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4727 Bristol BlvdCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 UN RECaRD PERMIT TYPE: Permit Number: Date Issued: € I ' SITE ADDRESS: ; OF . ,a HI 'iI'f:,l!: 1 f'I tif¢.6 ? ka f+§i4 ii i t, i', ,A4 '1+ ? PERMIT.SUBTYPE: , APPLICANT: ? ? :? ? .i , • ? ! w TYPE OF 1NORK: ? INSPECTION .. . D, 1. F ' ?Sr I f'?'? VIM4 "a ' f' f•- v .-- i ?i W P{. FII<' ? t , 1. 1 j 1'`E !'i ? I I •I N ? .. _ . ?p. . u r ., J Permit No. Permit Holder Daie Telephone # S/W PLUMBING HVAC I? ? ?.?5l.S7 ELECTRIC ELECTRIC Inspection Uate Insp. Comments Footings I Foundation Framing <d? /?? f ? n Roofing Rough Plbg. Rough Htg. 12-27- x v ]sul. Fireplace Final Htg. Orsat Test ? k Final Plbg. Pibg. Inspector - Natify Plumber Const. Meter Engr./Plan Bldg_ Fnal Deck Ftg. Deck Final Well Pr. Disp. 7 2 !? ??3?-t W-ertcficate of cccuvanc4 (ftti) of of Zoicbbig This Certificate issued pursuant to the requirements of the Uniform Building Code certifyireg that ai the time of issaeance tftis strucnere was in compliance with the various ordinances af the City regulating building constructiorr or use_ Far the following: Use Classification: $B L?'` Bldg. Pertnit No- 2-2455 OccupancY "['ype 1R 3.1m ! 2,oning Disuia Type Consi. W Owmer of Building .-r?iF.ASINAT $OIll?S jX Addness 45Rf1 SI'YYt'C I?TT,?, + ` Bui1ding Address 4797 RRTSIa. PJN[l Lomtity IAyr-F3.1,-WSIM-i ??T-?-2ND , r ?? F Buikfing OlficW POS71N A CONSPICUOUS PLACE Address 4777 RRTSIpT. RTVD Zip 5512 3 I.ot 4 Blk 1 Sub wFS1ON Em.t.s Znro THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE F AL INSPECTION. Date: / -q/9 Yes No Inspecto • Final grade (6" from siding) Permanent steps (gazage) Permanent steps (main entry) Permanent driveway 29 Peananent gas X Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? Whice - City Copy Yellow - Resident Copy Pink - Conlractor Copy M 5 8 9 2`?? 2? ?/ - ' ?°'' Request Da(e I ? Fire No Rough-m Inspection 1 Requir ? es ? No NOTICE: You Must Call Elecmcal Inspector Ii A itough-In InspecLOn Is Requiretl I, licensed contractor ? owner hereby request inspection of above electrical work at: Job ( 1, x or o e No )? Qry Sectlon No. Townshlp Neme or No. Renge Na Cou IMA Ottu a (PRIN P n !o. Power u ? . AtlCress EI ri al Conlrac r(COmpeny Ne e) tra r's Li sg No U Me n tlre Mr or or er Meking Instellatio ' Aul n Signal ntrepor/Owner a' Installati n) e r MINNESOTA STATE BOAHU OF ELECTFICITV THIS INSPECTION flEOUE$T WILL NOT GriggaMidway Bltlg. - Hoom Sll3 BE ACCEPTED 8V THE STATE BOARD 1821 UniversHy qva., SL Peul, NN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 802-0800 ENCLOSEO REQUEST FOR ELECTRICAL INSPECTION v % ? See insinuctions for wmpleNy ihis form On back oi yellow copy. M 5 8 9 5 2 - X" Below Work Covered by This Request §'?.. EB-00001-0 lG 5?9 .?. d ftp. Typeof8uilding AppliancesWired EquipmentWrted Home Range Temporary Service Duplex Water Heater Eleciric Healing Apt Bmlding Dr er ' Load Managemant Comm./Industnal urnace Other (Speary) Farm Air Conditioner Other (specity) CoMractor5 Remarks Compute Inspection Fee Below: # Olher Fee # ServiceEnbanceSize Fee # Circuiis/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps o_ Amps Signs In8pecbr5 Use Onty ? C1t) TO L Irrigation Booms Special Inspection AIarMCommunication THIS INSTALLATION MAY BE O DI?CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M ^' ? I, the Electrical Inspector, hereby Rough-in :t€ ,1 certifythattheaboveinspectionhas been made. Final ? rrE' 3 OFFICE USE ONLY i This request witl 18 monihs trom Ai CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMITTYPE: auzLozNG Permit Number: 0 2 2 4 5 5 Date Issued: i l/ 0 5/ 9 3 SITE ADDRESS: P.I.N.: 10-83751-040-01 PERMIT 4727 BRISTOL BLVD LOT: 4 BLOCK: 1 WESTON HILLS 2ND m? DESCRIPTION: REMARKS: PRV ?. B,u-ild'n'g? Permit Type 3F pWG _ Build3ng 4ork Type NEW t,UBC pccupancy., R-3 M-1 Constructie?n T?pe V-N Zoning 1 R-1 Building LengtM ? 52 Building Width " 48 \ ?, ? S& W PLBR - PLUMRITE INC FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $621.50 $403.98 $48.00 $750.00 100 1 $1,823.48 CONTRACTOR: - aPPli SEA50NAL BLDR3 INC 4580 SCOTT TR EAGAN MN 55122 (612) 454-5971 oanc - a i. uc. OWNER: 14545971 0001652 SEASONAL BLDRS INC 210 4580 3COTT TR EA6AN MN 55122 (612)454-59711 210 S hereby acknowledge that I h.a;ve read this epplication Ind state,that the infarmation is correct and agree to comply with all applicable State a'F Mn. Statutes and City ofi Eagan Qrdinances. ?- !+ PLICANT/PERMITEESIGNATURE - -- ? _ ISSUED Y: IGNATU E ? INSPECTIDN RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 022455 Eagan, Minnesota 55123 Date Issued: 11 / 0 5/ 9 3 (612) 681-4675 SITE ADDRESS: Lo r: a B L 0 C K: 1 APPLICANT: 4727 BRISTOL BLVD SEASONAL BLDRS INC WESTON HILLS 2ND (612) 954-5971 PERMI o?SUBTYPE: $96,000 MISCELLANEOUS $1,744.50 Total Fee $3,567.98 TYPE OF WORK: NEW INSPECTION FqOTINGS ., . FOUNDATION FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HT6 FINAI PL66 FINAL REMARKS: PRV F- L -----J-- S& W PLBR - PLUMRITE INC J - `----? -- 2 REACTJ4ATE _ %RE ???? CITY OF EAGAN PES?IIT 993 BUILDING PERMIT 1993 881-4675 APP?LICATION 431.3mA SIN6LE & MULTI-fAMILY 2 sets of plans, 3 registered slte surveys, 1 copy of energy catcs. . COMMERCIAL 2 sets of architectural 6 xtructural plans, 1 set of specifications, l copy of energy calcs. . p Penalty applies: 1) when permit is typed, but not picked up by la3t working day of month- in which request is made, 2) address is changed or 3) lot changeVis requested once permit is issued. 11 Date n_ /_r?53 Yaluation of work / 7 ,vl vC+• Site Address: STREET IfU17E # Tenant Name: (comnercial only) LOT SIACK ? Si1BD.0jJ; , S a P.I.D. M I? % O Descri tion of work: ? CIC-Ff O The applicant is: Owner Contractor ? Other (Deceribs) Name Phone Property IAST ?,R:T I Owner Address '7JbU ??&?/ ? STREEi I' STE t City EjAan 5tate ?" ? ZiP Company ?F Q%? jq,30dP ?IPhone COntfeCt01' i Address License ?NExp. C;ty State I? Iip Company I)hrl ?d oeCi Phone 1 ArChlt@Ct/ ??d ?1m??In Registr1 ation Name Engtneer Address !'!dC A?-1e - o 46 State ZtP City Sewer 8 water licensed plumber ??I?m f'I el Processing time for sewer 8 water permits is two days once area has been approved. 1 hereby acknowledge that I have read this application and state that the information is Cit f y o correct and agree to tomply with all a licable State of Minnesota Statutes and Eagan Ordinances. Signature of Applicant: - OFFICE U5E ONLY BUILDtNG PERMIT TYPE ? 61 Foundation 0 02 SF Dwg. 0 03 SF Addition ? 04 SF Porch 13 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. woRK rrae ? ,? d ? 11 Apt./Lodging d.. O?:i'6?6"4ment Finish ? 12 Multi. Misc. O 17 Swim Pool ? 13 Garage /Acce s sory ? 18 Comm./Ind. ? 14 Fireplace O 19 Lomm./Ind. Misc. ? 15 Deck O 20 Public facility ? 21 Miscellaneous fig 31 New ? 33 Alterations ? 35 Tenant finish O 37 Demotish ? 32 Addition ? 34 Repair 0 36 Move GENERAL INF ORMATION Const. (Actual) Y- N Basement sq. ft. MWLC System Yc'? (AtTcwable) lst F1. sq. ft. d F1 ft 2 City Water ? PRY Required UBC bccupancy n . sq. . t ? Zoning Sq. Ft. total Booster Pum p 1" of Stories Footprint 5q. ft. Fire Spriak ler length 57?1 On-site well Census Code ? Depth On-site sewa9e SAC Code APPROVALS i Planning Building Assessments Engineering Variance REDUIRED IN SPECTIONS ? Site ? Footing ? Framing ? Insulation p Wallboard ? Final ? Draintile ? fireplace Permit fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/N Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: v.lmt;on: GARAbE' 3 0< 2cI.^ 72,c> X/(o=. )1S2a qg X Z y::_ //S 2 ? ri ?e - G.o lsr 2? sr 1?1T? ? 20 L }t S`r = 6S4ly ? IS?/U? SAC % SRL Units ? MPrttftrMtP of 3ururig prepared for: SEASONAL BUILDERS, INC. BUILDERS ADDRESS.• 4580 SCOTT TR9IL EAGAN, MINNESOTA PHONE.• 454-5971 I o??0('3 6 ??'?v? 004 ? ° 00 PROJE'CT ADDh'ESS.• 472 7 BRISTOL BLYD. EAGAN, MINNESOTA m?M ? oRAinucE & unuffr EASEMEA? PER PLAT ?N aM ?? i• BL N Mn Q. BENCHAlARK LOT 4 LOT 4, BLOCK 1, WESTON HILLS 2ND ADDITION according to the recorded plat thereof. DAKOTA COUNTY, MINNESOTA SCALE ,• 1 " = 30' cor 3 Is f $ ? . . s ^8 au . ? h q $? ? , 74(by ? 0.?' js3 \??PA? s-,- n,t sryg-,d - dsE 13 & 14, BGaR 4, L'&,aheft 948.68 EAGt1N Po °aMo Re E 0 ??R-1 R-7---'l)) Wpstergrrn & Assuritttrs, 3nr. ---- LrWD SURVls'YORS ---- 8500 2107H STREET WE5T IN(EVILLE, MINNESOTA 55044 PHONE : (812) 489-1899 Fax : 489-1899 4p / ? y? h S 0 ? 6'/"?r 44 A? ? A?? NOTE VERIFY ELEYATIONS & DIdfENSlONS PRIOR TO CONSTRUCTION -?Y llr? . DM. o Denotes iron monument 983.5 x Denotes existing elev. (987.0) Denotea proposed elev. n Denotes Off-Set hub C ? = 7op of block elev. e?i•?) = Top of fin. garage floor R,{jX), = Top of basement floor elev. ,00:?..--- Indicates direction of surface drainoge l hereby certify thot this is a true ond comect represenfofion of o frocf of /and os shown ond described hereon. ,f}sylrepored by me on this 084h day of October . 1993, PYeld Hook 12 28 aoe xo. J1372 Don R. Minnesoto Registration No. 19790 cor 5 ? ??` 'LOT SURVSY CSECRLIST FOR RESIDENTIAL ? SIIILDING ERMIT 11PPLICATION ? m4 d PROPERTY LEGAL: W Y ? m 3 Date of Survey: ? pOCIIMENT STANDARDS IYO ? • Registered Land Surveyor signature and company H-? ? ? • Building Pexmit Applicant ' ET' ? ? • Legal description 8'? ? ? • Address ly 0? • North arrow and bar scale 0-?0 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 2`0 0 • Directional drainage arrows with slope/gradient t. 0? 011 • Proposed/existing sewer and water services tY 0 0 • Street name D'10 0 • Driveway ELEVAT20NS Existina D?? 0 • Sewer service ? 0 • Lot corners H-'0 Z • Top of curb at the driveway D Q? ? 0 13 • Garage floor ? ? 0 • First floor @? 0 0 • Lowest exposed elevation (walkout/window) D • Property corners B?? • Front and rear of home at the foundation PONDING AREAS (if applicable) 0 H 0 • Easement line ? C?? • NwL D ? 0 • xwL p ?? /? • Pond # designation 0? 0 • Emergency Overflow Elevation pIMEN8ION8 `D'f!.? 0 0 • 0 0 ? • v-0 0 • ?0 ? • 0 8' 0 • • Proflos Elevatiedons of any existing adjacent homes Lot lines Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) Show all easements of record and any City utilities within those easements Setbacks of proposed structure and setback of adjacent existina homes Ret Reviewed; October 1992 EXTERIOR ENVELOPE AVETtAGE "U" COMP(TTATION Plan # Owner Contractor 5ite Address lj Total F.xposed Wall Axea osed Roof/Ceiling t Ex 7' 1 ± sq. ft. sQ• ft• .11 =?$?Z .026 =_ 3[. ?- z) p ota Wall Caiculation Total Window Area I-'7Cd _ sq. ft sq ft. .35 .07 = l = ?- •.? Total Door Area ca A D . ? sq. ft. .35 =?_ .r oor Total Glass sq. ft. 36 = 1f Tutai Fireplace Area Total Wall Frauung P.rea s4• ft- f •09 043 _ '-?- Nec Insulated Wall Area A a i J L l?- Sa• 1?a3 sq. ft. • .OG = Co • I re St o Total Rim Total Foundation Area s9• ft. M sq ft. .14 .35 =_?e?•?-_ = Total Foundation Window . . w -?3) Total If item 3 is the same as, or less than item 1, you have met t6e intent of 2 MCATt 1.16008 A and O. 1'too£/Ceiling Calculation sq. ft 35 = Z Total Skylight Area ? .026 Total RoofJCeiling Framing Lz?- sqsq. . fftt. 2 ? 3- Net Tnsulated Roof Area ?%"`j ? 4) Total Z-? • If item 4 is the s3me as, or less than item 2, you have met the intent of 2 MCAR 1.16008 A and O. Alternate Building Envelope Design To utitize the total emelope system mathod the sum of items 1 and 2 shall be grear.er than the suna of items 3 and 4. ' 1) +2) 3) +4) _ I hereby certify that the bui]ding here descri6ed meeu or exceeds the state of Minnesota Energy Conservation Act. ? Signed ? Gt31 g'a Date ?•d?LL CGhl?:1"F:U[-,-1Ct?,i 245 _w:^«Fi. l di° ; tc, _-- F'ram_rtg secitOf! L. :nteriar ?ir? film ?. 1%2" QVG. bd. 3. :J j i .._ C7f Sf_ft !.J:_1C}ri 4. 25112 b1'1 i7 "- I 1_ e S. S1GZ1"i? 6. e?:teri.or ai.r film -roE.a1. F tJ == 1. r. T_:?'>i_l.._{:E'd SE'c::Qll U In}' c i" 1 n„" i 1 r.. film ._.. 1 la?. . ._ _Y.?..? . _ 5% bc!Lt _!?S. a. ;' 5: .-- bi ldri Fe .:.e :alditfl? C, F;:t°i'lOY' c?'..I'" f1?iit TGiFdl f^: IJ = :. r' p G:im, 1. se?.ti_?n r- - --i.si= - 1. 7:r1i_erLor air° film _.. 5 1,'2 batt _„_, 3. 1 1!2" 44oCC 4. 25i32 Li.:rJrite .?. Ei.d:ng n,. a:t.erior a.i.- film i caCal F L: = f , F. F'ni..inr.lal- i an ?, ni:e.r.cr 2. 1' si-.,ro ._.. 1"2° conc ^a„ exL-er-i.ur- at=rtWi air film il ns„ b1I<:. ;a-!. r f ;. 1 m T;al:_,.:. F U = ! f =. . 6S .45 Ce. B;• _.. pi.' .E31 .17 i } , o7 .t'79 . 03 .45 15.0 2.02 .81. 17 1. 7.S .6e i 9. +'j i a 89 ._. t..b ,°: 24„ n'; ,0 4 , 69 . 1. : 7, 1 C;=f.:._T'Ui:l G:OhI's3T cLlCr]:ith: Et- 42.0 alowr ins,-_ Framirtc. =_sect.ign 1. . T i"'t E'i" 1 or r. ir f,1;,, ... 5:?6" g4'(1 E7t.j, 3. ._ j. f 2" 44C3CCj 4. 70" irts, Total F; L! _= 1. i R ?r?su:???::•?d s?cticn 2. `'i! ,_; Cl `r t-, r; . _. f'E" 7.;lsLE.Gv.t'.1:7f1 TU `C' .9 l R U _ !J !^; `°e=1 `-=o_r!d=i? f a .. 68 .5S 4.57 31.24 =s. 8_ „ i,-?f .68 .56 '-h..:. . ! :._ Z.-:. •.._?: - ..11..__ - . :._ PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ? NEW CONSTRUCTION ADD-ON A/C ABD-ON FURNACE DATE FEES HVAC: 0-100 M BTU $ 24•00 ADDITIONAL 50 M BTU 6•00 00 EACH) GAS OUTLETS (MINIMUM 1 @ $3 . ADD-ON/REMODEL (Ex1sTtNG CONSTRUCT1oN) $ 15.00 STATE SURCHARGE .50 5,5' 60 TOTAL SITE OWNER N INST TELEPHONE #: If" #: 1993 MECHAHICAL PERMTT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD FAGAN NIN 55122 (612) 6814675 ZIP CODE: ???? 1993 PLUMBING PERMIT (RESIDENI7AL) C1TY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 pLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTf. NO. ? ? _L ? / STTE FIXTURES SHOWER WATER CLASET BATH TUB LAVATORY KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GA3 PIPING OUTLET • minfmum - i ROUGH OPENINGS WATER SOFI'ENER PRIVATE DISP. • neray. ik. U.G. SPRINKLER • 6ome under oonsi. ALTERATIONS • to atisting WATER TURN AROUND STATESURCHARGE E1.5H , TOTAL 3,00 ' 3 bo 3.00 1w- av 3.00 3.00 3.00 3 rio 3.00 = 3.00 3.00 3 3.00 _?. oU 3.00 ..'-n? 1.50 ,r2> 5.00 , 15.00 3.00 15.00 i 15.00 ' OWNER .50 TOTAL: Y/ 22 k - S'LSz>?j L'1' _ INSTALLER: ADDRESS: 2 CITY: J//lcJ_ la.v, STATE: ?? - ZIP CODE: ? PHONE #: (kl)-) C7 ?.?5 ? SIGNATURE OF PERMITTEE PERMIT City of Eagan Permit Type:Building Permit Number:EA108648 Date Issued:12/27/2012 Permit Category:ePermit Site Address: 4727 Bristol Blvd Lot:004 Block: 001 Addition: Weston Hills 2nd PID:10-83751-01-040 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Daniel W Miller 4727 Bristol Blvd Eagan MN 55123 Property Claim Solutions LLC 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA112707 Date Issued:08/22/2013 Permit Category:ePermit Site Address: 4727 Bristol Blvd Lot:004 Block: 001 Addition: Weston Hills 2nd PID:10-83751-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Lisa Nyberg 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 - Daniel W Miller 4727 Bristol Blvd Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA139477 Date Issued:10/25/2016 Permit Category:ePermit Site Address: 4727 Bristol Blvd Lot:004 Block: 001 Addition: Weston Hills 2nd PID:10-83751-01-040 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Daniel W Miller 4727 Bristol Blvd Eagan MN 55123 Adam's On Time Plumbing & Water Heaters Llc 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use l 1i /� / Permit#: �� j/ rU-1 f City of4,111' Eaau Permit Fee: / 7.7 -36 3830 Pilot Knob Road _ Eagan MN 55122 Date Received: / Phone:(651)675-5675 196 Fax:(651)675-5694 Staff: � J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10 — 17 Site Address: 11727 7 £i 1 ST c L- 8 t_V b , p Unit#: Name: C�{17Gk 13 F RTS Phone: (5'/)7f o 03ac� Resident/. wider Address/City/Zip: 1/72 7 i3 i2!sT O L QL vb . 64 Gag AJ 5S i 1 3 Applicant is: X Owner Contractor Description of work: Deck Type of Work Construction Cost: 41 5 000 Multi-Family Building:(Yes /No X) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans.and ._ wtlrtg documents you submit are considered to be publio fofOrrOaden. s of the information maybe classified as noo-publio if you provide specificreasons that efeer5f Permit the CitY to 0° l+ that t 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.aopherstateonecall.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. x G1/4t R0 S' x Applicant's Printed Name Appl ant's Sig tur Page 1 of 3 (Lid - / 77 6 i 12-I, i10 I le DO NOT WRITE BELOW THIS LINE 114( 06 SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level _ Pool — Accessory Building WORK TYPES X New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building Reroof Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 1 36 t Occupancy 12C ") MCES System Plan Review Code Edition Pi!) ?O ).S SAC Units (25%_100%p) Zoning R-i City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \r?› Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: ?4 Footings (Deck) Final I C.O. Required Footings (Addition) A Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding: Stucco Lath Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: / `amt A);/</ o , Building Inspector RESIDENTIAL FEES /6, Kt Z' 3)42c.-v- /q z $5 • CT Base Fee /o 59. ypy' Lana'nl Surchargef T 9 ' Plan ReviewZ x$ ' SQA%z MCES SAC „ City SAC /S . z)1::, S9- fT Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 t ...___ . . _ QIirtiiirntt of 'uru ,. 6/ /� J et�- r QVC(., 11.at . 4°4: ,, . prepared f or: LOT 4, BLOCK 1, SEASONAL WESTON HILLS 2ND ADDITION according to the recorded plat thereof. BUILDERS, INC. DAKOTA COUNTY, MINNESOTA SCALE : 1f. —— 30 r BUILDERS ADDRESS: PROJECT ADDRESS: 4580 SCOTT TRAIL 4727 BRISTOL BLVD. EAGAN, MINNESOTA EAGAN, MINNESOTA ' D „,,CK- PHONE: 454-5971I Sz 501g5 aA \S , . 1 ) " \ti 0 0 „...,SY ,of .,,,t.: ee-v"',ill v o Vs• tb 41 /Lor 3 /vilr'l '71 0, ��'� ��' DRAINAGE do U77UTY �- 4 `4. A Y // 7 EASEMENT PER PLAT / ` / 0 4j� � ��$� �a �°� Ldp �' ' I fi ,_ _____„. : ...., „ a % 4, 'V N r , 4. ci. ,..47 ‘5.- ,„ „ ,,,,. elf 0 if ;Li � __,�,, ---1 04°fir', "� 'r'' , +� dh t / 4? u° / C) / (4///14v 1‘11A#C1) • RAN �\ \ ry� : �X� vim/f �� N( 44F 45:". Ass O , � � 04 At `.90., it.svo . 40 1 �� (0 Ast, .,.. .„......(\ 0 'jcS $mai'1 / ,-c 4 e t / LOT ,s V:::,..., •..41' i 4 . / o a / )t7 4No t e ,IPNOTE ti • V 1F'Y ELEVATIONS & IP } \ ` I i DIMENSIONS PRIOR TO BENC.H�MARK .1. ��' �' / • AV CONSTRUCTION ::*p rbAt 34,1AdAti - : ____, -40' -141'— 0i4 1.44 13 & 14, Stock 4, i,• ,: +� ices,,, 943.68 EAGAN ENGINEERING DEPT 0 Denotes iron monument 983.5 x Denotes existing elev. (987.0) Denotes proposed elev. P.R.V. " �� s�,, ® Denotes Off-Set hub INFSttrertu SC Assztt`t1Its, .int. ` '{A} = Top of block elev. ---- LAND SURVEYORS ---- a4.�) = Top of fin. garage floor Q$1.l ) = Top of basement floor elev. 8500 210Th STREET WEST LMEVILLE, MINNESOTA 55044 Indicates direction of surface drainage PHONE : {812) 489-1899 Fax : 489-1899 I hereby certify that this is a true and correct representation of a tract of land as shown and described hereon. repored by me on this 28th day of October 1993 mad Book 12/28 .�_ rf Baa Minnesota Registration No. 19790 PERMIT City of Eagan Permit Type:Building Permit Number:EA144958 Date Issued:08/17/2017 Permit Category:ePermit Site Address: 4727 Bristol Blvd Lot:004 Block: 001 Addition: Weston Hills 2nd PID:10-83751-01-040 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 - Charles T Roberts 4727 Bristol Blvd Eagan MN 55123 (651) 802-6279 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature