition U of Stories Owner Move _ Length Demolish Depth Address Int.Impr. ~ Sq E't Install City/Zip Code Phone APPROVALS FEES Contractor 2DIz- Assessments Permit 14• 5~ Water/Sewer Surcharge 4 Sa Address Police Plan Review Fire SAC City/Zip Code y) ~'~,2 Engr Water Conn Planner Water Meter Phone ~ a G Council Road Unit Bldg Off 'r~ Treatment P1 Arch./Engr. ~ APC Parks Variance Copies Address TOTAL City/Zip Code Phone II 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ cirr oF eacaN ~eCe ~ p}-103 4 3830 PILOT KNOB RD - 55'122 12b• zs 651-681-4875 F)ai(k - 3~ RertwOBl/Reoufr ReOWt6mentt D S repisfered dfe wneys ahowinp tq. lt of lot, sq. tt. of house 2 Coples d plan antl gH roofed areas (20;6 mmcimum bt coveraae allowedl i aet of energy calcWOftu for heafeC adc9flona D 2 coples of plant (ahow beam R wlntlow al:ea; poured hW, daslpn; etC.) 1 qte wrvey tor exledor addiMOna R decks ? 1 W of eneryy cdcWaHOna > ] caplas of h6e Prese+vallon Plan H Id Pkfflod afler 7/1193 DATE: l6~/ Z CONSTRUCTION COST: DESCRIPTION OF WORK: i SiREET ADDRESS: cS-~ LOT: ~ BLOCK: ~ SUBD./P.I.D. 4: ~ 10 0 d 1~' Name: ~./U~ ~lC~~ Phone d / ~ ~ 71 PROPERTY OWNER streeto,daress: /a~ Cify State: ZiP: . Company.~ ~ rf (area code) coHrRAcroe SheetAddress: ltl~, 3Zo Ucenm # ~-S Exa. ;100/ cty -ZA~ U16II" state: zip: ARCHITEC[/ ENGINEER CompaName: Telephone If: ( ) Sheet Address: Regishatbn Y: GYty StaFe: 21p: Sewerlwaier licensed plumber fii iistalllnw sawer/waterl: Phona ( I hareby acknowiedpe ihat I have read Mis applicaMon, date that the infomwtion is cortect. and agree to comPb wNh ad applicable StaFe of Minnesota Sfalutes and CNy of Eagan Ordinonees. Signature of App6canY. OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes , No _ Not Required (1 96-00 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilof Knob Road, Eagan AiN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reouirements ftemotletlReoair Reauirements Off-ice Use OnN 3 registered site surveys showing sq. R. of lot, sq. ft. of haise; and ail mofed areas 2 copies of plan showing foo6ngs, 6eams, joisfs Ced of Survey Recd . _ Y'_ N (20%maximum lot coverage allowed) 1 set of Energy Calculalions for heated additions ShcsReport - Y _ N i Soils Report if proposed 6uiltling is fo be placed on dislurbed soil 1 site survey for addi[ions & decks Tree Pres Plan Rectl Y_ N. 2 copies of plan showing beam & wintlow sizes; poured found tlesgn, etc. Addtlion -irdicafe if oo-sde sepUc system Tree Pres Required _ Y_ N 1 set M Energy Calculations Omsite Septic System _Y _ N 3 wpies of Tree Preservation PWn A lot platletl after 711193 . Rim Joist Detail Options seledion sheet (huildings wilh 3 or less uni[s) . Minnegasco mechanirai veniilation form Plans are considered ublic information unless ou state tfie are trade secret and the reason. ~"7 Date ~ / / ('J / 0-7 Construction Cos SiteAddress /'d 5-4 ojQql9~Wd `~t (iN-S' UniUSte it U/tq,q~,J, m nl Description of Work L• 2,41- CAIo(,Jc Multi-Family Bldg _ YN Fireplace(s) _ 0 _ 1 2 PropertyOwner GA Gs-leS CL!/UG_ Telephone#(10q-) P wJJ,ii ciIN.' Sr Contractor /yl?y4'? 4.) vc/& 4/ ~eMf[ s _,v ~y Address ~D r}~D n S-~ ~ im/^'`^'v"`J City . r- State 112i? Zip } VYE4- Telephone # b'a Z ' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CateQOrv ] Minnesota Rules 7672 Energy Code Category - . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submilled • Energy Envelope Calculations Su6mitted In the last 12 months, has The City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which re ' es a review and approval of plans. 