4679 Bristol BlvdINSPECTI4N RECURD
? CITY OF EAGAN PERMIT TYPE:
? 3830 Pilot Knob Road Permit Number:
E Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
? SITE ADDRESS: APPLICANT: ?
,
PERMIT SUBTYPE: - ` ir= ,
TYPE OF WORK: '
c? f ?a
INSPECTION .. . .•
?
Permit No. Permit Holder Dete Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Insp. Comments
Footings i
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Finai Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
Engr.lPlan
Bldg. Rnal
Deck Ftg_ y I ?
Deck Final
Well
Pr. Disp.
N PERMIT TYPE:
Permit Number: 23 Date issued:
f
SITE ADDRESS: , „ i ;
I, I t? IVI
PERMIT SUBTYPE:
.; i?.. _
?
Fi{tt?HMN' I:'(IN'-;X
t ?; ?: •??i
TYPE OF WORK:
.
I.I , ? t-'! r?t't'
? i ;?ii1=F'•?_ ?•F?'?r . ?? W V I lsh. .. _tq',! N : ti°tr'10 (°I itri
Partnit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRI a Swf // /? ?? •? t/ ?
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation /??. 2?3 G
7 Q Ur' Cl U?2 3 JA,
Framin
9
,111'6 L73
4)Z
Roofing
Rough Pibg.
Q.a
Rough Htg. /J iY 12
-
_
isui. ? q ? •y??i 'aD .-r -1 ? / 9? i?
Fireplace
Final Htg. ! 5?/1 f 1-93 ?i
Orsat Test C5
Final Plbg.
? Pibg. Inspector - Notify Piumber
Const. Meter
EngrJPlan
Bidg. Fnal
Deck Ftg.
Deck Fnal
Well
Pr. Disp.
O
4 %-
At
? .
????•?, . -
W"em"ftCQte Df cCCIivQIiC?
(Fi#? of ?aga? 4
Tevartmeut of q3niLbing ?u??ecrion ?.
This Certicate tssued pursuant ta the requirements of 1he Uniform Building Code
certifying that at the time of issuance this strueture was in compliance with the various
ordinances af the City regulating building canstrucrion or use. For the foflowing:
Ux Classification: Sr'' DWG Bldg. Permit No. 72 ] 41}
Occupancy Type R-3 M-- l Zoning Disnia R-1 Type Const. V-N
Owoerof 6uifding :ORMAN .(7NST T N['. Address 9?1 7 RnuuTE LN
BuildingAddress 4679 BRISTOL $LVQ Localicy 1.29, l31 , 47EST[lN HTT.i.S
"ri- Date: T7FC,FMRFR j], 1993
F
8ui{ding E)thctal ;g
POST IN A CONSPICUOUS PLACE { f
AddtCSS e67q rtuTCTrn nrvn Zip 5512_
Lat' 29 - Blk 1 Sub WESTON HILLS
THESE ITEMS WERE / WERE NOT COMPLETE AT T'HE TIME OF THE FINAL INSPEGTION.
Date: DEC 17, 1993 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage) ?
Permanent steps (main entry)
Permanent driveway ?
Permanent gas v'
Sod/Seeded grass ?
TraiUcurb damage V/?
Pomh
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply W
the outside lawn faucet before freeze potential exists.
Contac[ engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
?9?' /5 9 V-.3
2 8 7 &1/.,,?q /
Requesi ate ?']
r\
`,? Flre No Roughin In ec?ion
d9
T NOTICE: You Must Cell Elecirical Inspeclor
I
I
R
h
I
_ I
?
? l6J J ue
es ? Na I
A
-
n
nsPect,on
ou9
Is Re9uired
I icensed contractor ? owner hereby request inspection of above electrical work at:
JoE Adtlr (S reefijox or floo.) ? ? ?j
6? l? l ?Tb-l.'
??? Qty ?g
? d'",--
Secvon No. Township Name or No Range No. Co ty
K.
Occupa PRINn Phone No.
rrh4 c.
Powerr Adtlress
Electrk ontmct o (COmpanyName)
? ?..?
? Contaotor LlcenseNOj?
?V
?
CC IO jV RC. J
Mailln Adtlress (CoMraaa or O?wn `M g Insp Ilaaon) /
?
'
iaJ
f?aK? r
Rc
!
AWhorizeC n re(?Maki Phone Num nber
F1INNESOTA STATE BOA{iD OF ELECTflIpTY ? THIS INSPEGTION REQUEST WILL NOT
Griggs-Mltlwey Bltlg. - Poom 5173 BE AGCEPTED BYTHE STATE BOARD
1821 Univttsity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)fi42•OB00 ENCLOSED.
a/C? REQUEST FOR ELECTRICAL INSPECTION
r r ? i ?. See instmdions tor compleLng fiis torm on back of yellow copy
2 8 7 81 ?4.,.'X" Below Work Covered by This Request
EB-00001
/593
e kdd Fde . rypeofBuilding AppliancesWired EquipmentWred
Home Range Temporery Service
Duplex Water Heater Eledric Heenn
Apt. Building Dryer Loatl Management
Comm./Industrial Furnace Other (Specity)
Farm Air Conditioner
Other (speafy) Conlractor8 Remarks
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # CircuRsiFeeders ee
Swimming Pool O to 200 Amps ?6$ to 100 Amps
Trensformers Above 200 _ Amps Above 100 _ Amps
$IJf15 InspeMarB Use Only. TOT L
Irrigation Booms
6 ?
?
Special Inspection
?
Alarm/Communication DIS NNECTED IF NOT
THIS INSTALLATION MAV BE OFI
Other Fee COMPLETED WITNIN 18 MO t
I, the Elechical Inspector, hereby Rough-in ?
certify that the a6ove inspection has
been made. Final oatte
K/-a
OFFICE USE ONLY
This request voi0 18 monlhs irom
(?)o309
2007 RESIDENTIAL BUII.DINC?i PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reamrements
3 reglstered site wrveys showing sq. ft af lot, sq. R of house, and all roofed areas
(20%mmcimum bt cwerage allmd)
1 Soi6 Report it proposed balding is lo be placed an daWr6ed sal
2 copies of plan sha+ring beam 8 window sizes; poured found design, elc
1 set of Eicergy Ceiailatians
3 capies of Tree Preservatian Plan HIM platted after 711193
Rim Joist Detad Options sekction sheet (6uJdiigs wlih 3 or less unils)
Minnegauo mechanical venNation form
?
RemodeVReoair ReauiremenLS -016ie Use OMv
2 copies of plan showing foodngs, beams, jolsLS Cert of Sorvey Y _ N
1 set of Energy CakWatlons for healed ad?Aims Sails Reparl_ , • _Y _ N
7 site survey for additlms 8 tledcs Tree Pres Plan Recil ,- _ Y _ N
Addnian-irMicafeBoo-aMesepficsysfem TmePresRequlred_%,??
? Y ;_N
O?te Sepfic Syitem
- _ Y _ N
Pians are considered public information unless vou state they are trade secret and the reason.
Date jQ_ / dfQ_ l0? 96
Construction Cost 2OpO ?
SiteAddress L*, 2g &f61 l/r .l UniUSte #
L"?c
Description of Work
Multi-Family Bldg _ Y>4 N Fireplace(s) _ 0_ 1 _ 2
Proper[y Owner ganl &LSn,n Telephone # ( )
Contractor ?,??L.D e.?eon COnvSr 2m/
Address ?003 259t3Ta1. ,51 ND Cit3'
State JE09an„J MIJ Zip fgjZ3 Telephone # (6(Z ) „?j? -/tfZz
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeory 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilatlon Category 1 Worksheef • New Energy Code Worksheel
(J su6mission lype) Submitled Submitted
. Energy Envelope CakulaGons Submitted
In The IasT 12 monihs, 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
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case ov rk which requites a review and
approval of plans.
fS=Nq i>&4hmbli,/
Applicant's Printed Name
. . PERMIT
?WY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
ce
PERMITTYPE: suzLoiNG
Permit Number: 022144
Date Issued: 10 / l i/ 9 3
SITE ADDRESS:
P.I.N.: 10-83750-290-01
4679 BRISTOL BLVD
LO7: 29 BLOCK: 1
WESTON NILLS DESCRIPTION:
REMARKS:
PRV
B,.rilding, Permit Type SF OWa
BuildingWor
k 7ype NEW
tt
UBC Occupancy\., R-3 M-1
Construct3on Type V-N
2ortiiny ?l R-1
Building Length 52
Building Width 38
??,--
/? ???? ?? ??aq
jun
S& W PLBR - fiENZ-RYAN PLBG
FEE SUMMARIF
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAC Units
Lic. Search Fee
Subtotal
VALUATION
$758.50
$493.03
$67.00
$750.08
100
1
E5.00
$2,073.53
$134,000
MSSCELLANEOUS
Total Fee
$1.744.50
$3,818.03
CCaNTR?1C?TOR: - Hpp ilcanc - 5 i. L1l* pWNER:
G RMA ONST 17313240 0003331 GTIRMAN CONST INC
2217 BONNIE LN 2217 BONNIE LN
ST PAUL MN 55119 3T PAUL MN 55119
(612) 731-3240 (612)731-3240
I hereby aaknowledge that I have read this a,pplication and state that t:he
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances. : t
I
' APPLICANTIPERMITEESIGNATURE
INSPECTION
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: Lor: 29
4679 BRISTOL BLVD
WESTON HILLS
PERMIpW UBTYPE:
TYPE OF WORK: NEw
INSPECTION
FODTIN6 D. .
FRAMING ..
INSULATION FINAL
FIREPLACE
I REMARKS: PRV S& W PLBR - GEN2-RYAN PLBG
I ? - -- -
1 tA V1 4a,f??_
ISSUED B :51 NATUR
- Lu• _
RECORD
PERMITTYPE: euzLoiNG
Permit Numher: 022144
Date Issued: 10 / 11 / 9 3
BLOCK: 1 APPLICANT:
GORMAN CONST
(612) 731-3240
y ..r! • .
REAC7IVATE, _
PERMIT t.
1i I dit
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
??????? ??
aPP
1 1.
f e
?vl
SINGLE 6 MULTI-FAMILY .g
2 sets of plans, 3 registered site surve copy o
cal cs.
COMMERCIAL 2 sets of architectural 5 structural plans, 1 set of
specificaticns, 1 copy of enRrgy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
3) lot change is requested once permit
d
or
in which request is made, 2) address is change
is issued.
Date ? / ? / -32?- Yaluation of work
Site Address: J'(?jy k1r15+DI P-)
jj 4 I I R fiREET fUtTE M
??
Tenant Name: (commercial only)
LOT BIACK SUBD. WQ,? r\ Y.I.D. M '
Descri tion of work: 1-4ome-
The applicant is: 0 Owner Contractor O Other (oes«iee)
eOVla1d Phone(o8(n-0-i D1
P
p?on
Name
Property L?ST FIasT
Owner Address
S1REEi {TE Y
City ?iox 0*-? State MN Zip
Company GDY'-fv^c?'n Phone -)3I - 3?.`-f
Contractor Address License #boo 3331 Exp.
City State MI?I Zip ->511 °I
Company Phone
ArChit@Ct/
Registration #
Engineer Name
Address
. City State ZiP
Sewer 6 water licensed plumber Processing time for
sewer 8 water permits is two days once area ha been approved.
I hereby acknowledge that I have read this application and state that the information is
of Minnesota Statutes and City of
t
St
b
e
a
le
correct and agree to comply with all applica
Eagan Ordinances.
nature of Applicant:
5l
g
OFFICE USE ONLY
BUILDING PERMIT TYPE I O 01 foundation ? 06 Duplex ? 11 Apt./Lodging
J@r02 Sf Dwg. ? 01 4-Plex E3 12 Multi. M1sc.
O 03 SF Addition D OB 8-Plex ? 13 Garage /Acce s sory
? 04 SF Porch 0 09 12-Plex ? 14 Fireplace
O 05 Sf Misc. O 10 Multi. Add'1. ? 15 Deck
woRK nrPe
1&31 New ? 33 Alterations ? 35 Tenant finish
? 32 Addition ? 34 Repair 0 36 Move
GENERAL lNFORMATION
.4, .? . .
-G 16<.Basement F?q,ish
"0 17 Sv'Im Pool O 18 Comm./Ind.
G 19 Coron./Ind. Misc.
? 20 Public Facility
0 21 Miscellaneous
E3 37 Demolish
Const. (Actual) N Basement sq. ft. MWCL System YE?_
(Allowable) lst F1. sq. ft. City Mater %.4 &_5_
UBC Occupancy R.3 Ni-? 2nd fl. sq. ft. PRY Required _IJE5-
Zoning R_\ Sq. ft. total Booster Pump
i of Stories Footprint Sq. ft. Fire Sprinkler
Length s On-site well Census Code
Depth 3 E30 On-site sewage SAC Code
APPROVALS ; -
Planning Building Assessments
Fogineering Yariance
REQUIRED INSPECTIONS
O Site
Q Wallboard
? Footing
? Final
? Framing
O Draintile
0 Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC 5AC
Lity SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAL %
SAC Units
v.LL.tio,: g 13%4, a0 o
GaR.n?E'. Z2'XZZ = L{f3t4
I1. x!i ? 1 F7 l.
P?SMT; G o? 16 ?
30K24• - 780
y y 1k 9 30
I??•I6 = 1r?6
`S6
(sT Ft.ooty?,
t3srn-r c 9 4!6
y4 = iy
x 2
Io19x5'H %
Io56a
,
I L-I,r19o
ZNb rLflom:
gsYn'F ? ? ? ? s4 =
P.aa
* * * } 2422 Enterpriss privo
* 4( Nendoto Hetghka, VAN 55720
* PIONEER ,,,ND S,,,?,= , p,,L F,,WEE„ (612) e81-^1974•Fax 681-9488
J*eing neer n8 LAN0 PLANNdie. LANDrAM „RON,IM 825 Highwuy 10 Nwihcoat
* * Blatne. MN 85434
i( * 1(612) 783-1880•Fax 783-1883
Certiflcate of Survay for: J0e Gorman Constructian, InC.
Houae Address: Bristoi Boulevard Eagan MN
Model Name:
Customer:
a
$y^ ? /
V4d y •?3 6 O
" 1- 3 S'. 6
? N}? S fds•
/ ?`? q\ °138A1
?
\ / (?,'? ? \ •? ?,?,
C $7.? ,?. a \
\ !'? , \ ?? ?\ 39 /f
?
o A
Ao
900
az ?
[?
p o oMo n ?C? ? 9 '=? Ea
A GN
NDiE: CONTRACTDR MUST VERIFY ALL QIMENSION$ AND DRiVEWAY pE51GN ZX"* INGINEERI
K soo.o Denotea Ex'ssting Elevation PROP05ED HOUSE EIEVATION
MC?.? Denotes Proposed Elewtion iowest Flodr Etevationr933.55
- Qenotes Droinage & Utility Easement Top of Block Etevatton:94t.88
Oenotee Drainage Flow Direction
-o Denotes Monument Gorqge Slob Flevatton:941.33
-.g-- Oenate+a Offset Hub g@orings shown are assumed
LOT 29., BLOCK 1 WESTaN HILLS
OAKOTp COIJMTY, MINNESO7A
1 hereby Ceft11Y that thfs 6YNW, plan ar rpOYt wea p vsd hy o u?de?lny diwot wpervqion and thet 1 am duly RapiKerptl Lantl 8urwyo?
undar ehe 4r?n of tM SYela of Mcmawm. Dsted thit day of?1q ?W_, A.D. t9
?podss0 q?a.9/R3 RewlS? 0.Qo.r EtEJ.'?? CZ
SC. ?le. l??' 3O-le-al RO6E0.T B, iCH .S. R66, O. 11891
IN 93233.00
R=96% 09-29-93 08:41AM P002 #12
?i
? st m
LOT BIIRVEY
FOR REBIDENTIAL
0?0 0 • Registered Land Surveyor signature and company
0? ?
? 0 • Building Permit Applicant
+(f
p ? • Legal description
D GY 0 • Address
p-? ? • North arrow and bar scale
p' ? D • House type (rambler, walkout, split w/o, split
Er'b
?
• lookout, etc.)
Directional drainage arrows with slope/gradient $.
4T` ? 0 • Proposed%existing sewer and water services
8'-?0 0 • Street name
p--?b ? • Driveway
ELEVATION6
Exfetina
p p"?p • Sewer service
a' ? ? • Lot corners
a?[3 0 • Top of curb at the driveway
pFr'? • Elevations of any existing adjacent homes
propose6
Q?p ? • Garage floor
p?p
?p ?
p •
• First floor
Lowest exposed elevation (walkout/window)
? ? ? • Property corners
2-13 ? • Front and rear of home at the foundation
PONDING AREAS (if aflolicable)
Q/p ? • Easement line .
H ?
? 0 0
? •
• NwL
HwL
0,-13 ?Cl • Pond # designation
p ? ? • Emergency Overflow Elevation
entry,
DZMENSIONS
? ? Q • Lot lines
d o? • Right-of-way and street width (to back of curb)
? p ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
[l? 0 0 • Show all easements of record and any City utilities within
those easements
? 0 0 • Setbacks of proposed structure and setback of adjacent
existing homes
D ? • Retainin 11 re irements, if any
Reviewed• c:?_/ 7ZPt/?7 -
October 1992
Date Surveys
DOCIIMENT STANDARDS -Ll?- /a ?/'?
CITY OF EAGAN
ERTERIOR ENYELOPE lYERAGE OUt COMPUTATION
,
OifNER: _03 Y1G, I(7I o- ? IP?'? ?S O Vl
SITE ADDRFSS: X JC ? ?ri(!?--V-a vcl z ? ?3`
CONTRACTOR: (SQrYN^C.Y\ GpDATE:1?- PHOHE: ?131-3?-fo
-* 0o d 33c31
Determine working square footage of each:
1. Total exposed wall area ... D,?9 I o sq. ft. x. 71 = ac1 S% 9
2. Total roof/ceiling area ., q(D y- sq, ft, x.026 = a-J , V lo .L4
Total ezposed rrall area above floor = a(z> 9 O
a. Total wall windou area ............................ .? a- ?J
b. Total door area .................................. 31.5'
c, Total sliding glass area .......................... l a•q a.
d. Total fireplace uall area ......................... Iln
e. Total wall framing area (average 10%) .............
f. Total net Nall area above floor ................... 2. .c10
g. Total rim joist area .............................. IU c1
Total exposed foundation area = aO$' S-?
h. Total foundation window area .......................
I. Total net foundatlon area above grade .............. ?
Determine 'U' value of each wall segment:
' ut . L4s _I?--to "
'U' . O-1 =
' U' i t.1 S - A S. 9 'U'
' U'
U
'
TUI _ u u a.
' u' -
' U' . OSC = 1'?. N ?7
3 . ................................................... Total t 7
If item 83 is the same as or less than item 61, you have met e intent of S
6006(c)2o
a. a.l-1 a-. ?A,,3 x
G . A,-1, ? x
c . '1 q ;g 2 x
d. ? ln x
e. ?loq x
f. 2.ga-I.DO x
g. I oq x
h, - x
i, ?F( x
Total exposed roof/ceiling area =9(D4 5p
J. Total skylight area ............................... "0-
k. Total roof/ceiling framing area (average 10$) .....-7 =?
1. Total net insulated roof/ceiling area .............. klo') ,tQ
OYER
, Determine OU' value for each roof/ceiling aepent:
, J. x IU' =
k. ? X ful , ?a? = a• ?o
?b
1. , oa-3 = l?S
4 . ...................................................... rota = oL .J b
If total of 94 is the same as or less than A2, you have met t e inte of SBC
6006(c)1.
Alternate Building Envelope Design
7o utilize the total envelope system method, the values established by the sum
of Items S3 and 04 shall not be greater than the sum of Items #1 and 02.
1. + 2. -
--^--- '
3. + 4. -
2
? CIl'Y 6F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-83750-290-01
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4679 BRISTOL BLVD
LOT: 29 BLQGK: 1
WESTON HIILS
?-?
Bu3lding'._Permit Type DECK
Building Wo.rk Type NEW
JBuilding Length 17
/ Bu3lding Width .? 12
j
?
?-' °? e70
8???G
I
023207
04/11/94
OC?
REMARKS:
FEE SUMMARY:
Base Fee $90.00
3urcharge $.50
Total Fee $30.50
CONTRACTOR: OWNER: - Applicant -
HANSON RON
678 BRISTOL BLVD
EAGAN MN
(612)688-0727
I hereby acknowledge that I have read this application and stats that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L -
,
? 1? S Q ? Pv OL
APPLICP?NTlPERMITEE SIGNATURE IINSPECTION RECORD
CITYOFEAGAN PERMITTYPE: auiLozNG
3830 Pilot Knob Road Permit Number: @ 2 3 2 0 7
Eagan, Minnesota 55123 Date Issued: 04 /11 J94
(612) 681-4675
SITEADDRESS: Lor: 29 BLOCK: 1 APPLICANT:
4679 BRIS70L BLVD HANSON RON
WESTON HILIS (612) 688-0727
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
F
NEW
L -
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION,
??• ?? 681-4675 MAR 2 9 1994
q rn ODi,1 d_d 4.90..?D - ---- -----
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.
Penalty applies: 1) when perm9t is typed, but not picked up by last working day of manth
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ?& &4 - / '?) ? / 9 'IV Valuation af work lco 'C;?o
Site Address: Qri.S??-i' Ql?
STREET SU1TE S'
Tenant Name: (commercial only)
LOT ok I BLOC& _L SUBD. /IS P.I.D. #
Descri tion of woxk:
The applicant is: Owner ? Contractor ? Other (Describe)
Name Phonefg99 0 71)7
Property LAST FIRSr
Owner Address 01 f(),
STREET STE #
City ? GGOh State Zip
l
Compan Phone
Contractor Address icense # Exp.
City State
\
c ' Phone
Architect/
Engineer Name Re '
Address '
Cit State
5ewer & water licensed plumber . Processing time for
sewer & water permlts 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 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
y ? . _ .. ... ..?s-: v r .. _ . , . . . . *` _ , . CertificaEe' of Survey for: JO@ GOt"t'Y1qY1 Construction. I_
House Address:4??7? Bristol Bou evard Eaaan MtJ
l ?m i
MECHANICAL PERMIT (RESIDENTTAL)
CITY OF EAGAN
3830 PIIAT KNOB ItD
EAGAN MN SS122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMII,Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WFF-TT PERMTTS ARE REQUIRED FOR EACH UNIT.
x NEW CONSTRUCTION
_ ADD-ON A/C
_ ADD-ON FUr7NACE
DATF, i I- 10-q3
FEES
HVAC: 0-100 M BTU $ 24.00
ADDTTIONAL 50 M BTU 6.00
-.? OUTI.ETS (MINIMUM 1@ S3.00 EACH) la.c)v
ADD-ON/REMODEL (MaSTING CoNSTRUCrioN) $ 15.00
STATE SURCHqRGE .50
TOTAL r_)b .
srrE a,DDxESS: ?jq I3?-jol ('.,oul Cvard
owrER NAME: 6?WrOn Con? TEr.EPxorrE #: nl3I - 3w
INSTAL.LER: GENZ-RYAN PLUMSING & HEATING C0.
ADD:;$$$; 14745 5outh Robert Trail
CITy; Rosemunt STATE: MK ZIP CODE: 55068
TEI.EPHONE #: (612) 423-1144
14)rY,rLQ/Jah
E
"j- i 399
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UN1T.
SITE
i0. FIXTURES , EACH
.9_
?
? SHOWER
WA'i'Elt CI.OSET
BATH TUB
LAVATORY
KITCHEN SINK
LAiJNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLAOR DRAIN 3•00
3•00
3.00
3•00
3.00
3.00
3•00
3.00 --
3•00
d
?
- ?? /1 ?
? GAS PIPING OUTLET • mmimum • 1
ROUGH OPENINGS
WATER 50FTENER
PRIVATE DISP. • nawcty. u?.
U.G. SPRINKLER • home under oonst.
ALTERATIONS • to aus[ing
WATER TURN AROUND 3.00
1.50
5•00
15.00
3•00
15.00
15.00
STATE SURCHARGE .50
TTDCCC. TOTAL:
7/7 / /
OWNER
INSTALLER
?`?'/'?"IZi`tl .
ADDRE55:? Z! J -? ?,-rr swriK• ?.? w•?-?• -
CIT'Y: .?&.llm?z? STATEl?V? •-- ZIP CODE: Y:566 S
PHONE #: ( ) .7,Z?? -/,/ q 4
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1993 PLUMBING PERNIIT (RESIDENTIAL)
G1TY OF EAGAN
3830 PILOT KNUB RD
EAGAN MN 35122
(612) 6814675
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170812
Date Issued:07/19/2021
Permit Category:ePermit
Site Address: 4679 Bristol Blvd
Lot:029 Block: 001 Addition: Weston Hills
PID:10-83750-01-290
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 -
Ronald A & Celeste R Hanson
4679 Bristol Blvd
Saint Paul MN 55123--398
(651) 335-3727
K Designers
2440 Gold River Rd Ste 100
Gold River CA 95670
(952) 894-3600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175272
Date Issued:03/24/2022
Permit Category:ePermit
Site Address: 4679 Bristol Blvd
Lot:029 Block: 001 Addition: Weston Hills
PID:10-83750-01-290
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 -
Ronald A & Celeste R Hanson
4679 Bristol Blvd
Saint Paul MN 55123--398
(651) 216-0802
K Designers
2440 Gold River Rd Ste 100
Gold River CA 95670
(952) 894-3600
Applicant/Permitee: Signature Issued By: Signature