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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?'. ... . . . .. "Y:?.? '. ?• :s4 : "vi ? i? _ . . j . . . ... .. ... .. .. . : .. , . _ ?. . .. :t_V?.f 4i ?.:i.?? Y ..... . .. .... . . .. ... ........ . . . Y ? ? ? _ . .......... ............................. . . ?.. ? . , .. ...... i .. ; . ............... }... `A ?. .. ? , . . ..: li ? Vl .. . .......... ^.i=? - 'i C4? ............... -.. ':?? ?? ? " : . ?t.: ?. :?.: : ? - : . . . .. . . . • .. ......... . ... .. .'_. .. ._.?.- = ? ?t .......... ....: PURPO??? _ 3d :.: 1 - - : :.. . . . . . . . . . . ?, . . .. .. . ....9?: ; s^ . , ''Ci1G IT Sk'OI:L?J ;?-- .?. ... ? i a.. . rav 1.r v ! ' a: . . .. . ••• : .. : . : .. _ . . : ? . . .. .. . - ' . ? ? y,T??c? f? f?i ?/v ? .. .. .... . .. .. . . ? _ . . . _ .... : . . _.. . ...... ; : . ? . . . . . u MH-4 ? STA. 17+60 TOP = 946.34 4e 0.0 V; r, r_, 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 ? v v c m 0 < ? G) ? D m i EAGLE CREST NOMES MiMesP°li°+ MW?ao *020pro d99t%W* Property located Ra 9ec23°n 36, Township 27,, Dakota County, M,nnesota pddress: tL• • . Bristol Blvd. Z r, \-J q4j'S 9qS9 n% Wia > Qy?? ? / /? . ? A ?J L 14 v? L ?L ?- ., 9.??? . o C a T,1 .? c? 2? ? ? k x P l 9j9 > /y.s Ty?16 9?? ? ? • 2 ?? Zacb\?,\ U Lot 9, Block 1, WESTON HILIS 2ND ADDITION 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 94 1 ?'ts, II ? r+Y. ft^ a on eald w+dL 8th_dayof ??l_--y -=19 Sun+Y? ? w thls T pe ot Buildin9 ?Q?1?? r vj1??5& tt Ev'r i QjZ1ST?. L ?tj ?T353 c o • .o° / y.• y?C i °I ? 9 T? ? 945.6 ? ?O ? S? - T? / • e 9 T- ? 8N 94S.o r? I A s ?v? i 9? {i? /tE?°OSEO88.. 9s`8, 944 ,9 s, - / R ?c . ?2o•??rE y, %9b•. ? ? ? - / ! ? w OE I X.? a m cHGAIV ? REVIEWE- D , 3Y? S ._...- '7- oa RRM'+ ? a gigned AYRmond A. Prasch f ? 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