9 ~~C g N 7< U~~(~/T ~ Applicant's Printed Name Ap ~ t's Sign re STY Q(UAGAN ' *SEWER SERVICE PERMIT 5236 3795 - Pilot .: „Knob Rood PERMIT NO.: 8/17/S2 • MN 55122 DATE: 1 : RI No. of Units: Owner: Cr F , . t Dev CO site Address: ress: 1054 dgwood In So Li B3 Wedgwood 1 Plumber. Sult ies P Iumb ing Inc 813/82 31218 100.00 pd 1 agree to comply w the City of Eagan Connection Charge: .00 pd with Ordinencss. Account Deposit: Permit Fee: 10.00 pd Surcharge: . pd By Misc. Charges: Date of In "'f 7 r — Total: Insp.: Date Paid: ITY OF EAGANI , SERVICE PERMIT Air MP, Knob oad 1. PERMIT NO.: j3, 4305 Eagan, MN 551 I DATE: g o `t #„ ;(17 82 Zoning: ` RI No. of it ts: ice Owner: rand flans Dev Co Address- Site Address: 1054 Wedgwood Ln' S L1 113 We ood 1 • Plumber: chulties 'Plumbing Inc Meter No.: nection Charge: 420.00 pd Size: „Account Deposit: Reader No.: `'' Permit Pee- 10,00 pd Alf 1 agree to corn .; 1 a . City of Eag . t c rge: . 50 pd �S Ordinan, M 60.00 pd met er Total: A N. By i � — — , Z- Date Paid: Date of Insp.: I nsp.: PERMIT City of Eagan Permit Type:Building Permit Number:EA118055 Date Issued:10/25/2013 Permit Category:ePermit Site Address: 1054 Wedgwood Lane S Lot:001 Block: 003 Addition: Wedgewood 1st PID:10-83550-03-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Amanda Mendoza Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael W Palmer 1054 Wedgwood Lane S Eagan MN 55123 Exteriors Of Excellence 4580 Scott Tr Suite 204 Eagan MN 55122 (952) 239-0560 Applicant/Permitee: Signature Issued By: Signature 01/09/2014 WED 12:51 FAX 1002/013 r City orEaeau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit it: 1 � O -f f n00 Permit Fee: I ` • d nate Received: 1 / 1(p /1 ef Staff: �I -J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t- 10\ltb Site Address: Unit #: Name:IliO -ad Y?flT Address / City / Zip: MLA, ` C. &0 �'wcd Ln 5 Applicant Is: Owner Contractor Phone: LOS I 4-Ag0 1146;14' . Description of work: VAitAnY i (PXr.c d Construction Cost:k V .01.r -fp Multi -Family Building: (Yes / No `-'"' Company: Y (i,v ..�. Contact: Address: aC(C3) NA in J2C / AU City: ilA I1r)i/ea pOlkrj Stato: License #:' ✓Z\% ;)1Q 0 Phone: Lead Cortificate #: NAT— ;)(031-4-- If )f 1 — If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) rettA lCA D it COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan i$sued a permit for a similar plan based on a master plan? _Yes No If ycs, dato and address of master plan: Licensed Plumber: Mechanical Contractor: Phone: Phone: Scwor & Water Contractor: ektig •: w:� ail•=:.."..r,: Phone: CALL BEFORE YOU DIG. Coil Gopher State Ono Call at (651) 454-0002 for protection against undergmund utility damage. Call 48 hours before you intend 10 dig to receive locates of underground utilities. www.onnhers:8regnecall,org I hereby acknowledge lhal this information is complete and accurate; that lhu work will bo 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 period, 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 complctod within 180 days of permit issuance_ ‘1 COI1 r�1 Applicant's Printed Natne Applib tj s Signature Page 1 of 3 01/08/2014 WED 12:51 FAX F ®003/013 L30loo tl& 1.0 S' DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 ofPlex Fireplace Garage Dock Lower Level Porch (3 -Season) • Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool WORK-T-YPES --- New _ Interior Improvement Addition _ Move Building SAlteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% _..... 100%$) Census Code # of Units # of Buildings Type of Construction Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Siding Reroof Windows Demolish Building` Demolish Interior Demolish Foundation Egress Window _ Water Damage *Demolition of entire building — give PCA handout to applicant 11,1400 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation _ Roof: _Ice & Water _Final x Framing Fireplace: Rough In Air Test _Final Insulation _ Sheathing Sheetrock Fire Walls Braced Walls ->c M 0? P MCES System SAC Units City Water Booster.Pump PRV Fire Sprinklers Meter Size: Final J C_O. Required Final / No C.O. Required HVAC Gas Service Test Gas Lino Air Test Pool: __Footings _Air/Gas Tests _Final Drain Tile Siding: . Stucco Lath Stone Lath _Brick Windows Retaining Wall: _ Footings .._ Backfill _ Final Radon Control Erosion Control Other: Reviewed By: "i , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surchargo Treatment Plant Copies -/;-fudIN °I° TOTAL Page 2 ul 3 Date: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use .3 0 137 Permit #: Permit Fee: 60. ijCx ��1� I Date Received: / t l j y Staff: 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION C-2 `- Site Address: Tenant: worii Lv, Suite #: J Resident/Owner; Contractor Type of Work Permit Type Name: rf\ 0C hC-t-)1 ' Phone: Address / City / Zip: k o S Ulee(. Name: 'Z c Z v\‘‘Cc t co.Al V Address: State: License #: C7 P `t Cj L ctc kV\ S w City: \U ‘f\. S.A Contact: 4/ Zip: (S.c p 5/k3. Phone: 2 L VA- Email: New0C-ReplacementRepair Description of work: t& w0.s RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment • arc c� 1 t CC) VN„.- _ Rebuild Modify Space _ Work in R.O.W. S `h f' - / 9 aS Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 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.gopherstateonecall.orq 1 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. ` \e s cS NVe Applicant's Printed Name x Appli is 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 Staff: Use BLUE or BLACK Ink For Office Use I Permit nnn+11i I Cit of I a I~I~i1+ I U J I I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 I CJ Phone: (651) 675-5675 I Date Received: Fax: (661)676-5694 1 I 1 Staff: I 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 4/25/14 Site Address: 1054 Wedgewood Ln S, Eagan, MN 55123 Tenant: Suite Resident/Owner Name: Mike Palmer Phone: 651-210-1394 Address / City / Zip: same Name: K&S Heating, Air Conditioning & Plbg LLQicense MB5216 Contractor Address: 4205 Hwy 14 W city: Rochester Contact: Heidi Brown Email: hbrown@ksheating.com New Replacement Additional Alteration Demolition Type of Work Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL XX Furnace _ New Construction _ Interior Improvement Permit Type X Air Conditioner _ Install Piping _ Processed _ Air Exchanger _ Gas _ Exterior HVAC Unit Heat Pump _ Under/Above ground Tank Install Remove) _ Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) = $ 60.00 TOTAL FEE COMMERCIAL FEES Contract Value $ x .01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal Permit Fee *If contract value is LESS than $10,010, Surcharge = $5.00 Surcharge* **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge TOTAL FEE 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 -Rick Keehn x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA168735 Date Issued:04/30/2021 Permit Category:ePermit Site Address: 1054 Wedgwood Lane S Lot:001 Block: 003 Addition: Wedgewood 1st PID:10-83550-03-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Michael W & Peggy G Palmer 1054 Wedgwood Ln S Eagan MN 55123--193 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature