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4646 Bristol Blvd? ` C17'Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PECTIQN RECORD PERMIT TYPE: Permit Number: Date Issued: i SITE ADDRESS: i;j.•i1•.Ciil 61.V'rE :FI '? f ??il ;I i 9 I ,. ' PERMIT SU6TYPE: APPLICANT: ltl.rat'? ?..?. , ? TYPE OF WORK: / It Cd+? I I.t 1'f ! I 1 I I;) !'1 i1? ? ? I " _._I-.. I I I I II ? Ihti:; i? ? " •C1? - ? ?- ? I ilL ?, permit No. Permft Hofder Dete Telephone # S/W PLUMSING HVAC ELECTRIC ELECTRIC ? Inspectlon Date Insp. Comments Footings I (/ c/l?, ,)d Foundation ??, ( Q-3 , _ 1 !f ?Cy Framing k l P g? Roofing Rough Rlbg. ? Rough Htg. Isul. f ? r^- ? IvA Fireplaca ;2 J? dJ(?S Final Htg. ?z4rf3 ? I Orsat Tesi Final Pibg. Q?7 Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bidg. Final Deck Ftg. Deck Final Well Pr. Disp. ? ? f'-P I . l CITY 4F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 6$1-4675 ? SITE ADDRESS: 4 { 7 ? . i:.ali. 61i L"1i,k( f4t.vP PERMIT SUBTYPE: . , ; ?-ii i,;; ? lr1r ;I1 (JN RECORD PERMIT TYPE: Permit Number: Date Issued: t," . 'a W ? V' 0 - , APPLICANT: TYPE aF WORK: ni r 11rA s rra14 ( N k'i 8k': a.? W)C! ?q `i ) INSPECTION > > ,????>++,.? r• ON TYPE a ,fII! ?Vf D I Permit No. Pennit Holder Oate Telephone # ELECTRIC ?J ?? Q ? PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMWC., l D ROOFING ROUGH PLUMBING ? PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL ? . GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL eSMT R.I. - BSMT FINAL DECK FfG DECK FINAL ?. ? . ?• :-3 .?ar . Wtrtificate of cCClipRliC4 wiim vt Cfagan This Certifcate issaed pursLartt to ihe requtremerets of the Uniform Building Code certifying that at the time of issuanee this struclun was in compliance with the various ardiaances af the City reguluting buildiag corr.stnection or use. For the following: use classiscauon: SF M Bwg. PeFmit No. 21335 Occup-Y TYPe R3 ' 7unieg Disorict R Type Consc Owner of Building SMS rJMMMMQJ ?ress 4600 1''M-%W ?? ?, EW-AN Building Address 4646 MISIC7L H[.W [.acaliry I2, B3, WMW l,I,S / Date- ' ' Suild'mg Official P09T IN A CONSPICUQUS PLACE Address 4646 SR7St»i. TtfAp Zip 5512 3 Lot. .' 2 Blk 3 Sub wES'mrr HaIs THESE ITEMS WERE ! WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ? 9 ?-I- Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) ? Permanent driveway Pertnanent gas V/ Sod/Seeded grass TraiUcurb damage Porch ? Basement finish Deck ? Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contad engineering division at 681-4645 before working in righ[of-way or installing underground sprinkler system. ? Wtiite - City Copy Yellow - Resident Copy Pink - Contractor Copy Wy?J OFFlCE USE ONLY This request wid 18 monthv (ran wlidaKon dole prinled in Ihis bw?. / .?f s? 6/7 / I1IIIIII?III?IIIIIIIIIIIIIIIIIIIIIIIIIIU1.;2/6.// O-," ' // * 400 ? 