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4664 Bristol Blvd INSPECTION RECORD Ci-WOF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. r<I:~fl 1 ~',I I I;'. is t11,;~, 'r! I I' II r ~r Permit No. Permit Holder Date Telephone # S/W PLUMBING /l!(:..~ HVAC ELECT~ff ELECTRIC Inspection Date Insp. Comments Footings I/~/~~~ 7 Foundation Framing Q Roofing Rough Plbg. _ Rough Htg. Isul. -7 A f Fireplace q 1 qGj Final Htg. ~.3 Orsat Test Final Plbg. Pibg. Inspector-Notify Plumber Const. Meter Engr.fPlan Bldg. Final ~L`Ilq L( Deck Fig. Deck Final Well , Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: r 0 " t ` ~ ' O APPLICANT: i i 1:R'fr;T0I'._ 1-41 k,/I" i"i itis;t }ji s f .r f!-v1.?~ ,~1,,,?..1a1~1! t PERMIT SUBTYPE: TYPE OF WORK: • INSPECTION TYPE DATE INSPTR. 7 Permit No. Permit Holder Date Telephone # ELECTRIC I PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING I, ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST I INSUL GYP BOARD FIREPLACE FREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL !I BSMT R.I. I BSMT FINAL DECK FTG gA6 /Yl DECK FINAL _ d7 ~ ady --n- C-Modino ~it~ v~ pagan - Mon i>Iacat of exubiag "Indocctioa 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 Bldg_ Permit No. 23726 O-P-y Type R3/M1 Zoning District Ri Type Const. VN Owner of Building KEYL.AM HOM Address 14450 BLIEUM M PAFM B" IZ Binding Ada, 4664 MIST CL WULEVARD l ocelit a B3, WESION HILLS wilding OffKW POST IN A CONSPICUOUS PLACE Address 4664 BRISTOL BOULEVARD Zip 5512 3 Lot' ' '5' Ellk 3 Sub WESTON HnLs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Y~ Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) V Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish ✓ Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 4 pp,9s~5 CFO o45 4 R'3 /11~1-1 Iii Request Date Fire No Rough-In Inspection Required Inspection O=X Will (You must call inspector when ready) ❑ Ready Now Wtll Notity Inspector Yes ❑ No Date Reatl licensed contractor :3 owner hereby request inspection of above electrical work at: Job Address Isbell Box or Route No) City W Section No Township Name or No Range No County Occupant lP NT hone No /dy Power pli Adtlress Electrical Con or (Company Name) Co eclor's License No ~D4 9~ Mailing Address (Contra or or Owns, Makmg In lallalio ) 2& 7 1 Authonze0 gnature ICOntractovOwner Making Installation) Phone Number ~~D-lp-3lo MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bldg - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED ` REQUEST,FOR ELECTRICAL INSPECTION ee-ccool.os ► see instructions for completing this loan on back of yellow copy a¢9 X' Below Work Covered by This Re-quest • w ew ALSRep. Typeof Budding Appliances Wired EquipmentWlred Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm /industrial Furnace Other (Specify) Farm Av Conditioner Omer (spsc"') Contractors Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only TOTAL cl~ Irrigation Booms 85 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN ONT I, the Electrical Inspector, hereby LFnat De 0- P certify that the above inspection has Date been made. .Q OFFICE USE ONLY This reduesi void to months from PERMIT Ue ac~~~ 5 5-~i CITY_.OF EAGAN 38§b Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 3 7 2 6 (612) 681-4675 Date Issued: 05/31/94 SITE ADDRESS: 4664 BRISTOL BLVD LOT: 5 BLOCK: 3 WESTON HILLS P.I.N.: 10-83750-050-03 DESCRIPTION: Btu 1dPermit Type SF DWG puilding LJ~&r_k Type NEW „UBC, Occupancy R-3 M-1 Construction Ty V-N Zoning R-1 Building Length 58 Building Width 50 B:jil,din.g- stories 2 eagan REMARKS: PRV S & W PLBR - D C MECH FEE SUMMARY: VALUATION $120,000 Base Fee $709.50 MISCELLANEOUS $1,828.50 Plan Review $461.18 Total Fee $3,859.18 Surcharge $60.00 SAC $800.00 SAC % 100 SAC Units 1 Subtotal $2,030.68 CONTRACTOR: - Applicant - ST. LIC. OWNER: KEY LAND HOMES 18942636 0001553 KEY LAND HOMES 14450 BURNSVILLE PKWY 14450 BURNVILLE PKWY BURNSVILLE MN 55306 BURNSVILLE MN (612) 894-2636 (612)894-2636 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 Mn. J L Statutes~an~City of Eagan Ordinances. 'i•~~ 14 A 4.ir APPLICANT/PERMITEE SIGNATURE ISSUED BY. IG TURE CITY OF EAGAN qj&0 1994 BUILDING PERMIT APPLICATION 681-4675 / r SINGLE & MULTI-FAMILY 2 sets of Flans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of Lbitvj4wab ~r ctural plans, 1 set of specificatT U1149 1 %'Vvy 01 C11 gy 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 S / 'L3 / 94-- Valuation of work 97-700 Site Address: 9'fol BiZ.ISTOL- SW STREET SUITE # Tenant Name: (commercial only) LOT S BLACK 3 SUBD. ee'~Lbi4 IL'S P.I.D. N Description of work: -GIW_.TLr_- ,MIL'S 'D ~ 0-0 rn The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company - Phone 614' 1(03(.0 Contractor Address 1446 p-x)V_4,'?ulLL•-- Amt(, License # ( 553 Exp. City &Zy4~VILLE State ~+a Zip 55123 Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber T2. C m ~AA"V_A-1- 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 all appli able State of Minnesota Statutes and City of Eagan Ordinances. , Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex _ ❑ 11 Apt./Lodging ❑ 16 Basement Finish TT 02 SF Dwg. ❑ 07 4-Plez ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plea ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑-14_ Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'1. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) L111r, Basement sq. ft. -S-20 MWCC System _ (Allowable) V k_ & 1st F1. sq. ft. Z City Water UBC Occupancy VC-3 2nd Fl. sq. ft. PRV Required 17-7 Zoning K-1 Sq. Ft. total Booster Pump B of Stories 2 Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code lD/ Depth 0 On-site sewage SAC Code -0/ Census Bldg i APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ .Site 0 Footing M Framing ID Insulation ❑ Wallboard J2 Final ❑ Draintile ❑ Fireplace Permit Fee valaeti«n: $ I Z CUOo Surcharge O G~f Plan Review 3m~ zo (ooo License z k zn ~zo r iS_ 7~eo MWCC SAC 2 0`V Z City SAC (,yon /6 Water Conn. Water Meter 0 Acct. Deposit S/W Permit ZGy ze S/W Treatment P?. 92-X Sy= V 36$ P1 gpZ Road Unit Park Ded. Z H Q Trails Ded. z Copies y = ~9G Fsy: 37S~y Other - Total: SAC % SAC Units P.02 2422 At K >E Mendota Heights, Drive 65120 * PMAMER LAW „R4YQR1 - CW aeRM= (612) sat-1614 rAXt set-6488 * O EfOOP n~ uxo " 625 Highway 10 N.E. Blaine, MN 66434 * * * (612) 783-1880 FAXI M-1883 Certificate of Survey for: KEYLAND HOMES 2664 BRISTOL BOULEVARD 3650-5 BRISTOL BOULEVARD ,0 9392 ( M HYDRANT. 941.3 942.3 9388 t 8740 S53a52'30"W 942.9 (93`1 0 SERVICE o Cg4z.6) 1N1!=s3Qa~ _ TV. PED 0'40)1 5 TOP BENCH HMARK UB TM.PED! tl sr- PROPOSED 1 d I ELEV.9941. 76-i~8 a DRIVEWAY roN H MAR OF HUB 941,3` ' (945,0) ELEV-944.50 \ W 9 ~ Y 43 .5 P~.O Ai QO ~y 1+f / I C M I I N 6ARSi( I` 1 ai I,i4 9 .0 Al 2 944.'"M 'vKj~ f(((9~ 4 ! N H PROPOSED i p W ~X( I HOUSE ►2 t' m X;\ 94L36 ` 44.0 x944,2~~A~ , W 842.0 I~q4~,~) (g45r0) 40 6.4 rCq 44 S ( N g I (4¢5•`1) to N 9x433 "94-AG M I . 5 I FORA~pA6E 9 UriL STY 15 ` 5 A9EMENT PER PLAT-& J t O o OKI. A~75 8'40 7F/ PROPOSED aRADEB SMRN PER NUDN PLA4 BY: PROBE NOTE, BuUWa DOMSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION OF SIRUCIUKS ONLY. WE ARCI11172CTUAL KAN$ FOR BUILDING AND FOUNDATION DIMENSIONS. NOTE: CONTRACTOR OUST vOrY DRVEWAY DOW OIms THER THAN CAT1 DES pPURPORT j R CEO PLA TS ROTE. NO SPECIFIC SOILS INVESTIGATION HAS 091N aouPUETEO ON THIS LOT BY THE SURYHYOIL THE SWTABB,RY OF SOBS TO SUPPORT THE HEARINGS SHOWN ARE AS&W SPECIFIC HOUSE PROPOSED IS HOT THE RESPg19BINTY Or THE SU RYEYOR. ~PROPOSED HOUSE ELEVATION x ooaoo Denotes Existing Devotion DOOAD ) Denotes Prop Elevation Lowest Floor Elevation: Denotes Drclrosed & Utility Easement Denotes Drainage Flow Direction Top of Block Elevation: - Denotes Monument - W - Denotes Offset Hub Garage Slab Elevation: q45,3 LOT 5 It BOCK 3 WESTON HILLS pAK0T4 COUNTY, WNNE50TA /y_-• ^~l We hereby artify that thit survey, Plan or report rap pr_ sd by me or under my dtreot w and duly rghtx~COnd Satw~r ) under ON lows al the Stott of Minnesota. Doted this Gay ol„ MAY REVISED 5-24-94 STO N ER ENCI EERING, Scale: 1 inch = 3p feet rson, L.S. Reg. No. 198241 9 94122.00 R-96% 05-24-94 10:06AM P002 #44 LOT SURVEY CHECKLIST FOR RESIDENTIAL w •w BUILDING ERMIT AP LIGATION ¢ PROPERTY LEGAL: C a m c^~_ ? < Date of Survey: J DOCUMENT STANDARDS y / F 0~ 0 ❑ Registered Land Surveyor signature and company D-'❑ ❑ Building Permit Applicant D ❑ Legal description ❑ ❑ Address L'I' ❑ ❑ North arrow and bar scale Er ❑ ❑ House type (rambler, walkout, split w/o, split entry, lookout, etc.) ❑ ❑ Directional drainage arrows with slope/gradient ❑ ❑ Proposed/existing sewer and water services 6' D ❑ Street name 0'~❑ 0 Driveway ELEVATIONS Existing 0, D ❑ Sewer service C' 0 ❑ Lot corners C'J~ ❑ 0 Top of curb at the driveway ❑ ❑ Elevations of any existing adjacent homes Proposed ❑ 0 - Garage floor Er~ 0 ❑ First floor 0' ❑ ❑ Lowest exposed elevation (walkout/window) D✓ 0 ❑ Property corners 0 0 Front and rear of home at the foundation PONDING AREAS (if applicable) ❑ D'~ ❑ Easement line Q fY D NWL D D' ❑ HWL Q p ❑ Pond # designation ❑ 0 Emergency Overflow Elevation DIMENSIONS H' ❑ 0 Lot lines 0' Q ❑ Right-of-way and street width (to back of curb) rY ❑ 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) 2r ❑ ❑ Show all easements of record and any City utilities within those easements ❑ Q Setbacks of proposed structure and setback of adjacent existing homes ❑ la/(l Retaining w requi ments, if any Reviewed: Nam / ate October 1992 WYE 1+06 - WYE 1+98 SAN ELEV-:g' PL 928.16 SAN ELEV ,CD PL 927.65 6 co s; 47 5 WYE WYE 1+73 WYE 0+86 2+70 SAM ELEV .N PL 928.25 CB 8 r SAN ELEV. i~, PL 934.06 SAN ELEV. ~ii~ PL 931.08 Y_ ~ I I (n~ E, 1 ~ 6' HYDRANT R ll,-6* Dip L;- - - ~ 8'X6' TEE I DIP 120 3 582'' 1Y1f 1' 1 0 ~i9 F- U Z WYE 1+96 v! EMERGENCY O ERPLOW ELEV. 938.5 O SAN. ELEV. PL 927.40 WYE 1+15 l7 i SAN ELEV-ng PL 92a 13 ~ JK WYE 0+83 WYE 0+05 Q 30 s, WYE 1+70 SAN ELEV. PL 431.00 SAN ELEV. PL 928.50 v :a 2+52 SAN ELEV .ti P L 933.89 i PL 936.61 I z o - HWL F4 Y RAINAGE & UTILITY EASEME 7 rrr vai ..VV 6 - - ......................................................•...........1........................ '57'A 5+00 = TOP. 948.0.9.:1 TOP 938.0.5. CS 117. C 1:19 (so":D1A•) (60" DFA STA.; $+39.59 ST 16'RT _ . A. 5 77.50. :16'pT... . - t..:...... . 936.85 : i - 8 (24_ „X3 : i - . . j 32 -12' ;RCP 20 _ 1 _ ~~Q T . r .j N . . SHED PROFILE z z 1. 0 30gj_g„ . . SpR..35 ?.22 D' .:.212'30' RCP it D.; .....i.... PvC : PVC. .0.41096 SDR 35 m , i _ CS1 ~ i... i....... . : Wit....:.. ...J.y... i i... OWNER; DATr SITE ADDRESS: ~I~~~ 11 L=,_QL ~'LUD PHONE: CONTRACTOR: Vokf AA r] Tlc-+ tC PLAN Determine working square footage of each 1. Total exposed wall area..... 1-l 3 o sq. ft. x .11 = I~ c. 2. Total roof/ceiling area,.,.. IZo1 sq. ft, x .026 = 3 1 Z Total exposed wall area above,floor= l S Sf~ a. Total wall window area 1v1 b.' Total door area 39 c. Total sliding glass door area 4 0 d. Total fireplace wall area e. Total wall framing area (average 10% f. Total rim joist area 1 g. net wall area above floor 17 31 h. wall area above floor i. wall area a6ove floor J, rrzme wall area at roonaat_on................................... Total exposed foundation area= '2 Z k. 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 wail section) a. X 'lull A-7 b. ~-I X 11 ll. X U'- 1"t v X Ilull e. l'?3 X "Ull v7 = I~ f. . ALI X U,.~ = s,r~ g, X „UH o = a1,L h. X ]lull _ X "U" _ i. X "U" - ' j• If item s3 is th- asas, or less tha r. k. X U - F1, you have met X "U" intent of S8C 6G 1. ~ Z 3 . .................................Total = ISI.. ¢3 Total exposed roof/ceiling area........ SPA sq ft j) Total skylioht area....... sq ft x "U" k) Total roof/ceilinq framing 7 area (Average 10x)...... t 2[~ sq ft x U, 1) Total net insulated roof/ceiling area....... l~'l sq ft x "U" 1pri4i y TOTAL j) thru 1) 3~ S If total of 21, is the same as, or less than R2, you have met the.intent of ? "CAR 1.16008 _k and 0. ALTERIIATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items -3 and =4 shall not be greater than the sum of items #1 and =2. t. i~o• + 2. •-73 = 73v a3 43 + 4. :,:7,51 = ICA, PERMIT CITY*bF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 7 4 3 (612) 681-4675 Date Issued: 09/05/97 SITE ADDRESS: 4664 BRISTOL BLVD ',LOT: 5 BLOCK: 3 x WE'TST0N HILLS P.I.N.: 10-83750-050403q! DESCRIPTION: ermit Type DECK Type NEW 434 ALT. RESIDENTIAL j t",arza ~ k R +Eg!~~ r ~ t jg a 8 REMARKS: FEE SUMMARY. Base Fee $50.00 Surcharge $.50 Total Fee $50.50 n CONTRACTOR: OWNER: - A p p l i c a n t - 6 BENTRUP THOMAS 4664 BRISTOL BLVD EAGAN MN (612)452-5201 /14PPLICA /PERMITEE SIGNATURE ISS D Y: IGNATURE f.. 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 45-6" ~j D 7 7 3 CITY OF EAGAN 3830 PILOT KNOB RD - 68122 681.4676 New Construction Requirements RemodelfReoair Requirements - ♦ 3 registered site surveys e 2 copies of plan s 2 copies of plans (include beam & window sizes; poured fnd. design; eta) e 2 site surveys (e decor additions & decks) e 1 energy calculations # 1 energy calculations for heated additions e 3 copies of tree preservation plan H lot platted after 7/1/93 required: _Yes _ No DATE: CONSTRUCTION COST. DESCRIPTION OF WORK: 4J V 4d STREET ADDRESS: LOT Z' BLOCK SUBD./P.I.D. # PROPERTY Name: ei I OmA.r Phone X22,5.20 OWNER K sur Street Address: City: ) Stater Zip: 5-' IOZ9 CONTRACTOR Company: Phone Street Address: License City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licerned plumber (new construction only): 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 Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required CITY USE ONLY L ~BL RECEIPT# ` 1 ' 90Yr.O f~3C SUBD, / RECEIPT'DATE: 1998 PLUMBING PERMIT (RESIDENTIA1,) CITY OF--EAGAN 3830 PILOT KNOB RD EAGAN, MIN 55122 . v........Y 3•~ (612) 681-4675 z._ Please complete for: ➢ single family dwellings- ➢ townhomes and condos when permits are required for each unit' ➢ backflow preventer for underground sprinkler system - 'w.`~-10 5r~r'z'a FIXTURES EACH # TOTAL Shower 3.00 x Water Closet = - §.00 x i Bath Tub 3.00 x Lavatory 3.00 x Kitchen Sink 3.00 x Laundry Tray 3.00 x_ _ - Hot Tub/Spa 3.00 x _ Water Heater 3.00 x = Floor Drain 3.00 x Gas Piping Outlet * minimum -1 3.00 x Rough Openings 1.50 x = - Water Softener "for dwen nder construction 5.00 X r c Softener 'forexisbin dwelling - 20.00 x t. 3.00 c axis r Nln 20.00 Alterations * to existing residence 20.00 Water Turn Around 20.00 Private Disposal System " MPC lic. 75.00 (new and refurbished systems) Private Disposal Systems." Abandonment 20.00 = RPZ (new installation only) 20.00 STATE' SURCHARGE ~d O TOTAL r ®Y s~ hereby acknowledge that I' have read this application, state that the information"is correct, oral agree Mcomp~y-wtdhaN sppGcable City:.dffEagan; ortlna'n ' S. It is the applicant's responsibility to.notdy the property owner that the City of Eagan assumes no liability for any.damages.cau5e'd;by{ttierC f %i,d'unng; its normal operational and maintenance activities`to the facilities constructed under this pe t within Citypiopeny/right-of-wayleasemeM SITE ADDRESS: OWNER NAME: INSTALLER NAME: TELEPHONE#: mac,. >STREETADDRESS: CITY: STATE: ZIP1:`5 yz9 9 bG(J 7 G ` v^~ SIGNATURE & PERMITTEE .Y CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 7 1 31 1 p!v Site Street Address `4W4 ge 5t k sw Unlt # Property Owner 3L'G~u1 'I (YVp Telephone # ((A) LISa - 57-01 Contractor '2f 6 Vl3e&hzno, x1.4.A+tA *-Af wN,UA;xrr'~'Telephone# ((A Address. ~i0vt~ Q tpln A, t City_ State NVA ZIP 55/02 . The Applicant Is: _ Owner Contractor -Other Septic System - New Refurbished Submit 2 sets of plans and MPC license includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener _and/or water - heater, do not complete this section; move to the next sectionT-rand?check the 1 appliance(s) you are installing. -Septic System Abandonment Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener ✓Water Heater $ 15.00 _ new ✓ replacement _ Lawn Irrigation _RPZ ._PVB -new -repair ,rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to startwitheut a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and ~approved. , Q Appiican s Pnn ed m Applicant's Signature o 1512{ ~ t~.o 2006 RESIDENTIAL BUILDING PERMIT APPLICATION -10.c. City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodelfReoair Requirements Office Use fSnN 3 registered site surveys showing sq. It of lot, sq. it of house; and all roofed areas 2 copies of plan slowing footings, beams, joists Cgrt of Sdrvey Recd - (20% maximum lot coverage allowed) 1 set of Energy Calculations for heeled additions NA Soils Riipod• a-^' _r , - _Y-✓ N a Tree Pros Plan Reed`"' ".Y r 1 Soils Report R proposed building is to be placed on disturbed soil 1 site survey for additions & docks 2 copies of plan showing beam & window sizes; poured found design, etc AdMon • indicate Hon-site septic system Tree Pros ftequkart . .-r =X = ✓Ifl I set of Energy Calcuatons Op4de SepticSystarn _,_N 3 copies of Tree Preservation Plan Slot platted after 711/93 Rim Jost Detail options selection sheet (buildings with 3 or less units) Mirmegasco mechanical ventilation form C Date_ Clan Construction Cost 'CA C,r,n l 49~ )11~D \T~ Site Address !~(p(CH a'\'A\- . Unit/Ste # Description of Work '1FWyqu ss -.1G Multi-Family Bldg -Y K N Fireplace(s) K. 0 - 1 _ 2 Property Owner Telephone # Cc6A) Y?.j -553 I Contractor Address 33Z-Fn ~r ua'E-4T city '~)r ~i s vT State C~tJ Zip 61S 3 Telephone # Cost) 112? - ISS 3 I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan Licensed Plumber n\\\\ Telephone ) Mechanical Contractor r. Telephone ) Sewer/Water Contractor Q 1~ti Telephone ) I hereby apply for a Residential Building Permit an 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 or a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan the case of work wh'ch requires a review and approval of plans. S57-5 ~.rr7 Applicant's Printed Name A Ps Signs e DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Mufti ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/perola) ❑ 36 Mufti Misc. ❑ 05 03-plex ❑ 11 10-plex 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New UP 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 WindowstDoors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage_Yes Valuation © Occupancy R -3 MCES System Plan Review 100% or 25% Census Code, X13 y i Zoning 1z ' City Water SAC Units Stories Booster Pump # of Units Sq. Ft.. PRV # of Bldgs Length Fire Sprinklered ' Type of Const VP Width REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock Footings (deck) _ Final/C.O. Footings (addition) FinaVNo C.O. Foundation ~p HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final r° Framing _ Siding _ Stucco Lath _ Stone Lath -Brick _ Fireplace _ R.I. -Air Test -Final _ Windows rO Insulation Retaining Wall Approved By:Building Inspector - Base Fee Surcharge Plan Review ( ~ee MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PERMIT City of Eagan Permit Type:Building Permit Number:EA115368 Date Issued:09/25/2013 Permit Category:ePermit Site Address: 4664 Bristol Blvd Lot:005 Block: 003 Addition: Weston Hills PID:10-83750-03-050 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . josh fitcher 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 - Thomas W Bentrup 4664 Bristol Blvd Eagan MN 55123 Christians 1480 Park Rd Chanhassen MN 55317 (952) 470-2001 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA131824 Date Issued:07/09/2015 Permit Category:ePermit Site Address: 4664 Bristol Blvd Lot:005 Block: 003 Addition: Weston Hills PID:10-83750-03-050 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Thomas W Bentrup 4664 Bristol Blvd Eagan MN 55123 (651) 452-5201 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167866 Date Issued:03/31/2021 Permit Category:ePermit Site Address: 4664 Bristol Blvd Lot:005 Block: 003 Addition: Weston Hills PID:10-83750-03-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Scott & Jenna A Sundeen 4664 Bristol Blvd Eagan MN 55123 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA168736 Date Issued:04/30/2021 Permit Category:ePermit Site Address: 4664 Bristol Blvd Lot:005 Block: 003 Addition: Weston Hills PID:10-83750-03-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Scott & Jenna A Sundeen 4664 Bristol Blvd Eagan MN 55123 (952) 210-2604 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168828 Date Issued:05/05/2021 Permit Category:ePermit Site Address: 4664 Bristol Blvd Lot:005 Block: 003 Addition: Weston Hills PID:10-83750-03-050 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Scott & Jenna A Sundeen 4664 Bristol Blvd Eagan MN 55123 (952) 210-2604 Legacy Restoration Llc 15350 25th Ave N, Suite 114 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature