4751 Bristol Blvd? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: > ? ,` ? ?"' ? ` . •, , , . "; ,
i[? 1:? ii tti i?( h
PERMIT SUBTYPE: ?
;1,..ir',I ,
1I:1+ili.H {AI
i?
PERMIT TYPE:
Permit Number:
Date Issued:
? APPLICANT:
1 t , 1 . 1 4 `' ..
TYPE OF WORK:
tlk •.i f; ! I'i i hPl
F' i H Ik, E
L?,':,?+? r*,
rd i t a
r WtjiiL, t{11 ftN 1 rd?? l
?
?
Permit No: Pertnit Holder Date Telephone #
ELECTRIC
PLUMBIMG
HVAC
Inspection Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROdFING
RaUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GA5 5VC
TEST
INSUL
GYP BOARD
FIREPLACE
G
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
eLDG FINAL
BSMT R.I.
BSMT FINAL
DEGK FTG
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesata 55123
PERMIT TYPE:
Permit Number: ?'.' ' r •' >
Date Issued:
SITE ADDRESS: , 04
,
?? IV1•0
tt!,
PERMIT SUBTYPE:
APPLICANT:
} TYPE OF W4RK:
INSPECTION .A . ..
I Vi ?-iP4 k 1'dli
,? .
a,} ;c F' f' "?J' ?"v #? ?? {, to;? F't F'? y t1t? #'' f;? 1' t. Ei t i
i ?
?
r
?
f *
Permit No. Permfi Nolder Date Telephone #
s/vv
PLUMBING " w ?
hfVRC 9`s?! ?
ELECT
--------------
ELECTRIC
Inspection Date Insp. Commenta
Faotings I a,?
Foundation
Framing
!
Roofing
Rough Plbg.
7?n ? - ? ?9
? <
.I
Fiough Htg.
Isul. ./7 p?
/
Firepiace
Final Htg_ J,Q
/V
Qrsat Test
Final PI6g. f/ ? Pibg. Inspector -Notify Plumber
Const. Meter
Engr.lPlan
Bidg. Final 31t &
7
Deck Ftg.
Deck Final
Well
Pr_ Disp_
!''
CtrfiftCRtc 0f CCCIvRno
Witi) vf Wagatt
23Cpartatcat of Ztriibing auiaoecrion
This Certificate essued pursuant to the r,equiremeRts of the Unifarm Building Code
certi.fying that at the time of issuance this structure was in compliance with the various
orrlinances of the Ciry negulating building construction or use. For the following:
Use Classification: Q? W Bldg. Permil No. 22723
Occupancy Type R3./M ] 7.oning Diuria Ri Type Cnnst. VN
Owner of Building MSM H OMES nE Addteu4466 WEDGWCCD DRe EAM
Suilding Addmss4 75 L RRTC'R "8 M,VD l.ocality L8 s B I . ?M HIJIS 2M
? Date-
guiWing
POST IN A CONSPtCUOU5 PLACE
,
I ?
Address 4751 stusmr. st,nn Zip 55123_
LAt 8 BIIC 1 $llb WF:SIm HTf7S 2Nf)
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: _711619-11 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) r/ 10'r
Permanent steps (main entry) ?
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass ?
TraiUcurb dstnage ?
Porch 'V
Basement finish
Deck
Please verify with /he builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contad engineering division at 681-4645 before working in right-of-way or installing underground sprinkler sysrem. ?
Whi[e - City Copy Yellow - Resident Copy Pink - Convactor Copy
/' ra''K
5 ?0 ?7
Repuest Da
?
5 Fire No. Rough-in Inepdclion
Reqyx4tl9
E14es ? No NOTICE. Vou Musl Call Elecincel Inspector
H A qough-In InspecLOn
Is Reqmretl
I llClicensed contracfor ? owner hereby request inspection of above electrical work at:
Jo?tlre (St t, x or ta No ). City
?
Section No Township Nema or No. Range No. Co /^1I
l?
Occ.i IPRIM? _T Ph n hJO?
J ?f
Power Su Mtlress
e ical Contra or (Company ame) C traTns9-?o
V
ling tld ss ( rtlmctor O.vner Meking Inst I twn)
Au e SgnaNr ( oMractor/Ownef ' g Instella0 n) Q, P eT
MINNESOTA ATE BOARD OF ELECTRICITV
Griggs-Mitlway elEg. - Foom 5-173
1821 UniveBfty Ave., SL Paul, MN 55109
Phone (612) 80$-0800
THIS INSPECTION REOUEST WILL NOT
BE ACCEPTED BV THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
, ? See inslru ?s kl ceppleting ihis form on 7ack of yeliow copy.
M ? 9 0 5 7 'X" Below Work Covered by This Request
7..
/B/s
e tltl TypeofBuilding AppliancesWiretl EquipmeniWired,
Home Range Temporary Service
Duplex Water Heater Electric Heanng
ApL Building Dryer Load Managemem
Comm./Industrial urnace Other (Specdy)
Farcn Air Condrtioner
Othai (speciyi ComractorS Famerks.
Compute Inspection Fee Below:
# OHier Fee # ServiceEntranceSize Fee # Qmuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps p
SignS Inspector5 Use Onty.
Ini9ation Booms ? ?
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE ORDER CONNEC7E0 IF NOT
Olher Fee COMPLETED WITHIN 18 M HS.
I, the Electrical Inspec[or, hereby
?? Rouen,?
' te li^
T
certi
that the a6ove ins ection has
'1 p
been made. Flnel
f
41 44 Dele ?G
?• ? 3 <
OFFICE USE ONLY l r
This request vad 18 rtronths from
55q33 RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EACAN 40 ZA7?_
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
NBwConeWCNon Reauiremanri RemodeVRemirReauirements • • 7 re9iueratl site swveys shovnrig sq. ft. ai Iot sq. ft of nouse, aiM aA roofetl areas • 2 cropies of plan
(2096 mazvnum lot coverage allowed) . 1 set of Eneryy Calculatlons for heated aAdrtions
. 2 wpies of plan shovnng beam d vnndaw s¢es; poured found desyn, etc.) • 1 site survey for extenor addiGons 8 decks
• 7 set of Energy Calculations . Indicate d home serveU 6y septlc system for additiuns
• 3 Wpws of Tree Preservatbn Plan if lol pWtted after 711193
. Rim Joat Detail OpUons seledion sheet (MCgs with 3 or less unils)
OATE q-(O ' 0 Z VALUATION T ?
SITE ADDRESS "17S I df IS'E"O I 'Q lUJ . _ MULTI-FAMILY BLDG _ Y )Q N
TYPE OF WORK 'RQ R-oA- FIREPLACE(S) _ 0_AP1 - 2
APPLICANT
STREET ADDRESS
(3
TEIEPHONE #tg 4S2'eIVJI'i3 CELL PHONE # C9l'2_ OSo 01-S05 K FAX #
Water Seftener
Water Heater
? No. of Baths
PROPERTY OWNER qJA-2`k-Q -t S Ck Aa .CIL'a 1A wi TELEPHONE# Co S?'YSL-7?, ?Z
---------------------------------................. ---............ -........... -.......... -......
COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINN(:501:A RL"I.ES 7670 CATECORY 1 MIV VESC)TA RL'LES 7672
(J submission type) • Residential Ventllabon Category 1 Worksheet Submitted • New Energy Code Worksheet Submdted
• Energy Envelope Calwlations SubmiKed
Plumbing Conhactor: _
Plumbing system includes:
Mechanical Conhactor:
Nlech:uiical system includes:
Sewer/Water Contractor.
-- :1ir Condidoning
Heat Rccovcrc Svstcm
Phone #
Phone #
$90.40
Fee: S7Q.00
---•------------------°•---------------------------------•--------...-----°-----.......------°._....----°-----°------
I hereby acknowledge that I have read this application, state thaf the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and Ciry of Eagan Ordina es.
Signature of Applfcant
OFFICE USE OtiLY
_ Ph'one ?
TE?ZIP ?(23
r? T
-- Latim I pnntc'ler
_ No. of R'.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
.
CITY,
. 4F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(672) 681-4675
SITE ADDRESS:
P.I.N.: 10-83751-080-01
DESCRIPTION:
PERMIT
PERMITTYPE: BuzLnrNG
Permit Number: 0 2 2 7 2 3
Date Issued: 12 / 15 / 9 3
4751 BRISTOL 6LVD
LOT: 8 BI.OCK: 1
WESTON HILLS 2ND
811a11dih'`g,?Permit Type 5F DWG
Building i4'c?rk Type NEW
UBC Occupancy-\.,, R-3 M-1
,
Construction Type V-N
Zoning ? R-1
euilding LengCh ? 67
Building Width 46
?°?v W ac??g(m
J[V,? 1
I2,`?u?v
REMARKS:
PRV
FEE SUMMARY:
S& W PLBR - RAY HAEG PLBG
Base Fee
Plan Review
Swrcharge
SAC
SAC ?
SAC Units
Subtotal
?9NTRACTOR: - Rpplicant - sr. Lzc. OWNER:
SQN HOMES BRIAN L 14540644 0001317 THORSON HOMES INC
4466 WEDGEWOOD pR 4466 WEDGWOOD DR
EAGAN MN 55123 EAGRN MN 55123
(612) 454-0644 (612)454-0644
I hereby acknow2edge that I have read this application and state that the
information 3s carrect and agree to comply with all applicable State of Mn.
StaCutes and City ofi Eagan Qr.dinances.
L
9'? Aa-._-
APPLICANTfPERMITEE SIGNATUFE IS ? 6Y. SIGNATURE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: euzLorNG
3830 Pilot Knob Road Permit Number: 0 2 2 7 2 3
Eagan, Minnesota 55123 Date Issued: 12 / 15 / 9 3
(612) 681-4675
SITE ADDRESS: Lo r: e B L 0 C K: 1 APPLICANT:
4751 BRISTOL BIVD THORSON HOMES BRIAN L
WES70N HILLS 2ND (612) 454-0644
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION
FOOTINGS .. .
FOUNDflTION DA
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
IREMARKS: PRV $& W PLBR - RAY WAEG PLBG
F _ . . ._.. ------ `- - ---- ;
VALUATION
$772.50
$502.13
$69.00
$750.00
100
$2,093.63
$135,000
MISCELLANEOUS $1,744.50
7ata1 Fee $3,838.13
T
REACTTVATE _
PEMIT V,
? 1242 1
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION ??3-59, 13
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural pla s??OC,???= J
specifications, 1 copy of energy calcs. 093
Penalty applies: 1) when permit is typed, but not picked up by las working day_Qf ?qo th.
"
ested-a rmit
in which request is made, 2) address is changed or 3) lot change
is issued.
Date Yaluation of work
Site Address:
SiNEET SUITE M
Tenant Name: (commercial only)
IAT B7AC& SIIBD. ! P.I.D. N
Descri tion of work: ze.hji X???f Ae-)
The applicant is: ? Owner Contractor ? Other <o.sor;ne>
Name Phane
Property LAST FIRST
Owner qddress
STREET STE N
City State ZjP
Company Phone
Contractor Address 4-1616 license # iJ/7 Exp.z?
i
City 5tate /9-2 V Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Z1P
Sewer & water licensed plumber Qu?r ?uec? /r4<y . Processing time for
sewer 8 water permits is two days o ce areayhas been appro ed.
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.
l icant:??i/?
?
f A
Si
t
-
ure o
pp
gna
OFFICE USE ONLY
BUILDING PERMIT TYPE
? OI Foundation
J?l 02 SF Dwg.
? 03 SF Addition
13 04 SF Porch
O 05 SF Misc.
WORK TYPE
? 06 Duplex
O 07 4-Plex
? 08 S-Plex
0 09 12-Plex
? 10 Multi. Add'1
?
? 11 Apt./Lodging .
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
..J?7,6 B,aseM 4F4.nish
? 17 Swim Pool
O 18 Comn./ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
El 31 New ? 33 Alterations O 35 Tenant Finish O 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. 1??o MWCC System
?
(A17owabte) ? lst F1. sq. ft. tity Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning ? Sq. Ft. total Booster Pump
M of Stories ? Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth ? On-site sewage SAC Code ?
APPROVALS
Planning Building Assessments
Engineering Variance •
REQUIRED IN SPECTIONS
? Site ?Z Footing 0 Framing 0 Insulation
0 Wallboard E1 Fi nal ? Draintile ? Fireplace
"%
Permit Fee vaiwsip,: g 3 ??d
Surcharge
Plan Review Qs??/s F
2Z.?-?
= ?2-3Z
license 3 S,r 6= z/ o
MWCC SAL
City SAC
2?),k? V
? ld8
Water Conn. 40 ?
Water Meter j
Acct. Deposit
l??p X
?O f= 11?'96
S/V1 Permi t
S/W Surcharge l
Treatment Pl. ?zt ?zk y1--
Road Unit
?O
°
`
Park Ded. ?-
'
---•- ? c??D
Trails Ded. 22X3z ? ?)o(/ ?-
Copies 20X Z y yo
Other
Total :
2 602 )2
SAC % I ?Y?"?? ? r-3 3/,?
SAC Units
r; -
, ?.
._i
?
R?
e ?2-IY-93
.wa
EAGAN
NO7Ei BUItbING MMENSIOMS SHOWN ARE
FOR HORIZONTA4 Ci YERTJCAL, LCC"
ATION OF 3YRUC7UR6 ONIY. SEE
ARCNiTEGiVAL P,GANS FIXt pUILbINO
d FOVNbA710N DIMENSIONS.
DEPT•
NO7.K2 NO SPECFtc SOILS INVESTGATION 4a3 oF.EN GOMI'I..EI'Ld
ON THI9 LOT OY TME SURVEYOR. 7HE SuITqBILITY OF
SOILS TO 3UPPORT 7ME SPECIFIC HWSE PROP4SE6 18
NOY 7F1E fiE3PpN5113IlI7Y OFYME SUqVEYOR,
' ff?i?a i?8 ra
+------ DENOTkS PRUPUSEU SURFAGE DHAINAUE '
O QEN07ES IpON MONUMEN7 SET SCALE; 1 INGH = 40 FEET
• • DENOTES IRON MONUMENT FOUND PROPOSED GAfiAGE FLOOfi w 99`5•? FEE7
X000.0 bENOTES EXISTINQ ELEVATION PROPaSEP LOWEST FLOOR = 997. ln FEET
(000.0) DENOTES PROPOSED ELEVATION ' PROp(75Ed 70t' Or BLOCK-- V'";' ? FEE7
WE HEREBY CERTIFY TO BRIAN THOFtSON THAT THIS !5 A 7RUE AND CORRECT
R£PRESENTATION OF A 5URVEY OF THE B4UNbARIES OF:
Lot 8, oioc:k I, WESTON HILLS sEcorvp AanrriUN,occording to ihe recorded plat
Ihefeof, DokoTO CoUtliy, minnesota, '
IT pOES NOT PURPOR7 Tp SHpW IMPKiOVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SUftVEI'ER BY ME OR UNPER MY PIREGT SUPERVISIOIJ 7/1IS 2B7H DAY QF OCT. , 1993.
SIGNED; ?A?n?•E HILL, INC.
PROPOSEO GRADER SIIOWN WER[ //
TaKEN FROM 7)it GpApINCi FLAN t?
FoR WpS70N HILl.S PREPARED oY ,i
LYMAN bEVEI.OPMENT, co, BY:
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IiAROLD C. PETERSON, I.AND SURVEYOFt
MINNF-SOTA LICENSE NUMgER 12294
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. Rb. 42 9 E3URNgVILLE, hdN. 55337 0 612-690-6044
11i04i93 18:39
002
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PLANNERS / ENGINEERS ! SURVEYORS
2500 W. CTY. RD 42 9 AURMSVILLE, MN. 55337 0 612-8430-6044
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W
A1
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(Sin4l.l F
t.-Cm - lY
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d OuPlex)?
Msidential
, (3 stories qr ess
(Over ] storie9)
NiORl1llrt (?' ;r`r' ? .
` 14169P. ti+lInetiY?C?-) ft.
9ti
.tla,ll" he1yh! (9?+elfnd" a)' Ift. G?zQ?D 171\ . .
vf) orQ!'t, w?l'r A1't?? -70?ft.2 C.
` •'8u1ltllnq.elpippioi+s x (W) ??o •??_ft.Z roof S floor area . .
,t,.nltil* .Of riA,'Joist - Floor Joist size (2 x Vq?
-\d x Pertnieter • Rim ,-+oisC'itea ¦ ?„_?,ft2 , .
, . i??' n.?aCtOr
YYP'Y! o?" ? 4n Fer.t?ter?;;???.?9-`?g f,?;: ;' ..
I6nufieCurar' ?.._?.e ? . .
1. Tot#1 doo.p'= pirlmetor ;?'r, ,'t._2s ft
^ ? .?.-.
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SIZE ARSA (Ft.')
EACH
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X ?-? ? • 7 3
#1?An
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Statt appeoved_!'M K? •.
!VUMOER OF
UMiTS
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z
Z
TO7AL FEET 2
ct
a-c• °S)._._
q, fotal ft.2 61ass ? \4k- .
flreplact 'Mrta: Midth x Miaht •?'? x -?- • ?- Ft.2
11. Exposed toun"tlon: lNlyht x Perlmeter lf,?x_`i?5 • l`? ft.z .
ETIOM,01!: ? E, tR?O FOR All NEW COf1gTRUCTION. MAJQR REMOOELINO ANO BUILDI!?GS lEING
?'1?1LRE ?;?M?, MINIMAI CODE ALLOHANtE, C5 USEO. i
.??M?i?? ?!-, •?.- '. ''1. ' ,
? 4:1•ir:?.`; •..:.;i9,?''•?:. . ? ' ; - ,
1
?S
,rs0..?y er.e ? ?vr 1NOss rai1 iraa.
"... Z . ,. . . . .;r{
i,;i!off wall area
Z-7 l7 Z f*.
?J,' Nlndou area A ?\?V ? ft. U windows •_ ?? U x A¦ ?\?..??
R1n? lolst area A tt.Z U rim joist • • 0'4 U x p
??. . - L
?Door area A ft. 7 door area -?\?+3 U x A•? ?n..e
Z
Fireplace arte& A ft. U fireplace - (E)- U x A?
i• Exposed foundatton A \\\ f*.? J founCation ¦ .\? U x A•
. ?
Froming area A 0, Z ft.` U franing area •.. oR U x A? z'g.3.c
net wa11 area A ?`N Zo „\4 `t. 'J wa11 CD'4,? u x a• 2?1.aT
?r`y(1'.°; "„-.? . . . . . . . . . . U x A • -?.?c?..d"?
..._.._.--__?
?<?.. Gross wall area x'0.11 (A-1 single family S du;.:=x - allowable Ux A/Code'
(13. above)
' x 0.23 (a-2 other resiCentia'.; x .23 (Other buiiding;` •
x .2E (Over a' stor;e.) ,
H M.ust Ee larger then .;
;i a C) ? x L' CcOe -(. ?? . 138 3bove. ;
) ';$, Cailin9 framin9 area (Af) aquals 10°- of c:;linq area?-==--f Or the same a5)
„
} \?.?2?+ l`f nt7 ? \r2? ..j
tA. Gross ce911ng area • (L) -Q n x !S+ 'Z(? ¦ ? -? -7 (o ' ft.2 "'+?
=1 .58 Joist erea (Af) • 10" ceiling area -?`I , (42 _ ft.2 ?
?xSt. Net ceilino area (Ac) (15A - 158) 4 ft.2
? U ceiling x Fc• ?i O x-_??,,,? (o i'
' U framing x A fe ? O?(c,4 x
):50. "QTAL U x A ........................ ............. .. a ?4
t
;I6. Ceiling area (15A) x 0.026 (A-1 single `amily S duplex - code aT1owabte U x A
? x O.C3 (A-2 other reside^:ial)
x 0.06 (other) ' .?
' BTUH Must bel.arger than 150 (above)
r 1?o xU_ (code) ; OF (Or the'Same as)
i ? '• `pp?
--_? , • d
? NOTE: Use U and a value: obtained f-om nps 1, 3 and 4, ----
• ' ;?
'£e'?rl?'.. ..!• . .._...y?JY::Hili.???i,:???AfluiW?':.i....?::.?4n?:...+?.t?FYrt'Y;«if4h?._?.?..._A.??._._.?..w..?w.w..F'??:-' ,
?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
C2 fl39.?
suzLoING
026435
09/25/95
51TE ADDRESS:
P.I.N.: 10-83751-080-01
4751 BRISTOL BLVD
LOT: 8 BLOCK: 1
WESTON HILLS 2ND
DESCRIPTION:
g(WOOD BURNING)
Bd?1'k4141?,PermiC Type FIREPLACE
I?1dYGt?-;?{Aii?r, TYPe NEW
i; _
?.
., ?
?d
5:",
°?`*? ?..R
g(,?? i? ? ??,
0
iaA ?'1?-,? . , 1. P . k'? ? ?
$
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcherge $.50
Total Fee $25.50
CONTRACTOR: OWNER: - Applicant -
SCHAPEKAMM S7EVE
4751 6RS51'tlL BLVD
EAGAN MN 55123
(612)452-7672
_ ,• p .'I _ ° *L
4n I ^. j p , ?.? 3 N" • }.: -.?Sq•
'Tj
1
: J d 7I
A
ap?sn pn a
?nf'?srin?tIon -i sr.ciaereo'? 6 riti- -?,o r?
r?ee,?o i t
71
aii? 6y g?u? ttrr fit.` 3
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APPLICANTlPERMIT E SIGNATURE r IS?II?ErY: IG TURE
IN5PECTION RECORD
CITYOFEAGAN PERMITTYPE: ausLozNG
3830 Pilot Knob Road Permit Number: 0 2 6 4 3 5
Eagan, Minnesota 55122-1897 Date Issued 0 9 j 2 5 J 9 S
(612) 681-4675
SITEADDRESS:P•z.N.' 10-83751-e80-01
LOT: 8 BLOCK:
4751 BRISTOI BLVD
WES70N HILLS 2ND
1
APPLICANT:
SCHAPEKAHM
(612) 452-7672
57EVE
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PERMIT SUBTYPE: TYPE OF WORK:
FIREPLACE NEW
pESCRIPTION (WOOD BURNING)
IL4%
DATE:
cmr oF EaGAN
3830 PILOT KNOB RD - 55122
1995 FIREPLACE PERMIT APPLICATION
681-4675
42S.zo
DESCRIPTION OF WORK: .2L INSTALL b= FIREPLACE: ?X WOOD BURNING _ GAS
INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
AREA TO BE INSTALLED IN:
?-rnrCT ?wVnnCQL`• `F
v ... L? r Zvv.
LOT ? BLOCK SUBD./P.I.D.
APPLICANT: (circte one only) OWNE
CONTRACTOR
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 5tatutes and Ciy of Eagan Ordinances.
PROPERTY
OWNER
FIREPLACE
INSTALLER
OAS LINE
INSTALLER
Name: Sc' ha o k{tm CT?e 0fl_ Phone
T IP6T
Signature: e
Street Address* 4-751 P1ri5-Eo 1 9 1 Vd
City: ? State: ??_? ZZp: S? 1 3
\Ij
Company: O' Leo ryO mo d+ (YIa5an ru Phone #: 4493`s40q
Signature:
?
Street Address: Li qLIq ur4le Lane L License #-
City: .S hofe v i e.u) State: 1j Zip• Z]A
Company: Phone #•
Name:
Signature:
Street
Cfty: / ? State: Zip:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA110703
Date Issued:05/23/2013
Permit Category:ePermit
Site Address: 4751 Bristol Blvd
Lot:008 Block: 001 Addition: Weston Hills 2nd
PID:10-83751-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Steven J Schapekahm
4751 Bristol Blvd
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116684
Date Issued:10/09/2013
Permit Category:ePermit
Site Address: 4751 Bristol Blvd
Lot:008 Block: 001 Addition: Weston Hills 2nd
PID:10-83751-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Lisa Nyberg
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 -
Steven J Schapekahm
4751 Bristol Blvd
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120543
Date Issued:02/19/2014
Permit Category:ePermit
Site Address: 4751 Bristol Blvd
Lot:008 Block: 001 Addition: Weston Hills 2nd
PID:10-83751-01-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Steven J Schapekahm
4751 Bristol Blvd
Eagan MN 55123
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121631
Date Issued:04/10/2014
Permit Category:ePermit
Site Address: 4751 Bristol Blvd
Lot:008 Block: 001 Addition: Weston Hills 2nd
PID:10-83751-01-080
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 -
Steven J Schapekahm
4751 Bristol Blvd
Eagan MN 55123
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144374
Date Issued:07/24/2017
Permit Category:ePermit
Site Address: 4751 Bristol Blvd
Lot:008 Block: 001 Addition: Weston Hills 2nd
PID:10-83751-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 -
Steven J Schapekahm
4751 Bristol Blvd
Eagan MN 55123
(612) 910-1140
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:EA144672
Date Issued:08/03/2017
Permit Category:ePermit
Site Address: 4751 Bristol Blvd
Lot:008 Block: 001 Addition: Weston Hills 2nd
PID:10-83751-01-080
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 -
Steven J Schapekahm
4751 Bristol Blvd
Eagan MN 55123
(612) 910-1140
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature