The URL can be used to link to this page

1055 Wedgwood Lane S PERMIT # S~c jS~ MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-5100 Site Address BLDG. TYPE WORK DESCRIPTION Lot I ~ Block 41_ Sec/Sub F ~ r Res. New ~ ~ Name Muft Add-on v Al[vig ` Abu~a W s Comm. Repair ~ Address /(1.y S ruE pther c City ~.Qr,,,A^I Phone Z Name ZEA, & ( FEES RES. HVAC 0-100 M BTU -$24.00 c Address tA) So• ADDITIONAL 50 M BTU - 6.00 p City G F(,~4f Phone. Z CONSTRUCTIONUDES A/C ON NEW GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA. TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 ir Cond. M BTU $ MINIMUM O F 20.00 SU C AFiGE PERP RMIT - 50 CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ~ BEYOND $1,000) Other FEE: S/C: 5U SIGNATjJREOF E ~ TOTAL• ~ct FOR: CITY OF EAGAN CITY OF EAGAN 14203 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# To be used for ` ~ ~"•-~~s• Est. Value i~ j, Date ° ,19 Site Address `~'i ~•'"'ts''j?`; OFFICE USE ONLY lot Block 4 Sec/Sub. IXLL'04`'410 is7 On 3ite Sewaqe Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const Q Name 't ~F-F tir•;•I~~.~% City Water (Allowable) = Address ~'~~'~i PRV Requfred * of Stories ° City Phone BoosterPump Length Depth , p Name ~'"~~~E S.F.Totel ~ ` Address Footprint S.F. 1-- City Phone APPROVALS FEES ',•44.w ~ ~ Engr./Asaess. Permit W Name ~ = Planner Surcharge ~ _ g Address a W City Phone Council Plan Review Bidg. Off. SAC, City I heraby acknowledge that I have read this application and state that the Wariance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances.) Water Meter Signatureof Permittee Road Unit A Building Permit is issued to: JLFr"ESLER Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TaTAL 4i40.00 Building Offlcial Psrmit No. Permlt Holder Dats Tolephons ~t Plumbing H.V.A.C. Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Pibg. Bldg. Finai Cert Oca Temp. LP Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN ' 10433 3830 Pilot Knob Road, P.O. Box 21-199, Eagtn, MN 55121 PHONE: 454-8100 C BUILDING 'ERMIT Rtceia #t TO ?e lwd hr ~ Est. Value 7r) ij _('i Ci Dote ~ , 19 SiteAddreu Lm,Iv SQ Erect d Occupsncy Lot I 1 Block ~/Sub. w;" r=,-i~'DvJ 1~'i Remodel ~ Zoning Repalr ? Type of Conrt. Parcel No. Addition ? No. Storia Move ? Length ~ Name Demolish ? Depth Address 4 Tu`l~- Int Impr. ? Sq. Ft. City Phone 45~`~,~92 Install ? qc Ap'revala FNs O N8R1@ A M ~ u~ A~~ Assessment Permit ~ City Phone Wanr & Sew. Surcharge G Police Plen Revlew " Name Fin SAC gim Addresa Enp. WaterConn. , Z. City Phone Plonner Weter Meter Coundl Road Unit I herehy acknowlsdQe ihot I hovm road this opplication cnd stote that Bldg. Off, t-. Tr. PI. fFN Jnformation is correct ond agree to comply with oll applicable A~ Stoh of Minnesotc Stotutes ond City of Eogan Ordinonces. Vsr. Date Copfes Si9natun of Permittes j _ ~ • Total ~ .=T A 8uildinq Permit Is isswd to: .°~"t• on tM expnss CondiM'on thoq all work aholl be doro in occordance wifh all oppliaabl* State oi Mlnnesoto Stotutes ond Gty of Ecqon Ordinonces. Bulldinp Offlciol rm 7! e°r S 10 $ n o M ~ ~ • ~ n ~ ~ - - a ~ ~ s x ~ ~ N ~ S r ~ n = o ~ ; ~ i s ~ 0 ~ ~ ' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est Value Date S i'r ,19 Site Address I 1),) " •`r•'~n`'' 11111 OFFICE USE ONLY Lot ~ BIoCk " SeC/Sub. On Site Sewage Occupar?cy MWCC 5ystem Zoning Parcel No. On Site weu (nctuaq Const a Name City water (Allowable) z Address PRV Required # of Stories ° City Phone ~ter Pump Length Depth °C Name 4 S.F. Total .o ~ 6 Address Footprint S.F. Iz City Phone APPROVALS FEES ~ a Engr./Assess. Perm(t 0W Name Planner 5urcharge _ a Address 4 W City Phone Council Plan Review Bldg. Off. SAC, Ciry I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan OrdinanCes. ~ Water Meter Signature of Permittee Road Unit A Building Permit is issued to:- Treatment P1 on the express condition that all work shall be done in accordance with aIl Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official TOTAL • ' Permit No. Psrmit Holdsr Date Telephone ~ Plumbing H.V.A.C. Electric Softener Inspection Dste Insp. Comment6 Footings I Footings II Foundation Framing cle te- *es-i Roofing Rough Ptbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. ~ ,W.~ /fjo 4,7-11 Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final well +0', Pr. Disp. Receipt ~-PLUMBING PERMIT Permit No <3 -7 I ` , CITY OF EAGAN Fee ~r , , , ~ i Fill in numbered;oaces S/C Type or Prini /egiWy ToL 1. Date 'r C v' ~ 2. Installation Cost ,z 1" - 'i 3. Job Address Lot BIk. ~ Tract 4. Owner , ~ ~ f. ~ 4• r _ . ~ 1~;r~ ,rN ~ r . , : < - -I i. • , . - 5. Contractor 'i • ; - , - Phone 6. Address i' 1'! / bji 7. City 11i ' ~._r~ ? State ~[,V , Zip 8. Building Type: Resiciential Commercial ? Institutional ? 9. Work Description: New ~ Add ? Alter ? Repair O 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray J Floor Drains Drinking Ftn. E Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and oodes governing this type of work. Signed : for Rough- Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 Receipt MECHANICAL PERMIT Permit No. . ' CITY OF EAGAN Fee , ~c 1 Fil1 in numbered spaces S/C Type or Prinr legib/y Tot. 1. Date 2. IqsVl~aion Cost ' r f 3. Job Address/0ss • Lot f f Blk. ~ Tract/-)~_ 4. Owner - ` ; • , 5. Contractor Phone ~ 6. Address 7. City State Zip 8. Building Type: Residential El Commercial ? Institutional O 9. Work Description: New t] Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No, Equioment BTU - M. Ea. No. Eouiament 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 Final Inspeciions: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 CITY OF EAGAN Remarks Addition WEDGWOOD lst ADDN Lot 11 Qlk 4 Parcel 10-83550-110-04 owner Street 1055 Wedgwood Lane South Stace EAGAN NIIV 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, 1981 $$.69 2.93 20 46-97 2_14-83 STREET RESTOR. GRADING 511 1981 186.48 12.43 15 1 __3-_ Sewer Lateral illp 1981 313.16 20.88 15 229-0 SANSEW TRUNK 5if 1981 198.50 13.23 15 SEWER LATERAL SSI 1981 197.54 9.87 ZD 151..06 Sewer Lateral 6qt 1982 133.17 8.87 15 06.55 WATERMAIN WATERLATERAL Trk 1981 262.18 17.4 15 AU33 WATERAREA SVAD 1981 198.$0 13.23 15 145.58 *Water Lateral 1982 98.57 6.57 15 7 STORM SEW TRK STORM SEW LAT *Powerline Relocatio 982 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 450,00 tt BUILOING PER. SAC n f t PARK RESIDENTIAL ,1c BUILDING PERMIT APPLICATION J~ I~ CITY OF EAGAN - 3830 PILOT KNOB RD - 55122 651-681-4675 New Construdion Reaviremenb RemodeVReoair Reouirements • 3 regislered site surveys showing sq. R. of lot, sq. ft of house; and all roafed areas • 2 copies of plan cli (l[e{ 5 aa -o/ (20%max'unum lol caverage allowed) • 1 sat of Eneqy Calculatbns fw heated additians • 2 cropies of qan showing heam & windaw s¢es; poured faund desgn, etc.) . 1 site survey lor exterior additions 8 decks • 1 set al Energy Calculatiore • Indicate'rf home served by septic system for additans • 3 coples of Tree PreservaGon Plan if lot platted after 111/93 • Rim Joist Delail Options seledion sheet (61dgs with 3 or less unils) DATE 65• titi• o 1 VALUATION~~~fesa^ JOB SITE ADDRESS 1655 WkD(,Ahlee9 LA*!E IF MULTI-FAMILY BUILDING, HOW MANY UNITS? i PROPERTYOWNER :~V NLS~"~ /F~~*'•^'~r 4m+`~&40 ~ TYPE OF WORK s'Le- w'NSbw-, 112.60 LAeJK FIREPLACE(S) _ 0_ 1_ 2 . (Ak,44 c Vo%Wr) PHONE# 65114b3 - Z163 APPUCANT flVoI(,kT e".a'M ADDRESS IFlio 210IA ST• C. FA0f...LC.T&"1 N414• ZIPCODE 5101-+"-' PAGER # 4 12 , ri 36- L35 :g CELL PHONE #(A'''L$3- 7~'i3 FAX # # 95 2•4-SZ -51 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNFSOTA 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 Contractor. Phone Plumbing System Includes: _ Water Softener _ I.awn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical System Includes: _ Air Conditioriing Fee: $70.00 _ Heat Recovery System Sewer/Water Confractor: Phone # All above information must be submitted prior to processing of application. i hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ 140t Required _ Updated 1101 i2ESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ~~l ~JO 9 3830 PILOT O SR~ - 55122 51~ ~ I Sb. z5 NewConsWctionReauiremenU Remod airRe uiremen IQfiPU v-lq-G! • 3 registered site surveys showing sq. R. of lot sq. ft. af house; and all roofed areas copies of plan (20°6 maeimum lol coverage allowed) • 1 set ot Energy Cakulations (or heated additions ~ . 2 copies a( plan showing 6eam d window sizes; DWred found design, elcJ • 1 site survey lor exlerior additions & decks • 1 set o( Energy Calculatiora • Indkate if home served by septic system for addXions . 3 copies of Tree Preservatlon Plan if lot platled after 711193 . Rim Joist Detail OpGOfce selection sheet (ddgs with 3 or less uniLs) DATE 66• 1`F' vt VALUATION`fft, eoo JOB SITE ADDRESS I056 W0&fWo0D t-AN~ y~ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ~ PROPERTY OWNER JWi= 1'4E5 45fL 1-0_ 1_ 2 TYPE OF WORK .•r oRrl 6e ` FIREPLACE(S) _Y APPLICANT 'QP'~4J U• YO1« Go?tsT• /4t(.,5! PHONE# 651-443-2163 ADDRESS IGSD 2104!f -iT. ff . Nf r^I .iCoro.tF NFJ ZIPCODE SVoZ+ PAGER # 1: ` 51O "°I " CELL PHONE # bTl- -)-aS' ?fi$'5 FAX #°152--4Y'i-- S1'I-6 f4tm-o G-VoiGwT' NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Ener9y Code Cate9ory _ MINNESOTA RUI.ES 7670 CATEGORY 1 (check one) - Residentlal Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RUI.ES 7675 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone Plumbing 5ystem Includes: Water Softener _ Iawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water CoMractor: (~~:J~~ D ormation must be submitted prior to processing of application. All above inf I hereby acknowledge that I have read this application, state that the i r atagree to comply with all applicable State of Minnesota Statutes and City of Eogan Ordi Signature of Applicant ?6~`~ 1 . Certificates of Survey Received _ Tree Preservation Plan Received _ ot Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage OV 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi ? OS 03-plex ? 11 10-pfex ? 19 Lower Level ? 24 Storm Oamage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous tv 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Altaration ? 37 Demolish (Bldg)' ? 43 Reroof O 46 WindowslDoors ? 34 Replacement 'Demal(tlon (Entire Bldg only) - Give PCA handout to applicant r9 ~ Valuation 14[J GrJ r Occupancy ~=3 MC/ES System Census Code ~ Zoning City Water. SAC Units • d Stories Booster Pump Nbr. of Units ~ Sq. Ft. PFtV Nbr. of Bldgs ~ Length Fire Sprinklered ' Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ~ Footings (deck) ~j FinaUNo C.O. Footings (addition) ~ Plumbing Foundarion HVAC Drain Tile Roof Ice & Water Final Other ~ Framing _ Pool _ Ftgs _ Air/Gas Tesu _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone ~j Insularion _ Windows (new/replacement) ~ Approved By126 , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY OF EAGAN (yO 15 315 1 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 ~ 5, `S-3 BUILDING PERMIT PHONE: 454-8100 Receipt# `F' To be used for L-"-SEMENT Est. Value $1, 500 Date JGLY 7 19 88 Site Address 1055 WEDGWOOD LN SO OFFICE USE ONLY Lot 11 Block 4 Sec/Sub. WEDGWOOD 15T On Site Sawage _ Occupancy MWCCSystem _ Zoning Parcel No. On Site Well _ (ACtuapConst a Name JEFF NESLER City Wa[er _ (Allowable) i AddreSS SAME PRV Required _ # of Storiea , 0 City Phone 482-3092 (W) BoosterPUmp _ Length Depth o Name 454-8692 (H) S.F.7otal oa Address FootprintS.F ~ City Phone APPROVAIS FEES $34.00 ~ W Engr./ASSess. Permit WW Name 1.00 r i Address Planner Surcharge i ~ a w City Phone Council Plan Review BIdg.Off. SAG City I hefeby acknowled9e that I have read this applica[i0n and state Ihat the Variance SAC, M WCC information is correct and ee t comply with all pplicable State of Water Conn. MinnesotaS[atutesandCy i nfylidin es. Water Metef Signature of Permittee ~~Y Road Unit A Building Permit is issue QF.kT.i:R 7reatment P1 ontheexpressconditionthatall ork shall bedone in accordance with all applicable State of Minnesota utes and City of an Qr nances. Parks BuildingOf(icial TOTAL ~35.00 ~ CITY OF EAGAN N°_ 4 Z O 3 ~ 3830 Pilot Knob Road, P.O. Box 27 -199, Eagan, MN 55121 PHONE:454-8100 ---7 -1 BUILDING PERMIT Receipt# To be used for FIREPLACE Est. Value $3,000 Date SEPTEMBER 22 1 g 87 Site Address 1055 WEDGWOOD LN SO OFFICE USE ONLY Lot 11 Block 4 Sec/Sub. WEDGWOOD 1ST On Site Sewage _ Occupancy MWCC System _ Zoning Parcel No. On Site Well _ (ACtual) Const a Name JEFF NESLER City Water _ (Allowable) z AddfBSS SAME PRV Required _ # of Sfories ° City Phone 454-8692 BoosterPump _ Lengtn Depth , a Name SAME s.F.7otai ~Q Address FootprintS.F. ~ City Phone pppROVALS FEES $44.50 ~w Engr./ASSess. Permit W. Name 1.50 Planner Surcharge z- Address Cit PhOne Council Plan Review aW Y Bltlg. Oft. SAC, City I hereby acknowledge Ihat I have reatl this application and. tate that the Variance SAC, MWCC information is correct and agree to comply with app ble Slate ol Water Conn. Minnesota Statutes and City o a Ordi~f2pc ~ Water Meter Signa[ure of Permittee _ Road Unit A Building Permit is issued toNE$L R Treatment P1 on the express condition ihat all work shall be done in accordance with all applicable State ol Minneso Statutes and City o( F~agan Ordinances. roTnL Parks $46.00 A..~ ~t Qi Building Official , _1 CITY OF EAGAN N° 10 4 3 3 ` 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 " PHONE: 4548100 ~~y, BUILDIN6 PERMIT Receipt g Te M med fm DECK Esr. Value 700.00 Dare JUNE 21 , 19-2-5_ SiteAddreu 1055 WEDGWOOD LANE SO Erect Ck occuPency 11 4 ~ WEDGWOOD 1ST Aemodel ? 2oning Lot Block ec/Suh. Repair ? Type of Const. Parcel No. Addition ? No. Stories JEFF NESLER b~ove ? Lengtn W Name Demolish ? Oepth ; Address SAME Int Impc ? sq. Ft. U City Phone 454-8692 Instan ? Neme SA&1E Apprevab Fees Address Asxssment Permit 11_ nn ? City Phone Water 6 Sew. Surcharge - S0 G Polite Plan Review a Name Firo SAC gW Addresa Enp. WeterConn. ~W City Phone Plonner WaterMeter Council Road Unit I hercby acknawladga thot I hovs read this apDliwtiom und stote thot Bldg. Off. 6 21 85 Tr. PI. fMe informalion is correcf and ogree to camply with oll opplicoble APC Parks Stata a4 Minnetoto Statutes and 'ry f EagOr t an s. Ver. Date Copl~ Sipnature of PertniHee ~ E ~ NES ER 7otal ]Sn A Building Pem+it Is issu~ t++• on Ma exprca cordlfbn iha+ oll work shall be done in rdo with o(~J7'ppplicoble Stafe of MlnrxaoM Stotutes and City o3 Eaqcn Ordinancea 8uildinp Offlcial / ~ r . CITY OP EAGAN N° 8600 9795 Pilet Knob Roud Eegan, MN bil!! PHONFs 454_8100 BUILDING PERMIT Receipt To 6e wad ?w SF DWG/GAR Esr. Value $61>000 pOfe 10-41 _ 1q 83 Sire Address 1055 Wedewood Lane S. erect X$ Occupancy R3 Lor 11 Biock 4 Sec/Sub. WedQwood lst qlter ~ Zo,,;,,g Rl Parcel # 10-83550-110-04 Repoir ? Fire Zone NA Enlaroe p Type of Const. V w Name Wm. Huttnei Const. Myve ? # Stories Z Address 960 Waterford Dr. W. pemolish ? Length 58 ~ c. Eagan PhoM 52-30 Grode . p Depth 34 Sq. Ft.- o Same ADOrovols Fees Nome ~ Assessment Permit $316.00 o" Addreu ~~e Woter 8 Sew. SurcFwrge 30.50 C. Police Plon check 158•00 Gw Name Fire SAC 525.00 x~ Address Eng. Water Conn. 450.00 ~W Ci phaM Planner WoterMetar 60.00 C.ouncfl Rood Unit 2$0•00 I hereby acknowledge thot I hava read this applicotion and stote that Bldg. Off. fhe information is correct and ogree to comply with oll opplicobla $1789.50 Stato of Minnewta Statutes and City of Eogan Ordinonces. APC Totol Signature of Permittea A Building Permit is issued ta: WID Hutfnar C`nnci- on the express condition thm all work sholl be done in occordarxe with oll aDOliwbl aM of Minne}ap Statutes ond City of Eognn Ordinances. Building Officiol h'Nerg CITY OF EAGAN nc u e of lans ~ 1003 dkdl moda~ S. P . a 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of er.ergy cal.culations. Gar- Tb Be Used For _%/e Fo,vi/ v* valuarion Date /o --/(-83 Site Address: G(/P (g~~~~~( tcLK~_ SoOFFI(E USE ONLY Lot ~L Block 4~ Sec./Sub. C(/ uiacc(t ~ Occupancy ~3 - Parcel /a - 'r,3.~50- 0A Alter zoning Repair Fire Zone g/l OGmer: Enlas4e Type of Const.Y_~ hbve # Stories Address: Demolish Front ft. City/Zip Code: Grade Depth gt/ ft. Phone ApPgpUALS FEE;g Contractor: yw.~ ~-oyc 5~ Assessments Pex7nit Address: 9G 0 Water/Sewer Surcharge 8 Police Plan Check~ City/Zip Code: ~ a9ar Si /Z Z- Fire SAC Phone ~SL-$D fr Eng. Water Conn. y6-0 Planner Water Meter 66 A= Council Road Unit ~Sl~ ~ Arch./Eng.: Bldg. Off. /d / _ Acldress: APC City/Zip Coc1e: ' Phone TOTAL ~ Jd ~ RESIDENTIAL BTJILDING Permit AppGcation • City Of Eagan CZu.d 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeVReoairReauirements Office Use 0nlv 3 registe2d site surveys showing sq. R of lot, sq. ft. M house; and all roofed areas 2 copies of plan Cert of Survey Recd (20°h marzimum lotooverage aliaved) 1 set of Energy Calculations forheated addifions Tree Pres Plan Reoi 2 capies o( plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres NoY Reqd isetofEnergyCalculations ' Add'N'on-indkafeHOnsifesepticsystem _On-siteSepticSystem 3 copies of Tree Preservation Plan if lot plaHed after 717193 Rim Joist Oehail Options selectlon sheet (bldgs wiN 3 or less unifs ~r Date T Construction Cost:;20, SiteAddress lvs~ /'„lOD 61 E_ Lr) 0a~ Unit/Ste # Erh~ - a- Description ot Work / Multi-Family Bldg _ Y/\ N Fireplace(s) _ 0 _ 1 _ 2 L Proper 7Owner ,/~J) Telephone a~ -D e O (~w~..~g LN - • Contractor 12 -19,J / . (/O lv Address l J City State ip Telephone # ( 6SJ) ~~'~'l6 3 /+-i - 6S1 - 4 - ~Z pU COMPLETE THIS AFkA ON CONSTRUCTING A NEW BUILDING 6`l - Mixmesota Ru es 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Rasidential Ventllation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Su6mitted Submitted • Energy Envelope Calculafions Submitted Licensed Plumber Telephone # [ ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( j 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 ork which requires a review and approval of plans. r ApplicanYs Printed Name Appli Ys Signatu e ' 94.3 i 94Jp' \ .S . • 'V ~ . [ 4it . /''-4 97.4 94 ~ WtiER~. 97.0 , qA~ 00.7 YI INCH 30 FEE7 _ ~ ~ : . O I 1._A . \ ~ ~ ~ . . . ~ a _ 0 ~',.,•ITe~b , a.~e ~~~w~ ~ Cl1 4 ~ ~ ` ~LU ar y ao A. ~ • ~v SOO~ 1 A ~ r iC ~norna+ ~ • g: ' ~ ~ S ~ .o < < f~ ra ~ ORtiD"og $I UTIIIiY EASEHENi l : ~ ~ o ~8 0 ~ i . . pV pD- . ~ ~.t, J . ~ 9 7 -2 :2 OJ - u~'yv ~ 9 5 6.87 -6.22 V1R' . ~r o•~-o ~ . . • . . - ' i ~p~ c ser Huas a+ ~INE • 98.34 - ~ ? ~ ~ i ^.O ~ N . S . ~ -Evfi f(L ep.sL'D 'S 'Tl- ' ' 105. ~9 IoSS ~ W~GEWoaD- LAr~~ f ~k6~~J,Mr~• . . . ~ a* ' . ~ ~ LiNS ep Oc1-K AbadE . _y - - _ . _ i - - _ - - ' ' - ~ - \ \ / - jo° SoaoNEi . ro Yer.aF sFAr-,: , i g~1~ \ ~ ~ - ~c~. bxe ~*5 , i;' . ~ . ~ : ~ 2.7 ~ ~ ~ j,y,~Zll ~ ~IS'~Y1~~8R~G6$ . I ; I I ~~~z , i•~" o,~ 2~.~' i ~ ~ ~ * I , Assu~en ~IL 'L~{K~NC+ Gl~p.c.~r`* ~3 i5~ ps~~n,µ} ~otJND/~L*1 pLhr~l /.o.+~P-#GTORTo~leQ'("( $011. Go.lD~ria.i3 ~ EVIEVVED BY DATE ' BUILDING IfVSPECTIONS DtPT. . ~ Ns5 Ltp. / SA, ? oF 3 SIJRyEII OUIrS. CERA IQ-IC9';lTE • STENNA COR~P[ORAT/ION 3o t{c~2 -30 ~P!Y ~ 9z/, 7 a!V /O ` OOV~ ~S>o , `J o~ /Q) .30 I /oco0)%* ~O v L OT 11 ,s DRAINAGE AND UTILI7Y /S tp ~ . EASEMENT PER PLAT J~ I ~J W ' L,~ Tn -7 3 9~ ~ S 89°55'07"W. 196.34 w i . cfl Oh; ~ 30 N r- I pM :i 0 (D j Z r ` QDENOTES IRON MONUMENT SET SCALE: .I INCH = 90 FEET'. 0 DENOTES IRON MONUMENT FOUND PROPQSED GARAGE'FIAOR . 924.7 FEET ? UENOTES WOOD STAKE ' PROPOSEp LOWEST FLOOR =9l FEET . XO00•O DENOTES EXZSTZNG ELEVATION PROPOSEA TOP OF FOONDATION w ~I FE$T (000.0)DENOTES PROPOSED ELEVATION ~ - DBNOTES DIRECi'I6N OF.SURFACE DRAZNAGE ;I hereby certify that this is a true and correct representaEion of a survey of the boundaries of: Lot 11, Block 4WEDGWOOD FIRST ADDITION, according to the recorded , plat thereof, Dakota County, Minnesota. And oflthe location of all buildings, if any, fhereon, and all vi ible eqcroachments, ' if any,! fraan or on said land. . As surveyed by me this Z-9~"day of C~ 1983. ' i AppAOVED FOR SIENNA SIGNED: JAMES R. HII,L, INC. CORPORATICRi , ' . . I BY: ROSERTS ARCHITECTS BY: DATED THIS DAY OF Haf41d C. Peterson, Land PuTyeyor 198- I Minn. LicenSe.NO. 12294 i - PS1I17g CT td0. BOOK / PAGE jqMES R. NILL,: INC. ~ Planners / Engineers / ~urveyars FILE NO. , , I 8200 Humboldt Avonus &outh . FOLDBR • Btootnington, Mn. 65431 81~2 OQ4-302Q . N. ai; • ~ " ' • . . . ~ . - ' . . F ~~s~t~Hi~'':7~~'~`~"ia'e)i*,~jM i et'° n . . • ' h UR VEYO 7 ~ ,yJ !e~ ~34ab.' :+i STSNNA' CORPORATT/ QON 4.~K~ LOnS~ A ~ It, { i I ( ` N . . ~ 3O sofl'. ,2.a1 W O 0 d G. h. S, . ~ /oss !v ~ ?zt. T ; ~ ~ . ~ Q~ a~V io i : • ~ o OSZ) ~ 00 , ; . `\3o?h/i/~ . u I . '7 ~ ~z) V6 _ Q Co e1) .4f), ~ OK "O L.QT I 1 :{.'i ; ; PRAINAGE AND UTILITY ~ EASEMENT PER PLAT L ¦ _ , ~ w .i . ,~"W .3g ~ S 89°55'0 198 q~, w b ,i ~ F! • Ai r~ 1 L T* ~ ~I. f;.+;• ~ Q M 30' OM ~ i~ - , . . ' I . I. . 3 . W ~ti . _ • . _ . 1 . . . . ~ . 1 lY ~ ~x ' . . . ~ ~ . 1j ~ I,F PENOTES , IRON. l1PNUt~NT SET SCALE i 1 INCH 40 ~ FEET O i DENOTES :I ROIJ MQNUMENT FOUND PROPq~~D GARAGE'~BIAOR a~ 92G~7 '€EE~ AENQTES WOOD ST7~CE r p~p(aSFD IAWEST FZ.OO ~/R „B 7 nET i 34{~xppp,p pEP1pTES'EXI$TING;ELEVATZON PROPQSPD TOP OF $~TtiDATION Y~J FEET 1t ft~ t. I I (000 Da D£NO~PES PRPPO$~O ELEVATION r-•~ pgNOT9ES QIREC''J,QN OF SURFACE DRAINAGE ' TI, ti $r.7, of tho i~ hereby certif~ that xis e,true and correct ;epresentax~.pn of a survey ~ undariss ofo t ~ ~ * • ;x ~ i i ~t ~~~fA~€ r~idaY,.i: f¢r ri IT iT,ot "Il l.r ploek4 }+1~DG1~00~,.IRST ADDITION.~9ceording ~q the reoor~p~ ~ 1 18I'CODA~CR~~.Ay ~'•~O{p[lt ~ MiDIIBSO~tCB %ii{~^~~; ~s064 il ~~x ~ ~ay.~i g~ . and ~p~ th~p paati4 of ql} bui~dings. if anY. tt~t~reon, and all vi iblr , eqpcy[o~achments, ~'N S r: 1~d„ any,~~ r oz s$.~ t7, survey mZg c~ay of 198 ~ m ~ ~ y i31~ ~~~*~.~IC [ k ~ ~~SNi~~~~fi+~~I"lj '~§~k ~ i'a ! ~ ~I~~#~ ~ a ~~~o ~~K$ O~C~ pBt4Z80~1 lid[ld rEvOI ~~4: ~ ~ ~~it ~i Di 'i t i ~ i i~i ~ i ~ ~ •.j Ii I ~ 2294 7 I~~`: t ~'~'~AHb ar~ 1 { ri~~~~. M E S 1j1'r d J~i. 5 r: iU nRAFN~(~t~ ~ a1fw~~Tr 3~' Amp~t eep~:'~~"'~~~~~eY Hurt~bQ1~1t Avenue r . ~ ~p`~~gv:t in+1,0 "~wT ,~~na+~''~#.f~ , K ~ ~ba~tn~ton, (~~i S~Y30 ~ . i r ~~3~R~ ~.fl a ? ~7~r'. I{~/ •-..i ~~ti.. ~ ~.t ~i0 ~ i1,I~..I '.c ~j a~~ ~ ' i;4I::` ~ ~e'Ur,i i~7~' t }'f ~ r t M• .F i' S . 1 _ ~7' . 1 ;r-' 1 (~.<~.I.. .I f ' 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN U ~ ` NOTE: ALL CONTRACTORS MUST BE LICEHSED NITH THE CITY OF EAGAN INCL[JDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 7 SET OF ENERGY CALCOLATIONS To Be Used For: Valuatian: Date: ~~z~ 1SJ Site Address: 165~ WE4(~00~ LN S-d- OFFICE USE ONLY Lot; ~ B1ock ~ Sect/Sub ~Abo~ Erect Occupancy Remodel Zoning Parcel # Repair ~ Type of Const f Addition 0 af Stories Owner Move Length Demolish ~ Depth Address 4,k) Int,Impr. _ Sq Ft Install City/Zip Code Phane 75r -R52 APPROVALS FEES Contractor SE[F pssessments Permit Water/Sewer ~ Surcharge Address Police r Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road Unit Bldg Off Treatment P1 Arch./Engr. (~irCr- APC Parks Variance Copies Address TOTAL City/Zip Code Phone !i V ~ 3,~v . ~I /VZ _j _ ~ ~ 1987 BDILDING PERMIT APPLICATION - CITY OF EAGAN ~ SINGLE FAMILY DWELLINGS INCLDDE 2 SETS OF PLANS, 3 CERTZFICATES OF SORVEY, 1 SET OF ENERGY CALCOI.ATIOHS NOTE: 9DDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOANER MQST DESIGHATE AHICH ADDRESS IS DFSIRED. NO CH9NGES WILL BE ALLOWED ONCE BQILDING PERMTT IS ISSIIED. MULTIPLE DWELLINGS - RFSIDENTI9L RENT9L IRdITS FOR SALfi [1NITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECB iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS . COLNMRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: FrckP«E Valuation: 43aDo' Date: ~ zi Site Address l65) G/E)GWOdz~ L) So. OFFICfi USE ONLY Lot Block Y On Site Sewage_ Occupancy MWCC System Zoning Parcel/Sub /,{/E1)Gwacb /jr /W On Site Well _ Type of Const City Water (Aetual) Owner JF~(- (Allowable) # of Stories Address /UsS~ li/<t,~ waob LN Sa Length Depth City/Zip Code N-/~i/1~ Sy`/2J S.F. Total Footprint S.F. Phone APPROVALS FfiES C~ont a ~ ctor ~ Assessments Permit ~ s" Water/Sewer Surcharge 11~2 Address U Police " Plan Review Fire SAC, City City/Zip Code ue fUC 7 Engr SAC, MWCC / Planner Water Conn Phone Council Water Meter Bldg Off 9 zl Road Unit Arch./Engr. APC Treatment P1 Variance Parks Address Copies TOT9L ~ City/Zip Code Phone N . a ? 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ,/o X 3INGLE FAMILY DWELLINGS ~ INCLUDE 2 SETS OF PLANS, 3 CERTIFICAT S OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FDR CORNER LOTS - CONTRACTOR/HDMEDWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CfiANGES WILL BE ALLOWED ONCE HOILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL IINIT3 FOA SALE IINITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMAfERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS; 1 SET OF SPECIFICATIONS AND 7 SET OFEN• GY ON$ g1q5EMEN7 FIA/15H To Be Used For: Valuation: ~ Date: S ff7 Site Address 1655- ((kDd,taxD Gv 50 /SDv OFFICE USE ONLY Lot ~ Block ~ On site sewage_ Occupancy I hEdCC system 2oning Parcel/Sub kVF~G~ /1~(T76J On site well Aetual Const City water Allowable Owner Tm, XJIESisR PRV required _ U of stories Booster Pump _ Length Address /D55-- W€~lu006 /-A) 50 • Depth S.F. Total City/Zip Code ~/tbv9J ~ mnl 5S/z3 Footprint S.F. Phone ~~5'~-~pZ U}` 309.Z APPROVALS FEES Contractor 5€C.F Engr/Assess Permit 3 -17 00 Planner Surcharge Address Council Plan Review Bldg. Off. SAC, City City/Zip Code Variance SAC, MWCC Water Conn Phone Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies City/Zip Code TOTAL ~ Phone # ) LOT: ll BLOCK: ~ SUBD./P.I.D#: 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 2-6 ~~„~O+^ 3830 PILOT KNOB RD - 55122 ~ J 651-681-4675 CGlltd New Construction Reauirements Remodel/Repair Reauirements > 3 reglstered site surveys showing sq. ff. of lot, sq. ff. of house 2 copies of plan and all roofed areas (20% maximum Iot coveraae allowed) 1 set of energy calculations for heated additlans : 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 7 site survey for ezterior additions 8 decks ? 1 set of energy calculatlons ? 3 copfes of tree preservafion plcn 'rf lot plaHed aHer 7/1/93 D Rim Joist Detatl Options selection sheet (bufldinas with 3 or less unffs) DATE: zpa4 CONSTRUCTION COST: DESCRIPTION OF WORK: ( 7~~ dL( ~ If muiti-family bldg., how many units? STREETADDRESS: /OS S (1~.~ --t ~~od cl- Name: Phone#: (o-5-1` PROPERTY ~1.6st Ftr't OWNER Street Address: l G SY ()U e~l c~ u)a o~ Li't s;7, City State: Zip: ~a~e.r b!~- S3~' 63S 3 Company: ;hone ~V%~3-2/6~ (area code) CONTRACTOR ~ StreetAddress: 0-t D License# & c)- S~ Exp, City 'wt- LV_q T!9 State: Zip: `L" ARCHRECT/ C- ENGINEER Company: 1a7z-&'e- Name: Telephone @: ( ) SheM Address: Reglslralion CHy Siafe: Zip: Sewer/water licensed plumber (if installina sewerlwffier): X Phone I hereby acknowledge that I have read this application, state that the informatlon is correct, and agree to comply with all applicable State of Minnesota Statutes an y o Eagan Ordinances. Sfgnature of Applic t: ~y " OFFICE USE O Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi 0 03 Ot of _ plex ? 09 07-plex 7 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous LW 31 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair ? 32 Addition ? 36 Move Bidg. ? 43 Reroof ? 46 Windows/Doors ? 33 Alteration ? 37 Demolish (Bidg)' ? 44 Siding ? 34 Replacement ? 38 Demolish (interior) ' Demolition (Entire Bldg only) pertnit - Give PCA handout to applicant VALUATION Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units / Sq. Ft. PRV Nbr. of Bldgs / Length Fire Sprinklered Type of Const Width INSPECTIONS REQUIRED _ Footings: New Bldg _ Insularion _ Windows - new/replacement _ Footings: Deck _ FinaUC.O. _ Siding _ Footings: Addition _ Final/No C.O. _ Stucco/Stone _ Foundation Fueplace: _ r.i. _ air test final Roof: _ ice & water _ final _ Framing Pool: _ frgs _ air/gas tests _ final APPROVALS Planning Building Engineering Variance - - - - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review -2e? v- MC/ES SAC City SAC Water Supply & Storage 5&W Permit & Surcharge Treatment Plant Park Dedication Trails Dedication License Search Copies Other . Total: l s LOT: BLOCK: SI1BD./P.I.D /'~r 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ I070, CITY OF EAGAN 3830 PILOT KNOB RD - 55122 CGllfcl 12-1-0 651-681-4675 New Construction Reauirements Remodel/Repair Requirements ? 3 regislered site suneys showing sq. fl. of lot, sq. ff. of house 2 copies of plan and all roofed areas (20% maximum lot coveraae allowed) 1 set of energy calculations for heated addNions i 2 copfes of plans (show beam 8, window sizes; poured ind. design; etc.) 1 site survey for exteflor addNions & decks Y 1 set of energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/93 ? R(m Joist Detail Options selecHon sheet (bufldinas with 3 or less unMs) ~ DATE: - s ?`x? ~ CONSTRUCTION COST: DESCRIP710N OF WORK: If multi-famiiY bidg., how manY units? STREETADDRESS: Name: ~f'Sl~n 7;~!r- F Phone d'E' /~Z. PROPERTY Logt Fast OWNER /U5~ j~PS~G£~•~~ G/v- S~ Street Address: Gity State: ~'-j Zip: .1/C~• F`~'~~ /v/~3-~?'`~,3~~' compony~p~"3~') Gf; ,thtT Phone GSl !fb d%t~ 7 (area code) CONTRACTOR StreetAddress: 3- D/ License# ~ir~J1 Exp. City T ~I~4~/wGTO~ State: Zip: j So 3~ ARCHRECT/ ENGINEER Company: Name: Telephone ( ) S}reei Address: Regfsfratlon cm, Sfate: ZIp: Sewedwaterlicensedplumber(ifinstallinasewerfwater): ~ Phone#: I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Ean Ordinanc s. 5lgnature of Appllcdhf: LS OFFICE USE ONLY ~Ec 0 5 1000 ~ Certificates of Survey Received _ Yes _ No By Tree Preservation Plan Received Yes No _ Not Required - - ~ OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ~ ? 03 01 of _ plex ? 09 07-plex 4b 17 Garage )~U 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck 0 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ~ 31 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair ? 32 Addition ? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors ? 33 Alteration ? 37 Demolish (Bldg)' ? 44 Siding ? 34 Replacement ? 38 Demolish (lnierior) " Demolition (Entire 81dg only) permit - Give PCA handout to applicant VALUATION Occupancy MC/ES System Census Code Zoning City Water K_ SAC Units Stories Booster Pump Nbr. of Units ~ Sq. Ft. PRV Nbr. of Bldgs ~ Length Fire Sprinklered i Type of Const Width INSPECTIONS REQUIRED _ Footings: New Bldg 4- Insulation Windows-new/replacement Footings: Deck FinaUC.O. Siding ~ Footings: Addition ~O FinaUNo C.O. Stucco/Stone - Foundarion Fireplace: r.i. air test fmal Roof: ice & water final ~ Framing Pool: _ ftgs _ air/gas tests _ final APPROVALS Planning Building Engineering Variance - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC city'sAC SS~~Sy~ 3D~ Water Supply & Storage 3 3 ~~Q 5&W Permit & Surcharge Treatment Plant Gdt~".~3 Park Dedication Trails Dedication ~ License Search Copies Other ~}'~~a lS d ~ Total: ti bELMAR H. SCHWANZ ~~rowav~rpna ~r~c ~ ~w,,,..n vw.. w......a. . ~ +4750 SOUTn ROBEnT rqwiL ROSEMOUNT. MNNESOTA 56011 65L~zsi rea SUAVEVOR'S CERTIFlCATE ~ SS ~6t m Ayv~," ~ I - Si, C „ • ~ ~ . 7A . I" ryA' N ~2 I of ~ I^ 1f.Y> Y~ / ~n Uf ~ ~ ~p I, W • ~ o / o I ° J fy. / V r ~ ~N Is ' m r ~ e I O 0 i i i i ,i ~ i i ~ ~r n H ~ m 9~ U 3.90' ~+.9t/y _ ~ ~ ~ 0 T m m ti ~~eraW ce.rW m~i~nq rv~<v.~~•^.o..eoon .n pnput0 Dr me w un0a mY Eiiecl aapervi510n anE 1hs1 I Am a Eoly FlqiflNlO Ll,,E $ahtVOr ..aH Il~f IIw3 0111~! $1~11 GI Minnef0l~ D~IT~~ M. 54~~~IIi~ M~neeaM~ Pea"I•."o^ D~4n I PERMITiI Y'If I D RECEIPTDATE; q-v ~ USIDENTUL PLUM$IRfi PEiiM1T lkPPLICATION ct1'Y og EAem s&sa rv.oT xxo6 gn EAsM, anv ssisa 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITEADDRESS: ~b S~ ~~06E L aab L/~ S6. OWNER NAME: : ' 1~ESTl6~-' TELEPHONE (AREA CODE) INSTALLER NAME: rl E0%<6 1 .ZA TELEPHONE 3'(-/{37 A STREETADDRESS: P6Al XP-3 L46l:,*(AREA CODE) CITY: ~f~d"/K•~~ro2 STATE: ZIP: Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existin dwelling unit, Including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ . lawn irrigation system • waterturnaround Nature of work: r40A,7; o w 49 &«p'~y iPoo 4y Septic System, new/refurbished - $ 225.00 . includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total $.i'0. SO Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I herebyacknowledge that I have read fhis application, sta[e that the information is correct, and agree to complywith all applicable Ciryof Eagan ordinances. It is fhe applicanYs responsibiliry lo notify the property owner that tha CiTy of Eagan assumes no liabilityfor any damages caused by the City during its normal operational and maintenance activlUes to the facilities constructed under this permit within City propertylright-of- y asement. SIGNATU OF 1114ERMITTEE Updated 1101 n r� r 4 x 1 §v5 .£, x " # { y 0 � Jr•ry 1 $ s r T °+ N t � C Y T I C PF EAGAN SEWER % SERVICE PERMIT nob. Road _ {��7 P 1x21199 ; � DATE. agafy. '55121 i R1 No. of Units: 1 i '} ` pw eer: Wt Rattner 904113t sit Add d _.. site . 1055 r We a So L11 B4 Wedgwood Ist piumber. Star Plbg 100.00 pd 10 -2I -83 39460 ` o 1 100 -00 p4 1, o to comply with th Cit of Patton ` Charge- i ' th4laeeees. /icgpunt Deposit: it Fee: 10.09 pd � i c ha . 50 pd . S rge � diMi sc. Charges: ; Pate rip. ' Total: lnsp. // / Date Paid: 111 1\/ JVI L V I L/ AVP V J• J L 1 R 2012-08-0312:11 V• V / Vi 10VV1f,V111 » 651975 5694 City of Ealan 3830 Pilot Knob Road Eagan MN 5512 Phone: (661) 675-5675 Fax: (461) 87&-5694 Inn 11V_ 11 I1 .11-1- III11* t r 11111 /11111 P114 UM ewe orULA.KInt For Moe UsePam* t //) / I (- Permit Fat: fk C' - C1C�i OM Received; Stasi; 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION bate: 1,w- i tett. Address: ,3 U dcykxx d L S. Tenant: Suit. fit: RESIDENTIAL FEES: :40.00 anima Water Heater. Water Softener. or Water Heater figg Softener (includes S500 State Sum:beige) $00.00 Lawn Irrigation (Includes 85.00 State Surcharge) $80.00 Add Plumbing Fbdurea, Sepik SwiterriAbandonmerd, Water Turnaround•(Indude. $5.00 Stets Surcharge) "Water Turnaround (add $189.00 If a 5/e' meter t9 required) $146.00 Sedtic SatAfil Now ($10.00 per se built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALLSORE YOU DIG. can Gopher am. Ons cat at (881) 4540002 for protection .genet underground unary damage. Call 48 hours before you Mend to dig to receive locates of underground utinea. zegagbmwaingagig 1 hobby acknoviteope tot ws Inkirmadon le complete and warm; w01 be In conromtance W the ordmmncas and °Idea of the at/ at a mendenoe vat be rnppoved Alen in macaw of work unto rvgWves a !Wow end approval or j - x cts()l1 Applicant's Printed Name oY1 3!012.04-3016:40 rlr'l ` �+� ��j:• .� :kms �,�,�. �,� . . o �,... grotb,y , 6 `I t<'•", Y ;Ga ;?I�. ; t_' =-0.:;' APPA 0519757694 Pape 1 Date: City of Eno 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 6 Use BLUE or BLACK Ink For Office Use Permit#: Permit Fee: 105 e'15 Date Received: -L ) 1 (,Q t V Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Resident/ Owner Name: T4,6 I'V e)le( Phone: & S ("" 4)4- P"? 4 Address / City / Zip: /C%�j ,r E'c�� L(�i 5.--r") 5-572. Applicant is: Owner )(Contractor Type of Work Description of work: ' /Ze -2o"-6 Construction Cost: 30,D®a Multi -Family Building: (Yes / No ) Contractor Company: <49"") %,. V 7/ -fir CO' Contact: 4a--14:4-) ` Address: /6'93 a r�%t_ .T4' 1`` City: •'h,L v-c,'t` -n2 r State: 141/115—)°24— Zip: ) d A � Phone: f� J (-- ow` �1 'Z C��(-- L3 / License #:‘,.E.5' 17 I Lead Certificate #: kilt ^ 3 D%i _7 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF In the last 12 months, has the City of Eagan issued a permit Yes No If yes, date and address of master plan: CONSTRUCTING A NEW BUILDING for a similar plan based on a master plan? Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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. x0(2 --;R"1 volvt- Applicant's Printed Name Ajiplant's ignature Page 1 of 3