0 4 1 6 1 7 8 2* pLEASE PRINT OR TYPE Requesl JI 7 RaugFin inspecfion requiredz Y. ? W ? ou muat mll the inspecmr when neady) Inspecflon dher Thon RauqMn. ? Rmdy N .II Call Dab Reody. I, ? licensed conhoctor difewner hereby request inspecfion of the above electricol work at: Job Addr G epy ' RaegT?y /? • Ciy Zip Code Section No. Township Noma n No Rmge No. Fire No. Couny Occupant ; / C?VI /?l+ Nvna No. Power S.pp r /ddross Ekchiml Con ( po?ry Namel o rn?e o wh e't, Conhacbr Ixenu W. Maakr lic. No (Plam Eled. OnJy) r.bii,, ndd cemm?a r re.r«mina mwution) ov Mdhorized S re vo r o Owner PerFormng I ? c 'oe Ph/one No. (0/2 " 7.? Z ??%/!1 EBOOOOIA 1 8/96 STYTF 9f1GRO MPY - CFF IN.¢Ti11MlNNC llN BACN OF VELLOW COW 3/?/? 7? REOUEST FOR ELECTRICAL INSPECTION -'? Minnesota State Board W Elechicity 0' 1621 Universiry Ave., Rm. 5-128, St. Paul, MN 55104 ? Phone (612) 642-0800 e Duplex A 1. Bldg. (ine . Naw Addn Commercial Indushial Farm SM ' Remod Re ir Air Cond. Htg. Equi . WaMr Hh. Load Mgmt. Other: D er Range Elec. Heat Tem . Service "X" obove the work covered by this request Enfer remorks in this space and on fhe back of fhe whik copy only. Calculaie InspecFion Fce - This Inspection Requesf will nof be accepted wifhoul fhe correct fee: Ofher Fee M Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Sfall 0 l0 200 Amps 0 ro 100 Amps Sheet Ltg./ira((ic Sig. A6ove 20Am s Above 100_Amps Transkrmer/Generotor msPecroRS use onLY T Sign/Oudine L . Xfinr. Alarm/Remote Canhol Swimming Pool I hereb ce ' that I in the d«nical insmAation described herein on ihe dores bd Imigotion Boom RwgMn r Daro $ eciallns ech on ? p p Invesfigofive Fe e Fi o? 3 THIS INSTALLATION MAY 6E ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 1B MONTHS. /C2 1 d'Co a aa ? ? s ?`' Requ t Oate ? 7/ 16 / 9 3 Fire o Rough-in Inepection ReqWratl? ? Reetly Now ?`.j Will NoGy Inspector &Vas ? No When RBatlY? IX hcensed contractor ? owner here6y requesl inspection of above electrical work at: Jo0 Atldress (Street Box or Rome No,) Ciry 4646 Bristol Ea an SMion No TownsM1ip Name or No Range No. CAUnry Dakota Occupant(PRINT) Phone No. Sons Construction 452/5855 PowBr Suppber Atltlres3 Dakota Electric 4300 220th St. W., Frmington Elecincal Conlrenor(ComOany Name) ConVector5 Lkense No Joos Electric Co. AM01895 MeJmg qOtlress ICOntractor Or Owner MeMing Instellation) 2104 Great Oaks Drive, Burnsville, MN 55337 AWhonzea Signelure iGonVactoriOwner Making Ins ry Phone Number 431-4755 MINNESOTA STA7E 60AHD OF ELECTRICITV THIS INSPECTION REOUE3T WILL NOT GrIggs•Mltlway BIEB. - poom S173 BE FCCEPTEO BY THE STATE BOARD 1821 Universlly qve., St. Paul. MN 55106 UNLES$ PROPER INSPECTION FEE IS Pho" (811) 642-0800 ENCLOSED REQUEST F?_.. ____-...._-.._ ...SPECTION ? Sae mstrucbons br completing this brm on back M yenow copy. _ 'X" Below Work Covered by This Request N% , ee-00001-08 A$„?.?' e Atltl Rep 7ypeolBwlding AppliancesWired EqulpmeniWired X Home X Range Temporary Service Duplax Water Heater Electric Heating Apt. Builtling Dryer O[heo-(Specity) Comm./Industnal X Fumace Farm Air Conditioner Otnm (syeciry) CaMrector5 Ramerks Compute Inspection Fee Below: # Other Fee # ServiceEntrenceSize Fee # Circu1lsiFeeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Above IDO _ Amps Sgns Insoecwr§ use Oniy. TOTAL Imgation Booms Special Inspechon Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WRHIN 18 MONPK I, the Electrical tnspector, hereby tif h th 6 i Rough-in J o 7„'? F?w cer y i at e a ove nspection has been made. F;nei ?a ?C OFFICE USE 3NLY This roquasi mitl 18 monihS irom ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Datelssued: 4646 BRISTOL BIVD LOT: 2 BLOCK: 3 WESTON HILLS rk i/?/? BUIL NG 021335 07J14J93 DESCRIPTION: B ldi Permit Type SF DWG uilding rk Type MEW BC Oc'c?lpanc" R-3 M-1 ? tonstr•uction "i` e V-N ' ZOning • R-1 ? Bu3liling Le?gth . 56 Buil,di.ng Width •, 37 B REMARKS: S& W PLBR - R C PL66 PRV FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Lic. Search Fee Subtotal $161,000 VAIUATION MISCELLANEOUS $1.744.50 Total Fee $3,987.95 $653.@0 $554.45 $88.50 $750.00 100 1 $5.00 $2,242.95 CONTRACTOR: - APPlicant - sT. Lic. OWNER: SONS CONST 14525355 0002608 SONS CONST CO 1091 TIFFANY OR 4600 FAIRWAY HILIS OR EAGAN MN 56123 EAGAN MN 55123 (612) 452-5355 (612)452-5355 ? I herehy.aaknowledge thet.I F}aus.read .this applIcatipn and s!tate th`a.t the ?- information is currect and a,gree,t9 gpmply with, a11 ap611cab4e- State of An: ? Statutes and Gity of eagata ,Qesfinances.. , - ' ?-- _ _ - -- ? -_- APPLICANT/PERMREE SIGNANRE ISSUED BY: IGN RE ? INSPECTION RECORD CITYOFEAGAN PERMITTYPE: eutLoiNs 3830 Pilot Knob Road Permit Number: 021335 Eagan, Minnesota 55123 Date Issued: 8 7/ 14 J 9 3 (612) 681-4675 SITEADDRESS: Lor: 2 BLOCK: 3 APPLICANT: 4646 BRISTOL BLVD SONS CON3T WE3TpN HILLS (612) 452-5355 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW FOOTING .. . FRAMIN6 .A INSULATIOM FINAL FIREPIACE REMARKS: S& W PLBR - R C PL66 PRV ? -- - --. - - - - -- - --- - `---- -- - - - - _. _- -_ __ __? _._ _ . . ' ^ __ - . - • -- -? REACTIY_ ---'""""""' GITY OF EAGAIV P.ERMIT1993 BUILDING PERMIT APPLICATION $3,Q??•4.?'` If; 681-4675 M303U rl..?,?(, ?-zQ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is.made, 2) address is changed or 3) lot change is requested once permit is issued. Date ??? /?' /!? Yaluation of work f?6TCzf )0 Site Address: '1-M 46 Rvisjm STREET SUITE # Tenant Name: (commercial only) LOT d- BLOCK= SUBD.?Q?/J NII`S P.I.D. ?f Descri tion of work: AX?"t-V n'o The applicant is: X Owner Contractor O Other (Deaertbe) Name.? nJS C'rJ5'F' C::?o ? Phone Property LAST FIRST Owner /J kl l oe 2v' c l cr , vW-) 12? s - Address STREET . STE N _ r_ City ? nJ State &,ll c Zip Company Phone Contractor Address License # I?_ Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plum6er Processtng time for sewer & water permits is two days once area has been appr ed. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate of Minnesota 5tat tes and City of Eagan Ordinances. Signature of Applicant:_C__?nl 0J C/ ?? ' OFFICE USE ONLY BUILDING PERMIT TYPE ? 4a . _: .? ? Ol Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16?Ba;ejgntjFipi ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 5wim Pool 03 SF Addition ? 08 8-Plex ? 13 GarageJAccessory ? 18 Comm./Ind. ? 04 SF Porch 13 09 12-Plex ? 14 fireplace ? 19 Comm./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE d 31 New ? 33 Alterations ? 35 Tenant finish ? 37 Demolish ? 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) V-N Basement sq. ft. MWCC System yFs (Allowable) V-N lst F1. sq. ft. City Water ? UBC Occupancy R_3 M_i 2nd F1. sq. ft. PRV Required Zoning ,R -1 Sq. Ft. total Booster Pump ri of Stories Footprint Sq. ft. Fire Sprinkler Length 6 On-site well Census Code / oi Depth ?Z On-site sewage SAC Code _e.3 4 APPROVALS ol Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS 0 Site ? Wallboard ? Footing 0 final ? framing ? Draintile ? 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 Ded. Trails Ded. Copies Other Total: SAC % lDO SAC Units _L Yetuation: s (fol, 0 o oa C7AR 4 (9V1„X•ZS= '/68 X16 = SS_,??.24x3y= 13x1o= 3'$ x 13Y4; IS'h x ? = 2xaU2= Isr F?oo , 85rv?T= Io4(p 2 XZxCI7 .36-_ 'It3Zx54= L N o F'c.,, oaa„ : aA X53'?Z =1552s?? 57tx 2.0 _ ( i u ) w K r-7 = ?6S) lo'/y ' . _?_ ?.. 7gU3 r ?ky• 130 4Ib 31 S' ...-?? ?oq?,x ?5 = 16,440 6 y/ZS _ rIS,ov6 I b ol 3 V7 JUN 22 193 12:40 TO 4525355 FROM PROBEIHNGINEa2IWG 7-161 Pi02 AO(3E VLRN 4 s one qP iUpVdY08f . ENQrIN6EA1Nt3 COMPANY, INC. .?,?.. 1000 EAbT I461h STR[47, BUIINSWLLE, MIHNL{OiA 0633 7. PN1?432-11000, , CERTIFI.GATE OF"SURV'EY Legal Description: sca.e i r = an pGNOmE (955,0 ) DENQTE INDIIMAIT 955, 3 3 Q FINIBME q 4-9 •33 = BASEME 956,33 a TOP PJF .EIEVATION D E1.EVATION M (6R SURf?A It )*NoTE : S7RaT NOT OAV6TiPr/C76o, OROPWD g7R6aF7'' EL6t?.qT/G4!S S46wW A"-A7HOW ORO.4FAC7'CioG4TFW7JYw/^4 30 Fr. FKanrr 8v11An?6 SETBACK LIN6 --?, pRA/NA6E AND vM-irY EAAWENr, , I hereby aertify that tliie ig a tru.e' and correct land as ahown and deseribed liers9n:?Aw prepa „ ?. ??NE r ? ? ' . " ;?` 1100 LOP •s•Oreeentation oP, a. traoti of oetiy ?na thi+e „ia day of oe `Minn. Reg. No. /GoM ,.,. LOT BURVEY CHECKLIBT FOR RESIDENTIAL ? BUILDINO,PERMIT APP ICATION W ? PROPERTY LEOAL: ? w m Date of Burve§: aa Lc pOCUMENT BTANDARDB W 0 0 • Reqistered Land Surveyor sfgnature and company {??? 0 • Building Permit Applicant :C3" O ? • Leqal description 0 Er ? • Addresa 0 0 • North arrow and bar scale ?? 0 • House type (rambler, walkout, split w/o, split lookout, etc.) Cr?'?? • Directional drainage arrows with slope/gradient 8. 0['l" 0 • Proposed/existing sewer and water services {J3 0 D • Street name G ? ? - Driveway Exisiinq D M"?D • Sewer service ? 0 ? • Lot corners I? 0 • Top of curb at the driveway ? 0 • Elevations of any existing adjacent homes Proooeea ?O 0 0 • Garage floor ?f ? D • First floor it 0? • Lowest exposed elevation (walkout/window) ?-/0 0 • Property corners C? 0 0 • Front and rear of home at the foundation PONDINti AREAS (if apDlicabl-ol 0 0`?- 0 • Easement line 0 L? ? • NWL 0 ? • HWL 0 E/ 0 • Pond # designation 0 Q 0 • Emergency overflow Elevation 0 ? • p' ? 0 • E' D 0 • o' ? 0 • 0 0,,,? . Rev October 1992 entry, Lot lines Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater 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 setback of adjacent EXTEMoa.$xvBr.op$:axBaciY coD&coxRvme+rtarawoRcsbs$,r Project Site 1. EXPOSED WALL CALCULATIONS AM "D" WJM AREA x 'U" A. Opaque Wall . 1. Masonry/Concrete a. Y ? b. x ? c. x ? 2. Foundat-icn Wa a. „ b. 3. WoW Fraae' WRU ?. a. Insu]atad 1?rea x. •,04 .. ' ? b. Fraa?ing Are?; ( A vq. 150 at ?6". x) j, ' I a C.. ?$?Qi? ?? ?sV@. 3b _ ? ?? 4• ?L' i .?1? ?//p? ? ? ? . , • a. ?.. b• B. Glazing 1. Windows a. x> .?.° 3?,,,, ' ?1? • :? _ b. 4b: x 2. DOOts • 7t ? C. Doors l. Wood a. Solid b. With atacm x • 2. Metal „ .?_;x' '_?"`• 3. Overhead x ? 4. Othes D. WTAL MIL aRFA, sq. f t . . . . .. : :. ..... .. . .... 2-',1 , E. TDMI: of ARFJ1 Y"U" . .....................................:............ 2LoZ . ? G II. ROOF/CFilLINf3 CALCULATiONB A. Roof/Ceiling Insulated Area ?- x ,D L ¦ 2•2 8. Aoof/Ceiling Framirg p?ve. 150,a! 16" ,oc) ¦?'C. Rmf/C:ei].ing Framirg (Ave. ,10% at 24" x) .'.1?,9a` ,:,, Y!??? =-?'°•=? 0. Skylight ? ,x ,•- . E. TO'1'AL AOCIF/C:EI7+ItG ARFA sq. ft...........,.•.. ." ' F. 'DOV!L CF AREA x"U" ......... a............:.......?..-.?........ «..<......... v•?7 Z+o Determine Qmpliance with the,MinnesotaEnergy Oode (Section. 502 of the Ststie -kaenw'19&3 ?lo" aww'Cccie) . ' •,: Ill. BU[LDING 8NV8LOPS.RBQUIR8INSNT6 , ,. ALI:AWABLB (?rea x, "D') , . .?I? l?? rI • , A. FScposed Wa]1 t ? 7c "? ? •. e) 8. Roolfieilirg: ;^L??,`x? , -` z''• •? , ._.?. C. ' TO'lAI. ALLOf+II+= 8U7LDIIG FNVE[OPE ('lbta7: of A',BA";..-. IV. ACTUAL SUILDiIIN4 8NV8LOPS ACTUAL (At? x A. Exposed Wall (Fmrt I.E) b6 8. 1?oof/Ce?1in9 (Fram I?.? _ ?,?. ?'1 C. TOTAL ACl[IAL 8U'bD?'i WMPB, Ci'CW of A i$),.. .......... . .' *(Neu coft esqrieraau tf las Wr iII.C) ' ' . a' . . u .. V. REQUiBED "U" VA1:UB8 . ?,LS? I?OF/t?II.IN?G Detached ore dtld twD Eatai]y dwellirgs .11 :026 ? * Malti-Family liesidential euildirgs .236 :033 (3 stories a lees in height) * All Other Qxastruction %ypes (3 stcries or lese) .238 .06 • A]l Other Constructicn Typea (Moc'e tMan 3'ftociqs) . . .Z8 • :06 • aama on eoo7 a..sioa myne ars ("PhAs. vwr) AOiust 'Y• ralws ueordlqyJY tolC oeler louti,ppi - . CER'1YFICATION I heceby certify that I have Minnesota State Ei7ergy CocIB. -, M#0?44w •Ojae it, FW4s. wlth t the, a¢we ic40 . , , ?. BCSD 3-89 CC/SA'i/6574 r R CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-83750-020-03 PERMIT PERMITTYPE: BuxLorNG Permit Number: 029571 Date Issued: a g /g 7/g 7 4646 BRISTOI BLVD LpT: Z BLOCK: 3 WESTON HILLS DESCRIPTION: (NO BEDROOMS) ermit Type BASEMENT FINISH 6 Type ALTERA7ION ?-?? 434 ALT. RESSDEN7IAL A A H ... W, ' ' ' Eron REMARKS: A SEPARATE PERMTT IS REQUIRED FOR ANY ELECTRICAL QR PLUMBIN6 WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - qpplicant - ? ARTH RICH 4646 BRIS70L BLVD ? EAGAN MN 55123 (612)452-5990 ? F ' J?NI I? ?. ..? he.r- b? acknowfedc?e?,th?ot?j h?s?ve r0 ? d appl?c?Ci?e??r??f 6tate ?h&t ., a, ??e'b," tw'??"L ? ?inf9rmat'$on ?rrr-?e4? si? ? •? -=?t????e??,??•d?`'`Cx??i ?a mceg"??f??° . ?i. . m, ??C_ _ PPLICANT/PERMI IGNA7URE ?SSUED :SIGN E Xqf 897 BUILDING PERMITAPPLICATION (RESIDENTIAL) ? CITY OF EAGAN 3830 PILOT KNOB RD - B6122 sammag 681-4675 HeR7odeVRenair ReoufremeMs • 3 regiatered ake suneys a ycopies of plan * Z coDbs W plans (induda beam b window sim; poured fid, tlesign; etc.) ? 2 site suneya (extarior eddldons 6 dedcs) ? 1 energy celculffiiona ? 1 errorgy eakulations for heated edtlttions ? 3 wpiea M tree preseivation plen B bt pleried eRer 711/93 requhed: _Yea _ No • DATE: coNSrnucnoN cosr: -?S ?• ? S°a ? DESCRIPTION OF 1NORK: STREET ADDRESS: LOT I BLOCK ?J SUBD./P.I.D.#: 1???? e''?,?Q?? PROPERTY NBRte: Phone #: 452- s°rgo OWNER Street Address: 4?`l City: State: A-kl-) Zip: S?? Z3 CONTRACTOR Company: SE-t-+` Phone #: Street Address: License #: City: State: Zip: ARCHITECTI Company: 5 E- k-f Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construcdon onty): . Penally applies when address change and bt change are requested once permit is issued. I hereby acknowiedge that 1 have read this application and state that the informaNon is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates af Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required " . ! PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AI50, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT. i0. FIXTURES EACH TOT? 3 E.HnuEg 3.39 3. -- WATER CLOSET 3.00 27 - a BATH TUB 3.00 (1. - LAVATORY 3.00 /.Q- - L KITCHEN SINK 3.00 3 , _ 1 LAUNDRY TRAY 3.00 31 - HOT TUB/SPA 3.00 = WATER HEATER 3.00 3 - L FLOOR DRAIN 3•00 3- " _ GAS PIPING OUTLET • minim»ro - i 3.00 3_ - 3 ROUGH OPENINGS 1.50 ?lst> WATER SOFTENER 5.00 PRIVATE DISP. • nerc,y. uc. 15.00 U.G. SPRINKLER • tome under oo?t. 3.00 AL'I'ERATIONS • to exisuog 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 ii-D ? TOTAL: • 3IT'E ADDRFSS: 4646 Bristol Blvd. OWNER NAME: Sons Construction INSTALLER: R C Plumbing ADDRESS: 5910 (`heeter AvP CTTY: Northfield STATE: mn ZIP CODE: 55057 PNONE#:( 61 ? 461-2096 SI NATURE OF PE ITTE 1993 PLUMBING PERNIIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD FAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTI', ? NEW CONSTRUCTION ADil-OIv A/C ADD-ON FURNACE DATE 11 /?17J FEES HVAC: 0-100 M BTU ADDITIONAL 50 M BTU 4L OUTLETS (MINRvtuM 1 @ S3.oo EwCH) $ 24.00 6.00 6.60 ADD-ON/REMODEL (ExisTING coxsMucrtoN) STATE SURCHpRGE TOTAL $ 15.00 .50 .5 STTE OWNER N TF-LEPxorrE #: '? - .635§1 INSTALLER: GIIVZ-RYAN PLUNIDING & HEATING C0. ADD::ESS: 14745 South Robert Trail CTT'y; Rosemount STATE: M ZIP CODE: 55068 TELEPHONE #: (612) 423-1144 0 MECHANICAL PIItMIT (RESIDENITAL) CITY OF EAGAN 3830 PILOT KNOB RD FAGAN MN 55122 (612) 6814675 L? BL ? CITY U3E ONLY RECEIPT#: _/ OO570 SUBD. W'J?.v I.XXX?? RECEIPT DATE: 12 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . single tamily dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet • minimum - 1 Rough Openings Water Softener * for dwellings under conawctlon Water Softener ` for existing dwelling U.G. Sprinkler ' for dwelling under const. U.G. Sprinkler ' for existing dwelling AIter2tions " to euisting residence Water Turn Around Private Disposal System ' Dak Cty lic. (new and refurbished systems) Private Disposal Systems "nnandonment 9ACU NQ. TOTAL 3. ° x ? _ o nn X _ 3 3.00 x = ("T x = 3 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 1.50 x = 5.00 x = 20.00 x = 3.00 z.00 ' _ 0 65.00 = 20.00 = STATE SURCHARGE .50 TOTAL DC7. S o I heraby edcnowledge that 1 have read this applicadon, state that the iMormadon is coeed, and agree to comply with ell appiieable City of Esgan ortlmances. It is the epplicanPs responsibillty to nMi/y the property owner Nat the City of Ea98n assumes no Ilability for any damages caused hy the City during its noimel operati0nal and maiMenence ectivkies to tlie faaliities conahudad under this pertni[ within Ciy propertylrigMof-way/easemeM. SITE ADDRESS: ??0 A) ??- OWNER NAME: INSTALLER NAME: STREET ADDRESS: cirr: fNC. TELEPHONE #: ` ---. • ? ZIP: SIGNATURE OF PERMITTEE OFFICE USE ONIY 2004 RESIDENTIAL BUII,DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 7'1 () 06 (D Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWCtionReauirements RemotleVF2eoairReauirements . =--..?,. Zee;FJs+I g 3 registe2d site surveys shaving sq. ft ot lot sq. ff. of house; and all roofed areas 2 copies of plan CeR of ?13rveylHeait • Yx_ a (20% maximum lotcove2ge allowed) 7 set of Energy Calculations for heated additions ( ?e.PrkPlap . ?,,;1f?.,wyt? 2 copies of plan ahowing beam & window sizes; poured (ound design, etc. 7 site survey for additions 8 decks 'Eice Fies R uired ? ? - Y°;_ N i set of Energy Calculations Addition - indicate if arsfte septic sysfem , ,6n ,-"?g? 3 copies of 7ree P2servation Plan if lot platted aNer 7/1193 Rim Joist Defail Optbns selection sheet (61dgs with 3 or less unBs Date ?y ??- Construction Cost y?dD? sz e Site Address UniUSte # ? DescripHon of Work l/L - tru s? Multi-Family Bldg _ Y?N Ftireplace(s) _ 0 _ 1 _ 2 Property Owner c? Telephone # Contractor Address </Ci ?/ ?j?? ,? ?'t? ? _ ? City Sta[e Zip Telephone # oq2 ) 5!2? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mirmesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constrvcted a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor SewerlWater Contractor Telephone # ( Telephone #( Telephone # ( F I hereby apply for a Residential Building Permit and aclrnowledge that the inform ? n is that the work will be in conformance with the ordinances and codes of the City ? MN Statutes; 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 e of work wh' requires a review and approval ofplans. %/f?v.'d ? Applicant's Printed Name A plicanYs Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA113566 Date Issued:09/05/2013 Permit Category:ePermit Site Address: 4646 Bristol Blvd Lot:002 Block: 003 Addition: Weston Hills PID:10-83750-03-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Scott Follese 5182 West Broadway 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 - Paul N Goren 4646 Bristol Blvd Eagan MN 55123 Golden Valley Heating & Air 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature I For Office Use I Permit WCS~ Clt of ~a a~ I ~ I Y I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I -----------------I 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: .4C> `OZZ `r-: Site Address: Tenant: Suite Resident/Owner - Name: Phone: Address / City / Zip: Name: 1~,4 WCgnse Address: _ Z-- Contractor•~ ~r-- City: State: Zip: 70 Phone: - Contact:Email Type of Work -New ✓Replacement -Repair _Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL V Water Heater Water Softener Lawn Irrigation RPZ PVB) ~ Permit Type Add Plumbing Fixtures Main / Lower Level) Septic System _ New Water Turnaround I Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $189.00 if a 5/8" meter is required) , $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: - Date: Required Inspections: _ _Un_der G_r_ound_ __Rough-in _Air Test _Gas Test Final-- PERMIT City of Eagan Permit Type:Building Permit Number:EA145405 Date Issued:09/08/2017 Permit Category:ePermit Site Address: 4646 Bristol Blvd Lot:002 Block: 003 Addition: Weston Hills PID:10-83750-03-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Paul N Goren 4646 Bristol Blvd Eagan MN 55123 Craftsmans Choice Inc 5680 Quam Ave NE, Suite A St. Michael MN 55376 (763) 276-7465 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA153411 Date Issued:12/18/2018 Permit Category:ePermit Site Address: 4646 Bristol Blvd Lot:002 Block: 003 Addition: Weston Hills PID:10-83750-03-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Paul N Goren 4646 Bristol Blvd Eagan MN 55123 Craftsmans Choice Inc 5680 Quam Ave NE, Suite A St. Michael MN 55376 (763) 276-7465 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166806 Date Issued:02/05/2021 Permit Category:ePermit Site Address: 4646 Bristol Blvd Lot:002 Block: 003 Addition: Weston Hills PID:10-83750-03-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Paul N Goren 4646 Bristol Blvd Eagan MN 55123 Craftsmans Choice Inc 5680 Quam Ave NE, Suite A St. Michael MN 55376 (763) 276-7465 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166808 Date Issued:02/05/2021 Permit Category:ePermit Site Address: 4646 Bristol Blvd Lot:002 Block: 003 Addition: Weston Hills PID:10-83750-03-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations 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. When a weather barrier is installed or Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Paul N Goren 4646 Bristol Blvd Eagan MN 55123 Craftsmans Choice Inc 5680 Quam Ave NE, Suite A St. Michael MN 55376 (763) 276-7465 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA172113 Date Issued:09/15/2021 Permit Category:ePermit Site Address: 4646 Bristol Blvd Lot:002 Block: 003 Addition: Weston Hills PID:10-83750-03-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Paul N Goren 4646 Bristol Blvd Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature