4757 Bristol Blvd`CIT ?' OF EAGAN
3830 Pilat Knob Road
II Eagan, Minnesota 55123
f (612) 681-4675
INSPECTION RECQRD
PERMIT TYPE:
Permit iVumber:
Date Issued:
?;Efar
SITE ADDRESS: 1 01_ 1X 1 O£ r. :
I J-t I . ? fi 1: VC?
PERMIT SUBTYPE: -
! APPLICANT:
TYPE QF 1NORK:
INVIECTION .. • r
7 7-
) i' ! J I I
N A I?@:'- , S'fr',J , k:a 13 F'l t••,; i,ai:- Uj zH r11 SI i'l.ii !
-Permit Na. Permit Holder Date TelepNone #
I' .-_
SNV
PLUMBIhiG
HVAC ? Y
ELECT
ELECTRIC
Inspection Date Insp. Comments
Footings I
2 ? ? ?? - g e-Gt.
??crrc?? ?r= ? f'o?..rc-:,,a- '7/?j9y
Foundation
Framing
Roofing
Rough Plbg.
0
Rough Htg.
IsuL ?
Fireplace
L
Final Htg.
f?
J
Orsat Test
FinalPlbg.
?G P4bg.lnspector-S6oYrfyPiumber
Const. Meter
EngrJPlan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
9-,13"7 LeW
;?PI
? ? r
(ftL'dftCQte of cCC1tpQuC?
MO nf eagan
zepartuceut af ftmi»g Znopection
This Certiftcate issued pursuant to the requirements of the Uniform Building Code
eertifying that at the time o, f issuance this strttcrure was in cnmpliance with the various
ardinances of the City regulating bui[ding constrrsction or use. For the following:
Use Classificarion: SF DWG Bidg. Permit No. 24173
o-p-cy ryp- R3/MI Zo,,;og a;sh;cc R 1 Type Const. VN
Ownexof Buifding? MST Hamm Aemes.s BCR 27333y PL3M[T1H
Building Address 4757 aRISI[lL Si.VD ,?jr,, L9, B 1, WMM HII.LS 2DID
J f
?
POST IN A CONSPICUOUS PLACE
Address 4757 Musmi, ffi.Vfl Zip 5512 3
Let, . Q Blk I Sub wESrCN xr[a.s zrm
THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: t/#9 Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (garage) ?
Permanent steps (main entry) ?
Permanent driveway
Permanent gas ?
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from [he plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engneering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - Ciry Copy Yellow - Residenl Copy Pink - Conlraclor Copy
d /S ? ? OG b'/
?
N47 5 9 1 l,i?
Re st Oa[e
rJ j> ?y ? Flre No Rough?ln In eclqn ReQwretl
(YOU II Inspector when reetly) InspecGOn Oclia Than Rough-ln
? Reatly Now ? WAI No1Hy Inspector
Ves ? No Oate Reatly
I hcensed contractor ? pwner hereby request inspecllon of above electricai work aT
Job Adaress rSt et. Box or ute No I
5 37ot cv0. q
"?:6-G.,e?f
Sedion No Township Name m No Fange No Counry e O?
??
occuo ?, catv
Power Su e OT4 qtltl?ess ?? ??
EIMr?al nhador Com a? Nama)?
?
?i ConVgc?or$Lice ?
se? ? ?
U / v
Maibng Atlaress ( CO rector or wner Making Ingallappn)
1--LtVI7woaa
Aulhonzed n ure nlractorlOwner Making Installatron)
Phona Nu ber
• _7?
MIN STAiE flD O EIECTflICITY THIS MSPECiION REQUEST WILL NOT
Grigga-M Itlg. Hoom .113 BE ACCEPTED BY THE STATE BOARD
1821 Unlwnlly iaul. N 551P1 LINLESS PPOPER MSPECTION FEE IS
Phone(61])8GP-08 ENCLOSED
-Y/15 19 L[ REQUEST FOR ELECTRICAL INSPECTION
? See inshuc0ons lor.compl9lmgjhis lorm on beck ot yellow copy
0479 t 5 'X" Below Work Covered by This Request
EB?00
tld Rep. TypeotBUAding AppliancesWired EquipmeniWiretl
Home Ran9e Temporery Service
piex Waler Heater Elecidc Heating
t. Builtlin9 Dryer Load Management
j mm./Indusirial Furnace Other (SpeciTy)
rm Air Conditioner
Oth
er (syeaty) Convaaor§ FemaMs
Compufe /nspection Fee Below:
# Other Fee ? ServiceEntranceSize Fe S CircuiL4Feetlers F?
Swimming Pool 0 to 200 Amps 0 to 100 Am s
Transformers Above 200 _ Amps Above 100 Amps
Sgns . lnsoecmrs use omy TOTA
?
' Irrigation Booms ? rJ? f
Special Inspection ? ??
Alarm/Communication THIS INSTALLATION MAY BE O OERED DI ONNECTED IP NOT
Other Fee COMPLETED WITHIN 18 M S. ? t
I, the Electrical Inspector, hereby RO1g"""
certify that the above mspection has
been made. F,nei
OFFICE USE ONLY
This request vaitl 18 months irom
2 1 2 5 7?, ? OFFI?'?i5 ONLY This reqaest void IB monMs from mlidafion dak pnnied in this? ?
C'O
`
/
PLEASE PRINT OR TYPE J
Requ
f}Re?y N. 0 Wll Coll
Rough-in nspedian rtqwredi ? Yes Impection Olher Than Roueh.in-
(You musl mll Ilie inapecbr rvhen rcady) Dak Ready
jl? icensed contractor ? owner hereby request inspection of fhe obove electrical work at:
lob Address (Sheet, Bax, or Roob N Gty 2p Code
Seclion No. Townshi Name or No Raige No Fin No Counry
nt Plwre No.
Power Svppllar Address
E 'ml Comra ?Campany N mel Conlmclar lianse No. Mqebr lic No. (Planf Eled. Only)
C
Maili rs,dms COntmtlororqwner?Pinlolano ?
J
(J l%
AuMori cbr ar Ovmer Performing Inslallafion) PM?w N
n
l?
EB-OOO01A-10 6/95 STATEBOMOCOW-SEEINSTXUCilOII50lPBACKOFYELLOWCOGY ?'? ?
I III I ?? II?I REOUEST FOR ELECTRICAL INSPECTION
Minnesota State Board M Electricity
1821 University Ave., Rm. 5-128, St. Paul, MN 55104 ?
* 0 2 7 2 S 7 6 0 ? Phone (612) 842-0800 ?j y 40
ome Duplez Apf. Bldg^ CTlher:" New Addn
ommercial Indushial Farm Remod Re air
q Air
Cond. Hfg. Equip. Water Hh. Load Mgmt. Olher
er Ron e Elec. Heat Tem .$ervice
"X" above the wori: cweled by ihis request. Enter remarks in ihis space and on the back of the white copy only.
hAFL?-)
Calculate Inspechon Fee - ihis Inspecfion Requesi will not be accepted without the mrrecf fee:
Olfier Fee # Service EntrmKx Srse Fee # Cirwils/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 fo 100 Amps
$treet lfg./lraffic $ig. Above 200 Amps ove 100 Amps
Tronsformer/Generator INSPECTOX'SUSEONLV T A
Sign/Outline Ltg. Xfmr. ?O •O
Alartn/Remote Conhol
5wimming Pool I here ce ' Ihat I ins d the dedncol in cnbed hemin on the dares sared
Irtigafion Boom Dok
S
ecial Ins
ection
p
p
Investigafive Fee Fvwl ?
THIS INSTALLATION MAY BE ORDERED braeONNECTED NOT COMPLETED WITHIN 8 M N HS.
Esiablished in 1962
LOT SURVEYS C4MPANY, INC. F B. "°. 6458;Q_ _
LAND SURVEY085 SCALE I" a le) 40'
o Danotea Iron Monument
REGISTERED UNDER LAW3 OF 3TATE OF MINNE$OTA o Denotes ' Wood Hub Set
7801 • 78rd Avenue North 6643098 For Excovotion Oniy
Minneapol'u, Minnesota 86428
*nqors &*fh-W
EAGLE CREST HOMES
Property located in Section
' 36, Township 27, Range 23,
Dakota County, Minnesota
Address:'i 5' Bristol Blvd.
93
S9 ,?/? T
z000.0 Denotes ExicTinq Elevatfon
O Denotee Propoaed Elevqfion
Denotes Suriace Drainqpe
94(?.4- Proposed Top of Block
94S-1 Proposed Garaqe Floor
q3 .1 Propoaed Loweat Floor
v,? ype of Buildinp -
tiasanExn`" WQt-)cou?'
?
-V3.?
3% -I53 ; .
tEC ?\ ?p YQ ,
i
0? ? i
''
?/C"a1??? 70 2S
5.r p? `O •
0? m ?. SR
M ? n, ?86, 9,F5 ? QT ?L
9? ?y. saa.a 61°
? .g9 ?? ? ? / ?9 ? •o
? ?n-??y.0.?88
S' ? y e? , z2?.? 5? p. 994,y / ?S? ?»?8•9
B
gj? Sp? //?/ g2• 8 J?'
9? /4? 9gy2 ?16 1
? '7? Q
--
L?? 00 0
9N
IDa . /
N
?
?
1 ?
CAGAN
7 'f` I REVIEWE D
?-'•_27
l?1 vJ L ----
,
NWL 9?S'6 av
i
Lot 9, Block 1, WESTON HILLS 2ND ADDITION
Proposed building lnformotion must be checked with approved building
plan before excovation and conntruction. .
Thr cnty MNrtwnb iAOwn vs from plata of rsoord or Inforcnatbn provided by
GNnt.
1Ms Mnby wAly Mat tnb t, a trus and corrsct ropreeentatlon of a survey of the
boundari" of tM obo" d"crlbed I" and the bcatbn of all buiklirps rnd Nr
IbN waMChmmu. If any, hom a on eaW WM. Signed
SwwyedbywMls 8th yyof July 19 94
EAGAN
?
DEPT.
s
n o o iJ?u :_..? A?• '.`? + iV i, ,?? ?sr,';*-?
`r l r??%C.?'a?"?
A. Prasch Minn. Req. No. 6743
'S-
, PERMIT ?1-5 -<CITY OF EAGAN PERMIT TYPE: y
3830 Pilot Knob Road Permit Number: B U I L D?I N G"
Eagan, Minnesota 55123 024173
(612) 681-4675 Date Issued: 0 T/ 2 0/ 9 4
SITE ADDRESS:
4757 BRISTOL BLVD
LOT: 9 BLOCK: 1
WESTON HTlLS 2N0
P.I.N.: 10-83751-090-01
DESCRIPTION:
Building_Permit Type SF DW6
/Building Wo.r_K Type NEW
? UBE Occupanc R-3 M-1
Construction Typ,e V-N
? 2oning ? R-1
Building Length' ?
' 47
euilding Width 46
B,y ilding stories
L° 2
a RV ?? ??,n
REMARKS:
PRV S& W PLBR - MCDONALD PLBG
FEE SUMMARY:
VALUA7ION
Base Fee
Plan Review
Surcharge
SAC
SAC $
SAC Units
Subtotal
$685.09
$445.25
$56.50
$800.00
100
$1.986.75
$113,000
MZSCELLANEQUS $1,828.50
COPY $.50
Total Fee $3,815.75
CONTRACTOR: - Applicant - sT. LIC. OWNER:
EAGLE CREST HOMES 15532726 0002971 EAGLE CRE9T HOMES
P 0 BOX 47333 P 0 BOX 27333
PLYMOUTH MN 55447-0333 PLYMOU7H MN 55447
(612) 553-2726 (612)553-2726
1)
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 Mn.
L Statutes and City of Ea Ordinances.
;AWPPLICANT/PERMITEE SIGNATURE oua
ISSUED BY: SIG TURE
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
LOT: 9 BLOCK:
4757 BRI570L BLVD
WESTON HILLS 2ND
PERMIT SUBTYPE:
SF DWG
PERMITTYPE: euiLozNG
Permit Number: 024173
Date Issued: 0 7/ 2 0/ 9 4
1
APPLICANT:
EAGLE CREST HOMES
(612) 553-2726
TYPE OF WORK:
NEW
INSPECTION
FOOTINGS .. .
FOUNDATION .A
FRAMING ROOFING
INSULATION FIREPLACE
ROU6H IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: PRV S& W PLBR - MCDONALD PLBG
F-
{
L-- - - ?
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
??. 19
14
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si surveys, 1 copy o energy
calcs. 2 1994
COMMERCIAL 2 sets of architectural & structu a]_plans..Lset q,f
specifications, 1 copy af energy ca c.
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 tn?rpr,7 <,1!2
Site Address: Qt 1644 16 lae-J.
STREET SUITE #
Tenant Name: (commercial anly)
LOT _'I BIACK ? SUBD. I. D. #
Descri tion of mork:
The applicant is: ? Owner CkContractor ? Other (Describe)
Name Phone
Property LASr FlRST
Owner
Address
STREET STE #
City State Zip
Company ?? k-4,- Phone 532 2"7Zg,
Contractor Address p0 License #t'7z=?_q')I Exp.
City State 1v_ Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State 2ip
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 all applicable State of Mi a Statutes and City of
Eagan Ordinances.
Q
Signature of Applicant: ?-
OFFICE USE ONLY
BIIILDING PERMIT TYPE
? Oi Foundation 0 06 Duplex ? 11 Apt./Lodging
M 02 5F Dwg. ? 07 4-Plex ? 12 Multi. Misc.
0 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
O 04 SF Porch ? 09 12-Plex ? 14 fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
,P7'31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allawable)
UBC Occupancy
Zoning
d of Stories
Length
Depth
APPROVALS
_'1?!
z-V41/
r
2
?
Planning
Engineering
REGIUIRED INSPECTIONS
? Site
O Wallboard
Basement sq. ft.
ist F1. sq. ft.
2nd F1. sq. ft.
5q. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
F2 Footing
-E'] Final
? ?.
.?, , ? .., .
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System k'
? City Water ?
PRV Required
Booster Pump
Fire 5prinkler
Census Code o i
SAC Code r /
Census Bldg ;
Census Unit i
Assessments
19 Frami ng
? Draintile
E7" Insulatian
? Fireplace
Permit Fee vaiusc;m_ 13 0'?>O
Surcharge IIs.?''?a7a, ?
Plan Review
License
MWCC SAC r 4..S
City SAC ? 9,r Z= 5?
Water Conn. ?
Water Meter
Acct. Depasit jy/, y7,?(?9= ?YgG!•Y3
S/W Permit ?._---
S/W Surcharge
Treatment P1.
Road Unit ?-?
Park Ded. ?sy? 3?
?
Trails Ded. )
Copi es
Other
Total:
Cver
?
z2,?_z10 L?
z - 3 ?. b
? ?60_
?l
l?z ???,03
)
SAC %
SAC Units
, LOT BIIRVEY CHECICLIST FOR RESIDENTIAL
80ILDING PERMIT APPLICATION
PROPERTY LEGALS
w 5?2+ 1 --.4
? < 9 Date of Survey:
? § 2 DOCt1MENT STANDARDS
9"'?13 0 • Registered Land Surveyor signature and company
12?"0 0 • Building Permit Applicant
0^ ? 0 • Legal description
0 • AdBress
B'' 0 0 • North arrow and -lbar scale
2'0 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.) •
e0 D • Directional drainage arrows with slope/qradieat 8.
B" 0 0 • Proposed/existinq sewez and watez services
ci"17 0 • Street name
L'0 0 • Driveway
ELEvAT=oxs
ti
i
8-13
0
• Ea
s
na
Sewer service
v 0 0 • Lot corners
D'0 ? •. Top of curb st the driveway
eY3 ? • Elevations of any existing adjacent homes
Froaosed
0?D 0 - Garaqe floor
2' D D • First floor
D?D ? • Lowect exposed elevation (walkout/window)
? D • Property corners
0 D • Front and rear of home at the foundation
ONDZNG ARE
5"'?D D • Easement line
I? D D • NwL
0 ? ? - HWL
0 • Pon9 # designation
0 9'? D • Emergency Overflow Elevation
?0 0 •
2" o n •
W'13 D •
0'0 D •
D 2?lb •
Lot lines
Riqht-of-way nnd street width (to back of curb)
Proposed home dimensions inclu8ing any propoaed decks,
overhangs qreater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
Show all easements of record and any City utilities within
those easements
Setbacks of proposed structure and :etback of adjacent
existing homes
Retaining w_43r.17requi,rements, iP any
Nam?
October 1992
WVE 2+53
N. ELEV. @ pL 931.59 1
.
?
.?
?
?
.
? ?.
V/
\
W YE I NO
SAN. ELEV. (iil pL 933.6^
<
-?/ ? ??!t ctEV ?. ct 9±2 a.R
' \ \ \ \
W VE 0+08
? \SAN. ELEV, @ pL
g32.39 \ \
\ \ 8
12.09 \ \ 7 \ \
N POWER POLE 100 FEET NORTH OF
EAST SIDE OF T.H. NO. 3-ELEV. 931.60
WATERMAIN S
WATER SERVIi
CURB STOPS
SAN. & WAT. s
ALL 12" AND
ALL HYDRANI
THE 1'2" BARREL SECTI
PLATES WILL NOT BE fi
9 CB-104. CB-105. CB-106.
V
\
i
i
.oui..?vA,.x.n.... ......................
EG?e?raiv ooF-v {',qr GlI/??ANTE?
.:............T'.sR,jQY; OF UTILITY LOCATI0NS
,-*t.EVATfOiVS. TH1S Df?Ta 15 FOA
PURPOSES ; QFdLY AND
6 ?. a.f. ...
"-iNQ IT SMOULO VEPti-Y TH. E
"
0 1 THE SlTE. :
'•
. . :
. :.. • ?
?:.... . .... . .
.:.. ............... .
. ..........
.
:
.
.
.......... .......... :..
.. ....
13+50
???,.a, MH-2 MM-3
57A. 14+12, 6'RT.
TOP= 942.18 ? S7A. 16+28. g'I
:........
. . TaP= 944.27
.. .........
................... ....
:..
?
, . ...... . .
??::?......:...
W rt3+50
? 9?44.81
J ......:...........
... .. . . ... .. . . .
........ ......................... .. .......... . ?
?
?
........_. . .... .. -
.-?c-,r?n?tnr?'.
...
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..
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:
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..... . .. .... . .
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...
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.
.
Y
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.
.......... .............................
. . ?..
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;
.
...............
}...
`A
?. .. ?
, . . ..:
li
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Vl
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.......... ^.i=? - 'i C4?
...............
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':??
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: .
?t.:
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:
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: . . . .. .
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.. ._.?.- = ? ?t
..........
....:
PURPO???
_ 3d
:.:
1
- -
: :..
.
.
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.
. . . .
?,
. . .. .. . ....9?: ; s^ . ,
''Ci1G IT Sk'OI:L?J ;?--
.?. ... ?
i a..
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rav 1.r v ! '
a:
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MH-4
? STA. 17+60
TOP = 946.34
4e
0.0
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el'i
I"Iye l uf 4
9?
EXTERIOR ENVELOPE AVERAGE "U" CUhIPU'fAT10P!
OVINER :
SITE ADDRESS: ??le-4 /
L '?*
CONTRACTOR:r:*6At.E 60zV-,,T-
DATE:_
Ph10NE :
Determine workinq square fontaflr. of cach
1. Total exposed wall area..... sq, ft. x.11 = 'Z Z,-fj', $
2. Total roof/ceiling area...... (???_sq, ft. x,026
Total exposed wall area ahove.floor= 191.]
a. Total wall window area........,.
....... 2
b,
7ota1 ............
door area . . . . . . .
...............
" " " '
c. Total ...
sliding glass door area ...
d.
Total ...............
..........
fireplace wall area .........
4O -O
e. Total .....................
. 1.
wall framing area (average 10%)...
f. Total ...,..
rim joist area
????...." " " " "' '
9•
net ................. . . .. . . .
.
wall area above floor ..
...
O
h• ..................
wall area above floor...
?......... """ ? Z
?
i• ...... .
... . . . . . . . . .
.
..............
wall area above floor.
.J. frame .... ...
....
...............
wall area at foundartion
................
...................
.......
l..'
.
Total exposed foundation area=I I_
Total foundation window area...,,,..,,,, ?
Total net foundation area above grade .............
1'1
Determine "u" value of each wall segment
(e.9. window, door, each separate wa11 section)
. a. l? -3 X 11 u„ Qt
-
b. 32? X „v , 3f
.
c. .O g 11 u It- A-? ?q ?
----_-?-
d. X . liul. _
e. x
0 X ?v.
` ?--
9•_13'i1.2 x 54A
h. X ??u" _
i . X iluil _
j. X ..ull _
k. X „u,l _
l. 77 x ?. r ( _ I6•R?
3. .................................
Total = 7 11. o
If item N3 is the samc
as, or less than itein
91, you have met the
intent of SBC 6006 (c;
l.ai•ricnr L•'nvelopc Avcragc "U" CoinpuCak-iai ^`- 1,a9c 2 oF 4
? ' .
ToLal exposed roof/cciling area =132)C) _
M. '1bCa1 s}:yli.kjhL aren .....
......................•
n. Total roof/ecilinq framing area (micr.agc lOb)...
o. 'POtal nce insulaL-ed ron[/cciling ?irea........... JZ,?,C,,
Determine "U" valuc tor each rooP/ceiling se9menC i
M. X „1P
n. rJ.O X"U" _i 02 ?-_ _-1-'0?-
o. 2 2, x1.U1. ?OZ __ _ZL?•? ?
4 ........................... Tota1
If toCal of i14 is Lhe s.une as, or les;; Lhan 112, yuu liavc meC the inCenL of
S1fC 6000 (c:) 1.
Alternate Buildinq EnveJopc nesiq:t
ib ut.ilize the totai envelope'system metiiod, the values established by tlie s"Im of
items il3 and 119 shall not be greater than the siun oE iL•ems I!1 and 112,
1. ' + 2. _ ' .
?.
3. , .- + 4. _ .' .
. /? .
I '
. . . '?...? ?"
„ i
L 2 8L d C1TY USE ONLY RECEIPT#.?(W/
?
?q ? /?
9
SUBD. n.l sw I.& GY ? DATE: 5
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. • single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
'L Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
oate: 5lgll9?0
0
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additionaf 50 M BTU 6.00
? Gas Outiets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL
SITEADDRESS• L5VZZ 91 Ud
OWNER NAME: Joe SnWcIe'-2&SC PHONE #: a9--an
tNSTALLER NAME:.? preferred heating & air ?
7643 Logan Avenue South
STREET ADDRESS:_ Richfield, MN 55423
Bus:866-7611 Fax:866-0125
crnr: ziP:
PHONE #: ( )
3`TG??Af?4?r-?
i -G-f7 4#
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DaT'E_
ES
HVAC: 0.100 M BTU 24
?
ADDITIONAL 50 M BTU :
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) 00
ADD-ON/REMODEL (ExisTuNc coNSrRUCrtox) $ 20.00
STATE SURCHARGE .50
ToTAL _33; Sa
SITE
OWNER
.f- v..c-
3 A/,? , .4 e- C?-
TELEPHONE #: ?5? 272?
CITY: 6t. r?__ v,`lG STATE: ?/v ZIP CODE:
TELEpxorrE #:_ ?9 Sr ? d {S .
r?X, /? t
NATU OF PERMITTEE
1994 MECHANICAL PERMIT (RE5IDE1V17AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNIIOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXTIJRES EACH TOTAL
? SHOWER 3.00 3
? WATER CLOSET 3.00 9
a- BAT'H 1'UB 3.00 -?
? LAVATORY 3.00
/ KITCHEN SINK 3.00 -3
/ LAUNDRY TRAY 3.00 7
HOT TUB/SPA 3.00
WATER HEATER 3.00 _3
/ FLOOR DRAIN 3.00 3
? GAS PIPING OUTLET • minimum - 1 3.00 3
---?_ ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cry. lic. 20.00
U.G. SPRINKI.ER • nome unaor consi. 3.00
ALTERATIONS • to aristing 20.00
WATER TURN AROUND 20.00
75
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS
OWT
INST
ADD
CITY
PHONE #: cl?)_) 4 3? I ? lz/-
D
SFKATURE F RMITTE
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4875
New Canstruction Reauiremenp
. 3 registered sde surveys shawing sq. ft. of lot, sq. ft of house; and all roofed areas
(20% mazimum lot coverage allowed)
• 2 copies af plan showing beam & windaw saes, poured found design, etc.)
• 1 set of Eneyy Catculations
• 3 cropies of Tree Preservation Plan if IW platteA after 711193
• Rim Jaist Detail Opfions seledbn sheet (61dgs wilh 3 or less unils)
DATE ri /16 16
2-
SI7E ADC
TYPE OF
APPLICANT
STREET ADDRESS
IULTI-FAMILY BLDG _ Y N
PIREPLACE(S) _ 0 X 1 _ 2
TELEPHONE # 6(L' 6$S ELL PHONE # G/ 2- 49 FAX #
ZI ?rj Zc
PROPERTY OWNER ? ? C2 Z c.j a 1`f Z1 4? TELEPHONE #4 SJ' 6r6 '?6 S'?)
----------------------------------------°-----------°------------------------------------°--
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGOftY 1 MINNESOTA RULES 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations 5ubmitted '
Plumbing Conhactor. eAt, __ Phone # _
Plumbing system includes: _ Water Softener _ I.awn Sprinkler Fee: $90.00
_ Water Heaker No. of R.I. BaChs,
L No. oF Baths '
Mechanicat Conhactor. O fl? N-e- Z Phone #
Mechanical system includes: _ Air Condiboning Pee: $70.00
Heat Recovery System
Sewer/Wafer Contractor: Phone #
------------°-----------•--._...°-------------------------°°`
I hereby acknowledge ihat I have read this appiication, state
with all applicable State of Minnesota Statutes and City of Ec
Signature of
4t? '? U -
RemodeuRewirRequiremenh ---t -
• 2 copies of plan
• 1 set af Energy Calculatbns for heated atlditions
• 1 site survey for exterior additions d decks
• Indicate if hame servetl by sepUc system for add'Aions
VALUATION ??&ZY0
thei
OFFICE USE ONLY
--------------°•-•------------------
on is correct, and agree to comply
n T r?-? M[? I ?
Certificates of Survey Received _ Tree Preservation Pian Received _ Not
11 1 1 Z002
Updated 4l02
OFFICE USE ONLY
p 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
C] 31 New ? 35 Inllmprovement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Rgpair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation 2a(v Occupancy /7, MC/ES System
Census Code 44.3 Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs / Length Fire Sprinklered
Type of Const ?` Width
REQUIRED INSPECTIONS
_ Footings (new hldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
` Footings (addition) ? Plumbmg
_ Founda6on ? HVAC
Dram Tile Other
Roof Ice & Watec Final Pool Ftgs Au/Gas Tests Final
? Framuig Stone
Siding
Stuceo
Fireplace ?( R.I. _(Air _
Test ?Final _ _
_
Windows(new/replacement)
? Insulation _ Retaining Wall
?
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
city sAc
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
?
? ('vv
/
$ ;20-
PERMIT #
RECEIPT DATE:
2002 KESIDEN7'IAL PLUMBING PEi;MIT a?PPL1CAT[ON
CrrY oF EAsArr
3850 PILOT KNOB iiD
EA6AN, MN 55122
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS:
L c)p .
OWNER NAME:: ZLJ0.IJ 7?16 F TELEPHONE#: lbK? "?tTi?
(AREA CODE)
INSTALLER NAME: D Li IJ e-P? TELEPHONE #:
(AREA CODE)
STREET ADDRESS:
CITY:
STATE: ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC Iicense) $ 100.00
includes $40.00 Counly fee
Note: Additional consultant fees may apply
. MODIFICATIONlALTERATION TO EXIS ING DWELLING UNIT, INCLUDING:
X Adding fuctures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling uni[ (+ 518" meter if needed -$118)
_ Other.
_ RPZ: new installation/repaidrebuild $ 30.00
_ lawn irrigation system
RepiacemenUadditional: _ water soRener _ water heater $ 15.00
State Surcharge $ .50
TOtal s SD
Iherebyadcnowledgethatlhavereadthisapplication,statethattheinformationiscortect,andagreetocomptywRhallapplicableCity ofEaganordinances It
is the applicanYs responsibilityto notiy the property ownar thatthe City of Eagan assumeywpbility for 50f mages caused by the City during its normal
operational and maintenance activities to the 5cllities constructed under this permit wthi IaEy propeAy/r-wayleasament.\
b?? c
SIGNATURE oF P R TTEE 1102
2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION
City Of Eagan i
l 3830 Pilot I{nob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Canstructian Reauirements RemodeVReoair Reouiremenis '
3 reg'stered site surveys showing sq. f4 af bt, sq. @. of house; and ?II roofed areas 2 coDies of plan "
(20°h maximum bl coverage albwed) t sel of Energy Calalations for heated addNons
2 copies of plan showing heam & windmv s¢es; pourad found design, etc. 1 site survey for additlons 8 decks I
1 sel a( Energy Calculations Addition - iMicate7onsite septic system
3 copies o( Tree Preservation Plan'rf lot platted after 711193
Rim Joist Detall Opdons selection sheet (61dgs with 3 or less units '
Date Y /?7 /-co Y? Construcdon Cost `s':2 D a v
/
Site Address , `?// S? ??i SY`? ( /?
/S?? UniUSte #
v s 3
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner X6 ?/? , CC/ Telephone #( 5Y) X5 Q D d
Contractor
Address /Yt / City .1
State Zip ??( Telephone # e,} / )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
(?J submission type) • Residentlal Ventilation Category 1 Wmksheet
Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
N If so, 25% plan review
?
I hereby apply for a Residential Building Permit and aclrnowledge that the inf ation is Zbdirolete ans? accurate;
that the work will be in conformance with the ordinances and codes of the Ci y o agan and the State of MN
Statutes; I understand this is.not a pernut, 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 ase of work which requires a review and
approval o lans.
_ ,? ?? ?
Applicant's Printed Name Applicant's 5ignature
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone # (
OFFICE USE ONLY
-? .
Sub Types
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ent. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
O 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 SWrm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 AlteraGon O 37 Demolish Building* ? 43 Reroof 0 46 Windows/Doors
? 34 Replacement *Demolklon (Entire Bldg) - Give PCA handout to applicant
1
A
1 L
2 L"
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinkiered
Type of Const ? Width
Footings(new bldg)
? Footmgs (deck)
Foodngs (addition)
Foundarion
Drain Tile
Roof Ice & W ater Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIdN5
f FinaUC.O.
? FinaUNo C.O.
Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Fina1
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
? ??
Established in 1962 C?. O INVOICE N?• 645-
SURVEYS COMPANY, '? SCALE:. = ?---?
LpT -
LAND SjjRvEYOR3 o Deootes Iron Monument
ER LAw3 OF STATE OF MINN ??OTA ? FDenotes or Ex?avatio HO"ly et
gEGISTERET1 UND 0'3?3 Elevotion
??1. qgrd pvenua North K000•0 Denotes Existing
E1evalfon
ta 56428 Denotes ProP
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EAGLE CREST NOMES
MiMesP°li°+ MW?ao
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Property located Ra 9ec23°n
36, Township 27,,
Dakota County, M,nnesota
pddress: tL• • . Bristol Blvd.
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propoead building inlormatlon must be chacked with oPProved building
plan before excovatlon and construction• ? In'?et? ?I? ?
m. only ?^t• •nown ?r+ nom Pl? ot recad
eIMnL ?tatlon of a surveY o1 ihe Mtsd ??? p?ry Md thu?? ?? ?t?on of all Cu1Winps " vla
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? Denotes Surface Droina0e
9¢?_¢ Proposed 7op ot Block
proposed Garaqe Floor
?---
q3 ,I Proposed Loweat Floor
EAGAN EI`T^"-
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
s3D!?o
Date
Site Street Address Unit#
Property Owner &b 1?1 Telephone #(?(
Contractor FJ?1+?4J15 Wip-Telephone# (fcia.)SU1'6a(U0
Address (.c?q ?)P-o oUQ c.?`),} City Hl..l kC?i VXSQ_V? stateN\Q Zip
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_ Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other: $ 50.00
Water Softener Water Heater
_ new ? replacement $ 15.00
? Lawn Irrigation _RPZ ?PVB ,-new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $ ?? ' Sd
1 hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be.. in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
,_.---_
°AppljcanYs PCinted Name ApplicanYs Signature /
,i" , ,; ?,
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144996
Date Issued:08/18/2017
Permit Category:ePermit
Site Address: 4757 Bristol Blvd
Lot:009 Block: 001 Addition: Weston Hills 2nd
PID:10-83751-01-090
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 -
Joseph M Mecozzi
4757 Bristol Blvd
Eagan MN 55123
(219) 796-3943
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature