4691 Bristol BlvdCITY OF EAGAN PERMIT TYPE:
3830 Pilpt Knob Road ? Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: 16 APPLICANT:
?:?t ;? f;? c?? , ,
PERMIT SUBTYPE:
!'; Y I
? . . i
TYPE OF WORK:
INSPECTION .. . D,
?
Permlt No. Pertnit Holder Date Telephone #
ELEGTRIC
PLUMBING
HVAC
Inspecdon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FIMAL HTG
ORSAT
TEST
BLDG FINAI
BSMT R.I.
BSMT FINAL _
DECIt FTG
DECK FINAL
i
?
? . .. ...
INSPEC ?., - ,. :. .. , . ,
TI4N RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: -? '
(612) 681-4675
SITEADDRESS: APPLICANT:
. rlfi`!?.?. ? !??•? f ? ? ?.;.,- ,?;? :i(y ? , ? `i??1??. f I.)'^?i
E:t
PERMIT SUBTYPE: TYPE OF WORK:
?
INSPECTION , AT E INSPTR INSPECTION TYPE DA
.
t ?
C
. . . . .. , . .. . . ,.: ??. .
I ? J'
PermR No. Permit Nolder Date Telephone #
51W
PLUMBING
HVAC
ELECT / Q
ELECTRIC
Inspection Date Insp. Comments
Footings I
Faundation
Framing
/
Aoofing
Rough Plbg.
Rough Htg.
Isul. 7
Fireplace (!
FinalHtg.
Orsat Test
2? S-
-es
Final Plbg. Pibg. tnspector - Notity Plumber
Consl_ Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
,
._?. Wertiocate a? ?ccitPan0
MM 14 c??gan
mcvaortanent o? isKiibirg ?n??rection
This Certificare issued pur.suant to Fhe requirements of the Uniform Building Code
cer7ifying that at lhe fime af rssuarece thes struclure was iR compliance with the various
oirtinances of the City regu[ating building co?r.structian or use. For the followrng:
uu class;F,cat;o,,: SF DWG/GAR Bldg. Pennit No. 3..90.72
occ„pancy rype R-3 M-1 Zoning 17istriR R- 1 Type Const. irn
owoROf eu?tding Tu C',DNST IN^u a,duress 19754 KFNNl:`K AVE._ _ t.atcRV1LLE
BuildingAddress 4691 BRISTOL BLVD Local;ry L31 B1, WESTON H r.T.s
i"
Dace: 7r
Buildiog cial
POST IN A CQNSPICUOUS PLACE
Address 4691 BRISTOL BLVD
I.ot 3i Blk
$Ub WESTON HILLS
Zip 5512
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: (is Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Pertnanent driveway ?
Permanent gas v
Sod/Seeded grass
TraiUcurb damage
Porch ]? a
Basement finish ?
Deck V'
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply Do
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yeliow - Resident Copy Pink - Contractor Copy w
"
°°
lit
M
21379 ,? 'o
gg
Request Date FIrSNO Rough-in Inspection
R
? NOTICE: Vou Must Gall Elechmal Inapector
e
Eons ? No tl A Raugh-In Inspeclion
Is Reqmretl
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlrass (S1reet, Box or Route No ?
e4va Qry
?
,rr ?n-
Section No. Township Name w No. Renge No. Counry
r?
,
Occupant(PRINT)
E
c Phone No
-
_
PowerSUppi . Atltlress
Elecmcal Cornractor (Company Namel Conitac[or5 ?cense No.
faL G a
Maihng Atltlress (COMrector or Owmr Making Installaban)
9?
1
2
Authotlzetl Sig?t ( MractorlOwner Making InstellaHO P?one Number
/
i6
MINNESOfti.SiATE BOAPU OF ELECTBICffV THIS INSPECTION REQUEST WILL NOT
Grlgga-MlEway Bltlg. - Noom 8-173 BE ACCEPTEO BV THE STATE BOARD
1827 Unlverslty AvB., SG Peul, MN 56104 UNLESS PROPER INSPECTION FEE IS
Phone(812) 642-0800 ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION
? See instiuctions Iw compleYng this lorm on back o/ yellow mpy
M 213 79 , X" Belpw Work Covered by This Request
EB-0000`1-08
J Y
CR /_
/S/J Y
w Ad Aep. -- TypeofBuilding AppliancesWired EquipmemWired
Home Range Temporary Service
Duplex Water Heater Electnc Heanng
Apt Building Dryer Load Management
q Comm./IndUStfial FUfnaCe Other (SpeCiry)
Farm Air Conditioner
Olh
er(specNy) ConUaclor5 Remarks.
Compute lnspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # CrtcmGS/Feetlers Fee
Swimming Pool 0 to 200 Amps a to 106 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Signs Inspecwr§ Use Only:
? TOTAL
Irrigation 8ooms •
?a
Special Inspection
AIarMCommunication THIS INSTALLATION MAY 8E OR? DISCONNECTED IF NOT
O[her Fee COMPLETEO WITHIN 18 THS. ?
I, the Electrical Inspector, hereby R°uyn,n ? ate
certdy that the above inspection has
been made F,nei oa?e
OFFICE USE ONLY
This requesl w10 18 monihs imm
PERMIT
` CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
4691 BRISTOL BLVD
LOT: 31 BLOCK: 1
WESTON HILLS
P.I.N.: 10-83750-310-01
DESCRIPTION:
Bui?lding'?P,ermit Type
Building WoY_k Type
r
C?
?
m< ??r=
y.
$30.00
/ 7 /P?
BUILDIN6
025606
05J19/95
?' ??? _.? ...... ?ti ?..t..• 4.:??,.?.? rj .....
? ?_.l"'"?:
REMARKS:
FEE SUMMARY:
VALUATION $1,200
Base Fee
Surcharge
Total Fee
$30.50
PERMIT TYPE:
Permit Number:
Date Issued:
DECK
NEW
CONTRACTOR: - Applicant - sT. LIC. OWNER:
HEN DON CORP 14329271 20012839 JARESKT MICHAEL A
17125 GANNON CT 4691 BRISTOL BLVD
ROSEMOUNT MN 55068 EAGAN MN
(612) 432-9271 (612)452-5124
I hereby acknowledge that I heve read this application a;nd state that the
information Is correet aci;d agree, to comply,?r-iCh a11 a??pliaable? State.ofi hir?;,
Statutes and City of Eagan brdinances. " N' ?
? APP ANT/PE MITEE IGNATUfiE
ISSUEDLOY SIGNATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
025606
05/14/95
SITE ADDRESS:P•I•N.: 10-83750-310-01
L07: 31 BLQCK:
4691 BRISTOL BLVD
WESTON HILLS
APPLICANT:
1
HEN DON CORP
(612) 432-9271
--
?
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
-z?
CITY OF EAGAN
1995 BUILDING PERMIT APPLBICATION (RESIDENTIAL)
681-4675
New ConsWction ReouiremeMs RemotleUReoair Reaufrements
? 3 ragistend aite surveys ? 2 wpies M plan
? 2 copies of plana (InGude beam 8 window sizes; pouretl tn0. tlasgn; etc.) ? 2 site surveys (exterior atlditions & decks)
? 1 enargy eekutatlons ? 1 energy celeuletions for heafed adtlftions
? 3 copies of tree WesenaHon plan if lot pleUed after 7/1l93
required: _ Yes _ No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: l°l h S ;` ~
ST?tEET ADDRESS:
LOT 3 BLOCK ? SUBD./P.I.D. #:
PROPERTY Name: I11 i G hq rG A S4 heSk 1 Jr- Phone #:
OWNER ""• '"°
Street Address'??? 13L ti b
City: za ? State: s,vR) Zip:
CONTRACTOR Company: s?K Phone #:?!'3?- f
Street Address: 5 gaLA?o-,K- e7`- License #:9-Q2/-?93i?
City: &s-&F Mo 0KJ-- ' State: m w Zip•
ARCHITECT! Company: Phone #•
ENGINEER
Name: Registration #9
Street Address-
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowfedge' that 1 have read this application and state that the infortnation is correct and agree to comply with all
applicable SWte of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: y '
OFFICE USE ONLY RE(,°EwEp
Certifiptes of Survey Received Yes _ No MAY 1 1 1994
Tree Preservation Pian Received _ Yes _ No ----------------
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INpICATES`:DIREC710N
174-Z,67 ? FINISHED.;GARAG?ETI.,
936.43 ? BAB9MENl'? fCOC?,R%:?L''I
r . ? TOp OF FOUNnAI`ION.
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?a?=lier eby, cez;ti£y thati tilii? is a true anaoor'redt r?e pzesen ati
rad??? by r.
kehown'i?end idesaribed. liexeon. I?? prepa ?me "srd,? i
? jj 'aR
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, .
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
p.I.N.: 10-83750-310-81
,--?,
Bu3ldi,ng,,?Permit Type
SF DWG
?uil,ding ?WQrk Type NEW
{'UBC Occwpancy-\" R-3 M-1
/ Construction Type V-N
/ Zoning ?..?
r Building length R-1
?
RtiilAinn Wirith
$142,000
97
B U ? ILDI/?y N?3
022072
69J29/93
DESCRIPTION:
66
52
???? ?? ???a bul,
REMARKS:
PRV
FEE SUMMARY:
S & W PLBR -
PERMIT
vALunrzati
$786.50
$511.23
$71.00
$750.00
100
1
$2,118.73
MISCELLANEOUS $1,744.50
Total Fee $3,863.23
PERMIT TYPE:
Permit Number:
Date Issued:
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAC Units
Subtotal
CONTRACTOR: - Applicant - sT. LIc. OWNER:
T C CONST INC 14693723 0001076 T C CONST INC
19784 KENNICK AVE 19784 KENNZCK AVE
LAKEVILLE MN 55044 LAKEVIIIE MN 55044
(612) 469-3723 (612)469-3723
I hereby acknowledge that I have read this application ar{d state that the
informat3on is correct and agree to comply with all appl?cable State of Mn.
Statutes and City of Eagan Ordinances« _
?;,
?(fUA ft ol:l?, ?
APPLICANT/PERMITEE SIGNATURE --? ISSUED B. SI NAT R
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: LoT: si BLOCK:
4691 BRISTOL BLVD
WESTON HILLS
PERMIT SUBTYPE:
SF OWG
PERMITTYPE: BuiLorNs
Permit Number: 0 2 2 0 7 2
Date Issued: 09 J29 /93
1 APPLICANT:
T C CONST ZNC
(612) 469-3723
TYPE OF WORK:
NEW
INSPECTiON
FOOTING .. .
FRAMING .A
INSULATION FINAL
FIREPLACE
REMARKS: PRV
r- -°
L
S & W PLBR -
- _ - " - -
4691 BRISTOL BLVD
LOT: 31 BLOCK: 1
WESTON HILLS
sEaCTivaTE _ CITY OF EAGAN I
FEttMIT 0 1993 BUILDING PERMIT APPUCATION f?S,
? 681-4675 D ? ? ? o w ?, r?
?
, )l
SINGLE 3 MULTI-fAMiLY , ?
2 sets of plans, 3 registered site su ?s,`1 copofenergy!
calcs.
?
COMMERCIAL
1
1 _ _
2 sets of architectural 5 structural ans;
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 permlt
is issued.
Date 7 .C/7 'w?, Yaluation of work ^ d ? _2
,` ` ? ,
Site Address: 13
sta¢et wtte r
Tenant Name: (commercial only)
IAT -:?> ( BLOCK ? SUBD. P.I.D.
_ GL?C? C7 G\
Descri tion of work: ?
The applicant is: 0 Owner 0 Contractor O Other (Describe)
Phone ??--
Z
, C c o
Name
Property LA5, fIRST -
Owner qddress o N?`?k .,A 'g?
S7REEi ' iTE N
City L,G l?( ?v ?fi<Z 5tate irvl ?' ?y_, ZiP
Lompany Phone
Contractor Address License d Exp.
City State Zip
Company ? CS Phone
-
A?Chlt@Ct/ ?? ? FJJ gegistration N
Engineer Name
Address ?
City State Zip
Sewer 8 water licensed plumber . Processing time for
sewer fl water permits is two days once area has been approved.
1 hereby acknowledge that I have read this apPlication and state that the information is
licable State of Minnesota 5tatutes and Lity of "
ll
h
l
i
app
t
a
y w
correct and agree to comp
Eagan Ordinances. ,
licant: ?•?? ? ?
f A
S
-
pp
ignature o
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 foundation
'51?02 SF Dwg.
O 03 SF Addition
? 04 SF Porch
O 05 Sf Misc.
? 06 Duplex
? 07 4-Plex
O OB S-Plex
E3 09 12-Plex
? 10 Multi. Add'1
WORK TYPE
0 11 Apt./Lodging
O 12 Multi. Misc.
? 13 6arage/Accessory
? 14 Fireplace
? 15 Deck
a 4+ •
?Y. O 16?8asemen,teFini sh
O 17 Swim Pool
O 18 Coam./Ind.
? 19 Coiom./Ind. Misc.
O 20 Public facillty
O 21 Miscellaneous
0?31 New ? 33 Alterations ? 35 Tenant Finish 0 37 Demolish
? 32 Addition 0 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) v-n1 Basement sq. ft. MWCC System YE$
(Allowable) v- N lst fl. sq. ft. City Mater ?
UBC Occupancy K-3 M-1 2nd F1, sq. ft. PRY Required ?
2oning R-1 5q. Ft. total Booster Pump
/ of 5tories fuotprint Sq. ft. Fire Sprinkler
length ? On-site well Census Code ?
Depth 52, On-site sewage SAC Code oL_
r
APPROVALS ?
Planning Building Assessments
Engineering Yariance
REQUIRED IN SPECTtONS '
El Site
? Wallboard
O Footing
O Final
0 Framing
O Draintile
? Insulation
? fireplace
Permit fee v.iu.tcon: vJo
Surcharge
Plan Review GAn???; 3Z x z4 = ?68
?.---
License 2 ?c Iz ? (z4)
MWCC SAC ?-
City SAL 4 14/?
o
esmar Z6,K3A= = 11
9oW
Water Conn. ?B
y
Z K?SrZ= 3? ?
Water Meter
Acct. Deposit _
gl fS=
12,Z55
S/W Permit
5/W Surcharge ?- 2? g2a
Treatment Pl. x3u= r1V0 KC5?I-Zo):
y? '
Road Unit ,
Park Ded. mAi„ L?„jn.,,
Trails Ded.
es
M
er L-L '7$a
Total : ! )01: 22
SAC % I 00 Z x Z x8 ; 32
SAL Units J_ z%6; ji yp .SSb
J6,71?%S`t? ILI) 231
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PLHNN6115 and'?qN?REND 3UnY6Yn11x
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I'?61hATAEEJ,'?'6URNSViLIE, IAINNESOTA 55b3T
CATE OF S,
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?U •LOT BIIRVEY CHECRLIST FOR REBIDENTIAL
L ^ BDILDSNG PERMIT APPLICATION
m
W S2 PROPERTY LEGAL: ?
?< m Date of Surveys
DOCIIMENT STANDARDS
?0 0 • Registered Land Surveyor signature and company
011 • Suilding Permit Applicant
C?Y' 0?? • Legal description
? ,,C?' 0 • Address
8??0 ? : North arrow and bar scale
?
0 00 House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
?? ? • Directional drainage arrows with slope/gradient ?.
? C3-? • Proposed%existing sewer and water services
V? ? • Street name
B?0 ? • Driveway
Existina
0 Zr'? ? • Sewer service
? ? ? • Lot corners
L? 0? • Top of curb at the driveway
13 [3? ? • Elevations of any existing adjacent homes
Pronosed
? ? ? • Garage floor
? ? 0 • First floor
? 0 ? • Lowest exposed elevation (walkout/window)
?-/? ? • Property corners
B" ?? • Front and rear of home at the foundation
PONDING AREAS (if aoolicable)
O F ? 11
0 ?0
• Easement line .
• NWL
• HWL
• Pond # designation
• Emergency Overflow Elevation
c?e o :
?
o ? •
Q?0 0 •
?? ? •
? o?- •
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
existinq homes
Retaining ?t?quirgpftts, if any
Reviewed:
?
OCtober 1992
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inLeatm l,388C":?6006, (o)2as, or leas than ?item 01. you have ?ase,t?.U,titii,??;,???;'i..;
. .., ? ? , . ' • ;'???iNrr?,P??t??;i?'t?i? .
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PLEASE COMPLETE FOR SINGLE FAMILY DWELLWGS. ALSO, FOR TOWNHOIvES AND
CONDOS VJHEN PERMITS ARE REQUIRED FOR EACH UNIT. '
? NEW CONSTRUCI'ION
ADD-ON A,lC
ADD-ON FURNACE
DATE \ C ` 4 ' 03
FEES
I-iVAC: 0-100 M BTU $ 24•00
ADDITIONAL 50 M BTU 6•00
GAS OUTLETS (MINiMUM 1@ 53.00 EACH)
ADD-ON/REMODEL (ExISTING CoNSTEtUCTioN) $ 15.00
STATE SURCHARGE .50
1
TOTAL
SITE ADDRFSS: 4?cc? , Qr
OWNER NAME:
1NSTALLER:
ADDRES • 3c-?
TELEPHONB #: 0??L &- (o C7 TELEPHONE #:
CI'TY: C C kt:?
STATE:_M ', Q.y-) ZIP CODE:
1993 MECHANICAL PERMIT (RESIDENTiAI,)
CITY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
T?O. FIXTURES IFACH` MT?
? SHOWER 3,00
WATER CLOSET 3•00 g J
i BATH TUB 3.00
3 LAVATORY 3•00 9
_ KITCHEN SINK 3•00 -3-.
? LAUNDRY TRAY 3.00 ;
L HOT TIJB/SPA 3•00 3
_
/ WATER HEATER 3.00 ?
/ FLOOR DRAIN 3•?
L GAS PIPING OUTI.ET • minimom • 1 3.00 ; 3
? ROUGH OPENINGS 1.50
WATER SOFTENER 5•00 "
PRIVAT'E DISP. • n.ILay, sc. 15.00
U.G. SPRINKI.ER • eome unaec camsi.
'
3,00
ALTERATIONS • w aoatina 15.00 ,
WATER TURN AROUND 15.00 -75-
STATE SURCHARGE •50
TOTAL: -,._. ? IL ll `17 /l O -?
SITE ADDRESS:
OWNER NAME:_
WSTALLER:-4
ADDRESS:1V
CITY:
PHONE #: (??)
X/_11) ST.
ZIP CODE: y?
1993 PLUMBING PERMTf (RESIDENTIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 6814675 ?
Use BLUE or BLACK Ink
r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
1 For Office Use I
I r
City of Ea PermitI Permit Fee: 1015•95
1
3830 Pilot KnobRoad 1 I
Eagan MN 55122 Date Received: t, 13
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: U f3 I
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: ~Q
_ to y~n_ ~«zS Phone:
Resident/
Owner Address /City /Zip:
Applicant is: Owner Contractor
Type of Work Description of work: Construction Cost: Multi-Family Building: (Yes / No )
Company: fbcli~n ~anr~c Contact:
Contractor Address: A6&3 City: AdAA - i
State: xy Zip: / Z Phone: 4a, 3/'!!a t-y12
.17
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.gopherstateonecall.ong
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code a completed within 180
days of permit issuance.
x % 1'i i~- g", x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
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(??$*%C+ A4-1L* -- '=*H+C 01-5..0-)'#2 '=*H+C 01-
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA137409
Date Issued:07/01/2016
Permit Category:ePermit
Site Address: 4691 Bristol Blvd
Lot:031 Block: 001 Addition: Weston Hills
PID:10-83750-01-310
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Elizabeth A Wolf
4691 Bristol Blvd
Eagan MN 55123
(651) 454-7210
Appliance Connections Inc
12850 Chestnut Blvd
Shakopee MN 55379
(952) 445-4803
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143389
Date Issued:06/14/2017
Permit Category:ePermit
Site Address: 4691 Bristol Blvd
Lot:031 Block: 001 Addition: Weston Hills
PID:10-83750-01-310
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Elizabeth A Wolf
4691 Bristol Blvd
Eagan MN 55123
(651) 454-7210
Centerpoint Energy
1240 W River Pkwy
Minneapolis MN 55454
(612) 321-5597
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170011
Date Issued:06/17/2021
Permit Category:ePermit
Site Address: 4691 Bristol Blvd
Lot:031 Block: 001 Addition: Weston Hills
PID:10-83750-01-310
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Elizabeth A Wolf
4691 Bristol Blvd
Saint Paul MN 55123--398
(612) 386-0987
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173301
Date Issued:11/08/2021
Permit Category:ePermit
Site Address: 4691 Bristol Blvd
Lot:031 Block: 001 Addition: Weston Hills
PID:10-83750-01-310
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 -
Elizabeth A Wolf
4691 Bristol Blvd
Saint Paul MN 55123--398
(612) 386-0987
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature