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4715 Bristol BlvdCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4715 Bristol Blvd Lot: 2 Block: 1 Addition: Weston Hills 2nd PID:10- 83751- 020 -01 Use: Description: Sub Type: e - Air Conditioner Work Type: Replacement Description: Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767 -1000 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Bermitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Electrical Inspector, Owner: Lawrence M Merck 4195 Starbridge Ct Eagan MN 55122 $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA078615 06/29/2007 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4715 Bristol Blvd Lot: 2 Block: 1 Addition: Weston Hills 2nd PID:10- 83751- 020 -01 Use: Description: Sub Type: Work Type: Description: Meter Size Meter Type Manufacturer Comments: Fee Summary: Contractor: Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767 -1000 e - Water Heater & Water Softener Replace Water Heater & Water Softener PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Permit expired without required inspections. Letter sent 2/03/09 CE Kim Renville 2200 W Hwy 13 Bumsville, MN 55337 $15.50 Owner: Lawrence M Merck 4195 Starbridge Ct Eagan MN 55122 $15.00 0801.4087 $0.50 9001.2195 Issued By: Signature Plumbing EA079871 09/19/2007 ePermit Line Size I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Eagan, SITE ADDRESS: 1 ; (il f_. vt! ? PERMIT $UBTYPE: i :4,. TYPE OF WORK: INSPECTION .. . .. { i,+f .'! . , ;?I}?;j,• ! r' ,. ! . I (; ff?l ° f' f? v ? ?. S f» 44 f't k3R ? A I I k,r' F•t_E3fi tTORD PERMIT TYPE: Permit Number: ?ate Issued: APPLICANT: r . t • } ,; ??', '. ; ; i , i Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation O?-! tr3afg? -??? Framing f!2 / 93 ?/jii¢L /j?c!.4G?vG. >-'? ??'Tr?? T!="?l?? L+ Roofing Rough Plbg. 1J- r Rough Htg. isui. 1/ 3 Ia?l?,j G(J? Fireplace Fnal Htg. Orsat Tast Final Plbg. 2-?9- Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Finei v?- Dedc Ftg. Deck Final Well Pr. Oisp. S? ? We?ficate of Cccupa=4 mtv nf ftgan Tcpartmcnt o? !sKiIbing ZnOo¢ctiun This Certicute issued pursuant to the requirements of the Uniform Suilding Code certifying rhal at the Fime of issuance this struciure was in compGiance wifh the various ordinances of the City regulating building constructron or use. For the folLowing: Use Ctassification:sp FLc _ BMg. Pertnit No. 99331 OccuP-cY TYPe R3f441 Zaning Disaict TYPe Const. 'VN awnerofsuiw;ng HMM By rUa?. naaress 25m W r^CY RD 42, _ YZ $yild;ng Address 471 S i?TC'iT'ft W'Uf] L.ocality?y?Ls WESl? H??S ' f' r , YK, i • 1 ? ????} ?? Date: , Bwkd?ng?O?Cial/, ` . POST IN A CONSPICUOUS PLACE Address 4715 BRISmL BLVD L.ot - c Blk i Zip 5512 3 Sub WESmrt Fina.s ZrID THESE ITEMS WE12E / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) t? Permanent steps (gazage) ? Permanent steps (main entry) ? Permanent driveway ? Permanent gas Sod/Seeded grass ? TraiUcurb damage ? Porch Basement finish ? Deck Please verify with the buitder the removal of roof test caps from the plumbing system and the shuaoff of water supply to the outside Iawn faucet before freeze potential exists. Contact engiueeting divisiou at 681-4645 before working in rightrof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy w ? GITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-83751-020-01 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4715 BRISTOI BIVD LOT: 2 BLOCK: 1 WESTON HILLS 2ND Bxwildi:ri'g+, Permit Type SF OWG Building Werk Type NEW UBC Occupancy R-3 M-1 Canstructipn ?=pe V-N Zoning R-1 ? Building Length 54 ? Building Width'. ? 48 ; i do, ty a a a g a ? fo? BUILDING 022391 10/27/93 REMARKS: PRV 3& W PLBR - VALLEY PLBG FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC $ SAC Units Subtotal $635.00 $412.75 $49.50 $750.00 100 1 $1,847.25 $99,000 MISCELLANEOUS $1,744.50 COPY , $.56 Total Fee $3,592.25 CONTRACTOR: - Applicant - sT. LIC. OWNER: HOMES BY CHASE 18955337 0001619 HOMES BY CHASE 2500 W COUNTY RQAD 42 260 2506 W OCUN7Y ROAD 42 BURNSVILLE MN 55337 BURNSVIL,LE MN 55337 (612) 695-5337 (612)895-5337 I hereby acknowledge that I have read this applioation and state that the inFarmat3on is correct and agree to comply with all ap?plicable..State of Mn. Stetutes and City of Eagan Ordinances. L - " . '- - i APP CANT/ MITEE SIGNA7UHE `TSSUED ': S GNATU E INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: Lor: 4715 BRISTOL BLVD WESTON HILLS 2ND PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW INSPECTION FOOTINGS .. . FDUNDATION .• FRAMSNG ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: PRV S& W PLBR - VALLEY PLBG ?? --. .. __... PERMITTYPE: suzLorNG Permit Number: 022331 Date Issued: 10 / 2 7/ 9 3 z aLocK: 1 APPLICANT: ' HOMES BY CHASE (612) 895-5337 IL - REACTIVATE ECITY OF EAGAN PERMIT #, 1993 SUILDING PERM{T APPLiCAT10N 43a?,Qj,IK ' T 2 0 1993 681-4675 _ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architecturat & 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 _I / /?,3 Valuation of work 9,- 5ite Address: STREET ?rf? K {y ?? }{? ? ? ) SU[TE N 1 : J J 4GsC 'Ci ,. , ., Tenant Name: (commercial only) IAT SIAC& 1_ SUSD.??S?`?? S P.I.D. N an? Descri tion af work: The applicant is: "Own ontractor ? Other cceseribe> Name s Phone g?S`Sj 3,7 Property L -TT Owner Address -?? a w' Gz? ":? ,,- d - STREEi ?STE M c;ty !? ?e/C2 state ? z;p ?,-r-332 Company Phone C017t1'SCtOC Address license # Exp. ,?J--- City State Zip Company Phone Architect/ Engineer Name Registration # Address City State ZiP Sewer & water licensed plumber zr. Processing time for sewer & water permits is two days onc area has been a proved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with a applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE C?NLY BUILDING PERMIT TYPE ? 01 Foundation O 06 Duplex 0 11 Apt./Lodqing 19 02 SF Dwg. O 07 4-Plex O 12 Multi. Misc. O 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck WORK TYPE p 31 New ? 33 Alterations ? 35 Tenant Finish E3 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION m !S n ` 1i 4?y , [3 16 BasemepR'•FRt%h 0 17 Swim Pool ? 18 Cortan./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Canst. (Actual) Y- N Basement sq. ft. MWCC System yG- (Allowable) V- N lst F1. sq. ft. City Water ?/es UBC Occupancy --! 2nd F1. sq. ft. PRV Required y dc-i Zoning I-1 Sq. Ft. total Booster Pump f of Stories Footprint Sq. ft. Fire Sprinkler - Length On-site well Census Code )r - TE Depth ? On-site sewage SAC Code oI APPROVALS i Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing O Draintile ? Insulation 0 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: Yaluatian: $ I-T 5 , 00 C) T- Ca?+.rzAGE?. 3Z? 22= ?U4 K I(.,. fl, Z6 ?l sr k r = ?v I 6 1? ?Bqvp IST ?LpoR i ?srv1'F = ? 2 L a w-?- 1 • So ?S/u7Z ? g63? / SAC % D 0 SAC Units _I `r P 81 ' .-_.... _ .... . . . . Post-ItTM brsne tax transminal memo 7971 a? ww7 ? rsm • ?°- oept. Pnorx ? s Fs?c ?1 /LT I..?J I '91 145.84 i 97.-7 s, G ? CC ? r? N ? W o Q O t? ? 0 li 86 I vua ? HOMES 8Y CFtASF. 1 I N BI° 07' 30" «- _ . ' I\ I \ ? -%?"/ , 60 4 ya: 147.11 g ?a I z ?• I .? ; 23.00---?' 1 , ?.. i N 6 I! 07" 30" 1 NO Fc 90U.8 INV6iTRAT10M Nqy ?? ON »? oY 7HS #URYtYQR. 71R BYI $ s01Lt TO EYrP01tT TH6 S1?CI/IC i?OU NGC 7N6 11KtPONt1lILITY Of 7Ht SU .?--? DENOTES PRUPOSEa SURFAGE DiiAINAQE p P@NOM IRON MONLJMENT 5ET 0 DENOTE5IHON MdNUMONT FqUND x0p0.0 dENOTE9 EKI6TING ELEVA7fON (ooa o) DENO'tE8 PROQOSED ELEVATION /?. / -Pt7?fY7 5!7 / - 10 a ? I 39" R O U O IJ {1 E j.y ilif F'1 ll LL E '.? MOTE: BpV OfN6 I n ? E AT??yN? ?_ FliihlpAN mM IONB?. ? SCALE: 1 INGH - 30 F2LrT PRQP05EW GARACiE FLdOR ! 9¢Y. 5 FEEi' PROPOSED LOWES7 FLOOR m W.6 PEET PRdP45Ep TOP dF BLOCK - 94,9• 7 ? FFq pq??NTA CERTIFY pPTA SURVEY OP TNE BQUNDARIES OF:7HAT TH13 18 A 7RUE AND CORRECT Lpt 2,Obek 1 4 WES'fOfV HILLS .5I004d0 ADD{TtON,accordllp to the redatdad ptnt thErlOflpQlitlfi 4vurAr, Mtnnaauta. IT pp6S NQ7 PURPbRT TO SHOW IMPROVelIENTS OR ENCRpACNMth17S, EXCFpT AS SMOWN. AS $UpVEYOd BY ME Oq UNDER MY tNREt%t SUPF.RVtSIaN THlS lA "fN DAY bF OCT ,1995. fiiaNED:/ JAMES4HiLL, ING. /lll?? PROPOSRC BN0.THE OAdM6 pwN TAKR?+ FROM i?°rMar?goev?o?'?raT,"??'1`so av t _ r e ? r a jo"N C. tARSON, LANa sU VEYOR MINNE80TA UCENSE NUMBEN 18828 James R. Hill, inc. pi.AhINERS i ENGIhlEERS / SURVMR5 26Dp W. CTY, pp, 42 o BUflNSWLLIE, MN. 56387 * 612-b90•8044 ? R=97°6 10-22-93 12:2#PM P001 #30 ? -` + LOT SOROEY CHECRLIST FOR RESIDENTIAL ? w BIIILDING PERMIT APPLICATION m ? w m PROPERTY LEGAL: -J a w ? i N Date of Survey: zzag a ? DOCUMENT STANDARDS ??- 0 • Registered Land Surveyor signature and company p ? • Building Permit Applicant ,8?-0 ? • Legal description 0 B' ? • Address ?? ? • North arrow and bar scale H-0 0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 8-?-0 0 • Directional drainaqe arrows with slope/gradient $. ? 9'?0 • Proposed/existing sewer and water services ? Street name v : ? Driveway Existing 0 0'*?0 • Sewer service 8" 0 0 • Lot corners V 0?CJ • Top of curb at the driveway ? p' ? • Elevations of any existing adjacent homes Prooosed 9-?'? ? • Garage floor g--?p p • First floor LYO 0 • Lowest exposed elevation (wal.kout/window) JY'p ? • Property corners ?0 0 • Front and rear of home at the :Eoundation PONDIN(i AREAS (if apDlicable) ? ?K0 • Easement line 0 jY ? • NWL ? p- D • HwL p g ? • Pond # designation ? [f ? • Emergency Overflow Elevation ?? ? • Lot lines ?? 0 • Right-of-way and street width (to back of curb) 0'? ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) ?p p • Show all easements of record and any City utilities within those easements 0-O 0 • Setbacks of proposed structure and setback of adjacent existing homes ? 0 • Retaining ?i ments, if any Reviewed: l? October 1992 , ,. ir* c ? s i nuun ss : c. ?, cutii itncron: unrE I ? ,;t ???"=-. _;., , ._ ? tILTEniunE. Von1;rnn suunnE FoornrE oF Encn,s i.. iornL ExrosEU tinu naEn.,,.,... ?'? 2- rt x "u" ' ???' " z, ioinL nuor/ceiL1111) nnGn.... .... sn rt x _ /-- u 1. TornL Exrostu 11nu ? nnEn cnLcuLnrimisi ? . .: ? . . , . • • Total exlrosed wal) • • ' ? ?,';? i•` ? • or•eu above. r ? `• /? f Ioar. , .. , , , . ?? sq f t , ? . .. ' . . . '! • • ..? ? : . n) Total wall rilndow areat ' ' ?l- !i) azad. . ? . ? . ? /?? sq f t x iluil H 2 ' J- ,O- qlazeJ,,,,,, sq ft x "U" ' • sq ? %Jl? ?' ft x ??Un• .?? - i ° °?? b) otal cloor 1 arce ,,,,, c) ?lbtrl 91lJl nfl 411oss'?door' ' areal' . .. ':.,,.•; . • , , ? . • ' . . • • qlazed.?.... ?0 sq rt x* llul., rt x nUu . _ " . cl) Total ilreploce woll erea •Q_sii ft x "U" " - c) Total wall ftaining aYea ft x flUll ? (Avcrnge IU?)......?.?? . sq ? ?. . f) Tota) net 4rn11 orea above 0 floor (Insuloted)....... sq ft x "U" ,0 113 Total rlm Jolst erea, sp ft x"U'! Total foundat.lon f1fCd d7'1?_?,. S[?.f t . , . h) lbt?t foundatlon , ? •' g ft x"U'' ° wlncloa? area..........?.. h . ?, . .,,., ' . I) 1ota1 net fovndatlon' ' " arca above.hraJeti?...?.? • ?j.?_.. Sq Ft xi'U" ? - TOTAL a) thru I) ? s If'Item PJ Is tIlC SOniC asr oY IQSS than Itam RI, yov hovc dlet the Intent of , • S.II.C. Sectlon 6006 (c) 2. iuini. i:xr??si:u nuur/ceiLina (,nLCUlnrlunst ' ? 'l •• • . • , . ? .. ? rc)of/cclllng area..... sq ft ' . . ' • ..,, J) . lotal skyl lalit. arca.'...... Q 9q ft x '"U" " • ??,'•;'.!?:i , . • ,.? ? ,?.. 10 lotal roof/crl llnq framl'ig . ?, ? , , . . , , '. ? . area (Averane )09,).... ..??-sq (t x ??U" ?. . •?? ? ' .. . I) 1'ota) rir.t InsulateJ . , ' • • • . roof/celllnq area.....,.` f??? sq ft x „ „U ? d aa • ? ;;. •.: ;. : ' ? . ? , • , IUYAL J) tliru I) ,. , totol ?of ,N.11 15 tlie Same as, or less thnn 02. ydu hovc met tlte Intent o( " I.C. Sectloil 66()6 (c) 1. •, ' ,.. ., , ? ,? . . . , • .. . ? . . ? . ' •. j. .. . ? . ... •r . . -.?.. .??.L'ry?.p.... '. . . , ? ? _ ? . " 3' ? . . . • • . . . ' , ... ? ' . . ?' ? ..? ' . . . . • . . _ • AlTE1U1n1[ bUlLblllr o trtlllr,c U,e total cnvelopc system method, f Itr.ms 03 anJ Nh shall ?lot be qreatcr thon 1. ' + 2, 3• + h, . , ? . EIIVELOt'E I1C the vnlues tlte sum of S' . I r,_t nTir.tr,nTin S I I;N • establlslieJ by tl,e sum i tctns fll and 92. n e• ' I I+ereby certify'thnt I have calculiited the "U^ ractors and "f!" v0ves hercln tmcl that tlle Mulldinn here dcscrlbed mcets or exceeds the Stote of 111rmesota Enerny f.ohscrvatlon Act. . , , • . i ?S?qnature ?. t y . iNSTRUCT 10N ;AMING SECTION: Interlor air film 1/? oe ? Exterlor m a vaLuE 0,6A rd ?. OS n.tl TOTAL. R - /D, Aa u -t/a-,D9l wall SECT1011 (INSULATED) :T SFf.T1011: I Interior air ftlm nAR ?? i?orc ? Exteralr tilm ?.I7 TDTAL R - ? U- 1/R°,09?P ION SECTION: SLAR ON GRADE _a • -? , ? ' ' ? ' • •; ci ? ° ? ? ,`l' 4 ''. ? . . . = 1 ; ? ? .Q• . ' 4 ? • f ? . ?: ? ? ? ? . . n •' ? !q .v L ' ,. °. ;,• ., ? ? ?? A Fi :• q ? •- ?• q ' ? ?••q , ,•;: d , , u .•, ?q , .. . . ' .?• i ?. . , . . . .., . . ? ', • 's n• el ' . <i ? ? , , , ? q , ,. ? 4??.? A . , ? ? • . . ?? ? ? ?.4• • • (? 1 41 .. . • . a . • Q . ?; ' 4 •' A' , , ' ' T , ? : ; 1 : , , • , 4 1 + '?1 1 • ? ? , ... . .4 . '? !f U - 1 /R ° , 03'3 U 0 1/R ° rOl?/ CON:.rRULTION r -R •VAIIIC -_ ` CEILIHC, SECTInN (INSULnTEO): • I Interlor aIr fl)m (1,61 2 3" ? 0& ,? 3 o, o0 4 Exterlor air ftlm st111) n,(,i TOTAL R - -?L . Zgl U? CEILING FRAMiNf, SECTION: 1 Interlor alr film ? •n,6 2 ? , , •?' 3 . R?lo ?? _ t.1a?G Interior'alr tlm st 1 n . fnches so t wood jj?, 3, TOTAI R : Lii u - t/a - ,ogz CEILI!.r :EfT1011 (IflSULATED): 1' Interior air film (1;61 2 3 4 fxterior air Ilm stlll 0. I TOTAL R - ? U- 1/R- VENTED CEILIWr, FRAHINr, SECTION: • 1• Interior air fllm 0,61 z 3 4 F.xterior air film stili 57771 5 Inches soft wood TOTAL R ? U= 1lRa 1 Insldc al; n.f?l Z ... 3 . .. . .. ? _ . 5 Outslde alr fii.. n.17 TOTAL R ? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ? ? ? -?J I ?j 3830 PILOT 651-68146 5. 55122 O q ?o ?-? - 1 C/ Hew Construetlon ReauiremeMS Remodel/Reoalr ReaulremeMs ? D 3 registered sRe surveys showing sq. fl. o} M. sq. B. ot houae 2 copiea ot plan and oiI roofed areas (20% maximum lot eoveroae allowed) 1 set of energy ealculattons lor heated addkions D 4 copies of plaro (show beam R window sKez; poured fnd. design; Mc.) 1 sMe iurvey for erzlerior addMlons i decks ? 1 aet of energy calculWions ? 3 copies ol hee presenatlon plan B bt plaMed aHer 7/7/93 DATE: 13' CICl CONSTRUCTION COST: DESCRIPTION OF WORK: .? S/L/d -?dr/ f's.eGlf STREEf ADDRESS: ? LOT: ? BLOCK: SUBD./P.I.D. #: `k-IR ALh C?? (LS ?r ' `W PROPERTY OWNER CONTRACTOR ARCHITECT/ EhtGINEER Name: Phone#: 6?/- "02 Lasf First Sfreet Address: ?T_A91114G- 1iAr/12 City StaFe: Ntn-! Zip: l 3 ?/'r^.?CF C(?iG y.r/ Company:%H/z Phone #: (area code) Sheet Address: /U 3 L 4 ?_ ,?? M A E4- /z Ucense #?Exp. City /h/???? ?2sv2 State: Zip: -SS'o7-S? Company: Name: Telephone #: area code ( ) Sfreei Ci1y Sewer 8 water Ilcensed plumber (reaulred for new conshuctfon onlvl: State: PenQlly appltes when address change and lot change Is requested once permfl is issued. Zip: I heieby acknowledge that I have read ihia apptlcaNon, atate thaf fhe InformaNOn ia correct, and agree to comply wRh all applieabl State of Mtnneaota Statutes and Cify of Eagan Ordinancea. Signature of ApplicaM: ? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No j OL Tree Preservation Plan Received _ Yes _ No _ Not Required ? Registration #: OFFICE USE ONLY r, t BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace 0021 Porch (3-sea.) 0 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porc:h/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging O 20 Pool ? 25 Miscellaneous WORK TYPE */31 N ew ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg." 0 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) 6' J Basement sq. ft. Census Code (Allowable) 5• r- Main level sq. ft. SAC Code o UBC Occupancy R? sq. ft. No. of Units / Zonin9 sq. ft. No. of Bldgs b # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building ? Engineering Variance. PertnitFee Valuation: ?o $ ?Z-o Surcharge l ? . c) PlanReview License MC/ES SAC D?? = I Z..?b City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. • Park Ded. • Trails Ded. Other ? Copies T t l o a : SAC Units % SAC P B1 tax tranaminel memo 787l apgj?. +«a ?' MOMEB BY CNA9E wwner - • ' ? EAGAN .' •.. ?...?d? n,.. uHit 145.e4 ?; N si• o?' a6?. ING IN ? Mr. - _? .. ? 97-7 ?.J N 1 D.00?-?;'` ? ? ? 66 ' ? _-?_ ` 1 10 Q V 2tw w E . 9 ? ?: , e If1 ? ?? I `? ? ? N Us C) o + z" , Of 23.00-.;`'?? 1 I O (t) ? \60 L r' .?.. _ `? ? ..sde e V 14T.11 Tv.va N 6 I/• 07, , / P" f'1 91 NO InG OON.i INVRiTR'i11T10H t1Ay ET? ON 1I 60T OY 7NS luRV?YaR. Tit UR aale m tuPP011T rNR l?WRIn HOU 18 . HOY TNH R6eP04119ILITY OF 702 4U 4- UfNdTEB PROPOSED SURKAGE DRAINAQE O PENOTES 1RON MONl1MENT SET * DENOTES IRON Mt7NUMF-NT FOUND XOOO.Q DENOTES EXIBTIND EMATION (D00.0) aENCf7E8 PROPOSED Ei.EVATIQN ?t wa ? I ? NOT6t ?y?0! 1 NS ? ? inll ATRCHI tJAL OUI a 1DFt IOws. SCALE:7INCN - 30 FEET PRpPUSEU QARAQE FLbOR - ?¢y- .J FEEi' PROP09ED LOWEST FIOOR = 90?f0.6 FEET PROPpSEp rOP oF 9LOCK - 9*,?. 7 FEE7 1NE HEREBY CERTiFY TO HOME9 yY CMA$f 7HAT 7H13 18 A 1RUE AND CORREC7 REPqFSENTA110N OF A SURVEY OR TF1p gOUNDARIEB OF: 1.01 2, B10ek 1. WBSTpN Ii1LL8 .BqOOND ADWTION,accordltq ta Ihe rooofded plat 1nErlOf,DOlitltll Counly, Mlonesvta 17 D06S NOT PUpPOqT TO BHOW IMPROVEMENTS OR ENCRpACNMENT6, FXCEPT AS SHQWN. AS SURVE`!Ed 9Y ME Oq UNUER MY PfRECT SUPERVlSION THIS IA 7N DAY 4F OCT , 1995, PROPOSiD ehA?E? ?6i11pAd1eApp piAM *ERE ry TAKItN FqO?M Try LYMANgDeVELOPME1dT1pEO, R? 9V H{LL,INC. gefi.r= -- 0 ?--^?'r-?-- JdHN C. I.ARSON. LAND SURVEY'OR MINNE80TA UCENSE NUMbEN 18828 James R. Hill, inc. PIANNER31 ENGtNEERS / SURVMRS 2600 W. CTY. RD. 42 0 BURNSWLLE, MN. 56337 0 812•690•8Q44 ? -i qq7? IO-22-93 12?7lFM Pnl1'1 kin ?l r PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLIINGS. ALSO, FOR TOWNHOMES AND COND05 WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ? NEW CONSTRUCI'ION ADD-QN A(C ADD-ON FURNF.CE DATE I O _VS `C 2? FEES NVAC: 0-100 M BTU ADDITIONAL SO M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ?-- ADD-ON/REMODEL (Ex1sTING CONSTRUCI7oN) STATESURCHARGE TOTAL 11,715 le r[jo ( VD? L) ?,. SITE ADD] OWNER N INSTALLE ADDRESS: CITY:vc TELEPHONE #: `-tfir^.l ) - '2l Q ? $ 24.00 6.00 ?tz) $ I5.00 .50 3b-? TELEPHONE #: 89'S`Ss 4 STATE:, 1 1 I I? ZIP CODE: ,,` ?L r5 1993 MECHAIVICAL PERMIT (RESIDF1V17AL) CITY OF EAGAN 3830 PILOT KNOB RD FAGAN MN 55122 (612) 681-4675 i _ PLEASE COMPLETE FOR SIIVGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. - ------------- 1?,0. FIXTURES EACH l SHOWER 3.00 WA tElt t;LUSh i` 3.00 (. - BATH TUB 3.00 '? - 'A LAVATORY 3.00 ta- _ KITCHEN SINK 3•00 ? - l LAUNDRY TTtAY 3.00 ? - HOT TUB/SPA 3.00 l WATER HEATER 3•00 3- L FLOOR DRAIN 3•00 J" _ GAS PIPING OL7TLET • mioimum - 1 3.00 ?- ROUGH OPENINGS 1.50 WATER S^: TEE".ER 5.00 PRIVATE DISP. • DaLCty. lic. 15.00 U.G. SPRINKLER • name unau conut. 3•00 ALTERATIONS • to austing 15.00 ' WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: //,/-S' `'?' ?3? SITE ADDRESS: c OWNER NAME: Cll,A _ WSTALLER: ? ra l I e? ? I??? 1 ?.- ADDRESS: Li u L 2'c ic 1, - CTTY: ?v • d q_ STATE: ? ZIP CODE: 7-1 3 5 ? PHONE #: ( ) ?`?'?- a 1 a + ? SIGNATURE OF PERMITfEE 1993 PLUMBING PERNIIT (RESIDENTIAI.) CTfY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN SS122 (612) 6814675 CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN C L A I MAN T=x9rR4LU2_AI3_?PI?--------------- ADDRESS_P.Q_"g_W_3Q`? 3NP_TBEF.Z_--------- _FtiRMINGTQPy?II3_?9.a.?i- ----------- Loca[ion 4715 BRISTOL BLVD _ L2•_B• I WESTON HILLS 2ND??_ Receipt No./Date 22681-I1 15/43 _______? Reason for Refund DUPLICATE PE?tMIT - - - --------- - ------ Type of Refund Electrical Permit 01-3211 $ Plumhing Permit 01-3212 Mechanical Permit 01-3213 $ 30.'00 Surcharge 01-2155 $_______ Water Connection Permit 20-3713 $ Sewer Connection Permit 20-3743 $ Account Deposit 20-2252 Dtility Account Over-payment 20-2250 Other: S - -- - -------- $ TOTAL $ 30.00 I declare under penalties of law that this account, claim or demand is, just and that no part of it has been paid. ? I 1 /26/Q3---- ----- -- ----- --- SIG ATURE DATE T PLEASE COMPLETE FOR SINGLE CONDOS WHEN PERMTfS ARE RE ---------------°---------------------------------- NEW NSTRUCTION ADD-O A/C ADD-O FURNACE DATE ? HVAC• 0- 00 TU DITIO 5 M BT TLETS (MINIM C $3 ? ADD-ON/REMODEL 1 STATE SURCHARGE TOTAL SITE OWNER iNSTALI DWEL.LWGS. AL FOR EACH UNTT. $ , 15.00 .SO AND TELEPHONE #: 2)"/S 5-3L? ? STATE: YY-) ? ZIP CODE: SSZ) a TELEPHONE #: u 4 6 G '(G{? o -r_? 1993 MECHANICAL PERMIT (RESIDEIVTIAL) CITY OF EAGAN 3830 PILOT KNOB RD FAGAN MN 55122 (6139 6814675 RESIDENT / OWNER Name: � IZW ?orlYi d liri a Phone: Address / City f Zip; 0 4 ; 4/ t ,g� Applicant Is; Owner 1.. Contractor TYPE OF WORK Description of work:. P.-t.. ea a+ Construction Cost: Multi - Family Building: (Yee / No X ? CONTRACTOR Name: loh 1.4v S;4►ara4-- 4J► e o -114. License #: Re; ?MO Address; G 4 / 3 7.4 ilo r N �'I/r City: lT ii't5O/.4 State: /4 Zip: '�l / Jl Phone: , 24 Z5 /'7t - Q s Contact' troy-94 4 06I Emoll: COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW SUI LDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan; Licensed Plumber: Phone: Mechanical Contractor: Phone Sewer & Water Contractor .. . ,. �� , . ar: _ Phone: f . ° E,_ � ; ,�.!rar' .:� 'r / } � d; � • .'f'�/17�i ' ' - . ,:>P� f.. .i��_ '::-��y�J� Vii` hr� „ �r �i ±�� . � y,, �l , �yj�,p Ott .'p DWI` • �il�_ Nov 01 2010 11:02AM CORNERSTONE *City of Eagan 3830 Pilot Knob Road Eagan MN 56122 Phone: (651) 076.5675 Fax: (651) 676 -6694 2010 RESIDENTIAL BUILDING PERMIT A PPLICATION �j Date: AP �1 �"�/0 Site Address; Si 715 ULVd(, Tenant: jiIttapor$q P e'fr o pp e x Appl/,' is Signature 3202348919 p.1 Permit St — Permit Fee: c r% Date Received: Staff 1 Use BLUE or BLACK Ink .Suite #: CALL BEFORE YOU QIG. Call Gopher State One Call at (651) 464 - 0002 for protection against underground utility damage, Call 48 hours before you intend to dig to receive locates of underground utilities. www. iopherS,tateoneaall.or4 I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; that I understand this Is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will be In accordance with the approved plan In the case of work Which requires a review and approval of plane, x trr re-4.40i 6c:$ e 5 d ill A I Tcant's Printed Nam a Page 1 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA130838 Date Issued:05/18/2015 Permit Category:ePermit Site Address: 4715 Bristol Blvd Lot:002 Block: 001 Addition: Weston Hills 2nd PID:10-83751-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required 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 - Dinesh Pasricha 4715 Bristol Blvd Eagan MN 55123--398 (651) 900-9290 Property Claim Solutions LLC 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA131385 Date Issued:06/17/2015 Permit Category:ePermit Site Address: 4715 Bristol Blvd Lot:002 Block: 001 Addition: Weston Hills 2nd PID:10-83751-01-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dinesh Pasricha 4715 Bristol Blvd Eagan MN 55123--398 (651) 900-9290 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature