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4700 Bristol Blvd-CITY QF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 N RECURD PERMIT TYPE: Permit Number: ?? -' j •' ?? `? Date Issued: SITE ADDRESS: s . ,. . n? . : ? 0 .; r 51 -- 1 : 0 0 44 I.ti 1'. 17 LiE41i'f I w:i P II114 ti 1 4tl1 ?`; i•?IP_ °: I +ifV ±! 1 ! ! :; ,'?#l.1 PERMIT SUBTYPE: r? ?,'•? I ; ?1061I tt'd 4 APPLICANT: ff? !'i: 0 !tl ?t I Ilti d>>??? 4 6!;' i t; 9d<i -0ehH TYPE OF WORK: r4 1 i i i f t. ', i ? Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC lnspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE r?4? l FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL 6SMT R.I. BSMT FINAL DECK FTG DECK FINAL ? I CITYOF EAGAN PERMITTYPE: 1 1) 101> 3830 Pilot Knob Road Permit Number: r:4` Eagan, Minnesota 55122-1897 Date Issued: '?h /''1-+?'"r`?r_• , (612) 681-4675 SITE ADDRESS: APPLICANT: -_z- PERMIT SUBTYPE: '; 1 , ii, , I I i'.ti, , , 1 ? l ? TYPE OF WORK: i'r.g -.,1 kl: J F' 1 1.IIfl 1 1 H 111 p.l i k.1 r ? t1141F:1 f ??1:? la ! ! ?? ) Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEAT7NG GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG ???5' r ?/?I aJs. ,:. ? L?.??• I ? Ct-ii,t' ?v .?CcQ',LL DECK FlNAL ? ? ? PECTION RECORD PERMITTYPE: Permit Number: ?-? ' ? _ • ? Date Issued: -- - - - ---- ----- ? t.t r. PERMIT SU;BTYPE: ? ., APPLICANT: ,. i TYPE OF WORK: INSPECTION .. . .A a I'? } I`?I ri 1 I' I I;?. i i? t;'•: zi ( 1t i:. lilE„C:E'aIA N fC A 1 11 1?, v Permit No. Permit Holder Date Telephone # SNJ PLUMBING FiVAC ELEGTRI L "ELECTRIG Inspection Date Insp. Camments Footings I b Y ? Fpundation Framing Roofing Rough Plbg. Rough Hfg. I5ul. ? z Fireplace Final Htg. ? Orsat Tesi Final Plbg. lU Plbg. Inspector- Notify Plumber Const. Meter Engr.lPlan Bldg. Final /f t't Deck Ftg. Deck Final Well Pr. Disp. fl« ,?s?-- ;t5?X9s ) .- 7/??yv -/W • L ,. ,?, . ". r. WeL'tifiCQ#e bf CCC1tvQ1LCv 9i#4 uf ?agan ??? ? ?*ifb* 3no"on This Certificate issued pursuant to the requirements of the Uniform Building Code certifying iftnt at the ii»te of issuanee this structune was in complianc.e with the various oriiinances of the City negu[ating buildireg consrrucrion or use. For the following: Uu Classification_ SF DW, Bldg. Permii No. 23671 0ccupancy7ype -R3/li1 ZoningDisuict RI TypeConst. VN O+wnerofSuilding KEYLAND HMS Addnessl4450 ??y= nw, $%Mjx BuildingAddcess 4700 BRI.5TOL BOELEvAM localityi,17a &F, ?'' Z.? ?S 2ND .i 1 . / j1 .,, '?,?.X-'G`-^r? -?/I'?..l.r'C.??j?. ?IC• W?-??? ? ? ?..J' ' `? i1 .?? / $11111t1fIg OffiC7W ' POST IN A CONSPICUOUS PLACE Address 4700 stusmi, ecxl[EvARn Zip 5512 3 Lot '' n Blk 4 Sub wESrN xIILs 2rID TfESE ITEMS WERE / WERE NOT COMPLE'TE AT THE TIME OF THE FINAL INSPECTION. Date: g a, vi Yes No Inspector: Final grade (6" from siding) ? Permanent steps (gatage) Permanent steps (main entry) Permanent driveway ? Permanent gas 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 ro the outside fawn faucet before freeze potential exisfs. Contact engineering division at 681•4645 before working in rightof-way or installing underground sprinkler system. White - City Copy Ye]low - Resident Copy Pink - Contractor Capy ? ;k 9340 y N 6 5 5 9 Repuest Dare Fire No RauBh-ln Inpsec4an Reqwretl InsOeclion Olher en Rough-ln (VOU ustcallinspenorwlienreatly) ? qeadyNOw WiIlNOtdyingpe[br '? - Ves ? No Dete ReaO I)"?licensed contractor ? owner hereby request inspection of above electrical work at: Job AOOress (Slreet. eox or RoWe No.) Gry Secuon No Township Name or N. Range No County OccoOar (P NT) ? Prone No Power suilgift Atltlress ? / i ? )l1 Electncal Con or(COmpany Name) Contract L¢ense N. . / De? / ! Mailinp dtlress nv tor or Owner M'eing Installall , C i / Autmonzed gnawre ?COntractm'Owner MaWng Ins?allationl Phone Number MINNESOTA $TATE BOAHD OF ELEGTRICITY -' f iHIS INSPECTION REOUEST WILI NOT Grigqe-MiOwey Bltlg. - Raom 5-173 8E ACCEPTED BV THE STATE BOARD 1821 Universih Ave.. SL Faul, MN 55104 l1NLE55 PROPER INSPECTION FEE IS Phane(612)8<4-0B00 ENCIOSED REQUEST FOR ELECTRICAL INSPECTION Ee-ooom.oe lli? See msVUttmrS br Completing this form on back oi yellow cOpy ???l a?-Vo9 ro 6 y bby - "X" Below Work Covered by This Request e Add Rep Type of Building ApphancesWiretl EquipmentWired Home Range Temporary Service Duplez Water Heater Eleclnc Healing Apt Buildinq Dryer Load Management Comm./Industrial Fumace Other (Specify) Farm Air Conditwner Olher (syxdy) ConVaclor's Remarks. Compute Inspection Fee Below: # Other Fee # ServiceEmranceSae Fee # CircWts/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps hansformers Above 200 _ Amps ove 10 Amps SiJOS , Inspector5 Use Ony TOTAL ? Irrigation Booms / ? ?? Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 b10yTHS. I, the Electrical Inspector, hereby Aough-m certitythattheaboveinspectionhas been made. F,,,ai OFFICE USE ONLV ? This request witl 18 months Irom ------------------ j Permit #: ? Permit Fee: ? DateReceived: I Staif: ? I I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _?e?t^ i_ Site Address: '7 700 Lf'1/Si04??.1? Tenant: Sufte #: RE5IDENT ! OWNER Name: /5i4vk , /641 Phone: Address / City / Zip: ?/ 7UY? ?/)GS?v G /S/Ln Appiicant is: _ Owner k Contractor TYPE OF WORK Description oF work &zwr ??* qc;l : GU^.ly Multi-Family 8uilding: (Yes_/ No? Construction Cost CONTRACTOR Name: License #: dpbl??// Address: 7 ;v / S llil, ??tXa , City: 4eMpLw State:Zip: J?/L3 Phone: 407-' Y(9 J ? efZ.2 Contact Person: /SI d COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Venfilation Category 1 Wwksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitled In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: IVOTE:, Plans:and sup"porting documents tha! qousubmit are cv¢sidered to be publrc in`iormatwn. _ Portwns;of'? ? ; ihe ?nformafron rriay be classrfied as rionpvbllc if yau ?rrnvade spgcihc rsasori's tttat would permrt the C+ty to ?=- ? conclvdeihattlie`Yaretrade?secrets t ? I hereby acknowledge that this information is compiete and accurate; that the work will be in conformance with ihe ordinances and codes of the City of Eagan; fhat I understand this is not a permit, but only an application for a permit, and work is not to start wRhout a permit; thffi the work will 6e in accordance with the approved plan in the case of work which requires a review and approval of plans. X gm;k 844mlilo. X _. ? Applicant's Printed Name Appli , - Page 1 of 3 , CITY40"AGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT U1,1g1141 PERMITTYPE: BuiLp=NG PermitNumber: 025805 Date Issued: 06 J14 J95 SITE ADDRESS: P.I.N.s 10-83751-176-04 4700 BRISTOL BLVD LOT: 17 BLOCK: 4 WESTON HILLS 2ND DESCRIPTION: '._ (FUTURE PORCH FTG) "ildinc';Permit Type DECK ,Building Wo,r_k Type MEW f _F ? ..? P g . r , bZ? x r? f?? `°•V? ?.;? J"?J REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Tota1 Fee $30.50 CONTRACTOR: OWNER: - Applicant - HAHN RICHARD 4700 BRISTOL BLVD EAGAN MN 55123 (612)456-9783 _ ? ` • I hereby ackr7owi8dgg t}faC I have read this`sapplioation and state that the information is correct and agr'ee to compl'y with a'll applicable State ofi Mn_ StatuESS and City o1 Eagan Ordinancse,F AP LIGA E SIGNATURE ISSUED B SIG T RE - - _ ?_ INSPECTION RECORD CITYOFEAGAN PERMITTYPE: aurLpzNe 3830 Pilot Knob Road Permit Number: 025805 Eagan, Minnesota 55122-1897 Date Issued: e 6/ 14 / 9 5 (612) 681-4675 SITEADDRESS: P•I•N.: 1e-83751-17e-e4 APPLICANT: LOT: 17 BLOCK: 4 4700 BRISTOL BLVD HAHN RICHARD WE3TON HILLS 2ND (612) 456-9783 F ? PERMIT SUBTYPE: TYPE OF WORK: DECK bEW DESCRIPTZON (FUTURE PORCH FTG) ot6l, c mr oF EnGaN 3830 PILOT KNOB RD - 55122 95 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Censhuetion Reauiremanls RemodeVReoalr ReauiremeMz ? 3 registered site surveya ? 2 eopies ot plan ? 2 copbs af plans (induda beam & window sizes; poured fitl. tlesign; etc.) ? 2 site surveys (ezterbr atlditions 8 decka) ? 1 energy caleulations ? 7 energy celculations for heated edditions ? 3 copbs ot tree pimervation plan H lot plaHed oRer 7/1193 rsquired: _ Yes _ No DATE: FiT ? I Q S? CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT -[j- BLOCK ? PROPERTY OWNER CONTRACTOR SUBD./P.I.D. #: s. S1 zsa r&"*? Name: ? ANN gi Gla 1212-p Phone #: HS 6`?? u., `/? y ? Q 171?1 ST 0`, 9(-vY9 Street Address• 0 City: Ef?G)q1J state: M T? zip: S S la`? Company: Street Address: City: State: Phone #: License #: Zip. ARCHITECTI Company: ENGINEER Name: Phone #, Registration #* Street Address- City: Sewer & water licensed plumber: change are requested once permit is issued. State: Zip: Penally applies when address change and lot I hereby acknowledge that I have read this application and state that tlhe information is cortect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ( ?%{ Signature of Applicant: OFFICE USE ONLY ?ECENED Cer6ficates of Survey Received _ Yes _ No J U N 0 7 1995 Tree Preservation Plan Received _ Yes _ No _______________ BUILDING PERMIT TYPE 0 01 Foundation o OB Duplex 0 02 SF Dwelling o 07 4-plex 0 03 SF Addition o 08 8-plex 0 04 SF Porch o 09 12-piex 0 05 5F Misc. 0 10 = plex WORK TYPE o3,?-31 New o 33 Alterations 0 32 Addition o 34 Repair GENERAL INFORMATION Const. (Adual) (Allowable) UBC Oxupancy Zoning # of Stories Length uepth APPROVALS Planning OFFICE USE ONLY a 11 Apt./Lodging o 16 Basement Finish o 12 MuRi Repair/Rem. ? 17 Swim Pool 0 13 Garage/Accessory o 20 Public Facility a 14 Fireplace o 21 Miscellaneous Coll, 15 Deck 3 - Sefrs?•r ?'o,ee?r. 0 36 Move 0 37 Demolition _ Basement sq. ft. MC/WS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. ys y _ Footprint sq. ft. SAC Code o/ Census Bldg / Census Unit ? Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposk SNV Permit SNV 5urcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ /Za-a ., - % SAC SAC Units ? i?.. FA% 4209710 APE% GROUP P01 Z4z? t¢rprlse Qrlve 0 uandofc HBiqfits. µN 55120 OL ? # * ($??) sa?-1914 F/1K 881-9A88 * p,CSN??w uw0 AtlPKlus . pw [Na?9 9 10 N.E. ,K (Bn? r'1? w?o rL?NMau. trrmawi M?rn E325 Hl AWOY Btalne, MN 55434 (atiz) ?e3-??eo FnxTe?-1sa3 4L ? Certificate of 5urvey for: 470KEYLAND HOMES @R9STOL 60ULEVA. RD y +1 J 939.2 ? ! 9398 ??9?_ ......ecn2f1'C r _ _ odnn (q4o. { ) TV, Q tELE. PEOSr gENCH hN?tRK TOp ? 942 34- -? EIEV, ° g 5? ? 16 M ROW Y71VEW4Y ? P -?o- _ (443-0) zas7 941.8 i I 943.7? 3t ? \ ? ... N l6 ^oa ? 944.0 942.40 9Eu- Q0011?%c ? (ClFY3•D ^ 42 I m sAR.' 27.33 N r 4 P ' .O - 19a2.i J P p? ? I ie .: 94 9GW ? 981.e1 17 ? ? 943'.8 9 ? O 1, , ?v 39,s) \ ????C.,TEIE. 9 TU. PFA3. ; YQ BFNCH MARK ? 7pp OF HU8 941.98 UJ ? o P Q? ? Z ? f 941.68 ?? I l /M ' .?? WtOPO8E0 6RRDlS SNONN PGR ORADIHG PtAN BY? PR Fl9 SHOWH Af?E FOR HOR120NTAL AMU pOiF: BVMIH6 DIMEHSlo `rt0.Pe'°'? .?yt5 cERTIFlCA?E DOES MOt ouRPORi LaCA TO 5HU1Y ErSE&F+?iS TI?M Cf5TRUCTURES NS?ONY• ?E ???CNA? PUNS Fd? 0?1IL.D1N6 ON ? RCCOPDED PL?T. ANO FqJ?+9 n? - D- .E..__ ?wrvFwsr cEya:. p1HEx THaH SHOSE sHOaN ?„yppAINqaE S UTiIITY EASEMENT PERPLAT-c-,--.`?In ? ? O PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Date Issued: C2ps5o,Q 7 BUILDING 027245 04/05j96 SITE ADDRESS: 4700 BRIS70L BlVO LOT: 17 BLOCK: 4 WE3TON HILLS 2ND P.I.N.: 10-83751-170-04 DESCRIPTION: flui,ldimb:,?Permit Type uilding 4Jp,?,k Type B 4 Census Code ',n? i?- _ J . . - • . ... ??1 ?9,,:= ? FIREPLACE NEW 434 AL7. RESIDEN7IAL ,?- ? t --? ?_- / ?t.........? Y: ?...._'? Afifr ? ?L 3J REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - ppplicant - 5T. Ltc.OWNER: HEpT-N-GLO FIREPLACES 18900758 0002968 HAHN RICH 3850 W HWY 13 4709 BRISTOL BLVD BURNSVILLE MN 55337 EAGAN MN (612) 890-0758 (612)456-9783 ? w 9 9 , , _ ?r -4 I herelsy ackrrowletigb tttatI°have raad' tKis? e;ppliratiqn antl state that t,he. ? informati;on 3,.s cc??^r-eet and aq.ree Co epmply,' wit,h ,a11 applicable 9tate of Mn. Statutes and Citx o,F Ea,gan Or.slinance,s, . . - . =' k .. . . . ,, . APPLICANT/PERMITEE SIGNATURE ?????- ISSUE&EY. SIGNATURE , ?'7a 1.,? S CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 1986 FIREPLACE PERMIT APPLICATION 681-4675 DATE: '4 ?S ?-6 DESCRIPTION OF WORK: ? INSTALL MW FIREPLACE: _ WOOD BURNING GAS _ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE _ INSTALL GAS LINE ONLY IN EXISTING FIREPL4CE OTHER: AREA TO BE INSTALLED IN: ?Er 6Z-,a>Z /5W STREET ADDRESS: 4-7a o?",n LOT -J-1 BLOCK -f SUBD./P.I.D. #: APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY Name: k A l-f IV ?" Phone #: 703 OWNER ""' `"" Signature: Street Address- 4-z° c) /vt-Vo Ciry: LEict.A4.1 State: ? Zip: Z- FIREPLACE Company j??u ?±r? ,?'Si/?vr?/?S/a? ? Phone #: D 7? INSTALLER l"1 17 , , GAS LINE INSTALLER Street Address: ?gso W-H `? 1 3 License #: L8 6? City;0 u2o.(S (/'L vL? State: ? Zip•., TS-2 3Z Company• Phone #• Name: SignatL Street Address, City: State: Zip: PERMIT ?dITY OF EAGAN PERMIT TYPE: r` a3? 3830 Pilot Knob Aoad B U I L D i N G Eagan, Minnesota 55123 Permit Number: 023671 (612) 687-4675 Date Issued: 05 J23 J94 SITE ADDRESS: 4700 BRISTOL BLVD LOT: 17 BLOCK: 4 WESTON HIIIS 2ND P.I.N.: 10-83751-170-04 DESCRIPTION: i Bu lding?Permit 7ype SF DWG Build3ng Wb.r_k Type NEW ?UBC Occupancy?- R-3 M-1 ? Construction Typ.e VN / Zoning R-1 J Building Length ? 48 ? Building Width 42 ? ?.... _ . ?? • i? 00, a A ?? - - ?:,- ; -_ REMARKS: S&W CONTRACTOR - D C MECHANICAL FEE SUMMARY VALUpTION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $765.50 $497.58 $68.00 $800.00 100 $2s131.08 PRV $136,000 MISC FEES Total Fee $1,828.50 $3.959.58 CONTRACTOR: - Applicant - ST. LIC. OWNER: KEY LAND HOMES 18942636 0081553 KEYLAND HOMES 14450 BURNSVILLE PKWY 14450 BURNSVILLE PKWY BURNSVILLE MN 55306 BURNSVILLE MN 55306 (612) 894-2636 (612)894-2636 I hereby acknowledge that I have read this application and state that the infiormation is correct and agree to oomply with all applicable State of Mn. Statutes and City of Eagan Ordinances. BY I TURE UED ^ APPLICANT/PEFMITEE SIGNATURE -j k .' a3??21 CITY OF EAGAN *J 3 Rg ?'-s??'? 1994 BUILDING PERMIT APPLICATION ?1 P"?'` 681-4675 6'a't"o s 1" Mav 1e M SINGLE MULTI-FAMILY 2 sets 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. P enalty applies: 1) when ermit is typed, but not picked up by last working day of month F n which request is made, address is changed or 3) lot change is requested once permit s issued. Date S /_(t),_ / 94 Valuation of work ?D°(I bOO ? Site Address: 1_7o(`7_) ?;y_jSToL :&LJv, STREET SVITE p , Tenant Name: (commercial only) IAT ?Z BLOCK A__ SIIBD. 1551IZ04 4 P.I.D. ik Z-to m Descri tion of work: Laj r?iL`? i'Ylf-a The applicant is: O Owner Contractor ? Other (Deseribe) Name Phone Property LAST FIRST Owner qddress STREET STE p City State Zip Company Phone Contractor Address 14?.)D 9LVZ.i.1.SVILLI? %Aicense # Exp.3-31 City Wulzg SU(LC,f- State &1. Zip'S'530Lo Company Phone ArchitecU Engineer Name Registration # Address ' City State Zip. Sewer & water licensed plumber GMC,t a,4aiL4L . 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 wi h all app ic ble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY " BUILDING PERMIT TYPE ? 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish El 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool 133 03 Sf Addition ? 08 8-Plex ? 13 6arage/Accessory O 18 Comm./Ind. 0 04 SF Porch ? 09 12-Plex ? 14 Fireplace 0 19 Comro./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility ? 21 Miscellaneous WORK TYPE ,b 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition O 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) ?_ Basement sq. ft . ld? / MWCC System (Allowable) UBC Occupancy yiy ?-5 _74 lst F1. sq. ft. 2nd F1 s ft ? City Water PRV Re uired 77- i Z , W . q. . q on ng Sq. Ft. total Baoster Pump # of Stories z Footprint Sq. ft. Fire Sprinkler Length ya Un-site well Census Code 0/ Depth 0.33 On-site sewage 5AC Code o/ ni APPROVALS eenius U t Z Planning Building Assessments Engineering Variance REQUIRED iNSPECTI ONS O.Site P:'Footing ff Framing ,10-Insulation El Wallboard [?Final ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P7. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units v,twctm: $ Q s?-t' d- /st - z z,? ?k 13(a.000 = JZ 8 ? 2Sz P? &S- 7??by ?4 co 78,Fz4 ? rjzP Z.l-/y = z? /vX ?6 = ZS`2 aar -? ZX ?a = yyo 7?`y 1 1 ? 3s:05-- j ?OWNER: ----------------- nnrr:_S-Ig?- S?TE ADDRESS: ?'?_?ISlbL gL_VD- Ph:ONE:?521^Zb3b COkTRACTOR:???lJ??/T? PLAN # Determine working square foota9e of each 1. Total exposed wall area..... Z 74o-4?, sq. ft. x.11 = .g4-1S 2. Total roof/ceiling area..... sq. ft. x.026 = .3 ?.? Total exposed wall area above.floor= a. Total wzll window area ........................................... b. Total door area .................................................. c. Total sliding glass door• area .................................... d. Total fireplace wall area ........................................ e. Total wall framing area (average 10%)............................ f. Total rim joist area ....................... ....................... g. net wall area above floor ..............:...................... h. wall area a6ove floor ..................................... i. , wall area a6ove floor ...............?...................... j. frame wall area at fotnridation ................................... Total exposed foundation area= 7L? /3 S - 3 rP 7 ?Cv !?? lo k. Total toundation window area ....................... i 1. Totzl net.'foundation area above grade .............. /,l,- Determine "u" value of each wall segment (e.g. tiaindow, door, each separate wail section) a. X „ull = 3. S b. X„u,-. 31 = i7. al C. v x „U„ 1!!% co d ,_. X 'lull e. ?7v g ????? 07 = Iq.3?? ? X „U„ g. X J.Ukl 114 ? h. X llue, _ i X itult _ X "U" _ ? ?• If item ?3 is t'- X"U" as, or less thzr. il, you have me_ X"U"?= _T!T intent or SBC 6-- 3 . .............. ................... Total 4. TOTAL EXPOSED AOOF/CEILIfIG CAICUlAT10t15: Totzl exposed roof/ceiling area........ ?CO O sq ft : j) Totai skylioht area........ sq ft x"U" •° --- k) Total roof/ceilinq framing?? ? area (Averaoe 10%)...... sq ft x"U" iiG4v= 1) Total net insulated roof/cei 1 ing area...... 6?y !,? sq ft x"U" 1v?"-?' •?' G?Z• ?i ?l' ?'? 4. T07AL j) thru 1) If total of °t+ is the same as, or less than N.2, you have met the intent o` 2 `!C.L7 1.16008_A ard 0. ALTERNATE BUIIDITIC ENVELOPE DESIGN To vtilize the total envelope syscem method, the values established by the sum of icens 13 and •94 shatl no[ be nrea[er than the sum of items H1 and °2. i. .AW•?? + 2. 31,? _ ?,u3 3 • % ,f?i?.V:? + 4. . .* 2422 Enterprise Orlve Mendota Haights, MN 55120 * PIONaep u,,, "„C,M .00 EM„eM (s+z) 0e1-1914 FAX: BBi-A488 x, !1ng 1'IOOP n0 L'a° n'ex'ate• u'"°sc'"e ""°rTE°TS 625 Highwoy 10 N.E. Blaine. MN 55434 (812) 783-1880 FAX 783-1883 Certificate of Survey for: KEYI.,AND HOMES 4700 BRIS70L BWD. 3G62-C BRIST4L, BOULEVARD _ I +1 A M 939.8 939. 6 f 939.2 M '$^- FiYD 940.5 K, ' 0 9.' (940. 1) ? o T1( 9 TELE. PEDSI/$ ? S y BENCH MARK . M ; &Y 942 34??_ 943.7 ? ; .. \ . ? ?rWn N !? m ? \N? S I I?N O -O Q x Z ? 9440 ?d EAGAN ? REVIEWED BY ? 5-.2c oA?i ' f?143.8) IVGB'7C JV t ? gqap o (934.51 ?10 F 1\ELEc.,reLe, a rV. PEDs. ?R?W? ? M e0 BENCH MARK TOP OF HUB (9 ¢3- 0) 941 8 ELEV.a 941.58 2Q67 ~-? I `?IW \.. ? , ) a2}O \g - ,; GAA. ry4?,? ? N/ 21.33 ? M r?,- ( eaz,o (4143.01) ;414 I' I j942 1 I ? !941.68 4?.51 (9 I 94W 941.BI ' ? 17 By I Da ^? ??DRAINA6E & UTILtTY GANEN I EASEMENT F'ER PLAT?-I__ ? 10 L- ? 0) 1943:6 ---• --- -- - - ? »?.. 9 I 8 7 pRppOSED GRAOES SHOWH PER GRADING PLAN BV: PRaBE Xa NOTE: BVIIAIHG DIMENSIONS SliOYM ARE fOR HOAiZONTAL AND VER11CA1 ? LOCA110N Of SiRUC7URES ONLY. SEE MCHI7ECNAl PLANS FOR BVIWNG / i0U A710N DMEN510NS E ? DEPT. ?-- ,? ,, ,1?. J ? ?u .? ?NO ND NOiE: CpN'?RqC70rt MUS'f VEPoFY ORIVEWAY DES16N. 'MIS cER11FlCA7E DOES NOT PURPOR7 70 SMOW EASEMFH'f5 OTMER 7ryµ TµpgE g{pyM pN 7ME RECOROEO PUT. NOTE: NO SPECIfIC SfNLS MKSfI6A710N HAS BEfN COMPLEhD ON TMIS LOT BV THE SUROEYOR. 7NE SU17A81L1N OF 500.3 t0 SUFAO(1T THE BEARINCS SF10wN ARE ASSUMED $PECIFlC MWSE PROPDSED IS HOT THE RE"9BIUtt OF THE SURVE`(OR EROPOSED N x ooo.oo Denotes Existing Elevation Lowest Floor Elevatfon: Q 3S_? ( ooo.oo ) Denotes Proposed ElevoUon , penoies Oroinage & Utility Eosament q?3,7 Denotes Droinage flow Directton Top of Block Elevation: --? Oenotes Monument ---E3-- Denotas Offset Hub Garage Slab Elevatlon: `143. LOT 17 , BLOCK 4 WESTON HILLS 2ND ADDlTION pCKOTA COUNTY, MINNE507A V!e PnYby eeI thot :ho ou??ey. Wan a rmort +ea DIepared Dy me m under my dkeat wo> ?o^ a^d na om d?y rs9'?'° o^d Sarveya ,A,o, ,h, „w, ,4 th. Sloie af Minnesoto. Dotod tnis IOTH daY ^r.MAY a.o. + ?• ?? tONEER ENG Ef .A. Scale: 7 inch = 3O feet a. l-----w.. John C. Larson, l.S Req. No. 199 ?. , LOT SIIRVEY CHECRLIST FOR RESIDENTIAL BIII] 7 -A PTtOPERTY LEGAL: /:z z iez fz z ` w 4 a Date of Survey: 2 DOCUMENT STANDARDS 6?0 0 • Reqistered Land Suzveyor signature and company B',C1 0 • Butldinq Permit Applicant C•T'? 0 • Leqal description 0? 0 0 • Address C3?0 0 • North arrow and ber scale [3?0 Q • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0-'0 0 • Directional drainage arrows with slope/gradient t. 0<13 0 • Proposed/existing sewer and water services 6? 0 • Street name 0 • Driveway ELEVATIONS isti E U-0 ? • na g Sewer service 0'o 0 a • Lot corners 0'?? 0 • Top of curb at the driveway 0--10 0 • Elevations of any existing adjacent homes d P C' 0 0 • rooose Garage floor [3?? 0 • First floor ? 0 0 • Lowest exposed elevation (walkout/window) f? 0 0 • Property corners V?0 0 • Front and rear of home at the foundation PONDINa AREAS (if apnlicable) : ? T?[] • Easement line 13 W- ? • NWL 13 0' D • HwL ? 8? 0 • Pond # designation 0 L? 0 • Emergency Overflow Elevation 6' 0 0 • Lot lines 0r 0 0 • Riqht-of-way and street width (to back of curb) 9? 0 ? • Proposed lfome dimensions includinq any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footinqs) ?? 0 • Show.all easements of record and any City utilities within those easements 0' 0 0 • Setbacks of proposed structure and setback of adjacent ?? existing homes 0[T ? • Retaini wall requirements, if any n-<-a. q / 9c/ October 1992 . , • \ ?* ? :.=??Lp?g$ t ? .?[ ''•. , Sq?,? i i ? ` • F yyp < Fo 9'O4M'O? ti?s?9y ^ ? , , , , = . ??k ? ? \ / / WYE0+15 16 / / SAN. F.LEV. @ PL 930.16 _> .7i r9?x4s / \ - ? 15 „ ; F.F? ? ? ? / WYE 0+77 . SAN. EIEV. @ PL 930.02 /'41 =' T, 7p, ?.€=?.y m rg t9 i?s• ?i?Jp?n cn wv ? _orm C ??> m WYE 0+32 SAN. ElE oz 0 ? ? l / SAN. ELEV. @ PL 93026 ??C? > m???-y s. ? ? -? p r"ccm \2 wre 1+20 ? SAN. EIEV. q PL 930.79 ? ?OC o- / / /\ S'q \ i o?m m v ?ira w ? i i ` W V E 2+07 ? SAN. ELEV. @ Pl 931.31 ? O \\ //// ? W VE 2+8T ? \\4 SAN. ELEV. @ PL ! '? ? '? ? •? 5 . ............ .. .. ..... . . . z,..,?.Q,,..?? -??.. .. .... ....... .. ..............:..........,?.. T . ... . ? ......... .. . ......... . . ... . • . ........ .. .. ............... ....... : . ... : .................... ..... : ........ .. ............... : .. ... h.. : . ? ...... ...........................:...........................:....... . .. . ........ ..... ............... ...... ........... ..... . sr.., n -r. .?. .. : .... . . .. ........ ; . ...... ....:.......... ................. ......... ... ... ? .. ?7.1? ......: ............................:................T..?,F.- I................/,fl?._:Fi,i._ II ? s. .R,..}r. . . .?u... ... .1,'i? . .......:........................... . ?5...... . ??:..? ??11 )T / n n^l.wn?• ..... ............................:................/.?.pt.t^..'.P:m.....?,... . T i .....?....................... • /"fitt/Clt"S F_I! .................. U....... ? s^ . . ..... .. •.b5_?ao .... .. s i?. ?i . . . .: .. . .a. , b . ..... .............. .............. . - _ " .......... ..... ................ . ? . , ......! IA .'.^T.T.o:•...-r:. -.. . : 1 • ? _.. ......... - ...... . . . .. i /.... ii... , )• ........ ............. .... ....... ................. ...... Y...Fdl!l?ii ?i . N i . .. ... ........... ............ .. : ............ .. ... . .. ? . ..a1e-ri?i^....?.........?..?.......;. ?. .` :.k.. .......:.......... ........... • . ......... ... ,.............. _ ..............?.? _ , _ ... ., ._ ....:......................._..:......... ...?.:..-. _:,. _ .... . _,.. .. .. .. . .. ? ...... ...:.. ... ... ...... : . . . ..:.. . : . ., .. ' I\ F':.1 FS.`:<^? i.; :. . ....... ... .. .. ...... ? .......................... : ........... . f...i. ??? .:?: !..?._'.`'.. . .. . .....: ...... ., . . . . ...: ..................... ...... : .. ... .. .. . : ............ ..? ............................ : ............ ... .. . ....... .. .. . .......... . .. . . . .. . .. .. . . . ... ... .. .. ..: ............. .... ....... : .. .. .. . .. . Z : 10+00 11+00 12+00 13+00 14. ? ? Use BLUE or BLACK Ink r _ _ _ _ _ _ _ _ _ _ _ _ _ _ I For Office Use I t~ n - City Of 1 Ea i Permit I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 1 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address:~Dd~j~l©~ rJ~IJ~~ Unit 7..........._,._r.,._-..._....._.«....~e.,.,....-..-...~ 3 Name: Phone: Resident/ I Owner I Address/ City/ Zip: ~7 7G?iSir~~ ~Yl~ , Li~l~fftJ Applicant is: Owner Contractor of Work Description of work: ~_nr Type Construction Cost: Multi-Family Building: (Yes / No.. ~ Company: Contact: : I Address: ~~r'>~J Tr~~ 04h City: Contractor hln/ . State:/)')6 Zip: S jL3 Phone: 64 Email: License (o// Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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: NOfiE: 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.gopherstateonecall.oro 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 Buildin ode must be completed within 180 days it issuance. x Applicant's Printed Name Applicant's Signa u Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA145658 Date Issued:09/19/2017 Permit Category:ePermit Site Address: 4700 Bristol Blvd Lot:017 Block: 004 Addition: Weston Hills 2nd PID:10-83751-04-170 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 - Timothy R Jones 4700 Bristol Blvd Eagan MN 55123 Wildwood Construction 4703 Bristol Blvd Eagan MN 55123 (612) 369-1422 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA154972 Date Issued:04/22/2019 Permit Category:ePermit Site Address: 4700 Bristol Blvd Lot:017 Block: 004 Addition: Weston Hills 2nd PID:10-83751-04-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Timothy R Jones 4700 Bristol Blvd Eagan MN 55123 (651) 295-2953 Holmin Heating & Cooling Llc 3432 Denmark Avenue, #228 Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160669 Date Issued:04/01/2020 Permit Category:ePermit Site Address: 4700 Bristol Blvd Lot:017 Block: 004 Addition: Weston Hills 2nd PID:10-83751-04-170 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Timothy R Jones 4700 Bristol Blvd Eagan MN 55123 (651) 295-2953 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167344 Date Issued:03/10/2021 Permit Category:ePermit Site Address: 4700 Bristol Blvd Lot:017 Block: 004 Addition: Weston Hills 2nd PID:10-83751-04-170 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 - Timothy Robert & Nicole E Jones 4700 Bristol Blvd Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature