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4649 Bristol Blvd
INSPECTION RECORD G CITY OF EAGAN PERMIT TYPE: P 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ?•? (612) 681-4675 SITE ADDRESS: APPLICANT: l, t f(' ,;' y tt: f r t i' t' I i ?E?•'1? (,1•:4';t!il. t?1ti11,? 1l?ti?:Ft??It? ?-?4 •; i tIra ti t l L.5 PERMIT SUBTYPE: M , s F'ciiiT chtt;?, iPr4.'? £{F71 ..,'r1, ?`. TYPE OF WORK: Ni if ( l N ,'ti 1. Permit No. Permft Holder date Telephone # ELECTRIC PLUMBING HVAC Inapection Date Inap. Comments FOOTINGS FOUND FRAMING ROOFlNG ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARQ FIREPLACE FIREPLACE AtR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAI DCCK FTG DGCK FIiJAL _ ? --- ? - . : -. .1 .. ... . .. .: . Ir GITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 51TE ADDRESS: PERMIT?SUBTYPE: 'PLICANT: cl? i,??,:,•,,; 'i I ui+ ,; 1 141 TYPE 4F WOI INSPECTION D. . .. , '?' •'?? .? i ? ?,. .I '1 ?' . f ISir I ? ?-?tilS. !!? t M F1 L.' !: ti: b` RV ;:, 14 I' 1, H k 4 `'I m FTMI , - ?r.a ? PERMIT TYPE: Permit Number: Date Issued: n fll.1,1r - I ti ? Permit No. Permit Holder Dabe Telephone # S/W PLUMBING HVAC • J R? ?? ?o?• ELECT ELECTRIC Inspection Date Inap. Comments Footings I Foundation Framing ?IAI `4' ? Raofing Rough Plbg- -12_ - - G Z Rough Htg. 4 Isul. r 2 Fireplace Final Htg. /11 Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final W Deck Ftg. Deck Final Weil Pr. Disp. ' • ? ' 7/ i _J CfertifCCate of Cccupanc? Witv af Wagan . Tlevartment of Zxitbiag 384pection This Certifcate issued pursuant to the requirements of the Uniform Building Code certifying thctt at the time of issuance lhis sttucrure was in complianee with the various ordenanees of the City rwgulating building construetion or use. For the following: Use Classification: SF DW Bidg. Permit No. 22589 i k - 0-uPa-cY TYPe 113 /M I Zoning Diucict Ri Type Consc VN o.mer of su;ia;g NMONALD .)M Il'+Y' naa,,, 7601 145IH ST W. APPLE VAIM waamss 464R ?RISI`?L SL?ID tr ,;t;c?.24. B 1, WESPON HIILS t: ?- ?--? Doce? ?/? L- I Bui(ding Oliic" ,. P4ST IN A CONSPtCUQUS PLACE Address 4649 Musm1, 13LVn Zip 5512,3_ I.ot 24 Blk i Sub taesrm ttnJ,s THESE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: Yes No Inspector: )& Final grade (6" from siding) ? Permanent steps (gazage) ? Permanent steps (main entry) Permanent driveway ? Permanent gas Sod/Seeded grass TraiUcurb datnage ? Porch ? Basement finis6 v 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 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contreclor Copy Request Fire No Rough-in InspecUOn gg p p?p NOTICE: You Must Call Elechical Inspacbr II A Rough-ln Inspeclion Is Reqmretl. I icensed contractor ? owner hereby request inspection of above electrical work at : .bb s(5 t, or NoJ . City SecGOm ownsMp Na e or No. Range No Cou ? ` P? C-L --7 O Power Su Adtlreas • Elecmcal Conirecror (Cwnpany Name) " ract 5 MaNng Adtlress (COnirador or Owner MeWrg Inslallation) Authorrzed SignaWre (COnVaclor/Owner Mekmg InalallaLOn) P o e r MINNESOTA STATE BOARD OF ELECT1i1CITY THIS INSPECTION REQUEST WILL NOT Gdpgs-Mitlway BMg. - Poom 3473 BE ACCEPTED BV THE STATE BOARO 1821 Universiry Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTIDN FEE IS Phona (612) 6C2-0800 ENCLOSED /?f?//y'?REQUEST FOR ELECTRICAL INSPECTION / ? See rnsttuviions for rompleting this lorm on Oeck at yellaw copy. ?`X" Below Work Coverea' by This Request `"' ?eeyo,o(o-oi-ae ?o3?y ew d Rep. TypeofBuilding AppliancesWired EquipmeniWiretl Home Range Temporary Service Duplex Water Heater Electnc Heating Apt. Builtling D er Load Managemem Comm./lndustrial umace Other (Specity) Farm . Air Conditioner Other(speciy) Conhactor5 Remarks Compute Inspection Fee Selow: # Olher Fee # ServicetntranceSrze Fee # CirouRSiFeeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transtormers Above 200 _ Amps Above 100 _ Amps SIg05 Inapector5 Use Only TO AL Irrigation Booms Speciallnspection Alartn/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspector, hereby certify that the a6ove inspechon has been made. Rouyn,n i Final oete oe OFFlCE USE ONLV This nxtueat vaitl 18 monihs irom H • ? S'--] '-4 ?i RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Naw Construction Reauirements • 3 regmterea srte surveys showing sq. A. of lot, sq. ft. of house: and all roofed areas (20% maaimum lot coverage allowed) • 2 copies of plan showmg beam S winEaw sizes; poured lound Desgn, Mc ) • 1 set of Energy Calculalions • 3 copies of Tree Preservalion Plan R lot platted after 711l93 . Rim Joist Detafl Options selec6on sheet (bldgs xnth 3 or less wits) DATE CA r-10 .C) C ? RemodellReoair ReauirameMs • 2 wpies of plan • 1 set of Energy Calculatiore Mr heated aOdAions • 1 site survey lor exterior addiGons 8 decks • InEiate if home served by SepCz system for aCditiore VALUATION '?c70C (') - SITE ADDRESS _ NL q-? iJ Ir) 1 9 ! U(1L MULTI-FAMILY BLDG _ Y _ N TYPE Of APPLICANT I'" " a?y us Y%14 e STREETADDRESS J1S.5 lJ (.PJu d IU TELEPHONE # ¢5,?4Q0-013CELL PNON FIREPLACE(S) _ 0 -X 1 _ 2 s CITY SU/ I STATEV-;)WZIP 613') FAX # PROPERTY OWNER Tio J C L(',(rl-00 TELEPHONE #C.S-1- fPL`?10?,3 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY l - Energy Code Category _ MIVNEtiO"C.1 RCI.1:5 7670 C:\"fEGORI' t ? (? f?IjN . L'LE5 7672 ?'? •i? ? (? submission type) • Residentlal VenUlatlon Category 1 Worksheet Submittedl • Ne Emergy"C de Worksheet Submitted • Energy Envelope Calwlatlons Submitted + U ?I I DEC 19 2002 I II I U Plumbing Contractor: _ lEohone Plumbing system includes: ? Water Sottener _ Lawn Sprinkler Fee: 590.00 Water Hea[er _No. of R.I. Baths No. of Baths Mechanical Conhactor. FI Y'P. S?`CC P("'nv'n g V\ Phone # q5??-0 r0"[/?5?? Mcc}ivniril systcm includrs: Air Cocicliuoning Fcc: S70.00 -- Hcat Rccovcry• Systcm Sewer/Water Contractor: Phone # I hereby acknowledge ihat I have read ihis application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O i ances. ? \ Signature of Applicant ------- -------- __...__..------ -----_.__.._._._---- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 .?. ? CfTY O'`t?AGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 4649 BRISTOL BLVD LOT: 24 BLqCK: 1 WESTON HILLS $151,000 SITE ADDRESS: P.I.N.: 10-83750-240-01 MISCELlANEOUS $1.744.50 Total Fee $3,919.76 DESCRIPTION: B 1 Permit Type SF DW6 uilding rk Type NEW BC Oacupan". R-3 M-1 i Corrstruation e V-N ' Zbning R-1 8G11dznq Ldngth'70 Brai"ld?.'ng Width 34 ?(?? ?. b^ ? z_- • Y? ? , ci REMARKS: PRV S & W PLBR - FEE SUMMARY Base Fee Plan Review Surcharge SAC 5AC ? SAC Units Subtotal PERMIT VALUATION $818.00 $531.70 $75.50 $750.00 100 $2,175.20 TIQ[1VI7ALTJT99iST I N C n?ryj14327601 0002376 IMODON'A% CON5T INC 7601 145TH ST W 7601 145THE ST APPIE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 432-7601 (612)432-7601 Y hereby dcknouledge that T hawe read this•appli.cation and state thot the I 3riformatibn 3s carreot and aytee tio eamply w3Ch a11 appliaable 5tate ofi Mn. Statutes arid City af Ea`gan OYd3nances. i, l APPLICANT ERMITEE SIGNATURE ISSUED B: SIGN TURE %I INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: Lo T: 24 B L 0 C K: 4649 BRSSTOL BLVp WESTON MILLS PE?MIaAU6TYPE: PERMITTYPE: BuzLnIrvG Permit Number: 0 2 2 5 8 9 Date Issued: 12 / 01 / 9 3 , PERMIT TYPE: s u zLo r N G PermitNumber: 022589 Date Issued: 12 / 01 / 9 3 1 APPLICANT: MCDONALD CONS7 INC (612) 432-7601 TYPE OF WORK: NEw INSPECTION FOOTINGS .. . FOUNDATION .• FRAMIMG ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: PRV 5& W pLBR - -------- -----, . °, ??-.. -, . .------- --- ---_?,-_ --- - -- - • ? . . ----- - -- -- --__ ___??_ ------___?+,__._ ?_•},_.1:???: `---------- - -- - - -I -4- - - ? OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ja?02 Sf Dwg. ? 07 4-Plex ? 03 Sf Addition ? OB B-Plex [3 04 SF Porch [3 09 12-Plex ? 05 SF Misc. ? 10 Multi. Add'1 woRK rrPe V 31 New 0 33 Alterations O 32 Addition D 34 Repair GENERAL INFORMATION .,% ? 11 Apt./lodging - O 12 Multi. Misc. O 13 Garage/Accessory O 14 Fireplace ? 15 Deck O 35 Tenant Finish ? 36 Move Const. (Actual)" V- n1 Basement sq. ft. (Allowable) v-?J lst F1. sq. ft. UBC Occupancy R.3 M-I 2nd F1. sq. ft. Zoning ?L Sq. Ft. total . / of Stories Footprin t Sq. ft. length 7o On-site well Depth 3 4' On-site sewage APPROVALS Planning Building EnginBering Varlance HEDUIRED INSPECTIONS ? Site O Footing E3 Framing ? Mailboard E3 Final O Draintile YEs ? OL 1 ? Insulation ' O fireplace Permit Fee v.iurcia+: S ?„? ? sa? J= Surchar9e Plan Review GaRnbc: 3ZK 2!2; r70lj license Z,e 12_ Zy? MWCC SAC City SAC Water Conn. Water Meter . /b)?$LI Acct. Depusit S/W Permit --^-' a(??c 3$= `i(?% S/W Surcharge R a x? u_ Z f? . Treatment Road Unit ?? x 12- I 32 Park Ded. Trails Ded. ? ? ?'- -?=--- - ?` -t"7 Copies Lf Y. 1S 1 Other Total : e 15T ] Q9V SAC X IOb I I?7 X ?u- S'? ??I2 SAC Units ZwS? - 3 Sy ? oJ3?l , - -{ :? . x? `?ts _ L • .•0=16"8asempfit finish ? 17 Swim Pool 0 l8 Comm./Ind. ? 19 Comm./Ind. Nisc. O 20 Public Facility O 21 Niscellaneous ? 37 Demolish MWLC System tity Water PRV Riipuired Booster Pump Fire Sprinkler Census Code SAC Code Assessments OFFICE USE ONLY BUILDING PERMIT TYPE 49 ? Ol Foundation ? 06 Duplex ? ll Apt./Lodging - .?O 16" 8asemdWt Finish 15R?02 SF Dwg. ? 07 4-Plex ? 12 Nulti. Misc. ? 17 Swim Pool D 03 SF Addition ? OS B-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. O 04 SF Porch ? 09 12-Plex O 14 Fireplace O 19 Coiom./lnd. Misc. O 05 SE Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public facility O 21 Miscellaneous woRK nrPe "31 New ? 33 Alterations ? 35 Tenant Finish O 37 Demolish ? 32 Addition ? 34 Repair 0,36 Move GENERAL INFORMATION Const. (Actual)- V-?J BasemeM sq. ft. MWCC System Yes (Allowable) v_?J lst Fl. sq. ft. tity kater c3 UBC Occupancy R-3 M-I 2nd F1. sq. ft. PRV Required :ME ,2oning Sq. Ft. total Booster PumP i" of Stories -?- Footprint Sq. ft. Fire Sprinkler length ?o• On-site we11 Census Code i? Depth 3 y, On-site sewage SAC Code 6L r APPROVALS ? Planning Building Assessments Engineering Yariance REQUIRED INSPECTIONS ? Site O footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Lonn. Water Meter Acct. Depasit S/W Permit S/M Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. topies Other Tocal: sac x IOD SAC Units r v.tuscia,: S j$1. .lo= GARA6G; ? `AT' , . ...---= 38- v2X1y= Il X ? 2= 1??= .7ZX Z2r- r)Olf Zx 12= (ZU) .?r• Gf7v -c 16= 10,9Ky 41`6k 2 9 I 32 157: I 1 x? X Su?- ?w??z o9 ? . 5?,?? ?l'Z * Prorv??a _a ... „14o ? * Es1''1ai17$f3rir1u..- -: ?4?r+a n ? 'i * * 71t + Gai?ilicate ol SuIvey tor: 2472 EntoFprlse Dtlve I ' Menduta Heiytla. 1AN 55120 (512} 581--1914tifax GBt__9488q i7N5 • pNL CNCANfERS ?,,,'_ _?x-?s?-. ••?_... `: VO NofU?C6s1... . IAr+PSCAPE lJtR??iGtS a,o5ne{? mN?Y65434 (612) 783-1E1d0-foz 783-16BJ MG DoWALb cnµs-MUCTIOW NOR T i i ?OT ?Z ? \V ?•?,h rb ip k? J Q / ? 4?j Q'° / D? _ ' ? ?a L , s \ /. ?t,? v *.D abt-I.N pt qk oQQA'??w?`•? 3 ?? O O•???57 `?\ ?k?•'I i 5?(0 ^ ..- ?- q n ,y ?J r -,r I q.L8.0 \ t ' i, LoT Sz \ o IL t? • h ? X\ \ \ k?? r? --? yl Ga tAPC?- L WA q?'I ,-- 1-? ( i _ F ? ??\? w • ? / `?G? ' A? A* o ?.4 (b•, O ?' ? Dc ti?C• ? ? iC?3'/? q O S? ap + pp? ?-j_op0 f'KoYD56v C??AD?S P?k. CaRP.D??•JC? PLAIa gl' PCLOB? ?NG1t.t?6fz.It?lC? Nulk. (.W4IitALlli}2 AAUSf VEKitY AU. OIMEN5I(N45 ANU Uk1Vk.WAY DESIGN. (.t1i11FIGA11k UULS NUT NUf1f'Uftl lU SFWW kASClAkN15 Oi1SE12 NIAN UfWt SIIUWW UFI RkCOf<UkU N1AT. Uenatas Existing ElavaUon p1?OPn??P. ,cioD Derlolas Propused Elavulion Lowcsi FIoYr Elevatfon: 99L --^: DGFIOItf9 Uralnoge 8c Ufi{ity Easemenl jop of plack Elevolfon:, >9•/ ?... Uwotes Qroinuge Flow Pirectlan Guraga SInG ElevoUon&1.0 _..?._ penoles Adonurnent -c?- llanQtes U(Issl I lub (3anrin9s showri ore nssumed Lo-r Z 4 , BLOCK 1 WE,5TclN ??LL-s PP.'ACXfA G(A1N1Y. 11WNESQiA •rvilluu ud u,u 1 r?•??dx NaYUUi?d 4ux7 Su?wya m? cr wW?t ?nY 1 A??Wy CuUIY lhil Ihl{ WniY. 71M or NPUrt wot VftW1W UY .? -'A-[s:'{8??--., ? { EeR?fita"? St6lf5A?'PtON6ER'E C?11 1 w.?JU ib. bw? ol ib? suu u? Minnnuu. OueJ ihlt??, ? J+y ol uv ti , W1.. v' S'° d!I _? 8- 9 l t91 e.?)u.f.y .; rJ t.;e, ?,. r C> C _..?--.-- 6 rJ???. 0,q P ? ?!1 ,. ? ? 93'212 . 03 ? LOT SIIRVEY CBECxI.IBT FOR REBIDENTIAL BIIILDINO PERMIT 11PPLIC7?TION m ?? BROPERTY LEGAL: ;zz k<? DatB Of Survey: 11414442 nocm+tErrr BTANDARDS W-0-? / ( 1 4p / I-'T ? 0-10 0 • Registered Land Surveyor siqnature and company @J" 0 0 • Buildinq Permit Applicant ' G- 0 0 • Legal description 0 8? ? • Address 9" 0 0 • North arrow and bar scale B- 0 0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 8'?0 0 • Directional drainage arrows with slope/gradient t. 6? 0 0 • Proposed/existing sewer and water servfces 0' D 0 • Street name D--113 0 • Driveway $LEVATIONS Sxfstinv D 0? ? • sewer service 6r ? ? • Lot corners 0 • Top of curb at the driveway V 13 • Elevations of any existing adjacent homes Proposed D' 0 0 • Garage floor 0?D ? • First floor 0--0 11 • Lowest exposed elevation (walkout/window) 0--0 ? • Property corners D'D 0 • Front and rear of home at the foundation PONDINCi AREAS (if aDplieable) 0? ? ? • Easement line D? D ? • NwL ? 0 • iiWL 0-?0 0 • Pond # designation 0 LY ? • Emergency Overflow Elevation 0' 0 0 ?D 0 Q-?0 0 ,6--D 0 D 2-'13 • Lot lines • Right-of-way and street width (to back of curb) • Proposed home dimensions including any proposed decks, overhangs qreater than 21, porches, etc. (i.e. all structures requiring permanent footings) • Show all easements of record and any City utilities within thoss easements • Setbacks of proposed structure and setback of adjacent existing homes October 1992 • .:' 1. ",14' ?. ??'. . ? • ' , `. oupe „ : ;;•??0%; • . . . ? :?: 11';I?4:'.. '.„;t?,i.n,.?'l?IY:L. ??{1'?i. ? :1 ? ?' . •. ? ? • . ;t;: .: . •r;'1:?..,. ,, . .. • 'a_''• .'?.:. . %; . . .. . : . ? :. , . . . . • - ?. '?? qllul?aQTC?ttT??.?tIF?R?iYS?1REL?:bL?lIL?TTi2ll9 ? • . ' t. ,• • i1AeGi1 OII CIIACTEiI 8 Op TIIw • • u9ne?,?neusiY?i???aaa?«r.?uQ?i ?C??j?q9 . . ' . ?,dopt o?1 k;tfeoElva 9lte RddCeeu coittreatorLAO? E Oullding C111ealflautl0111 Tyro A1 fBingle Fatally R puplax) Type A] (tiealdenrlall ] etorleu or leaej_(OVer 7 atorles)_,(Otlierj IIOTSt CnmIIlete pp9es ] epcl 1[Irat, • ' ' ?eu?nbt.?w?au?nu eO ?? ' . 1, aulldlny Perlwaher [t, ' I. Hall hel ht t! ' 9 (9raund tn enve) tt. . ]. 1. Y 7, (nbova) groea itoll eraq-3[_-sl,[t. 1. p411dlhq dlMenelone IL) R(H) `'- ••{?) By,fE,rao[ i[loor area 5. 8q. taot nreq o[ rlm jolaE - plP?or jolat plze 11 g ?(Parlmater) Lq?/eq.tt. poora - Arae Tlilcknees !n 11. faci:ort.14 ?. ? . Type o[ Conat[UCtlon Parlmeter ft, . Ilanu[aoEurar 7.: Total doorin perlmetar a. Nlndoua'j llanu[noturer `NSf)L etnta epproved U [eoEor_ • . 7(.;a . , TYPR •" 8IZ£ hRBA (9?,E'E, ? , IIUIIU£R oF • TOTAL f )"{I, BACI UIII'f9 pq f EET ! J ?F ? ?? '.? ?,? • ? ? 9. Total uq. [t. QLl1Bp ;420 •N lo. Flraploce ateal Hldtl? X Ilelglik 11, Bxposed [oundatlanl .Ilalgltik A perlmeEar-L67 g/5j ., pS aq.[t. ?COHPLETIOII oF TIITB FoRll Is AEqU1REp FOil ALI, IIEN C0119TRUCTIOIIg IIAJoR BEHOp64111U Allp RUI[.DIIIQg pEIllq IIOYB[1 {IIIEItU Ef1E11GYt OTI{BIl TIIAII 'f11G 11111T111,1, CoUE A4LollAllCH, I9 118ED. • 1: ?y,3? ??i?:.>?' ? \%NI'y. . . ? 1. .rye•.1 ? i..w. ? • .??? ? ? ???????.u' . ::•1 ?:t::,tCIC_r•???,?•??} 1.. ?: ,?.n. rr ??•v. .?'??,:..w4:1. n.li'' •. 1' 't • )... .:. ?`'.. . 1..'. .. ' .. e?. .... • ' ...t.• ;.•I•• , .1?.:.' ' ' 1a? Prawing a?aa p lot a[ groaa Nall aran, q.:7-,( qq ( l..: . 1?. Qroen Hall prea 77'2ary.fl•, ? HltldoH AY4A A . Rlm jolet area r??i eq.ik. ,'•?II rlol ?olat4 r 1 (' 11xX A _ I Poar:aren A J'r eq.lk:$ U doox?'sreao114 UxA A?^ ?,okhar doora araa A2-eq?tt, U ntltar dooraA.4-1_ . UxA••? Pxponed [ndll I. •1 b57 nq4fLj ll inUndatlona 1044?- 1IxA A Prnming aran A S, eq,tk4 u craaing araa=1o S ux1? •. (laL . wall araa ay, [t, • U ??nll4 , ?? Z . % ??x1? e d . I1701 ToT},l. j . . . . , uxA . . .......,. _.........._._. . . ..... _._. . . ....:... . . -••- ll, qroni,jalpp;Va?4 x 0,11 (A-1 alpgle lnlally L duplax) ? nllouab.la UY1,/Coda 1 • x o.73 lh-I akher realdantlal) • . , x .17 otliar b«lldingel x.?6 over 7 aEnrl a) TUII muat he lorgar than oC eema • A?K U Goda I .. ? OF, nn 13p ppova 169 aeU ing Iraialnq araq•(A?) aquoln 101 0! oelling area IBAe qroan aelllny x(??? lan. Jolat ACfiq lot oalilnq aran M?t' ??t. .• 9• lea. Itat aalling aran 1Ac) (16A.^ 19U) •, Q? e9.tt. U aa ll ing x A a _Z, 1-7_ ' ' u craminq x'? I.; ZD?. x ?r?L3 a 3 . 1611, TOTAG U R &..o#???..:..????????????????.?_ ' • 1d.?Celling qrea (19?.) x O.O.;b tA-1 alllqla tamlly i (luplex) - nllowa??le uxA/cpAa ; x O.oJ7 1?-? othar raeldantlal) , x 0.04 lokl?ar) • ' ?.(18?.?L?x ll Code ?D? ?^ pT??11 mtiQt ??e larqer t11an ar aame ° aF• ea 151) aUove IIOT81 Qae ll anil A valtlae abtalpad [rom pagea 1, a and 4. REATIUGETI0111 I herahy aartl!y thnt I hnve oolw1lated the I'q't caotora and ??R?? Vsluea liacaln and khat khe bUlldlnq ltera daeor11)a,1 maata or axcaada tlia 9tnta of 11?pnaenNp Onnrgy ConHaCVaI•lon "k. Qnte . y4aturu , PLEASE COMPLETE FOR SINGLE FAMII,Y DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTI'. ? NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE Ia-Q HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OU'TLETS (MINIMUM 1@ 53.00 EACH)3 ADD-ON/REMODEL (ExISTING CONSTEtUCTioN) STATE SURCHARGE TOTAL SITE ADDRESS: " '1 In '4 9 __ 6 C OWNER INST. . ADDRESS: 1, t M _E) () C, CITY: STATE; TELEPHON FEES $ 24.00 6.00 ?.oo $ 15.00 .50 \U L 6LEPHONE #: a' 6oi ZIP CODE:.0?n ??. 1993 MECHANICAL PERMIT (RESIDENTIAL) CTIY OF EAGAN 3830 PILOT KNOB RD FAGAN MN 55122 (612) 6514675 v PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf. i0, FIXTURES C T? STTE OWN SHOWER WATER CLOSET BATH TUB LAVATORY KTTCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • minimum - ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • neiLay. uc. U.G. SPRINKLER • nome unaer consi. ALTERATIONS ' to ausung WATER TURN AROUND 3.00 UO 3.00 do 3.00 ?. no 3.00 0, o0 3.00 ? , o 0 3.00 :j Oo 3.00 3. U0 3.00 3. "o . 3.00 ri d 0 3.00 1.50 5.00 15.00 3.00 15.00 15.00 INSTALLER: f-i V ? u I' tA va io i n -r ,l? ADDRESS: -)a 92 17U?YV ?i I ?" ? r, s-c) CTTY: 0B Gl a P l y ?^0 v? STATE: n. ZIP CODE: PNONE #: ( ) 7 S / ` ?? eC) SIGNA RE OF PERMITTEE 1993 PLUMBING PERMIT (RESIDEMriAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 STATE SURCHARGE .50 TnTar • ??o PERMIT ` CITI( OF EAGAN 3830 Pilot Knob Road PERMITTYPE: susLozNc Eagan, Minnesota 55122-1897 Permit Number: 028184 (612) 681-4675 Date Issued: 0 7/ 0 9/ 9 6 SITE ADDRESS: 4649 BRISTOL BLVD LOT: 24 BLOCK: 1 WESTON HILLS p.I.N.: 10-$3750-240-01 DESCRIPTION: ermit Type sVQ* Type ?,. ?- ,? REMARKS: ? DECK NEW 434 ALT. RESIDEN7TAL Wi W t Vf 0 F FEE SUMMARY: Base Fee $45.00 Surcharge $.59 7ota1 Fee $45.50 CONTRACTOR: OWNER: - Applicant - KNOX JOHN 4649 BRISTOL BLVD EAGAN MN (612)851-7758 % °' n ? F?t ?.t •+?1'?- # ?. ?. ? ,. i harthy a?tzr?oW??d?e?th?? a; re am¢,. th.is .AP#a?.?,?at??n. aT1d sLtate th&t:? t hee? ? 3nfvmat?iaij?a?ta?J? ?,g???e. e?pl€Ca?sA6 ??mtvf ef'T?h,?'? L - Statutes ?n?d ?it?y ?of YTw?f:MhncbPs? APPLIGANT/PER ITEE SIGNATURE ISS D CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 RemodeVReoalr Reauiraments ? 3 registered aNa surveys ? 2 eopfes ol plans (include beem 8 window skes; poured tnd. design; ete.) ? 1 energy calculaNona ? 3 eoples of lree preservation plan if bt platted afler 717193 requlred: Ye& _ No ? 2 copies of plan ? 2 site surveys (exterlor addkions & decks) ? 1 energy calculatfons (or heated addftions DATE: ?o(4?& CONSTRUGTION COST: DESCRIPTION OF WORK: e`^' °` 4ve ck T SSREETADDRESS: q0eyq er` S-?' / LOT ?? BLOCK ? SUBD.lP.I.D. #: -` / Ooc) PROPERTY owNeR CONTRACTOR Company: 'i - ?I Street Addeess: , City: c /c State: ARCHITECT! COmpany: , f e ENGINEER Name: ' Street City: Sewer 8 water licensed plumber: change are requested once permit is issued. Phone #: License #: Zip: Phone #: Registration #: State: Zip: Penalty applies when address change and lot 1 hereby acknowiedge that I have read this application and state that the informatio ' correct and agree to comply with all applicable State oi Minnesota Statutes and City,of Eagan Ordinances. $ignature of Applicant: i i OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received J` ? vto ?`b ?"? Name: ?^ ? v k Phone 77 Wi INYi S StreetAddress: ?6y? 6?15'?'( ??? City: ??ra v? State: ? ziP: ??ta 3 ? Yes No ?. Yes No I i 1vs Z!t-, ?9M tii4/ -95 /aq? RECEOMED ?_ • LoT Zz \,LZ , SQ1 ?? ? ? V?1 ??• ? S?c?° ?3? 54 ??,? - -? ; i ?P a? ?? oti ti,J ? \ . .? ;a4ea?%?? ` poo? / oN n . .?\.0 c?; O C r ? Ar V1' ?\ ? ,J? .21 o. .S'3 y?.?? Izi ?? . CV~°, ? \ i ? •, Af •0 0 `00 / 40 ? LC•'-?°°. ` ? ?' c ??????? ? ?????? ?? ??\? r ? ???1 • q O? , ? `? - oV .., ? 5( b 3 3 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 NewConstruclbnHaauhameMs • 3 registered sae surveys showing sq. ri of bt, sq. k. W housa; antl II rooled areas (20% meAmum bt coverape albweC) . 2 copies ot plan showing beam 8 wYMow saes; pouretl tound design, etc.) • 7setMEnergyCekulatbns • 3 coples of Tree Presarvatlon Plen tl bt platted aMer 7/1/93 . Rim Joist Detail Optbns selecliai aheet (bklgs with 3 or less unb) DATE Z / - 0 Z G 4 rk Ed'e-i' SITE ADDRESS Ll W / 13171 S 7a L 4?5L t1 d NPE OF WORK 2c.-° ro o 7e APPLICANT sSt,r Y/cc?t-ikOx- ? X /? STREET ADDRESS 7C166 60Gf.s "4 TELEPHONE # 95Z-8-&(-?23??ELL PHONE # PROPERTY pamotleNieoair Beaulremente • 2 copies of plan • 15etofEnergyCalculatlaislorheatetladd2bns • tsll8surveyfore#erbradditbns&tlecls • Indkate tl home serveO hy sepUC syslem for atlCttbns VALUATION -3 2 6 &S MULTI-FAMILY BLDG Y > N _ FIREPLACE(S) _ 0 _ 1 _ 2 o rs /yC FAX # TELEPHONE # 1- - 2 ? --------------------------------------- ----------------------------------------------- COMPLETE THIS SECTION FOR pN?? RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) • ResidenUal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitled . Energy Envelope CalculaNons Submitted Plumbing Conhacror: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor. Phone i Mechanical system includes: _ Air Condirioning _ Heat Recovery System ? D MAY 3 0 2002 ? SewedWater Conhactor. Phone # I hereby acknowledge that I have read this applicatlon, state that the InformaTion is coirrect, and with all applicable State of Minnesota Staiutes and City of Eagan O nce Slgnalure ofApplicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _ Updated 4l02 ö ýüüû þúùú÷ùúþ øûûüü îöîðüðëû í á àî í ýü ÿþýüûú á üûú ö õ á ð ÿâ ð üûú ðþæ þ ÿ öþóý ë ó öþóý ÿâ Üå ü àä ë óîîíà äî àäî à ó ù ïÿøß áìêîéé õø ÿþñ ùè êîééíî ô ó òñ úú ÷ñóú þóýðñ ÿñ àä ä ç ðöîîíàðöîîíà ïäîìàäî à ñ ýû õ ñ ñç ñúú ñ ñ æ ó óúûõ ñúúý ÿ æð ÿ þ ÷ û æå é úú ß ó ÿ þ þ û ÿ þ ð ý þ ý ü ÿþþ ý üûüúûû ùýýþþ ðþ ð ìý õÿ ôÿ âê ÿ ÿþ÷ ûúùø÷ö ûýçõ òÿæ ÿ ÿ ú ø÷ö õ ø÷ö ûýçõ òÿæ ÿ ÿ ö ô úÿ ÿúÿ ëúö ÷ Þ ý ûÜú é õ ÿ ý ÿ ïï î ü î áÿ ýî èããù ÿ úù ÿå ÿ öÿ þ ÿú î áîúî ã ï ï ÿö ï ÿ ã îö î ÿ î Üú ÿî ÿ ù îÿãï ýò ò öýÿü ï ï îý ÿéäìäãêâãâê öù ûú ý ÿ Û ú äìäãàãàê Û ú üã õûôóïô ÷ òñ öö î þá ÿ ïñÿ ñ û àõ à ÿ ëâþ ý ñóêê èåâêâ ù÷ òý ÿ öö ÿ ï î ÿ ý îö÷ò öö ùû ïñÿ û ú ÿ ÷ ïþ ý ë ÿã öö æ î ûý ú ÿÿú÷ ûý ú C!ty of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use '(e) / � Permit #: 2/1? � l.L) `f"ry Permit Fee: Date Received: Staff: ADP-' 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: %^ Z/—/ Site Address: J(p4/1 "ggIST / �%/u.a - Unit #: Resident/ Owner Name: pi r tom+.e 1 5C► -1 ��! • Phone: tic 1 - 32.1 _3573 Address / City / Zip: 14119 ag,Gaf?'op /71 v- Applicant is: Owner Contractor Type of Work Description ofwork:"Z../2a,A-' /' Construction Cost: a Multi -Family Building: (Yes / No ) Contractor If the project is exempt Company: ld'//1S [dC���ze - Contact: Address: `' 2 3 �t oL %vim City: /f16,4,U .. State: /yt la Zip: /?3 Phone: 67/Z 3 /1/2-L. License #: SC—, /,3t(h ! / Lead Certificate #: from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that 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 Building Code t be completed within 180 days of permit issuance. � g&Anai Applicants Printed Name Applic-n 's Signa ure Page 1 of 3 !" #$%&'()' *+*, -./$%'"&0-1 43/7$,+ -./$%'63/7-.1 89:;??N =*%-'!>>3-519?@A:@?A9B -./$%'#*%-+(.&1- -./$% C$%-'855.->>1'';<;N''2.$>%(4'24L5'' 6'G"# $% &&665())* * + &&B-; +&_*##; 234 567!H9V67657'G6& :;- =->D.$0%$(,1 <=>&?@A- E-;*)-+ *.# B /%&?@A- E-A#.$- 4-;$/*A * + B. -/&< P -+-/ T- -/&<*`-T- -/&?@A-T.+=P.$ =/-/<-/*.#&Z=M>-/E-M -&Z=M>-/ *+-&<*`- 2#-.;-&$.##&"=*#)*+J&3+;A-$ * +;&. &S8V5\\&89V7V89V& &;$N-)=#-&.&P*+.#&*+;A-$ * +O #(//-,%>1 ,./> +&M + R*)-&)- -$ /;&./-&/-K=*/-)&C* N*+&56&P-- & P&.##&;#--A*+J&/ M& A-+*+J;&*+&/-;*)-+ *.#&N M-;&ST*++-; .&< . -& "=*#)*+J&, )-\\O 2 &7&2-/M* &L--&SB<&\]D /&B_\\WVXO66&6!65OG6!9 E--'C3//*.&1 <=/$N./J-7L*R-)W5O66&X665O'5XV "(%*41 F<AGAA' #(,%.*D%(.1HI,-.1 7&&(AA#*$.+ &&7 ,N.MA* +&2#=M>*+JT*$N.-#&(&<$N/.)-/ H896&4 ))&E)OQ&c566G8GX&"/*; #&"#1) Y.J.+&TZ&&VV5'HY.J.+&TZ&&VV5'H S8V5\\&H8V75HG6S8V5\\&H'X7HV9H 3&N-/->@&.$%+ C#-)J-& N. &3&N.1-&/-.)& N*;&.AA#*$. * +&.+)&; . -& N. & N-&*+P /M. * +&*;&$ //-$ &.+)&.J/--& &$ MA#@&C* N&.##&.AA#*$.>#-&< . -& P&T*++-; .&< . = -;&.+)&,* @& P&Y.J.+&F/)*+.+$-;O (AA#*$.+ D2-/M* -- &<*J+. =/-3;;=-)&"@ &<*J+. =/- Use BLUE or BLACK ink For Office Use City of EaftaliPermit 01 Permit Fee: 3830 Pilot Knob Road Eagan MN 66122 RECEIVED Dale Received: ^l Phone:(661)676.5676 Fax:(851)875,5894 MAR _ 2 2017 Staff: / 2017 RESIDENTIAL BUILDING PERMIT APPLICATION, 11 Date; 03/02/2017 Site Addreaa: 4649 Bristol Blvd unit#: 11 Michael & Mary Phone:Schrader 651-688-7903 OW Address city�zip: 4649 Bristol Blvd, Eagan, 55123 W� w Applicant is: Owner X Contractor Description of work: Bath Remod/Alt See Site Plan For DetailsVZO 500 Construction Cost. ' Multi-Family Building: (Yes_/No company: Great Lakes Window & Siding Contact Derek ` i Addreaa: 14690 Galaxie AveCity: Apple Valley it state, MN 2ip: 55124 phone: 952-891-3400 Email: derek.glwsco© gmail.com BC060427 NAT-23297-2 Llconso#: Load 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 supporting documents that you submit ars considered to bepublic,'nformatlon. PortiOne or theinformation may be classified as nonpublic If you provide spectic reasons that would permit me City to p:¢;, v^`,cOnGIU• ,.thl_,the ,d'1/amtGldli'=lGlutl.;a:;�•`•,��u ?a a:6•• ... oi,..,.,A Nvw� s.�f ;��:"�����.rri��'v..•���' CALL BEFORE YOU DIG. Cat Gopher State Ono Call at(861)454.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities, www oonherslateonecalLora 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 bye building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. �j x ?Mk._ 17601 I ie f— xAppllcanted Name Appllcant7214‘ ' nature Page 1 of 3 9'T•d 1769SSL9TS9:01 2IS2t'T682S6 O0SM-9:NONd LS:80 LT02-8-dt:JN DO NOT WRITE BELOW THIS LINE L1321 -SUB TYPES iiDL1 ---& Wv 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 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 Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length _ Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/ 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: II' t''` , Building Inspector RESIDENTIAL FEES Base Fee Surcharge4 i) )� Plan Review .1\( ° MCES SAC � . (16 City SAC Utility Connection Charge d0 l0 S&W Permit& Surcharge / I 0 X .� .2 Treatment Plant Copies _g X . S , TOTAL Page 2 of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d'4$>I?+,J'5,%F+%3/.$')'=%30/*.0 7(!::'Q $+/J.')2.,>.X(XV'#0+< $'#$2* C <.I >, 'FH''::8(WY/J/,'FH''::7!\[ K(:7L'XX!97!X: 5'3.0.?A'/%&, P$.*J.' 3/ '5'3/2.'0./*' 3+<'/BB$+%/ + ,'/,*'< / .' 3/ ' 3.'+,E 0I/ + ,'+<'% 00.% '/,*'/J0..' '% IB$A'P+ 3'/$$'/BB$+%/?$.'= / .' E'F+,,.< /'= / > .<'/,*'-+ A' E'Y/J/,'Z0*+,/,%.<M )BB$+%/, S4.0I+ .. '=+J,/ >0.5<<>.*'#A '=+J,/ >0. PERMIT City of Eagan Permit Type:Building Permit Number:EA150716 Date Issued:07/20/2018 Permit Category:ePermit Site Address: 4649 Bristol Blvd Lot:024 Block: 001 Addition: Weston Hills PID:10-83750-01-240 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 - Michael A Schrader 4649 Bristol Blvd Eagan MN 55123 Wildwood Construction 4703 Bristol Blvd Eagan MN 55123 (612) 369-1422 Applicant/Permitee: Signature Issued By: Signature