4718 Bristol BlvdCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(F191 RA1-dR7r.
' SITE ADDRESS:
i r: ; F3 t vI
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' PERMIT SUBTYPE:
, . ...
APPLICANT:
TYPE QF 1NORK:
INSPECTION D. . „
? 141 rA rk r-f:1': ; w? IN w t, L R {r .. v r) r C.- v r,t ts(.,.
-
N RECaRD
PERMIT TYPE: ?
Permit Number: ?:_? • ??? ?
Date Issued: •? ? ? ? ;
I. r ? I ?I
C h ?JIUVI
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Permit No. PermR Holder Date Tetephone N
SIIN
PLUMBING
HVAC
EIECTRI
ELECTRIC
Inspectlon Date Insp. Comments
Footings I
Foundaiion
Framing
Roofing
Rough Pibg.
Rough Htg.
l5ul.
Fireplace
T
Final Fttg.
J
Orsat Test I ? '{
Fnal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final ? vQ
Deck Ftg.
Deck Final
Well
Pr. Disp.
? - ?
JaW
q-ir-9y ja
--C,mftCQ#e of cCC1tpQ1iC?
(Fft? of Wagarc
Zeoartiatut of 'Baitbing 3aOcctivn
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time af issuance this structure was in compliance wilh the various
' ordinances of 1he Ciry regulating building consiruetion or use. Fnr the fodfowing:
- ,:
Uu Oassification: .'' DW Bldg. Permit No. 93034
Occupancy Type R3/%12 Zoning District R 1 Type Const. VN
Qwner of Building FM BY aiASE Address 25W wC'Y RD 42, BVILLE
eulia;ng naanzs 4718 BRISiC]L ELVD LmwityL 14, 84, WESIt7N HII.M 2DID
Daze:
6uilding offiLd
PaST IN A CONSPICUDUS PLACE
Address 4718 BRIsmt BLvfl Zip 5512_
Lot '% Blk a Sub wF:snnv tmrs 2nm
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: S? q 31 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Petmanent steps (main entry)
Petmanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage ?
Porch ?
Basement finish V?
Deck (-11
Please verify with the builder the removal of roof test caps from the plumbing system and the shu[-off of water supply to
the outside lawn faucet before freeze potential exisls.
Con[act engineering division at 6814645 before working in righ[of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
3/a?/
?
6
N 13 7
Reyu I D I
e
?
rte No Rough-ln Inp3ectwn Repunetl
(YOU muet wll inspecmr when reaay)
Mspedan Other Than Pough-In
nspac?or
[] qeatly Now ? Will Notily I
Y
ea ? No Dete Feady
I Aricensed contractor D owner hereby request inspection of above electrical work at:
Jo0 AOtlress (SVeet Box or Route i
8AzA7"&-? Crty
SMion No TownShtp Nama or No Range No Couny
OccuOant(PRINT)
o rVl C .? Phone No
9.5'' 3 3
Power$uppber Atltlress y ? 60 . ? 711
-?a
Elecincai ConVactor ICompany Name? , ConVector§ License No. ?
C,f1'O
May dmg tlress ICO haclomr or Owner M ing Instailalion)
? s / -?06
Aulhorrz?atl /SWnaWre iGonvactonOwner Making Installal?onl P e Num-ber/
?ll ? . ?? . /_
MINNE60TA STATE BOAPD OF ELECTHICITY THI$ INSPECTION REOUEST WILL NOT
GriggrMidway Bltlg - Room S173 6E AGCEPTED BY TNE STATE BOARO
1821 Umversity Ave., SI. Paul. MN SS1W UNLESS PROPER INSPECTION FEE IS
Ptwne, (612) 642-08D0 ENCLOSED
Ni?377s
REQUEST FOR ELECTRICAL INSPECTION
? SeSinstrunions for complebmg ihis fonn on back oi yellow copy
X" Below Work Covered by This Request
?iB-qoools04
ew ' dd F?2 TypeoiBuilding qppliancesWired EquipmentWiretl
Home pange - Temporary Service
plex Water Hea ter Electric Heating
. Bwlding D er LOed Menagement
j mm /Indusirial Furnace Othef (SpeCily)
m ir Conditioner
Oth.
r(syeciyl Conlractor's Remarks
Compute Inspec0on Fee Below:
# Other Fee # ServiceEniranceSrze Fee # Cimmts/Feeders Fae
Swimming Pool 0 to 200 Amps ? / 0 to 100 Amps ?( - (p
Transformers Above 200 _ Amps Abovel0o. Amps
Signs Inspectorg Use Only. ' 7p7pL .? , 5'0
Irrigation Booms oLl
8'S/•
Special Inspecuon
Alarm/Communication THIS INSTALLATION M E O ISCONNECTED IF NOT
Other Fee COMPLETED WITHI ON
I, the Electrical Inspector, hereby Rouyn,n
certiy that the above inspechon has
6een made
OiFlCE USE ONLY
TM1is request witl 18 month5 trom
-A4 CITY'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.Z.N.: 10-83751-140-04
DESCRIPTION:
PERMIT
4718 BRISTOL BLVD
LOT: 14 BLOCK: 4
WESTON HILIS 2ND
Buf3i.dini?%-Permit Type
Eiuil.din,g W`r3 k 7ype
?15
?C Yf?cu?s?in??,
Zvhtirtg ;
B4ilditt9 te'vg"j?
Bu'i2d#r49U'#dttF . u .
$113,000
05e_ 3 ?
B I?DING
023034
@3J@3/44
???? ?F Lw
REMARKS:
PRV
FEE SUMMARY:
S& W PLBR - VALLEY P18G
Base Fee
Plan Review
Surcherge
SAC
SAC ?
SAC Units
Subtotal
VALUATZpN
$665.00
$445.25
$56.50
$800.00
1@0
$1,986.75
MISCELLANEOUS $1=828.50
Total Fee $3,815.25
PERMIT TYPE:
Permit Number:
Date Issued:
SF qWG
NEW
R-3 M-1
V-N
R-1
50
47
2
CONTRACTOR: - Applicant - sT. LsC. OWNER:
WOMES BY CHASE 16955337 0001619 HOMES BY CNASE
2500 W COUNTY ROAp 42 260 2500 W CpUN7Y ROAD 42
BURNSVILLE MN 55337 URNSVILI.E PIN 55337
(612) 895-5337 (612)895-5337
T hereb# acknowXsdge that Tharr,e rs04 tirtls
inforOatian is correct On,d agr6* to cbrapilyr 't?Jth
Statutas artct Gity ol'
r
, .
. _. ? .. ............ -
L - ---.._....._?
APPLICANT/PE G ATUFIE IS UED B SI NA7UR
INSPECTION REC4RD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: Lor: ia BLOCK:
4718 BRTSTQL BLVO
WESTON HILLS 2ND
PERMIT SUBTYPE:
5F DWG
PERMITTYPE: susLoxNG
Permit Number: 0 2 3 0 3 4
Datelssued: 03/03/94 '
4 APPLICANT:
HOMES BY GHASE
(612) 895-5337
TYPE OF WORK:
NEW
INSPECTION
FOOTINGS .. .
FOUNDATIpN .A
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROU6H TN HTG
FINAL PLBG FINAL
REMARKS: pRV 5& W PLBR - VALLEY PLBG
F
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CITY OF EAGAN
1994 BUILDING PERMITAPPLICATIO?t
2511% 681-4675 /? FEB 2 8 1994
?
0r, GOn? _qV2 I $.2A 011
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 3 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 122?300
Site Address:
STREET SU[TE Y
Tenant Name: (commercial only)
LOT
? BIACK ? SUBD'? I.D. #
P
_ d .
Descri tion of work:
The applicant is: ' Ow er ? Contractor 0 Other (Describe)
Name Phone ?5`5?37
Property LAST FIRST
Owner
C.U- L?? ?? hfv ??d r
Address'-_2S-00
• STREET S7E # ,
City 16"a"/l-e Ttate Zip 5??.L 3 7
Company Phone
Contractor Address License # Exp.
City State ZiP
Company - Phone
Architect/
Engineer Name Registration #
Address '
City ' State Zip
Sewer & water licensed plumber- `• . Processing time for
sewer & water permits is two da s ance a ea has been pproved.
I hereby acknowledge that I fiave 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 Ord9nances.
i
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERiVIIT TYPE
11 01 Foundation ? 06 Duplex 0 11 Apt./Lodging
ffY 02 SF Dwg. p 07 4-Plex ? 12 Multi. Misc.
O 03 SF Addition 13 08 8-Plex ? 13 Garage/Accessory
El 04 Sf Porch ? 09 12-Plex E3 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
Z 31 New ? 33 Alter.ations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
?
.. ..?.,,:
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
E3 21 Miscellaneous
? 37 Demolish
Const. (Actuai) V,41 Basement sq. ft. MWCC System
y ?
q ?
y
UBC bccupanc ?s-/ 2nd F1. s
. ft. PRU
Required
?
Zonin
9
Sq. Ft. total -
-
Booster PumP
! of Stories ?- Footprint Sq. ft. Fire Sprinkler
Length -?°
- On-site well Census Code
3'3
y ' On-site sewage ?
SAC d
APPROVALS -?-
CensusBldg
Census Unit
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTION S
O.Site 0 Footing ,[$ Framing EI Insulatian
? Wallboard IM Final O Draintile p Fireplace
Permit Fee vewacip,: g 13 Oo 0
Surcharge
Plan Review
license
ZG?.- zo : szo.?.7s; '?BQO
G?_r
MWCC SAC
Ci ty SAC ?
Water Conn. =
Water Meter
Acct. Deposit ?-----
S/W Permi t
z(ok z.0 : Sz o ?
S/W Surcharge 30?. ZZ ??,Q
Treatment Pl.
Road Unit
XSy ` ??
l ( ?
Park Ded.
Trails Ded.
Co
ies ?
p
Other
T
t
l 3? ZZ ?(? ZD k S?J= 33 '40
o
a
:
SAC %
SAC Units
93/01/94 11:03 003
iURVEYOR'$ CIERT1F1???
HObM IM CHA-SE '
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DEPT.
NQT6 a NO 3PECIPIC SDIlB INVESTIQATIIXN HAB BEEN COMPLHTED ON TM13 lOT 9v JAMES R. HIIL, INC. THE 9qtTA91l.ITY OK
90IL9 TO 9UPPORT THE $PECIFIC HOUSE PROPOSED IB
^ NOT THE RESPON9IBILITY OPJAMESR. HIIL, INO.
,'•„? r--- pENpTEB pROPOSEb SURFACE DRAINAQE
O DENOTES IRbN MbNUMENT 5E'f
• 6ENOTES IRON MONUMkT1T FOUND
XOOO.U DENOTES EXISTINQ ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
-3 -i 9y
NOTE: B?pUd.D?IpN?O?DpI?MF3q?161ONv5p?SHOWN ?AR8
AT?ON OF BTR?UIiE ON?Y BEL
ARCI41T6CTVAL p? s f?OR BUIlDMO
p? pOUNDATION DIMENg?ONS. ,
SCALE:1 INCH = 90 fEEt
PROPOSED OARAQE FLOOR = 74S, 9 FEET
PROPOSED LOVJF3T FLOOR = 936 s FEEf
pROP05Ep TOP OF BLOCK- 9AS.7 FEET
WE HEREBY CEpTIFY TQ . "SwaY ? ' 1HAT TMS IS A TRUE AND CORRECT
REPRE9EN7AT1O14 OF A 8URV?Y f?R TNH ?. iEB OF: .
bdr 14, 91e? ar ?[?I wNAS !tA ._ "H .opppoIfll wo t1A wmA1ftA OW :NMNOfy :
El?cal? Oe?uhlg, Allreil?bi. IT DOES NOT P1IRPORT T'O SHOW IMPROVEMENTS OR ENCROACHMENIS, EXCEP7 AS 5HOWN. 5
SURVEYED BY ME OR UNDER MY DIRECT 3UPERVISION THIS Zt,,f'' bAY QF f7°"r??/ ,199
/
SIQNEq: JAMES R. HiLL, l
PROFD9ED GRnOE9 9hIDWN WFRE
TAKEN FFiOM 7ME ORAOINQ PIAN ? 17l
FOR W,E6YON Hi?.43 PREPAHID BY
; LYMAN DEVELOPMEIVT, C0, gY.
d?n ,?AIO,Ul??ap
?? UMIIiSH 10849
t...
M ? a James R' Hill, inc.
pl,qNNER$ / ENGINEERS / SURVEYORS
2600 W. CTY. RD. 42 6 BURNSVILLE, MN. 85337 0 812-890-8044
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i;!?' , R=9'7% 612 890 6244 03-01-94 I1:04Atd 3 #16
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LOT BIIRVEY C8ECICLIBT FOA REBZDENT271L
SIIILDING pERMIT
PROPERTY i.EG71I,t
Date ef 8urvep:
QAt,-
2
?
• Registerad iand Surveyor siqnature and company
• Building Permit l?pplieaat '
• Leqal descriptioa
• 1lddrass
• North arrow and bar. scale
• House type (rambler, vaikout, split w/o, split entry,
lookout, etc.)
• Directional drainage arrows with slope/gradient 4k.
• Propose8/existinq sawar and vater ssrvices
• street name
• Driveway
ZLEVATZONS
fl D 0
• Existinv
Sewer service
6?0 0
D' D D •
• Lot eorners
Top of curb at the driveway
JY? 13 0 • Elevations of any existing adjaeent homes
D? 0 0
?
• Probosed
Garage Ploor
E
? 0 • First Eloor
0? 0 D • Lowest axposed elevation (Walkout/window)
D'?p 0 • Property cornera
D? 0 0 • Front and rear of home at Lhe toundation
n 0-'"'13
• ?ONDII46 AREAB (ii annlieablel
Easement line
D V. • NwL
D ? 0 • HwL
0 ? 0
D B? • Pcnd 0 desiqnation
El
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0 • eva
on
ow
Emergency Over
DIME11820N8
.
.
?D 0 •
Er'D 13 •
;rID o -
n g,-cr •
Lot lines
Right-of-way anC street width (to back of curb)
Proposed home dimensions includinq any propoaed d*cks,
overhangs qreater than 21, porchss, stc. (i.e. all
structures requirinq permanent footings) Show all easements of reeord and any Cfty utilities vithin
those easements
Setbacks of propossd structure and setback of adjacent
exi
Ret
Reviewed
Oetobez 1992
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i W YE 2+07 ? 56' 2' I?I ? $ ? ?
SAN. ELEV. @ PL 931.31 ? ' 8' q? r ??\ \ WVE 0+88 ???\
/ /` y? - r• i \ ? SAN. ELEV. @ PL 932.86 ?
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EN(31NEERS,
`ond LAND SURVEVOAS
MINNESOTA 5533l
HEREBY CER7IFY THAT THIS PIAN WAS
PpEPAREO Bv ME OR UNOER MY DIRECT
SUPERVISION AND TENQ'u?Fp OULY
REGISTEREU - -
UNOER THE L WS (IF THE St4TE
OF MI
00
Y*REG 0. 7100
PN 432-3000
E23 8-2A-93 D
&21-93
1 &5-93 0
NO DATE I
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13
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PUF,?t O::Es??? p+;dD PcRSON:; C;S3NG IT
SHOULD VERIrY THE INFORNiATIOPJ ON :THE ;
SITE. : ........
CB-101
60" DIA
STA 11+87.67
16 FT. RT.
(BqISTOL BOUI.EVARD)
TOP 840.37
CB-i02
48" DIA.
STA 11+87.67
16 FT. LT.
(BRISTO[. BOULEVARD)
TOP 940.37
MH-103
48" DIA.
TUR..94A:6n
CB-'
FOR STORM PROFILE
32'-30" RCP @ 0.8296
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STA :10+1
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2: iOrnL nooF/cEil.1116 nnen........' :n rc x "Ull
J. ToTnL ExrosKO,unlL nnEn cnlcuLnrioIisi
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Total exposedwall ' • . •
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floor.. ' ....
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a) 7ota1 wall window area= ' •. ' , , ",
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z ft x i?Un ?
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b) 7otti) door arco ,,,,,,,,', 'sq ft x "U"' ,'Q ;2 ' -" 9, Va
-
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c) ,
•Totat sllding hlass'door'areat'I' ? .., .,.
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? . . . . :..••. ,
. • . .
d?L 9lnzed.:.... sq ft x nvn
qlizcJ.",,,, ? sq, ft x "U" • b
J) 7ota1 fIreplace Wal) area •• ??' sq ft x "U"
c) Toti) woll (raming area
•
(I,VCPi1(
1C 107) .........r.
Sq
ft
X
IIUII
b7 [/ ° ?
- !
' f) Total net 4ia1) area above •
iloor (Insulated),,....._ sry ft x "U"
q) Total rim Jolst .arca...... sa f t x "U'! ?r ? i
Totol fowidat.lon
area (Exposed).,,sry .Ft . ,
11) 7otn1 foundatlon
winJow area ............. ' Q sq Ft x "U" d
I) Total tict foundatlon. • ,
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area above.gr'aJe+....?.' sq
ft
x
"U"
TOTAI a) tliru 1)
?
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If'Item p3 Is tho same asv or lass than Item pl, you hovc met the Intent oF
S•b.C. Sectlon 6006 (c) Z,
'(uui/cFILUic CnltuLnrl(insi
'Tot71 rxposcd ? • • ' • '
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q f
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. area (/lverane 109 ?
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TOTAL J) thru 1)
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o t , I o r pr
i Is the same as, or less thni? 1.C. Sect(on 6Gr16 (c) 172, ydu Aavc met the (htent oF
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n t?tllize thE, tot
r I terns 113 nnd pel envclc,?e system method, the vnlues.establlshed b
!i slibl) "
th
Z b
m
o
y
e
e nreatQr thnn the sum of Items dl anJ 92,
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I hereby certlfy*tlint I have calculxted tlie "U" factors onJ "It"
a?ues hcretn ond that thc bulidinq herc
f Ninnesota Erivrny f.onservatlon Aet. descrlbed mcets or exceeds the State
.
• i qnature
.
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;I
., '
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE ?DS
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH) 7.co
ADD-ON/REMODEL (EXISTING CONSTRUGTION) $ 20.00
FEES
STATE SURCHARGE .50
TOTAL
SITE
?\ \1? r?1
OWNER N
INST.
TELEPHONE
#: 4?9?-5 33`1
u1 01120-1? STATE: I?1 d? ZIP CODE: ??-
1994 MECHANICAL PERMTT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMFS AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES
SHOWER
WATER CLOSET
? BATH TUB
LAVATORY
i KITCHEN SINK
? LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
? FLOOR DRAIN
GAS PIPING OUTLET • minimum - i
ROUGH OPENINGS
WATER SOFI'ENER
PRIVATE DISP. - nek.cry. rc
U.G. SPRINKI,ER • home uneer consi.
ALTERATIONS • to adating
WATER TURN AROUND
STATESURCHARGE
TOTAL:
EACH TOTAL
3.00
'3-
3.00 a -
3.00 3 -
3.00 9 -
3.00 3 -
3.00 3 -
3.00
3.00 ?-
3.00 s -
3.00 3 -
1.50
5.00
20.00
3.00
20.00
20.00
.50
3q, sa
SITE ADDRESS:_ y? ? g sr: >t01 &} ??,(
OWNER NAME: Mo.r5 6,1 C
INST
ADDRESS: (, ( n Lf-<. I( L ?
CITY: J o"A a., STATE: b'1 ll ZIP CODE: 13 ?2 3- '
PHONE #: ( ) 4q) -2) G) r
SIGNATURE OF PERMITTEE
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118338
Date Issued:10/31/2013
Permit Category:ePermit
Site Address: 4718 Bristol Blvd
Lot:014 Block: 004 Addition: Weston Hills 2nd
PID:10-83751-04-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Lisa Nyberg
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 -
Scott R Elliot
4718 Bristol Blvd
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123172
Date Issued:05/30/2014
Permit Category:ePermit
Site Address: 4718 Bristol Blvd
Lot:014 Block: 004 Addition: Weston Hills 2nd
PID:10-83751-04-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott R Elliot
4718 Bristol Blvd
Eagan MN 55123
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA128215
Date Issued:10/30/2014
Permit Category:ePermit
Site Address: 4718 Bristol Blvd
Lot:014 Block: 004 Addition: Weston Hills 2nd
PID:10-83751-04-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Scott R Elliot
4718 Bristol Blvd
Eagan MN 55123
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA128799
Date Issued:12/05/2014
Permit Category:ePermit
Site Address: 4718 Bristol Blvd
Lot:014 Block: 004 Addition: Weston Hills 2nd
PID:10-83751-04-140
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Scott R Elliot
4718 Bristol Blvd
Eagan MN 55123
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA131134
Date Issued:06/03/2015
Permit Category:ePermit
Site Address: 4718 Bristol Blvd
Lot:014 Block: 004 Addition: Weston Hills 2nd
PID:10-83751-04-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
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)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Scott R Elliot
4718 Bristol Blvd
Eagan MN 55123
(651) 278-4684
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155039
Date Issued:04/24/2019
Permit Category:ePermit
Site Address: 4718 Bristol Blvd
Lot:014 Block: 004 Addition: Weston Hills 2nd
PID:10-83751-04-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kyle B Solstad
4718 Bristol Blvd
Eagan MN 55123
(218) 831-6773
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature