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4721 Bristol Blvd INSPECTION RECORD 'CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: ' (612) 681-4675 SITE ADDRESS: APPLICANT: 'I ON 11 ~Io PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. I f-{ f''1Ftk~` ! f•1 fl,s• j:}, 09 {s#}(S, { 1lti~ Permit No. Permit Holder Date Telephone # S/W PLUMBING fc HVAC 64 1"111,119v ELECTRI orv ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing n?f f~ Ls% a v9 1fS. ~ J z2 Le - Roofing Rough Plbg. Rough Htg. Isul. r ! 11571 r{ it 1yap Fireplace Final Htg. Orsat Test v es Final Plbg. Plbg_ Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. 1ST -ell Ira$ Wertiftcate of ' ccup nc W" of agttn zrartmtut of Isuitbing 3"Pection 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/GAR Bldg. Permit No. 22704 0-y Type R-3 M-1 Zoning District R-1 Type Const. Vn OwnerofBailding SEASONAL BLDRS INC Address 458 SCOTT TR.. EAGAN. MN 55122 Buil ingAddress 4721 BRISTOL BLVD Locality L3, B1, WESTON HILLS 2ND nau: FEBRUARY 24, 1994 Bui n vial POST IN A CONSPICUOUS PLACE Address 4721 BRISTOL BLVD Zip 5512 3 Lof - 3-. Blk 1 Sub WESTON HILLS 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 2/24/94 Yes No Inspector: Final grade (6" from siding) v Permanent steps (garage) Permanent steps (main entry) 1/11" Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch f Basement finish V/ Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy M488 1 _ 1 o2"r o?o°° Re0uest Date Fine NO Rough-In InfAedron Required Ins eatwn Other Than Rough-In (YOU O lI h epechor when ready) Ready Now C3 WIII Notify Inspector ~J Yea ❑ No Date Read licensed contractor ❑ owner hereby request inspection of above electrical work at: l dress (Street cox or We No I r City Section No Township Name or No Range No CDun Occupant (PRINT) Phone No. - ~3-5151 Power Supplier Address Elecumal oniractor (Company Name) Cont acto 5 License No 3 0 9 8k Malbnq gdsnt~ractor or ryeyer Making Installation) Aut `Vi16ed Signature 1 om actNiOwner Making Insta11 ti m hone Number MINN OTA STATE BOARD OF ELECTRIC THIS INSPECTION REQUEST WILL NOT Griggs-Mldway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED /.0/Qa~~ REQUEST FOR ELECTRICAL INSPECTION "`n$~ Eaoooolo~eT ji See instructonS for completing this form on back of yellow copy N 48941 'X" Below Work Covered by This Request Wasw Add ap Typeof Building Appliances Wired EguipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm ~ilii Air Conditioner Other (specify) Contractors Remarks Amt I.tq CoF~-5o3q Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to mps Transformers Above 200 Amps 100Amps Signs . Inspectors Use Only Gi TOTAL Irrigation Booms ; , Special Inspection g o' Alarm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Oats certify that the above inspection has Final oat been made. T OFFICE USE ONLY This request vso 18 months from 8 9 9 4 QI ~Co S Reque to - Fire No Rough-In Inspection NOTICE: You Must Call Electrical Inspector Requve~o II A Rough-In Inspection / ;2 C3 No Is Required II licensed contractor ❑ owner hereby request inspection of above electrical work at: JO A s is t, z or R ?PiLA-d PAM. G Section No. Township Name or No Range No (PRI T) P e 1 Power pilot 'Atltlmss Electrical Contra ctor CMTry) K ELECTRIC m s f}5 r V t on dllfftL M g stalls P r P MINNESOTA STATE BOARD O MC I R99 INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room SAM BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 5 8 9 9 See instructions for completing this form on back of yellow copy. X" Below Work Covered by This Request C®! New Add Re, Typeof Building Appliances Wired EquipmenlWlred Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building D er Load Management Comm./Industnal Urnae9 Other (Specify) Farm Air Conditioner Other (specM) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Cimults/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 -Amps Signs Inspectors Use Only: Irrigation Booms t Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR ISCONNECTED IF NOT Other Fee COMPLETED WITHIN NTH f I, the Electrical Inspector, hereby Roogn-.n oafa_;)7- Y3 certify that the above inspection has Rnal ( 14 owe been made. OFFICE USE ONLY This request void 18 months from PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 2 7 0 4 (612) 681-4675 Date Issued: 12/13/93 SITE ADDRESS: 4721 BRISTOL BLVD L~ -;I" LOT: 3 BLOCK: 1 lk3 ESTON HILLS 2ND P.I.N.: 10-83751-030-01 W 1 DESCRIPTION: B'ilding'i-Permit Type SF DWG wilding lurk Type NEW L18C Occupanc R-3 M-1 Construction T pe V-N Zoning R-1 Building Length 42 Building Width \ 54 Building stories 2 i ' nv my w t on REMARKS: PRV S & W PLBR - PLUMRITE INC FEE SUMMARY: VALUATION $91,000 Base Fee $599.00 MISCELLANEOUS $1,744.50 Plan Review $389.35 Total Fee $3,528.35 Surcharge $45.50 SAC $750.00 SAC % 100 SAC Units 1 Subtotal $1,783.85 ~A A~T R: - Applicant - ST. LIC. T OWNER: S LDRS INC 14545971 0001652 SEASONAL BLDRS INC 4580 SCOTT TR 210 4580 SCOTT TR 210 EAGAN MN 55122 EAGAN MN 55122 (612) 454-5971 (612)454-5971 I hereby acknowledge that I have read this application and state that,the 11 information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan ordinances. 4TU 46 ~ APPLIC NTlP RMITEE SIGNATURE ED@ti BA SI R G ATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 2 7 0 4 Eagan, Minnesota 55123 Date Issued: 12/13/93 (612) 681-4675 SITE ADDRESS: LOT: 3 B L O C K : 1 APPLICANT: 4721 BRISTOL BLVD SEASONAL BLDRS INC WESTON HILLS 2ND (612) 454-5971 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FOUNDATION FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBB ROUGH IN HTG FINAL PLBG FINAL REMARKS: PRV S & W PLBR - PLUMRITE INC - ' - - - - - - - - - REACTIVkTE _ G IsC~C6t9 1 CITY OF EAGAN PERMITS . 1993 BUILDING PERMIT APPLICATION f3, 41ei, 2 1993 681-4675 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 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 Valuation of work 7d,000'00 I'D Site Address: 47,Pi- r~G/r~/UT &Ua/• STREET SUITE IF Tenant Name: (commercial only) LOT BLACK JSUBD. 71`5 P.I.D. M Aced i~i'LY'J c~rO~J Description of work: iyn) The applicant is: Owner Contractor ❑ Other (Describe) Name Phone Property LAST FIRST - Owner Address STREET STE / City State Zip Company IS --14-)e Phone Contractor Address g580 aDUTr_&l (i&b ZI D License # 1 Exp. qS' City 6000n State M Zip 66012.1 Company Sohn grad 2LJ Phone 53-91x70 Architect/ Engineer Name gad Registration # Address Fern moll- AtVMQ`P City ply M()ag6 State M N Zip 55W 7 Sewer & water licensed plumber ow,j+e h 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 applicable State of Minnesota Statutes and City of - Eagan Ordinances. Signature of Applicant: OFFICE Use. UNLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 1 16 asXe~Finish ,Q) 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. a ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory EI 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE JO 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) VIV Basement sq. ft. 11612 MWCC System (Allowable) yA 1st Fl. sq. ft. z 3 z City Water UBC Occupancy R_-3 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories 2 Footprint Sq. ft. Fire Sprinkler Length 2 On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ® Footing Ia Framing Insulation ❑ Wallboard ,11 Final ❑ Draintile ❑ Fireplace Permit Fee vdh.cia,: S / ©p0 Surcharge / Plan Review ~5~ 9' Cesar 2_Z -zo f-tr. Lise MWCCnSAC ?(o j OCR City SAC 0 yo Water Conn. Z8'f /6 = Water Meter CiS Acct. Deposit S/W Permit l S/W Surcharge Treatment P1. r Road Unit QQ Park Ded. Z!a z~ _ ~Zg lb l Trails Ded. ~k ~y S b Copies Other Total: 1; 3 2 +S~ SAC % SAC Units ' t , tdPr~iftr~tP x~f ~►uruP~ prepared for: LOT 3, BLOCK 1, WESTON HILLS 2ND ADDITION SEASONAL according to the recorded plot thereof. BUILDERS, INC. DAKOTA COUNTY, MINNESOTA Builders Address: 4580 Scott trail sc" : 1 30' Phone: 454-5971 Eagan, Minnesota RESIDENCE FOR: Amy Frisina swise, h" Irs .Nl~ `IQs. 931,8 S~jo ~1tnr LOT 2 00 D a / ' 8; Tay SLOT 3 Ito. 01r_~/ Owo) i cob ~ i 4~ `4a.f ; ry ors At Axiat. haey i ( under constr.) BENCHMARK v q"Xal. LOT 4~ - 94Z. So a Jor e a al 14. ~rdc 4 ~ ~G0~{~ Mpo>~. 943.66 R E~ V 1 YV Q NOTE dY 1 l~ VNPJP'Y NZVA270NS k n , D0MYSION5 PRIOR TO Wrstrrgrrn & ~lssort CONMUCVON LAND SURVEYORS - Lf'° U NY, l u 1= 6 u L~ 8500 210TH STREET WEST LAKEVILLE. MINNESOTA 55044 O Denotes iron monument PHONE MRENG ` 9B99 983.5 z Denotee existing elev. (987.0) Denotes proposed elev. ■ Denotee Off-Set hub EY am Top of block elev. Da )43.60 = Top of fin. garage floor q~ 09 @ Top of basement floor elev. ~y,~ Indicates direction of surface drainage I bneby mwy &M tbh Norm nom """A try ute or nndor my 4'e d oopenldon. to correct to fheo bq qn"e end bdW, ava mecwme, Inseam r/uoo nkh the ettmnl RawnxrrmtMl rrovehm por She praclx Extend 3orveybr% adopted by the IMoeaeh Soddy of ptoRscieod Serveyera, end that 1 one a ddy llooneed I"& Imrvoyor nrdec the tmwo of the State of Mmmoxete -IV% oerlfleate obow, the locolon of dl ford ogs Numbed to add land, and the locelen of as vhme weroeehmsh, If my. Ow m ea add I01. No Nablily M oeannaA erapl re the ttienl for whom this xnrvey nxa prcyrreed, Mo Mato, end melsac, and add MabMy Is ynxned *Wy Ibr In meted oert of Ihh anvq. tme~T;' of ~ N . 11o14 Book 14104 od ld~ ~ Job NO. J1397 Minnesota Registration No. 19790 Dan R. NbatvW*n LOT,SURVEY CBEC=ST FOR RESIDENTIAL BUILDING PERMIT APPLICATION m 00, PROPERTY LEGAL:o Date of Survey: DOCUMENT STANDARDS D/0 ❑ Registered Land Surveyor signature and company 0 Building Permit Applicant B~ 0 0 - Legal description 0 0 Address GYO 0 North arrow and bar scale 0~0 ❑ House type (rambler, walkout, split w/o, split entry, lookout, etc.) 8~ ❑ Directional drainage arrows with slope/gradient 0' ❑ 0 Proposed/existing sewer and water services 0 Street name 0'0 0 Driveway ELEVATIONS Existing 0 6"~❑ Sewer service 0r ❑ 0 Lot corners V ~ ❑ Top of curb at the driveway EI C3 ❑ Elevations of any existing adjacent homes Proposed 0' ❑ ❑ Garage floor D~ 0 0 First floor fD/ 0 0 Lowest exposed elevation (walkout/window) ❑ 0 0 - Property corners ❑~0 0 Front and rear of home at the foundation PONDING AREAS (if applicable) 0 0"" ❑ Easement line 0 0~ ❑ NWL 0 0' ❑ HWL 0 0 Pond # designation 0 6r 0 Emergency Overflow Elevation DIMENSIONS 0/❑ 0 Lot lines 0/ ❑ ❑ Right-of-way and street width (to back of curb) 0 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) rr~o 0 Show all easements of record and any City utilities within / those easements ~I ❑ Setbacks of proposed structure and setback of adjacent existing homes p 0 Retaining w r nts, if any Reviewed: Nam / Dat October 1992 c.. :Yic.1.10? F?i7--LO?: AYEA1G: " C^;i? oh/1 A U Ui.,T101 SIT: ADD:!--SS: C::Ii?.%CTGA: _G~TOHw~ DATE: 1(J 6-92 PHOHe: D_TZ :IIN-E WORKING SQUAA-E FOOTAGZ OF EACH: ..U" /'7l,;a t ..U" /93.8 A;0"k:cl+_1'13 A'EA........ sq f x "Un' t ' O-z .33. yc i. `i ?13_3 A:11.1 CALCULA"IOHS: io:,l e!»:;d .all f1c,r........ /63D 'y `t ' gta_zd sq ft x 'lull sq ft x nU„ 1) tool door area SC sq .t X „U„ .U9 ~.25 a c) Total sliding gla;s door area: - Gs' glazed..... - yZ sq ft x "U•, ZS - ~l1.5 L glazed..... sq ft x "U" d) Total fireplace wall area sq ft x "u" w c) Total wall frar+ing area (Average 10^.)........... sq ft x i.u,n... 'Total net :;311 area aSov_ fluor (In;ulatzd)..... /y~ 7 .oy 63.0 r, Total fo.-•;a;ion ara3 sq rt ' Total fan:ndatlon inc!~,+ ar ;q ft i) Total net foundation arza e~ave grads....... sq ft x '•U" - TOTAL a) thru I) w If itz. p] Is the same as, or lzss than Item j7l, you have ne S.n.C. Section 600A (c) 2. t the Intent of 7O:a] exposed . iIinr, a.__......• it 10:3]; e5.asis-ad -Y eater -a ,ca or and =2. .a 3• 4: e i I i 1 C - ! 0 1l u; ~:irnSC:'En , .2S_. r-- s 'Or ex_ 1a ^ 2 (S ic;r.3 Cure) (Date) 91 k c•y: t r»r Ene'•<xg . c:a~:,` ow.".R.. rb'e~.'~: " .:tR. :at':i;~?a.':r"i:d::" 3EF..a,t,. o".e.,.¢r •t::.. >.;q ;.....yg't$r..s.> >~',''a`'';a::r::b";;£3,~ ..t'"y,~'`,y... ~s-,. :".at::~ a.'xpx~a¢y' "Y a, p7,t~G ~.a:..: ;:3E^~;... £e <8>:. ~"giy, s£, ~t %sE,'~s ,,,c, ¢'~~a~?~~k`"'t: r..~.`*.. .~°.'t: ~ ~'t.•ga3.,..k,s , iK `.Fc. > A~ t. ;3,< . ";wW rs:.. wiz.,.ao''~w'2.~`':°:wive''~•>.~:.aC^~'Y.~xi~~~^..~^`..:<l$Y as s3..zs~.~.,,.,... 1"4 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL SHOWER 3.00 3"~ O- WATER CLOSET 3.00 / BATH TUB 3.00- LAVATORY 3.00 -7- KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 -i' HOT TUB/SPA 3.00 T- WATER HEATER 3.00 3~- _I FLOOR DRAIN 3.00 T GAS PIPING OUTLET • minimum . 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Dak.cty. lic. 20.00 U.G. SPRINKLER • home under cont. 3.00 ALTERATIONS • to existing 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: ao SITE ADDRESS: ( r;~+I U~ OWNER NAME: ,,nnr v. L INSTALLER: L)^ J'~ ~L'NLf ADDRESS: 3 CITY: STATE: ZIP CODE: PHONE SI ATURE OF PERMITTEE a~'..;ts~PLl?,~`•:ii'g.~,~t,:xaSg`i,:C;..:..:<».~..~. .z.. .:.a >R :.~~R~ 'x'i~. <:?C~.' F.:.. :a'T. •..::.~C~E'.a.:;: `;`:.:.v.,;.;A'£~E;.N:':<. `:E.. ~::a,;g r+.».»:<r ...E.E:~~~'a¢33$~; '6 niR"~.:.gy '.nr:?,7!,~y.; ~^s 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. _ZNEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE ~/J DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ 53.00 EACH) & ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE INSTALLER: - lee ADDR 5 CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PER94 - - - - - - - - - - - - - - - - For Office Use L +t, Permit Z City of Ea J 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: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0-2 C Site Address: 47,L F ! ,~`tC ' l R lam- Tenant: Suite RESIDENT/ OWNER Name: U9( `i Phone: lea- Address / City / Zip: q-w nxl>S y ' 1 311,14, Applicant is: Owner X Contractor TYPE OF WORK Description of work: (/l a5' Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: >i jej A271> ~itJG License ©/38LD Gj Address: ~Y70..!~ /Si G ~l~y City: v~l~f~Art J State: AA,/ Zip: <SI/ 2-3 Phone: ~/2-~ 3~ Cr 2~ . Contact Person: .921-A COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • 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? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: 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 the are trade secrets. 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 wit ut 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. Applicant's Printed Name Applicant's Signa ur Page 1 of 3 nl ni rlv eui ;.•mvn „i. u. Ila vIul w Lncall PTA w0 n li-~i r ul~la r mit,iml 2012-09-2512:40 » 651975 5694 P 2I2 wou awe or tsL %;R inK For aMtoeUseCat~ of Eanon Permit aY: D~7" 75" j I Permh Fee: 3830 Pilot Knob Road Fagan MN 55123 Gate Received: Phone: (651) 675.0675 I I Fax: (661) 676-6894 I Staff; i C I t,-----------------1 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date' Site Address Vd. Tenant: Suite 41 Name: l~ ►a l~I 00) a3 -A O)a5e, Phone: Addrm I City / Zip: c Name: 0 License 4, . Addr+ees: ~g~)-)j 1 Cbty: _ , r ! state: _ zip: `)S 3S Phone: t l Qt{l~ Contact: Email: b `x New Replacement ` Repair _ Rebuild Modify Space worlt in R,O.W. vti r Description of work: PAk 4 RESIDENTIAL l M . ! _ Water Heater Lawn Irrigation RPZ / PV8) Water Softener R, septic system Add Plumbing Fixtures Main I Lower Level) 1e~ wy I -A' s New Water Turnaround ' - Abandonment MGM RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater wA Softener (includes $5.oo state Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, B2Qfia Svstem Abandonment, Water Turnaround' (Includes $5.00 State Surcharge) 'Water Tumaround (add $169.00 if a 518° meter Is required) $105.00 Sorbs Sntem New ($10.00 per as bunt) (Includes County fee and $S.00 State Surcharge) TOTAL FEES S CALL -BEFORE YOU DIG. Cell Gopher State One Call at (blot) 454.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.gopberswtoof*cWl.org rwwy add owledge that eris liftmetion is mnpMte and accurate; thal the work vAH be In conformance with the ordinances and Codes of the City of fie' e060manoe wit/h~tto approved plan in the case of work Alch replulres a review and appmVel no. I Applleant's Printed Name Appllc Signature 'Fo~t oa~1~R' us~e_ ~ 1 ; ' ~ , , ` ~ ' ~ Riviblwv~~~sxt;;;'?~_.' _ ~ '%~=.~:'0~ s ~ ~ ` , , Riiqulr+id.lnt►p~cllAfll! ,,_,,,lJnder..aroUnd RQ~tgfl-in, fllr';I;~st _(aaS Y@gt 2012-04-3016:40 651975 5694 M~ Paget t^~ Use BLUE or BLACK Ink � r-----------------� I For Office Use � 't � Permit#: �� �" `"� j C16� �f ����� � � ar ; � Permit Fee: �o� 3830 Pilot Knob Road % Eagan MN 55122 � Date Received: �`�"� J � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: C,>�i�/ ���' Phone: Resident/ . � � �� �Cc%?� . QyyM��. ' Address/City/Zip: /���� _,��,, m ' �� ' Applicant is: Owner ' Contractor h "� Description of work: �1D� �`YPe �f Wor�C � ' Construction Cost: ��1.'�z� Multi-Family Building: (Yes /No� ' Company �tj� /b�CX�.D ���i .�t�'�. Contact: �•��� COIt�CaCtOP Address: � 'j ,����5%r�di ��Lv��`' . City: ��'J�9�t/ - State:�Zip:^�� Phone�s,�1��' l� EmaiL ' License#: ./�/3l.,��`) 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 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: II Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTF:Plans an�f sup�rorting,alocum�nts thaf yvu sukrr�"it ars�cxrr�idered#�<#�e-prx�lic in#orm�#ir�n, Portior�s af the�r`nfprmation,may�ie�lassifie�f as ndn-pu�li�;i�,yau�provid��pecifi�r�easvns th�t wouJd pe'rmit th�City'ta '��� co�ctude�hat tl�� ;.a����a�e�e�refs..�'��� 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buil ' e°ec� ted within 180 days of permit issuance. x ��c ��-G�'Y✓1G1✓1 Applicant's Printed Name Applicant's Signatu Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150571 Date Issued:07/16/2018 Permit Category:ePermit Site Address: 4721 Bristol Blvd Lot:003 Block: 001 Addition: Weston Hills 2nd PID:10-83751-01-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dusty D Chase 4721 Bristol Blvd Eagan MN 55123 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA150573 Date Issued:07/16/2018 Permit Category:ePermit Site Address: 4721 Bristol Blvd Lot:003 Block: 001 Addition: Weston Hills 2nd PID:10-83751-01-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Stove 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 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dusty D Chase 4721 Bristol Blvd Eagan MN 55123 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature Olt° I''” For Office Use , a , „ ::::e' z / -: I ECI - v ..' ' - -0 r Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 J U L 2 0 2018 Staff: buildinginsoectionsia'�.citvofeacian.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: l/lJfy Chiace. Phone: (p/a LI/11..�.�•33 Resident/ Owner Address/City/Zip: l�l i 2 'AZ/SSG A/vp - I Applicant is: Owner _. Contractor r-Type of Work I kiwi- i Description of work: 4G—t✓r it/i-42 'pd.�-e / h1 ih� Ft,�,,,il0,,;1 /"- Construction Cost: S� Multi-Family Building: (Yes / /N (AO^ ) I Company: Zot /dwcbh c7/. —L Contact: e Contractor ` Address: x' 10 3 hi-1 Y�r t. 15)1--Z, City: 1 /$J I State: N Zip: S iz Phone: ' ail: /1'1 p 3 f i (2v i • I License#: /S?),le Lead Certificate#: i If the project is exempt from lead certification, please explain why: ._ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I` 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: I Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: I Fire Suppression Contractor: " . Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may classified as non-•ublic if .u •rovide s•.ecific reasons that would •emit the Ci to conclude that the are trade secrets. You at wwwmaa subscribe o receive ecei a an electronic notification from the City of proposed ordinances n ances by signing up for an email update on the City's weExterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that s infor :tion issorn lete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understa . this is permit, but on application for a permit, and work is not to start without a permit; that the work will be in accordance with the aprove e case of work which uires a review and approv. . plans. Applicant's Printe. .1-Mr." App icant's Signature DO NOT WRITE BELOW THIS LINE q7 / g�,s.k/ eCIW- �� ?. .$0 • SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Accessory Building _ Lower Level _ Pool _ 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 ‘.:17O" Occupancy 1'%ZG> -/ MCES System Plan Review / Code Edition ">.f SAC Units (25%_100% 14) Zoning P.-1 City Water Census Code W3 1/ Stories Booster Pump #of Units / Square Feet PRV — #of Buildings / Length Fire Suppression Required Type of Construction 3 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required / Footings (Addition) E- Final/ No C.O. Required Foundation Foundation Before Backfill _ HVAC_Gas Service Test 1/7-:as Line Air Test Hood 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: �' fry , Building Inspector RESIDENTIAL FS .. q ms'''s / Base Fee J 3� .75-- l ��� f/��7'�dYY CJ//;�S o�v � � 7l�> Surcharge v,d i3Ar` Plan Review '4‘- j--*MCES SAC City SAC so-az) Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 f • I- For Office Use 1 VED • , ,�-� ({ J :::: Jal 14 2°4 : ,Raa'o y Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a citvofeagan.com 1j 6-A3 2019 RESIDENTIAL BUILDING PERMIT APPLICATION 1-1-1d- Date: Site Address: 1 '6(‘s� I 2)1 t/c Unit#: Name: l�L1�-G Phone: Resident/ Owner Address/City/Zip: 4112 1 /)7 tr 7(CAP, Applicant is: Owner > Contractor Description of work: ---17(5"- -- Type of Work Construction Cost: / / Multi-Family Building: (Yes /No ) / Company: Lu, ///jJ7 G A99- Contact: 4_ Contractor Address: 1767o3 J/>r,"y_ &/c-'D. City: / 6AAJ State:MAL Zip: 5,7 Phone:62/2,,i69_,&29.1,-nail: License#: /16 6,9 // Lead Certificate#: If the project is exempt from lead certification, please explain why: /,17 -9‘f 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 are considered to be pub/ip"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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applican s Signat,0��.' DO NOT WRITE BELOW THIS LINE -M 1 156 31 )3( J c[ ��‘-wv SUB TYPES - Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi 4 Deck — Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* 4- 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 yer,0 4 Occupancy TTG —1 MCES System Plan Review v Code Edition ye.3- SAC Units (25%_100% Zoning 7—/ City Water -- Census Code H 3li Stories — Booster Pump ,--- #of Units / Square Feet SiigPRV — #of Buildings I Length Fire Suppression Required Type of Construction Width 30 REQUIRED INSPECTIONS Footings (New Building) Meter Size: It Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test_Hood 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 I , Building Inspector ow RESIDENTIAL FE' 3yrl l phclt Q /0/0fol Base Fee /3x '12 Surcharge Plan Review Z9 MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 4721 Bristol Blvd 06/25/19 engineering will allow the encroachments subject to the following conditions: • No footings are allowed in the easement • The deck overhang cannot exceed 2' • The stair encroachment cannot exceed 3' • Any encroachment into the easement is"at the owner's risk" • The owner should check with their title company to see if the encroachments cause title issues ,, �� t tert� t. xt.e atfilturure4 prepared for: LOT 3, BLOCK 1, WESTON HILLS 2ND ADDITION SEASONAL according to the recorded plat thereof. BUILDERS' 11 ())63 INC. KOTA61COUj�N'iY, MINNESOTA Builders Address: 4580 Scott Trail SCALE : 1 " = 30' Phone: 454-5971 Eagan, Minnesota / ' -.2 RESIDENCE FOR: Amy Frisina i / eA tow yt ' 4 / srxrs ��. 0� ��. 9408 S�Io `alsi' !� cJ SQ �,. 0,>., LOT 2 T 4. // !t , //1' \�Q/ / cf./ . J .> ft, ,� afi 3 4o1_/ , if s- S g,R- '�)r � R ,./....,2-C)', ` • `l V 1 (2 \ 41. / 41,.., / Re••• /At":/ / z a 444:90,,,b i 444,, �, AP - i ...7: / ck 41 / 4: 1 .0.194 .-. „ , zeroe:5 Alt.„,...._.--- 14,, Jr ,I, ,.. REVI WEL 'o- ''s ''0 � BY: -11.V. / \ , :e ' 04 Nto DATE:_ �r� //C, *Alt ham,' s ` . /,� C fi��' 4145) BU I //` lilid r constr. ) yq5/144 LOT 4 « BENCHMARK . 4� �b 5� `�• Q 92.5'0 _%•., fts,ce% /jos#G,e ,., ftasai.tr 943.68 REVIEWED .E WED ► q) NOT ' DY S Viiw'Y XIXVA77ON5 t �� ., D1ONS PRIOR T i & r 1 , r-t to n m _ CONSTRUCTION *1t z rre rn Azz"2 rt«'tt...z a itfr. t3. o U ti o�V 't`-1 ri �' "�t�`-' LAND SURVZ'YOR.S ---- B U U 12--J'�.s�..� ii U u I 8500 210TH STREET WEST UJCEVSU.E, MINNESOTA 55044 o Denotes iron monument PHOtiEx. (e;2) 469-1896 983.5 x Denotes existing elev. ,a► -I ,' (987.0) Denotes proposed elev. AV" .� ,� ■ Denotes Off—Set hub BY =..�_ r 643.8 - Top of block elev. Da,! OP.' 144,g°_._ d� ,,�-,O s Top of fin. garage floorG _ Top of basement floor elev. EAE'NG! R �y� indicates direction of surface drainage I Isesehy veslify Ihslimyst this slimy wws psseered by me et wilier ;direct RwpervWen.Is aimed to the best or my I00•10k16e enM bdbf,woe atecsrhd 191"""4""7.4111 die current llecimmiendeA freoMrtes Nellie 1'+nctlee() end Swrvey{ry,edopled by the lM wusefe$edely e(rtetbsaiensl Setveyeri,era IMef I am e Miry Named Lend gwrvryet wider the Iman n(the Aisle et bilmiesete. The eestlfkete shows the 1ea,Rnn of nil Whims~heti to geld Isnot.end*elevation emit visible erexenehnrwte,If Bey,them et els gild Isnot. At 11ebsIkv Is monad«Dept le the client ret Mom Ns stove),Ives permed,Ms Mos,mei*aligns,end gad IFwblity is cwmed stily lbs the acted sleet eC ede survey. DOM Arte j •of `lth - ,If`f . ,T1.14 Book 14/04 A},._ -• Job No. 11387 Minnesota Registration No. 19790 Dan R. F1fstegrnn