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4652 Bristol Blvd Use BLUE or BLACK Ink For Office Use I I r~ _ _ _ L City of Eayn Permit Permit Fee: G'~'~ 1 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ! lob ~2 ~~v, S To /v~G Tenant: Suite M RESIDENT / OWNER Name: -7)0!q6 k Z. 4t ZY"e j Phone: ZASj^ v~DG SSC Address / City / Zip: `7"107 Z ~,STa~ ~3jyr~. Applicant is: Owner Contractor TYPE OF WORK Description of work: er„r Construction Cost"', NOD Multi-Family Building: (Yes / No,>~__) CONTRACTOR Name: ~jLD l.Jc CD»So' zg,. , License ZO/38Yot> Address: y703 ~.PS,~2G ~Jc>~ City: .99192, State: AgAj zip: -5ri L3 Phone: ~JZ-g^ I~ZZ Contact: Email: 4/4i® Co 4w,_4 5;r- A4 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: 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 the 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.gopherstateonecall.orci 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 {~?I/~ PVI.~ z2EL-k g4 x Applicant's Printed Name Applicant's Sign Page 1 of 3 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: # Eagan, Minnesota 55122-1897 Date Issued: f (612) 681-4675 SITE ADDRESS: APPLICANT: L iJ R i l iii ! f { 1){ { t t<°{1 i iil~'I i:s I<t W! > irls!{'16 { PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. rit - IIIII~{# i#1 i I f i'•.f i'6 I Permit No. Permit Holder Date Telephone # ELECTRIC ~f'Ya~l off! o ~f Ad. PLUMBING HVAC inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG / FINAL HTG /J12 .C3 ORSAT / TEST BLDG FINAL BSMT R.I. 7 BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY I,,-OF EAGAN PERMIT TYPE: , 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: f; I APPLICANT: j trf EfF +(1 IlrlMV..'. f PERMIT, SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. ! ia.lit h f ! ioi.l { 1 b:l f i 1':w i j:,. I I ? PS,? i Permit No. Permit Holder Date Telephone # ,SIW PLUMBING HVAC II 9 ELECT ELECTRIC Inspection Date Insp. Comments Footings I r2~ a/ Foundation Framing 7-7 f Roofing g Rough Pibg. Rough Htg. / ✓ Fireplace Za v~ Final Hip. Orsat Test Final Pibg. 2-2J-711 9Plbg. Inspector- Notify Plumber Const. Meter EngrJPlan Bldg. Final 1 -2 Z Deck Ftg. Deck Final Well I Pr_ Disp. A ..p t Weirtif irate of CccupancV ~it~q of ~agau 200 M.tment of vni[bing 3"60edion i This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification: SF DWG/GAR Bldg. Permit No. 22587 Y Type R-3 . M-1 Zoning District R--1 Type Const. Vn Owwrofeuitding KEY LAND HOMES Address 14450 BURNSVILLE PKWY, BURNSVILLE BuilmngAm. 4652 BRISTOL BLVD amity L3, B3, WESTON HILLS („~E Date: FEBRUARY 24, 1944 Bvild~pg~Otficial POST IN A CONSPICUOUS PLACE i1 Address 4652 BRISTOL BLVD Zip 5512 3 Lot' • 3, Blk 3 Sub WESTON HILLS THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: FEB 24, 1994 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish t/ Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy OFwFICE USE ONLY This request void 18 months ham validation date Printed in this box. PLEASE PRINT OR TYPE Request Data Rough in ,nspechon regoired& Yes [3No Insped.n Other Than Rough-Im ❑ Ready Now will Call )You must all the inspecror wh may Dote Ready I, licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Skeet, Boz, or No.) 0 Z,, Coda 4b -;2- rt s-}-o I J~t UGl Secfion No. Township Name or No 1 Range No. Fire No. k_/ I County nt , `e EL.rs t Phone a 8' go 33 Power Supplier Address ElecMml Contractor (Co.", Name) Cantracror License No Master Uc. No. (Plant Elect Only) Harrison Electric Inc. CA00808 Mailing Address (Conkador or Owner Performing Instillation) Aulho' nLa r Inaroilati ) Phone o. q91 ggge EB-ODOOIA-10 6/95 STAKE BOARD COPY-SEE INSTRUCnONSON BACKOFYELLOWCOPY REQUEST FOR Intl II III II III II III I III U ~IIII II III I III IHU Minnesota ate Board of , Rm. Elacct rir 8 i Ave. AS INauIP, MNT55104 8 0 2 4 4 2 1 2 7* one (612) 64e-0800 / e Duplex Apt. Bldg. Other: ew Addn Commercial Industrial Farm emod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Ran a Elec. Heat TemaService "X" above the work covere by this request. Enter remarks in this space and on the back of the white copy only. ®\C ptem04(~ 0 rv~ ~cs~on~ Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Sae Fee # Circuitu Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./fraffic Sig. Above 200 Amps Above I00_Ameps Transformer/Generator INSPECTOR'S USE ONLY T~j •r-~r v ~~l Sign/Outline Ltg. Xfmr. l.C Atom/Remote Control Swimming Pool t hereb c.rti th.t i mpctd th..h,do.1 . i. r d h L Jthe dot. rod Irrigation Boom Rough-in Special Inspection ✓ F wl Investigative Fee i THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 1 M dN'rHS' - s$ Request Date Fire No Rough-n Inspection NOTICE: You Must Call Electrical Inspector / r•7.~ / Requned II A Rough-In Inspection 7 7 - ea ❑ No Is Required k-FlIcensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route o.) ^ City Section No Township Name or No Range No Count' Occupant (PRI ) Phone No. Power u li r lAddloss Electric tractor (Company Na ) " Conha ora Licen o ODi 5~ Mail ddress ( Mractor or Owner Making Installation) s 13, Authonzad gnaNre (COmractor/ ner Maki g Installs on) Phone Number o -6 3~0 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 Unrvertity Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED 0/011 L REQUEST FOR ELECTRICAL INSPECTION - 7 Ill See instructions for completing this form on back of yellow copy. "X" Below Work Covered by This Request e Add Rep Type of Building Appliances Wired EgwpmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Budding Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractork Pemadcs Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ' 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector8 Use Only TOTAL <V Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee 150 COMPLETED WITHIN 1 TH I I, the Electrical Inspector, hereby Rough-in ate _ - ?Y- certify that the above inspection has Fnai oete~ been made. ♦-G"~ OFFICE USE ONLY This request void 18 months from PERMIT 0"609W CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 8 3 5 (612) 681-4675 Date Issued: 12/18/95 SITE ADDRESS: 4652 BRISTOL BLVD LOT: 3 BLOCK: 3 WESTON HILLS P.I.N.: 10-83750-030-03 DESCRIPTION: FINISH BEDROOM tiilding~-Pervnit Type SF (MISC.) ~ ul,jding,,W`b.a-k Type ALTERATION Ceqaus°C,d e• 0434 ALT. RESIDENTIAL , Cc rf6 CdFA g" ca On REMARKS: SEPARATE PLBG & ELECTRICAL PERMITS REQUIRED FEE SUMMARY: Base Fee $34.75 Surcharge $.50 Lic. Search Fee $5.00 Total Fee $40.25 CONTRACTOR: - Applicant - ST. LIC OWNER: NEIGHBORHOOD BLDG REMODEL 19337673 0000309 FIRST PETE 10024 MINNETONKA BLVD 4652 BRISTOL BLVD MINNETONKA MN 55305 EAGAN MN (612) 933-7673 (612)688-8033 ia° .ie a~n . I x ? a,, er -iC ~5r": ',rem«. ~,n, q ~i ~1' . I hereby acknowledge that I have read this: application and state that th'e information,is correct and agree ta..compiy with all ali licakie State of Ikn, ta tU:t_e-e. ansi r:Cx tyf Eag-n Dr"linanb e°s". r ~UU~L APPLICANT/PERMITEE SI ISSUED BY. 13IGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 026835 Eagan, Minnesota 55122-1897 Date Issued: 12/18/95 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-83750-030-03 APPLICANT: LOT: 3 BLOCK: 3 4652 BRISTOL BLVD NEIGHBORHOOD BLDG REMODEL WESTON HILLS (612) 933-7673 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) ALTERATION DESCRIPTION FINISH BEDROOM INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. FRAMING ROUGH IN PLBG ROUGH IN HTG FINAL REMARKS: SEPARATE PLBG & ELECTRICAL PERMITS REQUIRED I 31OW; M" 1, -Furl - ~J CITY OF EAGAN 0'2 3830 PILOT KNOB RD - 55122 na 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) Clt~Qe rz-I~ 681-4675 Now construction Reaulrements RemodeMeoair Recuirements ♦ 3 registered site surveys 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior addBtons & decks) ♦ 1 energy alalstions ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted alter 7/1193 required: _Yes _ N DATE: z CONSTRUCTION COST: ~~dG DESCRIPTION OF WORK: r & 2 r STREET ADDRESS: " LOT BLOCK SUBD./P.I.D. M W 74P-2a PROPERTY Name: -P La eo6 I'Ef r sf Phone OWNER ' T n Street Address --a l, a- Qn ~s r'' V City: Z~~ 14 State: I,-- Zip- CONTRACTOR Company: Phone Street Address: ~2 o.. r License SPr 9A~D City: State: ARCHITECT/ Company: Phone ENGINEER Name: Registration # Street Address, City: State: Zip: Sewer & water licensed plumber. Penalty applies when address change and lot change are requested once permit is Issued. 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 Fagan Ordinances. I Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation 0 06 Duplex o 11 Apt./Lodging 0 16 Basement Finish 0 02 SF Dwelling o 07 4-plex 0 12 Multi Repair/Rem. o 17 Swim Pool 0 03 SF Addition o 08 8-plex 0 13 Garage/Accessory 0 20 Public Facility 0 04 SF Porch 0 09 12-plex 0 14 Fireplace a 21 Miscellaneous x`-05 SF Misc. 0 10 = plex 0 15 Deck WORK TYPE 0 31 New X38 Alterations 0 36 Move 0 32 Addition 0 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code L Census Bldg APPROVALS Census Unit Planning Building Engineering Variance Permit Fee Valuation: $ 000 Surcharge Plan Review License MCNVS SAC City SAC Water Conn. d Water Meter ^ ~YJ Acct. Deposit S/W Pennlt SM Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ' PERMIT r CITY OF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: 0 2 2 5 8 7 (612) 681-4675 Date Issued: 12/01/93 SITE ADDRESS: 4652 BRISTOL BLVD l~0013 LOT: 3 BLOCK: 3 WESTON HILLS rI P.I.N.: 10-83750-030-03 I~rl q3 DESCRIPTION: B 1', Permit Type SF DWG M 4Xd;5x'_ag rk Type NEW 4 -C-' .0cm-pan- R-3 M-1 l s:tt~t•16tleoxw a V-N R-1 Building Length 58 50 4 r4 ~ In ity F; CJ " `T REMARKS: PRV S & W PLBR - D C MECH FEE SUMMARY' VALUATION $108,000 Base Fee $667.50 MISCELLANEOUS $1,744.50 Plan Review $433.88 Total Fee $3,649.88 Surcharge $54.00 SAC $750.00 SAC % 100 SAC Units 1 Subtotal $1,905.38 XQyTRAgTIPRES - 18942636 0001553 KEY'L7tND HOMES 14450 BURNSVILLE PKWY 14450 BURNSVILLE PKWY BURNSVILLE MN 55337 BURNSVILLE MN 55306 (612) 894-2636 (612)894-2636 -IY X hereby acknowle g,e tha.t I have_reatl this application arr seta e'~th~at-the ~y f~l'''kO r'm F{,s {14n~` iM.S,a(# r',:e 1.4 dg,r e'" j -k=kCiO( r*6J.{'1,." Ilse 11r *~p lsl Bbl 't '4- $ Mn - Stutes °andC}it~ •,ys.~ j$. .x,Ofhgatfi Dr$nss _ axw.ys=E x* s z.: LIC91 E MIT SIGNATURE ° ISSUED BY. S115NATIORt- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 022587 Eagan, Minnesota 55123 Date Issued: 12/01/93 (612) 681-4675 SITE ADDRESS: LOT: 3 BLOCK: 3 APPLICANT: 4652 BRISTOL BLVD KEY LAND HOMES WESTON HILLS (612) 894-2636 PEgMITMJBTYPE: TYPE OF WORK: NEW INSPECTION TYPE DATE INSPTRINSPECTION TYPE DATE INSPTR. FOOTINGS FOUNDATION FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL IREMARKS: PRV Sy+& W PLBR - D C MECH y} }1'x 3w ?a°+m A *4a rcn.~.'m-'2-}-'A', -777'W'711 $y4♦-' }~kj-^' ~ q d, M*' ,yyyj #~y~fifi } p c 5~4C a # - 4Mk ~-tl MTVi. k Asa ~ t Itt i S V,a 4 vi F .av, j #f1$ 6~t A' S 'y-Y'dmn'j 4ZY94 11 . 44i+fiie 4 +ti aM ~b'4-A' EACTIVATE _ CITY OF EAGAN PERMIT'4. RECEIVED 1993 BUILDING PERMIT APPLICATION 681-4675 IPA 11-20 SINGLE MULTI-FAMILY 2 se s of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Q0 / / 93 Valuation of work 81 300 - Site Address: 41oj5z gTQIS-rOL SwLEyAy!:.p STREET SUITE / Tenant Name: (commercial only) LOT 27? BLOCK 'f_~p SUBD.V/aSTO" 'LL.-r-' P.I.D. # Description of work: )n/ '5io "L.L FAMIL_ ijr_>M The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE Y City ,,11 State Zip Company E'Y L.oor,> tioma_ms Phone S`i4-21o3Co Contractor Address 16450 5VF_ASU1l1.E. NWY. License # X55-3 Exp.3:f-, City ~UQt,ISUIL.L~ State M•N , Zip rJ5301o Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber V.G - 1'r1 LJ1Ar-lIC~4>v Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with 11 applicable S ate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ~s ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ ICnjawment Finish 3 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc.❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 1x31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) 4-0 Basement sq. ft. MWCC System FS (Allowable) ~ 1st F1. sq. ft. City Water UBC occupancy R-3 M-1 2nd F1. sq. ft. PRV Required Zoning K-1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler length 5$ r On-site well Census Code Depth On-site sewage SAC Code 6_ f APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee vaiuacton: Surcharge GAZA GE: Plan Review 3 ~?S Z2 = G6 D License ti x Z c~ MWCC SAC City SAC ~O 240 Water Conn. 6 Vox Water Meter o~ k c Sao m Acct. Deposit X /s7-= ~,$DD S/W Permit n S/W Surcharge L0 i Treatment Pl. F r~~sh Road Unit XI~ = 3b$ Park Ded. Trails Ded. aoX?6= 8211 xS~I = G! urll Z Coppies IAT FIN 15H Other i4 zu Total: x 3D~S x 3q= SAC % 100 Zia QD~ SAC Units __F- zzyzel_ G~39?( 54= 3y2. ~ Qu. 0 11-17-1993 09:34 612 694 9716 AMES BUSINESS CENTER P.02 Bailee' 4652 BRISTOL BOQLEVARD 3658- A SURVEYOR'S CERTIFICATE KEYL°"° HOMES P ~~al =LLe W 17 co W. m jP i ° 13 a m / Ziff Q, d t / - 8.33•. so.T - w N28°54103nW Q Colo la I---(95Y.5 uj ~Q -.t Os I 1 to pi I ;n w 27 01 J 01 ` iTi~~ _j A ~v, QI :1 a ~i 2b io a ~5 2 (ni J p H I I 26.33 10 N ID I 718.81 Of 16.81s~ I 1 ~l 5,¢J .0 - 450.5 Q] I 30,00 ' 138.51`0 S36P 07130" E 301 r 3 to ~ L_..~ I Crt ~ I 1 iI61I,,~ W NOTE: NO SPBCFIC SOILS INVESTIGATION HAS BEEN COMPLETED NOTE: BUILDING gMEN8I0N5 SHOWN ARE ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF FOR HORIZONTAL 8 YIMTICAL LOC- SOILS TO SUPPORT THE SPECIFIC HOUSE PRPPOM IS ATION OF STRUCTURE ONLY. SEE NOT THE RESPONSIBILITY OF THE SURVEYOR ARCHITE:CTUAL PLANS FOR BUILDING 4111-- - DENOTES PROPOSED SURFACE DRAINAGE' a FOUNDATION DIMENSIONS. O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - g5a.8 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 1943./ FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- 95/•Z FEET WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 3, Block 3, WESTON HILLS , according to the recorded plot thereof,.Dakoto County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS. EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 5TH DAY OF NOV. . 1993• SIGNED: JAMES R. HILL; 1 PROPOSED GRADES SHOWN WERE TAKEN FROM THE GRADING PLAN FOR WESTON HILLS PREPARED BY LYMAN DEVELOPMENT, C0. BY.. GARY R. HA S. LAND SURVEYOR MINNESOTA LICENSE NUMBER 10943 Fv LOM O JamesR. Hill, inc. ~ oO` 00 a0 o ; o y W m PLANNERS 1 ENGINEERS /SURVEYORS U3 0 251X1 W. CTY. RD. 42 9 BURNSVILLE. MN. 55337 • 612-890-8044 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION Y PROPERTY LEGAL: Date of Survey: /f /7-TT r DOCUMENT STANDARDS 8~0 0 Registered Land Surveyor signature and company 6-0 D Building Permit Applicant @-~D 0 Legal description 0--0 D - Address C1--M 0 - North arrow and bar scale 8' D ❑ House type (rambler, walkout, split w/o, split entry, lookout, etc.) 6 ~D 0 Directional drainage arrows with slope/gradient E. 0 Proposed/existing sewer and water services 0' 13 0 Street name D D Driveway ELEVATIONS Existina D Ef 0 Sewer service 0' D 0 Lot corners p~ ❑ PB' 0 Top of curb at the driveway ❑ Elevations of any existing adjacent homes Proposed 0 ❑ Garage floor 0' 0 ❑ First floor 0' 0 ❑ Lowest exposed elevation (walkout/window) 0'D ❑ Property corners 0~ ❑ D Front and rear of home at the foundation PONDING AREAS (if ayRlicab2e) Op e( ❑ - Easement line 0 B~ 0 - NWL 0 Erg 0 HWL 0 C Pond # designation D O ❑ Emergency Overflow Elevation DIMENSIONS Lot lines 8~ Right-of-way and street width (to back of curb) D 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) lY6 D Show all easements of record and any City utilities within those easements tY® ❑ Setbacks of proposed structure and setback of adjacent existing homes 0 Ws O Retaining wa i ants, if any Reviewed: 2 Nam Date / October 1992 OWNER DATr:_J.nV. -Z-7 I~SL R1ST/~1 gL VT7. PHONE: ^ Z~~7Co SITE ADDRESS: F CONTRACTOR: (VASe7i-t PLAN r# Determine working square footage of each 1. Total exposed wall area..... 1 3 o sq. ft, x .11 = ►~G. 2. Total roof/ceiling area..... Izx. 1 sq. ft. x .026 = 3 i Z ?~l Total exposed wall area above floor= 1 S -W~ a. Total wall window area fo ~ b. Total door area c. Total sliding glass door area d o d. Total fireplace wall area Total wall framing area (average 10%).......: f. Total rim joist area 14~ g. net wall area above floor 31 h, wall area above floor i. wall area above floor frame wall area at fo=dation Total exposed foundation area= Z L Total foundation window area 1• Total net."foundation area above grade -77- Determine "u" value of each wall segment (e.g. window, door, each separate wall section) a. 101 X 11 U., -1 = A-7~~1 b. 1 X Bull C. X lull A, d X lull X "u" v f, g. 17, 1 X 11U.,- v = `,7, h. X Bull _ X u = j• x If item 03 is th- X „u„ = as, or less than k• F1, you have met X 'lull =_JO•~i~ intent of SBC 60 3. ......................Total Total exposed roof/ceiling area........ j?,0 sq ft j) Total skylight area....... sq ft x "U" ° Q Total roof/ceiling framing t/ area (Average lO%)..... 1Z!? sq ft 1) Total net insulated roof/ceiling area...... I_iT sq ft x "U" pZS Z~•G3 3~ S L TOTAL j ) thru 1) If total of Ili is the same as, or less than (•'2, you have met the intent of 2 ~i(AZ 1.16005 _4 and 0. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items 73 and ~4 shall not be greater than the sum of items ttl and =2. ~ 3 Q3 W EB t:e 1994 RK RRK STRUCTURAL ENGINEERING 20556 JANSEN AVENUE PRIOR LAKE, MINNESOTA 55372 (612) 447-4267 February 15, 1994 Mr. Cecil Anderson Keyland Homes 14450 Burnsville Parkway Burnsville, MN 55306 Re: Nowaaffiliffa _ ouse at 516 Weston Hills Court Eagan, MN #94010 Dear Mr. Anderson: On February 10, 1 went to look, at the basement walls of these houses. The basement walls in both houses were cracked, generally vertically. The house at Bristol Blvd. had some vertical cracks just to the left of the stairs going into the basement area and also a vertical crack in the center of the sidewall to the left. The wall around the corner to the left was apparently caused by the soil freezing behind the wall and pushing the wall inward. I understand that the soil was removed and the wall pushed back into place and grouted and vertically reinforced. The crack in the sidewall is probably a tension crack caused by movement due to the cold temperatures. The basement walls in the house on Weston Hills Court had significantly more cracks. These cracks were mostly vertical and occurred at corners, at places where there were changes in block height, and near the center of the side wall. None of these cracks had any significant displacement across the cracks, nor could I see any deflection in the basement walls. I believe that these cracks were again caused by the shrinkage due to the cold temperatures. You had told me that it is your intent to fill the block cores at the crack locations which should re-establish the integrity of the wall. With the repair of the wall in the house on Bristol Blvd, and the filling of the block cores on the other cracks, I do not feel that the cracks will have any effect on the structural integrity of the basement walls. If you have any questions or comments concerning this information, please feel free to contact me. Very truly yours, RRK Structural Engineering Richard R. Koehn, P.E. PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA119733 Date Issued:12/16/2013 Permit Category:ePermit Site Address: 4652 Bristol Blvd Lot:003 Block: 003 Addition: Weston Hills PID:10-83750-03-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Michelle Lundin 4652 Bristol Blvd Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA128587 Date Issued:11/20/2014 Permit Category:ePermit Site Address: 4652 Bristol Blvd Lot:003 Block: 003 Addition: Weston Hills PID:10-83750-03-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Scott Lofgren 5708 Upper 147th St W #102 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Michelle Lundin 4652 Bristol Blvd Eagan MN 55123 Lofgren Heating & Air 5708 Upper 147th St W Suite 102 Apple Valley MN 55124 (952) 431-5811 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA145123 Date Issued:08/24/2017 Permit Category:ePermit Site Address: 4652 Bristol Blvd Lot:003 Block: 003 Addition: Weston Hills PID:10-83750-03-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michelle Lundin 4652 Bristol Blvd Eagan MN 55123 (652) 206-5500 Wildwood Construction 4703 Bristol Blvd Eagan MN 55123 (612) 369-1422 Applicant/Permitee: Signature Issued By: Signature For Office Use Q,..7 — ` � e ae ee /41 LI (�� * .,:`..� �,eea,e ::ee : ZO� 3830 PILOT KNOB ROAD'EAGAN,MN 55122-1810 Date Received: (651)675-56751 TDD:(651)454-85351 FAX:(651)675-5694 bulldinglnsoections at7cityofeacan.com Staff: L ., 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION _ 1 ' t — –y ffl/L/LS3TDate: — Site Address: Tenant: 433 Mot, ktGi I / 1 1 r^ � x�s , w } i ea,, Suite#• Name: 1"j. ' Q e: OSI z.t ft i den l e mer IVU `*� TOO CD � irm- c,. '"�,� Address/City/Zip: AI G L. 4i ,e / j r r, i,: ii or .. .. 1 i,,„ t Name: MILBERT COMPANY dba CULLIGAN WATER WC641376 s�� , 5License#: JS 4 -' i ' '; -,.E...,,,,,- --* Address: 1801 50TH STREET EAST k, G*ac 1., City: INVER GROVE HEIGHTS Y', ` s�4 �; State: MN Zip; 55077 Phone: 651.451-2241 i-'4Q. , t 1t to:::,;',,V a ..i y. � € Contact: BILL MILBERT Email: gloria.abas@culligan4water.com A a Tey.e " ' ___New —Replacement —Repair Rebuild ___•Modify Space Work in R.O.W. �., t'r er Description of work: „, e1 RESIDENTIAL i{3 �,J a f, c 0.1 4 —Water Heater ( y h,` fi ; , t Lawn Irrigation( RPZ/ PVB) Water Softener I�7ermit Type�'i — ) t ;" _Septic System _ Add Plumbing Fixtures( Main/_,_•_Lower Level) a 3 4 ,v New Water Turnaround s ', 4V4if' , 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) $115.00 Septic System New(Includes County fee and State Surcharge) TOTAL FEES$ 60.00 CALL BEFORE YOU DIG. Call Gopher State One Cal 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 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan,comisubscrIbe. 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 accorance wi t T e approved plan in he casof work wrequires a review and approv I of pl ns. x Ali jJf Applicant's Printed iJa a Applicant's Signature . � {`i�kUk 1° t'$''#E i,'£, .r... ,♦ N.; ,t*l 'F '•''''. q 3" t ci f `FOR,OFFICE USE°` :V, x ,, ,l',,,,`-; ,`C> , �<i . r * , < r .` �y ' ,e e,i `,�e .r 'a �JJa,r�,1,,,��i.�'�$);:d Sig Y a-gd4,1. d'�: c' '��k.T /41 4 i+�eyle edjL, '''''"'''''''°-: .,-.-.6,:v.' t::, �` f*=3«t'. @ D.t& '4--- f• ";a k, R2T}'4?U F.7- ,hitl,, - `"h '3.5. ,w �t ± 1 i ., ,.iF :',-}^ &' '4' d} i.,. �' 2 f, Requirediinspect o s , • -i x , � �, ` t'r:.�l rf s „ «gym s 4'h, k. «' z ldeG . n e R°. n fs. 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