4694 Bristol BlvdINS
GlTlf 4F EAGAN
? .3830 Pilot Knob Road
Eagan, Minnesata 55123
(612) 681-4675
I SITE ADDRESS:
'oQ4 tt4+. 4.`.? i tlt, 551.+?Iti
?
PERMIT SUBTYPE:
?s . , .
f:[. ?)x i, wrrLiUAN i:
?. ,
TYPE OF WORK:
?t
+tc
ir.; i V11`y ?,
. !
tH?P?IE??IPlC-: 7r
i:'3iff
?14'IL'1?9s
TYPE:
ber:
. ;,', '_; 1 b ;+ , e ,•?
i:
I ?
Permit No. Permit Holder Uate Telephone #
SMl
PLUMBiNG
HVAC ??I rf e{CI ?dD??"
ELECTRI
. ov
ELECTRIC
tnspeciion Date Insp_ Cpmments
Footings I 17 'w" ?/
Foundation I
Framing
l
Roofing
Rough Plbg. ? ??W 0
Rough Htg. l,y
ot?
A/V
Isul.
Fireplace
Finai Htg.
7
Orsat Test
Final Pibg. 9' ? Plbg- Inspector-Noiify Plumber
Const. Meter
Engr.lPlan
Bldg. Final c?
J
Deck Ftg.
Deck Final
Well
Pr. Disp.
? 'C. 4FT
.??.
ez?
V ?
INSP
CITY OF EAGAN
3830 Pilat Knob Raad
Eagan, Minnesota 55123
(612) 681-4675
rE aQQRESS: ? 1-, ? ? 10 i,l
's • ' :I t,'r: 'r ? i :'11. #"3 i. SJi.!
:PERMIT SUBTYPE:
PERMITTYPE•
Permit Number: .
Date Issued:
- , APPLIGANT:
I.. Y W
TYPE 4F 1NORK:
0 91I 1 0 a?f, I I I 3` If..(s)C
Permit No. Permit Holder Date Telephone #
S/W
PLUM81NG
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Raofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Finai Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Weli
Pr. Disp.
3? ? a
?
?
Wertifi.cRte of cceupaitc?
?iiv of wagan
•- ?e{?artmc?tr e? ?ailbing ?u?}?ccrian
_; -
5
This Certiftcate essued`?Iursuant ta the requiremerrts of the Urti.form &uilding Cade
certifying that at the tiine af issuance this structure was in compliance with the various .„ ?
ordinances of the City regulating building construction or use. For the fallowing:
Use Classification: SF DWC Bldg. Yermit No. 23I0I
O-pancyTYPe R-3IFiI 2oniogDistri? R1 7'ypeConst. VN
Uwneraf Building ?'',S BY CHASE Adcdess 2500 ? ?? RD 42. B11'Vl.lle
8uilding Addrm 4694 B?,IM BtxTL,EVARD ?I_ocaliry LIQy B3• WEST.ON H1T7 S
,.:
Date- 05124I94
POST IN A CONSPICIJOUS PLACE
Address 46Q4 BusnU, Uvasn Zip 5512 3
r,oC " 10 Blk 3 Sub wEsTOrr HET S
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECT'ION.
Date: ? Yes No Inspector:
Fina] grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Peratanent ddveway V'
Permanent gas ?
Sod/Seeded gtass f .
Trai]/curb damage
Porch v
Basement 5nish
Deck
Please verify with the builder the removal of roof test caps from ihe plumbing system and the shuboff of water supply to
the outside Iawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in right-of-way or installing undergmund sprinklet sys[em. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contraclor Copy
9
.t75°°
rl
?8 5
?
.
/0 .
Repuest a Frce No.
? Fough-In InpseClqn ReqWreE .
(VOU cell inspa Ow N
n reaEYl Ins enqn Olhee Tnan Rough-ln "
? ReaOY Now ? W III Nob1y Inspecfor
?
Yes
41 Dete Reatl
1
licensed contractor fJ owner hereby request inspection of above electrical work aT -
JoE Atl0(ess I
Street Boa or qo e N
o.) Crty
a
`
,-
$oclwn No Towns ip Name or No Ranga No. Coun?t
Occu ent IPRIlN,TI Pn g?9? 7
?
ower Supolier Atltlress
Eiecm at Conkacmr ICompany Namyey?? /
` K ???C.?G Co/n?peclorg 4cenae Na
. ? C3
(
Ma,ing A a s ICon-clor or OWner MaFi InstallellonI
/
'
O
T 9
AWhori e igna ra ICOniractor;Owner Makmg Insteilalion) Pbone Number
-7a y- o0
MINNESOTA STATE BOARD OP ELECTFICITY TMIS INSPECTION REOUEST WILL NOT
Griggs-Mltlway Bltlq. - Hoom 5113 BE ACCEPiED BV THE STATE BOARD
1891 Unrver6ity Ave.. 51 Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Plwne (812) 662-0800 ENCLOSED
REOUEST FOR ELECTRICAL INSPECTION
?-? ? ? See instructions for compleung this form on oeck of yeliow copy.
N 7 -- 'rif' Below Work Cavered by This Request
"eaooo,o/i.o?e
?'
ew Add Rep. TypeofBuilding ApphancesW'ned EquipmentWired
Home nge Temporary Service
x
Duple
Water Heater
Electric Heating
Apt. Bwlding ryer Lofltl Management
Comm./Industrial iiww 7urnace Other (Specify)
Ferm Air Conditioner
Olhar (syemty) Conttaclor$ Remarks.
Compute lnspecfion Fee Below:
# Other Fee # ServiceEnlranceSiza Fee # Circuits/Feetlers Fee
Swimmmg Pool 0 to 200 Amps /60 0 to 100 Amps (o O
Transformers Above 200 _ Amps Above 100 _ Amps
Si9ns Inspector's Use Only: TOTAL
Irrigation Booms !
Speaallnspecdon ?
J ?
Alarm/Communicanon THIS INSTAlLAT10 Y BE DISCONNECTED IF NOT
Other Fee CpMPLETED WI T 8 M
I, the Electrical Inspecror, hereby
certify that the above inspection has
6een made. Rough-m ^ f
F,nei oMe ?/?
oete
OFFICE USE ONLY
This request voi0 1B months fmm
..iVCl
n , , , 71-f
Y7°
ReQuesl Da?e Frze N. Roug?-In Inpseciwn P¢pmred Irre cnon Otner Than Rough-In
9-21-94 (YOU musf call mspecior whan reatly)
?
? ?pe3tly Now ? Wili NaOfy InspBCror
No
ves G DefeReatl
I CXicensed comrector :3 owner hereby request inspectiQn of above electrical work aY. .
JOb Atldress (SVee( BoM or qoute No ) Ciry
4694 Bristal Blvd. Eagan
SecLOn No Townsnip Neme or No Rarge No Counry
' Dakota
OccuOant (PRWT) ' Phone No
Ken Barowski
Power Suppher Atltlress
Dakota Electric Farmington
Eiectncal Convacmr (Company Name) ConVanor's License No
Roehning Electric CAO 1557
Mailmg Atldress IConVacIor or ppner Makmg Installa0onI
14811 Endicott Way Apple Va11ey,Mn. 55124
Aumonie e ICOntraaorrpwne ing Ins lanom Peone NumDer
? 423-4328
MINNESOTA STATE BOARD OF EIECTPICITY
Grigga-MlEway Bltlg - Room 4-173
Phone(612)662-0600 THIS MSPECTION REQUESi WILL NOT
1821 Univeniry Ave. St PaN. MN 55104
BE ACCEPTED BY THE $TATE BOARD
? UNLESS PFOPER INSPECTION FEE IS
ENCLOSED
L? REOUEST FOR ELECTRICAI INSPECTION
, ? See msVUCtions br cwnpbung ihts form on back oi yellow copy
N 5441 7 "x" Below Work Covered by This Request
ew Add Rep TypeofBuiltling AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Builtling Dryer anagement
Comm./Industrial Furnace Other (Specify)
Farm X Air Conddioner
Other(syecny) Coniractor's Remarks.
Compute lnspection Fee Below:
# Other Fee # , SernceEntranceSize Fee # Circuns/Feeders Fee
Swimming Pool 0 ro 200 Amps j a to too Amps 20.C
Transtormers Above 200 _ Amps Ab 00 _ Amps
Signs Inspeclors Use Ony. TOTAL
Irngation Booms Jy / 20.50
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORD CONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby
certity that the above mspection has
been made. Rough-in
F,nai • oate
?ef (,
-/ --(
OFFICE USE ONLY
This requ¢9 vo,tl 18 momhs Irom
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
y?
BUILOING
024574
09/22/94
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS:
4694 BRISTOL BLVD
LOT: 10 BLOCK: 3
WESTON HTLLS
P.I.N.: 10--83750-100-03
DESCRIPTION:
&ilding' kermit Type pECK
ui2din.g kJn'tr_K, Type NEW
???? ?P ce) *1 (g, off, n.
REMARKS:
FEE SUMMARY:
6ase Fee
Surcharge
Total Fee
$30.00
$.50
$30.50
CONTRACTOR: OWNER: - Applicant -
80ROWSKI KEN
4694 BRISTQL 8LV0
EAGAN MN 55123
(612)452-8246
x hereby aaknuwleckge t1hat -1 have i^oaui th•is ap:Rl3cation, and state: tHat Vne
infQrmatiqn Is correct and :agree ta ¢tsmqly u3th al,X appIIoabl.eState- ofi'Mn.
? Stat4et and C;ity af Eagan`prdinaraces,, ; _. __j
?_..
APPLICANT/PERMITEE SI (IIATURr ISSU BY: SIGNATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LpT: 1e
4694 BRISTOL BLVD
WESTON HILLS
PERMIT SUBTYPE:
DECK
BUILDIN6
024574
09J22/94
B L 0 C K: 3 APPLICANT:
BOROWSKI KEN
(612) 452-8246
TYPE OF WORK;
NEW
INSPECTION .. . .A
FOOTINGS FTNAL
C
_G
I_ .
{r
_ ,1
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION ??O•.?O
681-4675
-? Prt ?l?rL Qj fl
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si ?
su O f energy
calcs. SEP 1
4" t.9Q4
COMMERCIAL 2 sets of architecturel & struct ral plans, 1 set o
specifications, 1 copy of energy ''-----
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 1'2?7Y Valuation of work
site Address: I?r is-)al .(/? ,
STREET SUITE M
Tenant Name: (commercial only)
LOT liV BLOCK "3 SUBD. ti S P• 2• D. #
Descri tion of work: VGG-1?,
The applicant is: -WOwner ? Contractor ? Other (Deacribe)
I Name t3a2awskt X??&) Phone So?-8d ?o
Property LAST FIRST a.F 3;
Owner Address _ yb9?f 46ris74vl ?{??•
STREET STE #
City 6; o.mv\. State M`/. Zip 537 -:)-3
Company ? C?v-1-\ c-.. Phone
Contractor Address License # Exp.
City $tate Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber 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 a applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
O 05 SF Misc.
woRK rYPe
iK 31 New
? 32 Addition
OFFICE USE ONLY
? 06 Duplex
? 07 4-Plex
? OS 8-Plex
? 09 12-Plex
O 10 Multi. Add'1.
0 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
O 13 Garage/Accessory
0 14 Fireplace
jq 15 Deck
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Canst. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? WalTboard
Basement sq. ft.
lst fl. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
?. Final
0 Framing
? Draintile
1%?1
?L
O
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Oed.
Trails Ded.
Copies
Other
Total:
v.luaeson: $
? ? •_
,•
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
0 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
.? • ' _.____r? ?'
.
. ? ,--
CERTIFICATE UF SiJRVEY
For -HOMES. BY CHASE
e rocH r,IanK
? 7 POFPIPE
lLEV,.74p,6Z
O
3 ?
N G/• c77' 30" W . ?
5.o02--=.=+?.; _ ? !^ • ?H_k .940.9
? l
J ? I v ?3. 0 a /sv ? - J
(? 1 ?.i?q p\ o s
0 ?Q ?• I i N P '
+??,
•? ?.o ? ? I C04
ca oo ? e ?w e ?
e ./7 a ? aw
a
? TA
N
m ?A S0
?X944.0
? /93. 94 N G/° 07' 30" W °
t+, d-
a? c-
? v
TOPCO?F PIPE L._ ??' Ir L7
BLEY..9+0.98
James R. Hi1l, Inc. Pa9e 2 or z
? _CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-83750-106-09
DESCRIPTION:
PERMIT
4694 BRISTOL BLVD
Lp7: 10 BLOCK: 3
WESTON HIlLS
PERMIT TYPE:
Permit Number:
Datelssued:
Bu"£1'4#3riFJj ?Pe.rmit Type
?'i
rf
?
cfi;ng WC
rk Type SF DWG
NEW
.
;
,
?
66c Cte?UpaFtey R-3 M-1
tortitrWciC:LsrnTn' `e V-N
Zon-kng : R-1
Bux14'inQ L6ng•tb ( 70
13UiLzl1,rig Wfdth 51
9x???kY3'?? .0 ?9C?.?s 2
,tiry{ier
f'
' '
suzGd?? ? I
023101
03/17/94
??4?? ?F (acog
REMARKS:
PRV
FEE SUMMARY:
S& W PLBR - VALLEY PLBG
Base Fee
Plan Review
5urcharge
SAC
SAC %
SAC Units
5ubtotal
VALUATIQN
$681.50
$442.98
$56.00
$800.00
100
$1,980.4$
CONTRACTOR: - Applicent - 57. LIC. pWNER:
HAMES BY CHASE 18955337 0001619 HOMES BY CHASE
2500 W COUNTY ROAD 42 260 2500 W COUNTY ROAD 42
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 895-5337 (612)895--5337
x nere;ey acknsrwi:e?3ge t?,at Z havo r,ea? '-rhis infor4sx3.an. Ys cA=Nr^ect dnd agres ta camP'ly ?,I??
S'CaCw•t;es and'. City of Eagara
L
?
APPLICANT/PERMITEE SIGNATURE - ISSUED 8SIGNA
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 023101
Eagan, Minnesota 55123 Date Issued: 0 3/ 17 / 9 4
(612) 681-4675
SITEADDRESS: Lor: se BLOCK: 3 APPLICANT:
4694 BRISTDL BLVD HOMES BY CHA3E
WESTON HILL3 (612) 895-5337
PERMIT SUBTYPE: TYPE OF WORK:
SF [lWG NEW
INSPECTION
FOO7TNG5 D. .
FOUNDA720N .•
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PIBG FINAL
REMARK5: PRV
F--
?I
S& W PLBR - VALLEY PLBG
$112,000
MISCELLANEOUS $1,828.50
Total Fee $3,808.9$
?-- -u ? - - - -- ?.?
?
?
45101
1994
CITY OF EAGAN
BUILDING PERMIT APPLICATION
681-4675
? -I
4.3,j oi -4i
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, i set of
specifications, 1 capy 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 4aluation af work ,/,/z-,'.-0o 0
Site Address: 1716q4,-l
STREET SU1TE 0
Tenant Name: (commerc9al only)
LOT BIACR -3 SUBD. P.I.D. #
Descri tion of work:
The applicant is: P(Ow er Contractor Other (ca$«ibe)
Name . Phone
Property uST FIRST
Owner 2 S D0 W- G? .? 2,-
Address
`
STREET STE p
City -9?4KI A?o State Zip
Company Phone
Contractor Address License # ' Exp.
City State Zip _
Company _ Phone
Architect/
Engineer Name Registration #
Address ?
City " State Zip .
Sewer & water licensed plumbe r . Processing time for
sewer & water permits is two da once ar, a h s been appro d.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply wit 1 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
4 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition O 08 8-Plex O 13 6arage/Accessory
? 04 SF Porch ? 09 12-Plex O 14 Fireplace
? OS SF Misc. ? 10 Multi. Add'1. ? 15 Deck
woFIK nrPe
E1'31 New ? 33 Alterations ? 35 Tenant Finlsh
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
0 37 Demolish
Const. (Actual) -- _ Basement sq. ft. 691? MWCC System k'
(Allowable)
UBC Occupancy
/ lst F1. sq. ft.
2nd F1
s
ft T.2 City Water ?
PRV R
.
q.
. ( equired
Zoning - Sq. Ft. total , Booster Pump
# of Stories z Footprint Sq. ft . fire Sprinkler
Length ? On-site well Census Code
Depth
Sp,g3
On-site sewage ?
SAC Code
APPROVALS Census Bldg
Census Unit T
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? .Site Er Footing E!r Framing lff Insulation
11 Wallboard E3 Final ? Draintile O Fireplace
I Permit Fee y,i,otia„_ g000
Surcharge f3 g" r
Plan Review 1zk8 ; ??
MWCCnSAC ? S.A- 2 y? ??. z-" 3 z=?oy
-
C9ty SAC 9& x?S? l0 yy0 2o,+ zo
Water Conn.
Water Meter
Nlo?y_(/n• i?
/6 =
Acct. Deposit
5/W Permit -"-_
z?ifkz4 =?P6 k?s=
l
y-
/ y
S/W Surcharge .?
-
Treatment Pl.
Road Unit
Park Ded.
)ZX
Trails Ded. 2?2_V° ?j ?
Ot?iers (o ?Gk Sy : 3 ? sey
Total:
2MIX
sAC x 3 x2y= 9(0Pk sy
SAC Units
Lf_i _ ,
iy
J
?
?i
O
?
? M
M m
?V k
CERTIF,tC,ATE (?F SURV?Y
For iVI?
?ORS- BY CHA:SE ,
?(? ?'6G(9 ?`?!
d
r BENCN p,y?RK
OPOI'pIPC
?ev,. 9ao. ea
N G/• E
Abi
?
?. P,.
?Q? N:
I lC4? L. 3???
/ 43. 94
a= `
M
?
BLBV.. 940. 94: • -, -? c.e
BENGH MnaK
TOP QF PIPE
' So" W
6
A? i14'
r ? ? }} Cil
_
?, ON
y ro
a
?
/V fo/°-07' 3011 VU 444.6
6l-
v
E ..` f1`i`s
R E V 1 i W E
.'"'?r ?
PaR.Vo IRMUREP1i?
? PAAPXAi1: n
EAGAN ENGINEE
Jemes R. Hi11, Inc.
DEPT.
Page 2 0# 2
0C -------------------------
1_Il i-
CERTIFICATE OF SUR?VEY
For HOMES BY CT#'AS? ?
PROPERTY DESCRIFI'1'IQN:
;Dakota Caunty, Mlnnasot
We hereby certify that th(s fa a true and correct survey pf the above described property end that it was
performed by me ar under my dfrect aupervlslon end that I em a duly Licenssd Surveyor under the
laws of the 3tate of Minnesota. This survey does nat purport fo ahaw all improvements, easementa
or encroachments, to the property except as shown thareon.
Signad this day of /%w ames R. HIII, Inc.,
g ?
Y:
Gary R, Harr , Minnesota LS. No. 10943
Nates:
1. Buflding dimensions ahoWn are for
horizontal & verttcel location af atructure only.
See architectural plans for bulldina .&
foundatlon dimenslons. '
2. No epeclflc solis Investigatlon has been
completed on this lot by Jamea R. Hill, Inc.
The suitability df aoils to support the speciflc
house prcposed le not ihe reaponalpflity of
Jamea R. Hfll, Inc. or the surveypr.
3. Proposed gradea shown were teken from
the grading BJor development plan prepared by
, Proba Hnpina.ring Co: Ino,
O 6anotas ast iron monument
O Denotes found iron monument
x 927.88 Oenotee exbNng elevatlon
(830.00) Denotee propoeed elevebon
-t Denotea prnpoaed drainaae
Bench Mark:
Proposed C3arage Floor = 9 t
Praposed Houae Top Black- 962.7
Proposed Garege Top Blook= yaz. ?
ProposedLowestFloor¦ . 17s4.6
Bearings are on assumed datum
. Scale:1
' Page 1 of 2
o2$ James R. Hill, inG.
J PLANNERS / ENGINEER$ / SURVEYORS
2800 W. CTY. RD. 42 *BURNSVILLE, MN, 55337 0 812•880-8044
--°dC-------- --------------------------------- --------------------------------------------------------- IIIIIIIIIIIIIIIEN
' LOT SIIROL'Y CBECICLIBT !OR ItL6IDENTI7IL
? DIIIbD2N0 lLa142T "p IGITION
pROPERTY LtGAL•t
?
ast. os aurv.p: ,T
IDDCIIMENT BTfNnMOg
?' D • Reqistered Lnnd 8urveyor siqaature aad company
?J D • 8uildinq Permit 1?pplieant '
/? 0 • i.ogal dascription
D 0 • 7?ddresa
G?M D • North arrow and.bar scale •
0 • Flouae type (rambler, ralkout, spiit v/o, split antry,
0
• lookout, ate.)
P Dizectional drainsga arrows vith slope/qradieat t.
0 • Proposed/existing sewar and waLsr sarvicea
0 • StreQt name
D' D 0 • Driveway
ELEVATION9
I?D
0
• Exift3nc
Sewes service
0 • Lot corners
?G ?J • Top of curb at LAe dziveway
D 8? D • Elevations ot any txisting adjaeent homes
9?D
?
0
• Pronesed
Garage lloor •
9
0 D • First iloor
H D • 7.owest exposed elevation (aalkout/wfadow)
0 • Pzoperiy oornezs
D?a a • Front and rear of Aome at the loundation
IrIp
• 40HD2pG AR8A8 (if anDiictblal
Eement line
D
0 D • xwL
D p • Poad ! designation
n B? D • tnerqaney Overilow Elevation
? 0
E' D D
II D n
H'D 0
D 2- '6
• Lot lines
• Riqht-of-wey and street wiEth (to bsck of curb)
• Proposed bome dimensions iacludiaq any proposed decks,
overhangs qreater than 21, pozches, etc. (i.s. ail
structures requiring permanent iootinga) • Show all easements oi zeeord and any City utiliLiss withia
thoce sasements
• Setbacks cf proposad structure and setback of adjecent
existine homes
October 2992
.. T.. _
??r?:?; F: r? , ' p6?•1.
,>?
wre 0+74 ??+ ?f??.
?
?- gg,15 p,.Y ?'FOQ g? t7'pIp uG ?'L
S. PVC P ` S?L14/t
i ?
3??'?? ,;.,• ?? , 10 Ti?a+eT rnrea roP oF cuas ST
?vGtE+ ?'9za.ss
i-?• 'T - ? g ? ??:. \ V
qb
.. ? 1118 BEtv
?=--- ., -- _ -' --- 33
'"?",='- - - - - - - - ::.= - - - - wve 0+70
/ ,rs \
.r . ? _ .. . SAl4ELEV. @ PL 929.48
's;.wa.,c=, ,?. - ? ???C?????-.;•-.', / 'n ,,?
., .,.ik<',e.c.;• ? ...; a?':',•g--•.5,,?`i?.' - " / a?' ?P ??
OWAG OES NO'?eARA
--?-i?iE i±ie:`` A OF UTijd OC?A?I?ONS
saMaEraLns?a? ND E ATIONS ?c DA??IS FOR
M ON P ES %:%t'?NLY AND
?<.-',.• .?°-t- ?- .•- \ ? P ER S USIN SHQ?ftb VERIFY THE
?: ,-,
o+ao RMATION aN THkOfE-
9.EV. @ PL 928.64 %
!.; SAN %
?
%
`,. '. , .' ?. %
`%
%%
1?V
%.0
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P
. ?4
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JLEVARD
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40;5 :::::::::::::::::::::::::::::::::::::::::::::::::.:::.. . : ... .........
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.... : ................. PEI
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S A N
1
ALL
THE
5'PLA1
....... ...... ........................... : ............................ ? .................
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011111
i ll : ,..`??C'/71?h' S A.?Ll ? •//STS f • •. . ? • , . , , , , ,
siie nuonEss:
cuin nncron: nnrE rnouE:
aETEn111 PiE. uonKInr, SvUAIIE FOOiAfE OF EACII
I. • , . . ?• .. . .
i. iornL Exi'osEu untL ni«n........ sn rt x"u„' ?•. ?
z. iornL noor/cEILIno nnCn........' , , ` . . . ?
?/ ?, ?J • sh rc x ,?U" c")
3. ToTnL ExrosF0,14nLl nnEn cnLcUlnriousI ?
7ota1 exposed wul) ? . • .
' nrco above floor........ ' . • ' • ' ,? , ??-'...:
sq f t ? . ? .. ,?. • ? .
a) Total wull window areat • ' • • ... . . ,r?,.' :
? cllazed„„?, ? ? ?? sq ft x "U"
?
,rylazeJ,,,,,,
sq rt x "U"
b) Total cloor arca ,,,,,...' 'sq ft x"U"
c) 1"otal s11J1n4? hlass'door *areei"? ?
9lazed.:.... _ ?C1 sq rt x uvn
b
°1"1.0
. .? . " i ? . I
?.
sq, ft x nUn . e .
d) Total flreplace wall erea •• ?' sq rt x"U"
r.) 7otnl wall framing arca . +?
(nvcragc lo?,)....... .... ' sq rt x?????
i
' f) 7otal net wall nrea above .
fivor (Insulated)....... sq ft x"U" 29, (?43_
,•
q) 7ota1 rlm Joist .arca..... . sq Ft x"U'! ? QLZf
?
Total (oundat.lon .tirca (Exposed)............ ?/Z Q sq.ft . . .
h) 7ota1 founJatlon talnJow area............. sq rt x"Ull e
I) Tota) net foundatlon' '
arca above.qraJcl, .......' sq rt x"U"
TOTAI a) thru 1)
If'Item Ir) Is thc samc as,• or lass tl+an Itr.m pl, you hovc mct thc Intent of
' S•?l.C. $CCtiOfI 6006 (C)
Z, '
, , ?- i:xiusLn RUUr/ctllln(. r,nLCULnrlcnls: ' . ' .
'70011
r_xpr?sed
.
. - '• • ?.'•,
, rc,of/cclllnq area..,.,,., ,?1? Sh r t . ' . ? `
,I) . 7otal skyl lolit. area.'...... tJ sq ft x "U" n • ';-'.?;'?'?'
?
• ..? ? ,,.. ,, ?
k) 7otal roof/cp lllnq framing
- .
? . ?
• .•.. .
a
, rea (Averaae I(i?)
.....sq f t x
????? , O.'•?'? °
?. 05
1) Total net Insuloted
?•
•?
, rovf/ce111 nq area.sq ft x iv, `?i ?4 .. . ?
•
. ? •
. ' ,
70TAL J ) thru 1) ?,
0-?
tot., l?of ph Is thc san+e as, or Icss than 172, you havc
'I•C. Sect(on 6606 (c) met the Ihtent oF !' ??!`'•
. .,.
.? .
' , . .• . . . . .?.•.
. . •
, 1?? i; . ."
•. . . • :?..
,
.
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j!'4•9?.
,
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)
. ... • ' • ..
. • ? .
' . .
.
.
.
. .
• . . . _ . ? . . . • . . ' ' .
nLTEiuinre uuiLuinc EnveLorE ntsir,i11 . , •
utillzc thc total envelopc system method, the volues,
r It
m
11 estoblished by the sum ?
e
s
3 and Fh shall riot be qreatcr thon thc sum of (tems /!I nnd 92, •;
, 1? '?' ?• • ti ' : .
3• +
f. E R 7 I F,I f. A T I 0 11
I hereby certlfy'tliat I have calculuted the "U" factors anJ "ft"
'alues hercin .111d that tile huildinn here dcscrlbed meets or excee(is the Stnte
)f lilnnesota Encrny Cohservatlon hct.
' --?? G??? ?-"
' . I S rynoturc
?.?r? . .
3L n '
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUI1tED FOR EACH UNTT.
----- - --------- - --- - - - ---- - ------ - -
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON F'URNACE
FIREPLACE INSERT
DATE " 'T' I 2 ",? q
HVAC: 0.100 M BTU
ADDITIONAL SO'M BTU
GAS OUTLETS (MINIMUM 1 @ $3.0p EACH) ?
ADD-ON/REMODEL (ExISTAVCi CONSTRUCITON)
STATESURCHARGE
TOTAL
SITE AD
OWNER
INSTALI
FEES
$ 24.00
6.00
_-L-0d
$ 20.00
.50
?CJ
#: eI s`S n3 l
CTI'Y: c.?-, o-7--) STATE: ZII' CODE:
TELEPHONE #:
1994 MECHANICAL PERMIT (RESIDEIVTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NO. FIXT[JRES EACH TpT,AL,
? SH09?ER 3.00
WATER CLOSET 3.00 t? -
.?_ BAT'H T'UB 3.00 (1 -
LAVATORY 3.00 G -
? KTTCHEN SINK 3.00 ?-
_I LAUNDRY TRAY 3.00 3-
HOT TUB/SPA 3.00
? WATER }-iEATER 3.00
? FLOOR DRAIN 3.00 3-
GA5 PIPING OUTLET • minimum - t 3.00
ROUGH OPENINGS 1.50 ? -
WATER SOFTENER 5.00
PRTVATE DISP. • Dak.Cry. lic. 20.00
U.G. SPRINKLER • nome unaer wnst. 3.00
ALTERATIONS • to adsling 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE
TOTAL:
.50
SITE ADDRESS: LI L 9 u (? ti?cf
OWNER NAME:__tAoM., 614 Cl.a.?
INSTALLER: V at 1 „10
Q1 `?
ADDRESS: u(c) caw r
CITY: STAT'E: Y'1.- ZIP CODE: SL'_-
PHONE #: (
y`l1- aa I
?-q/I A & _
SIGNA URE OF PERMITTEE
1994 PLUMBING 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 PERMTTS ARE REQUIRED FOR EACH UN1T. '
--------- ------- ------------------ --------.___________________-----._._....._?_.... ? _----._----------
?
NEW CONSTRUCTION
_/ .4JT D-^N A,/C
ADD-ON FURNACE
FIREPLAC'E INSERT
DATE ?.?..CJZ /.3, 199?
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OiJT'LETS (MtxuvtUM 1@ S3.00 EACH)
ADD-ON/REMODEL (ExISTNG CoNSTRUC'I'ION)
STATE SURCHARGE
TOTAL
STTE
FEES
$ 24.00
6.00
$ 20.00
.50
?a •Sc?
OWNER NAME: ?r? !y1 r?Z1J TELEPHONE #:
INSTALLER:
STATE: Y2?Al I ZIP CODE: SSO 71?
TELEPHONE #:
/
SIGNAT E OF PERMTI'TEE
1994 MECHAIVICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN ?
3830 PILOT KNOB RD
EAGAN MN 55122 l
(612) 681-4675
For Office Use
Cit Eaall C
YPermit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: v Site Address:
Tenant: - - - - Suite RESIDENT/ OWNER Name: ~'1~ 5_ Phone:
Address / City Zip: (--+-c-
CONTRACTOR Name: ' C~J 1 oel br r)4 _ License
Address 4:`~~~~_L)1 - (J f
City: a State: J ° It Zip: Phone: > ^7 J >`"t Contact Person:
TYPE OF WORK New Replace vent Repair _ Rebuild M dify Sp ape Work in R.O.W.
Description of work: W ~
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation ---Add Plumbing Fixtures
RPZ / PVB) Main Lower Level)
Septic System -Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ w
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
accord nce with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name - Applicant's Ala' t, ~e
FOR OFFICE USE Reviewed _---Date: Required Inspections: Under Ground Rough In Air Test __Gas Test ----Final
X31 ~o
Use BLUE or BLACK Ink
r
I For Office Use I
Win ~ Permit
City of EaRd ~
Permit Fee. .
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I -
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: ~'_nl ~ % ~7si!~~ Phone: a 7_2! /z 2z?a
Resident/
Owner Address/ City/Zip: ~&e!,
Applicant is: Owner contractor
Type of Work Description of work: ~0, 4&2r
Construction Cost: / 1, 2z2r.> Multi-Family Building: (Yes / No
Company: Lrlt/~~4~r~D Contact:
Contractor Address: 141703 Z, city: Is;~l
State: M LJ_ Zip: 451 Z 3_ Phone: /viL ?&!5 /Lrsz.
License #:.,J?/-- 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:
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 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.org
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 Cod must be completed within 180
days of permit issuance.
x~ 44 4 in x
Applicant's Printed Name Applicant's Signatu
Page 1 of 3